Molar pregnancy pregnancy
an extremely rare disease, which is directly linked to pathology of trophoblast interim authority responsible for the development of the placenta. Relate this to the pathology of trophoblastic tumors these formations are benign and treatable, the embryo often dies.
Causes of hydatidiform mole are in the wrong set of chromosomes, duplication of the paternal and complete or partial absence of the parent. This anomaly happens if the defective fertilization of the egg occurs in two sperm. It’s defective egg with the wrong number of chromosomes or nuclear-free.
The first case gives the development of partial hydatidiform mole, the second case is complete. Patients suffering from cystic skid, the sperm and egg unite in the uterus, but fetal development never begins. Instead, in the uterus begin to form cysts, reminiscent of bubbles with a transparent liquid. Molar pregnancy usually develops within the uterus and has not spread to organs and tissues. Also the appearance of the disease is possible if the infection toxoplasmose, in violation of hormonal due to mutation of chromosomes.
There are several types of hydatidiform mole
- full or simple view of the pathological changes in the chorion
- partial molar pregnancy pathological changes are partial and local character
- destruirujushchego form the most severe pathology, can regenerate in malignant education.
Signs of hydatidiform mole is by nature similar to a large number of abnormalities of pregnancy. When all of the following symptoms a woman must urgently to contact the obstetrician-gynecologist. Molar pregnancy manifested by the following symptoms
- the increase in uterine non-pregnancy (difference in 3-4 weeks)
- uterine bleeding, which is evident from the first months of pregnancy. The blood is of dark color, liquid, with bubbles drifting
- no factors confirming pregnancy heart sounds and signs of fetal movement
- nausea, anemia due to massive blood loss, frequent morning sickness
- the development on the background pathology of bilateral ovarian cysts.
First listed diagnosis should be the conduct of vaginal studies in which palpation the doctor can feel the changes in the uterus. This is punishable by ultrasound examination, conducted blood tests to determine the level of the hormone beta-HCG, if necessary, carried out liver function tests.
A molar pregnancy requires immediate treatment. There are two options for the treatment of skid surgical and chemical method. Surgical method is dilatation and curettage of the uterine cavity, the removal of pathological processes by vacuum aspiration. For best rejection of skid administered oxytocin. The subsequent 8 weeks after surgery, observation is indicated obstetrician-gynecologist, a study of the level of beta-HCG in the blood and ultrasound once every two weeks. Chemical method is a system because all drugs enter the bloodstream of the body and spread to all organs and tissues, destroying the malignant cells detected. Chemotherapy can be conducted in the form of pills and intravenous and intramuscular injections.
Migrated molar pregnancy has several effects-infertility, amenorrhea (absence of menstruation), pathology of newborns (if the pregnancy was saved), the development of a malignant form of trophoblastic disease. Preventive measures and adequate treatment may allow women to preserve reproductive function and have a high chance of a normal future pregnancy. 80% of women who have suffered a molar pregnancy, there is a remission, but it does not require additional treatment.