Molar pregnancy – symptoms, diagnosis, and treatment

Molar Pregnancy (hydatidiform mole) is a benign tumor in the form of an abnormal pregnancy that occurs as a result of the failure to establish the fetus would be forming a membrane surface tissue (villi) that resemble grape bunch. Pregnant molars are benign tumors that form from the trophoblast (the edges of the egg cells) that have been fertilized. The tumor was attached to the uterine wall and become the placenta and the membranes that nourish the products of conception. This type of tumor may be malignant. Medically, molar pregnancies can occur in the absence of primordial tissue (agenesis) or any changes (degeneration) system of blood flow to the primordial tissue at gestation week 3 to week 4. Other causes are the continuing flow or circulation without going to the fetus, resulting in increased production of trophoblast cell fluid. Pregnant molar can also be caused by abnormalities of sex kromsom substance. Symptoms similar to molar pregnant women who are pregnant normal, such as: missed period, nausea, vomiting, and so on. Examination pregnancy test also gave positive results. But the difference is, the molar was not pregnant there are signs of fetal movement, uterine appear larger than the actual gestational age, and discharge the liquid bubbles like grapes along with vaginal bleeding. Through the radiologic examination or x-ray does not look any fetal bone, but something like a honeycomb or a snow storm. Similarly, an ultrasound will produce a picture similar to a snow storm and did not reveal any signs of fetal heart rate. In molar pregnant, HCG levels will rise higher than normal levels of HCG in pregnancy. Response pregnant molars can be done by issuing mola (evacuate), then do follow-up monitoring (follow-up). In women of fertile and still wanted to have children, spending mola can be done by curettage or suction curettage. A week after the first curettage, curettage repeated again performed to ensure the uterus is completely clean. Whereas in older women or children who are not wanted, to do removal of the uterus (hysterectomy). At follow-up monitoring (follow-up) was conducted to monitor and evaluate the condition after the evacuation, whether clinical, laboratory and radiological. Surveillance continued with HCG examination conducted once a week so that the levels of HCG became negative. If the level of HCG is negative, it is still necessary examinations for three consecutive weeks to ensure the HCG levels remain negative. Further examination HCG levels once a month for six months. If further investigation shows that HCG levels still remain or even increase, the need chemotherapy. Patients molar pregnant women advised not used until the completion of further scrutiny. For women who do not have children, it is recommended using contraception to delay pregnancy for one year, whereas for non-pregnant for two years. To determine whether your pregnancy is normal or did abnormalities, in this example, pregnant molar, recognize the signs and you should regularly check their pregnancy to the midwife or obstetrician. .

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