OBSTETRICS : THE DRIFT OF THE GALLBLADDER (MOLA HYDATIDOSA) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Defeat fleecy shell of the ovum with the transformation of the latter into a conglomerate of small bubbles of various sizes.
Etiology and pathogenesis is not known. The observed molar significant increase in placental gonadotropin-releasing hormone in the tissues and urine of a pregnant woman is more likely a result and not a cause of a molar. Molar affects not only the epithelial elements, but also the vessels of the villi.
Cystic skid symptoms:
For. Pregnancy molar is often accompanied by enhanced vomiting, early appearance of edema in the legs, protein in the urine and other signs of toxicosis of pregnancy. Pregnancy is usually interrupted at IV - V of the month. Thus from the genital tract seem bubbles, which highly facilitates the diagnosis. Bleeding when abortion is often time-consuming, because the exile reborn eggs slowly. In rare cases, the fertilized egg is expelled entirely. For the most part in the uterus remain significant residues. In some cases reborn NAP penetrate deeply into the uterine wall and is capable of eating her up to the abdominal cover, inclusive, with bleeding into the abdominal cavity (mola hydatidosa destruens). In ovaries with cystic drift formed cyst of a yellow body, disappears in 1 to 2 weeks after removal from the uterus of a gestational SAC. In the same period disappears positive reaction in urine pregnant on gonadotropic hormone. Cystic drift can be a source of education in the woman's body very malignant neoplasms - chorionepithelioma.
Cm. Symptoms. Wygodnie bubbles makes diagnosis quite reliable.
If there is bleeding and closing of throat - quinine fractional doses (see Miscarriage feverish, treatment). Pituitrin, laxatives. When significant bleeding - extension of the cervical canal dilator and remove the finger parts of the ovum. After separation of these parts you should make a good contractions injections pituitrin and carefully check its cavity curette (not safe in the sense of perforation of the uterus). It is important to achieve complete removal of all elements of a molarthat will reduce the danger of degeneration them horionepiteliome. The patient with a molar should be under systematic supervision of a physician not less than 6 months with a monthly urinalysis for the presence of chorionic gonadotropin.