Performance

Related factors

Performance

in general

under the mirror

in general

under the mirror

Irregular vaginal bleeding usually occurs around 8-12 weeks after menopause.

The uterus of most patients is larger than the month of menopause, is extremely soft, and is accompanied by an abnormal increase in hCG - the reason is the rapid growth of mole and intrauterine blood accumulation.

The uterus of a few patients is smaller than the month of menopause——the reason may be related to the degeneration of vesicles

Hypertension, proteinuria, and edema may occur as early as 24 weeks of pregnancy

A large amount of hCG stimulates ovarian endometrial cells to undergo luteinization and form cysts

B-ultrasound examination

Human chorionic gonadotropin (hCG)

Hydatidiform mole should be eliminated as soon as possible once diagnosed

associated with vaginal bleeding

Related to worry about uterine curettage surgery and prognosis

Lack of relevant knowledge about disease treatment and follow-up

Observe abdominal pain and vaginal bleeding

① Complete a full body examination before uterine evacuation, pay attention to signs of shock, preeclampsia, hyperthyroidism and anemia, follow the doctor's instructions for symptomatic treatment, and stabilize the condition

② Before the operation, instruct the patient to empty the bladder, match blood, establish intravenous access, and prepare oxytocin, rescue supplies and medicines.

② During the operation, closely observe blood pressure, pulse, respiration, signs of shock, and pay attention to whether there are signs of amniotic fluid embolism.

④Pay attention to vaginal bleeding and abdominal pain after surgery

Diet care————Intake foods rich in vitamin A and easy to digest

Activity and rest—appropriate exercise, adequate sleep and rest to improve the body’s immune function

Keep the vulva clean and dry, and refrain from sexual intercourse and bathing in the bath for 1 month after each dilation and curettage to prevent infection.

①Quantitative measurement of serum hCG. After evacuation of hydatidiform mole, follow-up is conducted once a week until three consecutive negative results, then once a month for 6 months, then every 2 months for a total of 6 months, and a total of 1 time since the first negative result Year

② Ask for medical history and pay attention to whether menstruation is regular, whether there is abnormal vaginal bleeding, whether there is cough, hemoptysis and other metastatic symptoms

③Gynecological examination: B-ultrasound, chest X-ray

Strict contraception for 1 year

contraceptive methods

definition

source

pathology

definition

source

pathology

Mostly secondary to molar pregnancy

①Vaginal bleeding

② Incomplete uterine involution or uneven enlargement

③Ovarian luteinized cyst

④Abdominal pain

⑤Symptoms of false pregnancy

More common after non-molar pregnancy

The most common site of metastasis: lungs, followed by vagina, pelvis, liver, and brain

①Lung metastasis

②Vaginal metastasis

③Liver metastasis

④Brain metastasis

⑤Other transfers

B-ultrasound

Serum hCG

The treatment principle is comprehensive treatment based on chemotherapy, supplemented by surgery and radiotherapy.

first-line chemotherapy drugs

Operation

radiotherapy

Associated with longer hospitalization and chemotherapy

Lung metastasis, vaginal metastasis, brain metastasis

Closely observe the patient's abdominal pain and vaginal bleeding, and accurately record the amount of bleeding

①Nursing of patients with vaginal metastasis

②Nursing of patients with lung metastasis

③Nursing of patients with brain metastasis

diet

disease prevention guidance

Follow up closely and be alert for recurrence