Mwezi Wodziwitsa Accreta
Masabata angapo apitawo, ndinali kuwonera "Kaputeni" pa ESPN ndi mwamuna wanga, yemwe ndi wokonda kwambiri ku Yankees. Monga wokonda Red Sox inenso, ndidakana kuyitanidwa kuti ndikhale nawo pazakudya zambiri, koma usiku womwewu adati ndiyenera kuwonera gawo. Anakankha sewero ndipo ndinamvetsera Hannah Jeter akugawana nkhani yake yopezeka ndi placenta accreta ndi hysterectomy yodzidzimutsa yomwe inatsatira kubadwa kwa mwana wake wachitatu. Aka kanali koyamba kumva munthu akulankhula za zomwe ndidakhala nazo miyezi ingapo yapitayo.
October ndi mwezi wa Accreta Awareness ndipo nawo, mwayi wogawana nkhani yanga.
Bwererani ku Disembala 2021. Ndinali ndisanamvepo mawu akuti placenta accreta, ndipo monga Googler wachangu, akunena zina. Ndinali pafupi kutha pa mimba yanga yachiwiri ndipo ndinkagwira ntchito limodzi ndi dokotala wina wamankhwala ochizira mwana yemwe anakwanitsa kudwala. Pamodzi, tidaganiza zopanga njira yopangira opaleshoni (C-gawo) ndiyo njira yabwino kwambiri yopitira kwa mayi ndi mwana wathanzi.
Kutagwa mvula, ine ndi mwamuna wanga tinatsazikana ndi mwana wathu wamng'ono pamene tikupita ku University Hospital kukonzekera kukumana ndi mwana wathu wachiwiri. Chisangalalo chathu chokumana ndi mwana wathu wamwamuna kapena wamkazi tsiku limenelo chinachititsa kuti tisamade nkhawa ndi kuyembekezera zonse zimene zinali m’tsogolo. Mwamuna wanga anali wotsimikiza kuti tinali ndi mnyamata ndipo ine ndinali wotsimikiza 110% kuti mwanayo anali mtsikana. Tidaseka poganiza kuti m'modzi wa ife adadabwa bwanji.
Tinalowa m'chipatala ndikuyembekezera mwachidwi zotsatira za labu kuti tidziwe ngati gawo langa la C lidzakhala pansi pa anesthesia wamba kapena wamba. Ntchito ya magazi itabwerera, gulu lathu lonse lachipatala linasangalala pamene tinkakondwerera kuti tikhoza kupita patsogolo ndi "gawo la C." Tinakhala omasuka kwambiri chifukwa kubweretsa kwathu koyamba kunali kwachizolowezi.
Nditawoloka chomwe tinkaganiza kuti chinali chopinga chomaliza, ndinayenda pansi kupita kuchipinda chochitira opaleshoni (OR) (chochitika chodabwitsa chotere!) ndikuphulitsa nyimbo za Khrisimasi ndikumverera kukhala wokonzeka kukumana ndi mwana wathu watsopano. Maganizo anali omasuka komanso okondwa. Zinkawoneka ngati Khrisimasi ikubwera molawirira ndikukhalabe ndi mzimu, gulu la OR ndi ine timakangana za kanema wabwino kwambiri wa Khrisimasi - "Chikondi Chowona" kapena "Tchuthi."
Pa masabata 37 ndi masiku asanu, tinalandira mwana wathu Charlie - mwamuna wanga adapambana! Kubadwa kwa Charlie kunali zonse zomwe tinkayembekezera - adalira, mwamuna wanga adalengeza za kugonana ndipo tinayamba kusangalala ndi nthawi ya khungu, zomwe zinali zofunika kwambiri kwa ine. Charlie anali kamnyamata kakang'ono kwambiri wolemera mapaundi 6, ma ounces asanu, koma anali ndi mawu. Ndinasangalala kwambiri nditakumana naye. Ndinamasuka kuti zonse zidayenda monga mwadongosolo…mpaka sizinatero.
Pamene ine ndi mwamuna wanga tinali kusangalala ndi nthaŵi yathu yoyamba ndi Charlie, dokotala wathu anagwada pamutu panga nandiuza kuti tinali ndi vuto. Anandiuza kuti ndili ndi placenta accreta. Ndinali ndisanamvepo mawu akuti accreta koma kumva vuto la dziko lapansi ndili pa tebulo la opaleshoni kunali kokwanira kuti masomphenya anga asokonezeke ndipo chipindacho chimamva ngati chikuyenda pang'onopang'ono.
Panopa ndikudziwa kuti placenta accreta ndi vuto lalikulu la mimba lomwe limapezeka pamene thumba limakula kwambiri mu khoma la chiberekero.
Nthawi zambiri, "placenta imachoka pakhoma la chiberekero pambuyo pobereka. Ndi placenta accreta, gawo kapena thumba lonse limakhazikika. Izi zingayambitse kutaya magazi kwambiri pambuyo pobereka.1
Kuchuluka kwa placenta accreta kwakula pang'onopang'ono kuyambira 1970s2. Kafukufuku akuwonetsa kuti kuchuluka kwa placenta accreta kunali pakati pa 1 pa 2,510 ndi 1 pa 4,017 m'ma 1970 ndi 1980s.3. Malingana ndi deta kupyolera mu 2011, accreta tsopano ikukhudza ambiri 1 mu 272 mimba4. Kuwonjezeka uku kumagwirizana ndi kuwonjezeka kwa chiwerengero cha cesarean.
Nthawi zambiri placenta accreta siidziwika ndi ultrasound pokhapokha ngati ikuwoneka mogwirizana ndi placenta previa yomwe ndi mkhalidwe umene "placenta imakwirira khomo la chiberekero."5
Zinthu zambiri zimatha kuonjezera chiopsezo cha plasenta accreta, kuphatikizapo opaleshoni ya chiberekero, malo a placenta, msinkhu wa amayi ndi kubadwa koyambirira.6. Zimabweretsa zoopsa zingapo kwa munthu wobadwayo - zofala kwambiri zomwe zimakhala zowawa asanakwane komanso kutaya magazi. Kafukufuku wa 2021 akuti chiwopsezo cha kufa chimafika 7% mwa obadwa ndi accreta.6.
Kusaka mwachangu kwa Google pankhaniyi kukutsogolerani ku nkhani zowopsa kuchokera kwa anthu obadwa ndi mabanja awo omwe adalandira matendawa komanso zovuta zomwe zidatsatira. Kwa ine, dokotala wanga adandiuza kuti chifukwa cha kuuma kwa accreta yanga, njira yokhayo yothandizira ndi hysterectomy yonse. Chikondwerero cha machitidwe athu achizolowezi chomwe chinachitika mphindi zochepa zisanachitike zidachitika mwadzidzidzi. Oziziritsa magazi adabweretsedwa ku OR, gulu lachipatala lidakula kawiri ndikukangana pa kanema wabwino kwambiri wa Khrisimasi kunali kukumbukira kutali. Charlie anachotsedwa pachifuwa panga ndipo iye ndi mwamuna wanga analozedwera kuchipatala cha post-anesthesia care unit (PACU) pamene ine ndinali wokonzekera kuchitidwa opaleshoni yaikulu. Kusangalala kwa Khirisimasi kunasintha n’kukhala kusamala kotheratu, mantha aakulu, ndi chisoni.
Zinali ngati nthabwala yankhanza kukondwerera kukhala mayi kachiwiri ndipo mphindi yotsatira kuphunzira kuti sindidzakhalanso ndi mphamvu yobereka mwana kachiwiri. Ndili patebulo la opaleshoni ndikuyang'ana kuwala kochititsa khungu, ndinachita mantha ndi kugwidwa ndi chisoni. Maganizo amenewa amasiyana kwambiri ndi mmene munthu “amayenera kumverera” akabadwa khanda, chimwemwe, chisangalalo, chiyamikiro. Maganizo amenewa anadza ndi mafunde ndipo ndinawamva onse mwakamodzi.
Ndi zonse zomwe zanenedwa, zomwe ndakumana nazo ndi accreta zinali zosagwirizana ndi zomwe zachitika kwa ena omwe ali ndi matenda omwewo, koma zowawa kwambiri poyerekeza ndi kubereka nthawi zambiri. Ndinamaliza kulandira kuikidwa magazi ku platelet - mwina chifukwa cha zinthu zosokoneza osati kokha chifukwa chokhala ndi accreta. Sindinakhale ndi kutaya magazi kwambiri ndipo pamene accreta yanga inali yovuta, sizinakhudze ziwalo zina kapena machitidwe. Ngakhale zinali choncho, zinafunikira mwamuna wanga kudikirira pakhoma moyang’anizana ndi ine ndi kudabwa kuti mlandu wanga ukakhala wovuta motani ndi kundilekanitsa ine ndi khanda langa latsopano kwa maola ambiri. Zinawonjezera zovuta pakuchira kwanga ndipo zinandilepheretsa kukweza mapaundi opitilira 10 kwa milungu isanu ndi itatu. Mwana wanga wakhanda pampando wake wagalimoto anadutsa malirewo. Pomaliza, idalimbikitsa lingaliro lakuti banja langa liri ndi ana awiri. Ngakhale ine ndi mwamuna wanga tinali 99.9% otsimikiza kuti izi zinali choncho zisanachitike, kukhala ndi chisankho kwa ife kwakhala kovuta nthawi zina.
Mukalandira matenda omwe simunamvepo zomwe zimakhudza moyo wanu nthawi zonse zomwe zimatchedwa "tsiku labwino kwambiri pa moyo wanu" pali zambiri zoti mumenyane nazo. Ngati mukupeza kuti muli pamalo pomwe dongosolo lanu lobadwa silinayende monga momwe munkayembekezera kapena zopweteketsa mtima, apa pali maphunziro angapo omwe ndaphunzira omwe ndikukhulupirira kuti ndi othandiza.
- Kusungulumwa sikutanthauza kuti muli nokha. Zitha kukhala zodzipatula kwambiri pamene kubadwa kwanu kumadziwika ndi zoopsa. Abwenzi ndi achibale omwe ali ndi zolinga zabwino amatha kukukumbutsani za mphatso yomwe inu ndi mwana muli ndi thanzi labwino - komabe, chisoni chimakhalabe chizindikiro. Zitha kumva ngati zomwe mwakumana nazo ndi zanu kuti muthane nazo nokha.
- Kufuna thandizo sikutanthauza kuti simungathe. Zinali zovuta kwambiri kwa ine kudalira ena pambuyo pa opaleshoni yanga. Panali nthawi zina pomwe ndimayesa kukankha kuti ndingodzikumbutsa kuti sindinafooke ndipo ndinalipira mtengo wa ululu, kutopa komanso kulimbana kowonjezera tsiku lotsatira. Kulandira chithandizo nthawi zambiri ndi chinthu champhamvu kwambiri chomwe mungachite pothandizira omwe mumawakonda kwambiri.
- Gwirani malo ochiritsira. Thupi lanu likachira, bala la zomwe mwakumana nazo limatha kukhalabe. Mphunzitsi wa mwana wanga akafunsa pamene mlongo wamng’ono akubwera kubanja lathu, ndimakumbutsidwa zosankha zimene sindingathe kudzipangira ndekha. Ndikafunsidwa za tsiku la kusamba kwanga komaliza pa nthawi imene dokotala wandiuza, ndimakumbutsidwa njira zomwe thupi langa limasinthira kosatha. Ngakhale kuti chidziwitso changa chachepa, zotsatira zake zimapitirirabe ndipo nthawi zambiri zimandichititsa manyazi nthawi zomwe zimawoneka ngati zachilendo monga kusukulu.
Pali nkhani zambiri za kubadwa monga momwe zilili makanda Padziko Lapansi. Kwa mabanja omwe amalandira matenda a accreta, zotsatira zake zingakhale zowononga. Ndine wokondwa kuti chokumana nacho changa chinafotokozedwa kukhala chimodzi mwa njira zosalala bwino za Kaisarian-hysterectomy gulu langa lachipatala lawonapo. Ngakhale apobe ndikanakonda ndikanadziwa zambiri za matendawa ndisanapezeke m'chipinda cha opaleshoni. Pogawana nkhani yathu, ndili ndi chiyembekezo kuti aliyense amene adapezeka ndi matenda a accreta amadzimva kuti alibe yekhayekha ndipo aliyense amene ali pachiwopsezo cha matendawa amadzimva kuti ali wodziwa komanso ali ndi mphamvu zofunsa mafunso.
Ngati mukufuna kudziwa zambiri za placenta accreta, pitani:
preventaccreta.org/accreta-awareness
ZOKHUDZA