Mwedzi Wekuzivisa Accreta
Masvondo akati wandei apfuura, ndanga ndichiona “Mukuru” paESPN nemurume wangu, anove afa-hard Yankees fan. Ini saRed Sox fan pachangu, ndakaramba kukokwa kuti ndibatane naye mukutarisa zvakanyanya, asi pahusiku uhu akati ndaifanira kuona chikamu. Akadzvanya play uye ndakateerera Hannah Jeter achigovera nyaya yake yekuonekwa kuti ane placenta accreta uye hysterectomy yechimbichimbi yakatevera kuzvarwa kwemwana wake wechitatu. Aka kakanga kari kekutanga kunzwa mumwe munhu achitaura nezvechiitiko chandakanga ndararama mwedzi mishoma yapfuura.
Gumiguru anocherekedza mwedzi weAccreta Awareness uye nawo, mukana wekugovera nyaya yangu.
Dzokera kuna Zvita wa2021. Ndakanga ndisati ndambonzwa izwi rekuti placenta accreta, uye semunhu anoshingaira weGoogle, ari kutaura chimwe chinhu. Ndakanga ndava pedyo nekupera kwemimba yangu yechipiri uye ndakashanda pamwe chete nachiremba wemishonga yaamai ve fetal uyo akakwanisa matambudziko aitarisirwa. Pamwe chete, takasarudza chikamu chakarongwa chekubara (C-chikamu) yaive nzira yakachengeteka yekuenda kuna amai vane hutano nemwana.
Mangwanani ekunaya kwemvura, ini nemurume wangu takaonekana nemwana wedu tichienda kuUniversity Hospital tichigadzirira kusangana nemwana wedu wechipiri. Mufaro wedu wokusangana nemwanakomana kana kuti mwanasikana wedu zuva iroro wakaita kuti tisatya uye tarisiro yezvose zvaiva mberi. Murume wangu akagutsikana kuti taiva nemukomana uye ini ndaive nechokwadi che110% kuti mwana aive musikana. Takaseka tichifunga kushamisika mumwe wedu ave kuda kushamisika.
Takapinda muchipatara uye takamirira neshungu mhedzisiro yerabhu kuti tione kana C-chikamu changu chaizove pasi penzvimbo kana general anesthesia. Apo basa reropa rakadzoka, boka redu rose rezvokurapa rakafara sezvataipemberera kukwanisa kuenderera mberi ne "chikamu cheC." Takazorodzwa zvikuru sezvo kutanga kwedu kusvitsa kwakanga kuri chimwe chinhu kunze kwemuitiro.
Mushure mekuyambuka zvataifunga kuti dambudziko rekupedzisira, ndakafamba ndichidzika nehoro kuenda kukamuri yekuvhiyiwa (OR) (chiitiko chinoshamisa chakadaro!) uye ndakaridza nziyo dzeKisimusi ndichinzwa ndakagadzirira kusangana nemwana wedu mutsva. Mood yacho yaive yakasununguka uye yakafara. Zvaiita sekunge Kisimusi iri kuuya nekukurumidza uye kuti ndirambe nemweya, timu yeOR uye ini takaitisana nharo pamusoro pebhaisikopo reKisimusi riri nani - "Rudo Chaizvo" kana "Horidhe."
Pamasvondo makumi matatu nemanomwe nemazuva mashanu, takagamuchira mwanakomana wedu Charlie - murume wangu akahwina bheji! Kuzvarwa kwaCharlie ndiko kwaive kwese kwataitarisira – akachema, murume wangu akazivisa bonde uye takanakidzwa nenguva yeganda, izvo zvaive zvakakosha kwandiri. Charlie ndiye aive mudiki mudiki airema makirogiramu matanhatu, maonzi mashanu, asi aive nezwi. Ndakazadzwa nemufaro pandakasangana naye. Ndakanzwa kurerukirwa kuti zvese zvakafamba semarongero…kusvika zvaramba.
Apo murume wangu neni takanga tichifarira nguva dzedu dzokutanga naCharlie, chiremba wedu akapfugama pedyo nomusoro wangu ndokundiudza kuti taiva nechinetso. Akaenderera mberi nekundiudza kuti ndine placenta accreta. Ndakanga ndisati ndambonzwa izwi rekuti accreta asi kunzwa dambudziko renyika ndiri patafura yekuvhiya kwaikwana kuita kuti chiono changu chiite manyemwe uye imba iite senge iri kufamba zvishoma nezvishoma.
Ini zvino ndoziva kuti placenta accreta idambudziko rakakura repamuviri rinoitika apo placenta inokura zvakanyanya mumadziro echibereko.
Kazhinji, "placenta inovhara kubva pamadziro echibereko mushure mekusununguka. Ne placenta accreta, chikamu kana yese ye placenta inoramba yakabatanidzwa. Izvi zvinogona kukonzera kurasikirwa kukuru kweropa mushure mekusununguka. "1
Kuwanda kweplacenta accreta kwakawedzera zvishoma nezvishoma kubva kuma19702. Zvidzidzo zvinoratidza kuti kuwanda kweplacenta accreta kwaive pakati pe1 mu2,510 uye 1 mu4,017 muma1970 nema1980s.3. Zvinoenderana nedata kuburikidza ne2011, accreta ikozvino inobata akawanda se 1 mu 272 nhumbu4. Kuwedzera uku kunopindirana nekuwedzera kwemitengo yekuzvara.
Placenta accreta haiwanzoongororwa neultrasound kunze kwekunge ichionekwa mukubatanidzwa ne placenta previa inova mamiriro ekuti "placenta inovhara zvachose kana kuti chikamu chepaburi rechibereko."5
Zvinhu zvakawanda zvinogona kuwedzera njodzi ye placenta accreta, kusanganisira kuvhiyiwa kwechibereko, nzvimbo ye placenta, zera raamai uye kuzvara kwekare.6. Inoisa njodzi dzakati wandei kumunhu anozvara - iyo inonyanyozivikanwa yekurwadziwa kwepamberi uye kubuda kweropa. Chidzidzo che 2021 chakafungidzira huwandu hwevanhu vanofa hwakakwira kusvika 7% kune vanozvara vane accreta.6.
Kutsvaga nekukurumidza kweGoogle kwechirwere ichi kuchakusvitsa kunyaya dzinotyisa kubva kuvanhu vanozvara nemhuri dzavo vakagamuchira chirwere ichi uye matambudziko akatevera. Muchiitiko changu, chiremba wangu akandizivisa kuti nekuda kwekuoma kweaccreta yangu, sarudzo chete yekurapa yaive hysterectomy yakakwana. Mhemberero yemaitiro edu echinyakare yakaitika maminetsi mashoma zvisati zvaitika kune mamiriro ekukurumidza. Matonhodzi eropa akaunzwa kuOR, boka rezvokurapa rakapetwa kaviri muhukuru uye gakava pamusoro pefirimu reKisimusi rakanakisa raive ndangariro dziri kure. Charlie akabviswa pachifuva changu uye iye nemurume wangu vakatungamirirwa kune post-anesthesia care unit (PACU) apo ini ndakagadzirirwa kuvhiyiwa kukuru. Manzwiro omufaro weKrisimisi akachinjira kungwariro yakachengetwa, kutya kukuru, uye rusuruvaro.
Zvaiita sejee rine hutsinye kupemberera kuve amai zvakare uye munguva inotevera dzidza kuti handifi ndakakwanisa kubereka mwana zvakare. Ndiri patafura yekuvhiya ndakatarisa pachiedza chinopofumadza, ndakanzwa kutya uye kukundwa neshungu. Manzwiro aya akasiyana chaizvo nemanzwire anoita munhu “pakusvika kwemwana mutsva – mufaro, manyawi, kuonga. Mafeelings aya akauya mumafungu ndikanzwa ose kamwechete.
Nezvose zvakataurwa, ruzivo rwangu neaccreta rwakanga rusina kuitika kana ndichienzaniswa nezvakaitika kune vamwe vane chirwere chakafanana, asi chakanyanya kuoma kana chichienzaniswa nekuzvara mwana kazhinji. Ndakapedzisira ndawana kuwedzerwa ropa kweplatelet - zvichida nekuda kwezvinhu zvinovhiringidza uye kwete chete mhedzisiro yekuve neaccreta. Ini handina kuona kubuda ropa kwakanyanya uye nepo accreta yangu yaipinda, haina kukanganisa dzimwe nhengo kana masisitimu. Kunyange zvakadaro, zvaida kuti murume wangu amirire pamadziro akatarisana neni oshamisika kuti nyaya yangu yaizova yakaoma sei ndokuparadzanisa ini nomwana wangu mutsva kwemaawa. Zvakawedzera kuoma kupora kwangu uye zvakanditadzisa kusimudza anopfuura mapaundi gumi kwemavhiki masere. Mwana wangu achangoberekwa pachigaro chake chemotokari akadarika muganhu iwoyo. Pakupedzisira, yakasimbisa sarudzo yekuti mhuri yangu yakakwana pavana vaviri. Nepo murume wangu neni taive 10% chokwadi ichi chaive chiitiko pamberi pechiitiko ichi, kuve nesarudzo yatakaitirwa kwave kwakaoma dzimwe nguva.
Paunogamuchira kuongororwa kwausati wambonzwa nezvayo zvine simba risingaperi pahupenyu hwako panguva yechiitiko chinodaidzwa se "zuva rakanakisa rehupenyu hwako" pane zvakawanda zvekunetsana nazvo. Kana iwe ukaona uri pachinzvimbo chekuti chirongwa chako chekuzvarwa chisina kuenda sezvawaitarisira kana zvakatoshungurudza, hezvino zvidzidzo zvishoma zvandakadzidza zvandinovimba kuti zvinobatsira.
- Kusurukirwa hazvirevi kuti uri wega. Inogona kunzwa kurerukirwa zvakanyanya kana chiitiko chako chekuzvarwa chinoratidzwa nekushungurudzika. Shamwari nemhuri dzine vavariro dzakanaka vanogona kazhinji kukuyeuchidza nezvechipo icho iwe nemwana muri mutano - uye zvakadaro, kusuwa kuchiri chiratidzo chiitiko. Inogona kunzwa sekunge chiitiko chako chechokwadi ndechako kubata zvese uri wega.
- Kuda rubatsiro hazvirevi kuti haukwanisi. Zvakanga zvakandiomera chaizvo kutsamira pane vamwe mushure mekuvhiyiwa kwangu. Pane dzimwe nguva dzandaiedza kuisundidzira kuti ndingozviyeuchidza kuti ndakanga ndisina kusimba uye ndakabhadhara mutengo mukurwadziwa, kuneta uye kuwedzera kutamburira zuva raitevera. Kugamuchira betsero kazhinji kazhinji ndicho chinhu chakasimba zvikuru chaunogona kuita mukutsigira avo vaunoda zvikurusa.
- Bata nzvimbo yekuporesa. Kana muviri wako uchinge wapora, ronda rechiitiko chako rinogona kuramba rakamira. Apo mudzidzisi wechikoro womwanakomana wangu anobvunza apo hanzvadzi duku iri kukukumbanira mhuri yedu, ndinoyeuchidzwa nezvezvisarudzo zvandisingachafaniri kuzviitira pachangu. Pandinobvunzwa nezvezuva rekupedzisira kwangu kuenda kumwedzi panguva yega yega yekugadzwa kwachiremba, ndinoyeuchidzwa nezvenzira dzinochinja muviri wangu zvachose. Nepo huchenjeri hwechiitiko changu hwadzikira, kukanganisa kwacho kuchiri kunonoka uye kazhinji kunonditora ndisina kungwarira munguva dzinoita sedzisina kujairika sekutora chikoro.
Kune nyaya dzekuzvarwa dzakawanda sezvakaita vacheche paNyika. Kune mhuri dzinogamuchira accreta diagnostic, zvinogona kuitika zvinogona kukuvadza. Ndinoonga kuti ruzivo rwangu rwakarondedzerwa seimwe yeCaesarian-hysterectomy yakapfava boka rangu rezvokurapa rakaona. Kunyange zvakadaro ndinoshuva kuti dai ndakaziva zvakawanda nezvechirwere ichi ndisati ndazviwana ndiri mukamuri rokuvhiyira. Pakugovera nyaya yedu, ndinovimba kuti chero munhu akaita chirwere che accreta anonzwa asina kusurukirwa uye chero munhu ari panjodzi yechirwere ichi anonzwa kuziva uye kupihwa simba rekubvunza mibvunzo.
Kana iwe uchida kudzidza zvakawanda nezve placenta accreta, shanya:
preventaccreta.org/accreta-awareness
References