Inyanga yoKwazisa i-Accreta
Kwiiveki ezininzi ezidlulileyo, ndandibukele "uKapteni" kwi-ESPN nomyeni wam, ongumlandeli weYankees. Njengomlandeli we-Red Sox ngokwam, ndasichasa isimemo sokumjoyina ekubukeleni kakhulu, kodwa ngobu busuku wathi kufuneka ndibukele icandelo. Wacofa umdlalo kwaye ndamamela uHannah Jeter ukwabelana ngebali lakhe lokufunyaniswa ne-placenta accreta kunye ne-hysterectomy engxamisekileyo eyalandela ukuzalwa komntwana wakhe wesithathu. Ndandiqala ngqa ukuva umntu ethetha ngento endandiyiphile kwiinyanga nje ezimbalwa ngaphambili.
U-Okthobha uphawula inyanga yoKwazisa i-Accreta kunye nayo, ithuba lokwabelana ngebali lam.
Buyela kuDisemba ka-2021. Andizange ndive igama elithi placenta accreta, kwaye njengoGoogle okhutheleyo, ithetha okuthile. Ndandisondela ekupheleni kokukhulelwa kwam okwesibini kwaye ndisebenza ngokusondeleyo nogqirha weyeza lomntwana okhulelweyo owalawula iingxaki ebezilindelekile. Sikunye, sagqiba kwelokuba icandelo lokubeleka elicwangcisiweyo (icandelo C) liyeyona ndlela ikhuselekileyo eya kumama nosana olusempilweni.
Ngentsasa eyayinetha, mna nomyeni wam savalelisa kumntwana wethu omncinane njengoko sasisiya kwisibhedlele saseYunivesithi silungiselela ukudibana nomntwana wethu wesibini. Imincili esasinayo ngokudibana nonyana okanye intombi yethu ngaloo mini yabangela ukuba sibe nolindelo olupheleleyo lwazo zonke izinto ezaziseza kwenzeka. Umyeni wam wayeqinisekile ukuba sinenkwenkwe kwaye ndandiqinisekile nge-110% ukuba umntwana yintombazana. Sahleka sicinga indlela omnye wethu awayeza kumangaliswa ngayo.
Sangena esibhedlele kwaye silindele iziphumo zelebhu ngokuxhalabileyo ukujonga ukuba i-C-section yam iya kuba phantsi kwe-anesthesia yendawo okanye jikelele. Xa umsebenzi wegazi ubuyile, iqela lethu lezonyango lonke lavuya njengoko sasibhiyozela ukukwazi ukuqhubela phambili "ngecandelo le-C lesiqhelo." Sakhululeka kakhulu njengoko ukuhambisa kwethu okokuqala yayiyinto nje eqhelekileyo.
Emva kokuwela oko sasicinga ukuba ngumqobo wokugqibela, ndehla ngeholo ukuya kwigumbi lokusebenza (OKANYE) (amava anjalo angaqhelekanga!) Kwaye ndaqhuma iingoma zeKrisimesi ndiziva ndikulungele ukuhlangabezana nosana lwethu olutsha. Umoya wawukhululekile kwaye unomdla. Kwaba ngathi iKrisimesi iza kwangethuba kwaye ndihlala nomoya, iqela OKANYE kwaye ndaxoxa ngomboniso bhanyabhanya ongcono weKrisimesi- "Uthando Ngokwenyani" okanye "IHolide."
Kwiiveki ezingama-37 neentsuku ezintlanu, samkela unyana wethu uCharlie – umyeni wam uphumelele ukubheja! Ukuzalwa kukaCharlie kwaba yiyo yonke into esasiyilindele – wakhala, umyeni wam wabhengeza ngokwabelana ngesondo kwaye saye sonwabela ixesha lesikhumba nesikhumba, nto leyo yayibaluleke kakhulu kum. UCharlie wayengoyena mfana umncinci wayenobunzima obuziiponti ezi-6, ii-ounces ezi-5, kodwa ngokuqinisekileyo wayenelizwi. Ndavuya kakhulu xa ndidibana naye. Ndaxola kuba yonke into ihambe ngokwesicwangciso…kwade kwaba njalo.
Ngelixa mna nomyeni wam sasisonwabele ixesha lethu lokuqala noCharlie, ugqirha wethu waguqa ngasentloko yam waza wandixelela ukuba sinengxaki. Uye wandixelela ukuba ndine placenta accreta. Andizange ndive igama elithi accreta ngaphambili kodwa ukuva ingxaki yehlabathi ngelixa kwitafile yokusebenza kwakwanele ukwenza umbono wam uhambe kwaye igumbi lizive ngathi lihamba ngokukhawuleza.
Ngoku ndiyazi ukuba i-placenta accreta yimeko enzima yokukhulelwa eyenzeka xa i-placenta ikhula ngokunzulu kudonga lwesibeleko.
Ngokuqhelekileyo, "i-placenta iphuma eludongeni lwesibeleko emva kokubeleka. Nge-placenta accreta, inxalenye okanye yonke i-placenta ihlala inamathele. Oku kunokubangela ukopha kakhulu kwegazi emva kokubeleka.”1
Ukuxhaphaka kwe-placenta accreta kuye kwanda ngokuthe ngcembe ukususela ngo-19702. Uphononongo lubonisa ukuba ukuxhaphaka kwe-placenta accreta kwakuphakathi kwe-1 kwi-2,510 kunye ne-1 kwi-4,017 kwi-1970 kunye ne-1980.3. Ngokwedatha ngo-2011, i-accreta ngoku ichaphazela abaninzi 1 kwi-272 ukukhulelwa4. Oku kunyuka kuhambelana nokunyuka kwamazinga otyando.
I-Placenta accreta ayidli ngokufunyaniswa nge-ultrasound ngaphandle kokuba ibonwa ngokunxulumana ne-placenta previa eyimeko apho “i-placenta ivale ngokupheleleyo okanye ngokuyinxenye umngxuma wesibeleko.”5
Izinto ezininzi zinokunyusa umngcipheko we-placenta accreta, kubandakanywa utyando lwangaphambili lwesibeleko, indawo ye-placenta, ubudala bomama kunye nokubeletha kwangaphambili.6. Ibeka imingcipheko emininzi kumntu obelekayo - eyona ixhaphakileyo kukubeleka kwangaphambi kwexesha kunye nokopha. Uphononongo luka-2021 luqikelela izinga lokusweleka lifikelela kwi-7% kubantu abazala abane-accreta.6.
Ukhangelo lukaGoogle olukhawulezayo lwale meko luya kukukhokelela kumabali awoyikisayo avela kubantu ababezala kunye neentsapho zabo eziye zafumana olu xilongo kunye neengxaki ezilandelayo. Kwimeko yam, ugqirha wam undixelele ukuba ngenxa yobunzima be-accreta yam, ekuphela kwendlela yonyango yayisisitofu esipheleleyo. Ukubhiyozelwa kwenkqubo yethu yesiqhelo eyenzeke kwimizuzu nje embalwa ngaphambi kokuba yenzeke kwimeko engxamisekileyo. I-coolers yegazi yaziswa kwi-OR, iqela lezonyango liphindwe kabini ngobukhulu kunye nengxoxo malunga ne-movie yeKrisimesi engcono kakhulu yayiyinkumbulo ekude. UCharlie wakhutshwa esifubeni sam kwaye yena nomyeni wam balathiswa kwiyunithi yokhathalelo lwe-post-anesthesia (PACU) ngelixa ndilungiselelwe utyando olukhulu. Iimvakalelo zokuchwayita kweKrismesi zatshintshela ekubeni silumke, uloyiko olugqithiseleyo, nosizi.
Kwaba ngathi liqhula elikhohlakeleyo ukubhiyozela ukuba ngumama kwakhona kwaye ngomzuzu olandelayo ndifunde ukuba andisayi kuba nako ukuzala umntwana kwakhona. Ngoxa ndandiphezu kwetafile yotyando ndijonge kukukhanya okumfamekisayo, ndaziva ndisoyika yaye ndibuhlungu. Ezi mvakalelo zahluke ngokuthe ngqo kwindlela ubani “ekufanele azive ngayo” ekufikeni komntwana omtsha—uvuyo, imincili, umbulelo. Ezi mvakalelo zeza ngamaza kwaye ndaziva zonke ngaxeshanye.
Ngayo yonke loo nto ithethwayo, amava am nge-accreta ayengenamagingxigingxi xa ethelekiswa namava abanye abanoxilongo olufanayo, kodwa aqatha kakhulu xa kuthelekiswa nokubeleka ngokubanzi. Ndigqibe ekubeni ndifumane utofelo-gazi lweplatelet – mhlawumbi ngenxa yezinto ezibhidayo kwaye ingeyiyo kuphela isiphumo sokuba ne-accreta. Khange ndibenawo ukopha okugqithisileyo kwaye ngelixa i-accreta yam yayihlaselayo, ayizange ichaphazele amanye amalungu okanye iinkqubo. Nangona kunjalo, kwakufuna umyeni wam ukuba alinde eludongeni olujongene nam kwaye azibuze ukuba ityala lam liya kuba qatha kangakanani kwaye lahlukanise mna nosana lwam olutsha iiyure. Yongeza ubunzima ekuchacheni kwam kwaye yandithintela ekuphakamiseni ngaphezu kweekhilogram ezili-10 kwiiveki ezisibhozo. Usana lwam olusandul’ ukuzalwa kwisitulo salo senqwelo-mafutha lwawudlula loo mda. Okokugqibela, yaqinisa isigqibo sokuba usapho lwam luphelele kubantwana ababini. Ngelixa mna nomyeni wam sasiyi-99.9% siqinisekile ukuba le nto yayiyimeko ngaphambi kwesi siganeko, ukuba nokhetho olwenzelwe thina bekunzima ngamanye amaxesha.
Xa ufumana uxilongo ongazange uve ngalo ukuba kunempembelelo ehlala ixesha elide kubomi bakho ngexesha lamava abizwa ngokuba "lusuku oluhle ebomini bakho" kuninzi okufuneka ulwe nalo. Ukuba uzifumana ukwimeko apho isicwangciso sakho sokuzalwa singazange sihambe njengoko ubunethemba okanye kwakubuhlungu, nazi izifundo ezimbalwa endizifundileyo endinethemba lokuba ziluncedo.
- Ukuziva ulilolo akuthethi ukuba uwedwa. Ingaziva ikheswa kakhulu xa amava akho okuzalwa ephawulwa kukwenzakala. Abahlobo kunye nosapho abaneenjongo ezintle basenokukukhumbuza ngesipho sokuba wena nosana nisempilweni – ukanti, intlungu isaphawula amava. Ingaziva ngathi amava akho okwenene ngawenu ukujongana nazo zonke ngokwakho.
- Ukufuna uncedo akuthethi ukuba awukwazi. Kwakunzima ngokwenene kum ukuba ndixhomekeke kwabanye emva kotyando lwam. Kwakukho amaxesha apho ndandizama ukuyityhala nje ukuze ndizikhumbuze ukuba andikho buthathaka kwaye ndahlawula ixabiso lentlungu, ukudinwa kwaye ndongeza umzabalazo kusuku olulandelayo. Ukwamkela uncedo kudla ngokuba yeyona nto inamandla onokuyenza ukuze uxhase abo ubathanda kakhulu.
- Bamba indawo yokuphilisa. Nje ukuba umzimba wakho uphile, inxeba lamava akho lisenokuqhubeka. Xa umfundisi-ntsapho wonyana wam endibuza ukuba udade wethu omncinane uza kufika nini kwintsapho yakowethu, ndiye ndikhunjuzwe ngokhetho endingasakwaziyo ukuzenzela lona. Xa ndibuzwa malunga nomhla womjikelo wam wokugqibela wokuya exesheni kwidinga likagqirha ngalinye, ndikhunjuzwa ngeendlela umzimba wam oguqulwa ngayo ngonaphakade. Ngelixa ubukhali bamava am buyehlile, ifuthe lalo lisahleli kwaye lihlala lindibamba ndingalindelanga ngamaxesha abonakala ngathi aqhelekile njengokuthatha isikolo.
Maninzi amabali okuzalwa njengoko kukho iintsana emhlabeni. Kwiintsapho ezifumana ukuxilongwa kwe-accreta, iziphumo ezinokuthi zibe zibi kakhulu. Ndinombulelo kuba amava am achazwa njengenye yezona zifo zigudileyo zikaCaesarian-hysterectomy zibonwe liqela lam lezonyango. Nangoku ndinqwenela ukuba bendisazi ngakumbi malunga nesi sifo sinokwenzeka phambi kokuba ndizibone sele ndikwigumbi lotyando. Ekwabelaneni ngebali lethu, ndinethemba lokuba nabani na oye wafumana ukuxilongwa kwe-accreta uziva engeyedwa kwaye nabani na osemngciphekweni wale meko uziva enolwazi kwaye exhotyisiwe ukuba abuze imibuzo.
Ukuba unomdla wokufunda ngakumbi malunga ne-placenta accreta, tyelela:
preventaccreta.org/accreta-awareness
IZALATHISO