Inyanga Yokuqwashisa Nge-Accreta
Emasontweni ambalwa edlule, bengibukele i-“The Captain” ku-ESPN nomyeni wami, ongumlandeli wokuqina weYankees. Njengomlandeli we-Red Sox, nginqabile isimemo sokumjoyina ekubukweni ngokuzitika, kodwa ngalobu busuku uthe ngidinga ukubuka ingxenye. Wacindezela umdlalo futhi ngalalela u-Hannah Jeter exoxa ngendaba yakhe yokutholakala ne-placenta accreta kanye ne-hysterectomy ephuthumayo eyalandela ukuzalwa kwengane yakhe yesithathu. Ngangiqala ngqa ukuzwa othile ezwakalisa isenzakalo engangisiphile ezinyangeni ezimbalwa ngaphambili.
U-Okthoba uphawula inyanga yokuqwashisa nge-Accreta futhi ngayo, ithuba lokuhlanganyela indaba yami.
Buyela emuva ku-December ka-2021. Ngangingakaze ngizwe igama elithi placenta accreta, futhi njengomsebenzi we-Google oshisekayo, lokho kusho okuthile. Ngangizoqeda ukukhulelwa kwami kwesibili futhi ngasebenza eduze nodokotela wemithi yomntwana okhulelwe owakwazi ukubhekana nezinkinga ezazilindelwe. Ngokubambisana, sanquma ukuthi ukuhlinzwa kokuhlinzwa (isigaba C) kwakuyindlela ephephe kunazo zonke eya kumama nengane enempilo.
Ekuseni lina, mina nomyeni wami savalelisa enganeni yethu njengoba silibangise eNyuvesi Hospital silungiselela ukuhlangana nengane yethu yesibili. Injabulo yethu yokuhlangana nendodana noma indodakazi yethu ngalolo suku yalinganisela imizwa nokulindela kwakho konke okwakuseza. Umyeni wami wayeqiniseka ukuthi sinomfana futhi ngangiqiniseka ngo-110% ukuthi ingane iyintombazane. Sahleka sicabanga ukuthi omunye wethu wayesezomangala kanjani.
Sangena esibhedlela futhi salinda imiphumela yelebhu ngokulangazela ukuze sithole ukuthi ingabe ingxenye yami C izoba ngaphansi kwe-anesthesia yendawo noma evamile. Lapho umsebenzi wegazi ubuya, ithimba lethu lezokwelapha lonke lajabula njengoba sibungaza ikhono lokuqhubekela phambili “ngesigaba C esivamile.” Sakhululeka kakhulu njengoba ukulethwa kwethu kokuqala kwakungeyona into evamile.
Ngemva kokuwela lokho esasicabanga ukuthi kwakuyisithiyo sokugcina, ngehla ngehholo ngaya egunjini lokuhlinza (NOMA) (isipiliyoni esiyinqaba kangaka!) futhi ngaqhumisa izingoma zikaKhisimusi ngizizwa ngilungele ukuhlangana nengane yethu entsha. Isimo sasikhululekile futhi sijabule. Kubonakale sengathi uKhisimusi uyeza ngaphambi kwesikhathi futhi ukuze sihambisane nomoya, ithimba le-OR kanye nami saphikisana ngefilimu kaKhisimusi engcono - "Uthando Lwangempela" noma "Iholide."
Emasontweni angama-37 nezinsuku ezinhlanu, samukela indodana yethu uCharlie – umyeni wami wawina ukubheja! Ukuzalwa kukaCharlie kwakuyinto yonke esasiyilindele – wakhala, umyeni wami wamemezela ucansi futhi sajabulela isikhathi sesikhumba esikhumbeni, okwakubaluleke kakhulu kimi. UCharlie wayengumfana omncane kunabo bonke onesisindo esingamakhilogremu angu-6, ama-ounces ama-5, kodwa wayenezwi. Ngachichima injabulo lapho ngihlangana naye. Ngakhululeka ngokuthi konke kuhambe ngokohlelo…kwaze kwenzeka.
Ngesikhathi mina nomyeni wami sisajabulela izikhathi zethu zokuqala noCharlie, udokotela wethu waguqa ngasekhanda lami futhi wangitshela ukuthi sinenkinga. Waqhubeka wangitshela ukuthi ngine-placenta accreta. Ngangingakaze ngizwe igama elithi accreta ngaphambili kodwa ukuzwa inkinga yomhlaba ngenkathi ngisetafuleni lokuhlinza kwakwanele ukwenza umbono wami ufifize futhi igumbi libe sengathi lalihamba kancane.
Manje sengiyazi ukuthi i-placenta accreta yisimo esibucayi sokukhulelwa esenzeka lapho i-placenta ikhula ijule kakhulu odongeni lwesibeletho.
Ngokuvamile, “i-placenta iphuma odongeni lwesibeletho ngemva kokubeletha. Nge-placenta accreta, ingxenye noma yonke i-placenta ihlala inamathele. Lokhu kungabangela ukulahlekelwa igazi elibi ngemva kokubeletha.”1
Ukusabalala kwe-placenta accreta kukhule kancane kancane kusukela ngawo-19702. Ucwaningo lukhombisa ukuthi ukwanda kwe-placenta accreta kwakuphakathi koku-1 kokungu-2,510 kanye no-1 kwabangu-4,017 ngeminyaka yawo-1970 kanye nawo-1980.3. Ngokusho kwedatha ngo-2011, i-accreta manje ithinta abaningi I-1 ku-272 ukukhulelwa4. Lokhu kwanda kuhambisana nokwenyuka kwamazinga okuhlinzwa.
I-Placenta accreta ngokuvamile ayixilongwa nge-ultrasound ngaphandle uma ibonakala ngokuhambisana ne-placenta previa okuyisimo lapho “i-placenta ivala ngokuphelele noma ingxenye yokuvulwa kwesibeletho.”5
Izinto eziningi zingandisa ingozi ye-placenta accreta, okuhlanganisa ukuhlinzwa kwangaphambili kwesibeletho, indawo ye-placenta, ubudala bukamama kanye nokubeletha kwangaphambilini.6. Ibeka izingozi eziningana kumuntu obelethayo - okuvame kakhulu ukusikwa ngaphambi kwesikhathi kanye nokopha. Ucwaningo lwango-2021 lulinganisela izinga lokufa elifinyelela ku-7% kubantu abazala abane-accreta6.
Ukusesha okusheshayo kwe-Google kwalesi simo kuzokuholela ezindabeni ezithusayo ezivela kubantu abazalayo kanye nemindeni yabo abathole lokhu kuxilongwa kanye nezinkinga ezalandela. Endabeni yami, udokotela wami wangitshela ukuthi ngenxa yokuqina kwe-accreta yami, ukuphela kwendlela yokwelashwa kwakuwukukhipha isisu esiphelele. Ukubungazwa kwenqubo yethu evamile okwenzeka emizuzwini embalwa ngaphambili kudlulele esimweni esiphuthumayo. Amapholisa egazi alethwe ku-OR, ithimba lezokwelapha laphindeka kabili ngobukhulu futhi impikiswano ngefilimu kaKhisimusi ehamba phambili kwakuyinkumbulo ekude. UCharlie wasuswa esifubeni sami futhi yena nomyeni wami baqondiswa egunjini lokunakekelwa kwangemva kokubulala izinzwa (PACU) ngesikhathi mina ngilungiselelwa ukuhlinzwa okukhulu. Imizwa yenjabulo kaKhisimusi yashintsha yaba ukuqapha okugodliwe, ukwesaba okukhulu nokudabuka.
Kwakuzwakala njengehlaya elinonya ukugubha ukuba ngumama futhi futhi emzuzwini olandelayo ngafunda ukuthi ngeke ngiphinde ngibe nekhono lokuzala ingane futhi. Ngenkathi ngiphezu kwetafula lokuhlinza ngigqolozele ukukhanya okuphuphuthekisayo, ngazizwa nginovalo futhi nganqotshwa usizi. Le mizwa iphambene ngokuqondile nendlela umuntu “okufanele azizwe ngayo” lapho efika usana olusha - injabulo, injabulo, ukubonga. Le mizwa yeza ngamagagasi futhi ngayizwa kanye kanye.
Kukho konke engikushilo, ulwazi lwami nge-accreta lwalungenasimo uma luqhathaniswa nokuhlangenwe nakho kwabanye abanokuxilongwa okufanayo, kodwa kubi kakhulu uma kuqhathaniswa nokubeletha ngokuvamile. Ngagcina ngithole ukumpontshelwa iplatelet yegazi - okungenzeka kungenxa yezinto ezididayo hhayi umphumela wokuba ne-accreta kuphela. Angizange ngizwe ukopha okwedlulele futhi ngenkathi i-accreta yami ihlasela, ayizange ithinte ezinye izitho noma amasistimu. Noma kunjalo, kwakudinga umyeni wami ukuba alinde odongeni olubhekene nami futhi azibuze ukuthi icala lami lalizoba nzima kangakanani futhi langehlukanisa nengane yami entsha amahora amaningi. Kwengeza inkimbinkimbi ekululameni kwami futhi kwangivimbela ekuphakamiseni amakhilogremu angaphezu kuka-10 amasonto ayisishiyagalombili. Ingane yami esanda kuzalwa esihlalweni sayo semoto yawudlula lowo mkhawulo. Okokugcina, kwaqinisa isinqumo sokuthi umndeni wami uphelele ezinganeni ezimbili. Nakuba mina nomyeni wami sasiqinisekile ngo-99.9% ukuthi lokhu kwakunjalo ngaphambi kwalo mcimbi, ukuba nesinqumo esenzelwe thina kube nzima ngezinye izikhathi.
Uma uthola ukuxilongwa ongakaze uzwe ngakho okunomthelela ohlala njalo empilweni yakho ngesikhathi sokuhlangenwe nakho okubizwa ngokuthi "usuku olungcono kakhulu empilweni yakho" kuningi okumele ulwe nakho. Uma uzithola usesimweni lapho uhlelo lwakho lokuzalwa lungazange luhambe ngendlela owawufisa ngayo noma lwalubuhlungu nakakhulu, nazi izifundo ezimbalwa engizifundile engithemba ukuthi ziwusizo.
- Ukuzizwa unesizungu akusho ukuthi uwedwa. Kungazizwa kuhlukanisiwe lapho ukuzizwela kwakho kokuzalwa kumakwa ukuhlukumezeka. Abangane abanezinhloso ezinhle nomndeni bangakwazi ukukukhumbuza ngesipho sokuthi wena nomntwana niphilile - nokho, usizi lusawuphawu lwesipiliyoni. Kungase kube nomuzwa wokuthi okuhlangenwe nakho kwakho kwangempela kungokwakho ukubhekana nakho konke uwedwa.
- Udinga usizo akusho ukuthi awukwazi. Kwakunzima ngempela kimi ukuncika kangaka kwabanye ngemva kokuhlinzwa kwami. Kunezikhathi lapho ngangizama khona ukuliphusha ukuze nje ngizikhumbuze ukuthi ngangingenamandla futhi ngangikhokha inani ngobuhlungu, ukukhathala nokwengeza umzabalazo ngakusasa. Ukwamukela usizo ngokuvamile kuyinto enamandla kunazo zonke ongayenza ukuze usekele labo obathandayo kakhulu.
- Bamba indawo yokuphulukisa. Uma umzimba wakho usupholile, isilonda sokuhlangenwe nakho kwakho sisengakwazi ukuqhubeka. Lapho uthisha wendodana yami engibuza ukuthi udadewethu omncane useza nini ekhaya, ngikhunjuzwa ngezinqumo engingasenakuzenzela zona. Lapho ngibuzwa ngosuku lomjikelezo wami wokugcina wokuya esikhathini ngaso sonke isikhathi lapho ngiqokwa udokotela oyedwa, ngikhunjuzwa izindlela umzimba wami oshintshwa ngazo unomphela. Nakuba ukuqonda kokuhlangenwe nakho kwami kwehlile, umthelela wako usabambezeleka futhi uvame ukungibamba ngingalindele ezikhathini ezibonakala zijwayelekile njengokuthatha isikole.
Ziningi izindaba zokuzalwa njengoba kunezingane eMhlabeni. Emindenini ethola ukuxilongwa kwe-accreta, imiphumela engaba khona ingaba mibi kakhulu. Ngiyabonga ngokuthi okuhlangenwe nakho kwami kwachazwa njengenye ye-Caesarian-hysterectomy eshelela kakhulu ithimba lami lezokwelapha eliye layibona. Namanje ngifisa ngabe ngazi kabanzi ngalesi sifo esingase sibe khona ngaphambi kokuthi ngizithole ngisegunjini lokuhlinza. Ekwabelaneni ngendaba yethu, nginethemba lokuthi noma ubani oke waba nokuxilongwa kwe-accreta uzizwa enesizungu futhi noma ubani osengozini yalesi simo uzizwa enolwazi futhi enamandla okubuza imibuzo.
Uma ungathanda ukufunda okwengeziwe nge-placenta accreta, vakashela:
preventaccreta.org/accreta-awareness
IZINDAWO ZOLWAZI