Usuku Lomhlaba Lwe-Preeclampsia
Uma unjengami, okuwukuphela kwesizathu sokuthi uzwe ngesimo se-preeclampsia eminyakeni yamuva nje, kungenxa yokuthi osaziwayo abambalwa babenaso. UKim Kardashian, Beyonce, noMariah Carey bonke bathuthukile ngesikhathi bekhulelwe futhi bakhuluma ngakho; yingakho uKim Kardashian asebenzisa i-surrogate ngemuva kokuthwala izingane zakhe ezimbili zokuqala. Angikaze ngicabange ukuthi ngizokwazi okuningi kangaka nge-preeclampsia noma ukuthi kuzodla inyanga yokugcina yokukhulelwa kwami. Into enkulu engiyifundile ukuthi imiphumela engemihle ye-preeclampsia iyagwemeka, kodwa uma wazi ukuthi usengozini, kuba ngcono.
I-May 22 iqokwe njenge Usuku Lomhlaba Lwe-Preeclampsia, usuku lokuqwashisa ngalesi simo nomthelela waso emhlabeni jikelele. Uma ngabe ungumama okhulelwe osebenzisa izinhlelo zokusebenza zokukhulelwa noma amaqembu e-Facebook, uyazi ukuthi yinto ekhulunywa ngayo ngokwesaba nokuthuthumela. Ngikhumbula izibuyekezo ezivela kusixwayiso sohlelo lwami Lokuthi Yini Ongayilindela mayelana nezimpawu kanye nemicu eminingi emaqenjini ami e-Facebook lapho abesifazane abakhulelwe babekhathazeke ngokuthi izinhlungu zabo noma ukuvuvukala kungase kube uphawu lokuqala lokuthi bayaluhlakulela. Eqinisweni, yonke i-athikili oyifundayo nge-preeclampsia, ukuhlonzwa kwayo, izimpawu zayo, nemiphumela iqala ngokuthi “i-preeclampsia iyisimo esibucayi futhi okungenzeka sisongela ukuphila…” okungaduduzi kakhulu uma ungumuntu osengcupheni yaso noma onesifo. kwatholakala ukuthi unayo. Ikakhulukazi uma ungumuntu owatshelwa ukuthi basendleleni yokuyithuthukisa futhi ungumuntu onomkhuba omubi kakhulu wokuGoogling into engapheli (njengami). Kodwa, izihloko zonke ziqala ngale ndlela (ngiyasola) ngoba akuwona wonke umuntu othatha ukuxilongwa kwakhe ngokungathi sína njengoba kufanele futhi kubalulekile ukuqiniseka ukuthi uphezu kokunakekelwa kwakho kwezokwelapha lapho unaso noma usathuthuka.
Uhambo lwami ne-preeclampsia lwaqala lapho ngiya kudokotela wami ukuze ngiyohlolwa ku-trimester yesithathu futhi ngamangala ukuzwa ukuthi umfutho wegazi wami wawuphezulu ngokungavamile, u-132/96. Udokotela wami waqaphela nokuthi ngivuvukele emilenzeni, ezandleni nasebusweni. Wabe esengichazela ukuthi kungenzeka ngine-preeclampsia nokuthi nganginezici ezimbalwa eziyingozi ngayo. Wangitshela ukuthi bazothatha amasampula egazi nomchamo ukuze babone ukuthi ngizotholwa yini futhi wangitshela ukuthi ngithenge i-blood cuff ekhaya futhi ngiphuze umfutho wegazi wami kabili ngosuku.
Ngokusho the I-Mayo Clinic, i-preeclampsia yisimo esihlobene nokukhulelwa ngokuvamile esibonakala ngomfutho wegazi ophakeme, amazinga aphezulu amaprotheni emchamweni, futhi mhlawumbe nezinye izimpawu zokulimala kwezitho. Ngokuvamile iqala ngemva kwamasonto angu-20 ekhulelwe. Ezinye izimpawu zihlanganisa:
- Inhloko ekhanda
- Izinguquko embonweni
- Ubuhlungu besisu esingenhla, ngokuvamile ngaphansi kwezimbambo ngakwesokudla
- Ukuncipha kwama-platelet egazini
- Ukwandisa ama-enzyme wesibindi
- Ukuphelelwa umoya
- Ukukhuluphala okungazelelwe noma ukuvuvukala okungazelelwe
Kukhona nezimo ezikubeka engcupheni eyengeziwe yokuthuthukisa i-preeclampsia njenge:
- Ukuba ne-preeclampsia ekukhulelweni kwangaphambilini
- Ukukhulelwa ngama-multiples
- Umfutho wegazi ophezulu ongapheli
- Thayipha 1 noma 2 sikashukela ngaphambi kokukhulelwa
- Isifo sezinso
- iziyaluyalu sokuhlasela kwamasosha omzimba
- Ukusetshenziswa kwe-in vitro fertilization
- Ukuba ekukhulelweni kwakho kokuqala nomlingani wakho wamanje, noma ukukhulelwa kokuqala ngokuvamile
- Ukukhuluphala
- Umlando womndeni we-preeclampsia
- Ukuba neminyaka engu-35 noma ngaphezulu
- Izinkinga ekukhulelweni kwangaphambilini
- Eminyakeni engaphezu kwengu-10 kusukela ngokukhulelwa kokugcina
Endabeni yami, nganginenyanga eyodwa ngidlule iminyaka engu-35 ubudala futhi kwakuwukukhulelwa kwami kokuqala. Udokotela wami wangidlulisela kudokotela wezifo ezibangelwa amagciwane (perinatologist) (uchwepheshe wemithi yokubeletha komama), ukuba ngiqaphe. Isizathu siwukuthi i-preeclampsia idinga ukugadwa ngokucophelela ngoba ingaphenduka ibe yizindaba eziyingozi kakhulu nezibucayi. Ezimbili ezibucayi kakhulu I-Hemolysis, ama-enzyme esibindi aphezulu kanye namaPlatelets aphansi (HELLP) syndrome kanye i-eclampsia. I-HELLP iwuhlobo olunzima lwe-preeclampsia oluthinta izimiso zezitho eziningana futhi lungasongela ukuphila noma lubangele izinkinga zempilo yokuphila konke. I-Eclampsia yilapho umuntu one-preeclampsia eba nokuquleka noma equleka. Ezikhathini eziningi, uma owesifazane onomfutho wegazi we-preeclampsia wehla kakhulu noma amalebhu abo edlula ibanga elijwayelekile, bayaphoqeleka ukuthi babelethe ingane yabo kusenesikhathi, ukuze kuvinjwe ukuthi izinto zingabi zimbi nakakhulu. Lokho kungenxa yokuthi ngokuvamile ngemva kokuzalwa, okubalulekile kweziguli ze-preeclampsia kubuyela kokujwayelekile. Ukuphela kwendlela yokwelapha ukungabe usakhulelwa.
Lapho ngivakashela udokotela wezinzwa, ingane yami yabukwa nge-ultrasound futhi kwa-odwa amalebhu engeziwe. Ngatshelwa ukuthi kuzofanele ngibelethe emasontweni angama-37 noma ngaphambili, kodwa hhayi ngemva kwalokho, ngoba amasonto angama-37 athathwa njengesikhathi esigcwele futhi kungaba yingozi ngokungadingekile ukulinda nezimpawu zami eziya ziba zimbi. Ngatshelwa nokuthi uma umfutho wegazi wami noma imiphumela yaselabhu iba yimbi kakhulu, kungase kube ngokushesha. Kodwa ngaqinisekiswa, ngokusekelwe ku-ultrasound, ngisho noma ingane yami yayizalwa ngalolo suku, yayizophila. Lokho kwakunguFebhuwari 2, 2023.
Ngakusasa kwakunguLwesihlanu, Februwari 3, 2023. Umndeni wami wawundizela usuka e-Chicago futhi abangani babe RSVPed ukuzothamela i-baby shower yami ngosuku olulandelayo, ngoFebruwari 4. Ngithole ucingo oluvela kudokotela wamazinyo engazisa ukuthi imiphumela yami yelebhu ibuyile nokuthi manje ngangisendaweni ye-preeclampsia, okusho ukuthi ukuxilonga kwami kwakusemthethweni.
Ngalobo busuku ngadla isidlo sakusihlwa nomamncane kanye nomzala, ngenza amalungiselelo emizuzu yokugcina ukuze izivakashi zifike zigeze ngakusasa, ngilale. Ngangilele embhedeni ngibuka i-TV, lapho amanzi ami ephukile.
Indodana yami uLucas yazalwa ngobusuku bangoFebhuwari 4, 2023. Ngasuka ekuxilongweni kwami ngaze ngabamba indodana yami ezingalweni zami esikhathini esingaphansi kwamahora angu-48, emavikini angu-34 nezinsuku ezinhlanu ngikhulelwe. Emasontweni amahlanu kusenesikhathi. Kodwa ukubeletha kwami ngaphambi kwesikhathi kwakungahlobene nakancane ne-preeclampsia, okuyinto engavamile. Ngike ngancokola ngokuthi uLucas wezwa bengixilonga ngingaphakathi esibelethweni wabe esezitshela ukuthi “Sengiphumile la! Kodwa empeleni, akekho owaziyo ukuthi kungani amanzi ami aphuka ngaphambi kwesikhathi. Udokotela wami wangitshela ukuthi wayecabanga ukuthi kwakungcono kakhulu, njengoba ngangiqala ukugula kakhulu.
Nakuba ngatholakala ngokusemthethweni kuphela ngine-preeclampsia usuku olulodwa, uhambo lwami nalo lwathatha amasonto ambalwa futhi lwayesabeka. Ngangingazi ukuthi kuzokwenzekani kimi noma enganeni yami nokuthi ukubeletha kwami kuzohamba kanjani noma kuzokwenzeka ngokushesha kangakanani. Bengingeke ngazi ukuthi ngidinga ukuthatha izinyathelo zokuphepha ukube angizange ngivakashele udokotela wami ojwayelekile ukuze ahlolwe umfutho wegazi wami. Kungakho enye yezinto ezibaluleke kakhulu umuntu angayenza lapho ekhulelwe ukuya ezimisweni zabo zokubeletha. Ukwazi izimpawu zokuqala kanye nezimpawu nakho kungabaluleka kakhulu ngoba uma uhlangabezana nazo ungaya kudokotela ukuze uthole umfutho wegazi lakho kanye namalebhu ngokushesha.
Ungakwazi mayelana nezimpawu nezindlela zokuvimbela izinkinga kumawebhusayithi ambalwa, nazi ezimbalwa eziwusizo: