Mtengo Wokwera wa Kusabereka: Akazi Ali Pachiwopsezo Chosowa Mwana

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Ali ndi zaka 30, Ali Barton sanayenera kukhala ndi vuto kutenga pakati ndikubereka mwana wathanzi. Koma nthawi zina chilengedwe sichimagwirizana ndipo zinthu zimawonongeka-kubereka kwa Ali pankhaniyi. Zaka zisanu ndi ana awiri pambuyo pake, zinthu zachitika m'njira yosangalatsa kwambiri. Koma panali zovuta zina panjira, kuphatikizapo ndalama zoposa $ 50,000. Ana ake awiri okongola ndi ofunika mtengo uliwonse, akutero, koma kodi zitha kuwononga ndalama zambiri kungokhala ndi mwana? Ndipo n'chifukwa chiyani chithandizo cha chonde ndi chokwera mtengo kwambiri?

Ali ndi mwamuna wake adakwatirana koyambirira kwa 2012 ndipo chifukwa ali ndi zaka 11 adaganiza zoyamba banja lawo nthawi yomweyo. Chifukwa cha matenda am'magazi omwe amafunikira chithandizo chamankhwala tsiku lililonse, sanakhale ndi nthawi kwakanthawi. Koma anali wamng’ono komanso wathanzi ndithu moti ankaganiza kuti zinthu ziyenda bwino. Anasiya mankhwala ake ndikuyesera mankhwala angapo a mahomoni kuti ayambe kusamba kwake. Koma palibe chomwe chinagwira ntchito. Chakumapeto kwa chaka adali atakumana ndi katswiri wa zamitsempha yobereka yemwe analimbikitsa banjali kuti ligwiritse ntchito njira yolera.

Banjali linaganiza zoyesa kaye IUI (intrauterine insemination), njira imene umuna wa mwamuna umabadwira mwachindunji m’chiberekero cha mkazi kudzera m’katheta. IUI ndi njira yotsika mtengo, pafupifupi $900 popanda inshuwaransi. Koma mazira a Ali adapangidwa ochuluka kwambiri mazira, omwe amachulukitsa chiopsezo chokhala ndi pakati kangapo ndipo atha kubweretsa zoopsa kwa amayi ndi makanda. Choncho, dokotala wake anamuuza kuti asinthe njira ya IVF (in vitro fertilization), yomwe imalola kuti azitha kuyang'anira zoopsa za mimba yambiri. Mu IVF, thumba losunga mazira la mayi limalimbikitsidwa ndi zamankhwala kuti apange mazira ambiri omwe amakololedwa ndikuphatikizidwa ndi umuna mu mbale ya petri. Kenako dzira limodzi kapena angapo amene akumana ndi umuna amaikidwa m’chiberekero cha mayiyo. Ili ndi chiwongola dzanja chapamwamba-10 mpaka 40 peresenti kutengera zaka za amayi - koma zimabwera ndi mtengo wokwera kwambiri, pafupifupi $ 12,500, kuphatikiza $ 3,000 kapena zina mwa mankhwala. (Ndalama za IVF zimasiyanasiyana kutengera dera, mtundu, dokotala, ndi zaka za amayi. Pezani kuyerekezera kolondola kwa ndalama zanu pogwiritsa ntchito kowerengera mtengo wa IVF.)

Ali anapita zinayi kuzungulira kwa IVF mkati mwa chaka chimodzi, koma chinali chiwopsezo chomwe chinapindula.

"Inali nthawi yamdima kwambiri, kuzungulira kulikonse kumakhala koipitsitsa," akutero. "Kuzungulira komaliza tinangopeza dzira limodzi lokhazikika, mwayi unali wochepa kwambiri, koma mozizwitsa unagwira ntchito ndipo ndinakhala ndi pakati."

Pakusintha koopsa, pakati pa mimba, Ali adachita kulephera kwamtima. Mwana wake wamwamuna anabadwa nthawi isanakwane ndipo anafunika kumuika mtima pambuyo pake, koma onse anapulumuka mosangalala.

Koma pamene amayi ndi khanda anali kuchita bwino, ngongole zimangowonjezekera. Mwamwayi kwa a Bartons, amakhala ku Massachusetts komwe kuli lamulo lomwe limalamula kuti chithandizo chamankhwala chizikhala ndi inshuwaransi yazaumoyo. (Maboma 15 okha ali ndi malamulo ofanana m’mabuku.) Komabe, ngakhale ndi inshuwalansi ya umoyo, zinthu zinali zodula.

Ndipo adaganiza kuti akufuna kukhala ndi mwana wachiwiri. Chifukwa cha matenda a Ali, madokotala anamuuza kuti asatengenso mimba. Chifukwa chake a Barton adaganiza zogwiritsa ntchito wina kunyamula mwana wawo. Poberekera mwana, mazira omwe amapangidwa ndi umuna amapangidwa mofananamo ndi IVF. Koma m’malo mowaika m’mimba mwa mayiyo, amawaika m’mimba mwa mayi wina. Ndipo mtengo wake ukhoza kukhala wakuthambo.

Mabungwe ochitira amayi anzawo amatha kulipiritsa $ 40K mpaka $ 50K kuti angofananira makolo ndi woberekera. Pambuyo pake, makolo ayenera kulipira cholozera chokwera- $ 25K mpaka $ 50K kutengera zomwe akudziwa komanso komwe amakhala. Kuphatikiza apo, ayenera kugula inshuwaransi ya moyo wa chaka chimodzi komanso inshuwaransi yachipatala kwa wobadwayo ($ 4K), kulipirira kusamutsidwa kwa IVF kwa surrogate ndi kuthekera kopitilira mkombero umodzi ($ 7K mpaka $ 9K pa cycle), kulipira. pamankhwala a mayi wopereka chithandizo ndi woberekera ($600 mpaka $3K, kutengera inshuwaransi), lembani maloya a makolo obadwa nawo komanso woberekera (pafupifupi $10K), ndikupereka zofunika zing'onozing'ono za woberekera ngati ndalama zogulira zovala ndi chindapusa choyendera maulendo a dokotala. Ndipo, ndithudi, sikuwerengeranso ndalama zomwe zimafunika kuti mugule zinthu zabwinobwino monga crib, mpando wa galimoto, ndi zovala mwana akangofika.

Ali anali ndi mwayi woti adatha kupeza woberekera, a Jessica Silva, kudzera pagulu la Facebook ndikudumpha ndalama za bungwe. Koma ankayenerabe kulipira ndalama zotsalazo m’thumba. A Bartons adayeretsa ndalama zawo ndipo abale awo owolowa manja adathandizira zotsalazo.

Jessica adabereka mwana Jessie koyambirira kwa chaka chino ndipo akuyenera kudzipereka kulikonse, Ali akutero. (Inde, a Bartons anatcha mwana wawo wamkazi dzina la woberekera yemwe anamunyamula, kunena kuti amamukonda monga banja.) Komabe, ngakhale kuti anapeza moyo wawo wachimwemwe nthaŵi zonse, si zophweka.

“Nthaŵi zonse ndakhala wosamala koma zimene zinandichitikirazi zinandiphunzitsa kufunika kogwiritsira ntchito ndalama pa zinthu zofunika monga banja lathu,” iye akutero. "Sitikhala moyo wapamwamba. Sititenga tchuthi chapamwamba kapena kugula zovala zodula; timakondwera ndi zinthu zazing'ono."

Bartons siwo okhawo omwe akuvutika ndi kukwera mtengo kwamankhwala osabereka. Pafupifupi azimayi 10 pa 100 alionse amavutika ndi kusabereka, malinga ndi U.S. Office on Women's Health. Ndipo chiwerengerochi chikuyembekezeka kukwera pamene zaka zapakati paubereki zikukwera. Ngakhale kuti msinkhu wa Ali sunali chifukwa cha kusabereka kwake, izo ndi chifukwa chochulukirachulukira ku US Mu 2015, ana 20 pa 100 aliwonse amabadwa kwa azimayi azaka zopitilira 35, nthawi yomwe dzira limatsika kwambiri ndipo kufunika kwa chithandizo chamankhwala kumawonjezeka.

Amayi ambiri samvetsetsa izi, chifukwa cha chikhalidwe chathu chodziwika chomwe chimapangitsa kuti ana obadwa m'tsogolo aziwoneka osavuta kapena chomwe chimawonetsa chithandizo chamankhwala ndi kubereka ngati njira zowonetsera zenizeni (moni Kim ndi Kanye) osati monga ndalama komanso ndalama. zochitika zovuta m'maganizo ndi, akutero Sherry Ross, MD, ob-gyn ku Providence Saint John's Health Center ku Santa Monica, CA, ndi wolemba wa She-ology.

"Chifukwa cha malo ochezera a pa Intaneti, tikuwona azaka 46 akubereka mapasa ndipo ndizosocheretsa. Amenewo mwina si mazira awo. Muli ndi zenera la kubereka lomwe limatha pafupifupi zaka 40, ndipo pambuyo pake, chiwerengero cha padera chatha. 50%, "akufotokoza.

"Zakhala ngati zonyansa kuti mkazi azinena kuti akufuna kukhala ndi banja asanayambe ntchito yake. Tikulimbikitsidwa kukhala ndi maganizo akuti 'ngati zikuyenera kutero zidzangochitika', pamene zoona zake n'zakuti. kungakhale ntchito yambiri, kudzimana, ndi ndalama kuti mukhale ndi mwana. Muyenera kusankha ngati mukufuna ana. Ndipo ngati mutero, mungakhale bwino kukonzekera, "akutero. "Timaphunzitsa azimayi zambiri zamomwe angakonzekere kutenga pakati, koma kenako timawaphunzitsa za momwe angakonzekerere chifukwa mmodzi chifukwa sitikufuna kuwakhumudwitsa? Si ndale, ndi sayansi. "

Ananenanso kuti madokotala akuyenera kudziwitsa odwala awo mbali zonse za kulera, kuphatikizapo kuchuluka kwa chipambano ndi mtengo weniweni wa zinthu monga kusunga dzira, chithandizo cha chonde, opereka umuna kapena dzira, ndi kubereka ana.

Koma gawo lovuta kwambiri kwa Ali pankhani zachuma silinali ndalama palokha, zimakhudza momwe akumvera. "Kunali kovuta kwambiri kulemba cheke mwezi uliwonse [kwa Silva] pazinthu zomwe ndimamva kuti ndikadatha kuzichita ndekha," akutero. "Ndizopweteka pamene thupi lako silingathe kuchita zomwe liyenera kuchita."

Ali, yemwe anali wothandizira asanakhale ndi ana, akuti akumva ngati ali ndi PTSD pantchito yonse yobereka, ndikuwonjeza kuti tsiku lina adzafuna kuyambitsa njira yothandizira anthu kupyola zonse ndikubzala mankhwala.

Kuti mudziwe zambiri za nkhani ya Ali, onani buku lake Against Doctor's Orders.

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