Izi Zomwe Amayi Oyembekezera Amakumana Nazo Zikuwunikira Kusiyanitsa Pakusamalira Thanzi Kwa Akazi Akuda

Zamkati

• Kupeza Chithandizo Choyenera
• Kulimbikitsa Thanzi Lake
• Momwe Mungadzitetezere Nokha
• Onaninso za

Krystian Mitryk anali ndi pakati pa milungu isanu ndi theka atayamba kukhala ndi pakati, kusanza, kutaya madzi m'thupi, komanso kutopa kwambiri. Kuchokera pakupita, adadziwa kuti zizindikiro zake zimayambitsidwa ndi hyperemesis gravidarum (HG), mtundu woopsa wa matenda am'mawa omwe amakhudza osachepera 2 peresenti ya amayi. Amadziwa chifukwa anali atakumana kale ndi izi.

"Ndinali ndi HG panthawi yomwe ndinali ndi pakati, chifukwa chake ndimamva kuti ndizotheka nthawi ino," a Mitryk akuti Maonekedwe. (FYI: Ndizofala kuti HG ibwerenso pamimba zambiri.)

M'malo mwake, Zizindikiro za Mitryk zisanachitike, akuti adayesetsa kuthana ndi vutoli pofika kwa asing'anga ndikufunsa ngati pali zomwe angachite kuti ateteze. Koma popeza sanali kukumana ndi zizindikiro komabe, adamuuza kuti asavutike, azikhala ndi madzi, komanso azikumbukira magawo ake a chakudya, atero a Mitryk. (Nazi zina zokhudzana ndi thanzi zomwe zitha kupezeka panthawi yapakati.)

Koma Mitryk amadziwa thupi lake kuposa wina aliyense, ndipo chibadwa chake cham'matumbo chinali chowonekera; adakhala ndi zizindikiro za HG patangopita masiku ochepa atalandira upangiri woyamba. Kuyambira pamenepo, Mitryk akuti amadziwa kuti njira yomwe ikubwera idzakhala yovuta.

Kupeza Chithandizo Choyenera

Pambuyo pa masiku angapo "akusanza mosalekeza," Mitryk akuti adayimbira mayendedwe ake oberekera ndipo adamupatsa mankhwala akumwa osamwa. "Ndidawauza kuti sindimaganiza kuti mankhwala akumwa azigwira ntchito chifukwa sindingataye chilichonse," akufotokoza. "Koma adakakamira kuti ndiyesere."

Patatha masiku awiri, Mitryk anali adakali kutaya, osatha kusunga chakudya kapena madzi (osasiya mapiritsi oletsa nseru). Atalimbikitsanso mchitidwewu, adauzidwa kuti ayendere gulu lawo lazantchito. "Ndinafikako ndipo adandilumikizitsa ku mankhwala amadzimadzi (IV) ndi nseru," akutero. "Nditakhazikika, adanditumiza kunyumba."

Nkhani zotsatizanazi zinachitika kanayinso pakutha mwezi, atero a Mitryk. "Ndimalowa, amandilumikizira mankhwala amadzimadzi ndi nseru, ndipo ndikayamba kumva bwino, amanditumiza kunyumba," akufotokoza. Koma madzi atangotuluka m'dongosolo lake, zizindikiro zake zimabwerera, zomwe zimamukakamiza kuti azichita mobwerezabwereza, akutero.

Pambuyo pazithandizo zamankhwala zomwe sizinathandize, Mitryk akuti adakakamiza madotolo ake kuti amuike pampu ya Zofran. Zofran ndi mankhwala amphamvu oletsa mseru omwe nthawi zambiri amaperekedwa kwa odwala chemo komanso amatha kukhala othandiza kwa amayi omwe ali ndi HG. Pampu imamangiriridwa m'mimba pogwiritsa ntchito katheta kakang'ono ndikuwongolera kudontha kosalekeza kwamankhwala amseru m'dongosolo, malinga ndi HER Foundation.

"Pampu idapita nane kulikonse, kuphatikiza kusamba," akutero Mitryk. Usiku uliwonse, mkazi wa Mitryk amatulutsa singano ndikubwezeretsanso m'mawa. "Ngakhale singano yaying'onoyo siyiyenera kuvulala, ndinali nditataya mafuta ochuluka mthupi kutaya madzi kotero kuti mpope unandisiya ndikumva kufira ndi zilonda," amagawana nawo a Mitryk. "Pamwamba pa izi, ndinkalephera kuyenda chifukwa cha kutopa, ndipo ndinkasanzabe kwambiri. Koma ndinali wokonzeka kutero. chirichonse kuti ndisiye kutulutsa matumbo anga."

Patadutsa sabata ndipo mawonekedwe a Mitryk sanakhale bwino. Anakalowanso m'gulu la anthu ogwira ntchito ndi kubereka, akufunitsitsa thandizo, akufotokoza. Popeza palibe mankhwala omwe akugwira ntchito, Mitryk adayesa kudziyimira yekha ndikufunsa kuti alumikizike pamzere wapakati wa catheter (PICC), akutero. Mzere wa PICC ndi chubu chachitali, chowonda, chosinthasintha chomwe chimalowetsedwa kudzera mumitsempha yomwe ili mdzanja kuti ipereke mankhwala a nthawi yayitali a IV kudzera m'mitsempha yayikulu pafupi ndi mtima, malinga ndi Mayo Clinic. "Ndinapempha mzere wa PICC chifukwa ndi zomwe zinandithandiza zizindikiro zanga za HG [pa nthawi ya mimba yanga yoyamba]," akutero Mitryk.

Koma ngakhale Mitryk adanenanso kuti mzere wa PICC udakhala wothandiza pochiza zizindikiro za HG m'mbuyomu, akuti yemwe adakumana ndi zoberekera adawona kuti sikofunikira. Panthawiyi, Mitryk akuti anayamba kumverera ngati kuchotsedwa kwa zizindikiro zake kunali ndi chochita ndi mtundu - ndipo kukambirana ndi dokotala wake kunatsimikizira kukayikira kwake, akufotokoza. "Atandiuza kuti sindingathe kulandira chithandizo chomwe ndimafuna, dokotalayu anandifunsa ngati ndili ndi pakati," akutero Mitryk. "Ndinakhumudwa ndi funsoli chifukwa ndimamva ngati lingaliro linapangidwa kuti ndiyenera kukhala ndi mimba yosakonzekera chifukwa ndinali Wakuda."

Kuphatikiza apo, Mitryk akuti tchati yake yazachipatala idafotokoza momveka bwino kuti anali pachibwenzi ndipo anali ndi pakati kudzera mu intrauterine Insemination (IUI), chithandizo chamankhwala chomwe chimaphatikizapo kuyika umuna mkati mwa chiberekero kuti athandize umuna. "Zinali ngati kuti sanavutike kuwerenga tchati changa chifukwa, m'maso mwake, sindinkawoneka ngati munthu amene angakonzekere banja," amagawana Mystrik. (Zogwirizana: Njira 11 Akazi Akuda Amatha Kuteteza Thanzi Lawo Pamaganizidwe Ndi Nthawi Yobereka)

Zinali zoonekeratu kuti ineyo kapena mwana wanga tinalibe ntchito zokwanira kuti apeze njira zina zochiritsira zoti andithandize.

Krystian Mitryk

Komabe, Mitryk akuti amamuletsa komanso adatsimikizira kuti mimba yake idakonzedweratu. Koma m'malo mosintha kamvekedwe kake, dokotalayo adayamba kulankhula ndi Mitryk pazomwe angachite. "Anandiuza kuti sindiyenera kupita ndi pakati ngati sindikufuna," akutero Mitryk. Atanjenjemera, Mitryk akuti adafunsa adotolo kuti abwereze zomwe wanena, mwina angamve. "Osatinso kanthu, adandiuza kuti amayi ambiri amasankha kuchotsa pathupi ngati sangakwanitse kuthana ndi zovuta za HG," akutero. "Kotero [ob-gyn adati] nditha kuchita izi ndikadathedwa nzeru." (Zokhudzana: Kodi Mimba Ukhoza Kuchedwetsa Motani * Kwenikweni * Kutaya Mimba?)

Mitryk anapitiriza kuti: “Sindinakhulupirire zimene ndinkamva. "Mungaganize kuti dokotala - munthu amene mumamukhulupirira ndi moyo wanu - akhoza kugwiritsa ntchito njira zonse asananene kuti ndichotse mimba. Zinali zoonekeratu kuti ine kapena mwana wanga tinalibe ntchito zokwanira kuti apeze chithandizo china chamankhwala kuti andithandize."

Kutsatira kulumikizana kovuta kwambiri, Mitryk akuti adatumizidwa kunyumba ndipo adauzidwa kuti adikire kuti awone ngati Zofran ingagwire ntchito. Monga momwe Mitryk amayembekezera, sizinatero.

Kulimbikitsa Thanzi Lake

Atatha tsiku lina ndikuponyera acid ndi bile mu thumba lakusanza, Mitryk adalumikizidwanso pamiyeso yake yobereka, akutero. "Pakadali pano, ngakhale manesi adandidziwa kuti ndine ndani," akufotokoza. Matryk atayamba kuchepa, zimamuvuta kuti azipita kukaonana ndi mwana wamwamuna wazaka ziwiri kunyumba ndipo mkazi wake akuyamba ntchito yatsopano.

Kenako, panali nkhani ya COVID-19. Mitryk anati: “Ndinkaopa kuululidwa ndipo ndinkafuna kuchita chilichonse chimene ndikanatha kuti ndisamacheze. (Zogwirizana: Zomwe Mungayembekezere Kusankhidwa Kwanu kwa Ob-Gyn Pakati Pakati - Ndi Pambuyo - Mliri wa Coronavirus)

Pomvetsera nkhawa za Mitryk ndikuwona momwe akuvutikira, namwino nthawi yomweyo adalemba dokotala yemwe adamuyitanira - dotolo yemwe adachiritsapo Mitryk m'mbuyomu. "Ndidadziwa kuti ichi ndichizindikiro choyipa chifukwa adotolo anali ndi mbiri yakusandimvera," akutero. "Nthawi zonse ndikamuwona, adalowetsa mutu wake, ndikuwuza anamwino kuti andilowetse ku madzi a IV, ndikunditumiza kunyumba. Sanandifunsepo za zizindikiro zanga kapena momwe ndikumvera."

Tsoka ilo, adotolo adachita ndendende zomwe Mitryk amayembekezera, akufotokoza. "Ndinakhumudwa ndipo pamapeto pake," akutero. "Ndidauza manesi kuti sindikufuna kukhala m'manja mwa dotoloyu komanso kuti nditha kuwona wina aliyense amene angafune kuthana ndi vuto langali."

Anamwino analimbikitsa kuti Mitryk apite kuchipatala chogwirizana ndi machitidwe awo ndikupeza maganizo achiwiri kuchokera kwa ob-gyns awo omwe amawayitana. Anamwino nawonso adadziwitsa anthu omwe akuyitanitsa za azamba kuti Mitryk sakufunanso kukhala wodwala wake. (Zokhudzana: Madokotala Ananyalanyaza Zizindikiro Zanga Kwa Zaka Zitatu Ndisanandipeze Ndi Gawo 4 Lymphoma)

Atangofika kuchipatala, Mitryk adavomerezedwa pomwepo chifukwa chofooka, akukumbukira. Usiku woyamba wokhala, akufotokoza, ob-gyn adagwirizana kuti kuyika mzere wa PICC ndiye njira yabwino kwambiri yothandizira. Tsiku lotsatira, a ob-gyn adasankhanso chisankhochi, a Mitryk. Patsiku lachitatu, a chipatalacho adapita kwa a Mitryk pobereka, kuwafunsa ngati angapitirire ndi chithandizo chawo chamankhwala cha PICC. Koma azamba akukana pempho lachipatala, atero a Mitryk. Osati zokhazo, koma mchitidwewu udatinso Mitryk ngati wodwala pamene anali mchipatala chogwirizana - ndipo popeza kuti mchitidwewu unagwera pansi pa ambulera ya chipatalacho, chipatalacho sichinapezenso mphamvu zomupatsa chithandizo chomwe amafunikira, akufotokoza a Mitryk.

Monga mkazi wakuda, wogonana amuna kapena akazi okhaokha ku America, sindine mlendo wodzimva kukhala wocheperako. Koma imeneyo inali imodzi mwa nthawi zomwe zinali zoonekeratu kuti madokotala ndi anamwino sakanatha kusamala za ine kapena mwana wanga.

Krystian Mitryk

"Ndidalandiridwa masiku atatu, ndekha ndekha chifukwa cha COVID, ndipo ndimadwala mopanda chikhulupiriro," amagawana. "Tsopano ndinali kuuzidwa kuti ndikukanidwa chithandizo chomwe ndinafunikira kuti ndimve bwino? Monga mkazi wakuda, wogonana amuna kapena akazi okhaokha ku America, sindine mlendo kudzimva kukhala wochepa kwambiri. madotolo ndi manesi awo [pa nthawi yobereka] sakanatha kusamala za ine kapena mwana wanga. " (Zokhudzana: Mlingo wa Imfa Zokhudzana ndi Mimba ku U.S. Ndiwokwera Modabwitsa)

Mitryk anati: “Ndinalephera kuchitira mwina koma kuganizira akazi onse achikuda amene amva chonchi. "Kapena ndi angati mwa iwo omwe adadwala chifukwa chosasamala."

Pambuyo pake, Mitryk anazindikira kuti anachotsedwa m’zochitazo kokha chifukwa chakuti anali ndi “mkangano waumwini” ndi dokotala yemwe sakanalingalira mozama za zizindikiro zake, iye akutero. “Nditaitana dipatimenti yoyang’anira zoopsa za mchitidwewo, iwo anandiuza kuti dokotalayo ‘akumva kupweteka,’ n’chifukwa chake anaganiza zondilola kuti ndipite,” akufotokoza motero Mitryk. "Adotolo adaganiza kuti ndipita kukapeza chisamaliro kwina. Ngakhale zitakhala choncho, kundikana chithandizo chomwe ndimafuna, pomwe ndimadwala ndimatenda owopsa, adatsimikizira poyera kuti kulibe thanzi langa ndi moyo wabwino. "

Zinatenga masiku asanu ndi limodzi kuti Mitryk afike pabwino kuti atuluke mchipatala, akutero. Ngakhale pamenepo, akuwonjezera komabe sanali bwino, ndipo analibe yankho lalitali pamavuto ake. "Ndinatuluka m'menemo, [ndikadali] ndikutaya m'thumba," akukumbukira. "Ndidakhala wopanda chiyembekezo komanso wamantha kuti palibe amene angandithandize."

Patatha masiku angapo, Mitryk adayamba kuchita njira ina yolerera pomwe zomwe adakumana nazo (mwamwayi) zinali zosiyana kwambiri. "Ndidalowa, nthawi yomweyo adandivomereza, atandikumbatira, adandifunsa, adachita ngati madotolo enieni, ndikundiyika pamzere wa PICC," akufotokoza a Mitryk.

Chithandizocho chinagwira ntchito, ndipo patatha masiku awiri, Mitryk anatulutsidwa. "Sindinaponyedwepo kapena kukhala wamisala kuyambira pamenepo," amagawana.

Momwe Mungadzitetezere Nokha

Pomwe Mitryk adapeza chithandizo chomwe amafunikira, zoona zake ndizakuti azimayi akuda nthawi zambiri amalephera chifukwa chaumoyo waku America. Kafukufuku wambiri akuwonetsa kuti kukondera kwamitundu kumatha kukhudza momwe madotolo amawunika ndikuchiza ululu. Pa avareji, pafupifupi mmodzi mwa amayi asanu Akuda amanena kuti amasalidwa akamapita kwa dokotala kapena kuchipatala, malinga ndi National Partnership for Women and Families.

"Nkhani ya Krystian ndi zokumana nazo zofananira ndizomvetsa chisoni kuti ndizofala," akutero a Robyn Jones, M.D., ob-gyn ovomerezeka ndi board komanso director wamkulu wazachipatala ku azimayi ku Johnson & Johnson. "Azimayi akuda sangamvedwe ndi akatswiri a zachipatala chifukwa cha tsankho lachidziwitso komanso losadziwika bwino, tsankho lamtundu, komanso kusalinganika kwadongosolo. Izi zimapangitsa kuti akazi akuda asamakhulupirirena ndi madokotala, ndikuwonjezeranso kusowa kwa chithandizo chamankhwala. " (Ichi ndi chimodzi mwazifukwa zambiri zomwe US ​​amafunira madokotala azimayi akuda ambiri.)

Azimayi akuda akapeza kuti ali muzochitika izi, kulengeza ndi ndondomeko yabwino kwambiri, akutero Dr. Jones. "Krystian anachita ndendende zomwe ndimalimbikitsa amayi oyembekezera kuti achite: lankhulani modekha kuchokera pamalo odziwa zambiri komanso oganiza bwino pochita zinthu ndi akatswiri azachipatala pankhani ya thanzi lanu, thanzi lanu, ndi kupewa," akufotokoza motero. "Ngakhale nthawi zina izi zimatha kukhala zokhumudwitsa, yesetsani kuthana ndi izi kuti mufotokozere modekha, komabe mwamphamvu." (Zokhudzana: Phunziro Latsopano Likuwonetsa Akazi Akuda Ndi Omwe Amakhala Ndi Khansa Ya m'mawere Kuposa Akazi Oyera)

Nthawi zina (monga Mitryk's), pangakhale nthawi yomwe muyenera kusamutsira ku chisamaliro china, akutero Dr. Jones. Mosasamala kanthu, ndikofunikira kukumbukira kuti muli ndi ufulu wolandira chisamaliro chabwino koposa, ndipo muli ndi ufulu wopeza chidziwitso chonse chomwe mungakwanitse pazomwe mukukumana nazo, akufotokoza Dr. Jones.

Komabe, kuyankhula zokha kungakhale kowopsa, akuwonjezera Dr. Jones. Pansipa, akugawana malangizo omwe angakuthandizeni kuyenda movutikira ndi madotolo anu ndikuwonetsetsa kuti mukupeza chithandizo choyenera.

1. Kuwerenga ndi kuwerenga zaumoyo ndikofunikira. Mwanjira ina, dziwani ndikumvetsetsa momwe thanzi lanu lilili, komanso mbiri yaumoyo wa banja lanu, podziyimira nokha ndikulankhula ndi azachipatala.
2. Ngati mukumva kuti mwakhumudwa, muuzeni dokotala wanu momveka bwino kuti simukumva. Mawu ngati "Ndikufuna kuti mundimvere," kapena "Simukundimva," akhoza kupita patsogolo kuposa momwe mukuganizira.
3. Kumbukirani, mumalidziwa bwino thupi lanu. Ngati mwalankhulapo nkhawa zanu ndipo simukumva kuti akukumvani, ganizirani kukhala ndi mnzanu kapena wachibale kuti abwere nanu pazokambiranazi kuti akuthandizeni kukulitsa mawu anu ndi uthenga wanu.
4. Ganizirani njira yowonjezerera yosamalira amayi. Izi zitha kuphatikizira kuthandizidwa ndi doula ndi / kapena chisamaliro cha namwino-mzamba wovomerezeka. Komanso, dalirani mphamvu ya telemedicine (makamaka munthawi yathu ino), yomwe ingakulumikizeni kwa wothandizira kulikonse komwe mungakhale.
5. Pangani nthawi yophunzira ndikufunafuna zambiri kuchokera kuzinthu zodalirika. Zothandizira monga Black Women Health Imperative, Black Mamas Matter Alliance, Office of Minority Health, ndi Office on Women Health zitha kukuthandizani kuti mudziwe zambiri pazokhudza zamankhwala zomwe zingakukhudzeni.

Ngakhale mukumva kuti simukufunika kuchirikiza wekha, mutha kuthandiza azimayi ena polowa nawo magulu ndi magulu ena mderalo kapena / kapena mdziko lonse, akutero Dr. Jones.

"Funani mwayi ndi magulu akuluakulu olimbikitsa mayiko monga March for Moms," akutero. "Kwathu, ndizothandiza kulumikizana ndi azimayi ndi amayi ena mdera lanu kudzera pa Facebook kapena mdera lanu kuti mukambirane momasuka za mitu iyi ndikugawana zokumana nazo. Pamodzi, mutha kupeza mabungwe am'deralo omwe amayang'ana pazifukwa izi zomwe zingafune chithandizo chowonjezera."

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