Lesi Sipiliyoni Sokukhubazeka Kwabesifazane Abakhulelwe Sigqamisa Okungafani Kwezokunakekelwa Kwezempilo Kwabesifazane Abamnyama

-Delile

• Ukuthola Ukwelashwa Okulungile
• Ukulwela Impilo Yakhe
• Indlela Ongazimela Ngayo
• Buyekeza kwe-

UKrystian Mitryk wayenamasonto amahlanu nesigamu ekhulelwe lapho eqala ukuba nesicanucanu esiqeda amandla, ukuhlanza, ukuphelelwa amanzi emzimbeni, nokukhathala okukhulu. Kusukela ekuhambeni, wazi ukuthi izimpawu zakhe zibangelwa yi-hyperemesis gravidarum (HG), uhlobo olubi kakhulu lokugula kwasekuseni oluthinta abangaphansi kwamaphesenti amabili abesifazane. Wayazi ngoba wayeke wahlangabezana nalokhu ngaphambili.

"Ngangine-HG ngesikhathi ngikhulelwe okokuqala, ngakho ngaba nomuzwa wokuthi kungenzeka kulokhu," kusho uMitryk. Umumo. (I-FYI: Kuvamile ukuthi i-HG iphindaphindwe ekukhulelweni okuningi.)

Empeleni, ngaphambi kokuthi kuvele nezimpawu zikaMitryk, uthi wazama ukuqhubeka nodaba ngokuya kodokotela abenza umsebenzi wakhe wokubelethisa abuze ukuthi ngabe kukhona yini izinyathelo zokuzivikela angazithatha. Kodwa ngenxa yokuthi wayengenazo izimpawu okwamanje, bamtshela ukuthi akakhululeke, ahlale ehlanzekile, futhi akhumbule izingxenye zakhe zokudla, kusho uMitryk. (Nazi ezinye izinkathazo zezempilo ezingase zivele ngesikhathi sokukhulelwa.)

Kepha uMitryk wayazi kangcono umzimba wakhe kunanoma ngubani, futhi amathumbu akhe emathumbu ayebonakala; waba nezimpawu ze-HG ezinsukwini ezimbalwa nje ngemuva kokuthola izeluleko zokuqala. Kusukela ngaleso sikhathi kuqhubeke, uMitryk uthi wayazi ukuthi umgwaqo ongaphambili uzoba nzima.

Ukuthola Ukwelashwa Okulungile

Ngemuva kwezinsuku ezimbalwa "ephalaza njalo," uMitryk uthi wabiza umkhuba wakhe wokubelethisa futhi wanikezwa umuthi wokuhlanza ngomlomo. "Ngibatshele ukuthi angicabangi ukuthi izindondo zomlomo zizosebenza ngoba angikwazi ukugcina lutho phansi," kuchaza yena. "Kodwa baphikelele ukuthi ngizame."

Ezinsukwini ezimbili kamuva, uMitryk wayesalokhu ephonsa phansi, engakwazi ukubamba noma yikuphi ukudla noma amanzi (ingasaphathwa eyamaphilisi okulwa nesicanucanu). Ngemuva kokuzama ukwenza lo mkhuba futhi, watshelwa ukuthi avakashele uphiko lwabo lwezabasebenzi nolwezinhlawulo. "Ngafika lapho bangixhumanisa nemithi yegazi (IV) noketshezi lokuhlanza," usho njalo. "Lapho sengizinzile, bangithumela ekhaya."

Lolu chungechunge lwezehlakalo lwenzeka amahlandla amane phakathi nenyanga, kusho uMitryk. "Ngangingena, bangixhumanisa nemithi yoketshezi neyesicanucanu, kuthi lapho sengizizwa ngingconywana, bangibuyisele ekhaya," kuchaza yena. Kepha ngesikhathi uketshezi luphuma ohlelweni lwakhe, izimpawu zakhe zazizobuya, okumphoqa ukuthi aphindele kulo mkhuba, usho kanje.

Ngemuva kwamasonto amaningi okwelashwa okungasizanga, uMitryk uthi waqinisekisa odokotela bakhe ukuthi bambeke kwimpompo yeZofran. I-Zofran ngumuthi oqinile wokulwa nesicanucanu ovame ukunikezwa iziguli ze-chemo kepha futhi ungasebenza nakwabesifazane abane-HG. Iphampu ixhunywe esiswini kusetshenziswa i-catheter encane futhi ilawula ukuconsa njalo kwemithi yesicanucanu ohlelweni, ngokusho kwe-HER Foundation.

"Iphampu yahamba nayo yonke indawo nami, kufaka phakathi ishawa," kusho uMitryk. Njalo ebusuku, unkosikazi kaMitryk wayekhipha inaliti ayiphinde ayifake kabusha ekuseni. "Nakuba inaliti encane akufanele ilimale, ngangilahlekelwe amafutha amaningi omzimba kusukela ekulahleni kangangokuthi iphampu yangishiya ngibomvu futhi ngibuhlungu," kusho uMitryk. "Phezu kwalokho ngangingakwazi nokuhamba ngenxa yokukhathala, futhi ngangisaphalaza. Kodwa ngangizimisele. noma yini ukuyeka ukukhipha amathumbu ami. "

Kwadlula isonto futhi izimpawu zikaMitryk azizange zibe ngcono. Uphinde waphindela ophikweni lokuzala kanye nokubeletha, efuna usizo, uyachaza. Njengoba kungekho zindlela zokwelapha ezazisebenza, uMitryk wazama ukuzikhulumela wacela ukuthi axhunywe kulayini we-central catheter (PICC) ofakwe ngaphakathi, usho kanje. Ulayini we-PICC uyishubhu ende, ezacile, eguquguqukayo efakwa emthanjeni engalweni ukudlulisa imithi yesikhathi eside ye-IV iye emithanjeni emikhulu eseduze kwenhliziyo, ngokusho kweMayo Clinic. “Ngacela ulayini we-PICC ngoba yiwo osize izimpawu zami ze-HG [ngesikhathi ngikhulelwe],” kusho uMitryk.

Kodwa nakuba u-Mitryk ezwakalise ukuthi ulayini we-PICC ubesebenza ngempumelelo ekwelapheni izimpawu ze-HG esikhathini esedlule, uthi i-ob-gyn emsebenzini wakhe wokubelethisa ukubone kungenasidingo. Kuleli qophelo, uMitryk uthi waqala ukuzwa sengathi ukuxoshwa kwezimpawu zakhe kunento yokwenza nobuhlanga - futhi ingxoxo eqhubekayo nodokotela wakhe yaqinisekisa izinsolo zakhe, uyachaza. "Ngemuva kokungitshela ukuthi angikwazi ukuthola imishanguzo ebengiyifuna, lo dokotela wangibuza ukuthi ngabe ngikuhlelile yini ukukhulelwa kwami," kusho uMitryk. "Ngangicasulwa yilombuzo ngoba nganginomuzwa wokuthi kwakucatshangwa ukuthi kumele ngikhulelwe ngingahlelile ngoba ngangimnyama."

Ngaphezu kwalokho, uMitryk uthi ishadi lakhe lezokwelapha lakusho ngokusobala ukuthi ubudlelwano bobulili obufanayo futhi ukhulelwe nge-intrauterine Insemination (IUI), ukwelashwa kokuzala okubandakanya ukufaka isidoda ngaphakathi kwesibeletho ukwenza kube lula ukukhulelwa. “Kwakungathi akazihluphanga nangokufunda ishadi lami ngoba, emehlweni akhe, ngangingabukeki njengomuntu ongahlela umndeni,” kusho uMystrik. (Okuhlobene: Izindlela eziyi-11 Abesifazane Abamnyama Abangavikela Ngazo Impilo Yabo Yengqondo Ngesikhathi Sokukhulelwa Nangemva Kokubeletha)

Kwakusobala ukuthi mina nengane yami sasingenandaba nokuthi angabheka ezinye izindlela zokwelashwa ezizongisiza.

UKrystian Mitryk

Noma kunjalo, uMitryk uthi wamgcina epholile futhi wakuqinisekisa ukuthi ukukhulelwa kwakhe kuhlelwe ngempela. Kepha esikhundleni sokushintsha iphimbo lakhe, udokotela waqala wakhuluma noMitryk ngezinye izinketho zakhe. "Ungitshele ukuthi angidingi ukuthi ngikhulelwe uma ngingafuni," kusho uMitryk. Wethukile, uMitryk uthi wacela udokotela ukuthi akuphindise lokho ayekushilo, uma kwenzeka ezwa kabi. "Ngokunganaki, ungitshele ukuthi omama abaningana bakhetha ukuqeda ukukhulelwa uma bengakwazi ukubhekana nezinkinga ze-HG," usho kanje. "Ngakho-ke [u-ob-gyn uthe] ngingakwenza lokho uma ngizizwa ngikhungathekile." (Okuhlobene: Ungakhulelwa Kanjani Esikhathini Sokukhulelwa * Empeleni * Ukukhipha Isisu?)

“Angizange ngikukholelwe engangikuzwa,” kuqhuba uMitryk. "Ungacabanga ukuthi udokotela - umuntu omethembayo ngempilo yakho - uzokhipha konke angakwenza ngaphambi kokuphakamisa ukuthi kukhishwe isisu. Kwakusobala ukuthi mina nengane yami sasingenandaba nokuthi angabheka ezinye izindlela zokwelashwa ukuze angisize."

Ngemuva kokuxhumana okungahambi kahle, uMitryk uthi wathunyelwa ekhaya watshelwa ukuthi akalinde abone ukuthi iZofran izosebenza yini. Njengoba uMitryk bekulindelekile, akubanga njalo.

Ukulwela Impilo Yakhe

Ngemva kokuchitha olunye usuku ethela i-asidi nenyongo esikhwameni sokuphalaza esilahlwayo, uMitryk waphinda wabuyela emsebenzini wakhe wokubelethisa, uthi. "Ngalesi sikhathi, ngisho nabahlengikazi bebengazi ukuthi ngingubani," kuchaza yena. Njengoba isimo esingokomzimba sikaMitryk sasiqhubeka siwohloka, kwaba yinselele ngokwandayo kuye ukuba avakashele udokotela izikhathi eziningi kangaka nendodana eneminyaka engu-2 ubudala ekhaya futhi umkakhe eqala umsebenzi omusha.

Ngemuva kwalokho, kwaba nenkinga ye-COVID-19. “Ngangesaba kakhulu ukudalulwa, futhi ngangifuna ukwenza noma yini engangingayenza ukuze nginciphise ukuvakasha kwami,” kusho uMitryk. (Okuhlobene: Yini Ongayilindela Ekuqokweni Kwakho Okulandelayo kwe-Ob-Gyn Phakathi - Nangemva - Ubhubhane LweCoronavirus)

Ukulalela ukukhathazeka kukaMitryk nokufakaza ngesimo sakhe sokuphelelwa yithemba, umhlengikazi ngokushesha wamkhwelisa udokotela owayebizwa - udokotela ofanayo owayekade elapha uMitryk phambilini. “Ngangazi ukuthi lokhu kwakuwuphawu olubi ngoba lo dokotela wayenomlando wokungangilaleli,” usho kanje. "Ngaso sonke isikhathi uma ngimbona wayehlohla ikhanda lakhe phakathi, atshele abahlengikazi ukuthi bangixhume ku-IV fluids, futhi angibuyisele ekhaya. Akakaze nangelilodwa ilanga angibuze ngezimpawu zami nokuthi ngizizwa kanjani."

Ngeshwa, udokotela wenze khona kanye obekulindelwe nguMitryk, uyachaza. Uthi: “Ngakhungatheka futhi ekugcineni kwengqondo yami. "Ngabatshela abahlengikazi ukuthi angifuni ukuba ngaphansi kwalo dokotela nokuthi ngizobona noma ubani omunye ozimisele ukusithatha ngokungathi sína isimo sami."

Abahlengikazi bancoma ukuthi uMitryk aye esibhedlela axhumane nomsebenzi wabo futhi athole imibono yesibili kwababiza ngama-ob-gyns abo. Abahlengikazi baphinde bazisa udokotela osebenza esikhungweni sokubelethisa ukuthi uMitryk wayengasafuni ukuba isiguli sakhe. (Okuhlobene: Odokotela Baziziba Izimpawu Zami Iminyaka Emithathu Ngaphambi kokuthi Ngitholwe NgeSigaba 4 Lymphoma)

Uyakhumbula, ngemuva kwemizuzwana nje efikile esibhedlela, uMitryk wangeniswa ngokushesha ngenxa yokugula kwakhe. Ngobusuku bokuqala bokuhlala kwakhe, uyachaza, u-ob-gyn wavuma ukuthi ukubeka ulayini we-PICC kwakuyindlela engcono kakhulu yokwelashwa. Ngosuku olulandelayo, omunye u-ob-gyn wasekela leso sinqumo, kusho uMitryk. Ngosuku lwesithathu, isibhedlela safinyelela emsebenzini ka-Mitryk wokubelethisa, sababuza ukuthi bangaqhubekela phambili yini nokwelashwa kwabo okunconyiwe kwe-PICC. Kodwa umkhuba wokubelethisa usiphikile isicelo sesibhedlela, kusho uMitryk. Akukhona lokho kuphela, kodwa umkhuba uphinde waxosha uMitryk njengesiguli ngenkathi Wayesesibhedlela esihambisanayo - futhi njengoba lo mkhuba wawela ngaphansi kwesambulela sesibhedlela, isibhedlela salahlekelwa amandla okusinikeza imishanguzo ayidingayo, kuchaza uMitryk.

Njengowesifazane Omnyama, oyisitabane eMelika, angijwayele ukuzizwa ngingaphansi kokudlula. Kodwa leso bekusinye sezikhathi lapho bekucaca ukuthi labo dokotela nabahlengikazi bebengenakukhathalela ngami noma ngengane yami.

UKrystian Mitryk

"Bengingeniswe izinsuku ezintathu, ngingedwa ngokuphelele ngenxa ye-COVID, futhi ngigula ngendlela engakholakali," esho ehlanganyela. "Manje ngase ngitshelwa ukuthi nginqatshelwa ukwelashwa engangikudinga ukuze ngizizwe ngingcono? Njengowesifazane omnyama, oyisitabane eMelika, angiyena umuntu ongaziwa ekuzizweni ngaphansi. Kodwa leso kwaba ngesinye sezikhathi lapho kwacaca khona ukuthi labo dokotela nabahlengikazi [esikhungweni sokubelethisa] babengenandaba nami noma ngengane yami.” (Okuhlobene: Izinga Lokufa Okuhlobene Nokukhulelwa e-U.S. Liphakeme Ngokushaqisayo)

“Angikwazanga ukuzibamba kodwa ngicabanga ngabo bonke abesifazane abamnyama abake bazizwa ngale ndlela,” kusho uMitryk. "Noma bangaki kubo abahlushwa izinkinga zempilo ezingalungiseki noma balahlekelwa ngisho nayizimpilo zabo ngenxa yalolu hlobo lokuziphatha budedengu."

Kamuva, uMitryk wezwa ukuthi waxoshwa kulo mkhuba ngenxa yokuthi "wayenokungqubuzana nobuntu" nodokotela owayengazithatheli phezulu izimpawu zakhe, usho kanje. “Ngesikhathi ngifonela abomnyango wokulawulwa kwezinhlekelele, bangitshela ukuthi imizwa kadokotela ibuhlungu, yingakho ethathe isinqumo sokuthi angidedele,” kuchaza uMitryk. "Udokotela ubuye wacabanga ukuthi ngizoya kofuna ukunakekelwa kwenye indawo. Noma ngabe bekunjalo, ukunginqabela ukwelashwa ebengikudinga, ngenkathi ngigula nginesifo esingabeka impilo yami engcupheni, kufakazele ngokusobala ukuthi ayibhekelelwa impilo yami nenhlalakahle. "

Kuthathe izinsuku eziyisithupha ukuthi uMitryk afinyelele isimo esizinzile ukuze akhishwe esibhedlela, usho kanje. Ngisho nalapho, uyanezela, yena namanje wayengekho esimweni esihle, futhi wayengakabi nalo ikhambi lesikhathi eside ekuhluphekeni kwakhe. "Ngiphume lapho, ngisaqhubeka nokuphonsa esikhwameni," uyakhumbula. "Ngazizwa ngingenathemba ngokuphelele futhi ngesaba ukuthi akekho umuntu owayezongisiza."

Ezinsukwini ezimbalwa kamuva, u-Mitryk wakwazi ukungena komunye umkhuba wokubelethisa lapho ulwazi lwakhe lwaluhluke kakhulu khona (ngenhlanhla). "Ngangena, bangivuma ngokushesha, baxinana, babonisana, benza njengodokotela bangempela, bangifaka kulayini wePICC," kuchaza uMitryk.

Ukwelashwa kwasebenza, futhi ngemva kwezinsuku ezimbili, uMitryk wadedelwa. "Angikaze ngilahle noma ngibe nesicanucanu kusukela lapho," uhlanganyela.

Indlela Ongazimela Ngayo

Ngenkathi uMitryk ekugcineni eluthola usizo ayeludinga, iqiniso ukuthi abesifazane abaMnyama bavame ukwehluleka ngohlelo lwezempilo lwaseMelika. Ucwaningo oluningi lukhombisa ukuthi ukucwasa ngokwebala kungathinta indlela odokotela abahlola ngayo futhi baphathe ubuhlungu. Ngokwesilinganiso, cishe oyedwa kwabesifazane abahlanu abaMnyama ubika ukucwaswa uma eya kudokotela noma emtholampilo, ngokusho kweNational Partnership for Women and Families.

"Indaba kaKrystian nokuhlangenwe nakho okufana nakho ngeshwa kuvame kakhulu," kusho uRobyn Jones, M.D., ob-gyn oqinisekiswe yibhodi nomqondisi omkhulu wezokwelapha wezempilo yabesifazane eJohnson & Johnson. "Abesifazane abamnyama mancane amathuba okuthi balalelwe ngongoti bezokwelapha ngenxa yokwenzelela nokungazi, ukucwaswa ngokobuhlanga, kanye nokungalingani ngokohlelo. Lokhu kuholela ekuswelekeni kokuthembana phakathi kwabesifazane abaMnyama nodokotela, nokuqhubeka nokuhlanganisa ukungabi khona kokuthola ukunakekelwa okusezingeni. " (Leso ngesinye sezizathu eziningi zokuthi kungani i-U.S. ibadinga kakhulu odokotela besifazane abaNsundu abengeziwe.)

Lapho abesifazane abaMnyama bezithola bekulezi zimo, ukumela kuyinqubomgomo ehamba phambili, kusho uDkt. Jones. "UKrystian wenze khona kanye engikukhuthazayo ukuthi omama abalindele ukuthi bakwenze: khuluma ngomoya ophansi usuka esikhaleni solwazi nasekucabangeni ekusebenzisaneni kwakho nabasebenzi bezempilo maqondana nenhlalakahle yakho, impilo yakho enhle nokuvikela kwakho," kuchaza yena. "Yize kwesinye isikhathi lezi zimo zingakhathaza kakhulu, yenza konke okusemandleni ukuphatha leyo mizwa ukuze uthole amaphuzu akho ngendlela ezolile, kepha eqinile." (Kuhlobene: Ucwaningo Olusha Lubonisa Abesifazane Abamnyama Kungenzeka Bafe Ngomdlavuza Webele Kunabesifazane Abamhlophe)

Kwezinye izimo (njengakuMitryk's), kungahle kufike isikhathi lapho udinga ukudlulisela kolunye ukunakekelwa, kuphawula uDkt. Akunandaba, kubalulekile ukukhumbula ukuthi unelungelo lokuthola ukunakekelwa okuhle kakhulu, futhi unelungelo lokuthola lonke ulwazi ongaluthola ngesimo sakho, kuchaza uDkt. Jones.

Noma kunjalo, ukuzikhulumela ngokwakho kungasabisa, kunezela uDkt. Ngezansi, wabelana ngemihlahlandlela engakusiza ukuthi uzulazule ezingxoxweni ezikhohlisayo nodokotela bakho futhi uqiniseke ukuthi uthola ukunakekelwa kwezempilo okukufanele.

1. Ukufunda ngezempilo kubalulekile. Ngamanye amagama, yazi futhi uqonde isimo sakho sempilo, kanye nomlando wezempilo womndeni wakho, lapho uzikhulumela futhi ukhuluma nabahlinzeki bezempilo.
2. Uma uzizwa ulahliwe, yisho ngokucacile kudokotela wakho ukuthi awuzizwa uzwakele. Imishwana efana nokuthi "Ngidinga ukuthi ungilalele," noma "Awungizwa," ingadlulela phambili kunendlela ocabanga ngayo.
3. Khumbula, wazi umzimba wakho kangcono. Uma uzwakalise ukukhathazeka kwakho futhi ungazizwa uzwakala, cabanga ngokuba nomngani noma ilungu lomndeni likujoyine ngalezi zingxoxo ukusiza ukukhulisa izwi lakho nomyalezo.
4. Cabangela indlela ebanzi yokunakekela umama wakho. Lokho kungafaka ukusekelwa kwe-doula kanye/noma ukunakekelwa ngumhlengikazi oqinisekisiwe. Futhi, thembela emandleni e-telemedicine (ikakhulukazi esikhathini sanamuhla), engakuxhumanisa nomhlinzeki wokunakekela noma ngabe ukuphi.
5. Dala isikhathi sokufunda nokufuna imininingwane kuzinsizakusebenza ezinokwethenjelwa. Izinsizakusebenza ezinjengeBlack Women Health Imperative, iBlack Mamas Matter Alliance, iHhovisi Lezempilo Ezincane, kanye neHhovisi Lezempilo Labesifazane zingakusiza ukuthi uhlale unolwazi ngezinkinga zokunakekelwa kwezempilo ezingakuthinta.

Noma uzizwa ukuthi awudingi ukuyimela wena, ungasiza abanye besifazane ngokujoyina amanethiwekhi athile namaqembu ezingeni lendawo kanye / noma kuzwelonke, kuphakamisa uDkt.

“Funa amathuba namaqembu amakhulu esizwe afana neMarch for Moms,” usho kanje. "Ekhaya, kuyasiza ukuxhumana nabanye besifazane nomama endaweni yangakini nge-Facebook noma emphakathini wakho ukuze ube nengxoxo evulekile mayelana nalezi zihloko nokwabelana ngolwazi. Ndawonye, ​​ungathola ngisho nezinhlangano zendawo ezigxile kulezi zimbangela ezingase zidinge. ukwesekwa okwengeziwe."

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