Piritsi Rangu Rokuzvarwa Rakatoda Kundiuraya

Zvemukati

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Pa5'9," 140 pounds, uye makore 36 ezera, nhamba dzaive kudivi rangu: Ndakanga ndava kuswedera ku40s yangu, asi mune zvandaizofunga kuti chimiro chakanakisisa chehupenyu hwangu.

Panyama, ndakanzwa kufara. Ndakaita dikita ndichimhanya, mukirasi isina mbereko, kana kudzidza kusimba muviri - iyo yekupedzisira yandakatopinda mumakwikwi. Asi, mupfungwa, ndaive bhora rekushushikana. Ndakakwanisa kurambana, ndakatamira kuguta idzva nemwanasikana wangu, uye ndikagamuchira zita idzva: amai vasina murume vanoshanda. Basa rangu rekunyora rakanga richikura. Ini ndaive nebhuku idzva padhuze, uye zvakajairika kuoneka kweTV. Asi dzimwe nguva, ndainzwa madziro kuvhara. (Asi hei, seyakaomarara sezvose zvaive, zvirinani ndaive noutano hwangu.) Ndiko kusvika rimwe zuva, madziro akazove iwo eimba yemuchipatara.

Asi ngatitangei kubva pakutanga: Chipiri mangwanani muna Chikumi. Zuva rezhizha rakanga richipenya uye ndakave nezuva rakabatikana mumutsetse. Sezvandaienda kumusangano wokutanga wezuva racho, ndakaona marwadzo makuru parutivi rwangu. Ndakaikorokoza zvekuti mhasuru inorwadza. Mushure mezvose, ini ndaiwanzo shungurudzwa mushure mekuomarara kwepamu muviri. Asi pandakanga ndichifamba muManhattan, marwadzo acho akatamira kumusana kwangu; gare gare usiku ihwohwo, pachipfuva changu, kusvika pakuona nyeredzi.

Ndakafunga rwendo rwekuenda kuER, asi ndaisada kutyisidzira mwana wangu ane makore mana. Ndinoyeuka ndakamira pamberi pegirazi mune yangu PJs kufunga: Ini ndanga ndisingakwanise kuve nekurwadziwa kwemoyo-ini ndaive mudiki kwazvo, mutete, uye ndakagwinya. Ndakaziva kuti ndaive nestress, saka ndakavaraidza pfungwa yekuvhunduka. Ipapo ndakagara pane yangu-yekuzvionera indigestion, ndikatora mimwe mishonga, ndokurara.

Asi mangwanani akatevera, kurwadziwa kwakaramba kuripo. Saka, anenge maawa makumi maviri nemana mushure mekunge zviratidzo zvangu zvatanga, ndakananga kwachiremba. Uye mushure memibvunzo mipfupi-yekutanga yacho yaive, "Wapfuura makore makumi matatu nemashanu uye paPiritsi, chaiko?" chiremba wangu akanditumira akananga kuE ER kuti atariswe mapapu angu kuti "atonge" ropa rakagwamba. Pamwe chete nezvimwe zvinhu zvine njodzi-hapana chimwe chandakaratidza kuva nacho kunze kwezera rangu-Piritsi rinogona kukonzera kugwamba kweropa, akadaro.

Maererano naLauren Streicher, MD, mukana wekuvhara ropa kumukadzi asiri pamapiritsi ekudzivirira kubereka maviri kana matatu pa10,000 yega yega. Mukana kana uri pamapiritsi ekudzivirira kubereka ndewe masere kana mapfumbamwe pavakadzi 10 000 voga voga. Iyo yaingova yakaipa-kesi mamiriro kunyangwe. Ndingangodzoserwa kumba ndine mamwe marwadzo ekufunga, ndakafunga kudaro.

Pandakasvika, ndakamhanyiswa kumusoro wemutsetse. "Hatimbopopotedzane kana tasvika pakurwadziwa pachipfuva," mukoti akatsanangura. Akaenderera achiti: "Kunyangwe ini ndichikahadzika chero chinhu chakakanganisika newe kunze kwekutakurwa mhasuru. Unoratidzika kunge une hutano!"

Nehurombo, aive akarasika zvakanyanya. Maawa akati wandei uye imwe CT scan gare gare, iyo ER doc yakaunza nhau dzinotyisa: Ndakanga ndiine ropa hombe mumapapu angu ekuruboshwe-a pulmonary embolism-iyo yakanga yatokuvadza chikamu chemapapu angu mune inozivikanwa se "infarction," kucheka. kubva pakuyerera kweropa kwenguva yakareba kusvika kuchikamu chepasi chenhengo. Asi ndiko kwaive kushoma kwekufunganya kwangu. Paive nenjodzi yaigona kutamira pamoyo wangu kana muuropi kwaizondiuraya zvirokwazvo. Magwara anowanzoita mumakumbo kana mugomba (kazhinji mushure mekugara kwenguva yakareba, senge mundege) uye "kubva" uye kuenda kunzvimbo dzakaita semapapu, moyo, kana musoro (zvichikonzera sitiroko).Chiremba akandizivisa kuti ndaizoiswa mumutsinga weHeparin, mushonga waigona kutetepa ropa rangu kuitira kuti iro ganda rirege kukura-uye netariro kuti rirege kufamba. Pandaimirira mushonga iwoyo, miniti yega yega yakaita senge isingagumi. Ndakafunga nezvemwanasikana wangu kushaya amai, uye nezvezvinhu zvandichiri kuzadzisa.

Vanachiremba navanamukoti pavakapomba ropa rangu rakazara nevhivhi dzeropa, vakagunun'una kuti vaone kuti chii chingave chakonzera izvi. Ini ndaisaratidzika semurwere "wenguva dzose" pane yepamoyo yekuchengetedza pasi. Ipapo, mukoti akatora pasuru yemapiritsi okuronga mhuri, uye akandiyambira kuti ndirege kuanwa. Ivo "vanogona kunge vari" kufunga kwanga kuri kuitika, akadaro.

Vakadzi vazhinji vandinoziva vanonetseka nezvekuwana huremu pamapiritsi ekudzivirira kubereka, asi vanokundikana kuziva kuti pane rondedzero ye "yambiro" pakanyorwa. Mumwe anokuudza kuti kune njodzi dzeropa kune vanoputa, vakadzi vanogara, kana vanopfuura makore makumi matatu nemashanu. Ini ndakanga ndisiri musvuti. Zvechokwadi ndakanga ndisingagari pasi, uye ndaingova nebvudzi rinopfuura makore 35. Chiratidzo chacho chinotaurawo nezvezvirwere zvinogwamba mumagene. Uye munguva pfupi, vanachiremba vakandiudza kuti vaizoongorora geni randakanga ndisati ndambonzwa nezvaro: Factor V Leiden, iyo inokonzeresa kuti avo vanoitakura vagadziriswe kumagumbeze eropa anotyisidzira hupenyu. Kunobuda, ini ndine jeni.

Pakarepo, hupenyu hwangu hwaive hutsva hutsva. Sekureva kweMayo Clinic, vese varume nevakadzi vanogona kuve neFactor V Leiden, asi vakadzi vanayo vanogona kunge vaine hunyanzvi hwekuwedzera kugwamba kweropa panguva yekuzvitakura kana pakutora hormone estrogen, inowanzo kuwanikwa mumapiritsi ekudzivirira kubereka. Zvinorayirwa kuti vakadzi vanotakura geni iri USA enda piritsi. Iko kusanganisa kunogona kuuraya. Ndanga ndiri bhomba rinotyisa makore ose iwayo.

Inofungidzirwa kuti inenge ina kusvika kunomwe muzana yevanhu vane chimiro chakajairika cheFactor V Leiden inozivikanwa seheterozygous. Vazhinji vanogona kunge vasingazive kuti vanayo, kana kumbowana chero kusanzwisisika kweropa kubva pairi.

Kuongororwa ropa kwakapfava-kusati kwaenda kune chero kurapa kwehomoni-inogona kutaurira kana iwe uine jeni uye usingazivi uri panjodzi, sezvandaive. Uye kana iwe watove paPiritsi, zvakakosha kuti uzive zviratidzo-kurwadziwa mudumbu, kurwadziwa pachipfuva, kutemwa nemusoro, matambudziko eziso, uye kurwadziwa kwakanyanya kwemakumbo-kwemahembe.

Ndakapedza mazuva masere murefu muchipatara, asi ndakabuda nechisungo chitsva chehupenyu. Pakutanga, ndakanga ndiri muchimiro chakakasharara-kurwadza kwemapapu, uye kukosora kweropa, sezvo gwanza rakatanga kunyungudika. Asi ini ndakazvidzoreredza ndave fomu yekurwira (ikozvino ndatarisana nekudzidziswa uremu uye zviitiko zvecardio zvinotakura njodzi yekukuvara), uye ndanga ndatsunga kudzoreredza muviri wangu.

Ini ndinofanira kuzvitarisira pakutanga uye kunyanya, saka ndinogona kuve amai vakanakisa vandinogona kuva. Chinhu chandichafanira kurarama nacho kweupenyu hwangu hwese, nechirongwa chemazuva ese chevanoderedza ropa uye kushanya kwachiremba nguva dzose. Ndakafanirwa kufunga zvekare nzira yangu yekuzvarwa nekuti chero chinhu chine mahormone chakabuda.

Asi ini ndinonyora izvi nhasi seimwe yevakakomborerwa: Ndakaonekwa, uye ndorarama kuti nditaure nezvazvo. Vamwe havana kuita rombo rakanaka. Kubva ipapo ndakadzidza kuti pulmonary embolism inouraya chikamu chimwe muzvitatu chevanhu 900,000 vanoagadzira gore rega rega, kazhinji mukati memaminitsi makumi matatu kusvika makumi matanhatu mushure mekunge zviratidzo zvatanga. Anonyora stylist Annabel Tollman, shamwari yeindasitiri yemafashoni, akafa kamwe gore rapfuura aine makore makumi matatu nemapfumbamwe-anonzi ane ropa. Hazvizivikanwe kuti anga ari piritsi here kana kuti kwete. Asi kubva ipapo ndakadzidza nezve vakawanda uye vakadzi vazhinji vakave vakakuvadzwa.

Pandaiferefeta nekugovana pasocial media, ndakasangana nevakadzi vaigovana nyaya yangu, nemusoro wenyaya waipopota, "Sei vakadzi vadiki uye vane hutano vachifa neropa?" Kuziva kuti vanachiremba vanopa mapiritsi ekudzivirira kubereka sesiwiti (vanosvika mamirioni gumi nemasere evakadzi vekuUS vanonzi vanoashandisa), zvakakosha kukurukura chero zvingangoita njodzi tisati taenderera. Nhoroondo yemhuri, kuongororwa kweropa, uye kungotaura chete zvese zvikamu zvakakosha zvechisarudzo. Chinokosha: Kana usina chokwadi, bvunza.

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