Ichi Chiitiko Chevakadzi Vane Pamuviri Chinovhiringidza Chinosimbisa Misiyano Mune Hutano hweVatema Vakadzi

Zvemukati

• Kuwana Kurapwa Kwakanaka
• Kutsigira Hutano Hwake
• Ungazvireverera Sei Pachako
• Ongororo ye

Krystian Mitryk aingova nepamuviri uye hafu yemavhiki aine pamuviri paakatanga kusangana nekushungurudzika kunopera simba, kurutsa, kupera mvura mumuviri, uye kuneta kwakanyanya. Kubva pakuenda-kuenda, aiziva kuti zviratidzo zvake zvakakonzerwa ne hyperemesis gravidarum (HG), chimiro chakanyanyisa chechirwere chemangwanani chinokanganisa pasi pe2 muzana yevakadzi. Aiziva nekuti akange ambosangana nazvo kare.

"Ndakanga ndine HG panguva yangu yekutanga pamuviri, saka ndainzwa kuti zvingangoitika panguva ino," Mitryk anoudza. Chimiro. (FYI: Zvakajairika kuti HG idzokezve mune dzakawanda nhumbu.)

Muchokwadi, pamberi pekuti zviratidzo zvaMitryk zvisati zvatanga, anoti akaedza kuenda pamberi penyaya iyi nekusvika kuna vanachiremba pachirongwa chake chekubereka nekubvunza kana paine matanho aangatora. Asi sezvo anga asiri kuona chero zviratidzo zvakadaro, vakamuudza kuti atore zvirinyore, agare akasvinwa, uye arangarire zvikamu zvake zvekudya, anodaro Mitryk. (Heano zvimwe zvinonetsa zvehutano zvinogona kubuda panguva yekuzvitakura.)

Asi Mitryk aiziva muviri wake zvirinani pane chero munhu, uye ura hwake hwemukati hwakanga hwakaonekwa; akatanga zviratidzo zveHG mazuva mashoma mushure mekunge awana mazano ekutanga. Kubva panguva iyoyo zvichienda mberi, Mitryk anoti aiziva kuti nzira yaive mberi ichave yakaoma.

Kuwana Kurapwa Kwakanaka

Mushure memazuva mashoma e "kurutsa nguva dzose," Mitryk anoti akamudana maitiro ekudzivirira uye akanyorerwa mushonga wemuromo wekusvotwa. "Ndakavaudza kuti ndaisafunga kuti mishonga yemumuromo ingashande nekuti ini pachangu ndaisakwanisa kuchengeta chinhu," anotsanangura kudaro. "Asi vakaramba kuti ndiedze."

Mazuva maviri gare gare, Mitryk akange achiri kukanda kumusoro, asingakwanise kubata chero chikafu kana mvura (ndoda mapiritsi ekurwisa kusvotwa). Mushure mekusvika pakuita zvekare, akaudzwa kuti ashanyire yavo yebasa uye triage unit. “Ndakasvikako ndokundikochekera nemushonga wemushonga (IV) uye mushonga wekusvotwa,” anodaro. "Ndangogadzikana, vakandiendesa kumba."

Izvi zvakateedzana zvezviitiko zvakaitika kanokwana kana mukufamba kwemwedzi, anodaro Mitryk. "Ini ndaipinda, vaindisungirira kumvura yekunwa uye yekuchema, uye kana ndainzwa zviri nani, vaindidzosera kumba," anotsanangura kudaro. '

Mushure memavhiki ekurapa asina kubatsira, Mitryk anoti akagonesa vanachiremba vake kuti vamuise papombi yeZofran. Zofran isimba yakasimba yekurwisa kushungurudza iyo inowanzo kupihwa kune chemo varwere asi inogona zvakare kuve inoshanda kune vakadzi vane HG. Iyo pombi inosungirirwa padumbu ichishandisa kateti kadiki uye inodzora kudonha kunogara kuripo kwemusvosve mushonga muchirongwa, sekureva kweHER Foundation.

"Iyo pombi yakaenda kwese neni, kusanganisira neshawa," anodaro Mitryk. Husiku hwese, mukadzi waMitryk aiburitsa tsono iya obva aisanganisa mangwanani. "Kunyangwe tsono diki yaisafanira kukuvara, ndakanga ndarasikirwa nemafuta emuviri akawanda kubva pakurutsa zvekuti pombi yakandisiya ndichinzwa kutsvuka uye kurwadziwa," anogoverana Mitryk. "Pamusoro pezvo, ndanga ndotadza kufamba nekuda kwekuneta, uye ndanga ndichingorutsa zvakanyanya. Asi ndanga ndichida kuzviita chero chinhu kuti ndimise kuburitsa hutu hwangu kunze. "

Svondo rakapfuura uye zviratidzo zvaMitryk hazvina kuita nani. Akamhara mubazi rekusvitsa uye rekutakura zvekare, achida rubatsiro, anotsanangura kudaro. Sezvo pasina kurapa kwese kwaive kushanda, Mitryk akaedza kuzvirwira uye ndokukumbira kuti asungirire pamutsetse wepakati wekateti (PICC), anodaro. Mutsetse wePICC tambo refu, yakatetepa, inochinja-chinja inoiswa kuburikidza netsinga iri muruoko kupfuudza kwenguva refu IV mishonga kuburikidza nemitsinga mikuru padyo nemoyo, sekureva kweMayo Clinic. "Ndakakumbira mutsetse wePICC nekuti ndizvo zvakabatsira zviratidzo zvangu zveHG [panguva yekuzvitakura kwangu kwekutanga]," anodaro Mitryk.

Asi kunyangwe Mitryk akataura kuti mutsetse wePICC waive wakashanda mukurapa zviratidzo zveHG munguva yakapfuura, anoti ob-gyn pamabatiro ake ekubereka akazviona zvisina basa. Panguva ino, Mitryk anoti akatanga kunzwa sekudzingwa kwezviratidzo zvake zvine chekuita nemujaho - uye hurukuro inopfuurira nachiremba wake yakaratidza kusahadzika kwake, anotsanangura. “Mushure mekundiudza kuti handichakwanisa kurapwa zvandaida, chiremba uyu akandibvunza kuti pamuviri pangu painge parongwa here,” anodaro Mitryk. "Ndakagumburwa nemubvunzo uyu nekuti ndakaona sekuti pakaitwa fungidziro yekuti ndinenge ndakaita nhumbu yandisina kurongeka nekuti ndaiva Mutema."

Zvakare, Mitryk anoti chati yake yekurapa yakataura zvakajeka kuti aive muhukama hwepabonde-imwechete uye akange ave nepamuviri kuburikidza ne intrauterine Insemination (IUI), kurapwa kwekubereka uko kunosanganisira kuisa urume mukati mechibereko kuti zvive nyore kusangana. "Zvaive sekuti haana kana kumboita hanya nekuverenga chati yangu nekuti, mumaziso ake, handina kuita semunhu anoronga mhuri," anogovera Mystrik. (Yakabatana: 11 Nzira dzeVatema Vakadzi Dzinogona Kudzivirira Hwavo Hwepfungwa Hwepfungwa Panguva Yepamuviri uye Postpartum)

Zvaive pachena kuti ini kana mwana wangu aisakosha zvekuti iye angatsvage mamwe marapirwo kuti andibatsire.

Krystian Mitryk

Zvakadaro, Mitryk anoti akamuchengeta akatonhorera uye akasimbisa kuti nhumbu yake yaive yakarongwa zvechokwadi. Asi pane kuchinja inzwi rake, chiremba akatanga kutaura naMitryk nezvezvimwe zvaaisarudza. "Akandiudza kuti ndaisafanirwa kuita nhumbu yangu kana ndisingade," anodaro Mitryk. Akavhunduka, Mitryk anoti akakumbira chiremba kuti adzokore zvaakange ataura, kuitira kuti asanzwe. "Zvakanyanya kusagadzikana, akandiudza kuti vanamai vazhinji vanosarudza kubvisa nhumbu kana vasingakwanise kubata matambudziko eHG," anodaro. "Saka [ob-gyn akati] ndaigona kuzviita kana ndainzwa kuremerwa." (Zvakafanana: Unogona Kubvisa Pamuviri Wanonoka Sei *Chaizvo*?)

“Handina kubvuma zvandainzwa,” anoenderera mberi Mitryk. "Ungafunga kuti chiremba - mumwe munhu waunovimba nehupenyu hwako - anopedza zvose zvaanogona asati ataura kubvisa pamuviri. Zvakanga zviri pachena kuti ini kana mwana wangu hatina hanya zvakakwana kuti atsvake mamwe marapiro kuti andibatsire."

Kutevera kusagadzikana kwakanyanya, Mitryk anoti akatumirwa kumba uye akaudzwa kuti amirire aone kana Zofran ingashanda. Sezvaitarisirwa naMitryk, hazvina kudaro.

Kutsigira Hutano Hwake

Mushure mekupedza rimwe zuva achirasa asidhi uye bile mubhegi rekurutsi rinoraswa, Mitryk zvakare akakuvara pabasa rake rekuzvara, anodaro. "Panguva ino, kunyangwe vanamukoti vaiziva kuti ndaive ani," anotsanangura. Sezvo hutano hwaMitryk hwakaramba huchidzikira, zvakawedzera kumunetsa kuti aende kwachiremba kwakawanda nemwanakomana ane makore maviri pamba uye mudzimai wake achitanga basa idzva.

Ipapo, pakanga paine nyaya yeCOVID-19. "Ndakatya kutya kuburitswa pachena, uye ndaida kuita chero chinhu chandaikwanisa kudzora kushanya kwangu," anodaro Mitryk. (Zvakabatana: Zvekutarisira paKugadzwa Kwako Kunotevera Ob-Gyn Pakati - uye Pashure - iyo Coronavirus Pandemic)

Achiteerera kushushikana kwaMitryk uye nekuona mamiriro ake ekupererwa, mumwe mukoti akabva angopeji chiremba ari parunhare - chiremba mumwe chete akamborapa Mitryk. "Ndakaziva kuti ichi chiratidzo chakashata nekuti chiremba uyu aive nenhoroondo yekusanditeerera," anodaro. "Pese pandaimuona, aipinza musoro wake mukati, akaudza vanamukoti kuti vandisungirire kumvura yeIV, uye vakandiendesa kumba. Haana kumbondibvunza nezvezviratidzo zvangu kana kuti ndainzwa sei."

Nehurombo, chiremba akaita chaizvo zvaitarisirwa naMitryk, anotsanangura. "Ndakagumbuka uye pahuchenjeri hwangu," anodaro. "Ndakaudza manesi kuti ini ndaisada kuve mune zvekuchengetwa nachiremba uyu uye kuti ndaizonyatsoona chero munhu anga achida kutora mamiriro angu zvakanyanya."

Vanamukoti vakakurudzira kuti Mitryk aende kuchipatara chakabatana nemaitiro avo uye awane maonero echipiri kubva kune-call ob-gyns. Vanamukoti vakabvumirawo chiremba wepa-call pakudzidzira kwekudzivirira kuziva kuti Mitryk akanga asisadi kuva murwere wake. (Yakabatana: Vanachiremba Vakaregeredza Zviratidzo Zvangu Kwemakore Matatu Ndisati Ndazivikanwa neStage 4 Lymphoma)

Nguva pfupi mushure mekunge asvika kuchipatara, Mitryk akakurumidza kubvumirwa nekuda kwehutano hwake huri kuderera, anoyeuka. Pahusiku hwekutanga hwekugara kwake, anotsanangura, ob-gyn akabvuma kuti kuisa mutsara wePICC yaive nzira yakanakisa yekurapa. Zuva rakatevera, mumwe ob-gyn akatsigira danho iri, anodaro Mitryk. Nezuva retatu, chipatara chakasvika kuna Mitryk maitiro ekuzvara, vachivabvunza kana vachigona kuenda mberi nekurumbidzwa kwavo PICC mutsetse kurapwa. Asi tsika yekuzvara yakaramba chikumbiro chechipatara, anodaro Mitryk. Kwete izvozvo chete, asi tsika iyi yakadzingawo Mitryk semurwere apo akanga ari muchipatara chakabatana - uye sezvo tsika yacho yakawira pasi pemuamburera wechipatara, chipatara chakarasikirwa nemasimba ekumupa kurapwa kwaaida, anotsanangura kudaro Mitryk.

SeMutema, mukadzi ngochani muAmerica, ini handisi mutorwa wekunzwa kushoma-kupfuura. Asi iyo yaive imwe yenguva idzo pazvaive pachena kuti iwo madhokotera nemanesi vaisakwanisa kuita hanya neni kana mwana wangu.

Kristian Mitryk

"Ndakanga ndagamuchirwa kwemazuva matatu, ndiri ndega zvachose nekuda kweCCIDID, uye ndichirwara zvisingaite," anogovera. "Zvino ndanga ndichiudzwa kuti ndainyimwa kurapwa kwandaida kuti ndinzwe zvirinani? SeMutema, mukadzi ngochani muAmerica, handisi mutorwa kuti ndinzwe kushoma. Asi iyi yaive imwe yenguva apo pazvaive pachena kuti vanachiremba navanamukoti ivavo [pakuzvitakura] havana kukwanisa kuita hanya neni kana nemwana wangu. " (Yakabatana: Chiyero chePamuviri-Yakabatana Rufu MuUS Inotyisa Zvakakwira)

"Ini handina kukwanisa kuzvibata asi kufunga nezvevakadzi vatema vese vakanzwa seizvi," anodaro Mitryk. "Kana kuti vangani vavo vakasangana nematambudziko ehutano asingagadzirisike kana vakatorasikirwa nehupenyu nekuda kwerudzi urwu rwekuregeredza."

Gare gare, Mitryk akaziva kuti akadzingwa kubva mutsika iyi chete nechikonzero chekuti aive ne "hunhu kupokana" nachiremba uyo asingatore zviratidzo zvake zvakanyanya, anodaro. "Pandakafonera dhipatimendi rekuchengetedza njodzi, vakandiudza kuti 'manzwiro echiremba akakuvadzwa,' ndosaka akafunga kundiregedza," anotsanangura kudaro Mitryk. "Chiremba aifungawo kuti ndaizoenda kunotsvaga rubatsiro kune imwe nzvimbo. Kunyange dai zvaiva zvakadaro, kundinyima kurapwa kwandaida, pandakarwara nemamiriro ezvinhu aigona kuisa upenyu pangozi, zvakaratidza pachena kuti pakanga pasina hanya nehutano hwangu. uye hutano."

Zvakatora mazuva matanhatu kuti Mitryk asvike pakugadzikana-zvakakwana kuti abudiswe muchipatara, anodaro. Kunyangwe ipapo, anowedzera, iye zvakadaro anga asiri muchimiro chakakura, uye zvakadaro anga asina mhinduro yenguva refu yekutambura kwake. "Ndakabuda ipapo, ndichiri kukanda mubhegi," anoyeuka. "Ndainzwa ndisina tariro zvachose uye ndaitya kuti hapana aindibatsira."

Mazuva mashoma gare gare, Mitryk akakwanisa kupinda mune imwezve nzira yekuzvidzivirira kwaive neruzivo (nerufaro) zvakasiyana zvakasiyana. "Ndakapinda mukati, vakabva vandibvuma, vakambundikira, vakabvunza, vakaita savanachiremba chaivo, uye vakandiisa pamutsetse wePICC," anotsanangura kudaro Mitryk.

Kurapa kwacho kwakashanda, uye pashure pemazuva maviri, Mitryk akasunungurwa. "Ini handina kuzokanda kumusoro kana kushushikana kubvira," anogoverana.

Ungazvireverera Sei Pachako

Kunyangwe Mitryk akazowana rubatsiro rwaaida, chokwadi ndechekuti vakadzi vatema vanogara vachikundikana nehurongwa hwehutano hweAmerica. Ongororo dzakawanda dzinoratidza kuti kusarurana kwemarudzi kunogona kukanganisa maitiro ekurapa uye ekurapa ekurapa. Paavhareji, angangoita mukadzi mumwe chete pavashanu vatema vakadzi vanotaura nerusarura kana vachienda kwachiremba kana kukiriniki, sekureva kweNational Partnership yeVakadzi neMhuri.

"Nyaya yaKrystian nezvimwe zviitiko zvakafanana zvinosuruvarisa kuti zvakajairika," anodaro Robyn Jones, MD, bhodhi-yakasimbiswa ob-gyn uye mukuru mukuru wezvokurapa wehutano hwevakadzi kuJohnson & Johnson. "Vakadzi vatema kashoma kuti vateerere nevanoziva nezvekurapa nekuda kwekusaziva uye kusaziva, kusarura kwemarudzi, nekusaenzana kwehurongwa. Izvi zvinotungamira mukushayikwa kwekuvimbana pakati pevakadzi vatema navanachiremba, zvichizowedzera kushaikwa kwekuwaniswa kwehutano hwakanaka. " (Ndicho chimwe chezvikonzero nei US vachida zvakanyanya vanachiremba vechikadzi vatema.)

Vanhukadzi vechitema pavanozviwana vari mumamiriro ezvinhu aya, kukurudzira ndiyo nzira yakanakisa, anodaro Dr. Jones. "Krystian akaita chaizvo zvandinokurudzira vanaamai vanotarisira kuti vaite: vakadzikama taura uchibva pane imwe nzvimbo yeruzivo uye nekufunga mukubatana kwako nevashandi vezvehutano nezve hutano hwako, hutano hwakanaka, uye kudzivirira," anotsanangura. "Kunyangwe dzimwe nguva mamiriro ezvinhu aya angave akanyanya kushushikana, ita nepaunogona napo kubata iwo manzwiro kuti uwane mapoinzi ako nenzira yakadzikama, asi yakasimba." (Zvakabatana: Chidzidzo Chitsva Chinoratidza Vakadzi Vatema Vanogona Kufa Nekenza Yezamu Kupfuura Vakadzi Vachena)

Mune zvimwe zviitiko (sekuMitryk's), panogona kuuya nguva yaunoda kuendesa kune kumwe kutarisirwa, anodaro Dr. Jones. Zvisinei, zvakakosha kuti urangarire kuti une mvumo yekuwana rubatsiro rwakanakisa, uye une kodzero yekuwana ruzivo rwese iwe rwaunogona nezve mamiriro ako, anotsanangura Dr. Jones.

Zvakadaro, kuzvitaurira pachako kunogona kutyisa, anowedzera Dr. Jones. Pazasi, anogovera nhungamiro dzinogona kukubatsira kufamba nenzira dzenhema pamwe nachiremba wako uye uve nechokwadi chekuti uri kuwana hutano hwaunokodzera.

1. Kuziva nezveutano kwakakosha. Mune mamwe mazwi, ziva uye unzwisise mamiriro ako ehutano, pamwe nenhoroondo yemhuri yako, paunenge uchizvidzivirira uye uchitaura kune vanopa hutano.
2. Kana iwe uchinzwa wakasununguka, taura zvakajeka kuna chiremba wako kuti haunzwi kunzwa. Mitsara yakaita sekuti "Ndinoda kuti unditeerere," kana kuti "Hausi kundinzwa," inogona kuenda kupfuura zvaunofunga.
3. Rangarira, iwe unoziva muviri wako pachako zvakanyanya. Kana iwe wakataura zvinokunetsa uye uchiri kunzwa kusanzwikwa, funga kuva neshamwari kana nhengo yemhuri inokujoinha iwe mukati meiyi hurukuro kuti ubatsire kuwedzera izwi rako uye meseji.
4. Funga nezve yakazara nzira yekutarisira kwako amai. Izvi zvinogona kusanganisira rutsigiro rwe doula uye / kana kutarisirwa nemukoti-nyamukuta akasimbiswa. Zvakare, vimba nesimba re telemedicine (kunyanya munguva yanhasi), iyo inogona kukusanganisa iwe kune wekuchengeta kupi kupi kwaungave iwe.
5. Gadzira nguva yekudzidza uye kutsvaga ruzivo kubva kune zvakavimbika zviwanikwa. Zviwanikwa zvakaita seVatema Vakadzi Hutano Imperative, Nhema Mamas Matter Alliance, Hofisi yeVashoma Hutano, uye Hofisi yeVakadzi Hutano zvinogona kukubatsira kuti ugare mukuziva nezve nyaya dzehutano dzinogona kukukanganisa.

Kunyangwe iwe uchinzwa kuti haufanirwe kutsigira iwe pachako, unokwanisa kubatsira mamwe madzimai nekujoinha mamwe manetwork nemapoka munharaunda uye/kana yenyika, vanodaro Dr. Jones.

"Tsvaga mikana nemapoka akakura ekumiririra nyika senge Kurume kwaMoms," anodaro. "Muno, zvinobatsira kubatana nevamwe vakadzi naamai munharaunda yenyu kuburikidza ne Facebook kana munharaunda yako kuti muve nehurukuro yakazaruka pamusoro pemisoro iyi uye kugoverana zvakaitika. Pamwe chete, unogona kuwana kunyange masangano emunharaunda anotarisa pane izvi zvikonzero zvingada. imwezve rutsigiro. "

Ongororo ye