I-Birth Control Pill Yam Yaphantse Yandibulala

Umxholo

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Kwi-5'9," i-140 pounds, kunye neminyaka engama-36 ubudala, izibalo zazisecaleni lam: Ndandisondela kwi-40s yam, kodwa kwinto endiya kuyithatha njengeyona ndlela ilungileyo yobomi bam.

Ngokwasemzimbeni, ndaziva ndikhululekile. Ndisebenze ukubila okubalekayo, kwiklasi ye-barre, okanye ukufunda ukomelela kwepali-eyokugqibela endikhe ndangenela ukhuphiswano kuyo. Kodwa, ngokwengqondo, bendiyibhola yoxinzelelo. Ndilwenzile uqhawulo-mtshato, ndafudukela kwidolophu entsha nentombi yam, ndamkela isihloko esitsha: umama ongatshatanga osebenzayo. Umsebenzi wam wokubhala wawuhambela phambili. Ndinencwadi entsha esondweni, kunye nokubonakala rhoqo kweTV. Kodwa ngamanye amaxesha, ndaziva iindonga zivala ngaphakathi. (Kodwa yeyi, yayinzima ngayo yonke into, ubuncinci bendinempilo yam.

Kodwa masiqale kwasekuqaleni: ngolwesiBini kusasa ngoJuni. Ilanga lasehlotyeni laligqats' ubhobhoyi kwaye ndandinosuku oluxakekileyo ndifolile. Njengoko ndandiphuma ndisiya kwintlanganiso yokuqala yosuku, ndaqaphela iintlungu ezibukhali ecaleni kwam. Ndayitshitshisa ndayokutsho kwimisipha. Emva kwayo yonke loo nto, bendihlala ndicinezelekile emva kweseshoni yokuqina komzimba. Kodwa ngoxa ndandihambahamba eManhattan, iintlungu zabuyela emqolo; kamva ngobo busuku, esifubeni sam, ukuya kwindawo apho ndabona iinkwenkwezi.

Ndithathele ingqalelo uhambo oluya e-ER, kodwa andifuni koyikisa umntwana wam oneminyaka emine ubudala. Ndikhumbula ndimi phambi kwesipili ndicinga nge-PJs: ngekhe ndibenentliziyo yam-ndandimncinci kakhulu, ndimncinci kakhulu, kwaye ndisempilweni. Ndandisazi ukuba ndixinezelekile, ngoko ke ndaye ndanombono wokuhlaselwa luvalo. Ndaye ndahlala ndaziva ndixilongwa, ndathatha amayeza, ndalala.

Kodwa ngentsasa elandelayo, iintlungu zaqhubeka. Ngoko ke, malunga neeyure ezingama-24 emva kokuba iimpawu zam ziqalile, ndaya kwagqirha. Kwaye emva kwemibuzo embalwa emifutshane-eyokuqala ibisithi, "Ungaphezulu kwe-35 kwaye kwiPilisi, akunjalo?" Ugqirha wam undithumele ngqo kwi-ER ukuze ndivavanye imiphunga yam ukuze "ndilawule" iqabaka legazi. Kunye neminye imingcipheko-akukho namnye kubo ekubonakala ngathi ndinayo ngaphandle kweminyaka yam-Ipilisi inokubangela amahlwili egazi, utshilo.

Ngokuka-Lauren Streicher, MD, ukubakho kwegazi kumfazi ongekho kwiipilisi zolawulo lokuzalwa kubini okanye kathathu kwi-10,000 nganye. Amathuba okuba xa kusetyenziswe iipilisi zolawulo lokuzalwa zizibhozo okanye ezisithoba kubo bonke abafazi abali-10,000. Leyo yayiyimeko embi kakhulu nangona kunjalo. Ndingathunyelwa ekhaya ndineentlungu, ndicinga njalo.

Ukufika kwam, ndakhawuleziswa kwintloko yomgca. “Asikhe siphambanise xa kuthethwa ngeentlungu zesifuba,” ucacise watsho umongikazi. Uqhube wathi: "Nangona ndithandabuza ukuba kukho into engalunganga kuwe ngaphandle kwesihlunu esitsaliweyo. Ubonakala usempilweni!"

Ngelishwa, wayenempazamo enkulu. Iiyure ezimbalwa kunye nokuvavanywa kwe-CT kamva, i-ER doc yahambisa iindaba ezoyikisayo: Ndandinengxwelerha enkulu yegazi kumphunga wam wasekhohlo-kwimiphunga ye-pulmonary-eyayisele yonakalise inxenye yemiphunga yam kwinto eyaziwa ngokuba yi "infarction" ukuphuma kwegazi ixesha elide ukuya kwinxalenye esezantsi yelungu. Kodwa oko yayilelona xhala lam. Kwakukho umngcipheko onokuthi uhambele entliziyweni yam okanye kwingqondo apho ungandibulala khona. Amahlwili ahlala emilenzeni okanye emgodini (amaxesha amaninzi emva kokuhlala ixesha elide, njengakwinqwelomoya) emva koko "aphule" ahambe kwiindawo ezinjengeemiphunga, intliziyo, okanye intloko (ebangela ukubetha).Ugqirha wandazisa ukuba ndiza kubekwa kwi-Heparin efakwa emthanjeni, iyeza eliza kunciphisa igazi lam ukuze ihlwili lingakhuli-kwaye ngethemba lokuba alizukuhamba. Njengoko ndandilindele elo yeza, umzuzu ngamnye wawubonakala ngathi ungunaphakade. Ndacinga ngentombi yam ingenaye umama, nezinto ekusafuneka ndizenze.

Njengokuba oogqirha nabongikazi babelimpompela igazi lam lizele zizicoci gazi ze-IV, bazamana ukufumanisa ukuba yintoni enokubangela oku. Khange ndibukeke njengesigulana "esiqhelekileyo" kumgangatho wononophelo lwentliziyo. Emva koko, umongikazi wathimba iipilisi zolawulo lokuzalwa, kwaye wacebisa ukuba ndiyeke ukuzisela. "Inokuba" sisizathu sokusenzeka, utshilo.

Uninzi lwabasetyhini endibaziyo lunexhala lokufumana ubunzima kwipilisi yokulawula ukuzala, kodwa bayasilela ukuqonda ukuba kukho uluhlu lokuhlamba iimpahla "lwezilumkiso" kwileyibhile. Umntu ukuxelela ukuba kukho ingozi yegazi kubantu abatshayayo, abasetyhini abangahlaliyo, okanye abangaphezu kweminyaka engama-35. Ngokuqinisekileyo andikhange ndihlale phantsi, kwaye ndandinwele nje elingaphezu kweminyaka engama-35. Kwaye kungekudala, oogqirha bandixelela ukuba baya kuvavanya ufuzo endingazange ndeva ngalo: IFactor V Leiden, ebangela ukuba abo bayithweleyo bathambekele kumachaphaza egazi asongela ubomi. Ndijika, ndinofuzo.

Ngequbuliso, ubomi bam baba liqela elitsha lamanani. Ngokutsho kweKliniki yaseMayo, amadoda kunye nabasetyhini banokuba neFactor V Leiden, kodwa abasetyhini abanayo banokuba notyekelo olwandisiweyo lokuphuhlisa amahlwili egazi ngexesha lokukhulelwa okanye xa bethatha ihomoni ye-estrogen, efumaneka rhoqo kwiipilisi zokulawula ukuzala. Kucetyiswa ukuba abafazi abaphethe le geni suku yiya kwipilisi. Ukudibanisa kunokubulala. Bendihleli ndikhahlela ixesha kuyo yonke loo minyaka.

Kuqikelelwa ukuba malunga nesine ukuya kwisixhenxe ekhulwini sabemi banohlobo oluqhelekileyo lwe-Factor V Leiden eyaziwa ngokuba yi-heterozygous. Abaninzi mhlawumbi abazi ukuba banalo, okanye abaze babe namahlwili egazi angaqhelekanga kuwo.

Uvavanyo olulula lwegazi-ngaphambi kokuya kulo naluphi na unyango lwe-hormone-unokuxelela ukuba unayo i-gene kwaye usengozini ngokungazi, njengoko ndandinjalo. Kwaye ukuba sele ukwiPilisi, kubalulekile ukwazi iimpawu-iintlungu zesisu, iintlungu zesifuba, intloko ebuhlungu, iingxaki zamehlo, kunye neentlungu eziqatha zomlenze ngenxa yamahlwili.

Ndichithe iintsuku ezisibhozo esibhedlele, kodwa kwavela ubomi obutsha. Ekuqaleni, ndandikwimeko emaxongo emiphungeni, kwaye ndikhohlela igazi, njengoko iqabunga laqalisa ukunyibilika. Kodwa ndibuye ndabuya ndalwa nendlela yokulwa (ngoku ndigxile kuqeqesho lobunzima kunye nemisebenzi ye-cardio ethwala umngcipheko omncinci wokulimala), kwaye bendizimisele ukuphinda ndilawule umzimba wam.

Kuya kufuneka ndizikhathalele mna kuqala kwaye, kwaye ke ndingangoyena mama ubalaseleyo endinokuba nguye. Yinto ekuya kufuneka ndiphile nayo ubomi bam bonke, kunye nerejimeni yemihla ngemihla yabantu abanciphisa igazi kunye nokutyelela ugqirha rhoqo. Kuye kwafuneka ndiqwalasele kwakhona indlela yam yolawulo lokuzalwa kuba nantoni na esekwe kwihomoni ikhutshiwe.

Kodwa ndibhala oku namhlanje njengenye yeenhlanhla: ndafunyaniswa, kwaye ndihlala ndibalisa ngayo. Abanye khange babe nethamsanqa. Ukususela ngoko ndiye ndafunda ukuba i-pulmonary embolism ibulala isinye kwisithathu sabantu abangama-900,000 abaphuhlayo nyaka ngamnye, rhoqo kwimizuzu engama-30 ukuya kwengama-60 emva kokuba iimpawu ziqale. Isitayile sosaziwayo uAnnabel Tollman, umhlobo oshishino ngefashoni, usweleke ngequbuliso kunyaka ophelileyo eneminyaka engama-39 kuthiwa unegazi. Ayaziwa nokuba wayepilisi okanye hayi. Kodwa ukusukela ngoko ndiye ndafunda ngakumbi nangakumbi ngabasetyhini abaye bachaphazeleka.

Njengokuba bendiphanda kwaye ndabelana kumajelo eendaba ezentlalo, ndiye ndadibana nabafazi ababesabelana ngam, kunye nezihloko ezazikhwaza zisithi, "Kutheni abafazi abancinci nabasempilweni besifa ngamahlwili egazi?" Ukwazi ukuba oogqirha bakhupha iipilisi zolawulo lokuzalwa ezifana neelekese (malunga nezigidi ezili-18 zabasetyhini eMelika kuthiwa bayazisebenzisa), kubalulekile ukuba uxoxe ngayo nayiphi na into enokubangela umngcipheko ngaphambi kokuya kuyo. Imbali yosapho, ukuvavanywa kwegazi, kunye nokuthetha nje zonke ezi zinto zibalulekile kwisigqibo. Eyona nto iphambili: Xa ungathandabuzeki, buza.

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