Bev Axford-Hawx, wazaka 46, amagwira ntchito kuchipatala ndipo akuti masiku ake ovuta akhala akuvuta, koma sanachitepo kanthu.
“Ndinkagwira ntchito yoyendetsa ndege, tinkayendayenda kwambiri,” akutero. - Kamodzi pazaka zingapo ndinali ndi kuyezetsa kwathunthu kwachipatala, koma nthawi zonse kunkachitidwa ndi amuna achikulire. Anangoponya maso ndipo sanazindikire chomwe chinali cholakwika ndi ine.
Masiku a Bev aatali, opweteka komanso ovuta anali otopetsa ndipo adakhudza kwambiri ntchito yake, moyo wake komanso kudzidalira: "Zinali zosakhazikika. Nthaŵi zonse pamene ndinachititsa kapena kupita kuphwando kapena kuitanidwa ku ukwati, ndinkapemphera kuti detilo lisagwirizane ndi msinkhu wanga.”
Bev atapita kwa akatswiri, madokotala ananena kuti adzakhala bwino akadzabereka ana. Zoonadi, poyamba anamva mpumulo, koma kenako zinafika poipa kwambiri. Bev anali kale ndi mantha kulankhula ndi madokotala ndipo ankaganiza kuti ichi chinali mbali yofunika ya mkazi.
Ob/gyn ndi mnzake Bev Malcolm Dixon akufufuza zazizindikiro zake ndipo akukhulupirira kuti ndi m'modzi mwa amayi masauzande ambiri omwe zizindikiro zawo zowawa zimayenderana ndi matenda obadwa nawo a von Willebrand, omwe amalepheretsa kutsekeka kwa magazi. Chinthu chachikulu cha matendawa ndi kusowa kwa mapuloteni m'magazi, omwe amathandiza kuti awonongeke, kapena kuti asagwire bwino ntchito. Iyi si hemophilia, koma vuto lalikulu kwambiri lotaya magazi momwe mapuloteni ena amathandizira kwambiri.
Malinga ndi a Dixon, anthu 2 pa XNUMX aliwonse padziko lapansi ali ndi masinthidwe amtundu omwe amayambitsa matenda a von Willebrand, koma ndi anthu ochepa omwe amadziwa kuti ali nawo. Ndipo ngati amuna sakhudzidwa ndi mfundo imeneyi mwanjira ina iliyonse, ndiye kuti akazi amamva kusapeza bwino panthawi ya msambo ndi pobereka. Dokotalayo akuti nthawi ya chithandizo nthawi zambiri imaphonya, chifukwa amayi samawona kuti ndikofunikira kuyang'ana vuto lawo.
“Mkazi akafika msinkhu, amapita kwa dokotala, yemwe amamupatsa mapiritsi oletsa kubadwa, omwe sali othandiza kwenikweni poletsa kutuluka kwa magazi kokha ngati akugwirizana ndi von Willebrand,” akutero Dixon. - Mapiritsi sali oyenera, ena amaperekedwa kwa mkazi, ndi zina zotero. Amayesa mankhwala osiyanasiyana amene amathandiza kwakanthawi koma sathetsa vutolo mpaka kalekale.”
Zowawa masiku ovuta, "kusefukira", kufunika kosintha pafupipafupi zinthu zaukhondo ngakhale usiku, nthawi zina kutuluka magazi m'mphuno ndi kuvulala koopsa pambuyo pa kumenyedwa kwazing'ono, komanso kuchira kwa nthawi yaitali pambuyo pa ndondomeko ya mano ndi zojambulajambula ndizo zizindikiro zazikulu zomwe munthu ali ndi von Willebrand.
Dr. Charles Percy, dokotala wa matenda a magazi pachipatala cha Queen Elizabeth ku Birmingham anati: “Vuto n’lakuti akazi akafunsidwa ngati kusamba kwawo kuli bwino, amayankha kuti inde, chifukwa chakuti akazi onse a m’banja mwawo akhala akusamba kowawa. "Pali kusagwirizana kwakukulu pazabwinobwino, koma ngati magazi akupitilira masiku opitilira asanu kapena asanu ndi limodzi, ndizomveka kulingalira von Willebrand."
Ku UK, amayi pafupifupi 60 pachaka amakhala ndi hysterectomy (kuchotsa chiberekero). Komabe, izi zikanapewedwa potengera njira zodzitetezera pasadakhale.
"Tikadakhala tikudziwa zambiri za von Willebrand, tikadapewa hysterectomy. Koma amangonyalanyazidwa ngati matenda,” akutero Dr. Percy.
Bev Axford-Hawks anaganiza zochotsa chiberekero asanadziwe za mankhwala omwe angathe kuthetseratu vutoli. Patatha masiku anayi atachitidwa opaleshoniyo, anavutikanso kwambiri n’kuyamba kukha magazi m’kati. Opaleshoni ina yofulumira idafunikira kuchotsa chotupa chachikulu chamagazi m'dera la chiuno. Kenako anakhala masiku awiri m’chipatala cha odwala mwakayakaya.
Atachira, Bev adalankhula ndi mnzake Malcolm Dixon, yemwe adavomereza kuti anali ndi zizindikiro zonse za matenda a von Willebrand.
Dr. Percy akunena kuti amayi ena amapindula ndi tranexamic acid yoyambirira, yomwe imachepetsa magazi, pamene ena amapatsidwa desmopressin, yomwe imawonjezera kuchuluka kwa mapuloteni a magazi mu matenda a von Willebrand.
Moyo wa Bev wayenda bwino kwambiri kuyambira pomwe adachotsa chimbudzi. Ngakhale kuti njira zazikulu zoterozo zikanapeŵedwa, iye ali wokondwa kuti tsopano angathe kugwira ntchito ndi kukonzekera tchuthi mwamtendere, popanda kudera nkhaŵa za kusamba kwake. Chodetsa nkhaŵa cha Beth ndi mwana wake wamkazi, yemwe akanatha kudwala matendawa, koma Beth akufunitsitsa kuonetsetsa kuti mtsikanayo asakumane ndi zomwe ayenera kuchita.
Zomwe zimayambitsa msambo zowawa
Nthawi zina, chifukwa chake sichidziwika. Komabe, pali matenda angapo omwe angakhalepo komanso mankhwala ena omwe angayambitse magazi ambiri. Izi zikuphatikizapo:
- Polycystic ovary
- Matenda otupa a m`chiuno
- Adenomyosis
- Chithokomiro chosagwira ntchito bwino
- Ma polyps a chiberekero kapena endometrium
- Njira zakulera m'mimba