安吉麗娜朱莉的血與蜜之歌

安吉麗娜?朱莉的血與蜜之歌2008年時,朱莉已成為全球女星片酬榜單、票房號召力榜單、權(quán)勢榜單、影響力榜單都居第一的演員,而今年11月,朱莉突然在接受雜志采訪時表示,自己在表演方面已失去了興趣,她表示會放棄自己的表演事業(yè),專心做導(dǎo)演。她解釋說:“其實我一直都不享受表演,我也不想總出現(xiàn)在鏡頭前,對我來說做導(dǎo)演比當演員更讓我快樂?！痹诳吹较旅娴奈恼轮?我無法理解對于一位世界級演員來說,是什么讓朱莉決定停止演繹的步伐,后來我揣測或許在于認清生命之后,她找到了什么是她最想要的。安吉麗娜?茱莉的獨白：《我的醫(yī)療選擇》AngelinaJolieMymedicalchoiceMymotherfoughtcancerforalmostadecadeanddiedat56.Sheheldoutlongenoughtomeetthefirstofhergrandchildrenandtoholdtheminherarms.Butmyotherchildrenwillneverhavethechancetoknowherandexperiencehowlovingandgraciousshewas.我的母親56歲那年因癌癥去世,在此之前,她與病魔斗爭了將近十年。她一直堅持到看到我最大的孩子出生,還曾擁他們?nèi)霊?。然?年齡更小的孩子們卻從未有機會認識自己的外婆,感受她的慈愛和藹。Weoftenspeakof"Mommy'smommy,"andIfindmyselftryingtoexplaintheillnessthattookherawayfromus.Theyhaveaskedifthesamecouldhappentome.Ihavealwaystoldthemnottoworry,butthetruthisIcarrya"faulty"gene,BRCA1,whichsharplyincreasesmyriskofdevelopingbreastcancerandovariancancer.我們經(jīng)常說起“媽媽的媽媽”,我試著向孩子們解釋這種奪走了外婆的疾病。他們曾經(jīng)問道,是否同樣的事情也會發(fā)生在我的身上;我一直告訴他們不用擔心。然而事實上,我是BRCA基因攜帶者,這種基因存在著缺陷,會導(dǎo)致罹患乳腺癌和卵巢癌的風險大幅提高。MydoctorsestimatedthatIhadan87percentriskofbreastcanceranda50percentriskofovariancancer,althoughtheriskisdifferentinthecaseofeachwoman.盡管不同女性存在著個體差異,但據(jù)醫(yī)生估計,我患乳腺癌的幾率高達87%,患卵巢癌的幾率也達到50%。Onlyafractionofbreastcancersresultfromaninheritedgenemutation.ThosewithadefectinBRCA1havea65percentriskofgettingit,onaverage.只有很少一部分乳腺癌病例是由遺傳性的基因突變引起的。對于 BRCA基因缺陷攜帶者來說,平均有65%的幾率患上乳腺癌。OnceIknewthatthiswasmyreality,IdecidedtobeproactiveandtominimizetheriskasmuchIcould.Imadeadecisiontohaveapreventivedoublemastectomy.Istartedwiththebreasts,asmyriskofbreastcancerishigherthanmyriskofovariancancer,andthesurgeryismorecomplex.當我了解到這一現(xiàn)實,我決定先發(fā)制人,盡可能地降低患癌風險。因此,我決定接受預(yù)防性雙乳切除術(shù)。我首先選擇乳房手術(shù),是因為我罹患乳腺癌的幾率高于卵巢癌,乳房手術(shù)也更為復(fù)雜。OnApril27,Ifinishedthethreemonthsofmedicalproceduresthatthemastectomiesinvolved.DuringthattimeIhavebeenabletokeepthisprivateandtocarryonwithmywork.ButIamwritingaboutitnowbecauseIhopethatotherwomencanbenefitfrommyexperience.Cancerisstillawordthatstrikesfearintopeople'shearts,producingadeepsenseofpowerlessness.Buttodayitispossibletofindoutthroughabloodtestwhetheryouarehighlysusceptibletobreastandovariancancer,andthentakeaction.整個手術(shù)治療過程為期三個月,已于4月27日全部完成。在此期間,我成功地封鎖了消息,并繼續(xù)完成自己的工作。而如今,我把這一切寫下來,是希望我的經(jīng)歷能夠?qū)ζ渌杂兴?。聽到“癌癥”這個詞,人們心中依然會生出恐懼與深深的無力感。但是現(xiàn)在,已經(jīng)有方法通過血液檢測獲知乳腺癌和卵巢癌的患病風險,進而采取應(yīng)對措施。MyownprocessbeganonFeb.2withaprocedureknownasa"nippledelay,"whichrulesoutdiseaseinthebreastductsbehindthenippleanddrawsextrabloodflowtothearea.Thiscausessomepainandalotofbruising,butitincreasesthechanceofsavingthenipple.我的治療是從2月2日開始的。最開始做了一個“乳頭保留術(shù)”,即排除乳頭后方導(dǎo)管的患病可能,同時抽離流經(jīng)該區(qū)域的多余血液。這個過程有些疼痛,會產(chǎn)生大量挫傷,不過有助于成功保留乳頭。TwoweekslaterIhadthemajorsurgery,wherethebreasttissueisremovedandtemporaryfillersareputinplace.Theoperationcantakeeighthours.Youwakeupwithdraintubesandexpandersinyourbreasts.Itdoesfeellikeasceneoutofascience-fictionfilm.Butdaysaftersurgeryyoucanbebacktoanormallife.兩周之后,進行了最主要的手術(shù),切除了乳腺組織,替代以臨時填充物。這臺手術(shù)會持續(xù)8小時。你醒來的時候會發(fā)現(xiàn)胸部插著引流管和擴張器,感覺就像是科幻電影中的場景。不過術(shù)后幾天,就能恢復(fù)正常生活了。Nineweekslater,thefinalsurgeryiscompletedwiththereconstructionofthebreastswithanimplant.九個星期之后,進行乳房重塑手術(shù),在胸部植入填充物。至此,治療全部完成。Therehavebeenmanyadvancesinthisprocedureinthelastfewyears,andtheresultscanbebeautiful.這項技術(shù)在近年來有了很大的進步,重塑后的乳房會很漂亮。Iwantedtowritethistotellotherwomenthatthedecisiontohaveamastectomywasnoteasy.ButitisoneIamveryhappythatImade.Mychancesofdevelopingbreastcancerhavedroppedfrom87percenttounder5percent.Icantellmychildrenthattheydon'tneedtofeartheywilllosemetobreastcancer.我寫這些是想告訴其他的女性,做出接受乳房切除手術(shù)這一決定并非易事。然而,我很高興自己做出了這樣的決定。現(xiàn)在,我的乳腺癌發(fā)病率已經(jīng)從87%降至5%以下。我可以告訴孩子們不用再擔心因乳腺癌而失去他們的母親了。Itisreassuringthattheyseenothingthatmakesthemuncomfortable.Theycanseemysmallscarsandthat'sit.EverythingelseisjustMommy,thesameasshealwayswas.AndtheyknowthatIlovethemandwilldoanythingtobewiththemaslongasIcan.Onapersonalnote,Idonotfeelanylessofawoman.IfeelempoweredthatImadeastrongchoicethatinnowaydiminishesmyfemininity.讓我欣慰的是,孩子們對此接受良好。他們可以看見我身上多了一些小傷疤;除此之外,他們的媽媽一如既往,沒有任何變化。他們也從中了解到,我愛他們,愿意付出一切換來長久陪伴他們的機會。而就我個人而言,雙乳切除術(shù)并沒有削弱我的女人味。我堅強地做出了選擇,而結(jié)果不會讓我的女性魅力有分毫減弱,這讓我充滿了力量。Iamfortunatetohaveapartner,BradPitt,whoissolovingandsupportive.Sotoanyonewhohasawifeorgirlfriendgoingthroughthis,knowthatyouareaveryimportantpartofthetransition.BradwasatthePinkLotusBreastCenter,whereIwastreated,foreveryminuteofthesurgeries.Wemanagedtofindmomentstolaughtogether.Weknewthiswastherightthingtodoforourfamilyandthatitwouldbringuscloser.Andithas.我很幸運,我的伴侶布拉德?皮特在此期間給予我無盡的愛與支持。因此，我想對那些妻子或女友有過這樣經(jīng)歷的男士們說:請記住,在她人生的轉(zhuǎn)折點,你扮演著極其重要的角色。我在粉色蓮花乳房健康中心接受治療期間,布拉德始終伴隨左右。我們同甘共苦,苦中作樂。我們深知這個抉擇對我們的家庭有益,也會讓我們更加親密。事實證明的確如此。Foranywomanreadingthis,Ihopeithelpsyoutoknowyouhaveoptions.Iwanttoencourageeverywoman,especiallyifyouhaveafamilyhistoryofbreastorovariancancer,toseekouttheinformationandmedicalexpertswhocanhelpyouthroughthisaspectofyourlife,andtomakeyourowninformedchoices.我希望所有讀到這篇文章的女性都能夠明白,你有權(quán)做出選擇。我想鼓勵所有的女性,特別是那些有乳腺癌或卵巢癌家族病史的女性,去積極搜集信息,尋找能夠幫助你渡過這個難關(guān)的醫(yī)學專家,在充分知情的前提下,做出自己的選擇。Iacknowledgethattherearemanywonderfulholisticdoctorsworkingonalternativestosurgery.MyownregimenwillbepostedinduecourseontheWebsiteofthePinkLotusBreastCenter.Ihopethatthiswillbehelpfultootherwomen.在我治療期間,有很多優(yōu)秀的整體治療專業(yè)醫(yī)師為我制定了多種手術(shù)方案,在此表示感謝。我本人的詳細療程將在適當?shù)臅r候公布在粉色蓮花乳房健康中心的網(wǎng)站上。我希望這種做法能夠?qū)ζ渌杂兴鶐椭?。Breastcanceralonekillssome458,000peopleeachyear,accordingtotheWorldHealthOrganization,mainlyinlow-andmiddle-incomecountries.Ithasgottobeaprioritytoensurethatmorewomencanaccessgenetestingandlifesavingpreventivetreatment,whatevertheirmeansandbackground,wherevertheylive.ThecostoftestingforBRCA1andBRCA2,atmorethan$3,000intheUnitedStates,remainsan