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无国界医生组织实施手术改变尼日利亚妇女的命运

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小编摘要:让病人能够过上正常的生活,为她找回一些尊严,这是尼日利亚东北部贾运医院进行这次手术的目标。

 无国界医生组织实施手术改变尼日利亚妇女的命运



Allowing the patient to live a normal life and giving her back some dignity is the objective of this surgery performed in Jahun hospital, in northeast Nigeria.

Since 2008, the aid group Doctors Without Borders has operated on women with obstetric fistulas, also known as VVF.

The condition is a tear between the vagina and the bladder or the rectum. It results from a difficult or prolonged childbirth, without proper medical assistance, which provokes tissue necrosis.

Fatima Mohammed gave birth a few weeks ago.

"I spent 2 days in labor, and then I passed out," she said. "I was unconscious for 4 days, I don't even remember which day I gave birth. After I delivered, this is when I started having a VVF and started to leak.

Each month in Jahun, the surgeons hired by Doctor Without Borders operate on about 20 women. The fistula is not lethal, but causes a permanent incontinence. Women get soiled, smell bad, and then their lives collapse. They are often rejected by their husband and pushed aside by the community, as Habsa Musa has experienced.

"Because I was leaking, I thought my husband was going to leave me, because he had spent so much money for me at the Birenenkudu Hospital," she said.

After the surgery, the patients have physiotherapy sessions and a psychosocial follow-up to help them get back into society. The goal is also to break the taboo over this infirmity : the VVF can be avoided and can be healed,as Jahun hospital's nurse Bilkisou Aliyou explains.

"When they come, we have different type of treatment. because some of them do not even need surgery. With catheter treatment, they can be fine. And some of them will undergo surgery and they will be fine," said Aliyou.

But the challenge is still huge. Each year, 600,000 new cases are detected. One third of them in Africa.

让病人能够过上正常的生活,为她找回一些尊严,这是尼日利亚东北部贾运医院进行这次手术的目标。
自2008年以来,无国界医生组织的援助团体一直为女性的进行产科瘘手术,该疾病就是人们熟知的VVF。
这种疾病是阴道,膀胱或直肠的损伤。它的结果会导致分娩困难或过长时间,如果没有适当的医疗措施,将会引起组织坏死。
法蒂玛•穆罕默德几个星期前刚刚生育。
“我临产就花了2天,然后我晕了过去,”她说道。“我昏迷了4天,我甚至不记得我是在哪一天生育。在我生下孩子后,我开始患上膀胱阴道瘘,然后我开始出现异物感。”
在贾运医院的每个月,无国界医生雇佣的外科医师们对大约20名妇女实施手术。瘘管不会致命,但会导致永久性的尿失禁。女性会有肮脏感觉、伴有难闻气味,然后她们对生活感到崩溃。她们因此会常被自己的丈夫拒绝,被社区隔离,哈巴萨•穆萨就曾有过这样的经历。
“因为我的异物感,我认为我的丈夫要离我而去,因为他在比仁库度医院为我花费了太多的金钱。”她回忆道。
在术后,病人通过接受物理治疗和后续心理康复来帮助他们重返社会。而目标就是打破在这个弱势项目上的禁忌:VVF可以避免,而且能被治愈,贾运医院的护士贝尔科斯•艾莉亚解释道。
“当他们到来时,我们有不同类型的治疗措施。因为他们中的一些人甚至不需要手术。仅用导管治疗,病人就可以康复。而另外一些人将接受手术,术后就会康复。”艾莉亚说道。
但是,面临的挑战仍然十分艰巨。每年就检测出600000例新病例。他们占据非洲的三分之一。

标签:voa standard
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2012-06-28 22:04 编辑:pliny
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