Ukwembula Izinselele Zezempilo Zangemva Kokubeletha: Umbono Womhlaba Wonke

Ishicilelwe ngo-Dec. 8, 2023, ku-Lancet Global Health, ucwaningo olubalulekile luveza ukuthi ngaphezu kowesifazane oyedwa kwabathathu emhlabeni wonke, okulingana okungenani nabesifazane abayizigidi ezingu-40 ngonyaka, ubhekana nezinkinga zempilo eziqhubekayo ngemva kokubeletha. Lolu phenyo olunzulu lunikeza ukukhanya ezinhlobonhlobo zezinselele abesifazane ababhekana nazo, ezithinta impilo engokomzimba nengqondo, kugcizelela isidingo semodeli yokunakekela ebandakanya wonke umuntu futhi eyandisiwe yangemva kokubeletha.

Ukuqonda Izinselele Zezempilo Zangemva Kokubeletha:

Ucwaningo lukhomba inqwaba yezinkinga zempilo ezihlala njalo abesifazane ababhekana nazo ngemva kokubeletha, okuhlanganisa kodwa okungagcini nje:

1. Ubuhlungu ngesikhathi socansi (35%)

2. Ubuhlungu obuphansi emuva (32%)

3. Ukungakwazi ukuchama (8% kuya ku-31%)

4. Ukukhathazeka (9% kuya ku-24%)

5. Ukungakwazi ukuzibamba (19%)

6. Ukucindezeleka (11% kuya ku-17%)

7. Ukwesaba ukubeletha (6% kuya ku-15%)

8. Ubuhlungu be-Perineal (11%)

9. Ukungazali kwesibili (11%)

Ukwengeza, lolu cwaningo luqokomisa izindaba ezaziwa kancane njengokukhula kwe-pelvic organ, disorder posttraumatic stress, ukungasebenzi kahle kwegilo, i-mastitis, i-HIV seroconversion, ukulimala kwemizwa, kanye nesifo sengqondo.

Igebe Lokunakekelwa Kwangemva Kokubeletha:

Nakuba abesifazane abaningi bevakashela udokotela emasontweni ayisi-6 kuya kwayi-12 ngemva kokubeletha, ucwaningo lugcizelela ukungabaza kwabesifazane ukuxoxa ngalezi zinkinga zezempilo eziqhubekayo nochwepheshe bezempilo. Ngaphezu kwalokho, izinkinga eziningana zizibonakalisa emasontweni ayisithupha noma ngaphezulu ngemva kokuzalwa, okubonisa igebe elibucayi kumodeli yamanje yokunakekelwa kwangemva kokubeletha.

Izincomo Zokunakekelwa Okuphelele Kwangemva Kokubeletha:

Ucwaningo lukhuthaza indlela ebanzi yokunakekelwa kwangemva kokubeletha, inselele isikhathi esijwayelekile samaviki ayisi-6. Ababhali bahlongoza amamodeli okunakekelwa kwemikhakha eminingi adlulela ngale kwenkathi yokuqala yangemva kokubeletha. Indlela enjalo ihlose ukuhlonza ngokushesha kanye nokubhekana nalezi zimo zezempilo ezivame ukunganakwa.

Ukungafani Kwembulunga yonke kudatha:

Nakuba iningi ledatha livela emazweni anemali engenayo ephezulu, ucwaningo luvuma ukushoda kolwazi oluvela emazweni anemali engenayo ephansi nanemali ephakathi, ngaphandle kokucindezeleka kwangemva kokubeletha, ukukhathazeka, nesifo sengqondo. Lokhu kuphakamisa imibuzo mayelana nokuqonda komhlaba wonke kanye nokuqashelwa kwezinselele zempilo yangemva kokubeletha kuzo zonke izimo zenhlalo-mnotho eyahlukene.

UPascale Allotey, MD, umqondisi Wezempilo Nocwaningo Lwezocansi Nezalo e-WHO, ugcizelela ukubaluleka kokuvuma nokubhekana nalezi zimo, ethi, 'Izimo eziningi zangemva kokubeletha zibangela ukuhlupheka okukhulu ekuphileni kwansuku zonke kwabesifazane isikhathi eside ngemva kokuzalwa, kokubili ngokomzwelo nangokomzimba, kodwa nokho ngokuvamile abaziswa, abaqashelwa kahle, futhi.'

Lolu cwaningo lukhuthaza ukushintsha kwepharadigm ekunakekelweni kwangemva kokubeletha, lunxusa abahlinzeki bezempilo ukuthi basebenzise indlela yokunaka kakhulu nenwetshiwe. Ngokuqaphela umthelela ongapheli wokubeletha empilweni yabesifazane, umphakathi ungasebenzela ekuqinisekiseni ukuthi abesifazane abagcini nje ngokusinda lapho bebeletha kodwa futhi bajabulela inhlalakahle eqhubekayo kanye nezinga lempilo elithuthukisiwe kukho konke ukuphila kwabo.