Imibuzo eyi-9 yokubuza ugqirha ukuba umnyama, ungowomthonyama, okanye umntu onemibala

Imfundo yezeMpilo

Ukuya kugqirha Unokuba sisisongelo-kubungqina nakubani na-ngakumbi ukuba ubusoloko ubeka okwexeshana okanye unenkxalabo yezempilo oxhalabileyo ngayo. Ukuba umnyama, uMthonyama, okanye umntu webala (BIPOC), unokuziva unexhala elongezelelekileyo lokuba ucalucalulo ngokobuhlanga lunokugcina inkxalabo yakho ukuba iviwe. Kukho ukwahluka okhoyo ngokobuhlanga nangokobuhlanga kukhathalelo lwempilo-ngezizathu ezahlukeneyo, iziphumo zempilo zimbi kakhulu kunezo zezigulana ezimhlophe.

Wonke umntu ozibandakanya neqela lokhathalelo lwempilo, nokuba ungubani na, kufuneka azive ekwi-arhente kwaye athathe inxaxheba ngokulinganayo kwiincoko nakwingxoxo malunga nempilo yabo, utsho. UMelissa Simon , MD, umlawuli weZiko lezeMpilo yoLuntu kunye noNyango-iZiko leNguqu kwezeMpilo kwiYunivesithi yaseNyakatho-ntshona yeFeinberg School of Medicine. Kubalulekile ukwamkela ukuba i-BIPOC inokungathembeki ngakumbi ngezizathu ezifanelekileyo emva kokufumana ukuphathwa gadalala kumashumi eminyaka kwinkqubo yokhathalelo lwempilo.

Unxibelelwano oluvulekileyo lunokunceda ukwakha ukuthembana kwakhona, kwaye kuqala kwizigulana eziziva zinamandla okubuza imibuzo-kwaye zifumane iimpendulo ezicingisisiweyo-malunga nempilo yazo. Ubudlelwane obomeleleyo nomboneleli wokhathalelo olusisiseko sisiseko sokuqonda imiba yezempilo encinci kunye nokunciphisa uloyiko.

Imibuzo eyi-9 yokubuza ugqirha ukuba umnyama, ungowomthonyama, okanye umntu onemibala

Nangona kukho ezahlukeneyo imibuzo ngokubanzi Kubalulekile ukuba zonke izigulana zizigubungele nogqirha wazo, kukho izinto ezongezelelekileyo eziMnyama, ezomthonyama, kwaye abantu bebala kufuneka bacele ukuqinisekisa ukuba iinkxalabo zabo azikhathalelwa okanye zigudulwe bucala.

1. Athini amalungelo am njengesigulana?

Kukho amalungelo abaguli amiselweyo okuba iklinikhi nganye, isibhedlele, kunye nequmrhu elinikezela ukhathalelo lwempilo linayo, ihlala ikwimo yencwadana, utshilo uGqirha Simon. Abangabancinci bafumana ukhathalelo oluphezulu kunabantu abaMnyama, abaMthonyama, abantu bebala-nokuba iimeko zokufikelela ezinje ngobume beinshurensi kunye nengeniso zilawulwa.

Ukucela olo xwebhu kunokukunceda uqaphele ukuba ufumana unyango olungafaniyo. Ukuba uziva ngathi njengesigulana okanye umkhathaleli, iimfuno zakho azifezekiswa okanye ziviwe, ungatsho ngokuthe ngqo kumboneleli wakho wezempilo. Okanye, inokuba sisizathu esihle sokukhetha omnye ugqirha-nokuba kukwelo ziko okanye kwenye indawo.

2. Kutheni ufuna ukuluqhuba olo vavanyo?

Ababoneleli ngezempilo bafundiswa ukuba beze noluhlu lokwahluka kwesifo okanye izizathu ezinokubangela iimpawu zakho, uGqirha Simon uyacacisa. Yonke into ekolu luhlu lweemeko ezinokubakho ineeseti zeenkqubo, ezinje ngegazi okanye uvavanyo lwe-imaging ukuqinisekisa isifo. Ababoneleli ngezempilo abasoloko behamba lonke uluhlu-kwaye kutheni be-odola iimvavanyo ezithile-rhoqo kuba banemizuzu eli-15 ukuya kwengama-30 kuphela eyabelwe isiguli ngasinye. Okanye, bayasokola nobunzima bokuchaza ezi zinto zinokwenzeka.

Ngenxa yesiseko sokukhetha kunye nobuhlanga babanikezeli abathile bezempilo kunye neenkqubo zezempilo kunye nokungathembeki kwezinye izigulana (ikakhulu ngenxa yamashumi eminyaka yokuphathwa gadalala kwimbali ngenkqubo yokhathalelo lwempilo kunye namava ocalucalulo kunye nocalucalulo), abaguli abanemibala kufuneka bazive benamandla kwaye baziva ukubuza le mibuzo, utshilo uGqirha Simon. Ukubuza le mibuzo kunokunceda abaguli ukuba bazive ngcono ukuba bayeviwa ngabanikezeli bonyango kwaye le mibuzo inceda isigulana ukuba sikuqonde ngcono oko banako nokuba kutheni.

3. Ziza kusixelela ntoni iziphumo zolu vavanyo?

Kukho amaxesha amaninzi xa abaguli befuna isikhokelo kwaye bengayiqondi ingozi, izibonelelo, kunye nobunzima beenkqubo ezithile, ke ukwenza konke oku kunye nomboneleli kunokubashiya beziva beqinisekile, uyacacisa. Soma Mandal , MD, umfundi kwi-Summit Medical Group eBerkeley Heights, eNew Jersey. Awulindelwanga ukuba wazi yonke into ngokwezibalo kunye nezibalo. Umboneleli wakho kufuneka abe sisibonelelo sakho kunye nommeli wakho.

Ugqirha Simon ucebisa ukuba xa ugqirha esithi Yilento ndicinga ukuba iyaqhubeka, impendulo evela kuwe njengesigulana kufanele ukuba Ungandixelela enye into ocinga ukuba ingaqhubeka? Ukuba uvavanyo luphuma lubi kwaye usakhathazekile malunga neempawu ohlangabezana nazo, kubaluleke kakhulu ukuba ugqithe kwezinye iimeko ezinokubangela iimpawu zakho, ngokukaGqirha Simon.

4. Uyenze kangaphi le nkqubo?

Ukuthatha inkqubo kunokuba noxinzelelo, kodwa ukwazi amava ogqirha ngayo kunokunceda ubeke ingqondo yakho ngokukhululeka. Kwindlela yakhe yokuziqhelanisa, uGqirha Mandal uthi ubona amanenekazi amaninzi anemibala ekusebenzeni kwakhe kwaye ubacebisa malunga nento ekufuneka ibuzwe yingcali ngaphambi kokuba kwenziwe iinkqubo ezithile kunye notyando. Kwaye kunokuba lula njengokuba, Kukangaphi ukwenzile oku?

Lo ngomnye wemibuzo emininzi abasetyhini abanemibala abahlali bengayibuzi kuba beziva ngathi banokufika njengabanyanzelekileyo okanye abanomdla, utshilo uGqirha Mandal. Kodwa le yinto ebalulekileyo ukuba wonke umntu ayibuze.

Ukuba ingcali yakho ngumntu owenze inkqubo ethile ngaphezulu kwamawaka e-1,000, uyazi ukuba bazithembile kwaye bayonwaba xa beyenza.

5. Ngaba ikhona into endiyidingayo yokuhluzwa?

Izigulana ezimhlophe kunokwenzeka ukuba zifumane ukuhlolwa kokuthintela kunye neengcebiso malunga nokugcina indlela yokuphila esempilweni ngokutya nangokuzilolonga. Umzekelo, amaMelika aseMelika / ama-Alaskans aboMdalo mancinci kunabamhlophe ukuba bafumane ukuhlolwa komhlaza ongalunganga. Ngaphezulu, amanye amaqela amancinci anomngcipheko ophezulu weemeko ezithile ezingapheliyo, ezinje ngesifo seswekile. Amanani phakathi kwabase-Afrika baseMelika, iLatinx, kunye namaMelika aseMelika ngamaxesha angama-2.8 aphezulu kunabantu abaqhelekileyo. Ukufikelela kukhathalelo lwempilo nako kunokusikelwa umda ngokungalinganiyo kunikezwe Ipesenti ephezulu yabantu abangaqinisekiswanga kula maqela.

Kukho ubungqina bokuba iimveliso eziyingozi ezinje ngokutya okungenampilo, utywala, kunye necuba zithengiswa ngokungalinganiyo kubantu abaMnyama, abaMthonyama, abantu bebala. Ukusetyenziswa kakhulu kunokukhokelela kwiingxaki zempilo kubandakanya isifo sentliziyo, iingxaki zesibindi, kunye nomhlaza wemiphunga. Ezi zinto zidibeneyo zinokuthetha ukuba ufuna iimviwo ezongezelelweyo okanye iimvavanyo kumzimba wakho wonyaka ukubamba nayiphi na imiba kwangethuba, xa inyangeka kakhulu. Ukuba awunayo i-inshurensi yezempilo, unokufumana iiklinikhi zasimahla kwindawo yakho Apha .

6. Ndingawunciphisa njani umngcipheko we-COVID-19?

ICoronavirus ichaphazele ngokungafaniyo abaMnyama, abaMthonyama, abantu bebala. Amaqela amancinci ubuhlanga kunye nohlanga asemngciphekweni omkhulu wokugula kunye nokufa kwinoveli coronavirus, ngokwe Amaziko oLawulo lweZifo noThintelo (I-CDC). Izinto ezahlukeneyo zinegalelo kulo mngcipheko-ukusuka kucalucalulo nokungathembeki kwinkqubo yokhathalelo lwempilo. Incoko emnandi kunye nomboneleli wakho wezempilo inokunceda ekunciphiseni olo loyiko kunye nokunciphisa amathuba osulelo.

Baninzi abantu abangafuni kuvavanywa, ke ngokubuza imibuzo kunye nokuqonda ukuba kutheni olu vavanyo lusenziwa, kutheni iimaski zibalulekile, ukuba iyosulela njani intsholongwane, njl., Unokuqonda ukuba iyenziwa Ukuze akunike olona nyango lusemagqabini, utshilo uGqirha Simon.

7. Ungacebisa uluvo lwesibini?

Lo ngumbuzo onokuwubuyisela kumboneleli wakho oyintloko emva kokufumanisa isifo kwingcali. Uluvo lwesibini lunokunceda ekuqinisekiseni into enokuthethwa ngugqirha wokuqala kwaye kukuzisele uxolo lwengqondo olongezelelekileyo lokuba isicwangciso sokhathalelo sesona senzo silungileyo. Ukuba ngaba yinkqubo ende okanye ukuxilongwa kuyingozi, njengokutshintshwa ngokudibeneyo, okanye imeko engoyikisi ubomi enokuthi ifune utyando, ndihlala ndikhuthaza ukufumana uluvo lwesibini ukuxhasa isincomo sokuqala, uGqr. Mandal utsho.

Iinkqubo ezithile zenziwa ngaphezulu kwabaMnyama, iiMveli, abantu bebala. Omnye umzekelo zii-hysterectomies ezingeyomfuneko, ezinokuza nomngcipheko wokungasebenzi kakuhle komchamo njengoko usiya ukhula kwaye ngokweenkcukacha-manani kwenziwe ngaphezulu kwabafazi abaMnyama . Amacandelo eKesariya nawo enziwe ngaphezulu kwabafazi abaMnyama naxa bengakhange babonakalise ukuba bayimfuneko kwezonyango, ngokophando luka-2017 .

Kwezinye iimeko, ukhathalelo alukho mgangathweni. Iinkqubo ezinje ukutshintshwa ngokudibeneyo Ngokwenyani zenziwa kwizigulana eziMnyama ngaphantsi kwezigulana ezimhlophe, kwaye izigulana eziMnyama nazo azifane zifumane catheterization yentliziyo nangona amazinga esifo sentliziyo ephezulu. Abantu baseAsia baseMelika abanamathuba amancinci kunabamhlophe ekufumaneni ukhathalelo lwezibhedlele olucetyiswayo lwenyumoniya. Kwezi meko, ndizakuhlala phantsi nezigulana zam ndizifundise ukuba kutheni (inkqubo ethile) isenokungafuneki kwaye zeziphi ezinye iinkqubo ezinokubakho ezingakhange zinikwe bona, utshilo uGqirha Mandal.

8. Ngaba singalucwangcisa olunye utyelelo?

Ukuba awuvumelani nento oyivayo kwaye awunalo ixesha elaneleyo kutyelelo lwakho, kuya kufuneka ucele ukuseta elinye idinga ukuze uqhubeke nencoko.

Izigulana ezimhlophe zihlala zibuza eminye imibuzo kwaye zicele ulwazi olongezelelekileyo, ngokukaGqirha Simon, ngelixa izigulana ze-BIPOC zihlala ziziva zingaviwa okanye zingamanyelwa kuseto lokhathalelo lwempilo. Imvelaphi yezentlalo noqoqosho ikwadlala indima enkulu malunga nokuba umntu ubuza malini kubanikezeli babo. Kubalulekile ukuba konke abaguli bacele olunye utyelelo ukuba abaziva ngathi kukho isisombululo sokwenene kwinto abaziva ngayo, utshilo.

Unokucela ugqirha ukuba akukhombise kulwazi oluthe kratya okanye izixhobo ukuze uzihlole ngokwakho ukuze ufunde okungakumbi malunga nemeko onokubakho kuyo ngaphambi kokuba ubuye uzokuxoxa ngemibuzo kunye nezinto ezikuxhalabisayo.

9. Zeziphi ezinye izixhobo ezinesigulana ezikhoyo kum?

Uninzi lwamaziko ezempilo oluntu, iiklinikhi kunye nezibhedlele zinesebe leenkonzo zezigulana apho unokuthetha khona kwaye uzame ukusombulula iinkxalabo ezithile, okanye ufune uluvo lwesibini komnye umboneleli. Ezinye izibhedlele zinamaziko okufunda ezempilo, afana namathala eencwadi, apho abasebenzi banokukunceda ufumane ulwazi malunga nenkxalabo yakho okanye isifo sakho kunye nokukunceda ukuba uthethe ngcono ngeengxaki zakho nomboneleli wakho wezempilo.

Ukongeza, zonke izibhedlele, amaziko ezempilo, kunye neeklinikhi zinohlobo oluthile lwesebe lenkxaso mali okanye inkonzo ekhoyo. I-BIPOC inokufikelela okuncinci kukhathalelo lwempilo kunabamhlophe-amaxabiso e-inshurensi okanye i-inshurensi engaphantsi iphezulu. Ukuba ufumana ibhilikhwe esibhedlele, ukhathazekile ukuba i-inshurensi yakho ayizukugubungela yonke into oyifunayo, okanye awunayo i-inshurensi kwaye ukhathazekile malunga nento eza kuxabisa malini, uhlala uthetha nesebe leenkonzo zezimali malunga nalo. Ukuba awunayo i-inshurensi, ungazama ukuthetha-thethana ngexabiso elisezantsi okanye ubone ukuba ngaba zikhona ezinye izixhobo ezikhoyo ezinokuthi zisetyenziswe kwityala lakho leenkonzo ozifumanayo.

Umgca wezantsi

Incoko phakathi komboneleli wezempilo kunye nesigulana ibalulekile ekwakheni ukuthembana nokuzithemba ngokwembono yesigulana ukuba umboneleli wabo uyamamela, uyakhathala, kwaye unomdla wokwenene.

Ekupheleni kosuku, uyingcali yakho kuwe, Ugqirha Simon uthi. Kubalulekile ukuba wazi ukuba unelungelo lokumanyelwa kwaye iimvakalelo zakho zisemthethweni.