Mzambayu Wapatulira Ntchito Yake Yothandiza Akazi M'zipululu Zosamalira Amayi

Zamkati

• Momwe Ndinayambira Kutumikira Magulu Opanda Anthu
• Kuzindikira Kukula kwa Vutoli
• Momwe Magulu Oyang'anira Zaumoyo Akuthandizira Amayi Ku DC
• Chifukwa Chake Kusiyana kwa Zaumoyo wa Amayi Kulipo, ndi Zoyenera Kuchita Pamatendawa
• Onaninso za

Mzamba amathamanga m'magazi mwanga. Agogo anga aakazi ndi agogo a agogo anga onse anali azamba pamene Akuda sanali olandiridwa ku zipatala za azungu. Osati zokhazo, komanso mtengo wokwanira woberekera unali wochuluka kuposa momwe mabanja ambiri akanatha, chifukwa chake anthu anali osowa chithandizo chawo.

Zaka makumi angapo zapita, komabe kusiyana mitundu m'chisamaliro cha amayi akupitirirabe - ndipo ndine wolemekezeka kutsatira mapazi a makolo anga ndikuchita mbali yanga kuthetsa kusiyana kumeneku.

Momwe Ndinayambira Kutumikira Magulu Opanda Anthu

Ndinayamba ntchito yanga yazaumoyo wa amayi monga namwino wosamalira amayi ndikuyang'ana kwambiri za ntchito ndi kubereka. Ndidachita izi kwa zaka zambiri ndisanakhale wothandizira wazachipatala. Komabe, mpaka 2002, pomwe ndidasankha kukhala mzamba. Cholinga changa nthawi zonse chinali kuthandiza amayi omwe akusowa thandizo, ndipo unamwino ndiwo unathandiza kwambiri. (ICYDK, mzamba ali ndi ziphaso zophunzitsidwa ndi ukadaulo waluso komanso luso lotha kuthandiza azimayi kuti akhale ndi pakati, kubereka koyenera, komanso kuchira bwino atabereka zipatala, zipatala, komanso nyumba za anthu.)

Nditalandira satifiketi yanga, ndinayamba kufunafuna ntchito. Mu 2001, ndidalandira mwayi wogwira ntchito ya mzamba ku Mason General Hospital ku Shelton, mzinda wakumidzi kwambiri ku Mason County m'boma la Washington. Anthu akumaloko panthawiyo anali pafupifupi anthu 8,500. Ndikadayamba kugwira ntchitoyi, ndikadakhala ndikutumikira chigawo chonsechi, limodzi ndi ob-gyn imodzi yokha.

Pomwe ndidakhazikika pantchito yatsopano, Ndinazindikira msanga kuti ndi azimayi angati omwe amafunikira chisamaliro - kaya ndikuphunzira kuthana ndi mavuto omwe analipo kale, maphunziro oyambira pobereka ndi kuyamwitsa, komanso chithandizo chamankhwala amisala. Nthawi zonse, ndimayesetsa kupatsa amayi oyembekezera zinthu zambiri momwe ndingathere. Simungakhale otsimikiza ngati odwala azikayendera mayeso awo asanabadwe chifukwa chofika kuchipatala. Ndinafunika kupanga zida zoberekera, zomwe zimakhala ndi zotetezera zaukhondo (i.e.mapadi a gauze, mauna, kulumikizira chingwe cha umbilical, ndi zina zambiri) kuti mwina amayi akakamizidwa kukapereka kunyumba chifukwa cha, kunena, kutalika kwa chipatala kapena kusowa kwa inshuwaransi. Ndikukumbukira nthawi ina, panali chigumukire chomwe chinapangitsa kuti amayi ambiri omwe adzakhalepo atagwa chipale chofewa ikafika nthawi yobereka - ndipo zida zoberekerazo zidabwera bwino. (Zogwirizana: Zothandizira Kugwiritsa Ntchito Mental Health kwa Black Womxn)

Nthawi zambiri, chipinda chogwiritsira ntchito chimakumana ndi kuchedwa kwakukulu. Chifukwa chake, ngati odwala amafunikira thandizo ladzidzidzi, nthawi zambiri amakakamizidwa kudikirira kwa nthawi yayitali, zomwe zimaika miyoyo yawo pachiwopsezo - ndipo ngati kuchuluka kwadzidzidzi sikungathe kusamalira odwala pachipatala, timayenera kupempha helikopita kuchokera kukulira zipatala ngakhale kutali. Poganizira za malo athu, nthawi zambiri tinkadikirira kupitirira theka la ola kuti tipeze thandizo, zomwe nthawi zina zinkakhala mochedwa kwambiri.

Ngakhale kuti nthawi zina zimakhala zomvetsa chisoni, ntchito yanga inandilola kuti ndidziwe bwino odwala anga ndi zopinga zomwe zimawalepheretsa kupeza chithandizo chamankhwala chomwe amafunikira komanso choyenera. Ndinadziwa kuti apa ndi pamene ndinayenera kukhala. Pazaka zisanu ndi chimodzi zomwe ndakhala ku Shelton, ndidayamba moto kuti ndikhale wopambana pa ntchitoyi ndikuyembekeza kuthandiza amayi ambiri momwe ndingathere.

Kuzindikira Kukula kwa Vutoli

Nditakhala ku Shelton, ndinkangoyendayenda kudera lonselo ndikupereka chithandizo cha azamba kumadera omwe sanalandire kwenikweni. Mu 2015, ndidabwereranso ku D.C.-metropolitan, komwe ndimachokera koyambirira. Ndinayambanso ntchito ina ya uzamba, ndipo pasanathe zaka ziwiri ndikugwira ntchitoyi, D.C. anayamba kukumana ndi kusintha kwakukulu pakupeza chithandizo chaumoyo wa amayi, makamaka ku Ward 7 ndi 8, komwe kuli anthu 161,186, malinga ndi D.C. Health Matters.

Chiyambi chaching'ono: DC nthawi zambiri imadziwika kuti ndi amodzi mwamalo oopsa kwambiri kwa azimayi akuda kubadwira ku US M'malo mwake, zakhala zikuwerengedwa kuti ndi zoyipa kwambiri, kapena zoyandikira kwambiri, zakufa kwa amayi poyerekeza ndi mayiko ena, "Malinga ndi lipoti la Januware 2018 lochokera ku Komiti Yowona Zachitetezo ndi Chitetezo cha Anthu. Ndipo chaka chotsatira, deta yochokera ku United Health Foundation idawonetsanso izi: Mu 2019, chiwerengero cha amayi oyembekezera ku DC chinali kufa 36.5 pa 100,000 obadwa amoyo (kuyerekeza ndi chiwerengero cha 29.6). Ndipo ziwerengerozi zinali zapamwamba kwambiri kwa amayi akuda omwe amafa ndi 71 pa obadwa amoyo 100,000 ku likulu (vs. 63.8 kudziko lonse). (Zogwirizana: Mwana wamkazi wa Carol Atangokhazikitsa Njira Yabwino Yothandizira Matenda Aakulu Akazi)

Manambalawa ndi ovuta kugaya, koma kuwawona akusewera, kwenikweni, kunali kovuta kwambiri. Mkhalidwe wa chisamaliro cha amayi apakati mu likulu la dziko lathu udasinthiratu mu 2017 pomwe United Medical Center, chimodzi mwazipatala zazikulu m'derali, idatseka chipinda chake chodwalitsira azimayi. Kwa zaka makumi ambiri, chipatalachi chakhala chikupereka chithandizo chamankhwala kwa azimayi omwe amakhala osauka komanso osowa kwenikweni a Wadi 7 ndi 8. Kutsatira izi, Chipatala cha Providence, chipatala china chachikulu mderali, nawonso chatsekera chipinda chawo cha amayi kuti asunge ndalama, ndikupanga malowa a DC chipululu chosamalira amayi. Amayi ambiri oyembekezera m'makona osauka kwambiri a mzindawo adasiyidwa opanda chithandizo chamankhwala.

Usiku womwewo, amayi oyembekezerawa adakakamizidwa kuyenda maulendo ataliatali (theka la ola kapena kupitilira apo) - omwe atha kukhala moyo kapena kufa pangozi - kuti alandire chithandizo chobereka, chobereka, komanso chobereka. Popeza kuti anthu a m’derali kaŵirikaŵiri amakhala ndi vuto la zachuma, kuyenda kumakhala chopinga chachikulu kwa amayi ameneŵa. Ambiri sangakwanitse kukhala ndi ana osowa omwe angathe kukhala nawo, zomwe zimawalepheretsa kupita kukaonana ndi dokotala. Azimayiwa amakhalanso ndi ndondomeko zokhwima (chifukwa, kunena, kugwira ntchito zingapo) zomwe zimapangitsa kuti maola angapo apite ku msonkhano kukhala kovuta kwambiri. Chifukwa chake zimadalira kuti kapena kudumpha zovuta zonse izi pofufuza asanabadwe kuli koyenera - ndipo nthawi zambiri, mgwirizano ndi ayi. Azimayiwa amafunikira thandizo, koma kuti tiwathandize, timafunikira luso.

Munthawi imeneyi, ndidayamba kugwira ntchito ngati director of Midwifery Services ku University of Maryland. Kumeneko, tinapemphedwa ndi Better Starts for All, pulogalamu yapansi pantchito, yazaumoyo wa amayi ndi ntchito zothandizira kubweretsa chithandizo, maphunziro, ndi chisamaliro kwa amayi ndi amayi omwe adzakhalepo. Kuchita nawo zinthu sizinali zanzeru.

Momwe Magulu Oyang'anira Zaumoyo Akuthandizira Amayi Ku DC

Ponena za amayi omwe ali m'madera omwe alibe chitetezo monga Ward 7 ndi 8, pali maganizo akuti "Ngati sindinasweka, sikufunika kukonzedwa," kapena "Ngati ndipulumuka, ndiye kuti sindingathe." ndiyenera kupita kukapeza thandizo. " Njira zoganizira izi zimathetsa lingaliro lakuika patsogolo chisamaliro chodzitchinjiriza, chomwe chitha kudzetsa mavuto azaumoyo kwakanthawi. Izi ndizowona makamaka pakubereka. Ambiri mwa azimayiwa samawona kuti kutenga pakati ndi thanzi. Amaganiza kuti "chifukwa chiyani ndingafunikire kuwonana ndi dokotala pokhapokha ngati pali vuto lalikulu?" Chifukwa chake, chithandizo chamankhwala choyenera cha amayi oyembekezera chimayikidwa kumbuyo. (Zokhudzana: Zomwe Zili Ngati Kukhala Ndi Pakati Pa Mliri)

Inde, ena mwa amayiwa akhoza kupita kukayezetsa asanabadwe kamodzi kuti atsimikizire kuti ali ndi pakati ndikuwona kugunda kwa mtima. Koma ngati ali ndi mwana kale, ndipo zinthu zikuyenda bwino, mwina sangaone kufunikira kokaonana ndi dokotala kachiwirinso. Kenako, azimayiwa amabwerera kumadera awo kukawuza azimayi ena kuti mimba yawo inali bwino popanda kupita kukayezetsa pafupipafupi, zomwe zimalepheretsa amayi ambiri kupeza chisamaliro chomwe amafunikira. (Zogwirizana: Njira 11 Akazi Akuda Amatha Kuteteza Thanzi Lawo Pamaganizidwe Ndi Nthawi Yobereka)

Apa ndipamene magawo azaumoyo a m'manja angapange kusiyana kwakukulu. Mwachitsanzo, basi yathu imayendetsa kupita kumaderawa ndipo imabweretsa chisamaliro chofunikira cha amayi kwa odwala. Tili ndi azamba awiri, kuphatikiza inemwini, zipinda zoyeserera momwe timapereka mayeso a amayi asanabadwe ndi maphunziro, kuyezetsa mimba, maphunziro osamalira mimba, kuwombera chimfine, kufunsa zakulera, mayeso a m'mawere, chisamaliro cha makanda, maphunziro aumoyo wa amayi ndi ana, ndi ntchito zothandiza anthu . Nthawi zambiri timayimitsa kunja kwa tchalitchi komanso malo ampingo sabata yonseyi ndikuthandizira aliyense amene angafune.

Ngakhale timavomereza inshuwaransi, pulogalamu yathuyi imathandizidwanso ndi ndalama, zomwe zikutanthauza kuti azimayi amatha kulandira chithandizo chaulere kapena kuchotsera. Ngati pali ntchito zomwe sitingathe kupereka, timaperekanso chisamaliro chothandizira. Mwachitsanzo, titha kutumiza odwala athu kwa opereka chithandizo omwe angathe kupereka IUD kapena implants yolerera pamtengo wotsika. Zomwezo zimayendera mayeso ozama am'mabele (taganizirani: mammograms). Ngati tipeza china chake chosakhazikika pamayeso athu amthupi, timathandiza odwala kukonza mammogram motsika mtengo popanda mtengo kutengera ziyeneretso zawo ndi inshuwaransi yawo, kapena kusowa kwake. Timathandizanso azimayi omwe ali ndi matenda omwe alipo kale monga matenda oopsa komanso matenda ashuga kuti alumikizane ndi othandizira azaumoyo omwe angawathandize kuwongolera thanzi lawo. (Zogwirizana: Nazi Momwe Mungapewere Njira Yolerera Pakhomo Panu)

Chofunikira kwambiri, komabe, ndikuti basi imapereka malo apamtima pomwe timatha kulumikizana ndi odwala athu. Sikuti amangowapatsa mayeso ndi kuwatumiza kuti azipita. Tingawafunse ngati akufunikira thandizo lofunsira inshuwalansi, ngati ali ndi chakudya, kapena ngati akuona kuti ali panyumba. Timakhala gawo la anthu ammudzi ndipo timatha kukhazikitsa ubale wokhazikika pakukhulupirirana. Chikhulupiliro chimenecho chimagwira ntchito yayikulu pakumanga ubale ndi odwala ndikuwapatsa chisamaliro chokhazikika, chabwino. (Zokhudzana: Chifukwa Chake US Imafunikira Madokotala Ambiri Aakazi Akuda)

Kupyolera mu gawo lathu lothandizira zaumoyo m'manja, tatha kuchotsa zopinga zambiri kwa amayiwa, chachikulu kwambiri ndi kupeza.

Ndi COVID komanso malangizo okhudzana ndi chikhalidwe cha anthu, odwala tsopano akuyenera kusungitsa nthawi yokumana nawo kale, kudzera pa foni kapena imelo. Koma ngati odwala ena sangathe kubwera ku chipatala, timatha kupereka nsanja yomwe imatilola kuti tiziwasamalira kunyumba. Tsopano tikupereka mndandanda wamagulu amoyo, pa intaneti ndi amayi ena oyembekezera mderali kuti apereke chidziwitso ndi chitsogozo chomwe amayiwa amafunikira. Nkhani zokambitsirana ndi monga chisamaliro cha usana, kadyedwe kopatsa thanzi ndi zizolowezi za moyo, zotsatira za kupsyinjika pa nthawi yoyembekezera, kukonzekera kubereka, chisamaliro chapambuyo pobereka, ndi chisamaliro chonse cha mwana wanu.

Chifukwa Chake Kusiyana kwa Zaumoyo wa Amayi Kulipo, ndi Zoyenera Kuchita Pamatendawa

Kusiyana kwakukulu kwamitundu ndi chikhalidwe chachuma pazaumoyo wa amayi kunayamba kale. M'madera a BIPOC, pamakhala kukayikirana kwakukulu pankhani yazaumoyo chifukwa chakupwetekedwa kwazaka mazana ambiri komwe tidakumana nako kale ngakhale nthawi ya agogo anga aakazi. (Ganizirani: Henrietta Akusowa ndi kuyesera kwa Tuskegee syphilis.) Tikuwona zotsatira za zoopsazi munthawi yeniyeni ndikukaikira kuzungulira katemera wa COVID-19.

Madera awa ali ndi nthawi yovuta kudalira katemera wa chitetezo chifukwa cha mbiri yazachipatala yosakhala yowonekera ndikuchita nawo. Kukayikira uku ndi zotsatira za tsankho, nkhanza, ndi kunyalanyazidwa komwe adakumana nako m'manja mwa dongosolo lomwe tsopano likulonjeza kuchita zoyenera mwa iwo.

Monga anthu ammudzi, tiyenera kuyamba kukambirana chifukwa chake chisamaliro cha usana ndi chofunikira kwambiri. Ana a amayi omwe samalandira chithandizo asanabadwe amakhala ndi mwayi wambiri wobadwa ndi kubadwa kocheperako ndipo amatha kufa nthawi zisanu kuposa omwe amabadwa kwa amayi omwe amasamalidwa, malinga ndi US Department of Human Health and Services . Amayi enieniwo alibe chisamaliro chofunikira kuphatikiza kuwunika mavuto azaumoyo kudzera pakuwunika, kuwunika, kuyesa magazi ndi mkodzo, komanso ma ultrasound. Akusowa mwayi wofunikira wokambirana zina zomwe zingachitike monga kuzunzidwa mwakuthupi, kunyozedwa, kuyezetsa magazi, komanso kumwa mowa, fodya, komanso kugwiritsa ntchito mankhwala osokoneza bongo mosayenera. Kotero ichi sichinthu choyenera kutengedwa mopepuka.

Momwemonso, ziyenera kukhala zodziwika bwino kuti muyenera kukonzekera thupi lanu musanatenge pakati. Sikuti mumangoyambitsa mavitamini anu asanabadwe komanso kumwa folic acid. Muyenera kukhala athanzi musanatenge mtolo wonyamula mwana. Kodi muli ndi BMI yabwino? Kodi ma hemoglobin A1C anu ali bwino? Kodi kuthamanga kwa magazi kuli bwanji? Kodi mukudziwa zomwe zidalipo kale? Awa ndi mafunso omwe mayi aliyense ayenera kudzifunsa asanasankhe kutenga pakati. Kukambirana moona mtima ndikofunikira kwambiri pankhani ya azimayi omwe ali ndi pakati komanso yobereka bwino. (Zogwirizana: Chilichonse Chimene Muyenera Kuchita M'chaka Musanatenge Mimba)

Ndakhala ndikuyesera kukonzekera ndikuphunzitsa amayi za pamwambapa moyo wanga wonse wachikulire ndipo ndipitiliza kuchita izi bola ndingathe. Koma izi sizinthu zomwe munthu mmodzi kapena bungwe limodzi lingathetse. Dongosololi liyenera kusintha ndipo ntchito yomwe imafunikira kulowa nthawi zambiri imamva kuti ndi yosatheka. Ngakhale m'masiku ovuta kwambiri, ndimangoyesa kukumbukira kuti zomwe zingawoneke ngati gawo laling'ono - mwachitsanzo, kufunsa amayi asanabadwe ndi mayi m'modzi - zitha kukhala zodumpha kuti akhale ndi thanzi labwino kwa azimayi onse.

Onaninso za