{"id":608,"date":"2022-04-28T15:06:00","date_gmt":"2022-04-28T15:06:00","guid":{"rendered":"https:\/\/www.q-bital.com\/?p=608"},"modified":"2023-10-20T11:38:11","modified_gmt":"2023-10-20T11:38:11","slug":"the-debilitating-effects-of-a-pandemic-on-womens-health","status":"publish","type":"post","link":"https:\/\/www.q-bital.com\/bs_ba\/the-debilitating-effects-of-a-pandemic-on-womens-health\/","title":{"rendered":"Oslabljuju\u0107i efekti pandemije na zdravlje \u017eena"},"content":{"rendered":"

Pauziranje elektivne nege na po\u010detku pandemije Covid-19 krajem marta 2020. rezultiralo je najve\u0107im zaostatkom u istoriji NHS-a, sa 6,1 milion<\/a> i dalje na listama \u010dekanja NHS-a do marta 2022., uklju\u010duju\u0107i 24.000 koji \u010dekaju vi\u0161e od dvije godine. Omicron varijanta i \u010dest nedostatak osoblja tokom zimskih mjeseci malo su pomogli ovoj situaciji, a Dr\u017eavni ured za reviziju (NAO) predvi\u0111a da \u0107e liste \u010dekanja nastaviti rasti na izme\u0111u 7 i 12 miliona do mart 2025<\/a>.<\/p>\n

Dok se NHS fondovi i zdravstveni odbori \u0161irom zemlje bore da rije\u0161e zaostatke u elektivnoj zdravstvenoj za\u0161titi, postalo je jasno da je jedna specijalnost posebno pogo\u0111ena.<\/p>\n

Zdravlje \u017eena bilo je u pozadini tokom pauze elektivne nege, a sa preraspore\u0111ivanjem osoblja na kriti\u010dnije specijalizacije, ionako opse\u017ene liste \u010dekanja su dodatno dodane. Tokom cijele pandemije, klju\u010dni fokus odjela za aku\u0161erstvo i ginekologiju (O&G) bio je pru\u017eanje sigurnih i hitnih porodiljskih usluga, davanje prioriteta dijagnostici i lije\u010denju ginekolo\u0161kih karcinoma i pru\u017eanje akutnih usluga koje se odnose na probleme koji se javljaju u ranoj trudno\u0107i. Zaista, studija koju je sproveo Kraljevski koled\u017e opstetri\u010dara i ginekologa (RCOG) pokazala je da oko 53%<\/a> broj pru\u017ealaca zdravstvenih usluga premje\u0161tenih konsultanata i specijalista stru\u010dnih saradnika (SAS) za podr\u0161ku aku\u0161erstvu, sa 50%<\/a> ginekologa koji prelaze u hitnu aku\u0161ersku pomo\u0107. To je zna\u010dilo da su bitni elementi, kao \u0161to su akutni hirur\u0161ki zahvati, njega nakon trudno\u0107e i usluge raka kod \u017eena, postali pod prioritetom.<\/p>\n

Od po\u010detka pandemije Covid-19, liste \u010dekanja za ginekologiju nastavile su dramati\u010dno rasti, sa ukupnim brojem 570,000<\/a> \u017eene na listama \u010dekanja \u0161irom Ujedinjenog Kraljevstva do decembra 2021. \u010cekanja su porasla 60%<\/a>, o\u0161triji od bilo kojeg drugog specijaliteta, sa vi\u0161e od 1.300 samo u Engleskoj koje je ostalo na listama \u010dekanja vi\u0161e od dvije godine, me\u0111utim LCP<\/a> sugerira da ovo ne odra\u017eava stvarnu veli\u010dinu problema koji je u pitanju. Pored iscrpljuju\u0107ih efekata koje takvi problemi mogu imati na svakodnevni \u017eivot, stanja kao \u0161to su endometrioza i fibroidi mogu dovesti do problema sa plodno\u0161\u0107u ako se ne le\u010de i sa mnogim \u010dekanjem na operaciju pre po\u010detka le\u010denja i starosnom granicom za IVF na NHS, mnogi \u017eene su ostavljene u razornim situacijama. U anketi koju je sproveo RCOG<\/a> od 837 \u017eena, 80% \u017eena je izjavilo da su patile od uticaja na njihovo mentalno zdravlje, pri \u010demu je 61% priznala da je ose\u0107ala o\u010daj zbog dugog \u010dekanja, a jo\u0161 jedan 63% se ose\u0107ao ignorisano.<\/p>\n

Pandemija je istakla stvarne razmere regionalnih zdravstvenih nejednakosti \u0161irom Ujedinjenog Kraljevstva, sa izve\u0161tajem Zdravstvena fondacija u julu 2021<\/a> pokazuju\u0107i da je ve\u0107a vjerovatno\u0107a da \u0107e oni u manje imu\u0107nim i manjinskim zajednicama pretrpjeti te\u017ee posljedice i Covid-19 i implikacija koje kasnije slijede. Zaista, za ginekologiju 8 od 10 najte\u017ee pogo\u0111enih klini\u010dkih grupa (CCG) nalazilo se na sjeverozapadu Ujedinjenog Kraljevstva, \u0161to je pogor\u0161alo potrebu za rje\u0161avanjem geografskih varijacija u njezi. Pro\u0161iruju\u0107i ovo, nakon poziva za dokaze od strane Ministarstva zdravstva i socijalne za\u0161tite u martu 2021. otkriveno je da je samo 2 u 5<\/a> \u017eene smatraju da mogu lako pristupiti zdravstvenim uslugama na lokalnom nivou. Klju\u010dni nalazi koji bi pobolj\u0161ali usluge uklju\u010divali su bolju geografsku raznolikost, pobolj\u0161anu edukaciju ljekara op\u0161te prakse i pove\u0107anje broja specijalista za zdravstveno stanje \u017eena. Kako bi se uspje\u0161no uhvatili u ko\u0161tac s rastu\u0107im ginekolo\u0161kim izbornim zaostatkom, jasno je da je potreban lokalizirani pristup za rje\u0161avanje podru\u010dja u kojima su regionalne razlike najve\u0107e, \u0161to dovodi do 'lutrija sa po\u0161tanskim brojem<\/a>' za ginekolo\u0161ku njegu do kraja.<\/p>\n

Krajem 2021. Kraljevski koled\u017e hirurga (RCS) objavio je a\u00a0izvje\u0161taj<\/a>\u00a0pozivaju\u0107i na uvo\u0111enje elektivnih hirur\u0161kih centara kako bi se rije\u0161ili zaostaci u elektivnoj njezi s kojima se suo\u010davaju NHS Trustovi i zdravstveni odbori \u0161irom Velike Britanije. Uvo\u0111enje samostalnih hirur\u0161kih objekata ne samo da brzo i efikasno pru\u017ea dodatne klini\u010dke kapacitete, ve\u0107 i maksimizira kontrolu infekcija unutar zdravstvenih ustanova, pove\u0107avaju\u0107i povjerenje i pacijenata i osoblja, a time smanjuju\u0107i broj pacijenata koji se ne pojavljuju na planirane termine. Fleksibilna priroda ovih zdravstvenih prostora osigurava da se objekti mogu prilagoditi lokalnim zahtjevima, osiguravaju\u0107i da se liste \u010dekanja u akutnoj ginekolo\u0161koj njezi mogu rje\u0161avati u skladu s tim, osloba\u0111aju\u0107i prostor unutar glavne bolnice za slo\u017eenije procedure, kao \u0161to je hitna aku\u0161erstvo.<\/p>\n

\"\"<\/figure>\n

Uvo\u0111enje fleksibilnih zdravstvenih prostora bilo je uspje\u0161no u podr\u0161ci pove\u0107anju potra\u017enje za porodiljskim uslugama u Holandiji kroz uvo\u0111enje mobilnog paketa za poro\u0111aj u Bolnica Wilhelmina u Assenu<\/a>. Potpuno opremljena poro\u0111ajna sala bila je besprijekorno povezana sa glavnom bolnicom iu objektu je ro\u0111eno 125 beba tokom trajanja ugovora. Uvo\u0111enje ovog porodili\u0161ta po narud\u017ebi pokazuje efikasnost pro\u0161irenja zdravstvenih ustanova za \u017eene kako bi se podr\u017ealo sve ve\u0107e optere\u0107enje porodiljskih usluga i podr\u017eava \u0161ire pozive za implementaciju hirur\u0161kih \u010dvori\u0161ta i rje\u0161enja dodatnih kapaciteta za smanjenje lista \u010dekanja za akutnu njegu.<\/p>\n

Nadalje, procijenjeno je da skoro 1,5 miliona \u017eena<\/a> imali su skrining raka dojke odlo\u017een za izme\u0111u 2 i 7 mjeseci izme\u0111u jula 2020. i juna 2021., \u0161to je dovelo do oko 687<\/a> dodatne smrti od raka dojke, smrti od tumora otkrivenih na ekranu i DCIS. Usluge skrininga dojki obustavljene su krajem marta 2020. godine, a objekti su dostupni samo za one sa ve\u0107im rizikom ili one sa postoje\u0107im nalazima, a to je nastavljeno tek na poziv sljede\u0107eg septembra. Kao rezultat poja\u010danih mjera kontrole infekcije, manjka osoblja i optere\u0107enja kapaciteta, usluge skrininga nisu se vratile na prethodni nivo kapaciteta, stvaraju\u0107i dodatni rizik za nedijagnosticirane pacijente. To je dovelo do pove\u0107anog broja poziva za finansiranje dru\u0161tvene dijagnosti\u010dke centre<\/a> (CDC), posebno u podru\u010djima gdje je pristup zdravstvenoj za\u0161titi manje dostupan.<\/p>\n

Skrining dojki smanjuje broj smrtnih slu\u010dajeva od raka dojke 1,300<\/a> godi\u0161nje, nagla\u0161avaju\u0107i va\u017enost implementacije usluga u zajednici kako bi se podstaklo rano otkrivanje. Ovog mjeseca je objavljeno da su CDC isporu\u010dili vi\u0161e od 700.000 dodatnih testova u 73 centra koja su ve\u0107 uspostavljena u Engleskoj, dovode\u0107i zdravstvene usluge u lokalne zajednice i poma\u017eu\u0107i u smanjenju regionalnih zdravstvenih nejednakosti.<\/p>\n

Ima jo\u0161 mnogo toga da se uradi u rje\u0161avanju rodne nejednakosti u skrbi \u0161irom Ujedinjenog Kraljevstva, pri \u010demu RCOG poziva na preispitivanje prioriteta skrbi kako bi se prepoznala skrivena patnja koju do\u017eivljavaju zdravstveni problemi \u017eena. Planovi elektivnog oporavka trebali bi se baviti alarmantan rast ginekolo\u0161kih lista \u010dekanja<\/a> u odnosu na druge specijalizacije, uklju\u010duju\u0107i podr\u0161ku za lokalna rje\u0161enja i kori\u0161tenje hirur\u0161kih \u010dvori\u0161ta. Fleksibilna rje\u0161enja za pove\u0107anje hirur\u0161kih i skrining kapaciteta, posebno u podru\u010djima gdje je pristup zdravstvenim ustanovama oskudniji, ne samo da \u0107e pomo\u0107i u smanjenju lista \u010dekanja, ve\u0107 \u0107e doprinijeti ukupnom boljem kvalitetu \u017eivota \u017eena koje pate.<\/p>","protected":false},"excerpt":{"rendered":"

Pauziranje elektivne njege na po\u010detku pandemije Covid-19 krajem marta 2020. rezultiralo je najve\u0107im zaostatkom u istoriji NHS-a, sa 6,1 milion i dalje na listama \u010dekanja NHS-a do marta 2022., uklju\u010duju\u0107i 24.000 koji \u010dekaju vi\u0161e od dvije godine. Oslabljuju\u0107i efekti pandemije posebno su izazvali pusto\u0161 po zdravlje \u017eena.<\/p>","protected":false},"author":1,"featured_media":609,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-608","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nThe debilitating effects of a pandemic on women\u2019s health - Q-bital Healthcare Solutions<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.q-bital.com\/bs_ba\/the-debilitating-effects-of-a-pandemic-on-womens-health\/\" \/>\n<meta property=\"og:locale\" content=\"bs_BA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The debilitating effects of a pandemic on women\u2019s health - Q-bital Healthcare Solutions\" \/>\n<meta property=\"og:description\" content=\"The pausing of elective care at the start of the Covid-19 pandemic in late March 2020 resulted in the greatest backlog in NHS history, with 6.1 million still on NHS waiting lists by March 2022, including 24,000 waiting more than two years. 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