{"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\/sq_al\/the-debilitating-effects-of-a-pandemic-on-womens-health\/","title":{"rendered":"Efektet dob\u00ebsuese t\u00eb nj\u00eb pandemie n\u00eb sh\u00ebndetin e grave"},"content":{"rendered":"

Nd\u00ebrprerja e kujdesit zgjedhor n\u00eb fillimin e pandemis\u00eb Covid-19 n\u00eb fund t\u00eb marsit 2020 rezultoi n\u00eb grumbullimin m\u00eb t\u00eb madh n\u00eb historin\u00eb e NHS, me 6.1 milion\u00eb<\/a> ende n\u00eb listat e pritjes s\u00eb NHS deri n\u00eb mars 2022, duke p\u00ebrfshir\u00eb 24,000 q\u00eb presin m\u00eb shum\u00eb se dy vjet. Varianti Omicron dhe mungesat e shpeshta t\u00eb personelit gjat\u00eb muajve t\u00eb dimrit nuk e ndihmoi situat\u00ebn, me Zyr\u00ebn Komb\u00ebtare t\u00eb Auditimit (ZKA) q\u00eb parashikoi se listat e pritjes do t\u00eb vazhdojn\u00eb t\u00eb rriten n\u00eb mes 7 dhe 12 milion\u00eb deri n\u00eb Mars 2025<\/a>.<\/p>\n

Nd\u00ebrsa Trustet e NHS-s\u00eb dhe Bordet e Sh\u00ebndetit n\u00eb t\u00eb gjith\u00eb vendin luftojn\u00eb p\u00ebr t\u00eb trajtuar prapambetjet e kujdesit zgjedhor, \u00ebsht\u00eb b\u00ebr\u00eb e qart\u00eb se nj\u00eb specialitet n\u00eb ve\u00e7anti \u00ebsht\u00eb prekur shum\u00eb.<\/p>\n

Sh\u00ebndeti i grave zuri nj\u00eb pozicion t\u00eb pas\u00ebm gjat\u00eb pauz\u00ebs s\u00eb kujdesit zgjedhor dhe me rishp\u00ebrndarjen e stafit n\u00eb specializime m\u00eb kritike, listat tashm\u00eb t\u00eb gjera t\u00eb pritjes iu shtuan m\u00eb tej. Gjat\u00eb gjith\u00eb pandemis\u00eb, fokusi kryesor p\u00ebr departamentet e Obstetrik\u00ebs dhe Gjinekologjis\u00eb (O&G) ishte ofrimi i sh\u00ebrbimeve t\u00eb sigurta dhe urgjente t\u00eb maternitetit, duke i dh\u00ebn\u00eb p\u00ebrpar\u00ebsi diagnostikimit dhe trajtimit t\u00eb kancereve gjinekologjike dhe ofrimit t\u00eb sh\u00ebrbimeve akute n\u00eb lidhje me problemet q\u00eb ndodhin n\u00eb shtatz\u00ebnin\u00eb e hershme. N\u00eb t\u00eb v\u00ebrtet\u00eb, nj\u00eb studim i nd\u00ebrmarr\u00eb nga Kolegji Mbret\u00ebror i Obstet\u00ebrve dhe Gjinekolog\u00ebve (RCOG) tregoi se rreth 53%<\/a> e ofruesve t\u00eb kujdesit sh\u00ebndet\u00ebsor ricaktuan konsulent\u00ebt dhe Specialist\u00ebt e Associuar Specialist\u00eb (SAS) p\u00ebr t\u00eb mb\u00ebshtetur obstetrik\u00ebn, me 50%<\/a> e gjinekolog\u00ebve q\u00eb kalojn\u00eb n\u00eb obstetrik\u00eb emergjente. Kjo do t\u00eb thoshte se element\u00ebt thelb\u00ebsor\u00eb, si procedurat akute kirurgjikale, kujdesi pas shtatz\u00ebnis\u00eb dhe sh\u00ebrbimet e kancerit t\u00eb femrave u b\u00ebn\u00eb n\u00ebn prioritet.<\/p>\n

Q\u00eb nga fillimi i pandemis\u00eb Covid-19, listat e pritjes s\u00eb gjinekologjis\u00eb kan\u00eb vazhduar t\u00eb rriten n\u00eb m\u00ebnyr\u00eb dramatike, me nj\u00eb total t\u00eb kombinuar 570,000<\/a> grat\u00eb n\u00eb listat e pritjes n\u00eb t\u00eb gjith\u00eb Mbret\u00ebrin\u00eb e Bashkuar deri n\u00eb dhjetor 2021. Pritjet u rrit\u00ebn 60%<\/a>, m\u00eb i mpreht\u00eb se \u00e7do specialitet tjet\u00ebr, me m\u00eb shum\u00eb se 1,300 vet\u00ebm n\u00eb Angli t\u00eb mbetur n\u00eb listat e pritjes p\u00ebr m\u00eb shum\u00eb se dy vjet, megjithat\u00eb LPK<\/a> sugjeron q\u00eb kjo nuk pasqyron madh\u00ebsin\u00eb e v\u00ebrtet\u00eb t\u00eb problemit n\u00eb fjal\u00eb. Krahas efekteve dob\u00ebsuese q\u00eb mund t\u00eb ken\u00eb \u00e7\u00ebshtje t\u00eb tilla n\u00eb jet\u00ebn e p\u00ebrditshme, kushte t\u00eb tilla si endometrioza dhe fibroidet mund t\u00eb \u00e7ojn\u00eb n\u00eb probleme t\u00eb fertilitetit n\u00ebse nuk trajtohen dhe me shum\u00eb q\u00eb presin p\u00ebr operacion para fillimit t\u00eb trajtimit dhe nj\u00eb kufi moshe p\u00ebr IVF n\u00eb NHS, shum\u00eb grat\u00eb jan\u00eb l\u00ebn\u00eb n\u00eb situata shkat\u00ebrruese. N\u00eb nj\u00eb sondazh t\u00eb kryer nga RCOG<\/a> nga 837 gra, 801 TP3T gra deklaruan se kishin vuajtur nga ndikimet n\u00eb sh\u00ebndetin e tyre mendor, me 61% q\u00eb pranoi se ndjeu d\u00ebshp\u00ebrim n\u00eb pritjet e gjata dhe nj\u00eb tjet\u00ebr 63% ndjenj\u00eb e injoruar.<\/p>\n

Pandemia ka nxjerr\u00eb n\u00eb pah shtrirjen e v\u00ebrtet\u00eb t\u00eb pabarazive rajonale sh\u00ebndet\u00ebsore n\u00eb t\u00eb gjith\u00eb Mbret\u00ebrin\u00eb e Bashkuar, me nj\u00eb raport nga Fondacioni Sh\u00ebndet\u00ebsor n\u00eb korrik 2021<\/a> duke demonstruar se ata n\u00eb komunitetet m\u00eb pak t\u00eb pasura dhe pakic\u00eb kan\u00eb m\u00eb shum\u00eb gjasa t\u00eb vuajn\u00eb pasoja m\u00eb t\u00eb r\u00ebnda si nga Covid-19 ashtu edhe nga implikimet q\u00eb pasojn\u00eb m\u00eb pas. N\u00eb t\u00eb v\u00ebrtet\u00eb, p\u00ebr gjinekologjin\u00eb, 8 nga 10 Grupet e Komisionimit Klinik (CCG) m\u00eb t\u00eb prekura ishin t\u00eb vendosura n\u00eb veriper\u00ebndim t\u00eb MB, duke p\u00ebrkeq\u00ebsuar nevoj\u00ebn p\u00ebr t\u00eb adresuar variacionet gjeografike n\u00eb kujdes. Duke e zgjeruar k\u00ebt\u00eb, pas nj\u00eb thirrjeje p\u00ebr d\u00ebshmi nga Departamenti i Sh\u00ebndet\u00ebsis\u00eb dhe Kujdesit Social n\u00eb Mars 2021, u zbulua se vet\u00ebm 2 n\u00eb 5<\/a> grat\u00eb mendojn\u00eb se mund t\u00eb ken\u00eb akses n\u00eb sh\u00ebrbimet e kujdesit sh\u00ebndet\u00ebsor n\u00eb nivel lokal. Gjetjet kryesore q\u00eb do t\u00eb p\u00ebrmir\u00ebsonin sh\u00ebrbimet p\u00ebrfshinin diversitet m\u00eb t\u00eb mir\u00eb gjeografik, p\u00ebrmir\u00ebsim t\u00eb edukimit t\u00eb mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm dhe nj\u00eb rritje t\u00eb specialist\u00ebve n\u00eb kushtet e sh\u00ebndetit t\u00eb grave. P\u00ebr t\u00eb trajtuar me sukses rritjen e numrit t\u00eb l\u00ebnd\u00ebve t\u00eb pazgjidhura gjinekologjike, \u00ebsht\u00eb e qart\u00eb se nevojitet nj\u00eb qasje e lokalizuar p\u00ebr t\u00eb adresuar fushat n\u00eb t\u00eb cilat pabarazit\u00eb rajonale jan\u00eb m\u00eb t\u00eb m\u00ebdha, duke sjell\u00eb 'llotaria me kod postar<\/a>p\u00ebr kujdesin gjinekologjik deri n\u00eb fund.<\/p>\n

N\u00eb fund t\u00eb vitit 2021 Kolegji Mbret\u00ebror i Kirurg\u00ebve (RCS) publikoi nj\u00eb\u00a0raporti<\/a>\u00a0duke b\u00ebr\u00eb thirrje p\u00ebr futjen e qendrave kirurgjikale zgjedhore p\u00ebr t\u00eb trajtuar prapambetjet e kujdesit zgjedhor me t\u00eb cilat p\u00ebrballen NHS Trusts dhe Bordet Sh\u00ebndet\u00ebsore n\u00eb t\u00eb gjith\u00eb Mbret\u00ebrin\u00eb e Bashkuar. Futja e objekteve kirurgjikale t\u00eb pavarura jo vet\u00ebm q\u00eb siguron kapacitet shtes\u00eb klinik shpejt dhe me efikasitet, por gjithashtu maksimizon kontrollin e infeksioneve brenda mjediseve t\u00eb kujdesit sh\u00ebndet\u00ebsor, duke rritur besimin si t\u00eb pacientit ashtu edhe t\u00eb stafit dhe p\u00ebr k\u00ebt\u00eb arsye duke zvog\u00ebluar numrin e pacient\u00ebve q\u00eb nuk paraqiten p\u00ebr takimet e planifikuara t\u00eb kujdesit. Natyra fleksibile e k\u00ebtyre Hap\u00ebsirave t\u00eb Kujdesit Sh\u00ebndet\u00ebsor siguron q\u00eb objektet mund t\u00eb p\u00ebrshtaten sipas k\u00ebrkesave lokale t\u00eb personalizuara, duke siguruar q\u00eb listat e pritjes n\u00eb kujdesin akut gjinekologjik t\u00eb mund t\u00eb adresohen n\u00eb p\u00ebrputhje me rrethanat, duke liruar hap\u00ebsir\u00eb brenda spitalit kryesor p\u00ebr procedura m\u00eb komplekse, t\u00eb tilla si obstetrika emergjente.<\/p>\n

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Futja e hap\u00ebsirave fleksib\u00ebl t\u00eb kujdesit sh\u00ebndet\u00ebsor ka qen\u00eb e suksesshme n\u00eb mb\u00ebshtetjen e rritjes s\u00eb k\u00ebrkes\u00ebs p\u00ebr sh\u00ebrbimet e maternitetit n\u00eb Holand\u00eb p\u00ebrmes prezantimit t\u00eb nj\u00eb pakete shp\u00ebrndarjeje celulare n\u00eb Spitali Wilhelmina n\u00eb Assen<\/a>. Salla e pajisur plot\u00ebsisht e lindjes ishte e lidhur pa probleme me spitalin kryesor dhe 125 foshnja lind\u00ebn n\u00eb institucion gjat\u00eb gjith\u00eb koh\u00ebzgjatjes s\u00eb kontrat\u00ebs. Futja e k\u00ebtij materniteti me porosi demonstron efektivitetin e zgjerimit t\u00eb objekteve sh\u00ebndet\u00ebsore t\u00eb grave p\u00ebr t\u00eb mb\u00ebshtetur tendosjet n\u00eb rritje n\u00eb sh\u00ebrbimet e maternitetit dhe mb\u00ebshtet thirrjet m\u00eb t\u00eb gjera p\u00ebr zbatimin e qendrave kirurgjikale dhe zgjidhjeve t\u00eb kapaciteteve shtes\u00eb p\u00ebr t\u00eb reduktuar listat e pritjes s\u00eb kujdesit akut.<\/p>\n

P\u00ebr m\u00eb tep\u00ebr, \u00ebsht\u00eb vler\u00ebsuar se gati 1.5 milion gra<\/a> kishte depistime t\u00eb kancerit t\u00eb gjirit t\u00eb vonuara nga 2 deri n\u00eb 7 muaj midis korrikut 2020 dhe qershorit 2021, duke \u00e7uar n\u00eb rreth 687<\/a> vdekje shtes\u00eb nga kanceri i gjirit, vdekjet e tumorit t\u00eb zbuluara nga ekrani dhe DCIS. Sh\u00ebrbimet e shqyrtimit t\u00eb gjirit u pezulluan n\u00eb fund t\u00eb marsit 2020, me leht\u00ebsira t\u00eb disponueshme vet\u00ebm p\u00ebr ata me rrezik m\u00eb t\u00eb lart\u00eb ose ata me gjetje ekzistuese dhe kjo u rifillua vet\u00ebm me ftes\u00eb shtatorin e ardhsh\u00ebm. Si rezultat i masave t\u00eb shtuara t\u00eb kontrollit t\u00eb infeksionit, mungesave t\u00eb stafit dhe sforcimeve n\u00eb kapacitet, sh\u00ebrbimet e depistimit nuk rifilluan n\u00eb nivelet e m\u00ebparshme t\u00eb kapacitetit, duke krijuar rrezik t\u00eb m\u00ebtejsh\u00ebm p\u00ebr pacient\u00ebt e padiagnostikuar. Kjo ka \u00e7uar n\u00eb rritjen e thirrjeve p\u00ebr financim p\u00ebr qendrat diagnostike komunitare<\/a> (CDC), ve\u00e7an\u00ebrisht n\u00eb zonat ku aksesi n\u00eb kujdesin sh\u00ebndet\u00ebsor \u00ebsht\u00eb m\u00eb pak i disponuesh\u00ebm.<\/p>\n

Ekzaminimi i gjirit zvog\u00eblon numrin e vdekjeve nga kanceri i gjirit me 1,300<\/a> n\u00eb vit, duke theksuar r\u00ebnd\u00ebsin\u00eb e zbatimit t\u00eb sh\u00ebrbimeve komunitare p\u00ebr t\u00eb inkurajuar zbulimin e hersh\u00ebm. K\u00ebt\u00eb muaj u njoftua se CDC-t\u00eb kishin dor\u00ebzuar m\u00eb shum\u00eb se 700,000 teste shtes\u00eb n\u00eb 73 qendrat tashm\u00eb t\u00eb vendosura n\u00eb Angli, duke sjell\u00eb sh\u00ebrbime t\u00eb kujdesit sh\u00ebndet\u00ebsor p\u00ebr komunitetet lokale dhe duke ndihmuar n\u00eb reduktimin e pabarazive rajonale sh\u00ebndet\u00ebsore.<\/p>\n

Ka ende shum\u00eb p\u00ebr t\u00eb b\u00ebr\u00eb n\u00eb trajtimin e pabarazis\u00eb gjinore n\u00eb kujdes n\u00eb t\u00eb gjith\u00eb Mbret\u00ebrin\u00eb e Bashkuar, me RCOG q\u00eb b\u00ebn thirrje p\u00ebr nj\u00eb rishikim t\u00eb prioritizimit t\u00eb kujdesit p\u00ebr t\u00eb njohur vuajtjet e fshehura t\u00eb p\u00ebrjetuara me kushtet sh\u00ebndet\u00ebsore t\u00eb grave. Planet zgjedhore t\u00eb rim\u00ebk\u00ebmbjes duhet t\u00eb adresohen Rritja alarmante e listave t\u00eb pritjes gjinekologjike<\/a> n\u00eb krahasim me specializimet e tjera, duke p\u00ebrfshir\u00eb mb\u00ebshtetjen p\u00ebr zgjidhjet lokale dhe p\u00ebrdorimin e qendrave kirurgjikale. Zgjidhjet fleksib\u00ebl p\u00ebr t\u00eb rritur kapacitetin kirurgjik dhe depistues, ve\u00e7an\u00ebrisht n\u00eb zonat ku aksesi n\u00eb objektet e kujdesit sh\u00ebndet\u00ebsor \u00ebsht\u00eb m\u00eb i pak\u00ebt, jo vet\u00ebm q\u00eb do t\u00eb ndihmojn\u00eb n\u00eb reduktimin e listave t\u00eb pritjes, por ato do t\u00eb kontribuojn\u00eb n\u00eb nj\u00eb cil\u00ebsi m\u00eb t\u00eb mir\u00eb t\u00eb jet\u00ebs p\u00ebr grat\u00eb q\u00eb vuajn\u00eb.<\/p>","protected":false},"excerpt":{"rendered":"

Nd\u00ebrprerja e kujdesit zgjedhor n\u00eb fillimin e pandemis\u00eb Covid-19 n\u00eb fund t\u00eb marsit 2020 rezultoi n\u00eb grumbullimin m\u00eb t\u00eb madh n\u00eb historin\u00eb e NHS, me 6.1 milion\u00eb ende n\u00eb listat e pritjes s\u00eb NHS deri n\u00eb mars 2022, duke p\u00ebrfshir\u00eb 24,000 q\u00eb prisnin m\u00eb shum\u00eb se dy vjet. N\u00eb ve\u00e7anti, efektet dob\u00ebsuese t\u00eb pandemis\u00eb kan\u00eb shkaktuar k\u00ebrdi n\u00eb sh\u00ebndetin e grave.<\/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\/sq_al\/the-debilitating-effects-of-a-pandemic-on-womens-health\/\" \/>\n<meta property=\"og:locale\" content=\"sq_AL\" \/>\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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