Izinga lokufa okuNxulumene nokuKhulelwa e-U.S. Liphezulu ngendlela eyothusayo

Umxholo

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Ukhathalelo lwempilo eMelika lunokuqhubela phambili (kwaye luyabiza), kodwa lusenayo indawo yokuphucula-ingakumbi xa kuziwa ekukhulelweni nasekubelekeni. Akunjalo kuphela amakhulu abasetyhini baseMelika abafa ngenxa yeengxaki ezinxulumene nokukhulelwa minyaka le, kodwa uninzi lokufa kwabo luyathintelwa, ngokutsho kwengxelo entsha yeCDC.

I-CDC sele imisele ngaphambili ukuba malunga nama-700 abasetyhini bafa e-US minyaka le kwimiba enxulumene nokukhulelwa. Ingxelo entsha ye-arhente iyaphula iipesenti zokufa ezenzeka ngexesha nasemva kokukhulelwa ukusuka ngo-2011-2015, kunye nokuba bangaphi abo babhubhileyo ababenokuthintelwa. Ngeli xesha, i-1,443 yabasetyhini basweleka ngexesha lokukhulelwa okanye ngomhla wokubeleka, kwaye abafazi abayi-1,547 basweleka emva koko, ukuya kuthi ga kunyaka omnye emva kokubeleka, ngokwengxelo. (Idibeneyo: Ukuzalwa kwe-C-Icandelo kuphantse kuphinda-phindwe kabini kule minyaka yamva nje-Nantsi le nto ibalulekileyo)

Nokuba iblackaker, ukubulawa kwabantu abathathu kwabahlanu kuthintelwe, ngokwengxelo. Ngexesha lokuhambisa, uninzi lokusweleka lubangelwa kukuvuza okanye i-amniotic fluid embolism (xa i-amniotic fluid ingena emiphungeni). Kwiintsuku zokuqala ezintandathu zokubeleka, oonobangela abakhokelela ekufeni babandakanya ukopha, ukuphazamiseka koxinzelelo lwexinzelelo lokukhulelwa (njengepreeclampsia), kunye nosulelo. Ukusukela kwiiveki ezintandathu ukuya kunyaka omnye, uninzi lokufa kubangelwa yi-cardiomyopathy (uhlobo lwesifo sentliziyo).

Kwingxelo yayo, i-CDC iphinde yabeka inani lomahluko ngokobuhlanga kumazinga okusweleka koomama. Inqanaba lokufa elinxulumene nokukhulelwa kwabasetyhini abamnyama nabaseMelika baseIndiya / baseAlaska babengama-3.3 nama-2.5 amaxesha, ngokwahlukeneyo, izinga lokufa kwabafazi abamhlophe. Oko kuhambelana nengxoxo yangoku ejikeleze izibalo ezibonisa abafazi abamnyama zichaphazeleka ngokungafaniyo kukukhulelwa kunye neengxaki zokubeleka. (Idibeneyo: Yonke into ofuna ukuyifumana malunga nePreeclampsia-aka Toxemia)

Eli ayisokokuqala ukuba ingxelo ibonise amanqanaba okufa koomama e-US Kwabaqalayo, i-US ibekwe kwindawo yokuqala kwelona zinga liphezulu lokufa koomama kuwo onke amazwe aphuhlileyo, ngokwe-2015 kaRhulumente boMama beHlabathi, a ingxelo equlunqwe yiSave the Children.

Kutshanje, uphando lupapashwe I-Obstetrics & Gynecology wanikela ingxelo yokuba umlinganiselo wokusweleka koomama kumaphondo angama-48 naseWashington D.C. ukhula, ukhula malunga neepesenti ezingama-27 phakathi kowama-2000 nowama-2014. Ngokomzekelo, amazwe ali-166 kwali-183 ekwenziwe uhlolisiso kuwo abonise ukuhla kwamaxabiso. Olu pho nonongo luye lwaqwalasela kakhulu ukunyuka kwezinga lokufa kwabasetyhini e-US, ngakumbi eTexas, apho inani lamatyala liphindwe kabini phakathi kuka-2010 no-2014 kuphela. Nangona kunjalo, kunyaka ophelileyo iSebe lase-Texas lezeMicimbi yezeMpilo lase-Texas lanikezela ngohlaziyo, lisithi elona nani lokufa lalingaphantsi kwesiqingatha sento ekwakuxelwe ngayo ngenxa yokusweleka ngokungafanelekanga kurhulumente. Kwingxelo yayo yamva nje, i-CDC yabonisa ukuba iimpazamo ekuchazeni isimo sokukhulelwa kwizatifikethi zokusweleka zinokuchaphazela amanani ayo.

Oku kuhlanganisa inyani esekwe ngoku yokuba ukusweleka okunxulumene nokukhulelwa yingxaki enkulu e-U.S. I-CDC inike izisombululo ezinokubakho zokuthintela ukusweleka kwixesha elizayo, njengokumisela indlela izibhedlele ezijonga ngayo imeko zongxamiseko ezinxulumene nokukhulelwa kunye nokunyusa ukhathalelo olulandelayo. Ngethemba, ingxelo yayo elandelayo izoba umfanekiso owahlukileyo.

• NguCharlotte Hilton Andersen
• NguRenee Cherry

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