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The author:(作者)aaapublished in(发表于) 2014/8/21 9:00:14 Beijing Tibetan doctors completed the first caesarean surgery， Tibetans like James capital
Counterpart aid this year is the 20-year anniversary. For 20 years, Beijing has sent seven group of 560 cadres to Lhasa, helping people build homes in Lhasa, Tibet has made great contributions to the cause of modernization. Beijing Youth daily focus of cadres--a special group of Tibet Department of obstetrics, they brought revolution to the obstetrics and Gynecology in Tibet.
Inform the Health Department of Tibet Autonomous Region, by the end of 2013, maternal and infant mortality in Tibet by 2012 176.12/100,000 and 24.84, down 154.51/100,000 and 19.97 per thousand. Maternal and infant mortality rates are the lowest on record. Behind the achievements of Tibet's primary health condition continues to improve.
North Green newspaper reporter in an interview with a number of county-level hospitals in Lhasa to hospital every point changes in health conditions, Tibetan doctors can be seen behind the shadows.
Nyêmo County, the first caesarean surgery
Nyêmo County, located 140 kilometers southwest of Lhasa, Lhasa cultural economy is relatively backward areas in the County. Li min is a doctor in the obstetrics and Gynecology hospital in Beijing. Seventh issue of cadres in Beijing, six people were sent to nyêmo County, including doctors of three people, only Li is a gynecologist.
Li and his party arrived, because no blood bank in the County, there is no perfect pediatrician, hardware and software are all lacking, county hospitals have never done a cesarean.
If the Beijing Tibetan doctors decided to change the status quo, they encountered many unexpected difficulties. Old medical equipment, outdated nursing supplies, Li is a headache. What can be used, what to add, they listed on the Bill. "We found a cloth bag from the hospital, thought to use a production date of the result, it says in 1976, we were dumbfounded. ”
They are from Lhasa and Beijing, on friends and colleagues to buy there is no equipment, starting almost from scratch, equipped with a surgical delivery.
On November 25, 2013, particularly cold winters on the plateau, nyêmo County Hospital, a 33-year old Tibetan women. She's due date has passed, but her unborn child's tardiness is born. Upon examination, this exceptionally high maternal blood pressure, high pressure values at 180, urine protein two plus signs, belong to high-risk pregnancies.
"The medication two days later blood pressure is still not obvious, if we go on expecting high risk. We advised her to do a cesarean operation, "Li said, they hesitate to do it is to go to Lhasa, or just in nimu County Hospital. After all, cellulose has been precedent for cesarean section. Consider the patient despite high blood pressure, but are in good physical and mental condition, unborn children are not too big. Finally, the medical team decided to do first at the county hospital cases of Cesarean section operation.
A Tibetan anaesthetist to persuade families, but family is the County's first surgery, and tense up, initially disagreed on an operation sign.
Li had personally. She does not know the Tibetan language, but she suddenly found hung on the neck of a statue of the mother, she made a sign to the Buddha, smiled and said: "it will bless you. ”
Li felt sick just to loosen up. "Her doctor may think that this is how to communicate with her in this manner is! ”
Li said to the patient's family, you think. We try not to, even though we are ready to do, but, if you require surgery to Lhasa, we also send car.
"Families at that time responded to reconsider, but less than 10 minutes later, parents said, ' we signed it. ’”
Throughout the surgery process went smoothly, but Tibetan anaesthetists and nurses were very nervous, it was their first time on the operating table.
The same day, Beijing cadres nyêmo County, County magistrate, were waiting outside the operating room. This is the biggest thing in nimu County the same day.
Nyêmo County people's Hospital, Tan Shenquan still remember after successful surgery, Associate Director of the hospital's joy, they give the child a name called Zhuo MA (Chinese fairy).
Establishing lists of high-risk pregnancies network
Illustration exhibition road from Beijing hospital, she is also a doctor of obstetrics and Gynecology at Beijing cadres in the seventh instalment.
Since Tibet, had a fraught: never to go to hospital for prenatal care for pregnant women here.
Due to years of habits, many Tibetans to have a baby with "naturalistic" attitude, coupled with where they live relatively far from the town, travel inconvenience, they generally choose to give birth at home.
"In Beijing, if you want to have a baby, will generally advance checked before doing a pregnancy; pregnancy also do pregnancy test regularly. In Lhasa, gave assistance do these checks, people don't pay, but no one came. "Illustration said.
Not used to a pregnancy test, is going to have a child when you will be facing a huge problem.
"A lot of patients can't tell you ' last menstrual period ' of the time, I do not know of last menstrual period, even if no specific due date. Technical conditions here are not as in Beijing, combines ultrasound, laboratory tests, it sure can work it out. ”
On several occasions, pregnant Tibetan women came to the hospital and said his stomach ache is going to have a baby, and hospitalized for two months, the child is not born.
Pregnant women to hospital to check, Tibet gynecologists on their country. "In addition to give pregnant women antenatal examination, common sense tell them some of prenatal and postnatal care. "Illustration introduction, every time they go to the countryside, often one or two months, or even longer.
Illustration describes, through prenatal testing, such as breech presentation, common conditions such as pregnancy-induced hypertension syndrome on pregnancy would have it under control. Won't let it develop into transverse position does not come out. "The focus for some patients, we informed the Township and village doctors, the maternal hypertension, you're going to pay attention to her blood pressure situation, whenever there is a problem to give it to us. ”
To spread these broader sense, doctors at the Beijing Tibet organizations led the County, doilungdêqên County all townships with medical training. "We even include ambulance drivers come in. ”
Training content is not only delivered. "To the patient at night, home birth the placenta did not appear, was bleeding when he arrived at hospital, how to rescue an adult? Or after children choking cry, how to save it? These are the contents of the training. ”
Under the leadership of Tibet Department of obstetrics, doilungdêqên County Hospital for the first time carried out in obstetrical application of fetal heart rate monitoring, and high-risk pregnancy management is established and registered for the first time, and undivided. Woman in Lhasa nimadunzhu President on dragons, nyêmo County Hospital said: "recently, from your county and fewer hospitals go to our patients. ”
Even the hospital ambulance drivers every time you see the Beijing Tibetan doctors were particularly pleased, saying: "since you have come to the hospital, I was driving at night is much smaller. ”
Tibetan doctors every time I go to the countryside, Tibetan people are seen standing thumb called out to them: "yagudu (Tibetan: great)." When they leave, people would have said to them: "spat Kat (Tibetan: thank you)".
"Leaving a take away medical teams"
Outside Beijing Tibetan physicians work in addition to regular consultations, but also to provide guidance to the hospital's outpatient business, through "cultivate" improve level of hospital outpatient business, inter alia, in order to achieve the effect of technical aid.
Theoretical knowledge of physicians are often relatively weak locally in Tibet, not familiar with advanced equipment. Every aid doctors in Beijing will take a few local doctors as apprentices, Professor for the benefit of their own experiences and the use of advanced medical equipment.
Cidanlamu is the illustration of a Tibetan disciple. Cidanlamu said that the illustration is just like her mother, helped teach her, explaining over and over again. "Very seriously, when explained, did not miss a detail. "Every time she writes cases illustration are carefully checked, encountered problems in time to explain. Illustration of Beijing hospital, borrowed standard template for everyone to learn.
"Teachers often encourage and guide me on the operating table," cidanlamu said, she has mastered to Gynecology ordinary operation, able to handle exceptions during. At present, the learning atmosphere in thick, between colleagues on a diagnosis or surgical methods of writing often discuss. Learning on the new issues every day, forming a mechanism for effective mentoring, County Hospital of obstetrics and Gynecology has made progress. Now every nurse in the Department were already familiar with the various rescue knowledge, also cultivated independently operated County Hospital Cesarean surgery local doctors.
As of August of this year, Li has in nimu County people's Hospital for 63 cases of caesarean section operation. Li brought out two assistants, and a team of nurses. In addition to cesarean section, a local doctor has been able to complete the sterilization surgery. A maternity surgical team early prototypes.
On August 8, the seventh batch of Tibetan doctors ended a year of aid work, returned to Beijing. One group after another aid doctor, which leave on the plateau of a "take away medical teams."
This version of text/reporter Zhu Kaiyun
Trainee reporter song Qi Wu
Photo courtesy/Beijing Tibet command
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