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Fistula
Nguồn: Đỗ Mạnh Hà sưu tầm
Người gửi: Đỗ Mạnh Hà (trang riêng)
Ngày gửi: 16h:43' 09-12-2008
Dung lượng: 4.3 MB
Số lượt tải: 8
Mô tả:
Người gửi: Đỗ Mạnh Hà (trang riêng)
Ngày gửi: 16h:43' 09-12-2008
Dung lượng: 4.3 MB
Số lượt tải: 8
Mô tả:
Fistula
Voice 1
Hello. I'm Elizabeth Lickiss.Voice 2
And I'm Marina Santee. Welcome to Spotlight. This programme uses a special English method of broadcasting. It is easier for people to understand, no matter where in the world they liveVoice 1
Imagine - a young girl is pregnant. She is about to give birth. She is in labour. This is her first child. She lives in a village community in Ethiopia. The village is many kilometres from a hospital or a doctor. The village women surround her. They have helped bring many babies into the world. They try to help the girl. 'Push', they say, 'You need to push'. The young girl tries to obey. But she is getting tired. She has been in labour for four days. But still the baby has not been born. It is a big baby and has moved into a difficult position. No matter how hard the girl tries pushing she cannot give birth. By the fifth day the girl is fighting to survive. Her child is born at last - dead. He could not survive such a long labour.Voice 2
But this is not the end of the girl’s troubles. She is very weak from her long labour. She is very sad that her baby has died. But she also has to deal with her badly damaged body. During the long labour the blood supply to her lower female organs had become blocked. In this case the blockage had caused a large hole to develop - an obstetric fistula. The fistula affected the girl’s bladder and bowel. These organs hold the body’s waste. Now the girl cannot control her body waste. Her legs are covered in body fluids. She smells. As a result her community reject her. Her husband cannot deal with the problem. So he leaves her. There seems to be no hope for this girl.Voice 1
Australian-born doctor Catherine Hamlin has seen this situation many times. But it always affects her deeply. She went to Ethiopia in 1959. The Ethiopian government invited her to establish a general hospital in the capital city, Addis Ababa. Catherine and her husband, Doctor Reg Hamlin, only planned to stay for three years. But after the three years they decided to make Ethiopia their permanent home.Voice 2
Catherine remembers meeting her first fistula patient. It was a life changing experience. Catherine says,Voice 3
‘She was such a young girl - beautiful and lovely. But her life was ruined. Her baby was dead and she was terribly damaged. Who would want her now?’Voice 2
Catherine is a Christian and she prayed to God. She felt that God wanted her to help fistula patients. So she and Reg worked together to find a cure for these young women. Over the years they developed a special operation to repair the damage. No one had managed to do such difficult work before. But Catherine and Reg found that they could cure around ninety percent [90%] of fistula problems.Voice 1
The World Health Organisation says fistula damage does not normally happen to women in developed countries. These women do not spend five or six days in labour. Doctors operate quickly so the baby is born safely. But women in places like Ethiopia experience a more difficult situation. For many of them it is many kilometres to the nearest doctor. Transport is not easy to find. Treatment can cost a lot of money. It is money that the young women do not have.Voice 2
Catherine and Reg decided to establish a special hospital for these girls. But Reg died in 1993. However Catherine still continued with the work they started together. In 1994 the first part of the Addis Ababa Fistula hospital opened. Treatment at the hospital is free. People all around the world give money to support the hospital. They want to help these girls. The Ethiopian government also supports the hospital. The hospital has now developed and expanded. Doctors estimate that they have now treated over twenty thousand [20,000] women. Doctors come from all over Africa to study at the Addis Ababa Fistula hospital. They want to see how to operate and repair fistula problems.Voice 1
The hospital is only for fistula patients. Catherine says that it is good for the women to be together. She believes that it is good for their self worth. These women and girls have already experienced rejection. But they know that the other girls in the hospital will not reject them - they are in the same situation. Catherine says that it is not only physical healing that takes place at the hospital. It is where mental healing also begins. The women and girls stay in a special house together. The house has been built near the hospital. They wait together until a bed becomes free at the hospital. Then they are able to have their operation. They stay at the hospital until they are completely strong. When they go home the hospital presents each girl with a new set of clothes to wear. The hospital also provides them with a little money. Catherine wants these girls to return home happy and with respect.Voice 2
When a girl leaves the hospital the doctors also give them a piece of paper. This paper is important. It will help them in the future. When they become pregnant again they will get hospital care. The doctors tell the girls,Voice 3
‘If you marry again you will probably want to start a family. Do not be afraid. We will help you. When you feel the baby move inside, you must come back to us. The paper will mean that you can get free treatment. We will help you give birth to a living baby.’Voice 1
Catherine tells the story of one twenty-five [25] year old woman. This woman had given birth to six babies. But all had been born dead. Her last labour was extremely long and had damaged her badly. Catherine was able to repair the damage. She told the woman to come back to the hospital if she got pregnant again. Catherine said that she would help her give birth to a live baby. She would help make sure that the baby did not die this time Eighteen [18] months later the woman came back. Catherine says,Voice 3
‘We knew that she could not have the baby in the normal way. So we sent her to another hospital that helps women give birth safely. They operated on her. The baby was born safe and well. I remember her coming back to us to recover. The baby was in her arms. Her eyes were filled with joy’.Voice 1
Catherine is starting to establish centres across Ethiopia. These centres provide free care for all pregnant women. Many of them are far away from major towns. This means that women in villages are closer to medical help. The doctors can identify women who may experience difficulties giving birth. They then make sure that these women receive the correct treatment. In this way Catherine hopes that she can help women avoid fistula damage.Voice 2
Catherine’s work is not easy. She has had many struggles and difficulties. But Catherine says,Voice 3
‘I am not special. But I have always felt that God wanted me to do this work. Sometimes it has been hard, but God makes me strong. I have been able to see lives changed. I thank God that he gave me this job to do.’Voice 2
The writer of today’s programme was Elizabeth Lickiss. The voices you heard were from the United States and the United Kingdom. Computer users can hear our programmes on our website at www.radio.english.net. This programme is called ‘Fistula’.
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