{"id":2915,"date":"2019-08-26T09:57:44","date_gmt":"2019-08-26T09:57:44","guid":{"rendered":"http:\/\/www.manoj.fr\/?p=2915"},"modified":"2019-08-26T09:57:44","modified_gmt":"2019-08-26T09:57:44","slug":"compte-rendu-du-2eme-camp-de-sante-de-gynecologie-a-saurpani-mars-2019","status":"publish","type":"post","link":"https:\/\/new.manoj.fr\/index.php\/2019\/08\/26\/compte-rendu-du-2eme-camp-de-sante-de-gynecologie-a-saurpani-mars-2019\/","title":{"rendered":"Compte rendu du 2\u00e8me camp de sant\u00e9 de gyn\u00e9cologie \u00e0 Saurpani &#8211; Mars 2019"},"content":{"rendered":"<p>Pour notre 2\u00e8me camp de gyn\u00e9cologie, nous sommes intervenus \u00e0 Saurpani. C\u2019est un village recul\u00e9 des collines himalayennes, dans le quartier n\u00b04, Sulikot Gaupalika, situ\u00e9 dans le district de Gorkha, dans la zone de Gandaki au centre-nord du N\u00e9pal. Au moment du recensement de 2011 au N\u00e9pal, il comptait 5 958 habitants et 1 325 habitations avant le s\u00e9isme. Ce village situ\u00e9 \u00e0 62 km de l\u2019\u00e9picentre du s\u00e9isme,\u00a0 a \u00e9t\u00e9 d\u00e9vast\u00e9 et est tr\u00e8s difficilement accessible du fait d\u2019un mauvais r\u00e9seau de routes et pistes rendues encore plus impraticables lors de la mousson. Que dire de l\u2019acc\u00e8s aux soins! Nous sommes attendus.<\/p>\n<p>Jours d\u2019affluence au dispensaire de Saurpani, la file d\u2019attente n\u2019a jamais \u00e9t\u00e9 aussi longue ! le battage m\u00e9diatique a \u00e9t\u00e9 particuli\u00e8rement efficace.Le premier jour, pr\u00e8s de 400 personnes se sont enregistr\u00e9es pour consulter.<\/p>\n<p>Nous verrons 675 personnes sur la dur\u00e9e du camp : 675 consultations de m\u00e9decine g\u00e9n\u00e9rale et gyn\u00e9cologie\u00a0 dont 180 \u00e9chographies.<\/p>\n<p>L\u2019\u00e9quipe au complet est constitu\u00e9e de 6 m\u00e9decins avec 1 gyn\u00e9cologue, 1 radiologue, 4 g\u00e9n\u00e9ralistes (2 n\u00e9palais, 2 fran\u00e7ais), 1 pharmacienne, des infirmiers\u00a0 dont 2 fran\u00e7ais, le manager du Suvekchia hospital s\u2019est d\u00e9plac\u00e9 pour cet \u00e9v\u00e9nement et assure l\u2019encadrement.<\/p>\n<p>L\u2019\u00e9quipe du dispensaire de Saurpani est \u00e0 pied d\u2019oeuvre. Les autorit\u00e9s locales municipales sont l\u00e0.\u00a0 Les Health Community Volunteers et les b\u00e9n\u00e9voles du village ont r\u00e9pondu pr\u00e9sents.Toute la communaut\u00e9 s\u2019est mobilis\u00e9e. Nous sommes pris d\u2019assaut et rapidement nous sommes mis dans le bain, nous n\u2019avons pas le temps de\u00a0 ch\u00f4mer, notre interpr\u00e8te Dhan assure la traduction. Comme le dit \u00ab notre manager \u00bb, le principal obstacle est la langue. Nous avons pris un cours acc\u00e9l\u00e9r\u00e9 de m\u00e9decine n\u00e9palaise et surtout des modalit\u00e9s de prescription avec le stock de m\u00e9dicaments\u00a0 du dispensaire et\u00a0 la dotation de l\u2019h\u00f4pital.<\/p>\n<p>Au total seront r\u00e9alis\u00e9s et d\u00e9pist\u00e9s:<\/p>\n<ul>\n<li>675 consultations de m\u00e9decine g\u00e9n\u00e9rale et gyn\u00e9cologique, 513 femmes et 162 hommes.<\/li>\n<li>180 \u00e9chographies,<\/li>\n<li>25 cas n\u00e9cessitant une prise en charge m\u00e9dico-chirurgicale:<\/li>\n<li>3\u00a0 lithiases urinaires<\/li>\n<li>1 \u00e9coulement mammaire<\/li>\n<li>1 m\u00e9trorragie, saignement intermenstruel<\/li>\n<li>1 hysterectomie totale<\/li>\n<li>1 r\u00e9tention intra-ut\u00e9rine<\/li>\n<li>13 cas de Prolapsus des Organes Pelviens ( prolapsus cervical, rectoc\u00e8le, cystoc\u00e8le) plus ou moins probl\u00e8me de continence, 2 cas de r\u00e9paration du plancher pelvien (Vaginal Hysterectomy and Pelvic Floor Repair)<\/li>\n<li>1 pr\u00e9m\u00e9nopause et possible dysplasie du col<\/li>\n<li>1 tumeur du col<\/li>\n<li>1 ut\u00e9rus cloisonn\u00e9<\/li>\n<li>1 cas d\u2019h\u00e9morro\u00efdes<\/li>\n<li>1 malformation uro-g\u00e9nitale chez une petite fille de 8 ans qu\u2019il faudra absolument prendre en charge<\/li>\n<li>ainsi qu\u2019une tumeur h\u00e9patique \u00e0 bilanter<\/li>\n<li>nombreux suivis de grossesse, un nombre impressionnant de femmes sont arriv\u00e9es de partout alentours pour pouvoir b\u00e9n\u00e9ficier d\u2019une \u00e9chographie obst\u00e9tricale<\/li>\n<li>nombreuses consultations de p\u00e9diatrie dont un cas de nanisme pour lequel nous ne pouvons malheureusement rien<\/li>\n<li>nombreuses consultations pour douleurs abdominales avec demande d\u2019\u00e9chographie, grande fr\u00e9quence des probl\u00e8mes gastriques au N\u00e9pal<\/li>\n<li>douleurs rhumatismales habituelles de ces contr\u00e9es au dur labeur<\/li>\n<li>pathologies infectieuses<\/li>\n<li>d\u00e9pistage d\u2019hypertension art\u00e9rielle, 1 cas d\u2019insuffisance cardiaque<\/li>\n<\/ul>\n<p>Nous n\u2019avions pas pr\u00e9vu une telle affluence, nous faisons avec les moyens du bord mais finalement nous arrivons \u00e0 g\u00e9rer la demande.Le camp conna\u00eet un v\u00e9ritable succ\u00e8s.<\/p>\n<p>Un grand merci aux \u00e9quipes sur place du dispensaire, du village et \u00e0 nos intervenants et partenaires du Suvekchia hospital.<\/p>\n<p>Retour en images :<\/p>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-1 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 33%;\n\t\t\t}\n\t\t\t#gallery-1 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-1' class='gallery galleryid-2915 gallery-columns-3 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src=\"https:\/\/new.manoj.fr\/wp-content\/uploads\/2019\/08\/68875651_2088284598142791_807493657404899328_n-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/new.manoj.fr\/wp-content\/uploads\/2019\/08\/68892850_2088220554815862_7129337298348408832_n-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon portrait'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/new.manoj.fr\/wp-content\/uploads\/2019\/08\/68914072_2088231148148136_294984268059246592_n-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon 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portrait'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/new.manoj.fr\/wp-content\/uploads\/2019\/08\/69378042_2088216934816224_5813710479675097088_n-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/new.manoj.fr\/wp-content\/uploads\/2019\/08\/69404153_2088217084816209_7399722884249157632_o-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/new.manoj.fr\/wp-content\/uploads\/2019\/08\/69411638_2088215961482988_6078583204468490240_n-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/new.manoj.fr\/wp-content\/uploads\/2019\/08\/69447090_2088215804816337_5758413604667785216_n-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/new.manoj.fr\/wp-content\/uploads\/2019\/08\/69463077_2088220941482490_8635273954698723328_n-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon portrait'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/new.manoj.fr\/wp-content\/uploads\/2019\/08\/69479663_2088217401482844_3952618579572031488_n-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon portrait'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/new.manoj.fr\/wp-content\/uploads\/2019\/08\/69482111_2088216384816279_1248243480493293568_n-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/new.manoj.fr\/wp-content\/uploads\/2019\/08\/69499137_2088217264816191_6565695812242767872_n-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon portrait'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/new.manoj.fr\/wp-content\/uploads\/2019\/08\/69518552_2088216578149593_6893475857868783616_n-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/new.manoj.fr\/wp-content\/uploads\/2019\/08\/69575378_2088216458149605_6540119260520251392_n-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/new.manoj.fr\/wp-content\/uploads\/2019\/08\/69593010_2088215308149720_4562597952438140928_n-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon portrait'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/new.manoj.fr\/wp-content\/uploads\/2019\/08\/69593382_2088216164816301_3859674413544767488_n-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/new.manoj.fr\/wp-content\/uploads\/2019\/08\/69650324_2088218591482725_4657048792992841728_n-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/new.manoj.fr\/wp-content\/uploads\/2019\/08\/69706716_2088218074816110_9127882660323000320_n-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/>\n\t\t\t<\/dt><\/dl>\n\t\t\t<br style='clear: both' \/>\n\t\t<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Pour notre 2\u00e8me camp de gyn\u00e9cologie, nous sommes intervenus \u00e0 Saurpani. C\u2019est un village recul\u00e9 des collines himalayennes, dans le quartier n\u00b04, Sulikot Gaupalika, situ\u00e9 dans le district de Gorkha, dans la zone de Gandaki au centre-nord du N\u00e9pal. Au moment du recensement de 2011 au N\u00e9pal, il comptait 5 958 habitants et 1 325 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2920,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[12,4],"tags":[],"class_list":["post-2915","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-camps-de-sante","category-actions"],"_links":{"self":[{"href":"https:\/\/new.manoj.fr\/index.php\/wp-json\/wp\/v2\/posts\/2915","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/new.manoj.fr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/new.manoj.fr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/new.manoj.fr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/new.manoj.fr\/index.php\/wp-json\/wp\/v2\/comments?post=2915"}],"version-history":[{"count":0,"href":"https:\/\/new.manoj.fr\/index.php\/wp-json\/wp\/v2\/posts\/2915\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/new.manoj.fr\/index.php\/wp-json\/wp\/v2\/media\/2920"}],"wp:attachment":[{"href":"https:\/\/new.manoj.fr\/index.php\/wp-json\/wp\/v2\/media?parent=2915"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/new.manoj.fr\/index.php\/wp-json\/wp\/v2\/categories?post=2915"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/new.manoj.fr\/index.php\/wp-json\/wp\/v2\/tags?post=2915"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}