Cancer is the third highest cause of morbidity in Kenya, Endometrium cancer is the sixth most common cancer worldwide according to http://www.wcrf.org/int/cancer-facts-figures/data-specific-cancers/endometrial-cancer-cancer-lining-womb-statistics.
Uterus is where a fetus grows and develops when a woman is pregnant,endometrium is the inner layer of uterus which prevent adhesion between the opposed wall of the outer layer (myometrium) thereby maintaining the degree of openness of the tube of the outlet in the cavity (patency). During a woman’s menstrual cycle hormones cause the endometrium to change during the early stage of the cycle, before ovulation oestrogen (hormone) is produced by the ovaries which make the endometrium thicken so as to nourish an embryo if pregnancy occurs, if no pregnancy, estrogen is produced in low amount and more of progesterone is made after ovulation , preparing the endometrium to shade as menstrual period this cycle repeats until the woman’s’ is post menopause.
Endometrial cancer begins when cells in the lining of the uterus start to multiply out of control and these cells are capable of spreading to other parts of the body , it can be detected early enough for treatment. It is influenced by the following factors:-
- Use of intrauterine device
- hormonal change
- birth control pills
- Family history
- Having been diagnosed with other types of cancer such as ovarian cancer, breast cancer. data shows that in every 30 cases of cervical cancer there is one case of endometrial cancer.
Causes of endometrial cancer
Body fatness and glycemic are the well-known causes of this type of cancer, therefore people are asked to engage in physical activities and drink coffee.
Endometrial cancer like any other cancer can be treated through surgery, radiation therapy , hormonal therapy and chemotherapy.
Is a large nematode (roundworm) which is ingested through drinking contaminated water.The condition is known as guinea worm disease.Guinea worm is 1.2 m long and causes debilitating and painful infection that begins with a blister. It is not easily detected until it pierces the skin rearing it’s threadlike body.
One experiences itching, fever, swelling ,severe pain and a burning sensation.
How one gets Guinea worm disease..
- Human drinks dirty water with water fleas which have the young guinea worms.
- The young worm passes through the stomach and the intestines.
- Adult worms move towards the skin surface and to other parts of the body
- One year after, the adult worm causes a painful watery swelling, that sends out young worms after coming into contact with water.
- The water fleas swallow the young ones and the cycle continues.
People suffering from Guinea worm disease should not enter into water that the community drinks and humans are encouraged to drink treated/filtered/boiled water.
Removal of the worm MUST be done in a health facility.
Eradication of Guinea worm disease Kenya
Kenya is said to be certified free of guinea worm disease before this year(2017) ends however this can only be done if there are zero cases reported of the disease before then.
Dr. Oigara WHO public adviser promised a reward of KSH 100,000 to any Kenyan who will report any suspected case of guinea worm disease within the country.Reports can be done through cont: 0732353535/0729471414 or at any public health facility.
Importance of Guinea worm disease free certificate.
Once Kenya will be declared free from this disease, it will have joined 198 other countries in the world and 40 in Africa in that league.
Fistula also Known as vesico vaginal fistula is a destructive condition that affects women and girls across Africa. It is a hole between the birth canal and bladder/rectum caused by prolonged , obstructed labor without access to timely and quality medical treatment which results to uncontrolled leakage of urine. Leading to social isolation, skin infections,skin disorders and death if untreated.
Causes Of Fistula.
- Sexual violence
- early marriages and child-birth
- harmful traditional practices
- Lack of access to maternity care (financial catastrophe, geographical and culture)
Ways in Which Fistula can be avoided
- timely access to quality obstetric care especially cesarean section
- Delaying the age of first pregnancy
- Cessation of harmful traditional practices
Some of the challenges faced mostly is lack of awareness and lack of commitment to address and resolve the issue. Kenya being a developing country face this challenges, however through donations and government funds they have improved in terms of awareness for instance, they had free fistula treatment to all women across the country at Kenyatta National Hospital from 16/June/2017 to 30/June/2017, also the number of health centres offering fistula treatment has increased so as to reach women allover the country. This institutions include:-
Kenyatta National Hospital- Nairobi
Jaman Mission Hospital-Nairobi
Isiolo Development Project- Isiolo
Daraja MbiliVision volunteers-Kisii
Gynocare Fistula Center- Eldoret
Wamba catholic Hosp-Samburu
Women and Development Against Distress In Africa-(WADADIA)
Cherangany Nursing Home-Kitale
Jaramogi Oginga Odinga Teaching and Referral Hospital-Kisumu
Universal access to safe delivery care and Maternal health care are assured ways of reducing or getting away with Fistula in our country.
“Women with obstetric Fistula are indicators of the failure of health systems to deliver accessible, timely and quality care”