גיימר אל תתווכח איתו אני לא רוצה להרוס את האשכול אני רוצה שכולם יקראו מה שהבאתי כולל אתה.
Fistulas are a kind of damage that is seldom seen in the developed world. Many obstetricians have encountered the condition only in their medical texts, as a rare complication associated with difficult or abnormal childbirths: a rupture of the walls that separate the vagina and bladder or rectum. Where health care is poor, particularly where trained doctors or midwives are not available, fistulas are more of a risk. They are a major health concern in many parts of Africa.
In eastern Congo, however, the problem is practically an epidemic. When a truce was declared in the war there in 2003, so many cases began showing up that Western medical experts at first called it impossible—especially when local doctors declared that most of the fistulas they were seeing were the consequence of rapes. "No one wanted to believe it at first," says Lyn Lusi, manager of the HEAL Africa hospital (formerly called the Docs Hospital) in the eastern Congo city of Goma. "When our doctors first published their results, in 2003, this was unheard of."
Thousands of women had been raped so brutally that they had fistulas. They wandered into hospitals soaked in their own urine and feces, rendered incontinent by their injuries. "
But more often the damage is caused by the deliberate introduction of objects into the victim's vagina when the rape itself is over. The objects might be sticks or pipes. Or gun barrels. In many cases the attackers shoot the victim in the vagina at point-blank range after they have finished raping her. "Often they'll do this carefully to make sure the woman does not die," says Dr. Denis Mukwege, medical director of Panzi Hospital. "The perpetrators are trying to make the damage as bad as they can, to use it as a kind of weapon of war, a kind of terrorism." Instead of just killing the woman, she goes back to her village permanently and obviously marked. "I think it's a strategy put in place by these groups to disrupt society, to make husbands flee, to terrorize."
The worst perpetrators call themselves the Federation for the Liberation of Rwanda. They were the Hutu militiamen—also known as the Interhamwe—who carried out the 1994 Rwandan genocide. That bloodbath ended when the Interhamwe were forced to retreat across Rwanda's western border into Congo, where they remain to this day, deep in the forests, armed, deadly and with nowhere else they can go. But the tactic of violent rape is used by many of the other armed factions in the area, including the Congolese Army, according to relief workers and United Nations officials. "It has been used as a weapon of war for so long it's become almost a habit," says Ross Mountain, the U.N.'s humanitarian coordinator for the Congo. "All sides are doing it, and the national army is by no means immune from that." "All the armed men rape," says Doctor Mukwege. "When we see a lesion, we can tell who the perpetrator is; there are special methods of each group, types of injuries. The Interahamwe after the rape will introduce objects; a group in Kombo sets fire to the women's buttocks afterwards, or makes them sit on the coals of a fire. There's another group that specializes in raping 11-, 12-, 13-,
14-year-old girls, one that gets them pregnant and aborts them." The youngest victim of fistula from rape his hospital has seen was 12 months old; the oldest, 71.
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