Abasetyhini Bathengisa iPilisi yokuKhupha isisu
Kwamazwe angaphezu kwama-70 apho ukukhipha isisu kuvinjelwe khona, amaninzi amabhinqa ngoku afuna iinkonzo ezinikezwa ngabaseTyhini kwiWebhu "Ndifuna ukukhupha isisu" ukuthenga amachiza afanelekileyo okwenzeni ukukhupha izisu . Xa beya kulewebhusayithi, abafazi bacelwa ukuba bazalise umbuzo we-25 wokubonisana nombuzo ukuqinisekisa ukuba ngaba ngumviwa ofanelekileyo wokukhupha isisu.
Emva kokubonisana, kucelwa ukuba lo mfazi enze umnikelo okungenani ama-70 ukuya kwi-90 zama-euro (okulingana no-$ 80- $ 100 kwiedola zase-US) - kuxhomekeke kwilizwe ahlala kulo. Ugqirha ogunyazisiweyo uvavanya iimpendulo zakhe, kwaye ukuba uyafaneleka, mifepristone (RU486) kunye ne-misoprostol ithunyelwa ekhaya. Amachiza okukhipha isisu ahamba kunye nemiyalelo malunga nendlela yokusebenzisa le mithi , yintoni enokuyilindela, kwaye xa ufuna uncedo kumgqirha. Kukho umnxeba wokunxibelelana ukuba uqhagamshelane ukuba umfazi unemibuzo eyongeziweyo malunga nayiphi na inyathelo kwinkqubo.
Ukusetyenziswa kwe-mifepristone kunye ne-misoprostol kuya kubangelwa ukupheliswa kokungakhuseli kokukhulelwa kwangaphambili. Abafazi kwi-Web bathi i-site yabo inceda abafazi "ukufumana ukukhupha isisu ngokukhuselekileyo kunye neepilisi ukwenzela ukunciphisa inani lokufa ngenxa yokukhipha isisu." Ukongeza, uphando luxhasa ukuba isisu sokukhupha isisu singasetyenziselwa ekhaya ngokukhuselekileyo nje kuphela ukuba ibhinqa inolwazi olufanelekileyo kwaye inokufumana unyango lwengxamisekileyo (kwimeko enqabileyo yokuba kukho iingxaki).
Ngaphambi kokuyalela iipilisi zokukhupha isisu, lewebhu ibonisa ukuba kufuneka uthabathe uvavanyo lokukhulelwa kwaye mhlawumbi i-ultrasound ukuqinisekisa ukuba ukhulelwe.
Ungathenga kuphela kwiipilisi zokukhupha isisu kwi-"projekthi", ukuba:
- Uneminyaka engaphantsi kwezi-9 ezikhulelweyo (iintsuku ezingama-63).
- Awunakho ukuphikisana (okubandakanya: unayo i- IUD , ukuphazamiseka kwegazi, ukungaphumeleli kwe-adrenal engapheliyo, unyango lwe-corticosteroid elide ixesha elide, kunye / okanye okanye unesifo sokungabikho komzimba kwi-mifepristone okanye i-misoprostol).
- Awunazo izifo ezinzima.
- Awunayo umntu onokunyanzelisa ukuba ugqibe ukukhulelwa kwakho.
- Uhlala kweli lizwe apho ukufikelela kwisisu esikhuselekileyo kunqatshelwe khona.
Iwebhsayithi inika uphando oluchanekileyo ukuba amabango athi ukukhipha isisu kuvezwe ukuba kusebenza ngempumelelo kwi-trimester yokuqala (iiveki ezili-12 ezikhulelweyo) kwaye kuya kubavumela abafazi abafanelekayo ukuba bathenge iipilisi zokukhipha isisu xa bengaphantsi kweentsuku ezingama-63 ezikhulelweyo (iiveki ezi-9 zihamba). EUnited States, i-RU486 sele ivunyiwe yi-FDA kwabasetyhini ukuya kwiiveki ezi-7 ezikhulelweyo (okanye ukuya kwiintsuku ezingama-49 emva kokuhamba kwakho kwexesha lokugqibela). Xa kuthethwa ukuba, abasetyhini baseMelika abavumelekanga ukuthenga ezi pilisi zokukhupha izisu ngenxa yokufikelela kwisisu akukhawulelwanga.
Abagxeki beenkonzo ezibonelelwe yilo bango bathi bangakhuthaza abafazi, ukusuka kumazwe ukukhishwa kwesisu akuvumelekanga, ukuphula umthetho. Nangona kunjalo, imimiselo yamasiko kumazwe amaninzi avumela abantu ukuba babe neyeza ezithunyelwe kubo ukuze zizisebenzise ngokwazo nje ngoxa zincinci.
I-Mifepristone kunye ne-misoprostol nazo zikwahlu lwe-World Health Organisation (WHO) uluhlu lwamachiza abalulekileyo, aziqhathaniswa njengezonyango, ukuxhatshazwa okanye izinto ezilawulwayo. I-WHO ichaza i-heath ngokuthi, "isimo sengqondo esipheleleyo yenyama, yengqondo nentlalo kwaye kungekhona nje ukungabikho kwezifo okanye ubuthathaka." Abafazi kwiWebhu bakholelwa ukuba bonke abafazi bafumana ukukhulelwa okungafunekiyo kwaye abanakho ukufikelela ngokufanelekileyo ekukhuselweni kokukhupha isisu banelungelo lokubonelelwa ngononophelo phantsi kobomi kunye nokuxolelwa kwempilo kwemithetho yokukhupha isisu.
Abagxeki bavakalisa ukukhathazeka ukuba abafazi banokufumana uxinzelelo olunzulu lwezonyango ukuba bethengisa la mayeza aphuma kwii-intanethi ezilawulwa kakubi ezingabanikeli abafazi ngolwazi olufanelekileyo lwezonyango kunye nocelomngeni ukuthembela kweengxoxo ze-intanethi.
Sekunjalo, le miphunga yokukhipha isisu ayinalo umlutha kwaye inobungozi obuphantsi kweengxaki. Ngokuqhelekileyo, kuphela kwababini ukuya kwebathathu kuphela kwabasetyhini abangama-100 abanesifo sokukhupha isisu baya kufuna udokotela wengingqi okanye isibhedlele ukuze bafumane unyango olongezelelweyo (njengophulo oluphambeneyo ). Lo mngcipheko ulingana nenani okanye abantu abafuna unonophelo lwezokwelapha ngenxa yokusabela okwenyathelo lokusebenzisa i-penicillin. Abafazi kwiWebhu bachaza ukuba lewebhu isebenzisa ukubonisana nge-intanethi ukubuza imibuzo efanelekileyo ukuze ufumane lonke ulwazi olufunekayo kugqirha ukuze ubone ukuba ngaba umfazi unako ukukhupha isisu sokukhupha isisu. Njengokuba ngexesha lokujongana ubuso nobuso, ngokubonisana nomntu, ugqirha uyaxhomekeka ukuba unika ulwazi olunyanisekileyo . Ukuhlola abafazi ngokuchasene kwi-intanethi akufani nokokuthetha nabo ngomntu, kwaye zombini iindlela zixhomekeke ekuthembekeni kwowesifazane.
Ngokwenene, siyazi ukuba ukukhipha isisu ngenye yeendlela zokungenelela ezona zikhuselekileyo. I-"I need out" isicwangciso sokufuna ukunceda abesifazana emhlabeni jikelele ukuba bakhuphe ukukhupha isisu kunye nokunciphisa ukufa ngenxa yokukhupha isisu. Kunyaka ngamnye, malunga nezigidi ezingama-42 eziziintombi zikhetha ukukhipha isisu kuzo zonke iintlobo zezizathu . Kwamazwe apho ukukhupha isisu ngokukhuselekileyo akufumaneki, malunga nezigidi ezingama-20 ezimasetyhini zifuna iinkonzo ezingakhuselekanga zokukhipha isisu ... ezikhokelela kuma-47,000 ukufa okungadingekile ngonyaka. Iinkonzo zokukhupha isisu ezinjengalezi zinokunceda ukwenza izisu zonyango zikhuseleke kakhulu kwabasetyhini abangenakho ukufikelela kwiinkonzo zokukhupha isisu.
-> Ucinga ntoni? Ingxabano okanye into entle? Nceda wabelane ngezimvo zakho kwi-post yami ye-Facebook: Kwizonyango zokuNyuka kwezeMpilo -Bafazi baThengisa iipilisi zokuKhulelwa kweNdlu kwi-Intanethi
Imithombo:
I-Gomperts RJ, uJelinska K, Davies S, Gemzell-Danielsson K, & Kleiverda G. "Ukusebenzisa i-telemedicine ekupheliseni ukukhulelwa kunye ne-mifepristone kunye ne-misoprostol kwiimeko apho kungekho ukufikelela kwiinkonzo ezikhuselekileyo." BJOG. 2008 Aug; 115 (9): 1171-5; ingxoxo 1175-8. Kufumaneka ngokubhalisa kwangasese
UHarper C, u-Ellertson C, kunye noWinikoff B. "Ngaba abafazi baseMerika bangasebenzisa iipypristone-misoprostol iipilisi ngokukhuselekileyo?" Ukukhulelwa. 2002; 65: 133-142. Kufumaneka ngokubhalisa kwangasese.