Izindululo ezitsha zithi * konke * ukulawulwa kokuzalwa kwehomoni kufuneka kufumaneke ngaphaya kwe-Counter

Umxholo

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Umlo wokwenza ulawulo lokuzalwa kwehomoni lufikeleleke ngokubanzi luyaqhubeka.

Kuhlelo luka-Okthobha I-Obstetrics & Gynecology, I-American College of Obstetricians and Gynecologists (ACOG) icebisa ukuba konke Iindlela zokuthintela ukukhulelwa kwehomoni-kubandakanya ipilisi, iringi yelungu lobufazi, indawo yokucwangcisa kunye nedepo medroxyprogesterone acetate (DMPA) inaliti-zikhuselekile ngokwaneleyo ukuba zingafikelela ngaphandle kwekhawuntari ngaphandle kwezithintelo zeminyaka, ngokokushicilelwa kukhutshwe yikomiti. (IUDs kusafanele ukuba zenziwe kwi-ob-gyn's office yakho; ngaphezulu koku kulapha ngezantsi.) Esi sisimo esihlaziyiweyo, esinamandla kunengxelo zangaphambili ezivela ngo-2012, eyacebisa ukuba kuphela kukhulelwa ngomlomo kufuneka kufumaneke ekhawuntareni. Okubalulekileyo, nangona kunjalo, i-ACOG iphinda ithi kushicilelo lwayo lokushicilela ukuba i-ob-gyn check-ups yonyaka isanconywa, kungakhathaliseki ukuba ukufikelela kulawulo lokuzalwa.

"Isidingo sokufumana amayeza rhoqo, ufumane ukuvunywa kwakhona, okanye ucwangcise ixesha lokuqeshwa kungakhokelela ekusetyenzisweni okungahambelaniyo kwendlela yolawulo lokuzalwa," utshilo uMichelle Isley, MD, MPH, owabhala uluvo lwe-ACOG, utshilo kumaphephandaba. ukukhulula. Ngokwenza zonke iindlela zokuthintela ukukhulelwa kwehomoni zifumaneke ekhawuntareni, abafazi baya kuba nakho ukufikelela kukhetho oluninzi ngaphandle kwale miqobo iqhelekileyo, ucacisile.

Kwimeko apho zonke iindlela zolawulo lokuzalwa kwehomoni yenza ifumaneke ngaphezulu kwekhawuntari ngamanye amaxesha, akufuneki ibe yinkcitho yokufikeleleka, yongeze ilungu lekomiti ye-ACOG, uRebecca H. Allen, MD, MPH, kupapasho lwekomiti. Ngamanye amagama, ixabiso lala mayeza akufuneki linyuke ngenxa yokuba ziya kufumaneka ngokulula. Ukhuseleko lweinshurensi kunye nenkxaso yemali yokuthintela ukukhulelwa kufuneka isasebenza, utshilo uGqirha Allen. (Eyeleleneyo: Iintsomi ezi-7 eziQhelekileyo zoLawulo lokubeleka, ziGqwethwe yiNgcali)

Enyanisweni, kubalulekile ukuba iindleko zokulawulwa kokuzalwa ziqwalaselwe xa kuqwalaselwa ezi ngcebiso, uLuu Ireland, M.D., M.P.H., FACOG, unjingalwazi oncedisayo wokubelekisa kunye ne-gynecology kunye nonondyebo we-ACOG's Massachusetts Section, uxelela Ubume. "Okwangoku, ukukhulelwa kwehomoni kuyabhatalwa ngaphandle kweendleko kwisigulana phantsi koMthetho woKhathalelo ongenakufikeleleka," ucacisa watsho uGqirha Ireland. "Olu khuselo lwendleko kufuneka luhlale lukhona. Asinakho ukurhweba ngomqobo omnye (isidingo sokuyalelwa) komnye (iindleko zokuphuma epokothweni)."

Ke, kutheni le nto inyanzelwa ukuba uthintele inzalo? Ngokwezibalo nangokwenzululwazi, iyavakala, utsho uGqr.

"Phantse isiqingatha sabo bonke abantu abakhulelweyo eMelika abecwangciswanga, kwaye abasetyhini bafanelwe ukufikelela ngokulula kwiindlela ezifanelekileyo zokuthintela ukukhulelwa," ucacisa. Ithemba kukuba iindlela zokhetho ezinokufikeleleka ngakumbi ziya kuthetha ukukhulelwa okungafunekiyo, utshilo. (Kwaye masingalibali ukuba ulawulo lokuzalwa luhlala lusetyenziselwa ukunyanga imeko yezempilo yabasetyhini njenge-polycystic ovary syndrome.)

Kambe ke, imeko yezopolitiko yamva nje malunga nokufikelela kulawulo-nzala iye—ukuyibeka lula—imbi. Umongameli uTrump ukhe wabeka umbono wokuxhasa ngemali ubuzali obucwangcisiweyo, oyena mboneleli mkhulu wezempilo yabasetyhini kunye neenkonzo zokuzala e-US. Kwaye iiRephabliki zeSenate ziye zatyhala umthetho owamisela umda kubuchule bokuba ngumzali ekuboneleleni ngeenkonzo ezinje ngemizimba, ukuhlolwa komhlaza kunye nokhathalelo lokuthintela ukukhulelwa. Konke oku kwenza ukufikelela kolawulo lokuzalwa kubaluleke ngakumbi.

Akukho sayensi icebisa ukuba kunyanzelekile ukuba wenze utyelelo lwe-ob-gyn ukufumana ulawulo lokuzalwa, wongeza uGqirha u-Ireland. Endaweni yoko, ukutyelelwa ngugqirha kunye nemfuno yommiselo kaninzi "zibonisa izithintelo zokwenene kwabasetyhini ekufikeleleni kuthintelo lokucwangcisa abanqwenelayo," ucacisa. Ezi zithintelo zibandakanya oogqirha abangayiqondiyo indlela ezisebenza ngayo izinto ezithile zokuthintela ukukhulelwa, iimpazamo malunga nonyango, kunye neenkxalabo ezibaxiweyo malunga nokhuseleko, ngokwembono ka-2015 epapashwe yi-ACOG.

Kodwa ngenxa yokuba akufanele babe ukuya kwi-ob-gyn ukufumana ulawulo lokuzalwa kwehomoni, oko akuthethi ukuba akufuneki ubabone konke konke. Utyelelo lonyaka kunye nokuvavanywa kusafuneka kukhathalelo lwempilo (cinga: i-pap smears, ukuvavanywa kwezifo ezosulela ngokwabelana ngesondo kunye nosulelo, ugonyo, amabele, kunye neemviwo zangasese, njl.), Utshilo uGqirha Ireland. Utyelelo lukagqirha lukwakunika ithuba lokuxoxa ngazo naziphi na iinkxalabo onokuba nazo malunga nokuya esikhathini, umsebenzi wesondo, okanye impilo yelungu lobufazi ngokubanzi, uyongeza. Qaphela: Abo bakhetha ukufakelwa i-IUD okanye izinto zokuthintela ukukhulelwa kusenokufuneka benze idinga nogqirha wabo ukufakwa okokuqala kwesixhobo, ucacisa uGqirha Ireland. (Eyeleleneyo: I-Op-Ed kaLena Dunham sisikhumbuzo sokuba uLawulo lokubeleka lungaphezulu kakhulu kunoThintelo lokukhulelwa)

Ngokuphathelele kwabo banokuba bajonge ukuzama ukuzalwa okokuqala ngqa, i-ob-gyn isaza kuhlala isisibonelelo esibalulekileyo ekuncedeni ukhethe ukuba yeyiphi indlela efanelekileyo emzimbeni wakho, utshilo uGqirha Ireland. Kodwa i-FWIW, izifundo ezininzi "zophando oluphezulu" zibonise ukuba abantu basetyhini bayakwazi ukuzikhusela ngokukhuselekileyo kwaye babone ukuba ngaba bangabagqatswa bokulawulwa kokuzalwa kwehomoni, uyongeza. Kwaye kunye nolawulo lokuzalwa babe Ukufumaneka kwi-counter, iilebheli zonyango ziza kusebenza njengesikhokelo esongezelelweyo malunga nendlela yokuyisebenzisa, kunye nokubonelela naziphi na izilumkiso / iinkxalabo abasebenzisi kufuneka bazi, uyachaza.

Ukuba uluvo lolawulo lokuzalwa ngaphezulu kwe-counter luvakala luluhle kakhulu ukuba lungayinyani, kungenxa yokuba, njengangoku, kunjalo. (Jonga: Yintoni enokuNyulwa nguDonald Trump ngekamva leMpilo yabaseTyhini)

Umgca ongezantsi: Musa ukurhoxisa idinga lakho le-ob-gyn okwangoku. Ezi ngxelo zivela kwi-ACOG, njengangoku, zizindululo ngokubanzi. Imigaqo-nkqubo ayitshintshanga, kwaye ukulawulwa kokuzalwa kwehomoni kusafumaneka kuphela ngomyalelo eUnited States.

Olu tshintsho aluzukwenzeka ngokukhawuleza, utshilo uGqirha Ireland. "Kukho inkqubo ekufuneka yenzeke ngoLawulo lwe-US Food and Drug Administration (i-FDA) [phambi] kokuba kufumaneke ubume be-counter."

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