Uphando olutsha lubonisa ukuba ukuqhomfa kwangethuba kweTele kukhuselekile

Umxholo

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Ukuqhomfa ngokuqondakalayo kungumba oshushu eUnited States ngoku, kunabantu abanomdla kumacala omabini engxabano. Ngelixa abanye benemikhwa yokuziphatha ngengcinga yokuqhomfa, ngokwembono yezonyango, ukukhupha isisu kwangoko kwezonyango-okuhlala kwenziwa ukuya kuthi ga kwiiveki ezilithoba emva kokukhulelwa kwaye kulawulwa uthotho lweepilisi ezimbini (mifepristone kunye ne-misoprotol) -kucingelwa njenge inkqubo ekhuselekileyo. Kungenxa yokuba kwimeko yeklinikhi, ukuba nengxaki enkulu ekukhutshweni kwesisu kunqabile, kwaye enyanisweni kukhuseleke amaxesha ali-14 kunokubeleka.

Akukho nto ingako yayisaziwa ngaphambili, nangona kunjalo, malunga nokhuseleko olunxulumene nokuqhomfa kwezonyango ekhaya olwafunyanwa ngokuthe ngqo nge-telemedicine. Olu hlobo lokuqhomfa lolona khetho kuphela kwabasetyhini kumazwe apho inkqubo ithintelweyo (ngaphandle kokuya kwelinye ilizwe). Uphando olutsha lupapashwe kwi BMJ icebisa ukuba ekhaya ukukhutshwa kwezisu kwangoko okwenziwa ngoncedo lwamagqirha ukude kukhuselekile njengakwiiklinikhi. (Apha, fumana ukuba kutheni uninzi lwabafazi befuna ukukhupha isisu.)

Nantsi indlela isifundo esisebenza ngayo. Abaphandi bajonga idatha yokuzixela evela kubafazi abali-1 eIreland naseMantla eIreland abathi bakhupha isisu ngonyango kusetyenziswa itelemedicine. Idatha yophononongo inikezelwe ngabaseTyhini kwiWebhu, umbutho ozinze eNetherlands onceda abasetyhini ukuba bakhuphe izisu kwangethuba ekhaya ukuba bahlala kumazwe apho imithetho yokuqhomfa ingqongqo kakhulu. Le nkonzo isebenza ngokudibanisa abasetyhini abafuna ukukhupha izisu noogqirha ababanike amayeza emva kokuba abasetyhini bephendule iphepha lemibuzo malunga nemeko yabo. Kuyo yonke inkqubo, bafumana uncedo kwi-Intanethi kwaye bayacetyiswa ukuba bafune unyango lwasekhaya ukuba bafumana iingxaki okanye iimpawu ezingaqhelekanga.

Kumabhinqa ali-1 000 awahlolwayo, angama-94,5 ekhulwini aye aqhomfa ngokuphumelelayo ekhaya. Inani elincinane labasetyhini lafumana iingxaki. Abafazi abasixhenxe baxele ukufumana utofelo-gazi, kwaye ama-26 amabhinqa axele ukuba afumana i-antibiotics emva kwenkqubo. Lilonke, abafazi abangama-93 baye bacetyiswa nguWoW ukuba bafune unyango ngaphandle kwenkonzo. Akukho kufa kwabikwa ngabahlobo, usapho, okanye amajelo eendaba. Oko kuthetha ukuba ngaphantsi kwe-10 ekhulwini kula mabhinqa kwakufuneka abonane nogqirha ngokobuqu, yaye ngaphantsi kwe-1 ekhulwini kwaba neengxaki ezinzulu. (I-FYI, yiyo loo nto amazinga okuqhomfa engawona manqanaba asezantsi ukusukela oko uRoe v. Wade.)

Ukusuka koku, ababhali bagqibe kwelokuba ukhuseleko lokuqhomfa kwangoko kwezonyango lunokuthelekiswa nolwasekliniki. Kwaye, kukho izibonelelo zokuba ukhethe ukhetho. "Abanye abafazi banokukhetha ukukhupha isisu besebenzisa i-intanethi ye-telemedicine kuba banokusebenzisa amayeza kwindawo yokuthuthuzela amakhaya abo, okanye banokuxhamla kwi-telemedicine yabucala enikezelwayo ukuba abakwazi ukufikelela ngokulula ekliniki ngenxa yeqabane elilawulayo okanye ukungamkelwa kosapho," uyachaza. UAbhigali RA U-Aiken, M.D., M.P.H., Ph.D., umbhali okhokelayo wokufunda, uprofesa oncedisayo kunye nomncedisi we-faculty kwi-LBJ School of Public Affairs kwiYunivesithi yaseTexas e-Austin. (Ukuva banzi malunga nendlela ukukhupha isisu okuchaphazela ngayo abantu basetyhini bokwenyani, funda ukuba omnye umfazi wabelana njani ngomzabalazo wakhe wokuthanda umzimba wakhe emva kokubeleka.)

Ukuthathela ingqalelo into yokuba ubuzali obucwangcisiweyo bunyanzeleke ukuba buvale uninzi lweendawo zabo e-Iowa kwaye akukho lula ncam ukukhupha isisu ukuba ufuna enye kwamanye amazwe ngenxa yezithintelo ezigunyazisiweyo ngurhulumente, i-telemedicine inokudlala indima ekukhupheni isisu e-US nayo. . Kodwa kukho ingxaki enye: Iinkonzo ezifana ne-WoW azifumaneki ngokubanzi apha e-US, ngenxa yemithetho kumazwe amaninzi efuna ukuba ugqirha olawulayo abekho ngexesha lokuqhomfa.

"Umehluko oyintloko kukuba abafazi base-Ireland banokufikelela kwinkonzo eqinisekisa ukuba banokwenza izisu zabo ngokukhuselekileyo nangempumelelo ngokubonelela ngolwazi oluchanekileyo, umthombo othembekileyo wamachiza, kunye neengcebiso kunye nenkxaso ngaphambi, ngexesha, nangemva kokukhipha isisu." Ugqirha Aiken uyacacisa. "Iincoko ezizayo malunga nokufikelela kwesisu eMelika kufuneka zibandakanye iimodeli zetelemedicine njengendlela yokuphucula impilo yoluntu kunye namalungelo okuzala."

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