Unako ukuthenga iipilisi zokulawula ukuzalwa kwi-Counter kungekudala
Umxholo
Okwangoku, ekuphela kwendlela onokufumana ngayo ulawulo lokuzalwa kwehomoni, njengepilisi, e-US kukuya kugqirha wakho ufumane amayeza. Oku kunokwenza ukuba kube nzima kwaye kungathandeki kubafazi ukuba bafikelele kulawulo lokuzalwa, kwaye njengoko sisazi, ngcono ukufikelela kolawulo lokuzalwa, isezantsi izinga lokukhulelwa elingafunekiyo. Ngokwamaziko oLawulo lweNtsholongwane kunye noThintelo, amazinga okukhulelwa kolutsha kwinqanaba eliphantsi, kwaye loo nto inento yokwenza nolawulo lokuzalwa.
Ewe, enkosi kwinkampani yaseFrance ebizwa ngokuba yi-HRA Pharma, indlela uninzi lwabantu baseMelika abafumana ngayo ulawulo lokuzalwa kwehomoni kusenokwenzeka kwinkqubo yokutshintsha. Baye basebenzisana ne-Ibis Reproductive Health, inhlangano engenzi nzuzo ethethelela amalungelo abasetyhini okuzala, ukwenza ipilisi yokulawula ukuzala engaphezulu kwekhawuntara. Nangona inkqubo yokufumana olu hlobo lwamayeza oluvunyiweyo yiFederal Drug Administration kusetyenziso lwe-OTC inde kakhulu (sithetha iminyaka), kuyasivuyisa ukubona le mibutho mibini idibana ukuze iqhube ibhola.
Ngelixa abaninzi bevuma ukuba luluvo olulungileyo ukubonelela ngokhetho lwe-OTC yokulawula ukuzalwa kwehomoni, iinkampani zaseMelika zoxubo-mayeza ziye zathandabuza ukwazisa enye kwiimarike, mhlawumbi ngenxa yexesha kunye neendleko ezifunekayo ukwenza njalo. Ngokuka-HRA, intle kakhulu into engabalulekanga, nangona kunjalo. "Kwi-HRA, siyazingca ngomsebenzi wethu wobuvulindlela ukwandisa ukufikelela kufikelelo kuthintelo lokuthintela ukukhulelwa kwizigidi zabasetyhini," inkampani ixelele uVox. "Izinto zokucwangcisa ngomlomo zezinye zezona ziyobisi zifundwa kakuhle kwintengiso namhlanje kwaye bonwabele inkxaso ende yeengcali zonyango kunye noluntu."
Kuyinyani ukuba iyonke, ipilisi ikhuselekile kakhulu ukuba uyisebenzise. Owona mngcipheko uphambili uthwalwa zizicwangcisi zomlomo ngamahlwili egazi, aqhele ukunxulunyaniswa nepilisi yokudibanisa, okanye uhlobo lwepilisi ebandakanya zombini iihomoni ze-estrogen kunye neprogestin. Oku kunokuba yinxalenye yesizathu sokuba ipilisi ye-HRA ibe yi-progestin-kuphela, njengezinye iipilisi zokulawula ukuzalwa kweemarike kwintengiso. Iipilisi ezineprogestin kuphela zinezinye iingenelo, ezifana nokukhanyisa okanye ukuyeka amaxesha ngokupheleleyo. Ukongeza, iPlani B, esele ivunyiwe ukuba isetyenziswe kwi-OTC, iqulethe kuphela iprogestin, oku kuthetha ukuba sele kukho iyeza elivunyiweyo elinezithako ezifanayo, okwenza kube lula ukuba eli litsha livunyelwe. Kwaye, kuba abanye abantu basebenzisa iSicwangciso B njengeyona ndlela iphambili yolawulo lokuzalwa, kungangcono abo bantu batshintshele kwi-OTC esebenzayo. Isicwangciso B sikhusela kuphela ukukhulelwa kwe-75% yexesha, kwaye ipilisi iyayinqanda kwi- kakhulu Iqondo eliphezulu-99% ukuba lithathwe kanye njengoko kuyalelwe, ngokweCwangciso loMzali.
Kuyafaneleka ukuba uqaphele ukuba unokufumana iipilisi zokulawula ukuzalwa kwi-pharmist yakho eCalifornia nase-Oregon, nangona oku kungenjalo "ngaphezu kwekhawuntari" kuba kufuneka udibane nekhemistri ngaphambi kokuba ufumane amayeza. Iminwe yawela isibhengezo seli chiza elitsha liya kwenza kube lula ukufumana ukulawulwa kokuzalwa kuwo onke amazwe. (Ukuba unomdla wokuba oku kunokuchaphazela njani izimo zengqondo zabantu malunga nesondo, nali ibali lomfazi omnye lokuba kwakunjani ukukhula nge-OTC yepilisi.)