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Kulimbana kuti njira zoletsa kubereka za m'thupi zikhale zosavuta kuzifikira zikupitilira.

M'magazini ya Okutobala ya Obstetrics & Gynecology, American College of Obstetricians and Gynecologists (ACOG) akuwonetsa kuti zonse mitundu ya kulera kwa mahomoni—kuphatikiza mapiritsi, mphete ya kumaliseche, chigamba cholerera, ndi jakisoni wa depot medroxyprogesterone acetate (DMPA)—ndi zotetezeka kuti munthu azitha kupita kukauntala popanda ziletso za zaka, malinga ndi zomwe komitiyo inatulutsa. (Ma IUD ayenera kuchitidwabe ku ofesi yanu ya ob-gyn; zambiri pa izi pansipa.) Ichi ndi kaimidwe katsopano, kolimba kuposa malingaliro am'mbuyomu a 2012, omwe adawonetsa kuti kulera kwapakamwa kokha ndikoyenera kupezeka pa-kauntala. Chofunikira, komabe, ACOG imatinso m'mawu ake atolankhani kuti kuwunika kwa ob-gyn kwapachaka kumalimbikitsidwabe, mosasamala kanthu zakulera.

"Kufunika kwa nthawi zonse kupeza mankhwala, kulandira chilolezo chowonjezeredwa, kapena kukonzekera nthawi yokumana kungayambitse kusagwirizana ndi njira yolerera yomwe mumakonda," Michelle Isley, MD, MPH, yemwe analemba nawo maganizo a ACOG, adatero m'nyuzipepala. kumasula. Popanga njira zonse zakulera zamahomoni pamakalata, azimayi azitha kupeza njira zosiyanasiyana popanda zopinga izi, adalongosola.

Zikakhala kuti njira zonse zakulera zamahomoni chitani kukhala kupezeka pa-kauntala nthawi ina, siziyenera kukhala pamtengo wogula, anawonjezera membala wa komiti ya ACOG, Rebecca H. Allen, M.D., M.P.H., m'mawu atolankhani a komiti. Mwa kuyankhula kwina, mtengo wa mankhwalawa sayenera kukwera chifukwa chakuti adzakhalapo mosavuta. "Kuphunzira za inshuwaransi komanso thandizo lina lazandalama zothandizira kulera ziyenera kugwirabe ntchito," atero Dr. Allen. (Zokhudzana: Zopeka 7 Zoletsa Kubadwa, Zolimbikitsidwa ndi Katswiri)

M'malo mwake, ndikofunikira kuti mtengo woletsa kubereka unyamulidwe poganizira malingalirowa, Luu Ireland, M.D., M.P.H., FACOG, pulofesa wothandizira wa obereketsa ndi amayi komanso msungichuma wa ACOG's Massachusetts Section, akuti. Maonekedwe. Dr. Ireland anati: “Pakadali pano, mankhwala oletsa kulera m’thupi amaperekedwa popanda mtengo uliwonse kwa wodwala malinga ndi Affordable Care Act. "Izi zotchinjiriza mtengo ziyenera kukhalabe m'malo. Sitingagulitse chotchinga chimodzi (chosowa chamankhwala) china (zolipirira mthumba)."

Ndiye, ndichifukwa chiyani kukakamiza kuti pakhale njira zakulera zotsika mtengo? Malinga ndi kafukufuku komanso asayansi, zimamveka bwino, atero Dr. Ireland.

"Pafupifupi theka la mimba zonse ku United States sizinakonzekere, ndipo azimayi akuyenera kupeza njira zothandiza popewa kutenga mimba," akufotokoza. Chiyembekezo ndi chakuti njira zolerera zopezeka mosavuta zitanthauza kuti pasakhale mimba zosafunikira, akutero. (Kuphatikizanso, tisaiwale kuti kulera nthawi zambiri kumagwiritsidwa ntchito pochiza matenda a amayi monga polycystic ovary syndrome.)

Zowonadi, mkhalidwe wandale waposachedwapa wokhudza kupeza njira zolerera wakhala—kunena mopepuka—wovuta. Purezidenti Trump m'mbuyomu adafuna kubweza ndalama za Planned Parenthood, omwe amapereka chithandizo chachikulu chaumoyo wa amayi ndi ubereki ku US. Kuphatikiza apo, a Senate Republican akhala akukankhira mobwerezabwereza kuti pakhale malamulo omwe angachepetse kuthekera kwa Planned Parenthood popereka chithandizo monga zakuthupi, kuyezetsa khansa, komanso chisamaliro cha kulera. Zonsezi zimapangitsa kuti njira zolerera zikhale zofunika kwambiri.

Palibenso sayansi yomwe imasonyeza kuti m'pofunika kupita kukaonana ndi amayi kuti mupeze njira zolerera, akuwonjezera Dr. Ireland. M'malo mwake, kuchezera kwa adotolo komanso kufunikira kwa mankhwala nthawi zambiri "kumabweretsa zopinga zenizeni kwa amayi kuti athe kupeza njira zakulera zomwe akufuna," akufotokoza. Zolepheretsa izi zikuphatikizapo madokotala osamvetsetsa momwe njira zina zakulera zimagwirira ntchito, malingaliro olakwika okhudza mankhwala, ndi nkhawa zowonjezereka zokhudzana ndi chitetezo, malinga ndi lingaliro la 2015 lofalitsidwa ndi ACOG.

Koma chifukwa chakuti simuyenera kutero kukhala kupita ku ob-gyn kuti mukalandire njira zakulera za mahomoni, sizitanthauza kuti simuyenera kuwawona konse. Maulendo apachaka komanso kukayezetsa magazi akadali kofunikira pazithandizo zodzitetezera (taganizirani: ma pap smears, kuyezetsa matenda opatsirana pogonana ndi matenda opatsirana, katemera, mawere, ndi mayeso amchiuno, ndi zina zotero), akutero Dr. Ireland. Kuyendera kwa madokotala kumakupatsaninso mwayi wokambirana zodetsa nkhawa zilizonse zomwe mungakhale nazo pa nthawi ya kusamba, kugonana, kapena thanzi la ukazi, akuwonjezera. Chidziwitso: Omwe amakonda kugwiritsa ntchito IUD kapena njira yolerera amafunikiranso kuti akaonane ndi dokotala wawo kuti akawapatse chipangizocho, akufotokoza Dr. (Yogwirizana: Op-Ed a Lena Dunham Ndi Chikumbutso Chakuti Kuletsa Kubereka Ndikochuluka Kuposa Kuteteza Mimba)

Ponena za omwe angayang'ane kuyesa kubala kwa nthawi yoyamba, ob-gyn akadakhalabe chida chothandiza kukuthandizani kusankha njira yoyenera thupi lanu, akutero Dr. Ireland. Koma FWIW, "kafukufuku wapamwamba kwambiri" angapo awonetsa kuti amayi amatha kudziyesa okha ndikuzindikira ngati akufuna kuletsa kubadwa kwa mahomoni kapena ayi, akuwonjezera. Komanso, ngati kulera anali kuti apezeke pa kauntala, zolemba za mankhwalawa zitha kukhala chiwongolero chowonjezera cha momwe angagwiritsire ntchito, komanso kupereka machenjezo / nkhawa zomwe ogwiritsa ntchito ayenera kudziwa, akufotokoza.

Ngati lingaliro lakulera pa kontrakitala likumveka kukhala labwino kwambiri, ndiye chifukwa, monga tsopano, ndilo. (Onani: Zomwe Kusankhidwa kwa Donald Trump Kungatanthauze Tsogolo la Thanzi La Amayi)

Mfundo yofunika kwambiri: Osaletsa nthawi yokumana ndi ob-gyn pakali pano. Mawu awa ochokera ku ACOG ndi, monga pakadali pano, malingaliro onse. Ndondomeko sizinasinthe, ndipo njira yoletsa mahomoni imapezekabe ndi mankhwala ku United States.

"Zosinthazi sizingachitike nthawi yomweyo," akutero Dr. Ireland. "Pali njira yomwe iyenera kuchitika kudzera ku US Food and Drug Administration (FDA) [asanafike] pamalonda."

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