Mutha Kugula Mapiritsi Oletsa Kulera Pa Kauntala Posachedwa
Zamkati
Pakadali pano, njira yokhayo yomwe mungapezere njira yolerera ya mahomoni, monga mapiritsi, ku US ndikupita kwa dokotala kukalandira mankhwala. Izi zitha kupangitsa kuti zikhale zovuta komanso zosokoneza kwa azimayi kupeza njira zakulera, ndipo monga tikudziwira, kuthekera kwakulera bwino, kutsika kwa mimba yosafunikira kumachepetsa. Malinga ndi Centers for Disease Control and Prevention, kuchuluka kwa pakati pa atsikana ali pachiwopsezo chambiri, ndipo izi zimakhudzana kwambiri ndi njira zakulera.
Chabwino, chifukwa cha kampani ya ku France yotchedwa HRA Pharma, momwe anthu ambiri ku US amapezera njira zolerera m'thupi mwachiwonekere pakusintha. Agwirizana ndi Ibis Reproductive Health, yopanda phindu yomwe imalimbikitsa ufulu wa amayi wobereka, kuti apange mapiritsi oletsa kubereka omwe ali pompopompo. Ngakhale njira yopezera mankhwalawa ovomerezeka ndi Federal Drug Administration kuti agwiritse ntchito OTC ndi yayitali (tikulankhula zaka), ndife okondwa kuwona mabungwe awiriwa akugwirizana kuti mpira ugunde.
Ngakhale ambiri amavomereza kuti ndi lingaliro labwino kupereka njira yoletsa kubadwa kwa mahomoni a OTC, makampani opanga mankhwala a ku America akhala akuzengereza kubweretsa imodzi pamsika, mwina chifukwa cha nthawi ndi ndalama zomwe zimafunikira kutero. Malinga ndi HRA, ndizosazindikira kwenikweni. "Ku HRA, tili onyadira ndi ntchito yathu yopanga mwayi wokulitsa mwayi wakulera kwa mamiliyoni azimayi," kampaniyo adauza Vox. "Njira zakulera pakamwa ndi ena mwamankhwala omwe amaphunziridwa bwino kwambiri pamsika masiku ano ndipo amasangalala ndi chithandizo chanthawi yayitali kuchokera kwa akatswiri azachipatala komanso azaumoyo."
Ndizowona kuti ponseponse, mapiritsi ndi otetezeka kugwiritsa ntchito. Chiwopsezo chachikulu chopezeka ndi njira zakulera zapakamwa ndi kutsekeka kwa magazi, komwe nthawi zambiri kumalumikizidwa ndi mapiritsi ophatikiza, kapena mtundu wamapiritsi omwe amaphatikiza mahomoni a estrogen ndi progestin. Izi zikhoza kukhala chimodzi mwa zifukwa zomwe mapiritsi a HRA adzakhala progestin-okha, monga mapiritsi ena ambiri oletsa kubereka pamsika. Mapiritsi a progestin okha amakhalanso ndi maubwino ena, monga kuwunikira kapena kuyimitsa palimodzi. Kuonjezera apo, Plan B, yomwe yavomerezedwa kale kuti igwiritsidwe ntchito ndi OTC, ili ndi progestin yokha, kutanthauza kuti pali kale mankhwala ovomerezeka omwe ali ndi zinthu zofanana, zomwe zimapangitsa kuti zikhale zosavuta kuti zatsopanozi ziloledwe. Kuphatikiza apo, popeza anthu ena amagwiritsa ntchito Plan B ngati njira yawo yayikulu yolerera, ndibwino kuti anthuwo asinthire ku OTC. Dongosolo B limangolepheretsa kutenga pakati 75% ya nthawiyo, ndipo mapiritsi amaletsa pa zambiri mlingo wapamwamba-99% ngati watengedwa ndendende monga momwe anauzira, malinga ndi Planned Parenthood.
Ndikoyeneranso kudziwa kuti mutha kupeza mapiritsi olerera kuchokera kwa wamankhwala ku California ndi Oregon kale, ngakhale izi siziri "pakauntala" chifukwa muyenera kukaonana ndi wamankhwala musanalandire mankhwala. Zala zidutsa kulengeza za mankhwala atsopanowa zimapangitsa kuti zikhale zosavuta kupeza njira zolerera mdziko lililonse. (Ngati mukufuna kudziwa momwe izi zingakhudzire malingaliro a anthu pankhani yogonana, nayi nkhani ya mayi m'modzi momwe zimakhalira kukula ndi piritsi OTC.)