Mafufuza Ofufuza vs. FDA Labeling
Amayi ambiri angasankhe kugwiritsa ntchito Plan B One-Step (mawonekedwe ake enieni, My Way , Action , ndi Next Choice One Pose ) kapena kusintha kwachilengedwe cha Plan B ( Chotsatira Chotsatira ), monga chithandizo chodziletsa mwachangu pofuna kupewa kutenga mimba pambuyo poletsa kubereka. kapena kugonana kosatetezeka. Ngakhale kupatsirana mwadzidzidzi kuli kotetezeka, kugwiritsa ntchito Plan B kumapangitsa kuti pakhale kutsutsana . Zambiri mwazokambiranazi zimachokera ku momwe Plan B ikugwiritsira ntchito - makamaka ponena kuti ayi kapena mapulani a B akuletsa mazira kuti asamangidwe. Zikuwonekeranso kuti chinthu chachikulu chomwe chimapangitsa chisokonezo chokhudza momwe dongosolo B limagwirira ntchito ndikuti malemba a FDA a mankhwalawa akunena chinthu chimodzi, komabe kufufuza ndi deta sizimatsimikizira malemba a FDA.
Zimene FDA Labeling Inanena
Malinga ndi malemba a mapulogalamu, Mapulani a B akugwira ntchito makamaka poletsa / kuchepetsa kutsekemera kapena kupewa kubereka (mwa kusintha kusintha kwa umuna ndi / kapena dzira). Mtsutso umachokera ku gawo lotsatira la chizindikiro chomwe, pansi pa "kayendedwe kachitidwe," chimati:
"Kuwonjezera pamenepo, izo [Pulani B] zikhoza kulepheretsa kuikidwa (potembenuza endometrium)."
Achipatala amatanthawuza kuti kutenga mimba kumakhazikitsidwa kamodzi kamodzi ka dzira la umuna lomwe laphatikizidwa mu chiberekero. Komabe anthu omwe ali ndi malingaliro awo omwe ali ndi mimba amayamba pa umuna amakhulupirira kuti mapulani a B ndi ofanana ndi kuchotsa mimba popeza ntchito yake ingalepheretse kukhazikitsa dzira la umuna. Izi zikunenedwa, kafufuzi sichikugwirizana ndi chiphunzitso ichi cha momwe dongosolo B limagwirira ntchito. Ndipotu, kafukufuku amasonyeza kuti atatengedwa pambuyo pa kuvuta, Mpangidwe B sumachepetsa kuchepa kwa mimba.
Zimene Amafufuza
- Deta kuchokera ku kafukufuku waposachedwapa imapereka umboni wamphamvu wakuti Pulani B siimalepheretsa kukhazikitsidwa (izi zikuwoneka kuti ndizoona kwa Ella , njira ina yachangu yobereka). Kafukufuku ambiri amanena kuti njira yapadera yomwe Pulani B ikugwirira ntchito ndikuteteza kapena kuchepetsa kupweteketsa - ngati ndondomeko B imatengedwa musanayambe kuvuta. Popanda kulola kuti dzira limasule, palibe chomwe chiripo kuti umuna umere mchere, motero kupewa mimba kuchitika.
- Kafukufuku akuwonetsanso kuti progestin (levonorgestrel) mu ndondomeko B ingakuthandizeni kupewa mimba mwa kusintha kayendedwe ka umuna. Kafukufuku wina amavomereza kuti progesin iyi ikhoza kuyambitsa ntchentche ya khola lachiberekero, kuti zikhale zovuta kuti umuna ufike pa dzira. Zowonjezereka zowonetsera kuti kukhalapo kwa progesin uyu kungayambitse umuna kukhala wodetsedwa kapena "wosokonezeka," motero umakhudza njira yomwe amasambira.
- Muzofukufuku zingapo, amayi anapatsidwa Plan B pambuyo poyesa (kupyolera mu kuyesayesa kwa mahomoni) omwe amai adagula ndi omwe sanali. Zotsatira zonse zasonyeza kuti palibe amai omwe adatenga Plan B asanayambe kuvutitsa (zotsatirazi zimathandizira kutsindika momwe dongosolo B limagwirira ntchito pochedwa kuchepetsa chifuwa). Mayi amatha kutenga pathupi mofanana ndi amayi omwe sanatenge Plan B. Zotsatirazi zinayambitsa ofufuza Noé, Croxatto, Salvatierra, ndi Reyes (2011) kuti titsimikizire kuti Plan B
"Sichiteteza kuti mwana asatuluke, choncho sangathe kulembedwa kuti ndiwe wobereka."
- Mu 2007, kafukufuku wasonyeza umboni kuti Plan B sizinalepheretse kulumikiza mazira a munthu ku khoma la uterine. Ochita kafukufuku anapeza mazira ochotsedwa mchere kuchokera kuzipatala zowathandiza. Pambuyo powonetsa mazirawa ku progesin (yomwe imapezeka mu Plan B) mu malo omwe amavomereza, zotsatira zimasonyeza kuti kukhalapo kwa progesin sikulepheretsa mazira kuti agwirizane ndi maselo omwe amachititsa chiberekero.
Choncho, kafukufuku ambiri amasonyeza kuti kugwiritsa ntchito Mpangidwe B sikumayambitsa kusintha kwa chiberekero (endometrium). Chifukwa chakuti Mapulani a B alibe zotsatira pa endometrium, ofufuza apeza kuti kulera kosayembekezereka sikungalepheretse kukhazikitsidwa kwa dzira la umuna. Ochita kafukufuku ambiri apitiriza kufotokoza lingaliro lakuti Plan B siyimitsa kuyika kuchokera kuchitika mwina chifukwa chake si zedi zedi zopewa kutenga mimba yosakonzekere - komanso chifukwa chake Plan B sichitha bwino pamene mukudikirira kuti mugwiritse ntchito.
Chifukwa chiyani FDA Imaphatikizidwa Kuyika pa Mapulogalamu a B B:
Kuchokera pachiyambi cha dongosolo la chivomerezo cha Plan B, wopanga ake adapempha kuti FDA ikhale yosakanikizidwa monga njira imodzi yomwe Plan B imagwirira ntchito palemba. Komabe, zikuoneka kuti panthawi ya chivomerezo, kafukufuku wambiri pa Plan B adafufuzidwa ngati mankhwala ake, progesin levonorgestrel, akhoza kuteteza mimba mosamala. Maphunzirowa sanafufuze momwe Plan B imagwirira ntchito. Choncho, a FDA angasankhe kuphatikizapo mapulani a Plan B chifukwa chakuti njirayi ikuwoneka kuti ndi imodzi mwa njira zomwe mapiritsi oletsa kubereka amagwira ntchito (zomwe zili ndi levonorgestrel komanso mankhwala omwe amagwiritsa ntchito progesin yosiyana) - posintha chipinda za chiberekero. Choncho a FDA angaganize kuti chifukwa mapiritsi angachite izi, ndondomeko B.
Koma pali zinthu ziwiri zomwe muyenera kukumbukira. Mmodzi , ngakhale mapiritsi atembenuza endometrium, kusintha komwe kumayambitsa sikungatsimikizidwe kuti kusokoneza dzira la feteleza. Koma chofunika kwambiri , ndi mapiritsi oletsa kubereka, mukukumana ndi mankhwala a progestin chifukwa mumatenga mapiritsiwa tsiku ndi tsiku. Kafukufuku amasonyeza kuti mlingo umodzi wa levonorgestrel mu Plan B ulibe mphamvu kapena nthawi yopanga kusintha kwa chiberekero cha chiberekero.
Komabe omwe akugwira nawo mu B B akuvomereza ndondomeko ya ndondomeko yomwe FDA inasankha kuikapo, pamalonda, kuti Pulogalamu B ikugwira ntchito "mwachidule ... mwa kulepheretsa njira zambiri za thupi." Dera la FDA linawonjezera pa ndondomeko iyi potsatira mndandanda wa njira zonse zomwe Pulani B imagwirira ntchito. Ngakhale kuti panalibe umboni wa sayansi kuti Mapulani B amagwira ntchito mwa kuteteza mazira kuti asamangidwe, njirayi idaphatikizidwanso palemba la mankhwala.
Momwe Mpangidwe B B Ukugwirira - Kutsiliza
Ngakhale sizidziwika ngati a FDA akuganiza ngati sangalole kuti alembedwe, Erica Jefferson, woimira a FDA, adavomereza kuti, "Zomwe zilipo pa pulaneti B zimasonyeza kuti siziletsa kuyika." Kafukufuku amasonyeza momveka bwino kuti Pulani B siidzasokoneza mimba yomwe ilipo kale, ndipo imathandiza makamaka kupewa kuteteza ovulation. Chifukwa chakuti kafukufukuyu akuwonetsa bwino kuti Plan B siimalepheretsa kukhazikitsidwa kwa dzira la feteleza, anthu ochita kafukufuku (ndi ambiri m'magulu a zamankhwala) amaganiza kuti chilankhulidwe choterechi chiyenera kuchotsedwa pa kulembedwa kwa Plan B.
Zotsatira:
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Meng CX, Marions L, Bystrom B, & Gemzell-Danielsson K. Zotsatira za Malamulo Ovomerezeka ndi Azimayi a Levonorgestrel Emergency Contraception pa Makalata a Kuvomerezeka kwa Endometrial. Kubereka Kwaumunthu 2010; 25 (4): 874-883. Idapezeka kudzera mwachinsinsi.
Noé G, Croxatto HB, Salvatierra AM, & Reyes R. Zochita Zogwiritsira Ntchito Pogwiritsa Ntchito Mimba Mwachangu ndi Levonorgestrel Kuperekedwa Musanayambe kapena Pambuyo pa Kuvunda. Kupanga chithandizo 2011; 84 (5): 486-492. Idapezeka kudzera mwachinsinsi.
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