Chokwadi pamusoro pekubvisa pamuviri piritsi uye kugumisa kubata nemishonga
Musi waSeptember 28, 2000, Food and Drug Administration (FDA) yakazivisa kugamuchirwa kwe RU-486. iyo mhirizhonga inowanzozivikanwa se " kubvisa pamuviri piritsi ." Inorayirwa muUnited States nezita rokuti Mifeprex (mifepristone).
Mushonga wacho wakamboshandiswa kuEurope uye wakakurumidza kugamuchirwa muUnited States. Kutevera kubvumirwa kwayo, nhamba yese yekubvisa pamuviri yakakonzerwa nechepiti chemamiriyoni pagore kubva muna 2001 kusvika muna 2011.
Nhamba yekubvisa pamuviri yakabururuka yakadarika apo nhamba yekubvisa pamuviri kunenge yakakura ikaita inenge chikamu chezana.
FDA inochinja muna 2016 yeMifeprex
Chiitiko chekliniki chekuchengetedzwa kwekubvisa pamuviri kunobatsira kuchinja kuRIMA-inogamuchirwa regimen muna 2016 iyo inobvumira kuti ishandiswe kuburikidza nemazuva makumi manomwe ekuberekwa uye haifaniri kuti munhu-munhu anoshanyira kurasirwa kwemasoprostol uye pashure pokurapa kurapwa. Dhiyabhorosi yepakutanga ye FDA yaiva yekushandiswa kusvika kumazuva makumi mashanu ekuberekwa, izvo zvakaita kuti zvive zvekuda kwe 37 muzana yevanobvisa pamuviri. Zuva remazuva makumi manomwe rinoita kuti rive sarudzo ye 75 muzana yekubvisa pamuviri varwere. Mitemo ye 2016 inowedzerawo ndiani anogona kupa chirwere ichi.
Mifeprex inopiwa sei
Mitemo yepakutanga ye RU-486 (Mifeprex) yaida kutarirwa katatu kune hofisi yechiremba apo zvinyorwa zvakarongedzwa zvinoda chete kusvika kune mbiri. Mushonga wacho unogona kungorongedzerwa nachiremba mushure mekuedzwa kwevanhu chorionic gonadotropin (HCG), iyo inoyera huwandu hwehomoni inobudiswa mumuviri panguva yekuzvitakura.
Vanachiremba vanofanirwawo kugadzira sonogram kuti vimbise uye vataure nguva yekuzvitakura. Mitemo ye 2016 inobvumira kuti mishonga ishandiswe kwemazuva makumi manomwe ekuberekwa (masvondo gumi).
Kana uchinge watanga pamuviri, unopa mhando mbiri dzemishonga. Chokutanga, iwe uchapiwa imwe dose ye mifepristone, iyo inogona kuita kuti zvibvirire kuti mazai anogadzirwa kuti arambe akabatanidzwa pamucheka we chibereko chako.
Pakutanga, chirwere chacho chaiva mahwendefa matatu, asi izvi zvakaderedzwa kuva rimwe piritsi, rakatorwa nemuromo.
Yechipiri mishonga, misoprostol, inokonzera maitiro emuviri uye inotorwa mazuva maviri gare gare. Nzira itsva idzi dzinobvumira kuti dzigadziriswe pamba semapiritsi mana aunoisa mudama rako panzvimbo yekumedza, uchiita kuti vapedze kwemaminitsi makumi matatu. Mitemo yepakutanga, yakasimbiswa nedzimwe nyika, yakada kuti iwe ushanyire chiremba wako kutora mushonga wechipiri uyu.
Misoprostol inogumisa kubata kupi zvako kubva maawa matanhatu kusvika kwevhiki imwe chete. Iwe unofanirwa kuva wakagadzirira kupwanya uye kubuda ropa, izvo zvinogona kupfuurira kwemazuva mazhinji.
Mutapi wako wehutano anofanirwa kuongorora hutano hwako mazuva manomwe kusvika ku14 mushure mekutora mifepristone. Iyo FDA haisati inotsanangura kuti izvi zvinofanira kunge zviri mu-munhu anoshanyira. Kana kubata kuchiripo, kubvisa pamuviri kunofanira kuitwa.
Zvinokonzerwa nemigumisiro ye RU-486 inosanganisira uterine makumbo, kuneta, kusuruvara, uye kubuda ropa. Vazhinji vakadzi vanopora zvachose mukati meawa mashomanana kusvikira vhiki. Kubudirira kwekubvisa pamuviri kunenge 92 muzana kusvika 92.5 muzana mumavhiki manomwe ekutanga ekudzivirira. Izvi zvinosiya chikamu chiduku chevakadzi vanogona kubvunzwazve.
Kana iwe uchifungidzira iwe unenge wakabata uye iwe uchida kushandisa piritsi yekubvisa kubvisa pamuviri wako, unofanirwa kuonana nachiremba wako kana kliniki yemunharaunda nekukurumidza kuti ukurukure zvaunogona kuita.
Kubatsirwa uye Kukanganisika
Izvo zvakakosha zvikuru zviviri zvekuregererwa kwekufungidzirwa kwekuita pamuviri ndeyekukwirira kwaro kwekubudirira uye kuti iyo haina kuderera uye inorwadza kudarika kubvisa pamuviri kubvisa pamuviri.
Kana zviri zvisingabatsiri, Mifeprex inogona kunge isingasarudzo yevakadzi vane chirwere cheropa kana zvinetso zvepfungwa, chirwere cheshuga, chirwere cheshuga, kana avo vanodarika zvakanyanya. Inogona kushanda kana yakabatanidzwa nemimwe mishonga. Migumisiro inogona kunosanganisira kudzvora zviduku, kushungurudza, kusuruvara, kurara, uye kubuda ropa kunotora mazuva masere kusvika gumi.
Kuchinja kumitemo ye FDA kwakaratidza chiito chechiremba vazhinji. Zvisinei, dzimwe nyika dzakanga dzapfuura mutemo unoda kunyatsoteerera kuDAA mazita pane kunyanya kushandiswa kwemavara.
Kuchinja kwemazita aya kunogona kuwedzera kuwanika kune kubvisa pamuviri.
> Sources:
> Kupera Kuberekwa Nemishonga. MedlinePlus. https://medlineplus.gov/ency/patientinstructions/000835.htm
> Jones RK, Boonstra HD. Ruzhinji rwehutano hwehutano hweDWD Update kuMishonga Yokubvisa Mishonga. Guttmacher Institute. https://www.guttmacher.org/article/2016/06/public-health-implications-fda-update-medication-abortion-label.
> Mifeprex (mifepristone) Mashoko. US Food & Drug Administration. https://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm111323.htm.