Kutsvaga Tsvaga vs. vs. FDA Kubatanidza
Vakadzi vazhinji vanogona kusarudza kushandisa Purogiramu B-Chimwe Chetatu (maitiro ayo chaiwo, My Way , Take Action , uye Next Choice One Rose ) kana shanduro ye generic yeChirongwa B kana unzenza usina kudzivirirwa. Kunyange zvazvo chirongwa chekudzivirira kwekukurumidzira chiri yakachengeteka uye chinobudirira, kushandiswa kweGadziriro B inoramba ichikonzera kukakavara . Zvakawanda zvekukakavadzana kunobva mukurongwa kweB Plan - kunyanya nekuremekedza kuti kana kwete chirongwa B chinodzivirira mazai anogadzirwa kubva pakugadziriswa. Zvinotaridzikawo kuti chinhu chikuru chinoita kuti pave nokuvhiringidzika pamusoro pekuti chirongwa B chinoshanda ndechekuti FDA kunyorwa kwechigadzirwa ichi chinotaura chinhu chimwe, asi kutsvakurudza uye deta hazvisimbisi mabhii eDAA.
Izvo zvinonzi FDA Zvinyorwa
Maererano nemakambani emiti, Gadziriro B inoshanda zvikuru nekudzivirira / kunonoka ovulation kana kuburikidza nekudzivirira kubereka (nekuchinja mararamiro emuviri uye / kana mazai). Iyo nharo inobva kune chikamu chinotevera cherairi iyo, pasi pe "nzira yekuita," inodaro:
"Uyezve, iyo [Ronga B] inogona kudzivisa kuiswa (kuburikidza nekugadzirisa endometrium)."
Mushonga wezvokurapa unotsanangura pamuviri sekusimbiswa kamwe kana mazai ehodzi akaiswa mubereki. Asi avo vanoona maonero avo ekuti pamuviri unotanga pakuberekwa unofunga kuti chirongwa B chakafanana nekubvisa pamuviri sezvo kushandiswa kwayo kunogona kudzivirira kuiswa kweii inoberekwa. Izvo zvinotaurwa, kutsvakurudza hakubatsiri iyi pfungwa pamusoro pekuti chirongwa B chinoshanda sei. Ichokwadi, zvidzidzo zvinoratidza kuti kana inotorwa mushure mekuvhara, chirongwa B hachideredzi chiyero chepamuviri.
Zvakaita Tsvakurudzo
- Dhiyabhorosi kubva kuongororo dzangobva kuenderera mberi inopfuurira kupa uchapupu hwakajeka hweChirongwa B hachidziviri kushandiswa (izvi zvinotaridzika zvakare kuti ndezvechokwadi kune Ella , imwe nzira yekukurumidza inobata pamuviri). Nyaya dzakawanda dzekutsvakurudza dzinotaura kuti nzira huru iyo Hurongwa B inoshanda ndeyokudzivirira kana kunonoka kuvepa -kuita chirongwa B chinotorwa kusati kwasvika ovulation. Nokurega kubvumira zama kuti isunungure, hapana chinhu chinowanikwa kuti chirume chizadzire, nekudzivirira kuti pamuviri urege kuitika.
- Kutsvakurudza kunoratidzawo kuti progestin (levonorgestrel) muChirongwa B inogona kubatsira kudzivisa kubata pamuviri kuburikidza nekuchinja marudzi emurume. Zvimwe zvidzidzo zvinorondedzera kuti iyi progestin inogona kukonzera mishonga yekervical kukura, zvichiita kuti zvive zvakaoma kuti chirume chinosvika paii. Zvimwe zvinyorwa zvemashoko anotaura kuti kuvapo kweprogesin iyi kunogona kukonzera chirume kuti chisanyanya kushaya simba kana kuti "chakavhiringidzika," zvichidaro chinokanganisa nhungamiro yavanoshambira nayo.
- Mune zvidzidzo zvakasiyana-siyana zvekutsvakurudza, vakadzi vakapiwa chirongwa cheB B mushure mekutarisa (kuburikidza nekuongorora kwehomoni) iyo vakadzi vakagadzira uye yakanga isina. Zvibereko zvose zvakaratidza kuti hapana mumwe wevakadzi vakatora chirongwa cheB b mushure mekuvhara mimba vakava nepamuviri (izvi zvinowanzobatsira kusimbisa kuti chirongwa B chinoshanda sei nekudzikamisa kuvhara). Kubata pamuviri chete kwakaitika kune vakadzi vakatora Plan B kana zuva rekuvhara, uye vakadzi ava vakatora pamuviri pamwe chete nevakadzi vasina kutora Plan B. Zvakaguma zvakaita kuti vatsvakurudzi Noé, Croxatto, Salvatierra, naReyes (2011) kugumisa kuti chirongwa B
"Hazvidziviriri embryo kuiswa mukati saka haigoni kunyoresa sekubortifacient."
- Muna 2007, zvidzidzo zvakaratidza uchapupu hwekuti chirongwa B chakanga chisina kudzivirira kubatanidzwa kwemazamu evanhu kumadziro emukati. Vatsvakurudzi vakawana mazai akadzirwa mazai emakiriniki ekuberekwa. Mushure mokuisa pachena mazai aya kune progesin (inowanika muChirongwa B) munharaunda yakafanana, zvigumisiro zvakaratidza kuti kuvapo kweprogestin hakuna kubvumira mazai kuti asangane kune masero anokonzera chibereko.
Saka, ruzhinji rwekutsvakurudza runoratidza kuti kushandisa Shanduro B hakuiti kuti kuchinja kupi zvako muchero wekuberekwa (endometrium). Nokuti chirongwa B hachina matambudziko pane endometrium, vatsvakurudzi vakagumisa kuti chirongwa ichi chekudzivirira chirwere chinogona kukudzivirira hachigoni kudzivirira kuiswa kweii inoberekwa. Vatsvakurudzi vazhinji vakawedzera kutsanangura pfungwa yokuti chirongwa B hachigadziri kuiswa kubva pane zvinoitika zvichida chikonzero kuti haisi 100% inoshanda mukudzivirira kutora kusingatarisirwi - uyewo kuti nei chirongwa B chisina kubudirira kana iwe uchimirira kushandisa.
Chikonzero nei FDA Inosanganiswa Kuiswa Purogiramu B Mavara:
Kubvira pakutanga kweChirongwa B yekubvumira, mushandi wayo akakumbira kuti FDA irege kusanganisira kuiswa kweimwe nzira iyo Plan B inoshandiswa pakushandura kwayo. Zvinoratidzika, kunyange zvakadaro, panguva yekubvumirwa, hutsvakurudzo hwakawanda pamusoro peChirongwa B chakaongorora kana zvikamu zvayo zvinoshanda, progestin levonorgestrel, inogona kuchengetedza kubata pamuviri zvakanaka. Zvidzidzo izvi hazvina kuongorora kuti chirongwa B chinoshanda sei. Saka, FDA inogona kunge yakasarudza kuisa kushandiswa kweChirongwa B chekuisa mazita nokuti iyo nzira inoratidzika kuva imwe yenzira dzinoita kuti mapiritsi ekuberekwa anoberekwe (avo vane levonorgestrel uyewo marandisi anoshandisa progesin yakasiyana) - nokuchinja bhandi rwechibereko. Saka FDA ingangodaro yakasarudza nokuti mapiritsi anogona kuita izvi, zvinogonawo kuronga B.
Asi kune zvinhu zviviri zvekuchengeta mupfungwa. Imwe , kunyange kana piritsi inoshandura kugadzirisa endometrium, kushandiswa kwayo kunokonzera kusina kuonekwa kuti kunokanganisa kuiswa kweii inoberekwa. Asi zvakakosha zvikuru , nemapiritsi ekuberekwa, iwe uri kuvaka progestin doses nokuti iwe unotora mapiritsi aya zuva rega rega. Kutsvakurudza kunoratidza kuti imwe chete yevhevonorgestrel dose muGadziriro B haina simba kana nguva yekuita shanduko chero ipi zvayo kumucheto wechibereko.
Asi avo vanobatanidzwa muGurongwa B rinogamuchirwa sarudzo rinodaro kuti FDA yakasarudza kuisa, pane chirairo chemiti, yekuti Gadziriro B inoshanda "inoretically ... nekupindira nehuwandu hwehupenyu hwehutano." I-FDA yakabva yawedzerwa pane chirevo ichi kuburikidza nekunyora maitiro ese zvingaita kuti chirongwa B chishande. Kunyange zvazvo pakanga pasina uchapupu hwezvesayenzi kuti chirongwa B chinoshanda kuburikidza nekudzivirira mazai kubva pakuisa, iyi nzira yekuita yakanga ichiri kuiswa pamushandisi wemishonga.
Kurongwa Kwakaitwa B - Kugumisa
Kunyange zvazvo zvisingazivikanwe kana FDA iri kufunga kuti kana kuti kwete kubvumira tsamba yekudzokorora, Erica Jefferson, mutauriri we FDA, akabvuma, "Zvinyorwa zvinotanga kuitika paChirongwa B zvinoratidza kuti hazvibvumiri kuiswa." Kutsvakurudza kunojekesa kuti chirongwa B hachizovhiringidzi kubata pamuviri, uye zvinoshanda zvikuru nekudzivirira kuvhara. Nemhaka yokuti kutsvakurudza kwakanyanyisa kunoratidza kuti chirongwa B hachidziviri kushandiswa kwezai rinogadzirwa, boka rekutsvakurudza (uye vazhinji munharaunda yezvehutano) vanofunga kuti mutauro wakadaro pamusoro pekugadziriswa kunofanira kubviswa kubva muChirongwa B kunyora.
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