Ronga B Chimwe chiito chekudzivirira pamuviri nokukurumidza chirongwa chemishonga chinogamuchirwa neDFA musi waJuly 13, 2009. Chirongwa B Chekutanga-chekutanga chinoshandisa imwe piritsi yemuromo (levonorgestrel tablet, 1.5 mg). Purogiramu yepakutanga B (uye iyo yakafanana yakafanana, Next Choice ) inosanganisira mapiritsi maviri epamuviri ekukurumidza anotorwa maawa gumi nemaviri kana panguva imwe chete. Maererano naDenise Bradley, mutauriri wekambani, "Rongedza B Chimwe Chimwe Chete chakatsiva Purogiramu yekare B."
Chirongwa B Chimwe Chengetedza chinogona kushandiswa nevakadzi kuti vadzivirire pamuviri usina kutenderwa mushure mekuita zvepabonde zvisina kudzivirirwa kana kukanganisa kwepabonde nemapiritsi imwe chete anogona kutorwa pakarepo.
Vanachiremba vakawanda, vakadai saAslesha Patel, MD, MPH, Dhipatimendi Mukuru weMhuri Planning Services paJohn H. Stroger Jr. Hospital muChicago, vanosarudza imwe-pill dosing yevarwere vavo. Imwe-nhanho formulations inobvumira varwere "kuti vaite zvakakurumidza pavanopa hupamhi hwekuchengeteka nekubudirira" anotsanangura Dr. Patel.
Pakati pe2012 na2014, FDA yakagamuchira zvinotevera zvakaenzana neChirongwa B Chimwe Chimwe: Chimwe Chisarudzo Chokutanga Pose , AfterPill , My Way , uye Kutora .
Iyo Inoshanda Sei
Purogiramu B Imwe-Chikamu inoshanda nenzira dzakawanda dzokuti mahomoni ekuberekwa kwekuberekwa anoita. Nezvo zvichitaurirwa, pane imwe nharo pamusoro penzira chaiyo iyo chirongwa B Chimwe Chekutanga chinoshanda. Uku kusagamuchirwa kunowedzera pamusoro pekuda kwekuti kana kwete chirongwa cheB-One-Step rinodzivirira kuiswa kweii rinogadzirwa kuti riitike.
Kunyange zvazvo FDA yakabatanidza, pane zvinyorwa zvekugadzirwa kwezvinhu, kuti iyi seimwe yenzira dzakarongwa neChirongwa B-One-Steps, nharaunda yezvechiremba pamwe nekutsvakurudza ikozvino inotaura kuti chirongwa ichi chekudzivirira chirwere chisina maturo hachina maturo pakugadziriswa.
Iro Urongwa B Hwekutanga Hwusi Hacho
Emergency contraception inowanzovhiringidzika nekukanganisa piritsi, RU486 (inonziwo M & M, Mifeprex, mifepristone kana kubvisa pamuviri).
Iyi mishonga miviri inoshandisa zvinangwa zviviri zvakasiyana uye inoshanda zvakasiyana zvachose kubva kune imwe.
Ronga B Imwe-Step haisi kubvisa pamuviri piritsi. Icho hachisiwo chakabudirira kana chikatorwa musikana atova nepamuviri. Rudzi Rutsva B haruzopedza kubata pamuviri. Maererano naTeva Pharmaceuticals, muumbi weParamende B Rimwe-Step, hapana humwe uchapupu hwekuti chirongwa cheB B-One-Step chinokuvadza mukadzi ane pamuviri kana mwana anomuka.
Teva Pharmaceuticals inopawo zano rokuti Purogiramu B Imwe-Chikamu haifaniri kushandiswa sechinotsiva kushandiswa kwemishonga nguva dzose.
Nzira Yokuwana nayo
Mumhosva yedare Tummino v. Hamburg , mutongi akaraira FDA kubvumira Plan B One Step kuti inotengeswa pamusoro-the-counter isina mireza yezera. Mushure memakororo akawanda, FDA yakazozivisa kugamuchirwa kwayo kweChirongwa B Chimwe Chimwe Chinofanira kutengeswa pamusoro pe-counter kuvanhu vemazera ose . Dare racho rakapawo Teva oga kuti atengese Plan B One-Step over-the-counter. Asi, munaFebruary 2014, FDA yakawana nzira yekukudza kubatana kwekutengeserana uku uyewo kubvumira imwe-piritsi yakaenzana yakafanana inogona kuwanikwa neyoyo yepamusoro-in-counter access.
Iwe unogona kunge uchingoda mushonga weChirongwa B Chimwe Chimwechete kuitira kuti inshuwarisi yako kuifukidza, saka iwe unogona kuongorora kuti chii chinotarisirwa nemishandiro yveshuwarisi yako usati wazviwana uri munzvimbo yekuda kubatwa pamuviri nokukurumidza.
Purogiramu B Imwe-Ntanho haisisina kudiwa kuti ichengetwe shure kwekambani yemapurisa. Inofanira kunge iri muurongwa hwemhuri yako yekuchengetera chivako / chikamu pamwe chete neChite Choice One Dose uye My Way. Kubva ikozvino, FDA ichiri kudikanwa kuti Next Choice, 2 bhebhetomu 2 yemhando yeGurongwa B yekare yekare inofanira kuchengetwa shure kwekambani yemishonga uye inowanikwa pasina mushonga wevaya vane makore 17 nekure. Saka izvi zvinoreva kuti mitemo itsva yeDAA inoshanda chete kuLevonorgestrel-based one-pill inobata pamuviri.
Nguva Yokushandisa Izvo
Kuti kuderedze njodzi yekuzvitakura kusina kurongwa, chirongwa B Chimwe Chito chinofanira kutorwa nokukurumidza mukati meawa makumi manomwe nemaviri (mazuva matatu) zvepabonde zvisina kudzivirirwa kana kuparara kwekudzivirira .
Pfupi Hurongwa B One-Step inotorwa, inonyanya kuve ichave. Chirongwa B Chimwe Chengetedza chinogona kushandiswa chero nguva panguva yekuenda kwako kumwedzi. Kana iwe uchirutsa mukati memaminetsi maviri ekutora mapiritsi, iwe unofanira kubva waonana nachiremba wako kuti akurukure kana kutora imwe piritsi.
Cherechedza: Kazhinji, chirongwa chekudzivirira chirwere chinokurumidza chinogona kushandiswa kusvika mazuva mashanu mushure mekuita zvepabonde zvisina kudzivirirwa. Saka zvingave zvichiri kubatsira kutora Plan B One-Step kwemaawa makumi maviri nemaviri mushure mekuita zvepabonde zvisina kudzivirirwa.
Migumisiro Yechiri
Kana yakashandiswa sekurondedzerwa, chirongwa B Chekutanga-chetatu chakachengeteka kune vakadzi vakawanda. Zvipembenene zvinowanikwa zvakanyanya mukuedzwa kwechipatara kune vakadzi vanogamuchira Gurongwa B Chimwe Chikwata chinosanganisira:
- Kubuda kwemwedzi kunorema (30.9%)
- Nausea (13.7%)
- Kuchechera kwepamuviri (13.3%)
- Kuneta (13.3%)
- Musoro (10.3%)
- Chizivi (9,6%)
- Breast tenderness (8.2%)
- Kuderera kwemazuva (mazuva anopfuura 7) (4.5%)
Mushure mekutora Purogiramu B Chimwe Chete, iwe unogona kunge uchinjwa munguva yako. Mune zvimwe zviitiko, nguva yako inotevera ingave yakanyanya kukura kana kuwedzera, kana yapfuura kana gare gare.
- Zvakakosha kuonana nachiremba kana nguva yako yakatarwa inopfuura kwevhiki imwe chete, sezvo izvi zvingaratidza kuti pamuviri ungadai wakaitika.
Kana uri kutambura kurwadziwa kwepamuviri kwemavhiki matatu kusvika ku5 mushure mekutora Plan B Imwe-Nhano, panogona kuva nemukana wekuti iwe une ectopic pamuviri, saka iwe unofanira kutsvaga kurapwa kwekurumidza - kazhinji, ectopic pregnancy account ye2% yezvese zvakakonzerwa nepamuviri. Asi, kusvika 10 muzana yepamuviri inoburitswa mune zvidzidzo zvekushandiswa kwemuitiro weprogestin-chete yekudzivirira pamuviri ndeye ectopic.
Kubudirira
Purogiramu B Imwe-Nyaya inonyanya kubudirira nokukurumidza iyo yatanga. Kana inotorwa sezvinorayirwa (mukati maawa makumi maviri emakondombera asina kudzivirirwa kana kusakonzerwa nekudzivirira kubata pamuviri), chirongwa B Chimwe Chito chinenge chinokwana 89% chinoshanda mukuderedza mukana wekuzvitakura. Vanenge vanomwe kubva pavakadzi vasere vanogona kuwana pamuviri havazove nepamuviri mushure mekutora Plan B One-Step.
Chirongwa B Chimwe Chiito hachizoenderera mberi nekudzivirira kubata pamuviri munguva yese yevakadzi. Muiti wacho anotaura kuti "kudzoka nokukurumidza kwekubereka kunogona kutevera kurapwa neChirongwa B Chimwe Chetatu chekudzivirira kubata pamuviri," saka nzira dzokuwedzera dzekudzivirira dzinofanira kuendeswa mberi kana kutangwa nokukurumidza kana zvichibvira mushure mekushandiswa kweGurongwa B idzva kuti zvirambe zvichirambidzwa kudzivirira pamuviri.
Zvinodhura
Izvo zvinodhura imwe yepurogiramu yeChirongwa B Chimwe Chengetedzo inogona kuenda chero kupi zvayo kubva pa $ 35 kusvika ku $ 65 ... nevhareji yebhadharo iri kuva inenge $ 45.
STD Kudzivirira:
Chirongwa B Chimwe Chengetedzo hachipi kudzivirirwa kurwere hwepabonde kana HIV.
Sources:
FDA. (April 30, 2013). FDA inobvuma chirongwa B Chimwe chiito chekubata pamuviri nokukurumidza pasina mishonga yevakadzi vane makore gumi nemashanu kana kupfuura. Yakasvika 5/1/13
Munro ML, Dulin AC, Kuzma E. "Nhoroondo, hurongwa uye unyanzvi hunoshandiswa zvinoreva chirongwa cheB Plan B® chirango chekukurumidza." Kuchengetedza Utano hwevakadzi . 2015; 19 (2): 142-153. doi: 10.1111 / 1751-486x.12186.