Zvikumbiro Zvitsva Zvinoti *Yese* Hormonal Birth Control Inofanirwa Kuwanikwa Pamusoro-the-Counter

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Hondo yekuita kuti kuberekwa kwehomoni iwanikwe zvakanyanya kuenderera mberi.

Muchinyorwa chaGumiguru che Obstetrics & Gynecology, iyo American College of Obstetricians uye Gynecologists (ACOG) inoratidza izvozvo zvese mafomu ekudzivirira kubata pamuviri kwehomoni - kusanganisira piritsi, rin'i yemadzimai, chigamba chekudzivirira, uye jekiseni remedroxyprogesterone acetate (DMPA) - zvakachengeteka zvakakwana kuti usvike-pamusoro-pekutengesa pasina zvirambidzo zvezera, sekuburitswa kwenhau kwakapihwa nekomiti. (IUDs inofanirwa kunge ichiitwa kuhofisi yako ob-gyn; zvimwe pane izvo zviri pazasi.) Ichi chiitiko chakavandudzwa, chakasimba kudarika zvirevo zvekare kubva muna2012, izvo zvakaratidza kuti kubata pamuviri chete kunofanirwa kuwanikwa pamusoro-pekutengesa. Zvakakosha, zvakadaro, iyo ACOG inotaurawo mukuburitswa kwayo kuti gore negore ob-gyn cheki-ups ichiri kukurudzirwa, zvisinei nekuwana kudzora kuberekwa.

"Kudiwa kwekugara uchitsvaga mushonga, kuwana mvumo yekuzadza, kana kuronga kusangana kunogona kutungamira mukusawirirana kwekushandisa nzira yekudzivirira kuberekwa," akadaro Michelle Isley, MD, MPH, uyo akanyora maonero eACOG, akadaro mupepanhau. kusunungura. Nekuita mhando dzese dzekudzivirira nhumbu dzemahomoni dziwanikwe pamusoro-pekutengesa, vakadzi vanokwanisa kuwana sarudzo dzakasiyana siyana pasina zvipingaidzo zvakajairika, akatsanangura.

Muchiitiko chekuti nzira dzese dzekudzivirira kuberekwa ita ikawanikwa pamusoro pe-the-counter pane imwe nguva, haifanire kunge iri pamutengo wekugona, akawedzera nhengo yekomiti yeACOG, Rebecca H. Allen, MD, MPH, mukuburitswa komiti. Mune mamwe mazwi, mutengo wemishonga iyi haufanirwe kukwira nekuda kwekuti ichave inowanikwa nyore nyore. "Inishuwarenzi inovhara uye kumwe kutsigira kwemari kudzivirira kubata pamuviri kunofanirwa kushanda," akadaro Dr. Allen. (Yakabatana: 7 Zvakajairika Kuberekwa Kudzora Ngano, Yakashatiswa Nenyanzvi)

Muchokwadi, zvakakosha kuti mutengo wekudzivirira kuberekwa unogadziriswa paunotarisa mazano aya, Luu Ireland, MD, MPH, FACOG, purofesa mubatsiri wezvekuzvara uye gynecology uye mubati wehomwe weAACOG's Massachusetts Chikamu, anoudza Chimiro. "Parizvino, kubata pamuviri kwehomoni kunovharwa pasina muripo pasi pemutemo unochengeterwa mari," anotsanangura kudaro Dr. Ireland. "Idziviriro dzemutengo idzi dzinofanira kuramba dziripo. Hatigone kutengesa chimwe chipingamupinyi (chinodikanwa chekunyorerwa) kune imwe (mari inobuda muhomwe)."

Saka, sei kusundidzira kwe-over-the-counter contraception? Maererano nenhamba uye nesainzi, zvinongoita zvine musoro, anodaro Dr. Ireland.

“Inenge hafu yenhumbu dzose muUnited States hadzina kurongeka, uye vakadzi vanokodzera kuwana nyore nzira dzinoshanda dzokudzivisa kubata pamuviri,” anotsanangura kudaro. Tariro ndeyekuti nzira dzekuwanika dzekuronga kuberekwa dzinogona kureva kubata pamuviri pasingadiwe, anodaro. (Uyezve, ngatisakanganwe kuti kudzora kubereka kunowanzoshandiswa kurapa hutano hwevakadzi senge polycystic ovary syndrome.)

Chokwadika, mamiriro ezvematongerwo enyika achangoburwa pamusoro pekuwana nzira dzekudzivirira kubereka ave—kuzvitaura kurerusa—kunetsa. Mutungamiri VaTrump vakambo tarisa kubhadharisa Planned Parenthood, mupi mukuru wehutano hwevakadzi uye mabasa ekubereka muUS. Uyezve, Seneti Republicans vakaramba vachisundidzira mutemo unodzikamisa kugona kweParenti Parenthood kupa masevhisi akaita semuviri, kuongororwa gomarara, uye kuchengetedza kubata pamuviri. Zvese izvi zvinoita kuti kubata kubereka kuve kwakanyanya kukosha.

Hapanawo sainzi inoratidza kuti kunofanirwa kuita shanyo ye-ob-gyn kuti uwane kudzora kuzvara, anowedzera Dr. Ireland. Asi, kushanya kwachiremba uye kudiwa kwetsamba kazhinji "zvinopa zvipingamupinyi chaizvo zvevakadzi mukuwana nzira dzekudzivirira kubata pamuviri dzavanoshuvira," anotsanangura kudaro. Izvi zvipingaidzo zvinosanganisira vanachiremba vasinganzwisise mashandiro anoita dzimwe nzira dzekudzivirira kubata pamuviri, zvisirizvo pamusoro pemushonga, uye nekuwedzeredza kunetseka nezve kuchengetedzeka, sekureva kwemaonero a2015 akaburitswa neACOG.

Asi nekuda kwekuti iwe haufanire have kuenda ku-ob-gyn kunotora mahormone ekuberekwa, hazvireve kuti haufanire kuvaona zvachose. Kushanya kwepagore uye kuongororwa kuchiri kudikanwa pakuchengetedza hutano hwekudzivirira (funga: pap smear, kuongororwa kwehosha dzepabonde nehutachiona, kubaiwa majekiseni, bvunzo dzezamu, uye pelvic, nezvimwewo), anodaro Dr. Ireland. Vanachiremba vanoshanya zvakare vanokupa iwe mukana wekukurukura chero kunetseka kwaungave uine pamusoro pekuenda kwako kumwedzi, kuita bonde, kana hutano hwevakadzi mukati, anowedzera. Cherechedza: Avo vanosarudza IUD kana kudyara kwekudzivirira pamuviri vangave vachiri kuda kuonana nachiremba wavo kwekutanga kuisa mudziyo, anotsanangura Dr. Ireland. (Yakabatana: Lena Dunham's Op-Ed Chiyeuchidzo chekuti Kuberekwa Kwekuzvarwa Kwakanyanya Kupfuura Kubata Kwekudzivirira)

Kana vari avo vanogona kunge vari kutsvaga kuyedza kudzora kuberekwa kekutanga, ob-gyn ingangoramba iri chinhu chakakosha mukukubatsira iwe kusarudza nzira yakakodzera muviri wako, anodaro Dr. Ireland. Asi FWIW, akawanda "yepamusoro-soro tsvakurudzo zvidzidzo" zvakaratidza kuti vakadzi vanokwanisa kuzviongorora zvakachengeteka uye kuona kana ivo vari kugadzirira kuberekwa kwehomoni kana kuti kwete, anowedzera. Uyezve, kana kuberekwa vaive kuti ivepo pane-the-counter, kunyorwa kwemushonga kwaizoshanda segwara rekuwedzera remashandisirwo awo, pamwe nekupa chero yambiro / zvinonetsa vashandisi vanofanirwa kuziva, anotsanangura.

Kana iyo pfungwa ye-over-the-counter control control inonzwika yakanyanya kunaka kuti ive yechokwadi, imhaka yekuti, kubvira ikozvino, ndizvo. (Ona: Izvo Sarudzo yaDonald Trump Inogona Kureva Remangwana reHutano hwevakadzi)

Pazasi mutsara: Usakanzure yako ob-gyn musangano pari zvino. Izvi zvirevo kubva kuAACOG zviri, sezvazvino, zvinowirirana. Mitemo haina kuchinja, uye kudzora kuberekwa kwehormone kuchiri kungowanikwa nemushonga muUnited States.

“Idzi chinjo hadzisati dzichizoitika nokukurumidza,” anodaro Dr. Ireland. "Pane maitiro anofanirwa kuitika kuburikidza neUS Food and Drug Administration (FDA) [pamberi] pamusoro pe-the-counter chinzvimbo chinogona kuwanikwa."

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