Nyowani Nyowani Inoratidza Kuti Kwekutanga Tele-Kubvisa Nhumbu Kwakachengeteka

Zvemukati

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Kubvisa nhumbu inonzwisisika iri nyaya inopisa muUnited States izvozvi, nevanhu vane shungu pamativi ese enharo vachiita nyaya dzavo. Nepo vamwe vaine kusavimbika nepfungwa yekubvisa pamuviri, kubva mukuona kwezvekurapa, kubvisa pamuviri kwekurapa kwekutanga-kunowanzoitwa kusvika masvondo mapfumbamwe mushure mekubata pamuviri uye kunoitwa nenhevedzano yemapiritsi maviri (mifepristone nemisoprotol) -inowanzo fungwa se nzira yakachengeteka. Imhaka yekuti munzvimbo dzekiriniki, kuve nedambudziko rakakomba kubva pakubvisa pamuviri kwekurapa hakuwanzo shamisa, uye zvakachengeteka zvakapetwa ka14 pane kuzvara mwana.

Hazvina zvakawanda zvaimbozivikanwa, zvakadaro, nezve kuchengetedzeka kwehukama hwekubvisa pamuviri kumba uko kwakawanikwa kuburikidza ne telemedicine. Rudzi urwu rwekubvisa nhumbu ndiyo chete sarudzo yevakadzi vari munyika umo maitiro acho anorambidzwa (kunze kwekufamba kuenda kune imwe nyika). Tsvagurudzo nyowani yakaburitswa mu BMJ inoratidza kuti kubvisa pamuviri kumba kwekutanga kunoitwa nerubatsiro kubva kuvarapi kure kwakachengetedzeka sezvakangoita vekukiriniki. (Pano, tsvaga kuti sei vamwe vakadzi vari kutsvaga DIY kubvisa nhumbu.)

Heano mashandiro akaita chidzidzo. Vatsvaguriri vakatarisa yavo-yakazvitaurwa data kubva kuvakadzi chiuru muIreland neNorthern Ireland avo vakabvisa nhumbu dzekutanga nekurapa kuburikidza netelemedicine. Iyo data yechidzidzo ichi yakapihwa neVakadzi paWebhu, sangano rinogara muNetherlands iro rinobatsira vakadzi kuti vabvise nhumbu nekukurumidza kumba kana vachigara munyika dzine mitemo inobvisa nhumbu. Basa iri rinoshanda nekuenzanisa madzimai anoda kubviswa pamuviri navanachiremba vanovapa mishonga mushure mekunge madzimai aya apindura mubvunzo wemamiriro avo ezvinhu. Munguva yese iyi, vanogamuchira rubatsiro rwepamhepo uye vanokurudzirwa kutsvaga kurapwa kwemuno kana vakasangana nematambudziko kana zviratidzo zvisina kujairika.

Pavakadzi 1 000 vakaongororwa, 94,5 muzana vakabudirira kubvisa pamuviri pamba. Nhamba shoma yevakadzi vakasangana nematambudziko. Vakadzi vanomwe vakataura kuti vakagamuchira kuwedzerwa ropa, uye vakadzi ve26 vakashuma kugamuchira mishonga inorwisa mabhakitiriya mushure mekuita. Pakazara, vakadzi makumi mapfumbamwe nemapfumbamwe vakarairwa neWoW kutsvaga kurapwa kunze kwebasa. Hapana rufu rwakataurwa neshamwari, mhuri, kana vezvenhau. Izvi zvinoreva kuti pasi pegumi muzana muzana yevakadzi ava vaida kuona chiremba ivo pachavo, uye pasi pe1 muzana vaive nematambudziko akakomba. (FYI, ndosaka mareti ekubvisa nhumbu ari iwo akanyanya kudzikira kubvira Roe v. Wade.)

Kubva pane izvi, vanyori vakafunga kuti kuchengetedzeka kwekuzvitsvagira kwekutanga kubvisa nhumbu kunofananidzwa neyemukiriniki. Uyezve, pane zvakanakira kuve neiyo chaiyo sarudzo. "Vamwe vakadzi vangasarudza kubvisa nhumbu vachishandisa online telemedicine nekuti vanogona kushandisa mishonga mukugara mudzimba dzavo, kana kuti vangabatsirikana nechengetedzo yeterevhizheni kana vasingakwanise kusvika kukiriniki nekuda kwemumwe munhu anenge achidzora kana kusafarirwa nemhuri," anotsanangura kudaro Abigail RA Aiken, M.D., M.P.H., Ph.D., munyori anotungamira wechidzidzo ichi, mutevedzeri wapurofesa uye wefekitari akabatana paLBJ School of Public Affairs paYunivhesiti yeTexas kuAustin. (Kuti unzwe zvakawanda nezvekuti kubvisa nhumbu kunokanganisa sei vakadzi chaivo, verenga kuti mumwe mukadzi akagovana sei hondo yake yakasarudzika yekuda muviri wake wepashure pokubvisa.)

Tichifunga kuti Planned Parenthood yakangomanikidzwa kuvhara dzinoverengeka nzvimbo dzayo muIowa uye hazvisi nyore chaizvo kubvisa nhumbu kana iwe uchida imwe kune dzimwe nyika nekuda kwezvirambidzo zvakatemerwa nehurumende, telemedicine inogona kutora chinzvimbo pakubvisa nhumbu muUS zvakare . Asi pane dambudziko rimwe chete: Masevhisi akaita seWoW haawanzo kuwanikwa muno muUS, nekuda kwemitemo iri mumatunhu mazhinji inoda kuti chiremba anotungamira avepo panguva yekubvisa pamuviri.

"Musiyano mukuru ndewekuti vakadzi muIreland vanokwanisa kuwana sevhisi inova nechokwadi chekuti vanogona kubvisa nhumbu yavo zvakachengeteka uye zvinobudirira nekupa ruzivo rwakarurama, nzvimbo yakavimbika yemishonga, uye mazano nerutsigiro vasati vabvisa, panguva, uye mushure mekubvisa," Dr. Aiken anotsanangura. "Nhaurirano dzeramangwana nezvekupihwa kwekubvisa nhumbu muU.S. dzinofanirwa kusanganisira mamodheru etelemedicine senzira yekuvandudza kodzero dzeveruzhinji uye kodzero dzekubereka."

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