Ucwaningo Olusha Lubonisa Ukuthi Ukuhushulwa Kwezisu Kwasekuqaleni Kuphephile

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Ukukhipha isisu kuyisihloko esishisayo e-United States njengamanje, nabantu abanothando nhlangothi zombili zempikiswano abenza amacala abo. Ngenkathi abanye benokungaziphathi kahle ngomqondo wokukhipha isisu, ngokombono wezokwelapha, ukukhipha isisu kokuqala kwezokwelapha - okuvame ukwenziwa kuze kube amasonto ayisishiyagalolunye ngemuva kokukhulelwa futhi kuhlinzekwa ngochungechunge lwamaphilisi amabili (mifepristone ne-misoprotol) - okucatshangwa ukuthi yi inqubo ephephile. Lokho kungenxa yokuthi esimweni somtholampilo, ukuba nenkinga engathi sína ngenxa yokuhushula isisu ngokwezokwelapha kuyivelakancane ngokumangalisayo, futhi empeleni kuphephe ngokuphindwe ka-14 kunokubeletha.

Kwakungaziwa okuningi phambilini, kepha ngokuphepha okulinganiselwe kokukhishwa kwezisu ekhaya okutholwe cishe nge-telemedicine. Lolu hlobo lokukhipha isisu luwukuphela kwenketho yabesifazane emazweni lapho inqubo ivinjelwe (ngaphandle kokuvakashela kwelinye izwe). Ucwaningo olusha olushicilelwe ku- BMJ iphakamisa ukuthi ukukhishwa kwezisu emakhaya kusenesikhathi okwenziwa ngosizo lodokotela kude nakho kuphephe njengakumtholampilo. (Lapha, thola ukuthi kungani abesifazane abaningi befuna ukuhushula izisu nge-DIY.)

Nansi indlela isifundo esisebenze ngayo. Abaphenyi babheka imininingwane abazibike ngayo evela kwabesifazane abangu-1 000 e-Ireland naseNyakatho ye-Ireland abakhipha izisu zakuqala ngosizo lwe-telemedicine. Imininingwane yocwaningo inikezwe yiWomen on Web, inhlangano ezinze eNetherlands esiza abesifazane ukuthi bathole ukukhishwa kwezisu besebancane emakhaya uma behlala emazweni lapho imithetho yokukhipha isisu ivimba kakhulu. Le nsizakalo isebenza ngokuqhathanisa abesifazane abadinga ukukhishwa kwezisu nodokotela ababanikeza imishanguzo ngemuva kokuba abesifazane bephendule uhlu lwemibuzo ngesimo sabo. Kuyo yonke le nqubo, bathola usizo oluku-inthanethi futhi bayelulekwa ukuthi bafune ukwelashwa kwasendaweni uma behlangabezana nezinkinga noma izimpawu ezingejwayelekile.

Kwabesifazane abayinkulungwane abahlolwa, abangamaphesenti angama-94,5 bakhipha isisu ngokuphumelelayo ekhaya. Inani elincane labesifazane labhekana nezinkinga. Abesifazane abayisikhombisa babika ukuthi bafakwa igazi, kwathi abesifazane abangu-26 babika ukuthi bathola ama-antibiotic ngemuva kwenqubo. Kukonke, abesifazane abangama-93 belulekwe ngabakwaWoW ukuthi bafune usizo lwezempilo ngaphandle kwensizakalo. Akukho ukufa okubikwe ngabangane, umndeni, noma abezindaba. Lokho kusho ukuthi ngaphansi kwamaphesenti ayishumi kulaba besifazane kwakudingeka babonane nodokotela mathupha, futhi abangaphansi kwephesenti elilodwa babenezinkinga ezinkulu. (FYI, yingakho amazinga okuhushula izisu ephansi kakhulu kusukela ku-Roe v. Wade.)

Kulokhu, ababhali banqume ukuthi ukuphepha kokuhushula izisu kwezokwelapha kusenesikhathi kuqhathaniswa nokwabasemtholampilo. Ngaphezu kwalokho, kunezinzuzo zokuba nenketho ebonakalayo. “Abanye besifazane bangase bathande ukukhipha isisu besebenzisa i-telemedicine eku-inthanethi ngoba bangasebenzisa imishanguzo ngokunethezeka kwamakhaya abo, noma bangazuza ekuhlinzekweni okuyimfihlo kwe-telemedicine uma bengakwazi ukufinyelela kalula emtholampilo ngenxa yokulawula kophathina noma ukungavunyelwa komndeni,” kuchaza. Abigail RA Aiken, MD, MPH, Ph.D., umbhali oholayo wesifundo, umsizi kaprofesa kanye nobungcweti osebenzisana nabo eLBJ School of Public Affairs e-University of Texas e-Austin. (Ukuze uzwe kabanzi ngokuthi ukukhipha isisu kubathinta kanjani abesifazane bangempela, funda ukuthi omunye wesifazane wabelane kanjani ngomzabalazo wakhe oyingqayizivele wokuthanda umzimba wakhe wangemva kokubeletha ngemva kokukhipha isisu.)

Uma kubhekwa ukuthi i-Planned Parenthood isanda kuphoqeleka ukuthi ivale izindawo zayo ezimbalwa e-Iowa futhi akulula neze ukukhipha isisu uma uyidinga kwezinye izifundazwe ngenxa yemikhawulo egunyazwe uhulumeni, i-telemedicine ingabamba iqhaza ekufinyeleleni kokuhushula isisu nase-US. . Kodwa kunenkinga eyodwa: Izinsizakalo ezifana ne-WoW ngokuvamile azitholakali lapha e-U.S., ngenxa yemithetho ezifundazweni eziningi ezidinga ukuthi udokotela ophethe abe khona ngesikhathi sokukhipha isisu.

"Umehluko omkhulu ukuthi abesifazane base-Ireland bayakwazi ukuthola insizakalo eqinisekisa ukuthi bangazikhipha izisu zabo ngokuphepha nangempumelelo ngokunikeza imininingwane eyiyo, umthombo othembekile wemithi, nezeluleko nokusekelwa ngaphambi, ngesikhathi nangemva kokukhipha isisu," UDkt Aiken uyachaza. "Izingxoxo zesikhathi esizayo mayelana nokutholakala kwezisu e-U.S. Kufanele zifake amamodeli we-telemedicine njengendlela yokwenza ngcono amalungelo ezempilo omphakathi kanye namalungelo okuzala."

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