Hlela uhlelo lwe-One-Step oluphuthumayo lokukhulelwa ngokwezinyathelo uhlelo lokusebenza lwezidakamizwa olwamukelwe yi-FDA ngoJulayi 13, 2009. Hlela B Isinyathelo esisodwa sinephilisi eyodwa yomlomo (i-levonorgestrel tablet, 1.5 mg). I-Plan B yasekuqaleni (nokulingana kwayo okujwayelekile, Okukhethwa Okulandelayo ) kufaka amaphilisi amabili okuphuza okuphuthumayo okufanele athathwe amahora angu-12 ngaphandle noma ngesikhathi esifanayo. Ngokusho kukaDenise Bradley, okhulumela inkampani, "Uhlelo lwe-B One-Step lushintshe iPulani B. endala"
Hlela B Isinyathelo esisodwa singasetshenziswa abesifazane ukuvimbela ukukhulelwa okungahlosiwe emva kocansi olungalondekile noma ukwehluleka kokukhulelwa ngephilisi elilodwa elilodwa elingathathwa ngokushesha.
Odokotela abaningi, njengo-Ashlesha Patel, MD, MPH, uMqondisi weDaily Services Services kuJohn H. Stroger Jr. Hospital eChicago, bakhetha i-pill piling for iziguli zabo. I-formulations eyodwa-step ivumela iziguli "ukuba zenze ngokushesha ngokunikeza izinga eliphezulu lokuphepha nokusebenza" kuchaza uDkt. Patel.
Phakathi kuka-2012 no-2014, i-FDA ivume izilinganiso ezilandelayo ezijwayelekile ezihleliwe ku-Plan B Enye-Isinyathelo: Okukhethwa Kwelinye I-Dose , I- AfterPill , Indlela Yami , Nokuthatha Isinyathelo .
Indlela Esebenza ngayo
Hlela B isinyathelo esisodwa isebenza ngezindlela eziningi zokulawula ukuzalwa kwe-hormonal . Uma sekushiwo lokho, kukhona ukuphikisana mayelana nezindlela eziqondile ukuthi uhlelo lwe-B olulodwa lusebenza. Lokhu kungavumelani kubangelwa ngendaba yokuthi ngabe iBulani B Isinyathelo Esinye Isivimbela Ukufakelwa Kwamaqanda Akhulelwe.
Nakuba i-FDA ifakiwe, ekubalweni kwemikhiqizo, ukuthi lokhu njengenye yeendlela Plan B One-Steps esebenza ngayo, umphakathi wezokwelapha kanye nocwaningo lwamanje luthi lolu hlelo lokukhulelwa oluphuthumayo aluba nomthelela ekutheni kube khona ukufakelwa.
Iluphi uhlelo B Isinyathelo Esinye Esingekho
Ukuvimbela ukukhulelwa okuphuthumayo kuvame ukudideka ngephutha ngepilisi yokukhipha isisu kuqala, i- RU486 (ebizwa nangokuthi i-M & M, i-Mifeprex, i-mifepristone noma isisu sokukhipha isisu).
Le mithi emibili isebenzela izinhloso ezimbili ezahlukene futhi isebenza ngokuhluke kakhulu komunye nomunye.
Hlela B I-One Step is hhayi iphilisi yokukhipha isisu. Akusebenzi futhi uma kuthathwa ngemuva kokuba owesifazane usekhulelwe kakade. Uhlelo olusha B ngeke luqede ukukhulelwa okukhona. Ngokusho kweTeva Pharmaceuticals, umkhiqizi wePlani B-Isinyathelo esisodwa, abukho ubufakazi bokuthi Isu B Isinyathelo Esinye Isilimaza owesifazane okhulelwe noma ingane ekhulayo.
I-Teva Pharmaceuticals ibuye iluleke ukuthi uhlelo lwe-B One Step kumele lungasetshenzisiwe njengengxenye yokusetshenziswa kokujwayelekile kokukhulelwa .
Indlela Yokuwuthola
Esimweni senkantolo uTummino v. Hamburg , ijaji lala i-FDA ukuthi ivumele uhlelo lwe-B B One Step ukuthi lithengiswe phezu kwe-counter ngaphandle kwemingcele yobudala. Ngemuva kochungechunge lwezikhalazo, i-FDA yagcina isimemezele ukuvunyelwa kwayo kwePlani B Isinyathelo Esinye sokuthengiswa phezu kwe-counter kubantu abanoma yimuphi ubudala . Le nhlangano iphinde inikeze u-Teva kuphela ukuthengisa i-Plan B One Step on-counter. Kodwa, ngoFebruwari 2014, i-FDA ithole indlela yokuhlonipha lokhu okusebenzisana nokuzibandakanya ngenkathi ivumela ukuthi amaphilisi amancane ajwayelekile afinyeleleke ngokufinyelela okufanayo kwe-counter-the-counter.
Ungase usadinga isidakamizwa se-Plan B Isinyathelo esisodwa ukuze umshwalense wakho awufihle, ngakho-ke ungase ufune ukuhlola ukuthi izidingo zakho zenqubomgomo yomshuwalense zingakini ngaphambi kokuba uzithole endaweni yokudinga ukwelashwa okuphuthumayo.
Hlela B isinyathelo esisodwa asisadingeki ukuba sigcinwe ngemuva kwekhalenda lekhemisi. Kumele itholakale ekuhleleni komndeni wakho esitolo / isigaba kanye ne-Next Choice One Dose ne-My Way. Kusukela manje, i-FDA isadinga ukuthi i-Next Choice, ifomu le-tablet ye-2 ye-tablet ye-B endala ukuthi igcinwe ngemuva kwekhasimende le-pharmacy futhi litholakale ngaphandle kwemithi kulabo abaneminyaka engu-17 nangaphezulu. Ngakho lokhu kusho ukuthi imithetho emisha ye-FDA KUPHELA isebenze kwi-levonorgestrel-based based-one pilill.
Isikhathi Sokuyisebenzisa
Ukunciphisa ingozi yokukhulelwa okungakahleleki, Isu B isinyathelo esisodwa kufanele sithathwe ngokushesha ngangokunokwenzeka kungakapheli amahora angu-72 (izinsuku ezintathu) zobulili ezingavimbelwe noma ukwehluleka kokukhulelwa .
Ngokushesha Isuhlelo B Esinye Isinyathelo siyathathwa, siyosebenza ngokwengeziwe. Hlela B isinyathelo esisodwa singasetshenziswa nanoma yisiphi isikhathi ngesikhathi sokuya esikhathini. Uma uhlanza zingakapheli amahora amabili ukuthatha iphilisi, kufanele uthintane nodokotela wakho ngokushesha ukuze uxoxe ukuthi uthathe elinye iphilisi.
Qaphela: Ngokuvamile, ukukhulelwa kwezimo eziphuthumayo kungasetshenziswa kuze kube yizinsuku ezingu-5 emva kocansi olungavimbelwe. Ngakho-ke kungase kube usizo ukuthatha i-Plan B One Step for amahora angama-120 emva kocansi olungalondekile.
Okuqhamuka uma udla imishanguzo
Uma isetshenzisiwe njengoba iqondiswe, Uhlelo B One-Step luphephile kubesifazane abaningi. Imiphumela emibi kakhulu evivinyweni lomtholampilo yabesifazane abathola i-Plan B Isinyathelo esisodwa kufakwe:
- Ukuphuma kwesikhumba okunzima kakhulu (30.9%)
- I-nausea (13.7%)
- Ubuhlungu besisu esiswini (13.3%)
- Ukukhathala (13.3%)
- Izinwele (10.3%)
- Ukuzondwa (9.6%)
- Ubumnene besisu (8.2%)
- Ukuphuza isikhathi eside (ngaphezulu kwezinsuku ezingu-7) (4.5%)
Ngemuva kokuthatha i-Plan B Isinyathelo esisodwa, ungase uthole izinguquko esikhathini sakho. Kwezinye izimo, isikhathi sakho esilandelayo singaba sinzima kakhulu noma sikhanyise, noma ngaphambili noma kamuva.
- Kubalulekile ukubonana nodokotela uma isikhathi sakho esihleliwe siphelile isikhathi esingaphezu kwesonto elilodwa, njengoba lokhu kungabonisa ukuthi ukukhulelwa kungenzeka.
Uma ubhekana nobuhlungu obukhulu besisu esiswini 3 kuya ku-5 ngemuva kokuthatha uhlelo lwe-Plan B One-Step, kungenzeka ukuthi kungenzeka ukuthi une-ectopic pregnancy, ngakho-ke kufanele ufune ukunakekelwa ngokushesha - ngokujwayelekile, i-akhawunti yokukhulelwa ectopic cishe cishe 2% kuzo zonke ukukhulelwa okubikiwe. Kodwa-ke, kufika ku-10% kokukhulelwa okubikiwe ezifundweni zokusetshenziswa okujwayelekile kwezizalo zokubeletha kuphela ze- progestin ziyi-ectopic.
Ukuphumelela
Hlela B Isinyathelo esisodwa sisebenza kahle ngokushesha uma sekuqalisiwe. Uma kuthathwa njengokuqondiswa (kungakapheli amahora angu-72 wezocansi ezingalondekile noma ukwehluleka kokukhulelwa), Uhlelo B One Step is cishe 89% ephumelelayo ekunciphiseni ithuba lokukhulelwa. Abesifazane abayisishiyagalolunye kwabayisishiyagalombili ababe bekhulelwe ngeke bakhulelwe ngemuva kokuthatha uhlelo lweSystem B One Step.
Hlela B Isinyathelo esisodwa ngeke siqhubeke nokuvimbela ukukhulelwa ngesikhathi sonke somjikelezo wesifazane. Umkhiqizi uthi "ukubuyela okusheshayo kokuzala kungase kulandele ukwelashwa ngePulani B Isinyathelo esisodwa sokukhulelwa okuphuthumayo," ngakho-ke izindlela zokwelapha ezengeziwe kufanele ziqhubeke noma ziqaliswe ngokushesha ngangokunokwenzeka emva kokusebenzisa uhlelo olusha B ukuqinisekisa ukuvinjelwa okuqhubekayo ukukhulelwa.
Izindleko
Izindleko zephakheji elilodwa le-Plan B Elinye Isinyathelo likwazi ukuhamba noma yikuphi ukusuka ku-$ 35 kuya ku-$ 65 ... ngezindleko eziba ngu-$ 45.
Ukuvikelwa kwe-STD:
Hlela B isinyathelo esisodwa asihlinzeki ngokuvikela izifo ezithathelwana ngocansi noma i-HIV.
Imithombo:
I-FDA. (Ephreli 30, 2013). I-FDA ivumela uhlelo lwe-Plan B olulodwa oluphuthumayo lokukhulelwa ngaphandle kwemithi yabesifazane abaneminyaka engu-15 ubudala nangaphezulu. Kufinyelelwe ku-5/1/13
Munro ML, Dulin AC, Kuzma E. "Umlando, inqubomgomo kanye nokuhlengikaza okushiwo yi-Plan B® yokukhulelwa okuphuthumayo." Ubuhlengikazi beMpilo Yabesifazane . 2015; 19 (2): 142-153. i-doi: 10.1111 / 1751-486x.12186.