Tenn. State Sen. UMark Pody uthetha nabantu abazimase ukuxoxa malunga nokuqhomfa. Ifoto: UMark Humphrey / Umdibaniso weendabaNge-Agasti, i-mthetho wase-Tennessee wafaka isicelo sokuthintela konke ukukhupha isisu wakuba sele efumene ukukhulelwa okusebenzayo. Yonke into ethathayo, ngokomlinganiso, kukuchongwa kwehomoni ehlala ifunyanwa kuvavanyo lokukhulelwa ekhaya, kwiiveki nje ezimbalwa zokukhulelwa.
Iingcali, nangona kunjalo, zithi Ulwimi kwibhili ayichanekanga ngokwamayeza, kwaye ibonakalisa ukukhulelwa okusebenzayo (okanye ukukhulelwa okungenakwenzeka ukuba kukhokelele ekuphumeni kwesisu), ngesisu esisebenzayo, okanye kwimveku enokuphila ngaphandle kwesibeleko.
Yaziswa ngurhulumente waseTennessee uSen. UMark Pody, umthetho ocetywayo sisilungiso kwiBhili yeeNgwevu ye-1236, eyayifuna ukuthintela ukuqhomfa emva kweeveki ezintandathu & neepos; ukumitha, nangona oko ngaphambi kokuba abantu abaninzi bazi ukuba bakhulelwe. Loo mthetho uyilwayo awuzange ufumane mvume kwindlu yowiso-mthetho yombuso kweli xesha.
IPody & apos; ezintsha izilungiso -Okungazukuvotelwa de indlu yowiso-mthetho ibuyele kwiseshoni ngoJanuwari 2020-ithathe indawo yeeveki ezintandathu zokuthintela ukuvalwa kwezisu ukususela ngexesha lokukhulelwa, okanye xa isidoda sidibana neqanda, ngaphandle kokuba Umntu okhulelweyo nobomi bakhe busemngciphekweni. (Phantsi komthetho oyilwayo kunye neapos, logic yongxamiseko njengee-IUDs ezithile kunye Isicwangciso B siza kuvalwa kuba olo hlobo lolawulo lokuzalwa lunokuthintela iqanda elichumileyo ukuba lingafakwa kwisibeleko.)
Isilungiso esixokayo sixela ukuba umntwana ongekazalwa unakho ukukhulelwa kwaye, okokoko kubanjwa okubalulekileyo Roe v. Wade sisiqinisekiso 'sikaRhulumente namandla okusikhusela isisu emva kokuzalwa komntwana' ukuba urhulumente ukhululekile ukuthintela ukukhupha izisu ukuqala ngexesha lokumitha. Ngokukodwa, umthetho osayilwayo uthi ukuqhomfa kuya kuvalwa 'xa ukukhulelwa okufanelekileyo kucingelwa ukuba khona okanye kuqinisekisiwe.'
Isindululo sithi ukusebenza kunokumiselwa ngokufumanisa 'ukubetha kwentliziyo' komntwana okanye iimvavanyo ezininzi ezibonisa ubukho be-chorionic gonadotropin (HCG). I-HCG iveliswa yi-placenta kungekudala emva kokuba iqanda elichumileyo linamathela kwi-uterine lining kwaye yihomoni evavanywa ukukhulelwa ekhaya.
Ngokwenyani, umntwana ongekazalwa ayithathelwa ngqalelo inokwenzeka —Okanye ikwazi ukuphila ngaphandle kwesibeleko — de ikhule kangangeeveki ezingama-24. Kodwa ngokwesilungiso, kusekwe kwaye kwamkelwa isayensi yezonyango ukuba ukusebenza komntwana ongekazalwa, umntwana ongekazalwa, umntu, okanye umntu kumiselwa kwiiveki zokuqala ezintandathu zokukhulelwa ngokunyuka okungaguqukiyo kwehomoni ethile yokukhulelwa yeHCG. Ayisiyonyani leyo.
Phakathi kwemithombo Ibhodi yePody & apos; icatshulwe ekuchazeni ukusebenza ibhulethini yokuziqhelanisa ekhutshwe yiAmerican College of Obstetricians and Gynecologists (ACOG) ngoDisemba ka-1998. Ezi zikhokelo zathetha ngokusebenzisa iyeza elibizwa ngokuba yi-methotrexate ukunyanga ukukhulelwa kwe-ectopic. (Ukukhulelwa kwe-ectopic kuxa iqanda elidityaniswe nedlozi linamathela endaweni engeyiyo ngaphakathi kwesibeleko, kwaye linokuba sesichengeni sobomi kwisigulana.) Ukuzoba kwezo zikhokelo, umthetho osayilwayo waseTennessee ukwatsho ukuba ukwanda kweepesenti ezingama-66 ze-HCG okanye ngaphezulu kwithuba leentsuku ezimbini kuyabonwa ekukhulelweni okuqhelekileyo.
Esi sicelo, siyaphikisana, bubungqina bokuba ukusebenza kunokumiselwa kwiiveki zokuqala zokukhulelwa.
Kodwa njengoko uKatherine McHugh, i-OB / GYN e-Indianapolis kunye nesithethi se-ACOG, icacisile, kukho umahluko omkhulu phakathi kokusebenza kokukhulelwa kunye nokusebenza komntwana.
Izikhokelo zokuba olu lwimi lwaseTennessee lusekwe lixesha kwaye zirhoxisiwe, uMcHugh uxelele iVice. [Isindululo sikwasebenzisa] ulwimi lwezonyango olutolikwa ngokungekho mthethweni kulwimi oluqhelekileyo kwaye ngumzekelo wendlela abapolitiki abangaluqondi ulwimi lwezonyango ngokwaneleyo ukwenza umgaqo-nkqubo osekwe kulo.
'Ukukhulelwa okusebenzayo' kuthetha ukuba ukukhulelwa kunakho ukuqhubeka, utshilo uMcHugh, into ebalulekileyo ukuyivavanya ngenxa yomngcipheko omkhulu wokuphuma kwesisu. Naphi na phakathi Iipesenti ezili-10 ukuya kuma-25 ekhulwini yokukhulelwa izakuphela kukungahambi kakuhle.
Xa izigulana zingena zisopha okanye zintlungu okanye sixhalabile ukuba kukho ingxaki ekukhulelweni, sivavanya ukukhulelwa kwinto esiyibiza ngokuba yi & apos; viability. & Apos; Oko akunanto yakwenza nokusebenza kosana olungekazalwa. Kuthetha ukuba ukukhulelwa kunganakho ukuqhubeka kwaye kunokubangela ukuba umntwana abe nakho ukuhlala ngaphandle konina. Kodwa ayiloxesha elifanayo kwaye awunanjongo inye.
Ngokwe-ACOG's izikhokelo zamva nje ukukhulelwa kwe-ectopic (inguqulelo ehlaziyiweyo yezikhokelo zika-1998 ezichaziweyo kwisibhengezo saseTennessee), ubalo oluchanekileyo lobudala bokukhulelwa olwenziwe nge-ultrasound yeyona ndlela ilungileyo yokufumanisa ukuba ukukhulelwa kuthathwa njengesiqhelo, endaweni yokulinganisa inqanaba elipheleleyo le-HCG.
I-HCG idla ngokufunyanwa phakathi kweeveki ezintathu ukuya kwezine emva kokuba sexesheni komntu, okanye iiveki ezimbini ukuya kwezimbini emva kokukhulelwa. Ukuba isilungiso sidlulisiwe njengoko sinjalo, utshilo uMcHugh, ngekhe kubekho xesha lokuba umntu aqwalasele iimpembelelo zokukhulelwa. Kuya kuba kukuthintelwa konke ukukhupha isisu.
Uluvo lokuba uza kusebenzisa i-beta-HCG njengophawu lokuba umntu anganakho okanye angabinakho ukukhupha isisu luyinto ehlekisayo, utshilo. Ayizukubakho indlela yokufumanisa ukuba ngaba isigulana simithi na ngaphambi kokuba ukhulelwe okanye kuvavanywe igazi.
UMcHugh uthe ababoneleli basaqhubeka nokubeka iliso kumanqanaba e-HCG kwizigulana eziza neempawu ezinje ngokuphuma kwegazi okanye iintlungu. Ukuba loo manani aphindaphindwe malunga nexesha leeyure ezingama-48, oko kubonisa kakuhle ukukhulelwa. Yiyo leyo, utshilo. Ukuba i-beta-HCG ayinyuki ngokufanelekileyo, ke sikhathazekile malunga nokukhulelwa kwe-ectopic. Ayisiyo into yokukhulelwa enokubangela ukuba umntwana aphile kodwa esongela ubomi kwisigulana.
Ukusetyenziswa kwegama 'elinokubakho' kwesi sicwangciso akulunganga kwaphela ukuba kusetyenziswe ngokubhekisele kwimveku engekazalwa, uMcHugh wongeze. Ayinanto yokwenza nomntwana. Inayo yonke into enokuyenza ngokukhulelwa kunye nokukwazi ukukhulelwa oko ukuze kuqhubeke kunokubangela umntwana.
Njengo-OB / GYN Jen Gunter uxelelwe Iindaba ezintsha : 'Ukusebenzisa i-beta-HCG ukumisela ukusebenza kokukhulelwa akulunganga kwaye sisidenge kuphela okanye umntu osebenzisa incwadi yesikolo ukusukela kwiminyaka yoo-1990 unokufikelela kweso sigqibo.
Kwaye, ngaphandle kokufumana ulwazi oludlulileyo kwi-ACOG ukwenza imeko yayo, ulwimi lolungiso lukaPody luphikisana ngokuthe ngqo nombono wombutho ngokukhupha isisu.
Ikholeji iyaqhubeka nokuqinisekisa ilungelo elisemthethweni lowasetyhini lokufumana isisu ngaphambi kokuzalwa komntwana, Isiteyitimenti somgaqo-nkqubo we-ACOG ifunda. Ukugxininisa imbono yeNkundla ePhakamileyo yase-U.S. Malunga nokusebenza, i-ACOG iyichaza njengomthamo womntwana ukuze aphile ngokuzinzileyo ngaphandle kwesibeleko sowasetyhini. Nokuba ukhona okanye akunjalo esi sikhundla sisigqibo sezonyango, sinokwahluka ngokukhulelwa ngakunye kwaye kungumcimbi wokugweba umboneleli wezempilo onoxanduva.
Asingabo bonke abachasi abachasene nokuqhomfa abavumelana nomthetho oyilwayo kaPody. UJim Bopp, igqwetha leKomiti yeSizwe yeLungelo lokuPhila, uxelelwe i INashville Tennessean Ukuchaza ukusebenza kwasekuqaleni kokukhulelwa 'kwakungekho ngqiqweni.'
'Isenza sibonakale ngathi siziziyatha,' utshilo. Kwaye andifuni ukubonakala ndisisidenge. '
CNN iingxelo ukuba iBhunga leNtshukumo yoSapho laseTennessee lanceda uPody ukuba abhale izilungiso. I-MediaMente iqhakamshele iofisi kaPody yokwenza uluvo kwaye siza kulilungisa eli bali ukuba siyamva.
Bhalisela iincwadana zethu ukufumana okona kulungileyo kwe-MediaMente kusiwa kwibhokisi yakho engenayo yonke imihla.