Kunjani Ukukhupha Isisu eMissouri

Impilo Indlela elikhohlakeleyo lokulinda kweeyure ezingama-72 zaseMissouri layichaphazela njani inkazana enye enesifo esibuhlungu sokufunyanwa komntwana.
  • Ikholaji nguSekela Basebenzi | Imifanekiso ngeShutterstock Ukufikelela kwisisu kuyahluka kakhulu kubantu abakwiindawo ezahlukeneyo zelizwe. Siya ngurhulumente ngurhulumente. Bona ngakumbi →

    Iminyaka, isimo sengqondo esifanelekileyo sokugcina isisu ngokukhipha isisu phantsi kwenkoliso yabantu & radar. Oku bekukho ngaphandle kokuzibophelela ixesha elide kumgaqo-nkqubo obonisa ukuba zeziphi ezincwadini kwiindawo ezinobutshaba, njengeTexas. Ehlotyeni i-2019, nangona kunjalo, xa isebe lezempilo likarhulumente (kwa-iarhente efanayo egcina ispredishithi samaxesha abasetyhini) igqibe kwelokuba iphinde itolike umthetho wakudala wemvume, ulwazi ngeklinikhi yokugqibela yaseMissouri-Iinkonzo zeMpilo zokuZala zoBuzali obuCwangcisiweyo beSt. Ummandla waseLouis — ubotshwe waba lilimbo. Kwinqanaba lokuba lilizwe lokuqala ngaphandle kweklinikhi enye yokuqhomfa ukusukela Roe v. Wade kunye i-i-8 yeeveki zokuvalwa isebenza ngendlela yayo kwiinkundla, iMissouri yathatha izihloko zelizwe. Kodwa ngokwenene, bekusoloko kudweliswa phakathi kwamazwe achasene namalungelo okuqhomfa.

    Ngo-1986, iMissouri yaba lilizwe lokuqala ukuba lifune ababoneleli abakhupha izisu bafumane amalungelo awamkelekileyo kwisibhedlele esikufuphi, ukuze, kwimeko enqabileyo isigulana sidinga unyango olukhawulezileyo, banokutshintshelwa kwi-ER yendawo. Yindlela ejikelezayo yokunciphisa iphuli yomboneleli, kunye nokuchasayo: Izinga lokuqhomfa liphezulu phakathi kweenkqubo zonyango ezikhuselekileyo ezikhoyo, kwaye ii-ERs azenzi mkhwa wokubuyisa abantu kwiimfuno zokucinezelwa zononophelo. Oko ngekwaphula umthetho . Nangona kunjalo izithintelo ezingenasiseko ezinje ngezi ziye zafumba eMissouri, okuthetha ukuba-ngaphandle kwe ikhefu elifutshane kakhulu -URhulumente uthembele kumnikezeli omnye wokuqhomfa ukusukela ngo-2011 .

    Uthini umthetho wase-Missouri malunga nokuqhomfa:

    • Kuphela ngoogqirha abanokwenza isisu, okuthetha ukuba ababoneleli abasebenza njengabongikazi abavunyelwe ukunikezela ngenkqubo.
    • Izigulana kufuneka ziye kugqirha onyanzelekileyo, umntu noogqirha iiyure ezingama-72 ngaphambi kokupheliswa. Oku kuthetha uhambo olwahlukeneyo oluya eklinikhi, ukufunxa ulwazi olungachanekanga kwezonyango olwenzelwe ukutshintsha ingqondo yesigulana.
    • Isigulana kufuneka uvavanywe ngunyango, okuhlala kuye ngokokubona komboneleli. IMissouri ifuna oku kwanamayeza okuqhomfa angazibandakanyi naziphi na izixhobo esibelekweni, ke ngoko ukuCwangciswa koMzali eSt. Louis kubhekisa kwabo baguli eIllinois engabamelwane ukuthintela uviwo ukuba lunyanzelwe kubo.
    • I-inshurensi — nokuba yeyasesidlangalaleni okanye yeyabucala — ibandakanya ukuqhomfa kuphela xa umntu ebeka ubomi bakhe esichengeni. Nangona abantu abane-inshurensi yabucala banokuthenga abathengi ukuba bancede ukuhlawulela inkqubo, oko kuya kufuna ukuba balindele iimfuno zabo zokukhupha isisu, kunye neinshurensi zabucala ukuze bazalisekise loo mfuno. Akukho mntu we-inshurensi yabucala enikezela abakhweli eMissouri ngo-2017 okanye ngo-2018.
    • Unyango liza kugubungela kuphela ukuqhomfa kwimeko zobungozi, okanye xa ukukhulelwa kubangelwa kukudlwengulwa okanye umbulo.
    • Ababoneleli banqatshelwe ekumiseleni amayeza ngokukhipha isisu ngokusebenzisa uncedo lwe-telemedicine.
    • Umntu ofuna ukukhupha isisu omncinci kufuneka akhusele imvume yomzali kwangaphambi kwexesha.
    • Ukuphuma kwesisu emva kokusebenza komntwana (malunga neeveki ezingama-24) kusemthethweni kuphela kwiimeko zobungozi okanye ubunzima bempilo yomntu okhulelweyo.
    • Izigulana azinakho ukuyekisa ukunqanda ukungahambi kakuhle kwemfuza, okanye ukukhetha ubuhlanga okanye isini, zona-ngokubhekisele kwezi zimbini zokugqibela- bonke ubungqina obukhoyo bucebisa akukho mntu wenza kanjalo.
    • Izixhobo ezibonelela ngokuqhomfa kufuneka ahlangabezane nemigangatho efanayo yomzimba njengamaziko okuhlinzwa abagulayo, esenza iimfuno ezingqongqo zeeholo kwiiholo nakumasango abo, kunye nokuthintela ukuba ngubani onokusebenza apho.
    • Oogqirha kufuneka babe namalungelo okuvuma esibhedlele ngaphakathi Imizuzu eli-15 yesibonelelo sabo.



    Kunjani ukufuna ukuqhomfa eMissouri

    Eli libali lomntu omnye.

    U-Ashley, ngoku oneminyaka eyi-33, wayeneminyaka engama-20 ekhulelwe xa wayeya kwi-ofisi yakhe ye-OB / GYN kwi-ultrasound ngo-Agasti 2018. Ugqirha wakhe wamxelela ukuba wenze band band -Umtya we-amniotic sac branching, onokubambisa iminwe okanye amalungu omzimba-kodwa ungakhathazeki. Ngokuchasene neminqweno kagqirha wakhe, u-Ashley kunye nomyeni wakhe bafuna uluvo lwesibini, kwaye bafumanisa isifo esingaqhelekanga semfuza esibizwa heterotaxy Oko bekume ukubulala uAshley nosana. Ukuqhomfa kuhleli kungekho semthethweni kwimeko yeeveki ezingama-24 ezidlulileyo ngaphandle kokuba ubomi okanye impilo yomama nephoselo isemngciphekweni, ngaphandle kokungabikho komntwana kwisibeleko. U-Ashley uye waphela ngaphambi kokuba ivaliwe loo festile. Olu dliwanondlebe luhlelelwe ubude kunye nokucaca.

    Ugqibe nini ukusikhupha isisu?

    Kwakumalunga neeveki ezingama-21 ngelixesha sakwazi ukuseta [uluvo lwesibini]. Benze i-ultrasound, emva koko basitsalela kweli gumbi lincinci kwaye bathi kuthi, ‘Ayisiyiqela le-amniotic. Kodwa zininzi izinto ezingalunganga.

    Intombi yethu yayine-heterotaxy, kulapho onke amalungu akho akwiindawo ezingalunganga. Intliziyo yakhe yayi kwicala elingalunganga esifubeni sakhe, wayengenalo icala lasekhohlo lentliziyo yakhe, kungekho gumbi lasekhohlo. Ii-capillaries ezazenziwe zazincinci kwaye zazingasebenzi. Onke amathumbu akhe ayekwindawo ezahlukileyo, engalunganga kwaye engadibananga. Isisu sakhe sasikwicala elingalunganga. Izintso zakhe zazingaxhunyiwe. Xa besixelela yonke le nto, unontlalontle kwelo gumbi uthe, Uyazi, ukuqhomfa kukukhetha. Ndisoloko ndikhetha-ukukhetha: Ndineminyaka engama-33 ubudala, ndikhetha ukukhetha ubomi bam bonke. Kodwa ndaziva ndigula kakhulu, kuba ndandicinga, Oh nkosi yam, ngumntwana wam lo . Ndide ndathi 'ayisiyiyo inketho leyo, andifuni ukuyenza loo nto.'

    Isazisi

    Njani iingxoxo malunga nokuqhomfa kamva ekukhulelweni zibuhlungu kwabasetyhini abazifunayo

    UMarie Solis 02.06.19

    Kodwa sifunde ngakumbi ngayo, safunda ukuba uzakufuna ukufakelwa amalungu amathathu xa ezalwa, ukuba uyasinda ekukhulelweni. Iintsana azifumani ukufakelwa kwamalungu amathathu. Akukho mntu uyifumana. Kwaye ubomi bakhe bokuphila buya kuba yiminyaka eyi-10, ngeyona ndlela, kwaye loo nto ayichazi umngcipheko wokunqongophala komoya, ukonakala kwengqondo [de kwenzeke nakuphi na ukufakelwa]. Ndandinexhala labantwana bam abaphilayo, nditsho nam. Umzimba wam ubusenza ukuba amalungu akhe asebenze, kwaye bacinga ukuba ukuba bendizakumthwala ndimise kwisibhedlele, ngendibe sisifo sentliziyo.

    Siphelise usuku olungaphambi kwamanqaku ee-24 zeveki, ongumthetho eMissouri. Umhlobo wam osenyongweni weza wabukela abantwana bam ababini abancinci. Uchithe imini yonke nabo, saya kwisibhedlele saseWashU. Senze i-dilate kwaye saphuma, eyinkqubo yeentsuku ezimbini. Uyangena kwaye banamathele ezi zinti ngaphakathi komlomo wesibeleko sakho, esidumbayo. Ndihlala kufutshane [imizuzu engama-45 ukuya kweyure xa ndiqhuba] ke ndakwazi ukugoduka; ukuba awuhlali kufutshane, kufuneka uhlale ehotele, kwimeko apho ufuna unyango.

    Ngaba ubenexhala lokuba uza kuwa ngaphandle komgca wexesha?

    Sasinexhala kakhulu. Kwanasemva koko, kulo lonke ukhathalelo esilufumanayo kunye nalo lonke uvelwano esilufumene koogqirha, saziva ngathi siyangxama. Kwakuphantse kufane emva kwesivumelwano ngasinye, babeza kubuya bangene kwaye babe, Kulungile, ucinga ntoni ngayo ngoku? Usafuna ukukhupha isisu, uyaphila nawe? Uxolo, kodwa kufuneka wenze esi sigqibo. Kuba besineeveki ezintathu kuphela. Kuba kufuneka utyikitye amaphepha, kwaye ke uneeyure ezingama-72 [ixesha lokulinda ngaphambili] abanokubeka khona izinti, kwaye ke ezinye iiyure ezingama-24 [phambi] banokwenza inkqubo.

    Senze [i-echocardiograms], senza uvavanyo lwegazi, senza uvavanyo lwe-amniotic fluid. Senze yonke into ukuqinisekisa ukuba oku kuyinyani, kwaye yonke into kufuneka ikhawulezisiwe.

    Kubize malini ukukhupha isisu?

    Umyeni wam uneshishini eColorado, nangona sihlala eMissouri. I-inshurensi yethu iphumile eColorado, ke i-inshurensi yethu ikwazile ukuyigubungela enye, yiyo loo nto besikwazi ukuyifumana esibhedlele. Nangemva koko, sahlawula malunga ne-12, 000 yeedola epokothweni, ngenxa nje ye-D & E [akukho kuhlala esibhedlele]. Sivele sayifumana ihlawulwe kungekudala. Kwaye kwakucaphukisa oko, kodwa elona cala lalicaphukisa, kwakufuneka sijongile xa sasisiya esibhedlele. Kwakufana nentlawulo esezantsi, kwakufuneka sijongile… isibini esikhulu, njengediphozithi.

    Ukuba i-inshurensi yethu ingakhange ihlawule [inxenye yayo], bekuya kufuneka siye e-Illinois [apho ayinayo kwaye ayinawo ixesha lokulinda kwaye une imigaqo ethe kratya emva kokusebenza]. Ndineeveki ezingama-24 ndikhulelwe, kwaye ndimncinci kakhulu ngokwendalo. Ndandisoyika ukudlula [kwiklinikhi yokuqhomfa] kubaqhankqalazi, kucacile ukuba ukhulelwe. [ekhala] ngombulelo khange sikwenze oko.

    Kwakunjani ukudibana neengcebiso?

    Iindaba

    Iminyaka elishumi edlulileyo uMissouri Wayeneeklinikhi ezi-5 zokuKhupha isisu. Ngoku Inye. Nantsi into eyenzekileyo.

    UCarter Sherman 07.02.19

    [Ugqirha] wayefana ngokoqobo, Heyi, kufuneka sikunike le ncwadana; Kuya kufuneka ndikuxelele ukuba yintoni ngaphakathi kuyo, kodwa andivumelani nayo. Ubuxoki: Awuzukufumana umhlaza wamabele, awuzukuya kulento, oku noku oku. Baye baqinisekisa ngenene ukuba yinto esilungile ngayo. Baye bangena kuzo zonke izigulo nathi, kwaye sathetha ngayo, sathetha ngabantwana bethu abaphilayo. Kwakufudumele kwaye kuyaqondakala, kwaye kwakumnandi, ngokunyaniseka. Yayingabafazi abathathu: ugqirha owayenzisayo wangena, umongikazi oza kubakho wangena, kwaye babevulelekile kakhulu malunga nokuza kwenzeka.

    [Ukucebisa] kuhlale malunga neeyure ezimbini, kodwa ngekhe bahlala apho ixesha elide njengoko besifuna. Sibaxelele, kulungile sizoqhubeka nokupheliswa, kodwa besingekenzi i-echoscan okwangoku. Sithathe isigqibo sokuba sifuna i-echoscan, ukuze siqiniseke, ke kufuneka silinde ezo ziphumo. Besele ndithule ndilila, kwaye bendisazi ukuba xa ndithetha nantoni na, ndizakuphulukana nayo. Kwaye kwafika umongikazi [owahlukileyo] kwaye wandijonga, emva koko waphuma egumbini. Ndimvile esithi komnye umntu, 'ulapho ekhala.' Kwaye elinye inenekazi liyahamba, Kulungile, kuba iyazi ukuba ayilunganga. Kwaye ndandothukile nje.

    Kwakunjani ukuqeshwa?

    Wonke umntu wayemnandi ngemini yakhe. Ndadibana naye wonke umntu owayezakuba yinxalenye yenkqubo. Bandiqhubela kwigumbi [lotyando], umyeni wam wayengenakubakho kuba yayiyindawo engenabungozi, kwaye umongikazi wabuza, Ngaba ufuna ndibambe isandla sakho kuyo yonke le nto? Ndathi ewe, wandibamba ngesandla, bandigalela ngegesi. Andikhumbuli nenye yayo.

    Ngaba ikhona enye into ongathanda ukuyithetha malunga namava?

    [Ekhala] Esi yayisesona sigqibo silungileyo kuye. Ungenelelo lwezonyango belungayi kuba nantsingiselo. Ukuba usindile, bekuya kufuneka simjonge xa ​​exinekile ngenxa yokuba ii-capillaries zakhe, ebengenayo imiphunga, azisebenzi. Kuya kufuneka simjonge ajike abe luhlaza okwesibhakabhaka kwaye afe. Yonke into esiyenzayo, siyenza ngothando olumsulwa. Kuye, kubantwana bethu abaphilayo, kwaye nakuthi.

    Bhalisela iincwadana zethu ukufumana okona kulungileyo kwe-gswconsultinggroup.com kusiwa kwibhokisi yakho engenayo yonke imihla.