UClarissa: ukusuka ekuguleni ukuya kwi-coma "Izulu likhona ndabona umzala wam ofileyo"

Ipilisi yokulawula ukuzala enezibonelelo, uYaz wakhethwa njengokhetho lwabasetyhini abanqwenela ukukhululeka kwi-premenstrual syndrome kunye nakumabala asebusweni. Kodwa ngoku, izifundo ezitsha ezizimeleyo zifumanise ukuba i-Yaz ithwala umngcipheko wegazi ophezulu kakhulu kunezinye iipilisi zokuthintela inzala. Iindaba ze-ABC ziphande ukuba amashumi ezigidi zamabhinqa atshintshile na kwipilisi ezinokuba semngciphekweni kakhulu ekubonakala ukuba azange khe kuboniswe kunyango lwe-premenstrual syndrome.

Ngo-2007, uClarissa Ubersox, oneminyaka engama-24, wayesandul 'ukuphumelela ikholeji kwaye wayeqala umsebenzi wakhe wephupha lokuba ngumongikazi wabantwana eMadison, Wis. Ngosuku lweKrisimesi, ngelixa wayesebenza ngexesha lakhe lekhefu, umfana athandana naye wamothusa esibhedlele ngesicelo somtshato.

Ufuna ukubonakala kwaye azive engcono ngalo mhla wakhe womtshato, uCarissa uthe watshintshela kuYaz emva kokubona enye yeentengiso zakhe eyacebisa ukuba le pilisi inokunceda ngokudumba kunye namabala. "U-Yaz kuphela kolawulo lokuzalwa oluqinisekisiweyo lokunyanga iimpawu ze-PMS emzimbeni nangokweemvakalelo ezinzima ngokwaneleyo ukuba zinokuchaphazela ubomi bakho," isibhengezo satsho. "Kubonakala ngathi sisiyobisi esingummangaliso," utshilo uCarissa, ekhumbula ukucinga. Kodwa emva kweenyanga ezintathu kuphela, ngoFebruwari 2008, imilenze kaCarissa yaqala ukuba buhlungu. Khange ayithathele ngqalelo, ethatha, watsho, yayiyintlungu nje ukuba sezinyaweni zakhe ngokutshintsha iiyure ezili-12.

Ngorhatya olulandelayo, wayekhefuzela ekhwaza umoya. Amagqabantshintshi egazi emilenzeni yakhe abaleke emithanjeni yakhe yaya emiphungeni, ibangela ukubola okukhulu kwemiphunga. Isoka lakhe labiza u-911, kodwa kwindlela eya esibhedlele intliziyo kaCarissa yema. Oogqirha bamvusa, kodwa yena wangena isiqaqa phantse iiveki ezimbini, inkumbulo kaCarissa ngelo xesha yinto ayibiza ngokuba ngamava amaphupha angaqhelekanga. Uthe wakhumbula isango elikhulu elihonjisiwe wabona umza wakhe osandula ukusweleka. Lo mzala, watsho uCarissa, wathi kuye, "Ungahlala apha nam okanye ungabuyela umva." Kodwa, utshilo, umxelele ukuba angabuya ekugqibeleni uyakuba yimfama. "Ndiyakhumbula nje ukuvuka esibhedlele kwaye ndicinga," Hayi, ndicinga ukuba ndikhethe ukuhlala, "uCarissa watshela i-ABC News. Njengomzala wakhe kumava akhe ephupha eliqikelelweyo, uvukile eyimfama kwaye uhlala eyimfama unanamhla.

Akukho mntu unokutsho ngokuqinisekileyo ukuba ngaba uYaz ubangele ubumfama bukaCarissa, kodwa uYaz uqulethe ihomoni eyahlukileyo ebizwa ngokuba yidrospirenone ezinye iingcali zithi zinokubangela amahlwili egazi amaninzi kunezinye iipilisi zokulawula ukuzalwa. Iingubo zinokubangela iingxaki zokuphefumla kakhulu, ukubetha, okanye nokufa. Zonke iipilisi zolawulo lokuzalwa zinomngcipheko othile. Ababini ukuya kwabane kwabasetyhini abangama-10.000 kwipilisi baya kuba neengxaki zegazi kwaye abanye baya kufa ngenxa yoko. Kodwa ngo-Yaz, izifundo ezitsha ezizimeleyo zonyuse umngcipheko amaxesha amabini okanye amathathu. "Kuyadanisa ukufumana oku," utshilo uGqirha Susan Jick, umbhali wesinye sezo zifundo ezizimeleyo ezibandakanya phantse abasetyhini abasetyhini. "Ngokubhekiselele kukhuseleko loluntu, ayisiyiyo le nto ufuna ukuyifumana."

Yenziwe yiBayer HealthCare Pharmaceuticals, ukuthengisa kukaYaz kwenyuka phantse kwaba $ 2 billion ngonyaka emva kokukhutshwa kwayo ngo-2006, kuyenza ukuba ibeyipilisi yolawulo lokuzalwa ekhokelela kwintengiso kunye neziyobisi ezithengiswa kakhulu yiBayer. Kwaye kwabakho uthethwano oluninzi malunga no-Yaz, osuka kumaphephancwadi amabhinqa athandwayo esithi "yipilisi ye-PMS" kunye ne "pilisi enkulu" kumacandelo eendaba ze-TV, njengaleyo ise-Dallas ebiza uYaz ", ipilisi engummangaliso elahla uninzi iimpawu ezingathandekiyo ze-PMS ”.

Kuyabonakala ukuba abanye abaphathi beenkampani bazikhuthazile ezi bango zibaxiweyo, kufundwa iABC News. Amaxwebhu angaphakathi afunyenwe ziiABC News abonisa indlela asabela ngayo: “Intle lento !!! singasenza kusasa ekuseni eMelika ukuba senze icandelo elifanayo !!! ??? !! (tee hee), ”kubhala umphathi kwicandelo laseDallas ebiza uYaz njengepilisi engummangaliso yePMS. Kodwa uLawulo lwezoKutya kunye neDrug aluzange luhlekiswe. Kwi-2008, i-FDA yathi i-Yaz ayiboniswanga ukuba iyasebenza kwi-PMS eqhelekileyo, kuphela uhlobo olunqabileyo nolomeleleyo lweempawu zokuya exesheni, kwaye impumelelo ka-Yaz yamabala ibilahlekisa (d) "ngokuqatha.

Abasemagunyeni bakaRhulumente batyhola ne-Bayer ngokwenza intengiso elahlekisayo.

U-Bayer wakhanyela nakuphi na ukungalunganga, kodwa kwisivumelwano esingaqhelekanga savuma ukuchitha i-20 yezigidi zeedola kwintengiso yokulungisa ye-TV, eyathi, “I-Yaz yenzelwe unyango lwe-premenstrual dysphonic disorder, okanye i-PMDD kunye namabala amdaka, hayi kunyango lwe-premenstrual syndrome okanye induna encinci. “Kodwa ngoku, izigidi zabafazi sele zikhethile i-Yaz.

Ezinye iingcali zithi kukho isizathu sokukhathazeka ngenxa yeziphumo zonyango zakutshanje. UJick ufumanise ukuba izifundo ezixhaswa ngemali nguBayer azifumananga mahluko kumngcipheko, ngelixa zone zezifundo ezizimeleyo zakutshanje zifumene umngcipheko owandayo. UJick wongeze wathi xa ethumela izifundo zakhe eBayer, wamangaliswa kukuba bengazange baphendule okanye bacele ukusebenza naye. "Izifundo ezifumanise ukwanda komngcipheko azikho mdla kwinkampani," utshilo uJick. Ukuziphatha kwezonyango kwiYunivesithi yaseColumbia uDavid Rothman wongeze ngelithi, “Ngokubanzi, kufuneka sijonge kwizifundo zamachiza ezipapashwe yinkampani ezenza iimveliso zibe nokukrokra okukhulu. Banolusu oluninzi kakhulu emdlalweni ”.

Amaxwebhu angaphakathi eBayer afunyenwe zii-ABC News aphakamisa imibuzo malunga nolunye uphando lwenkampani. Ngokwengxelo, iBayer kubonakala ukuba ligcine igama lomnye waba basebenzi babini ngaphandle kwenkxaso-mali exhaswa yinkampani kuba, ngokwe-imeyile yangaphakathi, "kukho ixabiso elibi lokuba nombhali wenkampani ephepheni." "Ayisiyonto imbi, ukwaphula imigaqo yesayensi, xa umntu owenze olu phando engabonakali ephepheni," utshilo uRothman. Amawakawaka amabhinqa amangalela iBayer, kubandakanya noCarissa Ubersox, kodwa inkampani iyaqhubeka ukukhanyela nakuphi na ukungalunganga. Ecaphula la matyala, uBayer walile ukwenza udliwanondlebe ngeli bali kwaye endaweni yoko wathumela i-ABC News ingxelo ethi i-Yaz ikhuselekile njengayo nayiphi na ipilisi yolawulo lokuzalwa xa isetyenziswe ngokuchanekileyo.

Azisekho iimpendulo ngoCarissa, obomi bakhe butshintshe unaphakade. Akasenguye umongikazi wabantwana, akasasebenzi kwaye, uthe, "yonke into endandiyicinga ukuba ndiyisebenzele nzima ihambile."

Yaz, utshilo, ukuba abeke ityala.

I-FDA iphinde yavula ityala kwi-Yaz, iqhuba uphononongo lwayo olutsha lokuphepha iziyobisi. Ukuba ucinga ngeendlela zakho zokuthintela ukuzalwa, iingcali zithi ufanele, njengokuhlala njalo, dibana nodokotela.