I-patch yokulawula ukuzalwa ibiza cishe u-R30 kuya ku-R50 iphakethe ngalinye ngokheshi kulolo lungelona luphawu lomkhiqizo, kanti kuthi u-R150 kuya ku-R260 kuluhlobo lomkhiqizo i-Xulane noma i-Twirla ngo-2026. Kodwa-ke, abantu abaningi abakukhokhi lokho. Umshwalense, i-Medicaid, kanye nemitholampilo ye-Title X yenza izindleko zangempela ze-patch yokulawula ukuzalwa zibe u-R0 kubasebenzisi abaningi.

ESIFUSHANE: Izinto Ezibalulekile

  • Okungelona uphawu lomkhiqizo kubiza cishe u-R30 kuya ku-R50 iphakethe ngalinye; uhlobo lomkhiqizo lubiza cishe u-R150 kuya ku-R260.
  • Iphakethe elilodwa lihlanganisa ama-patch amathathu asetshenziswa masonto onke, okungukuthi, cishe amaphakethe ayi-13 ngonyaka.
  • Izinhlelo eziningi ezizimele kufanele zihlanganise i-patch ngo-R0. Abantu abaningi abazi lokhu.
  • Awunayo umshwalense? Imitholampilo ye-Title X kanye ne-Medicaid yokuhlela imindeni ngokuvamile kumahhala.
  • I-BMI engu-30 noma ngaphezulu ikhipha i-Twirla ngokuphelele, ngaphandle kwezindleko.

Uhlobo lomkhiqizo noma olungelona luphawu lomkhiqizo lucabangela cishe konke mayelana nezindleko ze-patch yakho yokulawula ukuzalwa

Izindleko ze-patch yokulawula ukuzalwa ngo-2026 zibiza cishe u-R30 kuya ku-R50 iphakethe ngalinye kulolo lungelona luphawu lomkhiqizo, futhi cishe u-R150 kuya ku-R260 kuluhlobo lomkhiqizo i-Xulane noma i-Twirla, uma ukhokha ngemali. Iphakethe elilodwa liqukethe ama-patch amathathu asetshenziswa masonto onke futhi amboza umjikelezo owodwa: amasonto amathathu okusebenzisa i-patch kanye nesonto elilodwa elingenayo i-patch. Ngamaphakethe ayi-13 ngonyaka, lokho kungaba cishe u-R390 kuya ku-R650 ngonyaka kulolo lungelona luphawu lomkhiqizo, noma u-R1,950 kuya ku-R3,380 kuluhlobo lomkhiqizo.

Lokho kuhlukahluka okuphindeka kahlanu akuhlangene nemithi. Izindleko ze-patch yokulawula ukuzalwa engelona uphawu lomkhiqizo zihlala ziphansi ngoba ibekwe esigabeni esiphansi sezinhlu zemithi ezihlinzekwa umshwalense futhi iqhudelana nezinye izinhlobo zama-hormone afanayo. I-Twirla ayinayo i-generic eqhudelanayo nhlobo, ngakho-ke akukho lutho olunciphisa intengo yayo. Lokho kusho ukuthi izindleko ze-patch yokulawula ukuzalwa ngenyanga kuvame ukuba umbuzo ngomkhiqizo ongakanani umthengisi wakho akunikeza wona. Phatha zonke izinombolo lapha njengezinga lentengo ye-cash yango-2026 eziguquguquka ngomthengisi, isifunda, kanye nekhuphoni.

Intengo ye-Cash iyinamba engafanele ukuqala kuyo

Ngaphansi koMthetho Wokunakekelwa Okubiza Kancane (Affordable Care Act), izinhlelo eziningi ezizimele ezingekho ngaphansi kwezinqubomgomo ezitholakalayo kufanele zihlanganise okungenani umkhiqizo owodwa esigabeni ngasinye sezokulawula ukuzalwa esiqashelwe yi-FDA, okubandakanya ne-patch, ngaphandle kwezindleko zokuxhaswa kunoma yimuphi umthengisi osemnganeni wenethiwekhi.

Nansi into abaningi abayayidlulisa: umyalelo unemigodi yangempela, futhi cishe akekho owaziyo ukuthi lo mthetho ukhona. Amaphesenti angama-44 kuphela abesifazane abanomshwalense ozimele abazi ukuthi uhlelo lwabo kufanele luhlanganise ukulawulwa kokuzalwa mahhala, futhi amaphesenti angama-24 akhokhe imali ephaketheni. Izinto ezine zivame ukuchaza isikweletu: ukukhululwa kwe-EMPLOYER ngezizathu zenkolo noma zokuziphatha, uhlelo oludala, umthengisi ongaphandle kwenethiwekhi, noma uhlobo lomkhiqizo olukhokhiswa lapho kukhona olungelona luphawu lomkhiqizo.

Uma i-generic ikuvundisa isikhumba sakho noma ikwehluleka, cela umbhali wakho incwadi yokugcizelela ukubaluleka kwezempilo noma ukwenziwa ngendlela efanele. Leyo yindlela ejwayelekile yokuthola i-patch yohlobo lomkhiqizo ehlanganiswe ngo-R0. Umsebenzi lapha ukukhomba ukuthi yikuphi ukuhlinzekwa okusebenza kuwe, hhayi ukufuna izintengo ezitolo.

Ukungabi nawo umshwalense akusho ukuthi uzokhokha yonke imali. Ngokuvamile kusho mahhala.

Izindleko ze-patch yokulawula ukuzalwa ngaphandle komshwalense, kubantu abaningi kakhulu, azikho nhlobo. Imitholampilo ixhaswe yi-federal Title X ihlinzeka ngezindlela eziqinisekiswe yi-FDA, okubandakanya ne-patch mahhala ezingeni lemali eliphansi lase-federal noma ngaphansi kwalo, nangokwesilinganiso esisekelwe emalini engenayo ngaphezu kwayo. Kwezwe lonke, amaphesenti angama-89 amaklayenti e-Title X afanelekela izinsizakalo zamahhala noma ezixhaswayo kungakhathalekile isimo somshwalense.

I-Medicaid icace kakhulu. Umthetho we-federal uvimbela izinkokhelo ezincane, izaphulelo, noma yikuphi ukwabelana ngezindleko zezinsiza zokuhlela imindeni, ngesilinganiso esingu-90% semali ekhokhelwa izifunda. Futhi izifunda eziningi ziqhuba izinhlelo ze-Medicaid ezingapheli "zokuhlela imindeni kuphela" ezinemikhawulo yemali engenayo edlula kakhulu i-Medicaid ephelele. Leyo yimpendulo eyodwa edluliswa kakhulu ezindlekweni ze-patch yokulawula ukuzalwa ngaphandle komshwalense. Qala ngomhlahlandlela wezindawo zemitholampilo ze-HHS Office of Population Affairs noma isikhungo sezempilo se-Planned Parenthood sendawo.

Intengo ye-Xulane ngokheshi yehla ngaphezu kwengxenye uma ucela

Intengo ye-Xulane eshalofini akuyona intengo okufanele uyikhokhe. I-GoodRx ibeka inani lokudayisa eliseduze kuka-R264 iphakethe ngalinye uma liqhathaniswa no-R41 kuya ku-R120 ngekhuphoni, okuyingumbandela phakathi kwebhaji yangempela yezindleko nenye engenakwenzeka.

Lesi sinyathelo asihle. Khumula ikhodi yekhuphoni ocingweni lwakho ngaphambi kokungena, uyinikeze umgoma, futhi ucele ukuthi bayisebenzise esikhundleni somshwalense wakho. Awukwazi ukuhlanganisa zombili, futhi intengo ye-Xulane iyahlukahluka phakathi kwezihloko ezanele kangangokuthi kufanele uhlole i-GoodRx, i-SingleCare, ne-RedBox Rx esikhundleni sokucabanga ukuthi eyodwa ihlale iwinile. Kuyona indlela efanayo yekhuphoni esishintsha intengo ye-gabapentin ngokheshi.

Hlela nokubhaliswa kwemithi. I-patch idinga ukubhaliswa kukadokotela, futhi ukuvakashelwa kubiza cishe u-R35 kuya ku-R250 kuye ngokuthi uyephi. Uma uyidinga ngokushesha, ukuphathwa kuka-August okungama-R39 okuku-inthanethi kukuxhumanisa nodokotela ogunyazwe yi-US ozohlola futhi anqume ukuthi i-patch iyifanele yini. Ukuvakashelwa akukwazi ukukhansela isikhundla noma ukuqinisekisa ukubhaliswa. Kufanele futhi wazi ukuthi udokotela osemtholampilo angakwazi yini ukubhala iresiphi esifundeni sakho.

Intengo akuyona yodwa into eyenza i-patch ibe efanele noma ingafanele

I-patch eshibhile iseyithengi elingalungile uma ingakulungeli umzimba wakho. Umyalelo we-FDA we-Twirla uletha isixwayiso esiqinisekisiwe: ayinconyiwe ku-BMI engu-30 kg/m² noma ngaphezulu ngenxa yokuncipha kokusebenza kanye nengozi enkulu yokwakheka kwama-blood clots emithanjeni, futhi ayinconyiwe kwabesifazane abangaphezu kweminyaka engu-35 ababhema. Kwezivivinyo, amazinga okukhulelwa akhuphuka nesisindo somzimba ngisho nalabo abasebenzisa kahle: 3.5 kwabangu-100 owesifazane ngonyaka ngaphansi kwe-BMI 25, 5.7 ku-BMI 25 kuya ku-30, kanye no-8.6 ku-BMI 30 nangaphezulu. Isisindo sithinta ukuthi i-patch iyasebenza yini ngaphambi kokuba sithinte ukuthi ingakanani.

Ngokuphathelene nokusebenza, i-CDC ibeka ukwehluleka okujwayelekile ku-7% ngonyaka, esigabeni esifanayo nesokubhebhethisa nesendandatho, ngaphansi kwezitho ezifakwayo nezi-IUD.

Shayela ku-911 noma uye egumbini eliphuthumayo manje uma:

  • Uphathe ubunzima bokuphefumula, ubuhlungu besifuba, noma ukukhwehlela igazi
  • Uphathe ubuhlungu obukhulu esinqulwini, ukuvuvukala, ukufudumala, noma ukubomvu
  • Uphathe ubuhlungu bekhanda obukhulu, ukukhuluma okungacacile, ubuthakathaka ohlangothini olulodwa, noma ukulahlekelwa umbono
  • Uphathe ubuhlungu besifuba obungaqhubeki bungena ezingalweni noma emhlathini
  • Uphathe ubuhlungu esiswini noma esifubeni obukhulu nezipholisa esiphuzi esikhunjeni noma emehlweni

Bhuka ukuvakashelwa kungakapheli isonto elilandelayo uma:

  • I-patch iyaqhubeka nokuphakama noma ukuwa
  • Ukopha okuqhubekayo kuqhubeka ngemva kwemijikelezo emithathu
  • Uphathe imigrain entsha enokukhanya

Xoxa nodokotela ngaphambi kokuba uqale uma:

  • I-BMI yakho ingama-30 noma ngaphezulu, noma ubhema futhi ungaphezu kweminyaka engu-35
  • Wena noma omunye umndeni wakho osondelene naye unomlando wama-blood clots
  • Uphathe i-migraine enokukhanya, noma une-blood pressure noma izinkinga zesibindi

Phakathi kokuvakashelwa, uhlelo lokusebenza lomngane wezempilo njenge-August AI lungakusiza ukuthi ubhale imiphumela emibi, ulandele ama-patch aphakamayo, futhi ubhale imibuzo ngaphambi kokuvakashelwa kwakho okulandelayo. Kuyisengezo sokunakekelwa, akufanele sibe esikhundla sawo. Uma imiphumela emibi iyisikhathazelo sakho sangempela kunokuba intengo, funda ukuthi izindlela zihlukene kanjani ngemiphumela emibi yomuzwa.

Imibuzo Evame Ukubuzwa

Ngingathenga i-patch yokulawula ukuzalwa ngaphandle kweresiphi?

Cha. Wonke ama-contraceptive patch athengiswa e-United States, kuhlanganise ne-Xulane ne-Twirla, adinga iresiphi. Abafundi bavame ukudida lokhu ne-Opill, okuyipros-only pill engathengiswa ngaphandle kweresiphi, hhayi i-patch. Ayikho i-patch engathengiswa ngaphandle kweresiphi emakethe, ngakho-ke ukuvakashelwa kukadokotela, ubuso nobuso noma ngobudokotela, akugwemeki.

Ingabe i-patch ishobisa kunokubhebhethisa noma indandatho?

Ngezinye izikhathi. Amaphilisi angelona uphawu lomkhiqizo avame ukubiza u-R0 kuya ku-R20 ngenyanga ngokheshi, okudlula noma iyiphi i-patch, kanti indandatho ngokuvamile ibiza kakhulu kunazo zombili. Njengoba zonke izinto ezintathu zisezigabeni ezifanayo zokusebenza okujwayelekile okungama-7%, izindleko ze-patch yokulawula ukuzalwa ziyisimo esifanele uma ungenandaba ngempela phakathi kwe-patch yamasonto onke ne-pilisi yansuku zonke.

Ingabe ikhuphoni lesaphulelo libalwa ngokumelene nesaphulelo somshwalense wami?

Cha. Lapho usebenzisa ikhuphoni esikhundleni somshwalense wakho, umgoma uyithatha njengokukhokhiswa ngokheshi, ngakho-ke akukho lutho olusebenza esaphulweni sakho noma esikhwameni sakho esikhokhelwa ngaphandle esiphezulu. Leyo yingibe: ukusebenzisa ikhuphoni ngenkathi unomshwalense kungase kubize kabili, kanye esigcawini nangokuhamba kwesikhathi ngonyaka wohlelo.

Ngidinga iresiphi entsha njalo ngonyaka ukuze ngiqhubeke nokugcwalisa i-patch?

Ngokuvamile. Izifunda eziningi zivumela abamgoma ukuthi banikeze isitokwe sezinyanga ezingama-12 ngesikhathi esisodwa, kodwa iresiphi eyisisekelo ngokuvamile idinga ukuvuselelwa minyaka yonke kusuka kumgoma wakho. Cela ngokukhethekile ukugcwalisa izinyanga eziyi-12 esikhundleni sokugcwalisa izinyanga eziningi. Kunciphisa izimpilo zamakhemisi, kunciphisa izikhala ekuhlinzekeni, futhi kudwebe imali eyodwa yokuvakashela unyaka ogcwele.

Isiphetho: izindleko ze-patch yokulawula ukuzalwa zingama-R30 kuye ku-R50 iphakethe ngalinye, futhi zingama-R150 kuye ku-R260 kuluhlobo lomkhiqizo, kodwa leyo nombolo iyinkinga yakho kuphela uma uphuthelwa ukuhlola ukuhlinzekwa. Qinisekisa isibopho sakho esingu-R0, noma thola imitholampilo ye-Title X, ngaphambi kokukhokha ngokheshi.

Ukwenqaba: Lesi sihloko sihlinzekwa ngezinjongo zolwazi kuphela futhi akusona iseluleko sezomthetho, sezokwelapha, noma sezimali. Ngokwezingxabano eziyinkimbinkimbi zesikweletu, cabanga ngokusebenzisana nommeli weziguli ogunyaziwe noma uthintane nehhovisi lokuvikela abasebenzisi lommeluleki wakho wesifunda.