{"id":7826,"date":"2026-05-27T22:06:14","date_gmt":"2026-05-27T19:06:14","guid":{"rendered":"https:\/\/www.schooler.org.ua\/uk-uadostup-do-mifepristonoputi-telemeditsini-visit-na-volosini-ru\/"},"modified":"2026-05-27T22:06:14","modified_gmt":"2026-05-27T19:06:14","slug":"uk-uadostup-do-mifepristonoputi-telemeditsini-visit-na-volosini-ru","status":"publish","type":"post","link":"https:\/\/www.schooler.org.ua\/cs\/uk-uadostup-do-mifepristonoputi-telemeditsini-visit-na-volosini-ru\/","title":{"rendered":"P\u0159\u00edstup k mifepristonu prost\u0159ednictv\u00edm telemedic\u00edny vis\u00ed na vl\u00e1sku"},"content":{"rendered":"

Ji\u017e n\u011bkolik napjat\u00fdch t\u00fddn\u016f americk\u00fd soudn\u00ed syst\u00e9m obrac\u00ed sc\u00e9n\u00e1\u0159 p\u0159\u00edstupu k mifepristonu. Soudy zru\u0161\u00ed povolen\u00ed k u\u017e\u00edv\u00e1n\u00ed drogy a pot\u00e9 ji obnov\u00ed. Tam a zp\u011bt. V sou\u010dasn\u00e9 dob\u011b je potratov\u00e1 pilulka st\u00e1le dostupn\u00e1 pro dom\u00e1c\u00ed pou\u017eit\u00ed prost\u0159ednictv\u00edm telemedic\u00edny. Zat\u00edm.<\/em> <\/p>\n

L\u00e9ka\u0159i vid\u00ed p\u0159ich\u00e1zej\u00edc\u00ed bou\u0159i. Nejistota z\u016fst\u00e1v\u00e1. Odborn\u00edci na zdravotn\u00ed politiku varuj\u00ed, \u017ee jak\u00e1koli budouc\u00ed omezen\u00ed zp\u016fsob\u00ed v\u00edce ne\u017e jen podr\u00e1\u017ed\u011bn\u00ed mezi lidmi, kte\u0159\u00ed cht\u011bj\u00ed ukon\u010dit sv\u00e9 t\u011bhotenstv\u00ed. To zat\u00ed\u017e\u00ed zdravotnick\u00fd syst\u00e9m a po\u0161kod\u00ed pacienty. <\/p>\n

Od roku 2022, pot\u00e9, co Dobbs v. Janson svrhl Roe v. Wade, se protipotratov\u00e9 s\u00edly zam\u011b\u0159ily na tuto drogu. Tvrd\u00ed, \u017ee mifepriston nen\u00ed bezpe\u010dn\u00fd. \u00dadaje hovo\u0159\u00ed jinak. Bezpodm\u00edne\u010dn\u011b.<\/em> <\/p>\n

L\u00e9k byl poprv\u00e9 schv\u00e1len v roce 2000. Pou\u017e\u00edv\u00e1 se v kombinaci s misoprostolem a\u017e do deseti t\u00fddn\u016f t\u011bhotenstv\u00ed. Tejaji Gowda je gynekolog v Marylandu a spolupracovn\u00edk Physicians for Reproductive Health. <\/p>\n

“Je to neuv\u011b\u0159iteln\u011b bezpe\u010dn\u00e1 droga. Jedna z nejl\u00e9pe prozkouman\u00fdch v oblasti reproduk\u010dn\u00edho zdrav\u00ed,” poznamen\u00e1v\u00e1. <\/p>\n

V sou\u010dasn\u00e9 dob\u011b se n\u011bco p\u0159es \u010dtvrtinu v\u0161ech potrat\u016f ve Spojen\u00fdch st\u00e1tech prov\u00e1d\u00ed pomoc\u00ed mifepristonu pod\u00e1van\u00e9ho na d\u00e1lku. Pokud telemedic\u00edna p\u0159estane existovat, v\u00fdb\u011br bude obt\u00ed\u017en\u00fd. P\u0159ek\u00e1\u017ekou se stanou osobn\u00ed konzultace. Pro n\u011bkoho to bude logistick\u00e1 no\u010dn\u00ed m\u016fra, pro v\u011bt\u0161inu to bude nep\u0159\u00edjemnost. <\/p>\n

Ostatn\u00ed pacienti? P\u0159ech\u00e1zej\u00ed na monoterapii misoprostolem. Re\u017eim pou\u017e\u00edvan\u00fd p\u0159ed rokem 2000. Je bezpe\u010dn\u00fd. Funguje to. Ve srovn\u00e1n\u00ed s kombinac\u00ed dvou l\u00e9k\u016f ale p\u0159in\u00e1\u0161\u00ed vy\u0161\u0161\u00ed rizika. <\/p>\n

\n

Omezen\u00ed v r\u00e1mci programu REMS byla politick\u00e9 povahy a nesouvisela s bezpe\u010dnostn\u00edmi ot\u00e1zkami. <\/p>\n<\/blockquote>\n

P\u0159ed pandemi\u00ed trval americk\u00fd \u00da\u0159ad pro kontrolu potravin a l\u00e9\u010div (FDA) na osobn\u00edch sch\u016fzk\u00e1ch kv\u016fli p\u0159edepisov\u00e1n\u00ed mifepristonu. Stalo se tak d\u00edky programu Risk Assessment and Mitigation Strategies (REMS). REMS se typicky vztahuje na nebezpe\u010dn\u00e9 l\u00e9ky. Na tohle ne. Amy Friedrich-Karnik z Huttmacherova institutu o v\u011bci v\u00ed hodn\u011b. Star\u00e1 pravidla naz\u00fdv\u00e1 politick\u00fdmi. Nikoli v\u011bdecky. <\/p>\n

Pandemie naru\u0161ila obvyklou rutinu. FDA upustila od po\u017eadavku na osobn\u00ed n\u00e1v\u0161t\u011bvy. Tyto zm\u011bny byly v roce 2023 trval\u00e9. Ushma Upadhyat, specialista na ve\u0159ejn\u00e9 zdrav\u00ed z Kalifornsk\u00e9 univerzity v San Franciscu, tyto zm\u011bny pozoroval. Pak jsem je studoval. <\/p>\n

Sledovala v\u00edce ne\u017e 6000 pacient\u016f. V\u00fdsledky jsou jasn\u00e9. 98 % vy\u017eadovalo nulovou dal\u0161\u00ed l\u00e9\u010dbu. Pouze 15 lid\u00ed (0,25 %) m\u011blo z\u00e1va\u017en\u00e9 komplikace, jako je krevn\u00ed transfuze nebo hospitalizace. K \u017e\u00e1dn\u00e9mu \u00famrt\u00ed nedo\u0161lo. Telemedic\u00edna funguje. <\/p>\n

Ale co bude bez n\u00ed? N\u011bkte\u0159\u00ed se na kliniku nedostanou. Cestov\u00e1n\u00ed bude nemo\u017en\u00e9. T\u0159in\u00e1ct st\u00e1t\u016f t\u00e9m\u011b\u0159 \u00fapln\u011b zak\u00e1zalo potraty. Dal\u0161\u00ed \u010dty\u0159i ukon\u010d\u00ed proceduru a\u017e po \u0161esti t\u00fddnech. Telemedic\u00edna je \u010dasto jedinou bezpe\u010dnou cestou. <\/p>\n

Bez pilulky? Na sc\u00e9nu p\u0159ich\u00e1z\u00ed misoprostol. Rachel Jensenov\u00e1, rezidentka gynekologie na American College of Obstetricians and Gynecologists (ACOG), vid\u00ed probl\u00e9m. <\/p>\n

Ne\u017e\u00e1douc\u00ed \u00fa\u010dinky se objevuj\u00ed tak\u00e9 p\u0159i u\u017e\u00edv\u00e1n\u00ed misoprostolu. Bez mifepristonu? Budete pot\u0159ebovat vy\u0161\u0161\u00ed d\u00e1vku. Jensen tomu ne\u0159\u00edk\u00e1 \u201estandard p\u00e9\u010de\u201c. Gowda souhlas\u00ed. Modern\u00ed medic\u00edna jde dop\u0159edu. Byl by to krok zp\u011bt. <\/p>\n

Zdravotn\u00edci \u010del\u00ed nov\u00fdm v\u00fdzv\u00e1m, varuje Upadhyat. Budou aktualizovat protokoly. V\u011bnujte v\u00edce \u010dasu vzd\u011bl\u00e1v\u00e1n\u00ed pacient\u016f. V\u00edce pacient\u016f bude nav\u0161t\u011bvovat odd\u011blen\u00ed urgentn\u00ed p\u00e9\u010de nebo pohotovosti. Jen pro kontrolu, zda je krv\u00e1cen\u00ed “norm\u00e1ln\u00ed”. <\/p>\n

Strach je skute\u010dn\u00fd. Upadhyat vid\u00ed, \u017ee l\u00e9ka\u0159i jednaj\u00ed p\u0159ehnan\u011b opatrn\u011b. I kdy\u017e zat\u00edm nic nevstoupilo v platnost. Titulky d\u011blaj\u00ed svou pr\u00e1ci. <\/p>\n

Odborn\u00edci v\u011bd\u00ed, \u017ee to nen\u00ed konec. Vyj\u00e1d\u0159\u00ed sv\u016fj n\u00e1zor Nejvy\u0161\u0161\u00ed soud. D\u0159\u00edve nebo pozd\u011bji. Mary Ziegler je profesorkou pr\u00e1va na Kalifornsk\u00e9 univerzit\u011b v Davisu. Studuje historii potratov\u00e9 politiky. Soud je podle n\u00ed nevyhnuteln\u00fd. <\/p>\n

FDA tak\u00e9 p\u0159ezkoum\u00e1v\u00e1 bezpe\u010dnostn\u00ed ot\u00e1zky. Odborn\u00edci se ob\u00e1vaj\u00ed, \u017ee rozhodnut\u00ed budou p\u0159ij\u00edm\u00e1na na z\u00e1klad\u011b pseudov\u011bdy. Prohl\u00e1\u0161en\u00ed pilulky za nebezpe\u010dnou. Na trivi\u00e1ln\u00edm z\u00e1klad\u011b. <\/p>\n

Gynekologov\u00e9 reaguj\u00ed na bari\u00e9ry. P\u0159izp\u016fsobuj\u00ed se. <\/p>\n

“Jsme zvykl\u00ed \u010delit t\u011bmto p\u0159ek\u00e1\u017ek\u00e1m. A jsme p\u0159ipraveni ud\u011blat, co je nutn\u00e9. Postarat se o na\u0161e pacienty,” \u0159\u00edk\u00e1 Jenson bez mrknut\u00ed oka. <\/p>\n

Gowda p\u0159id\u00e1v\u00e1 jeden \u0159\u00e1dek. Lid\u00e9 si v\u017edy najdou cestu. Pro p\u00e9\u010di o potrat. A l\u00e9ka\u0159i. Jsme tu v\u017edy, abychom v\u00e1m pomohli. <\/p>\n

Prasknut\u00edm to nekon\u010d\u00ed. Tohle se vle\u010de. P\u0159es soudy. Do \u010dek\u00e1rny. Dal\u0161\u00ed \u0159e\u0161en\u00ed u\u017e je ve vzduchu.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ji\u017e n\u011bkolik napjat\u00fdch t\u00fddn\u016f americk\u00fd soudn\u00ed syst\u00e9m obrac\u00ed sc\u00e9n\u00e1\u0159 p\u0159\u00edstupu k mifepristonu. Soudy zru\u0161\u00ed povolen\u00ed k u\u017e\u00edv\u00e1n\u00ed drogy a pot\u00e9 ji obnov\u00ed. Tam a zp\u011bt. V sou\u010dasn\u00e9 dob\u011b je potratov\u00e1 pilulka st\u00e1le dostupn\u00e1 pro dom\u00e1c\u00ed pou\u017eit\u00ed prost\u0159ednictv\u00edm telemedic\u00edny. Zat\u00edm. L\u00e9ka\u0159i vid\u00ed p\u0159ich\u00e1zej\u00edc\u00ed bou\u0159i. Nejistota z\u016fst\u00e1v\u00e1. Odborn\u00edci na zdravotn\u00ed politiku varuj\u00ed, \u017ee jak\u00e1koli budouc\u00ed omezen\u00ed zp\u016fsob\u00ed […]<\/p>\n","protected":false},"author":1,"featured_media":7825,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":""},"categories":[1],"tags":[],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/posts\/7826"}],"collection":[{"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/comments?post=7826"}],"version-history":[{"count":0,"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/posts\/7826\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/media\/7825"}],"wp:attachment":[{"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/media?parent=7826"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/categories?post=7826"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.schooler.org.ua\/cs\/wp-json\/wp\/v2\/tags?post=7826"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}