.¾NKS iufha ,sx.sl ixi¾.h krl o@
.¾NKS iufha uq,a ld,fha Tng Tlaldrh" jukh yd wef.a mf;a reodj fndfydu ;Èka oefkaú' ta ld,fha Tn ,sx.slj tl;= ùu .ek is;kafkaj;a ke;sj we;s' ta;a iuyr ldka;djkag tfyu keye' iuyr .¾NKS ldka;djkag ,sx.sl wdYdjka jvd;a ;Èka oefkkjd' msßñ whg;a fï ;;ajh lsis fjkila keye' iuyr msßñkag .¾NKS ldka;djka ,sx.slj b;d wdl¾YKSh fjk w;f¾ iuyr whg tfia keye' ta;a fndfyda msßñka .¾NKS iufha ,sx.slj tl;= ùug ìh fjkafka Tng fyda Tfí l=i ;=, isák orejdg ydkshla fõú hehs ìh ksid'
fyd| ld,hla fyda krl ld,hla ;sfhkjd o@
.¾NKS iufha uq,a ld,fha Tng úúO wmyiqlï oefkkjd' fï Tnf.a m,uq .¾NKS ùu kï fï foaj,a Tng b;d wÆ;a w;aoelSï úh yelshs' Tn l,ska .¾NKSù ysáh;a Tng ta ld,fha oekqkq wmyiq;d oeka u;l ke;sj we;s' Tng Tfí ieñhd je,| .ekSu mjd iuyr úg wmyiqlula úh yelshs'
.¾NKS iufha fojk ff;%udislh jk úg Tng l,ska ;snqkq wmyiq;d u.yeß,d' YdÍßlj Tn ikSfmka' Tfí fhdaks ud¾.fha Y%djhka oeka álla jeähs' Tfí ,sx.sl wjhjj,g /êr .,d tau jeäfj,d' ta ksid ,sx.sl úkaokh oeka fjkodg jvd jeähs' Tfí l=i;a ;ju t;rï f,dl= ke;s ksid Tng fï ld,fha ,sx.slj tlaùu jvd myiqhs iy wdYajdocklhs' iuyr ldka;djkag fï ld,fha § jvd;a ,sx.sl wdYdjka jeäfhka oefkkjd' Tfí YÍrfha we;sjk fydafudakuh fjkialï thg fya;= fjkjd'
Tfí .¾NKS iufha ;=ka jk ff;%udislfha § Tn kej;;a l,ska jf.au YdÍßl wmyiq;dj,ska fmf,kak mgka .kakjd' Tfn l=i;a fï fjk úg úYd, fj,d' ta ksid m%dfhda.slj ,sx.slj tlaùu wmyiq fjkak mqÆjka'
ore m%iQ;=hg wdikak ld,fha§ ,sx.slj tlaùu yd iqrdka;hg m;aùu (orgasm) u.ska prostaglandin kï ridhkh ksoyia fjkjd' fuu.ska m%iQ;= fõokdj blauka úh yelshs'
Tfí ieñhd Tng fyda l=i ;=, isák orejdg ydkshla fõhehs is;d Tn yd ,sx.slj tla ùug ìh jkafka kï Tyqg fufia meyeÈ,s lr fokak' Tfí l=i ;=, isák orejd c,h yd mgl j,ska ieÿkq wdrlaIl wdjrK j,ska jeiS isák flfkla' ta ksid Tfn .¾NKSNdjh wjodkï ;;ajhkaf.ka f;dr kï ,sx.slj tlaùu yeu w;skau wk;=re rys;hs' flfia fj;;a hï hï ;;ajhka ;=,§ .¾NKS iufha ,sx.slj tlaùu wk;=reodhl nj u;l ;nd.; hq;=hs' ta ;;ajhka .ek fidhd oek.kak' Tfí ffjoHjrhd iu. idlÉPd lrkak'
,sx.sl bßhjq
Tfí l=i l%ufhka úYd, jkjd;a iu.u idïm%odhsl man-on-top bßhjqfjka ,sx.slj tlaùu Tng wmyiq fõú' wfkla ldrKh kï .¾NKS iufha wjidk ld,fha§ Tn Wvqne,s w;g isàu fyd| keye' Wvqne,s w;g isák úg Tfí .¾Nh Bg msgqmiska ;sfnk úYd, reêrjdyskS ;Èka f;rmkjd' túg Tnf. yDohg tk f,a m%udKh yd yDofhka msgjk f,a m%udKh wvqù Tng la,dka; .;shla fyda yqiau .ekSfï wmyiq;djhla we;s úh yelshs' fuh 'supine hypotensive syndrome' kñka y÷kajkjd'
wjodkï ;;ajhka
.íidùï" .eíf.f,a ÿ¾j,;djhka" fhdaks ud¾.fhka f,a jykh ùï" fhdaks ud¾.h iïnkaO wdidok" 'water bag' leãu yd jeoEuy my;ska msysgd ;sîu hk ;;ajhka j,§ ,sx.sl ixi¾.h wk;=reodhl úh yelshs'
.¾NKS iufha uq,a udi ;=k we;=,; isÿjk .íidùï fndfydaúg isÿjkafka orejdf.a cdkuh msysàfï fjkila ksid' ffjoH mÍlaIK u.ska Tmamq jqkq cdkuh .egÆjla ke;skï" Tn fï .ek fya;= rys;j ìhúh hq;= keye' fujeks ;;ajhkaj,§ .¾NKSNdjh /l .ekSug iuyr úg l,yels fohla keye'
fojk ff;%udislh ;=,§ jk .íidùï fndfyda úg isÿjkafka wdidok fyda .eíf.f,a ÿ¾j,;djhla ksid' .eíf.f,a ÿ¾j,;djhla hkafkka woyia jkafka" Tfí l=i ;=, isák orejd jefvk úg tu nr yd mSvkh ord.; fkdyelsj .eí f., újD; ùuhs' fuys§ Tfí ffjoHjrhd Tnj scan mÍlaIKhlg ,lalr wjYH kï cervical circlage ie;alug n÷ka lrkq we;s' ,sx.slj tl;=ùu fï ;;ajfha § wk;=reodhlhs'
ixi¾.fhka miq iqrdka;hg m;aùfï§ Prostaglandin kï ridhkh ksmoùu ksid iuyr úg m%iQ;s fõokdj we;s úh yelshs' Tn ksis l,g fmr m%iQ;s fõokdj we;s ùug wjodkula we;s flfkla kï .¾NKS iufha wjidk ld,fha ,sx.slj tla ùu wk;=reodhlhs'
Tfí jeoEuy my;ska msysgd we;s kï ,sx.slj tlaùfï§ wêlj reêr jykh úh yelshs' fuh 'placenta previa' kñka ye¢kafjkjd' fï ;;ajh scan mÍlaIKfha§ oek.; yelshs'
ksisl,g fmr Tfí water bag leã we;akï ,sx.slj tlaùfï§ wdidokhka we;=Æ úh yelshs' ÿ.| yuk Y%djhka we;s ùu wdidokj, ;j;a frda. ,laIKhla' wkdrlaIs; ixi¾.h ksid úúO wdidok Tng" Tfí l=i ;=, isák orejdg fukau Tfí ieñhdgo je,¢h yelshs'
wjidk ks.ukh
idudkH yd lsisu wjodkï ;;ajhla ke;s .¾NKSNdjhl§ ,sx.slj tlaùu .egÆjla keye'
By: Dr. T. M. S. Sameera B. Madugalle M.B.,B.S (COL)