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a~gcvb eü Ki b! Mf ve vi h Kvb mgq a~gcvb Q o `qvi DcKvwiZv i q QÑ hz ZvovZvwo Qvov hvq, ZZB fv jv G e vcv i wb R K mvnvh Ki b Gfv e: Avcbvi mw½ ev GKRb eüzi mv _ GK hv M a~gcvb Q o w`b a~gcvb Q o `qvq h A_ eu P hv Q, Zv mwi q ivlyb Ges fv jv Lvbvwcbvi Kv R Zv e q Ki b a~gcv bi mgq GKB mv _ Kiv hvq bv Ggb Kvb KvR Ki Z ïi Ki b- hgb mjvb qi KvR, nv Z Kvb wkqy evbvi KvR ev Avi Kvb ik gi nv Zi KvR wkïi Rb MÖn Yi ci Avcbvi a~gcvb eü ivlv i Z c~y g` (Gj Kvnj) Mf ve vq A bk gwnjv Gj Kvn ji ^v` cq ` K ib bv, ZvB Zviv g` cvb eü K i `b Avcwb hw` eü bv K ib, Zvn j Gj Kvnj Avcbvi wkïi kix i cšu Q hvq Z e gv S-g a Kg gvîvq Gj Kvnj cvb, hgb, mßv n GKevi ev `yevi GK ev `yb BDwbU cvb Ki j Zgb wz niqvi m vebv bb ewk gv Îvq cvb Ki j Mf cv Zi (wgmk v ir) GKUv Avk¼v _ K hvq, KL bv KL bv G Kvi Y Avcbvi wkïi wekv k i Zi wz n Z cv i, hgb Zvi duvj Gj Kvnj wmb Wªvg (A_ v r, Mf wkïi Gj Kvnj Kw `ªK GKwU A ^vfvwek Ae vi wb ` kk j Ymgwó) ` Lv w` Z cv i Avav cvb U mvvaviy gv bi weqvi, nvjkv gv bi weqvi ev Av cj _ K cö Z Gj Kvnj (mvbwvi) 1 BDwbU= ev ev ev ev wewfbœ Zij gv` Ki (ûbw,wrb evkvww, fv`kv BZ vw`) GKK cwigvc g `i (IqvBb) GKwU QvU M vm kwii (g `i) GKwU QvU M vm fvigvd_ ev G cwiwud g `i GKwU cwigvc Bsj vû I I qj mi ewki fvm GjvKv ZB G jv 25 wgwjwjuvi cwigv ci n q _v K Kv_vI Kv_vI cvbkvjvi (cve) cwigvc n q _v K Gi _ K ewk DËi Avqvij v Û cv ei cwigvc n Q 35 GgI-ev `o (35mo or 1 ½ ) BDwbU Uj v Û GB cwigvc n Z cv i nq 35 wgwjwjuvi bq Zv 25 wgwjwjuvi Lqvj ivl ebñ N i e m g` cv bi mgq cwigv ci Gme gvb` Ûi P q cwigvcwu mvaviyz ewkb n q _v K! SuywK Kgv bv ÕGfv eb a~gcvb Q o w` qwqjvg Avwg Af v mi Ici g bi Rvi K vb `qvi e vcvi GUv `ywu g q wq jv Avgvi Ges Ab vb Kv Ri R b Avgvi cö qvrb wq jv bm` A _ i Zviv a~gcvb K i bv Ges AvwgI Kwi bvõ vkjvb bi mnvqzvcövß mv ek a~gcvwq gv`k (WªvM) A ea ev iv Ívq wkb Z cviqv hvq, Ggb h Kvb gv`k (WªvM) Avcbv K ev Avcbvi wekvkgvb wkï K wzmö Í Ki Z cv i Avcbv K Kvb Ilya cömµvbe Kiv n j me mg q Avcbvi Wv³vi K Rvwb q ivlyb h, Avcwb Mf ezx Kwg _ K Ilya wkb Z M j dvg vwm i KvQ _ K R b wbb, Mf ve vq IB Ilya LvIqv ev cö qvm Kiv wvk Av Q wkbv Avcwb wb RI Ily ai j fj c o `L eb GUv Rvbv h, Kv KBb, µ vk, n ivbb, GgwdUvwgbm I K vbvwem cöz I c iv fv e Avcbvi wkïi wz Ki Z cv i µ vk I Kv KBb we kl fv e wec`rbk, KviY, wkïi i³ mieiv ni Ici G jv wzki cöfve i L _v K Zvr wykfv e Wªv Mi Ici wbf ikxj gv qi wkï wb RI Rb wb q _v K WªvM-wbf ikxjzv wb q Ges R b i mgq DB_Wªqvj wm úu g fy M _v K (A_ vr, gv`k-ewâz _vkvi Kvi Y kvixwik I gvbwmk cöwzwµqv mn Zvi Rb nq) h Kvb ai Yi WªvM e envi eü Ki Z Avcwb hw` m g bv nb, Zvn j Zv eü Kivi e vcv i Avcwb mvnvh Pvb Kvb Kvb guviwbwu BDwb U úkvwj GwWKkb BDwbU (gv`k Avm³ `i R b we klá BDwbU) i q Q Mf ve vq WªvM e envi Q o `qvi e vcv i Avcbvi nq Zv cö qvrb n Z cv i evowz Drmvn cviqvi Avcbvi wgwiqvbd, nj_ wfwrui ev Gw UbvUvj (Rb c~e ez x) wk wbk G e vcv i mnvqzv cö`vbkvwi mvwf m jvi (mv cvu mvwf mm) mv _ Avcbv K mshy³ K i w` Z cv i, A_ev Avcbvi cvwievwik Wv³v ii mv _ G wb q K_v ejyb AviI ewk mvnv h i e vcv i GB eb qi cq bi Ask `Lyb (c ôv 151) 8
cö kœi Reve cöt Avgvi wkïi wz Ki Z cv i, Ggb mewkqy Avwg wk K i Gwo q Pj Z cvwi? hvbevn bi avuqv, `~ly, ZRw Œqv ( iww qkb)ñme Î G jv i q Q m ú~y fv e wbivc` niqv wk m e? Dt wzki mewkqy Avcwb Gwo q Pj Z m g n eb bv, Z e G e vcv i hzuzkz Avcbvi c Kiv m e, ZZUzKz KivUv i Z c~y D`vniY ^iƒc, a~gcvb _ K Avcbvi wkïi h SuywK i q Q, Zv ïay gy Li K_v (w_iwi) gvî bq h_v_ M elyvi ga w` q GB SuywK _vkvi welqwu Zz j aiv n q Q Avcbvi Rxe bi hme welq Avcwb wbqš Y Ki Z ev Gwo q Pj Z m g bb, m jv wb q Lye `ywðšív K i Zgb dj cviqv hvq bv GUv g b ivlvi i Z i q Q h, weivu msl K wkï G ikg cwiw wz ZB k³-mg_ I ^v evb n q Rb wb Q cöt flr Ilya ev nvwgic vw_k cöwzkv ii welq m ú K e³e wk? Ges G ivgv _ivwc (MvQ- MvQovi Z ji e envi) wk wbivc`? Dt Mf ve vq nvwgic vw_k cöwzkv ii welqwu K mvaviyfv e LyeB wbivc` e j g b Kiv n q _v K, wkš whwb Zv cömµvbe K i Qb, Zvi mv _ ev dvg vwm i mv _ K_v e j welqwu ey S wbb wkqy wkqy flr Ilya (nve vj gwwwmb) I wkqy wkqy MvQ -MvQovi Zj (G ivgv _ivwc) Mf ezx gwnjv `i e env ii R b Dchy³ bq G me mvgmöx e env i Avcwb hw` B QyK n q _v Kb, Zvn j h _vchy³ GKRb wpwkrmvrxexi (cö vkwukbv ii) KvQ _ K Av M civgk MÖnY Ki b Mf ve vq QvULv Uv Amyweavi Î wk wk welq Gwo q Pj Z n e, m e vcv i cö qvrbxq wkqy eb i q Q ÕcÖvq `k eqi a i Avgiv `yr bb wqjvg a~gcvwq Ges Avwg Gi Av M KL bvb K qk mßv ni ewk a~gcvb Kiv eü ivl Z cvwiwb GB evi Avwg Aek g b Kwi h, a~gcvb Q o w` q Avwg _vk Z cvi ev Joe ( Rv) GLb N i a~gcvb eü K i w` q Q, Avkv Kwi, wkmmxib m cy ivcywib Q o ` e... GUv ek KwVb, wkš Póv KivUv Lye Ri ix Õ ^v Ki cq ` a~gcvb Q o w` q Avcbvi mw½ Avcwb I Avcbvi wkï K ^v evb _vkvi e vcv i mnvqzv Ki Z cv ib G ywy GUv m e bv n ji AšÍZ N ii evb i wm q a~gcvb Kiv w` q Póv ïi Ki b a~gcvb, Gj Kvnj I Wªv Mi e vcv i AviI civg k i R b Avcbvi wgwiqvbd, wrwc ev nj_ wfwru ii mv _ `Lv Ki b Avcwb hw` a~gcvb Q o w` Z Pvb, Zvn j hvmv hvm Ki b: vkjvbb-gi mv _ GB bv ^v i 0800 84 84 84 Avvcbvi I Avcbvi mw½i R b webvg~ j Z_ I mn hvwmzv c Z Mf ve vq m e n j G - i Kiv bv cwinvi Ki b `vu Zi ( W Uvj) G - ii Gi AšÍf y³ 9
Avcbvi kix i cwiez b NU Q KL bv KL bv Avcwb K vwší, `ye jzv I A ^w Í eva Ki Z cv ib Ab mgq Aek Avcbvi g b n e, jvkrb Mf ve v Õdz U IVvÕ m ú K ejvewj Kivi mgq Avm j wk evsv Z Pvq, Zvi A_ Avcwb wvkg ZvB ai Z cv ib Mf ve vi ni gvb (AšÍ:mªvwe MÖwš _ K ei bv wewfbœ ai Yi im, hv i ³i mv _ wg k ` ni A½cÖZ ½mg~n K DÏxwcZ K i) Avcbvi Pvgov I Pz ji cwiez b NUv Z cv i ˆZjv³ Pvgov n Z cv i AviI ewk ˆZjv³ Ges LmL m Pvgov n q h Z cv i AviI LmL m, m Kvi Y Pvgovi hzœ bqvi i wub I Pz ji h Zœi e vcviwuii cwiez b n Z cv i PZz_ ev câg gvm _ K ni gvb Avcbvi Pvgovi i Oi Ici cöfve dj Z ïi K i Avcbvi io Kv jv n j IB cwiez b ewk K i Avcwb j Ki eb Avcbvi Pvgov hw` Lye ewk dm v n q _v K Avi Pzj hw` nq jvj i Oi, Zvn j cwiez b Zgb nq Zv Avcwb `L Z cv eb bv Avcbvi Íbe ší Av Mi Zzjbvq ewk Kv jv n e Ges Íbe šíi Pvicv ki RvqMvwU cömvwiz (eo) n q hv e Avcbvi eyk I Zj c Ui gvsvgvwsi wb Pi w` K GKwU Kv jv ilv `Lv w` Z cv i Avcbvi gy L `Lv w` Z cv i bvbv i Oi `vm mvb ew (kix ii Pvgov iv `i DËv c mivmwifv e bv cywo q c iv fv e cvov bvi Kv R e envh iv`-evwzhy³ (mvb j v ú) KvDP) e envi Kivi civgk KL bvb `qvi g Zv bq, wkš Mf ve vq mvb ew e envi Ki j wewfbœ i Oi IB `vm jv AviI Lviv ci w` K h Z cv i evb i iv ` _vkvkv j Avcbvi Pvgov Kvb wkqy w` q X K ivlvi e vcv i mzk _vkzb Zj cu, Íb I Di i Pvgov Uvb Uvb n Z _vkvi Kvi Y IB me v b jvj P i Oi WvivKvUv `vm `Lv `q Pvgovi wb Pi wum y j Z Uvb co Z _vkvi Kvi Y G ikg `vm c o _v K Mf ve vi ci GB `vm jvi io ax i ax i iƒcvwj-qvb i O e` j wm q Svcmv n q Av m Pvgovi m cömvwiz niqvi gzv (Bjvw wmwu) gvuvgywufv e eskvbyµwgk wµg I jvkb e env i Lye ewk dj ` e bv, Z e Gme e envi Avivg`vqK e j g b n e G jvi g qðvivbwrs G d± (Pvgovq m ó mvgvb frv frv fve) Avcbvi Pvgovi DcwifvM K PzjKv bv ev ïwk q hviqv _ K gy³ iv L Avcbvi cv qi hzœ wbb wbpz wnj ev P vþv (d vu) m y c i Avcwb nq Zv me P q ewk Avivg eva K i _v Kb Avcbvi wc V hw` Kvb e _v _ K _v K, Zvn j DuPz wnj (nvb wnj) IB e _v AviI evwo q w` Z cv i Avcbvi cv qi cvzv Nvg Z cv i, KviY, Avcbvi kix i Av Mi Zzjbvq Zij c`v_ ewk Rg Q G Kvi Y Avcbvi GKUz eo RyZv civi `ikvi n Z cv i ev `ikvi n Z cv i wbqwgz h gv ci RyZv Avcwb c i _v Kb, Zvi P q AviI Avavv mvbr eo RyZv Avcbvi cv qi Mvovwj dz j DV Z cv i, _vk Z cv i wkqy e _vi Mf ve vq kix i wkqy Zij c`v_ R g hviqv ^vfvwek, Z e nvvr K i hw` Zvi e w N U, Zvn j Avcbvi wgwiqvbd ev Wv³vi K Zv Avcbvi Rvbv bv DwPZ fv jv eva Kiv fv jv eva Kiv Avcwb Mf ezx _vkve vq (Ges cöm ei ci GK eqi ch ší) b vkbvj nj_ mvwf m (GbGBPGm) `vu Zi wpwkrmv, cömwµckb I cv qi wpwkrmv wd«z e GB myweav c Z n j Avcbvi nj_ evw KZ K Bm y Kiv mvwu wd KU Avcbv K `Lv Z n e G e vcv i Avcbvi wgwiqvbd ev cvwievwik Wv³v ii mv _ K_v ejyb 10
Mf ve vq e qvg mwµq I mej _vkvi j e vqvg Kivi d j Avcwb fv jv eva Ki Z _vk eb, G Z K i wkïi R b i mgq Avcbvi kvixwik Ae v _vk e fv jv e vqv gi Kvi Y Avcbvi ü`h š i wµqv AviI Rvi`vi n e Ges Rvi`vi n e Avcbvi i³ mâvj bi KvRwUI Gm ei d j Mf ve vq `Lv `qv mvaviy mgm v jvi mgvav b mnvqzv nq, mvaviy GB mgm v jvi g a hgb i q Q, Kvô KvwVb (KÝwU ckb-a_ vr, Uq ju wk qvi bv niqv). wkiv `jv eu a hviqv ( fwi KvR fbb), ev kix ii wewfbœ vb dz j hviqv (IwWgv) Avcbvi wc V e _v n q _vk j e vqvg K i Ges Avcbvi emv, `vuov bv I nvuuv-pjvi w` K wkqyuv g bv hvm i L Pj j IB e _v Kgv Z Zv ek mvnvh Ki e Mf ve vi h Kvb ch v q nvuuv, mvuzvi KvUv, Kvb Kvb ai Yi hvm e vqvg, kixi UvbUvb Kiv, BZ vw` Kiv hvq Z e Ggb Kvb Ljva~jv ev e vqvg bv KivB fv jv, hwu Ki Z wm q c o hviqvi Su ywk _v K ev Ab L jvqvo `i mv _ Lye Rv i kvixwik msnl NUvi Su ywk _v K Avcbvi wkï hw` Kvb e vqv gi Kvi Y Avcbvi cjwfk d v i ( gi ` Ûi wb Pi Ask I wbz ^i g a nv oi KvVv gvi ga ez x M Z i g Zv RvqMvq) SvuKzwbi wkkvi nq, Zvn j mb e vqvgwu, `xn gqv ` mlvbkvi cwk jv wzmö Í K i dj ZI cv i mvuzvi Avcbvi Mf avi Yi Av M Avcwb hw` Zgb ewk e vqvg bv -I K i _v Kb,Avcwb `L eb, mvuzvi KvUv mnr cvwb Avcbvi cy iv kixi K fvwm q i L mvnvh K i, ZvB m mgq AvNvZ jvmvi Kvb SuywK cövq _v KB bv, Avcwb cy iv kixi Uvb Uvb Kivi my hvmi jvf K ib A bk mvuzvi KvUvi v b (cy j) Õ aquanatal Õ (GKzqvbvUvj) welqk K vk n q _v K mlv b Avcwb Mf ve vq we klfv e DcKvwi kix ii bovpov (gyf g U) I e qvg klvi my hvm cv eb GB K vk jv n Z n e we klfv e cöwkw Z GKRb wgwiqvbd Øviv A_ev GKRb wgwiqvb di Dcw wz Z GMy jv cwipvwjz n Z n e avwî-we` v wfwëk wewfbœ ai Yi kvixwik e vqv gi GKRb wpwkrmk obstetric physiotherapist (Aem UwUªK wdwri _ivwc ) Øviv e vqv g Avcbvi AvZ niqvi myweav _ h Kvb K v k kvixwik A½ -cöz ½ Uvb Uvb Kivi R b mvaviy ai Yi wkqy my hvm Avcbv K `qv Ri ix Gici kix ii Pvicv ki A½ - cöz ½ bov bv Ges Gici nq Zv ev mvuzvi KvUvi my hvmi Avcbv K `qv cö qvrb cö kœi Reve cöt Avwg mßv n `yb ev wzbevi Givwe ( ewk gvîvq Aw Rb jv f mnvqk Q `vgq kvixwik e vqvg) K i _vwk Mf ezx _vkv j GUv Kiv wk wbivc`? Dt Avcwb hw` G ivwe BwZg a Af Í n q c ob, Zvn j Zv Ae vnz ivlyb Avcwb h Mf ezx, Zv Avcbvi cöwk K K (B ÝUªv±i) Rvwb q ivl eb Avcbvi wc Vi Ici Pvc covi SuywK _v K, Ggb h Kvb e vqvg Kiv ev` w`b gvm cvu PK c i kixi Uvb Uvb Kivi ( ªwPs) I kvixwik ` pzvi ( Uvwbs qi) Ici Rvi w`b, `Šov bv (RwMs) ev jvdsvuc (Rvw ús) Kiv ev` ivlyb Kvb e vqvg Kivi mgq Avcbvi wkï Avcbvi cjwfk d v i SuvKzwb Lv Q wkbv, m wel q Lqvj ivlvi K_v g b ivlyb Kvb e vqvg e m Kivi mgq Zj c Ui Ici Pvc d j _vk j m ai Yi Kvb e vqvg Ki eb bv mwz mwz B Avcwb K vwší eva Kivi Av MB e vqvg Kiv e Ü K i ` eb G ai Yi e vqvg ïi Kivi R b GUv KviI R b B Dchy³ mgq bq 11
hvm e vqvg Mf ve vq hvm e vqvg mvaviyz wbivc` I mnvqk cök wzi e vqvg GB e vqv gi Avmb jv g `y gvîvq kixi Uvb Uvb K i, Ges GB e qv gi mgq hfv e k vm-cök vm MÖnY I Z vm Ki Z nq, mb cöwµqv wu Avi kixi-gb wkw_j K i Q o ivlvi (wijv kb) Ici h ikg i Z Av ivvc Kiv nq, Zv kvší I w i cwi ek m wó Z Drmvn w` q _v K Avcwb hw` hvm e vqv gi Kvb K v k Ask MÖnY K ib, Zvn j Avcwb h Mf ezx, Zv Avcbvi wk K K Rvwb q ivlyb Avcwb hw` hvm e vqvg Kiv ïi Ki Z B QyK nb, Zvn j wb R wb R mb Póv Kivi e` j GKRb wk K Luy R bqv me P q fv jv jvkvj A_wiwU GWvë GWy Kkb ( vbxq KZ c i eq wk v welqk) K vk jv Z hvm e vqv gi weqwu mvaviyz AšÍf y³ _v K hvm e vqv gi wkqy Lye AMÖmi (GWfvÝW) Avmb i q Q, h me Avmb Abyhvwq e vqvg Avcwb Mf ve vq Ki Z m g n eb bv m jv Kivi Póv Avcbvi Kiv DwPZI n e bv Ab h Kvb ai Yi e vqv gi g ZvB hvm e vqv gi mg qi Avcwb hw` Pvc Abyfe Ki Z ïi K ib, Zvn j e vqg Kiv eü K i ` eb bgbxq _vkzb! cöme e`bv I R b i mgq Avcbvi wkï hb ei n q h Z cv i, mr b Avcbvi cjwfm ( gi ` Ûi wb Pi Ask I wbz ^i ga Kvi nv oi KvVv gv) ÕLy j hviqviõ cö qvrb co e GUv hb m e n Z cv i, mr b Avcbvi cjwf mi wjmv g U jv (nvo jv K mshy³ iv L h wum ymg~n) big n q Av m Ges G m DcbxZ nq AviI cömvwiz niqvi ch v q wijvw bmn ni gvb jv G e vcv i mnvqk n q _v K wjmv g U n Q k³, Bjvw Ki g Zv GK Q wum y, h jv Avcbvi kix i nv oi h KvVv gv i q Q, m jvi Rvov jv K (R q U) mshy³ K i iv L Mf ve vq Avcbvi wjmv g U h nzz big n q Av m, m Kvi Y G jv A bk ewk cömvwiz n Z cviv ( ªPW) mnr, GB cömvwiz n Z cvivi Kvi Y Pvc m wó n Z cv i Kvb GKwU wjmv g Ui Ici we kl K i, Avcwb hw` e vqv g Af Í bv n q _v Kb, Zvn j GiKg N U _vk Z cv i wjmv g Ui Ici Uvb hw` ewk n q _v K, Zvn j Avcwb e _v eva Ki Z _vk eb GB e _v Abyf ei ga w` q Avcbvi kixi Avcbv K _ g h Z ej Q mvrv n q `vuovb! Õ mvrv n q `vuov bv ' klvi gva g Avcwb Avcbvi wc V kw³ hvmv Z I wc Vi e _v _ K eu P _vk Z m g n eb cv qi cvzv dvuk K i `vuovb Ges Avcbvi kix ii IRb Q o w`b Avcbvi cv qi cvzvi Ici g b g b Kíbv Ki Z _vkzb h, Avcbvi gv_vi Ici _ K GKwU m~zv Avcbv K N ii Qv `i w` K U b wb Q Abyfe Ki Z _vkzb h, Avcbvi gi `Ê j ^v n Q `vuov Z M j GB e vcvi jv Avcwb g b ivl eb d j nvvr K i Avcbv K c o h Z n e bv ev fvur n e bv Avcbvi cu `xn mgq a i GKUvbv e m _vkv Gwo q Pjyb emvi mgq QvU GKwU Kzkb u R w` q ivlyb Avcbvi wcv I wbz ^i ga ez x QvU AskUzKz Z, hv Z Avcbvi mvrv n q Ges Avivg`vqK fv e emvi e vcv i mvnvh nq e vqvg 12
mkkb GK: Mf ve v Mf ve vq Lv` MÖnY e Q bqvi g Zv Lv`, ev` `qvi g Zv Lv` Avcbvi Rxe bi Ab me mg qi fv jv Lvevi LvIqvi h i Z i q Q, Mf ve vqi m ik gb fv jv Lvevi LvIqvi i Z Kvb As kb Kg bq Avcwb hw` me mg qb fv jv Lvevi L q _v Kb, Zvn j Mf ve vq Lvev ii e vcv i Avcbv K eo ik gi Kvb cwiez b Avb Z n e bv Lvevi R b hme Lv` Avcwb e Q b eb Ges Lvevi Av M h c wz Z G jv Avcwb cö Z Ki eb Lvevi R b, mb m ei g a i Z c~y K qkwu cö qvrbxq e vcv ib KejgvÎ Avcbv K Lqvj ivl Z n e wbivwgl ( fwruvwiqvb) I gvsm-wenxb ( frvb) Lvevi m ú K AviI Z _ i R b `Lyb c 16) e Q bqvi g Zv Lv` ^v Ki Lvev ii A_ GB bq h, L Z fv jv jv M bv, Zgb me LveviB Avcbv K L Z n e wb Pi Lv` MÖ c jvi cö Z KwU _ K LvIqvi R b Póv ivlyb:. eªw, wmwiqvj, fvz, cv Ív, AvjyÑcÖwZ ejv Lvev ii cöavb Ask G jv niqv DwPZ wm Pvj (eªvdb ivbm) ev AvUv w` q ˆZix ( nvjwgj) eª Wi g Zv m ú~y fv e km KYv w` q ˆZix Lvev i ( nvj MÖBb wmwiqvj dz W) A bk ewk Avuk (dvbevi) Av Q G jv c~y v½ Lv` ˆZix K i _v K djg~j I kvkmwâñ cöwzw`b cvup Ask ev Zvi ewk dj I kvkmwâ Lvevi R b Póv ivlyb ZvRv, d«v Rb (wd«r Rwg q ivlv), wubrvz Ges ïk bv- h Kvb ai Yi djg~j ev kvk-mwâ Ges d ji LvuwU Rym L Z cv ib gvsm, gvq I wekímg~n (G jv cövwub I Avqib mieivn K i _v K)Ñ GB MÖ c _ K wkqy Lv` ˆ`wbK `yevi Lvb Gi g a i q Q gvsm, gyimx, gvq (wubrvz gvqmn), wwg, ev`vg (GB c ôvi Ic i `qv i Z c~y bvu `Lyb), guiïuwu (web), Wvj `ya I `yarvz Lv` (G jv K vjwmqvg mieiv ni i Z c~y Dr mi e e v K i _v K)ÑÑcÖwZ w`b GK cvb U `ya cv bi Póv Ki b, A_ev GK cvb Ui 3 fv Mi 1 fvm `ya Avi GK AvDÝ cbxi (GKwU g vpe mvb Ri) L q wbb, cöwzw` bi Lv` ZvwjKvq AviI ivlyb `ya w` q evbv bv `B ev Nvj (B qvmvu ) A_ev `y ai ˆZix GK evdj cywws ^í gvîvi Pwe hy³ `yarvz mvgmöxi g a c~y gvîvi Pwe hy³ Lv` mvgmöxi g ZvB GKB cwigv Yi K vjwmqvg i q Q Pwe hy³ I wpwbhy³ Lvev i GB MÖ c _ K Lv` MÖnY Kwg q ivlv nq 13
ev` `qvi g Zv Lv` Mf ve vi mgq Kvb Kvb Lv` MÖn Y Su ywk _v K Gme SuywK LyeB ^ígvîvi, ZvB Avcwb nq Zv ev ey S DV Z bv cvivi Kvi YB, SuywK c~y wkqy Lv` hw` L qi _v Kb, Zvn ji m Kvi Y Avcbvi ev Avcbvi wkïi wz niqvi m vebv _v K bv Kvb fv eb Z e cvi j G ikg wkqy bv LvIqvB fv jv wkqy wkqy Lvevi wj wiqv I mvj gv bjvi g Zv e vk Uwiqvi Kvi Y `~wlz n Z cv i (wjm Uwiqv e vk Uwiqv: gyiwm (wp Kb), big cbxi BZ vw`i g Zv Kvb Kvb Lv ` G ai Yi e vk Uwiqv cviqv hvq, ivbœvi mgq hv aesm bv n j kix ii g~j bvf wm gi (mœvq~ Z š i) wz Ki Z cv i, hvi d j `Lv w` Z cv i gwbbrvbwum, Gb mdvwjwu mi g Zv ivm, Mf cvz NU Z cv i Ges GgbwK G Kev i QvU wkï ev eq `i g Z yi NU Z cv i ) (mvj gv bjv: jvnvi ` Ûi g Zv eo GK ai Yi e vk Uwiqv, G jvi A bkwub Lv ` welwµqv m wó niqvi R b `vwq ) h me Lvevi ev` w` Z n e: unpasteurised (Avbc v vivbrw)ggb `ya big, my ^v`y cbxi ( hgb, eªx, K v ggevu I G ai Yi bxj Íi wewkó wewfbœ ai Yi cbxi) KwjRv I KwjRv _ K cö Z Ab vb Lv` mvgmöx ( `Lyb c 15) pâtés ( cbum)ñme ik gi KvuPv I cy iv wm bv Kiv wwg (ww gi mv`v I njy` Ask k³ bv niqv ch ší wm Kiv) big ûbc gwk b cö Z dv gi g Zv AvBmwµg ( bvu: AveiYx w` q gvov bv ev RgvU evuav (e K) AvBmwµg wbivc`) ww gi Kzmyg, fwr Uej Zj I jeyi im ev wf bmvi w` q ˆZix VvÛv mm (g v qv bbr) (N i ˆZix) nv½i (kvk ), (gviwjb eo GK ai Yi mvgyw`ªk gvq) I Z jvqvi gvq ( mvw wdk) Uzbv gvq LvIqvi cwigvy mxwgz ivl Z n e mßv n `ywu gvsvwi AvKv ii K v bi g a ev ZvRv Uzbv n j cyi I PIov dvwj K i KvUv GKwU UzK ivi ( BK) g a GB gvq jv Z h cwigvy cvi` (gvk vwi) _v K, Zvi cö vc U m ó D Ø Mi Kvi YB GB wb laváv h me gwnjv wkï `i ey Ki `ya LvB q _v Kb ev Mf avi Yi cwikíbv hv `i i q Q, Zv `i R b I GB wb laváv cö hvr mvaviy ^v wewa Lvevi-`vevi ú k i Av M I c i me mgq Avcbvi nvz ay q wbb Av M ˆZix mvjv`mn me dj I kvkmwâ Lvevi Av M ay q wbb KvuPv gvsm úk eivi ci nvz ay q wbb ivbœv Kiv Lvevi _ K `~ i mwi q ivlyb KvuPv Lvevi evmv b KvR Kivi mgq ev gvwu úk Kivi mgq M vfm e envi Ki b Ges Gi ci nvz ay q wbb fv jv K i Avcwb ev Avcbvi Nwbô Kvb cwiev ii KD hw` ev`v gi GjvwR Z ev A ~Z ai Yi Pg iv M (G UvwcK GKwRgv), k vm ivm (GRgv) ev a~jv-evwj I dz ji iyyi Kvi Y bvk I Mjvi iv Mi ( n wdfvi) g Zv Kvb GjvwR K iv M fv Mb, Zvn j Mf ve vq ev ey Ki `ya LvIqv bvi mgq ev`vg ev ev`vghy³ Kvb Lvevi bv LvIqvi R b Avcbv K civgk `qv hv Q m~î: Avcwb hlb Mf ezx ( nvqvbj BD Avi cömb v U), c.7-8 wwcvu g U Ae nj_, 1995 cïi ms ú k Avmv Kvb Kvb cï, wbw` ófv e weovj I fov, wj wiqv, PvjgvBwWqv, wcwmævwp ev U vc vrgvmn kvixwik MVb K AvµvšÍ Ki Z cv i, wzki Ggb AZ ší z`ªvk wzi (gvb µv AiMvwbRg) RxevYy enb K i _vk Z cv i we kl K i Lvevi Av M Ges Lvevi cö Z Kivi Av M Avcbvi cvlv Rš i Mv q nvz eyjvevi ci me mg qb Avcbvi nvz ay q wbb Avcbvi cvlv RšZy jv K me mgq wk P bi evb i ivlvi Póv Ki b, Ges we kl K i Ggb Kvb wkqyi Ici emv _ K I jv K weiz ivlyb, hm ei Ici Avcwb Lvevi cö Z K i _v Kb Avcbvi cvlv Rš i Lv` ˆZixi R b c _K wwk I _vjv-evmb e envi Ki b Ges Avcbvi cwiev ii e envh evmb- Kvmb _ K Avjv`v K i wb q m jv avqv gvqv Ki b Avcbvi weov ji AveR bv cvî (wjuvi Uª) cwi vi ivlyb gjg~ Îi cvî cwi vi Kiv bvi Kv R Ab KvD K jvmv bvi Póv Ki b hw` muv Avcbv KB Ki Z nq, Zvn j me mgq ivevi M vfm e envi Ki b c i Avcbvi nvz I M vfm ay q wbb Lye fv jv fv e Avcbvi weovj evmv bi gvwu Z gjg~î Z vm K i _vk j, mveavbzv wn m e evmv b KvR Kivi mgq me mgq M vfm e envi Ki b 14
dwjk GwmW dwjk GwmW n Q i Z c~y we wfuvwgb jvi g a GKwU A bk Lvev ii g a B mvaviy fv e GUv _ K _v K Zix Kiv wkqy Lvev ii g a hvm K i `qv nq GwU kix ii me Kv li ( m ji) wekvk NUv I mej _vkvi e vcv i GB wfuvwgb i Z c~y Mf ve vi cö_g Ae vq A_ev Avcwb hw` Mf avi Yi cwikíbv K i _v Kb, Zvn j dwjk GwmW LyeB i Z c~y Mf avi Yi wm vší wb Qb ev Mf aviy K i Qb, Ggb gwnjv `i DwPZ, ewk cwigv Y dwjk GwmW MÖnY Kiv, hb åƒy-wkï úvbbv wewdwvi g Zv (gv qi M f cöv Yi m~pbv jmœ _ KB Kvb Î wui Kvi Y gi ` Ûi LÛ jv GKwÎZ n Z e _ niqvi d j c vivjvbwm mi wkkvi niqvi Avk¼vhy³) mœvq Kvl (bvf ) m úwk Z Kvb RwUjZvq (ÕwbDivj wude ww d±mõ)-g AvµvšÍ bv nq ez gv b GB civgk `qv n Q h, Mf ezx niqvi Av M AšÍZc wzb gvm a i Avcwb 400 mcg (0.4 mg) dwjk GwmW MÖnY Ki b Avi Mf ezx niqvi ci GKB cwigvy dwjk GwmW MÖnY Ki b 12 mßvn ch ší Avcwb hw` AcÖZ vwkzfv e Mf ezx n q c ob, Zvn j 12 mßvn m ú~y bv niqv ch ší cöwz w`b GKwU dwjk GwmW Ue ju MÖnY Kiv ïi Ki b wkfv e MÖnY Ki Z n e Mf avi Yi cwikíbv Avcwb hw` K i _v Kb ev Avcwb Mf aviy K i Qb GUv Rvb Z cvivi mv _ mv _ hv Ki Z n e: Avcbvi Pvwn`v c~i Yi R b cö qvrbxq hvmvb wb Z ïi Ki b cöwz w`b GKwU400 mcg dwjk GwmW Ue j Ui AvKv i (MÖn Yi R b GUvB mycvwikk Z gvîv), Avcbvi Wv³vi GB wb ` kbv w` Z ( cömµvbe Ki Z) cv ib A_ev dv g wm I wkqy wkqy mycvigv K U _ K Avcwb GUv wk b wb Z cv ib Ges dwjk GwmW Av Q, Ggb Lvevi ewk K i Lvb wfuvwgb G mvwc g U MÖnY Gwo q Pjyb, KviY, D P gvîvi wfuvwgb G wkïi R b wzki n Z cv i Avcbvi hw` wfuvwg bi cö qvrb nq, Zvn j Avcbvi Wv³vi Zvi wb ` kbv ` eb ( cömµvbe Ki eb) dwjk GwmWhy³ Lvevi w úwbr ev kvk, eª Kvwj (meyr ev e wb i Oi AmsL QvU dzjkwc m ^wjz Dw `, hv ivbœv K i LvIqv nq), MÖxb web (meyr guiïuwu), Kwjd viqvi(dzjkwc), eªv mjm cövdum (GK ai Yi evuavkwc), cxr (wm gu ii cywws) mn meyr kvk-mwâ eªwmn wmwiqvj dzw (km KYv w` q ˆZix Lv` ) wkqy wkqy eªw I mkv ji bvkzvq ( eªkdv wmwiqv j) cöpzi cwigv Y dwjk GwmW i q QÑGi gvîv cix v K i wbb Kgjv, AvOyi, Kjv mn wkqy dj web&m ev guiïuwu I Wvj, we kl K i e v vk AvBW web&m, wpk cxr (njy` gui `vbv) `ya I `y ai ˆZix `B I Nvj (B qvmvu ) C i wbh vm (i wu ev g` cö Zi Kv R cö qvrbxq GK Kvwl dv½vm (QÎvK)-Gi wbh vm) KwjRv LvIqv wk wvk? KwjRvq dwjk GwmW i q Q, Z e, Zv Z D P gvîvi wfuvwgb G-I i q Q Mf ve vi cö_g w` Ki gvm jv Z Zv wkïi R b wzki n Z cv i Mf ezx gwnjv I Mf avi Yi cwikíbv Ki Qb hviv, Zv `i R b civgk n Q GB h, Zviv hb KwjRv ev KwjRv w` q cö Z Kvb wkqy bv Lvb 15
Ab ik gi ^v`? Mf ve vkv j wkqy wkqy Lvev ii ^v` Avcbvi Kv Q G KK mgq G KK ikg jvm Z cv i, cövq ÎB G ikg `Lv hvq Avcwb nq Zv j Ki eb h, Av M hme Lvevi I wwª¼ Avcbvi Kv Q fv jv jvm Zv, hgb, Kwd ev Gj Kvnj (g`), m jv GLb Avi L Z cvi Qb bv GKB fv e Avcwb nq Zv GUvI `L eb h, Ab vb Lv ` i cöwz Avcbvi AvMÖn e o M Q, Avi G jvi g a i q Q Ggb wkqy LveviI, Mf ezx niqvi Av M h jv Avcbvi Zgb fv jv jvm Zv bv, hgb, jey Mv Îi djg~j (mvbuªvm d«zu)ñ jey, evzvwe jey, Kgjv, AvOyi BZ vw` A_ev `ya, wkš GLb m jvmn Ab vb Lvev ii cöwz AvMÖn e o Q Avcbvi Kvb Kvb gwnjvi AvcvZ` wó Z A yz ai Yi wewfbœ Lvevi LvIqvi cöwzi AvMÖn `Lv w` Z cv i hz Y ch ší Lv` MÖn Yi e vcv i Avcwb ^v Ki fvimvg ervq i L P j Qb ( `Lyb c 13), ZZ Y ch ší GKwU Lvevi MÖn Yi cwigvy evov bv ev Ab Av ikwui cwigvy Kgv bv Z wkqy hvq Av m bv LyeB wgwó RvZxq Kvb Lvevi ev ewk Pwe hy³ Lvev ii R b Avcwb hw` e vkzj n q c ob, hgb P Kv ju, Zvn ji m jv LvIqvi cwigvy mshz ivlvi Póv Ki b cö kœi Reve cöt Mf ezx niqvi Av M Avgvi IRb ewk wq jv Mf ezx _vkvkv j kixi nvjkv-cvzjv Kivi (w g niqvi) Póv Kiv wk wvk n e? Dt Mf ezx _vkv Kv j IRb Kgv bvi Póv Ki eb bv Gi cwie Z g bv hvm w`b, ^v Ki I fvimvg c~y Lvevi MÖn Yi w` K Avcbvi wgwiqvbd ev wrwci mv _ G wb q K_v ejyb g b ivl eb, Pwe hy³ I wpwbhy³ Lvevi cöpzi K v jvwi (Lv` _ K cövß Kg kw³i GKK) Drcv`b Ki Z cv i Ges Zv h_vm e Kwg q ivl Z n e cö t wbivwgl ev gvsmwenxb Lvevi wk Mf ve vq wbivc`? Dt ^v Ki Lvevi MÖn Yi e vcv i h wb ` kbv (MvBWjvBb) i q Q, Avcwb hz Y Zv i me jv g b Pj Qb, ZZ Y Zv wbivc` Acbvi h mg Í cywóki c`v_ `ikvi, gvsm Qvov Ab Lvev i Zv i q Q frvbñ hviv cïrvz Kvb Lvevi MÖnY K ib bv, Zv `i nq Zv AwZwi³ wfuvwgb we12 MÖnY cö qvrb n Z cv i Zv `i DwPZ, mqv _ K ˆZix Lvevi LvIqv, G jv Z wfuvwgb we12 _v K cöpzi cwigv Y ev Avcbviv Gi cwic~ik Ab wkqyi MÖnY Ki Z cv ib GB eb qi cqb w` K AviI mvnvh AskwU `Lyb 16
mßvnwfwë Z Avcbvi Mf ve v mkkb GK: Mf ve v 6 mßvn ch ší Mf aviy I Mf ve vi cö_g ch vq Avcbvi wkïi wekwkz niqvi me P q ÕmwµqÕ(GKwUf) Ask GB ch vqwu GB cö_g w` Ki mßvn jv Z weivu wkqy N U _v KÑcÖvq Î GUv n q _v K, Mf ezx niqvi e vcv i Avcwb wbwðz n Z cvivi Av MB fertilised egg (De i n q cov wwg)ñglb GUv K e v vwm ejv n q _v KÑZv De izv cövwßi ci Mf avi Yi cö_g mßv ni kl bvmv` wb R K Mf vk qi (I ^) lining (jvbwbs)-gi mv _ hy³ K i jvbwbs Ly ` wb q mwu mlv b Xy K hvq Ges ZLb blastocyst (e v vwm ) I jvbwbs qi g a wewbgq n Z _v K ivmvqwbk mvgmöx I cywóki c`v_ e v vwm (De izvcövß wwg) hlb cy ivcywifv e ivwcz n q hvq, ZLb Zv K ejv nq åƒy (Ggeªv qv) m mgq Gi AvKvi n q _v K QvU GKwU we `yi g Zv embryo (åƒy)-gi evb ii w` Ki mj jv gv qi i³bvwji mv _ wb R `i mshy³ Ki Z ïi K i, ïµ (exh ) Øviv wwg De iv n Q ww ^vkq (Ifvwi) _ K wwg ewi q Avm Q Gfv e gv qi i³ mieivn cöwµqvi g a Zviv AšÍf y³ n q hvq GUv n Q åƒy K wn i Pz ji g Zv AwZ m~ wswjchorionic villi ( KvwiIwbK wfwj) ˆZix niqvi m~pbv ce, hv c i c v m Uvq cwiyz n e (c v m Uvt åƒ Yi cywó hvmv bvi R b Rivqyi fz i XvKbvi g Zv A½we kl, cöm ei mgq hv bvwoi mv _ ewi q Av m, Mf cwimªe, dzj) åƒ Yi fz ii mj jv ZLb wzbwu c _K Í i wef³ nq cö_g ÍiwU nervous system (mœvq~ Kvl) I gw Í ( eªbb) iƒcvšíwiz n e; wøzxq ÍiwU cwiyz n e kix ii fz ii cöavb A½mg~ n digestive system and lungs (nrg Kivi wm g I dzmdy m); Z Zxq Íi _ K ˆZix n e heart (ü`hš ) (nvu ) I blood system (i³ mâvjy e e v), muscles and the skeleton (gvsm cwk I K¼vj) De izvcövß wwg (e v vwm ) ww ^bvwji ( d jvwcqvb wud ei) g a jvdsvuc w` Q I bovpov Ki Q Mf vk qi fz i e v vwm ivwcz n Q, GLb Ges GwU GLb ÒåƒYÒ åƒ Yi GLb wbr ^ blood vessels ev i³bvwj n q Q G jvi Kvb KvbwU Avcbvi Mf vk qi `qv j (BD Uwib Iqv j) Avcbvi wb Ri i³ mieivn e e vi mv _ mshy³ n q Q G jv wekwkz nq åƒ Yi bvwfi mv _ gv qi dz ji ms hvrk bvwjbvwo ev umbilical cord (AvgwewjK vj KW )-Gi fz i GB bvwoi g a Ggb i³evwn wkiv i q Q, hv dzj ev placenta (c v m Uv) _ K cywóki Dcv`vbmg~n MÖnY K i _v K Ges er c`v_ MÖnY K i _v K wkïi KvQ _ K Avcwb hlb Qq mßv ni Mf ezx, ZLb GB AZ ší RwUj m wó jv, me wgwj q Avcbvi Kwbô AvOy ji Ic i b Li h AvKvi, cövq mb AvKvi gvî jvf K i Q 17
mßvn 4-5 e v vwm (De ivcövß wwg) Blastocyst (embryo) Mf vk qi jvbwbs Ly ` burrowing into fz i XyK Q womb lining Mf vkq ev Rivqyi (BD Uiv mi) `qv j wwg hlb wb R K vcb Ki Z _v K, mb mgquvq Avcbvi wkqy wkqy i³cvz n Z cv i G Kvi Y i³mªv ei Lye nvjkv GKUv wcwiqw Pj Q e j mn R fyj n Z cv i ZvB Avcwb nq Zv ai Z cvi eb bv h, Avcwb Mf ezx n q c o Qb mßvn 6 cö kœi Reve cöt Mf ve v cix v ( cömb vwý U ) wk mwz B mfv e wbf i Kivi g Zv hvm? Avwg wbwðz wqjvg h, Avwg Mf ezx n qwq, wkš U bwzevpk ( b MwUf) `Lv jv GK mßvn c i Avevi cix v Kivjvg, ZLb cviqv M jv BwZevPK (cwrwuf) Dt cömb vwý U wvkg Zv Kiv n j mvaviyz Zv wbf i hvm n q _v K, Z e åvšífv e b MwUf `Lv bvi wkqyuv m vebv ZviciI _ K hvq Kwg _ K cömb vwý U i miävg wk b h U Avcwb K i Qb, mb U Avcbvi Mf ezx n q covi cövq `y mßvn c ii ( h mg q Avcbvi wcwiqw n Iqvi K_v) cömªve _ K hormone human chorionic gonadotrophin (HCG) ev ni gvb wndg vb KvwiIwbK Mvbv Wv Uªvwdb (GBPwmwR) msmªn Kivi K_v Avcwb Mf ezx n q Qb wkbv, GB cix vi gva g Zv Rvb Z cviv m e wkš KL bv KL bv GB U i R b hzuzkz GBPwmwR cö qvrb, ZZUzKz bv-i cviqv h Z cv i, ZvB ZLb GUv wba viy Kiv m e bv-i n Z cv i h, Avcwb Mf ezx n q Qb wk-nbwb Avcbvi wcwiqw hw` ZviciI ïi bv n q _v K, Zvn j AveviI Avcbvi cix v K i `Lv DwPZ i³ cix v ZI GB ni gvb cviqv h Z cv i Mf ve vi Ab vb j Y Avcbvi Mf vkq ev Rivqyi wb Pi Ask cervix ( miwf ) mvgvb big n q Avm Z cv i Avcbvi hvwbc_ I Rivqyi is cwiewz Z n eñ Mvjvwc (wc ¼) _ K bxj P jvj n q DV Z cv i-gb vb jv Z i³ mieivn e o hviqvi Kvi Y GUv n Z cv i Avcbvi Í b cwiez b Avm Z ïi K i Ges Avcbvi tubercles ( Íbe šíi)-õi Pvicv ki GjvKvq areola (GwiIjv) ev QvU QvU `v Mi g Zv dz j IVv Ask jv ek fv jv fv e evsv hvq ey Ki `ya LvIqv bvi cö wz wn m e Íbe ší K úk KvZi I big ivlvi R b h me M vû ˆZjv³ c`v_ Drcbœ K i _v K, m jvi ei bvi c_ (Gw U c q U) n Q G jv Qq ev mvz mßv ni g a B vb Kiv bvi mgq wkïi ü` ú `b (nvu weu) aiv m e n Z cv i Mf ve vq Kg c cö_g 12 mßvn dwjk Gwm Wi hvmvb (mvwc g U) MÖnY Ki b 18
mßvnwfwë Z Avcbvi Mf ve v mkkb GK: Mf ve v mßvn 7-12 AvK wz MVb ïi GLb gvbe ` ni AvK wz Z åƒ Yi wekv ki KvR ïi n Z hv Q Ges kix ii cöavb A½-cÖZ ½ jvi Mob cöwµqvi ïi n Q K qk mßv ni g a QvU QvU dvjv dvjv Ask `Lv hv e,g jv K ejv nq limb buds (wj ^ evwm) ev A½-cÖZ ½i A¼zi, GB Ask jv nvz I cv q iƒcvšíwiz n q _v K 10 mßvn bvmv` `Lv hv e Zzjbvg~jK fv e eo MvjvK wzi GKwU cövší, hv c i gv_v wn m e iƒc b e umbilical cord ev bvwoi ˆ`N I eo n e Ges GB ch v q åƒy amniotic sac (GgbvIwUK m vk) -Gi g a (GK ai Yi Õcvwb fwz e vmõ, hv f~wgô niqvi Av M ch ší wkï K i v K i _v K) fvmgvb _vk e GB mg qi ci åƒy K ejv nq fetus ( duvm) (A½-cÖZ ½ úófv e MwVZ niqvi ciez x Ae v) gyl, wrnÿv I Pv Li cvzvmn gylgûji AvK wz wb Z ïi K i A½-cÖZ ½i A¼zi jv _ K GLb cwi vi fv e evsv hvq h, G jv nvz I cv, GB mgq nvz-cv qi AvOyj MwVZ niqvi ïi nq GB mßvn jv Z gw Í ( eªbb), bvf wm g I nv oi KvVv gv M M IVvmn kix ii fz ii A½-cÖZ ½ MV bi g Zv i Z c~y KvRwU n q _v K 12 mßv ni kl bvmv` Af šíixy A½-cÖZ ½i KvVv gv MwVZ niqvi KvRwU m ú~y n q hvq GB mg q gvsm cwk jv MwVZ n Z ïi K i 12 mßv ni k l gv_v _ K klvsk ch ší wkïi ˆ`N `vuovq 5 mw UwgUvi (1.9 BwÂ)- GB AvK wz GKwU cvkv c v gi g Zv 12 mßvn bvmv` Avcwb nq Zv `L Z cv eb h, Avcbvi Kvgi gvuv n Z ïi K i Q Avcbvi uterus (Rivqy) G mgq h nzz Ic ii w` K wkqyuv D V hvq, pelvis ( cjwfm)-gi AiMvb jv ( gi ` Ûi wb Pi Ask I wbz ^i gvslv b nv oi h KvVv gv, Zvi A½mg~n) m Kvi Y wkqyuv vbp yz n q hvq kix i wkqy cvwbi R g hv e, h Kvi Y Avcbvi g b n e, Avcbvi kix ii ga fvm dz j Av Q Aek ZviciI GB ch v q ewki fvm gvbyli Kv Q Avcbv K Mf ezx e j g b n e bv 19
Amy Zv I ewgi fve cö_g 12 mßv ni g a Amy Zv eva I ewgi fve n Z cv i Lye ewk Avcwb Lye ewk K vwšíi eva Ki Z cv ib Z e wkmmxib Avcbvi fv jv eva Kiv ïi n Z cv i 12 _ K 14 mßv ni w` K ni gvb cwiez b n q _v K G mgq Mf cwimªe mwµq n q I V Ges ewki gwnjv GB mgquvq Zzjbvg~jKfv e fv jv eva Ki Z ïi K ib fv jv eva Ki Z _vkv wk Ki Z n e GK mv _ ewk Lvevi Lv eb bv, Z e wkqy mgq c i c i Lvevi L Z _vkzb G Z K i Avcbvi cu KL bv Lvwj _vk e bv mßvn 9 duvm (åƒy-wkï) `L Z A bkuvb gvbe ` ni AvKvi aviy K i P j Q mßvn 12 w` bi ïi Z GKUv ïk bv µ vkvi I GKwU wwª¼ L q wbbweqvbv Q o IVvi Av MB Gfv e L q wb Z cv ib h me Lvevi I M Ü Avcwb Amy eva K ib, m jv cwinvi K i Pjyb AviI civgk c Z Avcbvi wrwc ev wgwiqvb di mv _ K_v ejyb 2 mw UwgUvi (GK BwÂi Kg) 20
mßvnwfwë Z Avcbvi Mf ve v mkkb GK: Mf ve v mßvn 13-16 13Zg mßvn _ K c v m Uv wkïi cywói cöavb Drm wn m e `vwqz cvjb Ki Z ïi K i 14Zg mßvn _ K GwU cy ivcywifv e KvR Ki Z ïi K i Avcbvi wkïi ˆewkó mg~n GB mßvn jvi ïi Z wkï wb R wb R Zvi A½-cÖZ ½ I gv_v wkqy wkqy bovpov Ki Z ïi K i Z e Avcwb GLbI Zv Abyfe Ki Z cvi eb bv 16Zg mßv ni w` K Avcwb wkqy wkqy bovpov Abyfe Ki Z cv ib, cö_g ev ii g Zv Mf ezx n j GUv Aek evsv hvq AviI c i 16Zg mßvn bvmv` Avcbvi wkïi gylgû j Zvi PvL, bvk, gyl I Kvb `ywu úófv e evsv hvq Pv Li cvzvi evsv hvq AviI fv jvfv e GB mg q Zvi gvwoi g a `vu Zi m wó n q _v K big I LyeB m~ è GK ik gi Pz j (GUv K Õjybv MvÕ ejv n q _v K) XvKv i q Q wkïi cy iv kixi ciez x Z Avcbvi wkïi Pzj hw` Kv jv n, Zvn j Pz ji dwjkj&m&, hv io ˆZix K i _v K, Zv KvR Ki Z ïi K i 15Zg mßvn _ K fyi I Pv Li cvzvi PzjI G mgq MRv Z ïi K i nvz I cv qi AvOyj GiB g a m wó n q Q PvL I Kv bi Mob Ae vnz i q Q Ges Avgiv Rvwb, GB ch v q wkïiv kã I Av jv m ú K m PZb n q I V 16Zg mßv n Avcbvi wkïi ˆ`N 8 mw UwgUvi (cövq 3 BwÂ) PLACENTA (c v m Uv) GUv Avcbvi wkïi Rxeb-weKv ki R b mnvqk (jvbd mv cvu ) wm g GKw` K GUv Mf vk qi (BD Uiv mi) mv _ mshy³ i q Q, Ab w` K wkïi mv _ mshy³ i q Q bvwoi (AvgwewjK vj K W i) Øviv GB KW c v m Uvi gva g gv qi i³ _ K cywóki Dcv`vb jv wb q Av m wkïi Kv Q Ges mb mv _ mwi q wb q hvq wkïi er c`v_ jv c v m Uv ni gvb Drcv`b K i _v K, hv cöevwnz nq Avcbvi kixi Ry o Avcbvi I Avcbvi wkïi i³ cöevn mvaviyz KL bv mivmwi wgwkªz nq bv Mf vk qi `qv ji mv _ mshy³ c v m Uvi ẁ KwU Avcbvi i ³ ašz nq h wswj Avcbvi i³ cöevn K Avcbvi wkïi i³ cöevn _ K c _K K i iv L, Zvi ga w` q Aw Rb mn cywóki Dcv`vb jv AwZµg K i Ges Gici Zv cö ek K i c ªv m Uvi Ab w` K wkïi i³cöev n GKB fv e wbm Z nq wkïi er c`v_ jv, wkïi w`k _ K wswj i ga w` q Avcbvi w` K hvq wkïi kix i cšuqvi Av M ^v i R b SuywKc~Y A bk wkqyb c v m Uv AvU K `q ZviciI wzki wkqy Dcv`vb Rivqyi dzj åƒy-wkïi i³bvwj åƒy-wkïi `ywu i³ wkiv Xy K h Z cv i evav cwi q wkqy e vk Uwiqv, fvbivm, WªvM I Ilya, wb KvwUb I Kve b g bv vbw (`nb _ K Drcbœ welv³ M vm) c v m Uv AvUKv Z (Õe KÕ Ki Z) cv i bv c v m Uv _ K Drcbœ ni gvb Ñ cöavbz A ªv Rb ( g q m ni gvb jvi g a h Kvb GKwU) I cö R ivb ( GKwU g q m ni gvb, hv De iv ww ^vyyi R b Mf vkq K cö Z K i Ges Ae vnz iv L Mf ve v) Ñ GB ni gvb jv A bk cwiez b G b _v K, hv Mf ve vkv j Avcwb Avcbvi kix i j Ki Z cvi eb bvwo G jvi cöfv e Avcbvi Mf vkq e w c Z _v K Ges bzzb i³bvwji m wó Z m jv mnvqk nq c v m Uvi Øviv Drcbœ cö R iv bi gvîv Mf ve vi kl fv M K g Av m, wkš GUv GLbI cy ivcywi fv e ejv m e bq, cöme e`bv ïi nq wk Kvi Y åƒy K aviy Kiv wswj i g a Zij c`v_ c~y ) _ j 21
mßvnwfwë Z Avcbvi Mf ve v ce GK: Mf ve v mßvn 17-20 Avcbvi Õdz j IVvÕ `Lv hv e GB mßvn jv Z Avcbv K Mf ezxi g Zv `Lv Z ïi n e Aek, hme gwnjv LyeB ïk bv Ges hv `i kixi ewk Õdz j D VÕ bv, Zv `i K nq Zv ewk Ab ikg g b n e bv, we kl K i Zviv hw` wx jxvjv cvkvk c i _v Kb GB mgquv Z Avcwb m ez wkïi cö_g bovpov Abyfe Abyfe Ki Z cvi ebñhw`i Avcwb nq Zv ev wbwðz n Z cvi eb bv h, Kb G ikg n Q, we kl K i Avcwb hw` Av M KL bv Mf ezx bv n q _v Kb, Zvn j G ikg g b n Z cv i GB bovpov jv (ÕKzB KwbsÕ wn m e cwiwpz) cö_ g `ª Z I AwbqwgZfv e Abyf~Z n e, wkš mgq h ZvB Mov e, ZZB my úó AvNvZ Kivi g Zv Abyf~wZ Avcwb Abyfe Ki Z cvi eb Avcbvi wkïi bovpov Avcbvi Zj c Ui fz i As k Abyf~Z n Z _vk e Ultrasound (AvëªvmvDÛ) Qwe _ K `Lv hvq cövq 18 gvm eqmx wkïiv Zv `i ey ov AvOyj Pzl Q Avcbvi wkïi wøzxq `vuzwu ˆZix n Z ïi K i, cö_g `vuzwu ˆZix niqv ïi niqvi ci cib wkïi kixi vernix '(fiwb )-G X K hviqv ïi nq, GUvv GK ai Yi ˆZjv³ c`v_, hv cvwb-wb ivak (IqvUvicÖ d) Íi ˆZix K i Avcbvi wkïi Pvgov X K iv L 20Zg mßv n Avcbvi wkïi ˆ`N `vuovq 15 mw UwgUv i (cövq 6 BwÂ), Zv GL bv G Zv QvU h, cövßeq GKRb gvby li nv Z Zv Zz j bqv hvq 22
Mf ve vq KvR Kiv ewki fvm Mf ezx gwnjv hzw`b Pvb, ZZw`bB KvR K i h Z m g nb Z e Lye Kg KvRB Av Q, hv Mf ve vq Kiv wbivc` bq, ev h KvR Mf ve vq Kivi civgk `qv wvk bq D`vniY wn m e, Avcwb hw` ivmvqwbk c`v_, ev Ab Kvb wec`rbk c`v_ wb q KvR K ib, ev Kv Ri Ask wn m e Avcbv K hw` Kvb wkqy e q Dc i DV Z nq, ev fvwi Kvb wkqy D Ëvjb Ki Z nq, Zvn j IB ai Yi KvR cwiez b K i Avcbv K Zzjbvg~jK fv e wbivc` Ab Kvb KvR e Q wb Z n e G e vcv i civg k i R b Avcbvi wgwiqvbd ev Wv³v ii mv _ hvmv hvm Ki b Avcbvi Kv Ri aiy I Kv Ri cwi ek Avcbvi Ges Avcbvi wkïi ^v hb SuywKi g a bv d j, Zv wbwðz Kivi AvBbMZ eva evakzv Avcbvi wb qvm`vzvi (Ggc qv ii) i q Q IB Kv R hw` G ai Yi SuywK _ K _v K, Zvn j Avcbv K wekí Kv Ri my hvm Zv K Aek B w` Z n e Rbc~e ez x (Gw UbvUvj) Gc q U g U Ges Rbc~e ez x (Gw UbvUvj) K v k Dcw Z _vkvi myweav _ Avcwb ezbmn QywU cvevi AwaKvi iv Lb ( Avcbv K nq Zv Avcbvi Wv³vi ev wgwiqvb di KvQ _ K GB g g GKwU bvu wb q `vwlj Ki Z n Z cv i h, GB K vk jv Avcbvi Gw UbvUvj Kqv ii Ask e j we ewpz n Q) mßvn 20 Avcwb hw` GLbI Kvb ewbwdu bv wb q _v Kb, Zvn j m e vcviwu wb q wpšív Ki Z ïi Ki b ev Avcbvi wkïi Rb niqvi ci Avcwb Kv R wd i hv eb wk hv eb bv, m wb q fvebv wpšív Ki Z ïi Ki b A_ Kwo m ú K Ges gvz Z m úwk Z Avcbvi AwaKvi ( guvwb wu ivbum) m ú K Avcwb wewfbœ Z_ m~î cv eb GB eb qi cq bi w` K AviI mvnvh mkk b ( `Lyb 57 bs c ôvi ) 23
mßvn wfwë Z Avcbvi Mf ve v mkkb GK: Mf ve v mßvn 21-24 AvK wz cwiez b GB mg q Avcbvi Mf vkq (BD Uivm) `ª Z e w cövß nq Ges Avcbvi wkqyuv IRbI evo Z cv i cövq 24Zg mßv ni w` K Avcwb j Ki eb, Avcbvi bvwfi MZ f i DV Q ev GgbwK bvwf wkqyuv ewi qi Avm Q wb P BD iuv mi e w cviqv _ K m ó Pv ci Kvi Y GUv n q Q wkïi cwigvc bqv Gw UbvUvj Gc q U g Ui mgq wgwiqvbd ev Wv³vi GKwU Uc Øviv Avcbvi c Ui gvc wb Z cv ib wkïi AvKvi I e w cix v K i `Lvi R b Avcbvi c U nvz w` qi Zviv evsvi Póv Ki eb wkïi Ae vb (cwrkb) bvu Kiv n e wkïiv me mg qb Zv `i Ae vb cwiez b Ki Z _v K, Ggb wk G Kev i R b i K qk mßvn Av M ch ší GB Ae v Pj Z _v K fv jv eva Ki Z _vkv Mf ve vi cö_g w` K h K vwší eva n Z _v K, Zv `~i niqvi ci A bk gwnjvb D` gx I mej eva Ki Z ïi K ib Ges Avcwb Mf ve vi kl w` K kixi fvwi n q hviqvi welqwui Zgbfv e Avi Abyfe K ib bv Avcwb nq Zv K vwší eva Ki Z cv ib, Z e Avcbvi Nyg m ez fv jv n e Ges Nyg _ K DV ebi fv jv eva Kivi Abyf~wZ wb q Avcbvi kixi A bk KvR K i P j Q, hv `Lv hvq bvñd`vniy ^iƒc ejv hvq, Avcwb hlb Mf ezx bb, ZLbKvi PvB Z GLb Avcbvi ü`hš (nvu ) I dzmdzm (jv½m) kzkiv 50 fvm ewk cwikªg K i KvR K i P j Q 24
Mf ve vkvjxb ( guviwbwu) KvcoÑAvcbvi wk Gm ei cö qvrb i q Q? cövq Pvi ev cvup gvm ci Avcbvi mvaviy A bk KvcoB Avi Avcwb co Z cvi eb bv, KviY, Avcbvi Kvgi gvuv n q M Q, Ges Avcbvi ÍbI eo n q M Q Avcwb hw` Kvco K bb, Zvn j Ggb fv e Kvco Kbvi Póv Ki b hb, c ii Avcwb m jv co Z cv ib, eomo, Dc ii Ask wx jxvjv, mv quvi I wu kvu -G ai Yi Kvco wkb eb Avcbvi kixi hw` Lye ewk gvuv n q hvq, Zvn j G Kev i kl mßvn jv Z Avcbv K nq Zv GKUv ev `y Uv we kl AvB Ug Kbvi cö qvrb n q co Z cv i G e vcv i mvnv h Avm Z cv i, Mf ezx gwnjv `i Zgb AviI wkqy civgk GLv b Zz j aiv n jv: guviwbwu jwmsm Kbv fv jv n eñavcwb wkïi R b i cii Zv e envi Ki Z cvi eb,cö qvrb n j Gi Kvg ii Bjvw K e` j wb q I ` N LvwbKUv QvU K i wb q ci Z cvi eb m jv eo wu-kvu, kvu I Rv úvi cyi li mvb Ri Gme Kvco eomo I Avivg`vqK n q _v K, Avcwb hw` AwZwi³ j ^v nvzv wu q co Z Amyweav eva bv K ib, Zvn j G jv Avcbvi R b mnvqk n e mvaviy (AwW bvwi) UvBUm ci b ( guviwbwu UvBU mi Zzjbvq m Ív) Z e m jv AwZwi³ eo (G Uªv jvr ) mvb Ri wkbyb Ges m jv D ëv K i ci b, hv Z GwUi eo AskwU Avcbvi cu X K iv L ewki fvm gwnjv eªv- Z ^v Q ` ewk Abyfe K i _v Kb Zviv hw` mvaviyfv e Zv bv-i c i _v Kb cövq mvz gv mi mgq guviwbwu eªv-i gvc wbb bvwm s eªv- Z Kvc _v K, h jvi ûk ev wrc Lvjv hvq, Ges h jv ciez x Z ey Ki `ya LvIqv bvi e vcv ii Kv R jv M 25
mßvnwfwë Z Avcbvi Mf ve v mkkb GK: Mf ve v mßvn 25-28 Avcbvi wekvkgvb wkï GB mßvn jv Z Avcbvi wkïi kix ii KvVv gv µgk cwic~y Ges wkïi AvK wzi g Zv n q DV Q e j `Lv hvq Avcwb Abyfe Ki eb, Avcbvi wkï Av Mi Zzjbvq ewk bovpov Ki Q Ges Avcwb Mvm ji mgq ev _ w i n q ï q _ K hw` j K ib, Zvn j Avcwb mb bovpov nq Zv j I Ki Z cvi eb Avcwb nq Zv GUvI eys Z m g n eb h, Kvb& bovpovwu nv Zi ev KvbwU cv qi, we kl K i ciez x Z, hlb Mf vkq Av Mi Zzjbvq eo n q hv e wkïi Pvgov GLb Av Mi Zzjbvq Kg ^ Q n Z Ges AviI cyi n Z ïi K i Q GB eq mi wkï `i Pvgovi wb P Zgb Pwe _v KB bv ej jb P j, ZvB GB Pvgovq fvur cov I wx jxvjv fve _v K nv Zi Zvjy Z I cv qi cvzvi Zjvq fvur co Z _v K Ges 25 mßvn cy iv niqvi ci AvOy ji QvcI m wó n Z _v K hw`i mvaviyz G ikg nq bv, Z e KL bv KL bv h_v mg qi G Zv Av MI (25 _ K 28 mßv ni) wkïiv f~wgô n q _v K AvRKvj, we klá h Zœi gva g, Mf vk qi evb i Mf ve vi 24Zg mßvn mgq _ KB wkïiv eu P _vk Z cv i MZ K qk eq i gwwwm bi GB GjvKvq weivu AMÖMwZ mvwaz n q Q hv nvk, G cöv_wgk ch v q hme wkïiv eu P _v K, Zviv `xn gqvw` mgm vi wkkvi n Z cv i GB mgq cvi niqvi ci wkïi eu P _vkvi nvi cöwz mßv n evo Z _v K 28 mßv n Rb bqv A bk wkï `xn gqvw` Kvb mgm v QvovB eu P _v K, Z e ZviciI K qk mßvn a i Zv `i we kl h Zœi ( úkvj Kqv ii) cö qvrb _ K hvq 28Zg mßv n Avcbvi wkïi ˆ`N cövq 22 mw UwgUvi (mv o 8 BwÂ) Ges IRb 800 MÖvg (cövq `o cvdû) n q _v K 26
cwiez b mg~n GB mg q Avcbvi Íb colostrum ( Kv jv ªvg ev Nb wµg RvZxq c`v_ ) Drcbœ K i, Avcwb nq Zv e vcviwu ey S DV Z bv-i cv ib Avcbvi Í b GB cö_g Zij c`v_ m wó n jv (c ôv 92 `Lyb) Kvb Kvb gwnjvi Íb _ K GB Zij c`v_ mvgvb cwigv Y PzuB q Pz ub q ewi q Avm Z (wjk n Z) cv i Avcwb GUv hw` Lqvj K ib, Zvn j gv UB DwØMœ n eb bv, Zgb Kvb D Ø Mi welq GUv bq Avcbvi Íbe ší GUv ïwk q e m hv e, ZvB KejgvÎ mvaviy cvwb w` q ay q djyb Avcbvi nvz I cv qi cvzvi wkqy wkqy Ask dz j h Z cv i (GUv K I Wgv ejv nq) 26Zg mßv ni w` K ev Zvi ciez x Z GUv LyeB mvaviy GKwU e vcvi Avcwb hlb Avcbvi wgwiqvbd ev Wv³v ii mv _ `Lv Ki eb, ZLb GUv Zv `i Rvbv eb GUv Mf ve vq ^vfvwekfv e cvwb R g hviqvi NUbvi PvB Z ewk i Zi Kvb e vcvi niqvi m vebv Zgb bb ( `Lyb c 53) Z e i Zi ai Yi IwWgv Avi mb mv _ D P i³pvc (nvb e vw cömvi) Ges cömªv e (BDwi b) cövwub cviqv M j a i wb Z n e, Avcbvi wcö-gkwj úwkqv (mœvq~ iv Mi ev g wm iv Mi) c~e ez x j Y i q Q ( `Lyb c 55-56), GUv A bk ewk i Z c~y cö kœi Reve cöt Kv Ri v b Ges KL bv KL bv N ii Avwg Lye Pv ci g a _vwk Gi ci Avgv K GKUv Aciva eva cxov w` Z _v K h, hw` Avgvi wkïi g a I GUv mâvwiz n q hvq, GB fvebvq Dt Avcwb hw` Lye Pvc Abyfe Ki Z _v Kb ev K vwší eva Ki Z _v Kb, Zvn j m jv Kgv bvi R b cö qvrbxq c` c MÖnY Ki b ewk wekªvg wb q ev KvR _ K Av M Av M ewi q G m Avcwb nq Zv DcKvi c Z cv ib A_ev hlb _ K Avcbvi guviwbwu jx f (gvz Z RwbZ QywU Z) hviqvi cwikíbv wq jv, Zvi Av M _ KB GB QywU KvUv Z ïi Ki b mv cöwzk M elyvq `Lv M Q, Mf ve vq Avcbvi Ici Lye ewk gvîvi Pvc Avcbvi wkïi Mob e w i Ici cöfve dj Z cv i Ges R b i mgq Zvi k vmk ói mgm vi mv _I GUv m úwkz _vk Z cv i Avcb wkï ïb Z cv i Mf ve vi 24Zg mßvn _ K Avcbvi wkïi Kvb LyeB úk KvZi n Z _v K Mf vk qi fz i _vkv Ae vq Avcbvi ü` ú `b (nvu weu), Avcbvi nrg cöwµqvi kãvejx, Avcbvi KÉ ^i I Ab `i KÉ ^iñmeb Avcbvi wkï ïb Z cv i GUv mevib Rvbv h, nvu we Ui g Zv GKB Q `vgq Kvb wkqyi aÿwb µ `biz bervzk K kvší Ki Z cv i h wkï ewk KvbœvKvwU K i, Zv K Mf vk qi kã ïwb q kvší Kiv m e n Z cv i (Avcwb GKwU Uc wk b wb Z cv ib) 27