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OD;OD;wd@k omref vlom; xrtrsK;d uawmh “rsK;d ADZcsK@d ,iG ;f E_wcf rf;arG;/ rkwq f w
d af rG;r±S/d rde;f
awGtm;vHk;[m OD;OD;ajymcJhovdk csuf ” Chromosomal abnor- uav;awGrmS vdk &ifom;awG }uD;
rsKd; arG;zGm;vm+yD qdkuwnf;u malitiesawGa=umifh jzpfvmw,f? vmwwfw,f? uav;r&yJ òrw H m
a,musmf ;vm;/ rde;f rvm;qdw k m ckeu OD;OD;uajymcJo h vdk Genetic rsK;d jzpfwwfw,f?
uGu J jJG ym;jym; tajzay:+y;D om;? arG; Sex rSm xx qd& k if rde;f r/ xy qd&k if 'kw, d trsK;d tpm;uawmh
vmwmeJ@ om;av;vm;/ orD; a,musmf ;vd@k owfrw S w f ,f? rde;f r “Gonadal Aberration” trnf&
av;vm;ar;vdkufwmeJ@ “om; wa,mufrmS x ESpf vH;k rygbJ x wJt h wGi;f rsK;d yGm;t*F gawGrmS yHrk rSef
om;” odk@r[kwf ‘orD;av;’qdk wvHk;yJyg&if rdef;ryDyDoorjzpf jzpfaewmyg? wcgwav ±Sm;±Sm;yg;
wm aocsm+y?D r=umcif emrnfay; awmhb;l ? "Tuner's Syndrome" yg; vlwa,mufxrJ mS Testis a0S;
vd@k &+yDayg?h 'gayrJh avmurSm wcg vd‹k aq;ynmrSmac:w,f? tysKjd zpf apha&m/ Ovary rrsK;d Otdraf &m ESpf
w&Husawmh arG;vmwJh uav;&Jh csed rf mS &moDrvm&if &ifom;/ wif rsKd;pvHk;ygaewmrsKd; awG@&wwf
vdit f *F gawGukd =unfv h ukd cf sed rf mS om;awG rzG@H òz;d uyfyyk k rde;f ryDowJh w,f? Oyrmjy&&if wd&pd m> efxu J
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DoveDe06.pmd 52 2/15/2006, 10:58 AM


wDaumifawGrmS awG@&wwfw,f? rsK;d jzpfwwfw,f? 'Dvrkd sK;d rSm i,f a[mfrek ;f "mwfyg0ifwhJ aq;0g;awG
tJ'v D rkd sK;d jzpfaewmudak wmh "True
pOfuawmh rdef;uav;yHkpHeJ@ }uD; a=umifv h J arG;prde;f uav;rSm 'Dvkd
Hermaphrodites" vd@k ac:w,f? jyif;cJrh ,f? touft±G,&f vmwJh rsKd;rvdifaphu a,musfm;av;&Jh
wcgavusawmh vlom;wOD;rSm tcg tysKad yguu f av;jzpfcsed rf mS vdiw f v
H kd t}uD;}uD;jzpfaewmrsK;d
&moDrvmbl;? tJ'u
a0S;apha&m rrsK;d O wckrrS ygwhJ tjzpf D xGuv f mwJh jzpfwwfw,f? 'gah =umifh 'Daq;0g;
usm;a[mfrek ;f awG&hJ tpGr;f a=umifh
rsK;d vnf; jzpfwwfjyefw,f? tJ'gukd awGukd ud, k 0f efaqmifrcd if[m t
"Gonodal agenesis" vdk@ ac:yg rvdiaf phao;ao;av;u }uD;vm xl;a±Smif=uOfoifhw,f? Oyrm
w,f? tjyifyef;yHpk u H awmh rde;f r&Jh
+y;D a,musmf ;vdrk sK;d jzpfvmr,f? &if Progestogen Methyl Testost-
yHpk rH sK;d ayhg? 'gayrJh om;tdraf wmhr
om;awGjyef+yD; ao;i,fjym;uyf erone, Danazol tp±Sw
d hJ aq;0g;
ygb;l / wcsK@d usawmh trsK;d orD;&Jh jyif
oGm;r,f? tJ toH=o=oeJ@ a,m awGayg?h
yt*F gawGuse±f /dS om;tdrv f nf;±Sd
usmf ;oHajymif;oGm;r,f? tJ't D csed f aemuftrsKd;tpm;wck
+yD; a0S;aphvnf;yg wcgwnf;wGyJ g rSm e*dku rdef;ruav;b0uae uawmh t±G,af &muf+yD; usm;r
wm rsK;d vnf;±Sw d wfw,f?
a,musmf ;av;b0udakd jymif;oGm; aocsm uGJjym;+yD;rS rdef;ruae
w,fqw
wwd, trsK;d tpm;u kd hJ tjzpfrsK;d óuHawG@&wwf a,musfm;wa,muf&JŒ yHkpHvuQ
awmh "Endorgan Resistence" wmyJ? ol@rmS aygi+f cHrmS 'grrS [kwf %mawG ay:vmwmrsKd;yJ? 'gudk
Adu
k x f rJ mS a0S;aph±rdS ,f? rde;f rud,
vd@k trnf&wJyh pkH rH sK;d orD;&J?h ol@rmS k f "Viritism" vdk@ac:w,f? Oyrm
"xy" rsK;d ADZu a,musm tayguf±Sdr,f? 'gayrJh om;tdrf
f ;/ twGi;f rde;f rwa,mufrmS E_wcf rf;ar$;/ rkwf
t*F gu Testis a0S;aph±w awmhr±Sb d ;l ? OD;OD;awmhjzifh tckw
dS ,f? a0S; qdwaf r$;awGayguv f mwm/ toH
aphuxGuv avm tkwt
f mwJh zdak [mfrek ;f Test- f w k uf suu f suef @J o =o=ojzpfomG ;wm/ &ifom;awG ydef
osterone &JŒtvkyfudk cE<mudk,f wif;}uD;aewJh rdef;uav;uae csyfoGm;+yD; rvdifaphawG}uD;vm
tpdwftydkif;awGu rSefrSefuef a,musfm;av;b0 ajymif;oGm; wmrsKd;vnf;±Sdwwfygw,f? wif
uefrwkŒH jyef=uwJh xl;qef;wJh a&mw,fqw kd yhJ pkH [
H m 'DypkH eH @J wal er,f om;awG r±Sdawmhbl;? ycHk;awG
*gwrsK;d yJ? 'gah =umifh "Androgen
vd@k cef@reS ;f rdw,f? [kwcf siv f nf; us,+f yD; ºuGuo f m;awGe@J awmihf
Insensitivity Syndrome" vd k @ [kwrf ,f? r[kwcf siv f nf; r[kwf wif;vmwwfw,f?
bl;ayg?h
vnf;ac:w,f? Testis ±S+d yD; rde;f r wcgwavvnf; t±G,f
yHo
k ¾mef±w dS ma=umifh Testic-ular pwkwˆ trsKd;tpm;u a&muf+y;D a,musmf ;wa,mufrmS
Feminization Syndrome vdk@ awmh "Female Intersex" vd@k t rde;f r&Jv
h uQ%mawG ay:vmwwf
vnf;ac:=uw,f? tjyifyef;=unfh rnf&wJyh pkH ?H Adrenogenital syn- wmudak wmh "Feminism" vd@k ac:
&if rde;f rwa,muf&yhJ ¾ kH mef/ &if
drome (ac: )CAH Cong-enital =uw,f? &ifom;awG plxu G v
f m
om;awG zG@G òH zd;w,f? csKid ;f ar$;awG
Adrenal Hyperplasia vd@k ac:yg wwfwm? tom;ta& El;!Hah csm
qD;cHak r$;awGraygub f ;l ? rde;f rvdif
w,f? tjzpftrsm;qH;k Intersex arG@vmwm/ E_wfcrf;ar$;awG r±Sd
t*F gawG±Sdw,f? rdef;rudk,f t yHpk aH yhg? arG;prde;f uav;rSm t'&D awmhwm?
aygu±f w dS ,f? 'gayrJh om;tdraf wmh
euf*vif;u trsm;}uD; xGuv f m 'DvdkjzpfapwJha&m*gawG/
r±Sb d ;l ? a0S;aph[m Adu wJh usm;a[mfrek ;f awG&hJ '%fa=umifh
k x f rJ mS 'grS aq;0g;awG ± S d w wf w ,f / Oyrm
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tial Androgen Insensitivity syn- wG+J y;D ygaewJh a&m*grsK;d ayg?h ud, k 0f ef a[mfrek ;f / ra[mfrek ;f awG xkwv f yk f
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53

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ud,k x f rJ mS jzpfwt hJ cg Oyrm ra[mf wk@d &hJ &mZ0ifrmS qk&d if [k;d a±S;a±S; wu,f w rf ; usawmh 'D v d k r sKd ;
rke;f awG xkwv f yk af y;wJh Adrenal bk&m;yGiahf wmfrw l ek ;f u armifrpPu Intersex qdkwJh vdifruGJjym;jcif;
Tumours/usm;a[mfre k ;f awGxw k f qdw k hJ a,musmf ;wOD;[m tom; acgif;pOfrsKd;[m aq;wuUodkvf
ay;wJh "Ovarian Tumour" awG ta&tvGev f yS 0if;0g+yD; usuo f ausmif;om;awG&hJ yHrk eS o f ifcef;pm
jzpf&ifvnf; 'Dvrkd sK;d awGjzpfapwwf a&±Sv d eG ;f vSwhJ &[ef;wyg;a&csK;d ae awG Lecture awGxrJ mS odyyf gavh
w,f? wmjrifwt hJ csed rf mS rxde;f Edik yf J pdwf r±Syd gb;l ? ±Sm;yg;+y;D cufcw J hJ udprP sK;d
aemufq;kH trsK;d tpm;u xJuypfrmS ;rdwt hJ wGuf a,musmf ; jzpfv@kd 'Doifcef;pmudk avhvmwJh
awmh pdwaf =umifjh zpfvmwwfwhJ ppfppfuae+y;D rde;f rb0udk ajymif;vJ ausmif;om;qdkwmrsKd;[m aq;
“vdiftajymif;tvJ” (Psycho- oGm;cJo h wJ?h aemufurBm&h mZ0if ynmudk wu,fu h kd 0goemygpw d f
logical Intersex) awGyJ jzpfyg rSm xif±mS ;cJw h muawmh t*Fvef 0ifpm;wJh aq;ausmif;om;awG jzpf
w,f? a,musmf ;ppfppfu rde;f rvdk jynf±h iS f bk&ifr}uD;wOD;jzpfcw hJ hJ tJ wwfw,f? pmar;yGaJ tmif±kH om
0wfqifwmrsKd;udk "Transves- vpfZbufb&k ifr}uD; trSwf (1) refq&m0efb@JG &±Hak vmufom ar#mf
tism" vd@k ac:=uw,f? [d;k &mZ0if &Jt
h jzpfy?J ol[m Testicular Femi- rSe;f wJah usmif;om;awG ausmjf zwf
rSm xif±mS ;ausm=f um;cJw h hJ a&mr nization trnf&wJIh ntersex wOD; oGm;=uwJh acgi;f pOfrsK;d ayg?h
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'Dvrkd sK;d trsK;d orD;vdk 0wfpm;qif OD;OD;wdk@ jrefrmjynfrSm aeeJ@ tjyifvufawG@b0rSm 'Dvrkd sK;d
,ifcsiv f eG ;f wJh pdwaf &m*gwrsK;d ±dS awmif tckvrkd sK;d yJ [d;k av;wausmf “usm;r” raocsm awG;r&jzpf&wJh
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uae+yD; qef@usib f ufvid t f jzpf wif;pmawGxJ ckvrkd sK;d yJred ;f uav; rdz@kd ta&;}u;D w,f? “ E_id ;f E_id ;f csed f
udk ajymif;vJypfcsiw f mrsK;d "Trans b0uae a,musfm;av;b0udk csed of ck rde”f qdw k phJ um;[m 'Dvkd
Sexuality" ygy?J tJ'v D rdk sK;d pdw"f gwf ajymif;vJomG ;w,fqw kd hJ tjzpfrsK;d udprP sK;d rSm tvGerf eS u f efwhJ pum;
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ðyjyif+y;D b0ukd vdiu f adk jymif;vJ ypf armifwifr;kd atmifqw kd hJ trsK;d om; pm;pm;vky&f wJh "Very Sensitive
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ae a,musmf ;b0ajymif;csio f u
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ra[mfrek ;f awGe@J ðyjyifwmawG&=dS u vm;? bkpck ±kawGe@J jzpfae+yDvm; csmcsm ar;jref;ppfaq;wwfz@kd y?J
w,f? ponfjzifh rD;cd;k ºuu G f av#mufawG; arG;puav;wa,muf
&mZ0ifordifk ;f a=umif;rSm aerdawmhw,f? rSmrsm; “usm;r” raocsmwJh t
vnf; 'DvkdrsKd; OD;OD;ajymcJhovkd orD;av;axG;a& tckxd jzpfrsK;d óuH&&if “usm;” vm;“ r”
"Intersex" vdif ajymif;vJwmrsK;d OD;OD;±Sif;jywmawG pdwf0ifpm;ae vm; ±kww f &uftjrife@J rowf
awG xifxif±mS ;±Sm;±Scd w hJ ,f? OD;OD; ao;&Jhvm;? ysif;ae+yDvm;orD;? rSw&f bl;? ±kww f &uf aq;ruk&if
54

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k cf pH m;apEdik yf gw,f?
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ayg?h " Corticosteroid " trnf& pHepfwusvt J$ yfay;&r,f? vky&f r,f? twGi;f t*F gtpdwt f
whJ toufu,faq;awGe@J ruk&if om;zGm;rD;,yfq&m0ef/ ydik ;f awGt=umif; odEikd zf @kd Ultras-
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'Dvdk a&m*grsKd;twGuf oGm;cJhwmrsKd;qdk&if vl@todkif;t b0rsK;d rSm tqifajyajy zG@H òzd;wd;k
"Multidisciplinary Approach" 0dik ;f xJrmS tkwaf tmfaomif;wif; wufvmEdik rf vJ? oltrd af xmifðy
bmom&yfqdkif&m txl;ukyg&*l jzpfomG ;+y;D [d;k av;wausmjf zpfc&hJ if &ifaum oltrd af xmifzufe@J twl
aygif;pHk&JΠ"Team 0f Experts" uav;&Jh ol@tem*wfrSm vl@t tqifajyajy vdifqufqHEdkifyghr
vdyk gw,f? orD;'Duav;&JΠjy\ odkif;t0dkif;xJ tH0ifcGifusjzpf vm;/ om;orD;aum &Edik yf grh vm;/
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qH;k jzpfatmifuok ay;Edik zf @kd qdw
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tcsif;csif; wdkifyif!d‡Ed_if;+yD; vkyf a,musfm;wa,muf&Jh a0S;aphyg +yD;wJth cgrmS tJ'o D al &muf±o dS mG ;
=u&w,f? vmw,f? 'gayrJh jyifyvdit f *F grmS wJh vdit f jzpfe@J tqifajyajyquf
txl;cGpJ yd u f o k r_awG vdk u rde;f ryHjk zpfw,fq&kd if 'D Testis +yD;aeEdik zf @kd vdiq f ufqw H t hJ cgrmS
tyfwwfygw,f? ol@rmS yg0if a&m a0S;aphukd tysKrd aygucf ifrmS cGpJ w d f tqifajyaeEdik zf @kd wwfprG ;f oa±G@
axG;aewJh vdit f *F gub kd ,fvkd cGJ xkwyf pfz@kd vykd gw,f? rxkwyf pf&if qufvuf+yD; ulnDukoay;&rSm
pdwfðyjyifay;&rSmvJ? b,ftcsdef tJ'aD 0S;aphuxGuv f mwJh zdak [mf awG[m aq;ynm±Siaf wG&hJ wm0ef
usrS cGpJ w d ðf yjyif&rSmvJ 'Dvckd pJG w d zf @kd rke;f awGa=umifh 'Dred ;f uav;[m t yJjzpfygw,f?
qH;k jzwfcsuu f kd cs&wmvnf;rvG,f ysKad ygub f 0rSm a,musmf ;av;yHpk H udik ;f orD;av;axG;a&?
vSb;l ? 'Duav;udk a,musmf ;av; udk jyefajymif;oGm;wwfw,f? 'D orD;av;pdw0f ifpm;wmeJ@ ar;vdu k f
jzpfaprSmvm;? rde;f uav; jzpfap vdrk sK;d rde;f uav;rSm a0S;aphukd r vd@k 'D±y_ af xG;+yD; em;vnf&cufwhJ
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jyefwm? rde;f rb0cH,+l y;D wcgwavrSm rde;f vdu k yf gw,f? orD;av; em;rvnf
trsm;tm;jzifah wmh q rudk,f taygufuav; aumif; bl;qd&k ifawmh ±Si;f jywJh ausmif;q
&m0efawGu 'Dvel mudk vdiq f uf aumif; rzG@H òz;d jyef&if tdraf xmifus &mOD;OD; pmroifwwfao;vd@k yjJ zpf
qHrr_ mS tqifajyoGm;apr,fh vdif wJt h cgrmS vdiq f ufqw H hJ tcgus r,f? em;rvnfwm±S&d ifvrS ;f +y;D pm
udk a±G;cs,af y;wwfw,f? 'gawGu &ifjy\emwufwwfw,f? tJ'D jyefa&;vdu k yf gO;D ?
vnf; vlem&JŒywf0ef;usirf b d aqG tcgus&if tdraf xmifðycge;D tcsed f OD;OD;wdk@ orD;wdk@tjyif
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oabmxm;awGay: rlwnfjyefyg "Artificial Vagina" av;jzpf =uwJh “roif;pENm ac: armifoef;
w,f? OD;OD;wd@k vEkd ikd if rH mS Ak'b < mom atmif txl;py,f±, S cf pJG wd ðf yjyif pde”f a±Sq› uf+y;D b,fvkd cGpJ w d u f o k
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uae a,musmf ;av;jzpfomG ;w,f ay;&wwfw,f? a,musfm;b0 b,fvykd zkH efvmr,fqw kd mudk aiG
qdk&if tHh=oxl;qef;vSpGmeJ@ 0rf; udkcH,lvdkuf+yDqdk&ifvnf; ol@qD a&mifydwfum;ay: qufvuf+yD;
ajrmufaysm±f i$ =f uw,f? rdbawG rSmygvmwJh rde;f rud, k t f aygu±f &dS if apmif=h unf=h upd@k aemf? cGpJ w d rf a_ wG
rSmvnf; orD;av;uae om;av; ydwaf y;&w,f? om;tdrrf awmfw tpptqifajy+yD; olajymif;vJ
jzpfomG ;+yDq+kd yD; 0rf;omtm;&awG qygvm&ifvnf; cGpJ w d +f y;D xkwaf y; a&muf±o dS mG ;wJh b0opfrmS tqif
jzpf om;a,musfm;av;awGjzpf &r,fayg?h 'gwifruao;bl;? a±G; ajyajyaysm±f i$ pf mG aexdik o f mG ;Edik yf g
oGm;+yDqdk&if omoemhabmifudk cs,fvdkufwJh a,musfm;yDyDoo apvd@k qkreG af wG ac|=upd@k v@kd ajym
0ifEidk rf ,f? ±Siðf yay;r,fq+kd yD; aus od@k r[kwf rde;f rb0 yDyo D oeJ@ quf &if; orD;av;axG;a&/ 'DrmS yJ tqH;k
eyftm;& jzpf=uw,fayhg/ 'g[mo qH+yD;tqifajyajyeJ@ usef;rma&; owf=upd@k ?
bm0ygy?J rxdcu kd bf J aeoGm;Edik zf @kd vt kd yfwhJ OD;OD;
uav;i,f b0rSm vdif usm;a[mfrkef;/ ra[mfrkef;awGvdk
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uav;touf oH;k ESprf jynfch ifrmS wGucf su+f yD; ay;&wmrsK;d vnf; ±Sd rD;,yftxl;ukq&m0ef/
vkyfwm taumif;qHk;vdk@ qdk=u w,forD;a&? 'Dvv kd el mrsK;d [m cGJ A[dtk rsK;d orD;aq;±H}k u;D / &efuek òf r@d /
w,f? wu,fv@kd uav;b0rSm pdwu f o k r_ aq;ay;ukor_awGay; tma&m*sH trSwf (157)/ 2005ckEpS /f
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