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w&m;r0ifonft h vkyo f rm;[lI r&Sd

reproductive IA Che.pmd

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vlwi kd ;f twGur f sdK;yGm;r+qi kd & f musef;rma&; todynm

ESpfpOf cef@rSef;acs vli,f 1 'or 7 oef;cef@onf t&G,r f a&mufcifapmpD;pGmaoqH;k =u onf/ rsm;aomtm;jzifh rawmfwqxdcdkufr_/ rdrd udk,fudkowfaojcif;/ t=urf;zufcH&jcif;/ udk,f0ef aqmifjcif;a=umifhjzpfap tjcm;aom+cdrf;ajcmufr_ rsm;a=umifjh zpfap aoqH;k =uonf? (WHO 2001) q,fausmo f ufrsm;onf HIV/AIDS a&m *g. pkpnf;&mqHc k sujf zpfovd/k tqdy k ga&m*g topf

ul;pufjcif;cH&olrsm;. 50 &mcdi kE fe _ ;f rSm touf 15 ESifh 24 ESpf=um;wGifjzpfonfudkawG@&ayonf? trsKd;orD;i,fav;rsm;twGuf udk,f0efaqmifpOf umvrSmydr kI kd ul;pufc& H Edi kz f , G & fo dS nfh tajctae wGif&Sd+yD; touf 15 ESifh 19 ESpft&G,fudk,f0ef aqmifrsm;/ uav;rD;zGm;olrsm;onftjcm;olrsm; xuf aoqH;k r_Ee _ ;f ESpq f jrifr h m;onfua kd wG@&onf?
(Population Reference Bureau 1997)

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reproductive IA Che.pmd

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reproductive IA Che.pmd

18/09/2008, 10:59

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reproductive IA Che.pmd

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ae hpOfwu G w f mrSwp f &m

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reproductive IA Che.pmd

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vlwi kd ;f twGur f sdK;yGm;r+qi kd & f musef;rma&; todynm

trsKd ;om; rsKd ;yGm;t*F g.tjyift*F grsm;

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w&m;r0ifonft h vkyo f rm;[lI r&Sd

reproductive IA Che.pmd

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ae hpOfwu G w f mrSwp f &m

oGm;vm=uonf? w}udrfokwfv$wfv#if okwfydk; oef;aygi;f 200 rS 500 cef x h w k v f w o f nf? odk & h mwGif okwfydk;waumifomom;OwckESifhaygif;I oaE< atmif onf? vdiq f ufqv H p kd w d jf yif;jyIokwv f w f csdefwGifokwfydk;rsm;onfokwf&nfESifhtwlvdifwHrS wqift h jyifokd x h u G o f nf? okwy f ;kd .oufwrf;onf 72 em&D cef & ho dS nf?

qD;okwv f rf;a=umif; qD;tdrfrSjyifyodk@qD;xGuf&mvrf;a=umif; jzpf+y;D vdiq f ufqv H p kd w d jf yif;jycse dw f i G f okwv f w & fm vrf;a=umif;vnf;jzpfonf?

rsdK;yGm;t*Fg tvkyv f y k y f ? kH

okwv f w $ jf cif; vdiq f ufqv H p kd w d jf yif;jycse dw f i G f trsKd ;om; rsdK;yGm;t*F gjzpfaomvdifwHonf rma=umawmifh wif;vm+yD; oef;aygi;f rsm;pGmaomokwy f ;kd rsm;onf okw& f nfEi St hf wl vdiw f r Hw S qifh tjyifokd @xu G o f nf? oaE<atmifjcif; trsdK;orD;wa,mufonf om;OauGcsdef twGi;f vdiq f ufqy H gu om;OwaumifEi So hf w k y f ;kd wckaygi;f pyf+y;D oaE<atmifjcif;jzpfay:onf? xdt k cg trsdK;orD;onfudk,f0ef&Sdvm+yD; 9vt=umwGif uav;arG;onf?

oaE<om;jzpfwnfyt kH qifq h ifh


12

w&m;r0ifonft h vkyo f rm;[lI r&Sd

reproductive IA Che.pmd

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18/09/2008, 10:59

vlwi kd ;f twGur f sdK;yGm;r+qi kd & f musef;rma&; todynm

vdir f q _ i kd & f musef;rma&;


vdifrq _ dkif&mudpP (vdifqufqHjcif;) rsm;ESifh rdrd.vdiftrsdK;tpm;(usm;/r) ponfjzifh ywfoufI udk,fa&mpdwfomru vlr_qufqH uGJuGJjym;jym;owfrSwfcsufxm;&Sd+yD;tjcm; a&;ygtqifajyr_&Sd+yD; vlwa,muf.pdwfaeo olwdk h.owfrSwfcsufrsm;udkvnf;av;pm; abmxm;/trltusifh/ aygif;oif;qufqHa&;ESifh jcif;/ cspfcifr_wdk@wGif ydkrdkwdk;wufatmifpGrf;aqmifjcif; H &; jzpfonf? tajccHtm;jzifhvdifrq _ dkif&mudpPrsm;ESifh aygi;f oif;qufqa ywfoufI owif;tcsuftvufrsm;&Edkifaom rdom;pktm; rdrdtwGufwefbdk;rjzwfEdkif tcGit hf a&;&Sjd cif;ESihf aysm& f i $r f& _ &SE d i kd jf cif;jzpfonf? aom yHy h ;kd r_ay;onf y h ifr t&if;tjrpftjzpf oabmxm;jcif;// vdir fq _ i kd & f muse;f rma&;wGiy f g0ifaom cspfjcif;ESifh eD;pyfr/_ cifrifr_ oifhawmfovdk tcsu( f 3)csuf az:xkwjf yjcif;// 1) rdrd. udk,fydkifcH,lcsuf/ ywf0ef;usif.vlr_ rSefuefaomaygif;oif;qufqHa&;udkom a&;qdkif&mcH,lcsufrsm;ESifhavSsmfnDpGm vdif yvkyjf cif;// ESifhrsdK;yGm;r_qdkif&mtrltusifhrsm;ESifhywf aygif;oif;qufqHa&;udktvGJoHk;pm;yvkyf oufI xdef;csKyfEdkifjcif;/ aysmf&$ifrc _ Hpm;Edkif jcif;rS a&Smif=uOfjcif;// jcif;/ k y fi kd t f &nftaoG; 2) vdifr_qdkif&mudpPESifhywfoufI &Sufjcif;/ ud, a=umufjcif;/ tjypf&Sdonf[kcHpm;rdjcif;/ t,lrSm;jcif;ESifh vdifr_qdkif&maygif;oif; rdrd.udk,fydkift&nftaoG;/ wefzdk;rsm; owfrSwfIxdkwefzdk;rsm;ESifhtnD qDavsmf quf q H a &;ud p P r sm;ud k y suf j ym;aprnf h atmifaeyg? tjcm;aompdwc fp H m;r_rsm;rS uif;a0;jcif;/ 3) vdiE fi Sr hf sKd ;yGm;t*F g yHr ke St f vkyv f y kr fu _ w kd m; rdrd.,cktytrltwGuf jzpfvmor#udk wm0ef,lyg? qD;apaoma&m*gb,rsm;rS uif;a0;jcif;/ rSer f e S u f efuefq;kH jzwfcsuc f sEi dk & f ef avhusihf yg? vdir fq _ i kd & f muse;f rma&;aumif;aomolwOD;. rdom;pk/ oli,fcsi; f / rdrt d az: wdk E hi S hf aumif; trltusir hf sm;zGH h zd;wd; k wufr_ rGefpGm ajymqdkqufqHr_ yyg? rdrc d E<mud, k t f m;wefz;kd xm;jcif;/ rsdK;yGm;r_ESifhywfoufaom odoifhodxdkuf vdir fq _ i kd & f mtrltusihf onfhowif;tcsuftvufrsm;udkvdktyf rdrd.vdifr_qdkif&m trltusifhrsm;udk rdrd ovd& km S azGjcif;/ owfrSwfxm;aomwefzdk;rsm;ESifh qDavsmf usm;/ r rcGjJ cm;yJ av;pm;pGm qufqHjcif;/ atmif aexdi k jf cif;/
13
w&m;r0ifonft h vkyo f rm;[lI r&Sd

reproductive IA Che.pmd

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18/09/2008, 10:59

ae hpOfwu G w f mrSwp f &m

trsdK;orD;taejzifh usef;rma&;ydkrdkaumif; rGev f mjcif;/ tcsKd @aoma&m*grsm;udk umuG,E fi kd jf cif;/ rnfonfh tcse d w f i Gu f av;,lrnf/ rnfr#,r l nfukd qHk;jzwfEdkifjcif;/ tE W&m,f&Sdaomukd,f0efzsufcs jcif;tm; a&Smif&Sm;Edkifjcif;/ vlyifyef;/ pdwfyifyef;r_ vdir fq _ i kd & f muse;f rma&; avsmhenf;vmEdkifjcif;/ om;orD;wpfOD;csif;pDtm; vdir fq _ i kd & f mapmfum;cH&jcif;rS umuG,f jcif;? ydkrdk*&kpdkufvmEdkifjcif;/ vlaer_tqifhtwef;jrifhrm; rvdkvm;tyfaomudk,f0ef&jcif;rSumuG,f vmEdi k jf cif;/ &ef udk,f0efwm;onfhenf;vrf;rsm;udkrSef trdsK;om; taejzifh HIV/AIDS tygt0if uefpm G oH;k jcif;// udk,f0efaqmifapmifha&Smufru _ dk apmpD;pGm vdifrSwpfqifh ul;pufwwfaom a&m*grsm;rSum uG,fjcif;/ pdwfyifyef;r_a}umifhaiGa}u;ESifhywfouf cH,y l g? vdifqufqHjcif;rSul;pufaoma&m*grsm; Iylyifr_avsmhenf;Edkifjcif;/ rsdK;qdkif&myGm;usef;rm (umvom;a&m*g/ attdi k' f t D ufpa f &m*g) a&;qHk;jzwfcsufrsm; vGwfvyfpGmcsrSwfEdkifjcif;/ vlaer_tqift h wef; ydr k jkd rifr h m;vmEdi k jf cif;/ rsm; ul;puf jcif;rSumuG,f jcif;// yHkrSefusef;rma&;ppfaq;r_yvkyfjcif;jzifh jzpf tdrfaxmifpktaejzifh rnfonfhtcsdefwGif Edkifaoma&m*grsm;udk udwifod&Sdatmify uav;,lrnfuv kd w G v f yfpm G qH;k jzwfEi kd jf cif;/ aiGa}u; vkyjf cif;// oHk;pGJrE _ SihfywfoufI pdwfzdpD;r_avsmhenf;vmEdkif jcif;/ om;orD;wdk@udk ynmoifay;Ekdifrt _ cGifhta&; om;qufjcm;jcif;. tusKd ;aus;Zl; ydr k & kd &Sv d mjcif; pD;yGm;a&;wd;k wufEi kd r f _ tcGit hf vrf; q,fausmfoufvli,frsm;taejzifh apm ydr k& kd &Sv d mjcif;/ tdrr fu _ p dr P sm; aqmif&u G v f mEdi k jf cif;/ pD;pGm ud, k 0 f efaqmif;jcif;ESihf rvdv k m;onfh ud, k 0 f ef rdrd.zGH@zd;wdk;wufr_ESifh vlr_a&;vkyfief;rsm;ydkrdk aqmifjcif;rS umuG,E fi kd jf cif;/ HIV/AIDS tygt0if aqmif&u G v f mEdi k jf cif;// vdifrSwqifh ul;pufwwfaoma&m*grsm;rSum

rdrdb0udkaumif;rGefaprnfh vdifr_qdkif&m trltusifhrsm;ESifh rdrdtwGufa&molrsm; twGufyg tusdK;,kwfaprnfv h difrq _ dkif&m trltusir hf sm;udk cGjJ cm;em;vnfjcif;/ olwyg;.vdifr_qdkif&mtrltusifhrsm;udk av;pm;jcif;/ vdifrq _ dkif&mtrltusifhrsm;ESifhywfouf+yD; odoifhaomowif;tcsuftvufrsm;udk avhvmjcif;/ rvdkvm;tyfaomudk,f0efESifh a&m*g&jcif; wdk@rSuif;a0;ap&ef&dk;om;aom/ aysmfp&m aumif;aomvdir fq _ i kd & f mqufqa H &; udw k nf aqmufjcif;/

uG,fEdkifjcif;/ ydkrdktcsdef}umjrifhpGmynmqufvuf oif}um;Edi k jf cif;/ tvkyv f y kE fi kd r f _ tcGit hf vrf; ydr k sm; vmEdkifjcif;/ rvdkvm;aomudk,f0ef&SdvmI oaE< zsuf cs&jcif;rS uif;a0;Edkifjcif;? uav;rsm;taejzifh use;f rma&;ydr ka kd umif; rGefvmjcif;/ tpm;tpmESifh tjcm;yHhykd;r_rsmydkrdk& &Sdjcif;/ rdbrsm;.}uifem,k,r_udkydkrdk&&Sdjcif;/ ynm oif}um;Edi kr ft _ cGi;f tvrf;ydr k & kd &Sjd cif;?

w&m;r0ifonft h vkyo f rm;[lI r&Sd

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reproductive IA Che.pmd

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vlwi kd ;f twGur f sdK;yGm;r+qi kd & f musef;rma&; todynm

om;qufjcm;jcif;enf;vrf;rsm;
oaE<wm;aq;
( C O C)

28 vk;H ygaomaq;u'fudk pepfwusre Su f efpm G pm;ok;H jcif;jzifh oaE<wnfjcif;rSumuG,E fi dk y f gonf//

aq;u'fyp Hk E Hi Sy hf g0ifaomypPn;f rsm;


28vk;H ygonf/ ( [dr ke k ;f yg0ifaomaq; 21vk;H ESihf 7 vk;H )

yxru'f u k e f q H k ; v#if aemuf w u'f u k d

aemuf ae@wi Gw f u dk q f ufaomuf&rnf? &uf jcm;&efrvky d g//

toH;k 0if wvw}udro f m;OauGjcif;ukd wm;qD;ay; onf/ om;tdrfvrf;a=umif;rSt&nfrsm;ukdxl xJap;uyfapIokwy f ;dk om;tdrw f i G ;f tvG,f wul0ifa&mufEi dk jf cif;rSumuG,a f y;onf/ pepfwusrSefrSefuefuefokH;pGJv#ifukd,f0ef &Eki d jf cif;rS 99 &mcki dE fe _ ;f rS 99@9 &mcki dE fe _ ;f xd umuG,a f y;onf/ wae@wvk;Haq;rSefrSefqufwdkufaomuf oH;k &rnf/

&moDvmaeaomumvjzpfv#if
&moDvmonfy h xr&uf (okd ) h &moDvmpOf (7) &uf twGi;f pok;H Eki do f nf/

&moDaoG;&yfoGm;csdef (okd h) &moDvm+yD; (7 ) &ufxufausmv f e Gv f #if


uk, d 0 f efr&Sa d =umif;aocsmygu aq;pok;H I&onf// ok@d aomfaq;paomufcse dr f S (7 ) &uftwGi;f vdiq f uf qHjcif;rSa&Smif=uOfjcif; (odk ) h uGe' f ;kH oH;k Ivdiq f ufqH jcif;yvkyE fi kd o f nf/
15
w&m;r0ifonft h vkyo f rm;[lI r&Sd

reproductive IA Che.pmd

15

18/09/2008, 10:59

ae hpOfwu G w f mrSwp f &m

uav;Ekd w h u dk v f #if

rnfonft h rsKd ;orD;rqkd ( tdra f xmifycgp(okd ) h

uav;&Sa d omtrsKd ;orD;) tok;H yEdi ko f nf// uav;arG+yD;( 6 ) vt=um ta&;ay:oaE<wm;aq;taeESihf tok;H yEdi ko f nf? &moDjyefvmv#i& f moDvmonfy h xr&uf aoG;tm;enf;jcif;rS umuG,a f y;onf// &moDjyefrvmao;v#iu f , dk 0 f efr&Sa d =umif;aocsm om;tdrjf yifyoaE<wnfjcif;/ om;tdru f ifqm/ atmifppfaq;&efvo dk nf// om;Otdru f ifqm/ wifyg;qka H &mifui kd ;f jcif;/ &if om;uifqmjzpfjcif;rSumuG,& f mwGif taxmuf uav;Ekd r h wku d v f #if tulay;onf// uav;arG;+yD; (3 ) ywfrS (6 )ywftwGi; f h ;dk usKd ;rsm; arG;+yD; (6 ) ywfausmw f i Gu f , dk 0 f efr&Sa d =umif;ao aq;aomufo;Hk jcif;jzifq csmygu ( rSwc f suf tu,fIraocsmygu &moDjyef yxr ( 3 ) vyki d ;f wGif rl;a0jcif; vmonfu h mvxd vdiq f ufqjH cif;rSa&SmifusOjf cif; yxr (3) vtwGi;f &moDumv=um;aoG;tenf; (okd ) h uGe' f ;Hk ok;H oifo h nf// i,fqif;jcif; tenf;i,facgi; f uku d jf cif;/ uk, d 0 f efysuu f s+y;D cse d jf zpfv#if &ifom;wif;jcif; uk, d 0 f efysu+f yD; yxr (7 ) &uftwGi;f tenf;i,f0jcif; aemufykdif;rnfonfhtcsdefrqkdukd,f0efr&Sd &moDaoG;&yfjcif;/ a=umif; aocsmv#io f ;k E Hi dk o f nf/ Edk w h u kd r fc d ifrsm;ok;H v#if Ed@k xu G e f nf;jcif; vdiq f ufqjH cif;a=umifu h ;l pufwwfaoma&m*g tjcm;enf;vrf;udkajymif;csifv#ifcsufjcif;ajymif;vJ rsm;ESihf atpfa h &m*gur dk umuG,f Edi ky f g//
okH;pJGEkdifonf//

aq;aomuf&efarhca hJ omf
(1 ) vk; H aomuf&efarhca hJ omf owd&aomtcse dw f i Gc f suc f si;f ( 1 )vk;H aomufvu dk f

xk;d aq;jzifo h aE<wm;jcif;


(Contraception by using DMPA Injection)

yg? oaE<wm;xk;d aq;ukd (3 )vw}ur d f rSer fe Sx f ;dk jcif;jzifh aemuf (1 )vk; H ukd ykr He Sa f omufaeustcse dw f i G f oaE<wnfjcif;rSumuG,E fi dk y f gonf/ qufaomufyg/ aq; (2 ) vk; H w&ufxa J omufjcif;( okd ) h wcse d f yg0ifaomypPn;f rsm; xJaomufjcif;rsKd ;jzpfEi dk y f gonf// trsdK;orD;cE<mukd,frSxkwfaomobm0[kd rke;f "gwf ( y&k* d sup f wif) ESihf qifwa l om [kr de k ;f "mwf aq;aomufjcif;jzifa h umif;usLd ;rsm; yg0ifonf/ &moDaoG;ykr He Sv f mEki do f nf// &moDaoG;vmpOf Aku d a f tmifjh cif;rSoufomap onf?
w&m;r0ifonft h vkyo f rm;[lI r&Sd

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reproductive IA Che.pmd

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18/09/2008, 10:59

vlwi kd ;f twGur f sdK;yGm;r+qi kd & f musef;rma&; todynm

aq;.tpGr;f
t"dutm;jzifh om;OaujG cif;rS wm;qD;ay;onf? om;tdrv f rf;a=umif;rS t&nfrsm;uka d p;jypfap

uav;Ekd w h u dk p f Ofumvjzpfv#if
uav;arG;+yD; ( 6 )ywft=um uav;arG;+yD;&moDjyefvmygu rnfonft h cse df

d 0 f efr&Sa d =umif;aocsmvSsif ok;H Edi ko f nf// Iokwy f ;dk rsm; om;tdrw f i G ;f okd t h vG,w f ul0ifa&muf rqkd uk, apjcif;rS umuG,a f y;onf// h wku d v f #if pepfwusre Su f efpm G ok;H pJv G #if uk, d 0 f ef&Edi k jf cif; uav;Edk r ukd 99 @ 4 &mcki dE fe _ ;f rS 99 @ 9 &mcki dE fe _ ;f xd umuG,f uav;arG+yD; 6 ywftwGif; (&moDjyefvm&ef ay;onf// -(3 )vw}udr& f ufaphaomae@wi G f rSer fe Sf apmifhp&mrvkdyg) aq;xk;d &efjzpfonf// uav;arG;+yD; 6 ywft=umwGif ukd,f0efr&Sd a=umif;aocsmv#if okH;Edkifonf// aq;pok; H oifo h nft h csdef &moDvmaepOfumvjzpfv#if uk, d 0 f efysuu f s+yD;cse d jf zpfv#if
&moDvmaepOf ( 7 ) 7uftwGi; f &moD&yf+yD;rSaq;xk; d rnfqv dk #ia f q;xk;d +yD; (48 ) ukd,f0efysufus+yD; (7 )&uftwGif;okH;Edkifonf// tjcm;oaE<wm;enf;ajymif;ok; H csiv f #if csuc f si;f

em&DtwGi;f vdiq f ufqr Ha _ &SmifusOjf cif;( okd ) h uGe' f ;Hk ok;H &efvo dk nf/
17

ajymif;okH;Edi k fonf//

w&m;r0ifonft h vkyo f rm;[lI r&Sd

reproductive IA Che.pmd

17

18/09/2008, 10:59

ae hpOfwu G w f mrSwp f &m

aq;aomufo;Hk jcif;jzifa h umif;usKd ;rsm;


(3 ) vw}udrfomaq;xkd;&efvkdonf// uav;&Sdzl;oljzpfap/ r&Sdoljzpfap trsdK;orD;

qD;csKd a&m*g.aemufqufwJG aoG;a=umusO; f a&m

wkdif;t&G,fra&G; tokH;yEdkifonf rdrdaE<wm;aq;okH;aejcif;ukd tjcm;olrsm;rod vufarmif;ta&jym;atmufwi G, f yf Edkifyg// awmifya Hk q;awmifi h ,foi G ;f jcif;/ rdcifE@kd xu G jf cif;ay:wGif rnfonft h usKd ;ouf a&mufr_rsKd ;rSr&SdI Edk@wkdufrdcifrsm;uav;arG;+yD; trsKd ;orD;cE<muk, d r f S xkwa f omobm0[kr d e k ;f (6)ywf t=umwGif aq;pxdk;Edkifonf? y&kd*sufp wifESifhqifwlaom[kdrkef; yg0ifonf// om;tdrjf yifyoaE<wnfjcif;rS umuG,a f y;onf? wvw}udro f m;OauGjcif;ukw d m;qD;ay;onf// aoG;tm;enf;jcif;/ om;tdrt f ajr;yg;uifqm/ om;tdrv f rf;a=umif;rS t&nfrsm;ukx d x l a J p; om;tdrt f vk;H jzpfjcif;/ om;Otdru f ifqmjzpfjcif; uyfapI okwfykd;om;tdrfwGif; tvG,fwul0if wdk r h S umuG,& f mwGit f axmuftulay;onf// a&mufEdkifjcif;rS umuG,fay;onf// rSer fe So f ;Hk pJv G #iu f , dk 0 f ef&Edi k jf cif;rS 99@ 9 &mcki dE fe _ ;f aq;aomufo;Hk jcif;jzifq h ;dk usKd ;rsm; umuG,fay;onf// &moDaoG;ajymif;vJr_ ( &moDaoG;tenf;i,f y&kd*sufpwifygaomrD;jcpfqHt&G,f&SdyGefacsmif; qif;jcif;/ &moDaoG;rsm;jcif;/ &moDaoG; &yfjcif;/ i,f(6) cktm; trsdK;orD;vufarmif;twGif;ykdif; &moDaoG;umv=um;aoG;tenf;i,fqif;jcif;/) ta&jym;atmufwi G f xnfo h i G ;f xm;jcif;jzifh (5) jzpfwwfygonf// pkd;&drfp&m r&Sdyg// ESpfcef@oaE<wnfjcif; rSumuG,fEdkif+yD;/ yGef tenf;i,f0jcif;/ wpfckxJxnfhjcif;jzifh (3) ESpfcef@oaE<wnfjcif; tenf;i,facgi; f uku d jf cif;/ rS umuG,fEdkifonf// &ifom;wif;jcif;/ pdwv f y _ & f m S ;vG,jf cif;/0uf+cH pokH;&rnfhtcsdef aygufjcif;/ aq;&yf+yD;ukd,f0efjyef&&ef( 4 ) vapmifh&rnf// &moDvmaepOfumvjzpfv#if umvom;a&m*g ESifhatpfha&m*gukd rumuG,f &moDvmaepOf ( 7 ) 7uf twGif; Edkifyg// &moD&yf+yD;rSxnfhrnfqkdv#ifaq;xnfh+yD;(48)

*gjzpfjcif;/ acgi; f uku d c f se dw f i G f rsup fa d 00g;jcif;tajctaewGif raomufokH;oifhyg//

aq;rok;H oifa h omtajctaersm;


&ifom;uifqmjzpfzl;jcif;/ jzpfaejcif;/ uav;Ek@d wu dk p f Ofumvjzpfv#if ykHrSefr[kwfaomaoG;qif;jcif;/ qkd;qkd;0g;0g;aoG;wkd;a&m*gjzpfjcif;/ uav;arG;+yD; (6 ) ywft=um toJa&mif/ toJajcmuf/ toJuifqmjzpfaejcif;/ uav;arG;+y;D &moDjyefvmygu rnfonft h cse d r f OD;aESmufaoG;a=umESihf ESv;Hk aoG;a=umusO;f a&m qkd ukd,f0efr&Sda=umif;aocsmv#ifokH;Edkifonf// *g&Sdjcif;/
18

em&DtwGif;vdifqufqHr_a&Smif usOfjcif; ( okd h) uGef'kH;okH;&efvkdtyfonf//

w&m;r0ifonft h vkyo f rm;[lI r&Sd

reproductive IA Che.pmd

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18/09/2008, 10:59

vlwi kd ;f twGur f sdK;yGm;r+qi kd & f musef;rma&; todynm

uav;Edk r h wku d v f #if


uav;arG;+y; D (6 ) ywftwGi;f (&moDjyefvm&ef

aq;oGif;+yD; ( 24 ) em&Dt=umwGiftusdK;ouf

apmifhp&mrvkdyg) uav;arG;+yD; (6 ) ywft=umwGif ukd,f0efr&Sd a=umif; aocsmv#io f ;Hk Edi ko f nf//

uk, d 0 f efysuu f s+y; D cse d jf zpfv#if


ukd,f0efysufus+yD; ( 7 ) v twGif; tjcm;oaE<wm;enf;rS ajymif;ok; H csiv f #if csuf

csif;ajymif;okH;Edkifonf//

a&mufr_&SdEdkifygonf// aq;awmifhjyefxkwf+yD;v#if+yD;jcif; ukd,f0efjyef &Edkifygonf/ (rdcifE@kd tay:wGir f nfokd r ht S usKd ;oufa&mufrr _ &Sy d g) Ed@k wu dk r f c d ifrsm;uav;arG;+y;D (6) ywft=umwGif pokH;Edkifygonf// tDpx&kd*sifqkd;usdL;rsm;ukd rcHpm;&yg// aoG;tm;enf;jcif;/ om;tdrjf yifyoaE<wnfjcif;/ om;tdrt f ajr;yg;uifqmjzpfjcif;wk@d rS umuG,f &mwGiftultnDay;Edkifygonf//

aumif;usKd ;rsm;
pok; H onft h cse d r f S ( 5 ) ESpt f xdu, dk 0 f ef&Edi k jf cif;

qk;d usKd ;rsm;


&moDaoG;ajymif;vJr_rsm; ( ykHrSef&moDvmjcif;/

rS wm;qD;Edkifygonf// wae hwvkH;aq;rSefrSefaomufjcif;/ ( 3 ) v w}udrfaq;xkd;&jcif;rS oufomapygonf//


19

&moDumv=um;aoG;tenf;i,fqif;jcif;/ &m oDumv&Snfjcif;/ &moDaoG;&yfjcif;) rsm;jzpf Edkifygonf// tenf;i,facgi; f uku d I f rl;a0jcif;/


w&m;r0ifonft h vkyo f rm;[lI r&Sd

reproductive IA Che.pmd

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ae hpOfwu G w f mrSwp f &m

&ifom;wif;jcif;/ aq;awmifi h ,frsm;xnfx h m;jcif;onf (5)ESpf tenf;i,f0jcif;/ 0uf jcHaygufjcif;/ jynfhv#if eD;pyf&mrdom;pkpDrHudef;Xmeokd@ oGm; om;OtdrE fi So hf m;Otdrt f vk;H }u;D xGm;vmjcif;/ a&mufIaq;awmifi h ,fyu dk r f sm;jyefvnfxw k y f g? qHyifu|wjf cif;/ om;tdrfwGif;xnfhoGif;&aom aq;awmifhi,frsm;oGif;&ef/ xkwf&efu|rf;usif oaE<wm;ypPnf;okH;jcif; aomq&m0ef/ q&m0efrrsm;.tao;pm;cGJpdwf r_rsdK;vkyf&ygonf om;tdrw f i G ;f oaE<wm;ypPn;f xnfo h i G ;f jcif; umvom;a&m*gEi Sa hf tpfa h &m*gudk rumuG,f tm;jzihf oaE<wnfjcif;rSumuG,fEdkifygonf/ Edi k fyg// om;tdrw f i G ;f xnf& h aomypPn;f qko d nfrm S auG; Edkifqef hEdkifaom ykHo%efyvyfpwpfaysmhacsmif; aq;awmifi h ,fxnfo h i G ;f +y;D aemufne $ =f um;csur f sm; jzpf+yD; yvyfpwpfaysma h csmif;i,f.atmufzuf aq;awmifi h ,foi G ;f xm;aomae&mukd ( 4 ) &uf pGef;wGif ud;puav;jzifhoG,fqufxm;onf// cef hajcmufaoG hatmifxm;yg// okwy f ;dk ukd arG;vrfa=umif;ok@d 0ifa&muf&efcufcJ aq;awmifhi,foGif;+yD; ( 5 ) &uf=umv#if ywf ap+yD; okwy f ;dk ESio hf m;OawG@qjHk cif;rS umuG,a f y; wD;jznfEdkifygonf// onf// aq;awmifi h ,fxnfx h m;aomae&monf&uft okwy f ;dk .oaE<atmifonfp h r G ;f &nfudk usqif; enf;i,f=umv#if a&mifui kd ;f ,mif,rf;jcif; jzpf ap+yD; om;Otdrw f i Go f , G u f yfEi kd jf cif;rSvnf;um wwfygonf// uG,fay;onf?

w&m;r0ifonft h vkyo f rm;[lI r&Sd

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reproductive IA Che.pmd

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18/09/2008, 10:59

vlwi kd ;f twGur f sdK;yGm;r+qi kd & f musef;rma&; todynm

ukd,f0ef&Edkifjcif;rS 99 @ 2 &mckdifE_ef; umuG,f

u; d pukp d pfaq;ykH

ay;ygonf// dk if=u,fatmif aq;yg// u|r; f usip fm G wwfajrmufaom q&m0ef/ q&m0ef vufup h =umifx h i dk y f g// rrsm;ESifhwkdifyifI om;tdrfwGifoaE<wm;ypPnf; aqmifa h vufcv,fudk vrf;a=umif;twGi;f xnfE h i kd y f gonf// uk, d 0 f ef&jcif;rS ( 5 ) ESpc f ef@um vufnKd ;(okd ) okd hoGif;I ud;pukdprf;oyf=unfhyg// uG,fay;ygonf// uav;arG;zl;aomolrsm;omxnfE h i kd o f nf// (rSwc f su f u;d pukq d & JG efrvky d g// tu,fIqGr Jy d gu pok;H oifo h nft h cse df oaE<wm;ypPn; f onftjyifokd x h u G v f mEdi ky fg onf// tu,fIu;d pukd rprf;rdyguaq;&k/H aq;cef; uk, d 0 f efr&Sa d =umif;aocsmv#if rnfonft h cse d f odk o h m G ;a&mufjyoEdi ky f gonf//) rqkq d &m0ef/ q&m0efrrsm;ESiw hf i dk y f ifI xnfE hi kd f ygonf// aumif;udsK;rsm; &moDvmpOfwGif om;tdrfacgif;0tenf;i,fyGifh tusdK;xda&mufr_&Sd+yD; =um&SnftokH;yEdkifay aeI vG,fulpGmxnfhEdkifygonf// onf? uav;arG;+yD;+yD;csif;( tcsif;cs+yD; )(okd h)uav; oaE<wm;ypPnf;trsdK;tpm;ay:r_wnfI ukd,f arG;+yD; (48) em&Dt=umwGif xnfhEdkifygonf// 0ef&jcif;rS( 5 ESpfokd h10 ESpf) cef hwm;ay;onf// ukd,f0efysuf+yD;csdefwGif om;tdrfwGif;ykd;0ifI vdifqufqH&mwGif taESmifht,SufrjzpfEkdifyg// zsm;emjcif;r&Sdygu okH;Edkifygonf// [kr de k ;f .rvkv d m;tyfaomqk;d usKd ;rsm; rcHpm;&yg? tok;H yoltrsKd ;orD;tm;n$e=f um;csur f sm; oaE<wm;ypPn; f jyefxw k +f y;D v#if uk, d 0 f efjyef&Edi kf ygonf// oaE<wm;ypPnf;xnfh+yD; w&ufESpf&ufcef@wGif rdcifE@dk &nftay: rnfo@dk r#tusKd ;oufa&mufrr _ qD;pyfukdufjcif;/ emjcif;jzpfwwfygonf// &Sdyg// oaE<wm;ypPn; f xnf+h y;D &ufowWywftenf; om;tdrjf yifyoaE<wnfjcif;rSumuG,& f mwGit f i,ftwGif;tjzLqif;jcif;jzpfEdkifygonf// pdk;&drfp ultnDay;ygonf// &mrvkdyg// d usKd ;rsm; yxryki d ;f twGi;f &moDaoG;rsm;jcif;/ &moDumv qk; =um;aoG;tenf;i,fqif;jcif; jzpfwwfygonf// &moDaoG;ajymif;vJrr _ sm; (&moDumv=um&Snf oaE<wm;ypPnf;xnfh+yD; yxrvykdif;wGiftcef jcif;/ &moDumv=um;aoG;tenf;i,fqif;jcif;/ h roifv h #i& f moDvmpOfumvY oaE<wm;ypPn;f &moDvmpOf0rf;Aku d a f tmifjh cif;) jzpfwwfygonf? jyefxGufvmEdkifygonf// xkd@a=umifhoaE<wm; ( yxr 3 vtwGif;) ypPnf;ae&mwGif &Sdr&Sdud;pukd( oaE<wm;ypPnf; oaE<wm;ypPnf;xnfh+yD; yxr (3) &ufokd@ 5 xnfh+yD; yxrvwGif wywfw}udrf/ &moDum &ufcef@ wGiq f ;D pyfuu dk jf cif;/ atmifjh cif;rsm;jzpfwwf v+yD;wkdif;) prf;oyf=unfh&efvkdtyfygonf onf?
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w&m;r0ifonft h vkyo f rm;[lI r&Sd

reproductive IA Che.pmd

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18/09/2008, 10:59

ae hpOfwu G w f mrSwp f &m

atpfha&m*gESifh umvom;a&m*grsm;ukdrum

rok;H oifa h omtajctaersm;


om;tdru f ifqm/ om;tdra f cgi;f uifqm/ om;O

uG,fEkdifyg// oaE<wm;ypPnf;xnfh&efxkwf&ef wwfajrmuf u|r;f usia f omq&m0ef/ q&m0efrrsm;ESio hf mwki df yifIvkyf&ygrnf// tcef@roifv h #if oaE<wm;ypPn;f onfom;tdrf uka d zmufom G ;Eki dy f gonf// (okd a h omfjzpfavhjzpfx r&Sdyg) vdifqufqHaz:rsm;olrsm;wGif rsdK;yGm;t*F gwGif; a&m*gykd;0ifa&muf&ef tcGifhtvrf;ykdrsm;aom a=umifhokH;&efroifhawmfyg//

tdrfuifqm&Sdolrsm;/ rsdK;yGm;t*F gtwGif;ykd;0ifjcif;/ ykr He Sr f [kwa f om om;tdrv f rf;a=umif;aoG;qif; jcif;/ toJa&mif/ toJajcmufa&m*grsm;jzpfz; l jcif;/ jzpf aejcif;/

uGe;f 'H;k ( Condom ) pepfwustoH;k jyKenf;?


uGe' f ;kH toH;k cif rdro d wdy&rnft h csuf
uGe' f ;kH udt k oH;k rycifue G' f ;kH tdwa f y: Y xkwv f w k f xm;aomoufwrf;ud=k unfy h g? oufwrf;ukeq f ;kH yguif;uGe' f ;kH udr k oH;k oify h g uke' f ;kH t&G,t f pm; =unfy h g? rdrE di So hf ifa h wmfaomt&G,f tpm;uda k &G;I toH;k yyg? uGe' f ;kH aumif;raumif;/ uGe' f ;kH tdw. f awmift h em;wGif vuftomav;zd+y;D a&G@=unfy h g? tu,fIa&G@roGm;v#if if;uGe' f ;kH tdwY f ygonfh acsmqDue k ;f qH;k oGm;I xdu k e G' f ;kH udk roH;k ygEi S? hf

a,musm f ;t*F grmvmaomtcg vdiq f ufqjH cif;ryrDue G' f ;kH .xdyf pGe;f udk vufrjzifz hu d i kd x f m;+y;D t jcm;vufwpfzufjzifu h e G' f ;kH udk a,mufsm;t*F g t&if;a&mufonftxdqc JG syg/

w&m;r0ifonft h vkyo f rm;[lI r&Sd

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reproductive IA Che.pmd

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18/09/2008, 10:59

vlwi kd ;f twGur f sdK;yGm;r+qi kd & f musef;rma&; todynm

vdifqufqHjcif;+yD;onfhaemuf/ uGef'Hk;udk t*F grSqGJc|wfvdkuf+yD; pepfwuspe G @f ypf&ygrnf / uGe;f 'H;k udq k c JG |w& f mwGif tdro f moH;k puUL udk toH;k jyKEi dk y f gonf//

uGef'kH;tokH;yjcif;a=umifh vdifrSwpfqifhul;pufwwfaom a&m*grsm; rjzpfap&eftwGuf umuG,a f y;onf omruud, k f 0efr&Sa d p&efvnf;umuG,a f y;ygonf//

23

w&m;r0ifonft h vkyo f rm;[lI r&Sd

reproductive IA Che.pmd

23

18/09/2008, 10:59

ae hpOfwu G w f mrSwp f &m

trsdK;om; om;a-umjzwfjcif; ( Vasectomy )

qD;tdwf

okwf&nftdwf okwf&nfESifh qD;vrf;a=umif;

okwf&nftdwf okwf&nfvrf;a=umif; uy`,ftdwf om;a=umjzwfxm;onfhae&m

okwy f @dk ye G jf zwfawmufjcif; (ok@d ) xk;H xm;+y;D tao;pm;cJGpdyfr_rsdK;omvkdonf// okwfykd;ESifhom;Oaygif;pyfjcif;rSumuG,fjcif;jzifh vdiq f ufqjH cif;ukt d aESmift h ,Sur f jzpfyg// oaE<wm;aomenf;jzpfonf// trsdK;om;.vdifqufqHr_pGrf;&nfay:wGifrnf okd hrStusdK;oufa&mufr_r&Sdyg// pepfwusrSefuefpGmtokH;yv#ifukd,f0ef &Eki d jf cif;rS 99.8 &mckdifE_ef;umuG,fay;ygonf// qk;d usKd ;rsm; rSeu f efpm G tok;H yjcif;qko d nfrm S uGe' f ;Hk (okd ) h tjcm; oaE<wm;enf;ukd om;a=umjzwf+yD; (3) v (okd@) cJGpdwf+yD;+yD;jcif; tusdK;oufa&mufr_r&Sdyg// okwf &nfwGifokwfykd;rsm;ukefpifatmif (3) vcef@ okwft}udrf 20 v$wf+yD;onftxdtokH;y&efjzpf (okd ) h t}ur d f (20 )okwv f w $ +f y;D onftxdapmifh onf/ &efvo dk nf// xku d mvtwGi;f uGe' f ;Hk ok;H jcif;(ok@d ) tb,fa=umifq h a dk omf okwy f dk h ye G jf zwf+y;D tjcm;oaE<wm;enf;rsm;ud, k m,Do;Hk &rnf (3) vcef@=umrSom okw& f nfwi Go f w k y f ;dk ryg0ifawmh jzpfonf// a=umif;aocsmEki da f yonf// u|rf;usifaomq&m0efrsm;ESifhwkdifyifIcJG pdyfr_cH,l&efvkdonf// aumif;usKd ;rsm; tcef hroifhv#ifcJGpdyfr_. tusdK;qufrsm; ( aoG; xGufrsm;jcif;/ emusifjcif;) jzpfwwfygonf// pepfwusrSefuefpGmtokH;jyKv#if&moufyef pkd;&drfp&mrvkdyg// oaE<wm;Ekdifaomenf;vrf;jzpfonf// rvkv d m;tyfaomqk;d usKd ;rsm;r&So d avmufenf; yg;onf//
w&m;r0ifonft h vkyo f rm;[lI r&Sd

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reproductive IA Che.pmd

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18/09/2008, 10:59

vlwi kd ;f twGur f sdK;yGm;r+qi kd & f musef;rma&; todynm

trsdK;orD;wGio f m;a-umjzwfjcif; ( Female Sterlization )

om;tdrf

om;OyGef

om;a=umjzwf xH;k xm;onfa h e&m

om;Otdrf

trsKd ;orD;om;Oykd h ye Gt f m; jzwfawmufjcif; rdepf ( 30 ) om=umaomtao;pm;cJp G w d r f o _ m ( okd ) h xk;H xm;+y;D om;O ESio hf w k y f ;dk aygi;f pyfjcif;rSum yvkyf&efvkdygonf// uG,jf cif;tm;jzifo h aE<wm;aomenf;vrf;jzpfonf? uav;arG;+yD;+yD;csif;Tenf;vrf;ukdtokH;yEkdif ukd,f0ef&Edkifjcif;rS 99 @ 5 &mckdifE_ef;umuG,fay;yg ygonf// onf/ om;Otdru f ifqmjzpfjcif;rSumuG,& f mwGit f ul tnDay;ygonf// aumif;usKd ;rsm; rvkv d m;tyfaomqk;d usKd ;rsm; uav;xyfr,l&efqkH;jzwfxm;aom trsdK;orD; rsm;twGuf tvGeftusdK;&SdI&moufyefpdwfcs uav;jyefvkdcsifygu r&Edkifawmhyg// &aomenf;vrf;jzpfonf// uGsrf;usifaomq&m0ef/ q&mrrsm;ESifhwkdifyifI rdcifEdk x h u G r ft _ ay:wGit f usKd ;oufa&mufrr _ &Sy d g? cJGpdwfr_cH,l&efvkdonf// rvkv d m;tyfaom[kr de k ;f .qk;d usKd ;rsm;rcHpm;&yg? cJp G w d r f a _ =umifh tcef@roifv h #ia f oG;xGur f sm; uk, d 0 f ef&&efpw d r f yl&aoma=umifv h i dq f ufq& Hm jcif;/ twGif;t*F grsm;xdckdufrdjcif;jzpfwwfyg wGifpdwfauseyfr_&apygonf// onf// atpfa h &m*gEi Su hf mvom;a&m*grsm;ukr d um uG,fEkdifyg//

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w&m;r0ifonft h vkyo f rm;[lI r&Sd

reproductive IA Che.pmd

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18/09/2008, 10:59

ae hpOfwu G w f mrSwp f &m

ukd,f0efysufusjcif;
trsK;d orD;rsm;wGif tysKa d zmf0ifcse d t f &G,r f S pwifI&moDaoG;vmjcif;onfykHrSefjzpfpOfwpfck yifjzpfonf// okd@&mwGif ukd,f0ef&Sd+yDqkdv#if ykHrSef &moDaoG;vmae&mrS&yfom G ;onf? &moDrvmawmh ay// tdrfaxmifonftrsKd;orD;rsm;wGif &moDrSef ae&mrSxdrfoGm;v#if t&ifqkH;pOf;pm;oifhonf rSmukd,f0ef&Sdae+yDvm;[kyifjzpfonf// ukd,f0ef aqmifpOfumvwpfav#mufvHk; aoG;rqif;&yg// arG;cgeD;tcsdefrSomaoG;qif;/ a&qif;/ Akdufem& rnfjzpfonf// uk d , f 0 ef E k p Of a oG ; qif ; jcif ; onf (trsm;tm; jzifhqkdv#if)ukd,f0efysufusjcif;/ om;tdrfjyify oaE<wnfjcif; a=umifjh zpfwwfonf// uk, d 0 f ef&ifr h S (28 ywf ausmfrS) aoG;qif;jcif;onf tcsif;a&S@ a&mufjcif;/ tcsi;f uyfjcif;/ aoG;a=umrsm;arG;vrf; a=umif;Y ydwfaejcif;a=umifjh zpfwwfygonf// om; tdrfacgif;a&m*grsm;ESifh om;tdrfacgif;uifqma&m *ga=umifh vnf;jzpfwwfygonf//

uk, d 0 f efysuu f sjcif;trsK;d tpm;rsm; uk, d 0 f efysuu f svv k jk zpfjcif;vuQ%mrsm;rSmukd,f0efaqmifxm;pOf aoG;qif;vmjcif; - &moDxr da f e&mrSaoG;qif;vmjcif;// onf ykHrSefjzpfpOfr[kwfyg// rdcifESifhuav;twGuf - om;tdrfonfe*kd&Sdaeaomukd,f0eft&G,f jyomem wpfckck/ tE W&m,fwpfckck&Sd+yDjzpfonf// tpm;twki d ;f yifjzpfjcif;// - om;tdrr f npjf cif;// - om;tdrr f v_yjf cif;// - om;tdra f cgi;f yGir hf vmjcif;// - Akdufemr_r&Sd jcif;//
Ttcsdefonfukd,f0efysufrnf[krqkdEkdif ao;ay? ysuc f sifysuc f sijf zpfjcif;omjzpfonf// rysuf atmif apmifa h &Smufuo k r_c, H & l rnf// q&m0efne G f =um;csut f wki d ;f vku d e f m&rnf// rdcifavmif;onft wwfEi dk q f ;k +H ir d +f ir dv f a J vsmif;ae&rnf// q&m0efne G f =um;v#if temoufomapaomaq;rsm;ok;H pGJEkdif onf// w,fva D A;&Si;f "gwr fe S& fu dk =f unfjh cif;jzifh oaE< om;touf&Sif r&SifodEkdifonf// oaE<om;aoqH;k IaoG;ykq d if;vmv#if uk, d 0 f efysuu f sjcif; jzpfojzifh om;tdrjf cpf&efvt dk yfygonf//

w&m;r0ifonft h vkyo f rm;[lI r&Sd

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reproductive IA Che.pmd

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18/09/2008, 10:59

vlwi kd ;f twGur f sdK;yGm;r+qi kd & f musef;rma&; todynm

trSew f u,fu, dk 0 f efysuu f sjcif; - aoG;xdr& f mrSaoG;qif;vmjcif;/ - aoG;yrm%rsm;rsm;qif;vmjcif;/ - om;tdrv f y _ & f m S ;r_&v dS mjcif;/ - om;tdrn f p v f mjcif;/ - qD;pyfwi Ge f mvku d /f aysmufvu dk jf zpfjcif;/ - wjznf;jznf;yke d mvmjcif;/ - aoG;ykq d if;vmjcif;/ - om;tdra f cgi;f yGiv hf mjcif;/ - wpfcgwpf&o H aE<om;wpfyi dk ;f wpxGuu f s vmjcif;/

odoo d mom&kww f &ufysuu f sjcif;r[kwa f om uk, d 0 f efysuu f sjci;f oaE<om;onf om;tdrftwGif;Yaoqk;H aejcif;/ ukd,f0eft&G,ftpm;}uD;rvmawmhjcif;? tndKa&miftust d c|r J sm;qif;jcif;// om;tdrv f y _& fm S; r_r&Sdawmhjcif;/om;tdrfacgif;ryGihjf cif;// w,fvDAD; &Sif;"gwfrSef&kduf=unfhaomtcg oaE<om;aoqk;H aejcif;onf rdciftwGut f ouftE & W m,f&o dS nf//

a&m*gy;dk 0ifa&mufvmjcif; rnf o k d @aomuk d , f 0 ef y suf u sjcif ; jzpf a p a&m*gykd;0ifa&mufEi kd o f nf// ukd,ftylcsdefjrifhwuf TtcsdefwGifrkcsukd,f0efysufusawmhrnfjzpf+yD;/ vmjcif;/ 0rf;Akdufemusifjcif;/ 0rf;AkduftxdrcHEkdif f rif;qif;jcif;/ jynf rumuG,/f rwm;qD;Eki da f wmhyg// aq;&ka H q;cef;okd h atmifemusijf cif;/ aoG;tvGet ykyf/ aoG;ykyf/ tusdtcJrsm;qif;+yD; tvGeftrif; tjrefq;k o H m G ;+y;D om;tdrjf cpf&efvt dk yfonf// eHapmfjcif;? TtcsdefwGifaq;&Hkaq;cef;okd@tjref oaE<om;ESit hf csi;f twlxu G u f sjcif; qk;o H m G ;a&muf+y;D ukor_c, H & l rnf// aoG;vef@jcif;jzpf - uk, d 0 f efv;k 0 H ysuu f som G ;jcif;jzpfonf// aomvlemrsm;tm;jyefvnfaumif;rGefvmatmif - om;tdra f cgi;f jyefyw d o f m G ;onf// ukoay;&rnf// ydZ0 D aq;jzifu h o k ay;&onf// ykq d ;dk - aoG;qif;jcif;vnf;&yfwef o h m G ;onf// 0g;aomvlemrsm;wGif AkdufcGJIaq;a=umukoay; &onf/ Ttcse dw f i G f w,fvA D ;D &Si;f "gwr fe S& fu dk +f y;D oaE<om; tyki d ;f tp/ tcsi;f wpfyi dk ;f wpfp user f usep f pfaq;& ol t h vkv d u dk , dk 0 f efysuu f sjcif; rnf// trsm;tm;jzifo h m;tdrjf cpfp&m rvkt d yfyg// - uk, d 0 f efuw dk pkw H &mxdcu dk jf cif;r&Sb d J ol@ tvkdvkdysufusjcif;// wpfyi dk ; f wpfp ysuu f sjcif; - uk, d 0 f efysuu f sjcif;(3) =udrq f ufwu dk jf zpfyg om;tdrx f w J i Go f aE<om;tyki d ;f tp/ tcsi;f u ol t h vkv d u dk , dk 0 f efysuu f sjcif;[kac:onf? tykdif;tpusefaeao;jcif;/ aoG;qif;r_&yfwef@jcif; - q&m0eftm;jyoIuko&onf// r&Sdjcif;/ qD;pyfwGifemusifr_&Sdjcif;/ om;tdrfnpf r_&jdS cif;/ om;tdra f cgi;f yGia hf ejcif;/ aoG;qif;rsm;vGe;f ud k , f 0 ef z suf c sjcif ; jy\em v#if aoG;aygifusumaoG;vef@jcif;jzpfv#if aq;&kH w&m;r0if u d k , f 0 ef z suf c sjcif ; onf aq;cef;okd@tjrefq;kH oGm;I ykHrSefjyefjzpfumpdwfcs tE & W m,f}u;D rm;a=umif; trsK;d orD;tm;vk;H vdv k o kd d &aomtajctaea&mufonftxdtjrefq;kH ukor_ &Sd=uygonf// odk@&mwGif trsKd;orD;wcsKd @onftcg cH,& l rnf// ydZ0 D aq;rsm;wku d a f u|;I om;tdrjf cpf tm;avsmf p G m jyoemES i f h & if q d k i f & aoma=umif h jcif;yvky& f rnf// ud, k 0 f efzsuc f sjcif; udk yvkyw f wf=uygonf/ xdu k o hJ @kd ud k , f 0 ef y suf u saomtrsKd ; orD ; rsm;ud k aq;&k H
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ae hpOfwu G w f mrSwp f &m

aq;cef;odk h tjrefqkH; jyo&ef tultnDay;yg? xdk trsK;d orD;rsm;u ol@ut kd jypfyc Hk sc& H rnfua kd =umuf aerSmtrSefjzpfonf? odk@aomfutusdK;aqmif aumif;wpfOD;taeESifh olrtm; rnfonfhusef;rm a&;0ef x rf ; / q&m0ef u rS t jypf y k H c srnf r [k w f a=umif;t&SufxuftouftE W&m,fudk ydk*&kpdkuf &rSmjzpfa=umif;ao&SmpGm&Si;f jy+y;D aq;&kH aq;ay;cef; odk t h jrefa&mufEi kd a f tmifun l & D ef vdt k yfygonf//

- oef@&i S ;f aomt0wftpm;ESit hf cktcHypPn;f rsm;udktok;H yyg//

ukor_c, H +l y;D aomtcg a&Smif&eftcsur f sm; - aoG;qif;&yf+y;D (3)&uftwGi;f rde;f rud, k w f i G ;f od@k puULyg;t0wfpkwf*Grf;rsm;jzifhydwfqdk@jcif;ryvkyf &? - aoG;qif;&yf+y;D (3) &uftwGi;f vdiq f ufqjH cif; ryvkyf&yg//

uav;ysuu f sjcif;a=umifh aoqk;H r_rsm;udu k m uG,y f g/ ZeD;armifEw HS i kd ;f aemufxyfuav;udk ,ckt cse d w f i G f xyfr, H o l ifr h ,loifh tcsi;f csi;f udwifwi kd f yifaqG;aEG;&efvdktyfygonf? tu,fI,cktcsdef wGif uav;,l&ef tqifroifhao;ygu oifhavsmf aomom;qufjcm;enf;udk ok;H +y;D rvdv k m;tyfaom ud, k f 0efaqmifjcif;udk wm;qD;Eki dr f nfjzpfonf//

txl;owdjyK&ef tcsur f sm; atmufazmfjyyg a&m*gvuQ%mrsm;wpfpkHwpf &may:aygufygu eD;pyf&musef;rma&;Xmeodk ht jrefq;Hk oGm;a&mufjyo&efvt kd yfygonf// ud, k 0 f efysuu f sIaq;ukor_c, H +l y;D aemuf (14) &ufxufausmv f e Gu f maoG;qufvufqif;ae jcif;/ rdef;rudk,frSteH@qdk;aomt&nfrsm;xGuf jcif;/ ykHrSef&moDaoG;xufydkaomaoG;rsm;pD;qif; ukor_cH,l+yD;aomtcg vdkufemaqmif&Guf&rnfh aejcif;? jyif;xefpl;&SpGm0rf;Adkufemjcif;? t&mrsm;/ csrf ; wk e f u mtzsm;wuf o vd k c H p m;&jcif ; - rsm;rsm;tem;,lyg// (rD;,yfcsr;f xjcif;) - tm[m&jynf0 h aomtpm;tpmrsm;jzpfonfh vwfqwfaomtom;? ig;ESit hf oD;tESt H &Guf ud, k 0 f efysut f +y;D oaE<wm;jcif; rsm;pm;okH;yg// udk,f0efysufus+yD; (odk h) zsufcst+yD;csufcsif;(odk h) - tu,fIaq;aomuf&efvt kd yfygu use;f rm a&;0efxrf;rS !Ge=f um;xm;onft h wdi k ;f aq;ywf 7 &uftwGi;f aq;aomufjcif;? aq;xd;k jcif;enf;jzifh oaE<wm;Edi ky f gonf/ xdx k ufausmfve Go f m G ;cJa h omf vnfonftxd aomufyg// udk,f0ef&Sdr&Sd ppf+yD;rSomaq;xdk;jcif; (odk@) aq; - wudk,f&nfoef@&Sif;a&;udk *&kpw d y f g// aomufjcif;wkd u h kd yvky& f ygrnf//

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vlwi kd ;f twGur f sdK;yGm;r+qi kd & f musef;rma&; todynm

vdifrSwqifhul;pufwwfaoma&m*grsm;/ umvom;a&m*grsm;
rdrw d @kd &@J rsK;d yGm;t*F gawGta=umif;od&e kH @J rvHk umvom;a&m*grsm; &&SE di kd a f omtytrlrsm; avmufao;yg// 'DrsKd;yGm;t*F gawGrSm a&m*grjzpf - vdiq f ufqz H uftazmfrsm;jcif;/ atmif b,fvu kd muG,& f r,fqw kd mudv k nf; od&z dS @kd - vdiq f ufq& H mwGif tumtuG,r f oH;k jcif; vdy k gw,f// (qdkvdkonfrSm uGef'kH;rokH;jcif;) - umvom;a&m*g&SdcJhzl;olESifh vdifqufqH umvom;a&m*gqw kd m bmvJ? zl;jcif;/ vdiq f ufqjH cif;tm;jzifh ul;pufwwfaom - umvom;a&m*g&SdaomcifyGef;rS ZeD;xHul; a&m*grsm;udk umvom;a&m*grsm;[kac:onf? qufjcif;/ umvom;a&m*gtrsdK;rsKd ;SdonfhteuftcsKd@aom - umvom;a&m*g&o dS . l aoG;udo k i G ;f rdjcif;/ a&m*gtrsKd;tpm;rsm;onf aocsmpGmpepfwus - rdcifxr H S oaE<om;xHu;l pufjcif;/ aq;ukoyguaysmufuif;Edkif+yD; tcsdK@udkrlaysmuf umvom;a&m*gtrsKd ;t uif;atmifuo k &ef aq;rSa d o;yg? pm;rsm; tjzpfrsm;aomumvom;a&m *g trsdL;tpm;rsm;rSmtemtk y f p k t jzpf qpf z vpf / Sefckduf/ a&,kef// jynfty kp ft k tjzpf *Ed/k vdit f *F g tc|Jqif;a&m*g (vdift*F gqD; yla&m*g )/ vdift*F g rufck/ a&m*gydk;a=umifhjzpfaom tjzL qif;a&m*g// tzkt}udwftkyfpktjzpf bif a&m*g// vdift*F g uGufEdk@a&m*g? txufyg tkyp fr k sm;wGif yg0ifaoma&m*grsm;jzpfay:vm ygu aocsmpGmpepfwusaq;uk ov#if aysmuf u if ; Ed k i f a omf vnf; atmuf y gumvom;
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a&m*gtrsKd ;tpm;rsm;twGur f l uko&efaq;ray: trsK;d orD;rsm;wGif aygufao;yg? rdef;rukd,farG;vrf;a=umif;rSteH@&onfh - attdkif'Dtufpf a&m*g tjzL (ok@d ) jynfrsm;qif;jcif; - tonf;a&mif tom;0g bD a&m*g qD;oGm;&mwGif emjcif;/ yljcif;(ok@d )rde;f ruk, d f ,m;,Hjcif; umvom;a&m*grul;pufEi kd a f omenf;vrf; emusifonfht&nf=unfzkrsm;rdef;rukd,f ae@pOfyHkrSefvkyfief;aqmifwmrsm;aqmif t0wGif ay:vmjcif; &Gufjcif;/ tdrfomwpfckxJtwltoHk;yjcif;/ vuf rde;f ruk, d t f 0(ok@d ) twGi;f yki d ;f wGit f om; qGE Jw _ q f ufjcif;/ twlwuGpm;aomufjcif;/ t0wf ykr d sm;ay:xGuv f mjcif; tpm;rsm;vJvS,f0wfqifjcif;/ omrefxdawG@ayG@ aygif+cHwGifemusifonfhtusdwfrsm;ay: zufjcif;wdk@jzifh umvom;a&m*grul;pufEdkifyg// xGujf cif; umvom;a&m*gydk;onf vl.ta&jym;udkazmuf cE<mudk,fwGif,m;,HonfhtuGufrsm;ay: xGif;r0if a&mufEdkifyg // xGujf cif; qD;pyfemusijf cif; umvom;a&m*g&a dS =umif;b,fvo kd E di kd o f vJ? vdiq f ufqo H nft h cgemusijf cif; aoG;ppfjcif;vnf;aumif;/ qD;ppfjcif;jzifh tysKd p if r[k w f o l r sm;vd i f q uf q H p Of vnf;aumif; / vdit f *F grx S u G a f om t&dtc|r J sm;udk ok@d r[kwf qufq+H yD;aoG;xGujf cif; "mwfcp JG pfaq;jcif;jzifv h nf;odEi kd y f gonf// wpf c gwpf & H u mvom;a&m*g&S d a eaomf arG;uif;puav;rsm;wGif vnf; a&m*gvuQ%mrjyao;yg? okd@aomfzsm;em arG;uif;puav;i,fwpfOD;onfarG;zGm; onfhtcg umvom;a&m*gvuQ%mrsm;ay:vm +yD;okH;ywftwGif;wGif rsufvkH;rsm;eD&Jaejcif;(okd@) Ekdifygonf? rsuv f ;Hk rS jynfrsm;xGua f ejcif;/ rsuv f ;Hk wGir f su0 f wf trsK;d om;rsm;wGif Ta&m*gjzpfygu a&m*g rsm;uyfI zGia hf &bJ&jdS cif;/ touf&LS &mwGit f cuft vuQ%mrsm;ay:vmwwfaomfvnf; trsKd;orD; cJ&jdS cif; rsm;wGia f &m*gvuQ%mrsm; csuc f si;f ray:yg? wpfO;D qpfzvpf wpfa,mufESifhvdifqufqH+yD;aemuf atmufazmf jyygvuQ%m/ a0'emrsm;ay:vmygu umvom; yxrtqifh a&m*g&Sdae+yD[k rSwf,lekdifygonf? a&m*gy;kd So d E li Sv hf i dq f ufq+H yD; 10&ufrS 3v twGif; trsdK;om;vdifwH (odk@) rdef;rudk,fwGif trsK;d om;rsm;wGif temay:vmrnf? trsm;tm;jzifhtemwpfvHk; vdiw f r H S jynf(ok@d )tjzLrsm;qif;jcif; wnf;omayguf jcif;/ remusif/ jynfrSdjcif;/ tus qD;oGm;&mwGif emusijf cif;(ok@d )yljcif; vdifwHxdyf(okd@)vdifwHta&jym;wGiftem =u,foD;uJhodk@ E_wf crf;om;xlIrmjcif;/ aygif+cH wGit f }udwa f ygu+f y;D emusir fr _ &Sjd cif;/ xdt k emonf rsm;aygujf cif; emusifonfh t&nf=unfzkrsm;vdifwHxdyf tvdkvdkaysmufoGm; +yD; 1 vcGJ rS/ 2v twGif; 'kw, d tqif. h vuQ%mrsm;ay:vmjcif;// wGia f y:vmjcif;
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vlwi kd ;f twGur f sdK;yGm;r+qi kd & f musef;rma&; todynm

'kwd,tqifh ta&jym;wGifa=u;eDa&miftuGufrsm;ay: vmjcif;/ cE<mud, k w f i Gb f ,fnmESpz f ufpvH;k YnDnm pGm xGujf cif;/ vufz0g;/ ajcz0g;ESifh rsufESmwdk@wGiftjzpf rsm;jcif;/ qHyiftuGuv f u kd f u|wf jcif;/ pGwfpdkxdkif;r_dif;aomae&mrsm;jzpfonfh yg; pyfwpf0dkuf/ qHpyfwpf0dkuf/ aygif+cHtwGif; ydi k ;f / *sKd if;/ ptdk ponfh ae&mrsm;wGif uu G E f @kd yHp k H tzko;D rsm;aygujf cif;//

(c) ESv;kH ESihf aoG;a=umrsm;udk xdcu kd v f mjcif; a=umifh ESvHk;rSxGufaom aoG;a=umr }uD;us,fvmjcif;/ a&mifjcif;/ aygufxGufjcif;/ESvHk;tqdk@Sif (odk@) ESvHk; tcef; wHcg; ysup f ;D jcif;wd@k jzpfwwfonf? (*) udk,fwGif;t*F grsm;udk xdcdkufvmjcif;a=umifh tonf;a&mifjcif;/ tonf;}uD;jcif;/ tonf;tem jzpfjcif;/ ausmufuyf}uD;jcif;wd@k jzpfwwfonf? (C) tkd;udk xdcdkufjcif;a=umifh ajcovHk;kd;aS@ESifh ab;od@k auG;vmjcif;/ tmacgia f ygujf cif;/ ESmacgi;f k;d csKd if0 h ifjcif;wd@k jzpfwwfonf? arG;&myg qpfzvpf

xdt k qifw h i G f xda&mufpm G aq;rukoygu atmuf ygtwdi k ;f qufvufjzpfvmEdi ko f nf?

qpfzvpfa&m*gydk;Sdaom trsdK;orD;wGif udk,f0efSdvmygu rdcifxHrSa&m*gydk;onf tcsif; qpfzvpfiy ka f eaomtqifh rSwpfqifh uav;odk@ ul;pufjcif;a=umifh - uav; (Ttqifo h nf tjzpftrsm;qH;k jzpfonf?) f sjcif;/ vraphbu J av;arG;jcif;/ uav;tao a&m*gu;l pufc& H +y;D 6vrS2ESpt f xd =umvm ysuu ygu ikya f eaomtqifo h @kd a&mufom G ;onf? arG;jcif;/ arG;vmaomuav;wGif ta&jym;vefjcif;/ tcsKd@wGif 5ESpfrS 10ESpftxd ikyfaewwf Adkuf azgif;I abvHk;}uD;jcif;/ ESmacgif;kd;csdKifh0ifjcif;/ tmacgia f ygujf cif;/ ajcovH;k cGijf cif;wd@k jzpfwwfonf? onf? trsm;pkwGif a&m*gvuQ%mray:bJ aoG; &Sec f &ku d f ppf=unfhrSomv#ifa&m*gydk;Sda=umif;od& onf? a&m*gydk;&SdolESifh vdifqufqH+yD; 4-5 &uf Ttqifa h usmo f m G ;v#if atmufygtwdi k ;f twGi;f vdiw f x H y d /f ('pf) ESiv hf i dw f a H y:wGi/f rde;f rud, k f qufjzpfvmonf? E_wfcrf;/ tcsKd@Yptdkwpf0dkufwGif temrsm;ayguf vmrnf? tvGee f musir f nf/ jynfz;kH aernf/ atmuf ajcv_dufpm;+yD;aysmhaernf? temayguf+yD; 7&ufrS 10&uftwGi;f aygi+f cHwi Gt f usw d a f &mifrnf/ aygi+f cH wpfzufwnf;wGifaygufwwfonf/ emusifonf? tusw d u f v kd ;kH 0rcG& J yg/ tu,fIwif;vmygueD;&m aq;cef;odk@oGm;jyoifhonf?tusdwftvdkvdkayguf xGujf cif;/ cGjJ cif;yvkyy f gu vdu _ p f m;onft h emrsm; jzpfay:vmrnf?
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w&m;r0ifonft h vkyo f rm;[lI r&Sd

wwd,tqifh 'kw, d tqifh qpfzvpfjzpf+yD; 5ESpr f S 10ESpf twGif; a&m*gtajctaeonf wwd,tqifhodk@ a&mufvmrnf? xdt k qifw h i Gf (u) OD;aESmufEi S hf tmka H =umrsm;udk xdcu kd v f mjcif; a=umifh rsup fr de _ jf cif;/ rsup fu d , G jf cif;/ em;r=um;jcif;/ owdarhjcif;/ l;a=umifa=umifjzpfjcif;/ oGufcsmyg ' avief;qGjJ cif;wd@k jzpfwwfonf?

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vdift*Fg a&,kefa&m*g

a&m*gy;kd &So d E li S hf vdiq f ufq+H y;D 3 &ufrS 6&uftwGi;f vdiw f /H vdiw f x H y d( f 'pf)/ ptd/k rde;f rud, k E fw _ f crf;/ om;tdr0 f wd@k wi G f t&nf=unftzkrsm; tpkvu kd a f y:vmrnf? xdkt&nf=unfzkrsm;onf 1&ufrS 3&uf twGi;f aygux f u G I f temrsm;jzpfvmrnf? xdktemrsm;onf 1ywfrS 3ywftxd=um Edi ko f nf? vdit f *F g a&,kejf zpfot l a,muf 100 wGif 75 a,mufonf aygi+f cw H i Gt f }uw d r f sm;ay: rnf? rde;f rrsm;wGia f &,kea f &m*gjzpfol ta,muf 100 wGif 50 a,mufonfom;tdrf0Yjzpf wwfonf?
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vlwi kd ;f twGur f sdK;yGm;r+qi kd & f musef;rma&; todynm

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tonf;a&miftom;0gbDa&m*g

tonf;a&miftom;0gjzpfapaoma&m*g rsKd;uGJ 6 rsKd;&Sdonf? A,B,C,D,E,G wkd@jzpf=uonf? tonf;a&miftom;0gbDa&m*gonf Akdif;&yfpfykd; a&m*gvuQ%mrsm; wpfrsKd;a=umifhjzpf+yD;vdifrSwpfqifh ul;pufwwf qD;ta&mif0gjcif; aoma&m*gwpfcjk zpfonf? tonf;a&mif tom;0g ysK@d jcif;/ tefjcif;/ tpm;taomufysujf cif; a&m*grw S pfqifh tonf;ajcmufa&m*g/ tonf;uif tom;0g/ rsup f 0 d gjzpfjcif; qma&m*gw@dk udk xyfqif& h Eki do f nf? tarmrcHEi dk jf cif;/ Eke;f csjd cif; tonf;&So d nfh ,mbufe& H ;kd atmufwi Ge fm ul;pufenf; I a&mifvmjcif; a&m*gy;dk o,faqmifo( l ok@d )a&m*gjzpf aeol rdcifrSwpfqifh &ifaoG;i,fo@kd arG;pwGiful; ukoenf; pufjcif; tonf;a&miftom;0ga&m*gonf Aki d ;f &yfpf a&m*gykd;o,faqmifxm;olESifhvdifquf a=umifhjzpfonfhtwGuf Akdif;&yfpfykd;ukdaysmufuif; qHjcif; atmifuo k &efcufcy J gonf? ok@d aomfvnf;tom; a&m*gykd;&Sdol.aoG;ukdoGif;I ukor_cH,l 0gaecsdefwGif jzpfay:vmEkdifonfhtusKd;qufrsm; jcif; uku d muG,& f ef aq;ukor_c, H E li dk y f gonf? emwm&Snf bDy;dk o,faqmifxm;olrsm;wGif a&m*gobm0jzpfpOf a&m*gykd;rsm;yGm;ae+yD;tonf;ukd xdckdufaeonf tonf;a&miftom;0gby D ;dk &So d r l sm;teuf qk d v #if interferon xk d ; aq; lamivudine 90% rSm tvkdtavsmufaysmufuif; pm;aq;rsm;jzifh ukoEkdifygonf? okd@aomfaq; oGm;Eki do f nf? ukor_cH,lonfh ol 25-30% cef@wGifom tusKd; 10% rSm a&m*gykd;o,faqmifoljzpfoGm; oufa&mufr_&SdEkdifonf? aq;wefzkd;jrifhrm;+yD; Eki do f nf? qkd;usKd;tE Wm&m,frsm;ojzifh vltrsm;tokH;ry a&m*gykd;o,faqmifolrsm;onf rsm;aom Ekdifyg? tm;jzifhusef;rmpGm&Sdae+yD; aoonftxd a&m*gykd;o,faqmifoGm;onf? &mckdifE_ef; umuG,fenf; tenf;i,fcef@rSm tonf;ajcmufa&m*g / umuG , f a q;xk d ; jcif ; jzif h v nf ; aumif ; / tonf;uifqmjzpfvmEki do f nf? a&m*gykd;ul;puf&&SdEkdifonfhtjyKtrlrsm; a&Smif =uOfjcif;jzifv h nf;aumif; a&m*gr&Sa d tmifumuG,f oifonfa&m*gykd;o,faqmifoljzpfv#if Ekdifygonf? xdwv f ef@p&mrvky d g? a&m*gul ; puf o nf h e nf ; vrf ; tcsKd @ om &So d nfudk owdjyKyg?
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w&m;r0ifonft h vkyo f rm;[lI r&Sd

twlwuGxrif;pm;&kH/ tkd;cGufyef;uefrsm; a&maESmok;H aqmif&E Hk i S hf a&m*grul;yg? a&m *gykd;o,faqmifolESifhwpftdrfwnf;/ wpf cef;wnf;aexkdif&kHjzifh a&m*grul;Ekdifyg?

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ckcHtm;usqif;r+ul;pufa&m*g / attdi k ' f t D ufpf vdifqufqHr_rS &&Sdaom a&m*grsm;xJwGif HIV/AIDS a&m*gyg0ifygonf/ HIV/AIDS a&m*gukd umuG,fEdkif&eftwGuf umuG,fenf;rsm;odxm; zdk v h y kd gonf//
HIV qdw k m AIDS a&m*gujkd zpfapwJh omref

rsup f jd zifh rjrifEi kd o f nfh tvGea f o;i,faoma&m*g yd;k jzpfygonf// HIV yd;k [m t"dutm;jzifv h . l aoG;/ okwf&nfESifhrdef;rudk,frSxGufonfht&nfwdk@wGif trsm;qH;k yg&I dS ul;pufEi kd y f gonf// vl c h E<mud, k w f i Gf HIV yd; k awG@&jdS cif;onf AIDS a&m*gjzpfjcif;r[kwf yg? cEPmudk,ftwGif;odk h HIV ydk;0ifa&mufaejcif; omjzpfygonf// AIDS a&m*gjzpf&ef tcsdefumv twdi k ;f twmwpfck vdt k yfygonf// qd k w mck c H t m;usqif ; r_ u l ; puf a&m*gjzpfygw,f// vlw@kd .aoG;xJwi G f aoG;jzLOrsm; rSma&m*gtrsKd;rsKd;udkckcHumuG,fay;ygonf// 4if; aoG;jzLOrsm;rS ud, k E fm < . ckcp Hr G ;f tm;ud& k &Sd ygonf? HIV a&m*gy; kd onfv. l cEPmud, k t f wGi;f &Sa d oG;jzL O rsm;udkwjznf;jznf;zsufqD;vdkufjcif;a=umifh udk,f cE<m .ckcp Hr G ;f tm;r_rsm;avSsme h nf;vmapygonf// xd@k a=umifh ckct H m;usqif;vmaomolwi Gt f jcm;a&m*g rsm;wpfrsK;d +y;D wpfrsK;d tvG,w f uljzpfym G ;vmygonf? 4if;tqifu h kd AIDS a&m*gjzpfonf[a k c: ygonf//
AIDS

urBmay:wGif attdi k' ft D ufpa f &m*gjzpfym G ;aer_t ajctae urBmay:wGif 1999 ckESpf ESpfukeftxd vl aygif; 33.6 oef;cef@rSm HIV ydk;ul;pufae+yDjzpf a=umif ; urB m usef ; rma&;tzG J @ (WHO ) ES i f h ukvor*~qi kd & f m attdi k' ft D ufpf tpDtpOf

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vlwi kd ;f twGur f sdK;yGm;r+qi kd & f musef;rma&; todynm

(,ltiftdwfpf) (UNAIDS) wdk@ucef@rSef;xm;yg rsm;pGmuwnf;uyif tmz&duwdkuf&Sd vlwdk hwGif onf// if;wd@k xw J i G f touf15 ESpa f tmufuav; AIDS a&m*g&SdESifh+yD;jzpfonf[k ,lq=uygonf// 1.2 oef;cef@yg0ifygonf// 15 ESpftxufa&m*gydk; AIDS a&m*gonfudk 1981 ckESpfwGif tar&duef di fY H pwifawG h &Sc dy hJ gonf// ta&;}u;D onft h csuf &So d r l sm;teuf 45 % rSm trsK;d orD;rsm;jzpfygonf? Eki rSm ,ckEdkifiHwdkif;wGif&Sdonfh rd@}uD;rsm;ESifh awm&Gm vG e f c J h a om ES p f a ygif ; ES p f q ,f u mv rsm;wGifvnf; HIV/AIDS a&m*g &Sa d e+yjD zpfonf? a&m*gpwifjzpfyGm;csdefrSpI 1999 ckESpfue k ftxd k ul;pufEi kd a f omenf;vrf;rsm;rSm AIDS jzif h a oqH k ; ol O D ; a&pk p k a ygif ; 16 . 3oef ; HIV yd; &Sy d gonf// 1999 ckEp Su f e kt f xd urBmay:wGif AIDS 1// a&m*gydk;&SdolESifh vdifqufqHjcif; a&m*ga=umifh rdbrJu h av;OD;a& 11 oef; ausmf+yD ( vdifwl / vdifuGJ ) 2// aoG;rSwqifh ul;pufjcif;/ jzpfonf// 3// a&m*gydk;&Sdaeaom udk,f0efaqmifrdcifrSoaE< H olrsm; om;&ifaoG;i,fokd u uae u h rBmay:wGif HIV yd;k ul;pufc& h ;l pufjcif;/ S touf 15ESpfrS 24ESpft&G,f . 50 % cef hrm vli,fv& l, G r f sm;jzpfonf// k ul;pufjcif; vdiq f ufqjH cif;rS HIV yd; ae p h Ofae w h i kd ;f touf 15 ESpf rS 24 ESpt f wGif;&Sdvli,f 7000 cef honf HIV ydk;ul;puf HIV/AIDS &S d o l E S i f h vd i f q uf q H r d y gu cHae&+yD;? wpfrdepfwGifvli,f 5 a,mufE_ef;cef@ k w f i G ;f odk h HIV yd;k 0ifa&mufvmEki dy f g ul;pufaeygonf// tm&SEi Sy hf pdzw d a f 'otwGi;f wGif oif.cE<mud, k ;f &yfpy f ;kd rsm; ESpfpOf vli,fOD;a&aygif; 7 odef;cef hrm S HIV ydk;ul; onf/ HIV [kac:aom ao;i,fonfh Adi onf vdifqufqHpOfa,mufsm;t*F grS xGufvm pufca H e&ygonf// aom okw& f nf ESihf t&nf=unfwkd w h i G f &Sa d eygonf? kd onf rde;f rud, k r f x S u G a f om t&nf HIV/AIDS rnfonfhtcsdefu pjzpfonf 4if;a&m*gy; h i Gv f nf;&Sa d ewwfonf// udb k ,fou l rStodtusrodyg// vGec fa hJ omESpa f ygi;f wdk w

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reproductive IA Che.pmd

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xda k =umifh HIV yd;k &Sa d om a,mufsm;ESiv hf i dq f ufqo H nf h rde;f rwGijf zpfap / a,mufsm;wGif jzpfap HIV yd; k ul;pufEi kd o f uJo h kd h HIV yd;k &Sa d omrde;f rESihf vdiq f ufqo H nf a h ,mufsm;jzpfap / rde;f rjzpfap HIV ydk;ul;pufEdkifygonf// txl;ojzifh tumtuG,fr,lbJ vdifqufqHbuftazmfrsm;olwdk@onf ydkI a&m*gu;l pufc& H Edi ky f gonf// aoG;rSwqifh HIV ydk;ul;pufjcif;
HIV/AIDS &So d x l r H S aoG;udo k i G ;f rdygu HIV

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w&m;r0ifonft h vkyo f rm;[lI r&Sd

HIV yd; k &So d . l toGiv f uQ%m

38

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HIV /AIDS

HIV/AIDS

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HIV /AIDS 39

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w&m;r0ifonft h vkyo f rm;[lI r&Sd

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18/09/2008, 10:59

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reproductive IA Che.pmd

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18/09/2008, 10:59

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