Before you say "I DO" 12

2/ a[mfrkef;aq;rsm; aomufoHk;Ncif; (Hormonal)

a[mfrkef; xdk;aq;xdk;Ncif;
'ufydk ac: (3) vcH aq;

NrefrmEkdifiHrSmawmh 'ufydkxdk;w,f? 'ufydkxdk;w,fqdkNyD; emrnfMuD;ygw,f/  Depo-Provera qdkwJh emrnfeJU NzefUa0wJh 'Daq;xJrSmawmh  Depomedroxyprogesterone Acetate qdkwJh vlvkyf y&dk*sufpwif a[mfrkef;trsdK;tpm; 150 rDvD*&rf yg0ifygw,f/ <uufom;xJxdk;&wJh aq;rsdK;NzpfNyD; wifyg;<uufom; (odkU) vufarmif;<uufom;awGrSm 3v wpfMudrf xdk;&ygw,f/ wpfESpftwGif; trsdK;orD; 100 rSm 3 a,mufyJ udk,f0ef&Ekdifacs&SdwmrdkU pdwfcs&wJh oaE¨wm;enf;awGxJrSm 'ufydkxdk;aq; vnf;ygygw,f/ omrmefvlawG odyfrodwJh tcsufwckuawmh 'ufydkxdk;aq;udk wm&SnfoHk;pGJr,fqkd&if Endometrial Cancer vdkUac:wJh om;tdrfeH&Huifqm wrsdK;udk 80% txd tumtuG,fay;Ekdifygw,f/ 'ufykdxdk;aq;awG[m ae&mr[kwfbJ tufwdk;ypf oaE¨wnfNcif;ukdvnf; umuG,fay;EkdifNyD;? aoG;tm;enf; a&m*geJU (Pelvic Inflammatory Disease -PID) vdkUac:wJh  trsdK;orD;awGrSm NzpfwwfwJh a&m*gwpfrsdK; tNzpfEIef;awGudkvnf; avsmhenf;apygw,f/
 
aq;&JUtm;enf;csufwckuawmh t&kd;awG&JUodyfonf;rI (Bone Mineral Density) usapygw,f/ 'DtwGufaMumifh 'ufydkxdk;aq;xdk;wJh trsdK;orD;awG (txl;oNzifh toufi,fpOfuwnf;u xkd;aq;poHk;olr,fh trsdK;orD;awG? aq;udk wm&SnfoHk;r,fh trsdK;orD;awG) [m u,fvfpD,rf (Calcium) aq;Nym;awG aomufzdkU vkdtyfaumif; vdktyfygvdrfhr,f/
 
y&kd*sufpwifaq;awG&JU xHk;pHtwkdif; yxr poHk;pOfumvrSmawmh &moDyHkrSefr[kwfwmudk MuHK&Ekdifygw,f/ aq;xdk;wm Mumvm&ifawmh trsdK;orD;[m &moDvHk;0rvmawmhbJ &yfoGm;wmrsdK; Nzpfavh&Sdygw,f/
 
'ufydkxkd;r,fh trsdK;orD;awG odxm;oihfwmuawmh aq;&JUtmedoif[m aq;NzwfvdkufNyD; tawmfMumwJhtxd &SdaeEkdifwmrdkU aq;NzwfNyD; 10 v- 1 ESpf MumwJhtxd uav; r&wwfygbl;/ oaE¨wm;aq;udk aq;NzwfNyD;csufcsif; uav;,lcsifwJh pHkwGJawGoHk;zdkU roifhawmfygbl;/ vlajymrsm;wJh jyóemwcku xdk;aq;xdk;NyD; uav;r&awmhbl;qdkwJh tcsufyg/ trSefawmh uav; r&awmhwm (NrHKoGm;wm) r[kwfygbl;/ xkd;aq;udk Mum&SnfoHk;xm;zl;wJh trsdK;orD;awG&JU 70% [m aq;&yfNyD; 12 v twGif; uav; &oGm;EkdifNyD; 90% uawmh 24 v twGif; uav; &Ekdifygw,f/
 
a&S;,cif okawoeawGt& 'ufydkxdk;aq;udk a&G;cs,fwJh trsdK;orD;awG[m aq;udk wpfESpfMum oHk;pGJNyD;csdefrSm udk,ftav;csdef 5 aygifavmuf wufvmw,fvdkU qdkMuayr,fh aemufydkif; okawoeawGuawmh aq;aMumifh ododomomMuD; udk,ftav;csdefwufwm rawGU&bl;vdkU aNymMuygw,f/ (ckcsdeftxdawmh udk,ftav;csdef wufw,f? rwufbl; qdkwJh udpöudk okawoe vkyfolawG tcsif;csif;Mum;rSm tNiif;yGm;aeMupJ Nzpfygw,f)/
 
(1)vcH xdk;aq;
 
ESHUESHUpyfpyf &SdwJholawGuawmh 3 vcH aq;tNyif 1 vcH aq;vdkU tNyifrSm aNymaeMuwJh aq;taMumif;udk Mum;zl;ygvdrfhr,f/ 'Daq;awGuawmh tay:u 'ufydkaq;awGrSmygwJh y&dk*sufpwif a[mfrkef; 25 rDvD*&rfeJU Estridiol Cypionate vdkUac:wJh tufpfx&dk*sif a[mfrkef; 5 rDvD*&rfudk aygif;pyfxm;wm Nzpfygw,f/ urÇmUusef;rma&; tzGJU  WHO uxkwfwJh wHqdyfuawmh Cyclofem (odkU) Cyclo-Provera qdkwJh emrnfeJU Nzpfygw,f/ tar&duefEkdifiHrSmawmh Lunelle qdkwJhemrnfeJU vlodrsm;ygw,f/ vpOf obm0twkdif; &moDvmNyD; yHkrSef NzpfwmaMumifh wpfvwpfMudrf xdk;&wJh aq;Nzpfayr,fh a&G;cs,f oHk;pGJzl;wJh trsdK;orD; awmfawmfrsm;rsm;u wm&SnfoHk;pGJzdkU qufNyD; a&G;cs,favh&Sdygw,f/ ab;xGufqdk;usdK;awGeJU aqmif&ef a&Smif&efawGuawmh tufpfx&kd*sifeJU y&dk*sufpwif 2 rsdK;aygif; aomufaq;awGeJU xyfwlavmufygyJ/

Credit : Dr. PuuKaung (NativeMyanmar)