Before you say "I DO" 17

4/ obm0enf;rsm;udk oHk;íumuG,fjcif; (Physiological)
 
bmoma&;t&? ,Ofaus;rIt&? vlrIa&;t& aq;oHk;pGJrI? Mum;cHypönf; toHk;jyKrIudk usifhoHk;vkdU r&wJh pHkwGJawGtwGufawmh obm0twkdif; udk,f0efr&atmif aeenf;awG[m tifrwef ta&;MuD;ygw,f/ 'Denf;awG[m vdifrSwqifhul;qufwwfwJh a&m*gawGudk umuG,f ay;Ekdifjcif;r&SdvdkU pdwfcs&wJh? wpfvifwpfr,m;pepf usifhoHk;wJh pHkwGJawGom usihfoHk;oifhygw,f/
 
okufrvTwfrD trsdK;om;t*Fgudk rdef;rudk,fxJrS Ekwf,ljcif;
(Coitus Interruptus -Withdrawal Method)
 
a&S;tusqHk; y#doaE¨wm;enf; wpfckjzpfNyD; urÇmay:rSm pHkwGJaygif; 85 oef; eD;yg; wpfcsdefr[kwf wpfcsdefrSm oHk;pGJcJhMuzl;ygw,f/ oaE¨wm;jcif;[m trsdK;om;&JU okufaumifawG trsdK;orD;rsdK;OeJU rawGU&avatmif umuG,fzdkUyJ jzpfwJhtwGuf 'Denf;[mvnf; tajctaewpfcktxd xda&mufygw,f/ txda&mufqHk; jzpfzdkUuawmh enf;rSefvrf;rSef &SdzdkU vkdygw,f/ enf;vrf;wus usifhoHk;Ekdifr,f qdk&ifawmh 'Denf;[m trsdK;orD;oHk; Mum;cHypönf;awGavmufudk xda&mufrI &Sdw,fvdkU wcsdKUpmtkyfawGu qdkygw,f/ aq;ynm&Sif tawmfrsm;rsm;uawmh 'Denf;udk pdwfcs&rI enf;w,fvdkU qdkNyD; oabmrusMuygbl;/
 
ta&;MuD;wmuawmh trsdK;om;[m okufrvTwfrDrSm rdef;rudk,fxJu z,f,lNyD; rdef;rudk,f twGif;a&m tNyifyg vGwf&muRwf&mrSm okufvTwf&ygw,f/ rdef;rudk,f tNyifbuf trsdK;orD; t*Fgay:rSm usoGm;&ifvnf; pdwfrcs&ovdk okuftenf;i,f twGif;rSm xGufoGm;&ifvnf; pdwfrcs&ygbl;/ 'gaMumifhrkdU 'Denf;udk oHk;r,fqdk&if udk,fhudk,fudk,f xdef;csKyfEkdifwJh tawGUtMuHK&SdwJh trsdK;om;awGrSom pdwfcs&ygw,f/
 
wcsdKUuawmh trsdK;om; txG#ftxdyfra&mufcifrSm okuf&nfxGufwmrsdK;vnf; &SdwwfwmrdkU 'Denf;udk wrsdK;wnf; pdwfcspGm oHk;oifhwJh enf;r[kwfbl;vdkU ,lqMuygw,f/ 'Denf;ukdoHk;wJh pHkwGJwcsdKU (txl;oNzifh trsdK;om;awGrSm) pdwfauseyfrI avsmhenf;Ncif;vnf; &Sdwwfygw,f/

EkdUwkdufrdcifrsm; &moDray:Ncif;
(Lactational Amenorrhoea Method)
 
EdkUwkdufrdcifawGrSm udk,f0efr&EkdifwJh taMumif;t&if;uawmh trsdK;orD;&JU ZD0u®r jzpfpOfwpfckygyJ/ uav;i,f EkdUpdkUvdkufwkdif; rdcif&JU udk,fcE¨mxJ EdkU&nfydkxGufapwJh y&dkvufwif (Prolactin) qkdwJh a[mfrkef;wpfrsdK; xGufvmygw,f/ ('gaMumifhrkdU tarEkdUwkdufaewJh rdcifawG EkdUrxGufbl;vdkU aNymvm&if... rsm;rsm;wkdufzdkUeJU qufwkdufzkdU tm;ay;Muwmyg/ rdcifEkdUqdkwm wkdufav-xGufav NzpfwJh obm0 &Sdygw,f/) y&dkvufwif a[mfrkef;[m rrsdK;O a<uwJh NzpfpOfwavQmufrSm tqifhqifh vdktyfwJh Gonadotrophin Releasing Hormone(GnRH)? Luteinizing Hormone (LH) eJU Follicle-Stimulating Hormone (FSH) qdkwJh a[mfrkef;awG xGufrvmatmif wm;qD;ay;Ekdifygw,f/ 'DvdkrsdK; a[mfrkef;awG tqifhqifh rxGufvmEkdifawmhwm&JU &v'fuawmh trsdK;orD;rSm rsdK;Ora<uawmhbJ &moDvnf; rvmawmhwmyJ Nzpfygw,f/ rdcifEkdU wpfrsdK;xJ wkdufauR;wJh trsdK;orD;awGrSm rD;zGm;NyD; yxr 6 vtwGif; &moDay:cJhr,f qdk&ifvnf; trsm;aomtm;Nzifh rsdK;Ora<uwJh &moDvmNcif;rsdK; (Anovulatory Menstruation) NzpfNyD; rsdK;O ra<uwJhtwGufaMumifh udk,f0efr&Ekdifygbl;/
 
urÇmUusef;rma&;tzGJU (WHO) &JU avhvmrI ppfwrf;t& wNcm;oaE¨wm;enf;awG roHk;wJh EkdUwdkufrdcifawGrSm yxr 6 v twGif; udk,f0ef&oGm;EkdifEIef; 0.9 - 1.2 % yJ &SdNyD; ? wpfESpftwGif;rSmawmh 7.4% &Sdvmwm awGU&ygw,f/
 
'Denf;udk oHk;wJh rdcifawGtwGuf ta&;MuD;wmuawmh umvwavQmufvHk;rSm uav;i,fudk rdcifEkdUwrsdK;wnf;yJ wkdufauR;&rSm Nzpfygw,f/ uav;i,fudk wjcm; NznfhpGuf tpm;tpm auR;cJh&if uav;&JU EkdUaomufEIef;eJU tMudrfta& enf;oGm;NyD; rsdK;Ora<uatmif xdef;xm;EkdifwJh ZD0u®r NzpfpOf&JU xdef;csKyfrI tm;enf;oGm;EkdifvdkUyg/ (vkyfief;cGif 0if&wJh rdcifawGtwGufvnf; tqifrajyvdkU usifhoHk;vdkU r&ygbl;/) aemufwpfck owdxm;&rSmuawmh &moDay:cJhr,fqkd&if rsdK;Ora<uwJh &moDvmjcif;rsdK; NzpfEkdifayr,fhvnf; vHk;0MuD; pdwfrcs&EkdifwmrdkU wjcm; ukd,f0efwm;enf; wpfckck oHk;zkdU vdkaumif;vdkygvdrfhr,f/
 
udk,f0efwm;enf; wpfcktaeeJUawmh rdcifEkdUwkdufauR;wJh udk,f0efwm;enf;udk yxr 6 vxufydkNyD; rusifhoHk;oifhygbl;/ aemufxyfukd,f0ef vHk;0r&vdkol trsdK;orD;awGudkawmh q&m0efawGu yxr 3 v tukefrSm pdwfydkcs&r,fh enf;wpfckck xyfNyD;oHk;zdkU tMuHay;Muygw,f/

Credit : Dr. PuuKaung (NativeMyanmar)