Èklg wfma rg ;=< idmrdë .íidjka oyila‌` újdyl ;reKshkao .íidj,g ,la‌ ùfï jeä m%jK;djla‌

.íidjla‌ hkq l=ula‌oehs m<uqj úuid n,uq' .¾N” jQ .¾NdIh ;=< we;s .¾N o%jH bj;a lsÍu ke;fyd;a bj;a lsÍug ;e;a lsÍu (Removal/Evacuation) .íidjla‌ f,i ye¢kafjhs' fuys § .¾NdIfha mj;sk .¾N o%jH iïmQ¾Kfhka fyda fldgila‌ fyda bj;a lsÍu isÿ l< yelsh' 

Y%S ,xldfõ oKa‌v kS;s ix.%yfha 303 isg 307 ola‌jd j.ka;s fjka ù mj;skafka .íidj fjkqfjks' ldhsl fyda udkisl f,i ujf.a Ôú;h oeäf,i wk;=rg m;aj we;s wjia‌:djl ;udf.a Ôú;h fírd .ekSfï mru wruqfKka Y%S ,xld ffjoH iNdfõ ,shdmÈxÑ ffjoHjrhl=g myiqlï we;s frday,l § .íidjla‌ lsÍug (Therapeutic) Y%S ,xldfõ kS;sh bv i,id we;' fï yer wka iEu wjia‌:djla‌u kS;s úfrdaë f,i ie,flhs' 

ffjoH úoHd;aulj yd wêlrKuh lghq;= i|yd .íidj wdldr follg w¾: oela‌fjk njo i|yka l< hq;=h' .¾Nhg i;s 28 iïmQ¾K ùug fmr .¾N o%jH bj;a ùu fyda bj;a lsÍu .íidjla‌ jk w;r" i;s 28 ;a" Èk iïmQ¾K ùu;a w;r ld,fha § .¾N o%jH bj;a ùu fkdfïrE ore Wm;la‌ (Premature delivery) f,i ffjoH úoHdfõ ye¢kafjhs' tfy;a wêlrKuh jYfhka .¾Nhg Èk iïmQ¾K ùug fmr ´kEu wjia‌:djl th bj;a ùu ^ld,h n,fkdmdhs& .íidjls'

.íidj j¾. follg fnod fjka l< yelsh' 

1& ks;e;a .íidj (Spontaneous)

ldka;dfjda .eí .kakd wjia‌:dj,ska 15] ) 20] w;r m%udKhla‌ ia‌jdNdúl f,i .íidùï j,g ,la‌fj;s' l,,fha hï widudkH;djla‌ ksid fyda ujf.a hï widudkH;djla‌ ksid fyda fufia ia‌jdNdúl .íidjka isÿ fjhs'

2& fma%ß; .íidj (Induced)

hïlsis ndysr ueÈy;aùula‌ ksid we;s jQ .íidjla‌ fufia y÷kajk w;r" fuh Ñls;aiSh fyda idmrdë f,i isÿ l< yelsh' ujf.a Ôú;h fírd .ekSug isÿ lrk .íidj Ñls;aiSh .íidj jk w;r" tfia fkdjk iEu wjia‌:djla‌u idmrdê .íidjla‌ f,i ye¢kafjhs' 

ixfiapkfha m%;sM,hla‌ f,i ieliqKq ore l,,h .¾NdIfha ì;a;shg iú jk w;r" fuh ore ms<sis| .ekSuls' fuys § l,,fha .¾NdI ì;a;shg iú jk fldgi;a" .¾NdI ì;a;sfha Bg iú jk wdikak ia‌:rh;a tla‌ ù jeoEuy fyj;a l,, nkaOh ks¾udKh fjhs' uj iy l,,h w;r fmdaIH o%jH .uka .kafka fï jeoEuy Tia‌fiah'

ia‌jdNdúl .íidjka jeä jYfhka isÿ jkafka m<uq udi ;=k we;=<; §h' fuys§ isÿjkafka .¾NdI ì;a;sh iy jeoEuy w;rg reêrh .,d tauhs' fuys m%;sM,h f,i .¾NdI ì;a;sh yd l,, nkaOh w;r in|;dj ì|jefghs' l,,fha fmdaIKh ì|jeàu ksid l,,h ñhhhs' jykh jk reêrh .¾NdI l=yrh ;=<g m;s; ù" fhdaks ud¾.h yryd msg;g .,dhhs' fï wkqj .íidjl uQ,sl ,la‍IKh reêr jykhhs' 

l,,fha j¾Okh w;aysgqjQ úg .¾NdI ì;a;sh rgdjlg ixfldapkh yd bys,aùu isÿfjhs' fuuÛska fõokdjla‌ we;sjk w;r fuys m%;sM,hla‌ f,i .eíf., újD; ù leg jYfhka ^Clots& l,,fha fldgia‌ bj;a ù hhs' 

jeoEuy yd .¾NdI ì;a;sh w;r in|;dj reêr .,kfhka ì| jegqK o we;eï úg th l,,fha fmdaIKhg n,fkdmdhs' fï ksid fhdaks ud¾.h yryd iq¿ reêr jykhla‌ isÿ jqj o th l,,fha bÈß j¾Okhg ndOdjla‌ fkdfjhs' fuh ;¾ckSh .íidj fyj;a Threatened abortion f,i ye¢kafjhs' iuyr wjia‌:djkays § ñh hk l,,h .¾NdIh ;=<u mj;shs' fuh Missed abortion f,i fyj;a uÛyereKq .íidjls' fuh miqj ia‌jdNdúl f,i YÍrhg Wrd .ekSu isÿfjhs' 

ldka;djka .íidjg ,la‌jk ld,h wkqj tuÛska ujg isÿjk ydksh fjkia‌ jk nj fmfkhs' idudkHfhka .¾Nhg i;s 8 ;a 12 ;a w;r ld,fha § ldka;djka .íidjkag ,la‌jk w;r fuu ld,h jeäj;au ujl .íidjla‌ lr.; fyd;a wêl f,i reêrh jykh ù uj o ñh heug jeä wjia‌:djla‌ mj;shs' 

ixi¾.h isÿù m<uq meh 48 we;=<; fm%dfcia‌gfrdaka wêl f,i wvx.= T!IO ,nd§ .íidjla‌ isÿ lsÍug bv i,ik w;r" fï l%uh o wid¾:l jk wjia‌:d mj;shs' idudkHfhka l,,h j¾Okh wdrïN jkafka ixfiapkfhka Èk oyhla‌ .; jQ miqjh' l,,h fyd¢ka y÷kd.; yela‌fla i;s kjhla‌ .;jQ miqjh' fï ksid wkdrla‍Is; ,sx.sl tla‌ùï j,g ,la‌jkakka" ;ukag orejl= ms<sis|f.k we;s nj oek.kafka i;s lsysmhla‌ .;jQ miqjh' ffjoHjreka yuqjg meñfKk ldka;djka ;uka .eíf.k we;s nj ir, uq;%d mÍla‍IKfhka ^HCG test& oek.;a úg Tjqkaf.a by fud< r;ajkafka tneúks' 

idmrdë .íidj'

fï ,smsfha uqLH wruqK idmrdë .íidjla‌ .ek úuiSu ksid oeka ta ms<sn|j wjOdkh fhduq lruq'

Y%S ,xldfõ .¾N” ujqjreka jeä u m%udKhlg urKh fyda frda.dndO <Ûd lrk iq,n wjia‌:djla‌ f,i idmrdë .íidj y÷kajd Èh yelsh' wújdyl ;reKshka" ueo fmrÈ. úfoaY /lshdjkag fhduq jQ újdyl fyda wújdyl ;reKshka" weÛÆï l¾udka;Yd,d wdY%s; /lshdj, kshqla‌; jQjka jeä jYfhka fufia .íidjkag fhduqjk nj fmfkhs' fm!oa.,sl Wmldrl mx;sj,g ;reKshka jeä jYfhka keUqre ùu;a iuÛ" furg ldka;djkag n,mE oeä kS;sÍ;s ,sys,a ùuo fuhg ;j;a fya;=jls' fuys m%;sM,hla‌ f,i kd.ßl mßirfha iqrx.kd f,dalj, w;rux jk ;reKshka wkshï" wkjYH .eí .ekSï j,g ,la‌ùu by< f.dia‌ we;'

flfia jqjo óg udi lsysmhlg fmr mjq,a fi!LH ld¾hxYh ^FHB& ksl=;a l< mqj;am;a ksfõokhl ola‌jd ;snqfKa újdyl ;reKshka o jeä jYfhka .íidj,g fhduq jk njhs' Y%S ,xldj ;=< isÿjk idmrdë .íid jeäu m%udKhla‌ lr .ekSug kS;Hkql+,j újdyl wUq ieñhka meñfKk nj fy<s ù we;' ,smsh wdrïNfha § i|yka flrefKa o tjeks ksoiqkls' 

ia‌:djr mjq,a miqìula‌ fkdùu" wd¾:sl .egÆ" orejd /l n,d.ekSug flfkl= ke;sùu" uj /lshdjla‌ l< hq;= ùu" uj úfoaY.; ùug fyda Wiia‌ wOHdmkh yeoEÍug kshñ;j isàu jeks fya;= fuys§ wUq ieñhka úiska f.kyer mdkq ,nhs' jrla‌ .íidjla‌ lrjd .ekSug ;u f,a,sh /f.k tkq ,enqfõ kekaoïud úisks' fï bkak orejka n,d.kafka uu" ug TÉpr mK keye orefjda fokafkla‌ n,d.kak' wfka fvdla‌g¾ ÿjf.a orejd ke;s lr,d fokak' f,i weh b,a,d isáhdh' 

;j;a orejl= yod jvd" /ln,d .ekSug iQodkï fkdue;s ^Unplanned pregnancy& wjia‌:d j,§ fufia újdyl hqj< idmrdë .íidjkag fhduq jk nj fï wkqj fmkShhs' 

udia‌ Yqoaêh jrla‌ isÿ fkdjqK ldka;djl ffjoHjrhl= yuqjg meñKs miqj weh .¾N” oehs ia‌:sr jYfhkau oek.ekSug uq;%d mÍla‍IKh ^HCG test& wksjd¾hfhka u isÿ l< hq;=h' tfia isÿ fkdlr wehg m%;sldr lsÍu" .¾N fldgia‌ bj;a lsÍug lghq;= lsÍu" kS;s úfrdaë f,i ie,flhs' 

idmrdë .íidjl § isÿ lrkq ,nkafka .¾NdIfhys ì;a;sh iy l,,h w;r mj;sk in|;dj ì| jefgk wdldrhg reêrh jykhla‌ isÿùug l%shdlsÍuh' fï i|yd ;shqKq fyda fudg wdhqO fhdod .efkhs' fldKa‌vd lgq" l;=re lgq" f¾kao f.d;k lgq" l+vj, kK wdÈh fuhg ksoiqkah' óg wu;rj hlv le;Sg¾" tkak;a WmlrK wdÈh o fhdod.efkhs' 

Y,Hd.drhla‌ ;=< w;sYh ÔjdKqyß; ;;a;aj hgf;a .íidjla‌ lsÍug jvd idmrdë .íidjl isÿ lrk ia‌:dk ud¿ fjf<|i,la‌ fuka wmsßisÿ úh yelsh' 

we;eï wjia‌:dj,§ rn¾ le;Sg¾ ud¾.fhka" .¾NdIh ;=<g inka j;=r" fjk;a úI ridhk j¾. we;=¿ lsÍu o isÿ flfrhs' óg wu;rj trඬq kgq ^Caster stem& .¾NdIhg we;=¿ lsÍu o isÿ lrhs' 

fï ish,af,a wjidk m%;sM,h .¾NdIh yryd reêr jykhla‌ isÿùu" .¾NdIh isÿre ùu" .¾NdIhg W.% úI we;=¿ ù frda.shd ñhheu úh yelsh' we;eï wjia‌:dj,§ wêl reêrh jykh ksid frda.shd ñh hd yelsh'

iuyr wjia‌:dj,§ Wm;a md,k WmlrK we;=¿ lsÍu o .íid lsÍug fhdod .kshs' we;eï rdcH fkdjk ixúOdk uÛska mjq,a ixúOdk idhk f,i jxpksl f,iska idmrdë .íid uOHia‌:dk mj;ajdf.k hkq ,efí' fujeks ia‌:dk Èjhsfka m%Odk k.r /il" m%isoaO oekaùï iuÛ oel.; yelsh' tfy;a fujeks ia‌:dk jeg,Sula‌ fï ola‌jd isÿlr fkdue;'

idmdrdë .íidjka isÿ lrkafkda

jeä jYfhkau idmrdë .íidjka isÿ lrkakka w;r ffjoH la‌fIa;%hg l=uk fyda iïnkaOhla‌ mj;sk mqoa.,hka" úkakUq ud;djka" lksIaG fi!LH fiajlhka" úY%du ,;a fyÈhka" we;eï wdhq¾fõo ffjoHjreka m%Odkh' óg wu;rj iyldr yd ,shdmÈxÑ ffjoHjreka o ^AMP$RMP& fydr ryfia idmrdë .íidjka isÿlrk wjia‌:d jd¾;d fjhs' 

rcfha ,shdmÈxÑ ffjoHjreka iuÛ fiajh lrk T!IOfõ§ka fyda µduis ysñhka o iuyr idmrdë .íidjkag yjq,ah' óg wu;rj Y%S ,xld ffjoH iNdfõ ,shdmÈxÑ b;du iq¿ ngysr ffjoHjreka msßila‌ o fï mdm;r l%shdjkag yjq,ah'

ffjoH la‌fIa;%hg lsisÿ iïnkaOhla‌ fkdue;s" /lshd úhqla‌;sfhka fmf<k msßia‌ o" wu;r wdodhï ud¾.hla‌ f,i idmrdë .íidj f;dardf.k we;' we;eï ;%sfrdao r: ysñhka o fuhg ksoiqkls' Èjhsfka b;d m%isoaO idmrdë .íid uOHia‌:dk mj;sk w;r" k.rhg f.dia‌ ;%sfrdao r: ysñhl=g tjeks ia‌:dkhlg f.khk f,i mejiQ úg wdhdihlska f;drj tys <Ûdúh yelsh' fuys§ ;%Sfrdao ysñhdg o ixf;daIula‌ ,efnhs' 

.íidjka isÿlrjd .ekSug f.dia‌ th jerÿKq miqj ishÆ fokdgu meñ”ug isÿjkafka rcfha frday,aj,gh' nfnla‌ yïnfjkak ysáhd' oeka yji b|,d f,a hkjd' f,i fuh ia‌jdNdúl wdldrhg isÿjQ nj mjiñka fndfydafokd meñKsh o frda. b;sydih" frda.shdj mÍla‍Idj wdÈfhka f;dr;=re fy<sfjhs' 

idmrdë .íidjla‌ ;udu isÿlr .kakd ldka;djka o yuqfjhs' jeisls<sh ;=<g f.dia‌ .íidjla‌ isÿlr .ekSug ;e;al< ldka;djla‌ jrla‌ wêl reêr jykfhka tysu ñhf.dia‌ isáhdh' 

idmrdë .íidj yd ffjoH wdpdr O¾u

idmrdë .íidjlg ,la‌jQ ldka;djla‌ ffjoHjrhl= yuqjg meñKs úg" ta iïnkaOj lghq;= lsÍfï j.lSu tu ffjoH ks,Odßhdg mejfrhs' ;ud úiskau .íidjla‌ isÿlr .kakd ,o ldka;djka meñKs úg weh urKdikakj fkdisà kï" ta iïnkaOj fmd,Sishg fkdoekaùu jákd nj úfYaI{ ffjoH u;hhs' ula‌ksid o h;a ffjoHjrhdg wod< frda.shd fy<s lrk f;dr;=re wka whg m%ldY fkdlsÍug ffjoHjrhd iodpdrd;aulj ^Ethið& ne£ we;s neúks' 

fjk;a whl= úiska .íidjla‌ isÿlrkq ,en we;súg th oekqï §u isÿ l< hq;=h' fuh wod< ldka;djf.a wjirh we;sj isÿlsÍu jeo.;a jk w;r" iudc fufyjrla‌ f,i ldka;djf.a wjirh fkdue;sj jqjo fmd,Sishg oekqïÈh yelsh' tfy;a we;eï ffjoHjrekaf.a u;h ldka;dj wleue;s kï fuho fy<s fkdl< hq;= njhs'

;udf.a leue;a; we;sj fyda ke;sj .íidjla‌ isÿl< wjia‌:djl § fuhg úreoaOj kS;suh lghq;= isÿlsÍug mj;sk m%Odk ndOdjla‌ jkafka wod< ldka;dj meñKs,af,a idla‍Isldßhla‌ ùug ola‌jk wleue;a;hs' fïksid idmrdë .íid iïnkaO kvq úNd. w;ruÛ§ k;r lr oeóug isÿ fjhs' 

oekg Y%S ,xldfõ leìkÜ‌ uKa‌v,fha idudðlhl= jk kS;s úYdro uydpd¾h Ô' we,a' mSßia‌ ;udf.a )Tfµkaiia‌ wkav¾ o l%sñk,a fldaâ kï .%ka:fha i|yka lrk wkaoug 303 j.ka;sh Tmamq lsÍu i|yd .íidjla‌ isÿjk wdldrfha n,mEula‌ ldka;djkag lr we;s nj;a th lr we;af;a ujf.a Ôú;h fírd .ekSfï oia‌Ndjfhka fkdjk nj;a Tmamq lsÍug meñKs,s md¾Yjhg isÿ fjhs'

cmdkh" isx.mamQrej" ;dhsjdkh hk rgj, .íidj kS;sfhka ;ykï jk w;r" fydxfldx' ol=Kq fldßhdj" ;dhs,ka;h" n%s;dkHh jeks rgj, ujf.a Ôú;h fírd.ekSfï woyiska .íidjka isÿ l< yelsh' 

idmrdë .íidfõ wd§kj

idmrdë .íidfõ wd§kj wdldr lsysmhlg fnod oela‌úh yelsh' 

1& .íidj isÿ l< jydu isÿjk w;=re wdndO'

.íidj isÿ lrk w;r;=r§ fyda .íidj isÿl< jydu w;=re wdndO we;s úh yelsh' .íidj isÿ lsÍug fhdod .kakd WmlrK yryd YÍrh ;=<g jd;h we;=¿ ù" reêr kd< wjysr ùu ^Air embolism& inka j;=r ysrùu" fuhg ksoiqkls' 

WmlrK we;=¿ lsÍu yryd .¾NdIh isÿre ùu" fmkyÆ yels<S heu yd wêl f,i reêr jykh isÿúh yelsh' fujeks wjia‌:dj,§ frday,a.; lrk frda.shd wêl f,i iqÿue,s ia‌jrEmhla‌ fmkajhs'

úúO WmlrK .eíf.,g we;=¿ lsÍu yryd ta wi, mj;sk ia‌kdhq moaO;s wl%sh ùu urKhg fya;= fjhs' 

2& meh lsysmhlg miq fyda Èk lsysmhlg miqj'

reêr moaO;shg úIîc tl;= ùu iq,n w;=re wdndOhls' th SeÑis f,i ye¢kafjhs' frday,a.; jk fndfyda frda.Skag fufia WK" weÛm; fõokdj" iqÿue,s ia‌jNdjh mj;shs' fï ;;a;ajh W.% jQ úg reêr mSvkh wvq ù hhs' wjidkfha urKh je<| .ekSug isÿfjhs' wla‌udj" yDoh" jl=.vq" ma,Sydj jeks bkao%shkaj, mßjD;a;sh wvd< ùu fuhg fya;=jhs' 

3& i;s .Kkla‌ miqù we;s jk w;=re wdndO'

YÍrhg úI tl;= ùu" fmkyÆ wl%shùu" yDo wl¾uKH;d fuhg ksoiqkah' óg wu;rj h<s ore ms<sis| .ekSula‌ isÿfkdùu" wx. úl, orejka ìysùu" udkisl wd;;sh" iudc wmyrKh jeks wdndO o fkdi,ld yeßh fkdyelsh' 

.íidj kS;s.; lsÍu yd idmrdë .íidjka j<la‌jd .ekSu'

ujq l=i isák l,,hg o Wmka ñksil=g mj;sk udkj whs;sjdislï mj;sk njg oekg iudc u;jdohla‌ f.dvkeÛS we;s w;r" ta fjkqfjka fndfyda rgj, kS;s Í;s o ieliS we;' .eí.ekSu ldka;djlf.a fm!oa.,sl Ôú;h iïnkaO whs;sjdislula‌ f,i fndfyda rgj,a fkdi,lk w;r' tfyhka kQmka l,, rEm ixydrh idmrdë f,i ie,flhs' 

wújdyl ldka;djka' wkshï weiqrlska fyda n,y;aldrfhka fyda ¥IKhg ,la‌ù ore ms<sis| .ekSula‌ isÿjqjfyd;a tjeks wjia‌:dj,§ .íidjg bv§ tu ;reKshf.a wkd.;h fírd .kakjdo@ ie,iqï fkdl< .eí .ekSulska uj;a fírd § mjqf,a m%Yak we;sùu j<la‌jd .ekSug l%shd lrkjdo@ hkak ;ju;a újdÈ; .egÆjls' óg wu;rj bm§ug isák orejd fndfyda wx. úl,;dj,ska fmf<k nj oek.;a úg Tyq .íid lrjd .ekSug udmshkag whs;shla‌ mj;S o@ fï ish,a, ;ju;a iudch yuqfõ újD; wNsfhda.hkah' 

idmrdë .íidjka j<la‌jd .ekSug l%shd lsÍu" .íidj kS;s.; lsÍug jvd jeo.;a nj fmkShhs' rfÜ ;reK ;reKshka w;r fi!LH wOHdmkh m%p,s; l< hq;=h' fl;rï uqo%s; yd úoahq;a udOH mej;sh o ,sx.sl wOHdmkh ,nd §u ;ju;a iSud iys; ù we;' we;eï Wiia‌ fm< isiqka" .=rejreka fukau iriú isiqka jeks W.;a iudc fldgia‌ o fï .ek ksis jegySulska lghq;= fkdlrk nj fmfka' myiq Wm;a md,k l%u .ek ck;dj ;jÿrg;a oekqj;a l< hq;=h' idmrdë .íidlrejkag tfrysj kS;sh oeäf,i l%shd;aul úhhq;=h'

jirlg .íidjka 35000 la‌ hkq iq¿ ixLHdjla‌ fkdfjhs' fi!LH n,OdÍka jyd wjÈ úhhq;= ld,hhs fï' 

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