Professional Documents
Culture Documents
007 Abhisarika 04
007 Abhisarika 04
z#"` _"?
< ~ ~= z#qQ =<~. `# qOz 15 ~A~Ok. ~O` =~
_^. ~= z#qQ =#O^ =< _^O\~?
P~~.
[. z# ~=` _=h, ^"` =$kQ O\h J#H=@O XH
=. Jk "=O H^.
^ ~= H~ QO^ H< H= `" Z= LO_ Jq PH~}
OQ Hx
Hx Z= x==. z#~= J`kH QO H~ QO^ LO\~. =O
HQ< "\H ~# ~} `y#O` a H~ ^~ ~~.
g ~ _H=\xH H~}O ~# O H=K. H~ QO^
Ja=$k ^+O H=K. K Z _OK `eH J^ K
ZO_~ LO_K. P" Q |#OQ L< +H~ O` ^ _` L<,
H a_ e=@O P" ~+O H~< _=.
\.a. LOk.
<# O_ K<#. = 10 OII H`O o [iyOk. < ~ \.a. L#^x
_H~ K~. P"` H=_ ^<~. < _ =O^<~. ^O` <<"
q_ WK#. WO`=~ P" O_ KH^. < P^~_ LOk. P" q^
< = ^. =m `KO^=O> WC_ q_eK# H|\ " `O_
`eOK`~, `e=~ Jx =` <# `^. < ~ "~ O_ KH^.
*.a. x~
[. g ~ \.a. LO^x q_ eK~ Qx "^O K~OK~? P \.a. "k g
=z LO_ g ~ q=e =ke~ LO> g =# HaOK^ TOK~? \.a.
+O@x ` H#H P"# _\xH Z=~ =O^HK O K LO_~.
W\H < g P" H"x JxOK@O O`+O. P" *e` o K HHO_.
^Q XH~HO |`H J"@_# P" rq`O =m `# ~#@=`Ok.
'P" =#~ = LO> =`O `O_ o KHO_. #=H"# =^=~
^~ P" `O_H H|~K K_O_. `i rq`O =m =O`O "eq~O^O>
U `O_ O`+OK_? uOK@O = gHz# #+=, J==#= Ug ^.
H^, =<~ J#HO_. P" q_e=@O ^~, JH O K @O ^~ g~"
HeyOz# H, ^YO =O^ g HeQ J==#"O`?
JOQxH iOQ
< = 30 OII. ~ 13 OII. 6 < #Oz < eOQxH "^\ iOQ
"Hx ~u y<#. JO^=# g~ #O JH _ =~ 50 H#
~u KQ`<#. < ~ _ Q `$ HQ`Ok. iOQ "< ~u
K=O@#k. J eOQ=# iOQ "O> U"< J=?
H~
=O@ =O@
<# +=ux J~ 3 O=`~=. < < |+ J~#_ qs`OQ H_
< =Ok. J 3 ~A =Ok. " 5,6 ~A J=`Ok. W Jx = J=`
K< \OKH^. D =^ 5 < H`O < = == ` o J~Ok.
~# 5= ~A# ==e He~. Hx 7 ~A HHi KC# <# ==
He#_ x <Q =O@Q =O@Ok. J 2,3 ~AO@Ok. =^O@<
= == XCH_. P >= < ^ Q "H =^xOk. x ^~^,
< =O@Ok. |+ H_ < = POQ _`~x JO@ <~. Hx
P#H O> K ~+O. D = Qi <# KgH J~` <#. <
= K|`~ H^!
XH ^i
[. |` =O H_ <H ~H~ H H~}O\=. ~# K`Q
H=K, uH_ "k LO_@O H=K. KCH^Q H~}O Uq LO_H# =K.
XHi Q#HlH KOKO> =O^ ~~.
~u =O x =O@ H~}O ^~}OQ x `_ KH=_O
Hx, u H_ e "k Hx H~}==`Ok. nx _ Q#Hl =O^`
`eQ Q_`~. "^ q x HO qi^~ [#<OQ *~_ ^~O x
~u O> =O@ LO_^.
q == (~) q~ He = K~}# $+ ~O, }H K^=O_.
K_O^?
~ <# 6 OII@ J~ ^ LO_ WO_ =z o K<#. 4 <
L<#. oH =O^ J#=O uQ ^. Hx H K Kk"#. <
~=Oz ~HO
+O@ = 35OII . O`#O ^. P" < ~O_ =_ ~A
~=Oz ~HO KH =<@. P" K =O^ "_Ok. `Q^. D
= i~"q\?
H~.
[. < U ~A ~H KH =< P"# Q=xOK=x K O_. |`KHO
=^ J#Q |+ 1314 ~A =O^ =# @~` P =O P" s~O
JH`Q OqOK ~# =~ = J [~Q`# ^#H=K. nxH zH`
J=~O ^.
J HH` Jk ~= H#~ J~ LO@Ok. ~=H H#~ H` ~=
^~}OQ Q_ _ U~_`~. Hx QO^ <oH H H #~ Ju H OQ
LO@Ok (Papilloma of ducts). nx =`O ~=Q_ U~_=. Uk H~}" _H~K
sH K~OKx `Q zH` fH=#O_.
K#"# Q@O= _ HkQ ~HO ~=@O [~Q`Ok.
"O`... "O`
P~! XHH H <`# #O_ _e=i J=~ U P~O f< "O`
J=`<~, (_H~ =O^ "_<) P P~Q iu Z LO@Ok? `e
f< P~O, Qe q^< P^~_ L# Q~Ox t= Qu Uq H"e? WO\
K J~^Q LO\~. _e=i J =~ "O` J=\xH =Y"# H~}O
Uq\? WO\ qiK Uq\ KQ~#.
P~.Z.708.
[. ==HO> Z=Q "O`, u#^n W=_H` Jk =^"! JO\
+O@# iQ _H~ O~H}< LOKe. ^ @ LOK@O =Ozk. Q~O
^iOz# "O@<Hx Hk"~Hx P_"O^iH H_ uC@, "O` ("q)
"^=`~. ^@
" u@O Z=Q LO@Ok. u#^O` HH H=@O [~Q^ .
Wk == P_" OQu.
HO^iH q~ K# +O@ iu WOH f=OQ LO@Ok. =Ozh
`y< "Ou J~`Ok. H#H __+<, H `e=@O, |~= H=@O
[~Q`~. J ZO^ [~Q`On JO> XHH~ XHH K|`<~.
"`Oq^ Q~O ^iOK@O= XO\ OqOK J<H ~H ~xH =~H s~O
Z_ HH `O^h, JO^H "O` HQ`<h KC H=K. #~ (#~
|#`) L# Z=Q nxH #=`<~.
r~H O|O^"# "^, Hx JO@~Q, "^_H, "^_ ~H H#
"^ _ D iu `z> J=HO LOk.
Ju==<xH H~=*<, W`~ UO\ "< Q< xK~. H= Z=Q
LO_ ^~ `yOz H~_@ Z=Q LO_ ^O ^~, , ~
fH"e. s*= =Ozk. \*", x=H T~Q =Ozq. =|^O
Q~=` [O H#H ^x =O _ HO` LO@Ok. P ^ O_ *Q`
_e. Ju==#O =s Z=Q LO> L=#H~ "_=K. =O^ =O a_
q^O@Ok =. JO^= O` "^O =`O Z\ i`# xH ~^.
D Ju==#O (hyperemesis) zH`H OQO_ Z=HO H#y` P
s~Ox O_ ^~ x, P H= x Hey~ ~HO q+^ ~ K~ `~.
P Q|Q |~= `y`Ok. K~=, Z=H ` HO_^xOK
`~=`Ok. JO`^H ~x=_^. =zO^ @ K~eO^. JH_ _H~
J#O =xOz ~ O_~A@ # , QH A ZH~ . +O@ "O@< HO@Ok.
P# ~ s *= "^# "\` "^\ H"} =m P~OH
kOK`~. }=^ i`
= P Q~x `yOK< _H~ `e }x H_`~.
WO\^Q~ W"g gH=.
=O
Q=^ a =z# "iH g~H} `~ H=x "~. Hx < z#C_
=O (Q=^ a) =z#q. q HO Kk"H O " > K~OK<#.
g~O H} L<x `eOk. q~ J "~q?
ZO.P~, #O@.
[. =O "k (Q=^ a) q =$+} H LO_H=K. H< XH"
c*xH =`" H LO_=K#. ^ =#O HH O H LO_=K#.
HO^iH "k ` = ~ H g~H}`u ^|u#@O [~Q^ . JO@_ g~`u
==QQx HkQ `= ~ Hx LO@Ok.
~H` =^=?
= J~H 18 < =. ~== j~O K~O "#H =_O ^O_.
=O^ =O^ ~= `O^ H zH` K~OK `Q~.
OQ~.
[. z# ~K~O JOQj~xH JO@< LO@Ok. HH=O ^#O`
J^ =O^ "#HH [~Q`Ok. =#O =K^H ^x HO^ z K~^ H|\
K~x "#H y O Ke# J=~O ^. z# J Q@O =Ozk
H^.
: U _H`O < q" =~Ok. o <\H < = 26. < ~ =
22 OII. = , | =<~. < ~ ~H#` LOk. WO\ "= #Q~"
=O@<O. `"i zOk "^ ~u x^ =~ U^ XH x HeOKHx
K< LO@Ok < ~. Hx _H\O\< =. < ~}# `K`Ok.
WC_^<, x^~ =OKHO^<, X <C< W ^ XH H~}O K
^@"Ok. <HHi HHO@<=. Jk _ < |=O`O<. "e`< H
~===`< P" `$ J=~ ~#. ~="x eHO\
xKO^ XCH^. |> e OK =O@Ok. |=O`= eHO\ xKO^
XCH< # =O |@ f=O@Ok. ZO^HO> ZH_ Q~O
=KO^#x =@. <# @O| xO`} P~+# KO\#O> =^ <#
K~OKO\# =Q"~ K~OKO> #|_`~x, Uh K g H^h J#k.
P~+< QiOz q=iOK#. =Q"iHO` OQ P~+< K~x JO^= Un
`O^~ H^x, WOHH\ h= ~H#`` ^_`<=x W Z< q^Q K
K# Hx P" XCH^. D"< XOK q~ KO_.
= J~H 15= < xO_# `~"`, K# xe"O^ _H~# HHx
^ =` fOk. J\ #O_ =H* K z#"~. =H*
iQO^ UO K KO_.
^x< < =#O_@O ^. UHQ` Z Ja=$k KH=K `Q~.
~ O_=_ < #O_ <HH K_ J"@ J=_Ok. < H ^~Q Z=~< P_"~
=O> "i =H* =OH K_@O, `~"` < ~ =H*` sA KH=_O
J"@~Ok. Wk K_ J"@x `e_ K<#. nx< =#H"e?
Z..,
[. nxHO` ^~O PzOK, ``eH Q~x~^ q^< \ ik
H^! P" \OK=K, ^ q~ x~^ =O\ `_Q "_=K ^ P"
'@_ =O\ x =` "_H=K. WO^ Uk \Oz< q = fik
H^!
@O| x`} P~+# q+xH q~ K~OKH=@" =Oz^# q
JaO` UHq <=. @Hq HO> "Hg = HO> =Q"_
`~Q HO\_ Q q ~ _ `#@ q~q #|_~. JQ q
H =~Qx, =~xHQx OQO "\^. J~ \ U}~O J~Ok
H#H =~ 6 < Py q~ "Hq K~OKHO_.
P" ~= q+O : e=@O =<# "O@< ~= XHiQ z#=~
`~. =m H"} == AH =~. D =^ HO P" +H~"#
P~O uO@ "= _ Ke. (K_O_ : +=O)
~~ ~=H q~ `^HOQ K LO> " ~=t~# H=^.
JOKO\~. q QiOz AQ` =\_O\~. H#H P x =<O_.
^$+ ~=q^ _# =~H}O H uCH=@O J=~K HO_. J
iu Hx `KH=^.
~E ~O_ @ }=O KO_. UHQ` kOK_xHk KH\ =~O.
''QzH` Kkq q =# q~ J^ Z OkOKH" `HO_.
#"x
< 8 < H`O #"x =z `yOk. J\ #Op JOQO OaOK_O ^.
ZC_< XHi OaO^"! #"x =< #O\~? #<q K=O\~?
<# #O} =`O H^. |Kix.
.,
[. #"xH H O|O^" q ^ |, P PK# =#Oz `_K~ .
h JOQO#O J^ =Ok. #O_q H=# n= hOk H^. JkK. J=~O
=z#C_ JOQO ^#O`@ J^ OaOk.
c[O =
< = 18 OII. < _c[O ^. XH "< LOk. ~O_ LO_, XH\
LO> ~^? <# oH xH =<?
H.t., ^~^.
i<?
Q` =_ O=`~=Q < Z_= c[O =Q ~Q =~`#k. Q\Q
LO@Ok. _" c[= QA Qm JO` LO@Ok. |_? Wk Z `Ok?
.Z., u~=~.
[. Jk |_ H^. c[O "#k. =ic["` c[O A ~Q^. P Oz h~
K~@O = c[HO ^kQ HxOk. Hx =$+}O (c[O) == A<
LO@Ok. q c[O A ~Q` Q\_`Ok H#H Jk i " Hx,
Orchitis Hx H=K. JO`H< ^q+O _ H=K. xH M.D. _H~QiH
KOKHx \\"O@ fHO_. Wk L`~ = i~O H^.
`eQ~O f~OK WH @~
< ~ ~# << Q~= =zOk. a_ JC_ =^x ~O_ < `~`
H< K~OK#k. ~O_ O=`~= Q_z#q. WC_ a_ H"x LOk. H_
WOH ~^. =K< ~^? U"# *Q` fH"? "^\< Q~ qK^O K~
Q~O WH ~^O@<~. x["<?
P_"iH i< H~ K~ H=#=x i~ =zOk. ~ ~ He
~ _ =O^?
|+ =y# Zx ~A Q~O =Ok?
1161
[. Z~< K~Oz ~O_ O=`~ Q_K<~. P" << H=OQ
|+=`<~? D ~O_ O=`~ Q~ x~^H ^`"< J=OaOK~?
J=Oa Jq =<O_. =i Hk < Q~O =Ok.
XH " q~ Q~ x~^O \OK H` ~O_ Q_z< Q~O ~H=_xH U^
H~}O LO@Ok. q ~ JO_"H = ~#"". X-ray (HSG)
f~OKO_. JO_O q_^= `O^ ^ Scanning K~OKO_. q~ _ g~sH
K~OK HO_. _Hi Ok J=~"# >h K~~.
O Uq ^x `e` HO (J#Q Pq_ |+~# 10= ~A #Op
20= ~A =~) ~A q_z ~A XHi KII# HHO_.
Q~qK^O K~Oz#O` =`# WH Q~O ~^#@O `C. Hx Q=O`_K =~x
H~=^x H~`<=. JH~ # C_ Q~ O ^#O` Jk ~=@=, H"x `
K< ~H=@= qk "zu.
~~ Z=i =`O "k L< Jk ~O_= "iH =Ok. H#H zH`
~^~ fH=@O =Ozk.
|+ =y# 1012 ~A g~H}O, JO_O He i`~_` (J#Q ~u
[iy, ~`~ U O_ LO>) Q~O =Ok.
Uq u#_^?
q \\"O\ eOz q~#> U_k uiQiH =Qa_# qOK#. |
P~QOQ< L<_. < _~. Hx i=_O ^. JO^Hx _
\<#. Jq ~"e#C_ < ^Q LO@Ok. Q _O> ZO\
P~O u<e?
^" `O Ke JO@ <H+"# ~Q, Q_, HhO @, P~
_ u#x=@O ^. uO> <Hq J=^@Qh |H J<~Q=@.
@O| xO`}H (Vaginal contraceptives (Today) "_=K<?
[. q~"# "~ =HO` O`+O HQ*Ok. `e Jh u#=K#=.
UO ~ ^ . =YOQ Q_, P ~, =#=^. q a_ ~Q^H J=~" #
\#, q@q#, =} q ^~< q a_ JO^e. "\x q~ =$kQ
u#O_. ~E 2, 3 Q `QO_. ~ fHO_ ^ H|ih fHO_.
`QO_~ =Ozk.
@O| xO`} Today "_=K#.
_xK@ Q~O
< = 28OII. # 3 OII Q~O =zO^x O`+OK=. P `~`
_" H_ H_< =z, H uiy _=_O` =" "O@< _Hi
10
e O K~ . < @| Q ~ O @| (JO_"H)
~Q`# O_O
=zO^x K _H~ ^ P~+# K
O_x _" Q\x f~. Wk
Q~O
[iy 2 O=`~O k. J~` < =m
Q~ O ~^ . XH @| f< Q~ O
~^? @| Q~O J ZO^
JO_HO
=Ok? XHi @| Q~O =
=m JQ =O^? = =m @|
f <HOH >^?
O_O Z^Qe#
*.Z.,
[. J= 250300 =Ok XHiH ~ [~Q` LO@Ok. ==Q JO_=,
g~H}= He OH H}O (H O_O)Q `~k JO_"H
(@|)<! J~` JH_ #Oz P OH H}O ^~O@ =z Q~O _
Q~O Q_ J`H"e. q J [~Q^. ZH_ OH H}O U~_O^
JH_ Jk H^O_ xez~ O_OQ Z^Q@O "^ \Ok.
XH #\ Q@O O_O Z Z^Q`Ok? P Q@O y=_O`@ O_O
` ''" Q@ Q_H qiOK@O = q _ JO_"H y~
ye~Ok. J~"# ~H#+=, PHH"# ~# =~ Hey q~
=~=@O [iyOk. _H~ HO K~ fH=@O "~Ok.
[iy# q+ O ~k! J~` @| Q~ O ~=# iu q ZO^= HeyO^
<# K#. =#OQ D iu ZO^= =O^O>
1. Q\xH Q`O U^< "k Oq Oz LO_e. (P q+ O q `e LO_H =K)
#\H 5060 =Ok ~^ H~}O.
2. Q@O< U" z#z# ^ LO_ LO_e. (L^: Jk =s #Q LO_@O,
=s "eH uiy LO_@O, iQ Z^QH=@O).
3. x~}O g H~<, "^g H~<, ky# OH H}x
Q~OzH ^iOK " H Q\ ^"!... WO\"" H~}=`~.
WH` XHi @| Qh = =~i ~"x x=O ^. #\H 8590
=Ok ~O_i ==Q< Q~O =z P~Q=O`# a_e H#_O [iyOk.
H#H =z P~Q=O`# a_e H#_O [iyOk. H#H x~_=^. ''~ J~`,
J J~`... J# PK# ~x=HO_. <` # "O@< Q # Hlx OkOK_O ,
q `H^ K@O =`O K =YO.
WH` WO`=~ Q~O ZO^ ~^# q+O. D [iy# ``OQO q H
HeyOz#O^= q ~# iQ xKH`#", H ~`~ "<
L#"! XHi ~~e^~ J=~=~# sHh K~OKx zH` fHO_.
O`#O `H HQ`Ok.
11
XH" ~ O_ @| _ `yOKe# i`
U~_< > @
^u (W<q\
i*+< JO_ ZOa \<~ (IVF & ET) q^#O) q Q~O HeyOK=K.
QiOz ` KHO_. `O KO_. ~O\H `_ QiOK~#O\#.
H"O> =_ =Ok
= ~ J~^~Ok. = ^Q =O@ Uq =. =YOQ
q+O! ^~}OQ = ~^iH =_ L#C_ H O\=. JC_C_
=`O \_ O\=. ZO^HO> < ~ J=~=xOK#C_ <
=_ H` <# ~+_#. Hx < ZC_< J=~"#C_ < ~ <HO
HiOk. J~` = ~^iH p Uq@O> ''<H+O #C_ _ hHO =_
`K O@<# H^. h= J LO_"q? JO@Ok < ~.
Z<.Z.P~.,
[. =#HOQ ^OQ H` (J#Q =_ H`) ~u Z O\= J<k
q !
=# ~`~ q+ L#C_ # Xu_= H"K LO_H=K.
Hx f~ ~OQO ky` Hi# "iHO> XHi H^#"~ K~Q #@O
[~Q`Ok. q~C_ uOz#@ ^. =_ q=e "`O@ ~^. q~
=_ `K H"e. H P ==~h H\\ ~ H# UHO`OQ ~x
H|~ K `O>, P # P" ze K+ K O > =_ "` O@ =O k. Hk~
uOz K_O_. ~~` P `O q_z @O_. q ` O ^x
J~"` q ~ _ Uq J#H~.
(Q=xH: ~E _\Q ~uK ^O` D K# =iOK^. "~ x =_#
|=O`OQ `z @< `O KH=@O =Ozk.)
JkH^ H~}O
< JOQO 6 JOQ. ~u `~` < ~ uH_ < JO@Ok. JOQO
iQ K (J= Jx) J~Ok. < O "O^O_. ZC_ K< <
~ U^ kQQ ~OkQ LO@Ok. ~Q LO_^.
H.Z., OK.
[. c["HH J^~}"# QQ}O LOk. JO^= Jk ^ JOQh, z#
JOQh =#OQ ~=_O@Ok. H#H q ~H ~u HQ`# <H q
JOQO _= H~}O H^. Q 6 JOQ Q@ =}" ` iOK#O`
_"#k H^.
`Q JOQx <\#C_ < HQ_xH ~`~ H~}O\~.
JO_ , Q~xH, JO_"HH O|OkOz# "^ (eH
W<" @s _* P.I.D.) ZO_"\ , Q~
O "#H "_O (retroversion) =O\q!
12
xOQ
JO_O q_^ K#n xn xOQ sH^~ `H=KO\~ H^? P
xOQ sH ~q\? U ~A K~OKe? JO_O q_^ QiOz Yz`OQ
`O^? XH " JO_O q_^ HH` ZO^= H^ _ DsH ^~
`H=K?
l.., qY.
[. P xOQ sHx JO_ xOQ JO\O. JO> | `~OQ O`
K sH J#=@. J O_ sH~O Hh ^x `~OQx L`u KOk. P
|O =#Hq q#_^ . J~Ku Wq_ z# ^< x =# s~Oq^ Px J@~@
H^`, D | `~OQx s~OH O`~. D `~OQ s~Ox e qq^
\ # `H "#H =o D iH~O H K~ `~. J=h ZHxH Q Q =~KOk
HO@~ < (\.q.O\ `~) q^ K z`OQ U~_`~.
J~` D K z`x =#O Q~ @O. P<Q x} =`"
Q~@ QQ`~.
D O Q` 20 OII K Ja=$k KOkOk. ZH~ s~xH xK#@ ^x
`~OQ x K=. Q _="O@ LO_^. _~Q H` ZO`<
K_K. H#H s~Oe J=" J=iH, ^# ^, Hx ~H "^
"^Q "\x QiOK_xH <Q Q LQ_`Ok. JO_O q_^, O_O
~Q^, = Hx ~H O_ ^ _ `~.
JO_O (eH) A, ~Q^, Jk ye JO_O q_^ H=_O "II q+
JO_ xOQ ^~ `H=K.
J~` JO_O q_^ HH=_xH 'H~} =`O Hx `H O^~ `
JO_ = `e=.
13
14
15
_ g =@ J_ ~_^.
Z#_ x _=O_ KHO_. H~O_. u~i, P" =_ J#OQ ^x
QOz T~HO_ ` kOKHO_.
g Kx W^~ OQ Ok g N=u QiOz, = QiOz
L# Hx J Q\, g ~^i XHi @ XH~ # "Yi HeQ
K`=.
<~ q`O^?
1. ~u K #_ Q~ O z <~ qC`O^O\~ x["<? <# ~u K@C_
< ~ `$ O^H< <# g~O q_^ K<#. W K g~O Q~OzH
`O^? |@ LO_`O^? < ~ 6 OII. WOH ~. g~O
Q~ O zH `O^ ^ Jx J#=#O. < g~O H} 95% L<x _H~ Q~
K~. < ~ _ O ^<~.
2. g~O < ~ L^HOQ L#_ q_^ K H `$ O^H q_^
K? Z q_^ K Q~OzH `Ok?
=~OQ
[. g g~O H} 95% L<x g~ "#k JO~OQ LOk. H}
OY, H^e H Q LO> i^. =#O QiOKQe y#g, xg =i Hx O_=K.
JQ g ~ q+O _ H 'Jh Q< L#@ H#|_< P" _
WO`=~ QiOKx ^+" / " LO_K. U = Z=i# O_ 6 U
@O_ LO_~ H^! g~ ^ W<ie\ O@~ sHh K~OKHO_.
2. g ~ `$ _H g~ g~O q_^ K@" =Oz ^u! ^x= g ~
_ ~uYO ^`Ok. Q~ HO~O _ HkQ `~KO@Ok. J~`
g~H} eH =_xH Q# P" ~u `$ HQe# x ^. g~ H}
XH^xHH\ J`HO_ K~Q =O^H D^O@ Qey#" LO_ P# g
~ c["H "`=~}=, Q~
HO~ " "\H =u~HOQ xHO g~
q_^ K# g~ ^=Ox H} KHQ Q~OH D^O@ `~. P"H
`$ HeQH g~ g~O q_^ K~, =O^ K~ J#k ^#O H^.
~u =O c["H q_^ K# g~O Q~OH "^. g~ H}
=`" eH "_`~. ^=O |@ Hi`Ok.
H#H g~ ~uH O|OkOz#O` =~ D kQ= K# \OKO_.
1. P" |+ H=OQ < < J=`# HO P" |+~# 10= ~A #Oz
20= ~A =~ ~A q_z ~A XHiH qOKO_ ~u #O_.
2. ~ "H ~O_ g~ #Oz ~u [i ^u< \OKO_.
3. ~u J#O`~O P" "O@< z=@O, H_QH=@O =Ozk H^.
16
~u #O H=@O ^
< "~* J~ 4 OII J~< =Q Ug O`$ ^. JOQ= Q<
OaOk. x eH "o< _ Ug ZO*"O@ LO_@O ^. < ~
_ 'Ug Q^ fO_ JO@Ok. W^iH `$ LO_@O ^. ZO` K<
g~ #O H=@O ^ . < QO J"@Ok. `$ _O> <# QO
K O\#. "O@< #==`Ok. ~u ZO` [i< #O H^. ^K <
= KO_.
l.., zHi@.
[. g~ "# =K~O K^.
1. g ~ Ki` QiOz = Hx q+ `ee.
2. g ~ ~ =^ Ja=<, Ja ^ , ^# Ok# O|O^ Z L<,
XHi @ XHi "Yi Uq\ W^ih J_y `H"e.
3. ~u J<, P_"<, `HOz g ~ J< gH"< J~+O, J<H L<?
4. "~O Zx~ ~u [~`<~? U ^u? U =O [~`<~?
q+x\ g ~~e^i =^ JOwH~O ^~`O^? ~u =O,
"`=~}O J#OQ L<? H , KC, WO\ " = O^_,
g i UHO`O H=@O O\q L<?
"^Q J<H ["| `eO_ g K =. ~ ~ e ^~
He OQ OkOKO_.
~ Q=xH: ZO` ~u [i< eOKH=_x * #O (RE=Retarded
Ejaculation) JO\O. RE ~O_ ~H 1. rq`O Z#_ = O^H=@O Wk
=s. 2. Hx O^~ =`" = O^H =@O. Wk HO_s. D ~O_
~HO _ =~<~. a) N l.. QO K O> `eQ # ==`Ok.
~=^ = aOK^. b) HO^iH HO`=Ok ` ~u `eQ =
HQ`Ok, HO`=Ok` ZO` H+_< = HQ^. QO KO>
= HQ=K, HQH=K. "`xH =, #= Hx O^~<
HQ`~. Hx O^~ HQ=.
= O^H =_xH ~ ^~}OQ s~H ^O_=. N l.. q+ O
sH ^ H~}O H^x x~~}Q K=K. ZO^HO> P# QO
KO> = HQ`Ok H#H, ~` ~u K#C_ =`" #O H^
H#H!
J~` J H~}"q@#k ~ ~x WO@~ K=~ KO! ~#
H >HH \OKH=@O #Kx Oy=, q^< \OK_O ~~ J=Q#,
=a=< OK@O, OuH"# , ^+O, " = eOQ,
=O^=i< qOK_O, |=O` o, uOQ L# _HQk "`=~}O,
17
Qq PH~}
OK@O, P" ~+ _ x ~, Q}, H}
O_@O..., `e~u
K^ J#" Z^~=@O, `~Q #"`
J==# _`
=< x~O`~
O, Q~ ^ ~}
O x` rq`O ~ _q<+#, ~ g~=O> JO LO^x `e_O
O\"" LO\~. "\x q+ O z `^# Q}OQ H k~ Q"x ~OkOKx
zH` K=.
0