cSwDwgiSwh egcnunehcnwa cnegidiv iaWmuniaevilwb
cawtulwdwb wncnwa
udImwH czIzwAcludcbwA
2005 clIrcPEa 28

caekwtulwdwb wnig cSwrwv cSwDnwgiSwh egcnunehcnwa urwvcswvud uDnwbWm
iteDob wdwfim cSwDnwgiSwh cnumunia evilwb cnuhIm caeawb .eveaedWa
cnegev caenihik Iaea .eveaevctogEbit iawfevcnWriawh cnumuawa caekwtulwdwb
wtwvun Otcaemwk egiawdWa wmwh Iaim , Ikwlwdwb im wtwvun cnwk caemwkWv
, wdwfim eruscaIruk .eveaedefua ulWvus , Otcaemwk Wv cnukwycawb
evilwb , IkwmudOh utWmUluAwm Eheb Waea , iawlwb Otiawbok Ikwkwtulwdwb
.everwvwSwk cnwkcaemwk enWdcnegibil caekwtwhEswf wnig cSwrwv cnumunia
cawtea idwa .evekemwk enWdivelehof cnutih caemwkirevurib cawtea
.evekemwk enWdivev csevctwmWlws cnukwlwkcawrun

wncnwa cSwDnwgiSwh egcnunehcnwaawlEh cniruk udem iaWmwkea Ikwkwtulwdwb im
.eveaeveruk wgwhWf cawtcawtcnwk ivinwncnwa iawgEret egukwtulwdwb
cnuscair iawgISwkwrub -1
uhwf cSwmunia evilwb Ikwmuscair iawgISwkwrub
iawgcaerwvcswvud emcnok egEretEd ,iaWmuaehiv
wnig cSwrwv .evekemwk enWdev itwmiruk csev
cnegiLug ,iaWmuniaevilwb cSwncnunehcnwa
cnWlitwmiruk iaWlugwdua egumuhir iawgISwkwrub
.eveaehej

ivinwncnwa cSwmurukwDuk cnuhir iawgISwkwrub
umcaihum Ikwmunid cnwkulWmws cSwkwtcawtcnwk
.evekemwk

cnurEn cSwTUb wtwvun cnWviawf csua ubWncnuf (h)
cnudehen Wlufua itekwturwb (S)
cSwtogim : cnubcaelun uDnwgwnua cSwmugen wtwvun cSwmulufua caeCcaea (n)
cnubcael Ukwked uhwf cSwmuTcaeheb cSwlwdIs iSwkwrub wmwnWbcawl
cSwCcawm iawfcaea wmwn wncnuh cSwtogim : cnuruhun cSwLok uriawnigWm (r)
cnegiawl caeCcaea wdwf caeDnwgiSof wtwvun caeaiDnog cSwSwdiawf iawgwn
cnuruh
iawlcaehIlWb cSwtwhwf wmwnwncnia edISia iawgcaeCcaea wdwf caeaiDnog (b)
cnunia cnegiawligel iawgEa
caehIlWb cSwretEdiawfed ,iaWmudin evoaevwrub cSwtWrwf ctWv uriaWdin (L)
cnutoa cnegiawl
cnuLua evunudug cnukwrwvIv uria Wruk ctwkcawswm iawgEretEg (k)
cnuruk ujWswm cnukwDnwgitof ctet wtwvun unUh ubWsih Wscair (a)
cnurevcnef urwhwf 2 ukwlWvud cnunef WnwfWt (v)
cnurukwdWa cnwdin iawg caeaiDnwdogurwh (m)
cnuruk utwrcswk urwhwf 3 ukwaWtcfwh cnegevudwm (f)


cnuhir iawgulob -2
uhwf cSwmuniaevilwb Ikwmuscair iawgulob
emcnok iawgEretEd iaWmuaehiv
.evekemwk enWdevitwmiruk cseviawgcaerwvcswvud
cswairIs Whea Iaim iawgcaetog umcnWa
iaWmunia evilwb Iaim .evenUn caeawlwscawm
iaWkwtulwdwb wncnwa cSwkwtcnOmrOh cnegiLug
,cnuvilwburwv .evekemwk Wvitwmiruk cnegiLug
cnuaid cSwCcawmEl cnegiLug iaWmuniaevilwb
csev Ikwmwkcnwk wdwf,(Preeclampsia)
.evekekwtubwbws Wvurukirevudem cSwmuhir iawgulob
.evetWfwt cnimudwmwnig ,iaWrwvcnim Wvitwmiruk cnuhir iawgulob cSwncnuhImikea
iawgulob cniaubcnef ,iaWmuaek cSwrwbWrwb ,cnuruk umWrwa cSwkwrwv wnESwkea
iawfWdcawfua cSwmuvuDekudwt wdwf cniripcsea cnehimwmwh .eveaedcSokwDuk cnuhir
cnumuSef cnwscair iawgulob .eveaenWvun cnegcSokcnunEb cawtcsEb wncnuh
cnubwbws egumwkim .eveSWvcaWb iawgItwmirukcain uhwf cSwmulWmcnet caeDnwgitof
,iaWmurevcnef cnunef WnwfWt .eveaenEdcseneg caemwkiaul cSwmuhir iawgulob
EnEdcSokwDuk cnuhir iawgulob csev IkwmurukujWswm Ob idwa Wrudwk ,iaWrwk
.evemwkcnwk

iawgItwmiruk egulol ,cnurukiawbunEm ukea iaWmuruh cnuscair iawgulob
caemwk cniaim , cnuviSok cnunef egulol ,cnuvIh cnehELua caekwtuLokitea
iawgulob .evekemwk Wvcnegivedea IkwmurukWrwvcxwm WkwrwTckoD wmwnejcaevWmid
IkwmudOh Wfwl cSokWrwvcxwm iaWkwrwTckoD cniruk egumugen caehEb cSwmuhir
.evekemwk iretcnunEb cSwrwv


cnuhir iawguDnwbcSwd wtwvun WdiAwm -3
umihwr uria wncnwa cnumwvuDob umihwr cnegiLug iaWmuniaevilwb
,evcnWv ,imed cawtcTcnemwgil WviawfivelcnegiawSwv egEa iawkwTcSwmuTcaehefih
cnuhir iawguDnwbcSwd cSwaWhImiawm cnubwbws egumwkim .eveaev ctogWvurWb
eguDnwb Inwncnuh cnuhir iawgcaetog umcnWa .eveaeveruk csWschia
wnwv18-24 Inwvitwmiruk wlwscawmim cSwncnuhIm wnig .eveawgcaetWrwfcaea
enWdiveruk cSwmuvctwmWlws cnumwkim .eveawgcaerwvcswvud egEretEd ,iaWaWtcfwh
.eveaenemih cawtcawtcnwk ivinwncnwa iawgEret egukwtcawtcnwk caeawb
cnulibel cSwairuk cnumuSef cnwscair iawguDnwb (h)
cnuruk umWrwa cnukwrwvIv (S)
ctogwncnoa evOn udwbwa cSwkwtogcaea uria wncnoa evOSoa iawgcaenwt (n)
cnurukulwdwb


cnuvilwburwv cSwfWliK WywdWa -4
wmwtwruf iawgcaetog wBcaWK .eveawlwscawm caea WvWmid cSokumcaWa emcnea Iaim
cnwkim.eveaev csWschia cSwDobWm cnwkilwburwv iawguhwm3 uhwf iaWhwm3
idwa,iaWmuvitwm urwvcnim eg cnOrITcsejOrcp iawguDnwgiSwh InwvWmid
uriawncnwa cnuvwmurWycawt uDnwgiSwh egWhImiawm cSwLufirwd wncnwa cnumedefua
.eveaItWvcnunEb cSwDnwgiSwh egWhImiawm wtwkwh urutia

csWschia cnwkilwburwv cnumuv ulWvud cswnubil cSwrwbWrwb idin eguDnwgEr
WlWdin cSwLwgwr.evekemwk egiawdWa Iaim .evekemwk WvcnegISwkea Ikwmuv
cnwkilwburwv .eveaediawvuneg cSwDwgiSwh urWb,iaWmuhejwmwhctih cnumulcSokumWrwa
cnegevudwm uDnwgEr.eveSWrukcnWdwh cnwrukumWrwa csevudwbwa wmwnWv csWschia
IkwmulWdin uriaWh caeaiDwg2 csevulWvud,iaWmurukwmwhidin uria iDwg8
wmwnWvWmid ctogWv uDoburukif evcswvwnwtun ctih evcsWh .evekemwkuLwgwr
Wdiawf ,iaWmuruk utwrcswk cnehimwmwh .eveaenWdiveruk caemwk wdwf Ehejwmwhctih
.evemwkcnwk EnEdcSokwDuk cnwkilwburwv csev Ikwmuruk cnunEb WnWk iruh

cSwmuvirevudem cnwkilwburwv csev Ikwmuvitwmiruk wlwscawm egumuvudwmEl
iawgEret eguhwm3uhwf ,iaWhwm3 wmwtwruf cnumwk cnehea .evekemwk EdevIhea
cSwtogim idwa .evea enWdileb OtEviawfevitwmiruk wlwscawm egumuvudwmEl
.evea enWdiverukcnunEb iawgutog egcaeaWvurwf uDnwgwd wmwnWviawfevudwmEl

urwvcswvudim Ikwmutoa evwrub cSwtWrwfctWwv uriawncnoa evOSoa wtwvun uriaWdin
WvcnunEb cSwLufirwd wncnwa cnumedefua cnubwbws egumwkim Iaea.evekemwkuLwgwr
.eveaItEdcSokcSwd rwxercp egukwtiLohEl Edcsogcneg cnwjisckoa ,iaWaWnWk
Ikwmurukulwmwa cSwtogim wmwnitwm rwxercp egEl uhwfcSwmuniaevilwb emcneheawmwh
.evekemwk umcaihum

cnuhej cnWdumwkwDuk cSwhwvwa cswvwa -5
cnWdumwkwDuk cniawnigWm cnegiLugWmuniaevilwb
iaWmuniaevilwb.evekemwkumcnWa cSwrwv Ikwmuhej
WrukuruawdEl iawg(Kidney) Wdurug cnegiLug
iaWaim.eveaevitwm cSwa 60% cn35% urwvcnim
csevurwvcnimWdcawfua itekwtWdumwkwDuk cnegiLug
cniawnigwnig .eveaed cnegevurutia 25%
egumuhejcnWdumwkwDuk WLokuriauria wtwvun
.eveaIaim Ikwlcswa
egWhImiawm Ikwrcais egumuhej cnWdumwkwDuk cSwtogim uLokIruk Wtwncniaevilwb
cnubwbws egrwxercp Edefua uria wncnwa cnumwvuDob umihwr
urwvcnim Edefua itekwt WdumwkwDuk ,evirevudem ctogEtif (Bladder)WnWXwm
wlwhwk Ehej cnWdumwkwDuk csevwmwniruh cSokcsuh WnWswm .evemuvurutia
,itif WnWswm cnubwbws egumihwr WdcnumwvuDob Iaea .eveaeveruk caesWschia
ilufua cSwCcawm ,evuDob umihwr .eveaItEdcseneg caesWschia egumwk Wviawfiruf
,evcSwd urwvcnim Etif cSwaWnWswm ,uriaWvclisWv cSwnwtcsuh WviawguDnwb
uria wncnwa cnegeviriawk cnwhiv csevwmwn .eveaebil caemwkiaul cSwmwkim
Ob eguLufirwdwDuk Iaea .eveawSwf cSwncnef csev Wkcaenwa Ugwdua egumwkim
uDnwgEr iawguLokuhwf cSokwBcaWK .evea ItWvctogEtif WnWswm ihej iawgWnWswm
.evekemwk enWdev IkwmuvelEh cnegevcnunEb cnWdumwkwDuk ukwrwhwf cawtea

,cnunuh ,cnuscaek iawgukwtcswm uhwf uria wncnwa cnegev iriawkcnwhiv
caeawb iawgukwtctwlWh wdwfim cnudehcnigoj ,cnulufua itekwturwb ,cnuLeaihibik
Ehej cnWdumwkwDuk cSwtogim .eveaev ctogEvedumwkwDuk cnegiTcaehefihun cSwncnuhIm
caetwrcswk Eyik Ea (Kegel exercise) ''cziawswsckea clejIk'' wmwn
itekwtWdumwkwDuk ,iaWacsivclep cnubwbws egutwrcswkim .evea enWdiveruk
itekwt WdumwkwDuk ,evwdwg urWb egukwtcswm WvcnegiawSwv egugwmWvurEb
cnukwrwvIv cniaub itekwt wdwf iawsuLwk ,Ifok .eveaedeviretIhea cSwmurukurEb
eg4 urIvwh csevwmwn .eveSOb itekwtWyid cniawnig ulWvud .eveSWruk udwm
eguDnwgEr cnurEa .eveSObun cniawnigWm itekwt Wyid cSwtogim cnuhwf
.eveaedcSokwDuk urwvcnim EhejcnWdumwkwDuk iawgukwtiDwg

iawgEret egItekwtWdumwkwDuk ,cnugenwlid ,cnuscair iawgEret egumuaidumwkwDuk
wmwn ejcaevwgwhWf caemwk erukcnukwmwk cniaim ,cnuruhEl wtwvun csod
unuverukc cnWywb evcsia Inehea .eveSWdOhWrwvcxwm egcaerwTckoD cSokuncswl
egumuruh caeycawb iawgcmWzin WrukurEb ,Wdcawfua itekwtWdumwkwDuk Ikwkwtcawtcnwk
ejcaevwgwhWf cnwkiruh caeycawb cSwtogim .evekwtcawtcnwk Wvitwmiruk cnubwbws
iawgutwlWh wdwfim Inehea .eveSWruk cnWdwh cnwrukWvurwf cSokuncswl wmwn
caemwk wdwf cnuaehiv Wrufuncswvud wmwnifiawlcSokUd cSokunWvurwf
.evekemwk WvcnegISwkea Ikwmuvitwmiruk


cnuveluDnoh iaWmurukiawbunEm wtwvun ilwb egunudeh -6
( ilwb egunudeh)
evilwb .evekemwkumcnWa IkwmuveluDoh ukeaWmurukiawbunEm uLokIruk Wtwncniaevilwb
cnwkim cSwnuhImwnig .eveawrOf Ugwdua egumwkim cSwncnunehcnwa 90% wncnia
.eveaeruh iaWbwbwsim Ineyik Eycawb egunudeh .eveauLokunudeh Inwvitwmiruk
csevukwtugwv emcnok egulWvud wmwnWv iawgumwkiruh iaWDnwbiawh csevwmwn
emcnea egIlwb egunudeh .evekemwk enWdev Ikwmuvitwmiruk cawtUgwduaim
(Hyperemesis ''cmwrEDivercg csisImeriawh'' cSwtwlWh iretWkcawrun
cnegiLug iaWmuniaevilwb Iaim iawgutogEvenub .eveawyik Eagravidarum)
Wvitwmiruk cnegiLug iaWkwlwdwb wncnwa cSwkwtcnOmrOh Evelukea iawguDnwgiSwh
ilwb egunudeh wtwvun cnuveluDnoh ,iaWmurukiawbunEm iawgcaetogumcnWa .evekemwk
.eveaevuLwgwr cnumuaidevutiaWf cswm3 wmwtwruf
cawtcawtcnwk ivinwncnwa cSwmurukwDuk cnuveluDnoh iaWmuruk iawbunEm
.eveaedeviretIhea
( urwhwf 8 wtwvun 6 ukwlWvud ) cnuaek cniawnigwnig cSokiaul (h)
cnuvilehurud Wa WnWk ( iLuk ) Evelukea udWvwh idwa oyet (S)
itekwtWyid cniawnigwnig EretEd iaWmuaek urwhwfcaenwa iaWmuaek urwhwfcaea (n)
cniaub
.eveaenWdiverukcnunEb iaws egutwfWnIduk idwa iawsurugia cnutogim
cnuvilehurud Wkwt cniaub wdwf iawsuLwk idwa Ifok (r)
cnuruk cnunEb cniawnig WnWk Evelukea cscnITorcp (b)
.eveaenWdiveruk cnunEb iteCcaea wdwf rwTwb cTwnIP ,cnwdwb cnutogim
cnurukcnunEb WnWk Evelukea urugia (L)
cnuvilehurud cnukwrwvIv iaWkwtcswv ,iaWaWnWk WvurukiawbunEm (k)
cnunEb WnWk Evelukea cCWTcs wdwf czIC idwa ,iSorWf,,cswnwb, cnWp (a)
cnuruk
WlEh unudeh.eveaenWdiTcaeheb iawgubWsih Ehejutwa Iriawkudea WnWk wdwfim
WnWk wdwfim wmwnejcaivelEh umwdcnem ,iaWncniruk egumuvudet cnudea
wmwnWvIh cnehELua cnwrukiawbunEm emcneheawmwh.evekemwkiruhWdiawf IkwmurukcnunEb
.eveaenWdiveruk cnunEb WnWkim
caelwdwb cSwmuluDoh,iaWmurukiawbunEm cnukwmwk unuveruk cnWywb iawgItwm (v)
Ib cnimwTiv wmwnwncnWn
.eveaenWdidOhWfwl cniawbik egcaerwTckoD cSwmurukcnunEb ( m )

( cnuvudwmcnef ) ctogWvcsuh cnef cnuDnwgiSwh wmwnEveluDoh cniawnigWm
WkwrwTckoD cSokuncswl iawgutwlWh wdwfim.evekemwkWv cnegISwkea Ikwmuvirevudem
cnuluDoh,iaWmurukiawbunEm .eveaenWdidOh udWxuria egumwkea cSokWrwvcxwm
cnwrukcnunEb itekwtWk cnudiaWvwg cnumuSef cnwlif urwswa egumwkea,evwDuk
Ehejcnwgwn urwvcswvud wncnia evilwb idwa.eveaenWdiSef
.evea enWdigen csev (Prenatal vitamins)cscnimwTiv


cnutenEh iaWmurubeaOb -7
urwvcswvud uDnwbWm Ikwmwkcnwk wdwf cnutenEh idwa ,iaWmurubeaOb
iaWywf,iaWmihwr egWhImiawm InwvWmid cnwkim.evemwkcnwk enWdevitwmiruk
Inwvuruawd El cSwtogim .evencnumuSef cnWvuruawdEl cniawnigWm cSwairitWmid
cnOrITcsejOrcp Wdcnumwvurutia iawguDnwgiSwh cnegiLug iaWmuniaevilwb
.evencnumuvWLuf cawtiLohEl cnubwbws egcnOmrOh

cSwaiDnukis ,cnuvcSwdurwvcnim egurukwh Ehejcnwncnuh iawgEl ,cnuvudwmEl
WnWkuLwgwr ,cnuvcSwd rwxercp egEl,cnubilun cnwjisckoa cSwrwvWvcnunEb
cSwmuvitwmiruk cnwkcnwk wdwf cnutenEh,iaWmurubeaOb Ikwmwkcnwk wdwf cnuaekun
cnwkcnwkim wtwvun cSwmuvctwmWlws cnumwkcnwkim. .evemwkcnwk EdcSokihwfugwm
cSwtWrwfctWv uriawncnoaevOSoa iawgcaenwt cSwmuruk wDuk
EdWvunof El cSwaiDnukis ,iaWtih cnumutoa cSwtogim.eveaenWdivevoaevwrub
caekwturiawnig ukeaWaimwmwh .eveaed cSokwDuk cnurubeaOb ,evurutia urwvcnim
cSwLokuLok iawgulwdwb egumuruh cSwLok wtwvun edISia iawgcaenwtcaea cnedcnwv
.eveaedcSokilehurud Wkwtcnwtcnwk unuvenubim cniruk cnumuviretctWkwrwh WlWgih
.eveSWrukcnWdwh cSwmuaek csevudwbwa WnWkuLwgwr iruhWdiawf cSwDnwgiSwh


cnudehiawv iawguDnwb -8
Ikwmuvurutia urwvcnim EverukurEbiawv idehiawv iawguDnwb urwvcswvud uDnwbWm
cnubwbws egcnOmrOh cnOrITcsejOrcp Inedehiawv cSwtogim .evekemwk enWdev
utugwv EverukurEbiawv cSwncnuhIm caeawb .evencnumuvUd cawtcswm egurohog
.eveaeveruk csWschia udwt cSwkwrwv csevemcnok

iruhWdiawf cSwrwv Ikwnef wtwvun iaws utwf WnIduk cSwmuvctwmWlws cnumwkim
cnunEb cawtctwvWb egWnWk EdevIhea cSwmudcaefua iawv cnehimwmwh .evekeCcaea
wdwf ,rwvWlcfilok ,cjebek ,IlckOrcb ,iLot ,oyekubnwb cnutogim .eveSWrukun
Evelukea csEg wdwf Iscpep WlOk cnehimwmwh .eveSWrukudwm cnuruk cnunEb WnWk
.eveSWvilehurud iaWkwtcniaub


cnukihuDnwb -9
uDnwb .evekeawlwscawm Wvitwmiruk cSwncnunehcnwa 50% wncnia evilwb Iaim
,evuDob umihwr egWhImiawm cnegidivWmuniaevilwb Inwvirevudem ctogEkih
egcnOmrOh cnOrITcsejOrcp ,cnuvctogEtif (Recturm)''cmwTcker'' cnumuvWLuf
cnulcSokcSwd cnurukctWkwrwh itekwtWk iawgcmWzin Wrukumwjwh itekwtWk cnubwbws
unuvenubevcsia .evekwtubwbws caeawb Wvurukirevudem cnukihiuDnwb Iaim ,
cnurukctWkwrwh wtwvun cnuvcSwd cnugih itekwtWk iawgcmWzin Wrukumwjwh cSwtog
cSwDnwgiSwh cnef ,evurutia urwvcnim wncnuh iawgurohog itekwtWk cnumuvcSwd
,evurwh itekwt iruh iawgurohog cnutog egcaeaWjItwn .eveaevitwm urwvcnim Wmwd
.evea Iaim Ikwrcais uDnwgiawm egumukihuDnwb .eveaevUgwdua cnWvurEb

cniawlwscawm egumukihuDnwb cnumuruk cawtcawtcnwk ivinwncnwa
.eveaedcSokctwmWlws
WnWk Evelukea urwbiawf wdwf cnWp ,cscleres cniaercg ,IrWkurwt ,WvEmOr (h)
cnurukcnunEb
csUj Evelukea IrWkurwt wtwvun WvEm uria Wruk cnunEb itekwtWkim
.eveSOb csUj iSwt2 wtwvun 1 ukwlWvud cnutogim .evea enWdiverukcnunEb
.evekeCcaea iruh Wdiawf cSwrwv IkwhUj ''cnUrcp''
cnurukwdWa cnObcnef iSwt10 wtwvun8 cnegevudwm ukwhwvud emcnok (S)
,cnuLuk urwviLuk ,cnutef ,cnurukutwrcswk (n)
cnunemih iawgWnWk egcaehwvud emcnok itekwt wdwf iaumWm (r)
cnulWgih uriaWh caeaiDwgiawb cnegevudwm ukwhwvud emcnok (b)

ilwb utWrwfcswgwruf -10
utWrwfcswgwruf Inwvitwmiruk cnwkim
cawturWnEl WvcnegiawSwv eg(Anal-canal)urod
cSwtogim .evencnubwbws egumupcauf ,evwLud
cnumihwr wncnwa cnumwvuDob Inwpcauf ,evwLud
egumukihuDnwb .evea ItWtcaif cSwkwturWnElim
ilwb utWrwfcswgwruf wmwn wncnuh wlwscawm
ctogWbiawf ctWrwf cswgwruf evcsOg cSwrutia
utWrwfcswgwruf cnurutia egIm .eveaevirevudem
uriaWdumwkuDob ,iaWmuvurih Whwk iawgurod
wmwnwncnuh ilwb utWrwfcswgwruf IkwmuawaEl
.evemwkcnwk enWdevitwmiruk
cnwkulWmws cSwkwtcnwtcnwk WrukcnWywbim iawgIrit cSwmuv ctwmWlws cnumwkim
.evekemwk Wvcnegivedea Ikwmunid
cnunEb WnWk Evelukea urwbiawf ,iaWmiawub iteCcaea Wyid cniawnigwnig (h)
.cnuruk
cnuniaun edISia wtwvun cnuruhuncSwLok cnedcnwv caekwturiawnig (S)
cnurevcnef cnukwrwvIv cnunef WnwfWt (n)
cnuruk utwrcswk (r)
caeacmIrck wncnuh iawfiawdcawfua cnegcSokwscaWK cSwycawb utWrwfcswgwruf (b)
.eveaenWdiverukcnunEb
cnupcauf cawturWnEl egiawf -11
iteDob Wviawgutwhwf egumihwr egWhImiawm urwvcswvud wncnia evilwb
Edcsogcneg El cSwtih cnukwtUxiT ikeaikea eguDnwgiSwh ) ''cniaev''
cSwtih cnukwturWnElea cnumuvurutia rwxercp iawgukwt ( cawturWnEl
wncnwa cnumwvuDob InwvWmid cnehim .eveaev ctogWvwDuk cnunid csogcnegEl
egumwh egiawf cnegiLugWaim.eveaItWtcaif cSwkwturWnim cnumihwr
ctogWpcauf evWLuf cawturWnEl WvcnegiawSwv egurod utWrwfcswgwruf,iaWywguSwd
cnegea cSwrEb cnuDnwgcnwh cawturWnEl wncnuh iawfWpcauf evwLud .eveaev
cnehcaerwviDob Inwncnuh cawturWnEl wdwfim urwhwfcaeawb .eveaeruh
.eveSwawlukUn wtwvun ubnwd wdwg Inwncnuh cawturWnEl wdwfim.eveawfiLoa
csevwmwn .eveawgubWsih Enemih WvuLwkwDuk Inwpcauf cSokumcnWa cawturWnEl
cseviawgcaebWsih emcnok egiawf udemed iaWTcawkibwt cnegiSef cnuLwvuLukua
cswairIs Whea Iaim iawgcaetog umcnWa.eveaenWderuh iawfWpcauf cawturWnEl
urwhwf caeawb ctogEdefua urWf ukea iaWmuhek csevwmwn .evenUn caeawlwscawm
.eveaevWmid

cSwmuv ctwmWlws cniawlwscawmim Wvitwmiruk urwvcswvud wncnia evilwb
cawtcawtcnwk ivinwncnwa
.eveaenWdiveruk
cnurukun cnunEb itekwt wdwf cnikoTcs , cnIkWTcsia urWb cSwywf (h)
cnegiawgwn cSwCcawm wlitiawf,iaWywfed uriawncnia edISia iawgcaenwt (S)
iawguSwduzEm wmwnWruk ctwkcawswm iawgcaehIfoa .eveSWrukwdWa cSwncnia
iawgItwm egcaeCcaea wdwfea uhwfcSwmuTcaeheb,caeDnwgiSof wtwvun caeaiDnogwDuk
edISia iawgcaenwt csevuriaELua iawgEretEg .eveSWncnia cnegiawTcawhwbiawf
cSwSwdiawf caeCcaea wdwf caehIlWb wtwvun caeaiDnogwDuk uriawncnia
.eveaenWdivel
cnuruhun cSwLok cnedcnwvcaekwturia wnigWm iawgcaenwtcaea (n)
cnutwgibil utwrcswk cnukwmwk wdwf cnulWgih (r)
cSwtWrwfctWv cSwkwairwacaea uria wncnoa iawgudea cSwmurukumWrwa (b)
cnutoa cSwtogWvwrub


cnumed cSwywvinukwa iaWmuvuLWv iawf -12
eguhwm3 uhwf cSokwscaWK urwvcswvud uDnwbWm InwvWmid cnwkim cSwncnuhImwnig
csevuLokIruk Wtwncnia evilwb cSwncnuhIm caeawb csevwmwn .eveawgEret
wncnwa cmwzilobwTem eguDnwgiSwh Iaim iawgutogEveleb .eveawrOf Ugwdua egumwkim
cSwDwgcnim Ehejcnwncnuh cmwaisclek iawguDnwgiSwh wtwvun cnubwbws egcaelwdwb
Wvitwmiruk ( cnuvudwm cmwaisclek ) cnubwbws egcaelwdwb wncnwa
cmwaisclek iawkwTcSwmudOh cSwrwvWvcnunEb cmwaisclek cSwDnwgiSwh.evekemwk
cnunEb iteCcaea wdwf urik wncnuhun cTef,iaWa WnWkwnig
Ehejcnwgwn urwvcswvud wncnia evilwb cnehimwmwh.eveaenWdiveruk
WvcnunEb cSwDnwgiSwh csev cnia(Prenatal vitamins)cscnimwTiv
cmwaisclek cSwrwvwnESwkea cniaWnWk egWnehcnwa uDnwbWm .eveaebil cmwaisclek
iawgutog egcaehEb cmwaisclek cSokWrwvcxwm WkwrwTckoD wmwnEbilun
cSwrwv iawgutwlWh wdwfim csev Ikwmiaubcnef cniawnigwnig .eveaenWdiverukcnunEb
.evekemwkiruh Wdiawf

IkwmurukujWswm ,iaWmurukcnWv wtwvun cnumed cSwrWb cawtcswm egiawf
ctet wtwvun unUh .evekemwk EdcSokwDuk cnuvuLWviawf,iaWawlitiawf
iawfWlWLoa cnegiawSwv egukwtcswm caeCcaea wdwf caeycaWvut,caeDnwgitof
cSwmuLea cSwkwawmwh cawtcswm WviawfiLeguruk csev IkwmuvcaEb
.evekemwkEdevIhea


cnuvwLud eviscaof wlitiawf ,iaWywf ,iaWnUm -13
eviscaof wlitiawfiaWywf ,iaWnUm iawgEretEd iaWmuaehiv uhwf cSwhwm 8
cniawnig cnwkim .evekemwk Wvitwmiruk cSwncnuhIm wnig cSwrwv IkwmuvwLud
egiawdWa .eveawgutugwv Escaoa uria ,iaWywgukwtcswvud unUh Inwvitwmiruk
urwvcnim Wruk Wkcawr itekwtWyid iawguDnwgiSwh cnumuniaevilwb iawgcaetog
cniawnigwnig wmwnWviscaof cSwtogim cnumwk cnehea .eveaedWa cnegevurutia
.eveSWlwb OtEverukumWrwa cnukwrwvIv .evekemwkiruh Wdiawf cSwrwv Ikwmiaubcnef
wdwf caehIlWb cSwSwdiawf wmwn wncnoa evOSoa wtwvun edISia iawgcaenwt
evcsia .eveSWncnoa cnegiawvcaWbiawf iawgItwm egEa uhwfcSwmulcaeCcaea
wmwniruh iawfidefuawLud cSwfWliK WyWdWa cSwkwailcauk iawgcaebWsih unuvencned
iawgcaerwhwf Iaea .eveSWrukcnWdwh cnwdOh Wrwvcxwm egcaerwTckoD cSokuncswl
) rwxercp egEl WdcSwCcawm cnegiLug iaWmunia evilwb InwviawfevwLud cSwtogim
.eveaItenWdev cSwmwk cnubwbws eg(Pregnancy-indcued hypertension


cnuawn idin -14
egumuawnidin iawgEret eguhwm 3 uhwf iaWhwm 3 wmwtwruf uhwf cSwmuniaevilwb
uLokIruk Wtwncniaevilwb .eveaevitwmiruk cSwncnunehcnwa wnig cSwrwv wlwscawm
idin Ikwmwkcnwk wdwf cnuvilwburwv idwa ,cnuveluDoh iaWmurukiawbunEm Wvitwmiruk
cSwmuawnidin uLokuhwf ..evemwkcnwk WLwa cswruh cSwmubil cSwawmwhiruf
,cnutwgurib cnutogInWscfwn cSwmuaehiv iawgEret egukwtubwbws Wvurukirevudem
cawtcawtcnwk wdwf ,cnwkcsWh Ebil cnumuvuDob uziaws egumihwr ,cnuvilwburwv
eveaenWdiveruk cawtcawtcnwk ivinwncnwa cSwmuv ctwmWlws cnumwkim .eveaenemih
cnurevcnef cnunef WnwfWt cnirukegumudin uDnwgEr (h)
cniaubcaeTcawturik unUh cSwkwrwv csevemcnok cniruk egumudin uDnwgEr (S)
cnuruk utwrcswk (n)
cnuvilehurud iaWkwtcniaub wdwf Ifok ,iaws (r)
cSwtWrwfctWv uhwf cSwmulcaehIlWb cSwretEdiawfed uria wncnoa cnwdin (b)
cnudin ,evoaevwrub


cnuvuruk WvEn -15
egEretea uriawncnwa cnumwvuDob idefua iawguDnwgiSwh egWhImiawm uLufirwdwDuk
rwxercp egEmWpcauf .eveaevctogWd cSwCcawm rwxercp egcaenwvwnug Whiruh
Iaim .eveaevirevudem ctog WvUgwdua cnwTcawhwfih WvEn evurukWvEn cnumuvurutia
iaWyemWpcauf cmwrcfiawD ,iaWmutif cawtcnwvwnug WviawguDnwb cnumuvuDobumihwr
cnehim .evekemwk Wvirevudem cnubwbws egumutcaif cSwyemWpcauf csog cSwlWmid
wmwnWvitwmiruk wlwscawmim uDnwgEr .eveSWlWvEn cSokugid cSokcnuf wmwnWvWmid
evoa cSwtogim Inehea .evekemwkuLwgwr Ikwmudin evoa evwrub cSwtWrwfctWv
WviawguDnwb egWhImiawm cnurutia egumuvwhEswf cnwlWvEn cnumudin
rwxercp egukwtiLohEl Edcsogcneg cnwjisckoa ,iaWaWnWk cSwLufirwdwDuk
.eveaedcSokcSwd

wmwnwncnuh wlwscawm egumulcaihWvEn wtwvun ,cnurukUgwdua cSwywvEn
cSwkwrwv Wviriawkcnwhiv .eveaevcsOg cSwDob cnulcaih WvEn cnumuvuDnwbWm
cnegevihwf ugwm cSwmulWvEn ukea iaWmwk whEswf ,evcSwd rwxercp egEmWpcauf
.eveaed


cnuawaEl cnutwfEn -16
idukiduk wdwfim ,cnudeb ctwfEn ,cnukiheretea utwfEn ,cnuawaEl cnutwfEn
egcnOmrOh cSwkwtUxiT Wviawgurwk idwa,iaWywgwa,iaWtwfEn Inwvitwmiruk cawtUgwdua
cnubwbwsegcnOmrOh InwvWmid ctogwncnwaEl .evencnegidiv iaWmuruk urwswa
Whea Iaim iawgcaetog umcnWa .evencnumuvWLuf cawtiLohEl WviawgEretea egutwfEn
csevevun wgwhWf urwhwfcaeawb cnwkcnwkim.evenUncaekwtw wlwscawm cswairIs
.eveaenWdiawgih

Ikwmuawa El cnutwfEn uriaWlWLof ctwfEn cnukwCcaea wdwf Wmur wtwvun UxiT
cniligiaWvuDob,iaWycaigia ctwdWhwx wmwnejcaevWmid cSwtogim .evekemwkWvcnegISwkea
cSwtogim ukwLokuria .eveSWlWtcaif cSwrWb WTcawhwfih iawgutWrwfed egutwfEn
csev uhwf cSwmurukulwmwa cniawdIbim csevwmwn .eveaeTcauh cnuawaEl cnumuruh
.evekemwk Wvcnegivedea Ikwmukcaed cSwkwrwTckoD wmwnETcauhun cnuawaEl

.evekemwkenWdevWmid IkwmuvctogEdeb iruf eretea utwfEn urwvcswvud uDnwbWm
) cnuTcaeheb caea rwywfiDimuaih iawgIrwTokWdin ,iaWmiaubcnef cniawnigwnig
( cSwmuTcaeheb iawgcaerwv wnESwkea cnwkctet egiawv wtwvun cnimunUhinif
egutwfEn cnurutia egIm.eveaenWv cSwkwaIhea cSwmuvctwmWlws cnumwkcnwk wdwfim
) caeCcaeaEdcSokoyet wdwf clej cmwailOrcTep iawgIriawk Eretea egIrudih
caehEb cSwkwmwk cniaim .evekemwk uLwgwr csev IkwmuLugua ( Lubricant
.eveLwgwr cnurukWrwvcxwm WkwrwTckoD cniruk egumuSef cnwrukcnunEb

cnuawaEl cnuDnwgurih -17
cSwncnunehcnwa 50% cnegiLug iaWmuniaevilwb
.eveaevitwmiruk wlwscawm egumuawaEl cnuDnwgurih
iawguDnwgiSwh urwvcswvuduDnwbWm
egumuvurutia cnejOrcTcsea iaWacnOrITcsejOrcp
uriaWLuguactwd ,evwLud uDnwgurih cnubwbws
cnehimwmwh .eveaevctog wncnwaEl
eg Is cnimwTiv Evelukea iawguDnwgiSwh
,ihir iawguDnwgurih csev IkwmuvcSwd urwvcnim
.evekemwk EdcSok ihwfugwm cSwmuawaEl cniawhEswf
wmwnejcaevwgwhWf cnwkiruh caeycawb iawguDnwgurih iaWtwd uhwf cSwmunia evilwb
Wvurwf iawgutwlWh wdwfim .evekemwk Wvcnegivedea IkwmurukWvurwf cSokuncswl
WvcnegiawSwv egEa urwswa egIlwb iruh iawfidefua iawguDnwgurih wmwnifcSokwDuk
wdwf cnuaehiv Wrufuncswvud cnutog egcaeaWjItwn .eveaevctogWrOf cSwkwtUxiT
iawgutog WviawfevwmWh cnukwaWsWrid eguhwf .evekemwkctWg Ikwmuvitwmiruk caemwk
Wrufuncswvud cSwncnuhImWlcSokUd cSokun Wvurwf ,igea cnwkiruh cawtilwb wdwfim
.everutia wnug7 utwsuruf egumuaehiv

cSwmuLuguactwd cnukwhurubuDwm wmwnWviawgumwkwncnwa El cnuDnwgurih
egukwtctwd,iaWmuLuguactwd cnedcnwv cTinim 5 urwhwfed ukwlWvud.eveSWrukwdWa
ufWs cSwLwgwr ( uLok iteaWk ) uLokiDnwh wncnuh iawfWlurwh iawgEretEd
eguDnwgurih iaWywgwa IkwmurukcnunEb caea ''cxovutuawm'' idwa,iaWmuruk
wgwa cnunefufWs csevukwhwvud emcnok .evemwkcnwk enEdcSokurud cnukwtilwb
cSwkwdwdwa wnig cnuDnwgurih ,cnuleh caetwd ,cnuhir iawgcaetwd .eveSWncnod
,iaWkwrwTckoD cSokuncswl wmwn ejcaevitwmiruk caemwk cniaim ,cnuawaEl
.evekemwk Wvcnegivedea IkwmurukWrwvcxwm

cjcneroa ,iaWmiaubcnef cniawnigwnig wmwn wncnwa El cnuDnwgurih iaWtwfEn
Inehea .eveSWrukwdWa cSwmurukcnunEb WnWk Evelukea Is-cscnimwTiv idwa csUj
cnuawaEl cSokwdwg urWb egukwtiLohEl idukiduk cnubwbws egWnWk wdwfim
.eveaedcSokwDuk

cnugenwlid cniaem -18
iaWawlwscawm egumugenwlid cniaem cSwncnuhImwnig cSwrwv urwvcswvud uDnwbWm
egukwtcnOmrOh Wdcawfua cnegiLug iaWmuniaevilwb Iaim .eveaehej cnWlitwmiruk
sophagus ) iLohWgih itekwtWk ( cnOrITcsejOrcp cSokwBcaWK ) cnubwbws
Wrubwa ukea iaWDisea itekwtWk WviawguDnwb cnumuvUd cawtcswm egWdiawm ,iaWa (
wlwhwkWvIh cnehWgwnwlid .evekemwk Wvitwmiruk cnumuaid cSwaiLohWgih itekwtWk
iawguSwfiriawk Eretea egILohWgih itekwtWk cawtcDisea Ineveruk caesWschia
cSwDob csWschia egumugenwlid cniaem .evencnumurukurwswa egEa ihIb
cniaem cnuhwb isErigia .eveawgubWsih wncnoa ''ctih'' cnitwmEm Inwncnuh
.eveaeruh iaWbwbwsim Inwyik Ea(Heart burn)''cnWb cTrWh'' cSwmugenwlid
caehEb wdwf ''cDiswTcnea'' cSwaWvurwf egumugenwlid cniaem wtwvun cnudcneaEm
.eveLwgwr cnudOhWfwl egcaerwTckoD cniruk egumuruk cnunEb

.evea Inwvim iawgIrit cawtcawtcnwk caeawb enWdiveruk cSwmuvctwmWlws cnumwkim
OtETcaehefih iawgcaerwvikwv Idunwyivurutia cSwDobWm cnwdurwb uDnwgiSwh (h)
cnuleb
( urwhwf 8 wtwvun 6 ukwlWvud ) cnuaek cniawnigwnig cSokiaul (S)
cnegiawlufua Ob cSokwDuk iawlcaehIlWb urutia cSwSwdOb uriawncnoa cnwdin (n)
cnutoa
cnuvilehurud iaWmurukcnunEb WnWk Evelukea cTef idwa udWvwh (r)
cnunia cnegiawTcawhwb cSwdet uDnwgiSwh uriawncniaedISia cnWk (b)
cnunEbcniawnigWm itekwt wdwfcTelckoC iaWkwtcniaub wdwf ,Ifok ,iawsuLwk (L)
cnurukun
.evenUn caemwk uLwgwr IkwmutOSoa cSwtogEmin iawk (k)


cnuviscawa -19
wncnuh iawfcsog cSwywf uria wncnwa cnumwvuDob umihwr uhwf cSwmuniaevilwb
,iaWywf cnubwbws egumwkim .eveaevctogEtif cawturWnea ,ihej iawgukwt urWn
cnuviscawa Edefua cSwtogim .eveaev ctogWviscawa cawtiligia idwa wlitiawf
cnuviscawa Ikwmuruk utwrcswk .eveaediawlif cnuDwmuDwm uhwfcSwmuaehiv
.evekemwk EdcSokwDuk

(Carpal tunnel ''cmOrcDcnis clenwT clwprWk'' cSwncnunehcnwa caeawb
cawtiligia ,iaWawlitctwaed cnubwbws egcaeycawb Wyik Ea syndrome)
Enemih uLuhwDuk wtwvun irukutwa Ikwa ''clenwT clwprWk'' .eveaev ctogWviscawa
,iaWycaigia ctwdWhwx ,iaWycaigia WvuDob .evekea ''clenwT'' wncnia iawgubWsih
WrukclOrcTcnok cawtctWkwrwh egiawbcaea egIligia iSwk ,iaWycaigiaudem
clenwT clwprWk'' .evencniaeret eg''clenwT''im Inwd (Median nerve)urWn
,itif urWn unuvenub cniruk ,evwLud ''clenwT''im cnumuhej ''cmOrcDcnis
eg''cmOrcDcnis clenwT clwprWk'' .eveaev ctogWviscawa cawtiligia ,iaWawlitctwa
Ikwmudin cnegiawlWLwaOb iawgItwmctwa uriaWdin uDnwgEr wmwn wncnuh wlwscawm
rwxercp cSwa''clenwT'' cnumudin evoa cSwtogim .evenUn caemwk uLwgwr
.eveaevwdwg cnuviscawa ,evurutia


cnuvunUh -20
ctwkcawswm eg''cmwzilobwTem'' Wgih iawguDnwgiSwh uhwfcSwmuvuDnwbWm
egumwkim .eveaevurutia urwvcnim Wdcawfua unUh iawguDnwgiSwh cnumuvurutia
caerwvcswvud unUh .eveaed cSwCcawm cnimunUh ,evWLuf cawtiLohEl cnubwbws
cSwtogim .eveaevurutia csev urwvcnim egunUh Edefua uDnwgiSwh cSwtogim wmwn
csevwmwn .evekemwk uridWn Ikwmuvujcnim cniLum cniawlwscawm egumuvunUh
.evekemwk uLwgwr IkwmurukcnunEb cnudeh UdcSwywg ,iaWmurevcnef cniawnigwnig


cnuvurEbwyid cnunwvwnug Iscnij egWnehcnwa -21
enWdev urwvcswvud uDnwbWm Ikwmuvurutia urwvcnim WvurEb wyid cnujurwf
,iaWmwh WviawgubWsih Enemih cnwvwnug Iscnij egWnehcnwa Iaim .evekemwk
cSwtogim .evekemwk Wvitwmiruk cnumuvurutia cnuvuruawdEl iawgukwtcswm
Inwncnuh cawtwyidim .eveaeyik Ea(Leukorrhea)''WairOkuail'' cSwmuvurEbwyid
cnunef csevukwhwvud emcnok cawtwyidim .eveSokOb cSokufWs wtwvun cSokuduh
iawgubWsih Enemih cnwvwnug Iscnij egWnehcnwa .eveSWruk ufWs cSwLwgwr
,cnuvudcswv iawbun ,cnuruhEl iawgiawyid WvurEb ,cnuvurWf cnuhek ,cnuscair
IkwmudOhWfwl egcaerwTckoD cSokuncswl wmwn ejcaevwgwhWf caemwk cniaim
wdwf Wyigwj wfwk urwvcswvud WvurEb wyid cSwtogim .evekemwk Wvcnegivedea
cnwpcmeT wtwvun cDep cSwmurukufWs cawtwyid .eveSWrukun cnunEb itekwt
.evenUn caeLwgwr cnurukcnunEb

cawtulwdwb wncnwa cSwCcawmwrua -22
WhWtcfwh wnwv 8 wtwvun 6 Wtwncnia evilwb
iawgItwmwrua.eveawSwf cnWvuDob itwmwrua ubWsih
cawtcSog WrukurEburik ,evurutia cTef Evelukea
egItwmwrua uhwf cSwmuniaevilwb.eveaevwnig
cnumwvurutia cnuDwmuDwm cnwdurwb iaWziaws
uDnwgiawm egumuvuDob itwmwrua .eveaedWa
cnOrITcsejOrcp idwa cnejOrcTcsea Ikwbwbws
.evemuvurutia iawguDnwwgiSwh cnOmrOh
.eveaenWvIh cnehwncnuh iawfiruf evuDob itwmwrua cnegiLugiaWmuniaevilwb
iawgcaetogumcnWa .eveaevirevudem ctogWscair cnumuhIb iawgItwmwrua ukeaWaimwmwh
3 wmwtwruf cnuscairim .eveawgEretEd iaWaWtcfwh4-6 InwSwf cSwscair cSwtogim
,evurutia cnuvuruawdEl iawgItwmwrua .eveaeruh imed cnedcnemin cswm
cSwtogim .eveaeruh cnWvwgwhWf (cscniaev)cawturWnEl WviawguSwd eguDnwgcnwh
wncnuh iawfWdwh cSokwBcaWK cSwmuLea urwvcswvud uDnwbWm wmwn wncnuh cnuhir
wfwk eruvcSwa Wrcb wncnuh iawfWdwh cnunOliawn .evea enWdiverukcnunEb Wrub
.eveLwgwr cnurukcnunEb Wrcb

wluk eg ( Areola ) uDwgcnwh iridwa Wv cnegiawSwv egEa iaWDnwgcawv
cSwrEb cSwDob eruvcSwrwvwncnuh cSokumcnWa uDnwgcawv .eveaevwdwg cSwrutia
IremOgcTcnom '' iawguDnwgcnwh iridwa unuvenub cniruk .eveaemukin
caeaWdcaWm oyet idukiduk Eyik Ea(Montgomery tubercles)''csclckWbuaiT
urwvcswvud Edurik cnutWg cnubwbws egWdcaWmim .eveaedefua caekwtcSog WrukurEb
.eveaedcSok ctwyWmih cnumudefua cnwxckefcnia iawg''WlOairEa''

cnitwmwrua iawg EretEd WaWtcfwh wnwv 14 ,iaWaWtcfwh wnwv 12
emcnea cnitwmwrua Iaim .eveawSwf cnwrukurEb (Colustrum)''cmwrcTcswlok''
urEb ''cmwrcTcswlok'' cSwncnunehcnwa caeawb .evea''urik'' WvurEb wmwtwruf
WvurEb uLok wmwtwruf .eveaevcswl caeLokcnwt utwdcaum WSwf cnwruk
wncnukin cnumuvctWg cnwhiv .eveSwawluk UdIr cSokOb Inwncnuh ''cmwrcTcswlok''
cSwCcawmwrua .eveawgiawluk uduhuDwm cSokufWs Inwncnuh ''cmwrcTcswlok''
''cmwrcTcswlok'' .eveaevurEb ''cmwrcTcswlok'' urwvcswvudim csev cnumulWtif
.eveSWruk cnunEb caeCcaea wdwf ''cDep cTcsercb'' wmwnWvurEb

Inehea ,eveSWruk cnunEb cnef inwkeawmwh cSwmurukufWs itwmwrua iaWDwgcawv
egEa iaWDnwgcawv cnumurukufWs cnegcSokcnunEb iteCcaea wdwf inObWs
urWf ,evikwruk cSwtogim .eveaev ctogWvikwruk ,ikihuDnwgcnwh WvcnegiawSwv
caemIrck gcniziawrwCcsiaom Evelukea ''cnilOnel'' wmwnWscair idefua
.eveSWLugua
cawtulwdwb wncnwa cSwDnwgcnwh -23
iawguDnwgcnwh urwvcswvuduDnwbWm
caekwtugor egiawluk ubnwd wtwvun,iSotWyif,ctwr
Inwncnuh iawgcaetogumcnWa cawtugorim .eveaevuLWf
,iaWDnwgcswmudif ,iaWDnwbcSwd ,iaWCcawmwrua
.eveawg uDnwgcswmwlwf egiawf
Eretea egumwh cnumuvcnWv imed uDnwgcnwh InwvuLWf cawtugor wdwfim
cawt(Collagen fiber)''urwbiawf cnwjelok'' wncnuh iawg(Dermis)wlwSwf
cawturWnEl wtwvun UxiT Evelukea El wncnuh iawguSwduDnwgcnwh ,evikwv
(Striae ''cmwrEDivercg WaircTcs'' Inwyik cSwkwtogorim .evencnumuruh cSwncnef
.evea gravidarum)

cnumuvulwdwb cSwawlukuduh .eveaevulwdwb cSwa wlukuduh cnuhwf wluk egukwtugorim
.evea (Striae albicans)''cscnwkibclwa WaircTcs'' Inwyik cSwkwtugorim
Inwncnoa iawfevWnib wluk egEa uriaWSwf cnWvuLWf cawtugor cSwtogim csevwmwn
.eveSwCcawm egcaeawluk eguDnwgcnwh egcaehImea

cSwncnuhIm wnig.eveaevitwmiruk wlwscawmim cSwncnunehcnwa 50% wncniaevilwb
.eveawgEret egukwtcswm uhwf uhwf cSwmuniailwb Inwvitwmiruk wlwscawmim
wtwvun caemIrck wBcaWK ukeaWaIhea egcaerwTckoD cSwmuvctwmWlws cnumwkim
cawtwgwhWf wtwvun cawtugor wdwfim .eveaenWdiverukcnunEb caenwxOl
.eveawSwf cnWvuDnwf cnuDwmuDwm uhwfcSwmuaehiv

uriaWvulwdwb cSwtogim .evekemwkumcnWa cSwrwv Ikwmuvulwdwb wluk eg egunUm
.eveaevuLWf caekwtikit egiawlukiSum iawgItwmctwfWtOk ,iaWtwfEn ,iaWairukctin
''WmcsOlck'' cSwkwtulwdwbim wncnwa cSwDwgcnwh egunUm
cSwncnuhImuLwk cnuDnwgcnwh .eveawyik Ea ( Chloasma )
wncnwa cSwDnwgcnwh egiawg .eveDobutwsuruf eguvitwmiruk wlwscawmegWmcsOlck
cnubwbws egukwtcnOmrOh WrukurEb cnegiLugWmuniaevilwb Ikwkwtulwdwbim
cawtugor wdwfim IkwmurukwdEh utugwv wnig iawgIvwa.evekekwtcawtcnwk Wvitwmiruk
,iaWpcaot cnumwk cnehea .evekemwk Wvwnig evurutia cawtwgwhWf wtwvun
.evea enWdiverukcnunEb uriaELua iawgIvwa itekwt wdwf uniawaivwa

iaWtWrwf itwmiruk cSwairit cnuLUf iawguDnwgiSwh egcnunehcnwa wnigcSwrwv
Inwyik cSwgorim .eveaevuLWf caegor egiawlukiSum iridwa iawguDnwbcSwd cSwlWmid
cnuDwmuDwm csev ugorim uhwf cSwmuaehiv .evea(Linea negra)''Wrcgen Waenil''
.eveaediten evuDnwf

cSwncnunehcnwa caeawb csev wlwscawm egumugen wLWSoa iawgItwmunUm
egiawdWa cSwmuvctwmWlws cnia wlwscawm egumugen wLWSoa .eveaevitwmiruk
.eveSWruk ufWs unUm urwhwf cnited ukwhwvud emcnok cnukwCcaea wncnodunUm
''cnilckiawswrcTeT'' ELua cSokcnunEb cSokumcnWa cSwmuvctwmWlws cniawLWSoa
.eveaenWvun cnegcSokcnunEb csev cSwkwtogcaea cawtcsEb wdwf