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49
DoveDe06.pmd
49
2/15/2006, 10:58 AM
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50
DoveDe06.pmd
50
2/15/2006, 10:58 AM
aew,fr[kwv f m;? tJ'v D ykd J w zuf r S m usawmh v nf ; rd e f ; rw a,mufjzpfayr,fh E_wcf rf;ar$;/ ajc ovH;k ar$;awGe@J &iftyk u f jym;jym;/ ycHk;uus,fus,f/ ±dk;}uD;a*gif*if pdwf=urf;udk,f=urf; usm;usm; vsm;vsm;eJ@ *sr;f a'g}uD;awGvnf; trsm;}uD;r[kwfvm;? wcgw&H 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212
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51
DoveDe06.pmd
51
2/15/2006, 10:58 AM
a,musmf ;yHpk H ºuGuo f m;awG }uD; xGm;zGH@òzd;vmwm &iftkyfum;+yD; ycH;k us,w f m/ toH=owm/ E_wcf rf; ar$;/ rkwq f w d af r$;awG ay:vmawmh wmaygh? rdef;rqdk&ifawmh rrsdK;O tdru f xkwaf y;wJh ra[mfrek ;f Oe d =umifh strogen awG&ŒJ tpGr;f owWa cg;ao;&ifcsD y'krReDqdkovdkyJ/ &if xGm; wifum;+yD; tqDawG pkvm r,f? robm0 tvStyawGeJ@ usm;owW0gawGukd qGaJ qmifvm Edik rf ,f? 'gawGtm;vH;k udak wmh Secondary Sex Development vd@k ac:w,forD;? uav;wa,muf arG; zGm;vm+y;D ol@&v hJ id t f *F gu=kd unfv h @kd 'Duav;udk ywf0ef;usif todik ;f t 0ef;vl@tzG@J tpnf;u ol@uakd ,m usmf ;av; rde;f uav;vd@k owfrw S f vdu k +f y;D / ol@ukd “usm;” “r” owf rSww f hJ emrnfay;+yD; “usm;”vdk “r” vd0k wfqifajymqd+k yD; }uD;jyif; vmwmudak wmh Sex of Rearing vdk@ owfrSwfygw,f? avmu&Jh owfrSwfcsuf rdrdudk,fudk owf rSwcf suf jzpfygw,f? OD;OD;wd@k omref vlom; awGtm;vHk;[m OD;OD;ajymcJhovdk rsKd; arG;zGm;vm+yD qdkuwnf;u a,musmf ;vm;/ rde;f rvm;qdw k m uGu J jJG ym;jym; tajzay:+y;D om;? arG; vmwmeJ@ om;av;vm;/ orD; av;vm;ar;vdkufwmeJ@ “om; om;” odk@r[kwf ‘orD;av;’qdk wm aocsm+y?D r=umcif emrnfay; vd@k &+yDayg?h 'gayrJh avmurSm wcg w&Husawmh arG;vmwJh uav;&Jh vdit f *F gawGukd =unfv h u kd cf sed rf mS
[kv d v kd 'kd v D v kd ekd @J “usm;”vm; “ r” vm;uGu J jJG ym;jym; r±Sw d t hJ ajct aeeJ@ “óuH&wwfw,f? tJ'v D t kd jzpfrsK;d udk “vdirf uGjJ ym;jcif; ( Intersex) vd@k ac:owJ?h “usm;” “ r ” &,fv@kd ruGjJ ym;wJh tjzpfrsK;d udk arG;p t±G,rf mS awG@&wwfovdk tjcm; t±G,t f rsK;d rsK;d rSmvnf;/ yHpk rH sK;d pHek @J awG@&wwfjyefw,f? wcgwav uav;b0wav#mufv;kH rde;f u av;vd@k trsm;owfrw S cf aH exdik f cJh+yD; tysKdayguft±G,fa&mufrS a,musmf ;wa,mufypkH rH sK;d a,m usfm;wa,mufvdk}uD;jyif;cJh+yD;rS rde;f ryHo k ¾mefajymif;oGm;wmrsK;d awG±w dS wfw,f? wcsK@d toufawG }u;D cgrS a,musmf ;ppfppfu &ifom; awG}uD;vmwmrsK;d (Gynaecomastia) awG@&wwfovdk rde;f r}uD; jzpfrS E_wcf rf;arG;/ rkwq f w d af rG;awG ay:vmwm toHawG=ooGm;wm pojzifah wG@&wwfw,f? orD;axG;udk 'Dvkd "Intersex" trsKd;tpm;awGta=umif; ±Sif;jyr,faemf? em;vnf&vG,f atmif av;rsK;d cGjJ cm;xm;w,f? y xrtrsK;d uawmh “rsK;d ADZcsK@d ,iG ;f csuf ” Chromosomal abnormalitiesawGa=umifh jzpfvmw,f? ckeu OD;OD;uajymcJo h vdk Genetic Sex rSm xx qd& k if rde;f r/ xy qd&k if a,musmf ;vd@k owfrw S w f ,f? rde;f r wa,mufrmS x ESpf vH;k rygbJ x wvHk;yJyg&if rdef;ryDyDoorjzpf awmhb;l ? "Tuner's Syndrome" vd‹k aq;ynmrSmac:w,f? tysKjd zpf csed rf mS &moDrvm&if &ifom;/ wif om;awG rzG@H òz;d uyfyyk k rde;f ryDowJh
yHkpHr±SdwmrsKd;jzpfvmw,f? wcg wav "xxy" Klinefelter's Syndrome trnf&wJh x wvH;k tydyk gwhJ a,musmf ;av;jzpf wwf w,f? tjyifyef;yHpk u H awmh a,m usmf ;av;yHpk /H vlysKad yguv f m csed f usawmh a0S;aphu aumif;aumif; rzG@òH z;d yJ ao;ao;av;jzpfaew,f? 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212
uav;wa,mufarG;zGm; vm+y;D ol&@ v hJ id t f *Fgudk =unfv h @kd 'Duav;udk ywf0ef;usiftodkif;t0ef; vl@tzGJ@tpnf;u a,musfm;av;/ rde;f uav;vd@k owfrw S f vdu k +f y;D / olu @ kd “usm;” “r” owfrw S w f hJ emrnfay;+yD; “usm;”vdk “r” vdk0wfqifajymqdk+yD; }uD;jyif;vmwmudkawmh Sex of Rearing vd@k owfrw S yf gw,f?
E_wcf rf;arG;/ rkwq f w d af rG;r±S/d rde;f uav;awGrmS vdk &ifom;awG }uD; vmwwfw,f? uav;r&yJ òrw H m rsK;d jzpfwwfw,f? 'kw, d trsK;d tpm;uawmh “Gonadal Aberration” trnf& wJt h wGi;f rsK;d yGm;t*F gawGrmS yHrk rSef jzpfaewmyg? wcgwav ±Sm;±Sm;yg; yg; vlwa,mufxrJ mS Testis a0S; apha&m/ Ovary rrsK;d Otdraf &m ESpf rsKd;pvHk;ygaewmrsKd; awG@&wwf w,f? Oyrmjy&&if wd&pd m> efxu J
52
DoveDe06.pmd
52
2/15/2006, 10:58 AM
wDaumifawGrmS awG@&wwfw,f? tJ'v D rkd sK;d jzpfaewmudak wmh "True Hermaphrodites" vd@k ac:w,f? wcgavusawmh vlom;wOD;rSm a0S;apha&m rrsK;d O wckrrS ygwhJ tjzpf rsK;d vnf; jzpfwwfjyefw,f? tJ'gukd "Gonodal agenesis" vdk@ ac:yg w,f? tjyifyef;yHpk u H awmh rde;f r&Jh yHpk rH sK;d ayhg? 'gayrJh om;tdraf wmhr ygb;l / wcsK@d usawmh trsK;d orD;&Jh jyif yt*F gawGuse±f /dS om;tdrv f nf;±Sd +yD; a0S;aphvnf;yg wcgwnf;wGyJ g wm rsK;d vnf;±Sw d wfw,f? wwd, trsK;d tpm;u awmh "Endorgan Resistence" vd@k trnf&wJyh pkH rH sK;d orD;&J?h ol@rmS "xy" rsK;d ADZu a,musm f ;/ twGi;f t*F gu Testis a0S;aph±w dS ,f? a0S; aphuxGuv f mwJh zdak [mfrek ;f Testosterone &JŒtvkyfudk cE<mudk,f tpdwftydkif;awGu rSefrSefuef uefrwkŒH jyef=uwJh xl;qef;wJh a&m *gwrsK;d yJ? 'gah =umifh "Androgen Insensitivity Syndrome" vd k @ vnf;ac:w,f? Testis ±S+d yD; rde;f r yHo k ¾mef±w dS ma=umifh Testic-ular Feminization Syndrome vdk@ vnf;ac:=uw,f? tjyifyef;=unfh &if rde;f rwa,muf&yhJ ¾ kH mef/ &if om;awG zG@G òH zd;w,f? csKid ;f ar$;awG qD;cHak r$;awGraygub f ;l ? rde;f rvdif t*F gawG±Sdw,f? rdef;rudk,f t aygu±f w dS ,f? 'gayrJh om;tdraf wmh r±Sb d ;l ? a0S;aph[m Adu k x f rJ mS 'grS r[kwf aygi+f crH mS awG@&wwfw,f? wcgw&H 'DypkH u H ykd J "Par-
rsK;d jzpfwwfw,f? 'Dvrkd sK;d rSm i,f pOfuawmh rdef;uav;yHkpHeJ@ }uD; jyif;cJrh ,f? touft±G,&f vmwJh tcg tysKad yguu f av;jzpfcsed rf mS &moDrvmbl;? tJ'u D xGuv f mwJh usm;a[mfrek ;f awG&hJ tpGr;f a=umifh rvdiaf phao;ao;av;u }uD;vm +y;D a,musmf ;vdrk sK;d jzpfvmr,f? &if om;awGjyef+yD; ao;i,fjym;uyf oGm;r,f? tJ toH=o=oeJ@ a,m usmf ;oHajymif;oGm;r,f? tJ't D csed f rSm e*dku rdef;ruav;b0uae a,musmf ;av;b0udakd jymif;oGm; w,fqw kd hJ tjzpfrsK;d óuHawG@&wwf wmyJ? ol@rmS aygi+f cHrmS 'grrS [kwf Adu k x f rJ mS a0S;aph±rdS ,f? rde;f rud, k f tayguf±Sdr,f? 'gayrJh om;tdrf awmhr±Sb d ;l ? OD;OD;awmhjzifh tckw avm tkwt f w k u f suu f suef @J o wif;}uD;aewJh rdef;uav;uae a,musfm;av;b0 ajymif;oGm; w,fqw kd yhJ pkH [ H m 'DypkH eH @J wal er,f vd@k cef@reS ;f rdw,f? [kwcf siv f nf; [kwrf ,f? r[kwcf siv f nf; r[kwf bl;ayg?h pwkwˆ trsKd;tpm;u awmh "Female Intersex" vd@k t rnf&wJyh pkH ?H Adrenogenital syndrome (ac: )CAH Cong-enital Adrenal Hyperplasia vd@k ac:yg w,f? tjzpftrsm;qH;k Intersex yHpk aH yhg? arG;prde;f uav;rSm t'&D euf*vif;u trsm;}uD; xGuv f m wJh usm;a[mfrek ;f awG&hJ '%fa=umifh rde;f uav;awG&hJ t*F gvnf; yg+yD; usm;vdiw f v H kd twHuav;ESprf sK;d k 0f ef tial Androgen Insensitivity syn- wG+J y;D ygaewJh a&m*grsK;d ayg?h ud, drome" tjynfht0 r[kwfwm aqmif rdcifaomufvu kd w f hJ usm;
a[mfrek ;f "mwfyg0ifwhJ aq;0g;awG a=umifv h J arG;prde;f uav;rSm 'Dvkd rsKd;rvdifaphu a,musfm;av;&Jh vdiw f v H kd t}uD;}uD;jzpfaewmrsK;d jzpfwwfw,f? 'gah =umifh 'Daq;0g; awGukd ud, k 0f efaqmifrcd if[m t xl;a±Smif=uOfoifhw,f? Oyrm Progestogen Methyl Testosterone, Danazol
awGayg?h aemuftrsKd;tpm;wck uawmh t±G,af &muf+yD; usm;r aocsm uGJjym;+yD;rS rdef;ruae a,musfm;wa,muf&JŒ yHkpHvuQ %mawG ay:vmwmrsKd;yJ? 'gudk "Viritism" vdk@ac:w,f? Oyrm rde;f rwa,mufrmS E_wcf rf;ar$;/ rkwf qdwaf r$;awGayguv f mwm/ toH =o=ojzpfomG ;wm/ &ifom;awG ydef csyfoGm;+yD; rvdifaphawG}uD;vm wmrsKd;vnf;±Sdwwfygw,f? wif om;awG r±Sdawmhbl;? ycHk;awG us,+f yD; ºuGuo f m;awGe@J awmihf wif;vmwwfw,f? wcgwavvnf; t±G,f a&muf+y;D a,musmf ;wa,mufrmS rde;f r&Jv h uQ%mawG ay:vmwwf wmudak wmh "Feminism" vd@k ac: =uw,f? &ifom;awG plxu G v f m wwfwm? tom;ta& El;!Hah csm arG@vmwm/ E_wfcrf;ar$;awG r±Sd awmhwm? 'DvdkjzpfapwJha&m*gawG/ aq;0g;awG ± S d w wf w ,f / Oyrm usm;/ ra[mfrek ;f awGyg0ifwhJ aq; 0g;awGukd rS0D rJ w d t hJ cg? a,musmf ; a[mfrek ;f / ra[mfrek ;f awG xkwv f yk f ay;wJh tvHk;tusdwfawG cE<m
53
DoveDe06.pmd
53
tp±Sw d hJ aq;0g;
2/15/2006, 10:58 AM
ud, k x f rJ mS jzpfwt hJ cg Oyrm ra[mf rke;f awG xkwv f yk af y;wJh Adrenal Tumours/usm;a[mfre k ;f awGxw k f ay;wJh "Ovarian Tumour" awG jzpf&ifvnf; 'Dvrkd sK;d awGjzpfapwwf w,f? aemufq;kH trsK;d tpm;u awmh pdwaf =umifjh zpfvmwwfwhJ “vdiftajymif;tvJ” (Psychological Intersex) awGyJ jzpfyg w,f? a,musmf ;ppfppfu rde;f rvdk 0wfqifwmrsKd;udk "Transvestism" vd@k ac:=uw,f? [d;k &mZ0if rSm xif±mS ;ausm=f um;cJw h hJ a&mr bk&if {u&mZf}uD; eD±;kd bk&ifq&kd if 'Dvrkd sK;d trsK;d orD;vdk 0wfpm;qif ,ifcsiv f eG ;f wJh pdwaf &m*gwrsK;d ±dS w,fv@kd ordik ;f rSm zwfrw S cf zhJ ;l w,f orD;a&? aemufxyfwrsK;d uawmh a,musfm;ppfppf/ rdef;rjzpfvsuf uae+yD; qef@usib f ufvid t f jzpf udk ajymif;vJypfcsiw f mrsK;d "Trans Sexuality" ygy?J tJ'v D rdk sK;d pdw"f gwf tvGejf yif;xefveG o f al wGrsm; rdr&d xm;wJh cE<muk, d u f dk trsK;d rsK;d cGpJ w d f ðyjyif+y;D b0ukd vdiu f adk jymif;vJ ypf wmrsK;d awG&=dS uw,f? rde;f rb0u ae a,musmf ;b0ajymif;csio f u l ol@&&hJ ifom;awGudk vS;D jzwfypfwm/ om;tdraf wG cGpJ w d x f w k , f yl pfwm/ cE<muk, d t f aetxm;ukd ykpH aH jymif; oGm;atmifawmif usm;a[mfrek ;f / ra[mfrek ;f awGe@J ðyjyifwmawG&=dS u w,f? &mZ0ifordifk ;f a=umif;rSm vnf; 'DvkdrsKd; OD;OD;ajymcJhovkd "Intersex" vdif ajymif;vJwmrsK;d awG xifxif±mS ;±Sm;±Scd w hJ ,f? OD;OD;
wk@d &hJ &mZ0ifrmS qk&d if [k;d a±S;a±S; bk&m;yGiahf wmfrw l ek ;f u armifrpPu qdw k hJ a,musmf ;wOD;[m tom; ta&tvGev f yS 0if;0g+yD; usuo f a&±Sv d eG ;f vSwhJ &[ef;wyg;a&csK;d ae wmjrifwt hJ csed rf mS rxde;f Edik yf J pdwf xJuypfrmS ;rdwt hJ wGuf a,musmf ; ppfppfuae+y;D rde;f rb0udk ajymif;vJ oGm;cJo h wJ?h aemufurBm&h mZ0if rSm xif±mS ;cJw h muawmh t*Fvef jynf±h iS f bk&ifr}uD;wOD;jzpfcw hJ hJ tJ vpfZbufb&k ifr}uD; trSwf (1) &Jt h jzpfy?J ol[m Testicular Feminization trnf&wJIh ntersex wOD; jzpfw,fv@kd OD;OD;=um;cJzh ;l w,f? OD;OD;wdk@ jrefrmjynfrSm awmif tckvrkd sK;d yJ [d;k av;wausmf jzpfcw hJ t hJ jzpfwckukd OD;OD;rSwrf ad o; &J?h OD;OD;wd@k cyfi,fi,f tv,fwef; ausmif;om;avmufwkef;u o wif;pmawGxJ ckvrkd sK;d yJred ;f uav; b0uae a,musfm;av;b0udk ajymif;vJomG ;w,fqw kd hJ tjzpfrsK;d óuHczhJ ;l w,fav? uav;rav; r wifEq k w kd hJ rde;f uav;emrnfuae armifwifr;kd atmifqw kd hJ trsK;d om; emrnfukd ajymif;vJ+yD;ac:cJw h mudk rSwrf w d ,f? tJ ckavmufqkd OD;wif atmifr;kd atmifqw kd v hJ w l a,muf olajymif;vJ a&muf±o dS mG ;wJb h 0rSm aysm&f v hJ m;? tqifajy&Jv h m;? tdrf axmifðyom;orD;awGa&m &ae+yD vm;? bkpck ±kawGe@J jzpfae+yDvm; ponfjzifh rD;cd;k ºuu G f av#mufawG; aerdawmhw,f? orD;av;axG;a& tckxd OD;OD;±Sif;jywmawG pdwf0ifpm;ae ao;&Jhvm;? ysif;ae+yDvm;orD;?
wu,f w rf ; usawmh 'D v d k r sKd ; Intersex qdkwJh vdifruGJjym;jcif; acgif;pOfrsKd;[m aq;wuUodkvf ausmif;om;awG&hJ yHrk eS o f ifcef;pm awG Lecture awGxrJ mS odyyf gavh r±Syd gb;l ? ±Sm;yg;+y;D cufcw J hJ udprP sK;d jzpfv@kd 'Doifcef;pmudk avhvmwJh ausmif;om;qdkwmrsKd;[m aq; ynmudk wu,fu h kd 0goemygpw d f 0ifpm;wJh aq;ausmif;om;awG jzpf wwfw,f? pmar;yGaJ tmif±kH om refq&m0efb@JG &±Hak vmufom ar#mf rSe;f wJah usmif;om;awG ausmjf zwf oGm;=uwJh acgi;f pOfrsK;d ayg?h q&m0ef wa,muft aeeJ@ tjyifvufawG@b0rSm 'Dvrkd sK;d “usm;r” raocsm awG;r&jzpf&wJh vlemrsK;d óuHawG@&+yD qdyk gp@kd w?hJ tJ'D tcsed u f s emrnfwckukd ±kww f &uf tjyifyef;eJ@ qENapm+y;D rowfrw S f rdz@kd ta&;}u;D w,f? “ E_id ;f E_id ;f csed f csed o f ck rde”f qdw k phJ um;[m 'Dvkd udprP sK;d rSm tvGerf eS u f efwhJ pum; aygh? rSefw,forD;? 'DudpPrsKd;[m tifrwefukd csichf sichf sed cf sed f pOf;pOf; pm;pm;vky&f wJh "Very Sensitive f &uf wd Issue" rsK;d jzpfw,f? ±kww wdususa&m*gowfrw S zf @kd wcgw&H rSm tvGecf ufcw J wfw,f? 'Dvkd jy\emrsK;d eJ@ óu&H +yq D w kd meJ@ yxr qH;k vky&f r,fh tqifu h awmh pepf wus pdw±f n S v f uf±n S f aoao csmcsm ar;jref;ppfaq;wwfz@kd y?J arG;puav;wa,muf rSmrsm; “usm;r” raocsmwJh t jzpfrsK;d óuH&&if “usm;” vm;“ r” vm; ±kww f &uftjrife@J rowf rSw&f bl;? ±kww f &uf aq;ruk&if
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DoveDe06.pmd
54
2/15/2006, 10:58 AM
toufaooGm;wJh a&m*grsK;d [kwf r[kwpf pfaq;+yD; [kwcf &hJ if tjref qH;k toufu,faq;ukz@kd vdw k wf w,f? (CAH = Congenital Adrek hJ a&m*grsK;d nal Hyperplasia) qdw ayg?h " Corticosteroid " trnf& whJ toufu,faq;awGe@J ruk&if aooGm;Edik w f ,f? 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212 1234567890123456789012345678901212
OD;OD;wdk@vdkEdkifiHrSm Ak
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a,musfm;wa,muf&Jh a0S;aphyg vmw,f? 'gayrJh jyifyvdit f *F grmS u rde;f ryHjk zpfw,fq&kd if 'D Testis a0S;aphukd tysKrd aygucf ifrmS cGpJ w d f xkwyf pfz@kd vykd gw,f? rxkwyf pf&if tJ'aD 0S;aphuxGuv f mwJh zdak [mf rke;f awGa=umifh 'Dred ;f uav;[m t ysKad ygub f 0rSm a,musmf ;av;yHpk H udk jyefajymif;oGm;wwfw,f? 'D vdrk sK;d rde;f uav;rSm a0S;aphukd r xkwyf pf&if tJ'aD 0S;aphuae+yD; w csdefcsdefrSm uifqma&m*gjzpfoGm; Edik w f hJ tE &W m,f±w dS wfw,forD;&J?h rde;f rb0cH,+l y;D wcgwavrSm rde;f rudk,f taygufuav; aumif; aumif; rzG@H òz;d jyef&if tdraf xmifus wJt h cgrmS vdiq f ufqw H hJ tcgus &ifjy\emwufwwfw,f? tJ'D tcgus&if tdraf xmifðycge;D tcsed f udkuf rdef;rudk,ftayguf twk "Artificial Vagina" av;jzpf atmif txl;py,f±, S cf pJG w d ðf yjyif ay;&wJh "Plastic Surgery" vkyf ay;&wwfw,f? a,musfm;b0 udkcH,lvdkuf+yDqdk&ifvnf; ol@qD rSmygvmwJh rde;f rud, k t f aygu±f &dS if ydwaf y;&w,f? om;tdrrf awmfw qygvm&ifvnf; cGpJ w d +f y;D xkwaf y; &r,fayg?h 'gwifruao;bl;? a±G; cs,fvdkufwJh a,musfm;yDyDoo od@k r[kwf rde;f rb0 yDyo D oeJ@ quf qH+yD;tqifajyajyeJ@ usef;rma&; rxdcu kd b f J aeoGm;Edik zf @kd vt kd yfwhJ usm;a[mfrkef;/ ra[mfrkef;awGvdk tyfwhJ tcsK;d tpm;vdu k f pepfwus wGucf su+f yD; ay;&wmrsK;d vnf; ±Sd w,forD;a&? 'Dvv kd el mrsK;d [m cGJ pdwu f o k r_ aq;ay;ukor_awGay;
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