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BREAKING NEWS

kpJ {]k-hw F-óp ]-d-bm³ F-´m th-Z-\-bnñm-sXbmtWm s]-®p-§Ä {]-k-hn-¡p-óXv? {]-k-h th-Z-\ Ip-d-bv-¡m\pw amÀ-K-§Ä Dïv; tUm-ÎÀ ]ñ-hn tKm-]n-\m-Y³ F-gp-Xp-óp

Britishmalayali
]ñhn tKm]n\mY³

'kpJ{]khw óv anïnt¸mIcpXv. Rms\´mïv thZ\sbmóqñmsX {]khn¨ t]mse. t\mÀaembncpóqóv ]dªm aXn' t^mWneqsS kIetcmSpw 'kpJ{]khw Bcptó' Fóv ]dbpó `À¯mhnt\mSv `mcy ]dªXmWv, CubnsS.


A´mcm{ã thZ\ ]T\ Atkmkntbj³ \nÀhN\w A\pkcn¨v, ' kwthZ\]ctam hnImc]ctam Bb Hcp Atemkcs¸Sp¯pó A\p`hamWv thZ\, A\p_Ôambn icocIeIÄ¡v £Xw kw`hn¨n«pïmhpItbm kw`hn¡m³ km[yXbpïmhpItbm Bhmw.'
{]kh{]{InbbneqsS ISóp t]mIpó HcphÄ¡v, thZ\bnñm¯ , kpc£nXamb {]khw km[yam¡pIbpw, H¸w A½bpsSbpw Ipªnsâbpw kzmØyw Dd¸phcp¯pIbpw sN¿pó imkv{Xob NnInÕm amÀKamWv {]khthZ\ \nhmcWw AYhm H_vÌ{SnIv A\mðPoknb.
Hm, Hmtcm ]pXnb ^mj³. ]pXnbXñ.
1847 ð Cw¥ïnð sPbnwkv knw]v--k¬ CuXÀ D]tbmKn¨pÅ NnInÕ \S¯nbncpóp. {]ikvX Ihn H W  temMv--s^tembpsS `mcy ^m\n temMv--s^tem Bbncpóp AtX hÀjw Xsó Cu tkh\w e`n¨ Atacn¡bnse BZy h\nX.
A\kvXoknb Fó imkv{X imJbpsS Ncn{X¯nse BZy \mgnI¡ñpIfnð HómWv hntÎmdnb cmÚn¡p \ðInb {]khthZ\ \nhmcW NnInÕ.
B[p\nI A\kvXoknbbpsS ]nXmhmb tUmÎÀ tPm¬ kv--t\m, cmÚn¡v Hcp Xqhmebnð s¢mtdmt^mw \ðIn. entbmt]mÄUv cmPIpamcs\ {]khn¨ tijw cmÚn s¢mtdmt^mans\ 'kpJhpw im´Xbpw Afhä kt´mjhpw' Xcpó Hómbn hmgv--¯n. cmÚnbpsS Cu t]mknäohv kao]\t¯msS, {]khthZ\ \nhmcWs¯¡pdn¨pïmbncpó aX]chpw kmaqlnIhpamb FXnÀ¸v IpdbpIbpw A¡mes¯ DbÀó kmaqly t{iWnbnepÅ h\nXIÄ¡v Cu tkh\w e`n¡pIbpw sNbvXp.
thZ\ Htcm hyànbpw Hmtcm coXnbnð A\p`hs¸Spó Hcp e£WamWv. ]cnjv--IrX kaql¯nð thZ\bv¡v Bizmkw Int«ïXv Hcp ASnØm\ a\pjymhImiamWv (right to pain relief)
At¸m {]khthZ\?? imkv{Xob amÀK§Ä e`yamWv, D]tbmKs¸Sp¯pI Xsó thWw.
thZ\ F§s\ DïmIpóp?
{]kh{]{Inbsb aqóv L«§fmbn Xncn¡mw.
KÀ`]m{X¯nsâ kt¦mN§Ä (contractions) aqeapïmIpó hn«p hn«pÅ thZ\, AXmbXv X\n {]kh thZ\bpsS (true labor pain) XpS¡w apXð KÀ`mibKfw AYhm skÀhnIv--kv ]qÀ®ambpw hnIkn¡póXv hsc Hómw L«w.
cïmw L«amWv IpªphmhbpsS ]pdt¯¡phcð. skÀhnIv--knsâ ]qÀW hnIk\w apXð KÀ`Ø inip ]qÀWambpw ]pdt¯¡v F¯póXv hsc.
aqómw L«¯nemWv adp]nÅ AYhm ]v--fmkâ ]pdt¯¡v hcpóXv.
BZy L«¯nð thZ\bpsS ImcW§Ä {][m\ambpw KÀ`]m{X¯nsâ kt¦mNhnImk§Ä (cotnractions), KÀ`]m{X`n¯nbpsS Xmgv`mKs¯ hen¨nð, skÀhnIv--knsâ hnImkw FónhbmWv. BZyambn A½bmhpt¼mÄ ]¯p aWn¡qÀ Hs¡ \ofmdpïv Cu L«w. cïmw L«¯nð Ipªp ]pdt¯bv¡v hcpt¼mgpÅ £Xw sImïpw IqSmsX aäp s]ðhnIv Ahbh§Ä (aq{Xkôn, aemibw Hs¡) sRcp§póXp sImïpw thZ\ DïmIpóp.
F{X Xo£vWamWp {]khthZ\?
' Hm, Np½m ]dbpóXmtó. sIms¨mïmbn¡gnªm A§p adtómfpw'
' Cu cmPy¯v ]nsó thsd s]®p§sfmópw s]än«nñtñm'
]nsó Z ¢mkn¡ð s\ñpIp¯vþ sUenhdnþ s\ñpIp¯v .
A§s\mópw ]dªmð ]änñ. thZ\ Af¡m\pw \ap¡pïv imkv{Xob amÀK§Ä. thZ\ ]ecnepw ]eXmWv Fsóms¡ ]dªmepw, thZ\sb Af¡pó kqNI§fnð Hómb aIv Knð s]bn³ C³UIv--kv {]Imcw GXmïv Hcp hncð A§p apdn¨p amäpó thZ\bv¡v XpeyamWv {]khthZ\. C³UIv--kv \mð]Xv. hncð apdn¨ thZ\ Adnªn«nsñ¦nepw FsñmSnª thZ\ ]eÀ¡pw ]cnNbapïmIpw, C³UIv--kv Ccp]tXbpÅq. ]ñpthZ\bpw Ccp]XmWv.
thZ\ F§s\ DïmIpóp, GXmïv F§s\ DïmIpw Fóp Iïp. F§s\ Ipdbv¡mw??
{]khthZ\ \nhmcW¯n\mbn GsX¦nepw amÀK§Ä Hcp ]cn[n hsc km[mcW Fñm Bip]{Xn{]Ifnepw kzoIcn¡mdpïv. ^e{]Zamb NnInÕ ]et¸mgpw \S¡mdnñ Fóp am{Xw.
{]khthZ\ A½bnepw Ipªnepw ]eXcw imcocnI {]XnIcW§Ä Dïm¡pw. A½bpsS lrZbanSn¸nsâ \nc¡v, izk\\nc¡v, càk½À±w XpS§nbh thZ\bv--s¡m¸w hÀ²n¡póp. cïp I¬{Sm£\pIÄ¡v CSbv¡pÅ kabw A½ £oWnXbmbn izk\\nc¡v Ipdbmw. Ipªn\pÅ HmIv--knP³ e`yXbnð hyXnbm\§Ä Dïmtb¡mw.

km[mcW KXnbnð Cu hyXnbm\§Ä Ipªnt\m A½bv--t¡m ISp¯ {]XymLmX§Ä krãns¨óp hcnñ. KÀ`t¯mS\p_Ôn¨v DbÀó càk½À±w DÅhcnð, lrt{ZmKw DÅhcnð Hs¡ thZ\bpsS {]XnIcW§Ä Poh\p lm\nIcamtb¡mw. A¯cw kµÀ`§fnð {]khthZ\ \nhmcW amÀK§Ä Im¯p c£n¡póXv A½bpsS Poh³ XsóbmWv. A½bv¡v Bhiyamb thZ\ \nhmcWw \ðIpóXpw , H¸w A½bv¡pw Ipªn\pw tZmj^e§Ä Dïm¡m¯Xpw, {]khs¯ klmbn¡póXpamhWw {]khthZ\ \nhmcW amÀK§Ä. ]eXcw amÀK§Ä e`yamWvþ acpópIÄ D]tbmKn¨pÅ (pharmacological) amÀK§fpw acpónXc (non pharmacological) amÀK§fpw.

acpónXc amÀK§Ä {][m\ambpw e£yanSpóXv am\knIamb X¿msdSp¸pw sshImcnI ]n´pW Dd¸m¡epamWv. emtakv sSIv--\n¡nð (Lamaze technique) {]khXobXn¡v BdmgvN ap³]p apXð ]cnioe\w XpS§pw. KÀ`nWnbpsS `bmi¦IÄ CñmXm¡pIbpw izk\ coXnbnð ]cnioe\w \ðIn dnemIv--kvUv B¡pIbpw sN¿póXmWv Cu coXn. kam\amb aäp ]e amÀ¤§fnepw `À¯mhnsâ kmao]yw, XtemSð Hs¡ D]tbmKn¡mdpïv.

_tbm^oUv_m¡v, sS³kv (transcutaneous electrical nerve stimulation) XpS§n ]e NnInÕIfpw \S¯mdpïv. ]t£ Cu amÀK§Ä thZ\ \nhmcWw ^e{]Zambn Dd¸phcp¯póXnð ]et¸mgpw ]cmPbs¸t«¡mw.
Bip]{Xnbnð \S¡pó km[mcW {]kh§fnð thZ\ Ipdbv¡m³ C³P£\pIÄ \ðImdpïv. sNdnb tUmknepÅ thZ\ kwlmcnIfmhpw Ch. Xmð¡menI Bizmkw e`n¡pw F¦nepw thZ\ \nhmcWw ]qÀWambn km[yamsbóp hcnñ.
thZ\ clnX {]khw FóXnð Gähpw ^e{]Zamb amÀKw \yqdmIv--knbð A\mðPoknb, AXmbXv kpjpav--\bnð \nóp hcpó \mUnIsf acpóp h¨p achn¸n¡pó coXn BWv. F¸nUyqdð A\mðPoknb tkh\w thZ\clnX{]khw hmKvZm\w sN¿pó Bip]{XnIfnð e`yamhpw. \ðIpóXv A\kvXoknb tUmÎÀ Bbncn¡pw. KÀ`nWnbpsS AdnthmSp IqSnb k½Xw ]ca{][m\amWv.
Hcp C³P£³ hgn t\À¯ Hcp Ipªn¡pgð (F]nUyqdð I¯oäÀ) kpjpav--\sb s]mXnbpó Uyqd Fó BhcW¯n\p ]pd¯mbn C«phbv¡pw. AXneqsS achn¡ð acpópIÄ Xcpw. thZ\ knKv--\epIÄ sImïp t]mIpó Rc¼pIsf AXv t»m¡v sN¿pw.
ImepIfpsS aknepIÄ A\§m³ ImcWamb Rc¼pIsf _v--tfm¡v sN¿m¯ h®w tUmkv {IaoIcn¨mð ]et¸mgpw F]nUyqdð C«v \S¡m\pw ]äpw. hm¡nMv F]nUyqdð Fó Cu coXnbnð, KÀ`nWnbpsS càk½À±w t\mÀaemWv, IqsS ]n¨sh¨p \S¯m³ Bsfms¡ Dïv F¦nð apdn¡pÅnð \S¡m³ hnSpw. tUmkv {IaoIcWw, \nc´c \nco£Ww XpS§n A\kvXoknb tUmÎdpsS t\XrXz¯nð Hcp te_À A\mðPoknb Sow Dïmhpw KÀ`nWn¡v Iq«mbn.

thZ\ Cñm¯Xp sImïv hbdnð ssI h¨v I¬{Sm£³ {i²n¡m³ KÀ`nWnsb ioen¸n¡pw. Ipªp ]pd¯p hcpó cïmw L«¯nð thZ\ Cñm¯Xp sImïv A½ iànbnð ap¡pIbnñ, AXp sImïv {]khw \ofpw, hmIztam t^mÀk]v--tkm thïn hcpw Fóv Hcp [mcW ]cs¡bpïv. Fómð thZ\ Cñm¯Xp sImïv A½bv¡v £oWw Ipdhmbncn¡pw, IqSpXð IrXyambn ]pjv sN¿m³ Ignbpw Fópw hmIzw ,t^mÀk]v--kv FónhbpsS D]tbmK\nc¡v IqSpónñ FópamWv ]T\§Ä ]dbpóXv.
lrt{ZmKnbmb A½. Ccp]¯ncïv hbkv. hnhmlw Ign¨t¸mÄ ho«pImÀ tcmKw ad¨p h¨p, acpópIfpw apS¡n. BZy {]khkab¯v lrZbw ]WnapS¡n. Znhk§tfmfw acWs¯ apJmapJw Iïv Xncn¨p hóp. KÀ`w, {]khw Hs¡ £oWn¨ lrZb¯n\v C\nbpw Xm§m\mtb¡nsñóp tUmÎÀamÀ ]dªp. hoïpw KÀ`nWnbmbn. C¯hW AhÄ BZyw apXte IrXyambn hnhc§Ä tUmÎÀamtcmSv ]dªp, sN¡¸pIÄ¡v sXämsX hóp. kab¯p hóv AUv--anäv Bbn. F]nUyqdð klmbt¯msS thZ\ \nb{´n¨v, \nc´c \nco£W¯nð km[mcW {]khw. C¡pdn AhfpsS lrZbw NXn¨nñ. A½bpw Ipªpw kpc£nXcmbncpóp.
càw I«]nSn¡m¯ tcmK§Ä, AWp_m[, icnbmb \nco£WkuIcy§fpsS A`mhw XpS§n Nne AhØIfnð F]nUyqdð km[yañ.
km[mcWbmbn thZ\ clnX {]khw KÀ`nWnbpw H_vÌ{Sojy\pw A\kvXoknb tUmÎdpw tNÀóv km[yXIÄ NÀ¨ sNbv--sXSp¡pó Hcp Iq«p Xocpam\w BWv. 
AYhm {]kh{]{Inb km[mcW a«nð ]ptcmKXn¡msXbncpóXn\mtem, asäs´¦nepw ImcW¯mtem kntkdnb³ thïn hómð A\kvXoknb Xcm\pw CtX F]nUyqdð D]tbmKs¸Sp¯mw.
Hcp F]nUyqdð A\p`hw IqSn.
KÀ`nWn Hcp ^nknjysâ aIfmWv. Xm³ tPmen sN¿pó kÀ¡mcmip]{XnbpsS te_À dqw XsóbmWv aIfpsS {]kh¯n\v Gähpw hnizmkapÅ CSw Fómbncpóp B ]nXmhnsâ hm¡pIÄ.
F]nUyqdð sImSp¯v A\kvXoknb Sow Iq«ncpóp. km[mcW {]khw. Ipªp aIÄ¡v D½ sImSp¯v Xncnªv R§fpsS No^ns\ t\m¡n A½bmbXnsâ apgph³ kt´mjw apJ¯p \nd¨v AhÄ ]dªp, '\n§sfsó H«pw Icbn¨nñmt«m. C\ow hcpw'.
^eh¯mb asämcp amÀKw C³ltejWð A\mðPoknbþ izmk¯nð acpóv \ðIpó coXn BWv.
Fât\mIv--kv Fó an{inXw BWv D]tbmKn¡mdv. A\kvXoknbbnð km[mcW D]tbmKn¡pó hmXIamb ss\{Skv HmIv--sskUv, HmIv--knP³ FónhbpsS 50:50 an{inXw BWv CXv. IrXyambn izmkKXn {IaoIcn¨p Hmtcm I¬{Sm£sâbpw XpS¡w apXð Cu an{inXw izkn¡Ww. Cu amÀK§Ä D]tbmKn¡pt¼msgñmw KÀ`nWn \nc´cambn \nco£W¯nemWv.
s]ðhnknse hnhn[ Rc¼pIsf C³P£\pIÄ sImïv achn¸n¡mw. {]khs¯ klmbn¡m³ Dïm¡pó sNdpapdnhmb F]nkntbm«an XpóenSpt¼mÄ thZ\ Ipdbv¡m\pw achn¸n¡ð D]tbmKn¡mdpïv.
hnIknX cmPy§fnð {]khthZ\ \nhmcWw hym]Iambn D]tbmK¯nð hón«p Imesamcp]mSmbn. \½psS \m«nepw
{]Nmc¯nembn hcpóp. IqSpXð hym]IamhpI Xsó sN¿psaóv IcpXmw. amtdïXv at\m`mhamWv. t\mhmsX {]khn¨p IStemfw kv--t\ln¡pó A½amcpïmhs«.

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ChnsS sImSp¡pó A`n{]mb§Ä {_n«ojv aebmfnbptSXñ. tkmjyð s\ähÀ¡v hgn NÀ¨bnð ]s¦Sp¡póhÀ AÇoetam aX \nµtbm A]IoÀ¯nIctam \nbahncp²tam Bb A`n{]mb§Ä t]mÌv sN¿póXv ssk_À \nba{]Imcw in£mÀlamWv- þ FUnäÀ

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