आर्तव

artav (masik dharm) striyoan ki jananeandriy dvara lagabhag pratimas rakt mishrit drav nikalane ko artav, masik dharm, rajasrav, rritupravah ya rritusrav (aangreji mean meanstreshan) kahate haian. paranparagat vishvas yah hai ki rajodarshan prati chaandr mas hota hai-'masik dharm' nam isilie p da hai. parantu sadharanat: ek srav ke aranbh se doosare srav ke aranbh tak ki avadhi 27 se 30 din ki hoti hai or keval 10-12 pratishat striyoan mean yah avadhi thik ek chaandr mas ki hoti hai. phir, ek hi stri mean yah avadhi ghatati badhati bhi rahati hai. is avadhi par mausam ka bhi prabhav p data rahata hai. kuchh striyoan mean yah avadhi pray: sthir rahati hai parantu adhikaansh striyoan mean yah avadhi kabhi kabhi 21 din tak chhoti ya 35 din tak lanbi ho jati hai. isase kam ya adhik ki avadhi ko rog ka lakshan mana jata hai.

shitoshn deshoan mean jab artav pahale aranbh hota hai tab l dakiyoan ki ayu 13 aur 15 varsh ke bich rahati hai. garam deshoan mean artav kuchh pahale aur thandhe deshoan mean kuchh der se aranbh hota hai, parantu kee karanoan se pratham rajodarshan ke samay ki ayu badal sakati hai. nau varsh ki l dakiyoan mean artav ka aranbh hota dekha gaya hai aur kud mean 18 varsh mean isaka aranbh hua hai. 45 se 50 varsh ki ayu ho jane par artav sadharanat: band ho jata hai, yadyapi kuchh striyoan mean isake band hone mean do tin varsh or bhi lag jate haian. kuchh striyoan mean artav ekaek band hota hai, parantu adhikaansh striyoan mean artav ki avadhi aniyamit hokar aur srav ki matra ghatate ghatate varsh do varsh mean artav band hota hai. is samay mean bahudha stri samay samay par ekaek garmi anubhav karati hai; na di aniyamit gati se chalane lagati hai; nidranash tatha udasi adi lakshan bhi prakat ho sakate haian; parantu rajonivritti (menop aauz) ke pashchath‌ svasthy achchha ho jata hai or varsho tak sphoorti bani rahati hai.

l dakiyoan mean jab artav ka hona aanrabh hota hai tab kuchh varsho tak artav tho da bahut aniyamit samayoan par hota he. artav ka aranbh yuvavastha ka aranbh hai. isake sath sath sharir mean kee nishchit parivartan hote haian, yatha stanoan ka badhana, usake bhitar ki dugdh granthiyoan ka vikas, aandashay ki vriddhi, garbhashay tatha bahm jananaangoan ka vikas ityadi. sath hi stritv or paripakvata ke any lakshan bhi, sharirik tatha manasik donoan, utpann hote haian.

artav ka ausat kal char din haian, parantu ek saptah tak bhi chal sakata hai. aranbh mean srav kam hota hai, tab ek ya do din srav adhik hota haian, phir dhire dhire ghatakar mit jata hai. srav mean keval rakt nahian rahata. srav rakt ke saman jamata bhi nahian. srav mean lagabhag adha ya do tihaee rakt hota hai, shesh mean any srav (shleshma) aur koshikaoan ke kshat vikshat aansh rahate haian. kul rakt lagabhag ek chhataank jata hai, parantu dugane ya kabhi kabhi tigune tak ja sakata hai. isase adhik srav hone ko rog samajhana chahie.

artav ke samay stri ke sare sharir mean tho da bahut parivartan hota hai, parantu anek striyoan ko artav se koee pi da ya bechaini nahian hoti aur unake dainik jivan mean koee aantar nahian p data . sadharanat: pachanashakti kuchh kam ho jati hai, shariratap kuchh kam ho jati hai. adhikaansh striyoan mean artav ke samay pi da aur udasi hoti hai. pet ke nichale bhag mean bharipan or kamar mean pi da ka anubhav hota hai. kuchh ko siradard, shithilata, thakavat, pet phoolana, mootrashay mean jalan, chhati mean bharipan ityadi ki shikayat rahati hai. ye sab lakshan artav ka aranbh hone par mit jate haian. sada svasthy ke niyamoan ka palan karane se artav ke samay kasht kam hota hai. jab stri garbhavati rahati hai tab artav band rahata hai aur prasav ke bad bhi kee mahinoan tak band rahata hai.

pratyek do artavoan ke aant:kal ke lagabhag madhy mean ek bar dianbaksharan hota hai, arthath‌ ek dianb dianbagranthi se nikalakar garbhashay mean ata hai. yadi us dianb ka nishechan ho jata hai, arthat purush ke viry ke ek shukran se usaka sanyog ho jata hai to garbh sthapit ho jata hai, nahian to dianb nasht ho jata hai or artavakal ke sath nikal jata hai. vidvanoan ka vichar hai ki garbhashay ki aantakala par dianbagranthi mean bane hue haramon ka jo prabhav p data hai vah artav ka ran hai. sanbhav haian, aant: kala mean bhi kuchh aise vish banate ho jinake karan kala koshikaean phat jati hoan.

artav sanbadhi rog-garbhadhan, adhik ayu ke karan artav ka mitana ya kam ayu mean artav ke aranbh me der, in tin karanoan ko chho dakar any kisi karan se artav ke rukane ko rudvavartav (emenoriya) kahatean haian. yah raktakshinata (animiya), kshay athava tantrikaoan ki atyant adhik thakavat se utpann hota hai. atyatrav (menorejiya) us dasha ko kahate haian jab sadharan se bahut adhik srav hota hai. is dasha mean vishram karane se labh hota hai. kashtartav (disamenoriya) se adhik pi da hoti hai. asamayik artav (metrorejiya) mean artav ka samay ae bina hi srav hota hai. in dashaoan mean chikitsak se ray lena uchit hoga.

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