Health Apsara (Nepal)

:tgkfg M cfdfsf] ?keGbf aRrfsf] :jf:YolglDt dxTjk"0f{

gjhft lzz'sf] nflu hGd]b]lv kfFr dlxgf;Dd c¿ 7f]; vfgfsf] h¿/L x'Fb}g . To;}n] cfdfx¿n] kof{Kt dfqfdf cfˆgf] b"w kfFr dlxgf;Dd aRrfx¿nfO{ v'jfpg' kb{5 . xfd|f] b]zdf ljZj :jf:Yo ;+u7gsf] k|ltj]bg cg';f/ (* k|ltzt dlxnfx¿n] cfˆgf] lzz'nfO{ :tgkfg u/fP tfklg cr]n dlxnfx¿n] cfˆgf] ;f}Gbo{df sdL cfpg] ljZjf;df / sfdsfhL dlxnfn] klg :tgkfg u/fpFb}g h:n] ubf{ cr]n lbgx'F s[lqd / ufO{ e}+;Lsf] b"w v'jfpg] rng a9\b} u}/x]sf] 5 . ;g\ &)–*) sf] bzsb]lv dlxnfx¿n] cfˆgf] aRrfx¿nfO{ :tgkfgsf] ;§fdf kfp8/ b"w / ufO{ j:t'sf] b"w v'jfpg] rng km];gsf]¿kdf a9\b} uO/x]sf] 5 . ljZj :jf:Yo ;+u7gsf] k|ltj]bg cg';f/ dlxnfx¿n] :tgkfg u/fPdf jif]{lg ! nfv %) xhf/ lzz'x¿sf] k|f0f /Iff x'g] lyof] . To;}n] :tgkfgsf] dxTj af/] k|rf/ ug{ ;g\ !(() b]lv x/]s jif{ cui6 ! tfl/vb]lv & tfl/v;Dd ljZj :tgkfg lbj; dgfpFb} cfPsf] 5 . o; jif{ klg æ:tgkfg tkfO{+sf] clwsf/ xf]Æ eGg] gf/fsf;fy ljleGg sfo{qmdåf/f dgfOof] . dlxnfx¿n] cfˆgf] lzz'nfO{ kfFr dlxgf;Dd c¿ b"w glbP/ cfˆgf] b"w dfq v'jfPdf emf8f kvfnf, lgsf]lgof, bfb'/f h:tf /f]ux¿n] cfqmd0f ug{ ;Sb}g, o;n] ubf{ lzz' d[To' b/ klg sd x'g] lyof] . To;}n] ;a} dlxnfx¿n] :tgkfgaf6 x'g] ljleGg kmfObfx¿ af/]df hfGg' Psbd} h¿/L 5 . lzz'nfO{ hGd]b]lv kfFr dlxgfsf] cjlw;Dd cfjZos kf}li6s tTjx¿ cfdfsf] b"wdf k|z:t dfqfdf kfOG5 . kfp8/ b"w / ufO{sf] b"wdf lzz'nfO{ cfjZos kf}li6s tTjx¿ / /f]u;Fu n8\g;Sg] Ifdtf j[l4 ug]{ tTjx¿ x'Fb}g . cfdfsf] b"w ls6f0f' /lxt / kf]lifnf] / :j:ys/ x'G5 t/ kfp8/ b"w / ufO{sf] b"wdf /f]usf] lhjf0f'x¿ x'g;Sg] ePsf]n] lzz'nfO{ ljleGg /f]ux¿ nfu]/ d[To' ;d]t x'g ;Sb5 . cfdfsf] b"w ksfpg' kb}{g, ;do, zlQm / /sd klg vr{ ug'{ kb}{g ;fy} lzz'nfO{ cfjZos h'g;'s} a]nfdf klg v'jfpg ;lsG5 . lzz' / cfdfsf] efjgfTds ;DaGw :tgkfgaf6 x'G5 . h:n] ubf{ lzz'n] w]/} :ofxf/ / dfof cfˆgf] cfdfaf6 k|fKt ub{5 . lzz' hGdgf;fy dlxnfsf] b"w s]xL lbg afSnf] lg:sG5 h'g lzz'sf] nflu Psbd} cfjZos x'G5 . t/ o;a]nf k|foMh;f] kftnf] b"w gcfpg] . lzz'nfO{ klg s]xL lbg b"w r':g ufx|f] x'g] ePsf]n] dlxnfx¿n] cfˆgf] b"w cfPg eg]/ af]tn b"w jf ufO{sf] b"w v'jfpg] ub{5g\ . of] Psbd} unt sbd xf] lsgls lzz'n] :tgaf6 hlt b"w r':of] Tolt a9L dlxnfsf] z/L/df k|f]nflS6g / cl3\;6f]l;g xdf]{gåf/f aGb5 / lzz'n] rfx] hlt b"w– :tgkfgåf/f k|fKt ub{5 . cfdfsf] b"wsf] abnf af]6n b"w lzz'nfO{ r';fpFbf cfdfsf] b"w r':g 5f]8\5 lsgls af]tndf b"w r':g ;lhnf] / b"w klg a9L cfpg] ePsf]n] :tgkfg ug{ 5f]8\g] ;Defjgf x'G5 . h:n] ubf{ dlxnfsf] b"w cfpg klg ;'Sb} hfGb5 . af]nn] b"w v'jfpFbf af]tn / /a/nfO{ /fd|/L pDn]sf] kfgLdf ttfpg' k5{ / kfp8/ ld;fpg] kfgL klg /fd|f];Fu pdfn]/ ;]nfPsf] x'g'''' kb{5 gq eg] lzz'nfO{ ljleGg s8fvfn] /f]ux¿ nfUg ;Sb5 . lzz'nfO{ b"w r';fpFbf dlxnfn] ;'t]/ xf]Og a;]/ lzz'sf] 6fpsf] cln dflylt/ p7fP/ v'jfpg' kb{5 h:n] ubf{ b"w a9L lg:sg], b"w r':g ;lhnf] eP/ t[Kt x'g'sf] ;fy} b"wsf] d'G6f]df 3fp x'g] ;Defjgf x'Fb}g ;fy} lzz'sf] sfg leq b"w uP/ sfg kfSg] ;d:of x'Fb}g . lzz'nfO{ b"w dfq lbpF;f] / /flt klg a/fa/ r';fO{ /xFbf dlxnfsf] dlxgfjf/L klg x'Fb}g h:nfO{ NofS6]l6u Pdf]lg/Lof elgG5 . o;n] ubf{ dlxnfsf] csf]{ ue{ t'¿Gt} x'g] ;Defjgf klg sd x'G5 . :tgkfgsf] nflu 3/ aflx/ sfd ug]{ dlxnfx¿n] slDtdf tLg dlxgf;Dd ;'Ts]/L labf lng' kb{5 ;fy} cfkm" sfd ug]{ 7fpFdf lzz' :ofxf/ s]Gb|sf] Joj:yf x'g'kb{5 . o;sf nflu dlxnfn] ljz]if kxn ug'{k5{ t/ To:tf] b]lvPsf] 5}g . :tgkfgsf] a'emfpg æ:tgkfg lbj;Æ jif{df kfFr ;ft lbg dfq dgfP/ k'Ub}g k|foMh;f] ;a} dlxnfx¿n] o; af/] 1fg kfpgsf] nflu jif{el/ hgr]tgf a9fpg ljleGg sfo{qmdx¿ ug'{ h¿/L 5 . o:sf] nflu :tgkfgsf] dxTjaf/] ljBfyL{x¿sf] kf7\oqmddf ;dfj]z ug]{, ljleGg ;+3, ;+:yf / :jf:Yo sdL{x¿ dfkm{t :tgkfgsf] kmfObfx¿af/] dlxnfx¿nfO{ hfgsf/L lbg] sfo{qmdx¿ cleofg ;~rfng ug]{, ;+rf/ dfWodx¿åf/f kof{Kt dfqfdf k|rf/ k|;f/ ug'{kb{5 .

lszf]/ s'df/ k|wfgfª

(* k|ltzt g]kfnLn] :tgkfg u/fPklg dlxnfsf] Jo:ttf ¿kk|ltsf] r]tgfsf] sf/0f :tgkfg u/fpg] k|rngdf qmdzM lu/fj6 cfpFb}5 .

&)–*) sf] bzsaf6 :tgkfg u/fpg] k|rngdf sdL cfpg] yfNof] .

:tgkfg u/fpg] xf] eg] jif]{gL ! nfv %) xhf/ aRrfsf] k|f0f /Iff x'g]lyof] .

cK;/f lSnlgs

k]6 w]/} b'Vg] sf/0f M h'sfb]lv lkQ y}nLsf] 9'ª\uf;Dd

;d:ofM– d !& jifL{o o'js x'F . d cfˆgf] df]6f]kgn] u|;Lt 5', of] df]6f]kg 36fpg] ;/n pkfo atfOlbg' x'GYof}+ ls <

– bLks cfrfo{ æhngÆ
lzak'/– %, alb{of

;dfwfg M– bLkshL, tkfO{+sf] prfO{ / tf}n klg n]vL k7fpg' ePsf] eP, slt df]6f] x'g'x'G5 eg]/ yfxf klg x'GYof} . t}klg df]6f]kg 36fpgsf] nflu ;fwf/0ftof lrNnf] vfgf gvfg] ;fy} ld7fO, u'lnof] kbfy{ / cfn' klg sd vfg] . clg laxfg a]n'sf cfwf 306f lxF8\g] / ;fwf/0f Jofofd / s;/t ug'{ePdf cjZo klg df]6f]kg 36\5 .

;d:ofM– d @# jif{sf] o'jf x'F, d]/f] @ dlxgf cl3b]lv Psfkl§sf] kf6f] v'§f / sDd/ b'MVg] u/]sf]n] oxfFsf 8S6/x¿sf] ;Nnfxcg';f/ cf}iflw vfO{ /x]5' t/ dnfO{ Kof/fnfO{ l;; kf] xf]nfls eGg] qf;n] ;tfO/x]5, o;sf] nflu sxfF ;Dks{ /fVg' knf{ .

–ldng 3fon uf}td
kfFry/, cfË;/fª– %

;dfwfg M– ldng3fon uf}tdhL, Psfk§Lsf] v'§f / sDd/ b'v]sf] vf;u/L d]¿b08af6 -Spinal Cord_ af6 lg:sg] g;fx¿nfO{ s'g} k|sf/sf] c;/ k/]df klg v'§f / sDd/ b'Vg ;S5 . tkfO{+sf] 9f8sf] PS;/] -X-ray_ u/]/ cfjZos k/]df MRT klg ug{'kg]{ x'G5 tkfO{+n] xf8 hf]gL{ ljz]if1 of g;f /f]u ljz]if1nfO{ rfF8} g} ;Dks{ /fVg' xf]nf .

;d:ofM– d !^ jif{sf] o'js x'F . ;w}+h;f] d ;'Tbfv]/L d]/f] d'vaf6 ¥ofn em5{ . o;af6 d'Qm x'gsf] nflu d}n] w]/} sf]l;; u/]+ . t/ Tof] sf]l;; c;kmn eof] . o;n] ubf{ dnfO{ lrGtf kl//xG5 . slxn]sfxL+ t ¥ofn em/]/ l;/fgL g} lelh/fVof x'G5 .

o;sf] nflu s] u?F < d]/f] lrGtfsf] sf/0f / pkrf/ atfOlbg' eP d cfef/L x'g] lyPF .

– /laGb|/fh >]i7 æ¿ksÆ
l;Gw'nLdf9L ahf/– @

;dfwfg M– /ljGb|/fhhL, ;'Tbfv]/L d'vaf6 ¥ofn emg'{ s'g} /f]u x}g, w]/}h;f] ;fdfGo :j:y dflg;df klg of] b]lvG5 . d'vdf leqkl§ 3fp x'Fbf of bfFtsf] ;d:ofn] ubf{ klg of] ;d:of x'G5 . s'g} a]nf klg ¥ofn emg]{ ePsf] eP tkfO{+sf] g;f;DaGwL /f]u 5 ls eGg] x'GYof] .

Ps k6s bGt lrlsT;ssf] ;Nnfx lng' eP /fd|f] x'G5 .

;d:ofM– d !& jifL{o o'js x'F . d s]xL kftnf] 5' . ljut #.$ jif{b]lv otf d]/f] xft / v'§fsf] hf]gL{x¿ v'DRofP/ l;wf u/fpFbf rsf]{ cfjfhdf k8\lsg] ub{5 . xftv'§fnufot d'v klg æcfFÆ ubf{ k8\lsg] ub{5 . cfh;Dd d}n] s'g} 8S6/ / ljz]if1nfO{ o;sf] af/]df atfPsf] 5}g . klxnf]kN6 d]/f] /f]unfO{ o; ædgf]/d dfl;s klqsf cK;/fÆ dfkm{t 5'6sf/f kfpg] p2]Zo af]sL tkfO{+sf] ;fd' /f]usf] nIf0f pNn]v u/L k7fPsf] 5' . s[kof emsf]{ gdfgL o;af6 d'Qm x'g] ;Nnfx lbg'xf]nf .

– ofbj k/fh'nL
lzjdlGb/– &, lji0f'gu/

;dfwfg M– ofbjhL, xft v'§fsf hf]gL{x¿ v'DrfP/ l;wf kfbf{ k8\lsg] ;fwf/0ftof w]/}df x'G5, s'g} g/fd|f] x}g . /f]u klg x}g . PskN6 xf8 hf]gL{ ljz]if1;Fu ;Dks{ /fVg' eP j]z x'G5 .

;d:ofM– d !& jif{sf] s]6f x'F . d]/f] 9f8 k8\sfpg] afgL 5 . laxfg p7\g] ;fy 9f8 k8\sfpg' k5{ . s;}n] eG5g\ . 9f8 k8\sfpg' x'Gg kl5 s'k|f] eOG5 s] of] ;To xf] . o;sf] ;dfwfgsf] pkfo atfOlbg' eP wGojfb lbg rfxGy] .

– s[i0f a= vqL
tfxfrn– !#, -rfun_

;dfwfg M– vqLhL, 9f8 k8\sfpg] afgL /fd|f] x}g . 9f8 k8\sfpgfn] s'k|f] eOg] t x}g, t/ sltko dfG5]df 9f8 k8\sfpg]n] d]¿b08 / o;sf g;fx¿df c;/ u/]/ g/fd|f] ljs[lt klg x'g] ubf{ of] afgLnfO{ TofUg' ePdf pQd x'g]5 .

;d:ofM– d]/f] :jf:Yo;DaGwL ;d:of – d xfn !& cf} j;Gt kf/ ub}{5' o:tf] slnnf] hLjgdf d]/f] k]6 slxn]sfxLF c;fWo} b'Vg] ub{5 . o;sf] nflu d}n] s] ug'{knf{ o;af/] s]xL pkfo 5 ls <

– uf]ljGb b'nfn ækqldqÆ
cf7/fO{ ;qmflGt ahf/ – $, t]x|y'd

– k'¿iff]Qd yfkf
nlntk'/ ;}+j'– %

;dfwfg M– tkfO{+sf] k]6sf] s'g efudf, bfofF, afofF sf]0f tn, dfly, gfO6f]sf] tn dfly, clg vfnL k]6 of vfgfkl5 s:tf] k|sf/n] b'V5, lj:t[t yfxfkfP olsg ug{ ;lsG5 .

t}klg tkfO{+n] PskN6 k]6sf] lel8of] PS;/] -Ultrasound_ u/]/ lrlsT;ssf] /fo lnPdf /fd|f] x'G5 . w]/} b'Vg] sf/0f ;fdfGo h'sfb]lv lkQsf] y}nLsf] 9'Ëf;Dd klg x'g;S5

;d:ofM– d xfn @% jif{sf] 5' . xfn} d nfdf] la/fdLn] u|:t ePsf] lyPF . xfn rflxF l7s} 5' . d]/f] ;d:of eg]sf] lgb|f nflu/xg' . a]n'sf d gf} ah] ;'T5' / laxfg ^–& ah] p7\5' t/ klg lbpF;f] lgb|f nflu/xG5 . lbpF;f] @, # 306f ;'T5' t/ klg a]n'sf rfF8f] lgb|f nfU5 . slxn]sfxLF hlt v]/ klg ;'tL xfN5' . s] w]/} lgb|f nfUg' /f]u xf] < xf]Og eg] o;af6 5'6\sf/f kfpg s;/L ;lsG5 <

– /fdaxfb'/ vkfª\uL
c/o eLd d]l8sn xn, ;fdfsf]zL

;dfwfg M– tkfO{+sf] nfdf] ladf/L s] lyof] n]Vg'ePs]f eP cem ;lhnf] x'GYof] . w]/} lgb|f nfUg], lbpF;f] ;'Tg] afgL klg x'G5 . a]n'sf &, * 306f ;'t]kl5 lbpF;f] k6Ss} g;'Tg] / lbpF;f] lgb|f nfUg] ;dodf p7]/ lxF8\g yfNg] jf s'g} ;fdfGo sfd ug{ yfNg] .

w]/} lgb|f nfUg] slxn] slxn] s'g} /f]usf] sf/0f klg x'G5 . To;}n] PskN6 ;fdfGo lrlsT;snfO{ cfˆgf] z/L/ k/LIf0f u/fpg' eP /fd|f] x'G5 .

;d:ofM– xfn d !( jif{sf] eP ljut # jif{b]lv ddf la;{g] afgL a9]sf] 5 o; afgLsf] sf/0f d Hofb} b'MvL 5' lsgls k9]sf] s'/f s]xL ofb x'Fb}g SofDk;df laxfg k9]sf] s'/f 3/df k'Ubf la;{G5' olt ;Ddls slxn]sfxLF clt cfjZos ;fdfg lsGg lg:sG5' t/ k;n k'Ubf s] lng cfP la;L{ ;S5' / l/Q} xft kms{G5' s[kof o;sf] ;dfwfgsf] pkfo s]xL 5
ls <

– k|+z' If]qL

;+v'jf;ef, rGb|k'/

;dfwfg M– If]qLhL, la;{g] afgL a9\b} hfg]df ;fdfGo sf/0fb]lv lbdfusf] hl6n ;d:of klg x'g;S5 . tkfO{+nfO{ c¿ s'g} klg lbdfu;DaGwL nIf0f 5}g eg] Tolt 8/fpg' kb}{g .

t}klg PskN6 g;f of dfgl;s ljz]if1 lrlsT;snfO{ :jf:Yo k/LIf0f u/fpg' /fd|f] x'G5 .