Sadhana2 (Nepal)

P8\; nfO{;a}n] a'em\g} kg]{ ef]

P8\; Pp6f k|f0f3fts /f]u xf]. of] Ps ;ª\qmfds /f]u klg xf]. o; /f]usf] cr's cf}iflw xfn;Dd aGg ;s]sf] 5}g.

;j{k|yd of] /f]u ;g\ !(*! df ;+o'Qm /fHo cd]l/sfdf b]vf k¥of]. To;tfsf of] /f]u ;dln·L tyf g;fdf nfu"kbfy{ k|of]u ug]{ ;d'bfodf a9L b]lvof]. kl5 w]/} hgf;“u of}g;Dks{ /fVg] tyf ltgLx¿sf afnaRrfx¿df klg of] /f]u b]lvof]. xfn of] /f]u cd]l/sf tyf o'/f]kdf dfq ;Lldt g/xL ;+;f/el/ km}ln;s]sf] 5 / of] km}ng] qmd hf/L 5.

;g\ !(** df klxnf]kN6 g]kfndf rf/ JolQmdf of] /f]u b]lvPsf]df ;g\ @))@ dfr{ dlxgfsf] cGTo;Dddf o; /f]uaf6 ;ª\qmldtsf] ;+Vof @ xhf/ @ ;o $# k'lu;s]sf] 5. tLdWo] ! ;o %# hgfsf] d[To' klg eO;s]sf] tYof°n] b]vfPsf] 5. oxL ultdf a9\b} hfg] xf] / ;dod} P8\; /f]usf lj?4 hgr]tgf hufpg] vfnsf sfo{qmd gNofpg] xf] eg] eljio sxfnLnfUbf] x'g] s'/fdf b'O{dt b]lv+b}g.

P8\;sf] cy{

P8\; c+u|]hLsf rf/j6f cIf/ AIDS ldn]/ ag]sf] zAb xf]. oL rf/j6} cIf/sf] 5'§f5'§} cy{ 5.

A = Acquired -cflh{t_

I = Immune -k|lt/Iff k|0ffnL_

D = Deficiency -gfz x'g]_

S = Syndrome -nIf0fx¿_

P8\; dfgjLo Jojxf/af6 cflh{t x'g] /f]u xf]. o; /f]usf] ljlzi6 nIf0f x'“b}g. P8\; nfu]sf dflg;sf] k|lt/Iff k|0ffnL gfz x'g] ePsf]n] h'g /f]un] ;+qmd0f u5{ To:t} nIf0fx¿ b]lvG5g\. of] Ps lsl;dsf] efO/;af6 ;5{. P8\; ;fg]{ efO/;nfO{ PrcfO{eL -HIV_ elgG5. PrcfO{eLn] ;ª\qmd0f u/]kl5sf] clGtd cj:yfnfO{ P8\; elgG5.

PrcfO{eL (HIV) eg]sf] s] xf] <

PrcfO{eL tLgj6f c+u|]hL cIf/ HIV ldn]/ ag]sf] x'G5. o;sf] klg 5'§f5'§} cy{ x'G5.

H = Human -dflg;_

I = Immuno deficiency -k|lt/Iff k|0ffnL gfz ug]{_

V= virus -hLjf0f'_

of] hLjf0f' dflg;sf] z/L/leq dfq af“Rg] / dfgj z/L/leq a;]/ dfgj z/L/sf] k|lt/Iff k|0ffnL gfz ug]{ ePsf]n] o;nfO{ PrcfO{eL elgPsf] xf]. PrcfO{eLn] dfgj z/L/sf] Zj]t /Qmsf]if -WBC_ nfO{ cf?gf] lgzfgf agfp“5. dfgj z/L/sf] k|lt/Iff k|0ffnLdf Zj]t /Qmsf]ifsf] dxTjk"0f{ e"ldsf x'g] / PrcfO{eLn] o:tf Zj]t /Qmsf]ifsf] gfz ug]{ ePsf]n] z/L/sf] k|lt/Iff k|0ffnL sdhf]/ x'g uO{ dflg; cGttM P8\;sf] lzsf/ x'g k'U5.

k|lt/Iff k|0ffnL / PrcfO{eL ;+qmd0f+qmd0f

xfd|f] z/L/df /f]usf ls6f0f'x¿;“u n8\g ;Sg] Ifdtf /xG5. o;}nfO{ k|lt/Iff k|0ffnL elgG5. k|lt/Iff k|0ffnLsf sf/0f g} xfdL ljleGg /f]usf] ;ª\qmd0faf6 aR5f}+. o; k|lt/Iff k|0ffnLdf Zj]t /Qmsf]if sf] k|d'v e"ldsf /xG5. Zj]t /Qmsf]if (WBC) klg ljleGg ;"Id sf]ifx¿af6 ag]sf] x'G5

Zj]t /Qmsf]if cyf{t\ WBC df /x]sf] T-lymphocytes n] k|lt/Iff–k|0ffnLsf] lgoGq0f u5{ eg] B-lymphocytes n] k|lth}ljsL -Antibody_ lgdf{0f u5{. k|lth}ljsLn] aflx/af6 dfgj z/L/leq k|j]z ug]{ s'g} klg /f]usf ls6f0f'x¿;“u n8L ltgLx¿nfO{ k/flht u/L dfgj z/L/nfO{ /f]u nfUgaf6 arfp“5. k|lt/Iff–k|0ffnLsf] e"ldsf oxL xf].

PrcfO{eLn] ;ª\qmd0f ubf{ T-Lymphocytes nfO{ cf?gf] lgzfgf agfp“5 / k|lt/Iff k|0ffnLsf] k|d'v lgoGqsnfO{ Wj:t kfl/lbG5. o;n] ubf{ dfgj z/L/df aflx/L /f]u;“u n8\g] Ifdtfdf x«f; cfp“5 / ljleGg lsl;dsf /f]usf ls6f0f'n] cfqmd0f u/L cf–cf?gf] cl:tTj b]vfp“5g\. To;}n] P8\;sf] cf?gf] ljlzi6 nIf0frflx“ x'“b}g elgPsf] xf].

PrcfO{eL / P8\;df km/s

PrcfO{eL hLjf0f' z/L/df k|j]z ug]{lalQs} P8\; nfu]sf] dflg+b}g. dfgj z/L/df PrcfO{eL k|j]z u/]sf] @–# dlxgfkl5 dfq /ut k/LIf0f u/fp“bf PrcfO{eL kf]lhl6e -HIV +ve_ kfOG5. PrcfO{eL kf]lhl6e b]lvPsf] % jif{b]lv !) jif{;Dddf dfq P8\; /f]usf] nIf0f b]vfk5{. dfgj /utdf PrcfO{eLlj?4sf k|lth}ljsL (Antibodies) km]nf k/]kl5 dfq P8\; /f]u nfu]sf] dflgG5. To;}n] P8\; eg]sf] PrcfO{eL ;ª\qmd0fsf] clGtd cj:yf xf]. P8\;sf] nIf0f b]lvg'k"j{sf] cj:yfnfO{ PrcfO{eL kf]lhl6e elgG5.

P8\;sf tLg cj:yfx¿

ljG8f] lkl/o8, Sofl/o/ :6]6 / P8|\; u/L P8\;sf tLg cj:yfx¿ x'G5g\.

ljG8f] lkl/o8 -window Period_ M PrcfO{eL ;ª\qmd0f ePsf] !@ xKtf;Dd ;DalGwt JolQmn] cf?gf] /ut k/LIf0f u/fPsf] v08df p;sf] /utdf PrcfO{eLsf efO/; b]lvb}gg\, cyft\ PrcfO{eL g]u]l6e -HIV-ve_x'G5. PrcfO{eL ;ª\qmd0f eP/ klg PrcfO{eL nIf0f gb]lvg] o; cjlwnfO{ ljG8f] lkl/o8 elgG5. of] cjlw ;jf{lws hf]lvdk"0f{ cjlw xf]. lsgeg] :jod\ PrcfO{eL ;ª\qmldt JolQmnfO{ klg cfkm" PrcfO{eL kLl8t ePsf] yfxf x'“b}g / cGhfgd} csf]{ of}g ldqnfO{ PrcfO{eL ;fg{ ;S5. ljG8f] lkl/o8df klg PrcfO{eL ;fg{ ;Sg] cj:yf jf Ifdtf x'g] ePsf]n] of] vt/fk"0f{ cj:yf xf].

Sofl/o/ :6]6 -Carrier State_ M ljG8f] lkl/o8kZrft\ % b]lv !) jif{;Ddsf] cjlwnfO{ Sofl/o/ :6]6 elgG5. o; cj:yfdf klg PrcfO{eL ;ª\qmldt JolQm :j:y / x[i6k'i6 b]lvg ;S5, t/ p;sf] /ut k/LIf0f u/fp“bf eg] PrcfO{eL kf]lhl6e -HIV +ve_ b]lvG5. cyf{t\ p;sf] /utdf PrcfO{eL b]lvG5. PrcfO{eL kf]lhl6e b]lvg' eg]sf] PrcfO{eL ;ª\qmldt JolQmsf] /utdf PrcfO{eLlj?4 k|lth}ljsL (Antibodies) e]l6g' xf].

P8\; -AIDS_ M PrcfO{eL ;ª\qmd0fsf] clGtd cj:yfnfO{ P8\; elgG5. o; cj:yfdf PrcfO{eLn] dflg;sf] z/L/sf] k|lt/Iff k|0ffnLnfO{ k"0f{ gi6 agfO;s]sf] x'G5. P8\; eO;s]kl5 p;nfO{ h'g;'s} hLjf0f' cyjf ls6f0f'n] u|:t kfg{ ;S5 / pm ToxL /f]usf] lzsf/ eO{ d5{. P8\; eO;s]kl5 p;sf] af“Rg] cfo' eg]sf] ;fdfGotM @–# jif{ dfq xf].

P8\;sf] nIf0f

P8\;sf] cf?gf] ljlzi6 nIf0f x'“b}g. P8\; k|efljt JolQmsf] k|lt/Iff k|0ffnL gi6 x'g] ePsf]n] h'g /f]un] cfqmd0f u5{ ToxL nIf0f b]vf kb{5. oBlk WHO n] d'Vo / ;fwf/0f u/L P8\;sf nIf0fnfO{ b'O{ efudf juL{s/0f u/L b]vfPsf] 5.

d'Vo nIf0f -Major Signs) M d'Vo nIf0fdf tf}n 36\b} hfg], Ps dlxgfeGbf a9L cjlw;Dd qmf]lgs 8fol/of x'g] / Hj/f] cfpg] cflb x'G5.

;fwf/0f nIf0f -Minor Signs_ M ;fwf/0f nIf0fx¿df nfdf] cjlw;Dd vf]sL nfUg], l/+u6f nfUg], z/L/df luvf{x¿ b]lvg], xft tyf hf]gL{x¿ b'Vg] cflb kb{5g\.

P8\; ;g]{ tl/sfx¿g]{ tl/sfx¿

P8\; Ps ;?jf k|s[ltsf] /f]u xf]. P8\; lgDg cj:yfdf Ps JolQmaf6 csf]{ JolQmdf ;lhn} ;g{ ;S5.

– PrcfO{eL ;ª\qmldt JolQm;“u c;'/lIft of}g;Dks{ u/]df.

– PrcfO{eLo'Qm /ut jf To:tf] /utaf6 ag]sf cf}iflwx¿ csf]{ :j:y JolQmdf k|of]u u/]df.

– PrcfO{eL ;ª\qmldt JolQmn] k|of]u u/]sf] l;l/Gh cyjf 5fnf 5]8\g] cf}hf/ csf]{ JolQmn] k|of]u u/]df.

– PrcfO{eL kLl8t cfdfaf6 aRrf hGd]df ;f] aRrfdf klg ;g{ ;S5.

P8\;af6 aRg] pkfo

k|f0f3fts /f]u P8\; nfUgaf6 ;lhn} aRg klg ;lsG5. To;sf nflu of] /f]uaf6 aRg] pkfox¿sf] hfgsf/L u/fO{ ;j{;fwf/0f ;a}nfO{ ;r]t u/fpg'k5{. ;w}+ Ps hgf;“u dfq of}g;Dks{ /fVg] / j]Zofudg ug{af6 6f9f /xg'k5{. To;}u/L cf?gf] of}ghf]8Lafx]s c¿;“u of}g;Dks{ ubf{ s08f]dsf] k|of]u ug'{k5{. z/L/sf] s'g} cª\usf] k|Tof/f]k0f ug'{k"j{ To:tf] cª\u lbg] JolQmsf] PrcfO{eL k/LIf0f u/]/ dfq k|Tof/f]k0f ug'{k5{. k|of]u eO;s]sf] ;'O{ tyf cGo 5fnf 5]8\g] cf}hf/sf] k'gM k|of]u ug'{k/] /fd|/L kfgLdf pdfn]/ dfq k|of]u ug]{ ug'{k5{. of}g/f]u nfu]sf JolQmdf PrcfO{eL ;ª\qmd0f x'g] vt/fdf j[l4 x'g] ePsfn] ;dod} of}g–/f]usf] pkrf/ ug'{k5{. of}g/f]u / PrcfO{eL P8\; eg] cnu–cnu s'/f x'g\. /ut lng'kbf{ k/LIf0f u/fPsf] /ut dfq lng] u/]df klg /utaf6 ;g]{ PrcfO{eL÷P8\;af6 ;'/lIft /xg ;lsG5. o;;DaGwL lzIff tyf ;"rgfsf] Jofks¿kdf k|rf/k|;f/ ug'{ klg P8\;af6 aRg] tyf arfpg] pkfo xf].

k|:t'lt M nIdLk|sfz kf}8\ofn