Health (Yuwamanch Monthly)

cf]7nfO{ ;'Gb/ /fVg] ;lhnf] pkfo

;'Gb/ d'nfod cf]7n] ;a}nfO{ df]lxt t'Nofpg ;S5 . cfsif{s, d'nfod, u'nfaL cf]7 gf/Lsf] uxgf g} xf] eGbf klg x'G5 . gf/Lsf] ;f}Gbo{nfO{ ;j{q s]Gb|df /fVgdf cf]7sf] Pp6f cxd e"ldsf /xG5 . cf]7df cem lgvf/ Nofpg cfhsn ljleGg ;f}Gbo{ k|zfwgx¿sf] af9L g} cfPsf] 5 . t/ slxn] sfxL+ oL ;f}Gbo{ k|zfwgx¿sf] un k|of]u cyjf g/fd|f] Sjflnl6sf] ;f}Gbo{ k|zfwgsf] k|of]un] kmfObf gu/L gf]S;fg klg k'¥ofpF5 . lxhf] cfh k};f sdfpg] nfnrdf g/fd|f] u'0f:t/sf] / ;:tf] ;f}Gbo{ k|zfwgx¿ ahf/df kfOg] u/]sf] 5, h;sf] k|of]un] cf]7sf] ;f}Gbo{tf t lauf5{ g} To; afx]s cf]7 sfnf], km'6]sf] e2f x'gk'U5 . To;}n] oxfF cf]7sf] ;/;kmfO{ / b]vefn ug]{ s]xL ;/n / 3/]n' pkfox¿ lbOPsf] 5 . h;sf] k|of]un] cf]7 cfsif{s aG5 .

afgL Jojxf/

– cf]7sf] sf]dn 5fnfnfO{ bfFtn] 6f]Sg] / lha|f]n] rf6\g] ug'{x'Fb}g .

– cf}+nf r':g] afgLn] cf]7 df]6f] / e2f x'g ;S5 . To;}n] of] afgL TofUg' a]; x'G5 .

– r'/f]6, v}gL, tDafs' h:tf cDdnn] cf]7 sfnf] / s8f x'g hFG5 . To;}n] w'd|kfg ug]{ afgL TofUg' k5{ .

– cf]7 u'nfaL / gfh's agfpg u'nfasf] tfhf kft lk;]/ lUnl;/Lg of dx ldnfP/ cf]7df nufpg'k5{ .

– cf]7sf] Aofofd

cf]7sf] 5fnf cToGt} g/d x'G5, h;sf] ;xL b]vefn gePdf cf]7 rfpl/G5 . ctM cf]7nfO{ :j:y / rfp/Lkg /lxt agfpg ;do–;dodf lrkl:6s, lqmd cyjf lUn;l/gåf/f dfln; ug'{k5{ . tyf laxfg ;a]/} c¿ c+ux¿sf] h:t} cf]7sf] klg Jofofd ug'{k5{ . cf]7sf] Jofofd lgDg k|sf/n] ul/G5 .

– cf]7nfO{ ;L6L ahfpg] h:tf] d'b|fdf uf]nf] kfg]{ / cf]7nfO{ km]l/ k5fl8 nu]/ vf]Ng] . of] k|lqmofnfO{ s]xL a]/ ug'{k5{ .

– d'vdf xfjf e/]/ cf]7sf] dWo efudf Pp6f ;fgf] uf]nf] Kjfn agfP/ To;af6 xfjf lgsfNg] .

– o;/L Jofofd ugf{n] cf]7 ;'Gb/ / d'nfod ag]/ ;f}Gbo{tf a9fpg d2t u5{ .

lnkl:6s nufpg] tl/sf

cf]7 ;'Gb/ / cfsif{s agfpg lnkl:6ssf] 7"nf] xft /x]sf] x'G5 . of] s'/fdf s'g} ;Gb]x g} 5}g . t/ slxn] sfxL+ lnkl:6s unt k|of]un] c¿ ;+s6 k}bf ug{ ;S5 . To;}n] lnkl:6ssf] k|of]u ;w}+ ;xL tl/sfn] ug'{ cfjZos 5 .

– ;w}+ /fd|f] lsl;dsf] / :yflkt sDkgLsf] lnkl:6ssf] k|of]u ug'{k5{ .

– lnkl:6s ;w}+ g};lu{s /]vfleq nufpg'k5{ .

– lnkl:6s nufpg' cl3 lSnh+u ldNsn] ;kmf skf;n] cf]7 ;kmf ug'{k5{ . ;fy} lnkl:6s nufpg' cufl8 lrkl:6s nufpg'k5{ .

– cf]7 ;'Vvf ePdf lnkl:6s nufpg'eGbf cufl8 dfOZr/fOh/n] b'O{ ldg]6 dfln; ug'{k5{ .

– Pp6f ;]8 gk'5L csf]{ ;]8 Ps dfly csf]{ u/L nfpg' x'Fb}g .

– lnkl:6s ;kmf ug{ cf]7df lSnlh+u nf]zgsf] k|of]u ug'{k5{ .

– ;'Tg] a]nfdf / g'xfpFbf lnkl:6s ;kmf ug'{ cfjZos 5 .

– Hof]lt kGt

j]b dxfg lrlsT;f k4lt klg xf]

CUj]b, oh'j]{b, ;fdj]b / cyj{j]b u/L hDdf $ j]bx¿ 5g\ . CUj]b / oh'j]{bdf cfo'j]{bsf] Tolt w]/} dfqfdf pNn]v kfOFb}g . t/ cyj{j]bdf cfo'j]{bsf] lj:t[t j0f{g
kfOG5 . To;}n] cfo'j]{bnfO{ cyj{j]bsf] pkj]b dflgPsf] 5 . cfo'j]{bsf] j0f{g ubf{ d'VotM cyj{j]b g} ;lDemg' k5{ . j}lbs u|Gyx¿df cyj{j]bsf * j6f gfdx¿ 5g\ . h;nfO{ cyjf{lª/;f]j]b, cyj{j]bM uf]ky a|fXd0f, e[Uj+lu/;f+ j]b uf]=a|f=, cflª/f]j]b ztky a|fXd0f, a|Xdj]b, Ifqj]b z=a|f, e]ifhj]b / oft'j]b z=a|f= elgG5 .

>[li6sf] z'?b]lv g} /f]u / To;sf] k|ltsf/sf] klg cf/De eof] . /f]ux¿nfO{ gfz u/L hLjgnfO{ lg/f]u / bL3{hLlj agfpg' g} cfo'j]{bsf] sfd xf] . j]b k|frLgtd ePsf] sf/0f cGo ljBfx¿sf] ;fy;fy} cfo'j]{b 1fgsf] klg ;|f]t xf] .

j]bx¿df bL3{cfo'io cflb cg]s k|s/0fx¿sf] pNn]v ePsf] 5 . cfo' lglZrt 5, 36a9 x'g ;Sb}g eGg] s'/fnfO{ j}lbs Clifd'lgx¿n] dfGg c:jLsf/ u/]sf 5g\ . k|fy{gf / k|oTgaf6 cfo'nfO{ lb3f{o' agfpg ;lsG5 eGg] s'/f w]/} 7fpFdf j0f{g kfOG5 .

j]bdf w]/} k|sf/sf] oId -/f]u_ sf] tyf To;sf] gfzgsf] pkfosf] pNn]v u/]sf] kfOG5 . d'Vo¿kdf Hj/, sf;, Zjf;, chL0f{, hfofGo -/fhoIdf_, xl/df -sfdnf_, d"qfj/f]w If]lqo -hGdhft /f]u_, lsnf;, cf;|fj, ljz'rL / pGdfb oL !@ /f]ux¿sf] j0f{g ul/Psf] 5 . o;sf] ;fy} ljzNo, ljb|lw, cnhL, cKjf -k|jflxsf_, x[TsDkg tyf d?t -jfo'_ /f]ux¿sf] uf}0f¿kdf j0f{g ul/Psf] 5 . o;sf] cltl/Qm /f]ux¿sf] abnf To; c+usf] gfd lbP/ To;df x'g] /f]ux¿sf] lrlsT;fsf] klg j0f{g ul/Psf] 5 . h:t} M g]q, gf;f, lz/ cflb . oL /f]ux¿sf] gfd / c+ux¿sf] pNn]v u/] klg j]bdf …c1fg oIdfÚ -yfxf gePsf] /f]u_ sf] cWofo g} 5g\ . o;af6 l;4 x'G5 ls /f]u cgGt 5g\ .

j]bx¿df /f]usf sf/0fx¿df d'Votof # sf/0fnfO{ dfg]sf] 5 . klxnf] sf/0f z/L/sf] leq ljif lj:tf/} lj:tf/} ;+ro eO{ ;dofg's"n z/L/df ljsf/ pTkGg u5{ . bf];|f] sf/0f lqmld tyf hLjf0f' xf] . o; k|sf/ lqmld / hLjf0f'sf] cjwf/0ff k/fk"j{sfnb]lv g} j]bx¿df pNn]v ePsf] kfOG5 . xfn cfP/ cfw'lgs lrlsT;f lj1fgn] To;}nfO{ cg'z/0f u/L To; hLjf0f'nfO{ kQf nufO{ gfdfs/0f dfq u/]sf 5g\ . t];|f] sf/0f jfKt, lkq / skm cyf{t\ lqbf]ifnfO{ dfg]sf] 5 . h'g cfo'j]{bsf] df}lns l;4fGt xf] . cfw'lgs lrlsT;f lj1fgn] klg /f]usf sf/0fdf d'VotM hLjf0f'nfO{ dfg]sf] 5 .

cyj{j]b !)÷@ df nueu ;Dk"0f{ z/L/fªx¿, 1fg]lGb|ox¿, dfgl;s efjgfx¿, /Qm;+rf/ / k|f0f ckfg cflbsf] j0f{g ul/Psf] 5 . j]bx¿df j}Bsf] :yfgdf …leifsÚ zAbsf] k|of]u u/]sf] kfOG5 .

lqmldsf] lrlsT;f k|s/0fdf CUj]bdf cg]s k|sf/sf lqmldsf] pkrf/ / pkb|j gfz ug{sf] nflu ;"o{, clUg, OGb| -ljw'q_ d]3 -cfsfz_, d?t -jfo'_, hn cflbsf] j0f{t u/]sf] kfOG5 . o:t} k|sf/ cyj{j]bdf c~hg, ;L;f, z+v, chC+uL, k[lZgk0fL{, ztfj/L, ;if{k, ckfdfu{, s'i7 / u'Uu'n cflbnfO{ lqmldgfzg eg]/ j0f{g u/]sf] 5 h'g clxn] cfo'j]{bdf rngrNtLdf 5 .

j]bx¿df zNo k|s/0fsf] klg j0f{g ul/Psf] 5 . cfo'j]{bdf zNosf] cy{ lr/kmf8 xf] . zNosd{sf] w]/}h;f] CUj]bdf lj:tf/k"j{s j0f{g kfOG5 . h;df clZjgLs'df/sf] pNn]v tyf pgsf s[ltx¿sf] j0f{g ul/Psf] 5 . o'4df ljZknfsf] v'§f sfl6Fbf To;nfO{ kmnfdsf] v'§f nufOlbPsf lyP . ChfZj Clifsf] b[li6 k|bfg u/L x]g{ of]Uo agfPsf] lyof] . h'g cfh klg cfw'lgs lrlsT;f lj1fgn] c+uLsf/ ul//fv]sf] 5 .

cyj{j]bdf uef{wfg k|s/0fnfO{ klg dxTjk"0f{ :yfg lbPsf] 5 . o;df uef{wfg ljlw, ue{sfn, jLo{sf] z'4fz'4L cflbsf] j0f{gsf] jLo{ z'l4sf] nflu /;fo0f tyf jfhLs/0fsf] k|of]usf] klg pNn]v u/]sf] 5 .

oh'j]{bdf ;jf{ª tyf lg/f]u ;Gtfgsf] nflu uef{zosf] lg/f]u x'g cfjZos 5 . dftf lgdf{tf x'G5 . uef{j:yfdf dftfn] b'Uwflb nfebfos / lg/f]u kbfy{x¿sf] ;]jg ug'{, qmf]w tyf cledfg gug'{ . o;af6 afns lg/f]u / bL3f{o' x'G5 . cflb s'/fsf] pNn]v kfOG5 .

o:tf] hLjg rof{ ug]{ h;af6 ue{kft geP/ bz dlxgfdf aRrf hlGdof];\, k|;jsfndf of]Uo wfqLsf] k|aGw, h;af6 afnssf] s'g} xflg gf]S;fgL gxf];\ / cfdfsf] hLjg klg vt/f d'Qm xf];\ / ck/f ;lhn}l;t aflx/ cfjf];\ cflbsf] j0f{g tyf pkfosf] j0f{g CUj]bdf ul/Psf] 5 .

ljif k|s/0fdf h+ud ljif / :yfj/ ljifsf] k|sf/sf] ;fy;fy} ljifsf] k|efj tyf To;sf] lrlsT;fsf] ;d]t j0f{g ul/Psf] 5 .

/f]ux¿sf] zflGtsf] nflu cyf{t\ lrlsT;fsf] nflu j]bx¿df ljleGg k|sf/sf] cf}ifwLx¿sf] j0f{g ul/Psf] 5 . k|fs[lts, vlgh, ;d'Gb|h, k|fl0fh / plUbh cf}ifwLx¿sf] lj:t[t¿kdf / c¿sf] ;+If]k¿kdf j0f{g ul/Psf] 5 .

o; k|sf/ clxn] k|rngdf cfPsf] cfo'j]{b k4lt ;a} j]bx¿af6 g} cfPsf] 5 . o;af6 yfxf x'G5 ls cfo'j]{b lrlsT;f k4lt j}lbs sfndf g} k"0f{ ljsl;t lyof] . To;a]nfsf] cfo'j]{bsf] cj:yf / xfnsf] cfo'j]{bsf] cj:yfnfO{ t'ngf ubf{ cfhef]ln cfo'j]{bnfO{ pkxf; u/]sf] h:t} nfU5 . lsgsL To; a]nfsf] zNosd{x¿ clxn] cfP/ cfo'j]{baf6 k|foM nf]k g} eO;s]sf] 5 . clxn]sf] cfo'j]{bsf] dxfg\ lrlsT;sx¿n] j}lbssfnsf cfo'j]{bnfO{ sfNklgs eGg klg lxrlsrfpFb}gg\ . t/ j}lbs sfnsf] cfo'j]{bnfO{ /fd|f];Fu cg';Gwfg u/L kl/rfng ug]{ xf] eg] cfo'j]{bsf] :t/ cjZo dfly p7\g] 5 . j]bx¿nfO{ g} cfhsf] j}1flgs o'udf cfw'lgs lrlsT;f lj1fgn] c+ufn]/ uxg cWoog kZrft\ To;nfO{ g} j}S6]l/ofjfb, ;h{/Ljfb tyf cfw'lgs lrlsT;f k|0ffnLsf] ljsf; u/]sf] 5, h'g clxn] lrlsT;fsf] zLif{ :yfg cf]u6]sf] 5 .

– d'/nL k|= zfx

aRrfnfO{ oL /f]u nfu]df s] ug]{ <

?3fvf]sLM– ?3fvf]sL ;fwf/0f /f]u xf], t/ o;n] 8/nfUbf] lgdf]lgofsf]¿k lng ;S5 . To;}n] ;a} cfdfafa'n] cf–cfˆgf] aRrfx¿nfO{ ?3fvf]sL nfu]sf] a]nf s] ug'{k5{ eGg] s'/f hfGg' cfjZos 5 . vf]sL nfu]sf] aRrfn] c¿a]nfeGbf l56f]–l56f] ;f; km]g{ / £of/–£of/ ug{ yfn]sf] 5 eg] aRrfnfO{ hlt;Sbf] rfF8f] c:ktfn jf lrlsT;s sxfF n}hfg' kb{5 . cfdfsf] b"wdfq v'jfOPsf] aRrfnfO{ ?3fvf]sL nfu]sf] 5, gfsaf6 l;+ufg au]sf] 5 / c¿a]nf h:t} aRrfn] Zjf; km]l/ /x]sf] 5 eg] cflQg' kb}{g . cfdfsf] b"w v'jfOPsf] aRrfnfO{ eGbf af]tnaf6 b"w v'jfOPsf] aRrnfO{ lgdf]lgofn] e]6\g] bf]Aa/ 8/ x'G5 . To;}n] %÷^ dlxgf;Dd aRrfnfO{ cfdfsf] b"w dfq lbg' clt h?/L x'G5 . /fd|f] vfgf v'jfOPsf s]6fs]6Lx¿nfO{ lgdf]lgofn] ;dfpg] / l;ls:t kfg]{ ;Defjgf sd x'G5 . s'g} klg aRrfn] ?3fvf]sL nfu]sf] ;dodf Ps ldg]6df %) k6s eGbf a9L rf–rfF8f] ;f; km]b{5 / ;f; km]bf{ dflysf] 5ftLleq wl;Pdf lgdf]lgof ePsf] s'/f a'‰g' kb{5 . ?3fvf]sL nfu]sf] aRrfnfO{ k|z:t emf]n vfg]s'/f v'jfpg' kb{5 . w]/}h;f] aRrfsf] aGb ePsf] gfs ;kmf ul/lbgfn] b"w r':gdf ;d]t ;xof]u k'Ub5 . olb aRrfn] cfdfsf] b"w r':g ;Sb}g eg] ;kmf srf}/fdf lgrf]/]/ v'jfpg' kb{5 . b"w 5'6fO{ ;s]sf jf cfdfsf] b"w gv'jfOPsf aRrfnfO{ yf]/} yf]/} vfgf / emf]n kbfy{x¿ af/Djf/ lbO/fVg' kb{5 . ?3fvf]sL nfu]sf] aRrfnfO{ Gofgf] kf/L /fVg'k5{, t/ udL{ eg] x'g lbg' x'Fb}g . aRrf ePsf] 7fpFsf] jftfj/0f ;kmf x'g'kb{5 . r'/f]6, la+8L nufot c¿ s'/fx¿sf] w"jfF x'g' x'Fb}g . aRrfsf] gfs a]nf–a]nfdf ;kmf ul//xg' kb{5 . b"w v'jfpg] / lgbfpg] a]nfdf emg\ a9L gfs ;kmf ul/lbg' kb{5 . tftf]kfgLsf] jfkmn] klg aRrfnfO{ ;]s]df kmfObf u5{ t/ kfgL kf]Ng] x'g'x'Fb}g .

emf8fkvfnfM– Pslbgdf nuftf/ tLg k6s jf ;f]eGbf a9L kfgL h:tf] kftnf] lbzf ePdf To;nfO{ emf8fkvfnf nfu]sf] elgG5 . kvfnf nfUbf aRrfsf] z/L/af6 kfgL w]/} aUb5 / d[To';d]t x'g] 8/ x'G5 . To;}n] emf8fkvfnf z'? x'g] lalQs} z/L/df kfgL sd x'g glbg aRrfnfO{ emf]n vfg]s'/f, cfdfsf] b"w, bfnsf] /; tyf t/sf/Lsf] emf]n cflb a9L vfg lbg' kb{5 . cfdfsf] b"w vfg] aRrfnfO{ kvfnf nfu]df b"w vfg lbOg}/xg' kb{5 . c¿a]nfeGbf l56f]l56f] / a9L v'jfpg' kb{5 . aRrfnfO{ ufO{sf] jf a§fsf] b"w lbO/fv]sf] 5 eg] klxn] lbO/x]sf]eGbf bf]Aa/ kfgL ld;fP/ v'jfO/xg' kb{5 . aRrfn] b"w r':g ;Sb}g eg] ;kmf srf}/fdf b"w lgrf]/]/ eP klg v'jfpg' kb{5 . kvfnf nfu]sf] a]nfdf hLgjhn Ps ln6/ kfgLdf ldnfO{ cfkm}n] klg agfP/ v'jfpg ;lsG5 . t/ kfgL tndfly eg] kfg'{ x'Fb}g . hLjghn agfO;s]kl5 hltk6s kftnf] lb;f u5{ plQg} k6s v'jfOg} /xg'kb{5 . hLjghn v'jfpFbf @ jif{eGbf sd pd]/sf aRrfnfO{ 7"nf] lunf;sf] Ps rf}yfOb]lv cfwf lunf;;Dd, @ jif{eGbf dflysf] aRrfnfO{ cfwf lunf;b]lv k"/f lunf; v'jfpg' kb{5 . hLjghn v'jfpFbf lunf;, srf}/f jf rDrfn] v'jfpg' /fd|f] x'G5 . hLjghn v'jfpFbf aRrfn] afGtf u¥of] eg] !) ldg]6 hlt kv{g' kb{5 / To;kl5 km]l/ v'jfpg yfNg' kb{5 / la:tf/} la:tf/} cln cln ub{}} v'jfpg' kb{5 .

emf8fkvfnf g/f]lsP;Dd emf]n vfg]s'/f;d]t v'jfOg} /xg' kb{5 . kvfnf ;f¥x} rsf]{ / tf/Gtf/ eO{ cfFvf w]/} wl;+b} uPsf] 5, aRrf ;f¥x} ltvf{Psf] 5, ?Fbf cfFvfaf6 cfF;' lgsfNb}g, Hj/f]n] u|:t eO/x]sf]n] /fd|f] vfg g;Sg] / k6s k6s afGtf u5{, w]/}k6s kfgL h:tf] kftnf] lb;f ul//x]sf] 5 / lb;fdf /ut;d]t b]lvG5 eg] t'?Gt c:ktfn k'¥ofOxfNg' kb{5 . t/ hLjghn eg] v'jfOg} /xg' kb{5 . vfg]s'/fx¿nfO{ hlxn] klg 5f]k]/ /fVg' kb{5 . vfg]s'/fx¿ /fd|f];Fu kfs]sf] x'g'kb{5 . lem+ufåf/f /f]usf ls6f0f'x¿ km}nfpg glbg kmf]xf]/ d}nfnfO{ hnfpg] tyf df6f]df uf8\g] Joj:yf ldnfpg' kb{5 .

– t'n;Lk|;fb ;'j]bL

P8\;eGbf klg 3fts /f]u x]kf6fOl6; aL

x]kf6fOl6; aL (Hep–B) P8\; / SofG;/eGbf klg a9L 3fts /f]u xf] . of] Pp6f ;?jf /f]u xf] . of] /f]u cem} clwsf+z dflg;sf] hfgsf/LeGbf aflx/ /x]sf] 5 . j;]{lg Hep–B /f]u P8\;eGbf em08} @) jif{ cl3 ;g\ !(^# df Blumberg n] kQf nufPsf x'g\ . o; af/]sf] cWoogx¿n] s] atfPsf] 5 eg], of] /f]u o;/L g} ‰oflªb} uof] eg] ;g\ @))) sf] cGTo;Dddf s/La $ ca{ dfG5]x¿ o;sf lzsf/ x'g]5g\ . ;a}eGbf kl5 kQf nfu]sf] /f]u – P8\;sf] af/]df xfdLnfO{ hlt hfgsf/L 5 h'g cfkm}df sd 5 . t'ngfTds ¿kdf Hep-B sf] hfgsf/L Tof] eGbf klg sd 5 . To;}n] oxfF of] /f]u s] xf], s;/L ;5{ / hf]lug] pkfox¿sf] af/]df ;+lIfKt hfgsf/L k|:t't ul/Psf] 5 .

efO/n x]kf6fOl6; s] xf] / slt k|sf/sf x'G5 <M– efO/;n] ubf{ x'g] sn]hf]sf] v/faL g} jf:tjdf efO/n x]kf6fOl6; xf] . Hj/f] cfpg', ef]s gnfUg', jfGtf cfpg', k]6 b'Vg', lk;fa sfnf] x'g', sdnlkQ (Jundice) x'g' cflb o;sf ;femf nIf0fx¿ x'g\ . oL % k|sf/sf x'G5g\ – Hep–A, B, C, D / E . tL dWo] ;a}eGbf vt/gfs eg] Hep-B g} xf] .

s;/L ;5{ <M– /utaf6 M lgd{nLs/0f gul/Psf ;"O{ tyf gfs, sfg 5]8\bf / cSo"kGsr/ ljlwaf6 pkrf/ ubf{ k|of]u x'g] pks/0fx¿sf] dfWodaf6 Hep-B /f]uLsf] /ut :j:y JolQmdf k|j]z ub{5 / /f]u ;b{5 . o:t}, b"Jo{;gLx¿sf ;"O{ n]gb]gaf6 tyf b'3{6gfsf] avt x'g] /utsf] n;k;af6 .

cfdfaf6 M– uef{j:yf e/L cfdfsf] / aRrfsf] /ut ldl;g kfpFb}g . t/ ;'Ts]/Lsf] avt, cfdfsf] /ut aRrfdf k|j]z ug{ ;S5 . o;/L cfdf Hep-B sf] /f]uL eP, aRrfdf hGdhft of] /f]u nfUb5 .

of}g ;Dks{af6 M– c;'/lIft tyf ck|fs[lts of}g ;Dks{ ug]{ ljz]if u/L k'?if ;dlnªL hf] sf]xLnfO{ klg of] /f]u ;g{ ;S5 . ljz]if u/L j]Zofx¿, j]Zofno wfpg]x¿ / nfu"–kbfy{ b'Jo{;gLx¿ o;sf] lzsf/ aG5g\ .

cGo M– s]6fs]6Lx¿ cfk;df v]Nbf 3l6t x'g ;Sg] ljljw rf]6k6sx¿ tyf n'tf] h:tf ;?jf /f]ux¿sf] dfWodaf6 klg Hep-B ePsf] afnsaf6 csf]{ :jf:Yo afnssf of] /f]u ;g{ ;S5 . To:t} nfdv'§], p8'; cflbaf6 klg ;g{ ;Sg] b]lvPsf] 5 . t/ o;nfO{ k|dfl0ft ug]{ cfwf/x¿ eg] e]l6Psf 5}gg\ .

;dfwfgsf] tl/sfM– h;/L P8\;sf] s'g} pkrf/ 5}g, To:t} Hep-B sf] klg . t;y{ ;fjwfgLsf] af6f] g} pQd / >]o:s/ b]lvG5 . olt dfq} xf]Og ;fdflhs d"No / dfGotfx¿nfO{ hLljt /fVb} g}lts cfr/0f / kl/is[t hLjgz}nLnfO{ dxTj lbg'k5{ . h;nfO{ of] /f]u nfU5, pm d5{ t/ l5§} . hasL HIV kf]lhl6e dfG5]x¿ *–!) jif{ t cf/fdn] afFR5g\ . To;}n] h;nfO{ of] /f]u nfU5, pm :jo+sf nflu Hep-B, P8\;eGbf eofgs ;flat x'G5 . To;}n] ;j{k|yd ;ts{tf ckgfP/ o;af6 hf]lug] k|of; ug'{kb{5 . To;kl5 obfsbf em'lSsP/ klg of] /f]u ;g{ ;Sg] ePsf]n] o;sf] /f]syfdsf] nflu ;'O{ nufpg' kb{5 . cfhsfn ahf/df o;sf] ;'O{ klg cfPsf] 5 . of] ;'O{ hDdf # j6f nufpg' kb{5 . o;dWo] bf];|f] / t];|f] klxnf] kN6 nufPsf]eGbf qmdzM ^ dlxgfkl5 nufpg'k5{ . d}n] t of] EoflS;g nufO;s]+ . ca EoflS;g nufP/ Hep-B af6 hf]lug] ls P8\;eGbf vt/f /f]unfO{ :jfut ug]{ lg0f{o tkfO{+sf] .

– bLks /]UdL, sf7df8f}+ d]l8sn sn]h, hf]/kf6L

lrlsT;f lj1fgsf] csf]{ pknlAw

lbgk|ltlbg eO/x]sf] j}1flgsx¿sf] cWoog–cg';Gwfgn] dfgjLo hLjgofkgsf ef}lts ;'v–;'ljwfdf w]/} ;xhtf ylk+b} uPsf] s'/f xfdL hf] sf]xLnfO{ yfxf 5 . o;} l;nl;nfdf hlt ef}lts kIfsf cGo ljljw lj1fg tyf k|ljlwsf s'/fdf k|ultx¿ eO/x]sf 5g\ tL eGbf zfob sd} lrlsT;f If]qdf k|ult ul/Psf] s'/fnfO{ dfGg ;lsGg . lrlsT;s j}1flgsx¿n] xfn}sf s]xL jif{x¿df If]qdf w]/} cWoog cg';Gwfg u/]sf / w]/} cfzfltt kl/0ffdx¿ klg k|fKt ug{ ;s]sf] xfdLn] kfPsf 5f}+ . o; qmddf gofF–gofF /f]u kQf nufpg] / ltgLx¿sf] pkrf/sf] pkfox¿ vf]Hg] qmd klg rln/x]sf] 5 . o:t} cWoog cg';Gwfgsf] qmdn] lrlsT;f lj1fgdf hLg lrlsT;f k4ltnfO{ lgs} e/kbf]{ / cfZro{hgs pknlAwsf¿kdf k|fKt ug{ ;lsPsf] 5 . o;} qmddf SofG;/ /f]u h:tf] vt/gfs /f]usf] pkrf/ o; k|ljlwaf6 ug{ ;lsg] ePsf] 5 . cfpg';\ oxfF xfn}sf] o; pknlAwaf/] hfgsf/L lncf}+ .

h'g /f]uLnfO{ cf]j/L gfds SofG;/ /f]un] c;fWo} u/fO{ l;ls:t agfpF5, To:tf] /f]uLnfO{ lrlsT;s j}1flgsx¿n] hLg lrlsT;fåf/f 7Ls kfg]{ ;kmntf k|fKt u/]sf 5g\ . a]nfotl:yt cf]j/L SofG;/ /f]uL Ps dlxnfnfO{ To;/L 7Ls kfg{ ;s]af6 ca o; If]qdf lgs} k|ult x'g ;Sg] ;a}sf] cg'dfg 5 . lrlsT;sx¿ o; k|ljlwaf6 h;/L tL /f]uLsf] /f]u lgbfg ug{ ;kmn eP To;af6 SofG;/ h:t} cGo ljleGg /f]ux¿sf] ;d]t lgbfg ug{ ;lsg] s'/fdf ljZj:t /x]sf 5g\ .

o; jif{sf] lg/Gt/ cWoog–cg';Gwfgn] hLg lrlsT;f k4ltnfO{ Ps e/kbf]{ / ;xh pkfosf]¿kdf x'g] b]lvof] / of] k4lt k|foM h'g;'s} /f]ux¿sf] lgbfgdf klg ckgfpg ;lsg] ;+efjgf /x]sf] b]lvof] . o;af6 lrlsT;f If]qdf v'zLsf ;fy ;fy} Pp6f txNsf g} dlRrof] . o;} jif{sf] z'?df hLg lrlsT;f k4ltnfO{ wSsf klg cfOnfUof], ha o;} k4ltaf6 pkrf/ ug{ nfUbf Ps of}jg o'jltsf] d[To' g} x'g k'Uof] . To;kl5 eg] o; k4ltaf6 ljleGg /f]u lgbfgdf cfzfltt ;kmntf ldNb} uPsf] lyof] . o;} qmddf ut b'O{÷tLg dlxgfleq cf]j/L h:tf] vt/gfs SofG;/ /f]u lgbfgsf] nflu ldn]sf] ;kmntfaf6 hLg lrlsT;fnfO{ Ps c¿ 7"nf] ;kmntf ldn]sf] 5 . o;} cfwf/df a]nfotL s]xL kqklqsfsf] hfgsf/L adf]lhd k|mfG;sf lrlsT;sx¿n] s'g} cfg'jf+lzs ladf/Lsf] pkrf/df kfPsf] ;kmntfaf6 hLg lrlsT;fdf c¿ ;kmntf ldn]sf] 5, h'g of] cfˆg} lsl;dsf] klxnf] ;kmntf xf] .

a]nfotdf SofG;/ tyf P8\; h:tf la/fdLx¿df oxL hLg lrlsT;f k4ltsf] pkrf/ ljlw ckgfpg yfln;lsPsf] 5 . o; qmddf o:tf lsl;dsf /f]uL la/fdLx¿ @*) hgfnfO{ hLg lrlsT;f k4lt cg';f/ k/LIf0f ul//x]sf] / ljZjd} tLg xhf/ hlt o:tf P8\; /f]u tyf SofG;/ /f]usf ladf/Lx¿nfO{ o;} k4ltåf/f k/LIf0f ul//x]sf] atfOPsf] 5 . o; qmddf 8fS6/x¿n] s]xL la/fdLx¿sf] hLg kl/jt{g u/]/ pgLx¿df l:s8 gfds /f]uaf6 d'lQm lbnfPsf 5g\ . o:tf /f]ux¿ cfg'jf+lzs x'G5g\, h;n] ubf{ o;sf sf/0f z/L/sf] k|lt/f]wL IfdtfnfO{ ;dfKt u/L lbG5g\ .

h] xf];\ cf]j/L gfds SofG;/ /f]u vt/gfs dflgP klg o;nfO{ hLg lrlsT;f k4ltaf6 ;xh pkrf/ ug{ ;lsg] s'/fdf k'li6 ul/Psf] j}1flgsx¿sf] lgisif{af6 xfdLn] v'zL JoQm ug}{ k5{ . Ps cg'dfg cg';f/ k|To]s jif{ s/La kfFr xhf/ dlxnf o; /f]usf lzsf/ x'g] / tL dWo] s/La rf/ xhf/ hgfsf] d[To' x'g] u/]sf] 5 . o; lsl;dsf ladf/Lsf] z/L/sf] leqL efudf dfq 6\o'd/ x'g] ub{5 . o;sf] klxrfg Tolta]nf dfq x'g ;Sb5, h'g ck]|zg ug]{ l:ylt klg g/xg ;Sb5 . To;}n] of] /f]u lgs} hl6n dflgG5 .

j}1flgsx¿n] k/LIf0fsf qmddf SofG;/ u|:t efudf ;fwf/0f Ps lsl;dsf] jfo/;nfO{ k|j]z u/fPsf lyP . o;}åf/f To; k|sf/sf dfgjLo cfg'j+lzsf kbfy{nfO{ leq} k7fOof], h;åf/f SofG;/ u|:t efusf] cfsf/df x'g] j[l4nfO{ /f]Sg ;lsof];\ . oxL k|lqmof cg'¿k hLg lrlsT;f k4ltaf6 pkrf/ u/fpFbf SofG;/ kLl8t dlxnf rf/jif{ klxn] d[To'sf] d'vsf] d'vdf /x] klg cfh k"0f{ ¿kdf SofG;/ /f]uaf6 d'Qm ePsL 5g\ .

a]nfotl:yt lrlsT;s j}1flgsx¿sf] cWoog cg';Gwfgn] o; s'/fnfO{ ;kmn¿kdf k/LIf0fåf/f k'li6 u/]af6 o;tkm{ ;a}nfO{ gofF cfzf Pj+ e/f];fsf] ls/0f km}nfPsf] 5 . SjLg o'lge/l;6L, xf]nkm:6sf k|f]km];/ gfe{g g]ljusf cg';f/ of] klxnf] / dxTjk"0f{ ;kmntf xf], h'g lrlsT;fk4lt o; /f]udf nfu" ul/of] .

– j]bgfy kGyL