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MkW- jktho pkS/kjh Regional Health Councilor and Executive Director (National Health Program) OHM SHRI SUVRAT SEWA-SANSTHAN
lUns”k
lsok laLFkku vius LokLF;&fe”ku dh fn”kk esas fo|ky; esa lu~~ 2004&05 ls
fo|ky;hu cPPkksa dks lefiZr lsok;sa iznku dj jgk gSA “kS{kf.kd l= lu~~ 2009&10 ds
nkSjku e-health magazine ds izdk”ku dk y{; izLrkfor gSA lsok laLFkku ,ao
fo|ky;hu ifjokj ds ijLij lg;ksx ,oa lfEefyr iz;klksa ls bl fo|ky; esa e-
LokLF; if=dk dk izdk”ku izfØ;kxr gSA
gekjs ns”k esa fofHkUu jk’Vªh; LokLF; dk;ZØeksa ds ek/;e ls LokLF; vfHk;ku
lapkfyr gSA LokLF; f”k{kk vfHk;ku gh ,d ,slk l”kDr ek/;e gS ftlds }kjk
LokLF; tkx:drk dks O;kid cukdj jk’Vªh; LokLF; dk;ZØeksa dk izHkkoh fØ;kUo;u
laHko gSA
LokLF; f”k{kk ds ek/;e ls LokLF; tkx:drk ykus ,oa bls O;kid cukus ds
fy;s bldk vk/kkj etcwr “kkys; f”k{kk dh lajpuk gSA lsok laLFkku esa e-LokLF;
f”k{kk vfHk;ku ¼e-health education campaign½ ds vfLrRo ds fopkj dks Lohd`fr
iznku djrs gq;s
fØ;kUo;u dk ladYi fy;k gSA bl fopkj ds ewy esa ;gh vo/kkj.kk fufgr gS fd
cPpksa esa gh Hkkoh Hkkjr dk Lo:Ik vUrfuZfgr gS vkSj lwpuk izk|ksfxdh Økafr ds
Ik”pkr~ cPpksa rd igqap dj LokLF; lans”k nsus dk csgrjhu ek/;e ogh gS] ftlls os
HkyhHkkafr ifjfpr gSa
Øe”k%---------2
¼2½
vFkkZr~ Internet e-health message ¼e- LokLF; lans”k½ dks /;ku esa j[kdj gh e-
health magazine dh ifjdYiuk vfLrRo esa vk;hA “kS{kf.kd l= lu~ 2009&2010 esa
lsok laLFkku vius lsok ladYi ds vUrxZr e-lsok dks viukdj mDr ifjdYiuk dks
ewrZ :Ik iznku djus esa leFkZ gks ldsxkA
“kS{kf.kd l= lu~ 2008&09 ds nkSjku e-health magazine dk Lo:Ik
laf{kIr :Ik esa LokLF; ifjf”k’V ds :Ik esa fo|ky;hu okf’kZd if=dk esa vUrfoZ’V gSA
blds laf{kIr Lo:Ik ds vUrxZr LokLF; fo”ks’kKksa ds LokLF; laca/kh ys[kksa dk lekos”k
gSA
lsok laLFkku vius lsok ladYi ds vUrxZr fo|ky;hu cPPkksa dks lefZiZr lsok
ds ifjizs{; esa fo|ky;hu iz;klksa dh iwoZ dh Hkkafr fujUrjrk dh vfHkyk’kk dh dkeuk
ds lkFk--
Hkonh;
MkW- jktho pkS/kjh
fo|kfFkZ;ksa ds fy;s ekxZn”kZu
f
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1
--------MkW- vthr oekZ MD. DM. (Neurophysician)
Institute of Neurology, Queen Square, England
Ludwig Maximilians University, Germany
HMR Neuro – Rehabilitation, University of Newcastle, UK
Neurophysician Akshaya Hospital Bhopal
dbZ fo|kFkhZ fljnnZ] cnunnZ] pDdj vkfn ds ijke”kZ gsrq MkW- vftr oekZ ls
eyrs jgrs gSaA lHkh tkWpksa ds ckn ;g fu’d’kZ fudyrk gS fd jksxh i<+kbZ ls] dksfpax
s rFkk vius lkfFk;ksa o f”k{kdksa ds nckc ls ijs”kku gSA ;g ys[k mUgha fo|kfFkZ;ksa ds
y, fy[kk x;k gS rkfd og vius dSfj;j ls lacaf/kr vFkok Hkkoukvksa ls lacaf/kr dksbZ
eL;k gks rks mldk funku fudky ik;sA ;g ys[k mUgs ekxZn”kZu nsxkA blesa fn;s
;s 10 pj.kksa ij fopkj djsa ,oa bu ij fparu djsa%&
- y{; %& gj O;fDr dks vius thou dk y{; fu/kkZfjr djuk pkfg;sA y{; gksus
ls eu b/kj&m/kj ugha HkVdrk gSA le; dk lEiw.kZ mi;ksx gksrk gS y{; dks
NksVs&NksVs Hkkxksa esa ckaVk tkrk gS] tSls vxj vkidh fdrkc esa 12 psIVj
¼Chapters½ gSa rks vkidk eq[; y{; gS ml fdrkc dks iwjk i<+ukA vc vkidk
nwljk y{; gS fd fdrkc dk ,d psIVj ,d eghus eas i<+ukA fQj vkidk
rhljk y{; gS fd vxj ,d psIVj esa 15 ist gS rks ,d ist 2 fnu esa lekIr
djukA gekjk efLr’d y{; r; gksus ds ckn T;knk LQwfrZ rFkk mRlkg ls dke
djrk gSA gesa ;g ugha lkspuk pkfg, fd gesa 500 ist dh iqLrd dks i<+uk gS
ijUrq gesa ;g lkspuk pkfg;s fd gesa nks ist jkst i<+us gSaA O;fDr gtkj dne
Hkh py ldrk gS ij ,d ckj esa ,d gh dne mBkrk gSA lrr dne mBkrs
jgus ls ,d gtkj D;k nks gtkj dne Hkh pyk tk ldrk gSA
Øe”k%-----2
¼2½
2- ,dkxzrk %& Lokeh foosdkuan ,dkxzrk dh “kfDr dks Kku ds [ktkus dh ,d
ek= dqath ekurs gSaA ,dkxzrk ds gh cy ij [kxksy”kkL=h rkjksa vkSj xzg&u{k=ksa
dks Hksn ysrs gSA ,dkxzrk ds cy ij oSKkfud iz;ksx”kkyk esa fHkUu&fHkUu lR;ksa
dks tkuus esa leFkZ gksrs gSaA Lokeh th dgrs gSa ^^,dkxzrk** dh “kfDr ftruh
vf/kd gksxh] Kku dh izkfIr Hkh mruh gh vf/kd gksxhA peZdkj ;fn vf/kd
,dkxzfpr gksxk] rks twrk vf/kd vPNk lkQ gksxkA jlksb;k ,dkxzfpr gksus ls
vf/kd vPNk Hkkstu idk,xk Lokeh th euq’;ksa vkSj Ik”kqvksa esa eq[; Hksn fpRr
dh ,dkxzrk&”kfDr ds rkjrE; esa ns[krs gSaA os dgrs gSa& ^^Ik”kq esa ,dkxzrk
”kfDr cgqr de gksrh gSA ftUgksaus Ik”kqvksa dks fl[kkus dk dk;Z fd;k gS] os bl
dfBukbZ dk vuqHko djrs gSa fd Ik”kq dks tks dqN fl[kk;k tkrk gS] mls og
Hkwy tk;k djrk gSA Ik”kq viuk eu vf/kd le; rd fdlh ckr ij fLFkj ugha
j[kk ldrkA cl ;gha ij euq’;ksa vkSj Ik”kqvksa esa varj gSA euq’;&euq’; dk Hksn
Hkh mldh ,dkxzrk&”kfDr ds vk/kkj ij gksrk gS** fo”o viuk jgL; [kksy nsus
dks rS;kj gSA dsoy gesa ;gh tkuuk gS fd blds fy, fdl rjg njoktk
[kV[kVk;k tk,A vko”;d vk?kkr dSls fd;k tk,A bl [kV[kVkus ;k vk?kkr
djus dh “kfDr vkSj n`<+rk ,dkxzrk ls izkIr gksrh gSA
3- bPNk”kfDr %& vxj gekjs eu esa y{; izkIr djus dh rhoz bPNk ugha gS rks ge
,d ist Hkh jkst ugha i<+ ik,xsaA dqN u dqN cgkuk fudkysaxsA dqN djus dh
vkxs c<+us dh rFkk eu esa Bkuus dh deh gekjs thou dks fouk”k dh vksj ys
tkrh gSA vxj gekjk thou fcuk y{; vkSj fcuk bPNk “kfDr ds gS] rks ge
gj iy gj {k.k fouk”k dh vksj c<+ jgs gaSA ;g gks ldrk gS fd gesa le> esa
uk vk;s fd ge fdl cokZnh ds jkLrs ij tk jgs gSaA blfy;s thou esa y{;
gksuk t:jh gSA
Øe”k%-----3
¼3½
4- ekufld fLFkjrk %& Lokeh foosdkuan us dgk gS& mRlkg mRlkg mRlkgA
thou esa mRlkg ugha gS rks thou ml :ds gq;s ikuh dh rjg gS ftlesa dhM+s
vkSj dkbZ gh iuirs gSaA blhfy;s cgrk gqvk ikuh lkQ vkSj “kfDroku gksrk gSA
mRlkg ls gesa “kfDr vkrh gS LQwfrZ vkrh gS vkSj ck/kkvksa dk lkeuk djus dk
eukscy vkrk gS tc Hkh vki viuk NksVk y{; ¼nks ist½ izkIr dj ysa rks
mldk mRlo eukdj vkuan dk vuqHko djsaA tks O;fDr NksVs&NksVs y{;ksa esa
mRlo eukrk gS og gj iy mRlkfgr jgrk gSA
5- LoLFk “kjhj %& gekjk y{;] mRlkg vkSj bPN”kfDr lHkh csdkj gSa vxj gekjk
LokLF; vPNk ugha gS LoLFk “kjhj ds fy, fuEufyf[kr iz;kl djuk vko”;d
gS&
¼1½ lkQ ikuh fi;saA
¼2½ larqfyr Hkkstu djsaA
¼3½ ePNjksa ls cpsA
¼4½ ldkjkRed fopkj j[ksaA
¼5½ fnu esa vk/kk ?kaVk “kkjhfjd O;k;ke djsaA
6- le; fu;kstu ;k VkbZe eSustesaV ¼Time Management½ & le; vewY; gS le;
lcls cM+k /ku gS tks fo”o ds gj O;fDr dks leku :Ik ls feyrk gS fdlh Hkh
O;fDr dks 24 ?kaVs ls ,d fefuV ;k ,d lsdsaM T;knk ugha feyrk ijUrq
fdruh vk”p;Z dh ckr gS fd mlh le; esa dqN O;fDr f”k[kj ij igqap tkrs
gS vkSj vU; O;fDr va/ksjs esa ¼vKkurk ds va/ksjs esa½ viuk thou xaok nsrs gSA
tks O;fDr bl iy dk egRo ugha le>rk ftl O;fDr us gj ,d iy dk
mi;skx ugha lh[kk mldks ckn esa flQZ iNrkok feyrk gS ,d fo|kFkhZ dks Vhoh
ns[kus ls] v[kckj i<+us ls] eksVj lkbfdy ij ?kweus ls] gksVyksa esa dkQh ihus ls]
Øe”k%-----4
¼4½
vkSj nqdku ds lkeus nksLrksa ls xIis yxkus ls dqN Hkh gkafly ugha gksrk gSA
vius vkidks /kks[kk nsuk] vius vkils /kks[kk [kkuk gS vkSj vius gh nq”eu gks tkuk
le>nkjh rks ugha gSA
7- dM+h esgur & vxj vki tkequ ds isM+ ds uhps eqag [kksy dj ysV tk,saxs rks
D;k tkequ vkids eqag esa vk tk,xhA Hkxoku mUgh dh lgk;rk djrk gS tks
viuh lgk;rk [kqn djrs gSaA Lokeh foosdkuan us dgk Fkk gesa pkfg, yksgs dh
ekalisf”k;ka vkSj LVhy dh raf=dk,sa gesa dM+h esgur ds fcuk dqN Hkh gkafly
ugha gks ldrkA dM+h esgur og dfj”ek gS ftlds lkeus dksbZ Hkh ck/kk yacs
le; rd ugha fVd ldrhA
8- lrr~ iz;kl %& thou dh lkFkZdrk gh fujarj iz;Ru esa gSA thou&;K dh
v[kaM T;ksfr esa fujarj vkgqfr iM+uh pkfg;sA ;g lkFkZdrk Qy esa ugha] vfirq
deZ.;rk esa gS] vkSj ml iq:’kkFkZ esa gS] tks ,d&,d ix dh izxfr ,oa
,d&,d bap ds mRd’kZ dk vkuan ysrk gSA yksdekU; fryd Hkh vuojr~ iz;kl
esa] thou& ;K esa fujarj vkgqfr vfiZr djus esa thou dh lQyrk ns[krs FksA
mUgksaus fy[kk gS ^lalkj esa ,d gh oLrq dks eSa ije ifo= ekurk gw¡ og gS
euq’; dk viuh izxfr ds fy, vuojr~ iz;kl* ekuo& ek= ds izfr fu”py
izse&Hkko j[krs gq, vkSj bZ’;kZHkko vkfn Hkkoukvksa dh dyqf’kr Nk;kvksa ls nwj
jgdj fu’dke Hkko ls Je&jr jgus dh Hkkouk gh thou dh loksZPp lk/kuk
gSA vuojr iz;kl vuojr vkgqfr nsus ds leku gSA izk;% vafre lh<+h ds ckn
gh gesa eafty feyrh gSA
deZ ,d fujarj lk/kuk gS] mlesa la;ksx ;k vdLekr~ miyfC/k dk dksbZ
vodk”k ughaA cM+s&cM+s deZBksa us gh ugha] egku vk/;kfRed xq:vksa us Hkh vius
fujarj lk/kuk ls gh vk/;kfRed {ks= esa egRo dk LFkku ik;kA
Øe”k%-----5
¼5½
9- izkFkZuk & iz;kl djus ls gh vkRefo”okl vkrk gS vkSj vkRefo”okl vkus ls
ge vkSj iz;kl djrs gSaA tc ge NksVk y{; izkIr djrs gSa rks gesa mRlkg vkrk
gS vkSj fQj ge nwljs y{; dh vksj c<+ tkrs gSaA y{; ls mRlkg c<+rk gS vkSj
mRlkg ls y{; izkIr gksrk gSA ge tks lksprs gSa ¼iz;kl djds½ ogh ikrs gaSA
vxj vki flQZ lksprs gSa vkSj cgqr lksprs gSa vkSj iz;kl ugha djrs rks bldks
[kqyh vkW[kksa ls lius ns[kuk dgk tkrk gS bldks lef>,A dksbZ pht izkIr
djus ds fy, vkidks mldh dher nsuh iM+rh gSA vlQyrk ,d flDds dk
nwljk igyw gS tSls lqcg ds lkFk “kke tqM+h gqbZ gS] /kwi ds lkFk Nkao tqM+h gqbZ
gS] oSls gh thou esa ikl vkSj QSy lQyrk vkSj vlQyrk yxh jgrh gSA og
O;fDr “kfDreku gS tks fxjrk gS vkSj [kM+k gks tkrk gSA og O;fDr lQy gS
ftlus vlQyrk ls dqN lh[k fy;k gS] vkSj ogh O;fDr fot;h gksrk gS
ftlus eu ls dHkh gkj ugha ekuh gSA
10- fo”okl %& ;h”kq eqLdqjkdj dgrs gSa & rqe yksx bl rjg D;ksa Mjrs gksA D;k
rqEgsa vc rd fo”okl ugha gSA ns[kks] fo”okl djuk lh[kksA fo”okl thou esa
“kfDr nsrk gSA fo”okl j[kus okyk eu fuHkZ; gksrk gS vkSj mlds ladYi dk
lEeku izd`fr dh “kfDr;ksa Hkh djrh gSA oLrqr% fo”okl ls vkfRed cy
mitrk gS vkSj bl cy ls gj O;fDr dks vuwBh n`<+rk feyrh gSA mlds ekxZ
esa vkus okyh gj dfBukbZ gkj tkrh gSA
Lokeh foosdkuan us mifu’kn~ ds vuqlkj euq’;ksa esa pkj xq.kksa dk gksuk
crk;k x;k gSA ;g pkj xq.k gS & vkf”k’B%] n`f<+’V%] cfy’B%] vkSj lk/kq gSA
vkf”k’B% ls rkRi;Z gS fd vk”kkoku& vkRefo”oklhA bl xq.k ls laiUu
O;fDr dHkh fujk”kk ;k grk”kk dk f”kdkj ugha gksrkA lalkj dks ns[kus dh
mldh n`f’V mRlkg ls Hkjh gksrh gSA ty ls vk/kk Hkjk fxykl gSA fujk”kkoknh
fxykl dks vk/kk [kkyh ns[krk gSA tcfd vk”kkoknh mls vk/kk Hkjk ns[ksxkA ;g
ns[kus dk varj gekjs lalkj dks cny dj j[k nsrk gSA Lokeh th dks mrjk
Øe”k%-----6
¼6½
psgjk okyk euq’; ilan ugha Fkk mudh ilan dk euq’; og Fkk tks ?kksj Å/keh
vkSj mRlkgh gks] tks izpaM vkRefo”oklh gks] ftlds v/kjksa ij ladV dh ?kfM+;ksa
esa Hkh gkL; dh NVk fc [kjh gksA n`f<+’V% dk vFkZ gS eu dh n`<+rkA nqcZy eu
ls dksbZ dk;Z lEiUu ugha gks ldrkA lqn`<+ bPNk”kfDr gh ldy jgL;ksa dk
mn~?kkVu djus esa leFkZ gksrh gS vkSj nqxZe ck/kkvksa dks Hkh yka?k tkrh gSA
cfy’B% dk eryc gS “kjhj ls cyh gksukA rHkh rks Lokeh th yksgs dh ekal
isf”k;ksa vkSj QkSykn ds Luk;q pkgrs FksA ftl f”k{kk esa f”k{kkFkhZ ds “kkjhfjd
fodkl dh {kerk ugha gS mls os O;FkZ le>rs FksA os dgrs gaS%& ^^vuUr “kfDr
gh /keZ gS**A cy iq.; gS vkSj nqcZyrk ikiA leLr ikiksa vkSj leLr cqjkbZ;ksa ds
fy, ,d gh “kCn gh Ik;kZIr gS vkSj og gS nqcZyrkA lcls igys gekjs r:.kksa
dks etcwr djuk gksxkA /keZ ckn esa vk,xkA esjs ;qok fe=ksa] etcwr cuksA rqEgsa
esjh ;gh lykg gS] rqe xhrk dh vis{kk QqVcky ds n~okjk LoxZ ds vf/kd
lehi igaqp ldksxsA
I;wcVhZ
-------MkW- e/kqfydk nhf{kr MS (Gynaecology)
Bhopal
fd”kksjkoLFkk cpiu rFkk ;qokoLFkk ds chp dh fLFkfr gS tks vkSlru 10 ls 19
o’kZ vk;q rd gksrh gSA bl nkSjku fd”kksfj;ksa esa cgqr lkjs ekufld rFkk “kkjhfjd
ifjorZu gksrs gSa ftlls og O;Ld iztuu {kerk dks izkIr djrh gSA
I;wcVhZ fd”kksjkoLFkk dh ,d vge ?kVuk gSA I;wcVhZ dks ge ;kSukjaHk dh fLFkfr
eku ldrs gSaA ;g ,d ckfydk }kjk iztuu {kerk izkIr djus dh “kq:vkr dh fLFkfr
gSA Hkkjr esa I;wcVhZ dh vkSlru mez 8 ls 12 o’kZ gSA ysfdu ;g mez ekrk&firk }kjk
vuqokaf”kd nsu] [kku iku dh voLFkk rFkk vkl&ikl ds okrkoj.k ij fuHkZj djrk
gSA
I;wcVhZ esa “kjhj esa eq[;r;k nks ifjorZu gksrs gSa] igyk gkjeksuy
¼Endocrinological½ rFkk nwljk “kkjhfjdA “kkjhfjd ifjorZu gkjeksuy ifjorZu dh nsu
gSA
gkjeksuy ifjorZu ds vUrxZr I;wcVhZ ds nkSjku gkbiksFkSysel xzfUFk ifjiDo
gksdj GnRH uked gkjeksu cukrh gS ftlls fiV~;wVjh xzfUFk Hkh FSH rFkk LH
gkjeksu cukuk “kq: djrh gSA bu gkjeksu ds izHkko ls vksojh vFkok vaMdks’k }kjk
xzSfQ;u QkWfydy cuuk “kq: gksrk gS rFkk vkWD;wys”ku dh izfØ;k “kq: gksrh gSA bl
izfØ;k ls vksojh bLVªkstu rFkk izkstsLVsjksu cukrh gSA ;g xHkkZ”k; ds vUn:uh lrg
ij dke djrh gS rFkk ekfld L=ko dh fLFkfr iSnk djrh gSA
Øe”k%-----2
¼2½
gkbiksFkSysel] fiV~;wVjh] vksojh rFkk xHkkZ”k; ;g pkjksa ,d ,fDll cukrs gSA
bu pkjksa ds larqyu ij ekfld pØ dh fu;ferrk fuHkZj djrh gSA
“kkjhfjd ifjorZu ds vUrxZr ckfydk esa I;wcVhZ ds nkSjku fuEu “kkjhfjd
ifjorZu gksrs gSa tSls
1- Lru dk fodkl tks I;wcVhZ dk igyk fpUg ekuk tkrk gSA
2- I;wfcd rFkk ,sfDtyjh ckyksa dk fodklA
3- ÅapkbZ esa o`f) rFkk O;Ld Å¡pkbZ dks izkIr djukA
4- feukdhZ vFkok ekfld pØ dk izkjaHkA
fd”kksfj;ksa dks gesa fd”kksjkoLFkk ds “kq:vkr esa gh I;wcVhZ ds nkSjku vk,
“kkjhfjd ifjorZu ds ckjs esa crk nsuk pkfg,A ek¡ rFkk ifjokj ds vU; lnL; blds
fy, lcls T;knk mi;qDr gSaA I;wcVhZ ds fo’k; esa Hkzkafr;ka rFkk Mj cPpksa ls [kqydj
ckrdj nwj djuk pkfg;sA ekfld L=ko ds nkSjku lQkbZ ij fo”ks’k /;ku nsuk pkfg;sA
yM+fd;ksa dks bu fnuksa lkekU; fnu dh Hkkafr ugkus [kkus Ldwy tkus rFkk lkekU;
nSfud izfØ;k ds fy;s izsfjr djuk pkfg;sA ekfld L=ko rFkk vU; “kkjhfjd ifjorZu
ds izfr LoLF; n`f’Vdks.k gh vkt dh lkekftd t:jr gSA
I;wcVhZ ds nkSjku fd”kksfj;ksa dh eq[; leL;k vfu;fer ekfld /keZ gS] ftls
ysdj ckfydk rFkk ekrk&firk cgqr fpfUrr jgrs gSa] tcfd ;g ,d lkekU; voLFkk
gks ldrh gSA ekfld pØ fu;fer gksus esa “kq:vkr ds dqN efguksa ls dqN lky rd
yx ldrs gSa “kq:vkr ds dqN efgusa dbZ ;qofr;ksa dks T;knk rFkk tYnh ekfld L=ko
vkrk gSA ekufld lkURouk rFkk vkbju dh xksfy;ksa ls vf/kdka”k fLFkfr esa Qk;nk gks
tkrk gSA vfu;fer ekfld L=ko dh fLFkfr esa fuEu ckrksa ij /;ku nsaA
Øe”k%-----3
¼3½
1- ekfld pØ dh rkjh[k dh Mk;jh cuk,aA
2- [kku&iku ij /;ku nsa] fo”ks’kdj vk;ju ;qDr lCth rFkk Qy [kk,aA
3- vf/kd ekfld L=ko vFkok de ekfld L=ko dh fLFkfr esa MkDVjh lykg ysa]
dqN tkapksa ds ckn dkj.k ds vuqlkj bykt laHko gSA
vr% I;wcVhZ fd”kksjkoLFkk ds nkSjku gqbZ ,d vge “kkjhfjd rFkk ekufld
ifjorZu dh izfdz;k gS] ftlds ckjsa esa leqfpr tkudkjh ,d fd”kksjh dks LoLFk ;qorh
cukrh gSA
dqiks’k.k ,oa ,uhfe;k( cPpksa eas cpko dSls gks\
-------- MkW- lqjsUnz lksudj MD (Paediatrics)
f”k”kq jksx fo”ks’kK
dqiks’k.k dksbZ tUetkr chekjh ugha gS ;g rks dsoy cPpksa dks lgh le; ij
[kku&iku ugha gksus ls gksrk gSA N% ekg rd cPpksa dks dsoy ek¡ dk nw/k gh fiykuk
pkfg,A blds ckn nky] pkoy dk ikuh] twl ,oa ?kj dh cuh gqbZ phtsa nsuk pkfg;sA
tcfd ekrk,a ,slk u djrs gq;s cktkj ls fcdus okys egaxs izksMDV~l tSls lsjsysd]
cksuZohVk] gkWjfyDl [kjhnrs gSA [kwu dh deh dk eq[; dkj.k ckj&ckj eysfj;k gksuk
,oa cPpksa ds isV esa dhM+s gksuk gSA blds cpko ds fy;s [kkus esa xqM+] vukj ,oa lso
dk twl fy;k tkuk pkfg;sA
ek¡ dk nw/k izFke Vhdkdj.k
;g lIrkg czsLV ÝhfMax lIrkg ds :Ik esa tkuk tkrk gSA blfy, cPps dks
dsoy Ng ekg rd ek¡ ds nw/k ds vykok ikuh Hkh ugha fiykuk pkfg;s dbZ ekrkvksa
,oa cguksa dk ,slk Hkze jgrk gS fd cPps dks ek¡ dk nw/k de igqaprk gSA cPpk Hkw[kk gS
tcfd ,slk ugha gksrk gSA lcls vPNk isjkehVj cPps ds otu ls gksrk gSA ;fn cPps
dk otu c<+ jgk gSA bldk eryc cPpk Hkw[kk ugha jgrk] u gh ikuh dh deh gksrh
gSA
ek¡ dk izFke ihyk xk<+k nw/k izFke Vhdkdj.k dgykrk gSA tUe ds ,d ?kaVs ds
ckn ls cPps dks dsoy ek¡ dk nw/k ls “kq:vkr djuk pkfg, vHkh Hkh iqjkus yksxksa dks
,slk Hkze gS fd cPps dks xk; ,oa cdjh dk nw/k nsuk pkfg;s og fcYdqy xyr gSA
bl nw/k ls cPps dks nLr ,oa fueksfu;k] ,uhfe;k tSlh chekjh gks ldrh gSA
Øe”k%-----3
¼3½
cPpksa dk ,sls j[kas [;ky
bl le; cPpksa dks nLr ,oa mYVh T;knk gksrs gSa D;ksafd cPpksa dk “kjhj dk
ljQsl ,fj;k de gksrk gS blfy, nks nLr ls Hkh “kjhj esa ikuh dh deh gks tkrh gS
blds fy, t:jh gS fd ?kj dk lkQ ikuh vFkok pkoy dk ikuh dVksjh pEep ls
fiyk;k tk, ,oa iwjk [kkuk f[kykuk pkfg;sA cPpksa dks dqN chekjh tSls efLr’d Toj]
VkbQkbM] gSisVkbfVl , ,oa ch NksVh ekrk] [kljk ls cpkus ds fy, Vhds vo”;
yxkuk pkfg;sA MhihVh dk iSuysl Vhdk vk x;k gS vc dHkh Hkh fdlh Hkh le; ;g
Vhdk yxok ldrs gSaA igys bl Vhds ls cPps ds rst cq[kkj] iSj esaa lwtu] cgqr
T;knk jksuk vkfn ;g gksrk Fkk vc bl iSuysl Vhds ls dqN ugha gksrk gSA
vki vkSj vkids nk¡r
------MkW- uhjt “kfDr fuxe Dental Surgeon
Chairman C.D.H. Indian Dental Association
LoPN nk¡r&LoLF; “kjhjA nkarksa dk mi;ksx u flQZ Hkkstu pckus esa cfYd
“kCnksa ds lgh mPpkj.k] [kwclwjrh] psgjs dh cukoV ,oa O;fDrRo fuekZ.k esa Hkh gksrk
gSA vkb;s bu lc egRoiw.kZ ckrksa ij ppkZ djrs gSa%&
1- nkarks dk mi;ksx Hkkstu pckus esa gksrk gS blds vfrfjDr “kCnksa ds lgh
mPpkj.k esa Hkh mudh egRoiw.kZ Hkwfedk gksrh gSA fo”ks’k :Ik ls l] “k] J] r]
Fkk] n] /k] u vkfn “kCnksa ds mPpkj.k ds fy;s gekjh toku eqag ds vUnj nkarksa
ls Vdjkrh gS ,sls esa ;fn vkxs ds nkar ugha gks ;k vk<+s&frjNs gksa rc ge bu
“kCnksa dk lgh mPpkj.k ugha dj ikrs gSa ;k rqrykus yxrs gSaA bl izdkj gekjk
mPpkj.k rks xyr gksrk gh gS lkFk gh O;fDrRo dk lgh fuekZ.k ,oa fodkl Hkh
ugha gks ikrk vkSj cPpksa dk LoHkko vUreqZ[kh o fpM+fpM+k gks tkrk gSA
2- nw/k ds nkar 6 ekg dh vk;q ls vkuk izkjaHk gksrs gSa vkSj yxHkx 24 ekg dh
vk;q rd /khjs&/khjs iwjs nkar fudy ikrs gSaA
3- nw/k ds nkar dh ckyd dh “kkjhfjd ,oa ekufld fodkl esa vR;ar egRoiw.kZ
Hkwfedk gksrh gS mUgsa misf{kr u dfj;sA
4- ;fn nw/k ds nkarksa esa Hkh dhM+k yxk gks ;k mlesa Nsn vkfn gks x;k gks rks mlesa
“kh?kz gh pkanh ;k elkyk Hkjokuk pkfg;sA
Øe”k%-----2
¼2½
5- ;fn nkarksa esa Nsn ;k dsjht dk ge mfpr bykt ugha djokrs gSa rks ;g Nsn
/khjs&/khjs xgjk vkSj cM+k gksrk tkrk gS vkSj fQj nkar esa nnZ vkSj lwtu gksrh
gS rc gesa og fudyokuk iM+rk gSA
6- nw/k ds nkar dhM+k ;k pksVkfn ds dkj.k fudy tk;s rks muds uhps vkus okys
iDds nkarksa ds vk<+s&frjNs vkus dh laHkkouk vf/kd gksrh gSA
7- nw/k ds nkarksa esa le;≤ ij ¶yksjbkM yxokus ls muesa dhM+k cgqr de
yxrk gSA vius nUr fpfdRld ls lEidZ djsaA
8- vk<+s&frjNsa nkarksa dh vk;q de gksrh gS ;fn nkar vk<+s&frjNs gksa rks mUgsa mfpr
bykt }kjk lh/kk lqUnj ,oa ,d iafDr esa fd;k tk ldrk gSA
cz”k }kjk nkarksa dh lQkbZ ,sls djsa%&
¶yksjkbM ;qDr VwFkisLV dqN gn rd nkarks esa yxus okys dhM+s dks jksdrk gSA
VwFk isLV [kkuk ugha pkfg;sA
ges”kk uje js”kksa okys cz”k dk gh iz;ksx djsa ,oa mlds js”ks eqM+us ij mls cny
nsaA
cz”k ij vf/kd ek=k esa isLV u ysaA
cz”k dks nkarksa o elw<+ksa ij 450 frjNk j[kdj elw<+ksa ls nkarksa dh vksj ykuk
pkfg;sA
cz”k dk nkarksa o elw<+ksa ij vf/kd ncko ugha iM+uk pkfg;sA
NksVs cPpksa dks nkarksa ij cz”k xksy ?kqekdj djuk pkfg;sA
gj Hkkstu ds ckn o jkr dks lksus ls igys cz”k djuk pkfg;sA
cz”k djus ds ckn elw<+ksa ij maxyh ls ekfyd vo”; djuk pkfg;sA
thHk dks Hkh thHkh ;k cz”k ls gh lkQ djuk pkfg;sA
nwljs ds cz”k dk dHkh mi;ksx u djsaA
Øe”k%-----3
¼3½
gj ckj cz”k djus ds mijkar ,oa dqN Hkh [kkus ds Ik”pkr~ ikuh eqag esa ysdj
vf/kd ls vf/kd nsj rd dqYyk djuk pkfg;sA blls nkar rks lkQ gksrs gh gSa
;g xkyksa ,oa eqag ds fy;s ,d mi;ksxh O;k;ke Hkh gS blls psgjs lqMkSy gksrk gS
,oa nkar Hkh ,d iafDr esa jgrs gSaA
vaxwBk pwluk] nkar ls uk[kwu] rkj] isfUly vkfn dkVus ;k gksBksa dks nkarksa ls chp
esa pckuk ,d cqjh vknr gS blls nkarksa dks buls dkQh uqdlku gksrk gS muds
vk<+s&frjNs vkSj fod`r gksus dh laHkkouk cu tkrh gSA
nkarksa ds chp esa lhad dk dkM+h vkfn ugha Mkyuk pkfg;s ;fn nkarksa ds chp esa
dqN Qalrk gks rks mls /kkxs ¼MsUVy ¶ykl½ ls lkQ djuk pkfg;sA
nkarksa dks ckgjh pksVksa ls Hkh cpkuk pkfg;s ;fn nq?kZVuko”k fxjus ;k pksV vkfn
ds dkj.k dksbZ iDdk nkar iwjk dk iwjk gh eqag ds ckgj vk fxjk gks rks mls rqjar
gh iqu% eqag esa ,d vkSj j[kdj “kh?kz gh utnhd ds nar fpfdRld ds ikl tkuk
pkfg;sA ;fn le; jgrs mfpr bykt dj fn;k tk;s rks og nkar iqu% mlh
LFkku ij yxk;k tk ldrk gSA
igyk iDdk nkar yxHkx 6 o’kZ dh vk;q esa fudyrk gSA
13 o’kZ dh vk;q rd vU; lHkh iDds nkar /khjs&/khjs] vyx&vyx fudyrs gSaA
6 o’kZ dh vk;q ds igys fudys gq;s lHkh nkar fxjrs gSa pkgs os vkxs ds nkar gks
;k ihNs ds nk¡rA
eysfj;k
-------MkW jktho pkS/kjh Regional Health Councilor and
Executive Director OHM SHRI SUVRAT SEWA SANSTHAN
eysfj;k ,d izksVkstksbd bUQsD”ku ¼chekjh½ gS] tks fd IykTeksfM;e uked izksVkstksvk
dh pkj iztkfr;ksa ds dkj.k gksrk gSA ;g izksVkstksvk eknk ,ukfQyht uked ePNj dh ykj
esa jgrk gSA tc ;g ,ukfQyht ePNj euq’; dks dkVrk gS rks viuh ykj ds lkFk ;g
jksxk.kq Hkh euq’; ds jDr esa igqapdj laØe.k ls eysfj;k uked jksx gksrk gSA
eysfj;k uked jksx vkt gekjs Hkkjr tSls fodkl”khy ns”k esa ,d xgu fpark dk
fo’k; cuk gqvk gSA vki bl jksx dh xaHkhjrk dk vankt bl ckr ls yxk ldrs gSa fd bl
eysfj;k ls fuiVus ds fy, ljdkj us ,d iwjk eysfj;k foHkkx cuk j[kk gS ,oa ns”k dh
dqy LokLF; lsok ctV dk ,d cgqr cM+k fgLlk vdsys eysfj;k ls fuiVus esa gh [kpZ gks
tkrk gS vkSj fQj Hkh vkt rd ge eysfj;k ls iwjh rjg ugha fuiV lds gSaA vr% gekjk
QtZ curk gS fd ge eysfj;k dks iwjh rjg le> dj blls cpus ds mik;ksa ij vey djsa
,oa Lo;a dh eysfj;k ls j{kk djsaA lkFk gh ns”k dh enn djsaA
;fn ge WHO dh fjiksVZ ekusa rks yxHkx 300&500 fefy;u euq’; izfro’kZ eysfj;k
ls ihfM+r gksrs gSa ,oa yxHkx ,d fefy;u ejhtksa dh e`R;q gks tkrh gSA blesa ls yxHkx
50 izfr”kr ejht vdsys vÝhdk esa gksrs gSaA
eysfj;k oSals rks pkj izdkj dh iztkfr;ksa ¼Vivex, Falcipharum, Ovale, Malariae½ ls gksrk
gS] ijUrq Falcipharum, Vivex eq[; iztkfr;k¡ gSaA vU; dh rqyuk esa blesa ls Falcipharum
eysfj;k [krjukd gksrk gS ,oa Brain rd igqap dj efLr’d eysfj;k cu tkrk gSA eysfj;k
jksx esa ejht cq[kkj] mYVh] fljnnZ vkfn ls ihfM+r jgrk gS ,oa tc eysfj;k ds jksxk.kq
yhoj rd igqap tkrs gSa rks ihfy;k ,oa gsisVkbfVl uked jksx Hkh gks tkrs gSaA ;fn
eysfj;k ds jksxk.kq frYyh esa igqap tkrs gSa rks ejht dks Anaemia vkfn jksx gks tkrk gSA
;fn eysfj;k ds jksxk.kq efLr’d rd igqap x, rks efLr’d Toj cu tkrk gSA
Øe”k%-----2
¼2½ eysfj;k ds bykt ds fy, Chloroquine Quinane ,oa vk/kqfud nokvksa esa Artisunate,
Artimether vkfn dbZ nok;sa miyC/k gSa ijUrq vkt Hkh ,slh dksbZ nokbZ ;k Vaccine ugha gS
tks fd igys ls ysus ij eysfj;k ls cpk tk ldrk gSA ijUrq fQj Hkh ;fn ge dqN
NksVh&NksVh ckrksa dks /;ku esa j[ksa ,oa viuh fnup;kZ esa fuEu ckrksa dk ikyu djsa rks cgqr
gn rd eysfj;k ls cpk tk ldrk gSA
1- vius fuokl ,oa O;kolkf;d laLFkku ds vkl&ikl iwjh rjg lkQ lQkbZ j[ksaA
2- le;≤ ij vius vkl&ikl dh ukyh vkfn dh lQkbZ djk;sa ,oa Mh-Mh-Vh- dk
fNM+dko djk;saA
3- lksrs le; ePNjnkuh dk iz;ksx djsaA
4- ;fn ePNjnkuh ugha gS rks fdlh ,sls lk/ku dk mi;ksx djsa ftlls vki ds ikl
ePNj u vk ldsaA
5- cgqr NksVs cPpksa dks Hkh ePNjnkuh esa j[ks ;k vksMksekal vkfn dk iz;ksx djsaA
6- eysfj;k gksus ds ckn gksus okys dkaEiyhds”ku ihfy;k] efLr’d Toj] ,uhfe;k vkfn
ls cpus gsrq rqjUr vius MkWDVj dks fn[kk,sa ,oa eysfj;k dh tkap djk;saA
7- cjlkr ds ekSle esa ukfy;ksa ,oa dhpM+ dk fo”ks’k /;ku j[ksaA
8- iqjkus Qy] iRrs] dkxt vkfn dks lM+us ls jksdsA
9- le;≤ ij ljdkj }kjk pyk;s tk jgs eysfj;k fuokj.k ,oa cpko ds mik;ksa
dk xaHkhjrk ls ikyu djuk ,oa ljdkj dks lg;ksx nsukA
10- fdlh izdkj dh tkudkjh ,oa lq>ko gsrq ftyk eysfj;k vf/kdkjh ls laidZ djsaA A
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