balanche ajar va shalyachikitsa

8/12/2019 Balanche Ajar Va Shalyachikitsa

1/154


2/154

~~~~~~~~mmmmmmmmiiiiiiii mmmmmmmmMMMMMMMMoooooooo AAAAAAAAmmmmmmmmOOOOOOOOmmmmmmmmaaaaaaaa

dddddddd

eeeeeeee ````` {{{{{{{{MMMMMMMM{{{{{{{{HHHHHHHH$$$$$$$$gggggggg mmmmmmmm

SSSSSSSSSSSS >>>>>>>>>>>>mmmmmmmmmmmm............ ____________ rrrrrrrrrrrr ZZZZZZZZZZZZ mmmmmmmmmmmmjjjjjjjjjjjj rrrrrrrrrrrr ZZZZZZZZZZZZ bbbbbbbbbbbb ~~~~~~~~~~~~ bbbbbbbbbbbb oooooooooooo------------ ^ mmmmmmmmmmmmoooooooooooogggggggggggg bbbbbbbbbbbb oooooooooooo


3/154

n w V H$mg mR>r V md Z mn w V H$mg mR>r V md Z mn w V H$mg mR>r V md Z mn w V H$mg mR>r V md Z m

~ mb e ` {M{H$g m h m A ma mo g od oV rb V g mXwb {j b ob mM ^ mJ ! H$Xm{MV b h mZ _ wb h r Hw$Qy>~ m` mA WmO Z mV {h g m CMb V Z mh rV, h o ` m_ mJ Mo EH$ H$ma U

A g y e H$V o. n a V wA mO H$mb EHy$UM n m{P Q>r h h o W ` m

O _ m` mV _ wb m` m A ma mo me r {Z J S >rV g _ ` mH$S>o

~ ma H$mBZ o b j X oU ma o Xj n mb H$ A mh oV. ` m` m ~ moY Z mg mR>r ` m n w V H$mMo ` moO Z . ` mI oa rO ~ mb H$m` mA ma mo a j U mV _ h d mMm d mQ>m C Mb U m` m n ` oH$mb m h U O oM \ ${_ b r {\ ${O {e ` g , A ma mo` g o{d H$m d~ mb a moJ V k mZ mh r C n ` w $ R>a ob A e r n wp V H$m.

H$e Z / _ Wi mH$e Z / _ Wi mH$e Z / _ Wi mH$e Z / _ Wi m

- ~ ` mM H$O o{Z Q>b A Z m_ {b O A mn a oe Z H$ $Z ~ ` mHo$ ` mO mD$ e H$V mV .

- J o ` m 3 0 V o 3 5 d f mV A mn a oe Z P mb o ` m Z d O mV

A ^ H$mM m _ ` yXa 6 0 Q> ` md $Z 1 0 Q> ` mn ` V I mb rA mb ob mA mh o.

- n oS >r` mQ>rH$ g O Z Z d O mV A ^ H$mn mg yZ g mY ma U n U o 1 5d f mn ` V ` m _ wb md a g O uH$b mb o g ` m {Z a mH$a U mg mR>re {H$ mH$a V mV .


4/154

A n n [ a M À n n [ a M À n n [ a M À n n [a M`

O _O _O _O _ :::: 2 A m Q>mo~ a 1 9 7 5 ( A h _ Xn ya , {O h m- b mV ya )

e mb o {e j Ue mb o {e j Ue mb o {e j Ue mb o {e j U :::: e d V {d mb ` ,A h _ X n ya .

S >m. _ rZ mj r Z b ~ b o- ^ mog b o

_ h m{_ h m{_ h m{_ h m{d mb ` rZ {e j Ud mb ` rZ {e j Ud mb ` rZ {e j Ud mb ` rZ {e j U ::::

_ h m_ mJ mYr _ h m{d mb ` , A h _ Xn ya .

X h md r ( 1 9 9 0 ) d ~ ma md rV ( 1 9 9 2 ) a m` mVa m` mVa m` mVa m` mVg d W_g d W_g d W_g d W _

d H$s` {e j Ud H$s` {e j Ud H$s` {e j Ud H$s` {e j U ::::

E_ . ~ r. ~ r . Eg . d E_ . Eg . O Z a b g O a r, g oR>O r. Eg . _ o{S>H$b H$mb oO d Ho$. B. E_ . h mp n Q>b

_ w~ B ` oWyZ {d e of m{d ` mZ on yU

g O a rV rb S >m. J rV m a md _ o_ moa rA b mBP ` m_ mZ H$a r


5/154

d mS>r` m h mp n Q>b _ w~ B ` oWyZ E_ . g r . EM.

n oS >r` mQ>rH$ g O a r {d f ` mMo{d e of {e j U {S>b mo_ Q>A m\ $ Z e Z b ~ moS >h r {X r ~ moS >mMr n Xd r

g n mXZ

` md g m{` H$ H$ma H$sX : ` md g m{ H$ H$ma H$sX : ` md g m{` H$ H$ma H$sX : ` md g m{ H$ H$ma H$sX :

~ r . O o. _ oS >rH$b H$mb oO d g g yZ U mb ` , n wU o` oWoJ ob r 6 d f } A {Y ` m ` mV r h U yZ H$m a V

~ mb e ` [M[H$g m{d f ` H$ A Z oH$ n [a f Xm_ ` o

g h ^ mJ d VwVrH$aU

{Z ` V H$m{b H$m_ Y yZ g mV ` mZ o A ma mo {d f ` H$

b oI Z

d H$s` O Z g _ ` oA Z oH$ b oI H$m{e V

h oW MoH$ A n , b S> S>moZ oe Z H$n d e {H$ m

{e ~ ra m_ ` oe ` {d e ma X h U yZ g h ^ mJ

A mV mn ` V 2 0 0 0 h Z A {Y H$ ~ mb $U md a ` e d r

e {H$ m


6/154

_ Z moJ V_ Z moJ V_ Z moJ V_ Z moJ V

I a V a g d mX h mHw$R> ` mh r Z m` mMmn m mM. A m_ ` mS >m Q>a r n oe mV V a g d mXmM _ h d \ $ma H$f mZ o O mU d V .EI mXm` w{Z h {g Q>rV J mo S > _ oS >b {_ i d b ob mS >m Q>a h r n oe Q>e rg wg d mX g mY ` mV A n ` e r R>a b m V a A m w ` mV J V r H$e H$V Z mh r. ` mC b Q>EI mX m {d f ` mMr g mY ma U O mU A g b ob m

n U C m_ g mf U H$me ` A g b ob m ` mMm g h H$mar n oe Q>Z mA mn b og o H$a ` mV ` e d r h moV mo; h m d H$e m mV rb A Z w dI yn ~ mob H$mA mh o.

Ho$. B. E_ . b m E_ . ~ r. ~ r. Eg . Mo {e j U K oVA g VmZ mM g mf U H$me ` mMr h r O mU A mb r. ` mM H$mi mV

{g N>mV r{d H$ma V k S >m. A e moH$ _ h me ya , A p Wa moJ V kS >m. n r. ~ r. ^ mog b o; V g oM O J _ m` V m {_ i mb ob o{d ` mV B.EZ . Q>r . g O Z S >m. {_ b tX H$sVZ o ` m` mg ma ` m{XJ O mMm` m` mn oe Q>e r A g b ob m g wg d mX O d i yZ n mh V mA mb m. ` mM_ Xy, {_ V ^ mf r ~ mob U I a M I yn {e H$d yZ J ob .

g oH$S> E_ . ~ r . ~ r . Eg . b m ~ mBO oa~ mBd mS>r` mh mp n Q>b _ ` o n oS >r` mQ>rH$ {d f ` m` m _ {h ` m a m` mn mo Q>tJ Xa ` mZ , Xwg ` m _ O ` md a A g b o ` m d mS >Z . 2 1_ ` o S >moH$md ` mMr g Y r {_ i mb r. V oWo ~ mb U mMme {H$ ob m {_ i U ma m g H$ma m_ H$ {V g mX d ` mZ VaMr


7/154

[a H$ h a r n mh Z A mn U h r ~ mb e ` {M{H$g mV k h m M ` m

{d Mma mZ _ Z mV R>mU _ mS >b r.g wXd mZ Ho$. B. E _ . d Hy$n a _ Y yZ E _ . E g . O Z a b

g O a rMo {e j U n yU Ho$ ` mZ V a E_ . g r. EM. ` mg wn a n oe m{b Q>r A ` mg H$_ mMr d oe n a rj m m{d ` mZ oC mrU P m ` mZ o ~ mb e ` {d e ma X ~ Z ` mMm _ mJ _ moH$i m P mb m.

V rZ d f m` m ` m {e j U H$mi mV ~ mB O oa ~ mB d mS >r` mh mp n Q>b _ ` o A Z oH$ V k ~ mb e ` {d e ma X mMo _ mJ X e Zb m b o. {e d m d oi mod oi r h moU m` m p b Z rH$b _ rQ>tJ g ,d H$s` n [a f Xm ` m_ Y yZ K oV b o ` m g h ^ mJ m_ wi o _ w~ BV rbBVa H$mb oO m_ Yrb d Xoe ^ amVrb H$mh r {d e of k m` m_ mJ X e Z mMm b m {_ i mb m d {d f ` mMo k mZ J ^ h mo` mV

_ XV P mb r.

n a V y ` m k mZ mMr I a r H$g moQ>r b mJ b r V r E _ . g r.EM. Mm A ` mg H$_ n wU H$ $Z n w` mV g g yZ h mp n Q>b _ ` o~ mb e ` {M{H$g me m {d ^ mJ mV A {Y ` m ` mV r h U yZH$m a V A g V mZ mM. A mV mn ` V {_ i {d b ob o k mZ ,g mf U H$me ` n wa on ya d mn $Z , EH$Q> mZ o n oe Q> dZ mV od mBH$mMm {d d mg g n mX Z H$a U o, C n b Y V wQ>n w` mg mY Z g m_ J rV CV_ [aP Q>g XoU o h r H$g a V H$a VA g V mZ mM, g mo` m_ a mR>r ^ mf oV n mb H$mZ md g m_ m` O Z mZ m


8/154

g _ O ob A e m e XmV ~ mb e ` {M{H$g me m m~ b _ m{h V r

{b h md r ` mH$ n Z oZ oC Mb Y ab r.d oi {_ i ob V | h m EHo$H$m H$a U mMo mW{_ H$ b oI Z

Ho$b o. _ m ` mZ V a {b I mU g d n e u d g wb ^ h moBb ` mg mR>r` mV A md ` H$ V o ~ Xb H$a U o h o I a M I yn _ moR> A m h mZh moV . n a V wg wXd mZ o` mb mh r ` mo {Xe m{_ i V J ob r d A mO

~ mb e ` {M{H$g me m md a M h o b oI Z A mn ` mg _ moaR>od V mZ mA {V e ` A mZ X h moV A mh o.

_ a mR>rV rb {b I mU mMm _ mP m h m n {h b mM ` ZA g ` mZ o d H$mh r e X m` m g k m _ a mR>r ^ mf oV XoU e `Z g ` mZ oH$mh r [R>H$mU r h ob oI Z ~ moO S> d mQ>` mMr e ` Vm

A mh o. g yk d mMH$ ` mMr V _ m Z ~ mi J V m A mn b m A { m ` $ H$a V rb h r A n oj m!


9/154

A n U n { H$mA n U n { H$mA n U n { H$mA n U n { H$m

` m A g ` n mb H$mZ r A mn ` m V mh ` mZ m{d d mg mZ oA m_ ` mh mV r g mon d b ` mZ m

d

` m V mh w ` mZ m, ` mZ r A mh r ` m` md a H$a VA g b o ` mC n Mma mZ m( H$s ` moJ mZ m) C m_ {V g mX XoD$ZA m h mb m~ mb e ` {d e ma X h r n X d r ~ h mb Ho$b r


10/154

F $U {Z X}eF $ U { ZX }eF $U {Z X}eF $ U { ZX }e

_ r _ mP o mW{_ H$ d $n mMo b oI Z H$a rV A g V mZ mM,~ mb e ` {M{H$g me m md a rb H$mh r _ m{h V r "A ma mo k mZ oa r{Xd mi r 2 0 0 7 ' ` m A H$mV {g P mb r. ` m~ b A H$mMog n mXH$ d {g ~ mb amoJ V k S >m. h o_ V O moe r d S >m. A MZ m

O moe r ` mMo A m` {VH$ A m ma. I aoVa ` m` m o_ iA mJ h m_ wi oM _ r _ mP o g d {b I mU d oi oV n yU H$ $ e H$b odA mO V o n w V H$ $n mZ o H$m{e V h moV A mh o. ` mV S >m. h o_ VO moe tMo_ mZ {g H$ n mR>~ i A {V e ` _ h d mMoA mh o.

` mV g O Z S>m. ad t ~ mn Q> g a mZ r A mn ` mA {V ` V {XZ M` }V yZ d oi mV d oi H$mTy>Z n w V H$mg mR>r

V md Z m{b h rb r. ` m~ b ` mMo_ Z n yd H$ A m ma .S >m. g O ` A moH$, {g ~ mb e ` {M{H$g mV k , C m_

b oI H$/ g mf U n Qy> d H o$. B. E _ . _ w~ BMoS >rZ ` mZ r d oi mVd oi H$mT y>Z _ mP o mW{_ H$ d $n mMo b oI Z Z O a oI mb yZKmV b od V oA {Y H$ g mo` m^ mf oV _ mS >` m~ m~ V H$mh r _ m{b H$

g yMZ m Ho$ ` m ` m~ b _ r ` mMr g X d F $U r a mh rZ .` mM _ mU o n w` mV rb n o{S> m{Q>H$ g O Z S >m. J moqd X XmV ma` mZ rh r {b I mU d mMyZ ` mV H$mh r ~ Xb H$a ` m~ m~ Vg wM{d b o. ` mZr H o$b o ` m_ mJ X e Z m~ b ` mMoA m ma . g g yZ U mb ` mMoA {Y R>mV m S >m. A O ` MX Z d mb o, e ` {M{H$g m{d ^ mJ _ wI S >m. g O rd R>mHy$a ; V g oM _ mP o` o R>g h H$ma r S >m.


11/154

X g {_ V qg J ` mZ r _ m` m` mg d C n H$_ mZ mg Xmo{XV n mqR>~ m

{Xb m, ` m~ b ` mMoA m ma .` m b oI md a r b H$mh r g wk d mMH$m` m {V {H$ m_ wi o

n wT>rb g d b oI Z n w V H$ $n mZ o {g H$a ` mMm C g mhd mT >b m. Xa ` mZ S >m. d mg V r d g wZ rb n m J wS>o` mZ rh r g d b oI Z d mMyZ \ ${_ b r {\ ${O {e ` g g mR>r V o A md ` H$

A g ` mMr d mh r {Xb r , ` m~ b ` mMo A m ma. l r{d m H$me Z Mo Ho$o$. l r. C n | Hw$b H$U u ` mZ r _ m` mg ma ` mZ d mo{XV b o{I Ho$b m A md ` H$ V o g d _ mJ X e Z H$ $Z _ mmob oI Z n w V H$ $n mZ o H$m{e V Ho$b o.

` m g d ` mn mV _ r _ m` m K a` m O ~ m~ Xm` mV yZA j a e : d oi Mmoa b m. ` md oi r _ m` mHw$Qw>~ r` mZ r {d Z mV H$ma

_ b m _ mob mMr _ XV Ho$b r. ` m{e d m mW{_ H$ e w b oI Z mVX V r g wM{d ` mV Ka ` mg d mMmM h mV ^ ma b mJ b m.

Hw$Qw>~ r ` mn H$s b {b V Xm moi H$a , VZ wO m { e n ya H$a , S >m.{M m Xm moi H$a , S >m. d mg wXod n a i rH$a ` mZ rh r g w d mV rMo{b I mU d mMyZ ` mV H$mh r ~ X b g wM{d b o, H$mh r _ h d m` m

g yMZ m Ho$ ` m. _ mP o n V r ~ mb a moJ V k S>m. e m_ ^ mog b o` mZ r h r d oi mod oi r H$mh r A Z w $n g yM Zm H o$ ` m. ` m~ b ` mg d m` mF $U mV a mh U oM _ r n g V H$a oZ .


12/154

A meA meA meA me rrrrd mXd mXd mXd mX

S >m. a d t ~ mn QS >m. a d t ~ mn QS >m. a d t ~ mn QS >m. ad t ~ mn Q

>>>>A mY w{ZH$ d H$m_ ` o J o ` m 5 0 d f m_ ` o H$mVrH$maH$

J Vr P mb r A mh o. ` mMoM n wT>Mo n mD$b h U yZ {d {d Y n oe {b Q>r O A m ` m. g mY ma U 1 9 6 0 ` m C ma mY mV~ mb e ` {M{H$g o_ ` o n a Xoe mV {e Hy$Z ^ ma V r`

e ` {M{H$g H$ ^ maV mV ` oD$ b mJ b o. _ w~ B` m e oR>O r. Eg . _ oS >rH$b H$mb oO A m{U Ho$. B. E _ . U mb ` m_ ` o~ mb e ` {M{H$g m {d ^ mJ 1 9 6 9 - 7 0 ` m g w_ ma mgA p V d mV A mb m.

b h mZ _ wb m_ ` o O _ V A g b ob r ` J od BVa A mO ma

` m` m e {H$ m_ ` od A Z o Wo{e A m e m m_ ` og w m ~ a r M J V r h moV J ob r. e {H$ m m A {Y H$ e d r d g wb ^ h mod yb mJ ` m. ` mH$a V m {d e of A ` mg H$_ V` ma H$a` mV A mb md V k V ` ma h mod yb mJ b o.


13/154

g d g m_ m` mZ m b h mZ _ wb m` m A mO ma m~ b d ` mg mR>r

A md ` H$ e {H$ m~ b _ m{h V r Z g V o. n a V w b h mZ_ wb m_ ` o d arV {Z XmZ d d arV Cn Mma A m{U e {H$ mP m ` mV a e ma ra rH$ ` J od BV a A mO ma ~ a oh moD$ e H$V mV h ob j mV R>od b on m{h O o.

S >m. _ rZ mj r Z b ~ b o m h e ma {d m{WZ r. ` m Xh md r d

~ ma md r` m n a rj oV a m` mV W_ A m ` m h mo` m. ` mZ rA {V e ` _ oh Z VrZ oA m{U {O XXrZ o~ mb e ` {M{H$g me m mMrC M n X d r {_ i {d b r A mh o d _ moR> m U mb ` mV H$m_ Ho$b oA mh o. ` mZ r m A mO ma mg ~ YrMr _ m{h Vr d ` md a rbe {H$ mMr _ m{h V r g mo` m e XmV ` m` m b oI Z mV yZ_ mS >b r A mh o. A g o C n H$_ A md ` H$ A mh oV . H$ma U

O Z g m_ m` mZ mh r _ m{h V r H$ $Z KoU oA md ` H$ A mh o. ` mZ rO a m n w V H$mMm b m KoV b m V a d a r V {Z X mZ h mo` mg_ XV h moBb . _ mP r A e r Y ma U m A mh o H$s d H$s` ` md g m{ H$mZ r A e m H$ma Mr n w VHo$ {b h Z g _ mO m_ ` oA {Y H$ O mJ H$V m{Z _ mU H$a ` mMr J a O A mh o. _ mP r I m r

A mh oH$s g wO mU d mMH$ mn w V H$mMmb m K oV rb .S >m. _ rZ mj r Z b ~ b o- ^ mog b o mZ m_ m` me w oN>m.


14/154

A { mA { mA { mA { m

"~ mi mMoA mO ma d e ` {M{H$g m' h oS >m. _ rZ mj r ^ mog b o` mZ r A ` mg n yU {b {h b ob o ~ mb a moJ md a rb e ` {M{H$g mMon w V H$. {d e of h U O oh on w V H$ g wJ _ d g w~ moY _ a mR>r ^ mf oVA mh o.

` m n w V H$mV b o{I Ho$Z o Z d O mV ~ mb H$m` m g _ ` m d

` md a rb {Z a mH$a U - A mO C n b Y A g b o ` m {d {d Ye {H$ m_ YyZ H$e m~ ` mh moD$ e H$V mV , ` mMr _ m{h V r {Xb rA mh o. ` m_ wi o h o n w V H$ g d d J mVrb n mb H$mZ m Cn ` w V dd mMZ r` A mh o.

H$ma U A mn b r d V Mr _ wb o O a r "e a ra A m I b w

Y _ g mY Z _ ' ` m C V r _ mU o A ma mo n yU A g b r V a r, A mn UA mn ` mg ^ mod V mb r e oO ma r/ n mO ma r, d Z mV od mBH$mV Z d O mVA ^ Ho$ d ` m` m {d {d Y B{ ` me r {Z J S >rV A e m J r a d n m` m g _ ` m n mh V A g V mo. ~ mb H$mMo ` wa mob m{O H$b mb o g , {H$S >Z r` m {d H$V r EoHy$Z ` mHw$i h moV A g V mo.A e md oi r O a A mY rM A g o n w VH$ d mMZ mV A mb oA g ob V a

` m ~ mb H$m` m n mb H$mZ m A mn U m n w V H$m` m A mY ma oe {H$ mH$ $Z Ko` m~ b _ mJ Xe Z H$ $ e H$V mo.

n yd u` m H$mi r K a m_ ` o O g m "A mO r~ mBMm ~ Q>d m'A g m Mm Vg oM h o n w VH$, ` mZ m _ a mR>r ^ mf m A d J V A mh o` m` m Ka r A g U oA md ` H$ A mh o. ~ mb H$m` m O Z Z |{ ` me r


15/154

g ~ Y rV {d H$ma md a V a d oi rM e {H$ m H$a U o {H$V r

A md ` H$ A mh o h o S>m Q>a b o{I Ho$Z o g d A J mZ o C H$b yZX mI d b oA mh o.BJ O r e XmMr d H$s` n [a ^ mf m A g b ob o J ^

{d k mZ md a rb h o_ a mR>r n w VH$ _ m` mg ma ` m H$b me mI o` m_ {h b mZ mh r A J Xr g wJ _ n U o g _ O V o. ~ mb a moJ md a rb k mZ mVC n ` w V A e r ^ a Q>mH$V o. qH$~hZ mh og n yU n w V H$M _ mS >U r d

{ d d oMZ m` m >rZ o Z o_ Ho$ d Z oQ>Ho$ P mb o A mh o. H$moR>oh r{d f ` mMm n m h mi d m n g mam Z mh r. A mO H$mb ` m "n m{P Q>r hh o W' ` m O _ m` mV g _ mO mb m A mamo g n Z V oH$S >o Z oU ma mh m X r n V M A mh o.

V o h m _ m` m _ V o K a mK a mV J moHw$i Z mX` mg mR>r

""~ mi mMo A mO ma d e ` {M{H$g m' ' h o n w V H$ h U O oH$ U $n M A mh o!

---- m. S>m. b b rV m. S >m. b b rV m. S >m. b b rV m. S >m. b b rV Mm XmXm mob H$aMm XmXm mob H$aMm XmXm mob H$aMm XmXm mob H$a

S >m. _ rZ mj r e m_ ^ mog b o( ~ mb e ` {M{H$g mV k ) ` mZ r

_ a mR>rV {b h rb o ` m ""~ mi mMo A mO ma d e ` {M{H$g m' ' ` mn w V H$mMm "d { $H$- ` md g m rH$' d H$s` g od m H$aU m` md mb mC m_ Cn ` moJ h moBb . b h mZ h U O oM O _ O mV V o1 5d f mn ` V ` m ~ mi mMo e {H$ m b mJ U ma o A mO ma d ` mMoe m r` {Z amH$a U ` mMr n > _ m{h Vr ` mZ r m n w V H$mV


16/154

{Xb r A mh o. ~ mi m` m A mO ma mMo b d H$a {Z XmZ P m ` mZ o,

` md a d oi rM C n Mma H$a U o e ` h moBb . ^ {d ` mV A e r~ mb Ho$ {Z a moJ r d g wT > h moV rb . O _ O mV ` J mMo b d H$a{Z XmZ d {Z a mH$a U P m ` m_ wi o~ mb _ ` wMo _ mU ~ ` mn H$sH$_ r h moBb . _ amR>rV J m_ H$ d {M n mZ o _ m{h Vr{X ` m_ wi o d H$s` g od m H$a U ma o S >m Q>a d g m_ m` U /` mMo Z mV od mBH$ ` m X moh m|Z m ~ mb e ` {M{H$g me m ` m

{d f ` mMr _ m{h V r g _ O V o. S >m. _ rZ mj r e m_ ^ mog b o ` m` m ` Z mMoH$a md oVod T >oH$mV wH$ H$_ rM A mh o. g _ mO CZ V rg mR>r` m` mH$S y>Z A g oM Z d Z d rZ C n H$_ n ma n S >md oV A e rn a _ o a M a U r Z _ { d Z V r H$a V mo. ` m` m ` Z mb m A m h rXmoK o S >m. g m. d mg V r n m J wS >o d S >m. g w{Z b n m J wS >o ` m` m

e woN>m.S >m. g w{Z b n m J wS >oS >m. g w{Z b n m J wS >oS >m. g w{Z b n m J wS >oS >m. g w{Z b n m J wS >o

A j O Z a b p Q>e Z g A g mo{g Ee Z , n wU o.


17/154

n w V H$ H$me Z g _ ma :n w V H$ H$me Z g _ ma :n w V H$ H$me Z g _ ma :n w V H$ H$me Z g _ ma :

S >m. g w{Z b n m J wS >o, S >m. e a X A J a I oS >H$a , n X_ ^ wf U

S >m. Ho$. EM. g MoV r, S >m. _ rZ mj r Z b ~ b o- ^ mog b o, S >m. _ m m

V wi n wi o


18/154


19/154


20/154

A Z wH$_ {U H$mA Z wH$_ {U H$mA Z wH$_ {U H$mA Z wH$_ {U H$m

^ mmmJJJ 111 A moi I ~ mb e ` {M{H$g me m mMr . . .

^ mmmJJJ 222

H$mh r g m_ m` e {H$ mMm b oI mO moJ m

1 ) O Z Z |{` me r g ~ {Y V {d H$ma2 ) N>mV re r g ~ Y rV mb o g 3 ) n MZ g Woe r {Z J S>rV Xmof4 ) _ moR> mA mV S> m` mg _ ` m5 ) {H$S >Z r` m{d H$Vr

6 ) ` wa mob m{O H$b mb o g 7 ) H$mh r Z oh _ r A mT>i U m` m n a Vy{H$aH$moi d $n m` m

g _ ` m

^ mmmJJJ 333

A mY w{Z H$ wJ mV rb ~ mb e ` {M{H$g me m

1 ) b mo H$mo{n H$ g O a r

2 ) S >oHo$A a g O a r

3 ) Q>o_ g ob Woa n r


21/154

^ mmmmmmmmJJJJJJJJ 11111111

AAAAAAAA mmmmmmmmooooooooiiiiiiii IIIIIIII

~~~~~~~~ mmmmmmmmbbbbbbbb eeeeeeee ` {{{{{{{{MMMMMMMM{{{{{{{{HHHHHHHH$$$$$$$$gggggggg mmmmmmmmeeeeeeee mmmmmmmm mmmmmmmmMMMMMMMMrrrrrrrr


22/154

A moi I ~ mb e ` {M{H$g me m mMr . . .A moi I ~ mb e ` {M{H$g me m mMr . . .A moi I ~ mb e ` {M{H$g me m mMr . . .A moi I ~ mb e ` {M{H$g me m mMr . . .

A tiny baby sweet and new can make the biggest

dreams come true ! I a M K a mV g wT > ~ mi O _ mb m ` oU o` mn oj mXwg am_ moR>mHw$R>b mA mZ X A g ye H$Vmo.

A mO H$mb V a \ $ V {Z a moJ r d g wT> ~ mb H$ A g md oA e r A n oj m ~ mi J U ma r A Z oH$ O moS >n r A mh oV. h od Z n wU

H$a ` mV ( ~ mi mMr d mT > d A ma mo ` d p WV A mh o h oX mI {d ` mV ) J ^ me ` m` m g wV r n wd g moZ moJ m\ $sMm d ` mVH$mh r Xmof A g ` mg ~ mi mMo A mn a oe Z H$ $Z V mo Xya >H$a U m` mn oS >r` mQ>rH$ g O Z Mm _ mob mMmd mQ>mA mh o.

~ mb e ` {M{H$g me m mMm CX` :~ mb e ` {M{H$g me m mMm CX` :~ mb e ` {M{H$g me m mMm CX` :~ mb e ` {M{H$g me m mMm CX` :

d H$s` e m m` m J V r ~ a mo~ a d d mT >` m k mZ m~ a mo~ a ` oH$mb mA mn mn ` mj o mVrb BW wV _ mh rV r A g U oJ a O oMd mQy> b mJ b . {e d m Cn Mma m~ X Xb d mT >` m A n oj m_ wi od H$s` j o mV {d {d Y {d e of mon Mma d A {V {d e of mon MmaA p Vd mV A mb o. ` mV rb M E H$ h U O o

~ mb e ` {M{H$g me m qH$d mn o{S > mQ>rH$ g O a r h mo . 1 9 6 5g mb m_ ` o ^ ma V mV n o{S> mQ>rH$ g {O H$b A g mo{g Ee Z Mr Wmn Z m P mb r O r B{S> Z A g mo{g Ee Z A m\ $ n o{S> mQ>rH$g O g A WmV A m .E .n r. Eg . ` m Z md mZ o A p V d mV A mh o .


23/154

` mA mY rg wXm b h mZ _ wb md a e {H$ m H$a U ma o g O g

h moV o.

n l r S>m. A ma . Ho$. J mY r S >m. E _ . E g . a m_ H $ U Z

C Xmh a U mW- A mWa {S >g m, _ oO a Ba mU r, n l r S >m.A ma . Ho$. J mY r, S >m. E_ . Eg . am_ H$ U Z B` mXr . n a V wA mn U _ wb m` m ` J m` m {Z _ yb Z mH$S >o n yU b j md o A g o` mV rb H$mh r {Z >md V mZ m d mQ> ` mZ o( ` mV S >m. J mY r d S >m.

a m_ H$ U Z h o A J WmZ r h moV o) , ` mZ r BV a g h H$m` m` m_ XV rZ o ~ a mM g K f H$ Z ~ mb e ` {M{H$g me m ` m{d f ` mb m e ` {M{H$g me m mMr EH$ A {V {d e of mon Mma e mI m h U yZ _ m` V m{_ i d yZ {Xb r.

` mZ V a b h mZ _ wb m` m A ma mo me r g ~ {YV {d{dY

A mO ma m~ b , ` md a H$a m ` m b mJ U m` m {d {d Ye [H$ m~ b , _ wb m_ Yrb O _ O mV {d H$Vt` m{Z _ yb Z m~ b ~ a rM H$mV r P mb r d {Xd g |{X d g ` mV ^ a Mn S >V A mh o.


24/154

n o{S> mQ>rH$ g O Z ~ X Xb WmoS >og on o{S> mQ>rH$ g O Z ~ X X b WmoS >og on o{S> mQ>rH$ g O Z ~ X Xb WmoS >og on o{S> mQ>rH$ g O Z ~ X X b WmoS >og o. . .. . .. . .. . .

n o{S> mQ>rH$ g O Z A WmV b h mZ _ wb mM m g O Z h m E H $g wn a n oe m{b Q>A g V mo. E_ . Eg . O Z a b g O a r Z V a ` mZ o/{V Z o b h mZ _ wb mMo {d H$ma d ` md a rb e [H$ mg ~ Y mV 3d f mMm I mg A ` mg H$_ n yU H$ $Z M.Ch. PediatricSurgery h r n X d r g n mXZ Ho$b ob r A g V o.

n o{S> mQ>rH$ g O a rMr ` mV r :n o{S> mQ>rH$ g O a rMr ` mVr :n o{S> mQ>rH$ g O a rMr ` mV r :n o{S> mQ>rH$ g O arMr ` mVr :

A mV m n o{S> mQ>rH$ g O Z H$a rV A g b o ` m H$m_ mMm WmoS >mA mT>md mK oD$ mV .

1 )1 )1 )1 ) ` J / a MZ m_ H$ Xmof A g b o ` m~ mi mMoA mn aoe Z H$$Z

` m ` J m_ wi o A mb ob o A n J d X ya H $ a U o h o n o{S> mQ>rH$g O Z Mo _ w ` H$m_ A mh o. ` m{e d m b h mZ _ wb m` mA ma mo me r {Z J S>rV ~ ` mMe m J mo Q>r_ ` o n o{S> mQ>rH$ g O Z_ h d mMr ^ w_ rH$mn ma n mS >V mV .

J ^ me ` mV rb ~ mi mV ` J A g ` mMr e H$m A g ` mg

g wV rV k / g moZ mob m{O Q> ^ md r n mb H$mZ m n o{S> mQ>rH$g O Z H$S >o a o\ $a H$a V mV . ` md oi r ~ mi mV Z H$s A Z m_ b rA mh o H$m h o O mU yZ K oU o, A g ` mg {V Mo d $n V rd A Wd mg m ` H$e m H$ma Mo A mh oh o V n mg U o d ` m A Z wf J mZ o^ md rn mb H$mMog _ wn X oe Z H$a U oh r A mO H$mb n o{S> mQ>rH$ g O ZMr


25/154

_ moR>r O ~ m~ Xma r A g V o. A mO ma ( ` J m) ~ X Xb g mYma U

_ mh rVr, ` md arb e {H$ oMr _ mh rVr , ` mVrb \ $m Xo /Y moHo$, g mY ma U I M, g wVr H$Yr d Hw$R> ` m H$ma oH$a m Mr` md ` mg ma ` mA Z oH$ ~ m~ V rV n o{S> mQ>rH$ g O Z _ mJ X e ZH$a V mV .

A g o O moI _ rMo ~ mi V n U g d g mo r A g b o ` m {R>H$mU r

Ho$ ` mZ o~ mi m` mO _ mZ V a Mr Ymd n i Q>mi yZ d a r V ` moC n Mma H$a U o e ` h moV o. ` mb mM Q>mgQ>mgQ>mgQ>mg \\\\ $a BZ ` wQ>oa mo$a BZ ` wQ>oa mo$a BZ ` wQ>oa mo$a BZ ` wQ>oa mo A g og ~ moYb oO mVo.

CXmh a U mW - H$O o{Z Q>b S >m \ $_ {Q>H$ h {Z m_ ` o( ~ mi m` m d mg n Q>b mg N>oX A g V mo d A mV S>r N>mV rV

J o ` mZ o) ~ mi mb m O _ mZ V a d mg K o` mg I yn A S >Wi m` oV mo. ` mA mO mamMo{Z XmZ b d H$a Z P m ` mg ~ mi O J ` mMre ` V m Y yg a h moV o. H$YrH$Y r ~ mi mb m H${ _ d mg moN>d mgXoD$Z ` md a A mn a oe Z H$a md ob mJ V o. ` m_ wi oM ` md oi r ~ mig d A ` md V g mo r A g b o ` m {R>H$mU r A g U o h U O o O U y~ mi mb mO rd Z X mZ M {_ i m ` mg ma I oA mh o!

2 )2 )2 )2 ) O | h m~ mi mV ` J A mh oA e r e H$mA g Vo` md oi ogO _ mZ V a b J oM ~ mi mMr V n mg U r H$ $Z ` m ` J m` m{Z a mH$a U mg mR>r A mn aoe Z H$a` mMr J a O A mh o H$m VoR>a d V m ` oV o. ` m_ wi oEa d r O _ mZ V a {Z XmZ h moBn ` V d m m


26/154

O mU ma m d oi d mMV mod ~ mi m` m {O d mb m Y moH$m h mo` mA mY rM

Cn Mma g w $ h moV mV .Q>>{HA mo- Bg mo\ o${O A b {\ $ ` wb mg ma ` m H${S>e Z _ ` o

( A Z Z {b H$m n yU ~ Z b ob r Z g V o d V r d mg Z {b Ho$b mO moS >b ob r A g V o) V a h o I wn M C n ` w V R>a V o. ` mV EH$Xm~ mi mb m XyY n mO ` md a V oN>mV rV O mD$Z ` w_ mo{Z ` m h moV mod

~ mi mMr V ` oV I mb md V o. A mn a oe Z ` m ` e p d V o>d a h r ` mMm{d n a rV n [aU m_ h moV mo. ~ mi n o{S> mQ>rH$ g O Z ` mXoI a oI rI mb r A g ` mg A mn a oe Z g mR>r g J ` mV MmJ b rp WV r ( d A mn a oe Z Mr d oi g wXm) R>a d V m` oV o.

3 )3 )3 )3 ) A mn aoe Z h o Q>` mQ>` mZ o H$amd ` mMo A g ` mg

( Q>oS >) n wT>` m A mn a oe Z ` m A mYr ~ mi mMr Hw$R>b rn wd V ` ma r P mb r n m{h O o ` m J mo Q>rH$S >o ~ ma H$mBZ o b j md ob mJ V o.

C Xmh a U mWC Xmh a U mWC Xmh a U mWC Xmh a U mW- h M wJ {S>g rO d A Z moa o Q>b _ mb \ $m_ }e Z( g S >mg mMr O mJ m Z g b o ` m) _ wb m_ ` o A mV S > m` m

A V mJ mMr d N>V m I wn _ h d mMr A mh o. ` md a M n wT >rbA mn a oe Z Mo~ a oMg o e A d b ~ yZ A g Vo.


27/154

4 )4 )4 )4 ) A mn a oe Z Z V a ~ mi m` m V ` oV rMm ` d p WV A mb oIR>od yZ ` mg mR>r A mn a oe Z Ho$b ob o A mh o V o ` e d r P mb o A mh oqH$d m Z mh r, ` mZ V a ~ mi mMr d mT> ` d p WV A mh o Z m,A mn a oe Z _ ` o H$mh r J wV mJ wV A g ` mg V o e moY yZ ` md aCn Mma H$a U oh rh r O ~ m~ Xma r n o{S> mQ>rH$ g O Z n ma n mS >V mV .


28/154

5 )5 )5 )5 ) A mn a oe Z Mr J a O Z g ` mg ` m ~ mi md a A md ` H$

d {H$ C n Mma H$ $Z ` m` m V ` oV rMm A mb oI R>od b mO mV mo.

A mZ wf {J H$ BVa O ~ m~ Xm` m:A mZ wf {J H$ BVa O ~ m~ Xm` m:A mZ wf {J H$ BVa O ~ m~ Xm` m:A mZ wf {J H$ BVa O ~ m~ Xm` m:

Z d O mV A ^ H$m` m d H$O o{Z Q>b A Z m_ b r O ` me {H$ m~ a mo~ a M g mY ma U n U o1 5 d f }d ` mn ` V ` m _ wb mV

( O _ V : Z m_ b A g b o ` m ) H$mh r g {O H$b mb o_A g ` mg ` mMo {Z amH$a U H$a U o d A mn aoe Z Z V a ` mMr~ mb a moJ V k m` m _ XV rZ o X oI ^ mb H$a U o h rh r n o{S> mQ>rH$g O Z Mr _ moR>rM O ~ m~ Xma r A mh o.

C Xmh a U mWC X mh a U mWC Xmh a U mWC X mh a U mW---- A n |{S >g m Q>rg g mR>r e {H$ m, BQw>g g o e Z( A mV S >r EH$_ oH$mV K wg ` mZ o {Z _ mU h moU ma m A S >Wi m)[aS> e Z , _ mZ oV rb J mR>rg mR>r / d oJ d oJ ` m Q> w_ g g mR>re {H$ m, A n K mV mV O I _ r P mb o ` m _ wb md a ` mo V oC n Mma d e {H$ m, g H$_ g rO Z ( g wV m) B` mXr.

` m d ` mg ma ` m A Z oH$ O ~ m~ X m` m n o{S> mQ>rH$g O Z b m n ma n mS>m ` m b mJ VmV d ` mg mR>r ` mZ o E_ . Eg .O Z a b g O a r Z V a b h mZ ~ mi m` m e {H$ mg X^ mV n wU Ho$b ob m I mg A ` mg H$_ H$m_ r ` oV mo. A e m A Z oH${d YO ~ m~ X m` m n o{S> mQ>rH$ g O Z n ma n mS>V A g ` mZ o ~ mi mMo


29/154

A mn a oe Z h o ` m` m _ mJ Xe Z mI mb rM H$a U o H|$ h mh r

g moB H$a d ~ mi m` m{h V mMoR>a V o!C n Mma mV rb H$mVr :C n Mma mV rb H$mVr :C n Mma mV rb H$mVr :C n Mma mV rb H$mVr :

J ^ me ` m_ ` o/ O _ mZ V a b J oMM P mb ob o amoJ {Z XmZ ,d oi od a P mb ob o d {H$ C n Mma d ` mo V r e {H$ m, { V O {d H$m_ wi o P mb ob o B\ o$ e Z H$Q>mob , a V d {d {d Y

a V K Q>H$mMr C n b Y V V m d ^ wb r` m V mV P mb ob rA m M` H$maH$ J Vr, A n w` m d O Z m` m / {X d g m` m~ mi m` m g J mon Z mV P mb ob r H$mV r, Q>moQ>b n a oQ>a b` wQ>re Z ( ` mV a Vd m{h ` mVyZ n mof U _ w ` o {X b r O mV mV )` m_ wi o A mn a oe Z Z V a / A mn a oe Z X a ` mZ ` m _ wb mMr {d e of

H$mi O r KoV m ` oD$ b mJ b r A mh o d ` m_ wi oM _ ` w_ wI rn S >U m` m _ wb mM o d { d e of V : Z d O mV A ^ H$mMo _ mUn w H$i M H$_ r P mb oA mh o. J o ` m 3 0 V o3 5 d f mV A mn a oe ZA mn a oe ZA mn a oe ZA mn a oe ZP mb o ` m/ b mJ U m` mP mb o ` m/ b mJ U m` mP mb o ` m/ b mJ U m` mP mb o ` m/ b mJ U m` m Z d O mV A ^ H$mMm _ ` yXa 6 06 06 06 0Q> H$ md $ ZQ> H$ md $ ZQ> H$ md $ ZQ> H$ md $ Z 1 0 Q> ` mn ` V1 0 Q> ` mn ` V1 0 Q> ` mn ` V1 0 Q> ` mn ` V I mb r A mb mA mh o.

C X> mMo~ mb e ` {M{H$g me m :C X> mMo~ mb e ` {M{H$g me m :C X> mMo~ mb e ` {M{H$g me m :C X> mMo~ mb e ` {M{H$g me m :

~ mb e ` {M{H$g me m m_ ` o A mV m \ $sQ>b g O a r ,BQ>m wQ>oa mBZ BQ>a h oe Z b g O a r, Q>o_ g ob ( _ yi n oe r )


30/154

Woan r h o H$mah r CX> mb m ` oV A mh oV. ` mV ~ mi A mB` m

n moQ>mV d mT>V A g V mZ mM ` m` md a e {H$ m Ho$b r O mV o._ m ` mj o mV A O yZ ~ a rM J V r h m Mr A mh o, O oU oH$ $Z h oV k mZ g d g m_ m` m` mA md m ` mV ` oBb .


31/154

^ mmmmmmmmJJJJJJJJ 22222222

HHHHHHHH$$$$$$$$mmmmmmmmhhhhhhhh rrrrrrrr gggggggg mmmmmmmm________ mmmmmmmm`

eeeeeeee {{{{{{{{HHHHHHHH$$$$$$$$` mmmmmmmmMMMMMMMMmmmmmmmm

bbbbbbbb ooooooooIIIIIIII mmmmmmmmOOOOOOOO mmmmmmmmooooooooJJJJJJJJ mmmmmmmm


32/154

O Z Z |{ ` me r g ~ {Y V {d H$maO Z Z |{ ` me r g ~ {Y V {d H$maO Z Z |{ ` me r g ~ {Y V {d H$maO Z Z |{ ` me r g ~ {Y V {d H$ma

n mQ>rb n V rn Z r h o e h a mV rb {g XYA S > h moH$oQ>g . g d m d f m` m {Z b oe ` m O mK oV H$mb n mg yZg yO A mh o h U yZ ` mMm \ $moZ A mb m. ~ mi mb m V mH$miV n mg U rg mR>r ~ mob md yZ KoV b . d f U mMm n ri A g ` mMre ` V m A g ` mZ b J oMM A mn a oe Z Mr V` ma rh r Ho$b r. _ m

~ mi mM d f U n yU n U o H$mi P mb h moV . V o H$mT y>ZQ>mH$` m{e d m Hw$R>b mM n ` m Z h V m. A mn a oe Z Z o ~ mi mb mA g b ob mY moH$mQ>i b mh moV m. n a VwA mn ` mb mh r J moo >b d H$ab j mV Z A m ` mZ o ~ mi mMo d f U H$mT>md o b mJ b o h r ~ moMUrn mQ>rb Xmn ` mb mb mJ yZ a m{h b r Vr H$m _ MrM !

Xwg a m EH$ {H$ g mh r A g mM n mb H$mZ m g w H$a U ma mA mh o.

A Wd h m [Vg arV {e H$U mam A mBd {S >b mMmEHw$b V mE H _ wb J m. e mi oV rb h e ma {d mWu. _ m V mo ~ g yZ b K d rH$a V mo ` md Z ` mMo d J {_ ` mb m {MS >d m b m b mJ ` mZ oV mo H$mh rg m A ~ mob d EH$b H$m|S >m P mb m h moV m. A ` mg mVh rb j b mJ oZ m. e mi oV yZ V H$ma r ` oD $ b mJ ` m. A mV m _ mA mBd S >rb mMoS >moi oI mS>H$Z CK S>b o. _ moR>oP m ` md a A mn a oe ZH$ h U yZ Xwb {j b o ` m h m n mo n oS >r` mg _ wi o A Wd ` mA m w ` mV H$mob mh b _ mO b mh moV m.


33/154

I a M b h mZ _ wb m` mO Z Z |{ ` me r g ~ {Y V A mO ma h o

~ ` mM A e r KmV H$ d m O rd KoU o Z g b o V a r ` mH$S>o Ho$b ob oXwb j h oA j ` d XrK H$mb rZ n [a U m_ H$a U ma oA g ye H$V o.H$mh r g m_ m` g _ ` mMr C H$b H$a ` mMm ` Z ` mb oI m ma oHo$b mA mh o.

1 )1 )1 )1 ) \\\\ $m _ mo{g g$m _ mo{g g$m _ mo{g g$m _ mo{g g

B{` m` m Q>moH$me r A g b o ` m Mm_ S >rMo _ wI ~ ma r H$A g ` mZ oV r _ mJ oH$a V m Z ` oU o h U O o\ $m _ mo{g g . ~ a oMXmn mb H$ _ wb m` m {e Z _ wS >md a rb H$mV S >r ( Foreskin) _ mJ oO mV Z mh r h U yZ A m_ ` mH$S>o ` oV mV . ` mV b j mVK o` mg ma I r ~ m~ h U O o ~ - ` mMe m _ wb m_ ` o\ $m _ mo{g g

h o d ` mn a d o A g V o A m{U I a oV a Z mO yH$ d g d oX Z mj _{e Z _ wS >mMo ~ m K Q>H$mn mg yZ a j U H$a U o h o ` m Mm_ S >r` mP S >n oMo H$m_ A g V o. ` m_ wi o \ $ {e Z m` m Q>moH$md a rbd Mm {d b J P mb ob r Z mh r h U yZ ( X wg a m H$mh r mgZ g ` mg ) n mb H$mZ r V h m Mr J a O Z mh r. g mY ma U V :_ wb Mma V on mM d f mMoh moBn ` V h r d MmA mn moA mn _ mJ oh moD$

b mJ V o. C a b o ` m A J X r WmoS > m _ wb m_ ` o ~ mH$s b j U A g V mV d ` m` mV A mn a oe Z Z o\ $moa H$sZ g moS >d yZ X` md rb mJ V o. _ m A mn a oe Z H$a m ` m A mY r _ wb mb mh m n mo n oS >r` mg ( _ y _ mJ I mb ` m ~ mO yb m C KS >U o) h r


34/154

A Z m_ b r Z mh r Z m ` mMr n yU I m r H$a md r. e H$m

A g ` mg V k mMo_ mJ X e Z ` md o.

Mm_ S >r mP S >n oZ oP mH$b ob o {e Z _ wS

e {H$ mH$o h mJ a O oMr A mhe {H$ mH$o h mJ a O oMr A mhe {H$ mH$o h mJ a O oMr A mhe {H$ mH$o h mJ a O oMr A mh o:

Hw$WyZ e yH$a U o, \ w$J m` oU o

Wm~ yZ Wm~ yZ / W|~ W|~ b K d r h moU o

b K d rMr Y ma ~ ma rH$ h moU o

d ma d ma b K d rMoB\ o$ e Z h moU o

O Z Z |{` m` m n wT >` m Mm_ S >rV rb O V wg g J ( ~ b Z mon m Wm Q>rg ) B` m{X b j U oA mT >i ` mg


35/154

B b m_ d ` y Y _ mZ wg ma V a g wV m H$a U o h m EH$

Y _ {d Y rM A mh o.A mn a oe Z n yd u H$a md ` m` mMmM` m:A mn a oe Z n yd u H$a md ` m` mMmM` m:A mn a oe Z n yd u H$a md ` m` mMmM` m:A mn a oe Z n yd u H$a md ` m` mMmM` m:

a J moR>` m` m {H$ oV H$mh r Xmof Z mh r ` mMrV n mg U rX >d ma o I m r Ho$ ` md a h o A mn a oe Z Ho$b o O mV o,O oU oH$ Z A mn a oe Z Xa ` mZ H$Y rH$Yr A mT>i U ma m O m V rMm

a $ md Q>mi Vm` oV mo.

e {H$ oMo d ne {H$ oMo d ne {H$ oMo d ne {H$ oMo d n dddd ` mZ V a` mZ V a` mZ V a` mZ V a Mr H$mi O rMr H$mi O rMr H$mi O rMr H$mi O r ::::

A mn a oe Z ( g wV mg wV mg wV mg wV m) H$ $Z O m V rMr H$mV S >r H$mT >b r O mV o.A mn a oe Z Z V a _ wb mb m{Xd g mV yZ 2 - 3 d oi mH$mo_ Q>n m` m` m

Q>~ _ ` o ~ g d ` mg I n ` m J i yZ n S >V mV . ` mZ V a \ $ $_ D$ H$n S> mZ o d Mm H$moa S >r H$a md r. {d a K i U ma o Q>mHo$K mV ` mZ oV oH$mT >m Mr J a O Z g V o.

H$mh r g m_ m` e H$m:H$mh r g m_ m` e H$m:H$mh r g m_ m` e H$m:H$mh r g m_ m` e H$m:

1 ) Mm_ S>r n a V ` oBb H$m?B{ ` m` m Q>moH$me r A g b ob r Mm_ S >r EH$Xm g wVm H$ $Z

H$mT> ` md a n a V d mT >V Z mh r. n a V y n wU Mm_ S >r H$mT>md ` mMrZ g ` mg \ $ $ b Kd rMo[N {Xg ` mBVn V H$mVS >r H$mT>b rO mV o.


36/154

2 ) _ moR>on U r H$mh r mg h moBb H$m?

{ e Z _ wS>mMr d Mm A ` V g d oX Z mj _ A g yZg m_ m` n U o V r b mb g a a J mMr A g V o. g wVmHo$ ` md a _ mV r H$mi g a h moV o. n a V wBV a H$mh rh r mg h moV Z mh r.

2 )2 )2 )2 ) n a mn a mn a mn a m\\\\ $m _ mog r g$m _ mog r g$m _ mog r g$m _ mog r g

e y` m O mJ od a ` m H$mV S>rVb o^ moH$ b h mZ A g V mZ mH$Y rH$Y r \ $moa H$sZ O moa mV _ mJ oI oMb r O mV od ` mZ V a V rn wT>oA mU V m` oV Z mh r, d mEH$Xm_ mJ oHo$b ob r Mm_ S>r n a V n wT >oA mU ` mMo g moB H$a {a ` m {d g a ` mg ; {e Z _ wS >mMma V d mh ( A e w ) ~ X h moD$Z ` mb m g yO ` oV o. h o{Xg m b mh r I yn A m|J i d mU od mQ>V o. I yn C e ra P m ` mg e wa $ d mh h r ~ X h moD$Z J J a rZ h mo` mMr e ` V mA g V o.

g yO A m ` mZ o A m|J i d mU o {X g U ma o {e Z


37/154

B _ O g r Q>rQ>_ |Q> :B _ O g r Q>rQ>_ |Q> :B _ O g r Q>rQ>_ |Q> :B _ O g r Q>rQ>_ |Q> :

` mV b d H$a mV b d H$a Wm{Z H$ ^ yb X oD$Z , h mV mZ o{e Z _ wS >md a Xm~ XoV \ $moa p H$Z n wT >o K oV b r O mV o. V o e `Z g ` mg \ $moa p H$Z b m EH$ C ^ m N>oX K oD$Z ( DorsalMeatotomy) V r n wT >oA mU md r b mJ V o.

A {V _ Cn Mma :A {V _ Cn Mma :A {V _ Cn Mma :A {V _ Cn Mma :

A e m Ho$g og _ ` o g yO n wU n U o A mog a ` md a h U O og mY ma U : 2 - 3 A mR>>d S > mZ V a g wV mHo$b mO mV mo.

3 )3 )3 )3 ) ~ b Z mon m Wm Q>rg~ b Z mon m Wm Q>rg~ b Z mon m Wm Q>rg~ b Z mon m Wm Q>rg

O Z Z |{ ` m` m n wT>` m Mm_ S>r_ ` o O V wg g J h moV mo.\ $moa H$sZ d {e Z _ wS > ` m Xmoh m|Mmh r Xmh h moD $ Z, V oEH$_ oH$mZ m{MH$Q>V mV . Mm_ S >rMo_ wI A mHw$MZ n md V od b K d rH$a V mZ m mg h moV mo.

O V wg g J m_ wi oA mb ob r g yO


38/154

e {H$ oMo d n / d oi :e {H$ oMo d n / d oi :e {H$ oMo d n / d oi :e {H$ oMo d n / d oi :

g yO d Xmh H$_ r P m ` md a h U O og mYma U V: 2 Vo3A mR>d S > mZ V a g wV mH$a md mb mJ V mo.

mg h moD$ Z ` o mg mR>r.. . . . mg h moD$ Z ` o mg mR>r.. . . . mg h moD$ Z ` o mg mR>r.. . . . mg h moD$ Z ` o mg mR>r.. . . .

h m mg h moD$ Z Xo` mg mR>r O Z Z |{ ` m` m d N>V oMrH$mi O r KoU o A {Z d m A mh o. {d e of V : A mK moi r` m d oi r

O Z Z |{ ` m` m n wT >Mr Mm_ S >r ( {O V H$s _ mJ oO mBb {V V H$s )_ mJ oH$ Z [e Z _ wS >md a rb n mT >a Q>Wa g m\ $ H$a md md V mo mJH$moa S >mH$ Z Mm_ S >r n wd d V H$a md r.

4 )4 )4 )4 ) Bd m Z b h {Z mBd m Z b h {Z mBd m Z b h {Z mBd m Z b h {Z m ( O mK oV rb A V J i( O mK oV rb A V J i( O mK oV rb A V J i( O mK oV rb A V J i )

J ^ m` m d mT >r` m e od Q>` m Q>` m>V ( ~ mi m` mn moQ>mV yZ ) d f U O mK oV ` m_ mJ mX>d ma o d a ` mA md a U mg {h VA S >H$ome mV C V a V mV . V r I mb r ` o` mMm_ mJ ~ X P mb mZ mh rVa ` mVyZ A mVS > mMm EI mX m^ mJ I mb r ` oV mo. ` mV _ moR` m_ mU g mg ma I mM O mK oV \ $wJ d Q>m {Xg V mo. A S >H$moe mV h r g yOO mU d Vo. A mV S> mMm^ mJ d a I mb r h moV A g ` mZ o h {Z mMmA mH$ma H$_ rO m V h moV mo. a S ` md a A mH$ma d mT >V mo.A mV S > mZ m A moT > ~ g ` mZ o n moQ>mV X wI V o. C O ` mC O ` mC O ` mC O ` m ~ mO yb mh { Z m h mo` mMo _ mU Sm ` m > ~ mO yn oj m O m VO m VO m VO m V ( g mY ma U V :6 0 % BV Ho) A g V o. V a Xmoh r ~ mO wb mh {Z mh mo` mMo _ mU1 0 % BV Ho A g V o.


39/154

A n w` m{Xd g m` m~ mi mV rb C O ` m~ mO yMmBd m Z b h {Z m

mg H$moU mb mh moD e H$V mo? mg H$moU mb mh moD e H$V mo? mg H$moU mb mh moD e H$V mo? mg H$moU mb mh moD e H$V mo?

{d e of V: A n w` m{Xd g m` m_ wb m_ ` oh mA mO ma O m V _ mU mV A mT >i V mo. V g oM H$mh r H$ma U mZ o n moQ>mV rb Xm~d mT > ` mZ oh r h m A mO ma g d Vmo. h U O o d a Mod ag XuI moH$b mh moU ma r _ wb o, Hw$n mo{f V _ wb o, h r. n r. e Q>Mon oe Q ,_ H$ wb a {S > Q>m\ $sMon oe Q>B` m{X.

~ h wV oH$doi m e ma r[ a H$ V n mg U r X>d ma oM {Z XmZ H$a V m` oV o. d a rb b j U oA g ` mg {Z XmZ A {V e ` g mon A mh o.

e {H$ oMo d n / de {H$ oMo d n / de {H$ oMo d n / de {H$ oMo d n / d oioioioi ::::

H$ma U h {Z md h m S >mog rb ` mV rb \ $a H$ A moi I b mJ ob m n mh rO o. h {Z m A g ` mg b d H$a A mn a oe Z H$a ` mMr


40/154

J a O A g V o. n a V y h m S >mog rb _ ` o ~ mi mb m A mn U

XoI a oI rI mb r R>od ye H$Vmo. {e d m h oA mn a oe Z V m{ H$ Q> m_ moR> m _ mU g m_ Yrb h {Z m` m A mn aoe Z n oj m WmoS >o d oJ i oA g yZ V o n w H$i M H$me ` mZ oH$a md ob mJ V o. ` mV h {Z mQ>m_ rh { Z mQ>m_ rh { Z mQ>m_ rh { Z mQ>m_ rHo$b r O mV o h U O oM A mV S r I mb r ` o` mMm _ mJ Q>mH$m K oD$Z~ X Ho$b mO m>V mo.

d oi oV A mn a oe Z Z P m ` mg . . . . .d oi oV A mn a oe Z Z P m ` mg . . . . .d oi oV A mn a oe Z Z P m ` mg . . . . .d oi oV A mn a oe Z Z P m ` mg . . . . .b d H$a A mn a oe Z Z Ho$ ` mg h {Z m g H$_ ` oA mV S >r

A S >Hy$Z / A mVS> mZ m n ri ~ g yZ V oI a m~ h mo` mMr e ` V mA g V od ~ mi J ra h mo` mMo _ mU d mT >V o.

A d amo{YV h{Z mMr b j U oA d amo{YV h{Z mMr b j U oA d amo{YV h{Z mMr b j U oA d amo{YV h{Z mMr b j U o::::

h { Z mMmA mH$ma H$_ r Z h moU , n moQ>\ wJ U o, {n d ` mC b Q> m, e mMmg Z h moU oB` m{X

A d amo{YV h{Z m A g ` mg ~ mi mb m d oXZ me m_ HA mn Y oX oD$Z A mV S >r n moQ>mV n aV d ` mMm ` Z Ho$b m O mV mo.

V r _ ` oJ o ` mg ( 4 8 V mg mZ V a ) WmoS >r g yO A mog a ` md aA mn a oe Z H$ $Z {S>\ o$ Q> ~ X H$a V m ` oV mo. A ` Wm VmH$mi_ oO a g O a r H$a md r b mJ V o. ` md oi r ~ mi mb mA g U ma mY moH$mh rd mT >V mo.


41/154

_ wb t _ Y b mh {Z m:_ wb t _ Y b mh {Z m:_ wb t _ Y b mh {Z m:_ wb t _ Y b mh {Z m:

_ wb t _ ` o h {Z m h mo` mMo _ mU _ wb m` m V wb Z oVn w H$i M H$_ r A g V o. _ m ` mV rb 1 - 2 % _ wb t _ ` oqb JA {Z p MV Vm A g ` mMr e ` V m A g ` mZ o A mn a oe Z n yd un moQ>mMr g moZ moJ m\ $s, ~ ma ~ mS >r h r V n mg U r d H$Y r H$Y rH$a rA moQ>mBn ( J wU g w ) ` mMmM` mh r H$am ` m b mJ VmV.

5 )5 )5 )5 ) h m S >>mog rb ( A S >H$moe O b d { )h m S >>mog rb ( A S >H$moe O b d { )h m S >>mog rb ( A S >H$moe O b d { )h m S >>mog rb ( A S >H$moe O b d { )

` mV h {Z m _ mU oM mog og g h O m Z b rg h rn moQ>mb m O moS >U ma r Z m{b H$m ~ X P mb ob r Z g V o. n a V y ` mZ {b Ho$Mr $Xr H$_ r A g V o. {Xd g m` m g w $d mV rb mA S >H$moe mMm A mH$ma N>moQ>m A g Vmo, n a V w {Xd g mA I oa rgn moQ>mV rb n mU r O _ mP m ` mZ oV mon w H$i M d mT >V mo.

Xwg ` m WmoS> m A g mY ma U H$ma mV mog og g h O m Z b rg h r Z {b H$m _ Y ` m^ mJ mV ~ X P mb ob r A g V o;\ $ V {~ O mS >m` m ^ mod V r A g b o ` mn mVi Xwn Xar A md a U mVn mU r g mR>V od A S >H$moe mV g yO O mU d V o.

h m S >>mog r b _ wi od mT>b ob mC O d mA S >H$moe


42/154

e {H$ oMo d n :e {H$ oMo d n :e {H$ oMo d n :e {H$ oMo d n :

h m S >>mog rb g mR>r b mJ U ma o A mn a oe Z h o h {Z mA mn a oe Z g ma I oM A mh o. ` m_ ` o O mK od a N>oX K oD$ZC Xa n moH$i rb m O moS >U ma r Z {b H$m ~ X Ho$b r O mV o. _ m ` mVh { Z mQ>m_ rI oa rO h m S >mog rb g H$_ Y rb n mU r H$mTm>d ob mJ V o.

` m_ wi o \ $ V h m S >mog rb _ ` o g wBKmb yZ n mU r

H$mT>U o, ` mV BO o e Z X oU o, ~ mh o Z H$mh r A mf Y o b md U o( ` mZ o Z mO yH$ d MoMm Xmh h moBb ) ` m J mo Q>r Q>mi ` mn m{h O oV . V g oM V k mZ m Z XmI d ` mg A mn a oe Z MwH$s` mn X>Y V rZ o h mo` mMr e ` V md mT>V od g mY mA mO ma ~ i md V mo.

e {H$ mH| h mH$a md r?e {H$ mH| h mH$a md r?e {H$ mH| h mH$a md r?e {H$ mH| h mH$a md r?

~ - ` mMe m Ho$g og _ ` o h r C Xa n moH$i rb m O moS >U ma rZ {b H$m {Z g J V : ~ X h moV O mV o. _ wb 1 d f mMoP m ` md a X oI rb g yO V e r M a m[h ` mg e {H$ mHo$b r O mV o.

_ moR> m_ mU g mV rb h m S >mog rb :_ moR> m_ mU g mV rb h m S >mog rb :_ moR> m_ mU g mV rb h m S >mog rb :_ moR> m_ mU g mV rb h m S >mog rb :

h o` oWohoV wV : Z _ yX H$ob ob oA mh o. ` mV \ $ $ ~ rO mS >m` m^ mod V r n mU r g mR>V o d A S >H$moe md a N>oX KoD$Z ( b h mZ_ wb m _ mU o O mK od a N>oX Z K oV m ) h m S >>mog rb [a n oA a Ho$b oO mV o. b h mZ _ wb m_ ` o A e m V h oZ o e {H$ m h moU o n yU V :MwH$sMoA mh o.


43/154

6 )6 )6 )6 ) A Z {S >g oS >oS >Q>o Q>rOA Z {S>g oS >oS >Q>o Q>rOA Z {S>g oS >oS >Q>o Q>rOA Z {S>g oS >oS >Q>o Q>rO :::: ( I mb r Z C V a b ob od f U )( I mb r Z C V a b ob od f U )( I mb r Z C V a b ob od f U )( I mb r Z C V a b ob od f U )

d f U mMo V mn _ mZ e a ra m` m V mn _ mZ ` m 2 - 3 A eg o[ g ` g I mb r R>od U o h o A S >H$moe mMo H$m_ A mh o. ` m_ wi o~ rO mMV mn _ mZ {Z ` { V a mh yZ ~ rO {Z {_ V r MmJ b r h moV o.

mg H$moU mb mh moV mo? mg H$moU mb mh moV mo? mg H$moU mb mh moV mo? mg H$moU mb mh moV mo?

h {Z m _ mU oM A n w` m {X d g m` m _ wb m_ ` o O m V _ mU mV A mT >i U ma mh mA mO ma A mh o.

d f U mMr J ^ me ` mV rb d mTd f U mMr J ^ me ` mV rb d mTd f U mMr J ^ me ` mV rb d mTd f U mMr J ^ me ` mV rb d mT >:

g w $d mV rb m d f U mMr d mT> ( J ^ me ` mV ) ~ mi m` mn moQ>mV h moV A g V o. g mYma U V: J ^ ma n U m` m 7 ` m_ {h ` mn mg yZ H$mof O mK oV ` m _ mJ mV yZ I mb r C V a m b mb mJ V mV d g mY ma U n U o 9 ` m _ {h ` mn ` V V o d a ` mA md a U mg [h V A S >H$moe mV n yU n U o CV a b ob oA g V mV . ~ a oMXmA n w` m {Xd g m` m _ wb m_ ` oo O _ mZ V a 3 _ {h ` mn ` VA S H$mof n yU n U oI mb r C V a V mV .

A mZ wf [ J H$ BV a mg :A mZ wf [ J H$ BV a mg :A mZ wf [ J H$ BV a mg :A mZ wf [ J H$ BV a mg :

9 0 % H o$g og _ ` o h {Z mh r A g V mo d ` m_ wi oA d a mo{YV h{Z mMm n mb o_ BWoh r ` od y e H$V mo. ` md oi r~ rO H$mof m` m a V d mh md a n [a U m_ h moD$Z V o {Z H$m_ r


44/154

h mo` mMr e ` V m A g V o. ` m_ wi o A d a mo{YV h{Z m A g ob

V a b d H$a mV b d H$a A mn a oe Z Ho$b oO mV o. V g oM g mY ma U V :1 ` m d f mn mg yZ I mb r Z A mU b o ` m d f U m_ ` on moQ>mV rbC U Vo_ wi o h moU ma o Xw n [a U m_ O mU d V mV . d f U mg BO m dZ Va ` mMmh mg g d Vmo.

XrKH$mb rZ n a rU m_XrKH$mb rZ n a rU m_XrKH$mb rZ n a rU m_XrKH$mb rZ n arU m_ ::::

b d H$a A mn a oe Z Z Ho$ ` mg d f U C Xa d m O mK oV Ma mh V mV . ~ rO {Z {_ Vr Wm~ V od n wZ n mXZ m` mH$m j _ V od aA {Z > n [a U m_ h moV mo. Xmoh r ~ mO yb m h m Xmof A g U m` m_ wb m_ ` o _ moR>on U r d ` d mMo n _ mU n w H$i M O m V _ mU mV A mT >i yZ A mb o A mh o. {e d m d f U mmm H H$amoJ

h mo` mMrh r e ` Vmd mT>Vo.{Z XmZ :{Z XmZ :{Z XmZ :{Z XmZ :

~ h wV oH$d oi m e ma r [a H $ V n mg U rX >d ma oM {Z XmZ H$a Vm` oV o._ m ` m _ wb m_ ` o A g U m` m Xwg ` m A Z m_ b rO O mU ` mg mR>r ( h U O o_ w qn S >mMoXmof , _ w _ mJ mVrb BVa Xmof/ A S >Wi o B` m{X) n moQ>mMm g moZ moJ m\ $s Ho$b m O mVmo . O arg moZ moJ m\ $s d f U mMr p W{V XmI d yZ , A mn a oe Z g mR>rMm d oe _ mJ R>a {d ` mg _ X V H$a V A g b oV a r h r I m rb m H${Z XmZ n Vr Z mh r.


45/154

e {H$ oMo d n / d oi :e {H$ oMo d n / d oi :e {H$ oMo d n / d oi :e {H$ oMo d n / d oi :

d H$s` e m mV rb J V r_ wi o ( g y _ C n H$a U o, g o\ $A Z Woe r` m ) d ~ rO H$mof mV d ` mn a d o h moU m` m ~ X b mMmg I mob A ` mg P m ` m_ wi o A mO H$mb _ wb 6 _ {h ` mMoh moBn ` V M d mQ>~ {KV b r O mVo d ` mZ V a b d H$a mV b d H$ae {H$ mH$ Z ~ rO H$mof I mb r A mU b mO mVmo.

h r e {H$ m T > n X >YV rZ o ( Bd m Z b H$Z mbC K S yZ ) A m{U b mo H$mon rH$ ` m XmoZ H$ma o Ho$b r O mV o.~ rO H$mof I yn d a A g ob V a 2 Q>` m_ ` oh r g O a r H$a md rb mJ V o.

[aQ> Q>mBb Q>o Q>rO[aQ> Q>mBb Q>o Q>rO[aQ> Q>mBb Q>o Q>rO[aQ> Q>mBb Q>o Q>rO :

` mV d f U I mb r C V a b ob o A g V mV , n a V w V oA S >H$moe mV Z a mh V m d a I mb r h moVmV. ~ h wV oH d oi m ` mg mR>rHw$R> ` mh r e {H$ oMr J a O n S >V Z mh r.

7 )7 )7 )7 ) ~ rO mS mMmn ri~ rO mSmMmn ri~ rO mS mMmn ri~ rO mSmMmn ri

h m I a V a J ra H$maM h Q>b m n m{h O o. ` m_ ` od f U m` m ~ mh oarb A md a U mMm ^ mJ d V:^ mod Vr {\ $a ` m_ wi od f U m` m a V d mh r` mZ m n ri ~ g V mo d a V d mh n yU n U o~ X h mo` mMrh r e ` V m A g V o. h m {d H$ma EH$X_ b h mZ_ wb mV ( Z d O mV ~ mb H$m_ ` o) d n mJ S >md WoV A mT >i V mo.


46/154

mg H$Y r g d V mo? mg H$Y r g d V mo? mg H$Y r g d V mo? mg H$Y r g d V mo?

- d f U m` m ~ m A md a U mV rb d r` Z {b H m da V d mh r` mMr

b m~ r O m V A g ` mg

- A n KmV mZ o ~ rO mS>mg BO mP m ` mg

b j U o:b j U o:b j U o:b j U o:

` m ~ mO yb m n ri A mh o{V H$S>Mr J moQ>r d a I oMb r O mVo,_ wb m` mO mK oV g yO ` oV o, V rd d oXZ m P m ` mZ o _ wb A MmZ H$a S >m b mb mJ V , n moQ>mV Xo{I b X wI V .

{Z XmZ :{Z XmZ :{Z XmZ :{Z XmZ :

~ a oMXm ~ rO mSmMmn ri A m{U A S >H$moe mMr ( + d f U mMr)g yO d Xmh ` mVrb \ $aH$ A moi I U o A d K S > A g V o. I a V a ~ rO mSmMm n ri A mh o H$s Z mh r h o Hw$R>b rh r V n mg U r 1 0 0 %I m rn yd H$ g mJ y e H$V Z mh r. ` m_ wi o b d H$a mV b d H$a

A mn a oe Z Q>o~ b d a a V d mh n mh U oh rM 1 0 0 % I m rb m H${Z XmZ n X>Y V r h Q>b r n mh rO o.


47/154

VmH$mi e {H$ oMr J a O . . . . . .VmH$mi e {H$ oMr J a O . . . . . .VmH$mi e {H$ oMr J a O . . . . . .VmH$mi e {H$ oMr J a O . . . . . .

g mYma U V: Xh md f mZ V a h m mg P m ` mg A Q>r n _ A Q>r~ S >rO >V ` ma h moD $ Z d Y d h r ` o` mMr e ` V m A g V o.` m_ wi oM ~ rO H$mof mMm n ri h r I a r n oS >r` mQ>rH$ g O uH$bB_ O g r h Q>b r n mh rO o. ` mV U O a 6 V o 8 V mg m` mA mV S >m Q>a mH$S>o A mb m d ` m` md a V mH$mi e {H$ m

Ho$b r J ob r V a A mn U d f U H$mi oh mo` mn mg yZ d mMd ye H$V mo.n U h m H$mb md Yr {O V H$m O m V {VV H$ d f U d mMd ` mMo ` Z Y wg a h moV mV .

H$mi n Sb >ob d f U

A mn a oe Z Q>o~ b d a d f U mMm a $ d mh V n mg yZa $ d mh V n mg yZa $ d mh V n mg yZa $ d mh V n mg yZ V oA S >H$mof mV {d {e Q>>> n VrZ on a V ~ g {d b oO mV mV O oU oH$ Zn wh m A g m mg h moU ma Z mh r. d f U H$mi oP mb ob oA g ` mg_ m V oH$mT yZ Q>mH$` m{e d m Xwg a mn ` m C a V Z mh r.


48/154

8 )8 )8 )8 ) h m n mo n oS >r` mgh m n mo n oS >r` mgh m n mo n oS >r` mgh m n mo n oS >r` mg ::::

` m_ ` o _ y Z {b H$m qb J m` m Q>moH$me r Z CK S >V m` m` m I mb ` m ~ mO yb m C K S >V o A m{U ` mn wT >rb ^ mJ mV_ y _ mJ mMm{d H$mg P mb ob mZ g V mo. g mY ma U V : 1 0 0 n H$s 3333 ----4444 _ wb m_ ` oh mXmof A mT>i V mo.

I mb m~ mO yb mC K S >U ma r _ y Z {b H$m

H$ma U o:H$ma U o:H$ma U o:H$ma U o:J amoX a n U mV _ wb mV n w f g oa H mMo _ mU H$_ r

A g ` m_ wi o d m r g oa H$mMo n _ mU d mT> ` mZ o ( CX m.A mB_ Y r b Q> y_ a , g VV r{Z ` _ Z m` mJ mo ` mMmC n ` moJ ) h mA mO ma g d ` mMr e ` V mA g V o.


49/154


- b K d r {V a n r / n m md a n S >U o( n g a >U o)- b K d r Mr Y ma ~ ma rH$ A g U o

- {d d mh mn MmV ` m ` mY r_ wi oqb J mV d mH$S>on U m ` oD$Z` moZ r n d oe A d K S > h mo` mMr d d r` I : b ZJ ^ me ` _ wI mn mg wZ Xwa P m ` mZ o` m ma od ` d mMr e ` V m

A g V o.e {H$ mHo$ h mJ a O oMr A mh o?e {H$ mHo$ h mJ a O oMr A mh o?e {H$ mHo$ h mJ a O oMr A mh o?e {H$ mHo$ h mJ a O oMr A mh o?

` m A mO ma mg mR>r g y _ Xmof / CU rd ( Minor Defects )g moS >> ` mg A mn a oe Z H$ Z H$a o e Z H$a md o b mJ V o. _ m_ w _ mJ {O mH$m I mb r C K S >V mo {V V H$r A mO ma mMr V rd V mO m V d {V V Ho$ A mn a oe Z {H$MH$Q> ~ Z V o. H$mh rd oi m 2 - 3Q>` m_ ` oh r A mn a oe Z H$amd ob mJ Vo.

A mZ wf [ J H$ BV a mg :A mZ wf [ J H$ BV a mg :A mZ wf [ J H$ BV a mg :A mZ wf [ J H$ BV a mg :

O o h m h m n mo n oS >r` mg I oa r O d f U h r I mb r C V a b ob o

Z g V mV , ` md oi r _ wb m_ ` oqb J A {Z p MV Vm( A J ` ) A mh oH$m ` mg mR>r V n mg U r H$a md r b mJ V o. ` mg mR>r H$a m ` mb mJ U m` m A mn a oe Z _ ` o h m n mo n o{S> mg H$a o e Z I oa r OO Z Z |{ ` mMr EHw$U M R>od U g wY ma ` mg mR>r ~ a rM n wZ a M Z mH$a md r b mJ V o( Masculanising Genitoplasty)


50/154

e {H$ oMr doi :e {H$ oMr d oi :e {H$ oMr doi :e {H$ oMr d oi :

~ ` mMXm` m_ wb mV n w f g oa HmMo _ mU H$_ r A g yZEM. g r. O r. d m Q>o Q>mo Q>oa mZ Mo BO o e Z {X ` mg ` m` mVqb J d X >Y r h moV o d ` mZ V a e {H$ m Ho$ ` mg V r ` e d rh mo` mMr e ` V md mT >V o. h oA mn a oe Z EH$ V oXrS >d f m` mn wT>oHo$b oO mVo. n a V y _ wb 4 V o5 d f mMoh mo` mA mY r A mn a oe Z ` m

g J ` m Q>oO og n yU P m ` mg _ moR>on U r _ wb m_ ` o d V :~ X>Xb / d V :` m O Z Z o{` m~ X>Xb ` yZ J S {Z _ mUh mo` mMoA mn U Q>mi ye H$V mo. >

9 )9 )9 )9 ) b o~ r` b g m {Z Ho$b o~ r` b g m {Z Ho$b o~ r` b g m {Z Ho$b o~ r` b g m {Z Ho$

_ wb t _ Y r b O Z Z |{ ` me r {Z J S >rV g _ ` mn H$sg d m{Y H$ A mT>i U ma r g _ ` m h mo . ` mo{Z _ mJ mn wT >oEH$ n mV in S>XmV` ma P m ` mZ o` mo{Z _ mJ n yU n U oP mH$b mO mV mo. Xmohrb o{~ ` m _ m Z moa m ( b K w J mo >) E H$_ oH$me r O wi >b ob oA g V mV .~ a oMXm ~ mi mb m \ $ma mg Z g Vmo. _ m n mb H$M O m Vh d mb {Xb P mb ob o A g V mV . I a V a ` mo{Z _ mJ A mh o qH$d m

Z mh r ( A ~ g |Q> h O m Z m ) A e r e H$m A m ` mZ o ~ mi mb mS >m Q>a mH$S >oA mU b oO mV o.


51/154

EH$_ oH$mZ m{MH$Q>b ob o b o{~ ` m _ m Z moa m


---- b K d rb m O i O i h moU o,

- I mO ` oU o,

- W|~ W|~ b Kd r h moU o,

- b K d rMoB\ o$H$e Z h moU oB` m{X.

O Z Z |{ ` m` m d NV oMr H$mi O r Z KoV ` mg h m mg d ma d ma h moD$ e H$V mo.

C n Mma :C n Mma :C n Mma :C n Mma :

b K d rMm O V yg g J A g ` mg W_ ` mg mR>r Cn MmaHo$b oO mV mV . ` mZ Va h m n mVi n S>Xm A mn a oe Z Z o g moS >d V m` oV mo. A mn a oe Z Z V a h m^ mJ d N>d H$moa S >m R>od U o_ h d mMoA mh o. ` mZ Va BQ>moO Z / Q>ra mBS> w $ _ b _ b md ` mZ ob o{~ ` m _ m Z moa m n a V O wi yZ ` oV Z mh rV . _ m ` mg mR>r


52/154

X rK H$mb md Y r g mR>r C n Mma H$a U o J a O oMo A g V o.n mb H$mZ rh r h o ^ mJ n aV O wi yZ ` oU ma Z mh rV ( {d b Jamh Vrb ) ` mg mR>r Xj VmKoV b r n m{h O o.


53/154

N>mV re r g ~ Y rV mb o gN>mV re r g ~ Y rV mb o gN>mV re r g ~ Y rV mb o gN>mV re r g ~ Y rV mb o g

_ {Wb rMr H${\ $ V M {Z a mi r ! {V ` m ~ mi mb m HO oZ oQ>b S >m \ $_ Q>rH$ h {Z m A g ` mMo {Z X mZ J ^ md WoV MP mb h moV . {V b m A m{U {Z {I b b m g w $d mV rb m V o n Md m b mO S > J ob I a . n a V y b J oMM V o g md a b o. g wk n U mZ o ` mZ r~ mi m` m ( O _ mZ V a h moU m` m) A mn a oe Z g mR>r _ mZ {g H$ d

A m{WH$ V` mar g w $ Ho$b r. _ XV rg mR>r A md ` H$ _ Z w ` ~ i h rC ^ H o$b . {S >{b h a rh r g d g mo r A g b o ` m A ` mY w{Z H$h m n rQ>b _ ` o P mb r. X wg ` m {X d e r ~ mi mMo V k mH$Sy>ZA mn a oe Z P mb o. ~ mi mZ oh r A mn a oe Z b m d EHy$U M Q>rQ>_ |Q>b mC V _ {V g mX {Xb m. WmoS> m {Xd g mV M _ {Wb r g wI $n n U o~ mi mg h K ar J ob r. ~ mi mb m d oi od a ` mo Vr Q>rQ>_ |Q>

{_ i m ` mZ o` mMmO rd d mMb mh moV m.

{V ` m~ a mo~ a M A S>_ rQ> P mb ob r A {XVr _ m BVH$s^ m d mZ Z h V r. {V ` m ~ mi md a Q>H$sA mo - Bg m\ o${O A b{\ $ ` yb mg mR>r e {H$ mP mb r I a r, n U ~ mi mb mA p n a oe Z` w_ mo{Z ` m P m ` mZ o d X` Xmof A g ` mZ o S >m Q>a ` mb m

d mMd ye H$b oZ mh rV.N>mV re r g ~ Y rV {d {d Y g _ ` mMr C H$b n wT >rb

b oI m ma oHo$b r A mh o.


54/154

1 )1 )1 )1 ) Q >H$sA moQ>H$sA moQ>H$sA moQ>H$sA mo---- Bg mBg mBg mBg m\\\\ o${O A b {o${O A b {o${O A b {o${O A b {\ \\\ $ ` yb m$ ` yb m$ ` yb m$ ` yb m

d mg Z {b H$m d A Z {b H$m EH$_ oH$mZ m O moS>b o ` mA g ` mZ o A Z {b Ho$V rb md d mg Z {b Ho$V \ w$\ \ w g mVO mD$Z ~ mi mb m ` y_ mo{Z ` m h moVmo( Aspiration Pneumonia) .h m A mO ma J ^ m` m d mT >r` m 1 9 V o 3 3 ` m {Xd g mVO S >U K S >U rV Xmof {Z _ mU P m ` m_ wi oh moV mo. 8 5 % H o$g og _ ` o

A Z {b Ho$Mm I mb Mm, O R>a mH$S>rb ^ mJ ( b moA a n mD$M) d mg Z {b Ho$e r O moS >b ob m A g V mod d a Mm ^ mJ ( A n a n mD $M)A Y mV a r A g V mo.

A mZ wf [J H$ BV a Xmof :A mZ wf [J H$ BV a Xmof :A mZ wf [J H$ BV a Xmof :A mZ wf [J H$ BV a Xmof :

h m A mO ma A g b o ` m ~ mi m_ ` o X` m` m {d H$mamMo _ mU O m V A g V o. {e d m ` md oi r n J V h moU m` mXwg ` mA d ` d n U mb rMoh r A mO ma ` m _ wb m_ ` o A mT >i V mV .C Xmh a U mWC Xmh a U mWC Xmh a U mWC Xmh a U mW---- g S>mg mMr O mJ m Z g U o, _ w qn S >, _ U Ho$ dh mV mn m m` m h mS >mV rb Xmof B` m{X.


1 ) V moS >md mQ>o^ a n ya b mi / \ o$g ` oU o

2 ) XwY {n V mZ m~ mi H$mi o{Z i on S>U o

3 ) b h mZ ~ mi mV ` y_ mo{Z ` mh moU o


55/154


J amoX an U mV J ^ O b mMo _ mU O m V A g ` mg~ mi m` m O _ mZ V a ~ mb a moJ V k _ moR>r Q> y~ ( H$WoQ>a )V >moS md mQ>o Q>mHy$Z V r n moQ>mV ` d p WV O mV o H$s Z mh r h o~ K V mV . O mV Z g ` mg V r Q> y~ V e rM R>od yZ ~ mi mMoE g >a oO K oVb oO mVmV. Va rh r e H$mA g ob V a {d {e Q> md U

( S >m ) Q>mHy$Z {Z XmZ mMr I m r Ho$b r O mV o.

~ X A g b o ` m A n a n mD$MMmEg >- a oH$WoQ>a g {h V

V mH$m{b H$ C n Mma :V mH$m{b H$ C n Mma :V mH$m{b H$ C n Mma :V mH$m{b H$ C n Mma :

1 ) V m|S >md mQ>o ` oU ma o md N>mV rV O mU ma Z mh rV ` mMrH$mi O r

K oU o.

- {Z ` {_ V g e Z


56/154

- ~ mi mMr ` mo p WVr : ~ mi mb mCn S>o H$ ZP mon d U o

2 ) d m\ $ma m, N>mV rMo{d {e Q> ` m m_ H$ma d {V O {d HmZ r

` y_ mo{Z ` mMr Q>rQ>_ |Q>H$a U o.

A {V _ Cn Mma :A {V _ Cn Mma :A {V _ Cn Mma :A {V _ Cn Mma :

A {V _ Q>rQ>_ |Q> _ m A mn a oe Z h rM A mh o. ` mV ~ mi WmoS >op Wa Wmd a P m ` md a A mn a oe Z g mR>r K oV b o O mV o. g O a r h rg y m_ oO a ` m H$ma mV _ moS >V o. ~ ` mMd oi m N>mV r CK S> ` md aA mVrb n [a[WVr n mh yZ M {Z U KoV m` oV mo. d mg Z {b Ho$e rA g b ob mO moS >d oJ i m H$ $Z A Z {b Ho$MoXmoh r ^ mJ ( A n a/ b moA a n mD$Mog ) , O d i A mU b o O mV mV d V U md a {h V

n XV rZ oEH$_ oH$mZ mmmoS >b oO mV mV .

A mn a oe Z Z V a h r { V O {d Ho$, d m\ $ma m d {\ $O rA moWoa n r{V V H$sM _ h d mMr A mh oV . A mn a oe Z ` md oi r Q>m ` md a V mU` oV A g ` mg d m n mD $Mog ` m a $ d mh mMr I m r Z g ` mgH$Y rH$Y r O d i ` m {Q> ` wM A md a U h r K mV b O mV . h d m,

a V , md B` m{X A mV g mRy>Z a mh y> Z ` oV d \ w$\ w$g mM g a U Z rQ> h md h U yZ S >oZ ooO Q> w~ R>od b r O mV o.

~ mi mMr N>mV r I a m~ A g ` mg d m A Z {b Ho$` mn mD$Mog ` m a $ d mh mMr I m r Z g ` mg ~ mi mb m


57/154

h |{Q>b oQ>ad a ( H { _ d mg moN>d mg m` m _ {e Z d a ) R>od m Mr

J a O ^ mg V o.A mn a oe Z Z Va Mr H$mi O r :A mn a oe Z Z Va Mr H$mi O r :A mn a oe Z Z Va Mr H$mi O r :A mn a oe Z Z Va Mr H$mi O r :

EH$X m A Z {b Ho$d a MoQ>mHo$ ` d p WV A mh oV ` mMr I m rP m ` md a M ~ mi mb m V m|S >mZ >o XwY n mO V m ` oV o. ` mg mR>rA mn a oe Z Z Va 5 Vo 1 0 {Xd g mMm H$mb md Yr O mVmo.

g w d mVrb mZ mH$mVrb Z i rVwZ XyY {Xb oO mV o( Q>o Q>\ $sS>g ) .

XrKH$mb rZ g _ ` m:XrKH$mb rZ g _ ` m:XrKH$mb rZ g _ ` m:XrKH$mb rZ g _ ` m:

1 ) Q >H$sA mo - Bg m\ o${O A b {\ $ ` yb m A g b o ` m _ wb m_ ` o d mg Z {b H$mh r H$_ O moa A g Vo d Vr Z a mo ( Collapse)

h mo` mMr e ` V mA g V o.2 ) ~ ` mMe m _ wb m_ ` o I moH$ ` md a ^ wH$` mg maI m A md mO` oV mo( Barking Cough ) . n U H$mb mV a mZ oVmoA mn moA mn H$_ rh moV O mV mo.

3 ) A m b {n mmMm mg - 3 0 V o6 0 % _ wb m_ ` oO R>a mMm^ mJd a A moT >b m J o ` m_ wi o d ~ Z md QrV rb X mof m_ wi oA mb {n VmMm mg h moV mo.

4 ) Q>mHo$ _ ma b o ` mO mJ r A Z Z {b H$mA e V: ~ marH$ P m ` mZ o~ mi mb mS>m b oQ>oe Z Mrh r J a O ^ mg V o


58/154

` e mMo _ mU . . . .` e mMo _ mU . . . .` e mMo _ mU . . . .` e mMo _ mU . . . .

P Q>n Q> {Z XmZ , g n yU C n Mma n XV rM {Z ` moO Z dA mn a oe Z Z Va Mr ` mo H$mi O r ` m_ wi oh r e {H$ m` e d rh mo` mMo _ mU 6 0 V6 0 V6 0 V6 0 V o8 0 %o 8 0 %o 8 0 %o8 0 % BVn V d mT>b oA mh o.

A Z m_ b rMmXy{_ i H$ma :A Z m_ b rMmXy{_ i H$ma :A Z m_ b rMmXy{_ i H$ma :A Z m_ b rMmXy{_ i H$ma :

Xmoh r n mD$Mog _ Y rb A V a I yn O m V A g ` mgn {h ` m A mn a oe Z ` md oi r \ $ $ Q>mo_ mO Ho$ ` m O mV mV .~ mi mb m J Q>m Q>m_ r ma o \ $rS > Ho$b O mV d H$mb mV a mZ oA Z {b Ho$Mo ^ mJ EH$_ oH$mZ m O moS>b o O mV mV . h r e {H$ m\ $ma {H$MH$Q> A g yZ ` mMm g g og a oQ>h r H$_ r A mh o. n a V wg wXd mZ oh m H$ma ${MV M A mT >i V mo.

2 )2 )2 )2 ) H O oZ oQ>b S >mHOoZ oQ>b S >mHOoZ oQ>b S >mHOoZ oQ>b S >m \\\\ $_ Q>rH$ h {Z m$_ Q>rH$ h {Z m$_ Q>rH$ h {Z m$_ Q>rH$ h {Z m

Z d O mV ~ mb H$m_ ` o d mg n Q>b ( S >m \ $ _ ) h m d g Z mMo H$m_ H$a U ma m _ w ` Z m y A g V mo. V g oV a g d d ` moJ Q>m_ ` o n moQ> d N>mV rV rb A d ` d d oJ i oR>od ` mMoH$m_

h m n S >Xm H$a V mo. {e d m I moH$Uo, C b Q>r H$a U o,_ b _ w {d g O Z , ~ mi mMm O _ A m{X {H$ m_ ` on moQ>mV rb /N>mV rV rb oe a H$_ rO m V H$a ` mMoH$m_ h mn S >XmH$a V mo.

H$Y rH$Y r h m n S >Xm n yU Z ~ Z ` mg ( ` m` mS >md rH$S >rb _ mJ ` m ^ mJ mV N>oX A g V mo) ` mV yZ O R>a ,


59/154

b h mZ / _ moR>r A mV S >r, ` H$V , b rh m, _ w qn S> h o A d ` d

N>mV rV A moT >b oO mV mV .` m _ wb m_ ` o \ w$ \ w$g h r n yU j _ VoMr ~ Z b oob r Z g V mV

( Pulmonary Hypoplasia) . ` m_ wi od d a A moT >b ob r A mV S >r\ w$J ` m_ wi o N>mV rV rb X~ md d mT>V mo d _ wb m` m d mg md aXw n {a U m_ h moV mo.


1 ) Ymn b mJ U o2 ) d mg moN>d mg O b X J VrZ oh moU o3 ) {Z b mJ md Wm4 ) XyY Z {n U o/ n MZ o

N>mV rV A moT >b r J ob ob r A mV S >r

B _ O g r Q>rQ>_ |Q>:B _ O g r Q>rQ>_ |Q>:B _ O g r Q>rQ>_ |Q>:B _ O g r Q>rQ>_ |Q>:

` m_ ` o ~ mi m` m O R>amV Z i r Q>mHy$Z O R>a mMo dA mV S > mMo A mH$ma _ mZ H$_ r H$a ` mMm ` Z Ho$b m O mV mo.


60/154

~ mi mb mA mn a e oZ ` mA mY rh r d g Z ` md a R>od ` mMr J a O

n S >ye H V o.e {H$ oMoe {H$ oMoe {H$ oMoe {H$ oMo d n d n d n d n ::::

~ mi mMr V ` oV WmoS >r p Wa P m ` md a N>mV rVA S >H$b ob oA d ` d h i yh i yn moQ>mV n a V d b oO mV mV d n S > mb mA g b ob mN>oX {e d b mO mVmo. A mn a oe Z n moQ>md a / N>mV rd a N>oX

( Incision) KoD$Z H$aV m ` oV o. A mn a oe Z Z V a h r \ w$\ w$g m` mn [a n d V od a [a H$ h a r A d b ~ yZ A g V o.

_ moR> m_ moR> m_ moR> m_ moR> m _ wb m_ Y rb_ wb m_ Y rb_ wb m_ Y rb_ wb m_ Y rb b j U o:b j U o:b j U o:b j U o:

WmoS > m_ moR> m_ wb m_ ` o

1 ) d ma d ma g XuI moH$b mh moU o

2 ) d O Z Z d mT>U o

` m_ wi o _ wb mb mS >m Q>a mH$S >oA mU b O mV . A mn a oe Z

d a rb _ mU oM Ho$b oO mV o.


61/154

3 )3 )3 )3 ) En mB_ m( N>mV rVrb n y)E n mB_ m( N>mVrV rb n y)E n mB_ m( N>mV rVrb n y)E n mB_ m( N>mVrV rb n y)

{O d mU y~ mY o` m ` y_ mo{Z ` md a ` mo C n Mma ZP m ` mg , ~ a oMXm \ w$\ w$g md a U m_ ` o md O _ m h moV mo.H$mb mV a mZ o, O V yg g J A mQ>mo ` mV Z A m ` mg ` mMm n y~ Z V mo. ` mI oa rO \ w$ \ w$g m` m d a Mo A md a U O mS > d H$R>rU~ Z V od d mg moN>d mg mV A S>Wi m` oV mo.

N>mV rV O _ mP mb ob mn y


1 >>) Y mn b mJ U o,

2 ) d mg H$ Q>V m3 ) V mn ` oU o,

4 ) I moH$b mh moU o

5 ) N>mV rV XwI U o B` m{X mg Mmb ya mh V mV .


62/154

H$Y rH$Y r h o N>mV r` mQ>r~ rN>mV r` mQ>r~ rN>mV r` mQ>r~ rN>mV r mQ>r~ rMob j U A g ye H$V o.

V mV S >rMo C n Mma :V mV S >rMo Cn Mma :V mV S >rMo C n Mma :V mV S >rMo Cn Mma :

g w d mV r m Q>oO og _ ` o_ ` o\ $ V N>moQ>r Z i r K mb yZN>mV rV b mn y H$mT >V m` oV mo. ` mM~ a mo~ a ` mo V r {V O {d H$o,` mo _ m oV {X ` mg d _ wb m` m A mh mamMr ` d { WVH$mi O r KoV ` mg A mO ma A mQ>mo ` mV ` oV mo.

e {H$ oMre {H$ oMre {H$ oMre {H$ oMr J a O / d n :J a O / d n :J a O / d n :J a O / d n :

_ m H$mh rd oi m _ wb mb m C e ra m h m n rQ>b _ ` o A mU b oO mV od ` md oi ob m A mO ma ~ a mM ~ i md b ob mA g Vmo. ` m_ wi o_ moR>r e {H$ m H$$Z N>mVrVb m n y d O mS> P mb ob r \ w$\

wg mMr A md a U ( Pleura) H$mT >md r b mJ V mV . ` mZ V a\ w$\ w$g mMoH$m n yd d V h m b m~ a mM H$mb md Y r b mJ V mo.

` mX a ` mZ d m\ $ma m, n mp Q>H$ A Z KQ>H$ d d g Z mMo ` m m_ ` mMmXoI rb _ wb mMr H$V r g wY ma ` mV _ h d mMmd mQ>mA g V mo.


63/154

n M Z g Woe r {Z J S>rV Xmofn M Z g Woe r {Z J S>rV Xmofn M Z g Woe r {Z J S>rV Xmofn M Z g Woe r {Z J S>rV Xmof

{Z V mM Mma {Xd g mM ~ mi g ma ` m Cb Q> m H$aVh moV . XyY X oI rb n MV Z h V. ~ mi mb m _ mb ~ md ob A Q>o{O ` mA g ` mM S >m Q>a mM {Z XmZ h moVd ` mg mR>r e {H$ m h mM~ mi O J ` mMmE H$_ od Cn m h moV m.

_ m Ed T> m b h mZ ~ mi mMr e {H$ m h U O o I yn M

O moI r_ ( O d i O d i ~ mi J _ md U ) A g g _ rH$a U S >mo ` mVA g ` mZ o {V m K a Mr _ mU g e {H$ og mR>r V ` ma h moVZ h Vr. I a V a A mn a oe Z _ Y yZ [a H$ h a h moU ma r BVa ~ mi h rXmI d yZ P mb r h moV r. A moi I r` m A mU I r EH$m g O Z e rh r` mZ r g b m_ g b V Ho$b r h moV r . n a V y H$mh r Ho$ ` m ` mMoe H$m{Z a g Z h moV Z h Vo.

` m h moU m` m {d b ~ m_ wi o ~ mi mb m A g b ob m Y moH$mI a moI a M d mT>V h moVm. e od Q>r {Z V m d {Z I rb b m WmoS >{Z j yZ M g m{J V b H$s EH$XmMm H$m V mo{Z U ` m Z mh rV a~ mi mb m K a r K oD$Z O m. XmoK oh r _ J K a m` m _ Z m{d $ MA mn a oe Z g mR>r V ` ma P mb o.

g wXd mZ o A mn a oe Z ` e d r n U o n ma n S >b o. H$mh rh rJ wVmJ wV Z h moVm g h m ` m {Xd e r ~ mi mb m Q>o Q>- \ $sS>g g w $H$a V m A mb o. A mn U ` mo V mo {Z U KoD $Z ~ mi mMm O rdd mMd b m h U yZ XmoK A mZ XmV h moVr. Ka ` mZ mh r ` mMr MyH$C _ J b r h moV r .


64/154

O R>a m` m I mb ` m ( A Y mo) ^ mJ mV b m A S >Wi m dO R>a m` m I mb ` m ( A Y mo) ^ mJ mV b m A S >Wi m dO R>a m` m I mb ` m ( A Y mo) ^ mJ mV b m A S >Wi m dO R>a m` m I mb ` m ( A Y mo) ^ mJ mV b m A S >Wi m d

b h mZ Ab h mZ Ab h mZ Ab h mZ A mVS > mV rb b mH$mV S > mV rb b mH$mV S > mV rb b mH$mV S > mV rb b mH$ ` m Z d O mV ~ mi mMo A mn a oe ZH$a m ` m b mJ U m` m V e m g m_ m` g _ ` m.... n a V y ~ ` mMd oi m~ ` mMd oi m~ ` mMd oi m~ ` mMd oi mJ a g _ O yV r _ wi o ~ mi d oi od a Q >rQ>_ oQ> {_ i ` mn mg yZ d {MVJ a g _ O yV r _ wi o ~ mi d oi od a Q >rQ>_ oQ> {_ i ` mn mg yZ d {MVJ a g _ O yV r _ wi o ~ mi d oi od a Q >rQ>_ oQ> {_ i ` mn mg yZ d {MVJ a g _ O yV r _ wi o ~ mi d oi od a Q >rQ>_ oQ> {_ i ` mn mg yZ d {MVa mh V oa mh V oa mh V oa mh V o d ` m_ wi o A mn a oe Z X a ` mZ ( ^ yb r_ wi o) dA mn a oe Z Z Va e a ra{H$ me m mV rb ~ Xb m_ wi o ~ mie a r a {H$ me m mVrb ~ Xb m_ wi o ~ mie a ra {H$ me m mV rb ~ Xb m_ wi o ~ mie a r a {H$ me m mVrb ~ Xb m_ wi o ~ miX J md ` mMr e ` V mX J md ` mMr e ` V mX J md ` mMr e ` V mX J md ` mMr e ` V m A {Y H $M d mT>V o.A {Y H$M d mT>V o.A {Y H$M d mT >V o.A {Y H$M d mT>V o. ` m Xw Q>MH$mV yZ

g moS >d U yH$ h mo` mg mR>r ` m mb o g Mr A J moXa M _ mh rV r H$ $ZK oD$ m.

1 )1 )1 )1 ) BBBB\\\\ $Q>mBb h m n a Q>m{$Q>mBb h m n a Q>m{$Q>mBb h m n a Q>m{$Q>mBb h m n a Q>m{\\\\ $H$ n m b moa rH$ Q>oZ m{g g$H$ n m b moa rH$ Q>oZ m{g g$H$ n m b moa rH$ Q>oZ m{g g$H$ n m b moa rH$ Q>oZ m{ g g(((( A m . E M. n r. E gA m . E M. n r. E gA m . E M. n r. E gA m . EM. n r. Eg . ). ). ). )

O R>a m` m I mb ` m ^ mJ mV A g b o ` m J mob mH$ma Z m yZ m g yO A m ` mZ o O R>amVyZ XyY d md I mb rC V a ` mV A S >Wi m ` oV mo. h m A mO ma n {h ` m _ wb m_ ` o ( _ obg o g ) O m V _ mU mV A mT>i V mo. g mY ma U n U oO _ mZ V a 3 V o6 A mR>d S > mXa ` mZ _ wb mV I mb rb b j U oA mT >i V mV .

b j U ob j U ob j U ob j U o/ {Mh o/ {Mh o/ {Mh o/ {Mh o::::

1 ) XyY n mO ` md a H$mh r d oi mZ o X ` mg ma I r C b Q>r

h moV o. C b Q>r O moa mZ og _ moa \ o$H$b r O mV o. ` mZ V a

_ m ~ mi mb mI yn ^ wH$ b mJ V o.


65/154

2 ) ~ mi mb m X yY n mO ` md a n moQ>mV J moi m {\ $a V mZ m

O mU d V mo.3 ) d ma d ma Cb Q>r P m ` m_ wi o~ mi m` m e a ra mV rb n mU r

d j ma

Xmoh moMmh mg h moV mo. a V mV rb A m b mMo _ mU h r H$_ r

h moV o.

` m_ wi o I a V a h r g {O H$b n oj m _ oS >rH$b B_ O g rg {O H$b n oj m _ oS >rH$b B_ O g rg {O H$b n oj m _ oS >rH$b B_ O g rg {O H$b n oj m _ oS >rH$b B_ O g r

h Q>b r O mV o, H$ma U A mn a oe Z H$a ` mA mY r h m Xmof XyaH$a md mb mJ V mo.


~ mi mb m d a rb _ mU o b j U o A g V rb d J mR> h mV mb m

b mJ V A g ob V a A m . EM. n r. Eg . h o{Z XmZ g _ O md o. n a V yV g oZ g ` mg n moQ>m` mg moZ moJ m\ $sZ o {Z XmZ Ho$b oO mV o.

O R>am mI mb m^ mJ mVrb J mR> aoI m{M


66/154

C n MmaC n MmaC n MmaC n Mma ::::

n mU r d j ma ` mMo _ mU n wd d V P m ` md a M A mn a oe ZHo$b o O mV o, O oU oH$ $Z ~ mi mb m A mn a oe Z X a ` mZ d mA mn a oe Z Z V a h moD$ e H$U ma og m ` Y moHo$ Q>mi V m` oV mV .

e {H$ oMo d ne {H$ oMo d ne {H$ oMo d ne {H$ oMo d n ::::

` mV ( a _ Q>oS >g n m b moa mo_ m mQ>m_ r) O mS > P mb o ` mJ mob mH$ma Z m yd a EH$ C ^ m N>oX K oV b m O mV mo. ` m_ wi oV oWoO R>a mMm A V mJ CK S>Vmod XyY I mb r CV a` mV A g b ob mA S >Wi m Xya h moV mo. ` e mMo _ mU O d i O d i 1 0 0 % A mh o.

A mn a oe Z Z V a Mr H$mi O r :A mn a oe Z Z Va Mr H$mi O r :A mn a oe Z Z V a Mr H$mi O r :A mn a oe Z Z Va Mr H$mi O r :

A mn a oe Z Z V a 1 2 - 2 4 V mg mV ~ mi mb m \ $sS >g Mmb yH$a V m ` oV mV . W_ Z i rZ o _ mU ~ X>Y n XV rZ oQ>o Q> \ $sS >g{Xb oO mVmV d ~ mi mb m ` d p WV n MZ h moV A g ` mg V od mT >d yZ d mQ>r M_ MmZ o {H$d m V Z n mZ X oV m ` oV o.A mn a oe Z Z V a h r O R>a mMm A mH$ma d A mVa A md a U mMr g yO

C V a on ` V ~ mi mb m WmoS> m\ $ma _ mU mV Cb Q m h moD$e H$V mV .

2 )2 )2 )2 ) S >oA moS >oZ b A Q>o{O ` mS >oA moS >oZ b A Q>o{O ` mS >oA moS >oZ b A Q>o{O ` mS >oA moS >oZ b A Q>o{O ` m

` mV S >oA moS >oZ _ h U O o b h mZ A mVS > mMm g w d mVrMm

^ mJ n yU n U o ~ Z b ob m Z g V mo. BQ>m yQ>oamBZ h g yb a


67/154

A p g S >|Q>h o ` m_ mJ MoEH$ H$ma U A g ye H$V o. ~ a oMXm S >mD$g

qg S >mo_ A g b o ` m _ wb m_ ` o ( 3 0 % ) h r A Z m_ b r A mT>i Vo.g J mo {d d mh Ho$b o ` mX mn ` m` m_ wb m_ ` oV a ` mA mO ma mMo

_ mU I yn M O m V A mT>i yZ A mb oA mh o. ( {O d V ) O _ b o ` m

2 5 0 0 _ wb mn H$s EH$m_ ` oh mXmof A mT>i V mo. h mA mO ma

A g b o ` m~ mi m_ ` o X` m` m {d H$ma mMo _ mU O m V A g V o.

{e d m ` md oi r n J V h moU m` m Xwg ` m A d ` d n U mb rMoh r

A mO ma O d i O d i 5 0 % _ wb m_ ` oA mT >i V mV . C Xmh a U mW:

hX> Xmof , A Z Z {b H$m n yU Z ~ Z U o, g S >mg mMr O mJ mZ g U o

B` mXr.

S >oA moS >oZ b A Q>o{O ` m: n moQ>mMmE g - a o A mH$V r{M


68/154

b j U ob j U ob j U ob j U o::::

1 ) J a moXa n U mV A mB` mn moQ>mV ( J ^ me ` mV ) J ^ O bO m V _ mU mV A g V mo.

2 ) O _ mZ V a ~ mi mb m

- {n d i r Cb Q>r h moU o.

- X yY Z n MU oh o mg h moD$ e H$V mV .

3 ) ~ ` mM _ wb m_ ` oA mV S > mMr g b Z V m Z g ` m_ wi oH$md ri h r

h moV mo.

{Z XmZ{Z XmZ{Z XmZ{Z XmZ ::::

n moQ>m` mE g - a od a ` mMo{Z XmZ H$a Vm` oV o.

e {H$ oMo d ne {H$ oMo d ne {H$ oMo d ne {H$ oMo d n ::::

A mn a oe Z H$ Z A mV S > mMm d a Mm d I mb Mm ^ mJEH$_ oH$me r O moS >b oO mV mV ( ` mV rb mn Xya H$ob r O mV o) .A mV S> md a rb O I _ ^ a m b m g mY ma U V : 5 V o 7 {Xd gb mJ VmV. ` mZ V a h i yh i y ~ mi mb m Q>o Q>\ $sS >g Mmb y H$a V m` oV mV .


69/154

3 )3 )3 )3 ) _ mb a moQ>oe Z_ mb a moQ>oe Z_ mb a moQ>oe Z_ mb a moQ>oe Z ( +( +( +( + h m yb g h m yb g h m yb g h m yb g ))))

A mO ma m~ X >Xb Mr g mY ma U _ m{h V r :A mO ma m~ X >Xb Mr g mY ma U _ m{h V r :A mO ma m~ X >Xb Mr g mY ma U _ m{h V r :A mO ma m~ X >Xb Mr g mY ma U _ m{h V r :

J ^ m` md mT>r m6 Vo1 0 ` mA mR>d S> mV A mV S > mMr

d mT > ~ mi m` m n moQ>m` m ~ mh oa Z mi o_ ` oh moV A g V o. X h m ` m

A mRd S > mZ V a ` md oi ob m n moQ>mMo Z m yn yU n U oV` ma P mb ob o

A g VmV d CXa n moH$i rMr j _ V m d mT >b ob r A g V o, ` md oi r

A mVS >r h i yh i y n moQ>mV n a V V mV d EH$m {d {e Q>> {e V ~ XY

n XV rZ o n moQ>m` m A mV rb A md a U m Xma o WmZ mn h moV mV .

` m {H$ oV Hw$R>oh r A S >Wi m A m ` mg , ` md ` o ~ mi mb m mg

h moV mo. A mV S` m` m ` m MwH$s` m R>od U rb m _ mb a moQ>oe Z_ mb a moQ>oe Z_ mb a moQ>oe Z_ mb a moQ>oe Z A g o

g ~ moYb oO mVo.

h m Xmof A g b o ` m _ wb mV A mV S > mZ m n r in rin rin ri ~ g ` mMr~ g ` mMr~ g ` mMr~ g ` mMr

e ` V me ` V me ` V me ` V m ( Volvulus) g m_ m` _ wb mn oj m n w H$i M O m V

A g V o. ` m_ wi oh r I a r n oS>r` mQ>>rH$ g {O H$b B_ O g r A mh o.

_ mb a moQ>oe Z E g - a o


70/154


\\\\ $ V$V$V$ V _ mb a moQ>oe Z A g ` mg_ mb a moQ>oe Z A g ` mg_ mb a moQ>oe Z A g ` mg_ mb a moQ>oe Z A g ` mg

XyY Z n MZ o,

C b Q m( {n d i r) .

h m yb g P m ` mg h m yb g P m ` mg h m yb g P m ` mg h m yb g P m ` mg A mV S> mb m n ri ~ g ` mg d a rb

b j U mI oa rO n moQ>\ w$J U o,

g S >mg md mQ>o a V md h o mg h moV mV d ~ mi mMrV ` oV J ra ( g ra r` g ) h moV o.

{Z XmZ :{Z XmZ :{Z XmZ :{Z X mZ : 1 )

1 )1 )1 ) ~ mi mV A mT >i U ma r b j U o

2 )2 )2 )2 ) n moQ>mMmn moQ>mMmn moQ>mMmn moQ>mMm E g E g E g Eg ---- a oa oa oa o ---- 9 0 V o9 5 % Ho$g og _ ` o` mXmoZ

J mo Q>rd $Z {Z XmZ H$a V m` oV o.

3 )3 )3 )3 ) n moQ>mMm g moZ moJ mn moQ>mMm g moZ moJ mn moQ>mMm g moZ moJ mn moQ>mMm g moZ moJ m\\\\ $s$s$s$s ---- g moZ moJ m\ $sZ o h m ` yb g A mh o H$sZ mh r h o MmJ ` m H$ma o H$i y e H$Vo. ` mV h r S >mn b aS >mn b aS >mn b aS >mn b ag moZ moJ mg moZ moJ mg moZ moJ mg moZ moJ m\\\\ $s$s$s$s A g ` mg {Z XmZ mMr e m d V r d mT>V o.


71/154

4 )4 )4 )4 ) ~ oa r` _ E g ~ oa r` _ E g ~ oa r` _ E g ~ oa r` _ E g ---- a o:a o:a o:ao:

WmoS > m _ moR> m _ wb m_ ` o _ mb a moQ>oe Z Mr b j U oA g V rb d H$ V r p Wa A g ob V a ~ ` mMd oi m ~ oa r` _\ $mb mo- Wy h o n oe b E g - a oO Ho$b oO mV mV .

e {H$ oMod$n :e {H$ oMod$n :e {H$ oMod$n :e {H$ oMo d $n :

` mV A mV S > mZ m A g b ob m n ri g moS >d b m O mV mo. Oo

Bands / n Q>Q>o A mh oV, Vo _ moH$i o Ho$b o O mV mV d Z mH$mV rb

Z i rd mQ>o {Xb ob o g b mBZ b h mZ A mV S > m` m g w $d mV r m

^ mJ mV yZ ( S >oA moS >oZ _ d O o` wZ _ ) ` d p WV I mb r C V aV `

` mMr I m r P m ` md aM n moQ>md a MmN>oX n a V {e d b mO mV mo.

~ ` mMd oi m X wg ` m EI mX> m e {H$ o` m d oi r h m mb o_ A mH$p _ H$n U oA mT>i yZ A m ` mg , ` md oi ob m XoI rb

_ w ` e {H$ o` m O moS>rb m _ mb amoQ>oe Z H$a o e Z h r

e {H$ mH$a md r b mJ V o. ` mV A mV S >r EH$m{d {e Q>n XY V r Z o

C Xa n moH$i rV ~ g d b r O mVmV. A mn a oe Z Z V a A mV S> mV rb

md ` d p WV I mb r C V aV m V ` mMr I m r P m ` md a M

~ mi mb m\ $sS>g g w $ Ho$b oO mV mV .

4 )4 )4 )4 ) _ mb ~ md ob A Q>oO r` mO _ mb ~ md ob A Q>oO r` mO _ mb ~ md ob A Q>oO r` mO _ mb ~ md ob A Q>oO r` mO

g m_ m` V : _ mZ d r ( N>moQ> m) A mV S > mMr b m~ r 5 V o

6 _ rQ>a BVH$s A g V o. Z d O mV ~ mb H$mV V r 2 5 0 g o_ r


72/154

BVH$s A g Vo, V a r_ ` wA a ~ mb H$mV 1 1 5 g o_ r BVH$s H$_ r

A g V o. n a V y mA Z m_ {b _ ` oA mV S> mMmH$mh r ^ mJ J ^ mV M{d a Ki ` mZ o A mV S > mMr \ $mQ>m\ y Q P mb ob r A g V o. {e d m

N>moQ> m A mV S > mMr b m~ r g mY ma U g a mg a r n oj m I wn M H$_ r

A g V o. ` m_ wi o A mMm ( X yY mMmXyY mMmX yY mMmXyY mMm) d m n moQ>mV V ` ma h moU m` m

A V md mMm n d mh I {S >V h moD$Z Z d O mV ~ mb H$mV

I mb rb n _ mU o mg g d V mV . A mB_ ` o A g b ob m

C a $Xm~ d m BQ>m yQ>oa mBZ h g yb a A p g S >|Q>_ wi o

A Q>oO r` O CX > d V mV .

_ mb ~ md ob A Q>oO r` mE g - a o


n moQ>\ w$J U o

C b Q> mh moU o


73/154

{e d m ~ mi mZ o EH$Xm H$mi r e r ( _ oH$mo{Z ` _ )

Ho$ ` md a qH$d m ` mZ V a Z d O mV ~ mi mb mg m_ m` n U o h moV o V e r e r Z h moVmH$aS> m a J m` m

N>moQ> m e |~ S >mg ma ` m J w{Q>H$m J wXXd ma md mQ>o ~ mh oa

` oV mV .

{Z XmZ :{Z XmZ :{Z XmZ :{Z XmZ :1 ) ` m_ ` o{Z XmZ h on moQ>m` m E g - a o d a Ho$b oO mD$ e H$V o.

2 ) ~ a oMXm o g r_ ` oh r J ^ O b mMo _ mU O m V A g ye H$V o.

C n Mma mMo d n :C n Mma mMo d n :C n Mma mMo d n :C n Mma mMo d n :

h mXmof Xya H$a ` mg mR>r A mn aoe Z {e d m n ` m Z mh r.

` mV A Z m_ {b ` m H$ma mZ wg ma A mV S > mMmZ o_ H$m{H$V r ^ mJ

H$mTy>Z Q>mH$m Mm h o {Z p MV Ho$b o O mV o, d ` mZ V a C d [ a V

^ mJ H$S>m ` d p WV H$ Z VmU {d ah rV n XVrZ oEH$_ oH$mZ m

O moS >b oO mV mV . A Z m_ b r` m n wT >Mm A mV S > mMm ^ mJ d mn a b m

J ob m Z g ` mZ o A mH$ma mZ o I yn b h mZ A g V mo d ` m_ wi o h oA mV S >o EH$_ oH$mZ m O moS >` mMr e {H$ m A {V e `

H$me ` n yd H$ H$a md r b mJ V o.


74/154

_ Q>rn b A Q>oO r` mO - A mVS > mMr P mb ob r \ $mQ>m\ yQ

A mn a oe Z Z V a A mV S> mMr h mb Mmb g w P m ` md a

W_ Z mH$mVrb Z i rVyZ d ` mZ V a V m|S >mZ o \ $sS g {X b o

O mV mV . EHy$U M C n Mma mV A mn a oe Z I oarO a $mVrb j mamMo

_ mU ` d p WV amh rb ` mMr H$mi O r KoU o; A md ` H$V oZ wg ma

` mo _ mU mV a $ d a $KQ>H$ n wa d U o, {V O {d Ho$ ` mJ mo Q>rh r {V V ` mM_ h d m` mA mh oV .

5 )5 )5 )5) BQ> wg g oe ZBQ> wg g oe ZBQ> wg g oe ZBQ> wg g o e Z

g mY ma U n U o 6 _ h rZ oV o2 d f m` m_ wb mV A mT >i U ma m

h mA mO ma A mh o. {d e of V : ~ mi mb m n ya H$ A mh ma

( Supplementary Feeds) Mmb yHo$ ` md a d mg XuI moH$ ` m

Z V a h m mg h mD$ e H$V mo. A mV S >r EH$_ oH$mV K wg ` mZ o

A mV S > mZ mg yO ` oV od I mb rb _ mU ob j U o{Xg V mV .

~ a oMXmb h mZ A mV S > mMme od Q>Mm^ mJ ( A m {b E _ ) h m

` mn wT >rb _ moR> mA mV S > mV ( Colon) K wg b oob mA g Vmo. h m


75/154

mg h r _ wb rn oj m_ wb m_ ` o( _ ob g o g ) O m V _ mU mV

A mT>i V mo.b j U o:b j U o:b j U o:b j U o:

- n moQ>\ w$J U o

- C b Q> m( {h a d r / {n d i r ) h moU o

- g S >mg md mQ>oa V md

- ~ mi mMo n m Xw_ S y>Z a S >U o


1 ) e ma r[aH$ V n mg U r

2 ) E g - a o3 ) g moZ moJ m\ $s

C n Mma :C n Mma :C n Mma :C n Mma :

d a rb _ mU ob j U oA g V rb V a ~ mi mb m A S >_ rQ>H$ $Z

W_ mon Mma W_ mon Mma W_ mon Mma W_ mon Mma Ho$b o O mV mV . g wBV yZ g b mBZ / { V O {d Ho${Xb r O mV mV . ~ mi m` m J wn Mo a Vh r V` ma R>od b o O mV o.

` mZ Va ~ mi mMo ~ oa r ` _ E{Z _ mXoD$Z E g - a o Ho$b oO mV mV .

h r Vn mg U r H$a` m_ mJ o amoJ {Z XmZ d C n Mma h r Xmohr

C{XX Q>oA g V mV . ~ oa r` _ Xmao[aS> e Z~ oa r` _ Xmao[aS> e Z~ oa r` _ Xmao[aS> e Z~ oa r` _ Xmao[aS> e Z P m ` mg A mn aoe Z Mr


76/154

J a O ^ mg V Z mh r. n a VyVoZ g moS >d b oJ o ` mg / ~ mi mb m2 4~ mi mb m2 4~ mi mb m2 4~ mi mb m2 4

V mg mn oj mV mg mn oj mV mg mn oj mV mg mn oj m C e ra mS >m Q>a mH$S >oA mU b oJ o ` mg A mn a oe Z {e d mA mn a oe Z {e d mA mn a oe Z {e d mA mn a oe Z {e d mX wg amBb mO Z mh r .X wg amBb mO Z mh r .X wg amBb mO Z mh r .X wg a mBb mO Z mh r .

BQ> wg g oe Z : EH$_ oH$mV K wg b ob r A mVS >r - aoI m{M dA mn a oe Z Xa` mZ Mm\ $moQ>mo

A mn a oe Z n yd u ~ mi m` m a V mVrb n mU r j ma ` mMo

_ mU g b mBZ X ma o Z m_ b P m ` md a M n wT>rb _ w `e {H$ mHo$b r O mV o. O oU oH$ $Z A mn a oe Z Xa ` mZ Mm^ yb o_ wi o

C X d y e H$U ma mYmoH$mH$mh r _ mU mV Q>mi V m` oV mo.

e {H$ oMo d $n :e {H$ oMod$n :e {H$ oMo d $n :e {H$ oMo d $n :

A mn a oe Z Z o EH$_ oH$mV K wg b ob o A mV S >o g moS >d b o O mV mV .A mV S> mMm a V d mh ` d p WV A mh o` mMr I m r Z g ` mg ,

A mV S> mZ m J a _ n m` mMm X h m {_ {Z Q>o e oH$ XoD $ Z , 1 0 0 %

A mp g O Z XoD$Z n a V a V d mh mMr MmMn U r Ho$b r O mV o.

VarXoI rb a V d mh A n ya mA g ` mg / A mV S >n yd un mg yZ


77/154

H$mi A g b ob ( J J rZ g ) A g ` mg V mo ^ mJ H$mT y>Z Q>mHy$Z

C a b o ` m A mV S > m` mH$S >mEH$_ oH$mZ mO moS > ` mO mV mV .A mn a oe Z Z Va Mr H$mi O r :A mn a oe Z Z Va Mr H$mi O r :A mn a oe Z Z Va Mr H$mi O r :A mn a oe Z Z Va Mr H$mi O r :

A mn a oe Z Z V a h r ` mo _ mU mV g b mBZ , a V ,

A ` w{_ Z Q>mg ` wO Z B` m{XMr J a O n S>V o. A mV S> md a

Q>mHo$ _ mab ob oA g ` mg , O m V {Xd g ~ mi mb m n ya H$ Cn Mma

X> md o b mJ V mV . Q>mHo$ ` d p WV A mh oV ` mMr I m r

P m ` md a M VmoS >mZ o d n XmW Mmb y H$a V m ` oV mV. ~ mi mb m

C e ra m h mp n Q>b _ ` o A mU b ob o A g ` mg d {d e of V :

A mV S > mMm J J a rZ A g ` mg a V m` mO V yg g J m_ wi o~ mi

{g a r` g h mo` mMr e ` Vmd mT>V o.

6 )6 )6 )6 ) A n |{S >g m Q>rg A n |{S >g m Q>rg A n |{S >g m Q>rg A n |{S >g m Q>rg

A m n wN> A WmV A n o{S > g b m A mb ob r g yO d X mh h U O o

A n |{S >g m {Q>g .

O V wg g J m_ wi oV ~ \ w$J b ob oA n |{S > g


78/154


1 ) ^ yH$ Z b mJ U o,2 ) n moQ>mV C O d rH$S >oI mb ` m~ mO yg XwI U o,

3 ) V mn ,

4 ) Cb Q mB` m{X.


~ a oMXm e ma r[aH$ Vn mg U r Xma oM {Z XmZ h moD$ e H$V o. _ m{Z X mZ mMr I m r Z g ` mg n wT>rb n _ mU o V n mg ` m Ho$ ` m

O mV mV .

1 . g r. ~ r. g r.g r. ~ r. g r.g r. ~ r. g r.g r. ~ r. g r. ---- a V mV rb d oV n oe rMo _ mU B\ o$ e Z _ wi o

d mT>b ob oA mT>i Vo.

2 . b K d rMm V n mgb K d rMm V n mgb K d rMm V n mgb K d r Mm V n mg - ` m Xma o_ y Z {b Ho$V ( _ y _ mJ mV Hw$R>o)B\o$ e Z Z mh r Z m ` mMr I m r H$a V m ` oV o. A g ` mg

H$Y rH$Y r ` m_ wi od a rb b j U oO mU d ye H$V mV .

3 . g moZ moJ mg moZ moJ mg moZ moJ mg moZ moJ m\\\\ $s$s$s$s - ` m X ma o A n |{S > g b m g yO A g ` mMo, ` mV

n yA g ` mMod m n moQ>mV M A n |{S > g \ w$Q> ` mMo{Z XmZ h moD$

e H$V o.

A n |{S >g m {Q>g Mm mg A mh o ` mMoV n mg ` m Xma o {Z XmZ

P m ` mg d A O yZ ` m{R>H$mU r J mR> ~ Z b ob r Z g ` mg


79/154

V mH$mi e {H$ m H$ Z A n |{S > g H$mT yZ Q>mH$b o O mV o.

` mb mM A n |{S >g o Q>m_ rA n |{S >g o Q>m_ rA n |{S >g o Q>m_ rA n |{S >g o Q>m_ r A g og ~ moY b oO mV o.4 .4 .4 .4 . ~ oa r` _ E{Z _ m~ oa r` _ E{Z _ m~ oa r` _ E{Z _ m~ oa r` _ E{Z _ m - H$Y rH$Y r d a rb g d b j U o

A n |{S >g m Q>rg I oarO BVa A mO ma mV h r A g ye H$V mV . ` md oi r

{Z XmZ H$a ` mg mR>r d a rb MmM` m` m ~ a mo~ a r Z o ~ oa r` _

E{Z _ m V n mg U rh r H$a md r b mJ Vo. ` mV XrKH$mi ( 2 4

V mg mn oj m O m V ) ~ oa r` _ A S >Hy Z a mh r ` mgA n |{S >g m Q>rg Mo{Z XmZ Ho$b oO mV o.

d a rb b j U o A g ` mg e {H$ m h r _ wb m` m

Symptom Free Period _ ` o Ho$b r O mV o. ` mb mM Interval

Appendicectomy A g og ~ moY b oO mV o. d a rb e {H$ m h r

T >d b mo H$m{n H$ ` mXmoZ H$ma oH$a V m` oV o.H$mh r g m_ m` e H$m. . . . .H$mh r g m_ m` e H$m. . . . .H$mh r g m_ m` e H$m. . . . .H$mh r g m_ m` e H$m. . . . .

_ wb mMoA n |{S > g MoA mn a oe Z P mb ob oA mh o, Va rh r _ YyZ -

_ Y yZ n moQ>mV XwI V o.

e {H$ o` m A mY r A m n wN>Xmh h oM n moQ>XyI rMoH$maUA mh o ` mMr n wU I m r P m ` md a M A mn aoe Z H$aU o ` mo

R>a V o. H$mh rd oi ob m _ m _ y _ mJ mV rb B\ o$ e Z , n moQ>mV rb

J mR>r ( {b \ $ Z moS >>>>g Z m A g b ob r g yO ) h oh r n moQ>XyI rMo

H$ma U A g ye H$V o. {Z XmZ mMr I m r


80/154

Z g ` mg A mY w{Z H$ V k mZ mMrh r _ XV KoV m ` oV o.

C Xmh a U mWC Xmh a U mWC Xmh a U mWC Xmh a U mW---- g rQ>r H$Z , b mo H$mon r B ` m{X.7 )7 )7 )7 ) n an an an a \\\\ $moa o{Q> h n oa rQ>moZ m Q>rg $moa o{Q> h n oa rQ>moZ m Q>rg $moa o{Q> h n oa rQ>moZ m Q>rg $moa o{Q> h n oa rQ>moZ m Q>rg

` mV ~ h V oH$d oi mZ d O mV ~ mb H$mMoO R>a , N>moQoA mV S o d m

H$Y rH$Y r _ moR>oA mV S o [Hd m$A n |{S > g _ ` oN>oX h moV mo.

H$ma U o:H$ma U o:H$ma U o:H$ma U o:

~ a oMXm h oA Z mH$b Z r` A g V o. n a V yH$Y rH$Y r O _ V :

A J Xr A ` d W _ wb , ` m` mV a VX m~ H$_ r P m ` mZ o

n MZ g Wo` m ` m ^ mJ mMm a V n wa d R>m Wm~ V mo, O _ V :

d H$s` _ X V ( [ a g {g Q>oe Z ) b mJ b ob r _ wb o /

d g Z ` md aM _ wb ` mV d mT >b o ` m oe a _ wi oO R>a mb mN>oXh moV mo d m h e wJ O {S >g rP A g b ob r _ wb o ` m` mV

~ H$ oe a _ wi o _ moR>o A mV S>o d m A n |{S > g

balanche ajar va shalyachikitsa

Documents