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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f

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x

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;&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;&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;&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