krishna nursing home final 1 - isha hospital...kncp®hõ\p_p â\d qfz (â\d Óz drl_p) author : dr....

$: Krishna Nursing Home Final 1 - Isha Hospital...kNcp®hõ\p_p â\d QfZ (â\d ÓZ drl_p) Author : Dr. Ajay Valia Dr. Parul Valia kNcp®hõ\p_p â\d ÓZ drl_p 01 1st Trimester$

kNcp®hõ\p_pâ\d QfZ

(â\d ÓZ drl_p)

Author : Dr. Ajay ValiaDr. Parul Valia

kNcp®hõ\p_p â\d ÓZ drl_p 01

1st Trimester

kNcp®hõ\p_p â\d ÓZ drl_p02

âõ[ph_pâÐe¡L$ ÷u A_¡ [¡_p `r[ dpV¡$ Ncp®hõ\p_p¡ kde A¡L$

DÑd kde R>¡. bpmL$ \hp\u `p¡[p_p dpV¡$ A¡L$ _hy¬ A_¡ fp¡dp¬QL$ rhð M|gu S>i¡, A¡hu gpNZu A_ychpe R>¡. kp\¡-kp\¡ ÷u_¡ õhpcprhL$ fu[¡ S> âk|r[ A¬N¡ tQ[p L¡$ NcfpV$ `Z \pe R>¡.

kNcp®hõ\p_p _h drl_p_p kde Npmp_¡ ÓZ rÓdprkL$ [fuL¡$ hl¢Qhpdp¬ Aph¡ R>¡. Ap `ysõ[L$p Ýhpfp â\d rÓdprkL$ rhi¡ rhõ[©[ dprl[u Ap`hpdp¬ Aphu R>¡.kNcp®hõ\p_p gnZp¡ :l dprkL$_y¬ _ Aphhy¬ - Å¡ r_erd[ dprkL$ Aph[y¬ lp¡e [p¡

dprkL$_u [pfuM_u D`f 3 q]$hk QY¡$ A¡V$g¡ X$p·¼V$f_¡ b[phu ̀ ¡ipb V¡$õV$ L$fphu _½$u L$fhy¬.

l EëV$u-DbL$p; L$p¡C `Z L$pfZ hNf khpf_p kde¡ h^y EëV$u-DbL$p \hp.

l Q½$f Aphhp.l hpf¬hpf ̀ ¡ipb Aphhp¡.l h^y ̀ X$[p¡ ka¡]$ ̀ pZu_p¡ ÷phl R>p[u cpf¡ gpN¡ A_¡ _u`g (X$vV$X$u) `f TZTZpV$u

\hu.l Mphp_u CÃR>p _ \pe.l dp¡Y$pdp¬\u gpm R|>V¡$.l L$bÆep[l Mp¡fpL$_p¡ õhp]$ b]$gp[p¡ lp¡e A¡hy¬ gpN¡.


â\d rÓdprkL$ ]$fçep_ \[u kpdpÞe [L$guap¡ A_¡ D`pep¡ :

1. EëV$u DbL$p Aphhp : â\d ÓZ drl_pdp¬ \[u Ap AÐe¬[ kpdpÞe [L$gua R>¡. [¡_¡ ""dp¡r_¯N kuL$_¡k'' L$l¡ R>¡, `f¬[y [¡ ApMp q]$hk ky^u \C iL¡$ R>¡. kNcp®hõ\p ]$fçep_ ifuf_p A¬[:÷php¡dp¬ \[p a¡fapf Ap_¡ dpV¡$ S>hpb]$pf R>¡. EëV$u-DbL$p r_hpfhp _uQ¡_p `Ngp gC iL$pe :

l khpf¡ \p¡X$uhpf b¡ku_¡ `R>u `g¬Ndp¬\u Ecp \hy¬. [f[ S> Ecp _ \C S>hy¬.

l b°i L$f[p `l¡gp \p¡X$p¡ L$p¡fp¡ _põ[p¡ S>¡d L¡$ MpMfp L¡$ rbõL$uV$ Mphp.

l ]$f b¡ ¼gpL¡$ cph¡ L¡$ _ cph¡ c|M gpN¡ L¡$ _ gpN¡ L¬$CL$_¡ L¬$CL$ Mphy¬.

l [m¡gp¡-[uMp¡ Mp¡fpL$ g¡hp¡ _rl.

l `pZu, âhplu h^pf¡ g¡hp.

l EëV$u L¡$ DbL$p Aph¡ A¡hu Mp¡fpL$_u N¬^ V$pmp¡.

l ^yd°`p_ b¬^ L$fhy¬.

l âdpZkf KOhp_y¬ fpMp¡, tQ[p V$pmp¡.


l fp¡S>_u 2-3 EëV$u \pe A¡ kpdpÞe R>¡. [¡_p dpV¡$ L$p¡C ]$hp g¡hu _rl. L$pfZ L¡$ EëV$u_u ]$hp g¡hp\u DbL$p h^¡ R>¡.

l EëV$u \ep `R>u L$p¡Nmp L$fu [f[ S> L¬$C `Z MpC g¡hy¬ [p¡ afu\u EëV$u \pe _lu.

l h^y [L $gua S>Zpe [p¡ EëV $ u_u ] $hp Tab. Pregnidoxine Np¡mu fpÓ¡ g¡hu.

l EbL$p dpV$¡$ Polo, Minto S>¡hu `u`fduÞV$_u L$p¡C`Z Np¡mu Q|ku iL$pe.

2. ù]$edp¬ bm[fp : S>W$fdp¬_p¡ Mp¡fpL$ AÞ__mu_p _uQ¡_p cpNdp¬ `pR>p¡ Aphhp_¡ L$pfZ¡ ù]$edp¬ ]$pl-bm[fp \pe R>¡. kNcp®hõ\pdp¬ lp¡dp£Þk\u S>W$f A_¡ AÞ__mu hÃQ¡_p õ_peyAp¡ Y$ugp \pe R>¡, S>¡_p\u S>W$f-Ap¬[fX$p_u Nr[ ^udu `X¡$ R>¡. A_¡ ù]$edp¬ ]$pl-bm[fp \pe R>¡.

l ]$f b¡ ¼gpL¡$ \p¡Xy¬$-\p¡Xy¬$ Mphy.

l AÐe¬[ [uMp¡-[m¡gp¡ Mp¡fpL$ g¡hp¡ _lu.

l A¡L$]$d k`pV$ _ kyC ÅAp¡. dp\p_p cpN _uQ¡ Ap¡iuLy¬$ fpMp¡.


l S>çep `R>u AX$^p ¼gpL$ ]$fçep_ kyhy _rl. \p¡Xy$ Qpghp_y¬ fpMhy¬.

l Mp¡fpL$dp¬ rdëL$i¡L$, äzV$kgpX$, ApCõ¾$ud h^pf¡ gC iL$pe.

3. L$bÆep[ : `pQ_[¬Ódp¬ Mp¡fpL$ ^udu Nr[A¡ ApNm h^[p¡ lp¡hp\u L$bÆep[ \pe R>¡. kNcp®hõ\p ]$fçep_ \[u Ap A¡L$ kpdpÞe [L$gua R>¡. [¡_¡ ]y$f L$fhp dpV¡$ `pZu-âhplu h^pf¡ g¡hp A_¡ f¡kp]$pf Mp¡fpL$ g¡hp¡. R>[p¬ [L$gua Qpgy fl¡ [p¡ CkbNyg_p¡ `phX$f 2 QdQu fpÓ¡ 2 Ágpk ̀ pZu kp\¡ gC iL$pe.

4. Vaginal discharge (ifuf ^p¡hphy¬) : OZuhpf kNcp®hõ\p ]$fçep_ _uQ¡_p cpN¡\u ka¡]$, ÅXy¬$ âhplu _uL$m¡ R>¡. Ap L$p¡C Q¡̀ _¡ L$pfZ¡ \[y¬ _\u. âp¡S>¡õV¡$fp¡__¡ L$pfZ¡ Ncp®iedyM QuL$Ï¬ âhplu h^pf¡ DÐ`Þ_ L$f¡ R>¡. Å¡ [¡dp¬ hpk Aph¡ L¡$ [¡_p¡ L$gf b]$gpe, L¡$ M¬S>hpm Aph¡ [p¡ [f[ S> X$p·¼V$f_u kgpl g¡hu. kp\¡-kp\¡ _uQ¡_p cpN_u kapC fpMhu - hpm r_erd[ L$pY$u _pMhp. L$p¡V$__u S> A¬X$fh¡f `l¡fhu - q]$hkdp¬ 2-3 hpf ̀ phX$f R>p¬V$hp¡.


5. KO _ Aphhu : kpdpÞe fu[¡ kNcp®hõ\p ]$fçep_ ÷u dpV¡$ b`p¡f¡ 2 ¼gpL$ A_¡ fpÓ¡ 6 ¼gpL$ A¡d Ly$g 8 ¼gpL$_u KO S>ê$fu R>¡.

KO _ Aphhp_p L$pfZp¡ :

l â¡Á_Þkudp¬ iy¬ \i¡ [¡_¡ gN[p¡ R|>`p¡ X$f

l b`p¡f¡ k|hp_u Ap]$[ _ lp¡e [¡ ÷u_¡ b`p¡f¡ k|hp\u fpÓ¡ S>ë]$u KO Aph[u _\u.

l fpÓ¡ hpf¬hpf `¡ipb L$fhp S>hy¬ `X¡$ [p¡ `Z KOdp¬ Mg¡g `X¡$ R>¡.

l X$p·¼V$f¡ S>ê$fu L$pfZp¡kf Apfpd_u kgpl Ap`u lp¡e [p¡ ApMp¡ q]$hk k|C fl¡hp_¡ L$pfZ¡ fpÓ¡ KO Aph[u _\u.

D`pep¡ :

l q]$hk ]$fçep_ \p¡Xy¬$ Qpghp_y¬ fpMhy¬. Qpghp\u kdN° ifuf_p õ_pey_y¬ lg_Qg_ \pe R>¡, A_¡ âk|r[ hM[¡ h`fp[p L¡$V$gpL$ õ_peyAp¡ dS>b|[ b_¡ R>¡.

l lmhy¬ hp¬Q_, çeyrTL$ kp¬cmhy¬.


l fpÓ¡ k|[u hM[¡ A¡L$ dp¡V$p¡ Ágpk l}¬apmy¬ ]|$^ ̀ uhy¬.

l fpÓ¡ hpf¬hpf `¡ipb L$fhp DW$hy¬ `X$[y¬ lp¡e [p¡ k|hp_p 2 ¼gpL$ ̀ l¡gp\u h^pf¡ âdpZdp¬ âhplu g¡hp _rl.

6. Pica

OZuhpf kNcp® ÷u_¡ AdyL$ hõ[yAp¡ Mphp_u CÃR>p \pe R>¡ S>¡ `l¡gp ¼epf¡e _ \[u lp¡e S>¡d L¡$ Qp¡L$ Mphp¡ hN¡f¡. ifufdp¬ Ape_® A_¡ L¡$sëied_u DZ`_¡ L$pfZ¡ Aphy¬ b_¡ R>¡. [¡\u X$p·¼V$f_u kgpl gC_¡ Ape®_ A_¡ L¡$sëied_u ]$hpAp¡ g¡hu.

7. Q½$f Aphhp :

Nc®_¡ ̀ p¡jZ ̀ yê$ ̀ pX$hp dpV¡$ Ncp®ie_u f¼[hprl_uAp¡ `lp¡mu \C Åe R>¡. Ap\u dNS>_p¡ f¼[-`|fhW$p¡ OV¡$ R>¡. A¡_uduep (f¼[pë`[p) L¡$ gp¡ ågX$ â¡if_¡ L$pfZ¡ Q½$f Aphu iL¡$ R>¡. Ap dpV¡$ Mp¡fpL$ ìehsõ\[ g¡hp¡ A_¡ gvby ifb[ S>¡hp âhplu h^pf¡ g¡hp. kNcp®A¡ cpf¡ L$pd, cuX$hpmu S>Áep, gp¬bu dykpafu A_¡ Ap¬QL$p gpN¡ A¡hy¬ L$p¡C ̀ Z hõ[y V$pmhu.


Ncp®fp¡̀ Z, Nc®rhL$pk_p [b½$p :

÷ubuS> A_¡ `yê$jbuS>_p aguL$fZ\u arg[ Nc® Aphu_¡ Ncp®ie_p D`f_p cpNdp¬ Qp¢V¡$ R>¡. Ap_¡ Ncp®fp¡̀ Z L$l¡ R>¡. Ðepfbp]$ ^ud¡-^ud¡ [¡_p¡ rhL$pk \C _h drl_¡ [¬]y$fõ[ bpmL$ [fuL¡$ S>Þd g¡ R>¡.

Ncp®rhL$pk_p [b½$p :

4 AW$hpqX$ep - Nc®L$p¡j_p¡ `fuO 2-3 k¡du. A_¡ Nc®_u g¬bpC gNcN 4-5 du.du. lp¡e R>¡. ù]$e_p¡ rhL$pk iê$ \C Åe A_¡ ^bL$pfp Aph¡ R>¡. [¡_y¬ hS>_ gNcN 1 N°pd S>¡V$gy lp¡e R>¡.

5-6 AW$hpqX$ep - Nc®_u g¬bpC 1 k¡.du. \pe R>¡. ù]$e A_¡ eL©$[ ifuf_p âdpZdp¬ dp¡V$p lp¡e R>¡. lp\


A_¡ `N lSy> rhL$õep _\u. Ap Nc® kp¡_p¡N°pau diu_ Üpfp Å¡C iL$pe R>¡.

6 AW$hpqX$ep - ]$p¡Y$ drl_p_p¡ Nc® 15 du.du. g¬bpC ^fph¡ R>¡. Nc® `pf]$i®L$ lp¡e R>¡. L$fp¡X$fÄSy>_p¡ cpN ]¡$Mpe R>¡.


6-8 AW$hpqX$ep - ]$p¡Y$ drl_p `R>u Nc®_y¬ ù]$e r_erd[ 142-150 Nr[\u ̂ bL$hp_y¬ iê$ L$f¡ R>¡. gp¡lu_y¬ ̀ ç`vN iê$ \pe R>¡. kdN° Nc® k[[ Nr[dp¬ fl¡ R>¡. ^uf¡-^uf¡ Nc® d_yóe ifuf_p¡ ApL$pf g¡hp_y¬ iê$ L$f¡ R>¡.

8 AW$hpqX$ep - Nc®_y¬ dp\y¬ ifuf_p âdpZdp¬ S>ë]$u rhL$pk `pd¡ R>¡. lp\-`N_u Ap¬NmuAp¡ Aphu Åe R>¡. dp\p_u b¬_¡ bpSy> L$p_ dpV¡$_p Dcpf kÅ®e R>¡. lh¡ c°|Z_u g¬bpC 22-25 du.du. \C Åe R>¡.


12 AW$hpqX$ep - 3 drl_p_p A¬[¡ bpmL$_y¬ dp\y¬, Ap¬Mp¡_p ̀ p¡̀ Qp kp\¡ [¥epf \C Åe R>¡. ̀ p¡̀ Qp b¬^ S> fl¡ R>¡. lp\ A_¡ `N_y¬ lg_Qg_ iê$ \pe R>¡, R>[p¬ dp[p [¡_p¡ A_ych L$fu iL$[u _\u. bpmL$_p S>__p¬Np¡_p¡ rhL$pk iê$ \C Åe R>¡. lp\-`N_u Ap¬NmuAp¡ A¡L$]$d Sy>]$u `pX$u iL$pe R>¡ A_¡ [¡dp¬ _M `Z Aphu Åe R>¡.

Ap¡m Placenta :

dp[p A_¡ Nc® hÃQ¡ f¼[_u Ap`-g¡ dpV¡$ S>¡ Aheh b_¡ R>¡ [¡_¡ Ap¡m L$l¡ R>¡. [¡ Ncp®ie_u q]$hpg kp\¡ Å¡X$pe¡g lp¡e R>¡ A_¡ A¡dp¬\u _uL$m[p _prc_pm Ýhpfp bpmL$_¡ [dpd ̀ p¡jL$ [Ðhp¡ dm¡ R>¡.


Ap¡m

Nc®

Ncp®ie

Ap¡m_y¬ dy¿e L$pd _uQ¡ âdpZ¡ R>¡ :

l `p¡jL$ [Ðhp¡ Nc® ky^u `lp¢QpX$hp A_¡ Nc®dp¬_p¡ L$Qfp¡ dp[p ky^u ̀ lp¢Q¡ R>¡.

l S>ê$fu lp¡dp£Þk A_¡ DÐk¡QL$p¡ - L¡$ S>¡ kNcp®hõ\p V$L$phu fpMhp dpV¡$ ANÐe_p R>¡ [¡ DÐ`Þ_ L$f¡ R>¡.

l Nc®_y¬ fp¡Np¡ kpd¡ fnZ L$f¡ R>¡.


Nc®`p[ Abortion / Miscairage :

S>¡ Nc®_p¡ rhL$pk Ncp®iedp¬ i¼e _ lp¡e [¡_p¡ Ncp®ie_u blpf r_L$pg \C S>hp¡ [¡_¡ Nc®`p[ L$l¡ R>¡. â\d rÓdprkL$ kNcp®hõ\pdp¬ Ap_y¬ âdpZ 15-20% S>¡V$gy¬ lp¡e R>¡. [¡_y¬ dy¿e L$pfZ Nc®dp¬ L$p¡C S>ÞdÅ[ Mpdu lp¡e R>¡. dp¡V$p cpN_u S>ÞdÅ[ Mpdu L¡$ Mp¡X$-Mp¬`Z kNcp®hõ\p_¡ ApNm h^[p AV$L$ph¡ R>¡ A_¡ Nc®`p[dp¬ ̀ qfZd¡ R>¡. Ncp®iedp¬ Mpdu A_¡ ̀ p¡jZ_p¡ Acph A¡ buÅ L$pfZp¡ R>¡.

Nc®`p[_p dy¿e b¡ gnZp¡ R>¡.

(1) ep¡r_dpN£\u f¼[÷ph


(2) Q|¬L$ Aphu_¡ ̀ ¡V$dp¬ ]y$:Mphp¡ \pe.

OZuhpf gnZp¡ DÐ`Þ_ \ep_p q]$hkp¡ L¡$ AW$hpqX$ep `l¡gp S> Ncp®iedp¬ Nc®_y¬ d©Ðey \C Ne¡g lp¡e R>¡. L¡$V$guL$ ÷uAp¡_¡ Nc®`p[ \hp_p \p¡X$p kde `l¡gp\u kNcp®hõ\p_p gnZp¡ EëV$u-EåL$p, R>p[u cpf¡ \hu - Ap¡R>p \[p S>Zpe R>¡.

r_hpfhp_p D`pep¡ :

l D`fp¡¼[ gnZp¡ S>Zp[p [f[ S> X$p·¼V$f_p¡ k¬`L®$ L$fhp¡.

l X$p·¼V$f gp¡lu_p fu`p¡V®$ A_¡ kp¡_p¡N°pau Ýhpfp _½$u L$fu iL¡$ R>¡ L¡$ Nc® ApNm h^u iL$i¡ L¡$ _rl.

l Nc®_¡ bQphu iL$pe A¡d lp¡e [p¡ [¡ dpV¡$ _uQ¡_p D`pep¡ ep¡Æ iL$pe -

l k¬`|Z® Apfpd

l ]$]®$_piL$ ]$hpAp¡

l IS>¡¼i_ - W¬$X$L$_u ]$hpAp¡

l hpf¬hpf kp¡_p¡N°pau Ýhpfp Nc®_u sõ\r[ ÅZuiL$pe R>¡.

l Å¡ L$p¡C L$pfZkf Of¡ S> Nc®`p[ \C Åe [p¡ S>¡V$gp


hl¡gp b_u iL¡$ A¡V$gy¬ X$p·¼V$f `pk¡ `lp¢Qu S>hy¬. Nc®_p S>¡V$gp cpNp¡ blpf _uL$mu Nep lp¡e [¡ b^p_¡ A¡L$W$p L$fu A¡L$ õhÃR> L$pQ_p hpkZdp¬ cfu g¡hp, S>¡\u X$p·¼V$f A¡ ÅZu iL¡$ L¡$ Nc®_p¡ L$p¡C _p_p¡ cpN ̀ Z Ncp®iedp¬ flu Nep¡ R>¡ L¡$ _rl. Å¡ A¡d lp¡e [p¡ ¼eyf¡V$vN L$fu_¡ A¡L$pY$hp¡ ̀ X¡$.

l A¡L$hpf L$p¡C `Z L$pfZkf Nc®`p[ \ep¡ lp¡e [p¡ X$p·¼V$f_u kgpl gC_¡ S> afu\u â¡Á_Þku fpMhu Å¡CA¡. gNcN 3 drl_p_p¡ Npmp¡ fpMhp¡ S>ê$fu R>¡.


Ectopic Pregnancy

Ap kNcp®hõ\p_u A¡L$ A¡hu sõ\r[ R>¡. S>¡dp¬ Nc® Ncp®ie_u blpf buÆ L$p¡C S>ÁepA¡ Qp¢V¡$ R>¡. kpdpÞe fu[¡ Nc®_mudp¬ ÷ubuS> A_¡ `yê$jbuS>_y¬ aguL$fZ \pe R>¡. A_¡ arg[ Nc® Ncp®ie_u q]$hpgdp¬ Apõ\p`_ `pd¡ R>¡ (Qp¢V¡$ R>¡.) Ðepfbp]$ Nc®_p¡ Ncp®iedp¬ S> ¾$di: rhL$pk \pe R>¡. Äepf¡ Nc®_y¬ Apõ\p`_ Ncp®ie rkhpe AÞe L$p¡C S>ÁepA¡ \pe Ðepf¡ [¡_¡ Ectopic Pregnancy L$l¡ R>¡. Apdp¬ Nc®_p¡ ApNm rhL$pk \C iL$[p¡ _\u.


L$pfZp¡ :1. Nc®hplL$ _mu_p Q¡̀ S>Þe fp¡Np¡2. Nc®hplL$ _mu_u S>ÞdÅ[ MpduAp¡3. _mudp¬ ̀ l¡gp \e¡gp Ap¡̀ f¡i_4. L$p¡̀ f-V$u / foreign body - S>¡ Ncp®iedp¬ Ncp®fp¡̀ Z AV$L$ph¡ R>¡.5. hpf¬hpf Nc®`p[ L$fph¡g lp¡e6. ̀ qfhpf r_ep¡S>__p Ap¡̀ f¡i__u r_óam[pdp¬

gnZp¡ :

l dprkL$ _ Aphhy¬

l `¡V$dp¬ [uh° ]y$:Mphp¡-Q|¬L$ Aph¡

l ep¡r_dpN£\u f¼[÷ph - O¡fp¡ b]$pdu f¬N_p¡

l ]$]$w_¡ d|R>p® Aphu S>hu - Ap A¡L$ N¬cuf `qfsõ\r[ R>¡. [f[ S> X$p·¼V$f_p¡ k¬`L®$ L$fhp¡.

r_]$p_ :

1. V²$pÞk hÅC_g kp¡_p¡N°pau - 90% `qfsõ\r[dp¬ Ap fu[¡ S> [f[ S> r_]$p_ L$fu iL$pe R>¡. S>¡dp¬ Ncp®ie Mpgu lp¡e R>¡ A_¡ Nc®_p¡ S>Õ\p¡ buS>¡ ¼ep¬L$ lp¡e R>¡.


2. gp¡lu b-HCG levels

3. X$peÁ_p¡õV$uL$ g¡âp¡õL$p¡̀ u

kpfhpf :

1. Å¡ Ap Ahõ\pdp¬ Nc®hplL$ _mu L¡$ S>¡ cpN - Äep¬ Nc® QuV$L¡$gp R>¡ [¡ apV$u _ Ne¡g lp¡e [p¡ ]$hp\u kpfhpf \C iL¡$ R>¡.

2. `f¬[y S>¡ cpNdp¬ Nc® QuV$L¡$g R>¡ [¡ cpN apV$u Nep¡ lp¡e [p¡ Ap¡̀ f¡i_ - Ap¡̀ f¡V$uh g¡âp¡õL$p¡̀ u - Üpfp [¡ cpN ]|$f L$fhp¡ S>ê$fu b_¡ R>¡.


dp¡gf â¡Á_Þku (lpCX$uqV$ap¡d® dp¡g) :

""h¡rk¼eygf dp¡g'' A¡V$g¡ S>¡dp¬ kpdpÞe dkp õhê$`¡ rhrQÓ âL$pf¡ Nc®^pfZ \pe S>¡dp¬ _p_u _p_u Öpn_p TydMp S>¡hu `p¡Qu Np¬W$p¡dp¬ A¡å_p¡d®g àgpk¡ÞV$p [fuL¡$ Nc®_p¡ rhL$pk \pe. bpmS>Þd_p ]$f 1000 L¡$kp¡dp¬\u A¡L$ L¡$kdp¬ Aphu ̀ |Z® / Ap¬riL$ dp¡gf â¡Á_Þku Å¡hp dm¡ R>¡.

AdyL$ k¬Å¡Np¡dp¬ `yê$j_p hue® Üpfp ÷u buS> amÖz` b_¡ Ðepf¡ dp¡g \pe R>¡. `|Z® dp¡gdp¬ Ncp®^p_ \[y¬ _\u L¡$ Nc® ApL$pf ̀ pd[p¡ _\u ̀ Z â¡Á_Þku V¡$õV$dp¬ kNcp®hõ\p lp¡hp_y¬ dpgyd `X$u iL¡$ R>¡. L$pfZ L¡$ [¡dp¬ L$p¡qfAp¡_uL$ Np¡_¡X²$p¡V²$p¡au_ _pd_y¬ â¡N_Þku lp¡dp£_ lpS>f lp¡e R>¡.


c°yZ _¡ kdphhp Ncp®ie_y¬ rhõ[fZ `Z \pe R>¡. Nc®_¡ `p¡jZ Ap`hp_¡ b]$g¡ [¡ TX$`\u A_¡L$NZu dpÓpdp¬ T|dMp¬ ê$`¡ rhL$k¡ R>¡. Ap¬riL$ dp¡gdp¬ Aphp T|dMpAp¡_u bpSy>dp¬ Nc® rhL$k[p¡ lp¡hp_p `yfphp R>¡. Å¡ L¡$ Ap Nc® R>¡hV$ kyû V$L$u iL$[p¡ _\u. kpdpÞe fu[¡ 16 hj®\u _uQ¡_u he_u A_¡ 30 \u 35 hj® hÃQ¡_u ÷uAp¡dp¬ dp¡gf â¡N_Þku_u i¼e[p h^y fl¡gu R>¡.

dp¡g L¡$ÞkfS>Þe `Z lp¡C iL¡$ R>¡. 10 V$L$p L¡$kp¡dp¬ Ncp ®iedp ¬ dp¡g_p¡ rhL $ pk Qpg y fl¡ R >¡. A_¡ L$p¡qfep¡L$prk®_p¡dp _pd_p¡ fp¡N ifuf_p AÞe cpNp¡dp¬ Mpk L$fu_¡ a¡akp¬ A_¡ dNS>dp¬ âkf¡ R>¡. Ncp®ie_p dp¡g k¬`|Z® _pi `pçep R>¡ L¡$ _rl A¡_u k¬`|Z® Mp[fu L$fhp dpV¡$ L$pmÆ `|h®L$_p r_erd[ gp¡lu A_¡ eyfu_ V¡$õV$ L$fhpdp¬ Aph¡ [p¡ Ap¡R>pdp¬ Ap¡R>p R> drl_p kyû, A_¡ kpfhpf `R>u dp¡g_p¡ k¬`|Z® _pi L$fhp dpV¡$ L¡$dp¡\¡fpù L$fphhu `X$u lp¡e [p¡ A¡L$ hj® kyû afuhpf Nc® _ fl¡hp¡ Å¡CA¡.

L$p¡C`Z kpdpÞe Ncp®hõ\p `R>u L¡$ L$kyhphX$ `R>u L$p¡qfep¡L$prk®_p¡dp \C iL¡$ R>¡. 45,000 bpmS>Þd_p L¡$kp¡dp¬\u dpÓ A¡L$p]$ L¡$kdp¬ S> [¡ `L$X$pe R>¡. A¡_p gnZp¡dp¬ Ar_erd[ f¼[÷ph A_¡ R>p[u_¡ gN[u L$p¡C kdõep lp¡C iL¡$ S>¡_u hjp£ kyû Mbf _ ̀ X$u lp¡e.


gnZp¡ :

1. Hyperemesis Gravidarum : OZu b^u dpÓpdp¬ DëV$u \hu S>¡dp¬ ifufdp¬ `pZu Ap¡Ry>¬ \C Åe A_¡ ]$pMg \hy¬ ̀ X¡$.

2. ̀ ¡V$dp¬ ]y$:Mhy¬.

3. hpf¡ OX$uA¡ dprkL$ Aphu S>hy¬.

4. ̀ ¡V$_p¡ rhL$pk ̂ pfhp L$f[p¬ h^pf¡ \hp¡.

r_]$p_ : kp¡_p¡N°pau hX¡$ Ap fp¡N_y¬ r_]$p_ \C iL¡$ S>¡dp¬ bpmL$_p¬ b]$g¡ Öpn_p¬ Ty¬dMp S>¡hy¬ ]¡$Mpe.

kpfhpf : ¼eyf¡V$vN, OZuhpf åguX$vN h^pf¡ \pe [p¡ Prostaglandin _p CÞS>¡¼i_ A_¡ ågX$_u S>ê$f ̀ X¡$.


General Precautions - kpdpÞe kphQ¡[u.

1. Self Medication can kill -

kNcp®hõ\p ]$fçep_ X$p·¼V$f_u kgpl hNf L$p¡C `Z ]$hp g¡hu _rl, L$pfZ L¡$ L$p¡C `Z ]$hp dp[p Üpfp bpmL$_p ifufdp¬ `lp¢Q¡ R>¡, S>¡ [¡_¡ _yL$ip_ `Z L$fu iL¡$ R>¡.

2. A¡¼k-f¡ : kNcp®hõ\pdp¬ A¡¼k-f¡\u Nc®_¡ _yL$kp_ \pe R>¡. [¡\u iê$Ap[_p 3 drl_pdp¬ ¼epf¡e A¡¼k-f¡ [`pk L$fphhu _rl. R>[p¬ S>ê$f `X¡$ [p¡ Ap A¬N¡ [bub_u kgpl g¡hu.

3. dykpafu : rb_S>ê$fu dykpafu L$fhu _rl. qÜQ¾$u A_¡ rÓQ¾$u hpl_p¡dp¬ dykpafu V$pmhu. blpfNpd S>hp_y¬ lp¡e [p¡ V²¡$_dp¬ S> dykpafu L$fhu. R>[p¬ `Z X$p·¼V$f_u `fhp_Nu hNf dykpafu L$fhu _rl.

4. kdpNd : k¬cp¡N-kNcp®hõ\p_p â\d ÓZ drl_p ]$fçep_ kdpNd-k¬cp¡N L$fhp¡ _rl.

kpdpÞe[: Ncp®hõ\p ]$fçep_ Å¡ `Ð_u Apfpd]$peL$ A_¡ ]$bpZey¼[ Ahõ\pdp¬ k|C iL$[u lp¡e [p¡ k¬cp¡N L$fu iL$pe R>¡. R>[p¬ ApNm L$kyhhphX$, R>p¡X$ \C NC lp¡e L¡$ d¡gu-Ap¡m _uQ¡ lp¡e [p¡ k¬cp¡N L$fhp¡ _rl.


5. Work :

_p¡L$fu L$f[u kNcp® ÷u \p¡X$u kphQ¡[u kp\¡ `p¡[p_u _p¡L$fu Qpgy fpMu iL¡$ R>¡. kNcp®A¡ L$pd_p õ\m¡ `N V¡$bg D`f fpMu_¡ b¡khy¬.

l ̀ NfMp KQu A¡X$uhpmp _ ̀ l¡fhp.

l hÃQ¡-hÃQ¡ rhfpd L$fp¡. b¡W$p lp¡e [p¡ Dcp \C_¡ \p¡X$u hpf Qpgp¡ A_¡ Ecp lp¡e [p¡ \p¡X$uhpf b¡ku Åh.

l `yóL$m âdpZdp¬ `pZu-âhplu gp¡. Mp¡fpL$ ìehsõ\[ kdekf gC g¡hp¡.

l d_ A¡L$]$d âazrëg[ fpMp¡. L$pd_p¡ bp¡S> Of¡ L¡$ Ap¡qak¡ fpMip¡ _rl.

6. ̂ yd°`p_, [dpLy$ k¡h_, d^`p_ :

l ^yd°`p_, [dpLy$ k¡h_ _p L$pfZ¡ S>Þd kde¡ bpmL$_y¬ hS>_ Ap¡Ry>¬ lp¡hp_y¬ A_¡ bpëephõ\pdp¬ õhpõÕe kdõep_y¬ Å¡Md \pe R>¡. Ncp®hõ\p ]$fçep_ d^ey¼[ `uZp\u ]|$f flp¡. h^y `X$[y¬ ]$pê$_y k¡h_ L$fhp\u S>Þd kde¡ bpmL$_y¬ hS>_ Ap¡Ry>¬ fl¡hp_y¬, Mp¡X$Mp¬`Zhpmy¬ bpmL$ \hp_y ¬ A_¡ rhL$rk[ c©Zdp¬ dp_rkL$ Aõhõ\[p (c©Z_¡ gN[p d^_p gnZp¡) \pe R>¡. L¡$qa_ey¼[ ̀ uZp g¡hp _rl.


Danger Signals - Q¡[hZuS>_L$ [L$guap¡

1. Any Vaginal bleeding ep¡r_dpN£\u f¼[÷ph :

ep¡r_dpN£\u L$p¡C `Z âL$pf_p¡ f¼[÷ph Å¡Mdu R>¡ [¡ Nc®`p[ L¡$ Ncp®ie rkhpe AÞe S>ÁepA¡ Nc®_y õ\p`_ \hp_y¬ kyQ_ L$f¡ R>¡.

2. Abdominal pain `¡V$dp¬ hpf¬hpf L¡$ k[[ ]y$:Mphp¡ \hp¡ :

`¡V$dp¬ L$p¡C `Z âL$pf_p¡ ]y$:Mphp¡ k[[ L¡$ Q|¬L$ dpfu_¡ ]y$:M¡ [p¡ [pÐL$prgL$ X$p·¼V$f_p¡ k¬`L®$ L$fhp¡. [¡ A`Qp¡ L¡$ ¼epf¡L$ kNcp®hõ\p_¡ gN[u [L$guap¡_y¬ kyQ_ L$f¡ R>¡.

3. Persistant Vomiting k[[ EëV$u Qpgy S> fl¡hu :

kNcp®hõ\p ]$fçep_ q]$hk_u 3-4 EëV$u \pe A¡ kpdpÞe R>¡. R>[p¬ `Z EëV$u Qpgy S> fl¡ [p¡ [f[ S> X$p·¼V$f_p¡ k¬`L®$ L$fhp¡.

4. [ph, L$p¡C ̀ Z âL$pf_p¡ [ph :

kNcp®hõ\p_p â\d ÓZ drl_p dpV¡$ [ph A¡ Nc®`p[_y¬ L$pfZ b_u iL¡$ R>¡. [¡\u [ph_¡ AhNZhp¡ _rl.


5. `¡ipbdp¬ ]$pl, bm[fp \hu, ep¡_udpN£ M¬S>hpm Aphhu :

`¡ipbdp¬ `ê$ \ey¬ lp¡e [p¡ hpf¬hpf `¡ipb S>hy¬ `X¡$ A_¡ [¡_u kp\¡ S> ]$pl, bm[fp [\p `¡ipb_u S>ÁepA¡ M¬S>hpm `Z Aphu iL¡$ R>¡. Ap k¬Å¡Np¡dp¬ `Z [f[ S> X$p·¼V$f_u kgpl g¡hu.

Aplpf A_¡ ìepepd :l cph¡ L¡$ _ cph¡, c|M gpN¡ L¡$ _ gpN¡ ]$f b¡ ¼gpL¡$ L¬$CL$ _¡ L¬$CL$ Mphy¬.l kvN, QZp, kyMX$u, dNS>, äzV$kgpX$, ApCõ¾$ud, rdëL$i¡L$ hN¡f¡ gC iL$pe.l kNcp®hõ\p ]$fçep_ ̀ p¥rô$L$ Aplpf g¡hp¡.l S>dhpdp¬ AÐe¬[ [uMp¡, [m¡gp¡ Mp¡fpL$ g¡hp¡ _rl.l blpf_y¬ S>fp-`Z Mphy _rl.

ìepepd :l dpÓ lmhu L$kf[p¡ S> L$fhu.l X$p·¼V$f_u kgpl gC_¡ fp¡S>_y¬ 30 rdr_V$ q]$hkdp¬ b¡ hpf Qpghp_y¬ fpMhy¬.l âpZpepd, Ýep_ L$fu iL$pe.


l âpZpepddp¬ L$`pgcp[u L$fhy¬ _rl. dpÓ kp]$p¡ âpZpepd S> L$fhp¡.

]$hpAp¡ : _uQ¡ S>Zph¡gu ]$hpAp¡ Mpk g¡hu :

1. ap¡rgL$ A¡rkX$

2. rhV$pdu_ B12

3. rhV$pdu_ B6

4. âp¡V$u_ ̀ phX$f

A¡_urdep\u bQhp iy¬ Mphy¬ ?

k|L$p hpg, hV$pZp, ]|$^u_p ̀ p_, AS>dp_p ̀ p_, kfNhp_p¬ `p_, fpC_p¬ `p_, `p¡C_u cpÆ, QZp_u cpÆ, az]$u_p¡, aZNph¡gp¬ L$W$p¡m, k|L$p¡ d¡hp¡, A_pS>, IX$p, `pgL$_u cpÆ, L$p¡L$p¡, Qp¡L$g¡V$, dNamu, ]$lv, Np¡m, buV$, NpS>f, MS|>f, A¬Æf, MX$^pÞe (rkqfeg), OJ_y¬ \|gy¬, Sy>hpf, bpS>fp¡, dL$pC, Æê¬$, dfu, [fb|Q_y¬ `pZu [\p bu, kvN hN¡f¡dp¬\u kpfp A¡hp âdpZdp¬ Ape_® dm¡ R>¡. S>çep bp]$ _pf¬Nu fk ̀ uAp¡. A¡ Ape_® âpà[ L$fhp_p¡ DÑd D`pe R>¡. k¬[yrg[ Aplpf _ gC iL$[p lp¡, [p¡ Ape_® rhV$prd_ rkf` gp¡. ifufdp¬ Ape_®_u kp\¡ kp\¡ ap¡rgL$ A¡rkX$, rhV$prd_ ku, bu-12 A_¡ bu-6 ̀ Z S>ê$fu R>¡.


\¡g¡k¡rdep A_¡ â¡Á_Þku

\¡g¡k¡rdep A¡L$ Ap_yh¬riL$ budpfu R>¡. Apdp¬ f¼[L$Zdp¬ fl¡g rldp¡Ágp¡rb_ OV$L$_y¬ b¬^pfZ Mpduey¼[ lp¡e R>¡. Ap_p Apëap A_¡ buV$p âL$pfdp¬\u buV$p \¡g¡k¡rdep N¬cuf R>¡. Äepf¡ dp[p-r`[p_p ÆÞk (f¬Nk|Ó) Mpdu ey¼[ lp¡e Ðepf¡ bpmL$ \¡g¡k¡rdep d¡S>f\u `uX$php_u i¼e[p R>¡. Äepf¡ b¡dp¬\u L$p¡C A¡L$dp¬ Mpdu lp¡e [p¡ bpmL$ \¡g¡k¡rdep dpC_f A\hp L¡$qfef lp¡e R>¡. dpC_f/L¡$qfef ìes¼[ õhõ\ Æh_ Æh¡ R>¡, `f¬[y d¡S>fhpmu ìes¼[ fp¡Nu lp¡e R>¡. gÁ_ ̀ l¡gp¬ \¡g¡k¡rdep L$pDÞk¡tgN ANÐe_y¬ R>¡.

l dp-bp` b¬_¡dp¬\u A¡L$ õhõ\ A_¡ buSy>¬ \¡g¡k¡rdep dpC_f lp¡e A_¡ Nc® fl¡ [p¡ 50 V$L$p L¡$kdp¬ \¡g¡k¡rdep dpC_f Aph¡.

l Å¡ dp-bp` b¬_¡ \¡g¡k¡rdep dpC_f lp¡e [p¡ Nc®dp¬ - 25 V$L$p L¡$kdp¬ \¡g¡k¡rdep d¡S>f Aph¡.

l Å¡ L$p¡C A¡L$ d¡S>f A_¡ buSy>¬ õhõ\ lp¡e [p¡ b^p¬ bpmL$ \¡g¡k¡rdep dpC_f Aph¡.

l b¬_¡ d¡S>f lp¡e [p¡ b^p¬ bpmL$p¡dp¬ \¡g¡k¡rdep d¡S>f Aph¡. Aphu â¡Á_Þku rl[phl _\u.

l Å¡ A¡L$ d¡S>f A_¡ buSy>¬ dpC_f lp¡e [p¡ 50 V$L$p L¡$kdp¬


d¡S>f A_¡ 50 V$L$p L¡$kdp¬ dpC_f Aph¡.

\¡g¡k¡rdep d¡S>fhpmu b¡ ìes¼[ hÃQ¡ gÁ_k¬b¬^ rl[phl _\u, `f¬[y b¬_¡ S> \¡g¡k¡rdep dpC_f lp¡e [p¡ Ncp®hõ\p hM[¡ buV$p-\¡g¡k¡rdep_p r_]$p_ dpV¡$ L$p¡qfe_ bpep¡àku A\hp A¡rç_Ap¡qV$L$ ãëeyCX$ X$uA¡_A¡ õV$X$u L$fphhu ANÐe_u R>¡, S>¡\u S> Nc®, \¡g¡k¡rdep d¡S>f lp¡e [p¡ Nc®`p[_p¡ r_Z®e gC iL$pe.

\¡g¡k¡rdep dpC_f/L¡$qfef ìes¼[ õhõ\ R>¡, `f¬[y

\¡g¡k¡rdep d¡S>f N¬cuf fp¡N R>¡. Aphp L¡$kdp¬ Mpduey¼[

rldp¡Ágp¡rb__p L$pfZ¡ f¼[L$Z_y¬ Apeyóe 15 q]$hk_y¬ fl¡

R>¡, S>¡ kpdpÞe[: 120 q]$hk_y¬ lp¡e R>¡. 8-10 drl_p_u

Jdf¡ Ap_p¬ gnZ ]¡$Mphp iê$ \pe R>¡. bpmL$ qa½y¬$ `X$u

Åe, hpf¬hpf [ph, Mp¬ku, if]$u, X$pe¡qfep, hp¡rdqV$N \pe.

]$hp, V$p¡r_L$ g¡hp R>[p¬ qa½$pi Ap¡R>u _ \pe, ¼epf¡L$

bpmL$_p dp_rkL$ rhL$pk `f Akf \pe. Ap_u kpfhpf

dpV¡$ ]$f 15 q]$hk¡ gp¡lu QX$phhy¬ `X¡$. hpf¬hpf gp¡lu

QX$phhp_p L$pfZ¡ ifuf_p¬ L¡$V$gp¬L$ A¬N S>¡hp¬ L¡$ ù]$e,

rghf, qL$X$_u, õhp]$t`X$ A_¡ AÞe N°¬r\dp¬ h^y `X$[y¬

Ape_® (gp¡l[Ðh) S>dp \pe, S>¡ ]|$f L$fhp cpf¡ CÞS>¡¼i_



g¡hp¬ ̀ X¡$. h^y Ape_®_¡ gu^¡ lpV®$ a¡Cëep¡f, rghf kufp¡kuT,

X$peprbV$uk, qL$X$_u aCëep¡f \C iL¡$. Ap fp¡Ndp¬\u dys¼[

d¡mhhp dpV¡$_p¡ klz\u DÑd D`pe bpmL$_p¬ cpC L¡$ bl¡_

L¡$ S>¡ _p¡d®g A\hp \¡g¡k¡rdep dpC_f lp¡e [¡_p bp¡_-d¡fp¡

õV¡$d k¡ëk V²$pÞkàgpÞV$ R>¡. R>¡ëgp¬ 10 hj®dp¬ L$p¡X®$-ågX$

õV¡$d k¡ëk\u lL$pfpÐdL$ ̀ qfZpd Å¡hp dm¡g R>¡. bpmS>Þd

bp]$ _peX$p¡ (AsçbrgL$g L$p¡X®$) L$pàep bp]$ [¡_p¡ Ap¡m

[fa_p¡ cpN L¡$ S>¡ L$Qfpdp¬ a¢L$u ]¡$hpe R>¡, [¡dp¬\u f¼[ A¡L$Wy¬$

L$fu [¡dp¬_p õV¡$d k¡ëk_p¡ E`ep¡N L$fu \¡g¡k¡rdep d¡S>f_¡

dpC_fdp¬ `qfhr[®[ L$fu iL$pe R>¡. Å¡ A¡L$ bpmL$

\¡g¡k¡rdep d¡S>f lp¡e A_¡ buÆ Ncp®hõ\p hM[¡ buSy>¬

bpmL$ \¡g¡k¡rdep dpC_f A\hp õhõ\ lp¡e [p¡ [¡

bpmL$_p S>Þd kde¡ L$p¡X®$ ågX$ A¡L$Wy¬$ L$fu [¡_p õV¡$d k¡ëk

fp¡Nu› $ bpmL$_u kpfhpf dpV¡$ hp`fu iL$pe.


âï_p¡Ñfu :

âï_:1 d_¡ khpf_p DbL$p blz¬ Aph¡ R>¡ - [p¡ Ap_p¡ DL¡$g b[phip¡ ?

S>hpb: kNcp®hõ\p_p â\d ÓZ drl_p ]$fçep_ DbL$p-EëV$u \pe A¡ kpdpÞe R>¡. [¡_u tQ[p L$fhu _rl. khpf_p `\pfudp¬\u DW$hp_p AX$^p¡ ¼gpL$ `l¡gp L$iy¬L$ lmhy¬ Mphp\u DbL$p\u R|>V$L$pfp¡ d¡mhu iL$pe R>¡.

âï_:2 d_¡ ù]$edp¬ bm[fp L¡$d \pe R>¡ ?

S>hpb: ù]$edp¬_u bm[fp_¡ ù]$e kp\¡ L¬$C gpN[y¬ hmN[y¬ _\u, lL$uL$[dp¬ [¡ S>W$fdp¬ A_ychp[u bm[fp_u gpNZu R>¡. h^pf¡ S>dhp L$f[p¬, kdep¬[f¡ \p¡Xy¬$-\p¡Xy¬$ Mphp\u bm[fp A_¡ DbL$p `f `Z L$pb| Aphi¡. h^y `X$[y¬ [uMy¬, [m¡gy¬ dkpgphpmy¬ cp¡S>_ g¡hy¬ _rl. Tab Digene / Gelusil Q|khp\u fpl[ \pe.

âï_:3 d_¡ q]$hkdp¬ 2-3 hpf EëV$u \C Åe R>¡, [p¡ iy¬ L$ê¬$ ?

S>hpb: kNcp®hõ\pdp¬ q]$hkdp¬ 2-3 hpf EëV$u \C Åe, [p¡ tQ[p L$fhu _rl. A¡\u h^pf¡ \pe [p¡ S>

EëV$u_u ]$hp g¡hu. EëV$u_u ]$hp g¡hp\u EëV$u b¬^ \i¡ `f¬[y DbL$p h^pf¡ Aphi¡. EëV$u \pe L¡$ [f[ S> L$p¡Nmp L$fu_¡ L¬$C `Z MpC g¡hy¬. S>¡\u buÆ EëV$u _ \pe.

âï_:4 kNcp®_¡ ¼epf¡L$-¼epf¡L$ b¡Q¡_u blz¬ gpN¡ R>¡ - [¡_y¬ L$pfZ iy¬ ?

S>hpb: kNcp®_¡ iê$Ap[_p 3 drl_p DbL$p Aph¡, dp¡m Aph¡, DëV$u_u ]$hp\u O¡_ Aph¡ - Ap b^p_¡ L$pfZ¡ b¡Q¡_u S>¡hy¬ gpN¡ R>¡. tQ[p L$fhu _rl. d__¡ Nd[u âh©rÑdp¬ Ýep_ ]$p¡fhy¬. \p¡X$p Myëgp L$`X$p `l¡fhp.

âï_:5 lz¬ kNcp® Ry>¬ dpê$ d_ Nd¡ Ðepf¡ DN° b_u Åe R>¡?

S>hpb: kNcp®hõ\pdp¬ dyX$ TX$`\u b]$gpe R>¡. Ap bpb[ [Ø_ kpdpÞe R>¡ S>¡_u tQ[p L$fhu _rl. d_p¡bm h^pf¡ A¡hu âh©rÑ L$fhu.

âï_:6 d_¡ Ais¼[ S>¡hy¬ gpÁep L$f¡ R>¡, [¡_y¬ L$pfZ iy¬ ?

S>hpb: kNcp®hõ\pdp¬ dp[p A_¡ bpmL$ bÞ_¡_¡ `p¡jZ_u S>ê$f `X¡$ R>¡. [¡\u h^pf¡ is¼[_u S>ê$fuep[ Ecu \pe R>¡. kp\¡-kp\¡ EëV$u-DbL$p_¡ L$pfZ¡ Mp¡fpL$ `Z Ap¡R>p¡ g¡hpe R>¡. S>¡\u


Ais¼[ S>¡hy gpÁep L$f¡ R>¡. ]$f b¡ ¼gpL¡$ S>¡ cph¡ A¡ Mphy¬. ifb[, rdëL$i¡L$ h^pf¡ g¡hy¬.

âï_:7 dpê$ hS>_ h^[y _\u [p¡ iy¬ A¡ ceS>_L$ R>¡ ?

S>hpb: â\d 3 drl_p ]$fçep_ kNcp®_¡ EëV$u-DbL$p \[p fl¡ R>¡. [¡\u _p¢̂ `pÓ hS>_ h^[y¬ _\u. [p¡ tQ[p L$fhu _rl.

âï_:8 d_¡ R>p[u cpf¡ gpN¡ R>¡ [p¡ iy¬ L$ê¬$ ?

S>hpb: kNcp®hõ\pdp¬ R>p[u OphZ dpV¡$ [¥epf \pe R>¡. kp\¡-kp\¡ lp¡dp£Þkdp¬ \[p a¡fapf_¡ L$pfZ¡ R>p[u cpf¡ \C Åe R>¡. Ap dpV¡$ Supporting Bra Ahíe `l¡fhu. S>¡d-S>¡d õ[__u kpCT dp¡V$u \[u Åe [¡d-[¡d Bra _u kpCT `Z b]$g[p fl¡hy¬.

âï_:9 d_¡ hpf¬hpf `¡ipb L$fhp S>hy¬ `X¡$ R>¡, [¡_y¬L$pfZ iy¬?

S>hpb: kNcp®hõ\pdp¬ h^[p S>[p¬ Ncp®ie\u d|Ópie `f ]$bpZ Aph¡ R>¡, [¡\u hpf¬hpf ̀ ¡ipb L$fhp S>hy¬ `X¡$ R>¡. [¡_u kp\¡ bm[fp, ]$pl, M¬S>hpm S>¡hp gnZp¡ S>Zpe [p¡ X$p·¼V$f_p¡ k¬`L®$ L$fhp¡.



âï_:10 d_¡ A`Qp¡ \C Åe R>¡ - Mp¡fpL$ ̀ Q[p¡ _\u [¡_y¬ L$pfZ iy¬ ?

S>hpb: kNcp®hõ\p ]$fçep_ N¡k \hp¡, Ap¡X$L$pf Aphhp, `¡V$dp¬ ]y$:Mphp¡ hN¡f¡ \C iL¡$ R>¡. Ap dpV¡$ Divol Np¡mu Q|khp_u Qpgy fpMhu. \p¡Xy¬$ Qpghp\u ̀ Z N¡k Ap¡R>p¡ \i¡.

âï_:11 d_¡ L$bÆep[_u [L$gua iê$ \C NC R>¡. D`pe b[phip¡ ?

S>hpb: Ncp®hõ\pdp¬ `pQ_[¬Ó_¡ Akf L$f[p a¡fapfp¡ \hp_¡ L$pfZ¡ L$bÆep[ h^y \pe R>¡. [¡dp¬ h^y amp¡ A_¡ ipL$cpÆ kp\¡ âhplu `]$p\® h^y g¡hp\u gpc \pe R>¡. R>[p¬ CkbNyg_p¡ `phX$f 2 QdQu fpÓ¡ 2 Ágpk `pZu kp\¡ gCiL$pe R>¡.

âï_:12 iy¬ lz¬ dykpafu L$fu iLy¬$ Ry>¬ ?

S>hpb: kNcp®hõ\p ]$frdep_ b_¡ Ðep¬ ky^u dykpafu V$pmhu Å¡CA¡. R>[p¬ S>ê$fu lp¡e [p¡ V²¡$_ Üpfp dykpafu L$fhu.


âï_:13 d_¡ fpÓ¡ KO _\u Aph[u, [p¡ lz¬ iy¬ L$ê¬$ ?

S>hpb: fpÓ¡ KO _ Aph¡ [p¡ A¡ kpdpÞe bpb[ R>¡. hp¬Q_, k¬Nu[, cf[-N|¬\Z hN¡f¡ S>¡hu âh©rÑAp¡ L$fu iL$pe. fpÓ¡ A¡L$ Ágpk l}¬apmy¬ ]|$^ ̀ uhy¬.

âï_:14 kNcp®hõ\pdp¬ ep¡_udpN£\u ka¡]$ f¬N_y QuL$Ï¬ âhplu h^pf¡ _uL$m¡ R>¡. iy¬ L$ê$ ?

S>hpb: kNcp®hõ\pdp¬ Ncp®ie [\p ep¡r_dp¬ f¼[_y¬ `qfc°dZ h^¡ R>¡. D`fp¬[ lp¡dp£Þkdp¬ \[p¬ a¡fapf_¡ L$pfZ¡ ep¡r_dpN£\u ka¡]$ f¬N_y QuL$Ï¬ âhplu h^pf¡ _uL$m¡ R>¡. Ap dpV¡$ M|b Qp¡¿MpC fpMhu. _uQ¡ hpm _ \hp ]¡$hp, _uQ¡_p cpN `pZu\u ^p¡C kpa fpMhp¡. R>[p¬ M¬S>hpm Aph¡ L¡$ [¡_p¡ f¬N b]$gpe [p¡ X$p·¼V$f_p¡ k¬`L®$ L$fhp¡.

âï_:15 d_¡ ldZp¬S> â¡Á_Þku flu R>¡. [p¡ lz¬ L¬$C L$kf[ L$fu iLy¬$?

S>hpb: â\d 3 drl_p L$p¡C S> L$kf[ L$fhu _rl. dpÓ Qpghp_y¬ q]$hkdp¬ 2 hpf 30 rdr_V$. âpZpepd L$fu iL$pe, L$`pgcpr[ _rl.

âï_:16 d_¡ â¡Á_Þku R>¡, [p¡ iy¬ Ad¡ k¬cp¡N L$fuiL$uA¡ ? [¡_p\u A¬]$f_p Nc®_¡ L$p¡C lpr_ [p¡ _rl ̀ lp¢Q¡ _¡ ?

S>hpb: kNcp®hõ\pdp¬ k¬cp¡N b_¡ A¡V$gp¡ V$pmhp¡ Å¡CA¡. ApNm L$kyhphX$, R>p¡X$ \C NC lp¡e L¡$ d¡gu _uQ¡ Aphu NC lp¡e [p¡ k¬cp¡N L$fhp¡ _rl. Aphp k¬Å¡Np¡dp¬ Nc®_¡ _yL$kp_ \C iL¡$ R>¡.

âï_:17 â¡Á_Þku fl¡[p `l¡gp A_¡ â\d 3 drl_p ]$fçep_ ¼ep fu`p¡V®$ L¡$ [`pk L$fphu S>ê$fu R>¡ ?

S>hpb: â¡Á_Þku `l¡gp A_¡ â\d 3 drl_p ]$fçep_ _uQ¡_p gp¡lu_p fu`p¡V®$ L$fphhp S>ê$fu R>¡.

(1) rldp¡Ágp¡bu_

(2) ågX$ N°y`

(3) Rubella IgG

(4) HIV

(5) PP BS S>çep ̀ R>u_p 2 ¼gpL¡$2

(6) TSH


âï_:18 d_¡ â¡Á_Þku R>¡, [p¡ iy¬ dpfu ApNm_u â¡Á_Þku rhi¡ X$p·¼V$f_¡ S>Zphhy¬ S>ê$fu R>¡ ?

S>hpb: _uQ¡_p k¬Å¡Np¡dp¬ X$p·¼V$f_¡ S>Zphhy¬ S>ê$fu R>¡ :

1) ApNm L¡$V$guhpf â¡Á_Þku flu R>¡.

2) L$p¡C L$kyhphX$ \C NC lp¡e.

3) ApNm_u qX$guhfu ]$fçep_ L$p¡C [L$gua \C lp¡e.

4) ApNm_p bpmL$dp¬ L$p¡C Mp¡X$Mp¬`Z lp¡e [p¡ `Z X$p·¼V$f_¡ Mpk ÅZ L$fhu.

âï_:19 dpf¡ ApNm L$kyhphX$ \C R>¡, [p¡ lh¡ dpf¡ iy¬ L$pmÆ fpMhu ?

S>hpb: ApNm L$kyhphX$ \C lp¡e [p¡ â¡Á_Þku fpM[p `l¡gp S>ê$fu [`pk L$fphhu. X$p·¼V$f_u kgpl `R>u S> â¡Á_Þku fpMhu. L$p¡C `Z hM[ dprkL$_u D`f 3 q]$hk Åe A¡V$g¡ X$p·¼V$f_¡ dmu S>hy¬.

âï_:20 qX$guhfu_u A`¡rn[ [pfuM L$C fu[¡ NZuiL$pe R>¡ ?

S>hpb: Å¡ [d_¡ dprkL$ r_erd[ ]$f 28 q]$hk¡ Aph[y¬



lp¡e [p¡ R>¡ëgp dprkL$_p [pfuMdp¬ 280 q]$hk Dd¡fhp\u qX$guhfu_u A`¡rn[ [pfuM dmuiL¡$ R>¡.

Å¡ dprkL$ Ar_edu[ lp¡e [p¡ Serial Sonography _u d]$]$ hX¡$ qX$guhfu_u [pfuM ÅZu iL$pe R>¡.

âï_:21 X$p·¼V$f_u ̀ l¡gu rhTuV$ ¼epf¡ L$fhu ?

S>hpb: dprkL$ r_erd[ Aph[y¬ lp¡e [p¡ dprkL$_u D`f 3 q]$hk Åe [p¡ [f[S> X$p·¼V$f_¡ dmu S>hy¬. TVS L¡$ eyfu_ â¡Á_Þku V¡$õV$ Üpfp â¡Á_Þku R>¡ L¡$ _rl [¡ ÅZu iL$pe R>¡.

âï_:22 X$p·¼V$f kp\¡_u `l¡gu rhTuV$dp¬ iy¬ dprl[u Ap`hu S>ê$fu R>¡ ?

S>hpb: (A) History

1) R>¡ëgp dprkL$_p¡ `l¡gp¡ q]$hk, dprkL$_u r_edu[[p, L$p¡C ̀ Z Å[_p ipqffuL$, dp_rkL$ L¡$ Ap_yh¬riL$ fp¡Np¡ rhi¡ X$p·¼V$f_¡ S>Zphhy¬ S>¡d L¡$ X$pepbuV$uk, ågX$â¡if, T¡fu L$dmp¡, ù]$e qL$X$_u_¡ gN[p fp¡Np¡, \pefp¡CX$. Ap_yh¬riL$ fp¡Np¡ \¡g¡k¡duep, G6PD, kuL$g k¡g


2) L$p¡C `Z Å[_p Ap¡̀ f¡i_p¡ \ep lp¡e [p¡ [¡_u ÅZ L$fhu

3) L$p¡C ̀ Z âL$pf_u ]$hp Qpgy lp¡e [p¡ X$p·¼V$f_¡ S>Zphhy.

4) allergy L$p¡C `Z ]$hp_y¬ fuA¡¼i_ Aph[y¬ lp¡e [p¡ [¡_u ÅZ L$fhu.

(B) Examination - Height 5" \u _uQ¡lp¡e [p¡

- P/V & TVS - [¡ dpV¡$ _uQ¡_p¡ cpN hpmfrl[ kpa L$fu_¡ Aphhy¬.

âï_:24 â\d 3 drl_pdp¬ kp¡_p¡N°pau ¼epf¡ L$fphhu ?

S>hpb: kp¥\u `l¡gp drl_p_u D`f 3 q]$hk QY¡$ A¡V$g¡ X$p·¼V$f_¡ â¡Á_Þku R>¡ L¡$ _rl [¡ _½$u L$fhp kp¡_p¡N°pau L$fphhu. Ðepf `R>u kpdpÞe fu[¡ [L$gua _ lp¡e [p¡ A¡L$ drl_p `R>u b[phhp Aphhy¬. [L$gua lp¡e [p¡ X$p·¼V$f S>Zph¡ [¡âdpZ¡ Aphhy¬.

11 \u 13 AW$hpX$ue¡ AdyL$ Mp¡X$Mp¬`Z kp¡_p¡N°pau hX¡$ ÅZu iL$pe [¡ dpV¡ TVS L$fphhy¬.


- Ncp ®ie_ y ¬ d yM Å¡ M yëg y lp¡e [p¡ (Incompetant OS) [¡ TVS hX¡$ ÅZu iL$pe.

- Ncp®ie_u A\hp A¬X$pie_u NpW$ Å¡ lp¡e [p¡ [¡_u k¬¿ep / dp` õ\p_ _½$u L$fu iL$pe.

- V.mole / Ectopic Pregency _y¬ r_]$p_ ̀ Z TVS hX¡$ i¼e R>¡.

Do's

1. b_¡ [p¡ f¡gdpN® Üpfp dykpafu L$fhu.

2. Myëgp L$`X$p¬ ̀ l¡fhp.

3. ]$ffp¡S> k¬`|Z® õ_p_ L$fhy¬.

4. `l¡gp X$pbp ̀ X$M¡ \C_¡ Dcp \hy¬.

5. b_¡ Ðep¬ ky^u X$pbp ̀ X$M¡ kyhy.

6. Of_p¡ õhÃR>, [pÅ¡ Mp¡fpL$ g¡hp¡.

7. Of_y¬ fp¡Æ¬]y$ L$pdL$pS> L$fu iL$pe R>¡.

8. `yóL$m âdpZdp¬ `pZu-âhplu g¡hy¬ (fp¡S>_y¬ 3 rgV$f) S>¡\u L$bÆep[ _ fl¡.

9. X$p·¼V$f Üpfp gM¡gu ]$hpAp¡ r_edu[ gp¡, Apmk L$fhu _rl.

10. L$p¡C ̀ Z L$pd _uQ¡ b¡ku_¡ L$fp¡ - L$df _ hpmp¡.

11. A¡L$]$d V$Ë$pf b¡kp¡, hp¬L$p hmu_¡ L¡$ ApNm _du_¡ _rl.



Dont's

1. qÜQ¾$u A_¡ rÓQ¾$u hpl_p¡dp¬ dykpafu V$pmp¡.

2. A¡L$]$d Qyõ[ L$`X$p ̀ l¡fhp _rl.

3. cpf¡ hS>_ KQL$hy¬ _rl.

4. `\pfudp¬\u A¡L$]$d TpV$L$p kp\¡ Dcp \hy _rl.

5. QÑp kyhy _rl.

6. KQu A¡X$uhpmp Q¬`g ̀ l¡fhp _rl.

7. KQpC ̀ f V¡$bg L¡$ õVy$g gC QY$hy¬ _rl.

8. A\pÏ-`p`X$ Mphp _rl.

9. blpf_y Mphp_y¬ Mphy¬ _rl.

10. [uMy¬-[m¡gy¬, h^pf¡ duW$phpmy¬ Mphp_y¬ g¡hy _rl.

11. Ofdp¬ hpkZ-L$`X$p ^p¡hp, L$Qfp-`p¡[p bpg]$u / X$åbp DQL$hp S>¡hp cpf¡ L$pd L$fhp _rl.

12. kdpNd-k¬cp¡N dpV¡$ X$p·¼V$f_u kgpl g¡hu S>ê$fu.

13. bp\-V$bdp¬ õ_p_ L$fhy¬ _rl.

14. h^y ̀ X$[u Qp L¡$ L$p¡au g¡hu _rl.

15. X$p·¼V$f_u kgpl hNf L$p¡C ̀ Z ]$hp g¡hu _rl.


Normal Pregnancy

Abortion


Ectopic Pregnancy

Incompetent OS


Twin Pregnancy

Doppler Sonography

3D / 4D Sonography

Abortion Haemorrhage


Disclaimer

l Ap ̀ qfQe ̀ ysõ[L$p dpÓ dpN®]$i®_ dpV¡$ S> R>¡.

l [¡_p¡ kpfhpf dpV¡$ Å[¡ D`ep¡N L$fhp¡ _rl.

l X$p·¼V$f_u kgpl hNf L$p¡C `Z Å[_u kpfhpf L$fhu _rl.


krishna nursing home final 1 - isha hospital...kncp®hõ\p_p â\d qfz (â\d Óz drl_p) author : dr....

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