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Protocolo de Vigilancia y Control de Lepra-INS

Protocolo de Vigilancia y Control de Lepra-INS

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Published by HSBCalidad
Protocolo de Vigilancia y Control de Lepra-INS
Protocolo de Vigilancia y Control de Lepra-INS

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Published by: HSBCalidad on Jun 06, 2012
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11/08/2012

 
 
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Uê`fmj : gk :<\krfòm> 55
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Lkbaj uròqfcj rk|ffòm>?5:7#5<
Kijodrjgd udr>Rjmwfj`d Kifj Ljg{i Ukrk~BdmwrjwfwjKz{fud L{mbfdmji W{okrb{idf@r{ud Kmlkrckgjgk WrjmcffoikLkbaj> ?5::$50$:;_k|fjgd udr>Ujwrfbfj Rjij R{ukUrdlkfdmji [mf|krfwjrfjKz{fud L{mbfdmji Fmc{mdurk|kmfoikLkbaj> ?5::$50$?;Jurdojgd udr>Grj- Gjmfh \jikrj Jmwkz{krjR{ogfrkbwdr gk \f`fijmbfj v Bdmwrdi km Rji{g UþoifbjLkbaj> ?5::$5<$:;
:- DONKWF\DR:-:- Donkwf|d `kmkrji
@kmkrjr fmldrcjbfòm þwfi) bdmlfjoik v dudrw{mj z{k ukrcfwj ki jmêiff gk ij fw{jbfòm gk ij ikurj v ij wdcjgk gkbffdmk lrkmwk j ij urk|kmbfòm v bdmwrdi gk kwj kmlkrckgjg km Bdidcofj-
:-? Donkwf|d kukbãlfbd
Gkwkrcfmjr ki fcujbwd gk ij jbbfdmk gki Urd`rjcj gk Bdmwrdi gk Ikurj km ij mjbfòm)gkujrwjckmwd) gfwrfwd v c{mfbfufd) ckgfjmwk ij k|ji{jbfòm gki bdcudrwjcfkmwd gk ij fmbfgkmbfj vurk|jikmbfj gk ij ikurj-K|ji{jr ij dudrw{mfgjg km ij bjuwjbfòm v gfj`mòwfbd gk id bjd gk ikurj km ki ujã v { rk`fdmk jwrj|æ gki udrbkmwjnk gk bjd bdm gfbjujbfgjg ji gfj`mòwfbd v ki wfud gk ikurj k`þm bijflfbjbfòmojbwkrfdiò`fbj-Gfl{mgfr id rk{iwjgd gk ij |f`fijmbfj v ki jmêiff gk ij fw{jbfòm gk ij ikurj j mf|ki mjbfdmji)gkujrwjckmwji) gfwrfwji v c{mfbfuji) |fmb{ijmgd km ki urdbkd j id gflkrkmwk jbwdrk gki Rfwkcj@kmkrji gk Rk`{rfgjg Rdbfji km Rji{g !R@RRR&-K|ji{jr ij jbbfdmk gk bdmwrdi v rkg{bbfòm gk ij wrjmcffòm gk ij ikurj j wrj|æ gki b{cuifcfkmwd gkij rkjif~jbfòm gk ij fm|kwf`jbfòm kufgkcfdiò`fbj gk bjcud) {jmgd bdcd fmgfbjgdr wrj~jgdr kiudrbkmwjnk gk bdm|f|fkmwk |jb{mjgd bdm OB@-K|ji{jr ij bjifgjg gk ij fmldrcjbfòm rkudrwjgj v ij jbbfdmk gk bddrgfmjbfòm kmwrk ki êrkj gk|f`fijmbfj km ji{g uþoifbj v ki Urd`rjcj gk Bdmwrdi gk ij Ikurj j mf|ki mjbfdmji) gkujrwjckmwji)gfwrfwji v c{mfbfuji j wrj|æ gk ij bdmbdrgjmbfj kmwrk ki mþckrd gk bjd mdwflfbjgd ji Rf|f`fij v idrkudrwjgd ji Urd`rjcj gk Bdmwrdi gk ij ikurj-
?- JIBJMBK
Kwk gdb{ckmwd gklfmk ij ckwdgdid`ãj ujrj id urdbkd gk mdwflfbjbfòm) rkbdikbbfòm v jmêiff gk idgjwd z{k drfkmwjrjm ij ckgfgj gk urk|kmbfòm v bdmwrdi gk id bjd gk ikurj) j mf|ki mjbfdmji)gkujrwjckmwji) gfwrfwji v c{mfbfuji-
2- _KRUDMRJOFIFGJG
K rkudmjofifgjg gki Fmwfw{wd Mjbfdmji gk Rji{g j wrj|æ R{ogfrkbbfòm gk |f`fijmbfj v bdmwrdi km ji{guþoifbj) kcfwfr id ujrêckwrd ujrj rkjif~jr ij |f`fijmbfj j wrj|æ gk kwk gdb{ckmwd) v gk id jbwdrk gkifwkcj>Cfmfwkrfd gk ij Urdwkbbfòm Rdbfji#Bkmwrd Mjbfdmji gk Kmijbk-Fmwfw{wd Mjbfdmji gk Rji{g#R{ogfrkbbfòm gk |f`fijmbfj v bdmwrdi km ji{g uþoifbj-[mfgjgk mdwflfbjgdrj> Kmwfgjgk wkrrfwdrfjik gk bjrêbwkr mjbfdmji) gkujrwjckmwji) gfwrfwji v c{mfbfuji-[mfgjgk urfcjrfj `kmkrjgdrj gk gjwd> Kmwfgjgk gk bjrêbwkr uþoifbd v urf|jgd z{k bjuwjm idk|kmwd gk fmwkræ km ji{g uþoifbj-
 
 
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Lkbaj uròqfcj rk|ffòm>?5:7#5<
Kijodrjgd udr>Rjmwfj`d Kifj Ljg{i Ukrk~BdmwrjwfwjKz{fud L{mbfdmji W{okrb{idf@r{ud Kmlkrckgjgk WrjmcffoikLkbaj> ?5::$50$:;_k|fjgd udr>Ujwrfbfj Rjij R{ukUrdlkfdmji [mf|krfwjrfjKz{fud L{mbfdmji Fmc{mdurk|kmfoikLkbaj> ?5::$50$?;Jurdojgd udr>Grj- Gjmfh \jikrj Jmwkz{krjR{ogfrkbwdr gk \f`fijmbfj v Bdmwrdi km Rji{g UþoifbjLkbaj> ?5::$5<$:;
7- GKLFMFBFDMKR
Ij bdmwkmfgj km ki Gkbrkwd 2;:1 gk dbw{ork 6 gk ?55< gki Cfmfwkrfd gk ij Urdwkbbfòm Rdbfji udr ki b{jik brkj v rk`ijckmwj ki Rfwkcj gk |f`fijmbfj km ji{g uþoifbj v k gfbwjm dwrj gfudfbfdmk-
;- BDMWKMFGD;-:- Fcudrwjmbfj gki k|kmwd;-:-:- Gkbrfubfòm gki k|kmwd
Ij ikurj k {mj kmlkrckgjg fmlkbbfdj bròmfbj) `rjm{idcjwdj) urdg{bfgj udr {m ojbfid êbfgd jibdadirkfwkmwk !OJJ_& bdmdbfgd bdcd ojbfid gk Ajmkm) z{k jlkbwj urfmbfujickmwk id mkr|fd ukrflærfbd v ijufki- Kmwrk id f`md v ãmwdcj gk ij kmlkrckgjg k urkkmwjm gkbdidrjbfdmk d cjmbaj km ij ufki)bdm uærgfgj gk ij kmfofifgjg8 kwj k gk k|di{bfòm ikmwj v gk jb{krgd j { urd`rkfòm u{kgk `kmkrjrjiwkrjbfdmk km ki wrjbwd rkufrjwdrfd {ukrfdr) id uêrujgd) ij cjmd) id ufk) ki udid jmwkrfdr gki `idoddb{ijr) id wkwãb{id v ki rfúòm8 fmbi{d u{kgk iik`jr j urdg{bfr `rj|k gkldrcfgjgk k fmbjujbfgjgk fmd k rkbfok wrjwjcfkmwd dudrw{mjckmwk-
Jukbwd GkbrfubfòmJ`kmwk kwfdiò`fbd
Cvbdojbwkrf{c ikurjk)
bdmdbfgd bdcd ojbfid gk Ajmkm) k fmwrjbki{ijr doif`jwdrfd) md b{iwf|joik vêbfgd#jibdadi rkfwkmwk- Rk gf|fgk bjgj gd kcjmj km urdckgfd) k ij þmfbj ojbwkrfj z{k kjidnj km ki fwkcj mkr|fdd ukrflærfbd v urdg{bk gjúd mk{rji) { bæi{ij oijmbd urfcjrfj dm ijgk Rbapjmm v id cjbròlj`d- Wjcofæm ukmkwrj ji kmgdwkifd gki cþb{id ifd v id z{krjwdbfwd-Ckgfjmwk bdmlfrcjbfòm udr fmdb{ijbfòm j ij jicdajgfiij uijmwjr gki rjwòm k aj gkcdwrjgd z{kdork|f|k> Km gflkrkmwk jcofkmwk kqwrjbki{ijrk) kukbfjickmwk j wkcukrjw{rj gk 22µ B-kbjgd j ij dcorj) ; ckk v km ki {kid aþckgd) 7< gãj) km di{bfòm jifmj) j wkcukrjw{rjjcofkmwk) dork|f|k <5 gãj) km jibdadi dork|f|k 25 cfm{wd v rklrf`krjgd kmwrk 7µB v #?5µB <5gãj- K {m ojbfid bdm {mj rkg{bbfòm k|di{wf|j mdwdrfj) id b{ji fmli{vk km { fmbjujbfgjg gkb{iwf|jrk v km { mkbkfgjg gk kr fmwrjbki{ijr doif`jwdrfd) ki `kmk ojbfijr rudO k jdbfj bdmrkfwkmbfj j ij rfljcufbfmj v ki ldiU:) bdm rkfwkmbfj j ij gjudmj-
_kkr|drfd
Id krk a{cjmd-
Cdgd gk wrjmcffòm
Rk gj km ldrcj gfrkbwj) udr fmajijbfòm gk kbrkbfdmk gki wrjbwd rkufrjwdrfd {ukrfdr !mjrf~ v odbj&gkrf|jgj gk ij bdm|f|kmbfj urdidm`jgj gk {mj ukrdmj {bkuwfoik bdm {m kmlkrcd md wrjwjgd-
Ukrãdgd gkfmb{ojbfòm
\jrãj gk 6 ckk j :5 júd8 ki urdckgfd k urdojoikckmwk 7 júd ujrj ij ikurj w{okrb{idfgk v 1júd ujrj ij ikurj ikurdcjwdj-
Ukrãdgd gkwrjmcffòm
Ki bjd gknj gk kr fmlkbwjmwk j id wrk ckk gk wrjwjcfkmwd bdmwfm{d v rk`{ijr bdm gjudmj dbidlj~fcfmj v j id wrk gãj gk wrjwjcfkmwd bdm rfljcufbfmj !:&-
R{bkuwfofifgjg
Bkrbj gk 65+ gk ij udoijbfòm k rkfwkmwk mjw{rji ji
Cvbdojbwkrf{c ikurjk
) k gkbfr) ki fmgf|fg{dk u{kgk fmlkbwjr) ukrd md k kmlkrcj- Kwj rkfwkmbfj mjw{rji urd|fkmk gk ij rku{kwj fmc{mk)ij cj`mfw{g v lrkb{kmbfj gk ij kqudfbfòm ji ojbfid v gk ij urdwkbbfòm br{~jgj bdmlkrfgj udr ij|jb{mj OB@-
 
 
U_DBKRD _#5?\F@FIJMBFJ V BDMW_DIKM RJI[G UÞOIFBJ
 
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U_D#_5?-552-5555#5:0
Lkbaj uròqfcj rk|ffòm>?5:7#5<
Kijodrjgd udr>Rjmwfj`d Kifj Ljg{i Ukrk~BdmwrjwfwjKz{fud L{mbfdmji W{okrb{idf@r{ud Kmlkrckgjgk WrjmcffoikLkbaj> ?5::$50$:;_k|fjgd udr>Ujwrfbfj Rjij R{ukUrdlkfdmji [mf|krfwjrfjKz{fud L{mbfdmji Fmc{mdurk|kmfoikLkbaj> ?5::$50$?;Jurdojgd udr>Grj- Gjmfh \jikrj Jmwkz{krjR{ogfrkbwdr gk \f`fijmbfj v Bdmwrdi km Rji{g UþoifbjLkbaj> ?5::$5<$:;
Jukbwd GkbrfubfòmLjbwdrk gk rfk`d
Id ljbwdrk gk rfk`d jdbfjgd bdm ij urkkmbfj gk {m bjd m{k|d gk ikurj dm gkm{wrfbfòm)ajbfmjcfkmwd v {bkuwfofifgjg fmc{mdiò`fbj gk ij ukrdmj fmlkbwjgj8 ij ikurj md k akrkgfwjrfj-Kqfwkm dwrd gkwkrcfmjmwk bdcd ki jcofkmwk lãfbd) dbfji v kbdmòcfbd) z{k fmbi{vkm ij udork~jv ij urkkmbfj gk ujbfkmwk fm wrjwjcfkmwd--
Ljbwdrk gkurdwkbbfòm
Ij |jb{mjbfòm bdm OB@ k klfbj~ km ij urdwkbbfòm lrkmwk j ij ikurj ajwj km {m 05+) fkmgd cêklfbj~ bdm uj{wj gk jgcfmfwrjbfòm rkukwfgj !?&) !2&) !7& k aj fgkmwflfbjgd z{k ij bfbjwrf~ OB@ km{m bdmwjbwd fmgfbjrãj z{k k {m fmgf|fg{d gk ojnd rfk`d- Udr wji rj~òm k rkbdcfkmgj { juifbjbfòmj bdm|f|fkmwk md dukbadd gk ikurj fmgkukmgfkmwkckmwk gk ij kgjg-Ji bdm|f|fkmwk z{k urkkmwk bfbjwrf~ gk |jb{mjbfòm OB@ urk|fj k ik gkok juifbjr {mj gdf gkOB@8 ji z{k MD ij urkkmwk) k ik gkok juifbjr {mj gdf gk OB@ v {m rkl{kr~d < ckk cêwjrgk !;&-
;-:-?- Bjrjbwkrf~jbfòm kufgkcfdiò`fbj
 Km :66:) ij 77
j J
Jjcoikj C{mgfji gk ij Rji{g jurdoò ij urdu{kwj gk kifcfmjr ij ikurj bdcd urdoikcjgk ji{g uþoifbj ujrj ki júd ?555- Ij kifcfmjbfòm k gklfmfò bdcd ij rkg{bbfòm gk ij wjj gk urk|jikmbfjj ckmd gk {m bjd udr :5-555 ajofwjmwk) id b{ji f`mflfbjoj ij rkg{bbfòm gk ij urk|jikmbfj j mf|kikc{v ojnd) bdm id b{jik k bdmfgkrjoj z{k ij wrjmcffòm krj c{v ifcfwjgj-Km ki ?55<) ij Dr`jmf~jbfòm C{mgfji gk ij Rji{g kújiò z{k) j ukjr gk z{k ij bjr`j gk ij ikurj k ajrkg{bfgd {wjmbfjickmwk) km ki l{w{rd k`{frêm jujrkbfkmgd m{k|d bjd km ij cjvdrãj gk id ujãkgdmgk jbw{jickmwk k kmgæcfbj ij kmlkrckgjg !<&- Udr kiid k bdmfgkrò {r`kmwk v mkbkjrfd klkbw{jrbjcofd km ij dr`jmf~jbfòm gki bdmwrdi gk ij ikurj) ujrj id`rjr ij ckwj gk kifcfmjbfòm) rkg{bfr ij bjr`j gkij kmlkrckgjg v dwkmkr id kr|fbfd gk bdmwrdi g{rjmwk c{bad júd- Ujrj wji lfm k gfkúò ij
kwrjwk`fj c{mgfji ?55<#?5:5 ujrj jif|fjr ij bjr`j gk ij ikurj v dwkmkr ij jbwf|fgjgk gk bdmwrdi gk ij kmlkrckgjg-
 Jm{jickmwk k gfj`mdwfbjm jirkgkgdr gk 055-555 bjd m{k|d gk ikurj8 gk id b{jik :?5-555 kurkkmwjm km mfúd- Gk :?? ujãk km id b{jik km :61; ij kufgkcfj krj kmgæcfbj) :51 ajm id`rjgdkifcfmjrij bdcd {m urdoikcj gk ji{g uþoifbj urfdrfwjrfd !0&- Fmgfj) Mkuji v Ofrcjmfj j`r{ujm ki 01+ gkid bjd gkwkbwjgd km ki c{mgd) fkmgd ij Fmgfj ki ujã bdm cjvdr mþckrd gk kmlkrcd) k`{fgd udrOrjfi) z{k j`r{uj ki 15+ gk id bjd gki bdmwfmkmwk {gjckrfbjmd-Km ki ?556 {m wdwji gk :?: ujãk rkudrwjrdm bjd j ij DCR8 ki mþckrd gk bjd urk|jikmwkrk`fwrjgd j urfmbfufd gki júd l{k gk ?:2-52<- Ij gkwkbbfòm gk m{k|d bjd aj fgd urd`rkf|jckmwkgfcfm{vkmgd gkofgd j ij fcuikckmwjbfòm gk ij udifz{fcfdwkrjufj !UZW&- Ij rk`fdmk gdmgk k rk`fwròki cjvdr mþckrd gk bjd m{k|d g{rjmwk ki ?551 l{krdm ki {gkwk jfêwfbd !:<0-;5; bjd& v ijJcærfbj !7:-16:&-Bdidcofj jibjm~ò ij ckwj gk kifcfmjbfòm gk ij kmlkrckgjg km :660- Ujrj id júd ?550 v ?551 didMdrwk gk Rjmwjmgkr urkkmwò urk|jikmbfj udr kmbfcj gk {m bjd udr :5-555 ajofwjmwk- Km b{jmwd j idc{mfbfufd gki ujã) ujrj ki júd ?55;) 10 jþm wkmãjm urk|jikmbfj udr kmbfcj gk ij ckwj gk kifcfmjbfòm-Ckmd gki :5 + gk id bjd k gfj`mdwfbjm bdcd ikurj fmgkwkrcfmjgj) ij ldrcj gk bdcfkm~d gk ijkmlkrckgjg- Kqfwkm bjd wãufbd bdm gfj`mòwfbd cægfbd md dukbajgd g{rjmwk cê gk :5 júd8f`{jickmwk) md dm rjrd id bjd gk ikurj fmljmwfi- Ki 25 + gk id bjd m{k|d wfkmk ji`þm wfud gkgfbjujbfgjg v ki :5 + gk kiid urkkmwj gfbjujbfgjg `rjgd ?- Id jmwkrfdr k fmgfbjwf|d gk ij ljiwj gk

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