fo|kfFkZ;ksa ds fy;s ekxZn”kZu

--------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 feyrs jgrs gSaA lHkh tkWpksa ds ckn ;g fu’d’kZ
fudyrk gS fd jksxh i<+kbZ ls] dksfpax ls rFkk vius lkfFk;ksa o
f”k{kdksa ds nckc ls ijs”kku gSA ;g ys[k mUgha fo|kfFkZ;ksa ds fy,
fy[kk x;k gS rkfd og vius dSfj;j ls lacaf/kr vFkok Hkkoukvksa ls
lacaf/kr dksbZ leL;k gks rks mldk funku fudky ik;sA ;g ys[k mUgs
ekxZn”kZu nsxkA blesa fn;s x;s 10 pj.kksa ij fopkj djsa ,oa bu ij
fparu djsa%&
1- 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
Øe”k%-----2

¼2½

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
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
Øe”k%-----3
¼3½

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
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
Øe”k%-----4

¼4½
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] 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
Øe”k%-----2

¼2½
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
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
Øe”k%-----3

¼3½

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
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
Øe”k%-----2
¼2½

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
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
Øe”k%-----3
¼3½

 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
 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
Øe”k%-----2
¼2½

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
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