Z…Zxq Aa¨vq

A¨vmvBb‡g›U

wkï ¯^v¯’¨ †mev

GAviAvB

BwcAvB I we`¨vjq ¯^v¯’¨ Kg©m~wP

m~wPcÎ

GAviAvB

1 k¦vmZ‡š¿i MVb I Kvh©vejx

GAviAvB (Kvwk A_ev k¦vmKó): KviY, cwiw¯’wZ
GAviAvB †iv‡Mi †kÖYxweb¨vm I jÿYmg~n
BwZnvm MÖnY I kvixwiK cixÿv
GAviAvB †iv‡Mi e¨e¯’vcbv
GAviAvB †iv‡M Gw›Uev‡qvwUK e¨envi
GAviAvB e¨e¯’vcbvi wfwWI cÖ`k©b
ûBR () Gi e¨e¯’vcbv
GAviAvB msµvšÍ AvPiY cwieZ©‡b †hvMv‡hvM
GAviAvB msµvšÍ †Km ÷vwW I †ivj †cø
BwcAvB I we`¨vjq ¯^v¯’¨ Kg©m~wP

1 evsjv‡`‡k BwcAvB Kg©m~wP

wVKvbv wKfv‡e †`n‡K iÿv K‡i Ges 8wU †iv‡Mi weiæ‡× wK wUKv
cÖ`vb Kiv nq|
cÖwZ‡iva‡hvM¨ 4wU †ivM (abyósKvi, wWc‡_wiqv) (ûwcs Kvwk I h²v)
Gi RxevYyi bvg, jÿY, cÖwZ‡iva
‡cvwjI gvBjvBwUm, nvg, †ncvUvBwUm-we †iv‡Mi RxevYyi bvg, jÿY I
cÖwZ‡iva
wkï I gwnjv‡`i wUKvi bvg, †WvR, mgqm~wP
wUKv`vb bxwZgvjv
wUKvi cvk¦©-cÖwZwµqv I RwUjZvi e¨e¯’vcbv
‡Kvì †PBb
wUKv msiÿ‡Yi ZvcgvÎv I bxwZgvjv
wUKv`vb miÄvg RxevYygy³KiY
wmwiÄ ms‡hvRb I GwW (A‡UvwW‡Rej) wmwiÄ
wUKv mswgkÖY
wUKv (Bb‡RKkb) cÖ‡qvM
GGdwc I BwcAvB †ivM wbixÿY
we`¨vjq ¯^v¯’¨ Kg©m~wP
 k¦vm Z‡š¿i MVb I Kvh©vejx

k¦vmZ‡š¿i MVb

k¦vmZ‡š¿i msµgY eyS‡Z n‡j cÖ_‡g k¦vmZ‡š¿i MVb I Kvh©vejx Rvbv

Acwinvh©| k¦vmZ‡š¿i wewfbœ A½¸‡jv n‡”Q-

 bvK/bvwmKv MnŸi (Nasal cavity)

 Mjbvjx ()
 ¯^ihš¿ ()
 dzmdzm ()
 Wvb Ges evg ()
 evqy‡Kvl

k¦vm-cÖk¦v‡mi cÖ‡qvRbxqZvt

Rxeb avi‡Yi Rb¨ †hgb Lv`¨ I cvbxq `ª‡e¨i cÖ‡qvRb †Zgwb †eu‡P _vKvi Rb¨
k¦vm-cÖk¦v‡mi cÖ‡qvRb| Lv`¨ Qvov gvbyl K‡qK w`b euvP‡Z cv‡i, wKš‘ k¦vm-
cÖk¦vm Qvov gvbyl K‡qK gyûZ©I euvP‡Z cv‡i bv|

k¦vmZ‡š¿i ¯^vfvweK Kvh©vejx

cÖwZevi k¦vm MÖn‡Yi mgq Aw·‡Rb mg„× evZvm bvK ev gyL w`‡q †`‡n cÖ‡ek
K‡i| k¦vmbvjxi wewfbœ As‡ki ga¨ w`‡q GB evZvm dzmdz‡mi evqy‡Kvl ch©šÍ
†cuŠ‡Q|

k¦vm-cÖk¦v‡mi nvi MYbv

k¦vm-cÖk¦v‡mi nvi MYbvi Rb¨ †PKwjó AbymiY Kiæb| GLv‡b D‡jøL¨ †h k¦vm-
cÖk¦v‡mi nvi MYbvi mgq †ivMxi ey‡Ki Kvco mwi‡q wb‡eb|

k¦vm-cÖk¦v‡mi nvi wjwce× Kivi ¸iæZ¡

  wjwce× _vK‡j avivevwnKfv‡e †ivMxi Ae¯’v eySv hvq|
 PvU© †`‡L cÖ‡qvRbxq e¨e¯’v MÖnY Kiv hvq|

GAviAvBt KviY, cwiw¯’wZ I M„nxZ Kg©m~wP

k¦vmZ‡š¿i msµgY (GAviAvB)

bvK †_‡K dzmdzm ch©šÍ k¦vmZ‡š¿i †h †Kvb Ask †ivM RxevYy Øviv msµwgZ
n‡j Zv‡K GAviAvB ejv nq|

evsjv‡`‡k G.Avi.AvB cwiw¯’wZ

 nvmcvZv‡j fwZ© wkï‡`i g‡a¨ 30-40% G.Avi.AvB Gi Kvi‡Y fwZ© nq|

 evsjv‡`kx wkïiv mvaviYZ M‡o eQ‡i cÖvq 7-9 evi G.Avi.AvB †iv‡M
AvµvšÍ nq|
 k¦vmZ‡š¿i msµg‡Y hZ wkï AvµvšÍ nq Zvi kZKiv 50 fvMB 1 eQ‡ii Kg
eqmx|
 G.Avi.AvB AvµvšÍ †gvU wkï 43% wbD‡gvwbqvq AvµvšÍ|

G.Avi.AvB Kg©m~wPt D‡Ïk¨ I ev¯Íevqb †KŠkj

2000 mv‡ji g‡a¨ 5 eQi Gi Kg eqmx wkï‡`i g„Zz¨nvi GK Z…Zxqvsk Kwg‡q

Avbvi RvZxq jÿ¨‡K mvg‡b †i‡L 1992 mv‡j miKvwifv‡e wkï‡`i G.Avi.AvB †ivM
wbqš¿b Kg©m~wP Pvjy n‡qwQj|

Kg©m~wPi D‡Ïk¨ wQj

 Gw›Uev‡qvwU‡Ki h_vh_ e¨envi wbwðZ Kiv|

 gv I ¯^v¯’¨Kg©x‡K †idv‡ij msµvšÍ Z_¨ cÖ`vb|
 wkï‡`i G.AvB.AvB RwUjZvi nvi Kwg‡q Avbv|
ev¯Íevqb †KŠkj

 evwo‡Z I ¯^v¯’¨‡K‡›`ª †iv‡Mi e¨e¯’vcbvi Dbœqb|

 ¯^v¯’¨ wkÿv
 ‡hvMv‡hvM|

G.Avi.AvB †iv‡Mi †kÖYx wefvM I jÿY

G.Avi.AvB †iv‡Mi †kÖYxweb¨vm

mwVK wPwKrmv cÖ`v‡bi D‡Ï‡k¨ G.AvB.AvB †ivM‡K wkïi eqm Abyhvqx

wb¤œwjwLZ Dcv‡q †kÖYxweb¨vm Kiv n‡q‡Q|

wkïi eqm 0-2 gvm wkïi ehm 2 gvm-5eQi

* Lye gvivZ¥K †ivM * Lye gvivZ¥K †ivM

* gvivZ¥K wbD‡gvwbqv * gvivZ¥K wbD‡gvwbqv

* wbD‡gvwbqv bq, Kvwk A_ev mw`© * wbD‡gvwbqv

†iv‡Mi iÿY/wPý

Kvwk A_ev k¦vmKó, mv‡_ G.Avi.AvB Gi AvIZvf~³ cÖwZwU †kÖYx †iv‡Mi

jÿY/wPý _v‡K|

BwZnvm MÖnY I kvixwiK cixÿv

BwZnvm MÖnY

wR‡Ám Kiæb

* wkïi eqm KZ?

* wkïwUi wK Kvwk A_ev k¦vmKó Av‡Q?

* 2 gvm †_‡K 5 eQ‡ii wkït wkïwU wK cvbxq ev Zij Lvevi MÖnY Ki‡Z cv‡i?

* 0 †_‡K 2 gvm Gi wkï t wkïwU wK ey‡Ki `ya †U‡b †L‡Z cv‡i?

kvixwiK cixÿvi wbqgvejxt

cixÿv Kivi mgq ch©vqµwgK avc AbymiY Kiv LyeB ¸iæZ¡c~Y©| cÖwZwU avc
cvi nIqvi mv‡_ mv‡_ cÖvß Z‡_¨i †iKW© ivLyb| k¦vmwµqv ch©‡eÿ‡Yi mgq wkï
†hb kvšÍ ev NygšÍ _v‡K|

k¦vm †bqvi mgq ey‡Ki cv‡ii wb‡Pi Ask †fZ‡ii w`‡K †P‡c hv‡”Q wKbv †Lqvj
Kiæbt

eyK †fZ‡ii w`‡K †P‡c hv‡”Q wKbv Zv wkïi k¦vm MÖn‡Yi mgq †`Lyb| hw` k¦vm
†bevi mgq wkïi ey‡Ki wb‡P Ask A_©vr cuvR‡ii wb‡Pi Ask †fZ‡ii w`‡K †P‡c
hvq Zvn‡j eyS‡Z n‡e Zvi eyK †fZ‡ii w`‡K Pvcvi mgm¨v Av‡Q|

÷ªvBW‡ii Rb¨ †`Lyb I ïbybt

Avcbvi Kvb wkïi gy‡Li Kv‡Q wb‡q †kvbvi †Póv Kiæb| wkï k¦vm wfZ‡i †bevi
mgq †h KK©k kã nq Zv‡K ÷ªvBWi _vK‡j eyS‡Z n‡e wkï wec`¾bK Ae¯’vq
Av‡Q|

G.Avi.AvB †iv‡Mi e¨e¯’vcbv

2 gv‡mi Kg eqmx wkï‡`i G.Avi.AvB e¨e¯’vcbv

†iv‡Mi jÿYt

 fvjfv‡e †L‡Z bv cviv|

 A¯^vfvweK Nyg Nyg fve ev mn‡R Nyg fv½v‡bv hvq bv|
 k¦vm cÖk¦v‡mi mv‡_ nuvcvwbi gZ muvB muvB kã|
  R¡i ev kix‡iii ZvcgvÎv ¯^vfvwe‡Ki PvB‡Z Kg|

†iv‡Mi †kÖYxwefvMt

 Lye gvivZ¥K †ivM

 gvivZ¥K wbD‡gvwbqv
 wbD‡gvwbqv bqt mw`© ev Kvwk
 evi evi ey‡Li `ya LvIqvb|

G.Avi.AvB †iv‡M Gw›Uev‡qvwU‡Ki e¨envi

G.Avi.AvB †iv‡M AvµvšÍ wkï‡`i AwaKvskB mw`© Ges Kvwk‡Z †fv‡M hv

wkï‡`i Rxe‡bi Rb¨ SuywKc~Y© bq| GB mw`© Ges Kvwk g~jZ fvBivm RwbZ
Ges mvaviYZ Ggwb‡ZB †m‡i hvq|

Gw›Uev‡qvwUK e¨envi wbqgvejx

 Gw›Uev‡qvwUK †`evi Av‡M wkïi eqm †`‡L †WvR wba©viY K‡i wbb|
 m¤¢e n‡j 1g †WvR Gw›Uev‡qvwUK ev”Pv‡K ¯^v¯’¨ †K‡›`ª LvB‡q w`b|
 nvmcvZv‡j †cÖiY m¤¢e bv n‡jt-cÖwZ 12 N›Uv ci ci Ggwcwmwjb
Bb‡RKkb w`b 5 w`b|
 Zvici gy‡L LvIqvi h_vh_ Gw›Uev‡qvwUK 5 w`b Pvwj‡q †gvU 10 w`b
c~iY Kiæb|
 ‡idv‡ij cÖ‡hvR¨ bv n‡j A_©vr mvaviY wbD‡gvwbqvq 5 w`‡bi Rb¨ gy‡L
LvIqvi Gw›Uev‡qvwUK w`b|

Gw›Uev‡qvwUK msµvšÍ cÖ‡qvRbxq civgk©

 KLb, wK cwigv‡Y I KZevi w`‡Z n‡e gv‡K we¯ÍvwiZ e¨vL¨v K‡i eywS‡q
w`b|
  Gw›Uev‡qvwUK U¨ve‡jUwU ¸‡ov K‡i Aí Lvevi †hgb RvD, cv‡qm
BZ¨vw`i mv‡_ wgwk‡q wb‡Z ejyb|
 evwo‡Z h‡Zœi e¨vcv‡i gv‡K civgk© w`b|
 ‡h B‡ÄKkb cv‡”Q Zv‡K cÖwZw`b ¯^v¯’¨ †K‡›`ª wb‡q Avmvi ¸iæZ¡ gv‡K
eywS‡q ejyb|

G.Avi.AvB e¨e¯’vcbvi wfwWI cÖ`k©b

wfwWI cÖ`k©b

D‡Ïk¨t wfwWI cÖ`k©b †k‡l cÖwkÿYv_©xMY-

 ‡iv‡Mi cÖK…wZ wbY©q Ges e¨e¯’vcbvi welqwU ¯úófv‡e eySv‡Z ev

Dcjwä Ki‡Z cvi‡eb Ges cÖ‡qvRbxq e¨vL¨v w`‡Z cvi‡eb|
 wfwWIi gva¨‡g Abykxjb Ki‡Z cvi‡eb|

ûBR Gi e¨e¯’vcbv

wkï cÖ_gev‡ii gZ ûBRG AvµvšÍt

 hw` k¦vmKó _v‡K rapid acting broncho-dilator w`b Ges †idvi Kiæb (rapid
acting bronchodilator) bv _vK‡j oral sulbutamol w`‡q †idvi Kiæb|

G.Avi.AvB msµvšÍ AvPiY cwieZ©‡b †hvMv‡hvM

AvšÍt e¨w³K †hvMv‡hvMt

mivmwi ev gy‡LvgywL K_vevZ©v ev wewfbœ Awfe¨w³ I A½ fw½i gva¨‡g

†hvMv‡hvMKvix hLb †KejgvÎ GKRb ev †Kvb GKwU `‡ji mv‡_ Z_¨, aviv,
Abyf~wZ Av`vb cÖ`vb K‡ib ZLb Zv‡K AvšÍt e¨w³K †hvMv‡hvM ejv nq|

G.Avi.AvB msµvšÍ †Km ÷vwW I †ivj †cø

 †Km-dwi`v

dwi`vi eqm 18 gvm| Aí wKQz w`b nq Kvwk‡Z fzM‡Q| ZvB, Ii gv I‡K ¯^v¯’¨
†K‡›`ª wb‡q G‡m‡Qb| gv g‡b K‡i‡Qb Ii Mv mvgvb¨ Mig wKš‘ KLbI wLuPzwb
n‡q‡Q wKbv Zv ej‡Z cvi‡Qb bv| k¦v‡mi nvi cÖwZ wgwb‡U 38| eqm Abyhvqx
I‡K AZ¨šÍ †QvU †`Lv‡”Q Ges g‡b nq gvivZ¥K Acywó‡Z fzM‡Q|

m¤úªmvwiZ wUKv`vb Kg©m~wP (BwcAvB) ej‡Z wK eySvq?

evsjv‡`k miKvi e¨vcK wfwËK msµvgK †ivM cÖwZ‡iv‡ai Rb¨ 1979 mv‡ji 7
GwcÖj GKwU wUKv`vb Kg©m~wP MÖnY K‡ib| GwUB m¤úªmvwiZ wUKv`vb
Kg©m~wP () bv‡g AwfwnZ Kiv|

evsjv‡`‡k B wc AvB Kg©m~wPi jÿ¨

-wkï I gvZ… g„Zz¨i nvi Ges c½y‡Z¡i nvi Kgv‡bv|

Dw`ó Rb‡Mvóx

 0-11 gvm eqmx mKj wkï|

 15-49 eQi eq¯‹v mKj mšÍvb aviYÿg gwnjv|

‡ivM cÖwZ‡iva ÿgZv ej‡Z wK eySvq

 †ivM Rxevby (Gw›U‡Rb) kixi AvµvšÍ K‡i|

 mvaviYZ RxevYy kix‡i †XvKvi ci kix‡i G¨vw›UewW ˆZwi nq|
 G¨vw›UewW G¨vw›U‡Rb‡K aŸsm K‡i|
 wUKvi gva¨‡g g„Z ev `ye©i †ivM RxevYy Drcvw`Z exR Bb‡RKkb ev
gy‡Li gva¨‡g kix‡i cÖ‡qvM Kiv nq|
 d‡j kix‡i h‡_ó G¨vw›UewW ev cÖwZ‡laK ˆZwi nq| ZvB †ivM nq bv|

cÖwZ‡iva‡hvM¨ wUKv¸‡jv wK wK †ivM cÖwZ‡iva K‡i

  †c›Uvf¨v‡j›U wUKv = abyósKvi, wWc‡_wiqv, ûwcs Kvwk, RwÛm|
 wewmwR wUKv = h²v
 ‡cvwjI wUKv = †cvwjI gvBjvBwUm|

beRvZ‡Ki (0 †_‡K 28 w`b) abyósKvi

KviYt wkïi g‡ji gva¨‡g wbM©Z GB †iv‡Mi RxevYy gvwUi mv‡_ wg‡k _v‡K|
wkïi R‡b¥i ci Acwi®‹vi Qzwi KuvwP ev †eøW w`‡q bvox KvU‡j gqjv Kvco
e¨envi Ki‡j beRvZ wkïi abyósKvi nq|

wWc‡_wiqvi KviYt

ÿz`ª GK cÖKvi RxevYy wWc‡_wiqv †ivMvµvšÍ wkïi nuvwP Kvwki gva¨‡g

evZv‡m Qwo‡q c‡o| RxevYyi bvg KiYxe¨vK‡Uwiqvg wWc‡_wiqv e¨vK‡Uwiqv|

ûwcs Kvwki KviYt

ûwcs Kvwk‡Z AvµvšÍ wkï nuvwP Kvwk †`qvi mgq evZv‡mi gva¨‡g GB †ivM
Qovq|

wkï‡`i h²vt h²v †iv‡M AvµvšÍ †jv‡Ki mv‡_ G †ivM Qovq| RxevYyi bvg
Mycobacterium tuberculosis.

‡cvwjI gvBjvBwUm Gi KviYt

AvµvšÍ wkïi gj Øviv `ywlZ cvwb †L‡j ev AvµvšÍ wkïi ms¯ú‡k© G‡j GB †ivM
n‡Z cv‡i| RxevYyi bvg †cvwjI fvBivm|

nv‡gi KviYt

nv‡g AvµvšÍ wkïi KvQ †_‡K GB †iv‡Mi RxevYy evZv‡mi gva¨‡g my¯’ wkïi
kix‡i cÖ‡ek K‡i Ges nvg †ivM m„wó K‡i| RxevYyi bvg nvg fvBivm|

‡ncvUvBwUm-we Gi KviYt
†ncvUvBwUm-we bvgK RxevYyi gva¨‡g G †ivM nq|

wn‡gvdvBjvm Bbd¬z‡qÄv-wet

GB †iv‡Mi RxevYy †ivMvµvšÍ wkïi nuvwP Kvwki gva¨‡g evZv‡m Qovq|

gwnjv‡`i wUwU wUKvi mZK©evYx

1| me©wb¤œ weiwZi Av‡M wUKv w`‡j Zv Kvh©Kix n‡e bv Ges GB †WvRwU

evwZj e‡j MY¨ n‡e|

2| gvÎvi gva¨‡g weiwZi †Kvb m‡e©v”P mxgv †bB|

3| hZ †`ix K‡iB cieZ©x wba©vwiZ wUKv wb‡Z AvmyK bv †Kb Zv‡K 5 †WvR
wUwU wUKvi wmwWDj gZ wba©vwiZ wUKv w`b|

4| †Wv‡Ri AwaKv wUKv †`qvi cÖ‡qvRb †bB|

†Km ÷vwW/NUbv we‡kølY Ges m¤¢ve¨ ev¯Íe cÖkœgvjv

1| wZb gvm eqmx ivby‡K gv wUKv w`‡Z G‡b‡Qb| ivbyi mvgvb¨ R¡i I Wvqwiqv
Av‡Q| Avcwb wK Zv‡K wUKv w`‡eb| wUKv hw` †`b Zvn‡j †Kvb wUKv
w`‡eb? hw` wUKv bv †`b, †Kb w`‡eb bv? Av‡jvPbv Kiæb|

wUKv`vb bxwZgvjv

1| R‡b¥i ci ciB GK †WvR †cvwjI wUKv LvIqv‡bv hvh (Iwcwf-0)| hw` Zv R‡b¥i
ci †_‡KB 6 mßvn eq‡mi Av‡M LvIqv‡bv nq Z‡e GB †WvR AwZwi³ wn‡m‡e
MY¨ Ki‡Z n‡e Ges 6 mßvn eqm †_‡K wbqg gZ Av‡iv 4 †WvR †cvwjI wUKv
LvIqv‡Z n‡e|

2| †h mKj wkï ¯^v¯’¨ †K‡›`ª ev nvmcvZv‡j Rb¥ MÖnY K‡i Zv‡`i‡K QvocÎ †`qvi
Av‡M wewmwR Ges †cvwjI wUKv w`‡Z n‡e|
3| R‡b¥i ci GK erm‡ii g‡a¨B wkï‡K meKqwU wUKvi me KqwU †WvR m¤ú~Y©
Ki‡Z n‡e| G Rb¨ wkï‡K 4 evi wUKv †K‡›`ª Avb‡Z n‡e|

4| 9 gvm cvi n‡i nv‡gi wUKvi mv‡_ wfUvwgb-G w`‡Z n‡e|

wUKvi cvk¦© cÖwZwµqv I RwUiZvi e¨e¯’vcbv

gv‡S gv‡S mvgvb¨ cvk¦© cÖwZwµqv †`Lv w`‡jI Zv Lye Kg †ÿ‡Î gvivZ¥K n‡q
_v‡K| wb‡Pi Pv‡U© wewfbœ wUKvi m¤¢ve¨ wK wK cvk¦© cÖwZwµqv n‡Z
cv‡i Ges †mRb¨ wK e¨e¯’v MÖnY Ki‡Z n‡e Zv †`Lv‡bv n‡jv|

wUKvi cvk¦© cÖwZwµqv I e¨e¯’vcbv

wUKv m¤¢ve¨ cvk¦© cÖwZwµqv e¨e¯’vcbv

‡c›Uvf¨v‡j›U -2-3 evi mvgvb¨ R¡i| -wkï‡K cÖPzi cwigvY Zij
- wUKvi ¯’v‡b mvgvb¨ †dvjv Lv`¨ w`‡Z n‡e Ges gv‡qi
-GB¸‡jv wKQzw`‡bi g‡a¨ P‡j hv‡e| ey‡Ki `yaI LvIqv‡Z n‡e|
nvg -wUKv †`Iqvi ci mvgvb¨ R¡i I -wkï‡K cÖPzi cwigv‡Y
mvgvb¨ `vbv †`Lv w`‡Z cv‡i| Zij Lv`¨ w`‡Z n‡e|
-gv‡qi ey‡Ki `ya
LvIqv‡Z n‡e|
Iwcwf wKQzB nq bv|
wUwU -wUKv ¯’v‡b e¨v_v, mvgvb¨ †dvjv| - †Kvb wPwKrmvi
cÖ‡qvRb †bB, e¨v_v
†m‡i hv‡e|
†Kvì †PBb

 wUKv cÖ¯‘ZKvix n‡Z wUKv MÖnYKvix ch©šÍ wewfbœ ¯Í‡i wUKvi

¸Yv¸Y iÿv K‡i wbw`©ó ZvcgvÎIvq wUKv msiÿY I cwienb Kivi e¨e¯’v‡K
†Kvì †PBb ejv nq|

‡Kvì †PB‡bi ¸iæZ¡

  hw` Avgiv Ggb wUKv e¨envi Kwi hvi ¸YMZ gvb bó n‡q †M‡Q Z‡e wK
n‡e?
 wUKv †`qvi ciI †ivM n‡Z cv‡i|
 G ai‡bi wUKv e¨env‡i BwcAvB Gi mybvg ÿzbœ n‡e Ges m¤ú` I mg‡qi
AcPq Kiv n‡e|

wUKv KZ w`b msiÿY Kiv DwPZ

 hZKg mgq m¤¢e Dc‡Rjv ch©v‡q 1 gv‡mi †ewk mgq wUKv msiÿY Ki‡eb
bv|

wUKv msiÿ‡Yi ZvcgvÎv

Dc‡Rjv †÷v‡i, cwien‡Yi mgq Ges wUKv`vb Kvh©µg PjvKv‡j mKj wUKv +2
wWwMÖ n‡Z +8 wWwMÖ †mjwmqvm ZvcgvÎvq ivLv nq| GKwU
_v‡g©vwgUvi w`‡q gvcv nq| GUv †`‡L f¨vKwmb cwienY Ges wUKv`vb mg‡qi
ZvcgvÎv ejv nq|

f¨vKwmb fvqvj gwbUi

f¨vKwmb fvqvj gwbUi n‡”Q GgbB GK ai‡bi Zvc-ms‡e`bkxj `ª‡e¨ ˆZwi wPý,
†hwU µgvMZB Zv‡ci Kvi‡Y is cwieZ©b Ki‡Z _v‡K|

mZK©evYx

f¨vKwm‡bi †gqv` DËxY© n‡q †M‡j, gwbU‡ii is MÖnY‡hvM¨ n‡jI f¨vKwmb

e¨envi †hvM¨ bq| KviY †gqv` DËxY© †Kvb f¨vKwmb KLbB e¨envi †hvM¨ bq|

wUKv`vb miÄvg RxevYygy³KiY

cÖwZwU wUKv`vbKvix `‡ji Rb¨ GK‡mU K‡i wUKv`vb miÄvg cÖ`vb Kiv nq|
†cŠi GjvKvq ¯’vbxq Pvwn`v Abyhvqx wUKv`vb miÄvg †`qv nq| BwcAvB
Kvh©µg ev¯Íevq‡bi Rb¨ Gme DcKiY AZ¨šÍ cÖ‡qvRbxq|

RxevYygy³ miÄvg bv w`‡q wUKv w`‡j wK n‡e

hw` Bb‡RKk‡bi m~uP I wmwiÄ h_vh_fv‡e RxevYy gy³ bv K‡i Bb‡RKkb †`qv
nq Zvn‡j Bb‡RKk‡bi ¯’vb w`‡q ÿwZKi †ivM RxevYy cÖ‡ek Ki‡Z cv‡i| GB
†ivM RxevYy †iv‡Mi m„wó Ki‡Z cv‡i|

wUKv`vb miÄvgvw` wKfv‡e RxevYy gy³ Kiv nq?

÷xg †÷wijvBRv‡i ev‡®úi gva¨‡g 20 wgwbU hver dzwU‡q RxevYy gy³ Kiv nq|

wmwiwÄ ms‡hvRbt gwnjv I wkïiv hLb Rgv‡qZ n‡q †M‡Q Ges Avcwb wUKv
†`Iqvi Rb¨ cÖ¯‘Z wVK ZLbB m~uP Ges wmwiÄ jvMv‡eb| †÷wijvBRvi Lyjevi
Av‡M Avcbvi nvZ fvjfv‡e mvevb w`‡q ay‡q wbb| nvZ †avqvi c‡iI Avgv‡`i nv‡Zi
Av½y‡j RxevYy _vK‡Z cv‡i| †h †Kvb miÄvg Lvwj nv‡Z ¯úk© Ki‡j Zv
RxevYyhy³ n‡q †h‡Z cv‡i|

mveavbZvt hLb m~uP Ges wmwiwÄ †ei Kiv n‡e bv ZLb †÷wijvBRviwU
XvKvbv w`‡q fv‡jvfv‡e †X‡K w`‡Z n‡e| ïaygvÎ wmwiÄ †ei Kivi mgq XvKbv
†Lvjv hv‡e|

e¨eüZ wmwiwÄ Ges m~uP cwi®‹vi Kivt wUKv`vb Awa‡ekb †k‡l e¨eüZ wmwiÄ
Ges m~uP cwi®‹vi K‡i ¸wQ‡q ivL‡Z n‡e|

wUKv mswgkÖYt BwcAvB Kg©m~wP‡Z e¨eüZ f¨vKwmb¸wji g‡a¨ wewmwR

Ges nv‡gi wUKv wngK ﮋ ev wd«R WªvBs cÖwµqvq cvDWvi AvKv‡i ˆZwi
Kiv nq| G‡Z msiÿY Kvj †ewk n‡q _v‡K| e¨env‡ii Rb¨ wUKv cvDWv‡ii mv‡_
WvBjy‡q›U †gkv‡bv nq Ges G‡KB wUKv mswgkÖY e‡j|
wUKv mswgkÖY Kivi mgq wK wK ¸iæZ¡c~Y© w`K g‡b ivL‡Z n‡et

 cÖ‡qvRb bv n‡j wUKv mswgkÖY Ki‡eb bv|

 gvÎ GKwU wkï‡KI hw` wUKv w`‡Z nq ZeyI wUKv mswgkÖY Ki‡Z n‡e,
KviY G‡ÿ‡Î AcPq MÖnY‡hvM¨|
 mvevb cvwb w`‡q nvZ ay‡q wbb|

wUKv cÖ‡qv‡Mi wbqgt

 wUKvi mwVK †WvR mswgkÖ‡Yi gZB|

 mwVK cÖ‡qvM c_ (iæU)
 mwVK wmwiwÄ I m~P
 mwVK ¯’vb
 RxevYy gy³ †KŠkj (bbUvP †UKwbK)

cÖ‡qvMc_ (iæU)

 Bb‡RKkb †`qvi †ÿ‡Î 3wU cÖ‡qvM c_ (iæU) e¨eüZ Kiv nq|

 †c›Uvf¨v‡j›U Ges wU wU gvs‡mi wfZi (B›Uªvgv¯‹zjvi) †`qv nq|
 nvg Pvgovi wb‡P (mvewKD‡Ubvm) †`qv nq|
 wewmwR Pvgovi wfZi (B›UªvWvigvj) †`qv nq|

GGdwc I BwcAvB †ivM wbixÿYt

 1980 mvj †_‡K Avgv‡`i †`‡k m¤úªmvwiZ wUKv`vb Kg©m~wPi

(BwcAvB) AvIZvq wkï‡`i †cvwjI, abyósKvi, nvg wWc‡_wiqv †iv‡Mi
cÖ‡Kvc †_‡K iÿv Kivi Rb¨ †ivM cÖwZ‡ivaK wUKv †`qv n‡”Q|
 ‡cvwjI †ivM wbg©~j Kiv|
  beRvZ‡Ki abyósKvi `~ixKiY Ges
 nvg †iv‡M AvµvšÍ I g„Zz¨i nvi Kgv‡bv|

BwcAvB †ivM wbixÿ‡Yi AšÍtfz©³ †ivM mg~nt

 Acute Flaccid Paralysis (GGdwc)

 Neonatal Tetanus (GbwU)
 Measles (nvg)

we`¨vjq ¯^v¯’¨ Kg©m~wPt evsjv‡`‡k 1951 mvj n‡Z we`¨vjq ¯^v¯’¨ wK¬wbK
Kvh©µg ïiæ n‡q 1972 mvj ch©šÍ me©‡gvU 23wU e„nËg †Rjvq we`¨vjq ¯^v¯’¨
wK¬wbK cÖwZwôZ nq| GB wK¬wb‡Ki gva¨‡g H mKj †Rjvi kn‡ii we`¨vj‡qi
mxwgZ msL¨K QvÎ QvÎx‡`i †KejgvÎ †iv‡Mi wPwKrmv †mev †`qv nZ|

we`¨vjq ¯^v¯’¨ Kg©m~wPi wZb cÖavb Ask wb¤œiƒc

1| we`¨vjq ¯^v¯’¨ †mevt wPwKrmK KZ©„K QvÎQvÎx‡`i wbqwgZ ¯^v¯’¨ cixÿv I

†QvULvU †iv‡Mi wPwKrmv cÖ`vb|

2| ¯^v¯’¨Ki we`¨vjq cwi‡ek m„wó‡Z mnvqZvt we`¨vj‡qi cwi”QbœZv iÿv Kiv,Z

wbivc` cvwbi e¨e¯’v|

3| we`¨vjq ¯^v¯’¨ wkÿv|