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Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 1 -
(A¨v‡jvcv_- †nvwgIc¨v_ I Avqy‡e©` c×wZ‡Z)
~ DrmM© ~
Ò Dˇii m„RbvKv‡k D¾¡j aªæeZvivÑ
AMÖR Aa¨vcK Wt Avb›` †Mvcvj †Nvl -Gi PiYKg‡j Ó
Wvt cv_©cÖwZg|
†gvevBj- +91-94341 69750/ +91-97330 96459
Diabetes er Mokabilay
(A Bengali Book on Diabetes and Diabetic care)
-by Dr.Partha pratim.
www.drparthapratim.com
cÖ_g ms¯‹iY t gvP© 2016
AjsKiYt- cÖ‡mbwRr †fŠwgK
MÖš’¯^Z¡ t- †jLK
cÖKvkK- gjq miKvi; ARšÍv AvU© †cÖm; a~c¸wo
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 2 -
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 3 -
m~PxcÎ
Wvqv‡ewU‡mi †gvKvwejvq
‡ivM jÿY-5
BwZnvm-6
Wvqv‡ewU‡mi iKg‡di-6
Wvqv‡ewUm cÖeYZv/ cÖ”Qbœ Wvqv‡ewUm/ Dc`ªenxb Wvqv‡ewUm/ Avbylw½K Wvqv‡ewUm/
cÖKU Wvqv‡ewUm
Wvqv‡ewU‡mi RwUjZv-7
†Pv‡Li mgm¨v/ wKWwbi mgm¨v/ Wvqv‡ewUm/ †ivMxi ü`‡ivM/ Wvqv‡ewUm †ivMxi mœvqyi
mgm¨v/ Wvqv‡ewUm †ivMxi †c‡Ui mgm¨v/ Z¡‡Ki mgm¨v/ ey‡Ki mgm¨v/ ‡hŠb mgm¨v/
Wvqv‡ewUm †ivMxi gvbwmK mgm¨v
Wvqv‡ewU‡mi cixÿv wbixÿv-16
mxivg MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvweb-17
Wvqv‡ewU‡mi AviI me cixÿv-wbixÿv-18
Wvqv‡ewU‡mi cixÿv wbixÿvi LiPcÎ-19
Bbmywjb-23
Bbmywjb ivLvi wbqg Kvbyb/ Bbmywjb KLb †b‡eb/ †`‡ni †Kv_vq Bbmywjb
Bb‡RKkb †b‡eb
nvB‡cvMøvB‡mwgqv-26
KLb Wv³vi WvK‡eb-27
Lv`¨ Lvevi I Wvqv‡ewUm-27
Kv‡e©vnvB‡WªU/ mij I RwUj Kv‡e©vnvB‡WªU/ ‡cÖvwUb/ wfUvwgb/ LvIqvi †Zj/ Zš‘
RvZxq Lv`¨
A¨vw›U Aw·W¨v›Um I Wvqv‡ewUm-33
fvZ, AvUv KZUv-34
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 4 -
fvZ bv iæwU Lv‡eb-35
Wvqv‡ewUm †ivMxiv †hme Lvevi Gwo‡q Pj‡eb- 35
Wvqv‡ewUm †ivMxiv †hme Lvevi ‡L‡Z cv‡ib- 35
Wvqv‡ewUm †gvKvwejvq e¨vqvg-36
nuvUv/ mvB‡Kj Pvjv‡bv/ muvZvi KvUv/ A¨v‡ivweK e¨vqvg/ gvwëwR‡g e¨vqvg/
†hvMe¨vqvg/ Lvwj nv‡Z e¨vqvg
Wvqv‡ewU‡mi A¨v‡jvc¨vw_K Ilya-43
Wvqv‡ewU‡m †nvwgIc¨vw_K Ilya -46
Wvqv‡ewU‡m ev‡qv‡KwgK Ilya-47
Wvqv‡ewU‡m Avqy‡e©w`K Ilya-49
†g`e„w× I Wvqv‡ewUm-51
Wvqv‡ewUm I eøvW‡cÖmvi-54
Mf©eZxi Wvqv‡ewUm-56
†QvU‡`i Wvqv‡ewUm-57
Wvqv‡ewUm I eskMwZ-60
wek¦Ry‡o Wvqv‡ewUm-61
Wvqv‡ewUm I a~gcvb-62
Wvqv‡ewUm I g`¨cvb-62
ÔWvqv‡ewUmÕ-Kvi K_v ïb‡eb-63
Wvqv‡ewUm †ivMxiv wK Ki‡eb-64
Wvqv‡ewUm †ivMxiv wK Ki‡eb bv-64
Nyi‡Z ev †eov‡Z †M‡j-64
†ivMx‡`i Rvbv DwPZ Ggb wKQz Wv³vix cwifvlv-64
‡kl K_v-71
cvV‡Ki AwfgZ-72
†jLK cwiwPwZ-73
Wvqv‡ewU‡mi †gvKvwejvq
Wvqv‡ewUm GLb GK mycwiwPZ †ivM| Wvqv‡ewU‡m i‡³ kK©iv ev Møy‡Kv‡Ri gvÎv †e‡o
hvq| wKš‘ Avgv‡`i †`‡ni †Kvl¸wj GB AwZwi³ kK©iv †_‡K kw³ wb‡Z cv‡i bv| Avgv‡`i
†`‡ni AMœ¨vkq ev c¨vbwµqvm †_‡K †ewi‡q Avmv Bbmywjb bv‡gi GK ni‡gv‡bi KvRKvievi
wVK g‡Zv bv nIqvi Rb¨ GB AmyLwU n‡q _v‡K|
‡ivM jÿY
Wvqv‡ewUm †ivMx‡`i †ÿ‡Î †iv‡Mi jÿY Kv‡iv †ÿ‡Î wKfv‡e †`Lv †`‡e †mUv GK GK
†ivMxi †ÿ‡Î GK GK iKg| cÖv_wgK fv‡e wZbwU jÿY †ewki fvM †ivMx‡`i †ÿ‡Î †`Lv
hvq| cÖvPxbKv‡ji ˆe`¨iv‡Riv GB¸wj †_‡K gay‡gn kbv³ Ki‡Zb| Wv³vix fvlvq GB
wZbwU‡K gRv K‡i ejv nq 3p ejv nq| Polyuria (cwjBDwiqv-†ekxcÖmªve), Polydipsia
(cwjwWcwmqv-‡ekxZ…òv), Polyphagia (cwj‡dwRqv- †ekx ¶zav)| GQvovI Av‡iv wKQz jÿY
wewfbœ †ivMxi †ÿ‡Î wewfbœfv‡e †`Lv †`q| †hgbÑ †`‡ni IRb K‡g Avmv, †ivMxi `ye©jZv
†eva, Aembœ Abyfe, Nv ev ÿZ ï‡Kv‡Z †`ix nIqv, †Pv‡Li `„wó K‡g hvIqv Av‡iv wewfbœ
ai‡bi jÿY †`Lv w`‡Z cv‡i|
Wvqv‡ewUm Kx I †Kb nq Zv †evSvi Av‡M Avgv‡`i ‡`‡ni Lv`¨ cwicvK I nR‡gi
e¨vcviwU GKUz fv‡jvfv‡e ey‡S †bIqv `iKvi| Avgiv †hme Lvevi LvB Zv gyL †_‡K MÖvmbvjx
n‡q cvK¯’jx‡Z †cŠuQvq| gy‡L hLb Avgiv Lvevi¸wj
wPevB ZLb gy‡Li jvjvMÖwš’ †_‡K jvjvim †ewi‡q
G‡m Lv`¨‡K mij Kivi †Póv K‡i| cvK¯’jx‡Z
Lvevi †cŠuQv‡bvi ci Zv‡Z wewfbœ cvwicvKim wg‡k
Zv wKQzUv nRg nq| hK…Z †_‡K Avmv wcËim ev
evBj Lv`¨ cwicv‡K we‡kl f~wgKv †bq| †k‡l
Lv‡`¨i nRg nIqv mij Aby ÿy`ªv‡š¿i †fZi w`‡q
i‡³ †g‡k| †cŠwóKZ‡š¿i †fZ‡i Lv‡`¨i RwUj Ask
mij nIqv‡K e‡j cwicvK ev BsivwR‡Z WvB‡Rkb|
i³ Zvi msenb Z‡š¿i gva¨‡g †mB mij Lv`¨ Aby
†`‡ni †Kv‡l †Kv‡l ‡cŠu‡Q †`q| Gici nq wecvK A_©vr mij Lv`¨KYvi †fZ‡i _vKv
w¯’wZkw³‡K Aw·‡R‡bi mvnv‡h¨ cÖ‡qvRb g‡Zv †f‡O kixi Zvc I MwZkw³ jvf K‡i| ‡`n
†Kvl GBme mij Lv`¨Aby †_‡K kw³ I cywó †c‡q _v‡K| Wvqv‡ewUm †gwjUvm n‡j Avgv‡`i
†`n Møy‡KvR ev kK©iv †_‡K wVKg‡Zv Zvc ev MwZkw³ cvq bv| ZvB GB †iv‡M i‡³ Møy‡KvR ev
kK©ivi cwigvY †e‡o hvq| †`Lv †`q wewfbœ iK‡gi DcmM©| wPwKrmv weÁv‡bi †Pv‡L
Wvqv‡ewUm‡K ejv nq AšÍtÿiv I wecvKxq ÎæwURwbZ †ivM(Endocrin and Metabolic
Disorder)| G †iv‡Mi Wv³vix bvg Wvqv‡ewUm †gwjUvm (Diabetes Mellitus) | evOjvq
gay‡gn| A‡b‡K G‡K fzj K‡i eûg~Î e‡jb| gay‡gn I eûg~Î GK †ivM bq| `yÕwU †iv‡Mi
jÿ‡Yi g‡a¨ A‡bKUv wgj i‡q‡Q| `yÕwU †iv‡MB evi evi ev †ewk cwigv‡Y cÖmªve nq| `yÕwU
†ivMB ni‡gv‡bi M‡Ûv‡Mv‡j nq| Z‡e gay‡gn‡Z g~‡Î kK©iv ev myMvi _v‡K| Avi eûg~‡Î
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 5 -
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 6 -
myMv‡ii cwie‡Z© A¨vjeywgb, BD‡iUm, AKR¨v‡jU, dm‡dU _v‡K| Wv³vix fvlvq eûg~·K
e‡j Wvqv‡ewUm BbwmwcWvm (Diabetes Insipidus)| GB †ivM Lye Aí †jv‡Ki g‡a¨B †`Lv
hvq| GB eB‡Z Avgiv Wvqv‡ewUm ej‡Z Wvqv‡ewUm †gwjUvm A_©vr gay‡gn‡KB †evSve|
BwZnvm
whïLx‡ôi R‡b¥i cÖvq †`o nvRvi eQi Av‡M cÖvPxb wgkixq cÎ wjwc‡Z Wvqv‡ewU‡mi
Wvqv‡ewU‡mi D‡jøL cvIqv hvq| †mLv‡b ejv n‡qwQj ‘To Great Emptying of the Urine’
HwZnvwmK‡`i g‡Z GUv Wvqv‡ewUm Gi cÖ_g weeiY| fviZxq wPwKrmKiv Wvqv‡ewUm‡K
wPwýZ K‡ib gay‡gn wn‡m‡e| †ivM wbY©‡qi Rb¨ Zuviv jÿ¨ ivL‡Zb †ivMxi cÖmªv‡e wcuc‡o
AvK…ó n‡”Q wKbv| Wvqv‡ewUm Ôev †ewi‡q hvIqv kãwUÕ cÖ_g D‡jøL cvIqv hvq Lxóc~e© 220-
†Z MÖxK wPwKrmK A¨v‡cv‡jvwbqvm †ggwdm- Gi eY©bvq| †ivgvb wPwKrmK M¨v‡jb Zvi eY©bvq
Wvqv‡ewU‡mi D‡jøL K‡i‡Qb| Z‡e wZwb wj‡L‡QbÑ Zuvi wPwKrmvRxe‡b wZwb gvÎ `yBwU †ivMxi
mÜvb †c‡q‡Qb| 1400-1500 Lxóv‡ã fviZxq Avqy‡e©` kv‡¯¿i Ab¨Zg cÖ‡YZv PiK I
mykÖæZ G †iv‡Mi wel‡q D‡jøL K‡ib| †gwjUvm (gay †_‡K) kãwUi cÖ_g D‡jøL K‡ib weªUb
Rb (Briton Jhon)| wZwb Wvqv‡ewUm BbwmwcUvm †_‡K Wvqv‡ewUm †gwjUvm‡K Avjv`vfv‡e
kbv³ K‡ib| 1921-1922 mv‡ji g‡a¨ KvbvWvi †d«‡WwiK evbwUs (Frederick Banting) I
Pvj©m †e÷ (Charles Best) Bbmywjb Avwe®‹v‡ii ci Wvqv‡ewUm †gwjUv‡mi AvaywbK wPwKrmv
ïiæ nq|
Wvqv‡ewU‡mi iKg‡di
Wvqv‡ewUm †gwjUvm‡K cÖv_wgKfv‡e `yÕfv‡M fvM Kiv nq| GKwU n‡jv UvBc Iqvb ev
Bbmywjb wbf©i Wvqv‡ewUm Avi GKwU UvBc Uz ev Bbmywjb wbi‡cÿ Wvqv‡ewUm| UvBc Iqvb ev
Bbmywjb wbf©i Wvqv‡ewU‡m AMœ¨vk‡qi †h †Kvl¸wj Bbmywjb Drcv`b K‡i Zv cy‡ivcywi
A‡K‡Rv n‡q c‡o| UvBc Iqvb Wvqv‡ewUm †ivMxi †eu‡P _vK‡Z †M‡j Zv‡K wbqwgZ Bbmywjb
wb‡Z nq| A_©vr Zvi †eu‡P _vKvUv evB‡i †_‡K Bbmywjb mieiv‡ni Ici wbf©i K‡i|
GKvi‡YB UvBc Iqvb Wvqv‡ewUm‡K e‡j Bbmywjb wW‡cÛ‡W›U Wvqv‡ewUm †gwjUvm(Insulin
dependent Diabetes mellitus IDDM)| Gai‡bi e¨vwa 15 †_‡K 20 eQi eq‡mi Av‡MB
†`Lv †`q|
UvBc Uz Wvqv‡ewUm †ivMx‡`i †ÿ‡Î AMœ¨vkq †_‡K Bbmywjb †ei nq Z‡e Zvi
cÖ‡qvR‡bi Zzjbvq Kg| GB ai‡bi †ivMxiv evB‡i †_‡K Bbmywjb bv wb‡qI wbqwgZ e¨vqvg,
Lvevi`vevi wbqš¿Y I mvgvb¨ wKQz Ilya †L‡q w`we¨ my¯’ mejfv‡e †eu‡P _vK‡Z cv‡ib|
†mKvi‡Y UvBc Uz Wvqv‡ewUm‡K e‡j bb Bbmywjb wW‡cÛ‡W›U Wvqv‡ewUm(Non Insulin
dependent Diabetes mellitus IDDM)| GB e¨vwa †gvUvgywUfv‡e 35 eQi eq‡mi ci †`Lv
w`‡q _v‡K|
Wvqv‡ewUm †iv‡Mi jÿY, ZxeªZv, cÖeYZv, fwel¨r m¤¢vebv Gme wKQzi Ici wePvi K‡i
wPwKrmv weÁvbxiv Wvqv‡ewUm‡K wewfbœ fv‡M fvM K‡i‡QbÑ
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 7 -
1) Wvqv‡ewUm cÖeYZv (Pre- Diabetic State)- GLb †bB wKš‘ A`~i fwel¨‡Z n‡Z cv‡i
Zv‡K wcÖ-Wvqv‡ewUK Ae¯’v e‡j| †`Lv †M‡Q hgR fvB ev †ev‡bi GKR‡bi Wvqv‡ewUm _vK‡j
Aci R‡bi †mB cÖeYZv _v‡K| gv-evev `yÕR‡bi GB †ivM _vK‡j A_ev evev- gv †h †Kv‡bv
GKR‡bi Ges Ab¨ ‡Kv‡bv wbKU AvZ¥x‡qi G †ivM _vK‡j †m‡ÿ‡Î gay‡g‡n AvµvšÍ nIqvi
m¤¢vebv _v‡K|
2) cÖ”Qbœ Wvqv‡ewUm (Latent Diabetes)- A‡b‡Ki †ÿ‡Î †`Lv hvq ¯^vfvweKfv‡e my¯’
_vK‡jI we‡kl we‡kl kvixwiK Amyweavi mgq Møy‡Kv‡Ri gvÎv †e‡o hvq| G‡K e‡j cÖ”Qbœ
Wvqv‡ewUm| wKQzw`b a‡i AZ¨šÍ gvbwmK Pvc, Awb`ªv, †`‡n RxevYyi msµgY, e‡ov ai‡bi
mvwR©K¨vj Acv‡ik‡bi ci, †Kv‡bv †Kv‡bv gwnjvi Mf©eZ©x Ae¯’vq gay‡gn †`Lv †`q| GB
ai‡bi Wvqv‡ewUm kvixwiK I gvbwmK Ae¯’v š^vfvweK n‡q †M‡j ax‡i ax‡i K‡g Av‡m|
3) Dc`ªenxb Wvqv‡ewUm (Chemical Diabetes)- Kv‡iv Kv‡iv †ÿ‡Î †`Lv hvq i‡³
Møy‡Kv‡Ri gvÎv ¯^vfvwe‡Ki †_‡K †ewk, wKš‘ Wvqv‡ewU‡mi †Kvb iKg DcmM© †hgbÑ iv‡Z evi
evi cÖmªve, wccvmv, `ye©jZv Gme wKQz _v‡K bv| G †ivM‡K Wv³vieveyiv e‡jb †KwgK¨vj
Wvqv‡ewUm|
4) Avbylw½K Wvqv‡ewUm (Secondary Diabetes)- Ab¨ †Kv‡bv Amy‡Li DcmM© wnmv‡e
KL‡bv KL‡bv Wvqv‡ewUm †`Lv †`q| AMœ¨vk‡qi †ivM, `xN©w`b †Kv‡bv Ilya e¨env‡ii Kzdj,
wjfv‡ii †Mvj‡hvM Gme Kvi‡Y †m‡KÛvwi Wvqv‡ewUm n‡Z cv‡i|
5) cÖKU Wvqv‡ewUm (Clinical Diabetes)- G ai‡bi Wvqv‡ewU‡m †ivMjÿY c~Y©fv‡e
cÖKvk cvq| evi evi wccvmv, ZvovZvwo wL‡` cvIqv, w`‡b iv‡Z Nb Nb cÖmªve, IRb K‡g
hvIqv, `ye©jZv, `„wókw³ K‡g hvIqv, †Pv‡L Qvwb cov, Kve©v¼j I KvUv `vM mn‡R ï‡Kvq
bvÑ G iKg Av‡iv eû Amyweav †`Lv †`q| mvaviYfv‡e Wvqv‡ewUm ej‡Z g~jZ wK¬wbK¨vj
Wvqv‡ewUm‡KB ‡evSvq| G †iv‡Mi wPwKrmv cÖ_g †_‡KB mwVKfv‡e Ki‡Z n‡e|
Wvqv‡ewU‡mi RwUjZv
†QvU †ejvq Vv¤§vi Kv‡Q ï‡bwQjvg Ôev‡N Quy‡j AvVv‡iv Nv; cywj‡ki QwÎkÕ|
cieZ©xKv‡j Wv³vix Ki‡Z G‡m †`Ljvg Wvqv‡ewU‡mi cvjøvq co‡j G‡Kev‡i evnvËi
DcmM©| `xN©w`b nvBeøvW myMv‡i fzM‡j eû iKg RwUjZv G‡m kix‡i evmv euv‡a| Avm‡j
Wvqv‡ewU‡m †KD gviv hvb bv; hviv gviv hvb Zuviv Wvqv‡ewU‡mi †W‡K Avbv wewfbœ RwUjZvq|
Wvqv‡ewUm n‡j Kx bv nq| †hgb- ü`‡ivM (Cardiovascular Disease), gM‡Ri †ivM
(Cerebrovascular Disease), cv‡qi †ivM (Peripheral Vascular Disease), †Pv‡Li
mgm¨v (Cataract / Retinopathy/ Glucoma), mœvqyi mgm¨v (Diabetic Neuropathy),
wKWwbi mgm¨v (Diabetic Nephropathy, Micro/Macro Albuminia), †c‡Ui
mgm¨v(Atonic Constipation), ey‡Ki mgm¨v(Respiratory Tract Infection), Z¡‡Ki mgm¨v
cÖmªv‡ei mgm¨v(Urinary Tract Infection), †hŠb mgm¨v (Erectile Dysfunction /
Candidiasis ), gy‡Li mgm¨v, gvbwmK mgm¨v (Pleasure Principle) , M‡f©i ev”Pvi mgm¨v
(Macrosomic Baby) Av‡iv KZ Kx...|
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 8 -
‡`‡n Møy‡KvR ˆZix n‡”Q I Zvi †ewkifvM i‡³B †_‡K hv‡”Q| †`n †Kv‡li †Zgbfv‡e
Kv‡R jvM‡Q bv| i‡³ kK©ivi gvÎv †e‡o †M‡j i‡³i NbZ¡ ev‡o| g~‡Îi mv‡_ cÖPzi cwigvY
myMvi †ei K‡i w`‡qI wb¯Ívi cvIqv hvq bv| i³ Zvi NbZ¡ eRvq ivLvi Rb¨ †Kvl †_‡K Rj
†U‡b †bq| d‡j †Zóv cvq| Rj †ewk K‡i ‡L‡j †Zóv Kg‡e; wKš‘ cÖmªv‡e †mB Rj Avevi
†ewi‡q hv‡e| cÖmªv‡e ïay †h myMvi †ewi‡q hvq Zv bq, †ek wKQz jeY cÖmªv‡ei g‡a¨ w`‡q
†`‡ni evB‡i †ewi‡q hvq| i‡³i NbZ¡ †ewk n‡j i³bvjxi †`Iqv‡ji Mv‡q †Kv‡j‡÷ij
Rgvi m¤¢vebv ev‡o| i‡³i NbZ¡ I †Kv‡li NbZ¡ `yÕiKg nIqvi d‡j †Kvl¸wj wVK g‡Zv KvR
Ki‡Z cv‡i bv| †hLv‡b i³bvjx¸wj m~² ch©v‡q _v‡K †mLv‡b wewfbœ iKg Amyweav †`Lv †`q|
Gi cÖfve c‡o gw¯Í®‹ ev †eªb, †PvL, wKWwb, ü`hš¿ I Ab¨vb¨ me A½- h‡š¿| i‡³ I †Kv‡li
evB‡i kK©iv †ewk _vKvi d‡j RxevYyiv evowZ Lv`¨ †c‡q mwµq n‡q I‡V| d‡j †h †Kvb
ai‡bi RxevYyi Bb‡dKkb ev msµgY `ªæZ Qwo‡q c‡o|
Wvqv‡ewU‡mi `xN©w`b _vK‡j i‡³ kK©ivi cwigvY †ewk gvÎvq _vK‡j †`‡ni wewfbœ A½
cÖZ¨‡½ i³bvjx¸wji wKQz cwieZ©b N‡U _v‡K Avgiv Wv³vwi fvlvq hv‡K ewj f¨v¯‹zjvi †PÄ
(vascular change)| †Qv‡Uv-‡Qv‡Uv i³bvjx‡Z GB iKg cwieZ©b n‡j Zv‡K ewj ÔgvB‡µv
f¨v¯‹zjvi †PÄÕ| Gi d‡j †Pv‡Li †iwUbv, wKWwb wewfbœ bvf© ev mœvqy ÿwZMÖ¯Í nq| eo eo
i³bvjx‡Z `xN©‡gqv`x cwieZ©b n‡j Zv‡K ejv nq Ôg¨v‡µv fv¯‹zjvi †PÄÕ| Gi d‡j n„`hš¿ ,
gw¯Í¯‹ ev †eªb cv‡qi eo eo wkiv agbx‡Z Amyweav †`Lv hvq| i‡³ kK©ivi gvÎv †ewk _vK‡j
i³ - bvjxi †fZ‡ii †`Iqv‡j wKQz cwieZ©b †`Lv hvq| †fZ‡ii w`‡Ki †`Iqvj LmL‡m ev
Agm„Y n‡q c‡o Gi d‡j †fZ‡ii †`Iqv‡j Lvivc †K¬v‡j‡÷ij, UªvBwMømviBW Giv bvjxi
†fZ‡i mn‡RB Rg‡Z _v‡K Ges i³ PjvP‡ji c_‡K miæ K‡i †`q | A‡bK mgq i³
PjvPj eÜ K‡i w`‡Z cv‡i| i³ PjvP‡ji iv¯Ív miæ K‡i †`Iqvi NUbv‡K Wv³vwi fvlvq ewj
ÔA¨v‡_‡ivm&†K¬‡ivwmm&Õ| hv‡`i Wvqv‡ewUm Av‡Q Zv‡`i A¨v‡_‡ivm&‡K¬‡ivwm‡mi m¤¢vebv A‡bK
†ewk| Gevi Wvqv‡ewU‡mi RwUjZv wb‡q GKUz Av‡jvPbv Kiv hvKÑ
†Pv‡Li mgm¨v
i‡³i kK©ivi gvÎv †ewk _vK‡j Kg eq‡mB †Pv‡L Qvwb c‡o| †Pv‡Li mn‡RB msµgb
nq †PvL jvj n‡q hvIqv †PvL w`‡q Rj cov †Pv‡L cuyR nIqv mKvj‡ejv Nyg †_‡K IVvi mgq
`y‡Uv †Pv‡Li cvZv AvU‡K hvIqv GiKg DcmM© †`Lv hvq| †Pv‡Li cvIqvq A_©vr Pkgvi
cvIqvi NbNb evo‡Z ev Kg‡Z _v‡K ‡Pv‡Li ‡iwUbv ev Awÿc‡Ui mgm¨v †`Lv hvq| †Pv‡Li
gvivZ¥K e¨vwa Møy‡Kvgv‡Z AvµvšÍ nIqvi m¤¢vebv Wvqv‡ewU‡mi †ivMx‡`i †ekx _v‡K| Gm‡ei
g‡a¨ me‡P‡q gvivZ¥K †ivM nj †iwUbvi †Mvjgvj hv‡K e‡j Wvqv‡ewUm †iwU‡bvc¨vw_| hw`
Wvqv‡ewUm †ivMx‡`i nvBeøvWmyMv‡ii mv‡_ nvBeøvW‡cÖmvi _v‡K Zvn‡j †Pv‡Li †iwUbvi _vKv
m~²- m~² i³bvjx ev i³RvjK ¸wj ÿwZMÖ¯Í nq | A‡bK mgq G¸wj wQu‡o hvq ev Gu‡K †eu‡K
hvq i‡³iGKUv Ask ev i³im i³bvjx †_‡K †ewi‡q G‡m †iwUbv‡Z Rgv n‡Z _v‡K| hv‡K
cÖPwjZ K_vq ewj †iwUbvi Rj Rgv | Gi d‡j nVvr K‡i †Pv‡Li `„wókw³ GK`g bó n‡q
†h‡Z cv‡i| A‡bK mgq †Pv‡Li Awÿ †Mvj‡Ki †fZ‡ii cÖ‡Kvô ev wåwUªqvm †P¤^v‡i i³ R‡g
`„wókw³ nVvr K‡i †jvc †c‡Z cv‡i|
‡Pv‡Li mgm¨v †_‡K euvPevi Dcvq :-
1). huv‡`i Wvqv‡ewUm Av‡Q Zviv cÖwZ Q gvm ci-ci GK
evi K‡i †Pv‡Li Wv³vi †`Lv‡eb|
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 9 -
2). ‡Pv‡Li cvIqvi gvcvi mv‡_ mv‡_ Ac_¨vj‡gv‡¯‹vc hš¿
w`‡q ‡iwUbvi nvj nwKKr cixÿv Kiv Riæwi|
3). hv‡`i nvBeøvWmyMv‡ii mv‡_ nvBeøvW‡cÖmvi I Av‡Q
Zviv Av‡M †_‡KB †Pv‡Li e¨vcv‡i mveavb n‡eb| cyiv‡bv
Pkgv w`‡q covïbv Ki‡Z ev `~‡ii wRwbm †`L‡Z Amyweav
n‡j Zv‡K D‡cÿv Ki‡eb bv| Ah_v mgq bó bv K‡i †Pv‡Li Wv³v‡ii Kv‡Q hv‡eb|
wKWwbi mgm¨v
Wvqv‡ewUm †_‡K wKWwbi mgm¨v Kxfv‡e ‰Zix nq Zv †evSvi Av‡M Avgv‡`i †`‡ni
wKWwb wK KvR K‡i †mUv GKUz †R‡b †bIqv fv‡jv| Avgv‡`i †`‡ni †fZ‡i ey‡Ki LuvPvi bx‡P
†gvUvgywU wc‡Vi w`K †Nu‡l Wvb I evg cv‡k `ywU wKWwb _v‡K evsjvq hv‡K e‡j Ôe„°Õ|
cwicvK nIqv Lv`¨ KYv i‡³i gva¨‡g hLb †Kv‡l †Kv‡l †cuŠQvq, Zvici †Kvl¸wji †fZi
†mB Lv‡`¨i mv‡_ Aw·‡Rb wg‡k kw³ Drcbœ nq| GB kw³ Drcbœ nIqvi e¨vcviUv‡K e‡j
wecvK| GB wecvK wµqvq Ggb wKQz c`v_© Drcbœ nq
†h¸wj †`‡ni g‡a¨ _vK‡j wewfbœ welwµqv n‡Z cv‡i|
wKWwb cÖmªv‡ei g‡a¨ w`‡q ‡mB welv³c`v_©†K †`‡ni
evB‡i †ei K‡i †`q| G‡ÿ‡Î wKWwb A‡bKUv i³
cwi¯‹v‡ii QuvKwbi g‡Zv KvR K‡i | wKWwbi g‡a¨ Lye
m~² m~² i³bvjx _v‡K| i‡³ Møy‡Kv‡Ri gvÎv †ewk
_vK‡j GB i³bvjx¸wj ÿwZMÖ¯Í nq| i³‡K QuvKwb
Kivi †h cÖwµqv Zv evav cÖvß nq| wKWwb mwVK fv‡e
KvR Ki‡Z cv‡ibv| GB Amyweav‡K e‡j Wvqv‡ewUK
†b‡d«vc¨vw_| Wvqv‡ewUm †ivMx‡`i wKWwbi m~² m~² Kjv
I †Kvl¸wj‡Z Bbmywjb Lye Kg cwigv‡Y Av‡m Gi d‡j †Kv‡l kK©ivi gvÎv evo‡Z _v‡K|
Bbmywj‡bi Afv‡e GB kK©iv‡K e„‡°i †Kvl¸wj mwVK fv‡e Kv‡R jvMv‡Z cv‡ibv|
†hme m~² gvB‡µvA¨vjeywgb g~‡Îi mv‡_ †e‡iv‡Z _v‡K cieZ©xKv‡j eo gv‡ci
A¨vjeywgb ev g¨v‡µvA¨vjeywgb g~‡Îi mv‡_ †`‡ni evB‡i †ei n‡q hvq| A¨vjeywgb n‡jv
GKai‡bi ‡cÖvwUb; GB †cÖvwUb cÖmªv‡ei Øviv †ewk gvÎvq †ei n‡q †M‡j †ivMxi nvZ cv ‡dv‡j
kixiUv †dvjv †dvjv jv‡M| cv‡qi cvZvq Av½yj w`‡q Pvc w`‡j wKQzÿ‡Yi Rb¨ M‡Z©i g‡Zv
n‡q hvq| wKWwbi i³ QuvKwb Kivi ÿgZv AviI †ewk K‡g †M‡j i‡³ BDwiqv wµ‡qwUwbb
gvÎv †e‡o hvq| †ivMx Av‡¯Í Av‡¯Í wKWwb †djB‡qvi ev †ibvj†djB‡qvi w`‡K GwM‡q hvq|
Ae¯’v GiKg n‡j ZLb Wvqv‡jwmm Kiv Qvov Dcvq _v‡Kbv|
kix‡ii †iPb c`v_© †`‡ni evB‡i †ei K‡i †`IqvB wKWwbi Ab¨Zg KvR GB KvR 15
†_‡K 20% evavcÖvß n‡j †Zgb †KvbI Amyweav †`Lv †`qbv| wKš‘ hw` 80% evavcÖvß nq
Z‡e Zv‡K †ibvj †djB‡qvi e‡j| A‡bK †ÿ‡Î †ibvj†djB‡qvi nIqvq †ivMxi wKWwb e`j
ev †ibvj UªvÝcø¨v›U Ki‡Z nq|
wKWwbi mgm¨v †_‡K euvPvi Dcvq:-
1). Wvqv‡ewUK †bª‡d«vc¨vw_ AvUKv‡Z †ivMx I Zvi cwievi‡K cÖ_g †_‡K mZK© n‡Z n‡e|
2). wbqwgZ i‡³ kK©ivi cixÿvi mv‡_ eQ‡i AšÍZ `yÕevi i‡³i BDwiqv I wµ‡qwUwbb cixÿv
Kiv `iKvi| Gi mv‡_ eQ‡i AšÍZ `y evi cÖmªv‡ei gvB‡µvA¨vjeywgb cixÿv K‡i †`L‡Z
n‡e|
3). Wvqv‡ewUK †ivMx ivbœvq jeY Kg _vKv `iKvi| †KvbI Ae¯’v‡ZB cv‡Z jeY Lv‡eb bv|
Wvqv‡ewUm †ivMxi ü`‡ivM
wewfbœ mgxÿv †_‡K Rvbv hvq hv‡`i Wvqv‡ewUm i‡q‡Q †mBme †ivMx†`i 65% gviv hvb
BmwKwgK ev K‡ivbvix nvU©wWwR‡m| Av‡MB e‡jwQ Wvqv‡ewUm AvµvšÍ †ivMx‡`i g‡a¨ i³bvjx
miæ nIqvi cÖeYZv ev A¨v_‡iv‡K¬‡ivwm‡m&i m¤¢vebv †ekx| i³bvjx miæ n‡q †M‡j n„rwcÛ
¯^vfvweK wbq‡gB ‡`‡ni i³ mieivn ¯^vfvweK ivL‡Z †Póv K‡i| †m Kvi‡Y i³bvjxi Dc‡i
Pvc ev‡o, ev‡o i³Pvc ev nvBeøvW†cÖmvi| G †_‡K †`Lv hvq wewfbœ iKg RwUjZv|
Avgv‡`i ürwcÛ mviv kix‡i i³ mieivn K‡i | Zvi wb‡Ri KvR Kvievi cwiPvjbvi
Rb¨ ZviI cywó I Aw·‡R‡bi `iKvi nq| †hgbÑ evwoi evev, evwoi mevi Rb¨ Avbymvw½K
Lvevi †RvMvo K‡ib| †mfv‡e evev‡KI Lvevi †L‡Z nq| ürwc‡Û cywó I Aw·‡Rb mieivn
K‡i K‡ivbvix agbx| A¨v_‡iv‡K¬‡ivwm‡mi d‡j
K‡ivbvix agbx miæ n‡q †M‡j ür†ckx‡Z mwVK fv‡e
cywó I Aw·‡Rb †cuŠQvq bv| †`Lv †`q wewfbœ iKg
RwUjZv; G‡KB e‡j BmwKwgK nvU© wWwRm&| ¯^vfvweK
gvby‡li ‡_‡K Wvqv‡ewUm †ivMx‡`i BmwKwgK nvU©
wWwRm& nIqvi m¤¢vebv `yÕ †_‡K wZb Myb †ekx|
Wvqv‡ewUm _vK‡j ev i‡³ kK©ivi gvÎv †ekx n‡j mœvqy
ev bv‡f©i KvRKg© evavcÖvß nq| A_©vr †`‡ni wewfbœ
A½ ev h‡š¿ †`Lv †`q AmvoZv| Gid‡j e¨_v, ¯úk©,
VvÛv-Mig cÖf…wZ wVKg‡Zv †evSv hvq bv| nvU©
A¨vUv‡Ki AvMvg jÿY n‡jv ey‡K I evu-nv‡Z e¨_v,
hv‡K Avgiv Wv³vix fvlvq ewj ÔA¨vbRvBbv †c‡±vwimÕ(Angina pectoris)| G e¨_v Rvwb‡q
†`q nvU© A¨vUvK n‡Z hv‡”Q| Zv‡Z †ivMx Wv³vieveyi civgk© g‡Zv Av‡M †_‡KB mveavb n‡Z
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 10 -
cv‡ib| G‡Z wKQzUv n‡jI wec` Gov‡bv hvq| †`Lv †M‡Q †hme †ivMxi gay‡gn Av‡Q, Zviv
†ekxifvM †ÿ‡Î nvU© A¨vUv‡K cÿvNvZ ev c¨vivwjwm‡mi wkKvi nb| A‡bK †ÿ‡Î BmwKwgK
nvU© wWwRm& _vK‡jI Wvqv‡ewUm †ivMxiv ey‡Ki e¨_v ev ÔA¨vwÄbv†cÖ±vwimÕ Abyfe K‡ib bv|
d‡j †Kvb DcmM© QvovB nVvr K‡i nvU© A¨vUvK nq| †hb webv †g‡N eRªcvZ| Gi d‡j nVvr
K‡i †ivMx nvU© A¨vUv‡K gviv hvq| Avm‡j Avgv‡`i †`‡ni wewfbœ A½- cÖZ¨‡½i e¨_v †e`bv
mœvqyi g‡a¨ w`‡q gw¯Í‡®‹ †cuŠQ‡j Avgiv †mB e¨_v Abyfe Kwi| Wvqv‡ewUm †ivMx‡`i A‡bK
†ÿ‡Î GB mœvqyiv ÿwZMÖ¯Í n‡q c‡o d‡j ey‡Ki e¨_vi Lei mwVK mgq gw¯Í®‹‡K †cŠuQvq bv|
ü`h‡š¿i Wvb Awj‡›` Av‡Q GKwU †QvÆ AÂj| hvi bvg mvB‡bv AwiKzjvi †bvW (Sino-
Auricular Node; S.A.Node) | GLvb †_‡KB wbw`©ó Q‡›`i ˆe`y¨wZK Zi½ mg¯Í Awj›` I
wbj‡q Qwo‡q c‡o; hv ü`h‡š¿i ms‡KvPb cÖmviY NUvq| Wvqv‡ewU‡mi d‡j A‡bK‡ÿ‡Î
mvB‡bv AwiKzjvi †bvW †_‡K ˆe`y¨wZK ms‡KZ mgq g‡Zv ür‡cwki me As‡k †cuŠQ‡Z cv‡i
bv| ür¯ú›`b Lye `ªæZ, Lye axi ev AwbqwgZ n‡Z _v‡K| Gfv‡eB nvU© eøK n‡Z cv‡i|
ü`‡ivM cÖwZKv‡ii Dcvq:-
1). BmwKwgK nvU© wWwmR iæL‡Z Wvqv‡ewUm †ivMx‡`i i‡³i ‡Kvj‡÷ij I UªvBwMømvivBWÕ
wbqwgZ cixÿv Kiv I Gme wbqš¿‡Y ivLv `iKvi|
2). ey‡Ki euv w`‡K e¨_v n‡j †mUv‡K KLbB AeÁv Kiv wVK bq| †ewk †`ix bv K‡i ü`&‡ivM
we‡klÁ ev KvwW©IjwR‡÷i Kv‡Q hvIqv `iKvi| cÖ‡qvRb co‡j BwmwR I Kvjvi Wcjvi
cixÿv Ki‡Z n‡e|
Wvqv‡ewUm †ivMxi mœvqyi mgm¨v
Wvqv‡ewUK †ivMx‡`i 25 †_‡K 30% †ÿ‡Î mœvqy ev bv‡f©i mgm¨v †`Lv hvq| i‡³
kK©ivi cwigvY `xN©w`b a‡i †ewk _vK‡j †`‡ni m~² mœvqy †Kvl¸wj wVKg‡Zv Aw·‡Rb I cywó
cvq bv| d‡j mœvqy †Kvl¸wj ÿwZMÖ¯Í nq| me‡P‡q †ewk
ÿwZMÖ¯Í nq mœvqy‡Kv‡li Ic‡i _vKv AveiYx Kjv ev gvBwjb
AveiYx| Wvqv‡ewU‡mi d‡j mœvqyi ÿwZ n‡j †ek K‡qK
iK‡gi Amyweav †`Lv hvq| GB Amyweav‡K wPwKrmv weÁv‡b
wewfbœ iK‡g fvM Kiv nq| nvZ I cv‡qi cÖvwšÍK
mgm¨v¸wj ÿwZMÖ¯Í n‡j, nvZ cv wSgwSg Kiv nvZ I cv‡q
R¡vjv, wKQzÿY e‡m _vK‡j nvZ cv Aek fve ÑGgb wKQz DcmM© †`Lv hvq | gw¯Í®‹ †_‡K †h
mœvqy¸wj `~‡i _v‡K, †hgb- nvZ-cv; GLvbKvi mœvqweK mgm¨v‡K e‡j
Ô†cwi‡divjwbD‡ivc¨vw_Õ| Gi d‡j nvZ I cv‡qi †Rvi K‡g Av‡m| nvZ w`‡q wKQz †jLv ev
aiv Gme KvR Ki‡Z Amyweav nq| A‡bK mgq cv‡q gvivZ¥K e¨_v Abyfe n‡Z cv‡i|
Avgv‡`i ürwc‡Ûi ms‡KvPb cÖmviY, gj-g~‡Îi †eM G¸wj ¯^qswµq mœvqyZš¿ Øviv
wbqwš¿Z nq| GB ¯^qswµq mœvqy Wvqv‡ewU‡mi c‡i ÿwZMÖ¯Í n‡j †`‡n wewfbœ iKg Amyweav
†`Lv †`q| A‡bK †ivMxi †ÿ‡Î †`Lv hvq †m hLb ï‡q _v‡K ZLb Zuvi i³Pvc wVK _v‡K;
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 11 -
wKš‘ em‡j ev `uvov‡j i³Pvc nVvr K‡i K‡g hvq| d‡j ZLb Zvi gv_v†Nv‡i, †Pv‡L AÜKvi
jv‡M ÑGB mgm¨v‡K Avgiv Wv³vwi fvlvq ewj ÔcmPvivj-nvB‡cv‡UbkbÕ| g~Î_wji mœvqy¸wj
wbD‡ivc¨vw_‡Z AvµvšÍ n‡j †ivMxi cÖmªve a‡i ivLvi ÿgZv K‡g hvq| RvgvKvc‡o hLb ZLb
cÖmªve n‡q _v‡K|
Wvqv‡ewUm †ivMxi mœvqy Amyweavi cÖwZKvi:-
1). Wvqv‡ewUm wbD‡ivc¨vw_ cÖwZ‡iv‡ai Rb¨ Av‡M †_‡KB †ivMx‡K mZK© n‡Z n‡e| mvgvb¨
Amyweav †`Lv gvÎB wbD‡ivjwR‡÷&i mv‡_ †hvMv‡hvM Kiv `iKvi|
2). iv‡Zi Ny‡gi g‡a¨ hv‡`i nvZ-cv R¡vjv K‡i Wv³vieveyiv Zv‡`i Mfxi Ny‡gi Ilya †`b|
GQvov hw` cv‡qi wkiv ev Dcwkivq e¨_v _v‡K †m‡ÿ‡Î †ivMx‡K A‡bKmgq †cbwKjvi Ilya
†L‡Z nq|
3). wPwKrm‡Ki mv‡_ civgk© K‡i Wvqv‡ewUm wbD‡ivc¨vw_i †ivMxiv wbD‡ivwfUvwgb ev
wfUvwgb we Kg‡cø· U¨ve‡jU †L‡Z cv‡ib| A‡bK †ÿ‡Î Bb‡RKk&b wb‡Z nq|
Wvqv‡ewUm †ivMxi †c‡Ui mgm¨v
Wvqv‡ewUm †ivMx‡`i g‡a¨ †ewki fvM ‡ÿ‡ÎB †c‡Ui †Kvb bv †Kvb †Mvjgvj †`Lv
†`q| cvK¯’jx, ¶z`ªvš¿, e„n`š¿, hK…r, Lv`¨bvjx wewfbœ A½-cÖZ¨‡½ Wvqv‡ewUmRwbZ Amyweav
†`Lv w`‡Z cv‡i| Avm‡j GB Amyweav¸wj ‰Zix nq ¯^qswµq
mœvqyZ‡š¿i †Mvj‡hvM †_‡K| hv‡K e‡j Wvqv‡ewUK A‡Uv
wbD‡ivc¨vw_ ms‡ÿ‡c (DAN) RwbZ mgm¨v w`‡Z cv‡i| GB
ÔW¨vbÕÑGi d‡j †`‡ni †h mKj A½- cÖZ¨½ Avcbv
Avcwb P‡j ‡hgbÑ ürwc‡Ûi ms‡KvPb cÖmvib, Lv`¨bvjxi
ch©vq µwgK ms‡KvPb Ô†cwi÷vjwmmÕ (Peristalsis) AviI
wKQz evavcÖvß nq| Lv`¨bvjxi ms‡KvPb mwVK fv‡e bv n‡j
A‡bK mgq †ivMxi k³ Lvevi wMj‡Z Amyweav nq| Kv‡iv
†ÿ‡Î ewg Avmv, †XuKzi IVv, Mv †Mvjv‡bv, †cU dz‡j _vKv Ggb A‡bK Amyweav †`Lv hvq
Wv³vwi fvlvq hv‡K Avgiv ewj ÔMÖv‡÷v‡c‡ivwmm Wvqv‡ewUK †Kvig&Õ| nRg nIqv Lv`¨KYv
Avgv‡`i ¶z`ªvš¿ †_‡K i‡³ wg‡k hvq| A_©vr Avgiv gyL w`‡q ‡h Lvevi LvB Zv MÖvmbvjx-
cvK¯’jxi g‡a¨ w`‡q mij AYy‡Z cwiYZ nq| ‡mB mij Lv`¨ ¶z`ªv‡š¿ _vKv wfjvB AveiYxi
g‡a¨ w`‡q i‡³ wg‡k hvq| i³ †mB mij Lv`¨KYv ev cywó kix‡ii †Kv‡l-†Kv‡l †cuŠ‡Q †`q|
ÔW¨vbÕ -Gi d‡j ¶z`ªvš¿- e„n`‡š¿i ms‡KvPb cÖmviY mwVK fv‡e bvI n‡Z cv‡i| Gi
d‡j A‡š¿i wfZi w`‡q gj wVKg‡Zv m‡i †h‡Z cv‡i bv| Gid‡j †KvbI †KvbI Wvqv‡ewUm
†ivMx RwUj †Kvôe×Zvq †fv‡Mb| Avevi Kv‡iv Kv‡iv †ÿ‡Î Zv‡`i cÖvqB cvZjv cvqLvbv
†j‡M _v‡K| ÔW¨vbÕ-Gi d‡j wcË_wji bovPov K‡g †M‡j, wcË_wj‡Z cv_i n‡Z †`Lv hvq|
A‡bK mgq wcË_wj‡Z ev MìeøvWv‡i e¨_v nq hv‡K e‡j Ô†Kv‡jwm÷vBwU©mÕ| `xN©w`b a‡i
eøvW- myMvi †ewk _vK‡j hK„r ev wjfv‡ii KvR Kvievi wVKg‡Zv n‡Z cv‡i bv| hviv g`¨cvb
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 12 -
K‡ib Zv‡`i RwÛ‡mi m¤¢vebv cÖej| hviv g`¨cvb K‡ib bv Zv‡`i †ÿ‡ÎI Ôbb-
A¨vj‡KvnwjK w÷qv‡Uv‡ncv‡UvwcmÕ †_‡K RwÛm n‡Z cv‡i|
†c‡Ui †Mvjgvj cÖwZ‡iv‡ai Dcvq:-
1). Wvqv‡ewU‡mi †ivMx‡`i †c‡Ui †Mvjgvj mviv‡Z cÖ_g †_‡K hZœ †bIqv cÖ‡qvRb|
2). cvi‡j cvK¯’jx I Aš¿ we‡klÁ ev ÔM¨v‡÷Gb‡›UvjwR÷Õ Gi civgk© wb‡Z n‡e|
Z¡‡Ki mgm¨v
Wvqv‡ewUm †ivMx‡`i †ÿ‡Î Z¡‡Ki mgm¨v ev w¯‹b cÖe‡jg LyeB ¯^vfvweK| i‡³ kK©ivi
gvÎv †ewk _vK‡j Pvgov †dvjv, PzjKwb, Nv Gme n‡Z _v‡K| †h †KvbI ÿZ ev Nv mn‡R
ï‡Kv‡Z Pvq bv| Z¡‡Ki Dci mn‡RB QÎvK msµgY ev dvsMvj- Bb&‡dKkb nq| A‡bK mgq
cyiæl I gwnjv‡`i †hŠbv‡½i Z¡‡K QÎvK msµgY ev dvsMvj- Bb‡dKkb †`Lv w`‡q _v‡K|
Qzwj, PzjKwb, †k¦Zx, wfwU‡jv‡Mv, †mvwiqvwmm Gme AmyL nIqvi m¤¢vebv Wvqv‡ewUK †ivMx‡`i
†ewk _v‡K| Wvqv‡ewUm †_‡K m„wó nIqvi Pg©‡ivM‡K Wv³vix fvlvq Avgiv ewj ÔWvqv‡ewUK
Wv‡g©vc¨vw_Õ|
Z¡‡Ki mgm¨v cÖwZ‡iv‡ai Dcvq:-
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 13 -
1). Wvqv‡ewUK Wv‡g©vc¨vw_ iæL‡Z †ivMx‡K Aek¨B cwi®‹vi
cwi”Qbœ _vK‡Z n‡e| wbqwgZ mœvb Ki‡Z n‡e| RvgvKvco
cwi¯‹vi ivLv `iKvi| we‡klZ AšÍ©evm; †hgb- †MwÄ,
Rvw½qv, eªv, c¨vw›U G¸wj ‡hb †KvbI Ae¯’v‡ZB gqjv bv
_v‡K|
2). huviv Wvqv‡ewUm Wv‡gv©c¨vw_‡Z AvµvšÍ n‡q‡Qb Zuviv
memgq mywZi RvgvKvco ci‡eb| cv‡qi ‡gvRvI †hb mywZi
nq| Lye Auv‡Uvmv‡Uv ev UvBUwdU RvgvKvco bv civq fv‡jv| Gai‡bi †ivMxi †cvkvK AvkvK
n‡e wX‡jXvjv|
3). MigKv‡j mœv‡bi Av‡M I kxZKv‡j mœv‡bi ci fv‡jv ewW A‡qj gvLv `iKvi| Z¡K ev
Pvgov hw` AZ¨waK Ng©v³ ev †Zj‡Z‡j nq, ‡m‡ÿ‡Î †Zj bv †g‡L †ivMx †Mvjvc Rj ev
A¨vj‡Kvnj w`‡q gvwjk Ki‡e|
ey‡Ki mgm¨v
Av‡MB evievi e‡jwQ i‡³ myMv‡ii gvÎv †ewk _vK‡j †`‡n †ivM
cÖwZ‡iv‡ai ÿgZv K‡g hvq| hviv Wvqv‡ewU‡m AvµvšÍ Zv‡`i ey‡Ki
†fZ‡i _vKv wewfbœ hš¿cvwZ mn‡RB weM‡o hvq| ey‡K g~jZ k¦vmh‡š¿
msµgY †ewk †`Lv hvq| hv‡`i eqm †ewk I Wvqv‡ewUm Av‡Q Zuv‡`i
†ÿ‡Î mn‡RB VvÛv jv‡M| eª¼vBwUm, wbD‡gvwbqv AviI A‡bK
nvRviI Sv‡gjv nvwRi n‡Z cv‡i| hÿv, wUwe, dzmdz‡m †duvov ev jv¼ A¨ve‡mm& AviI eû
Amyweav †`Lv †`q| hv‡`i Kg eq‡m eª¼vBwUm ev wbD‡gvwbqv n‡qwQj; Zv‡`i eqm Kv‡j
Wvqv‡ewUm n‡j Avevi †mB Amyweav¸wj wd‡i Av‡m| A‡bK mgq Wvqv‡ewUm †ivMx‡`i ey‡K
Rj Rg‡Z ev nvB‡Wªv‡_viv· n‡Z cv‡i|
ey‡Ki mgm¨vi cÖwZKvi:-
1). Wvqv‡ewUm †ivMx‡`i k¦vmh‡š¿ msµgY ev †P÷ Bb‡dK&k‡bi wel‡q mZK© _vKv DwPZ|
Mig †_‡K nVvr K‡i VvÛvq hv‡eb bv| kixi †N‡g _vK‡j mivmwi Gwm iæ‡g hv‡eb bv| kixi
hw` †N‡g _v‡K Avcbv‡K hw` Gwm iæ‡g XzK‡ZB nq Zvn‡j cÖ_‡g Xz‡K wKQz †m‡KÛ †_‡K
†ewi‡q Avmyb, Zvici Avevi XzKzb|
2). Mi‡gi w`‡b wd«‡Ri Rj Lv‡eb bv| kixi †N‡g _vK‡j cÖ_‡g nvIqv †L‡q VvÛv nb Zvici
Rj Lvb|
3). Wvqv‡ewUm †ivMx‡`i nvjKv Mig R‡j mœvb KivB fv‡jv|
‡hŠb mgm¨v
i‡³ kK©ivi gvÎv `xN©w`b a‡i †ewk _vK‡j Wvqv‡ewUm
†ivMx‡`i `v¤úZ¨ ev †hŠb Rxe‡b Zvi cÖfve c‡o| cyiæl‡`i
†hŠb wj½‡K †X‡K _vKv Pvgovq (Prepuce) wewfbœ iK‡gi
msµgY †`Lv hvq| GB Pvgov †d‡U †d‡U hvq, PzjKvq,
A‡bK mgq e¨_v K‡i| gwnjv‡`i †ÿ‡Î †hvwbi Z¡‡K QÎvK
ev dvsMv‡mi msµgY n‡Z †`Lv hvq, hv‡K Wv³vwi fvlvq
e‡j K¨vbwWwWqvwmm (Candidasis)| Gi d‡j gwnjv‡`i
†hŠbv‡½ PzjKwb I R¡vjv n‡Z †`Lv hvq|
cyiæl‡`i †hŠb wj‡½i g‡a¨ wZb mvwi we‡kl iK‡gi gvsm‡ckx _v‡K| GB †ckxi g‡a¨
AmsL¨ †QvU †QvU wkiv, Dcwkiv i‡q‡Q| †hŠb D‡ËRbvi mgq GBme wkiv, agbxi g‡a¨ w`‡q
i³ `ªæZ ‡e‡M cÖevwnZ nq| d‡j †hŠbwj½ †mvRv I k³ n‡q I‡V| Wvqv‡ewU‡mi d‡j GB me
agbx‡Z (†cbvBj AvU©vwi) i³ PjvPj mwVK fv‡e n‡Z cv‡ibv| †m Kvi‡Y A‡bK mgq
Wvqv‡ewUm †ivMx‡`i wj½ D‡ËRbvi mgq †mvRv I k³ nq bv| d‡j †hŠbwgj‡b AÿgZv
Av‡m| hv‡K cÖPwjZ fvlvq e‡j aŸRf½ ev (Impotant)| GB aŸRf½ †_‡K Wvqv‡ewUm
†ivMx‡`i gvbwmK Aemv`, g`¨cv‡b AvMÖn, AvZ¥wbf©iZvi Afve AviI eû DcmM© †`Lv w`‡Z
cv‡i|
‡hŠb mgm¨vi cÖwZKvi:-
1). Gme †ÿ‡Î Wvqv‡ewUm †iv‡Mi wPwKrmvi mv‡_ mv‡_ †ivMxi Ô†g›Uvj KvDwÝwjsÕ -Gi
cÖ‡qvRb nq|
2). †Kvb †Kvb †ÿ‡Î †cwbmcv¤ú, f¨vKzg mvKkb wWfvBm GBme hvwš¿K wPwKrmvi cÖ‡qvRb
n‡q _v‡K| B`vwbs †cbvBj cÖ‡¯’wmm& bv‡g GK ai‡bi Acv‡ikb Pvjy n‡q‡Q| GBme
Acv‡ik‡b cyiæl‡`i wj‡½i †fZi we‡kl ai‡bi bj ev wUDe ewm‡q †`Iqv nq|
†hŠbwgj‡bi mgq †mB b‡j B‡”Qg‡Zv nvIqv f‡i †hŠb Kvh© Kiv hvq|
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 14 -
Wvqv‡ewUm †ivMxi gvbwmK mgm¨v
Av‡MB e‡jwQ Wvqv‡ewUm †_‡K cy‡ivcywi †m‡i IVvi †Kvb wPwKrmv cØwZ GLbI †mfv‡e
Avwe®‹…Z nqwb| Z‡e mwVKfv‡e wbqg †g‡b Pj‡j Wvqv‡ewUm †ivMxiv fv‡jv _vK‡Z cv‡ib|
Wvqv‡ewUm †h‡nZz `~iv‡ivM¨ e¨vwa †m Kvi‡Y Wvqv‡ewUm aiv co‡j A‡b‡KB gvbwmK fv‡e
†f‡O c‡ob| fve‡Z _v‡Kb Zvi RxebUv eywS †kl n‡q †Mj, Rxe‡b Avi wKQz Kivi †bBÑ
GQvovI Wvqv‡ewUm †ivMx‡`i gvbwmK Pv‡ci †ek wKQz KviY i‡q‡Q| Wvqv‡ewU‡mi d‡j
Lvevi`vevi, Pjv‡div, Rxebhvc‡b †ek wKQz wewawb‡la †g‡b Pj‡Z nq| GB wewawb‡la
A‡b‡KB mn‡R gb †_‡K †g‡b wb‡Z cv‡ibv| d‡j g‡bi wecixZ ¯^Ëv¸wji mv‡_ jovB †e‡a
hvq| g‡bi my‡Li m~‡Î (Pleasure Principal) e¨vNvZ N‡U| Avgv‡`i cÖ‡Z¨‡Ki g‡a¨ my¯’
fv‡e †eu‡P _vKvi GK A`g¨ B”Qv i‡q‡Q| i‡q‡Q
evavnxbfv‡e Avb›` Dc‡fvM Kivi evmbv| Wvqv‡ewUm
†ivMxi GB `yÕB evmbvi mv‡_ msNvZ ïiæ nq| d‡j gvbwmK
Pvc ev‡o| Wvqv‡ewU‡mi myMvi wbqš¿‡Yi Rb¨ A‡bK mgq
Ggb wKQz Ilya †L‡Z nq hv †_‡KI wW‡cÖkb ev gvbwmK
Aemv` Avm‡Z cv‡i|
Avgv‡`i gw¯Í‡®‹ `yBwU fvM Av‡Q| Zvi GKUv‡K e‡j
†mwieªvj K‡U©R| GB †mwieªvj K‡U©R †_‡KB Avgv‡`i wePvi, eyw×, hyw³ mewKQz wbqwš¿Z nq|
G Kvi‡Y G‡K A‡b‡K jwRK¨vj K‡U©· e‡jb| Av‡iKwU Ask‡K e‡j wjw¤^K †eªb (Limbic
Brian)| GB wjw¤^K †eªb †_‡K Avgv‡`i Av‡eM, D”Q¡vm, fv‡jvevmv, †cÖg ÑGBme Av‡m|
Avgiv †QvU‡ejvq hv wKQz wkwLÑ covïbv, RvgvKvco civ, K_vejv, nuvUvPjv GmeB †mwieªvj
K‡U©‡R fiv _v‡K| Wvqv‡ewUm †ivMx‡`i †ÿ‡Î hyw³-eyw×i mv‡_ Av‡eM D”Q¡v‡mi msNvZ ‡e‡a
hvq| d‡j †`Lv hvq wewfbœ iK‡gi Amyweav| wjw¤^K †eªb I †mwieªvj K‡U©‡Ri g‡a¨ MÛ‡Mv‡ji
d‡j Wvqv‡ewUm †ivMxiv A‡bK †ÿ‡Î gw¯Í‡®‹i Zvj wgj nvwi‡q †d‡jb| †hgb Avgv‡`i
myexieveyi K_v aiv hvK&Ñ Zvi eøvWmyMvi (P.P) 350 mg/dl Gi Ic‡i| †m Kvi‡YB
Wv³vievey Zv‡K wewfbœ iK‡gi wewawb‡la w`‡q‡Qb| Zvi †mwieªvj K‡U©R Rv‡b GLb Zvi †Kvb
Ae¯’v‡ZB wgwó LvIqv hv‡ebv| Avevi Zvi wjw¤^K †Rvb ej‡QÑ hv bv‡i, GKUv †L‡j wK Avi
n‡e! †kl‡gl myexievey wd«R Ly‡j KvRy- eiwdwU †L‡qB †dj‡jb| djvdj hv nIqvi ZvB nj
Gfv‡e wKQz w`b Pjvi ci Ae¯’v Ggb RvqMvq †cuŠQ‡jv †h †ekwKQz w`b nvmcvZv‡jB ï‡q
_vK‡jb myexievey|
Wvqv‡ewUm †ivMxi gvbwmK Amyweav Kgv‡Z n‡j:Ñ
1). Wvqv‡ewUm †ivMx‡`i gvbwmK Pvc Kgv‡Z wbqwgZ a¨vb ev †gwW‡Ukb Ki‡Z n‡e| Gi
mv‡_ wbqwgZ †hvM e¨vqvg †Zv Pj‡eB| a¨v‡bi d‡j gw¯Í‡®‹i wjw¤^K†Rv‡bi KvR Kvievi
wKQzUv mwVK nq|
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 15 -
2). a¨v‡b A¨vWªwibvwjb (Addrinalin) I KvwU©Rj ni‡gv‡bi wbtmib K‡g| GB `yÕwU ni‡gvb
Kg wbtm„Z n‡j GKw`‡K †hgb gvbwmK Pvc K‡g Av‡m, Ab¨w`‡K i‡³i myMv‡ii gvÎv wbqš¿‡Y
_v‡K| hviv wbqwgZ a¨vb K‡ib Zviv A‡bK †ewk mvejxj I Pvcgy³ _v‡Kb|
Wvqv‡ewU‡mi cixÿv wbixÿv
Kv‡iv Wvqv‡ewUm n‡q‡Q wKbv Zv Rvbvi mnR cØwZ nj Zvi i‡³i kK©iv ev Møy‡Kv‡Ri
gvÎv cixÿv Kiv| Avgv‡`i †`‡ki †QvU eo kni I MÖv‡gi wewfbœ c¨v_jwRKvj j¨ve‡iUwi‡Z
GB cixÿv n‡q _v‡K| GB cixÿvi LiPI †Zgb †ewk wKQz bq| mvaviY gvby‡li mxgv-mv‡a¨i
g‡a¨B Av‡Q|
i‡³i myMvi cixÿv Kiv †gvUvgywU wZbwU c×wZ cÖPwjZ Av‡QÑ
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 16 -
1. Lvwj †c‡U ev dvw÷s eøvW myMvi ms‡ÿ‡c hv‡K (F.B.S)
e‡j|
2. LvIqvi `y- N›Uv c‡i ev †cÖv÷c¨vwÛqvj eøvW- myMvi ev
(P.P.B.S.)
3. hLb ZLb ev i¨vbWvg eøvW- myMvi ev (R.B.S)
Avcbvi Wvqv‡ewUm n‡q‡Q wKbv †mUv Rvbvi me‡P‡q wbf©i †hvM¨
cixÿv nj Lvwj †c‡U ev dvw÷s eøvW myMvi gvcv| †ivMxi Wvqv‡ewU‡mi ZxeªZv ev gvÎv evo‡Q
bv Kg‡Q †mUv Rvbvi Rb¨ LvIqvi c‡i (P.P) cixÿvB me‡P‡q fv‡jv c×wZ| hviv e¨¯Í gvbyl,
i³cixÿvi Rb¨ wVKg‡Zv mgq my‡hvM K‡i DV‡Z cv‡ib bv; Zviv w`‡bi †h †Kvb mgq i³
†`b ev i¨vbWvg eøvW myMvi cixÿv K‡ib|
dvw÷s eøvW myMvi cixÿv Kivi Av‡M K‡qKwU welq g‡b ivL‡Z n‡e| †hgbÑ i³
†`Iqvi Av‡M 8 †_‡K 10 N›Uvi g‡a¨ †KvbI Lvevi LvIqv Pj‡e bv| H mgq a~gcvbI eÜ
ivLv DwPZ| 8 N›Uvi g‡a¨ †KvbI e¨vqvg, nuvUvnvwU, †ewk cwikª‡gi KvR Ki‡eb bv| H
mg‡qi g‡a¨ †ewk cwigv‡Y Rj bv LvIqvB fv‡jv| dvw÷s eøvWmyMvi cixÿvi me‡P‡q fv‡jv
mgq mKvj‡ejvq Lvwj †c‡U i³ †`Iqv| G‡Z †ewk D‡cvm Kivi Kó _v‡K bv| mg‡qi wbqg
Kvbyb eRvq _v‡K| hviv mKvj †ejvq gwb©sIqvK K‡ib Zviv i³ cixÿvi w`b Zv bv Ki‡jB
fv‡jv|
Ô†cªv÷c¨vwÛqvjÕ i³ cixÿvi †ÿ‡Î `ycy‡i LvIqvi `yÕN›Uv †_‡K `yÕN›Uv c‡b‡iv wgwb‡Ui
g‡a¨ i³ w`‡Z n‡e| Avm‡j Avgv‡`i Lv‡`¨ _vKv Møy‡KvR ev kK©iv i‡³ cy‡ivcywi fv‡e wgk‡Z
`y N›Uvi g‡Zv mgq jv‡M| LvIqvi `yÕN›Uv c‡i i‡³ Møy‡Kv‡Ri gvÎv me‡P‡q †ewk _v‡K|
Zvici Zv ax‡i ax‡i Kg‡Z _v‡K| GLv‡b GKUv Amyweavi welq njÑ Avgiv fviZxqiv
cÖwZw`b GKB †gbyi LvIqvi LvB bv| G‡KK w`b-G‡KK iKg ivbœvevbœv nq| †m Kvi‡Y
cÖwZw`b Lvev‡i myMvi ev kK©ivi cwigvY GK _v‡K bv| GB Amywe‡a `~i Ki‡Z eZ©gv‡b cÖwZ
†KwR IR‡bi Rb¨ †ivMx‡K GKMÖvg K‡i Møy‡KvR †L‡Z †`Iqv nq| A_©vr Kv‡iv †`‡ni IRb
hw` 60 †KwR nq Z‡e Zv‡K 60 Mªvg Møy‡KvR `yÕMøvm ev 250 wgwjwjUvi R‡ji mv‡_ wgwk‡q
cvb Ki‡Z †`Iqv nq| Zvi wVK `yÕ N›Uv c‡i i³ †bIqv nq| `yÕ N›Uv †_‡K 5-10 wgwbU †`ix
n‡jI i³ †bIqv †h‡Z cv‡i| GLb A‡b‡KB evwo‡Z Møy‡KvwgUvi hš¿ w`‡q wb‡Ri i‡³i kK©iv
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 17 -
wb‡RB cixÿv K‡ib| G‡ÿ‡Î Av½y‡ji AvMvq m~P †dvUv‡bv nq| Av½y‡ji AvMv †_‡K †h
i³ †ei nq †mUv nj Ôwkiv K¨vwcjvwi i³Õ| Lvwj‡c‡U i³ cixÿvi †ÿ‡Î agbxi i³ I wkiv-
K¨vwcjvwii i‡³ kK©iv ev myMv‡ii gvb GKB _v‡K| wKš‘ fiv †c‡U K¨vwcjvwi ev RvwjKvi
i‡³i myMv‡ii cwigvY wkivi i‡³i †_‡K †ewk _v‡K|
mxivg MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvweb
wn‡gv‡Møvweb nj Avgv‡`i kix‡i i‡³i g‡a¨ _vKv GKwU RwUj †hŠM c`v_©| Avgiv hLb
bvK ev gyL w`‡q k¦vm wbB ZLb †m evZvm dzmdz‡m †cuŠQvq| dzmdz‡m evZv‡mi g‡a¨ _vKv
Aw·‡Rb i‡³i wn‡gv‡Møvwe‡b wg‡k hvq| Avi i‡³i wn‡gv‡Møvwe‡b _vKv Kve©b-WvB A·vBW
dzmdzm †_‡K bvK-gyL w`‡q †`‡ni evB‡i †ewi‡q Av‡m| A_©vr Avgv‡`i †`‡ni cÖwZwU †Kv‡l
†Kv‡l Aw·‡Rb †cŠu‡Q †`Iqvi Kv‡R wn‡gv‡Møvweb Kz¨wiqvi mvwf©‡mi f~wgKv cvjb K‡i| GKB
fv‡e †Kvl †_‡K †ewi‡q Avmv Kve©b-WvB A·vBW e‡q wb‡q †`‡ni evB‡i †ei K‡i †`q|
Avgv‡`i kix‡i cÖvq cÖwZw`bB wn‡gv‡Møvweb ˆZix nq| GB wn‡gv‡Møvwe‡bi Avqy †gvUvgywU cÖvq
90 w`b; A_©vr AvR‡K ˆZix nIqv wn‡gv‡MøvwebwU AvMvgx wZb gvm ch©šÍ mwVKfv‡e KvR Ki‡Z
cv‡i| wn‡gv‡Møvweb †hw`b ˆZix nq, †mw`b hw` i‡³ Møy‡Kv‡Ri gvÎv †ewk _v‡K Z‡e
wn‡gv‡Møvwe‡bi mv‡_ ‡mB Møy‡KvR hy³ n‡q hvq| hv‡K e‡j ÔMøvB‡Kvwm‡j‡UW&
wn‡gv‡MøvwebÕ(Glycosylated Hemoglobin)|
i‡³ kK©iv ev Møy‡Kv‡Ri cwigvY hLb Lye †ewk _v‡K ZLb GB MøvB‡Kvwm‡j‡UW&
wn‡gv‡Møvwe‡bi cwigvY I ‡e‡o hvq| i³im ev wmiv‡gi g‡a¨ _vKv MøvB‡Kvwm‡j‡UW&
wn‡gv‡Møvwe‡bi cwigvY †_‡K weMZ 90 w`‡b ev wZb gv‡m †ivMxi i‡³ Møy‡Kv‡Ri gvÎv †Kgb
wQj †m wel‡q wKQzUv †LuvRLei cvIqv hvq|
¯^vfvweK Ae¯’vq MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvwe‡bi gvÎv 4 †_‡K 6% g‡a¨ _v‡K| wKš‘
i‡³ Møy‡Kv‡Ri gvÎv †ewk _vK‡j GB wn‡gv‡Møvweb cÖwZw`b 0.1% K‡i evo‡Z _v‡K| wmivg
MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvweb cixÿvi djvdj †_‡K †ivMxi Wvqv‡ewUm wbqš¿‡Yi e¨vcvi
m¨vcv‡ii mwVK wb‡`©k cvIqv hvq|
‡hgb MøvB‡Kvwm‡j‡UW& cixÿvi djvdjÑ
¯^vfvweK (Normal ) 4 †_‡K 6%
†gvUvgywU wVK (Okay ) 6 †_‡K 7%
fv‡jvfv‡e wbqwš¿Z bq (Not good control) 7 †_‡K 8%
Awbqwš¿Z (Bad control) 8 †_‡K 10%
LyeB Awbqwš¿Z (Very Bad control) 10 %‡_‡K †ewk |
MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvweb‡K Wv³vix fvlvq ms‡ÿ‡c (Hba1c) e‡j|
MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvwe‡bi gvÎv 1% evo‡j i‡³ Møy‡Kv‡Ri gvÎv cÖvq 38
wgwjMÖvg/†WwmwjUvi †e‡o †M‡Q e‡j aiv nq| nVvr K‡i i‡³ Møy‡Kv‡Ri gvÎv †e‡o ev K‡g
†M‡j `yÕ †_‡K wZb mßv‡ni g‡a¨ MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvweb ev‡o ev K‡g| †ivMxi hw`
i³víZv ev A¨vwbwgqv _v‡K ev gwnjv‡`i †ÿ‡Î Mf©ve¯’vq GB MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvweb
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 18 -
cixÿvi djvdj mwVK nq bv| A_©vr †m mgq GB cixÿv †_‡K wZb gvm Av‡M i‡³ Møy‡Kv‡Ri
gvÎv †evSv KwVb n‡q c‡o|
eZ©gv‡b kn‡ii eo eo j¨ve‡iUwi‡Z i³im cøvRgvi g‡a¨ _vKv †cªvwU‡bi mv‡_ wK
cwigvY Møy‡KvR wg‡k Av‡Q Zv cixÿv Kiv nq| †cÖvwU‡bi mv‡_ wg‡k _vKv ÔMøy‡KvR
d«z‡±vmvgvBbÕ †g‡c weMZ `yÕ- wZb mßv‡ni Møy‡Kv‡Ri gvÎv †evSv hvq|
Wvqv‡ewU‡mi AviI me cixÿv-wbixÿv
Av‡MB e‡jwQ Wvqv‡ewUm †ivM GKevi hv‡K cvKovI K‡i Zvi kvixwiK RwUjZvi †kl
_v‡K bv| ZvB Wvqv‡ewU‡mi RwUjZv kbv³ Kivi Rb¨ I ‡iv‡Mi ZxeªZv †evSvi Rb¨ eøvWmyMvi
†U÷ Kiv Qvov AviI wKQz cixÿv Kivi cÖ‡qvRb nq| †hgbÑ wKWwbi ‡ivM ev ÔWvqv‡ewUm
†b‡d«vc¨vw_Õ eyS‡Z †ivMxi cÖmªv‡e Avwm‡Uvb, A¨vjeywgb, gvB‡µvA¨vjeywgb cixÿv Kiv
`iKvi| ‡ivMxi nv‡U©i Amyweav _vK‡j GBP.wW.Gj †Kv‡j‡÷ij, Gj.wW.Gj †Kv‡j‡÷ij,
wf.Gj.wW.Gj †Kv‡j‡÷ij, UªvBwMømvivBW, wd«. d¨vwU A¨vwmW Gme cixÿv Kiv `iKvi| GLb
wjwcW †cÖvdvBj cixÿv †_‡K GKev‡iB Gme wKQz Rvbv hvq| i‡³i BDwiqv I wµ‡qwUwbb
cixÿv †_‡K wKWwbi Ae¯’v Rvbv m¤¢e|
A‡bK mgq c¨vswµqvm ev AMœ¨vk‡qi ÎæwU †_‡K †`‡ni Bbmywj‡bi Drcv`b e¨vnZ nq|
hv‡K c¨vswµqvUvBwUm e‡j| †ivMxi c¨vswµqvUvBwUm n‡q‡Q wKbv Zv Rvbvi Rb¨ i‡³i wmivg
A¨vgvB‡jR I cÖmªv‡ei Wvqv‡÷R cixÿv Kiv `iKvi nq| Wvqv‡ewUm †ivMx‡`i mn‡RB wewfbœ
ai‡bi msµgY †`Lv †`q| ey‡Ki G·-†i ev †Pó wc/G G·-†i †_‡K †ivMxi h²v,
eª¼vBwUm, ey‡K Rj Rgv, cøy‡ivwm Gme n‡q‡Q wKbv Rvbv hvq| wKWwb, MjeøvWvi,
c¨vswµqv‡mi Ae¯’v Rvb‡Z A‡bK mgq Wv³vieveyiv †ivMx‡`i †nvj A¨ve‡Wv‡gb
Avëªv†mv‡bvMÖvwd Kivi civgk© †`b| we‡klZ †hme †cvqvwZ gv‡qi Wvqv‡ewUm i‡q‡Q Zuv‡`i
å~‡Yi evoe„w× Rvbvi Rb¨ Avëªv†mv‡bvMÖvwdi cÖ‡qvRb nq| GQvovI †ivMxi Ae¯’v Abymv‡i
wmwU ¯‹¨vb, B.Avi.wm.wc., Gg. Avi. AvB. ¯‹¨vb Gme Kivi cÖ‡qvRb †`Lv w`‡Z cv‡i|
Wvqv‡ewUm †ivMx‡`i i³ cixÿvi †ÿ‡Î cÖvqB GK Awf‡hvM †kvbv hvq| GKB †ivMx
GKB w`‡b `yÕwU j¨ve‡iUwi‡Z i³ cixÿv K‡i `yÕ-iKg djvdj cvb| G‡Z †ivMxiv weåvšÍ
n‡q c‡ob| A‡bK‡ÿ‡Î m‡›`n cÖKvk K‡ib; c¨v_jwRK¨vj j¨ve‡iUwii cixÿv c×wZi
Ici|
c¨v_jwRK¨vj j¨ve‡iUwii †UKwbwmqvb fvB‡qiv G wel‡q †bc‡_¨ hZUv Mvjg›` Lvb
†ZgbwU Avi Ab¨ †Kvb wel‡q nq bv| eøvWmyMv‡ii gvÎv m¤^‡Ü †ivMx I Zvi cwiev‡ii ¯^”Q
aviYv bv _vKvUvB Gi Ab¨Zg KviY| Avm‡j i‡³ kK©ivi gvÎv w`‡bi memgq mgvb _v‡K
bv| Av‡MB e‡jwQ g~j Lvevi A_©vr jv I wWbv‡ii `yÕN›Uv †_‡K `yÕN›Uv c‡b‡iv wgwbU ch©šÍ
i‡³ kK©ivi gvÎv me‡P‡q †ewk _v‡K| Zvici ax‡i ax‡i Zv Kg‡Z ïiæ K‡i| GQvovI e¨vqvg
ev cwikªg Ki‡j myMv‡ii gvÎv K‡g hvq| AwZwi³ Nvg ev cÖmªv‡ei d‡j eøvWmyMvi †j‡ej K‡g
†h‡Z cv‡i| i‡³ kK©ivi cixÿvi †ÿ‡Î me j¨ve‡iUwi GKB c×wZ I hš¿cvwZ e¨envi K‡i
bv| Zvi †_‡KI cixÿvi djvdi mvgvb¨ Gw`K-Iw`K n‡Z cv‡i|
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 19 -
i‡³i kK©ivi cixÿvi †ÿ‡Î †h wbw`©ó wbqg wb‡q Av‡M Av‡jvPbv K‡iwQ| †m wbqg
Kvbyb A‡bK †ivMx Rv‡bb bv ev †evSvi †Póv †bB| A‡bK‡ÿ‡Î e¨¯ÍZvi Kvi‡Y Wv³vieveyiv
†ivMx I cwievi‡K mewel‡q mwVKfv‡e eywS‡q e‡jb bv| †m Kvi‡YB GB wecwË I weåvwšÍ|
†h cixÿvB K‡ib bv †Kb; memgq fv‡jv bvgx I mymw¾Z j¨ve‡iUvwi‡Z wM‡qB cixÿv
Ki‡eb| Zv‡Z `y‡Uv cqmv †ewk jvM‡jI ÿwZ †bB| KviY cixÿvi djvd‡j hw` fzj ÎæwU
_v‡K, Z‡e Avcbvi †iv‡Mi wPwKrmvUvB D‡ëvcvëv n‡q †h‡Z cv‡i| ZvB Gwel‡q cÖ_g
†_‡KB mveavb n‡eb|
Wvqv‡ewU‡mi cixÿv wbixÿvi LiPcÎ
Wvqv‡ewUm †ivMx‡`i ‡ivM wbY©‡q I †`‡ni wewfbœ myweav-Amyweav eyS‡Z †ek wKQz cixÿv-
wbixÿv Kivi cÖ‡qvRb nq| GBme cixÿv c¨v_jwRK¨vj j¨ve‡iUwi ev Wvqv‡MvwbwóK †m›Uv‡i
n‡q _v‡K| GB cixÿvi †iU ev LiP wewfbœ j¨ve Abymv‡i Kg-‡ewk n‡q _v‡K| Z‡e 2015
mv‡ji evRvi`i Abymv‡i †gvUvgywU GKwU ZvwjKv bx‡P †`Iqv njÑhv‡Z †ivMx ev Zvi cwievi
wKQzUv aviYv †c‡Z cv‡ib| Wv³vieveyiv †h fvlvq GB wb‡`©k¸wj †j‡Lb ev c¨v‡_vjwRK¨vj
j¨ve‡iUwii fvB‡qiv †h fvlvq †ev‡Sb, †mfv‡eB cixÿvi bvg I LiP¸wj †`Iqv n‡jvÑ
S.L Test Name Rate
1. Blood Sugar (F) 40/-
2. Blood Sugar (PP) 40/-
3. Blood Sugar (R) 40/-
4. Blood Billrubin 70/-
5. Blood Hb% 40/-
6. Blood Total Protein 80/-
7. Blood SGOT 80/-
8. Blood SGPT 80/-
9. Blood Alkaline Phosphatase 80/-
10. Blood L.F.T. 400/-
11. Blood Urea 70/-
12. Blood Creatinine 70/-
13. Blood Cholesterol 80/-
14. Blood Triglyceride 180/-
15. Blood HDL Cholesterol 100/-
16. Blood LDL Cholesterol 150/-
17. Blood VLDL Cholesterol 150/-
18. Lipid Profile 400/-
19. Uric Acid 70/-
20. Amylase 250/-
21. Calcium 150/-
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 20 -
22. Lypase 500/-
23. Na+ 150/-
24. K+ 150/-
25. Na+ & K+ 250/-
26. CPK 300/-
27. CPK(MB) 300/-
28. ADA-MTB 500/-
29. A.N.F. 400/-
30. Urine Routine Exam. 50/-
31. Urine B/S & B/P 30/-
32. Urine Sugar 20/-
33. Urine Culture 120/-
34. Urine Micro 350/-
35. Urine R/E & C/S 160/-
36. 24 hrs. Urinary Protein 200/-
37. Urine Ketone 50/-
38. Stool R/E 50/-
39. Stool OBT 30/-
40. Stool R/E, Ph & RS 70/-
41. Stool Culture 150/-
42. Sputum for Gram Stain 50/-
43. Mantoux test 70/-
44. Urine for H.C.G. 80-
45. T3, T4, TSH 500/-
46. C-Peptide 900/-
47. HPTH 700/-
48. Glycosylated Hb(HbA1C) 500/-
49. Semen analysis 100/-
50. TC, DC, ESR, Hb% 100/-
51. Blood R/E 120/-
52. Complete Haemogram 250/-
53. Plt Count 60/-
54. Reticulocyte Count 40/-
55. M.P. 50/-
56. BT, CT 40/-
57. P.Time 200/-
58. Direct Coomb’s Test 200/-
59. Indirect Coomb’s Test 200/-
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 21 -
60. Eossinophil Count 50/-
61. Abnormal Cell 100/-
62. Blood Group 50/-
63. P.F. & P.V. Antigen 300/-
64. Sputum A.F.B. 70/-
65. Sputam Culture 200/-
66. HbsAg 200/-
67. HIV 400/-
68. HCV 500/-
69. Entero cheek 500/-
70. Typhi IgG & IgM 500/-
71. VDRL 70/-
72. R.A. Factor 150/-
73. A.S.O. Titre 250/-
74. C.R.P. 250/-
75. Widal Test 120/-
76. TSH 250/-
77. FT3 350/-
78. FT4 350/-
79. FT3, FT4, TSH 950/-
80. Toxoplasma(Igh & Igm) 700/-
81. TB( Igh & Igm) 700/-
82. FSH 350/-
83. Troponil-I 550/-
84. Troponil-T 1250/-
85. Lithium 250/-
86. G6PD 250/-
87. Prolactin 350/-
88. Insulin 550/-
89. IgE 500/-
90. LH 350/-
92. ECG Normal 100/-
93. ECG- 3 Channel 200/-
94. Pulmonary Function Test 350/-
95. Cardiac Stress Test ‘TMT’ 600/-
96. Holter Monitoring 1000/-
97. Echo cardiography 2D & M.Mode 600/-
98. Colour Doppler Echocardiography 1000/-
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 22 -
99. CT Scan- Head & Brain 1500/-
100. Coronary Angiography 10,000/-
Wvqv‡ewUm‡K cy‡ivcywi `~i Kivi †Kvb wPwKrmv c×wZ GL‡bv Avwe®‹…Z nqwb| Z‡e
wPwKrm‡Ki wb‡`©k g‡Zv Pj‡j e¨vwa‡K wbqš¿‡Y ivLv m¤¢e| G‡ÿ‡Î K‡qKwU wel‡qi Ici
bRi w`‡Z n‡e| †hgb-
1). kw³ÿq I Lv‡`¨i kw³g~‡j¨i g‡a¨ mgZv iÿv:- †`n‡K my¯’, mej I Kg©V ivLvi
cÖ‡qvRbxq kw³ Avgiv Lv`¨ †_‡K cvB| †`‡ni IRb, eqm I Kx Kx ai‡bi KvR KZÿY a‡i
Ki‡Z nq Zvi Dci wbf©i K‡i ˆ`wbK cÖ‡qvRbxq kw³i cwigvY ev K¨v‡jvwi| cÖ‡qvR‡bi
AwZwi³ cwigvY K¨v‡jvwi MÖnY Ki‡j Zv cieZ©x mg‡q gay‡gn †iv‡Mi KviY n‡Z cv‡i|
†gvUvgywU fv‡e ejv hvqÑ hviv †ckvMZ fv‡e kvixwiK cwikªg K‡ib †hgbÑ K…lK,
gRyi, gy‡U, wi·vPvjK; Zv‡`i cÖwZ †KwR †`‡ni IR‡bi Rb¨ ˆ`wbK 20-22 K¨v‡jvwi Lv`¨
cÖ‡qvRb| A_©vr †Kvb wi·vIqvjvi wbR¯^ IRb hw` 55 †KwR nq Z‡e Zvi cÖ‡qvRbxq kw³i
cwigvY n‡e ˆ`wbK (55 x 22)= 1210 K¨v‡jvwi| †Kivwb ev H ai‡bi KvR hv‡`i Ki‡Z nq
Zv‡`i †ÿ‡Î GwU n‡e cÖwZ †KwR †`n IR‡bi Rb¨ ˆ`wbK 10 †_‡K 13 K¨v‡jvwi| eyw×Rxwe
ev hv‡`i †Zgb kvixwiK cwikªg ‡Zgb Ki‡Z nq bv, Zv‡`i cÖwZ †KwR †`n IR‡bi Rb¨ 6
‡_‡K 7 K¨v‡jvwi| GQvovI †hŠe‡b-ˆK‡kv‡ii evošÍ eq‡m, gwnjv‡`i Mf©aviY I mšÍvb
cvj‡bi mgq AwZwi³ K¨v‡jvwii cÖ‡qvRb nq|
2). c‡_¨i Drcv`‡bi mwVK AbycvZ:- Avgv‡`i Lv‡`¨i g~j Dcv`vb njÑ Kv‡ev©nvB‡WªU,
†cÖvwUb I d¨vU| Pvj, AvUv, mywR, gywo, gq`v, wPov, mvey, Avjy, ¸o, wPwb ÑGme nj
Kv‡ev©nvB‡WªU RvZxq Lv`¨| ‡ewkifvM wPwKrm‡Ki g‡Z Wvqv‡ewUm †ivMxi †ÿ‡Î †gvU
K¨v‡jvwii 35 †_‡K 40 kZvsk c~iY Ki‡Z n‡e Kv‡ev©nvB‡WªU w`‡q| evwK 65 †_‡K 60
kZvsk kw³ wb‡Z n‡e †cÖvwUb I d¨vU †_‡K| wKš‘ †ivMxi hw` Wvqv‡ewU‡mi mv‡_ nv‡U©i AmyL
_v‡K, Z‡e †ewk cwigvY †cÖvwUb I d¨vU †_‡K Ab¨iKg wecwË †`Lv w`‡Z cv‡i| †m‡ÿ‡Î
Kv‡ev©nvB‡WªU †_‡K msM„nxZ kw³i AbycvZ n‡e 60 †_‡K 65 kZvsk| evwK 30 †_‡K 35
kZvsk K¨v‡jvwii g‡a¨ †cÖvwUb n‡e †ewk Avi d¨vU n‡e Lye mvgvb¨|
gvQ, gvsm, wWg, Qvbv †cÖvwUb RvZxq Lv`¨| †`nMVb I Lv‡`¨i iæwP evov‡bvi Rb¨
cÖvYxR †cÖvwUb cÖ‡qvRb| Z‡e hv‡`i ü`‡ivM I Wvqv‡ewUm Av‡Q Zv‡`i cÖvYxR †cÖvwUb †ewk bv
LvIqvB fv‡jv| mqvweb, Pxbvev`vg, KvRyev`vg, wewfbœ iK‡gi Wvj Gme LvIqv †h‡Z cv‡i|
Zv‡Z Møy‡Kv‡Ri mv‡_ †Kv‡j‡÷ijI ¯^vfvweK _vK‡e| gvsm †L‡Z †M‡j memgq ‡`wk gyiwM
ev †QvU cvwLi gvsm Lv‡eb| cuvVv, Lvwm, Miæ, k~K‡ii gvsm Lv‡eb bv| evM&`v ev Mj&`v wPswo,
†g‡U Gme †L‡j i‡³ †Kv‡j‡÷ij †e‡o hvq|
Pwe©, †Zj, wN cÖf…wZ Lv`¨B d¨v‡Ui Ab¨Zg fvÛvi| Wvqv‡ewUm I nv‡U©i †ivM GKm‡½
_vK‡j d¨vU hZUv m¤¢e Kg LvIqv DwPZ| we‡klZ hviv GKUz †gvUv‡mvUv| †h me †Z‡j
Amsc„³ d¨vwU A¨vwmW (Unsaturated fatty acid) ‡ewk Av‡Q, †hgbÑ m~h©gyLx †Zj, mqvweb
†Zj, fzÆvi †Z‡j †ivMxi Lvevi ivbœv Ki‡Z n‡e| eZ©gv‡b evRv‡i eû ai‡bi bb&w÷K
d«vBc¨vb cvIqv hvq; hv‡Z Kg †Z‡j ivbœv-evbœv nq| Wvqv‡ewUm †ivMx‡`i ivbœvi Kv‡R Gme
evmb e¨envi Kiv †h‡Z cv‡i|
3). wewfbœ Avnv‡i K¨v‡jvix e›Ub:- mvaviYfv‡e ga¨weË I D”Pga¨weË ev½vjxiv w`‡b Pvievi
Lvevi Lvq| Gig‡a¨ `ycyi I iv‡Z `yÕevi †ewk K‡i LvIqv Ges mKvj I weKv‡j wUwdb|
GQvov gv‡Sg‡a¨ Pv-we¯‹zU ev ‡jŠwKKZvi LvwZ‡i Ab¨wKQz †L‡Z nq| ˆ`wbK hZ K¨v‡jvwi
Lv`¨ Avcbvi cÖ‡qvRb Zvi 21 kZvsk Lv‡eb mKv‡ji †eªKdv‡÷ ev cÖvZtiv‡k, ga¨vý
†fvR‡b 36 kZvsk, weKv‡ji wUwd‡b 14 kZvsk, iv‡Zi Lvev‡i 25 kZvsk I Aewkó 4
kZvsk Ab¨fv‡e Lv‡eb| G wnmve Avcbvi e¨w³MZ iæwP, Kv‡Ri mgq I cvwievwiK Ae¯’v
Abymv‡i wKQzUv A`j e`j Ki‡Z cv‡ib| Z‡e Wvqv‡ewUm I ü`&‡ivMx‡`i iv‡Zi †ejvq ‡ewk
fvix wKQz LvIqv wVK bq|
4). wbqwgZ e¨vqvg:- nvU©& wWwRR& I Wvqv‡ewUm wbqš¿‡Y e¨vqv‡gi GK weivU f~wgKv i‡q‡Q|
wbqwgZ e¨vqvg Kv‡ev©nvB‡WªU wecv‡K mvnvh¨ K‡i| we‡klZ hviv GKUz †gvUv‡mvUv-†MvjMvj
Zv‡`i Aek¨B e¨vqvg Ki‡Z n‡e| eqm, †iv‡Mi ZxeªZv, †ivMxi IRb, i³Pvc Abymv‡i
e¨vqvg wewfbœ iK‡gi n‡Z cv‡i| †hgbÑ nuvUv, RwMs, mvB‡Kj Pvjv‡bv, muvZvi, wd« n¨vÛ
G·vimvBR ev Av‡iv eû wKQz| cÖwZw`b AšÍZ 25 †_‡K 30 wgwbU e¨vqv‡gi Rb¨ eivÏ
Ki‡ZB n‡e|
5). i‡³ kK©iv wbqš¿‡Y ivLv:- mwVK Lv`¨ MÖnY, e¨vqvg Gm‡ei c‡iI hw` †`Lv hvq i‡³
kK©ivi gvÎv †ewk| Z‡e ‡m‡ÿ‡Î Ilya ‡L‡Z n‡e ev cÖ‡qvR‡b Bbmywjb Bb‡RKkb wb‡Z
n‡e|
Bbmywjb
Bbmywjb GKUv ni‡gvb hv Avgv‡`i †`‡ni g‡a¨ _vKv kK©iv‡K kw³‡Z cwiYZ Ki‡Z
mvnvh¨ K‡i| Avgv‡`i cvK¯’jxi Kv‡Q _vKv AMœ¨vkq ev c¨vbwµqv‡mi g‡a¨ i‡q‡Q we‡kl
ai‡bi wKQz †Kvl; hv‡K e‡j exUv‡mj (Beta Cell)| GB exUv‡mj †_‡K
ˆZwi nIqv Bbmywjb mivmwi i‡³ †g‡k| Zvici Zv kix‡ii wewfbœ †Kv‡l
†cŠu‡Q hvq|
hLb kK©iv AYy †Kv‡li AveiYx w`‡q †Kv‡li †fZ‡i XzK‡Z Pvq
†mmgq Bbmywjb GB kK©iv‡K cÖ‡e‡ki ‡ÿ‡Î mvnvh¨ K‡i| Bbmywj‡bi
KvR A‡bKUv Pvwe w`‡q Zvjv †Lvjvi g‡Zv| Bbmywj‡bi Pvwe _vK‡jB
†Kv‡li †fZ‡i kK©iv fv‡jvfv‡e cÖ‡ek Ki‡Z cv‡i| Bbmywjb kK©iv ev myMvi‡K fvO‡Z I
e¨envi Ki‡Z †`‡ni †Kvl¸wj‡K mvnvh¨ K‡i| Rvg©vb weÁvbx cj j¨v½vin¨vÝ& GB
AMœ¨vk‡qi †fZ‡i _vKv we‡kl †Kvl¸wj‡K 1869 mv‡j cÖ_g kbv³ K‡ib| ZvB Zvi bvg
Abymv‡i GB †Kvl¸wj‡K e‡jÑ ÔAvB‡jUm Ae j¨v½vin¨vÝ&Õ ev Ôj¨v½vin¨vÝ ewY©Z
Øxc†Kvl¸wjÕ| GB AvB‡jUm Ae j¨v½vin¨v‡Ý& †gvUvgywU fv‡e cuvP iK‡gi †Kvl _v‡K| GB
†KvlMywji KvR Kvievi Avevi Avjv`v-Avjv`v| †hgb weUv‡mj¸wj Bbmywjb ˆZwi K‡i|
Avjdv†Kvl¸wj MøyKvMb (Glucagon) I †Wëv‡mj¸wji †mvgv‡UvóvwUb (Somatostatin) ‰Zwi
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 23 -
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 24 -
K‡i| GQvovI we.wc. †mj (B.P.Cell) I wW. AvB (D.I. Cell) wKQz Ab¨ ai‡bi ivmvqwbK
c`v_© ‰Zwi K‡i _v‡K| Wvqv‡ewUm †iv‡Mi †ÿ‡Î weUv‡Kvl¸wji Bbmywjb Drcv`b I Avjdv
†Kvl¸wji MøyKvM‡bi Drcv`‡b cÖZ¨ÿ fv‡e cÖfve †d‡j| weUv‡Kvl †_‡K Bbmywj‡bi Drcv`b
Kg n‡j †ivMx mivmwifv‡e Wvqv‡ewU‡m AvµvšÍ nb| †m‡ÿ‡Î U¨ve‡jU ev Bb‡RKk‡bi g‡a¨
w`‡q †ivMxi kix‡i Bbmywj‡bi gvÎv wVK ivLvi cÖ‡qvRb nq|
K…wÎg Bbmywj‡bi cÖ_g ‰Zwi nq ‡Mviæ I ï‡qv‡ii AMœ¨vkq †_‡K| ‡Mviæi AMœ¨vkq
†_‡K Bbmywjb msMÖn K‡i Zv‡K we‡kl c×wZ‡Z cwimªyZ K‡i ˆZwi Kiv nZ Ô†evfvBb
BbmywjbÕ| GKBfv‡e ï‡qvi †_‡K msMÖn Kiv Bbmywjb‡K ejv nZ ÔcimvBbÕ| 1921 mv‡jB
G ai‡bi Bbmywjb Avwe®‹…Z nq| Wvqv‡ewUm †ivMx‡`i †ÿ‡Î cÖvq Qq `kK a‡i GB `yB
BbmywjbB wQj GKgvÎ fimv| Z‡e A‡bK †ÿ‡Î GBme Bbmywjb †_‡K wewfbœ iKg
A¨vjv‡R©wUK Amyweav †ivMxi kix‡i †`Lv w`Z| Avwki `k‡K wRb cÖhyw³‡K Kv‡R jvwM‡q
gvby‡li kix‡ii _vKv Bbmywj‡bi gZbB wnDg¨vb (Human) Bbmywjb ˆZwi Kiv m¤¢e nq|
GB Bbmywj‡bi Kvh©KvwiZv Av‡Mi Bbmywjb †_‡K A‡bK †ewk| cvk¦©cÖwZwµqv ev (Side
Effect) A‡bK Kg|
eZ©gv‡b wewfbœ ai‡bi Bbmywjb evRv‡i G‡m‡Q, G¸wji Kvh©KvwiZvI wewfbœiKg|
Wv³vieveyiv †ivMx‡K cixÿv K‡i wVK K‡ibÑ †Kvb †ivMxi Rb¨ wK ai‡bi Bbmywjb cÖ‡qvRb?
eZ©gv‡b evRv‡i wZb ai‡bi Bbmywjb Lye cÖPwjZÑ
(1) mj‡f›U I ¯^í‡gqv`x BbmywjbÑ GB Bbmywjb Lye `ªæZ KvR K‡i| Z‡e Gi KvR Kvievi
6 †_‡K 8 N›Uvi †ewk ¯’vqx nq bv| mvaviYfv‡e hLb †ivMxi msKURbK ev wmwiqvm Ae¯’v,
i‡³i kK©ivi gvÎv Lye †ewk ZLb G ai‡bi Bbmywjb e¨envi Kiv nq|
(2) B›UviwgwWI ev ga¨eZ©x BbmywjbÑ G‡K Avevi (NPH- Lente) Bbmywjb e‡j| GBme
Bbmywj‡bi KvR Kvievi 14 †_‡K 28 N›Uv ch©šÍ P‡j|
(3) `xN©‡gqv`x BbmywjbÑ GB Bbmywjb¸wji cÖfve 24 †_‡K 48 N›Uv ch©šÍ ¯’vqx nq| G‡`i
bvg wgKmUvW© (Mixtard), BbmvjUvW© (Insultard), AvjUªvUvW© (Ultratard)| GBme bv‡gI
WvKv n‡q _v‡K|
Avi GKwU welq GKUz †Lvjmv Kiv DwPZ| A‡b‡Ki g‡b GKUv åvšÍ aviYv Av‡Q †h,
Wvqv‡ewUm wbqš¿‡Y GKevi Bbmywjb Bb‡RKkb wb‡j Avi iÿv ‡bB| fwel¨‡Z wbqwgZ
Bb‡RKkb wb‡Z n‡e| †Kvb LvIqvi Ily‡a Avi KvR n‡e bv| GB åvšÍ aviYvi ekeZ©x n‡q
A‡b‡K cÖ‡qvR‡bi mgq Bb‡RKkb bv wb‡q; U¨ve‡jU †L‡q wecwË †W‡K Av‡bb| Bbmywj‡bi
cÖ‡qvRb n‡j Zv Aek¨B wb‡Z n‡e| GiRb¨ mviv Rxeb Bb‡RKk‡bi Dci wbf©ikxj _vK‡Z
n‡e; GUv wVK bq|
Avgv‡`i GB gvbe kix‡i cÖvq 10 nvRvi wewjqb (1 wewjqb= 100†KvwU) †Kvl _v‡K|
GB †Kvl¸wji †eu‡P _vKvi Rb¨ kw³i `iKvi| cÖv_wgKfv‡e GB kw³ Zviv †c‡Z Pvq Møy‡KvR
ev kK©iv †_‡K| Avgv‡`i Lvev‡ii g‡a¨ _vKv Kv‡e©vnvB‡WªU cywóZ‡š¿i g‡a¨ cwicvK n‡q
mij nq| Kv‡e©vnvB‡Wª‡Ui mij AbyB nj Møy‡KvR| Bbmywjb Avgv‡`i †`‡ni wewfbœ †Kv‡li
g‡a¨ Møy‡KvR‡K XzK‡Z mvnvh¨ K‡i| GB Møy‡KvR AYy¸wj †Kv‡li g‡a¨ `nb cÖwµqvq K¨v‡jvwi
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 25 -
ev kw³ Drcbœ K‡i| Av‡MB e‡jwQ Bbmywj‡bi KvR nj `iRvq `uvwo‡q _vKv `v‡ivqv‡bi
nv‡Zi Pvwei g‡Zv| Zvjv †`Iqv N‡i XzK‡Z †hgb Pvwei cÖ‡qvRb nq; †ZgbB i‡³ ch©vß
Bbmywjb bv _vK‡j †Kv‡l Møy‡KvR cÖ‡ek Ki‡Z cv‡i bv| i‡³i Møy‡KvR i‡³B †_‡K hvq|
Gid‡j i‡³ kK©ivi gvÎv evo‡Z _v‡K| Avgv‡`i †`‡ni g‡a¨ wewfbœ ¯^qswµq ev A‡Uv‡gwUK
e¨e¯’v i‡q‡Q| ¯^vfvweK fv‡e i‡³ Møy‡Kv‡Ri gvÎv †ewk _vK‡j AMœ¨vkq †m Lei †cŠuQvq|
Gici AMœ¨vkq †_‡K †ewk cwigvY Bbmywjb †ewi‡q Av‡m| Avi i‡³ kK©ivi gvÎv Kg _vK‡j
¯^qswµq fv‡e Bbmywj‡bi wbtmiY K‡g hvq| A‡bK‡ÿ‡Î Wvqv‡ewUm †ivMx‡`i GB ¯^qswµq
e¨e¯’v wVKg‡Zv KvR K‡i bv| i‡³i kK©ivi †LvuRLei mgq g‡Zv AMœ¨vk‡q †cŠuQvq bv| d‡j
Zv‡`i i‡³ kK©ivi gvÎv †ewk _v‡K| †mKvi‡Y Zv‡`i Bbmywjb wb‡Z nq|
Bbmywjb ivLvi wbqg Kvbyb
Av‡MB e‡jwQ Bbmywjb n‡”Q GKwU ni‡gvb| ivmvqwbKfv‡e GwU RwUj ‰Re †cÖvwUb|
GB ‰Re †cÖvwU‡bi Aby¸wj GKUz †ewk ZvcgvÎv‡ZB e`‡j hvq| †m Kvi‡Y Bbmywjb ivLvi
†ÿ‡Î K‡qKwU wel‡q we‡kl mZK© _vK‡Z n‡eÑ
(1) †ewk Mig RvqMvq Bbmywjb ivLv Pj‡e bv|
(2) †hLv‡b mivmwi m~h©v‡jvK c‡o †mLv‡b Bbmywj‡bi wkwk ivLv hv‡e bv|
(3) Lye VvÛv RvqMvq ev wWc wd«‡R Bbmywjb wkwk ivLv wVK bq| ‡iwd«Rv‡iUi ev wd«‡R
†hLv‡b kvKmewR ivLv nq; †mLv‡b Bbmywjb ivLv †h‡Z cv‡i| Z‡e jÿ¨ ivL‡Z n‡e †ewkÿY
†jvW‡kwWs Pj‡j Bbmywjb ivLvi †ÿ‡Î Ab¨ e¨e¯’v wb‡Z n‡e|
(4) GKgv‡mi †ewk mgq evwo‡Z Bbmywjb ivLv wVK bq|
(5) †Uª‡b ev †cø‡b hvZvqvZ Ki‡j my¨U‡Km ev weªd‡K‡m Bbmywjb ivL‡eb bv| nvZ e¨v‡M
ivLyb| ‡Lqvj ivL‡eb nvZ e¨vMwU‡Z †ewk ‡iv` ev Mig bv jv‡M |
Bbmywjb KLb †b‡eb
Av‡MB e‡jwQ, ¯^vfvweK Ae¯’vq Avgiv hLb †ewk cwigvY LvIqv- `vIqv Kwi ZLbB
Bbmywj‡bi wbtmiY ïiæ nq| A_©vr `ycy‡ii jv I iv‡Z wWbv‡ii ci AMœ¨vkq †_‡K Bbmywjb
wbtmi‡Yi gvÎv †e‡o hvq| wKš‘ hviv Wvqv‡ewUm †ivMx Zv‡`i †ÿ‡Î ¯^vfvweK KvRwU wVKg‡Zv
nq bv| †gvUvgywU fv‡e Lvevi LvIqvi AvaN›Uv Av‡MB Bbmywjb wb‡j me‡P‡q fv‡jv| Z‡e
Bbmywjb Bb‡RKkb †bIqvi ci †ivMx hw` AvaN›Uvi g‡a¨ Lvevi bv LvqÑ †m‡ÿ‡Î dj
gvivZ¥K n‡Z cv‡i| i‡³ Møy‡Kv‡Ri gvÎv A¯^vfvweK K‡g wM‡q ÔnvB‡cvMøvB‡mwgqvÕ-i jÿY
†`Lv w`‡Z cv‡i| †ivMxi AÁvb n‡q hvIqv, AwZwi³ Nvg, A‡bK †ÿ‡ÎB †ivMxi g„Zz¨ ch©šÍ
n‡Z cv‡i|
†`‡ni †Kv_vq Bbmywjb Bb‡RKkb †b‡eb
kix‡ii ‡hme As‡k Pwe©¯Íi †ewk †gvUv _v‡K; †mBme GjvKvq Bbmywjb Bb‡RKkb
†bIqv me‡P‡q fv‡jv| ‡c‡U,cv‡qi Diæi mvg‡b, cv‡k, _vB‡qi gvSLv‡b, cvQvq, bvwf‡Z,
nv‡Zi Dc‡ii w`‡K GBme RvqMvq Bbmywjb †bIqv †h‡Z cv‡i| Z‡e Bbmywjb Bb‡RKkb
†bIqvi RvqMv wbqwgZ cvëv‡bv `iKvi| GKB RvqMvq cÖwZw`b Bb‡RKkb bv †bIqvB
fv‡jv| cÖwZw`b Nywi‡q Nywi‡q †`‡ni wewfbœ As‡k Bbmywjb Bb‡RKkb wb‡Z n‡e| Bbmywjb
Bb‡RKkb wb‡Z nq Avgv‡`i †`‡ni Z¡‡Ki bx‡P| hv‡K Wv³vix
fvlvq Avgiv ewj mvewKDwUwbqvm (Subcutinious)| GQvovI
mivmwi wkiv‡ZI †`Iqv hvq| Z‡e ‡ivMxi m¼URbK Ae¯’v‡Z
AwfÁ Wv³vieveyi Z¡Ëveav‡b wkiv I †c‡Ui g‡a¨ B›Uvi-
†cwi‡Uvwbqvj (Inter–Peritoneal) Bb‡RKkb ‡`Iqv nq|
Bbmywjb Bb‡RKkb wb‡Z †M‡j mwVK wmwiÄ I m~P e¨envi
Ki‡Z n‡e| †h‡nZz Bbmywjb Bb‡RKkb †bIqv cÖwZw`‡bi
e¨vcvi ZvB memgq bZzb wmwiÄ e¨envi Kiv A‡b‡Ki †ÿ‡Î
Avw_©Kfv‡e m¤¢e bvI n‡Z cv‡i| †m‡ÿ‡Î Kuv‡Pi wmwiÄ I m~P
e¨envi K‡i Bb‡RKkb †bIqv hvq| Z‡e cÖ‡Z¨Kevi Bb‡RKkb †bIqvi Av‡M wmwiÄ I m~P
fv‡jvfv‡e dzwU‡q RxevYy gy³ Kiv `iKvi| hv‡`i c‡KU cviwgU K‡i Zviv wWm&c‡m‡ej
Bbmywjb wmwiÄ e¨envi Ki‡eb| GB wmwi‡Äi m~P †ek miæ _v‡K| wVKg‡Zv cwi®‹vi cwi”Qbœ
RvqMvq ivL‡j GKUv wWm&c‡m‡ej wmwiÄ GKB †ivMx `y- wZbevi e¨envi Ki‡Z cv‡ib| Z‡e
m~PUv cÖwZeviB cvj‡U wb‡Z cvi‡j fv‡jv| Bbmywjb AvšÍR©vwZK GKK ev BDwb‡U †`Iqv nq|
†K KZ BDwbU †b‡e? Zv Wv³vieveyiv †ivMx‡K cixÿv K‡i e‡j †`b| †hgbÑ Kv‡iv †ÿ‡Î
20 BDwbU, Kv‡iv †ÿ‡Î 40 BDwbU| Bbmywj‡bi wkwk †_‡K Bbmywjb fivi Av‡M wkwkwU‡K
fv‡jvfv‡e SuvwK‡q wb‡Z n‡e| wmwiÄ& -G Bbmywjb fivi ci †Lqvj ivL‡Z n‡e †hb †Kvb
Ae¯’v‡ZB wmwi‡Ä evZv‡mi Ÿy`ey` bv _v‡K| †hLv‡b Bb‡RKkb wb‡Z n‡e †mLvbKvi Pvgov
`y‡Uv Av½yj w`‡q †U‡b GKUz DuPz‡Z Zzj‡Z n‡e| Zvici Bb‡RKk‡bi m~P ev wmwi‡Äi wbwWj
45 wWwMÖ †Kv‡Y Pvgovi bx‡P XzwK‡q Av‡¯Í Av‡¯Í wc÷b †V‡j Bbmywjb kix‡i cÖ‡ek Kiv‡Z
n‡e| ‡hLv‡b Bb‡RKkb †bIqv n‡”Q †mB RvqMvwU fv‡jvg‡Zv cwi®‹vi Kiv `iKvi|
‡hLv‡b Bb‡RKkb †b‡eb nvjKv mvevbRj ev Zz‡jv w¯úwiU w`‡q †mLvbKvi Pvgov
cwi®‹vi Kiv `iKvi| hviv cÖ_g cÖ_g Bbmywjb †bIqv ïiæ Ki‡eb Zviv Aek¨B ¯^v¯’¨Kg©x,
K¤úvDÛvi ev Wv³v‡ii mvnvh¨ †b‡eb| cÖ_g †_‡KB gvZeŸix Ki‡Z hv‡eb bv| hviv `xN©w`b
a‡i Bbmywjb Bb‡RKkb wb‡”QbÑ †mBme †ivMxi m‡½ civgk© Ki‡j fv‡jv dj †c‡Z
cv‡ib|
nvB‡cvMøvB‡mwgqv
Wvqv‡ewUm †ivMx‡`i we‡klZ hviv Bbmywjb †bb; Zv‡`i †ÿ‡Î †Kvb †Kvb mgq i‡³
kK©ivi gvÎv cÖ‡qvR‡bi Zzjbvq A‡bKUv K‡g hvq| cÖwZ †WwmwjUvi i‡³ kK©ivi gvÎv 65
†_‡K 70 wgwjMÖvg Gi Kg n‡j wewfbœ ai‡bi DcmM© †`Lv †`q| G‡K e‡j
ÔnvB‡cvMøvB‡mwgqvÕ| GB ÔnvB‡cvMøvB‡mwgqvÕ-i jÿY wewfbœ †ivMxi †ÿ‡Î wewfbœ iKg n‡Z
cv‡i| Kv‡iv †ÿ‡Î †`Lv hvq ÔnvB‡cvMøvB‡mwgqvÕ-i d‡j †ivMxi AZ¨waK wL‡` cvq, †c‡U
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 26 -
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 27 -
e¨_v †`Lv †`q, †ivMxi AZ¨waK Nvg nq, mviv †`n Amvo n‡q c‡o, †Kvb †Kvb mgq †ivMx
AÁvb n‡q hvq| A‡bK mgq †ivMx Gid‡j Ô†KvgvÕ-‡ZI P‡j †h‡Z cv‡i|
ÔnvB‡cvMøvB‡mwgqvÕ †_‡K Wvqv‡ewUm †ivMxi g„Zz¨ Lye weij bq| GB ai‡bi Amyweav n‡j
†ivMx‡K ZrÿYvr Møy‡KvR ev wPwbi kieZ †L‡Z n‡e| ÔnvB‡cvMøvB‡mwgqvÕ †mme †ÿ‡Î †ewk
nq hLb ‡ivMx Bbmywjb Bb‡RK&kb †bIqvi ci eûÿY bv †L‡q _v‡Kb ev nVvr K‡i AwZwi³
kvixwiK cwikªg K‡i †d‡jb; Gm‡ei d‡j i‡³ myMv‡ii gvÎv nVvr K‡i K‡g hvq| †m Kvi‡Y
hviv Bbmywjb †bb ev hv‡`i eøvWmyMvi wbqš¿‡Yi Rb¨ †ewk gvÎvq Ilya †L‡Z nq, Zv‡`i mv‡_
memgq Møy‡Kv‡Ri c¨v‡KU I R‡ji †evZj ivL‡Z n‡e| wb‡`bc‡ÿ j‡RÝ&, P‡Kv‡jU Gai‡bi
wgwó Lvevi m‡½ ivLv `iKvi| hv‡Z ÔnvB‡cvMøvB‡mwgqvÕ-i Amyweav ZvrÿwYK mvgvj †`Iqv
hvq|
KLb Wv³vi WvK‡eb
A¨v‡gwiKvb Wvqv‡ewUK A¨v‡mvwm‡qk‡bi Z_¨g‡Zv Wvqv‡ewU‡mi Riæwi Ae¯’v ˆZwi nq `ywU
mgqÑ
(1) hLb i‡³ myMv‡ii cwigvY cÖ‡qvR‡bi Zzjbvq AwZwi³ K‡g hvq ev ÔnvB‡cvMøvB‡mwgqvÕ|
(2) hLb i‡³ myMv‡ii cwigvY cÖ‡qvR‡bi Zzjbvq gvÎvwZwi³ ‡e‡o hvq| hv‡K Wv³vix fvlvq
ewj ÔnvBcvi MøvB‡mwgqvÕ I m‡½ A¨vwm‡Wvwmm|
‡ivMxi cÖPÛ gv_v‡Nviv (Staggering), Lye `ye©jZv, †ivMx Lye †i‡M hv‡”Q, †ivMxi Mv‡qi
is d¨vKv‡k, K_vevZ©vi Zvj †bB, Pj‡Z †M‡j Uvj Lv‡”Q, †ivMxi cÖPÛ Nvg, †ivMxi nZ
‡PZbfve (Stupor) ÑGme jÿ‡Y †ewk †`ix bv KivB fv‡jv| Wv³v‡ii Kv‡Q wb‡q hvIqvB
fv‡jv|
nvBcviMøvB‡mwgqv n‡j ev i‡³ kK©ivi gvÎv †ewk n‡j ‡ivMx cÖPÛ Ny‡gi †Nv‡i _v‡K
(Drowsiness), cÖPÛ wccvmv, †ivMx evievi cÖmªve K‡i, m‡½ ewgI _vK‡Z cv‡i| †ivMxi
wbtk¦v‡m dj ev g‡`i MÜ cvIqv hvq| †ivMxi gyL jvj n‡q hvq, †ivMx †Rv‡i †Rv‡i k¦vm †bq,
KLbI KLbI AÁvb n‡q c‡o|
‡ivMxi nvB‡cvMøvB‡mwgqv n‡q‡Q, bv nvBcviMøvB‡mwgqv n‡q‡Q GUv hw` eyS‡Z bv cv‡ib
Z‡e †ivMx‡K cÖ_‡g wPwb kieZ w`b, GQvovI VvÛvcvbxq, d‡ji im, Av‡Li im w`‡Z cv‡ib|
G¸wj LvIqvi 10-15 wgwbU ci Wvqv‡ewUm †ivMx hw` my¯’‡eva bv K‡ib Z‡e ZrÿYvr
Wv³v‡ii m‡½ †hvMv‡hvM Kiæb ev †ivMx‡K nvmcvZv‡j wb‡q hvb|
Lv`¨ Lvevi I Wvqv‡ewUm
Wvqv‡ewUm †ivMx‡`i LvIqv `vIqv wbqš¿Y K‡i Amy‡Li Amyweav¸wj 50 †_‡K 70
kZvsk Kgv‡bv hvq| Av‡MB e‡jwQ Avgv‡`i Lv`¨ Lvev‡i †gvUvgywU wZbwU cÖavb cywó Dcv`vb
_v‡K| †hgbÑ †k¦Zmvi ev ÔKv‡e©vnvB‡WªUÕ, AvwglLv`¨ ev Ô‡cÖvwUbÕ I Pwe©RvZxq Lv`¨ Ôd¨vUm&Õ|
GQvovI i‡q‡Q Rj, wfUvwgb, wewfbœ LwbR ev wgbv‡ijm, Zš‘ ev dvBevi AviI wKQz Dcv`vb|
Avgv‡`i †`‡n Møy‡Kv‡Ri g~j Drm nj Kv‡e©vnvB‡WªU ev †k¦Zmvi RvZxq Lv`¨| Kv‡e©vnvB‡Wª‡Ui
g‡a¨I `y ai‡bi Kv‡e©vnvB‡WªU i‡q‡Q| GKai‡bi Kv‡e©vnvB‡WªU mij mvaviY Kv‡e©vnvB‡WªU,
Avi GK cÖKvi nj RwUj cÖK…wZi Kv‡e©vnvB‡WªU|
mij Kv‡e©vnvB‡WªU Lye ZvovZvwo cwicvK n‡q Møy‡Kv‡R cwiYZ n‡q hvq| Gai‡bi
Kv‡e©vnvB‡WªU Wvqv‡ewUm †ivMx‡`i †ÿ‡Î wbivc` bq| KviY G‡Z kK©ivi cwigvY Lye
ZvovZvwo †e‡o hvq| †hgbÑ wPwb, wgwó, im‡Mvjøv, m‡›`k GB RvZxq wgwó mij kK©ivi g‡a¨
c‡o|
Avi RwUj Kv‡e©vnvB‡WªU †hgb wewfbœ mewR, Zš‘RvZxq Lvevi ÑGme Wvqv‡ewUm
†ivMx‡`i †ÿ‡Î Zzjbvg~jKfv‡e wbivc`| GB RwUj Kv‡e©vnvB‡WªU cwicvK n‡q Møy‡Kv‡R
cwiYZ n‡Z A‡bK mgq jv‡M| GZ i‡³ kK©ivi gvÎv ax‡i ax‡i ev‡o Ges †`‡ni wbR¯^
Bbmywj‡bi mvnv‡h¨ G¸wj †_‡K kw³ cvIqv hvq| †m Kvi‡YB Wvqv‡ewUm †ivMxi memgq mij
Kv‡e©vnvB‡WªU¸wj Gwo‡q wM‡q RwUj Kv‡e©vnvB‡WªU LvIqv DwPZ|
Avgv‡`i †`‡ni cwicvKZš¿wU gyL †_‡K ïiæ K‡i cvqy ch©šÍ i‡q‡Q| GB cwicvK
Zš¿‡K Wv³vix fvlvq Avgiv ewj ÔMÖv‡÷vB‡›Uvw÷bvj wm‡÷gÕ| gy‡Li Lv`¨MÖnY †_‡K ïiæ n‡q
Zvici †mUv cwicvK n‡q †kvwlZ nq| Lv‡`¨i AcvP¨ Ask †`‡ni evB‡i †ewi‡q hvq| Avgiv
hLb gyL w`‡q LvB I Lv`¨ wPevB Zvici †mUv B‡mv‡dMvm ev MÖvmbvjxi g‡a¨ w`‡q cvK¯’jx ev
÷gv‡K †cŠuQvq| cvK¯’jx‡Z Lvevi †cŠuQv‡bvi ci †mwU cwicvK n‡Z _v‡K ev mij n‡Z
_v‡K| Zvici †mB wKQzUv cwicvK nIqv Lvevi A‡š¿ †cŠuQvq| ¶z`ªvš¿ †_‡K Lvev‡ii mij
cywóKi Dcv`vb i‡³ †g‡k| Lvev‡ii †h Ask cwicvK nq bv Zv e„n`š¿ ev †Kv‡jb w`‡q gj
AvKv‡i †`‡ni evB‡i †ewi‡q hvq|
Avgv‡`i †cŠwóK bvjx ev ÔMÖv‡÷vB‡›Uvw÷bvj Uª¨v‡KÕ Kv‡e©vnvB‡WªU †_‡K Møy‡KvR Drcbœ
nq| †cÖvwUb RvZxq Lv`¨ †_‡K ˆZwi nq A¨vwg‡bv A¨vwmW Ges Pwe© RvZxq Lv`¨ †_‡K
UªvBwMømvivBW ev d¨vwU A¨vwmW ˆZwi nq| Avgv‡`i Aš¿ †_‡K Møy‡KvR, A¨vwg‡bv A¨vwmW,
UªvBwMømvivBW ev d¨vwU A¨vwmW i‡³ †g‡k| Avgv‡`i ¶z`ªv‡š¿ wZbwU Ask i‡q‡Q| cÖ_g
As‡ki bvg nj wW‡qvwWbvg, ga¨vsk‡K e‡j †RRybvg I †kl As‡ki bvg nj Bwjqvg|
cwicvKZ‡š¿ mij Lv`¨KYv¸wj wZbfv‡Mi `yÕfvMB wW‡qvwWbvg I †RRybvg †_‡K †kvwlZ nq|
wZb fv‡Mi GKfvM †kvwlZ nq Bwjqvg †_‡K|
Kv‡e©vnvB‡WªU
Avgiv cÖwZw`b †h Lvevi LvB Zvi †ewki
fvMUvB Kv‡e©vnvB‡WªU| avb, Mg, fzÆv, †Rvqvi,
evRiv, ivMx Avi me Lv`¨k‡m¨ cÖPzi cwigv‡Y
Kv‡e©vnvB‡WªU _v‡K| Kv‡e©vnvB‡Wª‡U Kve©b,
nvB‡Wªv‡Rb I Aw·‡Rb cigvYy¸wj Ggbfv‡e _v‡K
hvi g‡a¨ w¯’wZkw³ jywK‡q i‡q‡Q| GB w¯’wZkw³
†_‡K Avgiv Zvc ev MwZkw³ cvB| †gvUvgywU
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 28 -
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 29 -
wnmve Abyhvqx 100 MÖvg Kv‡e©vnvB‡Wª‡U cÖvq Pvi K¨v‡jvwi kw³ _v‡K| wPwKrmv weÁv‡bi †Pv‡L
Kv‡e©vnvB‡WªU mvaviYZ wZb cÖKvi| g‡bvm¨vKvivBW, WvBm¨vKvivBW I cwjm¨vKvivBW|
g‡bvm¨vKvivBW n‡”Q Kv‡e©vnvB‡Wª‡Ui me‡P‡q mij iƒc| g‡bvm¨vKvivB‡Wi Avevi
wZbwU fvM i‡q‡Q Møy‡KvR, d«z‡±vR, M¨vjvK‡UvR| mij Kv‡e©vnvB‡WªU †hgbÑ Møy‡KvR I d«z‡±vR
cvIqv hvq dj, kvKmewR Avi gay‡Z| `y‡a †h Kv‡e©vnvB‡WªU _v‡K Zv‡K e‡j j¨vK‡UvR|
wewfbœ cÖvYxRvZ Lv‡`¨ MøvB‡Kv‡Rb bv‡g Kv‡e©vnvB‡WªU _v‡K|
`ywU g‡bvm¨vKvivBW GKm‡½ Ry‡o _vK‡j Zv‡K e‡j WvBm¨vKvivBW| †hgbÑ wPwb ev
my‡µvR| `ywUi †ewk g‡bvm¨vKvivBW GKm‡½ Ry‡o _vK‡j Zv‡K e‡j cwjm¨vKvivBW|
†hgbÑ ÷vR©, MøvB‡Kv‡Rb, †mjy‡jvR|
Avgiv hLb †Kvb Kv‡e©vnvB‡WªU LvB ZLb Zvi cwicvK gy‡LB ïiæ n‡q hvq| gy‡Li
jvjvMÖwš’ †_‡K †ewi‡q Avmv ÷vqvwjb Dr‡mPK Kv‡e©vnvB‡WªU RvZxq Lv`¨‡K cÖ_‡g mij
Ki‡Z †Póv K‡i| Zvici cvK¯’jx I Aš¿ n‡q i‡³ wg‡k i‡³ myMv‡ii gvÎv evov‡Z _v‡K|
†gvUvgywU fv‡e Kv‡e©vnvB‡WªU RvZxq Lv`¨ MÖn‡Yi 1 N›Uv ci †_‡KB i‡³ Møy‡Kv‡Ri gvÎv
evo‡Z _v‡K| Lv`¨MÖn‡bi `y N›Uvi ci i‡³ Møy‡Kv‡Ri gvÎv me‡P‡q †ewk nq|
i‡³ Møy‡Kv‡Ri gvÎv evo‡Z _vK‡j AMœ¨vkq †_‡K ¯^qswµq fv‡e Bbmywj‡bi wbtmiY
ev‡o| Zvici GKUv ch©v‡q wM‡q Bbmywj‡bi Drcv`b evav cvq| ZLb †`‡ni AwZwi³
Kv‡e©vnvB‡WªU d¨vU ev Pwe©‡Z iƒcvšÍwiZ n‡q †`‡ni †fZ‡i Rgv n‡Z _v‡K| hLb Avgiv
`xN©mgq D‡cvm K‡i _vwK ev †`‡n Kv‡e©vnvB‡Wª‡Ui Afve †`Lv †`q †mB mgq †`‡ni mwÂZ
Pwe© wewkøó n‡q †`‡ni cÖ‡qvRbxq kw³ †RvMvq|
mij I RwUj Kv‡e©vnvB‡WªU
Av‡MB e‡jwQ Kv‡e©vnvB‡WªU `yB ai‡bi mij I RwUj| mij Kv‡e©vnvB‡Wª‡U Møy‡Kv‡Ri
AYy¸wj Ggb fv‡e mvRv‡bv _v‡K hv‡Z †m¸wj mn‡RB †f‡½ Møy‡Kv‡R cwiYZ nq| GBme
Kv‡e©vnvB‡WªU¸wj Lye ZvovZvwo i‡³i kK©ivi gvÎv‡K evwo‡q †`q| Avi RwUj Kv‡e©vnvB‡Wª‡U
Møy‡KvR AYy¸wj Ggbfv‡e _v‡K hv cwicvK n‡Z ev mij Møy‡KvR AYy‡Z cwiYZ n‡Z A‡bK
†ewk mgq jv‡M| wPwb, ¸o, gay, wgwó, dj, R¨vg, †Rjx, †KvìwW¼m& G¸wj mij
Kv‡e©vnvB‡WªU| iæwU, mywR, BWwj G¸wj RwUj Kv‡e©vnvB‡WªU| fvZ I Avjy‡Z `yÕ ai‡bi
Kv‡e©vnvB‡WªU _v‡K| ‡mBRb¨ Wvqv‡ewUm †ivMx‡`i fvZ I Avjyi gvÎv †g‡c LvIqv DwPZ|
†KvbUv mij Ges †KvbUv RwUj Kv‡e©vnvB‡WªU Zv †Pbvi me‡P‡q mnR Dcvq njÑ
Kv‡e©vnvB‡WªU RvZxq Lv`¨ gy‡L w`‡q wKQzÿY wPev‡j hw` wR‡f wgwó ¯^v` Av‡m, Z‡e eyS‡Z
n‡e †mB Lvev‡i †ewk cwigvY mij Kv‡e©vnvB‡WªU RvZxq Lv`¨ i‡q‡Q| Kv‡ev©nvB‡WªU ev
†k¦Zmvi Kxfv‡e †f‡½ †f‡½ myMvi nq Zv mnRfv‡e †evSvi Rb¨ GB PvU©wU ‡`‡L †bIqv
hvKÑ
‡cÖvwUb
Avgiv cÖwZw`b hv Lvevi LvB Zvi
Ab¨Zg cÖavb Dcvq nj †cÖvwUb|
Kv‡e©vnvB‡WªU †hgb Møy‡KvR w`‡q ˆZwi;
†Zgb †cÖvwU‡b _v‡K A¨vwg‡bv A¨vwmW|
GB A¨vwg‡bv A¨vwm‡Wi AYy¸wj
ci¯úi ci¯ú‡i wg‡j j¤^v †PBb ev
k„•Lj ˆZwi K‡i| ZLb Zv‡K e‡j
cwj‡ccUvBW| †cÖvwUb mvaviYZ `yÕ
iKgÑ cÖvYxR †cÖvwUb I Dw™¢¾ †cÖvwUb|
gvQ, gvsm, wWg, `ya †hme Avgiv
cÖvYx‡`n †_‡K cvB Zv‡K e‡j cÖvYxR
†cÖvwUb| Avi †hme †cÖvwUb Dw™¢R †_‡K Av‡m, †hgbÑ Aoni, †Qvjv, gyM, gmywi, gUi GBme
wewfbœ Wvj I †mvqvweb Dw™¢¾ †cÖvwUb|
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 30 -
†hme Wvqv‡ewUm †ivMx‡`i wKWwbi †Kvb mgm¨v †bB, Zviv cÖ‡qvRbg‡Zv Dw™¢R †cÖvwUb
†L‡Z cv‡ib| Avevi †hme Wvqv‡ewUm †ivMx‡`i ü`&hš¿ bx‡ivM Av‡Q ev ü`&‡ivM †bB; Zviv
cÖ‡qvRb g‡Zv A¨vwbgvj †cÖvwUb †L‡Z cv‡ib| Z‡e †`‡ni wewfbœ KvR Kvievi wVKg‡Zv Pjvi
Rb¨ cÖvYxR I Dw™¢R `yÕai‡bi †cÖvwUbB `iKvi Ges GB `yB ai‡bi †cÖvwU‡bi g‡a¨ mwVK
mvgÄm¨ _vKv `iKvi| Wvqv‡ewUm †ivMxiv †cÖvwUb I Kv‡e©vnvB‡Wª‡Ui mvgÄm¨ ivLvi Rb¨
†gkv‡bv k‡m¨i iæwU †L‡Z cv‡ib| †hgbÑ 60 fvM M‡gi AvUv 30 fvM †Qvjvi †emb I 10
fvM †mvqvwe‡bi AvUv wgwk‡q iæwU evbv‡Z cv‡ib| G‡Z Lv‡`¨i Dw™¢R †cÖvwUb I
Kv‡e©vnvB‡Wª‡Ui fvimvg¨ eRvq _vK‡e| †cÖvwUb RvZxq Lv‡`¨ ‡Zgbfv‡e Møy‡Kv‡Ri AYy _v‡K
bv| ZvB †hme Wvqv‡ewUm †ivMx‡`i wKWwb I ü`‡iv‡Mi Sv‡gjv †bB Zviv †cÖvwUb RvZxq
Lvevi wbivc‡` †L‡Z cv‡ib|
wfUvwgb
Avgv‡`i kixi MV‡bi GK ¸iæZ¡c~Y© Dcv`vb wfUvwgb| wfUvwg‡b †mfv‡e †Kvb kw³
†RvMv‡bi Dcv`vb _v‡K bv| Z‡e †ivM cÖwZ‡iva, kvixwiK e„w×, Z¡K, †PvL Gme mej ivLvi
†ÿ‡Î ¸iæZ¡c~Y© f~wgKv cvjb K‡i| †hgbÑ
wfUvwgb we (Vitamin-B ) Kg‡cø‡·i cÖ‡qvRb nq
†`‡ni wewfbœ wecvKxq KvR Pvjv‡Z| wfUvwgb G
(Vitamin-A) †Pv‡Li `„wókw³‡K wVK iv‡L|
wfUvwgb wm (Vitamin-C) †`‡ni †ivM cÖwZ‡iva
ÿgZv evovq| GBfv‡e wewfbœ wfUvwgb †`‡ni
KvRKviev‡i mvnvh¨ K‡i| Wvqv‡ewUm †ivMx‡`i
Lv‡`¨ wewfbœ wfUvwgb mwVK Abycv‡Z _vKv LyeB
cÖ‡qvRb| KviY Wvqv‡ewUm †ivMx‡`i Ggwb‡ZB †ivM cÖwZ‡iva ÿgZv K‡g hvq| K‡g hvq
†Pv‡Li `„wó I Z¡‡Ki i³ msenb|
LvIqvi †Zj
Avgiv wewfbœ ivbœvevbœvq †fvR¨ †Zj e¨envi Kwi| GB
†Z‡ji cÖavb Dcv`vb d¨vwU A¨vwmW ev UvBwMømvivBW| GB
UvBwMømvivBW A‡bKUv wMømvwi‡bi g‡ZvB †`L‡Z|
ÔwMømvijÕ(Glyceral) bv‡gi GK ai‡bi c`v_© w`‡q ˆZwi|
GB d¨vwU A¨vwm‡Wi k„•L‡ji g‡a¨ g~j Dcv`vb _v‡K Kve©b|
cÖwZwU Kve©b cigvYyi m‡½ `yBwU K‡i nvB‡Wªv‡Rb cigvYy hy³
_v‡K| GB Kve©b cigvYy ci¯úi ci¯úi‡K a‡i iv‡L| †mvRv
K_vq ej‡Z †M‡j Kve©b cigvYyi Pvi‡U nvZ| d¨vwU A¨vwm‡Wi ‡ÿ‡Î GKwU Kve©b cigvYy `ywU
nvZ w`‡q `ywU Kve©b cigvYy‡K a‡i| evwK `ywU nv‡Z nvB‡Wªv‡Rb cigvYy _v‡K| hLb Kve©b
cigvYyi PviwU nvZB †Kvb bv †Kvb Kve©b ev nvB‡Wªv‡Rb cigvYy w`‡q aiv _v‡K, ZLb Zv‡K
e‡j m¨vPz‡i‡UW d¨vwU A¨vwmW(Saturated Fatty Acid) ev ms‡ÿ‡c ;(SAFA mvdv)| wewfbœ
†Z‡ji g‡a¨ nvB‡Wªv‡Rb M¨vm mÂvjb K‡i Zv‡K m¨vPz‡i‡UW †Zj Kiv nq| †hgbÑ eb¯úwZ,
WvjWv Gme| hLb cÖwZwU Kve©b cigvYy †_‡K GKwU K‡i nvB‡Wªv‡Rb Kg _v‡K ZLb Zv‡K
e‡j g‡bvm¨vPz‡i‡UW d¨vwU A¨vwmW(Mono Unsaturated Fatty Acid) ev ms‡ÿ‡c; (MUFA
gydv)| †hgbÑ RjcvB ‡Zj ev Awjf A‡qj| hLb †Kvb †Z‡ji d¨vwU A¨vwm‡Wi k„•Lj ‡_‡K
GKvwaK Kve©b cigvYy m‡i _v‡K, ZLb Zv‡K e‡j cwj Avbm¨vPz‡i‡UW d¨vwU A¨vwmW(Poly
Unsaturated Fatty Acid) ; ms‡ÿ‡c PUFA- cydv| †hgbÑ m~h©gyLxi †Zj ev mvbd¬vIqvi
A‡qj, m‡l©i †Zj Gme| †hme Wvqv‡ewUm †ivMx‡`i nv‡U©i †Kvb mgm¨v †bB Zviv †h †Kvb
ai‡bi †Zj †L‡Z cv‡ib| wKš‘ †h mKj Wvqv‡ewUm †ivMx‡`i nv‡U©i AmyL i‡q‡Q Zv‡`i
Lvev‡i †Zj e¨env‡ii †ÿ‡Î mZK© n‡Z n‡e| me‡P‡q fv‡jv Dcvq njÑ cydv, gydv I mvdv
wbw`©ó AYycv‡Z wgwk‡q e¨envi Kiv|
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 31 -
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wewfbœ cÖKvi †mœn c`v‡_© †gvU d¨v‡Ui KZ kZvsk mvdv, gydv, I cydv Av‡Q Zv GKevi †`‡L
†bIqv hvK-
‡Zj ev d¨vU mvdv% gydv% cydv%
mi‡l †Zj 6 48 46
bvi‡Kj †Zj 87 7 6
Pxbvev`vg †Zj 26 59 15
wZj †Zj 14 45 41
mqvweb †Zj 21 25 54
cvg †Zj 52 39 9
ZzjvexR †Zj 24 26 50
†icwmW †Zj 6 50 44
m~h©gyLx †Zj 9 29 62
fzÆvi †Zj 18 26 56
eb¯úwZ 92 6 2
wN 64 33 3
gvLb 62 32 6
k³ gvR©vixb 78 14 8
big gvR©vixb 30 48 22
Zš‘ RvZxq Lv`¨
Wvqv‡ewUm †ivMx‡`i Lvev‡i Zš‘ ev dvBev‡ii cwigvY †ewk _vKv `iKvi| Zš‘RvZxq
Lv‡`¨i g‡a¨ K¨v‡jvwi ev kw³i g~j¨ Lye Kg _v‡K| cvK¯’jxi g‡a¨ Zš‘ nRg n‡Z A‡bK mgq
jv‡M| d‡j i‡³i Møy‡Kv‡Ri cwigvY‡K wbqš¿‡Y ivL‡Z mvnvh¨ K‡i| wewfbœ Zš‘‡Z cÖPzi
cwigv‡Y †mjy‡jvR _v‡K| †mjy‡jvR GK ai‡bi Kv‡e©vnvB‡WªU| Z‡e gvby‡li †cŠwóKZ‡š¿ GB
Kv‡e©vnvB‡WªU‡K nRg Kivi ÿgZv _v‡K bv| ‡mjy‡jvR‡K nRg Ki‡Z †M‡j Ô†mjy‡jRÕ bv‡gi
Dr‡mPK ev GbRvBb cÖ‡qvRb| †hUv wKbv Miæ, QvMj, Mvav GBme Z…Y‡fvRx cÖvYx‡`i
†cŠwóKZ‡š¿ _v‡K| ZvB Zviv †mjy‡jvR†K nRg Ki‡Z cv‡i| †mjy‡jvRhy³ GB Zš‘iv Rj
†kvlb K‡i dz‡j †du‡c _v‡K| ZvB Zš‘ RvZxq Lvevi LvIqvi ci †cU A‡bKÿY fiv fiv
_v‡K| mn‡R wL‡` cvq bv| hv wKbv Wvqv‡ewUm †ivMx‡`i †ÿ‡Î GKUv we‡kl f~wgKv cvjb
K‡i| †mjy‡jvR hy³ Zš‘iv †kl‡gk g‡ji mv‡_ †`‡ni evB‡i ‡ei n‡q hvq| wbqwgZ
Zš‘RvZxq Lv`¨ †L‡j cvqLvbv cwi®‹vi _v‡K| Mg, IU, M‡gi fzwm, wewfbœ kvKmewR‡Z cÖPzi
cwigv‡Y Zš‘ ev dvBevi _v‡K| Wvqv‡ewUm †ivMx‡`i Gme Lvevi wbqwgZ LvIqv cÖ‡qvRb|
†mjy‡jvR QvovI AviI GK ai‡bi dvBevi wewfbœ mewR, Wvj I dj-G _v‡K| †h¸wj‡K
Wv³vix fvlvq Avgiv ewj Ôbb÷vP© cwjm¨vKvivBW ev ms‡ÿ‡c (NSP)Õ| i‡³ kK©iv wbqš¿Y
ivL‡Z I †Kv‡j‡÷i‡ji mgm¨v Kgv‡Z GB ai‡bi NSP dvBevi Lv`¨ ZvwjKvq _vKv
`iKvi| mv`v AvUvi e`‡j jvj AvUv, cvwjm Kiv mv`v Pv‡ji e`‡j †XwK QuvUv jvj Pvj, gq`v
e`‡j AvUv LvIqv Wvqv‡ewUm †ivMx‡`i c‡ÿ fv‡jv| Gm‡e‡Z NSP gvÎv †ewk _v‡K|
†Kvb Lvev‡i KZUv Zš‘ Av‡Q Zv †gvUvgywU fv‡e †`‡L †bIqv hvK:Ñ
wewfbœ Lvevi Zš‘i cwigvY
1. ivbœv Kiv wmg& Avav Kvc 1.4 MÖvg
2. 1 wcm cvDiæwU‡Z Zš‘ i‡q‡Q 0.3 MÖvg
3. Kb‡d¬Km& GK Kvc 3/4 MÖvg 1.7 MÖvg
4. gmyi Wvj Avav Kvc 1.2 MÖvg
5. gUi Wvj Avav Kvc 1.5 MÖvg
6. Avjy †m× Avav Kvc 0.4-0.6 MÖvg
7. eª‡Kvwj 1.2 MÖvg
8. MvRi KzPv‡bv Avav Kvc 0.6-0.8 MÖvg
9. gy‡jv KzPv‡bv Avav Kvc 2.2 MÖvg
10. Ug¨v‡Uv (gvSvwi gv‡ci) 0.6 MÖvg
A¨vw›U Aw·W¨v›Um I Wvqv‡ewUm
Avgv‡`i †ivRKvi Lvevi †_‡KB cwicvK I wecvK wµqvi ga¨ w`‡q †`‡ni cÖ‡qvRbxq
kw³ cvB| kix‡ii g‡a¨ †h Aweivg wecvK wµqv Pj‡Q Gi d‡j ˆZwi n‡”Q wKQz †hŠM ev wd«-
ivwWK¨vjm&| wd«-ivwWK¨vjm&¸wj †`‡ni wewfbœ †hŠ‡Mi mv‡_ wewµqv K‡i ‡`‡ni ÿwZ mvab
K‡i| wd«-ivwWK¨vjm& Gi
cÖfv‡e †Kv‡li c`©v ev †mj
†ggeªb ÿwZMÖ¯Í nq| Ggb Kx
†Kv‡li gw¯Í®‹ ev wbDwK¬qv‡mi
Kvh©ÿgZv bó n‡q †h‡Zcv‡i|
ÔnvBcvi‡Kv‡j‡÷ijwgqvÕ A_©vr
i‡³ †Kv‡j‡÷i‡ji gvÎvwaK¨,
A¨v‡_‡ivm‡K¬‡ivwmm& ev ‡`‡ni
i³evnxbvjxi †fZi Pwe© R‡g
miæ n‡q hvIqv, K‡ivbvix nvU&
wWwRR& Av‡iv eû wec` G‡m
nvbv w`‡Z cv‡i|
wewfbœ cÖKvi A¨vw›U-Aw·W¨v‡›Ui ˆ`wbK cÖ‡qvRb
wfUvwgb ÔwmÕ - 500-900 wg.MÖv.
wfUvwgb ÔBÕ - 300-400 AvB.BD.
wfUvwgb ÔGÕ - 2-3 wg.MÖv.
weUvK¨viwUb - 10-15 wg.MÖv.
wRsK - 15-25 wg.MÖv.
†m‡jwbqvg - 100-200 wg.MÖv.
A¨vw›U- Aw·W¨v›Um n‡jv Ggb wKQz c`v_© hv wd«-ivwWK¨vjm&‡K wbw®Œq K‡i kixi‡K K‡i
†Zv‡j wec`gy³| mnR K‡i ej‡Z †M‡j A¨vw›U Aw·W¨v›Um gv‡b n‡jv hv Aw·‡R‡bi KvR‡K
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 33 -
evav †`q| Aw·‡Rb †Póv K‡i †`‡ni †fZi _vKv wewfbœ c`v‡_©i mv‡_ wewµqv NwU‡q Zvi
¸Yv¸Y I e¨envi cv‡ë w`‡Z| A¨vw›U-Aw·W¨v›Um Aw·‡R‡bi GB aŸsmvZ¥K KvR‡K cÖwZnZ
K‡i|
A¨vw›U Aw·W¨v›Um cvIqv hvq memgq iw½b I UvUKv kvKmewR, djg~‡j| †hgbÑ
Avg, KuvVvj, MvRi, exU, Kv‡jvRvg, cvKv Kzg‡ov, Ug¨v‡Uv,
meiK‡gi †jey‡Z cÖPzi A¨vw›U-Aw·W¨v›Um _v‡K| Avm‡j
A¨vw›U-Aw·W¨v›Um njÑ wewfbœ ai‡bi wfUvwgb I wKQz LwbR
c`v_© hv †`‡ni wewfbœ h‡š¿i KvR‡K wKQzUv n‡jI evavgy³
K‡i| K…wÎgfv‡e ˆZwi Kiv GBme wfUvwgb ev LwbR
U¨ve‡jU-K¨vcmyj AvKv‡i evRv‡i cvIqv hvq| Z‡e nu¨v,
wewfbœ M‡elYv ms¯’vi weÁvbxiv †ek wKQz mgxÿv Pvwj‡q
†`‡L‡Qb †h, cÖvK…wZK Lvev‡i †gvUvgywUfv‡e 100 kZvsk
KvR nq| Avi K…wÎg U¨ve‡jU-K¨vcmyj KvR K‡i kZKiv
20 †_‡K 25 fvM| ZvB †Zgb †Kv‡bv Amyweav bv _vK‡j
†cUcy‡i Lvb kvKmewR, djg~j, m¨vjvW|
fvZ, AvUv KZUv
cÖ_‡gB e‡jwQ Wvqv‡ewUm †ivMxiv wgwó RvZxq mij Kv‡e©vnvB‡WªU Lv‡eb bv| KZUv
fvZ, AvUv ev Gai‡bi RwUj Kv‡e©vnvB‡WªU Lv‡eb Zvi wKQz wbw`©ó wbqg i‡q‡Q| ˆ`wbK wK
cwigvY RwUj Kv‡e©vnvB‡WªU †ivMx ‡L‡Z cv‡i Zv wbf©i Ki‡e †ivMxi eqm, IRb I i‡³i
kK©ivi gvÎvq Dci| Avgiv †h ˆ`bw›`b wewfbœ iKg KvRKg© Kwi; Zv‡Z kw³ ev K¨v‡jvwii
cÖ‡qvRb nq| GB K¨v‡jvwii cÖ‡qvRbxqZv wbf©i K‡i e¨w³ wK ai‡bi KvR Ki‡Qb, Zvi †ckv
Kx? evwo‡Z Zv‡K Kx Kx ai‡bi KvR Ki‡Z nq? D”PZv I IRb KZ?GBme wewfbœ wel‡qi
Ici| 45eQi eq‡mi 5dzU 6Bw D”PZvi I 65 †KwR IR‡bi GKRb wi·vPvjK ev
kªgRxex gvbyl Zuv‡`i ˆ`wbK cÖvq 2,851 K¨v‡jvwi kw³i cÖ‡qvRb nq| Avevi 45eQi eq‡mi
5dzU 6Bw D”PZvi I 65 †KwR IR‡bi Awdm †KivYxi ˆ`wbK cÖvq 1,801 K¨v‡jvwi kw³i
cÖ‡qvRb nq|
†K KZUv Kv‡e©vnvB‡WªU Lv‡eb Zvi mnR wnmve nj Zvi †gvU K¨v‡jvwii Pvwn`v‡K 10
w`‡q fvM K‡i Zvi mv‡_ 40 hy³ Ki‡j †h msLvwU cvIqv hv‡e Wvqv‡ewUm †ivMx ZZ MÖvg
Kv‡e©vnvB‡WªU cÖwZw`b †L‡Z cv‡ib| aiv hvK mgxievey miKvix Awd‡m KvR K‡ib eqm 54
cvi K‡i 55 †Z cv w`‡jb| ˆ`wbK mewKQz wgwj‡q †h cwikªg K‡ib Zvi kw³ gvÎv 1700
wK‡jv K¨v‡jvwi| Zvn‡j mgxievey ˆ`wbK †h cwigvY Kv‡e©vnvB‡WªU †L‡Z cv‡ib Zvi wnmveUv
nj 1700/10+40=210 MÖvg| GB 210 MÖvg RwUj Kv‡e©vnvB‡WªU ev †k¦Zmvi‡K wZwb w`‡b
K‡qK fv‡M fvM K‡i †L‡Z cv‡i| mvaviYfv‡e Avgiv ev½vjxiv Pvievi Lvevi LvB| mKv‡j
†eªKdv÷ ev cÖvZtivk, `ycy‡i jv ev gavý †fvRb, mÜvq nvjKv wUwdb, iv‡Z wWbvi ev
ˆbkvnvi| mgxievey‡K †gvU 210 MÖvg Kv‡e©vnvB‡WªU ‡L‡Z n‡e| mKv‡ji †eªKdv‡÷ 41 MÖvg,
jv‡Â 75 MÖvg, mÜvq 30 MÖvg I iv‡Z 64 MÖvg| nu¨v, GUv †gvUvgywU AvswkK wnmve| Z‡e
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 34 -
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LvIqvi mgq `uvwocvjøv wb‡q emvi †Kv‡bv cÖ‡qvRb †bB| GKUz Kg †ewk n‡j gnvfviZ Aï×
n‡e bv| Z‡e †h wRwbmUv gv_vq ivL‡Z n‡e †Kvb Ae¯’v‡ZB w`‡bi eivÏ me Kv‡e©vnvB‡WªU
GKev‡i LvIqv Pj‡e bv| fvM fvM K‡i ‡L‡Z n‡e| Zv bv n‡j i‡³ kK©ivi gvÎv nVvr †e‡o
†h‡Z cv‡i| Avevi †Kvb mgq i‡³ Møy‡Kv‡Ri gvÎv AwZwi³ K‡g wM‡q ÔnvB‡cvMøvB‡mwgqvÕ-i
wec` Avm‡Z cv‡i| †m Kvi‡Y Avgiv Wvqv‡ewUm †ivMx‡`i Aí cwigv‡Y evi evi †L‡Z ewj|
we‡klZ huviv Bbmywjb Bb‡RK&kb wb‡”Qb Zv‡`i †ÿ‡Î G wbqg K‡Vvi fv‡e cvjb Kiv
`iKvi|
fvZ bv iæwU Lv‡eb
A‡b‡Ki aviYv Av‡Q Wvqv‡ewUm †ivMx‡`i fvZ bv ‡L‡q iæwU LvIqv DwPZ| GB aviYvi
†cQ‡b †Kvb ˆeÁvwbK hyw³ †bB| KviY cÖwZMÖvg iæwU I fv‡Z K¨v‡jvwii †Zgb †Kvb †ni‡di
nq bv| ZvQvov fvZ I iæwU‡Z †k¦Zmvi I Kv‡e©vnvB‡Wª‡Ui cwigvY cÖvq mgvb mgvb| Z‡e
Pv‡ji Zzjbvq AvUv‡Z Zš‘ ev dvBevi †ewk _v‡K| ZvB iæwU †L‡j wKQzUv †cU cwi®‹vi nq|
†Kvôe×Zv nIqvi m¤¢vebv A‡bK As‡k K‡g hvq| fv‡Zi Av‡iKwU Amyweav nj †g‡c fvZ
LvIqv Lye Sv‡gjvi e¨vcvi| †m‡ÿ‡Î iæwU mn‡RB ¸‡Y LvIqv hvq| Z‡e hviv †f‡Zv evOvwj
`y-†ejv fvZ bv n‡j P‡jbv; Zviv `y-‡ejv fvZ I iæwU wgwk‡q †L‡Z cv‡ib| cÖ_‡g GKwU ev
`ywU iæwU †L‡q Zvici fvZ Lv‡eb| GB Af¨vm Ki‡Z cvi‡j me†ÿ‡ÎB jvf| we‡klZ iv‡Zi
†ejvq Aí fvZ †L‡j Nyg fv‡jv nIqvi m¤¢vebv _v‡K| Z‡e memgq †Lqvj ivL‡Z n‡e
†k¦Zmvi ev Kv‡e©vnvB‡Wª‡Ui gvÎv †Kvbmgq †hb gvÎv bv Qvovq|
Wvqv‡ewUm †ivMxiv †hme Lvevi Gwo‡q Pj‡eb:-
1). ‡h †Kvb iK‡gi wgwó, AvBmwµg, Kzjwd, P‡Kv‡jU, wgQwi|
2). †hme Lvev‡i †ewk gvÎvq ÷vR© i‡q‡Q; †hgbÑ Avjy, wgwó Avjy, kuvKvjy, fv‡Zi gvo ev
†db|
3). mywR, gq`v, mv`v AvUv, †gwk‡b cvwjk Kiv Pvj|
4). `ya †_‡K ˆZwi †hme Lvev‡i d¨v‡Ui cwigvY †ewk _v‡K| †hgbÑ †Lvqv, cwbi, wPR,
`B|
5). wN, gvLb, WvjWv ev †Z‡jfvRv fvRv c‡ivUv, cywi, wm½vov, c‡Kvov|
6). †hme dj-G myMvi ev ÷vR© †ewk _v‡K| †hgbÑ Kjv, Av½yi, wjPz I Avg|
7). wW‡gi Kzmyg, Lvwmi gvsm, †g‡U, cïi hK…r, wNjy Lv‡eb bv|
8). IqvBb I weqvi RvZxq g`|
Wvqv‡ewUm †ivMxiv †hme Lvevi ‡L‡Z cv‡ib:-
1). kK©ivnxb K…wÎg wgwó|
2). meyR kvKmewR, D‡”Q, Kijv, †eMyb, †Xuom, euvavKwc, dzjKwc, MvRi, mqvweb, mR‡b,
KuvPvKuvVvj ev Gu‡Pvo, †cuqvRKwj ZvQvov wewfbœ kvKcvZv|
3). AvUvi mv‡_ fzwm wgwj‡q iæwU †L‡Z n‡e|
4). gvLb †Zvjv `ya I Zv †_‡K ˆZwi `B|
5). †muKv cvco, Z›`yix iæwU ‡L‡Z cv‡ib|
6). Kgjv‡jey, †gŠmy¤^x, Aí cwigvY Av‡cj I ZigyR|
7). †L‡Z cv‡ib wW‡gi mv`v Ask, †QvU †`kxgyiMx, I meai‡bi †QvU gvQ|
8). gv‡S g‡a¨ †L‡Z cv‡ib(bv †L‡j AwZ DËg) eª¨vwÛ ev †mB ai‡bi cvbxq|
Wvqv‡ewUm †gvKvwejvq e¨vqvg
wbqwgZ e¨vqvg ïay Wvqv‡ewUm bq, ü`‡ivM, D”Pi³Pvc, †`‡ni AwZwi³ †g` Kgv‡bv I
AviI wewfbœ Amyweavi †gvKvwejvq Ab¨Zg nvwZqvi| kixi‡K my¯’, Kg©V, ivL‡Z †M‡j Zvi
Rb¨ mwVKfv‡e cwikªg Ki‡Z n‡e| mRxe I mej ivL‡Z n‡e mKj A½-cÖZ¨½‡K| e¨vqvg
ev G·vimvBR(Exercise) njÑ mwVK wb‡`©k †g‡b kixi Pvjbvi g‡a¨ w`‡q †`n I gb‡K
bx‡ivM ivLvi ˆeÁvwbK c×wZ| Wvqv‡ewU‡mi †gvKvwejvq wbqwgZ e¨vqv‡gi h‡_ô cÖfve
i‡q‡Q| Avgv‡`i †`‡ni me‡ckx I †Kvl¸wj‡K my¯’ mej ivL‡Z PvB ch©vß Aw·‡Rb I
cywó| e¨vqv‡gi g‡a¨ w`‡q wewfbœ A½-cÖZ¨‡½ i³ mÂvjb evwo‡q Avgiv †mB cywó I
Aw·‡Rb †Kv‡l †Kv‡l †cŠu‡Q w`‡Z cvwi| wbqwgZ e¨vqv‡gi d‡j Avgv‡`i i‡³ Møy‡Kv‡Ri
cwigvY K‡g, K‡g Av‡m D”Pi³Pvc, i³im ev wmiv‡gi g‡a¨ _vKv †Kv‡j‡÷ij I
UªvBwMømvivB‡Wi gvÎv K‡g hvq|
e¨vqvg wewfbœ iK‡gi| nuvUv, mvB‡Kj Pvjv‡bv, muvZvi KvUv, A¨v‡ivweK e¨vqvg,
gvwëwR‡g e¨vqvg, †hvMe¨vqvg I AviI A‡bK wKQz| Gevi Avgiv e¨vqvg K‡qKwU welq m¤^‡Ü
†R‡b wbB-
nuvUv
nuvUv Wvqv‡ewUm †ivMxi †ÿ‡Î GKwU my›`i e¨vqvg| AvRKvj Mvwo-†Nvovi msL¨v A‡bK
†e‡o †M‡Q| †ewk `~i nuvUv †Zgb nq bv| GgbwK †QvULv‡Uv `yi‡Z¡ gvbyl ev‡m, Uªv‡g, wi·vq
P‡o| Wvqv‡ewUm †ivMx‡`i Wv³v‡ii civgk© g‡Zv cÖwZw`b wbw`©ó c_ nuvU‡Z n‡e| nuvUv ev
åg‡bi Rb¨ †fvi‡ejvUvB fv‡jv| Z‡e hv‡`i mKvj‡ejv nuvUvi Amyweav i‡q‡Q, Zviv †Mva~wj
ev mܨvq nuvU‡eb| †h iv¯Ívq †ewk Mvwo PjvPj K‡i †mLv‡b
bv nuvUvB fv‡jv| cvK©, †Ljvi gvV, †Kvjvnjnxb iv¯Ív
åg‡bi Rb¨ me‡P‡q Dchy³ RvqMv| nuvUvi mgq †cvkvK
n‡e wX‡jXvjv, cv‡q Pvgovi Ry‡Zv ev iev‡ii PwU bv c‡i
Avivg`vqK Kvc‡oi †KW&m I †gvRv ci‡eb| nuvUvi mgq
jÿ¨ ivL‡Z n‡e †giæ`Û †hb †mvRv _v‡K| cv‡qi mv‡_
Zvj wgwj‡q `ywU nvZ Av‡M-wc‡Q Kiæb| hLb Wvb cv Av‡M
hv‡e ZLb Wvb nvZ †cQ‡b Avi evg nvZ mvg‡b DV‡e|
evg cv‡qi †ÿ‡Î welqUv n‡e D‡ëv| nuvUvi ïiæ‡Z Av‡¯Í
nuvUzb, gv‡S `ªæZ, †k‡l Avevi nuvUvi MwZ Kwg‡q Avb‡Z
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 36 -
n‡e| Wvqv‡ewU‡mi mv‡_ hv‡`i nvU© wWwRm i‡q‡Q Zviv cÖ_g cÖ_g 10-15 wgwbU Av‡¯Í nuvUzb|
wKQzw`b ci ax‡i ax‡i nuvUvi mgqmxgv I MwZ‡eM evov‡eb| hw` †Kvb mgq AwZwi³ kvixwiK
Kó nq ZrÿYvr e‡m ev ï‡q wekªvg wbb| Gme wel‡q Avcbvi Wv³vieveyi civgk© g‡Zv
Pjyb| cokxi civg‡k© ev wb‡R †_‡K gvZeŸix K‡i wec` †W‡K Avb‡eb bv|
mvB‡Kj Pvjv‡bv
mvB‡Kj Pvjv‡bv GKai‡bi A¨v‡ivweK G·vimvBR| A_©vr kvixwiK cwikª‡gi mv‡_
mv‡_ k¦vm-cÖk¦v‡miI e¨vqvg nq| G‡Z ü`&hš¿ I dzmdzm `yB fv‡jv _v‡K| m¤¢e n‡j mßv‡n
wZb-Pviw`b AvaN›Uv K‡i mvB‡Kj Pvjv‡bv DwPZ| Z‡e hviv Wvqv‡ewU‡m AvµvšÍ n‡q‡Qb
Zv‡`i N›Uvq cuvP gvB‡ji †ewk †e‡M mvB‡Kj Pvjv‡bv DwPZ bq| ZvQvov Avcwb hw` Av‡M
wbqwgZ mvB‡Kj bv Pvwj‡q _v‡Kb; Z‡e bZzb K‡i mvB‡Kj Pvjv‡bv wkL‡Z hv‡eb bv|
†m‡ÿ‡Î nx‡Zi †P‡q wecixZ n‡Z cv‡i|
muvZvi KvUv
muvZvi KvUv GKwU c~Y©v½ e¨vqvg ÑGK_v Avgiv
A‡b‡KB Rvwb| muvZv‡i kix‡ii †gvUvgywU me A½
bovPov K‡i| †`‡ni cÖavb cÖavb gvsk‡ckx; †hgbÑ
†Kvgi, nvZ, cv, eyK, wcV Gme my`„p I †g`gy³ nq|
muvZv‡i ürwcÛ I dzmdz‡mi Kvh©ÿgZv ev‡o| hv‡`i
ü`&‡ivM aiv c‡o‡Q I Wvqv‡ewUm Av‡Q Zviv Wv³v‡ii civgk© Qvov muvZvi KvU‡eb bv|
A¨v‡ivweK e¨vqvg
N‡ii g‡a¨ Aven m½xZ ev wgDwR‡Ki Zv‡j GB e¨vqvg Kiv nq|
GUv A‡bKUv bv‡Pi g‡ZvB Dc‡fvM¨| gwnjv‡`i g‡a¨ A¨v‡ivweK
e¨vqvg µ‡gB RbwcÖq n‡”Q| G‡Z e¨vqvgRwbZ K¬vwšÍ A‡bK Kg
nq| g‡bi g‡a¨ wKQzUv D”Qvm I Avb›` Av‡m| †hme cyiæl I
gwnjviv †g`eûj Zviv G †_‡K fv‡jv dj cv‡eb|
gvwëwR‡g e¨vqvg
gvwëwRg GKwU AvaywbK e¨vqvg| kn‡ii wewfbœ m¤£vš¿
A‡j Ô†nj&_ K¬veÕ M‡o D‡V‡Q| gvwëwRg †nj&_ K¬ve¸wji GK
Ab¨Zg DcKiY| gvwëwR‡gi g‡a¨ kix‡ii wewfbœ As‡ki
e¨vqv‡gi Rb¨ Avjv`v Avjv`v hš¿ jvMv‡bv _v‡K| †hgbÑ mvBW
UzBw÷s, I‡qU wb‡q mvBW †ewÛs, Rvw¤ús, w¯‹wcs, IqvKvi,
fvB‡eªUi, †ivjvi ¯úU ivwbs, wmU Avc AviI eû wKQz| kix‡ii
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 37 -
evowZ †g` Kgv‡Z I wewfbœ A½ mej ivL‡Z Gme LyeB Kvh©Kix| Wvqv‡ewU‡mi mv‡_
ü`&‡ivM aiv covi ci gvwëwR‡g wM‡q fvix e¨vqvg Kiv DwPZ bq|
e¨vqv‡gi mgq kix‡i Aw·‡R‡bi Pvwn`v †e‡o hvq| ¯^vfvweKfv‡e †e‡o hvq
ü`¯ú›`‡bi nvi| ü`&¯ú›`‡bi nvi ev nvU©weU gvÎvwaK n‡q †M‡j ü`&‡ivMxi ‡ÿ‡Î Zv †_‡K
wec` NU‡Z cv‡i| ZvB †hiKg G·vimvBR Kiæb bv †Kb, Zvi duv‡K gv‡S gv‡S cvj&m weU
¸‡Y †b‡eb| hLb †`L‡eb GB gvÎv Qvwo‡q †M‡Q m‡½ m‡½ e¨vqvg eÜ K‡i wekªvg wbb|
ü`¯ú›`‡bi m‡e©v”P gvÎv wbf©i K‡i `ywU wel‡qi Dci ‡ivMxi kvixwiK my¯’Zv I Zvi eqm|
Gevi †R‡b †bIqv hvK †Kvb e¨w³ m‡e©v”P KZ cvj&m †iU ch©šÍ G·vimvBR Ki‡Z cv‡ib|
†hvMe¨vqvg
mvaviYZ kixi‡K my¯’ ivLv, †ivMvµvšÍ kixi‡K †ivMgy³ Kiv I cigvZ¥vi mv‡_ AšÍi
AvZ¥vi wgj‡bi gva¨g wnmv‡e cÖvPxb fviZxq Fwl gbxlxiv †hvMe¨vqvg Af¨v‡mi cÖPjb K‡ib|
Wvqv‡ewUm cÖwZ‡iva Ki‡Z I †gvKvwejv Ki‡Z †hvMvmb LyeB Kvh©Kix|
gnwl© cZÄjx e‡j‡Qb Ôw¯’‡i myLgvmbg&Õ| A_©vr w¯’ifv‡e myLKi Ae¯’vbB Avmb|
†hvMvmb QvovI Av‡Q eûwea gy`ªv I cÖvYvqvg| Wvqv‡ewU‡mi ZxeªZv hLb †ewk _v‡K ZLb
fv‡jvfv‡e nuvUvPjvi ci †ivMx cÖ_g w`‡K I mKvj weKv‡j †Lvjv‡gjv
RvqMvq ågY cÖvYvqvg Ki‡Z cv‡ib| cÖvYvqvg nj cÖvY I Avcb evqy
ci¯ú‡ii ms‡hvM| gnwl© hvÁeé¨i fvlvqÑ ÔcÖvYvcvb mgv‡hvMt, cÖvYvqvg
BwZwiZtÕ| mnR K_vq ågY cÖvYvqvg nj- nuvUvi mgq c×wZMZfv‡e
k¦vm-cÖk¦v‡mi wbqš¿Y| nuvUvi mgq cÖwZ c`‡ÿ‡ci mv‡_ mv‡_ g‡b 1-2-
3-4 D”PviY K‡i `yB bv‡Ki wQ`ª w`‡q k¦vm wbb| Zvici Avevi Av‡Mi
g‡Zv 1-2-3-4 D”Pvi‡Yi m‡½ m‡½ k¦vmZ¨vM Kiæb| Gfv‡e GKgvm
Af¨vm Kivi ci k¦vm †bIqvi I Qvovi mgq evwo‡q w`b| †hgb- cÂg
I lô c`‡ÿc ch©šÍ k¦vm Qvo–b| g‡b ivL‡eb k¦vmMÖnY I k¦vmZ¨vM GB `yB-Gi DciB
gbtms‡hvM Ki‡Z n‡e| †Kvb g‡ZB k¦vmaviY Ki‡eb bv| Zvovû‡ov bv K‡i ax‡i ax‡i Ges
mshZ c`Pvjbvq ågY cÖvYvqvg Kiæb| k¦vm MÖn‡bi mgq jÿ¨ ivLyb KZ †ewk evqy Avcwb
dzmdz‡m f‡i wb‡Z cvi‡Qb Ges k¦vmQvovi mgq †`Lyb ax‡i ax‡i KZ †ewk evqy Qvo‡Z
cvi‡Qb| Ggb cÖvYvqv‡gi ci evwo wd‡i kevmb Kiæb|
eqm(eQ‡i) my¯’ e¨w³(evi/wgwbU) Amy¯’ e¨w³(evi/wgwb‡U)
18 200 176
19-25 195 168
26-30 188 160
31-40 180 152
41-50 160 140
51-60 150 130
61 ev Zvi †ewk 140 118
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 38 -
ke A_©vr govi gZ wb¯ú›`fv‡e ï‡q wekªvg wb‡Z n‡e| wPr n‡q ï‡q co–b, cv `ywU j¤^v
K‡i w`b| `yÕcv‡qi gv‡S GK †_‡K †`odzU duvK _vK‡e, cv‡qi †Mvovjx †fZi w`‡q _vK‡e
Ges Av½yj¸wj evB‡ii w`‡K _vK‡e| nvZ `yÕwUI j¤^vjw¤^ fv‡e wb‡Ri myweav g‡Zv kix‡ii
`yÕcv‡k †i‡L kixiUv‡K hZUv m¤¢e AvjMv K‡i w`b| cÖ_‡g kix‡ii bx‡Pi Ask; cv‡qi ey‡ov
Av½yj †_‡K ïiæ K‡i cv‡qi Ab¨vb¨ Av½yj, cv‡qi cvZv, nuvUz, _vB, †Kvgi †_‡K mg¯Í cv
A_©vr cÖwZwU A½‡K AvjMv K‡i w`‡Z n‡e| kix‡ii mv‡_ mv‡_ gb n‡e kvšÍ- axi- wPšÍvk~b¨|
Avmb Ae¯’vq hw` Nyg Avm‡Z _v‡K Z‡e eyS‡Z n‡e AvmbwU wVKg‡Zv Af¨vm n‡”Q| kevmb
D”Pi³Pvc I ü`&‡ivMx‡`i c‡ÿ Aek¨ KiYxq| GB Avm‡b kix‡ii wewfbœ A½ Zš¿ I ü`q
m¤ú~Y© wekªvg cvq|
†iv‡Mi DcmM©¸wj hLb K‡g Avm‡e ZLb mKv‡j cÖvZtK…Z¨ †kl K‡i ev weKv‡j ågY
cÖvYvqv‡gi ci †MvgyLvmb, Rvbywkivmb, ceb gy³vmb, njvmb, Aa©gr‡m¨›`ªvmb, kkvsMvmb,
DÇxqb, DwÌZ c`vmb, cwð‡gvËvbvmb Af¨vm Kiv hvq| Gevi †hvMvmb¸wj m¤^‡Ü †R‡b
†bIqv hvK|
†MvgyLvmb:- GB Avmb Kivi mgq Af¨vmKvixi cv‡qi Ae¯’vb
†Mviæi gy‡Li g‡Zv †`Lvq e‡j G Avm‡bi G iKg bvg| cÖvPxb
fvi‡Zi †hv‡Mi D‡jøL‡hvM¨, MÖš’ ÕÕnV‡hvM cÖ`xwcKvÕÕ eB‡qi
1/23 m~‡Î G Avm‡bi DcKvwiZv m¤^‡Ü we¯ÍvwiZ †jLv Av‡Q|
GB AvmbwU wbqwgZ Af¨vm Ki‡j mv‡qvwUKv ev cv‡qi evZ, Ak©,
BDwib Bb‡dKkb ev cÖmªve msµgY Gme †_‡K `~‡i _vKv hvq|
c×wZ:- cv `yÕwU mvg‡b Qwo‡q emyb| Gevi Wvb cv nuvUzi Kv‡Q †f‡½ ev- cv‡qi bx‡P Wvb cv
G‡b, Wvb †Mvovjx w`‡q euv- w`‡Ki cv ¯úk© Kiæb| GLb euv cv nuvUzi KvQ †_‡K †f‡½ Wvb
cv‡qi †Mvovjx w`‡q cvQv ¯úk© Kiæb| Gmgq wki`uvov †mvRv ivL‡Z n‡e| GBevi euv-nvZ
gv_vi Ici Zz‡j KbyB‡qi KvQ †_‡K †f‡½ euv-w`‡K Nywi‡q euv-nv‡Zi Av½yj aiæb| Gevi
g‡b g‡b 1 †_‡K 15 ch©šÍ ¸byb| 1 wgwbU wekªvg wb‡q nvZ I cv e`‡j GKB fv‡e Af¨vm
Kiæb|
Rvbywkivmb:- GB Avm‡b Af¨vmKvixi Rvby A_©vr nuvUzi Ici
gv_v ev wki‡K ivL‡Z nq| ZvB GB Avm‡bi bvg Rvbywkivmb|
GB Avm‡b g~Îvkq ev BDwibvix eøvWv‡i Amyweav `~i nq| GB
Avm‡b c¨vswµqvm ev AMœ¨vk‡q Kvh©KwiZv ev‡o| i‡³ †ewk
cwigvY Bbmywjb †g‡k| d‡j eøvW-myMv‡ii gvÎv K‡g hvq| GB
AvmbwU wbqwgZ Af¨vm Ki‡j †cŠwóK Z‡š¿i AviI A‡bK
Amyweav `~i n‡Z cv‡i| Wvqv‡ewUm †ivMxi †ÿ‡Î cv‡qi mœvqy ev bvf© mPj ivLv we‡kl
cÖ‡qvRb| GB Avm‡b Zv n‡q _v‡K|
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 39 -
c×wZ:- `yÕcv mvg‡b Qwo‡q emyb| Wvb cv nuvUzi Kv‡Q †f‡½ cv‡qi †Mvovjx AÛ‡Kv‡li bx‡P
k³ K‡i †P‡c aiæb| Gmgq Wvb cv‡qi cvZv ev Eiæi mv‡_ †j‡M _vK‡e| Gevi `yÕnvZ w`‡q
ev cv‡qi Av½yj¸wj a‡i `g Qvo‡Z Qvo‡Z gv_v bxPz K‡i Av‡¯Í Av‡¯Í Kcvj euv- cv‡qi nuvUz‡Z
†VKv‡Z n‡e| GB Ae¯’vq g‡b g‡b 1 †_‡K 10 ch©šÍ ¸Yyb| G mgq †Lqvj ivL‡Z n‡e †hb
Wvb cv‡qi nuvUz †hb bv fv‡½ I Wvb cv †hb gvwU‡Z †j‡M _v‡K| Gici `y-cv Qwo‡q 1 wgwbU
wekªvg wbb| Zvici cv e`‡j GKB fv‡e Af¨vm Kiæb|
ceb gy³vmb:- GB Avm‡bi Af¨v‡mi d‡j
Af¨vmKvixi †c‡Ui g‡a¨ R‡g _vKv M¨vm ev evqy
cvqyc‡_ evB‡i †ewi‡q hvq| †m Kvi‡Y GB Avm‡bi
bvg ceb gy³vmb| GB Avmb Af¨v‡mi d‡j
†Kvôe×Zv `~i nq| hv‡`i gj KwVb nq; Zv‡`i †ÿ‡Î
G AvmbwU LyeB DcKvix| GwU wbqwgZ Af¨v‡m wjfvi
I cvK¯’jxi `ye©jZv †m‡i hvq| Wvqv‡ewUm †ivMxi †Kvô cwi®‹vi nIqv LyeB Riæix| GB
Avm‡bi d‡j †c‡Ui †ckx mej nq, †c‡Ui Pwe© Kgvq| Rvby I cvQvi †ckxi w¯’wZ¯’vcKZv
ev‡o|
c×wZ:- wPr n‡q ï‡q co–b| cÖ_‡g Wvb cv nuvUzi KvQ †_‡K †f‡½ Ic‡i Zy‡j ey‡Ki Kv‡Q
Avbyb| Gevi `ÕynvZ w`‡q nuvUzi Kv‡Q †P‡c ao–b| hv‡Z _vB I †cU eyK‡K ¯úk© K‡i| GB
Ae¯’vq 25-30 †m‡KÛ _vKvi ci cv Qwo‡q w`b| wVK GKBfv‡e ev-cv‡q Af¨vm Kiæb|
`yÕcv‡q `y-evi K‡i †gvU Pvievi Af¨v‡mi ci 30 †m‡KÛ kevmb Kiæb| GBfv‡e ceb
gy³vmbwU 8-10 evi Af¨vm Ki‡Z cv‡ib|
njvmb:- GB Avmb Kivi mgq Af¨vmKvixi †`n ÔnjÕ A_©vr jv½‡ji g‡Zv †`L‡Z nq; ZvB
GB Avm‡bi bvg njvmb| GB Avmb Af¨v‡m †giæ`Û I _vBi‡qW MÖwš’ mej I Kg©V nq|
†c‡Ui †fZ‡i _vKv AMœ¨vk‡qi MÖwš’‡Z we‡kl
Pvc c‡o| †m Kvi‡Y Wvqv‡ewUm †ivMx‡`i
c‡ÿ GB AvmbwU LyeB DcKvix| GQvovI
†Kvôe×Zv, †cU duvcv, M¨vm, A¤^j GB
Avm‡b `~i nq|
c×wZ:- `yÕwU nvZ †`‡ni `yÕcv‡k †i‡L wPr n‡q
ï‡q co–b| jÿ¨ ivL‡eb nv‡Zi †P‡Uv `yÕwU †hb †g‡S‡K ¯úk© K‡i| GBevi †P‡Uvi Ic‡i fi
w`‡q `g wb‡Z wb‡Z `yÕwU cv gv_vi †cQ‡b wb‡q hvb| hZUv `~‡i m¤¢e †g‡S‡Z jvMvb| Gevi
`g Qvo–b| †Lqvj ivL‡eb _yZwb †hb ey‡K †j‡M _v‡K| cv‡qi nuvUz †hb bv f‡½| GB Ae¯’vq
30 †m‡KÛ _vKvi ci `g wb‡Z wb‡Z Av‡Mi Ae¯’vq wd‡i Avmyb| GB AvmbwU 4-6 evi
Af¨vm Kiæb| cÖwZevi Af¨v‡mi ci wKQzÿY kevmb Ki‡eb|
Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 40 -
Aa©gr‡m¨›`ªvmb:- †hvMxivR ¯^vgx gr‡m¨›`ªbv_ GB ai‡bi GKwU Avmb cÖ_g cÖPjb K‡ib|
Z‡e mvavib gvby‡li c‡ÿ †mwU Af¨vm Kiv LyeB KóKi| †m Kvi‡Y †mUvB GKUz cwieZ©b
K‡i Aa©gr‡m¨›`ªvmb ˆZwi Kiv n‡q‡Q| GB Avm‡b †`‡ni †giæ`Û
LyeB w¯’wZ¯’vcK nq| †Kvg‡oi evZ, wc‡V e¨_v, †Kvôe×Zv GB
Avm‡b `~i nq| Avgv‡`i †giæ`‡Ûi cÖvq QvweŸkwU K‡kiæKv †fZ‡i
_vKv mœvqy‡Z cÖPzi i³ cÖevwnZ nq| Wvqv‡ewUm †ivMx‡`i cv I †Kvg‡o
†h mœvqyi weKjZv †`Lv †`q Aa©gr‡m¨›`ªvmb Zv mvwi‡q †Zv‡j|
c×wZ:- `yÕwU cv mvg‡bi w`‡K Qwo‡q †mvRv n‡q emyb| GBevi
WvbnuvUz †f‡½ Wvb cv‡qi †Mvovjx AÛ‡Kvl ev †hvwb Øv‡ii Kv‡Q wb‡q
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Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
Diabetes and Diabetic Care
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Diabetes and Diabetic Care

  • 1. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 1 -
  • 2. (A¨v‡jvcv_- †nvwgIc¨v_ I Avqy‡e©` c×wZ‡Z) ~ DrmM© ~ Ò Dˇii m„RbvKv‡k D¾¡j aªæeZvivÑ AMÖR Aa¨vcK Wt Avb›` †Mvcvj †Nvl -Gi PiYKg‡j Ó Wvt cv_©cÖwZg| †gvevBj- +91-94341 69750/ +91-97330 96459 Diabetes er Mokabilay (A Bengali Book on Diabetes and Diabetic care) -by Dr.Partha pratim. www.drparthapratim.com cÖ_g ms¯‹iY t gvP© 2016 AjsKiYt- cÖ‡mbwRr †fŠwgK MÖš’¯^Z¡ t- †jLK cÖKvkK- gjq miKvi; ARšÍv AvU© †cÖm; a~c¸wo Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 2 -
  • 3. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 3 - m~PxcÎ Wvqv‡ewU‡mi †gvKvwejvq ‡ivM jÿY-5 BwZnvm-6 Wvqv‡ewU‡mi iKg‡di-6 Wvqv‡ewUm cÖeYZv/ cÖ”Qbœ Wvqv‡ewUm/ Dc`ªenxb Wvqv‡ewUm/ Avbylw½K Wvqv‡ewUm/ cÖKU Wvqv‡ewUm Wvqv‡ewU‡mi RwUjZv-7 †Pv‡Li mgm¨v/ wKWwbi mgm¨v/ Wvqv‡ewUm/ †ivMxi ü`‡ivM/ Wvqv‡ewUm †ivMxi mœvqyi mgm¨v/ Wvqv‡ewUm †ivMxi †c‡Ui mgm¨v/ Z¡‡Ki mgm¨v/ ey‡Ki mgm¨v/ ‡hŠb mgm¨v/ Wvqv‡ewUm †ivMxi gvbwmK mgm¨v Wvqv‡ewU‡mi cixÿv wbixÿv-16 mxivg MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvweb-17 Wvqv‡ewU‡mi AviI me cixÿv-wbixÿv-18 Wvqv‡ewU‡mi cixÿv wbixÿvi LiPcÎ-19 Bbmywjb-23 Bbmywjb ivLvi wbqg Kvbyb/ Bbmywjb KLb †b‡eb/ †`‡ni †Kv_vq Bbmywjb Bb‡RKkb †b‡eb nvB‡cvMøvB‡mwgqv-26 KLb Wv³vi WvK‡eb-27 Lv`¨ Lvevi I Wvqv‡ewUm-27 Kv‡e©vnvB‡WªU/ mij I RwUj Kv‡e©vnvB‡WªU/ ‡cÖvwUb/ wfUvwgb/ LvIqvi †Zj/ Zš‘ RvZxq Lv`¨ A¨vw›U Aw·W¨v›Um I Wvqv‡ewUm-33 fvZ, AvUv KZUv-34
  • 4. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 4 - fvZ bv iæwU Lv‡eb-35 Wvqv‡ewUm †ivMxiv †hme Lvevi Gwo‡q Pj‡eb- 35 Wvqv‡ewUm †ivMxiv †hme Lvevi ‡L‡Z cv‡ib- 35 Wvqv‡ewUm †gvKvwejvq e¨vqvg-36 nuvUv/ mvB‡Kj Pvjv‡bv/ muvZvi KvUv/ A¨v‡ivweK e¨vqvg/ gvwëwR‡g e¨vqvg/ †hvMe¨vqvg/ Lvwj nv‡Z e¨vqvg Wvqv‡ewU‡mi A¨v‡jvc¨vw_K Ilya-43 Wvqv‡ewU‡m †nvwgIc¨vw_K Ilya -46 Wvqv‡ewU‡m ev‡qv‡KwgK Ilya-47 Wvqv‡ewU‡m Avqy‡e©w`K Ilya-49 †g`e„w× I Wvqv‡ewUm-51 Wvqv‡ewUm I eøvW‡cÖmvi-54 Mf©eZxi Wvqv‡ewUm-56 †QvU‡`i Wvqv‡ewUm-57 Wvqv‡ewUm I eskMwZ-60 wek¦Ry‡o Wvqv‡ewUm-61 Wvqv‡ewUm I a~gcvb-62 Wvqv‡ewUm I g`¨cvb-62 ÔWvqv‡ewUmÕ-Kvi K_v ïb‡eb-63 Wvqv‡ewUm †ivMxiv wK Ki‡eb-64 Wvqv‡ewUm †ivMxiv wK Ki‡eb bv-64 Nyi‡Z ev †eov‡Z †M‡j-64 †ivMx‡`i Rvbv DwPZ Ggb wKQz Wv³vix cwifvlv-64 ‡kl K_v-71 cvV‡Ki AwfgZ-72 †jLK cwiwPwZ-73
  • 5. Wvqv‡ewU‡mi †gvKvwejvq Wvqv‡ewUm GLb GK mycwiwPZ †ivM| Wvqv‡ewU‡m i‡³ kK©iv ev Møy‡Kv‡Ri gvÎv †e‡o hvq| wKš‘ Avgv‡`i †`‡ni †Kvl¸wj GB AwZwi³ kK©iv †_‡K kw³ wb‡Z cv‡i bv| Avgv‡`i †`‡ni AMœ¨vkq ev c¨vbwµqvm †_‡K †ewi‡q Avmv Bbmywjb bv‡gi GK ni‡gv‡bi KvRKvievi wVK g‡Zv bv nIqvi Rb¨ GB AmyLwU n‡q _v‡K| ‡ivM jÿY Wvqv‡ewUm †ivMx‡`i †ÿ‡Î †iv‡Mi jÿY Kv‡iv †ÿ‡Î wKfv‡e †`Lv †`‡e †mUv GK GK †ivMxi †ÿ‡Î GK GK iKg| cÖv_wgK fv‡e wZbwU jÿY †ewki fvM †ivMx‡`i †ÿ‡Î †`Lv hvq| cÖvPxbKv‡ji ˆe`¨iv‡Riv GB¸wj †_‡K gay‡gn kbv³ Ki‡Zb| Wv³vix fvlvq GB wZbwU‡K gRv K‡i ejv nq 3p ejv nq| Polyuria (cwjBDwiqv-†ekxcÖmªve), Polydipsia (cwjwWcwmqv-‡ekxZ…òv), Polyphagia (cwj‡dwRqv- †ekx ¶zav)| GQvovI Av‡iv wKQz jÿY wewfbœ †ivMxi †ÿ‡Î wewfbœfv‡e †`Lv †`q| †hgbÑ †`‡ni IRb K‡g Avmv, †ivMxi `ye©jZv †eva, Aembœ Abyfe, Nv ev ÿZ ï‡Kv‡Z †`ix nIqv, †Pv‡Li `„wó K‡g hvIqv Av‡iv wewfbœ ai‡bi jÿY †`Lv w`‡Z cv‡i| Wvqv‡ewUm Kx I †Kb nq Zv †evSvi Av‡M Avgv‡`i ‡`‡ni Lv`¨ cwicvK I nR‡gi e¨vcviwU GKUz fv‡jvfv‡e ey‡S †bIqv `iKvi| Avgiv †hme Lvevi LvB Zv gyL †_‡K MÖvmbvjx n‡q cvK¯’jx‡Z †cŠuQvq| gy‡L hLb Avgiv Lvevi¸wj wPevB ZLb gy‡Li jvjvMÖwš’ †_‡K jvjvim †ewi‡q G‡m Lv`¨‡K mij Kivi †Póv K‡i| cvK¯’jx‡Z Lvevi †cŠuQv‡bvi ci Zv‡Z wewfbœ cvwicvKim wg‡k Zv wKQzUv nRg nq| hK…Z †_‡K Avmv wcËim ev evBj Lv`¨ cwicv‡K we‡kl f~wgKv †bq| †k‡l Lv‡`¨i nRg nIqv mij Aby ÿy`ªv‡š¿i †fZi w`‡q i‡³ †g‡k| †cŠwóKZ‡š¿i †fZ‡i Lv‡`¨i RwUj Ask mij nIqv‡K e‡j cwicvK ev BsivwR‡Z WvB‡Rkb| i³ Zvi msenb Z‡š¿i gva¨‡g †mB mij Lv`¨ Aby †`‡ni †Kv‡l †Kv‡l ‡cŠu‡Q †`q| Gici nq wecvK A_©vr mij Lv`¨KYvi †fZ‡i _vKv w¯’wZkw³‡K Aw·‡R‡bi mvnv‡h¨ cÖ‡qvRb g‡Zv †f‡O kixi Zvc I MwZkw³ jvf K‡i| ‡`n †Kvl GBme mij Lv`¨Aby †_‡K kw³ I cywó †c‡q _v‡K| Wvqv‡ewUm †gwjUvm n‡j Avgv‡`i †`n Møy‡KvR ev kK©iv †_‡K wVKg‡Zv Zvc ev MwZkw³ cvq bv| ZvB GB †iv‡M i‡³ Møy‡KvR ev kK©ivi cwigvY †e‡o hvq| †`Lv †`q wewfbœ iK‡gi DcmM©| wPwKrmv weÁv‡bi †Pv‡L Wvqv‡ewUm‡K ejv nq AšÍtÿiv I wecvKxq ÎæwURwbZ †ivM(Endocrin and Metabolic Disorder)| G †iv‡Mi Wv³vix bvg Wvqv‡ewUm †gwjUvm (Diabetes Mellitus) | evOjvq gay‡gn| A‡b‡K G‡K fzj K‡i eûg~Î e‡jb| gay‡gn I eûg~Î GK †ivM bq| `yÕwU †iv‡Mi jÿ‡Yi g‡a¨ A‡bKUv wgj i‡q‡Q| `yÕwU †iv‡MB evi evi ev †ewk cwigv‡Y cÖmªve nq| `yÕwU †ivMB ni‡gv‡bi M‡Ûv‡Mv‡j nq| Z‡e gay‡gn‡Z g~‡Î kK©iv ev myMvi _v‡K| Avi eûg~‡Î Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 5 -
  • 6. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 6 - myMv‡ii cwie‡Z© A¨vjeywgb, BD‡iUm, AKR¨v‡jU, dm‡dU _v‡K| Wv³vix fvlvq eûg~·K e‡j Wvqv‡ewUm BbwmwcWvm (Diabetes Insipidus)| GB †ivM Lye Aí †jv‡Ki g‡a¨B †`Lv hvq| GB eB‡Z Avgiv Wvqv‡ewUm ej‡Z Wvqv‡ewUm †gwjUvm A_©vr gay‡gn‡KB †evSve| BwZnvm whïLx‡ôi R‡b¥i cÖvq †`o nvRvi eQi Av‡M cÖvPxb wgkixq cÎ wjwc‡Z Wvqv‡ewU‡mi Wvqv‡ewU‡mi D‡jøL cvIqv hvq| †mLv‡b ejv n‡qwQj ‘To Great Emptying of the Urine’ HwZnvwmK‡`i g‡Z GUv Wvqv‡ewUm Gi cÖ_g weeiY| fviZxq wPwKrmKiv Wvqv‡ewUm‡K wPwýZ K‡ib gay‡gn wn‡m‡e| †ivM wbY©‡qi Rb¨ Zuviv jÿ¨ ivL‡Zb †ivMxi cÖmªv‡e wcuc‡o AvK…ó n‡”Q wKbv| Wvqv‡ewUm Ôev †ewi‡q hvIqv kãwUÕ cÖ_g D‡jøL cvIqv hvq Lxóc~e© 220- †Z MÖxK wPwKrmK A¨v‡cv‡jvwbqvm †ggwdm- Gi eY©bvq| †ivgvb wPwKrmK M¨v‡jb Zvi eY©bvq Wvqv‡ewU‡mi D‡jøL K‡i‡Qb| Z‡e wZwb wj‡L‡QbÑ Zuvi wPwKrmvRxe‡b wZwb gvÎ `yBwU †ivMxi mÜvb †c‡q‡Qb| 1400-1500 Lxóv‡ã fviZxq Avqy‡e©` kv‡¯¿i Ab¨Zg cÖ‡YZv PiK I mykÖæZ G †iv‡Mi wel‡q D‡jøL K‡ib| †gwjUvm (gay †_‡K) kãwUi cÖ_g D‡jøL K‡ib weªUb Rb (Briton Jhon)| wZwb Wvqv‡ewUm BbwmwcUvm †_‡K Wvqv‡ewUm †gwjUvm‡K Avjv`vfv‡e kbv³ K‡ib| 1921-1922 mv‡ji g‡a¨ KvbvWvi †d«‡WwiK evbwUs (Frederick Banting) I Pvj©m †e÷ (Charles Best) Bbmywjb Avwe®‹v‡ii ci Wvqv‡ewUm †gwjUv‡mi AvaywbK wPwKrmv ïiæ nq| Wvqv‡ewU‡mi iKg‡di Wvqv‡ewUm †gwjUvm‡K cÖv_wgKfv‡e `yÕfv‡M fvM Kiv nq| GKwU n‡jv UvBc Iqvb ev Bbmywjb wbf©i Wvqv‡ewUm Avi GKwU UvBc Uz ev Bbmywjb wbi‡cÿ Wvqv‡ewUm| UvBc Iqvb ev Bbmywjb wbf©i Wvqv‡ewU‡m AMœ¨vk‡qi †h †Kvl¸wj Bbmywjb Drcv`b K‡i Zv cy‡ivcywi A‡K‡Rv n‡q c‡o| UvBc Iqvb Wvqv‡ewUm †ivMxi †eu‡P _vK‡Z †M‡j Zv‡K wbqwgZ Bbmywjb wb‡Z nq| A_©vr Zvi †eu‡P _vKvUv evB‡i †_‡K Bbmywjb mieiv‡ni Ici wbf©i K‡i| GKvi‡YB UvBc Iqvb Wvqv‡ewUm‡K e‡j Bbmywjb wW‡cÛ‡W›U Wvqv‡ewUm †gwjUvm(Insulin dependent Diabetes mellitus IDDM)| Gai‡bi e¨vwa 15 †_‡K 20 eQi eq‡mi Av‡MB †`Lv †`q| UvBc Uz Wvqv‡ewUm †ivMx‡`i †ÿ‡Î AMœ¨vkq †_‡K Bbmywjb †ei nq Z‡e Zvi cÖ‡qvR‡bi Zzjbvq Kg| GB ai‡bi †ivMxiv evB‡i †_‡K Bbmywjb bv wb‡qI wbqwgZ e¨vqvg, Lvevi`vevi wbqš¿Y I mvgvb¨ wKQz Ilya †L‡q w`we¨ my¯’ mejfv‡e †eu‡P _vK‡Z cv‡ib| †mKvi‡Y UvBc Uz Wvqv‡ewUm‡K e‡j bb Bbmywjb wW‡cÛ‡W›U Wvqv‡ewUm(Non Insulin dependent Diabetes mellitus IDDM)| GB e¨vwa †gvUvgywUfv‡e 35 eQi eq‡mi ci †`Lv w`‡q _v‡K| Wvqv‡ewUm †iv‡Mi jÿY, ZxeªZv, cÖeYZv, fwel¨r m¤¢vebv Gme wKQzi Ici wePvi K‡i wPwKrmv weÁvbxiv Wvqv‡ewUm‡K wewfbœ fv‡M fvM K‡i‡QbÑ
  • 7. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 7 - 1) Wvqv‡ewUm cÖeYZv (Pre- Diabetic State)- GLb †bB wKš‘ A`~i fwel¨‡Z n‡Z cv‡i Zv‡K wcÖ-Wvqv‡ewUK Ae¯’v e‡j| †`Lv †M‡Q hgR fvB ev †ev‡bi GKR‡bi Wvqv‡ewUm _vK‡j Aci R‡bi †mB cÖeYZv _v‡K| gv-evev `yÕR‡bi GB †ivM _vK‡j A_ev evev- gv †h †Kv‡bv GKR‡bi Ges Ab¨ ‡Kv‡bv wbKU AvZ¥x‡qi G †ivM _vK‡j †m‡ÿ‡Î gay‡g‡n AvµvšÍ nIqvi m¤¢vebv _v‡K| 2) cÖ”Qbœ Wvqv‡ewUm (Latent Diabetes)- A‡b‡Ki †ÿ‡Î †`Lv hvq ¯^vfvweKfv‡e my¯’ _vK‡jI we‡kl we‡kl kvixwiK Amyweavi mgq Møy‡Kv‡Ri gvÎv †e‡o hvq| G‡K e‡j cÖ”Qbœ Wvqv‡ewUm| wKQzw`b a‡i AZ¨šÍ gvbwmK Pvc, Awb`ªv, †`‡n RxevYyi msµgY, e‡ov ai‡bi mvwR©K¨vj Acv‡ik‡bi ci, †Kv‡bv †Kv‡bv gwnjvi Mf©eZ©x Ae¯’vq gay‡gn †`Lv †`q| GB ai‡bi Wvqv‡ewUm kvixwiK I gvbwmK Ae¯’v š^vfvweK n‡q †M‡j ax‡i ax‡i K‡g Av‡m| 3) Dc`ªenxb Wvqv‡ewUm (Chemical Diabetes)- Kv‡iv Kv‡iv †ÿ‡Î †`Lv hvq i‡³ Møy‡Kv‡Ri gvÎv ¯^vfvwe‡Ki †_‡K †ewk, wKš‘ Wvqv‡ewU‡mi †Kvb iKg DcmM© †hgbÑ iv‡Z evi evi cÖmªve, wccvmv, `ye©jZv Gme wKQz _v‡K bv| G †ivM‡K Wv³vieveyiv e‡jb †KwgK¨vj Wvqv‡ewUm| 4) Avbylw½K Wvqv‡ewUm (Secondary Diabetes)- Ab¨ †Kv‡bv Amy‡Li DcmM© wnmv‡e KL‡bv KL‡bv Wvqv‡ewUm †`Lv †`q| AMœ¨vk‡qi †ivM, `xN©w`b †Kv‡bv Ilya e¨env‡ii Kzdj, wjfv‡ii †Mvj‡hvM Gme Kvi‡Y †m‡KÛvwi Wvqv‡ewUm n‡Z cv‡i| 5) cÖKU Wvqv‡ewUm (Clinical Diabetes)- G ai‡bi Wvqv‡ewU‡m †ivMjÿY c~Y©fv‡e cÖKvk cvq| evi evi wccvmv, ZvovZvwo wL‡` cvIqv, w`‡b iv‡Z Nb Nb cÖmªve, IRb K‡g hvIqv, `ye©jZv, `„wókw³ K‡g hvIqv, †Pv‡L Qvwb cov, Kve©v¼j I KvUv `vM mn‡R ï‡Kvq bvÑ G iKg Av‡iv eû Amyweav †`Lv †`q| mvaviYfv‡e Wvqv‡ewUm ej‡Z g~jZ wK¬wbK¨vj Wvqv‡ewUm‡KB ‡evSvq| G †iv‡Mi wPwKrmv cÖ_g †_‡KB mwVKfv‡e Ki‡Z n‡e| Wvqv‡ewU‡mi RwUjZv †QvU †ejvq Vv¤§vi Kv‡Q ï‡bwQjvg Ôev‡N Quy‡j AvVv‡iv Nv; cywj‡ki QwÎkÕ| cieZ©xKv‡j Wv³vix Ki‡Z G‡m †`Ljvg Wvqv‡ewU‡mi cvjøvq co‡j G‡Kev‡i evnvËi DcmM©| `xN©w`b nvBeøvW myMv‡i fzM‡j eû iKg RwUjZv G‡m kix‡i evmv euv‡a| Avm‡j Wvqv‡ewU‡m †KD gviv hvb bv; hviv gviv hvb Zuviv Wvqv‡ewU‡mi †W‡K Avbv wewfbœ RwUjZvq| Wvqv‡ewUm n‡j Kx bv nq| †hgb- ü`‡ivM (Cardiovascular Disease), gM‡Ri †ivM (Cerebrovascular Disease), cv‡qi †ivM (Peripheral Vascular Disease), †Pv‡Li mgm¨v (Cataract / Retinopathy/ Glucoma), mœvqyi mgm¨v (Diabetic Neuropathy), wKWwbi mgm¨v (Diabetic Nephropathy, Micro/Macro Albuminia), †c‡Ui mgm¨v(Atonic Constipation), ey‡Ki mgm¨v(Respiratory Tract Infection), Z¡‡Ki mgm¨v cÖmªv‡ei mgm¨v(Urinary Tract Infection), †hŠb mgm¨v (Erectile Dysfunction / Candidiasis ), gy‡Li mgm¨v, gvbwmK mgm¨v (Pleasure Principle) , M‡f©i ev”Pvi mgm¨v (Macrosomic Baby) Av‡iv KZ Kx...|
  • 8. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 8 - ‡`‡n Møy‡KvR ˆZix n‡”Q I Zvi †ewkifvM i‡³B †_‡K hv‡”Q| †`n †Kv‡li †Zgbfv‡e Kv‡R jvM‡Q bv| i‡³ kK©ivi gvÎv †e‡o †M‡j i‡³i NbZ¡ ev‡o| g~‡Îi mv‡_ cÖPzi cwigvY myMvi †ei K‡i w`‡qI wb¯Ívi cvIqv hvq bv| i³ Zvi NbZ¡ eRvq ivLvi Rb¨ †Kvl †_‡K Rj †U‡b †bq| d‡j †Zóv cvq| Rj †ewk K‡i ‡L‡j †Zóv Kg‡e; wKš‘ cÖmªv‡e †mB Rj Avevi †ewi‡q hv‡e| cÖmªv‡e ïay †h myMvi †ewi‡q hvq Zv bq, †ek wKQz jeY cÖmªv‡ei g‡a¨ w`‡q †`‡ni evB‡i †ewi‡q hvq| i‡³i NbZ¡ †ewk n‡j i³bvjxi †`Iqv‡ji Mv‡q †Kv‡j‡÷ij Rgvi m¤¢vebv ev‡o| i‡³i NbZ¡ I †Kv‡li NbZ¡ `yÕiKg nIqvi d‡j †Kvl¸wj wVK g‡Zv KvR Ki‡Z cv‡i bv| †hLv‡b i³bvjx¸wj m~² ch©v‡q _v‡K †mLv‡b wewfbœ iKg Amyweav †`Lv †`q| Gi cÖfve c‡o gw¯Í®‹ ev †eªb, †PvL, wKWwb, ü`hš¿ I Ab¨vb¨ me A½- h‡š¿| i‡³ I †Kv‡li evB‡i kK©iv †ewk _vKvi d‡j RxevYyiv evowZ Lv`¨ †c‡q mwµq n‡q I‡V| d‡j †h †Kvb ai‡bi RxevYyi Bb‡dKkb ev msµgY `ªæZ Qwo‡q c‡o| Wvqv‡ewU‡mi `xN©w`b _vK‡j i‡³ kK©ivi cwigvY †ewk gvÎvq _vK‡j †`‡ni wewfbœ A½ cÖZ¨‡½ i³bvjx¸wji wKQz cwieZ©b N‡U _v‡K Avgiv Wv³vwi fvlvq hv‡K ewj f¨v¯‹zjvi †PÄ (vascular change)| †Qv‡Uv-‡Qv‡Uv i³bvjx‡Z GB iKg cwieZ©b n‡j Zv‡K ewj ÔgvB‡µv f¨v¯‹zjvi †PÄÕ| Gi d‡j †Pv‡Li †iwUbv, wKWwb wewfbœ bvf© ev mœvqy ÿwZMÖ¯Í nq| eo eo i³bvjx‡Z `xN©‡gqv`x cwieZ©b n‡j Zv‡K ejv nq Ôg¨v‡µv fv¯‹zjvi †PÄÕ| Gi d‡j n„`hš¿ , gw¯Í¯‹ ev †eªb cv‡qi eo eo wkiv agbx‡Z Amyweav †`Lv hvq| i‡³ kK©ivi gvÎv †ewk _vK‡j i³ - bvjxi †fZ‡ii †`Iqv‡j wKQz cwieZ©b †`Lv hvq| †fZ‡ii w`‡Ki †`Iqvj LmL‡m ev Agm„Y n‡q c‡o Gi d‡j †fZ‡ii †`Iqv‡j Lvivc †K¬v‡j‡÷ij, UªvBwMømviBW Giv bvjxi †fZ‡i mn‡RB Rg‡Z _v‡K Ges i³ PjvP‡ji c_‡K miæ K‡i †`q | A‡bK mgq i³ PjvPj eÜ K‡i w`‡Z cv‡i| i³ PjvP‡ji iv¯Ív miæ K‡i †`Iqvi NUbv‡K Wv³vwi fvlvq ewj ÔA¨v‡_‡ivm&†K¬‡ivwmm&Õ| hv‡`i Wvqv‡ewUm Av‡Q Zv‡`i A¨v‡_‡ivm&‡K¬‡ivwm‡mi m¤¢vebv A‡bK †ewk| Gevi Wvqv‡ewU‡mi RwUjZv wb‡q GKUz Av‡jvPbv Kiv hvKÑ †Pv‡Li mgm¨v i‡³i kK©ivi gvÎv †ewk _vK‡j Kg eq‡mB †Pv‡L Qvwb c‡o| †Pv‡Li mn‡RB msµgb nq †PvL jvj n‡q hvIqv †PvL w`‡q Rj cov †Pv‡L cuyR nIqv mKvj‡ejv Nyg †_‡K IVvi mgq `y‡Uv †Pv‡Li cvZv AvU‡K hvIqv GiKg DcmM© †`Lv hvq| †Pv‡Li cvIqvq A_©vr Pkgvi cvIqvi NbNb evo‡Z ev Kg‡Z _v‡K ‡Pv‡Li ‡iwUbv ev Awÿc‡Ui mgm¨v †`Lv hvq| †Pv‡Li gvivZ¥K e¨vwa Møy‡Kvgv‡Z AvµvšÍ nIqvi m¤¢vebv Wvqv‡ewU‡mi †ivMx‡`i †ekx _v‡K| Gm‡ei g‡a¨ me‡P‡q gvivZ¥K †ivM nj †iwUbvi †Mvjgvj hv‡K e‡j Wvqv‡ewUm †iwU‡bvc¨vw_| hw` Wvqv‡ewUm †ivMx‡`i nvBeøvWmyMv‡ii mv‡_ nvBeøvW‡cÖmvi _v‡K Zvn‡j †Pv‡Li †iwUbvi _vKv m~²- m~² i³bvjx ev i³RvjK ¸wj ÿwZMÖ¯Í nq | A‡bK mgq G¸wj wQu‡o hvq ev Gu‡K †eu‡K hvq i‡³iGKUv Ask ev i³im i³bvjx †_‡K †ewi‡q G‡m †iwUbv‡Z Rgv n‡Z _v‡K| hv‡K cÖPwjZ K_vq ewj †iwUbvi Rj Rgv | Gi d‡j nVvr K‡i †Pv‡Li `„wókw³ GK`g bó n‡q
  • 9. †h‡Z cv‡i| A‡bK mgq †Pv‡Li Awÿ †Mvj‡Ki †fZ‡ii cÖ‡Kvô ev wåwUªqvm †P¤^v‡i i³ R‡g `„wókw³ nVvr K‡i †jvc †c‡Z cv‡i| ‡Pv‡Li mgm¨v †_‡K euvPevi Dcvq :- 1). huv‡`i Wvqv‡ewUm Av‡Q Zviv cÖwZ Q gvm ci-ci GK evi K‡i †Pv‡Li Wv³vi †`Lv‡eb| Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 9 - 2). ‡Pv‡Li cvIqvi gvcvi mv‡_ mv‡_ Ac_¨vj‡gv‡¯‹vc hš¿ w`‡q ‡iwUbvi nvj nwKKr cixÿv Kiv Riæwi| 3). hv‡`i nvBeøvWmyMv‡ii mv‡_ nvBeøvW‡cÖmvi I Av‡Q Zviv Av‡M †_‡KB †Pv‡Li e¨vcv‡i mveavb n‡eb| cyiv‡bv Pkgv w`‡q covïbv Ki‡Z ev `~‡ii wRwbm †`L‡Z Amyweav n‡j Zv‡K D‡cÿv Ki‡eb bv| Ah_v mgq bó bv K‡i †Pv‡Li Wv³v‡ii Kv‡Q hv‡eb| wKWwbi mgm¨v Wvqv‡ewUm †_‡K wKWwbi mgm¨v Kxfv‡e ‰Zix nq Zv †evSvi Av‡M Avgv‡`i †`‡ni wKWwb wK KvR K‡i †mUv GKUz †R‡b †bIqv fv‡jv| Avgv‡`i †`‡ni †fZ‡i ey‡Ki LuvPvi bx‡P †gvUvgywU wc‡Vi w`K †Nu‡l Wvb I evg cv‡k `ywU wKWwb _v‡K evsjvq hv‡K e‡j Ôe„°Õ| cwicvK nIqv Lv`¨ KYv i‡³i gva¨‡g hLb †Kv‡l †Kv‡l †cuŠQvq, Zvici †Kvl¸wji †fZi †mB Lv‡`¨i mv‡_ Aw·‡Rb wg‡k kw³ Drcbœ nq| GB kw³ Drcbœ nIqvi e¨vcviUv‡K e‡j wecvK| GB wecvK wµqvq Ggb wKQz c`v_© Drcbœ nq †h¸wj †`‡ni g‡a¨ _vK‡j wewfbœ welwµqv n‡Z cv‡i| wKWwb cÖmªv‡ei g‡a¨ w`‡q ‡mB welv³c`v_©†K †`‡ni evB‡i †ei K‡i †`q| G‡ÿ‡Î wKWwb A‡bKUv i³ cwi¯‹v‡ii QuvKwbi g‡Zv KvR K‡i | wKWwbi g‡a¨ Lye m~² m~² i³bvjx _v‡K| i‡³ Møy‡Kv‡Ri gvÎv †ewk _vK‡j GB i³bvjx¸wj ÿwZMÖ¯Í nq| i³‡K QuvKwb Kivi †h cÖwµqv Zv evav cÖvß nq| wKWwb mwVK fv‡e KvR Ki‡Z cv‡ibv| GB Amyweav‡K e‡j Wvqv‡ewUK †b‡d«vc¨vw_| Wvqv‡ewUm †ivMx‡`i wKWwbi m~² m~² Kjv I †Kvl¸wj‡Z Bbmywjb Lye Kg cwigv‡Y Av‡m Gi d‡j †Kv‡l kK©ivi gvÎv evo‡Z _v‡K| Bbmywj‡bi Afv‡e GB kK©iv‡K e„‡°i †Kvl¸wj mwVK fv‡e Kv‡R jvMv‡Z cv‡ibv| †hme m~² gvB‡µvA¨vjeywgb g~‡Îi mv‡_ †e‡iv‡Z _v‡K cieZ©xKv‡j eo gv‡ci A¨vjeywgb ev g¨v‡µvA¨vjeywgb g~‡Îi mv‡_ †`‡ni evB‡i †ei n‡q hvq| A¨vjeywgb n‡jv GKai‡bi ‡cÖvwUb; GB †cÖvwUb cÖmªv‡ei Øviv †ewk gvÎvq †ei n‡q †M‡j †ivMxi nvZ cv ‡dv‡j kixiUv †dvjv †dvjv jv‡M| cv‡qi cvZvq Av½yj w`‡q Pvc w`‡j wKQzÿ‡Yi Rb¨ M‡Z©i g‡Zv n‡q hvq| wKWwbi i³ QuvKwb Kivi ÿgZv AviI †ewk K‡g †M‡j i‡³ BDwiqv wµ‡qwUwbb
  • 10. gvÎv †e‡o hvq| †ivMx Av‡¯Í Av‡¯Í wKWwb †djB‡qvi ev †ibvj†djB‡qvi w`‡K GwM‡q hvq| Ae¯’v GiKg n‡j ZLb Wvqv‡jwmm Kiv Qvov Dcvq _v‡Kbv| kix‡ii †iPb c`v_© †`‡ni evB‡i †ei K‡i †`IqvB wKWwbi Ab¨Zg KvR GB KvR 15 †_‡K 20% evavcÖvß n‡j †Zgb †KvbI Amyweav †`Lv †`qbv| wKš‘ hw` 80% evavcÖvß nq Z‡e Zv‡K †ibvj †djB‡qvi e‡j| A‡bK †ÿ‡Î †ibvj†djB‡qvi nIqvq †ivMxi wKWwb e`j ev †ibvj UªvÝcø¨v›U Ki‡Z nq| wKWwbi mgm¨v †_‡K euvPvi Dcvq:- 1). Wvqv‡ewUK †bª‡d«vc¨vw_ AvUKv‡Z †ivMx I Zvi cwievi‡K cÖ_g †_‡K mZK© n‡Z n‡e| 2). wbqwgZ i‡³ kK©ivi cixÿvi mv‡_ eQ‡i AšÍZ `yÕevi i‡³i BDwiqv I wµ‡qwUwbb cixÿv Kiv `iKvi| Gi mv‡_ eQ‡i AšÍZ `y evi cÖmªv‡ei gvB‡µvA¨vjeywgb cixÿv K‡i †`L‡Z n‡e| 3). Wvqv‡ewUK †ivMx ivbœvq jeY Kg _vKv `iKvi| †KvbI Ae¯’v‡ZB cv‡Z jeY Lv‡eb bv| Wvqv‡ewUm †ivMxi ü`‡ivM wewfbœ mgxÿv †_‡K Rvbv hvq hv‡`i Wvqv‡ewUm i‡q‡Q †mBme †ivMx†`i 65% gviv hvb BmwKwgK ev K‡ivbvix nvU©wWwR‡m| Av‡MB e‡jwQ Wvqv‡ewUm AvµvšÍ †ivMx‡`i g‡a¨ i³bvjx miæ nIqvi cÖeYZv ev A¨v_‡iv‡K¬‡ivwm‡m&i m¤¢vebv †ekx| i³bvjx miæ n‡q †M‡j n„rwcÛ ¯^vfvweK wbq‡gB ‡`‡ni i³ mieivn ¯^vfvweK ivL‡Z †Póv K‡i| †m Kvi‡Y i³bvjxi Dc‡i Pvc ev‡o, ev‡o i³Pvc ev nvBeøvW†cÖmvi| G †_‡K †`Lv hvq wewfbœ iKg RwUjZv| Avgv‡`i ürwcÛ mviv kix‡i i³ mieivn K‡i | Zvi wb‡Ri KvR Kvievi cwiPvjbvi Rb¨ ZviI cywó I Aw·‡R‡bi `iKvi nq| †hgbÑ evwoi evev, evwoi mevi Rb¨ Avbymvw½K Lvevi †RvMvo K‡ib| †mfv‡e evev‡KI Lvevi †L‡Z nq| ürwc‡Û cywó I Aw·‡Rb mieivn K‡i K‡ivbvix agbx| A¨v_‡iv‡K¬‡ivwm‡mi d‡j K‡ivbvix agbx miæ n‡q †M‡j ür†ckx‡Z mwVK fv‡e cywó I Aw·‡Rb †cuŠQvq bv| †`Lv †`q wewfbœ iKg RwUjZv; G‡KB e‡j BmwKwgK nvU© wWwRm&| ¯^vfvweK gvby‡li ‡_‡K Wvqv‡ewUm †ivMx‡`i BmwKwgK nvU© wWwRm& nIqvi m¤¢vebv `yÕ †_‡K wZb Myb †ekx| Wvqv‡ewUm _vK‡j ev i‡³ kK©ivi gvÎv †ekx n‡j mœvqy ev bv‡f©i KvRKg© evavcÖvß nq| A_©vr †`‡ni wewfbœ A½ ev h‡š¿ †`Lv †`q AmvoZv| Gid‡j e¨_v, ¯úk©, VvÛv-Mig cÖf…wZ wVKg‡Zv †evSv hvq bv| nvU© A¨vUv‡Ki AvMvg jÿY n‡jv ey‡K I evu-nv‡Z e¨_v, hv‡K Avgiv Wv³vix fvlvq ewj ÔA¨vbRvBbv †c‡±vwimÕ(Angina pectoris)| G e¨_v Rvwb‡q †`q nvU© A¨vUvK n‡Z hv‡”Q| Zv‡Z †ivMx Wv³vieveyi civgk© g‡Zv Av‡M †_‡KB mveavb n‡Z Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 10 -
  • 11. cv‡ib| G‡Z wKQzUv n‡jI wec` Gov‡bv hvq| †`Lv †M‡Q †hme †ivMxi gay‡gn Av‡Q, Zviv †ekxifvM †ÿ‡Î nvU© A¨vUv‡K cÿvNvZ ev c¨vivwjwm‡mi wkKvi nb| A‡bK †ÿ‡Î BmwKwgK nvU© wWwRm& _vK‡jI Wvqv‡ewUm †ivMxiv ey‡Ki e¨_v ev ÔA¨vwÄbv†cÖ±vwimÕ Abyfe K‡ib bv| d‡j †Kvb DcmM© QvovB nVvr K‡i nvU© A¨vUvK nq| †hb webv †g‡N eRªcvZ| Gi d‡j nVvr K‡i †ivMx nvU© A¨vUv‡K gviv hvq| Avm‡j Avgv‡`i †`‡ni wewfbœ A½- cÖZ¨‡½i e¨_v †e`bv mœvqyi g‡a¨ w`‡q gw¯Í‡®‹ †cuŠQ‡j Avgiv †mB e¨_v Abyfe Kwi| Wvqv‡ewUm †ivMx‡`i A‡bK †ÿ‡Î GB mœvqyiv ÿwZMÖ¯Í n‡q c‡o d‡j ey‡Ki e¨_vi Lei mwVK mgq gw¯Í®‹‡K †cŠuQvq bv| ü`h‡š¿i Wvb Awj‡›` Av‡Q GKwU †QvÆ AÂj| hvi bvg mvB‡bv AwiKzjvi †bvW (Sino- Auricular Node; S.A.Node) | GLvb †_‡KB wbw`©ó Q‡›`i ˆe`y¨wZK Zi½ mg¯Í Awj›` I wbj‡q Qwo‡q c‡o; hv ü`h‡š¿i ms‡KvPb cÖmviY NUvq| Wvqv‡ewU‡mi d‡j A‡bK‡ÿ‡Î mvB‡bv AwiKzjvi †bvW †_‡K ˆe`y¨wZK ms‡KZ mgq g‡Zv ür‡cwki me As‡k †cuŠQ‡Z cv‡i bv| ür¯ú›`b Lye `ªæZ, Lye axi ev AwbqwgZ n‡Z _v‡K| Gfv‡eB nvU© eøK n‡Z cv‡i| ü`‡ivM cÖwZKv‡ii Dcvq:- 1). BmwKwgK nvU© wWwmR iæL‡Z Wvqv‡ewUm †ivMx‡`i i‡³i ‡Kvj‡÷ij I UªvBwMømvivBWÕ wbqwgZ cixÿv Kiv I Gme wbqš¿‡Y ivLv `iKvi| 2). ey‡Ki euv w`‡K e¨_v n‡j †mUv‡K KLbB AeÁv Kiv wVK bq| †ewk †`ix bv K‡i ü`&‡ivM we‡klÁ ev KvwW©IjwR‡÷i Kv‡Q hvIqv `iKvi| cÖ‡qvRb co‡j BwmwR I Kvjvi Wcjvi cixÿv Ki‡Z n‡e| Wvqv‡ewUm †ivMxi mœvqyi mgm¨v Wvqv‡ewUK †ivMx‡`i 25 †_‡K 30% †ÿ‡Î mœvqy ev bv‡f©i mgm¨v †`Lv hvq| i‡³ kK©ivi cwigvY `xN©w`b a‡i †ewk _vK‡j †`‡ni m~² mœvqy †Kvl¸wj wVKg‡Zv Aw·‡Rb I cywó cvq bv| d‡j mœvqy †Kvl¸wj ÿwZMÖ¯Í nq| me‡P‡q †ewk ÿwZMÖ¯Í nq mœvqy‡Kv‡li Ic‡i _vKv AveiYx Kjv ev gvBwjb AveiYx| Wvqv‡ewU‡mi d‡j mœvqyi ÿwZ n‡j †ek K‡qK iK‡gi Amyweav †`Lv hvq| GB Amyweav‡K wPwKrmv weÁv‡b wewfbœ iK‡g fvM Kiv nq| nvZ I cv‡qi cÖvwšÍK mgm¨v¸wj ÿwZMÖ¯Í n‡j, nvZ cv wSgwSg Kiv nvZ I cv‡q R¡vjv, wKQzÿY e‡m _vK‡j nvZ cv Aek fve ÑGgb wKQz DcmM© †`Lv hvq | gw¯Í®‹ †_‡K †h mœvqy¸wj `~‡i _v‡K, †hgb- nvZ-cv; GLvbKvi mœvqweK mgm¨v‡K e‡j Ô†cwi‡divjwbD‡ivc¨vw_Õ| Gi d‡j nvZ I cv‡qi †Rvi K‡g Av‡m| nvZ w`‡q wKQz †jLv ev aiv Gme KvR Ki‡Z Amyweav nq| A‡bK mgq cv‡q gvivZ¥K e¨_v Abyfe n‡Z cv‡i| Avgv‡`i ürwc‡Ûi ms‡KvPb cÖmviY, gj-g~‡Îi †eM G¸wj ¯^qswµq mœvqyZš¿ Øviv wbqwš¿Z nq| GB ¯^qswµq mœvqy Wvqv‡ewU‡mi c‡i ÿwZMÖ¯Í n‡j †`‡n wewfbœ iKg Amyweav †`Lv †`q| A‡bK †ivMxi †ÿ‡Î †`Lv hvq †m hLb ï‡q _v‡K ZLb Zuvi i³Pvc wVK _v‡K; Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 11 -
  • 12. wKš‘ em‡j ev `uvov‡j i³Pvc nVvr K‡i K‡g hvq| d‡j ZLb Zvi gv_v†Nv‡i, †Pv‡L AÜKvi jv‡M ÑGB mgm¨v‡K Avgiv Wv³vwi fvlvq ewj ÔcmPvivj-nvB‡cv‡UbkbÕ| g~Î_wji mœvqy¸wj wbD‡ivc¨vw_‡Z AvµvšÍ n‡j †ivMxi cÖmªve a‡i ivLvi ÿgZv K‡g hvq| RvgvKvc‡o hLb ZLb cÖmªve n‡q _v‡K| Wvqv‡ewUm †ivMxi mœvqy Amyweavi cÖwZKvi:- 1). Wvqv‡ewUm wbD‡ivc¨vw_ cÖwZ‡iv‡ai Rb¨ Av‡M †_‡KB †ivMx‡K mZK© n‡Z n‡e| mvgvb¨ Amyweav †`Lv gvÎB wbD‡ivjwR‡÷&i mv‡_ †hvMv‡hvM Kiv `iKvi| 2). iv‡Zi Ny‡gi g‡a¨ hv‡`i nvZ-cv R¡vjv K‡i Wv³vieveyiv Zv‡`i Mfxi Ny‡gi Ilya †`b| GQvov hw` cv‡qi wkiv ev Dcwkivq e¨_v _v‡K †m‡ÿ‡Î †ivMx‡K A‡bKmgq †cbwKjvi Ilya †L‡Z nq| 3). wPwKrm‡Ki mv‡_ civgk© K‡i Wvqv‡ewUm wbD‡ivc¨vw_i †ivMxiv wbD‡ivwfUvwgb ev wfUvwgb we Kg‡cø· U¨ve‡jU †L‡Z cv‡ib| A‡bK †ÿ‡Î Bb‡RKk&b wb‡Z nq| Wvqv‡ewUm †ivMxi †c‡Ui mgm¨v Wvqv‡ewUm †ivMx‡`i g‡a¨ †ewki fvM ‡ÿ‡ÎB †c‡Ui †Kvb bv †Kvb †Mvjgvj †`Lv †`q| cvK¯’jx, ¶z`ªvš¿, e„n`š¿, hK…r, Lv`¨bvjx wewfbœ A½-cÖZ¨‡½ Wvqv‡ewUmRwbZ Amyweav †`Lv w`‡Z cv‡i| Avm‡j GB Amyweav¸wj ‰Zix nq ¯^qswµq mœvqyZ‡š¿i †Mvj‡hvM †_‡K| hv‡K e‡j Wvqv‡ewUK A‡Uv wbD‡ivc¨vw_ ms‡ÿ‡c (DAN) RwbZ mgm¨v w`‡Z cv‡i| GB ÔW¨vbÕÑGi d‡j †`‡ni †h mKj A½- cÖZ¨½ Avcbv Avcwb P‡j ‡hgbÑ ürwc‡Ûi ms‡KvPb cÖmvib, Lv`¨bvjxi ch©vq µwgK ms‡KvPb Ô†cwi÷vjwmmÕ (Peristalsis) AviI wKQz evavcÖvß nq| Lv`¨bvjxi ms‡KvPb mwVK fv‡e bv n‡j A‡bK mgq †ivMxi k³ Lvevi wMj‡Z Amyweav nq| Kv‡iv †ÿ‡Î ewg Avmv, †XuKzi IVv, Mv †Mvjv‡bv, †cU dz‡j _vKv Ggb A‡bK Amyweav †`Lv hvq Wv³vwi fvlvq hv‡K Avgiv ewj ÔMÖv‡÷v‡c‡ivwmm Wvqv‡ewUK †Kvig&Õ| nRg nIqv Lv`¨KYv Avgv‡`i ¶z`ªvš¿ †_‡K i‡³ wg‡k hvq| A_©vr Avgiv gyL w`‡q ‡h Lvevi LvB Zv MÖvmbvjx- cvK¯’jxi g‡a¨ w`‡q mij AYy‡Z cwiYZ nq| ‡mB mij Lv`¨ ¶z`ªv‡š¿ _vKv wfjvB AveiYxi g‡a¨ w`‡q i‡³ wg‡k hvq| i³ †mB mij Lv`¨KYv ev cywó kix‡ii †Kv‡l-†Kv‡l †cuŠ‡Q †`q| ÔW¨vbÕ -Gi d‡j ¶z`ªvš¿- e„n`‡š¿i ms‡KvPb cÖmviY mwVK fv‡e bvI n‡Z cv‡i| Gi d‡j A‡š¿i wfZi w`‡q gj wVKg‡Zv m‡i †h‡Z cv‡i bv| Gid‡j †KvbI †KvbI Wvqv‡ewUm †ivMx RwUj †Kvôe×Zvq †fv‡Mb| Avevi Kv‡iv Kv‡iv †ÿ‡Î Zv‡`i cÖvqB cvZjv cvqLvbv †j‡M _v‡K| ÔW¨vbÕ-Gi d‡j wcË_wji bovPov K‡g †M‡j, wcË_wj‡Z cv_i n‡Z †`Lv hvq| A‡bK mgq wcË_wj‡Z ev MìeøvWv‡i e¨_v nq hv‡K e‡j Ô†Kv‡jwm÷vBwU©mÕ| `xN©w`b a‡i eøvW- myMvi †ewk _vK‡j hK„r ev wjfv‡ii KvR Kvievi wVKg‡Zv n‡Z cv‡i bv| hviv g`¨cvb Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 12 -
  • 13. K‡ib Zv‡`i RwÛ‡mi m¤¢vebv cÖej| hviv g`¨cvb K‡ib bv Zv‡`i †ÿ‡ÎI Ôbb- A¨vj‡KvnwjK w÷qv‡Uv‡ncv‡UvwcmÕ †_‡K RwÛm n‡Z cv‡i| †c‡Ui †Mvjgvj cÖwZ‡iv‡ai Dcvq:- 1). Wvqv‡ewU‡mi †ivMx‡`i †c‡Ui †Mvjgvj mviv‡Z cÖ_g †_‡K hZœ †bIqv cÖ‡qvRb| 2). cvi‡j cvK¯’jx I Aš¿ we‡klÁ ev ÔM¨v‡÷Gb‡›UvjwR÷Õ Gi civgk© wb‡Z n‡e| Z¡‡Ki mgm¨v Wvqv‡ewUm †ivMx‡`i †ÿ‡Î Z¡‡Ki mgm¨v ev w¯‹b cÖe‡jg LyeB ¯^vfvweK| i‡³ kK©ivi gvÎv †ewk _vK‡j Pvgov †dvjv, PzjKwb, Nv Gme n‡Z _v‡K| †h †KvbI ÿZ ev Nv mn‡R ï‡Kv‡Z Pvq bv| Z¡‡Ki Dci mn‡RB QÎvK msµgY ev dvsMvj- Bb&‡dKkb nq| A‡bK mgq cyiæl I gwnjv‡`i †hŠbv‡½i Z¡‡K QÎvK msµgY ev dvsMvj- Bb‡dKkb †`Lv w`‡q _v‡K| Qzwj, PzjKwb, †k¦Zx, wfwU‡jv‡Mv, †mvwiqvwmm Gme AmyL nIqvi m¤¢vebv Wvqv‡ewUK †ivMx‡`i †ewk _v‡K| Wvqv‡ewUm †_‡K m„wó nIqvi Pg©‡ivM‡K Wv³vix fvlvq Avgiv ewj ÔWvqv‡ewUK Wv‡g©vc¨vw_Õ| Z¡‡Ki mgm¨v cÖwZ‡iv‡ai Dcvq:- Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 13 - 1). Wvqv‡ewUK Wv‡g©vc¨vw_ iæL‡Z †ivMx‡K Aek¨B cwi®‹vi cwi”Qbœ _vK‡Z n‡e| wbqwgZ mœvb Ki‡Z n‡e| RvgvKvco cwi¯‹vi ivLv `iKvi| we‡klZ AšÍ©evm; †hgb- †MwÄ, Rvw½qv, eªv, c¨vw›U G¸wj ‡hb †KvbI Ae¯’v‡ZB gqjv bv _v‡K| 2). huviv Wvqv‡ewUm Wv‡gv©c¨vw_‡Z AvµvšÍ n‡q‡Qb Zuviv memgq mywZi RvgvKvco ci‡eb| cv‡qi ‡gvRvI †hb mywZi nq| Lye Auv‡Uvmv‡Uv ev UvBUwdU RvgvKvco bv civq fv‡jv| Gai‡bi †ivMxi †cvkvK AvkvK n‡e wX‡jXvjv| 3). MigKv‡j mœv‡bi Av‡M I kxZKv‡j mœv‡bi ci fv‡jv ewW A‡qj gvLv `iKvi| Z¡K ev Pvgov hw` AZ¨waK Ng©v³ ev †Zj‡Z‡j nq, ‡m‡ÿ‡Î †Zj bv †g‡L †ivMx †Mvjvc Rj ev A¨vj‡Kvnj w`‡q gvwjk Ki‡e| ey‡Ki mgm¨v Av‡MB evievi e‡jwQ i‡³ myMv‡ii gvÎv †ewk _vK‡j †`‡n †ivM cÖwZ‡iv‡ai ÿgZv K‡g hvq| hviv Wvqv‡ewU‡m AvµvšÍ Zv‡`i ey‡Ki †fZ‡i _vKv wewfbœ hš¿cvwZ mn‡RB weM‡o hvq| ey‡K g~jZ k¦vmh‡š¿ msµgY †ewk †`Lv hvq| hv‡`i eqm †ewk I Wvqv‡ewUm Av‡Q Zuv‡`i †ÿ‡Î mn‡RB VvÛv jv‡M| eª¼vBwUm, wbD‡gvwbqv AviI A‡bK nvRviI Sv‡gjv nvwRi n‡Z cv‡i| hÿv, wUwe, dzmdz‡m †duvov ev jv¼ A¨ve‡mm& AviI eû Amyweav †`Lv †`q| hv‡`i Kg eq‡m eª¼vBwUm ev wbD‡gvwbqv n‡qwQj; Zv‡`i eqm Kv‡j
  • 14. Wvqv‡ewUm n‡j Avevi †mB Amyweav¸wj wd‡i Av‡m| A‡bK mgq Wvqv‡ewUm †ivMx‡`i ey‡K Rj Rg‡Z ev nvB‡Wªv‡_viv· n‡Z cv‡i| ey‡Ki mgm¨vi cÖwZKvi:- 1). Wvqv‡ewUm †ivMx‡`i k¦vmh‡š¿ msµgY ev †P÷ Bb‡dK&k‡bi wel‡q mZK© _vKv DwPZ| Mig †_‡K nVvr K‡i VvÛvq hv‡eb bv| kixi †N‡g _vK‡j mivmwi Gwm iæ‡g hv‡eb bv| kixi hw` †N‡g _v‡K Avcbv‡K hw` Gwm iæ‡g XzK‡ZB nq Zvn‡j cÖ_‡g Xz‡K wKQz †m‡KÛ †_‡K †ewi‡q Avmyb, Zvici Avevi XzKzb| 2). Mi‡gi w`‡b wd«‡Ri Rj Lv‡eb bv| kixi †N‡g _vK‡j cÖ_‡g nvIqv †L‡q VvÛv nb Zvici Rj Lvb| 3). Wvqv‡ewUm †ivMx‡`i nvjKv Mig R‡j mœvb KivB fv‡jv| ‡hŠb mgm¨v i‡³ kK©ivi gvÎv `xN©w`b a‡i †ewk _vK‡j Wvqv‡ewUm †ivMx‡`i `v¤úZ¨ ev †hŠb Rxe‡b Zvi cÖfve c‡o| cyiæl‡`i †hŠb wj½‡K †X‡K _vKv Pvgovq (Prepuce) wewfbœ iK‡gi msµgY †`Lv hvq| GB Pvgov †d‡U †d‡U hvq, PzjKvq, A‡bK mgq e¨_v K‡i| gwnjv‡`i †ÿ‡Î †hvwbi Z¡‡K QÎvK ev dvsMv‡mi msµgY n‡Z †`Lv hvq, hv‡K Wv³vwi fvlvq e‡j K¨vbwWwWqvwmm (Candidasis)| Gi d‡j gwnjv‡`i †hŠbv‡½ PzjKwb I R¡vjv n‡Z †`Lv hvq| cyiæl‡`i †hŠb wj‡½i g‡a¨ wZb mvwi we‡kl iK‡gi gvsm‡ckx _v‡K| GB †ckxi g‡a¨ AmsL¨ †QvU †QvU wkiv, Dcwkiv i‡q‡Q| †hŠb D‡ËRbvi mgq GBme wkiv, agbxi g‡a¨ w`‡q i³ `ªæZ ‡e‡M cÖevwnZ nq| d‡j †hŠbwj½ †mvRv I k³ n‡q I‡V| Wvqv‡ewU‡mi d‡j GB me agbx‡Z (†cbvBj AvU©vwi) i³ PjvPj mwVK fv‡e n‡Z cv‡ibv| †m Kvi‡Y A‡bK mgq Wvqv‡ewUm †ivMx‡`i wj½ D‡ËRbvi mgq †mvRv I k³ nq bv| d‡j †hŠbwgj‡b AÿgZv Av‡m| hv‡K cÖPwjZ fvlvq e‡j aŸRf½ ev (Impotant)| GB aŸRf½ †_‡K Wvqv‡ewUm †ivMx‡`i gvbwmK Aemv`, g`¨cv‡b AvMÖn, AvZ¥wbf©iZvi Afve AviI eû DcmM© †`Lv w`‡Z cv‡i| ‡hŠb mgm¨vi cÖwZKvi:- 1). Gme †ÿ‡Î Wvqv‡ewUm †iv‡Mi wPwKrmvi mv‡_ mv‡_ †ivMxi Ô†g›Uvj KvDwÝwjsÕ -Gi cÖ‡qvRb nq| 2). †Kvb †Kvb †ÿ‡Î †cwbmcv¤ú, f¨vKzg mvKkb wWfvBm GBme hvwš¿K wPwKrmvi cÖ‡qvRb n‡q _v‡K| B`vwbs †cbvBj cÖ‡¯’wmm& bv‡g GK ai‡bi Acv‡ikb Pvjy n‡q‡Q| GBme Acv‡ik‡b cyiæl‡`i wj‡½i †fZi we‡kl ai‡bi bj ev wUDe ewm‡q †`Iqv nq| †hŠbwgj‡bi mgq †mB b‡j B‡”Qg‡Zv nvIqv f‡i †hŠb Kvh© Kiv hvq| Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 14 -
  • 15. Wvqv‡ewUm †ivMxi gvbwmK mgm¨v Av‡MB e‡jwQ Wvqv‡ewUm †_‡K cy‡ivcywi †m‡i IVvi †Kvb wPwKrmv cØwZ GLbI †mfv‡e Avwe®‹…Z nqwb| Z‡e mwVKfv‡e wbqg †g‡b Pj‡j Wvqv‡ewUm †ivMxiv fv‡jv _vK‡Z cv‡ib| Wvqv‡ewUm †h‡nZz `~iv‡ivM¨ e¨vwa †m Kvi‡Y Wvqv‡ewUm aiv co‡j A‡b‡KB gvbwmK fv‡e †f‡O c‡ob| fve‡Z _v‡Kb Zvi RxebUv eywS †kl n‡q †Mj, Rxe‡b Avi wKQz Kivi †bBÑ GQvovI Wvqv‡ewUm †ivMx‡`i gvbwmK Pv‡ci †ek wKQz KviY i‡q‡Q| Wvqv‡ewU‡mi d‡j Lvevi`vevi, Pjv‡div, Rxebhvc‡b †ek wKQz wewawb‡la †g‡b Pj‡Z nq| GB wewawb‡la A‡b‡KB mn‡R gb †_‡K †g‡b wb‡Z cv‡ibv| d‡j g‡bi wecixZ ¯^Ëv¸wji mv‡_ jovB †e‡a hvq| g‡bi my‡Li m~‡Î (Pleasure Principal) e¨vNvZ N‡U| Avgv‡`i cÖ‡Z¨‡Ki g‡a¨ my¯’ fv‡e †eu‡P _vKvi GK A`g¨ B”Qv i‡q‡Q| i‡q‡Q evavnxbfv‡e Avb›` Dc‡fvM Kivi evmbv| Wvqv‡ewUm †ivMxi GB `yÕB evmbvi mv‡_ msNvZ ïiæ nq| d‡j gvbwmK Pvc ev‡o| Wvqv‡ewU‡mi myMvi wbqš¿‡Yi Rb¨ A‡bK mgq Ggb wKQz Ilya †L‡Z nq hv †_‡KI wW‡cÖkb ev gvbwmK Aemv` Avm‡Z cv‡i| Avgv‡`i gw¯Í‡®‹ `yBwU fvM Av‡Q| Zvi GKUv‡K e‡j †mwieªvj K‡U©R| GB †mwieªvj K‡U©R †_‡KB Avgv‡`i wePvi, eyw×, hyw³ mewKQz wbqwš¿Z nq| G Kvi‡Y G‡K A‡b‡K jwRK¨vj K‡U©· e‡jb| Av‡iKwU Ask‡K e‡j wjw¤^K †eªb (Limbic Brian)| GB wjw¤^K †eªb †_‡K Avgv‡`i Av‡eM, D”Q¡vm, fv‡jvevmv, †cÖg ÑGBme Av‡m| Avgiv †QvU‡ejvq hv wKQz wkwLÑ covïbv, RvgvKvco civ, K_vejv, nuvUvPjv GmeB †mwieªvj K‡U©‡R fiv _v‡K| Wvqv‡ewUm †ivMx‡`i †ÿ‡Î hyw³-eyw×i mv‡_ Av‡eM D”Q¡v‡mi msNvZ ‡e‡a hvq| d‡j †`Lv hvq wewfbœ iK‡gi Amyweav| wjw¤^K †eªb I †mwieªvj K‡U©‡Ri g‡a¨ MÛ‡Mv‡ji d‡j Wvqv‡ewUm †ivMxiv A‡bK †ÿ‡Î gw¯Í‡®‹i Zvj wgj nvwi‡q †d‡jb| †hgb Avgv‡`i myexieveyi K_v aiv hvK&Ñ Zvi eøvWmyMvi (P.P) 350 mg/dl Gi Ic‡i| †m Kvi‡YB Wv³vievey Zv‡K wewfbœ iK‡gi wewawb‡la w`‡q‡Qb| Zvi †mwieªvj K‡U©R Rv‡b GLb Zvi †Kvb Ae¯’v‡ZB wgwó LvIqv hv‡ebv| Avevi Zvi wjw¤^K †Rvb ej‡QÑ hv bv‡i, GKUv †L‡j wK Avi n‡e! †kl‡gl myexievey wd«R Ly‡j KvRy- eiwdwU †L‡qB †dj‡jb| djvdj hv nIqvi ZvB nj Gfv‡e wKQz w`b Pjvi ci Ae¯’v Ggb RvqMvq †cuŠQ‡jv †h †ekwKQz w`b nvmcvZv‡jB ï‡q _vK‡jb myexievey| Wvqv‡ewUm †ivMxi gvbwmK Amyweav Kgv‡Z n‡j:Ñ 1). Wvqv‡ewUm †ivMx‡`i gvbwmK Pvc Kgv‡Z wbqwgZ a¨vb ev †gwW‡Ukb Ki‡Z n‡e| Gi mv‡_ wbqwgZ †hvM e¨vqvg †Zv Pj‡eB| a¨v‡bi d‡j gw¯Í‡®‹i wjw¤^K†Rv‡bi KvR Kvievi wKQzUv mwVK nq| Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 15 -
  • 16. 2). a¨v‡b A¨vWªwibvwjb (Addrinalin) I KvwU©Rj ni‡gv‡bi wbtmib K‡g| GB `yÕwU ni‡gvb Kg wbtm„Z n‡j GKw`‡K †hgb gvbwmK Pvc K‡g Av‡m, Ab¨w`‡K i‡³i myMv‡ii gvÎv wbqš¿‡Y _v‡K| hviv wbqwgZ a¨vb K‡ib Zviv A‡bK †ewk mvejxj I Pvcgy³ _v‡Kb| Wvqv‡ewU‡mi cixÿv wbixÿv Kv‡iv Wvqv‡ewUm n‡q‡Q wKbv Zv Rvbvi mnR cØwZ nj Zvi i‡³i kK©iv ev Møy‡Kv‡Ri gvÎv cixÿv Kiv| Avgv‡`i †`‡ki †QvU eo kni I MÖv‡gi wewfbœ c¨v_jwRKvj j¨ve‡iUwi‡Z GB cixÿv n‡q _v‡K| GB cixÿvi LiPI †Zgb †ewk wKQz bq| mvaviY gvby‡li mxgv-mv‡a¨i g‡a¨B Av‡Q| i‡³i myMvi cixÿv Kiv †gvUvgywU wZbwU c×wZ cÖPwjZ Av‡QÑ Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 16 - 1. Lvwj †c‡U ev dvw÷s eøvW myMvi ms‡ÿ‡c hv‡K (F.B.S) e‡j| 2. LvIqvi `y- N›Uv c‡i ev †cÖv÷c¨vwÛqvj eøvW- myMvi ev (P.P.B.S.) 3. hLb ZLb ev i¨vbWvg eøvW- myMvi ev (R.B.S) Avcbvi Wvqv‡ewUm n‡q‡Q wKbv †mUv Rvbvi me‡P‡q wbf©i †hvM¨ cixÿv nj Lvwj †c‡U ev dvw÷s eøvW myMvi gvcv| †ivMxi Wvqv‡ewU‡mi ZxeªZv ev gvÎv evo‡Q bv Kg‡Q †mUv Rvbvi Rb¨ LvIqvi c‡i (P.P) cixÿvB me‡P‡q fv‡jv c×wZ| hviv e¨¯Í gvbyl, i³cixÿvi Rb¨ wVKg‡Zv mgq my‡hvM K‡i DV‡Z cv‡ib bv; Zviv w`‡bi †h †Kvb mgq i³ †`b ev i¨vbWvg eøvW myMvi cixÿv K‡ib| dvw÷s eøvW myMvi cixÿv Kivi Av‡M K‡qKwU welq g‡b ivL‡Z n‡e| †hgbÑ i³ †`Iqvi Av‡M 8 †_‡K 10 N›Uvi g‡a¨ †KvbI Lvevi LvIqv Pj‡e bv| H mgq a~gcvbI eÜ ivLv DwPZ| 8 N›Uvi g‡a¨ †KvbI e¨vqvg, nuvUvnvwU, †ewk cwikª‡gi KvR Ki‡eb bv| H mg‡qi g‡a¨ †ewk cwigv‡Y Rj bv LvIqvB fv‡jv| dvw÷s eøvWmyMvi cixÿvi me‡P‡q fv‡jv mgq mKvj‡ejvq Lvwj †c‡U i³ †`Iqv| G‡Z †ewk D‡cvm Kivi Kó _v‡K bv| mg‡qi wbqg Kvbyb eRvq _v‡K| hviv mKvj †ejvq gwb©sIqvK K‡ib Zviv i³ cixÿvi w`b Zv bv Ki‡jB fv‡jv| Ô†cªv÷c¨vwÛqvjÕ i³ cixÿvi †ÿ‡Î `ycy‡i LvIqvi `yÕN›Uv †_‡K `yÕN›Uv c‡b‡iv wgwb‡Ui g‡a¨ i³ w`‡Z n‡e| Avm‡j Avgv‡`i Lv‡`¨ _vKv Møy‡KvR ev kK©iv i‡³ cy‡ivcywi fv‡e wgk‡Z `y N›Uvi g‡Zv mgq jv‡M| LvIqvi `yÕN›Uv c‡i i‡³ Møy‡Kv‡Ri gvÎv me‡P‡q †ewk _v‡K| Zvici Zv ax‡i ax‡i Kg‡Z _v‡K| GLv‡b GKUv Amyweavi welq njÑ Avgiv fviZxqiv cÖwZw`b GKB †gbyi LvIqvi LvB bv| G‡KK w`b-G‡KK iKg ivbœvevbœv nq| †m Kvi‡Y cÖwZw`b Lvev‡i myMvi ev kK©ivi cwigvY GK _v‡K bv| GB Amywe‡a `~i Ki‡Z eZ©gv‡b cÖwZ †KwR IR‡bi Rb¨ †ivMx‡K GKMÖvg K‡i Møy‡KvR †L‡Z †`Iqv nq| A_©vr Kv‡iv †`‡ni IRb hw` 60 †KwR nq Z‡e Zv‡K 60 Mªvg Møy‡KvR `yÕMøvm ev 250 wgwjwjUvi R‡ji mv‡_ wgwk‡q cvb Ki‡Z †`Iqv nq| Zvi wVK `yÕ N›Uv c‡i i³ †bIqv nq| `yÕ N›Uv †_‡K 5-10 wgwbU †`ix n‡jI i³ †bIqv †h‡Z cv‡i| GLb A‡b‡KB evwo‡Z Møy‡KvwgUvi hš¿ w`‡q wb‡Ri i‡³i kK©iv
  • 17. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 17 - wb‡RB cixÿv K‡ib| G‡ÿ‡Î Av½y‡ji AvMvq m~P †dvUv‡bv nq| Av½y‡ji AvMv †_‡K †h i³ †ei nq †mUv nj Ôwkiv K¨vwcjvwi i³Õ| Lvwj‡c‡U i³ cixÿvi †ÿ‡Î agbxi i³ I wkiv- K¨vwcjvwii i‡³ kK©iv ev myMv‡ii gvb GKB _v‡K| wKš‘ fiv †c‡U K¨vwcjvwi ev RvwjKvi i‡³i myMv‡ii cwigvY wkivi i‡³i †_‡K †ewk _v‡K| mxivg MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvweb wn‡gv‡Møvweb nj Avgv‡`i kix‡i i‡³i g‡a¨ _vKv GKwU RwUj †hŠM c`v_©| Avgiv hLb bvK ev gyL w`‡q k¦vm wbB ZLb †m evZvm dzmdz‡m †cuŠQvq| dzmdz‡m evZv‡mi g‡a¨ _vKv Aw·‡Rb i‡³i wn‡gv‡Møvwe‡b wg‡k hvq| Avi i‡³i wn‡gv‡Møvwe‡b _vKv Kve©b-WvB A·vBW dzmdzm †_‡K bvK-gyL w`‡q †`‡ni evB‡i †ewi‡q Av‡m| A_©vr Avgv‡`i †`‡ni cÖwZwU †Kv‡l †Kv‡l Aw·‡Rb †cŠu‡Q †`Iqvi Kv‡R wn‡gv‡Møvweb Kz¨wiqvi mvwf©‡mi f~wgKv cvjb K‡i| GKB fv‡e †Kvl †_‡K †ewi‡q Avmv Kve©b-WvB A·vBW e‡q wb‡q †`‡ni evB‡i †ei K‡i †`q| Avgv‡`i kix‡i cÖvq cÖwZw`bB wn‡gv‡Møvweb ˆZix nq| GB wn‡gv‡Møvwe‡bi Avqy †gvUvgywU cÖvq 90 w`b; A_©vr AvR‡K ˆZix nIqv wn‡gv‡MøvwebwU AvMvgx wZb gvm ch©šÍ mwVKfv‡e KvR Ki‡Z cv‡i| wn‡gv‡Møvweb †hw`b ˆZix nq, †mw`b hw` i‡³ Møy‡Kv‡Ri gvÎv †ewk _v‡K Z‡e wn‡gv‡Møvwe‡bi mv‡_ ‡mB Møy‡KvR hy³ n‡q hvq| hv‡K e‡j ÔMøvB‡Kvwm‡j‡UW& wn‡gv‡MøvwebÕ(Glycosylated Hemoglobin)| i‡³ kK©iv ev Møy‡Kv‡Ri cwigvY hLb Lye †ewk _v‡K ZLb GB MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvwe‡bi cwigvY I ‡e‡o hvq| i³im ev wmiv‡gi g‡a¨ _vKv MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvwe‡bi cwigvY †_‡K weMZ 90 w`‡b ev wZb gv‡m †ivMxi i‡³ Møy‡Kv‡Ri gvÎv †Kgb wQj †m wel‡q wKQzUv †LuvRLei cvIqv hvq| ¯^vfvweK Ae¯’vq MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvwe‡bi gvÎv 4 †_‡K 6% g‡a¨ _v‡K| wKš‘ i‡³ Møy‡Kv‡Ri gvÎv †ewk _vK‡j GB wn‡gv‡Møvweb cÖwZw`b 0.1% K‡i evo‡Z _v‡K| wmivg MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvweb cixÿvi djvdj †_‡K †ivMxi Wvqv‡ewUm wbqš¿‡Yi e¨vcvi m¨vcv‡ii mwVK wb‡`©k cvIqv hvq| ‡hgb MøvB‡Kvwm‡j‡UW& cixÿvi djvdjÑ ¯^vfvweK (Normal ) 4 †_‡K 6% †gvUvgywU wVK (Okay ) 6 †_‡K 7% fv‡jvfv‡e wbqwš¿Z bq (Not good control) 7 †_‡K 8% Awbqwš¿Z (Bad control) 8 †_‡K 10% LyeB Awbqwš¿Z (Very Bad control) 10 %‡_‡K †ewk | MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvweb‡K Wv³vix fvlvq ms‡ÿ‡c (Hba1c) e‡j| MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvwe‡bi gvÎv 1% evo‡j i‡³ Møy‡Kv‡Ri gvÎv cÖvq 38 wgwjMÖvg/†WwmwjUvi †e‡o †M‡Q e‡j aiv nq| nVvr K‡i i‡³ Møy‡Kv‡Ri gvÎv †e‡o ev K‡g †M‡j `yÕ †_‡K wZb mßv‡ni g‡a¨ MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvweb ev‡o ev K‡g| †ivMxi hw` i³víZv ev A¨vwbwgqv _v‡K ev gwnjv‡`i †ÿ‡Î Mf©ve¯’vq GB MøvB‡Kvwm‡j‡UW& wn‡gv‡Møvweb
  • 18. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 18 - cixÿvi djvdj mwVK nq bv| A_©vr †m mgq GB cixÿv †_‡K wZb gvm Av‡M i‡³ Møy‡Kv‡Ri gvÎv †evSv KwVb n‡q c‡o| eZ©gv‡b kn‡ii eo eo j¨ve‡iUwi‡Z i³im cøvRgvi g‡a¨ _vKv †cªvwU‡bi mv‡_ wK cwigvY Møy‡KvR wg‡k Av‡Q Zv cixÿv Kiv nq| †cÖvwU‡bi mv‡_ wg‡k _vKv ÔMøy‡KvR d«z‡±vmvgvBbÕ †g‡c weMZ `yÕ- wZb mßv‡ni Møy‡Kv‡Ri gvÎv †evSv hvq| Wvqv‡ewU‡mi AviI me cixÿv-wbixÿv Av‡MB e‡jwQ Wvqv‡ewUm †ivM GKevi hv‡K cvKovI K‡i Zvi kvixwiK RwUjZvi †kl _v‡K bv| ZvB Wvqv‡ewU‡mi RwUjZv kbv³ Kivi Rb¨ I ‡iv‡Mi ZxeªZv †evSvi Rb¨ eøvWmyMvi †U÷ Kiv Qvov AviI wKQz cixÿv Kivi cÖ‡qvRb nq| †hgbÑ wKWwbi ‡ivM ev ÔWvqv‡ewUm †b‡d«vc¨vw_Õ eyS‡Z †ivMxi cÖmªv‡e Avwm‡Uvb, A¨vjeywgb, gvB‡µvA¨vjeywgb cixÿv Kiv `iKvi| ‡ivMxi nv‡U©i Amyweav _vK‡j GBP.wW.Gj †Kv‡j‡÷ij, Gj.wW.Gj †Kv‡j‡÷ij, wf.Gj.wW.Gj †Kv‡j‡÷ij, UªvBwMømvivBW, wd«. d¨vwU A¨vwmW Gme cixÿv Kiv `iKvi| GLb wjwcW †cÖvdvBj cixÿv †_‡K GKev‡iB Gme wKQz Rvbv hvq| i‡³i BDwiqv I wµ‡qwUwbb cixÿv †_‡K wKWwbi Ae¯’v Rvbv m¤¢e| A‡bK mgq c¨vswµqvm ev AMœ¨vk‡qi ÎæwU †_‡K †`‡ni Bbmywj‡bi Drcv`b e¨vnZ nq| hv‡K c¨vswµqvUvBwUm e‡j| †ivMxi c¨vswµqvUvBwUm n‡q‡Q wKbv Zv Rvbvi Rb¨ i‡³i wmivg A¨vgvB‡jR I cÖmªv‡ei Wvqv‡÷R cixÿv Kiv `iKvi nq| Wvqv‡ewUm †ivMx‡`i mn‡RB wewfbœ ai‡bi msµgY †`Lv †`q| ey‡Ki G·-†i ev †Pó wc/G G·-†i †_‡K †ivMxi h²v, eª¼vBwUm, ey‡K Rj Rgv, cøy‡ivwm Gme n‡q‡Q wKbv Rvbv hvq| wKWwb, MjeøvWvi, c¨vswµqv‡mi Ae¯’v Rvb‡Z A‡bK mgq Wv³vieveyiv †ivMx‡`i †nvj A¨ve‡Wv‡gb Avëªv†mv‡bvMÖvwd Kivi civgk© †`b| we‡klZ †hme †cvqvwZ gv‡qi Wvqv‡ewUm i‡q‡Q Zuv‡`i å~‡Yi evoe„w× Rvbvi Rb¨ Avëªv†mv‡bvMÖvwdi cÖ‡qvRb nq| GQvovI †ivMxi Ae¯’v Abymv‡i wmwU ¯‹¨vb, B.Avi.wm.wc., Gg. Avi. AvB. ¯‹¨vb Gme Kivi cÖ‡qvRb †`Lv w`‡Z cv‡i| Wvqv‡ewUm †ivMx‡`i i³ cixÿvi †ÿ‡Î cÖvqB GK Awf‡hvM †kvbv hvq| GKB †ivMx GKB w`‡b `yÕwU j¨ve‡iUwi‡Z i³ cixÿv K‡i `yÕ-iKg djvdj cvb| G‡Z †ivMxiv weåvšÍ n‡q c‡ob| A‡bK‡ÿ‡Î m‡›`n cÖKvk K‡ib; c¨v_jwRK¨vj j¨ve‡iUwii cixÿv c×wZi Ici| c¨v_jwRK¨vj j¨ve‡iUwii †UKwbwmqvb fvB‡qiv G wel‡q †bc‡_¨ hZUv Mvjg›` Lvb †ZgbwU Avi Ab¨ †Kvb wel‡q nq bv| eøvWmyMv‡ii gvÎv m¤^‡Ü †ivMx I Zvi cwiev‡ii ¯^”Q aviYv bv _vKvUvB Gi Ab¨Zg KviY| Avm‡j i‡³ kK©ivi gvÎv w`‡bi memgq mgvb _v‡K bv| Av‡MB e‡jwQ g~j Lvevi A_©vr jv I wWbv‡ii `yÕN›Uv †_‡K `yÕN›Uv c‡b‡iv wgwbU ch©šÍ i‡³ kK©ivi gvÎv me‡P‡q †ewk _v‡K| Zvici ax‡i ax‡i Zv Kg‡Z ïiæ K‡i| GQvovI e¨vqvg ev cwikªg Ki‡j myMv‡ii gvÎv K‡g hvq| AwZwi³ Nvg ev cÖmªv‡ei d‡j eøvWmyMvi †j‡ej K‡g †h‡Z cv‡i| i‡³ kK©ivi cixÿvi †ÿ‡Î me j¨ve‡iUwi GKB c×wZ I hš¿cvwZ e¨envi K‡i bv| Zvi †_‡KI cixÿvi djvdi mvgvb¨ Gw`K-Iw`K n‡Z cv‡i|
  • 19. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 19 - i‡³i kK©ivi cixÿvi †ÿ‡Î †h wbw`©ó wbqg wb‡q Av‡M Av‡jvPbv K‡iwQ| †m wbqg Kvbyb A‡bK †ivMx Rv‡bb bv ev †evSvi †Póv †bB| A‡bK‡ÿ‡Î e¨¯ÍZvi Kvi‡Y Wv³vieveyiv †ivMx I cwievi‡K mewel‡q mwVKfv‡e eywS‡q e‡jb bv| †m Kvi‡YB GB wecwË I weåvwšÍ| †h cixÿvB K‡ib bv †Kb; memgq fv‡jv bvgx I mymw¾Z j¨ve‡iUvwi‡Z wM‡qB cixÿv Ki‡eb| Zv‡Z `y‡Uv cqmv †ewk jvM‡jI ÿwZ †bB| KviY cixÿvi djvd‡j hw` fzj ÎæwU _v‡K, Z‡e Avcbvi †iv‡Mi wPwKrmvUvB D‡ëvcvëv n‡q †h‡Z cv‡i| ZvB Gwel‡q cÖ_g †_‡KB mveavb n‡eb| Wvqv‡ewU‡mi cixÿv wbixÿvi LiPcÎ Wvqv‡ewUm †ivMx‡`i ‡ivM wbY©‡q I †`‡ni wewfbœ myweav-Amyweav eyS‡Z †ek wKQz cixÿv- wbixÿv Kivi cÖ‡qvRb nq| GBme cixÿv c¨v_jwRK¨vj j¨ve‡iUwi ev Wvqv‡MvwbwóK †m›Uv‡i n‡q _v‡K| GB cixÿvi †iU ev LiP wewfbœ j¨ve Abymv‡i Kg-‡ewk n‡q _v‡K| Z‡e 2015 mv‡ji evRvi`i Abymv‡i †gvUvgywU GKwU ZvwjKv bx‡P †`Iqv njÑhv‡Z †ivMx ev Zvi cwievi wKQzUv aviYv †c‡Z cv‡ib| Wv³vieveyiv †h fvlvq GB wb‡`©k¸wj †j‡Lb ev c¨v‡_vjwRK¨vj j¨ve‡iUwii fvB‡qiv †h fvlvq †ev‡Sb, †mfv‡eB cixÿvi bvg I LiP¸wj †`Iqv n‡jvÑ S.L Test Name Rate 1. Blood Sugar (F) 40/- 2. Blood Sugar (PP) 40/- 3. Blood Sugar (R) 40/- 4. Blood Billrubin 70/- 5. Blood Hb% 40/- 6. Blood Total Protein 80/- 7. Blood SGOT 80/- 8. Blood SGPT 80/- 9. Blood Alkaline Phosphatase 80/- 10. Blood L.F.T. 400/- 11. Blood Urea 70/- 12. Blood Creatinine 70/- 13. Blood Cholesterol 80/- 14. Blood Triglyceride 180/- 15. Blood HDL Cholesterol 100/- 16. Blood LDL Cholesterol 150/- 17. Blood VLDL Cholesterol 150/- 18. Lipid Profile 400/- 19. Uric Acid 70/- 20. Amylase 250/- 21. Calcium 150/-
  • 20. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 20 - 22. Lypase 500/- 23. Na+ 150/- 24. K+ 150/- 25. Na+ & K+ 250/- 26. CPK 300/- 27. CPK(MB) 300/- 28. ADA-MTB 500/- 29. A.N.F. 400/- 30. Urine Routine Exam. 50/- 31. Urine B/S & B/P 30/- 32. Urine Sugar 20/- 33. Urine Culture 120/- 34. Urine Micro 350/- 35. Urine R/E & C/S 160/- 36. 24 hrs. Urinary Protein 200/- 37. Urine Ketone 50/- 38. Stool R/E 50/- 39. Stool OBT 30/- 40. Stool R/E, Ph & RS 70/- 41. Stool Culture 150/- 42. Sputum for Gram Stain 50/- 43. Mantoux test 70/- 44. Urine for H.C.G. 80- 45. T3, T4, TSH 500/- 46. C-Peptide 900/- 47. HPTH 700/- 48. Glycosylated Hb(HbA1C) 500/- 49. Semen analysis 100/- 50. TC, DC, ESR, Hb% 100/- 51. Blood R/E 120/- 52. Complete Haemogram 250/- 53. Plt Count 60/- 54. Reticulocyte Count 40/- 55. M.P. 50/- 56. BT, CT 40/- 57. P.Time 200/- 58. Direct Coomb’s Test 200/- 59. Indirect Coomb’s Test 200/-
  • 21. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 21 - 60. Eossinophil Count 50/- 61. Abnormal Cell 100/- 62. Blood Group 50/- 63. P.F. & P.V. Antigen 300/- 64. Sputum A.F.B. 70/- 65. Sputam Culture 200/- 66. HbsAg 200/- 67. HIV 400/- 68. HCV 500/- 69. Entero cheek 500/- 70. Typhi IgG & IgM 500/- 71. VDRL 70/- 72. R.A. Factor 150/- 73. A.S.O. Titre 250/- 74. C.R.P. 250/- 75. Widal Test 120/- 76. TSH 250/- 77. FT3 350/- 78. FT4 350/- 79. FT3, FT4, TSH 950/- 80. Toxoplasma(Igh & Igm) 700/- 81. TB( Igh & Igm) 700/- 82. FSH 350/- 83. Troponil-I 550/- 84. Troponil-T 1250/- 85. Lithium 250/- 86. G6PD 250/- 87. Prolactin 350/- 88. Insulin 550/- 89. IgE 500/- 90. LH 350/- 92. ECG Normal 100/- 93. ECG- 3 Channel 200/- 94. Pulmonary Function Test 350/- 95. Cardiac Stress Test ‘TMT’ 600/- 96. Holter Monitoring 1000/- 97. Echo cardiography 2D & M.Mode 600/- 98. Colour Doppler Echocardiography 1000/-
  • 22. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 22 - 99. CT Scan- Head & Brain 1500/- 100. Coronary Angiography 10,000/- Wvqv‡ewUm‡K cy‡ivcywi `~i Kivi †Kvb wPwKrmv c×wZ GL‡bv Avwe®‹…Z nqwb| Z‡e wPwKrm‡Ki wb‡`©k g‡Zv Pj‡j e¨vwa‡K wbqš¿‡Y ivLv m¤¢e| G‡ÿ‡Î K‡qKwU wel‡qi Ici bRi w`‡Z n‡e| †hgb- 1). kw³ÿq I Lv‡`¨i kw³g~‡j¨i g‡a¨ mgZv iÿv:- †`n‡K my¯’, mej I Kg©V ivLvi cÖ‡qvRbxq kw³ Avgiv Lv`¨ †_‡K cvB| †`‡ni IRb, eqm I Kx Kx ai‡bi KvR KZÿY a‡i Ki‡Z nq Zvi Dci wbf©i K‡i ˆ`wbK cÖ‡qvRbxq kw³i cwigvY ev K¨v‡jvwi| cÖ‡qvR‡bi AwZwi³ cwigvY K¨v‡jvwi MÖnY Ki‡j Zv cieZ©x mg‡q gay‡gn †iv‡Mi KviY n‡Z cv‡i| †gvUvgywU fv‡e ejv hvqÑ hviv †ckvMZ fv‡e kvixwiK cwikªg K‡ib †hgbÑ K…lK, gRyi, gy‡U, wi·vPvjK; Zv‡`i cÖwZ †KwR †`‡ni IR‡bi Rb¨ ˆ`wbK 20-22 K¨v‡jvwi Lv`¨ cÖ‡qvRb| A_©vr †Kvb wi·vIqvjvi wbR¯^ IRb hw` 55 †KwR nq Z‡e Zvi cÖ‡qvRbxq kw³i cwigvY n‡e ˆ`wbK (55 x 22)= 1210 K¨v‡jvwi| †Kivwb ev H ai‡bi KvR hv‡`i Ki‡Z nq Zv‡`i †ÿ‡Î GwU n‡e cÖwZ †KwR †`n IR‡bi Rb¨ ˆ`wbK 10 †_‡K 13 K¨v‡jvwi| eyw×Rxwe ev hv‡`i †Zgb kvixwiK cwikªg ‡Zgb Ki‡Z nq bv, Zv‡`i cÖwZ †KwR †`n IR‡bi Rb¨ 6 ‡_‡K 7 K¨v‡jvwi| GQvovI †hŠe‡b-ˆK‡kv‡ii evošÍ eq‡m, gwnjv‡`i Mf©aviY I mšÍvb cvj‡bi mgq AwZwi³ K¨v‡jvwii cÖ‡qvRb nq| 2). c‡_¨i Drcv`‡bi mwVK AbycvZ:- Avgv‡`i Lv‡`¨i g~j Dcv`vb njÑ Kv‡ev©nvB‡WªU, †cÖvwUb I d¨vU| Pvj, AvUv, mywR, gywo, gq`v, wPov, mvey, Avjy, ¸o, wPwb ÑGme nj Kv‡ev©nvB‡WªU RvZxq Lv`¨| ‡ewkifvM wPwKrm‡Ki g‡Z Wvqv‡ewUm †ivMxi †ÿ‡Î †gvU K¨v‡jvwii 35 †_‡K 40 kZvsk c~iY Ki‡Z n‡e Kv‡ev©nvB‡WªU w`‡q| evwK 65 †_‡K 60 kZvsk kw³ wb‡Z n‡e †cÖvwUb I d¨vU †_‡K| wKš‘ †ivMxi hw` Wvqv‡ewU‡mi mv‡_ nv‡U©i AmyL _v‡K, Z‡e †ewk cwigvY †cÖvwUb I d¨vU †_‡K Ab¨iKg wecwË †`Lv w`‡Z cv‡i| †m‡ÿ‡Î Kv‡ev©nvB‡WªU †_‡K msM„nxZ kw³i AbycvZ n‡e 60 †_‡K 65 kZvsk| evwK 30 †_‡K 35 kZvsk K¨v‡jvwii g‡a¨ †cÖvwUb n‡e †ewk Avi d¨vU n‡e Lye mvgvb¨| gvQ, gvsm, wWg, Qvbv †cÖvwUb RvZxq Lv`¨| †`nMVb I Lv‡`¨i iæwP evov‡bvi Rb¨ cÖvYxR †cÖvwUb cÖ‡qvRb| Z‡e hv‡`i ü`‡ivM I Wvqv‡ewUm Av‡Q Zv‡`i cÖvYxR †cÖvwUb †ewk bv LvIqvB fv‡jv| mqvweb, Pxbvev`vg, KvRyev`vg, wewfbœ iK‡gi Wvj Gme LvIqv †h‡Z cv‡i| Zv‡Z Møy‡Kv‡Ri mv‡_ †Kv‡j‡÷ijI ¯^vfvweK _vK‡e| gvsm †L‡Z †M‡j memgq ‡`wk gyiwM ev †QvU cvwLi gvsm Lv‡eb| cuvVv, Lvwm, Miæ, k~K‡ii gvsm Lv‡eb bv| evM&`v ev Mj&`v wPswo, †g‡U Gme †L‡j i‡³ †Kv‡j‡÷ij †e‡o hvq| Pwe©, †Zj, wN cÖf…wZ Lv`¨B d¨v‡Ui Ab¨Zg fvÛvi| Wvqv‡ewUm I nv‡U©i †ivM GKm‡½ _vK‡j d¨vU hZUv m¤¢e Kg LvIqv DwPZ| we‡klZ hviv GKUz †gvUv‡mvUv| †h me †Z‡j Amsc„³ d¨vwU A¨vwmW (Unsaturated fatty acid) ‡ewk Av‡Q, †hgbÑ m~h©gyLx †Zj, mqvweb †Zj, fzÆvi †Z‡j †ivMxi Lvevi ivbœv Ki‡Z n‡e| eZ©gv‡b evRv‡i eû ai‡bi bb&w÷K
  • 23. d«vBc¨vb cvIqv hvq; hv‡Z Kg †Z‡j ivbœv-evbœv nq| Wvqv‡ewUm †ivMx‡`i ivbœvi Kv‡R Gme evmb e¨envi Kiv †h‡Z cv‡i| 3). wewfbœ Avnv‡i K¨v‡jvix e›Ub:- mvaviYfv‡e ga¨weË I D”Pga¨weË ev½vjxiv w`‡b Pvievi Lvevi Lvq| Gig‡a¨ `ycyi I iv‡Z `yÕevi †ewk K‡i LvIqv Ges mKvj I weKv‡j wUwdb| GQvov gv‡Sg‡a¨ Pv-we¯‹zU ev ‡jŠwKKZvi LvwZ‡i Ab¨wKQz †L‡Z nq| ˆ`wbK hZ K¨v‡jvwi Lv`¨ Avcbvi cÖ‡qvRb Zvi 21 kZvsk Lv‡eb mKv‡ji †eªKdv‡÷ ev cÖvZtiv‡k, ga¨vý †fvR‡b 36 kZvsk, weKv‡ji wUwd‡b 14 kZvsk, iv‡Zi Lvev‡i 25 kZvsk I Aewkó 4 kZvsk Ab¨fv‡e Lv‡eb| G wnmve Avcbvi e¨w³MZ iæwP, Kv‡Ri mgq I cvwievwiK Ae¯’v Abymv‡i wKQzUv A`j e`j Ki‡Z cv‡ib| Z‡e Wvqv‡ewUm I ü`&‡ivMx‡`i iv‡Zi †ejvq ‡ewk fvix wKQz LvIqv wVK bq| 4). wbqwgZ e¨vqvg:- nvU©& wWwRR& I Wvqv‡ewUm wbqš¿‡Y e¨vqv‡gi GK weivU f~wgKv i‡q‡Q| wbqwgZ e¨vqvg Kv‡ev©nvB‡WªU wecv‡K mvnvh¨ K‡i| we‡klZ hviv GKUz †gvUv‡mvUv-†MvjMvj Zv‡`i Aek¨B e¨vqvg Ki‡Z n‡e| eqm, †iv‡Mi ZxeªZv, †ivMxi IRb, i³Pvc Abymv‡i e¨vqvg wewfbœ iK‡gi n‡Z cv‡i| †hgbÑ nuvUv, RwMs, mvB‡Kj Pvjv‡bv, muvZvi, wd« n¨vÛ G·vimvBR ev Av‡iv eû wKQz| cÖwZw`b AšÍZ 25 †_‡K 30 wgwbU e¨vqv‡gi Rb¨ eivÏ Ki‡ZB n‡e| 5). i‡³ kK©iv wbqš¿‡Y ivLv:- mwVK Lv`¨ MÖnY, e¨vqvg Gm‡ei c‡iI hw` †`Lv hvq i‡³ kK©ivi gvÎv †ewk| Z‡e ‡m‡ÿ‡Î Ilya ‡L‡Z n‡e ev cÖ‡qvR‡b Bbmywjb Bb‡RKkb wb‡Z n‡e| Bbmywjb Bbmywjb GKUv ni‡gvb hv Avgv‡`i †`‡ni g‡a¨ _vKv kK©iv‡K kw³‡Z cwiYZ Ki‡Z mvnvh¨ K‡i| Avgv‡`i cvK¯’jxi Kv‡Q _vKv AMœ¨vkq ev c¨vbwµqv‡mi g‡a¨ i‡q‡Q we‡kl ai‡bi wKQz †Kvl; hv‡K e‡j exUv‡mj (Beta Cell)| GB exUv‡mj †_‡K ˆZwi nIqv Bbmywjb mivmwi i‡³ †g‡k| Zvici Zv kix‡ii wewfbœ †Kv‡l †cŠu‡Q hvq| hLb kK©iv AYy †Kv‡li AveiYx w`‡q †Kv‡li †fZ‡i XzK‡Z Pvq †mmgq Bbmywjb GB kK©iv‡K cÖ‡e‡ki ‡ÿ‡Î mvnvh¨ K‡i| Bbmywj‡bi KvR A‡bKUv Pvwe w`‡q Zvjv †Lvjvi g‡Zv| Bbmywj‡bi Pvwe _vK‡jB †Kv‡li †fZ‡i kK©iv fv‡jvfv‡e cÖ‡ek Ki‡Z cv‡i| Bbmywjb kK©iv ev myMvi‡K fvO‡Z I e¨envi Ki‡Z †`‡ni †Kvl¸wj‡K mvnvh¨ K‡i| Rvg©vb weÁvbx cj j¨v½vin¨vÝ& GB AMœ¨vk‡qi †fZ‡i _vKv we‡kl †Kvl¸wj‡K 1869 mv‡j cÖ_g kbv³ K‡ib| ZvB Zvi bvg Abymv‡i GB †Kvl¸wj‡K e‡jÑ ÔAvB‡jUm Ae j¨v½vin¨vÝ&Õ ev Ôj¨v½vin¨vÝ ewY©Z Øxc†Kvl¸wjÕ| GB AvB‡jUm Ae j¨v½vin¨v‡Ý& †gvUvgywU fv‡e cuvP iK‡gi †Kvl _v‡K| GB †KvlMywji KvR Kvievi Avevi Avjv`v-Avjv`v| †hgb weUv‡mj¸wj Bbmywjb ˆZwi K‡i| Avjdv†Kvl¸wj MøyKvMb (Glucagon) I †Wëv‡mj¸wji †mvgv‡UvóvwUb (Somatostatin) ‰Zwi Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 23 -
  • 24. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 24 - K‡i| GQvovI we.wc. †mj (B.P.Cell) I wW. AvB (D.I. Cell) wKQz Ab¨ ai‡bi ivmvqwbK c`v_© ‰Zwi K‡i _v‡K| Wvqv‡ewUm †iv‡Mi †ÿ‡Î weUv‡Kvl¸wji Bbmywjb Drcv`b I Avjdv †Kvl¸wji MøyKvM‡bi Drcv`‡b cÖZ¨ÿ fv‡e cÖfve †d‡j| weUv‡Kvl †_‡K Bbmywj‡bi Drcv`b Kg n‡j †ivMx mivmwifv‡e Wvqv‡ewU‡m AvµvšÍ nb| †m‡ÿ‡Î U¨ve‡jU ev Bb‡RKk‡bi g‡a¨ w`‡q †ivMxi kix‡i Bbmywj‡bi gvÎv wVK ivLvi cÖ‡qvRb nq| K…wÎg Bbmywj‡bi cÖ_g ‰Zwi nq ‡Mviæ I ï‡qv‡ii AMœ¨vkq †_‡K| ‡Mviæi AMœ¨vkq †_‡K Bbmywjb msMÖn K‡i Zv‡K we‡kl c×wZ‡Z cwimªyZ K‡i ˆZwi Kiv nZ Ô†evfvBb BbmywjbÕ| GKBfv‡e ï‡qvi †_‡K msMÖn Kiv Bbmywjb‡K ejv nZ ÔcimvBbÕ| 1921 mv‡jB G ai‡bi Bbmywjb Avwe®‹…Z nq| Wvqv‡ewUm †ivMx‡`i †ÿ‡Î cÖvq Qq `kK a‡i GB `yB BbmywjbB wQj GKgvÎ fimv| Z‡e A‡bK †ÿ‡Î GBme Bbmywjb †_‡K wewfbœ iKg A¨vjv‡R©wUK Amyweav †ivMxi kix‡i †`Lv w`Z| Avwki `k‡K wRb cÖhyw³‡K Kv‡R jvwM‡q gvby‡li kix‡ii _vKv Bbmywj‡bi gZbB wnDg¨vb (Human) Bbmywjb ˆZwi Kiv m¤¢e nq| GB Bbmywj‡bi Kvh©KvwiZv Av‡Mi Bbmywjb †_‡K A‡bK †ewk| cvk¦©cÖwZwµqv ev (Side Effect) A‡bK Kg| eZ©gv‡b wewfbœ ai‡bi Bbmywjb evRv‡i G‡m‡Q, G¸wji Kvh©KvwiZvI wewfbœiKg| Wv³vieveyiv †ivMx‡K cixÿv K‡i wVK K‡ibÑ †Kvb †ivMxi Rb¨ wK ai‡bi Bbmywjb cÖ‡qvRb? eZ©gv‡b evRv‡i wZb ai‡bi Bbmywjb Lye cÖPwjZÑ (1) mj‡f›U I ¯^í‡gqv`x BbmywjbÑ GB Bbmywjb Lye `ªæZ KvR K‡i| Z‡e Gi KvR Kvievi 6 †_‡K 8 N›Uvi †ewk ¯’vqx nq bv| mvaviYfv‡e hLb †ivMxi msKURbK ev wmwiqvm Ae¯’v, i‡³i kK©ivi gvÎv Lye †ewk ZLb G ai‡bi Bbmywjb e¨envi Kiv nq| (2) B›UviwgwWI ev ga¨eZ©x BbmywjbÑ G‡K Avevi (NPH- Lente) Bbmywjb e‡j| GBme Bbmywj‡bi KvR Kvievi 14 †_‡K 28 N›Uv ch©šÍ P‡j| (3) `xN©‡gqv`x BbmywjbÑ GB Bbmywjb¸wji cÖfve 24 †_‡K 48 N›Uv ch©šÍ ¯’vqx nq| G‡`i bvg wgKmUvW© (Mixtard), BbmvjUvW© (Insultard), AvjUªvUvW© (Ultratard)| GBme bv‡gI WvKv n‡q _v‡K| Avi GKwU welq GKUz †Lvjmv Kiv DwPZ| A‡b‡Ki g‡b GKUv åvšÍ aviYv Av‡Q †h, Wvqv‡ewUm wbqš¿‡Y GKevi Bbmywjb Bb‡RKkb wb‡j Avi iÿv ‡bB| fwel¨‡Z wbqwgZ Bb‡RKkb wb‡Z n‡e| †Kvb LvIqvi Ily‡a Avi KvR n‡e bv| GB åvšÍ aviYvi ekeZ©x n‡q A‡b‡K cÖ‡qvR‡bi mgq Bb‡RKkb bv wb‡q; U¨ve‡jU †L‡q wecwË †W‡K Av‡bb| Bbmywj‡bi cÖ‡qvRb n‡j Zv Aek¨B wb‡Z n‡e| GiRb¨ mviv Rxeb Bb‡RKk‡bi Dci wbf©ikxj _vK‡Z n‡e; GUv wVK bq| Avgv‡`i GB gvbe kix‡i cÖvq 10 nvRvi wewjqb (1 wewjqb= 100†KvwU) †Kvl _v‡K| GB †Kvl¸wji †eu‡P _vKvi Rb¨ kw³i `iKvi| cÖv_wgKfv‡e GB kw³ Zviv †c‡Z Pvq Møy‡KvR ev kK©iv †_‡K| Avgv‡`i Lvev‡ii g‡a¨ _vKv Kv‡e©vnvB‡WªU cywóZ‡š¿i g‡a¨ cwicvK n‡q mij nq| Kv‡e©vnvB‡Wª‡Ui mij AbyB nj Møy‡KvR| Bbmywjb Avgv‡`i †`‡ni wewfbœ †Kv‡li g‡a¨ Møy‡KvR‡K XzK‡Z mvnvh¨ K‡i| GB Møy‡KvR AYy¸wj †Kv‡li g‡a¨ `nb cÖwµqvq K¨v‡jvwi
  • 25. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 25 - ev kw³ Drcbœ K‡i| Av‡MB e‡jwQ Bbmywj‡bi KvR nj `iRvq `uvwo‡q _vKv `v‡ivqv‡bi nv‡Zi Pvwei g‡Zv| Zvjv †`Iqv N‡i XzK‡Z †hgb Pvwei cÖ‡qvRb nq; †ZgbB i‡³ ch©vß Bbmywjb bv _vK‡j †Kv‡l Møy‡KvR cÖ‡ek Ki‡Z cv‡i bv| i‡³i Møy‡KvR i‡³B †_‡K hvq| Gid‡j i‡³ kK©ivi gvÎv evo‡Z _v‡K| Avgv‡`i †`‡ni g‡a¨ wewfbœ ¯^qswµq ev A‡Uv‡gwUK e¨e¯’v i‡q‡Q| ¯^vfvweK fv‡e i‡³ Møy‡Kv‡Ri gvÎv †ewk _vK‡j AMœ¨vkq †m Lei †cŠuQvq| Gici AMœ¨vkq †_‡K †ewk cwigvY Bbmywjb †ewi‡q Av‡m| Avi i‡³ kK©ivi gvÎv Kg _vK‡j ¯^qswµq fv‡e Bbmywj‡bi wbtmiY K‡g hvq| A‡bK‡ÿ‡Î Wvqv‡ewUm †ivMx‡`i GB ¯^qswµq e¨e¯’v wVKg‡Zv KvR K‡i bv| i‡³i kK©ivi †LvuRLei mgq g‡Zv AMœ¨vk‡q †cŠuQvq bv| d‡j Zv‡`i i‡³ kK©ivi gvÎv †ewk _v‡K| †mKvi‡Y Zv‡`i Bbmywjb wb‡Z nq| Bbmywjb ivLvi wbqg Kvbyb Av‡MB e‡jwQ Bbmywjb n‡”Q GKwU ni‡gvb| ivmvqwbKfv‡e GwU RwUj ‰Re †cÖvwUb| GB ‰Re †cÖvwU‡bi Aby¸wj GKUz †ewk ZvcgvÎv‡ZB e`‡j hvq| †m Kvi‡Y Bbmywjb ivLvi †ÿ‡Î K‡qKwU wel‡q we‡kl mZK© _vK‡Z n‡eÑ (1) †ewk Mig RvqMvq Bbmywjb ivLv Pj‡e bv| (2) †hLv‡b mivmwi m~h©v‡jvK c‡o †mLv‡b Bbmywj‡bi wkwk ivLv hv‡e bv| (3) Lye VvÛv RvqMvq ev wWc wd«‡R Bbmywjb wkwk ivLv wVK bq| ‡iwd«Rv‡iUi ev wd«‡R †hLv‡b kvKmewR ivLv nq; †mLv‡b Bbmywjb ivLv †h‡Z cv‡i| Z‡e jÿ¨ ivL‡Z n‡e †ewkÿY †jvW‡kwWs Pj‡j Bbmywjb ivLvi †ÿ‡Î Ab¨ e¨e¯’v wb‡Z n‡e| (4) GKgv‡mi †ewk mgq evwo‡Z Bbmywjb ivLv wVK bq| (5) †Uª‡b ev †cø‡b hvZvqvZ Ki‡j my¨U‡Km ev weªd‡K‡m Bbmywjb ivL‡eb bv| nvZ e¨v‡M ivLyb| ‡Lqvj ivL‡eb nvZ e¨vMwU‡Z †ewk ‡iv` ev Mig bv jv‡M | Bbmywjb KLb †b‡eb Av‡MB e‡jwQ, ¯^vfvweK Ae¯’vq Avgiv hLb †ewk cwigvY LvIqv- `vIqv Kwi ZLbB Bbmywj‡bi wbtmiY ïiæ nq| A_©vr `ycy‡ii jv I iv‡Z wWbv‡ii ci AMœ¨vkq †_‡K Bbmywjb wbtmi‡Yi gvÎv †e‡o hvq| wKš‘ hviv Wvqv‡ewUm †ivMx Zv‡`i †ÿ‡Î ¯^vfvweK KvRwU wVKg‡Zv nq bv| †gvUvgywU fv‡e Lvevi LvIqvi AvaN›Uv Av‡MB Bbmywjb wb‡j me‡P‡q fv‡jv| Z‡e Bbmywjb Bb‡RKkb †bIqvi ci †ivMx hw` AvaN›Uvi g‡a¨ Lvevi bv LvqÑ †m‡ÿ‡Î dj gvivZ¥K n‡Z cv‡i| i‡³ Møy‡Kv‡Ri gvÎv A¯^vfvweK K‡g wM‡q ÔnvB‡cvMøvB‡mwgqvÕ-i jÿY †`Lv w`‡Z cv‡i| †ivMxi AÁvb n‡q hvIqv, AwZwi³ Nvg, A‡bK †ÿ‡ÎB †ivMxi g„Zz¨ ch©šÍ n‡Z cv‡i| †`‡ni †Kv_vq Bbmywjb Bb‡RKkb †b‡eb kix‡ii ‡hme As‡k Pwe©¯Íi †ewk †gvUv _v‡K; †mBme GjvKvq Bbmywjb Bb‡RKkb †bIqv me‡P‡q fv‡jv| ‡c‡U,cv‡qi Diæi mvg‡b, cv‡k, _vB‡qi gvSLv‡b, cvQvq, bvwf‡Z,
  • 26. nv‡Zi Dc‡ii w`‡K GBme RvqMvq Bbmywjb †bIqv †h‡Z cv‡i| Z‡e Bbmywjb Bb‡RKkb †bIqvi RvqMv wbqwgZ cvëv‡bv `iKvi| GKB RvqMvq cÖwZw`b Bb‡RKkb bv †bIqvB fv‡jv| cÖwZw`b Nywi‡q Nywi‡q †`‡ni wewfbœ As‡k Bbmywjb Bb‡RKkb wb‡Z n‡e| Bbmywjb Bb‡RKkb wb‡Z nq Avgv‡`i †`‡ni Z¡‡Ki bx‡P| hv‡K Wv³vix fvlvq Avgiv ewj mvewKDwUwbqvm (Subcutinious)| GQvovI mivmwi wkiv‡ZI †`Iqv hvq| Z‡e ‡ivMxi m¼URbK Ae¯’v‡Z AwfÁ Wv³vieveyi Z¡Ëveav‡b wkiv I †c‡Ui g‡a¨ B›Uvi- †cwi‡Uvwbqvj (Inter–Peritoneal) Bb‡RKkb ‡`Iqv nq| Bbmywjb Bb‡RKkb wb‡Z †M‡j mwVK wmwiÄ I m~P e¨envi Ki‡Z n‡e| †h‡nZz Bbmywjb Bb‡RKkb †bIqv cÖwZw`‡bi e¨vcvi ZvB memgq bZzb wmwiÄ e¨envi Kiv A‡b‡Ki †ÿ‡Î Avw_©Kfv‡e m¤¢e bvI n‡Z cv‡i| †m‡ÿ‡Î Kuv‡Pi wmwiÄ I m~P e¨envi K‡i Bb‡RKkb †bIqv hvq| Z‡e cÖ‡Z¨Kevi Bb‡RKkb †bIqvi Av‡M wmwiÄ I m~P fv‡jvfv‡e dzwU‡q RxevYy gy³ Kiv `iKvi| hv‡`i c‡KU cviwgU K‡i Zviv wWm&c‡m‡ej Bbmywjb wmwiÄ e¨envi Ki‡eb| GB wmwi‡Äi m~P †ek miæ _v‡K| wVKg‡Zv cwi®‹vi cwi”Qbœ RvqMvq ivL‡j GKUv wWm&c‡m‡ej wmwiÄ GKB †ivMx `y- wZbevi e¨envi Ki‡Z cv‡ib| Z‡e m~PUv cÖwZeviB cvj‡U wb‡Z cvi‡j fv‡jv| Bbmywjb AvšÍR©vwZK GKK ev BDwb‡U †`Iqv nq| †K KZ BDwbU †b‡e? Zv Wv³vieveyiv †ivMx‡K cixÿv K‡i e‡j †`b| †hgbÑ Kv‡iv †ÿ‡Î 20 BDwbU, Kv‡iv †ÿ‡Î 40 BDwbU| Bbmywj‡bi wkwk †_‡K Bbmywjb fivi Av‡M wkwkwU‡K fv‡jvfv‡e SuvwK‡q wb‡Z n‡e| wmwiÄ& -G Bbmywjb fivi ci †Lqvj ivL‡Z n‡e †hb †Kvb Ae¯’v‡ZB wmwi‡Ä evZv‡mi Ÿy`ey` bv _v‡K| †hLv‡b Bb‡RKkb wb‡Z n‡e †mLvbKvi Pvgov `y‡Uv Av½yj w`‡q †U‡b GKUz DuPz‡Z Zzj‡Z n‡e| Zvici Bb‡RKk‡bi m~P ev wmwi‡Äi wbwWj 45 wWwMÖ †Kv‡Y Pvgovi bx‡P XzwK‡q Av‡¯Í Av‡¯Í wc÷b †V‡j Bbmywjb kix‡i cÖ‡ek Kiv‡Z n‡e| ‡hLv‡b Bb‡RKkb †bIqv n‡”Q †mB RvqMvwU fv‡jvg‡Zv cwi®‹vi Kiv `iKvi| ‡hLv‡b Bb‡RKkb †b‡eb nvjKv mvevbRj ev Zz‡jv w¯úwiU w`‡q †mLvbKvi Pvgov cwi®‹vi Kiv `iKvi| hviv cÖ_g cÖ_g Bbmywjb †bIqv ïiæ Ki‡eb Zviv Aek¨B ¯^v¯’¨Kg©x, K¤úvDÛvi ev Wv³v‡ii mvnvh¨ †b‡eb| cÖ_g †_‡KB gvZeŸix Ki‡Z hv‡eb bv| hviv `xN©w`b a‡i Bbmywjb Bb‡RKkb wb‡”QbÑ †mBme †ivMxi m‡½ civgk© Ki‡j fv‡jv dj †c‡Z cv‡ib| nvB‡cvMøvB‡mwgqv Wvqv‡ewUm †ivMx‡`i we‡klZ hviv Bbmywjb †bb; Zv‡`i †ÿ‡Î †Kvb †Kvb mgq i‡³ kK©ivi gvÎv cÖ‡qvR‡bi Zzjbvq A‡bKUv K‡g hvq| cÖwZ †WwmwjUvi i‡³ kK©ivi gvÎv 65 †_‡K 70 wgwjMÖvg Gi Kg n‡j wewfbœ ai‡bi DcmM© †`Lv †`q| G‡K e‡j ÔnvB‡cvMøvB‡mwgqvÕ| GB ÔnvB‡cvMøvB‡mwgqvÕ-i jÿY wewfbœ †ivMxi †ÿ‡Î wewfbœ iKg n‡Z cv‡i| Kv‡iv †ÿ‡Î †`Lv hvq ÔnvB‡cvMøvB‡mwgqvÕ-i d‡j †ivMxi AZ¨waK wL‡` cvq, †c‡U Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 26 -
  • 27. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 27 - e¨_v †`Lv †`q, †ivMxi AZ¨waK Nvg nq, mviv †`n Amvo n‡q c‡o, †Kvb †Kvb mgq †ivMx AÁvb n‡q hvq| A‡bK mgq †ivMx Gid‡j Ô†KvgvÕ-‡ZI P‡j †h‡Z cv‡i| ÔnvB‡cvMøvB‡mwgqvÕ †_‡K Wvqv‡ewUm †ivMxi g„Zz¨ Lye weij bq| GB ai‡bi Amyweav n‡j †ivMx‡K ZrÿYvr Møy‡KvR ev wPwbi kieZ †L‡Z n‡e| ÔnvB‡cvMøvB‡mwgqvÕ †mme †ÿ‡Î †ewk nq hLb ‡ivMx Bbmywjb Bb‡RK&kb †bIqvi ci eûÿY bv †L‡q _v‡Kb ev nVvr K‡i AwZwi³ kvixwiK cwikªg K‡i †d‡jb; Gm‡ei d‡j i‡³ myMv‡ii gvÎv nVvr K‡i K‡g hvq| †m Kvi‡Y hviv Bbmywjb †bb ev hv‡`i eøvWmyMvi wbqš¿‡Yi Rb¨ †ewk gvÎvq Ilya †L‡Z nq, Zv‡`i mv‡_ memgq Møy‡Kv‡Ri c¨v‡KU I R‡ji †evZj ivL‡Z n‡e| wb‡`bc‡ÿ j‡RÝ&, P‡Kv‡jU Gai‡bi wgwó Lvevi m‡½ ivLv `iKvi| hv‡Z ÔnvB‡cvMøvB‡mwgqvÕ-i Amyweav ZvrÿwYK mvgvj †`Iqv hvq| KLb Wv³vi WvK‡eb A¨v‡gwiKvb Wvqv‡ewUK A¨v‡mvwm‡qk‡bi Z_¨g‡Zv Wvqv‡ewU‡mi Riæwi Ae¯’v ˆZwi nq `ywU mgqÑ (1) hLb i‡³ myMv‡ii cwigvY cÖ‡qvR‡bi Zzjbvq AwZwi³ K‡g hvq ev ÔnvB‡cvMøvB‡mwgqvÕ| (2) hLb i‡³ myMv‡ii cwigvY cÖ‡qvR‡bi Zzjbvq gvÎvwZwi³ ‡e‡o hvq| hv‡K Wv³vix fvlvq ewj ÔnvBcvi MøvB‡mwgqvÕ I m‡½ A¨vwm‡Wvwmm| ‡ivMxi cÖPÛ gv_v‡Nviv (Staggering), Lye `ye©jZv, †ivMx Lye †i‡M hv‡”Q, †ivMxi Mv‡qi is d¨vKv‡k, K_vevZ©vi Zvj †bB, Pj‡Z †M‡j Uvj Lv‡”Q, †ivMxi cÖPÛ Nvg, †ivMxi nZ ‡PZbfve (Stupor) ÑGme jÿ‡Y †ewk †`ix bv KivB fv‡jv| Wv³v‡ii Kv‡Q wb‡q hvIqvB fv‡jv| nvBcviMøvB‡mwgqv n‡j ev i‡³ kK©ivi gvÎv †ewk n‡j ‡ivMx cÖPÛ Ny‡gi †Nv‡i _v‡K (Drowsiness), cÖPÛ wccvmv, †ivMx evievi cÖmªve K‡i, m‡½ ewgI _vK‡Z cv‡i| †ivMxi wbtk¦v‡m dj ev g‡`i MÜ cvIqv hvq| †ivMxi gyL jvj n‡q hvq, †ivMx †Rv‡i †Rv‡i k¦vm †bq, KLbI KLbI AÁvb n‡q c‡o| ‡ivMxi nvB‡cvMøvB‡mwgqv n‡q‡Q, bv nvBcviMøvB‡mwgqv n‡q‡Q GUv hw` eyS‡Z bv cv‡ib Z‡e †ivMx‡K cÖ_‡g wPwb kieZ w`b, GQvovI VvÛvcvbxq, d‡ji im, Av‡Li im w`‡Z cv‡ib| G¸wj LvIqvi 10-15 wgwbU ci Wvqv‡ewUm †ivMx hw` my¯’‡eva bv K‡ib Z‡e ZrÿYvr Wv³v‡ii m‡½ †hvMv‡hvM Kiæb ev †ivMx‡K nvmcvZv‡j wb‡q hvb| Lv`¨ Lvevi I Wvqv‡ewUm Wvqv‡ewUm †ivMx‡`i LvIqv `vIqv wbqš¿Y K‡i Amy‡Li Amyweav¸wj 50 †_‡K 70 kZvsk Kgv‡bv hvq| Av‡MB e‡jwQ Avgv‡`i Lv`¨ Lvev‡i †gvUvgywU wZbwU cÖavb cywó Dcv`vb _v‡K| †hgbÑ †k¦Zmvi ev ÔKv‡e©vnvB‡WªUÕ, AvwglLv`¨ ev Ô‡cÖvwUbÕ I Pwe©RvZxq Lv`¨ Ôd¨vUm&Õ| GQvovI i‡q‡Q Rj, wfUvwgb, wewfbœ LwbR ev wgbv‡ijm, Zš‘ ev dvBevi AviI wKQz Dcv`vb| Avgv‡`i †`‡n Møy‡Kv‡Ri g~j Drm nj Kv‡e©vnvB‡WªU ev †k¦Zmvi RvZxq Lv`¨| Kv‡e©vnvB‡Wª‡Ui
  • 28. g‡a¨I `y ai‡bi Kv‡e©vnvB‡WªU i‡q‡Q| GKai‡bi Kv‡e©vnvB‡WªU mij mvaviY Kv‡e©vnvB‡WªU, Avi GK cÖKvi nj RwUj cÖK…wZi Kv‡e©vnvB‡WªU| mij Kv‡e©vnvB‡WªU Lye ZvovZvwo cwicvK n‡q Møy‡Kv‡R cwiYZ n‡q hvq| Gai‡bi Kv‡e©vnvB‡WªU Wvqv‡ewUm †ivMx‡`i †ÿ‡Î wbivc` bq| KviY G‡Z kK©ivi cwigvY Lye ZvovZvwo †e‡o hvq| †hgbÑ wPwb, wgwó, im‡Mvjøv, m‡›`k GB RvZxq wgwó mij kK©ivi g‡a¨ c‡o| Avi RwUj Kv‡e©vnvB‡WªU †hgb wewfbœ mewR, Zš‘RvZxq Lvevi ÑGme Wvqv‡ewUm †ivMx‡`i †ÿ‡Î Zzjbvg~jKfv‡e wbivc`| GB RwUj Kv‡e©vnvB‡WªU cwicvK n‡q Møy‡Kv‡R cwiYZ n‡Z A‡bK mgq jv‡M| GZ i‡³ kK©ivi gvÎv ax‡i ax‡i ev‡o Ges †`‡ni wbR¯^ Bbmywj‡bi mvnv‡h¨ G¸wj †_‡K kw³ cvIqv hvq| †m Kvi‡YB Wvqv‡ewUm †ivMxi memgq mij Kv‡e©vnvB‡WªU¸wj Gwo‡q wM‡q RwUj Kv‡e©vnvB‡WªU LvIqv DwPZ| Avgv‡`i †`‡ni cwicvKZš¿wU gyL †_‡K ïiæ K‡i cvqy ch©šÍ i‡q‡Q| GB cwicvK Zš¿‡K Wv³vix fvlvq Avgiv ewj ÔMÖv‡÷vB‡›Uvw÷bvj wm‡÷gÕ| gy‡Li Lv`¨MÖnY †_‡K ïiæ n‡q Zvici †mUv cwicvK n‡q †kvwlZ nq| Lv‡`¨i AcvP¨ Ask †`‡ni evB‡i †ewi‡q hvq| Avgiv hLb gyL w`‡q LvB I Lv`¨ wPevB Zvici †mUv B‡mv‡dMvm ev MÖvmbvjxi g‡a¨ w`‡q cvK¯’jx ev ÷gv‡K †cŠuQvq| cvK¯’jx‡Z Lvevi †cŠuQv‡bvi ci †mwU cwicvK n‡Z _v‡K ev mij n‡Z _v‡K| Zvici †mB wKQzUv cwicvK nIqv Lvevi A‡š¿ †cŠuQvq| ¶z`ªvš¿ †_‡K Lvev‡ii mij cywóKi Dcv`vb i‡³ †g‡k| Lvev‡ii †h Ask cwicvK nq bv Zv e„n`š¿ ev †Kv‡jb w`‡q gj AvKv‡i †`‡ni evB‡i †ewi‡q hvq| Avgv‡`i †cŠwóK bvjx ev ÔMÖv‡÷vB‡›Uvw÷bvj Uª¨v‡KÕ Kv‡e©vnvB‡WªU †_‡K Møy‡KvR Drcbœ nq| †cÖvwUb RvZxq Lv`¨ †_‡K ˆZwi nq A¨vwg‡bv A¨vwmW Ges Pwe© RvZxq Lv`¨ †_‡K UªvBwMømvivBW ev d¨vwU A¨vwmW ˆZwi nq| Avgv‡`i Aš¿ †_‡K Møy‡KvR, A¨vwg‡bv A¨vwmW, UªvBwMømvivBW ev d¨vwU A¨vwmW i‡³ †g‡k| Avgv‡`i ¶z`ªv‡š¿ wZbwU Ask i‡q‡Q| cÖ_g As‡ki bvg nj wW‡qvwWbvg, ga¨vsk‡K e‡j †RRybvg I †kl As‡ki bvg nj Bwjqvg| cwicvKZ‡š¿ mij Lv`¨KYv¸wj wZbfv‡Mi `yÕfvMB wW‡qvwWbvg I †RRybvg †_‡K †kvwlZ nq| wZb fv‡Mi GKfvM †kvwlZ nq Bwjqvg †_‡K| Kv‡e©vnvB‡WªU Avgiv cÖwZw`b †h Lvevi LvB Zvi †ewki fvMUvB Kv‡e©vnvB‡WªU| avb, Mg, fzÆv, †Rvqvi, evRiv, ivMx Avi me Lv`¨k‡m¨ cÖPzi cwigv‡Y Kv‡e©vnvB‡WªU _v‡K| Kv‡e©vnvB‡Wª‡U Kve©b, nvB‡Wªv‡Rb I Aw·‡Rb cigvYy¸wj Ggbfv‡e _v‡K hvi g‡a¨ w¯’wZkw³ jywK‡q i‡q‡Q| GB w¯’wZkw³ †_‡K Avgiv Zvc ev MwZkw³ cvB| †gvUvgywU Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 28 -
  • 29. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 29 - wnmve Abyhvqx 100 MÖvg Kv‡e©vnvB‡Wª‡U cÖvq Pvi K¨v‡jvwi kw³ _v‡K| wPwKrmv weÁv‡bi †Pv‡L Kv‡e©vnvB‡WªU mvaviYZ wZb cÖKvi| g‡bvm¨vKvivBW, WvBm¨vKvivBW I cwjm¨vKvivBW| g‡bvm¨vKvivBW n‡”Q Kv‡e©vnvB‡Wª‡Ui me‡P‡q mij iƒc| g‡bvm¨vKvivB‡Wi Avevi wZbwU fvM i‡q‡Q Møy‡KvR, d«z‡±vR, M¨vjvK‡UvR| mij Kv‡e©vnvB‡WªU †hgbÑ Møy‡KvR I d«z‡±vR cvIqv hvq dj, kvKmewR Avi gay‡Z| `y‡a †h Kv‡e©vnvB‡WªU _v‡K Zv‡K e‡j j¨vK‡UvR| wewfbœ cÖvYxRvZ Lv‡`¨ MøvB‡Kv‡Rb bv‡g Kv‡e©vnvB‡WªU _v‡K| `ywU g‡bvm¨vKvivBW GKm‡½ Ry‡o _vK‡j Zv‡K e‡j WvBm¨vKvivBW| †hgbÑ wPwb ev my‡µvR| `ywUi †ewk g‡bvm¨vKvivBW GKm‡½ Ry‡o _vK‡j Zv‡K e‡j cwjm¨vKvivBW| †hgbÑ ÷vR©, MøvB‡Kv‡Rb, †mjy‡jvR| Avgiv hLb †Kvb Kv‡e©vnvB‡WªU LvB ZLb Zvi cwicvK gy‡LB ïiæ n‡q hvq| gy‡Li jvjvMÖwš’ †_‡K †ewi‡q Avmv ÷vqvwjb Dr‡mPK Kv‡e©vnvB‡WªU RvZxq Lv`¨‡K cÖ_‡g mij Ki‡Z †Póv K‡i| Zvici cvK¯’jx I Aš¿ n‡q i‡³ wg‡k i‡³ myMv‡ii gvÎv evov‡Z _v‡K| †gvUvgywU fv‡e Kv‡e©vnvB‡WªU RvZxq Lv`¨ MÖn‡Yi 1 N›Uv ci †_‡KB i‡³ Møy‡Kv‡Ri gvÎv evo‡Z _v‡K| Lv`¨MÖn‡bi `y N›Uvi ci i‡³ Møy‡Kv‡Ri gvÎv me‡P‡q †ewk nq| i‡³ Møy‡Kv‡Ri gvÎv evo‡Z _vK‡j AMœ¨vkq †_‡K ¯^qswµq fv‡e Bbmywj‡bi wbtmiY ev‡o| Zvici GKUv ch©v‡q wM‡q Bbmywj‡bi Drcv`b evav cvq| ZLb †`‡ni AwZwi³ Kv‡e©vnvB‡WªU d¨vU ev Pwe©‡Z iƒcvšÍwiZ n‡q †`‡ni †fZ‡i Rgv n‡Z _v‡K| hLb Avgiv `xN©mgq D‡cvm K‡i _vwK ev †`‡n Kv‡e©vnvB‡Wª‡Ui Afve †`Lv †`q †mB mgq †`‡ni mwÂZ Pwe© wewkøó n‡q †`‡ni cÖ‡qvRbxq kw³ †RvMvq| mij I RwUj Kv‡e©vnvB‡WªU Av‡MB e‡jwQ Kv‡e©vnvB‡WªU `yB ai‡bi mij I RwUj| mij Kv‡e©vnvB‡Wª‡U Møy‡Kv‡Ri AYy¸wj Ggb fv‡e mvRv‡bv _v‡K hv‡Z †m¸wj mn‡RB †f‡½ Møy‡Kv‡R cwiYZ nq| GBme Kv‡e©vnvB‡WªU¸wj Lye ZvovZvwo i‡³i kK©ivi gvÎv‡K evwo‡q †`q| Avi RwUj Kv‡e©vnvB‡Wª‡U Møy‡KvR AYy¸wj Ggbfv‡e _v‡K hv cwicvK n‡Z ev mij Møy‡KvR AYy‡Z cwiYZ n‡Z A‡bK †ewk mgq jv‡M| wPwb, ¸o, gay, wgwó, dj, R¨vg, †Rjx, †KvìwW¼m& G¸wj mij Kv‡e©vnvB‡WªU| iæwU, mywR, BWwj G¸wj RwUj Kv‡e©vnvB‡WªU| fvZ I Avjy‡Z `yÕ ai‡bi Kv‡e©vnvB‡WªU _v‡K| ‡mBRb¨ Wvqv‡ewUm †ivMx‡`i fvZ I Avjyi gvÎv †g‡c LvIqv DwPZ| †KvbUv mij Ges †KvbUv RwUj Kv‡e©vnvB‡WªU Zv †Pbvi me‡P‡q mnR Dcvq njÑ Kv‡e©vnvB‡WªU RvZxq Lv`¨ gy‡L w`‡q wKQzÿY wPev‡j hw` wR‡f wgwó ¯^v` Av‡m, Z‡e eyS‡Z n‡e †mB Lvev‡i †ewk cwigvY mij Kv‡e©vnvB‡WªU RvZxq Lv`¨ i‡q‡Q| Kv‡ev©nvB‡WªU ev †k¦Zmvi Kxfv‡e †f‡½ †f‡½ myMvi nq Zv mnRfv‡e †evSvi Rb¨ GB PvU©wU ‡`‡L †bIqv hvKÑ
  • 30. ‡cÖvwUb Avgiv cÖwZw`b hv Lvevi LvB Zvi Ab¨Zg cÖavb Dcvq nj †cÖvwUb| Kv‡e©vnvB‡WªU †hgb Møy‡KvR w`‡q ˆZwi; †Zgb †cÖvwU‡b _v‡K A¨vwg‡bv A¨vwmW| GB A¨vwg‡bv A¨vwm‡Wi AYy¸wj ci¯úi ci¯ú‡i wg‡j j¤^v †PBb ev k„•Lj ˆZwi K‡i| ZLb Zv‡K e‡j cwj‡ccUvBW| †cÖvwUb mvaviYZ `yÕ iKgÑ cÖvYxR †cÖvwUb I Dw™¢¾ †cÖvwUb| gvQ, gvsm, wWg, `ya †hme Avgiv cÖvYx‡`n †_‡K cvB Zv‡K e‡j cÖvYxR †cÖvwUb| Avi †hme †cÖvwUb Dw™¢R †_‡K Av‡m, †hgbÑ Aoni, †Qvjv, gyM, gmywi, gUi GBme wewfbœ Wvj I †mvqvweb Dw™¢¾ †cÖvwUb| Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 30 - †hme Wvqv‡ewUm †ivMx‡`i wKWwbi †Kvb mgm¨v †bB, Zviv cÖ‡qvRbg‡Zv Dw™¢R †cÖvwUb †L‡Z cv‡ib| Avevi †hme Wvqv‡ewUm †ivMx‡`i ü`&hš¿ bx‡ivM Av‡Q ev ü`&‡ivM †bB; Zviv cÖ‡qvRb g‡Zv A¨vwbgvj †cÖvwUb †L‡Z cv‡ib| Z‡e †`‡ni wewfbœ KvR Kvievi wVKg‡Zv Pjvi Rb¨ cÖvYxR I Dw™¢R `yÕai‡bi †cÖvwUbB `iKvi Ges GB `yB ai‡bi †cÖvwU‡bi g‡a¨ mwVK mvgÄm¨ _vKv `iKvi| Wvqv‡ewUm †ivMxiv †cÖvwUb I Kv‡e©vnvB‡Wª‡Ui mvgÄm¨ ivLvi Rb¨ †gkv‡bv k‡m¨i iæwU †L‡Z cv‡ib| †hgbÑ 60 fvM M‡gi AvUv 30 fvM †Qvjvi †emb I 10 fvM †mvqvwe‡bi AvUv wgwk‡q iæwU evbv‡Z cv‡ib| G‡Z Lv‡`¨i Dw™¢R †cÖvwUb I Kv‡e©vnvB‡Wª‡Ui fvimvg¨ eRvq _vK‡e| †cÖvwUb RvZxq Lv‡`¨ ‡Zgbfv‡e Møy‡Kv‡Ri AYy _v‡K bv| ZvB †hme Wvqv‡ewUm †ivMx‡`i wKWwb I ü`‡iv‡Mi Sv‡gjv †bB Zviv †cÖvwUb RvZxq Lvevi wbivc‡` †L‡Z cv‡ib|
  • 31. wfUvwgb Avgv‡`i kixi MV‡bi GK ¸iæZ¡c~Y© Dcv`vb wfUvwgb| wfUvwg‡b †mfv‡e †Kvb kw³ †RvMv‡bi Dcv`vb _v‡K bv| Z‡e †ivM cÖwZ‡iva, kvixwiK e„w×, Z¡K, †PvL Gme mej ivLvi †ÿ‡Î ¸iæZ¡c~Y© f~wgKv cvjb K‡i| †hgbÑ wfUvwgb we (Vitamin-B ) Kg‡cø‡·i cÖ‡qvRb nq †`‡ni wewfbœ wecvKxq KvR Pvjv‡Z| wfUvwgb G (Vitamin-A) †Pv‡Li `„wókw³‡K wVK iv‡L| wfUvwgb wm (Vitamin-C) †`‡ni †ivM cÖwZ‡iva ÿgZv evovq| GBfv‡e wewfbœ wfUvwgb †`‡ni KvRKviev‡i mvnvh¨ K‡i| Wvqv‡ewUm †ivMx‡`i Lv‡`¨ wewfbœ wfUvwgb mwVK Abycv‡Z _vKv LyeB cÖ‡qvRb| KviY Wvqv‡ewUm †ivMx‡`i Ggwb‡ZB †ivM cÖwZ‡iva ÿgZv K‡g hvq| K‡g hvq †Pv‡Li `„wó I Z¡‡Ki i³ msenb| LvIqvi †Zj Avgiv wewfbœ ivbœvevbœvq †fvR¨ †Zj e¨envi Kwi| GB †Z‡ji cÖavb Dcv`vb d¨vwU A¨vwmW ev UvBwMømvivBW| GB UvBwMømvivBW A‡bKUv wMømvwi‡bi g‡ZvB †`L‡Z| ÔwMømvijÕ(Glyceral) bv‡gi GK ai‡bi c`v_© w`‡q ˆZwi| GB d¨vwU A¨vwm‡Wi k„•L‡ji g‡a¨ g~j Dcv`vb _v‡K Kve©b| cÖwZwU Kve©b cigvYyi m‡½ `yBwU K‡i nvB‡Wªv‡Rb cigvYy hy³ _v‡K| GB Kve©b cigvYy ci¯úi ci¯úi‡K a‡i iv‡L| †mvRv K_vq ej‡Z †M‡j Kve©b cigvYyi Pvi‡U nvZ| d¨vwU A¨vwm‡Wi ‡ÿ‡Î GKwU Kve©b cigvYy `ywU nvZ w`‡q `ywU Kve©b cigvYy‡K a‡i| evwK `ywU nv‡Z nvB‡Wªv‡Rb cigvYy _v‡K| hLb Kve©b cigvYyi PviwU nvZB †Kvb bv †Kvb Kve©b ev nvB‡Wªv‡Rb cigvYy w`‡q aiv _v‡K, ZLb Zv‡K e‡j m¨vPz‡i‡UW d¨vwU A¨vwmW(Saturated Fatty Acid) ev ms‡ÿ‡c ;(SAFA mvdv)| wewfbœ †Z‡ji g‡a¨ nvB‡Wªv‡Rb M¨vm mÂvjb K‡i Zv‡K m¨vPz‡i‡UW †Zj Kiv nq| †hgbÑ eb¯úwZ, WvjWv Gme| hLb cÖwZwU Kve©b cigvYy †_‡K GKwU K‡i nvB‡Wªv‡Rb Kg _v‡K ZLb Zv‡K e‡j g‡bvm¨vPz‡i‡UW d¨vwU A¨vwmW(Mono Unsaturated Fatty Acid) ev ms‡ÿ‡c; (MUFA gydv)| †hgbÑ RjcvB ‡Zj ev Awjf A‡qj| hLb †Kvb †Z‡ji d¨vwU A¨vwm‡Wi k„•Lj ‡_‡K GKvwaK Kve©b cigvYy m‡i _v‡K, ZLb Zv‡K e‡j cwj Avbm¨vPz‡i‡UW d¨vwU A¨vwmW(Poly Unsaturated Fatty Acid) ; ms‡ÿ‡c PUFA- cydv| †hgbÑ m~h©gyLxi †Zj ev mvbd¬vIqvi A‡qj, m‡l©i †Zj Gme| †hme Wvqv‡ewUm †ivMx‡`i nv‡U©i †Kvb mgm¨v †bB Zviv †h †Kvb ai‡bi †Zj †L‡Z cv‡ib| wKš‘ †h mKj Wvqv‡ewUm †ivMx‡`i nv‡U©i AmyL i‡q‡Q Zv‡`i Lvev‡i †Zj e¨env‡ii †ÿ‡Î mZK© n‡Z n‡e| me‡P‡q fv‡jv Dcvq njÑ cydv, gydv I mvdv wbw`©ó AYycv‡Z wgwk‡q e¨envi Kiv| Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 31 -
  • 32. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 32 - wewfbœ cÖKvi †mœn c`v‡_© †gvU d¨v‡Ui KZ kZvsk mvdv, gydv, I cydv Av‡Q Zv GKevi †`‡L †bIqv hvK- ‡Zj ev d¨vU mvdv% gydv% cydv% mi‡l †Zj 6 48 46 bvi‡Kj †Zj 87 7 6 Pxbvev`vg †Zj 26 59 15 wZj †Zj 14 45 41 mqvweb †Zj 21 25 54 cvg †Zj 52 39 9 ZzjvexR †Zj 24 26 50 †icwmW †Zj 6 50 44 m~h©gyLx †Zj 9 29 62 fzÆvi †Zj 18 26 56 eb¯úwZ 92 6 2 wN 64 33 3 gvLb 62 32 6 k³ gvR©vixb 78 14 8 big gvR©vixb 30 48 22 Zš‘ RvZxq Lv`¨ Wvqv‡ewUm †ivMx‡`i Lvev‡i Zš‘ ev dvBev‡ii cwigvY †ewk _vKv `iKvi| Zš‘RvZxq Lv‡`¨i g‡a¨ K¨v‡jvwi ev kw³i g~j¨ Lye Kg _v‡K| cvK¯’jxi g‡a¨ Zš‘ nRg n‡Z A‡bK mgq jv‡M| d‡j i‡³i Møy‡Kv‡Ri cwigvY‡K wbqš¿‡Y ivL‡Z mvnvh¨ K‡i| wewfbœ Zš‘‡Z cÖPzi cwigv‡Y †mjy‡jvR _v‡K| †mjy‡jvR GK ai‡bi Kv‡e©vnvB‡WªU| Z‡e gvby‡li †cŠwóKZ‡š¿ GB Kv‡e©vnvB‡WªU‡K nRg Kivi ÿgZv _v‡K bv| ‡mjy‡jvR‡K nRg Ki‡Z †M‡j Ô†mjy‡jRÕ bv‡gi Dr‡mPK ev GbRvBb cÖ‡qvRb| †hUv wKbv Miæ, QvMj, Mvav GBme Z…Y‡fvRx cÖvYx‡`i †cŠwóKZ‡š¿ _v‡K| ZvB Zviv †mjy‡jvR†K nRg Ki‡Z cv‡i| †mjy‡jvRhy³ GB Zš‘iv Rj †kvlb K‡i dz‡j †du‡c _v‡K| ZvB Zš‘ RvZxq Lvevi LvIqvi ci †cU A‡bKÿY fiv fiv _v‡K| mn‡R wL‡` cvq bv| hv wKbv Wvqv‡ewUm †ivMx‡`i †ÿ‡Î GKUv we‡kl f~wgKv cvjb K‡i| †mjy‡jvR hy³ Zš‘iv †kl‡gk g‡ji mv‡_ †`‡ni evB‡i ‡ei n‡q hvq| wbqwgZ Zš‘RvZxq Lv`¨ †L‡j cvqLvbv cwi®‹vi _v‡K| Mg, IU, M‡gi fzwm, wewfbœ kvKmewR‡Z cÖPzi cwigv‡Y Zš‘ ev dvBevi _v‡K| Wvqv‡ewUm †ivMx‡`i Gme Lvevi wbqwgZ LvIqv cÖ‡qvRb| †mjy‡jvR QvovI AviI GK ai‡bi dvBevi wewfbœ mewR, Wvj I dj-G _v‡K| †h¸wj‡K Wv³vix fvlvq Avgiv ewj Ôbb÷vP© cwjm¨vKvivBW ev ms‡ÿ‡c (NSP)Õ| i‡³ kK©iv wbqš¿Y ivL‡Z I †Kv‡j‡÷i‡ji mgm¨v Kgv‡Z GB ai‡bi NSP dvBevi Lv`¨ ZvwjKvq _vKv
  • 33. `iKvi| mv`v AvUvi e`‡j jvj AvUv, cvwjm Kiv mv`v Pv‡ji e`‡j †XwK QuvUv jvj Pvj, gq`v e`‡j AvUv LvIqv Wvqv‡ewUm †ivMx‡`i c‡ÿ fv‡jv| Gm‡e‡Z NSP gvÎv †ewk _v‡K| †Kvb Lvev‡i KZUv Zš‘ Av‡Q Zv †gvUvgywU fv‡e †`‡L †bIqv hvK:Ñ wewfbœ Lvevi Zš‘i cwigvY 1. ivbœv Kiv wmg& Avav Kvc 1.4 MÖvg 2. 1 wcm cvDiæwU‡Z Zš‘ i‡q‡Q 0.3 MÖvg 3. Kb‡d¬Km& GK Kvc 3/4 MÖvg 1.7 MÖvg 4. gmyi Wvj Avav Kvc 1.2 MÖvg 5. gUi Wvj Avav Kvc 1.5 MÖvg 6. Avjy †m× Avav Kvc 0.4-0.6 MÖvg 7. eª‡Kvwj 1.2 MÖvg 8. MvRi KzPv‡bv Avav Kvc 0.6-0.8 MÖvg 9. gy‡jv KzPv‡bv Avav Kvc 2.2 MÖvg 10. Ug¨v‡Uv (gvSvwi gv‡ci) 0.6 MÖvg A¨vw›U Aw·W¨v›Um I Wvqv‡ewUm Avgv‡`i †ivRKvi Lvevi †_‡KB cwicvK I wecvK wµqvi ga¨ w`‡q †`‡ni cÖ‡qvRbxq kw³ cvB| kix‡ii g‡a¨ †h Aweivg wecvK wµqv Pj‡Q Gi d‡j ˆZwi n‡”Q wKQz †hŠM ev wd«- ivwWK¨vjm&| wd«-ivwWK¨vjm&¸wj †`‡ni wewfbœ †hŠ‡Mi mv‡_ wewµqv K‡i ‡`‡ni ÿwZ mvab K‡i| wd«-ivwWK¨vjm& Gi cÖfv‡e †Kv‡li c`©v ev †mj †ggeªb ÿwZMÖ¯Í nq| Ggb Kx †Kv‡li gw¯Í®‹ ev wbDwK¬qv‡mi Kvh©ÿgZv bó n‡q †h‡Zcv‡i| ÔnvBcvi‡Kv‡j‡÷ijwgqvÕ A_©vr i‡³ †Kv‡j‡÷i‡ji gvÎvwaK¨, A¨v‡_‡ivm‡K¬‡ivwmm& ev ‡`‡ni i³evnxbvjxi †fZi Pwe© R‡g miæ n‡q hvIqv, K‡ivbvix nvU& wWwRR& Av‡iv eû wec` G‡m nvbv w`‡Z cv‡i| wewfbœ cÖKvi A¨vw›U-Aw·W¨v‡›Ui ˆ`wbK cÖ‡qvRb wfUvwgb ÔwmÕ - 500-900 wg.MÖv. wfUvwgb ÔBÕ - 300-400 AvB.BD. wfUvwgb ÔGÕ - 2-3 wg.MÖv. weUvK¨viwUb - 10-15 wg.MÖv. wRsK - 15-25 wg.MÖv. †m‡jwbqvg - 100-200 wg.MÖv. A¨vw›U- Aw·W¨v›Um n‡jv Ggb wKQz c`v_© hv wd«-ivwWK¨vjm&‡K wbw®Œq K‡i kixi‡K K‡i †Zv‡j wec`gy³| mnR K‡i ej‡Z †M‡j A¨vw›U Aw·W¨v›Um gv‡b n‡jv hv Aw·‡R‡bi KvR‡K Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 33 -
  • 34. evav †`q| Aw·‡Rb †Póv K‡i †`‡ni †fZi _vKv wewfbœ c`v‡_©i mv‡_ wewµqv NwU‡q Zvi ¸Yv¸Y I e¨envi cv‡ë w`‡Z| A¨vw›U-Aw·W¨v›Um Aw·‡R‡bi GB aŸsmvZ¥K KvR‡K cÖwZnZ K‡i| A¨vw›U Aw·W¨v›Um cvIqv hvq memgq iw½b I UvUKv kvKmewR, djg~‡j| †hgbÑ Avg, KuvVvj, MvRi, exU, Kv‡jvRvg, cvKv Kzg‡ov, Ug¨v‡Uv, meiK‡gi †jey‡Z cÖPzi A¨vw›U-Aw·W¨v›Um _v‡K| Avm‡j A¨vw›U-Aw·W¨v›Um njÑ wewfbœ ai‡bi wfUvwgb I wKQz LwbR c`v_© hv †`‡ni wewfbœ h‡š¿i KvR‡K wKQzUv n‡jI evavgy³ K‡i| K…wÎgfv‡e ˆZwi Kiv GBme wfUvwgb ev LwbR U¨ve‡jU-K¨vcmyj AvKv‡i evRv‡i cvIqv hvq| Z‡e nu¨v, wewfbœ M‡elYv ms¯’vi weÁvbxiv †ek wKQz mgxÿv Pvwj‡q †`‡L‡Qb †h, cÖvK…wZK Lvev‡i †gvUvgywUfv‡e 100 kZvsk KvR nq| Avi K…wÎg U¨ve‡jU-K¨vcmyj KvR K‡i kZKiv 20 †_‡K 25 fvM| ZvB †Zgb †Kv‡bv Amyweav bv _vK‡j †cUcy‡i Lvb kvKmewR, djg~j, m¨vjvW| fvZ, AvUv KZUv cÖ_‡gB e‡jwQ Wvqv‡ewUm †ivMxiv wgwó RvZxq mij Kv‡e©vnvB‡WªU Lv‡eb bv| KZUv fvZ, AvUv ev Gai‡bi RwUj Kv‡e©vnvB‡WªU Lv‡eb Zvi wKQz wbw`©ó wbqg i‡q‡Q| ˆ`wbK wK cwigvY RwUj Kv‡e©vnvB‡WªU †ivMx ‡L‡Z cv‡i Zv wbf©i Ki‡e †ivMxi eqm, IRb I i‡³i kK©ivi gvÎvq Dci| Avgiv †h ˆ`bw›`b wewfbœ iKg KvRKg© Kwi; Zv‡Z kw³ ev K¨v‡jvwii cÖ‡qvRb nq| GB K¨v‡jvwii cÖ‡qvRbxqZv wbf©i K‡i e¨w³ wK ai‡bi KvR Ki‡Qb, Zvi †ckv Kx? evwo‡Z Zv‡K Kx Kx ai‡bi KvR Ki‡Z nq? D”PZv I IRb KZ?GBme wewfbœ wel‡qi Ici| 45eQi eq‡mi 5dzU 6Bw D”PZvi I 65 †KwR IR‡bi GKRb wi·vPvjK ev kªgRxex gvbyl Zuv‡`i ˆ`wbK cÖvq 2,851 K¨v‡jvwi kw³i cÖ‡qvRb nq| Avevi 45eQi eq‡mi 5dzU 6Bw D”PZvi I 65 †KwR IR‡bi Awdm †KivYxi ˆ`wbK cÖvq 1,801 K¨v‡jvwi kw³i cÖ‡qvRb nq| †K KZUv Kv‡e©vnvB‡WªU Lv‡eb Zvi mnR wnmve nj Zvi †gvU K¨v‡jvwii Pvwn`v‡K 10 w`‡q fvM K‡i Zvi mv‡_ 40 hy³ Ki‡j †h msLvwU cvIqv hv‡e Wvqv‡ewUm †ivMx ZZ MÖvg Kv‡e©vnvB‡WªU cÖwZw`b †L‡Z cv‡ib| aiv hvK mgxievey miKvix Awd‡m KvR K‡ib eqm 54 cvi K‡i 55 †Z cv w`‡jb| ˆ`wbK mewKQz wgwj‡q †h cwikªg K‡ib Zvi kw³ gvÎv 1700 wK‡jv K¨v‡jvwi| Zvn‡j mgxievey ˆ`wbK †h cwigvY Kv‡e©vnvB‡WªU †L‡Z cv‡ib Zvi wnmveUv nj 1700/10+40=210 MÖvg| GB 210 MÖvg RwUj Kv‡e©vnvB‡WªU ev †k¦Zmvi‡K wZwb w`‡b K‡qK fv‡M fvM K‡i †L‡Z cv‡i| mvaviYfv‡e Avgiv ev½vjxiv Pvievi Lvevi LvB| mKv‡j †eªKdv÷ ev cÖvZtivk, `ycy‡i jv ev gavý †fvRb, mÜvq nvjKv wUwdb, iv‡Z wWbvi ev ˆbkvnvi| mgxievey‡K †gvU 210 MÖvg Kv‡e©vnvB‡WªU ‡L‡Z n‡e| mKv‡ji †eªKdv‡÷ 41 MÖvg, jv‡Â 75 MÖvg, mÜvq 30 MÖvg I iv‡Z 64 MÖvg| nu¨v, GUv †gvUvgywU AvswkK wnmve| Z‡e Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 34 -
  • 35. Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 35 - LvIqvi mgq `uvwocvjøv wb‡q emvi †Kv‡bv cÖ‡qvRb †bB| GKUz Kg †ewk n‡j gnvfviZ Aï× n‡e bv| Z‡e †h wRwbmUv gv_vq ivL‡Z n‡e †Kvb Ae¯’v‡ZB w`‡bi eivÏ me Kv‡e©vnvB‡WªU GKev‡i LvIqv Pj‡e bv| fvM fvM K‡i ‡L‡Z n‡e| Zv bv n‡j i‡³ kK©ivi gvÎv nVvr †e‡o †h‡Z cv‡i| Avevi †Kvb mgq i‡³ Møy‡Kv‡Ri gvÎv AwZwi³ K‡g wM‡q ÔnvB‡cvMøvB‡mwgqvÕ-i wec` Avm‡Z cv‡i| †m Kvi‡Y Avgiv Wvqv‡ewUm †ivMx‡`i Aí cwigv‡Y evi evi †L‡Z ewj| we‡klZ huviv Bbmywjb Bb‡RK&kb wb‡”Qb Zv‡`i †ÿ‡Î G wbqg K‡Vvi fv‡e cvjb Kiv `iKvi| fvZ bv iæwU Lv‡eb A‡b‡Ki aviYv Av‡Q Wvqv‡ewUm †ivMx‡`i fvZ bv ‡L‡q iæwU LvIqv DwPZ| GB aviYvi †cQ‡b †Kvb ˆeÁvwbK hyw³ †bB| KviY cÖwZMÖvg iæwU I fv‡Z K¨v‡jvwii †Zgb †Kvb †ni‡di nq bv| ZvQvov fvZ I iæwU‡Z †k¦Zmvi I Kv‡e©vnvB‡Wª‡Ui cwigvY cÖvq mgvb mgvb| Z‡e Pv‡ji Zzjbvq AvUv‡Z Zš‘ ev dvBevi †ewk _v‡K| ZvB iæwU †L‡j wKQzUv †cU cwi®‹vi nq| †Kvôe×Zv nIqvi m¤¢vebv A‡bK As‡k K‡g hvq| fv‡Zi Av‡iKwU Amyweav nj †g‡c fvZ LvIqv Lye Sv‡gjvi e¨vcvi| †m‡ÿ‡Î iæwU mn‡RB ¸‡Y LvIqv hvq| Z‡e hviv †f‡Zv evOvwj `y-†ejv fvZ bv n‡j P‡jbv; Zviv `y-‡ejv fvZ I iæwU wgwk‡q †L‡Z cv‡ib| cÖ_‡g GKwU ev `ywU iæwU †L‡q Zvici fvZ Lv‡eb| GB Af¨vm Ki‡Z cvi‡j me†ÿ‡ÎB jvf| we‡klZ iv‡Zi †ejvq Aí fvZ †L‡j Nyg fv‡jv nIqvi m¤¢vebv _v‡K| Z‡e memgq †Lqvj ivL‡Z n‡e †k¦Zmvi ev Kv‡e©vnvB‡Wª‡Ui gvÎv †Kvbmgq †hb gvÎv bv Qvovq| Wvqv‡ewUm †ivMxiv †hme Lvevi Gwo‡q Pj‡eb:- 1). ‡h †Kvb iK‡gi wgwó, AvBmwµg, Kzjwd, P‡Kv‡jU, wgQwi| 2). †hme Lvev‡i †ewk gvÎvq ÷vR© i‡q‡Q; †hgbÑ Avjy, wgwó Avjy, kuvKvjy, fv‡Zi gvo ev †db| 3). mywR, gq`v, mv`v AvUv, †gwk‡b cvwjk Kiv Pvj| 4). `ya †_‡K ˆZwi †hme Lvev‡i d¨v‡Ui cwigvY †ewk _v‡K| †hgbÑ †Lvqv, cwbi, wPR, `B| 5). wN, gvLb, WvjWv ev †Z‡jfvRv fvRv c‡ivUv, cywi, wm½vov, c‡Kvov| 6). †hme dj-G myMvi ev ÷vR© †ewk _v‡K| †hgbÑ Kjv, Av½yi, wjPz I Avg| 7). wW‡gi Kzmyg, Lvwmi gvsm, †g‡U, cïi hK…r, wNjy Lv‡eb bv| 8). IqvBb I weqvi RvZxq g`| Wvqv‡ewUm †ivMxiv †hme Lvevi ‡L‡Z cv‡ib:- 1). kK©ivnxb K…wÎg wgwó| 2). meyR kvKmewR, D‡”Q, Kijv, †eMyb, †Xuom, euvavKwc, dzjKwc, MvRi, mqvweb, mR‡b, KuvPvKuvVvj ev Gu‡Pvo, †cuqvRKwj ZvQvov wewfbœ kvKcvZv| 3). AvUvi mv‡_ fzwm wgwj‡q iæwU †L‡Z n‡e|
  • 36. 4). gvLb †Zvjv `ya I Zv †_‡K ˆZwi `B| 5). †muKv cvco, Z›`yix iæwU ‡L‡Z cv‡ib| 6). Kgjv‡jey, †gŠmy¤^x, Aí cwigvY Av‡cj I ZigyR| 7). †L‡Z cv‡ib wW‡gi mv`v Ask, †QvU †`kxgyiMx, I meai‡bi †QvU gvQ| 8). gv‡S g‡a¨ †L‡Z cv‡ib(bv †L‡j AwZ DËg) eª¨vwÛ ev †mB ai‡bi cvbxq| Wvqv‡ewUm †gvKvwejvq e¨vqvg wbqwgZ e¨vqvg ïay Wvqv‡ewUm bq, ü`‡ivM, D”Pi³Pvc, †`‡ni AwZwi³ †g` Kgv‡bv I AviI wewfbœ Amyweavi †gvKvwejvq Ab¨Zg nvwZqvi| kixi‡K my¯’, Kg©V, ivL‡Z †M‡j Zvi Rb¨ mwVKfv‡e cwikªg Ki‡Z n‡e| mRxe I mej ivL‡Z n‡e mKj A½-cÖZ¨½‡K| e¨vqvg ev G·vimvBR(Exercise) njÑ mwVK wb‡`©k †g‡b kixi Pvjbvi g‡a¨ w`‡q †`n I gb‡K bx‡ivM ivLvi ˆeÁvwbK c×wZ| Wvqv‡ewU‡mi †gvKvwejvq wbqwgZ e¨vqv‡gi h‡_ô cÖfve i‡q‡Q| Avgv‡`i †`‡ni me‡ckx I †Kvl¸wj‡K my¯’ mej ivL‡Z PvB ch©vß Aw·‡Rb I cywó| e¨vqv‡gi g‡a¨ w`‡q wewfbœ A½-cÖZ¨‡½ i³ mÂvjb evwo‡q Avgiv †mB cywó I Aw·‡Rb †Kv‡l †Kv‡l †cŠu‡Q w`‡Z cvwi| wbqwgZ e¨vqv‡gi d‡j Avgv‡`i i‡³ Møy‡Kv‡Ri cwigvY K‡g, K‡g Av‡m D”Pi³Pvc, i³im ev wmiv‡gi g‡a¨ _vKv †Kv‡j‡÷ij I UªvBwMømvivB‡Wi gvÎv K‡g hvq| e¨vqvg wewfbœ iK‡gi| nuvUv, mvB‡Kj Pvjv‡bv, muvZvi KvUv, A¨v‡ivweK e¨vqvg, gvwëwR‡g e¨vqvg, †hvMe¨vqvg I AviI A‡bK wKQz| Gevi Avgiv e¨vqvg K‡qKwU welq m¤^‡Ü †R‡b wbB- nuvUv nuvUv Wvqv‡ewUm †ivMxi †ÿ‡Î GKwU my›`i e¨vqvg| AvRKvj Mvwo-†Nvovi msL¨v A‡bK †e‡o †M‡Q| †ewk `~i nuvUv †Zgb nq bv| GgbwK †QvULv‡Uv `yi‡Z¡ gvbyl ev‡m, Uªv‡g, wi·vq P‡o| Wvqv‡ewUm †ivMx‡`i Wv³v‡ii civgk© g‡Zv cÖwZw`b wbw`©ó c_ nuvU‡Z n‡e| nuvUv ev åg‡bi Rb¨ †fvi‡ejvUvB fv‡jv| Z‡e hv‡`i mKvj‡ejv nuvUvi Amyweav i‡q‡Q, Zviv †Mva~wj ev mܨvq nuvU‡eb| †h iv¯Ívq †ewk Mvwo PjvPj K‡i †mLv‡b bv nuvUvB fv‡jv| cvK©, †Ljvi gvV, †Kvjvnjnxb iv¯Ív åg‡bi Rb¨ me‡P‡q Dchy³ RvqMv| nuvUvi mgq †cvkvK n‡e wX‡jXvjv, cv‡q Pvgovi Ry‡Zv ev iev‡ii PwU bv c‡i Avivg`vqK Kvc‡oi †KW&m I †gvRv ci‡eb| nuvUvi mgq jÿ¨ ivL‡Z n‡e †giæ`Û †hb †mvRv _v‡K| cv‡qi mv‡_ Zvj wgwj‡q `ywU nvZ Av‡M-wc‡Q Kiæb| hLb Wvb cv Av‡M hv‡e ZLb Wvb nvZ †cQ‡b Avi evg nvZ mvg‡b DV‡e| evg cv‡qi †ÿ‡Î welqUv n‡e D‡ëv| nuvUvi ïiæ‡Z Av‡¯Í nuvUzb, gv‡S `ªæZ, †k‡l Avevi nuvUvi MwZ Kwg‡q Avb‡Z Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 36 -
  • 37. n‡e| Wvqv‡ewU‡mi mv‡_ hv‡`i nvU© wWwRm i‡q‡Q Zviv cÖ_g cÖ_g 10-15 wgwbU Av‡¯Í nuvUzb| wKQzw`b ci ax‡i ax‡i nuvUvi mgqmxgv I MwZ‡eM evov‡eb| hw` †Kvb mgq AwZwi³ kvixwiK Kó nq ZrÿYvr e‡m ev ï‡q wekªvg wbb| Gme wel‡q Avcbvi Wv³vieveyi civgk© g‡Zv Pjyb| cokxi civg‡k© ev wb‡R †_‡K gvZeŸix K‡i wec` †W‡K Avb‡eb bv| mvB‡Kj Pvjv‡bv mvB‡Kj Pvjv‡bv GKai‡bi A¨v‡ivweK G·vimvBR| A_©vr kvixwiK cwikª‡gi mv‡_ mv‡_ k¦vm-cÖk¦v‡miI e¨vqvg nq| G‡Z ü`&hš¿ I dzmdzm `yB fv‡jv _v‡K| m¤¢e n‡j mßv‡n wZb-Pviw`b AvaN›Uv K‡i mvB‡Kj Pvjv‡bv DwPZ| Z‡e hviv Wvqv‡ewU‡m AvµvšÍ n‡q‡Qb Zv‡`i N›Uvq cuvP gvB‡ji †ewk †e‡M mvB‡Kj Pvjv‡bv DwPZ bq| ZvQvov Avcwb hw` Av‡M wbqwgZ mvB‡Kj bv Pvwj‡q _v‡Kb; Z‡e bZzb K‡i mvB‡Kj Pvjv‡bv wkL‡Z hv‡eb bv| †m‡ÿ‡Î nx‡Zi †P‡q wecixZ n‡Z cv‡i| muvZvi KvUv muvZvi KvUv GKwU c~Y©v½ e¨vqvg ÑGK_v Avgiv A‡b‡KB Rvwb| muvZv‡i kix‡ii †gvUvgywU me A½ bovPov K‡i| †`‡ni cÖavb cÖavb gvsk‡ckx; †hgbÑ †Kvgi, nvZ, cv, eyK, wcV Gme my`„p I †g`gy³ nq| muvZv‡i ürwcÛ I dzmdz‡mi Kvh©ÿgZv ev‡o| hv‡`i ü`&‡ivM aiv c‡o‡Q I Wvqv‡ewUm Av‡Q Zviv Wv³v‡ii civgk© Qvov muvZvi KvU‡eb bv| A¨v‡ivweK e¨vqvg N‡ii g‡a¨ Aven m½xZ ev wgDwR‡Ki Zv‡j GB e¨vqvg Kiv nq| GUv A‡bKUv bv‡Pi g‡ZvB Dc‡fvM¨| gwnjv‡`i g‡a¨ A¨v‡ivweK e¨vqvg µ‡gB RbwcÖq n‡”Q| G‡Z e¨vqvgRwbZ K¬vwšÍ A‡bK Kg nq| g‡bi g‡a¨ wKQzUv D”Qvm I Avb›` Av‡m| †hme cyiæl I gwnjviv †g`eûj Zviv G †_‡K fv‡jv dj cv‡eb| gvwëwR‡g e¨vqvg gvwëwRg GKwU AvaywbK e¨vqvg| kn‡ii wewfbœ m¤£vš¿ A‡j Ô†nj&_ K¬veÕ M‡o D‡V‡Q| gvwëwRg †nj&_ K¬ve¸wji GK Ab¨Zg DcKiY| gvwëwR‡gi g‡a¨ kix‡ii wewfbœ As‡ki e¨vqv‡gi Rb¨ Avjv`v Avjv`v hš¿ jvMv‡bv _v‡K| †hgbÑ mvBW UzBw÷s, I‡qU wb‡q mvBW †ewÛs, Rvw¤ús, w¯‹wcs, IqvKvi, fvB‡eªUi, †ivjvi ¯úU ivwbs, wmU Avc AviI eû wKQz| kix‡ii Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 37 -
  • 38. evowZ †g` Kgv‡Z I wewfbœ A½ mej ivL‡Z Gme LyeB Kvh©Kix| Wvqv‡ewU‡mi mv‡_ ü`&‡ivM aiv covi ci gvwëwR‡g wM‡q fvix e¨vqvg Kiv DwPZ bq| e¨vqv‡gi mgq kix‡i Aw·‡R‡bi Pvwn`v †e‡o hvq| ¯^vfvweKfv‡e †e‡o hvq ü`¯ú›`‡bi nvi| ü`&¯ú›`‡bi nvi ev nvU©weU gvÎvwaK n‡q †M‡j ü`&‡ivMxi ‡ÿ‡Î Zv †_‡K wec` NU‡Z cv‡i| ZvB †hiKg G·vimvBR Kiæb bv †Kb, Zvi duv‡K gv‡S gv‡S cvj&m weU ¸‡Y †b‡eb| hLb †`L‡eb GB gvÎv Qvwo‡q †M‡Q m‡½ m‡½ e¨vqvg eÜ K‡i wekªvg wbb| ü`¯ú›`‡bi m‡e©v”P gvÎv wbf©i K‡i `ywU wel‡qi Dci ‡ivMxi kvixwiK my¯’Zv I Zvi eqm| Gevi †R‡b †bIqv hvK †Kvb e¨w³ m‡e©v”P KZ cvj&m †iU ch©šÍ G·vimvBR Ki‡Z cv‡ib| †hvMe¨vqvg mvaviYZ kixi‡K my¯’ ivLv, †ivMvµvšÍ kixi‡K †ivMgy³ Kiv I cigvZ¥vi mv‡_ AšÍi AvZ¥vi wgj‡bi gva¨g wnmv‡e cÖvPxb fviZxq Fwl gbxlxiv †hvMe¨vqvg Af¨v‡mi cÖPjb K‡ib| Wvqv‡ewUm cÖwZ‡iva Ki‡Z I †gvKvwejv Ki‡Z †hvMvmb LyeB Kvh©Kix| gnwl© cZÄjx e‡j‡Qb Ôw¯’‡i myLgvmbg&Õ| A_©vr w¯’ifv‡e myLKi Ae¯’vbB Avmb| †hvMvmb QvovI Av‡Q eûwea gy`ªv I cÖvYvqvg| Wvqv‡ewU‡mi ZxeªZv hLb †ewk _v‡K ZLb fv‡jvfv‡e nuvUvPjvi ci †ivMx cÖ_g w`‡K I mKvj weKv‡j †Lvjv‡gjv RvqMvq ågY cÖvYvqvg Ki‡Z cv‡ib| cÖvYvqvg nj cÖvY I Avcb evqy ci¯ú‡ii ms‡hvM| gnwl© hvÁeé¨i fvlvqÑ ÔcÖvYvcvb mgv‡hvMt, cÖvYvqvg BwZwiZtÕ| mnR K_vq ågY cÖvYvqvg nj- nuvUvi mgq c×wZMZfv‡e k¦vm-cÖk¦v‡mi wbqš¿Y| nuvUvi mgq cÖwZ c`‡ÿ‡ci mv‡_ mv‡_ g‡b 1-2- 3-4 D”PviY K‡i `yB bv‡Ki wQ`ª w`‡q k¦vm wbb| Zvici Avevi Av‡Mi g‡Zv 1-2-3-4 D”Pvi‡Yi m‡½ m‡½ k¦vmZ¨vM Kiæb| Gfv‡e GKgvm Af¨vm Kivi ci k¦vm †bIqvi I Qvovi mgq evwo‡q w`b| †hgb- cÂg I lô c`‡ÿc ch©šÍ k¦vm Qvo–b| g‡b ivL‡eb k¦vmMÖnY I k¦vmZ¨vM GB `yB-Gi DciB gbtms‡hvM Ki‡Z n‡e| †Kvb g‡ZB k¦vmaviY Ki‡eb bv| Zvovû‡ov bv K‡i ax‡i ax‡i Ges mshZ c`Pvjbvq ågY cÖvYvqvg Kiæb| k¦vm MÖn‡bi mgq jÿ¨ ivLyb KZ †ewk evqy Avcwb dzmdz‡m f‡i wb‡Z cvi‡Qb Ges k¦vmQvovi mgq †`Lyb ax‡i ax‡i KZ †ewk evqy Qvo‡Z cvi‡Qb| Ggb cÖvYvqv‡gi ci evwo wd‡i kevmb Kiæb| eqm(eQ‡i) my¯’ e¨w³(evi/wgwbU) Amy¯’ e¨w³(evi/wgwb‡U) 18 200 176 19-25 195 168 26-30 188 160 31-40 180 152 41-50 160 140 51-60 150 130 61 ev Zvi †ewk 140 118 Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 38 -
  • 39. ke A_©vr govi gZ wb¯ú›`fv‡e ï‡q wekªvg wb‡Z n‡e| wPr n‡q ï‡q co–b, cv `ywU j¤^v K‡i w`b| `yÕcv‡qi gv‡S GK †_‡K †`odzU duvK _vK‡e, cv‡qi †Mvovjx †fZi w`‡q _vK‡e Ges Av½yj¸wj evB‡ii w`‡K _vK‡e| nvZ `yÕwUI j¤^vjw¤^ fv‡e wb‡Ri myweav g‡Zv kix‡ii `yÕcv‡k †i‡L kixiUv‡K hZUv m¤¢e AvjMv K‡i w`b| cÖ_‡g kix‡ii bx‡Pi Ask; cv‡qi ey‡ov Av½yj †_‡K ïiæ K‡i cv‡qi Ab¨vb¨ Av½yj, cv‡qi cvZv, nuvUz, _vB, †Kvgi †_‡K mg¯Í cv A_©vr cÖwZwU A½‡K AvjMv K‡i w`‡Z n‡e| kix‡ii mv‡_ mv‡_ gb n‡e kvšÍ- axi- wPšÍvk~b¨| Avmb Ae¯’vq hw` Nyg Avm‡Z _v‡K Z‡e eyS‡Z n‡e AvmbwU wVKg‡Zv Af¨vm n‡”Q| kevmb D”Pi³Pvc I ü`&‡ivMx‡`i c‡ÿ Aek¨ KiYxq| GB Avm‡b kix‡ii wewfbœ A½ Zš¿ I ü`q m¤ú~Y© wekªvg cvq| †iv‡Mi DcmM©¸wj hLb K‡g Avm‡e ZLb mKv‡j cÖvZtK…Z¨ †kl K‡i ev weKv‡j ågY cÖvYvqv‡gi ci †MvgyLvmb, Rvbywkivmb, ceb gy³vmb, njvmb, Aa©gr‡m¨›`ªvmb, kkvsMvmb, DÇxqb, DwÌZ c`vmb, cwð‡gvËvbvmb Af¨vm Kiv hvq| Gevi †hvMvmb¸wj m¤^‡Ü †R‡b †bIqv hvK| †MvgyLvmb:- GB Avmb Kivi mgq Af¨vmKvixi cv‡qi Ae¯’vb †Mviæi gy‡Li g‡Zv †`Lvq e‡j G Avm‡bi G iKg bvg| cÖvPxb fvi‡Zi †hv‡Mi D‡jøL‡hvM¨, MÖš’ ÕÕnV‡hvM cÖ`xwcKvÕÕ eB‡qi 1/23 m~‡Î G Avm‡bi DcKvwiZv m¤^‡Ü we¯ÍvwiZ †jLv Av‡Q| GB AvmbwU wbqwgZ Af¨vm Ki‡j mv‡qvwUKv ev cv‡qi evZ, Ak©, BDwib Bb‡dKkb ev cÖmªve msµgY Gme †_‡K `~‡i _vKv hvq| c×wZ:- cv `yÕwU mvg‡b Qwo‡q emyb| Gevi Wvb cv nuvUzi Kv‡Q †f‡½ ev- cv‡qi bx‡P Wvb cv G‡b, Wvb †Mvovjx w`‡q euv- w`‡Ki cv ¯úk© Kiæb| GLb euv cv nuvUzi KvQ †_‡K †f‡½ Wvb cv‡qi †Mvovjx w`‡q cvQv ¯úk© Kiæb| Gmgq wki`uvov †mvRv ivL‡Z n‡e| GBevi euv-nvZ gv_vi Ici Zz‡j KbyB‡qi KvQ †_‡K †f‡½ euv-w`‡K Nywi‡q euv-nv‡Zi Av½yj aiæb| Gevi g‡b g‡b 1 †_‡K 15 ch©šÍ ¸byb| 1 wgwbU wekªvg wb‡q nvZ I cv e`‡j GKB fv‡e Af¨vm Kiæb| Rvbywkivmb:- GB Avm‡b Af¨vmKvixi Rvby A_©vr nuvUzi Ici gv_v ev wki‡K ivL‡Z nq| ZvB GB Avm‡bi bvg Rvbywkivmb| GB Avm‡b g~Îvkq ev BDwibvix eøvWv‡i Amyweav `~i nq| GB Avm‡b c¨vswµqvm ev AMœ¨vk‡q Kvh©KwiZv ev‡o| i‡³ †ewk cwigvY Bbmywjb †g‡k| d‡j eøvW-myMv‡ii gvÎv K‡g hvq| GB AvmbwU wbqwgZ Af¨vm Ki‡j †cŠwóK Z‡š¿i AviI A‡bK Amyweav `~i n‡Z cv‡i| Wvqv‡ewUm †ivMxi †ÿ‡Î cv‡qi mœvqy ev bvf© mPj ivLv we‡kl cÖ‡qvRb| GB Avm‡b Zv n‡q _v‡K| Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 39 -
  • 40. c×wZ:- `yÕcv mvg‡b Qwo‡q emyb| Wvb cv nuvUzi Kv‡Q †f‡½ cv‡qi †Mvovjx AÛ‡Kv‡li bx‡P k³ K‡i †P‡c aiæb| Gmgq Wvb cv‡qi cvZv ev Eiæi mv‡_ †j‡M _vK‡e| Gevi `yÕnvZ w`‡q ev cv‡qi Av½yj¸wj a‡i `g Qvo‡Z Qvo‡Z gv_v bxPz K‡i Av‡¯Í Av‡¯Í Kcvj euv- cv‡qi nuvUz‡Z †VKv‡Z n‡e| GB Ae¯’vq g‡b g‡b 1 †_‡K 10 ch©šÍ ¸Yyb| G mgq †Lqvj ivL‡Z n‡e †hb Wvb cv‡qi nuvUz †hb bv fv‡½ I Wvb cv †hb gvwU‡Z †j‡M _v‡K| Gici `y-cv Qwo‡q 1 wgwbU wekªvg wbb| Zvici cv e`‡j GKB fv‡e Af¨vm Kiæb| ceb gy³vmb:- GB Avm‡bi Af¨v‡mi d‡j Af¨vmKvixi †c‡Ui g‡a¨ R‡g _vKv M¨vm ev evqy cvqyc‡_ evB‡i †ewi‡q hvq| †m Kvi‡Y GB Avm‡bi bvg ceb gy³vmb| GB Avmb Af¨v‡mi d‡j †Kvôe×Zv `~i nq| hv‡`i gj KwVb nq; Zv‡`i †ÿ‡Î G AvmbwU LyeB DcKvix| GwU wbqwgZ Af¨v‡m wjfvi I cvK¯’jxi `ye©jZv †m‡i hvq| Wvqv‡ewUm †ivMxi †Kvô cwi®‹vi nIqv LyeB Riæix| GB Avm‡bi d‡j †c‡Ui †ckx mej nq, †c‡Ui Pwe© Kgvq| Rvby I cvQvi †ckxi w¯’wZ¯’vcKZv ev‡o| c×wZ:- wPr n‡q ï‡q co–b| cÖ_‡g Wvb cv nuvUzi KvQ †_‡K †f‡½ Ic‡i Zy‡j ey‡Ki Kv‡Q Avbyb| Gevi `ÕynvZ w`‡q nuvUzi Kv‡Q †P‡c ao–b| hv‡Z _vB I †cU eyK‡K ¯úk© K‡i| GB Ae¯’vq 25-30 †m‡KÛ _vKvi ci cv Qwo‡q w`b| wVK GKBfv‡e ev-cv‡q Af¨vm Kiæb| `yÕcv‡q `y-evi K‡i †gvU Pvievi Af¨v‡mi ci 30 †m‡KÛ kevmb Kiæb| GBfv‡e ceb gy³vmbwU 8-10 evi Af¨vm Ki‡Z cv‡ib| njvmb:- GB Avmb Kivi mgq Af¨vmKvixi †`n ÔnjÕ A_©vr jv½‡ji g‡Zv †`L‡Z nq; ZvB GB Avm‡bi bvg njvmb| GB Avmb Af¨v‡m †giæ`Û I _vBi‡qW MÖwš’ mej I Kg©V nq| †c‡Ui †fZ‡i _vKv AMœ¨vk‡qi MÖwš’‡Z we‡kl Pvc c‡o| †m Kvi‡Y Wvqv‡ewUm †ivMx‡`i c‡ÿ GB AvmbwU LyeB DcKvix| GQvovI †Kvôe×Zv, †cU duvcv, M¨vm, A¤^j GB Avm‡b `~i nq| c×wZ:- `yÕwU nvZ †`‡ni `yÕcv‡k †i‡L wPr n‡q ï‡q co–b| jÿ¨ ivL‡eb nv‡Zi †P‡Uv `yÕwU †hb †g‡S‡K ¯úk© K‡i| GBevi †P‡Uvi Ic‡i fi w`‡q `g wb‡Z wb‡Z `yÕwU cv gv_vi †cQ‡b wb‡q hvb| hZUv `~‡i m¤¢e †g‡S‡Z jvMvb| Gevi `g Qvo–b| †Lqvj ivL‡eb _yZwb †hb ey‡K †j‡M _v‡K| cv‡qi nuvUz †hb bv f‡½| GB Ae¯’vq 30 †m‡KÛ _vKvi ci `g wb‡Z wb‡Z Av‡Mi Ae¯’vq wd‡i Avmyb| GB AvmbwU 4-6 evi Af¨vm Kiæb| cÖwZevi Af¨v‡mi ci wKQzÿY kevmb Ki‡eb| Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 40 -
  • 41. Aa©gr‡m¨›`ªvmb:- †hvMxivR ¯^vgx gr‡m¨›`ªbv_ GB ai‡bi GKwU Avmb cÖ_g cÖPjb K‡ib| Z‡e mvavib gvby‡li c‡ÿ †mwU Af¨vm Kiv LyeB KóKi| †m Kvi‡Y †mUvB GKUz cwieZ©b K‡i Aa©gr‡m¨›`ªvmb ˆZwi Kiv n‡q‡Q| GB Avm‡b †`‡ni †giæ`Û LyeB w¯’wZ¯’vcK nq| †Kvg‡oi evZ, wc‡V e¨_v, †Kvôe×Zv GB Avm‡b `~i nq| Avgv‡`i †giæ`‡Ûi cÖvq QvweŸkwU K‡kiæKv †fZ‡i _vKv mœvqy‡Z cÖPzi i³ cÖevwnZ nq| Wvqv‡ewUm †ivMx‡`i cv I †Kvg‡o †h mœvqyi weKjZv †`Lv †`q Aa©gr‡m¨›`ªvmb Zv mvwi‡q †Zv‡j| c×wZ:- `yÕwU cv mvg‡bi w`‡K Qwo‡q †mvRv n‡q emyb| GBevi WvbnuvUz †f‡½ Wvb cv‡qi †Mvovjx AÛ‡Kvl ev †hvwb Øv‡ii Kv‡Q wb‡q Avmyb| Gevi euvÕcv Wvb cv‡qi Wvbw`‡K Luvovfv‡e gvwU‡Z ivLyb| Wvb nvZ w`‡q euvÕ nuvUzwU k³ K‡i a‡i ivL‡eb| GBevi euv-nvZ euv w`K w`‡q wb‡q wM‡q _vB ¯úk© Kiæb| kixiwU‡K hZ`~i m¤¢e Wvb w`‡K †Nvivb| GB Ae¯’vq 30 †m‡KÛ †_‡K `yÕcv Av‡Mi g‡Zv mvg‡b Qwo‡q w`b| cv e`j K‡i GKBfv‡e D‡ëvw`‡K Af¨vm Kiæb| kkvsMvmb:- †kvbv hvq fq †c‡j Li‡Mvk Zvi ÔkkÕ wb‡Ri gv_v bxPz K‡i jywK‡q iv‡L|| GB Avmb Af¨vmKvixi †`nUv †miKg nq e‡j Avm‡bi bvg kkvsMvmb| GB Avmb Af¨v‡mi mgq †giæ`‡Û j¤^vjw¤^ Uvb c‡o| †giæ`‡Ûi ‰`N¨ ¯^vfvwe‡Ki †_‡K Bw Lv‡bK †e‡o hvq| GB Avm‡b _vBi‡qW, wcUzBUvwi MÖwš’ I c¨vswµqv‡mi Kvh©ÿgZv ev‡o| Gid‡j Wvqv‡ewUm AwZwi³ ¯’yjZ¡ ev kxY©Zv GBme Amyweav `~i nq| c×wZ:- nuvUz †Mu‡o `yÕcv‡q Dci emyb| gjØvi `yÕwU ‡Muvovjxi gvSLv‡b _vK‡e| Gevi `yÕnvZ w`‡q †Muvovjx †P‡c aiæb| wbZ¤^ ev cvQv Zz‡j hZUv m¤¢e mvg‡bi w`‡K wb‡q hvb| gv_v byB‡q nuvUzi mvg‡b G‡b gv_vi Zvjy †g‡S‡Z I Kcvj nuvUz‡Z †VKvb| GB Ae¯’vq †Lqvj ivL‡Z n‡e †Kvgo †_‡K gv_vi Ask †hb aby‡Ki g‡Zv †eu‡K _v‡K| wPeyK ey‡K †V‡K KÉbvjx‡Z †hb †ek Pvc †`q| GB Ae¯’vq 30 †m‡KÛ _vKvi ci kevmb Kiæb| DÇxqb:- cÖvPxb fvi‡Zi †hv‡Mi MÖš’ ÔnV‡hvM- cÖ`xwcKvqÕ GB Avm‡bi ¸Yv¸Y eY©bv Kiv n‡q‡Q| †NiÛ- msMxZv‡ZI GB Avm‡bi D‡jøL i‡q‡Q| GB Avm‡b cvK¯’jx, ¶z`ªvš¿, hK…r GBme A½hš¿ ¸wji Kvh©ÿgZv ev‡o| †hme Wvqv‡ewUm †ivMxiv †c‡Ui wewfbœ Amyweavq fzM‡Qb Zviv mKvj‡ejvq Lvwj‡c‡U GB AvmbwU Af¨vm Kiæb| fv‡jv dj †c‡Z cv‡ib| c×wZ:Ñ `yÕwU cv cÖvq ‡`odzU duvK K‡i `uvovb| Gevi `yÕwU nuvUzi Ic‡i `yÕnvZ †i‡L kix‡ii Ic‡ii Ask mvg‡b mvgvb¨ †euwK‡q w`b| GBevi `g †Q‡o w`‡q bvwf, †c‡Ui †ckx hZUv m¤¢e †fZ‡ii w`‡K †U‡b Avbyb| ey‡Ki †ckx‡KI Ic‡i †Zvjvi †Póv Kiæb| GBfv‡e 20 Wvqv‡ewU‡mi †gvKvwejvq- Wvt cv_©cÖwZg| www.drparthapratim.com - 41 -