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  1. 1. PPPPrrrr====ccccffffOOOO{{=={{==eeeeLLLL eeeeLLLL=ttttyyyyffff PPPP8888;;;; ;;;;++qq+q+qmmmmllllddddtttt 3333////ddddffff uuuullll////gggg]] ]] ::::ooooxxxxffff//// llllddddttttxxxx???? ssssffff] kkkk''ll''ll::::ttttssssffff Prof. Dr. Ram Sharan Mehta jjjjLLLL====kkkkLLLL==== ssssffff]]OO]]OO{{//{{//ffffnnnnffff ::::jjjjffff::::YYYYoooo lllljjjj1111ffffgggg kkkk||ll||llttttiiii7777ffffgggg wwww////ffffgggg,,,, ;;;;''gg''gg;;;;////LLLL,,,, gggg]]kk]]kkffffnnnn Prof. Dr. Ram Sharan Mehta, Medical Medical-Surgical Nursing Department, CON, BPKIHS
  2. 2. eeee''ll''llddddssssffff Pr=cfO{=eL= tyf P8; :jf:Yo ;d:of dfq geO Ps ;fdflhs ;d:of klg xf] . o'=Pg=P8;sf cg';f/ xfn ljZjdf sl/a # s/f]8 #@ nfv JolStx? Pr=cfO{=eL= tyf P8; af6 ;s|ldt 5g . /fli6«o P8; tyf of}g /f]u s]Gb| (NCASC) sf] tYof+s cg';f/ !% l8;]Dj/ @)!@ ;Ddf g]kfndf hDdf @!%%! hgf Pr=cfO{=eL= ;+qmldt /x]sf] 5g. o; dWo] !#,&!* k'?if, &,*!& dlxnf tyf !^ hgf t];|f] ln+uL /x]sf 5g . xfn ;Dd g]kfndf hDdf &,&!( hgfn] P=cf/=6L= cf}iflw vfb} u/]sf] 5, h;dWo] $,!(& k'?if, #,$(( dlxnf / @# hgf t];|f] ln+uL 5g . ;g @)!@ l8;]Dj/ !% tf/]s ;Dd !&% hgf ue{jtL dlxnf Pr=cfO{=eL= ;+qmldt ePsf] h;dWo] !!) hgfn] aRrf hGdfPsf] / !)* hgf aRrfnfO{ ART cf}iflw ;]jg u/fPsf] lnlvt tYof“s 5 . g]kfndf cg'dflgt &),))) JolStdf Pr=cfO{=eL= sf] ;+qmd0f /x]sf] tYo ljlwGg ;+w ;+:yfn] u/]sf] ;j]{If0fdf b]vfOPsf] 5 . xfn ;Dd -@)!#_ g]kfndf $$ :yfg jf6 P=cf/=6L= (ART) cf}iflw ljt/0f ub]{ u/]sf], %$ :yfg df lk=Pd=l6=l;=l6= (PMTCT) sf] ;'ljwf tyf !* :yfgdf l;=l8= $ hf“r ug]{ ;'ljwf /x]sf] 5 . Pr=cfO{=eL= tyf P8; s]jn kl/jf/, ;d'bfo, /fi6« / ljZj :jf:Yosf] lglDt dfq geO{ bL3{sflng cy{Joj:yf / ;fdflhs ljsf;df ;d]t 7"nf] r'gf}tL ag]sf] 5 . Pr=cfO{=eL= ;+qmldt JolStxx? e]befj / nf~5gfsf 8/n] g} cfºgf] ;d:of /fVgaf6 lxlRsrfO/x]sf 5g / ;]jf tyf clwsf/ lngaf6 al~rt eO/x]sf 5g tyf v'n]/ ;dfh ;fd' k|:t't x'g klg 8/fO/x]sf 5g h:n] ;d:ofnfO{ cem rsf{Psf] 5 . ;du|df Pr=cfO{=eL= tyf P8;sf] lgoGq0f / o;af6 ;+s|ldt Pj+ k|efljt JolStx?nfO{ cGo gful/s ;/x clwsf/sf] k|Tofe"lt ug{ x/]s tx / tKsfdf sfo{/t ;a}n] plts} rf;f] / ;xof]u ug'{kg]{ 68sf/f] cfjZostf b]lvG5 . /ftf] l/jg sf] k|of]u u/]/ pSt k|ltj4tf xfdLn] klg k/f ug{ k5{ / Psj4tf hgfpg k5{ . Pr=cfO{=eL= tyf P8; ePsf JolStx? sf] :jf:Yo ;'wf/df kl/jf/sf ;b:o tyf :jf:YosdL{x?sf] cxd e'ldsf xG5 . o; k'l:tsfn] P8; ;+qmldt JolStx?sf] 3/ kl/jf/df ;]jf k'¥ofpg lgs} dbt ug]{ 5 / cfjZostf k/]sf] a]nf w]/} dbt ug{'sf] ;fy} ;+qmldtx?nfO{ :jf:Yo ;d:ofx? Jff6 aRg tyf :jf:Yo hLjg ofkg ug{ ;xof]u k'Ug] cfzf lnPsf] 5' . o; k'l:tsfsf] k|sf;gdf ;xof]u k'¥ofpg' x'g] k|f= 8f= k|Nxfb sfsL{ -ljefuLo k|d'v_, 8f= ;'dg l/hfn -Ogrfh{ Ogkm]S;Lo; tyf 6«lksn l8lhh o'lg6_, k|f= 8f= aneb| bf; -pks'nklt_, k|f= 8f= ljs|d k| ;fb >]i7 -/]S6/_, k|f= 8f= c/ljGb l;+xf -c:ktfn lgb]{zs_, 8f= gljg kf08] -zf]wstf_, lagf]b s'df/ b]j - zf]wstf_, /dfgGb rf}w/L -d]6«f]g_ kbdf clwsf/L -jf8 OGrfh{_, c+hL/ >]i7 -P=cf/=l6= g;{_, P=cf/=l6= Snlgssf 8fS6/, 6«lksn o'lg6sf ;Dk"0f{ g;{ tyf ljleGg ;+3;+:yfsf JolStx? nufot ;xefuL ;+k"0f{ Pr=cfO{=eL=÷P8; ;+s|ldt JolStx? / tLgsf ;xof]uL nufot k|sfzgdf ;xof]u k'¥ofpg' x'g] >L dlt k'gd d]xtfnfO{ wGojfb lbg rfxG5' . o; cg';Gwfgn] Pr=cfO{=eL= tyf P8; ;+qmldt JolStx?nfO{ s]lx g s]lx ;xof]u cjZo k'Ug] 5 eGg] cfzf /fv]sf] 5' / ;xefuL tyf ;xof]ustf{ ;a}nfO{ k'gM wGojfb lbb} cfpbf lbgdf k'gM ;xof]u tyf ;Nnfxsf] ck]Iff /fVb 5' . wGojfb . 8888ffff====////ffffdddd zzzz////0000ffff dddd]]xx]x]xttttffff k|d'v zf]wstf{ jL=kL= sf]O{/fnf :jf:Yo lj1fg k|lti7fg w/fg Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  3. 3. lllljjjjiiiiffffoooo ;;;;""rr""rrLLLL lllljjjjaaaa////0000ffff kkkk]]hh]h]h ggggDDDDaaaa//// !. Pr= cfO{= eL=tyf P8; ;+qmldt af/] hfgsf/L=============================================== % @. Pr=cfO{=eL=tyf P8; ;+qmldtx?sf] 3/df ul/g] :oxf/========================================== & # P8; ;+qmldtx?sf] x]/ljrf/ ug{] JolStn] Wofg lbg'kg]{ s'/f?=================================== * $ P8; ;+qmldtx?sf]] x]/ljrf/ ug{ JolStn] cfÎgf] ;'/Iff s;/L ug' kg{======================== * % P8; ;+qmldtx?sf] n'ufkmf6f ;kmf ubf{ Wofg lbg' kg]{ s'/fx?==================================== * ^ Pr= cfO{= eL= k}mng hf]lvd 36fpg] pkfox?======================================================== ( & P=cf/=6L= n] s;/L sfd u5{=============================================================================== ( * of}g /f]usf k|d'v nIf0fx?================================================================================== ( ( lj/fdL tyf kl/jf/sf ;b:ox?n] ljz]if Wofg lbg' kg]{ cj:yfx?================================ ( !) P=cf/=6L= cf}iflw vfO{ /fv]sf JolStx?n] Wofg lbg' kg]{ s'/fx?================================= !) !! cj;/jfbL ;+qmd0faf/] hGg'kg]{ s'/fx?================================================================== !) !@ P8; ;+s|ldtx?df b]lvg] :jf:Yo ;d:ofx? tyf tLgsf pkrf/=============================== !@ -s_ cfltg' (Anxiety) ============================================================================= !@ -v_ slAhot (Constipation) ================================================================= !# -u_ vf]ls nfUg' (Coagh/Sore throat)…………………………………………….. !# -3_ zf]s÷lrGtf (Depression)............................................................ !# -ª_ emf8f kvfnf (Diarrhoea) ............................................................ !$ -r_ 5fnfsf] x]/rfx (Skin care)……………………………………………………… !% -5_ rSs/ nfUg' (Dizziness)…………………………………………………………. !% -h_ Hj/f] cfpg' (Fever)……………………………………………………………….. !% -em_ la;{g] afgL (Forgetfulness)………………………………………………….. !^ -`_ sdhf]/L dx;'; x'g' (Loss of strength / fatigue)……………………….. !& -6_ jfsjfsL nfUg' (Nausea)……………………………………………………….. !& -7_ /ftL kl;gf cfpg' (Night Sweats)……………………………………………. !* -8_ xft v'§f emdemd ug{' (Pain and Tingling in hands, legs & feet)… !* -9_ ;f“; km]g{ ufx|f] ePdf (Shortness of breath)………………………………. !( -0f_ 5fnfsf] 3fp (Skin abscess/boils)………………………………………….. !( -t_ 5fnfdf kmf]sf cfpg' (Skin blister)…………………………………………… !( Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  4. 4. -y_ 5fnfdf ljld/f cfpg' (Skin rash)……………………………………………… @) -b_ xft v'§f ;lGgg] (Swelling of Arms, Hands and Feet)…………….... @) -w_ lgGb|f gnfUg] (Trouble sleeping /insomnia)………………………… …. @) -g_ tf}n 36g' (Weight loss)…………………………………………………………. @! -k_ d'vdf ;]tf] 3fp x'g' (White Spots in Mouth/Oral Thrush)………….. @@ -km_ of]gL lrnfpg' , kf]Ng' tyf ;]tf] kfgL aUg'============================================ …. @@ -a_ /St–cNktf (Anemia)…………………………………………. @@ -e_ km+u; -9';L_ ;+s|d0f============================================================================== @@ -d_ cf]5ofgsf] 3fp (Bed Sore/Wound)……………………………………………… @# -o_ skfn em/]df s] ug]{ ================================================================================ @# -/_ k]/Lkm]/n lgp/f]KofyL================================================================================== @# -n_ c;fwf/0f jf v/fa ;kgfx? cfPdf s] ug]{ ================================================== @$ -j_ w]/} yfsfg dxz'; ePdf s] ug]{ ================================================================ @$ -z_ b'MvL jf lrGtt ePdf s] ug]{====================================================================== @$ !# Ifo/f]u -6L=aL=_================================================================================================= @$ !$ x]oefj / e]befj sd ug{ s] ug]{========================================================================= @$ !% dfgl;s :jf:Yo ;'wf/========================================================================================== @% !^ :j:y /xg s] vfg]============================================================================================= @% !& l;ls:t cj:yfsf JolStx?sf]] 3/df pkrf/ ubf{ ljrf/ k'¥ofpg' kg]{ s'/fx?================== @^ !* 3/ kl/jf/df cfwfl/t ;]jfsf] nflu rflxg] cfjZos ;fdu|Lx? ================================== @^ !( P8; ;+qmldtx?nfO{ w/df ul/g] :ofxf/sf] nflu cfjZos kg]{ cf}iflw============================ @& @) P8; ;+qmldt JolStnfO{ 3/kl/jf/df ;]jf k|bfg ug]{ kl/jf/sf] ;b:o tyf ;+qmldt JolStx?n] l;Sg' kg]{ s/fx? =================================================================== @* @! kL/, lrGtf tyf tgfj sd ug]{ pkfox? ================================================================== @* @@ Pr=cfO{=eL= ;+qmldtsf] ;fdflhsLs/0f sf] pkfox?=================================================== @( @# w'd|kfg / Pr=cfO{=eL============================================================================================ @( @$ Pr=cfO{=eL= tyf P8;sf ;DaGwdf ldYof s'/fx? tyf e|dx?===================================== @( @% Pr=cfO{=eL= tyf P8; ;+qmldt JolStx?n] Wofg lbg kg]{ s'/fx? ================================= #) @^ P=cf/=6L= cf}ifwL vfO{ /x]sf P8; ;+qmldtx?n] Wofg lbg' kg]{ s'/fx? ========================== #) @& ;+be{ ;fdu|L (Refrences)............................................................................ #! Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  5. 5. 1. PPPPrrrr====ccccffffOOOO{{=={={=eeeeLLLL==== ttttyyyyffff PPPP8888;;;; aaaaffff////]] ]] hhhhffffggggssssffff////LLLL Pr=cfO{=eL= eg]sf] dfgj z/L/df dfq af“Rg ;Sg] Pp6f z'Id hLjf0f' xf] . o;n] dfgj z/L/df epsf] /f]u;“u n8g ;Sg] k|lt/f]wfTds zlQmnfO{ gi6 ub{5 . h;n] ubf{ Pr=cfO=eL= ;+qmldt JolStnfO{ kl5 uP/ P8; x'G5 . Pr=cfO{=eL=eg]sf] cf“vfn] b]Vg g;lsg] Ps clt ;fgf] hLjf0f' -efO/;_ xf] . Pr=cfO=eL cfkm}df /f]u xf]Og . of] Pr=cfO=eL efO/; dfgj z/L/df k|j]z u/] kl5 z/L/sf] /f]u;“u n8g] Ifdtf JolStaf6 cGo JolStx?nfO{ Pr=cfO{=eL ;g{ ;Sb5 . P8; eg]sf] Pp6f o:tf] cj:yf xf], h;df Pr=cfO{=eL= ;+s|ldt JolStsf] z/L/sf] k|lt/Iff zlStdf sdL eP/ ljleGg /f]usf ls6f0f'x?n] ;hLn};“u cfs|d0f ub{5g . kl/0ffd :j?k ;+qmldt JolStdf ljleGg cj;/jfbL /f]usf nIf0fx? b]vfkb{5g . Pr=cfO{=eL= / P8; ePsf JolStx?k|lt dfof, ;xof]u / /fd|f] x]/rfx lbg ;s] / pgLx?n] hLjg k|lt ;sf/fTds ;f]r lnP/ lgoldt k/fdz{ / kl/If0f u/L ;dodfg} Pr=cfO{=eL= cf}ifwLsf] k|of]u ug{ ;s]df :jf:Yo hLjg hLpg ;S5g . PPPPrrrr====ccccffffOOOO{{=={{==eeeeLLLL==== (HIV) eeeegggg]]ss]s]sffff]] ] ssss]] ] xxxxffff]] ] <<<< H = Human -dfgj+_ I = Immuno Deffciency -/f]u k|lt/f]wfTds sdL_ V = Virus -lhjf0f'_ PPPPrrrr ccccffffOOOO{{ {{ eeeeLLLL ;;;;++qq++qqmmmmdddd0000ffff eeeePPPPddddffff ssss]] ]] xxxx''GG''GG5555 <<<< Pr= cfO{= eL= ;+qmd0f ePsf] t'¿Gt} yfxf gx'g ;S5 . s]xL dflg;x¿nfO{ Hj/f] cfpg], 6fpsf] b'Vg], 3f“6L b'Vg], z/L/sf] df+zk]zL, hf]gL{, k]6 b'Vg], u|GyL ;'lgP/ cfpg], 5fnfdf vl6/f cfpg] cflb nIf0fx¿ Ps jf b'O{ xKtfsf] cjlwdf b]vf kb{5 . k|foM h;f] dflg;x¿n] o;nfO{ ¿3fvf]sL -ˆn"_ nfu]sf] ;f]r]sf x'G5g eg] s;} s;}df s'g} nIf0f g} b]vf gkg{ klg ;Qm5 . z/L/df ;+qmd0f eP kl5 xKtf} jf dlxgf} o;sf] hLjf0f' ;+Vofdf j[l4 x'G5 t/ o; ;dodf /f]u k|lt/f]w zlStnfO{ vf;} c;/ kf/]sf] x'b}g . /utsf] hf“rdf klg hLjf0f' e]l6b}g t/ c¿ JolStnfO{ eg] ;lhn} ;fg{ ;S5 . kl5 ha lj:tf/} o; hLjf0f'n] z/L/sf] k|lt/f]wfTds zlStnfO{ c;/kfg{ z'¿ u5{ . o;n] z/L/df k|lt/IffTds zlSt (antibodies) agfpg yfN5 . To;kl5 /ut hf“r ubf{ Pr=cfO{=eL= ;+qmldt g} 5 eGg] klxrfg x'G5 . of] /f]u nflu ˆn" h:tf] nIf0f b]lv;s]kl5 sltko /f]uL !) jif{ jf Tof] eGbf j9L ;do;Dd lg/f]uL jf :j:Yf /xg ;S5g . t/ o; ;dodf of] hLjf0f'n] z/L/df ePsf] /f]u k|lt/f]w zlStnfO{ lj:tf/} gi6 ub}{ n}hfG5 . k|lt/f]wfTds k|0ffnLdf ePsf] Ifltsf] u0fgf ug]{ Pp6f pkfo /f]uLsf] ;L=8L= $ sf] sf]ifsf] u0fgf ug'{ xf] . oL sf]ifx¿nfO{ l6 x]Nk/ sf]if klg elgG5 . h'g xfd|f] k|lt/f]wfTds k|0ffnLsf] dxTjk"0f{ c+u x'g . Pp6f :j:y dflg;sf] Ps ldlnln6/ (1 ml) /utdf %)) b]lv !%)) ;Dd l; 8L $ sf]ifx¿ x'G5g . pkrf/ ePg eg] oL k|lt/Iff k|0ffnLsf sf]ifx¿sf] ;+Vof gi6 eO 36b} hfG5 . Pr=cfO{=eL= sf nIf0fx¿ b]vf kg{ yfN5, h:t}M Hj/f] cfO{/xg], /ftL kl;gf cfpg], emf8f kvfnf nfUg], u|GyLx¿ ;'lGgg] cflb x'G5g . olb Pr=cfO{=eL= ;+qmd0fsf] cj:yfdf xf] eg] oL nIf0fx¿ s]lx lbg b]lv xKtf}+;Dd Psgf;;+u /lx/xg ;S5g . PPPP8888;;;; (AIDS) eeeegggg]]ss]s]sffff]]]] ssss]] ] xxxxffff]] ]] <<<< A = Acquired -cflh{g, j+zfg'ut xf]Og_ I = Immune -z/L/sf] /f]u k|lt/f]wfTds zlQm_ D = Defficiency -x|f; x'g' jf sfd x'g'_ S = Syndrome -ljleGg/f]usf] lrGx / nIf0fx?sf] ;d"x_ Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  6. 6. PPPP8888;;;; eeeePPPPssssffff]] ]] ssss;;;;////LLLL yyyyffffxxxxffff kkkkffffppppgggg]] ]] <<<< hj Pr=cfO{=eL= /f]u nfu]sf] dflg;sf] z/L/sf] k|lt/Iff k|0ffnLdf ulDe/ ¿kn] Iflt k'Ub5 . tj To;nfO{ P8; ePsf] elgG5 . olb tkfO{sf] ;L8L kmf]/ (CD4) sf]if{x¿ @%) eGbf sd ePdf P8; ePsf] elgG5 . ssss]] ]] PPPP8888;;;; ////ffff]]uu]]uu llllggggssssffff]] ]] xxxx''GG''GG5555 <<<< of] /f]u lgsf] x'g ;Sb}g . hLjf0f' lj/f]wL cf}iflw pkrf/ sf]] k|of]ujf6 Pr=cfO{=eL= lhjf0f'nfO{ sdL ul/ z/L/sf] k|fs[lts k|lt/f]wfTds zlQm gi6 x'g jf6 s]xL xb;Dd /f]Sg ;lsG5 . w]/} dflg;x¿ P= cf/= 6L= cf}iflw nuftf/ vfO{/x]df w]/};Dd afFRg ;S5g . z/L/af6 Pr=cfO{=eL= x6fO{ /f]u g} lgsf] kfg{ eg] ;lsb}g . cGo cf}ifwLx¿n] df}sfk/s ;+qmd0fnfO{ /f]syfd ug{ / pkrf/ ug{ ;lsG5 . k|fo h;f] cj:yfx¿df lo cf]iflwx¿n] w]/} /fd|f] sfd ub{5g . clwsf+; df}sfk/s ;+qmd0fx¿sf] b/nfO{ 36fpg gofF / z;Qm P cf/ eLx¿n] ;xof]u k'¥ofO /x]sf 5g. oBlk s]lx df}sfk/s ;+qmd0fx¿sf] pkrf/ ug{ w]/}g} sl7gfO{ kb{5 . PPPPrrrr====ccccffffOOOO{{=={{==eeeeLLLL====ssss;;;;////LLLL ;;;;bbbb{{}}gg{{}}gg <<<< kl/jf/df ;“u} a:bf, Pp6} rlk{sf] k|of]u ubf{, Pp6} sf“uLof]sf] k|of]u ubf{, xft ldnfp“bf, Pp6} ef“8fdf vf“bf / kfgL lkp“bf, nfd'66]sf] 6f]sfOaf6, lj/fdLnfO{ :ofxf/ ;';f/ ubf{, DjfO{ -r'Djg_ vf“bf, ;“u} kf}8L v]Nbf . PPPP8888;;;;ssssffff kkkk||dd||dd''vv''vv nnnnIIIIffff0000ffffxxxx????MMMM · PsfPs z/L/sf] tf}n !) k|ltzt eGbf al9 36b} hfg' . -b'Anf] b]lvG5_ · Ps dlxgf eGbf a9L ;do ;Dd nuftf/ Hj/f] cfO/xg' . · Ps dlxgfeGbf a9L ;do ;Dd nuftf/ ?kdf emf8f kvfnf nflu/xg' . · z/L/sf] ljleGg efusf u|GyLx? ;'lGgg' . PPPPrrrr==== ccccffffOOOO{{=={{== eeeeLLLL==== //// PPPP8888;;;; ;;;;++qq++qqmmmmdddd0000ffffssssffff rrrr////0000ffffxxxx???? uuuu''KK''KKtttt ccccjjjj::::yyyyffffMMMM Pr=cfO{=eL= ;+qmd0f eP klg k/LIf0f ubf{ yfxf gx'g] cj:yfnfO{ u'Kt cj:yf (Window Stage) elgG5 . o; cj:yfnfO{ g]kfnLdf ¤ofnL cj:yf eg]/ cg'jfb ul/Psf] 5 , t/ xfdLn] o; k':tsdf o; cj:yfdf kl/If0f ubf{ yfxf gkfOg] t/ /utdf x'g]ePsfn] u'Kt cj:yf eg]sf 5f} . of] hLjf0f' z/L/df k|j]z u/]sf] 5 b]lv !@ xKtf;Dd /utdf x'g] ePsfn] u'Kt cj:yf eg]sf] 5f} . of] hLjf0f' z/L/df k|j]z u/]sf] 5 blv !@ xKtf;Dd /ut k/LIf0f ubf{klg Pr=cfO{=eL= ;+qmd0f eP–gePsf] k|dfl0ft ug{ ;lsb}g, t/ of] cj:yfdf c;'/lIft of]g;Dks{ jf /utsf] dfWodaf6 Pr=cfO{=eL= ;g{ ;S5 . aaaaffffxxxxssss ccccjjjj::::yyyyffffMMMM o; cj:Yfdf /ut k/LIf0f ubf{ z/L/df Pr=cfO{=eL= ;+qmd0f eP gePsf] lglZrt x'G5 . of] cj:yfnfO{ afxs eP gePsf] lglZrt x'G5 . of] cj:yfnfO{ afxs cj:yf (Carrier Stage) elgG5 . of] cj:yfdf klg c;'/lIft of}g ;Dks{ jf /utsf] dfWodaf6 Pr=nfO{=eL= ;g{ ;S5 . of] cj:yfdf Pr=cfO{=eL= ePsf] JolQmnfO{ x]bf{ ;fdfGo JolQm;/x ;/;kmfO{, ;a}af6 ;xof]u / /fd|f] Jojxf/ kfPdf l5§} P8sf] cj:yfdf k'Ub}g . o;f] ug]{x? !)–!% jif{ b]lv :j:y / ;lqmo /x]/ hLjg u'hfl//x]sf x'G5g . PPPP8888;;;; ccccjjjj::::yyyyffffMMMM P8; cj:yf (AIDS stage) eg]sf] Pr=cfO{=eL= ;+qmd0fsf] kl5Nnf] cj:yf xf] . of] eg]sf] JolQmsf] z/L/sf] k|lt/IffTds k|0ffnL sdhf]/ eO;s]sf] cj:yf xf] . o; cj:yfdf ;fdfGo ;qmd0f jf /f]ux? lj?4 n8g ;Sg] Ifdtf klg /xb}g, h;n] ubf{ ljleGg cj;/jfbL /f]ux? Pp6} jf ;fd'lxs ?kdf b]vfk5{g, h;sf] jf/Djf/ pkrf/ u/fO/xg' kb{5, gu/] s]xL jif{ k5fl8 lj/fdLsf] d[To' x'G5 . xfn Pr=cfO{=eL= sf] ;+Vof a[l4 x'g /f]sL /f]uLsf] cfo' a9fpg ;xof]u k'¥ofpg] cf}iflwo'Qm (Anti Retroviral Therapy) klg pknAw 5 . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  7. 7. PPPPrrrr====ccccffffOOOO{{=={{==eeeeLLLL÷÷÷÷PPPP8888;;;;nnnnffffOOOO{{ {{ ssss;;;;////LLLL llllggggooooGGGGqqqq0000ffff uuuugggg{{ {{ ;;;;ssssllllGGGG5555 <<<< clxn];Dd Pr=cfO{=eL÷P8;sf] k"0f{ lgsf] kfg]{ cf}ifwL kQf nflu ;s]sf] 5}g . x'g t z/L/sf] k|lt/Iff k|0ffnLnfO{ a9fpg] cf}ifwLx? gePsf xf]OGg t/ tL w]/} dx“uf 5g . To; sf/0f o;af6 a]n}df hf]lug' cfjZos 5 . o;sf nflu xfdLn] xfd|f] tkm{af6 lgDg Jojxf/x? ckgfpg ;Sb5f} . · bDktL aLr jf Pshfgf ljZjfl;nf] ;fyL;“u dfq of]g ;Dks{ /fVg] . cGoq of}g ;Dk{s /fVg' k/]sf] v08df s08dsf] ;w} ;xL k|of]u ug]{ . · cfkm"n] hfg]sf] Pr=cfO{=eL=÷P8; tyf of}g ;fyLnfO{ pkrf/sf nflu k|f]T;fxg ug]{ . · of}g/f]u tyf Pr=cfO{=eL÷P8;sf] af/]df hfgsf/Lsf] nflu ;"rgf, lzIff tyf ;+rf/ ;fdfu|Lx? cWoog ug]{ tyf ;DalGwt sfo{stf{x?;“u ;Dks{ /fVg] . PPPPrrrr====ccccffffOOOO{{=={{==eeeeLLLL÷÷÷÷PPPP8888;;;;ssssffff]] ]] aaaaRRRRggggssssffff nnnnfffflllluuuu xxxxffffddddLLLL ;;;;aaaa}}nn}n}n]] ] ;;;;llllDDDDeeeemmmm////ffffVVVVgggg''kk'k'kgggg]]{{ ]{ dddd''VV'V'Voooo ssss''//'/'/ffffxxxx????MMMM A = Abstinence -;lsG5 eg] of]g ;Dks{ g} gug]{ cyf{t a|xdro{df /xg]+_ cyjf, B=Be Faithful to your partner -Ps hgf ljzjfl;nf] ;fyL;“u dfq of]g;Dks{ sfod /fVg]_ cyjf, C=Correct and consistent condom use -of]g ;Dks{ ug'{k/] ;w} s08d 7Ls t/Lsfn] k|of]u ug]{_ PPPPrrrr====ccccffffOOOO{{=={{==eeeeLLLL==== PPPP8888;;;;aaaaffff6666 aaaaRRRRgggg]] ]] ppppkkkkffffooooxxxx????MMMM · ljjfxk"j{ of}g ;DaGw g/fVg] jf ljjfx;Dd kv{g] . · ljZjfl;nf] aGg] jf >Ldfg >LdtL aLrdfq of]g ;Dks{ /fVg] . · >Ldfg >LdtL afx]s cGo JolStx?;“u of}g ;Dks{ /fVg' k/]df s08dsf] ;xL k|of]u ug]{ . · /ut jf /utaf6 ag]sf kbfy{x? hf“r u/]/ dfq k|of]u ug]{ . · ;'O{÷l;l/Gh tyf cGo 5fnf 5]8g] cf}hf/x? k|of]u ubf{ gof“ tyf lgd{nLs/0f u/]/ dfq k|of]u ug]{ . · Pr=cfO{=eL= ;+qmldt dlxnfx?n] ue{wf/0f ug'{ cufl8 :jf:YosdL{;“u k/fdz{ lng] . PPPPrrrr==== ccccffffOOOO{{=={{== eeeeLLLL==== kkkk}}mm}}mmnnnngggg hhhhffff]]ll]]llvvvvdddd 33336666ffffppppgggg]] ]] ppppkkkkffffooooxxxx???? MMMM !=of}g ls|ofdf 9fn k|of]u ug'{ xf]; . @=cf}iflw k|of]u ug]{ l;of]sf] ;fd'lxs k|of]u gug'{ xf]; . #= olb t“kfO{ Pr=cfO{=eL= ;+qmldt / ue{jtL x'g' x'G5 eg] tFkfO{sf] :jf:Yo ;]jf k|bfos ;+u PG6L /]G6«f]efO/n (ART) lng] ;+aGwdf s'/f ug'{ xf]; . $= olb tFkfO{ Pr=cfO{=eL= ;+qmldt dlxnf x'g' x'G5 eg] s'g} klg aRrfnfO{ :tgkfg gu/fpg' xf]; . %= /utsf] ;Dks{af6 tFkfO{sf] sf6]sf] 7fp, vNnf 3fp, cf“vfx? d'vnfO{ ;w} ;'/lIft /fVg' xf]; . @. PPPPrrrr====ccccffffOOOO{{=={={=eeeeLLLL==== ttttyyyyffff PPPP8888;;;; ;;;;++qq+q+qmmmmllllddddttttxxxx????ssssffff]] ] 3333////ddddffff uuuullll////gggg]] ] ::::ooooxxxxffff//// dw'd]x ePsf JolQmn] cfjZos kyk/x]h, cfxf/ljxf/ tyf pkrf/ gu/]] s] x'G5 < o;f] gu/] To:tf] JolQmsf] aLdf/ a9b} hfG5, ynf kf5{ / rf“8} d[To' x'G5 . o;/L g} Pr=cfO{=eL= kf]lhl6e JolQmn] klg cfjZos kyk/x]h / cfxf/ljxf/df Wofg glbP ;+s|d0f a95 / P8; rf8} x'G5 tyf pkrf/ gu/] p;sf] rf“8} g} d[To' x'g ;S5 . cfjZos kyk/x]h cfxf/ljxf/ tyf pkrf/ ug]{ubf{ s'g} klg :jf:Yo ;d:of /f]usf] ?kdf ljsl;t x'g ;Sb}g . nfdf] ;do;Dd af“Rg ;lsG5 . of] s'/f Pr=cfO{=eL= kf]lhl6e JolQmsf nflu klg ;f“rf] xf] . h;/L dw'd]xsf] ladf/ a9g glbg vfgklg / cfxf/laxf/sf] e"ldsf x'G5 , To;/L g} Pr=cfO{=eL= ;+qmd0f a9g glbO{ P8; x'g glbg klg vfglkg / cfxf/laxf/sf] e"ldsf dxTjk"0f{ x'G5 . h:t} dw'd]xsf] lgoGq0f ug{ ;lsg] cf]iflwx? 5g To:t} xfn P8; eO;s]klg hLjf0f'sf] ;+Vof a[l4 x'g glbg] cf]iflwx? pknAw 5g . ca P8; x'gf;fy dl/b}g eGg] zfcf klg knfPsf] 5 . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  8. 8. PPPP8888;;;; eeeePPPPssssffff JJJJoooollllSSSSttttxxxx???? ssssffff]]]] 3////ddddffff ccccffffwwwwffffllll////tttt ::::ooooffffxxxxffff//// //// xxxx]]//]/]/rrrrffffxxxxddddffff kkkkgggg]]{{ ]{ ssss''//'/'/ffffxxxx????M · nIf0fsf] cfwf/df k|fylds pkrf/ / b'vfO{sf] Joj:yfkg . · c:ktfndf k|]if0f ug]{ . · cNksfnLg pkrf/ . · cf}iflwsf] ;do Joj:yfkg / k|lts"n c;/x?sf] Joj:yfkg · kf]if0fo'St vfg]s'/fsf] Joj:yfkg · ;+a]ufTds ;xof]u -;fyL_ · ;fdflhs ;]jfx? · cfWoflTds ;xof]u · clGtd cj:yfdf ul/g] :ofxf/ · eljiosf] of]hgf agfpg ;xof]u · 6L=aL= k/LIf0faf/] ;hu /xg hfgsf/L lbg' OToflb . #### PPPP8888;;;; eeeePPPPssssffff JJJJoooollllSSSSttttxxxx????ssssffff]] ]] xxxx]]//]/]/lllljjjjrrrrffff//// uuuugggg]]{{ ]{ JJJJoooollllSSSSttttnnnn]] ] WWWWooooffffgggg llllbbbbgggg''kk'k'kgggg]]{{ ]{ ssss''//'/'/ffff????MMMM · 7Ls ;dof cf}ifwL tyf vfgf lbg] . · lgoldt?kdf la/fdLsf] :jf:Yo k/LIf0f u/fO/xg] . · la/fdLsf] x]/ljrf/ s;/L ug]{ eg] af/]df 8fS6/;“u ;/;Nnfx ul//xg] . · la/fdLnfO{ zf/Ll/s?kdf dfq geO{ dfgl;s / efjgfTds ;xof]u lbg] . · nfdf] ;do;Dd la/fdLsf] x]/ljrf/ ubf{ lbSs nfUg', l/; p7g' :jfefljs} xf] . o:tf] a]nfdf ;fyLefO{ tyf kl/jf/sf cGo ;b:ox?;“u dbt tyf ;xof]u lng] . · eljiodf cfO{kg{;Sg] s'g} klg cfsl:ds cj:yfsf] nflu klxNo}b]lv g} tof/ /xg] / cfjZos kg{;Sg] ;|f]t ;fwgx? h'6fpg] . · x]/ljrf/ ug]{ JolStn] Pr=cfO{=eL= / o;sf] pkrf/ ;DaGwL ;s];Dd w]/} 1fg xfl;n ug]{ . $$$$ llllaaaa////ffffddddLLLLssssffff]] ] xxxx]]//]/]/lllljjjjrrrrffff//// uuuugggg{{ {{ ]JJJJoooollllSSSSttttnnnn]] ]] ccccffffÎÎÎÎggggffff]] ]] ;;;;''//''//IIIIffffffff uuuugggg]]{{ ]]{{ ssss''//'/'/ffffxxxx???? MMMM · lj/fdLsf] x]/ljrf/ ug]{ JolStn] la/fdLsf] kmf]xf]/ -/ut, kLk, jLo{, lb;f, lk;fa cflb_ ;kmf ubf{ /a/sf] k~hf nufpg] . · la/fdLsf] bf“t df¤g] a'?;, an]8 -kQL_ tyf 5fnf sf6g] jf /utsf] ;Dks{df cfpg] wfl/nf ;fdfgx?sf] ;f6f;f6 slxNo} gug]{ . · Pr=cfO{=eL= tyf P8; ePsf JolQm / x]/ljrf/ ug]{ JolSt b'a}n] cfÎgf] z/L/df ePsf 3fpx?nfO{ 5f]k]/ /fVg] . · x]/ljrf/ ug]{ qmddf l;l/~h, An]8 h:tf wfl/nf cf}hf/x? k|of]u ePdf ltgnfO{ vfN8f] vg]/ k"/L lbg] cyjf cfuf]df hnfO{ lbg] . · la/fdLn] k|of]u u/]sf tGgf tyf n'ufx? km]l/;s]kl5 / ;/–;kmfO ul/;s] kl5 ;kmf;“u ;fa'g jf v/fgL kfgLn] xft w'g] . %%%% nnnn''uu''uuffffkkkkmmmmffff6666ffff ;;;;kkkkmmmmffff uuuubbbbffff{{ {{ WWWWooooffffgggg llllbbbbgggg'' '' kkkkgggg]]{{ ]]{{ ssss''//''//ffffxxxx???? M · /ut, lb;f, lj;fa, kLk, jLo{, k;Lgf clbn] leh]sf] n'ufx?nfO{ 3/df k|of]u ul/g] cGo n'ufx? eGbf a]Un} /fv]/ w'g] . · gleh]sf] 7fp“df ;dft]/ /ut, lb;f, lk;fa cflb kmf]x/nfO{ kG5fpg] . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  9. 9. · ;Dej ePdf o:tf n'ufx?nfO{ @) ldg]6;Dd lAnr jf Snf]l/g kfgLdf lehfP/ /fVg]. · To;kl5 n'ufx?nfO{ ;fa'gn] wf]P/ 3fddf ;'sfpg] . · n'ufx? w'“bf jf kvfNbfv]/L ;s];Dd l86f]n kfgL k|of]u ug{] . ^^^^ Prrrr==== ccccffffOOOO{{=={={= eeeeLLLL==== kkkk}}mm}m}mnnnngggg hhhhffff]]ll]l]lvvvvdddd 33336666ffffppppgggg]] ] ppppkkkkffffooooxxxx???? MMMM · !=of}g ls|ofdf 9fn k|of]u ug'{ xf]; . · @=cf}iflw k|of]u ug]{ l;of]sf] ;fd'lxs k|of]u gug'{ xf]; . · #= olb t“kfO{ Pr=cfO{=eL= ;+s|ldt / ue{jtL x'g' x'G5 eg] tFkfO{sf] :jf:Yo ;]jf k|bfos ;+u PG6L /]G6«f]efO/n (ART) lng] ;+aGwdf s'/f ug'{ xf]; . · $= olb tFkfO{ Pr=cfO{=eL= ;+qmldt dlxnf x'g' x'G5 eg] s'g} klg aRrfnfO{ :tgkfg gu/fpg' xf]; . · %= /utsf] ;Dks{af6 tFkfO{sf] sf6]sf] 7fp, v'Nnf 3fp, cf“vfx? d'vnfO{ ;+w} ;'/lIft /fVg' xf]; . &&&& PPPP====ccccffff////====6666LLLL==== nnnn]] ] ssss;;;;////LLLL ssssffffdddd uuuu5555{{ { M · P=cf/=6L= n] Pr=cfO{=eL= efO{/; a[l4 x'g] k|ls|of sd u/fp5 . o;n] ubf{ yf]/} efO{/; -hLjf0f'_ n] dfq tkfO{sf] k|lt/f]wfTds zlStnfO{ cfs|d0f ub{5 . · P=cf/=6L= n] k|lt/f]wfTds zlStnfO{ alnof] agfp5, / ca;/afbL ;+qmd0faf6 hf]ufp5 . h;/L Pp6f dd{t ul/Psf] 3/n] kfgLaf6 arfpg ;Sb5 . · ha dflg;x?n] P=cf/=6L= lng yfNb5g pgLx? w]/} sd la/fdL kb{5g / nfdf] ;do;Dd ;~rf] ePsf] cg'ej ub{5g . **** ooooffff}}gg}g}g ////ffff]]uu]u]ussssffff kkkk||dd|d|d''vv'v'v nnnnIIIIffff0000ffffxxxx????MMMM · dlxnf / k'?if b'a}df of}g c+u -of]gL, lnË_ jl/k/L 3fp vl6/f cfpg] . · k'?ifsf] lnËaf6 kLk aUg] . · dlxnfsf] of]gLaf6 uGxfpg] ;]tf] kfgL nuftf/ aUg] . · dlxnfsf] tNnf] k]6 nuftf/ b'Vg] . · lnËaf6 lkk aUg' / wft' aUg] ub{5 . · of]gLaf6 c;fw/0f uGxfpg] kfgL aUg] ub{5 . · tNnf] k]6 b'Vg] ub{5 . · of]gL jl/kl/ kf]Ng] lrnfpg] ub{5 . · of}g ;Dks{sf] a]nf of]gLsf] leqL efudf b'Vg] ub{5 . · u'KtfË jl/kl/, /ftf ljlj/fx? cfpg' . · lbzf, lk;fa ug]{ a]nf b'Vg' . · sf5sf u|GyLx? ;'lGgg' . · a]n}df pkrf/ u/]df of}g/f]u lgsf] x'G5 . (((( JJJJoooollllSSSStttt ttttyyyyffff kkkkllll////jjjjffff////ssssffff ;;;;bbbb::::ooooxxxx????nnnn]] ] lllljjjjzzzz]]ii]i]iffff WWWWooooffffgggg llllbbbbgggg'' ' kkkkgggg]]{{ ]{ ccccjjjj::::yyyyffffxxxx???? M != l;= l8=kmf]/ (CD-4) sf] ;+Vof 36b} uPdf . @= efO/n nf]8 a9b} uPdf . #= lgoldt cf}iflwsf] ;]jg 5'6]df . $= z/L/df /St cNktf b]vf k/]df . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  10. 10. %= df“;k]zL sdhf]/ x'b} uPdf . ^= x]kf6fOl6; jL= tyf ;L= b]vf k/]df . &= 5fnfsf] SofG;/ b]vf k/]df . *= z/L/sf c+ux? sfd sd ug{ yfn]df . (= Ps dlxgf eGbf a9L ;do ;Dd kvfnf nfu]df . !)= z/L/sf u|GyL -lnDkmgf]8x?_ a9]df . !!= b}lgs cfwf ;do lj5f}ogfdf ;'lt /x]df . !@= w]/} j6f cf}iflw k|of]u u/]klg sfd gu/]df. !#= d'vel/ ;]tf] 3fp cfPdf . !$= tL; k|ltzt eGbf a9L tf}n 36]df . !%= lne/ ;'lGgPdf jf OGkm]S;g ePdf . !^= :d/0f zlSt lIf0f x'b} uPdf . !&= d[uf]nfn] sfd sd ug{ yfn]df . !*= pkrf/ jf6 kmfObf gb]lvPdf . o:tf] cj:yfdf ;+alGwt 8fS6/ tyf dgf]lrlsT;s ;+u ;Nnfx ug{' pko'St x'G5 . !!!!)))) ccccffff}}ii}}iiffffllllwwww (ART) vvvvffffOOOO{{ { ////ffffvvvv]]ss]]ssffff JJJJoooollllSSSSttttxxxx????nnnn]] ]] WWWWooooffffgggg llllbbbbgggg'' '' kkkkgggg]]{{ ]]{{ ssss''//''//ffffxxxx???? MMMM != lgoldt Jofofd ug]{ jfgL a;fNg' k5{ . @= k|ofKt cf/fd ug'{ k5{ . #= lgoldt ;dodf ef]hg ug{' k5{ / 5f“s afg'{ x'b}g . $= hfF8 /S;L vfg aGb ug{' k5{ . %= r'/f]6, lal8, ;"tL{ O{Toflb vfg' x'b}g . ^= nfdf] ;do ;Dd nuftf/ sfd ug]{ jfgL 5f]8g' k5{ . aLr aLrdf cf/fd lng' k5{ . &= 5'§L sf] ;dodf dgf]/+hg ug'{ k5{ . *= Pr=cfO{=eL÷P8; ;+jlGw ;ef, uf]i7L, ;]ldgf/ tyf lzIff aw{s sfo{s|ddf ;xefuLtf hgfpg' k5{ . (= kl/jf/sf] ;b:ox? ;+u al9 ;do latfpg' k5{ . !)= gof“ gof“ dgk/]sf ls|ofsnfkdf ;do nufpg' k5{ . !!= hgfj/sf] ;f]v 5 eg] s's'/, la/fnf] O{= kfNg ;lsG5 . !@= /fd|f] 1fg aw{s tyf lzIff k|b lstfax? k9g' k5{ . !#= cfk"mnfO{ cfjZostf k/]sf] a]nf c?sf] ;xof]u lng' k5{ . 3/kl/jf/df ;]jf k|bfg ug{ ;lhnf] xf]; eGg] p2]Zon] k|t]s kl/jf/df Pp6f km:6 P8 aS; /fVg' h?/L 5 . pSt afs;÷emf]nfdf rflxg] cf}iflw tyf ;fdu|Lsf] hfu]8f oy]i6 dfqfdf /fVg' k5{ . ::::jjjjffff::::YYYYoooo ;;;;++::++::yyyyffff hhhhffffgggg''xx''xxffff]];;]];; oooollllbbbbMMMM · tkfO{sf] b[li6 3ldnf] cyjf 7Dofpg g;Sg] ePdf . · olb P:kLl/g jf Kof/f;L6fdf]n ;]jg ubf{ klg b'vfO{ sd gePdf . · w]/} 6fpsf] b'v]df jf nuftf/ b'lv/x]df . !!!!!!!! ccccjjjj;;;;////jjjjffffbbbbLLLL ;;;;++qq+q+qmmmmdddd0000ffffaaaaffff////]] ] aaaa''ee'e'emmmmgggg''kk'k'kgggg]]{{ ]{ ssss''//'/'/ffffxxxx???? · z/L/ sdhf]/ ePsf] cj:yfdf cfqmd0f ug]{ ;+qmd0fnfO{ cj;/jfbL ;+qmd0f elgG5 . · cj;/jfbL ;+qmd0fx? z/L/sf] k|lt/Iff k|0ffnL sdhf]/ ePsf] a]nfdf z/L/df l5g]{ u5{g h;/L elTsb} uPsf] 3/df kfgL l55{ r'xlG5 . dflg;sf] k|lt/Iff k|0ffnLnfO{ Pr=cfO{=eL=÷P8;n] sdhf]/ agfPsf] a]nf ca;/jfbL cfs|d0fx?n] lgs} uDeL/ ;d:ofx? pTkGg u/fpg] u5{g . · h;/L :ofxf/ ;';f/ u/]sf] 3/ nfdf] ;do;Dd l6S5 , To;/L g} cfÎgf] :jf:Yosf] /fd|f] x]/rfx ug]{ dflg; nfdf] ;do;Dd af“Rg ;S5 . To;}n] cj;/afbL ;+qmd0fx?af6 cfkm"nfO{ arfpg cfjZos x'G5 . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  11. 11. cj;/jfbL ;+s|d0fsf cccjjj;;;///jjjfffbbbLLL ;;;++ss+s||dd|d000fffsssfff ssss]]xx]]xxLLLL ;;;;++ss++ss]]tt]]tt //// nnnnIIIIffff0000ffffxxxx???? · l/Ë6f nfUg' · vfg] s'/f lgNbf b'vfO dxz'; x'g' · Zjf; km]g{ ufXf] x'g' · 6fpsf] g/fd|f];“u b'Vg' jf b'vfO{ bf]xf]l//xg' · /fd|f];“u gb]Vg' · ysfO a9b} uPsf] dxz'; x'g' · Ps lbg eGbf nfdf] ;do;Dd Hoj/f] cfpg' jf z/L/ tft]sf] dxz'; eO/xg' · kl;gfn] cf]5ofg leHg' · hf8f] eP/ z/L/ sfDg' · z/L/sf] ;Gt'ng, lx+8fO jf af]nLdf ;d:of b]vf kg'{ · lagf sf/0f z/L/sf] jhg 36g' · lbgdf rf/ k6s eGbf a9L kftnf] lb;f x'g' · pN6L x'g' jf jfGtf cfpg' · d'v jf lha|f]df vl6/f cfpg' · 3f“6L c//f] x'g' . ccccjjjj;;;;////jjjjffffbbbbLLLL ;;;;++ss++ss||dd||dd0000ffffxxxx????ssssffff]] ]] ////ffff]]ss]]ssyyyyffffdddd · cj;/jfbL ;+qmd0fx?sf] /f]syfd ug{ tnsf pkfox? ckgfpg ;lsG5 · z/L/ ;kmf /fVg lbglbg} g'xfpg'xf]; . · ;+qmd0f u/fpg ;Sg] ;fgflgtf rf]6k6saf6 aRg ;w} h'Qf nufP/ lx+8g'xf]; . · vfgf vfPkl5 ;w} bf“t df¤g'xf]; . · lb;f lk;fa ul/ ;s]kl5 ;fa'g kfgLn] xft w'g'xf]; . · ;;;;kkkkmmmmffff kkkkffffggggLLLL llllkkkkppppgggg]] ]] //// kkkk||oo|o|offff]]uu]u]u uuuugggg]]{{ ]{ uuuuggggffff{{nn{n{n]] ] ccccjjjj;;;;////jjjjffffbbbbLLLL ;;;;++qq+q+qmmmmdddd0000ffffaaaaffff6666 aaaaRRRRgggg ;;;;llllssssGGGG5555 .... TTTToooo;;;;}}nn}n}n]]MM]M]M vfg] kfgL ;kmf O{gf/ jf aUg] gbLx?af6 dfq lng'xf]; . ;kmf afN6Lg jf ufu|Ldf dfq kfgL /fVg] ug'{xf]; . vfg] kfgLsf] ef8fdf xft wf]P/ kfgLnfO{ b'lift x'g glbg'xf]; . pdfn]sf] kfgL ;kmf ef8f]df dfq /fVg'xf]; . ;kmf skdf dfq kfgL lgsfNg] / lkpg] ug'{; . · vvvvffffggggffff ttttooooffff//// uuuubbbbffff{{ {{ eeee00008888ffff////gggg uuuubbbbffff{{ { //// vvvv''jj'j'jffffppppbbbbffff ;;;;////;;;;kkkkmmmmffffOOOO{{dd{d{dffff WWWWooooffffgggg llllbbbbggggffffnnnn]] ] ccccjjjj;;;;////jjjjffffbbbbLLLL ;;;;++qq+q+qmmmmdddd0000ffffaaaaffff6666 aaaaRRRRgggg ;;;;llllssssGGGG5555.... TTTToooo;;;;ssssffff nnnnfffflllluuuu llllggggDDDDgggg ppppkkkkffffooooxxxx???? cccckkkkggggffffppppgggg ;;;;llllssssGGGG5555 MMMM ;w} ;kmf 7fpdf dfq vfgf tof/ ug]{ jf ksfpg] ug'{xf]; . ;kmf / ;'Vvf ef“8fx? h:t} yfn, srf}/f / Unf;x?df dfq} vfgf / kfgL /fVg] ug'{xf]; df;'nfO{ /fd|f];“u kfSg] u/L ksfpg'xf]; . vfgf vfg] ef“8fx? /fd|f];“u ;kmf u/L 3fddf ;'sfpg'xf]; . vfgfnfO{ 5f]k]/ jf lemËf gnfUg] 7fp“jf b/fh leq /fVg'xf]; . · kkkkffffNNNNtttt'' '' hhhhggggffffjjjj//// //// uuuuffffOOOO{{jj{{jj::::tttt''xx''xx????ssssffff]] ]] ;;;;////;;;;kkkkmmmmffffOOOO{{dd{{ddffff WWWWooooffffgggg kkkk''¥¥'¥'¥ooooffffPPPP//// kkkkllllgggg ccccjjjj;;;;////jjjjffffbbbbLLLL ;;;;++qq+q+qmmmmdddd0000ffffxxxx????aaaaffff6666 aaaaRRRRgggg ;;;;llllssssGGGG5555 .... TTTToooo;;;;ssssffff nnnnfffflllluuuu llllggggDDDDgggg ppppkkkkffffooooxxxx???? cccckkkkggggffffppppgggg ;;;;llllssssGGGG5555 3/kfn'jf hgfj/ / r/fr'?ËLnfO{ 3/jflx/ /fVg'xf]; . ;Dej eP ;Dd lj/fnf, s'v'/f / c? k+IfLx?sf] ;/ ;kmfO{ c? s;}nfO{ ug{ nufpg'xf]; Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  12. 12. hgfj/x?nfO{ 5f]Pkl5 jf rnfPkl5 ;w} xft w'g] ug'{xf]; . ljz]if u/L kvfnf nfu]sf / ;fgf] pd]/sf hfgj/x?nfO{ g5'g'xf]; . · 3333////aaaaffffllllxxxx//// xxxx'b'b'b'bffff“ “ llllggggDDDDgggg ttttllll////ssssffffnnnn] ] ;;;;'/'/'/'/llllIIIIfffftttt ////xxxx]/]/]/]/ ccccjjjj;;;;////jjjjffffbbbbLLLL ;;;;+s+s|d|d0000ffffaaaaffff6666 aaaaRRRRgggg ;;;;llllssssGGGG5555 MMMM cj;/jfbL ;+qmd0f u/fpg ;Sg] ls6f0f'af6 d'Qm /xg v]taf/Ldf sfd ul/;s]kl5 ;fa'gn] xft w'g'xf]; . hxf“txL kf}8L v]Nbf kfgL lgNgaf6 aRg'xf]; . To:tf kfgL cj;/jfbL ;+qmd0fsf ls6f0f'x?af6 b'lift x'g ;S5 . Pr=cfO{=eL= sf] k'gM ;+qmd0faf6 aRg'xf]; . · olb tkfO{ Pr=cfO{=eL= ;+qmldt x'g'x'G5 / c;'/lIft of}g ;Dks{ /fVg'x'G5 eg] tkfO{nfO{ km]/L csf]{ k|sf/sf] Pr=cfO{=eL= af6 k'gM ;+qmd0f x'g' ;S5 . · P=cf/=6L= n] Pr=cfO{=eL= kgM ;+s|d0faf6 arfpb}g . · olb klxn]sf] eGbf km/s lsl;dsf] Pr=cfO{=eL=;+qmd0f eof] eg] tkfO{sf] k|lt/f]wfTds zlQm emg} sdhf]/ eP/ hfG5 . · ;w} s08d nufpg'xf]; jf of}g ;Dks{ g} gug'{xf]; . · cfÎgf] x]/ljrf/ /fd|/L ug'{xf]; . · ccccÎÎÎÎggggffff]] ]] zzzz////LLLL////nnnnffffOOOO{{ { ::::jjjj::::yyyy ////ffffVVVVgggg //// ccccjjjj;;;;////jjjjffffbbbbLLLL ;;;;++qq+q+qmmmmdddd0000ffffxxxx????aaaaffff6666 aaaarrrrffffppppggggssssffff nnnnfffflllluuuu llllggggDDDDgggg ppppkkkkffffooooxxxx???? ckkkkggggffffppppggggxxx'xffff]];;];]; .... ;Gt'lnt vfgf vfg'xf]; . l7Ss dfqfdf lgoldt Jofofd ug'{xf]; . kfo{Kt ;'Tg'xf]; . w'd|kfg gug'{xf]; . dBdfg gug'{xf]; . lrlsT;sn] lbPsf] cf]iflwdfq ;]jg ug'{xf]; . cj;/jbL ;+qmd0fx?af6 aRg tkfO{nfO{ ;xof]u ug{ ;Sg] cf}iflwx?sf] af/]df lrlsT;snfO{ ;f]Wg'xf]; . !!!!@@@@ PPPP8888;;;; nnnnffffuuuu]]ss]]ssffffxxxx????ddddffff bbbb]]ll]l]lvvvvgggg]] ] ::::jjjjffff::::YYYYoooo ;;;;dddd::::ooooffffxxxx???? ttttyyyyffff ttttLLLLggggssssffff ppppkkkkrrrrffff//// .... ssss====ccccffffll“llttttgggg'' '' (Anxiety): · tgfa sd kfg]{ ls|ofsnfkx?nfO{ k|fyldstfsf ;fy ug{' k5{ , h:t} M nfdf] Zjf; lng] cEof;, Wofg, d;fh, ;+lut ;'Gg], s'g} sfddf Jo:t e} /xg], PSn} emf]ls|P/ ga:g], vfnL ;dodf k9g] afgL a;fNg], tftf] kfgLn] g'xfpg] tyf cfkm'nfO{ dg kg]{ sfo{x?df Ao:t /xg] / l/n]S; x'g] sf]lz; ug]{ . · ;xof]uL ;fyLx? agfpg] / cfjZostf cg';f/ dgsf] s'/f jxf“x? ;+u af“8g] . Pr= cfO{= eL=÷P8;df sfo{/t ;+3 ;+:yfx? glhsdf ePdf lgoldt ;+ks{df a:g] / ;/;Nnfx k|fKt ug]{. · wfld{s sfo{s|ddf dgk/]sf] 5 eg] lgoldt ?kdf ;+nUg /xg] . · ;se/ Soflkm ePsf] - slkm, lrof / ;f]8f _ k]o kbfy{ gvfg';, vfg} k/]df yf]/} vfg';. · ;se/ u'lnof] vfg]s'/f sd vfg'; . · lgoldt ?kdf b}lgs lx88'n tyf xNsf Jofofd 3/d} tyf 3/ glhs} ug{'xf];, h;n] tgfa, lrGtf tyf ysfO{ af6 5'6sf/ lbG5 . · /ftL ;'Tg] a]nfdf Ps unf; bw cyjf Ps sk xa{n lrof vfg ;lsG5 . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  13. 13. · 8fS6/n] lbPsf]] cf}iflw lgoldt ?kdf g5f]l8sg vfg' xf]; . cf}iflwsf] g/fd|f] c;/x? / clgoldttf af/] 8fS6/ tyf g;{nfO{ t'/Gt vj/ ug'{xf; . · lgoldt ?kdf cfkmgf] dgdf nfu]sf] larf/ tyf efjgfx? sf] 8fo/Ldf n]vf hf]vf /fVg' xf];. vvvv====ssssllllAAAAhhhhooootttt (Constipation): · cfkm'nfO{ slAhot ePkl5 t'/Gt 8fS6/ tyf g;{ ;+u;+ks{ /fVg' xf]; . · dg tftf] kfgL lgoldt ?kdf ;]jg ug{' xf]; . · kmnkmn tyf xl/of] ;fukft lgoldt ?kdf vfg' k5{ . vfgf k5f8L tftf] kfgL vfg] afgL a;fNg' k5{ . · k|ofKt dfqfdf emf]n kbfy{ -kfgL, h;, kmnkm'nsf] /; O{= _ k|ltlbg ug'{ k5{ . k|ltlbg ^–* unf; emf]n kbfy{ vfg} k5{ . · /];fbf/ vfg] s'/f , klktf -d]jf_ O{= lgoldt vfg' k5{ . · vfnLk]6 a:g] tyf at{ a:g] sfd ;se/ gug{' xf]nf . · lgoldt ?kdf zfl/l/s cEof; ug{' xf]; . · slAhot ePdf lbzf xftn] lgsfNg] afgL l;Sg' k5{ . · /ftL ;'Tg] a]nfdf 8'nsf]n]S; (Tab dulcolax) ! jf @ rSsL vfg' kmfObf x'G5. · #–$ lbgdf ;+rf] geP 8fS6/ ;+u ;Nnfx lng' k5{ . uuuu====vvvvffff]]ll]l]lssss nnnnffffUUUUgggg'' ' (Coagh/Sore throat) · 3f“6Ldf cK7of/f] kfg]{ vfgfx? ;se/ 5f]8g' k5{ . · cfaZos k/]df 8fS6/sf] ;Nnfx cg';f/ skm l;/km vfg' k5{ . · tftf] kfgL / sfutL kfgL lgoldt ?kdf vfg] . · tftf] kfgLsf] jfkm lgoldt lng] / ;lsG5 eg] leS; xfnL lng ;lsG5 . · tftf] ;'k tyf emf]n vfg lbg' k5{ . · n]dgu|f; lrof vfg ;lsG5 . · dgtftf] kfgLdf g'g xfnL s'Nnf ug{' k5{ . · vfg lgNg ufx|f] ePdf jf !)!)f eGbf a9L Hj/f] cfPdf t'/Gt 8fS6/ nfO{ hrfpg' k5{ · kf/fl;6fdf]n sf] rSsL (Tab. Paracetamol 500 mg) *–* 3+6fsf] km/sdf vfg ;lsG5 , -olb 5ftLdf w]/} b'Vg yfn]df vfg ;lsG5_ . · cf}iflw -l;6fdf]n_ vfbf klg 5ftL b'Vg sd geP t'/Gt 8fS6/ ;+u hrfpg' k5{ . wwww====zzzzffff]]ss]s]s÷÷÷÷llllrrrrGGGGttttffff (Depression) : · tgfa sd kfg]{ ls|ofsnfkx?nfO{ k|fyldstfsf ;fy ckgfpg' k5{ , h:t}M nfdf] Zjf; lng] cEof;, Wofg, d;fh, ;+lut ;'Gg], s'g} sfddf Jo:t e} /xg], PSn} emf]ls|P/ ga:g], vfnL ;dodf k9g] afgL a;fNg], tftf] kfgLn] g'xfpg] tyf cfkm'nfO{ dg kg]{ sfo{x?df Ao:t /xg] / l/n]S; x'g] sf]lz; ug]{ . · ;xof]uL ;+:yfx?, wfld{s ;+:yfx?, ;fdflhs s[ofsnfk tyf ;d'xdf ;xefuLtf d'ns sfo{s|dx?df lgoldt ;xefuL x'g] . · Pr=cfO{=eL=÷P8; ;+u ;+alGwt ;+3 ;+:yfx?sf] lgoldt ;+ks{df /lx ;/;Nnfx tyf ;xof]u lng' k5{ . · ;lsG5 eg] hf“8 /S;L 5f]8g] / ;lsb}g eg] dfqf sd ug]{ . pQ]hgf Nofpg] cf}ifl3x? h:t} M sf]lsg, ;f]8f O{= sf] k|of]u gug]{ . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  14. 14. · lgoldt k|t]s lbg lx8g'k5{ cyjf ;fwf/0f vfn] Jofofd lgoldt ug{' k5{ . lgoldt Jofofdn] lrGtf, tyf ysfg sd u5{ . · /ftL lgoldt ;dodf rf8f] ;'Tg] afgL a;fNg' k5{ / ljxfg ;j]/} p7g] afgL a;fNg' k5{ . /ftL /fd|/L ;'t]df ljxfg ;f]rfO{ k|i6 x'g'sf] ;fy} dfgl;s tgfa sd x'G5 . lbp;f] ;'Tg' k/]df dWofGx eGbf cuf8L 5f]6f] ;dosf] nflu c/fd ug{' pko'St g} x'G5 . · ljxfg p7g] ljlts} ;kmf ;'3/ eO{ t}of/ eO{ lgoldt ;dodf tfnLsf cg';f/ cfkmgf] b}lgs sfd ug{' k5{ . · 8fS6/sf] ;Nnfx cg';f/ lgoldt ?kdf c}iflw ;]jg ug{' k5{ / s'g} g/fd|f] c;/ tyf cf}iflw 5'6g uPdf t'/Gt 8fS6/ tyf g;{nfO{ vj/ ug{' k5{ . ª====eeeemmmmffff8888ffff kkkkvvvvffffnnnnffff (Diarrhoea) : lbgdf tLgk6s jf ;f]ebg a9L kftnf] tyf kfgLh:tf] lb;f nfUof] eg kvfnf nfUof] elgG5 . kvfnf nfu]sf] a]nf w]/}h;f] ;fdfGo lb;f hfg] h:t} x'“b}g . P8; ePsf /f]uLnfO{ kvfnf nfUg ;S5, o;nfO{ /f]Sg klg sl7g x'g;S5 . P8; ePsf JolQmx?nfO{ kvfnf w]/}h;f] kmf]xf]/ vfgf / kfgL vfgfn] cfGb|fdf ;+qmd0f, tyf cf}iflwx?sf] v/fa c;/x?sf] sf/0f af6 x'g] ub{5 . kkkkvvvvffffnnnnffff nnnnffffUUUUgggg]] ]] ssssffff////0000ffffxxxx???? lbgdf tLgk6s eGb a9L kfgL h:tf] kftnf] lb;f x'g'nfO{ kvfnf nfu]sf] elgG5 . kvfnf laleGg sf/0fn] nfUg ;S5 h:t}M · kfgL tyf vfg]s'/f ;kmf gePdf . · vfgfx? lrNnf] / lk/f] ePdf . · kfrg zlQm sdhf]/ ePdf . · vfgf vfg' cl3 / lb;f w]fO{;s]kl5 /fd|/L xft gwf]Pdf . · lem“uf elGsPsf / ;8]un]sf vfgf vfPdf kvfnf nfU5 . kkkkvvvvffffnnnnffffssssffff]] ]] ppppkkkkrrrrffff//// kvfnf nfUbf ;kmf kfgL / hLjghnsf ;fy} k|z:t dfqfdf emf]n kbfy{ lkpg' kb{5 . h:t}M d';'/f]sf] bfn, pdfn]sf] ;kmf kfgL cflb . olb nfdf] ;do;Dd kvfnf g/f]lsPdf :jf:ysdL{sf] ;Nnfx cg';f/ cf}iflw pkrf/ ug{' kb{5 . · emf8f – kvfnf nfu]sf] JolStn] yf]/} yf]/} vfg]s'/f w]/} k6s vfg' k5{ . · lgDg vfgfx? kvfnf nfu]sf] j]nfdf klg lgoldt ?kn] ;]ag ug{ ;lsG5 , h:t} M cfn' , s]/f, bxL, kfgL, afnL{, ;fbf lrof, kftnf] h; O{) . · lgoldt ?kdf cf]= cf/= P;= -hLaghn ÷gahLjg _ emf]nsf] k|of]u ug{' k5{ . · emf8f kvfnf nfu]sf] a]nf slkm, a§fsf] vfgf, ttttnnnn]]ss]s]sffff]] ]]vfgf, df5f, df;' , c08f, lrK;, bw, ld7fO{, u]8f u'8L, hf“8, /S;L O{Toflb vfg' x'b}g . · 3/ af6 6f9f hfg' k/]df 6'jfOn]6sf] ;'ljwfnfO{ ljrf/ ul/ dfqf ofqf ug{' k5{ . · 3/jf6 aflx/ hfg} k/]df 6'jfOn]6 k]k/ tyf cGo n'ufsf] plrt Joj:yf u/]/ hfg' k5{ · k|t]s k6s lbzf u/]kl5 dgtftf] kfgL n] -;lsG5 eg]_ 5fnfnfO{ /fd|/L ;kmf ug{' k5{ . 5fnf g/d kg]{ ls|d h:t} M e];lng nufpg ;lsG5 . · 8fS6/sf] ;Nnfx cg';f/ lgoldt ?kdf cf}iflwsf] k'/fdfqf vfg' k5{ . · Tab metranitazole 400 mg lbgsf] # k6s vfgf kl5 % lbg ;Dd vfbf pko'St x'G5 . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  15. 15. · hnljof]hg sf] nIf0fx? h:t} M cf]7 ;'s]df, lha|f] ;'s]df, cfFvf tn w;]df, t'/Gt :jf:YosdL{ sf] ;Nnfx lng' k5{ . · emf8f kvfnf ;+u} Hj/f] cfPdf jf lb;fdf /ut b]vf k/]df t'/Gt 8fS6/ ;+u ;+ks{ vfVg' k5{ . rrrr====5555ffffnnnnffffssssffff]] ] xxxx]]//]/]/rrrrffffxxxx (Skin care): Pr=cfO{=eL= ekl5 5fnfdf ljleGg lsl;dsf ;d:ofx? b]v kg{ ;S5g . h:t}M lknf] cfpg], n'tf] nfUg], 8fa/ tyf kmf]sfx? b]lvg], bfb x'g] cflb . 5555ffffnnnnffffnnnnffffOOOO{{ {{ ssss;;;;////LLLL ::::jjjj::::yyyy ////ffffVVVVgggg]] ]] · b}lgs ?kdf g'xfP/ laxfgLkvsf] 3fd tfKg] . · olb 5fnf lrnfpg yfn]df dgtftf] kfgLn] g'xfpg] . · 5fnfdf 3fpx? b]lvP eg] ;do d} pkrf/ u/fpg] . · 5fnfnfO{ ;kmf /fVg b}lgs ?kdf ;fa'g kfgLn] g'xfpg] . · 5fnf ;'VjfePdf s]nfdfOg nf];g nufpg' k5{ . · dxuf] ls|d tyf nf];gsf] ;§f e];lng, luln;/Lg, gl/on t]n O{Toflbsf] k|of]u ug'{ /fd|f] x'G5 . · hlxn] klg g+uf sf6g' k5{ / clt w]/} lrnfpg] jfgL ePdf k+hf cyjf Unf]A; nufpg ;lsG5 . · n'tf], x/kl; l;Dkn]S; O{Toflbsf] ;+qmd0f t ePsf] 5}g, a]nf a]nf x]l/ /fVg' k5{ . · 5fnf w]/} lrnfPdf ;]l6«lhg cf}iflwsf] k|of]u s]lx ;dosf] nflu ug{ ;lsG5 . 5555====rrrrSSSSssss//// nnnnffffUUUUgggg'' ' (Dizziness): PlkmEof/]Gh -O=Pkm=eL=_ cf}iflw ln“bf o:tf k|ltsn c;/x? b]vf kg{ ;Sb5g . s]xL xKtfkl5 tL c;/x? cfkm} x/fp“5g . · l/Ë6f nfUof] eg] To;sf] cg'ej gx6];Dd al;/fVg] . · s'g} klg ux|f}+ ;fdfg gp7fpg] / l5§} xnrn gug]{ . · O=Pkm=eL= ;'Tg hfg' cl3 lng] . · rSs/ nfUg] ljltSs} tn a:g' k5{ / 3'8f eGbf tn 6fpsf] vfVg' k5{ , h;n] ubf{ lbdfudf cflS;hg k|ofKt dfqfdf hfG5 . · tn eF'Odf ;'Tg] / v'§f dfyL prfnL ;'Tg] . · k|ofKt dfqfdf emf]n kbfy{ vfg lbg' k5{ . h:t} M kfgL, h';, bfnsf] /; O{= . · la:tf/} e'Oaf6 cyjf a;]sf] 7fp“ af6 p7g' k5{ . · k|;:t dfqfdf zlStbfos vfgf vfg' k5{ . · ;+t'lnt vfgf vfg' k5{ . · xl/of] ;fukft k|;:t dfqfdf vfg' k5{ h;n] ubf{ k|;:t cfO/g k|fKt x'G5 . · :jR5 xfjfdf a:g' k5{ . · w]/} sl;nf] skªfx? gnufpg' xf]nf . · k|lts'n c;/ /lx/x]df 8fS6/ sxf“ hrfpg hfg' k5{ . hhhh====HHHHjjjj////ffff]] ] ccccffffppppgggg'' ' (Fever): Hj/f] cfkm}df s'g} /f]u xf}Og, of] cfp“5 / lgsf] klg x'G5 . of] pkrf/ ug{ ;slg] :jf:Yo ;d:of xf] . Hj/f] Ifo/f]u, tNnf] k]6df ;+qmd0f, sf]vsf] ;+qmd0fsf] nIf0f xf], t/ s] sf/0fn] Hjf/f] cfPsf] xf] eg]/ hfGgeg] k/LIf0f ug'{kg]{ x'G5 . Hj/f] ;+s|d0fsf sf/0faf6 ePsf] xf] eg] cf}iflw ;]jg ug'{k5{ . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  16. 16. Hj/f] hf“Rgsf nflu ydf{ld6/sf] k|of]u ug'{xf]; cyjf Ps xft la/fdL JolQmsf] lgwf/df / csf]{ xft cfºgf] lgwf/df /fVg' xf]; . p;sf] 6fpsf]df a9L tftf] eP p;nfO{ Hj/f] cfPsf] x'g;S5 . · k|;:tdfqfdf emf]n kbfy{x? h:t} M kfgL, h';, bfnsf] /; O{= k|;:t vfg' k5{ . · k|;:t dfqfdf cf/fd ug'{ k5{ , h;n] ysfg sd u5{ , . · 8fS6/sf] ;Nnfx cg';f/ cf}iflw vfg' k5{+ . olb PlG6jfof]l6S; lbPsf] 5eg] k'/fdfqfdf vfg' k5{ . · cfkm'nfO{ ;+rf] gePsf] a]nf Hj/f] gfKg' k5{ . olb ((oF eGbf al9 cfPdf #–$ 3+6f kl5 km]l/ gfKg' k5{ / /]s8{ /fVg' k5{ / 8fS6/nfO{ hrfpg hfg' k5{ . · :kf]Ghjfy / k+vfdf w]/} lj/fdLnfO{ /fVg' x'b}g, h;n] lj/fdLnfO{ sDkGg cfpg ;Sf5 . sDkGg cfPsf] j]nf emg Hj/f] a9g ;S5 , t;y{ ;se/ Hj/f] sd ug]{ pkfox? ckgfpg' k5{ . · 5fnfnfO{ ;'vf /fVg' k5{ / ;'tLsf] kftnf] skªf nufpg' k5{ . · ssssDDDDkkkkGGGGgggg ccccffffppppddddffff MMMM kl;gfn] skªf leh]sf] 5eg] km]g'{ k5{ , lr;f] k]o kbfy{ vfg' x'b}g, tftf] emf]n kbfy{ vfg lbg' k5{ , t'/Gt g'xfpg' x'b}g, lr;f] e'O{df lx8bf df]hf tyf h'tf nufpg' k5{ / xft tyf v'§fsf] cf}nfx? nfO{ tf}lnof lnP/ 5f]k]/ /fVg' k5{ . z/L/sf] ;j} efu 5f]k]/ /fVg' x'b}g, h;n] Hj/f] a9g ;S5 . · kfgL k§L lbg' k5{ . · k|;:t dfqfdf emf]n kbfy{x? h:t} M ;'k, kfgL, hLjghn, h; O{Toflb jf/Djf/ vfg' k5{ . · Ps rSsL l;6fdf]n -%)) ldnLu|fd_ t'/Gt lbg' k5{ / cf7 3+6fsf] km/sdf # k6s ;Dd lbg ;lsG5 . · !)!0F eGbf al9 Hj/f] cfPdf 8fS6/ sxf“ hrfpg hfg k5{ . HHHHjjjj////ffff]] ]] ssssdddd uuuugggg]]{{ ]{ 3333////]]nn]n]n'' ' ppppkkkkffffooooxxxx???? · lr/fO{tf]nfO{ kfgLdf ksfP/ lkpg] . · kfl/hft / c;'/f]sf] kft ld;fO{ lrof agfP/ lkpg] . · gLdnfO{ kfgLdf ksfP/ lkpg] . · lr;f]sf] sf/0f Hj/f] cfPdf lrofdf t'n;Lsf] kft % j6f, NjfË / dl/rsf] bfgf # j6f / la/] gg ! lrD6L xfn]/ lkpg] . · Hj/f] cfkm}df s'g} /f]u geO{ cGo /f]usf] nIf0f dfq xf] . To;}n] Hj/f] cfpg'sf] sf/0f kQf nufO{ cfjZos pkrf/ u/fpg' kb{5 . eeeemmmm====llllaaaa;;;;{{gg{g{g]] ] aaaaffffggggLLLL (Forgetfulness): · b}lgs tyf xKtfsf] tfnLsf agfpg' k5{ / ;f]lx tfnLsf cg';f/ lgoldt sfd ug{' k5{ · lgoldt 8fo/L n]Vg] afgL a;fNg' xf]; / cfkmgf] sfdx?, sfo{ tfnLsf tyf ?l6g lgoldt n]Vg' xf]; . ;+emg] ljlts} cyjf t}of/ kfg]{ ljlts} of]hgfx? 8fo/Ldf n]Vg] jfgL a;fNg' k5{ . · dxTjk0f{ ltly ldtL tyf sfo{s|dx? cfºgf kl/jf/sf ;b:ox?nfO{ ;demfpg eGg' k5{ · ;fdfgx? ;w} Pp6f lglZrt 7fpdf /fVg] jfgL a;fNg' k5{ , h:t} M ;f“rf], htf, skªf, k};f O{= . · vfg] cf}iflwx? /fd|/L ldnfP/ ;lhn} pknAw x'g] 7fp“df /fVg' k5{ . · ;fyL efO{ tyf ;+3 ;+:yfsf] ;b:ox?nfO{ cfkm' la;]{df ;demgsf] nflu elg/fVg' kb{5 . · hf“8, /S;L tyf pQ]hgf k}bf ug]{ vfnsf] cf}iflw tyf k]o kbfy{ 8fS6/sf] ;Nnfx lagf vfg' x'b}g , h:t} M ;f]8f, sf]s, slkm, sf]lsg O{= . · /ftL lj5f}ogfdf rf“8} lgoldt ;dodf ;'Tg] / rf“8] ljxfg p7g] jfgL a;fNg' k5{ . /ftLsf] /fd|f] ;'tfO{n] ljxfg :km'tL{ lbg'sf] ;fy} lbdfu tfhf /fVb5 . · 8fS6/n] lbPsf] cf}iflwsf] ;]jg lgoldt ug'{xf]; / ;fO8 OGkm]S6; b]vf k/]df t'/Gt vj/ ug'{ xf]; . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  17. 17. · lbp;f] w]/} ;do ;Dd ;'Tg] jfgL 5f]8g' k5{ / 5f]6f] ;dosf] nflu s]lx a]/ c/fd ug'{ pko'St x'G5 . ````====ssssddddhhhhffff]]//]/]/LLLL ddddxxxx;;;;'';;';'; xxxx''gg'g'g'' ' (Loss of strength / fatigue): · P8; nfu]sf JolStx?n] k|foM ysfgsf] dx;'; ub{5g . ysfgsf sf/0fx?df M z/L/df xd{g sf] sdL, /St cNktf, lrGtf, zf]s, /f]un] Rofkb} hfg', z/L/sf c+ux? sf] sfddf sdL cfpg', lgGb|f sd nfUg', Jofofd sd ug'{, Sofg;/x?, kf]if0fsf] sdL, cf}iflwsf] ;fO8 Okm]S6;, tyf ljleGg lslsdsf ;+s|d0fx? O{Toflb x'g . · w]/} ufx|f] tyf nfdf] ;do ;Dd Pp6} sfd gug'{ xf]; . lj:tf/} c/fd ub]{ sfd ug'{ xf]; . · k|;:t dfqfdf zlSt bfos k]o kbfy{x? vfg] jfgL a;fNg' xf];, h:t} M Un'sf]h, hLjghn / h; O{= . · ;'t]/ p7bf em§ gpleg' xf]; . lj:tf/} klxnf a:g'xf]; / clgdfq p7g' xf]; . · lbgdf @–# s];/f n;'g vfg ;lsG5 . · vfgf ksfpbf w]/} gksfpg' xf];, h;n] vfgfsf] eL6fdLg gfz x'G5 . · k|ofKt c/fd lng' xf]; / tgfj sd ug]{ ls|ofsnfkx? H:t} M nfdf] nfdf] Zjf; lng] , Wofg, zfGt jftfj/0fdf a:g], d;fh, ;+uLt ;'Gg], s'g} g s'g} sfddf nflu /xg], vfnL ;dodf k9g] jfgL, tftf] kfgL n] g'xfpg] h:tf sfo{x? ug{' cToGt pko'St x'G5 . · nfdf] sfdsf] aLr aLrdf c/fd ug{' pko'St x'G5 . · b]lgs lx8g] jfgL a;fNg' xf]; . vf;u/L ljxfg / a]n'sfsf] lx8fO{n] lgs} kmfObf u5{ . o;n] tgfj, zf]s tyf ysfO{ jf6 c/fd lbG5 . · vfgfdf xl/of] ;fukft, u]8fu'8L, kmnk'mn, ;nfb, t/sf/L, bxL O{Toflbsf] dfqf a9fpg' xf]; . · vfgfdf w]/} lrNnf], lk/f], cldnf] tyf u'lno j:t'sf] k|of]u gug{' g} /fd|f] x'G5 . · hf“8 /S;L, slkm, sf]s, lrof h:tf k]o kbfy{sf] k|of]u gug'{ g} /fd|f] xf] . 6666====jjjjffffssssjjjjffffssssLLLL nnnnffffUUUUgggg'' ' (Nausea): jfsjfsL nfUbf tyf jfGtf eO/x“bf dflg;nfO{ vfg / lkpg ufx|f] kg]{ u5{, h;n] ubf{ dflg; sdhf]/ / s'kf]lift x'G5 / hnljof]hg klg x'G5 . s]xL dflg;x?df jfsjfsL / jfGtf w]/} lbg;Dd eO{ /fVb5g . jfsjfsL jf jfGtf Pr=cfO={eL= ;+s|d0fs} sf/0fn] ePsf] ePklg slxn]sf“xL tn plNnlvt sf/0fx?n] klg x'g ;S5 M ljleGg ;+qmd0f x'“bf, cf}iflwx?sf] ;]jg ubf{, k]6 jf cfGb|fx?sf] ;d:of x'“bf . ppppkkkkrrrrffff//// MMMM · cf]=cf/=P;= -hLjghn÷gjhLjg_ sf] k|of]u k|ofKt dfqfdf ug'{ xf]; . · jfsjfsL nfUg] u+w, a:t', cfafh OToflb jf6 6f9} a:g' xf]; . · ;kmf :jR5 xfjfdf nfdf] nfdf] Zjf; lng' xf];. · cfkmnfO{ dgkg]{ af:gfx? h:t} sfutL, cb'jf O{Toflbsf] ;'uGw lng' xf]; . · cb'jf, Njf+u, O{) cfºgf] :jfb / k;Gb cg';f/ d'vdf /fvL rkfpg ;lsG5 . · k|ofKt c/fd lng' xf]; / tgfj sd ug]{ ls|ofsnfkx? H:t} M nfdf] nfdf] Zjf; lng] , Wofg, zfGt jftfj/0fdf a:g], d;fh, ;+uLt ;'Gg], s'g} g s'g} sfddf nflu /xg], vfnL ;dodf k9g] jfgL, tftf] kfgL n] g'xfpg] h:tf sfo{x? ug{' cToGt pko'St x'G5 . · cfkmnfO{ cfgGb lbg] s'/fdf cfºgf] Wofg s]lGb|t ug]{ / /fd|f] rLh x]g]{ . · tf/]sf], t]n a9L ePsf] vfg]s'/f tyf hf“8 /S;L sf] k|of]u ug'{ x'b}g . · yf]/} yf]/} vfgf w]/} k6s vfbf /fd|f] x'G5 . Ps} k6s w]/} vfg gvfg' /fd|f] x'G5 . ;lhn} kRg] tyf emf]n kbfy{ o'St vfgf vfg' k5{ . · ;'Vjf rLh h:t} M e'6]sf] ds}, e6df;, 6f]:6 O{= vfbf pko'St x'G5 . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  18. 18. · vfgf k5f8L sDtLdf #) ldg]6 c/fd ug'{ pko'St x'G5 . · cfkmnfO{ lj;Grf] cg'ej ePsf] a]nf vfg]s'/f vfO{ /fVg' k5{ . vfnL k]6 a:g' x'b}g . · vfg dg gnfu]sf] a]nf cfk'mnfO{ dgkg]{ vfg]s'/fx? Vffg' xf]; . · 8fS6/n] lbPsf] cf}iflw l7s ;dodf vfg' xf]; . s'g} g/fd|f] c;/x? b]vf k/]df t'/Gt 8fS6/nfO{ ;+ks{ ug'{ xf]; . · l5g l5gdf kfgL lkpg] tyf emf]n rLh vfg] jfgL a;fNg' k5{ . · Tab Domperidon (10-20mg) !@–!@ 3+6fdf @ lbg ;Dd vfg ;lsG5 . · emf8f kvfnf ;+u} Hj/f] cfPdf cyjf lb;fdf /ut b]lvPdf t'/Gt 8fS6/ ;+u ;+ks{ /fVg' k5{. · P=cf/=6L= cf}iflwnfO{ vfgf;“u lng'xf]; . · pN6L aGb gx'Gh]n pdfn]sf] ;kmf kfgL, lkmSsf lrof cyjf k'gh{nLs/0f ug]{ hLjghn vfg'xf];. · d;nfo'Qm vfgf jf tf/]sf] vfgf gvfg'xf]; . ::::jjjjffff::::YYYYoooo ;;;;++::+:+:yyyyffff hhhhffffgggg''xx'x'xffff]];;];]; oooollllbbbbMMMM · w]/} k]6 b'v]df . · Hj/f] cfPdf . · pN6Ldf /ut b]vfk/]df . · PslbgeGbf a9L pN6L cfPdf jf eO/x]df . · w]/} ltvf{ nfUg] t/ /fd|/L vfg / lkpg g;Sg] ePdf . · jfsjfsL / pN6L sd gePdf jf cem v/fa x'“b} uPdf . 7777====////ffffttttLLLL kkkkllll;;;;ddddffff ccccffffppppgggg'' ' (Night Sweats): · 5fnf ;'vf tyf Gofgf] /fVg' xf]; . · ;'tL skf8f nufpg' xf]; / w]/} df]6f] l;/s tyf w]/} j6f sDjn g cf]8g' xf]; . · emofn tyf e]G6Ln]l;g sf] Joj:yf ;'Tg] sf]7fdf k|ofKt /fVg' xf]; . · k|;:t dfqfdf emf]nrLh h:t} M kfgL, h;, /; O{= vfg] ug{' xf]; . · rL;f] kfgL lgoldt vfg' k5{ . · wf/fsf] kfgLdf sk8f lehfO{ hLp k'5g' k5{ . · j]8 l;6 tyf nufPsf] sk8f lgoldt ?kdf km]g]{ ug{' k5{ . · cTolws al9 kl;gf cfPdf tlsof dfyLjf6 tf}lnof /fVg' xf]; . · k|t]s lbg leh]sf] sk8fx? ;'Vjf kfg'{ xf]; . · 8fS6/ sf] ;Nnfx lagf s'g} cf}iflw vfg' x'b}g / cTolws kl;gf a9]df 8fS6/ nfO{ vj/ ug'{ k5{ . 8888====xxxxfffftttt vvvv''§'ffff eeeemmmmddddeeeemmmmdddd uuuugggg''{{ '{ (Pain and Tingling in hands, legs feet) · rL;f]sf] sf/0fn] xft v'§f emdemd u/]df tftf] kfgLn] ;]Sg' /fd|f] x'G5 . · udL{ dlxgf tftf]sf] sf/0fn] emdemd u/]df lr;f] kfgLdf v'§f !) ldg]6 hlt 8'jfpbf c/fd x'G5 . · xft tyf v'§f 6fpsf] eGbf dfyL ;'t]sf] a]nf p7fP/ /fVbf /fd|f] x'G5 . · xft tyf v'§fsf] Jofofd lgoldt ?kdf ug{' cToGt /fd|f] x'G5 . · xft tyf v'§fsf] dfln; ug'{ kmfObf hgs x'G5 . · xn'sf c/fdbfoL r]K6f] ;f]n ePsf] h'tf nufpg' pko'St x'G5 . · w]/} ;do ;Dd Pp6} :yfgdf pleg' jf lx8g' x'b}g . aLr aLrdf c/fd lng' k5{ . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  19. 19. · ;'tLsf] df]hf nufpg' k5{ , h;n] kl;gf ;f]:5 / c/fd lbG5 . · xftnfO{ Gofgf] /fVg' k5{ t/ w]/} u/d /fVg' x'b}g, h;n] kl;gf cfFp5 . · k|ofKt c/fd lng' xf]; / tgfj sd ug]{ ls|ofsnfkx? H:t} M nfdf] nfdf] Zjf; lng] , Wofg, zfGt jftfj/0fdf a:g], d;fh, ;+uLt ;'Gg], s'g} g s'g} sfddf nflu /xg], vfnL ;dodf k9g] jfgL, tftf] kfgL n] g'xfpg] h:tf sfo{x? ug{' cToGt pko'St x'G5 . · cTolws kl;gf cfPdf /utdf rLgLsf] dfqf hf“r u/fpg' k5{ , lsgls dwd]x /f]udf klg cTolws kl;gf cfFp5 . · Ps rSsL kf/fl;6fdf]n (Tab. Paracetamol 500mg) vfg ;lsG5 . · 6666ffffppppssssffff]] ]] bbbb''vv''vv]]dd]]ddffff MMMM 6fpsf]df leS;, afd O{Toflb nufpg ;lsG5 / Ps dgtftf] kfgLdf v'§f 8'jfO{ s]lx j]/ /fVg' k5{ . · lbgdf @–# k6s a|'km]gsf] rSsL (Tab. Brufen 400mg) vfgf kl5 @–# k6s vfg lbg' k5{ . · nIf0fx? ;+rf] gePdf 8fS6/ ;+u ;+ks{ /fVg' k5{ . · hf]8df b'v]df Diclomol -8fOsnf]df]n_ cyjf Voveran ef]e/fg dnxd @–# k6s @–# lbg ;Dd nufpg' kmfObf hgs x'G5 / nIf0f sd gePdf t'/Gt 8fS6/ sxf“ k7fpg' k5{ . · P8; nfu]sf JolStx?df ljleGg le6fldgsf] sdL, cf}iflwsf] ;fO8Ok]mS6;, l6= jL= cf}iflwsf] k|of]u tyf ;fO8 Okm]S6;, Sofg;/, rLgLsf] /f]u, hg} vl6/f tyf ljleGg ;+s|d0fx?n] ubf{ xft v'§fx? emd emd ul//xG5g . 9999====;;;;ffffFFFF;;;; kkkkmmmm]]gg]g]g{{ { uuuuffffxxxx||ff|f|f]] ] eeeePPPPddddffff (Shortness of breath) · k|ofKt c/fd lng' xf]; / tgfj sd ug]{ ls|ofsnfkx? H:t} M nfdf] nfdf] Zjf; lng] , Wofg, zfGt jftfj/0fdf a:g], d;fh, ;+uLt ;'Gg], s'g} g s'g} sfddf nflu /xg], vfnL ;dodf k9g] jfgL, tftf] kfgL n] g'xfpg] h:tf sfo{x? ug{' cToGt pko'St x'G5 . · Zjf; lng ufx|f] ePsf] a]nf ;'Tg' x'b}g, a:g' k5{ jf c8]; nfu]/ c/fd ug{' k5{ . · b}lgs ljxfg a]n'sf 3'Dg' cToGt /fd|f] xf] . b}lgs Jofofdn] sdhf]/ ePsf 5ftLsf] dfF;k]zLnfO{ alnof] kf5{ / ;fF; km]g{ ;xh agfp5 . · Zjf; k|Zjf;sf] Joofdx? h:t} M nfdf] ;f“; lng' xf]; / cf]7 6;fO{ b'O{u'gf ;do nufP/ jflx/ kmNg'xf];, lgoldt ?kn] nfdf] ;fF; lng] / jflx/ kmfNg] ug'{ xf];, gfsjf6 Zjf; lnO{ d'vjf6 kmfNg] h:tf cEof;x? b}lgs @–# k6s !)–!% ldg]6 ;Dd ubf{ lgs} kmfObf x'G5 . · cTolws Zjf; a9]df 8fS6/nfO{ vj/ ug'{ xf]; . 0000ffff====5555ffffnnnnffffssssffff]] ]] 3333ffffpppp (Skin abscess/boils): · 5fnfdf 3fp cfPdf tftf] kfgLn] ;]Sg' k5{ . · g'g kfgLdf sk8f lehfP/ ;]Sg ;lsG5 . · klktf -d]jf_ pl;g]/ t/sf/L vfg ;lsG5 . · 3fp kfs]df lkk aufpg' k5{ / g'g kfgLn] 3fp ;kmf /fVg' k5{ / ;kmf sk8fn] k'5g' k5{ . · a]6fl8g emf]n cf}iflw kfPdf pSt cf}iflwn] 3fp ;kmf ug{'k5{ / ;kmf sk8fn] k§L nufpg' k5{. · k|f]l6g o'St vfgfx? bfn, bw, u]8fu'8L / le6fldg ;L= ePsf vfgfx? h:t} M sfutL O{= k|;:t vfg' k5{ , h;n] 3fp lgsf] kfg{ dbt ub{5 . tttt====5555ffffnnnnffffddddffff kkkkmmmmffff]]ss]s]sffff ccccffffppppgggg'' ' (Skin blister) · kf]6f; kfgLn] 3fp ;kmf ug{ k5{ . kmf]sf k'm6fO{ kf]6f; kfgLn] ;kmf ug'{ k5{ . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  20. 20. · kmf]sfx?df lr;f] k§Ln] ;]Sg' k5{ . · b'vfO{ sdug{] cf}iflwx? lgoldt ?kdf vfg' k5{ . yyyy====5555ffffnnnnffffddddffff lllljjjjlllldddd////ffff ccccffffppppgggg'' ' (Skin rash) · lgoldt ?kdf :gfg ug'{ k5{ . l86f]n ;fa'gsf] k|of]u ug'{ /fd|f] xf] . · lr;f] kfgLn] g'xfpg' x'b}g . dgtftf] kfgLn] g'xfpg' k5{ . · g'xfP kl5 5fnf tf]]}lnof cyjf wfddf k0f{ ?kn] ;'sfpg' k5{ . · 5fnf g/d kfg]{ ls|d tyf nf];gx? nufpg'' k5{ t/ :k|L6 -cnsf]xn_ ldlt nf];gx? nufpg' x'b}g . · Pnf]e]/f tyf g]r'/n ag:klt ldlt ls|dx?sf] k|of]u kmfObf hgs x'G5 . · 5fnfsf] s'g} 7f“pjf6 /ut cfPdf ;kmfsk8f cyjf j]G8h nufpg' k5{ / c? Effudf k}ng jf6 /f]Sg' k5{ . · af:gfo'St ;fa'gsf] k|of]u ug{' /fd|f] xf]Og . · k|;:t kfgL vfg' k5{ . · ;'Vjf xfjf 5fnfnfO{ s8f kf5{ t;y{ cfb|tf al9 ePsf] xfjfsf] k|of]u 5fnfsf] nflu /fd|f] xf] . · ;'tLsf] g/d sk8f nufpg' k5{ 5fnfnfO{ lrnfpg] sk8f k|of]u ug{' x'b}g . · 3fd w]/} ePsf] a]nf 6f]kL -x]6_ sf] k|of]u ug'{ /fd|f] x'G5 . · w]/} ;]gl;l6e -lrnfpg]_ 5fnfdf sDan tyf df]6f] sk8fn] 5f]Kg' x'b}g . h:t} M v'§fdf cK7of/f] ePdf tlsof /fv]/ sk8f dfyL kfg{ ;lsG5 . · lrnfpg] sdug]{ cf}iflwx? 8fS6/sf] ;Nnfx cg';f/ vfg lbg' k5{ . · vvvv''VV''VVjjjjffff 5fnfdf gl/onsf] t]n cyjf e];lng lgoldt nufpg' k5{ . · 5fnfdf s'g} gof“ kl/jt{g b]vf k/]df t'/Gt 8fS6/ ;+u ;+ks{ /fVg' k5{ · xft v'§f lgoldt ?kdf w]/} k6s ;kmf /fVg' k5{ . · tf}lnof tyf n'ufx? c? ;+u ;f6f ;f6 ug{' kb}{g . · 5fnfdf k};f, s}of] tyf lkgn] sf]g{ x'b}g . · s]nfdfOg nf];g (Calamine lotion), e];lng tyf k]6«f]lnod h]nL O{Toflb nufpbf lrnfpg sd x'G5 . · cf“vf, d'v tyf u'Ktfªdf lrnfpg yfn]df t'/Gt 8fS6/nfO{ hrfpg' k5{ . bbbb====xxxxfffftttt vvvv''§''ffff ;;;;llllGGGGgggggggg'''' (Swelling of Arms, Hands and Feet) · al;/x]sf] a]nf xft v'§f dfyL kf/]/ c/fd ;+u /fVg' k5{ . · w]/} nfdf] ;do ;Dd pleg' tyf lx88'n ug{' x'b}g . · 8fS6/sf] ;Nnfx cg';f/ xft v'§fdf dnxd nufpg' k5{ . · xft v'§fnfO{ dgtftf] kfgLdf 8'jfP/ /fVg' k5{ . · tftf] kfgL vfg] afgL ug'{ /fd|f] xf], o;n] slAhot tyf /St ;+rf/nfO{ /fd|f] kf5{ . · w]/} g'g tyf g'lgnf] vfg]s/fx? sd dfqfdf k|of]u ug'{ k5{ . wwww====llllggggGGGGbbbb||ff|f|f ggggnnnnffffUUUUgggg'''' (Trouble sleeping /insomnia) · /ftL rf8} ;'Tg] tyf ljxfg rf“8} p7g] jfgL a;fNg' k5{ . · lbp;f] 5f]6f] ;dosf] nflu c/fd ug{' /fd|f] x'G5 . · dgtftf] kfgLn] ;'Tg' cuf8L :gfg ug{' kmfObf hgs x'G5 . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  21. 21. · /ftL ;'Tg] a]nfdf tftf] bw cyjf xa{n lrof vfg' kmfObf hgs x'G5 . /ftL w]/} kfgL vfbf ;'t]sf] a]nf cK7of/f] eO{ lk;fa km]g{ p7g' kg]{ x'G5 , t;y{ w]/} kfgL /ftL vfg' x'b}g . · b}lgs $–% 3+6f Joofd z/L/sf] nflu /fd|f] x'G5 . /ftL ;'Tg] a]nfdf Jofofdn] lgGb|f kg]{df ;d:of Nofpg ;S5 . · ;'Tg' cuf8L s]lx rfv nfUbf] s'/fx? k9g] jfgL a;fNg' /fd|f] xf] . · cfkmnfO{ rflxPsf] cfjZostf cg';f/ tlsofsf] k|of]u ul/ ;'Tg ;lsG5 . · dw'/ ;+uLtx? /ftL ;'Gg' /fd|f] x'G5 jf dxTjk0f{ k|jrgx? sf] 6]k ;'Gg' kmfObf hgs x'G5 . · lgGb|f nfUg] rSsLsf] k|of]u 8fS6/sf] ;Nnfx ljgf k|of]u ug{' x'b}g . o;n] tkfO{nfO{ pSt rSsLdf lge{/ kfg{ ;S5 . · aflx/ jf6 ;'Tg] sf]7fdf cfjfh cfO/x]sf] 5 eg] ;fgf] :j/df dw'/ cfjfh ePsf] ;+uLt ahfO{ ;'Tg' /fd|f] x'G5 . · sfgdf skf; jf sfg aGb ug]{ a:t'sf] k|of]u ul/ ;'Tbf /fd|f] x'G5 . gggg====ttttffff}}nn}n}n 33336666gggg'' ' (Weight loss): · k|ofKt dfqfdf vfgf tyf k]o kbfy{x? vfg' xf]; . · w]/} k6s yf]/} yf]/} vfg] jfgL a;fNg' k5{ . · le6fldgx? lgoldt ?kdf vfg' k5{ . · vfgfdf n;'gsf] dfqf a9fpg' k5{ . · lgoldt ?kdf cfºgf] tf}n lng' k5{ / cfºgf] tf}n Pp6f lglZrt cj:yfdf /fVg' k5{ . · vfgf ;fyLnfO{ tyf kl/jf/sf] ;b:o ;+u ldn]/ ksfpg' k5{ / ;+u} a;]/ vfg' k5{. · k|f]l6g tyf zlStbfos vfgfx? h:t} M abfd, ;]G8ljr, rLh, vL/, blx O{Tolbsf] dfqf k|;:t lng' k5{ . · ljxfgsf] gf:tfdf bw tyf kmnk'mn lgoldt vfg' pko'St x'G5 . · k|t]s lbg z/L/nfO{ rflxg] le6fldgsf] dfqf vfgfdf tyf yk rSsLsf] ?kdf lgoldt ;]jg ug{' pko'St x'G5 . · t'/Gt ksfpg ;Sg] vfgfx? /fVg' xf]; . · tfhf kmnkm'n tyf t/sf/L vfg] jfgL a;fNg' xf]; . · ofqf ubf{ al9 zlStbfos vf4 kbfy{x? kfp8/ tyf s]s sf] ?kdf af]ls /fVbf rflxPsf] ;dodf sfd lbG5 . · xNsf cEof;n] vfg] OR5f a9fp5 . · d'vdf 3fp eO{ rkfpg cK7of/f] ePdf 8fS6/ ;+u t'/Gt pkrf/ u/fpg' k5{ , h;n] vfgf rkfpg ;lhnf] x'G5 . · xa{n lrof cyjf n]dg u|f; 6L= n] vfgfsf] ?rL a9fp5 . · ;se/ d'vdf 3fp ePsf] a]nf tftf] rLh vfg' x'b}g . lr;f] vfgfsf] k|of]u a9fpg' k5{ . h:t} M blx cfO;ls|d O{= . · vfgfnfO{ bfndf, bwdf cyjf emf]ndf ld;fP/ vfg' pko'St x'G5 . · d;nf w]/} ePsf], lk/f], lrNnf] tyf Pl;l8s k]o kbfy{x? h:t} M ;'Gtf]nfsf] /;, 6df6/sf] /; O{Tolbsf] k|of]u gug{' g} /fd|f] xf] . · n;'g tyf sfutL kfgLsf] k|of]u /fd|f] x'G5 . · vfgfdf :jfb gnfu]df yk s]lx d;nf, g'g O{= sf] k|of]u ug{ ;lsG5 . · cfkmnfO{ dg kg]{ crf/ tyf vfg] a:t' lgoldt hu8f] /fVg' k5{ . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  22. 22. kkkk====dddd''vv'v'vddddffff ;;;;]]tt]t]tffff]] ] 3333ffffpppp xxxx''gg'g'g'' ' (White Spots in Mouth/Oral Thrush) d'v tyf 3f“6Ldf hDg] ;]tf] n]knfO{ y|; elgG5, h;sf] sf/0fn] d'v tyf 3f“6Ldf vl6/fx? cfpg] ub{5g . cj;/jfbL /f]ux? nfUb}df cflQg' kb}{g, :jf:ysdL{sf] ;Nnfx lnP/ tyf ;dod} 3/]n' pkrf/ ckgfP/ klg cj;/jfbL /f]ux?nfO{ lgsf] kfg{ ;lsG5 . · g/d vfgf vfg] jfgL /fd|f] xf] . · g'g kfgLn] s'Nnf ug'{ k5{ / ;f]8f jfosfaf]{g]6 emf]nn] d'v ;kmf /fVg' k5{ . · d'vdf z'4 luln;l/g nufpg' k5{ . · d'vdf G.V. pain -cf}iflw_ sf] k|of]u ug{ ;lsG5 / nIf0f a9b} hfbf sf]l6«dfhf]n r':g] cf}iflw r':g lbg' k5{ . · cf}iflw vfbf klg ;+rf] gePdf 8fS6/ ;+u ;Nnfx lng k7fpg' k5{ . kkkkmmmm====ooooffff]]gg]g]gLLLL llllrrrrnnnnffffppppgggg'' ' ,,,, kkkkffff]]NN]N]Ngggg'' ' ttttyyyyffff ;;;;]]tt]t]tffff]] ] kkkkffffggggLLLL aaaaUUUUgggg'' ' (Vaginal Itching, Burning Discharge) · s6gsf] cG8/j]o/ nufpg' k5{ / o;nfO{ ;do ;dodf abNg' k5{ . · af:gfo'St k]G6L tyf k]8sf] k|of]u ug'{ x'b}g . · w]/} 6fO6 lkml6+u sk8f nufpg' x'b}g , h:t} M 6fO6 lhg tyf gfOng sf] df}hf nufpg' x'b}g . · blxsf] k|of]u lgoldt ug'{ /fd|f] x'G5 . lsgls o;df 5f/ x'G5 . · g'xfpbf g/d vfn] ;fagsf] k|of]u ug'{ k5{ . al8 :k|], 6jfOn]6 k]k/ tyf ;]G6x?sf] k|of]u gug{' pQd x'G5 . · ;;;;++ee++eeffff]]uu]]uu llllssss||oo||ooffff MMMM o:tf] cj:yfdf gug'{ g} /fd|f] x'G5 . ug]{k/]df s08dsf] k|of]u clgjfo{ ?kdf ug'{ k5{ . d'v d}yg ug{' x'b}g, o;n] d'vdf ePsf] km+u; ;g]{ ;+efjgf x'G5 . · g'g kfgL cyjf kf]6f; kfgLn] u'Ktf+u lgoldt ;kmf /fVg' k5{ . · la6fl8g cyjf l86f]n xfn]/ dg tftf] kfgLdf rfs 8'jfO{ -l;h jfy_ lng' /fd|f] x'G5 . aaaa====////SSSStttt–ccccNNNNkkkkttttffff (Anemia) z/L/df cfO{/g tyf /utsf] dfqf cfjZostf eGbf sd x'g' g} /Qm–cNktf xf] . o:tf] cj:yfdf z/L/ sdhf]/ x'g] ub{5 . · df5f, df;', s'v'/f, c08f, /StL, xl/of] ;fukft / kmnkmn h:tf cfO{/go'Qm vfgfx? k|z:t dfqfdf vfg' k5{ . · vfgf ksfpgnfO{ ;s];Dd kmnfdsf ef“8fx? k|of]u ug'{ k5{ . · ;s];Dd ;Gt'lnt ef]hg vfg' k5{ . ////QQQQmmmm–ccccNNNNkkkkttttffffssssffff]] ] 3333////]]nn]n]n'' ' ppppkkkkrrrrffff//// · t/a'hf, s]/f, c+u'/, ;'Gtnf, cgf/, cl~h/, la6, sfh', abfd, ltnsf] u]8f, km;L{sf] u]8f, km;L{sf] laof“, ;o{dvL kmnsf] laof“, df5f, df;', c08f, tf]km, 6';f pd|]sf] rgf, xl/of] ;fukft, ufh/, ;nud, uf]ne]8f, d';'/f]sf] bfn vfg' k5{ . · :jf:YosdL{sf] ;Nnfx cg';f/ cfO{/g tyf kmf]lns Pl;8sf rSsLx? ;]jg u/]/ /Qm–cNktfnfO{ sd ug{ Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS ;lsG5 . eeee====kkkkmmmm++uu+u+u;;;; -9999'';;';';LLLL____ ;;;;++ss+s+s||dd|d|d0000ffff · km+u; x'g] ;+qmd0fx?sf] j0f{g ug{ jf km+u; ;+qmd0f g} ePsf] xf] eGg cln ufx|f] x'G5 lsgls ltgLx? x]bf{ leGg leGg k|sf/sf x'G5g . s]xL km+u;sf ;+s|d0fx? 5fnfdf uf]nf], /ftf] jf kfth:tf] wAaf h:tf
  23. 23. b]lvG5g / lrnfpg] u5{g . P8; ePsf dlxnfx?df af/Daf/ of]gLdf km+u;sf] ;+qmd0f eO/xg ;S5 . vf;u/L sfvLd'lg, cf}nfsf sfk, s'lxgf]sf] leqkl§, hf“3 j/k/, dlxnfsf] :tgd'lg / z/L/sf cGo ljleGg efux?df km+u; ;+qmd0f x'g] ub{5g . dddd====ccccffff]]55]5]5ooooffffggggssssffff]] ] 3333ffffpppp (Bed Sore/Wound): 5fnfdf rf]6 nfu]/ 3fp x'g]u5{ . rf]6k6s nfUbf 3fp x'G5 eg] vl6/f k|foh;f] ls6f0f' jf 5fnfdf bjfj k/]/ x'g]u5{ . nfdf] ;do;Dd Pp6} la5of}gfdf ynf k/]/ ;'Tbf z/L/df bjfj kg]{ / o;sf] sf/0fn] cf]R5ofg] 3fp (Bed Sores) x'g] ub{5 . of] ;+s|d0fo'St 3fp xf] . sf6]sf], rf]6 nfu]sf] jf v'nf 3fpnfO{ ;kmf /fv]df ;+qmd0f x'g] 8/ x'“b}g . · w]/} a]/ ;Dd a]8df ;'Tbf l5g l5gdf :yfg abNg' k5{ . · 3fp ;kmf / ;'vf /fVg' k5{ . · lj6fl8g (Betadine) n] 3fpdf 8«]l;Ë ug{' k5{ . · :6]/fOon tl/sfjf6 3fp ;kmf ug'{ k5{ . · 3fp lgsf] gePdf jf a9b} uPdf t'/Gt c:ktfn hfg' k5{ / hrfpg' k5{ . oooo====sssskkkkffffnnnn eeeemmmm////]]dd]d]dffff ssss]] ] uuuugggg]]{{ ]{ PPPPllllkkkkmmmmEEEEooooffff////]]GG]]GGhhhh -OOOO====PPPPkkkkmmmm====eeeeLLLL====____ llllnnnnOOOO////ffffvvvv]]ss]s]sffff]] ] ccccjjjjllllwwwwddddffff oooo::::ttttffff kkkk||ll|l|lttttssssnnnn cccc;;;;////xxxx???? bbbb]]vv]v]vffff kkkkbbbb{{55{5{5gggg .... ssss]]xx]x]xLLLL xxxxKKKKttttffffllll5555 ttttLLLL ccccffffkkkkmmmm}} }} xxxx////ffffpppp““55““55gggg .... · skfnnfO{ lau|gaf6 arfpg'xf];M skfn /+ufpg], a6fg]{, tGsfpg] jf 3'dfg]{ gug'{xf]; . · em/]sf] skfn km]/L pdfg]{ k|nf]egdf gkg'{xf]; . To:tf s'g} j:t' glsGg'xf]; h;n] t“kfO{nfO{ skfn pdfg]{ jfrf ub{5 . ::::jjjjffff::::YYYYoooo ;;;;++::++::yyyyffff hhhhffffgggg''xx''xxffff]];;]];;,,,, oooollllbbbbMMMM To:tf k|ltsn c;/x? /lx/x]df 8fS6/sf] k/fdz{ lng'xf]; . ////====kkkk]]//]/]/LLLLkkkkmmmm]]//]/]/nnnn llllggggpppp////ffff]]KK]K]KooooffffyyyyLLLL -xxxxfffftttt vvvv''§'ffff eeeemmmmddddeeeemmmmddddffffppppgggg''__'_'_ ccccffff}}ii}}iiffffllllwwww llllaaaaggggffffssssffff]] ]] ppppkkkkrrrrffff////xxxx¿ MMMM s]xL ;fwf/0f s'/fx¿n]] lk8fnfO{ sd ug{ ;Sb5 M · v's'nf] h'Qf nufpg'xf]; . · w]/} 6f9f -nfdf]_ glx8g'xf]; . · nuftf/ nfdf] ;do;Dd gpleg'xf]; . · a/km kfgLdf v'§f lehfpg'xf]; . · vs'nf] h'Qf / df]hf nufpg] . · ;'Tbf v'§f g5f]kL ;'Tg] . · yf]/} lx88n ug]{ . · v'§fnfO{ dgtftf] kfgLdf 8'afpg] . dgtft] kfgLdf lehfPsf] sk8fn] dfln; ug]{ . · b'vfO / ;'lGgPsf] sd ug{ a'km]g rSsL lng] . k|To]s cf7 306fsf] km/sdf $)) ldnLu|fd;Dd vfgfkl5 lng], t/ 8fS6/nfO{ g;f]wL b'O{lbgeGbf a9L gvfg] . ::::jjjjffff::::YYYYoooo ;;;;++::++::yyyyffff hhhhffffgggg]],,]],, oooollllbbbbMMMM · emdemdfpg] lgsf] gePdf jf lgs} sdhf]/ ePdf . · b'vfO{n] ubf{ lx+8g g;s]df . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  24. 24. n=c;fwf/0f jf v/fa ccc;;;fffwwwfff///000fff jjjfff vvv///fffaaa ;;;;kkkkggggffffxxxx???? ccccffffPPPPddddffff ssss]] ] uuuugggg]]{{ ]{ Okmfold/]Gh PlkmEof/]Gh -O=Pkm=eL=_ ln“bf o:tf k|ltsn k|efjx? b]vfkb{5g . s]xL xKtfkl5 ltgLx? cfkm} x6b5g . · ;'Tg' clw t“kfO{nfO{ v'zL nfUg] / zflGt ldNg] sfd ug'{xf]; . · dlb/f tyf ;fdfGo nfu cf]iflw klg gvfg'xf]; lsgls logLx?n] l:ylt emg laug{ ;S5g . · w]/} lrNnf] vfgf gvfg'xf]; . ::::jjjjffff::::YYYYoooo ;;;;++::++::yyyyffff hhhhffffgggg''xx''xxffff]];;]];; oooollllbbbbMMMM w]/} lbg;Dd /ftL ;'Tg ;Sg' ePg eg] jf lgGb|f nfu]g eg] . j=wwww]]//]/]/}} } yyyyffffssssffffgggg ddddxxxxzzzz'';;';'; eeeePPPPddddffff ssss]] ] uuuugggg]]{{ ]{ · x/]s lbg Ps} ;dodf g} p7g] / ;'Tg] ug'{xf]; . · xNsf Jofofd ug'{xf]; . · cfkm yfs]sf] a]nfdf agfpg / vfg ;lhnf] x'g] vfgfx? /flv/fVg'xf]; . ::::jjjjffff::::YYYYoooo ;;;;++::++::yyyyffff hhhhffffgggg''xx''xxffff]];;]];; oooollllbbbbMMMM · vfg jf xnrn ug{ ;d]t zlQm gePdf . · cfkmnfO{ alnof] /fVg rflxg] hlt kof{Kt vfgf vfg jf lgNg g;lsPdf . z=bbbb''MM'M'MvvvvLLLL jjjjffff llllrrrrGGGGtttttttt eeeePPPPddddffff ssss]] ] uuuugggg]]{{ ]{ o:tf k|ltsn k|efjx? PlkmEof/]Gh -O=Pkm=eL=_ ln“bf b]vf kb{5g . ltgLx? k|foM h;f] s]xL xTktfl5 x/fP hfG5g . · cfÎgf efjgfx? -dgsf s'/fx?_ c?;“u af“8g'xf]; . ::::jjjjffff::::YYYYoooo ;;;;++::++::yyyyffff hhhhffffgggg''xx''xxffff]];;]];; oooollllbbbb,,,, · ;fx|} uDeL/ jf b'MvL / lrGtt ;f]rfOx? cfPdf . · cfTdxTof ug]{ ;f]rfO cfPdf . · tkfO{ clt cfqmf]l;t jf ql;t ePdf . !!!!####==== IIIIffffoooo////ffff]]uu]u]u -6666LLLL====aaaaLLLL====____ Ifo/f]usf] pkrf/ :jf:YosdL{sf] k|ToIf lgu/fgLdf nfdf] ;do ;Dd lgoldt ?kdf ug'{ kb{5 . Ifo/f]usf] cf}ifwL :jf:Yo ;“:yfx?df lgMz'Ns kfO{G5 / Ifo/f]u nfu]sf] a]nfdf w'd|kfg, dBkfg / nfu'kbfy{ ;]jg ug'{ x'b}g . !!!!$$$$==== xxxx]]oo]o]oeeeeffffjjjj //// eeee]]bb]b]beeeeffffjjjj ssssdddd uuuugggg{{ { ssss]] ] uuuugggg]]{{ ]{ (Reducaton of Stigma Discrimination) · Pr=cfO{=eL=÷P8; ;DaGwL unt wf/0ff tyf ljrf/x?nfO{ x6fpg Pr=cfO{=eL=÷P8; s] xf] s;/L ;b{5 s;/L ;b}{g o;af6 aRg s] ug]{ o;sf] pkrf/ s] s:tf] 5 cflb ljifox? pko'St / ;xL hfgsf/L ;a}nfO{ k|bfg ug]{ . · Pr=cfO{=eL=÷P8; ;+qmldt JolStx?af6} Pr=cfO{=eL=÷P8; ;DaGwL hgr]tgfdns sfo{s|d ;+rfngdf hf]8 lbg] . pgLx?af6 pgLx?n] Pr=cfO{=eL=÷P8; ;+qmldt eP/ u/]sf cg'ejx? cGo JolStx?nfO{ ;'gfpg] . · Pr=cfO{=eL=÷P8; ;+qmldt JolStx?nfO{ ;Lkdns tflnd k|bfg ug]{ . pgLx?sf] of]Uotf, ;Lk tyf cg'ej cg';f/ ;dfg cj;/sf] Joj:yf ug]{ . · Pr=cfO{=eL=÷P8; ;+qmldt JolStx?nfO{ ul/g'kg]{ plrt Jojxf/ ;DaGwL ljleGg 5nkmn, uf]i7L tyf sIff ;+rfng ug]{ . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  25. 25. · Pr=cfO{=eL=÷P8; ;+qmldt JolStx?nfO{ x'g;Sg] x]oefj tyf e]befj ;DaGwL sfggL Joj:yf ;'b[l9s/0f ug{ jsfnt tyf ;xof]u ug]{ . · :jf:Yo ;+:yfx?df sfo{/t JolQmx?nfO{ Pr=cfO{=eL=÷P8; ;DaGwL x]oefj tyf e]befj Hog ug]{ ;DaGwL tflnd k|bfg ug}{ . · Pr=cfO{=eL=÷P8; ;+s|ldt JolStx?n] ;dfhdf /fd|f] cfr/0f k|bz{g ug]{ tyf cfÎgf] k]zfnfO{ s'zntfkj{s cufl8 a9fpb} hfg] . · Pr=cfO{=eL=÷P8; x]oefj tyf e]befj sd ug{ ;3fpg]vfnsf Jojxf/ kl/jt{gdns ;+r/ ;fdu|Lx?sf] lgdf{0f u/L Jofks k|rf/–k|;f/ ug]{ . · Pr=cfO{=eL=÷P8; ;+qmldt JolQmx? tyf ltgsf kl/jf/sf] nflu k/fdz{ tyf k/LIf0f s]Gb|x?sf] ;j{;'ne Joj:yf ldnfpg] . o:tf s]Gb|x?df hfg;Sg] jftfj/0f ldnfpg] . !!!!%%%%==== ddddffffggggllll;;;;ssss ::::jjjjffff::::YYYYoooo ;;;;''ww'w'wffff//// JolStut ;/;Nnfx, ;fd'lxs ;/;Nnfx, kl/jfl/s ;/;Nnfx, ef]hg ;+jGwL ;/;Nnfx, ue{jtL cj:yfsf] ;/;Nnfx, Pr=cfO{=eL=÷P8; ;+qmldt aRrfx? ;+alGw ;/;Nnfx, pkrf/df lgoldttfsf] nflu ;Nnfx, 6]lnkmf]g ;Nnfx, dgf]lrlsT;s ;Nnfx, ;dflhs ;/;Nnfx ;'emfa, tyf 8«u Pl8S;g lSnlgs O{= kb{5g . dfgl;s :jf:Yo ;]jf Pr=cfO{=eL=÷P8; ;+qmldtx?sf] nflu Pp6f dxTjk0f{ ;]jf xf] . ljleGg pkfox? h:t} M sfpg;]lnË , ;fdflhs ;xof]u tyf dfgf]lrlsT;s sf] Plss[t ;]jf d]l8sn pkrf/ ;+u} k|bfg ubf{ ;+qmldt JolSt tyf kl/jf/sf ;b:onfO{ dbt k'¥ofpb5 . !!!!^^^^==== jjjj::::yyyy ////xxxxgggg ssss]] ] vvvvffffgggg]] ] ;s];Dd k|To]s lbg tn lbOPsf x/]s ;dx af6 ljleGg k|sf/sf vfgfx? vfg] sf]lzz ug'{xf]; . ;fy} oL vfgfx?df s]xL dfqfdf t]n cyjf l3p ld;fPdf cem kmfObf k'Ub5 . kf]lifnf] vfgfn] t“kfO{nfO{ :j:y /fVg'sf] ;fy} z/L/sf] k|lt/f]wfTds IfdtfnfO{ alnof] agfp“5 . kkkkffff}}ll}}lliiii6666ssss vvvvffffggggffffxxxx???? 3333////dddd}} }} kkkkffffOOOOGGGG5555 .... · u'Gb|'s, d:of}/f, ;'s'6L, h:tf kf]if0fo'Qm vfgfx? cfÎg} 3/df tof/ kfg{ ;lsG5 . · ufO{m, e};L h:tf bw lbg] tyf xf“;, s'v'/f, v;L h:tf df;' k|fKt x'g] hgfj/x? kfNg ;lsG5 . · s/];faf/Ldf t/sf/Lx? pdfg{ ;lsG5 . · sltko kf}li6s vfgfx? 3/d} tof/ kfg{ ;lsG5 . · t?n, cfn', lk“8fn', ;s/sGb, cdnf, jo/ h:tf kf]if0fo'Qm vfgfx? cfÎg} v]taf/L tyf jg h+undf ;lhn} kfOG5g . lllleeee6666ffffllllddddggggoooo''QQ''QQmmmm vvvvffffggggffffxxxx???? w]/}h;f] kmnkmn tyf t/sf/Lx?df k|z:t dfqfdf le6fleg kfOG5 . ;fy} xl/of] ;fu;AhLx?df klg le6fldg kfOG5 . zzzz////LLLL////ssssffff]] ]] aaaa[[ll[[ll4444 uuuu////ffffppppgggg]] ]] vvvvffffggggffffxxxx? df5f, df;', c08f tyf u]8fu'l8 -ljif]zu/L e6df;_n] z/L/sf] a[l4 ljsf; u/fp“5g . zzzzllllQQQQmmmmjjjj4444{{ss{{ss vvvvffffggggffffxxxx???? rfdfn, /f]6L, kfp/f]6L, cfn', ;s/sGb cflbn] z/L/nfO{ zlQm k|bfg ub{5g . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  26. 26. vfgfx? ;kmf / vvvfffgggfffxxx??? ;;;kkkmmmfff /// ;;;;''//''//llllIIIIfffftttt ssss;;;;////LLLL ////ffffVVVVgggg]] ]] · efG;f sf]7f / ef“8fs'8fx? ;kmf /fVg] . · vfgfx?nfO{ 5f]k]/ /fVg] . · vfgf ksfpg' / vfg' eGbf cufl8 ;kmf;“u xft w'g] . · kmnkmn tyf t/sf/Lx?nfO{ /fd|f];“u kvfNg] . · ksfP/ w]/}a]/ /fv]sf vfgfx? vfg'eGbf cufl8 ttfP dfq vfg] . · ;kmf / pdfn]sf] kfgL lkpg] . !!!!==== llll;;;;llllssss::::tttt ccccjjjj::::yyyyffffssssffff JJJJoooollllSSSSttttxxxx????ssssffff]]]]] 3333////ddddffff ppppkkkkrrrrffff//// uuuubbbbffff{{ { lllljjjjrrrrffff//// kkkk''¥¥'¥'¥ooooffffppppgggg'' ' kkkkgggg]]{{ ]{ ssss''//'/'/ffffxxxx???? MMMM · cf]7 tyf d'v /l;nf] /fVg' k5{ . ;'Vjf x'g lbg' x'b}g . kfgL tyf j/kmn] cf]7 k'l5 lbg' k5{ . gSsnL /ofn tyf gSsnL cf“z'sf] yf]kf lsg]/ k|of]u ug{' /fd|f] xf] . · lk;fj cfkm} km]g{ g;]df Sofy]6/ -kfOk_ nufO{ /fVg' k5{ / lb;f ug{sf] nflu j]8k]g sf] k|of]u ug{' k5{ . · Hj/f] sd ug{ lgoldt ?kdf l;6fdf]n rSsLsf] k|of]u ug'{ k5{ / kfgL k§L j]nfj]nf lbg' k5{ . · cfjZostf gkg]{ cgfjZos cf}iflwsf] k|of]u ug{' x'b}g . · lj/fdLnfO{ h] ;d:of k5{ ;f] sf] pkrf/ t'/Gt ug'{ k5{ , h:t} M 6fpsf] b'v]df . · vfgf ;se/ yf]/} yf]/} w]/} k6s lbg' /fd|f] x'G5 . ;lhn} krg] emf]n tyf g/d vfgfsf] k|of]u ug'{ k5{ . · cf5ofgsf] 3fp x'g glbg @–@ 3+6fdf sf]N6] kl/ /fVg' k5{ / 5fnfsf] x]/rfx ug{' k5{ . · lj/fdLnfO{ lgoldt ?kdf zfGtjgf lbO{ /fVg' k5{ / p;sf] O{R5f k'/f ug]{ k|of; ug{' k5{ . · lgoldt lj/fdLsf] ;+ks{df a:g' k5{ / cfjZostfx? ;f]lw /fVg' k5{ . · 5]pdf a;]/ lj/fdLsf] xft ;dftL p;sf s'/fx? Wofg lbP/ ;'lg lbg' k5{ . · ;se/ lj/fdLnfO{ cK7of/f] kg]{ sfd ug'{ x'b}g / JolStut O{R5fx?sf] ;Ddfg ug'{ k5{ . · /fd|f] vj/x? eGg' k5{ / cflTdotfsf] cg'e'tL lbg' k5{ . · lj/fdLn] ;'Gg]ul/ lrt b'Vg] s'/fx? ug'{ x'b}g . · a]nf a]nf lj/fdLsf] dgf]an pRr /fVg] zAbx? h:t} M wGojfb , s[kof dfkm ug'{ xf]nf , d}n] dfkm u/], d tFkfO{nfO{ dfof u5{' , jfO{ O{Toflb zAbx? cfjZostf cg';f/ k|of]u ug'{ k5{ . · l/lt l/jfh tyf wd{ cg';f/ lj/fdLsf] O{R5f cg';f/sf] cfjZostfx? Ifdtf cg';f/ k'/f ug'{ k5{ , h:t} M wfld{s kf7, khf, e]63f6, hk O{Toflb . !!!!****==== 3333//// kkkkllll////jjjjffff////ddddffff ccccffffwwwwffffllll////tttt ;;;;]j]jffffssssffff] ] nnnnfffflllluuuu rrrrffffllllxxxxgggg] ] ccccffffjjjjZZZZoooossss ;;;;ffffdddduuuu|L|Lxxxx???? != kfgL n] gleHg] ;fdfg /fVg] emf]nf – ! @= 8fo/L / k]g – ! ;]6 #= :6Lnsf] efF8f] – ! yfg $= :6Lnsf] srf}/f – ! yfg %= hLjghn agfpg] Ps ln6/sf] ef“8f] – ! yfg ^= s}rL – ! yfg = tf}lnof – ! yfg *= l8:kf]h]jn Unj; – !) hf]8f (= df]6f] Unj; – @ hf]8 !)= cf]=cf/=P;= kfs]6 – !) yfg !!= ;fa'g -l86fg_ – ! lk; Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  27. 27. !#= lj6fl8g – !)) ldlnln6/ !$= :k|L6 – !)) ldlnln6/ !%= Snf]l/g AnLrL+u kfp8/ – ! kfj !^= e];lng – ! a§f != s]nfdfOg nf];g – ! a§f !*= s6g – @)) u|fd – ! /f]n !(= s6g uh :6]/fOn – !) – !% lk; @)= a]G8]h – !) lk; @!= a]Ghfon a]GhP6 emf]n – ! yfg @@= le6fldg P 6jn]6 – !) rSsL @#= :k|Lg 6]jn]6 – !) lk; @$= kf/fl;6fdf]n – @) rSsL @%= a|'km]g rSsL – $)) ldlnu|fd – !) rSsL @^= ;]k6«fg (Tab Ceptran DS) = #) rSsL @= d]6f]lg6fhf]n $)) mg (Tab metronitazole) – 20 Tab @*= lh) eL) (G.V. paint) – 25 gm Powder @(= Plen (Tab avill) 10 Tab #)= P;sf]jL{s (Tab Ascorbic acid) = 10 Tab #!= PG6fl;8 6]an]6 -8fOhLg_ -20 Tab !!!!((((==== PPPP8888;;;; ;;;;+s+s|l|lddddttttxxxx????nnnnffffOOOO{ { wwww////ddddffff uuuullll////gggg] ] ::::ooooffffxxxxffff////ssssffff] ] nnnnfffflllluuuu ccccffffjjjjZZZZoooossss kkkkgggg]{ ]{ ccccffff}i}iffffllllwwww ttttyyyyffff ttttLLLLggggssssffff kkkk|o|o||ooffff]u]u]]uuxxxx???? -jjjjoooo::::ssss JJJJoooollllSSSSttttxxxx???? ssssffff]] ] nnnnfffflllluuuu____ !!!!==== llll;;;;6666ffffddddffff]]nn]]nn (Tab Paracetamol 500mg) : Hj/f] sdug{, 6fpsf] b'vfO{ sd ug{ tyf z/L/sf] s'g} efudf ePsf] b'vfO{ sd ug{ . @@@@==== dddd]]66]]66«ffff]]gg]]gg (Tab Metronitazole 400mg) : cfp“ k/]df, emf8fkvfnf nfu]df, tyf /utdf ;L k/]df #= ssssffff]]66]6]6«LLLLddddffff]]SS]S]S;;;;ffffhhhhffff]]nn]n]n (Tab Septran /Bactrim DS) : OGkm]S;g jf6 arfpgsf] nflu lgdf]lhof, emf8fkvfnf tyf cGo OGkm]S;gsf] nflu . $$$$==== PPPPeeeeffff]]ll]]llddddgggg (Tab Avomin / Tab Promethazine 12.5 mg) : %%%%==== lllleeee6666ffffllllddddgggg llllaaaa ssssDDDDkkkknnnn]]SS]]SS;;;; (Vitamin-B-Complex) : le6fldg ;KnLd]G6, xftv'§f emdemd u/]df tyf vfg g?r]df ^^^^==== lllleeee6666ffffllllddddgggg PPPP (Vitamin A ) : cf“vfsf] zlSt a9fpg tyf le6fldg P sf] sdL k'/f ug{ . ==== ::::ssss]]ll]]lljjjjoooogggg nnnnffff]];;]];;gggg (Scabian lotion) : n'tf] nfu]df . ****==== aaaa''||kk''||kkmmmm]]gg]]gg (Tab Ibuprofen 400mg) : b'vfO{ sd ug{, hf]8 tyf x88Ldf rf]6 k6s nfu]df ((((==== ;;;;]]66]]66«LLLLllllhhhhgggg (Tab Cetrizen 10mg) : 5fnf lrnfPdf, PnhL{ cfPdf, tyf ?3f vf]ls nfu]df . !!!!))))==== ssss]]nn]]nnffffddddffffOOOOgggg nnnnffff]];;]];;gggg (Calamine lotion) : 5fnf lrnfPdf . !!!!@@@@==== aaaa]]66]]66ffffllll8888gggg (Betadine) : PG6L;]K6Lssf] nflu, 3fpsf] 8]l;Ësf] nflu . !!!!####==== lllljjjjllllnnnnllllrrrr÷÷÷÷SSSSnnnnffff]]ll]]ll////gggg (Bleaching / Chlorine) : /ut nfu]sf] n'ufkmf6f] tyf ;dfgnfO{ l8;OGkm]S6 ug{ sf] nflu . !!!!$$$$==== PPPP;;;;kkkk||LL||LLgggg (Tab Asprin 325mg) : b'vfO{ sd ug{ tyf Hj/f] sd ug{ . !!!!%%%%==== hhhh]]gg]]gg;;;;gggg EEEEjjjjffffOOOOnnnn]]66]]66 (Gention vilet) : d'vdf cfPsf] cf]/n y|; df Paint ug{sf] nflu . !!!!^^^^==== dddd]]jj]]GG]]GG8888ffffhhhhffff]]nn]]nn÷÷÷÷PPPPnnnnjjjj]]GG]]GG8888ffffhhhhffff]]nn]]nn (Tab Albendazole 400mg / Mebendazole) : h'sf dfg{sf] nflu . !!!!==== eeee]];;]];;llllnnnngggg (Vasline petroleum jelly) : 5fnf lrnfPdf, 5fnf ;'Vjf ePdf, cfWofpgsf] 3fp sd ug{sf] nflu . !!!!****==== ccccffff]]//]]//nnnn llll////xxxxffffOOOO8888]];;];];gggg eeeemmmmffff]]nn]n]n (ORS): hn ljof]hg sf] Joj:yfkg ug{ . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  28. 28. @@@@))))==== PPPP8888;;;; ;;;;++qq+q+qmmmmllllddddtttt JJJJoooollllSSSSttttnnnnffffOOOO{{ { 3333////kkkkllll////jjjjffff////ddddffff ;;;;]]jj]j]jffff kkkk||bb|b|bffffgggg uuuugggg]]{{ ]{ kkkkllll////jjjjffff////ssssffff]] ] ;;;;bbbb::::oooo ttttyyyyffff llllkkkkllll8888tttt JJJJoooollllSSSSttttxxxx????nnnn]] ]] llll;;;;SSSSgggg kkkkgggg]]{{ ]]{{ ssss////'ffffxxxx???? -s_ Hj/f] gfKg (Temprature) ydf]{ld6/ -v_ gf8L 5fDg (Pulserale) -u_ Zjf; k|Zjf; (Respiration rate) -3_ /St cNktf x]g{ (Anemia) -ª_ hlG8; x]g{ (Jaundice) -r_ lgnf] x'g' (Cynosis) -5_ /Strfk gfKg (Blood pressure) -h_ Snf]l/g÷ljulnlr+usf] emf]n agfpg . -em_ d'vdf ;]tf] bfu (Oral thrush) x]g{ . -`_ zl//sf] u|GyLa9]sf] 5fDg (Lymphnode) -6_ hLjg hn agfpg] tl/sf . -7_ sG8dsf] ;lx k|of]u ljlw . -8_ tftf] kfgLsf] jfkm lng . -9_ of}g /f]usf] nIf0fx? . -0f_ sn]hf] a9]sf] 5fDg . -t_ l;=8L= $ uGtLsf] ;+Vof / dxTj . -y_ P=cf/=6L= cf}iflw sf] sfd . -b_ 3fpdf k§L nufpg . -g_ s]nfdfOg nf];g (Calamine lotion) sf] k|of]u . -k_ nfdf] nfdf] Zjf; lng] tl/sf (Deep breathing exercise) -km_ ;+tlnt ef]hg sf] vfgfx? . -a_ 6LjL /f]u sf] nIf0fx? . @@@@!!!!==== kkkkLLLL////,,,, llllrrrrGGGGttttffff ttttyyyyffff ttttggggffffjjjj ssssdddd uuuugggg]]{{ ]{ ssss]]xx]x]xLLLL ppppkkkkffffooooxxxx???? · cfºgf] jf:tljstfnfO{ e/;s ;xhtfsf ;fy :jLsf/ ug]{ . · v'zL tyf ;'v eg]sf] dfgl;s cj:yf xf], e/;s cfkmnfO{ v'zL /fVg cfkm dfgl;s ?kdf tof/ /xg] . · e/;s PSn} ga:g], kl/jf/sf ;b:ox? tyf cfºgf dg ldNg] ;fyLx?;+u ;do latfpg] / s]xL ;d:of k/] pgLx?sf] ;xof]u lng] . · cfkmnfO{ ;fgfltgf 3/fo;L sfdsfhdf Ao:t /fVg] . · ;'dw'/ uLt, ehg tyf ;+uLt ;'Gg] . · ljutsf /dfOnf s'/f ;Demg] / eljiodf klg o:t} x'G5 eGg] cfzf /fVg] . · e/;s cfkmgf] dgdf cgfjZos larf/x? pTkGg x'g glbg] / olb o:tf larf/x? cfpg yfn] eg] tTsfn cfkmnfO{ s'g} sfddf Ao:t /fVg] . · o; ;d:ofdf d PSnf]dfq 5' eGg] g7fgL d h:tf y'k|} JolStx? o:tf ;d:ofdf /x]sf 5g . pgLx? h:t} d klg v'zL x'g ;Sb5' eGg] efjgfsf] ljsf; ug]{ . · cfkmnfO{ wfld{s tyf cfWoflTds ls|ofsnfkdf ;+nUg /fVg] . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  29. 29. @@@@@@@@==== PPPPrrrr====ccccffffOOOO{{=={={=eeeeLLLL==== ;;;;++ss+s+s||ll|l|lddddttttnnnn]] ] ;;;;ffffddddffffllllhhhhssssLLLLssss////0000ffff xxxx''gg'g'g]] ] ssss]]xx]x]xLLLL ppppkkkkffffooooxxxx???? · cfkm ;+qmldt eOof] eg]/ PSn} 3f]ls|P/ ga:g] . · cfºgf] kL/, lrGtf tyf tgfjx? kl/jf/sf cGo ;b:ox? tyf cfkmgf] dg ldNg] ;fyLefO{x?;+u cfbfgk|bfg ug]{ . · ;fdflhs ls|ofsnfk tyf ultljlwx?df cfkmnfO{ ;+nUg u/fpg] . · cfºgf b}lgs hLjgsf nflu cfjZos sfo{x? ub}{/xg] . · efjgfsf] cfbfgk|bfg ugf{n] cfkmgf] dg xNsf x'g ;Sb5 , o;sf/0f cfºgf dgsf s'/fx? cfkmleq dfq g/fvL cfkm h:t} cGo ;fyLx?;+u cfbfgk|bfg ug]{ . · ;dfhdf Pr=cfO{=eL= tyf P8;;DaGwL ;xL ;rgf tyf hfgsf/Lx? km}nfpg] . ;;;;ddddxxxxddddffff ccccffffaaaa4444 xxxx''““bb''““bbffffssssffff kkkkmmmmffffOOOObbbbffffxxxx???? Pr=cfO{=eL= ;+qmldt tyf k|efljtx?sf] ;dxdf cfj4 x'gfn] lgDglnlvt kmfObfx? k'Ug ;Sb5g M · s'g} Pr=cfO{=eL= ;+qmldtnfO{ pm h:t} cGo w]/} JolQmx? Klg Pr=cfO{=eL= sf] ;d:ofaf6 ulh/x]sf 5g eGg] s'/fsf] hfgsf/L x'G5 . · cGo Pr=cfO{=eL= ;+qmldt tyf k|efljt JolQmx?sf] cg'ejaf6 cfkmnfO{ k/]sf ;d:ofx?sf] ;dfwfgsf pkfox? Yfxf kfpg ;lsG5 . · cfkmh:t} cGo JolQmx?;+u cfkmgf dgsf efjgfx? cfbfg k|bfg ug{ ;lsG5 . · PrcfOeL sf] If]qdf ePsf gof“ gof“ pknAwLx? Yfxf kfpg ;lsG5 . · cfkmnfO{ cfjZos k/]sf a]nf pkrf/, x]/rfx tyf ;xof]u pknAw x'g ;Sb5 . · ;sf/fTds hLjgofkgsf nflu cfjZos kIfx?af/] hfgsf/L k|fKt ug{ ;lsG5 . · cfkmdf gePsf gof“ ;Lkx?sf] ljsf; klg x'g ;Sb5 . · s'g} klg ;d:of ;dfwfgsf nflu PSnf] JolQmeGbf ;dxsf] cfjfh k|efjsf/L x'g ;Sb5 . @@@@####==== wwww''dd'd'd||kk|k|kffffgggg //// PPPPrrrr=ccccffffOOOO{{{{=eeeeLLLL= llllssssgggg PPPPrrrr=ccccffffOOOO{{=={{==eeeeLLLL==== eeeePPPPssssffff ddddffffllllgggg;;;;xxxx¿ssssffff]]nn]n]nfffflllluuuu wwww''dd'd'd||kk|k|kffffgggg yyyykkkk vvvvtttt////ffffggggffffssss xxxx''GG'G'G5555 · Pr=cfO{=eL= ePsf dflg;x¿df :j:y dflg;x¿ eGbf a9L w'd|kfg ug{] ;Defjg x'G5 . w'd|kfgn] ;fdfGo dflg;x¿df kmf]S;f]sf] sfo{nfO{ x:tIf]k ug{ ;Sb5 . Pr=cfO{=eL= ;+qmldt dflg;x¿n] w'd|kfg u/]df uDeL/ ;+qmd0fx¿sf] lj¿4 n8g] sfo{ yk s7Lg x'g ;S5 . cfhsn Pr=cfO{=eL= ;+qmldt dflg;x¿ nfdf] ;do;Dd afFR5g . t/ w'd|kfg / ;DalGwt ;d:ofx¿n] bL3{sfnLg hLjgdf cj/f]w ug{ ;Sb5 . · w'd|kfg ug{nfO{ k|f]Tzflxt ug]{ afgL tyf ;+:sf/x¿nfO{ kl/jt{g u/]/ w'd|kfg ug{nfO{ k|f]Tzflxt ug]{ afxo sf/0fx¿ h:t} tgfjnfO{ sd ug{ ;xof]u lng] pTk|]/Lt ug]{ ;d'xx¿df efu lnP/ · s]xL dflg;x¿n] j}slNks pkrf/x¿ h:t} cs'kGr/, ;Ddf]xg, afof]lkm8Aofs -dflg;sf] dfgl;s r]tgfnfO{ lgoGq0fdf lnP/ k|efljt kfg]{ t/Lsf_ af6 /fd|f] ;kmntf xflzn u/]sf 5g @@@@$$$$==== PPPP8888;;;;ssssffff ;;;;DDDDaaaaGGGGwwwwddddffff llllddddYYYYooooffff ssss''//''//ffffxxxx???? ttttyyyyffff eeee||dd||ddxxxx???? llllggggDDDDgggg uuuunnnntttt wwwwffff////0000ffffffffxxxx???? PPPPrrrr==== ccccffffOOOO{{=={={= eeeeLLLL==== ttttyyyyffff PPPP8888;;;; ;;;;++aa++aallllGGGGwwww ;;;;ddddffffhhhhddddffff JJJJooooffffKKKKtttt 5555gggg .... oooo::::ttttffff wwwwffff////0000ffffffffxxxx//// ;;;;ddddffffhhhh jjjjffff6666 xxxx6666ffffppppgggg ;;;;llllxxxx ;;;;++bb++bb]]zz]]zzssssffff]] ]] kkkk||jj||jjffffxxxx uuuugggg''{{ ''{{ llllggggttttffffGGGGtttt ccccffffjjjjZZZZoooossss 5555gggg .... llllggggDDDDgggg wwwwffff////0000ffffffffxxxx???? llllggggttttffffGGGGtttt eeee''mm'm'm7777ffff ttttyyyyffff cccc;;;;nnnn xxxx''gg'g'g .... hhhh::::tttt}} }} MMMM != slxn] ;+ef]u gu/]sf s]6L ;+u of]g ;+ks{ ubf{ P8; lgsf] x'G5 . @=hgfj/ ;+u ;+ef]u ubf{ P8; lgsf] x'G5 . #= P8; dR5/n] ;f5{ . Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  30. 30. $= d'v d}yg jf6 of] /f]u ;b}{g . %= P8; nfu]sf JolSt ;+u xft ldnfpbf of] /f]u ;5{ . ^= P8; lgsf] x'G5 . = Pr=cfO{=eL= / P8; Pp6} xf] . @@@@%%%%==== PPPPrrrr====ccccffffOOOO{{=={={=eeeeLLLL====ttttyyyyffff PPPP8888;;;; ;;;;++ss++ss||ll||llddddtttt JJJJoooollllSSSSttttxxxx????nnnn]] ]] WWWWooooffffgggg llllbbbbgggg 'kkkkgggg]]{{ ]{ ssss''//'/'/ffffxxxx???? .... · Pr=cfO{=eL= /ut, of}g ;+ks{ tyf cfdfaf6 aRrdf ;g{ ;Sg] ;+s|d0f xf] . · =o; af6 aRg c;'/lIft of}g ;+ks{ gu/f}, nfu' cf}ifwL ;]jg gu/f} / cfdf af6 aRrfdf ;g]{ ;+efjgf sd u/fpg ue{jtL dlxnfnfO{ a]n}df ;hu u/fp“ . · Pr=cfO{=eL=÷P8; ;+s|d0f lgd{'n kfg{ ;lsb}g / o;sf ]pkrf/ 5, o;sf] nflu a]n}df glhssf] :jf:Yo ;+:yfdf ;+ks{ u/f} . · =Pr=cfO{=eL=÷P8; ;+s|ldtn] cfkmaf6 c?df g;/f]; eGg] s'/fdf ;r]t eO{ ;hutf ckgfpg' k5{ . · o; ;+qmd0fn] /f]u ;+u n8g] Ifdtf w6g] x'bf ca;jfbL ;+s|d0f x'g] ;+efjgf x'G5 , o;n] Hofg ;d]t hf]lvddf kfg{ ;S5 . · ;+qmldt JolStnfO{ s'g} klg c:j:ytf x'bf t'/Gt :jf:Yo ;+:yfdf ;+ks{ ug'{ k5{ . @@@@^^^^==== PPPP====ccccffff////====6666LLLL==== ccccffff}}ii}i}iffffwwwwLLLL vvvvffffOOOO{{ { ////xxxx]]ss]s]sffff PPPP8888;;;; ;;;;++ss++ss||ll||llddddttttxxxx????nnnn]] ]] WWWWooooffffgggg llllbbbbgggg'' '' kkkkgggg]]{{ ]]{{ ssss''//''//ffffxxxx???? M · Pr=cfO{=eL= ;+qmd0f pkrf/ x'g] t/ lgd'{n kfg{ g;Sg] ;+qmd0f xf] . · cf}ifwL hLjge/ vfg' k5{ . lgoldt Psbd} ckl/xfo{ 5 . · clgoldt cf}ifwL vfgfn] sfd gug{ ;S5 . · cf}ifwLn] /f]u ;+u n8g] Ifdtfsf] lasf; ug{sf] ;fy} ca;/afbL ;+s|d0fsf] ;+efjgf sd u5{ . · cf}ifwLsf a]kmfObf -;fO8Okm]S6;_x? klg 5g.u+eL/ a]kmfObf x'bf t'/Gt c:ktfndf ;+ks{ /fVg' k5{. · /utsf] sdL (Zedovudin), gzfsf] ;d:of (Stavadin), sn]hf]sf] ;d:of÷hG8L;÷5fnfsf] ;d:of (Neverapin), dfgl;s ;d:of (Efavirenz) cflb s]lx u+eL/ ;d:of x'bf t'/Gt c:ktfndf cfpg'' k5{ . · u+eL/ ;d:of cfO{ kbf{ cf}ifwL kl/jt{g ug{' kg]{ x'g ;S5 . · cf}ifwLn] /fd|f] sfd u/]sf] s'/f M ca;/afbL ;+qmd0f sdx'g' , l;=l8=kmf]/= a9g' tyf efO/n nf]8 sd x'gn] hgfp5 . · cf}ifwLsf] /fd|f] c;/ yfxf kfpg lgoldt 8fS6/ ;+u ;+ks{ /fvL hf“rx? u/fpg' h?/L 5 . · ;+qmldt JolSt w|'dkfg, dBkfg tyf :jf:YonfO{ xfgL ug]{ ultljlw af6 6f9f /xg' k5{ . · cf}ifwL cfkm} aGb gu/f} . ;d:of eP t'/Gt 8fS6/ ;+u ;+ks{ u/f} . ssss] ] tttt“k“kffffOOOO{n{nffffOOOO{ { ccccffffkkkkmmddddffff PPPPrrrr====ccccffffOOOO{={={={=eeeeLLLL==== kkkkffff]h]l]l6666eeee xxxx'g'g'g'g] ] ;;;;+e+effffjjjjggggffff nnnnffffUUUU5555 MMMM xxxxffff];];];]; kkkk'¥'¥'¥'¥ooooffffppppgggg'''''''' //// hhhhffff““rr““rr uuuu////ffffppppgggg'''' '''' xxxxffff]];;]];; .... Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS
  31. 31. @@@@==== ;;;;++bb+b+beeee{{ { ;;;;ffffdddduuuu||LL|L|L (Refrences): != Pr=cfO{=eL= ;+s|ldtx?sf] clwsf/ k|lt ;a}sf] k|l4a4tf . gf}nf] 3'DtL, Friends of hope, European union. @= /ftf] l/agsf] cy{ . AIDS alliance Nepal. www.aan.org.np. #= Pr=cfO{=eL=÷P8; af/] ;fdfGo hfgsf/L, o;jf6 aRg] pkfo . gahLjg ;dfh ;]jf . O6x/L,;'g;/L . $= Pr=cfO{=eL=÷P8; af/] xfdL ;a}n] yfxf kfpg} kg]{ s'/fx? . hg/n j]nkm]o/ k|lti7fg, 1fg]Zj/, sf7df08f} . %= Pr=cfO{=eL=÷P8; tyf of}g /f]u ;+alGw hfgsf/L . ;'gufef ;fdbflos ljsf; s]Gb|, ?b|k/ ?kGb]xL, g]kfn . ^= PG6L/]6«f]efO/n pkrf/ -P=cf/=6L=_ FHI, uf}/Lwf/f, sf7df08f} . = PG6L/]6«f]efOn pkrf/ M k|lts'n c;/x?sf] Joj:yfkg . FHI, uf}/Lwf/f, sf7df08f} . *= 3/df cfwfl/t :oxf/ tyf x]/rfx . g]kfn /]8s|; ;f];fO6L, :jf:Yo ;]jf ljefu, s]lGb|o sfof{no . (= P8; ePsf JolStx?sf] x]/ ljrf/ ubf{ Wofg lbg kg]{ s'/fx? . FHI, NAPN, NCASC. !)= 3/]n' pkrf/ . /fli6«o Pr=cfO{=eL= tyf P8; dxf;+3 g]kfn, TIDES. !!= Pr=cfO{=eL= ePkl5 :jf:Yo /xg s] ug]{ FHI, HAPN, NCAS. !@= cj;/jfbL ;+qmd0f af/] a'emg'kg]{ s'/fx/ . FHI, s]lGbo sfof{no, sf7df08f} . !#= cj;/jfbL /f]ux? ;DjGwL ;fdfGo hfgsf/L . FHI, NAPN, NCAS. sf7df08f} . !$= cj;/jfbL /f]ux? ;DjGwL ;fdfGo hfgsf/L . FHI, NAN, NCAS, sf7df08f} . !%= Pr=cfO{=eL=÷P8; ;DjGwL x]oefj / e]befjsf] cGTo . /fli6«o P8; tyf of}g /f]u lgoGq0f s]Gb| . 6]s',. !^= v} d klg l;S5' ;j}n] g]t[Tj lnb} P8; /f]Sg] k|ltj4tf k'/f u/f} . h]g/n j]nkm]/ k|lti7fg . Knfg g]kfn dsjfgk'/ !*= Pr=cfO{=eL= ;+qmldtsf nflu ;d'bfo tyf 3/kl/jf/ cfwfl/t ;]jf -;xof]u k'l:tsf_ k|fylds :jf:Yo ;]jf ;|f]t s]Gb|, sf7df08f} g]kfn. !(= Pr= cfO{= eL= sf] cy{/fhgLtL j[xt ;fdflhs cfGbf]ng . cg'ej tyf ;}4flGts cfofd . Pr= cfO{= eL= / P8; lj?4 PlzofnL hgcleofg -cjfrf_, g]kfn . ;lrjfno, cgfdgu/, sf7df08f}. @)=Trainer’s manual: National Training manual on community and home based care of adults and children with HIV and AIDS in Nepal. MOHP, NCASC, Teku Kathmandu. 2006. @!= Handbook on AIDS home care. WHO. SERO, new Delhi India. 1996. @@= k|fylds dgf];fdflhs ;xof]u k'l:tsf . lb ;]G6/ km/ 8]dnkd]G6 P08 kkn]zn PlS6lel6h . l8;]Sj/ @))^ . @#= Pr=cfO{=eL=÷P8; :j]lR5s k/fdz{ tyf kl/If0fsf nflu /fli6«o lgb]{lzsf . :jf:Yo d+qfno, NCASC, 6]s',. @$= Pr=cfO{=eL= ;+qmd0f tyf P8;sf] hf]lvd GogLs/0f -;xof]uL k'l:tsf_ k|fylds :jf:Yo ;]jf ;|f]t s]Gb|. @%= Pr=cfO{=eL= ;+qmldt tyf k|efljtsf nflu ;zlSts/0f tflnd df]8on !, :jf:Yo d+qfno, /fli6«o P8; tyf of}g/f]u lgoGq0f s]Gb|, s]o/ g]kfn, :kz{ g]kfn @)^# . @^= National Guideline on Anti=Retroviral (ARV) therapy 2005. GON, MOHP, NCASC, Teku, Kathmand8. Govn. Nepal, WHO, GFATM, 2005. @= National opportunistie infection guidelines. Management. 2008. MOHP, NCASC, Teku, Kathmand8u. @*= Training manual on HIV/AIDS for health service providers. 2005. MOHP, NCASC, GFAN. @(= HIV/AIDS-VCT, competenly based curricupum for VCT counselors. MOHP, NCASC, Teku, Kathmandu, 2000. #)= Participants manual. National Training on clinical management of HIV/AIDS. MOHP, NCASC, Teku, Kathmandu, 2005. 31. www.aidsinfonet.org Thank-you Prof. Dr. Ram Sharan Mehta, Medical-Surgical Nursing Department, CON, BPKIHS

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