¶Z
¶‡Zi msÁv|
¶‡Zi 3wU wec‡`i ZvwjKv |
¶‡Zi †kªYx wefvM |
†Wªwms I e¨v‡ÛR|
we‡kl cwiw¯’wZmg~n (Special
Situations )
gnov cÖ`k©b|
GB cvV †k‡l Avcbviv
hv Rvb‡Z
m¶g n‡eb Zv n‡jv-
¶‡Zi msÁv t
kix†ii †Kv_vI RL‡gi Kvi‡Y
hw` wUmy¨ ms‡hvRb nvivq
Ges i³ †ewi‡q Avmvi c_ cvq
hvi d‡j H ¯’v‡b evB‡ii
†ivMRxevby cÖ‡ek Kivi
my‡hvM cvq ZLb Zv‡K ¶Z
e‡j| mvaviYZ ¶‡Zi RLg ej‡Z
Pvgov, gvsm †ckx, ¯œvqy
Ges i³ bvjx‡Z RLg‡K eySvq|
¶Z‡K md&U wUmy¨
i³ ¶iY (Bleading)
¯œvqyweK
AvNvZ (Shock)
cPb (Sepsis)
¶‡Zi wec`vejx t
jyKvBZ ¶Z (Closed
Wound)
D¤§y³ ¶Z (Open
Wound)
¶‡Zi
cÖKvi‡f`-
¶Z cÖavbZ
`yB cÖKvi
AwewPQbœ Pvgovi wb‡Pi
RLg‡K jyKvBZ ¶Z e‡j|
mvaviYZ †fvZv †Kvb wKQyi
AvNv‡Z jyKvBZ ¶‡Zi m„wó
nq| †QvULvU AvNv‡Zi
mvaviYZ wPwKrmvi
cÖ‡qvRb c‡o bv wKš‘ †ekx
AvNv‡Zi djvdj gvivZ¡K n‡Z
cv‡i| Giƒc ¶‡Zi d‡j Pvgovi
Dc‡i mvgvb¨ ¶wZ n‡jI
Avf¨šÍwib AsMmgy‡ni
jyKvBZ
¶Z t
jyKvBZ ¶Z
jyKvBZ ¶Z
dz‡j hvIqv
mvgvb¨ ¯ú‡k©B
e¨_v Abyfe
weeY© nIqv
A½ weK…Z
nIqv
jyKvBZ ¶Z mbv³KiY
cÖ_gZt e¨w³MZ wbivcËv †cvlvK
(PPE) cwiavb I `„k¨c‡Ui
wbivc`KiY|
RICE c×wZ cÖ‡qvM (Rest, Ice,
Compress, elevate). Ki‡Z n‡e|
fvBUvj mvBb `ªyZ cwieZ©b n‡PQ
wKbv Zv †`L‡Z n‡e Ges `ªyZ
cwieZ©‡bi †¶‡Î Af¨šÍixb i³¶i‡bi
BswMZ a‡i †bqv †h‡Z cv‡i|
¯œvqyweK AvNv‡Zi wPwKrmv
Ki‡Z n‡e| hZ ZvovZvwo m¤¢e
jyKvBZ (Closed) ¶‡Zi
cÖv_wgK wPwKrmvi
c`‡¶‡ci ZvwjKv
AsM †Q`b ¶Z (Amputation)
Pvgov wQ‡j Sz‡j cov ¶Z
(Avulsions)
†_Z‡j hvIqv ¶Z (Contused wound)
Db¥y³ ¶Z t- Pvgov wQbœ n‡q
†h RLg nq Zv‡K Db¥y³ ¶Z
e‡j|Db¥y³ ¶‡Zi †kªYx
wefvM t
A2 CLIP3
AvP‡o hvIqv ¶Z (Lacerated
wound)
gm„b ¶Z (Incised wound)
we× ¶Z (Punctured wound)
ey‡jU we× ¶Z (Penetrating
wound)
G‡dvi I‡dvi ¶Z (Perforating
wound)
A½‡”Q` (Amputation)
AsM †Q`b ¶Z
AsM †Q`b
¶Z
Pvgov wQ‡j Sz‡j cov ¶Z
we`viY/wQbœ (Avulsion)
we`viY/wQbœ
(Avulsion)
†_Z‡j hvIqv ¶Z
AvuPo Ges Nl©Y
AvP‡o hvIqv ¶Z
KvUv (Laceration) (mgvb Ges
Amgvb)
gm„b ¶Z
we×¶Z Ges wQ`ª¶Z
we× ¶Z
¸wji AvNvZ
ey‡jU we× ¶Z
G‡dvi I‡dvi ¶Z
‡clYRwbZ ¶Z
cÖ_gZ e¨w³MZ wbivcËv †cvlvK
cwiavb I `„k¨c‡Ui wbivc` KiY|
¶Z¯’vb Db¥y³ KiY t Uªgv KvuwP
w`‡q cÖ‡qvRbxq Kvco †K‡U
mwi‡q w`‡Z n‡e| Kvco †U‡b gv_vi
Dci w`‡q bv ‡Lvjv fvj|
i³cvZ wbqš¿YKiY t cÖZ¨¶ ev
cÖ‡iv¶ Pvc cÖ‡qvM Ges D‡Ëvjb|
AZtci i³cvZ n‡j †cÖmvi c‡q‡›U Pvc
cÖ`vb Ki‡Z n‡e| me©‡kl Aej¤^b
wn‡m‡e Uziwb‡KU euva‡Z n‡e|
Db¥y³ (Open) ¶‡Zi cÖv_wgK
wPwKrmvi
QqwU c`‡¶‡ci ZvwjKvt
i³cvZ wbqš¿YKiY
†cÖkvi c‡q‡›U Pvc
cÖ‡qvM
UzwY©‡K‡Ui
e¨envi
†cÖmvi c‡q›U
¶Z¯’v‡bi Dc‡i †j‡M _vKv wXjv
Pvgov, gvsm I msµvgb BZ¨vw`
mwi‡q cwi¯‹vi K‡i w`‡Z n‡e|
k³fv‡e †Mu‡_ _vKv †Kvb wKQy
†U‡b †Zvjv hv‡e bv|
msµvgb cÖwZ‡ivaKiY t
* †Wªwms I e¨v‡ÛRKiY t
Rxevbygy³ †Wªwms w`‡q
¶Z¯’vb †X‡K w`‡Z Ges
e¨v‡ÛR w`‡q AvUwK‡q w`‡Z
n‡e|
* †ivMx‡K †X‡K w`‡Z n‡e
Ges kvšÍ ivL‡Z n‡e|
*¯œvqyweK AvNv‡Zi
wPwKrmv Ki‡Z n‡e|
* †ivMx‡K hZ ZvovZvwo
m¤fe nvmcvZv‡j cvVv‡Z
n‡e|
†Wªwms t ¶Z¯’v‡bi e³cvZ
eÜKiY I evB‡ii msµgb
cÖwZ‡iv‡ai Rb¨ ¶Z¯’vb‡K
†X‡K †`Iqvi Rb¨ hv e¨envi
Kiv nq Zv‡K †Wªwms
e‡j|
e¨v‡ÛR t †Wªwms‡K
h_v¯’v‡b a‡i ivLvi Rb¨ hv
†Wªwms I e¨v‡ÛR t-
AK¬ywmf †Wªwmst
†h cvwb cÖwZ‡ivaKvix
wRwbm (cøvwóK ev
cwjw_b †ccvi) ¶Z¯’v‡b
evwn‡ii evZv†mi cÖ‡ek
†iva Ges Af¨šÍixb
AsMmg~‡ni Av`ªZv i¶v
Kivi Rb¨ ¶Z¯’v‡bi Dci
cÖ‡qvMKiv nq Zv‡K
evwé †Wªwms t
eû¯Íi wewkó ‡gvUv
(mvaviYZ 2-3 †mt wgt
cyiy) ‡Wªwms| †hgb
†mwbUvix †Zvqv‡j ev
Abyiƒc wRwbm|
i³cvZ wbqš¿Y Ki‡Z
n‡e|
cPb cÖwZ‡iva †KŠkj
e¨envi K‡i †Wªwms
cÖ‡qvM Ki‡Z n‡e|
¶Z¯’vb m¤ú~Y©iƒ‡c
†X‡K w`‡Z n‡e|
Wªwms Ges e¨v‡ÛR cÖ‡qv‡M we‡eP¨ we
†Wªwms I e¨v‡ÛR `„p I
Avivg`vqK n‡q‡Q Ges †ewk
UvBU n‡q i³ PjvP‡j
cÖwZeÜKZv m„wó K‡i bvB Zv
wbwðZ Ki‡Z n‡e|
Giƒc wXjv cÖvšÍ ivLv hv‡ebv
hv‡Z Zv aiv hvq|
Avs¸‡ji AMÖfvM cviZc‡¶ XvKv
hv‡e bv|
(g‡b ivL‡Z n‡e †h, i³cvZ eÜ KiY
we× ¶Z t Db¥y³ ¶Z
m¤ú~Y©iƒ‡c †X‡K
w`‡Z n‡e| cix¶v K‡i
†`L‡Z n‡e †h,
AbycÖ‡ekK…Z e¯‘wU
Ab¨ w`K w`‡q †ei n‡q
¶Z m„wó n‡q‡Q
AmvaviY ¶Zmg~n Gi e¨v‡ÛR
†Mu‡_ _vKv e¯‘ t
Mv‡j we× e¯‘ ev k¦vmbvjx
I wmwcAvi evavMÖ¯’ K‡i
Giƒc e¯‘Qvov Ab¨ RvqMvq
†M‡_ _vKv e¯‘ ‡U‡b †Zvjv
hv‡e bv| i³cvZ eÜ Ki‡Z n‡e|
evwé †Wªwms I e¨v‡ÛR Øviv
e¯‘wU‡K Abi ivL‡Z n‡e|
†Mu‡_ _vKv e¯‘i
wPwKrmv
¶Z¯’v‡bi DcwifvM
cwi¯‹vi Ki‡Z n‡e|
Sz‡j hvIqv Pvgov
h_v¯’v‡b cÖwZ¯’vcb
Ki‡Z n‡e|
i³cvZ eÜ Ki‡Z n‡e|
evwé †Wªwms I
e¨v‡ÛR Øviv ¶Z¯’vb
†X‡K w`‡Z n‡e|
Pvgov Sz‡j
hvIqv t
¶Z¯’vb cwi¯‹vi Ki‡Z
n‡e|
i³cvZ eÜ Ki‡Z n‡e|
†Wªwms I e¨v‡ÛR
cÖ‡qvM Ki‡Z n‡e|
†Q`K…Z AsM VvÛv I
Av`ª ivL‡Z n‡e wKš‘
cvwb‡Z Wzwe‡q ivLv
hv‡e bv|
A½‡Q`b t
gv_vi Lywj‡Z RLg t- gv_vq
RLg cÖvß †ivMxi †eªB‡b
RL‡gi m¤¢vebv _v‡K| gv_vi
Lywj‡Z †d«KPvi m‡›`n n‡j
cÖZ¨¶ Pvc cÖ‡qvM Kiv hv‡e
bv|
we‡kl cwiw¯’wZmg~n (Special
Situations )
RLgK…Z †Pv‡Li bovPov eÜ
Kivi Rb¨ fvj †PvLwUI e¨v‡ÛR
K‡i w`‡Z n‡e| †ivMx hw`
AÁvb Ae¯’vq _v‡K Zvn‡j †PvL
ïwK‡q hvIqvi c~‡e© eÜ K‡i
w`‡Z n‡e Zv bv n‡j †PvL
ïwK‡q †M‡j Zv A܇Z¡i KviY
n‡Z cv‡i|
†PvL †ei n‡q Avm‡j Zv GKwU
Kvc ev Giƒc RvZxq wKQy Øviv
†X‡K w`‡q e¨v‡ÛR Ki‡Z n‡e|
†Pv‡Li ¶Zt
Kv‡bi wfZi †Kvb wKQy XzwK‡q
cix¶v Kiv hv‡e bv|
KLbI i³cvZ eÜ Kivi Rb¨ Kvb eÜ
(Pack) K‡i †`qv hv‡e bv| cwi¯‹vi
Zij (CSF) wbM©Z n‡j Zv Lywji
†d«KPv‡ii m¤¢vebv wb‡`©k
K‡i|
GKwU wXjv cwi¯‹vi †Wªwms
Ø&viv I‡cwbsUv †X‡K w`‡Z n‡e
Kv‡bi ¶Zt
Kvb w`‡q wbM©Z i³,
cwi¯‹vi Zij (wmGmGd)
BZ¨vw` gv_vq AvNv†Zi m¤
¢vebv wb‡`©k K‡i|
k¦vmbvjx †Lvjvi e¨e¯’v
Ki‡Z n‡e|
bv‡Ki AMÖfvM GK‡Î
wPgwU w`‡q ai‡Z
n‡e| A_ev Dc‡ii †VvU
I gvwii gvSLv‡b
†Wªwms w`‡q Pvc
cÖ‡qvM Ki‡Z n‡e|
†ivMx‡K Abo I ewm‡q
ivL‡Z n‡e|
bv‡Ki ¶Zt
bv‡Ki ¶Z Gi wPwKrmv
bvK‡K eÜ (Pack) K‡i †`qv
hv‡e bv Ges cwi¯‹vi Zij (CSF)
Avm‡Q wKbv cix¶v Ki‡Z
n‡e|
hw` bv‡Ki wfZi †Kvb
wKQy †`Lv hvq Zvn‡e †U‡b
†ei Kiv hv‡e bv|
Sz‡j hvIqv ¶Z n‡j †Wªwms
I e¨v‡ÛR cÖ‡qvM Ki‡Z n‡e|
i³cvZ i‡Üi Rb¨ AK¬ywmf
‡Wªwms Øviv njKv †_‡K
gvSvwi Pvc cÖ‡qvM Ki‡Z
n‡e| †Wªwms Gi mKj cÖvš—
†Uc †g‡i Gqvi UvBU K‡i w`‡Z
n‡e, hv‡Z evZvm Xz‡K ey`ey`
m„wó Ki‡Z bv cv‡i|
AK¬ywmf †Wªwms Gi Dci
evwé †Wªwms w`‡Z n‡e|
Mjvq
¶Zt
†giy`‡Û RLg bv _vK‡j
†ivMx‡K evg cvk wdwi‡q
gv_v †nwj‡q (gv_v A‡c¶vK…
Z wbPz K‡i) ¯’vcb Ki‡Z
n‡e| D‡jøL¨ gv_v, gyLgÛj,
Lywj, †PvL, Kvb, bvK I
Mjvq RLg n‡j cÖv_wgK
wPwKrmK‡K a‡i wb‡Z n‡e
†h, †giy`‡Û RLg _vK‡Z
cv‡i|
Mjvq †Kvb e¯‘ †M‡_ _vK‡j
Zv evwé †Wªwms w`‡q w¯’i
Mjvq ¶Z Gi wPwKrmv
†c‡Ui ¶Z t
†c‡U wKQy mwjW (†hgb
wjfvi, w¯úøb) I wKQy
dvcv (D`i, Aš¿) AsM Av‡Q|
mwjW AsM wQbœ ev
†fs‡M †M‡j gvivZ¡K i³¶iY
n‡Z cv‡i| Avevi dvcv AsM
wQbœ n‡j Zvi wfZ‡i _vKv
GwmW I GbRvBg
†cwiUwb‡qj †KwfwU‡Z
Qwo‡q c‡o cÖ`vnRwbZ
 ‡c‡U e¨v_v ev wLj aiv
(Cramps) †c‡Ui wbw`©ó¯’v‡b
ev cwie¨ß|
 Rivqy‡Z _vKv åy‡bi gZ ï‡q
†cU a‡i ivLv|
 †c‡U ¯úk© Ki‡jB Dn&
Avn& KóRwbZ mviv|
¯œvqyweK AvNv‡Zi j¶b|
 k³ nIqv I dz‡j hvIqv|
†c‡Ui RL‡gi j¶b I DcmM© t-
 cÖ_‡g mvgvb¨ A¯^w¯’ Ges
µgvš^‡q Amn¨ e¨_¨v Abyfe|
†cjwfm I wc‡Vi wbæfv†Mi
Mfx‡i ‡Kvb wKQy we× nIqvi
gZ e¨v_¨v Abyfe|
GKwU ev Dfq Kv‡a e¨v_¨v
Qwo‡q cov|
D¾¡j jvj ev Kwd is Gi i³ fwg|
D¾¡j jvj ev AvjKvZiv is‡qi i³
 e¨w³MZ wbivcËv
†cvlvK cwiavb I
`„k¨c‡Ui wbivc`KiY
Ges †ivMxi ewg †_‡K
mZ©K _vK‡Z n‡e|
 mKj Db¥y³ ¶Z †X‡K
w`‡Z n‡e|
†c‡Ui RL‡gi cÖv_wgK wPwKr
†ei n‡q hvIqv Af¨šÍixi
AsM cÖwZ¯’vcb Kiv hv‡e
bv| Rxevbygy³ †gvUv Av`ª
†Wªwms Øviv †X‡K w`‡q
Zvi Dci AK¬ywmf
†Wªwms Øviv †X‡K w`‡Z
n‡e| †ei n‡q hvIqv
AskwU Mig ivLvi Rb¨
AK¬ywmf †Wªwms Gi Dci
†c‡Ui RL‡gi cÖv_wgK
wPwKrmv
‡Mu‡_ _vKv e¯‘‡K miv‡bv
hv‡e bv| evwé †Wªwms Øviv
†mwU‡K `„p Ki‡Z n‡e|
mve©¶wbKfv‡e fvBUvj
mvBb ch©‡e¶Y Ki‡Z n‡e|
†ivMx‡K mycvBb cwRk‡b
ïB‡q w`‡Z n‡e Ges cv¸‡jv
Avivg`vqK Ae¯’vq ivL‡Z n‡e|
¯œvqyweK AvNv‡Zi
wPwKrmv Ki‡Z n‡e|
cÖRbb As‡M ¶Z t
Giƒc ¶‡Zi wPwKrmv
Ab¨vb¨ ¶‡Zi wPwKrmvi
gZB Ki‡Z n‡e| Z‡e G‡¶‡Î
†ivMxi †MvcbxqZv
(Privacy) hv‡Z i¶v cvq
†mw`‡K we‡kl bRi ivL‡Z
n‡e|
¶‡Zi msÁv|
¶‡Zi 3wU wec‡`i ZvwjKv |
¶‡Zi †kªYx wefvM |
†Wªwms I e¨v‡ÛR|
we‡kl cwiw¯’wZmg~n (Special
Situations )
gnov cÖ`k©b|
Av‡jvP¨ welqt
GB cvV †k‡l Avcbviv hv Rvb‡
n‡jb Zv n‡jv-
cÖkœ?
ab¨ev`

Bleeding & wounds

  • 1.
  • 2.
    ¶‡Zi msÁv| ¶‡Zi 3wUwec‡`i ZvwjKv | ¶‡Zi †kªYx wefvM | †Wªwms I e¨v‡ÛR| we‡kl cwiw¯’wZmg~n (Special Situations ) gnov cÖ`k©b| GB cvV †k‡l Avcbviv hv Rvb‡Z m¶g n‡eb Zv n‡jv-
  • 3.
    ¶‡Zi msÁv t kix†ii†Kv_vI RL‡gi Kvi‡Y hw` wUmy¨ ms‡hvRb nvivq Ges i³ †ewi‡q Avmvi c_ cvq hvi d‡j H ¯’v‡b evB‡ii †ivMRxevby cÖ‡ek Kivi my‡hvM cvq ZLb Zv‡K ¶Z e‡j| mvaviYZ ¶‡Zi RLg ej‡Z Pvgov, gvsm †ckx, ¯œvqy Ges i³ bvjx‡Z RLg‡K eySvq| ¶Z‡K md&U wUmy¨
  • 4.
    i³ ¶iY (Bleading) ¯œvqyweK AvNvZ(Shock) cPb (Sepsis) ¶‡Zi wec`vejx t
  • 5.
    jyKvBZ ¶Z (Closed Wound) D¤§y³¶Z (Open Wound) ¶‡Zi cÖKvi‡f`- ¶Z cÖavbZ `yB cÖKvi
  • 6.
    AwewPQbœ Pvgovi wb‡Pi RLg‡KjyKvBZ ¶Z e‡j| mvaviYZ †fvZv †Kvb wKQyi AvNv‡Z jyKvBZ ¶‡Zi m„wó nq| †QvULvU AvNv‡Zi mvaviYZ wPwKrmvi cÖ‡qvRb c‡o bv wKš‘ †ekx AvNv‡Zi djvdj gvivZ¡K n‡Z cv‡i| Giƒc ¶‡Zi d‡j Pvgovi Dc‡i mvgvb¨ ¶wZ n‡jI Avf¨šÍwib AsMmgy‡ni jyKvBZ ¶Z t
  • 7.
  • 8.
  • 9.
    dz‡j hvIqv mvgvb¨ ¯ú‡k©B e¨_vAbyfe weeY© nIqv A½ weK…Z nIqv jyKvBZ ¶Z mbv³KiY
  • 10.
    cÖ_gZt e¨w³MZ wbivcËv†cvlvK (PPE) cwiavb I `„k¨c‡Ui wbivc`KiY| RICE c×wZ cÖ‡qvM (Rest, Ice, Compress, elevate). Ki‡Z n‡e| fvBUvj mvBb `ªyZ cwieZ©b n‡PQ wKbv Zv †`L‡Z n‡e Ges `ªyZ cwieZ©‡bi †¶‡Î Af¨šÍixb i³¶i‡bi BswMZ a‡i †bqv †h‡Z cv‡i| ¯œvqyweK AvNv‡Zi wPwKrmv Ki‡Z n‡e| hZ ZvovZvwo m¤¢e jyKvBZ (Closed) ¶‡Zi cÖv_wgK wPwKrmvi c`‡¶‡ci ZvwjKv
  • 11.
    AsM †Q`b ¶Z(Amputation) Pvgov wQ‡j Sz‡j cov ¶Z (Avulsions) †_Z‡j hvIqv ¶Z (Contused wound) Db¥y³ ¶Z t- Pvgov wQbœ n‡q †h RLg nq Zv‡K Db¥y³ ¶Z e‡j|Db¥y³ ¶‡Zi †kªYx wefvM t A2 CLIP3
  • 12.
    AvP‡o hvIqv ¶Z(Lacerated wound) gm„b ¶Z (Incised wound) we× ¶Z (Punctured wound) ey‡jU we× ¶Z (Penetrating wound) G‡dvi I‡dvi ¶Z (Perforating wound)
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
    cÖ_gZ e¨w³MZ wbivcËv†cvlvK cwiavb I `„k¨c‡Ui wbivc` KiY| ¶Z¯’vb Db¥y³ KiY t Uªgv KvuwP w`‡q cÖ‡qvRbxq Kvco †K‡U mwi‡q w`‡Z n‡e| Kvco †U‡b gv_vi Dci w`‡q bv ‡Lvjv fvj| i³cvZ wbqš¿YKiY t cÖZ¨¶ ev cÖ‡iv¶ Pvc cÖ‡qvM Ges D‡Ëvjb| AZtci i³cvZ n‡j †cÖmvi c‡q‡›U Pvc cÖ`vb Ki‡Z n‡e| me©‡kl Aej¤^b wn‡m‡e Uziwb‡KU euva‡Z n‡e| Db¥y³ (Open) ¶‡Zi cÖv_wgK wPwKrmvi QqwU c`‡¶‡ci ZvwjKvt
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
    ¶Z¯’v‡bi Dc‡i †j‡M_vKv wXjv Pvgov, gvsm I msµvgb BZ¨vw` mwi‡q cwi¯‹vi K‡i w`‡Z n‡e| k³fv‡e †Mu‡_ _vKv †Kvb wKQy †U‡b †Zvjv hv‡e bv| msµvgb cÖwZ‡ivaKiY t
  • 36.
    * †Wªwms Ie¨v‡ÛRKiY t Rxevbygy³ †Wªwms w`‡q ¶Z¯’vb †X‡K w`‡Z Ges e¨v‡ÛR w`‡q AvUwK‡q w`‡Z n‡e| * †ivMx‡K †X‡K w`‡Z n‡e Ges kvšÍ ivL‡Z n‡e| *¯œvqyweK AvNv‡Zi wPwKrmv Ki‡Z n‡e| * †ivMx‡K hZ ZvovZvwo m¤fe nvmcvZv‡j cvVv‡Z n‡e|
  • 37.
    †Wªwms t ¶Z¯’v‡bie³cvZ eÜKiY I evB‡ii msµgb cÖwZ‡iv‡ai Rb¨ ¶Z¯’vb‡K †X‡K †`Iqvi Rb¨ hv e¨envi Kiv nq Zv‡K †Wªwms e‡j| e¨v‡ÛR t †Wªwms‡K h_v¯’v‡b a‡i ivLvi Rb¨ hv †Wªwms I e¨v‡ÛR t-
  • 38.
    AK¬ywmf †Wªwmst †h cvwbcÖwZ‡ivaKvix wRwbm (cøvwóK ev cwjw_b †ccvi) ¶Z¯’v‡b evwn‡ii evZv†mi cÖ‡ek †iva Ges Af¨šÍixb AsMmg~‡ni Av`ªZv i¶v Kivi Rb¨ ¶Z¯’v‡bi Dci cÖ‡qvMKiv nq Zv‡K
  • 39.
    evwé †Wªwms t eû¯Íiwewkó ‡gvUv (mvaviYZ 2-3 †mt wgt cyiy) ‡Wªwms| †hgb †mwbUvix †Zvqv‡j ev Abyiƒc wRwbm|
  • 40.
    i³cvZ wbqš¿Y Ki‡Z n‡e| cPbcÖwZ‡iva †KŠkj e¨envi K‡i †Wªwms cÖ‡qvM Ki‡Z n‡e| ¶Z¯’vb m¤ú~Y©iƒ‡c †X‡K w`‡Z n‡e| Wªwms Ges e¨v‡ÛR cÖ‡qv‡M we‡eP¨ we
  • 41.
    †Wªwms I e¨v‡ÛR`„p I Avivg`vqK n‡q‡Q Ges †ewk UvBU n‡q i³ PjvP‡j cÖwZeÜKZv m„wó K‡i bvB Zv wbwðZ Ki‡Z n‡e| Giƒc wXjv cÖvšÍ ivLv hv‡ebv hv‡Z Zv aiv hvq| Avs¸‡ji AMÖfvM cviZc‡¶ XvKv hv‡e bv| (g‡b ivL‡Z n‡e †h, i³cvZ eÜ KiY
  • 42.
    we× ¶Z tDb¥y³ ¶Z m¤ú~Y©iƒ‡c †X‡K w`‡Z n‡e| cix¶v K‡i †`L‡Z n‡e †h, AbycÖ‡ekK…Z e¯‘wU Ab¨ w`K w`‡q †ei n‡q ¶Z m„wó n‡q‡Q AmvaviY ¶Zmg~n Gi e¨v‡ÛR
  • 43.
    †Mu‡_ _vKv e¯‘t Mv‡j we× e¯‘ ev k¦vmbvjx I wmwcAvi evavMÖ¯’ K‡i Giƒc e¯‘Qvov Ab¨ RvqMvq †M‡_ _vKv e¯‘ ‡U‡b †Zvjv hv‡e bv| i³cvZ eÜ Ki‡Z n‡e| evwé †Wªwms I e¨v‡ÛR Øviv e¯‘wU‡K Abi ivL‡Z n‡e|
  • 44.
  • 45.
    ¶Z¯’v‡bi DcwifvM cwi¯‹vi Ki‡Zn‡e| Sz‡j hvIqv Pvgov h_v¯’v‡b cÖwZ¯’vcb Ki‡Z n‡e| i³cvZ eÜ Ki‡Z n‡e| evwé †Wªwms I e¨v‡ÛR Øviv ¶Z¯’vb †X‡K w`‡Z n‡e| Pvgov Sz‡j hvIqv t
  • 46.
    ¶Z¯’vb cwi¯‹vi Ki‡Z n‡e| i³cvZeÜ Ki‡Z n‡e| †Wªwms I e¨v‡ÛR cÖ‡qvM Ki‡Z n‡e| †Q`K…Z AsM VvÛv I Av`ª ivL‡Z n‡e wKš‘ cvwb‡Z Wzwe‡q ivLv hv‡e bv| A½‡Q`b t
  • 47.
    gv_vi Lywj‡Z RLgt- gv_vq RLg cÖvß †ivMxi †eªB‡b RL‡gi m¤¢vebv _v‡K| gv_vi Lywj‡Z †d«KPvi m‡›`n n‡j cÖZ¨¶ Pvc cÖ‡qvM Kiv hv‡e bv| we‡kl cwiw¯’wZmg~n (Special Situations )
  • 48.
    RLgK…Z †Pv‡Li bovPoveÜ Kivi Rb¨ fvj †PvLwUI e¨v‡ÛR K‡i w`‡Z n‡e| †ivMx hw` AÁvb Ae¯’vq _v‡K Zvn‡j †PvL ïwK‡q hvIqvi c~‡e© eÜ K‡i w`‡Z n‡e Zv bv n‡j †PvL ïwK‡q †M‡j Zv A܇Z¡i KviY n‡Z cv‡i| †PvL †ei n‡q Avm‡j Zv GKwU Kvc ev Giƒc RvZxq wKQy Øviv †X‡K w`‡q e¨v‡ÛR Ki‡Z n‡e| †Pv‡Li ¶Zt
  • 49.
    Kv‡bi wfZi †KvbwKQy XzwK‡q cix¶v Kiv hv‡e bv| KLbI i³cvZ eÜ Kivi Rb¨ Kvb eÜ (Pack) K‡i †`qv hv‡e bv| cwi¯‹vi Zij (CSF) wbM©Z n‡j Zv Lywji †d«KPv‡ii m¤¢vebv wb‡`©k K‡i| GKwU wXjv cwi¯‹vi †Wªwms Ø&viv I‡cwbsUv †X‡K w`‡Z n‡e Kv‡bi ¶Zt Kvb w`‡q wbM©Z i³, cwi¯‹vi Zij (wmGmGd) BZ¨vw` gv_vq AvNv†Zi m¤ ¢vebv wb‡`©k K‡i|
  • 50.
    k¦vmbvjx †Lvjvi e¨e¯’v Ki‡Zn‡e| bv‡Ki AMÖfvM GK‡Î wPgwU w`‡q ai‡Z n‡e| A_ev Dc‡ii †VvU I gvwii gvSLv‡b †Wªwms w`‡q Pvc cÖ‡qvM Ki‡Z n‡e| †ivMx‡K Abo I ewm‡q ivL‡Z n‡e| bv‡Ki ¶Zt
  • 51.
  • 52.
    bvK‡K eÜ (Pack)K‡i †`qv hv‡e bv Ges cwi¯‹vi Zij (CSF) Avm‡Q wKbv cix¶v Ki‡Z n‡e| hw` bv‡Ki wfZi †Kvb wKQy †`Lv hvq Zvn‡e †U‡b †ei Kiv hv‡e bv| Sz‡j hvIqv ¶Z n‡j †Wªwms I e¨v‡ÛR cÖ‡qvM Ki‡Z n‡e|
  • 53.
    i³cvZ i‡Üi Rb¨AK¬ywmf ‡Wªwms Øviv njKv †_‡K gvSvwi Pvc cÖ‡qvM Ki‡Z n‡e| †Wªwms Gi mKj cÖvš— †Uc †g‡i Gqvi UvBU K‡i w`‡Z n‡e, hv‡Z evZvm Xz‡K ey`ey` m„wó Ki‡Z bv cv‡i| AK¬ywmf †Wªwms Gi Dci evwé †Wªwms w`‡Z n‡e| Mjvq ¶Zt
  • 54.
    †giy`‡Û RLg bv_vK‡j †ivMx‡K evg cvk wdwi‡q gv_v †nwj‡q (gv_v A‡c¶vK… Z wbPz K‡i) ¯’vcb Ki‡Z n‡e| D‡jøL¨ gv_v, gyLgÛj, Lywj, †PvL, Kvb, bvK I Mjvq RLg n‡j cÖv_wgK wPwKrmK‡K a‡i wb‡Z n‡e †h, †giy`‡Û RLg _vK‡Z cv‡i| Mjvq †Kvb e¯‘ †M‡_ _vK‡j Zv evwé †Wªwms w`‡q w¯’i
  • 55.
    Mjvq ¶Z GiwPwKrmv
  • 56.
    †c‡Ui ¶Z t †c‡UwKQy mwjW (†hgb wjfvi, w¯úøb) I wKQy dvcv (D`i, Aš¿) AsM Av‡Q| mwjW AsM wQbœ ev †fs‡M †M‡j gvivZ¡K i³¶iY n‡Z cv‡i| Avevi dvcv AsM wQbœ n‡j Zvi wfZ‡i _vKv GwmW I GbRvBg †cwiUwb‡qj †KwfwU‡Z Qwo‡q c‡o cÖ`vnRwbZ
  • 57.
     ‡c‡U e¨v_vev wLj aiv (Cramps) †c‡Ui wbw`©ó¯’v‡b ev cwie¨ß|  Rivqy‡Z _vKv åy‡bi gZ ï‡q †cU a‡i ivLv|  †c‡U ¯úk© Ki‡jB Dn& Avn& KóRwbZ mviv| ¯œvqyweK AvNv‡Zi j¶b|  k³ nIqv I dz‡j hvIqv| †c‡Ui RL‡gi j¶b I DcmM© t-
  • 58.
     cÖ_‡g mvgvb¨A¯^w¯’ Ges µgvš^‡q Amn¨ e¨_¨v Abyfe| †cjwfm I wc‡Vi wbæfv†Mi Mfx‡i ‡Kvb wKQy we× nIqvi gZ e¨v_¨v Abyfe| GKwU ev Dfq Kv‡a e¨v_¨v Qwo‡q cov| D¾¡j jvj ev Kwd is Gi i³ fwg| D¾¡j jvj ev AvjKvZiv is‡qi i³
  • 59.
     e¨w³MZ wbivcËv †cvlvKcwiavb I `„k¨c‡Ui wbivc`KiY Ges †ivMxi ewg †_‡K mZ©K _vK‡Z n‡e|  mKj Db¥y³ ¶Z †X‡K w`‡Z n‡e| †c‡Ui RL‡gi cÖv_wgK wPwKr
  • 60.
    †ei n‡q hvIqvAf¨šÍixi AsM cÖwZ¯’vcb Kiv hv‡e bv| Rxevbygy³ †gvUv Av`ª †Wªwms Øviv †X‡K w`‡q Zvi Dci AK¬ywmf †Wªwms Øviv †X‡K w`‡Z n‡e| †ei n‡q hvIqv AskwU Mig ivLvi Rb¨ AK¬ywmf †Wªwms Gi Dci
  • 61.
  • 62.
    ‡Mu‡_ _vKv e¯‘‡Kmiv‡bv hv‡e bv| evwé †Wªwms Øviv †mwU‡K `„p Ki‡Z n‡e| mve©¶wbKfv‡e fvBUvj mvBb ch©‡e¶Y Ki‡Z n‡e| †ivMx‡K mycvBb cwRk‡b ïB‡q w`‡Z n‡e Ges cv¸‡jv Avivg`vqK Ae¯’vq ivL‡Z n‡e| ¯œvqyweK AvNv‡Zi wPwKrmv Ki‡Z n‡e|
  • 63.
    cÖRbb As‡M ¶Zt Giƒc ¶‡Zi wPwKrmv Ab¨vb¨ ¶‡Zi wPwKrmvi gZB Ki‡Z n‡e| Z‡e G‡¶‡Î †ivMxi †MvcbxqZv (Privacy) hv‡Z i¶v cvq †mw`‡K we‡kl bRi ivL‡Z n‡e|
  • 64.
    ¶‡Zi msÁv| ¶‡Zi 3wUwec‡`i ZvwjKv | ¶‡Zi †kªYx wefvM | †Wªwms I e¨v‡ÛR| we‡kl cwiw¯’wZmg~n (Special Situations ) gnov cÖ`k©b| Av‡jvP¨ welqt GB cvV †k‡l Avcbviv hv Rvb‡ n‡jb Zv n‡jv-
  • 65.
  • 66.