1. 1= d[uf}nfn] s] sfd ub{% ? 4= d[uf}nf lju]|sf] (Renal Failure) pkrf/ s;l/
ul/G% ?
d[uf}nfn] lbgsf] 24 ;} #)^f xfd|f] zl//sf] /ut
Informational Booklet ;kmf ug]{ sfd ub{% . o;n] zl//nfO{ al(ePsf] d[uf}nf lju|]/ clGtd cj:yfdf k'u]sf] lj/fdL (End
kfgL tyf cgfjZos tTjx? %fg]/ lk;fjsf] stage Renal disease) df d[uf}nfsf] sfd lgDg
?kdf kmfNg] sfd ub{% . ;fy} zl//nfO{ rflxg] dfWodaf^ u/fpg ;lsG% .
na)fsf] -;f]l*od, kf]^l;od O{=_ ;+t'ng agfO{ s= *fonfO{l;;--k]l/^f]lgon jf x]df]*fOnfOl;;_
/fV% . v= d[uf}nf k|Tof/f]kg (Real transplant).
x]df]*fonfO{l;;sf]
2= d[uf}nf lju|]sf] jf km]n ePsf] slxn] 5= x]df]*fOnfO{l;; eg]sf] s] xf] ?
dflgG% ?
x]df]*fonfOl;;df zl//sf] /utnfO{ aflx/ lgsfn]/
Pp^f d[uf}nfn] 20 k|ltzt dfq sfd u?Gh]n s[lqd d[uf}nf -*fonfO{h/_ / dl;gsf] ;xof]uaf^
lj/fdLn] AolQm :j:Yo /xg ;S% . olb o;eGbfklg sld
cfPdf zl//sf] ljsf/ lk;fjsf] ?kdf kmNg
/ut ;kmf ul/G% . ;kmf eO;s]sf] /ut k'gM
zl//df k&fOG% . zl//af^ yf]/} /ut -250 ld=ln=
hfGg' kg]{ s'/fx? gl;s /utdf hDdf x'G% / lj/fdLnfO{ sdhf]/L,
ysfO{, vfgfdf c?rL, zl// ;'lgg], kmf]S;f]df
hlt_ aflx/ d]l;gdf lgsfn]sf] x'G% / ;kmfub{}
zl//df k&fOG% . x]df]*fonfol;; ug{sf]nflu
kfgL hDg], / pRr/Strfk h:tf /f]u b]vf kg{ lkm:^'nf (Fistula), u|fkm^ (Graft) jf sofg'nf
;S% . of] cj:yfnfO{ g} d[uf}nf lju|]sf] (Renal (Canula) sf] dbtn] zl//af^ cfjZosdfqfdf /ut
Failure) elgG% . lgsfNg dbt k'Cofp% . ;dfGotf lj/fdLnfO{ xKtfsf]
2 b]lv 3 k^s;Dd x]df]*fonfO{l;; u/fpg' k%{ /
x/]s k^ssf] *fonfOl;; 3 b]lv 4 #)^f ;Ddsf]
3= d[uf}nf lju|g] (Renal Failure) sf/)fx? s]s] x'G% .
x'g ?
Nephrology Unit lrgLsf] /f]u -*fOj]l^S;_ / pRr/Strfk
Dharan, 6= x]df]*fonfO{l;; af^ s] s] kmfObf x'G% ?
B.P. Koirala Institute of Health Sciences (Hypertension) d[uf}nf ljufg]{ k|d'v sf/)f x'g .
Nepal cGo sf/)fx?df xfO{kf]^]G;g -zs_ d'^'sf]/f]u, x]df]*fonfO{l;; pkrf/ xKtfdf 2 b]lv 3 k^s
/St gnLsf] /f]u, lj;fn' kbfy{sf] ;]jg (Toxins), u/fPk'U% / Ps k^s ug{ 3 b]lv 4 #)^f ;do
OTofbL klg d[uf}nf lju|g] sf/)fx? x'g . dfq nfU% . pkrf/ kl% t'/Gt #/ hfg ;lsG% /
k]l/^f]lgon *fonfO{l;; eGbf al( k|efjsf/L x'G% .
7= x]df]*fonfO{l;;sf] lj/fdLn] s] s] ;fawfgL -
9=k]l/^f]lgon *fonfO{l;; eg]sf] s] xf] ? 12= lj/fdLn] Wofglbg' kg]{ d'Vo s'/fx?M
k/x]h_ x? ckgfpg' k%{ .

2. vfgfM *fS^/sf] ;Nnfx cg';f/ vfgf vfg' k%{ . o; k|sf/sf] *fonfOl;; lj/fdLsf] zl// leq *fonfO{l;; d[uf}nfsf] ;§fdf sfd ug]{ Pp^f
vfgfdf k|f]l^g, ;f]l*od -g'g_, kf]^fl;od, Sofnf]/L g} ul/G% . lrlsT;s$f/f k]^df ;fgf] #fp
pkrf/ dfq xf] . o;n] k')f{ ?kdf d[uf}nfsf] sfd
tyf kfgLsf] k|of]u *fS^/sf] ;Nnfx cg';f/ ug'{ k%{ jgfP/ Pp^f gnL jf ^o'j k]^leq -
. kmnkm'n ;Nnfx cg';f/ dfq vfg'k%{ . k]l/^f]lgoddf_ /flvG% . pQm gnLaf^ ug{ ;Sb}g, To;}n] tkfO{n] cfkmgf] /xg;xgdf s]lx
w'd|kfg tyf dBkfgM *fonfOl;;sf] pkrf/df /x]sf] *fonfO{l;; ;f]n';g k]^df k&fOG% / s]lx
kl/jt{g Nofpg kb{% / lgDg s'/fx?df Wofg
lj/fdLn] w'd|kfg tyf dBkfg ug'{ x'b}g . a]/ kl% k'gM jflx/ lgsfnLG% . k]^df
x]k^fol^; lj= EoflS;gM zl//sf] k|lt/f]wfTds Ifdtf *fonfo{l;; ;f]n';g -kfgL_ /xbf o;n] /utdf lbg'kb{% . -s_ vfg]s'/f -v_ lkpg]kfgLsf] dfqf
sd x'g] ePsf]n] *fS^/sf] ;Nnfx cg';f/ /x]sf] ljsf/ tfG% / jflx/ lgsfNg dbt u%{
-u_ lgoldt cf}iflwsf] ;]jg tyf -#_ tflnsf
x]kf^fOl^;sf] ;"O{ nufpg' k%{ . . o;sf] w]/} k|sf/x? %g . l;=P=lk=l*=
/utsf] hfrM lgoldt ?kdf /utsf] hfr o'l/of, (CAPD) df u'?Tjfsif{)fsf] ;xof]un] cg';f/ lgoldt *fonfO{l;; -~_ d[uf}nf lju|g]
lqmol^lgd, ;f]l*od, kf]^fl;od, Sofnl;od, km:km]/; *fonfO{l;; ul/G% . cr]n P=lk=l*=
cf}ifwLx? h:t}M Brufen, voveran etc vfg' x'b}g .
tyf x]df]Unf]ljg, *fS^/sf] ;Nnfx cg';f/ u/fpg' (Ambulatory peritoneal dialysis) sf] k|of]u klg
k%{ . x'g yfn]sf] % . -r_ AolQmut z/;kmfO{ /fVg' k%{ . -%_ d'v
8= d[uf}nf k|Tof/f]kg (Renal transplantation) eg]sf] lgoldt ?kdf ;kmf /fVg' k%{ / Mouth wash n]
s] xf] ? -10_ x]df]*fonfOl;;sf] s] s] g/fd|f c;/x?
w'g' k%{ . -h_ le*ef*df w]/} hfg' x'b}g .
zNoqmof u/]/ :j:Yo d[uf}nf lj/fdLsf] zl//df /fVg] ;S%g
x'g ;S%g .
jf k|lt:yfkg ug]{ k|s[ofnO{ d[uf}nf k|Tof/f]kg elgG% -em_ #/df ksfPsf] vfgf tyf pdfn]sf] kfgL
jfsjfls nfUg], jfGtfx'g], vfg dg gnfUg],
. o; zNolqmofdf csf]{ :jf:Yo d[uf}nf lxksf] xf*
sDkg cfpg], sd/Qmrfk x'g', ;'hg, Hj/f], vfg' /fd|f] x'G% -`f_ /Qmrfk lgoldt gfKg' k%{ .
(Hip bone) ghLs} d'qgnL (Ureter) df hf]l*G% .
/ut jl(cfpg] h:tf ;d:ofx? b]vfkg{ ;S%
slxn]sfxL lju|L;s]sf] d[uf}nf ;+qmd)f tyf -^_ lgoldt tf}n lnO /]s* /fVg' k%{ . oL
t/ o;af^ aRg ljleGg pkfox? ckgfpg'
pRr/Strfk x'gaf^ arfpgsf] nfuL lgsflnG% .
k%{ . s'/fx?df Wofg lbg' ePdf tkfO{n] :jf:Yo /xL
cGoyf klxn]s} cj:yfdf ;f] d[uf}nf /xG%g .
km
11= lkm:^'nf, u|fkm^ tyf ;G^ nufPsf]
k|Tof/f]kgsf nfuL d[uf}nf lbg] bftfx? 2 k|sf/sf klxn] em} cfkmgf] hLjg /dfOnf] ;+u AoflQmTj ug{
j/fdLn] s] s] ;fjwfgL ckgfpg' k%{ .
x'G%g . k|yd :jf:Yo jf lhjLtbftf (Living doner)
/Qmrfk pQm xftdf (Fistula graft etc ePsf]_ ;Sg' x'G% . ;fy} cfkmgf] sfdx? klg lgoldt
h:t}M kl/jfsf ;b:o, gft]bf/x?, tyf :jbftfx?
gfKg' x'b}g . pQmxftaf^ /ut tfGg] tyf kfgL
kb{%g . tyf bf];|f]DF d/]kl% lbg] bftf (Cadaver ?kdf ug{ ;Sg' x'G% .
r(fpg' x'b}g . xftsf] jofd ug'{ k%{ . ef/L
doner) x? kb{%g .
lrh p&fpg' x'b}g tyf pQmxft tn /fv]/ wGojfb,
;'Tg'x'b}g .