Sukhe Oshukhe :: Edition 27

9g el© Ryb, 2017 msL¨v 27
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A¨vRgv wb‡q Ae‡njv bq
wkïi wbD‡gvwbqv
GgdvBwmgv GKwU bxie NvZK
wkïi nuvcvwb I KiYxq
k¦vmh‡š¿i Kvh©ÿgZv wbY©q
k¦vmZ‡š¿i fvBivm
dzmdzm K¨vÝvi
we¯ÍvwiZ eª¼vBwUm
wbD‡gvwbqv wb‡q K_v
h²v‡iva Lvev‡i

evwo 1, †ivW 4, avbgwÛ, XvKv 1205 †dvb : 58610793-8, d¨v· : 88-02-9615497
B-†gBj : i n f o @ l a b a i d g r o u p . c o m , I‡qe : w w w . l a b a i d g r o u p . c o m
eÿe¨vwa‡K fq bq, †Zgwb Zv‡K Ae‡njvI bq|
eÿe¨vwa¸‡jv `xN©w`b cy‡l ivL‡j KL‡bv KL‡bv GwU
Rxebmsnvix n‡q `uvovq| †h‡Kv‡bv ai‡bi k¦vmKó,
Kvwk wKsev K‡di g‡Zv DcmM©‡K D‡cÿv bv K‡i
we‡klÁ wPwKrm‡Ki civgk© wbb| g‡b ivL‡eb,
G ai‡bi DcmM© A‡bK †iv‡MiB AvMvg ms‡KZ|
msL¨vwU mvRv‡bv n‡q‡Q ey‡Ki †ivM-e¨vwa wb‡q|
we‡klÁ wPwKrmKiv GB msL¨vq wj‡L‡Qb ÔA¨vRgv
wb‡q Ae‡njv bqÕ, Ôk¦vmZ‡š¿i fvBivmÕ wbD‡gvwbqvi
g‡Zv †ivM Ges †iv‡Mi cÖwZKvi wb‡q| wkï¯^v¯’¨ Ges
mgmvgwqK †ivM-e¨vwaI ¯’vb †c‡q‡Q msL¨vwU‡Z|
Avkv KwimsL¨vwU gvby‡li †ivM cÖwZ‡iv‡ai m½xn‡e|
kix‡ii †h †Kv‡bv A¯^vfvweK Dcm‡M© wPwKrm‡Ki
civgk© wbb| my‡L-Amy‡L j¨veGBW nvmcvZvj me
mgq Avcbvi m‡½ Av‡Q|

5Ryb 2017 my‡L Amy‡L
A¨vRgvi j¶Ymg~n
AwaKvsk nvucvwb †ivMxi k¦vmKó mvaviYZ nVvr K‡iB Avi¤¢ nq|
k¦vmK‡ói m‡½ ïK‡bv Kvwk I k¦vm-cÖk¦v‡mi m‡½ kuv kuv kã nq|
ax‡i ax‡i k¦v‡mi Kó Av‡iv †e‡o hvq Ges ey‡Ki g‡a¨ Pvc Pvc
†eva nq| G mgq k¦vmbvwji e¨vm Av‡iv miæ n‡q hvq Ges †mB
miæ bvwji g‡a¨ evZvm PjvP‡ji mgq AvIqvR †Kv‡bvv hvq| G
ai‡bi k¦vmKó mvaviYZ iv‡Z †ewk nq Ges ZLb †ivMx D‡V e‡m
_v‡K| †ewki fvM †ivMxi k¦vmKó †kl iv‡Z evo‡Z †`Lv hvq|
A¨vRgvi KviY
 bvK, Mjv I ey‡K fvBivm msµgY|
 N‡ii ayjv, civM †iYy, cÖvYxi ckg ev cvjK|
 Nb †avuqv I Zxeª MÜ|
 fvix e¨vqvg I AwZcwikÖg|
 `ªæZ AvenvIqvi cwieZ©b|
 gvbwmK Pvc I Aemv`|
 ivmvqwbK mvgMÖx, iÄK, wWUvi‡R›U cÖf…wZ
 ÿwZKviK iO †gkv‡bv Lv`¨
A¨vRgv †Pbvi Dcvq
k¦vm-cÖk¦v‡mi mgq kuv kuv kã|
k¦vmK‡ói mv‡_ ïK‡bv Kvwk|
`g eÜ fve Abyfe Kiv|
N‡ii ayjv, VvÐv wKsev Mi‡gi Kvi‡Y
ïK‡bv Kvwk, k¦vmKó|
cwikÖg Ki‡j k¦vmKó
ey‡Ki wfZi kuv kuv kã|
FZy cwieZ©‡bi mgq k¦vmKó|
k¦vmKó †kl iv‡Z evo‡Z _vKv|
weUveøKvi ev A¨vmwcwib †L‡j k¦vmKó|
Dc‡ii †h‡Kv‡bv wZbwU j¶Y GK mv‡_
_vK‡j wPwKrmvi Rb¨ we‡klÁ wPwKrm‡Ki
kiYvcbœ n‡Z n‡e|
A¨vRgv GKwU k¦vm-cÖk¦vmRwbZ †ivM| A¨vRgv ev nvucvwb ej‡Z Avgiv mvaviYZ k¦vmc‡_ evqy PjvP‡j
evav m„wói Rb¨ k¦vmKó‡K eywS| G †iv‡M dzmdz‡m ch©vß cwigvY evZvm hvZvqvZ Ki‡Z cv‡i bv Ges
†`n Aw·‡R‡bi Afve Abyfe Ki‡Z ïiæ K‡i| †ivMwU nvucvwb ev k¦vmKó ev A¨vRgv bv‡g mvavi‡Yi
Kv‡Q †ewk cwiwPZ| GwU Avm‡j k¦vmZ‡š¿i `xN©‡gqvw` ev µwbK cÖ`vnRwbZ †ivM
A¨vRgv wb‡q Ae‡njv bq
Aa¨vcK (Wv.) Gd, Gg, wmwÏKx
GgweweGm, GdwmwcGm
GdGwmwc (BDGmG), GdAviwmwc
†gwWwmb I eÿe¨vwa we‡klÁ
Aa¨vcK, †gwWwmb wefvM
j¨veGBW KvwW©qvK nvmcvZvj, XvKv|
†P¤^vi : j¨veGBW KvwW©qvK nvmcvZvj|

1. iv‡Zi Lvevi †cU f‡i Lv‡eb bv| Nygv‡bvi
`yB NÈv c~‡e© iv‡Zi Lvevi Lv‡eb|
2. cywóKi Lvevi wbqwgZ wbw`©ó mg‡q MÖnY Kiæb|
3. jvj, njy` dj, kvKmewR wbqwgZ Lv‡eb|
KviY G‡Z cÖPyi weUv K¨v‡ivwUb _v‡K, hv
dzmdzm‡K kw³kvjx K‡i|
4. wfUvwgb wm I B mg„× Lvevi †L‡j dzmdzm
fv‡jv _v‡K| meyR dj I kvKmewR‡Z
†hgb: wfUvwgb wm cv‡eb †Zgwb wfUvwgb ÔBÕ
cvIqv hv‡e gviRvwib, mqvweb, Awjf A‡qj
BZ¨vw`‡Z|
5. wbqwgZ Av‡cj †L‡j A¨vRgv †ivMx‡ì
dzmdzm fv‡jv _v‡K|
6. k¦vmK‡ói mgq cÖPyi cvwb cvb Kiæb| hv‡Z
Avcbvi Kvwk Zij n‡Z cv‡i|
7. Lye mKv‡j wbqwgZ Nyg †_‡K DVvi Af¨vm
Kiæb| mKvj †ejv
nvuUzb Ges wKQy
e¨vqvg Kiæb|
8. †ewk ivZ
RvM‡eb bv|
mKvj †ejv
Nyg †_‡K
IVvi
Af¨vm
Kiæb|
A¨vRgv †ivMx‡ì Rb¨ civgk©
wPwKrmv bv n‡j, n‡Z cv‡i
†imwc‡iUwi †dBwjDi n‡Z cv‡i|
¯’vqx A¨vRgv †_‡K nvU© †dwjDi n‡q cv‡q cvwb
Avm‡Z cv‡i| G‡Z †ivMx kh¨vkvqx n‡q †h‡Z
cv‡i|
A¨vRgv †ivMxi kix‡i me mgq Aw·‡Rb Kg
_v‡K e‡j †ivMx Aemv`MÖ¯Í nq|
¯§„wZkw³ K‡g †h‡Z cv‡i|
hLb wPwKrm‡Ki civgk© †bIqv Riæwi
k¦vmK‡ói mv‡_ ey‡K e¨_v|
†VvuU ev wRf bxj eY© aviY Ki‡j|
k¦vmK‡ói mv‡_ R¡i _vK‡j|
k¦vmK‡ói mv‡_ Kvwk Ges Kvwki mv‡_ i³|
mw`© n‡j Zv mvi‡Z 15 w`‡bi †ewk mgq jvM‡j|
k¦vm-cÖk¦v‡mi nvi cÖwZ wgwb‡U 30 ev †ewk|
bvwoi ¯ú›`b cÖwZ wgwb‡U 110 ev †ewk|
Mf©ve¯’vq A¨vRgv
Mf©ve¯’vq GK-Z…Zxqvsk A¨vRgv †ivMxi A¨vRgv
Av‡iv ev‡o| GK-Z…Zxqvsk GKB iKg _v‡K Ges
evwK GK-Z…Zxqvsk DbœwZ jvf K‡i
cÖmeKv‡j beŸB fvM †ivMxi †Kv‡bv A¨vRgv DcmM©
_v‡K bv
mvaviY Ae¯’vq A¨vRgv †iv‡M †hme Ilya eëüZ
nq, †hgbÑ mvjweDUvgj, †÷i‡qW, Bb‡njvi I
gy‡L LvIqvi †cÖWwb‡mv‡jvb I †µv‡gvbm BZ¨vw`
Mf©ve¯’vq wbivc`
gw›UjyKv÷ RvZxq Ilya‡KI Mf©ve¯’vq wbivc` e‡j
†g‡b †bIqv nq
¯Íb¨`vqx gv‡q‡ì †¶‡ÎI Gme Ilya wbivc`

8
k¦vmZ‡š¿i fvBivm
Aa¨vcK (Wv.) †gvt Avjx †nv‡mb
Gg.we.we.Gm, Gd.wm.wc.Gm (†gwWwmb), GgwW (†P÷)
†gwWwmb we‡klÁ I cvjg‡bvjwR÷
Aa¨vcK, †imwc‡iUwi †gwWwmb
e¶e¨vwa Bbw÷wUDU I nvmcvZvj, gnvLvjx, XvKv
†P¤^vi : j¨veGBW KvwW©qvK nvmcvZvj, XvKv|
fvBivm j¨vwUb fvlvi GKwU kã| Gi A_© nj wel|
GKUv mg‡q †ivM m„wóKvix †h †Kvb welv³ c`v_©‡KB
fvBivm ejv nZ| eZ©gvb Kv‡j fvBivm ej‡Z GK cÖKvi
AwZ AvYyex¶wYK A‡Kvlxq †ivM m„wóKvix e¯‘y‡K †evSvq|
wfbœ ai‡bi fvBivm wfbœ wfbœ †ivM ˆZix K‡i| †h me
fvBivm mivmwi k¦vmZš¿‡K AvµgY K‡i †ivM ˆZwi K‡i
†Zgb wKQz fvBivm wb‡q GB Av‡qvRb|
GwW‡bv fvBivm
GwW‡bv fvBiv‡m AvµvšÍ e¨w³i ¯úk© ev Kig`©‡bi gva¨‡g
fvBivmwU `ªæZ msµwgZ nq| GQvov †Kvb e¯‘‡Z fvBivmwU
†j‡M _vK‡j, †mLv‡b nvZ ivL‡j fvBivmwU cÖ_‡g nv‡Z,
cieZx© mg‡q †mB nvZ †_‡K bvK, gyL n‡q fvBivmwU kix‡ii
Af¨šÍ‡i cÖ‡ek K‡i| fvBivmwU Øviv eª¼vBwUm, wbD‡gvwbqv,
R¡i, mw`©, Mjv e¨_v, GgbwK Wvqwiqv, †PvL IVvi gZ †ivMI
n‡Z cv‡i| fvBivmwUi msµgY Gov‡Z memgq fv‡jv K‡i
mvevb w`‡q nvZ ay‡Z n‡e| nvuwP, Kvwki mg‡q gyL I bvK
†X‡K wb‡Z n‡e| Acw®‹vi nv‡Z †PvL, bvK, gyL ¯úk© Kiv hv‡e
bv| GB fvBiv‡m AvµvšÍ e¨w³i ms¯úk© Gwo‡q Pj‡Z n‡e|
ivB‡bv fvBivm
ÔivB‡bvÕ kãwUi gv‡b n‡jv bvK| cÖwZwU ivB‡bv fvBiv‡m Av‡Q
`kwU K‡i wRb| Ab¨w`‡K gvby‡li Av‡Q cÖvq 20 nvRvi wRb|
Z‡e ivB‡bv fvBivm Zvi Aí msL¨K wRb wb‡qB gvby‡li
kix‡i cÖ‡ek K‡i †ivM m…wó Ki‡Z m¶g| GB fvBiv‡m
AvµvšÍ n‡j cÖ_‡gB bvK ï®‹ n‡q hvq, Zvici Mjv e¨v_v,
bv‡K mw`© Rgv Ges mw`© Sov, bvK eÜ n‡q Avmv, gv_v e¨v_v
GKB m‡½ †ivMx ¯^v` I M‡Üi AbyfzwZ nvivq| bvK †_‡K mw`©
Svovi gva¨‡g ivB‡bv fvBivm Pviw`‡K Qwo‡q hvq| gvbyl
hLb bvK Sv‡o ZLb RxevYy nv‡Z †j‡M hvq| nvZ ‡_‡K
Avevi `iRvi nvZ‡j jv‡M| Gfv‡e †m †hLv‡bB †Qvuq ivB‡bv
†mLv‡bB Qwo‡q c‡o| GKBfv‡e †Kvb gvbyl‡K ¯úk© Ki‡j
†mB gvbylI msµwgZ nq| G ai‡bi fvBivm gvby‡li bvK,
Mjv Ges dymdy‡mi †Kvl mn‡RB †f` Ki‡Z cv‡i|
MERS Ges SARS
wgWj B÷ †imwc‡iUwi K‡ivbv fvBivm (MERS) Ges
(SARS) K‡ivbv fvBivm gvby‡li †ÿ‡Î gvivZ¥K dzmdz‡m
msµgY NUv‡Z cv‡i| 2012 mv‡j †m‡Þ¤^i gv‡m †mŠw`
Avi‡e MERS mbv³ nq| 2014 mvj ch©šÍ GB msµgY

fvBivm mbv³ Kiv nq| 1959 mvj †_‡K c…w_exi wewfbœ
†`‡k Gwfqvb Bbd¬y‡qÄvi we¯Ívi ïiæ K‡i| cÖ_‡g BD‡ivc,
A‡ówjqv I Av‡gwiKv Ges c‡i Gwkqvi wewfbœ †`‡k †ivMwU
Qwo‡q c‡o| evsjv‡`‡k G †iv‡Mi fvBivm cÖ_g mbv³ Kiv
nq 2007 mv‡j| Gwfqvb Bbd¬z‡qÄv ev evW© d¬z Av‡¯Í ax‡i
RxbMZ cwieZ©b A_ev †R‡bwUK cyY©MV‡bi gva¨‡g `ªæZ
we¯Ívi jv‡fi mÿgZv AR©b K‡i‡Q|
†mvqvBb d¬z
†mvqvBb d¬z mvaviYZ k¦vmbvjx‡K msµgY K‡i _v‡K| c~‡e©
GB fvBivmwU gvbyl‡K AvµvšÍ bv Ki‡jI 2009 mv‡ji D™¢e
nIqv cwieZ©xZ fvBivmwU gvbyl‡K msµgb Ki‡Z mÿg|
Avi cvuPUv Bbd¬y‡qÄvi fvBiv‡mi g‡ZvB nvuwP-Kvwki gva¨‡g
GwU Qovq| †mvqvBb d¬yÕi RxevYy 10 NÈv ciI RxweZ _vK‡Z
cv‡i| GKRb †ivMx R¡‡i AvµvšÍ nIqvi GKw`b Av‡MB
Ab¨‡K AvµvšÍ Ki‡Z cv‡i| Avevi AvµvšÍ nIqvi mvZ w`b
ev cieZ©x mg‡qI Ab¨‡K GB †ivM Qov‡Z cv‡i| ZvB †KvbI
j¶Y †evSvi Av‡MB IB †ivMx Ab¨ †jvKvj‡q G †ivM Qov‡Z
cv‡i| †m Rb¨ GwU gnvgvwi AvKv‡i Lye mn‡RB Qwo‡q †h‡Z
mÿg|
mveavb n‡j †mvqvBb d¬y cÖwZ‡iva Kiv m¤¢e| †ivMvµvšÍ e¨w³
†_‡K wbivc` `~i‡Z¡ _vK‡Z n‡e, fxo Gwo‡q Pj‡Z n‡e,
Acwi®‹vi nvZ w`‡q gyL ¯úk© Kvi hv‡e bv| h‡_ó cwigv‡b
Zij Lvevi MÖnY Ki‡Z n‡e, Kd ev _yZy wbivc` ¯’v‡b †dj‡Z
n‡e Ges nvuwP ev Kvwki mgq gyL Kvco w`‡q †X‡K ivL‡Z
n‡e| †KvbI wPwKrmv ev Ilya †me‡bi cÖ‡qvRb g‡b Ki‡j
Aek¨B we‡klÁ wPwKrm‡Ki civgk© wb‡Z n‡e|
ga¨cÖv‡P¨ mxgve× _v‡K| †mLvb †_‡K AvMZ e¨w³i gva¨‡g
RxevYy d«vÝ, BZvwj, hy³iv‡R¨ we¯Ívi jvf K‡i| ev`yi‡K GB
RxevYyi m‡›`nRbK aviK wn‡m‡e we‡ePbv Kiv nq| msµwgZ
e¨w³i cÖZ¨ÿ ms¯ú‡k© gvbyl n‡Z gvby‡l fvBivmwU we¯Ívi jvf
K‡i| `xN© †gqv`x †iv‡M AvµvšÍ e¨w³i †ÿ‡Î GB msµgY
gvivZ¥K AvKvi aviY Ki‡Z cv‡i| SARS K‡ivbv fvBivmwU
2002 mv‡j Px‡bi ¸qvb Ws cÖ‡`‡k mbv³ nq| eZ©gv‡b
GwU‡K c„w_ex †_‡K m¤ú~Y©fv‡e wbg~©j Kiv n‡q‡Q|
Gwfqvb Bbd¬z‡qÄv (evW© d¬z)
Bbd¬y‡qÄv fvBivm Gi 3wU cÖK…wZ (UvBc) Av‡Q| G¸‡jv
n‡jv, ÔGÕ, ÔweÕ Ges ÔwmÕ| ÔGÕ UvB‡ci fvBivm Avgv‡`i
cÖK…wZ‡Z we¯‘„Zfv‡e Qwo‡q Av‡Q| Bbd¬y‡qbRv ÔweÕ Ges
ÔwmÕ †KejB gvby‡l cvIqv hvq| 1878 mv‡j BZvjx‡Z me©
cÖ_g D”P †ivM Drcv`b ¶gZv m¤úbœ Gwfqvb Bbd¬y‡qÄv
fvBivm nj GK cÖKvi AwZÿz`ª ˆRe KYv
ev AYyRxe hviv RxweZ †Kv‡li wfZ‡iB
eske„w× Ki‡Z cv‡i| Giv AwZ-AvYyex¶wYK
Ges A‡Kvlxq| fvBivm Rxe wn‡m‡e
we‡ewPZ n‡e wKbv, G wb‡q weÁvbx‡`i
g‡a¨ wØgZ Av‡Q
evW© d¬z
fvBivm
fvBivm kix‡ii Af¨šÍ‡i
hvq GB gva¨‡gÑ
†PvL
bvK
gyL
evW© d¬z
fvBivm

wbD‡gvwbqvi DcmM©
wkïi eqm‡f‡` †iv‡Mi Dcm‡M© ZviZg¨ nq| wkïi wbD‡gvwbqv
n‡j †hme jÿY ev DcmM© †`Lv †h‡Z cv‡i :
R¡i, Kvucywb
Kvwk, mw`©
`ªæZ k¦vm-cÖk¦vm
k¦v‡m kuv kuv kã
k¦vmKó (bvmviÜ« dz‡j dz‡j IVv, `ªæZ †cU IVv-bvgv,
cuvR‡ii gvsm‡cwk †W‡e hvIqv)
wbR©xe n‡q cov
†VvuU I AvOy‡ji bL a~mi A_ev bxjvf iO aviY Kiv|
ewg, †cU e¨_v
eyK e¨_v
wbD‡gvwbqv Kv‡ì nq?
wkï‡ì Ges eo‡ì meviB wbD‡gvwbqv n‡Z cv‡i|
Z‡e 5 eQ‡ii Kg e‡qwm ev”Pv‡ì g‡a¨B Gi cÖ‡Kvc †ewk|
†`Lv †M‡Q, †hme ev”Pv Acyó n‡q Rb¥ wb‡q‡Q, IRb Kg, ey‡Ki
`ya Lvqwb, wUKv wVKg‡Zv †bqwb, Nb emwZ, m¨vuZm¨vu‡Z N‡i
evm K‡i, †h N‡i eoiv a~gcvb K‡iÑ Zv‡ì g‡a¨ Gi cÖ‡Kvc
†ewk nq|
wbD‡gvwbqv n‡j Kx nq?
k¦v‡m †U‡b evZvm †_‡K cÖ‡qvRbxq Aw·‡Rb Ges kix‡ii
AcÖ‡qvRbxq Kve©b-WvB-A·vBW †ei K‡i †ÌqvB n‡jv
k¦vm-cÖk¦v‡mi cÖavb KvR| wbD‡gvwbqv n‡j k¦vmbvwji †kl cÖv‡šÍ
†hLv‡b GB evZv‡mi Av`vb-cÖ`vb nq, †mLv‡b ¶wZMÖ¯Í n‡q
Aa¨vcK (Wv.) †gvt Avãyj gvbœvb
GgweweGm, GdwmwcGm, GgwW (wkï †ivM), GgwW (wbD‡bUjwR)
†d‡jv wbD‡bUjwR, Gb.BD.GBP wm½vcyi, Aj BwÛqv Bbw÷wUDU Ae
†gwW‡Kj mvBÝ, w`wjø, BDwbfvwm©wU K‡jR jÛb nmwcUvj, BD.‡K
beRvZK I wkï‡ivM we‡klÁ, †Pqvig¨vb, beRvZK wefvM
e½eÜz †kL gywRe †gwW‡Kj BDwbfvwm©wU, XvKv|
†P¤^vi : j¨veGBW †¯úkvjvBRW nvmcvZvj|
wbD‡gvwbqv me eq‡mB nq| Z‡e wbD‡gvwbqvi Kvi‡Y KL‡bv KL‡bv wkïi Rxebmsnvix n‡q DV‡Z cv‡i|
mvaviYZ cvuP eQ‡ii Kg eqwm wkï‡ì g‡a¨B wbD‡gvwbqvi cÖ‡Kvc †ewk _v‡K| wbD‡gvwbqv
n‡j wkïi dzmdzm gvivZ¥K msµg‡Yi wkKvi nq|
wkïi wbD‡gvwbqv

12 Ryb 2017 my‡L Amy‡L
GUv evavMÖ¯Í nq| djvdj- Aw·‡Rb cvIqv †_‡K kixi ewÂZ
Ges welv³ Kve©b-WvB-A·vBW kix‡i Rgv nIqv; hv `ªæZB
gw¯Í®‹, ürwcÐ, wKWwb BZ¨vw`‡K ¶wZMÖ¯Í K‡i ev”Pv‡K g„Zzï
w`‡K †V‡j w`‡Z cv‡i|
wkï wK wbD‡gvwbqvq AvµvšÍ?
RxevYy w`‡q k¦vmbvwj AvµvšÍ n‡jB kix‡i cÖwZ‡iva wn‡m‡e
Kvwk Ges R¡i ˆZwi K‡i| fvBiv‡mi Kvi‡Y n‡j mw`© ev
Qwe‡Z wbD‡gvwbqv
†ivM cÖwZ‡iva
Zzjbvg~jK Kg msµwgZ wbD‡gvwbqvi ev”Pv‡K †Lvjv evZv‡m Aviv‡g k¦vm †bIqvi eë¯’v Ki‡Z n‡e|
ev”Pvi Lvevi Ges kix‡ii cvwbi cwigvY wVK ivL‡Z n‡e| R¡‡ii Rb¨ c¨vivwmUvgj RvZxq Ilya
w`‡Z n‡e| bvK eÜ _vK‡j bigvjm¨vjvBb (jeY-cvwbi wgkÖY) w`‡q wfwR‡q Zv Ly‡j w`‡Z n‡e|
Avevi Avj‡Zv K‡i †U‡bI Zv †ei K‡i Avbv hv‡e| DbœwZ bv n‡j A¨v‡gvw·wmwjb ev KwUªgA·vRj
RvZxq Gw›Uev‡qvwUK wVK cwigvYg‡Zv (IRb †`‡L) 5-7 w`b w`‡Z n‡e| gvivZ¥K wbD‡gvwbqvq
†ivMx‡K nvmcvZv‡j fwZ© K‡i wPwKrmv w`‡Z n‡e| cÖ_‡gB Aw·‡Rb w`‡q k¦v‡m mvnvh¨ Ki‡Z n‡e|
Gici †c‡U bj w`‡q ev wkivi gva¨‡g cywói eë¯’v K‡i w`‡Z n‡e, hZ¶Y ev”Pv mn‡R gy‡L †L‡Z
bv cvi‡e| Gici cÖ‡qvRbxq Gw›Uev‡qvwUKI wkivi gva¨‡g w`‡Z n‡e|
fvBiv‡mi Kvi‡Y n‡j mw`© ev
†PvL w`‡q cvwb covi g‡Zv
DcmM©I _vK‡Z cv‡i
†PvL w`‡q cvwb covi g‡Zv DcmM©I _vK‡Z cv‡i| GB
k¦v‡mi MwZ 2 gv‡mi Kg wkï‡ì 60 ev Gi †P‡q †ewk 1
eQ‡ii wb‡P 50 ev Gi †P‡q †ewk Ges 5 eQ‡ii wb‡P 40
ev Zvi †P‡q †ewk n‡j Avgiv Zv‡K wbD‡gvwbqvi Kvi‡YB
`ªæZ k¦vm wn‡m‡e a‡i wbB|
hLb `ªæZ wPwKrm‡Ki civgk©
Kvwk, R¡‡ii mv‡_ ev”Pvi k¦vmKó ïiæ n‡jB Zv‡K wbKU¯’
¯^v¯’¨‡K‡›`ª ev AwfÁ Wv³v‡ii Kv‡Q wb‡q †h‡Z n‡e| Kvwki
mv‡_ R¡i ev D‡ëv kixi VvÐv n‡q †M‡jI Wv³v‡ii Kv‡Q wb‡q
†h‡Z n‡e| Avevi 2 gv‡mi Kg eq‡mi †ivMx‡ì †bwZ‡q
hvIqv, wLuPzwb nIqv, AÁvb n‡q hvIqv ev †L‡Z bv cvivi
j¶Y _vK‡j `ªæZ Wv³v‡ii wbKU/nvmcvZv‡j wb‡q †h‡Z n‡e|
G¸‡jv wkïi Rb¨ wec`RbK wPý|

Wv. †gvt mvB`yj Bmjvg
GgweweGm, wWwUwmwW, GgwW (†P÷)
†gwWwmb, A¨vRgv I eÿe¨vwa we‡klÁ
G·. Kbmvj‡U›U, cvjgbvix wµwUK¨vj †Kqvi †gwWwmb, wKs mvD` nvmcvZvj (†KGmG)
mn‡hvwM Aa¨vcK (†imwc‡iUwi †gwWwmb)
RvZxq eÿe¨vwa Bbw÷wUDU I nvmcvZvj, gnvLvjx, XvKv|
GgdvBwmgv GKwU bxie NvZK
GgdvBwmgvi KviY
a~gcvqx‡ì GB †iv‡M fzM‡Z †ewk
†`Lv hvq|
AvjdvIqvb Gw›UªwUcwm‡bi ¯^íZv|
AZ¨waK evqy`~lY
A¨vRgv ev k¦vmK‡ói †ivMx
dzmdz‡mi Rb¨ ÿwZKviK cwi‡ek
eva©K¨RwbZ
Avevi Dc‡ii KviY¸‡jv QvovI †h‡Kv‡bv
e¨w³ G e¨vwa‡Z AvµvšÍ n‡Z cv‡i|
hviv SzuwK‡Z
†KD hw` nvucvwb ev A¨vRgv †ivMx n‡q _v‡K, Z‡e Zvi G
e¨vwa‡Z AvµvšÍ nIqvi Avk¼v †ewk _v‡K| µwbK eª¼vBwU‡m
AvµvšÍ †ivMx‡ìI GgdvBwmgv n‡Z cv‡i| †Kv‡bv †Kv‡bv
k¦vmKóRwbZ e¨vwai Kvi‡YI GgdvBwmgv n‡Z cv‡i| a~gcvb
n‡”Q dzmdz‡mi me‡P‡q eo kÎæ| a~gcvqx e¨w³‡ì G †ivM
nIqvi Avk¼v me‡P‡q †ewk| cwi‡ek`~lY, Mvwo I wkí-
KviLvbvi Kv‡jv †avuqvi g‡a¨ hv‡ì wePiY †ewk, Zv‡ì
dzmdz‡m GgdvBwmgv m„wói k¼v †ewk _v‡K|
†ivM cÖÖwZ‡iva
GgdvBwmgv m¤ú~Y© fv‡jv Kivi †Kv‡bv wbw`©ó c×wZ GL‡bv
Avwe®‹…Z nqwb| Z‡e we‡klÁ wPwKrmK‡ì civgk© MÖnY
Ki‡j G e¨vwawU wbqš¿‡Y ivLv hvq| †h‡nZz GwU GKwU
k¦vmKóRwbZ †ivM, ZvB Ily‡ai Øviv k¦vmKó‡K wbqš¿‡Y
ivLv hvq|
dzmdz‡mi wewfbœ ai‡bi e¨vwai g‡a¨ GKwU n‡”Q GgdvBwmgv| G †iv‡M dzmdz‡mi evqy _wj¸‡jv ÿwZMÖ¯Í nq| dzmdzm
Aw·‡Rb Ges Kve©b WvB-A·vB‡Wi wewbgq mwVKfv‡e Ki‡Z cv‡i bv| Ab¨w`‡K GgdvBwmgvi Kvi‡Y dzmdz‡m
gvÎvwZwi³ evZvm Rgv n‡Z _v‡K Ges dzmdzm AvKv‡i eo n‡q hvq| dzmdz‡mi †fZ‡i cÖ‡qvR‡bi
AwZwi³ evZvm hLb Rgv nq, ZLb †ivMxi Kvwki m‡½ m‡½ k¦vmKó cÖKU AvKvi aviY K‡i
GgdvBwmgvi DcmM©
†ivMxi cÖPÐ k¦vmKó nq|
Aí Pjv-†div‡ZB k¦vmUv‡bi Dcµg
nq Ges `g dzwi‡q hvq|
†c‡U Ges cv‡q cvwb Av‡m|
wjfv‡ii AvKvi e„w× cvq|
KL‡bv KL‡bv G me †ivMxi i‡³
AwZgvÎvq †jvwnZ KwYKv ˆZwi nq|
†ivMxi †`n bxjI n‡q †h‡Z cv‡i|
ey‡Ki AvK…wZ cwieZ©b n‡q hvq|
k¦vmhš¿ I nv‡U©i APjZvi Kvi‡Y
nvU© A¨vUvK (†dBwjIi) n‡Z cv‡i|
µwbK eª¼vBwU‡mi Kvi‡Y hw`
GgdvBwmgv n‡q _v‡K cÖv_wgK
Ae¯’vq k¦vmK‡ói ZxeªZv †`Lv
hvq bv|
cieZ©x mg‡q ü`&h‡š¿i Wvb
cv‡ki Ask Kvh©¶gZv nvwi‡q nvU©
†dBwjIi n‡q _v‡K|

A¨vRgv Kx?
A¨vRgv k¦vmbvwji AmyL| cÖ`v‡ni d‡j AwZwi³ wgDKvm ˆZwi nq
I k¦vmbvwji gvsm‡cwk msKzwPZ nq| Gi d‡j k¦vm-cÖk¦v‡m weNœ
N‡U| wbtk¦vm eÜ n‡q Av‡m|
A¨vRgvi KviY
mwVK KviY GLbI DÑvwUZ nqwb, Z‡e ayjvevwj, fvBivm
Bb‡dKkb, VvÐv, GjvwR©, †auvqv, cvwLi cvjK, Rxe-Rš‘i ckg,
wKQz Lv`¨`ªe¨ BZ¨vw`‡K cÖfveK wn‡m‡e wPwýZ Kiv n‡q _v‡K| G
Qvov evev A_ev gv GKR‡bi A¨vRgv _vK‡j wkïi A¨vRgv nevi
Avk¼v 33%|
A¨vRgvi DcmM© I j¶Y
wb‡gœi DcmM©¸‡jv cÖvqB †`Lv †M‡j a‡i wb‡Z n‡e Avcbvi mšÍvb
A¨vRgvq AvµvšÍ n‡q‡Q|
 Nb Nb Kvwk (wKQzw`b cici ev‡i ev‡i Kvwk‡Z
AvµvšÍ n‡j)
 iv‡Z †kvevi †ejvq ev †fv‡ii w`‡K Kvwk ev
k¦vmK‡ói AvIqvR cvIqv †M‡j
 ey‡K kuv kuv kã Ges k¦vm Z¨v‡Mi mgq evuwki
g‡Zv kã
 wbtk¦vm ev eyK eÜ fve
wkïi nuvcvwb I KiYxq
Wv. dv‡Zgv myBwU
GgweweGm, GdwmwcGm (wkï)
mnKvix Aa¨vcK, PÆMÖvg †gwW‡Kj K‡jR I nvmcvZvj
†P¤^vi: j¨veGBW nvmcvZvj PÆMÖvg|
nuvcvwb †Zv eq¯‹‡ì †ivM, GZ †QvU eq‡m G †ivM †Kb?
ev”Pv m¤ú~Y© fv‡jv n‡q hv‡e †Zv?
Avgv‡ì cwiev‡ii Kv‡iv G †ivM †bB, Zvn‡j Ii †Kb n‡jv?
†beyjvB‡Rkb, Bb‡njvi †Zv nuvcvwbi †kl wPwKrmv| GLbB ïiæ Ki‡j cieZ©x mg‡q KvR Ki‡e †Zv?
nuvcvwb‡Z AvµvšÍ mšÍv‡bi DwØMœ wcZv-gvZv cÖvqB wkïwelqK wPwKrmK‡ì G ai‡bi cÖkœ K‡i _v‡Kb| A¨vRgv ev
nuvcvwb GKwU `xN©¯’vqx k¦vmKó| GwU wkï‡ì LyeB mvaviY `xN©¯’vqx mgm¨v| hZ fv‡jvfv‡e GB †ivM I Gi wPwKrmv
m¤ú‡K© Rvbv hvq, ZZ fv‡jvfv‡e GB †ivM wbqš¿Y Kiv hvq

†beyjvBRvi
A¨vRgvi wPwKrmvq †beyjvBRvi
LyeB Kvh©Ki| Gi gva¨‡g Zij
Ilya‡K †auvqvq cwiYZ Kiv nq|
d‡j wkïiv Lye mn‡R Ilya
MÖnY Ki‡Z cv‡i Ges Ilya
LyeB ZvovZvwo (10 wgwbU) Zvi
Kvh©¶gZv m¤úv`b Ki‡Z cv‡i|
wKš‘ GwUB GKgvÎ wPwKrmv bq|
Bb‡njvi
Bb‡njvi wn‡m‡e A‡bK Ilya
A¨vRgvi wPwKrmvq eëüZ nq, hv
†¯úkvj †P¤^v‡ii gva¨‡g eënvi
Kiv DwPZ| mvaviYZ `xN©Kvjxb
eëüZ Ilya GB gva¨‡g eënvi
Kiv nq|
A¨vRgv wK †Quvqv‡P †ivM?
A¨vRgv †Quvqv‡P †ivM bq| cvwievwiK ev
eskMZfv‡e A¨vRgv n‡Z cv‡i| AvµvšÍ
gv‡qi ey‡Ki `ya †L‡q A¨vRgvq AvµvšÍ
nIqvi Avk¼v †bB| ZvQvov gvi ms¯ú‡k©
†_‡KI A¨vRgv nIqvi k¼v †bB|
A¨vRgvi wPwKrmv
wkï‡ì A¨vRgvi wPwKrmv mvaviYZ
Zvi Ae¯’vi Ici wbf©i K‡i| †hgb
†h †Kv‡bv ai‡bi cviwm‡÷›U A¨vRgvi
Rb¨, cÖwZw`b cÖ`vnbvkK Ily‡ai
cÖ‡qvRb nq| we‡k¦i DbœZ †`‡k G
c×wZ‡Z wPwKrmv †Ìqv nq| GUvB
A¨vRgvi †ivMxi `xN©‡gqvw` my¯’ _vKvi
wPwKrmvc×wZ| Z‡e wPwKrmvi cvkvcvwk
ìKvi A¨vRgv m‡PZbZv|

k¦vmh‡š¿i A¶gZv
k¦vmbvwji evav I Gi gvÎv
k¦vmbvwj cÖmviYx Ily‡a mvov †`Iqv
M¨vm mieiv‡n evav
dzmdzm †_‡K i‡³ Aw·‡Rb cÖev‡ni Ae¯’v
k¦vmbvwj msµvšÍ wPwKrmvq †ivMx DcK…Z n‡”Qb wK bv, kj¨
wPwKrmvq SuywKi gvÎv †Kgb, k¦vmKó wK ü`&‡iv‡Mi Kvi‡Y n‡”Q bv
wK k¦vmh‡š¿i †iv‡Mi Kvi‡Y, bv wK `xN©‡gqvw` Kvwk nuvcvwbi Kvi‡Y
n‡”Q, bv ¯’‚jKvq kix‡ii Rb¨ `vqx BZ¨vw`mn AviI wKQz ¸iæZ¡c~Y©
Z_¨ cÖ`v‡b m¶g Pulmonary Function Tests (PFT)|
ewnwe©‡k¦i mv‡_ Zvj wgwj‡q cÖvq meai‡bi AvaywbK wPwKrmvc×wZ
cÖeZ©‡bi gva¨‡g k¦vmZ‡š¿i †ivMx‡`i †mev cÖ`v‡b wbijm KvR
K‡i hv‡”Q j¨veGBW| k¦vmh‡š¿i wewfbœ †ivM wbY©‡q j¨veGBW
WvqvMbw÷K wb‡¤œv³ cix¶vmg~n K‡i _v‡K|
¯úvB‡iv‡gwUª
GB cix¶vwU
k¦vmh‡š¿i Kvh©¶gZv
wba©viYx cix¶vmg~‡ni
g‡a¨ me‡P‡q
mnR Ges me©vwaK
¸iæZ¡c~Y©| Gi
gva¨‡g k¦vmh‡š¿i
†iv‡Mi cÖK„wZ I
AKvh©KvwiZvi cwigvY
wbY©q Ges wPwKrmv
MÖn‡Yi ci †iv‡Mi
gvÎvi ZviZg¨
cwigvc Kiv hvq|
Wv. †gvt RvwKi †nv‡mb miKvi
GgweweGm, wWwUwmwW, GgwW (†P÷)
eÿe¨vwa, w¯øc I †gwWwmb we‡klÁ
wmwbqi KbmvjU¨v›U (eÿe¨vwa I w¯øc †gwWwmb)
j¨veGBW †¯úkvjvBRW nvmcvZvj, XvKv|
k¦vmh‡š¿i wewfbœ †ivM wbY©‡q wKQy ¸iæZ¡c~Y© cix¶v Av‡Q, hv‡K e‡j Pulmonary Function Tests (PFT), hvi
gva¨‡g k¦vmbvwji Ae¯’v m¤ú‡K© Rvbv hvq A_P G cix¶v¸‡jvi mnvqZv Lye Kg †¶‡ÎB Avgiv wb‡q _vwK| GB
cix¶v¸‡jv †_‡K k¦vmZ‡š¿i mgm¨v I AKvh©KvwiZv wbY©qmn wb‡¤œv³ welqmg~n Rvbv hvq
k¦vmh‡š¿i Kvh©¶gZv wbY©q

wWwdDwms
K¨vcvwmwU di Kve©b
g‡bvA·vBW
G cix¶vi gva¨‡g
dzmdz‡mi M¨vm wewbgq
¶gZv wbY©q Kiv hvq|
k¦vmh‡š¿i wewfbœ †ivM
we‡kl K‡i Interstitial
lung disease GB
cÖwµqv evavMÖ¯Í nq hv GB
cixÿvi gva¨‡g Rvbv
hvq|
wb`ªv we‡kølY
j¨veGB‡W Av‡Q AZ¨vaywbK w¯øc j¨ve, †hLv‡b w¯øc †U÷
Kiv nq| G cix¶vi gva¨‡g wb`ªvRwbZ †ivM †hgb wb`ªvRwbZ
k¦vm‡iva, Awb`ªv, nVvr wb`ªv ev ¶‡Y ¶‡Y c` mÂvjb wbY©q
Kiv nq| bvK WvKv, AwZwi³ wèvwb`ªv, w`‡bi †ejvq wSgv‡bv
ev Ny‡gi g‡a¨ k¦vm eÜ n‡q hvIqv w¯øc A¨vwcœqv †iv‡Mi
j¶Y| w¯øc ÷vwWi gva¨‡g †ivM wbY©q, KiYxq Ges cieZ©x
wPwKrmvi wb‡`©k cvIqv hvq, hvi gva¨‡g †ivMx ¯^vfvweK
RxebhvÎvq wd‡i †h‡Z cv‡i|
†cøw_‡¯§vMÖvwd
Gi gva¨‡g dzmdz‡mi AvqZb cwieZ©‡bi gvÎv †R‡b dzmdzm Z_v
k¦vmh‡š¿i mxgve×Zv wbY©q Kiv nq| †iv‡Mi cÖK…wZ Restrictive
bv Obstructive G mg‡Ü wbwðZ nIqv hvq| A¨vRgv I eª¼vBwUm
RvZxq †ivM c„_KxKi‡YI G cix¶v ¸iæZ¡c~Y©|
eª‡¼v¯‹wc
GwU GK ai‡bi G‡Ûv¯‹wc, hvi gva¨‡g k¦vmh‡š¿i wewfbœ †ivM
wbY©q Ges †¶Îwe‡k‡l wPwKrmv cÖ`vb Kiv nq| Z‡e †ewki
fvM †¶‡Î k¦vmbvwji wUDgvi wbY©‡q G cix¶v Kiv nq| Ab¨vb¨
cÖPwjZ Kvi‡Yi g‡a¨ dzmdz‡mi Bb‡dKkb, †ivM cÖwZ‡iva ¶gZv
n«vm, Kvwki m‡½ i³ †ei nIqvi Drm wba©viY Ges Gi cÖwZKvi,
`yN©UbvekZ k¦vmbvwj‡Z Xy‡K hvIqv e¯‘ †ei Kiv Ges k¦vmbvwj
eÜ n‡q †M‡j (mvaviYZ wUDgvi Øviv) Zv †K‡U †ei K‡i †mLv‡b
bj¯’vcb K‡i ¯^vfvweK k¦vm-cÖk¦vm wbwðZ Ki‡b GwU eëüZ nq|
mvBgyj‡Uwbqvm A‡Uvd¬y‡iv‡mÝ G‡ÛvmKwc
GwU GKai‡bi Bronchoscopy, †hLv‡b Autofluorescence
ray eënv‡ii gva¨‡g k¦vmbvwji ¶ZwU Benign bvwK Maginant
Zv wba©viY Kiv hvq, GgbwK ¶Z¯’vbwUi Malignant Ask m¤^‡Ü
aviYv wb‡q †mLvb †_‡K Biopsy Kiv hvq|
EBUS-TBNA
GwUI GKwU AZ¨vaywbK Bronchoscope c×wZ hv Avgiv G‡`‡k
wbqwgZ KiwQ| GLv‡b Bronchoscopic-Gi gva¨‡g Ultrasound
eënvi K‡i k¦vmbvwji ewnf©v‡M †h Amy¯’ jwmKv MÖwš’ wKsev
dzmdz‡mi ¶Z Av‡Q, Zv wPwýZ K‡i †mLvb †_‡K bgybv msMÖn Kiv
nq Ges hv †_‡K cieZ©xKv‡j †iv‡Mi cÖK…wZ wbY©q Kiv hvq|
cøy‡iv¯‹wc
PleuroscopyI GK ai‡bi G‡Ûv‡¯‹vwc, hvi gva¨‡g Pleural
Space-G Pleuroscope cÖ‡ek Kwi‡q mivmwi Pleural c¨v_jwR
wPwýZ Kiv nq Ges ¶Z¯’vb n‡Z bgybv msMÖn Kiv nq| cÖPwjZ
wbq‡g dzmdz‡mi c`©vi ev‡qvcwmi †P‡q G c×wZ‡Z †ivM wbY©‡q
myweav A‡bK †ewk|
AvM©b cøvRgv †Kvqv¸‡jkb
†K›`ªxq k¦vmbvwji evav `~ixKiY Ges i³ÿiY wPwKrmvq GUv GK
ai‡bi B‡jK‡UªvmvwR©K¨vj c×wZ, hv LyeB Kvh©Ki|
µv‡qv‡_ivwc
†K›`ªxq k¦vmbvwji wUDgv‡ii aib wbY©q I Acmvi‡Y G c×wZ
LyeB Kvh©Ki| G Qvov k¦vmbvwji ewnivMZ e¯‘ †ei K‡i k¦vmKó
jvN‡e D‡jøL‡hvM¨ f‚wgKv iv‡L| G c×wZi gva¨‡g wUmy¨‡K
wngvwqZ K‡i †ei K‡i Avbv hvq|
GqviI‡q †÷w›Us
G‡`‡k cvj‡gvbvwi Bb‡fwmf c×wZmg~‡ni me©‡kl ms‡hvRb
GqviI‡q †÷w›Us| Gi gva¨‡g k¦vmbvwji ga¨ w`‡q evZvm cÖevn
¯^vfvweK ivLv nq| wewfbœ Kvi‡Y hLb k¦vmbvwj eÜ n‡q hvq †hgb
k¦vmbvwji evB‡ii Pvc, k¦vmbvwji cÖmvwiZ _vKvi ¶gZv n«vm wKsev
Af¨šÍixY wUDgvi| GgZve¯’vq k¦vmbvwj‡Z BronchoscopyÑ Gi
gva¨‡g cÖ‡qvR‡b wUDgvi AcmviY K‡i bj ewm‡q †`B| Gi d‡j
†ivMxi k¦vmKó jvNe nq Ges dzmdzm Kvh©¶g _v‡K| k¦vmbvwj I
Lv`¨bvwji g‡a¨ wQ`ª n‡q †M‡jI †÷›U ¯’vc‡bi gva¨‡g bvwjØq‡K
¯^vfvweK Kvh©¶g ivLv hvq|

Aa¨vcK †gvt †gvqviid †nv‡mb
GgweweGm, GdwmwcGm, wWGgAviwU
†d‡jvkxc †Uªwbs (UvUv †g‡gvwiqvj nvmcvZvj, †ev‡¤^)
(RvZxq wek¦we`¨vjq nvmcvZvj, wm½vcyi|)
wW‡i±i Kvg cÖ‡dmi Ae †iwWI‡_ivwc
RvZxq K¨vÝvi M‡elYv Bbw÷wUDU A¨vÛ nvmcvZvj
†P¤^vi : j¨veGBW wjt (WvqvMbw÷K), avbgwÐ|
K¨vÝvi wbY©q
dzmdzm K¨vÝvi wbY©‡qi Rb¨ DcmM© wePv‡i †ivMxi Kd cix¶v
I ey‡Ki G·-†i Kiv nq| mwVK †ivM wbY©‡q eª‡¼vmKwc I wmwU
¯‹¨v‡bi mvnvh¨ †bIqv n‡q _v‡K|
K¨vÝv‡ii cÖKvi
wPwKrmvi myweav‡_© e¨vwawU‡K cÖavbZ `yB fv‡M fvM Kviv n‡q _v‡K|
¯§j †mj Kviwm‡bvgv
bb-¯§j †mj Kviwm‡bvgv
DcmM©mg~n
K¨vÝv‡ii DcmM© ev j¶Y mevi †¶‡Î GK iKg nq bv| G †iv‡M
AvµvšÍ e¨w³ mvaviYZ Kvwk, Kvwki m‡½ Kd ev i³, kvmKó,
ey‡Ki e¨_v, R¡i, Lv‡`¨ Abxnv, IRb K‡g hvIqvi g‡Zv DcmM©
ev j¶Y †`Lv †h‡Z cv‡i| A‡bK mgq G †ivM kix‡ii Ab¨vb¨
¯’v‡bI Qwo‡q co‡Z cv‡i|
K¨vÝv‡ii KviY
a~gcvqx e¨w³B G †iv‡M AvµvšÍ n‡q _v‡Kb †ewk| Aa~gcvqxivI
G †iv‡M AvµvšÍ n‡Z cv‡ib| wkíKviLvbv I Mvwoi wbM©Z Kv‡jv
†auvqvI dzmdz‡mi K¨vÝv‡ii KviY n‡Z cv‡i| G Qvov wewfbœ
ivmvqwbK c`v_© †hgb- †µvwgqvg, K¨vWwgqvg, A¨vm‡eUm BZ¨vw`
G †ivM m„wói Ab¨Zg KviY| DbœZ we‡k¦ cvigvYweK eR¨©I
K¨vÝv‡ii GKwU eo KviY wn‡m‡e MwYZ n‡”Q| G Qvov dzmdz‡mi
cÖ`vnRwbZ †ivM †hgb- h²v, wbD‡gvwbqv fv‡jv nIqvi ci
dymdy‡mi AvµvšÍ ¯’v‡b K¨vÝvi †`Lv w`‡Z cv‡i|
m‡PZbZv
cÖv_wgK Ae¯’vq †ivMwU aiv co‡j Av‡ivM¨ jvf Kiv hvq| Z‡e
AwaKvsk †¶‡ÎB cÖv_wgK Ae¯’vq †ivM wbiƒcY `ytmva¨B ejv
P‡j| RxevYyNwUZ †ivM bv nIqvq Gi weiæ‡× Dchy³ cÖwZ‡ivaK
ev cÖwZ‡laK Avwe®‹v‡i weÁvbxiv h‡_ó mvdj¨ AR©‡b m¶g nqwb|
ZvB Rbm‡PZbZv e„w×i gva¨‡g hZUv m¤¢e cÖv_wgK Ae¯’vq †ivM
wbY©q I mvdj¨ AR©‡bi gva¨‡g g„Zz¨nvi Ges G †iv‡Mi Kvi‡Y m„ó
RwUjZv n«v‡m m‡Pó n‡Z n‡e|
wPwKrmv
wewfbœai‡bi wPwKrmvc×wZi g‡a¨ i‡q‡Q mvR©vwi, †iwWI‡_ivwc I
†K‡gv‡_ivwc| bb ¯§j †mj Kviwm‡bvgv cÖv_wgK Ae¯’vq wbY©q Kiv
m¤¢e n‡j mvR©vwii gva¨‡g G †iv‡Mi wPwKrmv Kiv hvq| Gi m‡½
†iwWI‡_ivwc ev †K‡gv‡_ivwc cÖ‡qvRb Abyhvqx cÖ‡qvM Ki‡j †ivM
wbivg‡qi gvÎv ev nvi A‡bKvs‡kB †e‡o hvq|
dzmdzm K¨vÝvi gvbe‡`‡ni RwUj e¨vwa¸‡jvi g‡a¨ Ab¨Zg| †`‡ni †Kvl¸‡jvi A¯^vfvweK e„w× I
AvK…wZMZ cwieZ©‡bi Kvi‡YB K¨vÝvi nq| RxebNvZx wn‡m‡e GBW‡mi ciB K¨vÝv‡ii Ae¯’vb|
we‡k¦i D‡jøL‡hvM¨msL¨K gvbyl dzmdz‡mi K¨vÝv‡i AvµvšÍ n‡”Q cÖwZw`b
dzmdzm K¨vÝvi

DcmM©mg~n
wkïi k¦vmKó nIqv
k¦vm-cÖk¦v‡mi mgq evuwki g‡Zv Zxÿè kã nIqv
Aw·‡Rb ¯^íZvi Kvi‡Y Z¡K bxjvf iO aviY Kiv
dzmdzm †_‡K No No kã nIqv
wkïi Aemv‡` †fvMv
k¦vm MÖn‡Yi mgq cvuR‡ii nvo ¯úó n‡q IVv
k¦vm †bevi mgq bvmviÜ« dz‡j dz‡j IVv
`ªæZ k¦vm-cÖk¦vm
ey‡K Kd Rgv
hviv SzuwK‡Z
1. wkïi bvK Ges evqy PjvP‡ji c‡_ cÖwZeÜKZv
ˆZwi nevi my‡hvM eo‡ì Zzjbvq †ewk|
2. mvaviYZ `yB eQ‡ii Kg eqmx wkï †ewk
SzuwK‡Z _v‡K| me‡P‡q †ewk msµg‡Yi NUbv
N‡U wkïi wZb †_‡K Qq gv‡mi g‡a¨|
3. eªw¼IjvBwU‡m AcwiYZ wkïiv †ewk †fv‡M|
G Qvov hviv gvZ…`y» cvb K‡i bv, ZvivI SzwuK‡Z _v‡K|
cÖwZ‡iva
A‡nZyK †beyjvBRvi wKsev h‡š¿i mvnv‡h¨ Kd cwi®‹v‡ii bv‡g
mvKkvb †ÌqviI cÖ‡qvRb †bB| G mgq Zij Lvevi, we‡kl
K‡i ey‡Ki `ya Nb Nb LvIqv‡Z n‡e| Lye †ewk Kvwk bv n‡j
mßv‡n 2-1 evi †Mvmj Kiv‡Z cvi‡eb, Ab¨ mgq Kzmyg
Mig cvwb‡Z cvZjv Kvco wfwR‡q kixi gy‡Q w`b| wkï‡K
wmMv‡iU, gkvi K‡qj I ivbœv N‡ii †avuqv †_‡K `~‡i ivLyb|
ev”Pv‡K †Kv‡j †bIqvi Av‡M fv‡jvfv‡e mvevb w`‡q nvZ
ay‡j Ges †mB m‡½ `yB eQi eqm ch©šÍ ey‡Ki `ya wbwðZ Kiv
†M‡j G †ivM D‡jøL‡hvM¨fv‡e cÖwZ‡iva Kiv m¤¢e|
eªw¼IjvBwU‡mi wPwKrmv
eªw¼IjvBwU‡m †ewki fvM wkï‡K evwo‡Z †i‡LB wPwKrmv
Kiv hvq| my¯’ wkï‡ì eªw¼IjvBwU‡m AvµvšÍ wkï †_‡K
mwi‡q ivL‡Z n‡e| w`‡bi †ejvq †iv` DV‡j ev”Pv‡K
†Lvjv‡gjv RvqMv‡Z ivLyb| R¡‡ii Rb¨ c¨vivwmUvgj
Avi bvK eÜ n‡q †M‡j bigvj m¨vjvBb (jeY cvwb)
eënvi Kiv †h‡Z cv‡i| fvBivmRwbZ GB †iv‡M wKš‘
A¨vw›Uev‡qvwUK jv‡M bv| Z‡e k¦vmKó Lye †ewk n‡j,
ev”Pv AÁvb n‡q †M‡j, wLuPzwb n‡j, †VvuU bxj ev Kv‡jv
n‡q †M‡j ZvovZvwo nvmcvZv‡j wb‡Z n‡e|
Wv. KvRx †gvt Kvgiæj nvmvb
GgweweGm, wWwmGBP (wkï ¯^v¯’¨)
beRvZK I wkï †ivM we‡klÁ
Kbmvj‡U›U, wbI‡b‡UvjwR I wkï †ivM wefvM
eªw¼IjvBwUm k¦vmZ‡š¿i GKwU cwiwPZ †ivM|
fvBivm Øviv †ivMwU n‡q _v‡K| GwU dzmdz‡mi
ÿz`ª evqy PjvP‡ji c_‡K (eªw¼Ij) msµwgZ
K‡i| eªw¼Ij¸‡jv ZLb dz‡j hvq Ges †mLv‡b
wgDKvm bvgK GK ai‡bi c`v‡_©i Dcw¯’wZ
evo‡Z _v‡K| d‡j †ivMx ¯^vfvweKfv‡e Avi
k¦vm wb‡Z cv‡i bv|
wkïi eªw¼IjvBwUm
†iv` DV‡j ev”Pv‡K †Lvjv‡gjv RvqMv‡Z ivLyb 

cÖKvi‡f`
eª¼vBwUm `yB iKg| GwKDU eª¼vBwUm I µwbK eª¼vBwUm|
A¨vwKDU eª¼vBwUm dzmdz‡mi †Kv‡bv mgm¨v bv _vK‡jI n‡Z
cv‡i| G‡¶‡Î wew¶ßfv‡e K‡qKevi eª¼vBwU‡mi A¨vUvK nq|
DcmM© K‡qK mßvn ch©šÍ _v‡K| µwbK eª¼vBwUm SzuwKc~Y©
Ges ZxeªZi| GB µwbK eª¼vBwU‡miB Aci bvg µwbK
Ae÷«vKwUfcvj‡gvbvwi wWRAW©vi ev ms‡¶‡c wmIwcwW|
eª¼vBwUm †h Kv‡iv n‡Z cv‡i| Z‡e eq¯‹ gvbyl ev †QvU wkïiv
Ab¨‡ì Zyjbvq †ewk AvµvšÍ n‡q _v‡K|
we¯ÍvwiZ eª¼vBwUm
eª¼vBwUm mvaviYZ VvÐv AvenvIqvq †ewk nq| G Qvov hv‡ì AwZwi³ †N‡g wM‡q mw`© Kvwk jvMvi
cÖeYZv Av‡Q ev hviv nvucvwbi mgm¨vq †fv‡Mb, ZvivI eª¼vBwU‡mi SzuwK‡Z _v‡Kb| eª¼vBwUm n‡j
dzmdz‡m Aw·‡Rb mieivn Kivi wUDe¸‡jv dz‡j I‡V Ges Kd Rg‡Z _v‡K| AwaKvsk †¶‡Î
eª¼vBwUm fvBivm NwUZ n‡jI e¨vK‡Uwiqv †_‡KI †ivMwUi n‡Z cv‡i
Wv. †gvt Avãyj KvBqyg
GgweweGm, GgwW (†P÷), Gdwmwmwc (Av‡gwiKv)
†gwWwmb, A¨vRgv I eÿe¨vwa we‡klÁ
mn‡hvwM Aa¨vcK, †imwc‡iUwi †gwWwmb
RvZxq eÿe¨vwa BwÝwUwUDU I nvmcvZvj, gnvLvjx, XvKv|
†P¤^vi : j¨veGBW wjt (WvqvMbw÷K), wgicyi|
eª¼vBwU‡mi j¶Y
eª¼vBwU‡mi j¶Y¸‡jvi g‡a¨ Ab¨Zg n‡jv Kvwk|
e¨vK‡Uwiqv †_‡K eª¼vBwUm n‡j K‡di iO njy` ev meyR
n‡Z cv‡i| Avevi fvBivj n‡j mv`v Kd n‡Z cv‡i|
Kd hy³ Kvwk, Kvk‡Z †M‡j ey‡K e¨_v, mv‡_ R¡i BZ¨vw`
Gi j¶Y| gv‡S gv‡S wbtk¦vm wb‡ZI mgm¨v n‡Z
cv‡i| ¯^vfvwe‡Ki Zyjbvq A‡bK †ewk K¬všÍ jv‡M| G
Qvov A‡b‡Ki †¶‡Î cv, cv‡qi cvZv I †Mvovwj dzj‡Z
cv‡i| ey‡Ki †fZi kuv kuv kãI n‡Z cv‡i| Z‡e nvucvwb
ev A¨vjvwR©i mgm¨v _vK‡j eª¼vBwU‡mi Avk¼vI †ewk|
Pvicv‡ki ayjvevwj I A¯^v¯’¨Ki cwi‡ek mgm¨vwU‡K
Av‡iv evwo‡q Zzj‡Z cv‡i|
†R‡b ivLyb
eª¼vBwU‡m f~M‡j `ªæZ wPwKrm‡Ki cigk© wbb|
eª¼vBwUm nIqvi wVK KZ w`‡bi g‡a¨ Avcwb †m‡i
DV‡Z ïiæ Ki‡eb, Zv wbf©i K‡i Bb‡dKkb KZUv
¸iæZi Zvi Ici| mvaviYZ A¨vwKDU eª¼vBwU‡mi
†¶‡Î GK mßv‡ni g‡a¨ Bb‡dKkb P‡j hvq|
a~gcv‡bi Af¨vm _vK‡j Zv Aek¨B eÜ ivL‡eb|
evB‡ii ayjvevwj Gwo‡q Pjyb| nvZ ay‡Z n‡e
evievi| cÖPzi cwigv‡Y Zij cvb Kiæb m‡½ PvB
ch©vß cwigvY wekÖvg|
hviv SzuwK‡Z
hv‡ì †ivM cÖwZ‡iva ÿgZv Kg _v‡K,1.
Zv‡ì eª¼vBwU‡m AvµšÍ nevi SuzwK †ewk|
wkky Ges e„× GKB m‡½ hviv †Kv‡bv bv2.
†Kv‡bv †iv‡M fyM‡Qb, Zv‡ì GB †ivM
nevi k¼v me †_‡K †ewk|
a~gcvqx Ges hviv a~gcvqxi mv‡_ emevm3.
K‡ib|
hviv M¨v‡÷ªvB‡mv‡dwRqvj wid¬v· wWwR‡m4.
fyM‡Qb|
dzmdzm ÿwZMÖ¯Í nq Ggb cwi‡e‡k `xN©w`b5.
KvR Ki‡j|

wbD‡gvwbqvi cÖKvi
wbD‡gvwbqv‡K K‡qK fv‡M fvM Kiv hvq| †hgbÑ cvi¯úwiK
ms¯úk© †_‡K nIqv wbD‡gvwbqv, nvmcvZvj †_‡K nIqv
wbD‡gvwbqv, A¨vmwc‡ikb wbD‡gvwbqv, my‡hvMmÜvbx RxevYy w`‡q
nIqv wbD‡gvwbqv Ges Ab¨vb¨ RxevYy Øviv NwUZ wbD‡gvwbqv|
cÖ‡qvRbxq cix¶v-wbix¶v
j¶Y ev DcmM© †`‡L wbD‡gvwbqv n‡q‡Q m‡›`n n‡j, wPwKrm‡Ki
civgk© Abyhvqx cÖ‡qvR‡b kvixwiK cix¶v-wbix¶v, ey‡Ki G·-†i,
i‡³i wmwewm cix¶v, Kd ev †kø®§v cix¶v BZ¨vw` Kiv‡Z n‡Z
cv‡i|
Kv‡ì n‡Z cv‡i
hwÌ wbD‡gvwbqv †h Kv‡iviB n‡Z cv‡i| †QvÆ wkï A_ev eq¯‹
e¨w³iv G †iv‡M mn‡RB AvµvšÍ n‡Z cv‡ib|
Kxfv‡e Qovq
1. wbD‡gvwbqv AZ¨šÍ msµvgK GKwU †ivM| G †iv‡Mi RxevYy
†ivMvµvšÍ e¨w³i nvuwP ev Kvwki gva¨‡g evZv‡m Qwo‡q c‡o|
2. †Kv‡bv my¯’ wkï AvµvšÍ e¨w³i ms¯ú‡k© G‡j ev AvµvšÍ
e¨w³i eëüZ †Kv‡bv wRwb‡mi gva¨‡g wkïi kix‡i RxevYy
cÖ‡ek Ki‡Z cv‡i|
3. G †iv‡Mi RxevYy my¯’ gvby‡li bvK I gy‡L _vK‡Z cv‡i, hv
k¦vm MÖn‡Yi gva¨‡g dzmdz‡m Qwo‡q G †ivM n‡Z cv‡i|
4. Avevi wKQy †¶‡Î RxevYy i‡³i mvnv‡hÏ dzmdz‡m msµwgZ
n‡Z cv‡i|
Aa¨vcK (Wv.) G‡KGg †gvkviid †nv‡mb
GgweweGm, Gdwmwmwc (BDGmG), GdAviwmwc (GwWb), wcGBPwW, GdwmwcGm
†d‡jv cvjg‡bvjwR w¯øc I †gwW‡Kj AvBwmBD (wm½vcyi)
B›Uvibvj †gwWwmb, eÿe¨vwa I w¯øc †gwWwmb we‡klÁ
e½eÜz †kL gywRe †gwW‡Kj wek¦we`¨vjq, XvKv|
wbD‡gvwbqv cÖavbZ dzmdz‡mi A¨vjwfIjvB bvgK ÿz`ª evqy _wj¸‡jv‡K AvµvšÍ K‡i| mvaviYZ fvBivm
ev e¨vK‡Uwiqv Øviv msµg‡Yi Kvi‡Y GB †ivM nq| Z‡e wKQy †¶‡Î Ab¨vb¨ AYyRxe, wbw`©ó wKQy Ilya
Ges A‡UvBwgDb wWwR‡Ri g‡Zv †iv‡Mi Kvi‡YI wbD‡gvwbqv n‡Z cv‡i
wbD‡gvwbqv wb‡q K_v
j¶Ymg~n
GB †iv‡M AvµvšÍ e¨w³‡ì g‡a¨ wPwKrm‡Kiv wbgœwjwLZ
j¶Y¸‡jv wPwýZ K‡i _v‡Kb:
 Kvwk
 R¡i
 k¦vmKó
ey‡Ki Zxÿè e¨_v
bvK eÜ n‡q hvIqv
k¦vm wb‡Z mgm¨v †`Lv †Ìqv
 ewg
`ye©jZv
Mjve¨_v
k¦vm-cÖk¦v‡mi mgq kã nIqv
wbD‡gvwbqv dzmdz‡mi A¨vjwfIjvB bvgK ÿz`ª evqy _wj¸‡jv‡K AvµvšÍ K‡i 

hviv SyuwKc~Y©
AwZwi³ a~gcvb wbD‡gvwbqvq AvµvšÍ nIqvi
SyuwK e„w× K‡i|
µwbK Ae÷«vKwUf cvj‡gvbvwi wWwRR G
†iv‡Mi SuywK evovq|
G Qvov hv‡ì eqm 1 eQ‡ii Kg A_ev 65
eQ‡ii †ewk|
`ye©j BwgDbwm‡÷g (†ivM cÖwZ‡ivaeë¯’v)|
AwZwi³ A¨vj‡Kvnj cvb|
mw`©-Kvwk ev d¬y †Z AvµšÍ|
wbD‡gvwbqv Dckg
 kix‡ii BwgDbwm‡÷g‡K ¯^vfvweK nIqvi Rb¨ mgq
w`b|
A¨vw›Uev‡qvwUK MÖn‡Yi Kvi‡Y Avcbvi NygNyg †eva
n‡Z cv‡i| GiKg †eva n‡j hZUv m¤¢e Nygvb| Nyg
BwgDbwm‡÷g‡K ¯^vfvweK n‡Z mvnvh¨ K‡i|
wbD‡gvwbqv †_‡K †m‡i IVvi mgq Zij cvb Kiv
AZ¨šÍ cÖ‡qvRbxq|
a~gcvb cwinvi Ki‡Z n‡e| c‡iv¶ a~gcvbI Z¨vM
Kiv Riæwi| wbD‡gvwbqvq AvµvšÍ e¨w³i ¶wZMÖ¯Í
BwgDb wm‡÷‡gi Dci a~gcvb evowZ Pvc m„wó K‡i|
wbD‡gvwbqv †iv‡Mi RxevYy †ivMvµvšÍ
e¨w³i nvuwP ev Kvwki gva¨‡g evZv‡m
Qwo‡q c‡o| A‡bï mvg‡b nvuwP ev
Kvwk †Ìqvi †¶‡Î, Aek¨B iægvj
w`‡q gyL XvK‡Z n‡e
Amy¯’ nIqvi c‡i
wPwKrmvi †P‡q cÖwZ‡iv‡a
mZK© nIqv †ewk
¸iæZ¡c~Y©|
 w`‡b K‡qKevi mvevb w`‡q
fv‡jvfv‡e nvZ †avqvi Af¨vm
Ki‡Z n‡e|
 Mf©Kvjxb mg‡q gv‡q‡ì
cÖ‡qvRbxq cywó wbwðZ Ki‡Z
n‡e|
 †Kv‡bv wkï AcwiYZ eq‡m Rb¥
wb‡j AwZwi³ mZK©Zv Riæwi|
 R‡b¥i cÖ_g 6 gvm ch©šÍ
wkï‡K ïay ey‡Ki `ya LvIqv‡Z
n‡e Ges 6 gvm c~Y© n‡j
wkï‡K gv‡qi `y‡ai cvkvcvwk
evwo‡Z ˆZwi Lvevi LvIqv‡Z
n‡e|
 2 eQi eqm ch©šÍ Ab¨vb¨
Lvev‡ii cvkvcvwk gv‡qi ey‡Ki
`ya LvIqv‡bv Pvwj‡q †h‡Z
n‡e|
 wkï‡K mgqg‡Zv miKvwifv‡e
cÖ`Ë me wUKv w`‡Z n‡e|
 KviI VvÐv ev Kvwk n‡j A_ev
wbD‡gvwbqvq AvµvšÍ †ivMx
†_‡K `~‡i ivL‡Z n‡e|
Avi eq¯‹‡ì †¶‡Î wbD‡gvwbqv
cÖwZ‡iv‡a m‡PZbZv e„w×i cvkvcvwk
wbgœwjwLZ e¨vcv‡i mZK© n‡Z n‡e
 cywóKi Lv`¨ MÖnY Ki‡Z n‡e|
 wb‡Ri kix‡ii hZœ wb‡Z n‡e
Ges ch©vß wekÖvg Ki‡Z n‡e|
 a~gcvb ev †h‡Kv‡bv gv`K eR©b
Ki‡Z n‡e|
 A‡bï mvg‡b nvuwP ev Kvwk
†Ìqvi †¶‡Î, Aek¨B nvZ ev
iægvj w`‡q gyL XvK‡Z n‡e|
wbD‡gvwbqv cÖwZ‡iv‡a KiYxq

h²v‡iva Lvev‡i
Av`v
Av`vq _v‡K mvjdvi,
GwU A¨vw›Ue¨vK‡Uwiqvj
¸‡Y mg„×| Av`v h²vi
e¨vK‡Uwiqvi weiæ‡× Kvh©Ki|
†mB m‡½ Av`vi Dcv`vb¸‡jv
e¨vK‡Uwiqvi e„w×‡Z evav
†`q| KvuPv wKsev ivbœvq †h
†Kv‡bv fv‡eB Av`v eënvi
Ki‡Z cv‡ib|
Av‡cj
cÖwZw`b GKwU Av‡cj Lvb|
Av‡cj kix‡ii †ivM cÖwZ‡iva
¶gZv evovq| h²vq AvµvšÍ
†Kv‡li myi¶v †`q| Av‡c‡j
_v‡K D”P gvÎvi Avuk, wfUvwgb
wm, †Kv‡bv d¨vU ev †Kv‡j÷ij
GLv‡b †bB| ïay h²v bq
Av‡cj K¨vbmvi I nƒ`‡ivMx‡ì
RbÏ DcKvix|
Kjv
Kjv DbœZ cywó¸Y mg„× dj|
Kjv †L‡j kix‡ii †ivM
cÖwZ‡iva ¶gZv ev‡o| h²vq
AvµvšÍ †ivMxi kvixwiK kw³
e„w×‡Z Kjv GKwU ìKvwi dj|
G Qvov h²v †ivMxi R¡i Ges
Kd Kgv‡Z Kjv KvR K‡i|
Kgjv
Kgjv k¦vmZš¿‡K my¯’ iv‡L|
Kgjvi Dcv`vb¸‡jv dzmdz‡mi
†Kv‡li ¶q c~iY K‡i Ges
myi¶v †`q| Kgjvi im Kd
Kgv‡Z mnvqK| h²vq AvµvšÍ
e¨w³i †m‡KÛvwi Bb‡dKkb
†iv‡a Kgjv cÖ‡qvRbxq f‚wgKv
ivL‡Z m¶g|
Ôhvi nq h²v Zvi bvB i¶vÕ Ggb GKUv cÖev` cÖPwjZ wQj †`‡k| g„Zz¨ nv‡ii MÖvd wQj
EaŸ©©gyLx| wPwKrmv eë¯’vi DbœwZ Ges e¨vcK Rbm‡PZbZvq GB cwiw¯’wZ cv‡ë †M‡Q| Avgiv
GLb ewj Ôh²v n‡j i¶v bvB GB K_vi wfwË bvBÕ| mwVK wPwKrmvq h²vi e¨vK‡UwiqvwU `ye©j
n‡q hvq| †ivMx Av‡¯Í ax‡i my¯’ n‡q I‡V| Ily‡ai cvkvcvwk LvIqv `vIqvi mwVK web¨v‡m
†ivMwU my¯’ n‡q hvIqvi MwZ‡K Z¡ivwš^Z K‡i|
Wv. wm×v_© gRyg`vi
†R¨ô wbe©vnx
†gwW‡Kj mvwf©m wefvM
j¨veGBW dvg©vwmDwUK¨vjm wj:

Avbvim
AvbvimI h²v †iv‡Mi
weiæ‡× j‡o| Avbvim
wfUvwgb wm Ges
g¨v½vwb‡Ri DrK…ó Drm|
GKB m‡½ Avbvim
Kcvi, wfUvwgb we1,
wfUvwgb we2, Lv`¨ Avu‡k
c~Y©| Avbvi‡mi mw¤§wjZ
GB Dcv`vb¸‡jv h²vi
DcmM© Kvk I K‡di
weiæ‡× KvR K‡i|
AvgjwK
AvgjwK‡Z _v‡K cÖPzi
wfUvwgb wm| wfUvwgb
wm kix‡ii ¶q c~iY
K‡i| G Qvov nRg
kw³ e„w×‡Z AvgjwKi
Zzjbv †bB| nƒr¯^v¯’¨ hK…r
Ges Z¡K myi¶vq AvgjwKi
Rywo †bB| †mB m‡½ AvgjwK
dzmdz‡mi m¶gZv e„w× K‡i| h²vq AvµvšÍ †ivMxi wPwKrmv
PjvKv‡j, Pzj S‡o hvevi cÖeYZv ev‡o| wbqwgZ AvgjwK
†L‡j Pzj Sov †iva Kiv hvq|
wMÖb wU
wMÖb wU A¨vw›U Aw·‡W‡›U
mg„×| i³Pvc Ges
†Kvj‡÷ij wbqš¿Y,
`vu‡Zi ¶qmn kix‡ii
mvwe©K †ivM cÖwZ‡iva
e¨e¯’v DbœwZ‡Z wMÖb
wU Kvh©Ki| wMÖb wU‡Z
_v‡K cwj‡dbj hv
h²vi e¨vK‡Uwiqvi
weiæ‡× KvR K‡i
my¯’Zv‡K Z¡ivwš^Z K‡i|
U‡g‡Uv
U‡g‡Uv cywó¸‡Y mg„×
Abb¨ GK mewR|
U‡g‡Uv‡Z _vKv
Dcv`vb¸‡jv h¶vi weiæ‡×
†hgb j‡o, †mB m‡½
K¨vbmvi, nƒr¯^v¯’¨,
Wvqv‡ewUm, †KvôKvwVb¨,
P¶zz‡ivM, Z¡‡Ki myi¶vq
D‡jøL‡hvM¨ f‚wgKv iv‡L|
 wiWvm© WvB‡R÷ Aej¤^‡b
bvi‡Kj
h²vq mvaviYZ †ivMxi R¡i _v‡K| bvi‡K‡ji cvwb h¶v
AvµvšÍ †ivMxi kix‡ii ZvcgvÎv mnbxq ch©v‡q ivL‡Z mvnvh¨
K‡i| Ab¨w`‡K bvi‡K‡ji cvwb‡Z _vKv cÖ‡qvRbxq cywó
Dcv`vb¸‡jv kix‡ii evowZ kw³ †`q| GB kw³ †`n‡K
h²vi RxevYyi m‡½ jo‡Z mvnvh¨ K‡i|
imyb
imy‡b _vKv mvjwdDwiK A¨vwmW h²vi
RxevYy gvB‡Kve¨v‡Uwiqvg wUDeviKz‡jvwm‡mi
m‡½ jovB K‡i| G Qvov imy‡bi Ab¨vb¨
Dcv`vb¸‡jv kix‡i h¶vi DcmM© cÖkg‡b
wbišÍi f‚wgKv iv‡L|

Ryb 2017 my‡L Amy‡L
26
j¶Y¸‡jv wgwj‡q wbb
nVvr R¡i nIqv, gv_ve¨_v, †Pv‡Li †cQ‡b, †Kvg‡i,
Aw¯’mwÜ ev nv‡o e¨_v| ZvcgvÎv 40 wWwMÖ †mjwmqvm
ch©šÍ DV‡Z cv‡i| R¡i ïiæi cÖ_g 1/2 w`b Mv‡q dzmKzwo
†`Lv w`‡Z cv‡i| wØZxq †_‡K lô w`‡b †ivMx ¶zavgv›`¨,
ewg-ewg fve, Mjve¨_v, mw`©-Kvwk, wRnŸvi ¯^v`nxbZvi
Awf‡hvM Ki‡Z cv‡i| 3-6 w`‡bi gv_vq R¡i †m‡i hvq
Ges kix‡ii wewfbœ As‡k (†hgb-nvZ, cv, gyL BZ¨vw`)
dzmKzwo †`Lv w`‡Z cv‡i, †h¸‡jv mvaviYZ 1-5 w`b
¯’vqx nq| dzmKzwo IVvi ci R¡i Avevi †`Lv w`‡Z cv‡i
Ges mv‡_ jwmKvMÖwš’ dz‡j †h‡Z cv‡i| KLbI KLbI
bvK w`‡q i³ co‡Z cv‡i| j¨ve‡iUwi cix¶vq i‡³
†k¦ZKwYKvi ¯^íZv †`Lv †h‡Z cv‡i|
Wv. mgxiY Kzgvi mvnv
B›Uvibvj †gwWwmb we‡klÁ
wmwbqi Kbmvj‡U›U, †gwWwmb wefvM
m¤úªwZ †W½y R¡‡ii cÖ‡Kvc †e‡o‡Q| nvmcvZvj¸‡jv‡Z evo‡Q †ivMxi msL¨v|
†W½y R¡i GKwU msµvgK †ivM| GwU †W½y fvBivm Øviv nq
†W½yR¡i wbqš¿Y
†W½yR¡i wbqš¿‡Yi me‡P‡q D‡jøL‡hvM¨
welq n‡jv gkv wbqš¿Y| e× Rjvkq,
dz‡ji U‡ei cvwb, Uvqvi, wU‡bi cvÎw¯’Z
cvwb AcmviY Kiv cÖ‡qvRb| gv‡S
gv‡SB jvf©v aŸsmKvix †¯cÖ eënvi
Ki‡Z n‡e|
2 w`‡bi fv‡M gkvi
Kvgo †_‡K euvP‡Z
gkK wbab †¯cÖ
eënvi Kiæb
1 cÖwZ mßv‡n Gwmi
cvwb, Ue wKsev
cv‡Îi cvwb
†d‡j w`b
3 †W½y †gŠmy‡g nvZ-cv
†Lvjv Kvco cwiavb
bv KivB fv‡jv
4 w`‡bi †ejvq Nygv‡bvi
mgq gkvwi eënvi
Kiv
†W½y AvZ¼ bq
mgmvgwqKmgmvgwqK

†ivMwbY©q
G †iv‡Mi mv‡_ Bbd¬z‡qÄv, nvg, iæ‡ejv BZ¨vw` †iv‡Mi
j¶Y¸‡jv wg‡j hvq| mywbw`©ófv‡e †ivMwU‡K †evSvi
Dcvq i‡³ IgM-enzyme immuno assay Kiv A_ev
i‡³ fvBivm †R‡bvgv Luy‡R †ei Kiv|
cÖwZ‡ivag~jK eë¯’v
evwoi Avbv‡P-Kvbv‡P, Qv‡`
wKsev iv¯ÍvNv‡U cwi®‹vi cvwb 5/6
w`‡bi †ewk Rg‡Z bv †Ìqv|
N‡ii g‡a¨ R‡g _vKv cÖ‡qvRbxq
cwi®‹vi cvwbi Avavi¸‡jv‡Z
†K‡ivwmb wKsev GKUz jeY w`‡q
†Ìqv|
A¨vKzwiqv‡g wdëvi eënvi Kiv|
m‡›`nRbK †ivMx‡K Avjv`v K‡i
gkvwii wb‡P ivLv hv‡Z †ivMx‡K
†Kv‡bv gkv Kvgov‡Z bv cv‡i|
†fv‡i Ges mÜ¨vq gkvwbab Ilya
wQUv‡bv|
iv‡Z gkvwi UvwO‡q Nygv‡bv|
Kxfv‡e †ivMwbY©q Kiv hvq
fvBivm kbv³KiY
A¨vw›UewW kbv³KiY
fvBivm †R‡bvg kbv³KiY|
wPwKrmv
cÖ_g 24-48 NÈv m¨vjvBb, cøvRgv BZ¨vw` Øviv †ivMxi
kix‡ii cvwbi ¯^íZv `~i Ki‡Z n‡e| A¨vwm‡Wvwmm Ges
nvB‡cvb¨vwUªwgqv wVK Ki‡Z n‡e| AwZwi³ m¨vjvBb
†ivMxi me©bvk †W‡K Avb‡Z cv‡i; KvwW©qvK †dBwjIi
A_ev dzmdz‡m cvwb Rg‡Z cv‡i|
†W½y R¡‡i wPwKrm‡Ki
civgk©g‡Zv cvwb I Zij
Lvevi MÖnY Kiæb, †mB m‡½
wbb ch©vß wekÖvg
Kx Kx DcmM© w`‡q †Pbv hvq?
mvaviYZ nVvr K‡i Lye †ewk R¡i w`‡q †iv‡Mi ïiæ;
m‡½ gv_ve¨_v, ¶zavgv›`¨, †cUe¨_v| Avm‡j cÖ_g Kw`b
j¶Y¸‡jv K¬vwmK¨vj †W½yi g‡ZvB| kix‡ii Pvgovi
wb‡P i³cv‡Zi j¶Y †`Lv hvq| gyLgÐj, nvZ, cv, bvK,
ùv‡Zi gvwo‡Z Ges A‡š¿iI ¯^ígvÎvq n‡Z cv‡i|
mvaviYZ 2-7 w`b ci msKUvcbœ Ae¯’v †`Lv †`q| G
mgq R¡i K‡g hvq| AvµvšÍ e¨w³ Nvg‡Z _v‡K Ges
QUdU K‡i| nvZ-cv VvÐv n‡q hvq Ges †ivMx k‡K P‡j
hvq| Pvgov VvÐv nq Ges cvjm †cÖkvi 20 wg. wg. Gi
wb‡P _v‡K| G Ae¯’vq †ivMx 20-48 NÈvi g‡a¨ gviv
†h‡Z cv‡i| gv‡S gv‡S B‡j‡±ªvjvB‡Ui AmgZv, gw¯Í‡®‹i
i³¶iY Ges hK…‡Zi (Liver) †dBwjIi n‡Z cv‡i|
†ivMwU mvaviYZ 7-10 w`b ¯’vqx nq| i‡³ †k¦ZKwYKvi
¯^íZv †`Lv w`‡Z cv‡i| Z‡e Zzjbvg~jKfv‡e i‡³
wj‡çvmvB‡Ui cwigvY e„w× †c‡Z cv‡i|
wek¦ ¯^v¯’¨ ms¯’v cÖ`Ë wKQz wbqvgK
2-7 w`b ¯’vqx D”PgvÎvi R¡i
i³cvZ (Haemorrhage), e„nr hK…r (Hepatomegaly)
i‡³ AbyPwµKvi msL¨v (<100000/cumm
(Thrombocytopaenia)
kK (Shock)|
PviwU gvivZ¥K Ae¯’v
†MÖW-1 RwUjZvnxb
†MÖW-2 RwUjZvnxb
†MÖW-3 kK
†MÖW-4 gvivZ¥K kK

Wv. †gvt Rvwn`yi ingvb
GgweweGm (XvKv), wWwmGBm (weGmGgGgBD), GdwmwcGm (wkï)
beRvZK wkï I wK‡kvi †ivM we‡klÁ
mnKvix Aa¨vcK, wkï †ivM wefvM, iscyi †gwW‡Kj K‡jR, iscyi|
†P¤^vi: j¨veGBW wjt (WvqvMbw÷K), iscyi|
Mi‡g evo‡Q Wvqwiqvi cÖ‡Kvc| evsjv‡`‡ki g‡Zv †`kmg~‡n Wvqwiqv GKwU Ab¨Zg ¯^v¯’¨
mgm¨v| cuvP eQi eq‡mi wb‡P wkïg„Zz¨i cÖavb KviYmg~‡ni GKwU n‡”Q Wvqwiqv| wek¦ m¦v¯’¨
ms¯’vi msÁv Abyhvqx 24 NÈvq GKwU wkïi wZb ev Z‡ZvwaK cvZjv cvqLvbv n‡j Zv‡K Wvqwiqv
ejv nq| Z‡e msL¨vi †P‡q g‡ji cwigvY wKsev Nb‡Z¡i Ici ¸iæZ¡v‡ivc Kiv nq
Wvqvwiqv n‡j kixi n‡Z cvwbmn wewfbœ cÖKvi LwbR
jeY †ei n‡q hvIqvq cvwbk~b¨Zvmn bvbv cÖKv‡ii
weiƒc cÖwZwµqv †`Lv †h‡Z cv‡i wkïi kix‡i
cvwb¯^íZv kbv³Ki‡Y cÖavb j¶Y¸‡jv n‡jv wkïi
mvaviY Ae¯’vq †PvL e‡m hvIqv, cvwbi wccvmv
_vKv, †c‡Ui Pvgov †U‡b †Q‡o w`‡j c~‡e©i Ae¯’vq
wd‡i †h‡Z mgq jvMv| G Qvov Ab¨ j¶Y¸‡jv n‡jv
†Pv‡L cvwb K‡g hvIqv, wRnŸvi ï®‹Zv, bvwoi MwZ,
i³Pvc, cÖmªv‡ei cwigvY BZ¨vw` †`‡L cvwb¯^íZv
hvPvB Kiv nq|
wkïi Wvqwiqv
SzuwKmg~n I KiYxq
mgmvgwqK

Wvqwiqvq AvµvšÍ GKwU wkï‡K Lvevi m¨vjvBb I Zij Lv`¨ cÖ`vb
bv Kiv n‡j ch©vqµ‡g cÖ_‡g wKQz cwigvY cvwb¯^íZv cieZx©‡Z
Pig cvwb¯^íZvi j¶Ymg~n cÖwZdwjZ n‡e| kix‡i Rjxq Ask
K‡g †M‡j gw¯Í®‹, wKWwb, wjfvi I Ab¨vb¨ As‡ki i³ mÂvjbI
K‡g hv‡e| i³Pvc K‡g †M‡j A_ev LwbR je‡Yi fvimvg¨nxbZvq
wkïwU †bwZ‡q wKsev AÁvb n‡q †h‡Z cv‡i| wKWwbi i³ mieivn
K‡g †M‡j i³ cwi‡kva‡bi Kvh©µg evavMÖ¯Í n‡e Ges kix‡i
LwbR jeYmg~n (†mvwWqvg, cUvwkqvg, †K¬vivBW, evB Kve©‡b‡U)
Gi A¯^vfvweK gvÎvi Dcw¯’wZi Rb¨ wkïi wLuPywb wKsev wkï Ávb
nviv‡Z cv‡i|
Wvqwiqvq KiYxq
Wvqwiqvq Av³všÍ n‡j wb¤œwjwLZ eë¯’vw` MÖnY Ki‡j cvwb¯^íZvi
nvZ †_‡K wkï‡K i¶v Kiv m¤¢e|
K) cÖwZevi cvZjv cvqLvbvi mgq wkïi eqm Abyqvqx Lvevi
m¨vjvBb LvIqv‡Z n‡e|
 GKw`b eqm n‡Z 2 eQi ch©šÍ 10 n‡Z 20 Pvg‡Pi
mgcwigvY|
 2 eQi n‡Z 5 eQi ch©šÍ 20 n‡Z 40 Pvg‡Pi cwigvY|
 5 eQi ev Z‡ZvwaK hZUzKz †L‡Z Pvq|
 Lvevi m¨vjvB‡bi weKí wn‡m‡e Zij wPovi cvwb,
fv‡Zi gvo, UvUKv d‡ji im, Wv‡ei cvwb †Ìqv
†h‡Z cv‡i |
 AwZ Aíeqmx wkï‡K dzUv‡bv VvÐv weï× cvwb gv‡S
gv‡S †Ìqv †h‡Z cv‡i |
(L) wkï‡K eqm Abyqvqx c~‡e©i Zzjbvq †ewk K‡i
¯^vfvweK Lvevi w`‡Z n‡e|
 Lv`¨wU big, Zij nIqv †kÖq|
 eqm 2 eQ‡ii wb‡P n‡j evievi ey‡Ki `ya
LvIqv‡Z n‡e|
 6 gv‡mi †ewk eqwm wkï‡K w`‡b 5/6 evi
Wvj, kvKmewR, gvQ, gvsmmn big fvZ A_ev
wLPzwo w`‡Z n‡e|
 UvUKv d‡ji im A_ev cvKv Kjv LvIqv‡bv
†h‡Z cv‡i|
 cvwb¯^íZvmn Wvqwiqvq cÖ_‡g 4 NÈvq
75 wgwj/†KwR IR‡bi Rb¨ jeY m¨vjvBb
LvIqv‡Z n‡e|
Pig cvwb¯^íZvq wkï‡K AvBwf K‡jiv
m¨vjvBb w`‡Z n‡e hvi Rb¨ wbKU¯’
nvmcvZv‡j A_ev wPwKrmv cÖwZôv‡b wb‡Z
n‡e|
 wkï‡K evievi ey‡Ki `ya w`‡Z n‡e|
Wvqwiqv ïiæ n‡ZB hw` wkï‡K mwVK cwigvY
Lvevi m¨vjvBb I Zij Lv`¨ LvIqv‡bv nq,
Z‡e cvwb¯^íZvi RwUjZvmg~n mn‡RB Gov‡bv
m¤¢e| D‡jøL¨, wkïi Wvqwiqvi wPwKrmvq
Ilyac‡Îi f~wgKv †bB ej‡jB P‡j|
Wvqwiqvq AvµvšÍ GKwU wkï‡K Lvevi m¨vjvBb
I Zij Lv`¨ cÖ`vb bv Kiv n‡j ch©vqµ‡g wKQz
cwigvY cvwb¯^íZv Ges cieZx© mg‡q Pig
cvwb¯^íZvi j¶Ymg~n cÖwZdwjZ n‡e| kix‡i
Rjxq Ask K‡g †M‡j cÖavb A½cÖZ½ †hgb
gw¯Í®‹, wKWwb, wjfvi I Ab¨vb¨ As‡ki i³
mÂvjb K‡g †h‡Z _v‡K

wkï‡K wUKv w`b
wkïi cÖwZ‡laK wUKv †Ìqv wb‡q gv-evev A‡bK mgq wPwšÍZ n‡q c‡ob| KLb †Kvb wUKv w`‡Z n‡e, wkï
Amy¯’ _vKv Ae¯’vq Kx wUKv †Ìqv hvq, Avevi wUKv †èvi ZvwiL †cwi‡q †M‡j Kx Ki‡Z n‡e, G wb‡qI cÖkœ
_v‡K g‡b| †QvULv‡Uv Amy¯’Zv †hgb: R¡i, ewg, Wvqwiqv BZ¨vw` Kvi‡Y wUKv`vb ¯’wMZ Kivi †Kv‡bv KviY †bB|
gvivZ¥K Amy¯’ wkï, wLuPywb n‡”Q Ggb wkï Ges †ivM cÖwZ‡iva ¶gZv AwZ `ye©j †hgb †K‡gv‡_ivwc MÖnYKvix
A_ev GBPAvBwf AvµvšÍ wkï‡K wUKv †èvi †ejvq wewawb‡la Av‡Q| wkïi R‡b¥i GK eQ‡ii g‡a¨ Avek¨K
wUKv¸‡jvi m¤ú~Y© †Kvm© †kl Ki‡Z n‡e| Avek¨K wUKv¸‡jv n‡jv †cvwjI, wewmwR, wWwcwU, nv‡gi wUKv,
†ncvUvBwUm we, wbD‡gvwbqv| G Qvov Av‡Q UvBd‡qW, emšÍmn AviI wKQy †iv‡Mi wUKv, †h¸‡jv eva¨Zvg~jK
bq| Gevi wKQy wUKv m¤ú‡K© Av‡iKUz we¯ÍvwiZ †R‡b †bIqv hvK
wWwcwU wUKv
GB wUKvwU wZbwU †iv‡M cÖwZ‡ivaK wn‡m‡e KvR K‡i| wW-
†Z wWc‡_wiqv, wc-†Z cvi‡Uvwmm ev ûwcs Kvwk I wU-†Z
wU‡Ubvm| G wZbwU †ivMB gvivZ¥K SyuwKc~Y©| mvaviYZ wkïi
R‡b¥i Qq mßvn ci †_‡K ïiæ K‡i Pvi mßvn ci ci wZbwU
†WvR w`‡Z nq|
nv‡gi wUKv
nvg †_‡K evuP‡Z Aek¨B wkï‡K nv‡gi wUKv w`‡Z n‡e|
mvaviYZ wkïi 9 gvm eq‡m G wUKv w`‡Z nq| G wUKvi
m‡½ wkï‡K †cvwjIi PZy_© †Wv‡Ri GKwU wfUvwgb K¨vcmyjI
LvIqv‡Z n‡e|
†cvwjI wUKv
†cvwjI gvivZ¥K GKwU †ivM| †ivMwU cÖwZ‡iv‡a wkï‡K Aek¨B
†cvwjI wUKv w`‡Z n‡e| wUKvwU PviwU †Wv‡R LvIqv‡Z nq|
cÖ_g †WvRwU wkïi R‡b¥i w`b †_‡K Qq mßv‡ni g‡a¨ LvIqv‡Z
nq| Avi cieZ©x `ywU †WvR Pvi mßvn ci ci LvIqv‡Z nq|
PZy_© †WvRwU LvIqv‡Z nq nv‡gi wUKvi m‡½|
wewmwR wUKv
GwU‡K h²vi cÖwZ‡laK wUKv ejv nq| ZvB mvaviYZ R‡b¥i
ci Qq mßv‡ni g‡a¨B G wUKvwU w`‡Z nq|
†ncvUvBwUm-we
†ncvUvBwUm wei Kvi‡Y wjfv‡ii bvbv gvivZ¥K †iv‡M AvµvšÍ n‡Z
cv‡i wkï| ZvB wkï‡K Aek¨B `yB eQi eq‡mi ci G wUKvwU
w`‡Z n‡e| wkï‡ì †¶‡Î mvaviYZ G wUKvwU `ywU †Wv‡R †Ìqv
nq| cÖ_g †Wv‡Ri Qq gvm ci wØZxq †WvR †Ìqv nq|
wbD‡gvwbqv
(wb‡gvK°vj KbRy‡MwUf f¨vKwmb)| GB wUKvwU wkï‡ì PviwU
†Wv‡R †Ìqv nq| cÖ_gwU `yB gv‡m Ges c‡ii wZbwU h_vµ‡g
Pvi, Qq I 12-15 gv‡mi g‡a¨ w`‡Z nq|
GB wUKv¸‡jv wkïi Rb¨ AZ¨vek¨Kxq| wUKv †Ìqvi ci
wkïi R¡i Avm‡Z cv‡i ev wUKvi ¯’vb jvj n‡q dy‡j †h‡Z
cv‡i| KL‡bv wUKv LvIqv‡bvi ci cvZjv cvqLvbvI n‡Z
cv‡i| wPwšÍZ nevi wKQy †bB, wUKv †Ìqvi 2 †_‡K 10 w`‡bi
g‡a¨ Ggwb‡ZB wkï my¯’ n‡q DV‡e|
Wv. KvRx bIkv`-Db-bex
GdAviwmwc (Møvm‡Mv), GgAviwmwc (BD‡K)
GgAviwmwcwmGBP (BD‡K), wWwmGBP (AvBAviB), GgweweGm (wWGgwm)
wPd Kbmvj‡U›U
wWcvU©‡g›U Ae †cwWqvwUªK I wbD‡b‡UvjwR
†P¤^vi: j¨veGBW †¯úkvjvBRW nvmcvZvj, XvKv|

†Kb Kiv‡eb?
Kg©e¨¯ÍZvi Kvi‡Y wb‡Ri kix‡ii hZœ †bqv A‡bK mgqB n‡q I‡V
bv| wb‡Ri ARv‡šÍB nq‡Zv Avgiv e‡q wb‡q †eovw”Q RwUj †Kv‡bv
†ivM| †mB wbie NvZKwU‡K kix‡i Qwo‡q covi c~‡e©B webvk Kiv
m¤¢e| GRb¨ 35 eQi eq‡mi ci eQ‡i AšÍZ GKevi †nj_ w¯Œwbs
Kwi‡q mviv eQi Kg©PÂj, my¯’ _vKvq ¸iæZ¡ w`‡Z n‡e| cÖv_wgK
Ae¯’vq †ivM wbwY©Z n‡j wPwKrmv wb‡q my¯’ nIqvi m¤¢vebvI †e‡o
hvq eû¸b|
Ô†ivM cÖwZKv‡ii †P‡q cÖwZ‡iva DËgÕ| †h‡Kv‡bv †ivM ïiæ‡Z aiv co‡j †mwU mn‡RB
wPwKrmvi gva¨‡g mvwi‡q †Zvjv hvq| wKš‘ GKevi Zv RwUj AvKvi aviY Ki‡j Av‡ivM¨
cvIqv `y®‹i n‡q I‡V| ZvB, †`‡ni †fZ‡i †Kv‡bv †ivM evmv euva‡jv wK bv, †mwU Rvb‡Z
cÖ‡qvRb wKQy cix¶v-wbix¶v| Avi G‡KB e‡j †nj_ w¯Œwbs
†nj_ w¯Œwbs
†nj_ w¯Œwbs c¨v‡KRmg~n
gvby‡li kvixwiK Ae¯’v Ges ˆbbw›`b Af¨v‡mi Ici wfwË K‡i
j¨veGBW cÖvavbZ 3 ai‡bi †nj_ w¯Œwbs c¨v‡KR myweav cÖ`vb K‡i
_v‡K|
†ewmK †nj_ w¯Œwbs c¨v‡KR
÷¨vÛvW© †nj_ w¯Œwbs c¨v‡KR
wcÖwgqvi †nj_ w¯Œwbs c¨v‡KR
GQvov †iv‡Mi aiY, eqm, wj½ Ges gvby‡li cÖ‡qvRb ey‡S we‡kl
wKQz †nj_ w¯Œwbs c¨v‡KR myweavi eë¯’vI †i‡L‡Q j¨veGBW|
†m¸‡jv n‡jv Rywbqi Gw·wKDwUf †nj_ w¯Œwbs, Gw·wKDwUf †nj_
w¯Œwbs, wmwbqi Gw·wKDwUf †nj_ w¯Œwbs, gv÷vi M¨v÷ªwjfvi
w¯Œwbs, gv÷vi †ibvj w¯Œwbs, Wvqv‡ewUK †nj_ w¯Œwbs, I‡ewmwU
wiwWDwms c¨v‡KR, DB‡gb I‡qj‡bm w¯Œwbs, wcÖ g¨v‡iwUqvj †nj_
w¯Œwbs (†gj-wd‡gj), †¯§vKvm© †nj_ w¯Œwbs Ges Uªv‡fjvm© †nj_
w¯Œwbs| GQvov nv‡U©i mgm¨v wbY©‡qi Rb¨ Kw¤úª‡nbwmf KvwW©qvK
†PK-Avc c¨v‡K‡Ri eë¯’vI Av‡Q GLv‡b|
wbqwgZ ¯^v¯’¨ cixÿv m¤¢ve¨ †h‡Kv‡bv ¯^v¯’¨SzuwK †_‡K iÿv K‡i|
myZivs my¯’ I my›ì Rxebhvc‡bi Rb¨ wbqwgZ †nj_ w¯Œwbs Gi
weKí †bB|
 my‡L Amy‡L †W¯‹
eQ‡i AZšÍ GKevi †nj_ w¯Œwbs
K‡i my¯’ _vKzb, wbivc‡` _vKzb

Mi‡gI VvÐv jv‡M
GB mg‡q mKvj †_‡KB evo‡Z _v‡K †iv‡ì ZxeªZv| cvjøv w`‡q ev‡o MigI! nVvr Kvj
êkvLx S‡o kxZj n‡q hvq PivPi| AvenvIqvi GB weiƒc AvPi‡Yi cÖfve c‡o kix‡i| ïiæ
nq bvK w`‡q cvwb cov, †mB m‡½ Mjve¨_vI| eo‡ì cvkvcvwk wkïivI G mg‡q AvµvšÍ nq
mw`©-Kvwk‡Z| ZvB Mi‡g n‡Z n‡e mZK©, wb‡Z n‡e kix‡ii evowZ hZœ
GB mg‡q wkï‡ì Amy¯’ nIqvi cÖeYZv †ewk _v‡K, GB mg‡q
wkïi cvZjv cvqLvbv, mw`©, Kvwk I UvBd‡qW nq †ewk| wkïi
Amy¯’Zvq gv-evev cÖPÐ Nve‡o hvb| Kx Ki‡Z n‡e ey‡S DV‡Z
cv‡ib bv| ZvB gv_v VvÐv †i‡L we‡klÁ wPwKrm‡Ki civgk© g‡Zv
Pj‡Z n‡e| Avi me‡P‡q eo K_v, GKUz m‡PZb n‡jB Gme †ivM
wKš‘ Gov‡bv hvq|
wkï‡K weï× cvwb LvIqv‡Z n‡e| Lvevi cvwb AšÍZ 30
†_‡K 40 wgwbU †dvUv‡Z n‡e|
†Lvjv I evwm Lvevi wkï‡K GK`gB LvIqv‡bv hv‡e bv|
cwiev‡ii KviI mw`©-Kvwk n‡j wkï‡K Zuvi KvQ †_‡K
`~‡i ivLyb|
wkï‡K evievi †Mvmj Kiv‡bv hv‡e bv|
†Ljvayjv †k‡l wkï evwo wdi‡j, wkïi †cvkvK e`‡j w`b,
Nvg †hb wkïi kix‡i bv e‡m hvq|
Avi ayjv evwj‡Z AvU‡K _vKv RxevYy cÖwZ‡iv‡a wkï‡K gv¯‹
eënvi Ki‡Z DrmvwnZ Kiæb|
GB mg‡q evievi nvZ ay‡Z n‡e| VvÐvi
RxevYy¸‡jv G mgq Qov‡bv _v‡K Pviw`‡K| Avi
nvZ †_‡K Lye mn‡RB P‡j hvq gy‡L| Avi `ªæZ
msµgY N‡U kix‡i| ZvB nvZ ay‡Z n‡e evievi|
mw`©-Kvwk‡Z ch©vß wekÖvg wb‡Z n‡e| we‡kl K‡i
Nyg mw`©-Kvwk Kgv‡Z mvnvh¨ K‡i|
nvjKv Mig cvwb‡Z jeY wgwk‡q KywjKywP Ki‡j
Mjve¨_v Kg‡e|
Ilya LvIqvi Av‡M Aek¨B wPwKrm‡Ki kiYvcbœ
n‡Z n‡e|
cvwb †L‡Z n‡e †ewk K‡i| N‡ii cvwb dywU‡q
weï× K‡i wbb|
kvK-mewR Lvb wbqwgZ| cywói Pvwn`v †gUv‡e|
†ivM cÖwZ‡iv‡ai ¶gZvI evov‡e|
†L‡Z cv‡ib Av`v Pv| Av`v VvÐvRwbZ †iv‡Mi
weiæ‡× eo fv‡jv A¯¿|

ayjvevwji Kvi‡Y Avgv‡ì nuvwP, Kvwk, nuvcvwb, PzjKvwb
ev A¨vjvwR©RwbZ mgm¨v †`Lv w`‡Z cv‡i| Mi‡gi GB
ayjvevwj mwZ¨B wK †Kv‡bv †ivM ˆZwi Ki‡Z cv‡i?
ayjvevwj gvbyl‡i kix‡i ˆZwi Ki‡Z cv‡i †ek wKQz
†ivM| †hgb nvucvwb, dymdy‡mi msµgY, AemUªvKwUf
jvs wWwRm, †imwc‡iUwi Uª¨v± wWwRm D‡jøL‡hvM¨| †h
ayjv GZ me †ivM ˆZwi K‡i, Zv‡K †Zv Avi †njv‡djv
Kiv hvq bv| ZvB ayjvi †ivM Gov‡Z G mgq wb‡Z n‡e
wKQy evowZ eë¯’v|
 †h GjvKvq ayjvi cÖ‡Kvc †ewk, †m GjvKv Gwo‡q Pjyb|
 evB‡i †_‡K wd‡i cwi®‹vi cvwb‡Z nvZ-cv ay‡Z n‡e|
 Kv‡Ri dvu‡K dvu‡K gyLgÐ‡j cwi®‹vi cvwbi SvcUv w`‡Z n‡e|
 dzUcvZ w`‡q nvuUvi mgq gy‡L gv®‹ c‡i wb‡j me‡P‡q fv‡jv nq|
 wkkyiv †Ljv †kl K‡i wdi‡j †cvkvK cwieZ©b K‡i w`b|
evwoi Kv‡c©‡U, g¨vUª‡m cwi®‹vi Ki‡Z n‡e wbqwgZ| Gi
g‡a¨B jyKv‡bv _v‡K ayjv Avi Zvi m‡½ RxevYy|
†kvevi N‡ii weQvbvi Pvì cÖwZ mßv‡n ay‡Z n‡e Mig cvwb
w`‡q| VvÐv cvwb Avi wWUvi‡R›U wKš‘ RxevYy‡K gvi‡Z cv‡i
bv|
wkïi cyZyj wKsev †Ljbv W«vB Iqvk Ki‡Z n‡e cÖwZ `yB
mßv‡n AšÍZ GKevi|
†kvevi N‡i ayjv Uv‡b Ggb Avmeve hZUv m¤¢e Kg ivL‡Z
n‡e|
eB‡qi ZvK cÖPzi ayjv Uv‡b| hw` GUv †kvevi N‡i ivL‡ZB
nq, Aek¨B XvKbv eënvi Kiæb|
ayjv Avi †ivMevjvB‡qi wPšÍv K‡i MigUv Amn¨ n‡e †Kb? GKUy
m‡PZbZv Avi mveavbZvq G mgqUvI †nvK Dc‡fvM¨|
  my‡L Amy‡L †W¯‹
Mi‡g ï®‹ n‡q DV‡Q cÖK…wZ| ayjvq †X‡K †M‡Q †g‡Vv c_ †_‡K ivRc_| evwoi †QvÆ m`m¨wU cošÍ we‡K‡j
†Lj‡Z wM‡q hLb ayjvq MovMwo †L‡q evwo †d‡i, ZLb m‡½ K‡i †m wb‡q Av‡m ayjvevwnZ RxevYy| Avevi
eoivI ayjvgvLv c_ gvwo‡q hLb evwo †d‡ib, enb K‡i Avb‡Z cv‡ib ayjvevwnZ RxevYy
ayjvevwj Kx Kwi

GKRb Wv³vi †ivMxi mvgwMÖK cix¶v-wbix¶vi gva¨‡g
Ilya cÖ`vb K‡ib †hgb; eqm, wj½, A¨vjvwR©K Ae¯’v,
Ab¨ †Kv‡bv Ilya Lv‡”Qb wK bv BZ¨vw`| Wv³v‡ii civgk©
Qvov Ilya †L‡j Ifvi‡WvR n‡q hvevi Avk¼vI _v‡K|
hvi Rb¨ †h †cÖmwµckb, †mUv ïay Zvi Rb¨B cÖ‡hvR¨|
R¡i, mw`©, gv_ve¨_v, wele¨_vi Ilya mPivPi †cÖmwµckb
QvovB †L‡q _vwK Avgiv| G¸‡jvi gvÎvwZwi³ I wbqwgZ
†meb kix‡ii Rb¨ †ek ¶wZKi|
Kvwki Ily‡ai mvaviY Dcv`vb n‡”Q †W·‡Uªv‡g‡_vc©vb|
hv mwVK gvÎvq †me‡b cÖZ¨vwkZ dj wb‡q Av‡m| wKš‘
gvÎvwZwi³ †me‡b Bw›`ªqMZ bvbv mgm¨v †hgb Kv‡b
Kg †Kv‡bvv, †Pv‡L Svcmv †`Lv, †c‡U e¨_v, Ggb wK
n¨vjywm‡bkb ch©šÍ NU‡Z cv‡i|
miKvwi nvmcvZvj Ges †W›Uvj †P¤^v‡i eûj eëüZ
Gw›Uev‡qvwUK †g‡UªvwbWvRj| GB †R‡bwi‡Ki Ilya¸‡jv
wbqg Abyhvqx c~Y© †Kv‡m© bv †L‡j e¨vK‡Uwiqv Ges
†cÖv‡Uv‡Rvqv¸‡jv Zvi MVb cwieZ©b K‡i Av‡iv kw³kvjx
n‡q I‡V| ZvB †cÖmwµckb †g‡b †Kvm© c~Y© K‡i Ilya
†L‡Z n‡e|
DbœZwe‡k¦ †cÖmwµckb Qvov Ilya wewµ AvBbZ `Ûbxq|
wm‡WwUf, Gw›Uev‡qvwUK I AviI wKQz Ilya †Kbvi †ÿ‡Î
evsjv‡`‡kI GB AvB‡bi cÖ‡qvM ïiæ n‡q‡Q| Gevi
ìKvi mevi mn‡hvwMZv|
†ivMx hLb Wv³v‡ii ch©‡e¶‡Y _v‡K, ZLb Ilya †me‡bi
SuywKI n«vm cvq| wKš‘ hLbB Wv³v‡ii civgk© Qvov
Ilya LvIqv nq, †mUv A‡bK ¶wZKi n‡Z cv‡i| wKQy
wKQy Ilya mvgwqK †ivMgyw³ NUv‡jI gvÎvwZwi³ †me‡b
kix‡ii ÿwZe„w×B nq| ZvB G iKg PP©v †_‡K weiZ
_vKv DwPZ|
me gvby‡li kix‡ii GKB A½-cÖZ¨½, KvRI K‡i GKfv‡e| ZviciI cÖ‡Z¨‡Ki
wm‡÷‡gB Avjv`v wKQy êwkó¨ _v‡K| Kv‡RB Avcwb hLb Amy¯’ n‡eb, ZLb wb‡R
wb‡R †Kv‡bv iKg Ilya LvIqvi †Póv Ki‡eb bv
†cÖmwµckb Qvov Ilya bq
civgk©
 Avcbvi kixi I g‡bi Dci Ily‡ai cÖfve
†Kgb, Avcbvi kix‡ii mv‡_ gvwb‡q
hv‡”Q wK bv GB m¤ú‡K© Avcbvi Wv³vi‡K
Rvbvb|
 eë¯’vc‡Î wb‡`©wkZ Ilya m¤úwK©Z †Kv‡bv
Z_¨ ev civgk© bv eyS‡j †mUv Wv³v‡ii
mv‡_ †Lvjv‡gjv Av‡jvPbv Kiæb|
 Avcbvi kvixwiK Ae¯’v †hgbB †nvK bv
†Kb, Wv³v‡ii mv‡_ K_v bv e‡j KL‡bvB
Ilya eÜI Ki‡eb bv, Pvwj‡qI hv‡eb bv|
 me‡k‡l, KL‡bvB Ab¨ KviI eë¯’vcÎ
AbymiY Ki‡eb bv| Ges Avcbvi †Kv‡bv
eÜz‡KI Avcbvi †cÖmwµckb Abymi‡Yi
e¨vcv‡i m¤§wZ †`‡eb bv| G‡Z ïay
Avcbvi eÜzB bq, AvcwbI wec‡`
co‡eb|
 my‡L Amy‡L †W¯‹

K‡qK eQi a‡i †W½yi cÖ‡Kvc wbqwgZ
†`Lv hv‡”Q| m¤úªwZ Gi m‡½ hy³ n‡q‡Q
bZzb fvBivm R¡i wPKyb¸wbqv| wPKyb¸wbqv
fvBivm kix‡i cÖ‡e‡ki `yB †_‡K Pvi w`‡bi
g‡a¨ AvKw¯§K R¡i ïiæ nq Ges Gi m‡½
Aw¯’mwÜ‡Z e¨_v _v‡K hv K‡qK mßvn wKsev
gvm ¯’vqx n‡Z cv‡i| GB fvBivmwU gkvi
Kvg‡oi gva¨‡g kix‡i cÖ‡ek K‡i|
AvµvšÍ e¨vw³i R¡iwU †W½y bvwK wPKzb¸wbqv
GUv wb‡q weåvšÍ nIqv Lye ¯^vfvweK KviY
GB `yB ai‡bi fvBivm cÖvq GKB mg‡q †`Lv
†`q| G‡ì RxevYyevnx gkvI GKB cÖRvwZi,
GwWm| †iv‡Mi j¶Y I Dcm‡M©I bvbv wgj
Av‡Q| GLb R¡i, Mv‡q e¨_v, i¨vk ev dzmKzwo
†`Lv w`‡j A‡b‡KiB g‡a¨ AvZ¼ KvR K‡i|
GUv †W½y, bvwK wPKzb¸wbqv!
wPKzb¸wbqv †Pbv
†W½y I wPKyb¸wbqv `y‡UvB fvBivm R¡i|
cvkvcvwk _v‡K Zxeª kixi e¨_v| Z‡e cv_©K¨
n‡jv, †W½yR¡‡i †PvL I gv_vq cÖPÐ e¨_v
nq, gvsm‡cwk I nv‡o e¨_vI nq, Z‡e wMiv
†Zgb †dv‡j bv ev e¨_vI Kg _v‡K| wKš‘
wPKyb¸wbqvi êwkó¨B n‡”Q wMivq e¨_v|
Avwd«Kvi AvÂwjK fvlvq GB wPKzb¸wbqvi
gv‡b evuKv n‡q hvIqv| †KD e‡jb j¨vsov
R¡i| KviY G‡Z AvµvšÍ †ivMxi Nvo, wcV,
gvRvq GZ Zxeª e¨_v nq †h †mvRv n‡q
`vuov‡ZI Kó nq| ZLb †KD †KD Lyuwo‡q
nvuU‡Z eva¨ nb| PjwZ eQi evsjv‡`‡k
†ivMwUi AvKw¯§K we¯Ívi †`Lv w`‡q‡Q|
mvaviY wPKyb¸wbqvq R¡i, Z¡‡K i¨vk, mwÜ ev
nv‡oi †Rvovq e¨_v I Mv‡q e¨_v K‡i| Gi
†P‡q Zxeª n‡j mwÜ dz‡j hvq, Mv‡q Zxeª e¨_v,
†Pv‡L e¨_v, i³Pvc I cÖ¯ªve n«vm
cÖf…wZ mgm¨v n‡Z cv‡i| †ivMwU me‡P‡q
RwUj iƒc wb‡j D”PgvÎvi R¡i, mwÜ e¨_v I
†dvjv, ewg Ges Wvqwiqvq †ivMx A‡PZbI
n‡q †h‡Z cv‡i| wPKyb¸wbqvq †W½yi †P‡q
g„Zz¨SuywK wKQyUv Kg| †W½y mvaviYZ 5 †_‡K
7 w`‡bi g‡a¨ †m‡i hvq| Z‡e wPKyb¸wbqvi
†ivMx 7 †_‡K 10 w`‡b †m‡i DV‡jI e¨_v
wKQy †¶‡Î `xN©¯’vqx n‡Z cv‡i| GgbwK R¡iUv
†m‡i wM‡q AveviI n‡Z cv‡i|
eë¯’vcÎ
†W½y I wPKyb¸wbqvi wPwKrmv eë¯’vcbv cÖvq
GKB iK‡gi| †W½y Gb Gm Iqvb A¨vw›U‡Rb
ev †W½y AvBwRGg A¨vw›UewW cix¶v K‡i
†ivMwbY©q Ki‡Z nq| Zvi AvM ch©šÍ
wPwKrmvi †Kv‡bv †ni‡di †bB| mgm¨v Zxeª bv
n‡j evwo‡ZB _vKzb| cÖPzi cwigv‡Y cvwb I
Zij cvb Kiæb (w`‡b `yB wjUvi, m‡½ jeY-
Rj, Wv‡ei cvwb, m¨vjvBb BZ¨vw`)| R¡i
I e¨_v Kgv‡Z c¨vivwmUvgj †L‡Z cv‡ib|
ch©vß wekÖvg wbb| mwÜ e¨_v Kgv‡Z VvÐv
Q¨vuK wb‡Z cv‡ib, nvjKv e¨vqvg Kiv hvq|
†ivMwbY©‡qi Av‡MB A¨vmwcwib ev e¨_vbvkK
†meb Kiv hv‡e bv|
nvmcvZv‡j hv‡eb hLb
Ggwb‡Z wPKyb¸wbqv †W½yi g‡Zv RwUj bv
n‡jI lv‡UvaŸ© e¨w³ ev †QvU wkï, AšÍmË¡v
ev bvix Ges wKWwb, hK…r ev ü`¨‡š¿i †iv‡M
AvµvšÍ e¨w³i SuywK _v‡K| i³Pvc K‡g †M‡j
ev cÖ¯ªv‡ei cwigvY w`‡b 500 wgwjwjUv‡ii
Kg n‡j, wZb w`b evwo‡Z wPwKrmvi ciI
e¨_v Zxeª i‡q †M‡j nvmcvZv‡j fwZ© nIqv
cÖ‡qvRb| G †¶‡Î wkivq m¨vjvBb w`‡Z n‡Z
cv‡i| DwØMœ nIqvi wKQy †bB|
wPKzb¸wbqvi wPwKrmv
Aa¨vcK Wv. LvRv bvwRg DÏxb
GgweweGm (XvKv), GdwmwcGm (†gW),
GdAviwmwc (Møvm‡Mv), GdGwmwc (BDGmG)
Aa¨vcK, †gwWwmb wefvM
Wvqv‡ewUK nvmcvZvj (evi‡Wg), XvKv|
†P¤^vi: j¨veGBW wj. (WvqvMbw÷K), avbgwÛ|
mwÜ ev nv‡oi †Rvovq e¨_v
Z¡‡Ki i¨vk
ewg I Wvqwiqv
D”PgvÎvi R¡i
mgmvgwqKmgmvgwqK

Bgv‡R©wÝ wefvM
GB wefvMwU AwfÁ wPwKrmK Ges `¶ mnvqK Kg©x‡`i mgš^‡q
gva¨‡g LyeB mZK©Zvi mv‡_ †ivMxi †mevq wb‡qvwRZ _v‡K|
mwµq GB wefvMwU‡Z i‡q‡Q
mve©¶wYK we‡klÁ wPwKrmK, `¶ bvm©, ¯^v¯’¨ mnKvix,
†níGBW|
 DbœZgv‡bi AvaywbK cÖhyw³mg„× weQvbv|
 cÖwZwU †e‡Wi mv‡_ AZ¨vaywbK gwbUi, hv w`‡q nvU©‡iU, i‡³
Aw·‡R‡bi gvÎv, k¦v‡mi MwZ Ges eøvW †cÖmvi BZ¨vw` gvcv
hvq|
 Riæwi Aw·‡Rb mieivn (hv †Kw›`ªq Aw·‡Rb mieiv‡ni
mv‡_ mshy³) mv‡_ Portable cylinder|
 BwmwR †gwkb, mvKkvb cv¤ú (†m›Uªvj), Møy‡KvwgUvimn Riæwi
†ivM wbiƒc‡Yi miÄvgvw`|
 Riæwi cÖ‡qvRbxq IlyacÎ, wmwiÄ |
 wWwdweª‡jUi †gwkb (hv Rxeb i¶vKvix)- AED
(Automated External Deﬁbrillator) K…wÎg k¦vm-cÖk¦v‡mi
Rb¨ †gvevBj †fw›U‡jUi †gwkb|
 Riæwifv‡e wmwU ¯‹¨vb, GgAviAvB , wWwRUvj G·‡i,
Avëªvm‡bvMÖvg, B‡KvKvwW©IMÖvwd|
Wv. †gvt GRnviæj nK Kvqmvi
†iwR÷ªvi
Gw·‡W›U A¨vÛ Bgv‡R©wÝ wefvM
j¨veGBW nvmcvZvj Bgv‡R©wÝ wefvM
ÔBgv‡R©wÝ I A¨vKwm‡W›U wefvMÕ nvmcvZv‡ji AZ¨šÍ ¸iæZ¡c~Y© Ask; †hwU me©mvavi‡Yi Kv‡Q ÔRiæwi wefvMÕ
ev ïay ÔBgv‡R©wÝÕ wn‡m‡e cwiwPZ| 24 HOURS EMERGENCY mvBbwU j¨veGBW KvwW©qvK
nvmcvZv‡ji wbPZjvq Aew¯’Z Ges mdjfv‡e weiwZnxb †mev w`‡q hv‡”Q
j¨veGBW Bgv‡R©wÝ

 mve©¶wYK Bgv‡R©wÝ j¨v‡ei gva¨‡g c¨v_jwRK¨vj mv‡cvU©|
 Bgv‡R©wÝ gvBbi IwU (OT)
 mve©¶wYK ¯^qsm¤ú~Y© A¨v¤^y‡jÝ mvwf©m|
 K‡ivbvwi †Kqvi BDwbU
 gwbUi, wWwdweª‡jUi, †fw›U‡jUi, Aw·‡Rb BZ¨vw`
ü`&‡ivMRwbZ †ivMxiv wewfbœfv‡e Zv‡ì
kvixwiK Ae¯’v cÖKvk K‡i _v‡Kb|
k¦vmKó, eyK aodo, k¦vmfvix, ey‡K
Pvc, ewg ewg fve ev ewgmn, Mjvq Pvc,
†Pvqv‡j ev nv‡Z A¯^w¯Í, Nvg †Ìqv
BZ¨vw`| GgbwK nVvr K‡i †ivMx AÁvb
n‡q †h‡Z cv‡i| Gme †¶‡Î Z¡wor
MwZ‡Z †ivMx‡K Bgv‡R©wÝ‡Z wb‡q Avmyb|
KZ©eïZ wPwKrmK Ges mn‡hvMxiv
Zvr¶wYK Zrci n‡q BwmwR, i³Pvc,
i‡³ Møy‡Kv‡Ri cwigvY I gwbU‡ii
gva¨‡g cÖ‡qvRbxq c¨vivwgUvi wbiæcb
K‡i cÖv_wgKfv‡e †ivM wbY©q K‡i
cÖ‡qvRbxq cÖv_wgK wPwKrmv w`‡q mswkøó
Kbmvj‡U›U‡K AewnZ K‡i wmwmBD
A_ev mswkøó wefv‡M fwZ© K‡i cieZ©x
wPwKrmvi eë¯’v Ki‡eb|
G wefv‡M †ivMxi Rxeb i¶v‡_© AwfÁ wPwKrmK,
wmwbqi Kbmvj‡U›U/A¨v‡bm‡_wmIjwRó Gi
mwµq AskMÖn‡Y Intubation K‡i A_©vr
†fw›U‡jUi ev K…wÎg k¦vm-cÖk¦vm hš¿ w`‡q
wmwmBD/AvBwmBD †Z `ªæZ ¯’vbvšÍi Ki‡eb hv‡Z
cieZ©x wPwKrmvi eë¯’v `ªæZ nq|
Ggb cwiw¯’wZ ü`&‡ivM e¨ZxZ Ab¨ †ivMx‡ì
†¶‡ÎI cÖ‡qvR‡b cÖ‡qvM Kiv nq| †hgb:
dzmdzmRwbZ †imwc‡iUwi †dBjyï, Wvqwiqvi
Kvi‡Y k‡K _vKv, gv_vq AvNvZ cÖvß ev gw¯Í‡®‹
i³¶i‡Yi †¶‡Î|
`yN©UbvRwbZ Kvi‡Y Avmv †ivMx‡ì cÖv_wgK
wPwKrmv w`‡q cÖ‡qvRb mv‡c‡¶ G·‡i/wmwU¯‹¨vb/
Avëªvm‡bvMÖvg K‡i mswkøó Kbmvj‡U›U‡ì
ZË¡veav‡b cÖ‡qvRbxq wefv‡M fwZ© Kiv nq|
Bgv‡R©wÝ‡Z Avmv beRvZK †_‡K cwiYZ eq‡mi
mKj †ivMx‡ì cÖv_wgKfv‡e †ivM wbiæcb,
cÖv_wgK wPwKrmv cÖ`vb, cÖ‡qvRbxq cix¶v-
wbix¶v K‡i cieZ©x wPwKrmvi eë¯’v Kiv nq|
G Qvov Bgv‡R©wÝ wefvM mvwe©K mgš^q K‡i nVvr
K‡i Amy¯’ nIqv †ivMx‡ì nvmcvZv‡j Avbvi
eë¯’v K‡i _v‡K|
Amy¯’Zv‡eva Ki‡j †Kv‡bv ai‡bi Ae‡njv bv K‡i
cÖ_‡g Bgv‡R©wÝ wefv‡M P‡j Avmyb| Avcbvi kvixwiK
mgm¨v¸‡jv we¯ÍvwiZ ejyb hv `vwqZ¡iZ wPwKrmK
ï‡b cÖv_wgK cix¶v-wbix¶v †k‡l Avcbv‡K cieZ©x
wPwKrmvi civgk© w`‡eb|

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Sukhe Oshukhe :: Edition 27

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Sukhe Oshukhe :: Edition 27