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Published by imakeralana, 2019-07-22 02:21:46

Mar 2019

Published by IMA Kerala

Keywords: IMA,Health,Magazine,Malayalam

   

hmeyw 20 e-¡w 3
2019 amˬv ` 25

F´psImv
tIcf¯n IqSpXÂ
hr¡tcmKnIÄ





2019 amˬv
hmeyw 20
e-¡w 3
hn-e: 25 cq]

10 F´psIm­v tIcf¯nÂ

IqSpXÂ hr¡tcmKnIÄ?

tUm. Pb´v tXmakv amXyq

14 hr¡ amän-h-bv¡Â

ikv{X-{In-b-bpsS
\qX\ km[y-X-IÄ

tUm. lcntKmhnµv s]mXntbS¯v
tUm. IrjvWtaml³. BÀ

20 kvX\mÀ_pZw: Bcw`¯nte Xncn¨dnbq,

icnbmb NnInÕ tXSq..

tUm. ]n. F. efnX

24 \s«-Ãn-\pÅ sshI-ey-§Ä

tUm. kptcjv Fkv ]nÅ

32 Ipªp§fn ]Ãv apf¡p¶Xpambn

_Ôs¸«pmIp¶ {]iv\§Ä

tUm. Fw. sI. kn. \mbÀ

40 cm-aXpw kntk-dn-b³?
tUm. kvanXn k\Â

46 hymbmaw sN¿mw; BtcmKyw kwc-£n¡mw
tUm. Acp¬ _n. \mbÀ

52 ]ucs³d A`n-{]mb kzmX{´yw GXp-hsc?
tUm. Fw. ap-c-fo[c³

4 \½p-sS B-tcm-Kyw | amÀ¨v 2019

58 hnÂk¬ tcmKw C´y³ sa-Un-¡Â A-tkm-kn-tb-j-³ {]-kn-²o-IcWw
tUm. kPnIpamÀ. sP
No^v FUn-äÀ
64 amÀK§fpv, tUm. Sn. kp-tc-jv IpamÀ

Im«pXobn \n¶p c£s¸Sm³ sk{I-«dn Iw {S-j-dÀ
tUm. Fw. ap-c-fo-[-c³
tUm. cmPo-hv P-b-tZh³
FUn-täm-dn-b t_mÀUv
68 {]k-hm-\-´-c-Imew Adn-tb--sX-Ãmw..... tUm. sI.F. IpamÀ
tUm. jo_ än tPmk^v
tUm. hn.Pn. {]-Zo-]v IpamÀ
74 £b-tcmKw : C{Xsb¦nepw \½fdnbWw tUm. ]n.F. efnX
tUm. kp\n IpamÀ.Fw
tUm. ctaiv.- F-kv.- tj-Wmbn
80 amÀ¨v 20 : temI hZ-\m-tcm-Ky-Zn\w tUm. Acp¬ _n.-\m-bÀ
tUm. aWnIWvT³ Pn.BÀ tUm.- k-Pn-Ip-amÀ sP.

84 Xe-th-Z\ : Nne Imc-W-§Ä D]-tZ-iI k-anXn
tUm. hoW hnizw tUm. Fw.C. kpKX³

88 enwKamäw amkn-I ({]kn-Uâ v, sF.-Fw.-F. tIcf)
kw-\v-[nbm-b
F¶m F´mWv hn-h-c-§Ä¡v tUm. C.sI.D½À

tUm. BÀ. A\p]a 94000 12600 (ap³ kw-kvYm-\ {]-kn-U³dv, sF.Fw.F)

92 ssa¡nÄ tUm. BÀ.hn. A-timI³

A-^m-\m-tk-hn-¨v (tZio-b sk-{I«-dn P-\dÂ, sF.Fw.F.)
_pÄ-K-mt¡mhv
tUm. F³. kpÄ^n
s{]m-^. sI. tKm-]m-e-Ir-jvW³
(sk-{I-«dn, sF.-Fw.-F. tIcf)
97 tagv-ko.... sF Bw tkm-dn....
tUm.- F. amÀ¯mWvU ]nÅ
tUm. Sn. kp-tc-jv IpamÀ tUm.- Sn.-F³. _m_p cho-{µ³
tUm.- {ioPn¯v F³. IpamÀ
slÂ-¯v Iznkv 95
96 tUm. {]-im-´v kn.hn.

(ap³ No-^v F-UnäÀ)

hc
kp[oÀ \mYv, \yq-UÂln

Unssk-³ & te-Hu«v
Pb³ sP. \mbÀ
A\q-P cm-Pohv

amÀ-¡-änwMv
ssj-Pp Fkv. \mbÀ

ssS¸v skänwKv:
KoX

{]nâ nwKv :
ap{Z in-h-Imin

PRINTED AND PUBLISHED BY:
Dr.T. Suresh Kumar, Editor,
Nammude Arogyam,

for Indian Medical Association
Kerala State Branch

ADDRESS FOR CORRESPONDENCE:
Dr.T. Suresh Kumar,

Editor, Nammude Arogyam
Indian Medical Association,

Kerala State Branch.
Anayara P.O., Thiruvananthapuram 29,

mail: [email protected]
ph: 0471-2742266

\½p-sS B-tcm-Kyw | amÀ¨v 2019 5

tUm-Iv-S-tdm-Sp tNm-Zn¡mw



FUn-täm-dnbÂ

A\n-hm-cyw,
\Ã D-d-¡-ioew

tUm. Sn. kp-tc-jv IpamÀ
No-^v F-UnäÀ-

im-co-cn-Ihpw am-\-kn-I-hp-am-b B-tcm-Ky-¯n-\v
\Ã Dd-¡w A-\n-hm-cyw.
]T-\-s¯bpw tPm-en-\nÀ-Æ-l-W-¯n-s\bpw kzm-[o-\n¡p-¶ G-ähpw
{]-[m-\-s¸-« im-cocn-I [À½w, D-d¡w.

]-IÂ ka-bw DuÀ-Ö-kz-e-am-bn-cn-¡phm³ cm{Xn Kp-W-\n-e-hm-cap-Å
Dd-¡w A-Xy-´m-t]-£n-X-w.

Cu B-[p\n-I Im-e-L-«¯n \-ap-¡v Xo-sc In-«m-sX t]m-Ip-¶Xv,
\Ã D-d¡w.

Po-hn-X-ssi-eo-tcm-K-§-fp-sS Im-cW-§Ä ]-e-t¸mgpw sN-s¶-¯n
\nÂ-¡p¶-Xv \Ã D-d-¡-¯ns³-d A-`m-h-¯n-emWv.

a-lm-`q-cn]-£w tdm-U-]-I-S-§-fp-sS I-W-s¡-Sp-¸n-epw a-Zy-]m-\-aÃ,
D-d-¡-am-Wv Im-cWw.

\nÝn-X a-Wn¡qÀ IW-¡v C-t¸mÄ A-{]-kàw.

cm-{Xnbn F-{X a-Wn¡qÀ Iq-Sp-X D-d-§n-bmepw A-{Xbpw \¶v.

\-sÃm-cp D-d-¡-io-ew ]m-en-¡mw.

\ap¡v B-tcm-Kyw t\-Smw.

k-hn\bw

\½p-sS B-tcm-Kyw | amÀ¨v 2019 7

tUm. F³. kpÄ-^n Np«ps]mÅp¶
kw-kvYm-\ sk-{I-«dn, th\Â!
sF.Fw.F. tIcfw
[email protected] tIcfw {]fb¯n\v tijw ISp¯ th\entebv¡v
IS¡pIbmWv. th\Â NqSv Hmtcm Znhkhpw Iq
8 \½p-sS B-tcm-Kyw | amÀ¨v 2019 Sn hcnIbpw AXpaqeapïmIp¶ BtcmKy{]iv-\§Ä
KpcpXcamIpIbpw sNbvXpsImïncn¡p¶p. tIcfw
sam¯w Hcp tIm¬{Ioäv PwKnÄ Bbn XpS§p¶Xnsâ
]cnWnX^ew IqSn BImw Cu ISp¯ th\Â. sh«n
amäs¸Sp¶ hr£eXmZnIÄ XncnsI sh¨p]nSn¸n¡m³
\mw ad¶v sImtïbncn¡p¶p. A´co£¯nse aäv
hyXnbm\§fpw \½psS PohnXcoXnbnse amä§fp
saÃmw Cu AanX Xm]apÅ th\en\v ImcWamIp¶p.
t¥m_Â hmanwMv F¶ {]Xn`mkw \mw Hcpan¨v t\
cntSïnbpancn¡p¶p.

th\eh[nbntebv¡v kv-IqfpIfpw tImtfPpIfpw
IS¡pt¼mgpw CXv Hcp ]co£m¡mehpw IqSnbmWv.
A\ykwØm\ sXmgnemfnIÄ DÄs¸sS [mcmfw
BÄ¡mÀ \ap¡p Npäpw DbÀ¶ A´co£Xm]¯n\v
hnt[bambns¡mtïbncn¡p¶p. AXn\m Xs¶
DbÀ¶ Xm]w aqeapïmIp¶ BtcmKy{]iv-\§Ä
Hgnhm¡phm³ Gsd {i² sNept¯ï ImeL«amWv
CXv. D¨bv¡v 11 aWnapXÂ sshIpt¶cw 3 aWn
hscbpÅ DbÀ¶ Xm]apÅ kab¯v ]pd¯pÅ
tPmenIÄ IgnhXpw Hgnhm¡phm³ s]mXpP\§Ä
{i²nt¡ïnbncn¡p¶p. AtXmsSm¸w Xs¶ Uossl
t{Uj³ Hgnhm¡phm\mbn [mcmfw shÅw IpSnt¡ïn
bpancn¡p¶p. ]pdwtPmenIfn GÀs¸Sp¶hÀ XoÀ¨
bmbpw shÅw IpSn¡p¶Xnsâ tXmXv DbÀ¯pI
F¶pÅXv {]mYanIamb ]cnKW\ AÀln¡p¶
ImcyamWv. AtXmsSm¸wXs¶ hkv{X[mcWcoXnbn
epw {i²nt¡ïnbncn¡p¶p. I«nbpÅ hkv{X§Ä
Hgnhm¡pIbpw hfsc I«n Ipdª hkv{X§Ä [cnt¡
ïXpw BhiyamWv. kqcymLmXw F¶ KpcpXcamb
BtcmKy{]iv-\w AanXamb Xm]w aqeapïmIp¶
£oWw htcbpw \mw Hgnhmt¡ïnbncn¡p¶p. kqcym
LmX¯nsâ e£W§fmb DbÀ¶ icoc Xm]am\w,
£oWw A\p`hs¸SpI, akn {Imwkv DïmIpI,
XethZ\ DïmIpI, Uosslt{Ujsâ tcmKe£W
§Ä DïmIpI CsXÃmw Xs¶ {]tXyI {i² ]Xn¸n
t¡ï Imcy§fmWv. AYhm kqcymLmXw DïmIp¶

coXnbnte¡v CXv F¯pIbmsW¦n F{Xbpw s]s«¶v XWp¸pÅ
apdnbnte¡v amäpIbpw [mcmfw shÅwIpSn¡p¶ AhØ Dïm
¡pIbpw I«nbpÅ hkv{X§Ä DucnamäpIbpw Hs¡ sNt¿ï
Xmbn«pïv. F{Xbpw s]s«¶v kqcymLmXw G¡p¶ hyànsb
Bip]{Xnbn F¯n¡p¶Xn\pw \mw {i² ]Xn¸nt¡ïnbncn¡p¶p.
CtXmsSm¸w DbÀ¶ Xm]am\w A\p`hs¸Sp¶ {]tZi§fnseÃmw
Xs¶bpw IqfnwMv sjÂtägv-kv Asæn Xm]w Ipdbv¡p¶
hn{iatI{µ§Ä krãnbv¡pI F¶ ]²Xnbpw Bhnjv-¡cnt¡ïn
bncn¡p¶p.

aäv tcmK§Ä ]SÀ¶p ]nSn¡p¶ Hcp ImeL«w IqSnbmWv th\
¡mew. tIcf¯n BIam\w Nn¡³t]mIv-kv hym]Iambn
]Scp¶p F¶v \mw {]tXyIw Xncn¨dntbïXmbn«pïv. C¯cw tcmK
§Äs]m«n¸pds¸Spt¼msfms¡hymPNnInÕbpwhymPktµi§fpw
hym]Iambn {]Ncn¸n¡s¸Sp¶p F¶pÅXpw {]kàamWv.

Nn¡³t]mIv-knsâ tcmKe£W§Ä: icocthZ\, XethZ\,
icoc¯v apJ¡pcp t]msebpÅ s]m¡Â, tZl¯v sNmdn¨nepïm
IpI F¶nhsbÃmw Nn¡³t]mIv-knsâ tcmKe£W§fmWv.
tcmKe£W§Ä Iïm BZyZnhk§fn Xs¶ BânsshdÂ
acp¶mb Asskt¢mhoÀ IrXyamb tUmkn Bcw`n¡pIbmsW
¶psï¦n GXm\pw Znhk§Ä¡Iw Xs¶ ]cn]qÀ®ambn ia\
apïmIp¶ tcmKamWv Nn¡³t]mIv-kv. F¶m Nn¡³t]mIv-knsâ
NnInÕ e`yaà F¶pw shdptX t`ZamIp¶ tcmKamWv F¶pw
Hs¡bpÅ hym]Iamb {]NcW§Ä Ct¸mgpw XpScp¶pïv.
Nn¡³t]mIv-kn\v hmIv-knt\j³ C¶v e`yamWv. Nne BÄ¡mcnÂ
Asskt¢mhoÀ acp¶pXs¶ {]Xntcm[¯n\v D]tbmKn¡mhp¶
XpamWv. Cu NnInÕm coXnsb¡pdn¨pÅ Aht_m[w IqSpXÂ
BÄ¡mcnte¡v F{Xbpw s]s«¶v Ft¯ïXmbn«pïv.

th\¡mew XpS§pt¼mÄ Xs¶ ASp¯ ag¡mew DïmIpt¼m
Ä s]m«n¸pds¸Sm³ km[yXbpÅ ag¡metcmK§sf¡pdn¨pÅ
{]n¸tdj\pw Bcw`nt¡ïnbncn¡p¶p.

sU¦n¸\nbpw sshd ^ohdpw Nn¡³Kp\nbbpw Hs¡¯s¶
ASp¯ ag¡me¯v DïmIm\pÅ km[yX XÅn¡fbm\mInÃ.
{]tXyIn¨v sU¦n¸\n Cs¡mÃw hym]IamIm³ km[yXbpïpXm
\pw. AXn\mÂXs¶ ag¡me ]qÀÆ ip²oIcW {]{InbIÄ Cu
th\¡me¯pXs¶ Bcw`n¡pIbpw hnZymÀ°nIÄ¡v AXnÂ
s]mXphmb ]¦mfn¯w Dd¸m¡pIbpw sNt¿ïXmbn«pïv. BtcmKy
hIp¸v IqSmsX Xt±i kzbw`cW Øm]\§fpsS taÂt\m«hpw
]nU»yqUn hIp¸nsâ {]hÀ¯\§fpw FÃmw GtIm]n¸n¨psImïv
ag¡me tcmK§Ä XSbnSp¶Xn\pw \mw {]hÀ¯\§Ä Bcw`n
t¡ïnbncn¡p¶p.

CXv sImSnb th\Â. Cu sImSnbth\epw tIcfw AXnPohn¡pw.
Hcpan¨v Häs¡«mbn imkv{Xob NnInÕm amÀ¤§fneqsS...

kv-t\lmZc§tfmsS

\½p-sS B-tcm-Kyw | amÀ¨v 2019 9

temI2019hamÀr¡¨v 14-Zn\w

tUm. Pb´v tXmakv amXyq ?F´psIm­v
s{]m^kÀ & slUv
s\t{^mfPn tIcf¯n­IqSpX­
Aae C³Ìnäyq«v Hm^v
saUn¡Â kb³kkv hr¡tcmKnIÄ
XrÈqÀ
Ømbnbmb hr¡ kvXw`\w Hcp Znhkw
teJI³ hr¡tcmK sImïv kw`-hn-¡p¶ H¶-Ã. Ime-{I-ta-W
\nÀ®bw, {]Xntcm[w, \½psS ico-cs¯ Iogvs¸-Sp-¯p¶ Hcp tcmK-
NnInÕ XpS§nbhsb¡p amWv hr¡-tcm-Kw.
dn¨v At\Iw teJ\§Ä
FgpXnbn«pïv. ]e Sn hn Ipd¨p hÀj-§Ä ap¼v temI-P-\-X-bpsS
Nm\epIfn {]`mjW§fpw CS-bn 10% Dïm-bn-cp¶ hr¡-tcmKw C¶v GI-
tNmtZym¯c ]cn]mSnIfpw tZiw 14 iX-am-\-ambn DbÀ¶n-cn-¡p-¶p. 40 hb-
\S¯nbn«pïv. Ên\p XmsgbpÅ-h-cnepw Cu tcmKw C¶p
hr¡Isf kwc£n¡pI, kÀÆ-km-[m-c-W-ambn ImW-s¸-Sp-¶p. {]talw
hr¡tcmKnIÄ¡pÅ DbÀ¶ cà-k-½À±w, Pohn-X-ssi-en-bnse amä-
]mNIhn[nIÄ XpS§nb §Ä, hymbm-a-¡p-dhv Ch-sbÃmw hr¡-tcmKw
]pkvXI§Ä FgpXnbn Dïm-¡p-¶-Xn\v CS-bm-¡p-¶p.
«pïv. bpSyq_neqsSbpw aäv
tkmjy aoUnbbneqsSbpw ]sïms¡ AWp-_m-[sb XpSÀ¶p-ïm-Ip¶
hr¡tcmK t_m[h¡cW ho¡-am-bn-cp¶p (Glomerulonephritis) hr¡-kvXw-`-
]cn]mSnIÄ \S¯p¶pïv. \-¯nsâ {][m\ Imc-Ww. F¶m C¶v {]ta-
'Rays of hope' F¶ hoUntbm lhpw DbÀ¶ càk½À±-hp-amWv 65% hr¡-
tUmIypsaâdn X¿mdm¡n tcm-K-§-fp-sSbpw Imc-Ww. {]ta-l-¯nsâ Xe-
bn«pïv. C´ybnepw hntZi Øm-\-amb tIc-f-¯n hr¡-tcm-Kn-I-fpsS
¯pw At\Iw {]`mjW§Ä F®w {Iam-Xo-X-ambn hÀ[n-¨p-h-cp-¶p.
\S¯nbn«pïv. \yq UÂln
bn \n¶v 2015  Health care

excellence in Nephrology

AhmÀUpw e`n¨n«pïv.

jaymatz88[email protected]
Ph: +91 9349741578

10 \½p-sS B-tcm-Kyw | amÀ¨v 2019

{]talw

tZiobXe-¯n 8% P\-§Ä
{]ta-l-_m-[n-X-cm-Wv. F¶m tIc-
f-¯n-em-Is« 20% P\-§Ä {]ta-l-
¯m he-bp-¶p. ]«-W-¯n-ep-Å-h-
sc-t¸mse {Kmao-W-cnepw {]ta-l-
¯nsâ Afhv IqSn-h-cp-¶p. am{X-a-Ã,
tIc-f-¯nse {]ta-l-tcm-Kn-I-fn 60
iXam\¯ne[nIw t]cnepw {]ta
lw \nb-{´-W-¯n-e-Ã. CXp-Im-cWw
hr¡-tcm-Khpw lrt{Zm-Khpw hfsc
A[nIw Iïp-h-cp-¶p.

aäv P\-§sf At]-£n-¨v, tIc-f-¯n {]talw GI-tZiw 10 hÀjw t\c
s¯ Iïp-h-cp-¶p. am{X-hp-a-Ã, saenª ico-c-{]-Ir-Xn-bp-Å-h-cnepw {]talw
Iïp-h-cp-¶p. AXn-\m ]e-t¸mgpw P\-§Ä AhÀ¡v {]ta-l-ap-sï¶v Adn-bp-
¶n-Ã. Adn-ªm AXv hniz-kn-¡p¶p-an-Ã.

DbÀ¶ cà-k-½À±w

e£-W-§-sfm-¶p-an-Ãm¯ Cu AhØ
hr¡-tcm-K-¯nsâ Hcp {][m\ Imc-W-amWv.
C´y-bn icm-icn 17-þ20% P\-§-fn DbÀ¶
cà-k-½À±w Dïv. F¶m tIc-f-¯nÂ
35-þ40% P\-§-fn DbÀ¶ cà-k-½À±w Iïp-
h-cp-¶p.

DbÀ¶ cà-k-½À±w DÅ-h-cn ]IpXn
t]cpw AXp-sï¶p Adn-bp-¶n-Ã. Adn-bp-¶-h-
cn ]IpXn t]À am{Xta NnInÕ tXSp-¶p-
Åp. NnIn-Õn-¡p-¶-h-cn ]Ip-Xn-t]À am{Xta
\nb-{´-W-¯n-ep-Åp. AXn-\m hen-sbmcp
kwJy P\-§fpw \nb-{´-Wm-Xo-X-amb cà-k-
½À±w aqew hr¡-tcm-Kn-I-fmbn amdp-¶p.

tIc-f-¯n C{Xbpw A[nIw cà-k-½À±
tcmKn-IÄ Dïm-Im³ Hcp {][m\ ImcWw
D¸nsâ Aan-X-amb D]-tbm-K-am-Wv. Hcp Znhkw
\ap¡v Bhiyw GI-tZiw 5 {Kmw D¸mWv.
F¶m Hcp icm-icn ae-bmfn Znh-khpw
Ign-¡p-¶Xv 20-þ30 {Kmw D¸m-Wv. A¨m-dv, ]¸-Sw,
D¸n-en« ]ZmÀ°-§Ä, t_¡dn ]e-lm-c-§Ä,
]nÊm, _ÀKÀ XpS-§n-b-h-bn D¸nsâ Afhv
hfsc A[n-I-am-Wv. IqSmsX ]¨-¡-dn-I-fpsS
D]-tbm-Khpw Ipdªp hcp-¶p. Ch-sbÃmw cà-k-½À±w Iq«p-Ibpw hr¡-tcm-K-¯n-
te¡p \bn-¡p-Ibpw sN¿p-¶p.

\½p-sS B-tcm-Kyw | 2019 amÀ¨v 11

temI2019hamÀr¡¨v 14-Zn\w

hymbmaw kvXw-`-\-¯n\p Imc-W-am-Ip-¶p. am{X-a-Ã,
thZ-\-I-fpsS ImcWw Adn-bmsX kzbw
Ime-¯nsâ ]ptcm-KXn A\p-k-cn¨v NnIn-Õn-¡p-t¼mÄ Nne-t¸mÄ amc-I-amb
kuI-cy-§Ä IqSp-Ibpw imco-cn-I-amb Akp-J-§Ä Iïp-]n-Sn-¡-s¸-SmsX
A[zm-\-¯nsâ Bhiyw Ipd-bp-Ibpw t]mIp-¶p.
sN¿p-¶p. sNdnb Zqcw t]mI-W-sa-¦nepw
Bcpw C¶p \S-¡p-I-bn-Ã. ss_¡v,
Hmt«m, ImÀ AsÃ-¦n bq_À SmIvkn
D]-tbm-Kn-¡pw. Hcp sI«n-S-¯nsâ cïv
\ne Ib-d-W-sa-¦n en^väv D]-tbm-Kn-
¡pw. C¶v InW-än \n¶v shÅw
tImtc-ï Bh-iy-an-Ã. sNdnb Cu
hymbm-a-§Ä ae-bm-fn-I-fn C¶v CÃm-
Xm-Ip-¶p. CXv Pohn-X-ssien tcmK§Ä
Dïm-Im³ km[yX Iq«p-Ibpw hr¡-tcm-
K-¯nsâ km[yX hÀ[n-¸n-¡p-Ibpw
sN¿p-¶p.

A\m-hiy acp-¶p-IÄ

kzbw NnInÕ tIc-f-¯n hfsc
A[nIw Iïp-h-cp-¶p. sNdnb ]\n,
Xe-th-Z\ XpS-§nb-hbv¡v tUmIvSsd
ImWmsX saUn-¡Â tjm¸n t]mbn
thZ-\-kw-lm-cn-IÄ Ign-¡p-¶p. Aan-X-
amb Cu acp-¶p-I-fpsS D]-tbmKw hr¡-

12 \½p-sS B-tcm-Kyw | amÀ¨v 2019

CâÀs\äv, tkmjy aoUnb
tUm. KqKnÄ

tIc-f-¯n hr¡-tcmKw am{X- iz-^-e-§Ä Dïv. AXnsâ KpW
a-Ã, aäp ]e tcmK-§Ä A[n-I- hpw tZmjhpw Adn-ªn-«mWv Hcp
ambn Iïp-h-cm³ ImcWw bq tUmIvSÀ acp¶p sImSp-¡p-¶-Xv.
Syq_n-epw, hmSvkv B¸nepw hcp-¶ F¶m hfsc A]qÀÆ-amb ]mÀ
]e sXämb \nÀt±-i-§-fm-Wv. iz-^ew ImcWw acp¶p Ign-¡m-sX-
]e Akp-J-§Ä¡pw, {]tXy-In¨v bn-cn-¡p-Ibpw AXn-\m tcmKw
{]ta-l-¯n\pw DbÀ¶ cà-k-½À±- aqÀÑn-¡p-Ibpw sN¿p¶ AhØ
¯n\pw "tjmÀ«v I«v' NnInÕm A[n-I-ambn Iïp-h-cp-¶p.
amÀ¤-§Ä {]N-cn-¨p-h-cp-¶p. {]ta
lw AI-äm³ Hä-aq-en-IÄ Dsï¶v C§-s\-bpÅ ]e Imc-W-§Ä
sXämb \nÀt±-i-§Ä hcp-t¼mÄ, sImïv tIc-f-¯n hr¡-tcm-K-
]e-t¸mgpw AXn P\-§Ä hniz- ¯nsâ Afhv hÀ[n-¨p-h-cp-¶p.
kn-¡p-Ibpw icn-bmb NnInÕ \nÀ
¯p-Ibpw sN¿p-¶p. CXv hfsc {]ta-lhpw DbÀ¶ cà-k-½
A]-I-S-I-c-am-Wv. À±hpw \nb-{´n-¡p-I, hymbmaw
sN¿p-I, Bh-iy-an-Ãm¯ thZ-\m-
]e-t¸mgpw Hcp tUmIvSsd kw-lm-cn-IÄ Hgn-hm-¡p-I, tUmIvS-
ImWm³ t]mIp-¶-Xn\p ap¼v dpsS \nÀt±i {]Imcw acp¶v Ign-
CâÀs\-än t]mbn ]e Imcy- ¡p-I, tkmjy anUnbsb
§fpw tcmKn-IÄ ]Tn-¡p-¶p. tcmK- A[n-I-ambn B{i-bn-¡m-Xn-cn-¡p-I,
hn-hcw Adn-bp-¶Xv \Ã-Xm-sW-¦n- \ne-hmcw Ipdª acp-¶p-IÄ D]-
epw, ]e-t¸mgpw sXämb hnh-c- tbm-Kn-¡m-Xn-cn-¡p-I, hÀj-¯n-sem-
§fpw In«p-¶p. CXp-Im-cWw Hcp cn-¡-se-¦nepw hr¡ tcmK-aptïm
ap³hn-[n-tbmSp IqSn-bmWv F¶v ]cn-tim-[n-¡p-I, hr¡-Isf
tUmIvSsd ImWp-¶-Xv. AXn-\m kwc-£n-¡pI F¶m hr¡-IÄ
tUmIvS-dpsS \nÀt±-i-§Ä \n§-sfbpw kwc-£n-¡pw.
]qÀ®-ambn kzoI-cn-¡p-¶n-Ã. FÃm
acp-¶p-IÄ¡pw A]qÀÆ-amb ]mÀ \½p-sS B-tcm-Kyw | 2019 amÀ¨v 13

tUm. lcntKmhnµv s]mXntbS¯v temI2019hamÀr¡¨v 14-Zn\w
ko\nbÀ I¬kÄ«â v
No^v bqtdmfPnÌv & hr¡­amän-h-bv¡Â­
{Sm³kv¹mâ v kÀP³
ikv{X-{In-b-bpsS­­
sNbÀam³ þ ssa BÀ«v (MIART) \qX\­km[y-X-IÄ
sat{Sm tlmkv]näÂ
tImgnt¡mSv Cu hÀjs¯ amÀ¨v 14 BWv. "Kidney
Health For Everyone EveryWhere'' F¶XmWv Cu
tUm. IrjvWtaml³. BÀ hÀjs¯ hr¡Zn\ ktµiw.
ko\nbÀ I¬kÄ«â v
bqtdmfPnÌv & GhÀ¡pw Btcm-Ky-apÅ InUv\n F¶
Bi-bs¯ ap³\nÀ¯n-bmWv \mw Cu
{Sm³kv¹mâ v kÀP³ hÀjs¯ temI hr¡-Zn\w BN-cn-¡p-¶-Xv.
UbdIvSÀ þ ssa BÀ«v (MIART) ico-c-¯nse B´-cnI Ah-b-h-§-fnÂ
sat{Sm tlmkv]nä Gähpw {]m[m\yaÀln-¡p¶ Ah-b-h-amWv
tImgnt¡mSv hr¡. ico-c-¯nse amen-\y-§Ä Acn¨p
amän Ahsb ]pd-´-ÅpI F¶-XmWv hr¡-
14 \½p-sS B-tcm-Kyw | amÀ¨v 2019 bpsS {][m\ [À½w. AXp-sImïv Xs¶
hr¡-I-sf-¸-änbpw Ah-bpsS {]hÀ¯-\-§-
sf-¸-änbpw Ahsb _m[n-t¨-¡m-hp¶ Akp-
J-§-sf-¡p-dn¨pw Adn-ªn-cn-t¡-ïXv AXy-
´m-t]-£n-X-am-Wv. ]IÀ¨-hym[n AsÃ-
¦nepw 10-þ HcmÄ¡v F¶ tXmXn hr¡
tcmK-§Ä Gdn-h-cp¶p F¶-XmWv ØnXn
hnhc IW-¡p-IÄ. Zn\w-{]-Xn-bpÅ \½psS
Pohn-X-ssi-en-Ifpw `£-W-co-Xn-Ifpw
Chbv¡v Imc-W-am-tb-¡mw. AXp-sImïv
Xs¶ hr¡-kw-c-£-W-¯nsâ {]m[m\yw
\n§-fn-te-s¡-¯n-¡pI F¶-XmWv Cu
Zn\m-Nm-c-W-¯nsâ BXy-´nI e£yw.

hr¡bntem, aq{X hmln\n¡pgepI [mcmfw shÅw IpSn-¡pI F¶-
fntem XSÊw krãn¡p¶ IÃpIfpw, XmWv hr¡-kw-c-£-W-¯n\v \ap
X·qew Dïmtb¡mhp¶ AWp_m[ ¡v sN¿m-hp¶ Gähpw efn-Xhpw
F¶nh XmXvImenIambn hr¡bpsS {]mtbm-Kn-I-hp-amb Imcyw. IÃp-tcm-
{]hÀ¯\s¯ kvXw`n¸nt¨¡mw. Ch K-§fpw AWp-_m-[bpw kÀÆ-km-
IqSmsX saUn¡Â do\Â Unkokv [m-c-W-am-sW-¦nepw Bb-Xn-\p-thï
F¶ ImcW¯memWv `qcn`mKw NnInÕ X¡-k-a-b¯v \ÂIn-bn-
tcmKnIfpw Ubmenknkn\pw, hr¡ sÃ-¦n hr¡-Isf Ch Aan-X-ambn
amänhbv¡Â ikv{X{Inb¡pw Xs¶ _m[n-¡pw. Ch-bpsS NnInÕ
hnt[bcmhp¶Xv. X¡-k-a-b¯v sNbvXm Hcp ]cn-[n-
hsc hr¡-tcm-K-§Ä XS-bmw. Pohn-
Pohn-X-ssien tcmK-§-fmb {]ta-lw, X-ssien tcmK-§-fpsS \nb-{´
càm-Xn-k-½À±w, lrt{ZmKw XpS-§n-b- Whpw Ah-iy-L-S-I-am-Wv. Imem-\p-
hbpw hr¡-bpsS {]hÀ¯-\s¯ Imcy- kr-X-amb saUn-¡Â ]cn-tim-[-\-
ambn Xs¶ _m[n-t¨-¡mw. {]hÀ¯-\-c- IÄ AÀ_pZw t]mepÅ amc-I-tcm-
ln-X-amhpI F¶ hr¡-bpsS Ah-Ø- K-§sf {]mcw-`-L-«¯n Isï-
sb-bmWv C.K.D AYhm Chronic ¯p-hm\pw thï NnIn-Õ-IÄ bYm-
Kidney Disease. cà-¯nse {Inbm-än³, Imew t\Sp-hm\pw klm-bn-¡p-¶p.
bqdn-b, s]m«m-kyw, tkmUnbw XpS-§n- ta¸-dª coXn-IÄ ]men-¡-s¸-
b-h-bpsS Af-hnse hyXn-bm\w t\m¡n- «m hr¡-tcm-K-§-fn \n¶pw
bmWv hr¡-I-fpsS {]hÀ¯-\s¯ XpSÀ¶v kw`-hn-t¨-¡m-hp¶ `hn-jy-
hne-bn-cp-¯p-¶-Xv. AÄ{Sm-kuïv, kn.Sn ¯p-I-fn \n¶pw \ap¡v c£-
kvIm³, sFskm-tSm¸v XpS-§nb t\-Smw.
]cn-tim-[-\-Ifpw hr¡-bpsS {]hÀ¯-\-
£-a-Xsb IqSp-XÂ a\-Ên-em-¡m³ hr¡-tcm-K-§-sf-¡p-dn-¨pÅ Ah
klm-bn-¡p-¶p. t_m[w am{X-aà Ahbv¡v thïp¶
{]Xn-tcm[ amÀK-§fpw sshZy-
imkv{X cwKs¯ \qX\ kmt¦-
XnI hnZy-Isf Ipdn-¨p-apÅ t_m[-
h-XvI-cWw sImïv am{Xta
tcmKn-I-fpsS F®w KWy-ambn Ipd-
bv¡p-hm³ km[n-¡p-I-bp-Åq.

\½p-sS B-tcm-Kyw | 2019 amÀ¨v 15

ZmXmhv kzoIÀ¯mhv

hr¡ amän-h-bv¡Â ikv{X-{Inb ïn-h-cpw. Xpd¶ ikv{X-{Inbm ka-b
tcmKnsb kw_-Ôn¨v Pohn-X-¯n-te- ¯v t]in-IÄ¡v £Xw kw`-hn-t¨-¡mw.
¡pÅ Xncn-¨p-h-c-hm-Wv. B[p-\nI IqSp-XÂ cà-\-jvSw, IqSp-XÂ thZ-\,
Ime-L-«-¯n ikv{X-{Inb F¶m càw kzoI-cn-t¡ïn hcn-I, IqSp-XÂ
apgp-h-\mbpw Xpd¶p sN¿pI F¶-Xn Znhkw Bip-]-{Xn-hm-kw, apdn-
\n¶pw Xmt¡mÂZzmc ikv{X-{Inb hp-W-§m-\pÅ Ime-Xm-akw XpS-§n-
F¶ k¦Â¸-¯n-te¡v amdn-bn-cn-¡p- bh \nc-h[n IS-¼-IÄ IS-t¡-ïn-bn-cn-
¶p. hr¡-am-än-h-bv¡Â ikv{X-{In- ¡p-¶p. F¶m Xmt¡mÂZzmc ikv{X-
bm-cw-K¯pw ØnXn adn-¨-Ã. F¶m {In-b-bn CsXÃmw A\m-b-k-I-c-ambn
ta¸-dª kmt¦-XnI hnZy-bn ]qÀ¯n-bm-¡m³ Ign-bpw. X·qew
ikv{X-{Inb sN¿p¶ tUmIvSÀam-cpsS tcmKn¡v Xsâ ssZ\w-Zn\ {]hÀ¯n-I-
F®w hnc-en F®m-hp-¶Xv am{X-am- fn-te¡pw XpSÀ¶v Ime-Xm-akw
Wv. ZmXm-hnepw kzoIÀ¯m-hnepw IqSmsX Xsâ tPmen-I-fn-te¡pw {]th-
sN¿p¶ Xmt¡mÂZzmc ikv{X-{Inb in-¡phm\pw Ign-bpw. BbXv B IpSpw-
tcmKn-tbm-sSm¸w Ah-cpsS IpSpw-_- _-¯nsâ am\-knI kzØ-Xbv¡pw
¯n\pw Bizm-k-I-c-am-Wv. henb km¼-¯nI `{Z-Xbv¡pw B¡-ta-äpw.
apdn-hp-IÄ Dïm-hn-Ã, Ipdª Bip-] F¶m C¶pw Cu \qX\ kmt¦-XnI
{Xn hmkw, cà-\jvSw Dïm-hnà hnZy-I-sf-¡p-dn-¨pÅ AÚ-X-aqew
XpS-§n-bh tcmKn¡v Bizm-k-I-c-am-bn- X§-fnse tcmKs¯ t\cn-Sm³ Ign-
cn-¡pw. Hcp-]t£ Xpd¶ ikv{X-{Inb bmsX t]mIp-¶p. C¶pw Xpd¶
At]-£n¨v sam¯w Nnehv Xmt¡m ikv{X-{In-bm-co-Xn-Isf B{i-bn-¡p-¶-h-
Zzmc ikv{X-{In-bbv¡v IqSp-X-em-sW¶v cmWv `qcn-`m-K-hpw. AÚ-Xtbm sXän-
tXm¶m-sa-¦nepw Xpd¶ ikv{X-{In-b- ²m-c-Wtbm Hcp ]s£ CXn\p Imc-W-
bpw, Xmt¡m Zzmc ikv{X-{In-bbpw am-tb-¡mw. ImenI {]k-à-amb amä-
Xmc-Xayw sNbvXm anI¨ ikv{X- §Ä Cu taJ-e-bn A\n-hm-cy-am-Wv.
{Inb Xmt¡m Zzmc-am-sW¶v ]d-tb-

16 \½p-sS B-tcm-Kyw | amÀ¨v 2019

Xmt¡m Zzmc ikv{X-{In-b-bpsS KpW-§Ä

]pcp-j-·m-cnÂ:þ

t]in-I-fn apdn-hp-ïm¡n B´-
cnI Ah-b-h-amb hr¡ ]pd-s¯-Sp-
¡p-t¼mÄ henb apdn-hp-ïm-hp-
Ibpw ]n¶o-SpÅ imco-cn-I-£-aX
Ipd-bp-Ibpw apdn-hp-W-§m³ IqSp-
XÂ kabw FSp-¡p-Ibpw 3 apXÂ
6 amkw hsc hn{i-ahpw Xpd-¶pÅ
ikv{X-{In-b-bpsS {]Xym-Lm-X-am-
Wv. Ch-sbÃmw km¼-¯nI
]cm-[o-\-Xbv¡p Imc-W-am-Ip-¶p.
F¶m Xmt¡mÂZzmc ikv{X{InbbneqsS hfsc sNdnb apdnhv
ASnhbdn Dïm¡n hr¡ apgph\mbn kq£vaXtbmsS ]pds¯
Sp¡p¶p. CXv t]in-I-fn AanX£X-ta¸n-¡p-I-bn-Ã. hfsc
Ipdª thZ-\-bn A{]-[m\ t]in-IÄ Bb-Xn-\m imco-cnI £a-
Xbv¡v henb coXn-bn tIm«w X«p-I-bn-Ã. sNdnb apdn-hm-b-Xn-\mÂ
cà-w \jvSw, AWp-_m[ F¶n-hbv¡pw km[yX hfsc Ipd-hm-Wv.

kv{XoI-fnÂ:þ

kv{XoI-fmWv `qcn-`m-Khpw hr¡-Zm-Xm-¡-fmbn apt¶m«p hcm-dp-Å-Xv.
apdn-hn-ÃmsX hr¡ ]pd-s¯-Sp-¡p¶ ikv{X-{Inb sN¿p¶ tI{µ-§Ä

C¶v tIc-f-¯n hfsc
Ipd-hm-Wv. tbm\n-bn-eqsS
hr¡ ]pd-s¯-Sp-¡p-¶-Xn-
\m (Notes) _mly-
amb apdn-hp-IÄ H¶pw Xs¶
Dïm-bn-cn-¡p-I-bn-Ã. GI-
tZiw 50-þ-Hmfw ikv{X-{In-b-
IÄ hnP-b-I-c-ambn ]qÀ¯o-
I-cn-¡p-hm³ \½psS
kwL-¯n\v Ign-ªn-«p-ïv
F¶Xv R§-fpsS am{Xw
khn-ti-j-X-bm-Wv.

\½p-sS B-tcm-Kyw | 2019 amÀ¨v 17

tdmt_m-«n¡v ikv{X-{In-b-

temI2019hamÀr¡¨v 14-Zn\w bqtdmfPn, s\t{^mfPn, A\
kvtXjy AS§p¶ saUn¡Â
tdmt_m-«n¡v ikv{X-{In-b-bn kwL¯nsâ Iq«mb ITn-\m-[zm-
kÀP³ Dt±-in-¡p¶ GXv \-t¯m-sSm¸w InS-]n-Sn-¡p¶
tImWn-te¡pw Ic-§Ä Nen-¸n kmt¦-XnI hnZy-bpsS XnIhpw
¡mw F¶-Xn-\m F{X k¦oÀ H¶n-¡p-t¼mÄ tcmKn Xsâ
®-amb ikv{X-{Inb Bbm-epw, PohnXw Xncn-¨p-]n-Sn-¡p-I-bm-Wv.
P\n-XI sshI-ey-§-tfm, aäv a\w aSp-¸n-¡p¶ Ubm-en-kn-
{]iv\-§tfm DÅ hr¡-I-fm- kn \n¶pw acp-¶p-I-fn \n
bmepw ]cn-NnX Ic-§-fm ¶pw tamN\w t\Sp-hm-\pw, ]p
ikv{X-{Inb hnP-b-I-c-ambn ]qÀ Xnb Hcp Pohn-X-¯n-te¡v Nph-
¯n-bm-¡p-hm³ km[n-¡pw. Sp-sh-bv¡m\pw CXp-hgn km[n-
¡p-¶p.
kzoIÀ¯m-hn\v tdmt_m-«nIv
ikv{X-{In-b-bn-eqsS sNdnb F¶m ]p¯³ kmt¦-Xn-I-
Zzmcw hgn hr¡ hb-dn \nt£- hn-Zy-bpsS ]cn-Wmaw Hcp-]s£
]n-¡p-Ibpw kq£va-ambn Xp¶n- kao-]-`m-hn-bn Ir{Xn-a-ambn
t¨À¡p-¶-Xn\pw DÅ kmt¦- hr¡-IÄ \nÀ½n-t¨-¡mw. Ie-I-
XnIhnZy Ct¸mÄ e`y-am-Wv. fn \n¶pw hnI-kn-¸n-s¨-Sp-
F¶m Cu kwhn-[m-\-s¯-¡p- ¡p¶ Snjyp-IĨÀ coXn-bnÂ
dn¨v ]ecpw C¶pw AÚ-cm-Wv. Ir{Xna hr¡-bpsS \nÀ½m-Whpw
Cu \qX\ kwhn-[m\w hr¡ ]co-£-Whpw \S-¡p-¶p. AXp
amän-h-bv¡Â ikv{X-{In-b-sb -t]mse Xs¶ Hcp sNdnb
hfsc hyà-X-tbm-sSbpw IrXy- b{´w hr¡bv¡v ]Icw B
X-tbm-sSbpw sN¿p-hm³ klm- [À½w Gsä-Sp-¡m³ ]cym-]vX-
bn-¡p-¶p. F¶m aäp ikv{X- amb coXn-bn LSn-¸n-¡p-¶-Xn-
{In-b-I-fpsS A{Xbpw Xs¶ \pÅ ]co-£-W-§fpw ]ptcm-K-an-
A]-I-S-km-[yX \ne-\n¡p-¶- ¡p-¶p. ta¸-dª ]co-£-W-
XmWv hr¡ amän-h-bv¡Âikv{X- §Ä bmYmÀ°y-am-¡p-hm³ Ign-
{Inbm F¦n-epw, B[p-\nI ªm hr¡ amän-h-bv¡Â
ikv{X-{Inb kmt¦-XnI hnZy-I- ikv{X-{Inbm F¶ k¦Â¸w
fpw, ]cn-Nn-X-amÀ¶ Ic-§fpw Xs¶ amdn-tb-¡mw.
H¶p tNcp-t¼mÄ F{X k¦oÀ
®-amb ikv{X-{In-bbv¡pw
hnPbw kp\n-Ýn-X-am-Wv

18 \½p-sS B-tcm-Kyw | amÀ¨v 2019



tUm. ]n. F. efnX kvX\mÀ_pZw

{_Ìv ¢n\n¡v C³NmÀÖv
ae_mÀ tlmkv]näÂ
tImgnt¡mSv

Bcw`¯nte Xncn¨dnbq,
icnbmb NnInÕ tXSq..

hnhcWw X¿mdm¡nbXv kv{XoIfpsS amdnS¯nsâ `wKnbmWtÃm
{ioaXn. Cµnc XpdhqÀ Ahsc icoc kuµcy¯n {it²bam¡p¶
Hcp {][m\ LSIw. kv{Xo kvX\ kuµcyw
Cãs¸Sm¯ ]pcpj·mcpw DïmInÃ. kvX\
kuµcyw \ne\nÀ¯Wsa¦n kv{XoIÄ
Adnªncnt¡ï ]e Imcy§§fpapïv.

IrXyambn t\ct¯bpÅ Iïp]nSn¡epw
icnbmb NnInÕbpapsï¦n ]qÀWambpw
t`Zam¡m³ km[n¡p¶ AkpJamWv
kvX\mÀ_pZw. kvX\mÀ_pZw tcmKs¯
¡pdn¨pÅ AdnhnÃmbvabpw ]cntim[\IÄ
IyXyambn \S¯m¯XpsImïpamWv Cu
tcmKw t\cs¯ Xncn¨dnbm¯Xv. A¼Xv
hbÊn\v apIfn {]mbapÅ kv{XoIÄt¡
kvX\mÀ_pZw hcq F¶ sXämb [mcW
kv{XoIÄ¡nSbnepïv. kvX\mÀ_pZw Gähpw
IqSpX ImWs¸Sp¶Xv ap¸¯nb©n\pw
A¼¯nb©n\pw CSbn {]mbapÅ
kv{XoIÄ¡mWv.

20 \½p-sS B-tcm-Kyw | amÀ¨v 2019

kzbw kvX\ ]cntim[\

kvX\mÀ_pZw Bcw`¯nte Xs¶ kzbw Iïp]nSn¡m³ Ignbp¶
Gähpw efnXamb amÀKamWv kzbw ]cntim[\ (s{_Ìv skÂ^v
FIvkmant\j³). {]mb]qÀ¯nbmb FÃm kv{XoIfpw amk¯nsemcn
¡se¦nepw kzbw kvX\ ]cntim[\ \S¯Ww. BÀ¯hw Ignªv
HcmgvNbv ¡Iw kzbw ]cntim[\ sN¿p¶XmWv \ÃXv. sXm«p sIm­
ïpÅ ]cntim[\ \n¶psImtïm InS¶p sImtïm sN¿mw. ssIbnse
s]cphnc HgnsIbpÅ \mev hncepIÄ sImïmWv ]cntim[\ \St¯­
ïXv. CSXv ssIhncepIÄ sImïv het¯ kvX\¯nepw AXn\v Npän
\pw arZphmbn AaÀ¯n hr¯mIrXnbn Nen¸n¨psImïv ]cntim
[n¡pI. XSn¸pItfm IÃnt¸m apgItfm Dtïm F¶mWv ]cntim[nt¡­
ïXv. tijw heXp ssIhncepIÄ sImïv CSXv kvX\hpw ]cntim
[n¡pI. Ch IqSmsX I£¯nepw Fs´¦nepw IÃnt¸m XSnt¸m Dtïm
F¶v ]cntim[n¡pI. InS¶v ]cntim[n¡pt¼mÄ AXXp hi¯pÅ
tXmfnsâ ASnbn Hcp sNdnb XebnW sh¨m ]cntim[\ IqSpXÂ
IrXyambn Adnbphm³ km[n¡pw.

\nco£W¯neqsS kvX\ NÀa¯nse \ndt`Zw, kvX\¯nsâ
BIrXnbntem hen¸¯ntem DÅ amä§Ä, apesR«pIÄ Hcpt]mse
bmtWm, DÅnte¡v henªn«ptïm Fs¶Ãmw Hcp I®mSnbpsS ap¶nÂ
\n¶v ]cntim[n¡mw.

Bcw`L«¯n¯s¶ Isï¯nbm t`Zs¸Sp¯phm³ ]äp¶XmWv kvX\mÀ

_pZw. Ccp]Xn\pw ap¸¯nsbm¼Xv hbÊn\pw CSbn {]mbapÅhÀ cïv hÀj

¯nsemcn¡epw 40 hbÊn\v apIfnepÅhÀ hÀj¯nsemcn¡epw tUmÎsd Iïv

kvX\ ]cntim[\ \S¯Ww.

Bcw`L«¯n Xs¶ tcmKw Xncn¨dnbs¸SWsa¦n tcmKs¯¡pdn¨pw tcmK

e£W§sf¡pdn¨pw hyàamb [mcW DïmIWw. an¡hmdpw kv{XoIfpw tcmK

¯nsâ aq¶mat¯tbm \memat¯tbm L«¯nse¯pt¼mgmWv NnInÕ tXSmdp

ÅXv. dknU³kv Atkmkntbj\pIfnepw, kv­IqfpIfnepw t_m[hXvIcW ]cn]m

SnIÄ \S¡p¶psï¦nepw ho«½½mcn \sÃmcp iXam\w kv{XoIfpw Ct¸mgpw

CtX¡pdn¨v AÚcmWv. kvX\mÀ_pZs¯¡pdn¨pÅ kwib§Ä ]¦pshbv

¡mt\m Bi¦IÄ ZqcoIcn¡mt\m Cu hnjbs¯¡pdn¨v Xpd¶v kwkmcn¡mt\m

an¡hmdpw kv{XoIfpw hnapJX Im«p¶pïv. \½p-sS B-tcm-Kyw | 2019 amÀ¨v 21

tcmKe£W§Ä Iïp XpS§p Iymad FIvkvtd
¶Xn\p ap¼v Xs¶ hfsc Bcw` bqWnäv civanIÄ
ZibnepÅ kvX\mÀ_pZw Iïp
]nSn¡m\pÅ Gähpw anI¨ ^nenw
coXnbmWv amtam{K^n. hocyw t¹äv
Ipdª FIvkvtd IncW§Ä
kvX\¯neqsS IS¯nhn«mWv amtam{Kmw
]ncntim[\ \S¯p¶Xv.
BÀ¯hw Ignªv HcmgvNbv¡
IamWv amtam{K^n \St¯ïXv.
{]mbw Ipdª kv{XoIÄ¡v
tkmtWm{K^n ]cntim[\bpw
kzoImcyamWv.

ZiI§Ä¡v ap¼v kvX\mÀ_pZ kvX\§fpsS hen¸IqSpXÂ
NnInÕ F¶m kvX\w ]qÀWambn kv{XoIÄ¡v ]e _p²nap«pIfpw
\o¡w sN¿pI F¶Xmbncp¶p. Dïm¡mdpïv. km[mcWambn H¶v cïp
F¶m C¶v AXà ØnXn. t\ct¯ {]khhpw apebq«epw IgnªhcnemWv
Iïp]nSn¡m³ Ignªm XSn¸pw AanX kvX\hep¸w {]iv­\ambn
I£¯nse {KÙnIfpw am{Xw \o¡w ImWs¸Sp¶Xv. Igp¯n\pw tXmfn\pw
sNbvXm aXnbmhpw. IÃn¸nsâ hen¸w, thZ\, kvX\§fpsS ASnhi¯v sXmen
Øm\w, kvX\¯nsâ hen¸w, kvX\m Dcªps]m«pI, Øncambn AhnsS
À_pZ¯nsâ kz`mhw, {]mbw, ]e ^wKkv AWp_m[bpw DïmIpI
LSI§sf B{ibn¨mWv tUmÎÀamÀ F¶o BtcmKy {]iv\§fpw kv{Xo
A´na Xocpam\w FSp¡p¶Xv. IÄ¡nSbn DïmImdpïv. AanX
hep¸¯n\pw CSnª AhØbv¡pw
22 \½p-sS B-tcm-Kyw | amÀ¨v 2019 IqSnbpÅ ikv{X{InbbmWv {_Ìv
dnU£³ kÀPdn (hep¸w Ipdbv¡p¶
kÀPdn). Cu ikv{X{InbbneqsS
kvX\§fpsS hep¸w Ipdbv¡m\pw
kvX\kuµcyw hosïSp¡p¶Xn\pw
km[n¡pw.

kv{XoIfn am{Xaà ]pcpj·mcnepw
kvX\mÀ_pZw Iïphcp¶pïv. kvX\m
À_pZw XpS¡¯nse Xncn¨dnbphm³
]äp¶ imcocnI ]cntim[\IÄ,
amt½m{Kmw, kvX\ kuµcyw \ne\nÀ
¯p¶¯n\pthïn kvX\§fpsS
hen¸w Iq«p¶Xn\pw, Ipd¡p¶Xn\pw
thï kvX\ kuµcy ikv{X{Inb,
kvX\ ]p\À \nÀ½mWw F¶nh¡pÅ
hnZKv² tUmÎÀ·mcpsS tkh\w
Ct¸mÄ e`yamWv.

R§fpsS Hu«v t]jyâ v
¢n\n¡pIÄ Ct¸mÄ
sshIpt¶cw 7:30 hsc

Kochi Kerala
astermedcity.com | Tel: +91 484 6699999

\s«-Ãn-\pÅ
sshI-ey-§Ä

tUm. kptcjv Fkv ]nÅ \s«-Ãn\v km[m-cW ImWp¶ sshI-ey-
§Ä hf-hp-IÄ AYhm Scoliosis, Iq\-p-IÄ
tImgnt¡mSv t__n AYhm Keyphosis, hf-hp-Ifpw Iq\pIfpw
IqSn-bh AYhm Keyphoscoliosis, I®n-sX-
sat½mdnb ¶Â AYhm Spondylolisthesis, {]mbm-[nIyw
aqeapïmIp¶ Iq\p-Ifpw hf-hp-Ifpw,
tlmkv]näense ikv{X{Inbsb¯pSÀ¶pïmIp¶ hfhpIÄ
HmÀt¯m apX-em-b-h-bm-Wv.
]oUnIvkv hn`mKw ta[mhnbpw
\s«Ãv tcmK hnZKv²\pw.
Atacn¡³ C³kvdnäyq«v Hm^v
saUnkn³ AwKhpw,
\mjWÂ A¡mUan Hm^v
saUn¡Â kb³kkv
AwKhpw BWv. A]qÀÆhpw
k¦oÀ®hpamb \s«Ãv
ikv{X{InbIfn {]tXyI
]cnioe\w t\Snbn«pïv.
Xmbv-hm\nse NmMv-K§v
kÀhIemimebn \n¶pw,
bp.sI.bn \n¶pw \s«Ãnsâ
NnInÕbn s^tÃmjn¸v
t\Sn. tZiobhpw A´ÀtZiob
hpamb \nch[n tPÀWep
Ifn {]k²oIcW§fpïv.
"kÔntcmK§fpw ]cnlmc
amÀ¤§fpw', '\s«Ãv' F¶o
]pkvXI§Ä tIcf `mjm
C³Ìnäyq«v ]pd¯nd¡n.
Cw¥ojn The Gospel of Spine
F¶ ]pkvXIw
{]kn²oIcn¨p.

24 \½p-sS B-tcm-Kyw | amÀ¨v 2019

hfhpIÄ/kvtImfntbmknkv

\s«-Ãnsâ I®n-I-fpsS hi-§-fn-te-¡pÅ Ncnhpw
Ah-bpsS Xncnhpw tNÀ¶p-ïm-Ip¶ sshI-ey-amWv
kvtImfntbmknkv. km[m-cW \s«-Ãn\v hi-§-fn-
te¡v Ncn-hn-Ã. hi-§-fn-te-¡pÅ Ncnhpw hfhpw 100-
bn IqSn-bm AXns\ kvtImfntbmknkv F¶p
hnfn-¡p-¶p.

\s«-Ãnsâ hf-hp-IÄ ]e Imc-W-§-fm-ep-ïm-Imw.
Dïm-Ip-¶-Xn-\pÅ Imc-W-a-\p-k-cn¨v Chsb ]e-Xmbn
Xcw Xncn-¡mw.

1. CUntbm¸XnIv kvtImfntbmknkv /Idiopathic
Scoliosis
2. I¬sP\nä kvtImfntbmknkv/ Congenital
Scoliosis
3. \yqtdm akv¡peÀ kvtImfntbmknkv/ Neuro
Muscular Scoliosis
4. kn³t{UmanIv kvtImfntbmknkv/ Syndromic
Scoliosis

CUntbm¸XnIv kvtImfntbmknkv

CUntbm¸XnIv
kvtImfntbmknkv Dïm-Ip-¶-
Xn-\pÅ bYmÀ° ImcWw
Adn-hm-bn-«n-Ã. F¶m H¶n-
e-[nIw Imc-W-§-fm-em-hm-sa-
¶mWv \nK-a-\w. CXn 3
hb-Ên Xmsg-bpÅ Ip«n-
IÄ¡p-ïm-Ip¶hsb
C³s^ssâ kvtImfn
tbmknkv (Infantile Scoliosis) F¶pw 3þ10 hb-Êp-hscbpïm-Ip-¶-
hsb Pphss\Â kvtImfntbmknkv (Juvenile Scoliosis) F¶pw 10
hb-Ên\p apI-fn 19 hb-Êp-hsc Dïm-Ip-¶-hsb AtUmfkâv
CUntbm¸XnIv kvtImfntbmknkv (adolescent idiopathic scoliosis)
F¶pw ]d-bp-¶p. Iuam-c-{]m-b-¡m-cn-epÅ hf-hp-IÄ s]¬Ip-«n-
I-fn-emWv IqSp-X-em-bn-¡m-Wp-¶-Xv.

\½p-sS B-tcm-Kyw | 2019 amÀ¨v 25

I¬sP\nä kvtImfntbmknkv

P·\m DÅ hf-hp-IÄ AYhm I¬sP
\nä kvtImfntbmknkv \s«-Ãnsâ Iti-cp-
¡-fpsS hfÀ¨-bn-epÅ hyXymkw aqe-am-Wp-
ïm-Ip-¶-Xv. Iti-cp-¡-fpsS Hcp hiw hf-cm-
Xn-cp-¶m adp-h-i-¯pÅ hfÀ¨ IqSp-XÂ
sImïv \s«Ãv Hcp-h-i-t¯¡v hf-bp-¶p.
CXv slan-shÀ«n{_ (]IpXn hfÀ¨sb
¯nb Iticp¡Ä) Dïm-Ip-¶Xp aqe-am-Wv.
AXp-t]mse Xs¶ \s«-Ãnsâ I®n-IÄ
X½n _Ôn-¸n-¨p-ïm-Ip¶ _mdpIÄ
(bars) B his¯ Iti-cp-¡-fpsS hfÀ¨
sb XS-Ê-s¸-Sp-¯p-¶p. adp-h-i-¯nsâ
hfÀ¨ aqew \s«Ãv Hcp hi-t¯¡v hf-bp-
¶p. CXp-t]mse Hemivertebra Hcp-h-i¯pw
Unsegmeted bar adp-h-i¯pw h¶m hf-hp-
I-fpsS k¦oÀ®X Xzcn-X-K-Xn-bn IqSmw.

\yqtdm akv¡peÀ kvtImfntbmknkv

t]in-IÄ¡pw Rc-¼p-IÄ¡pw DÅ
sshIeyw aqe-ap-ïm-Ip¶ hf-hp-IÄ. DZm-l-
c-W-¯n\v Meningo myclocele XpS-§nb
\yqd Syq_nsâ XI-cm-dp-I-fp-ambn _Ô-
s¸« hf-hp-IÄ, t]mfntbm h¶-ti-j-apÅ
hf-hp-IÄ, Xe-t¨m-dnt\m kpjp-av\bvt¡m
£Xw Dïmb tij-apÅ Cerebral palsy,
friedreich ataxia XpS-§nb AkpJ-§-fp-ambn
_Ô-s¸« hf-hp-IÄ.

kn³t{UmanIv kvtImfntbmknkv

AXm-bXv H¶n-e-[nIw A]m-I-X-IÄ Hcp-an-¨p-ïm-Ip¶ Ah-Ø-
bn H¶v \s«-Ãnsâ hf-hm-Ip-¶-Xv. DZm-l-c-W-¯n\v marfan
syndrome, Ehlers-Danlos syndrome XpS-§n-b-h.

26 \½p-sS B-tcm-Kyw | amÀ¨v 2019

kvtImfntbmknkv Dtm F¶v F§s\ Xncn¨dnbmw

Hcp sNdnb sSÌv sImïv CXp km[y-am-Wv.
Ip«nsb apt¶m«v Ip\n¨v \ndp-¯n-b-tijw \s«-Ãn-
ÃqsS apI-fn \n¶v Xmtg¡v hnc-tem-Sn-¡p-I.
km[m-cW \s«Ãv t\Àh-c-bn-em-bn-cn-¡pw. hi-§-fn-
te¡v hf-hp-sï-¦n tUmIvSsd ImWn-¡p-I.
hfsc efn-X-amb Cu sSÌv ho«n AÑt\m
A½bvt¡m kvIqfn So¨-dnt\m sN¿m-hp-¶-Xm-
Wv.

s]¬Ip-«n-IÄ ]e-t¸mgpw Abª hkv{Xw [cn-
¡p-¶-Xn-\m C¯cw hf-hp-IÄ Bcw-`-Im-e-L-«-§-
fn Adn-bmsX t]mIpw. Nne Ah-k-c-§-fn \s«-
Ãnsâ hf-hp-IÄ aqew tXmfp-I-fp-tStbm
CSp-¸p-I-fp-tStbm k´p-e\ hyXym-k-hpw, \s«-Ãn-
sâtbm ico-c-¯n-tâtbm _me³kv CÃm-bvatbm
Dïm-Ip-t¼mÄ \s«-Ãn\p hf-hp-sï¶v a\-Ên-em-
¡mw.

CUntbm¸XnIv kvtImfntbmknkv

bYmÀ° ImcWw Iïp-]n-Sn-¡-s¸-Sm¯ \s«-
Ãnsâ hf-hp-I-sf-bmWv CUntbm¸XnIv kvtImfn
tbmknkv F¶p-]-d-bp-¶-Xv. Ch-bp-ïm-Ip-¶-Xn\v
]e Imc-W-§Ä Kth-j-IÀ apt¶m«v h¨n-«p-ïv.

1. Xe-t¨m-dnse ]o\ {KÙn D¸m-Zn-¸n-¡p¶
saetämWn³ F¶ tlmÀtam-Wnsâ Ipd-hv.

2. I«n-Ip-dª \s«Ãv (slender column) s]¬Ip-
«n-I-fn C¯cw hf-hp-IÄ IqSp-X-embn ImWp-¶-
Xn\v Imc-W-ambn Nqïn-¡m-Wn-¡-s¸-Sp-¶p.

3. ]e Po\p-I-fn-epÅ amä-§Ä CXn-s\mcp Imc-W-
ambn sXfn-bn-¡-s¸-«n-«p-ïv. Nne Ah-k-c-§-fnÂ
ktlm-Z-c-§Ä¡pw A½bv¡pw a¡Ä¡pw AXp-a-
sÃ-¦n AÑ\pw aIÄ¡pw Hs¡ C¯cw hf-hp-IÄ
hcp-¶-Xmbn ImWp-¶p-ïv.

Ch IqSmsX ]e ]cn-ØnXn LS-I-§fpw CUn-
tbm-¸-XnIv kvtImfntbmknkv Dïm-Ip-¶-Xn\v Imc-
W-ambn ]d-b-s¸-Sp-¶p. Npcp-¡-¯n Cu LS-I-§-
sfÃmw tNÀ¶pÅ Hcp an{in-X-amWv CUntbm¸XnIv
kvtImfntbmknkn\v Imc-W-sa¶v A\p-am-\n-¡mw.

\½p-sS B-tcm-Kyw | 2019 amÀ¨v 27

kvtIm-fn-tbmknkv þ tZmj-§Ä?

kvtImfn-tbm-knkv th-Z\ km[m-cW BÄ¡msc At]-
Dïm-Ip-t¼mÄ \s«-Ãn\v £n¨v IqSp-X-em-bn-¡m-Wp-¶p (83% IqSp-
hf-hp-ïm-Ip-¶-tXm-sSm¸w XÂ). IqSmsX \s«-Ãn-tâbpw ico-c-¯n-
Iti-cp-¡Ä¡v Xncnhpw tâbpw Ak-´p-en-Xm-hØ \S-¡p-
Dïm-Ip-¶p. CXv s\©n ¶-Xn\pw HmSp-¶-Xn\psams¡ A[nI
sâ `mK-¯m-Wp-ïm-hp-¶- DuÀÖw thï Ah-Ø-bp-ïm-¡p-¶p.
sX-¦n izmk-tIm-i-§Ä Iuam-c-{]m-b-¡m-cn C¯cw hf-hp-ïm-
¡v hf-cm-\pÅ Øew Ip-t¼mÄ CXv Ah-cpsS am\-kn-Im-h-
Ipd-bp-¶p. henb hf-hp-I- Øsb Imcy-ambn kzm[o-\n-¡p-¶p.
fp-sï-¦n CXv Imbn-I- ka-{]m-b-¡m-cn \n¶pÅ ]cn-lmkw
£-a-Xsb _m[n-¡p-¶p. Ah-cpsS a\-Ên-t\bpw Bß-hn-izm-k-
kvX\-§Ä Ak-´p-en-X- t¯bpw kmc-ambn _m[n-¡mw. apXnÀ¶-
ambn ImW-s¸-Sp-¶p. \Sp- h-cn C¯cw hf-hp-IÄ am\-knI {]
hnsâ ]mÀiz-§-fnepÅ iv\-§Ä Dïm-¡p-¶-Xmbn ImWm-dn-Ã.
hmcn-sb-Ãp-I-fpsS XÅÂ
(rib hump), tXmfp-I-fpsS Cu hf-hp-IÄ NnIn-Õn-¨m AXv
Ak-´p-en-Xm-hØ XpS- izmk-tIm-i-§-fpsS [À½w hf-sc-b-
§n-b-h-bp-ïm-¡p-¶p. [nIw sa¨-s¸-Sp-¯p-¶p. Ønc-am-bpÅ
\Sp-th-Z-\bv¡v km[yX Ipd-bp-¶p.
\Sp-hnsâ `mK-¯mWv am{X-aà \s«-Ãn-tâbpw ico-c-¯n-tâbpw
C¯cw hfÀ¨-I-fp-ïm-Ip- Xpe-\m-hØ XncnsI sImïp-h-cn-Ibpw
¶-sX-¦n Iti-cp-¡-fpsS sN¿p-¶p.
Xncn-hp-sImïv Ch X½n-
epÅ kÔn-IÄ thK- Cu hf-hp-IÄ Ft¸m-gmWv NnIn-Õn-
¯n tXbvam\w hcp-¶- t¡-ï-sX¶v t\m¡mw. km[m-c-W-bmbn
Xn\pw Ønc-amb \Sp-hp- Ip«n-I-fpsS hfÀ¨ Xzcn-X-K-Xn-bn-em-Ip-
¶Xv 5þ6 hbÊv {]mb-¯nepw ]n¶oSv

CUntbm¸XnIv kvtImfntbmknkv
Iuam-c-{]m-b-¡m-cnÂ

Iuam-c-{]m-b-¡m-cn ImW-s¸-Sp¶Xn 200 bnÂ
IqSp-X-epÅ hfhpIÄ s]¬Ip-«n-I-fn B¬Ip-«n-
Isf At]-£n¨v 10 aS§v IqSp-X-em-Wv. I¬sP\n
ä kvtImfntbmknkv BWnepw s]®nepw
GI-tZiw Hcp-t]m-se-bmWv ImW-s¸-Sm-dv. C¯cw
hf-hp-ïm-Ip-¶-Xn P\n-X-I-L-S\ Hcp {][m\ Imc-
W-am-sW-¦nepw C¯cw hf-hp-IÄ hfsc A]qÀÆ-
ambn am{Xta hf-hp-IÄ h¶-h-cpsS Ip«nIÄ¡v
ImWm-dp-Åq.

28 \½p-sS B-tcm-Kyw | amÀ¨v 2019

Iuam-c-{]m-b-¯n-ep-am-Wv. Iuam-c-{]m-b- f-hn-epÅ FIvkvtd-bnÂ
¯n s]¬Ip-«n-IÄ {]tXy-In¨v amk- \n¶v hf-hp-IÄ F{X-
apd h¶v XpS-§p-¶-Xn\v GI-tZiw cïv am{Xw A[n-I-cn¨p F¶v
hÀjw apt¶bpw amk-apd h¶v XpS-§n- a\-Ên-em-¡mw. [mcmfw
b-Xn-\p-tijw GI-tZiw cïv hÀj-hp-am- FIvkvtd FSp-¡p-¶Xv
Wv Xzcn-X-K-Xn-bn-epÅ hfÀ¨ ImW-s¸- A`n-Im-ay-a-Ã.
Sp-¶-Xv. B¬Ip-«n-I-fn hfÀ¨
GI-tZiw 18-þ25 hbÊp hsc-bp-ïm-Imw. 400 bn Ipdª
hfÀ¨-bpsS Ime-L-«-¯n-emWv hf-hp- CUntbm¸XnIv
IÄ A[n-I-cn-¡p-¶-Xv. kvtImfntbmknkv {]mb-
]qÀ¯n-bm-Im¯ Ip«n-I-
GsXm-c-kp-J-t¯bpw t]mse \s«- fn Brace D]-tbm-Kn¨v
Ãnsâ hf-hp-Ifpw {]mcw-`-¯nse NnIn- NnIn-Õn-¡m-hp-¶-Xm-Wv.
Õn-¡p-¶-Xm-Wp-¯-aw. I¬sP\nä CXv hfhv A[n-I-cn-¡m-
kvtImfn tbmknkv BsW-¦n Ch Xn-cn-¡m³ klm-bn-t¨-
hfsc Ipªnte Xs¶ NnIn-Õn-¡p-¶- ¡mw. 400 bn IqSp-X-epÅ hf-hp-IÄ
Xm-Wp-¯-aw. Ch km[m-c-W-bmbn ikv{X-{In-b-bn-eq-sS-
NnIn-Õn-¡m-Xn-cp- bmWv ]cn-l-cn-¡p-¶-Xv. ^nkntbm
¶m hf-hp-IÄ sXdm-¸n, {Sm£³, Xncp-½Â XpS-§n-b-h-
A[n-I-cn-¡p-Ibpw sbm¶pw CXn\v ]cn-lm-c-ambn Iïp-
k¦oÀ®-amb ]n-Sn-¡-s¸-«n-«nÃ. 200 bn Xmsg-bp-ff
ikv{X-{In-b-IÄ hf-hp-IÄ hfÀ¨ ]qÀ¯n-bm-bmÂ
Bh-iy-ambn hcn- ]n¶oSv follow up sNt¿ï Bh-iy-an-Ã.
Ibpw sN¿mw. 300 bn IqSp-X-epÅ hf-hp-IÄ {]mb-
]qÀ¯n-bmbmepw follow up sNt¿-ï-
\s«-Ãnsâ apgp-h- XmWv. 500 bn IqSp-X-epÅ hf-hp-IÄ
\m-bpÅ (\n-¶p-sIm- {]mb-]qÀ¯n-bmb tijhpw IqSp-¶-
ïpÅ/traction film) Xmbn ImW-s¸-Sp-¶p. 10 hb-Ên Xmsg-
FIvkvtd-bn bpÅt¸mgp-ïm-Ip¶ hf-hp-IÄ A[n-I-cn-
\n¶v hf-hp-I-fpsS
Xo{hX a\-Ên-em- \½p-sS B-tcm-Kyw | 2019 amÀ¨v 29
¡mw. hnhn[ Ime-b-

¡m-\pÅ km[yX 100% BWv. Ch t\
ct¯ Xs¶ ]cn-l-cn-¨m X½nÂ
Iq«n-t¨Àt¡ï I®n-I-fpsS F®w
Ipd-bpw. ico-c-¯nsâ hfÀ¨ thï-{X-
bp-ïm-Ipw, `mhn-bn-epÅ k¦oÀ®
ikv{X-{Inb Hgn-hm-¡mw.

km[m-c-W-bmbn ikv{X-{Inb sImïp-
t±-in-¡p-¶Xv hf-hp-IÄ kpc-£n-X-amb
Af-hn \nhÀ¯n-b-tijw Ah `mhn-
bn A[n-I-cn-¡m-Xn-cn-¡m-\mWv.
AXn-\mbn ]e coXn-bn FIvkvtd
FSp¯v hf-hnsâ Xo{h-Xbpw hg-¡hpw
a\-Ên-em-¡pw. Fw.-BÀ.sF FSp¯v
\s«-Ãnt\m kpjp-av\bvt¡m aä-]m-I-X-I-
sfm-¶p-an-söv Dd-¸p-h-cp-¯pw.
s\©nsâ `mK-¯pÅ hf-hp-IÄ NnIn-
Õn-¡p-t¼mÄ ]ÄsamWdn ^Mvj³
sSÌv sNbvXv izmk-tIm-i-§-fpsS
{]hÀ¯-\-£-aX a\-Ên-em-¡pw. AXn-\p-
tijw \s«-Ãnsâ Iti-cp-¡-fn kv{Iq
C«v, tdmUp-sImïv _Ôn-¸n-¨v, kpjp-
av\-bpsS {]hÀ¯\w \nco-£n-¨p-sIm-
ïmWv (Neuro mointoring) hfhv \nh
À¯p¶Xv. AXn-\p-tijw Bone graft
D]-tbm-Kn¨v Cu hf-hn-epÅ I®n-IÄ
Iq«n-t¨À¡p-¶p. Cu I®n-IÄ X½nÂ
C§s\ IqSn-t¨-cp-t¼mÄ Cu ikv{X-
{Inb hnP-b-{]Zw F¶p-]-d-bmw. ikv{X-
{In-b-bv¡p-tijw ASp¯ Znhkw Xs¶
Ip«nsb \S¯p-¶-Xn\pw sNdnb hymbm-
a-§Ä sN¿p-¶-Xn\pw Ign-bp-¶p. 3þ4
BgvN-bv¡p-Ån km[m-cWKXn-bnÂ
Ip«n¡v kvIqfn t]mbn XpS-§mw.
km[m-c-W-bmbn ssSäm-\nbw AsÃ-¦nÂ
Cobalt chrome tdmUp-I-fmWv CXn-\mbn
D]-tbm-Kn-¡p-¶-Xv. ssSäm-\nbw kv{Iq
D]-tbm-Kn-¡p-¶-Xm-Wp-¯-aw.

C¯cw ikv{X-{In-b-IÄ¡v km[m-
cW Hcp taPÀ ikv{X-{In-b-bv¡pÅ
A]-I-S-km-[y-X-tbbpÅq. Imep-IÄ¡v
_ew Ipd-bm-\pÅ km[yX 1þ2% hsc-
bm-Wv. FÃm-¯-c-¯nepw CXv Hcp
kpc-£n-X-amb ikv{X-{In-b-bm-Wv.

30 \½p-sS B-tcm-Kyw | amÀ¨v 2019

\½p-sS B-tcm-Kyw | amÀ¨v 2019 31

sl¯v
sIbÀ

Iu¬kenwKv -

Ipªp§fn ]Ãv
apf¡p¶Xpambn
tUm. Fw. sI. kn. \mbÀ _Ôs¸«pmIp¶ {]iv\§Ä

cmPys¯ Ipªcn]ÃpIÄ Im«nbpÅ Nncn ImWm³ CãanÃm¯
{]i-kvX-\mb hcmsc¦nepapïmIptam? F¶m Ipªp§fn ]
inip-tcmK Ãv apf¡p¶Xpambn _Ôs¸«pïmIp¶ {]iv\§Ä¡v
NnIn-Õ-I³. \mw thï{X {i² sImSp¡p¶ptïm? \½psS \m«nÂ
inip-tcmK hnZ-Kv²-cpsS Z´mtcmKyw {]mtbW AhKWn¡s¸Sp¶ Hcp Imcyambn
kwL-S\ sF. F. ]n ]et¸mgpw tXm¶nbn«pïv. Z´mtcmKyhpambn _Ôs¸«
bpsS ap³ AJn-te´ym ]e {]iv\§fpw XSbmhp¶XmWv.
{]kn-Uâv, Xncp-h-\-´-]pcw
saUn¡Â tImtf-Pnse F¶m \mw AXn\v ]cnKW\ sImSp¡p¶Xv ]e
s{]m^kÀ, tIcfm t¸mgpw AanXamb thZ\bpw aäp _p²nap«pIfpw Dïm
bqWn-th-gvknän Hm^v
sl¯v kb³k-knsâ
sshkv Nm³k-eÀ.
inip-¡fpsS hfÀ¨bpw
_p²nhnIm-khpw
Ah-tem-I\w sNbvXv
icn-bmb coXn-bnÂ
Ah Dd-¸m-¡p-¶-Xn\mbn
cq]o-I-cn¨ ssNÂUv
sUh-e-¸vsaâv skâÀ
tUm. Fw. sI. kn
\mb-cpsS Gähpw henb
kw`m-h-\-bm-Wv.
Ignª 25 hÀjs¯
KthjWs¯ B[mc
am¡n tIcf kÀÆIem
ime ASp¯nsS DSc.

_ncpZw \ÂIn BZcn¨p.

Mob: 9447121689
[email protected]
&

tUm. eo\ kpa-cmPv

ko-\n-bÀ dn-kÀ-¨v tImþHmÀ
-Un-t\äÀ , ssNÂ-Uv
sU-h-e-]v-sa³-dv sk³dÀ
Xn-cp-h-\-´-]pcw

32 \½p-sS B-tcm-Kyw | amÀ¨v 2019

hpt¼mgmWv. Ipªp§fpsS Z´mtcmKy iy¯n\v Øew e`n¡p¶Xn\v {]Ir
¯n\v- {]m[m\yw sImSp¡mXncn¡p¶ XymepÅ Hcp {IaoIcWamWnXv. ]mÂ
Xnsâ Hcp {][m\ ImcWw Ah Øncw ]ÃpIÄ¡nSbn Øew CÃmXncn¡p¶
Z´§fà F¶XmWv. F¶m ]mÂ] Xv Øncw ]ÃpIÄ apfbv¡pt¼mÄ Øe
ÃpIfpsS kwc£Ww `mhnbnse Z´m ¡pdhpïmIm\pÅ km[yXbmWv kqNn
tcmKy¯nsâ BZy ]SnbmWv F¶Xv ] ¸n¡p¶Xv.
ecpw {i²n¡mdnÃ.

F{X IuXpIt¯msSbmWv Ipªn\v
BZys¯ ]Ãv apf¨p hcp¶Xv \mw
ho£n¡p¶Xv.

Ipªv P\n¡p¶Xn\v ap³]v Xs¶
tamWbn cq]w {]m]n¡p¶ ]ÃpIÄ
tamWbpsS IhNw s]m«n¨p ]pd¯p
hcp¶Xv km[mcW KXnbn Bdp amkw
{]mbamIpt¼mgmWv-. Bdp amkamIp
t¼mÄ Xmgs¯ XmSnsbÃnsâ ap³`mK
¯v a[y¯nembn BZys¯ ]Ãv apfbv
¡pw. AXn\p tijw cïv cïc hbÊn\p
Ån Hmtcmt¶mtcm¶mbn 20 ]mÂ
]ÃpIfpw apf¨p hcpw. ]m ]ÃpIÄ
Øncw ]Ãnt\¡mÄ sNdpXmbncn¡pw.

an¡ Ipªp§fnepw ]m ]ÃpIfpsS
CSbn hnShv DïmIpw. henb Øncw ]
ÃpIÄ apfbv¡pt¼mÄ tamWbn Bh

]m ]ÃpIÄ apfbv¡p¶ {]mbw

taev]ÃpIÄ apfbv¡p¶ {]mbw sImgnbp¶ {]mbw
Dfn¸Ãv 6-þ12 amkw 6-þ7 hbÊv
cïmas¯ Dfn¸Ãv 9-þ13 amkw 7-þ8 hbÊv
tIm¼Ãv 16-þ22 amkw 10-þ12 hbÊv
BZys¯ AW¸Ãv 18-þ19amkw 9-þ11 hbÊv
cïmas¯ AW¸Ãv 25-þ33amkw 10-þ12hbÊv
Iogv]ÃpIÄ
BZys¯ Dfn¸Ãv 6-þ10amkw 6-þ7 hbÊv
cïmas¯ Dfn¸Ãv 10-þ16 amkw 7-þ8 hbÊv
tIm¼Ãv 17-þ23 amkw 9-þ12 hbÊv
BZys¯ AW¸Ãv 14-þ18 amkw 9-þ11 hbÊv
cïmas¯ AW¸Ãv 23-þ31 amkw 10-þ12hbÊv

\½p-sS B-tcm-Kyw | amÀ¨v 2019 33

]m ]ÃpIÄ kwc£nt¡Xptm?

Ip«nIfpsS ka{K hnIk\¯n\v- ]m ]Ãv tISmIpItbm AXnsâ thcnÂ
 ]ÃpIÄ¡v hfsc {][m\ Øm\am AWp_m[ DïmIpItbm sNbvXmÂ
WpÅXv. Ip«n¡mes¯ imcocnI hnIm AXv AhnsS hfÀ¶p hcp¶ Øncw ]
k {]hÀ¯\§sf klmbn¡pIbmWv Ãns\bpw _m[n¡m³ km[yXbpïv.
]m ]ÃpIfpsS {][m\ tPmen. Ccp]Xv am{XaÃ, ]m ]ÃpIfn DïmIp¶ tI
]m ]ÃpIfn NneXv Ip«nIÄ¡v 10-þ12 Spw ]pgpIp¯pIfpw Ip«nbpsS Bß
hbÊmIp¶Xp hsc \ne \nev¡pw. hnizmks¯ {]XnIqeambn _m[n¡m³
CSbmIpw. ]Ãv tISmbnt¸mbXn\mtem,
Øncw ]ÃpIÄ apf¨phcpt¼mÄ CÃmsX t]mbXn\mtem DïmIp¶ ]
Ahbv¡v hgnsbmcp¡n sImSp¡m\pw cn{`aw aqew Ip«n Nncn¡m³ t]mepw
icnbmb Øm\w Dd¸p hcp¯m\pw ]m hnapJX ImWnt¨¡mw.
 ]ÃpIÄ BhiyamWv. ]m ]ÃpIÄ
AIme¯n Cf¡n amäpItbm, CfIn
t]mhpItbm sNbvXm AXn\ptijw
apf¨p hcp¶ Øncw ]ÃpIÄ icnbmb
Øm\¯ÃmsX hcm³ km[yXbpïv.
CXv ]ÃpIÄ sRcp§n {Iaw sXän hf
cm\pw AXphgn icnbmb D]tbmKw
e`n¡mXncn¡m\pw ImcWamIpw. {Iaw
sXän hfcp¶ ]ÃpIÄ XmSnsbÃnsâ
hfÀ¨tbbpw, hnIk\s¯bpw _m[n¡p
Ibpw apJ kuµcyw Ipd¡m³ CS
hcp¯pIbpw sN¿pw.

Blmcw Zln¸n¡p¶Xnsâ BZyL«
{]hÀ¯\w \S¯p¶Xv ]ÃpIfmWv. ]
Ãn\ptISphcpIbpw Zln¡pIbpw sNbv
Xm ]Ãn\p thZ\ hcpIbpw Blmcw
icnbmbn Nh¨c¨v Ign¡m³ IgnbmsX
bmhpIbpw sN¿pw. CXv t]mjI¡pd
hns³d ImcWamIm\nSbpïv. Hcp ]mÂ

34 \½p-sS B-tcm-Kyw | amÀ¨v 2019

Øncw ]ÃpIÄ apf¨phcp¶ kab¯v
Ip«nbpsS ]ÃpIÄ `wKnbnÃmsX ImWp¶sX´psImv?

]m ]ÃpIÄ amdn Øncw ]ÃpIÄ XmWv. amXm]nXm¡Ä aäv AkpJ§fpsS
hcp¶ 9 apXÂ 13 hbÊphscbpÅ {]m NnInÕ¡mbn Ipªp§fpambn F¯p
b¯n ]ÃpIÄ {Iahpw, cq]hpw sXän t¼mÄ AhcpsS Z´tcmKyhpwIqSn H¶v
ImWpI ]XnhmWv. CXn hnjant¡ t\m¡p¶Xv katbmNnXamb CSs]Sen
ïXnÃ. CXv ]ÃpIÄ icnbmb coXnbn \v hfsc klmbIcamIpw.
hfÀ¶v {IaoIcn¡p¶Xn\v ap³]pÅ Hcp
Xmev¡menI AhØbmWv-. CXn\v NnIn
Õsbm¶pw BhiyanÃ. c£nXm¡sf
]dªv a\Ênem¡n sImSp¡pIbmWv
thïXv. ChnsSbmWv Z´kwc£W ta
Jebn sl¯v -sIbÀ Iu¬kenw
Knsâ {]kàn. Ønc Z´§Ä apf¨p
hcp¶ kab¯pïmIp¶ Nne sshIey
§Ä {i²nt¡ïXpw, Nne CSs]SepIÄ
\St¯ïXpw hfsc {]m[m\yaÀ-ln¡p
¶ ImcyamWv. Z´sshIey§fpsS I
sï¯Â iniptcmKhnZKv²À¡v km[n
¡p¶XmWv.

Ipªp§fn Z´tcmKyhpambn _
Ôs¸« {]iv\§Ä {i²bnÂs¸«mÂ,
Dsï¶p Isï¯nbm DS³ Xs¶ Hcp
Z´tUmÎsd ImWm³ ip]mÀi sNt¿ï

]m ]ÃpIÄ Nne Ip«nIfn ]m ]ÃpIÄ
sImgnªv t]mbnsæn sImgnbmXncn¡pIbpw Øncw ]Ãp
F´p sN¿Ww? IÄ AXnsâ hi¯p IqSn apf¨p
hcnIbpw sN¿mdpïv. Cu Ahkc
¯n Ip«n¡v X\nsb Xs¶ ]gb ]
Ãv Ipep¡n ]ngpXp amäm³ Ignªn
sæn tUmÎsd ImWn¨v AXns\
Cf¡n amtäïXmWv. ]m ]Ãns\
AhnsS Ccn¡m³ A\phZn¨mÂ
Øncw ]Ãv icnbÃm¯ coXnbnÂ
hfcpIbpw sRcp§pIbpw, {IaoIc
Ww sXäpIbpw sN¿pw. CXv ImcWw
]Ãv icnbmbn hr¯nbm¡m³ Ignbm
sX hcnIbpw XpSÀ¶v tamWtcmK§
Ä _m[n¡pIbpw sN¿pw.

\½p-sS B-tcm-Kyw | amÀ¨v 2019 35

]ÃpIÄ apf¡p¶Xpambn
_Ôs¸«pmIp¶ {]iv\§Ä

1. t\cs¯ apfbv¡p¶ ]ÃpIÄ

km[mcW KXnbn Bdp amkw {]mbamIp
t¼mgmWv Ipªp§fn BZys¯ ]Ãv apf¨p
XpS§p¶Xv. F¶m Nne kµÀ`§fn P\n
¡pt¼mÄ Xs¶ ]Ãv Isï¶ncn¡pw. Nne
t¸mÄ P\n¨ tijw DS³ Xs¶ ]Ãv apf
s¨¶pw hcmw. ]Ãv t\cs¯ apf¨p XpS
§p¶Xv Hcp KuchIcamb {]iv\w
sImïmIWsa¶nÃ. F¶m ssXtdmbn
Uv tlmÀtamWnsâ Afhv IqSp¶Xp
aqeapÅ sslt¸mssXtdmbnUnkw F¶
tcmKmhØbpÅ Ip«nIfn C§s\
kw`hn¡m³ km[yXbpÅXn\m hfsc
t\ct¯ ]Ãp apf¡p¶Xmbn IïmÂ
Ipªnsâ ssXtdmbnUv tlmÀtamWnsâ
Afhv ]cntim[n¨v km[mcW \nebnemsW¶v
Dd¸mt¡ïXv hfsc {]m[m\yaÀln¡p¶ H¶m
Wv. Ipªp§fn sslt¸mssXtdmbnUnkw
DïmIp¶Xv _p²nhnImk¯ns\ {]XnIqeambn _m[n¡p¶ H¶mbXn\mÂ

CXv t\cs¯ Isï¯n NnInÕ \evIp¶Xv hfsc AXymhiyamsW¶v
]dtbïXnÃtÃm?

Imesa¯p¶Xn\p ap³]v ]Ãv apf¡pIbmsW¦n Hcp Z´tUmÎsd ImWnt¡
ïXmWv. KÀ`]m{X¯n sh¨pw, {]khtijhpw DSs\bpïmIp¶ ]ÃpIÄ km[m
cW Z´{Ia¯nÂs]Sp¶XmbXv sImïv Ignbp¶nSt¯mfw Ahsb \ne\nÀt¯
ïXmWv. F¶m ]mep sImSp¡m³ _p²nap«psï¦ntem Debp¶Xmbn
tXm¶ps¶¦ntem tUmÎdpsS klmbt¯mSp IqSn Cf¡n amäp¶XmWv D¯aw.

2. sshInapfbv¡p¶ ]ÃpIÄ

Nne Ip«nIfn 6 amkw Ignªn«pw ]Ãp apf
¡mXncpt¶¡mw. ]e ImcW§Ä sImïv C§s\
kw`hn¡mw. ]Ãnsâ hfÀ¨m hgnbnepïmIp¶
XSkw aqew C§s\bpïmIm³ km[yX Dïv.
CXv asämcp ]Ãv ImcWtam ]Ãn\p apIfnepÅ
I«nbpÅ tÇjva IebpsS BhcWw DïmbXp
aqetam BImw. s]mXphmb hfÀ¨¡pdhp sIm
ïpw, FÃnsâ {Iat¡Sv sImïpw ]Ãpapfbv¡p¶X
sshImw. C¯cw Ip«nIfn t]mjI¡pdhv
]cnlcn¨pw I«nbpÅ BhcWw amän sImSp¯pw
{]iv\w ]cnlcn¡mw.

36 \½p-sS B-tcm-Kyw | amÀ¨v 2019

3. ]Ãpapf¡pt¼mgpïmIp¶ Xosc sNdnb Ifn¸m«§Ä sImSp¯mÂ
hngp§nt¸mIp¶Xn\pw izmkXSÊw D
{]iv\§Ä ïmIm\pw km[yXbpsï¶v {]tXyIw
HmÀ¡Ww.
an¡hmdpw kµÀ`§fn ]Ãp apfbv
¡p¶Xv Ipªp§Ä¡v thZ\bpïm¡m AanXamb thZ\bpsï¦n Ipªp
dnÃ. F¶m apf¨p hcp¶ `mK¯v sNdn §Ä¡v sImSp¡mhp¶ thZ\ kwlm
sbmcp AkzkvXXbpïmImw. ap³ \nc cnIÄ \evImhp¶XmWv.
bnepÅ ]ÃpIÄ apfbv¡pt¼mÄ _p
²nap«pïmIWsa¶nÃ. AW¸ÃpIÄ
apf¨p XpS§pt¼mÄ Nnet¸mÄ {]iv\
§fpïmImdpïv. ]Ãp apfbv¡p¶Xn\v
ap³]v tamWbn ImWp¶ ho¡hpw
Nph¸p \ndhpw ]Ãp apfbv¡p¶Xnsâ
kqN\bmWv. AkzØXbpw, Ic¨nepw,
Dd§mXncn¡pI, hmbn [mcmfw Dan\o
cpïmIpIbpw AXv Hen¸n¡pIbpw
sN¿pI XpS§nbhsbms¡ ]Ãp apfbv
¡p¶Xpambn _Ôs¸«v DïmImw. C¯
cw kµÀ`§fn ISnbv¡m³ ]äp¶
Ifn¸m«§Ä Ipªn\v Ifnbv¡m³ \ev
Imhp¶XmWv.

F¶m C¯cw Ifn¸m«§Ä ipNnXz
apÅXpw, kpc£nXhpw, cmkhkvXp¡Ä
AS§nbn«nÃm¯Xpw, CfIn hcp¶ `mK
§Ä CÃm¯hbpamsW ¶v Dd¸m¡Ww.

4. A[nIapÅ ]ÃpIÄ

Nnecn km[mcWbnepw A[nIw ]ÃpIÄ DïmImdpïv. A[nIapÅ ]Ãnsâ C\w,
Øm\w, ASp¯Sp¯pÅ ]ÃpambpÅ s]mcp¯t¡Sv F¶nh IW¡m¡nbmWv
CXn\pÅ NnInÕ Xocpam\nt¡ïXv. icnbmb ]Ãnsâ hfÀ¨sb _m[n¡mXncn¡p
Ibpw AXns\ XÅn Øm\w sXän¡m³ {ian¡pIbpw sNbvXnsæn CXn\v NnIn
Õsbm¶pw BhiyanÃ. A¯cw kµÀ`§fn Ahsb \ne\nÀ¯m³ A\phZn¡mhp
¶XmWv.

\½p-sS B-tcm-Kyw | amÀ¨v 2019 37

5. ]Ãnsâ \ndhyXymkhpw, `wKnbnÃm¯ ]pdw`mKhpw

]ÃpïmIp¶ kabs¯ {]iv\§Ä jW ]cnWmaw aqeapïmIp¶ Ipg¸
aqew ]Ãnsâ LS\bn Akzm`mhnIX, §Ä KÀ`mhØbnepÅ Ipg¸§Ä,
shÅ]pÅn, Idp¯ ]mSv ImgvN¡v `wKn ^vfqssdUnsâ A[nI BKncWw, A´:
IpdhpÅ C\ma Chsbms¡ DïmImw. {kmh{KÙnIfpsS Ipg¸§Ä, sshdÂ
]mÂ]Ãn\pïmb apdnhv, BLmXw, AWp_m[, aäp tcmK§Ä F¶nh, ]
AWp_m[ F¶nh ImcWw Øncw ]Ãp Ãnsâ hnIk\ {]{Inbsb _m[n¡p¶
Ifn C¯cw sshIey§Ä DïmImw. s]mXphmb Nne LSI§fmWv. tcmK
]Ãn\pïmIp¶ C¯cw Ipg¸§Ä Øn ¯nsâbpw, Ipg¸¯nsâbpw tXmX\p
cw ]Ãnt\bpw tISpÅXm¡m³ km[yX kcn¨v ]Ãnsâ tcmKmhØ IqSn hcpw.
bpïv. P\nXI ImcW§Ä icoc t]m Nne kmlNcy§fn ]Ãnsâ C\maepw
sUâ {IaoIcWhpw hsc Ipg¸¯n
emIpIbpw AXv aqew ]Ãn aª,
s{_u¬, shÅ \nd§fn ]mSpIÄ
ImWs¸SpIbpw sN¿pw.

C¯cw Nne kmlNcy§fn ]Ãv
s]s«¶v CfIn t]mhpIbpw, ]Ãnsâ
ASn`mK¯pÅ Rc¼pIfn thZ\
bpïmIpIbpw sN¿pw. C¯cw ]ÃpI
fn t]mSpïmIm\pÅ km[yX IqSpX
emWv.

6. ap¨pïpw, A®m¡nse hnÅepw

P\\ kab¯v ImWs¸Sp¶ hnIk\ tUmÎÀ klmbn¡pw. C¯cw NnInÕbn
t]mcmbvaIfmWv- ap¨pïpw, A®m¡nse eqsS icnbmbn Blmcw Ign¡m\pw,
hnÅepw. ap¨pïv apJ`wKn Ipd
bv¡p¶p. A®m¡nse hnÅÂ BtcmKyapÅ km[mcW Ip«n
Hcp Zzmcamtbm, hnShmtbm Isf t]mse hfcm\pw C¯cw
ImWmw. Nnet¸mÄ aq¡pw, Ip«nIÄ¡v Ignbpw. ap¨p
hmbpw X½n Hcp hgn ïpw, A®m¡nse hnÅep
bpïmbncn¡p¶Xv t]mse apÅ Ip«nIÄ¡v ]Ãv icn
bpw ImWmw. A®m¡n bmb Øm\¯v apfbv¡
hnÅepÅ Ip«nsb ]cn Wsa¶nÃ. am{XaÃ, A[n
Ncn¡p¶Xn {]tXyI I ]tÃm, ]Ãnsâ A`mh
{i² thWw. ImcWw CXv tam DïmIm\pÅ km[yX
]nev¡me¯v kwkmctijn bpapïv.
bn {]iv\§fpïm¡m³ km[y
Xbpïv. inip¡fnse ap¨pïn\pw, Cu {]iv\apÅ Ip«nIfpsS
A®m¡nse hnÅen\pw Z´ tUmÎÀ¡v ]Ãn t]mSpïmIm\pÅ km[y
ASnØm\]camb NnInÕ \evIm³ Xbpw IqSpXemWv. AXpsImïv Xs¶
Ignbpw. A®m¡nse hnÅÂ A{InenIv Chsc Hcp Z´tUmÎsd {Iaambn ImWn
t¹äv D]tbmKn¨v ASbv¡m\pw Z´ ¨p sImïncn¡Ww. km[mcW KXnbnÂ
HmÀt¯mtUm¬Sn¡v NnInÕ ChÀ¡v
Bhiyambn ht¶¡mw.

38 \½p-sS B-tcm-Kyw | amÀ¨v 2019

hmbpsS ipNnXzw klmbanÃmsX ]Ãv hr¯nbmbn
F¶v hcnÃ. AXpsImïv Xs¶ 6-þ7
 ]Ãv apf¨pXpS§p¶Xn\p ap³]v hbÊp hscsb¦nepw Ipªv ]Ãp
Xs¶ iniphnsâ tamW hr¯nbpÅ tXbv¡pt¼mÄ apXnÀ-¶-h-cp-sS taÂ-
XpWn sImtïm shůn \\¨ t\m«w Dïmbncn¡p¶Xv \ÃXmWv.
t__n {_jv sImtïm hr¯nbm¡m  sNdnb {]mb¯n Xs¶ ]ÃpIÄ
hp¶XmWv. ]m sImSp¯Xn\p ti hr¯nbm¡p¶Xv kpJ{]Zhpw, B
jw hr¯nbm¡p¶Xv Gähpw DNnX kzmZyIchpamb Hcp A\p`ham¡n
amWv. amäm³ Ignªm ]nev¡me¯v
Z´kwc£W¯n Ip«n IqSpXÂ
 6 apX 10 amk¯n\nSbn BZys¯ {i²mephmIpw.
]Ãv h¶p XpS§pt¼mÄ Xs¶ Ip Npcp¡¯n Ipªp§fpsS Z´kwc
ªnsâ ]Ãv hr¯nbm¡n XpS§Ww. £W¯n amXm]nXm¡Ä hfsc
aÀ±hapÅ t__n {_jv CXn\mbn sNdnb {]mb¯n Xs¶ {i²n¡Ww.
D]tbmKn¡mw. Npïv sNdpXmbn ]n Hcp hyànbpsS s]mXphmbpÅ Btcm
Sn¨pbÀ¯n {_jv sNbvXv sImSp¡m Ky¯n ]ÃpIfpsS Øm\w hfsc
hp¶XmWv. hepXmsW¶v \mw Ft¸mgpw HmÀ¡Ww.
sNdnb {]iv\apsï¶v ImWpt¼mÄ
 Ipªnsâ ]Ãv Znhkhpw cïp t\cw Xs¶ thï ap³ IcpXepIÄ FSp¡p
hr¯nbm¡Ww. CXv Blmc¯n\v ¶Xv `mhnbn {]iv\§Ä eLqIcn¡p
tijamhp¶XmWv \ÃXv. cm{Xn Dd ¶Xn\v klmbIcamIpw.
§p¶Xn\p ap³]v ]Ãv hr¯nbm¡n
sImSp¡p¶Xv hfsc {]m[m\yw AÀ \½p-sS B-tcm-Kyw | amÀ¨v 2019 39
ln¡p¶p. cm{Xn {_jv sNbvXXn\p
tijw shÅaÃmsX asäm¶pw Ign
¡m³ sImSp¡mXncn¡m³ {i²n
¡Ww.

 cïp hbÊn\p Xmsg {]mbapÅ
Ipªp§Ä¡v t]ÌnÃmsX shÅw
\\¨ {_jv sImïv ]Ãv hr¯nbm
¡nbm aXnbmIpw. Cu {]m-b-¡mÀ
-¡v ]Ãv {Zhn¡p¶psï¦n Hcp
^vfqssdUv AS§nb Sq¯v- t]Ìv- D]
tbmKn¨v {_jv sNt¿ïn ht¶¡mw.
]t£, AXn\p ap³t] Hcp iniptcmK
hnZKvZsâtbm, Z´tUmÎdpsStbm
D]tZiw tXSnbncn¡Ww.

 cïp hbÊn\p apIfn {]mbapÅ
Ip«nIÄ¡v Hcp ]bdpaWnbpsS hep
¸¯n ^vfqssdUv AS§nb Sq¯v-
t]Ìv- D]tbmKn¡mw. F¶m {_
jvsNbvX tijw Ipªv t]Ìv-
Xp¸n¡fbp¶psï¶p Dd¸m¡pI.

 {_jv ]nSn¡m\pw, X\nsb ]Ãv
tXbv¡m\pw Ip«nIÄ Xmev¸cyw
ImWn¡pw. F¶m apXnÀ¶hcpsS

cm-aXpw
kntk-dn-b³?

tUm. kvanXn k\Â 30hb-Êp-Im-cn-bmb Pm\äv cïmw XhW
KÀ`n-Wn-bm-bn-cn-¡p-t¼m-gmWv `À¯m-hp
slUv Hm^v Z -sam¯v sN¡-¸n-\mbn h¶-Xv. Pm\-änsâ
BZy-{]-khw kntk-dn-b-\m-
Un¸mÀ«vsaâ v bn-cp-¶p. cïm-a-t¯Xv
kzm`m-hnI {]khw BI-W-
ssK\t¡mfPn hn`mKw, sa-¶m-bn-cp¶p Ah-cpsS
B{K-lw. IqSp-XÂ Ip«n
]n.hn.Fkv tlmkv]näÂ, -IÄ thW-sa¶v B{K
-lhpw AhÀ¡p-ïm-bn
sIm¨n -cp-¶p. BZy-t¯Xv
kntk-dn-b-\m-b-Xp-
enän ^vfhÀ tlmkv
]nä þ A¦amen, [\y
anj³ tlmkv]nä þ t]m«,
skâv tPm¬kv tlmkv
]nä þ I«¸\ DÄs¸sS
bpÅ anj³ tlmkv]näep
Ifn 25 hÀjs¯
tkh\¯neqsS
Ccp]¯nb¿mbnc¯ntesd
{]khw ssIImcyw
sNbvXn«pï­v. sIm¨n

k¬ssdkv tlmkv]näense sImïv cïm-a
em¸tdmkv tIm¸n
hn`mK¯n Hcp hÀjs¯ -t¯Xpw kntk-dn-
tkh\w. amªmen
saUn¡Â tImtfPv Bip] b³Xs¶ thïn-h-cp

{Xnbn em¸tdmkvtIm¸n -tam-sb¶v Bi-¦

kÀP\mbn 2 hÀjw -s¸« AhÀ¡v Hcp
tkh\a\pjvTn¨n«pï­v. kwi-b-hp-ap-ïm-bn
sIm¨n³ ssK\o

skmsskänbpsS ap³ -cp-¶p. BZy-t¯Xv
sk{I«dnbmWv. kntk-dn-b-\m-sW-

[email protected] ¦n ]n¶o-SpÅ
Mob : 9847660125 {]k-h-§-fn-seÃmw

kntk-dn-b³

thïn-h-cp-¶Xv F´p

-sImïv? CXv ]e

Z¼-Xn-I-fp-sSbpw

kwi-b-am-Wv.

40 \½p-sS B-tcm-Kyw | amÀ¨v 2019

KÀ`-]m-{Xhpw {^mIv¨-dmb ssIbpw

km[m-c-W-K-Xn-bn BZy-t¯Xv {]k-h-th-Z\ hcp-t¼mÄ KÀ`-]m-{X
kntk-dn-b-\m-sW-¦n cïm-a -¯nsâ DÅnse k½À±w IqSn Xp¶
-t¯Xpw kntk-dn-b³ Xs¶-bm-bn-cn -epÅ `mKw hen-bp-¶p. Nne kµÀ`-§
-¡pw. CsX-´p-sImïv kw`-hn-¡p¶p -fn Xp¶Â hn«p-t]m-Im-dp-ap-ïv. CXv
F¶-Xn\v A¸w hni-Zo-I-cWw Ip«n-bp-sSbpw A½-bp-sSbpw Poh³
Bh-iy-ap-ïv. KÀ`-]m{Xw Hcp B´ A]-I-S-¯n-em-¡n-tb-¡mw.
-cnI Ah-b-h-am-Wv. kntk-dn-bsâ
ka-b¯v KÀ`-]m{Xw apdn¨v
Ipªns\ ]pd-s¯-Sp¯v AXv Xp¶n
-s¡-«p-¶p. Cu apdnhv (scar) DÅ
`mK¯v kzm`m-hn-I-ambn _e-£bw
Dïm-bn-cn-¡pw. DZm-l-c-W-¯n\v
ssIbpsS FÃn\v s]m«-ep-ïmb Hcp
hyàn {^mIvNÀ DW-§n-b-Xn\p
tijw B ssI Ip¯n hoWmÂ
AhnsS hoïpw s]m«-ep-ïm-Im-\pÅ
km[yX IqSp-X-em-WtÃm?
AXp-t]m-se-bmWv KÀ`-]m-{X-¯nsâ
Imcy-hpw. F{X `wKn-bmbn Xp¶n-bmepw

dnkvIv FSp-¡m³ h¿

Fsâ 25 hÀjs¯ HutZym-KnI -bmWv Hgn-hm-bn-t¸m-Ip-¶-Xv. Npcp-¡
Pohn-X-¯n cïm-as¯ kntk-dn-b\v -¯n A½-bp-sSbpw Ipªn-sâbpw
thïn hbdp Xpd-¡p-t¼mÄ ]e-t¸mgpw Poh³ kpc-£n-X-am-¡m-\pÅ amÀ¤-sa¶
KÀ`-]m-{X-¯nse Xp¶Â hn«p-t]mb \ne-bn¡q-Sn-bmWv tUmIvtSgvkv cïm
\ne-bn-emWv ImWm-dv. AsÃ-¦n B -as¯ kntk-dn-b\v k¶-²-am-Ip-¶-Xv.
`mKw henªv hfsc t\À¯ Ah-Ø-bn
-se-¯n-bn-«p-ïm-Ipw. {]k-h-th-Z\ \½p-sS B-tcm-Kyw | amÀ¨v 2019 41
Ft¸mÄ thW-sa-¦nepw Bcw-`n-¡m-a
-tÃm. thZ\ hÀ[n-¡p-t¼mÄ
Cu Xp¶Â hn«p-t]m-Ip-tam-sb¶v
{]h-Nn-¡m-\p-am-hn-Ã-tÃm. A§s\ kw`
-hn-¨m Nne-t¸mÄ AanX cà-{kmhw
Dïm-Imw. Hcp-]-t£, KÀ`-]m{Xw Xs¶
FSp-¯p-I-f-tbïn ht¶-¡mw. A{]-Xo
-£n-X-ambn C§s\ kw`-hn-¨m A½
-bpsS Poh³ A]-I-S-¯n-em-tb-¡mw.
AXp-sIm-ïmWv thZ\ XpS-§p-¶-Xn\v
ap¼p-Xs¶ kntk-dn-b³ sN¿m-\pÅ
XobXn tUmIvSÀamÀ \nÝ-bn-¡p-¶-Xv.
AXp-hgn hen-sbmcp A]-I-S-km-[y-X

F´p-sImv kntk-dn-b³?

BZy kntk-dn-b³ F´p-sImïv -b\p Imc-W-am-b-Xv. F¶mÂ, cïm
thïn-h¶p F¶ Imcyhpw {][m-\-s¸-« -as¯ {]k-h-¯n Xe-bmWv Cd-§n-h
-Xm-Wv. Ipªnsâ Xe Cd-§n-h-cm³ -cp-¶-sX-¦n Ahn-sSbpw t\mÀaÂ
Øew CÃmsX hcn-Itbm Xe-bpsS sUen-h-dn¡v thïn {ian-¡m-hp-¶-Xm-Wv.
sdmt«-j³ (rotation) ]qÀ¯n-bm-¡m-Xn-cn kntk-dn-b³ Ignª Hcp tcmKn-bnÂ
-¡p-Itbm sN¿p-I, Ipªn\p Xq¡-¡q-Sp acp-¶p-Ip-¯n-h¨v {]k-h-th-Z\
-XÂ Dïm-bn-cn-¡pI XpS-§nb kml-N Dïm-¡n-bmepw kvImÀ hn«p-t]m-Imw.
-cy-§-fn-emWv km[m-c-W-K-Xn-bn AXp-sImïv Ahn-sSbpw kzm`m-hn-I-
kntk-dn-b³ thïnh¶-sX-¦n cïm amb coXn-bn {]k-h-th-Z\
-as¯ {]k-h-¯nepw kntk-dn-b³Xs¶ hs¶-¦n am{Xta t\mÀa sUen-hdn
thïn-h-cpw. F¶m Nne kµÀ`-§ km[y-am-Iq.
-fn Ipªnsâ lrZ-b-an-Sn¸v Ipd-bp-¶
-Xp-sImïpw ASn-b-´n-c-ambn kntk-dn
-b³ thïn-h-t¶-¡mw. C¯cw
kml-N-cy-¯n cïm-as¯ {]k-h
-¯n t\mÀa sUen-h-dn¡v thïn
{ian-¡m³ km[n-¡pw. AsÃ-¦nÂ
BZys¯ {]k-h-¯n Ipªnsâ N´n
BZyw Cd-§n-h-¶-Xm-bn-cn¡mw kntk-dn

kntk-dn-bsâ km[m-c-W-K-Xn-bn cïn IqSp-X kntk-dn-b-
F®w IqSn-bm \p-Isf tUmIvtSgvkv t{]mÕm-ln-¸n-¡m-dn-Ã. F´p
-sIm-ïm-WnXv F¶ Imcy-¯nepw ]eÀ¡pw kwi-b-§
42 \½p-sS B-tcm-Kyw | amÀ¨v 2019 -fp-ïv. Hmtcm {]mh-iyhpw hbdp Xpd-¡p-t¼mÄ
B´-cn-Im-h-b-h-§Ä X½n H«n-¸n-Sn-¡m³ km[yX
IqSp-¶p. H¶p-In KÀ`-]m-{Xhpw aq{X-k-©nbpw
X½nÂ. AsÃ-¦n KÀ`-]m-{Xhpw h³Ip-Sepw X½nÂ.
AXp-a-sÃ-¦n KÀ`-]m-{Xhpw sNdp-Ip-Sepw X½nÂ.
A§s\ h¶m kntk-dn-b³ \S-¯p-t¼mÄ aq{X-k
-©nt¡m IpS-ent\m ]cn-t¡Â¡m-\pÅ km²yX
IqSp-X-em-Wv.

kntk-dn-bsâ F®w cïn IqSp-X-em-h-cp-sX¶p
]d-bm³ asämcp ImcWw IqSn-bp-ïv. km[m-c-W-K-Xn
-bn adp-]nÅ KÀ`-]m-{X-¯nsâ apIÄ`m-K-¯mWv
ØnXn sNt¿-ï-Xv. F¶mÂ, kntk-dn-b³ \S-¶p-I-gn
-bp-t¼mÄ adp-]nÅ ZpÀ_-e-amb apdn-hn-t\mSp tNÀ¶p
ØnXn-sN-¿m-\n-S-h-cp-¶p. Cu `mKw teme-am-b-Xp
-sImïv adp-]nÅ sXm«-Sp-¯pÅ aq{X-k-©n-bpsS
DÅn-te-¡p-hsc H«n-¸n-Sn-¡m-\nS hcp¶p (placenta accreta
percreta). adp-]n-Åsb thÀXn-cn-¡m³ {ian-¨m Aan-X
-amb cà-{kmhw Dïm-hp-Ibpw A½-bpsS Poh³
A]-I-S-¯n-em-hp-Ibpw sNbvtX-¡mw. C¯cw kµÀ`
-§-fn KÀ`-]m{Xw FSp-¯p-I-f-bp-I-bmWv {]Xn-hn-[n.
C¡m-c-W-§-fm-emWv kntk-dn-b-\p-I-fpsS F®w
A[n-I-am-I-cpXv F¶ Imcy-¯n tUmIvtSgvkv
\njv¡Àj ]peÀ¯p-¶-Xv.



km[m-cW \ne-bnÂ, F¨v.-sF.hn ¶-Xn-eq-sSbpw Ipªn\v AWp-_m[
AWp-_m-[-bpÅ KÀ`n-Wn-bn \n¶pw ]I-cp-hm³ km[y-X-bp-ïv. A½-bnÂ
KÀ`Ø inip-hn-te¡v F¨v.-sF.hn ]I- \n¶v Ipªn-te-¡pÅ AWp-kw-
cp-hm-\pÅ km[yX 25 apXÂ 45 iX- {IaWw XS-bp-¶-Xn\v/Ipd-bv¡p-¶-Xn-
am\w BWv. F¶m AWp-_m[ t\ \pÅ acp-¶p-IÄ, kpc-£n-X-amb
cs¯ Iïp-]n-Sn-¡p-Ibpw Bh-iy-amb {]kh kuI-cy-s¯-¡p-dn-¨pÅ \nÀt±-
ap³I-cp-X-ep-IÄ FSp-¡p-Ibpw sN¿p- i-§Ä, tUmIvS-dpsS tkh\w F¶nh
¶-]£w A½-bn \n¶pw Ipªn-te- ASp-¯pÅ tPymXnkv (sF.-kn.-Sn.-kn)
¡pÅ AWp-kw-{I-a-W-km-[yX 4 iX- tI{µ-§-fn e`y-am-Wv. \n§-fpsS
am-\-¯n Xmsg-bmbn Ipd-bv¡p-hm³ Ipªns\ F¨v.-sF.hn AWp-_m-[-bnÂ
km[n-¡pw. AXn-\m KÀ`n-Wn-I-fmb \n¶v kwc-£Ww \ÂIm³ Ch klm-
FÃm kv{XoIfpw \nÀ_-Ô-ambpw F¨v.- bn-¡p-¶p.
sF.hn ]cn-tim-[\ \S-t¯-ï-Xm-Wv.
P\-\-tijw bYm-k-a-¯pÅ ]cn-tim-
\n§Ä Hcp F¨v.-sF.hn AWp-_m-[n- [-\-bn-eqsS AWp-_m[ t\cs¯ Xncn-
X-bmb KÀ`nWn BsW-¦nÂ, KÀ`m-h- ¨-dn-bp-hm³ km[n-¡pw.
Ø-bn-epw, {]kh ka-b-¯pw, ape-bq-«p-
\n§Ä¡v F¨v.-sF.hn AWp-_m-[-
44 \½p-sS B-tcm-Kyw | amÀ¨v 2019

bp-sï-¦nÂ, \n§-fpsS Ipªn-s\, \y-ambn Ct¸mÄ "tPymXnkv' tI{µ-§-
P\n¨v Bdv BgvN-bv¡p-tijw \nÀ_- fn e`y-am-Wv.
Ô-ambpw F¨v.-sF.hn ]cn-tim-[-\-
bv¡mbn ASp-¯pÅ tPymXnkv tI{µ- \n§-fpsS Ipªnsâ F¨v.-sF.hn
§-fn F¯n-¡-Ww. Ahn-Sps¯ AhØ t\ct¯ Xs¶ a\-Ên-em-¡p-
]cn-Nb k¼-¶-cmb Iu¬kn-eÀamÀ ¶-Xn-eqsS Ipªn\v anI¨ Btcm-Ky-
Bh-iy-amb \nÀt±-i-§Ä \n§Ä¡p ØnXn Dd-¸m-¡p-hm³ km[n-¡p-¶p.
\ÂIpw. F¨v.-sF.hn AWp-_m-[n-cmb Ip«n-I-
fn hn«p-am-dm¯ hb-dn-f-¡w, Xq¡-¡p-
cà-]-cn-tim-[-\-bn-eqsS am{Xta Hcm dhv XpS§n Poh\p `ojWn Df-hm-¡p¶
Ä¡v F¨v.-sF.hn AWp-_m[ Ønco-I- Ah-k-c-P\y tcmK-§Ä ]nSn-s]-Sm-
cn-¡p-hm³ Ign-bq. Kh-s×âv saUn-¡Â \pÅ km²yX hfsc IqSp-X-em-Wv.
tImtf-Pp-IÄ, PnÃm Bip-]-{Xn-IÄ,
P\-d Bip-]-{Xn-IÄ, Xmeq-¡m-ip-]- F¨v.-sF.hn AWp-_m-[n-X-cmb Ip«n-
{XnIÄ, sXc-sª-Sp-¡-s¸« I½yq-Wnän IÄ¡v IrXy-amb NnInÕ icn-bmb
sl¯v skâ-dp-IÄ, ss{]adn ka-b¯v \ÂIp-¶-Xn-eqsS A]-I-S-km-
sl¯v skâ-dp-IÄ, kzImcy Bip-]- ²yX KWy-ambn Ipd-bv¡p-hm³ km[n-
{Xn-IÄ F¶n-hn-S-§-fn {]hÀ¯n- ¡p-¶p. CXn\v t\c-t¯-bpÅ F¨v.-sF.
¡p¶ "tPymXnkv' tI{µ- hn ]cn-tim-[-\m-^ew AXy-´m-t]-£n-
§-fn F¨v.-sF.hn ]cn-
tim-[\ \S-¯p-¶-Xn- X-am-Wv.
\pÅ kuI-cy-ap-ïv.
AWp-_m-[n-X-cmb
ap³Im-e-§-fn 18amk- Ip«n-IÄ¡pÅ NnIn-
¯n-\p-tijw am{Xw \S- Õbpw ]cn-N-c-Whpw
¯n-bn-cp¶ \h-PmXinip- e`y-am-¡p-¶-Xn-\pÅ
¡-fn-epÅ F¨v.-sF.hn amÀ¤-\nÀt±-i-§Ä
]cn-tim-[-\, AXnepw tPymXn-kv, Djkv
t\c-s¯, kpc-£n-Xhpw (F.-BÀ.än þ NnInÕ
Imcy-£-ahpw Bbn \S- e`y-am-Ip¶ Øew)
¯p-¶-Xn-\pÅ ]pXnb tI{µ-§-fnse ]cn-N-
kuIcyw XnI¨pw kuP- b-k-¼-¶m-cmb
Iu¬kn-eÀamÀ \Â
Ip-¶-Xm-Wv.

www.ksacs.kerala.gov.in

\½p-sS B-tcm-Kyw | 2019 amÀ¨v 45

tUm. Acp¬ _n. \mbÀ hymbmaw sN¿mw;
BtcmKyw
Xn-cp-h-\-´-]p-cw kwc-£n¡mw
sa-Un-¡Â
tIm-tfPn "Ip«n-IÄ \¶mbn ]Tn-¡p-¶nÃ',
ssk-Iym-{Sn F¶ ]cmXn amXm-]n-Xm-¡Ä km[m-c
hn-`m-K¯n -W-bmbn D¶-bn-¡p¶ H¶m-Wv. F¶mÂ
Akn. s{]m-^-k-À. "Ip«n-IÄ¡v aSn-bm-Wv,' "AhÀ Dg-¸p-I-bmWv'
hnhn-[ Sn.hn. Nm-\-ep-I-fn-em "Al-¦mcw Im«p-I-bmWv' F¶ a«n-sems¡
-bn B-bn-c-¯n-te-sd Cu ]T-\-{]-iv\s¯ Nn{Xo-I-cn-¡m-\mWv
B-tcm-Kyþkm-aqlnI _lp-`q-cn-]£w c£n-Xm-¡fpw {ian-¡p-¶-Xv.
hn-Zym-`ym-k-]-cn-]m-Sn-IÄ Ip«n-I-fpsS ]T\ ]nt¶m-¡m-h-Øbv¡p
A-h-X-cn-¸n-¨n-«p-ïv. Imc-W-am-Ip¶ LS-I-§-sf-¡p-dn-¨pÅ
A-Uzm³-kkv C³ [mc-W¡p-d-hmWv Cu ØnXn-hn-ti-j¯n\p
ssk-Iym-{Sn & sa-Un-kn³, Imc-W-am-Ip-¶-Xv.
\Ã Zm-¼-Xyw, sXm-gn-en-S
-§-fn-se am-\-kn-Im-tcm-Kyw,
hn-jm-Z-tcm-Kw a-dn-I-S-¡mw,
hz-Iv-Xn-Xz-ssh-I-ey§Ä,
Ip-«n-I-fp-sS h-fÀ-¨, HmÀ-½-
i-Iv-Xnbpw _p-²n-i-Iv-Xn-bpw,
]-co-£-t¸-Sn ]-cn-l-cn-¡mw,
A-h³ A-]-c-\mWv, ]-tiy-a-i
-c-Z-È-Xw (I-Ym-k-am-lm-cw),
am-\-kn-I-{]-iv\-§Ä A-dnbmw
A-I-ämw F-¶n§-s\ ]-Xn-
s\m-¶v ]p-kv-XI-§Ä F-gp-Xn
-bn-«p-ïv. tdm«-dn C³-dÀ-
\mj-WÂ shm-t¡j-WÂ
F-Iv-k-e³-kv A-hmÀUv,
sF.]n.Fkv. ao-Un-bm
A-hmÀ-Uv, do-ssa³-Uv
ssa³-Uv A-hmÀ-Uv XpS-§n
\n-ch-[n ]p-c-kv-Imc-§Ä
e-`n-¨n-«pïv.

mob: 9895129376

46 \½p-sS B-tcm-Kyw | amÀ¨v 2019

Poh-I-§-fpsS {]kàn F¶n-h-bpsS {]hÀ¯-\-§Ä¡pw sshä
-an³ Un Bh-iy-am-Wv.
a\p-jy-i-co-c-¯nse hnhn[ Ah-b-h
-§-fn \ne-\n¡p¶ tImi-§-fpsS Xe-t¨m-dnsâ kpK-a-amb {]hÀ¯-\
Imcy-£-a-amb {]hÀ¯-\-¯n\v AXy -¯n sshä-an³ UnbpsS ]¦n-s\-¡p-dn¨v
-´m-t]-£n-X-amb t]mjI LS-I-§-fmWv ASp-¯-Im-e-¯mbn Ht«sd ]T-\-§Ä ]p
"Poh-I-§Ä' AYhm "sshä-an-\p-IÄ.' d-¯p-h-¶n-«p-ïv. akvXn-jvI-¯nsâ ]ca
`£-W-¯n-eq-sSbpw aäv kzm`m-hnI {] {][m\ [À½-amb hnÚm\ hni-I-e-\
IrXn amÀ¤-§-fn-eq-sSbpw an¡-hmdpw Poh -¯n\v sshä-an³ Un hfsc {][m-\-am
-I-§Ä \ap¡v e`n-¡m-dp-ïv. CXnÂ, a-\p- -sW¶v Cu ]T-\-§Ä sXfn-bn-¡p-¶p.
jy-i-co-cw kz-´-am-bn \nÀ-½n¡p-¶ H-cp Hcp Imcyw tI«p Ign-ªmÂ, AXns\
Po-h-I-am-Wv "ssh-äan³ Un'. kqcy-{]-Im-i kzoI-cn-¨v, Xe-t¨m-dn hyà-ambn tcJ
-amWv sshä-an³ UnbpsS Gähpw {][m-\ -s¸-Sp-¯m-\pw, Hcp tNmZy-¯nsâ AÀ°w
-s¸« kzm`m-hnI t{kmX-Êv. Znh-tk\ Ac a\-Ên-em¡n AXns\ hnhn[ LS-I-§
aWn-¡qÀ t\c-sa-¦nepw kqcy-{]-Imiw -fmbn hnL-Sn-¸n-¨v,
Gäp-sIm-ïpÅ hymbm-a-§Ä ico-c-¯nÂ
Bh-iy-¯n\p sshä-an³ Un DXv]m-Zn-¸n Ah-bpsS D¯-c-§Ä HmÀ½-bn ]
-¡m³ klm-b-I-am-Ipw. c-Xn, Isï-¯n, Ahsb hm¡p-I-fmbn ]
cn-hÀ¯\w sNbvXv Ah-X-cn-¸n-¡m-\pÅ
AØn-IÄ, ]Ãp-IÄ, t]in-IÄ F¶n Ign-hmWv hnÚm\ hni-I-e-\-tijn.
-h-bpsS hfÀ¨bv¡pw _e-¯n\pw sshä Cu Imcy-¯n-\v, sshä-an³ Un AXym-h
-an³ Un Gsd {][m-\-am-Wv. ta¸-dª -iy-am-Wv. kzm`m-hn-I-am-bpw, sshä-an³
Ah-b-h-§-fpsS Imcy£aamb {]hÀ¯- UnbpsS Afhv cà-¯n Ipd-ªmÂ,
\-¯n-\m-h-iy-amb ImÂkyw BKn-cWw AXv hnÚm-\ -hn-i-I-e-\-ti-jnsb
sN¿m³ sshä-an³ Un AXym-h-iy-am-Wv. tZmj-I-c-ambn _m[n-¡pw. hnZymÀ°n-I
sNdp-Ip-S-en \n¶v t^mkv^-dkv BKn -fn CXv {i²-¡p-d-hv, HmÀ½-¡p-d-hv,
-cWw sN¿p-¶-Xn\pw sshä-an³ Un klm GIm-{K-X-bn-Ãmbva F¶o cq]-§-fn {]
-bn-¡p-¶p-ïv. cà-¯nse ImÂky-¯n I-S-am-tb-¡pw. CXv ]T-\-¯n ]nt¶m
-sâbpw t^mkv^-d-kn-sâbpw Afhv -¡m-h-Øbv¡v hgn-sX-fn-¡pw.
{Iao-I-cn-¡p¶ sNdp-Ip-SÂ, hr¡-IÄ, A
Øn tImi-§Ä F¶n-h-bpsS {]hÀ¯-\
-§-fn \nÀ®m-b-I-amb ]¦mWv sshä
-an³ Un hln-¡p-¶-Xv. CXp IqSmsX Xe
-t¨m-dv, h³Ip-SÂ, Btá-b-{KÙn (]m³
{In-bm-kv), kvX\-§Ä, t{]mtÌ-äv, lrZ
bw, Xz¡v, t]in-IÄ, cà-tIm-i-§Ä

\½p-sS B-tcm-Kyw | amÀ¨v 2019 47

shfn¨w ZpxJ-am-Wp®n!

cïp ]Xn-ämïp ap¼v Ip«n-Ifpw Iuam-c-
{]m-b-¡mcpw Hgn-hp-th-f-I-fn Imbn-I-hn-t\m-
Z-§-fn GÀs¸-Sm-\mWv Xm¸cyw Im«n-bn
-cp-¶-Xv. ""Ah³ Ft¸mgpw Ip«n-bm-Wv,'' F¶
]cm-Xn-bmWv Ip«n-I-sf-¡p-dn¨v ho«p-ImÀ
D¶-bn-¨n-cp-¶-Xv. F¶m B[p-\nI Ime
-¯v, Ip«n-IÄ H«pw Ifn-¡m³ Xm¸cyw
Im«p-¶n-sö ]cm-Xn-bmWv c£n-Xm-¡Ä¡v.
""Ah³ Ft¸mgpw samss_-en sKbnw Ifn
-¨n-cn-¡p-I-bm-Wv. ]pd-t¯m-«n-d-§m³ Xm¸cyw
Im«p-¶-tX-bn-Ã,'' F¶-XmWv ]e A½-am-cp
-sSbpw ]cm-Xn.

Ah-[n-¡m-e¯p t]mepw hoSn-\p-Ån samss_
tem, sF ]mtUm, Sm_vetäm D]-tbm-Kn¨v ZoÀL-t\-c

-an-cn-¡p¶ Ip«n-Ifpw Iuam-c-{]m-b-¡mcpw \m«p-]p-d-§-fn t]mepw km[m-cW ImgvN-bm
-bn-cn-¡p-¶p. \m«p-¼p-ds¯ Ih-e-I-fnepw, hmb-\-im-e-I-fnepw Ifn-Ø-e-§-fnepw Hcp
-an¨p IqSn-bn-cp¶ Iuam-c-¡mÀ, shbnepsImÅp-Ibpw hymbmaw sN¿p-I-bp-sams¡
]Xn-hm-bn-cp-¶p. F¶m CâÀs\äv bpK-¯nÂ, Ah-\-hsâ hoSp-I-fpsS kzIm-cy-X-bn-en
-cp¶v kmaq-lnI am[y-a-§-fn-eqsS Bi-b-hn-\n-abw sN¿p¶ sNdp-¸-¡mÀ¡v, shbnep
sImÅm\pw hymbmaw sN¿m\pw Ah-k-c-an-Ã. ioXo-I-cn-¡-s¸« Pnwt\-jy-bn "hÀ¡v
-Hu«v' sN¿p¶ sNdp-¸-¡mcpw Bh-iy-¯n\v kqcy-{]-Imiw sImÅp-¶n-sÃ-¶-XmWv
bmYmÀ°yw.

sshä-an³ Unbpw Iuam-c-¡mcpw

kqcy-{]-Imiw sImÅp-t¼mÄ, AÄ{Sm
-h-b-eäv '_n' Inc-W-§Ä (290-þ325 nm),
Xz¡nse 7þ-Uo-sslt{Um sImf-kvt{SmÄ
(7-dehydro cholesterol) F¶ ]ZmÀ°w BKn
-cWw sN¿p-I-bpw, AXv {]o ssh-ä-an³
Unþ3 F¶ ]ZmÀ°-ambn amdp-Ibpw
sN¿pw. Cu {]o ssh-ä-an³ Unþ3 ss\
kÀ¤n-I-ambn AØn-c-am-sbmcp ]ZmÀ°
-am-Wv. Xm]-\n-e-bn-e-[n-jvTn-X-am-sbmcp {]
{In-b-bn-eqsS CXp thKw sshä-an³ Un
Bbn amdp-I-bpw, XzIv tImi-§-fn \n
¶pw ]pd¯p h¶v aäv ico-c-`m-K-§-fn-te
-s¡-¯p-Ibpw sN¿p-¶p.

sshä-an³ Unbpw am\-kn-Im-tcm-Kyhpw
X½n-epÅ _Ô-s¯-¸än kao-]-Im-e-¯v,
\nc-h[n ]T-\-§Ä ]pd-¯p-h-¶n-«p-ïv.
Hm«nkw apXÂ Nn¯-{`aw hsc-bpÅ

48 \½p-sS B-tcm-Kyw | amÀ¨v 2019

tcmKm-h-Ø-I-fnÂ, sshä-an³ UnbpsS -am-Ip¶ _p²n-am-µyw, ]T-\-ssh-I-eyw,
Ipdhv ]¦p-h-ln-¡p-¶-Xmbn kqN\ \ F.-Un.-F-¨v.-Un, hnjm-Z-tcm-Kw, DXvI-WvTm
ÂIp¶ ]T-\-§Ä Ht«-sd-bp-ïv. sNdp- -tcm-K-§Ä, elcn D]-tbmKw XpS-§nb
{]m-b-¯nÂ, sshä-an³ UnbpsS Afhv {]iv\-§-sfm¶pw Cu Ip«n-IÄ¡p-ïm-bn
Ipd-bp-¶Xv \mUo-tIm-i-§-fpsS hfÀ¨ -cp-¶nà Xm\pw. 41 B¬Ip-«n-Ifpw 21
-sbbpw hnI-k-\-¯n-s\bpw tZmj-I-c s]¬Ip-«n-I-fp-amWv Cu ]T-\-¯n ]
-ambn _m[n-¡p-I-bpw, Xe-t¨m-dnse {] s¦-Sp-¯-Xv. 62 Ip«n-I-fnÂ, 50 t]À¡pw
[m\ cmk-{]-t£-]n-Wn-bmb tUm¸-an (80.6 iX-am-\w) sshä-an³ Un icm-i-cn
sâ {]hÀ¯\w XI-cm-dn-em-¡p-Ibpw sN -bn Xmsg-bm-bn-cp-¶p-sh¶v Cu ]T\w
¿pw. shfn-s¸-Sp-¯n. tIhew 12 Ip«n-I-fnÂ
am{Xta sshä-an³ Un Bh-iy-¯n\v
cà-¯nse sshä-an³ UnbpsS Afhv Dïm-bn-cp-¶p-Åq. B¬Ip-«n-I-fn 33 t]
Ipd-bp-¶Xv Iuam-c-¡m-cpsS Xe-t¨m-dnse À¡pw, s]¬Ip-«n-I-fn 17 t]À¡pw cà
hnÚm-\-hn-i-I-e-\-ti-jnsb aµo-`-hn-¸n -¯nse sshä-an³ UnbpsS Afhv Ipd-hm
-¡p-¶p. tIÄ¡p¶ Imcyw a\-Ên-em-¡m -bn-cp-¶p.
\pw AXnsâ D¯cw HmÀ½-bn ]cXn

Isï-¯m-\pw, AXns\ hm¡p-I-fn-te¡v sshä-an³ UnbpsS Afhv Ipd-hp-ïm
]cn-hÀ¯\w sNbvXv Ah-X-cn-¸n-¡m- -bn-cp¶ Ip«n-IÄ¡v AXnsâ Afhv
\p-apÅ Ign-hmWv hnÚm-\-hn-i-I-e-\ Iq«m-\pÅ acp-¶p-IÄ \ÂIn. AtXm-sSm
-tijn. sshä-an³ Un Ipd-bp-¶Xp aqew -¸w, Znh-tk\ sshIn«v 4 aWn¡v tijw
hnÚm\ hni-I-e-\-tijn Ipd-bp-¶Xv ] Hcp aWn-¡qÀ t\cw shbn-ep-sImïv
T-\-¯nse ]nt¶m-¡m-h-Ø-bmbn amdmw. hymbmaw sN¿m-\pÅ \nÀt±-ihpw \
ÂIn. ]T\w Ffp-¸-am-¡m-\pÅ ]T-\-X
2018-þ tUm. Acp¬ _n. \mbÀ, tUm. -{´-§Ä ]d-ªp-sIm-Sp-¯p. aq¶v amkw
tZhn-I.sP F¶n-hÀ, ]T-\-¯n ]nt¶m sImïv Ch-cpsS ]T-\-\n-e-hm-c-¯nÂ
-¡m-h-Øbv¡v klmbw tXSn-sb-¯nb 62 Imcy-amb ]ptcm-KXn {]I-S-am-bn. AhÀ
Iuam-c-{]m-b-¡m-cnse sshä-an³ UnbpsS ]co-£-IÄ¡v IqSp-X amÀ¡v hm§n
Afhv ]T-\-hn-j-b-am-¡n. 10 apX 19 hb -¯p-S-§n. Ah-cpsS {i²bpw HmÀ½-i
-Êp-hsc {]mb-apÅ Ip«n-IÄ, \¶mbn ] -ànbpw sa¨-s¸-«p. Imcy-§Ä sN¿m-
Tn-¨n-cp-¶-h-cm-Wv, F¶m Ignª Bdp \pÅ Xm¸cyw hÀ²n-¨p. AtXm-sSm¸w
amk-¡m-e-ambn ]T-\-¯n Imcy-ambn Ah-cpsS imco-cn-I-£-a-Xbpw DuÀÖ-kz
]nt¶m¡w t]mbn-cp-¶p. km[m-c-W-K-Xn -e-Xbpw hÀ²n-¡p-Ibpw sNbvXp.
-bn ]T-\-]n-t¶m-¡m-h-Øbv¡p Imc-W
\½p-sS B-tcm-Kyw | amÀ¨v 2019 49

Pohn-X-ssi-enbpw am\-kn-Im-tcm-Kyhpw

sshä-an³ Un AS-¡-apÅ t]mj-I-L

-S-I-§Ä ico-c-¯n Ipd-bp-¶Xv Hcp

hyàn-bpsS imco-cn-Im-tcm-Ky-t¯m-sSm¸w

am\-kn-I-\n-e-sbbpw _m[n-¡pw. Imbn-I

-£-aX Ipd-bp-I, ]T-\-\n-e-hmcw Ipd-bp

-I, HmÀ½-iàn Ipd-bpI F¶n-h-sbms¡

CXp-aqew Dïm-Imw. Ch aqew Iuam-c-{]

m-b-¯n Aan-X-h-®w, hnjm-Z-tcm-Kw,

AanX DXvI-WvT, {i²-¡p-dhv XpS-§nb

Btcm-Ky-{]-iv\-§Ä kw`-hn-¡mw.

C¯-c-¡mÀ¡v imco-cn-I-£-aX Ipd-hm

-b-Xp-sIm-ïp-Xs¶ Ifn-¡m\pw hymbmaw

sN¿m-\p-sams¡ Xm¸cyw Ipd-hm-bn-cn `£y-h-kvXp-¡Ä Ign-¡p-I-bp-w AXv
imco-cn-Im-tcm-Ky-¯n\v IqSp-XÂ XI-cm-dp
-¡pw. ZoÀL-t\cw InS-¡m-\pw, samss_Â, -ïm-¡p-Ibp-w sN¿pw. C§s\ Hcp Zqjn
-X-h-e-b-¯nÂs¸-«p-g-ep¶ Cu Ip«n-I-fpsS
Sn.hn XpS-§nb Zriy-am-[y-a-§Ä¡p am\-kn-Im-tcm-Kyhpw ]T-\-\n-e-hm-chpw
{ItaW Ipd-ªp-h-cn-Ibpw sN¿pw.
ap¶n NS-ªp-Iq-Sm-\p-am-bn-cn-¡pw.
A\m-tcm-Ky-I-c-amb Pohn-X-ssi-en
ChÀ¡p Xm¸cyw. Cu kz`mhw IqSp -bn amäw hcp¯pI hgn Iuam-c¡m-cpsS
Bß-hn-izm-khpw Imcy-£-a-Xbpw ]T-\-
-XÂ Btcm-Ky-{]-iv\-§-fn-te¡v Chsc \ \n-e-hm-chpw sa¨-s¸-Sp-¯m³ Ign-bpw.

bn-¡pw. CâÀs\ävþSn.hn ASn-a¯w DÅ

Ip«n-I-fn ImgvN-¡p-d-hv, Xe-th-Z-\, {i²

-¡p-d-hv, AanXtZjyw, Dd-¡-¡p-dhv XpS

-§nb {]iv\-§-fp-ïm-Imw. Cu Ip«n-IÄ

s]mXpth sImgp-¸pw, a[p-chpw IqSnb

amXm-]n-Xm-¡Ä {i²n-t¡-Xv

 cmhnse sXm«v cm{Xn hsc Syqj-\pw,
kvIqfpw "kvs]jy tIm¨n§p' ambn
Xnc-¡n-em-Ip¶ Ip«n-IÄ Bh-iy-¯n\v
kqcy-{]-Imiw sImÅp-¶n-Ã. Ah-cpsS
cà-¯nse sshä-an³ Un Ipd-bm³
km[y-X-tb-sd-bm-Wv. Ch-cpsS Imbn-I
-£-a-Xbpw Ipd-hm-bn-cn¡pw. C¯cw
Ip«n-IÄ¡v Aan-X-h-®hpw Pohn-ssi
-en-P\y tcmK-§fpw `mhn-bn ]nSn-s]
-Sm³ km[yX IqSp-X-em-Wv.

 Znh-tk\ Hcp aWn-¡q-sd-¦nepw shbnep
sImïpÅ Imbn-I-hym-bmaw Ip«n
-IÄ¡v \nÀ_-Ô-am-Wv. sshIp-t¶cw
kabw Cfwshbnep sImïp-Å -I-fn
-IÄ \Ã-Xm-Wv. Hm«w, \o´Â, ssk¢nw
-Kv, ^pSvt_mÄ XpS-§n-b-h-sbms¡

50 \½p-sS B-tcm-Kyw | amÀ¨v 2019


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