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

Mar 2019

Published by IMA Kerala

Keywords: IMA,Health,Magazine,Malayalam

\Ã hymbm-a-§-fm-Wv. -am-Ipw. CXv ]T\w sa¨-s¸-Sm³ D]-I
 ico-c-`mcw AØn-I-fn Xm§n-\n -cn-¡pw.
 Hcp aWn-¡qÀ t\cw ]Tn-¨-ti-jw,
À¯n-s¡m-ïpÅ hymbm-a-§-fmWv A©v an\n-sä-¦nepw icocw NSp-e
imco-cn-I-£a-ambn sa¨-s¸-Sm³, adn -ambn Nen-¸n-¡p-¶-Xv, aSp-¸p-amän
-¨pÅ hymbm-a-§-sf-¡mÄ \Ã-Xv. hoïpw ]T-\-¯n {i² tI{µo-I-cn
AXm-bXv \S-¯w, Hm«w, ^pSvt_mÄ -¡m³ klm-bn-¡pw.
XpS-§n-b-h. C¯cw hymbm-a-§Ä  ]T-\-¯n \à \ne-hmcw ]peÀ¯n
AØn-I-fn IqSp-X ImÂkyw -bn-cp¶ Ip«n-IÄ, s]mSp-¶s\ aäp
ASn-ªp-Iq-Sm\pw AXp-hgn FÃp-IÄ Imc-W-sam-¶p-an-ÃmsX ]T-\-¯n ]n
_en-jvT-am-Im\pw klm-bn-¡pw. t¶m¡w t]mIp-¶p-sh-¦n sshä-an³
 icocw NSp-e-ambn Nen-¸n-¡p-¶Xv UnbpsS Afhv Ipd-b-p¶-Xm-Im³
Xe-t¨m-d-S-¡-apÅ ico-c-`m-K-§-fn-te km[y-X-bp-ïv.
-¡pÅ cà-tbm«w IqSm³ klm-b-I

Bip-]-{Xn-I-fp-sS {i-²-bv-¡v

\-½p-sS B-tcmKyw amkn-I
tI-c-f-¯n-se FÃm {]ap-J B-ip-]-{Xn-I-fnepw e`n-¡p¶p

hn-h-c-§Ä-¡v hn-fn-¡pI:
t^m¬: 94000 12600

Cþsa-bnÂ: [email protected]

\½p-sS B-tcm-Kyw | amÀ¨v 2019 51

tUm-IvSÀ, k-aqlw, \n-e-]m-SpIÄ

]ucs³d
A`n-{]mb kzmX{´yw

GXp-hsc?

   kvY-e-¯nepw Im-e-¯ne-pw AIse \n-¶v t\m-¡p-t¼mÄ Im-cy
-§Ä Iq-Sp-X \njv-]-£-ambpw shfn-hmbpw Im-Wphm³ I-gnbpw
sF.Fw.F., sI.Pn. F-¶v ]-d-bp¶-Xv sh-dp-sXbÃ. {]f-bm\-´-c tIc-fw A-`n-ap-Jo
Fw.H.F, sF.F.]n. -Icn-¨ ISp-¯ tcm-K-_m-[-I-fp-sS k-ab-¯v Unkv C³^Àtaj³
F-¶n-h-bp-sS Im-¼-b\n A-`n-c-an-¨ncp-¶ Nn-e-cp-sS A-d-kväpw A-Xp-am-bn
kPo-h {]-hÀ-¯ _-Ôs¸-« Im-cy-§fpw C-¶v Xn-cn-ªp- t\m-¡p-t¼mÄ Iq-Sp-XÂ
-I³, tIcf `m-jm C³-kv-än hy-Iv-X-X-tbm-sS Im-Wp-hm³ I-gn-bp-¶pïv. B kw-`-h-¯n-s\¸
-äyq-«v c-ïv ]p-kv-XI-§Ä -änbpw A-\p-_-Ô Im-cy-§-sf-¡p-dn-¨pap-Å H-cp ]p-\À-hn-Nn-´-
{]-kn-²o-I-cn-¨n-«pïv. tI-c-f \-am-WnXv.
-¯n-se FÃm B-tcm-Ky
am-kn-I-I-fnepw kv-Yn-c-am-bn {]f-bm-\-´-c-tIc-fw A-`n-ap-Jo-Icn-¨ Kp-cp-X-c-a-m-b
F-gp-Xp¶p. Ign-ª hÀj B-tcm-Ky-{]-iv-\-§-fp-bÀ¯n-b F-en-¸-\n-bp-sS
-s¯ G-ähpw an-I-¨ {_m-©v k-ab-¯v Unkv C³-^À-ta-j³ Im-¼bn³ \-S¯n-b Nne
{]-kn-U-³-dm-bn tZio-b -sc A-d-kv-äv sN-bvX-Xv tI-c-f-k-aq-l¯n B-g-tadn-b NÀ
X-e¯n sX-c-sª-Sp-¡ -¨-IÄ-¡m-Wv h-gn-Xp-d-¶n-cn-¡p-¶-Xv. ]ucsâ A`n-{]m-b
-s¸«p. sI.Pn.Fw.H.F -kzm-X-{´yw, tÌänsâ \b-]-cn-]m-Sn-Isf A]-IoÀ¯n-
kw-kvYm-\ sk-{I-«-dn-bm-bn s¸-Sp-¯Â, kÀ¡m-cn-t\bpw a{´n-am-tcbpw shÃp-hn-fn
-cp¶p) -¡Â, P\-X-bpsS BtcmKymhIm-iw, ]ucsâ Ah-Im-i
[email protected] -§-fpsS ewL\w XpS§n P\m-[n-]Xy kaq-l-¯nse
mob: 9447137414 auenIamb ]e {]iv\§tfbpw B AdÌv kmaq-ln-I
-hpw cmjv{So-bhpw \nb-a-]-c-hpamb ImgvN
52 \½p-sS B-tcm-Kyw | amÀ¨v 2019 -¸m-Sn-eqsS t\m¡m³ \s½ {]tNm-Zn
-¸n-¨p.

{]-f-bm\-´-c Im-e-b-f-hn Btcm

-Ky-a-{´n-bpsS \nÀt±-i-{]-Imcw

sl¯v Ub-d-IvSÀ C¯c-¡mÀ

-s¡-Xnsc t]meo-kn ]cmXn \

ÂIpI-bp-ïmbn. Btcm-Ky-h-Ip

-¸pw kwØm\ kÀ¡mcpw {]

f-bm-\-´c tIc-f-¯nse Kpcp

-X-c-amb Btcm-Ky-{]-iv\-amb

Fen-¸-\nsb \nb-{´n-¡p

-hm\pw NnIn-Õn-¡p-hm

\pw s]Sm-¸mSps]Sp

-t¼mÄ, tUmIvko-ssk-¢n³ F¶ acp¶v \n¶v XnI¨pw hyXy-kvX-ambn Hmtcm
Fen-¸\n {]Xn-tcm-[-¯n\p]tbm-Kn-¡p-¶ acp¶ntâbpw tZmj-^-e-§Ä (Adverse
-Xn-sc-bpw tUmIvkn-ssk-¢n-s\-Xn-scbpw effects) hni-Z-ambn NÀ¨ sN¿p-¶-XmWv
tkmjy aoUnb hgnbpw aäp am[y-a C¯-c-¡m-cpsS ]nSn-h-Ån. Ah-cpsS {]
-§Ä hgnbpw Ip{]-N-cWw \S¯n Bfp kvXm-h-\-IÄ tI«m Cu tZmj-^-e
-Isf sXän-²-cn-¸n-¡p¶p F¶-Xm-bn-cp¶p -§Ä apgp-h³ AhÀ kzbw Iïp-]n-Sn-¨
]cm-Xn-bpsS ImXÂ. Cu \ne-]mSv -Xm-sW¶v \mw hniz-kn¨p t]mhpw. Hmtcm
kwØm-\-¯nsâ BtcmKy \b-]-cn-]m-Sn cmk-]-ZmÀ°-¯n\pw Nne \Ã ^e-§
-Isf Xpc¦w shbv¡p-I-bpw, ]uc-·m-cpsS -tfm-sSm¸w kzmK-XmÀl-a-Ãm¯ aäp
Poh³ A]-I-S-¯n-em-¡p-Ibpw sN¿p-¶p. ^e-§-fp-ap-ïm-hmw. shÅw t]mepw Aan
-X-ambn IpSn-¨p-I-gn-ªm hnj-am-bn am
Hcp ]ucsâ A`n-{]m-b- kzm-X{´yw -dp-sa¶v (Water Introxication), A[n-I-am-bmÂ
GXp-h-sc-bmhmw F¶ Kuc-h-X-c-amb \n AarXpw hnjw F¶v Xncn-¨-dnª \½psS
b-a-NÀ¨-IÄ¡v Cu AdÌv XpS-¡-an«p ]qÀhn-IÀ¡p-t]mepw Adn-bm-am-bn-cp-¶p.
Ign-ªp. kzbw tUmIvSÀ F¶v hnfn-¡p Hcp-Im-e¯v B[p-\nI sshZy-im-kv{Xhpw
-Ibpw {]N-cn-¸n-¡p-Ibpw sN¿p-¶Xv Hcp

Xc-¯n-epÅ NnInÕm ]T-\hpw \S-¯m Ct¸mgpw BbpÀth-Zhpw D]-tbm-Kn-¡p
sXbmsW-¶v C-¯-c-¡mcn ]-ecpw t]m- -¶p. "dm-thmÄ^nb skÀ]-ssâ\' (kÀ¸
eo-kn-t\m-Sv k-½-Xn-¨n-«pïv. Hcp hnj-b -K-Ôn) F¶ sNSn-bn \ns¶-Sp-¡p¶
-¯n hnZ-Kv²-\-Ãm¯ HcmÄ¡v, B[n acp¶v càmXnaÀ±-¯n\pw Nne-Xcw
-Im-cn-I-amb Hcp A`n-{]mbw {]kvXpX at\m-hn-{`m-´n-IÄ¡pw D¯-a-am-sW¶ncn
hnj-b-s¯-¡p-dn¨v ]d-bm-\-[n-Im-c-aptïm s¡- Xs¶ lrZ-b-kw-_-Ô-amb {]iv\
F¶-XmWv {]mY-an-I-amb tNmZyw. Hcp -§Ä, am\-knI k½À±w, ISp¯ aq¡-S¸v
ap³ ap-Jy-a-{´n-bpsS {]kvXm-h\ A`n- F¶n-hbv¡pw Imc-W-am-Ip-¶p-ïv. B[p-
{]mb kzmX-{´ys¯ ap³\nÀ¯n-bm-bn-cp \nI sshZy-im-kv{X-¯n Cu a-cp¶v D]
-¶p. A`n-{]mbw icn-bmtWm sXämtWm -tbm-Kn-¡p-t¼mÄ C¯cw tZmj-^e§Ä
F¶v t\m¡n-bn«p aXn-bm-bn-cp¶p AdÌv Dïm-¡p-Ibpw BbpÀth-Z-¯n D]-tbm
F¶v C¯c-¡m-cp-sS NnInÕ ]e-X-hW -Kn-¡p-t¼mÄ Ah A{]-Xy-£-am-hp-Ibpw
kzoI-cn-¨n-«pÅ At±lw A`n-{]m-b-s¸-«n sN¿p¶p F¶ hkvXpX IuXp-I-I-c-am
-cp-¶p. B acp¶v D]-tbm-Kn-¡-cpXv F¶ -Wv. kXy¯n tamtU¬ saUn-kn³
Xo-«p-c-amWv acp-¶p-I-sf-¡p-dn-t¨m, B[q- AXnsâ ^mÀat¡m-þ- hn-Pn-e³kv hfsc
\nI NnIn-Õm-co-Xn-I-sf-¡p-dnt¨m Hcp \¶mbn sN¿p-¶p-sh¶p am{Xta AXn-\
iX-am\w t]mepw hnh-c-an-Ãm¯ À°-ap-Åq.
A¯c¡mÀ ]pd-s¸-Sp-hn-¨-Xv. B[p-\nI
sshZy-im-kv{X-¯nsâ saUn-¡Â {KÙ Unkv C³-^À-ta-j³ Im-¼-bn³ImÀ
-§-fn aäp sshZy-imkv{X imJ-I-fn sNbvXXv tUmIvkn-ssk-¢ns³d tcmKlm
-cI Ign-hp-Isf shÃp-hn-fn-¡p-Ibpw AXn

\½p-sS B-tcm-Kyw | amÀ¨v 2019 53

sâ ^e-{]m]vXn sXfn-bn-¨m kwØm\ sshZy-im-kv{X-¯ns³d sXämb \b-§
Btcm-Ky-a-{´n¡v Hcpe£w cq] hmKvZm Äs¡-Xnsc i_vZ-ap-bÀ¯p-¶, AXnÂ
\w sN¿p-I-bp-am-Wv. temI-cm-Py-§-fn Btcm-]n-¡-s¸-Sp¶ [\-Xr-jvW-sb-¡p-dn
-seÃmw hfsc ^e-{]-Z-ambn F{Xtbm -¨pw [mÀ½nIcmln-Xy-s¯-¡p-dn-¨-sams¡
hÀj-ambn Fen-¸-\n¡v {]Xn-tcm-[-a-cp kaq-ls¯ t_m[-h¡-cn-¡p¶ t]mcm
-¶mbn D]-tbm-Kn-¡p-¶-XmWv tUmIvkn -fn-IfmWv, AhcpsS i_vZw B[p-\nI
-ssk-¢n³ Ft¶mÀ¡-Ww. B acp¶Ãm sshZy imkv{X-¯n-\pw BtcmKyhIp
sX Fen-¸\n {]Xn-tcm-[-¯n-\v, Hcp]cn[n -¸n\pw Atem-k-c-ap-ïm-¡p¶p F¶-sXm
hsc B{i-bn-¡m-hp¶ Akn-t{Xm-ssa -s¡-sIm-ïmWv AhcpsS \ni_vZ-am-¡p
-kn³, Atam-Ivkn-kn-en³ F¶o acp-¶p -hm³ AdÌv sNbvXXv F¶ hmZ-amWv
-IÄ Hgn-¨v, A{X-ta ^e-{]-Z-amb asämcp ]e {]apJ a\p-jym-h-Imi {]hÀ¯-I-tc
acp-¶p-an-Ãm¯ kml-N-cy-¯n-emWv Cu bpw kmaq-lnI Nn´-I-tcbpw hgn sXän-¨
hn-h-c-tZm-jn-I-fpsS ISpw-ssI. -Xv.

AhcpsS \ncp-¯-c-hm-Z-]-c-amb {] Hcn-¡epw AÀln¡m¯ ]Z-hn-bmWv

kvXm-h-\-IÄ Bfp-Isf sXän-²-cn-¸n-¡p Ch-scms¡ A¯c-¡mÀ¡v I¸n¨p \
-¶-tXm-sSm¸w Ahsc Fen-¸\n tcmK-_m- ÂIn-bXv F¶p- ]dbmsX h¿. Hcp Xc
-[bv¡v hiw-h-Zcm¡phm³ kml-N-cy-sam -¯n-epÅ NnInÕm imkv{Xhpw ]Tn
-cp-¡pI IqSn-bmWv sN¿p-¶-Xv. Bßm -¡m¯ HcmÄ tUmIvSÀ F¶ ]Zhn
`nam\hpw P\-X-tbmSv D¯-c-hm-Zn-¯-hp kzbw FSp-¯-Wnªv NnInÕ sN¿p¶p
-apÅ Hcp kÀ¡m-cn\pw- CXv Iïn-söp F¶ ISp¯ A[mÀ½n-I-Xbpw \nb-a-ew
\Sn-¡m-\m-hn-à Xs¶. `c-W-L-S-\-bpsS -L-\hpw amän-\nÀ¯n-bm t]mepw
BÀ«n-¡nÄ 21-þ-s\, Pohn-¡m-\pÅ Ah hnaÀi\ hnt[-b-am-t¡-ïp¶ \nc-h[n {]
-Im-is¯ \nÀ±bw XÅn-¡-f-bp-¶-Xm-bn hÀ¯-\-¯n A`n-c-an-¡p¶ Bfp-I-fm
-cp¶p AhcpsS sXämb \ne-]m-Sv. Fen- -Wv C-¯-c-¡mcn ]-e-cpw. tIc-f-¯nÂ
-¸\n hfsc Kpcp-X-c-amb Btcm-Ky-{]- henb \K-c-§-fn At©m Btdm Bip
iv\-ambn amdn Bfp-IÄ Ns¯m-Sp-§p¶ -]-{Xn-IÄ Ahcn NneÀ BtLm-j-ambn
BImw£ DWÀ¯p¶ A´-co-£-¯n \S-¯p-I-bpw, Im³kÀ XpS§n Kpcp-X-c
kÀ¡m-cn\v ISp¯ \S-]-Sn-bn-te¡v IS -amb lrZ-b-kw-_-Ô-amb tcmK-§Ä hsc
-¡m-Xn-cn-¡m³ Ign-bn-Ãm-bn-cp-¶p. NnIn-Õn-¡p-Ibpw sN¿p-¶p. tImgn-t¡m
-«pÅ Hcp h¡o C¯cw Aim-kv{Xo
C¯c-¡mcn NneÀ acp¶p am^nb-I -bhpw ASn-Øm-\-an-Ãm¯Xpamb NnIn-Õ
-Äs¡Xnsc s]mcpXp¶, B[p-\nI

54 \½p-sS B-tcm-Kyw | amÀ¨v 2019

-¡n-S-bn ac-W-a-S-ªXv kw_-Ôn¨ HcmÄ Ddªm-Sp-¶Xv F¶-XmWv IuXp
tIkv tImS-Xn-bn (Consumer redressel forum) -I-I-c-amb hkvXp-X.
F¯pIbpw Ahcn-semcmÄ IÀi-\-amb
in£bv¡v hn[n-¡-s¸-Sp-Ibpw sNbvXXv Un^v¯o-cnb h¶p acn¨p t]mb ae
ASp¯ Ime-¯m-Wv. C ´y apgp-h³ Fw. -¸p-d¯pw ]cn-k-c-¯p-apÅ ]n©p-Ip-ªp
-BÀ Ims¼bv³ (Measles-Rubella Campaign) -§-fpsS Poh\v ChÀ D¯cw ]d-bptam?
\S-¸m-¡p-hm³ tI{µ BtcmKy a{´m-e-b C§fv Fs´-¦nepw sN¿v, F\n¡v
-hpw, \½psS kwØm-\¯v \S-¸m-¡m³ izmkw In«-s«....... F¶p Ah-km-\- izm
tIcfm kÀ¡mcpw Xocp-am-\n¨t¸mÄ -k-¯n ]dªv ]nSªp acn¨ B
AXn-s\-Xnsc ZpjvS-em-t¡msS Ip{]-N Ipªnsâ Poh\v Bcp IW¡p ]dbpw?
-cWw \S-¯p-Ibpw ae-¸pdw t]mepÅ sshdkv F¶Xv k¦Â¸w am{X-am-sW
Xmc-X-tay\ hmIvkn-t\-j³ Imcy-¯n ¶pw AXv acp-¶p-þ-B-[p-\nI sshZy
]nt¶m¡w \n¡p¶ PnÃ-I-fn {]Xn -imkv{X am^n-b-bpsS krjvSn-bm-sW¶pw
-tcm-[-Ip-¯n-sh-¸n-s\-Xnsc AXoh Kpcp-X ]dªv kb³knsâ ASn-Øm\ Isï
-¯-ep-Isf ]cn-l-kn-¡p-Ibpw Xn-c-kv¡-cn

-c-amb kml-Ncyw kwPm-X-am-¡p-hm³ CS -¡p-Ibpw sN¿p¶ C¯c-¡msc "imkv
-h-cp-¯p-Ibpw sNbvXp. {Xob' tkmjy-en-k-¯nsâ ià-amb
hàm-¡fpw {]tbm-àm-¡-fp-amb {]ap
Btcm-Ky-h-Ip-¸nse Poh-\-¡mÀ cmhp -Jcmb cmjv{So-b-þ-km-aq-lnI {]hÀ¯-IÀ
-]-I-se-¶n-ÃmsX hmIvkn-t\-j-\p-thïn ]n´p-W-bv¡p-¶Xv Hs«m-c-Ûp-X-t¯m-sS
{]hÀ¯n-¡p-t¼mÄ ]e-bn-S¯pw Btcm -bmWv icm-icn ae-bmfn t\m¡n-¡m-Wp-
-Ky-{]-hÀ¯-IÀ tNmZyw sN¿-s¸-Sp-Ibpw ¶-Xv. Ggp Znhkw sImïv \n§-sf, Hcp
B{I-an-¡-s¸-SpI t]mep-ap-ïm-bn. im hnZym-`ymk tbmKy-Xbpw Bh-iy-an-Ã,
kv{Xo-b-amb Hcp Imcyw `c-W-Iq-Sw, ]uc tUmIvS-dm-¡m-sa¶v hmKvZm\w \ÂIn
-·mÀ¡v hmKvZm\w sN¿p-t¼mÄ AXn-s\ tIc-f-¯n-ep-S-\ofw ¢mÊp-IÄ \S¯n
-Xnsc Ip{]-N-cWw \S¯n Aim-kv{Xob h³XpI ssI¸-äp-¶Xv BtWm "KmÔn
Imcy-§Ä \njvI-f-¦-cmb P\-§-fn -b³' Pohn-X-co-Xnbpw "KmÔn-b³' XXz-§
ASn-t¨Â¸n-¡p-hm³ apXn-cp-¶Xv F´m -fpsS {]tbm-Khpw? \mUn ]nSn¨p t\m¡m
-bmepw cmPy-kvt\-l-aà Xs¶. temI-cm ³ t]mepw Adn-bn-söv IrXy-ambn \nco
-Py-§Ä apgp-h³ Hä-s¡-«mbn Ah-c-h-cpsS -£n-¡-s¸« C¯c-¡m-cpsS t_m[-aä
P\-§Ä¡v hÀj§fmbn \ÂIn hcp¶ In¦-c-·m-cm-bn-«mWv Ch-scms¡ ]n¶oSv
{]Xn-tcm[ acp-¶p-IÄs¡Xn-sc-bmWv cq]m-´cw sImÅp-¶-Xv.
sshZy-im-kv{X-hp-ambn ]pe-_-Ô-an-Ãm¯
\½p-sS B-tcm-Kyw | amÀ¨v 2019 55

tIcfw A£-cmÀ°-¯n hnd¨pt]m- -Imiw \nÝ-bambpw \ntj-[n-¡pI h¿.
b- \n¸ ka-b¯v \n¸ F¶ sshdkv
acp¶p am^n-b-þ-B-[p-\nI sshZy-imkv{X ]ucsâ A`n-{]mb kzmX{´yw t]mepw
k¦Â¸ krjvSn am{X-am-sW¶p ]d-ªp cmjv{S-¯nsâ ASn-Øm\ine-Isf sXm
-sImïv ChÀ {]N-cWw \S-¯n. GXp Sp-¶-Xp-h-scbpw Ahâ Poh\v kwc-£W
]\nbpw ]¨-shÅw IpSn¨v ]«nWn InS Ih-N-am-hp¶ Btcm-Ky-]-cn-]m-e\ \nba
-¶m amdp-sa¶v {]N-cn-¸n-¡p¶ Chcp-sS -§sf ASn-Øm-\-an-ÃmsX Aim-kv{Xo-b
-sbms¡ hm¡p-IÄ ]n´pSÀ¶n-cp-¶p-sh -ambn tNmZyw sN¿p-¶-Xp-h-scbpw am{Xta
-¦n tIc-f-¯nsâ KXn F´m-hp-am-bn-cp A\p-h-Z-\o-b-am-Ip-hm³ ]mSpÅq F¶p
¶p? -hsc ae-bmfn Nn´n-¨p-t]m-hm³ C¯-c
-¡mÀ CS-h-cp-¯n-tb-¡pw. tUmIvSÀ F¶p
{]f-bm-\-´cw tIcfw IctIdm³ ]m kzbw Ah-Im-i-s¸«v ]mh-s¸« tcmKn
Sp-s]-Sp-t¼mÄ hoïpw AhÀ ZpjvSem -Isf Bip-]-{Xn-I-fn InS-¯n, Hcp
t¡msS cwK-s¯-¯n, Fen-¸-\n-sb-¡p-dn sshZy-imkv{X imJ-bp-ambpw ]pe-_-Ô
¨pw AXn-\p-]-tbm-Kn-¡p¶ imkv{Xob -an-Ãm¯ ChÀ NnIn-Õn-¡p-¶Xv am{Xw
Huj-[-§Äs¡-Xn-scbpw Ip{]-N-cWw aXn Chcn ]-e-tcbpw AdÌp sN¿m³
\S-¯n. Hcp hn[-¯n \nb-{´-W-hn-t-[-b F¶v ]e sImïm-S-s¸-Sp¶ kmaq-lnI
-am-bn-¡-gnª B alm-am-cn, C¯c-¡m-cp Nn´-Icpw ad-¶p-t]m-hp¶p F¶-XmWv
sS hm¡p-IÄ ae-bm-fn-IÄ kzoI-cn-¨ncp tJZ-I-c-amb hkvXp-X.
¶p-sh-¦n F´p Kuc-h-X-c-am-hp-am-bn
-cp¶p? P\-X-tbmSv D¯-c-hm-Zn-¯-apÅ ]ucm-h-Imiw F´pw sN¿p-hm-\pÅ
Hcp `c-W-Iq-S-¯n\v C¯-c-am-fp-Isf \nb ssek³k-Ã. IS-a-Isf Ipdn¨v Ir
-a-¯n\p ap¶n sImïp-h-cm-\pw, P\-X Xyamb t_m[-ap-sï-¦n am{Xta Ah
-bpsS sskzc-Po-hn-X-¯n-\pÅ Ah-Imiw -Im-i-§-sf-¡p-dn¨v kwkm-cn-¡p-hm³ \mw
XIÀs¯-dn-bp¶ Chsc IÀi-\-amb AÀl-cm-Ip-¶pÅq.
in£bv¡v hnt[-b-am-¡p-hm-\p-apÅ Ah
P\-X-bpsS Btcm-Kys¯ apÄap-\
56 \½p-sS B-tcm-Kyw | amÀ¨v 2019 -bn \nÀ¯n ]Xn-\m-bn-c-¡-W-¡n\v B
fp-Ifp-sS a-c-W-¯n\v CS-bm-¡p-¶-X-Ã,
Bhcp-Xv ]ucm-h-Im-iw. imkv{Xhpw
kmaq-lnI hn¹-hhpw Hcpan¨p apt¶m«p
sImïpt]mIp-hm³ \mw ]mSps]Sp-t¼m
Ä, a[y-Im-e-L-«-¯ns³d Ccp-«n-te¡v,
Aim-kv{Xo-b-X-bpsS Icmf Kpl-I-fn
-te¡v tIc-fs¯ \bn-¡p-¶Xv \nÝ-b
-ambpw FXnÀ¡-s¸-tS-ïn-bn-cn-¡p-¶p.

]n³Ip-dn¸v: ]pXn-b ho-Sv FSp¡p
-t¼mÄ Gähpw {]K-Û-\mb F©n\o-b-
tdm-Spw, I¼yq-«À kw_-Ô-amb kw`-h
-§Ä Zqco-I-cn-¡m³ Gähpw anI¨
I¼yq-«À hnZ-Kv²-t\mSpw am{Xw A`n-{]m
bw Bcm-bm³ \njvIÀjn-¡p¶ ae-bm-fn,
Btcm-Ky-¯nsâ Imcy-¯n B cwKs¯
{]K-Û-cpsS A`n-{]m-b-§Ä¡v sNhn-sIm
-Sp-¡msX, GsX-¦nepw "hnh-c-tZ-mjn' ]
d-bp¶ A`n-{]m-b-§Ä inc-km-h-ln-¡p
-¶Xv XnI¨pw Ahym-tJbw Xs¶!

\½p-sS B-tcm-Kyw | amÀ¨v 2019 57

hnÂk¬ tcmKw

tUm. kPnIpamÀ. sP tUm kmapth hnÂk¬

Hm¨n-d ]-c{_-Ò _ncpZm\´c _ncpZ Ime¯p saUn¡Â hnZymÀ°n
tlm-kv-]n-äen IÄ¡v \nÀ_Ôambpw Hcp KthjW {]_Ôw
in-ip-tcm-K Xbmdmt¡ïXpïv. A§ns\ FgpXs¸« Nne
hn-Z-Kv-²-\m-bn tkh-\w KthjW {]_豈 sshZyimkv{XcwKs¯
A-\p-jvTn-¡p¶p. tIc-fm \mgnI¡ÃpIfmbn amdnbn«pïv. Ahbn Gähpw
sa-Un-¡Â tPÀ-Wen ap¸-Xp {][m\s¸« {]_Ô§fn H¶mWv {_n«ojv
te-J\-§Ä {]-kn-²o-I-cn¨p. sshZyimkv{XÚ\mb tUm kmapth hnÂk¬
tZ-io-bhpw A-´À-tZ-io-b-hpam-b 1912  kaÀ¸n¨ Progressive lenticular degeneration F¶
tPÀ-W-ep-I-fnepw am-kn-I-I-fnepw {]_Ôw. Icfnt\bpw Xet¨mdnt\bpw Hcpt]mse
\qdn ]-cw im-kv-{X-te-J-\-§Ä \in¸n¡p¶ Hcp tcmKs¯¡pdn¨mbncp¶p
F-gpXn. sa-Un-¡Â ^n-em-ä At±l¯nsâ ]T\w. Cu tcmKw BZyambn
-enbn t]m-kv-ä Un-¸mÀ-«v-sa³ Isï¯nb \mev tcmKnItf¸änbpw At±lw
-dns³-d kzÀ-W-sa-U c-ïp hniZoIcn¨p. Ahcn aq¶v t]cpsS acWtijw
X-h-W t\Sn. AhcpsS t{]X]cntim[\bpsS hniZmwi§Ä
\ÂIpIbpw sNbvXp. hniZmwi§Ä e`yamb
Mob: 9847266807 aäp cïp tcmKnIsf¡pdn¨pÅ hnhc§Ä tNÀ¡pIbpw
[email protected] sNbvXp sImïmbncp¶p AtZlw {]_Ôw
]qÀ¯oIcn¨Xv. Cu ]pXnbXmbn \nÀhNn¡s¸«
tcmKs¯¡pdn¨pÅ KthjW¯n\v At±l¯n\v
At\Iw _lpaXnIÄ e`n¨p. ]n¡me¯p Cu
tcmKw hnÂk¬ tcmKw F¶ t]cn Adnbs¸«p.

58 \½p-sS B-tcm-Kyw | amÀ¨v 2019

sN¼pw icochpw

hnäman\pIsft¸mse Xs¶ \½psS icoc¯n\v [mXp¡fpw ehW§fpw ssZ\w
Zn\ imcocnI {]hÀ¯\§Ä¡v BhiyamWv. ImÕyw, t^mkv^dkv, tkmUnbw,
Ccp¼v, s]m«mkyw XpS§nb [mXp¡Ä XmcXtay\ IqSnb Afhnepw sN¼v, aKv\o
jyw, kn¦v, amwK\okv, tIm_mÄ«v, t{Imanbw, tamfn_vUn\w F¶o [mXp¡Ä hfsc
sNdnb Afhnepw icoc¯n\v BhiyamWv. Cu [mXp¡fpsS Afhv IqSp¶Xpw
Ipdbp¶Xpw ]eXcw BtcmKy {]iv\§Ä¡pw hgnsXfn¡pw. AXn hfsc {]m[m\y
aÀln¡p¶ H¶mWv sN¼v AYhm tIm¸À. a\pjy icoc¯nsâ t]mjW¯n\v
AXymhiyamb Hcp aqeIamWv sN¼v. a\pjycn sN¼v {][m\ambpw ImWp¶Xv
cà¯nemWv. F¶m icoc¯n CXnsâ Afhv Hcp ]cn[n hn«v hÀ²n¡p¶Xv
lm\nIchpamWv. icoc¯nev sN¼nsâ Awiw IqSpXÂ ImWs¸Sp¶ AhØsbbmWv
"hnÂk¬ tcmKw' (Wilson's Disease) F¶ t]cn Adnbs¸Sp¶Xv.

sN¼v icoc¯n\v ¶pïv. sImgp¸ns\ Xn
cn¨v DuÀÖam¡p¶
 icoc¯nsâ km[m
cW coXnbnepÅ hfÀ {]{Inbbn sN¼v A
¨¡v sNdnb Afhn XymhiyamWv. sN¼n
sN¼v BhiyamWv.
A\h[n cmk{]hÀ sâ Ipdhv DbÀ¶ sIm
¯\§fn cmkXzcn
X§Ä¡v sN¼v Bh fÌtdmÄ Dïmhm³
iyamWv.
ImcWamImw
 lotamt¥m_n³ X·m  C³kpensâ {]hÀ¯
{Xbn Ccp¼v icnbm
b coXnbn H«n \n \¯n\v sN¼v Bhiy
¡Wsa¦n sN¼v amWv. Ipdhv {]talw
BhiyamWv. PohIw
kn bpsS \nÀ½mW¯n Dïmhm³ CSbm¡ntb
\pw sImfmP³, Cem
Ìn³ F¶o tImi§ ¡mw
Ä \nÀ½n¡p¶Xn\pw  Rc¼pIfpsSbpw lrZ
sN¼v BhiyamWv.
Ch XcpWmØnIÄ, b¯nsâbpw {]hÀ¯
FÃv, \Jw, apSn F¶n \¯n\pw Ipdª Af
hbpsS \nÀ½mW¯n
\v BhiyamWv. hnse¦nepw sN¼v
{]Xn
 saem\n³ F¶ \ndw BhiyamWv.
\ÂIp¶ ]ZmÀ°w \nÀ½n¡m\pw  icoc¯nsâ
sN¼v BhiyamWv. sXmen¡pw
apSn¡pw aäpw \ndw \ÂIp¶Xv Cu tcm[ kwhn[m\¯nse
hkvXphmWv. Hcp {][m\ LSIw
sN¼mWv.
 DuÀÖw Dïm¡p¶ cmk{]{Inb
Ifn sN¼v {][m\ ]¦v hln¡p CXnsâ Ipdhv Ip«n I

fnepw aäpw AkpJ §

Ä s]s«¶v ]nSns]Sm³

CSbm¡mdpïv.

sN¼nsâ Ipdhv kÔnIfpsSbpw I®n
se {Zh§sfbpw apSnsbbpw _m[n¡p¶p.

Cu thfIfn `£W¯nsâ IqsS
sN¼v \evImdpïv.

\½p-sS B-tcm-Kyw | amÀ¨v 2019 59

F´mWv hnÂk¬ tcmKw?

Hcp P\nXItcmKamb Cu AkpJw
]nSns]SWsa¦nÂ, tcmKhmlIcmb
"Po\pIÄ' amXm]nXm¡fn cïpt]cnÂ
\n¶pw Ip«nbnte¡v F¯nt¨cWw.
amXm]nXm¡fn Hcmfn \n¶pw am{Xw
Po\pIÄ e`n¨Xp sImïv tcmKkm[yX
DïmIp¶nÃ. F¶m AhÀ tcmKhmlI
cmbncn¡pw. ]e IpSpw_§fnepw Cu
tcmKhmlIÀ IqSpXembpÅXpsImïp
ASp¯ _Ôp¡Ä X½nepÅ hnhml
¯nepïmhp¶ Ip«n¡v hnÂk¬ tcmK
km[yX IqSpXemWv.

hnÂk¬ tcmKw _m[n¨hcn ico
c¯n A[nIamb sN¼v icnbmb
coXnbn ]pd´Åm³ IgnbmsX hcnI
bpw icoc¯nsâ hnhn[ `mK§fnÂ
sN¼v ASnªp IqSpIbpw sN¿pw. CXv
acW¯n\p Xs¶ ImcWamtb¡mw.
hnÂk¬ tcmKw 30,000  HcmÄ¡v ho
Xw DïmIp¶sX¶v IW¡m¡s¸Sp¶p.
km[mcW Ip«nIfnepw Iuamc¡mcnepam
Wv hnÂk¬ tcmK¯nsâ e£W§Ä
BZyw {]ISamhp¶sX¦nepw apXnÀ¶h
cnepw CXv ImWs¸Smw. ]pcpj·mtcbpw
kv{XoItfbpw Hcpt]mse _m[n¡p¶
Cu tcmK¯nsâ e£W§Ä {]Xy£
s¸«p XpS§pt¼mÄ Xs¶ NnInÕ
Bcw`n¨nsæn hnÂk¬ tcmKw Ic
fns\ KpcpXcambn _m[n¨v acWw hsc
kw`hn¡mw.

tcmKe£W§Ä IcÄ

60 \½p-sS B-tcm-Kyw | amÀ¨v 2019 icoc¯n\v Bhiy¯n IqSpX
epÅ sN¼v ']n¯ckw' hgn icoc
¯n \n¶pw ]pd´Ås¸Sp¶p.
F¶m hnÂk¬ tcmKnbn A[nI
apÅ sN¼v icoc¯n \n¶pw
hnkÀPn¡s¸Sp¶nÃ.

X·qew Icfn sN¼nsâ Afhv
hÀ[n¡pIbpw IcÄho¡w, IcÄ]cm
Pbw, kotdmknkv apXemb {]iv\

§Ä¡v ImcWamIpIbpw sN¿p¶p. hn{`m´n, hndbÂ, A]kvamcw apXemb
AanX XfÀ¨, aª¸n¯w, hbänepÅn tcmKe£W§fpw ImWs¸Smw.
\ocv, Im ho¡w XpS§nb imcocnI
{]iv\§Ä CXpaqew Dïmhmw. I®v
I®nse IrjvWaWn¡p Npäpw Xhn«p
icoc¯n sN¼nsâ Afhv hÀ[n¡p
¶Xv 50 iXam\w t]cnepw IcÄ kw_ \nd¯nepÅ Hcp hfbw (Kayser-Fleischer
Ôamb k¦oÀWXIfmWv Dïm¡p¶Xv. rings) Nnet¸mÄ {]Xy£s¸Smw. NneÀ¡v
Xnanchpw _m[n¡mw
Icfnse Rc¼pIfnse k½À²w
IqSp¶Xv aqew hbän\pÅn \n¶pw hr¡
A]ISImcnbmb cà{kmhapïmImw. hnÂk¬ tcmKw aqew hr¡bn IÃp
IcÄ]cmPbw icoc¯nse AtamWnbm
bpsS AfhpIq«pIbpw akvXnjvIho¡w IÄhcmw, Aant\m A¾§Ä [mcmfambn
t]mepÅ amcImhØ¡p ImcWamIp aq{X¯n hnkÀÖn¡s¸Sp¶ AhØ
Ibpw sN¿pw. bpïmImw.

akvXnjv¡w lrZbw
lrZbt]inbpsS _elo\X lrZb]
hnÂk¬ tcmKw _m[n¨ ]IpXnt]À
¡pw \mUokw_Ônbmb Asæn cmPb¯n\pw lrZbmLmX¯n\pw Imc
am\knItcmK e£W§Ä DïmIpw. Wamhp¶p. lrZb Xmf¯n\pw hyXymk
XpS¡¯n hfsc sNdnb am\knI §Ä DïmImw.
sshIeyhpw hntZzjhpw s]cpamä¯n
se amä§fpw {]ISn¸n¡pw.

apdp¡apÅ t]inIfpw aµKXnbnepÅ
Ne\§fpw hndbepw GtIm]\anÃmbv
abpw aqew ]et¸mgpw ]mÀ¡n³k¬
tcmKambn sXän²cn¡s¸Smw.

hnÂk¬ tcmKw Xet¨mdns\ A[n
Iambn _m[n¡p¶Xpaqew HmÀ½¡pdhv,
\S¡pt¼mÄ BSnt¸mIpI, ImgvN¡pdhv,

Wilson's Disease:
The disease that should

never be misssed

\½p-sS B-tcm-Kyw | amÀ¨v 2019 61

tcmK\nÀWbw

tcmKw \nÀWbn¡p¶Xv ]et¸mgpw tUmÎÀamÀ¡v shÃphnfnbmImw, ImcWw
sl¸ssäänkv t]msebpÅ aäv IcÄ tcmK§fn \n¶pÅ e£W§tfmSv H«pw
hyXykvXaà hnÂk¬ tcmKe£W§fpw.

tcmK\nÀWbw \S¯m\mbn tcmKe£W§fpsSbpw ]cntim[\IfpsSbpw
kwtbmP\w tUmÎÀamÀ B{ibn¡p¶p. hnÂk¬ tcmKw \nÀ®bn¡p¶Xn\pÅ
]cntim[\IÄ ChbmWv

càhpw aq{Xhpw

càw ]cntim[\bneqsS Icfnsâ {]

hÀ¯\§Ä hnebncp¯mw. cà¯nÂ

sN¼v hln¡p¶ t{]m«o\mb skdptem
¹mkvansâ (Ceruloplasmin) Afhv Cu

tcmKnIfn hfscb[nIw Ipdhmbncn

¡pw.

skdptem¹mkvansâ Ipdhpaqew

cà¯nse sN¼nsâ Afhpw Ipdhm

bncn¡pw. aq{X¯n IqSn t]mIp¶

sN¼nsâ Afhp IqSpXembncn¡pw. 24 fn\pÅn IS¯n Icfnsâ Hcp Awi
saSp¯p et_md«dnbn ]cntim[n¡p
aWn¡qdn\pÅn aq{X¯n \n¶v ]pd ¶p. tcmKw hyàambn \nÀ®bn¡m³
_ntbm]vkn D]Icn¡p¶p.
´Åp¶ sN¼nsâ Afhv ]cntim[n

¡Ww.

I®v ]co£ P\nXI ]cntim[\
DbÀ¶ km{µX {]Imi t{kmXÊpÅ
hnÂk¬ tcmKw Dïm¡p¶ P\nXI
Hcp kq£vaZÀin\n D]tbmKn¨v, I®nse hyXnbm\§sf cà]cntim[\bneqsS
sN¼v hfb§Ä ImWm³ km[n¡pw. Xncn¨dnbmw. Hcp IpSpw_¯nse P\n
CXv tcmK\nÀWb¯n\v klmbn¡pw. XI hyXnbm\§Ä Adnbp¶Xv aäp
IpSpw_§Ä¡v tcmKe£W§Ä Im
IcÄ _ntbm]vkn Wp¶Xn\v ap¼v NnInÕ Bcw`n¡phm³
NÀ½¯neqsS Hcp t\À¯ kqNn Ic klmbn¡p¶p.

NnInÕ

tcmK \nÀWb¯n\v tijw F{Xbpw s]³knÃman³
s]s«¶pXs¶ A[nIapÅ sN¼v
icoc¯n \n¶v \o¡wsN¿m³ klm s]mXpth s]³knÃman³ BWv BZy
bn¡p¶ Nne acp¶pIÄ sImSp¯p ]SnbmbpÅ NnInÕ¡p D]tbmKn¡p
XpS§Ww. IoteänMv GPâvkv F¶ ¶Xv. CXv A[nIapÅ sN¼ns\ _Ôn
hn`mK¯n s]« acp¶pIfmWv NnIn ¡pIbpw aq{X¯n IqSn sN¼v ]pd´
Õ¡v D]tbmKn¡p¶Xv. Cu acp¶pIÄ ÅpIbpw sN¿p¶p. s]³kneman³ {]
A[nIapÅ sN¼ns\ aq{X¯n IqSn iv\§fnÃm¯ acp¶v AÃ. Xz¡v, hr¡
]pd´Åm³ klmbn¡p¶p. hnÂk³ kw_Ôamb {]iv\§Ä, AØn aÖm
tcmK¯n\pÅ NnInÕ PohnXmhkm\w sshIey§Ä, \mUo kw_Ônbmb
hsc XpStcïXmWv. e£W§Ä hjfmhpI F¶nhsbms¡
s]³knemansâ ]mÀiz^e§fmWv.
62 \½p-sS B-tcm-Kyw | amÀ¨v 2019

ss{Sb³ssä³ amsW¦nepw CXv {]tXyI kmlNcy
s]³knÃman\pïm¡p¶ ]mÀiz^e §fn am{XamWv D]tbmKn¡p¶Xv.
Xo{h IcÄtcmK _m[nXtcm AsænÂ
§Ä DÅhÀ¡v ]Icw ss{Sb³ssä³ acp¶pItfmSv {]XnIcn¡m¯ IcÄ
sslt{Umt¢mssdUv F¶ acp¶p]tbm tcmKnIfntem BWv IcÄ amänshbv¡Â
Kn¡mhp¶XmWv. {][m\ambpw sN¿p¶Xv.

kn¦v (Zinc) sN¼nsâ Awiw IqSpXeS§nb
`£W¯n¡qSn icoc¯n F¯n Blmckm[\§Ä tcmKnIÄ ]qÀ®
ambpw hÀÖn¡Ww. Cd¨nbnse IcÄ,
t¨cp¶ sN¼v BKncWw sN¿s¸Sp¶ sIm©v, I¡, Rïv, DW§nb ^e§Ä,
Xn \n¶pw kn¦v XSbp¶p. s]³knÃm IqWv, Aïn¸cn¸v, tNm¢äv apXembh
an³ Asæn ss{Sb³ssä³ D]tbm sN¼nsâ Awiw IqSnb Blmc§fmWv.
Kn¨pÅ NnInÕ¡p tijw icoc¯nse
sN¼nsâ Afhv Ipdhmbn \ne\nÀ¯p¶ tcmK{]Xntcm[w
Xn\v kn¦v Hcp kwc£W NnInÕbmbn
«mWv D]tbmKn¡p¶Xv. tcmKe£W§Ä {]Xy£s¸«p
XpS§pt¼mÄ Xs¶ NnInÕ Bcw
^nkntbmsXdm¸n `n¨nsæn hnÂk¬ tcmKw Icfn
\mUokw_Ônbmb tcmKw IqSpXep s\ KpcpXcambn _m[n¨v acWw hsc
kw`hn¡mw. tcmKw XpS¡¯nÂ
ÅhÀ¡v ^nkntbmsXdm¸n {]tbmP\I Iïp]nSn¡s¸SpIbpw \¶mbn NnIn
camWv. Õn¡pIbpw sN¿pIbmsW¦nÂ
tcmKnIÄ¡v km[mcW PohnXw \bn
IcÄ amänshbv¡Â ¨v apt¶m«p t]mIm\mIpw.
IcÄ amänshbv¡Â ikv{X{Inb
Hcmfn tcmKw ØncoIcn¨mÂ
hnÂk³ tcmK¯n\p hfsc ^e{]Z ho«nse aäwK§fpw ]cntim[\ \
S¯Ww. P\nXI ]cntim[\bneqsS
tcmKhmlIsc Isï¯pIbpw Ah
À X½nepÅ hnhmlw \ncpÕmk
s¸Sp¯pIbpw thWw. AXphgn
tcmKnIfpsS F®w Ipd¡m\mIpw.

\½p-sS B-tcm-Kyw | amÀ¨v 2019 63

tUm. cmPo-hv P-b-tZh³ amÀK§fpv,
Im«pXobn \n¶p
ko\n-bÀ
I¬-kÄ-«³-dv c£s¸Sm³
Kym-kv-t{Sm-
F³-d-tdm-f-Pn-kväv, Im«pXobmWv hnjbw. Ignª hÀjamWv Xangv-\mSv-
U-]yq-«n sa-Un-¡Â tIcf AXnÀ¯nbn ]SÀ¶ Im«pXobn 11 bphm
U-b-d-IvSÀ, ¡Ä sh´p acn¨Xv. Cu hÀjhpw Xo]nSp¯§fpsS
k¬-ssd-kv {Kq-¸v hmÀ¯IÄ h¶psImïncn¡pIbmWv. _µn¸qÀ h\
Hm-^v tlm-kv-]näÂ, taJebnepÄs¸sS Xo ]Scp¶p. tIcf¯nepw ØnXn
sIm¨n tamiaÃ. Xobn \n¶p c£s¸Sm³ AtX¸änbpÅ
Adnhpw ]cnioe\hpw IqSntb Xocq.
ssh-kv {]-kn-U³dv,
sF.Fw.F. sIm-¨n³ Im«pXo F§ns\bmWv Dmhp¶Xv ?

th\¡me§fnemWv Im«pXo IqSpXepw ]Scp¶Xv.
sXm®qdp iXam\¯ne[nIhpw a\pjy\mWv Im«p
Xobv¡v D¯chmZn.

knKdäp IpänIfpw Xos¸«ns¡mÅnIfpw aäpw Ae£y
ambn hens¨dnbp¶Xpw s{S¡nMv t]mIp¶hÀ Aek
ambn Iym¼v ^bÀ \S¯p¶Xpw ]ip¡Ä¡v tabm³
\Ã ]pÃp hfcp¶Xn\mbn agbv¡v ap³]v XobnSp¶Xpw
IrjnbnSw Hcp¡p¶Xn\p a\¸qÀÆw XobnSp¶Xpw Hs¡
Im«pXobpsS ImcW§fmWv. {]IrXnP\yamb Im«pXobp
sS ImcWw ]et¸mgpw CSnan¶embncn¡pw.

aq¶p LSI§Ä tNcpt¼mgmWv Xo DïmIp¶Xv.
XobpsS DdhnSamb NqSv, Xo I¯n¸nSn¡m\pÅ CÔ\w,
]ns¶ I¯ens\ klmbn¡p¶ HmIv-knP³.

F®tbm hmXItam hndtIm A§s\ F´pamImw
Xo ]nSp¯¯nsâ CÔ\w. sNdnsbmcp Xos¸mcntbm
Xos¸«ns¡mÅntbm, AWbm¯ knKdäp Ipäntbm
BImw DdhnSw. I¯m\mhiyamb HmIv-knP\mIs«
hmbphn Bhiy¯n\pïpXm\pw.

64 \½p-sS B-tcm-Kyw | amÀ¨v 2019

Im«pXobn \n¶pw F§s\ c£s]Smw

1 HmSp¶ a\pjysâ thKXtb¡mÄ 4 ]¨¸v DÅ `mK§fnte¡v Xo ]SÀ¶p

IqSpXemhmw AKv\nbpsS k©mc ]nS¡psa¶Xn\m Xcnimb {]tZi
thKw. AXpsImïpXs¶ Im«pXo ] tam ]c¶ ]md¸pd§tfm c£s¸Sm\m
Scpt¼mÄ AXn \n¶v HmSn c£ bn B{ibn¡mw.
s¸SpI A{X Ffp¸aÃ. \Ã ImäpÅ
t¸mÄ AKv\nbpsS thKX aWn¡qdn 5 Hcp tdmtUm \oscmgpt¡m IïmÂ
20 Intemaoädn\p aotXbmhmw. AXp
sImïpXs¶ Xo]nSp¯¯nsâ hchv DS³ AXnsâ adp`mKt¯¡v IS¡pI.
a\Ênem¡nbmepS³ c£s¸Sm\pÅ CXv Xobv¡pw \ap¡panSbn Hcp
amÀK§Ä kzoIcn¡Ww. A´co£ ^bÀsse³t]mse {]hÀ¯n¡pIbpw
¯neqsS ]d¶phcp¶ Nmcw, ]pÃpw Xo adp`mKt¯¡v hcp¶Xv XSbpIbpw
aäpw I¯p¶Xnsâ iÐw CsXms¡ sN¿pw.
Im«pXobpsS km¶n[yw Adnbm³ D]
Icn¡pw. 6 Imänsâ ZnibnemWv Im«pXo ]Scp

2 \nc¸mb {]Xet¯¡mÄ thK¯n ¶Xv. Imänsâ ZnimhyXnbm\w Xobp
sS Znibpw thKXbpw kz`mhhpw \
Xo I¯n¸nSn¡pI Dbc¯nte¡v Ncn ioIcWiànbpsaÃmw s]s«¶p hÀ
ªpt]mIp¶ {]Xe§fnemWv. NqSp [n¸n¡pw. NqSphmbphnsâ Ne\w aq
hmbp apIfnte¡pbcpw t]msebm ew henb Im«pXo Nnet¸mÄ iàn
WnXpw. apIfnte¡pÅ Ncnhv Hmtcm bmb Imäns\ krãn¡mdpïv .
]¯p Un{Kn IqSpt´mdpw XobpsS
thKX Cc«nbmIpw. Ip¶n³ NcnhmsW 7 AXpsImïpXs¶ XobpsS km¶n[yw
¦n XobnÂ\n¶p c£s¸Sm³ apIfn
te¡v HmScpXv. Xo ]Scm¯ taJebneq a\ÊnembmepS³ Imänsâ KXn \nco
sS Xmtg¡v HmSn c£s¸Sm\mWv {ian £n¡p¶Xpw \¶mbncn¡pw. Xo]nSn¨
t¡ïXv. apIfnte¡v HmSp¶Xv \n§ CeIfpw aäpw Imän ]d¶v asämcn
fpsS DuÀÖhpw timjn¸n¡pw. S¯v t]mbn hogp¶Xv AhnsS ]pXnb
Xmbn Xo ]Scm\pw ImcWamIpw. Zqsc
3 Xo ASpt¯¡p hcpt¼mÄ kao]¯v \n¶pw Xo hcp¶Xv Imïm Imänsâ
KXn¡v FXnÀZnibnembncn¡Ww \
Ipftam \oscmgpt¡m Dsï¦n AXn ½psS k©mcw.
 A`bw {]m]n¡pI. Xo IS¶pt]m
b tijw am{Xw AhnsS\n¶p ]pd¯p 8 Xot]mseXs¶ A]ISImcnbmWv ]p
hcnI. IpgnItfm XmgvNbp¶ `mK§
tfm BWv c£s¸Sm\pÅ ASp¯ I. Im«pXobn AIs¸Sp¶hÀ s]m
amÀKw. Åteäp am{Xaà ]pI aqehpw acW
s¸Smw. ]pI apIfnte¡v DbÀ¶p t]m
Ipsa¶Xn\m \net¯mSv tNÀ¶v Ip
\nªp apt¶m«p t]mIp¶Xv ip²
hmbp e`n¡m³ D]Imcs¸Spw.

\½p-sS B-tcm-Kyw | amÀ¨v 2019 65

9 Im«pXobn \n¶v HmSn c£s¸Sm³ ¿pI. ]t£, AXn`oIcamb coXnbnÂ
Xo ]SÀ¶p]nSn¡pt¼mÄ Cu amÀKw
km[n¨nsæn Xobnte¡v HmSn¡b H«pw DNnXaÃXm\pw.
dpI F¶ kmlknI amÀKhpw Nne
Ahkc§fn c£bv-s¡¯ntb 10 Xosb XosImïp t\cnSp¶XmWv
¡mw. Im«pXobpsS Gähpw ZpÀ_
eamb `mKw GsX¶v a\Ênembm asämcp amÀKw. (Fighting fire with fire) Zqsc
AXphgn HmSp¶Xv s]s«¶v XobpsS \n¶v henb Xo hcp¶Xp ImWpt¼mÄ
adp]pds¯¯m³ klmbIamWv. t\ c£s¸Sm³ aäp amÀK§fnsæn \
ct¯ Xo I¯n AWª `mK¯v ap¡p Npäpw \nb{´nXamb coXnbnÂ
B{ibw Isï¯p¶Xn\mWv C§ XobnSpI. CXneqsS Xo ]Scm³ klm
bn¡p¶ CeIfpw ]pÃpIfpw aäpw \
s\ sN¿pI. A§s\ Xosb apdn¨pIS in¸n¡m\pw AXneqsS henb Xo A
¡pt¼mÄ \\ª XpWnsImïv apJw Sps¯¯p¶Xv XSbm\pw km[n¡pw.
kwc£n¡pIbpw ]¨ne¡¼pIÄ
sImïv Xosb hIªpamäpIbpw sN 11 Cu amÀK§sfm¶pw \S¡nsöpw

Xo \s½ adnIS¡psa¶pw tXm¶nbmÂ
sNdnb Ipgnbntem Nmentem atäm Xo
bpsS `mKt¯¡v ImepIÄ hcpwhn[w
Iangv¶p InS¡pI. apIfneqsS Xo IS
¶pt]mIm³ A\phZn¡pI. Cu kab
¯v \\ª XpWntbm at®m D]
tbmKn¨v icocw aqSp¶Xv s]mÅensâ
tXmXv Ipdbv¡pw. Iangv¶p InS¡p
¶XneqsS apJs¯ s]mÅen \n¶p
c£n¡m\pw ]pI izkn¡p¶Xv Ipdbv
¡m\pw km[n¡pw. \\ª Xqhme
tbm atäm apJt¯mSp tNÀ¯p ]nSn
¡p¶Xv izmktImi¯n\pw kwc£
Ww \ÂIpw.

Im«pXo F§s\ XSbmw?

1. bYmkabw \nÀan¡p¶ ^bÀsse\p

IfneqsSbpw aäpw h\whIp¸v Im«pXo
XSbm³ amÀK§Ä kzoIcn¡mdpïv.
Xo h¶mepw Fsd Zqcw ]Scm³ km[y
aÃm¯ coXnbn ap³Iqdmbn \of
¯n ImSp sh«ns¯fn¡ens\ ^bÀ
sse³ fire line F¶v hntijn¸n¡pw.
sXfnª {]tZi¯p IqSn Xo k©
cn¡pIbnà F¶XmWv CXnsâ ]n
¶nepÅ ASnØm\ XXzw. h\w hIp
¸nt\msSm¸w P\§fpw C¡mcy¯nÂ
Nne ap³IcpXepIsfSp¡p¶Xv \Ã
XmWv.

2. Im«pXo ]Scm³ km[yXbpÅ Øe

66 \½p-sS B-tcm-Kyw | amÀ¨v 2019

§fnse hoSp sF.Fw.F. \-½p-sS
Ifpw aäpw \nÀ B-tcmKyw am-knI-sb
an¡pt¼mÄ kw-_-\v[n-¨ hn-i-Z-hn-hc§Ä
Xo]nSp¯¯nÂ
\n¶p c£s¸Sm hn-emkw:
\pÅ amÀK§Ä F-UnäÀ,
IqSn kzoIcn¡Ww. sF.Fw.F. \-½p-sS B-tcmKyw,
Xosb {]Xntcm[n¡p¶ C´y³ sa-Un-¡Â A-tkm-kn
ta¡qcbpw Xo ]Scm¯hn[¯nepÅ landscaping -tb-j-³, tIc-fm kv-tä-äv
-Dw DZmlcW§Ä. sl-Uv IzmÀ-t«-gvkv
B\-b-d ]n.Hm,
3. F{X sNdnb Im«pXobmsW¦nepw {i²bnÂs]«m X-n-cp-h-\-´-]pcw -- 695029

epS³ A[nIrXsc hnhcadnbn¡pI. e-mail: [email protected]
web: www.nammudearogyam.com
4. ImSn\p kao]w amen\y§Ä I¯n¡cpXv. ImänÂ
sam-ss_Â B-¹n-t¡-j³ h-gn
sNdpXos¸mcnIÄ ]d¶v DW§nb ]pÃn hoWm \-½p-sS B-tcmKyw hm-bn-¡p-¶-Xn\v:
t]mepw Xo ]SÀ¶p ]nS¡mw.
https://play.goo-gle.
5. Im«n camp fire / barbecue sN¿p¶hÀ Bhiyw Ign com/store/apps/details?id=com.
smacon.nammudeaarogyam
ªm shÅsamgn¨p Xo¡\epIÄ ]qÀWambpw
sI«S§n F¶v- Dd¸m¡pI. F¶ en-¦v k-µÀ-in-¡pItbm
C-tXm-sSm-¸w \Â-In-bn-«pÅ
6. lcnX\n_nUambØe§fneqsSk©cn¡pt¼mÄ QR Code k-vIm³ sN-¿p-I
-tbm sN-¿pI.
knKdäp Ipänbpw aäpw hens¨dnbcpXv. Ikvä-aÀ sI-bÀ :
0471þ2742266, ]-c-kyw,
7. ImSpIÄ¡pkao]w bmsXmcp Xc¯nepapÅ shSn
amÀ-¡-änw-Kv : 9400012600
acp¶p {]IS\§fpw ]mSnÃ.
like us at https://www.facebook.
8. DW§nb Dbcw IqSnb Xcw ]pÃpIfpÅnS¯v hml com/AdyamArogyam/
join us at https://www.facebook.
\§Ä ]mÀ¡v sN¿cpXv. hml\¯n\Snbnse NqSpw com/nammudearogyam.ima
FIv-kv-tlmÌv ss]¸n \n¶pÅ NqSpsams¡ Xo follow us at https://twitter.com/
]nSp¯¯n\p ImcWamtb¡mw. _mw¥qcn kao NammudeArogyam
]\mfn \qdpIW¡n\p ImdpIÄ I¯nbaÀ¶Xn
sâ Hcp ImcWanXmsW¶mWv IcpXp¶Xv. \½p-sS B-tcm-Kyw | amÀ¨v 2019 67

a\pjy\nÀ½nXamWv Im«pXo F¶Xn\mÂXs¶ A
Xv XSbm\mIp¶ H¶msW¶Xn kwibanÃ. Xo
bn s]«tijw c£s¸Sp¶Xns\¸än Nn´n¡p¶
Xnt\¡mÄ F´psImïpw \ÃXv XobpïmImsX
kq£n¡pI Xs¶bmWv.

{]k-hm-\-´-c-Imew

Adn-tb--sX-Ãmw.....

tUm. jo_ än tPmk^v KÀ`hpw {]k-hhpw t]mse kp{]-[m-\-amb
I¬kÄ«âv Ime-L-«-amWv {]k-hm-\-´-c-Imew AYhm
ssK\-t¡m-f-Pn-Ìv, pueperium. {]k-h-¯n\p tij-apÅ BZy Bdv
Kh. P\-d BgvN BWn-Xv. imco-cn-Ihpw am\-kn-Ihpw
tlmkv]n-äÂ, sshIm-cn-I-hp-ambn Gsd hyXn-bm-\-§Ä Hcp
kv{Xobn \S-¡p-¶p. kmwkv¡m-cn-Ihpw aX-]-c-
_o¨v, tImgn-t¡mSv hp-amb Hcp-]mSv BNm-c-§fpw A\p-jvTm-\-§fpw
A½-tbbpw \h-PmX inip-hn-t\bpw Npän-¸än
Mob: 9447282135 \n¡p¶p F¶Xv sImïv Xs¶ Btcm-Ky-
[email protected] {]-h-À¯-IÀ AS-§nb km[m-cW P\-§-fn-
te¡v CXn-s\-¡p-dn¨v icn-bmb Hcp Ah-t_m[w
hfÀ¯n-sb-Sp-¡pI F¶Xv AXy-´m-t]-£n-X-
am-Wv.

68 \½p-sS B-tcm-Kyw | amÀ¨v 2019

{]k-h-¯n\v sXm«p tijw Xs¶ Xmbn hcpw. \mcv AS-§nb ]¨-
A½ thZ-\-IÄ FÃmw ad¶v Ipªns\ ¡-dn-IÄ, Noc apX-emb Ce-¡-dn-
ape-bq-«m³ XpS-§p-¶p. Cu ka-b¯v IÄ, ]g-§Ä F¶nh `£-W-¯n
25-þ50% kv{XoI-fnepw Ipfncpw hnd-bepw  DÄs¸-Sp-t¯-ï-Xm-Wv. aqe-¡p-
ImWmw. GI-tZiw Hcp aWn-¡q-tdmfw cp-hnsâ (piles) {]iv\w Dsï-¦nÂ
\oïp-\n¡p¶ CXnsâ ImcWw aew Abªp t]mIm-\pÅ acp-
Fs´¶v hyà-ambn Adn-bn-Ã. \¶mbn ¶p-IÄ thïn hcpw. ]bÀhÀK-
I¼nfn sImïv ]pX-¸n¨v InS-¯n-bm §Ä, ap«, amwkw, ]m F¶n-
Xs¶ CXn\v ia\w Dïm-Ipw. hbpw `£-W-{I-a-¯n thWw.

{]khw Ignª DSs\ Npcp§m³ {]k-hm-\-´cw Ipªns\
XpS§p¶ KÀ`]m{Xw GItZiw s]m¡n XpS¨v s]mXnªv shbv¡-Ww.
fn\Sp¯p hsc DbÀ¶p \n¡pw. cïv Xebpw Imep-Ifpw s]mXn-b-Ww.
BgvNbv¡pÅn AXv Pelvis \v DÅn s]m¡nÄs¡mSn HcmgvN sImïv
tebv¡v Npcp§nt¸mbncn¡pw. H¶camkw s]mgnªp t]mIpw. A½bpw
BIpt¼mÄ GItZiw KÀ`[mcW¯n\v thsd HcmÄ IqSnbpw Ipªns\
ap¶nse hep¸¯ntebv¡v BhpIbpw ssIImcyw sN¿p-¶-Xmhpw \Ã-Xv.
sN¿pw.

{]khm\´cw KÀ`]m{X¯n \n¶v
]pd´Åp¶ {ih§sf BWv Lochia
F¶v ]dbp¶Xv. XpS¡¯n AXv
càw IeÀ¶XmsW¦nepw ]n¶oSv
aª\ndhpw ]ns¶ shÅ\ndhpw BIpw.
GItZiw 4 apXÂ 8 BgvNtbmfw CXv
\oïp\n¡pw.

{]khw Ignª DSs\ KÀ`]m{Xw
Npcp§m³ XpS§pw. At¸mÄ {]kh
thZ\t]mse sNdnb thZ\ A\p`h
s¸Smw. CXmWv After Pain. apebq«pt¼mÄ
thZ\ IqSpXembn A\p`hs¸Spsa¦nepw
3-þ4 Znhk¯n\pÅn CXv Xms\
Ipdbpw.

kpJ{]kh¯n\v tijw aWn¡qdp
IÄ¡Iw Xs¶ \S¶p XpS§mw. CXv
icnbmb tim[\ Dïm¡m³ klmbn
¡pw F¶p am{Xaà cà¡pgepIfnÂ
càw I«]nSn¡p¶ Venous Thrombo
Embolism XSbp¶Xn\pw D]Icn¡pw.

{]k-hm-\-´cw 10-þ15 ¥mÊv
shÅw F¦nepw Znhkw IpSn-¡p-
Ibpw CS-bv¡nsS aq{Xw Hgn-¡p-
Ibpw thWw. Bdp aWn-¡q-dn-
\p-Ån t]mbn-sÃ-¦n aq{X-
¯n\v Syq_v (catheter) CtS-ï-

\½p-sS B-tcm-Kyw | 2019 amÀ¨v 69

kpJ-{]-k-h-¯n\pw kntk-dn-b\pw Ign-¡-Ww. ImÂkyw Kpfn-I-IÄ ape-bq-
tijw F{Xbpw t\cs¯ Ipªns\ «p¶ Imew A{Xbpw D]-tbm-Kn-¡p-¶-
ape-bq-«mw. Hcp aWn-¡q-dn-\p-Ån XmIpw \Ã-Xv.
F¦nepw XpS-§-Ww. Ipªn\v Bh-iym-
\p-k-cWw thWw ape-bq-t«-ï-Xv. OPV, HEP B, BCG apX-emb
Ip¯n-sh-bv¸p-IÄ ho«n t]mIp-
ape-¸m sImSp-¡p-¶-Xn\v ap¼v ape- ¶-Xn\v ap¼v Xs¶ Ipªn\v
¡®v \\ª ]ªn sImïv XpS-bv¡- sImSp-¯n-«pïv F¶v Dd¸v hcp-
Ww. ape-bq-«n-b-Xn\v tijw Ipd¨p ¯-Ww. P\n¨v 48 aWn-¡q-dn-\p-
ape¸m ape-¡-®n ]pc-«p-¶Xv hoïp- Ån Ipªv ajnbpw aq{Xhpw
Io-d XS-bm³ klm-bn-¡pw. DÅn-te¡v Hgn-¨n-«n-sÃ-¦n {]tXyIw
hen-ªn-cn-¡p¶ ape-¡-®p-IÄ KÀ`-Im- {i²n-¡-Ww.
e¯v Xs¶ shfn-s¨® ]pc«n ]pd-
t¯¡v hen-¡-Ww. 6 amkw Ipªn\v
ape-¸m am{Xw Blm-c-ambn \ÂIn-
bm aXn-bm-Ipw.

A½bv¡pw Ipªn\pw _p²n-ap-«p-IÄ
H¶pw CsÃ-¦n aq¶mw Znhkw
UnkvNmÀPv sNbvXv ho«n-te¡v t]mImw.

Cu ka-b¯v hyàn-ip-NnXzw kp{]-
[m-\-amWv. Znhkw cïp t\c-sa-¦nepw
Ipfn-¡-Ww. tbm\n-bpsS `mKw hr¯n-bm-
t¡-ïXv ap¶n \n¶v ]pd-In-te-¡m-Wv.
ae-Zzm-c-¯n\v ASp-¯pÅ _mIvSo-cob
tbm\n-bn-te¡v IS-¡m-Xn-cn-¡m-\m-Wn-Xv.
sNdnb NqSv ]nSn-¡p-¶Xpw apdn-hnsâ
thZ\ Ipd-bv¡m³ klm-bn-¡pw.

ape-bq-«p¶ A½-amÀ Ab¬ Kpfn-I-
IÄ Gähpw Ipd-ªXv 3 amkw F¦nepw

70 \½p-sS B-tcm-Kyw | amÀ¨v 2019

Bdv BgvNbv-¡p-tijw A½bpw F¶nh aäp Xm¡m-enI amÀ¤-§-fm-
Ipªpw ]cn-tim-[-\-bv¡mbn hc-Ww. Wv. BZys¯ 3þ7 Znh-k¯n\pÅnÂ
PPS Dw, 6 BgvN-¡p-tijw em]-tdm-
KÀ`-Im-e¯v {]ta-lw, càmXn kvtIm¸n hgnbpw {]khw \nÀ¯m-hp-
k½À±w F¶nh DÅ-hÀ CXv km[m- ¶-Xm-Wv.
cW \ne-bn B¡n-b-Xn\p tijw
thWw UnkvNmÀPv hm§m³. kpJ-{]-k-h-¯n\p 3þ4 BgvN-IÄ¡v
tijw _p²n-ap«v H¶pw CsÃ-¦nÂ
{]k-hm-\-´cw ]gb \nebnte¡v ssewKnI _Ô-¯n GÀs¸-Sm-hp-¶-
Xncn¨p hcm³ `£-W-{I-ao-I-c-W- Xm-Wv. hnIm-c-¡p-dhpw thZ-\bpw
t¯mSpw hymbm-a-t¯mSpw H¸w ape-bq- Ipd-¨p-\mÄ A\p-`-h-s¸«p F¶v hcmw.
«epw klm-b-I-am-Ipw.
\sÃmcp iX-am\w kv{XoIfpw
DZc t]in-I-fpsS _e-¡p-dhpw {]khw F¶ {]{In-b-bn-eq-sSbpw
hb-dp-Nm-S-ep-amWv ]e-tcbpw Ae-«p¶ AXnsâ hyXn-bm-\-§-fn-eq-sSbpw
Hcp {][m\ {]iv\w. {Ia-amb kam-[m-\-]-c-ambn IS-¶p-t]m-Ipw.
hymbmaw CXn-\mbn Hcp ]cn[n hsc F¶n-cp-¶mepw ]e Xc-¯n-epÅ
klm-b-I-c-am-Ipw. {]iv\-§fpw A`n-ap-Jo-I-cn-t¡-ï-
Xmbn hc-dp-ïv.
hb-dn\p apI-fn ImWp¶
shfp¯ hc-I-fmWv Striae AXn Gähpw {][m-\-s¸-«-XmWv
gravidarum. NÀ½-¯nsâ hyXn-bm-\w {]k-hm-\-´c AanX cà-{km-hw.
A\p-k-cn¨v CXnsâ tXmXv ]e-cnepw AYhm sk¡âdn t]mÌv ]mÀ«w
amdn-bn-cn-¡pw. sla-tdPv. {]k-h-¯n\v 24 aWn-¡q-
dn\p tijw BZys¯ 3þ4 BgvN-I-fn-
{]k-h-¯n\p tijw ico-c-¯nse emWv CXv IqSp-X-embpw Dïm-Ip-¶-Xv.
t{]mem-Ivän³ F¶ tlmÀtam-Wnsâ
Afhv IqSp-Ibpw "Cukv{S-Psâ' \½p-sS B-tcm-Kyw | 2019 amÀ¨v 71
Afhv Xmc-X-tay\ Ipdhpw Bbn-cn-
¡pw. ape-bq-«p¶ A½-amÀ¡v
AtÞm¸m-Z\w Bdpamkw sImïv
Xs¶ hoïpw XpS-§mw. F¶mÂ
sa³kkv XpS-§m³ 1þ2 hÀjw hsc
FSp¯p F¶v hcmw. Cu Ime-b-f-
hn KÀ`n-Wn-bm-Im³ DÅ km[yX
Dïv F¶Xv {]m[m\yw AÀln-¡p-¶p.
ape-bq-«m¯ A½-amÀ¡v 2þ3 amk-¯n-
\p-Ån Xs¶ AtÞm¸m-Z\w
Bcw-`n-¡pw.

A\p-tbm-Py-amb KÀ`-\n-tcm-[\
amÀ¤-§-sf-¡p-dn¨v A½-amÀ Adn-ªn-
cn-t¡-ïXv AXy-´m-t]-£n-X-am-Wv.
{]k-hm-\-´-c-tam 48 aWn-¡q-dp-IÄ¡p-
Åntem \nt£-]n-¡m-hp¶ CUT
(PPIUCD) Ct¸mÄ e`y-am-Wv.
tlmÀtam¬ Kpfn-I-IÄ, 3 amkw
IqSpt¼mÄ sN¿p¶ C³P-£³

]yq(tP]ue-drÂperasl sPy]redxIia)vky -¡p-Ibpw CS-bv¡nsS aq{Xw Hgn-¡p-Ibpw
thWw.
{]k-hm-\-´cw 2þ10 Znhkw hsc
GsX-¦nepw cïp Znh-k-sa-¦nepw ico-c- ape-¡®v hoïp Iodn ]gp¸v Ib-dp-
Xm]w 38 Un{Kn skÂjykn IqSp-X-em- ¶Xpw CSbv¡v ImWm-dp-ïv. CXv XS-bp-
Ip-¶-Xm-Wn-Xv. BZys¯ Hcp Znhkw ¶-Xn-\mbn KÀ`-Im-e¯v Xs¶ Ipfn-¡p-
sNdnb NqSp-t]mse A\p-`-h-s¸-Sp-¶Xv t¼mÄ shfn-s¨® D]-tbm-Kn¨v
kzm`m-hnIw BWv. ape-¡-®p-IÄ ]pd-t¯¡v hen¨v icn-bm-
¡-Ww.
CXn\p {][m\ ImcWw KÀ`-]m-{X-
¯nse AWp-_m[ BWv. kpJ-{]-k-h- {]k-hm-\-´cw ImWp¶ hfsc Kuc-
¯n-s\-¡mÄ kntk-dn-b³ {]k-h-§-fn h-ta-dnb {]iv\-amWv t{Xmwt_m Fwt_m-
CXv 25 aS§v IqSp-X BWv. {]tXy- fnkw AsÃ-¦n cà-¡p-g-ep-I-fnÂ
In¨v A½-bpsS hnfÀ¨, {]ta-lw, càw I«-]n-Sn-¡pI F¶-Xv. Imen-tebpw
Ipªn\v ajn-bn-d-§p-I, 18 aWn-¡q-dn izmk-tIm-i-¯n-tebpw cà-¡p-g-ep-Isf
IqSp-XÂ kabw Bav\n-tbm-«nIv {ZmhIw CXv _m[n-¡mw.
s]m«n-t¸m-hpI XpS-§nbh Dsï-¦nÂ
]\n-tbm-sSm¸w Xs¶ ASn-h-bÀ thZ-\ {]k-h-¯nsâ ka-b¯v Rc-¼p-IÄ
bpw ZpÀKÔw DÅ tbm\o-{k-h-§fpw Aa-cp-¶-Xp-sImïv Imep-IÄ¡v iàn-
càw t]m¡pw Isï¶p hcmw. ¡p-dhpw XfÀ¨bpw Dïm-Ip-¶-Xv A]qÀ
Æ-amsb¦nepw ImWm-dp-ïv. km[m-c-W-
F¸nkntbm-«an (Episiotomy) Xp¶ense K-Xn-bn 3 Znh-k-¯n-\p-Ån CXv ]gb
]gp¸pw Xp¶Â hn«p-t]m-Ip-¶Xpw \ne-bn-te¡v Xncn¨p hcpw. CXp-t]mse
A]qÀÆ-ambn ImWmw. Bg-¯n Xs¶ CSn-s¸-Ãp-IÄ thdn«v \n¶v thZ-\
Xp¶Â hn«p-t]m-bn-«p-sï-¦n ]gp¸v bpw ImWm-dp-ïv.
Ipd-ª-Xn\v tijw hoïpw Xp¶Â
CtS-ï-Xmbn hcpw. kÀÆ-km-[m-c-W-bmbn Iïp-h-cp¶
asämcp {]iv\-amWv {]k-hm-\-´c am\-
aq{X-¯nse AWp-_m-[-bmWv Cu knI k½À±w. Post partum blues F¶mWv
ka-b¯v kv{Xosb Ae-«p¶ thsdmcp CXns\ hnti-jn-¸n-¡m-dv. hnjm-Z-tcm-K-
{][m\ {]iv\w. 15 ¥mÊv shÅw IpSn ¯n-te¡v hsc CXv Hcp kv{Xosb
sImïv sN¶v F¯n-t¨-¡mw. Dd-¡-¡p-d-
72 \½p-sS B-tcm-Kyw | amÀ¨v 2019 hv, BImw-£, AIm-c-W-amb Ic-¨nÂ
F¶n-hbpw Iïp-h-cp-¶p. 2þ5 Znh-k-
¯n XpS§n A©mw Znh-k-¯n CXv
]mc-ay-¯n F¯p-¶p. cïv BgvN
sImïv CXv sasà Ipd-bp-¶p. ]e-
t¸mgpw Ipªns\ ape-bq-«m³ hsc ChÀ
hnk-½-Xn-¡p-¶p.

kzm`m-hn-I-amb Hcp {]{In-b-bnÂ
Akzm-`m-hn-I-Xbpw {]iv\-§fpw
Ft¸mgpw IS¶v hcm-hp¶ Hcp Ime-L-«-
amWv {]k-hm-\-´c Imew. CXns\
Ipdn¨v Bg-¯n-epÅ Hcp Adnhv Cu
Ime-L-«s¯ kt´m-j-t¯msS XcWw
sN¿p-hm³ Hcp kv{Xosb {]m]vX-bm-¡pw.

\½p-sS B-tcm-Kyw | amÀ¨v 2019 73

£b-tcmKw

C{Xsb¦nepw
\½fdnbWw

tUm. kp\n IpamÀ.Fw "It's Time.....for a world
tÌäv än _n Hm^okÀ without TB, to treat 40 million
Fkv än Un kn people affected by TB by
UbdIvSÀ
tÌäv än _n sk 2022, to know you TB status''

Xncph\´]pcw. F¶-Xm-Wv Cu hÀjs¯
£b-tcm-K-Zn-\m-Nm-cW
ktµiw.

E-mail: [email protected] kpØn-c-hn-I-k\ e£y-§-fpsS `mK-ambn 2020

HmSp-IqSn £b-tcmK \nÀ½mÀÖ-\sa¶ e£yw

ssIh-cn-¡p-hm³ kwØm-\- kÀ¡mÀ hnhn[

]²-Xn-IÄ \S-¸m¡n hcp-¶p. £b-tcm-K- _m-[n-

Xsc Isï-¯p-I, NnInÕ

\ÂIp-I, £b-tcmKw Imc-

W-apÅ ac-W-§Ä CÃm-Xm-

¡pI, £btcmKw ImcWw

BÀ¡pw A[nI km¼-

¯nI _m[yX Dïm-Ip-

¶nà F¶v Dd-¸p-h-cp-¯pI

F¶n-h-bmWv £b-tcm-K-

\nÀ½mÀÖ-\-¯nsâ e£y-

amÀ¨v 24 §-fnÂs¸-Sp-¶-Xv.

Btcm-Ky-ta-J-e-bnÂ

temI £btcmK Zn\w Imem-\p-kr-X-amb amä-§Ä
DÄs¡m-ïp-sImïv ]ptcm-

KXn ssIh-cn-¨n-«pÅ

kwØm-\-amWv tIc-fw.

temIs¯ £b-tcmK _m[n-X-cn 27% t]cpw

C´y-bn-em-Wv. tZiob icm-i-cnsb At]-£n¨v

£b-tcm-K-_m-[-bn Gähpw Ipdhv tcJ-s¸-Sp-

74 \½p-sS B-tcm-Kyw | amÀ¨v 2019 ¯n-bn-«p-ÅXv tIc-f-¯n-em-Wv.

2009-þÂ kwØm-\¯v 27,000 £b- tcmK-t¯mSpw tcmKn-tbmSpw kaqlw
tcmK _m[n-Xsc dnt¸mÀ«v sNbvX-t¸mÄ ]peÀ¯p¶ AhÚ ]e-t¸mgpw icn-
2017-þ AXv 20,299 Bbn Ipd-ªp. bmb NnInÕ FSp-¡p-¶-Xn \n¶pw
tIc-f-¯n £b-tcmK _m[n-X-cpsS £b-tcm-Kn-Isf ]n´n-cn-¸n-¡p-¶p. tcmK-
F®w hÀjw-tXmdpw \mep-i-X-am\w ap-Å-hsc Isï-¯m³ klm-bn-¡p-Ibpw
Ipd-ªp-h-cp-¶-Xmbn IW-¡p-IÄ kqNn- tcmKn-bm-sW¶v Iïp-]n-Sn-¡-s¸-«-hÀ¡v
¸n-¡p-¶p. icn-bmb NnInÕ FSp-¡m-\pÅ klmb
kl-I-c-W-§Ä \ÂIp-Ibpw sN¿pI
]mh-s¸-«-hÀ¡pw kmaq-ln-I-ambn F¶p-Å-Xp-amWv £b-tcm-Ks¯ {]Xn-
Xmtg-¯-«n DÅ-hÀ¡pw am{Xw hcp¶ tcm-[n-¡m-\pÅ amÀ¤-§Ä.
tcmKw BWv Sn._n F¶ Hcp sXän-²m-
cW \ne-hn-ep-ïv. tcmKm-Wp-¡-fp-ambn tIc-f-¯n Iïp-h-cp¶ £b-tcm-K-
k¼À¡-¯n hcp¶ GsXm-cmÄ¡pw _m-[n-X-cn \sÃm-cp-i-X-am-\hpw £b-
]nSn-s]-Sm-hp¶ tcmK-amWv £bw. \ntXy tcm-Kn-I-fp-am-bpÅ k¼À¡w sImïv
\ Pohn-X-¯n \mw Adntªm Adn-bm- tcmKw Dïm-bn-«p-Å-h-cmWv £b-tcmK
sXtbm £b-tcm-Km-Wp-¡-fp-ambn k¼À _m[n-X-cp-ambn k¼À¡-¯n-teÀs¸-Sp-¶-
¡-¯n GÀs¸-tS-ïn-h-cp-¶p-ïv. hsc Isï-¯p-¶-Xn\pw AhÀ¡v tcmK-
ImcWw temI-¯n £b-tcmK _m[n- e-£-W-§-fp-sï-¦n ]cn-tim-[n-¡p-¶-
XÀ Gähpw IqSp-XÂ C´y-bn-em-Wp- Xn-\p-ambn ]pXnb ]²-Xn-IÄ
Å-Xv. Bhn-jvI-cn¨p \S-¸n-em-¡n-h-cp-¶p.

£b-tcmK NnIn-Õ-bn tIcfw _lp-Zqcw

ssat¡m _mIvSo-cnbw Syq_ÀIp-tem-knkv F¶ tcmKmWp aqe-ap-ïm-Ip¶
]IÀ¨-hym-[n-bmWv £bw AYhm Sn._n. £b-tcmKw hmbp-hn-eq-sS-bmWv ]I-cp-¶-Xv.
£b-tcmKw BÀ¡pw hcmw. £b-tcmKw
ico-c-¯nsâ GXv Ah-b-h-t¯bpw _m[n-
¡mw. {][m-\-ambpw £b-tcmKw _m[n-¡p-
¶Xv izmk-tIm-i-s¯-bm-Wv. IrXy-amb
NnIn-Õ-sb-Sp-¡m-Xn-cp-¶m acWw hsc
kw`-hn-¡mw. I^-¯nsâ ]cn-tim-[\
(ssa-t{Im-kvtIm-¸n), FIvkvtd ]cn-tim-
[-\, kn_n-\mäv (\q-X\ P\n-XI kmt¦-
XnI kwhn-[m-\w) F¶o kwhn-[m-\-§-fn-
eq-sS-bmWv tcmK-\nÀ®bw \S-¯p-¶-Xv.

H¶mw\nc acp-¶p-I-fmb dn^m_-kn³
sFtkm-\n-bm-knUv F¶o cïp acp-¶p-I-tfmSv {]Xn-I-cn-¡m¯ £b-tcm-K-am-Wv. {U¤v
dÊn-Ìâv Sn._n (Drug Resistant TB), {]tXyIw kÖo-I-cn¨ et_m-d-«-dn-I-fn tcmKm-Wp-
hn\v acp-¶p-I-tfm-SpÅ {]Xn-tcm[w \nP-s¸-Sp¯n km[m-cW acp-¶p-Isf {]Xn-tcm-[n-
¡p¶ Xcw Kpcp-X-c-amb £b-tcmKw \nÀ®-bn-¡p¶p.{U¤v dkn-Ìâv Sn._n Isï-¯p-
hm\pw izmk-tIm-ti-Xc £b-tcm-K-§-fpsS \nÀ®bw hfsc ^e-{]-Z-ambn \S-¯p-hm
\pw Ign-bp¶ \qX\ kwhn-[m-\-amWv kn_n- \m-äv. £b-tcmK _m[bv¡v km[y-X-bp-
Å-hsc Isï¯n £b-tcmK \nÀ®bw \S-¯p-¶-Xn\v 14 PnÃ-I-fnepw kn_n-\mäv
tkh\w e`y-am-¡n-bn-«p-ïv. 2018-þ tIc-f-¯n MDR TB tcmK-_m-[n-XÀ F¶p kwi-
bn-¡-s¸« 11,953 t]sc ]cn-tim-[-\bv¡v hnt[-b-cm-¡n. AXn 361 t]À¡v MDR TB
tcmK-\nÀ®bw \S-¯p-Ibpw 283 t]À NnIn-Õbv¡v hnt[-b-cm-hp-Ibpw sNbvXp.

\½p-sS B-tcm-Kyw | 2019 amÀ¨v 75

CBNAAT ]cn-tim-[-\, sse³

t{]m_v AsÊ F¶o ]cn-tim-[-\-

Ifpw izmk-tIm-ti-Xc £b-tcmKw

Isï-¯m³ Ign-bp¶ IĨÀ

]cn-tim-[-\-Ifpw Xncp-h-\-´-]p-c¯v

«CdânbÀnaÂo-U(InR-bLä)v d^-d³kv et_m-d-
GÀs¸-Sp-¯n-bn-«p-ïv.

tImgn-t¡mSv saUn-¡Â tImtfPv

s]spXatnb{ICm-_ult-tubrem&-fPDn ShTn`me-Km-¯_vnÂ

{]hÀ¯-\-¯n-\mbn Hcp-§p-¶p.

amä-¯nsâ ]mX-bn £b-tcmK apà tIcfw

tIc-f-¯nsâ kpØnc hnI-k-\-e-£y- \ÂIn-bn-«p-Å-Xv. CX-\p-k-cn¨v 03.01.2018
§-fpsS `mK-ambn £b-tcm-K-apà tIc-f- _lp. BtcmKy kmaq-lnI t£ah-Ip¸v
¯n-\mbpÅ Hcp IÀ½ ]²Xn ""Sn._n a{´n sI.-sI. ssjeP So¨-dpsS HutZym-
Fen-an-t\-j³ anj³'' kÀ¡mÀ cq]w KnI hk-Xn-bn `h\ kµÀi\w
\ÂIn-bn-«p-ïv. £b-tcmK \nÀ½mÀÖ-\- \S¯n hnh-c-ti-J-cWw sNbvXmWv
¯n-\m-bpÅ DuÀÖnX IÀ½-]-²Xn 2017 DZvLm-S\w \S-¯n-b-Xv.
apX 2020 hsc \oïp \n¡p¶
P\-Iob apt¶äw hgn \S-¸n-em-¡p-hm- Hmtcm Xt±i kzbw `cW Øm]-\-
\mWv Dt±-in-¡p-¶-Xv. Xt±-i-kzbw `c-W- ¯nepw Xt±i kzbw-`-cW Øm]\
h-Ip-¸n-sâbpw Btcm-Ky-h-Ip-¸n-sâbpw A²y-£-·mÀ t\-XrXzw \ÂIp¶ £b-
kwbpà t\Xr-Xz-¯n aäv hIp-¸p-I- tcmK \nÀ½mÀÖ\ IÀ½-tk\ cq]o-
I-cn-¡p-Ibpw ]cn-io-e\w kn²n¨

tfbpw kzIm-cytaJ-e-tbbpw kmaq-ly BtcmKy {]hÀ¯-IÀ Hmtcm ho«nepw
-k-¶² {]hÀ¯-Iscbpw GtIm-]n-¸n- F¯n £b-tcm-K-s¯-¡p-dn-¨pÅ Ah-
¨p-sImïv ""Fsâ £b-tcm-K-apà t_m[w \ÂIp-Ibpw £b-tcmK
tIcfw'' F¶ e£yw ap³\nÀ¯n-bpÅ _m[bv¡v km[y-X-bp-Å-hsc Isï¯n
kwL-SnX IÀ½ ]²-Xn-¡mWv cq]w kuP\y ]cn-tim-[-\-IÄ sN¿p-I-bpw,

76 \½p-sS B-tcm-Kyw | amÀ¨v 2019

£b-tcmKw Ønco-I-cn-¡-s¸-Sp-¶-hÀ¡v ap³\nÀ¯n-sImïv £b-tcm-K-\nÀ®-
kuP\y NnInÕ e`y-am-¡p-Ibpw bhpw NnIn-Õ-bp-ambn _Ô-s¸«v
sN¿pI F¶-XmWv Cu IÀ½-]-²-Xn- hnhn[ ]pXnb ]²-Xn-IÄ Bhn-jv¡-cn-
bpsS ImXÂ. CXp-hgn kwØm-\s¯ ¨n-«p-ïv. CSp-¡n, hb-\mSv PnÃ-I-fnÂ
75 e£-¯n¸cw hoSp-IÄ kµÀin-¡p- FÃm ]cn-tim-[\m km¼n-fp-Ifpw
Ibpw £b-tcmK _m[bv¡v km[y-X- Intermediate Reference Laboratory
bpÅ 25 e£-¯n¸cw Bfp-Isf (IRL) te¡v Ab-¡pI Extended Drug
Xncn-¨-dn-bp-Ibpw 300-þ-tesd ]pXnb Sensitivity Testing hgn km[y-am-¡n.
£b-tcm-Kn-Isf Isï-¯p-Ibpw
sNbvXp. £b-tcmK km¶n-[y-apÅ £b-tcmK NnIn-Õ-bn amä-¯nsâ
Bfp-Isf FÃm aq¶p amkw IqSp- iwsJmen (Private Engagement)
t¼mÄ kµÀin-¡m\pw ]²Xn hn`m-
h\w sN¿p-¶p. RNTCP-IMA End TB Project:
RNTCP kuIcyw C¶v sXc-sª-Sp-
CXc kwØm\ sXmgn-em-fn-Isf
t\cnÂIïpw £b-tcmK \nÀ½mÀÖ\ ¡-s¸-«n-«pÅ ss{]häv Bip-]-{Xn-I-
tkh-\-§Ä \ÂIm³ e£y-an-Sp-¶p. fnepw e`y-am-¡n-bn-«p-ïv. ss{]häv Bip-
2020 BIp-t¼m-tg¡pw BsI £b- ]-{Xn-I-fn NnIn-Õn-¡p¶ Sn._n
tcmK _m[n-X-cpsS F®w 2020þÂ tcmKn-Isf tI{µ BtcmKy a{´m-e-b-
Xmsg F¯n-¡m³ Cu DuÀÖnX ¯nsâ \n£bv t\m«n-^n-t¡-j³
{iaw sImïv km²-amhpw F¶mWv kwhn-[m-\-¯n tcJ-s¸-Sp-t¯-ï-Xm-
{]Xo-£. hcpw hÀj-§-fn-epÅ Nn«- Wv. £b-tcm-K\n-b-{´W ]cn-]m-Sn-bnÂ
bmb XpSÀ {]hÀ¯-\-§Ä hgn "£b- kzImcy taJ-e-bnse kl-I-cWw
tcmK apà-tI-cfw' F¶ e£yw Dd¸p hcp-¯p-¶-Xn\pw \n£bv t\m«n-
ssIh-cn-¡m-\pÅ {]hÀ¯-\-§Ä ^n-t¡-j³ sa¨-s¸-Sp-¯p-¶-Xn\pw
\S-¶p-h-cp-¶p. RNTCP-IMP End TB Project F¶ t]cnÂ
Hcp ]pXnb ZuXyw Bcw-`n-¨n-«p-ïv.
]pXp-¡nb tZiob £b-tcmK \nb- kzIm-cy-ta-J-e-bn-epÅ tUmIvSÀamÀ¡v
{´W ]cn-]m-Sn-bp-sSbpw temIm-tcmKy t_m[-h¡-c-Ww, kzImcy Bip-]-{Xn-
kwL-S-\-bp-sSbpw t\Xr-Xz-¯n I-fn \n¶pÅ km¼n-fp-IÄ ]cn-tim-
£b-tcm-K-\nÀamÀÖ\w F¶ e£yw [\m tI{µ-§-fn F¯n-¡p-¶-Xn-\p-ff
kwhn-[m-\w, kn_n-\mäv tI{µ-§-fnÂ
IMA kl-I-c-W-t¯msS em_v sSIv\o-
jy-·m-cpsS \nb-a\w F¶n-h-bmWv
CXn-eqsS e£y-an-Sp-¶-Xv.

\½p-sS B-tcm-Kyw | 2019 amÀ¨v 77

kzIm-cy-ta-J-e-bn RNTCP
]¦mfn¯w Dd-¸p-hcp-¯m-\mbn-«pÅ t{]mP
IvSv BWv JEET (JOINT EFFORT FOR

ELIMINATION OF TB) State PPM Lead (Public-

Private Mixes) Dw Hcp Umäm A\enÌpw 5
knän Hm^okÀamcpw AS§nb Hcp SoamWp
tIc-f-¯n-\p-Å-Xv. kzImcy Bip-]-{Xn-I-
fn NnInÕ tXSp¶ FÃm £b-tcm-Kn-I-sfbpw t\m«nss^ sN¿p-I.
AhÀ¡p kuP\y NnInÕ e`y-am-¡pI F¶o Imcy §Ä ap³\nÀ¯n-
bmWv JEET {]hÀ¯n¡p¶-Xv. CXn\p kzImcy taJ-esb k¶-²-am-¡p-¶-
Xn-\m-h-iy-amb s{Sbn-\n-§p-IÄ City Officers Dw RNTCP Ìm^pIfpw
tNÀ¶p \ÂIn-h-cp-¶p. IqSmsX kzImcy Bip-]{Xn amt\-Pp-saâv AS-
§p¶ I¬tkmÀjyhpw tUmIvSÀam-
cpsS hnhn[ kwL-S-\-I-fpsS Hcp
Coalition \pw cq]oI-cn-¡m³ JEET \p
Ign-ªp. AtXm-sSm¸w tcmK-\nÀ
Wbw \S-¯p-¶-Xn {][m\ ]¦p-h-
ln-¡p¶ CBNAAT sajo-\p-I-fpsS
D]-tbmKw kzIm-cy-ta-J-e-bnepw Dd-¸m-
¡m\pw JEET {ian-¡p-¶p. AXnsâ
`mK-ambn SPUTUM TRANSPORTATION
MECHANISM ¯n\p XpS¡w Ipdn-¡p-
Ibpw sNbvXp.

sÌ]vkv -þ STEPS (System For Elimination in Private Sector)

STEPS (System For Elimination in cq]o-I-cn-¨n-«p-ïv. FÃm PnÃ-I-fnepw
kzImcy Bip-]-{Xn-I-fpsS
Private Sector) Hcp SINGLE WINDOW I¬tkmjyw cq]o-I-cn¨p Ign-ªp.
SYSTEM tIc-f-¯nse ]Xn-s¶m- kzImcy Bip-]-{Xn-bn F¯p¶
t¶mfw ss{]häv Bip-]-{Xn-I-fnÂ
XpS-¡-an-Sm³ km[n-¨n-«p-ïv. tIcf
£b-tcm-K-\nÀ½mÀÖ-\-¯n\v
]n´p-W-bp-ambn FÃm saUn-¡Â
s{]m^-j-WÂ kwL-S-\-Ifpw
apt¶m«v h¶n-cn-¡p-I-bm-Wv. C´y³
saUn-¡Â Atkm-kn-tb-j³
A¡m-Uan Hm^v ]Äa-Wdn ^nkn-
jy³kv (APCCM). C´y³ A¡m-
Uan Hm^v ]oUn-bm-{SnIvkv (IAP),

QPMPA, API, KGMCTA, KGMOA

F¶o kwL-S-\-I-fpsS Iq«mbva

78 \½p-sS B-tcm-Kyw | amÀ¨v 2019

\n£bv Huj[n klm-bn-¡p-hm\pw tcmKn¡pw IpSpw-
_-¯n\pw e`n-t¡ï FÃm s]mXp-
£b-tcm-K-¯n-\pÅ P-\m-tcmKy kwhn-[m-\-§Ä e`n-¨p-
acp-¶p-I-fpsS tiJ-c-Whpw sh¶v Dd-¸m-¡p-hm\pw kzImcy
hnX-c-Whpw kpK-a-am-¡p-¶- Bip-]-{Xn-IÄ¡p-Ån STEP skâ-
Xn\v "\n£bv Huj[n' dp-IÄ Bcw-`n-¡p-¶p.
F¶ t]cn tZio-b-X-e-
¯n tkm^väv shbÀ
\ne-hn h¶p.

AÀl-cmb FÃm tcmKn-IÄ¡pw DuÀÖnX £b-tcmK \nÀ½mÀÖ\
£b-tcm-K-\nÀWb ]cn-tim-[-\- ]cn-]mSn
Ifpw NnIn-Õ-bv¡pÅ acp-¶p-Ifpw
kuP-\y-ambn \ÂIp-hm³ kÀ¡mÀ kwØm\ kÀ¡mÀ 2020þHm-Sp-
X¿m-dm-Wv. kzImcy Bip-]{Xn IqSn £b-tcm-Ks¯ XpS-¨p-
I¬tkmjy¯nsâ t\Xr-Xz-¯n \o-¡p-¶-Xn-\m-bn, BtKm-f-X-e-
kzImcy Bip-]-{Xn-I-fn F¯p¶ ¯n Xs¶ {i²-bm-IÀjn¨p
FÃm tcmKn-I-fp-tSbpw hnh-c-§Ä sImïn-cn-¡p-¶, Fsâ £b-tcmK
kÀ¡m-cns\ Adn-bn-¡p-hm\pw apà tIcfw F¶ IÀ½ ]²Xn
Bh-iym-\p-k-cWw kuP-\y-tcm-K- \S-¸n-em¡n hcp-¶p. "It's Time.....for a
\nÀ®b NnInÕm kwhn-[m-\-
§Ä¡mbn kÀ¡mÀ kwhn-[m-\-§- world without TB, to treat 40 million people
fp-ambn tbmPn¨p {]hÀ¯n-¡p-hm affected by TB by 2022, to know you TB
\pw kmaqly kpc-£m-]-²-Xn-IÄ
AÀl-X-bp-Å-hÀ¡v e`y-am-¡p-hm³ status''F¶ Cu hÀjs¯ £b-
tcmK apà tIcfw F¶ kz]v\w
A\zÀ°-am-Is« F¶v BßmÀ°-
ambn Biw-kn-¡p-¶p.

\½p-sS B-tcm-Kyw | 2019 amÀ¨v 79

tUm. aWnIWvT³ Pn.BÀ amÀ¨v 20
I¬kÄ«â v
s]cntbmtUmnÌv, temI
Xncph\´]pcw. hZ-\m-tcm-Ky-Zn\w

teJI³ tZiobhpw FÃm hÀjhpw amÀ¨v 20 temI hZ-\m-tcmKy Zn\-
A´ÀtZiobhpamb ambn BN-cn-¡p-¶p. Hmtcm hÀjhpw Hmtcm ktµiw
tPÀWepIfn 17  \ÂIn sImïv Z´-kw-c-£-W-¯n-sâbpw hZ-\m-tcm-Ky-
IqSpX teJ\§Ä ¯n-sâbpw {]m[m-\y-s¯-¡p-dn¨v P\-§sf t_m[-
FgpXnbn«pïv, IqSmsX 85 h¡-cn-¡pI F¶-XmWv e£yw. Cu hÀjs¯
tesd teJ\§Ä BtcmKy ktµiw ""hmb Xpd-¡q, hZ-\m-tcm-Ky-¯n-\mbn {]hÀ
amknIIfnepw, Zn\]{X ¯n¡q'' F¶-XmWv. hmbnse ]e amä-§fpw ico-c-
§fnepw FgpXnbn«pïv. ¯nse aäp ]e Akp-J-§-fp-sSbpw Nqïp-]-e-I-bm-Wv.
\yqUÂlnbn h¨v tamWtcmK-§fpw {]ta-lhpw X½n At`-Zy-amb
\S¶ C´y³ sl¯v _Ô-ap-ïv. A½-bnse tamW-tcmKw KÀ`-Ø-in-ip-hns\
s{]m^jWÂ BhmÀUv _m[n¨v Ipªnsâ P\-\-`mcw Ipd-bv¡p-¶-Xmbn ]T\-
2018  Gähpw \à Z´ §Ä ØnXo-I-cn-¨n-«p-ïv. AXp-sImïv Xs¶ k¼qÀWm-
teJI³ F¶ AhmÀ tcm-Ky-¯n Z´m-tcm-Ky-¯nsâ {]m[m-\y-s¯-¡p-dn¨v
UpÄs¸sS hfscb[nIw Gh-scbpw t_m[-h¡-cn-¡m³ Cu Zn\w {ian-¡p-¶p.
AhmÀUpIfpw Ipªp-§-fpsS Z´m-tcm-Kys¯ _m[n-¡p¶ ZpxÈo-e-§-
t\Snbn«pïv. fn-sem-¶mb hZ-\-iz-k\w AYhm hmbn-eqsS izmk-sa-Sp-
¡-ens\ Ipdn¨v Adn-bmw, Cu e¡-¯nÂ.

Mob: 9496815829
[email protected]

80 \½p-sS B-tcm-Kyw | amÀ¨v 2019

hZ-\-iz-k\w

hnc IpSn-¡p-¶Xp t]mse Xs¶
Ip«n-I-fpsS ]Ãp-Isf _m[n-¡p¶
asämcp ioe-amWv hZ-\-iz-k\w AYhm
hmbn-eqsS izmk-sa-Sp-¡Â. ]e-Xcw
Imc-W-§Ä sImïv Nne Ip«n-IÄ¡v
km[m-cW coXnbn AXm-bXv aq¡n-
eqsS izmk-sa-Sp-¡m³ _p²n-ap«v A\p-`-
h-s¸-Sm-dp-ïv. A¯cw Ip«n-I-fn-emWv
hZ-\-iz-k\w km[m-c-W-bmbn
ImWp-¶-Xv.

Imc-W-§Ä

]e-Xcw Imc-W-§-fm hZ-\-iz-k\w

kw`-hn-¡p-¶p. 1987-þÂ ^n³ F¶ Kth-

j-I³ hZ-\-iz-k-\s¯ aq¶mbn Xcw

Xncn-¨p.
1. {]Xn-_-ÔI hZ-\-iz-k\w (obstructive)
2. icocimkv{X LS\m hZ-\-iz-k\w (anatomical)
3. ioem-\p-_Ô hZ-\-iz-k\w (habitual)

1. {]Xn-_-ÔI hZ-\-iz-k\w 2. ico-c-L-S\ kw_-Ô-amb hZ-\-iz-k\w

km[m-cW coXn-bn izmk-sa-Sp-¡m³ aq¡nsâ ]me-¯nsâ hf-hv, hfsc
{ian-¡p-t¼mÄ ]e-Xcw {]Xn-_-Ô-§Ä I«n IqSnb aq¡nsâ ]mew, aq¡nsâ
ImcWw izmkw DÅn-te¡v t]mIp DÅn ImW-s¸-Sp¶ Nne Zim hfÀ¨-
t¼mgpw ]pd-t¯¡v hnSp-t¼mgpw Dïm- IÄ (nasal polyp) F¶n-h-sbÃmw Cu
Ip¶ sshjayw ImcWw C¯-c-¡mÀ KW-¯n s]Sp-¶p. \oï HXp-§nb
hmbn-eqsS izkn-¡m³ \nÀ-_-Ôn-X-cm-Ip- apJ-apÅ Ip«n-I-fn (long tapered face)
¶p. CXnsâ {][m\ Imc-W-§-fn-sem¶v aäp-Å-hsc At]-£n¨v hZ-\-iz-k-\-¯n-
]e Imc-W-§-fm aq¡nsâ DÄ`m-K-¯p- epÅ km[yX Gsd-bm-Wv.
ïm-Ip¶ Akz-Ø-X-I-fm-Wv. ]e-X-c-¯n-
epÅ AeÀPn-IÄ, Ønc-ambn \mkn-Im- \½p-sS B-tcm-Kyw | 2019 amÀ¨v 81
NÀ½s¯ _m[n-¡p¶ AWp-_m-[-IÄ,
BkvXva, aq¡nsâ Ie-I-fn Dïm-hp¶
\oÀs¡-«v, Imem-hØm hyXn-bm-\-§Ä,
A´-co-£-¯nse s]mSn-]-S-e-§Ä XpS-
§n-b-h. asämcp {][m\ ImcWw Nne
Ipªp-§-fn-ep-ïm-hp¶ AUn-t\mbvUv
Ie-I-fpsS AanX hfˬ-bm-Wv. CXv
Ipªv hf-cp-t¼mÄ AUn-t\mbvUv
{KÙn-I-fpsS hfÀ¨ Ipd-bp-Ibpw AsÃ-
¦n ikv{X-{Inb hgn Ah \o¡w
sN¿p-Itbm sN¿p-t¼mÄ amdp-¶-Xm-Wv.
AXp-sImïv CS-bv¡nsS aq¡ns\ Akz-
Ø-am-¡p¶ Ah-Ø-IÄ Ip«n¡v hcp-I-
bm-sW-¦n AXv hZ-\-iz-k-\-¯n\v
Imc-W-am-tb-¡mw F¶ Adnhv amXm-]n-
Xm-¡Ä¡p-ïm-tI-ï-Xp-ïv.

3. ioem-\p-_-Ô-amb hZ-\-iz-k\w

BZyw {]Xn-]m-Zn¨ {]Xn-_-ÔI hZ-\-iz-k-\-¯nsâ ImcWw \o¡w
sNbvXm an¡-hmdpw Ip«n-I-fn ]n¶oSv km[m-cW t]mse aq¡n-eqsS
izmk-sa-Sp-¡m³ Ign-bm-dp-ïv. F¶m Nne Ip«n-IÄ XS-Ê-§Ä amdn-b-Xn-
\p-ti-jhpw ]g-b-coXn ]n´p-SÀt¶-¡mw. AXmWv aq¶m-a-s¯-Xmbn ]d-b-
s¸-Sp¶ ioem-\p-_-Ô-amb hZ-\-iz-k-\w.

hZ-\-iz-k\w Imc-W-ap-m-Ip¶ hyXn-bm-\-§Ä

hmbn-ep-Ånse hyXn-bm-\-§Ä ]pdsa ImWp¶ hyXn-bm-\-§Ä

1. ta¯m-Sn-bnse ap³\nc 1. AUn-s\mbvUv apJ-`mhw:þ
]Ãp-IÄ apt¼m«v XÅp-I. apJhpw aq¡pw \oïv HXp§n
Hcp am§-bpsS BIrXn t]mse
2. ta¯m-Sn-bn-sebpw BIp-¶p.
Iogv¯m-Sn-bn-sebpw ap³\nc
]Ãp-IÄ X½n-epÅ _Ô-¯nsâ 2. ta¨pïv sNdp-Xm-Ip-Ibpw
Af-hnse hyXn-bm-\w. _e-¡p-dhv A\p-`-h-s¸-Sp-Ibpw
sN¿p-¶p.
3. A®m-¡nsâ hen¸w Npcp-
§pI. 3. Iogv¨pïv XSn¨v ]pd-t¯¡v
XÅp-¶p.
4. ]pd-Ip-h-is¯ ]Ãp-IÄ
X½n-epÅ km-[m-c-W-bpÅ ISn 4. ]Ãp-IÄ Iq«n ISn-¡p-t¼mÄ
hntO-Zn¨v Iogv¯m-Sn-bnse hmb-S-¨mepw Npïp-IÄ X½nÂ
]Ãp-IÄ¡p-Ån ta¯m-Sn- tNcmsX ]Ãp-IÄ ]pd-t¯¡v
bnse ]Ãp-IÄ s]Sp¶ coXn-bn- ImW-s¸-Sp-¶p.
epÅ ISn hcp-I.
5. km[m-c-W-bn Ihnªv
5. Iogv¯m-Sn-bnse ap³\nc ta¯m-Sn-bn ap³\nc ]Ãp-IÄ
]Ãp-IÄ AI-t¯¡v Ncn-bp-I. Nncn-¡p-t¼mÄ shfn-hm-Ip-¶p.

6. hmbn-eq-sS-bpÅ izk\w 6. tamW Im«n-bpÅ Nncn,
ImcWw tamW hen¸w IqSn hZ-\-iz-k\w Imc-W-ap-ïm-Ip¶
Hmtcm ]Ãn\p Npäpw hoÀ¯v hen¸w IqSnb hoÀ¯ tamW
Npcp-ïXp t]mse-bn-cn¡pI. ]Ãns\ IqSp-XÂ aqSn-bXp
(rolled out appearance). t]men-cn-¡p-¶p.

82 \½p-sS B-tcm-Kyw | amÀ¨v 2019

]cn-tim-[-\-IÄ NnInÕm amÀK-§Ä

1. I®mSn D]-tbm-Kn¨v Ccp {]X-e-¯n- 1. ImcWw a\-Ên-em¡n AXn-\pÅ
epÅ I®mSn aq¡nsâbpw hmbn-sâbpw NnIn-Õm-X-SÊw Dïm-Ip¶ LS-I-§sf
CS-bn h¨v izkn-¡m³ ]d-bp-¶p. \o¡w sN¿p-I.
hmbpsS ASp-¯pÅ I®mSn aªp
-t]mse aqSn-bm hmbnse DÑzmkw 2. aq¡n-\pÅ {]iv\-§Ä ]cn-l-cn-
Imc-W-am-sW¶v Dd¸p hcp-¯mw. ¡m-\mbn C.-F³.än tUmIvS-dns\
ImWm³ \nÀt±-in-¡p-I.
2. I®m-Sn¡v ]Icw ]ªn D]-tbm-
Kn¨v sImïpÅ Pyqa³ Nn{X-i-e` 3. XS-Ê-§Ä amän-b-Xn\p tijhpw
]cn-tim-[\ (Nn-{X-i-e-`m-Ir-Xn-bn ioew XpS-cp-¶p-sh-¦n AXn-\pÅ
]ªn D]-tbm-Kn¨v izmkw hcp¶ NnInÕ \ÂImw.
Øes¯ ]ªn Xmtg¡v hogp-¶p).
F) hymbmaw:þ Npïn-\pÅ Nne
3. shÅw hmbn sImïpÅ ]cn- hymbm-a-§Ä ]Tn-¸n-¡p-¶p. H¸w aq¡n-
tim-[\ hmbn-eqsS izmk-sa-Sp-¡p¶ eqsS izmkw FSp¡m³ ]cnioen
Ipªn\v A[n-I-t\cw hmbn \ndsb ¸n¡p¶p.
shÅw DÄs¡mïv \n¡m³ Ign-bmsX
hcp-¶p. _n) imco-cnI hymbm-a-§Ä:þ cmhn-
sebpw cm{Xnbpw sN¿m-hp-¶-Xm-Wv.
4. sk^mtem sa{Sn F¶ {]tXyI
Xcw FIvkvtd D]-tbm-Kn¨v ]cn-tim-[-\. kn) ]pÃm-¦p-g t]mepÅ kpjn-c-hm-
Zy-§Ä D]-tbm-Kn-¡p-¶Xpw \Ã-Xm-Wv.
5. hmbn-eq-sSbpw aq¡n-eq-sSbpw t]m
Ip¶ hmbp-hnsâ Afhv \nÀW-bn-¡p¶ 4. Npcp-§n-bn-cn-¡p¶ ta¯m-Sn-bnse
ssdt\m amt\m sa{Sn (rhinomanometry) AØn (Maxilla) hnI-kn-¸n-¡m-\mbn
]cn-tim-[-\. Ducn-am-äm-hp¶tXm Ønc-ambn LSn-¸n-
¡p-¶tXm Bb D]-I-c-W-§Ä. Ch
ZpxÈo-e-§-fn {][m-\-amb hnc \nÝnX Ime-t¯¡v D]-tbm-Kn-¡p-t¼mÄ
Cu¼p-I, hZ-\-iz-k\w F¶nh \mw ta¯mSnbnse AØn hnI-kn-¡p-
]cn-N-b-s¸«p Ign-ªp. asämcp {]iv\- Ibpw AXp-hgn hZ-\-iz-k\w amdn
amb \m¡p-sImïv ]Ãv XÅp¶ ioe- {ItaW aq¡n-eqsS izk\w km[y-ambn
hcp-¶p. (D-Zm. tIm^n³ kv{]nwKv, amIvkn-
s¯-¡p-dn¨v ASp¯ e¡w. edn FIvkv]m-tâÀkv XpS-§nb D]-I-c-
W-§Ä)

5. Hmd kv{Io³ D]-I-cWw: hmbv¡p-
Ån-te¡v Bh-iy-¯n-e-[nIw hmbp
IS-¡p-¶Xv XS-bm-\mbn hmbv¡v IhNw
krjvSn-¡p-¶ D]-I-c-Ww. CXv tUmIvSÀ
]d-bp¶ Imew [cn-¡m-hp-¶-Xm-Wv.

\½p-sS B-tcm-Kyw | 2019 amÀ¨v 83

tUm. hoW hnizw Xe-tNhne-ZI\mc-W-§Ä

saUn¡Â UbdIvSÀ Hcp hyàn-bpsS ssZ\w-Zn\ Pohn-Xs¯
hfsc Zpjv¡-c-am-¡p¶ Hcp tcmK-e-£-W-
I¬kÄ«â v amWv Xe-th-Z-\. I®p-I-sftbm Xe-t¨m-dn
-s\tbm _m[n-¡p¶ ]e Imc-W-§Ä
H^vXmÂtamfPnÌv sImïpw Xe-th-Z\ Dïm-tb-¡mw.

AaÀZo]v sF sIbÀ

Xncph\´]pcw

XethZ\ Hcp
tcmKe£WamWv.
CXv I®pIÄ,
Xet¨mdv, ssk\ÊpIÄ
F¶o Ahbh§sf

_m[n¡p¶
]e tcmK§Ä
sImpw DmImw.

84 \½p-sS B-tcm-Kyw | amÀ¨v 2019

t\{X sshI-ey-§Ä

{lkz-ZrjvSn (short sight), ZoÀL-ZrjvSn Bbmkw, I®pIfn shÅw \ndbÂ
(long sight), AÌn-Kvam-änkw (astigmatism) F¶nh e£W§fmWv. C¯cw ImgvN
F¶o Ah-Ø-I-fn Xe-th-Z\ Dïm-tb- sshIey§Ä Ip«nIfn km[mcW
¡mw. I®nsâ hep¸¯ntem t\{X]Se amWv. A\ptbmPyamb I®SIÄ
¯nsâ BIrXnbntem DïmIp¶ D]tbmKn¡pIbmWv ]cnlmc
sshIey§Ä ImcWamWv C¯cw amÀ¤w. CXv IqSmsX 40 hbÊv Ign-ª-
AhØIÄ DïmIp¶Xv. CXpImcWw, h-cn Dïm-Ip¶ shsÅ-gp¯v
Hcp hkvXphn \n¶pw I®n ]Xn (Presbyopia) F¶ Ah-Ø-bnepw Xe-th
¡p¶ civanIÄ I®nse \mUo]Seamb -Z\ Dïm-tb-¡mw. Cu Ah-Ø-bnÂ
sdän\bn t^m¡kv sN¿p¶Xn\v I®p-I-fnse se³knsâ t^m¡-kn-
]Icw sdän\bpsS ap³]ntem ]n³]ntem §n\p klm-bn-¡p¶ koen-bdn (Ciliary)
Asæn Hcp {]tXyI BwKnfn akn-ep-I-fpsS _e-¡p-dhp ImcWw
am{Xtam t^m¡kv sN¿s¸Sp¶p. ASp-¯pÅ hkvXp-¡Ä¡v sXfn-¨-¡p-dhv
X·qew Cu hkvXphnsâ {]Xn_nw_w A\p-`-h-s¸-Sp-¶p. ASp¯p hmbn-¡p-hm-
a§nbncn¡p¶Xmbn A\p`hs¸Spw. \pÅ _p²n-ap-«v, Xe-th-Z-\, I®p-I-g¸v
ImgvN¡pdhn\v ]pdsa I®pIÄ¡v
F¶nh A\p-`-h-s¸-Smw.

t¥mt¡ma:

I®nsâ {][m\ \mUn-bmb Hm]vänIv \mUn
sb _m[n-¡p¶ Cu tcmK-¯n Nne-t¸mÄ
Xe-th-Z\ Dïm-tb¡mw. t\{X-aÀ±w H]vänIv
\mUnbnse tImi§fn tISp]mSpIÄ hcp¯n
kmh[m\w Imgv¨sb ]qÀ®ambpw IhÀs¶
Spt¯¡mw. X¡kab¯v Iïp]nSn¨v NnInÕ
Bcw`n¨m IqSpX Imgv¨¡pdhpïmImsX
tcmKw \nb{´n¨v \nÀ¯m³ km[n¡pw. Xe
thZ\ IqSmsX aghnÃpt]mse shfn¨w ]SÀ
¶pImWpI, OÀ±n, Imgv¨¡pdhv F¶nhbpw
t\{XaÀ±w hfsc IqSp-¶-Xnsâ e£-W-§-fm-Imw.

\½p-sS B-tcm-Kyw | 2019 amÀ¨v 85

Xe-t¨m-dns\ _m[n-¡p¶ tcmK-§Ä

sa\n³ssP-änkv Xe-bv¡p-Ånse Syqa-dp-IÄ

\½psS Xe-t¨m-dn-t\bpw kqjp-av\- Xe-t¨m-dns\ _m[n-¡p¶ ]e-Xcw
tbbpw Hcp t\À¯ ]mS t]mse BKn- Syqa-dp-I-fpsS Hcp e£Ww Xe-th-Z-\-bm-
cWw sN¿p-¶ sa\n³Pkv F¶ ]mfn- Imw. Xe-t¨m-dnse ho¡w ImcWw Nne-
bn \oÀs¡-«p-ïm-hp¶ Ah-Ø-bmWv t¸mÄ ImgvN-¡p-d-hv, Hcp hkvXp-hns\
sa\n³ssP-än-kv. ]e Imc-W-§Ä cïmbn ImWp-I, OÀ±n, _me³kv
sImïpw Dïm-Im-sa-¦nepw Gähpw Ipd-hv, ssIIÄt¡m Imep-IÄt¡m Hcp
km[m-c-W-bmbn CXv kw`-hn-¡p-¶Xv hi-¯nt\m _e-¡p-d-hv, Hcp hi¯v
AWp-_m[ aqe-am-Wv. Ak-ly-amb ImgvN-¡p-dhv F¶o e£-W-§Ä Dïm-
Xe-th-Z-\, ]\n, Igp¯v thZ-\, OÀ±n tb-¡mw. Xet¨mdnse XIcmdpIÄ a\
F¶nh e£-W-§-fm-Wv. F{Xbpw thKw Ênem¡m³ kn.Sn kvIm³ AsænÂ
Hcp \yqtdmfPnÌnsâ taÂt\m«¯n Fw.BÀ.sF kvIm³ thïnht¶¡mw.
tcmK\nÀ®bhpw NnInÕbpw AXym
hiyamWv.

ssas{K-bn³

\m«p-`m-j-bn "sImSnªn' F¶v ]d-bp¶ C¯cw Xe-th-Z\ km[m-c-
W-bmbn Xe-bpsS Hcp hi-¯mbn BWv A\p-`-h-s¸-Sp-¶-Xv. CXp-Im-cWw
Xe XpSn-¡p-¶-Xp-t]m-epÅ ià-amb thZ\ A\p-`-h-s¸-Sp-¶p. Xe-th-Z-\-
bpÅ ka-b¯v i_vZhpw shfn-¨hpw Ak-ly-ambn A\p-`-h-s¸-Smw. a[p-c-
ap-Å-Xpw, XWp-¸-Å-Xpw, akme IeÀ¶-Xp-amb Blm-c-km-[-\-§Ä,
ZoÀL-b{´ i_vZtLmjw, cq£-K-Ô§Ä, Dd-¡-¡p-dhv F¶nh ssat{K³
DÅ hyàn-I-fn Xe-th-Z\ Dïm-¡n-tb-¡mw. Xe-th-Z\ XpS-§p-¶-Xn\p
ap³]mbn Nne-t¸mÄ I®n\p ap¶n Hcp {]Im-i-h-ebw A\p-`-h-s¸-Smw.
C¯cw Xe-th-Z\ Nne-t¸mÄ ctïm aqt¶m Znh-k-§Ä \oïp-\n-t¶-¡mw.

ssk\-ssk-änkv

Xe-tbm-«n-bn aq¡n\pw I®n\pw ASp-¯mbn ØnXn sN¿p¶ hmbp
Ad-I-fmWv ssk\-kp-IÄ. \mw izmk-tIm-i-¯n-te¡v FSp-¡p¶ hmbp-
hnsâ Dujvamhv {Iao-I-cn-¡m\pw AXnse aen-\-amb LS-I-§sf \o¡w
sN¿m\pw, ssk\-kp-IÄ klm-bn-¡p-¶p. F¶m ssk\-kp-I-fn \oÀ
s¡«v Dïm-bm AXn-\p-Ån {ZmhIw sI«n-\n¶v Xe-th-Z\ Dïm-Im-\p
Å km[y-X-bp-ïv. s\än¡p Xmsgtbm I®p-IÄ¡v Npäptam AaÀ¯p-
t¼mÄ thZ-\, cmhnse DW-cp-t¼mÄ Xs¶ Xebv¡p `mc-tam, Xe-th-Z\
tbm A\p-`-h-s¸-Sp-I, Xp½Â I^-s¡«v F¶n-h-sbms¡ ssk\-ssk-än-
knsâ e£-W-§-fm-Wv.

sS³j³ Xe-th-Z\

ap³]p ]dª tcmKm-h-Ø-IÄ IqSmsX Xs¶ am\-knI kwLÀjw,
AanX DXvIWvT F¶o Imc-W-§-fm Xe-th-Z\ Dïm-Imw. Xebv¡p
Npäpw Hcp _m³Uv C«v sI«n-b-Xp-t]mse A\p-`-h-s¸-Smw. Aan-X-ambn
hnbÀ¡p-I, £oWw, s\©n-Sn¸v F¶o e£-W-§fpw Dïm-tb-¡mw. C¯-
c-¡m-cn »Uv{]-jÀ IqSm-\pÅ km[y-Xbpw IqSp-X-em-Wv. C¯cw
XethZ\ DÅhcn PohnXssieo \nb{´Ww, tbmK, saUntäj³
F¶nh KpWIcamWv.

86 \½p-sS B-tcm-Kyw | amÀ¨v 2019

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Tel: 0471 - 3232800. Telefax: 0471-2742211. E-mail: [email protected]

\½p-sS B-tcm-Kyw | amÀ¨v 2019 87

tUm. BÀ. A\p]a enwKamäw
UbdIvSÀ & No^v F¶m F´mWv
I¬kÄ«â v,
{]m¬ s^À«nenän 2019se A´mcm{ã h\nXm Zn\w
& sh hpa¬ skâÀ, amÀ¨v 8\mWv. Cu hÀjs¯
A´mcm{ã h\nXmZn\¯nsâ B]vXhmIyw
Ipamc]pcw, Xncph\´]pcw F¶p]dbp¶Xv _me³kv t^mÀ s_äÀ
Asæn kv{Xo]pcpjkaXzw.
{]ikvX hÔyXm Imew Hcp]mSv ]ptcmKan¨p sImïncn¡p
NnInÕ hnZKv². IbmWv. kv{Xo kv{Xobmbpw ]pcpj³
Xncph\´]pcw ]pcpj\mbpw am{Xw Pohn¡m³ Ignbp
"{]m¬ s^À«nenän Bâv ambncp¶ Cu kaql¯n C¶v kv{Xo¡v
sh hpa¬ skâdn'sâ thWsa¦n ]pcpj\pw ]pcpj\v kv{Xobpw
UbdIvSdpw No^v ssK\ BIphm\pÅ FÃmhn[¯nepÅ \nbahpw
t¡mfPnÌpamWv. kmaqlnIamb AwKoImcw e`n¨ncn¡p¶
sF.Fw.F h\nXm ImeL«amWv. Cu hnjbs¯ Ipdn¨v
sl¯nsâ kwØm\ FgpXm³ Fs¶ t{]cn¸n¨Xv kvIqfpIfnse
I¬ho\À, sF.Fw.F ¢msÊSp¡m³ t]mIpt¼mÄ AhnsSs¯
h\nXm hn`mKw ap³ ]mTyhnjb§fnsem¶mWv {Sm³kvsP³UÀ
kwØm\ sNbÀt]gv hn`mKs¯¡pdn¨v.
k¬, C´y³ skmsskän
Hm^v AknÌUv dos{]mU
£³ FIvknIyq«ohv
sa¼À. "hÔyXbpw
NnInÕbpw' F¶
aebmf¯nse BZy
]pkvXI¯nsâ {KÙ
IÀ¯n. kv{XoIÄ¡p
th­ïn kv{XoIÄ am{Xw
\S¯p¶ Xncph\´]pc
s¯ {]m¬ tlmkv]nä
ensâ kmcYn.

Mob: 9495957953
Tel: 0471 2447953
[email protected]

88 \½p-sS B-tcm-Kyw | amÀ¨v 2019

{Sm³kvsP³UÀ AhÀ ]et¸mgpw kaql¯nsâ
apJy[mcbnte¡v {i²n¡s¸Sp¶Xv.
F¶m F´mWv hfsc {]ikvXcmb kn\namXmc§fpw
AXpt]mseXs¶ tamUÂ Xmc§fpw
{Sm³kvsP³UÀ F¶ph¨m aäp ]etaJeIfnepw {]apJcmb
sam¯¯n ]dbp¶ Hcp hm¡mWv. ]ecpw. Cu hn`mK¯n s]«hÀ
Hcp hyàn¡v Ahcn \n£n]vXambn temI¯v DS\ofapïv.
cn¡p¶ ssewKnIX AwKoIcn¡m³
IgnbmsX hcpt¼mgmWv
{Sm³kvsP³UÀ F¶ Hcp
hnjb¯nte¡v F¯nt¨cp¶Xv.
kv{XobpsS FÃm Ahbh§fpw
Dïmbncn¡pw ]pdtabpÅ
icoc hfÀ¨bpsaÃmw kv{XobpsS
Bbncn¡pw, ]s£ AhÀ
B´cnIambn B{Kln¡p¶Xv ]pcpj³
BIm\mbncn¡pw. AXpt]mseXs¶
]pdta Ahbh§sfÃmw
]pcpj\mbncn¡pw. ]t£ AhcpsS
a\kv B{Kln¡p¶Xv Hcp kv{Xo
BIm³ Bbncn¡pw. C§s\bpÅ
Hcp Nn´mIpg¸w hcpt¼mgmWv
kv{Xo¡pw ]pcpj\pw ]pcpj\v
kv{Xobpw BIphm\pÅ B{Klw
DïmIp¶Xpw AXn\pthïnbpÅ
am\knIhpw imcocnIhpamb
X¿msdSp¸pIÄ \S¯p¶Xv.
A§s\ sN¿pt¼mgmWv

F´psImmWn§s\

kw`hn¡p¶Xv

Hcp]mSv imkv{Xob ]T\§Ä H¶pw Cu
taJebn \S¶n«v Csænepw, Npcp¡w Nne
imkv{Xob AdnhpIÄ kqNn¸n¡p¶Xv,
Nnet¸mÄ KÀ` kab¯v Xs¶ ]pcpj
tlmÀtamWpIfpsS {]hÀ¯\w ChcpsS
icoc¯n GsX¦nepw coXnbnÂ
IqSnbn«pïmhpw. Nnet¸mÄ kmaqly]Ým¯ew
Bbncn¡mw amä§Ä Dïm¡nbn«pÅXv.
Asæn AhÀ hfÀ¶ kmlNcy§Ä
Bbncn¡mw Ahcn \n£n]vXambncn¡p¶
ssewKnIXbn \n¶v hyXykvXambn
Nn´n¡Ww F¶v Ahsc sImïv
tXm¶n¸n¡p¶Xv.

\½p-sS B-tcm-Kyw | amÀ¨v 2019 89

Fs´ms¡bmWv amä§Ä hcp¶Xv

]et¸mgpw ]pcpj\mbn kvss{XW`mhw hcp¶Xn\p
P\n¡p¶hÀ kv{Xobmbn thïnbpw aäpw ]et¸mgpw
Pohn¡m³ Bbncn¡pw a\ tlmÀtam¬ acp¶pIÄ
ÊpsImïv Cãs¸Sp¶Xv. AXv [mcmfambn Ign¡mdpïv.
AhcpsS hkv{X[mcW¯nepw AXpt]mseXs¶ ]pdtabpÅ
s]cpamä¯nepw PohnXcoXnI ssewKnImhbh§Ä ¹mÌnIv
fnepw FÃmw {]ISamhpw. X·q kÀPdn aqew kv{XobpsS
ew Ahsc kv{XoIÄ kv{XoI Ahbh§Ä BsW¦nÂ
tfmsSm¸w Iq«m\pw ]pcpj·mÀ ]pcpj AXv ]pcpjsâ Ahbh§Ä, ]pcpj
·mtcmsSm¸w Iq«m\pw hnk½Xn¡p¶p. s³d BsW¦n kv{XobpsS B¡n
CXpaqew AhÀ¡v ]et¸mgpw tPmen amäpIbpw sN¿p¶ enwKamä ikv{X
Øe§fnepw ]T\ tI{µ§fnepw {Inbbv¡pw ]et¸mgpw ]ecpw hnt[b
kplr¯p¡Ä¡nSbnepw IpSpw_ cmImdpïv. F¦nte ]pdtabpÅ
¯nepw FÃmw Hcp]mSv Xc¯nepÅ Ahbh§Ä amäm³ Ignbpsa¦nepw
AhKW\IÄ t\cntSïn hcmdpïv. B´cnI ssewKnI Ahbh§Ä
amäm³ A{X Ffp¸apÅ ImcyaÃ.
taÂhnhcn¨ B{Kl§Ä ImcWw X·qew KÀ`[mcWw ChcnÂ
AhÀ kzbw AhcpsS icoc¯n Akm[yamWv.
Hcp]mSv amä§Ä Dïm¡mdpïv.

t\cnSp¶ {]iv\§Ä

ssewKnIXsb¡pdn¨v hyàX t\Snbn«pÅ Hcp tUmÎdpsS D]tZi
CÃm¯XpsImïv ]et¸mgpw hpw kzoIcn¨n«v thWw C¯c¯n
kaql¯n AhÀ Häs¸SpIbpw epÅ enwKamä ikv{X{Inbbv¡v
aäp ]ecmepw A[nt£]n¡s¸SpIbpw X¿mdmIp¶Xv.
Asæn aäp ]ecn \n¶pw ]ecoXn
bnepÅ imcocnI am\knI ]oU\§ Cu hnjb¯n Hcp ]cnlmc
Ä¡v hnt[bcmIphm³ DÅ km[yX sat¶mWw C´ybn Ct¸mÄ Cu
hfsc IqSpXemWv. {]tXyI Hcp P\ hn`mK¡msc aq¶mas¯ Hcp
hn`mK¯n s]Sm¯XpsImïv ]e ssewKnI hn`mKambn AwKoIcn¨n«p
coXnbnepÅ C³jpd³kv ]cnc£bpw ïv. XoÀ¨bmbpw Hcp am\knIhpw
ChÀ¡p \ntj[n¡s¸Sm³ CSbpïv. imcocnIhpamb ]cnKW\ AÀln¡p
¶ hn`mK¡mcmWv ChÀ. IrXyamb
kv{Xo ]pcpj³ BIpt¼mÄ KÀ`mi Hcp D]tZiw tXSnbn«v thWw
bhpw Hmhdnbpw ChÀ¡v \o¡w sN¿m enwKamä ikv{X{Inbbv¡pw aäpw
sX sStÌmÌntdm¬ F¶ tlmÀtam¬ C¯c¡mÀ apXncp¶Xv F¶v
PohnX¯nepS\ofw Ign¡pIbmsW¦n HmÀ¯ncn¡p¶Xv \ÃXmWv.
KÀ`mib Im³kÀ Dïm-Im\pÅ km[yX
hfsc IqSpXemWv. C¯c¯nepÅ
imcocnI amä§Ä Hcp hyàn B{Kln
¡p¶sX¦n \à coXnbnepÅ Hcp am\
knIhpw imcocnIhpamb Iu¬knenwKpw
Cu hnjbs¯ Ipdn¨v {]mKÂ`yw

90 \½p-sS B-tcm-Kyw | amÀ¨v 2019

\½p-sS B-tcm-Kyw | amÀ¨v 2019 91

Fgp-¯p-Imcm-b tUm-Iv-SÀamÀ

ssa¡nÄ A-^m-\m-tk-hn-¨v
_pÄ-K-mt¡mhv

s{]m-^. sI. tKm-]m-e-Ir-jvW³ tUmÎÀamcmb Fgp¯pImÀ [mcmfw Dsï¦nepw
Ahcn FÃmhcpw Hcp t]mse {]ikvXcÃtÃm.
tI-c-f-¯n-se F¶m NneÀ kmlnXytemI¯p Nnc {]XnjvT t\Snb
hnhn-[ kÀ¡mÀ hcmWv: DZmlcW¯n\v Anton Chekhov, A J Cronin, Mikhail
tIm-tf-Pp-Ifn Bulgakov F¶nhÀ Xs¶. temIkmlnXy¯n Xs¶bpÅ
Cw-¥o-jv s{]m-^-k- \qdp al¯c§fmb kmlnXy krãnIfpsS enÌnÂ
dm-bn tkh-\w A-\p-jvTn¨p. ssa¡nÄ A-^m-\m-tk-hn-¨v _pÄKmt¡mhnsâ The Master
Cw-¥o-jv `m-j-bp-sS {]-Nm-c-W- and Margarita XoÀ¨bmbpw Øm\w ]nSn¡pw.
¯n-\m-bn A-t\-Iw {]-hÀ-¯\-
§Ä \-S-¯n-h-cp¶p. C-t¸mÄ
Aar-X sF.F.Fkv.
A-¡m-Z-an-bp-sS sN-bÀ-am³.

[email protected]
mob: 9447310670

Dss{I\nsâ XeØm\amb Kievse anenädn tlmkv]n
äen tPmen t\m¡pt¼mÄ t\Snb bp²s¯¡pdn¨pw
thZ\sb¡pdn¨pw bmX\sb¡pdn¨psams¡bpÅ A\p
`h§fmWv _pÄKmt¡mhns\ Hcp hyXykvX\mb
Fgp¯pImc\m¡p¶Xv. ]t¯mfw ]«mf A«nadnIfpsS
km£n IqSn Bbt¸mÄ B A\p`h¯nsâ Bghpw ]
c¸pw hÀ[n¨p. At±l¯nsâ cïp ktlmZc·mÀ Reds
F¶v hnfn¡p¶ t_mÄsjhn¡pIÄs¡XncmbpÅ White
Army tbmsSm¸w Bbncp¶t¸mgpw _pÄKmt¡mhnsâ

92 \½p-sS B-tcm-Kyw | amÀ¨v 2019

Iqdv adp`mK¯mbncp¶p. Stalin DÄs¸sS HmÀabn \n¶pw tImcnsbSp¯XmWv
bpÅ t\Xm¡Ä ]dªXv _pÄKm
t¡mhnsâ Fgp¯n "CSXv, heXv' {]kn²oIrXamb {K\vYw. 1928Â
XpS§nb ]g©³ {]tbmK§sf¡mtfsd
Ig¼pÅ Imcy§Ä Dsï¶mWv. At± FgpXnbXp 1967 Xsâ `mcybpsS ]n³
l¯nsâ Fgp¯n ]dbmsX ]dªp
h¡p¶ ]eXpw cm{ãobambpw kmaqly] _et¯msSbmWv ]pd¯nd¡p¶Xv.
cambpw F¶pw hnes¸«Xmbn \nev¡p
¶Xv a\pjysâ auenIamb Nne kXy tbip{InkvXp djybn hcp¶Xpw Ahn
§Ä Ahbn Hfnªncn¡p¶XpsIm
ïmhmw. Sps¯ `cWIqShpw cm{ãob t\XrXzhpw

Hcp kab¯p kmlnXy¯n\v ta kmlnXys¯ GXp coXnbn BWv t\m
Akm[mcWamb sk³kÀjn]v- Ìmen
sâ `cWIqSw sImïph¶t¸mÄ _p ¡n ImWp¶Xpw Fs¶ms¡ ]pkvXI
ÄKmt¡mhv t\cn«v Xs¶ Ìmens\ hnj
aw Adnbn¨p. Ìment\mSv _pÄKmt¡mhv ¯n `wKnbmbn hnhcn¡p¶p. Gsd
]dªXv "Hscgp¯pImc\v kz´w a®m ckIcambXv, skbvXm³ Professor Woland
Wv {]tNmZ\¯nsâ DdhnSw' F¶mWv.
Cu adp]Snbpw AXnsâ kmchpw Ìm Fs¶mcp IYm]m{Xambn«mWv hcp¶Xv
ens\ Ccp¯n Nn´n¸n¨p F¶Xv asämcp
kXyw. F¶XmWv. You pronounced your words
as if you don't acknowledge the
Ahkm\w nephrosclerosis F¶ tcmKw shadows, or the evil either. Would
]nSns]«v acn¡pt¼mgpw _pÄKmt¡mhv you be so kind as to give a little
kz´w \m«n \n¶v Xs¶ Xsâ thought to the question of what
IrXnIÄ¡v P·w \ÂIn. The Master and your good would be doing if evil
Margarita BWv At±ls¯ Gsd {]i did not exist, and how the earth
kvX\m¡nb ]pkvXIw. would look if the shadows were to
djybnse ]«mf`cW¯n
sâ ASn¨aÀ¯epw a\p disappear from it? F¶
jysâ kÀKmßIXbpsS hmZhpw " ... man is mortal...
{]Xntcm[iànbpw X½n
epÅ sshcp[y¯nsâ what's bad is that sometimes he is
IYbmWv Cu tUmISÀ unexpectedly mortal, that is the
Fgp¯pImc³ ]dbp¶Xv. rub. And in general, he can't even
]pkvXI¯nsâ BZy say in the morning what he'll be
`mK§Ä _pÄKmt¡mhv doing that very same night"
Xs¶ tZjyhpw ss\cmiy
hpw Hs¡ A\p`hs¸«p \ XpS§nbpÅ hN\§fpw
in¸n¨pIfªp. FgpXn "manuscripts don't burn' t]m
sbs«´p Imcysa¶pw
Xsâ `mh\¡v Hcp Aw epÅ Ipdp¡nb {]tbmK
KoImchpw In«nà F¶ §fpw \ndªXmWv The
Dd¨ hnizmkhpamWv CXn
\p t{]cn¸n¨Xv. ]n¶oSv Master and Margarita.
a\w amäw Dïmbt¸mÄ
aq¶p Xc¯nepÅ IY

\coXn sImïv hmb\m\p

\½p-sS B-tcm-Kyw | amÀ¨v 2019 93

Heart of a Dog F¶ IrXnbpw t_mÄsj

hnk¯ns\XncmbpÅ Gähpw iàntb

dnb Bbp[amWv.

CXnse \mb Sharik F¶ a\pjyIYm

]m{Xw t\Snb P\{]oXn am{Xw aXn ]p

kvXI¯nsâ P\{]oXn a\knem¡m³.

`cWIqSw {]kn²oIcWw XSªt¸mÄ
samizdat (clkyambpÅ
]pkvXIw

ssIamdÂ) {]XnIfneqsS hmb\¡mcnse

¯n¨p AhcpsS Nn´sb DWÀ¯n. ]n

¡me¯p asämcp djy³ Fgp¯pImc
\mb Solzhenitsyn ]dªXv t]mse, Hcp

Kh¬saân\pw Hcp \Ã Fgp¯pImcs\

`hs¯ Cu ]pkvXIw achn¸n¡p¶p t{]mÕmln¸n¡m\mhnÃ, ImcWw Abm
F¶v hnaÀin¡p¶ NneÀ Dïv. _p
ÄKmt¡mhnsâ krãnIfmb amÌdpw Ä Nn´n¸n¡m³ t{]cn¸n¡p¶p. C¯c
amÀKcoäbpw s{]m^kÀ thmfïpw Ah
cpsS Iq«mfnIfpw ]ns¶ ]nemt¯mÊpw ¯n Nn´n¡p¶ BfpIÄ IqSpt´mdpw
kXys¯ Ipdn¨pÅ NÀ¨Ifpw aäpw
aäpw IYmbpsS im´amb Hgp¡ns\ `cW¯n\v asämcp {]Xn]£w Dïm
kmcambn _m[n¡p¶p F¶hÀ hmZn
¡p¶p. hpIbmWv.

]s£ tkmhnbäv djybnse _
lpkzcXsb `cWIqSw \nÈÐam¡p¶Xp
FXnÀ¯ {]apJ Mikhail Bakhtin F¶
XXzNn´Is\t]mse Mikhail Bulgakov Dw
kmlnXy¯nse "]e iÐ IY\w' `cW
¯ns\XncmbpÅ Hcmbp[am¡n amäpI
bmWv.

Vladimir se\nsâ km¼¯nI ]cnjvI
cW§sf Ifnbm¡n _pKmt¡mhv cNn¨

hmÀjn-I h-cn-kwJy tIh-ew 250 cq-]
e-`n-¡p¶-Xv B-[n-Im-cn-I-amb
B-tcm-Ky-]mT§Ä

hn-fn¡q... 0471- 2742266

94000 12600

94 \½p-sS B-tcm-Kyw | amÀ¨v 2019

BtcmKyw \n§-fp-sS ?
A-dn-sh{X?

Ignª e¡w \½psS BtcmKyw {]kn²oIcn¨
teJ\§sf ASnØm\am¡n X¿mdm¡nbXmWv tNmZy§Ä.
tNmZy§Ä X¿mdm¡nbXv tUm. kPnIpamÀ. sP

HEALTH QUIZ 1. F¶mWv temI Im³kÀ Zn-\w?
2. tIcf¯n kv{XoIfn Gähpw IqSpXÂ
ImWp¶ AÀ_p-Zw?
3. Cu hÀjs¯ Im³kÀ Zn\ ktµiw ?
4. F´mWv Im³kÀ ko-Iv?
5. F´mWv enwt^ma?
6. F´mWv excision biospy ?
7. KÀ`mibKf Im³kÀ Dïm¡p¶ sshd-kv?
8. KÀ`mibKf Im³kÀ ap³Iq«n Adnbphm\pÅ ]cntim-[\?
9. F´mWv screening colonoscopy?
10. iÐ km{µX Af¡p¶Xn\pÅ bqWn-äv?
11. km[mcW HcmÄ kwkmcn¡pt¼mÄ DÅ iÐ Xo{hX?
12. t__nthm¡dpIÄ BZyambn \ntcm[n¨ cmPyw?
13. Brain lock F´nsâ NnInÕmcoXnbm-Wv.
14. aen\ Pe¯n tImSn ]Icp¶ sl¸ssään-kv?
15. F´mWv fatty liver ?

ANSWERS
1. s^{_phcn 4
8. Pap smear 2. kvX\mÀ_pZw
3. I can and I will
9. h³IpSÂ Im³kÀ ap³Iq«n 4. Im³kÀ ap³Iq«n Adnbphm
Isï¯m\pÅ
]cntim[-\ \pÅ Gähpw ]pXnb cà
]cntim[-\
10. sUkn-s_Â 5. emknI {KÙnIfnÂ
11. 30-40db hcp¶ Im³kÀ
12. Im\-U 6. apgIÄ ]qÀWambpw \o¡w
13. Obsessive compulsive disorder sNbvXXn\p tijw sN¿p¶
14. Hepatitis A
15. Icfn AanXambn biospy
7. Human Pappiloma Virus
sImgp¸Snbp¶ A-hØ

\½p-sS B-tcm-Kyw | amÀ¨v 2019 95

tUm. t\m_nÄ t{Kjykv Xsâ kplr¯v Hcp A]IS¯nÂs¸«psh¶pw
t\mU Hm^okÀ, KNOS I®pIfS¡w hr¡IÄ Zm\w sN¿m³ k¶²
Atkmkntbäv s{]m^kÀ, amsW¶pw \n§fpsS Adnhn Bhiy¡mÀ Bsc
s\t{^mfPn ¦nepapsï¦n DSs\ Adnbn¡Wsa¶pw hniZoIcn
Kh. saUn¡Â tImtfPv, ¨psImïpÅ hm«vkvB¸v t]mÌpIÄ [mcmfw e`n¡p
Xncph\´]pcw ¶pïv. akvXnjv¡acWw kw`hn¨ BÄ¡mcnÂ
\n¶pÅ AhbhZm\¯n\v kwØm\mSnØm\¯nÂ
www.knos.org.in Hcp cPnkv{Sn Dsï¶pw AhbhZm\w ap³KW\m
{Iaw h¨v B cPvkn{SnbneqsS am{Xta \S¡pIbpÅq
tNmZn¡q.......
D¯cw dbmw....... sh¶pw tI«n«pïv. CXv hniZoIcn¡mtam?

atljv, ]´fw

tkmjy aoUnbIfn {]Ncn¡p¶
C¯cw t]mÌpIÄ¡v bmsXmcp ASnØm
\hpanÃ. akvXnjv¡acWw hgnbpÅ
AhbhZm\w \nb{´n¡p¶Xpw AXneqsS
In«p¶ Ahbh§Ä hn\ymkw \S¯p
¶Xpw tIcf kÀ¡mcnsâ arXkRvPoh\n
]²Xn hgn am{XamWv. arXkRvPoh\nbnÂ
Ahbh§Ä¡mbn cPnÌÀ sNbvXncn¡p¶
tcmKnIÄ¡p ap³KW\ {Ia¯n Bbncn¡pw
Ahbh§Ä \ÂIp¶Xv.

akvXnjv¡acWw kw`hn¨ Hcmfn \n¶v F{X
Ahbh§fmWv Zm\ambn \ÂImhp¶Xv? tIcf¯nse
Npäp]mSn F{X Ahbh§fmWv \o¡w sNbvXv
aäpÅhcn h¨p ]nSn¸n¡mhp¶Xv?

jmPn tPmk^v, Ipdphne§mSv

Zm\w sN¿mhp¶ Ahbh§fpsS enÌn cïv
InUv\n, Hcp IcÄ, Hcp lrZbw, cïv izmktImiw,
cïv I®pIÄ, cïv ssIIÄ, Hcp ]m³{Inbmkv, IpSÂ,
cà¡pgepIÄ, FÃpIÄ, XcpWmØn, Xz¡v F¶nh
bmWpÅXv.

tUm. Fkv. hmkptZh³ tIcf¯n hr¡amänhbv¡Â ikv{X{Inb 1986 emWv
XpS§nbXv, IcÄamä ikv{X{Inb 2008 epw. lmÀ«v,
s{]m^kÀ ]m³{Inbmkv, tImÀWnb, ssIIÄ, IpSÂ, Xz¡v,
bqtdmfPn FÃpIÄ F¶nhbpsS amänhbv¡Â ikv{X{InbIfpw
Kh. saUn¡Â tImtfPv tIcf¯n sN¿p¶pïv.
Xncph\´]pcw
Ct¸mÄ apJs¯bpw Xebnse kvIn\pw {Sm³kv¹mâv
E-mail: [email protected] sN¿mw.

tNmZn¡q.......

D¯cw dbmw.......

96 \½p-sS B-tcm-Kyw | amÀ¨v 2019

tagv-ko....
sF Bw tkm-dn....

tUm. Sn. kp-tc-jv IpamÀ

inip-tcm-K
Nn-InÕI³,
sF.Fw.F.

ap³ kw-kvYm-\ sk-{I«dn,
Xncp-h-\-´-]p-cw
Nn-cn-¢-ºns³-d {]-kn-U³dv.
[email protected]
mob: 9447055050


 

H 

 cp sIm-¨m-ip-]-{Xn-bn-se ta-e-[n-Im-cn-bm-bn NmÀ-sÖ-Sp
 -¡ p-t¼mÄ A-sXm-cp {]-iv-\-_m[n-X {]-tZ-i-amsW-¶
  H-cp ¢q-t]m-epw F-\n-¡nÃm-bn-cp¶p.
tUm-Iv-SÀ-am-cp-sSNmÀ-sÖSp-¯ A-¶pX-s¶ kw`-hw {i-²-bnÂ-s]«p.
s]HA{¡D¡i-smT-²npÀZ-\-S-\-¶-½-b\mp-I-b-I-`wnbcÂmhZv-¡p-kennw-§-\Â.A-¯v þA-INXÄ-c-snv-I-h\-§aÃ[nmnH¦-Õ-§m-bnm-\-cnÂÀ-bm-fnÂs-fpv¯swSaA-tt¶ad-µm-gp-WBFA-_-sv-kaf-´-hn-\ip-\n-S-²n-ÊppFSnp-¯--]c-sn-s-I¶nI-{-¶-¯eXfpmmnnmc-ïc¡-bt-bp-lG¶\pvn-s-btt-g-k-äS\\v-kH-hRy\--g-cgp-avwvv-k-pk-SHmm-¯I-b]-c³pv apt-cmn m-ganhknA¸-NÀv--Ng-inv-nk-b-\ta-.b_-¯\-d-kvnm-bpkz-Wn-hj.-¼psv-¡w-wiF-vWK-¶aR¯v -Xä.Cwbptmn-Å-{pB³kXpwAw -XI-cAaX-{Xwnp-ï-Sm-a-`-lp-cmn]-¡¨--[XX-¦-´p-hn-tv..-bma-cns-bpyw³a-\-sm-d-bÃ
(sam-U F-¶v Im-en-Iw)?
-Sp-¯v ""\-½p-sS
a-\-xim-kv-{X-]-chpw _p-²n-]-c-hpam-b \o-¡-t¯m-sSbp
B-tcm-Ky-''¯n-\-v Ab-¨p
-Å Fs³d A-t\z-j-W¯n kw`-hw ]p-d-¯ph¶p!
X-cp-I. ssh-Zy-im-kv-{X

te-J-\-§-fp-sS ta-gv-kn ImWm³ A-{X kp-µ-cnbÃ. F¶m t\-gv-knw

Ku-chapÅ hm-b-\-bv -Kv tPm-en `w-Kn-bm-bn A-dn-bmw.

-¡nSbn A-sXm-cp IqsSbp-Å kp-µ-cn-Ifm-b t\-gv-kp-am-tcm-Sp-Å I-Sp-¯

Cfhv Xcp-¶ Akq-b aq-¯v Dïm-b H-cX-cw kq-t¡-Sv! A-]-IÀ-j-I-Xm

hm-b-\m-\p-`-h-am-¡mw. -t_m-[w þ C³-^o-cn-tbm-dn-än tImw-¹-Iv-kv F¶pw ]-d-bmw.

\½p-sS B-tcm-Kyw | amÀ¨v 2019 97

]n-s¶ A-hn-sS tPm-en-sN-¿m-s\-¯p-¶ ]-t£.... Rm³..... B-sI X-f-cp-¶-Xp
tUm-Iv-SÀ kp-µ-c-\-m-sW-¦nÂ, X-s¶ -t]m-se tXm¶n!
ssa³-dv sN-¿p-I-bnsÃ-¶ D-d-¨ [m-cm-W
-bnÂ, H-cp ap³IqÀ samU! ta-gv-kn F-s¶ Im-Wp-t¼mÄ t{]-a-]-c
-h-i-bm-Ip-Ibpw GtXm AÀ-°w-sh¨p-Å
sRm-Sn-bn-S-bn Rm³ tcm-K-\nÀ®-bw t\m-«w X-cn-Ibpw H-cp \nKq-V ]p-©n-cn
\-S-¯p-Ibpw ]-cn-lm-c-¯n-\v ¹m³ X-¿m k-½m-\n-¡p-Ibpw sN-¿p-¶p...
-dm-¡p-Ibpw sN-bvXp.
{]-k-¶ kn-kv-äÀ lm-P-cmbn. Fs³-d
Fs³-d Nn-e ¹m-\p-IÄ h³ lnäm-I {]-iv-\w Xp-d-¶p-]-d-bmsX, Fs³-d
-Ibpw Nn-e ¹m-\p-IÄ At¼ ]-cm-P-b-am sFUn-b F§-s\ \-S-¸n-em-¡n F-¶p
-Ip-Ibpw sN-bv-Xn-«p-Å N-cn{Xw hm-b-\ am{Xw AhtcmSv Xn-c¡n.
-¡mÀ-¡v A-dn-hp-Å-Xm-W-tÃm?
{]-k-¶ c-l-ky-am-bn A-Xp-]-dªp.
sl-Uv kn-kv-ä-À {]-k-¶-Ip-am-cn-sb
Rm³ hn-fn-¸n¨p. ""tUm-Iv-S-dp-sS sFUn-b R-§-fn-§
-s\-bm-Wv {]m-h-À-¯n-I-am-¡n
t]-cp-am-bn bm-sXm-cp -bXv. ]p-Xn-b-Xm-bn tPm-bn³-
_-\v-[-hp-anÃm-¯ ap-J-`m-h sNbv-X H-cp Pq-\n-bÀ
-hp-am-bn A-hÀ ap-¶n-se kn-kv-äÀ Xs³-d ho-«n-te
-¯n. -s¡-gpXn-b I-¯v F-¶
a«n H-cp I-¯v ta-gv-kn
U-b-Kv-tWm-kn-kv ImWm³ ]m-I¯nÂ
A-Xo-h- c-l-ky-am-bn-cn A-h-cp-sS tS-_nfnÂ
-¡-W-sa-¶v A-h-sc-s¡m sh¨p. ta-gv-kn B-cpw
-ïv A-hn-sS-bncp-¶ -Im-Wm-sX B I-¯v
G-tXm- H-cp c-Pn-kv-ädn c-l-ky-am-bn hm-bn¨p.
sXm-«v {]-XnPv-R sN-¿n¨p. A-¶p sXm-«m-Wv ta-gv-kn
bn Cu \à am-äw I-ïp
ta-gv-kn H-cp hy-Xy-kv-X
bm-b kp-µ-cn-bm-sW-¶v B-sc Xp-S-§n-bXv.... G-Xm-bmepw
-¦nepw ]-d-ª-Xm-bn ta-gv-kn tUm-Iv-S-dp-sS X-e A-]m-cwX-s¶!''
A-dnbWw!
{]k¶ B I-¯v F-\n-¡v ssI-amdn.
F{X ImWm³ sIm-Åm-¯Xpw kzm-`m
-hn-I-ambn hy-Xy-kv-X-am-W-tÃm. hÀ²n-¨ lr-Z-b-an-Sn-t¸m-sS Rm³
hm-bn¨p.
C-Xm-Wv sS-kv-äv tUmkv! C-Xn-\p-ti-jw
A-h-fp-sS `m-h-¯nepw s]-cp-am-ä-¯nepw hn-bÀ-¯p Ip-fn¨p.
Kp-W-]-cam-b hy-Xn-bm-\-ap-sï-¦nÂ,
tcm-K-\nÀ®-bw i-cn-bm-bncp-¶p-sh¶pw I-¯ns³-d {]-k-à `m-Kw- C-§-s\...
NnIn-Õ Xp-S-cm-sa¶pw Rm³ ]-dªp.
.... At½, Fs³-d Iq-sSbp-Å FÃm
A-t¸mgpw {]-k-¶ kn-kv-ä-dns³-d -hcpw an-Sp-¡n-I-fmWv, kp-µ-cn-I-fpw. ]-t£
apJ-¯v H-cp am-ähpw IïnÃ! ta-gv-kn F-s¶m-cp kn-kv-ä-dpïv. \n-d-sam
-¶p-an-sÃ-¦nepw \Ã sF-izcyw Xp-fp¼p-¶
H-cp t]-cn-se-´n-cn-¡p-¶p F-¶p Rm³ apJw. B-cp-I-ïmepw H-¶p t\m-¡n
k-am-[m-\n¨p! t]m-Ipw. hy-Xy-kv-Xbm-b ku-µ-cy-sa-¶m
-Wv C-hnS-s¯ ]pXn-b tUm-Iv-SÀ R-§-fp
c-ïp Zn-h-k-¯n-\pÅn A-Xp kw-` -sS sl-Uv kn-kv-ä-tdm-Sv ]-d-ª-Xv....
-hn¨p.
Rm³ {]-k-¶ kn-kvä-sd cq-£-am-bn
ta-gv-kn B-fm-sI am-dn-bn-cn-¡p¶p! H-¶p t\m¡n.
FÃm-h-tcmSpw Nncn, ]p-©ncn, s]m-«n-¨ncn!
A-¶m-Zy-am-bn {]-k-¶-bm-bn I-ï
hn-\-bw, e-Ö XpS-§n a-ä-t\-Iw {]-k-¶ Fs³-d t\m-«w I-ïv hoïpw
hn-Im-c-§fpw {]-I-S-am¡m³ Xp-S-§p¶p. A-{]-k-¶-bm-bn amdn!

FÃm-hÀ-¡pw s]-cp-¯p k-t´m-j
-ambn.

98 \½p-sS B-tcm-Kyw | amÀ¨v 2019



RNI No. KERMAL/1999/123 NAMMUDE AROGYAM MAGAZINE March 2019
Reg. KL/TV(N)/458/2018-20 Date of Publication: 1st March 2019
KL/TV(N)/WPP/46/2018-20 ` Price 25

Printed & Published by: Dr. T. Suresh Kumar, Editor, Nammude Arogyam, Kerala State Branch, Anayara
Thiruvananthapuram - 695 029, Ph: +91-471-2742266. Printed at MUDRA, Sivakasi # 9447410514


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