Jan 2019

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

hmeyw 20 e-¡w 1
2019 P\phcn ` 25

2019

FÃm-hÀ-¡pw \Ã
B-tcmKyw



www.imapepsmed.com

For online purchase of medical equipments

ABOUT PEPS MED: A novel initiative of IMA PEPS facilitating the choice & purchase of
commonly used medical equipment at lowest possible rates

PEPS - MED Employment Bio-medical waste PEPS - MED
Medical Protection Scheme collection bags
Equipment Employment Bureau Co-Initiative of HOW TO ORDER ?
Distribution of IMA PEPS IMA - PEPS IMAGE Call 9074841291 or
0471-2741144 Extn. (249)

or email to
[email protected]

Professional Equipment and Employment
Protection Scheme of IMA KSB (PEPS)

IMA Kerala Headquarters Get in touch with us Send us an e-mail
Thiruvanthapuram - 695 029
0471-2741144 [email protected]

2019 P\phcn
hmeyw 20
e-¡w 1
hn-e: 25 cq]

10 \Ãioe§fpw Zp:ioe§fpw

hr¡tcmK§fnÂ

tUm. Pb´v tXmakv amXyq

16 t]mIvtkm BIväv

AdnªXpw Adn-tbXpw

tUm. Aa F{_lmw

22 sshd ]\nIfpw KÀ`Imehpw
tUm. BÀ. A\p]a

26 C´y-bnse Im³kÀ NnInÕ
tUm. F³. l-cn-tam-l³

32 ChnsS, C-t¸m-gp-apv

IpjvT-tcmKw

tUm. sP. ]ße-X

38 hmin¡pSp-¡Isf

sacp¡p¶sX§s\?

tUm. Fw. sI. kn. \mbÀ

50 Iuam-c-¡mÀ-¡v H-cp Zn\w
tUm. Fw. ap-c-fo[c³

53 hnZymÀ°nIÄ¡mbn Hcp BtcmKy ]mTw
s{]m^: tUm. Fw. kp`{Zm \mbÀ

54 Cu A¡-§Ä

hf-sc {]-[m-\-s¸-«-h-bmWv

4 \½p-sS B-tcm-Kyw | P\phcn 2019

C´y³ sa-Un-¡Â A-tkm-kn-tb-j-³ {]-kn-²o-IcWw

58 H.-kn.-Un sb kzbw \nb-{´n¡mw No^v FUn-äÀ
tUm. Acp¬ _n. \mbÀ tUm. Sn. kp-tc-jv IpamÀ

62 hÔyX hÀ[n¡p¶pthm? sk{I-«dn Iw {S-j-dÀ
tUm. A-Rv-Pn-Xv bp. tUm. Fw. ap-c-fo-[-c³

70 Atem¸Xn F¶ Bt£]w FUn-täm-dn-b t_mÀUv
tUm. sI.F. IpamÀ

tUm. hn.Pn. {]-Zo-]v IpamÀ
tUm. ]n.F. efnX

tUm. ctaiv.- F-kv.- tj-Wmbn
tUm. Acp¬ _n.-\m-bÀ
tUm.- k-Pn-Ip-amÀ sP.

tUm. kPnIpamÀ. sP D]-tZ-iI k-anXn
tUm. Fw.C. kpKX³
78 Hcp PÀ½³ sskIym-{Sn-Ìnsâ Pohn-X-IY:
({]kn-Uâ v, sF.-Fw.-F. tIcf)
CeIvt{Sm F³ I^-tem-{Km-an-sâbpw
tUm. C.sI.D½À
tUm. A_vZpÄ _mcn
(ap³ kw-kvYm-\ {]-kn-U³dv, sF.Fw.F)
82 Pohn-X-ssi-en-IÄ FÃp-I-tfbpw _m[nt¨m?
{ioaXn. ip`{io {]im´v tUm. BÀ.hn. A-timI³

(tZio-b sk-{I«-dn P-\dÂ, sF.Fw.F.)

tUm. F³. kpÄ^n

(sk-{I-«dn, sF.-Fw.-F. tIcf)

tUm.- F. amÀ¯mWvU ]nÅ
tUm.- Sn.-F³. _m_p cho-{µ³
tUm.- {ioPn¯v F³. IpamÀ

tUm. {]-im-´v kn.hn.

(ap³ No-^v F-UnäÀ)

86 t{]w \ko-dn-t\m-sSm¸w hc
kp[oÀ \mYv, \yq-UÂln
Hcp bm{X
Unssk-³ & te-Hu«v
tUm. ]n. `mkv¡c³ \mbÀ amkn-I Pb³ sP. \mbÀ
A\q-P cm-Pohv
88 ]¨¡-dnbpw ]-g-§fpw kw-\v-[nbm-b
hn-h-c-§Ä¡v amÀ-¡-änwMv
tUm. A\n-X taml³ ssj-Pp Fkv. \mbÀ

92 tUm. k-µo]v PulÀ 9400012600 ssS¸v skänwKv:
KoX

{]nâ nwKv :
ap{Z in-h-Imin

s{]m-^. sI. tKm-]m-e-Ir-jvW³ PRINTED AND PUBLISHED BY:
Dr.T. Suresh Kumar, Editor,
97 hSnth K-ym-kv h-«pIÄ!! Nammude Arogyam,
tUm. Sn. kp-tc-jv IpamÀ
for Indian Medical Association
slÂ-¯v Iznkv 49 Kerala State Branch
81, 96
tUm-Iv-S-tdm-Sp tNm-Zn¡mw 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 | P\phcn 2019 5



FUn-täm-dnbÂ

B¸mIp-¶
B-¸pIÄ

tUm. Sn. kp-tc-jv IpamÀ
No-^v F-UnäÀ-

\-K-c-§fn ]p-Xn-b-Xm-bn I-ïp-hcp-¶ H-cp Im-gv-N-bpïv.
bq-Wn-t^m-a-Wn-ªv ]p-d-In-sem-cp s]-«n-bp-am-bn ss_-¡nÂ
sN-dp-¸¡mÀ ]m-ªp \-S-¡p¶p. C-jv-Sap-Å `£-Ww C-jv-Sap-Å
tlm-«-enÂ-\n-¶v h-f-sc B-IÀ-j-Iam-b \n-c¡n A-hÀ B-h-iy-¡mÀ-¡v
F-¯n-¨p-sIm-Sp-¡p¶p.
H-cp {]ap-J A-ta-cn-¡³ I-¼-\n-bm-Wv "B¸v' kw-hn-[m-\-¯n-eq-sS
I-¨h-Sw s]m-Sn-s]m-Sn-¡p-¶Xv.
]-«-W-§fn C-t¸mÄ Iq-Sp-X tlm-«-ep-IÄ, ]n-k tImÀ-W-dp-IÄ
s]m-«n-ap-f-bv-¡p¶p. G-ä-hp-a-[n-Iw hn-äp-t]m-Ip¶-Xv P-¦v-^p-Um-sW-¶v
hmÀ-¯-IÄ.
B-lm-cw F¶-Xv tIh-ew hn-i-¸-S-¡m\p-Å h-kv-Xp am-{XaÃ.
A-Xp-ïm-¡p-¶-Xnepw hn-f-¼p-¶-Xnepw I-gn-¡p-¶-Xnepw
B-tcm-Ky-]-cam-b H-cp-]m-Sv L-SI-§Ä A-S-§n-bn-«p-ïv.
kv-t\-l-_-\v-[-§Ä-¡v B-lm-c-hp-am-bn A-t`-Zyam-b _-Ô-apïv.
C-h-sbÃmw \n-cm-I-cn-¨p-sIm-ïv ap-t¶dp-¶ Cu "`-£-W-hn-¹hw'
\n-b-{´n-¡-s¸-tS-ï-XtÃ?
`-£-W-am-Wv B-tcm-Ky-s¯ \nÀ-®-bn-¡p-¶-sX-¶v hn-iz-kn-¡p¶-hÀ
B-tem-Nn-¡p-I, {]-Xn-I-cn-¡p-I.

k-hn\bw

\½p-sS B-tcm-Kyw | P\phcn 2019 7

8 \½p-sS B-tcm-Kyw | P\phcn 2019

lÀ¯m Hcp "lÀ«v BÄ':

C\n lÀ¯m tht th!

tIcfw FÃm¯n\pw ap³]´nbn \n¡p¶ kwØm\
amWv. lÀ¯mepIÄ¡pw tIcfw ap³]´nbn Xs¶.
F´n\pw GXn\pw lÀ¯m {]Jym]n¡pI F¶Xv

tUm. F³. kpÄ-^n sNdpInS ]mÀ«n apX tZiob ]mÀ«n hscbpÅ FÃm
kw-kvYm-\ sk-{I-«dn, kwLS\IÄ¡pw Htcm BtLmjhpw AhImihpsams¡
sF.Fw.F. tIcfw
[email protected] Bbn amdnbncn¡pIbmWv. CXv ISbv¡Â I¯n
sh¡p¶Xv ]ucmhImi§Ä¡v ta Xs¶bpw.
lÀ¯m {]Jym]n¡pIbpw, DS³ AXv A\pkcn¡pIbpw Hm^okpw

aäv Øm]\§fpw AS¨v ho«n Ccn¡pI F¶Xv aebmfnIfpsS Hcp

ioeambn amdn. 2018 \qdn ]cw lÀ¯mepIÄ BtLmjn¨hcmWv

aebmfnIÄ. \qdntesd lÀ¯mepIÄ Ignª tijamWv \msaÃmw lÀ«v

BÄ BbXv. AXv hsc \ap¡pïmb sImSnb \ã§Ä AXn`oIcamb

km¼¯nI kmaqlnI \ã§Ä F¶nh \mw Xncn¨dnªtXbnÃ.

{]Xo£bpsS s]m³ IncWw AIsebÃ. lÀ¯mens\Xnsc P\tcmjw

DWcp¶Xv cm{ãob ]mÀ«nIfpw aäv kwLS\Ifpw a\knem¡pw F¶XnÂ

kwibanÃ. lÀ¯mens\Xnsc tIcf¯nse kmaqlnI kmlnXy kmwkv

-ImcnI cwK§fn \n¡p¶ D¶X hyànXz§Ä iàambn {]XnIcn¨v

XpS§nbn«pïv. ap³s]mcn¡Â _µv \ntcm[\w tImSXn \S¸nem¡nbt¸mÄ

_µnsâ t]cv amän lÀ¯mem¡n AtX cq]¯n hoïpw AhXcn¸n¨Xpw

AXv \mw Bhit¯msS DÄs¡mïXpw ]gb ImcyaÃ.

C\n Bip]{XnIfpw lÀ¯mepw?

lÀ¯m {]Jym]n¡s¸«m ]{Xw, Bip]{Xn, ]m hnXcWw Hgnhm¡n

F¶ Xes¡«pw ImWmdpïv. F¶m icn¡pw F´mWv Hgnhm¡s¸Sp¶Xv.

H¶pw Hgnhm¡s¸Sp¶nà F¶v am{Xaà ChsbÃmw ]q«n sI«p¶XmWv

\nXyImgvN. Bip]{XnIÄ AXymlnX hn`mKw am{Xw {]hÀ¯n¡p¶

Xc¯nte¡v \o§pw. Bip]{XnIfnte¡v Poh\¡mÀt¡m, tcmKnIÄt¡m

F¯m³ Ignbm¯ AhØbmWv. CXv amtdïXp Xs¶bmWv.

CXns\Xnsc C´y³ saUn¡Â Atkmkntbj³ iàambn cwK¯v

hcnIbmWv.

lÀ¯m {]Jym]n¡pIbmsW¦n I£n cm{ãob t`Zat\y AXns\Xnsc

{]XnIcn¡m³ R§Â X¿msdSp¡p¶p. Bip]{Xnbn Ft¯ï Poh\¡msc

bpw tcmKnItfbpw F¯n¡m\pÅ hn]peamb kwhn[m\w Hcp¡ns¡mïv

lÀ¯mens\XnscbpÅ bp²¯n R§fpw AWn tNcm³ X¿msdSp¡pI

bmWv.

At¸mÄ tUmÎÀamcpsS kactam?

kzm`mhnIamb tNmZyw. kacw sN¿pI F¶Xv tUmÎamsc kw_\v[n¨v

Ahkm\s¯ Hgnhm¡m³ ]äm¯ kmlNcy¯n sN¿p¶hbmWv.

tUmÎÀamÀ kacw sN¿p¶Xv Hcp tUmÎdpw s]mXp kaqlhpw AwKoIcnÃ

F¶Xpw kXyamWv. tUmÎÀamÀ ]et¸mgpw \nÀ_ÔnXamIp¶ B kml

Ncy¯n aäv amÀK§Ä Fs´m¡ F¶p C´y³ saUn¡Â Atkmkntbj³

BtemNn¡p¶p.

]pXphÕc BiwkItfmsS \½p-sS B-tcm-Kyw | P\phcn 2019 9

\Ãioe§fpw Zp:ioe§fpw

hr¡tcmK§fnÂ

tUm. Pb´v tXmakv amXyq hr¡tcmKnIfpsS F®w {IamXoXambn
s{]m^kÀ & slUv hÀ²n¨p sImïncn¡p¶p. hr¡ kvXw`\w
NnInÕn¨v t`Zam¡m³ IgnbpIbnÃ. Cu
s\t{^mfPn tcmKw hcmsX t\m¡pI Asæn AXnsâ
]ptcmKXn XSbpI F¶XmWv hr¡tcmKs¯
Aae C³Ìnäyq«v Hm^v
saUn¡Â kb³kkv

XrÈqÀ

[email protected] {]Xntcm[n¡p¶Xn\pÅ BZy ]Sn.
Ph: +91 9349741578 a\pjy icoc¯nse AhbhamWv hr¡

AYhm InUv\n. Ch amen\ys¯ ]pd´Åp¶

\nXyPohnX¯n AÛpX {]{Inb \nÀÆln¡p¶p. IqSmsX
\ap¡v Nne icoc¯nse càk½À±w, shůnsâ Afhv,
ioe§fpv. [mXp ehWw ChbpsS Afhv, CsXÃmw \nb
BtcmKy¯n\v AXv {´n¡p¶p. cïp hr¡ a\pjyicoc¯nÂ
Dsï¦nepw H¶p sImïpw Cu ]dª {]{In

\ÃtXm No¯tbm bIÄ icoc¯n\v \S¯phm³ km[n¡p¶p.

Bhmw. A§s\bpÅ hr¡tcmKw ]Xp§nbncn¡p¶ Hcp sImebm

\à ioe§sfbpw fn¡p XpeyamWv. Hcn¡Â {]hÀ¯\£aX

Zp:Èoe§sfbpw Ipdªm Imew sNÃpwtXmdpw AXv hÀ²n
hnebncp¯pI am{XaÃ, ¡pIbpw tcmKnbv¡v UbmenÊntÊm hr¡
GsXms¡ ioe§fmWv amänhbv¡tem thïn hcnIbpw sN¿p¶p.
\ÃXv, No¯bmbh F¦nepw IrXyambn sImïn Hcn¡Â
F¶v hnhn[ NnInÕm tcmKansæn IqSn Hcp hr¡tcmK hnZKvZs\
taJebn {]hÀ¯n s¡mïp ]cntim[n¸nt¡ïXv AXymhiy
¡p¶ tUmIvSÀamÀ amWv. hfsc t\cs¯ tcmKs¯¡pdn¨v kqN\
IÄ e`n¨m tcmK¯nsâ ]ptcmKXnsb

\nÀt±in¡p¶ XSbm\pw X·qew imcocnIhpw am\knIhpw

Hcp ]wàn ChnsS km¼¯nIhpamb _m[yXIÄ Hgnhm¡m\pw
Bcw`n¡pIbmWv. klmbn¡pw. hr¡tcmK¯n\v \nehn {]Xn
hn[nbnÃ. F¶m t\cs¯ Isï¯nbmÂ

ap¼p ]dªXpt]mse UbmenÊnÊv hsc

F¯msX \nb{´n¡mw.

10 \½p-sS B-tcm-Kyw | P\phcn 2019

hr¡sb 7
kwc£n¡m\mbn
\nÀt±i§Ä

hymbmaw

\nXyhpw hymbmaw sN¿pI. CXv càk½À±s¯bpw {]talt¯bpw Hcp
]cn[n hsc XSbpw, X·qew hr¡tcmKs¯bpw AIän \nÀ¯mw.

`£Ww

BlmccoXn hfsc {][m\amWv. ]ghÀ¤w, \mcS§nb `£Ww, ]¨¡dnIÄ
IqSpXembn D]tbmKn¡mw. Cd¨n. ap«, ssaZ, D¸nsâ AanXamb D]tbmKw
ChsbÃmw Ipdbv¡pI. 40 hbÊn\ptijw D¸v Ipdbv¡p¶Xv hr¡tcmKs¯bpw
hr¡bnse IÃpItfbpw Hcp ]cn[n hsc AIän \nÀ¯pw.

icoc`mcw \nb{´n¡pI

`mcw AanXambn IqSmsX icnbmb `£W¯neqsSbpw icnbmb hymbma¯n
eqsSbpw \nb{´n¡pI.

]pIhen

]pIhenbpsS D]tbmKw Ch DÅhcn hr¡bntebv¡pÅ càtbm«w
Ipdbp¶p. kzm`mhnIambpw hr¡bpsS {]hÀ¯\w Ipdbp¶p.

thZ\ kwlmcnIÄ

\nXyhpw Ch Ign¡p¶Xv Hgnhm¡pI. Ch Øncambn Ign¡p¶Xv hr¡IÄ¡v
tISpïm¡pw. thZ\kwlmcn \nXyhpw Ignt¡ïn hcp¶hÀ Hcp hr¡tcmK
hnZKvZs\ IqSn Iïv A`n{]mbw kzoIcn¡Ww.

[mcmfw shÅw IpSn¡pI

3 enäÀ shÅw IpSn¡pt¼mÄ aq{X¯nsâ km{µX Ipdªv amen\y§Ä FÃmw
Xs¶ ]pd´Ån hr¡ IÃpIsf XSbp¶p.

IrXyamb ]cntim[\IÄ

hymbmaw hr¡tcmKw _mly e£W
`£Ww §Ä FÃmbvt¸mgpw {]ISn¸n
]`pmIchwe\n nb{´n¡pI ¡m¯Xn\m hr¡sb IrXy
I[rXtmhcyaZmmf\bw ks]hwclÅntimwcmIn[Ip\ÄSn¡IÄpI amb ]cntim[\¡v hnt[b
am¡Ww. càhpw aq{Xhpw
]cntim[n¨v XIcmdpsï
¦n BZyta Xs¶ \nb{´
W hnt[bam¡mw. hr¡tcmK
]mc¼cyapÅhÀ, càk½À±
apÅhÀ AanXh®w, {]talw,
hr¡IÃv ChbpÅhÀ
{]tXyIw {i²n¡Ww. 40
hbÊn\p apIfn XoÀ¨bmbpw
]cntim[\IÄ \S¯Ww.

\½p-sS B-tcm-Kyw | 2019 P\phcn 11

hr¡tcmKapÅ BÄ
hr¡tcmKs¯ F§s\
ssIImcyw sN¿Ww.

 tcmK¯nsâ _mlye£W§Ä Hcp {]hWX Iïp hcp¶p. CXv A]
ISw £Wn¨p hcp¯p¶Xn\v Xpey
Xncn¨dnbpI amWv. càk½À±apÅ hyàn
D¸nsâ Afhv Ipdbv¡Ww. cà
hr¡sb¡pdn¨pw, hr¡tcmK§sf k½À±w 130/80 bn Xmsg \nÀ¯p
¡pdn¨pw Aht_m[w DïmIWw. hm³ {i²n¡Ww. aq{X]cntim[
hr¡tcmKs¯ Ipdn¨v AdnhpÅbmÄ \bpw cà]cntim[\bpw \S¯n
_mly e£Wamb \ocv, OÀ±n, {Inbmän\ntâbpw t{]m«n\ntâbpw
hbänf¡w, hni¸nÃmbva, aq{Xt¸m¡v, Afhv Xn«s¸Sp¯Ww.
aq{X¯n càw Ch Iïm DS\Sn
hr¡tcmKhnZKvZs\ kao]n¡pI.

 {]talapÅhÀ {i²nt¡ Imcy§Ä  Ømbnbmb hr¡kvXw`\w hcmXncn¡m³

hr¡tcmK¯nsâ {][m\ ImcW FSpt¡ ap³IcpXepIÄ
ambn {]talw IW¡m¡s¸Sp¶p.
45% Ømbnbmb hr¡kvXw`\¯nsâ hr¡tcmKw ]qÀ®ambpw t`Zam
XpS¡w {]tal¯n \n¶mWv. {]ta ¡m³ C¶v Hcp NnInÕbpw \nehnÃ.
ltcmKn FÃm hÀjhpw càhpw F¶m hr¡tcmK¯nsâ BZyL«
aq{Xhpw ]cntim[n¨v aq{X¯n ¯n Xs¶ AXns\ Isï¯n
t{]m«osâ km¶n²yw Cà F¶v NnInÕn¨m tcmKs¯ \nb{´W
Dd¸phcp¯Ww. cà¯n hnt[bam¡mw. càk½À±w, {]ta
{Inbmän\nsâ Afhpw Xn«s¸Sp¯ lw ChbpÅhÀ AXn\pÅ NnInÕ
Ww. {]taltcmKn Blmc{Ia¯n tXSpI. 40 hbÊn\p apIfnepÅhÀ
sImgp¸ntâbpw t{]m«o\ntâbpw
Afhv \nb{´n¡Ww.

 càk½À±apÅhÀ {i²nt¡

Imcy§Ä

hr¡tcmK¯nsâ cïmas¯
{][m\ ImcWambn càk½À±s¯
Iïphcp¶p. càk½À±apÅhÀ
acp¶nsâ D]tbmK¯neqsS AXns\
\nb{´n¡pt¼mÄ AXp XpScphm\pw
{]tXyIw {i²n¡Ww. càk½À±w
Ipdªm acp¶v \nÀ¯phm\pÅ

12 \½p-sS B-tcm-Kyw | P\phcn 2019

hÀj¯n Hcp {]mhiyw càhpw
aq{Xhpw ]cntim[n¡pI. càk½
À±w 130/80  Xmsg \nÀ¯pI. ]qÀ®
BtcmKyhm\mb Hcmfpw cà
k½À±w 130/80 Xmsg \nÀ¯m³
{i²n¡Ww.

 t]mfnknÌnIv hr¡ tcmKw t\mÀa hr¡ t]mfnknÌnIv hr¡
AWp_m[IÄ hr¡bn ]mSpIÄ,
]mc¼cyambn DïmIp¶ Hcp hr¡ hr¡bpsS hfÀ¨¡pdhv
tcmKamWv t]mfnknÌnIv InUv\n càk½À±w, hr¡
Unkokv. UbmenÊnkv sN¿p¶ kvXw`\w Chbnte¡v \bnt¨¡pw.
tcmKnIfn 6þ8% hsc Cu hr¡ AXn\m Ip«nIÄ¡pïmIp¶
tcmKw _m[n¨hcmWv. aq{Xmib AWp_m[ {i²
AÀln¡p¶p.
t]mfnknkvänIv InUv\n tcmKw
ho«n aämÀs¡¦nepapsï¦n  henbhcn DmIp¶ aq{X¯nse
Xoˬbmbpw Hcp kvIm\neqsS
CXptïm CÃtbm F¶v Xn«s¸Sp AWp_m[
¯Ww. tcmKhnapàn Csænepw
aq{Xmib AWp_m[, càk½À±w, acp¶p Ign¨n«pw XpSscXpSsc
{]talw, Blmc{Iaw ChsbÃmw h¶m AXnsâ ImcWw Isï
\nb{´n¨m hr¡bv¡pïmIp¶ t¯ï Bhiyw hcp¶p. hr¡sb
XIcmÀ Ipdbv¡m³ km[n¡pw. kwc£n¡m³ ImcWw AdnªmÂ
am{Xsa km[n¡q.
 Ip«nIÄ¡pmIp¶ aq{Xmib¯nse
 hr¡bnse IÃv
AWp_m[
hr¡bnse IÃv thZ\bpfhm¡p
Hcp Ip«nbv¡v AImcWambn ]\n, t¼mgmWv {i²n¡s¸Sp¶Xv. IÃpIÄ
aq{Xw IqsSIqsS t]mIpI, _p²nap«v Dïm¡pIbmsW¦nÂ
aq{X¨pSn¨n hni¸nÃmbva, `mcw amänbm aXn. F¶m A{i²
IqSmsXbn hr¡¯Icmdnte¡v \bn¡mw.
cn¡pI Chbn AXn\m Bhiym\pkcWw ]cn
tesX¦nepw tim[\ \S¯Ww.
Dsï¦n Hcp
bqtdmfPnÌns\  sNdnb {]mb¯nse càk½À±s¯
ImWn¨v
NnInÕ \nÊmcambn ImWcpXv.
tXSWw. ]\n
tbmSpIqSnb hr¡tcmK§fmImw sNdp{]mb
aq{Xmib ¯n DbÀ¶ càk½À±w
AWp_m[
hr¡sb \½p-sS B-tcm-Kyw | 2019 P\phcn 13
A]ISs¸Sp¯n
tb¡mw. C¯cw

Dïm¡p¶Xv. AXn\m DbÀ¶  acp¶pIÄ D]tbmKn¡pt¼mÄ {i²n¡pI.
càk½À±w Isï¯nbm AXnsâ
ImcWw IqSn Isï¯n NnInÕn ]et¸mgpw acp¶nsâ Zqjy^e
t¡ïXpïv. CXv {i²n¨m hr¡ §Ä AdnbmsX, AhbpsS Bhiyw
tcmKmhØbn \n¶v tamN\w Dtïm CÃtbm F¶dnbmsX AXv
t\Smw. GsX¦nepw saUn¡Â tÌmdpIfnÂ
\n¶v hm§n D]tbmKn¡s¸Sp¶p.
 XmXvImenI hr¡kvXw`\w X¡kab¯v
kzbw NnInÕ \S¯p¶Xv
NnInÕn¡pI. XoÀ¯pw Hgnhm¡pI. Hmtcm acp¶pw
AXnkmcw, OÀ±n, kÀ¸Zwi\w, icoc¯n Bhiy¯ne[nIw
sN¶m AXn\v Zqjy^e§Ä
atednb, AWp_m[ Chsbms¡ Itï¡mw. {]tXyIn¨v thZ\
XmXvImenI hr¡kwXw`\¯n\v kwlmcnIÄ.
ImcWamtb¡mw. F¶m acp¶pw
aäp BhiyapÅ NnInÕbpw sNbv AXn\m acp¶pIÄ tUmIvSdpsS
Xm hr¡ ]qÀÆØnXnbn {]hÀ D]tZi{]Imcw am{Xw D]tbmKn¡pI.
¯n¡pw.
 Hä hr¡bpÅ hyàn
14 \½p-sS B-tcm-Kyw | P\phcn 2019
BtcmKyt¯msS PohnXw \bn¡p
hm³ Hä hr¡ Hcp XSÊaÃ. F¶mÂ
càk½À±w \nb{´Whnt[bam
tWm F¶v CSbv¡v ]cntim[n¡p
¶Xv \¶mbncn¡pw. `£W{Iaw,
D¸nsâ Afhv, t{]m«o³ AanXambn
D]tbmKn¡mXncn¡pI CsXÃmw
{i²n¨v IrXyambn sN¡¸pIÄ \S
¯nbm \¶mbncn¡pw. cïp
hr¡bpsS tPmen Hcp hr¡
GsäSp¡p¶Xn\m {i² Bhiy
amWv.



POCSO ACT

t]mIvtkm BIväv

AdnªXpw Adn-tbXpw

tUm. Aa F{_lmw - temIw Hcp ]qt´m-«ambn k¦Â¸n-¨mÂ
Pq\nbÀ AXnse ]qsam-«p-I-fmWv \½psS Ipªp-§Ä Hcp
I¬kÄ«â v ]qsam«v hfÀ¶v ]qhm-Ip-¶Xn\p ap¼v AXv D]-{Z-hn-
sskIym{SnÌv ¡-s¸-«mÂ, \in-¸n-¡-s¸-«m Gh-scbpw AXv ZpxJ
Unkv{SnIväv t\mUÂ

Hm^okÀ ¯nemgv¯p¶p. Ip«n-IÄ¡v F-Xn-sc-bpÅ AXn-{I-a-
(saâ sl¯v, CSp¡n) §Ä {]tXy-In¨v ssewKnI AXn-{I-a-§Ä hÀ²n¨p
tIcfm Kh. sl¯v kÀÆokkv h-cp¶ Cu Ime-L-«¯n s]mXp-P-\-§Ä¡pw
Unkv{SnIväv tlmkv]nä sshZy-im-kv{X-cw-K¯v {]hÀ¯n¡p-¶hÀ¡pw
sXmSp]pg

Mob: 9496886418 Chsb kw_-Ôn-¡p¶ \nb-a-§-sf- ]än hyà-amb
[email protected] Ah-t_m[w Dïm-bn-cn-t¡-ïXm-Wv. temI-¯nse

19% Ip«n-IÄ \½psS `mc-X-¯n-emWv hkn-¡p-¶Xv

F¶ hkvXpX IW-¡n-se-Sp-¯mÂ, Ip«n-IÄs¡Xn-

sc-bpÅ AXn-{I-a-§Ä¡v Hcp {]tXy-I- \n-baw

sImïp-h-tc-ïXv \½psS \m«n Hcp Bh-iy-I-X-

bmbn h¶p. s]mXpsh ZpÀ_-ecpw {]Xn-I-cW

tijn Ipd-hp-Å-hcpw BWv F¶pÅ t_m[y-amWv

Ip«n-IÄs¡-Xn-sc-bpÅ AXn-{Iaw \S-¯m\pw

NqjWw sN¿m\pw ]e-tcbpw t{]cn-¸n-¡p-¶Xv.

`qcn-`mKw C¯cw AXn-{I-a-§Ä \ap¡v hfsc

th-ïs¸-«htcm IpSpw-_m-wK-§-fm-bn-«pÅh-cpsS

`mK¯v \nt¶m BWv Dïm-hp-¶Xv. _emÂ-kw-

L¯n\pw, {]IrXn hncp² ssewKnI AXn-{I-a-

§Ä¡p-sams¡ FXnsc \nb-a-§fpw in£Ifpw

t\ct¯ Xs¶ \ne-hnep-ïm-bn-cp-s-¶¦nepw Ah-

bn Ip«n-IÄs¡-Xn-sc-bpÅ C¯cw AXn-{I-a-

§Ä¡v apXnÀ-¶h-cpsS tIkp-ambn {]tXyI

hyXym-k-an-Ãm-bn-cp¶p. A§-s\-bn-cns¡ kzXth

ZqÀ_-e-cmb Ip«n-IÄs¡-Xn-sc-bpÅ A{I-a-§Ä¡v

\nb-a-§fpw in£-Ifpw IqSp-XÂ IÀi-\-am-¡-W-
sa¶ Bhiyw DbÀ¶p. A§-s\-bmWv POCSO

16 \½p-sS B-tcm-Kyw | P\phcn 2019

(Protection of Children from Sexual t]mIvtkm BIväv

Offences Act)14 \hw_À 2012- Â \ne- BIväv XpS-§p-
hn h-¶Xv. ¶Xv Xs¶ Ip«n-IÄ
BcmsW¶v hyà-
hfsc ka-{K-hpw hn]-pe-hp-amb ambn {]Xn-]m-Zn-¨p-
Hcp BIväv BWv POCSO BIväv sImïmWv. 18
AXn Ip«n-IÄs¡-Xn-sc-bpÅ hb-Ên\v Xmsg
ssewKnI AXn-{I-a-§Ä, ssewKn-I- bpÅ GsXmcp
Nqj-W-§Ä, Ip«n-Isf D]-tbm-Kn- hyàntbbpw Ip«n-bmbn IW¡m¡
¨pÅ AÇoe-Zr-ir-§Ä Nn{Xo-I-cn- s¸Sp¶p. _emÂ-ÕwLw DÄs¸-Sp¶
¡Â F¶nh {]tXyIw sk£-\p-I- ssewKnI AXn{Ia§fpw (Penetrative
fn {]Xn-]mZn¨ncn-¡p¶p. Ip«n-I- sexual assault) _emÂ-ÕwLw DÄs¸-Sm¯
fpsS XmÂ]-cy-§Ä¡v {]tXyI ssewKnI AXn-{I-a-§fpw (Non Penetrative
]cn-K-W\ \ÂIn-s¡m-ïpÅ hnNm- sexual assault) hyà-ambn Cu BIvänÂ
cW \S-]-Sn-Ifpw Ah-cpsS kzIm-cy- \nÀh-Nn-¨n-cn¡p-¶p. AXn-Xo{h kz`m-h-
Xsb am\n-¡p¶ At\z-jW coXn- apÅ ssewKoI AXn-{I-a-§Ä, {]tXy-
Ifpw hyà-ambn {]Xn-]m-Zn-¨n-cn In¨v D¯-c-hm-Zn-¯-s¸« Øm\-§-fnÂ
¡p-¶p. POCSO tIkp-IÄ XoÀ¸m- Ccn-¡p¶ hyàn-IÄ; DZm-l-c-W-¯n\v
¡m-\mbn {]tXyI tImS-Xn-IÄ \ne- t]meokv DtZyK-ØÀ, So¨ÀamÀ,
hn-epïv. Ipä-]{Xw kaÀ¸n¨v F{X tUmIvSÀamÀ Kh¬saâv DtZyK-ØÀ
bpw thKw (Hcp hÀj¯n-\p-ÅnÂ) F¶n-hÀ sN¿p¶ ssewKn-I- A-Xn-{I-a-
Ah XoÀ¸m-¡p-¶Xn\pw Ipä-hm-fn- §Ä Aggravated Sexual Assault F¶
IÄ¡v X¡ in£ Dd-¸m-¡p-¶Xn- KW-¯n s]Sp¯n IqSp-X ITn-\-amb
\p-am-bn-«m-Wv Cu tImS-Xn-IÄ {]h in£ Dd-¸p-h-cp¯p-¶p. _emÂ-ÕwLw
À¯n¡p-¶Xv. DÄs¸-Sp¶ ssewKnIm-Xn-{I-a-§-fn 7
hÀjw apXÂ Poh-]-cy´w hsc -X-Shpw
X¡-Xmb ]ngbpw sk£³ 4 {]Imcw
in£-bmbn {]Xn-]m-Zn-¨n-cn-¡p-¶p. Ah
D¯-c-hm-Zn-¯-s¸« Øm]\-§-fnÂ
Ccn-¡p-¶hÀ sN¿pIbmsW-¦nÂ
(aggravated sexual assault) 10 hÀjw apXÂ
Poh-]-cy´w hscbmbn«v in£ DbÀ¯n-
bn-cn-¡p-¶p.

_e-mÂÕwLw DÄs¸-Sm¯
ssewKnI AXn-{I-a-§Ä, DZm-l-c-W-
¯n\v tami-amb kv]Ài-\-§Ä, Ip«n-
Isf D]-tbm-Kn¨v tami-s¸« Imcy-§Ä
sN¿pI, Ip«n-Isf \oe Nn{X \nÀ½m
W¯n\v D]-tbm-Kn-¡p-I, Ip«n-Isf Ah
ImWn-¡pI F¶n-h-sbms¡ aq¶v hÀjw
apXÂ Ggv hÀjw hsc XShv e`n-¡m-
hp¶ in£-I-fmbn CXn tcJ-s¸-Sp-¯n-
bn-cp-¡p-¶p.

\½p-sS B-tcm-Kyw | 2019 P\phcn 17

tIkp-IÄ dnt¸mÀ«p sNt¿Xv AUvanäv sN¿p¶XmWv. t]meokv inip-
Bscms¡? F§s\? kw-c-£-I-cmbn {]hÀ¯n¨v DS³Xs¶
Ip«n-bpsS samgn-sb-Sp-¡p-Ibpw sshZy-
\½-tfmtcm-cp-¯cpw ]e kµÀ`-§-fn- ]-cn-tim-[-\-¡mbn Ip«nsb lmP-cm-¡p-
embn Ip«n-IÄ¡v FXn-sc-bpÅ CXp-t]m- Ibpw thWw.
epÅ AXn-{I-a-§sf Ipdn¨v Adn-bp-I
tbm CS-s]-tSïn hcp-Itbm sNbvXn-«p- samgn-sbSp-¡Â
ïmImw. F¶m ]pen-hmev ]nSn-t¡ï
F¶p-hn-Nm-cn¨v ]e-t¸mgpw AXv Adn- t]meo-knsâ ASp¯v C§-s\-bpÅ
bm¯ `mhw \Sn-¡m-dpï-v. \nb-a-{]-Imcw tIkp-IÄ dnt¸mÀ«v sN¿pt¼mÄ t]m
C§-s\-bpÅ Ipä-Iy-Xy-§-sf-¡p-dn¨v eokv Ip«n-I-fpsS kwc-£-I-cmbn {]hÀ
Adn-hp-Å-h-scÃmw AXv dnt¸mÀ«v sNt¿- ¯n¡pI-bpw, Ip«n-IÄ¡v Hcp- co-Xn-bn-ep-
ïXm-Wv. AÃm-¯-]£w aqSn-sh-¡m³ apÅ _p²nap«p-IÄ Dïm-Im¯ coXn-
{ian-¨m 6 amkw XSthm ]ngtbm bn samgnsbSp¸v \S-¯p-Ibpw thWw.
Npa-¯mhp-¶Xm-Wv. sshZy-im-kv{X- samgn-sb-Sp¸v \S-¯p-hm³ thïn {]tXy
cw-K¯v {]hÀ¯n¡p¶ tUmIvSÀamÀ, Iw ]cn-io-e\w e`n¨ DtZymKØÀ
t\gvkvamÀ, Iu¬kn-eÀamÀ F¶n-h-tcm- thWw. s]Ip«n-IÄ¡p-thïn h\nX
SmWv ]e-t¸mgpw C§-s\-bpÅ tIkp- t]meokv DtZymKØÀ \nÀ_²ambpw
IÄ BZy-ambn dnt¸mÀ«v sN¿mdp-ÅXv. thWw. t]meokv DtZymKØÀ Ah-cpsS
Ah A¸t¸mÄ Xs¶ tem¡Â t]meo- HutZym-KnI thj-¯n AÃmsX knhn-
kntem t]meo-knsâ Xs¶ Ppssh-\ en-b³ thj-¯n thWw sagn-sb-Sp-¸p-
bqWn-äntem Adn-bn-t¡-ïXm-Wv. AXn- IÄ \S-¯p-hm³. Ip«n-Isf IqSp-XÂ
t\m-sSm¸w Xs¶ 24 aWn-¡q-dn\v DÅn Ipg-bv¡p¶ tNmZy-§Ä tNmZn-¡m-Xn-cp-
PnÃ-bnse inip-t£-a-k-anXn Hm^o-kn ¡p-hm³ {i²n-¡Ww. Ip«n-IÄ Bh-iy-
dnt¸mÀ«v sNt¿ïXm-Wv. AhÀ Cu s¸-Sp¶ Øe¯v Ah-cpsS amXm-]n-Xm-
Ip«nsb Bh-iy-sa-¦n ASp¯pÅ ¡-fpsS km¶n-[y-¯n thWw samgn-sb-
Bip-]-{Xn-bnsem sj«À tlmantem Sp¸v \S-¯p-hm-³.

18 \½p-sS B-tcm-Kyw | P\phcn 2019 tUmIvSÀamcpsS IS-a-IÄ

Hcp tIkv dnt¸mÀ«v sNbvXm 24
aWn-¡q-dn\pÅn kÀ¡mÀ tUmIvSÀ
ap¼msI Ip«nsb saUn-¡Â ]cn-tim-[-
\¡v lmP-cm-t¡-ïXm-Wv. Ip«n s]¬Ip-

«n-bm-sW¦n \nÀ_Ôambpw teUn I-cWw \S-¯p-hm-\pÅ kuIcyhpw
tUmIvSÀ thWw ]cn-tim-[\ \S-¯p Dïm-bn-cn-¡p-¶Xm-Wv.
hm³. Ip«n-IÄ¡v Ah-cpsS Bhiy
{]Imcw amXm-]n-Xm-¡sf Asæn in£þ AXnITn-\w
D¯-c-hm-Zn-¯-s¸« Bfp-Isf ]cn-tim-
[\ ka-b¯v IqsS \nÀ¯m-hp-¶Xm-Wv. Ipä-¯nsâ hym]vXn A\p-k-cn¨v
tUmIvSamÀ Hcp Xma-khpw IqSmsX IÀi-\-amb in£ Cu \nb-a-¯n {]Xn-
F{Xbpw s]s«¶v ]cn-tim-[\ \S-]-Sn- IÄ¡v \ÂIp-hm³ {]Xn-]m-Zn-¨n-cn-¡p-¶p.
IÄ ]qÀ¯nbmt¡-ïXm-Wv. Ip«n-bpsS Ipäw sN¿p¶hÀ¡v am{X-aà AXv
t]tcm aäp hnh-c-§tfm Hcp Imc-W-h- aqSn-sh-¡p-¶hÀ¡pw {]Xn-Isf klm-bn-
imepw ]pd-¯-dn-bp-hm³ ]mSp-Å-X-Ã. ¡p-¶hÀ¡pw t]mIvtkm \nb-a-{]-Imcw
kzIm-cy-X -kw-_-Ô-amb hnh-c-§Ä
ad-¨-psh-bv¡m³ tIkp-IÄ dnt¸mÀ«v in£-\ÂIp-¶Xv \mw ]e-t¸mgpw ]{X-
sN¿pt¼mÄ am[y-a-§Ä {]tXyIw §-fn hmbn¨v tI«n«pïv. Cc-bmb
{i²n-¡-Ww. Ip«n-bpsS t]cv hnh-c-§Ä {]kn-²-s¸-Sp-
¯p-¶hÀ¡v t]mepw IrXy-amb in£-
hnNm-cW IÄ Cu \nb-a-¯n tcJ-s¸-Sp-¯n-bn-cn-
¡p-¶p. ]e- sk-£-\p-I-fn-embn aq¶v
{]tXyIw t]mIvtkm tImS-Xn-Ifn- hÀjw apXÂ Poh-]-cy´w hsc XShv
emWv t]mIvtkm tIkp-I-fpsS hnNm-cW in£bpw ]ngbpw Ipä-¯nsâ hym]vXn
\S-¯p-¶Xv. kab _Ôn-X-ambn (1 hÀ A\p-kcn¨pw coXn-b-\p-k-cn¨pw Cu \n
j-¯n-\p-ÅnÂ) hnNm-cW \S-]-Sn-IÄ b-a-¯n hyà-am-¡n-bn-cn-¡p-¶p.
]qÀ¯oIcn-¡p-hm\pw, {]Xn-IÄ¡v X¡-
Xmb in£ Dd-¸m-¡p-hm\pw BWv F§s\ XSbmw
C§s\ Hcp kwhn-[m\w \ne-hn-ep-Å-Xv.
Ip«n-IÄ¡v Hcp _p²-nap«pw Dïm-¡m¯ \nb-as¯ Ipdn-¨pÅ hyà-amb
coXn-bn hnNm-cW \S-]-Sn-IÄ ]qÀ [mc-W-bn-Ãm-¯Xpw tkmjy aoUn-bm-
¯nbm¡p-hm³ thï kÖo-I-c-W-§Ä bpsS Aan-X-amb D]-tbm-K-hpw, NXn-¡p-
Cu \nb-a-¯n \njv¡Àjn¨n-cn-¡p-¶p.- gn-Ifpw \nan¯w \½psS cmPy¯v t]m
t\-cn«v lmP-cm-Im³ _p²n-ap-«pÅ Ip«n- Ivtkm tImkp-I-fpsS F®w Zn\w {]Xn-
IÄ¡v hoUntbm tIm^-d³knwKv hgn hÀ²n¨ph-cnI-bmWv. Ip«n-I-fnse
hnNm-cW \S-]-Sn-I-fn ]s¦-Sp-¡p-hm-\p ssewKnI hnZym-`mkw ]e-t¸mgpw
Å kuIcyw Cu \nbaw \ÂIp¶p. \½psS kvIqfp-I-fn So¨ÀamÀ Hgn-hm-
hnNm-cW ]qÀWambpw hoUntbm Nn{Xo- ¡n-hn-Sp¶ Hcp ]mT`mKam-Wv. F¶mÂ
\½psS ico-c-s¯-¡p-dn¨pw {]XypÂ

\½p-sS B-tcm-Kyw | 2019 P\phcn 19

]m-Z\-{]-{In-b-sb-¡p-dn¨pw, ]nW¡§fpw, ]cn`h-§fpw, So¨ÀamcpsS
hyà-ambn Ip«n-IÄ¡v iIm-c-§fpw, AXnsâ thh-em-Xn-Ifpw
]dªv sImSp-¡m³ Ip«nIÄ¡v Cd-¡n-sh-¡m\pw ]¦v
\½psS amXm-]n-Xm-¡fpw sh¡m\pw amXm-]n-Xm-¡Ä A\p-h-Zn-
A[ym-]-Icpw {]tXyIw ¡-Ww. Ahsc kvt\l-]qÀÆw
{i²n-¡-Ww. sNdp-{]m-b- tIÄ¡Ww. Bh-iy-apÅ kvt\lw
¯n Xs¶ \à kv]À ho«n \n¶v e`n-¡p-t¼mÄ Iuam-c-¡mÀ
i-\-§sf Ipdn¨pw No¯ kvt\lw ]pdta At\z-jn¨v t]mtIïn
kv]Ài-\-§sf¡pdn¨pw hcn-Ã. \½psS ]q¦m-h-\-¯nse ]qsam-«p-
Ip«n-IÄ¡v ]dªv sImSp- IÄ a\-k-dnªv Nncn-¡t«, XfnÀ¡-t«,
t¡-ïXm-Wv. Xsâ ico-c- ]q¯p-e-bt«.
¯n Bscms¡ FhnsS-
sbms¡ kv]Àin-¡m-
sa-¶Xv \½psS Ipªp-
§Ä¡v ]dªv sImSp-¡-
Ww. "A¨m At½ Rm³
F§\m Dïm-bXv ?' F¶v
tNmZn-¡p-t¼mÄ "am\¯p-
\n¶v s]m«n-hoWXmWv' F¶v ]dªv
XSn-X-¸msX AhÀ¡v efn-X-amb `mj-
bn hyà-am-¡n- sIm-Sp-¡Ww. \½psS
hoSp-I-fn Hcp ]cn-[n-bn IqSp-XÂ
BÀ¡pw, ASp¯ _Ôp-¡Ä BsW-
¦n t]mepw kzmX{´w \ÂI-cpXv.
Ip«nsb Hä¡v A\y-cpsS ASp¯v B¡n-
bn«v t]mI-cpXv. Ip«n-I-fp-ambn FÃm
Znhkpw Ipd¨v kabw (Quality Time)
sN-eh-gn-¡Ww. B kabw At-¶
Zn-hkw kvIqfn-ep-ïmb Imcy-§fpw,

20 \½p-sS B-tcm-Kyw | P\phcn 2019

\½p-sS B-tcm-Kyw | P\phcn 2019 21

sshd ]\nIfpw
KÀ`Imehpw

tUm. BÀ. A\p]a
UbdIvSÀ & No^v
I¬kÄ«â v,
{]m¬ s^À«nenän
& sh hpa¬ skâÀ,

Ipamc]pcw, Xncph\´]pcw

{]ikvX hÔyXm sshd ]\nIÄ KÀ`Ime¯v
NnInÕ hnZKv². Dïmbm AXv Htct]mse
Xncph\´]pcw A½bv¡pw Ipªn\pw tZmjapïm¡pw.
"{]m¬ s^À«nenän Bâv A½bnÂ\n¶v Ipªnte¡v adp]nÅ
sh hpa¬ skâdn'sâ hgntbm, Asæn {]khkab¯pÅ
UbdIvSdpw No^v ssK\ cà{kmhw {ZmhI§fn IqsStbm
t¡mfPnÌpamWv. Asæn {]khm\´cw apebq«Â hgntbm
sF.Fw.F h\nXm BWv C¯cw sshdkpIÄ icoc¯nÂ
sl¯nsâ kwØm\ {]thin¡m³ km[yXbp-ÅXv. KÀ`¯n\v
I¬ho\À, sF.Fw.F GXv kab¯mWv C¯cw sshd ]\nIÄ
h\nXm hn`mKw ap³ A½bv¡v hcp¶Xv F¶v A\pkcn¨ncn¡pw
kwØm\ sNbÀt]gv Ahbpïm¡p¶ tZmj^e§-fpw. KÀ`¯n\v
k¬, C´y³ skmsskän BZys¯ aq¶p amk§fn BsW¦nÂ
Hm^v AknÌUv dos{]mU P·\m DÅ sshIey§Ä Ip-ªn\v
£³ FIvknIyq«ohv DïmIm\pÅ km[yXIÄ IqSpXemWv.
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]

22 \½p-sS B-tcm-Kyw | P\phcn 2019

dps_Ã

KÀ`Ime¯v DïmIp¶ sshdÂ
]\nIfn kÀÆkm[mcWambn Ipªn\v
Gähpw IqSpX {]iv\§Ä Dïm¡m³
km[yXbpÅ H¶mWv dp_Ã F¶v sshdÂ
]\n. Cu sshd ]\n A½bv¡v
DïmhpIbmsW¦n ]\nbpw icoc¯nÂ
sNdnb sNdnb Ipcp¡Ä hcnIbpw sN¿p-¶p.
adn¨v KÀ-`¯ns³d BZy aq¶v amk§fnÂ
BWv Cu ]\n A½bv¡v hcp¶sX¦nÂ
Ipªns\ I¬P\nä dps_à C³s^£³ F¶ Hcp tcmKw
hcm\pÅ km[yXbpïv. Cu tcmKapÅ Ipªp§Ä¡v hfÀ¨¡pdhv, Xet¨mdn\v
hen¸Ip-dhv, Xnancw, lrZb¯n\v XIcmdpIÄ ChsbÃmw DïmIm³ km[yXbpïv.

]mÀthm sshd ]\n

KÀ`mhØbn hcm³ km[yXbpÅ asämcp sshd ]\nbmWv ]mÀthm
sshd C³s^£³. sshd ]\n DïmhpIbmsW¦n Ipªn\v cà¡p-dhv,
KÀ`On-{Zw, Xet¨mdn\v hen¸IqSpXÂ AXpt]mse Xs¶ KÀ`mhØbnÂ
Ip-ªn\v acWw kw`hn¡m³ km[yX-bpïv. KÀ-`¯ns³d 13þ-16 Bgv-N-bn-emWv
sshdÂ]\n IqSpXÂ tZmjw sN¿p¶Xv.

Nn¡³t]mIvkv

KÀ`nWnIÄ¡v kÀhkm[mcWambn ImWp¶
asämcp sshd ]\nbmWv Nn¡³t]mIvkv.
KÀ-`¯ns³d 16-þ15 BgvNIfn BWv Cu
Nn¡³t]mIvkv Gähpw IqSpXÂ tZmjw sN¿p-¶Xv.
congenital hmcnskÃm kn³t{Umw F¶ tcmKmhØ
Ip-ªn\v Dsï¦n KÀ`On-{Zw, Xnancw, ssIImep
IfpsS hfÀ¨¡p-dhv, HcpXcw ]mSpIÄ Chsbms¡
hcm\pÅ km[yXbpïv.
ssktämsaKtem sshdkv ]\n KÀ`nWnIfn h¶mÂ
Ipªn\v hfÀ¨¡p-dhv, sNhn tIÄ¡m³ h¿m¯ AhØ,
Xet¨mdn\v hen¸IqSpXÂ, Xet¨mdnÂv ImÂky¯nsâ I«IÄ DïmIpI
XpS§nb {]iv\§Ä hcm\nSbpïv.
slÀ¸kv knw¹Ivkv sshd ]\n {][m\ambn«pw hmbv¡I¯pw Npïnepw Hs¡
bmWv sNdnb sNdnb Ipcp¡fpw {hW§fpw Bbn cq]m´cs¸Sp-¶Xv. C¯cw ]\n
IÄ {][m\ambn«pw Xp¸epw hfsc ASp¯v CS]gIp¶Xv sImïpw AXpt]mepÅ
aäp {ZmhI§Ä IqSnbmWv ]Icp-¶Xv. Cu sshd ]\nbpw KÀ`Øiniphns³d
Xet¨mdn\v hen¸¡pdhv Asæn Xet¨mdn\v Npäpw shÅw sI«pI,
hfÀ¨¡pdhv, Xq¡¡pdhv apXemb _p²nap«pIÄ Ipªn\v DïmIm\nSbpïv.

\½p-sS B-tcm-Kyw | P\phcn 2019 23

F¨vsFhn AWp_m[ IqsSbpamWv ]Icp¶Xv. Cu
tcmKhpw apebq«eneqsS {]kh
KÀ`mhØbn hcmhp¶ asämcp kab¯pÅ cà{kmh¯neqsSbpw
kp{][m\ {]iv\amWv F¨vsFhn Ip-ªn\v NpäpapÅ shůneqsSbpw
aqeapÅ AWp_m[. FÃm BWv ]Icp¶Xv. Fssek F¶
KÀ`nWnIfpw \nÀ_Ôambn F¨vsFhn cà]cntim[\bpsS a\Ênem¡m³
]cntim[\ sNbvXncn¡Ww. Ign-bpw. Ipªn\v hfÀ¨¡pdhv,
F¨vsFhn tcmKhpw t\cs¯ Xq¡¡pdhv, amkwXnIbmsX
kqNn¸n¨t]mse adp]nÅbn IqsSbpw {]khn¡m\pÅ km[yX, ]eXc
cà¯neqsSbpw aäp {ZmhI§Ä ¯nepÅ AWp_m[IÄ, A½bv¡v
hcm\pÅ km[yX Nm¸nf BIm\pÅ
km[yXbpw Dïm-¡mw. F¨vsFhn
AWp_m[bvs¡Xnsc hfsc
{]tbmP\{]Zamb sshd acp¶pIÄ
C¶v e`yamWv.

ChbpsS D]tbmKw KÀ-`¯ns³d
BZy AhØbnsebpw A½bpsSbpw
{]khm\´cw Ipªn\pw \ÂInbpw
sNbvXpIgnªm AXpt]mseXs¶
Ipªns\ apebq«Â \ÂImXncn¡p
Ibpw sNbvXm A½bn \n¶v
Ipªnte¡v ]I-cp¶Xv XSbm³
km[n-¡pw.

F¨v1 F³ 1 ]-\n

Ct¸mÄ \½psS kaql¯n Gähpw
IqSpXÂ IïpsImïncn¡p¶ ]\nbmWv
C³^vepsh³k F¶ sshd ]\n.
CXv At§bäw `oXnbpWÀ¯p¶
]\nbmWv. F¨v 1F³1 F¶ sshdkmWv
Cu ]\n ]c¯p-¶Xv. Cu ]\n
hcpt¼mÄ ]\nbpw Npabpw aqs¡men¸pw
XethZ\bpw sXmï sNmdn¨nepw
icocthZ\bpw IqSmsX KÀ`nWnbm
sW¦n izmkw ap«Â hcm\pÅ km[yX
GsdbmWv. Cu ]\naqew \yqtamWnb
h¶pIgnªm {]tXyIn¨v KÀ`nWnI
Ä¡v izmkwap«epw hn½nãhp-am-bn-«mWv
{]Xy£s¸-Sp-¶Xv. CXmWv ]et¸mgpw
KÀ`nWnIÄ¡v acWw DïmIm³
CSbmIp¶Xv.

24 \½p-sS B-tcm-Kyw | P\phcn 2019

]cntim[\ amÀK§Ä KÀ`n-Wn-bpsS kvIm\nwKv ]cntim[\
bpw Ipªn\v hfÀ¨¡p-dhv, Xq¡¡p
{][m\ambn«pw C¯cw sshd -dhv, Ip-ªnte¡pÅ càtbm«¯n\v
]\nIÄ FÃmw cà¯nse Iuïv A]mI-XIÄ, Xet¨mdnse
t\m¡pt¼mÄ Xs¶ Hcp]cn[n hsc a\ A]mIXIÄ ChsbÃmw a\Ênem¡m³
knem¡m³ Ignbpw. IqSmsX Cu Ignbpw.
sshd ]\nIfpsS FÃmw B³dn
t_mUn ]cntim[\ \S¯p¶XneqsS Amniocentesis or Chorionic villus sampling
GXpXc¯nepÅ sshdÂ
]\nbmWv Xncn¨dnbm³ Ignbpw. F¶ ]cntim[\ sNbvXp IgnªmÂ
sshdkns\ IĨÀ sN¿p¶Xpw GsX¦nepw coXnbn sshdÂ
GXpXc¯nepÅ ssh-d-km-sW¶v AWp_m[IÄ Ipªns\
a\Ênem¡m³ klmbn-¡pw. _m[n¨n«ptïm F¶v a\Ênem¡m³
Ign-bpw.

NnInÕmamÀK§Ä A½bv¡v F¨vsFhn _m[ Dsï¦nÂ
kntkdnb³ ikv{X{Inb aqew
F¨v1 F³1 AWp_m[IÄ¡v Ipªns\ ]pds¯Sp¡p¶XmWv \ÃXv.
iàamb Antiviral acp¶pIÄ C¶v C¯cw ]\n hcnIbmsW¦n KÀ`nWn
e`yamWv. Oseltamivir F¶ C\¯nÂs¸« At¸mÄ Xs¶ tUmÎsd kao]n¨v
acp¶pIÄ BZyta Xs¶ sImSp¯p thïhn[¯nepÅ acp¶pIÄ
Ignªm KÀ`nWn¡pw Ip-ªn\pw FSp¡p¶Xpw ]cntim[\IÄ
henb {]iv\§fnÃmsX c£s¸Sm³ sN¿p¶Xpw AXpt]mse Xs¶ [mcmfw
Ign-bpw. {]Xntcm[ Ip¯nsh¸pIfpw shÅw IpSn-¡pI, ]g§fpw
C-Xn-s\-Xnsc Ct¸mÄ e`yamWv. Cu ]¨¡dnIfpw [mcmfw Ign¡pIbpw
Ip¯nsh¸pIÄ KÀ`Ime¯pw sN¿p¶Xv C¯cw ]\n aqÀÑn¡p¶Xv
FSp¡mhp¶XmWv. AXpt]mseXs¶ XSbm³ klmbn-¡pw. KÀ`nWnIÄ¡v
F¨vsFhn AWp_m[bmsW¦n izmkw-ap«Â, iàamb ]\n Npa
AXns\XnscbpÅ antiviral acp¶pIfpw Chsbms¡ Dsï¦n DS³ Xs¶
e`y-amWv. AXv KÀ`mhØbnepw Bip]{Xnbn F¯n¡p¶XmWv A]
Ipªn\pw {]khtijhpw ISkm[yXIÄ hcmXncn¡m³ \ÃXv.
sImSp¡p¶Xv \ÃXmbncn¡pw.
\½p-sS B-tcm-Kyw | P\phcn 2019 25

C´y-bnse
Im³kÀ NnInÕ

tUm. F³. l-cn-tam-l³ C´y-bnepw hntZ-i-¯p-ambn At\Iw Im³kÀ skâ
-dp-I-fn tPmen sNbvX A\p-`-h-]-cn-N-b-apŠHcp
sIm-¨n hn-]nF-kv tUmIvS-dmWv Rm³. BtKm-f-hym-]-I-ambn Xmc-Xayw
e-Iv-tjmÀ tlm-kv- sN¿p-t¼mÄ C´y-bn {]tXy-In¨v tIc-f-¯nÂ
]n-ä-en-se sa-Un-¡Â \nc-h[n Im³kÀ NnInÕm tI{µ-§-fp-ïv. aäp cmPy
Hm-t¦mf-Pn hn-`m-K- -§sf At]-£n¨v Ahn-sS-sbÃmw {]KÂ`-cmb
¯n- s]bv³ & ]m-en-tb-äo- tUmIvSÀamÀ Imcy-£-a-X-tbmsS {]hÀ¯n-¡p-¶p-ïv.
hv bq-Wnän A-tkm-kn-tb-äv
I¬-kÄ-«v B-bn {]-hÀ-¯n-
¡p¶p.
InÂ-]u-Iv sa-Un-¡Â
tIm-tf-Pv, a-{Zm-kv sa-Un-¡Â
tIm-tf-Pv F-¶n-hn-S§fnÂ
]T-\w ]qÀ-¯n-bm¡n.
A-sse-\n-se X-hmw
tlm-kv-]näÂ, {_q-ssW
Im³-kÀ sk³-dÀ F-¶n-hn-S-
§fn tPm-en sN-bv-Xn-cp¶p.

[email protected]
mob: +917397390663

F¶m \nÀ`mKyw F¶p ]d-bs« Im³kÀ
NnIn-Õbv¡v `oa-amb ]Ww sNe-h-gn-t¡-ïn-h-cp-¶p.
imkv{Xo-b-amb sXfn-hp-I-fp-tS-bpw, hkvXp-\n-jvT-amb
]T-\-¯n-sâbpw ASn-Øm-\-¯n Kth-j-W-§-fn-eqsS
Isï-¯p¶ Hmtcm XpÅn acp¶pw B[p-\nI sshZy-im
-kv{X-¯nsâ AwKo-Im-c-¯n-\mbn \oï hÀj-§Ä
Im¯n-cn-t¡ïn hcp-¶p. ]n¶oSv F^v.-Un.F t]mepÅ

26 \½p-sS B-tcm-Kyw | P\phcn 2019

kwL-S-\-IÄ ]cn-K-Wn-¨m am{Xta B -X-{´-§Ä a\-Ên-em-¡msX \½psS
acp¶v temIw apgp-h³ AwKo-I-cn-¡-s¸ kÀ¡m-cns\ Ipäw ]d-bp-¶-Xn AÀ°
-Sp-I-bp-Åq. C¡m-c-W-¯m Xs¶-bmWv -an-Ã. atä-sXmcp cmPy-t¯-¡mfpw sNehp
acp-¶p-I-fpsS sNe-hp-IÄ Gdp-¶-Xv. Npcp-§nb NnIn-Õ-bmWv C´y-bnÂ
saUn-¡Â Øm]-\-§Ä Kth-j-W e`y-am-Ip-¶-Xv. AXp-t]mse s]äv
-¯n-\mbn h³XpI
\nt£-]n-t¡-ï-Xmbn kvIm³, aÖ amän-h-bv¡Â, Im³kÀ
hcp-¶p-sh-¦nepw kw_-Ô-amb aäp ikv{X-{Inb
Xncn¨v In«p¶ em`w F¶n-hbv¡v C´y-bn-emWv
hfsc Ipdªp Gähpw sNe-hp-Ip-dª
t]mIp¶ Hcp coXn-IÄ hnI-kn-¸n-s¨-Sp
{]Xn-kÔn -¯n-cn-¡p-¶-Xv. C´y-bnÂ
t\cn-tSïn NnIn-Õ-bv¡mbn hcp¶
hcp-¶p. AXn-\m sNe-hn-t\-¡mÄ ]t¯m
 Im³kÀ
NnIn-Õ-bv¡pÅ A¼tXm aS§v aäp cmPy-§-fn sNe
acp-¶p-I-fpsS hne -hm-t¡-ïn-h-cp-¶p. sshZy-imkv{X
Ip¯s\ Db-cm³ hnt\mZ k©m-c-¯n-\pÅ A\-´-km-[y
Imc-W-am-Ip-¶p. -X-I-fn-te-¡mWv CXv hnc Nqïp-¶-Xv.
kÀ¡mÀ Xe-¯n-epw, CXn-\m-h-iy-amb ASn-Øm\ kuI-cy
CXc k¶² kwL-S-\m- -§Ä hnI-kn-¸n-¡m-\pw, Ah-t_m[w
X-e-¯nepw Kth-j-W-§Ä Xzcn-X hfÀ¯m\pw \mw {i²n-¡-Ww.
-s¸-Sp-¶-tXm-sSm¸w sNehpw Ime-Xm-a
-k-hpw hÀ²-n-¨psI-m-ïn-cn-¡p-¶p. _ln-cm-Imi Kth-jWw t]mse
Im³kÀ NnIn-Õbv¡v C´y-bn hfsc
Im³kÀ acp-¶p-I-fpsS X·m-{X-Isf sNehp Ipdª coXn-IÄ Ah-ew-_n-¨p-
Nnehp Ipdª coXn-bn hnI-kn-¸n-s¨ h-cp-¶p. tIc-f-¯n {]tXy-In¨p
-Sp-¡p-¶-Xn\v "t]ä³kn \nb-a-§Ä' sNe-hp-Np-cp-§nb NnIn-Õm-co-Xn-IÄ
XS-Ê-am-Ip-¶p. C´y-bn C¯cw
\nb-a-§Ä Ah-K-Wn¨v acp-¶p-IÄ \½p-sS B-tcm-Kyw | P\phcn 2019 27
DXv]m-Zn-¸n-¡-s¸-Sp-¶p. DZm-l-c-W-¯n\v
t{ImWnIv ssatembvUv eqIo-anb F¶
amcI AÀ_p-Z-¯n\v Sn.-sI.sF C³ln-
-_n-äÀ, Cam-Xn-\n¼v sakn-teäv DXv]m-
Zn-¸n-¡-s¸-«p. CXns\ ssSw amK-kn³
hnti-jn-¸n-¨-Xv "Im³k-dn-\pÅ am{´n-I
-sh-Sn-bpï' F¶m-Wv. Cu acp¶v
t{ImWnIv ssatembvUv ep¡o-an-b¡v
^e-{]-Z-amb acp-¶mbn IW-¡m-¡-s¸-s«
-¦nepw CXv hfsc sNe-th-dn-b-Xm-bn-cp
-¶p. \mävt¡m F¶ C´y³ Øm]\w
CXnsâ Hcp sNe-hp-Np-cp-§nb ]Xn¸v
hnI-kn-¸n-s¨-Sp-¯p.

Im³kÀ NnIn-Õ-bv¡pÅ acp-¶p-IÄ
s]mXpsh hfsc hne-tb-dn-b-Xm-Wv.
A´m-cm-jv{S-X-e-¯n \S-¡p¶ I¨-h-S

H¶mw-InS cmjv{S-§-fp-ambn InS-]n-Sn-¡p klm-b-ambn amdp-¶p. DbÀ¶ km¼-¯n-
-¶-Xm-Wv. F¶n-cp-¶mepw ZoÀL-Im-e-t¯ I-\n-e-bp-Å-hsc kw_-Ôn¨v Im³kÀ
-¡pÅ Im³kÀ NnInÕ [mcmfw t]mepÅ amc-I-tcmK NnIn-Õ-bv¡mbn
IpSpw-_-§-fn km¼-¯nI k½À²w "saUn-¡Â C³jp-d³kv' FSp-¡m³
sNep-¯p-¶p. Ahsc {]tNm-Zn-¸n-¡-Ww.
C¯cw saUn-¡Â C³-jp-d³kp-IÄ
C¯cw kµÀ`-§-fn "kpIrXw' \nÀ_-Ôn-X-am-¡m\pw \S-]-Sn-IÄ
t]mepÅ kwcw-`-§Ä Zmcn-{Zy-tc-Jbv¡v kzoI-cn-¡-Ww.
Xmsg-bpÅ IpSpw-_mw-K-§Ä¡v henb

NnIn-Õ-bv¡pÅ
\nÀt±-i-§Ä

Im³kÀ NnInÕ A´m-cmjv{S am\-Z
-Þ-§Ä ]men-¨mWv C´y-bnepw \S-¯
-s¸-Sp-¶-Xv. NCCM (\m-j-WÂ tIm
{]l³kohv Im³kÀ s\ävhÀ¡v) ESMO
(bq-tdm-]y³ skmsskän Hm^v saUn-¡Â
Hmt¦m-se-Pn) NICE (\m-j-W C³Ìn
-äyq«v Hm^v sl¯v Bâv sIbÀ FIvk
-se³kv) F¶nh Hmt¦m-sePn
tUmIvSÀamÀ¡v Xm³ NnIn-Õn-¡p¶
tcmKn-bpsS Ah-Ø-b-\p-k-cn¨v Nne
hyXn-bm-\-§Ä sImïp-h-cm³ km[n-¡p
-sa-¦nepw kmÀÆ-{Xn-I-amb Cu am\-Z-Þ
-§Ä ]men-¨p-t]m-cp-¶p. hkvXp-\n-jvT-amb
NnIn-Õbv¡v CXv ]men-¡-s¸-tS-ïXv
hfsc AXym-h-iy-am-Wv.

Im³kÀ Kth-jWw

C¶s¯ Ime¯pw tcmKn-IÄ¡v \ÂIp¶
Nne acp-¶p-IÄ IrXy-am-bn-«pÅ imkv{Xob
]cn-tim-[-\-bn-eqsS Isï-¯n-b-Xm-I-W-sa-¶n-Ã.
BbpÀth-Z-¯n ImWp¶ ^e-{]-Z-amb
NnIn-Õm-hn-[n-IÄ¡v t{]mÕm-l\w \ÂtI-ï
-Xp-ïv. \½psS cmPy-¯nsâ X\-Xmb NnIn-Õm
-hn-[n-IÄ Isï¯n AXv ]cn-t]m-jn-¸n-¡m³
hntZi cmPy-§Ä t]mepw X¿m-dmbn \n¡p¶
Ime-L-«-am-Wn-Xv. Im³kÀ kw_-Ô-amb
Kth-j-W-§Ä Nne-th-dn-b-Xn-\mÂ
t\c-s¯-Iq-Sn-bpÅ tcmK-\nÀ®-b-¯n\pw
^e-{]-Z-amb NnIn-Õbv¡pw ap³K-W\
\ÂtI-ï-Xp-ïv.

28 \½p-sS B-tcm-Kyw | P\phcn 2019

Im³k-dn-s\-¡p-dn-¨pÅ
Bi-b-hn-\n-abw

Im³k-dns\ Npän-¸-än-bpÅ sI«p-I-Y-IÄ¡v
hncmaanSm-\pÅ kabw AXn-{I-an-¨p. Im³kÀ
NnIn-Õ-bn \S-¶n-«pÅ hn¹-h-I-c-amb apt¶äw
s]mXp-P-\-{i-²-bn s]Sp-t¯-ï-Xp-ïv. am[y-a
-§Ä¡v CXn Hcp henb ]¦p-h-ln-¡m³ Ign-bpw.
hn[nsb ]gn-¡m-\pÅ \½psS P\-§-fpsS hy{KX
Ahsc ka-b-_-Ôn-X-amb NnInÕ tXSp-¶-XnÂ
\n¶v ]n´n-cn-¸n-¡p-¶p. tIc-f-¯n Im³kÀ
NnIn-Õ-bn h³ap-t¶-ä-§Ä \S-¡p-¶p-sï-¦nepw
CXn-s\-¡p-dn¨v Adn-hp-sï¶v Ah-Im-i-s¸-Sp¶
[mcmfw t]À sXän-²m-cW Dïm-¡p¶ ]e
Ah-Im-i-hm-Z-§fpw D¶-bn-¡p-¶p-ïv.

Im³k-dn-s\-¡p-dn-¨pÅ ]qÀ®-amb Adn-hnsâ A`mhw

Btcm-Ky-ta-J-e-bn Im³kÀ NnIn-Õ-bn {]tXy
-In¨v ]men-tb-änhv ip{iqj skâ-dp-I-fpsS apt¶äw
tIc-f-¯n\v Hcp s]m³Xq-h NmÀ¯n. F¦nepw
hmbn-¨-dn-ªXpw tI«-dn-ª-Xp-amb A¸w
Adn-hp-sImïv [mcmfw hyàn-IÄ Im³kÀ
hnZ-Kv²-·mÀ F¶ \ne-bn {]hÀ¯n-¡p
-Ibpw P\-§Ä¡v sXämb D]-tZ-i-§Ä \
ÂIp-Ibpw sN¿p-¶p. ]e-t¸mgpw Im³kÀ
_m[n¨ HcmÄ¡v thZ-\-kw-lm-cn-IÄ HgnsI
aäv NnIn-Õ-I-sfm¶pw thïn-h-cnà F¶
sXämb Bibw C¯cw kzbw {]Jym-]nX
hnZ-Kv²-·mÀ {]N-cn-¸n-¡p-¶p. Hcp Im³kÀ
tcmKnsb ]cn-tim-[n-t¡-ïXv Hcp AwKo-IrX
Im³kÀ hnZ-Kv²-t\m, Hcp tdUn-tbm-sX-dm-¸ntÌm
Xs¶-bm-I-Ww. AXn-\p-tijw am{Xta GXp-Xcw NnIn
-Õ-bm-sW¶v Xocp-am-\-sa-Sp-¡m-hq.

Im³kÀ NnIn-Õ-bn hnZ-Kv²-cmb tUmIvtSgvkv s]mXpsh Ipd-hm-sW-¦nepw aäv
kwØm-\-§sf At]-£n¨v tIcfw A¡m-cy-¯n A\p-{K-ln-¡-s¸-«n-cn-¡p-I-bm-Wv.
Bcw-`-¯n¯s¶ Iïp-]n-¨m Im³kÀ NnIn-Õn¨v t`Z-am-¡m³ Ign-bp¶ Hcp
tcmK-am-sW-¦n IqSn ]e-t¸mgpw tIc-f-¯n hymP-·m-cpsS he-bn hogp¶
Im³kÀ tcmKn-I-fpsS F®w hÀ²n-¨n-cn-¡p-¶p. Cu amc-I-tcm-K-¯n \n¶pw apàn
t\Smw F¶ hnizm-k-¯n [mcmfw tcmKn-IÄ hymP-·mÀ \ÂIp¶ "k¹n-saâv' Ign
-¡m³ XnSp¡w ImWn-¡p-¶p. ]s£ C¯cw acp-¶p-IÄ \njv^-e-am-sW¶v am{X-aÃ
A]-I-S-Im-cn-I-fp-am-Wv. C¯cw acp-¶p-I-fn ]e-Xnepw teml-§-fp-tSbpw Ìotdm-bn
-Up-I-fp-tSbpw km¶n[yw DÅ-Xn-\m tcmKn-bpsS imco-cnI£aX XI-cm-dn-em-Ip-¶p.

\½p-sS B-tcm-Kyw | P\phcn 2019 29

Im³kÀ tcmKn-I-fpsS NqjWw

Im³kÀ NnIn-Õ-bpsS t]cn tImSn acp-¶p-I-fn-eqsS ]Ww \jvS-am-Ip¶p
-I-fpsS hyh-km-b-amWv \S-¯-s¸-Sp-¶-Xv. F¶p am{X-aà InUv\n¡pw aäv B´-cn
imkv{Xo-b-am-sW¶v tXm¶n-¡p¶ ]e -Im-h-b-h-§Ä¡pw XI-cm-dp-hsc kw`-hn
Ah-Im-i-hm-Z-§fpw CâÀs\-än e`y-am -¡mw.
-Wv. [mcmfw t]À C¯cw sXämb hnh-c
-W-§Ä¡v Cc-bmbn NqjWw sN¿-s¸-Sp kÀ¡mÀ C¯cw hymP-hmÀ¯
-¶p. CâÀs\-än-eqsS hnä-gn-¡-s¸-Sp¶ -IÄs¡-Xnsc \S-]-Sn-IÄ kzoI-cn-¡p-¶Xv
A`n-Im-ay-am-bn-cn-¡pw.

Im³k-dn-\pÅ aÄ«n-kvs]-jym-enän C³]pävkv

Hmt¦m-se-Pn NnIn-Õbv¡v kÀP³am \qX-\-amb NnIn-Õm-hn-[n-I-fn-eq-sS-bpw
-cp-tSbpw tdUn-tbm-sX-dm-¸n-Ìn-tâbpw kmt¦-Xn-I-hn-Zy-bpsS km[y-X-I-sfÃmw
saUn-¡Â Hmt¦m-e-Pn-Ìp-I-fp-tSbpw D]-tbm-K-s¸-Sp-¯n-bpÅ kÀP-dn-I-fn-eq
tkh-\-§Ä am{X-a-Ã, -sSbpw Hcp tcmKnsb ]cn-]qÀ® Btcm
s\t{^m-f-Pn-Ìn-tâbpw ImÀUn-tbm-f-Pn -Ky-hm³/Btcm-Ky-h-Xn-bmbn hosï-Sp
-Ìn-tâbpw aäpw tkh-\-§fpw Bh-iy-am -¡m-\pÅ km[yX C¶s¯ Ime¯v
-Wv. Hcp Im³kÀ tcmKn-bpsS ka-{K-amb hf-sc-b-[nIw Dïv.
BtcmKyw hosï-Sp-t¡ï Bh-iy-I-X
-bp-Å-Xp-sImïv Hcp sskt¡m-f-P-Ìn tIc-f-¯n Btcm-Ky-ta-J-e-bn-epÅ
-tâbpw ^nkn-tbm-sX-dm-¸n-Ìn-tâbpw hfÀ¨ IW-¡n-se-Sp-¡p-t¼mÄ C\nbpw
ip{iq-j-bn anI-hpÅ t\gvkn-tâbpw Gsd Zqcw k©-cn-t¡-ïn-bn-cn-¡p¶p
tkh\w e`y-am-t¡-ï-Xp-ïv. F¶ hkvXpX \mw Xncn-¨-dn-b-Ww.
]pXnb ]²-Xn-I-fn-eqsS km[m-c-W-¡m
Im³kÀ amc-I-amb Hcp tcmK-am-sW -csâ km¼-¯nI `mcw Ipd-bvt¡ï
-¶p-Å-Xp-sIm-ïv, tcmKn-bpsS IpSpw-_ Npa-Xe `c-Wm-[n-Im-cn-IÄ¡pw Im³k-dn
-¯n\v km¼-¯n-I-am-bpw am\-kn-I-am-bpw -s\-¡p-dn-¨p-ff `oXnbpw kwi-b-§fpw
[mÀan-I-am-bp-apÅ BLmXw kw`-hn Zpco-I-cn-¡m-\pÅ Npa-Xe am[y-a
-¡m-\pÅ km[yX hep-Xm-Wv. ]t£ -§Ä¡pw Dïv.

30 \½p-sS B-tcm-Kyw | P\phcn 2019

kv{Io\n§pw Im³kdpw    

aq¶p-Xcw Im³k-dp hmeyw 19 e-¡w 12
-IÄ¡mWv kv{Io\n§v 2018 Unkw_À ` 25
A\p-h-Zn-¡p-¶-Xv. tImf³
Im³kÀ, s{_Ìv hyXy-kv-X-amtWm{]-ap-Jcm-b
Im³kÀ, skÀhn-¡Â
Im³kÀ F¶nh hyà am\-kn-Im-tcmKy
-amb am\-Z-Þ-§Ä hn-Z-Kv²À
]men-¨p-thWw kv{Io\n
§v \S¯m³. am[y-a- 12 a-e-bm-fn a\kv?hn-e-bn-cp-¯p¶p
{]-Nm-c-W-¯n-eqsS
kv{Io\n-§n-s\-¡p-dn-¨pÅ sF.Fw.F. \-½p-sS
Ah-t_m[w IqSp-XÂ B-tcmKyw am-knI-sb
hyàn-I-fn-te¡v F¯n-t¡-ï kw-_-\v[n-¨ hn-i-Z-hn-hc§Ä
-Xp-ïv. ka-bm-k-a-b-§-fn-epÅ kv{Io\n-§n-eqsS
tcmK-\nÀ®-bhpw NnIn-Õbpw Ffp-¸-¯n-em-¡m³ hn-emkw:
\ap¡p km[n-¡pw. F-UnäÀ,
sF.Fw.F. \-½p-sS B-tcmKyw,
C´y-sb¶ Cu alm-cm-Py-¯n\v ]e Ipd-hp-I-fp-sï C´y³ sa-Un-¡Â A-tkm-kn
-¦nepw AXnsâ ]Xn-·-S§v ta·-Ifpw Dïv. -tb-j-³, tIc-fm kv-tä-äv
tcmKs¯¡p-dn-¨pÅ icn-bmb Ah-t_m[w krjvSn-¡p sl-Uv IzmÀ-t«-gvkv
-Ibpw AXn-s\-¡p-dn-¨pÅ sXän-²m-c-W-IÄ AI-äp-Ibpw B\-b-d ]n.Hm,
sN¿-Ww. Im³kÀ NnIn-Õ-bpsS Imcy-¯n \mw X-n-cp-h-\-´-]pcw -- 695029
_lp-Zqcw ]n¶n-s«-¦nepw C\nbpw Gsd Zqcw Xmtïï
-Xp-ïv. IptN-e\pw Ipt_-c\pw `bm-i-¦-I-fn-ÃmsX Htc e-mail: [email protected]
a\-tÊmsS kao-]n-¡m-hp¶ ^e-{]-Z-amb NnIn-Õm-co-Xn web: www.nammudearogyam.com
-bmbn Im³kÀ NnInÕ ]ptcm-K-an¡pw F¶v \ap¡p
{]Xym-in-¡mw. sam-ss_Â B-¹n-t¡-j³ h-gn
\-½p-sS B-tcmKyw hm-bn-¡p-¶-Xn\v:

https://play.goo-gle.
com/store/apps/details?id=com.
smacon.nammudeaarogyam

F¶ en-¦v k-µÀ-in-¡pItbm
C-tXm-sSm-¸w \Â-In-bn-«pÅ
QR Code k-vIm³ sN-¿p-I
-tbm sN-¿pI.
Ikvä-aÀ sI-bÀ :
0471þ2742266, ]-c-kyw,

amÀ-¡-änw-Kv : 9400012600

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\½p-sS B-tcm-Kyw | P\phcn 2019 31

ChnsS, C-t¸m-gp-apv
IpjvT-tcmKw

tUm. sP. ]ße-X IpjvT-tcm-K-s¯-¡p-dn¨p tI«n-«n-Ãm-¯-hÀ Npcp-¡-am-bn
sU-]yq-«n U-b-d-Iv-SÀ, -cn-¡pw. F¶m CXv \½psS kwØm-\¯p
kvtä-äv se-{]-kn Hm-^o-kÀ, 500-þ-tesd t]À¡v {]Xn-hÀjw ]nSn-s]-Sp¶p F¶
U-b-d-Iv-S-td-äv Hm-^v hkvXpX ]eÀ¡pw AXn-i-tbm-àn-bmbn tXm¶n-tb
slÂ-¯v kÀ-Æokkv, -¡mw. Hcp ]s£ IpjvT-tcm-Ks¯ Ipdn-¨pÅ kaq-l
-¯nsâ ho£Ww Xs¶-bmImw CXn\p Imc-Ww. IpjvT
Xn-cp-h-\-´-]pcw. -tcmKw F¶v tIÄ¡p-t¼mÄ \½psS a\-Ên hcp¶
cq]w AwK-ssh-Ieyw _m[n-¨, ssIIm-ep-I-fn hrW
-§-tfm-Sp-Iq-Snb Hcp a\p-jy-tâ-Xm-Wv. ap³P· ]m]w-
sImïpw kÀ¸tIm]w sImïpw Dïm-Ip¶ tcmK-am-sW
-¶pw, NnIn-Õn¨v t`Z-am-¡m³ km[y-aà F¶p-apÅ
sXän-²m-cW IpjvT-tcm-Ks¯ kaqlw `b-t¯msS
ImWm³ CS-bm¡n F¶Xv kzm`m-hnIw am{Xw.

F¶m hkvXp-X-IÄ CXn \n¶pw XnI¨pw `n¶-am
-Wv. Npcp-§nb Imes¯ NnIn-Õ-sImïv ]cn-]qÀW-ambn
t`Z-am-¡m-hp¶ tcmK-amWv IpjvT-tcm-Kw. hmbp-hgn

32 \½p-sS B-tcm-Kyw | P\phcn 2019

]I-cp¶ Cu tcmK-¯nsâ ]IÀ¨m-tijn -¡p-¶-Xn-eqsS tcmK-\nÀWbw \S-¯mw.
hfsc Ipd-hm-Wv. sshI-ey-t¯m- Nne tcmKn-I-fn aäp ]cn-tim-[-\-I-fmb
Sp-Iq-Snb ssIIm-ep-Ifpw hrW-§-tfmSv Skin smear ]cn-tim-[\, nerve _tbm]vkn
IqSnb ]mZ-§fpw NnIn-Õ e`n-¡m¯
tcmKn-IÄt¡m, sshIn-am{Xw NnInÕ F¶nh tcmK-\nÀW-b-¯n\v thïn
Bcw-`n¨ tcmKn-IÄt¡m kw`-hn¨ ht¶-¡mw. kv]Ài\tijn ]cn-tim-[n
sshI-ey-§Ä am{X-am-Wv. -¡m³ Hcp _mÄ t]mbnâv t]\ aXn-bm
-Ipw. tcmKn-tbmSp I®p-IÄ AS-bv¡m³
aäp ]IÀ¨-hym-[n-I-sf-t¸mse IrXy Bh-iy-s¸-Sp-I. kwi-b-apÅ \ndw
-amb NnIn-Õ-sImïv ]qÀW-ambn amäm a§nb ]mSn t]\ sImïv arZp-hmbn
-hp¶ tcmK-amWv IpjvT-tcm-Kw. ssat¡m
_mIvSo-cnbw ses{] F¶ Hcn\w \½p-sS B-tcm-Kyw | P\phcn 2019 33
_mIvSo-cn-b-bmWv Cu tcmK-¯n\v Imc
-Ww. tcmKn Xp½p-I-tbm, Npa-bv¡p-Itbm
sN¿p-t¼mÄ tcmKm-Wp-¡Ä hmbp-hnÂ
{]th-in-¡p-¶p. C{]-Imcw tcmKm-Wp-¡Ä
AS-§nb hmbp izkn-¡p¶ HcmÄ¡v
tcmKw hcmw. F¶m Cu tcmKm-Wp-¡
-fpsS tcmK-kw-{I-aW iàn hfsc
Ipd-hm-b-Xn-\mepw kaq-l-¯nse 90%
Bfp-I-fnepw Cu tcmK-¯n-s\-Xn-sc-bpÅ
{]Xn-tcm[tijn-bp-Å-Xn-\mepw Cu
tcmKw s]s«¶v aäp-Å-hÀ¡v ]nSn-s]-Sp-I
-bn-Ã. tcmKm-Wp-¡Ä ico-c-¯nÂ
{]th-in¨p Ign-ªm tcmK-e-£Ww
{]Xy-£-s¸-Sm³ km[m-c-W-bmbn 3
apXÂ 5 hÀjw hsc thïn-h-t¶-¡mw.
kv]Ài-\-tijn Ipd-ªtXm CÃm
-¯tXm Bb \ndw a§n-b-tXm, Nph
-¶tXm Bb ]mSp-I-fmWv IpjvT-tcm-K
-¯nsâ {]mcw-`-e-£-Ww. sNmdn-¨ntem
thZ-\tbm A\p-`-h-s¸-Sm-¯-Xp-sImïv
an¡-hmdpw Cu ]mSp-IÄ {i²n-¡-s¸-Sm-dn
-Ã. Xz¡v, \mUn-IÄ (nerves) F¶o `mK
-§-sf-bmWv IpjvT-tcmKw {][m-\-ambpw
_m[n-¡p-¶-Xv. NqSv, XWp-¸v, thZ\ Ch
Adn-bp-hm-\pÅ Ignhv tcmKn¡v \jvS-s¸
-Sp-¶p. apdn-hp-Ifpw ]cn-¡p-Ifpw {i²n-¡
-s¸-SmsX t]mbm AXv {ItaW AwK
-ssh-I-ey-¯n\pw sshcq-]y-¯n\pw
Imc-W-am-Ip¶p.

km[m-cWKXn-bn hfsc efn-X-amb
]cn-tim-[-\-bn-eqsS IpjvT-tcm-Ks¯
Isï-¯m³ Ign-bpw. ico-c-¯n-ep-ïm
-Ip¶ ]mSp-I-fpsS kv]Ài-\-ti-jn,
Rc-¼p-I-fpsS XSn¸v F¶nh ]cn-tim-[n

kv]Àin-¡p-I. F¶n«p tcmKn-tbmSp amk-t¯-bv¡pÅ acp-¶p-IÄ Hcp-an¨v
t]\-bpsS kv]Ài\w A\p-`-h-s¸« `mKw AS-§nb »nÌÀ tIm¼n ]mbv¡p-I-fm
sXm«p-Im-Wn-¡m³ Bh-iy-s¸-Sp-I. Cu -bmWv tcmKn¡v \ÂIp-¶-Xv. CXnÂ
{]hÀ¯\w km[m-cW NÀa-¯nepw Rifampicin AS§nb BZy tUmkv Ign-¡p
t\cs¯ kv]Àin¨ ]mSnepw BhÀ¯n -t¼mÄ Xs¶ tcmKm-Wp-¡Ä h³tXm
-¡p-I. AbmÄ¡v ]mSn kv]Ài\w -Xn \in-¡p-¶-Xn-\m hmbn-sebpw
A\p-`-h-s¸-Sp-¶nà F¦n IpjvT-tcmKw aq¡n-tebpw {kh-§-fn-eqsS tcmKw
BsW¶v A\p-am-\n-¡m-hp-¶-Xm-Wv. ]I-cm-\pÅ km[yX CÃm-Xm-Ip-¶p.
IpjvT-tcmKw kaqlw shdp-¡p-¶Xpw
hnhn[ Huj[ NnInÕ (Multi Drug sshI-ey-ap-ïm-¡p-¶Xpw Btb-¡mw.
Therapy) D]-tbm-Kn¨v IpjvT-tcm-Ks¯ F¶m hnhn[ Huj[ NnInÕ tcmK
]qÀ®-ambn NnIn-Õn¨v t`Z-am-¡m-w. -¯n \n¶v ]cn-]qÀW-hn-apàn Dd-¸p-\
tcmK-e-£-W-§-fpsS ASn-Øm-\-¯n ÂIp-¶p. IpjvT-tcm-K-\nÀW-bhpw NnIn
IpjvT-tcm-Ks¯ aÄ«n _mkn-edn (MB)

F¶pw t]mkn-_m-kn-edn (PB) F¶pw -Õbpw kwØm-\s¯ FÃm {]mY-an-Im
cïmbn Xncn-¡p-¶p. At©m AXn -tcm-Ky-tI-{µ-§-fnepw kÀ¡mÀ Bip-]
Ipd-thm, ]mSp-IÄ DÅXpw Hcp Rc -{Xn-I-fnepw XnI¨pw kuP-\y-ambn
-¼ns\ am{Xw _m[n-¨-Xp-amb tcmKn-Isf e`y-am-sW¶ hkvXpX hnkva-cn-¡m³
t]mkn _mkn-edn hn`m-K-¯n DÄs¸-Sp ]mSn-Ã.
-¯n-bn-cn-¡p-¶p. 6 amks¯ NnInÕ
sImïv Cu tcmKn-Isf NnIn-Õn¨v IpjvT-tcm-K-\nÀ½mÀÖ\ cwK¯v
t`Z-am-¡p-hm³ km[n-¡pw. 6þ IqSp-X \nÀ®m-b-I-amb t\«-§Ä ssIh-cn¨
]mSp-IÄ DÅ-tXm, H¶n IqSp-X kwØm-\-amWv tIc-fw. IpjvT-tcm-K
Rc-¼p-Isf _m[n-¨n-«p-Å-tXm, kvIn³ -¯nsâ {]nh-e³kv \nc¡v 1987-þÂ
smear ]cn-tim-[-\-bn t]mkn-äohv Bbn ]Xn-\m-bn-c-¯n\v 6.51 Bbn-cp¶p F¦nÂ
-«p-ÅtXm Bb tcmKn-Isf aÄ«n _mkn C¶v AXv 0.2 Bbn Ipd-bv¡p-hm³
-e-dn-bn DÄs¸-Sp-¯n-bn-cn-¡p-¶p. Ignªp F¶Xv \nÊm-c-Im-cy-a-Ã.
ChÀ¡v 1 hÀjs¯ NnInÕ Bh-iy-am F¶m 2017-þ18  ]pXp-Xmbn Iïp-
-Wv. Rifampicin, Dapson, Clofazamin F¶o ]n-Sn¨ 520 tcmKn-I-fn 49 t]À Ip«n-Ifpw
acp¶pI-fmWv hnhn[ Huj[ NnIn 50 t]À IpjvT-tcmKw aqew Zriy-amb
-Õbv¡v (MDT) D]-tbm-Kn-¡p-¶-Xv. Hcp sshIeyw _m[n-¨-hcpw BsW¶
hkvXpX hnkva-cn-¡pI km[y-a-Ã.
34 \½p-sS B-tcm-Kyw | P\phcn 2019

Cu bmYmÀ°y-t_m[w DÄs¡m-ïp tcmK ]cn-tim-[-\bv¡p hnt[-b-am-¡p-¶
-sImïv kÀ¡mcpw Btcm-Ky-h-Ip¸pw -Xn\pw H¸w Xoc-{]-tZ-i-§-fnepw \K-c-
hyà-amb Znim-t_m-[-t¯msS IÀ½-] tN-cn-I-fnepw tKm{X-hÀK taJ-e-I-fnepw
-²Xn Bkq-{XWw sNbvXp \S-¯n-h-cp Xma-kn-¡p-¶-h-scbpw tcmKn-I-fp-ambn
-¶p. kpØnc hnI-k\ e£y-§Ä 2020 k¼À¡w ]peÀ¯p-¶-h-scbpw ]cn-tim
F¶ Cu ]²-Xn-bpsS e£y-§Ä -[n-¡p¶ {]hÀ¯-\-§Ä \S¶p hcp-¶p.
 IpjvT-tcm-K-¯nsâ {]nh-se³kv IqSmsX A\y-kw-Øm\ sXmgn-em-fn
-Isf ]cn-tim-[n¨v NnInÕ e`y-am-¡p-¶
\nc¡v 0.2/10000  \n¶pw 0.1/10000 -Xn\v {]tXyI IÀ½-]-²Xn kpØnc
\p Xmsg sImïp-h-cn-I. hnI-k\ e£y-§Ä ssIh-cn-¡p-¶
 Ip«n-I-fnse IpjvT-tcm-K-¯nsâ -Xnsâ `mK-ambn \S-¸n-em¡n hcp-¶p.
\nc¡v 1.17/10,00,000 Â \n¶pw
0.6/10,00,000 Xmsg sImïp- IpjvT-tcmKw aqew AwK-ssh
h-cn-I. -Ieyw kw`-hn-¨-h-cpsS
 Ip«n-I-fnse IpjvT-tcmKw sshIeyw Ipd-bv¡p-¶
aqe-apÅ AwK-ssh-Ieyw -Xn-\mbn - Reconstructive
CÃmbva XpSÀ¶pw AtX Surgery (RCS) XnI¨pw
kuP-\y-ambn
\S-¯p¶p F¶v
am{X-aà RCS \v

\nebn \ne-\nÀ hnt[-b-cm-bpÅ tcmKn-IÄ¡v
¯p-I. km¼-¯nI B\p-Iq-ey-ambn 8000
cq]bpw \ÂIn hcp-¶p.
 apXnÀ¶-h-cn IpjvT
-tcmKw aqe-apÅ AwK IpjvT-tcmK \nÀamÀÖ-\-cw-Ks¯
-ssh-Ieyw 1.2/10,00,000 Gähpw henb shÃp-hnfn tcmK-\nÀWbw
\n¶pw 1/10,00,000 \p Xmsg Xs¶-bmWv. hfsc kmh-[m\w am{Xw
sImïp-h-cnI F¶n-h- hym]n-¡p-¶Xpw sNmdn-¨ntem thZ-\tbm
bm-Wv. CÃm-¯-Xp-amb ]mSp-I-sf-bpw, kv]
Ài-\-tijn CÃm-bva, ac-hn¸v F¶n-hbpw
Cu e£y-§Ä IpjvT-tcmK \nÀ tcmKn¡v {]mcw-`-¯n bsXmcp Aku
amÀP\ cwK¯v 2020 HmSp-IqSn Xs¶ -I-cyhpw Dïm-Ip-¶nà F¶-Xn-\m Cu
ssIh-cn-¡p-¶-Xn-\mbn Btcm-Ky-h-Ip¸v e£-W-§sf ]e-t¸mgpw Ah-K-Wn-¡p
ka-{K-amb ]²Xn Bhn-jvI-cn¨v \S-¸n
-em¡n hcp-¶p. CXnsâ `mK-ambn \½p-sS B-tcm-Kyw | P\phcn 2019 35
kwØm-\s¯ apgp-h³ kvIqfn-sebpw
AwK³hm-Sn-I-fn-sebpw Ip«n-Isf Xz¡v

-¶-Xm-bmWv km[m-cW Iïp-h-cp-¶-Xv. -KnI IW-¡n DÄs¸-Sm¯ kzImcy
Cu Aew-`mhw {]mcw-`-¯nse tcmK-\nÀ NnInÕ tXSp¶ tcmKn-I-fpsS F®hpw
Wbw \S-¯p-¶Xv Akm-[y-am-¡p¶p \nÊm-c-a-Ã. Ch-bv¡p-]p-dsa IqSp-XÂ
F¶v am{X-aà tcmKw AwK-ssh-I-ey-¯n Kuc-h-t¯msS ImtWï asäm-cp-hn
-te¡v \bn-¡p-Ibpw tcmK-]-IÀ¨m -`mKw, \mUn-Isf am{Xw _m[n¨v ac-hn-¸v,
km[yX kaq-l-¯n \ne-\n¡p-¶ t]in-IÄ¡pÅ tijn-¡p-dhv F¶o
-Xn\v CS-bm-¡p-Ibpw sN¿p-¶p. sXmen e£-W-§-tfmsS NnIn-Õbv¡v F¯p¶
-¸p-d-¯p-ïm-Ip¶ FÃm \nd-hy-Xym-k-§ tcmKn-I-sf-bm-Wv. Xz¡nse \nd-hy-Xym-k
-sfbpw ]mSp-I-sfbpw ac-hn-¸p-I-sfbpw -§-fpsS A`mhw C¯cw IpjvT-tcm-K-_m-
]cn-tim-[-\bv¡p hnt[-b-am-t¡-ï-Xm -[n-X-cpsS tcmK-\nÀWbw k¦oÀW-am-¡p
-¶p. hkvXpX ]cn-tim-[n-¨m Hcp
-sW¶ t_m[w Imcyw hyà-am-Wv. Hmtcm hÀjhpw
kaq-l-¯n ]pXp-Xmbn Iïp-]n-Sn¡-s¸-Sp¶ tcmKn-I
Dïm-¡n-sb -fpsS F®w lna-ssi-e-¯nsâ A{Kw
-Sp-¡m³ am{X-am-Wv. kaq-l-¯n Iïp-]n-Sn-¡-s¸
km[n -SmsX AsÃ-¦n icn-bmb NnInÕ
-¨m e`n-¡msX Ah-ti-jn-¡p¶ apgp-h³
Ipd tcmKn-I-sfbpw Iïp-]n-Sn-¡m³ Ign
-ªm am{Xta tcmK-kw-{I-aWw XS
-ª-Imew -bm\pw A§s\ IpjvT-tcm-K-\nÀ½mÀÖ
sImïv tcmK-¸
-IÀ¨ CÃm-Xm \w F¶ e£yw bmYmÀ°y-am-¡m\pw
-¡m\pw IpjvT-tcm km[n-¡q.
-Ks¯ kaq-l-¯nÂ
\n¶v \nÀamÀP\w IpjvT-tcmK \nÀ½mÀÖ\
sN¿p-hm\pw km[n-¡pw. {]hÀ¯-\-§Ä¡p B¡w

Gsd sXän-²-cn-¡-s¸« Iq«pI F¶ e£y-t¯msS
tcmK-amWv IpjvT-tcm-Kw. se{]kn tIkv Unä-£³
F¶m IpjvT-tcm-Ks¯ kw_-Ôn-¨n-S Iym¼-bn³ 2018 Unkw-
-t¯mfw Gähpw {]_-e-amb [mcW -_À 5 apXÂ 18 hsc
AXv \½psS {]iv\-aà AYhm AXv \S-¯p-¶-Xn-\m-h-iy-amb
\½psS \m«n Cà F¶ anYym-[m-c-W \S-]-Sn-IÄ kzoI-cn-¡p-I
-bm-Wv. kwØm-\s¯ FÃm PnÃ-I-fn -bp-ïm-bn. kaq-l-¯nÂ
\n¶pw Hmtcm hÀjhpw ]pXp-Xmbn Hfn-ªp-In-S-¡p¶ IpjvT
IpjvT-tcm-Kn-Isf Iïp-]n-Sn-¡p-Ibpw -tcm-Kn-Isf Iïp-]n-Sn-¡p-¶
NnIn-Õbv¡v hnt[-b-am-¡p-Ibpw -Xn-\pÅ Cu Iym¼-bn³
sN¿p¶p F¶-XmWv hkvXp-X. HutZym IpjvT-tcmKw aqe-ap-ff sshI-ey
-§Ä IqSp-X-embn dnt¸mÀ«v sN¿-s¸«
36 \½p-sS B-tcm-Kyw | P\phcn 2019 Xncp-h-\-´-]p-cw, Fd-Wm-Ip-fw, XriqÀ,
]me-¡m-Sv, ae-¸p-dw, tImgn-t¡m-Sv, I®qÀ,
ImkÀtKmUv XpS§n 8 PnÃ-I-fn-emWv
\S-¸n-em-¡p-¶-Xv.

Cu Iym¼-bnsâ `mK-ambn Hcp Bim
-{]-hÀ¯-Ibpw ]cn-io-e\w e`n¨
k¶² {]hÀ¯-I-\p-a-S-§p¶ Sow
Ah-c-hÀ¡p \nÀt±-in-¨n-cn-¡p¶ Gcn-b
-bnse FÃm hoSp-Ifpw Iym¼-bn³

Ime-b-f-hn (14 Znh-kw) kµÀin-¡p -Sp-Iq-Snb IpjvT-tcmKw dnt¸mÀ«v sN¿
-¶p. IpjvT-tcm-K-¯n\p kam-\-amb -s¸« t»m¡p-I-fn am{Xw \S¯p¶
e£-W-apÅ Bfp-Isf Iïp-]n-Sn-¡p Iym¼-bn-\mWv F^v.-FÂ.kn. Cu
-Ibpw Ahsc tcmK-\nÀW-b-¯n-\mbn Iym¼-bn-\n tcmKw Ønco-I-cn¨
Bip-]-{Xn-bn t]mIp-¶-Xn-\pÅ D] hyàn-bpsS Xma-k-Ø-e-¯n\p Npäp
-tZiw \ÂIp-Ibpw sN¿p-¶p. C¯-c-¯n -apÅ 300 hoS-pIÄ Btcm-Ky-{]-hÀ¯
-epÅ 5 Soap-I-fpsS kq¸Àhn-j³ Npa-Xe
Hcp Pq\n-bÀ sl¯v C³kvs]-IvSÀ/ -IÀ/Bi-m{]hÀ¯IamÀ t\cn«v
Pq\n-bÀ ]»nIv sl¯v t\gvkn-\m-bn- kµÀi\w \S¯n aämÀ¡pw
cn-¡pw. Nn«-bmb `h\ kµÀi-\hpw tcmK-anà F¶v Dd-¸p-h-cp-¯p-¶p.
Krl-]-cn-tim-[-\-bn-eqsS Isï-¯nb Cu ]²-Xn-IÄ Imcy-£-a-ambn \S-¸n-em
tcmKn-IÄ¡v XpSÀ NnIn-Õbpw -¡p-¶-Xn\v Btcm-Ky-h-Ip¸v {]Xn-Úm
kq¸Àssh-kÀamÀ Dd¸p hcp-¯p-¶p. -_-²-am-Wv.
`h\ kµÀi-\-th-f-bn ImWm³ Ign
-bm-¯-hsc A\p-tbm-Py-amb ka-b-¯nÂ
Iïv ]cn-tim-[\ \S-¯p¶p F¶Xv Cu
Iym¼-bnsâ aäp khn-ti-j-X-bm-Wv.

IqSmsX PnÃ-bnse apgp-h³ BtcmKy
tkh\ hn`m-Khpw Cu Ime-b-f-hn Cu
Iym¼-bn-\n-\mbn {i² tI{µo-I-cn-¡p¶p
F¶Xv Cu ]²-Xn-bpsS hnPbw kp\n-
Ýn-X-am-¡p-¶p.

CtXm-sSm¸w Xs¶ tijn-¡p¶
6 PnÃ-I-fn (sIm-Ãw, ]¯-\w-Xn-«,
Be-¸p-g, CSp-¡n, tIm«-bw, hb-\m-Sv)
t^m¡kvUv se{]kn Iym¼-bn³ (F-^v.
-FÂ.-kn) \S-¯p-I-bm-Wv. sshI-ey-t¯m

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¬: 9400012600

Cþsa-bnÂ: [email protected]

\½p-sS B-tcm-Kyw | P\phcn 2019 37

sl¯v
sIbÀ

Iu¬kenwKv -

tUm. Fw. sI. kn. \mbÀ hmin¡pSp-¡Isf
sacp¡p¶sX§s\?
cmPys¯
{]i-kvX-\mb hmin ]nSn¨p Icbm¯ Ipªp§fptïm? FÃm
inip-tcmK Ipªp§fpw hmin ]nSn¡p-Ibpw IcbpIbp
NnIn-Õ-I³. sams¡ sN¿pw. F¶m sNdnsbmcp iXam\w
inip-tcmK hnZ-Kv²-cpsS Ipªp§fn CXv AXncphn«v \nb{´WmXoXamb
kwL-S\ sF. F. ]n sshImcnI s]m«ns¯dnbmbn amdn c£nXm¡sf
bpsS ap³ AJn-te´ym C-XnIÀ¯hyYmaqVcm¡n amäp¶Xv \½Ä
{]kn-Uâv, Xncp-h-\-´-]pcw Iïn«pïm-Imw. C¯cw kmlNcy§fn F´v
saUn¡Â tImtf-Pnse sN¿Wsa¶dnbmsX \n-ev¡p¶ c£IÀ¯m¡-fpw,
s{]m^kÀ, tIcfm C§s\bmtWm Ipªp§sf h-fÀ¯p¶sX¶ \niÐ
bqWn-th-gvknän Hm^v tNmZyhpambn \n-ev¡p¶ Imgv¨¡mscbpw \½sfÃmw
sl¯v kb³k-knsâ Iïn«pïv. icn¡pw F´mW-hnsS kw`hn¡p¶sX¶pw
sshkv Nm³k-eÀ. F§ns\ Cu {]iv\¯ns\ ssIImcyw sN¿msa¶pw
inip-¡fpsS hfÀ¨bpw \aps¡m¶v t\m¡mw.
_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

38 \½p-sS B-tcm-Kyw | P\phcn 2019

Ipªp§Ä AanXamb tZjy-hpw, 18% aq¶p hbÊpImcpw 10% \meph-bÊv
\ncmibpsams¡ {]ISn¸n¡p¶Xn\mbn Imcpw {]XnZn\w Hcp XhWsb¦nepw
ImWn¡p¶ AanX sshImcnI {]IS\ hmin ]nSn¡p¶hcmWv F¶pw
s¯-bmWv ZpimTyw AYhm temper KthjW ^e§Ä ImWn¡p¶p.
tantrums F¶v ]dbp¶Xv. c£n-Xm¡Ä¡v
]et¸mgpw XethZ\bpïm¡p¶ Hcp Ipªp§Ä imTyw ]nSn¡pt¼mÄ
s]cpamä {]iv\ambn Cu ZpimTyw Fs´ms¡ sN¿mdpïv? \nÀ¯msX
amdmdpïv. k-µÀ`¯n\pw, kmlNcy bpÅ Ic¨nÂ, Aedn IcbpI, ssIIm
¯n\pw tbmPn¡m¯ hn[¯n -epIÄ \ne¯Sn¨p IcbpI, \ne¯v
DïmIp¶ AkpJIcamb s]cpamäw InS¶pcpïv IcbpI, XeNphcnen«nSn
Nnet¸mÄ hfsc kzm`mhnIambn -¡pI. ssIImepIÄ `n¯nbnen«Sn¡pI,
IW¡m¡mhp¶Xmbncn-¡pw. km[\§Ä hens¨dnbpI, XeapSn
Ft¸mgmWv CXv Akzm`mhnIhpw ]nSn¨p hen¡pI, ISn¡pI, sXmgn¡pI
Akm[mcWambpw IW¡mt¡ï XpS§nb s]cpamä§Ä \nb{´Wm
sX¶pw Ahsb F§s\sbms¡ XoXamIpt¼m-gmWv AXv ZpimTyambn
\-ap¡v \nb{´Whnt[bam¡msa¶pw IW¡mt¡ïXv. ]e ImcW§Ä
Hmtcm c£nXmhpw Adnªncn¡p¶Xv sImïv Ip-ªp§Ä imTyw ]nSn¡m
{]iv\§Ä eLqIcn¡p¶Xn\pw, dpïv. c£nXm¡fpsS {i² ]nSn¨p
Hgnhm¡p¶Xn\pw klmbIcam-Ipw. ]äm³ thïnbpw, Fs´¦nepw Hcp
Hcp hbÊn\pw aq¶phbÊn\panSbn km[\w In«m³ thïnbpw Ipªn\v
{]mbapÅ 5-7% Ipªp§fn CãanÃm¯ Hcp kmlNcyw
15 an\n«ntesd \oïp \n-ev¡p¶Xpw Hgnhm¡m³ thïnbpw Nnet¸mÄ
BgvNbn aq¶p XhWbn-tesd Ipªp§Ä Cu Bbp[w ]pds¯Sp
BhÀ¯n¡p¶Xpamb ZpimTyw Iïp t¯¡mw.
hcp¶p F¶mWv KthjW ^e§Ä
ImWn¡p¶Xv. 20% cïp hbÊpImcpw

\½p-sS B-tcm-Kyw | P\phcn 2019 39

Ipd¨p hmin-bpw, imTyhpsams¡ XamImdpïv. km[mcW KXn-bnÂ
Ipªp§fpsS kzm`mhnI hnIk\ \mephbÊmIp¶tXmsS Ipªp§Ä¡v
¯nsâ `mKamWv. hnImc§sf \nb{´n F§s\ taml`wK§tfmSpw CãanÃm
¡m\pÅ Ignhv Ip-ªp§Ä kzmb¯ ¯ kmlNcy§tfmSpw s]mcp¯
am¡p¶XnepÅ hyXnbm\amWv Cu s¸SW-sa-¶Xv ioeam-Ipw. {]mbwIqSp¶
Akzm`mhnI Zriy§-fpsS ]n¶nepÅXv. X\pkcn¨v Ipªp§Ä¡v AhcpsS
km[mcW KXnbn 2-þ3 hbÊn\pÅn hnImc§Ä Xncn¨dnbm\pw AXv aäpÅ
emWv- C¯cw {]iv\§Ä Ipªp§Ä htcmSv- kµÀt`mNnXambn {]ISn¸n¡m
ImWn¨p XpS§p¶Xv. F¶m Nne \pw a\Ênem-Ipw. A©p hbÊn\p
Ipªp§Ä Hcp hbÊn\p ap³]pw tijhpw {]XnZn\w A©pXhW
C¯c s]cpamäw ImWn¡mdpïv. bntesd 15 an\n«n IqSpX \oïp
A-]qÀÆw Nnecnse¦nepw A©p \n-ev¡p¶ ZpimTyw {]ISamIp¶p
hbÊn\p ti-jhpw Iuamc-¯nsâ sh¦n \mw AXns\ hfsc Kuc-h-
Bcw`Zibnepw ZpimTyw A\nb{´n ]qÀÆw ImtWïXpw Ipªn\v aäv
{]iv\§sfm¶panà F¶v Dd¸mt¡ï
Xp-amWv.

\mep hbÊn XmsgbpÅ Ipªp
-§fn kzbwapdnth-ev¸n¡p¶
kz`mhhpw aäpÅhsc apdnth¸n¡p¶
kz`m-hhpw {]ISamIp¶psh-¦n Ku-c
-h-]qÀÆw IW¡m-¡Ww. CXnt\msSm¸w
Dd¡hpambn _Ôs¸« {]iv\§fp
ïmIp-Ibpw InS¶p aq{Xsamgn¡p¶Xv
t]msebpÅ kz`mh§Ä {]ISn¸n¡p
Ibpw sN¿ps¶¦n Ipªn\v
sshImcnI{]iv\§sfm¶panà F¶v
Dd¸mt¡ï-Xnsâ BhiyIXbmWv
kqNn¸n¡p¶Xv.

40 \½p-sS B-tcm-Kyw | P\phcn 2019

imTyw AXncp IS¡p¶ptm F¶v
hnebncp¯p¶sX§s\

AanX-amb imTyw {]ISn¸n¡p¶ Hm«nkw, A-ä³j³ sU^nknäv ssl¸À
Ipªp§sf IqSpXÂ hnebncp¯-ep BÎn-hnän UntkmÀUÀ (ADHD), s]cpamä
-IÄ-¡v hnt[bcmt¡ïXmWv. ImcWw sshIey§Ä, hnjmZw, DXv-IWvT
imcocnI, am\knI, sshImcnI_p²n ap-Xemb am\knImh-ØbpÅ
hnIk\ {]iv\§Ä C¯cw {]iv\§Ä Ip«nIfnepw Cu {]iv\w km[mcWamWv.
Dïm¡ntb¡mw. BZyw Xs¶ hniZamb
Hcp imcocnI ]cntim[\bv¡v Ipªns\ s]cpamä-¯nsâ BhÀ¯\¯nsâ
ASnØm\¯n AXv kzm`mhnIamtWm

hnt[b\m-¡Ww. Ip«nbpsS hfÀ¨bpw, Akzm`mhnIamtWm F-t¶mÀ¯ncn¡m
_p²nhnImkhpw icnbmb coXnbn \m-Ipw. Xe ap«n-¡pI, kzbwapdn
emtWm \S¡p¶sX¶v ]cntim[n-¡Ww. th-ev¸n¡pI, aäpÅhsc ISn¡pI,
Ipªnsâ ImgvNbpw tI-gv-hnbpw sXmgn¡pI, XpS-§nbh AanX-ambn
km[mcWKXnbnemsW¶v Dd¸p hcp BgvNbn aq¶p Znhk¯n-tesd
-¯Ww. Ipªnsâ kwkmc-`mjm {]ISn¸n¡ps¶¦n AXv Akzm
hnIk\w icnbmb coXnbnemtWm F¶v `mhnIambn IW¡m-¡mw. AanX
]cntim[n-¡Ww. Cu ]cntim[\-Ifn imTyapïm¡p¶ kmlNcyw Hcp Znhkw
Akm[mcWamsbm¶pw Iïnsæn ]e XhW DïmIpIbpw IqSpXÂ
c£n-Xm¡Ä Ip-ªnsâ imTy-¯ns\ kabw \oïp \n-ev¡pIbpw sN¿p¶p
F§s\bmWv ssIImcyw sNt¿ï sh¦n Ipªn\v {]tXyI {i²bpw,
sX¶p hniZambn a\Ênem-¡Ww. hnebncp¯epw Bhiyapïv.

\½p-sS B-tcm-Kyw | P\phcn 2019 41

Xmsg¸dbp¶ s]cpam-ä-§Ä BgvNbn 4 apX 6 Znhkw hsc
DmIp¶psh¦n Akzm`mhnIambn IW¡m¡mw

1. izmkw ]nSn¨v IcbpI
2. 15 an\n«ntesd hmin ]nSn¨v IcbpI
3. im´am¡m³ {ian¡pt´mdpw imTy¯nsâ Xo{h-X hÀ²n¡pI
4. imTyw ImWn¡pt¼mÄ NpäpapÅ hkvXp¡Ä FSps¯dnbpIbpw,

\in¸n¡pIbpw sN¿pI.

5. £oWn¨v Xfcp¶Xv hsc imTyw XpScpI

6. AImcWambn hmin ]nSn¡pI

7. \nkmc Im-cy-§Ä¡v AklnjvWpX {]ISn¸n¡pI
8. s]-s«¶v AXnITn\amb tZjyw {]ISn¸n¡pI
9. tZjyw h¶m kzbw im´amImt\m aäpÅhÀ¡v im´am¡mt\m

IgnbmsX hcpI.

10. ITn\-ambn s]m-«ns¯dn¡p¶ s]cpamäw ImgvN shbv¡pI
11. tZjyapÅt¸mtgm, \ncmibpÅt¸mtgm, AkzØambncn¡p

t¼mtgm shdn ]nSn¨ t]mse s]cpamdpI

12. Fs´¦nepw Bhiyw km[n¡mXncp¶m ITn\ambn

hmin ]nSn-¡pI.

42 \½p-sS B-tcm-Kyw | P\phcn 2019

ZpimTyw ]ehn[w

Ipªp§Ä ]e hn-[¯n imTyw {]ISn¸nt¨¡mw.
KthjW ^e§Ä ImWn¡p¶Xv {][m\ambpw
5 Xc¯nemWv Ip-ªp§Ä ZpimTyw
{]ISam¡p¶sX¶mWv.

i. A{Ia kz`mht¯msSbpÅ iv. \oïp \nev¡p¶ imTyw
ZpimTyw icmicn 15 an\n«ntesd imTyw ]nSn¨v

amXm]nXm¡sftbm aäp kwc£ IcbpItbm _lfw XpScpItbm kab
Isctbm ITn\ambn ASn¡pI, ISn -ssZÀLyw IqSpItbm sN¿p¶psï
-¡pI, sXmgn¡pI XpS§nb A{Ia§Ä ¦n Ipªn\v hnZKv[ \nco£Ww
AanXambn ImWn¡pI, Ifn¸m«§fpw Bhiyambn ht¶-¡mw.
I¿n In«p¶ km[\§fpw Fdnªp
-S¡pI XpS§nb s]cpamä§Ä {][m\ v. aäpÅh-cpsS klmbanÃmsX
ambpw ADHD, hnjmZw XpS§nb \nÀ¯m\mIm¯ imTyw
{]iv\§fpÅ Ip«nIfnemWv-
IqSpXembn ImWp¶Xv. imTyw ]nSn¨p Ignªm kzbw
im´amIm³ Ipªn\v Ignbp¶nsænÂ
ii. kzbw apdnth-ev¸n¨p ADHD t]msebpÅ \mUokw_Ôamb
sImïpÅ imTyw {Iat¡Sv DïmIm\pÅ km[yX
IqSpXemWv. aq¶p hbkn\pÅnÂ
kzbw ico-c¯n apdnth-ev¸n¡pI, Ipªp§Ä kzbw im´amIm³
sXmen¸pdw càw hcp¶ hn[¯n km[mcW KXnbn ]Tn¨ncn¡pw.
am´n¡odpI, Xe iànbmbn c£nXm¡fpsS km´z\hpw ]cnKW\
Nphcntem ImTn\yapÅ aäv {]Xe bpw Ipªns\ im´amIm³
§fntem CSn-¡pI, kzbw ISn¨p klmbn¡p¶nsæn XoÀ¨bmbpw
apdn¡pI XpS§nb s]cpamä§Ä hnZKv[ tkh\w tXSWw.
Hm«nkw t]mepÅ AhØbpÅ
Ipªp§fnepw, am\knI kw-LÀjw \½p-sS B-tcm-Kyw | P\phcn 2019 43
AanXambpÅ Ipªp§fnepw
IqSpXembn Itï¡mw.

iii. ASn¡SnbpïmIp¶
imTyw

Hcp Znhkw 10-þ15 XhWbn-tesd
imTyw ]nSn¨v IcbpI, Hcp amk¯n\p
Ån ]e {]mhiyw C¯cw s]cpamäw
BhÀ¯n¡pI, kvIqfn Hcp Znhkw
A©p XhWbn-tesd imTyw ImWn
¡pI XpS§nb {]iv\§Ä ADHD,
kwkmc`mjmhnIk\ sshI-eyw,
s]cpamä {]iv\§Ä F¶nhbpsS
e£WapÅ Ip«nIfn IqSpXembn
{]ISamtb¡mw.

Ipªp§Ä AanXambn

imTyw ]nSn¡p¶Xn\pÅ ImcW§Ä

sNdnb Ip-ªp§Ä imTyw ]nSn¨p Icbp¶Xv hfsc km[mcWamb
Hcp {]{InbbmWv. Ipªnsâ AkzØXtbm Bhiytam {]ISam
¡p¶Xnsâ `mKamImw ]et¸mgpw C§s\ DïmIp-¶Xv. F¶m imTyw
AanXamIpt¼mÄ AXv ]e ImcW§Ä sImïv DïmImw.

1. am\knI {]iv\§Ä
2. {]tIm]\]-camb am\knI\ne
3. Fs´¦nepw \mUokw_Ôamb

{Iat¡SpIÄ Asæn hnIk\
sshIey§Ä

4. kwkmc `mjmhn-Ik\w {]mbm\p-

kcWw \S¡mXncn¡pI

5. Ipªn\v Bhiy¯n\v kvt\

lhpw ]cnKW\bpw e`yamIm¯
kmlNcyw

6. ITn\amb AhKW\ A\p`hn

t¡ïnhcp¶ kmlNcyw

Ipªv imTyw ]nSn¨m F´p sN¿Ww

 imTyw ]nSn¡p¶ kz`mhw ImWnt¨¡mw. AXpsImïv Xs¶
XpS§pt¼mÄ Xs¶ Ipªv GXv C¯cw s]cpamä§Ä XpS§pt¼mÄ
kmlNcy¯nemWv C¯cw s]cp Xs¶ AXv \n-cpÕms¸Sp¯p-Ibpw
amäw XpS§p¶Xv F¶v {]tXyIw CXv AÑ\-½amÀ¡v H«pw lnXIc
{i²n-¡pI. DZm: hni¸v, £oWw, ambnà F¶ ktµiw Ipªn\v
AkpJw XpS§nbh DÅt¸mgmtWm a\ÊnemIpw hn[w {]ISam¡pIbpw
AtXm Ipªn\mhiyapÅ{X AÑ thWw.
\½amcpsS ]cnNcWhpw, {i²bpw
emf\bpw In«m¯t¸mgmtWm C¯  Ipªn\v IrXyamb Hcp Zn\Ncy
cw s]cpamäw XpS§p¶Xv F¶v Dïm¡nsbSp¡p¶Xv Hcp ]cn[n
{]tXyIw {i²n¨v A¯cw kml hsc imTyw Ipdbv¡p¶-Xn\v klm
Ncy§Ä Hgnhm¡m³ {ian¡pI. bIcam-Ipw. Dd§m\pw DWcm\pw
`£Ww Ign¡m\psams¡ Hcp Zn\
 Nne Ipªp§Ä Hcn¡Â imTyw Ncy Ipªp {]mb¯n Xs¶
]nSn¡pt¼mÄ Ah³/AhÄ Dïm¡nsbSp-¡Ww. ]pd¯p
hnNmcn¨ Imcy§Ä km[n¨p t]mIpt¼mtgm aäp Øe§fnÂ
sImSp¯m hoïpw Imcy§Ä t]mIpt¼mtgm Ipªn\mhiyapÅ
km[ns¨Sp¡m\pÅ Bbp[ambn km-[\§Ä (`£Ww, shÅw,
C¯cw s]cpamä§Ä Bhiysa¦n amdm\pÅ hkv{Xw)

44 \½p-sS B-tcm-Kyw | P\phcn 2019

F¶nh Ft¸mgpw IcpXn shbv¡pI.  Ipªp§Ä¡v AhcpsS Bhiy
§fpw hnImc§fpw hm¡pIfneqsS
 Ipªn\v {]mb¯n\\pkcW-amb {]ISam¡m³ km[yaÃm¯ kml
Ifn¸m«§fpw Ifn¡m\pÅ Ncy§fnepw tZjyhpw k¦Shp
kmlNcyapsï¶v Dd¸m-¡pI. sams¡ imTy-ambn amdntb¡mw.
FÃm¡mcy¯n\pw "No' ]dbp¶ AXpsImïv Xs¶ \Ã Bibhn\n
coXn Ahew_n¡mXncn¡pI. ab tijn Ip-ªp-§Ä¡v Dïm
DZmlcW¯n\v- Ip-ªn-\v Xm-ev-] ¡nsbSp¡m³ {]tXyIw {i²n¡
-cyapÅ hkvXp¡Ä Ipªn\v Ww. am{XaÃ, A¯cw kmlNcy
F¯p¶nS¯v sh¨n«v FSp¡cpXv -§fn Ipªnsâ icoc `mj a\
F¶v ]dbp¶Xnepw \ÃXv Ip-ªn\v Ênem¡n Imcy§Ä hjfmIm\pÅ
FSp¡m\mI¯nS¯v shbv¡p km[yX Hgnhm¡p¶XmWv \ÃXv.
¶XtÃ. Fs´¦nepw ImcWhim ]t£ Ipªnsâ imTyw \s½
sImSp¡m\mIm¯ Hcp km[\ t]Sns¸Sp¯p¶p F¶ tXm¶Â
amsW¦n Ipªnsâ {i² AXn DïmIm³ CS sImSp¡cpXv.
\n¶v Xncn¨p hnSm³ {ian¡p
¶Xmbncn¡pw D¯aw.  Ipªv imTyw ]nSn¡pt¼mÄ
AanXamb DXvIWvTbpw tZjyhpw
 Ipªv imTyw ]nSn¡p¶ kmlNcy Nne amXm]n-Xm¡Ä¡v DïmIm
§Ä IrXyambn hnebncp¯n dpïv. NneÀ Ip-ªnsâ imTyw
B kmlNcy¯nte¡v kmh[m\w
Ipªns\ \bn¡m³ {i²n-¡p-I.
B kmlNcys¯¡pdn¨v ap³Iq«n
Ipªn\v Adnhv \-evIp¶Xpw A-hn
sS s]cpamtdïsX§s\-sb¶p
ap³Iq«n ]dbp¶Xpw Ipªn\v
AXpambn s]mcp¯s¸Sm³ klm
bIcamIpw. \à s]cpamä¯n\v-
A`n\µ\w \evIm\pw ad¡cpXv.

\½p-sS B-tcm-Kyw | P\phcn 2019 45

Bhiy¯n\pÅXmsW¦nepw Xc¯nepÅ s]cpamä§fn-te¡v
Asænepw km[n¨p sImSp¡p t]mIp¶psh¦n im´ambn Xs¶
t¼mÄ aäp NneÀ AanX tZjy A¯cw s]cpamä§fn \n¶v
{]IS\§fneqsSbpw, imcocnI Ipªns\ ]n´ncn¸n¡m³
in£ \-evInbpw A-aÀ¯m³ {ian {ian¡Ww.
-¡pw. CXv cïpw imTy-¯nsâ B¡w
h-À²n¸n-¡mt\ klmbIcam-Iq.  FSp¡m³ thïntbm, anTmbnt¡m
F¶m im´ambn B kmlNcyw aäv Cã`£Wkm-[\§Ät¡m
c£nXm¡Ä t\cn«m C¯cw Ifn¸m«¯nt\m thïnbpÅ
s]cpamä§Ä B-hÀ¯n¡p¶Xv \nÀºÔw F¶nh XpS¡¯nÂ
sImïv {]tXyIn¨v KpWsam¶pw Xs¶ AhKWn¡pIbpw hmin
DïmInsöv Ipªn\v a\ÊnemIp ]nSn¨m Imcyw km[n¡nà F¶
-Ibpw {ItaW imTy-¯nsâ ImTn\yw ktµiw \-evIpIbpw sNbvXmÂ
IpdbpIbpw sN-¿pw. imTy-¯nsâ imTyw hÀ-²n¨phcm\pÅ km[yX
aqÀ²\y¯n Xm³ hnNmcn¨ Imcyw Ipdbpw. Nne Imcy§Ä sN¿nÃ
km[n¡p¶p F¶v Ipªp a\Ên F¶ \nÀºÔamsW¦n (DZm:
em¡nbm XpSÀ¶pw Imcyw hkv{Xw [cn¡m³ Iq«m¡mXncn
km[n¡p¶Xn\mbn imTyw ]nSn ¡pI) hfsc im´ambn A¡mcyw
¡p¶ {]tNmZ\w Ipªp§Ä¡p sN¿m³ klmbn¡pIbmWv
ïmIpw. sNt¿ïXv. kmh[m\w Ipªn\v
a\Ênem-Ipw. hmin ]nSn¨n«v
 ]et¸mgpw amXm]n-Xm¡Ä kuay Imcysam¶panà F¶v. Ipªv hmin
ambn Ipªp§fpsS imTys¯ ]nSn¡pt¼mÄ ap-XnÀ¶hÀ AXn\p
\nco£n¡p¶Xpw AhKWn¡p¶ AanX {]m[m\yw \ÂIp¶Xv
Xpw hoïpw hoïpw C¯cw t]msetbm \mWt¡SpïmIp¶Xv
s]cpam-ä§Äv B-hÀ¯n¡mXncn¡p t]msetbm hnjan¡p¶Xv
¶-Xn\p klmbIcamIpw. ]t£ t]msetbm Ipªn\v tXm¶nbmÂ
Ipªv kzbw apdnth-ev¸n¡p¶ B s]cpamäw BhÀ¯n¡m\pÅ
km[yX IqSpw.

46 \½p-sS B-tcm-Kyw | P\phcn 2019

s]mXpØe§fn sh¨v Ipªv hmin ]nSn¨mÂ

amXm]n-Xm¡Ä¡v ]et¸mgpw henb CXns\ XpS¡¯n Xs¶ \n-cpÕm
XethZ\ Dïm¡p¶ Hcp kmlNcy ls¸Sps¯ïXmsW¶pw a\Ênem¡n
-amWv s]mXp Øe§fn sh¨pÅ B kmlNcys¯ adn IS¡pIbmWv
AanX imTy{]IS-\§Ä. Fs´¦nepw th-ïXv. Ipªnsâ \à s]cpamä¯n\v
Imcykm[y¯n\pthïnbmIpw thï{X A`n\µ\§fpw t{]mÕml
an¡hmdpw C¯cw {]IS\§Ä
DïmIp¶Xv. X§-fpsS Ipªnsâ \§fpw \evIpIbpw sN-¿Ww.
A`nImay-aÃm¯ s]cpamäw "tam\n¶v! F{X \Ã Ip«nbmbn
]e amXm]n-Xm¡Ä¡pw cp¶p hmin ]nSn¡mXncp¶-Xn\v A½
A`nam\-¯n\v £Xapïm \Ã Hcp k½m\w Xcp¶pïv' F¶v
¡p¶Xn\m F§s\ ]dªv sNdnb Hcp ]mcntXmjnIw
bpw Ipªv B{Kln¨ \-evIp¶Xv Ipªn\v \Ã s]cpamä
Imcyw km[n¨p ¯nsâ KpWw a\Ênem¡n sImSp¡p
sImSp¡m³ \½fn ¶Xn\v klmbIcam-Ipw. Nne amXm
]ecpw {ian-¡pw. ]nXm¡Ä C¯cw kmlNcy§fnÂ
C§s\ Imcyw \n¶v Ipªp§sf ]qÀ®pambpw
km[n¡p¶ Ipªn\v Hgnhm¡mdpïv. AXpw \¶Ã.
CXv t]msemcp
kmlNcyw DïmIp \½p-sS B-tcm-Kyw | P\phcn 2019 47
t¼mÄ CtX {]IS\w
]pds¯Sp¡m\pÅ
{]hWX Aev]w IqSn
Xo{hambn DïmIm\mWv km[yX.
C¯cw kmlNcy§fnÂ
im´ambn B
kmlNcy¯n \n¶pw
Aev]w Hgnªp amdn
Ipªns\ im´am¡m³
{ian¡Ww. BZys¯
hmin hnPbn¡msX
Ahkm\n¡pt¼mÄ
XpSÀ¶pw C¯cw s]cpamäw
B-hÀ¯n¡m\pÅ {]hWX
Ipd-bpw. am{XaÃ, ASp¯ XhW
CXv t]mse Hcp kmlNcy¯n-te¡v
Ipªns\bpwsImïv t]mIp¶Xn\p
ap³t]m A`nImayaÃm¯ coXnbnÂ
s]cpamdnbm km[n¡nsö ktµiw
\-evIn thWw sImïv t]mIm³.

C¯cw kmlNcy§fn aäpÅhÀ
F´p hnNmcn¡pw F¶v Nn´n¨v Imcyw
km[n¨p sImSp¡msX CXv an¡
Ipªp§fpw ImWn¡p¶XmsW¶pw

Hmtcm kmlNcy¯nepw F´mWv AXv sImïv Xs¶ sNdnb
\à s]cpamäw, F´mWv tamiw {]mb¯n Xs¶ imTyw Hcp ioeam¡n
s]cpamäw F¶v Ipªns\ a\Ênem¡n amämXncn¡m\pÅ ap³IcpXÂ Hmtcm
sImSp¡pIbpw \Ã s]cpamäs¯ c£nXmhpw kzoIcn-¡Ww.
A`n\µn¡pIbpw tamiw s]cpamäs¯
AhKWn¡pIbpw X-§Ä¡v AXv Csæn `mhnbn ]e
Xosc Cãs¸«nà F¶ coXnbn kmlNcy§tfmSpw s]mcp¯s¸Sm
{]XnIcn¨v Ipªn\v a\Ênem¡n \mIm¯ Hcp hyànbmbn Ipªp
sImSp¡pIbpw thWw. hfcm\pÅ km[yX XÅn¡fbm\m
InÃ.
Npcp¡¯n AanX imTyhpw,
hminbpsams¡ XpS¡¯n Xs¶
Xncn¨dnbpIbpw AXnsâ
ImcWw Isï¯pIbpw
sN-¿Ww. Hcp ]cn[n
hsc C¯cw s]cp-
amäw Ip-ªnsâ
AkwXr]vXamb
am\knImhØ
-bpsS {]Xn^e\
am-Imw. Ipªn\v
kt´mjhpw
kpc£nXXzhpw
\-evIp¶tXmsSm¸w
AanX ]cnKW\bpw
AhKW-\bpw tXm¶m
\pÅ kmlNcy§Ä
\nehnenà F¶v Dd¸m¡pIbpw thWw.
C¯cw hnImc{]I-S\§Ä Ipªnsâ
\nb{´W¯n\v AXoXamsW¶v
Iïm kmlN-cy-§Ä hnebncp¯n
thï \nÀt±i§Ä e`n¡m³ amXm
]nXm¡Ä hnZKv²cpsS tkh\w
tXSp¶Xn sX-änÃ.

Ip-ªn\v {]iv\sam¶pansöv
Dd¸m¡p¶Xn\pw "Øncamb' Hcp
"Parenting Style' A-\p-hÀ¯n¡p¶Xn\pw
AXv klmbIam-Ipw. \mUo
kwºÔamb {]iv\§-fmb Hm«nkw,
ADHD, kwkmc `mjmhnIk\
sshIeyw F¶nhbpÅ Ip«nIfmsW
¦n Ah t\cs¯ Iïp ]nSn¨v thï
CSs]SepIÄ \-evIp¶Xv {]iv\§Ä
eLqIcn¡p¶Xn\v KpWIcam-Ipw.
"Np«bnse ioew NpSe hsc'
F¶mWtÃm.

48 \½p-sS B-tcm-Kyw | P\phcn 2019

HEALTH QUIZ BtcmKyw ?\n§-fp-sS 1. DbÀ¶p t]mIp¶hsc Xmtgm«p
A-dn-sh{X? hen¨nSm\pÅ
10. £btcmK \nÀWb¯n\pw acp
¶pIsf {]Xntcm[n¡p¶ £bIgnª e¡w \½psS BtcmKyw {]kn²oIcn¨ am\knImhØ
tcmKs¯ Isï¯m\pwteJ\§sf ASnØm\am¡n X¿mdm¡nbXmWv tNmZy§Ä. 2. Know your status
tNmZy§Ä X¿mdm¡nbXv tUm. kPnIpamÀ. sP 3. Anti Retroviral therapy
11. \n£bv Sn_n t\m«n^nt¡j³1. F´mWv Crab Attitude? 4. Unkw_À 3
12. am\knImtcmKy NnInÕ¡pÅ2. Cu hÀjs¯ temI FbvUv-kvZn\ ktµ-iw? 5. tdUntbj³ sImSp¡p¶Xn\p
3. F´mWv ART NnInÕ?
acp¶pIÄ4. F¶mWp temI hnIemwK Zn-\w? ap³]v sImSp¡p¶ IntamsXdm¸n
13. Over the counter - tUmÎdpsS Ipdn5. F´mWv Neo adjuvant chemotherapy? 6. H ¶n IqSpX Ahbh§
6. F´mWv saäÌmänIv Im³kÀ?
¸Sn BhiyanÃmsX e`n¡p¶7. PICC line F¶Xnsâ ]qÀW cp-]w? fnte¡p ]SÀ¶ Im³kÀ
acp¶pIÄ.8. F´mWv impulse control disorder ? 7. Peripherally inserted central catheter line
14. KRISIS program9. F´mWv PCOD? 8. FSp¯p Nm«tcmKw
15. thZ\bnÃm¯ {]k-h-¯n\v10. CBNATT F´p]tbmKn¡p-¶p? 9. Polycystic Ovary Disease
11. £b tcmK t\m«n^nt¡j³ ]²XnbpsS t]-cv?
12. F´mWv Psychotropic acp¶p-IÄ?
13. F´mWv OTC acp¶p-IÄ?
14. tIcfw kwØm\ BßlXy {]Xntcm[ ]²XnbpsS t]cv?
15. km[mcWbmbn epidural A\kvtXjy D]tbmKn¡p

¶sX´n\v?

ANSWERS

\½p-sS B-tcm-Kyw | P\phcn 2019 49

tUm-IvSÀ, k-aqlw, \n-e-]m-SpIÄ

Iuam-c-¡mÀ-¡v
H-cp Zn\w

   "Not yet old enough for a man
Nor young enough for a boy"
sF.Fw.F., sI.Pn.
Fw.H.F, sF.F.]n. - Shakespere, Twelfth night
F-¶n-h-bp-sS
kPo-h {]-hÀ-¯ Pohn-X-¯n I®-©n-¡p¶ hÀW-§Ä am{Xw
-I³, tIcf `m-jm C³-kv-än \ndªp \n¡p-I-bp-w, ambn-I-{]` sNmcn-bp-Ibpw
-äyq-«v c-ïv ]p-kv-XI-§Ä sN¿p¶ AÛp-X-I-chpw \nÀWm-b-I-hp-amb Ime-L-«
{]-kn-²o-I-cn-¨n-«pïv. tI-c-f -amWv Iuam-cw. IuXp-I-I-c-sa¶p ]d-b-s«, C¶v \½psS
-¯n-se FÃm B-tcm-Ky apXnÀ¶ Xe-ap-dbv¡v Iuam-c-{]m-b-¡mÀ, kz´w a¡Ä,
am-kn-I-I-fnepw kv-Yn-c-am-bn t]Sn-kz-]v\-§-fmbn amdp-I-bm-Wv. ]c-kv]cw kwh-Zn-¡p-
F-gp-Xp¶p. Ign-ª hÀj hm-\m-Im¯ Hcp Ah-Ø-bn-te¡v AhÀ FSp-s¯-dn
-s¯ G-ähpw an-I-¨ {_m-©v -bs¸SpIbm-Wv. GXmWv kXyw? amXm-]n-Xm-¡Ä¡v
{]-kn-U-³-dm-bn tZio-b Ip«n-IÄ asäÃmw ad¶v ]T-\-¯n apgp-Ip-Ibpw saUn
X-e¯n sX-c-sª-Sp-¡
-s¸«p. sI.Pn.Fw.H.F
kw-kvYm-\ sk-{I-«-dn-bm-bn
-cp¶p)
[email protected]
mob: 9447137414

C´y³ A¡mZan
Hm-^v ]o-Un-bm-{Sn-Iv-kv

B-tLm-jn-¡p-¶
So-t\-Pv tU-bp-sS

{]m-[m\yw
hy-Iv-X-am¡p-¶

teJ\w