Feb 2021

ChtbmsSms¡ tNÀ¶p {]hÀ¯I³ F¶ \nebnÂ
Fs¶ D¡WvTmIpe\m¡p
{]hÀ¯n¨p sImïv tImhnUv ¶Xv. XmSnbnepw Igp¯nepw
AWnªv \S¡m\Ã Cu
Imew {]hÀ¯\\ncXam¡m³ hkvXp F¶v F{X t_m[hÂ
Icn¨n«pw \½Ä Xncn¨dnbp¶
Ignªp F¶Xv At§bäw tXbnÃ.

NmcnXmÀ°yw ]Icp¶pïv. GXv izmktImi tcmKnIÄ
¡papÅ Gähpw anI¨
sF Fw F bpsS kwØm imkv{Xob {]Xntcm[ ]²Xn
bmWv apJmhcW§Ä F¶v
\ sshkv {]knUïmbn
Ft¸mgmWv \mw a\Ênem
sXcsªSp¡s¸«Xpw Cu ¡pI? IrXyambn
imkv{Xob coXnbnÂ
tImhnUv Ime¯mbncp¶p. amkvIv D]tbmKn¨m 95%
-iXam\¯ntesd \½Ä
hmb\mZn\hpw kwKoX Zn\ kpc£nXcmsW¶ncnt¡.

hpw H¶nShn« Znhk§fn kpKXIpamcn Ignª Hcp hÀjs¯
hcp¶Xv {i²n¨v AXnsâ A\p`h§fn \n¶v
{]mtbmKnIambn
a²yZn\¯n hmb\bp Xncn¨dnª asämcpImcyw
{]Xe§fn \n¶pw
sS kwKoXw F¶ ]cn]m hkvXp¡fn \n¶pw
tImhnUv ]Icp¶Xn\v
Sn kwLSn¸n¡m\mbXpw hfsc hnZqc km²yXtb
DÅq F¶ hkvXpXbmWv.
AXn ImctÈcn amÌÀ
apJmhcWhpw tkm¸pw
\S¯nb AXyp{K³ kmaqlnI AIe]me\hpw
\½psS ]pXnb temI{Ia
{]`mjWhpw tImhnUv ambn \nÝbambpw amdn¯o
tcïXpïv.
Ime kmwkvImcnI
tImhnUv ss]imNnIam
{]hÀ¯\§fn thdn«v b Hcp Nqïp ]eIbmWv.
{]m]©nI \nba§Äs¡
\n¡p¶p. Xnsc a\pjy³ \o§pt¼m
Ä Ahs\ sR«n¨pWÀ¯p
IeymWnbptSbpw ¶ Pm{KXbpsS ISpw shfn¨w.

Zm£mbWnbpsSbpw ap¼v asämcp teJ\
¯n Rm³ kqNn¸n¨Xp
BÀ.cmP{io asämcn¡Â t]mse, Xncn¨dnhnsâ
I®pIÄ Xpd¡m³
sF Fw F sa¼À aSn¡p¶ a\pjy\v {]IrXn
sN¿p¶ thZ\mP\Iamb
amÀ¡v thïn \S¯nb apl½Zv Aen
{]`mjW¯nsâ t\{X ikv{X{Inb.

DÑwLreXbmbncp¶p (True copy think )

HmÀ¯p sh¡p¶ asämcp 2021 s^{_phcn | \½p-sS B-tcm-Kyw 51

tImhnUv Ime kvacW.

amÀ¨v apX Zn\w{]Xn

]Xps¡ ]Xps¡ ]nSn

apdp¡n sabv BZyhmc

§fn Abªv, hoïpw

hfsc `oIcambn s]m«n

¸c¶v sk]vXw_À amk

¯n Zn\w{]Xn ]Xn\m

bnc¯ntesd tIkpIfm

bn, ]ns¶ hoïpw

Ipdªv ... tImhnUv

\s½ A¼c¸n¨p Kmcn©
sImtï Ccp¶p.

amkvIv D]

tbmKn¡p¶Xn \½Ä ImWn¡p¶
XnIª Aew`mhamWv Hcp BtcmKy

]nXm¡·mcpw KÀ`[mcWhpw -
KÀ`imkv{X¯nse kmaqlnI hgnIÄ

a\pjycnse {]Xypev]mZ\s¯¡pdn¨v
\ap¡v Nne s]mXp [mcWIfpïv.
{]Xypev]mZ\w GXmïv ]qÀWambpw
kv{XotI{µoIrXambn \mw ImWp¶p
F¶Xn kwibanÃ. Cu taJebnÂ
DbÀ¶ph¶n«pÅ sSIvt\mfPnIÄ,
{]P\\ klmb NnInÕ F¶nhsbÃmw
Xs¶ kv{XotcmK NnInÕbpsS
`mKambmWv \mw ImWp¶Xv.
ChnsS ]pcpj\v Imcyamb tdmÄ
Csö [mcW AXn\m \s½
AÛpXs¸Sp¯p¶nÃ.

{]Xypev]mZ\¯n ]pcpjs³d FIvkv/ ssh (X or Y) t{Imtamtkmapw
]¦ns\¡pdn¨pÅ \nehnse [mcW CXn s]Spw.
IÄ GXmïn§s\ Npcp¡n¸dbmw:
sshZyimkv{Xw Du¶Â \ÂIp¶
1. {]P\\¯n\v Bhiyamb amXrI GXmïn§s\bmWv. CX\pk
]pcpjtImiw kv{XobpsS {]P\ cn¨v {]Xypev]mZ\ imkv{Xw ]qÀW
\mhbh¯n \nt£]n¡pI. ambpw H_vÌ{SnIv-kv, ssK\t¡mfPn
F¶o sshZyimkv{X hnjb§fnÂ
2. ]pcpj_oP¯n\v NmeIiànbpÅ HXp§n \n¡p¶p. F¶m CXns\mcp
Xn\m AXv AÞs¯ s]mXpP\mtcmKy LSIw IqSnbpsï¶v
Isï¯pIbpw Kcv`[mcW¯n\v NneÀ Nn´n¡pIbpw B Znibnse
Bhiyamb amä§Ä¡v XpS¡w At\zjW¯n\v {]kànbpsï¶v
Ipdn¡m³ klmbn¡pIbpw sN¿pw. ImWpIbpw sN¿p¶p. {`qW¯nt³dbpw
P\n¡p¶ iniphns³dbpw BtcmKy
3. {`qtWmev]mZ\¯n\v AXymhiyamb ¯n ]nXrLSI§Ä IqSn kzm[o\n
]nXr t{ImtamtkmapIÄ F¯n¡pI.
iniphns³d enwKw \nÀWbn¡p¶

52 \½p-sS B-tcm-Kyw | 2021 s^{_phcn

{`qW¯ns³dbpw P\n¡p¶ iniphns³dbpw BtcmKy¯nÂ
]nXrLSI§Ä IqSn kzm[o\n¡p¶psh¦n KÀ`[mcWhpw

ssiihmtcmKyhpw sa¨s¸Sp¯p¶Xn ]nXmhn\v IqSn
D¯chmZn¯w DmIp¶p. CXp NÀ¨sN¿p¶ ]pkvXIamWv

sd\n BwenMv cNn¨ Kbv-\t¡mfPn.

¡p¶psh¦n KÀ`[mcWhpw ssiihmtcmKyhpw

sa¨s¸Sp¯p¶Xn ]nXmhn\v IqSn D¯chmZn¯w

DïmIp¶p. CXp NÀ¨sN¿p¶ ]pkvXIamWv sd\n
BwenMv cNn¨ Kbv-\t¡mfPn (Rene Almeling -

GUYNECOLOGY, 2020, Uni. of Chicago).

t]cv kqNn¸n¡p¶Xv t]mse {]P\\ {]{InbbnÂ

B¬ LSI§fpsS {]kàn, Ncn{Xw, kmaqly

imkv{Xw F¶nhsb ASnØm\s¸Sp¯n ]Tn¡m³
{ian¡pIbmWv BwenMv. BZym£c§fmb GUY,

BWv/ ]pcpj³ Fs¶ms¡ AÀ°w kzoIcn¡p¶p;

D¨mcW¯n 'ssK' F¶pw. Hä t\m«¯nÂ

kv{XotcmK imkv{Xw F¶v

tXm¶msa¦nepw ]pcpj

s\¡qSn DÄt¨À¯ ssK\

t¡mfPntbbmWv CXnÂ

k¦ev]n¨ncn¡p¶Xv.

CsXgpXnbncn¡p¶ sd\n

BwenMv, tb bqWnthgv

knän saUnkn³ hn`mK¯n

 kmaqly imkv{XÚ

bmWv. AhcpsS KthjW

hnjb§fn P³UÀ,

{]P\\ klmb kmt¦XnI

hnZy, P\nXIimkv{Xw,

s]mXpP\mtcmKy Bkq

sd\n BwenMv {XWw F¶nh DÄs¸Sp¶p.
AhÀ C{XIqSn ]dbp¶p,

"]pcpj·mcpsS {]P\\mtcm

Kyw KqKnÄ kvtImfÀ hgn sXscªt¸mÄ 6400 ^e

§Ä In«n; {]P\\¯n kv{XoIfpsS ]¦ns\ kw_

Ôn¨v AtXkabw 83000 sXc¨n ^e§Ä Dïmbn

cp¶p.' ]e BtcmKy KthjI GP³knIfpw CXnse

hnShv {i²n¨n«pïv F¶v IcpXmw. ]pcpj·mcpsS

{]Xypev]mZ\ BtcmKy\ne thï{X {i² t\Snbn

«nsöv AhÀ ]dbp¶p. hnIknX cmPy§fnÂ

2021 s^{_phcn | \½p-sS B-tcm-Kyw 53

KthjW km[yXtbsdbpÅ Aekn¸n¡s¸Sp¶Xv. thïm¯ kab
hnjbamWnsX¦nepw C´ybn ¯pïmIp¶ KÀ`§Ä hfscb[nIamWv
ASps¯§pw CsXmcp ]T\hnjbw C´ybn F¶v IW¡pIÄ hyàam
BIm-\n-S-bnÃ. F¶m ]nXmhmIm³ ¡p¶p. inip DïmIWsa¶ B{Klw
XmÂ]cys¸Sp¶ ]pcpj·mÀ X§fpsS Dd¸m¡nbXn\ptijw bpàamb
_oP¯n BtcmKyapÅ _oPmWp¡Ä kab¯v KÀ`[mcWw XncsªSp¡m³
DïmIWsa¶pw ]¦mfnbpsS KÀ`Imew GXmïv 50% t]À¡pw km[n¡p¶nÃ
apgph³ BtcmKyIcamb PohnXssien F¶v ImWp¶p. CtX hnjbw temIm
]n´pScWsa¶pw Adnªncnt¡ï tcmKy kwLS\bpw At\zjWhnt[b
XmWv. AXn\m C¡mcyw IqSpX am¡nbn«pïv. AhÀ 36 hnIkzc cmPy§
hniZambn ]cnKWn¡mw. fnse KÀ`Ime BtcmKyw ]Tn¨t¸mÄ
7.4 tImSn kv{XoIÄ BIkv-anXambn
]pcpj·mcpsS {]XypÂ]mZ\mtcmKyw KÀ`nWnIfmIp¶p F¶v Isï¯n.
Dd¸m¡p¶Xv \ÃXmsW¶ Nn´ Ct¸m AXn 2.5 tImSn At_mÀj\pIfp
Ä {]_eamWv. F¶m CXns\mcp ïmIp¶p. {]XnhÀjw 47000 amXracW
adphiapÅXv ImWmsX t]mIcpXv. §Ä¡v CXp ImcWamIpIbpw sN¿p
]¦mfn¡pw X\n¡pw Hcp inip DïmI ¶p. ]T\w \nÀhln¨hcn ]¦mfnbmb
Wsa¶v B{Kln¡pt¼mÄ apXÂ tUm. amdn \Kbv ]dbp¶Xv C§s\
]pcpj·mÀ¡v X§fpsS {]Xypev]mZ\m bmWv: ^e{]Zamb KÀ`\ntcm[\ D]m
tcmKys¯ Ipdn¨v {i²bpïmIWw. [nIÄ e`yam¡epw AhbpsS Xncsª
Gähpw efnXambn ]dªm Sp¸nepw D]tbmK¯nepw ]¦mfnIÄ¡v
]¦mfnbpsS KÀ`w ap³Iq«n ¹m³ tbmPnt¸msS D¯chmZn¯w FSp¡m
sN¿m\mhWw. thïm¯ kabt¯m, \mIpIbpw km[n¡Ww. B[p\nI
AhnNmcnXamtbm KÀ`w DïmIp¶nS¯v KÀ`\ntcm[\ amÀK§Ä D]tbmKn¡m³
BtcmKy ip{ipjbv¡v F´p Øm\w? Xmev]cyapÅ kv{XoIÄ¡v AtX¡pdn
kzKX bmZhÀ, 2017 Unkw_À e¡w ¨pÅ Adnhv \ÂtIïXmWv. AhcpsS
em³skäv ]T\s¯ A[nIcn¨p AhImiw, A´Êv, kzImcyX F¶nh
FgpXnb teJ\¯n C´y-bnse am\n¨psImïmbncn¡Ww CXv km[yam
48% KÀ`§fpw ap³Iq«n ImWmsXtbm t¡ïXv.
A{]Xo£nXamtbm kw`hn¡p¶Xv
BsW¶v Nqïn ImWn¡p¶p. C´y³ k-aq-l-§fn Ønc
CXn A©p iXam\w KÀ`§Ä ]¦mfnIfmb kv{Xo]pcpj·mcpsS
Aeknt¸mIpIbpw sN¿pw. {]Xypev]m ssewKnI _豈 Ak´penXhpw
Z\mtcmKys¯ ]än GXp NÀ¨bpw XpeyXbnÃm¯XpamWv. AXn\memWv
Bcw`nt¡ïXv KÀ`apïmIp¶Xv cïp C{Xb[nIw AhnNmcnX KÀ`§fpw
hyànIfpsS XncsªSp¡Â KÀ`Ñn{Z§fpw \S¡p¶Xv. AtXmsSm¸w
apX¡mWv. {]Xypev]mZ\w Hcp hmbnt¡ï asäm¶pïv; Xs³d ]¦mfn
kzmX{´yamsW¶pw AXns³d Ah Ft¸mÄ KÀ`nWnbmIWsa¶ Imcyw
kcw ]¦mfnIÄ tNÀ¶v Xocpam\n NÀ¨ sNbvXpïmIp¶Xà F¶XmWXv.
t¡ïXmsW¶pw DÅ Adnhv AXn\m Xs¶, sd\n BwenMv
AXn\m {][m\amIp¶p. hn`mh\ sN¿p¶ BtcmKy ioe§Ä
{]mhÀ¯nIam¡m³ ]pcpj ]¦mfn¡v
bmZhÀ dnt¸mÀ«v A\pkcn¨p C´y km[n¡p¶panÃ. ssewKnI
bn 4 tImSn 81 e£w KÀ`§Ä _Ô¯ns³d Hcp ]cnWX^ew
{]XnhÀjw DïmIp¶p. AXn 33% am{XamWv ]¦mfnbpsS KÀ`w F¶
KÀ`§Ä Aekn¸n¡s¸Sp¶p. Hcp [mcW ]e ]pcpj·mcnepw iàamWv;
tImSn 56 e£w KÀ`§fmWv C§s\ ]et¸mgpw BtcmKytkh\ZmXm¡

54 \½p-sS B-tcm-Kyw | 2021 s^{_phcn

fpsS \ne]mSpIfpw hn`n¶ambns¡m amXmhnepw iniphnepw tcmKkm[yX
ÅWsa¶nÃ. kmaqlnImtcmKy Gähpw Ipdªncn¡pw.
imkv{Xw IqSpXÂ kPohambn CSs]
tSïXnhnsSbmWv. {]mbw am{XaÃ, ]pcpjs³d
PohnXssienbpw tcmKmhØIfpw
BtcmKyIcamb KÀ`Imehpw amXmhns\bpw KÀ`Ø iniphns\bpw
BtcmKyapÅ inip P\n¡p¶Xn\pw _m[n¡m\nSbpïv. lÂt¸¬,
]nXrLSI§Ä XoÀ¨bmbpw Dïv. {_m\nK³ F¶nhcpsS \nco£Whpw
]nXrLSI§Ä KÀ`Ø iniphns\ CXv icnhbv¡p¶p. ]pIbne, aZyw,
am{Xaà kzm[o\n¡pI; Nnet¸mÄ ab¡pacp¶pIÄ F¶nh ]pcpj_oP
amXmhns³d BtcmKys¯bpw ¯ns³d s]mXpLS\bn amäw
{]XnIqeambn _m[nt¨¡mw. AhbnÂ
NneXv ]cntim[n¡mw. hcp¯pw. {]talw, càk½ÀZw, AanX
`mcw F¶nhbpw _oPLS\sb
JÞhme, t_¡À, jm, XpS§nbhÀ kzm[o\n¡pw. _oPmWphn Un F³
tNÀ¶v 2018  {]kn²oIcn¨ `oaamb F hnLS\hpw aäv A\mtcmKy{]hWX
]T\w, {]khhpw, amXmhnepw iniphn Ifpw Isï¯nbn«pïv. BhÀ¯n¨pÅ
epw Isï¯nb A\p_Ô {]iv\ KÀ`aekÂ, {]P\\ klmb kwcw`§
§fpw At\zjW hnt[bam¡p¶p. fn ]cmPbw F¶nh A\p_Ôambn
]nXmhns³d {]mbw Gdn hcpt¼mÄ Dïmtb¡mw. amkw XnIbm¯ {]khw,
amXmhnepw iniphnepw AXv \hPmX iniphnsâ `mc¡pdhv, F¶nh
krãn¡p¶ {]iv\§Ä Isï¯p tcmKmhØbpÅ ]nXm¡fpsS inip¡
IbmWv ]T\w. ]¯p hÀj¯n\nSbn fn A[nIambn ImWmw. amXmhnÂ
\S¶ 40529905 {]kh§fpsS ]qÀÆIme {]talw, {]o G¢mwknb F¶nhbpw
tcJIÄ ]cntim[n¨mWv ]T\w dnt¸mÀ«v sN¿s¸«pImWp¶p. am{XaÃ,
]qÀ¯nbm¡nbXv. C{X henb P\ ]pcpjs³d PohnXssienbpw
kwJym]T\w A]qÀhambXn\m amXmhns\ _m[n¡m\nSbpïv. DZmko\
AXns³d Isï¯epIÄ {]tXyI amb PohnXw ]n´pScp¶ ]pcpjt\msSm
{i²bÀln¡p¶p. _oPkwtbmK ¯v Ignbp¶ kv{Xobpw hymbmaw,
kab¯v ]pcpjs³d {]mbw 45 \p ta k{Inbamb PohnXNcy F¶nhbnÂ
BsW¦n AIme {]khw (premature
birth), {]kh kabs¯ `mc¡pdhv, 2021 s^{_phcn | \½p-sS B-tcm-Kyw 55
A]vKÀ kv-tImdn \yq\X F¶nhbv
¡pÅ km[yX A[nIambn ImWp¶p.
\hPmX iniphn A]kvamc km[yX
bn 18% hÀ²\hv ImWp¶p. ]pcpj
s³d {]mbw 55 Ignsª¦n inip
Xo{h ]cnNcW¯n {]thin¸nt¡ï
km[yXtbdpw; Nnet¸mÄ shânteäÀ
klmbhpw iniphn\v thïnht¶¡mw.
amXmhn\v {]khm\p_Ôamb {]tal
apïmIm\pÅ km[yX 34% hsc IqSpX
embn ImWmw. ]pcpj·mÀ Iptd¡qSn
t\ct¯ ]nXm¡fmIm³ Xocpam\n¡p
¶]£w 13þ14% inip¡Ä¡v IqSpXÂ
sa¨s¸« BtcmKyw DïmIpsa¶pw
IW¡pIÄ kqNn¸n¡p¶p. ]nXmhns³d
{]mbw 25þ34 taJebnemsW¦nÂ

\n¶v hn«p\n¡m³ km[yXtbdpw. 1. KÀ`[mcW ]qÀÆ tkh\§Ä AXym
IqSpX kabhpw P¦v `£W§Ä hiyambn e`nt¡ï kv{XoIÄ¡v
Ign¡m³ Cãs¸Sp¶ ]pcpj³ Iu¬kenwKv In«p¶nÃ.
]et¸mgpw kv{Xo ]¦mfntbbpw
AXntebv¡mIÀjn¡-dpïv. 2. hnLSn¨p InS¡p¶ BtcmKy kwhn
[m\w.
aäp ]T\§fpw {i²bÀln¡p¶p.
\mw Ign¡p¶ `£Ww _oPmWp¡fp 3. DbÀ¶ dnkv-Iv DÅ s]cpamäcoXnIÄ
sS KpWta·sb _m[n¡m³ ¡pw PohnXssienIÄ¡pw NnInÕ
km[yXbpsï¶v IcpXmw. arK§fn e`n¡m\pÅ {]bmkw.
\S¯nb ]co£W§fn amwkyw
(protein) Ipdª `£Ww Ign¡p¶ 4. C³jpd³kv, doCt¼gv-kvsa³äv
B¬ FenIfpsS k´XnIÄ¡v kuIcy§fpsS A]cym]vXX
]eXc¯n A\mtcmKyw A[nIambn
ImWpIbpïmbn. Aam³U Un' 5. ]¦mfnIfpsS Xmev]cy Ipdhv aqew
Awt{_mkntbm ASp¯Imes¯gpXnb AhÀ¡v \ÂIp¶ Iu¬kenwKv
(Unkw_À 2020) teJ\¯n ^e{]m]v-Xnbn F¯msXt]mIpI.
]pcpj·mcn ImWp¶ hÀ²n¨
tcmKmXpcX (AanX h®w, {]talw, 6. sXfnhpIfpsS ASnØm\¯nÂ
càk½ÀZw) aqew KÀ`On{Zw, Nm]nÅ NnInÕn¡m\mIp¶ KÀ`Ime ]qÀÆ
{]khw, Syq_ KÀ`w F¶nh 10% Iïv {]iv\§Ä {i²n¡s¸SmXncn-¡pI.
hÀ²n¡p¶p. KÀ`t¢i§fpw KÀ`m
hkv-YtcmK§fpw ]pcpj]¦mfnbpsS 7. ]¦mfnIfn dnkv-Iv Isï¯pIbpw
IqSn BtcmKyhpambn _Ôs¸«ncn¡p NnInÂkn¡pIbpw sN¿m³
¶p F¶v ]T\§Ä kqNn¸n¡p¶p. Bhiyamb ]cnioe\samcp¡p
¶Xn ]cmPbs¸SpI
KÀ`[mcW¯n\v ap¼pXs¶ ]¦mfn
IÄ¡v AtX¡pdn¨p NÀ¨sN¿m³ ]nXmhmIp¶Xpw hyàamb
kuIcy{]Zamb AhkcapïmIWw. Xocpam\w A\pkcn¨mhWw F¶
C¯cw tkh\§fpsS A`mhw {]tXy Bib¯n\v C¶v [mcmfw ]n´pW
Iw {i²n¡mhp¶XmWv. IpSpw_ e`n¡p¶p. Hcp Ip«nbpïmhp¶ Imcy
tUmÎÀamcpsS Atacn¡³ A¡mZan ¯n kv{Xobpw ]pcpj\pw hyXykv-X
KÀ`Ime]qÀh Iu¬knenMv e`yamIm kao]\amWv kzoIcn¡p¶Xv. ap³Iq«n
¯Xns³d {]Xn_豈 (Jack and Nn´ns¨Sp¯ Xocpam\{]ImcamWv
Culpepper, 1990) Isï¯n. Ah C§s\ KÀ`[mcWw \S¡p¶sX¦nÂ
Npcp¡mw. AXn\pÅ aps¶mcp¡§Ä \S¯m³
]¦mfnIÄ¡v km[yamIpw. {`qW¯n
56 \½p-sS B-tcm-Kyw | 2021 s^{_phcn s³dbpw amXmhnsâbpw Gähpw
sa¨s¸« BtcmKys¯ CXpaqew
Dd¸m¡m³ Ignbpw. kz´w BtcmKyhpw
s]cpamähpw PohnXssienbpw
sa¨s¸Sp¯p¶Xphgn iniphns³d
BtcmKyhpw Dd¸m¡m\mIp¶p.
KÀ`Ime¯v amXmhn\v XpSÀ¨bmbn
sshImcnIhpw am\knIhpamb ]n´pW
\ÂIm³ ]pcpj\v Ignbpw. KÀ`[mc
Whpw {]khhpw ]n¶oSpÅ inip
]cnNcWhpw hyàamb Bkq{XW
t¯msS \St¡ï {]hÀ¯\§Ä
BIp¶p. AhnNmcnXambn kw`hnt¡
ï Imcyaà CsX¶v \mw Adnªncn
t¡ïXmWv.

2021 s^{_phcn | \½p-sS B-tcm-Kyw 57

ikv{X{InbIÄ¡pw tdmt_m«pIÄ!

sshZyimkv{X cwKs¯ Gähpw \qX\amb
tdmt_m«nIv ikv{X{InbIsf¡pdn¨dnbmw

B[p\nI sshZyimkv{XcwK¯v Hgn¨p\nÀ¯m ikv{X{Inb sN¿p¶Xv kÀP\mtWm
\mIm¯ Hcp NnInÕmhn[nbmWv ikv{X{InbI AtXm tdmt_m«pIfmtWm?
Ä. km[mcWcoXnbn ikv{X{InbIsf _lp`q
cn]£w tcmKnIfpw Bi¦tbmsSbpw `bt¯msS Hcn¡epw tdmt_m«v kzbw ikv{X{Inb sN¿p
bpamWv A`napJoIcn¡mdpÅXv. ikv{X{InbIfp IbÃ, adn¨v tdmt_m«nIv kmt¦XnI hnZybp]
sS `mKambn Dïm-tb-¡m-hp¶ cà{kmhw, thZ tbmKn¨v {]hÀ¯n¡p¶ kÀPn¡Â tdmt_m«nIv
\, aäv k¦oÀ®XIÄ XpS§nbh aqeamWXv. knÌs¯ hnZKvZ\mb Hcp tUmIvSÀ Hcp tI{µo
icoc¯n henb apdnhpïm¡n sN¿p¶ ]c¼ IyX kwhn[m\ap]tbmKn¨v \nb´n¨mWv ikv{X
cmKX ikv{X{InbIÄ apX sNdnb apdnhpIfneq Inb ]qÀ¯nbm¡p¶Xv. ikv{X{Inbm kab¯v
sS sN¿p¶ Xmt¡m Zzmc ikv{X{InbIÄ hsc Hcp L«¯nepw tdmt_m«v \nb{´Ww GsäSp¡p
\ap¡v kp]cnNnXamWv, F¶m Xt¡m Zzmc -¶nÃ. efnXamb `mjbn ]dªm Gähpw
ikv{X{InbIsf¡mfpw \qX\ambXpw Ht«sd anI¨ ^ew e`n¡p¶Xn\pthïnbpw kq£vaX
ta·IfpÅXpamb Hcp ikv{X{Inbm coXnbmWv ]peÀ¯p¶Xn\pw kÀPs\ klmbn¡p¶Xn\p
tdmt_m«nIv ikv{X{InbIÄ. thïnbpÅ Hcp D]IcWw am{XamWv kÀPn¡Â
tdmt_m«nIv knÌw.
F´mWv tdmt_m«nIv ikv{X{InbIÄ?
km[mcW ikv{X{InbIIsf At]£n¨v
]c¼cmKX ikv{X{InbIsf¡mfpw Xmt¡m Cu ikv{X{InbIfpsS t\«§Ä
Zzmc ikv{X{InbIsf¡mfpw \qX\amb tdmt_m Fs´ms¡bmWv ?
«nIv kmt¦XnI hnZy D]tbmKs¸Sp¯nbpÅ
ikv{XInbIfmWv tdmt_m«nIv ikv{X{InbIÄ. ]c¼cmKXamb Hm¸¬ ikv{X{InbIfnepw
hnZKv²\mb Hcp kÀP³ \ÂIp¶ \nÀt±i§Ä B[p\nI ikv{X{InbmcoXnbmb Xmt¡m Zzmc
¡\pkcn¨v {]hÀ¯n¡p¶ tdmt_m«nIv kÀPn ikv{X{InbIÄ¡pw AhbptSXmb ]cnanXnIfp
¡Â knÌw D]tbmKn¨mWv C¯cw ikv{X{Inb ïv. Hm¸¬ ikv{X{InbIfn icocw Xpd¶p
IÄ sN¿p¶Xv. aäp amÀ¤§fneqsS F¯ns¸Sm³ sN¿pt¼mgpÅ k¦oÀ®XIfmWv {][m\ ]cnan
Ignbm¯ B´cnImhbh§fn t]mepw Cu Xnsb¦n Xmt¡mÂZzmc ikv{X{InbIfnse {]
coXnbn ikv{X{Inb \S¯mhp¶XmWv. [m\ shÃphnfn Bhiyamb Ne\§fpsS t]mcm
bvabmWv, Cu cïv ikv{X{InbIfpsSbpw ]cn
58 \½p-sS B-tcm-Kyw | 2021 s^{_phcn anXnIÄ ]cnlcn¡m\pXIp¶XmWv tdmt_m«nIv
ikv{X{Inb.

Xmt¡m Zzmc ikv{X{InbIsf¡mÄ
tdmt_m«nIv ikv{X{InbIÄ¡pÅ
t\«§Ä Fs´ms¡bmWv?

tdmt_m«nIv ikv{X{InbIfpw Xmt¡mÂZzmc
ikv{X{InbIsft¸mse Xs¶ an\naen C³hm
kohv ikv{X{InbIfmWv, F¶m Xmt¡mÂ

Zzmc ikv{X{InbIsf¡mÄ tdmt_m«nIv ikv{X{InbIfn kÀP\v tUm. A-\p B³d-Wn hÀ-Kokv
Ne\w km[yamWv, AXmbXv Xmt¡m Zzmc ikvX{InbIfnÂ
aq¶p hn[¯nepÅ Ne\§Ä am{Xta km[yamIpIbpÅpsh¦n I¬-kÄ-«³-dv
tdmt_m«nIv ikv{X{InbIfn Ggp hn[¯nepÅ Ne\§Ä kÀP tdm-t_m-«n-Iv
\v km[yamIp¶p. am{Xaà ikv{X{Inb sN¿p¶ `mK§Ä hfsc emt{]m-kv-tIm-¸nIv
hyIvXambn ImWm³ km[n¡p¶ {Xnam\ Nn{X§fmWv kÀP\v e`y & _m-cn-bm-{Sn-Iv
amIp¶Xv, CXv BbmkclnXambpw IqSpXÂ IrXyXtbmsSbpw kÀP³
kq£vaXtbmsSbpw ikv{X{Inb ]qÀ¯nbm¡p¶Xn\v kÀPs\ F-kv ]n sh t^mÀ«v
klmbn¡p¶p. (SP Well Fort)
imkv-X-aw-Kew,
tcmKn¡v Fs´ms¡ {]tbmP\§fmWv Xn-cp-h-\-´-]pcw
C¯cw ikv{X{InbIfneqsS e`n¡p¶Xv? www.spwellfort.com,
[email protected]
tdmt_m«nIv ikv{X{InbIfn henb apdnhpIÄ CÃm¯Xn\m Phone : 04714567890,
cà{kmh¯n\pw AXp aqeapÅ cà\jvS¯n\papÅ km[yX Whatsapp: 9539450540
hfsc IpdhmWv, IqSmsX thZ\mclnXhpamWv. k¦oÀWamb
ikv{X{InbIÄ¡pt]mepw hfsc Ipdª hn{iaw am{Xta Bhiy
apÅp. IqSmsX hfsc thK¯n Xs¶ t\cs¯ sNbvXncp¶ tPmen
Ifnte¡v aS§nt¸mIm\pw km[n¡psa¶Xpw
FSp¯p ]dtbï t\«w Xs¶bmWv. CtXm
sSm¸w apdnhpIÄ hfsc sNdpXmbXn\mÂ
AXv ]n¶oSv hnIeamb ]mSpIfmbn amdn
Bßhnizmkw Ipdbv¡p¶ kuµcy {]iv\
§Ä¡v ImcWamIptam F¶ `bhpw thï.

GsXms¡ ikv{X{InbIÄ¡mWv 2021 s^{_phcn | \½p-sS B-tcm-Kyw 59
Cu coXn {]tbmP\s¸Sp¯mhp¶Xv?

Xmt¡m Zzmc¯neqsS sN¿p¶ H«pan¡
ikv{X{InbIÄ¡pw tdmt_m«nIv ikv{X{Inb
{]tbmP\s¸Sp¯mhp¶XmWv. AanXh®w
Ipdbv¡p¶ _mcnbm{SnIv ikv{X{InbIÄ,
]n¯mibw \o¡w sN¿p¶ ikv{X{Inb, KÀ
`mibapgIÄ, slÀ®nb, As¸³Unsskän
kv XpS§nb ikv{X{InbIÄ¡pw ]m³{Inbm
kpambn _Ôs¸« ikv{X{InbIÄ¡pw tdm
t_m«nIv kÀPdn {]tbmP\s¸Sp¯mhp¶Xm
Wv.

Ip«nIfnepw

tImhnUv

KpcpXcamImw

KÀ`n-Wn-I-fn sImtdmW h¶m gs¯ coXn. sImtdmW _m[n¨ A½-
\h-Pm-X-in-ip-¡sf F§s\ _m[n bpsS ape-¸m-en \S¯nb Nne ]T-\-
¡pw F¶Xv tcmK-¸IÀ¨-bpsS BZy- §-fn sImtdmW sshd-kn\v FXn-sc-
Im-e¯v \s½ Gähpw Ae-«nb Hcp bpÅ Bân-t_mUn IqSn Iï-tXmsS
tNmZy-amWv. ]t£, A½-am-cn \n¶pw ape-¸m FÃm Ipªp-§Ä¡pw F¶
Ipªp-§-fn-te¡v tcmK-¸-IÀ¨ Ipd-hm {]Jym-]\ ap{Zm-hmIyw IqSp-X Dd-¸p-
sW¶v \mw a\Ênem¡n. Å-Xmbn amdn.

temIm-tcm-Ky-kw-L-S-\bpw kn.Un.kn P\n¨ 48 aWn-¡q-dn-\p-Ån ]n. kn.
bpw Hs¡ Xs¶ ]n¶oSv Ipªns\ BÀ t]mknäohv Bb Ipªp-§Ä
A½-tbm-sSm¸w InS-¯m-sa¶pw ape-bq- (AXm-bXv s]m¡nÄ sImSn hgntbm
«Â XSÊw IqSmsX XpS-cmsa¶pw P\-\-k-a-bt¯m A½-bn \n¶pw
\nÀt±-i-§Ä ]pd-¯n-d¡n. A½ amkvIv tcmKw In«nb Ipªp-§fpw) aäv k¦oÀ
h¨pw ssIIÄ km\n-ssäkv sNbvXpw ®X-I-fn-te¡v t]mIp-¶-XmbpÅ
km[m-cW Hcp Ipªns\ t\m¡p-¶Xv dnt¸mÀ«p-IÄ hfsc hnc-f-am-Wv.
t]mse t\m¡pI F¶-XmWv Ct¸m-

60 \½p-sS B-tcm-Kyw | s^{_phcn 2021

sImtdmW _m[n¨ A½-bpsS
ape-¸m-en \S¯nb Nne ]T-\-§-
fn sImtdmW sshd-kn\v FXn-sc-
bpÅ Bâ n-t_mUn IqSn ItXmsS
ape-¸m FÃm Ipªp-§Ä¡pw F¶

{]Jym-]\ ap{Zm-hmIyw IqSp-XÂ
Dd-¸p-Å-Xmbn amdn.

sImtdmW sshdkv s]mXp-hn Ip«n-Isf _m[n- tUm. dnbmkv
¡p-¶Xv A]qÀh-am-bn«mWv F¶-XmWv temIw H«m-sI- AtÊmkntbäv s{]m^kÀ
bpÅ A\p-`-hw. Un¸mÀ«vsaâ v Hm^v
]oUnbm{SnIvkv
tImhnUv tcmK-¯n\v Imc-W-amb Sars COV-2 F¶ Kh. saUn¡Â tImtfPv
sshdkv hfsc arZp-hmbn s]cp-am-dp¶p F¶pw Xncph\´]pcw
imkv{X-temIw BZyw Icp-Xn. tImhn-Unsâ k¦oÀ®
hn`m-K-§-fmb Imä-Kdn _n, kn L«-§-fn DÅ tcmKn-
IÄ hfsc Ipd-hm-bn-cp-¶p. Ip«n-I-fpsS CS-bnÂ
tImhnUv tcmKw A½-bn \n¶pw ]IÀ¶ \h-Pm-X-in-
ip-¡Ä t]mepw {]tXy-In¨v Kpcp-X-c-amb e£-W-§Ä
H¶pw Xs¶ {]I-Sn¸n¡msX Bip-]{Xn hn«v t]mbn-
cp-¶p.

F¶m tImhnUv AXnsâ km[m-cW e£-W-§-
tfmsS AÃ adn¨v XnI¨pw hyXy-kvX-amb Hcp coXn-
bnemWv Ipªp-§sf _m[n-¡p-¶-Xpw ]n¶oSv Kpcp-X-
c-amb k¦oÀW-X-I-fn-te¡v \bn-¡p-¶-Xp-amWv Cu
ASp¯ amk-§-fn \½Ä I−Xv.

Multi System Inflammatory Syndrome AYhm lrZbw,
izmk-tIm-iw, InUv\n-IÄ, Xe-t¨m-À, I®pIÄ,
sXmen-¸pdw F¶n-hn-
S-§-fn \oÀho¡w
Dïm-IpIbpw
AXnsâ k¦oÀW-X-
IÄ aqew Ipªnsâ
AhØ Kpcp-Xc
amIp-sa¶pw A]qÀ
Æambn Poh\v hsc
A]-ISw kw`-hn-¡m-
sa¶pw C¶v \ap¡v
Adn-bmw.

]\n, hb-dp-th-Z-\,
OÀ±nÂ, hb-dn-f-¡w,

s^{_phcn 2021 | \½p-sS B-tcm-Kyw 61

ISp¯ icoc thZ-\, sXmen-¸p-d¯v imkv{X-tem-I-¯n\v kp]cnNnXamb
Nph¶v XnWÀ¯v hcn-I, I®p-I-fn Ih-km¡n Unkokv F¶ Ipªp-§-
Nph-¸v, càw In\nªv hcn-I, Akm-[m- fn ImW-s¸-Sp¶ lrZ-b-¯nse cà-
c-W-amb £oWw XpS§nb e£-W-§Ä ¡p-g-ep-Isf _m[n-¡p¶ Hcp-Xcw hmX-
FÃmw MISC F¶ Npcp-¡-t¸-cn Adn-b- ¸-\n-bp-ambn kmay-apÅ e£-W-§-fp-
s¸-Sp¶ aÄ«n knÌw C³^vftaädn ambn GI-tZiw 80 Hmfw Ip«n-I-fpsS Hcp
kn³t{Umansâ e£-W-am-Imw. ¢ÌÀ AhnsS Hcp Bip-]-{Xn-bnÂ
tUmIvSÀamÀ {i²n-¨p. AXn-\p-tijw
izmkw-ap-«v, Ipªnsâ ssIIm-ep-IÄ {_n«-\nepw aäp Nne cmPy-§-fnepw
XWp¯ncn-¡p-I, HmÀ½ a§p-I, ab-¡w, C¯cw tIkp-IÄ dnt¸mÀ«v sN¿m³
Npïn\v \oe-\ndw ImW-s¸-Sp-I, ià- XpS§n H¸w C´y-bnepw. Cu Ip«n-I-
amb hb-dp-th-Z\ F¶o e£-W-§Ä fn ]eÀ¡pw tImhnUv hcn-Itbm
Iïm ASn-b-´-c-ambn Ipªns\ AsÃ-¦n tImhnUv tcmKnIfpambn
Bip-]-{Xn-bn F¯n-¡-Ww. k¼À¡w Dïm-Ip-Itbm sNbvXn-cp¶
NneÀ¡v BÀ.än.]n.kn.BÀ sSÌv s\K
C¶v Cu tImhnUv tcmKk¦oÀW äohv Bbn-cp¶p F¦nepw tImhnUv
Xbv¡v hyà-amb NnIn-Õm- t{]m-t«m- Bâot_mUn sSÌv t]mknäohv Bbpw
tImÄ DÅXv sImïv Aan-X-amb `bw Iïp.
Bh-iy-an-Ã. ]t£ C§-s\bpw
tImhnUv Ipªp-§-fn {]Xy-£-s¸-Sm- Cu \nco-£-W-§-fn-eqsS \½Ä
sa¶pw AXv Kpcp-X-c-am-Im-sa¶pw \½Ä apXnÀ¶-h-cn ImW-s¸-Sp¶ tImhn-Un\v
Adn-ªn-cn-¡-Ww. tijw Dïm-Ip¶ \oïv \n¡p¶
t]mÌv tImhnUv kn³t{Umw aqe-apÅ
BZy-ambn C¯cw tIkp-IÄ Akp-J-§-sf-t¸mse Ip«n-I-fnepw
dnt¸mÀ«v sNbvXXv Ata-cn-¡-bn hfsc C¯cw Hcp AhØ DïmImw F¶v
thK-¯n tcmKw ]SÀ¶p-]n-Sn¨ ka- a\-Ên-em-¡p-Ibpw AXns\ MISC F¶v
b¯v Bbn-cp-¶p. t\cs¯ Xs¶ \ma-I-cWw sN¿p-Ibpw sNbvXp.

62 \½p-sS B-tcm-Kyw | s^{_phcn 2021 {_Uv {]jÀ Ipdªv Bh-iy-¯n\v
HmIvkn-P³ tImi-§-fn F¯n-¡m³
Ign-bm¯ tjm¡v F¶ Ah-Ø-bpw
lrZ-b- c-à- [-a\nIfpsS ho¡w, lrZ-b-
¯nsâ Ad-I-fn càw I«n ]nSn-¡pI
F¶n-§-s\-bpÅ AXnk¦oÀW-X-Ifpw
IqSn Cu tcmKw aqew Dïm-Imw F¶v
a\-Ên-em-¡n-b-tXm-sS-bmWv MISC s\
Ipdn¨pÅ Ah-t_m[w tUmIvSÀ
amÀ¡pw AXp-t]mse amXm-]n-Xm-¡Ä
¡pw Dïm-IWw F¶ Nn´ Dïm-Ip-
¶Xpw Rm³ DÄs¸-sS-bpÅ tUmIvSÀ
amÀ CXns\ Ipdn¨v \n§-tfmSv ]d-bp
¶Xpw.

temIm-tcm-Ky-kw-L-S\ hfsc hyà-
amb Nne NnInÕm kqNn-IIÄ hgn
MISCþsâ tcmK-\nÀ®bw kpK-a-am-¡n-bn-
«p-ïv. Bip-]-{Xn-bn F¯n-¨m taÂ
kqNn-¸n¨ tcmK-e-£-W-§-fpsS km¶n-

[y-¯n Inflamation AYhm \oÀho¡w bn HIvtSm-_À
Adn-bm-\pÅ Nne cà- ]-cn-tim-[-\-IÄ, 30þse IW¡v
càw I«-]n-Sn-¡p-¶-Xp-ambn _Ô-s¸« {]Imcw GI-tZiw
]cn-tim-[-\-IÄ, Fs¡m ]cn-tim-[-\, 1200 ankvIv tIkp-
sU¦p, Fen-¸\n XpS-§nb aäp tcmK- IÄ BWv
§Ä Aà F¶v XoÀ¨-bm-¡m-\pÅ ]cn- dnt¸mÀ«v sNbvXn-«p-
tim-[-\-IÄ Ch-sbms¡ hgn IrXy-amb Å-Xv. `mcX-¯nÂ
tcmK-\nÀ®bw Ct¸mÄ km[y-am-Wv. 20 Ipªp-§Ä¡v
Poh³ \jvS-s¸-Sp-
AkpJw Ønco-I-cn¨v Ign-ªm Ibpw sNbvXp.
hfsc Nn«-bmb tcmKo-]-cn-N-cWw hgn
bpw acp-¶p-I-fpsS icn-bmb D]-tbmKw AXn-\mÂ
hgnbpw H«p an¡ tIkpIfnepw ]qÀ®- Aan-X-amb `bw
amb tcmK-apàn km²y-am-Wv. ]e Ip«n- AÃ icn-bmb
I-fnepw tcmK-¯nsâ k¦oÀW kz`mhw Ah-t_m-[hpw
aqew Câ³kohv sIbÀ, \oï Bip- \nXm-´-amb Pm{K-
]{Xn hmkw F¶nh thïn ht¶-¡mw. X-bp-amWv \ap¡v
Bh-iyw. alm-amcn
Bip-]-{Xn-bnse NnIn-Õbv¡v tijw Hcp hÀjw IS-¶n-cn-
ho«n F¯n-bmepw Hmtcm Ip«n¡pw ¡p-¶p. Cu ka-b¯v hoïpw \½Ä
GsXms¡ Ah-b-h§sf F{X-t¯mfw tcmK-{]-Xn-tcm-[-¯n-\mbn kzbw kaÀ¸n-
_m[n¨p F¶-Xnsâ ASn-Øm-\-¯n t¡-ï-Xp-ïv. Ip«n-I-tfbpw apXnÀ¶-h-
hn{i-ahpw ]e tIkp-I-fnepw Gsd scbpw ho«n-en-cp¯n dnthgvkv Izmd-sâ
Znh-k-t¯¡v acp¶pw thïn ht¶-¡mw. bn³ k{¼-Zmbw \S-¸n-em¡n Ahsc
kwc-£n-¡m³ henb Hcp Afhv hsc
CsXms¡ ]d-bp-t¼mgpw hfsc A]q \ap¡v Ign-ªn-«p-ïv.
ÀÆ-amb Hcp tImhnUv k¦oÀW-X-bmWv aäv cmPy-§-fnse A\p-`h ]mT-§Ä
MISC F¶v \½Ä HmÀ¯n-cn-¡-Ww. \t½mSv ]d-bp-¶Xv Cu sshdkv cïm-
aXpw aq¶m-aXpw Hs¡ \s½ B{I-an-
DZm-l-c-W-¯n\v Ht¶ Im tImSn ¡m³ DÅ km[y-X-sb¡pdn¨mWv.
Bfp-IÄ¡v tImhnUv _m[n¨ Ata-cn-¡- F¶pam{Xaà P\nXI amäw aqew
IqSpX tcmK¸IÀ¨ D−m¡p¶
sshdkpIsfbpw ]e cmPy§fnepw

s^{_phcn 2021 | \½p-sS B-tcm-Kyw 63

Is−¯nbncn¡p¶p. sN¿p-¶Xv XoÀ¨-bmbpw Ipªn\v
C¯cw P\nXI amä tZmjw sN¿p-Itb DÅq.
¯nsâ km[yXm]T\
§Ä \½psS kwØm\ \½Ä FÃm-bvt¸mgpw ]d-bp-¶-Xp-
¯pÄs¸sS Bcw`n¨n t]mse hmIvkn³ hcpw hsc amkvIv
«p−v. AXpsImïv Xs¶ BWv hmIvkn³. hmIvkn³ hs¶
hcpw hÀjhpw tIkp- ¶mepw amkvIv, imcocnI AIew, ssI
IÄ IqSp¶ AhØ hr¯nbm¡Â Ch \½Ä Iptd \mÄ
Dïm-Imw. FÃm Ime IqSn XpStc−n hcpw. MISC hcmsX
¯pw kvIqfp-Ifpw \½psS Ipªns\ Im¡m³ tImhnUv
tImtf-Pp-Ifpw AS-¨n«v hcm-Xn-cn-¡m³ \mw Fs´ms¡
\ap¡v \½psS Ip«n-I- sN¿pt¶m AsXms¡ Xs¶bmWv
sfbpw Iuamc¡mscbpw sNt¿-ï-Xv.
kwc-£n-¡m³ Ignªp
sh¶v hcn-Ã. \ap¡v amkvIv icn-bmbn [cn¨pw ssIIÄ
sN¿m³ Ign-bp-¶Xv Hmtcm Xh-Wbpw CS-bv¡nsS hr¯n-bm-¡nbpw imco-cnI
bm{X sN¿p-t¼mÄ AXym-hiyw DÅ AIew ]men¨pw Xp½p-t¼mgpw Npa-bv
XmtWm F¶v Nn´n-¡p-I. ho«n Xncn- ¡p-t¼mgpw hmbpw aq¡pw s]m¯n
s¨-¯n-bm ssI Im-ep-IÄ IgpIn ]nSn¨p \ap¡v \½tfbpw Ipªp-§-
hkv{Xw amdnb tijw am{Xw Ipªp- tfbpw Cu alm-am-cn-bn \n¶pw kwc-
§sf FSp¯v Hma-\n-¡pI. apXnÀ¶ £n-¡mw.
Ip«n-IÄ ]pd¯v t]mIp-t¼mgpw amkvIv
icn-bmbn [cn-¡p¶p F¶v Dd¸p hcp-
¯p-I. Iq«p-ImÀ¡v H¸w IqSp-t¼mÄ
imco-cnI AIew ]men-¨v, amkvIv icn-
bmbn [cn¨v Xs¶ hntijw ]¦n-Sp-I,
kulrZw ]¦v hbv¡p-I, Hcp-an¨v IqSn-bn-
cp¶v kwkm-cn-¨p-sImïv amkvIv amän
`£Ww Ign-¡p-¶Xv ]e-t¸mgpw tcmK-¸-
IÀ¨bv¡v Imc-W-ambn Iïn-«p-ïv.
]ns¶ HcpImcyw {]tXy-I-ambn ]d-bm-\p-
Å-Xv `n¶-ti-jn-¡m-cmb Ip«n-Ifpw,
XpSÀ NnInÕ Bh-iy-amb Ip«n-Ifpw
DZm-l-cWw A]-kvam-cw, hr¡-kw-_-Ô-
amb tcmK-§Ä, izmk-tIm-i-kw-_-Ô-
amb BkvXva t]mse-bpÅ tcmK-§Ä,
Ip«n-I-fnse Ub-_-änkv XpS-§nb tcmK-
ap-Å-hÀ F¶nhÀ \nÀ_-Ô-ambpw Ah-
cpsS NnInÕ XpS-tc-ï-Xp-ïv. AXn\v
tUmIvS-sd t^m¬ hgn _Ô-s¸-Smw,
sSen I¬kÄt«j³ km[y-XIÄ D]-
tbm-Kn¡mw AsÃ-¦n kpc£m-am-\-Z-
Þ-§Ä ]men¨v Bip-]-{Xn-bnÂsImïp
t]mImw. amk-§-tfmfw NnInÕ apS-§p
Itbm sXämbn acp¶p sImSp-¡p-Itbm

64 \½p-sS B-tcm-Kyw | s^{_phcn 2021

BÀ¯h hncm-a-¯n\p tUm. sd-Pn Un.
tijw Dm-Ip¶ »oUnwKv
Imc-W-§fpw NnInÕbpw ko-\n-bÀ
ssK-\-t¡m-f-Pn-kväv,
`h-m-\n-b½ AXm-bn-cp¶p Ah-cpsS t]cv. s\än-bn em-]v-tdm-kv-tIm-]n-Iv
Nµ-\hpw Npïn-se-t¸mgpw ]p©n-cnbpw a\-Êp-\n-dsb kÀ-P³,
kvt\lhp-apÅ \µsâ A½bv¡v GI-tZiw Adp-]
-s¯«v hb-Êp-ïmhpw. \µ³ Ah-cpsS Htc Hcp aI-\m C³-s^À-än-en-än kv-s]-jy-en-kväv,
Wv. \µsâ Aѳ Ah\v ]¯phb-Êp-Å-t¸mÄ acn-¨
-Xm-Wv. ]n¶o-S-hs\ ]Tn-¸n-¨Xpw hfÀ¯n-bXpw h¡o-em 13 hÀ-j-am-bn
-¡n-bXpw B A½-bm-Wv. Ah-cp-sS B sNdnb temI tIm«-bw Im-cn-¯m-kv
-t¯¡v ssje h¶-t¸mÄ B A½bpw aI\pw Hcp-]mSv tlm-kv-]n-äen I¬
kt´m-jn-¨p. F¶m B kt´mjw A[nIw \oïp-\n -kÄ-«³-dv ssK-\-t¡m-f
-¶n-Ã. AhÄ¡v B A½-bp-tSbpw aI-tâbpw kvt\lw -Pn-kv-äm-bn tPm-en
sN-¿p¶p.

Xncn-¨-dn-bm-\m-bn-Ã. AhÄ Ah-t\bpw Iq«n Hä¡p mob: 9447939228
Xmakw XpS-§n. F¶mepw \µ-\-dn-bm-am-bn-cp-¶p email: [email protected]
B A½¡v Ah-\-ÃmsX temI-¯m-cp-an-Ãm-sb-¶v. AXp

-sIm-ï-h³ kabw In«p-t¼m-sgÃmw A½-bpsS ASp-s¯

-¯n. A§-s\-bpÅ Hcp Znh-k-amWh³ IïXv. A½

-bpsS t\cy-Xnsâ ]n¶n cà-¡-d. hÃmsX ]cn-{`-an¨

Ah³ B A½-tbbpw Iq«n F¯n-b-sXsâ ASp-¯m-bn

-cp-¶p. kXy-¯n Ignª A©m-dp-hÀj-ambn A½¡o

{]iv\-ap-ïv. Ah-c-Xm-tcmSpw ]d-ªn-Ã. AXn\p Imc-W

-ambn B A½ ]d-ª-Xv. Ct{Xw \msfms¡ Pohn-¨n-tÃ.

C\n Aht\w Ahsâ `mcy-tbbpw hnj-an-¸n-¡msX

thKw t]mW-sa¶ {]mÀ°-\tb DÅq F¶m-Wv.

AXp-tI-«-t¸mÄ B aIsâ hn§p¶ apJw, hnXp-¼p¶

Npïp-IÄ AXn-t¸mgpw Fsâ DÅn hoWp

s]mÅp-¶p-ïv. Ipg-¸-sam-¶p-ap-ïm-hn-ÃtÃm AtÃ

tUmIvSÀ F¶ Abm-fpsS tNmZy-¯n\v Dïm-hnà F¶p

]d-bm³ Rm\m-{K-ln-s¨-¦nepw F¶nse tUmIvSÀ¡Xp

Ign-ªn-Ã. ImcWw an¡-hmdpw AXv amenKv\³knbm-hp

-sa¶v At¸mtg tXm¶n-bn-cp-¶p. Nne-t¸m-sgms¡ \½-

fpsS Ub-Kvt\m-knkv sXäm-dp-ïv. CXpw A§-s\-bm-hs«

F¶v Rm\m-ßmÀ°-ambn B{K-ln-¨n-cp-¶p,

{]mÀ°n¨n-cp-¶p. ]t£ t]Sn-¨-Xp-Xs¶ kw`-hn-¨p.

`hm-\n-b-½¡v skÀssh-¡Â Im³k-dm-bn-cp-¶p.

2021 s^{_phcn | \½p-sS B-tcm-Kyw 65

Hcp hÀj-ambn BÀ¯hw Dm-bn-«n-sÃ-¦n AXns\ sa\-t]mkv
F¶mWv ]d-bp-¶-Xv. AXn-\p-tijw Dm-Ip¶ »oUnwKv

AXv hfsc sNdp-Xm-sW-¦nepw tUmIvSsd I¬kÄ«v sN¿-Ww.

AXv emÌv tÌPv enh-dn-te¡pw e§vkn Hcp hÀj-ambn BÀ¯hw Dïm-bn-«n
-te¡pw Hs¡ kvs{]Uv sNbvXn-cp-¶p. -sÃ-¦n AXns\ sa\-t]mkv F¶mWv
AXp-sImïv kÀPdn km[n-¡p-am-bn-cp ]d-bp-¶-Xv. AXn-\p-tijw Dïm-Ip¶
-¶nÃ. ]n¶oSv aqt¶m \mtem amk-¯n-\ »oUnwKv AXv hfsc sNdp-Xm-sW-¦nepw
-¸pdw B A½ Dïm-bn-cp-¶n-Ã. Hcp tUmIvSsd I¬kÄ«v sN¿-Ww. GI
Znhkw cm{Xn F\n¡v \µsâ tImfp-ïm -tZiw 10% tcmKn-I-fn CXv ssK\-t¡m-f
-bn-cp-¶p. -Pn-¡Â Im³k-dnsâ e£-W-ambn
Iïph-cm-dp-ïv.
"kmtd A½ t]mbo«m' hn§n
-s¸m«ns¡mï-bmÄ AXp ]d-ª-t¸mÄ, F´mWv Imc-W-§Ä?
A¯cw \nan-j-§-fmWv R§Ä
tUmIvSÀamÀ Gähpw shdp-¡p-¶-Xv. 1. Polyp : Polyp F¶p-]-d-bp-¶Xv KÀ`m-i-b
Hcn-¡epw Dïm-h-cptX F¶p -¯nsâ DÅn-epw, Cervical Canal epw, Cervix
{]mÀ°n-¡p-¶-Xpw. -sâ shfn-bnepw hcp¶ growth BWv.
CXv Im³kÀ AÃ. ]s£ CXv Spoting
A©p-hÀj-¯n-\n-S-bn-se-t¸m-sg-¦nepw Plv, Aan-X-amb »oUnwKv AsÃ-¦nÂ
B A½¡v Hcp ssK\-t¡m-f-Pn-Ìns\ skIv-kn\ptijw DÅ »oUnwKv
ImWm³ tXm¶n-bn-cp-s¶-¦n Hcp F¶nh Dïm-¡p-¶p.
kn¼nÄ lnkv{S-IvS-an-bn \nÂt¡-ïXv
Ah-km\w B A½bpsS Poh\pw 2. Endomentrial Atrophy : KÀ`m-i-b-¯nsâ
FSp-¯n-«mWv t]mb-Xv. C\n Hc-½¡pw DÅnse `n¯n, hfsc t\À¯Xv
CXpïm-h-cp-Xv. AXp-sImïv IqSn-bmWv BIp¶ AhØ BWv CXv.
C¯-hW Rm³ Fsâ-bo- teJ-\-¯n\v
""BÀ¯h hncm-a-¯n\p tij-apÅ 3. Endometrial Hyperplasia : KÀ`m-i-b-¯nsâ
»oUnwKv'' hnj-b-ambn sXc-sª-Sp-¯ Interval Layer hfsc I«n-Iq-Sp¶ AhØ
-Xv. FÃm A½-amcpw CXp hmbn-¡-Ww. BWv CXv. BÀ¯h hncm-a-¯n\p
Fs´-¦nepw C½m-Xncn {]iv\-§-fp-sï
-¦n Hcp ssK\-t¡m-f-Pn-Ìns\ ImWm³
aSn-¡-cp-Xv.

66 \½p-sS B-tcm-Kyw | 2021 s^{_phcn

tijw Oestrogen IqSp-Xepw, Progesterone Sex \p tijw Bbn-cn¡pw »oUnwKv
Ipdhpw Bbn-cn-¡pw. CXv Endometrium Dïm-Ip-¶-Xv.
I«nIqSn »oUnwKv Dïm-¡p-¶p. Nne
-t¸mÄ tImi-§Ä Abnormal Bbn Im³ 5. ssK\-t¡m-f-Pn¡Â Im³kÀ
kÀ Bbn amdm-\pÅ km[y-Xbpw Dïv. KÀ`m-i-b-apJ Im³kÀ

4. Vaginal Atrophy Endometrial Cancer , Vaginal / VGLVAL Cancer
Overian Cancer, Fallopian tube cancer
tbm\o-`n¯n, hfsc t\cn-bXv
BIp¶ AhØ BWv CXv. Oestrogen 6. Nne-Xcw ssewKnI tcmK-§Ä
tlmÀtam-Wnsâ Afhv Ipd-bp-¶Xp
aqe-amWv CXv Dïm-Ip-¶-Xv. an¡-t¸mgpw (Sexually Transmitted Disease )

tKmtW-dn-b, slÀ]n-kv, ¢man-Un-b.

Nne-Xcw acp-¶p-IÄ

-Hormone Therapy -Tamoxifen -Letrozole Ab-bv¡p-¶p.

Imc-W-§Ä Iïp-]n-Sn-¡m³ Fs´m 8. lnÌtdm tkmtWm-{Km^n
s¡ sSÌp-IÄ BWv sN¿p-¶-Xv.
1. knw]nÄ P/S and Pervaginal Examination (Hystero Sono Graphy)
2. PAP Smear Test
3. skÀhn-¡Â _tbm]vkn 9. Hystero Scopy
4. sshP-\Â _tbm]vkn
5. hÄh³ _tbm]vkn {]tXyI coXn-bn DÅ Iymad h¨v
6. Transvaginal Ultrasound KÀ`m-i-b-¯nsâ DÅv ]cn-tim-[n-¡p
tbm\o-`m-K¯p IqSn sN¿p¶ -¶p. AXn IqSn Biopsy, Polyp removal
F¶nh km[n-¡p-¶p. km[m-cW
kvIm\nwKv ]cn-tim-[\ BWv CXv. A\-kvtXjy Bh-iy-am-Wv.
CXnÂIqSn KÀ`m-i-b-`n-¯n-bpsS I«n,
KÀ`m-i-b-¯n-\p-Ån-se hfÀ¨ Cervical 10. D & C
Growth apX-em-bh a\-Ên-em-¡m³ ]äpw.
KÀ`m-i-b-apJw hnI-kn-¸n¨v {]tXyI
7. Endometrial Biopsy C³kv{S-saâv IS-¯n, Internal Layer
Npcïn Ifªv _tbm]vkn ]cn
sNdnb Syq_v sImïv Endometrial -tim-[-\bv¡v hnSp-¶p. Polyp, Hyperplasia,
sse\nwKv FSp¯v ]cn-tim-[-\bv¡v Cancer XpS-§n-bh Iïp-]n-Sn-¡m³
km[n-¡p-¶p. A\-kvtXjy AsÃ
-¦n Sedation Bh-iy-am-Wv.

NnInÕ

Imc-W-§Ä A\p-k-cn-¨mWv NnIn-Õ

1. sshP-\Â, F³tUm-sa-{Sn-bÂ, At{Sm-]n, Cukv-{SP³ NnInÕ BWv \ÂIp-¶-Xv.
Sm_ve-äv, {Ioap-IÄ, dnwKvkv F¶o cq]-¯n \ÂIp-¶p.

2. Progesterone Kpfn-I-IÄ Endometrial Hyper Plasia bpsS NnIn-Õbv¡v D]-tbm-Kn-¡p-¶p.
{Ioap-IÄ, Intrauterine Device  IqSnbpw Progest Erowe Supplement sImSp-¡m-dp-ïv.
3. Hysteroscopy: CXnsâ klm-b-t¯msS Polyp, Thickend Part of Endometrin Removal sN¿p-¶p.

4. D&C

5. Hysterectomy with bso : KÀ`m-i-bhpw A-Þm-i-bhpw ap-gph³ amäp¶ kÀPdn BWv
CXv. Precancerons Hyperplasia, Endomaterial cancer, Cervial Cancer F¶n-hbv¡v sN¿-p-¶p.

6. Radiation, Chemotherapy, Hormone Therapy: Uterus FSp-¯v am-än-b-Xn-\p-tijw D]-tbm-Kn-¡p¶
Im³kÀ A\p_Ô NnIn-Õm-co-Xn-IÄ BWv CXv.

2021 s^{_phcn | \½p-sS B-tcm-Kyw 67

ew_mÀ I\mÂ
Ìot\m-knkv

\mwkm[m-cW \s«Ãp tcmK-ap-Å-hÀ¡v ]d-ªp-sIm-Sp-¡m-dpÅ Hcp Ub-tám-knkv
BWv ew_mÀ I\m Ìnt\m-kn-kv. {]tXy-In¨pw Ipd¨v {]mb-ta-dn-b-h-cnÂ.

F´mWv ew_mÀ I\m Ìnt\m-kn-kv?

Ne-\-ti-jn-bpÅ \s«-Ãnsâ `mK-§Ä¡v tXbvam\w hcp-¶Xp aqew, kmh-[m-\-
¯n A[n-I-cn¨p hcp¶ kvss]\ I\men (kpjpav\m \mUn IS-¶p-t]m-Ip¶
Øew) \pÅ Npcp¡w F¶p ]d-bmw. CXp \s«-Ãnsâ Hcp I®n-bpsS `mKt¯m
A\-h[n I®n-I-fpsS `mKt¯m kw`-hn-¡mw.

CXp-aq-eapÅ tcmK-e-£-W-§Ä Nne Ah-k-c-§-fn IqSnbpw aäp Nne Ah-k-c-
§-fn Ipdªpw ImWmw. F¶m CXv kmh-[m\w A[n-I-cn¨p hcp-¶-Xm-bmWv
ImWp-¶-Xv.

CsX-§s\ kw`-hn-¡p¶p

\s«-Ãnsâ cïv I®n-Ifpw Ahsb _Ôn-¸n-
¡p¶ Unkv¡pw, enK-saâvkpw, cïv ^mskäv (Facet
Joint) kÔn-Ifpw tNÀ¶-Xm-Wv Hcp ^wKvj-WÂ
kvss]\Â bqWnäv (Functional Spinal Unit).

cïv I®n-IÄ¡n-S-bv¡pÅ Unkv¡n\v tXbvam\w
kw`-hn-¡p-t¼mÄ AXn-t\mSv tNÀ¶pÅ I®n-IÄ¡v
Dïm-Ip¶ Ak-´p-en-Xm-hØ (Instability) Dïm-Ip-
¶p. icocw CXns\ D±o-]n-¸n-¡m³ {ian-¡p-¶-Xnsâ
`mK-ambn Cu I®n-IÄ¡p NpäpapÅ enKsaâvkn\v
I«n IqSp-¶p. IqSmsX Cu I®n-Isf _Ôn-¸n-¡p¶
^mskäv kÔn-IÄ¡v tXbvam\w kw`-hn-¡p-I-bpw,
CXv Osteophytes Dïm-Ip-¶-Xn-\pw, kvss]\Â
I\m {ItaW IqSp-X IqSp-X Npcp-§p-¶-Xn\pw
Imc-W-am-Ip-¶p. Cu amä-§Äs¡m¸w Unkv¡v
s{]mem-]vkp-IqSn h¶m tcmK-e-£-W-§Ä thK-
¯n kw`-hn-¡p-¶p.

tcmK-¯nsâ {][m-\-s¸« e£-W-§Ä

68 \½p-sS B-tcm-Kyw | s^{_phcn 2021 kvss]\ I\m Ìnt\m-kn-kp-ff tcmKn-IÄ
IqSp-X-embpw \yqtdm-sP-\nIv t¢mUn-t¡-j³''
(Neurogenic Claudication) BWv tcmK-e-£-W-ambn
]d-bm-dv.

km[mcWbmbn ZoÀL-\m-fs¯ tcmK-e-
£-W-§-fp-am-bmWv tcmKn-IÄ F¯m-dv.

ew_mÀ I-\m Ìot\m-knkv hfsc
kmh-[m-\-¯n A[n-I-cn-¡p¶ Hcp
tcmK-am-Wv. Nne Ah-k-c-§-fnÂ, tcmK-
e-£-W-§Ä ]mtS CÃm-Xm-Ip-¶p.
Hcn-S-th-f-bv¡p-tijw CXp hopw

{]Xy-£-s¸-Sp-¶p.

F´mWv ""\yqtdm-sP-\nIv t¢mUn-t¡-j³?'' tUm. kptcjv Fkv ]nÅ
ko\nbÀ I¬kÄ«â v
Ipd-¨p-t\cw \S-¡p-t¼m-tgm, Ipd-¨-[n-I-t\cw \n kvss]³ kÀP³
¡p-t¼m-tgm, tcmKn-bpsS Imen-tet¡m Imep-I-fn- _n.Fw.F¨v kvss]³
tet¡m hym]n-¡p¶ thZ-\, XpSÀ¶v \n¡p-¶- skâÀ
Xnt\m \S-¡p-¶-Xnt\m DÅ _p²n-ap-«v, CXns\ t__n sat½mdnbÂ
\yqtdm-sP-\nIv t¢mUn-t¡-j³ F¶p hnfn-¡mw. tlmkv]näÂ
tcmKn Ipd-¨p-t\cw Ccp¶p Ign-bp-t¼mÄ Cu tcmK-e- tImgnt¡mSv
£-W-§Ä A{]-Xy-£-am-Ip-I-bpw, tcmKn¡v hoïpw
]gb]Sn \S-¡m³ km[n-¡p-Ibpw sN¿p-¶p. tZiobhpw A´ÀtZiobhpamb
tPÀWepIfn 75  ]cw
Imep-I-fn-te-¡pÅ cà-¡p-g-ep-I-fpsS sRcp¡w teJ\§Ä {]kn²oIcn¨p.
aqew \yqtdm-sP-\nIv t¢mUn-t¡-j³ t]mse-bpÅ
e£-W-§Ä Dïm-Imw. CXns\ hmkvIp-eÀ t¢mUn- kvtImfntbmknkns\ Ipdn¨pÅ
t¡-j³ F¶p hnfn-¡p-¶p. Cu Ah-Ø-bnepw tcmKn sSÌv _p¡v Nm]väÀ
Ipd-¨p-t\cw \S-¡p-t¼mÄ tcmK-e-£-W-§Ä
{]Xy-£-s¸-Sp-¶p. ASSI 2020 se ¢n\n¡Â dnkÀ¨v
XpSÀ¶v, Ipd-¨p-t\cw AhmÀUpw PohImcpWy
\n¶m tcmK-e-£-W- {]hÀ¯\§Ä¡v \nch[n
§Ä A-{]-Xy-£-am-Ip- AhmÀUpIÄ t\Snbn«p−v.
¶p. tcmK-e-£-W-§Ä
Ipd-bp-¶-Xn\v Ccn- tIcfm tPÀWÂ Hm^v
t¡ï Bh-iy-an-Ã. HmÀt¯m]oUn¡nsâ ap³
IqSmsX A[n-I-t\cw FUnäÀ
\n¡p-¶-Xv, hmkvIp-
eÀ t¢mUn-t¡-j-\n tPÀW Hm^v HmÀt¯m
tcmK-e-£-W-§Ä ]oUn¡v Atkmkntbj³
A[n-I-cn-¸n-¡p-¶n-Ã. Hm^v ku¯v C´ybpsS
Ct¸mgs¯ FUnäÀ
kvss]\Â I\mÂ
Ìnt\m-kn-knsâ {][m\ tcmK-e-£Ww \yqtdm-sP- tZiobhpw A´ÀtZiobhpamb
\nIv t¢mUn-t¡-j³ BsW-¦nepw aäp tcmK-e-£-W- ]e kwLSIfpsSbpw sa¼À
§fpw ImWm-dp-ïv. \Sp-th-Z-\, Imep-I-fn-te¡v
hym]n-¡p¶ thZ-\, Im ac-hn¸v, kqNn-I-p¯p¶ kvtImfntbmknkv dnkÀ¨v
t]mse-bpÅ thZ-\, Imep-IÄ¡v `mcw tXm¶p-I, skm sskänbpsS kPoh
AwKw

tZiobhpw
A´ÀtZiobhpambn
\s«Ãns\¸änbpÅ hnhn[
hnjb§fn 300 ¸cw
NÀ¨Ifn ]s¦Sp¯n«p−v.

s^{_phcn 2021 | \½p-sS B-tcm-Kyw 69

\S-¡p-t¼mÄ _me³kv t]mIp-¶Xp ]n-Sn-¯hpw Dïm-Ip-I. C§s\ e£-W-
t]mse tXm¶p-I, Imen \n¶v sNcn¸v §Ä A[n-I-cn¨v {ItaW t]in-IÄ¡v
Ducn-t¸m-Ip-I, thZ-\-bn-ÃmsX Imep-I- _e¡pdhp kw`-hn-¡p-I-tbm, ae-aq-{X-hn-
fpsS t]in-IÄ¡v _e-£bw Dïm-Ip-I, kÀÖ-\-¯n\v XS-Ê-ap-ïm-Ip-Itbm
\nXw-_-¯n-epÅ thZ\ XpS-§n-b-h- sN¿p-¶p.
sbms¡ ImW-s¸-Smw. F¶mÂ
\Sp-hp-th-Z\ FÃm-bvt¸mgpw Dïm-I-W- ew_mÀ I\m Ìnt\m-kn-kpÅ
sa-¶n-Ã. tcmKn-IÄ ]e-t¸mgpw apt¶m«v Iq\n-
\n-¡m-dp-ïv. ]e-t¸mgpw Ibäw Ib-dp-¶-
km[mcWbmbn ZoÀL-\m-fs¯ Xn\pw ssk¡nÄ Nhn-«p-¶-Xn\pw
tcmK-e-£-W-§-fp-am-bmWv tcmKn-IÄ ChÀ¡v Xmc-X-tay\ _p²n-ap«v Ipd-hm-bn-
F¯m-dv. ew_mÀ I-\m Ìot\m-knkv cn-¡pw. ]e ]T-\-§-fnepw apt¶m-«p- Iq\n-
hfsc kmh-[m-\-¯n A[n-I-cn-¡p¶ bp¶ Ah-k-c-¯n ew_mÀ I\m-ensâ
Hcp tcmK-am-Wv. Nne Ah-k-c-§-fnÂ, DÅnse Gcnb 12% IqSp-¶-Xmbn sXfn-
tcmK-e-£-W-§Ä ]mtS CÃm-Xm-Ip-¶p. bn-¨n-«p-ïv. CXm-bn-cn¡pw C¯-c-¯nÂ
Hcn-S-th-f-bv¡p-tijw CXp hoïpw {]Xy- Nne {]tXyI s]mkn-j-\n tcmK-e-£-
£-s¸-Sp-¶p. aäp Nne Ah-k-c-§-fn W-§Ä Ipd-hm-bn-¡m-Wp-¶-Xv. tXbv
AanX Imbn-Im-[zm\w thïn hcp-t¼m- am\w h¶ ^mskäv kÔn-IÄ, tcmKn
tgm, Hcp Unkv¡v s{]mem]vkv Dïm-Ip- ]n¶n-te¡v hf-bp-t¼mÄ \mUn-Isf
t¼mtgm tXbvam\w aqew ^mskäv IqSp-XÂ sRcp¡pIbpw, Cu s]mkn-j-
kÔn-bn-ep-ïm-Ip¶ knÌv (Cyst) \n (extension) tcmK-e-£W§Ä A[n-I-
kvss]\Â I\m-ens\ sRcp-¡p-t¼mtgm ambn ImWp-¶-Xn\pw Imc-W-am-Ip-¶p.
tcmKn¡v s]s«¶v tcmK-e-£-W§Ä AXn-\m ew_mÀ I\m Ìnt\m-kn-
A[n-I-cn-¡mw. Nne Ah-k-c-§-fn kpÅ tcmKn-I-fn ]n¶n-te¡v hf-bp-
tImU CssIz\ kn³t{Umw (Imep-I-fn- t¼mÄ tcmK-e-£-W-§Ä A[n-I-cn-¡p-
te¡v hym]n-¡p¶ thZ-\-tbm-sSm¸w ¶-Xmbn ImWp-¶p.
ae-aq-{X-hn-kÀÖ-\-¯n-\pÅ XI-cm-dv)
t]mse Dïm-Imw, ]e-t¸mgpw Nne Ah-k-c-§-fn ew_mÀ I\mÂ
ITn-\-amb ew_mÀ I\m Ìot\m-
kn-kn-s\m¸w Unkv¡v s{]mem-]vkp-
ïm-Ip-I-tbm, CSF aÀ±w Iq«p¶
ITn-\-amb Npa-tbm, O˱ntbm
Dïm-Ip-t¼m-gmWv tcmKn tImU
CssIz-\- kn³t{Umw t]mse
e£-W-§Ä {]I-Sn-¸n-¡p-¶-Xv.

{ItaW tcmKw
aqÀÑn-¡p-¶-X-\p-k-cn¨v tcmK-e-£-
W-§Ä A[n-I-cn-¡p-¶p. Imen-
te¡p hym]n-¡p¶ thZ\ IqSp-I-
bpw, t¢mUn-t¡-j³ Zqcw
(Claudication distance) (thZ\ aqew
Ccn-t¡ïn hcp-¶-Xn\p ap³]v
\S-¡m³ ]äp¶ Zqcw) Ipd-bp-Ibpw
sN¿p-¶p. hn{i-a-k-a-b¯pw thZ-\-
bp-ïm-Ip-I, cm{Xn Ime§fnepw
thZ-\bpw Imep-I-fnse t]in-

70 \½p-sS B-tcm-Kyw | s^{_phcn 2021

Ìnt\m-knkpw skÀhn-¡Â ab-vtem-¸Xn skÀhn-¡Â ab-vtem-¸Xn Iïp-]n-Sn-¡m
(Cervical Myelopathy) bpw Hcp-an¨v ImWm- sXbncp-¶mÂ, ew_mÀ kvss]³ ikv{X-
dp-ïv. CXns\ Sm³Uw Ìot\m-knkv {Inb \S-¯n-¡-gn-bp-t¼mÄ skÀhn-¡Â
(Tandem Stenosis) F¶p-]-d-bp-¶p. atbm-¸-Xn-bpsS Xo{h-X-b- \p-k-cn¨v
Imep-IÄ¡v _e-¡p-d-hp-ïm-Im³ km[y-
CXv Nne Ah-k-c-§-fn tcmK-e-£- X-bp-ïv. AXn-\m ew_mÀ I\mÂ
W-§Ä {]I-Sn-¸n-¡m-dp-ïv. DZm-l-c-W-¯n- Ìot\m-kn-kpÅ tcmKn-I-fn apIÄ`m-K-
\v, ssII-fp]-tbm-Kn-¨pÅ kq£va- t¯-¡pÅ kpjp-av\-bpsS kvIm³
{]-hÀ¯-\-§Ä XS-Ê-s¸-SpI (kqNn- sNbvXp-t\m-t¡-ï-Xm-Wv. tcmKn-I-fnÂ
tImÀ¡p-I, jÀ«nsâ _«¬ CSpI CXv sXän-²m-c-W-bp-ïm-¡m\pw km[yX
XpS-§n-b-h), aZy-]n-¨-h-sc-t¸mse BSn IqSp-X-em-Wv.
BSn \S-¡pI (Drunken gait) apX-em-bh.
Nne Ah-k-c-§-fn skÀhn-¡Â ab- ew_mÀ I\m Ìot\m-kn ]e-
tem-¸-Xnbpw ew_mÀ I\m Ìot\m- t¸mgpw Clinical Signs ImWm-dn-Ã. CXv
knkpw Hcp-an-¨p-sï-¦nepw skÀhn-¡Â {][m-\-ambpw tcmK-e-£-W-§Ä h¨pÅ
ab-vtem-¸-Xn-bpsS tcmK-e-£-W-§Ä Hcp Ub-Kvt\m-knkv BWv. AXn-\mÂ
{]I-S-am-Im-dn-Ã. F¶m tUmIvSÀ¡v IrXy-amb tcmK-hn-hcw tcmKn-bn \n¶v
ssII-fnse _e-¡p-d-hpw, dn^vf-Ivkp-I- tNmZn-¨-dn-tb-ï-Xm-Wv. IqSmsX Imense
fp-saÃmw ]cn-tim-[n¨v a\-Ên-em-¡mw. aäp ]Äkv t\m¡n Imep-I-fn-te-¡pÅ cà-
Nne Ah-k-c-§-fn tcmKn skÀhn-¡Â tbm«w a\-Ên-em-t¡-ïXv hmkvIp-eÀ
ab-vtem-¸-Xn-bpsS bmsXmcp tcmK- t¢mUn-t¡-j³ CsÃ-¶p-d-¸p-h-cp-¯m³
e-£-W-§fpw {]I-Sn-¸n-¡m-dn-Ã. MRI klm-b-I-am-Wv. IqSm-sX, ew_mÀ
kvIm³ sN¿p-t¼m-gm-bn-cn¡pw Igp- I\m Ìot\m-knkp t]mse tcmK-e-£-
¯nse kpjp-av\-bpsS sRcp-¡-hpw, W-§Ä {]I-S-am-¡p¶ Ah-Ø-Ifpw
kpjva-\-bpsS \oÀho-gvNbpw (Cord Edema) Dtïm F¶v ]cntim[n-t¡-ï-Xm-Wv.
a\-Ên-em-Ip-I. AXn-\m ew_mÀ DZm-l-c-W-¯n\v ImÂap-«p-I-fp-tSbpw
I\m Ìot\m-kn-knsâ tcmK-e-£-W- CSp-¸n-tâbpw (Hips), tXbvam\w (Osteo
§-fp-ambn hcp¶ tcmKn-Ifpw ssII-fpsS arthritis) Sacroiliac joint \pÅ {]iv\-§Ä,
{]hÀ¯\w Ft¸mgpw ]cn-tim-[n-t¡- \mUo-kw-_Ô tcmK-§Ä, Vit. B12 sâ
ïXv hfsc AXym-h-iy-am-Wv. Ft¸mgpw Ipd-hv, cà-¡p-g-ep-IÄ¡pÅ Akp-J-
C¯cw Ah-k-c-§-fn \s«-Ãnsâ §Ä apX-em-b-h. C¯cw Ah-Ø-IÄ
apgp-h³ kv{Io\nwKv MRI FSp-¡p-¶Xv ew_mÀ I\m Ìot\m-kn-kn-s\m¸w
hfsc {]tbm-P-\-{]-Z-am-Wv. AsÃ-¦nÂ, ImW-s¸-Sm\pw tcmK-\nÀ®-b-¯nÂ
Ch cïpw Hcp-an-¨pÅ tcmKn-I-fn A]m-I-X-I-fp-ïm-Im\pw km[y-X-tb-sd-
bm-Wv.

tcmK\n˨bw

\Sp-hnsâ FIvkvtd (Lumbar spine)
\n¶p sImïpw InS¶p sImïpw AsÃ-
¦n apt¶m«pw ]nt¶m«pw hf-ªp-
sImïpw FSp-¡p-¶-Xv \s«-Ãnsâ Xpe-
\m-hØ a\-Ên-em-¡p-¶-Xn\pw hnhn[
s]mkn-j-\p-I-fn Ìot\m-knkv IqSp-¶-
Xn-\pÅ km[y-X- A-dn-bp-¶-Xn\pw klm-
bn-¡p-¶p. IqSmsX apgp-h³ \s«-Ãnsâ
\n¶p-sIm-ïpÅ FIvkvtd, sam¯-¯n-
epÅ \s«-Ãnsâ Xpe-\m-h-Ø- A-dn-bp-¶-

s^{_phcn 2021 | \½p-sS B-tcm-Kyw 71

Xn\pw ikv{X-{Inb ¹m³ sN¿p-¶-Xn\p ¯n\pw AXp-aqew Ìot\m-kn-kn\pw
klm-b-I-am-Ipw. CXv hfsc {][m-\-s¸« Imc-W-am-Ip-¶p.
Hcp Imcy-am-Wv.
NnInÕ
MRI kvIm³ BWv Gähpw {][m-\-
s¸« ]cn-tim-[-\. \mUn-IÄ¡p-ïm-Ip¶ tcmK-¯nsâ k¦oÀ®-X-b-\p-k-cn
sRcp¡w Unkv¡p-I-fpsS AhØ -¨mWv NnIn-Õ. MRI kvIm\n-epÅ
XpS-§nb Imcy-§-sfÃmw a\-Ên-em-¡p-¶- hyXym-k-§Ä tcmK-e-£-W-§-fp-ambn
Xn\pw NnInÕ \nÀ®-bn-¡p-¶-Xn\pw s]mcp-¯-s¸-Sp-¶-Xm-sW-¦n {]mcw-`m-h-
CXv klm-bn-¡p-¶p. Standing MRI Dw Ø-I-fn acp-¶p-Ifpw hymbm-a-§fpw
Stress MRI Dw IqSp-X hnh-c-§Ä e`n-¡p- ^e-{]-Z-am-Wv. tcmKn-bpsS _p²n-ap-«p-
¶(Ele-Xctnr\omv kyolgramp-bhyn)-¡, NpC-¶S p(.NEerMveGConduction Ifpw A\p-_Ô Imcy-§-fpw, _e-¡p-d-
Study) Colour dopler XpS-§nb ]cn-tim-[-\- hv, Zn\-N-cy-Isf XS-Ê-s¸-Sp-¯p¶ coXn-
Ifpw A\p-_-Ô-ambn D]-tbm-Kn-¡mw. bn-epÅ tcmK-e-£-W-§Ä CXn-s\m¸w
MRI sN¿m³ ]äm¯ Ah-k-c-§-fnÂ
kn.än kvIm³ D]-tbm-Kn-¡mw. F¶m tcmKn-¡pÅ aäv Akp-J-§Ä apX-em-bh
Soft tissues IqSp-XÂ hyà-ambn Adn-bp-¶- ikv{X-{Inb sN¿p-¶-Xn\v ap³]v ]cn-
Xn\v MRI BWv D¯-aw. K-Wn-t¡-ï-Xm-Wv.

Facet tropion \oÀhogvN amäp-¶-Xn-\pÅ acp-¶p-IÄ,
he-Xp-h-ihpw CS-Xp-h-i-hp-apÅ \mUo-kw-_-Ô-amb thZ-\m-kw-lm-cn-IÄ
ÌntdmbvUv XpS§nbh Npcp-§nb ka-b-
^mskäv kÔn-bpsS Hmdn-sb-tâ-j\n t¯¡v ^e-{]-Z-ambn D]-tbm-Kn-¡mw.
epÅ hyXymkw CXv Ak-´p-en-Xm-h-
Øbv¡pw ew_mÀ UnkvIv tXbvam-\- hb-dn-tâbpw \Sp-hn-tâbpw t]in-IÄ

72 \½p-sS B-tcm-Kyw | s^{_phcn 2021

_e-s¸-Sp-¯p¶ hymbma apd-IÄ klm- km[m-c-W-bmbn CXn\v D]-tbm-Kn-¡m-dn
b-I-am-Wv. \Sp-hn-\n-Sp¶ s_Âäv -Ã. F¶m henb dnkv¡pÅ ikv{X-
tcmKn¡v \Sp-hn\v Hcp apdp¡w tXm¶p- {Inb \S-¯m³ ]äm¯ tcmKn-I-fnÂ
¶-Xn-\pw, thZ-\bv¡v Bizm-k-ta-Ip-¶- klm-b-I-am-tb-¡mw. thZ\ Ipd-bv¡p-¶-
Xn\pw klm-b-I-am-Imw. \s«-Ãn-\pÅ Xn\v ^mskäv kÔn-I-fn 't»m¡v'
sImSp-¡m-hp-¶-Xm-Wv.
Stroid Injection (epidural Steroid injection)

ikv{X-{Inb

\s«-Ãn\v Ak-´p-en-Xm-h-
Ø-bp-Å-t¸mgpw ITn-\-amb
Ìot\m-kn-kp-Å-t¸mgpw
ikv{X-{I-nb-bmWp¯aw.
F{X `mK-§-fn \n¶v
sRcp¡w amä-Ww, I®n-IÄ
Dd-¸n-¡Ww (fixation or fersion)
Fs¶ms¡ FIvkvtdbpw
MRI Dw, tcmKn-bpsS ¢n\n-
¡Â FIvkm-an-t\-j³ hnh-c-§fpw h¨v A\p-am-\n-t¡-ï-Xm-Wv. A[n-I-ambn ^mskäv
knÌv, UnkvIv s{]mem]vkv F¶n-h-bp-sï-¦n ikv{X-In-b-m k-a-b¯v Ah \o¡w
sNt¿-ï-Xm-Wv. km[m-c-W-bmbn kpjpav\bpsSbpw \mUn-I-fp-sSbpw sRcp¡w
eman-s\-IvS-an, Lateral recess decompression XpS-§nb coXn-I-fn-eqsS \o¡w sN¿-Ww.
]e-t¸mgpw Cu I®n-IÄ titanium Screw h¨v Dd-¸n-¨v, t_m¬ {Km^väv D]-tbm-Kn¨v
^yqj³ sN¿-Ww. ]e ]T-\-§-fn \n¶pw Postero lateral fusion sN¿Ww F¶v sXfn-
ªn-«p-ïv.

Nne Ahkc§fn inter body fusion sNt¿ïn ht¶¡mw. ZoÀL\mfs¯
sRcp¡w aqew kpjvap\bpsS BhcWamb Uyqd, hfsc t\À¯XmIpIbpw ikv{X
{Inbm kab¯v hfsc A\mbmkambn CXn hnÅepïmIpIbpw CSF tNmÀ¨bp
ïmIm\pw ImcWamImw. C¯cw Imcy§Ä ap³Iq«n Iïv {i²m]qÀÆapÅ ikv{X
{Inb Cu A]IS§Ä Hgnhm¡m³ Hcp ]cn[n hsc klmbnt¨¡mw. Nne Ahkc
§fn \s«Ãn\v Ak´penXmhØ Csæn laminectomy am{Xw sNbvXmepw
aXnbmIpw. NnInÕn¡p¶ tUmIvSÀ CXn\v ImcyImcW klnXw Xocpam\w
FSpt¡ïXmWv.

kw{Klw

$ ew_mÀ I\m Ìot\m-knkv hfsc kmh-[m\w A[n-I-cn-¡p-¶, \s«-Ãn\v
tXbvam\w aqe-apÅ Hcp tcmK-am-Wv.

$ {]mcw` L«-§-fn acp-¶p-Ifpw hymbm-a-§fpw ^e-{]-Z-am-Wv.
$ ITn-\-amb ew_mÀ I\m Ìnt\m-kn-kn\v ikv{X-{In-b-bmWp¯aw.
$ ikv{X-{In-bbv¡p ap¼v hmkvIp-eÀ ¢mkn-^n-t¡-j-\pw, skÀhn-¡Â ab-vtem-¸-
Xnbpw CsÃ-¶p-d¸p hcp-t¯-ï-Xm-Wv.
$ ikv{X{Inb aqew \mUn-I-fpsS sRcp¡w ]qÀ®-ambpw amäp-I-bpw, \s«-Ãn\v
Ak-´p-en-Xm-h-Ø-bp-sï-¦n I®n-IÄ Dd-¸n-¡p-Ibpw thWw.
$ kv{Iq D]-tbm-Kn¨v Dd-¸n-¡p¶ L«-§-fn t_m¬ {Km^väv D]-tbm-Kn¨v ^yqj³
sNt¿-ï-Xm-Wv.

s^{_phcn 2021 | \½p-sS B-tcm-Kyw 73

k. km. tcm.

aq¡nsekÀÆ km-[m-c-W tcmK§Ä
BtcmKy {]iv\§Ä

Gähpw {][m-\-s¸-«Xv AeÀPnsImïp ]T-\-¯nse ]nt¶m-¡m-hØ XpS§n
Å {]iv\-§-Ä Xs¶. C´y-bn \½psS Pohn-X-\n-e- hmcw ]qÀ®-ambpw
Xs¶ 20 apX 30 iX-am\w hsc Bfp- XIÀ¡p¶ Hcp-]mSv tcmK-§Ä¡v AXv
IÄ AeÀPnIv ssdss\änkv DÅ-h-cm- hgn-sX-fn-¡p-¶p. AXn-\m AeÀPn
Wv. CXv icn-bmbn Isï¯n thïcoXn- XoÀ¨-bmbpw NnIn-Õn¨v \nb-{´n-t¡-ï-
bn NnIn-Õn-¡p-I-bm-sW-¦n BkvXa Xm-Wv. aq¡nse AeÀPn¡v D]-tbm-Kn-
Dïm-Ip-¶Xv Hcp ]cn-[n-hsc \nb-{´n-¡m- ¡p¶ t\k kvt{], BkvXabv¡v
\m-hpw. BkvXa DÅ tcmKn-I-fn 80 D]-tbm-Kn-¡p¶ C³tl-eÀ F¶nhsb
iX-am-\-t¯mfw t]À¡pw AeÀPnIv ¡pdn¨v Hcp-]mSv anYym-[m-c-W-IÄ \ne-
ssdss\-änkv Iïp-h-cp¶p F¶Xpw hn-ep-ïv. CXv Hcp C.F³.än tUmIvS-dpsS
{]tXyIw {i²n-t¡-ï-Xm-Wv. AXp-sIm- \nÀt±-i-a-\p-k-cn¨v IrXy-ambn D]-tbm-Kn-
ïp-Xs¶ AeÀPnIv ssdss\änkv shdpw t¡-ï-Xm-Wv. aq¡nsâ Hcp `mK¯p IqSn
Xp½-etÃ, X\nsb amdn-t¡mfpw F¶v am{XapÅ \oscmen¸v {]tXyIw {i²n-
XÅn-¡-f-bm-\m-hn-Ã. CXv Hcp-]mSv tcmK- t¡-ï-Xp-ïv. Xe-tbm-«n-bv¡pÅnse
§Ä¡v Imc-W-ambn-¯o-cpw. BkvXa, {ZmhIw aq¡n-eqsS hcp¶ kn.Fkv.F^v
aq¡n\p Npäp-apÅ hmbp Ad-I-fnse ssdt\m-dnb F¶ {]iv\w BImw AXv.
\oÀs¡-«v AYhm ssk\-ssk-änkv, AXn\v hnZKv² NnInÕ Bh-iy-am-Wv.
aq¡nse Zi AYhm sskt\m- t\kÂ
t]mfnt¸mknkv, a[y-IÀ®-¯nse aq¡n-\-Is¯ Zibpw ]e Imc-W-
\oÀs¡«pw tIÄhn-¡p-d-hpw, Ip«n-I-fnse §Ä sImïm-Imw. CXn\pw hnZKv²
]cn-tim-[-\-Ifpw tcmK-\nÀ®b¯n-\mbn
74 \½p-sS B-tcm-Kyw | s^{_phcn 2021 _tbm]vkn apXemb ]cn-tim-[-\-Ifpw
thïn ht¶-¡mw. Cu cwK¯v F³tUm-
kvtIm¸nsb ssk\kv ikv{X-{In-b-IÄ
hn¹-h-I-c-amb amä-§Ä Dïm-¡n-bn-«p-ïv.
Aan-X-amb IqÀ¡w hen¡pw Dd-¡-{]-iv
\-§Ä¡pw bYm-k-abw hnZKv² NnInÕ
t\S-Ww. CsÃ-¦n Ch k¦oÀ®-amb
Btcm-Ky-{]-iv\-§fntebv¡v \bnt¨-
¡mw. hÃ-t¸m-gp-sams¡ IqÀ¡w hen-¨p-d-
§m-¯-hÀ Npcp-¡-am-bn-cn-¡pw. F¶mÂ
Ønc-ambn IqÀ¡w hen-¨p-d-§p-¶-h-cm-
sW-¦n kwKXn \nÊm-c-ambn ImW-cp-
Xv. Dd-¡-¯nsâ ssZÀLy-s¯bpw \ne-
hm-c-s¯bpw IqÀ¡w-hen _m[n-¡p¶p

C´y-bn Xs¶ 20 apX 30
iX-am\w hsc Bfp-IÄ

AeÀPnIv ssdss\änkv DÅ-h-cm-
Wv. CXv icn-bmbn Is¯n th

coXn-bn NnIn-Õn-¡p-I-bm-sW-
¦n BkvXa Dm-Ip-¶Xv

Hcp ]cn-[n-hsc \nb-{´n-¡m-\m-hpw.

F¶-Xp-am-{X-aà ImcWw aäp ]e tcmK-§-fp-sSbpw tUm. kpa
kqN\ IqSn-bmImw CXv. kvt{Sm¡v AYhm ]£-mLmXw, AUojWÂ s{]m^kÀ
lrt{Zm-Kw, AanX cà-k-½À±w apX-em-b-hbv¡v Imc-W- C.F³.än. hn`mKw
am-Ip¶ H_vkv{S Iväohv Éo]v A]v\nb F¶ tcmK¯n Kh. saUn¡Â tImtfPv
sâ e£Ww IqSn-bm-Imw Cu IqÀ¡w -h-en. IqÀ¡w- at©cn
h-en-tbm-sSm¸w Xs¶ ]I-ep-d¡w, DWÀs¶-gp-t¶-ämÂ
DSs\ DïmIp¶ £oWtam, Xe-th-Z-\tbm, Dt·-j-¡p-d-
hv, Ccp¶v tPmen sN¿p-t¼mtgm hml\w knáenÂ
\nÀ¯n-bn-Sp-t¼mtgm Dd-§n-t¸m-Ip-I Ch-sbÃmw A\p-`-h-
s¸-Sp-I-bmsW¦n hnZKv² klmbw tXtS-ï-Xp-ïv.
CXn\p ^e-{]-Z-amb NnIn-Õm- kw-hn-[m-\-§Ä Ct¸mÄ
\ne-hnep-ïv. AUn-t\mbnUv -{K-Ùn-bpsS ho¡w, Ip«n-I-
fn hn«p-am-dm¯ aq¡S¸v, hmbv Xpd¶v izmkw hen-¡p
-I, tIÄhn-¡p-d-hv, ]Ãp-I-fpsS \nc sXäÂ, ]T-\-¯nÂ
{i²-¡p-dhv F¶o e£-W-§tfmsS {]Xy-£-s¸-Sm-dp-ïv.
CXv Hcp C.F³.än tUmIvS-dpsS \nÀt±-i-{]-Imcw NnIn-
Õn¨v t`Z-am-¡mhp¶tX DÅq.

kz\-X´p AYhm thm¡Â tImUvkn-ep-ïm-Ip¶
XSnt¸m apdnthm t]mepÅ efn-X-amb {]iv\-§Ä apXÂ
Sn._n, AÀ_pZw F¶o tcmK-§fpw kzc-hy-Xym-k-¯n\v
Imc-W-am-Imw. kzc-hy-Xymkw, sXmï-th-Z\ F¶nh
cïp-aq¶v BgvN-bm-bn«pw amdp-¶nsæn XoÀ¨-bmbpw
C.F³.än tUmIvS-dpsS D]-tZiw tXtS-ï-Xm-Wv. emcnw-
tKmkv tIm¸n, kvt{Smt_mkvtIm¸n XpS-§nb amÀ¤-§Ä
D]-tbm-Kn¨v tcmK\nÀ®bw \S-¯m³ Ign-bpw. kz\-X-
´p-hn-ep-ïm-Ip¶ Zi-h-fÀ¨bpw aäpw AXn-kq-£va-amb
ssat{Imecn-RvPy ikv{X-{In-b- (microlaryngeal surgery)
bn-eqsS \o¡w sN¿m-hp-¶-Xm-Wv. Cu tImhnUv alm-
amcn Ime¯v amkv¡v D]-tbm-Kn¨pw kmaq-lnI AIew
]men¨pw ssIIÄ tkm¸p-]-tbm-Kn¨p hr¯n-bm-¡nbpw
\ap¡v Icp-X-temsS Ccn-¡mw. AtXm-sSm¸w Xs¶
hmbp-a-en-\o-I-c-W-¯n\pw i_vZ-a-en-\o-I-c-W-¯n\pw
FXncmb t]mcm«¯n \ap¡pw ]¦m-fn-I-fm-Imw.

s^{_phcn 2021 | \½p-sS B-tcm-Kyw 75

ieyX{´w

A\kv-tXjy¡mÀ¡v
ieyamhcpXv...

BbqÀtÆZ kÀPdn _ncpZm\´c \XtbmSpw `bNn¯XtbmSpw sN¿p¶
_ncpZ tImgv-kn Hm¸tdj³ ikv{X{InbIÄ hsc hfsc emLh
sN¿m\pÅ ]gpXv \ÂIm³ tI{µkÀ t¯msS Cu enÌn XeImWn¡p¶p.
¡mÀ HmÀUn\³kv h¶p. XÂ^eambn F¶m C¯cw ikv{X{InbIÄ
hnhn[ tamtU¬ saUnkn³ kv-s]jym sN¿m\mbn tamtU¬ saUnkn³ kv-s]
enänIÄ sN¿p¶ Iptd ikv{X{InbIÄ jyenÌpIfmb A\kv-tXjy tUmÎÀ
ieyX{´¯nsâ Iognepw \S¯msa¶v amsc B{ibnt¡ïnbncn¡p¶p.
h¶ncn¡p¶p. Hcp IW¡n\p ]dªm Hm¸tdj\p ap³]v tcmKn¡p aäp tcmK
Iptd kÀPdn imJIfnte¡pÅ Hcp §Ä Dtïm? Ign¡p¶ acp¶pIÄ
Ipdp¡phgn. kÀPdn kv-s]jyenÌpIÄ GXv? Ahbv¡v A\kv-tXjy acp¶pI
3 hÀjw ]Tn¨hÀ t]mepw XpS¡¯n fpambn {]Xn{]hÀ¯\w Dtïm? IcÄ,
Hcp ko\nbdnsâ km¶n²y¯n am{Xw hr¡, Xet¨mÀ, izmktImiw apXemb
sN¿p¶ ikv{X{InbIÄ hsc Cu Ahbh§fn Ah hà Xnà ^e
enÌn CSw ]nSn¨n«pïv. F´nt\sd §fpw Dïm¡ptam? GsXms¡ acp¶p
]dbp¶p, ko\nbÀamÀ t]mepw Ah[m IÄ Hm¸tdj³ kab¯v Hgnhm¡Ww

76 \½p-sS B-tcm-Kyw | s^{_phcn 2021

Hcp Hm¸tdjsâ hnPbw kÀPsâbpw
A\kv-tXjy tUmÎdnsâbpw Sow hÀ¡v,

AhcpsS Ignhv, sN¿p¶ kÀPdnbn
epÅ ]cnNbk¼¶X F¶nhsbsbÃmw
B{ibncn¡p¶p. th{X ]cnÚm\w
CÃm¯ kÀP³ Hm¸tdj³ sN¿pt¼mÄ

tcmKnIÄ¡v DmIp¶ A]IS§Ä
AXpt]mse A\kv-tXjy

tImw¹nt¡j\pw IqSpXemWv.

Fs¶ms¡ a\Ênem¡nbn«mWv Hm¸tdj\pthïn tUm. kp³PnXv chn
A\kv-tXjy¡v hnt[bam¡p¶Xv. BbqÀtÆZ acp¶p I¬kÄ«â v
Ifnse aqeI§Ä Fs´ms¡bmsW¶pÅ Adnhv A\kv-tXtjymfPnÌv
e`yamIm¯Xv A\kv-tXjy tUmÎÀamsc Ae«ntÃ? Xmeq¡v slUvIzmÀt«gv-kv
Hcp Hm¸tdjsâ hnPbw kÀPsâbpw A\kv-tXjy tlmkv]näÂ
tUmÎdnsâbpw Sow hÀ¡v, AhcpsS Ignhv, sN¿p¶ Nndbn³Iogv
kÀPdnbnepÅ ]cnNbk¼¶X F¶nhsbsbÃmw
B{ibn¨ncn¡p¶p. thï{X ]cnÚm\w CÃm¯ ap³ {]knUâ v
kÀP³ Hm¸tdj³ sN¿pt¼mÄ tcmKnIÄ¡v sI. Pn. Fkv. Un. F
DïmIp¶ A]IS§Ä AXpt]mse A\kv-tXjy tIcfm Kh. kvs]jyenÌv tUmIvtSgvkv
tImw¹nt¡j\pw (Complications) IqSpXemWv. Xsâ Atkmkntbj³
kv-s]jymenänbn s]Sm¯ kÀPdnIÄ sNbvX
tUmÎÀamÀ¡pXs¶ Hm¸tdjsâ kab¯v A]IS
§Ä DïmIpt¼mÄ \nba\S]SnIÄ t\cntSïn
hcp¶p. F¶m kÀPdn bn ASnØm\ tbmKyX
t]mepanÃm¯ 'ieyX{´'¡msc ikv{X{Inb ]Tn¸n
¡p¶Xp apXÂ A\kv-tXjy sImSpt¡ïn hcp¶Xp
hsc XoÀ¯pw Aimkv{Xobamb Imcy§fmWv
\S¡m³ t]mIp¶Xv. AXv tcmKnIfpsS Poh³ h¨v
]´mSpIbmWv. AXpsImïpïmIp¶ `hnjy¯pIÄ
ssIImcyw sNt¿ïXv ko\nbÀamcmb tamtU¬
saUnkn³ tUmÎÀamÀ Xs¶bmWtÃm? \½psS
cmPy¯v {]tXyIn¨v Nne hSt¡ C´y³ kwØm\
§fn kÀP³amcpsS A`mhapsï¦n AXnsâ
]cnlmcambn ]n.Pn. (P.G.) koäpIÄ Iq«pItbm, dqdÂ
(Rural) Izm« Bhiyamb kv-s]jymenänIfn Ah
Dd¸p hcp¯pIbpamWv thïXv. AÃmsX ']mXn
sh´' kÀP³amsc krãn¡p¶Xv Ccp«psImïv 'Hm«'
ASbv¡p¶Xv t]msebmWv.

A\kv-tXjy Ip«n¡fnbÃ. Hmtcm hnPbIcamb
ikv{X{Inb¡p ]n¶nepw Hcp A\kv-tXjy tUmÎÀ
Dsï¶ kXyw hnkvacn¡cpXv. ieyX{´¡mtcmSv
Hct]£ 'A\kv-tXjy tUmÎÀamsc ieyw sN¿cpXv'.

s^{_phcn 2021 | \½p-sS B-tcm-Kyw 77

CsXsâ
A]qÀÆ A\p`h§Ä

Rm³ tIcf¯n {]mÎokv sN¿m³ C§s\ h¶htcmSv, F´psImïmWv
XpS§nbn«v Ccp]Xp hÀj§Ä Bip]{Xnbn hcm³ sshInbXv F¶p
Ignªp. ]t£, C¡gnª Ipd¨p tNmZn¨t¸mÄ AhscÃmw ]dªXv Htc
\mfpIÄ¡nSbnÂ, CXn\p aps¼mcn adp]Snbmbncp¶p sImtdmW! Bip]
¡epw Iïn«nÃm¯ Xc¯nepÅ {Xnbn h¶m sImtdmW ]nSns]
Im³kÀ tcmKhpambn hfscb[nIw Sptam F¶ t]Sn ImcWamWv Ahsc
BfpIÄ, Fsâ ASp¯p h¶ncp¶p. Ãmw hcm³ C{Xbpw sshInbXv!
IrXyambn ]dªm sImtdmW¡mew AhcpsS B D¯cw Htc kabw Fs¶
XpS§nbXn\p tijw! \m¡nepw thZ\n¸n¡pIbpw AkzØXs¸Sp¯p
s{_Ìnepw Igp¯nepw Xebnepw Ibpw sNbvXp. B A\p`hamWv Cu
icoc¯nsâ aäp ]e `mK§fnepw C{X Ipdn¸v FgpXm³ Fs¶ t{]cn¸n¡p¶Xv.
henb apgIfpambn CXn\p ap³]v
C{Xb[nIw tcmKnIÄ Fsâ ASp¯p kXyw ]dªm CsXmcp henb
h¶n«nÃ. {]tXyIn¨pw tIcf¯nse `oIcamb AhØbmWv. tcmK
Fsâ Ignª 20 hÀj§fnse A\p`h e£W§Ä Adnª kab¯v Bip]
¯n\nSbnÂ! tUmÎÀ BbXn\ptijw {Xnbn h¶ncps¶¦n ChÀ C{Xbpw
BZy Ime§fn hSt¡ C´ybn thZ\ klnt¡ïn hcpambncp¶nÃ.
tPmen sNbvXncp¶t¸mÄ am{XamWv F¶p am{XaÃ, sNdnb NnInÕm
C¯cw Im³kÀ tIkpIÄ amÀK§Ä sImïv tcmKw t`Zam¡m\pw
Iïn«pÅXv. km[n¡pambncp¶p.

78 \½p-sS B-tcm-Kyw | 2021 s^{_phcn ]e tcmKnItfmSpw kwkmcn¨XnÂ
\n¶v a\knem¡m³ IgnªXv
sImtdmW¡mew XpS§nbXn\ptijw
tcmKe£W§Ä Iïmepw Bip]
{Xnbn t]mbn NnInÕ tXSm³
AhÀs¡Ãmw aSnbpw t]Snbpambncp¶p
F¶mWv. Bip]{Xnbnse¯p¶ aäv
tcmKnIfn \nt¶m tUmÎÀamcpÄs¸sS
bpÅ GsX¦nepw Poh\¡mcnÂ
\nt¶m sImtdmW ]Icptam F¶ `bw.
\ymbamb km¼¯nItijnbpw
hnZym`ymkhpw ]IzXbm˦ {]mbhp
sams¡bpÅ hyànIfmWv ChcnÂ
]ecpsa¶XmWv {it²bw. C{Xtbsd
Im³kÀ Aht_m[ ¢mkpIfpw t_m[
hXvIcWhpw \msSm«p¡pw \ÂInbn«pw

]e tcmKnItfmSpw kwkmcn¨Xn \n¶v a\knem¡m³
IgnªXv sImtdmW¡mew XpS§nbXn\ptijw
tcmKe£W§Ä Imepw Bip]{Xnbn t]mbn
NnInÕ tXSm³ AhÀs¡Ãmw aSnbpw
t]Snbpambncp¶p F¶mWv.

an¡hcpw AhsbÃmw AhKWn¡pIbmbncp¶p tUm. tPmtPm hn. tPmk^v
F¶mWv Cu A\p`h§fn \n¶pw A\pam\n¡m³ ko-\n-bÀ
km[n¡p¶Xv. I¬-kÄ-«³-dv
Hm-t¦m kÀP³
Cu ASp¯ Ime¯v Fsâ ASp¯p h¶ Nne
hyànIfpsS/ Im³kÀ tcmKnIfpsS A\p`h§Ä & {_kv-äv kÀP³,
Rm³ FÃmhÀ¡pambn ]¦phbv¡mw. AhcpsS Im-cn-¯m-kv Im³-kÀ
bYmÀ° t]tcm, \mtSm shfns¸Sp¯p¶nÃ. ]t£, C³-kv-än-äyq«v, tIm«bw
{]mbhpw tcmKe£W§fpw bYmÀ°amWv.
mob: 94472 88062
\mhn Im³kÀ h¶ 45 hbkpImcn email: [email protected]

45 hbkpÅ, km¼¯nItijnbpÅ Hcp kv{Xo
\mhn Im³kdpambn F¯n. tImhnUv Ime¯mWv
AhÀ¡v e£W§Ä Iïp XpS§nbXv.
BtcmsSms¡tbm tNmZn¨t¸mÄ \m¡n ]q¸Â
hcp¶XmImw, D¸n«p IgpInbm aXnsb¶v ]dªp
sImSp¯p. A§s\ kzbw s]mSnss¡IÄ
sNbvXpsImïncp¶p. sUânÌnsâ ASp¯p
t]mbmemWv sImtdmW IqSpXÂ ]IcpI F¶p tI«v
AXpt]mepw thsï¶p h¨p. HSphn Hcp
c£bpansömbt¸mgmWv ChnsS
F¯nbXv. hmbn \ndsb tcmKw
]SÀ¶ncn¡p¶Xn\m C\n NnInÕbpsS
`mKambn \mhnsâ \sÃmcp `mKw AhÀ¡v
\ãs¸Spw. tcmKw XpS§nb kab¯v
NnInÕ tXSnbncps¶¦n ]qÀWambn
kpJ¸Sp¯m³ Ignbpambncp¶p. Ct¸mÄ
SyqaÀ Npcp¡m\mbn IotamsXdm¸n
sImSp¯p sImïncn¡pIbmWv.

dºÀ Sm¸nwKv sXmgnemfnbpsS hmbnse Im³kÀ

a[y tIcf¯nÂ\n¶pÅ A¼Xn\Sp¯v
{]mbapÅ dºÀ Sm¸nwKv sXmgnemfn
hmbnse Im³kdn\v NnInÕ
tXSnsb¯nbXpw HmÀ½n¡p¶p. apJt¯mSp

2021 s^{_phcn | \½p-sS B-tcm-Kyw 79

tNÀ¶p Xs¶bpÅ apgbn \n¶v hcpt¼mtg Im³kdmtWm F¶v
càhpw ]gp¸pamWv tNmZn¨v F¯nbncp¶ BfpIfmWv
h¶psImïncn¡p¶Xv. AXn`bm\ Ct¸mÄ icoc¯nsâ \sÃmcp `mKw
Iamb AhØ. sNdnb SyqadmbmWv \in¨p Ignªpam{Xw NnInÕ
XpS§nbsX¦nepw BZyw Bip] tXSms\¯p¶ {]hWXbntebv¡v
{Xnbn t]mIm³ aSn¨p. Bip]{Xnbn \o§p¶Xmbn ImWp¶Xv.
t]mbm sImtdmW¡me¯v
hncfambn In«nbncp¶ sXmgnepw kvX\mÀ_pZw _m[n¨ kv{Xo
hcpam\hpw Dt]£nt¡ïn hcpatÃm
F¶mbncp¶p `bw. XpS¡ kab¯v kvX\pÀ_pZw _m[n¨v, apdnhpw
NnInÕ tXSnbncps¶¦n ]gp¸psaÃmambn«pw Bip]{XnbnÂ
\nkmcambn t`Zam¡mambncp¶ t]mImsX \mfpIfmbn Ignª Hcp
tIkmbncp¶p CXv. F¶m Ct¸mÄ kv{Xotbbpw Cu \mfpIfn NnInÕn
Imcy§Ä k¦oÀ®amWv. ¡m³ CSbmbn. Cu HcmÄ am{XaÃ, ]e
{]mb§fn epÅ ]e kv{XoIfpw kvX\m
icoc¯nsâ ]pdIn Im³kdpambn À_pZw _m[n¨v KpcpXcamb \nebnÂ
sshIn F¯nb kv{XoIÄ Ignª \mfpIfn F¯pIbpïmbn.
s{_Ìnse Im³kÀ ]qÀWambpw NnIn
65 hbkv {]mbapÅ ho«½ Õn¨v t`Zam¡mhp¶hbmWv. ]t£
icoc¯nsâ ]pdIp hi¯v Syqadpambn ØnXn KpcpXcambm ]ns¶ sN¿mhp
F¯nbXpw ad¡m³ km[n¡p¶nÃ. ¶Xn\v ]cn[nbpw ]cnanXnbpapïv.
15*15 cm hen¸¯nembncp¶p SyqaÀ
]SÀ¶ncp¶Xv. sXm«m DSs\ càw I¬]oenbn Im³kÀ _m[n¨ HcmÄ
HgpIpIbmWv. sNdnb coXnbnÂ
Bcw`n¨XmsW¦nepw s]s«¶mbncp¶p I®nse skt_jykv ¥m³Un\v
hfÀ¨. tImhnUv ImeambXn\mepw hcp¶ Im³kdpambn Hcmsf¯n. Hä
a¡sf km¼¯nIambn _p²nap«nt¡ t\m«¯n Iïm a\knemhp¶Xm
ï F¶p hnNmcn¨pw tcmKw FÃmhcn sW¦nepw Bip]{Xnbn t]mbmÂ
\n¶pw ]camh[n s]mXnªp h¨p. IqSpXÂ A]ISIcamIpw F¶ `b
Xosc \nhr¯nbnÃm¯ AhØbnemWv ¯m kzbw NnInÕIfpw tlmantbm
Fs¶ ImWms\¯nbXv. tem¡Â acp¶psams¡bmbn apt¶m«p t]mbt{X!
A\kv-tXjybn sNdnb kÀPdn
sImïv Xotcïnbncp¶ tcmKamWv. ssI¿n apgbpambn F¯nb 18 Imc³
HSphn \me©v aWn¡qsdSp¯v,
tcmKw _m[n¨ `mKw FSp¯p Ifªv, ssI¿n apgbpambn Hcp ]Xns\«p
]pXnbXv tNÀ¯p hbv-t¡ï Imcs\¯n. Ah³ PohnXw Bcw`n¡p
AhØbnse¯n. tcmKw t`Zamtb¡m ¶sXbpÅq! km¼¯nI _p²nap«pI
sa¦nepw km¼¯nIhpw am\knIhpam sfm¶pansænepw Bip]{XnbnÂ
b Fs´Ãmw _p²nap«pIfmWv C¡me t]mbm sImtdmW ]nSn¡psa¶ `bam
bfhn tcmKnbpw IpSpw_hpw klnt¡ bncp¶p Ah\pw NnInÕ sshIn¡m\p
ïn h¶Xv? sImtdmW C{Xbpw henb Å ImcWambn ]dªXv. ]qÀWambpw
{]XymLmX§Ä a\pjyPohnX§fn t`Zam¡mhp¶ Xc¯nepÅ tcmK§fm
krãn¡psa¶v hnNmcn¨nt«bnÃ. Wv C{Xbpw hjfm¡p¶sXt¶mÀ
¡Ww.
25 hbkv am{XapÅ Hcp s]¬Ip«n
bpw icoc¯nsâ ]ndIn Im³kÀ KÀ`]m{X¯nse apg
]SÀ¶v F¯nbncp¶p. sNdnb apg
KÀ`]m{X¯n Im³kdpambn
80 \½p-sS B-tcm-Kyw | 2021 s^{_phcn F¯nb Hcp kv{Xo¡v A¼¯nb©v
hbÊpïmbncp¶p. Hcp ]qÀWKÀ`nWn
bpsS KÀ`]m{X¯nsâ hen¸apïmbn

cp¶p. ]pd¯p ImWm¯ apgbmsW¦n ]ns¶ C{Xbpw Xmakn¨Xv
epw C{X _p²nap«v kln¡p¶Xv F´psImïmsW¶v tNmZn¨t¸m
F´n\mWv? Ahcpw ]dªXv sImtdmWt¸SnbmWv.

]{´v hbkpÅ ]n¶oSv kÀPdn sNbv-sX¦nepw
Ip«nbpsS hbänse apg Fs´Ãmw thZ\IfneqsSbpw
_p²nap«pIfneqsSbpw AhÀ¡v IS¶p
]{´ïv hbkpÅ Ip«nbpsS t]mtIïXmbn h¶p.
hbänembncp¶p Im³kÀ apg. Iptd
Znhk§fmbn hbdpthZ\bmsW¶v {_Ìv \ãs¸« HcmÄ
]dªt¸mÄ c£nXm¡Ä Kymknsâ
acp¶p hm§n sImSp¯p. IqSpXÂ ap¸Xv hbÊv am{XapÅ Hcp bphXn
]cntim[\ thWsa¶v tUmÎÀ bpw CXpt]mse sImtdmWt]Sn¨v
\nÀt±ins¨¦nepw sImtdmW¡mew tlmkv]näen t]mImsXbncp¶p.
Ignbm³ Im¯ncp¶p. At¸mtgbv¡pw Ahkm\w s{_Ìnepïmb apg
apg s]m«n, thZ\ hoïpw Akl\o hepXmhpIbpw s{_Ìv ]qÀWambpw
bambt¸mgmWv Fs¶ ImWms\¯nb \ãs¸Sp¶ AhØbn F¯pIbpw
Xv. apg FSp¯p Ifbm³ km[n¨p. sNbvXp. t\m¡q, F{X k¦SIcamb
F¦nepw F´n\mWv tcmKw C{Xb[nIw AhØbmWnXv! ..
hfcm³ Im¯p \n¡p¶Xv?
kqNnsImïv FSpt¡ïXv
apJ¯v Im³kÀ h¶ A½¨n Xq¼msImïv FSpt¡ï kmlNcyw
Dïm¡cpXv F¶v ]ga¡mÀ ]dªXv
{]mbamb Hcp A½¨n Im³kdpambn F{Xtbm icnbmWv. kwkv-Imc¯nepw
F¯n. sImtdmW XpS§p¶Xn\v ap¼v, hnZym`ymk¯nepw hnIk\¯nepw
Ignª P\phcn amk¯n \mc§m hnhckmt¦XnI hnZybnepsaÃmw Hcp
hen¸¯nepÅ apgbmbncp¶p. A¶v t]mse hfÀ¨bpw hnImkhpw t\Snb
Fs¶ ImWn¨p t]mbXmWv. tIcfwt]msemcp kwØm\s¯ P\
§Ä¡v Dïmthï AhØIfà taÂ
]n¶oSv ]t£ AhÀ cïmaXv hnhcn¨hsbm¶pw. tImhnUv Ime¯v
hcp¶Xv Cu Unkw_dnemWv. tI«v ]gInbXv hoïpw HmÀ½n¸n¡s«,
At¸mtgbv¡pw apgbpw hfÀ¶ncp¶p. thïXv `baÃ, Pm{KXbmWv (FÃmbv
A]ISamWv F¶v ]dªncp¶tÃm, -t¸mgpw FÃm¯nt\mSpw).

33þmw t]-Pn-se D-¯c§Ä 5. Eustachian tube
6. ImtXmcw
ANSWERS 7. Bamib¯nse A¾ckw A¶\mf

1. izmktImiIeIÄ¡p \mi hpw ¯nte¡p {]thin¨p DïmIp¶ tcmKw
imktImi¯n\p Npcp¡hpw 8. Bamib¯nse A¾cks¯ \nÀhocy
DïmIp¶ AhØ
am¡p¶ acp¶pIÄ
2. sImtdmW sshdkv icoc¯n  \n¶v 9. kÔnIfnse tXbvam\w.
hn«pt]mbmepw AXv Ahtijn¸n¨n«p 10. Immune Thrombocytopenic Purpura
t]mIp¶ tcmKe£W§Ä 11. Dd¡¡pdhv
12. Bone Mineral Denstiy
3. DNA hn`Pn¡s¸Spt¼mÄ Nne nucleotides 13. cà¯n t¹äveäpIÄ Ipdbp¶
amªp t]mIp¶ AhØ.
AhØ
4. B´cnI IÀ®¯nsâtbm 14. hym]Iambn càw
\mUnbpsStbm Xcmdp sImïv
DïmIp¶ _[ncX I«]nSn¡p¶p.
15. Central Adoption Resource Agency

2021 s^{_phcn | \½p-sS B-tcm-Kyw 81

£b-tcm-K-\n-hm-c-Ww

tImhnUv 19 ]Ým¯X-e-¯nÂ

kpØn-c hnI-k-\ e-£y-§Ä ssI-h- fn D-bÀ-¯n-bn-«pïv. B-tKm-f-X-e-
cn-¡p-¶Xn-sâ `m-K-am-bn 2025 Hm-Sp- ¯n X-s¶ £-btcmK\nÀ®bw
Iq-Sn £-b-tcm-K \n-hmc-Ww F-¶ e-£y- Im-cy-am-b X-S-Êw t\cn-«n-«pïv.
¯n-se-¯m³ kwØm-\ kÀ-¡mÀ c-ïn-tâbpw {][m-\ e-£-W-§Ä
"-£-b-tcm-K-ap-à tI-cfw' ]²-Xn \-S-¸n- Np-abpw ]-\nbpw B-bXn-\mÂ
em-¡n h-cn-I-bmWv. £b-tcmK _m[n- £-b-tcm-Kw I-sï-¯p-¶XnÂ
Xsc ]qÀ®ambn Isï-¯p-I, NnInÕ Im-e-Xma-kw A-\p-`-h-s¸-Sp-¶pïv.
\ÂIp-I, £b-tcmKw Imc-W-ap-ff kw-Øm-\-¯v 174 t]À-¡v £-b-
ac-W-§Ä CÃm-Xm-¡pI F¶Xpw, tcm-Khpw tIm-hnUpw Iq-Sn \nÀ-
£b-tcmKw Imc-W-ap-ff hn-thN-\§Ä ®bn-¡-s¸-«n-«pïv. C-Xn 26
]qÀ®ambn CÃm-Xm-¡pI, £b-tcmKw a-c-W-§fpw \m-fn-Xph-sc kw-`-hn-
ImcWw BÀ¡pw A[nI km¼-¯nI ¨n-«pïv.
_m[yX Dïm-Ip-¶nsöpw Dd-¸p-h-cp- tImhnUv 19 ]Ým-¯-e-¯n tem¡v
¯pIbpamWv £b-tcmK \nÀ½mÀÖ\- Uu¬ Ime¯v £b-tcm-K- Nn-InÕ
¯nsâ e£y-§fnÂs¸-Sp-¶Xv. bpambn _Ô-s¸« kwib \nhm-c-W-
¯n\v PnÃm-Xe sl¸vsse³ cq-]o-
£b-tcm-K-\n-hm-c-W-¯n\v
I-Sp-¯ shÃp-hn-fn- D-bÀ-¯n- I-cn-¨n-«p-ïv. £btcm-K- a-cp-¶p-IÄ
tImhn-Uv apS-§m-Xn-cn-¡m-\mbn tcmKn-bpsS Btcm-
Ky-ØnXn IW-¡n-se-Sp¯v Hcp- am-k-
£-b-tcm-K \n-hm-c-W {]-hÀ-¯-\-§Ä- t¯-bv¡pÅ acp-¶p-IÄ H¶n¨v
¡v tIm-hn-Uv a-lm-am-cn I-Sp-¯ shÃp-hn- NnInÕm klmb tI{µ§fn \n¶pw
tcm-K-_m-[n-XÀ¡v e`y-am¡nbn-«p-ïv-.
82 \½p-sS B-tcm-Kyw | s^{_phcn 2021
£-b-tcm-K \n-hm-c-W {]-hÀ-¯-\-§Ä

£b-tcmK _m[n-Xsc ]qÀ®ambn
Is-¯p-I, NnInÕ \ÂIp-I, £b-tcmKw
Imc-W-ap-ff ac-W-§Ä CÃm-Xm-¡pI F¶Xpw,

£b-tcmKw Imc-W-ap-ff hn-thN-\§Ä
]qÀ®ambn CÃm-Xm-¡pI, £b-tcmKw ImcWw

BÀ¡pw A[nI km¼-¯nI _m[yX
Dm-Ip-¶nsöpw Dd-¸p-h-cp-¯pIbpamWv

£b-tcmK \nÀ½mÀÖ\-¯nsâ
e£y-§fnÂs¸-Sp-¶- Xv.

tIm-hn-Un-s\-Xn-sc-bp-Å {]-hÀ-¯-\-§Ä¡pw k-lm-b- tUm. kp\n IpamÀ.Fw
I-c-am-bn-«pïv. £-b-tcm-Kw h-cm³ A[n-I km-[y-X-bp tÌäv än _n Hm^okÀ
-Å {]m-b-am-b-hÀ, ZoÀ-LIme tcm-K-§-fp-ÅhÀ, ]p-I- Fkv än Un kn UbdIvSÀ
hen, Aan-X a-Zy]m-\ io-e-ap-Å-hÀ F-¶nh-sc tÌäv än _n skÂ
I-sï-¯p-hm³ ]-©mb-¯v A-Sn-Øm-\-¯n kÀ-sÆ Xncph\´]pcw.
\-S-¯n-bn-cp¶p. Cu hn-h-c§Ä tIm-hnUv Im-e-¯v
"dn-th-gv-kv Izm-d-ssâ³' D-d-¸p-h-cp-¯p-hm\pw a-c-W E-mail: [email protected]
\nc-¡v Ip-d-bv-¡p-hm\pw {]m-Yan-I B-tcm-Ky kw-hn-[m-
\§-sf k-lm-bn-¨n-«pïv. tImhnUv kwi-bn-¡p-hsc
tImhnUv ]cn-tim-[-\bv¡v hnt[-b-am-¡p-Ibpw, ]cn-
tim-[-\-bn tImhnUv s\K-äohv BsW¶v Isï¯p-
¶hsc £b-tcmK ]cn-tim-[\bv¡v IqSn hnt[b-
am¡pIbpw sN¿p¶ kwbpà £b-tcmK \nÀ½mÀ
Ö\ tImhnUv \nb-{´W kwcw-`hpw Bhn-jv¡-cn-¨n-
«p-ïv.

A£b tI-cfw Im-¼-bn³

"F-sâ £-b-tcm-K-ap-à tI-c-fw' ]-²-Xn-bp-sS aq¶mw
L-«amb "A-£-b tI-cfw' Im¼-bn³ ]¯v ]²-Xn-IÄ
DÄs-¸Sp-¯n- HIvtSm-_À 2, 2020 \v B-tcm-Ky h-Ip-¸v
a{´n sI.sI. ssi-e-P So-¨À ]²-Xn Hm-¬sse-\m-bn
D-Zv-LmS-\w sNbvXp.

tImhnUv alm-amcn ImcWw GI-tZiw 1500
£btcmKn-IÄ tcmKw Isï-¯m-¯-h-cmbn kaq-l-
¯n Ign-bp¶pïv F¶v A-\p-am-\n-¡p¶-p. kaq-l-
¯n £b-tcmKw Isï-¯msX Ahtijn-¡p-¶hÀ
Bsc¦nepapsï-¦n Ah-cnse tcmKw Isï-¯pI,
tcmK-{]-Xn-tcm[ tijn Ipdª £-b tcm-K km[y-X
A[nIam-bpÅ hyàn-Isf tI{µo-Icn-¨p-sImïv
£-btcm-K e£-W-§-fp-tïm-sb¶v Isï-¯p-I,
e£-W-§fpÅh-À¡v Aku-I-cy-§Ä ]c-am-h[n
Ipd-¨p-sImïv ]cn-tim-[-\bpw hne-bn-cp-¯epw Dd-¸m-
¡pI F¶o e£y-§-tfmsS Catch up Campaign HIvtSm-
_À 2 \v kwØm\ hym]-I-ambn Bcw-`n¨p. tIm-hn-

s^{_phcn 2021 | \½p-sS B-tcm-Kyw 83

Uv e-£-W-ap-ÅXpw £-b-tcm-K km[y-X
A-[n-I-am-bp-Åhcn e-£-W-§Ä Im-Wp-
I-bm-sW-¦n £-b-tcm-K-km[y-X Iq-Sn
I-W-¡n-se-Sp¡-Ww F¶v Hmtcm B-tcm-Ky-
{]-hÀ-¯-Itcbpw HmÀ-½-s¸-Sp¯p-I
F-¶Xpw Im-¼-bn-\n-sâ e-£yam-Wv.

Im¼-bn³ Ime-b-f-hn FÃm tcmK-{]-Xn-
tcm[ tijn-Ip-d-ª- ZpÀºe-cmb hyàn-I-
fpsS hoSp-I-fn \n¶v ILI/SARI tIkp-I-
fn kPo-h-amb £-b-tcm-Kw Isï-¯p
hm³ \S-¯nb Im-¼-bn\n £-b-tcm-K-
km[y-X Iq-Snb 66,140 t]sc ]cn-tim-[n-
bv¡p-Ibpw 29,166 km¼n-fp-IÄ tamfn-Iyp-emÀ sSÌp-I-fp-]-tbm-Kn¨v ]cn-tim-[n-¡p-Ibpw
802 Sn _n tI-kp-IÄ t\cs¯ Isï-¯p-Ibpw sNbvXp. BZn-hmkn Ducp-IÄ,
Pbn-ep-IÄ, AXnYn sXmgn-em-fn-IÄ Xma-kn-¡p¶ Øe-§Ä F¶n-hn-S-§Ä tI{µo-I-
cn¨pw £b-tcmK ]cn-tim-[\m Iym¼p-IÄ kwL-Sn-¸n¨p hcp-¶p.

A£b tI-cfw t\«§Ä ssIh-cn¨v

Xt±-i kz-bw`-c-W Øm-]-\-§Ä-

B-tcm-Ky-h-Ip¸n-s\m-¸w Xt±-i kz-bw
`-c-W Øm-]-\-§-fp-sSbpw Iq-«mb t\-Xr-Xz-
¯n 2017  B-cw-`n-¨ £-b-tcm-K-¯n-s\-Xn-
sc-bp-Å P-\-Io-b {]-hÀ-¯-\]-²-Xn-I-fpsS
{i-a-^-e-am-bn 2019-þ-2020 Im-ebfhn £-b-
tcm-K ap-à tI-c-f-¯n-sâ `m-K-am-bn an-I-¨
hnP-bw ssI-h-cn-¨ X-t±-i-kz-bw `-c-W Øm-
]-\§Ä¡pÅ A\p-tam-Z-\hpw -kÀ-«n^n¡äv
hnX-c-Whpw A£b tI-cfw ]²-Xn-bpsS
`mK-ambn PnÃm-X-e-§-fn \S-¯-s¸-«p.

£b-tcm-K AWp_m[m- Isï-¯n-bn-«pÅ FÃm- £-b-tcm-K-
_m-[n-X-cmb hyàn-I-fp-ambn ASp¯
\nÀ®bw k¼À¡w ]peÀ¯p¶ £b-tcm-K-
km-[yX IqSpX-epÅ hyàn-I-tfbpw,
(Latent TB infection - LTBI) Ah-b-h-amä ikv{X-{Inbbv¡v hnt[-b-
cmb hyàn-I-tfbpw DÄs¸sS 50,000
tIcf kwØm\ £b-tcmK \nÀ½m t¯mfw t]scbmWv Interferon Gamma
ÀÖ\ ZuXy-¯nsâ \mev L«§fn Release Assay test (IGRA) hgn sSÌv
Ah-km-\-t¯-Xmb Latent TB infection sN¿m³ Dt±-in-¡p-¶Xv. {]mY-an-I
(LTBI), teäâv Sn._n. AWp-_m[ Iïp- ]cn-tim-[-\-IÄ¡v tijw -CXnsâ 2þmw
]n-Sn-¡p-Ibpw AXns\ NnIn-Õn-¡p-Ibpw L«-amb LTBI NnInÕ kwØm-\¯v
sN¿pI F¶ e£yt¯msS 2020 Ah- 3HR F sdPn-sa³ D]-tbm-Kn¨v sXm«Sp¯
km-\-t¯msS {]mcw-`- {]hÀ¯\§Ä amk-§-fn AWp-_m-[-bpsï¶v Isï-
B-cw-`n-¨p. CXnsâ {]mcw-`-L-«ambn ¯p-¶hsc NnInÕn-¡phm³ BWv
teä-âv Sn.-_n sSÌnw-Kn\p am{X-ambn 4 Dt±in¡p-¶Xv. CXn\mbn 5.34 tImSn
tImSn-tbmfw cq]-bmWv hI-bn-cp-¯n-bn-«p-
Å-Xv. Ignª cïp hÀj-¯n-\p-ÅnÂ

84 \½p-sS B-tcm-Kyw | s^{_phcn 2021

cq] hI-bncp¯nbn-«p-ïv. Cu NnInÕ Wv.
GXmïv 11,000 LTBI AWp-_m[bpff Universal DST \S¸m¡p¶Xnsâ `mK
tcmKn-IÄ¡v F¦nepw \ÂIm³ Ignbp-
sa¶v Icp-Xp-¶p. ambn ]pXnbXmbn Iïp]nSn¡p¶ £b
tcmKnIsf CBNAAT sajo³ hgn ]cn
\n-e-hn £-b-tcm-K- _m-[n-X-cp-sS tim[\ \S¯p¶Xv BKÌv 2017 apXÂ
ho-Sp-I-fn I-gn-bp-¶ 5 h-b-Ên Xm-sg- \nÀ_Ôam¡n Ignªp. CBNAAT \v
bp-Å Ip-«n-IÄ-¡v am-{X-amWv {]Xn-tcm-[ ]pdta L.P.A. sSÌpw, Culture & DST ]cn-
Nn-In-Õ \Â-Ip-¶Xv. C-´y³ A-¡mZan tim-[-\bpw DRTB Iïp-]n-Sn-¡m³ D]-
Hm-^v ]oUn-bm-{Sn-Iv, kw-Øm-\ L-S-I-§- tbm-K-s¸-Sp-¯m-dp-ïv. Xncp-h-\-´-]p-c-
fp-am-bn tNÀ¶-v ]Xn-\©p h-b-kn ¯pÅ IRL em_n-te-¡pw, tImgn-t¡mSv
Xmsg-bpÅ -£-b-tcm-K-_m-[n-X-cmb saUn-¡Â tImtf-Pn DÅ Cultrue &
hyàn-I-fp-ambn ASp¯ k¼À¡w DST em_n-te¡pw km¼n-fp-IÄ XpSÀ
]peÀ¯p¶ Ip-«n-Ifnepw
tcm-K-{]Xn- tcm-[ti-jn ]cn-tim-[-\-¡mbn Ab-bv¡p-¶p.
Ip-d-ª Ip-«n-Ifnepw £-b-
tcm-K-_m-[-bp-sS km-¶n[yw \n£bv t]mj³ tbmP\:
]cn-tim-[-\-bn-eq-sS I-sï-
¯pw. £b-tcmKw Øoco-I-cn¨v \n£-bv
t]mÀ«en (NIKSHAY) cPn-ÌÀ sNbvXv
Dd¸m¡mw anIhmÀ¶ km[p-hmb _m¦v A¡uïv hnh-c-§Ä
tcJ-s¸-Sp¯n Ign-bp-t¼mÄ {]Xn-amkw
]cntim[\m 500-/þ cq] hoXw NnIn-Õm Im-e-b-f-hnÂ
NIKSHAY POSHAN YOJANA ]²Xn {]Im
kwhn[m\§Ä cw t]mj-Im-lm-c-¯n-\mbn NnInÕm
Ime-b-f-hn B tcmKn-bpsS _m¦v
602 kuP\y AwKo-IrX A¡uïntebv¡v e`n¡p-¶Xn-\pw
I^-]-cn-tim-[-\m tI{µ§Ä CXn\p ]pdta tIcf kÀ¡mÀ dh\yq
kwØm-\-¯p-ïv. AXn hIp-¸nsâ Iogn Hcp e£w -cq-]-bnÂ
118 F®w kzImcy Bip-]- Xmsg hmÀjnI hcp-am\apÅ £b-tcm-
{Xn-I-fn-em-Wv, 58 IpSpw-_m- Kn-IÄ¡v NnIn-Õm-Im-e-b-f-hn amkw
tcmKy tI{µ§-fnepw, 12 \K-c- {]m-Y-an- 1500 cq]hoXw s]³j\pw \ÂIn
Im-tcmKytI{µ§-fnepw hcp-¶p.
£b- tcm-K- ]-cn-tim-[\ et_md«dn
kwhn-[m-\-§Ä Hcp¡n-bn-«p-ïv. tImhnUv s^{_phcn 2021 | \½p-sS B-tcm-Kyw 85
þ 19 ]cn-tim-[-\bv¡pw, £b-tcmK
acp-¶p-I-tfm-Sp-ff {]Xn-tcm[hpw hfsc
^e-{]-Z-ambn Ipdª ka-b-¯n-\p-ÅnÂ
t\cs¯ Isï-¯m\pw Ønco-I-cn-¡p-
Xn\pambn CBNAAT (Po³ F-Iv-kv-t]À-«v)
sajo-\p-w, TruNat sajo-\pw D]-tbm-Kn-
¡p¶p. 35 CBNAAT sajo-\p-IÄ
kÀ¡mÀ Xe-¯n kuP-\y- ]cn-tim-[-
\bv¡mbn e`y-am-¡n-bn-«p-ïv. CXn-\p
]pdta 17 CBNAAT (Po³- F-Iv-kv-t]À«v)
sajo-\p-IÄ kzIm-cy- ta-J-e-bnepw
e`y-am-Wv. kÀ-¡mÀ ta-J-e-bn 74 {Sq-
\m-äv sa-jo-\p-Ifpw, kz-Im-cy-ta-J-e-bnÂ
30 {Sq-\m-äv sa-jo-\p-Ifpw tIm-hnUv,
£-b-tcm-K ]cn-tim-[-\bv¡mbn- e`y-am-

Cjv-Sm-\p-kr-Xam-b {]-Xn-tcm-[ Ip-¯n-sh-bv-]p-IÄ
AYhm Hm-]vj-WÂ hm-Iv-kn³kv

tImhnUv alm-am-cn-bpsS Ime-L-«-¯n sNhn-bnse ]gp¸v F¶nh XS-bm-\mWv
-em-WtÃm \½Ä Ct¸mÄ Pohn Cu hmIvkn³ FSp-¡p-¶-Xv. 1½, 2½, 3½
-¡p-¶-Xv. temIw apgp-h³ tImhnUv amk-¯n Penta hmIvkn³ FSp-¡p¶
{]Xn-tcm-[n-¡m-\p-ff hmIvkn-sâ ]pd-sI ka-b-¯v, CXv \ÂIm-hp-¶-Xm-Wv. ]e
bpÅ Hm«-¯n-emWv. hmIvkn-s\Xnsc hnI-knX cmPy-§-fnepw Cu hmIvkn³
kwkm-cn-¨-hÀ t]mepw, Ct¸mÄ tImhn Compulsory Bbn \ÂIp-¶p. C´y-bnÂ
-Un-s\-Xnsc Hcp hmIvkn³ Iïp-]n-Sn- CXv Optional Vaccine BWv. cïv Xcw Dïv.
¨n-cp-s¶-¦n F¶v B{K-ln-¡p-¶p. PCV 10 & PCV - 13. PCV 10 ]¯v Type
Pneumococcal AWp-¡Äs¡-Xnsc {]Xn-tcm-[
Cusbmcp kml-N-cy-¯n \½psS -tijn \ÂIp-¶p.
Ip«n-I-fn FSp-¡m³ ]äp¶  PCV-13 - 13 Serotype (Pneumococcal) AWp-¡
Cjv-Sm-\p-kr-Xam-b {]-Xn-tcm-[ Ip-¯n-sh
-bv-¸p-(Optional Vaccine) Isf Ipdn-¨m-Wv -Äs¡-Xnsc {]Xn-tcm-[-tijn \ÂIp-¶p.
Rm³ Cu teJ-\-¯n hnh-cn-¡p-¶-Xv.  Ip«n¡v 1½ amkw Ignªv Ft¸mÄ

hmIvkn³ Dïm-¡p¶ I¼-\n-¡m-cpsS thW-sa-¦nepw Cu hmIvkn³ sImSp
tem_n, CXnsâ I¨-hSw hmIvkn³ FSp -¡m-hp-¶-Xm-Wv.
¯m \½-fpsS ico-c-¯n\v tZmj-ap-ïm
Ipw F¶ Øncw Cliche þIÄ tI«p aSp-¯  Hcp hbÊv Xmsg-bp-ff Ipªp-§-fnÂ
-Xp-sIm-ïmWv CXv Fgp-Xp-¶-Xv. tImhnUv 3 tUmkpw, Hcp _qÌÀ tUmkpw 15þ18
hmIvkn³ Hgn-¨v, _m¡n DÅ hmIvkn-\p- amk-§Ä-¡p-Ån-emWv \ÂIp¶-Xv.
IÄ 10 Dw 15 Dw hÀjw ]co-£n¨p Ign
-ªmWv amÀ¡-än Cd-¡n-bn-cn-¡p-¶-Xv.  2 hbÊp Ign-ª Ip«n-I-fn Hcp
tUmknsâ Bh-iy-I-Xsb DÅq.
hmIvkn³ FSp-¡msX kzbw
AkpJw h¶v {]Xn-tcm-[-tijn Dïm  apXnÀ¶-hÀ¡pw (Asthma, Bronchitis, COPD)
-IWw F¶v NneÀ A`n-{]m-b-s¸-Sp-¶p-ïv. Cu hmIvkn³ FSp-¡m-hp-¶-Xm-Wv.
F¶m hmIvkn³ FSp-¯m hcm¯
Akp-J-§Ä (Diphtheria, Pertussis, Tetanus etc.) 2. sl¸-ssä-än-kv F.
Ch h¶v {]Xn-tcm-[-tijn Dïm-Im³
\n¶mÂ, Nne-t¸mÄ Cu Akp-J-§Ä shÅ-¯n IqSn ]I-cp¶ aª-¸n-¯
\½-sfbpw sImtï t]mIq. -amWv Hep A F¶ sshdkv Dïm-¡p-¶-Xv.
Hcp hbÊp Ignªv Ft¸mÄ thW-sa
CsXm-s¡-bmWv -¦nepw CXv sImSp-¡m-hp-¶-XmWv. 2 tUm
Xnc-sª-Sp-¡mhp-¶ hm-Iv-kn-\pIÄ kv, 6 amkw CS-hn«v FSp-t¡-ï-Xm-Wv.

1. \yqtam tIm¡kv Hepatitis A (aª-¸n-¯w) hcp-I-bm-sW
-¦n AXv \½-fpsS Icfns\bmWv
Streptococci F¶ AWp Dïm-¡p¶ _m[n-¡p-¶-Xv. {]tXy-In¨v NnInÕ
Brainþse Infection, Lungþse Pneumonia, H¶pw CÃ Cu Akp-J-¯n-\v. H¶v H¶-c
-amkw sImïv Cu AkpJw an¡
86 \½p-sS B-tcm-Kyw | 2021 s^{_phcn BÄ¡m-cnepw t`Z-am-Ipw. F¶mÂ

Nne-cn Cu AkpJw aqÀÑn¨v acWw hsc kw`-hn-¡mw.
AsXm-gn-hm-¡m-\mWv Cu hmIvkn³ FSp-t¡-ïXv.

3. Nn¡³-t]m-Ivkv tUm. Acp¬ sN-dnbm³ am½³

Ht¶-Im hbÊp Ignªv Ft¸mÄ thW-sa-¦nepw Fw_n_nFkv, FwUn
Cu hmIvkn³ FSp-¡m-hp-¶-Xm-Wv. 2 tUmkv, 6-þ8 BgvN (]oUnbm{SnIvkv)
CSth-f-Ifn sImSp-t¡-ï-Xm-Wv.
s^temjn¸v
\½psS CS-bn NneÀ ]dbpw Nn¡³t]mIvkv h¶v C³ \ntbmt\tämfPn
t]mIp-¶-XmWv \ÃXv F¶v, AXv Life-long {]Xn-tcm[w (eï³, bp.sI)
\ÂIpw F¶v, icn-bm-Wv. ]t£ Ip«n-I-fn Nn¡³ Unt¹ma C³ AeÀPn B³Uv
t]mIvkv h¶mÂ, tZl¯pw hmbnepw hcp¶ thZ-\m-P- Bkva (kn.Fw.kn, shÃqÀ)
\-I-amb Ipcp-¡Ä ImcWw, Ip«n-IÄ `£Ww Ign-¡m-Xn
-cn-¡bpw AkpJw aqÀÑn-¡p-hm-\pÅ km[yXbpw Dïv. I¬kÄ-«³-dv ]o-Un-bm-{So-jy³
& \n-tbm-\-täm-f-Pn,
4. ssS-t^m-bvUv k-Rv-Poh-\n aÄ-«n kv-s]-jym-en
-än tlm-kv-]näÂ,
B-e-t¡mSv, sN-§¶qÀ

aen-\-amb shÅ-¯n IqSn-bmWv ssSt^m-bnUv sk-{I-«dn, sF.Fw.F.,

]I-cp-¶Xv. £oWw, hb-dp-th-Z-\, hb-dn-f¡w F¶n-h am-th-en¡c imJ

-bmWv tcmK-e-£-W-§Ä. NnIn-Õn-¨n-sÃ-¦n IpS-enÂ

Zzmcw Dïm-Ip-Ibpw tcmKw _m[n¨v acn-¡p-Ibpw sN¿m-\pÅ km[y-X-bp-ïv.

Hcp hbÊv Ignªv Ft¸mÄ thW-sa-¦nepw Cu hmIvkn³ FSp-¡m-hp-¶-Xm-Wv.
1 tUmkv sjUyqÄ BWv CXn-\p-Å-Xv.

5. sa\n-t¦m-tIm¡Â

 s{_bn-\nse AWp-_m-[-bv¡mWv sa\n-Rv-ssP-änkv F¶v ]d-bp-¶-Xv. Neisseria F¶
AWp-¡-fmWv Invasive Meningitis Dïm-¡p-¶-Xv. CXn-s\-Xn-sc-bmWv hmIvkn³ DÅXv.

 bYm-k-abw Ub-tám-knkv sNbvXn-sÃ-¦n 24 aWn-¡q-dn-\p-Ån acWw kw`-hn
-¡m³ km²y-X-bpÅ Hcp Akp-J-am-Wv C³hm-knhv sa\n-Rv-ssP-änkv.

 cïv Xcw hmIvkn³ BWv \½psS amÀ¡-än DÅ-Xv. 9 amkw Ignªv cïv
tUmkv Bbn«v (aq¶v amkw Kym¸nÂ) Cu hmIvkn³ FSp-¡m-hp-¶-Xm-Wv.

 2 hbÊv Ign-ªv, Hä tUmkv Bbn«v FSp-¡m-hp-¶Xpw e`y-am-Wv.

 Cu hmIvkn-\p-IÄ Bscbpw \nÀ_-Ôn¨v FSp-¸nt¡-ï-h-b-Ã. \½psS kaq-l
-¯n C§-s\-sbms¡ hmIvkn-\p-IÄ Dïv F¶ Ah-t_m[w Dïm-¡m-\mWv
Cu teJ\w Fgp-Xn-b-Xv.

 Hm]vj-WÂ hm-Ivkn³ Hmtcm hyàn-bp-sSbpw Xnc-sª-Sp-¸mWv.

2021 s^{_phcn | \½p-sS B-tcm-Kyw 87

k¦c sshZy
kwLÀj-§Ä

-\n-§Ä Adn-tb-Xv

BbpÀthZ sshZy-·mÀ¡v C\n ta s\bv]m-b-khpw Nn¡³ Idnbpw Iq«n-¡p-g-
ikv{X-{Inb DÄs¸sS DÅ tamtU ¨mtem!!
¬ saUn-kn³ NnInÕm coXn-IÄ
{]tbm-Kn¡mw F¶ hnÚm-]-\-¯n- BbpÀthZ kne-_-Ên DtÃm
eqsS (19.11.2020) C´ym Kh-s×ân \n§Ä ]Tn-¡p-¶-sXÃmw.
sâ Bbpjv a{´m-e-b-¯n\v Iogn-epÅ ]ns¶´m?
Iu¬kn Hm^v C´y³ saUn-kn³
k¦-c-sshZyw AYhm anIvtkm-]Xn G«nse ]ip ]pÃp Xn¶ptam? CtÃ
F¶ hn]-XvI-c-amb NnIn-Õm-co-Xn-bn- CÃ! tamtU¬ saUn-kn³ kne-_-kn-
te-¡pÅ IhmSw Xpd-¶n-cn-¡p-¶p. epÅ ]pkvX-I-§Ä ]Tn¨v Xnbdn ]co£
]mkv BIm³ BwK-teb ]cn-Úm-\hpw
F´mWv CXn s]mXp-P\w t\cn- KqKnÄ amjpw aXn F¶v GXp sshZy
Sp¶ BtcmKy `ojWn? \½Ä F´p- hnZymÀ°nbpw k½-Xn-¡pw. ]s£ kXy-
sImïv Cu Nph-Sp-sh-¸ns\ ià-ambn ¯n tUmIvSÀ ]T\w AhnsS XpS-§pI
sNdp-¡Ww? Hcp tUmIvSÀ F¶ \ne- am{X-amWv sN¿p-¶-Xv. {]hr¯n ]cn-Nbw
bn t\cn«pw AÃm-sXbpw Cu hnj-b- kn²n-¡-W-sa-¦nÂ, Hcp tcmKnsb t]mepw
¯n A`n-ap-Jo-I-cn¨ Nne tNmZy- kzbw NnIn-Õn-¡m-\pÅ Ignhpw Bß-hn-
§fpw adp-]-Sn-Ifpw Nph-sS. izm-khpw hf-c-W-sa-¦n hoïpw hnZ-Kv²-
cpsS Iogn F{X hÀj-§Ä X]w
cpw sshZyw Xs¶-btÃ? sN¿Ww!
]ns¶´m {]iv\w?
k¦-c-ssh-Zy-·msc Bcv ]cn-io-en-
BbpÀthZ sshZy\pw B[p-\nI ¸n¡pw?
sshZy-imkv{X NnIn-Õ-I\pw X½nÂ
F´v? a\p-jysâ alm-Zpx-J-§-fn-sem- Ct¶mfw Hcp B[p-\nI ikv{X-{Inb
¶mb tcmK-]o-U-s¡-Xn-sc-bpÅ t]m t]mepw sNbvXn-«n-Ãm¯ BbpÀthZ
cm-«-¯n ]¦m-fn-IÄ F¶ \ne-bn- Kpcp-¡-·mÀ¡v AXv ]cn-io-en-¸n-¡p-¶-
epÅ ]c-kv]cw _lp-am\w Ccp-im-J-
I-sfbpw Iq«n-bn-W-¡p-¶p-ïv. AXn-e-
¸pdw R§Ä sdbnÂ]m-f-§Ä t]mse
þ ]c-kv]cw Iq«n-ap-«m-\m-hm¯ Iq«m-fn-
IÄ. AX-§-s\-¯-s¶-bm-I-W-atÃm;
Fs´-¶m tcmK-tl-Xp-hn-s\-¡p-dn-
¨pÅ kn²m-´-§Ä apX Nn-In-Õm-
coXn hsc FÃm-¯nepw AP-K-Pm-´cw.

88 \½p-sS B-tcm-Kyw | s^{_phcn 2021

tamtU¬ saUn-kn³ kne-_-kn-epÅ
]pkvX-I-§Ä ]Tn¨v Xnbdn ]co£ ]mkv

BIm³ BwK-teb ]cn-Úm-\hpw
KqKnÄ amjpw aXn F¶v GXp sshZy
hnZymÀ°nbpw k½-Xn-¡pw. ]s£ kXy-
¯n tUmIvSÀ ]T\w AhnsS XpS-§pI

am{X-amWv sN¿p-¶-Xv.

Xn\p XoÀ¨-bmbpw ]cn-an-Xn-I-fp-ïm-Ipw. C\n tUm. eXnI cmtPjv
B[p-\nI ikv{X-{Inb hnZ-Kv²À ]cn-io-e-I-cmhmw
F¶m-sW-¦ntem þ Ct¶-hsc BbpÀthZ coXn-IÄ Xncph\´]pcw
am{Xw ioen¨ hnZymÀ°n-Isf GXp tamtU¬ saUn- saUn¡Â tImtfPnÂ
kn³ Kpcp-hn\p ]cn-io-en-¸n-¡m-\m-hpw, AXpw Npcp- \n¶pw Fw._n._n.
§nb Ime-b-f-hnÂ? Fkv, Fw.Fkv H^vXmÂtam-
fPn, ¥mkvtKm kÀÆIemime
sshZy\v I¯n ]mSntÃ? Bbpjv BbpÀ bn \n¶pw F^v.BÀ.kn.
thZ kÀPdn ]cn-io-e\w t]msc? Fkv F¶o _ncpZ§Ä, Xnanc
ikv{X{Inb, saUn¡Â sdän\

saJeIfn XpSÀ ]cnioe\w.
t\{X imkv{X tPÀWepIfnÂ
A\h[n {]kn²oIcW§Ä.

BbpÀthZ _ncp-Zm-\-´c ]T-\-¯n iey-þ-im-e tIcfm skmsskän Hm^v H^v
XmÂanIv kÀsP³kv, XriqÀ
IyimJ-I-fn BIpw ikv{X-{Inb ]cn-io-e-\w. iey
_ncp-Z-[m-cn¡v ]cn-io-e\w FÃp-hn-`mKw apXÂ A¡mZanIv ¢_v Hm^v H^vXm
ÂtamfPn XpS§nb s{]m^j
¹mÌnIv kÀPdn W kwLS\Ifn kbân
^nIv I½nän sa¼À, FIvknIyq

hsc \oïp ]c¶p «ohv sa¼À F¶o ]ZhnIÄ
InS-¡p¶ hln¨n«p−v. BImihmWn,
At\ym\y `n¶-amb ZqcZÀi³, \ham[ya§Ä
A\-h[n D]-im-J-I- F¶nhbn t\{X]cnc£sb
fnÂ. ime-Iy-kÀP³ kw_Ôn¨pÅ s]mXpP\
t_m[hXv¡cW ]cn]mSnIÄ
AhXcn¸n¨n«p−v. IqSmsX

BIs« sNhn, tUmIvSÀamÀ P\§tfmsSm¸w
sXmï, aq¡v, I®v, F¶ Bib¯neq¶n "TACO
]Ãv C§s\ Zo]w' F¶ kmaqly t\{X]cn
c£ ]²Xn¡v XpS¡w Ipdn¨v

]e-Xn-sâbpw \nch[n s]mXpP\k¼À¡
]cn]mSnIÄ \S¸m¡n hcp¶p.
kÀhm-[n-]³. Ct¸mÄ Aae C³Ìnäyq«v Hm^v

F¶m tamtU¬ saUn-kn³ ]Tn¨ Hcp Xnanc saUn¡Â kb³kknÂ
ikv{X-{Inb hnZ-Kv²³ Fw._n._n.F-kv, Fw.F-kv, s{]m^kÀ Bbn tkh\a\p
s^tÃmjn¸v, Hcp hnZ-Kv²-t\m-sSm-¸-apÅ {]hr¯n jvTn¡p¶p. IqSmsX, XrÈqÀ
]cn-Nbw F¶n-§s\ Hcp ]Xn-ämïp \ofp¶ kq£va A¡mUanIv ¢_v Hm^v
Hm^vXmÂtamfPn (TACO)
sk{I«dn, tIcf tPÀWÂ

]cn-io-e-\-¯n\v tij-amWv thZ-\m-c-ln-X-am-bn, Hm^v H^vXmÂtamfPn sk£³
Xp¶Â t]mepw CÃmsX Xnanc ikv{X-{Inb sN¿m³ FUnäÀ, tIcfm bqWnthgvknän
{]m]vXn t\Sp-¶-Xv. CXv Hcp DZm-l-cWw am{Xw. Hm^v sl¯v kb³kkv þ
H^vXmÂtamfPn tImÀ I½nän

At¸mÄ tIhew aq¶p hÀjw sImïv sNhn, sa¼À F¶o \neIfn {]hÀ
sXmï, ]Ãv, aq¡v, I®v FÃmw Iodn-ap-dn¨p ¯n¡p¶p.

]cn-io-en¨ Bbpjv k¦c kÀPsâ ssh`-h-hn-tijw

\n§Ä¡v Duln-¡m-a-tÃm. At¸mÄ Bcm-hpw, Bcm- s^{_phcn 2021 | \½p-sS B-tcm-Kyw 89

hWw \n§-fpsS tUmIvSÀ? \m«n th{X tUmIvSÀamÀ
kz´w sshZy-im-J-bnse Kpcp-¡-·m- CÃ. AXp-sImv?

cpsS A\p-`-h-k-¼¯pw imkv{X ]T-\- \m«n thï{X ss]e-äp-IÄ CsÃ-
§Ä \nc-¯p¶ sXfn-hp-Ifpw A\p-Zn\w ¦n Fs¶ t]mse ImÀ am{Xw HmSn-
IpXn-¡p¶ B[p-\n-I-sshZy kmt¦-XnI ¡p-¶-h-scbpw {lkz ]cn-io-e\w
hnZy-Ifpw FÃmw Iq«n-bn-W¡n hnf-¡n-an- \ÂIn ss]eäv bqWnt^mw X¶v
\p-¡nb I¯n AXv tamtU¬ saUn- sk¡âv ss]eäv Bbn-s«-¦nepw At¸m-
kn³ kÀP\v am{Xta hg-§q, CW-§q. bvsaâv sN¿ptam? sNbvXm bm{X-
Fs´-¶m kp{ip-X³ F¶ alm-{]-Xn-`- ¡mÀ Adn-bptam? sabn³ ss]eäv
bpsS C¶s¯ ]n·p-d-¡mÀ¡v ikv{X- Hdn-Pn-\ DïtÃm F´m t]msc?
{Inb A\y-am-bn«p bpK-§Ä Xs¶ Ign- aXntbm?
ªn-cn-¡p-¶p. B ]pcm-X\ hn{ipX
kp{ipX Ime-¯p-\n¶v B[p-\nI Xnanc F\n-¡n-Xn-sems¡ F´v Imcyw.
ikv{X-{In-b-bn-te-¡pÅ \qäm-ïp-I-fpsS CsXms¡ shdpw cmjv{So-b-atÃ?
ka-b-Zqcw amk-§Ä sImïp NmSn-¡-S-
¡m³ Hcp Xe-Xn-cnª Kk-änsâ _ew k¦c sshZy-Im-es¯ tcmKn (AXv
aXn-bm-Ip-sat¶m!! A§-s\-bp-ïm-bm Rmt\m \n§tfm \ap¡v thï-s¸-«-
Xs¶ B k¦-c-kÀP\p ap¶n \n§Ä, htcm BImw) \msf sF.kn.bp XWp-
\½psS {]_p² P\X sh¨v sImSp- ¸n ac-hn¨p InS-¡p-t¼mÄ, Hm¸-td-j³
¡ptam kz´w I®nse IrjvW-aWn tS_n-fn s\©n-Sn-t¸msS Im¡p-t¼mÄ,
IqSnbpw? AXym-lnX hn`m-K-¯n càw hmÀ¶p
t_m[w ad-bp-t¼mÄ, CXv Hdn-Pn-\Â
5. "F\n¡v \m«psshZyw ]Tn-¸n¨p Xcq' tUmIvStdm k¦c sshZyt\m F¶-dn-
F¶v ]dªp B[p-\nI sshZy-imkv{Xw bmsX s\©v ]nS-bp-t¼mÄ, At¸m-
apd-hnfn Iq«m-¯-sXt´ Hcn-¡Â t]mepw. tg¡pw Gsd sshIn-t¸m-bn-cn-¡pw
kz´w imkv{X imJ-bn hnizm-k-ap- kpc-£n-X-amb NnIn-Õbpw Btcm-Ky-I-
ÅXp sImïp Xs¶. k¦c sshZy- c-amb Pohn-Xhpw Imw£n-¡p-¶-hÀ
¯n\p thïn-bpÅ Cu apd-hn-fn-IÄ I¯n Xmsg-bnSq sshZysc' F¶v
kXy-¯n BbpÀthZw F¶ al-\ob ]d-tbïn hcpw. C¶-sÃ-¦n \msf.
sshZy-im-Jsb F{X-am{Xw A]-am-\n- C¶v ]d-tb-ïXv C¶v Xs¶ ]d-bp-I.
¡p¶p! BbpÀth-Zs¯ tamtU¬ saUn- AXm-WtÃm hnth-Iw.
kn³ {Kln-¨p-sIm-Ås« F¶m-{K-ln-¡m³
kz´w NnIn-Õm-im-J-bpsS AkvXn-Xz- At¸mÄ BbpÀth-Z-¯n\p
¯n hniz-kn-¡p¶ GsXmcp sshZy\pw tamtU¬ BIm³ ]mSnÃ?
F§s\ km[n¡pw!
Xoˬ-bmbpw BI-Ww. Imem-\p-kr-X-
90 \½p-sS B-tcm-Kyw | s^{_phcn 2021 ambn amä-§Ä DÄs¡mïp X\Xp
NnIn-Õm-co-Xn-IÄ hnI-kn-¸n¨p ]cn-io-
en¨p sXfn-bn¨p Xs¶ hf-c-Ww.
tamtU¬ saUn-kn³ t]mse XnI¨pw
A\y-amb Hcp NnIn-Õm-k-{¼-Zm-b-
¯nsâ XWÂ ]än, AXnsâ DuÀPw
Duän-¡p-Sn¨p sImïà AXv thïXv
F¶v am{Xw. BbpÀthZw AXnsâ \nP
{]`m-h-t¯msS hf-c-s«, hep-Xm-I-s«,
\ap¡v XW-te-Is«! Cu ]pXp k¦c
`qan-bn hnfÀ¯p XfÀ¶p a®-Sn-bm-Xn-
cn-¡s« BbpÀth-Zhpw H¸w \½-fpw.

Hcp tIm¸n-¡v hn-e 25 cq] am{Xw

2 hÀ-jw : 470 cq-] h-cn-kw-Jy

19 am-k-t¯-bv¡p-Å 1 hÀ-jw : 250 cq-]
hn-e am{Xw
10 am-k-t¯-bv¡p-Å
(5 e¡-§Ä ku-P-\y-am-bn hn-e
e-`n-¡p-¶p)
(2 e¡-§Ä ku-P-\y-am-bn
e-`n-¡p¶p)

3 hÀjw : 720 cq-]

29 am-k-t¯-bv¡p-Å
hn-e am{Xw

(7 e¡-§Ä ku-P-\y-am-bn
e-`n-¡p¶p)

hcn-kw-Jy a-Wn-HmÀ-UÀ/Un.Un./
F-¶n-h-bm-bn \-½p-sS B-tcm-Ky-¯n
-s³-d t]cn Xn-cp-h-\-´-]pc-¯v
am-dmhp-¶ co-Xnbn A-b-bv-¡pI.

CâÀ-s\-äv _m-¦nwKv/NEFT hgn h-cn-kw-Jy A-S-bv¡m³
Xm-ev-]-cy-s¸-Sp¶-hÀ I-\-dm-_m¦v, Xn-cp-h-\-´-]p-cw t]-«
im-J-bn-se "\-½p-sS B-tcm-Kyw' A-¡u-ïv \¼À
2769101002614 (IFSC Code CNRB0002769) te-bv-¡v \n-ivNn-X Xp-I
{Sm³-kv-^À sN-bv-X-ti-jw {]-kvXp-X {Sm³-kv-^-dns³-d
hn-h-c-§fpw ]qÀ-W taÂ-hn-em-khpw (t^m¬ \-¼À DÄ
-s¸sS) [email protected] te-bvt¡m 9400012600 F-¶
sam-ss_Â \-¼-cn-te-bv-¡v F-kv.Fw.Fkv. AY-hm hm-Sv-kv
B-¸n-te-bvt¡m A-b-¨p-X-cnI.

(sN-¡v k-zo-I-cn-¡p-¶XÃ)

2021 s^{_phcn | \½p-sS B-tcm-Kyw 91

\nbam\pkrX KÀ`Ñn{Zw

(Medical Termination of Pregnancy-MTP)

KÀ`Øiniphnsâ hfÀ¨bv¡v 20 ¨IÄ (5 amkw) hscbpÅ KÀ`Ñn{Zw
Bgv¨tbm AXn\papt¼m \nbam\p C´ybn A\phZ\obamWv. Imem
krXambn¯s¶ hncmaanSp¶ {]{Inb Imew \nba¯n \nch[n t`ZKXnIÄ
bmWv MTP. Kh¬saâv BtcmKy- hcp¯nbn«pïv. 1971 hsc KÀ`Ñn{Z¯n\p
IpSpw_t£ahIp¸v 1971 Â MTP \nba hnt[bbmIp¶ kv{Xobpw B tkh\w
¯n hcp¯n. tbmKyXbnÃm¯hcpsS sNbvXpsImSp¡p¶ hyànbpw, tbmKy
ssIIfneqsS clkyambn \S¶ncp¶ XbpÅ tUmÎÀ Bbm t]mepw, \nba
F®aä KÀ`aekn¸n¡epIÄ an¡Xpw ¯n\p ap¼n Ipä¡mcmbncp¶p.
kv{XoIfn acWw hscsb¯p¶ Kuc F¶m ]n¶oSv AXv kv{XobpsS
htadnb BtcmKy¡pdhpIÄ¡v hgn AhImiambn amdn. `À¯mhn\pt]mepw
sXfn¨ kmlNcy¯n am{XamWv Ahsc XSbm³ A[nImcw CÃ. MTP
Kh¬saâv MTP \nbaw ]mÊm¡m³ Act  {]Xn]mZn¨ncn¡p¶ hyhØIÄ
Xocpam\n¨Xv. kpc£nXaÃm¯ IrXyambn ]men¨p sImïv C¶v
KÀ`Ñn{Zw amXracW\nc¡v hÀ²n¡m GsXmcp kv{Xobv¡pw 20 Bgv¨hsc
\pÅ Hcp {][m\ ImcWambncp¶p. bpÅ KÀ`Ñn{Z¯n\v hnt[bbmImw.
hyhØIfmIs« hfsc kpXmcyamWv.
\nbakm[pXbpÅXn\m C¶v Ah C{]ImcamWv.
kv{XoIÄ¡v MTP \S¯m³ hnZKv²
tUmÎÀamsc kao]n¡m³ Ignbp¶p. ♦ KÀ`w XpScp¶Xv A½bpsS
AWphnapàamb kmlNcy¯n Poht\m imcocnI/am\knI BtcmKy
imkv{Xobambn MTP \S¯pt¼mÄ ¯nt\m lm\nIcamIp¶ AhØ.
kv{XobpsS BtcmKyw ]cn]q˨ambn
kwc£n¡s¸Sp¶p. \nbam\pkrX ♦ Ip«nbn Iïp]nSn¡s¸« KpcpXc
KÀ`Ñn{Zw \nehnÂh¶tXmsS amXr
acW \nc¡v KWyambn IpdªXmbn
IW¡pIÄ kqNn¸n ¡p¶p. F¶mÂ
Cu kmlNcy¯n t¸mepw kv{XoIÄ
A{]Xo£nX KÀ`w clky¯nÂ
Aekn¸n¨pIfbm³ Aimkv{Xob
amÀ¤w kzbw Ahew_n¡pItbm hymP
tUmÎÀamsc kao]n¡pItbm sN¿p
¶pïv F¶ hkvXpX hfsc \ncmimP\
IamWv.

1971 se MTP Act A\pkcn¨v 20 Bgv

92 \½p-sS B-tcm-Kyw | s^{_phcn 2021

\nbakm[pXbpÅXn\m C¶v
kv{XoIÄ¡v MTP \S¯m³ hnZKv²
tUmÎÀamsc kao]n¡m³ Ignbp¶p.
AWphnapàamb kmlNcy¯nÂ
imkv{Xobambn MTP \S¯pt¼mÄ
kv{XobpsS BtcmKyw ]cn]q˨ambn

kwc£n¡s¸Sp¶p.

imcocnI/ am\knI sshIeyw. tUm. `hm\n N{µtiJÀ

♦ _emÂkwK¯neqsS KÀ`nWnbmb AhØ- þ 1971 Â
ISp¯ am\knImLmXw Dfhm¡p¶Xv. Xncph\´]pcw saUn
¡Â tImtfPn \n¶pw
♦ KÀ`\ntcm[\ D]m[nIÄ (tIm¸À Sn, ]nÂkv, sshZyimkv{X¯n _ncpZw
hÔywIcW ikv{X{Inb) ^en¡msX KÀ`apïmI t\Sn. XpSÀ¶v tImgnt¡mSv
þ -ISp¯ am\knImLmXw krãn¡s¸Sp¶p. saUn¡Â tImtfPn \n¶v
Un.Pn.Hm sNbvXp. sXmSp]pg
2020 se \nbat`ZKXn A\pimkn¡p¶X\pkcn¨v Xmeq¡v slU vIzmÀt«gvkv
KÀ`\ntcm[\w ^e{]ZamImsX hcp¶ AhnhmlnX Bip]{Xnbn tkh\w A\p
Ifn hsc At_mÀj³ A\phZ\obamWv. jvTn¨n«pïv. kÀÆokn \n¶pw
Fs´mcp hnimea\kvIX!! hncan¨ tijw sXmSp]pg tlmfn
^manen tlmkv]näen tkh\w
2020 amÀ¨v 17 \v hcp¯nb t`ZKXnb\pkcn¨v A\pjvTn¨n«pïv. BtcmKyhp
_emÂkwK¯n\v Ccbmb, AhnhmlnX, hn[h, ambn _Ôs¸«v hnhn[ B\pIm
hnIemwK F¶o kv{XoIfn 24 Bgv¨IÄ (6 amkw) enI {]kn²oIcW§fn Cw¥o-
hsc hfÀ¶ KÀ`w Aekn¸n¡mhp¶XmWv. Ip«nbn jnepw aebmf¯nepw teJ\
Xmakn¨p Iïp]nSn¡s¸Sp¶ Nne sshIeymhØ §Ä FgpXnbn«pïv. "Hcp ssK\
IÄ¡v 24 Bgv¨IÄ Ignªpw KÀ`Ñn{Zw \S¯m t¡mfPnÌnsâ HmÀ½¡pdn¸p
sa¶mWv ]pXnb t`ZKXn A\pimkn¡p¶Xv. IÄ' F¶ ]pkvXIhpw FgpXn
F¶m 20 Bgv¨bn¡hnª KÀ`w Aekn¸n¡m³ bn«pïv.
ssK\t¡mfPnÌv, iniptcmKhnZKv²³, E-mail: [email protected]
kvIm³ kvs]jenÌv, Kh¬saâv M: 98470 42897
\nÝbn¡p¶ aäp hyànIÄ F¶n
hcpÄs¸Sp¶ "saUn¡Â t_mÀUv'
AwKoIcnt¡ïXpïv.

ssK\t¡mfPnÌvamÀ¡pw ssK\
t¡mfPnbn thï{X ]cnioe\hpw
]cnNbhpw kn²n¨ Fw._n._n.Fkv
tUmÎÀamÀ¡pw KÀ`Ñn{Zw \S¯m³
AwKoImcapïv.

FÃm Kh¬saâv Bip]{XnIfn
epw Kh¬saâv AwKoIcn¨ ss{]häv
Bip]{XnIfnepw \nbam\pkrX

s^{_phcn 2021 | \½p-sS B-tcm-Kyw 93

KÀ`Ñn{Zw \S¯mhp¶XmWv. CtX KpfnIIÄ
sImSp¡mdpïv. ]\n,
KÀ`Ñn{Z¯n\v KÀ`nWnbpsS k½Xw OÀ±n, thZ\, AanX
am{Xw aXn. F¶m {]mb]qÀ¯nbm cà{kmhw F¶o
Im¯/ am\knI {]iv\apÅ kv{XoI _p²nap«pIÄ DïmIm
fn c£IÀ¯mhnsâ k½Xhpw Bh \nSbpïv. 8-þ10% t]cnÂ
iyamWv. KÀ`]m{Xw Ivfo³
sN¿m³ sNdnb
12 Bgv¨ (3 amkw) hscbpÅ ikv{X{Inb thïn
KÀ`Ñn{Z¯n\v Hcp hnZKv² tUmÎdpsS hcp¶p.
Xocpam\w am{Xw aXn. 12 Bgv¨bv¡p
tijw, 2 tUmÎÀamÀ tNÀ¶v Xocpam\n Nne KÀ`nWnIfnÂ
¡Wsa¶Xmbncp¶p BZyIme AhcpsS {]tXyI
hyhØ. F¶m Ct¸mÄ AXn\pw imcocnImhØ
amäw hcp¯nbn«pïv. 20 Bgv¨hsc, Hcp ImcWw Mifepristone,
tUmÎÀ am{Xw Xocpam\n¨m aXn. Misoprostol KpfnIIÄ
KÀ`nWnbpsS Poh³ c£n¡m³ thïn A]ISImcnIfmIm
sNt¿ïnhcp¶ KÀ`Ñn{Z¯n\v hfÀ¨ dpïv. hnZKv² tUmÎÀamÀ¡v, {]tXy
bpsS GXp ImeL«¯nembmepw, In¨pw ssK\t¡mfPnÌn\pam{Xta
NnInÕn¡p¶ tUmÎÀ am{Xw Xocpam C¯cw kpc£nXXzw IrXyambn hne
\n¨m aXn. bncp¯m\mIq. KÀ`Ñn{Zw F¶ {]hr
¯nsb \nÊmcambn¡ïv Pohm]mbw
9 Bgv¨ hsc (2 amkw Ignªv 3- mw hcp¯n¡q«p¶hÀ [mcmfamWv.
amkw Bcw`n¡pt¼mÄ) bpÅ
KÀ`Ñn{Z¯n\v Mifepristone, Misoprostol Nne kv{XoIÄ ho«pImsct¸mepw
KpfnIIÄ D]tbmKn ¡p¶p. Mifepristone Adnbn¡msX, tUmÎÀamsc kao]n¡m
KÀ`¯nsâ hfÀ¨sb XSbp¶p. sX, acp¶pISbn \n¶v t\cn«v AanX
Misoprostol KÀ`]m{X¯nsâ amwkt]in hnebv¡v KpfnIIÄ kwLSn¸n¡p¶p.
Ifn {]hÀ¯n¨v {`qWs¯ ]pdw ]s£ AanX cà{kmhw t]mepÅ
XÅp¶p. ho«nencp¶v Ign¡mhp¶h AhØIfpïmbm acp¶pIS¡mc\v
bmWv Cu KpfnIIÄ. 15 Bgv¨ (4amkw) NnInÂkn¡m\mhnsö t_m[w
hfÀ¶ KÀ`¯n\p hsc {]mYanIambn thWw.

94 \½p-sS B-tcm-Kyw | s^{_phcn 2021 A{]Xo£nX KÀ`[mcWw \S¡p
t¼mÄ ]e kv{XoIfpw AsXmgnhm¡m³
[mcmfw ss]\m¸nÄ Ign¡pI, Iangv¶p
InS¡pI, \oït\cw ssk¡nÄ Nhn
«pI, kvIn¸nwKv sN¿pI, acp¶p IS¡m
c³ \ÂIp¶ {]tbmP\w sN¿m¯
acp¶pIÄ Ign¨v ^ew Im¯v kabw
IfbpI F¶o s]mSnss¡IsfÃmw
{]tbmKn¡mdpïv. ]n¶oSv Aimkv{Xob
coXnbn KÀ`w Aekn¸n¡m³ Xp\n
bp¶p. {]iv\amIpt¼mgmWv tbmKyX
bpÅ tUmÎÀamsc kao]n¡p¶Xv.

KÀ`Ñn{Zw C¶v kv{XobpsS AhImi
amWv. AXv \nbam\pkrXw \S¯n
s¡mSp¡m³ hnZKv² tUmÎÀamÀ¡v

A[nImchpapïv (Npcp¡w Nne tUmÎÀ 2020  MTP Act  hcp¯nb amäa\p
amÀ hyànKXamb ImcW¯m CXn kcn¨v BbpÀthZ/tlmantbm/kn²/
\n¶v hn«p\n¡p¶p sh¶pam{Xw). bp\m\n hn`mK¯nÂs¸« tUmÎÀamÀ,
hymPtUmÎÀamsc kao]nt¡ï \gvkpamÀ, anUv ssh^vkv F¶nhÀ¡pw
ImcytabnÃ. KÀ`Ñn{Zw \S¯m³ tbmKyX I¸n¨n
«pïv.
9 apXÂ 12 Bgv¨ (3 amkw) hsc
bpÅ KÀ`Ñn{Z¯n\v eLphmb ikv{X BbpÀtÆZw \½psS \m«n¯s¶
{Inb BhiyamWv. KÀ`]m{X¯nsâ DÛhn¨v hfÀ¶v hepXmbn \ap¡
Xmsg Aäw (cervix) hnIkn¸n¨v {`qW `nam\n¡¯¡h®w temI{]ikvXn
s¯ Vacuum suction hgn hens¨Sp¡pI bmÀÖn¨p Ignª BXpc ip{iqjm
bmWv sN¿p¶Xv. hn`mKamWv. HcpamXncn FÃm AkpJ
hpw Xs¶ BbpÀthZ NnInÕsImïv
13-þ20 Bgv¨ (5 amkw hsc) hfÀ¶ amänsbSp¡msa¶v hnZKv²À ]dbp¶p.
KÀ`Ñn{Z¯n\v Ipªns\ s]mXnªn AXpt]mse Xs¶ tlmantbm, kn²
cn¡p¶ Bav\ntbm«n¡v {Zh¯n\pÅn BZnbmb FÃm sshZy imkv{X
ksse³, aäp Nne sIan¡epIÄ imJIÄ¡pw AhcpsS X\Xmb
F¶nh Ip¯nhbv¡p¶p. Mesoprostol t{ijvTXbpïv.
KpfnI tbm\nbn \nt£]n¡mdpïv.
Ethacridine lactate F¶ acp¶v Bav\ntbm B[p\nI sshZy imkv{Xw ]Tn¨v
«n¡v k©nbpsSbpw KÀ`]m{X¯nsâ MBBS IcØam¡nb tUmÎÀ IÀi\
bpw CSbn Ip¯nhbv¡p¶XmWv ambpw At±lw ]Tn¨coXnbn am{Xta
asämcp coXn. 24 aWn¡qdpIÄ¡Iw NnInÕ \S¯mdpÅp. X\n¡v
KÀ`]m{Xw Ipªns\ ]pdw XÅp¶p. ASnØm\ {Kmly
anÃm¯ BbpÀ
20 Bgv¨bv¡paosX hfÀ¶ KÀ`Ñn{Z thZw t]mepÅ
¯n\pw ta¸dª coXnIÄ Xs¶ imJIfn ]n¶nSv
bmWv kzoIcn¡p¶Xv. F¶m hniz ]cnioe\w e`n
k\obcmb A[nImcnIfn \n¶v X¡ ¨m t]mepw B
Xmb \nÀt±iw e`n¨tijw am{Xta CXv NnInÕmcoXnIÄ
\S¸nem¡m³ ]mSpffp. icnbmbn ^e{]
Zam¡m³ AbmÄ
3 amk¯n Ihnª KÀ`w Aekn tbmKy\Ã.
¸n¡m³ asämcp amÀ¤hpw ^en¡msX AXpt]mse Xs¶
hcpt¼mÄ am{Xw kzoIcnt¡ï coXn CXc NnInÕm
bmWv Hysterotomy. ChnsS, kntkdnb³ coXnIÄ ]Tn¨v
t]mse KÀ`]m{Xw hbdneqsS Xpd¶v _ncpZsaSp¯hÀ B coXnIfn am{Xta
Ipªns\ \o¡w sN¿p¶p. XoÀ¨bm tcmK NnInÕ \S¯mhq. tcmKnIfpsS
bpw CsXmcp taPÀ ikv{X {InbbmWv. kpc£bmWv tUmÎdpsS e£yw.

ikv{X{InbIÄ sNdpXmbmepw tUmÎÀamÀ¡v \gvtkm anUv ssht^m
hepXmbmepw sN¿p¶bmÄ¡v aXnbmb Bbn tkh\w sN¿m³ thï{X ]cn
tbmKyXbpw ]cnioe\hpw ]cnNbhpw Pv-Rm\anÃ. \gvkv, anUv ssh^vamÀ
\nÀºÔamWv. AanX cà{kmhw, tUmÎÀ sN¿p¶ NnInÕbv¡v A¸w
KÀ`]m{X¯n\v £Xw, ]gp¸v, KÀ`]m{X t]mepw {]m]vXcÃ.
¯nte¡v Ip¯nhbv¡p¶ ksse³, aäp
acp¶pIÄ cà¯n IecpI. A]qÀÆ ta¸dª coXnbnepÅ acp¶p
ambn DïmIp¶ C¯cw AhØIÄ Ifpw ikv{X{Inbm coXnIfpap]tbmKn
NnInÂkn¨p amäm³ IgnhpÅ tUmÎÀ ¨pÅ KÀ`Ñn{Zw \S¯m³ B[p\nI
amÀ thWw KÀ`Ñn{Zw \S¯m³.
s^{_phcn 2021 | \½p-sS B-tcm-Kyw 95

NnInÕm coXnbn MBBS hnPbn¨v `n¶tijn¡mcmb s]¬Ip«nIsf
ssK\t¡mfPnbn D]cn]T\w \S¯n {]tXyIw {i²nt¡ïXv amXm]nXm
Ignhpw ]cnNbhpw t\Snb tUmÎÀ ¡fpsS IÀ¯hyamWv.
amÀ¡pam{XamWv AÀlXbpw tbmKy
XbpapÅXv, aämÀ¡paÃ. kvIm\nwKv hgn Iïp]nSn¡p¶ Kuc
htadnb AwKsshIeyapÅ IptªmSp
Kh¬saâv MTP \nbaw AXy´w IqSnb KÀ`w KÀ`Ñn{Z¯n\v AÀlw
kpXmcyam¡nbn«psï¶mepw KÀ`Ñn{Zw Xs¶bmWv. F¶m apdn¨pïv, Ht¶m
IgnhXpw Hgnhmt¡ïXmWv. AXnsâ ctïm hncepIÄ CÃmXncn¡Â, Xosc
]n¶nepÅ ]m]w/]pWyw F¶ NÀ¨ eLphmbn NnInÕn¨p amämhp¶ lrt{Zm
Ifnte¡v Rm³ IS¡p¶nÃ. Kh¬saâv Kw, Chbvs¡Ãmw At_mÀj³ Bhiy
Xs¶ AwKoIcn¨ ^e{]Zamb kpc£n s¸Sp¶hsc ]n´ncn¸n¡m³ {ian¡Ww.
Xamb sNehpIpdª KÀ`\ntcm[t\m
]m[nIÄ DïtÃm. KÀ`\ntcm[\w sXämsW¶p IcpXp
¶hÀ ]et¸mgpw KÀ`w Ifbm³ bmsXmcp
]e Z¼XnIÄ¡pw KÀ`[mcWw Hcp hnapJXbpw {]ISn¸n¡mdnà !! Ipcp¶p
XSÊamWv. AhÀ¡v \oïImew Ip«nI Pohs\ Dt]£n¡p¶Xn\p ap¼v ]eh«w
fnÃm¯ PohnXw BkzZn¡Ww. hntZ BtemNn¡Ww. sNbvX tXmÀ¯v ]n¶oSv
i¯v tPmen, ImdpIÄ, _wKvfmhpIÄ, Zp:Jn¡m³ CSbm IcpXv.
DbÀ¶ km¼¯nI \nt£]w, BUw_
cPohnXw F¶nh t\SnsbSp¡m³ Ip«n \nbaapsï¶p IcpXn ]vfm\pw ]²Xn
IÄ XSÊw Xs¶bmWv. tamUenwKv, bpanÃmsX KÀ`w [cn¡pIbpw Aekn
A`n\bw F¶nh sXmgnem¡nb ]eÀ ¸n¡pIbpw sN¿p¶ Zpjv{]hWX
¡pw KÀ`w [cn¡m³ hnapJXbmWv. \½psSbnSbn hÀ²n¨n«pïv.CXn\v
`À¯mhnsâ aZy]m\ ioew, km¼¯nI ISnªmWntSïXpïv. hfsc ^e{]
`{ZXbnÃmbvI, aq¯ Ip«nbpïmbtijw Zamb, kpc£nXamb, Kh¬saâv
hfscs¸s«¶v ASp¯Xv DïmIpI, Xe¯n XnI¨pw kuP\yambn e`n
AhnlnX KÀ`w, Ip«nbpsS enwKt`Zw- ¡p¶, ]pcpj\pw kv{Xobv¡papÅ,
DZm: s]¬Ipªv thï (kvIm\nwKn Xm¡menIhpw Ønchpamb KÀ`
eqsS enwK\nÀ®bw \S¯p¶Xv C´y \ntcm[\ D]m[nIÄ \nehnepïv. KÀ`w
bn in£mÀlsa¶mepw hntZi¯p Aekn¸n¡p¶Xnt\¡mÄ t{ijvTw
\n¶v a\Ênem¡n hcp¶hcpïv), aäv KÀ`\ntcm[\w Xs¶bmWv.
AkpJmhØIÄ¡v acp¶pIgn¡p¶
hÀ C¯c¯n KÀ`Ñn{Z¯n\v Bhiy KÀ`[mcWw \S¶v GXm\pw Znhkw
¡mÀ hfsctbsdbmWv. ta¸dªhÀ ]n¶nSpt¼mįs¶ Aekn¸n¡pt¼mÄ
s¡Ãmw Xs¶ KÀ`\ntcm[\ D]m[nIÄ Poh³ \in¡p¶nà F¶phmZn¡p¶h
kzoIcn¡mhp¶tXbpÅp.'kpc£nXIm tcmSv Hcphm¡v. ]pcpj _oPhpw kv{Xo
ew'(safe period) t\m¡nbn«pw KÀ`w _oPhpw X½n tbmPn¡p¶ \nanj
kw`hn¡p¶htcmSv Hcp hm¡v. Hcp ¯n¯s¶ ]pXpPoh³ \m¼nSp¶p.
"Ime'hpw "kpc£nX'aÃ. KÀ`[mcWw \S¶Xnsâ kqNIambn
s{]Kv\³kn sSÌv t]mknäohv BIpt¼m
hfsc hncfambn \ntcm[t\m]m[n Ä Xs¶ AI¯pInS¡p¶ {`qW¯n\v
IÄ ^en¡msX hcp¶hÀ KÀ`Ñn{Zw Poh³ Dïmbn«psï¶v a\Ênem¡pI.
Bhiys¸«v hcp¶p. _emÂkwK¯n\v
CcbmbhcmWv asämcphn`mKw. s]¬ Kh¬saâv Hcn¡epw MTP \S¯m³
Ip«nIsf kzb c£t\m¡m³ ]cnio \nÀºÔn¡p¶nÃ. \nbaw \nÀ½n¨Xv,
en¸n¨v ss[cyhXnIfmt¡ïXv Cu AhnZKv²cpsS tkh\w aqeapïmIp¶
ImeL«¯nsâ BhiyamWv. A\mtcmKyhpw Pohm]mbhpw CÃmbva
sN¿m\mWv. KÀ`Ñn{Zt¯¡mÄ D¯aw
96 \½p-sS B-tcm-Kyw | s^{_phcn 2021 KÀ`\ntcm[\amsW¶v BhÀ¯n¨p
]dªpsImÅs«.

Ddhn-Sw hy-Iv-X-ambn !

tUm. Sn. kp-tc-jv IpamÀ

inip-tcm-K

Nn-InÕI³, ]pXnbXmbn NmÀsPSp¯ ^nknjy³ tUm. Ip«¸³
sF.Fw.F. s]s«¶pXs¶ hsfc {]ikvX\mIpIbpw
\m«pImcpsS AwKoImcw t\SpIbpw sNbvXp.
ap³ kw-kvYm-\ sk-{I«dn,
Xncp-h-\-´-]p-cw

Nn-cn-¢-ºns³-d {]-kn-U³dv. D¯tc´y¡mcnbmb `mcy Jpiv_phnt\msSm¸w
[email protected] hfsc lm¸nbmbn IgnbthbmWv B ho«½
lm¸nbÃm¯ Hcp kwKXn tI«Xv.
mob: 9447055050

ho«nse ASn¨pXfn¡mcnbmb hnemkn\n ]dªmWv
  Jpiv_p ZoZn hnhcw AdnªXv.
]©tUm cm¡. Ip«p«¸¸³s\FC¶tm¸WmÄp
\m«pImÀ hnfn¡p¶Xv
t]mepw!

  s] mXpsh hfsc A`nam\nbmb Jpiv_p ZoZn
 hnemk n\ntbmSv hnkvXcn¡ms\m¶pw \n¶nÃ.

HAs¡{t¡]iUsmT-²pnÀZ-\-S-\-¶m-½-b\p-I-I-b-`wnbcÂv-SmhZv-¡-keÀnn-§-\Â-aA-¯v þ-ImNX-cÄ-c-snv-Ip\-§aÃ-s[nmn¦-Õ-§Sm-bn-\-cnÂ-bm-fnÂ-fpvsw SJIqpfBUtBtJiaImv_pbbciiZymmynspv_pww]Nk_Z]Hq{onXcv]Z䶩tnnon¨s_kbt¼jpm{nsmIvc.Â.cyeI. mmsI\okem¶.ïnln¶äv ¦Inv¯v pnaIwnebdyhmppmmw].¶s..t.SsUnXl]]pmtmd.]s¨ªISymp\t«tlU¸pc. ?³omw. Ip«¸s\

hfsc
ameqw?

D-m-Ipw. A-h HmÀs¯ A¨m... tb _oamcn tIm aebmfw taw ]©mc

-Sp-¯v ""\-½p-sS IlvXmssl... ]©mc tUmÎÀ.... ]©mc¡p«¸³!

B-tcm-Ky-''¯n-\-v Ab-¨p ka¨m ?
Jpiv_p Jpiv tlmKbn.!
X-cp-I. ssh-Zy-im-kv-{X
]ns¶bpw \mfpIÄ IS¶pt]mbn.
te-J-\-§-fp-sS
CXn\nSbn tUm. Ip«¸\v sNdnb tXmXn {]tal
Ku-chapÅ hm-b-\-bv
tcmKw ]nSns]«p.
-¡nSbn A-sXm-cp

Cfhv Xcp-¶ A§v D¯tc´ybn \n¶pÅ Ipdn¸Sn {]Imcw

hm-b-\m-\p-`-h-am-¡mw. ]mhbv¡m Pqkpw AXnt\¡mÄ Ibv]pÅ Nne

2021 s^{_phcn | \½p-sS B-tcm-Kyw 97

]¨neIfpw apcn§¡bpw \m«nse BsIbpÅ B \à t_¡dnbn
tNÀ¯c¨pïm¡nb kaqkbpamWv te¡mbncp¶p.
11 aWn¡pÅ CSthfbv¡v Ign¡m³
ZoZn `À¯mhnsâ {]tal \nb{´W ISbpSabv¡v lnµnbnÂXs¶ hbdp
¯nsâ `mKambn sImSp¯p hn«ncp¶Xv! \ndsb ]pe`yw sIm-Sp¯v, `qe³tZhn
kvssäen ZoZn ]Snbnd§n.
Hcp Znhkw cmhnse tIm-^o t{_
-¡ns³-d kb¯v Jpiv_p ZoZn hfsc A\´cw ZoZnbpsS BRv-Pm\pkc
kv-t\lt¯msS sImSp¯b¨ Ww tUm. Ip«¸³ ]mhbv¡m Pqkpw
]mhbv¡m Pqkntâbpw apcn§bv¡m apcn§¡m kaqkbpw apgph³ Igns¨¶v
kaqkbpsSbpw ]m{X¯n Pnte_n Ìm^v t\gv-kpamÀ Dd¸phcp¯pIbpw
bpsS Ahninã§Ä ImWm\nSbmbn. hnhcw t^mWn ZoZnsb Adnbn¡p
Ibpw sNbvXpt]m¶p.
ZoZn ]Xn Ip«¸aimbnsb hoïpw
t{Imkv Inbm. A§s\ ]ckyambn a[pcw
Ign¨ncp¶ ]©mcIp«¸³ shdpw
BZyw H¶¼cs¶¦nepw tUm. Ip«¸³ Ip«¸\mbn amdn !
hfsc cm{ãob \bNmXpcntbmsS
AX¸msS \ntj[n¨p. F¶v Jp-iv-_p Zo-Zn I-cpXn.
]-t£ sXän!!
Jpiv_p Jpiv tlm Kbn... F¶v \m«pImÀ ]ns¶bpw At±ls¯
tUm. Ip«¸³ IcpXn. tUm. ]©mc¡p«¸³ F¶pXs¶
hnfn¨psImïncp¶p.
]t£ sXän! AXv ZoZnsb hÃmsX Ae«phm³
s]s«s¶mcp Znhkw ZoZn cmhnse XpS§n.
11 aWn¡v Xsâ `À¯mhnsâ I¬kÄ BfdnbmXncn¡m³ apJwadbv¡p¶
t«j³ apdnbn h¶p Ibdnbncp¶p. Hcp ]À±bpw [cn¨v ZoZn Hcp Znhkw
tUmÎÀ duïv-knembncp¶p! Bip]{Xnbnse¯n, cmhnse 11 aWn¡p
AXm hcp¶p Nmbbpw IqsS t_¡dn Xs¶!
Ihdpambn Aä³UÀ kXyioe³! [mcmfw tcmKnIÄ Im¯ncn¡p¶p.
ZoZn IhÀ ]cntim[n¨p. Hcp eÍp, AhcpsSbnSbn Hcp tcmKnbmbn
Hcp Pnte_n, Hcp ssakqÀ ]m¡v! ZoZnbpw t]mbncp¶p.
Nmb IpSn¨pt\m¡n Dd¸phcp¯n. tM!
\à ISp¸w, \à a[pcw! tUm. Ip«¸sâ apdnbnÂ\n¶pw Iptd
kXyw am{Xw ]dbp¶ kXyioe³ kv{XoIfpsSbpw, ]pcpj\mbn Ip«¸sâ
CXv ChnsS Hcp ]XnhmsW¶v ZoZn bpw iÐw!
ap¼msI kXy{]kvXmh\ \S¯n! CSbv¡nSbv¡v irwKmc a«nepÅ
duïv-kv Ignªv tUm. Ip«¸\pw Nncnbpw XamiIfpw!
F¯n. Ipd¨p t\cw {i²n¨ncp¶n«v kln¡
]ns¶ \S¶ UbtemKv apgph³ h¿msX ZoZn lm^v tUmÀ Xpd¶p .....
lnµnbnembncp¶XpsImïv Bip]{Xn tUm. Ip«¸s\ ]mhbv¡m Pqkpw
Poh\¡mÀ¡v H¶pw a\ÊnembnÃ. apcn§bv¡m kaqkbpw Ign¸n¡m³
F¶m tcmKnIÄ¡nSbn lnµn ]mSps]Sp¶ bphXnIfmb t\gv-kpamÀ!
Adnbmhp¶ Hcp FIv-kv anen«dn AXn-\n-Sbn Hcp Ip«nsbt]mse
Dïmbncp¶p. s]cp-amdp¶ Ip«¸\pw !
kwKXn ssehmbn XÀÖa ]©mc Ip«¸³ F¶ \maIcW
sNbvXpsImïncp¶p FIvkv ! ¯nsâ DdhnSw A¶s¯ B ImgvN
Hmtlm... At¸mÄ \n§sf tbmsS ]mhw lnµn¡mcnbmb Jpiv_p
]©mc¡p«¸³ F¶v hnfn¡p¶Xv sshInbmsW¦nepw a\knem¡n !!
CXpsImïmbncp¶p, AtÃ? tijw Nn´yw!
]©mcs¡mXnbm.... t_h Iq^v!
sdbvUn\ptijw ZoZn t\sc t]mbXv

98 \½p-sS B-tcm-Kyw | 2021 s^{_phcn



RNI No. KERMAL/1999/123 NAMMUDE AROGYAM MAGAZINE February 2021
Reg. KL/TV(N)/458/2021-23 Date of Publication: 1st February 2021
Licensed to post without prepayment KL/TV(N)WPP/46/2021-23 ` 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