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Published by imakeralana, 2019-12-07 00:46:58

Dec 2019

Published by IMA Kerala

Keywords: IMA,Health,Magazine,Malayalam

    Btcm-Ky-w
B-ip-]-{Xn-IÄ
hmeyw 20 e-¡w 7 ]-cn-kv-Yn-Xn- :
2019 Pqsse ` 25 ]p-Xp-¡n-¸-WnbWw

BBF§i{Ipsa]\W{XXwnbSbnsmew?

{]mtbmKnIamb 20 \nÀti§Ä

aqetImi NnInÕbpw
s]m¡nÄs¡mSn càhpw





2019 Pqsse
hmeyw 20
e-¡w 7
hn-e: 25 cq]

10 \n¸ tcmKm\p`hw: BtcmKys¯bpw Bip]{XnIsfbpw

]cnØnXnsbbpw F§s\ ]pXp¡n¸WnbWw?

tUm. Pn.BÀ. k-t´m-jv IpamÀ, tUm.F. A¯m^v

24 Bip]{Xnbnse B{IaWw F§s\ XSbmw?

BtcmKytaJe F§s\ sa¨s¸Sp¯mw?
{]mtbmKnIamb 20 \nÀti§Ä

tUm. cmPo-hv P-b-tZh³

36 c£IÀ-Xz-¯ns³-d

I-cp-XÂ kv-]Àiw

tUm. Fenk_¯v sI. C

40 kmÀt¡ma F¶ AÀ_pZw
tUm. sI. N{µtaml³

45 Ip«nIfnse Bkvß kvIqfpIÄ¡papt­m ]¦v?

tUm. \nj \tc{µ³

48 A½-bm-Im³ t\cs¯ X¿m-sd-Sp-¸p-IÄ

\S-¯mw, AÑ-\m-Im\pw

tUm. kvan-Xn k\Â

52 Dcpfp¶ N{I§fn BËmZw, BtcmKyw

tUm. Fw. ap-c-fo[c³

54 Ip«nIÄs¡Xnsc ssewKnI

AXn{Ia§fp­ mbmÂ

tUm. Fw. sI. kn. \mbÀ

4 \½p-sS B-tcm-Kyw | Pqsse 2019

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

62 \mw H¶v...\ap¡v H¶v...... No^v FUn-äÀ
tUm. im´-Ip-amcn tUm. Sn. kp-tc-jv IpamÀ

68 XeId¡w sk{I-«dn Iw {S-j-dÀ
{ioaXn. Kucn taml³. ]n, {ioaXn. FUv\ bqPn³ s^ÀWm­kv tUm. Fw. ap-c-fo-[-c³

70 am\knI k½À±w \nb-{´n¡mw FUn-täm-dn-b t_mÀUv
tUm. Acp¬ _n. \mbÀ tUm. sI.F. IpamÀ

76 _tbm]vknbpsS ImWm¸pd§Ä tUm. hn.Pn. {]-Zo-]v IpamÀ
tUm. F³. kpµtci³ tUm. ]n.F. efnX

80 Dd¡w \ãs¸Sp¯p¶ IqÀ¡when tUm. ctaiv.- F-kv.- tj-Wmbn
tUm. \m-Kv-cm-Pv A-tim-Iv tZ-imbn tUm. Acp¬ _n.-\m-bÀ
tUm.- k-Pn-Ip-amÀ sP.

D]-tZ-iI k-anXn
tUm. Fw.C. kpKX³

({]kn-Uâ v, sF.-Fw.-F. tIcf)

tUm. C.sI.D½À

(ap³ kw-kvYm-\ {]-kn-U³dv, sF.Fw.F)

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)

hc
kp[oÀ \mYv, \yq-UÂln

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

84 aqetImi NnInÕbpw amkn-I amÀ-¡-änwMv
kw-\v-[nbm-b ssj-Pp Fkv. \mbÀ
s]m¡nÄs¡mSn càhpw
ssS¸v skänwKv:
tUm. kPnIpamÀ. sP hn-h-c-§Ä¡v KoX

{]nâ nwKv :
ap{Z in-h-Imin

tUm. A-tbm^v Bt_ PRINTED AND PUBLISHED BY:
Dr.T. Suresh Kumar, Editor,
94 94000 12600s{]m-^. sI. tKm-]m-e-Ir-jvW³ Nammude Arogyam,

97 D®namb Cu Bip]{XnbpsS sFizcyw! for Indian Medical Association
tUm. Sn. kp-tc-jv IpamÀ Kerala State Branch

tUm-Iv-S-tdm-Sp tNm-Zn¡mw 39 ADDRESS FOR CORRESPONDENCE:
83 Dr.T. Suresh Kumar,
slÂ-¯v Iznkv
Editor, Nammude Arogyam
Indian Medical Association,

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

mail: [email protected]
ph: 0471-2742266

Pqsse 2019 | \½p-sS B-tcm-Kyw 5



FUn-täm-dnbÂ

\jv-S-s¸Sp-¶
{]-Xn`IÄ
F-{X-sb{X?

tUm. Sn. kp-tc-jv IpamÀ
No-^v F-UnäÀ-

Ct¸mÄ H-cp a-e-bm-fw Sn.hn. Nm-\en kw-t{]£-Ww
sN-bv-Xp-sIm-ïn-cn¡p-¶ hf-sc P-\{i-² ]n-Sn-¨p-]än-b
sIm-¨p-Ip-«n-I-fp-sS kwKo-X dn-bmÂ-än t-jm \-s½ C-cp-¯n
Nn-´n-¸n¡m³ t{]-cn-¸n¡p-¶ H-¶mWv.

s{]m-^j-WÂ Km-bI-sc t]mepw shÃp-¶ co-Xn-bn-em-Wv
A-h-cp-sS B-em-]\w. C-cp-]-tXm-fw Ip-«n-IÄ-¡m-Wv A-h-cp-sS anI-hv
{]-I-Sn-¸n-¡m\p-Å A-hk-cw e-`n-¨Xv.

]m-Sm\pw h-c-bv-¡m\pw F-gp-Xm\pw {]-kw-Kn-¡m\pw
A-`n-\-bn-¡m\pw Hm-Sm\pw Nm-Sm\pw \o´m\pw I-fn-¡m-\pap-Å A-h-kc-§Ä
kv-Iq-fp-I-fn-tem a-än-S-§-fntem \-½p-sS hfÀ¶p h-cp-¶
Ip-«n-IÄ-¡v In-«p-¶p-tïm? ap-XnÀ-¶-h-sc-t¸m-se-tbm
A-Xn-s\-¡mfpw \-¶m-bn ]mSm³ am-{X-aà a-tä-Xp cw-K¯pw
{]Xn-` sX-fn-bn¡m³ \-½p-sS Ip-«n-IÄ-¡pw I-gn-bpw
A-hk-cw kr-jv-Sn-¨mÂ.

F-{Xbpw F®-a-ä {]-Xn-`I-sf I-sï-¯m\pw kr-jv-Sn-¡m\pw
I-gn-bm-sX t]mIp-¶ H-cp km-aq-ly hyh-kv-Yn-Xn-bmWv \-ap-¡p-ÅXv.

Cu \-jv-¯n-\v H-cp ]-cn-lm-cw I-sï-¯-tï-?
\-½Ä ap-¶n-«n-d-§Ww.

khn\bw

Pqsse 2019 | \½p-sS B-tcm-Kyw 7

]q¨¡mcv, tkmdn,

"tbmKbv¡v' Bcv aWnsI«pw

tUm. F³. kpÄ-^n "tbmK' Zn\sams¡ Ignªncn¡p¶p.! cmPyw apgph³ tIcfw DÄs¸sS
kw-kvYm-\ sk-{I-«dn, tbmK Zn\w BNcn¨v XIÀ¯p!
sF.Fw.F. tIcfw
[email protected] Ignª Gsd \mfpIfmbn tbmKbpsS BtcmKy]camb KpW§sf
¡pdn¨pÅ Hcp sNdnb Adnhv t\Sm³ {ian¡pIbmbncp¶p Rm³.

tbmKsb¡pdn¨pÅ e`yamb ]T\§sfms¡ H¶v hniZambn t\m¡m³
{ian¨p. F\n¡v a\knembXv tbmKsb¸än¸dbm³ ]eÀ¡pw `btam,
Asæn Hcp tkm^väv tImÀWtdm BWv F¶mWv.

]t£ CXns\¸änbpÅ imkv{Xobhi§Ä ]dªv sImSpt¡ïXv, ]dªv {]Ncn¸nt¡ïXv
tUmÎdpsS [À½w IqSnbmWv.

ta¸dª ]T\§sfms¡ HmSn¨p t\m¡pIbpw ]XnämïpIfnse BtcmKy cwK¯pÅ
]cnNbhpw saUn¡Â hnZym`ymk¯nsâ ]n³_ehpw Hs¡ h¨v NneImcy§Ä ]dbmsX h¿.

tbmK Hcp hymbmaw F¶ coXnbn \ÃXmbncn¡mw. AXv aäpÅ hymbma§sft¸mse am{Xw.
F¶m tbmK Gähpw \à hymbmahpw, tbmK ]etcmK§fptSbpw D¯chpw F¶p ]dbm³ Hcp
ImcWhpw ImWp¶nÃ.

CXv ]dbm³ ImcWw tbmKsb¡pdn¨pÅ B[nImcnIamb ]T\§Ä IpdhmWv F¶pÅXv
Xs¶. e`yamb ]T\§Ä DÅsXms¡ Xs¶ B[nImcnIX \ne\nÀ¯p¶nà F¶v am{Xaà hfsc
sNdnb t]m¸ptej\n \S¯nb A[nIamcpw {i² sImSp¡m¯ Nne ]T\§Ä am{XamWv.

B[nImcnI sshZyimkv{X {KÙ§fntem, IqSpXÂ B[nImcnXbpÅ saUn¡Â tPÀWepIfn
tem H¶pw Xs¶bpw Chsbm¶pw AwKoIcn¡s¸«v IïnÃ.

{]kn²oIcn¡s¸« ]eXnepw hoïpw ]T\w Bhiyapsï¶pw e`yamb ]T\§Ä A]cym
]vXamsW¶pw ]T\\nco£W§Ä tbmK ]cn]qÀWambpw ^e{]ZamsW¶v Isï¯phm³
Ignªnà F¶psams¡bmWv-.

AXmbXv tbmK¡v \S¯w t]msetbm, \o´Â t]metbm, aäv ImbnI hnt\mZ§Ä t]msetbm
H¶pw Xs¶bpÅ KpWKW§Ä Cà F¶v Xs¶bmWv. Npcp¡w Nne ]T\§Ä ]dbp¶Xv tbmK
Nne am\knI, hnjmZ tcmK§fn \ns¶ms¡ dneo^v In«psa¶mWv. AsXmcp]t£, kwKoXw
tIÄ¡p¶Xv t]mse, ASp¯ kplr¯nt\mtSm, PohnX ]¦mfntbmtSm, hnajL«w ]¦nSp¶
t]msebpÅ Hcp sNdnb Imcyw am{Xw.

AXmbXv temI¯mIam\w AwKoIcn¡s¸« hymbma apdIfpambn XmcXayw sN¿pt¼mÄ
tbmKbv¡v C¯cw hymbmaapdIsf¡mfpw Hcp IWnI t]mepw IqSpXÂ {]tbmP\w CÃ F¶v
am{XaÃ, Znhkhpw DÅ aäv hymbmaapdIfpsS ASps¯¶pw F¯pIbpanà F¶pÅXmWv.

AXn\m Xs¶ tbmKsb Hcp k¼qÀW BtcmKy kwc£W Häaqenbmbn ImWp¶Xv henb
hne \ÂtIï ImcyamIpw.

AXn\v ImcWw tIcf¯nÂ, `mcX¯n Gähpw IqSpX BfpIsf sIms¶mSp¡p¶ PohnX
ssien tcmK§fpsS Hcp IWnI t]mepw Ipdbv¡m³ tbmK¡mInà F¶pÅXv- Xs¶.

At¸mÄ ]ns¶ F´n\v tbmK? AXnt\¡m Bbncw aS§v KpWapÅ aäv hymbmaapdIÄ
ChnsS thsdbpÅt¸mÄ.

CXv ]dbpt¼mÄ asäm¶v IqSn ]dbïn hcpw. tbmK F¶Xv GsX¦nepw Hcp PmXn aX
hn`mK¯nsâ A`ymkapdbÃ. B I®v sImïv CXns\ ImWmXncn¡pIbpw AXnsâ KpWtZmj§Ä
]cntim[n¡s¸SpIbpw NÀ¨sN¿s¸SpIbpw sN¿Ww.

8 \½p-sS B-tcm-Kyw | Pqsse 2019

]mcskämtamÄ F¶ KpfnI t{]mkv-täm¥mânsâ \nÀ½mWw Ipd¨v thZ\, ]\n Ch Ipd¡p¶p
F¶v ]dbp¶Xv imkv{Xob ASn¯dbpÅXmWv.

B ASn¯d ZimϧfpsS KthjW \nco£W ^eamWv.

\n¸ ]Scp¶Xv hÆmepIfneqsS F¶v ]dbp¶Xpw AXv t]mse Xs¶,

]pIhen Im³kdn\v ImcWsa¶v ]dbp¶Xpw asämcp DZmlcWw,

AXmbXv ]pIhen \nÀ¯p¶Xpw, hÆmepIÄ ISn¨ ]ghÀK§Ä D]tbmKn¡mXncn¡p¶Xpw
\n¸bpw Im³kdpw hcmXncn¡msa¶p \nÊwibw sXfnbn¡s¸«XmWv. F¶m tbmK aqew PohnX
ssien tcmK§tfm, aäv tcmK§tfm Ipdbpsa¶v CXv hsc \nÊwibw sXfnbn¡s¸«n«panÃ.

AXv sImïv Xs¶ sshZyimkv{X kaqlw P\§Ä¡pw `cWm[nImcnIÄ¡pw CXp ]dªp
sImSp¡Ww. Ahsc a\knem¡n¸n¡Ww. kXyw ]dbm³ ]eÀ¡pw aSnbmWv.

AXn\v `btam Asæn Nne tkm^väv tImÀWdpItfm XSkamIm³ ]mSnÃ.

imkv{Xw Pbn¡Ww. imkv{Xw Pbt¨ Xocp, imkv{Xw Pbn¨nsæn temIcm{ã§fpsS ap¶nÂ
`mcXhpw, tIcfhpw A]lmkycmhpw.

tbmK Hcp sNdnb hymbmaw am{Xw. aäv hymbma§fpsS ]n¶n \n¡p¶ Hcp hymbmaapd.
IqSpX KpWw sN¿p¶ hymbmaapdIÄ ]cnioen¡p¶XmWv PohnX ssien tcmK§Ä Hgnhm¡m³
sN¿m³ Ignbp¶Xv. CXv kXyw, CXv imkv{Xw.

]¯ncp]Xv hÀj§Ä¡v ap³]v ChnsS sU¦n¸\n ]SÀ¶v ]nSn¨t¸mÄ ChnsS tlmantbm
{]Xntcm[ KpfnI aqew CXv CÃmXm¡mw F¶v NneÀ ]dªv {]Ncn¸n¨p. F¶m sU¦n ChnsS
Ct¸mgpw Dïmbns¡mïncn¡p¶p. A¶v Xs¶ sshZyimkv{X kaqlw ]dªXmWv, sU¦n¸
\nbpsS ImcWw, GUokv sImXpImsW¶pw, GUokv sImXpIv s]äps]cpIp¶ Pet{kmXkpIÄ
CÃmXm¡p¶XmWv CXn\v ]cnlmcsa¶pw.

As¶ms¡ Hcp Ffp¸hgn NneÀ t\m¡n. a[pcapÅ Hcp KpfnI. Ffp¸hgn ]cnlmcamInà F¶v
Imew sXfnbn¨ncn¡p¶p. ISp¸apÅ hgn C\nbpw \mw Xmtïïnbncn¡p¶p. sU¦n¸\n
ChnsSbpïv sNdnb tXmXnse¦nepw. AXvt]mse BIcpXv tbmK.

tbmK PohnX ssien tcmK§Ä CÃmXm¡pw F¶ [mcW Dïm¡nbm icn¡pÅ hymbma
apdIÄ sN¿msX IqSpX IqSpX PohnX ssien tcmK§Ä DïmIpIbpw IqSpX IqSpXÂ
acW§Ä DïmIpIbpw sN¿pw. tbmKsb¡pdn¨v ]dbpt¼mÄ Hs¡ imkv{Xkaql¯nse
NnecpsS \niÏX Fs¶ `bs¸Sp¯p¶p. imkv{Xw ]dbm³ t]mepw aSn¨v `b¶v IogS§p¶
kaqlambn t]mIcpXv \½psS imkv{X kaqlw.

imkv{Xw apJya{´namÀ¡pw {][m\a{´n¡pw hsc ]dªv sImSpt¡ï NpaXe \ap¡v Dsï¶v
HmÀ¡Ww. imkv{Xs¯¡pdn¨pÅ Cu au\w F´ns\¶v anI¨ imkv{X Aht_m[apÅ ]e
tcmSpw Rm³ kwh[n¨p.

AhcpsS D¯cw Fs¶ IqSpXÂ `bs¸Sp¯n.

D¯cw, C§s\.

B[p\nI sshZyimkv{Xw Hcp henb I¸emWv, Hcp kap{Zw \ndªp \n¡p¶ henb I¸Â.
AkXy¯nsâ Cu Ipªv XncameIÄ B[p\nI sshZyimkv{Xs¯ X«nadn¡nÃ.

AXv sImïv Xs¶ AXn\v thïn kabw IftbïXnÃ.

B \ne]mSv Hcp ]cn[n hsc icnbmWv. F¶mepw,

]q¨¡v Bsc¦nepw aWnsI«ntb Xocq. aWn sI«s¸Spw Hcn¡Â. AXn\m aWnbpambn \mw
\S¡Ww. B aWn AhcpsS Igp¯n hogp¶Xv hsc.

hm IjvWw : cmPyt{Zmln F¶v hnfnt¸cv In«ptam F¶dnbnÃ. ]t£ AkµnKv[ambn
sXfnbn¡s¸« ]T\§Ä thWw, \ne]mSv amäm³.

F\n¡v XeId¡w Ipdªp, ssat{K³ t]mbn F¶pÅ AhImi hmZ§Ä kzoImcyaÃ.

P-bv ln-µv, P-bv sF.Fw.F.

Pqsse 2019 | \½p-sS B-tcm-Kyw 9

tUm.Pn.BÀ.kt´mjv- IpamÀ \n¸ tcmKm\p`hw:
sF.Fw.F \n¸ ]T\
kanXn AwKw BtcmKys¯bpw
Bip]{XnIsfbpw
Ph.9745544431 ]cnØnXnsbbpw
[email protected]
F§s\ ]pXp¡n¸WnbWw?

\n¸tcmK kw{IaW¯nsâ ]Ým¯e
¯n \½psS BtcmKy kwhn[m\¯nsâ
C¶s¯ AhØsb¡pdn¨pÅ Hcp
At\zjWw.

Hcp hÀjs¯ CSthfbv¡p tijw \n¸
hoïpsa¯n. FdWmIpfs¯ kzImcy Bip]
{Xnbn ]\n _m[n¨v NnInÕs¡¯nb
hSt¡¡c kztZin bphmhnemWv tcmKw
Isï¯nbXv. bYmkabw NnInÕ tXSnbXv
sImïpw aXnbmb ap³IcpXepIÄ kzoIcn¨Xv
sImïpw tcmKw aämcnte¡pw ]IcpIbpïmbnÃ.
NnInÂkm\´cw tcmKn ]qÀ®kuJyw {]m]n¨p
hcp¶p.

\n¸bpsS cïmw hchns\ Bßhnizmk
t¯msS t\cnSm³ \s½ {]m]vXcm¡nbXv
Ignª hÀjs¯ \n¸ A\p`hw \ÂInb ]mT
amsW¶v BtcmKyhIp¸v km£ys¸Sp¯p¶p.

tUm.F. A¯m^v
Atkmkntbäv
{]^kÀ
I½yqWnän saUnkn³
hn`mKw

Kh. saUn¡Â tImfPv
at©cn

sshkv sNbÀam³
sF.Fw.F dnkÀ¨v skÂ

M: 9447155455
E-mail: [email protected]

10 \½p-sS B-tcm-Kyw | Pqsse 2019

A]qÀÆhpw amcIhpamb Hcp ]IÀ {´Ww DïmIpI F¶XmWv AXn
¨hym[nsb BZy XhW, {]tXy sâ AÀ°w. \n¸ {]Xntcm[s¯
In¨pw tcmKs¯¡pdn¨v thï{X `cW]chpw cm{ãobhpamb Hcp
[mcWbnÃmXncns¡ 23 t]cnte¡v hnPbw F¶ coXnbn BtLmjn
Npcp¡m³ IgnªXpw, Ct¸mÄ Hcp ¡p¶Xnt\¡mÄ {][m\w \½psS
tcmKnbn \n¶v ]pdt¯¡v hym]n BtcmKycwKw XpSÀ¶v hcm³
¡m³ Ahkcsamcp¡mXncp¶Xpw km[yXbpÅ tcmKkw{IaW§sf
\½psS BtcmKy kwhn[m\¯nsâ t\cnSm³ F{Xam{Xw kÖambncn
Imcy£aXbpsS hnPbambn IW ¡p¶p F¶v NÀ¨ sN¿pIbmWv.
¡m¡mw. tIcf kÀ¡mcn\pw B ZnibnepÅ Hcp At\zjWamWv
BtcmKy hIp¸n\pw tUmÎÀamÀ Cu teJ\w.
DÄs¸sSbpÅ BtcmKy{hÀ¯IÀ
¡pw C¡mcy¯n A`nam\n¡mw. \n¸bpsS cïmw hchv Ak¶n
Cu hnPbw tIcf¯nse BtcmKy Kv²ambn sXfnbn¡p¶ Imcyw
cwKw cmPys¯ CXc kwØm\ CXmWv - \n¸ sshdkv Ft¸mÄ
§fn \n¶pw F§s\ hyXykvXam thWsa¦nepw Xncn¨phcm³Ignbpw
bncn¡p¶psh¶Xnsâ sXfnhmbn hn[w \½psS Npäpw hÆmepIfntem
hnZKv²À hmgv¯p¶p. atäsX¦nepw arK§fntem ØnXn
sN¿p¶p. atejybnepw _w¥m
Cu t\«§sf AwKoIcn¨p tZinepw Iïph¶ncp¶ Hcp
sImïv Xs¶ \mw C\nbpw A`nap arKP\y sshdkn\v \½psS \m«n
JoIcn¡m³ hnk½Xn¡p¶ Nne te¡v IS¶phcm³ Ignbpsa¦nÂ
bmYmÀ°y§fnte¡v hnc Nqïm temI¯nsâ aäp`mK§fn hn\m
\mWv ChnsS {ian¡p¶Xv. ]pXnb iImcnIfmbn \S¡p¶ tcmKmWp
kmw{IanItcmK§fpsS IS¶phchv ¡Ä¡pw `mhnbn ChntSbv¡v
temIw apgph³ t\cnSp¶ Hcp hym]n¡mw. Cu kmlNcys¯
BtcmKy {]iv\amWv. AXmXv cmPy F§s\bmWv \mw t\cntSïXv
§fnse BtcmKycwKw Cu hym[n F¶XmWv tNmZyw.
sb {]Xntcm[n¡m\pÅ X¿msdSp
¸pIÄ \S¯nhcp¶p. C¯cw ]e \n¸ BZys¯ XhW s]m«n¸pd
kmw{IanI tcmK§Ä¡v hmIvknt\ s¸«Xpw hym]n¨Xpw F§s\ F¶v
jt\m DS\Sn \nbXamb NnInÕm hniZoIcn¨psImïv Cu tNmZy¯n
{Ia§tfm cq]oIcn¡m³ Ignbm¯ \v D¯cw Isï¯m³ {ian¡pIbm
AhØbpw \ne\n¡p¶p. Cu Wv Cu teJ\w
kmlNcy¯nemWv \n¸ t]mse
bpÅ tcmK§fpsS {]Xntcm[s¯ \n¸ tcmKm\p`hw:
¡pdn¨v \mw kwkmcn¡p¶Xv. tcmK
{]Xntcm[¯nsâ ASnØm\]mT BtcmKys¯bpw
§sf hoïpw Dcphn«pd¸n¡pI Bip]{XnIsfbpw
F¶XmWv \mw sNt¿ïXv. Hcp ]cnØnXnsbbpw
]IÀ¨hym[n a\pjycnte¡v IS¶p
hcp¶ kmlNcy§Ä¡v ta \nb F§s\ ]pXp¡n¸WnbWw?

\½p-sS B-tcm-Kyw | 2019 Pqsse 11

tcmKkw{IaW¯nsâ IqSpXÂ ]cntim[\Ifpw kn.Sn kvIm
\pw \nÀtZin¨p. F¶m tcmK \nÀWb
hgn ¯nt\m NnInÕbvt¡m Im¯p\nÂ
¡msX sshIpt¶ct¯msS tcmKn acW
2018 sabv amkw A©mw XobXn s¸«p.
sshIpt¶cw tImgnt¡mSv saUn¡Â
tImtfPv Bip]{Xnbn sh¨v apl½Zv sXm«Sp¯ Znhkw Xs¶ sN§tcm¯v
km_n¯v (tIkv 1) F¶ 26 hbÊp {]mYanI BtcmKy tI{µ¯n \n¶pÅ
Imc³ ]\n _m[n¨v acWaSªp. saUn¡Â kwLw km_n¯nsâ hoSv
IqSpX At\zjW§Ä Bhiy kµÀin¡pIbpw acWw kw_Ôn¨v Hcp
ansö ]Xnhpioew AXns\ Hcp At\zjW dnt¸mÀ«v X¿mdm¡pIbp
km[mcW ]\nbm¡namän. ssIImcyw apïmbn. sU¦n¸\ntbm P¸m³ Pzctam
sN¿m³ Ignbp¶Xnt\¡mÄ ]Xn·S§v- kwibn¨v shÎÀ kÀtÆbpw A\p_Ô
tcmKnIÄ Hcp Bip]{Xnbn te¡v {]Xntcm[ {]hÀ¯\§fpw \S¯n.
h¶m AsX§s\ tcmK kw{IaW tcmKn¡v BZyw sU¦n¸\n kwibn
\nb{´W kwhn[m\§sf A]ISs¸ ¨ncp¶psh¦nepw sabv 3 apXÂ FÃm
Sp¯pw F¶v am{XaÃ, tUmÎÀamcpsS Znhkhpw sU¦n sSÌv sNbvXXnÂ
¢n\n¡Â PnÚmkIsf¡pSn {ItaW t¹ävseäp IfpsS F®w XmcXtay\
AsX§s\ CÃmXm¡pw F¶Xnsâ Ipdbp¶ Xns\m¸w sSÌv s\Käohv Bbn
sXfnhpIqSnbmWv \n¸ A\p`hw. XpSÀ¶ncp¶p. F¶m km_n¯nsâ
tcmKw ØncoIcn¡mt\m bYmÀ°
sabv 2 \mWv km_n¯n\v ]\n acWImcWw Isï¯mt\m ]n¶oSv
Bcw`n¨Xv. sabv 3\v At±lw t]cm{¼ {ia§sfm¶pw DïmbnÃ.
Xmeq¡v Bip]{Xnbnse H.]n bnÂ
NnInÕ tXSpIbpw, ]\ns¡m¸w OÀ±n km_n¯nsâ tcmKw \n¸bmbncp¶p
epapïmbXns\ XpSÀ¶v tabv 4 \v sh¶ kwibw Bcw`nIp¶Xv sabv17\v
Ime¯v AhnsS Xs¶ AUvanämhpI km_n¯nsâ ktlmZc\mb kmenlv
bpw sNbvXp. A¶v sshIpt¶cw apXÂ (tIkv 6) tImgnt¡m«v kzImcy Bip]
tcmKn¡v Npabpw XfÀ¨bpw A\p`h {Xnbn NnInÕ tXSnsb¯pt¼mgmWv.
s¸«p. tabv 5 \v Ime¯v tcmKnsb At¶ Znhkw Xs¶ km_n¯nssâ
tImgnt¡mSv saUn¡Â tImtfPnte¡v ]nXmhv (tIkv 11) ]nXr ktlmZc `mcy
d^À sNbvXp. AhnsS BZyw FaÀP (tIkv 7) F¶nhtcbpw kam\ tcmKe£
³kn saUnkn\n F¯nb tcmKn¡v W§tfmsS AhnsS AUvanäv- sNbvXp.

12 \½p-sS B-tcm-Kyw | Pqsse 2019

Htc e£W§tfmSp _m[ ØncoIcn¡p¶Xmbn ]q\bnÂ
\n¶v Adnbn¨p.
IqSnb tcmKw
CsXms¡ kw`hn¡p¶Xn\v ap³]v
Hcp IpSpw_¯nepÅ H¶ne[nIw t]cm{¼bnepw tImgnt¡m«pw \S¶ Nne
t]cn Htc tcmKe£W§Ä Htc Akm[mcWamb ]\n acW§fnte¡v
kabw {]ISambXv Bip]{Xn A[nIr \½psS {i² ]XntbïXpïv.
XcpsS {i²bnÂs¸«p. BZyw GsX¦nepw
Xc¯nepÅ hnj_m[ kwibns¨¦nepw 1. sabv 16\v, 17 hbÊpÅ Hcp sNdp¸
]{´ïp Znhkw ap¼v asämcp ktlmZc³ ¡mc³ (tIkv2) ]\n, Npa F¶o tcmK
CtX e£W§ tfmsS acn¨pt]mbXmWv e£W§fpambn tImgnt¡mSv saUn¡Â
]pXnb ]IÀ¨hym[nbpsS km¶n[ys¯ tImtfPn NnInÕ tXSpI bpw tcmKw
¡pdn¨v kwibapïm¡nbXv. A§s\ Fs´¶v ØncoIcn¡pw ap³]v ]ntä¶v
P¸m³ Pzcw, shÌv ss\Â sshdkv, acWs¸SpIbpw sNbvXp. \yptamWnb
slÀ¸nkv knw]vfIvkv, \n¸ XpS§n kwibn¨ncp¶p. sabv 11 apX Ct±lw
Gtgmfw ]IÀ¨ hym[nIÄ ]cntim[n aäv Bip]{XnIfn NnInÕ tXSnbncp
¡m\mbn tcmKnI fpsS icoc {kh§fpsS ¶Xmbn NnInÕm tcJIÄ ]dbp¶p.
km¼nfpIÄ tiJcn¨v aWn¸m sshtdm
fPn skâdnte¡v tcmKnbpsS _Ôphiw 2. sabv 12\v, tImgnt¡mSv saUn¡Â
sImSp¯b¨p. tabv ]Xns\«mw XobXn tImtfPnse tdUntbmfPn hn`mK¯nÂ
cmhnse AhnsS \S¶ ]cntim[\bn tPmen sNbvXncp¶ Hcp Xm¡menI
tcmKw GsX¶v Isï¯m³ IgnªnÃ. Poh\¡mcn¡v (tIkv 3) ]\n, Npa, izmk
BZy ]cntim[\ ]«nIbn \n¸ tcmKw XSÊw F¶o tcmKe£W§Ä Bcw`n
CSw ]nSn¨ncp¶panÃ. sshIpt¶cw ¡p¶p. sabv 16\v AhÀ AUvanäv Bhp
hoïpw \S¯nb ]cntim[\bnemWv Ibpw sabv 19 \v acWabpIbpw sN¿p
\n¸ Isï¯nbXpw ]p\ÀØncoIcW ¶p. sabv 5\v AhÀ saUn¡Â tImtfPn
¯n\v ]q\ tZiob sshtdmfPn C³Ìnäyq se kn.Sn kvIm³ dqan klmb¯n\v
«nte¡v Ab¨Xpw. tabv 20-\v \n¸ tcmK F¯nbncp¶Xmbn ]n¶oSv Isï¯n.

3. t]cm{¼ Xmeq¡v Bip]{XnbnÂ
t\ct¯ sabv 4 \v asämcp tcmKnbpsS
Iq«ncn¸pImc\mbncp¶ 45 Imc\mb
HcmÄ (tIkv 4) sabv 16\v saUn¡Â
tImfPn kam\ tcmKe£W§tfmsS
F¯pIbpw sabv 17\v acn¡pIbpw
sN¿p¶p. tabv 13 apX AbmÄ¡v -
tcmKe£W§Ä Bcw`n¨ncp¶p.

4. sabv 4 \v t]cm{¼ Xmeq¡v Bip]
{Xnbn asämcp tcmK¯n\v NnInÕbnep
ïmbncp¶ 100 hbÊpImc\mb HcmÄ¡v
(tIkv 5) sabv 15 apXÂ ]\nbpw aäv
tcmKe£W§fpw {]ISamhpIbpw 17\v
s]mSp¶s\ acn¡pIbpw sN¿p¶p.

ChcpsS tcmKhpw acWhpw ]pd¯m
cpw A[nIw NÀ¨ sN¿pIbpïm bnÃ.
C¶pw A[nIamÀ¡pw Ahsc Adnbp
IbpanÃ. F´mbncp¶p AhcpsS tcmKw?
km_n¯nsâ tcmK¯n\v kam\amb
tcmKe£W§Ä Ahsc F§s\bmWv
_m[n¨Xv?

\½p-sS B-tcm-Kyw | 2019 Pqsse 13

\n¸ Xpd¶p Im«nb tcmKw A§s\, BZytIkmb km_n¯v

et_md«dn ]cntim[\bneqsS \n¸ DÄs¸sS sam¯w 23 t]À¡mWv bYmÀ
BZyw ØncoIcn¡p¶Xv kmenlnemWv
(tIkv 6). kmenlnsâ akvXnjvI °¯n \n¸ tcmK_m[bpïmbXv.
{Zh¯n \n¸ sshdkv IS¶n«psï¶v
aWn¸m sshtdmfPn skâdn AXn BsI 21 t]À (91.3%) acn¨p
Isï¯nb Znhkw Xs¶ At±lw
acn¨p. Pq¬ BZyhmcw \n¸ tcmK t]mbn. 2 t]À¡v tcmKw t`Zambn. et_m
kw{IaWw sI«S§pt¼mÄ kmenlv
DÄs¸sS 18 t]cn et_md«dn hgn d«dn ]cntim[\bneqsS tcmKw ØncoI
tcmKw ØncoIcn¨p. tcmKe£W§
fpsSbpw tcmK kw{IaW¯nsâbpw cn¨Xv 18 t]cnemWv. aäpÅ A©pt]sc
hniIe\¯neqsS km_n¯nsâ tcmK
hpw GXmïv ]qÀ®ambpw \n¸bmIm (km_n¯v DÄs¸sS) At\zjW hniI
\mWv km[yXsb¶v Dd¸n¨p. A§s\
km_n¯v DÄs¸sS sam¯w 19 tcmKnIÄ e\§fneqsS Isï¯pIbmbncp¶p.
F¶mbncp¶p BZys¯ IW¡v-.F¶mÂ
kam\amb tcmKe£W§Ä {]ISn¸n tcmKw Xncn¨dnbpw ap³]v Xs¶ Ahcpw
¡pIbpw tcmK ØncoIcW¯n\v ap³]v
acWs¸SpIbpw sNbvX, BZy tcmKnbp acn¨p Ignªncp¶p. Ahcn \mept]À
ambn _Ôapïmbncp¶hscbpw \n¸
_m[nXcmbn IW¡m¡Wsa¶ tcmK (tIkv2, 3, 4, 5) Ct¸mgpw AÚmXcmbn
\nÀhN\w A\pkcn¨v GXmïv \mev
t]À¡v IqSn \n¸ _m[n¨ncp¶p F¶v XpScp¶p.
Isï¯n. t]cm{¼ Bip]{Xn, saUn
¡Â tImtfPv F¶nhnS§fn sh¨v aäp AXmbXv, tcmKw ØncoIcn¡s¸
]ecnepw kw`hn¨Xv t]mse km_n¯n
eqsSbmWv AhcpsS icoc¯nepw \n¸ Sp¶ kmenlv bYmÀ°¯n Bdma
sshdkv F¯nt¨À¶Xv.
s¯ tIkmWv. AXn\v ap³]pÅ A©p

acW§sf tNÀ¯p sh¨v Hcp

]pXnb ]IÀ¨ hym[nbpsS km¶n[y

s¯ kwibn¡m³ \½psS s]mXp

BtcmKy kwhn[m\¯n\v IgnªnÃ

F¶Xv Hcp hogvNbmbn ImWm³

BÀ¡pw Xmev]cyansænepw Kuchamb

BtemN\IÄ¡v hnjbamt¡ï

H¶mbn AwKoIcnt¡ïXpïv.

AXn\v X¿mdmsW¦nÂ, \½psS

s]mXpP\mtcmKy kwhn[m\¯n hÀj

§fmbn \ne\n¡p¶ KpcpXcamb Nne

ZuÀ_ey§sf \n¸ sshdkv hen¨p

]pdt¯¡n«p F¶v \mw k½Xnt¡ïn

hcpw. \n¸tcmKs¯ \mw UbKvt\mknkv

sN¿pt¼mÄ \½psS BtcmKy kwhn[m\

s¯ _m[n¨ncn ¡p¶ Hcp tcmKs¯

\n¸bpw \ap¡v ImWn¨p XcnIbmbncp¶p.

AsX´msW¶v ]cntim[n¡pw

ap³]v \n¸ tcmKkw{IaWs¯ kw_

Ôn¨ Nne hkvXpXIfnte¡v {i²

£Wn¡pIbmWv. \n¸ sshdÊnsâ

kz`mhw, ]IÀ¨mcoXn, ]Icm\pÅ tijn

F¶nh shfns¸Sp¯p¶XmWv Cu

hkvXpXIÄ.

$ BZys¯ tcmKnbn \n¶v 19

t]cnte¡v tcmKw ]IÀ¶p.

$ BZys¯ tcmKnsbmgn¨v _m¡n

apgph³ t]À¡pw (22 t]À) tcmK]IÀ

14 \½p-sS B-tcm-Kyw | Pqsse 2019

  ,  - 2018
   ു

  ുു/       
 1 26        / 

ുു   2  5

 2 17 ുു   5 11 17
 3 48  .  5 12 19
 4 45 ുു  4  13 17
  4 15 17
.  4
5
 ു  5
 5
 5 100 ുു ു 5
 4
 6 28 ുു ു  4 13 18
5 13 19
 7 51  ു  4 13 20
 5 13 
 8 23   5 14 27
.  5 15 24
 9 19   4  15 20
 4  15 22
 10 27 ുു    5 15 22
  17 16 20
 11 58 ുു   14 16 20
.   18 17 30
 12 32   17 20
ു 18 21
 13 52 ുു  19 
 ു   23 
 14 45 ുു 23 26
 ു  26 30
 15 36   31
 ു
 16 48 ുു 
 
 17 54 ുു .
 18 50 ുു 
 
 19 48  

 20 27 ുു  
.
 21 75  
ു 
 22 28 ുു
ു 
 23 26 ുു 

 


  ു 


  
ു ു 



8,15,16




 


 

\½p-sS B-tcm-Kyw | 2019 Pqsse 15

1

¨bpïmbXv t]cm{¼bnse Xmeq¡v §fn ]{´ïv Znhk§Ä¡v tijw
Bip]{Xn, tImgnt¡mSv saUn¡Â km_n¯nsâ ktlmZc³ A´yZn\§Ä
tImtfPv Bip]{Xn, _meptÈcn Xmeq¡v sNe hgn¨Xv- kzImcy Bip]{Xnbnepw.
Bip]{Xn F¶o aq¶v kÀ¡mÀ tcmKw F´msW¶v Isï¯mXncp¶n
BXpcmeb§fn sh¨mWv. «pt]mepw aämcnte¡pw AhnsS \n¶pw
tcmK¸IÀ¨ DïmbnÃ. "R§Ä tcmK
$ tcmK_m[bpïmbhcn 19 t]À ]IÀ¨ \nb{´WamÀ¤tcJIÄ IrXy
Bip]{XnIfn NnInÕbnembncp¶ ambn ]men¡p¶p. AXpsImïv Bi¦
tcmKnItfm, Iq«ncn¸pImtcm, BtcmKy{] bnÃ. "kzImcy Bip]{Xnbnse tUmÎÀ
hÀ¯Itcm Bbncp¶p. amÀ C§s\bmWv tNmZy¯n\v adp]Sn
]dªXv. tcmK¯nsâ A´yL«hpw
BZys¯ \n¸ tIkmb km_n¯v Bip]{Xn Ifnse kmlNcyhpw tcmK
Ahkm\ Znhk§Ä sNehgn¨Xv- cïv kw{IaW hpambn _Ôs¸«p \n¡p¶p
kÀ¡mÀ Bip]{XnIfnemWv. Gähpw F¶mWv CXv kqNn¸n¡p¶Xv.
IqSpX tcmK]IÀ¨ (Bip]{Xn
Poh\¡mcnte¡v DÄs¸sS) DïmIp¶Xv
Cu kab¯mWv. kam\kmlNcy

\n¸ kw{IaW¯nsâ Zn\§Ä

Hcp ]pXnb tcmKmWp icoc¯n\p 52 ]gwXo\n hÆmepIfn 10 F®¯nÂ
(19.2 %) \n¸ sshdknsâ km¶n[yw ]n
Ån Ibdn Xmakapd¸n¡m³ {ian ¶oSv ØncoIcn¨p. Cu 19 % hÆmepIfnÂ
GtXm H¶n \n¶v km_n¯nte¡v
¡p¶Xnsâ `mKambmWv km_n¯n\v \n¸ tcmKmWp IS¶p. G{]n 11 \pw 27
\pw CSbnepÅ GtXm Hcp ZnhkamWXv.
]\nbpw aäp tcmKe£W§fpw Bcw`n ]s£ AsX§s\bmWv kw`hn¨Xv?
Ct¸mgpw \ap¡v AdnbnÃ.
¡p¶Xv. FhnsS \n¶mWv Cu
km_n¯nsâ icoc¯n IS¶
]pXnb sshdkv hcp¶Xv? {]tXyI Xcw sshdkn\v ]n¶oSv F´mWv kw`hn¨Xv?
AXv hfÀ¶p. hnLSn¨p. F®w s]cpIn.
]gw Xo\n hÆmepIfnemWv \n¸ sshdkv cà¯neqsS tcmKnbpsS Xet¨mdnepw
izmktImi¯nepw {]thin¨p. sshd
Pohn¡p¶sX¶v atejybnsebpw

_w¥mtZinsebpw KthjI·mÀ t\c

s¯ Isï¯nbncp¶p. hÆmen \n¶v

a\pjyicoc¯nte¡v {]thin¡m³

\n¸sshdkv ]et¸mgpw {iaw \S¯pw.
t]cm{¼bn \n¶v ICMR kwLw ]nSn¨

16 \½p-sS B-tcm-Kyw | Pqsse 2019

kn\v Cãs¸« tImi§Ä AhnsS hnfn¨p. tcmKnsb t\m¡m\mbn Uyq«n
bmWpÅXv. ]s£ \n¸ sshdknsâ tUmIvSÀ hmÀUnte¡v hcpt¼mÄ
Cãhpw a\pjycpsS Cãhpw H¯p ImWp¶Xv OÀ±n¨p sImïncn¡p¶
t]mInÃ. A§s\ Ahbh§fpsS km_n¯n\p t_kn³ ]nSn¨p sImSp
{]hÀ¯\w sXän. ]\n aqÀÑn¨p. ¡p¶ en\nsbbmWv. t]cm{¼bnÂ
XethZ\, t]inthZ\, Npa, izmkw AUvanäv- sNbvX km_n¯ns\ ImWm³
ap«Â F¶nh A\p`hs¸«p. tcmKn km_n¯nsâ aq¯p½ ]ntä¶v cmhnse
OÀ±n¨p. AÄkdnsâ AkpJapÅbm t]cm{¼bnse Bip]{Xnbnte¡v h¶p.
fmbncp¶p km_n¯v. AÄkÀ NnInÕ¡v ]\n hcpt¼mÄ D¨nbn tXbv¡mdpÅ
thïnbmWv CeIv-{Soj\mb km_n¯v s]mSn km_n¯nsâ incÊn AhÀ
KÄ^n \n¶v Xncn¨ph¶Xv. tcmKw Xncp½ns¡mSp¯p. \n¸ Ahsc _m[n
t`Zamb tijw KÄ^nte¡v Xncn¨p ¨Xv At¸mgmbncn¡mw.
t]mIWw. km_n¯n\v FÃm `£Whpw
]nSn¡nÃ. Nnet¸mÄ OÀ±n¡pw. tabv 5 \v cmhnse km_n¯ns\
AXpsImïv AÄkÀ sImïmhpw tcmKn tImgnt¡mSv saUn¡Â tImsfPnte¡v
OÀ±n¡p¶sX¶v _Ôp¡Ä IcpXn. d^À sNbvXp. saUn¡Â tImtfPnse
Xnc¡pÅ AXymlnX hn`mK¯n sh¨v
tabv 4 \v km_n¯ns\ t]cm{¼ aäv aq¶v t]cnte¡v km_n¯n \n¶v
Xmeq¡v Bip]{Xnbn ]pcpj·mcpsS tcmKw ]SÀ¶p. kn.Sn kvIm³ dqansâ
hmÀUn AUvanäv- sNbvXp.A¶v FÃm ap¶nepÅ CSp§nb Im¯ncn¸v Øe
InS¡Ifnepw tcmKnIfpw Iq«ncn¸pImcp ¯psh¨v km_n¯n \n¶v Bdpt]
apïv. cm{Xn km_n¯n\v ]\n IqSn. cnte¡mWv tcmKw hym]n¨Xv.kvIm³
ØeIme hn{`m´nbpïmbn. Npa¨p. apdnbpsS ap¶n tcmKn¡v Fsd t\cw
hoïpw OÀ±n¨p. tcmK¯nsâ Cu Im¯p \nÂt¡ïn h¶p.A¶v sshIn«v
aqÀ²\ymhØbnemWv tcmKmWp km_n 5.45 \v km_n¯v acW aSªp. NnInÕ
¯n \n¶v aäpÅhcnte¡v IS¡m³ e`n¡p¶Xnse ImeXmakhpw AXym
Bcw`n¡p¶Xv. t]cm{¼ Bip]{Xnbn lnX tcmKnIÄ¡pÅ kuIcy¡pdhpam
se hmÀUn sh¨v km_n¯n \n¶v Wv km_n¯nsâ ktlmZc\v tcmKw
A¶v 10 t]cnte¡v tcmKw hym]n¨p. _m[n¨t¸mÄ At±ls¯ kzImcy
km_n¯nsâ IqsSbpïmbncp¶ ktlm Bip]{Xnbn sImïpt]mIm³ _Ôp
Zc³ (tIkv 6), ]nXmhv (tIkv 11), ]nXr ¡sf t{]cn¸n¨Xv. km_n¯n \n¶v
ktlmZc `mcy (tIkv 7), 4 Iq«ncn¸pImÀ tcmKw _m[n¨ aq¶v t]cn \n¶v aäp
(tIkv 4,13,14,19) , 2 tcmKnIÄ (tIkv 5,18), aq¶v t]cnte¡v IqSntcmKw ]n¶oSv hym
1 t\gvkv(tIkv 12) F¶nhcmWhÀ. B ]n¨p. tImgnt¡mSv saUn¡Â tImtfPnÂ
\gvkv knÌÀ en\nbmWv. km_n¯n\v sh¨pw _meptÈcn Xmeq¡v Bip]
tcmKw IqSnbt¸mÄ knÌÀ tUmÎsd {Xnbn sh¨pw.

\½p-sS B-tcm-Kyw | 2019 Pqsse 17

BcpsS AXnPoh\w? a\pjysâtbm sshdknsâtbm?

]mcnØnXnIhpw km¼¯nIhpw A¯cw Hcp sshdkmWv km_n¯n

cm{ãobhpamb ]pXnb BtKmf kml te¡v {]thin¨ \n¸. hÆmensâ icocw

Ncy¯n a\pjyt\msSm¸w ]£nIfpw AXn\v kpc£nXamb Hcp CSaÃm

arK§fpw am{XaÃ, kq£vaPohnIfpw Xmbncn¡p¶p. ]cnØnXn BLmXhpw

\ne\n¡m\mbn kacw sN¿pIbmWv. h\\ioIcWhpw hÆmepIsf AhbpsS

ImemhØ amähpw ]cnØnXn BLmX kzm`mhnI Bhmk hyhØbn \n¶v

hpw FÃm PohPme§fpsSbpw Pohs\ ]pd¯m¡n bncn¡p¶p. hÆmen \n¶v

C¶v \nÀ®bn¡p¶p. sshdkpw _mÎo asämcp Pohnbnte¡v- Xmakw amdm\pÅ

cnbbpsams¡ AS§p¶ kq£va Pohn {ia¯nemWv \n¸ sshdkv. t]cm{¼

IÄ¡pw CXv_m[IamWv.kzm`mhnIamb bn AXv \S¯nbXv a\pjy icoc

BhmkØm\§fn \n¶v ]pdt¯¡v ¯n Pohn¡m\pÅ Hcp ]cnioe\

hcm³ Ah \nÀ_ÔnXcmbncn¡p¶p. amWv.

]£nIfn \n¶v arK§fnte¡pw arK aäp kmw{IanI tcmK§sft¸mse

§fn \n¶v a\pjy\nte¡pw Xmakw ]IÀ¨tijn IqSnb Hcp tcmKaÃ

amäm\pÅ ]cnWma]camb Hcp kac Ct¸mÄ \n¸. hÆmensâ icoc¯n\v

¯nemWv kq£PohnIÄ, {]tXyIn¨pw ]pd¯p Pohn¡m³ AXv ]Tn¨p

sshdÊpIÄ. CXv ]pXnb ]IÀ¨ hcp¶sXbpÅp. Hcmfn \n¶v asäm

hym[nIÄ¡v ImcWambn¯ocp¶p. cmfnte¡v hym]n¡m\Ã F§s\

 , 1998 - 2019 HcmfpsS DÅn Øncambn

Ignbmw F¶XmWv AXnsâ

/      t\m«w. hÆmensâ Pohs\
 () A]lcn¡msX hÆmensâ
1998-1999  265 105 40
1999   1
11 9 icoc¯n AXv s]mcp¯

 s¸«v IgnbpIbmWtÃm. AXn

2001  66 45 68 \nSbn bmZrNnIambmWv
2007   55
2018  23 21 100 \n¸ a\pjy\n IS¡p¶Xv-.
2019   10
 91

0 ]s£ AXv a\pjys\

 acW¯nte¡v \bn¡pw. Xm³

2001   13 9 Pohn¡p¶ icocw CÃmXm
2003   12 8
2004   31 23 69
2004   36 27
2005  12 11 67 bm ]ns¶ F§s\ \ne\n
2007  ട 7 3
 8 5 74 ¡pw ? AXn\mbn FÃm
2007  3 1
2007   4 4 75
2008  ,ട 7 5
2008   2 1 92 kq£va PohnIsfbpw t]mse
2008  3 0
2009   1 1 43 \n¸ sshdÊpw Isï¯nb
2009   8 7 63
2010  8 7
2010   1 1 33 amÀ¤amWv tcmK¸IÀ¨.
2010   44 40
2011   12 10 100 ]s£ \n¸¡v Cu tijn
2012   24 21 71
2013   18 9
2014   9 6 50 Ct¸mÄ IpdhmWv. Xm³
2015   5 5 0
2019  , ട 100 Pohn¡p¶ icocw CÃmXm
13 
 87.5 Im³ t]mIpIbmWv F¶
 87.5
100 Imcyw t\cs¯ Xncn¨dnªp

91 asämcp icoc¯nte¡v c£
83
88 s]Sm³ Ct¸mÄ AXn\dnbnÃ.

50 sshdkv _m[n¨ a\pjy
67
100 icocw acn¨p CÃmXmIm³

18 \½p-sS B-tcm-Kyw | Pqsse 2019

XpS§p¶ L«¯nÂ, tcmK¯nsâ A´y ïmbncps¶¦n henb tcmK¸IÀ¨sb
kab¯mWv asämcmfnte¡v \n¸ tcmKm
Wp{]thin¡m³ {ian¡p¶Xv. Asæn Hgnhm¡m³ Ignbpambncp¶ntÃ? Hcp
At¸mgmWv- ]Icm\m\pÅ Ignhv AXv
t\Sp¶Xv. B kabw BcmtWm tcmKn ]s£ A¶s¯ kmlNcy¯n ]qÀ
bpsS ASp¯p \n¡p¶Xv Ahcnte¡v-
tcmKmWp ]Icpw. F¶m tcmKapÅ ®ambn IgnbnÃmbncn¡mw. FÃmw Ign
icoc¯n\pw ]Icm³ ]mI¯n ASp¯v
\n¡p¶ icoc¯n\panSbn B ªXn\v tijw Ct¸mÄ C§s\ tNmZn
kabw Fs´¦nepw XSÊapsï¦nÂ
(AsXmcp amkv¡mhmw, apJmhc ¡p¶Xn Imcyansöv ]ecpw ]dtª
Wamhmw, ¥ukmhmw, ssIIgpIemhmw)
sshdknsâ ]IÀ¨ km[yamhnÃ. ¡mw. F¦nepw Nne AkpJIcamb

km_n¯n \n¶v aäpÅhcnte¡v tNmZy§Ä IqSpX sa¨s¸Sm³ \s½
tcmKw ]IÀ¶Xv A§s\bmWv.
klmbnt¨¡mw.
Hcp tNmZyw
bYmÀ°¯n \n¸ \ap¡v ap¶nÂ
km_n¯n \n¶v 19 hyànIfntebv
¡pÅ tcmK¸IÀ¨ XSbm³ Ignbpambncp Xpd¶p ImWn¨Xv \½psS s]mXp
t¶m? Bip]{XnIfn sh¨v 22 t]À¡v
tcmKw _m[n¨Xv Hgnhm¡m³ Bhpambn BtcmKy Øm]\§fn tcmKmWp
cpt¶m? km_n¯n\pw aäpÅhÀ¡panS
bn sshdÊn\v k©cn¡m³ XSÊap kw{IaWw XSbm\pÅ kwhn[m\

§fpsS A]cym]vXbtÃ?

tcmKw ]Icm³ km[yXbpÅ Øe

§fmWv \½psS kÀ¡mÀ BXpcmeb

§Ä F¶tà \n¸bpsS kw{IaWw

\s½ Nqïn¡m«p¶Xv?

AhnsS tcmKnIÄ am{XaÃ,

tcmKnItf¡mÄ IqSpXembn tUmÎÀ

amcpw \gvkpamcpw aäp BtcmKy{]hÀ

¯Icpw ]IÀ¨hym[nIÄ ]nSns]Sm\p

Å `ojWnbnemWv F¶tÃ?

GImtcmKyhpw ]mcnØnXnI tcmK \nZm\hpw

saUn¡Â hnZymÀ°nIsf ]mcn

ØnXnI tcmK\nZm\imkv{Xw F¶

]pXnb Hcp imkv{X imJsb

F{Xbpw thKw ]cnNbs¸Spt¯ï

BhiyIXtbmfw a\pjysâ Btcm

Kys¯ \nb{´n¡p¶ Hcp LSI

ambnamdnbncn¡p¶p ]cnØnXn

BLmXw krãn¡p¶ BtcmKy

{]iv\§Ä. ]cnØnXn hn\mit¯m

sSm¸w, a\pjysâ Bhmk coXn

Ifn Dïmb amäw, AXnthK `qJWvUm´c bm{XIÄ, Nc¡phn\nabw, IpSntbäw

F¶nhbmWv ]pXnb ]IÀ¨hym[nIfpsS BhnÀ`mh¯n\pw aS§nt¸mbhbpsS ]p\

cmKa\¯n\pw ImcW§fmbn ]dbp¶ {][m\LSI§Ä. ]pXnb kmlNcy¯nÂ

AXnthKw cq]w amdm\pw \ne\n¡m\pw Ignbp¶Xv- sshdÊpIÄ¡mWv. ]pXnb

sshdkv tcmK§fpsS Hcp then tbäamWv 80 IÄ¡v tijw Dïmbncn¡p¶Xv.

DÄ¡mSpIfnÂ, a\pjyÀ IS¶p sNÃm¯ Ccpïh\m´c `mK§fnÂ, AhnsS

bpÅ ]£nIfpsSbpw arK§fpsSbpw icoc¯n Pohn¡pIbmbncp¶ ]pXnb Xcw

sshdÊpIÄ¡v kaql¯nte¡v hcm\pÅ hgn Xpd¶p sImSp¯Xv h\s¯

AXn{Ian¨p IS¶ a\pjycmsW¶v ]dbs¸Sp¶p.

\½p-sS B-tcm-Kyw | 2019 Pqsse 19

kpam{Xbnse h\\ioIcWamWv Cu AhØ Ak¶nKv²ambn Hcp
atejybn \n¸ tcmKkw{IaW¯n\v Imcyw hyàam¡p¶p. a\pjycpsS
ImcWambXv. kpam{Xbnse hmk Imcyw am{Xw {i²n¨psImïv BtcmKy
Øm\w \ãamb hÆmepIÄ atejy s¯ C\nta \ap¡v kwc£n¡m³
bnte¡v sN¶p. hÆmepIfpsS DÅn IgnbnÃ. a\pjycptSbpw arK§fpsSbpw
X§Ä kpc£nXcsöv Xncn¨dnª ]£nIfpsSbpw kky§fpsSbpwkq£va
sshdÊpIfpw ]pXnb Øew At\zjn PohnIfpsSbpw AkvXnXzs¯ AwKo
¨p. Ah ]¶nIfnte¡p IS¶p. ]¶n Icn¨psImïpÅ "GImtcmKy kao]\'
Ifn \n¶v ]n¶oSv a\pjy\n te¡pw. amWv \ap¡v thïXv. tUmÎÀamcpw,
shän\dn tUmÎÀamcpw, ]cnØnXn
A¯cw Hcp ]mcnØnXnI BLmXw imkv{XÚcpw, ImÀjnI hnZKv²cpw,
tIcf¯n \ne\nev¡p¶ptïm?Ignª ]£nimkv{XÚcpw IoSimkv{XÚcpw
aq¶v hÀj¯n\pÅn hÆmepIfpsS Hs¡ AS§p¶ hensbmcp ¹mävt^manÂ
F®w {IamXoXambn IqSnbn«psï¶v \n¶psImïmWv BtcmKys¯ kwc£n
tImgnt¡ms«bpw ae¸pds¯bpw \m«p t¡ïXv.
ImÀ ]dbp¶p. FhnsS \n¶mWv Ah

h¶Xv? hb\m«nse hym]Iamb h\ F´mWv sNt¿Xv ?
\ioIcWamtWm ImcWw. BtcmKyhpw
]cnØnXnbpw X½nepÅ _Ôs¯ \n¸bpsS tcmK¸IÀ¨ \nb{´n¡m³
¡pdn¨v henb ]T\§Ä \½psS \m«n \ap¡v km[ns¨¦nepw tcmKImcnbmb
\St¡ïXpïv. P\§Ä ]dbp¶Xv sshdknsâ bYmÀ° t{kmXtkm AsX
icnbmsW¦n a\pjy\pambn hÆm §s\bmWv tcmKnIfnte¡v ]IÀ¶
epIÄ k¼À¡¯n hcm\pÅ km[yX sXt¶m Isï¯m³ CtXhsc Ignªn
ta¸dª Øe§fn IqSnbncn¡p¶p «nà F¶Xv Hcp hkvXpXbmWv. Zpc´w
F¶mWv AÀ°w. F¦n tIcf¯nsâ h¶v ap«nhnfn¡pt¼mgpÅ {]XnIcWa
]cnØnXnbnepïmb henb hyXnNe\ ÃmsX Zpc´§sf ap³Iq«n ImWmt\m
§fpsS kqN\bmtWm \n¸bpsS {]th XSbmt\m DÅ IÀ½ ]cn]mSnIÄ Bhn
iw? H¸w \½psS Bip]{XnIfpsSbpw jvIcn¡m³ Ignªn«nà F¶v am{XaÃ
BtcmKy kwhn[m\¯nsâ ZuÀ_ A¯csamcp A\nhmcyX \ap¡v t_m[y
ey§fpsS kqNnIbpw? ambn«ptïm F¶v Xs¶ kwibamWv.

20 \½p-sS B-tcm-Kyw | Pqsse 2019 BtcmKy kqNnIfpsS Imcy¯nÂ

cmPy¯n\msI amXrIbmb kwØm\w Imcy£aamb Cu ZznXob BtcmKy
F´psImïmWv ]IÀ¨hym[n {]Xntcm taJebmbncp¶p. BÀ{Zw ]²XnbneqsS
[Imcy¯n C{X ZpÀ_eamb {]XnI AXv Xncn¨p sImïphcm\pÅ {ia§Ä
cWw ImgvNsh¡p¶Xv? Bcw`n¨n«pïv. \nÀ`mKyhim AhbnÂ
\¶mbn {]hÀ¯n¨ncp¶ Nneh saUn
Bip]{XnIfnse Xnc¡v ]IÀ¨hym[n ¡Â tImtfPpIfmbn amdnbncn¡p¶p.
IÄ ]Icm\pÅ CShcp¯p¶ Hcp IqSpX Pnà Bip]{XnIfpw P\dÂ
LSIamWv. tImgnt¡mSv saUn¡Â Bip]{XnIfpw \ap¡v BhiyamWv-.
tImtfPnseAXymlnXhn`mK¯nsebpw Xmeq¡v Bip]{XnIfpsS t]cv PnÃ
kn.Sn apdnbpsS ap¶ntebpw Xnc¡v \n¸ Bip]{Xnsb¶pw kmaqlymtcmKy tI{µ
bpsS hym]\s¯ klmbn¨ LSI ¯nsâ t]cv Xmeq¡v Bip]{Xnsb¶pw
§fmWv. Cu cïp Øe§fnepw amäpIbà thïXv.
BZys¯ tcmKn¡v ZoÀLt\cw Im¯ncn
t¡ïn h¶p. aäp tcmK§Ä¡v thïn Hcp BtcmKy kwhn[m\¯nsâ iàn
]cntim[\¡v h¶ BfpIfnte¡v- AXnse a\pjy hn`htijnbmWv. C¡m
tcmKw ]Icm³ CXv ImcWambn. cy¯n \mw ]n¶nemWv. Bhiyamb
\gvkpamcpw \gvknwKv AknÌâpamcpw
F´psImïmWv \½psS saUn¡Â an¡ Øe§fnepw IpdhmWv. X·qew
tImtfPpIfn Xnc¡v IqSp¶Xv. XoÀ¨ tcmKn]cnNcWw \mw Iq«ncn¸pImsc
bmbpw AXv kmaqlymtcmKy tI{µ§Ä, G¸n¨ncn¡pIbmWv. tcmKnsb ip{iq
Xmeq¡v Bip]{XnIÄ, Pnà Bip] jn¡p¶Xns\¡pdnt¨m tcmKw ]nSns]Sm
{XnIÄ, P\d Bip]{XnIÄ F¶nh sX kzbw kq£n¡p¶Xns\¡pdnt¨m
bS§p¶ ZznXob BtcmKy taJebpsS AhÀ¡v AdnhnÃ. am{XaÃ, tcmKnsbbpw
ZuÀ_eyw aqeamWv. F¬]XpIfpsS sImïv em_nte¡pw kvIm³ apdnbn
XpS¡¯n Bcw`n¨ Cu XIÀ¨sb te¡pw \nc´cw k©cn¡p¶ Iq«ncp
Imem\pkrXambn ]cnlcn¡m³ \ap¡v ¸pImsc GsXmcp kÀ¡mÀ Bip]{Xn
C\nbpw Ignªn«nÃ. tIcf¯nsâ bnepw \ap¡v ImWm³ Ignbpw. C§s\
BtcmKy taJebpsS iàn HcpIme¯v sbmcp kmlNcy¯n Bip]{XnbnÂ
AWp_m[ {]kcWw \nb{´n¡m³
km[n¡nÃ. \n¸_m[ aqew acn¨hcnÂ
\sÃmcp ]¦v Ain£nXcmb Iq«ncn¸p
ImcmsW¶v \mw HmÀ¡Ww.am{XaÃ,
AWp_m[ {]kcWw \nb{´n¡p¶
Xn s]mXptaJebnse tUmÎÀamcpw
BtcmKy{]hÀ¯Icpw thï{X {i²
\ÂIp¶nà F¶Xv Hcp hmkvXhamWv.
CXv BtcmKy {]hÀ¯IÀ¡v Xs¶ hn\
bmbn¯ocpw. \n¸ t]msebpÅ ]IÀ¨
hym[nIÄ Gähpw IqSpXÂ A]ISap
ïm¡p¶Xv- tUmÎÀamcnepw \gvkpam
cnepw BtcmKy{]hÀ¯Icnepambncn
¡pw. tcmKntbmsSm¸w Ahkm\ \nanjw
hsc IqsSbpïmIp¶Xv AhcmWv.
IrXyamb AWp_m[ \nb{´W kwhn
[m\ am\ZÞ§Ä Bip]{XnbnÂ
]ment¡ïXv kzbw c£bpsS `mKw

\½p-sS B-tcm-Kyw | 2019 Pqsse 21

IqSnbmWv. sImïp. B[p\nI sshZyimkv{X
k{¼Zmb§Ä kzoIcn¡pIbpw ]qÀW
\½psS Bip]{XnIfpsS LS\ ]IÀ tXmXnepÅ Hcp s]mXpP\mtcmKy
¨hym[n \nb{´W¯n\v DXIp¶ Xm hIp¸n\v Xs¶ ]n¶oSv cq]w \ÂIpIbpw
tWm? hmbp A\mbmkw IS¡p¶ coXn sNbvXp.
bnà ]e hmÀUpIfpw Hcp¡nbncn
¡p¶Xv. hmbp k©mcanÃm¯ CSp§nb BtcmKy cwK¯v t\«§fpsS ]«nI
CS\mgnIfpw Im¯ncn¸v Øe§fpw \nc¯pt¼mgpw XpSsc XpSsc Dïm
tcmK ]IÀ¨sb klmbn¡p¶p. Bip] Ip¶ ]IÀ¨hym[nIÄ B t\«§fpsS
{Xn Unssk³ IqSpX B[p\nIambn tim`sISp¯p¶sX´psImsï¶v I®v
\mw sNt¿ïnbncn¡p¶p. Xpd¶v \mw ImtWïnbncn¡p¶p.

tIcf¯nse s]mXpP\mtcmKy anIhn BtcmKy taJebn cmPys¯ Xs¶
sâ Ncn{Xw IqSn ]cntim[n¡p¶Xv Gähpw anI¨ kuIcy§Ä AhImi
Cubhkc¯n DNnXambncn¡pw. {]Xn s¸Sp¶ kwØm\¯n\v, ]pXnb Xcw
ioÀj hcpam\¯nepw BtcmKy sNe ]IÀ¨hym[nIsf IqSn ssIImcyw sN¿m
hnepw ]n¶nemsW¦nepw BtcmKy kqNn \pXIp¶ s]mXpP\mtcmKy¯n\v am{X
IIfn cmPys¯ CXc kwØm\ ambpÅ Hcp hIp¸v Ct¸mÄ \nehnenÃ.
§fpsS ap³ \ncbn XpScm³ \ap¡v ]pXnb XcwtcmK§Ä BhnÀ`hn¡p
Ignbp¶Xn\v ]n¶n Ncn{X]camb ¶sX§s\ F¶Xns\¡pdn¨v ]T\w \S
\nch[n ImcW§fpïv. tIcf¸ndhn¡v ¯m\pw AhbpsS {]Xntcm[ ]cn]m
ap¼v Xs¶ ChnSpïmbncp¶ `cWIqS§ SnIÄ BhnjvIcn¡m\pw Ignbp¶ ]cn
fpsS ]ptcmKa\]camb kmaqly \b ioe\w e`n¨ s]mXpP\mtcmKy hnZKv²
§fmWv Hcp]cn[n hsc BtcmKycwK¯v cpsS Hcp \ncbpanà (]»nIv slev¯v
kwØm\w ]n¶o Sv ssIhcn¨ al¯mb tIUÀ).
t\«§Ä¡v ]n¶nse Hcp bYmÀ°
ImcWw. ]IÀ¨ hym[nIfpsS ]nSnbn ap³]v ]dªXv t]mse a\pjysc
\n¶v tIcfs¯ tamNn¸n¡p¶Xn\v BtcmKys¯ aäp PohPme§fnÂ
A¯cw \b§Ä \nÀWmbI ]¦v \n¶pw {]IrXnbn \n¶pw hn`n¶ambn
hln¨p. ]s¯m¼Xmw \qämïn Xs¶ ImWm³ IgnbnÃ. Ah ]ck]cw _Ô
s]mXpP\mtcmKy cwKs¯ \qX\ s¸«p \n¡p¶p. a\pjycpsSbpw ]£n
coXnIÄ bqtdm¸n \n¶v \mw ISw arKmZnIfpsSbpw BtcmKys¯ \nc´cw
\nco£n¡p¶ 'GImtcmKy kao]\'
22 \½p-sS B-tcm-Kyw | Pqsse 2019

(One Health Approach) amWv \ap¡v thïXv. \n¸ Ct¸mgt¯Xv t]mse, ]Icm³
Akm[mcWamb kmlNcy§sf ap³ Ignhv Ipdª ]IÀ¨hym[nbmbn F¶pw
Iq«n a\knem¡m\pw ]IÀ¨ hym[nIfp XpScWsa¶nÃ. Ft_mfsbt¸mse
sS aS§n hchpIsfbpw ]pXnbhbpsS BtKmf tcmKkw{IaW¯n\v tijn
BhnÀ`mhs¯bpw Ipdn¨v \nc´cw ]Tn bpÅ Hcp sshdkmbn«mWv \n¸sb
¡m\pw {]Xnhn[n ImWm\pw klmbn¡p temImtcmKy kwLS\ ImWp¶Xv.
Ibpw sN¿p¶ A¯cw Hcp tcmK \nco Hmtcm XhW tcmKkw{IaWw DïmIp
£W \nb{´W kwhn[m\w (Disease t¼mgpw, \mw tcmKmWphns\¡pdn¨p
Surveillance Center) Øm]nt¡ïXv AXn ]Tn¡pw t]mse tcmKmWp \s½Ipdn¨pw
{][m\amWv. a\knem¡pIbmWv. a\pjy\n ZoÀL
Imew Ignbm\pÅ ]cnioe\amWv Hmtcm
\n¸ hc¨n« `q]Sw XhWbpw AXv \S¯p¶Xv. sshdkns\
Ipäs¸Sp¯nbn«v ImcyanÃ. ]pXnb
Ahkm\s¯ tNmZyw CXmWv. \mw kmlNcyw A§s\ s]cpamdm³
F´ns\XnscbmWv Pm{KX ]peÀt¯ AXns\ t{]cn¸n¡p¶p. ap³]v kqNn¸n
ïXv? tcmKmWphns\Xnsctbm? tcmKm ¨Xv t]mse, sshdÊn\v ]Icm³ kml
Wp kw{Ian¡p¶ kmlNcy§Äs¡ Ncyw Hcp¡n sImSp¡p¶ \½psS Bip]
Xnsctbm? Cu tNmZy¯n\v hyàamb {XnIfmWv BZyw amtdïXv. H¸w AXv
Hcp D¯cw DïmhWw. \n¸bpsS Imcy Gähpw {][m\s¸« Hcp hnjbamsW¶v
¯n {]tXyIn¨pw. \mw `bt¯msS \½Ä Hmtcmcp¯cpw a\knemt¡ï
t\cn« \n¸ tcmKkw{IaW¯nsâ XmWv.
bYmÀ° ImcWw \½psS Bip]
{XnIfn \ne\n¡p¶ timN\obamb \n¸ \nÀ`mKyIcamb Hcp kqN\bm
AhØbmWv. AWp_m[ \nb{´W Wv. \n¸ ImWn¨p X¶ hgnbneqsS
¯nsâ A]cym]vXXbmWv. AWp_m[ \msf Hcp ]s£ IS¶phcp¶Xv- IqSpXÂ
Ifpw tcmK]IÀ¨Ifpw \nb{´n¡m³ `oXnXamb asämcp tcmKmWphmbncn¡mw.
IgnbmXm¡pw hn[apÅ A\nb{´nX Asæn IqSpX iànbmÀÖn¨
amb Xnc¡mWv. a\pjy hn`htijn \n¸ Xs¶bmhmw. tcmKmWp ]Icm\pÅ
bpsS ]cnanXnbmWv. tcmKn]cnNcW hgnIÄ ASbv¡pI F¶XmWv kpc£n
¯nsâ A`mhamWv. Imäpw shfn¨hpw Xcmbncn¡m³ \½psS ap¶nse hgn.
IS¶phcm¯ Bip]{Xn LS\bmWv. AXv Hcp `q]S¯nse¶h®w \½psS
Chsbms¡ ]cnlcn¡m¯nSt¯mfw ap¶n hc¨n«p F¶XmWv \n¸bpsS
Imew tcmKkw{IaWa§Äs¡Xnsc ]mTw.
hnPbw t\SnbXmbn \ap¡v AhImis¸
Sm\mhnÃ. \½p-sS B-tcm-Kyw | 2019 Pqsse 23

tUm. cmPo-hv P-b-tZh³ Bip]{Xnbnse B{IaWw
F§s\ XSbmw?
ko\n-bÀ
I¬-kÄ-«³-dv BtcmKytaJe F§s\ sa¨s¸Sp¯mw?
Kym-kv-t{Sm- {]mtbmKnIamb 20 \nÀti§Ä
F³-d-tdm-f-Pn-kväv,
U-]yq-«n sa-Un-¡Â Fs´¦nepw Hcp {]iv\apïmhpt¼mÄ hmkvXhw
U-b-d-IvSÀ, a\knem¡msXbpÅ, Xo{hamb hnImct¯msS
k¬-ssd-kv {Kq-¸v bpÅ {]XnIcW§Ä \½psS \m«nÂ
Hm-^v tlm-kv-]näÂ, Hcp ]Xnhmbncn¡p¶p. CXv ]et¸mgpw {]XnIqe^ew
sIm¨n hcp¯ntb¡mw. Cu teJ\w FgpXnbncn¡p¶Xv,
BtcmKy{]hÀ¯IÀ¡p t\sc ASp¯Ime¯p
ssh-kv {]-kn-U³dv, hÀ[n¨p hcp¶ B{IaW§fpsS ]Ým¯e¯nÂ,
sF.Fw.F. sIm-¨n³ sshZyimkv{Xs¯ ]änbpw \½psS cmPys¯
BtcmKytaJebpsS ]cnanXnIsf¸änbpw \nehnepÅ
sXän²mcWIÄ AIäm³thïnbmWv.

Hcp ssk¡ntfm Imtdm \¶m¡p¶Xpt]msebÃ
a\pjyicoc¯nsâ Imcyw. \qämïpIfpsS KthjW
^ehpw Bg¯nepÅ Adnhpapsï¦nepw C¶pw

24 \½p-sS B-tcm-Kyw | Pqsse 2019

]e tcmK§fpsSbpw ImcWtam ¯n sNdnsbmcp Xos¸mcn aXn
NnInÕtbm Iïp]nSn¡s¸«n«nà Imcy§Ä ssIhn«pt]mIm³. H¸w
F¶XmWv hmkvXhw. a\pjy ]p«n\p ]ocsbt¶mWw NnecpsS
icoc¯nsâ ssZ\wZn\ {]hÀ¯\§Ä Ip¯phm¡pIfpw IqSnbmhpt¼mÄ
t]mepw imkv{X¯n\v ]qÀWambn tcmKnbpsS _Ôp¡Ä BsI Bib
hniZoIcn¡m\mbn«nÃ. ssk¡nfn\pw ¡pg¸¯n BhpIbpw s]s«¶v
Imdn\pw DÅXv t]msebpÅ Hcp FÃmhcpwIqSn Häs¡«mbn NnInÕn¡p
intsruction manual a\pjyicoc¯n\nà ¶hcpsS t\À¡p Xncnbm\pw aXn.
F¶pw \mw HmÀ¡Ww.
_wKmfn \S¶Xv Bkq{XnXamb
]cnanXamb kuIcy§fpw B{IaWamsW¦n (premeditated violence),
tcmKnIfpsS A\nb{´nXamb Xnc¡pw, ta¸dª kmlNcy§Äaqew hnImcw
kz´w Dd¡anÃmbvabpw {IawsXänb
`£Whpw, dbnÂ]mfw t]mse Bfn¡¯n s]s«¶pïmIp¶ B{IaW
\oïpt]mIp¶ A[yb\PohnXhpw amWv (spontaneous violence) Bip]{XnIfnÂ
X·qew kz´w `mhnsb¸änbpÅ Dïmhm³ km[yX IqSpXÂ.
Bi¦bpw aäpw hIhbv¡msXbmWv
cmPys¯ ]e Bip]{XnIfnepw Atacn¡, Cw¥ïv, ssN\
tUmÎÀamÀ tPmen sN¿p¶Xv. AS¡apÅ FÃm cmPy§fnepw CXp
Iïphcp¶p.
]camh[n treatment protocols -Dw
{IaoIcW§fpw apXnÀ¶ kao]Ime¯p \S¶ B{IaW§Ä
tUmÎÀamcpsS taÂt\m«hpw aäpw A]e]\obsa¶ncns¡, _lp`qcn
Dsï¦nepw ta¸dª At\Iw ]£w tcmKnIfpw AhcpsS _Ôp¡fpw
A\nÝnXXz§Äaqew, \nÀt±in¡s¸« £amioecpw acymZ¡mcpamWv F¶
NnInÕ sNbvXmÂt]mepw tcmKnbpsS Imcyhpw tUmÎÀamÀ ad¶pIqSm.
AhØ FÃmbvt¸mgpw \½Ä B{Kln am{XaÃ, tUmÎÀamsc B{Ian¡Ww
¡p¶Xpt]mse sa¨s¸SWsa¶nÃ. F¶ Dt±iyhpambn Hcp tcmKnbpw

]nghpIÄ BÀ¡pw ]ämw. sshZy Pqsse 2019 | \½p-sS B-tcm-Kyw 25
¯nsâ Imcyw am{XaÃ, _lncmImi
bm{X apX ASp¡fbn ao³sh«p
¶Xp hscbpÅ Imcy§Ä ]nghnÃmsX
sN¿m³ BÀ¡pw km[n¡p¶nÃ.
F¶mÂ, a\x]qÀhw Hcp tUmÎdpw
tcmKn¡v tZmjwhcs« F¶v
B{Kln¡p¶nÃ.

AXymlnXhn`mKw, Xo{h]cnNcW
hn`mKw ChnS§fn ImWs¸Sp¶
tcmK§fpsS kz`mhw A\nÝnXXzw
\ndªXmWv. s]s«¶p hjfmIm³
km[yX IqSpXemWv. A{]Xo£nXambn
acWs¸Sm\pw CSbmtb¡mw. F¶mÂ
CsXÃmw tUmÎdpsStbm t\gvknsâtbm
IpäamWv Fs¶mcp \ne]mSv A]qÀÆ
amsb¦nepw NneÀ¡pïv.

]eXcw ss\cmiy§fpw Bi¦Ifpw
XfwsI«n \n¡p¶ Cu A´co£

Bip]{Xnbn hcmdpanÃ. a\xkm£n¡v A¸oepsImSp¯Xp
sImtïm CXhkm\n¡m³ t]mIp¶nÃ.
B{IaW¯n a\ws\m´ tUmÎÀ
amcpsS cmPyhym]Iamb {]Xntj[hpw BtcmKycwKw F§s\ sa¨s¸Sp
aäpw ASp¯Ime¯v \S¡pIbpïmbn. ¯mw F¶ BßmÀYamb Dt±iyt¯m
AXymlnX hn`mKw apS¡msXbmsW SpIqSn FÃmhcpw DÄs¸Sp¶ NÀ¨,
¦nepw cmPys¯ FÃm tUmÎÀamcpw D¯chmZnXzs¸«{ ]hÀ¯\w CsXm
H.]n _lnjvIcn¨Xv, AhÀ¡nXn s¡ thïnbncn¡p¶p. {]iv\§fpsS
F{X AaÀjapïv F¶Xnsâ hyà hnhn[ hi§Ä ]pd¯psImïphcWw.
amb sXfnhmWv. cayXtbmSpIqSn, imkv{Xobambn Xs¶
FÃmw ]cnlcn¡Ww. kactam
F¶mÂ, A{Ia¯ns\Xncmb t_m[ ]cmXntbm am{Xwt]mcm.
hXvIcWw sImtïm s]mXpP\§fpsS

Cu hnjbhpambn _Ôs¸«pInS¡p¶ Nne {]iv\§fpw
AhbpsS ]cnlmc\S]SnIfpw Npcp¡n]dbs«

Bibhn\nab IgnhpIÄ or I½yqWnt¡j³ s{Sbn\nwKv 1

tcmK§sf acp¶pw Hm¸tdj\pw

sImïpNnInÕn¡m³ am{XaÃ, tcmKn

tbmSpw _Ôp¡tfmSpw am\yambn

Bibhn\nabw sN¿m\pw BßmÀ

Yambn Ahsc Bizkn¸n¡m\pw DÅ

HutZymKnIamb ]cnioe\w
(communication skills) saUn¡ÂtImtfPnÂ

atäXp hnjbt¯¡mfpw \nÀ_

Ôamt¡ïnbncn¡p¶p.

F¶mÂ, cmPys¯ saUn¡Â

tImtfPpIfn CXphsc Bibhn\n

ab IgnhpIÄ ]Tn¸n¨n«nÃ. Cu hÀjw

apXÂ amäwhcp¶p F¶mWdnhv. ad¶papÅ C¶s¯ coXn amdWsa¦nÂ
]e Ahkc§fnepw tcmKnsb adt¶m saUn¡Â hnZym`ymk¯n Cu
tcmKs¯ am{Xw NnInÕn¡p¶, hnjb¯n\p Xpey {]m[m\yw
imkv{X¯n\v IqSpX Du¶Â sImSpt¯ Xocq.
sImSp¯pw Bizmkhm¡pIÄ

2 \nba\nÀ½mWw AYhm Legislation \ymboIcn¡m\mhp¶Xà F¶Xv
BtcmKy{]hÀ¯IÀs¡Xn ]IÂt]mse hyàamIWw. AXn\p
scbpÅ A{Iaw, \½psS \nba\nÀ½mWw IqSntb Xocq.
tIcf¯nse (Hospital Protection Act
14 Kerala Gazette Vol. 57 No. 1559: 2012) t]mse A{Ia¯ns\Xncmb t_m[hXvIcW
cmPy¯msI PmayanÃm Ipäam¡pI. ¯n\v AXntâXmb ]cnanXnbpïv.
B{Ian¡p¶hÀ¡v Fs´ms¡ am{Xhpaà C{]ImcapÅ t_m[hXvIc
AhImihmZ§fpïmbmepw C´y Ww IqSpXepw \S¡p¶Xv tUmÎÀamtcm
t]msesbmcp cmPys¯ bmsXmcp Sv am\yambn s]cpamdp¶ P\kaql¯n
hn[¯nepw A{Ias¯

26 \½p-sS B-tcm-Kyw | Pqsse 2019

Bip]{Xnbn kpc£ Dd¸m¡pI \nSbnemWv F¶Xpw ad¡cpXv.
A{Ias¯ \ymboIcn¡p¶, kmaqly
AXymlnXhn`mK¯nepw Xo{h hncp²amb ImgvN¸mSpÅhsc ]n´ncn¸n
]cnNcWhn`mK¯nepw Bhiy¯n\v ¡Wsa¦n t_m[hXvIcWw am{Xw
FIvkv]ocnb³kpÅ Ìm^pw, consult t]mcm, ISp¯in£ e`n¡pw F¶
sN¿m³ Pq\ntbgvknt\msSm¸w `bhpw IqSnthWw. Ip¯m³ hcp¶
ko\nbÀ tUmÎÀamcpw AhÀ¡p t]m¯nt\mSv thZw HmXnbn«p Imcy
skIyqcnänbpw, CC TV IymadbpsS ansöp ]dbp¶Xp t]msebmWnXv.
kpc£bpw e`yam¡Ww.
in£m\S]Sn IÀi\amhpt¼mÄ
tcmKnbpsS IqsSh¶ hyànIÄ B{Ian¡m\pÅ DÕmlw Xms\
kwLw tNÀ¶v AXymlnX hn`mK Ipdbpw. am{XaÃ, Ipä¡msc hn«pIf
¯nte¡v XÅn ¡bdp¶Xn \n¶pw bm³ \S¡mdpÅ cm{ãobk½ÀZw
kpc£bpïmhWw. \njv^eamhp¶ coXnbn thWw CXp
\S¸m¡m³.
Bip]{Xn kulrZkµÀi\¯n
\pÅ ØeaÃ. Bystanders-sâ kwJy 3
cïn IqSpX Bip]{Xnbn IS
¡m³ A\phZn¡p¶ \bw ]et¸mgpw A\nã kw`h§Ä¡v hgn sXfn¡mdp
ïv. BÄ¡q«t¯msSm¸w A¸w
4 Xnc¡v \nb{´n¡pI aZyhpw IqSn tNÀ¶m {]iv\w
KpcpXcamIm³ A[nIkabw thï.

an¡ kÀ¡mÀ Bip]{XnIfnepw ]e
kzImcy Bip]{XnIfnepw Xnc¡v
hfsc IqSpXemWv. F¶mÂ
Bhiy¯n\v thï kuIcy§tfm
Ìmt^m CÃm¯ AhØbmWv
ImWm³ IgnbpI.

Hcp tUmÎÀ¡p \qdne[nIw t]sc
Ht¶m ctïm aWn¡qdn Isït¯ï
AhØ XnI¨pw km[mcWw.

Xnc¡v hÀ²n¡pt¼mÄ, Iyq\nev¡m³

Pqsse 2019 | \½p-sS B-tcm-Kyw 27

Iq«m¡msX \nch[n t]À tUmÎdpsS ]e ¢n\n¡pIfnepw Gsd Xnc¡pÅ
Ccn¸nS¯n\p kao]w Iq«wIqSn \n¶v Xpaqew, tUmÎÀ¡v tcmKnbpambn
Rm\mZyw, Rm\mZyw F¶v apdhnfn Nnehgn¡m³ GXm\pw \nanj§Ä
Iq«mdpÅXv Hcp ]Xnhv ImgvNbmWv. am{Xta e`n¡q.
Xnc¡v IqSpt¼mÄ \nehmcw Ipdbpw.
temI¯nse Gähpw anI¨ tUmÎÀ¡v A¯csamcp kmlNcy¯nÂ
t]mepw Cu kmlNcy§fn tcmKn¡p Bibhn\nabw, Iu¬kenwKv,
thïn Imcyambn H¶pw sN¿m³ A\p`mhw, {ihWsshZKv²yw (listening
km[n¡pIbnà F¶Xpw Hcp skill), Bizkn¸n¡Â F¶nh thï
hkvXpXbmWv. coXnbn \S¯m³ IgnbnÃ.

5 tUmÎÀ¡p {]hÀ¯n¡m³ kam[m\w AXymhiyw

tcmKn ]dbp¶Xv tIÄ¡m\pw A\phZn¡p¶ kmlNcyw DïmhWw.
]cntim[n¡m\pw FÃm¯nepap]cn,
im´ambn Nn´n¡m\pw km[n¨mte tUmÎÀamÀ F§s\ anI¨coXnbnÂ
tUmÎÀ¡v tcmKw a\ÊnemhpIbpw s]cpamdWw F¶Xns\¡pdn¨v
NnInÕ \nÀt±in¡m\pw Ignbq. {]kvXmh\IÄ \S¯p¶ BfpIÄ
A¯cw kmlNcyw Asæn A¯cw ¢n\n¡pIÄ kµÀin¡pItbm
NnInÕbpsS \nehmchpw Ipdbp¶Xv Ahbn Ht¶m ctïm Znhkw
kzm`mhnIw. tkh\a\pjvTn¡pItbmthïXmWv.
tPmen sN¿p¶ kmlNcyw Hcp
`ojWntbm, Xnct¡m, `btam tUmÎdpsS NnInÕbpsS \nehmcs¯
IqSmsX tPmen sN¿m³ Gsd _m[n¡p¶ LSIat{X.

6 Triage
tcmKnIfpsS Xnc¡n\\pkcn¨v Bip]{Xn kuIcy§Ä {IaoIcn¡p¶
imkv{XamWnXv. \m«n tcmKnIfpw tUmÎÀamcpw t\cnSp¶ Gsd
{]iv\§fpw CXnÃm¯Xp sImïmWv. tcmKnIfpsS F®w \nb{´n¨p
ap³KW\m{Iaw GÀs¸Sp¯n tUmÎÀamcpsS e`yXbv¡\pkcn¨p {IaoIcn¡m³
{]tXyIn¨pw kÀ¡mÀ Øm]\§Ä¡v km[n¡mdnÃ.

28 \½p-sS B-tcm-Kyw | Pqsse 2019

7 tcmKnsb Npän¡cpXv Bip]{XnIÄ 8 ]cmXnIÄ A¸t¸mÄ
Patient-friendly AÃm¯ Bip]{XnIfm Xs¶ ]cnlcn¡Ww
Wv \m«n IqSpXepw. Xnc¡n (Complaint redressal system)
s]«pÅ Im¯ncn¸n\p ]pdsa, _nÃSbv¡m tcmKnt¡m _Ôp
\pw Iq¸sWSp¡m\pw henb Bip]{Xn¡p
Ånse ]e Øe§fnepw IuïdpIfnepw hnt\m BÀs¡¦nepw Hcp
]mhw tcmKnIÄ¡v Aeªp \St¡ïn hcmdpïv. thhemXnbpïmbm DS\Sn
AXv A\p`mh]qÀhw tIÄ
ap³s]ms¡ NnÃd {]iv\§Ä¡mbn ¡m\pw BßmÀ°XtbmsS
s]s«¶v Ht¶mSns¨¶p tUmÎsd Iïp ]cnlcn¡m\papÅ \S]Sn
acp¶v hm§n t]mcm³ km[yam¡nbncp¶ {Ia§Ä Hmtcm Bip]{Xnbn
patient-friendly Bb sNdpInS Bip]{XnIÄ epw DïmhWw. an¡hmdpw
]eXpw C¶v AS¨p ]q«nbncn¡p¶p. ^etam, {]iv\§Ä XpS§p¶Xv Bib
sNdnb XethZ\bmsW¦n t]mepw Hcp hn\nab ¯n\pÅ A]cym]vX
Znhkw eoshSp¡msX NnInÕbv¡mbn X sImïmWv. sNdnb
tlmkv]näen t]mIm³ ]äm¯ Bib¡pg¸§Ä henb
AhØbmWv C¶p ]eÀ¡pw. {]iv\§fmbn Xocm³ Hcp
ImcWw CXnsâ IpdhmWv.

kl{]h¯IcpsS \nehmcw (Qualtiy of support staff) 9

C´ybn tUmÎÀ
amÀ¡v e`n¡p¶

kt¸mÀ«v Ìm^nsâ

icmicn \nehmcw,

hnIknX cmPy§fn

te¡mÄ hfsc

Xmgv¶XmWv.

\Ã BfpIfpsï

¶Xn kwibanÃ.

F¦nepw saUn¡Â

hnZym`ymk¯nse¶

t]mse CXc Ìm^v

{Sbn\nwKnepw [mcmfw

A]cym]vXXIÄ Dïv;

AXmWv bmYmÀ°yw.

Hcp tUmÎdpsS

tPmenbpsS \nehmcw

Hcp \Ã]¦pw kt¸mÀ«v DïmIpw' F¶XmWv.
Ìm^ns\ B{ibn¨ncn¡pw.
Imcy{]m]vXnbpw hnizmkyXbpw
GXp taJebnepw {]hÀ¯n¡pt¼mÄ CÃm¯ Ht¶m ctïm hyànIÄ
\½Ä HmÀt¡ï Hcp Imcyw "\n§fpsS tUmÎdpsS ta Øm\w ]nSn¨m aXn,
klmbn Hcp IgpXbmsW¦nÂ, \n§Ä {]Xy£hpw AÃm¯Xpamb ]e
F{X _p²nam\mbmepw \n§fpsS ]mfn¨IfptSbpw IYIÄ AhnsS\n¶pw
tPmenbn Hcp IgpXbpsS Ìm¼v XpS§nbncn¡pw.

Pqsse 2019 | \½p-sS B-tcm-Kyw 29

sXäpIÄ DmhmXncn¡m³ \S]SnIÄ (Audit and error prevention) 10

GsXmcp taJebnsebpw t]mse

sshZyimkv{XcwK¯pw ]nghpIÄ

kw`hn¡mw. ]nghp kw`hn¨mÂ

AXpaqew tcmKn¡v {]XnIqeamb

`hnjy¯pïmtbm F¶t\zjn¨p

]cnlcn¡Ww. AtXmsSm¸w,

]nghpïmIm³ t]m¶coXnbnepÅ

kmlNcyw \nehneptïm F¶pw
]cntim[n¡Ww. System Error Dsï¦nÂ

AXv Isï¯n imkv{Xobambn

]cnlcn¡Ww. C§s\ sNbvXnsænÂ

aäp tcmKnIÄ¡pw ]n¡me¯p kam\ NXn¡nsöpw Dd¨hnizmk¯nemhmw

amb A\p`hw Dïmtb¡mw. ]Xnhpt]mse A¶pw AXnhnZKv[\mb

GsX¦n epw HcmfpsSta ]gnNmcpI, B tUmÎÀ Hm¸tdj³ XpS§nbXv.

F¶m bYmÀ°{]iv\w AhKWn F¶mÂ, C\n Hcp tcmKn¡pw Cu

¡pI F¶ {]mIrXamb coXn AhØ DïmImXncn¡m\mbn AhÀ
AXns\ Hcp RCA (Root Cause Analysis)
amtdïnbncn¡p¶p.

DZmlcW¯n\v \Sn {iotZhnbpsS \S¯n, Hmtcm ikv{X{Inbbpw

A½bpsS s{_bn³ SyqaÀ (Brain tumour) XpS§p¶Xn\p ap³]pÅ ssSwHu«v
ikv{X{Inb Atacn¡bnse Gähpw (Time out) kwhn[m\wsImïph¶p.

{]ikvXamb Memorial Sloan Kettering C¶pw Atacn¡bn GsXmcp

Bip]{Xnbn h¨p \S¶p Ccp]¯n ikv{X{Inbbpw XpS§p¶Xn\p

\mep hÀj§Ä¡p ap³]v. \nÀ`mKy sXm«pap³]v Hcpt\À¨t]mse ssSwHu«v

him Hm¸tdj³ sNbvXt¸mÄ Xe \S¯n tcmKnsb ]cnNcn¡p¶

t¨mdnsâ hiw amdnt¸mbn. Xnc¡pÅ FÃmhcpw hiw GsX¶pw ikv{X{Inb

Bip]{XnIfn Hm¸tdj\v Ibänb Fs´¶pw H¶pIqSn Xocpam\n¨tijta

tcmKnbpsS hnhc§Ä No^vkÀPt\mSv Hm¸tdj³ XpS§q.

kl{]hÀ¯IÀ ]dbpt¼mÄ ]nghp F¶mÂ, imkv{Xobambn At\zjn

kw`hn¡m³ Bfpw hihpw amdnt¸m ¡p¶Xn\p]Icw kÀPs\ ]gnNmcpI

hm³t]mepw - kmam\yw Ffp¸amWv. am{XamWv A¶psNbvXncp¶sX¦nÂ

F¶pw Xm³ hnizkn¨ncp¶ kl{]hÀ CtX KXn ]n¡me¯p aäp ]e
¯IÀ¡v Hcn¡epw sXäv ]änsöpw,
tcmKnIÄ¡pw DïmIpambncp¶p.

11 BtcmKyIcamb tUmÎÀ- tcmKn_Ôw: (Doctor-Patient Relationship)
cïpZnibnepw _m[Iamb Hcp
{]{InbbmWnXv. ]ckv]chnizmkw ChnsS hfsc
{][m\s¸« kwKXnbmWv. tcmKn¡v tUmÎtdmSpw
AXpt]mse Xs¶ tUmÎÀ¡v tcmKntbmSpw.
tUmÎtdmSv Imcy§Ä Xpd¶p]dbm\p Å
kmlNcyw DïmhWw, tcmKnbpsS thZ\
DÄs¡mÅm³ tUmÎÀ¡v km[n¡Ww.

]e NnInÕIfpw k¦oÀWXIÄ

30 \½p-sS B-tcm-Kyw | Pqsse 2019

AS§nbXmWv, tcmKnbpsStbm \S¯m³ tcmKn ad¶pt]mbmÂ
tUmÎdpsStbm aäp Ìm^nsâtbm Asæn A\mØ ImWn¨mÂ
`mK¯p hogvNbpïmbm hn]coX^ew Nnet¸mÄ A]mbw kw`hn¡mw.
Dïmhmw. DZmlcW¯n\v {]talw, AtX¸än \¶mbn t_m[h¡cn¡m\p
colitis, asthma, lrt{ZmKw, hr¡tcmKw. Å kwhn[m\hpw kmhImihpw Dïm
tUmÎÀ \ÂIp¶ \nÀt±i§Ä hWw. shdpw acp¶p Ipdn¡eÃ
]men¨nsæn Nnet¸mÄ henb NnInÕ.
{]iv\§Ä hgntb ht¶¡mw.
cïp `mK¯pw D¯chmZnXzw
DZmlcW¯n\v immuno suppressant Dsï¶p cïpIq«cpw a\knem¡n
treatment sN¿pt¼mÄ, tUmÎÀ ]dª ap³t]m«p t]mhm\pÅ kmlNcyw
Xpt]mse IrXyambn ]cntim[\ DïmhWw.

imkv{X¯n\p ]cnanXnItfsd (Society must know that medical science is not perfect)

imkv{X¯nsâ ]cnanXnIÄ 12
s]mXpP\§Ä¡v a\Ênem¡ns¡mSp
t¡ïXpïv. Dïmhp¶tXmsSm¸w ]gb ]e
AdnhpIfpw sXämsW¶p
FÃm tcmK§fpw acpt¶m sXfnbn¡s¸Sp¶p.
Hm¸tdjt\m sImïv kpJs¸Sp¯mw
F¶pÅ [mcW Gsdt¸À¡pïv. AXv hmkvXh¯nÂ, a\pjyicoc¯nsâ
sXämsW¶p am{XaÃ, tcmKw tcmKmhØIsf a\knem¡m\pw
t`Zamhm¯Xv NnInÕm]nghv aqeamWv NnInÕn¡m\pw DÅ imkv{X¯nsâ
F¶pÅ ap³hn[n¡pw ImcWamImdpïv. C¶s¯ Ignhv D¯aw (ideal/optimal)
F¶p IcpXmhp¶Xnsâ 10% t]mep
DZmlcW¯n\v Pregnancy AYhm ambn«nà F¶pthWw IcpXm³.
KÀ`mhØ F¶Xv A]qÀhamsb¦nepw
A½bv¡pw Ipªn\pw Nne KpcpXcamb imkv{X¯nsâ ]cnanXnIÄ a\Ênem
{]iv\§Ä DïmImhp¶ H¶mWv. ¡p¶Xn\p]pdsa, `mcX¯n \mw
km¼¯nIambpw kmt¦XnIambpw Ct¸mÄ NÀ¨ sNt¿ïXv \m«nÂ
At§bäw anIhp ssIhcn¨ e`yamb NnInÕmhn[nIÄ tcmKnIÄ¡v
cmPy§fnepw CtX {]iv\§Ä F¯n¨p sImSp¡p¶XnepÅ
Iïphcp¶p. XSʧsf¸änbmWv. Ah Hmtcm¶pw
]Tn¨p ]cnlcn¡Ww.
\½psS \m«n Cu AdnhnÃm¯Xp
sImïmhWw, {]kht¯mS\p_Ôn¨p Pqsse 2019 | \½p-sS B-tcm-Kyw 31
Fs´¦nepw k¦oÀ®XbpïmbmÂ
DS³Xs¶ tUmÎÀs¡Xnsc hyàn
lXym]camb Btcm]W§fpw
Nnet¸mÄ B{IaW§fpw \S¡mdpïv.
F¶mÂ, {]Kv\³knbpsS \ÃXpw
AÃm¯Xpamb hi§Ä kaqls¯
a\Ênem¡n sImSpt¡ï ISabpw
tUmÎÀamÀ¡pïv.

imkv{X¯nsâ ssSw sse³- 2019
shdpw Hcp _nµpam{Xw.

Imewap³t]m«p IpXn¡pt¼mÄ XpSÀ
KthjW¯neq sS ]pXnb AdnhpIÄ

13 {]iv\ ]cnlmcw imkv{XobamhWw (Avoid 'Band-aid' Approach to Problems)
]e taJeIfnsebpw {]iv\ In«p¶tXmSpIqSn {]iv\w AhnsS
]cnlmc¯n\v cmPy¯mIam\w Ahkm\n¨p F¶ Øncw \ne]mSv
C¶p \mw ImWp¶Xv "band-aid'
amdWw.

At{¸m¨v AYhm D]cn¹hamb ]mÝmXycmPy§fnse t]mse Root

kao]\amWv (]memcnh«w ^vssf Cause Analysis (RCA) ChnsSbpw

HmhÀ AS¡w DÅ hnjb §fnÂ). DïmhWw. GXp {]iv\¯nsâbpw

AXpamdmsX HcÛpXhpw ChnsS aqeImcW§Ä thtcmsS Isï¯n

\S¡m³ t]mIp¶nÃ. ]cnlcn¡p¶Xn\mWv RCA F¶v

]gnNmcm³ Bscsb¦nepw ]dbp¶Xv.

Zmcn{Zyw NnInÕsb _m[n¡pw 14

cmPy¯v k¼¶cpw \nÀ[\cpw

X½nepÅ A´cw hfsc hepXmWv.

tcmKnbmIp¶Xv BÀ¡pw \nÀ`mKy

Icsa¦nÂ, HcmÄ Zcn{Z\mbncn¡p

t¼mÄ tcmKnbmIp¶Xv AXnepw

F{Xtbm hjfmb AhØbmWv.

cmPy¯v kmÀh{XnI BtcmKy
]cnc£bnà (Universal Health Coverage).

]cnanXamb kz´w k¼mZy¯nÂ

\n¶pw NnInÕbv¡p ]Ww FSp¯p

sImSp¡m³ ]mSps]Sp¶ Hcp P\

XbmWv \½psS cmPyt¯sdbpw DÅXv

F¶ kXyw NnInÕn¡p¶hÀ IqSntb Xocq.
ad¶pIqSm.
DZmlcW¯n\v FÃm ]\nbv¡pw
k¼¶cmb ]mÝmXycmPy§fnse cà]cntim[\bpw X-ray bpw Hs¡
amÀKtcJIÄ (reatment guidelines) A¸Sn FSp¯m NnInÕm Nnethdpw.
]IÀ¯m\pÅ BÀPhw amän\nÀ¯n F¶m sSÌv sN¿msX hn«mtem, Nne
tUmÎÀamÀ sNt¿ïXv \½psS \m«nse tcmKnIÄ¡p IrXyamb NnInÕmhn[n
km[mcW¡mÀ¡v Npcp§nb Nnehn F¯n¨psImSp¡m³ sshIm\pw aXn.
F§s\ Bizmksa¯n¡mw F¶mWv. "»Uv sSÌv BZyta sN¿m¯Xn\mÂ

sNehv Npcp¡ensâ `mKambn Nne sU¦n¸\n Asæn atednb Iïp

t¸mÄ tcmK\nÀWb¯nepw NnInÕ ]nSn¡m³ sshIn' F¶n§s\

bnepw A]cym]vXXIÄ Dïmbm Btcm]W§Ä [mcmfw.

AXnsâ t]cn tUmÎÀamsc CXv Hcp \mWb¯nsâ cïp
D]{Zhn¡mXncn¡m\pÅ \nba]cnc£ hiamWv.

15 km£cXm¡pdhv (Low Literacy)
C´ybnse P\kwJybpsS 25% ¯ne[nIhpw hmbn¡mt\m FgpXmt\m
Ignbm¯ hyànIfmWv. t_m[hXv IcW]cn]mSnIÄ Cu ]cnanXn¡p
Ån \n¶p thWw \S¯m³.

32 \½p-sS B-tcm-Kyw | Pqsse 2019

16 X«n¸p NnInÕIfpsS AXn{]kcw (Scams)
CXn\nSbn X«n¸pNnInÕIÀ tcmKnIfpsS ssZ\ymhØsbbpw
AÚXsbbpw btYãw NqjWw sN¿p¶p, Bib¡pg¸w Dïm¡p¶p.
Bscbpw F´pw ]dªp hnizkn¸n¡m\pÅ AhcpsS Ignhv ]e tcmKnIsfbpw
hgnsXän¡p¶p. P¸m³ sa¯, tX\o¨ NnInÕ, kÀÆtcmKkwlmcnsb¶v
AhImihmZw D¶bn¡p¶ D¸¶§Ä F¶n§s\ ]eXpw.

Fw._n._n.Fkv. ske£³ coXn amtdnbncn¡p¶p

17\nÀ`mKyhimÂ, saUn¡Â
hnZymÀ°nIsf AhcpsS A`ncpNn,

tcmKnIsf kpJs¸Sp¯m\pÅ

Xm¸cyw Asæn tkh\at\m`mhw
(aptitude to serve) F¶nh ]cnKWn¨tijw

XncsªSp¡p¶ coXnbà \½psS

cmPy¯pÅXv . (ske£³ {]{InbbnÂ

hnZymÀ°nIfpsS A`ncpNn IrXyambn

Af¶tijw am{Xw saUn¡Â {]th

i\w \ÂIp¶ shÃqÀ saUn¡Â D¯aamb Hcp amÀ¤aÃ. Xs¶bpaÃ,
tImtfP vHgnsI). kb³kn DbÀ¶ amÀ¡v e`n¨Xv
sImïpam{Xw Hcp hnZymÀ°n Hcp \Ã
MCQ (Multiple choice Question) ]co£bn tUmÎÀ Bbn¯ocWw F¶nÃ.
DbÀ¶ amÀ¡v t\Sm\pÅ Ignhv ]Tn¡m\pÅ Ignhnt\msSm¸wXs¶
ASnØm\am¡nbmWv \½psS cmPy¯v hyànXzw, Bibhn\nab¯n\pÅ
saUn¡Â hnZymÀ°nIsf XncsªSp ]mShw, aäpÅhcpsS hnjaw a\
¡p¶Xv. Xpey AdnhpÅ cïpt]À MCQ knem¡m\pÅ Ignhv (empathy), klm\p
]co£bv¡ncp¶mÂ, HcmÄ¡p hfsc `qXn, ss\XnIX (Morals and Ethical values)
IqSpX amÀ¡v In«mdpïv. AXn\p Chsbms¡ Af¶pthWw Hcp hyàn
ImcWw ]et¸mgpw tIm¨n§nsâ tUmÎÀ BhtWm, thtï F¶p
anIhmWv, AÃmsX Adnhnsâ Xocpam\n¡m³. CXn\pÅ amÀK§Ä
hyXymkaÃ. hmkvXh¯nÂ, tIm¨nMv At\zjnt¡ïnbncn¡p¶p.
km[yaÃm¯Xpaqew \nch[n
anSp¡cmb hnZymÀYnIÄ¡v tUmÎÀ \m«n saUn¡Â {]thi\¯n\mbn
Bhm³ km[n¡msX t]mIp¶pïv sadnäv IqSmsX aäv "Izm«Ifpw' \nehnep
\½psS \m«nÂ. ïv. \nÀ`mKyhim Ahsbm¶pw

tIm¨n§nsâ ^eambn, Kmw»nMv hnZymÀ°nbpsS service aptitude AYhm

\S¡p¶ Imknt\mIfnse¶t]mse, BXpctkh\¯n\pÅ A`ncpNn

tNmZy¯n {]Xn]mZn¡p¶ hnjb ]cntim[n¡p¶nÃ.

s¯¡pdn¨v IrXyambn Adnbnsæn BXpc tkh\¯n Xm¸cyanÃm

t]mepw icnbmb D¯cw \mtem sX c£nXm¡fpsS \nÀ_Ô¯n\p

At©m Hm]vj\pIfn \n¶pw `mKy] hg§n Fw_n_nFkv MBBS course-se

co£Ww \S¯n XncsªSp¡m³ ]qÀ¯nbm¡p¶ ]mhw hnZymÀ°n¡v

AhÀ anSp¡cmWv. kzm`mhnIambpw tUmÎÀamÀ t\cnSp¶

asämcphn[¯n ]dªmÂ, bYmÀ° shÃphnfnIsf¡pdn¨v
HcmfpsS Adnhv Af¡m³ MCQ
\nÝbapïmhmdnÃ.
Pqsse 2019 | \½p-sS B-tcm-Kyw 33

Bsc A\pIcn¡pw? 18

(Lack of role models) BsW¦nÂ, AhtcmsSm¸w kabw
Nnehgn¡p¶Xv hgn Nne hnZymÀ°n
saUn¡Â hnZymÀ°nIÄ AhcpsS Isf¦nepw ]n¡me¯v A{]Imc
A[ym]Icn \n¶pw ]eXpw ]IÀ apÅ Hcmfmbn Xocm³ km[yXbpapïv.
¯n ]Tn¡p¶p. A[yb\ Ime¯v
ko\ntbgv knsâbpw A[ym]IcpsS
bpw hyànXzw, Bibhn\nabssien,
Ipeo\X Ch sbms¡ hnZymÀYnIÄ
kzta[bm H¸nsbSp¡pIbpw A\p
Icn¡pIbpw sN¿pw.

F¶mÂ, saUn¡ÂtImtfPnse
GsX¦nepw ko\nbtdm s{]m^ktdm
AXym{Klnbpw AgnaXn¡mc\pw

19 kzbw hnaÀi\w AXymhiyw (self-criticism)
hnaÀi\mßINn´ \s½ ]änsænepw, atäXp taJebnsebpw
]Tn¸n ¡p¶nÃ. X§tfmSv t]mse, hnaÀi\s¯ ]ptcmKa\
tNmZn¡p¶hcpambn tUmÎÀamÀ "hang
out' sN¿p¶p. X§sf kvXpXn¡p¶hsc ]camb hnjbambn ImtWïXpïv.

kam\Nn´mKXn¡mcmb BfpIfp
AhÀ kvt\ln¡p¶p. hnaÀin¡p¶hsc ambn am{Xwt]mcm, thdn« ImgvN¸mSp
]et¸mgpw F´mWv Imcyw F¶pt]mep IfpÅ aäpÅhcpambn kw`mjW
at\zjn¡msX H¶S¦w FXnÀ¡p¶p.
§fn GÀs¸Spt¼mgmWv ]ptcmKXn

A{Ias¯ Hcn¡epw \ymboIcn¡m³ Dïmhp¶Xv.

kaql¯nse Häs¸SÂ (Isolation from socitey) 20

tUmÎÀamÀ kaql¯nsâ kv]µ\w
AdntbïXpïv. X§fpsS comfort zone
-þ am{Xw XpScpIbmsW¦n AXv
kw`hn¡nÃ. kz´w sXmgnÂtaJe
bv¡I¯pw ]pd¯pw \n¶papÅ
BfpIfpambn N§m¯w IqSpIbpw,
PohnX¯nsâ \m\mXpdIfnepÅ
hcpambn kwkmcn¡pIbpw CS]g
IpIbpw thWw. \nÊlmb\mb Hcp
tcmKnbmhp¶Xnsâbpw ]WanÃm
¯Xnsâbpw _p²nap«p a\knem
¡p¶bmÄ¡v am{Xta \½psS \m«nÂ
Hcp \Ã tUmÎdmIm³ Ignbq.

(teJI³ 5 hÀjambn tIcfkwØm\ IMA-bpsS Doctor's Communication skills
I¬ho\À BWv. tUmÎÀamÀ¡pw Bip]{Xn Ìm^n\pw saUn¡ÂhnZymÀ°nIÄ¡pw

thïn F®aä skan\mdpIÄ \S¯nbn«pïv)

34 \½p-sS B-tcm-Kyw | Pqsse 2019

Pqsse 2019 | \½p-sS B-tcm-Kyw 35

c£IÀXz¯nsâ
IcpXÂ kv]Àiw

amXm]nXm¡Ä {i²n¡pI

Cu 6 Imcy§Ä

tUm. Fenk_¯v sI. C 1. N-NUTRITION
ko\nbÀ I¬kÄ«â v
]oUnbm{SnIvkv Ipªp-§-fpsS Blm-
A\´]pcn c-co-Xn-I-fnepw hfÀ¨-
tlmkv]nä bnepw {]tXyIw {i²
Xncph\´]pcw thWw. \h-PmX inip-
¡Ä¡v \nÝ-b-ambpw
teJnI ape-¸m \ÂI-Ww.
Xncph\´]pcw saUn¡Â Ipªn\v \½Ä \Â
tImtfPnse iniptcmK Ip¶ Gähpw hne-s¸«
hn`mKw s{]m^kdpw hIp¸v BZys¯ k½m\w ape-
ta[mhnbpw Bbncp¶p. ¸m Xs¶-bm-Is« Bdp-
t]mjImlmc imkv{X- amkw hsc ape-¸mÂ
¯n tIcf kÀÆIem am{Xhpw AXn-\p-tijw
imebn \n¶pw Ipdp-¡p-Ifpw I«n-bm-lm-
]n.F¨v.Un _ncpZw chpw \ÂI-Ww. ico-c- h-fÀ¨-tbm-sSm¸w _p²n-hn-Im-
t\Snbn«p−v. k-¯n\pw sshIm-cnI sI«p-d-¸n\pw klm-b-I-c-amb
ape-¸m cïp- h-b-Êp-hsc \ÂI-Ww.
[email protected]
M: 9496260420 Ip«n-Ifpw apXnÀ¶-hcpw {]`m-X-`-£Ww (Break fast)
apS-¡-cp-Xv. AXv Xe-t¨m-dn\v {]hÀ¯n-¡p-hm-\pÅ
36 \½p-sS B-tcm-Kyw | Pqsse 2019 DuÀÖw ]I-cp¶ `£-W-am-Wv. Green Yellow Orange
Red \nd-§-fn-epÅ 'GYOR' ]¨-¡-dn-Ifpw ]g-hÀ¤-§fpw
[mcmfw D]-tbm-Kn-¡-Ww. HFSS (High in fat, Sugar & Salt,)
F¶ Junk Food Hgn-hm-¡p-I; sImgp¸v a[p-cw, D¸v
F¶nh IqSp-X-epÅ Blmcw Ipd-bv¡p-I.

2. I-IMMUNIZATION

ka-bm-k-a-b-§-fn-epÅ {]Xn-
tcm[ Ip¯n-sh-bv¸p-Ifpw XpÅn
acp-¶p-Ifpw XoÀ¨-bmbpw \ÂIn,
Ipªp-§sf amcI tcmK-§-fnÂ
\n¶pw kwc-£n-¡-Ww. hkqcn, t]m
fntbm XpS-§nb tcmK-§sf temI

¯p \n¶pw XpS-¨p-\o-¡n-b-Xp-t]mse C\nbpw aäp ]e tcmK-§-tfbpw AXnPohn-¡p-
hm³ CXÃmsX aäp amÀ¤-§-fn-Ã. hmIvkn³ hncp² tem_n-I-fpsS Ip{]-Nm-c-W-§-fnÂ
hoWv Ipªp-§-fpsS kwc-£-W-¯n hogvN hcp-¯-cp-Xv.

3. M-Medical Care

Ipªp-§Ä¡v tcmKm-hØ Fs´-¦nepw Dïm-bmÂ
icn-bmb tcmK-\nÀ®bw \S¯pIbpw NnInÕ e`y-am-¡p-
Ibpw thWw. AÔ-hn-izm-k-§-fpsS ]pdtI t]mbn
"_m[ Hgn-¸n-¡pI' XpS-§nb BNm-c-§Ä C¶pw \ne-\n
¡p¶p F¶Xv thZ-\m-P-\-I-am-Wv. {]tXy-In¨pw am\-
knI kwLÀj-§Ä, hnjmZw F¶nh DÅ-bmÄ¡v bYm-
k-abw NnInÕ \ÂIn-bn-sÃ-¦n Bß-l-Xy-bn hsc
sN¶p-\n¡mw. `mc-¡p-dhv, hnfÀ¨m-tcm-Kw, sshä-an-\n
sâ Ipd-hv, s]m®-¯Sn F¶Xpw {]tXyIw ]cn-K-W\
e`n-t¡ïhbm-Wv.

4. F-Family Health

IpSpw-_m-´-co£w kt´m-jhpw kam[m-\
hpw \nd-ª-Xm-¡p-I. Ip«n-I-fpsS ap³]n h¨v
Ie-ln-¡mXncn-¡p-¶Xpw D¯a amXr-I-I-fmbn
Pohn-¡p-¶Xpw {][m-\-amWv. Htc ho«n ]
c-kv]cw kwkm-cn-¡m-sXtbm Ie-lnt¨m Pohn-
¡p¶ amXm-]n-Xm-¡-fpsS CS-bn s]«p-
t]m-Ip¶ Ipªp-§-fpsS _meyw \c-I-Xp-ey-am-
Wv.

ho«nse FÃm Imcy-§-fnepw Ahsc ]¦m-fn-
bm-¡p-I. 'Caring & Sharing' sâ _me-]m-T-§Ä
AhÀ kz´w `h-\-¯n \n¶pw ]Tn-¡-s«.

5. E-Education

Ipªp-§Ä¡v AhÀ¡v A`n-cp-Nn-bp-ÅXpw
AhÀ AÀln-¡p-¶-Xp-amb hnZym-`ymkw \ÂI-Ww.
hnhn[Xcw hnZym-`ymkw e`y-am-Ip-¶Xpw {][m-\-am-
Wv. Btcm-Kyw, hnZym-`ym-kw, Life skills, Parenting,
Discipline F¶n-h-bn-epÅ ]cn-io-e-\hpw kvIqÄ/
tImtfPv hnZym-`ym-k-t¯m-sSm¸w t\tS-ï-Xm-Wv.
\o´Â, am]v D]-tbm-Kn-¨pÅ bm{X, tdmUv apdn¨p
IS-¡p-I, First Aid F¶n-h-bnepw {]mhoWyw \ÂI-
Ww. FÃm-hscbpw s{]m^jWÂ B¡Ww F¶
[mcW amän-sb-Sp-t¡-ï-Xm-Wv. FÃm sXmgn-en\pw
am\yX \ÂIm-\mWv ]Tn-¸n-t¡-ï-Xv.

\½p-sS B-tcm-Kyw | 2019 Pqsse 37

6. Support & Stimulation

Hcp Pohn-X-amÀ¤w t\Sn-sb-Sp-¡p-¶-Xn-t\m-sSm¸w
PohnX hnPbw t\Sp-¶-Xn\pw ]cn-io-e\w \ÂI-Ww.
Ip«n-bpsS Ign-hp-IÄ {]tXy-In¨pw Extra Curricular
DÄs¸sS t{]mÕm-ln-¸n-¡-s¸-S-Ww. Hcp hogvNtbm Hcp
tXmÂhntbm h¶mepw tNÀ¯p-]n-Sn-¡m³ amXm-
]n-Xm-¡Ä X¿m-dm-I-Ww. Hcp {]mb-sa-¯n-¡-gn-ªmÂ
Ip«n-I-fpsS Gähpw henb i{Xp-¡-fm-bn-«mWv amXm-]n-
Xm-¡Ä amdp-¶-Xv. adn¨v Ip«n-bpsS ASp¯ Iq«p-Im-c
\pw Iq«p-Im-cnbpw amÀ¤-ZÀinbpw amXm-]n-Xm-¡-fm-bmÂ
am{Xta Cu coXn amdp-I-bp-Åq. amXm-]n-Xm-¡-tfmSv
H¶pw Hfn-¸n-¡m-\n-Ãm¯ Ip«n-I-fpsS `h\w H¶v
k¦Â¸n¨p t\m¡n-bm F{X kpµ-c-am-bn-cn-¡pw.
amXm-]n-Xm-¡fpw Ahsc a\-Ên-em¡n kvt\l-t¯msS Ahsc DÄs¡m-Å-Ww.

-Ip«n-IÄ Lunch Box X¿m-dm-¡p-¶-Xnepw IgpIn hr¯n-bm-
¡p-¶-Xnepw klm-bn-¡-s«. bqWnt^mw kz´w hkv{X-§Ä
F¶nh Igp-Ip-¶-Xnepw aS-¡p-¶-Xnepw ]¦m-fn-bm-I-s«.
tlmw hÀ¡v sN¿p-I, ]pkvX-I-§Ä ASp-¡n-h-bv¡p-I,
ssSw tS_nÄ A\p-k-cn¨v FSp¯p hbv¡pI XpS-§n-bh
]cn-io-en-¸n-¡p-I. {]mb¯n\-\p-k-cn¨v hoSp hr¯n-bm-¡p-I,
ASp-¡-f-bn ]mNIw sN¿p-I, Dining Table Hcp-¡p-I, hr¯n-
bm-¡pI F¶n-h-bn klm-bn-¡-s«. Ah[n Znh-k-§-fnÂ
]qt´m«w \\-bv¡p-I. sImXpIp ]I-cm-\n-S-bm-Ip¶ shÅw
sI«n-\n¡p¶ Øe-§Ä hr¯n-bm-¡p-I. jqkpw
kvIqÄ_mKpw shbn-e¯v h¨v DW-¡pI F¶nh AhÀ
sN¿-s«.

38 \½p-sS B-tcm-Kyw | Pqsse 2019

\½psS kz]v\§Ä Ah-cpsS Xe- F¶m C¶v, D¯-c-hm-Zn-Xz-apÅ
bn sI«n-h-bv¡m-Xn-cn-¡p-I. kz]v\w amXr-Xzhpw ]nXr-Xzhpw A\yw \n¶p-
ImWp-hm\pw AXp ]¦n-Sp-hm\pw \Ã t]m-Ip-¶-Xp-sImïv kw`-hn-¡p¶ Imcy-
kz]v\-§Ä t\Sp-hm\pw AhÀ¡v Ah- §Ä AXn-cp-I-S-¶n-cn-¡p-¶p.
kcw \ÂIp-I. ""Fsâ Imcyw Rm³
t\m¡n-sImÅmw AXn-\p-Å-sXÃmw Responsible parenting s\¸än t_m[-
Rm³ Icp-Xn-bn-«p-sï¶v ]dªv ]dªv h¡-cWw \S-¯p-¶-Xn\pw PnÃm-X-e-
amXm-]n-Xm-¡-tfm-SpÅ Ah-cpsS D¯-c- ¯n kan-Xn-IÄ cq]o-I-cn-¡p-¶-Xn\pw
hm-Zn-Xz-§-fn \n¶pw Ahsc ]n³Xn-cn- kÀ¡mÀ Hcp ]²Xn Bhn-jv¡-cn-¨n-cn-
¸n-¡-cp-Xv. `h-\-¯nse FÃm Imcy-§-fn- ¡p¶p F¶Xv hfsc kt´m-j-I-c-am-Wv.
epw, CÃm-bva-bnepw hÃm-bva-bnepw Cu ]²-Xn-bpsS t]cv ""Icp-XÂ kv]
Ahsc ]¦m-fn-bm-¡-Ww. Ip«n-IÄ¡v Àiw'' F¶m-Wv. "Parenting Guidance Centre'
F¶pw amXm-]n-Xm-¡-sfbpw amXm-]n- cq]o-I-cn-¡p-hm\pw {ia-§Ä \S-¡p-¶p.
Xm-¡Ä¡v F¶pw Ip«n-I-tfbpw Bh-iy- Cu ]²Xn hnP-b-I-c-ambn \S-¸n-em¡n
ap-sï¶ D¯-a-t_m[yw \ÂI-Ww. ASp¯ Xe-ap-dsb \ap¡v kwc-£n-
¡mw.

tUm. {iotcJm ]Wn¡À Iptd amk§fmbn cm{Xn Ime§fn icocw
I¬kÄ«â v sUÀatämfPnÌv apgph³ sNmdn¨n A\p`hs¸Sp¶p. cïv
Fkv bp än tlmkv]nä kvIn³ tUmIvSÀamsc Iïv NnInÕ FSps¯
]«w, Xncph\´]pcw ¦nepw sNmdn¨n amdp¶nÃ. {]ISambn icoc
¯n H¶pw Xs¶ ImWm\nÃ. aäv AkpJ§
M: 91 94479 58361 fptïm F¶v Iïp]nSn¡m\mbn Iptd sSÌp
IÄ Hcp ^nknjy³ \S¯n. ]s£, AsXms¡
tNmZn¡q....... s\Käohv Bbncp¶p. Blmchpambn CXn\v _
D¯cw dbmw....... Ôapsï¶pw AXv \nco£n¡phm³ {iaw
\S¯nbn«pw Isï¯m\mbnÃ. CXns\¡pdn¨v
Xz¡v tcmK hn`mK¯nse tUmIvSdpsS
A`n{]mbw Adnbphm³ XmXv]cyw Dïv?.
tKm]me³, apcp¡pw]pg

tNmZyIÀ¯mhv XWp¯ shůnÂ
Ipfn¨Xn\ptijamtWm Cu sNmdn¨nÂ
hcp¶sX¶v ]dªn«nÃ. XWp¸n\v AeÀPn
bpsï¦nepw C§s\ hcmw. atäsX¦nepw
tcmK¯nsâ `mKambo«mtWm sNmdn¨n hcp¶
sX¶v Iïp]nSn¡m³ C\nbpw Nne ]cntim[\
IÄ \S¯Ww. F¶n«pw t]mknäohv Bbn
H¶pw Isï¯m³ Ignªnsæn AeÀPn
sSÌn\v hnt[b\mIWw.

\½p-sS B-tcm-Kyw | 2019 Pqsse 39

tUm. sI. N{µtaml³ kmÀt¡ma
F¶ AÀ_pZw
BÀ. kn. kn
bnse Im³kÀ kmÀt¡ma F¶Xv ico-c-¯nse IW-Iv
imkv{X{Inbm Sohv Snjyp-hn Dïm-Ip¶ Hcp-Xcw
hn`mK¯nse Im³kÀ BWv. A]qÀÆ-amb Hcp Im³kÀ
AUnjWÂ s{]m^kÀ BWv CsX-¦nepw Hcp henb P\-k-aq-l
Bbn tPmen sN¿p¶p. s¯ kw_-Ôn¨v kmÀt¡ma tcmKn-I-fpsS
kvX\mÀ_pZ NnInÕ, F®w A{X sNdp-X-Ã. DZm-l-c-W-¯n\v
Xmt¡mÂZzmc NnInÕ BÀ.-kn.-kn-bn {]Xn-hÀjw 300 kmÀt¡ma
F¶o NnInÕmcoXnIÄ tcmKn-IÄ F¯m-dp-ïv. ico-c-¯n Hcp
Ct±l¯nsâ {][m\ apg-bmbn {]Xy-£-s¸-Sp¶ Hcp tcmK-amWv
taJeIfmWv. BXpc kmÀt¡m-a. ]e-t¸mgpw tcmK-¯nsâ BZy-
ip{iqjmcwKs¯ Hcp L-«-§-fn thZ-\tbm aäp {]bm-k-§tfm
{][m\ NGO Bb kzkvXn Dïm-Im-dn-Ã. CXp-Im-cWw tcmKn Hcp ]s£
kuJybpsS sNbÀam³ Cu Akp-Js¯ Ah-K-Wn-¡p-Itbm AsÃ-
BWv Ct±lw. ¦n Im³kÀ AÃm¯ tcmK-am-sW¶v
hnNm-cn¨v CXv ]e-t¸mgpw ikv{X-{Inb hgn
[email protected] \o¡w sN¿p-Itbm sN¿m-dp-ïv.

40 \½p-sS B-tcm-Kyw | Pqsse 2019

Hcp km[m-cW IW¡v A\p-k-cn¨v kmÀt¡ma F¶ tcmKw AXnsâ
]d-bp-I-bm-sW-¦n ico-c-¯nse 100 BZy-L-«-§-fn {]tXy-In¨v tcmK-e-£-
I«n-IÄ FSp-¡p-I-bm-sW-¦n AXv H¶v W-§Ä H¶pw Xs¶ ImWn-¡p-¶n-sÃ-
kmÀt¡ma Bbn Xocm³ km[y-X-bp-ïv. ¦nepw AXnsâ Ah-km\ L«-§-fnÂ
F¶m Nne P\-n-XI-amb tcmK-§-fpÅ AXv ]e-t¸mgpw apdnhv Dïm-¡m\pw
BÄ¡mÀ¡v DZm-l-c-W-¯n\v ico-c- Ak-ly-amb thZ-\-bn Ah-km-\n-
¯n s]m§-ep-IÄ ImWp¶ \yqtdm ¡m\pw ico-c-¯nse aäp `mK-§-fn-te¡v
ss^_À satäm-knkv F¶ tcmKw DÅ ]SÀ¶v tcmKnsb ac-W-¯n-te¡v \bn-
hyàn-IÄ¡pw IpSpw-_-§Ä¡pw ¡m\pw hgn-sbm-cp-¡p-¶p-ïv. AXp-sIm-
kmÀt¡ma F¶ Im³k-dp-IÄ _m[n- ïp-Xs¶ Cu tcmKw Ipg-¸-an-Ãm¯
¡m-\pÅ km[yX IqSp-X-em-Wv. I«n-I-fmbn sXän-²-cn-¡-s¸-Sm³ km[y-X-
bp-ïv. ico-c-¯nsâ ]e `mK-§-fnepw
kmÀt¡ma tcmK-¯n\v {]tXy-In¨v kmÀt¡ma _m[n-¡m-dp-ïv. ssIIm-ep-
Imc-W-§Ä H¶pw Xs¶-bn-sÃ-¦n IqSn IÄ, ico-tcm-]-cn-X-ew, KÀ`-]m{Xw, FÃp-
t\cs¯ ]d-ª-Xp-t]mse P\n-X-I-amb IÄ, ssIbpw Xe-bpw, hb-dn-\p-Ån-epÅ
Akp-J-apÅ NneÀ¡v kmÀt¡ma `mK-§Ä F¶n-hn-S-§-fn kmÀt¡ma
Im³kÀ hcm³ km[y-X-bp-ïv. am{X-aà tcmKw _m[n-¡m-dp-ïv.
tdUn-tb-j³ CXnsâ Hcp Imc-W-am-bn«v
]e-t¸mgpw ]d-b-s¸-Sp-¶p-ïv. aäv tcmK- Cu tcmKw XpS-¡-¯n Xs¶
§Ä¡v thïn-bn-«v _mey-¯ntem \nÀ®-bn-¡p-I-sb-¶Xv CXnsâ NnIn-
ssii-h-¯ntem tdUn-tb-j³ FSp- Õbv¡v AXy-´mt]£nX-am-Wv. ]e-
¡p¶ tcmKn-IÄ¡v ]e-t¸mgpw ]n¶oSv t¸mgpw ico-c-¯n-ep-ïm-Ip¶ apg-IÄ
kmÀt¡ma Im³kÀ hÀj-§Ä¡v {]tXy-In¨v ASp-¯-Im-e¯v Dïmb
tijw B `mK¯v hcm-dp-ïv. apg-IÄ, Aan-X-amb thK-¯n hf-cp¶
apg-IÄ, F¶nh kmÀt¡ma F¶ tcmKw
Cu Xcw Im³kÀ NnIn-Õn-¡p-¶Xv AÃm-sb¶v Dd¸v hcp-t¯-ïXv AXym-h-
{][m-\-ambpw ikv{X-{In-b-I-fn-eq-sS-bm- iy-am-Wv.
Wv. Cu Hcp tcmKw tcmK-\n˨bw
\S-¯p-¶-Xn\v ap¼v km[m-cW apg-bm- kmÀt¡ma tcmKw \nÀ®-bn-¡p-¶-Xn-
sW¶v hnNm-cn¨v B ikv{X-{Inb \m-bpÅ tcmK-\nÀ®b amÀ¤-§Ä kqNn
kmÀt¡ma tcmK-¯n\v ]e-t¸mgpw IS-¯n-bpÅ ]cn-tim-[-\bpw kn.-än.
A]-cym-]vX-ambn Iïp-h-cm-dp-ïv. kvIm³, Fw.-BÀ.sF t]mepÅ tdUn-
tbm-sfm-PnIv ]cn-tim-[-\-I-fp-am-Wv.

\½p-sS B-tcm-Kyw | 2019 Pqsse 41

BÀ.-kn.-kn.-bn R§Ä \S-
¯nb Hcp ]T-\-¯n \n¶pw 5
hÀjs¯ IW-¡p-IÄ FSp¯v
t\m¡n-b-t¸mÄ GXmïv 153 Hmfw
kmÀt¡m-a-IÄ ikv{X-{Inb
sNbvXv \o¡p-I-bp-ïm-bn. CXnÂ
GXmïv 103 tcmKn-Ifpw aäv NnIn-
Õm-co-Xn-IÄ¡v tij-amWv Cu
kmÀt¡ma F¶ tcmKw Iïp-
]n-Sn-¡p-¶-Xv. AXn-\p-tijw AhÀ
BÀ.-kn.-kn.-bn-te¡v Ab-¡-s¸-Sp-
Ibpw Ah-cpsS NnInÕ dnt¸mÀ«p-
IÄ ]cn-tim-[n-¨-Xn \n¶pw H«p

an¡ tcmKn-Ifpw BÀ.-kn.-kn.-bn ikv{X-{In-bbv¡v hnt[-b-cm-Ip-Ibpw
tcmK-hn-apàn t\Sp-Ibpw sNbvXp.

tcmKNn-InÕ

t\ct¯ kqNn-¸n-¨-Xp-t]mse ap³ Ime-§-fn ssI Imep-I-fnÂ
kmÀt¡m-a-bpsS {][m\ NnInÕm hcp¶ kmÀt¡m-a-IÄ ]ïv NnIn-Õn-
coXn ikv{X-{Inb BWv. kmÀt¡ma ¡p-¶-Xnsâ `mK-am-bn«v H¶p-InÂ
ikv{X-{In-b-bn Im³kÀ ikv{X-{In- ssI Imep-IÄ ]qÀ®-ambn \o¡w
b-bpsS {][m\ XXz-amb Im³kÀ sN¿p-Itbm AsÃ-¦n Hcp `mK-
apgp-h\pw FSp¯p amäp-¶-Xn\v ]pdta ¯pÅ apgp-h³ t]in-Ifpw \o¡w
Im³k-dn\p Npäp-apÅ km[m-c-W- sNbvXp-sIm-ïpÅ Iw]mÀ«v-saâÂ
sa¶v tXm¶p¶ `mK-§fpw \o¡w FIvkn-j³ F¶ ikv{X-{In-b-IÄ
sNbvXm am{Xta ikv{X-{Inb \S-¯n-¡p-Itbm BWv sNbvXn-cp-¶-
]qÀ-W-am-Ip-I-bp-Åq. Xv. F¶m Cu tcmK-¯n-\mbn tdUn-
tb-j³ NnInÕ D]-tbm-Kn¨v XpS-§n-
b-tXmsS C¯-c-¯n-epÅ ikv{X-
{In-bbv¡v ]Icw tcmKw _m[n¨
`mKhpw AXn\v Npäp-apÅ km[m-cW
Zi-Ifpw am{Xw FSp¯v sN¿p¶
sshUv tem¡Â FIvkn-j³
F¶pÅ NnInÕ coXn \ne-hnÂ
h¶p.

AtXm-sSm¸w Xs¶ ikv{X-{Inb
sNbvXp-ïm-Ip¶ hnS-hp-IÄ ¹mÌnIv
kÀPdn hgn ]p\À \nÀ½mWw sN¿p-
¶-Xn\pw C¶v km[y-am-Wv.

42 \½p-sS B-tcm-Kyw | Pqsse 2019

ico-c-¯nse Zi-I-fn F¶p- enw¼v I¬kÀth
t]m-se-¯s¶ ]e-t¸mgpw FÃp-I-fn -j³ kÀPdn-bnÂ,
epw kmÀt¡m-a-IÄ ImWm-dp-ïv. FÃp-I-fpsS `mKw
AXn\v HmÌntbm kmÀt¡ma F¶m am{Xw \o¡w sNbvX-
Wv t]cv. aäv kmÀt¡m-a-Isf At]- Xn\v tijw AhnsS
£n¨v HÌntbm kmÀt¡m-abv¡v Ir{Xna FÃp-IÄ
Iotam-sX-dm¸n {]m[m\yw AÀln- h¨v ]nSn-¸n-¡p-Ibpw
¡p¶ Hcp NnIn-Õm-co-Xn-bm-Wv. AXn\v tijw
{]tXy-In¨pw HmÌntbm kmÀt¡ma tcmKn¡v ]g-bXv
_m[n-¡p-¶Xv Iuamc Ah-Ø-bn- t]mse \S-¡p-Ibpw
epÅ _me-·m-scbpw _men-I-am-sc-bp- Pohn-X-N-cy-IÄ
am-Wv. ]e-t¸mgpw km[m-c-W-am-bn«v \S-¯m³ ]äp-Ibpw
ap«n Dïm-Ip¶ Hcp I«n-bm-bn-«mWv sN¿pI F¶Xv C¶v
CXv {]Xy-£-s¸-Sp-¶-Xv. CXn\v ap³ kpkm-[y-am-Wv.
Im-e-§-fn Im apgp-h\pw \o¡w
sNbvXn-«pÅ B¼yq-t«-j³ F¶ t\cs¯ kqNn-
ikv{X-{Inb-bmWv sNbvXpsIm-ïn-cp- ¸n-¨-Xp-t]mse Cu
¶-Xv. Cu ASp¯ Ime-¯m-bn«v tcmK-¯n\v ]e
tÌPp-I-fp-ïv. ico-c-
¯nsâ aäv `mK-§-
fn AXv _m[n-¡p-
I-bm-sW-¦n AXn
sâ \mem-as¯
tÌPv F¶mWv
]d-b-s¸-Sp-¶-Xv. ]ïv
Ime-§-fnÂ
\mem-as¯ tÌPp-IÄ _m[n¨p
Ign-ªm thsd NnIn-Õ-IÄ H¶pw
km[y-am-bn-cp-¶n-Ã. F¶m Cu
ASp¯ Ime-¯m-bn«v ico-c-¯nsâ
aäv `mK-§-fn ]SÀ¶ kmÀt¡ma
Im³k-dp-IÄ t]mepw ikv{X-{Inb
hgn \o¡w sN¿pI km[y-am-Wv.
Gähpw km[m-c-W-am-bn«v ico-c-¯nse
kmÀt¡m-a-IÄ izmk-tIm-i-¯n-\p-
Ån-te-¡mWv hym]n-¡m³ km[y-X.
F¶m \½psS hb-dns\ _m[n-
¡p¶ ""sdt«m-s]-cn-täm-Wn-bÂ''
kmÀt¡m-a-IÄ km[m-c-W-bm-bn«v
_m[n-¡p-¶Xv Ic-fn-s\-bm-Wv.
kmÀt¡ma izmk-tIm-i-¯n-te¡v
_m[n¨v Ign-ªmepw AXv ikv{X-
{Inb hgn \o¡w sN¿m³ C¶s¯
\nebv¡v km[y-am-Wv.

\½p-sS B-tcm-Kyw | 2019 Pqsse 43

BÀ.-kn.-kn-bn ikv{X-{Inb \S-¯nb
153 tcmKn-I-fn 90% BÄ¡mÀ¡pw
]qÀ®-ambpw tcmKw t`Z-am-Ip-Ibpw AhÀ
aq¶v hÀj-¯n\v tijhpw AkpJw
CÃmsX Pohn-¨n-cn-¡p-Ibpw sNbvXXv Cu
tcmKw ]qÀ®-ambpw NnInÕ hnt[-b-amWv
F¶pÅ hkvXpX sXfn-bn-¡p-¶p. tcmKw
Xncn-¨p-h-cp-¶Xv Hcp ]s£ ikv{X-{Inb
sNbvXv amänb `mK-§-fntem AsÃ-¦nÂ
ico-c-¯nse aäv `mK-§-fntem Bbn-cn-
¡pw.

kmÀt¡ma NnIn-Õ-bnse \qX\ t\«-§Ä

kmÀt¡ma tcmK-\nÀ®-b-¯nepw tcmK-Nn-In-Õ-bnepw
ASp¯ Ime-¯p-ïmb IpXn-¨p-Nm«w P\n-XI imkv{X-im-J-
bn-ep-ïmb amä-¯nsâ `mK-am-bm-Wv. kmÀt¡m-a-bpsS P\n-X-I-

L-S\ a\-Ên-em-¡p-¶-Xn\pw
A§s\ tcmKw IrXyambpw
Xncn-¨-dnªv AXn-\p-thï
'Targetted Treatment' \ÂIp-¶
-Xn\pw C¶v km[y-am-Wv.
'Targetted Treatment' \p ]pd
sa F¸n-sP-\-änIv NnIn-Õ,
C½yq-tWm-sX-dm¸n F¶n-
hbpw ASp-¯-Im-e-¯p-
ïmb apt¶-ä-§-fm-Wv.

44 \½p-sS B-tcm-Kyw | Pqsse 2019

Ip«nIfnse Bkvß

kvIqfpIÄ¡paptm ]¦v?

tUm. \nj \tc{µ³ Ip«nIfnse Bkvßbnse {][m\ hnó
B´cnI A´co£ aen\oIcWw (indoor
XrÈqÀ Kh: pollution) BWv. CXv XSbphm³ {i²nt¡ï
saUn¡Â ]e Imcy§fpw A½amÀ hoSpIfn \S¸m
tImtfPn ¡p¶pïv. F¶m Znhk¯n 6-þ7 aWn¡qÀ
Un¸mÀ«vsaâv Ip«nIÄ kvIqÄ ¢mÊv apdnIfn sNehgn
Hm^v ]oUnbm{SnIvkn ¡p¶p. Ipd¨v kabw (AcapX 1 aWn¡qÀ
AtÊmkntbäv s{]m^ F¦nepw) AhÀ kvIqÄ ]cnkc§fnepw
kdmbn tkh\a\pjvTn sNehgn¡p¶p. kvIqÄ ]cnkc§fnepw ¢mkv
¡p¶p. Bkvß apdnIfnepw BkvßbpsS t{]cI LSI§Ä
¢n\nIv C³NmÀPmbn Xncn¨dnªv Ahsb \nÀ½mÀÖ\w
{]hÀ¯n¡p¶p. sNbvXm am{Xta Cu hfcp¶ hym[nsb
hcpXnbn hcp¯m³ km[n¡q. Bkvß
[email protected] acW§fn C´y ap³]´nbnse¶Xv ]T\
mob: 9562275370 §Ä Ct¸mÄ sXfnbn¨p Ignªp. Ip«nIfn
se Bkvß Zn\w{]Xn hÀ²n¡p¶Xv
XSbphm³ AhcpsS A½amÀ am{Xw hnNmcn
¨m \S¡nÃ. kvIqÄ A[nImcnIfpw CXn
\mbn thï \S]SnIÄ FSpt¡Xpïv. AhÀ
AhcpsS D¯chmZn¯§Ä Xncn¨dnªv
IrXyamb \S]SnIÄ FSp¡phm³ t{]cn¸n
t¡ïXv amXm]nXm¡Ä am{XaÃ, tUmÎÀ
amcpsS Atkmkntbj\pIfmWv. Cu Imcy
¯nte¡v kÀ¡mcnsâ {i² ]Xntbï
Imehpw AXn{Ian¨ncn¡p¶p. CXv XSbphm³
thïn FS¡p¶ FÃm \S]SnIfpw s]mXpth
A´co£¯n\v `mhnbnte¡v KpWamIpw
F¶Xpw {it²bamWv.

\½p-sS B-tcm-Kyw | 2019 Pqsse 45

kvIqÄ A´co£hpw ]cnkchpw Bkvß t{]cI
LSI§fn \n¶pw apàam¡m³ Fs´ms¡ sN¿mw?
kvIqÄ _kpIÄ cmhnsebpw sshIn«pw \nÀ¯n Ip«nIsf IbäpIbpw

1 Cd¡pIbpw sN¿pt¼mÄ F³Pn³ Hm^v B¡n CSpI. Uok ]pI
bnse IWnI ]ZmÀ°§Ä (particulate matter) 2.5 ssat{ImWnÂ
XmsgbpÅhbmWv. Ch Bkvß IqSmsX AÀ_pZw, lrt{ZmKw,
]£mLmXw F¶nh Dïm¡mw.

2 ¢mkv apdnbnse ^m\pIÄ \\ª XpWnbm Ah[n Znhk§fntem
sshIn«v ¢mkv hn«pIgntªm XpS¡pI.
tNm¡p s]mSn Hgnhm¡m³ shÅ t_mÀUpw amÀ¡À t]\bpw D]tbm

3 Kn¡w. CXn ajn hoïpw \nd¨p]tbmKn¡mw. AXneqsS ¹ÌnIv
amen\y§Ä DïmIp¶Xv Ipdbv¡mw. kvamÀ«v ¢mÊpIfpw \ÃXv Xs¶.

4 amen\yw I¯n¡msX t\m¡pI. `£Wmhinã§Ä XncnsI ho«nÂ
sImïpt]mbn icnbmb coXnbn \nÀ½mÀÖ\w sN¿m³ Ip«nIsf
]Tn¸n¡pI.

5 FenIfpsS aq{Xw Fen¸\n t]msebpÅ tcmK§Ä am{XaÃ,
AeÀPn¡pw Hcp {][m\ ImcWamWv. `£ymhinã§Ä hr¯nbmbn
IfbpIbmsW¦n Hcp ]cn[n hsc CXv Ipdbv¡mw.F¶ncp¶mepw
FenIsf Xpc¯m³ thï \S]SnIÄ kvIqfpIÄ FSpt¡ïXv
AXymhiyamWv.

6 ]q¸Â X§m¯ hn[w, ¢mÊv apdnIÄ sImÃw tXmdpw hnÅepIÄ

aqSm³ `n¯nIfn sIan¡Â {Soävsa³dv sN¿pI.

7 `£Wmhinãw Ign¡m³ F¯p¶ ]q¨, \mb XpS§nb arK§sf
Xpc¯pI. It¼mÌv hfw D¸mZn¸n¡m³ Ahinãw D]tbmKn¡mw.
CXp]tbmKn¨v kvIqÄ hf¸n Irjn sN¿p¶Xv Ip«nIÄ¡v hnÚm\

46 \½p-sS B-tcm-Kyw | Pqsse 2019

hpw A`nam\hpw {]Zm\w
sN¿p¶p.

]mä `£Wmhinã¯nÂ

8 BIrãcmIp¶ IoS§fnÂ
{][m\n Xs¶. Ch AeÀPn
Dïm¡p¶Xnepw ap¼³ Xs¶.
AXn\m `£Wmhinãw
hr¯nbmbn IfbpItbm
It¼mÌv sN¿pItbm thWw.
tSmbv-eäpIfpw hr¯n Bbn
hbv¡pI. km\n«dn \m]vIn
\pIÄ D]tbmKtijw hr¯n
bmbn s]mXnªv aqSnbpÅ
_¡än \nt£]n¡pI.
C- - tSmbveäpIfpw hr¯nbmbn
D]tbmKn¡pI. IrXyamb
CSthfIfn ]mä \nÀ½mÀ
Ö\w \S¯pI. ]mäbpw Fenbpw \nÀ½mÀÖ\w sN¿p¶ s{]m^
j\Â {Kq¸pIÄ Dïv.

]pIhen kz´w izmktImi¯n\v am{XÃ, A´co£¯n\pw aäpÅ

9 hÀ¡pw IqSnbmWv tISpïm¡p¶Xv F¶ Aht_m[w Ip«nIÄ¡v
]IÀ¶p \ÂIpI.

10 Fs´¦nepw \nhr¯nbpsï¦n bmsXm¶pw I¯n¡cptX.

¹mÌnIv D]tbmKw t{]mÕmln¸n¡cpXv, {]tXyIn¨v _p¡pIÄ s]mXn

11 bm³. ]Icw, ]pkvXI§Ä Gähpw hr¯nbmbn hbv¡m³ ]dbpI.
AXv Gähpw \¶mbn sN¿p¶ hnZymÀ°nIÄ¡v sNdnb k½m\§Ä
\ÂIn t{]mÕmln¸n¡mw.

Ce{ÎnIv hml\§Ä tkmfmÀ D]IcW§Ä Ch A´co£ aen\oI

12 cWw XSbp¶p F¶ Aht_m[w Ip«nIfn Dïm¡pI. AhbpsS
{]m[m\yw a\Ênem¡ns¡mSp¡pI.

13 F.kn DÅ ¢mkv apdnIfn AXnsâ ^n«À IrXyambn
hr¯nbm¡pI. IrXyamb CSthfIfn kÀÆokv sN¿n¡pI.

\o´Â BkvßbpÅ Ip«nIÄ¡v ]änb hymbmaamWv. \o´Â ]Tn¸n

14 ¡pt¼mÄ DïmImhp¶ sNdnb AWp_m[ NnInÕn¨p amämhp¶tX
DÅq. ]Tn¨p Ignªm Bkvß hcmsX icoc hymbmaw sN¿m³
\o´Â D¯aamWv.

Iq«mb {]bXv\¯neqsS Bkvßsbbpw A´co£ aen\oIcW
s¯bpw \ap¡v hcpXnbnem¡ntb Xocq.

\½p-sS B-tcm-Kyw | 2019 Pqsse 47

tUm. kvanXn k\Â A½-bm-Im³
ko\nbÀ
I¬kÄ«â v t\cs¯
ssK\t¡mfPnÌv & X¿m-sd-Sp-¸p-IÄ
em¸tdmkvtIm¸nIv
\AS-¯Ñmw-\, m-Im\pw.
kÀP³
tImþHm¸tdäohv tlmkv]nä km[m-c-W- ImWm-s\-¯p¶ tcmKn-I-fnÂ
Im¡\mSv \n¶v hyXy-kvX-cm-bn-cp¶p B Z¼-Xn-IÄ.
cqt]jpw ARvP-\-bpw. Ccp-hcpw sF.än
enän ^vfhÀ ^oÂUn-emWv tPmen-sN-¿p-¶-Xv. hnhmlw
tlmkv]nä þ A¦amen, Ignªn«v cïp am-kta Bbn-«p-ïm-bn-cp-
[\y anj³ tlmkv]nä þ ¶p-Åq. Hcp Ipªns\ AhÀ B{K-ln-¡p-
t]m«, skâv tPm¬kv ¶p-ïm-bn-cp-¶p. AXn\v ap¼mbn
tlmkv]nä þ I«¸\ Fs´Ãmw X¿m-sd-Sp-¸p-IÄ \S-t¯-ï-
DÄs¸sS bpÅ anj³ Xpïv F¶v Adn-bp-hm-\m-bn-«mWv AhÀ
tlmkv]näep Ifn 25 h¶-Xv. AXmWv km[m-c-W-bmbn
hÀjs¯ tkh\¯neqsS F¯p¶ tcmKn-I-fn \n¶v hyXy-kvX-cm-
Ccp]¯nb¿mbnc¯ntesd bn-cp¶p Ah-sc¶v XpS-¡-¯n Fgp-Xn-b-
{]khw ssIImcyw Xv. \½psS \m«n Z¼-Xn-IÄ Hcp ssK\-
sNbvXn«pïv. sIm¨n t¡m-f-Pn-Ìns\ ImWm-s\-¯p-¶Xv
k¬ssdkv tlmkv]näense H¶p-In KÀ`w [cn-¨-Xn\v tijtam AsÃ-
em¸tdmkvtIm¸n ¦n KÀ`w \S-¡m¯ kml-N-cy-¯ntem
hn`mK¯n Hcp hÀjs¯ BWv. cqt]jvþA-RvP\ Z¼-Xn-Isf
tkh\w. amªmen t]mse {]á-\³kn {]n¸-td-j\p thïn
saUn¡Â tImtfPv Bip] tUmIvS-dpsS \nÀt±-i-§Ä Adn-bm³
{Xnbn em¸tdmkvtIm¸n F¯p-¶-hÀ \½psS \m«n hfsc
kÀP\mbn 2 hÀjw Ipd-hm-Wv. AXp-sIm-ïp-Xs¶
tkh\a\pjvTn¨n«pïv. Ah-cp-ambn kwkm-cn-¨-t¸mÄ Gsd
sIm¨n³ ssK\o kt´mjw tXm¶n.
skmsskänbpsS ap³
sk{I«dnbmWv.

[email protected]
Mob : 9847660125

48 \½p-sS B-tcm-Kyw | Pqsse 2019

A½-bm-Im-\pÅ X¿m-sd-Sp-¸p-IÄ

ssXtdmbvUpw jpKdpw C¶v tIc-f- ao-äÀ s]m¡-apïv Hcp s]¬Ip-«n¡v
¯n hym]-I-ambn Iïp-h-cp¶ cïp F¦n AXn \n¶v \qdv Ipd-bv¡p
{]iv\-§-fm-Wv. AXp-sImïv A½-bm- -I. CXmWv Hcp s]¬Ip-«nbv¡v
Im³ X¿m-sd-Sp-¸p-IÄ \S-¯p¶ Ahiyw Dïm-bn-cn-t¡ï Xq¡w.
kv{Xo Sn.Fkv.F¨v (TSH) t\mÀ½Â AXm-bXv Adp-]-¯n-b©v Intem.
BtWm F¶v t\m¡p-¶Xv AXym-h- AXn IqSp-X Xq¡w Dsï-¦nÂ
iy-am-Wv. Sn.Fkv.F¨v (TSH) seh Aan-X-h-®-¯n-emWv s]Sp-t¯-ï-Xv.
aq¶n Xmsg BsW-¦n am{Xta Aan-X-h®w At_mÀj³ km[y-X-
KÀ`w [cn-¡m³ ]mSp-Åq. aq¶n-c«n hÀ²n-¸n-¡p¶ Hcp LS-I-am-
b-Xn-\m h®w Ipd-¨-Xn\v tijw
Ah-km-\s¯ aq¶p-am-ks¯ am{Xta KÀ`n-Wn-bm-Im-hq. Xq¡-
jpKÀ I¬t{SmÄ Adn-bm-\pÅ ¯nsâ ]¯p iX-am-\-sa-¦nepw Ipd-
sSÌmWv Ct¸mÄ \S-¯p-¶-Xv. bvt¡-ïn-bn-cn-¡p-¶p. Pohn-X-ssi-en-
F¨v_nF h¬ kn (HbA1C) F¶mWv bn h¶ amähpw \K-c-h-Xv¡-c-
Cu sSÌv Adn-b-s¸-Sp-¶-Xv. shdp- W-hp-amWv FÃm-bvt¸mgpw Aan-X-h-®-
samcp jpKÀ sSÌv \S-¯n-bm Nne- ¯n-\v Imc-W-am-Ip-¶Xv. CjvS-apÅ
t¸mÄ IrXy-amb hnhcw Adn-ªp- `£Ww IqSp-XÂ Ign-¡p-¶Xpw
sIm-ÅWw F¶n-Ã. Hcp Znhkw tlm«Â `£-Whpw ]e-t¸mgpw Aan-
`£Ww Ign-¨-Xnsâ Afhv Ipd-ªp X-h-®-¯nsâ {][m\ Imc-W-§-fm-
-t]m-bm ]cn-tim-[-\-bn Ub-_- Wv. {]á-\³kn ¹m³ sN-¿p-¶-Xn\v
änIv BsW-¦nepw Nne-t¸mÄ jpKÀ ap¼v kv{XoIÄ t^mfnIv BknUv
Isï-¯Ww F¶n-Ã. AXp- KpfnI tUmIvS-dp-sS \nÀt±-i-{]-Imcw
sImïmWv ta¸-dª sSÌv \S- Ign-t¡-ï-Xm-Wv.
¯p-¶-Xv.

{Kq¸v s\K-äo-hmtWm t]mkn-äo-
hmtWm F¶v t\m¡p-¶-XmWv
asämcp sSÌv. CXn-s\-¡m-sfÃmw
{][m-\-s¸-«Xv Aan-X-h-®-am-Wv.
Aan-X-h®w hnhm-l-¯n\v ap¼p
Xs¶ ]e s]¬Ip-«n-I-fp-sSbpw
hen-sbmcp Btcm-Ky-{]-iv\-am-Wv.
Aan-X-h®w Dtïm-sb¶v Adn-bm³
hfsc Ffp-¸-¯n-epÅ Hcp amÀ¤-ap-
ïv. s]m¡w skân-ao-ä-dn IW-¡p-
Iq-«p-I. DZm-l-c-W-¯n\v 165 skân-

\½p-sS B-tcm-Kyw | 2019 Pqsse 49

AÑ-\m-Im-\pÅ X¿m-sd-Sp-¸p-IÄ

]pcp-j-·mÀ Iuïv ]cn-tim-[\ temI-¯mWv IqSp-XÂ kabw sNe-
t\cs¯ \S-¯p-¶Xv DNn-X-amWv. h-gn-¡p-¶-Xv. AXn \n¶v amdn
CXv _oP-¯nsâ Ne-\-ti-jnbpw sS³j³ hnap-à-amb Pohn-X-ssien
KpWhpw a\-Ên-em-¡m³ km[n¡pw. kzoI-cn-¡p-I. AXp-t]mse
sS³j-sâbpw tPmen k½À±-§-fp- ]pI-h-en, aZy-]m\w F¶nh Hgn-hm-
sSbpw Ime-¯mWv ]e sNdp-¸-¡mcpw ¡pIbpw thWw. {]tXy-In¨v s{]á³
C¶v Pohn-¡p-¶-Xv. sS³j³ _oP- kn¡v X¿m-sd-Sp-¸p-IÄ \S-¯p¶
¯nsâ iànsb tZmj-I-c-ambn aq¶p amk-t¯¡v F¦n-epw.
_m[n-¡p-¶p-ïv. KÀ`w [cn-¨mÂ
Xs¶ CXv ]n¶oSv {]Xn-Iq-e-ambn
amdn-tb-¡mw. Pohn-Xm-h-km-\w- hsc
sS³j³ \½psS IqsS-bp-ïm-Ipw.
AXv CÃm-Xm-¡m³ \ap¡v Ign-bn-Ã.
]t£ sS³js\ ssIImcyw sN¿m³
\½Ä {ian-¡-Ww, ]Tn-¡-Ww. hymbm-
aw, saUn-tä-j³, {]`m-X-\-S¯w,
{]mÀ°\ F¶n-h-sbÃmw sS³j\nÂ
\n¶v tamN\w t\Sm³ hfsc klm-b-
I-c-am-Wv. C¶v ]e ]pcp-j-·mcpw
samss_-en-sâbpw CâÀs\-än-sâbpw

kvt\l-amWv {][m\w

ta¸-d-ª-h-sbÃmw sshZy-imkv{X]c-amb \nÀt±-i-§fpw t]mwh-gn-I-fp-am-
sW-¦nepw Hcp Ip-ªp-ïm-Im³ Gähpw {][m\w Z¼-Xn-IÄ¡n-S-bnse Dujva-f-
amb kvt\l-_-Ô-am-Wv. kvt\l-¯n \n¶mWv Ipªp-§Ä P\n-t¡-ï-Xv.
ka-bhpw Imehpw t\m¡n am{Xw _-Ô-s¸-Sp¶ A]qÀÆw Nne sNdp-¸-¡m-cmb
Z¼-Xn-IÄ t]mep-ap-ïv. Z¼-Xn-IÄ XpSÀ¨-bmbn _Ô-s¸-tS-ïn-bn-cn-¡p¶p.
]c-kv]cw kvt\ln¨pw BZ-cn¨pw Pohn-
¡p¶ Z¼-Xn-amÀ¡n-S-bn-se ssewKn-I-
_-Ô¯n t]mkn-äohv tlmÀtam-Wp-
IÄ Dev]m-Zn-¡-s¸-Sp-¶p-ïv. CXv Ipªp-
ïm-Im-\pÅ km[yX hÀ²n-¸n-¡p-¶p.
Npcp-¡-¯n Z¼-Xn-amÀ X½nÂ
kulr-Z-]qÀÆ-amb kvt\l-_Ôw
krjvSn-¡m\pw \ne-\nÀ¯m\pw {ian-
¡p-I. AXn-s\m¸w Btcm-Ky- Im-cy-§-
fnepw {i² ]Xn-¸n-¡p-I. At¸mÄ
FÃmw \Ã-Xp-t]mse kw`-hn-¡pw.

50 \½p-sS B-tcm-Kyw | Pqsse 2019


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