Nov 2022

B\-tc½mpK-sSyw `£Wkm[\§Ä
sXmbn IpSp§nbmÂ
C´y³ sa-Un-¡Â A-tkm-kn-tb-j³ {]-kn-²o-I-cWw
lmÀ«v Aäm¡v 
hmeyw 23 e-¡w 5 ImÀUnbmIv AdÌv
2022 sabv ` 25
t{]mtÌäv Im³kÀ

Iuam-c-¡mcpw
Iu¬kn-enwKpw

{Ko³ So IpSn¨mÂ
Im³kÀ amdptam?

t]mj-I-¡p-dhpw
£oWhpw

BZcn¡mw
BizmktaIpao

amemJamsc

hmÀ²Iyw
kt´mjIcam¡mw

{]taltcmKapÅhÀ
`£W Imcy§fnÂ
CsXms¡ {i²n¡Ww

hn«p-amdm-¯
Xp-½epw aq-s¡m-en¸pw

+ 11
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C´y³ sa-Un-¡Â A-tkm-kn-tb-j³ {]-kn-²o-I-cWw

FUn-täm-dnb A\m-tcmKyw
hcp-¶ h-gn-IÄ
A-S-bv¡-Ww

tUm. Sn. kp-tc-jv IpamÀ
No-^v F-UnäÀ-

No-ª aÕyw ]n-Sn¨p.
hn-jm-w-iap-Å cm-k-]-ZmÀ°-§Ä I-eÀ-¶ aÕyw ]n-Sn¨p.
A-§n-§m-bn \-S-¡p-¶ ]-cn-tim-[-\bn `-£y-tbm-Ky-aÃm-¯
aÕyw ]n-Sn¡p-¶ hmÀ-¯ \mw Im-Wm-dpï.v

H-¶m-tem-Nn-¨n-«p-tïm?
C-Xp ]n-Sn-¨n-sÃ-¦nÂ?
\-½Ä h-b-dn-em-¡pw. AXm-Wv A-hkYv !
`-£y-kpc-£m h-Ip-¸p-IÄ C-t¸mÄ \-S¯p-¶ ]-cn-tim-[\-IÄ
A-]-cym-] v-X-am-W.v
tI-Sm-bXpw hn-j-en-] v-X-hpam-b aÕyw \-½p-sS-bpÅnÂ
sNÃp-¶-Xns³-d ^-e-am-bn D-ïmIp-¶ D-Z-c-tcm-K§-sf Ip-dn-t¨m,
Im³-kÀ t]m-ep-Å Ku-c-h-Xc-amb tcm-K§-sf Ip-dnt¨m
H-cp im-k{v Xob ]T-\w \-S-t¯-ï-XtÃ?
`q-cn-`m-Kw a-e-bm-fn-Ifpw \n-Xyhpw I-gn¡p-¶ `-£y-h-kv-Xp
F-¶ \n-e-bv-¡m-Wv a-Õy-s¯ Ip-dn-¨ v ]-cm-aÀ-in-¡p-¶X.v
a-Õy hn-]-W-\-¯n hf-sc IÀ-i-\hpw \n-c-´-c-hpam-b
]-cn-tim-[\-IÄ A-\n-hm-cy-amW.v A-Xn-\v D-t]mÂ_-e-taIm³
ssh-Zy-im-kv-{X ta-J-ebpw X-¿m-dm-IWw.
i-à-am-b `-£y-kpc-£m \n-b-a \-S-]-Sn-I-fpw.

k-hn\bw

sabv 2022 | \½p-sS B-tcm-Kyw 5

10 `£Wkm[\§Ä 32 FÃmhÀ¡pw BtcmKyw:
sXmbn IpSp§nbm bp.F-¨v.kn.

tUm. ]n. iin[c³ tUm. F³. kpµtci³

14 lmÀ«v Aäm¡v 

ImÀUnbmIv AdÌv
Ch X½nepÅ hyXymksa´v?

tUm. {ioPn¯v

16 t{]mtÌäv Im³kÀ 36 hmÀ²Iyw kt´mjIcam¡mw
tUm. ]ctaizc³ tUm. Acp¬.-_n.-\m-bÀ

20 NAT ]cntim[\ 40 hn«p-amdm-¯

kpc£nXamb Xp-½epw aq-s¡m-en¸pw
cà Zm\¯n\v A-dn-bmw.... t\-cn-Smw...

tUm. F{_lmw hÀ¤okv tUm. Pn. atljv tZhv

24 Iuam-c-¡mcpw 46 ap´ncn¡peKÀ`w
tUm. `hm\n N{µtiJÀ
Iu¬kn-enwKv
Bh-iy-I-X-Ifpw

tUm. Fw. sI. kn. \mbÀ

2022 sabv
hmeyw 23, e-¡w 5, hn-e: 25 cq]

No^v FUn-äÀ D]-tZ-iI k-anXn hc
tUm. Sn. kp-tc-jv IpamÀ tUm. kmaph tImin kp[oÀ \mYv, \yq-UÂln

sk{I-«dn Iw {S-j-dÀ ({]kn-Uâ v, sF.-Fw.-F. tIcf) Unssk-³ & te-Hu«v
tUm. Fw. ap-c-fo-[-c³ Pb³ sP. \mbÀ
tUm. ]n.Sn. k-¡dn-b A\q-P cm-Pohv
FUn-täm-dn-b t_mÀUv
tUm. sI.F. IpamÀ (ap³ kw-kvYm-\ {]-kn-U³dv, sF.Fw.F) amÀ-¡-änwMv
tUm.cmPohv PbtZh³ ssj-Pp Fkv. \mbÀ
tUm. Fw.F³. ta-t\m³ tUm. BÀ.hn. A-timI³
tUm. hn.Pn. {]-Zo-]v IpamÀ ssS¸v skänwKv:
tUm. ctaiv.- F-kv.- tj-Wmbn (ap³ tZio-b sk-{I«-dn P-\dÂ, sF.Fw.F.) KoX
tUm. Acp¬ _n.-\m-bÀ
tUm.- k-Pn-Ip-amÀ sP. tUm. tPmk^v s_\h³ {]nâ nwKv :
ap{Z in-h-Imin
(sk-{I-«dn, sF.-Fw.-F. tIcf)

tUm. hn. bp. koXn
tUm. BÀ. c-tav
tUm. F{_lmw hÀ-Kokv
tUm. sI. ]n. jd^p±o³
tUm. {]-im-´v kn.hn.

PRINTED AND PUBLISHED BY: Dr.T. Suresh Kumar, Editor, Nammude Arogyam, for Indian Medical Association Kerala State Branch
ADDRESS FOR CORRESPONDENCE: Dr.T. Suresh Kumar, Editor, Nammude Arogyam, Indian Medical Association, Kerala State Branch.
Anayara P.O., Thiruvananthapuram 29, mail: [email protected]. ph: 0471-2742266, 94470 55050

6 \½p-sS B-tcm-Kyw | sabv 2022

50 {Ko³ So IpSn¨m B\-tc½mpK-sSyw

Im³kÀ amdptam? C´y³ sa-Un-¡Â A-tkm-kn-tb-j³ {]-kn-²o-I-cWw

tUm. tPmtPm hn. tPmk^v 76 BZcn¡mw

56 tImhnUv FIv-kv-þC sb BizmktaIpao
amemJamsc
`bt¡Xptm \½Ä?
{io. tPm_n t__n
tUm. Fw. ap-c-fo[c³
80 {]taltcmKapÅhÀ
58 hnhm-l-]qÀÆ Iu¬k-en§v
tUm. ]n.F³. kp-tc-jv IpamÀ `£W Imcy§fnÂ
CsXms¡ {i²n¡Ww. -
65 t]mj-I-¡p-dhpw £oWhpw
tUm. Snäp D½³
tUm. A\n-X taml³
83 Fgp¯n\mbpÅ
68 Bip-]{Xn
aps¶mcp¡§Ä
kwLÀj-§fpw
Bi-b-hn-\n-a-bhpw tUm. an\n F. H

tUm. A-_vZp _mcn 88 \s«Ãv sshI-ey-§fpw

73 tamWtcmK§Ä \yqtdm
ss^{_-a-täm-knkpw
ASnØm-\ A-dn-hpIÄ
tUm. kptcjv Fkv ]nÅ
tUm. aWnIWvT³ Pn. BÀ
A\p`hw

93 Hcp saUn¡Â ]ÀÆw

tUm. i¦À almtZh³

\À½w

97 A¶m½mkv Ip¡dn !

tUm. Sn. kp-tc-jv IpamÀ

slÂ-¯v Iznkv 19

sabv 2022 | \½p-sS B-tcm-Kyw 7

Hcp tIm¸n-¡v hn-e 25 cq] am{Xw

h-cn-kw-Jy

1 hÀ-jw : 250 cq-]

10 am-k-t¯-bv¡p-Å
hn-e

(2 e¡-§Ä ku-P-\y-am-bn
e-`n-¡p¶p)

2 hÀ-jw : 470 cq-] 3 hÀjw : 720 cq-]

19 am-k-t¯-bv¡p-Å 29 am-k-t¯-bv¡p-Å
hn-e am{Xw hn-e am{Xw

(5 e¡-§Ä ku-P-\y-am-bn (7 e¡-§Ä ku-P-\y-am-bn
e-`n-¡p-¶p) 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) naarogyam@gmail.
com 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.

8 \½p-sS B-tcm-Kyw | sabv 2022

sF. Fw. F tUm. kmaph tImin tUm. tPmk^v s_\h³
\ne]mSpIÄ kwØm\ {]knUâv kwØm\ sk{I«dn

[email protected] [email protected]

sF..kknn..bbp ]-cn-N-c-Whpw ]-cm-Xn-Ifpw

tcmKmhØ KpcpXcamIpt¼mÄ sF.kn.bp ]cnNcWw A\nhmcyamIpw. C¯cw
kmlNcy§fn XnI¨pw A]cnNnXambn, A{]Xo£nXambn Häs¸«p Igntbïn
hcp¶ tcmKnIfpsS am\knImhØ XnI¨pw hyXykvXambncn¡pw. Xo{hamb ]cn
NcWw Bhiyamb Cu tcmKnIÄ¡p IqSpXÂ {i²tbmsSbpÅ NnInÕ BhiyamWv.
IrXyamb ]cnNcWhpw kmt¦XnIamb tamWnädn§pw IqsS¡qsSbpÅ et_md«dn
]cntim[\Ifpw NnInÕbpw Cu tcmKnIÄ¡v BhiyamWv F¶Xn\m Xs¶
NnInÕm Nnehv hfscb[nIw hÀ²n¡pw. Hcp tcmKn¡v Hcp \gvkv F¶ A\p]mXw
{]mhÀ¯nIam¡nbm NnInÕms¨ehv hfscb[nIw hÀ²n¡pw. AXpsImïv Xs¶
sF.kn.bp hns\Xncmb ]cmXnIfpw km[mcWamWv. C¯cw ]cmXnIÄ Hgnhm¡p
¶Xn\mbn tcmKs¯¸änbpw tcmK NnInÕsb ]änbpw tcmKnIfpsS _Ôp¡fpambn
\nc´camb Bibhn\nabw BhiyamWv.

Nne henb Bip]{XnIfn A\mhiyambn tcmKnIsf sF.kn.bphn InS¯p¶p
F¶pw A\mhiy NnInÕIÄ¡p hnt[bcm¡p¶p F¶papÅ ]cmXnIÄ Nne L«
§fn F¦nepw tcmKnIfn \n¶pw _Ôp¡fn \n¶pw DïmIp¶p F¶Xpw
Kuchambn ImtWï hkvXpXbmWv. C¯cw {]hWXIÄ Hcp ImcWhimepw
DïmIm³ ]mSnÃ. {]mbm[nIy¯mtem aäp ImcW¯mtem NnInÂkm ^ew e`n¡nÃ
F¶pd¸pÅ tcmKnIsf A\mhiy NnInÕbv¡p hnt[bcm¡cpXv. C¯cw tcmKn
IÄ¡mhiyamb ]mentbäohv NnInÕ e`yam¡pIbmWv D¯aw. km¼¯nI em`
¯n\p]cnbmbn icnbmb NnInÕ e`yam¡p¶Xn\mbncn¡Ww ]cnKW\.

sF.kn.bp hnse NnInÕmsNehpIÄ kw_Ôn¨pÅXmWv asämcp henb ]cmXn.
IrXyamb NnInÕ e`yam¡p¶Xn\v sF.kn.bp Ifn NnehpIÄ hÀ²n¡pw F¶pÅXv
bmYmÀ²°yyaammWWv..v CXp kw_Ôn¨ IrXyamb Aht_m[w tcmKnbpsS _Ôp¡Ä¡p
\ÂIp¶Xv ]cmXnIÄ Ipdbv¡m³ klmbn¡pw. ]s£ Nnet¸msg¦nepw Nne Bip]
{XnIÄ A\mhiy NmÀPpIÄ CuSm¡p¶p F¶ ]cmXn XoÀ¯pw \ntj[n¡m\mhnÃ.
C¯cw NnInÕIÄ kw_Ôn¨pÅ IrXyamb hnhc§Ä Bip]{Xn A[nIrXÀ
tcmKnIfpsS _Ôp¡Ä¡v kabmkab§fn \ÂtIïXmWv. IgnhXpw kpXmcyamb
NnInÕm coXnIfpw Ah kw_Ôn¨v tcmKnIfpsS _Ôp¡fpambpÅ NÀ¨Ifpw
NnInÕm taJebn BtcmKyIcamb A´co£w krãn¡m³ klmbIcamIpw.

2s0a2b2v 2s0a2b2v ||\\½½pp-s-sSSBB-t-tccmm-K-Kywyw 99

`£sXWmkm[b\n§Ä
IpSp§nbmÂ

Hä t\m-«¯nÂHät\m-«¯nÂ
 \mw Ign¡p¶ `£Wtam aäv hkvXp¡tfm sXmïbn IpSp§p
IbmsW¦n AXv izmkXSʯn\v ImcWamIpw. AanX thK
¯n `£Ww Ign¡p¶Xpw A{i²ambn `£Ww Ign¡p¶Xpw
Xs¶bmWv CXv kw`hn¡m³ {][m\ ImcWw.

 icnbmb coXnbn {]Yaip{iqj \ÂIpIbmsW¦n Hcp ]t£
acWw Hgnhm¡m³ km[n¡pw. CXn\pÅ {]Yaip{iqj GsXmcm
Ä¡pw sN¿mhp¶XmWv.

 tcmKn KÀ`nWnbmsW¦n hbdnsâ apIÄ `mK¯v AaÀ¯p¶Xn\v
]Icw s\©nemWv AaÀt¯−Xv. XSn¨ tZlamsW¦nepw
s\©nemWv AaÀt¯−Xv.

 tcmKn Ip«n-bm-sW-¦n Dbcw icn-bm-¡p-¶-Xn-\mbn Poh-c£m{]
hÀ¯-I³ ap«p-Ip¯n \n¡p-¶-XmWv D¯aw.

`£Wkm[\§fpw aäv Jc]ZmÀ° tk^vän ]n³ apXemb km[\§Ä
§fpw sXmïbn IpSp§n izmk hmbn h¨psImïv tPmen sN¿pt¼mÄ
XSÊw -h¶v acWs¸Sp¶Xv ]et¸mgpw Ah hmbneqsS Cd§nt¸mIm³ km[yX
bpïv F¶v HmÀ½n¡Ww. AanXambn
Iïphcp¶ H¶mWv. aZy]n¨v At_m[mhØbnembn OÀ±n¨v
`£yhkvXp¡Ä sXmïbn IpSp§p
\mw Ign¡p¶ `£Ww A¶\mf ¶Xpw, izmktImi¯n t]mIp¶Xpw
Akm[mcWaÃ. sNdnb Ip«nIÄ¡v \ne
¯neqsS Bamib¯nse¯p¶Xv ¡Se, ]bÀaWn apXemb Dcpï hkvXp
¡Ä `£n¡m³ sImSp¡pt¼mÄ {]tXy
sXmïbneqsS IS¶v t]mbn«mWv. \mw Iw {i²n¡Ww. _mädn, _«¬kv
F¶nh sNdnb Ip«nIÄ¡v F¯p¶
izkn¡p¶ hmbphpw izmk\mfnbneqsS Øe¯v hbv¡mXncn¡m\pw {i²n¡Ww.

izmktImi¯nse¯p¶Xv sXmïbn icnbmb coXnbn {]Yaip{iqj
\ÂIpIbmsW¦n Hcp ]t£ acWw
eqsS IS¶v t]mbn«mWv. \mw Ign¡p¶ Hgnhm¡m³ km[n¡pw. CXn\pÅ {]Ya

`£Wtam aäv hkvXp¡tfm sXmïbnÂ

IpSp§pIbmsW¦n AXv izmkXSÊ

¯n\pw ImcWamIpw. AanX thK¯nÂ

`£Ww Ign¡p¶Xpw, A{i²ambn

`£Ww Ign¡p¶Xpw Xs¶bmWv CXv

kw`hn¡m³ {][m\ ImcWw. kqNn,

10 \½p-sS B-tcm-Kyw | sabv 2022

tUm. ]n. iin[c³
sNbÀ-am³
F-aÀ-P³-kn sse-^v k-t¸mÀ«v
slUv Hm^v Z Un¸mÀ«vsaâ v Hm^v
A\kvXntjymfPn {In«n¡Â sIbÀ & s]bn³ amt\Pvsaâ v

auem\m tlmkv]näÂ
s]cn´Âa®.

teJI³ C´y³ skmsskän Hm^v A\kvXntjymfPnbpsS
tIcfm Nm]väÀ ap³ {]knUâmWv.

E-mail: [email protected]
M: 94959 27909

ip{iqj GsXmcmÄ¡pw sN¿mhp¶ sï¦n izmkXSÊw Xo{hX IpdªXm
XmWv. {]tXyIw D]IcW§Ä CÃmsX
Xs¶ sN¿m³ km[n¡psa¶Xn\m sW¶mWv A\pam\nt¡ïXv. AhÀ¡v
FÃm km[mcW P\§fpw CXns\¸än
Adnªncnt¡ïXmWv. ss[cyw sImSp¡pIbpw XpSÀ¨bmbn

Jc]ZmÀ°§Ä sXmbn Npabv¡m³ t{]cn¸n¡pIbpamWv sNt¿

IpSp§p¶Xnsâ ïXv. Cu kab¯v IpSn¡phm³ shÅ

e£W§Ä Fs´ÃmamWv? tam, Ign¡m³ ]g§tfm aäv `£yhkv

`£Ww Ign¨psImïncn¡p¶ HcmÄ Xp¡tfm sImSp¡cpXv. sshZyklmbw
s]s«¶v Npabv¡m³ XpS§pIbpw i_v
Z¯n hyXymkw kw`hn¡pIbpw sNbv F¯n¡phm\pw {ian¡Ww. hmbnÂ
Xm `£yhkvXp sXmïbn IpSp§n
bn«psï¶p Xs¶ A\pam\n¡Ww. Npa I¿n«v km[\§Ä ]pds¯Sp¡m³ {ian
bv¡pIbpw kwkmcn¡pIbpw sN¿p¶p
¡cpXv þ AXv IqSpXÂ Xmtgbv¡v

Cd§phm³ km[yXbpïv.

`£Ww Ign¨psImïncn¡p¶ HcmÄ

s]s«¶v ssIIÄ sXmïbn h¨v

sh{]mfs¸SpIbmsW¦n Xo{hamb

izmkXSÊamsW¶v A\pam\n¡Ww.

Hcp i_vZhpw ]pd¯v hcpIbnÃ.

"`£Ww sXmïbn IpSp§ntbm' F¶v

tNmZn¨m Xebm«pI am{Xw sN¿pI

bmsW¦n DS³ {]Ya ip{iqj \ÂIn

izmkXSÊw Hgnhm¡bnsæn At_m

[mhØbntebv¡v \o§p¶Xn\pw

acWw Xs¶ kw`hn¡p¶Xn\pw km²y

Xbpïv.

sXmbn Jc]ZmÀ°§Ä

IpSp§nbm sNt¿Xv?

Jc]ZmÀ°§Ä sXmïbn IpSp§p
¶XmWtÃm izmkXSʯn\v ImcWw.
hbdn aÀ±w {]tbmKn¡pt¼mÄ B
aÀ±w A¶]Yw hgn sXmïbnse¯p
Ibpw AXphgn sXmïbn IpSp§n
¡nS¡p¶ hkvXp ]pdt¯bv¡v \o§n
tbbv¡psa¶ \nKa\¯nemWv Poh

2022 sabv | \½p-sS B-tcm-Kyw 11

s\m¸hpw tcmKnsb Npa¡phm³ t{]cn¸n
¡pIbpw thWw.

At_m[mhØbnÂ
BsW¦n sNt¿Xv?

tcmKn At_m[mhØbn t]mIp

IbmsW¦n lrZbizmk Poh³c£m

{]hÀ¯\§Ä DS³ Xs¶ Bcw`n

¡Ww. an\nän 120 {]mhiysa¶

tXmXn s\©aÀ¯Â sN¿pIbmWv

thïXv. Hmtcm 30 s\©aÀ¯en\p

tijhpw cïv {]mhiyw Ir{Xna izmtkm

Ñzmkw \ÂIWw. Poh³ c£m {]hÀ¯

\¯n\v Bhiyamb km[\§fpambn

F¯phm³ FaÀP³kn \¼dntebvt¡m,

ASp¯pÅ tlmkv]näentebvt¡m

Bscsb¦nepw ]dªbbv¡pItbm,

t^m¬ sN¿pItbm sN¿Ww. hmbnÂ

Fs´¦nepw ]ZmÀ°§Ä ImWp¶p

tïm F¶v Hmtcm 30 s\©aÀ¯en\v

tijhpw t\m¡Ww. ImWp¶psï¦nÂ

AsXSp¡mw. ]t£ hmbn I¿n«v

Fs´¦nepw ]ZmÀ°§fptïm F¶v

t\m¡cpXv.

c£m{]hÀ¯\w \S¯p¶Xv. sN¿m³
t]mIp¶sX´msW¶v AhÀ¡v \½Ä
Xs¶ ]dªpsImSp¡Ww. tcmKnbpsS
]pdIn \n¶psImïv ssIIÄ cïv Ac
s¡«n\v apIfnembn hbv¡pI. ImepIÄ
Aev]w AI¯n h¨v apt¶m«v Ip\nªv
\n¡phm³ Bhiys¸SpI. Hcp I¿nsâ
apjvSn aS¡n s]cphncensâ `mKw s]m
¡nfn\pw amsdÃn\pw a[y¯nembn hb
dn hbv¡pI. atä ssIsImïv apjvSn
s]m¯n¸nSn¨v ]pdIntebv¡pw Aev]w
apIfntebv¡pambn AaÀ¯ns¡mïncn
¡pI. C¯c¯n DZc`mK¯v AaÀ
¯p¶Xv sXmïbn IpSp§nb Jc]Zm
À°w ]pd¯p hcp¶Xphsc XpSÀ¶p
sImïncn¡Ww. tcmKn Ip«nbmsW¦nÂ
ap«pIp¯n \n¶v Cu {]hÀ¯\w \S¯p
¶Xmbncn¡pw \ÃXv. Hmtcm AaÀ¯en

12 \½p-sS B-tcm-Kyw | sabv 2022

Hcp hb-Ên\v Xmsg-bpÅ ¦nepw hkvXp¡Ä InS¡p¶Xv ImWp¶p

Ip«n-I-fn tïm F¶v t\m¡Ww. Dsï¦n FSp

tcmKn Hcp hbÊn\v XmsgbmsW¦n ¡pI. Hcn¡epw hmbn I¿n«v FSp¡m³
sN¿p¶ Pohc£m {]hÀ¯\¯nÂ
Aev]w hyXymkapïv. ]pd¯v X«pIbpw, {ian¡cpXv. izmkXSÊw \o§p¶Xp
s\©n AaÀ¯pIbpw amdn amdn sN¿p
IbmWv thïXv. Hcp Itkcbn Ccp¶v hsc CXv XpScWw. Ip«n At_m[mh
Ip«nsb Hcp I¿n `{Zambn Iagv¯n¡n
S¯pI. ssI XpSbn h¨v Ip«nbpsS Øbntebv¡v \o§pIbmsW¦nÂ
Xe`mKw Aev]w Xmgv¯n InS¯pI.
Ipªv hogmXncn¡m³ {]tXyIw {i²n s\©aÀ¯epw Ir{Xna izmtkmÑzmkhpw
¡Ww. Ip«nbpsS hmbv hncepIÄ sImïv
Aev]w Xpd¶v hbv¡phm³ {ian¡pI. \ÂtIïXmbn hcpw. F{Xbpw thKw
atä ssI sImïv cïv tXmsfÃpIÄ¡pw
CSbv¡v ssI¸mZw sImïv A©v {]mh Ip«nsb Hcp Bip]{Xnbnse¯n¡Ww.
iyw sIm«pI. A©p {]mhiyw sIm«nb
tijw Ip«nsb sasà I¿n aeÀ¯n C¯cw A]IS§Ä hcmXncn¡phm
InS¯pI. hfsc {i²n¨pthWw aeÀ
¯n¡nS¯m³. Ip«n hogmXncn¡m³ {] \pÅ ap³IcpXseSp¡pIbmWv Gähpw
tXyIw {i²n¡Ww. Xe`mKw Aev]w
Xmgv¯n¸nSn¨v s\©nsâ a²y`mK¯v \à amÀ¤w.
1,2,3,4,5 F¶n§s\ F®ns¡mïv cïv
hnc D]tbmKn¨v A©p {]mhiyw
AaÀ¯pI. C§s\ A©v {]mhiyw
]pdIn sIm«pIbpw s\©n AaÀ
¯pIbpw sNbvX tijw hmbn Fs´

`£Ww kmh[m\¯n Ign¡p¶Xv ioeam¡Ww.
Sn.hn, samss_ t^m¬ F¶nhbn {i²n¨psImv `£Ww
Ign¡phm³ A\phZn¡cpXv.
Ign¡p¶ `£Ww \Ãh®w Nh¨c¨ tijta Cd¡mhq.
ISeaWn t]mepÅ Dcp `£W hkvXp¡Ä Ign¡pt¼mÄ
{]tXyIw {i²n¡Ww.

Aev]w ap³IcpXseSp¡pIbmsW¦n `£W
km[\§Ä sXm−bn IpSp§nbpÅ izmkXSÊhpw
acWhpw XoÀ¯pw CÃmXm¡mw.

2022 sabv | \½p-sS B-tcm-Kyw 13

lmÀ«v ImÀUnbmIv
Aäm¡v AdÌv

Ch X½nepÅ hyXymksa´v?Hät\m-«¯nÂ

Hä t\m-«¯nÂ

 lrZb¯nsâ {]hÀ¯\w \nebv¡p¶XmWv ImÀUnbmIv AdÌv.
 cà¡pgepIfn t»m¡v h¶v ASªv lrZb¯ntebv¡pÅ

càtbm«w \nebv¡p¶XmWv lmÀ«v Aäm¡n\v ImcWw.
 FÃm lmÀ«v Aäm¡pw ImÀUnbmIv AdÌntebv¡v \bn¡nÃ
 ImÀUnbmIv Adkväv h¶ Bsf Hcp {]tXyI Xc¯nepÅ

CeIv{SnIv tjm¡v (Un^n{_nteäÀ tjm¡v) \ÂIn PohnX¯nte
bv¡v Xncn¨p sImïphcm³ km[n¡pw.

Ignª Znhkw \½psS \mSns\ \Sp _m[n¡p¶ Hcp AkpJamsW¶v a\
¡nb Hcp kw`hapïmbn. \o´Â Ênembn. lmÀ«v Aäm¡v CÃmsXbpw
aÕc¯n\nSbn Hcp bphmhv \o´Â ImÀUnbmIv AdÌv hcmsa¶pÅXn\v
Ipf¯n ap§p¯mgv¶p. ImWnIÄ Cu kw`hw Hcp DZmlcWamWv.
At±ls¯ DS³ Xs¶ s]m¡nsbSp¯p.
`mKysa¶v ]dbs«, ImWnIfn HcmÄ F´mWv ImÀUnbmIv AdÌv
tUmIvSdmbncp¶p. bphmhn\v ImÀUn
bmIv AdÌv (lrZb kvXw`\w) kw`hn¨p lrZb¯nsâ {]hÀ¯\w \nebv¡p
F¶v a\Ênem¡pIbpw t_knIv sse^v ¶XmWv ImÀUnbmIv AdÌv. \½psS
kt¸mÀ«v (_n.FÂ.Fkv þ ImÀUnbmIv lrZb¯ns\ Imdnsâ F©n\pambn
aÊmPv) \ÂIns¡mïv bphmhns\ DS³ XmcXays¸Sp¯pIbmsW¦n Imcy
Xs¶ Aip]{Xnbn F¯n¡pIbpw §Ä Ffp¸w a\ÊnemIpw (Hcp a\pjy
Poh³ c£n¡pIbpw sNbvXp. ImÀUn krjvSntbmSpw D]an¡m³ km[n¡m¯
bmIv AdÌn\v ImcWw lmÀ«v Aäm¡v hn[w k¦oÀ®amWv lrZbw F¶v
BWv F¶mWv FÃmhcpw IcpXnbncp ad¡m³ ]mSnÃ). Hcp Imdnsâ F©n\v
¶Xv. F¶m hniZamb ]cntim[\ {]hÀ¯n¡m³ sshZypXn thWw, s]
bn At±l¯n\v t»m¡pIÄ Csöpw t{Smfpw thWw. _mIvSdnbn \n¶pw
ImÀUnbmIv AdÌn\v ImcWw tem§v CeIv{Sn¡Â knÌw hgn sshZypXn
Iyq«n F¶v t]cpÅ lrZbanSn¸ns\ F©n\n F¯n F©n³ ÌmÀ«v
BIp¶p. Sm¦n \n¶pw ¹w_nwKv
14 \½p-sS B-tcm-Kyw | sabv 2022

tUm. {ioPn¯v
I¬kÄ«â v
ImÀUntbmfPnÌv
C \mcmbW³

ImÀUntbm \yqtdm
CâÀsh³jW skâÀ,
XetÈcn tImþHm¸tdäohv
tlmkv]näÂ
XetÈcn, I®qÀ

knÌw hgn s]t{SmÄ F©n\n F¯n ImÀUnbmIv lmÀ«v
F©n³ {]hÀ¯n¡p¶p. lrZb¯nsâ AdÌv Aäm¡v
s]t{SmÄ càamWv. ¹w_nwKv knÌw
F¶Xv cà¡pgepIfpw. cà¡pgepI Xmf¯n anSn¡p¶p. Cu sshZypXn {]
fn t»m¡v h¶v ASªv lrZb¯nte hml¯nepÅ hyXnbm\§Ä ImÀUn
bv¡pÅ càtbm«w \nebv¡p¶XmWv bmIv AdÌn\v ImcWamtbbv¡mw.
lmÀ«v Aäm¡n\v ImcWw. apIfnes¯ DZmlcW¯n CXmWv
kw`hn¨Xv.
aq¶nsem¶v lmÀ«v Aäm¡pIÄ
ImÀUnbmIv AdÌntebv¡v \bn¡pw. Hcp CeIv{SnIv tjm¡v Gä BÄ
AXmbXv, FÃm lmÀ«v Aäm¡pw ImÀUnbmIv AdÌv h¶v hogp¶Xn\pÅ
ImÀUnbmIv AdÌntebv¡v \bn¡nà ImcWw Cu sshZypXn {]hml¯nepÅ
F¶v kmcw. XSÊamWv. adn¨v ImÀUnbmIv Adkväv
h¶ Bsf Hcp {]tXyI Xc¯nepÅ
lrZb¯nse Xs¶ {]tXyI tImi§ CeIv{SnIv tjm¡v (Un^n{_nteäÀ
fmWv lrZb¯n\pthï sshZypXn kz´ tjm¡v) \ÂIn PohnX¯ntebv¡v
ambn D¸mZn¸n¡p¶Xv. AXv {]tXyI Xncn¨p sImïphcm³ km[n¡pw. C¶v
tImi§Ä hgn lrZb¯nsâ hnh[ temI¯n Gähpw IqSpX BÄ¡msc
`mK§fntebv¡v F¯n¨v lrZbw Hcp PohnX¯ntebv¡v Xncn¨psImïphcp¶
D]IcWamWv Un^n{_nteäÀ.

2022 sabv | \½p-sS B-tcm-Kyw 15

Hät\m-«¯nÂt{]mtÌäv Im³kÀ

Hä t\m-«¯nÂ

 {]mbamb ]pcpj·mcn IqSpXembn ImWp¶ Im³kÀ BWnXv.
 tIcf¯n CXv cïmw Øm\¯mWv.
 sImgp¸v IqSnb amwkmlmc¯nsâ AanX D]tbmKw, ]gw, ]¨¡

dnIÄ Ipdhmbn D]tbmKn¡pI F¶nhsbÃmw CXn\v ImcWamtb
bv¡mw.
 Im³kÀ IqSp¶apdbv¡v AØnIÄ¡v thZ\, FÃpIfpsS s]m«Â,
aäv Ahbh§fpsS {]iv\§Ä F¶nh kw`hn¡mw.
 AÄ{Smkuïv, kn än kvIm³, Fw.BÀ.sF F¶nh apgbpsS hym]v
Xnbpw kao]s¯ Ahbh§fntebv¡v ]SÀ¶n«ptïm F¶dnbphm
\pw km[n¡pw.

t{]mtÌäv {KÙn F¶mÂ
F´mWv ?

]pcpj·mcn am{Xw DÅ Hcp {KÙn
bmWnXv. Cu {KÙnbpsS a[y`mK¯v
IqSnbmWv aq{X\mfn IS¶p t]mIp¶Xv.
aq{Xk©nbpsS XmsgbmWv CXnsâ
Øm\w þ aq{Xk©nbpsSbpw P\t\{µn
b¯nsâbpw CSbnÂ. Cu {KÙnbnÂ
D¸mZn¸n¡p¶ skan\ {ZmhIw ]pcp
j_oP¯nsâ c£bv¡pw {]hÀ¯\
¯n\pw BhiyamWv. ip¢¯nsâ IqsS
CXpw hnkÀÖn¡s¸Sp¶pïv.

{]mbamb ]pcpj·mcn IqSpXembn
ImWp¶ Im³kdmWnXv; tIcf¯nÂ
CXv cïmw Øm\¯mWv. {]mbw IqSp¶
Xn\\pkcn¨v IqSpXÂ km[yXbpw Dïv.

16 \½p-sS B-tcm-Kyw | sabv 2022

tUm. ]ctaizc³
ko\nbÀ I¬kÄ«â v Hmt¦mfPnÌv

ap³ s{]m^kÀ
doPnbW Im³kÀ skâÀ
Xncph\´]pcw

e£W§Ä ¶Xn\\pkcn¨v A\p`hs¸Smdpïv. aq{X
XSÊw, IqsS¡qsSbpÅ aq{Xi¦, AWp
{]bmk§Ä CÃm¯ hfsc kmh _m[, càw IeÀ¶ aq{Xw F¶nhbmWv.
[m\w hfcp¶ Im³kÀ {]mbambhcn Im³kÀ IqSp¶Xn\\pkcn¨v AØnIÄ
Iïphcp¶p. ¡v thZ\, FÃpIfpsS s]m«Â, aäv
Ahbh§fpsS {]iv\§Ä F¶nh
F´psImv hcp¶p? kw`hn¡mw.

hyàamb ImcW§Ä Iïp]nSn¨n tcmKw F§s\
«nÃ. hnh[ ImcW§fpambpÅ _Ôw Ip]nSn¡mw.
]e ]T\§fnepw Øm]n¨n«pïv. {][m
\ambpw ]dbm\pÅXv ]pcpj tlmÀtam imcocnI ]cntim[\ þ AXmbXv
¬ {]hÀ¯\hpambo«pÅ _ÔamWv. aeZzmcw hgnbpÅ hnc ]cntim[\
Cu {KÙnbnse tImi§sf \oï hÀj bn {KÙnbv¡v h¶n«pÅ hyXymk§Ä
§Ä ({]mbw IqSpt´mdpw) CXntebv¡v a\Ênem¡mw.
\bn¡p¶p. sImgp¸v IqSnb amwkmlmcw
IqSpXembn D]tbmKn¡pI, ]gw, ]¨¡ cà]cntim[\bn Gähpw {][m\
dnIÄ F¶nh Ipdhmbn D]tbmKn¡pI s¸«Xv PSA ]cntim[\bmWv. {KÙnbnÂ
F¶nhsbÃmw CXn\v ImcWamtbbv¡mw. \n¶pw DïmIp¶ Hcp Xcw t{]m«o\nsâ
ASp¯ _Ôp¡Ä þ AÑt\m ktlZc AfhmWv CXv ImWn¡p¶Xv. NnInÕ
t\m Cu AkpJw h¶n«psï¦n {]
tXyIn¨v 50 hbÊn\v ap³]v þ tcmK 2022 sabv | \½p-sS B-tcm-Kyw 17
km[yX IqSpXemWv. ]mc¼cy LSI
§Ä GItZiw ]¯v iXam\w tcmKn
Ifn am{Xw {]kàamWv.

Im³kÀ tImi§fpsS

LS\, kz`mhw, e£W§Ä

{][m\ambpw AUnt\m ImÀknt\ma
F¶ hn`mK¯nemWv hcmdpÅXv. {KÙn
bpsS _mly`mK¯v ]e Øe§fnep
ambn (Multifocal) 70 iXam\w tcmKnIfnÂ
ImWmdpïv. CXp ImcWw AkpJw
Bcw`Znibn Hcp e£Whpw ImWn¡m
dnÃ.

aq{Xkw_Ôamb {]bmk§Ä IqSp

sImïv t{]mtÌäv kvs]k^nIv BânP³ Ifn aäv ]e Kuchtadnb AkpJ§Ä
(PSA) km[mcW Afhntebv¡v F¯m IqSn DÅXpsImïpw Hmtcm tcmKnbp
dpïv þ \mev \mt\m{Kmw/anÃn enäÀ. Cu sSbpw NnInÕm hn[nIÄ DNnXamb
Afhn IqSpXembns¡mïncn¡pIbm hn[¯n Nn«s¸Spt¯ïnbncn¡p¶p.
sW¦n XoÀ¨bmbpw Im³kÀ _m[sb
bmWv kqNn¸n¡p¶Xv. {KÙnbn am{Xw XpS§p¶ cq]¯nÂ
kÀPdn Asæn tdUntbj³ sImïv
_tbm]vkn ]cntim[\ km[mcW ]qÀ®ambpw \nb{´n¡m³ km[n¡pw.
bmbn aeZzmcw hgn Hcp {]tXyI Xcw cïv cwK¯pw ]pXnb kmt¦XnI D]
kqNn IS¯n tImi§Ä hens¨Sp¯v IcW§Ä D]tbmK¯nepïv. Hm¸td
BWv ØnXoIcn¡p¶Xv. j³ cwK¯v IotlmÄ kÀPdn, tdmt_m
«nIv kÀPdn F¶nhbpw tdUntbj³
aäv sSÌpIÄ GsXÃmamWv? NnInÕm cwK¯v \qX\amb amÀ¤§fnÂ
IqSn ]mÀiz^e§Ä H«pw Xs¶ CÃmXm
AÄ{Smkuïv, kn än kvIm³, Fw. ¡m\pw Ignªn«pïv.
BÀ.sF F¶nh apgbpsS hym]vXnbpw
kao]s¯ Ahbh§fntebv¡v ]SÀ tlmÀtam¬ NnInÕ
¶n«ptïm F¶dnbphm\pw km[n¡pw.
t_m¬ kvIm³, s]äv kvIm³ F¶nh ]pcpj tlmÀtamWpIfpsS {]hÀ¯
Bhiym\pkcWw sN¿mdpïv. t{]m \w XSbm³ hrjW§Ä amäp¶ ikv{X
tÌäv {KÙnbn \n¶v aäv Ahbh§ {Inb klmbIcamWv. KpfnIbmbpw
fntebv¡v hym]n¨n«ptïm F¶dnbm³ Ip¯nshbv¸mbpw ]pXnb acp¶pIÄ D]
km[n¡pw. tbmK¯nepïv. Ip¯nshbv¸pIÄ amkw
tXmdpw Asæn aq¶v amk¯nsemcn
NnInÕmhn[nIÄ ¡Â FSp¡p¶ cq]¯nepïv. FÃp
GsXÃmamWv ? Ifntebv¡v ]SÀ¶v ]nSn¨n«pÅ AkpJw
aqew DïmIp¶ {]bmk§Ä \nb{´n
Ignª 40 hÀj¯n\nsS hfsc ¡m\mbn _nkvt^mkv^t\äv C\¯n
A[nIw ]pXnb NnInÕmhn[nIÄ h¶n Âs¸« ]e acp¶pIfpw e`yamWv.
«pÅ Hcp hn`mKamWnXv, am{Xaà CsX
Ãmw Xs¶ \½psS cmPy¯pw e`yamWv. IotamsXdm¸nbpsS D]tbmKw {][m\
asämcp {]tXyIX, Cu NnInÕm cwK¯v ambpw tlmÀtam¬ NnInÕ ^en¡msX
[mcmfw hnhmZ§Ä Dsï¶pÅXmWv. hcpt¼mgmWv. temI¯v FhnsSbpw D]
`qcn`mKhpw kmh[m\w apt¶dp¶ Im³ tbmKn¡p¶ acp¶pIÄ Ct¸mÄ \½psS
kÀ BbXpsImïpw {]mbamb hyàn cmPy¯pw In«psa¶pÅXv Hcp \Ã Imcy
amWv.
18 \½p-sS B-tcm-Kyw | sabv 2022
saUn¡Â sN¡¸nsâ

{]kàn F´mWv?

]n.Fkv.F sSÌv Ct¸mÄ 50 hbÊn\v
ta {]mbapÅ ]pcpj·mcn sN¡
¸nsâ `mKambn sN¿p¶pïv. CXnt\m
sSm¸w aeZzmcw hgnbpÅ hnc ]cn
tim[\ {][m\amWv. IqSpXÂ ]cntim
[\ thïXv; ta¸dª sSÌpIfpsS
^ew A\pkcn¨mWv sN¿mdpÅXv.
ASp¯ _Ôp¡Ä¡v Cu AkpJw
_m[n¨n«psï¦n \m¸Xv hbÊnÂ
kv{Io\nwKv \S¯mdpïv.

HEALTH QUIZ \n§-fp-sS

BtcmKyw ?A-dn-sh{X?

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

1. temImtcmKy kwLS\ Øm]nXamb Znhkw?
2. Cu hÀjs¯ temImtcmKyZn\ ktµiw?
3. BLS sâ ]qÀW cq]w?
4. F´mWv MCP card?
5. F´mWv Bbpjyam³ `mcXv?
6. F´mWv KASP ?
7. EEG (Cet{Îm C³sk^tem {Km^v) ]cntim[\
Iïp]nSn¨Xmcv?
8. F´mWv A]kvamc tcmKnIfnse "Hmd'?
9. F´mWv Status epilepticus?
10. F´mWv sk¡âv s]³ Iq«mbva?
11. Im³kdpïm¡p¶ Sm¡w ]uUdnse hkvXp?
12. F´mWv F³tUmsa{Sntbmknkv tcmKw ?
13. IGRA ]cntim[\bpsS ]qÀWcq]w?
14. F¶mWp temI Z´mtcmKy Zn\w?
15. F´mWv _pfnanb s\Àthmk?
16. ]pgp¡Sn tcmKapïm¡p¶ ^¦kv?
17. F´mWv Jock itch?

ANSWERS

1. 1948 G{]n 7 10. C´ybnse Fgp¯pImcmb
tUmÎÀamcpsS Iq«mbva
2. \½psS {Klw, \½psS BtcmKyw
3. Basic Life Support 11. Bkv_tÌmkv
4. Mother and Child Protection Card. 12. KÀ`mib¯nse BhcWw KÀ`m

5. tI{µ kÀ¡mcnsâ BtcmKy ib¯n\p shfnbn ImWs¸
C³jpd³kv ]²Xn Sp¶ AhØ
13. Interferon Gama Release Assay
6. ImcpWy BtcmKy kpc£m ]² 14. amÀ¨v 20
Xn 15. AanXambn `£Ww Ign¡p¶
AhØ
7. lm³kv _ÀKÀ 16. sUÀatäm^bväkv
17. XpSbnSp¡n DÅ ^¦kv _m[
8. A]kvamcw hcp¶Xn\p
sXm«pap³]pÅ am\knI, sabv 2022 | \½p-sS B-tcm-Kyw 19
imcocnI AhØ.

9. ZoÀL t\cw \oïp \n¡p¶
A]kvamcw.

NAT ]cntim[\
kpc£nXamb cà Zm\¯n\v

Hä t\m-«¯nÂ

Hät\m-«¯n "càZm\w  almZm\w BWv", F¶m càw Zm\w sN¿pt¼mÄ,
kzoIÀ¯mhnsâ kpc£ Dd¸v hcpt¯ïXpapï.v
NAT kmt¦XnI cà]cntim[\bneqsS  Cu kpc£nXXzw
\ap¡v Dd¸m¡phm\pw Poh\v `ojWn BIp¶ amcI tcmK§fnÂ
\n¶v c£t\Sphm\pw km[n¡pw. Fs´ms¡ BWv
Cu amcI tcmK§Ä, AWp_m[ Isï¯p¶Xn\pÅ
Cu \qX\ kmt¦XnI ]cntim[\ F´mWv Fs¶ms¡ FÃmhcpw
Adnªncnt¡ïXv BhiyamW.v

imkv{Xw Gsd ]ptcmKans¨¦nepw FÃm BtcmKy ]cnc£m ZmXm¡
a\pjycà¯n\v kam\amb Ä¡pw kÀ¡mcpIÄ¡pw kpc£nXamb
Ir{Xna càw \nÀ½ns¨Sp¡phm³ cà Zm\w Hcp {][m\ ap³KW\
km[n¨n«nÃ, Cu Ahkc¯n Bbncn¡Ww.
"càZm\w almZm\w' F¶ B]vX
hmIyw hfsc {]m[m\yw AÀln¡p¶p. cà_m¦pIfpsS Ncn{Xw ]cntim[n
tcmKmWp¡Ä ]Icm³ Gsd km[yX ¨mÂ, ]niIpIÄ Ipdbv¡p¶Xn\pw
bpÅXpw cà¯neqsSbmWv. AXn\m cà LSI§fpsSbpw kzoIÀ¯m¡
IÀi\amb ]cntim[\IÄ¡v tijw fpsSbpw kpc£ sa¨s¸Sp¯p¶Xn\v
kpc£nXamb càw am{Xta ZmXmhn Øncamb {ia§Ä \S¶n«pïv.
\n¶pw kzoIcn¡pIbpÅp
Zm\w sN¿s¸Sp¶ cà¯n \n¶pw
F´mWv DcpXncnª DXv]¶§fn \n¶pw
kpc£nXamb càw? kmw{IanI tcmK§Ä ]Icp¶Xv
XSbm³ FÃm ZmXm¡sfbpw icnbmb
icnbmb ZmXmhn \n¶pw icnbmb coXnbn kv{Io³ sN¿pIbpw
kab¯v icnbmb kzoIÀ¯mhn\v ]cntim[\ \S¯pIbpw sN¿phm³
icnbmb càw, F¶pÅXmWv thïp¶ kwhn[m\§Ä kÀ¡mÀ
kpc£nXamb càw sImïv Dd¸m¡nbn«pïv.
Dt±in¡p¶Xv.
ZmXmhnsâ  càw ^e{]Zambn
20 \½p-sS B-tcm-Kyw | sabv 2022 ]cntim[n¡p¶Xn\m kzoIÀ¯m

tUm. F{_lmw hÀ¤okv
sXmgn BtcmKy hnZKv²³

sF.Fw.F ap³ kwØm\ {]knUâv

IÄ¡v ]IÀ¨hym[nIÄ ]Icp¶Xv aq¶v AWp_m[Ifpw DïmIp¶Xv.
KWyambn Ipdªp. F¶ncp¶mepw (càw,ip¢w, tbm\n {ih§Ä
càZm\¯neqsS tcmK§Ä ]Icp¶Xv 
Ct¸mgpw Hcp bmYmÀYyamWv. apXembh. )
HIV aqeapïmIp¶ FbvUv-kv Gähpw
cIv-XZmXmhns\ hniZambn
]cntim[n¨n«v  càZm\w  \S¯nbmepw `bm\Iambn XpScp¶p, F¦nepw HBV
Nne  sshdkv _m[IÄ DïmIphm\p IqSpX Ffp¸¯n ssIamäw
apÅ km[yX hfsc IqSpXemWv. sN¿s¸Sp¶p.
CXn\v ImcWw, hn³tUm  ]ocnbUnÂ
(window period) ]IÀ¨hym[nIÄ {]mcw` AWp _m[bv¡pw, Iïv
Isï¯p¶Xv km[yaà F¶XmWv. ]nSn¡mhp¶ BânP³ AsænÂ
hn³tUm ]ocnbUv (window period) F¶Xv kntdm ]cnhÀ¯\¯n\pw CSbnepÅ
cIv-X ZmXmhv ]IÀ¨hym[nbpambn hn³tUm ]ocnbUn \S¯p¶ cà
_Ôs¸Sp¶ kab¯n\pw ]cntim[\bn s\Käohv ^ew
tcmKe£Ww ImWp¶Xn\pw \ÂIp¶ tUmWÀamcpsS  kw`mh\
CSbnepÅ kabamWv. bmWv Gähpw henb `ojWn.

imkv{X ]ptcmKa\t¯msSm¸w  Cu càw Ìm³tUÀUv sktdmfPn 
kmt¦XnI hnZyIfpw ]ptcmKan¡p
¶pïv. AXn\m càZm\¯neqsS sabv 2022 | \½p-sS B-tcm-Kyw 21
DïmIp¶ AWp_m[IÄ ]cntim[n
¡p¶Xn\pÅ  anIhmÀ¶Xpw \qX\
hpamb coXnIÄ Ct¸mÄ e`yamWv.

GsXms¡ BWv

Cu ]IÀ¨hym[nIÄ?

sl]äoäokv B (HBV), sl]äoäokv kn
(HCV), lyqa³ C½yqtWm sU^njy³
kn  sshdkv (HIV), F¶nh cà¯neq
sS ]Icp¶ tcmKmWp¡fmWv.
icoc {ZmhI§fpsS ssIamä¯neqsS
]Icp¶ sshdkpIÄ aqeamWv Cu

coXnIÄ hgn  ]cntim[n¡pt¼mÄ Cu ]IÀ¨hym[nIÄ icoc {Zh§
s\Käohv Bbn hcpw, IqSmsX fpsS ssIamä¯neqsS  ]Icp¶
kzoIÀ¯mhn\v ssIamäw sN¿phm\pw sshdkpIfmWv.
km[yXbpïv, CXv cà]IÀ¨bneqsS
]Icp¶ AWp_m[bnte¡pw F´n\mWv NAT ]cntim[\?
\bn¡p¶p. C§s\bpÅ kmlNcy
§Ä Hgnhm¡p¶Xn\v tIcf¯nse NAT ]cntim[\ BZyL«¯n 
cà]cntim[\ tI{µ§fnepw, Bip] Xs¶ Zm\w sNbvX cà¯nse
{XnIfnepw DS\ofw NAT sSÌv- GÀs¸Sp AWp_m[IÄ  Isï¯p¶Xn\pÅ
t¯ïXnsâ  {]kàntbdpIbmWv. Gähpw ^e{]Zamb kmt¦XnI
hnZybmWv. IqSmsX càZm\¯neqsS
tIcf¯n BZyambn ]Icp¶ tcmK§fpsS km[yX

tIcf¯n BZyambn NAT ]cntim Ipdbv¡phm\pw Ignbp¶p. AXn\mÂ
[\ Bcw`n¨Xv sIm¨n³ IMA »Uv- hn³tUm ]ocnbUv - AXmbXv, Hcp
_m¦nemWv. (IMA BLOOD BANK COCHIN). tcmKn¡v AWp_m[bpïmIp¶Xn\pw
2012 - Â Bcw`n¨ Cu NAT ]cntim[\ km[mcW BânP³ /Bânt_mUn
bn IqSn Hcpe£¯ne[nIw km¼nfp sSÌv- t]mknäohv BsW¶v ImWn¡p¶
IÄ t]mknäohv Bbn Iïv ]nSn¡s¸ Xn\pw CSbnepÅ kabw Npcp¡phm³
«n«pïv. km[n¡p¶p. hn³tUm ]ocnbUv
Ipdbp¶tXmsS  80% càZm\¯neqsS
Hcp bqWnäv cà¯n \n¶pw Ipd DÅ AWp_m[ Ipdbv¡phm\pw
ªXv aq¶v LSI§Ä thÀXncn¡p km[n¡p¶p.
t¼mÄ CXv sXm®qänaqt¶mfw BfpI  càZm\¯nsâ kpc£nXXz¯nÂ
Ä¡v tcmKw ]IÀ¯phm³ km[yXbp
ïmbncp¶p, F¶m NAT ]cntim[\
\S¯nbXneqsS A§s\ Hcp hn]¯v
Hgnhm¡phm³ km[n¨p.

F´mWv NAT?

\yq¢oIv BknUv  Bw¹n^nt¡j³
sSÌnwKv (NAT) F¶Xv HIV, HBV, HCV
t]mepÅ  sshdkpIfpsS P\nXI
]ZmÀ°§sf t\cn«v Isï¯p¶ Hcp
sSÌnwKv kmt¦XnI hnZybmWv.

Cu kmt¦XnI hnZybneqsS
ZmXm¡fpsS cà¯n ImWs¸Sp¶
hfsc Ipdª AfhnepÅ  sshd 
RNA Asæn DNA Isï¯phm³
klmbIamIp¶p. ]cntim[\bpsS
A`mh¯n càw kzoIcn¡p¶hÀ
¡mWv Cu tcmK§Ä ]nSns]SpI.

BZy L«¯n Xs¶ AWp_m[
IÄ Iïp]nSn¡m³ CXv klmbn¡p¶
Xn\m càZm\¯neqsS ]Icp¶
AWp_m[  XSbphm\pw Ignbp¶p.

22 \½p-sS B-tcm-Kyw | sabv 2022

s]mXpP\§Ä¡pÅ hnizmkw ELISA ]cntim[\bn s\Käohmb
hÀ²n¸n¡pIbpw A]ISkm[yXbn cà¯n \n¶v- HIV, HCV, HBV t]mkn
Ãm¯ càw \ÂIp¶Xn\papÅ äohv tIkpIÄ NneXv  sIm¨n³ IMA
NphSpsh¸v IqSnbmWnXv. »Uv- _m¦n e`n¨n«pïv F¶Xv
 AWp_m[bpÅ càZm\¯neqsS  hfsc {]kàamWv.
HIV, HBV, HCV XpS§nb AWp_m[IÄ
Dïmbm , Ah Isï¯p¶Xn\pw, tIcf¯n GItZiw 160 cà
NnInÕn¡p¶Xn\papÅ  BtcmKy _m¦pIfpw, cà tiJcW kwhn[m\
]cn]me\ NnehpIÄ CÃmXm¡p¶p. §fpapïv. AXn ]¯n Xmsg
 cà kpc£bn A´mcm{ã am\ am{Xta  NAT kuIcyapÅq.
ZާĠ ]men¡phm³ km[n
k¶² càZm\s¯ t{]mÕmln¸n
¡p¶p. ¡p¶Xnt\msSm¸w Xs¶  NAT t]mepÅ
tcmK_m[nX\mb Hcp ZmXmhn \qX\  kmt¦XnI hnZyIfneqsS  \nÀ
\n¶v-  tiJcn¡p¶ tcmK_m[nXamb  _Ôambpw cà ]cntim[\  \St¯
càw Fs´Ãmw  tcmK km[yXIÄ ïXv hfsc {][m\yw AÀln¡p¶XmWv
Dïm¡mw F¶v t\m¡mw. ImcWw, 70% cIv-XZm\hpw ]Ic¡mÀ
tcmK_m[nX\mb ZmXmhn \n¶v- hgntbm IpSpw_ ZmXm¡fn \nt¶m
AWp_m[bpsS hn³tUm ]ocnbUn  BWv hcp¶Xv. ]Ic¡mcn AWp
tiJcn¡p¶ Hcp bqWnäv càw Hcp _m[bpsS \nc¡v IqSpXembn«mWv
kzoIÀ¯mhn\v ssIamdmw, CXv \nco£n¡s¸«n«pÅXv.
4 kzoIÀ¯m¡Ä¡v hsc ssIamäw
sN¿s¸Smw. cà Zm\¯neqsS HIV t]mepÅ
AWp_m[IfpsS hym]vXn Af¡p¶Xv
{][m\amWv.

tcmK_m[nXcmb Hmtcm hyànbnepw 
C¯cw AWp_m[IÄ sNep¯p¶
{]XnIqe kzm[o\¯nsâ hym]vXn \mw
a\Ênemt¡ïXmWv.

Hcp tcmK¯n\v  càw kzoIcn¡p
hm\mbn hcp¶p asämcp tcmKhpambn
aS§p¶p, CXv AhcpsS NnInÕm
Nnehv  hÀ²n¸n¡pIbpw, AhcpsS
DXv]mZ\ £aX  Ipdbv¡pIbpw
sN¿p¶ kmlNcyw Dïm¡p¶p.

»Uv- _m¦pIfn kzoIcn¡p¶
càw LSI§fmbn thÀXncn¡pt¼mÄ
Hmtcm bqWnäv càhpw aq¶v kzoIÀ¯m
¡Ä¡v F¦nepw D]tbmK{]ZamIpsa
¶Xv  IW¡nseSp¡pt¼mÄ, \½psS 
D¯chmZn¯w AXn\\pkcn¨v
hÀ²n¡p¶p.

kpc£nXamb càw FÃm ]ucsâ
bpw Hcp ASnØm\ AhImiamsW¶v
a\Ênemt¡ï kabamWnXv. AXn\m
bn \apt¡hÀ¡pw Hcpan¨v apt¶m«v
\o§mw.

IcpXtemsS.

sabv 2022 | \½p-sS B-tcm-Kyw 23

Hät\m-«¯nÂIuam-c-¡mcpw
Iu¬kn-enwKv Bh-iy-I-X-Ifpw

Hä t\m-«¯nÂ

Ip«n-IÄ {]tXy-In¨v Iuam-c-{]m-b-¡m-cm-Ip-t¼mÄ Gähpw
IqSp-XÂ kabw sNe-h-gn-¡p-¶Xv kvIqfnepw A[ym-]-I-tcmSpw
H¸-am-bn-cn-¡pw. A¯-c-¯n Ip«n-I-fpsS ]Xnhv
kz`mh/s]cp-am-ä-co-Xn-I-fn \n¶v hyXy-kvX-ambn AhÀ
s]cp-am-dn-bm AXv Xncn-¨-dn-bm-\pw, amXm-]n-Xm-¡-fpsS
klm-b-t¯msS CXv ]cn-l-cn-¡m-\p-am-Ipw.

BapJw

temIw ssIs¿-¯n-¸n-Sn-¡m-\pw
IpSpw-_s¯ Ic Ib-äm-\p-ambn
AÑ-\-½-amÀ s\t«m-«tam-Sp-t¼mÄ
]e-t¸mgpw \½psS a¡sf {i²n-
¡m³ ]än-sb¶p hcn-Ã. A¸w
sNdnb Ip«n-I-tf-¡m-fp-]cn Iuam-c-
¡m-cmb Ip«n-I-fmhpw C¯-c-¯nÂ
{i² In«msX t]mIp-¶-hÀ. AXnÂ
amXm-]n-Xm-¡sf XoÀ¯pw sXäp
]d-bm-\m-In-Ã. Imc-Ww, H¶v amXm-
]n-Xm-¡Ä¡v Pohn-X-Xn-c-¡p-IÄ¡n-S-
bn kabw e`n-¡p-¶p-ïm-In-Ã,
asäm¶v Iuam-c-{]m-b-¡m-cmb Ip«n-
IÄ A¸w apXnÀ¶-h-cm-W-tÃm,
C\n amXm-]n-Xm-¡Ä Ahsc A[nIw
{i²n-¨n-sÃ-¦n-epw, Ah-cpsS Imcy-
§Ä Hcp ]cn-[n-hsc kzbw sN¿m³
{]m]vX-cmbn F¶ hnizm-kw.

24 \½p-sS B-tcm-Kyw | sabv 2022

tUm. Fw. sI. kn. \mbÀ DSc.

UbdÎÀ, \nwkv kvs]{Îw inip hnIk\ KthjW
tI{µw. \nwkv saUnknän. s\¿män³-Ic.

AJn-te´ym {]i-kvX-\mb inip-tcmK NnIn-Õ-I³.
inip-tcmK hnZ-Kv²-cpsS kwL-S\ sF. F. ]n bpsS ap³
AJn-te´ym {]kn-Uâv, Xncp-h-\-´-]pcw saUn¡Â tImtf-Pnse
s{]m^kÀ, tIcf BtcmKy kÀhIemime ap³ sshkv
Nm³keÀ, inip-¡fpsS hfÀ¨bpw _p²nhnIm-khpw
Ah-tem-I\w sNbvXv icn-bmb coXn-bn Ah Dd-¸m-¡p-¶-Xn\mbn
cq]o-I-cn¨ ssNÂUv sUh-e-¸vsaâv skâÀ kvYm-]I³.

Mob: 9447121689, [email protected]

& Aiz-Xn FÂ.F. (Uhe-]v-sa³-d t\-gv-kv Iu¬-kn-eÀ, \nw-kv kv-s]-Iv{Sw in-ip hnI-k-\ K-th-j-W tI-{µw)

F¶m C¯cw Ah-k-c-§-fn \mw {]iv\-§fpw _p²n-ap-«p-Ifpw Iuamc
hnkva-cn-¡p¶ Hcp hkvXp-X-bp-ïv. {]mb-¯n Ip«n-IÄ¡p-ïm-Im-dp-ïv.
AXm-b-Xv, Ch-sbÃmw Chsâ/Ch-fpsS Al-¦mcw
F¶v ap{ZIp¯m-sX, ]e-X-c-¯n-epÅ
_mey-¯n \n¶pw apXnÀ¶ hyàn- am\-knI t¢i-§-fn-eqsS Ip«n-IÄ IS-
bmbn amdp-¶-Xn-\n-S-bn-epÅ ]me-amWv ¶p-t]m-Ip¶ Cu L«-¯n AhÀs¡m-
Iuam-c-L-«w, IqSmsX CXv ]e Xe-§- ¸-an-cp¶v Ah-cn-sem-cmfmbn \ap-¡-hsc
fn \nÀ®m-b-Ihpw. tIÄ¡m³ {ian-¡mw. Bh-iy-sa-¦nÂ
Hcp hnZKvZ Iu¬kn-e-dpsS klm-bhpw
Fs´-¶m imco-cn-I-hpw, am\-kn-I- tXSm-hp-¶-Xm-Wv.
hp-ambn At\Iw ]cn-Wm-a-§-fn-eqsS
IS-¶p-t]m-Ip¶ Cu ka-b¯v ho«p-Im-cp- Ip«n-I-fpsS imco-cn-I-þ-am-\-kn-Im-tcm-
sS-bpw, Iq«p-Im-cp-sSbpw, \m«p-Im-cp-sSbpw Ky-]-cn-]m-e-\-¯n c£-IÀ¯m-
kaq-l-¯n-sâbpw kzm[o-\-hpw, ¡Äs¡¶ t]mse A[ym-]-IÀ¡pw
Ah-tcm-SpÅ kao-]-\hpw Ch-cpsS Imcy-amb ]¦v hln-¡m-\m-Ipw. ImcWw
kz`m-h-cq-]o-I-c-W-¯n {]Xy-£-hpw, \½-tfm-tcm-cp-¯cpw Cu L«w Ign-ªp-
]tcm-£-hp-ambn hln-¡p¶ ]¦v h-¶-h-ctÃ?
kp{]-[m-\-am-Wv.
sabv 2022 | \½p-sS B-tcm-Kyw 25
Aan-X-amb tZjyw, Hä-s¸SÂ, hnjm-Z-
`m-hw, C¯cw {]iv\-§Ä Iuam-c-¡m-
cn s]mXpth km[m-c-W-am-Wv. Chsb
Ip«n-I-fpsS "Al-¦mcw' F¶v amXm-
]n-Xm-¡Ä ]e-t¸mgpw Ipä-s¸-Sp-¯p-¶p,
F¶m CXv Ahsc sNmSn-¸n-¡p-I-b-Ãm-
sX, aäp amä-§Ä¡v hgn hbv¡p-I-bp-
an-Ã.

s]s«-¶p-ïm-Ip¶ tIm]w,
DÄ`-bw, DXvI-WvT, AanX BImw-£,
]T\ ]nt¶m-¡m-h-Ø, {]W-bn-¡pI/
{]W-bn-¡-s¸-Sp-I, ZpxJw H¶n-t\m-Spw,
Xm¸-cy-an-Ãm-bva, Dd-¡-¡-p-dhv/Dd-¡-
¡-q-Sp-XÂ, `£Ww Ign-¡m-Xn-cn-¡pI/
Aan-X-ambn Ign-¡p-I, Bß-hn-izm-k-¡p-
dhv XpS§n ]d-bm-\mbn \qdn-tesd

am\-kn-Im-tcmKyw (Mental Health)

""am\-kn-Im-tcmKyw F¶m Hcp hyàn-bpsS Ign-hp-IÄ AhÀ kzbw
Xncn-¨-dnªp Pohn-X-¯nse sNdnb ]ncn-ap-dp-¡-§sf t]mepw AXn-Po-hn¨v
kaq-l-¯n \ne\n¡pI F¶-Xm-Wv.''

þtem-Im-tcmKy kwL-S\

\½psS am\-kn-Im-tcm-Ky-¯n\p \s½ Ipdn¨v \mwXs¶ t_m[-hm-·m-
cm-sW-¦nÂ; AXm-bXv kz´w Ign-hp-I-
\ap¡p Xs¶ Imh-m-fmImw fpw, Ign-hp-tI-Sp-Ifpw/_e-lo-\-X-Ifpw
F´m-sW¶ [mcW hyà-am-bp-sï-
aäp-Å-hsc \nb-{´n-¡m³ km[n-¡p¶ ¦n NphsS kqNn-¸n-¡p¶ Nne sNdp
a\p-jy\v Ft¸m-gmWv kzbw \nb-{´n- Nn«-I-fn-eqsS Gsd-Ipsd am\-kn-Im-
¡m³ Ign-bmsX hcp-¶-Xv? Ahsâ/ tcmKyw \ne-\nÀ¯m-\m-Ipw.
Ah-fpsS Bß-hn-izm-k-hpw, Bß-ss[-
cyhpw \jvS-s¸-Spw -hn[w am\-knI  Btcm-Ky-I-c-amb Pohn-X-ssien.
k½À±-§Ä Dïm-Ip-t¼mÄ Bcpw H¶p  Fsâ BtcmKyw Fsâbpw IqSn
]X-dp¶p F¶-XmWv kXyw.
D¯-c-hm-Zn-¯-am-sW¶ t_m[yw.
 Bh-iy-apÅ hn{i-aw.
 am\-kn-tIm-Ãm-k-¯n-\pÅ Ah-k-c-

§Ä Isï-¯Â {]iv\-§Ä.
 {]iv\§Ä kzbw ]cn-l-cn-¡m³

Ign-bp-sa¶ t_m[w; X\nsb ]cn-l-
cn-¡m-\mbn-sÃ-¦n Hcp BtcmKy
D]-tZ-jvSm-hn-sâ-tbm, Iu¬kn-e-dp-
sStbm tkh\w tXtS-W-sa¶
t_m[yhpw.

Iuam-c-{]m-b-¡mÀ/buh-\-L-«-¯n-ep-Å-hÀ

{]Xn-k-Ôn-Isf A`n-ap-Jo-I-cn-¡p¶ coXn-IÄ

(coping strategies of adolescents and young adults)

""kzb-t_m-[-t¯msS Xs¶ {]iv\-§sf t\cn-Sm-\pw, ]cn-l-cn-¡m-\pw,
am\-knI k½À±w Ipd-bv¡m\pw kzoI-cn-¡p¶ coXn-Isf s]mXpth tIm¸nwKv

kv{Smä-Pnkv F¶v hnti-jn-¸n-¡p-¶p. Hmtcm hyànIfpw AhchcptSXmb
tIm¸nwKv coXnIÄ AhktcmNnXambn D]tbmKn¡p¶p.

hnhn[ Xcw tIm¸nwKv coXn-IÄ

ASn-Øm-\-]-c-ambn 3 Xc-¯n-epÅ
tIm¸nwKv coXn-IÄ Dïv.

1. {]iv\s¯ Bkv]-Z-am-¡nb coXn-IÄ

(Problem focused strategies)

2. sshIm-cn-I-Xsb Bkv]-Z-am-¡nb
coXn-IÄ (Emotion focused strategies)

3. Hgn-hm-¡Â/hn«p-\n¡ coXn-IÄ

(Auidance strategies)
26 \½p-sS B-tcm-Kyw | sabv 2022

1. {]iv\-§sf Bkv]-Z-am-¡nb \nb-{´n-¡m³ ]Tn-¡p-¶p.
coXn-IÄ 4. Pohn-X-sh-Ãp-hn-fn-IÄ ]cn-l-cn-¨v,

C¯cw coXn-IÄ {][m\ambpw t]cv apt¶m«v \o§m³ klm-bn-¡p-¶p.
kqNn-¸n-¡p¶Xpt]mse Xs¶ {]iv\-]- 5. hyàn-kzm-X{´yw/Bß-kzm-X{´yw
cn-lmcw ap¶n Iïp-sImïv kzoI-cn-
¡p¶ coXn IqSn-bm-Wn-Xv. hÀ[n-¡p-¶p.

{]iv\s¯ kss[cyw t\cn-Sp-Ibpw C¯-c-¯n am\-knI k½À±w
AXn-eqsS am\-knI k½À±w Ipd-bv¡p- Ipd-bv¡m-\mbn aäm-cp-sS-sbÃmw
Ibpw sN¿p-¶p. klmbw tXSm-\mIpw?
1. IpSpw-_mw-K-§-fpsS ]n´pW tXSmw.
{]iv\-§Ä Dïm-Ip-t¼mÄ XfÀ¶n-cn- 2. kplr-¯p-¡-fp-sS-tbm, ka-{]m-b-¡m-cp-
¡p-¶-Xn\v ]Icw efn-X-amb {]iv\
]cn-lm-c-co-Xn-IÄ Bkq-{XWw sNbvXv sStbm ]n´p-W-tX-Smw.
ka-ky-Isf t\cn-Sp-¶p. 3. A[ym-]-I-cpsS ]n´pW tXSmw.
4. hyXy-kvX-cmb hyàn-I-fpsS klmbw
Hcp DZm-l-c-W-ambn ]d-ªmÂ; km¼-
¯nI {]iv\-am-sW-¦nÂ; H¶p-In tXSmw.
sNehv Ipd-bv¡mt\m/]Ww k¼m-Zn-¡m 5. Btcm-Ky-{]-iv\-§Ä¡m-bn, Btcm-Ky-
t\m thï amÀK-§Ä kzoI-cn-¡p-¶p.
hn-Z-KvZ-cpsS klmbw tXSmw.
2. sshIm-cn-I-Xsb Bkv]Z-am-¡nb 6. Iu¬kn-e-dpsS klmbw tXSmw.
coXn-IÄ
sabv 2022 | \½p-sS B-tcm-Kyw 27
{]iv\¯n-\-\p-_-Ô-am-bp-ïm-Ip¶
sshIm-cnI {]iv\-§sf t\cn-Sp¶ coXn.

D¯a DZm-l-c-W-ambn ]d-ªmÂ;
am\-kn-I-k-½À±w kzbw \nb-{´n-¡m³
km[n-¡m¯ ]£w Hcp Iu¬kn-e-dp-
sStbm/hniz-kvX-\mb, A\p-`-h-k-¼-¯p
Å hyàn-bp-sStbm klmbw tXSp-¶p.

3. hn«p-\n¡ coXn-IÄ
Hcp {]iv\w Dïm-Ip-t¼mÄ Ahsb

t\cn-SmsX amdn-\n¡p-¶, asämcp
Xc-¯n ]d-ªm {]iv\-§-fnÂ
\n¶pw Hfn-t¨m-Sp¶ coXn.

DZm:þ {]iv\-s¯-¡p-dn¨v HmÀ¡m-Xn-cn-
¡p-I, {]iv\-¯n \n¶pw hgnamdn
\S-¡p-I, {]iv\-s¯-¡p-dn¨v kwkm-cn-
¡m-Xn-cn-¡p-I.

C¯cw coXn-IÄ kzoI-cn-¡p-¶-Xn-
eqsS e`n-¡p¶ KpW§Ä
1. Bß-hn-izmkw/Bß-ss[cyw hÀ[n-

¡p-¶p.
2. kz`mhw sa¨-s¸-Sp-¯m³ klm-bn-¡p-

¶p.
3. am\-knI k½À±-§Ä/hnIm-c-§sf

Iu¬kn-enwKv (Counselling)

""Hcp hyàn-bpsS kz`mhw kwXr- N Non Prejudice (ap³hn-[n-bn-ÃmsX
]vXn-I-c-am-¡p-¶-Xn-t\m, {]iv\-§Ä s]cp-am-dp-I)
]cn-l-cn-¡p-¶-Xnt\m Bbn Hcp Iu¬
kn-e-dpw, Iu¬knen (Bh-iy-¡m-c³/ S Solutions ({]iv\-]-cn-lm-cw)
client)bpw X½n-epÅ Hcp HutZym-Kn-I-]-c-
amb Bi-b-hn-\n-ab coXnsb Iu¬kn- E Empathetic (klm-\p-`qXn/A\p-I-¼)
enwKv F¶v hnti-jn-¸n-¡mw.''
L Listener (\Ã t{imXm-hm-IpI)

L Live up (Pohkq{Xw/DuÀP-kz-e-X)

O Objectively Answering (hkvXp-\n-jvT-
ambpÅ adp-]-Sn)

R Rapport Building (kZy-hpw, hyà-hp-amb
Bi-b-hn-\n-a-bw)

Iu¬kn-enwKv L«-§Ä

(Steps / process of counselling)

Iu¬knedpw, Iu¬kn-en-bp-ambn
\Ã Bi-b-hn-\n-abw Øm]n-¡Â

Iu¬kn-enwKv ^e-{] {]iv\ hni-I-e\w (Iu¬kn-en¡v
m]vXn hni-I- {]iv\-¯n-epÅ ]¦v a\-Ên-em¡n

e-\w, Iu¬kn-enwKv sImSp-¡p-I.
Ah-km-\n¸n¡Â
Iu¬kn-enw-Kns³d
d^-dÂ/t^mtfm A¸v

{][m\ e£y-§Ä

1. Iu¬kn-enwKv tkh\w tXSn-sb- Iu¬kn-enwKv
\ÂI e£({Zlyo-§ÀkLÄz-I-Icmmq-e-e]-t-to¯¯-I-c¡¡n-¡vv/) Â
¯p¶ hyàn-bpsS {]iv\ ]cn-lm-c-
¯n-\pÅ amÀK-§Ä kzbw kzoI-cn-
¡m³ Ahsc klm-bn-¡p-I.

Iu¬kn-eÀ¡v Bh-iy-amb KpW-§Ä Iu¬kn-enwKv amÀK-§Ä
(Qualities of abunsity)
(Methods of Counselling)
Good Counsellor \Ã Iu¬kn-eÀ
G Good Knowledge (hnj-b-s¯-¡p-dn-¨pÅ {][m-\-ambpw 3 Xcw Iu¬kn-enwKv
coXn-IÄ Ah-ew-_n-¡m-dp-ïv.
hyà-amb Adn-hv)
O Observation Skill (\nco-£W ]mS-hw) 1. t\cn«v \nÀtZ-i-§Ä \ÂIp¶
O Obtain adequate History (hnh-c-ti-J-c-Ww) Iu¬kn-enwKv (Directive counselling)
D Dignity/Professionalism(HutZym-KnIXbpsS
2. t\cn«v \nÀtZ-i-§Ä \ÂIm¯
A´-k¯ Im¯p kq£n-¡p-I) Iu¬kn-enwKv (Non directive counselling)
C Confidentiality (hyàn-hn-h-c-§Ä
3. hnime ho£-W-apÅ Iu¬kn-enwKv
cl-ky-ambn kq£n-¡p-I)
O Optimistic (ip`m]vXn hnizm-kw) (Eclectic counselling)
U Unbiased (]£m-]m-X-c-ln-X-amb
1. Und-IvSohv Iu¬kn-enwKv
\ne-]m-Sv)  Iu¬kn-enwKv {]m[m\yw \ÂIn-

28 \½p-sS B-tcm-Kyw | sabv 2022 bpÅ Iu¬kn-enwKv coXn.
 Iu¬kn-e-dpsS \nÀt±-i-§-f-\p-k-cn¨v

Bbn-cn¡pw Iu¬kn-enw-Kp-I-fnÂ
Iu¬knen (client) Xocp-am-\-sa-Sp-
¡p-I.

 hnh-c-§Ä AYhm {]iv\-]-cn-lmc  Dd¨ Xocp-am-\-§Ä FSp-¡m³ {]m]v
coXn-IÄ hyà-ambn Iu¬kn-eÀ Xn-bn-Ãm¯ Iu¬kn-en¡v Hcp-]t£
hni-Zo-I-cn-¨p \ÂIp-Ibpw, XpSÀ¶v k¦oÀ®-amb coXn-bm-Wn-Xv.
I¬knen Xocp-am-\-sa-Sp-¡p-Ibpw
sN¿p-¶p.  Iu¬kn-e-dpsS `mK-¯p-\n¶pw
Iu¬kn-en-¡mbn DbÀ¶ coXn-bn-
KpW-§Ä epÅ {]tNm-Z\w (motivation) Bh-iy-
 hyàn-sb-¡m-fp-]cn {]iv\-§sf ambn ht¶-¡mw.

tI{µo-I-cn-¨pÅ coXn-bm-Wn-Xv. 3. FIvsf-Ivän¡v Iu¬kn-enwKv
 sshIm-cn-I-X-sb-¡mÄ {]m[m-\yw, CXv Iu¬kn-eÀ¡v am{Xw AsÃ-¦nÂ

_u²n-I-Xbv¡v \ÂIp-¶p. Iu¬kn-en- am{Xw {]m[m\yw \ÂIn-
bpÅ coXn-b-Ã.
tZmj-§Ä
Iu¬kn-eÀ¡v {]m[m\yw \ÂIn- adn¨v Ccp Iq«À¡pw Xpey-{]m-[m\yw
\ÂIp-¶p-ap-ïv.
bpÅ coXn-bm-b-Xn-\m Iu¬kn-enbv¡v
kzbw Xocp-am-\-§Ä FSp-¡mt\m/ KpW-§Ä
]pXnb {]iv\-§Ä ]cn-l-cn-¡mt\m  Gähpw {]mtbm-Kn-I-amb kao-]-\-coXn
asäm-c-h-k-c-¯n XpSÀ¶pw C¯cw
klmbw tXtSïn ht¶-¡mw. (Practical approach).

2. t\m¬-þ-Un-d-IvSohv Iu¬kn-enwKv  Gähpw ^e-{]-Z-amb kao-]-\-coXn
Und-IvSohv Iu¬kn-enwKv coXn-bpsS
t\Àhn-]-coX coXn-bm-Wn-Xv. (Effective approach).
 ChnsS Iu¬kn-e-sd-¡mÄ {]m[m
 Gähpw GtIm-]n-X-amb kao-]-\-coXn
\yw Iu¬kn-enw-Kn-\mbn h¶ hyàn
(Iu¬kn-en)-bv¡m-bn-cn-¡pw. (coordinated approach).
 Iu¬kn-eÀ, Iu¬kn-enbv¡v
{]iv\-]-cn-lm-c-¯n-\mbn Xocp-am-\-§- tZmj-§Ä
sf-Sp-¡m³ thï A´-co£w Iu¬kn-e-dp-sS-tbm, Iu¬kn-en-bp-
krjvSn¨p \ÂIp-¶p.
 Npcp-¡n-¸-d-ªm C¯cw Iu¬kn- sStbm ]¦v ap³Iq«n
enwKv coXn-I-fn Iu¬kn-en¡v Xocp-am-\n-¡m-\m-In-Ã.
kPo-h-am-bpw (Active role) Iu¬kn-
eÀ¡v \njv{In-b-ambpw (Passive role) \à coXn-bn ]cn-io-e\w e`n-¨,
CS-]-g-Im-\m-Ipw. Ign-hpÅ Iu¬kn-e-dpsS kmao]yw
Bh-iy-am-Wv.
KpW-§Ä
 ka-b-sa-Sp-¯pÅ coXn-bm-bm sabv 2022 | \½p-sS B-tcm-Kyw 29

t]mepw Iu¬kn-en-bpsS Ign-hp-
IÄ¡v {]m[m\yw \ÂIp-¶p.
 _u²n-I-X-sb-¡m-fp-]-cn, sshIm-cn-
IXbv¡p {]m[m\yw \ÂIp-¶p.

tZmj-§Ä
 hfsc kmh-[m-\w, ka-b-sa-Sp¯p

am{Xw sN¿m-\m-Ip-¶p.

aäv Iu¬kn-enw-Kv co-XnIÄ

tjmÀ«v tSw Iu¬kn-enwKv Iu¬kn-enwKv \ÂIp¶ coXn.
{lkz-Imew am{Xw \ÂtIïn hcp¶
Iu¬kn-enw-Kv. ssKUUv Iu¬kn-enwKv

temMv tSw Iu¬kn-enwKv hnZKv²\mb Iu¬kneÀ,
ZoÀL-Imew Iu¬kn-enwKv Bh-iy- Iu¬knenwKv BhiyapÅhsc
ambn hcp¶ coXn. \bn¨v Iu¬knenwKv \S¯p¶ coXn.

C³Un-hn-Uyq-h Iu¬kn-enwKv skÂ^v Iu¬kn-enwKv
hyàn-K-X-ambn \ÂtIï Iu¬kn-
enwKv coXn. kzbw Iu¬kn-enwKv sN¿p¶
coXn.
{Kq¸v Iu¬kn-enwKv
dnte-j³jn¸v Iu¬kn-enwKv
Hcp Iq«w hyàn-IÄ¡mbn Hcp-an¨v
_Ô-§-sf-¡p-dn-¨pÅ Iu¬knenwKv

Iuam-c-¡mÀ¡mbn

Iuam-c-{]m-b-¯n-epÅ Ip«n-IÄ¡v X¿m-dm-¡nb tNmZym-h-en-bm-Wn-Xv.
am\-kn-I-k-½À±-§Ä Dsï-¦n NphsS
\ÂIn-bn-cn-¡p¶ tNmZym-hen (TSQ-M) Cu tNmZymhen ]qcn¸n¡pt¼mÄ /
D¯cw \ÂIp-¶-Xn-eqsS kzbw Xs¶ hnebncp¯pt¼mÄ Cu ASp¯
am\-kn-Im-tcmKyw (Mental Health) hne-bn-cp- cïmgvNbmbpÅ _p²n-ap-«p-IÄ Ip«n-
¯m\pw IÄ¡v tcJ-s¸-Sp-¯m-hp-¶-Xm-Wv.
 Aan-Xm-Imw£ (Anxiety)
 hnjmZw (Depression) 9 tNmZy-§Ä (am\-kn-Im-tcm-Ky-hp-
 Bß-lXym {]h-WX (Suicidal tendency) ambn _Ô-s¸-Sp-¯n) Cu t^manÂ
 {`am-ß-IX (Hallucination) DÄs¸-Sp-¯n-bn-cn-¡p-¶p.
 A_-²-hn-izm-k-§Ä (Delusions) XpS-
TSQ-M Form
§nb _p²n-ap-«p-IÄ Dtïm-sb¶pw
hne-bn-cp-¯m-\m-Ipw. 1. \n-§Ä-¡v F-t¸m-sg-¦nepw Xm-sg
Sot\Pv kv{Io\nwKv tNmZym-hen ]-d-bp-¶-h D-ïm-bn-«p-tïm?

Teenage Screening Questionnaire (TSQ - M ) 0. CÃ 1. k¦-Sw 2. tZjyw/A-kz-
kvY-X 3. ]n-cn-ap-dp-¡w/sS³j³
s{]m^.(tUm) F.sI.kn \mbÀ, Dsc 4. DÂ-¡WvT
bpsS t\Xr-Xz-¯n Iuam-c-¡m-cpsS
am\-kn-Im-tcmKyw hne-bn-cp-¯m³ 2. taÂ-¸d-ª-h Im-c-W-¯n-\-Xo-X-am-bn
tXm-¶m-dp-tïm?
30 \½p-sS B-tcm-Kyw | sabv 2022
0. CÃ 1. Dïv 2. _m-[IaÃ
3. Cu A-Sp-¯-Im-e-¯m-bn \n-§Ä-¡v

Xm-sg-]-d-bp-¶-h A-Sn¡-Sn D-ïm-Im-dp-
tïm?
0. H-¶panà 1. A-an-Xam-b hn-bÀ¸v
2. hn-i-¸nÃm-bv-a/A-an-Xam-b hni¸v
3. D-d-¡-¡pd-hv/D-d-¡-¡q-Sp-XÂ
4. {I-am-Xo-Xam-b s\-©n-Sn-¸v
4. taÂ-¸d-ª-h Xm-sg-]-dbp-¶ Im-cy§-
sf _m-[n-¡m-dp-tïm?

0. Cà 1. ssZ-\wZn-\ {]-hÀ-¯\-§Ä Xm-ev-]-cy-¡pd-hv tXm-¶m-dp-tïm?
2. ]T-\w 3. sXmgnÂ
5. Xm-sg-]-d-bp-¶-h \n-§Ä-¡v an-¡- 0. H-cn-¡-ep-anà 1. Nn-e-t¸mÄ

t¸mgpw tXm-¶m-dp-tïm? 2. an-¡-t¸mgpw
1. \n§-sf H-¶n\pw sImÅnÃ
0. H-cn-¡-ep-anà 1. Nn-e-t¸mÄ 7. CÃm-¯ Im-cy-§Ä Im-Wp-Itbm
2. an-¡-t¸mgpw tIÄ-¡p-Itbm A-\p-`-h-s¸-Sp-Itbm
2. \n-§Ä-¡v H-cp `m-hn-bpanà sN-¿m-dp-tïm?
0. H-cn-¡-ep-anà 1. Nn-e-t¸mÄ 2. an-¡-
0. H-cn-¡-ep-anà 1. Nn-e-t¸mÄ
t¸mgpw
3. Cu Po-hn-Xw-sIm-ïv H-cp {]-tbm-P-\- 2. an-¡-t¸mgpw

hpanà 8. a-sä-s´-¦n-epw (hy-Iv-X-am-¡pI)
0. H-cn-¡-ep-anà 1. Nn-e-t¸mÄ 9. Clinical Impression
2. an-¡-t¸mgpw
4. kz-bw \-in-¸n¡m³ tXm¶pI 1. Anxiety 2. Depression 3. Suicidal Tendency
0. H-cn-¡-ep-anà 1. Nn-e-t¸mÄ 2. an-¡- 4. Others (specify ................)

t¸mgpw tNmZym-hen ]qcn-¸n¨ tijw aäp
6. t\c-t¯ B-kz-Zn-¨ncp-¶ Im-cy-§-tfm-Sv klmbw Bh-iy-apÅ Ip«n-IÄ¡v
amXm-]n-Xm-¡fpw, A[ym-]-I-cp-ambn
kwh-Zn-¡m-hp-¶-Xm-Wv, XpSÀ¶v
Iu¬kn-enwKv Bh-iy-IX Dsï¦nÂ
Ip«n-Isf Iu¬kn-enw-Kn\v hnt[-b-cm-
¡m-hp-¶-Xm-Wv.

kw{Klw §Ä¡pw Gsd Iptd Ah-cpsS
A\p-`-h-Úm-\-hpw, ImgvN-¸m-Sp-Ifpw
Iuam-c-{]m-b-¡m-cmb Ip«n-IÄ hgn Ip«n-Isf ]dªv a\-Ên-em¡n
s]mXpth AhÀs¡mcp {]iv\-ap-ïm- t\Àh-gn¡v \bn-¡m\pw; NnInÕ Bh-
bm BZyw D]-tZiw tXSp-¶Xv kplr- iy-am-sW¦n hnZ-KvZ-\mb 1) sUhe¸v
¯p-¡-tfm-Sm-Ipw. saâ ]oUnbm{Snj³, 2) sskt¡mf
Pnkvdv / Iu¬kneÀ, 3) sskIym{SnÌv-
Hcp-]t£ kplr-¯p-¡Ä¡v F¶n-h-cn Bcp-sS-sb-¦nepw tkh\w
{]iv\-§Ä ]cn-l-cn-¡m³ thï{X tXSm-hp-¶-Xm-Wv.
]cn-N-b-hpw, ]Iz-X-bp-an-sÃ-¦nÂ; ]e
Kpcp-Xc {]iv\-§fpw Dïm-tb-¡mw. sabv 2022 | \½p-sS B-tcm-Kyw 31

Ip«n-IÄ {]tXy-In¨v Iuam-c-{]m-b-¡m-
cm-Ip-t¼mÄ Gähpw IqSp-XÂ kabw
sNe-h-gn-¡p-¶Xv kvIqfnepw, A[ym-]-I-
tcmSpw H¸-am-bn-cn-¡pw. A¯-c-¯nÂ
Ip«n-I-fpsS ]Xnhv kz`mh/s]cp-am-ä-co-Xn-
I-fn \n¶v hyXy-kvX-ambn AhÀ
s]cp-am-dn-bm AXv Xncn-¨-dn-bm-\pw,
amXm-]n-Xm-¡-fpsS klm-b-t¯msS CXv
]cn-l-cn-¡m-\p-am-Ipw.

amXm-]n-Xm-¡Ä Nne-X-dn-ªn-cn-¡Ww
Ip«n-bpsS {]mb-¯nsâ Nm]-ey-am-Wv,
Al-´-bm-WnXv Fs´Ãmw
XoÀ¨s¸Sp¯p¶Xn\p ap³]mbn Ahsc
Adnbm³ {ian¡pI. ImcWw
amXm-]n-Xm-¡Ä¡pw, apXnÀ¶ ktlm-Z-c-

FÃmhÀ¡pw BtcmKyw:
bp.F-¨v.kn.

Hä t\m-«¯nÂHät\m-«¯nÂ

Universal Health Care AYhm kmÀh{XnI BtcmKy ]cnc£ F¶Xp
sImïv AÀ°am¡p¶Xv kaql¯nse FÃm P\§Ä¡pw
KpWta·bpÅ NnInÕm kuIcy§Ä Dd¸p hcp¯pI F¶XmWv.
AXn\v [\nI Zcn{Z hyXymkw ]mSnÃ. temImtcmKy kwLS\bpsS

AwKoIrX \b§fnsem¶mWv CXv. s]mXp kwhn[m\§Ä {]tbmP\
s¸Sp¯n amXrIm]camb coXnbn CXv \S¸m¡p¶ cmPyamWv
{_n«³. AhnSs¯ National Health Service(NHS). H¶pIn `cWIqS¯n
sâ s]mXp kwhn[m\w {]tbmP\s¸Sp¯pI AsænÂ
kmaqly C³jpd³kv ]²XnbneqsS FÃmhscbpw DÄs¸Sp¯pI.
C´ybn \S¸m¡n sImïncn¡p¶ Bbpjvam³ `mcXv t]mepÅ
]²XnIÄ CXnsâ `mKamWv.

"tcmKnbmb Hcp hyàn¡v A\yqdn³ s_h³ a{´nbmbncp¶p, Hcp
]WanÃm ¯Xnsâ I¡cnJ\n sXmgnemfn
t]cn sshZy klmbw bpsS aI\mb s_h³.
\ntj[n¡p¶ Hcp kaql
s¯ ]cnjv IrX kaqlw 1978 emWv temImtcmKy
F¶p hnfn¡m\mhnÃ' F¶p kwLS\bpsS {]kn²amb
]dªXv {_n«\nse NHS Alma Ata {]Jym]\w DïmIp
-National Health Servicesâ ¶Xv. Ikm¡v Øm\nse
Øm]I\mb Aneurin Bevan AÂamAä F¶ Øe¯p
BWv. C¶p temI¯p \S¶ tbmK¯nembXp
\nehnepÅ kmÀh{XnI sImïmWv Cu t]cp
BtcmKy ]cnc£bpsS h¶Xv.
(Universal Health Care) Gähpw
\Ã DZmlcWamWv NHS. 1945 ASnØm\]cambn
se {_n«\nse bp²m\´c {]mYanI BtcmKy ]cnc£
Kh¬saânse BtcmKy bmWv temI¯v FÃmhÀ
¡pw kuJyw e`n¡m\pÅ
32 \½p-sS B-tcm-Kyw | sabv 2022 D]m[n F¶ \nKa\

tUm. F³. kpµtci³

ap³ ]-t¯mf-Pn s{]m^-kÀ,
kn.F-kv.sF. sa-Un-¡Â tIm-tfPv,
Im-c-t¡mWw.
tIm-«-bw, B-e-¸p-g,
Xn-cp-h-\-´-]p-cw kÀ¡mÀ sa-Un-¡Â tIm-tf-Pp-I-fnÂ
tk-h-\-a-\p-jvTn-¨n-«p-ïv.

Mob: 9447682776

ambncp¶p CXn\p ]ndInÂ. s]mXpP\m t]mjImlmcw, ip² Pew, ip²hmbp,
tcmKy cwKs¯ kw_Ôn¨v Ccp]Xmw amen\y\nÀamÀÖ\w, ]mÀ¸nSw
\qämïnse Hcp {][m\ \mgnI¡Ãm F¶n§s\ BtcmKys¯ ka{Kambn
bncp¶p Cu Xocpam\w. _m[n¡p¶ kmaqly LSI§Ä.
ChsbÃmw Xs¶ ]ucsâ
F´mWv kmÀh{XnI BtcmKy AhImiamWv F¶ Xncn¨dnhv.
]cnc£ AYhm Universal Health Care (UHC). ta ]dª LSI§sfbmWv Social
KpWta·bpÅ BtcmKy ip{iqjm determinants of Health F¶v km[mcW
kuIcy§Ä kaql¯nse FÃm P\ hnh£n¡p¶Xv. ]IÀ¨hym[nIÄ
hn`mK§Ä¡pw e`yam¡pI. t]msebpÅ AkpJ§Ä kaql¯nÂ
AXv km¼¯nI ASnØm\¯n ]SÀ¶p ]nSn¡pt¼mfmWv AXnsâ
Hcp ]uc\pw \ntj[n¡mXncn¡pI sbms¡ ]ndIn {]hÀ¯n¡p¶
F¶XmWv. AXmbXv BtcmKytkh\ apIfn ]dª LSI§fpsS {]kàn
§Ä¡p thïn kz´w t]m¡än \ap¡v a\ÊnemIp¶Xv. tImhnUv
\n¶pw ]Ww apS¡n, km¼¯nI tcmKhpw AXns\ XpSÀ¶pÅ kmaqly
`{ZX \ãs¸Sp¯p¶Xn \n¶pw {]iv\§fpw Hs¡ Xs¶ Cu hgn¡v
s]mXpP\§sf kwc£n¡pI. hoïpw Nn´n¡m³ \s½ t{]cn¸n¡p
BtcmKyapÅ kaql¯n apXnÀ¶hÀ ¶hbmWv.
k¼mZn¡p¶XneqsS, Ip«nIÄ
hnZym`ymkw t\Sp¶XneqsS P\Xsb sabv 2022 | \½p-sS B-tcm-Kyw 33
Zmcn{Zy¯n \n¶pw tamNn¸n¨v
km¼¯nI t£aw Dd¸m¡m³ Ignbpw.
1948se temImtcmKy kwLS\bpsS
`cWLS\bn BtcmKyw hyànbpsS
sauenI AhImiambn tcJs¸Sp¯nbn
«pïv. {]mYanI BtcmKy tkh\§fm
Wv UHCbpsS ASnØm\ LSIw F¶pw
AXv sa¨s¸Sp¯pIbmWv e£ysa¶pw
hyàam¡s¸«n«pïv.

CXnt\mSp tNÀ¯p h¨p hmbnt¡ï
asämcp BibamWv BtcmKy
AhImiw- Right to Health. AXmbXv Ipd¨p
IqsS hn]peamb AÀ°¯nÂ

kmÀh{XnI BtcmKy ]cnc£ F¶ CXn\nSbn C´y³ BtcmKy
Bibw {]mhÀ¯nIam¡m³ {ian¨p cwK¯nsâ ØnXn hfsc timN\ob
sImïncn¡p¶ Nne cmPy§fpïv. amWv. H¶mtemNn¨m AXv bpàn
{][m\ambn {_n«³, Im\U. IqSmsX clnXhpw, Ak´penXhpw BWv F¶p
Xmbve³Uv, Iyq_, {ioe¦ A§s\. ImWmw. s]mXp BtcmKy kwhn[m\
cïp Xcw kao]\§fmWv ChnS§fn §Ä ZpÀºeamWv. an¡ kwØm\
ImWp¶Xv. §fnepw A\nb{´nXhpw, emt`ÑbnÂ
1. {_n«\nteXp t]mse kuP\yambn A[njvTnXhpw Bb Hcp kzImcy
taJebmWv {][m\ BtcmKy tkh\
s]mXp kwhn[m\¯eqsSbpÅ ZmXm¡Ä. tIcfhpw, Xangv\mSpw
BtcmKy ]cnc£. AhnSs¯ \mj DÄs¸sSbpÅ kwØm\§fn ØnXn
W sl¯v kÀhokv (NHS) hfsc hyXyØamWv. sa¨s¸« s]mXp
{]kn²amWv. CXphscbpÅ A\p`h BtcmKy kwhn[m\§Ä Ct¸mÄ
§Ä h¨p t\m¡nbm ^e{]Zamb Xs¶ ChnS§fn e`yamWv.
Hcp kwhn[m\amWnXv. ]t£ s]mXp Bbpjvam³ `mcXv t]msebpÅ
kwhn[m\w Hcp henb km¼¯nI C³jpd³kv kwhn[m\§Ä hfsc
_m²yXbmWv `cWIqS¯n\v. Npcp§nb tXmXn C´ybn CXn\n
2. `cWIqS¯nsâ \nb{´W¯nepÅ Sbn {]hÀ¯n¡p¶pïv.
Hcp kmaqly C³jpd³kv
]cnc£bneqsS s]mXp, kzImcy 2017 emWv BtcmKy \b§fpsS
Øm]\§fn \n¶pw BtcmKy `mKambn Bbpjvam³ `mcXv cq]w
tkh\w e`yam¡pI sImÅp¶Xv. {][m\ a{´nbpsS
Cu cïp kwhn[m\§sfbpw BtcmKy tbmP\ ]²XnbnÂ
^e{]Zambn Iq«bnW¡nb Xmbve³Uv DÄs¸Sp¯n \nch[n Health & Wellness
amXrI Hcp ]t£ C´y¡v A\ptbmPy tI{µ§Ä Xpd¡p¶pïv. km¼¯nI
amtb¡mw F¶p tXm¶p¶p. ChnsS ambn ]nt¶m¡w \n¡p¶ hn`mK§sf
kzImcy kwhn[m\§Ä DÄs¸«n«psï Dt±in¨pÅ C³jpd³kv ]cnc£bpw
¦nepw {][m\ambpw s]mXpkwhn[m hn`mh\w sNbvXn«pïv. PM-JAY ({][m³
\§fneqsSbmWv tkh\§Ä a{´n P³ BtcmKy tbmP\). CsXms¡
\S¸nem¡p¶Xv. UHC sb e£am¡nbpÅ C´y³
\o¡ambn ImWmw.
34 \½p-sS B-tcm-Kyw | sabv 2022
]t£ \ap¡mhiyw hnimeamb
AÀ°¯n Hmtcm ]uc\pw, Ahsâ
Cãm\pkcWw, kuP\yambn
Hcp s]mXpkwhn[m\¯n \n¶pw
BtcmKy tkh\§Ä e`n¡m\pÅ
AhImiamWv.

ss{]adn sl¯v skâÀ, IayqWnän
sl¯v skâÀ, PnÃm Bip]{XnIÄ
C§s\bpÅ s]mXp BtcmKy
kwhn[m\§sf kao]n¡p¶ GsXmcp
]uc\pw AhnsS e`yamIp¶ Gähpw
\Ã NnInÕbv¡pÅ AhImiapïv.
AXv acp¶pIfmbmepw aäv ]cntim[\
Ifmbmepw .am{Xaà C\n Ahiy
NnInÕ AhnsS e`yaà F¦n asämcp

D¶X tI{µ¯nte¡v kuP\yambn d^À sF.Fw.F. \-½p-sS
sN¿s¸Sm\pÅ AhImihpw. CXv BtcmKy B-tcmKyw am-knI-sb
NnInÕm cwK¯v henb amä§Ä krãn¡pw. kw-_-\v[n-¨ hn-i-Z-hn-hc§Ä

]e kwØm\§fpw Npcp§nb tXmXnse¦nepw hn-emkw:
CsXms¡ sN¿m³ {ian¡p¶pïv. Cusbmcp F-UnäÀ,
]Ým¯e¯nemWv Hcp BtcmKy AhImi sF.Fw.F. \-½p-sS B-tcmKyw,
\nbaw (Right to Health- RHA) {]kàamIp¶Xv. C´y³ sa-Un-¡Â A-tkm-kn-
tb-j-³, tIc-fm kv-tä-äv
hnhcmhImi \nbaw t]mse (Right to Information sl-Uv IzmÀ-t«-gvkv
Act-RIT) CXmIs« s]mXp kwhn[m\§fn B\-b-d ]n.Hm,
Hcp an\naw BtcmKy ]cnc£m \nehmcw Dd¸m¡pw. X-n-cp-h-\-´-]pcw -- 695029
DZmlcW¯n\v kuP\y acp¶pIÄ, ]cntim[\
IÄ A§s\. Cu \nba¯neqsS NnInÕmcwK¯v e-mail: [email protected]
\nb{´W§Ä sImïp hcmw. NnInÕbnÂ, web: www.nammudearogyam.com
{]Xntcm[¯nÂ, A´y ]cnc£IfnÂ, tcmKnIfpsS
]p\c[nhmk¯n A§s\. sam-ss_ B-¹n-t¡-j³ h-gn
\-½p-sS B-tcmKyw hm-bn-¡p-¶-Xn\v:
kzImcy Øm]\§fn NnInÕ tXSp¶
tcmKnIÄ, aäv C³jpd³kv tcmKnIÄ Chscbpw https://play.goo-gle.
CXn Hgnhmt¡ïXnÃ. C¯c¯nepÅ com/store/apps/details?id=com.
\nba§fneqsS s]mXp BtcmKy kwhn[m\§sf
sa¨¸Sp¯m\pw, kzImcy Øm]\§sf smacon.nammudeaarogyam
\nb{´n¡m\pw Ignbpw.
F¶ en-¦v k-µÀ-in-¡pItbm
Cu \nba¯n³ Iogn Hmtcm Xe¯nepw an\naw C-tXm-sSm-¸w \Â-In-bn-«pÅ
\nehmcw Dd¸m¡Ww. kuP\yambn \ÂtIï QR Code k-vIm³ sN-¿p-I-
Ahiy acp¶pIfpsS enÌv, kuP\yambn tbm sN-¿pI.
\ÂImhp¶ ]cntim[\IfpsS enÌv. Ch Ikvä-aÀ sI-bÀ :
Xbmdm¡mw. CsXms¡ ImemIme§fn 0471þ2742266, ]-c-kyw,
]cnjvIcn¡m\pÅ kwhn[m\§Ä, ]ns¶ kmaqly
DSaØmhImiw, kmaqly {]Xn_²X Ch amÀ-¡-änw-Kv : 9400012600
\ne\nÀ¯pI, ]cmXn ]cnlmc kwhn[m\§Ä
DÄs¡mÅn¡pI. A§s\ BtcmKyw kwØm\ like us at https://www.facebook.
`cW¯n³ IognepÅ hnjbamWv. AXn\m com/AdyamArogyam/
kwØm\§Ä¡p Xocpam\n¡mhp¶XmWv. ]t£ join us at https://www.facebook.
CXn\pÅ km¼¯nI t{kmXÊv Isï¯pI com/nammudearogyam.ima
F¶XmWv kwØm\§Ä t\cnSm³ t]mIp¶ follow us at https://twitter.com/
{]iv\w. NammudeArogyam

]e kwØm\§fpw CXn\p ap³]v Cu sabv 2022 | \½p-sS B-tcm-Kyw 35
\nba¯n\v thï {Um^väpIÄ Xbmdm¡nbn«pïv.
cmPØm\p thïn P\kzmØy A`nbm³ F¶
kwLS\, \oXn BtbmKn\p thïn H]n Pn³UmÂ
bqWnthgvknän, Xangv\mSn\p thïn Xangv\mSv
imkv{X t^mdw, 2010 se ..BÊmw ]_vfnIv
sl¯v BIväv. CXn\Is¯ms¡ [mcmfw \Ã
Bib§Ä Dïv. AsXms¡ ]pXnb Hcp RHA ¡p
thïn D]tbmKn¡mhp¶tX DÅq. AXns\¡pdn¨v
Nn´nt¡ï kabambn.

hmÀ²Iyw
kt´mjIcam¡mw

Hä t\m-«¯nÂHät\m-«¯nÂ

hmÀ-²-Iy¯n kÀ-Æ-km-[m-c-W-am-bn I-ïp-hcp-¶ am-\kn-I
{]-iv-\-am-Wv hn-jm-Z-tcmKw. C-Xv t\c-s¯ Xn-cn-¨-dn-ªv Nn-In-Õn¨mÂ
]qÀ-®-ambpw t`Zs¸-Sp¯m³ I-gn-bpw. C-tXm-sSm-¸w a-\-Êns³-d
k-t´m-jw \n-e-\nÀ-¯m-\m-bn H-t«-sd Po-hn-Xssi-eo {I-ao-I-cW-§Ä
io-e-am¡m³ km-[n-¡pw. C-Xph-gn hmÀ-²Iyw B-Ëm-Z-I-c-am¡m³
km-[n-¡pw.

FÃm hÀjhpw amÀ¨v 17 apX 22 hsc Ips¯mgp¡v Xs¶ kw`hn¡mdpïv
"temI kt´mj hmcw' Bbn F¶v temI Ncn{Xw \s½ t_m[y
BNcn¡s¸«p hcp¶pïv. s¸Sp¯p¶p. km¼¯nI {]iv\§fpw
temI lm¸n\kv s^Utdj³ BtcmKykw_Ôamb _p²nap«pIfpw
ap³ssIs¿Sp¯v kwLSn¸n¡p¶ PohnXkmlNcy¯n h¶ amä§fpw
Cu hmcmNcWw temI¯nse hnhn[ Hs¡ a\pjycpsS am\knImtcmKys¯
cm{ã§fn BNcn¡s¸«p hcp¶p. hfsc tZmjIcambn _m[n¡mdpïv.
tImhnUv 19 almamcnbpsS `ojWn Ch Gähpw IqSpXÂ _m[n¡p¶Xv
\ne\n¡p¶ kmlNcy¯n Cu htbmP\§fpsS am\knImtcmKys¯
hmcmNcW¯n\v Gsd {]kànbpïv. Bbncn¡pw. tImhnUv 19 tcmK_m[
Dïmbn AXnÂ\n¶v apànt\Snb
GXv almamcn Ignªmepw XpSÀ¶v hyànIfn 35 iXam\w t]À¡v
am\knImtcmKy {]iv\§fpsS Hcp NnInÕ BhiyapÅ am\knImtcmKy
{]iv\§Ä hcp¶Xmbn A´mcm{ã
36 \½p-sS B-tcm-Kyw | sabv 2022 Xe¯n \S¯nb ]T\§Ä shfns¸Sp
¯nbn«pïv. hnjmZtcmKw, AanX
DXvIWvT, tcmK`oXn, Dd¡anÃmbva,
aZymkàn, HmÀ½¡pdhv XpS§nb
{]iv\§sfms¡ tImhnUv 19 hnapà
cmb htbmP\§fn hym]Iambn

tUm. Acp¬.-_n.-\m-bÀ

Xncp-h-\-´-]pcw saUn-¡Â tImtfPv sskIym{Sn hn`m-K-w s{]m^-kÀ.
{ioNn{X C³Ìn-äyq«v Hm^v saUn-¡Â kb³kn I¬kÄ«³kn
sskIym-{SnÌv ""Advances in psychiatry and medicine'', ""Live, learn, look
bright.'' ]tiya icZ iXw (IYm-k-am-lm-cw) XpS-§n 18 ]pkvX-I-fpsS
IÀ¯mhv. hnhn[ Sn.hn Nm\-ep-I-fnembn cïm-bn-c-¯n-tesd F¸n-tkmUv
BtcmKy kmaq-lnI t_m[-h¡-cW ]cn-]m-Sn-IÄ \S-¯n-bn-«p-ïv. ag-hnÂ
at\m-ca Nm\-ense ""sabvUv t^mÀ Cu¨v AZÀ,'' AarXm Nm\-ense knhnÂ
kÀhokv CâÀhyq amXr-I-bn-epÅ ""h¬ C³ aney¬kv'' XpS-§nb dnbm-enän
tjmI-fnse hn[n-IÀ¯m-hm-bn-cp¶p. hnhn[ ]{X-§-fnepw B\p-Im-enI {]
kn-²o-I-c-W-§-fnepambn Bbn-c-¯n-tesd teJ-\-§Ä {]kn-²o-I-cn-¨n-«p-ïv.
tdm«dn CâÀ\m-j-W shmt¡-j-W FIvk-e³kv AhmÀUv, am\htkh
]pc-kvIm-cw, ]n.tI-i-h-tZhv Zbm_v kv{Io³ AhmÀUv XpS§n \nc-h[n ]pc-
kvIm-c-§Ä e`n-¨n-«p-ïv.
[email protected], mob: 9895129376

Iïphcp¶pïv. am\knImtcmKyw càk½À±w, lrt{ZmK§Ä, hr¡
tamiamIp¶Xv tcmK{]Xntcm[tijn tcmK§Ä, AÀ_pZw XpS§nbhsbms¡
Ipdbm\pw aäv imcocnI tcmK§Ä IqSpX embn Iïphcp¶Xmbpw ]T\
_m[n¡m\papÅ km[yX hÀ²n §Ä hyàam¡p¶p. C¡mcW§Ä
¸n¡p¶p. am\knImtcmKyw tamiamb sImïp Xs¶ almamcnbpsS Cu
htbmP\§fn PohnXssien P\y Ime-L«¯v a\Êns\ kt´mjw \ne
tcmK§Ä Bb {]talw, A[nI \nÀ¯m³ {iant¡ïXv A\nhmcyamWv.

\n§Ä¡v hnjmZtcmKw Dtm?

Ignª cïmgvN Imeambn \n§fp CÃmsX hcnIbpw sN¿p¶ptïm?
sS am\knImhØsb kw_Ôn¨v
Xmsg¸dbp¶ 9 tNmZy§fn 5 F® 6. \n§fpsS Nn´IfpsSbpw {]hÀ¯nI
¯n\v F¦nepw "AsX' F¶v D¯cw fpsSbpw thKX Ipdªp hcp¶ptïm?
BWv \n§Ä \ÂIp¶sX¦n \n§Ä¡v
hnjmZtcmKw Dïv F¶v kwibn¡mw. 7. \n§Ä¡v Imcy§Ä {i²n¨p
sN¿m\pÅ GIm{KX Ipdªp
1. cmhnse sXm«v sshIpt¶cw hsc hcp¶ptïm?
XpSÀ¨bmbn \oïp \n¡p¶ k¦Sw
\n§sf Ae«p¶ptïm? 8. \ncmi, {]Xo£ CÃmbva, Bcpw
klmbn¡m³ Csö tXm¶Â,
2. ap³]v BkzZn¨p sNbvXncp¶ AImcWamb Ipät_m[w, \n§Ä
Imcy§Ä (DZmlcW¯n\v ]{Xw _Ôp¡Ä¡v Hcp `mcamIp¶p F¶
hmbn¡pI, sSenhnj³ ImWpI, tXm¶Â F¶nhsbms¡ \n§sf
BfpItfmSv kwkmcn¡pI) \nc´cw Ae«p¶ptïm?
F¶nhbn \n§Ä¡v XmÂ]
cyanÃmsX hcp¶ptïm? sabv 2022 | \½p-sS B-tcm-Kyw 37

3. \n§Ä¡v \nc´cw AImcWamb
£oWw A\p`hs¸Sp¶ptïm?

4. \n§fpsS Dd¡w Ipdªp
hcp¶ptïm?

5. \n§fpsS hni¸v IpdbpIbpw hfsc
{]nbs¸« `£yhkvXp¡Ä t]mepw
Ign¡m³ \n§Ä¡v Xmev]cyw

9. PohnXw Ahkm\n¸n¡p¶XmWv Dsï¶v kwibn¡Ww.
\ÃXv F¶ Nn´ \n§Ä¡v A\p`h Hcp am\knImtcmKy hnZKv[s\ Iïv
s¸Sp¶ptïm?
Cu ]¯p tNmZy§fn 5 F®w IrXyamb NnInÕ FSp¯m hnjmZ
tcmKw ]qÀWambpw t`Zs¸Sp¯m³
F¦nepw, \n§fpsS Ignª cïmgvN Ignbpw. AXphgn \n§fpsS tcmK
Imes¯ am\knImhØ sh¨v "AsX', {]Xntcm[ iànbpw imcocnI
F¶v D¯cw \ÂIm³ Ignbp¶h BtcmKyhpw sa¨s¸Sp¯m\pw
BsW¦n \n§Ä¡v hnjmZtcmKw km[n¡pw.

kt´mjw e`n¡m³ Nne hgnIÄ

a\Êns\ k´pãambn \ne\nÀ¯m³ Nne Ffp¸hgnIÄ
kzbw sN¿m³ \ap¡v km[n¡pw.

1. F¶pw cm{Xnbn InS¡p¶Xn\p PohnXw F{X A\p{KloXamWv'
sXm«pap³]v Hcp Ubdnbn A¶ F¶p ]dªp sImïv Dd§mw.
s¯ Znhkw \n§fpsS PohnX¯nÂ
kw`hn¨ 3 kt´mjIcamb 2. an¡hmdpw BfpIÄs¡ms¡
kw`h§Ä FgpXn hbv¡pI. PohnX¯nse Gähpw kt´mjIc
\sÃmcp ]m«v tI«tXm, ]gb amb ImeL«w Ip«n¡mew
GsX¦nepw kplr¯v t^m¬ Bbncn¡pw. cm{Xnbn Dd§m³
sNbvXtXm, cpNnIcamb `£Ww InS¡pt¼mÄ ]¯p hbÊn\p ap³]v
Ign¨tXm Hs¡bmImw Cu kw`hn¨ Fs´¦nepw kt´mj
kw`h§Ä. A§s\ khntijamb Ictam ckIctam Bb Hcp kw`hw
H¶pw \S¡m¯ Znhk§fn a\Ên HmÀ¯psImïv I®S¨v
t]mepw \ap¡v ImWm³ Ignbp¶Xpw InS¡pI. A¡met¯¡v a\Êp
tIÄ¡m³ Ignbp¶Xpw \S¡m³ sImïv bm{X sN¿pI. B ckIc
Ignbp¶Xpw izkn¡m³ Ignbp¶Xpw amb A\p`h§fpsS sshImcnI
Hs¡ \à Imcy§Ä Bbn Ubdn AhØ a\Ên Bhmln¨v sImïv
bn tcJs¸Sp¯mw. Cu A\p{Kl ]Xnsb Dd¡¯nte¡v hgpXn hogpI.
§Ä \ãs¸Spt¼mÄ BWtÃm cm{Xnbn Dd§m³ InS¡pt¼mÄ
Ahsbms¡ kt´mjIcamb \mw Ahkm\w Nn´n¡p¶ Imcyw
Imcy§Ä Bbncp¶p F¶v \mw Bbncn¡pw cmhnse DWcpt¼mÄ
Xncn¨dnbp¶Xv. Cu aq¶v \s½ Gähpw IqSpXÂ kzm[o\n
kt´mjIcamb Imcy§Ä ¡p¶Xv. C¡mcWw sImïp Xs¶
FgpXnsh¨Xv Hcn¡Â IqSn hmbn¨p Cu "_meyIme kµÀi\w', F¶pw
t\m¡nbn«v Dd§m³ InS¡mw "Fs³d Dd§pt¼mÄ sN¿p¶Xv a\Êns\
kt´mjIcam¡m³ Gsd
38 \½p-sS B-tcm-Kyw | sabv 2022 {]tbmP\w sN¿pw.

3. PohnX¯nse ]e L«§fnepw
bmsXmcp {]Xn^ehpw CÑn¡msX
\nkzmÀ°ambn \½sf klmbn¨
Hcp]mSv hyànIÄ Dïmhpw.
Ip«n¡me¯v \½psS IgnhpIÄ
Isï¯n t{]mÕmln¸n¨ kl]mTn
IÄ, \½psS KpW§Ä Xncn¨dnªv
\Ã hm¡v ]dª A[ym]IÀ, ]e
coXnbn \s½ klmbn¨ AbÂ

hmknIÄ C§s\ Ht«sd hyàn A`n{]mb§Ä \½psS a\Êns\
IfpsS klmbw kzoIcn¨psImïmWv kt´mjn¸n¡pw F¶Xv XoÀ¨bmWv.
Hmtcm a\pjy\pw PohnXhnPb¯n
te¡v \o§p¶Xv. F¶m ]et¸m 5. F¶pw cm{Xnbn F«paWn¡qÀ
gpw PohnX¯ns³d Xnc¡n\nSbn t\cw Dd§m³ {ian¡Ww. Znhtk\
\s½ klmbn¨hsc \mw hnkvacn¨p Hcp aWn¡qÀ t\cw kqcy{]Imiw
t]mIp¶Xv kzm`mhnIamWv. sImïv eLphmb hymbma§Ä
BgvNbn Hcp Znhksa¦nepw, sN¿m³ ]cn{ian¡mw. ]pXnb
C¯c¯n \s½ klmbn¨ GsX kmt¦XnIhnZyIÄ ]Tn¡mt\m
¦nepw Hcp hyànsb A\pkvacn¡pI ]pXnb Iemcq]§tfm `mjItfm
At±lw Poht\msS Dsï¦n At± ]Tn¡mt\m Hs¡ ]I kabw
ls¯ t^mWn hnfn¨p \½psS \ap¡v hn\ntbmKn¡mw.
\µn {]Imin¸n¡pI. At±lw A´
cn¨p t]mbn F¦n {]XoImßIam 6. hmÀ²Iy¯n Gähpw IqSpXÂ
bn At±l¯n\v \µn {]Imin¸n¨p
sImïpÅ Hcp I¯v \½psS Ubdn kt´mjw Dïm¡p¶ Hcp kwKXn
bn FgpXn hbv¡pI CXv al¯mb
Hcp [mÀanI ip²o IcW {]{Inbbm \½psS kulrZ§fmWv. kvIqfntem
Wv. a\Ênse Alwt_m[w CÃmXm
¡m\pw IqSpXÂ hn\bm\znXcmcmIm tImtfPntem kl]mTnIfmbncp¶
\pw CXv klmbn¡pw.
hyànIfpambn kmaqlyam[ya§fn
4. hmÀ²Iy¯n ]et¸mgpw PohnXw
]eÀ¡pw aSp¯p t]mIp¶Xv eqsS _Ôw \ne\nÀ¯pI.
AXns³d BhÀ¯\hnckamb
kz`mhw sImïmWv. cmhnse tPmensNbvXncp¶ Imes¯
DWÀ¶m F¶pw Htc Imcy§Ä
Xs¶ sNbvXp apt¶m«pt]mhpI kl{]hÀ¯Icpambpw C¯c
bmsW¦n BÀ¡pw aSp¯p t]mIpw.
BtcmKy¯n\v ]cnanXnIÄ¡pÅn ¯nepÅ _豈 XpScmhp¶
\n¶psImïv Xs¶ F§s\ PohnXw
hyXykvXamImw F¶mWv \mw XmWv {]tXyIn¨pw Iuamc¯nepw
BtemNnt¡ïXv. \½psS IgnhpIÄ
Fs´ms¡bmWv F¶v kzbw Nn´n buh\¯nepw DÅ kplr¯p¡Ä
¡m³ {ian¡mw. Fs´¦nepsams¡
_p²n]ctam sshImcnItam Bb amw HutZymKnI ]ZhnIÄ t\Sp¶Xn
IgnhpIÄ \ap¡v Hmtcmcp¯À¡pw
DïmIpw. B IgnhpIfn GsX¦n \p ap³]pXs¶ \½psS kplr¯p¡
epsam¶v Znhtk\ hyXykvXamb
coXnIfn D]tbmKn¡m³ Ä BbhÀ Bbncn¡pw Ahcpam
]cn{ian¡mw. DZmlcW¯n\v \Ã
hmb\mioeapÅ Hcp hyàn Xm³ bpÅ CSs]S XoÀ¨bmbpw a\
hmbn¨ Hcp ]pkvXIs¯ ]än
kmaqlyam[ya§fneqsS Hcp Êns\ sNdp¸ Imet¯¡v \bn¡pw
AhtemI\w \S¯p¶p. AXv
ImWm³ CSbm¡p¶ BfpIÄ C¯cw Imcy§Ä¡v thïn
AXns\¡pdn¨v ]dbp¶ \Ã
Znhtk\ Hcp aWn¡qÀ F¦nepw

sNehnSp¶Xv a\Êns\ BËmZI

camb AhØbnte¡v \bn¡pw

F¶Xv kwibanà | \½p-sS B-tcm-Kyw 39

sabv 2022

Hät\m-«¯nÂhn«p-am-dm-¯
Xp-½-epw aq-s¡m-en-¸pw

A-dnbmw... t\-cnSmw...

Hä t\m-«¯nÂ

• tem-I P-\-kw-Jy-bp-sS 20 i-X-am-\-¯n-e-[n-Iw B-fp-IÄ C-Xn-sâ _p-²n-
ap-«-\p-`-hn-¡p-¶p.

• G-Xp-{]m-b-¡m-cnepw Im-W-s¸-Sm-sa-¦n-epw 20 h-bÊn-t\m-S-Sp-¯ Im-e-b-f-
hn-em-Wv tcm-K-e-£-W-§Ä Iq-Sp-X-em-bn Im-W-s¸-Sp-¶-Xv.

• A-e-À-P-\p-I-fp-sS sNdn-b I-W-§Ä iz-kn-¡p¶-Xp h-gn-bm-Wv A-eÀ-Pn-Iv
ssd-s\-än-kv B-cw-`n-¡p-¶-Xv.

• IrXy-am-bn A-eÀ-Pn-Iv ssd-s\-ä-kn-\v Nn-In-Õ F-Sp-¡m-¯-h-cn A-eÀ-
Pn {]-iv-\-§Ä izm-k-\m-f-¯n-te-bv-¡v _m-[n-¡p-Ibpw A-Xv A-eÀ-Pn-Iv
B-kv-ß-bn-te-bv-¡pw \-bn-¡-s¸-Sp-¶p.

• A-thm-bn-U³-kv sX-dm¸n, t\-k kv-t{]IÄ, C-½yqtWm sX-dm-¸n
F-¶n§-s\ ^-e-{]-Zam-b Nn-In-Õm amÀ-¤§Ä A-eÀ-Pn-Iv ssd-s\-ä-kn-\v
e-`y-amWv.

tUmIvS-td, XhW Cu e£-W-§Ä Iïv tImhnUv
]cn-tim-[-\bpw sNbvXpt\m¡n. ^ew
Xp½epw aqs¡m-en¸pw hn«p-am-dp-¶n-Ã. s\K-äohv Bbn-cp-¶p. Xp½-en-\m-sW-¦nÂ
BZyw sNhn sNmdn-¨n-epw, I®n \n¶pw Hcp Ipd-hp-an-Ã.
shÅ-sa-Sp-¸p-sam-s¡-bm-bn-cp-¶p. Ct¸mÄ
ià-amb aqs¡m-en-¸pw, Xp½-ep-am-Wv. Dd- H.]n-bn I¬kÄt«-j\p h¶ Hcm-
¡-ap-W-cp-t¼mÄ Xs¶ C¯cw _p²n-ap- fpsS A\p-`-h-amWv apI-fn hnh-cn-¨-Xv.
«p-I-fm-Wv.
CtX _p²n-ap-«p-I-fn-eqsS IS-¶p-t]m-
]ïv hÀj-¯n cïp aq¶v Xh-W-bm- Ip¶ H«-\-h[n t]cp-ïv. AeÀPnIv ssd
bn-cp-¶p-sh-¦n Ct¸mÄ BgvN-bn 4þ5 ss\-änkv F¶ tcmKm-h-Ø-bmWv CXn
Znh-k-¯n-e-[nIw {]bm-k-a-\p-`-hn-t¡ïn sâ ]nd-Inse hnó. Iptd-sbms¡ Ah-
hcp-¶p. K-Wn-¨pw, CS-bv¡n-S¡p acp¶p Ign-¨pw,
Hä-aq-en-IÄ¡p ]n¶mse t]mbpw ]ecpw
CS-bvs¡m¶p saUn-¡Â tjm¸n Cu AhØ Xncn-¨-dn-bm\pw NnIn-Õn-
t]mbn H¶p- cïp KpfnI hm§n Ign-¡p- ¡m\pw sshIm-dp-ïv. CXnsâ {][m\
am-bn-cp-¶p. ]t£ Ipd-shm-¶p-an-Ã. ImcWw icn-bmb Ah-t_m-[-an-Ãm-bva-

tImhnUv Ime-L-«-am-b-Xp-sImïv 3þ4

40 \½p-sS B-tcm-Kyw | sabv 2022

tUm. Pn. atljv tZhv
I¬kÄ«â v
]Äat\mfPnÌv
C.Fkv.sF.kn

kvs]jymenän tlmkv]näÂ
FgptIm¬, sImÃw

Mob: 9400768182

bm-Wv. AXn-\m A¸w hni-Z-ambn Pohn-X-\n-e-hm-cs¯ KWy-ambn _m[n-¡p-
Xs¶ \ap¡v t\m¡mw. ¶p-sh-¶-Xnsâ ZrjvSm-´-am-Wv.

F´mWv AeÀPnIv C´y-bn AeÀPnIv ssdss\-änkv
ssdss\-änkv _m[n-XÀ 30% t¯mf-am-Wv. tIc-f¯nepw
ØnXn hn`n-¶-a-Ã.
aq¡nse NÀ½-¯nsâ ho¡w F¶
-XmWv ssdss\-än-kns\ \nÀh-Nn-¨n-cn-¡p tcmK-e-£-W-§Ä
-¶-Xv. CXnsâ Gähpw km[m-c-W-amb
Imc-W-amWv AeÀPnIv ssdss\-än-kv. GXp {]mb-¡m-cnepw ImW-s¸-Sm-sa-¦n-
epw, 20 hb-Ên-t\m-S-Sp¯ Ime-b-f-hn-emWv
temI-P-\-kw-Jy-bpsS GI-tZiw 20% tcmK-e-£-W-§Ä IqSp-X-embn ImW-s¸-
Bfp-IÄ CXnsâ _p²n-ap-«-\p-`-hn-¡p-¶p. Sp-¶-Xv.

CXp-aq-e-ap-ïm-Ip¶ {]Xy-£hpw aqs¡m-en¸v, shÅw t]mse t\À¯
]tcm-£-hp-amb sNehv 11 _nÃy¬ Xc-¯n-epÅ {khw.
tUmf-dn-e-[n-I-am-sW¶Xv F{X-Iïv
Xp½Â.
sNhn, aq¡v, I®v, tae-®m¡v F¶n-hn-
S-§-fnse sNmdn-¨nÂ.
t]mÌv t\k {Un¸v-þ-ayq-¡kv AYhm
aq¡nse {khw t\k Iymhn-än¡p ]nd-
In-eqsS sXmï-bn-te¡v hcp¶ Ah-Ø.
aWw In«m-bvI.
Xe-th-Z-\.
sNhn-th-Z\.

2022 sabv | \½p-sS B-tcm-Kyw 41

I®n \n¶pw shÅw

hcn-I, Nph-¡p-I, XSn-¨p-

h-cn-I.

£oWw, ab-¡w,

AkzmØyw Ch-bpw

Nne-cn CtXm-sSm¸w

ImW-s¸-Sm-dp-ïv.

ta¸-dª e£-W-

§Ä Nne BÄ¡m-cnÂ

hÀjw apgp-h³ ImW-s¸-Sm-dp-ïv.

s]cn-¶n-b ssdss\-änkv (Perennial

Rhinitis) F¶m-Wn-Xns\ hnfn-¡p-¶-Xv.

F¶m aäp Nne-cn Nne kok-Wn aen-\o-I-c-W-hp-sam-s¡-bmWv AeÀPnIv
ssdss\-än-kn\v Imc-W-am-Ip-¶ Gähpw
am{Xw ImW-s¸-Sp-¶p. AXp kok-WÂ km[m-c-W-amb AeÀP-\p-IÄ. Nne-bn\w
Blmc ]ZmÀ°-§-fpw, Nne-Xcw KÔ-
ssdss\-änkv F¶-dn-b-s¸-Sp-¶p. Cu §fpw CXn-te¡v \bn-¡m-dp-ïv.

cïp Ah-ØIfpw IqSn-t¨À¶pw an¡ C¯cw ]ZmÀ°-§Ä DÅn-te-s¡-¯p-
t¼mÄ \½psS {]Xn-tcm[ kwhn-[m-\-
BÄ¡m-cnepw {]I-S-am-Im-dp-ïv. §Ä AXns\ t\cn-Sm³ Bân-t_m-Un-IÄ
D¸m-Zn-¸n-¡p-¶p (IgE) AYhm C½yqtWm
e£-W-§Ä BgvN-bn 4 Xh-W-bn-e- t¥m_p-en³ hn`m-K-¯nÂs¸-Sp¶ Bân-
t_m-Un-I-fmWv AeÀPn-s¡-Xnsc \nÀ½n-
[n-I-tam, \mev BgvN-bn IqSp-Xtem \o ¡-s¸-Sp-I.

ïp-\n¡p-¶p-sh-¦n s]gvkn-Ìâv Cu Bân-t_m-Un-IÄ tImi-§-fnÂ
\n¶pw lnÌ-an³ t]mse-bpÅ \nc-h[n
AeÀPnIv ssdss\-änkv F¶p-]-d-bp-¶p. cmk-h-kvXp-¡Ä ]pd-¯p-hn-Sm³ Imc-W-
am-Ip-¶p. CXp aq¡nsâ DÅnse ]mfn
F¶m \mep Xh-W-bn Ipdhp e£- hoÀ¡p-¶-Xn\pw AXp-hgn t\cs¯ {]Xn-
]m-Zn¨ Xcw e£-W-§Ä Dïm-Ip-¶-Xn
W-§Ä BgvN-bn Dïm-Ip-Itbm, \mev \pw Imc-W-am-Ip-¶p. P\n-X-I-]-c-amb
Imc-W-§fpw AeÀPnIv ssdss\-än-kn-
BgvN-bn Ipdhv \oïp \n¡p-Itbm \p-ïv. IpSpw-_-¯n AeÀPn- {]-iv\-§-
fp-Å-h-cp-sï-¦n B hyàn¡v AeÀPn
sN¿p-¶p-sh-¦n CâÀanâv AeÀPnIv Dïm-Im-\pÅ Imc-W-an-Xm-Wv.

ssdss\-änkv F¶mWv ]d-bp-¶-Xv. Atäm]n (Atopy) F¶v B Ah-Øsb
hnfn-¡mw.- ]m-cn-Øn-XnI LSI§fpw Hcp
Nne hyàn-I-fn Cu ]dª e£- ]¦p hln-¡p-¶p-ïv. Bfp-IÄ ]pI-h-en-
¡p¶ ho«n hf-cp-¶Xpw sNdp-¸-¯nÂ
W-§tfmsSm¸w Xs¶ ZihfÀ¨, ]me Xs¶ s]mSn-]-S-e-§-fm k¼À¡w ]pe
À¯p-¶ kml-N-cy-§-fpw, Ip«n-I-fnÂ
¯nsâ hfhv, aq¡n\p apI-fn Xnc-Ýo-\- AeÀPn Dïm-¡m-\pÅ kml-Ncyw
hÀ²n-¸n-¡p-¶p-sh¶v ]T-\-§Ä sXfn-bn-
amb ]mSp-IÄ (Allergic crease/Allergic Salute) ¨n-«p-ïv.

F¶n-hbpw ImW-s¸-Sm-dp-ïv.

Imc-W-§Ä

Nne ]ZmÀ°-§-tfm-Spw, t{]m«o-\p-I-
tfmSpw ico-c-¯n-\p-ïm-Ip¶ Nne {]Xn-
tcm[ {]hÀ¯-\-§-sf-bmWv AeÀPn
F¶p-]-d-bp-¶-Xv. Chbv¡p Imc-W-am-
Ip¶ hkvXp¡sf AeÀP-\p-IÄ F¶p-
]-d-bp-¶p.

C¯cw AeÀP-\p-I-fpsS sNdnb IW-
§Ä izkn-¡p-¶Xv hgn-bmWv AeÀPnIv
ssdss\-änkv Bcw-`n-¡p-¶-Xv. s]mSn-]-S-e-
§Ä, ]qs¼m-Sn, ]£n-ar-Km-Zn-I-fpsS tcma-
§Ä, Nne ^wK kvt]mdp-IÄ, (]yq¸-
ep-IÄ) sXmgn-en-S-§-fnse s]mSnbpw

42 \½p-sS B-tcm-Kyw | sabv 2022

k¦oÀ®-X-IÄ Fs´ms¡?

BkvXa (AeÀPnIv thcn-bâv)

hn«p-am-dm¯ ssk\-ssk-än-kv.

sNhn, ]gp¸v AYhm Hmss«änkv aoUn-b.

Dd¡ Akz-Ø-X-IÄ.

Atäm-]nIv sUÀ½-ssä-än-kv.

Ch-sbms¡ {][m\ k¦oÀ®-X-I-sf-¦nepw Gähpw km[m-c-W-bmbn ImW-s¸-Sp-¶Xv
AeÀPnIv Bkvß-bm-Wv.

IrXy-ambn AeÀPnIv ssdss\-än-kn\p NnInÕ FSp-¡m-¯-h-cn AeÀPn {]iv
\-§Ä izmk-\m-f-¯n-tebv¡v _m[n-¡p-Ibpw AXv AeÀPnIv Bkvß-bn-te¡pw \bn-
¡-s¸-Sp-¶p. Ime-{I-a-¯n BkvXva \nb-{´W hnt[-b-am-Im-Xn-cn-¡m\pw AeÀPnIv
ssdss\-änkv Imc-W-am-Ip-¶p.

tcmK-\nÀ®bw -t\m-^n Iuïv Chbpw IrXyX Ipd-sh-
¦nepw klm-b-I-amb C³sh-Ìn-tK-j-\p-
IrXy-amb ¢n\n-¡Â lnÌdn AeÀPn I-fm-Wv.
¡v ssdss\-än-knsâ \nÀ®-b-¯n ]ca
{][m-\-am-Wv. AeÀPnIv ssdss\-än-knsâ k¦oÀ®-
X-IÄ kw`-hn-¨n-«ptïm F¶-dn-bm³
GsXms¡ AeÀP-\p-I-fmWv Triggering FIvkvtd, kn.Sn, Fw.BÀ.-sF t]mepÅ
factor Bbn hÀ¯n-¡p-¶Xv F¶-dn-bp- ]cn-tim-[-\-Ifpw Nne-t¸mÄ thïn hcm-
¶Xv NnIn-Õbv¡pw {]Xn-tcm-[-¯n\pw dp-ïv.
klm-bn-¡pw.
ssk\-ssk-än-kv, Zi-h-fÀ¨ XpS-§n-b-
sXmen-¸p-d¯p AeÀPn ]cn-tim-[\ h-bpsS tXmXv Isï-¯m\pw Cu ]cn-
(Skin prick test) AeÀPnIv ssdss\-än-kn\p tim-[-\-IÄ {]tbm-P-\-s¸-Spw.
ImcWw Isï-¯m-\pÅ Hcp D]m-[n-bm-
Wv. aq¡nsâ DÅn \n¶pw tImi-§Ä
FSp¯p ]cn-tim-[n-¡p-¶ t\k ssk
täm-fPn Nne kµÀ`-§-fn aäp D]m-[n-I-
tfm-sSm¸w sN¿m-dp-ïv.

aq¡p-ap-XÂ DÅn-te¡v ]cn-tim-[n¨p
Fs´-¦nepw hfÀ¨-I-tfm, ]me-¯nsâ
hfthm Isï-¯p¶ coXn-bmb ssdt\m-
e-cnw-tKm-kvtIm¸n C¶v {]Nm-c-¯n-ep-ïv.

t\k s{]mht¡-j³ sSÌv F¶
Kth-j-W hn-t[-b-ambn am{Xw sN¿m-dp
Å kt¦-Xhpw tcmK-\nÀ®b D]m-[n-I-
fn s]Sp-¶p.

Hmtcm Xcw AeÀP-\p-IÄs¡-Xn-scbpw 2022 sabv | \½p-sS B-tcm-Kyw 43
DÅ Bân-t_mUn Afhv ]cn-tim-[n-
¡p¶ kvs]kn-^nIv IgE AsÊ (Immuno
cap) asämcp tcmK-\nÀ®b coXn-bm-Wv.

CtXm-sSm¸w cà-¯nse BsI IgE
Bân-t_mUn Afhv (Total IgE), Ctbm-kn

NnInÕbpw {]Xn-tcm-[hpw ImW-s¸-Sm-dp-ïv. AXp-sIm-ïp-Xs¶
Xma-k-Ø-e¯v Ch-bpsS F®w \nb
{]iv\-Im-cn-I-fmb AeÀP-\p-Isf Hgn -{´n-¡p-I.
-hm-¡p-I-bmWv BZy-L-«w. Hmtcm hyàn
-I-fnepw triggering factor Bbn hÀ¯n-¡p¶ sXmgn-en-S-§-fnse ]ZmÀ°-§-tfmSv
AeÀP-\p-IÄ hyXy-kvX-am-bn-cn¡pw AeÀPn DÅ-hÀ amkvIv AsÃ-¦nÂ
an¡-t¸m-gpw. IrXy-amb lnÌdn hgntbm sdkv]n-td-äÀ D]-tbm-Kn-¡-Ww. XpSÀ¶pw
AsÃ-¦n AeÀPn ]cn-tim-[\ Isï Ønc-ambn _p²n-ap-«p-ïm-Ip-¶p-sh-¦nÂ
¯n Hgn-hm-¡p¶ coXn-bmWv AeÀP³ tPmen-bpsS t{SUv amtdïn hcm-dp-ïv.
Athm-bn-U³kv sXdm-¸n.
ià-amb KÔw, ]pI, ^yqwkv F¶n
UÌv ssaävkv t]mse-bpÅ ho«-I-§ -h-tbm-SpÅ k¼À¡w, s]s«-¶p-ïm-Ip¶
-fnse AeÀP-\p-IÄ¡v Athm-bn-U³ Xm]-\ne hyXn-bm-\-§Ä, aen-\-amb
sXdm¸n ^e-{]-Z-am-Wv. InS-¡-hn-cn-I-fpw, A´-co£w Ch Hgn-hm-¡p-I.
Xe-bnW Dd-Ifpw aäpw BgvN-bn Hcn-¡
-se-¦nepw NqSp-sh-Å-¯n IgpIn FSp F¶m H¶n-e-[nIw AeÀP-\p-IÄ
-¡p-I. IrXy-amb CS-th-f-I-fn apdn-IÄ Imc-W-am-bn-«p-ÅXpw IrXyambn Isï
hmIzw ¢o\nwKv sN¿p-I.

apdn-bnse BÀ{ZX 50% apI-fn BIp-
¶Xv UÌv ssa-ävknsâ km{µX hÀ²n-¸n-
¡pw. AXp-sIm-ïp-Xs¶ Uo lpan-Un-^n-
t¡-j-\pw, FbÀI-ïo-j-\nwKpw ^e-{]-
Z-am-Wv.

hfÀ¯p- ar-K-§-fpsS tcma-§fpw aäpw
AeÀPn DÅ-hÀ AXp-am-bpÅ k¼À¡w
Hgn-hm-¡p-I. HEPA ^nÂt«gvkpw aäpw
Øm]n-¡p-I.

hfÀ¯p arK-§sf ipNn-bm¡n ]cn-
]m-en-¡p-I.

]mä t]mse-bpÅ Pohn-I-fpsS i¡
-§-tfmSpw AeÀPn km[m-c-W-bmbn

44 \½p-sS B-tcm-Kyw | sabv 2022

¯n Hgn-hm-¡m³ km[n-¡m-¯-Xp-amb fn FIvkv]o-cn-b³kvUv Bb Hcp Ae
AeÀP-\p-IÄ aqe-apÅ AeÀPnIv ssd ÀPn kvs]jy-enÌnsâ/]Äa-tWm-f-Pn-Ìn
ss\-än-kn\p Athm-bn-U³kv sXdm-¸n sâ \nÀt±-i -{]-Imcw D]-tbm-Kn-¡m-hp¶
-sImïp am{Xw ^ew In«n-Ã. D]m-[n-bmWv C½yqtWm sXdm-¸n. k_v
enw-Kz C½yq-tWm-sX-dm¸n F¶
]e-Xcw ^e-{]-Z-amb acp-¶p-IÄ C¶v satXUv BWv C¶v Ah-ew-_n¨p hcp-¶-
AeÀPnIv ssdss\-än-kn\p e`y-am-Wv. Xv.
Bân-ln-Ì-an³ Kpfn-I-I-fpw, kvt{]I-fp
-saÃmw _p²n-ap-«p-IÄ Ipd-bv¡m³ hfsc UÌv ssaävkn\p FXn-cm-bpÅ ^e-{]-
]cym-]vX-am-Wv. Z-amb C½yq-tWm-sX-dm¸n e`y-am-Wv.
ZoÀL-Imew £a-tbmsS apt¶m«p
ZoÀL-\m-fmbn \oïp-\n¡p¶ AeÀ sImïp t]mtIïn hcp¶ kwK-Xn-bm-
PnIv ssdss\-än-kns\ t\cn-Sm³ aq¡n Wn-Xv. 6þ12 amk-¯n-\p-Ån Bizmkw
{]tbm-Kn-¡m-hp¶ t\k kvt{]IÄ e`n-¡p-¶n-sÃ-¦n 3 hÀj-¯n\p apI-fnÂ
hn]-Wn-bn e`y-am-Wv. ]mÀiz-^-e-§Ä hsc XpS-cm-hp-¶-Xm-Wv.
Xosc Ipd-ª-h-bpw, IqSnb \mÄ tcmK-
\n-b-{´Ww km[y-am-¡p-¶-h-bp-am-W-h. ta hnh-cn-¨-Xp-t]m-se-bpÅ NnIn-
IrXy-amb t^mtfm- A¸v sNbvXp {Ia-am Õm-co-Xn-I-fpw, \qX\ kt¦-X-§fpw D]-
bn tUmkv {Iao-I-cn¨p _p²n-ap-«p-Isf tbm-Kn¨v hfsc ^e-{]-Z-ambn \nb-{´-W-
\nb-{´n-¡m³ Chbv¡p Ign-bpw. ¯n-em-¡m³ Ign-bp-¶-XmWv AeÀPnIv
ssdss\-än-kv.
CtXm-sSm¸w I®n\p iàn-bmb
sNmdn-¨nÂ, Nph¸v F¶n-§-s\-bpÅ tcmK-s¯-¸-än-bpÅ hyà-amb Ah-
AeÀPn {]iv\-§Ä¡v I®n Hgn-¡p¶ t_m-[-hpw, t\c-s¯-bpÅ tcmK-\nÀ®-
XpÅn acp-¶p-Ifpw e`y-am-Wv. bhpw Gsd apJy-am-Wv. CXp a\-Ên-em¡n
Btcm-Ky-]qÀ®-amb PohnXw \bn-¡pI,
C½yqtWm-sX-dm-¸n aäp-Å-h-cn-te¡pw icn-bmb Adn-hp-IÄ
F¯n-¡p-I.
ta¸-dª NnIn-Õm-co-Xn-I-fn Imcy-
amb Bizmkw e`n-¡msX hcn-I-bpw, 2022 sabv | \½p-sS B-tcm-Kyw 45
tcmK-e-£-W-§Ä Ipd¨p Xo{h-amb Ah-
Ø-bn-em-Ip-Ibpw sN¿p¶ kµÀ`-§-

ap´ncn¡peKÀ`w
(MOLAR PREGNANCY)

Hä t\m-«¯nÂ

Hät\m-«¯n Akm[mcWamb Hcp KÀ`mhØbmWv Molar Pregnancy. C¯cw KÀ`w
Hcn¡epw ^e{]ZamImdnÃ. am{XaÃ, A]qÀhambn Choriocarcinoma
F¶ Kuchtadnb Im³kdn\v hgnsXfn¡mdpïv. AXn\m F{Xbpw
s]s«¶v Cu AhØ Iïp]nSn¨v KÀ`w Hgnhm¡Ww. ]sïms¡
hfsc Xmakn¨pam{Xta KÀ`w C¯c¯nepÅXmsW¶v a\Ênem
¡m³ km[n¨ncp¶pÅp. F¶m C¶v 5, 6 Bgv¨am{Xw hfÀ¶ KÀ`w
t]mepw tamfmÀ BsW¶v kvIm³ hgn a\Ênem¡m³ Ignbp¶p.
Vaccum Evacuation \S¯n KÀ`w Aekn¸n¨v Im³kdnÂ\n¶v kwc£Ww
\ÂIm³ Ignbp¶p.

A]qÀhamb,Akm[mcWamb, KÀ`[mcWw Dd¸m¡s¸Sp¶Xv.
A]ISIcamb Hcp KÀ`mhØ {ItaW Ipsdb[nIw tImi§Ä
bmWv ap´ncn¡peKÀ`w. hfÀ¶v placenta (adp]nÅ) F¶
Ahbhw DïmIp¶p. s]m¡nÄs¡mSn
kv{Xo_oPw ]pcpj_oPhpambn F¶ IpgeneqsS HmIvknP\pw aäp
kwtbmPn¨pïmIp¶ {`qWw KÀ` t]mjI§fpw A½bpsS cà¯nÂ
]m{X¯n ]än¸nSn¡pt¼mgmWv \n¶v Ipªntes¡¯n¡p¶Xpw
Ipªnsâ cà¯nÂ\n¶v hnkÀÖy
46 \½p-sS B-tcm-Kyw | sabv 2022 hkvXp¡sf amäp¶Xpw adp]nÅbmWv.
tamfmÀ KÀ`¯n adp]nÅ
km[mcWcoXnbn hfcp¶Xn\p]Icw
H«t\Iw sNdpIpanfIÄ tNÀ¶v
ap´ncn¡peIÄt]mse ImWs¸Sp¶
Hcp Ahbh`mKambn¯ocp¶p.
"ap´ncn¡peKÀ`w' F¶v CXns\
\m«p`mjbn ]dbmdpïv. C¯cw
adp]nÅbv¡v {]hÀ¯\tijn CÃm¯
Xn\m Ipªn\v hfcm³ IgnbnÃ.
F¶m adp]nÅbnse Cu amäw

tUm. `hm\n N{µtiJÀ
1971  Xncph\´]pcw saUn¡Â tImtfPn \n¶pw
sshZyimkv{X¯n _ncpZw t\Sn. XpSÀ¶v tImgnt¡mSv saUn¡Â
tImtfPn \n¶v Un.Pn.Hm sNbvXp. sXmSp]pg Xmeq¡v

slUvIzmÀt«gvkv Bip]{Xnbn tkh\w A\pjvTn¨n«p­ïv.
kÀÆokn \n¶pw hncan¨ tijw sXmSp]pg tlmfn ^manen
tlmkv]näen tkh\w A\pjvTn¨n«pï­v. BtcmKyhpambn
_Ôs¸«v hnhn[ B\pImenI {]kn²oIcW§fn Cw¥ojnepw
aebmf¯nepw teJ\§Ä FgpXnbn«pï­v. "Hcp ssK\t¡mfPnÌnsâ
HmÀ½¡pdn¸pIÄ' F¶ ]pkvXIhpw FgpXnbn«pï­v.

E-mail: [email protected]
M: 98470 42897

tUm. `hm\n N{µtiJÀ A]qÀhamsb¦nepw ktlmZcnamcnepw
ASp¯ _Ôp¡fnepw Cu Akm[mc
AH¡c]ÂpXqtÀcIhwm1X9taI7nfc1mPpmshÂn³bÂ\k´¦\]nnÀ¶epcp(pwwCwshKaoUruionccahrctinaodmnab) W KÀ`mhØ ImWs¸Sp¶Xv
tscsmhKZy¯imkn\v{Xv ¯hgnÂnsX_fncnp¡Zw p¶p. P\nXIImcW§fnte¡v hncÂ
t\kSn. mX[pSmÀc¶Wv tIcmogXntn¡bmnSev pÅ Hcp KÀ`hpw Nqïp¶p. Fsâ kao]hmknIfmb
m{sUX]oamknlUe.aPrqnn¡h¡p.HrmehvÂgssnlpNwtanIUbIcmvXytvIgpBf.znPmªsÀnXÂttm«bSg\tpvk¡]ni¶pv gjmv w.wAAXSpp¯t]mXsve aq¶pktlmZcnamÀ¡pïmb
XBsi¶p]{HXncbpnÂmotlakr phr\egwnAanc\yp¡ptijhpw ap´ncn¡peKÀ`w NnInÂkn¨ A\p`hw
2k^hj0nvTmzchmana¨`nneb¨nm«nhpÊttïilnInv.j\mkkKwpÀÀv]sXÆ`Xnäo[mmekSsnmpÂng]ÂctpWtgb\ktnm¶lwh\m3pkwf5wn mh[byaÊmWn\pv. F\n¡v ad¡m\mInÃ. CXv t\ct¯
tAas\epjtvTbn¨mn«p{ï]mv. bBatpcÅmKyhkp v{XoIfnemWv Xs¶ Iïp]nSn¨v thïh®w
CamXbvn I_ïÔsph¸«cv hp¶nhnX[ v.Bs\sphIIm eyapÅ NnInÂkn¨m KpcpXcamb
]k§jepnInwceÄtpp{jbw]Fakm/gePkpnXb²nn¡mbov{fIXn¯«cpop¶Wï_ne§vX.pow"PHfv tcnm§eÂpoJslCasÄ\rKwp¥\Xroe- g½nannÂcy¡v A\´c^e§Ä 100% Hgnhm¡mw.
It¡mcmWfPnaÌmntsâb¡HmÀm½w.¡tp^dn¸mptfäv, _oäm
IItÄc' mF«¶n³], ptk{]vXmI«ho³pw FFgp¶Xn nhbpsS KÀ`nWnIfpsS adp]nÅbnÂ\n¶v
IbE-pnm«dphaïil:pv.spuIzhmaïvai@v kgmwa`il.hconm¡msa¶v Nne D¸mZn¸n¡s¸Sp¶ Hcp
KMt:h98j470I4À289A7 `n{]mbs¸Sp¶p. tlmÀtamWmWv hCG AYhm lyqa³
tImdntbmWn¡v sKmWmtUmt{Sm]n³.
cà¯nepw aq{X¯nepw hCG
DÅt¸mgmWv pregnancy tests t]mknäohv

sabv 2022 | \½p-sS B-tcm-Kyw 47

BIp¶Xv. cà¯n hCG bpsS Afhv {]iv\§Ä XcWw sNt¿ïn
{IamXoXambn IqSnbm tamfmÀ KÀ`w h¶ncp¶p.
kwibn¡Ww. hCG IqSpt¼mÄ
AanXamb Hm¡m\hpw OÀ±nbpw C¶mIs« an¡hmdpw 5,6 Bgv¨bnÂ
DïmImdpïv. sNdnbcoXnbnepÅ sN¿p¶ BZys¯ kvIm\nwKn¯s¶
càwt]m¡v, AXn sNdpIpanfIÄ tamfmÀ AhØ a\Ênem¡m³
ImWs¸SpI F¶nh tamfmÀ KÀ`w Ignbp¶p. C¯cw KÀ`w Hcn¡epw
kwibn¡m³ ImcWamIp¶p. ^e{]ZaÃm¯Xn\m F{Xbpw thKw
vacuum evacuation F¶ {]{InbbneqsS
tamfmÀ KÀ`¯n ta¸dª Aekn¸n¡p¶p. AXnsâ 7-þ10
Xc¯nepÅ sNdpIpanfIÄ AYhm Znhk§Ä¡ptijw aq{Xw ]cntim[n¨v
sNdnb cysts hfscthK¯n hfsc HCG Csöv Dd¸phcp¯p¶p
IqSpXembn Dïmbn KÀ`]m{Xw (km[mcWbmbn KÀ`w Dtïm
\ndªpt]mIp¶ AhØbnte¡v F¶dnbm³ sN¿p¶ urine pregnancy test
F¯nt¨cp¶p. hbdnsâ hep¸w Xs¶bmWnXv). ]cntim[\m^ew
{IamXoXambn hÀ²n¨v thZ\bpw t]mknäohv F¶pIïmÂ, (aq{X¯nÂ
AkzØXbpw DïmIp¶p. DbÀ¶ hCG Dsï¶p IïmÂ) `mhnbnÂ
càk½À±w, cà¡pdhv, ssXtdmbvUv Dïmtb¡mhp¶ Im³kÀ XSbm³
{KÙnbpsS {]hÀ¯\sshIey§Ä Xo{hambcoXnbn¯s¶ XpSÀ
XpS§nb {]iv\§fpw DïmImw. ]cntim[\Ifpw {]Xntcm[NnInÂkbpw
\ÂIp¶p. hCG tlmÀtam¬ icoc¯nÂ
kvIm\nwKv kuIcysam¶panÃmXncp¶ CÃmXmIp¶Xphsc NnInÂk XpScWw.
ImeL«¯n tamfmÀ KÀ`w Nnet¸msg hfsc A]qÀhambn KÀ`]m{Xw amtäïn
Ãmw hfsc Xmakn¨v, KÀ`w 7, 8 amkw hcmdpïv.
]n¶n«tijw am{Xta Iïp]nSn¨ncp¶p
Åp. C¶s¯t¸mse IrXyamb km[mcW kw`hn¡p¶ At_mÀj
]cntim[\IÄs¡m¶pw an¡hmdpw \pIfn ]eXpw tamfmÀ KÀ`w Bbn
t]À hcmdnÃmbncp¶p. hbÀ hÃmsX cn¡mw. At_mÀj\n FSp¯pamäp¶
hepXmbn Ipªnsâ icoc`mK§tfm hkvXp¡Ä kq£va]cntim[\bv¡phn«v
lrZbanSnt¸m aäpNe\§tfm a\Ênem kwib\nhmcWw hcp¯p¶p. FÃm
¡m³ Ignbm¯ AhØbnemWv At_mÀj\pIfnepw C¯cw ]cntim[
KÀ`nWnbn tamfmÀ KÀ`w kwibn¨ncp \IÄ \ÃXmsW¶mWv Fsâ
¶Xv. s]s«¶pXs¶ IqSpX ]cntim[ A`n{]mbw.
\IÄ sNbvXv Dd¸phcp¯n KÀ`]m{Xw
Ivfo³ sNbvXv XpSÀNnInÂk \S¯nbn At_mÀj³, {]khw, Syq_nÂ
cp¶p. Dïmb KÀ`w F¶nhbv¡ptijw
CS¡nsS DïmIp¶ càwt]m¡v
AanX càwt]m¡v XpS§nb [mcmfw Hcn¡epw AhKWn¡cpXv. km[mcW
KÀ`¯n t]mepw adp]nÅbnÂ
48 \½p-sS B-tcm-Kyw | sabv 2022 tamfmÀKÀ`¯n hcmdpÅ amä§Ä
{]ISaÃm¯ coXnbn kw`hn¨ncn¡mw.

C¯cw kµÀ`§fn tUmÎÀamÀ
Bhiyapsï¶ptXm¶pt¼mÄ
IqsS¡qsS hCG ]cntim[\ \S¯n
Imcy§Ä Xocpam\n¡p¶p. t]mknäohv
^et¯msSm¸w kvIm\nwKnÂ
KÀ`]m{Xhpw AÞmib§fpw
hepXmbn ImWs¸«m XoÀ¨bmbpw

Im³kdnte¡v \o§psa¶v XnÃtÃm. cà¯nse hCG tlmÀtam
A\pam\n¡mw. hCG bpsS Afhv Wnsâ Afhv 40,000 mIU/ml Â
Ipdbp¶ptïm F¶v a\Ênem¡m³ IqSpXembncn¡pt¼mgpw, IotamsXdm
Bgv¨bn 2, 3 {]mhiyw cà]cn ¸n¡ptijw hoïpw Im³kÀ hcp
tim[\ sN¿p¶p. Ipdbp¶nsæn t¼mgpw, Ipªns\ {]khn¨tijapÅ
IotamsXdm¸n, tdUntbj³ F¶nh ImeL«¯n Im³kÀ Iïp]nSn¡
\S¯n Im³kÀ km[yX Hgnhm¡p¶p. s¸Spt¼mgpsaÃmw NnInÂk IqSpXÂ
C\n KÀ`[mcWw thsï¶pXocpam\n {]bmktadnbXmbncn¡pw.
¡p¶hcnÂ, A]qÀhambn am{Xw,
KÀ`]m{Xw \o¡w sN¿p¶p. hfsc A]qÀhambn KÀ`mhØ
bpambn _ÔanÃmsX kv{XobpsS
C¯cw Im³kÀ A[nIw ]SÀ¶p AÞmib¯nepw ]pcpjsâ
]nSn¨n«nsæn ]qÀ®ambpw hrjW¯nepw (testis-AÞmib¯n\p
NnInÕn¨p amäm³ Ignbpw. am{XaÃ, Xpeyambn ]pcpj\nepÅ Ahbhw)
hoïpw km[mcWcoXnbn KÀ`w, choriocarcinoma Iïp]nSn¡s¸«n«pïv.
{]khw F¶nh km[yamIpIbpw
sN¿pw. ]s£ IotamsXdm¸n Npcp¡¯n tamfmÀ KÀ`mhØ
thïnhcpt¼mÄ AXv ]qÀ¯nbmbn t\ct¯ Iïp]nSn¨v NnInÂkn¨mÂ
HcphÀjsa¦nepw Igntª KÀ`w choriocarcinoma F¶ Kuchtadnb
[cn¡mhq. ImcWw ]dbmw. Im³kÀtcmK¯nÂ\n¶v ]cn]qÀ®c£
KÀ`nWnbmIpt¼mÄ cà¯n hCG t\Smw. 5,6 Bgv¨bn¯s¶
tlmÀtam¬ IqSnbncn¡pw. choriocarcinoma tUmÎÀamÀ kvIm\nwKv \nÀt±in¡p¶Xv
F¶ tamfmÀ KÀ`t¯mS\p_Ôn¨p KÀ`w bYmØm\¯pXs¶bmtWm
ïmIp¶ Im³kdnsâ Awiw amdmsX F¶v Adnbp¶tXmsSm¸w tamfmÀ
InS¡pt¼mgpw Cu tlmÀtamWnsâ KÀ`km[yXbptïm F¶ kwibw
Afhv hÀ²n¡pw. AkpJw amdm¯ XoÀ¡m³thïnbpw IqSnbmWv. tamfmÀ
XmtWm KÀ`[mcWamtWm tlmÀtam¬ KÀ`s¯¸äntbm choriocarcinoma
IqSm³ ImcWsa¶v a\Ênem¡m³ sb¸äntbm C¡me¯v A[nIamcpw
IgnbmsX hcpw. AdnbmXncn¡p¶XpXs¶ t\ct¯
Iïp]nSn¨v apfbnte \pÅn¡fbp¶Xp
Choriocarcinoma Dsï¶v ØncoIcn sImïmWv. AXpsImïv KÀ`w [cn¨m
¨m kn.Sn/Fw.BÀ.sF kvIm\pIÄ, epS³ ssK\t¡mfPnÌns\ ImtWïXv
FIvkvtdIÄ F¶nhhgn F{Xam{Xw hfsc BhiyamsW¶v a\Ênem¡pI.
]SÀ¶p F¶v Iïp]nSn¡p¶p.
tÌPv 1Â KÀ`]m{Xw am{Xta _m[n¡ sabv 2022 | \½p-sS B-tcm-Kyw 49
s¸Sp¶pÅp. tÌPv 2 Â KÀ`]m{Xt¯m
SptNÀ¶ncn¡p¶ Ahbh`mK§ÄIqSn
_m[n¡s¸Sp¶p. tÌPv 3emIs«,
izmktImi§fnte¡v ]SÀ¶ncn¡pw.
tÌPv 4Â enhÀ, s{_bn³ XpS§nb
FÃm Ahbh§fnte¡pw tcmKw
hym]n¨pIgnªncn¡pw.

Nne kmlNcy§fn choriocarcinoma
NnInÕn¨p t`Zam¡pI Ffp¸aÃ. enhÀ,
s{_bn³ XpS§nb hnZqcØe§fn
te¡v tcmKhym]\apÅt¸mÄ NnInÕ
ZpjvIcambncn¡pw F¶v ]dtbï

{Ko³ So IpSn¨mÂ
Im³kÀ amdptam?

Hä t\m-«¯nÂHät\m-«¯nÂ

• F´m-Wv {Ko³ So, »m-¡v So, ssh-äv So?
• B³-dn Hm-Iv-kn-U³-dv I-gn-¨m Im³-kÀ a-m-dnÃ.
• F-´m-Wv {^o dm-Un-¡-epIÄ?
• {Ko³ So, »m-¡v So, ssh-äv So F-¶n-h-bn-e-S-§n-bn-cn¡p-¶ B³-dn

Hm-Iv-kn-U³-dv t{]m-¸À-«n-¡v bm-sXm-cp hy-Xym-k-hp-anÃ.

{Ko³ SobpsS KpW§sf¡pdn¨v C¶v Adnhnsâ ASnØm\sa¶p ]dbp¶
hmtXmcmsX ]ecpw kwkmcn¡m tXm ]cky§fpw tkmjyÂ
dpïv. {Ko³ So, Bân HmIvknUâpIfpsS aoUnbbneqsS sjbÀ sNbvXphcp¶
IehdbmsW¶pw AXv Im³kÀ tcmKn t]mÌpIfpw. sshZytaJebn DÅhÀ
IÄ¡v hfsc ^e{]ZamsW¶pamWv t]mepw IrXyamb ]T\§Ä \S¯msX
]ecpsSbpw hnizmkw. AhcpsS C¯cw t]mÌpIÄ {]Ncn¸n¡p¶pïv
F¶XmWv hntcm[m`mkw. F¶mÂ
bYmÀ°¯n F´mWv {Ko³ SobpsS
KpWtZmj§Ä F¶v \ap¡v ImWmw.

50 \½p-sS B-tcm-Kyw | sabv 2022 {Ko³ SosbIpdn¨pÅ

Nne A_² {]NmcW§Ä

Ignª {InkvXpakv Ah[n¡me¯v
kqcys\Ãnbnte¡v Rm³ Hcp bm{X
t]mbn. aq¶mdnse Xs¶ Gähpw
DbÀ¶ tXbne tXm«amb sImfp¡p
aebpw A¶v kµÀin¨ncp¶p.
bm{X Ignªv aS§th ]membnepÅ
Hcp kplr¯nsâ `h\w kµÀin¨v