Apr 2021

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

hmeyw 22 e-¡w 4
2021 G{]n ` 25

Ipªp-§Ä¡v s]mXpP\mtcmKyw
kvamÀ«vt^m¬ sImSp-¡-tÃ..... sa¨s¸Sp¯p¶hsc
]co£-IÄ \-¶m-bn F-gpXmw
Xeap-Sn-sb kw-_-\v-[n¡p-¶ sXcsªSp¡pI
Ip-td Im-cy§Ä



apSn-bn-g-IÄ
\jv-S-s¸-«-hÀ
C-\n
hn-j-an-t¡@ !!

V.V.PRAKASH

WIG DESIGNER

Hcp tIm¸n-¡v hn-e 25 cq] am{Xw

2 hÀ-jw : 470 cq-] h-cn-kw-Jy

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

3 hÀjw : 720 cq-]

29 am-k-t¯-bv¡p-Å
hn-e am{Xw

(7 e¡-§Ä ku-P-\y-am-bn
e-`n-¡p¶p)

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

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

(sN-¡v k-zo-I-cn-¡p-¶XÃ)

FUn-täm-dnbÂ

H¸sa-¯m¯-hÀ

tUm. Sn. kp-tc-jv IpamÀ
No-^v F-UnäÀ-

\-½p-sS km-aq-ly-hy-h-kvY-sb k-aq-ew am-än-adn-¨
N-cn-{X kw-`-h-am-bn-cp-¶p tIm-hn-Uvþ19.
]-g-b io-e-§fpw hy-h-kv-Y-Ifpw Po-hn-Xhpw A-\y-am-Ip-Ibpw
]pXn-b io-e-§fpw k-{¼Zm-b-§fpw Po-hn-Xhpw ]I-cw h-cn-Ibpw
sN-bvXp.

]-g-b-XnÂ-\n-¶v ]p-Xn-b-Xn-te¡p-Å am-ä-¯n-\-\p-kr-X-am-bn
Po-hn-Xw \-bn¡m³ ]-eÀ¡pw I-gnªp.

F¶m ]p-Xn-b-Xp-am-bn `u-Xn-I-ambpw am-\-kn-I-hp-am-bn
Xm-Zmßyw {]m-]n¡m³ I-gn-bm-¯-hcpw \-½p-sS-bn-S-bn-epïv.

H-¸-sa-¯m-¯h-sc \-½Ä hn-kv-a-cn-¡-cpXv.
k-ap-lhpw kÀ-¡mcpw \-½Ä Hm-tcm-cp-¯cpw A-hÀ-¡v Xm§pw
X-W-ep-am-IWw.
k-hn\bw

2021 G{]n | \½p-sS B-tcm-Kyw 5

10 kv{XoIfpw aZy-]m-\hpw 2021 G{]nÂ
tUm. ]n.F³. kp-tc-jv IpamÀ hmeyw 22
e-¡w 4
14 MLþÂ \n¶pw XXXLþte¡pÅ
hn-e: 25 cq]
{]bmWw, Cu hn]-¯ns\ Xncn-¨-dn-bpI
No^v FUn-äÀ
tUm. sI.C. F-en-k_¯v tUm. Sn. kp-tc-jv IpamÀ

18 sk{I-«dn Iw {S-j-dÀ
tUm. Fw. ap-c-fo-[-c³
tImhnUv ]Tn¸n¨
]mT§Ä FUn-täm-dn-b t_mÀUv
tUm. sI.F. IpamÀ
tUm. kPnIpamÀ. sP tUm.cmPohv PbtZh³
tUm. Fw.F³. ta-t\m³
26 Im³kÀ NnInÕbpw tUm. hn.Pn. {]-Zo-]v IpamÀ
tUm. ctaiv.- F-kv.- tj-Wmbn
NnInÕm hn`mK§fpw tUm. Acp¬ _n.-\m-bÀ
tUm.- k-Pn-Ip-amÀ sP.
tUm. sI. N{µtaml³
D]-tZ-iI k-anXn
30 hmin ]nSn¨v Ic-tªm-s«, tUm. ]n.Sn. k-¡dn-b

F¶mepw Ipªp-§Ä¡v ({]kn-Uâ v, sF.-Fw.-F. tIcf)
kvamÀ«vt^m¬ sImSp-¡-tÃ.....
tUm. F{_lmw hÀ-Kokv
tUm. Fw. sI. kn. \mbÀ
(ap³ kw-kvYm-\ {]-kn-U³dv, sF.Fw.F)
40 h³Ip-SÂ þ aem-ib Im³kÀ
tUm. BÀ.hn. A-timI³
t_m[-h¡-c-W-amkw
(ap³ tZio-b sk-{I«-dn P-\dÂ, sF.Fw.F.)
tUm. tPmtPm hn. tPmk^v
tUm. ]n. tKm-]n-IpamÀ
46 ]co£-IÄ \-¶m-bn F-gpXmw
tUm. Acp¬ _n. \mbÀ (sk-{I-«dn, sF.-Fw.-F. tIcf)

50 k¦c sshZy¯ns³-d tUm. hn. bp. koXn
tUm. BÀ. c-tav
B-´cn-I ssh-cp-²y§Ä tUm. {]-im-´v kn.hn.

tUm. Fw. ap-c-fo[c³ (ap³ No-^v F-UnäÀ)

6 \½p-sS B-tcm-Kyw | 2021 G{]n hc
kp[oÀ \mYv, \yq-UÂln

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

amÀ-¡-änwMv
ssj-Pp Fkv. \mbÀ

ssS¸v skänwKv:
KoX

{]nâ nwKv :
ap{Z in-h-Imin

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

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

84 Zbm-h[w Nne Nn´-IÄ
tUm. A_vZp _mcn

58 Xeap-Sn-sb kw-_-\v-[n¡p-¶

Ip-td Im-cy§Ä

tUm. {io-tc-Jm ]-Wn¡À

63 Pohn-X-ssi-enbpw 90 ^pUv AUn-änhvkv
Im³-kÀ tcm-Khpw tUm. A\n-X taml³

tUm. Inc¬ Fw.Un

66 henb t{]mtÌäv {KÙn (>100gm)

tekÀ NnInÕm coXn-

tUm: lcntKmhnµv s]mXntbS¯v

70 \½psS icoc¯n 92 izmk-tImi

Ibdn¡qSp¶ A\y hkvXp¡Ä càm-Xn-k-½À±w

tUm. Fw. hn. tPmÀÖv

tUm.- sI. thWp-tKm-]mÂ

76 "I¬aWnsb Im¡mw IcpXtemsS' 94 KÀ`Imehpw OÀ±nbpw
tUm. BÀ. A\p]a
BZys¯ 1000 Zn\§Ä

{ioaXn. civan hn.BÀ

82 Im apdn¨p amämsX Xs¶ 97 Hcp hÀ-¡v H-gn-hmbn!
Ub-_-änIv q«n \n¶pw c£ t\Smw; tUm. Sn. kp-tc-jv IpamÀ

ssl¸À _mcnIv HmIvkn-P³ sXdm-¸n-bn-eqsS slÂ-¯v Iznkv 25
hmb\¡mcpsS I-¯p-IÄ 75
tUm. A-Pn-Xv IpamÀ
2021 G{]n | \½p-sS B-tcm-Kyw 7

sF. Fw. F s]mXpP\mtcmKyw
\ne]mSpIÄ sa¨s¸Sp¯p¶hsc
sXcsªSp¡pI
tUm. ]n. Sn. k¡dnb
kwØm\ {]knUâv tIc-f-¯n-se \n-b-ak-`m sX-c-sª-Sp-¸v B-k-¶-am-bn-cn
sF.Fw.F tIcfw -¡p-I-bmWv. kwØm-\s¯ thm«À F¶ \ne-bnÂ
\n§-fpsS k½-Xn-Zm\ Ah-Imiw Gähpw ^e-{]Zamb
[email protected] coXn-bn F§s\ D]-tbm-Kn-¡Ww F¶v Nn´n-¨n
-«ptïm? C´y³ saUn-¡Â Atkm-kn-tb-js\
tUm. ]n. tKm]nIpamÀ kw_-Ôn-¨n-S-t¯mfw Btcm-Ky-cw-K¯v, {]tXy-In¨v
kwØm\ sk{I«dn s]mXp-P-\m-tcmKy cwK¯v, thï ]ptcm-KXn Dïm-Im-
sF.Fw.F tIcfw \pÅ \b-]-cn-]m-Sn-IÄ Bkq-{XWw sNbvXp \S-¸m
-¡p¶ Hcp Kh-s×âmWv Bh-iyw. Ignª hÀjw,
[email protected] tImhnUv alm-amcn \½psS kwØm\¯pw \½psS
cmPy¯pw temI¯m-I-am-\hpw ]SÀ¶p-]n-Sn-¨p-sIm-ïn-cn
-¡p¶ Ah-Ø-bn AXns\ {]Xn-tcm-[n-¡p-¶-Xn-\v
thï ap³I-cp-X-ep-IÄ FSp-¡p-¶Xn hfsc
Bkq{XnXamb \o¡-§Ä sNbv-X kw-kv-Ym-\-amWv
tIc-fw. Hcp]t£ tImhnUv alm-am-cnsb \Ã coXn-bnÂ
\ntcm-[n-¡m³ Ignªp F¶p-]-d-bmw. ]t£ Hcp-]Sn
IqSn IS¶v A¯-c-¯n Hcp alm-amcn, ]IÀ-¨-hym[n
]SÀ¶p-]n-Sn¡mXncn-¡m³ DÅ ap³I-cp-X- (Prevention is
better than cure) tcmK-{]-Xn-tcm[amWv tcmKNnIn-Õ-tb
-¡mÄ {]m[m-\y-aÀln-¡p-¶-Xv F¶ B]vX-hmIyw
a\-Ên Iïp-sImïv, Cu tcmKw hcm-Xn-cn-¡m-\pÅ
ap³I-cp-X-ep-IÄ sN¿p¶ coXn-bn s]mXp-P-\m-tcmKy
cwKw iàn-s¸-Sp-t¯ï Npa-X-e-bmWv kÀ¡m-cn-\p-Å-Xv
F¶-XmWv C´y³ saUn-¡Â Atkm-kn-tb-j-sâ
A`n-{]m-bw.

A¯-c-¯n Nn´n-¡p-t¼mÄ, s]mXp-P-\m-tcmKy
]cn-]m-Sn-IÄ, {]Xn-tcm[ {]hÀ¯-\-§Ä Icp-]n-Sn-¸n
-¡p¶-Xn\v DX-Ip¶ Øm\mÀ°n-IÄ BI-Ww Pbn-t¡
-ïXv. Ah-cm-bn-cn-¡-Ww kÀ¡m-cns\ \bn-t¡-ï-Xv,
hIp-¸p-Isf \bn-t¡-ïXv. F¦n am{Xsa \mw Dt±-in
-¡p¶ ^ew ImWm³ km[n-¡q. hfsc kt´m-j-I-c
-sa¶v ]d-bt«, Cu sXc-sª-Sp-¸n B[p-\nI sshZy
-im-kv{X-¯nsâ hàm-¡-fmbn Btdmfw tUmIvSÀamÀ
aÕ-c-cw-K-¯p-ïv.

hnhn[ ap¶-Wn-I-fn s]«-h-cm-sW-¦nepw s]mXp-P-\m-tcm-Ky¯n\pw
tcmKm-h-Ø-IÄ¡pw ap¶Wn _豈 CÃm-¯-Xn-\m Ah-cn-emcv
Pbn¨v h¶mepw, Bcv A[n-Im-c-¯n Ccp-¶mepw tcmK-{]-Xn-tcm-[-
¯n\pw s]mXp-P-\m-tcm-Ky-¯n\pw DX-Ip¶ coXn-bn-epÅ \b-§Ä
cq]o-I-cn-¡m³ Ah-cpsS sshZKv²yw Imc-W-amIpw F¶p-Å-Xp-sIm-ïp
-Xs¶ A¯cw Øm\mÀ°n-Isf hnP-bn-¸n-t¡-ïXv \½p-sSsbms¡
IS-a-bm-sW¶v C´y³ saUn-¡Â Atkm-kn-tb-j³ hniz-kn-¡p-¶p.
tUmIvSÀam-cm-bpÅ Øm\mÀ°n-Isf ssIb-bªv t{]mÕm-ln-¸n-
¡m\pw Ahsc hnP-bn-¸n-¡p-¶-Xn\v thï ]n´pW \ÂIp-¶-Xn\pw
C´y³ saUn-¡Â Atkm-kn-tb-j³ XXz-¯n Xocp-am-\n-¨n-«p-ïv.

tIc-f-¯nsâ s]mXp-P-\m-tcmKyw ho£n-¡p¶ BÀ¡pw Chn-Ss¯
sshZy-imkv{Xw X¶ kw`m-h-\-Isf Xncn-¨-dn-bm³ km[n-¡pw.
temI-¯nse hnI-knX cmPy-§-fpsS BtcmKy kqNn-I-IÄ
A\p-hÀ¯n-¨ph-cp¶ Hcp kwØm-\-amWv \½psS tIc-fw.
aäv C´y³ kwØm-\-§-fn \n¶v hfsc hyXy-kvX-amb kml-N-cy-§
-fmWv tIc-f-¯n \ne-hn-ep-Å-Xv. CXnsâ ASn-Øm\ ImcWw tIc-f
-¯nse hnZym-`ymk \ne-hm-chpw AXp-t]mse Xs¶ Chn-Ss¯ P\-§
-fpsS Btcm-Ky]cn-]m-e-\-¯n-\pÅ {i²bpw BWv. tIc-f-¯nse
P\-§-fpsS BbpÀssZÀLyw 73\pw 79\pan-S-bn-em-sW-¦n tZiob
icm-icn 60\v Xmsg-bm-Wv. CXnsâ {][m\ ImcWw Btcm-Ky-
]-cn-]m-e-\-¯n tIc-f-P-\X sN¿p¶ AsÃ-¦n tIc-f-P-\-X-bv¡pÅ
Adnhv Xs¶-bmWv F¶v ]d-tb-ïn-h-cpw. A¯-c-¯n \à Btcm-Ky
-kq-Nn-I-IÄ XpSÀ¶v \ne-\nÀ¯p-¶-Xn\pw A\p-tbm-Py-amb BtcmKy
]²-Xn-IÄ Bhn-jv¡-cn-¡-s¸-tS-ï-Xp-ïv. {]Xn-tcm[ k¶m-l-§Ä
Hmtcm-cp-¯-cnepw F¯n-t¡-ï-Xnsâ Bh-iy-I-X-bp-ïv.

tImhnUv alm-amcnbpsS Cusbmcp L«-¯n AXn-s\-XnscbpÅ
hmIvkn-t\-j³ \S¶p hcn-I-bm-Wv. C´y-bn Xs¶ Gähpw IqSp-XÂ
P\X hmIvkn-t\-j³ sN¿-s¸-Sp-¶Xv tIc-f-¯n-em-sW¶v \-ap-¡-dn-bmw.
Gähpw IqSp-X AsÃ-¦n Cu alm-amcn sImïv Gähpw Ipdhv
a\p-jy-Po-h-\p-IÄ \jvS-s¸-«Xv tIc-f-¯n-em-Wv. CXn-sâ-sbÃmw
{][m\s¸« ImcWw Cu kwØm-\s¯ P\-§-fpsS imkv{Xm-h-t_m[w
Xs¶-bm-Wv. AXp-sImïv imkv{Xm-[n-jvTn-X-amb Nn´mKXn
h¨p-]p-eÀ¯p-¶-hcpw imkv{X-k-Xy-§sf apdpsI ]nSn-¨v ]ptcm-K-Xn¡v
thï hnI-k\ {]hÀ¯-\-§Ä \S-¯p-¶hcp-am-b-hsc thWw
\½psS kwØm-\s¯ \bn-¡m-\mbn \mw Pbn-¸n¨p hntS-ïXv
F¶mWv C´y³ saUn-¡Â Atkm-kn-tb-jsâ kpNn-´n-X-amb
A`n-{]m-bw.

AXn-\p-thïn \mw Hmtcm-cp-¯cpw Cu kwØm-\-¯nsâ ]uc³
F¶p-ff \ne-bn \½psS ISa \nÀh-ln-¡-W-sa¶pw Gähpw hne-s¸«
\½psS k½-Xn-Zm\ Ah-Imiw C¯cw Imcy-§Ä¡p-thïn icn-bmb
coXn-bn hn\n-tbm-Kn-¡-W-sa¶pw A`yÀ°n-¡p-hm³ IqSn
Cu Ah-kcw hn\n-tbm-Kn-¡p-¶p. C´y³ saUn-¡Â Atkm-kn-tb
-jsâ hnP-bmi-w-kIÄ t\À¶p-sImïv,............

2021 G{]n | \½p-sS B-tcm-Kyw 9

kv{XoIfpw aZy-]m-\hpw

aZy-]m\w ]pcp-jsâ am{Xw Ip¯-I-bm kv{XoI-fpsS aZy-]m-\-tcmKw
-bn-cp¶ Imew Ign-ªp-t]m-bn. BWn
-s\-t]mse s]®pw C¶v tPmen sN¿p tIc-f-¯n kv{XoIfsS aZy-]m-\m-
-¶p, ss]k k¼m-Zn-¡p-¶p, kz´w cw`w s]s«-¶p-ïmb Hcp amä-a-Ã.
Imen \n¡p-¶p. Ccp-hcpw Xpey ]sïms¡ AXn-k-¼-¶-cpsS kzImcy
-cmWv F¶ Nn´m-coXn \nÀ`m-Ky-h-im hncp-¶n am{X-amWv kv{XoIÄ¡v aZyw
aZym-]m-\-io-e-¯n-te¡pw ]IÀ¶p F¶v cpNn-¡m³ Ah-kcw e`n-¨n-cp-¶-Xv.
]d-bmw. tkmjy {Un¦nMv Ìmä-knsâ F¶m Ime-{I-taW aZy-¯nsâ Imcy
Xs¶ `mK-ambn kv{XoIfpw aZyw -¯n kv{XoIÄ¡v ap¼n-ep-ïm-bn-cp¶
cpNn-¨p-Xp-S-§n-bn-cn¡p¶p. tIc-f-¯nse kmaq-lnI XS-Ê-§-sfÃmw \o§n-s¡m
kv{XoI-fn 3.5% elcn ioe-¡m-cm-sW -ïn-cn-¡p-I-bm-Wv. 1990-þ-I-tfmsS aZyw
-¶-XmWv sR«n-¡p¶ Hcp hkvXp-X. tami-s¸-«-Xm-sW¶ Nn´m-KXn amdm³
am{X-aà aZy-]n-¡p¶ kv{XoI-fpsS F® XpS-§n. 2000-þ-t¯msS kmaq-lnI hne
-¯n 10 hÀj-¯n-\nsS \men-c«n hÀ² -¡p-I-sfÃmw \o§n- k¼-¶-hÀ¤w sN¿p
-\-hp-ap-ïm-bn. -¶-sXÃmw X§Ä¡pw sN¿mw F¶ Hcp
Nn´m-KXn cq]w-sIm-ïp. AtXmsS
10 \½p-sS B-tcm-Kyw | 2021 G{]n tkmjy {Un¦nwKv ]pcp-j³amÀ¡p
am{X-aà R§Ä¡pw BImw F¶p
kv{XoIÄ Nn´n-¡m³ XpS-§n.

tamtU¬ sse^nsâ `mK-ambn
R§Ä knän-tKÄkn\v aZyw Ign-¡p-¶
-Xn sXsäm-¶p-anà F¶p Nn´n-¡p¶
hn`m-K-hp-ap-ïv. BWp-§Ä¡v IpSn-¡m-sa
-¦n R§Ä s]®p-§Ä¡pw IpSn-¨p
-IqtS F¶p hmZn-¡p¶ kv{XoI-tfbpw
C¶v kaq-l-¯n ImWm³ Ign-bpw.
]pcp-j³ Xs¶ thï-t]mse kvt\
ln-¡p-¶n-Ã, ]cn-K-Wn-¡p-¶nà F¶
tXm¶-epw, IpSpw-_-_-Ô-¯n-epÅ
XIÀ¨bpw k¼-¶-hÀ¤-¯nÂs]« Hcp
hn`mKw kv{XoIsf aZy-¯n-te¡v
\bn-¡p-¶p-ïv.

kv{XoIsf henb tXmXn-epÅ
aZy-]m-\-¯n-te¡v \bn-¡m-Xn-cn-¡m³

tamtU¬ sse^nsâ `mK-ambn R§Ä knän-tKÄkn\v
aZyw Ign-¡p-¶-Xn sXsäm-¶p-anà F¶p Nn´n-¡p¶
hn`m-K-hp-ap-v. BWp-§Ä¡v IpSn-¡m-sa-¦n R§Ä

s]®p-§Ä¡pw IpSn-¨p-IqtS F¶p hmZn-¡p¶
kv{XoI-tfbpw C¶v kaq-l-¯n ImWm³ Ign-bpw.

cïv Imcy-§-fp-ïv. kv{XoIÄ¡v aZyw kpe-`-ambn mob: 9846250696
In«m-\pÅ _p²n-ap-«m-Wv Hcp {][m\ Imc-Ww.
cïm-a-Xv, AYhm Hcn-¡Â IpSn-¨m Xs¶ hoïpw
XpSÀ¨-bmbn IpSn-¡m-\pÅ kml-Ncyw kv{XoIÄ¡v
e`n-¡m-dn-Ã. Hcp-]t£ tIc-f-¯n \ne-\n¡p¶
kmaq-ly-t_m-[-amWv Cu hne-¡n\v Imc-Ww. ]t£ Cu
hne¡v {ItaW \½psS kaq-l-¯nÂ\n¶pw A{]-Xy-£
-am-bn-s¡m-ïn-cn-¡p-I-bm-Wv. Ct¸m-gs¯ \yqP³ kn\n-a-
I-fn kv{XoIÄ ]c-ky-am-bn-cp¶v aZy-]n-¡p-¶Xv
ImWm³ km[n-¡pw. ]e hoSp-I-fnepw aZy-Ip-¸n-IÄ
Ae-¦-cn¨v sh¨v Hcp ^manen _mÀXs¶ skäv sN¿p
-¶Xv Hcp Ìmäkv kn¼-embn amdn Ign-ªn-«p-ïv.

]sïms¡ kzIm-cyX Dd-¸m-¡n-s¡m-ïm-bn-cp¶p
kv{XoI-fpsS aZy-]m\w. F¶m C¶v AsXms¡ amdn.
{][m\ \K-c-§-fnse {]apJ ¢_pI-fn ]c-ky-ambn
aZy-]n-¡p¶ kv{XoIsf Ct¸mÄ \ap¡v ImWm³ km[n
-¡pw. F¶m `qcn-`mKw t]cpw s]mXp-th-Zn
-I-fn aZy-]n-¡p-¶nà F¶-XmWv Bizm-k
-I-c-amb Imcyw. tImtfPv hnZymÀ°n-IÄ,
s{]m^-j-W-ep-IÄ, ho«-½-amÀ F¶n-h
-scms¡ kv{Xoa-Zy-]m-\n-I-fpsS hn`m-K-¯n
-ep-ïv. tlmÌ-ep-I-fn Xma-kn-¡p¶
Ip«n-Ifpw hmS-I-ho-«n Xma-kn-¡p¶
DtZym-K-Ø-h-\n-X-Ifpw Hs¡ Iq«mb
aZy-]m-\-¯nsâ ]mX-bn-em-Wv.

sF.-Sn. ]mÀ¡p-I-fpsS hc-hmWv ]mÀ«n
{Un¦p-IÄ F¶ ]pXnb ]cn-]m-Sn \½psS
bph-Xzs¯ ]cn-N-b-s¸-Sp-¯n-bXv.
sNdp-{]m-b-hpw, Bh-iy-¯n-e-[nIw
ssI¿n hcp¶ ss]kbpw sF.-Sn. taJ-e-bnse
GsXmcp sIm¨p ]cn-]m-Snbpw aZy-¯n IpXnÀ¶
BtLm-j-am¡n amäp-¶p. Cu Ah-kcw kplr-¯p-¡
-tfm-sSm¸w BtLm-jn-¡m³ bphm-¡-tfm-sSm¸w bph-Xn
-Ifpw ]¦p-tN-cp-¶p. IqSmsX sF.-Sn. taJ-e-bnÂ

2021 G{]n | \½p-sS B-tcm-Kyw 11

kwLÀj-§sf AXn-Po-hn¨v H¶v hcp-¶-Xv. aZym-k-àn¡v NnInÕ tXSp
dnemIvkv sN¿m³ thïn aZyw XpS-§n-h -¶Xv am\-t¡-Sm-sW¶ tXm¶epw,
-¡p¶ bph-Xn-I-tfbpw \ap¡v ImWm³ ]pd-¯-dn-ªm kaq-l-sa-§ns\
Ign-bpw. {]Xn-I-cn-¡p-sa¶ tXm¶-ep-amWv Chsc
NnIn-Õ-bn \n¶pw ]pd-tIm«p hen-¡p
ico-c-¯n sImgp-¸nsâ Afhv IqSp -¶-Xv. AXp-sImïv Xs¶ Ch-sc-¡p-dn
-Xepw Pemwiw Ipd-hp-ambXn\m aZyw -¨pÅ hyà-amb IW-¡p-IÄ C¶v
kv{XoI-fn thK-¯nepw Xo{h-ambpw e`y-a-Ã. A½-am-cpsS aZy-]m\w Ip«n-I-sf
{]hÀ¯n-¡pw. AXp-sImïv sNdnb -bmWv Gähpw {]Xn-Iq-e-ambn _m[n-¡p
tXmXn aZy-]n-¨mÂt]mepw kv{XoIÄ -I. Aѳ IpSn-b-\m-sW-¦n aI³
Ffp¸w aZy-e-l-cn¡v ASna-s¸-Smw. hgn-sX-ämsX t\mt¡ï A½-amÀ AtX
]sïÃmw GsX-¦nepw BtLm-j-k-a ]mX Xnc-sª-Sp-¡p-t¼mÄ Znim-t_m[w
-b¯v ]pcp-j³amÀ aZy-Ip¸n ho«n \jvS-s¸-Sp-¶Xv \½psS `mhn Xe-ap-d
sImïp-h-¶m kv{XoIÄ FXnÀ¡p-am -bv¡m-bn-cn-¡pw.
-bn-cp-¶p. C¶v kt´m-j-t¯msS kzoI-cn
-¡p¶ kv{XoIsf ImWm³ km[n-¡pw. kplr-¯p-¡-fpsS IqsS t]mbn
]sïÃmw sSd-kn cm{Xn ka-b¯v ]mÀ«n-bn ]s¦-Sp¯v aZyw Ign¨v
cl-ky-ambn \S-¯n-bn-cp¶ aZy-k t_m[w \in¨v Iq«-_-emÂkw-K-¯n\v
¡mcw ]«m-]-IÂ hoSnsâ t{UmbnwKv hnt[-b-cmb bph-Xn-Ifpw C¶v \½psS
dqan-te¡v amdn-I-gn-ªp. C{Xbpw kmaq kaq-l-¯n-ep-ïv. IpSn-¡p¶ s]®v
-ln-Imw-Ko-Im-c-apÅ aZy-]m-\-¯n F´n\pw hg§pw F¶ ]pcpj ImgvN
kv{XoIfpw Aev]-sams¡ `mK-`m-¡m-hp -¸m-SmWv CXn\v tNtXm-hn-Im-cw.
-¶-Xn sXsäm-¶p-anà F¶mWv
C¶s¯ \ne-]m-Sv. ^oä B¡-tlmÄ kn³t{Umw

tPmen k½À±w, ]¦m-fn-bp-am-bpÅ KÀ`n-Wn-bmb A½-amÀ aZy-]n-¨mÂ
{]iv\-§Ä CsXÃmw kv{XoIsf aZy- Ipªp-§Ä¡p-ïm-Ip¶ imco-cn-I-þ-am-\
]m-\-¯n-te¡v \bn-¡p¶ ]tcm-£-amb -knI {]iv\-§-sfbmWv ^oä B¡
Imc-W-§-fm-Wv. PohnXw tamtU¬ -tlmÄ kn³t{Umw F¶p ]d-bp-¶-Xv.
BI-W-sa-¦nÂ, \¶mbn Bkz-Zn-¡-W-sa A½-bpsS ico-c-¯n-se-¯p¶ aZyw
-¦n aZyw-IqSn thW-sa¶ kv{Xo ]£-
hp- ap-ïv. F´m-bmepw tIc-f-¯nsâ
sXt¡-bäw apXÂ hS-t¡-bäw hsc
t\m¡n-bm GXp taJ-e-bnepw kv{Xo
aZy-]m\w ImWm-\m-Ipw.

NnInÕ tXSp¶-hÀ

Ignª F«v-þ-]¯v hÀj-§-fmbn
aZy-]m-\-io-es¯ Hcp tcmK-ambn IW
-¡m¡n XpS-§n-bXp apXÂ aZy-hn-apàn
NnInÕ tXSn hcp¶ kv{XoI-fpsS
F®-¯nepw hÀ²-\-hp-ïm-bn-«p-ïv.
]s£ C¶pw H«p-an¡ kv{XoIfpw hfsc
cl-ky-am-bn-«mWv NnIn-Õ¡v kao-]n
-¡p-¶-Xv. 35-þ45 hb-kn\v CS-¡pÅ
kv{XoI-fmWv IqSp-Xepw NnInÕ tXSn

12 \½p-sS B-tcm-Kyw | 2021 G{]nÂ

¹mkâ-hgn KÀ`Ø inip-hnsâ ico-c kv{Xoa-Zy-]m-\hpw ssewKn-I-Xbpw
-¯n-se-¯p-Ibpw Xe-t¨m-dn-sâbpw
\mUo-hy-h-Ø-I-fp-sSbpw hfÀ¨ XI-cm aZy-e-l-cn-bn kv{XoIÄ ssewKnI
-dn-em-¡p-Ibpw sN¿p-¶p. am{X-aà aZyw _Ô-¯nsâ Bcw-`-¯n IqSp-XÂ
inip-hnsâ ico-c-¯n-te-¡pÅ HmIvkn Xmev]cyw ImWn-t¨-¡mw. F¶mÂ
-P³ {]hm-ls¯ XS-Ê-s¸-Sp-¯p-I-bpw, Ch-cpsS imco-cn-Im-hØ Cu am\-kn-Im
Ipªn-\m-h-iy-amb t]mj-I-§Ä e`n -h-Øsb ]n´p-W-¡p¶ coXn-bn-em-bn-cn
-¡msX hcn-Ibpw sN¿p-¶p. CXp-aqew -¡n-Ã. aZyw kv{XoIÄ¡v cXn-aqÀ¨-bnÂ
Ipªn\v Xq¡-¡p-d-hv, hfÀ¨ apc-Sn-¡p F¯m-\p-Å- I-gnhv CÃm-Xm-¡p-¶p.
-I, Xe sNdp-Xmbn t]mIp-I, _p²n-Ip ssewKnI kwXr]vXn \jvS-s¸-Sp-¯p-¶p,
-dhv kw`-hn-¡pI F¶o amc-I-amb ssewKnI _Ô-¯nsâ ]qÀ®-X-bnÂ
{]Xym-Lm-X-§Ä kw`-hn-¡mw. kv{Xobn kw`-hn-t¡ï tbm\n-bnse
cà-¡p-g-ep-I-fpsS hnIm-k-hpw, tbm\o-
aZy-]m\w aqe-apÅ IcÄ tcmK-§Ä NÀ½-¯nÂ\n-¶pÅ {khhpw XpSÀ¶v
aZy-]n-¡p¶ kv{XoI-fn ]pcp-j-·msc tbm\n-bn A\p-`-h-s¸-Sp¶ kv\nKv[
At]-£n¨v IqSp-X-em-Wv. ]pcp-j-·m-cn -Xbpw aZyw XpSÀ¨-bmbn Ign-¡p-t¼mÄ
Kpcp-X-c-amb tcmKw Dïm-Im³ {]Xn-Zn\w {ItaW Ipd-ªp-h-cp-¶p.
60 apXÂ 80 {Kmw hsc D]-tbm-Kn-¡-W-sa
-¦n kv{XoI-fn AXv 20 apX 40 {Kmw aZyw Ign-¡p¶-tXmsS kv{Xo¡v kzbw
hsc aXn-bm-Ipw. Cukv{S-P³ DÄs¸-sS \nÀ®-b-ti-jnbpw {]Xn-I-cW tijnbpw
-bpÅ kv{Xo tlmÀtam-Wp-I-fpsS kzm[o- \jvS-s¸-Sp-¶p. shdpw Hcp D]-I-c-W-s¯
\hpw aZy-¯nsâ D]-Nb {]{In-b-bnse -t¸mse ]pcp-jsâ ssewKnI Xmev]-cy
hyXn-bm-\-§-fp-amWv kv{XoIsf IqSp-X -§Ä¡v hg-§p-¶-h-fm-bn-Xocp¶p.
 A]-IS km[y-X-bp-Å-h-cm¡n aZy-]n-¡p¶ kv{XoIÄ hf-sc-sb-fp¸w
amäp-¶-Xv. ssewKnI Nqj-W-§Ä¡pw h©-\
-IÄ¡pw Cc-bm-Im-dp-ïv. AanX
kv{XoI-fnse aZy-]m\w kvX\mÀ_p-[ aZy-]m\w ]pcp-j-·m-cnse¶t]mse
-¯n-\pÅ km[y-Xbpw hÀ²n-¸n-¡p-¶p. kv{XoI-fnepw hÔy-X-bp-ïm-¡mw. am{X
aZy]m\w aqew kv{Xo tlmÀtam-Wmb -aà aZy-]n-¡p¶ kv{XoIÄ¡v KÀ`hpw
Cukv{S-Psâ Afhv hÀ²n-¡p-¶-Xp {]khhpw ZpjvI-c-am-Ipw.
-sImïmWv CXv kw`-hn-¡p-¶-Xv.
NnInÕ

aZy-¯n\v A\q-Iq-e-amb kml-N-cy
-§Ä ap³Iq«n Iïv AXn s]Sm-Xn-cn
-¡m³ {ian-¡pI F¶-XmWv {][m\
{]Xn-tcm-[-amÀ¤w. s]«m Xs¶ IpSn
-¡p¶ aZy-¯nsâ Af-hp- Iq«n XpS-§p-I,
Hfn-¸n¨v IpSn-¡m³ XpS-§p-I, IpSn-¡p-¶
-Xn-s\-¡p-dn¨v \ymbo-I-cn¨v kwkm-cn-¡p
-I, ho«p-tPm-en-I-fnÂ\n¶v hn«p-\n¡p-I,
aZy-]n-¡m-\pÅ kml-N-cy-sam-cp-¡pI
F¶o e£-W-§Ä Iïm DS-\Sn
aSn-¡msX NnIn-Õ¡v X¿m-dm-Ip-I.
NnIn-Õ¡v tijw Bdp amkw apXÂ
Hcp hÀjw hsc tUmIvS-dp-ambn Bib
-hn-\na-bw ]p-eÀ-¯p-Ibpw thWw.

2021 G{]n | \½p-sS B-tcm-Kyw 13

MLþÂ\n¶pwXXXLþte¡pÅ{]bmWw
Cu hn]-¯ns\ Xncn-¨-dn-bpI

amÀ¨v 4. s]m®-¯-Sn-s¡-Xnsc Iq-Smw. C-§-s\-bmbm BMI G-I-tZiw
s]mcpXp-hm-\pÅ Zn\-ambn \mw 22kg/m2 B-bn-cn-¡pw.
BN-cn-¨n-cp-¶p. CXn\pw Hcp Zn\m-N-cWw
thWtam F¶v ]ecpw kwibw F¶m C-¶v 60þ70 I-n-tem-bv-¡p
{]I-Sn-¸n-¨n-cp-¶p. hÀj-¯n Hcp Znh-k ]I-cw i-cmi-cn Xq-¡w 80-þ90 Intem
-sa-¦nepw Cu hn]-¯n-s\-Xnsc t_m[ B-bn-cn-¡p¶p.
-h¡-cWw \S-¯n-bn-sÃ-¦n kao-]-`m
-hn-bn s]m®-¯SnbpsSbpw
Pohn-X-ssien tcmK-§-fp-sSbpw Icm-f-
l-kvX-¯n a\p-jy-cmin sRcn-ª-acpw
F¶-Xn kwi-b-an-Ã. I\ Pzen-¡p¶
Hcp Aán-]ÀÆ-X-¯n-t·-emWv C¶s¯
Ip«n-Ifpw apXnÀ¶-hcpw Ccn-¡p-¶Xv
F¶Xv `bm-\-I-am-Wv. Hcp ssI¡p-¼nÄ
\ndsb acp-¶p-am-b-ÃmsX \ap¡v Pohn-X
-anà F¶ AhØ kwPm-X-am-Ipw.

\½psS Db-c-¯n \n¶pw 100 Ipd
-bv¡p-¶-XmWv \½psS A`n-Im-ay-amb
Xq¡w, Iuam-c-¡mcn C-XnÂ-\n-¶pw 5
Intem Ip-d-bmw, {]m-b-am-b-hcn 5 In-em

1. tImhn-Uvþ19 Dw s]m®-¯-Snbpw
tImhn-Uvþ19 Pandemic aqew "Homestay' hn[n-¡-s¸«v
ho«n-en-cp¶ Ip«n-I-fp-sSbpw apXnÀ¶-h-cp-tSbpw ico-c
-`mcw 5 apXÂ 10 Intem{Kmw hsc IqSn-bXv Bcpw Adn
-ª-tX-bnà F¶-XmWv kXyw. GI-tZiw Hcp hÀj-¯n-
\p-tijw Iï ]e Ip«n-I-fp-sSbpw AhØ CXp-Xs¶
Bbn-cp-¶p. bqWnt^mw [cn-¡m-Xn-cp-¶-Xn-\m CXp
ho«p-ImÀ {i²n-¨-tX-bn-Ã. hfsc Ab-hpÅ ho«n-en-Sp¶
hkv{X-§Ä ImcWw apXnÀ¶-hcpw Xq¡w IqSp-¶Xv
Adn-bp-¶n-Ã. hÀjm-hÀjw s]m®-¯-Sn-bpsS tXmXv
2% hoXw IqSn-bn-cp-¶Xv Cu hÀjw 10þ20% hsc-bmbn
\n¡p¶p F¶v Nne ]T-\-§Ä ap¶-dn-bn¸pw
\ÂIp-¶p.

14 \½p-sS B-tcm-Kyw | 2021 G{]nÂ

2. Hcp ]{´p hb-Êp-Im-cn-bpsS IY

Ah-fpsS AhØ I®p-\-\-bmsX -«p. ANDROGEN F¶ ]pcpj tlmÀtam
HmÀ¡m³ BIp-¶n-Ã. Igp-¯n\p Npäp -Wnsâ AXn-{]-kcw ImcWw apJ¯pw
-apÅ Idp¸v ImWn-¡p-hm-\m-bn-«mWv XmSn-bnepw AanX tcma-h-fÀ¨. Ah-fpsS
AhÄ kvIn³ Un¸mÀ«p-saân h¶-Xv. ico-c-¯n\v Hcp "Xe-bn-W'-bpsS cq]-am
AhnsS \n¶pw d^À sNbvXv Ip«n-I-fpsS -bn-cp-¶p. \S¯nb FÃm sSÌp-I-fnepw
hn`m-K-¯n F¯n. AhÄ¡v {]mb- Imcy-amb hyXn-bm-\w. Ah-fpsS dnkÂ
]qÀ¯n-bm-bn-«n-Ã. äpw {_m¡-än t\mÀaepw ImWmw.

Igp-¯n\p Npäpw h«-¯nepw ssI¡p AÄ{Sm-ku-ïv kv-Im³, ^m-än-enhÀ
Ovary- bn Necklace t]m-se A-t\Iw
-gn-bnepw AanX Idp-¸p-\n-dw. Igp-¯nsâ CystþIÄ A-S§nb Polycystic Ovary A-hÄ

]n³`mKw "shÂshäp' t]mse ImW-s¸

Xq¡w þ 64 Kg (40), Dbcw 153 (150), BMI 30(18) ¡v Metabolic Syndrome X þ

BPþ140/90 (115/85), Fasting supar - 212 (90) HbA1C - 7.5 (5) F¶ s]m®-¯-Sn-bpsS
Complication Ønco-I-cn-¨p.
TSH - 8.5 (4) SGOT 88 (40) SGPT 94 (4)
NnInÕ Bcw-`n-¨p.
S. Cholesterol - 235 (170) HDL - 180 (100) HDL - 40 (60)
Fasting Sugar >100, Triglycende,
S. Triglycende - 180 (100) Urine Sugar - 2%
>150, HDL<40, BP>130/85 Ch-
hb-dn-sâ-Np-ä-fhv -- 108 cm (80)
bmWv CXnsâ e£-W-§Ä.

2021 G{]n | \½p-sS B-tcm-Kyw 15

3. s]m®-¯-Snbpw tcmKm-h-Øbpw -¡p-¶p. jpKÀ, {]jÀ, sImf-kvt{SmÄ
F¶n-h-bnse hyXn-bm-\w, ico-c-¯nsâ
95% Ip«n-I-fnepw Aan-Xm-lmcw {]k-cn¸pw DuÀÖ-kz-e-Xbpw \jvS-s¸«
Ae-kamb Pohn-X-ssi-en, Aan-X
-amb Tv/Screen ka-bw, Dd-¡-¡p Ah-Ø, IpSÂ, IcÄ, ]m³{In
-dhv F¶n-h-bmWv s]m®-¯ -bmkv, tlmÀtam¬ {KÙn-IÄ
-Sn-bpsS Imc-Ww. F¶n-h-bnse XI-cm-dv,
]£m-Lm-Xw, lmÀ«v Aäm
4% Ip«n-I-fn -¡v, hÔy-X, Im³kÀ,
tlmÀtam¬ hyXn-bm-\ IqÀ¡w-h-en, Dd-¡-¯nsâ
hpw 1% Ip«n-I-fn Kpcp-Xc {]iv\-§Ä, hnjm
P\n-XI sshI-ey -Z-tcm-Kw, ]n¯-k-©n-bnse
-§fpw Imc-W-am-Imw. IÃv, Ccp-¼v, sshä-an³ Un
ico-c-¯nsâ Xe-t¨mÀ F¶o kq£va-t]m-j-W-§
apX DÅw-Im hsc -fpsS Ipdhv F¶p-thï
_m[n-¡p¶ Hcp tcmKm-h
-Ø-bmWv s]m®-¯-Sn. ico-c kÀÆ{X Ipg-¸-§Ä¡pw Imc-W
-`mcw Ipd-¨m CXn ]eXpw -amWv s]m®-¯-Sn. s]m®-¯-Snbpw
t\mÀa BIpw F¶Xv ip`-kq-N-I-am Ub-_-äokpw H¯p-tNÀ¶ Ah-Øsb
-Wv. CXv Nn{Xw 1þÂ tcJ-s¸-Sp-¯n-bn-cn "DIABESITY' F¶p hnfn-¡p-¶p.

4. Ip«n-I-fnse s]m®-¯-Snpw ]cn-lmc amÀ¤-§fpw

1. P\-\-k-a-b¯v `mc-¡p-dhv Xq¡w Table 1 ImWp-I.
Barker Hypothesis {]Imcw C¯cw
3. P\n-¨-Xn\p tij-apÅ Aan-X-h-fÀ¨
Ipªp-§Ä 20þ30 hb-Êm-Ip-t¼m
-tg¡pw s]m®-¯-Snbv¡pw A\p-_Ô P\n¨v BZyhÀj-¯n-epÅ AanX hf
tcmK-§Ä¡pw ASn-a-I-fm-Im-\pÅ À¨ \Ã-X-Ã. P¦v ^pUv KW-¯n-epÅ
km[yX hfsc IqSp-X-em-Wv. P\-\-k a[p-cw, sImgp-¸v, D¸v Ch IqSp-XÂ
-a-b¯v t\mÀa Xq¡w (3 Kg) Dd-¸m AS-§nb Blm-c-amWv CXn\p Imc
-¡p-I. A½-bm-Im³ X¿m-sd-Sp-¡p-¶ -Ww. Ipªp-§-fn CXv Hgn-hm-¡p-I.
-hÀ an\naw 45 Kg Xq¡hpw 145 cm
Db-chpw GI-tZiw BMI 22 DwBÀÖn 4. 6 amk-¯n-\p-ap¼v ]ip-hn³]mepw
-¨n-cn-¡Ww F¶mWv WHO \njvIÀjn Ipdp¡pw aäpw \ÂIn-¯p-S-§p-¶Xpw
-¡p-¶-Xv. Ab¬, ImÂkyw aäp kq£va ape-bq-«Â 2 hb-Ên\v ap¼v \nÀ¯p
t]mj-W-§Ä F¶nh Bh-iy-¯n\v -¶Xpw
ico-c-¯n tÌmÀ sNbvXn-cn-¡-Ww.
]ip-hn³ ]mepw 4 amk-¯n\p ap¼v
2. P\-\-k-a-bs¯ Aan-X-`mcw \ÂIp¶ aäv Blm-c-§Ä F¶nh
Ipªn\v 4 Kg bn IqSp-X Xq¡-am

-bmepw s]m®-¯-Sn-bpsS km[y-X-tb
-dp-¶p. A½-am-cpsS Aan-X-h-®w,
{]ta-l-tcm-Kw, KÀ`-Im-e¯v BÀPn
-¡p¶ Aan-X-`mcw Ch Cu Ah
-Øbv¡v Imc-W-am-Wv. KÀ`-Im-e-¯n\p
ap¼pÅ BMI bv¡v A\p-]m-X-am-bn-cn
-¡Ww KÀ`-Im-e¯v BÀPn-¡p¶

16 \½p-sS B-tcm-Kyw | 2021 G{]nÂ

s]m®-¯-Sn-bn-te¡v \bn-¡p-¶p. -bn Ifn-¡p-hm³ hn«m F§s\
ape-bq-«-ensâ khn-ti-j-X-IÄ s]m® AhÀ¡v kpc£ Hcp¡pw F¶Xpw
¯Sn Ipd-bv¡m³ klm-bn-¡p-¶p. {it²-b-am-Wv. kvIqfp-I-fn t]mepw
]n.Sn ]ncn-bUv A\yw \n¶p-t]m-bn.
5. icoc hfÀ¨. Xq¡w, Dbcw F¶nh Hm¬sse³ ¢mÊnepw hymbm-a-¯n\v
Imem-Im-e-§-fn tcJ-s¸-Sp-¯p¶ Hcp kabw Isï-t¯-ïn-bn-cn-¡p-¶p.
ioew. CXv {]mhÀ¯n-I-am-¡p-¶n-Ã. hymbmaw Hcp Family Activity B¡p-¶
tImhn-Uvþ19 Ime¯v kw`-hn-¨Xv CXp -XmWv A`n-Im-ayw.
Xs¶-bm-Wv. 5þ6 hb-Êm-Ip-t¼mÄ
Ip«n-IÄ Xosc saen-ªmWv Ccn-t¡ 10. P\n-XI Imc-W-§Ä
-ï-Xv. AXn\p-tijw {]mb¯n\pw CXv hym]-I-amb Imc-W-a-Ã.
Db-c-¯n\pw A\p-k-cn¨v Xq¡w
IqS-Ww. P\-\-k-a-bs¯ BMI þ13 A]qÀÆ-ambn am{Xw ImW-s¸-Sp¶
1 hbÊvþ17, 5þ6yrs-15 F¶-XmWv H¶m-Wv. Aan-X-h-®-apÅ 20%
Btcm-Ky-e-£-Ww. F¶m Cu inip-¡fpw 40% Ip«n-Ifpw 80% Iuam-c
Ime-L-«-¯n CXp-am-dn. BMI 17 -¡mcpw {]mb-]qÀ¯n-bm-Ip-t¼mÄ
\n¶pw t\sc 20þ25þ30 te¡mWv s]m®-¯-Sn-bp-Å-h-cm-Ip¶p F¶v
IpXn-¡p-¶-Xv. CXv A`n-Im-ay-a-Ã. IW-¡m-¡n-bn-cn-¡p-¶p. Medium  Large
 XXXLþte¡pÅ {]bmWw \mw
6. Nutrition Transition F¶ {]Xn-`mkw t]mepw Adn-bmsX bm{´n-I-ambn
kw`-hn-¡p-¶p. CXns\ \mw Xncn-¨-dn
aäp hnI-knX cmPy-§sf A\p-I-cn¨v -tb-ïn-bn-cn-¡p-¶p. Hmtcm ho«nepw Hcp
]m¡äv ^pUn-te-¡pw, cm¸-IÂ e`n thbnwKv sajo³ AXym-h-iy-am-bn-cn
-¡p¶ P¦v ^pUn-te-¡p-apÅ tNt¡ -¡p-¶p. BgvN tXmdpw GI-tZiw
-d KpW-I-c-a-Ã. \½psS ]mc-¼cy Htc-k-a-b¯v ico-c-`mcw tcJ-s¸-Sp
coXn-IÄ A¸msS amdn-a-dn-ªn-cn-¡p -¯p-I. 108 F¶ a{´w kzbw Dcp-hn-Sp
-¶p. hni-¸n-\m-bn-«Ã Ct¸mÄ \mw -¶Xpw \Ã-XmWv. AXm-bXv 1 aWn
Blmcw Ign-¡p-¶-Xv. Ak-a-b¯v -¡qÀ hymbmaw, 0 P¦v ^pUv,
5 tImgvkv hncp-¶n-\mWv \mw £Wn 8 aWn-¡qÀ Dd-¡w. BgvN-bn 5
-¡-s¸-Sp-¶-Xv. Znh-k-sa-¦nepw CXp {]mhÀ¯n-I-am
-¡p-I. Ip«n-I-fnse Aan-X-h®w Iïn
7. Aan-Xm-lm-chpw henb Af-hp-Ifpw -söp \Sn-¡-cp-Xv. Ahsc Pohn-X
henb Portion size, Offer pack, Jar full, -ssien tcmK-§-fn-te¡v AIm-e-¯nÂ
XÅn hnSm-Xn-cn-¡p-hm-\pÅ ap³I-cp
Pyqkp-IÄ F¶nh \½psS ioe-am-bn -XÂ \mw FSp-t¡-ïn-bn-cn-¡p-¶p.
-cn-¡p-¶p.
2021 G{]n | \½p-sS B-tcm-Kyw 17
8. km¼-¯nI kmaq-lnI hyh-Ø-IÄ

Blm-c-¯n-\mbn Nne-hn-Sp¶ ]Ww
hfsc IqSn-bn-cn-¡p-¶p. Nne-hn-Sm-\pÅ
]Whpw hfsc IqSp-X-em-Wv. {_m³
UUv hkv{X-§Ä F¶-t]mse
{_m³UUv Food ChainsþDw \½psS
ioe-am-bn-cn-¡p-¶p. Blmcw shfn
-bn t]mbn Ign-¡p-¶-Xpw, ho«n-te¡v
hcp-¯n-¡-gn-¡p-¶Xpw \½psS ioe-am
-bn-cn-¡p-¶p.

9. \S-¯w, Ifn, Dd¡w F¶n-h-bpsS
A`m-hw.

\S-¡p-hm\pw Ifn-¡p-hm\pw Øew
t]mepw \ap-¡n-Ã. Ip«n-Isf shfn

tImhnUv ]Tn¸n¨ ]mT§Ä

[mcmfw BfpIÄ¡v CXn\Iw Xs¶ sa¼mSpapÅ ]e cmPy§fnepw ØnXn
tImhnUv-19\p FXnsc {]Xntcm[w BÀ Ct¸mgpw KpcpXcamWv. CXphsc 12
Ön¡m³ Ignªn«psï¦nepw temI tImSnbne[nIw BfpIÄ¡v sImtdmW
sshdkv _m[n¨p. 27 Zie£¯ne[nIw
t]À acn¨p. hmIvknt\j³ ]e cmPy
§fnepw Kuchambn apt¶dps¶sï¦n
epw sshdknsâ hym]\w aµKXnbnem
¡m³ C\nbpw kabsaSp¡pw.

FÃmän\pap]cnbmbn, sshdkv IqSp
XÂ iàhpw amcIhpamb coXnIfnte
¡v ]cnhÀ¯\w sN¿m\pw XpS§n.

A`qX]qÀhamb Cu almamcnbnÂ
\n¶pw \½Ä ]Tn¨ FÃm ]mT§fpw
HmÀs¯Sp¡p¶Xv A¸w _p²nap«m
Wv. \½Ä Ct¸mgpw FÃmbnS¯p
\n¶pw ]pXnb ]mT§Ä ]Tn¨psImtï
bncn¡pIbmWv.

1. ASnØm\ ipNnXz {]hÀ¯\§Ä

tImhnUv 19 almamcn
Bcw`n¨XpapXÂ, amkvIpIfpsSbpw
kmaqlnI AIew ]men¡p¶Xnsâ
^e{]m]vXnsb¡pdn¨papÅ NÀ¨IÄ
temIsa§pw \S¶ncp¶p, {]tXyIn¨pw
bpFkvFbnÂ. Cu \S]SnIÄ icn¡pw
^e{]Zsa¶v Ft¸mgpw ]dªncp¶
Hcp Iq«cpïv, imkv{XÚÀ. adphi¯v,
kz´ambn IW¡pIq«epIÄ \S¯n
amkvIpIÄ hmkvXh¯nÂ
D]tbmKiq\yamsW¶v \nKa\w sNbvX
[mcmfw BfpIÄ Dïv. AhcpsS
hyànkzmX{´y¯ns\Xncmb
B{IaWambn hsc amkv¡pIsf

18 \½p-sS B-tcm-Kyw | 2021 G{]nÂ

IïhÀ Cu \S]SnIsf A]e]n¡m³ t]mepw ap¶n tUm. kPnIpamÀ. sP
\n¶p .
Hm¨n-d ]-c{_-Ò
tImhnUv 19 ]SÀ¶p]nSn¨t¸mÄ \½Ä Hcp Imcyw tlm-kv-]n-äenÂ
{][m\ambpw ]Tn¨n«psï¦n AXv amkvIpIfpw in-ip-tcm-K
s]mXpipNnXzhpw AXn{][m\amWv F¶v am{Xaà hn-Z-Kv-²-\m-bn tkh-\w
bYmÀ°¯n sshdkv ]Scp¶Xv XSbm\pÅ GI A-\p-jvTn-¡p¶p. tIc-fm
amÀ¤w CXpcïpamsW¶XmWv. ssIIÄ AWp sa-Un-¡Â tPÀ-Wen ap¸-Xp
hnapàam¡pI, icnbmb coXnbn amkvIv [cn¡pI, te-J\-§Ä {]-kn-²o-I-cn¨p.
kmaqlnI AIew ]men¡pI F¶nhbneqsS am{Xta tZ-io-bhpw A-´À-tZ-io-b-hpam-b
sImhnUns\ {]Xntcm[n¡m\mhq. temIsa¼mSpapÅ tPÀ-W-ep-I-fnepw am-kn-I-I-fnepw
imkv{XÚcpw tUmÎÀamcpw CXv hoïpw hoïpw \qdn ]-cw im-kv-{X-te-J-\-§Ä
sXfnbn¡pIbpw Dd¸n¡pIbpw sNbvXn«pïv. F¶m F-gpXn. sa-Un-¡Â ^n-em-ä
Cu \S]SnIÄs¡Xncmb AhImihmZ§fp¶bn¨hÀ -enbn t]m-kv-ä Un-¸mÀ-«v-sa³
sXfnbn¡s¸« Hcp ]T\hpw CXphsc -dns³-d kzÀ-W-sa-U c-ïp
apt¶m«psh¨n«nÃ. BZysams¡ amkv¡pIfpsS X-h-W t\Sn.
Imcy¯n ISpw]nSp¯w ImWn¡mXncp¶ Mob: 9847266807
temImtcmKykwLS\ t]mepw hÀ²n¨ph¶ [email protected]
sXfnhpIfpsS ASnØm\¯n amkvIpIÄ \nÀ_
Ôam¡Wsa¶p AwKcmPy§tfmsS Blzm\w 2021 G{]n | \½p-sS B-tcm-Kyw 19
sNbvXp. Znhkhpw IpdªXv Bdp XhWsb¦nepw
ssIIÄ tkm¸v D]tbmKn¨v
hr¯nbm¡Wsa¶mWv
temImtcmKy kwLS\bpsS
\nÀtZiw. `£W¯n\p
ap³]pw tijhpw am{XaÃ
iuNmeb§Ä D]tbmKn¨
tijhpw ssIIÄ
hr¯nbm¡Ww. kmaqlnI
AIew ]men¡Â, amkvIv
\nba§Ä, ssIIgpIÂ
F¶nh Kuchambn FSp¯
-Xmbvhm³, hnbäv\mw, Z£nW
sImdnb, ssN\ F¶o
cmPy§Ä Cu ]IÀ¨hym[n¡v
XSbnSp¶Xn BZyta
hnPbn-¨p.

2. 'AhnZKv²'A[zm\¯nsâ anYy cp¶p. Cu ]IÀ¨hym[n kab¯v
kwibanÃmsX sXfnbn¡s¸«n«pÅ Hcp
Nne tPmenIÄ sN¿m³ Imcyw Fs´¶m {]XnkÔnL«
{]tXyI ss\]pWyw H¶pw Bhiy §fn Cu tPmenIÄ sN¿p¶hÀ
anÃ, AXn\m aäp sXmgnepIÄ¡v bYmÀ°¯n \½psS kaqls¯ Hcp
Xpeyamb thX\w AhÀ AÀln¡p¶nà XIÀ¨bnte¡v XÅnhnSmsX Xm§n
F¶ Bibw \½psS a\Ên \nÀ¯p¶hcmWv F¶XmWv. CXn\v
Bg¯n thcq¶nb H¶mWv. Cu hn]coXambn tImhnUv ImcWw Ipd¨v
AhnZKv[ sXmgnepIÄ¡v ]et¸mgpw I¼\nIÄ Øncambn "ho«n \n¶pÅ
{]tXyIn¨v ]cnioe\w H¶pw Xs¶ tPmen" tamUentebv¡v amdnbXn\mÂ
Bhiyanà F¶pw anI¨ coXnbn an¡ hnZKv[ tPmenIfpw ho«nÂ
{]hÀ¯n¡m³ AhÀ¡v Ignthm \n¶pXs¶ sN¿m\mIpsa¶v Cu
Adnthm BhiyanÃm F¶pw \½Ä almamcn sXfnbn-¨p
Xocpam\n¨pd¸n¨ncn¡p¶p.

\gvkpamÀ, t]meokpImÀ, ]eNc¡v
sXmgnemfnIÄ, aäv BtcmKy{]hÀ¯
IÀ, `£yhnXcWw sN¿p¶hÀ,
ipNoIcWs¯mgnemfnIÄ F¶nhÀ¡v
Gähpw Ipdª thX\w e`n¡p¶Xv
ImcWw AhcpsS tPmenIÄ Ffp¸am
sW¶v \½Ä IcpXp¶p. bYmÀ°¯nÂ
tImhnUv almamcns¡Xnsc t]mcmSp
¶Xn ChscÃmhcpw Xs¶
ap³]´nbnembncp¶p. ChcnÃmbncps¶
¦n Imcy§Ä IqSpX hjfmIpambn

3. ]IÀ¨hym[nIÄ Ct¸mgpw

Hcp {][m\ `ojWnbmWv

F¨vsFhn / FbvUvkv, C³^vfp
h³k, £btcmKw, temIsa¼mSpw
{]mtZinIambn ImWs¸Sp¶ At\Iw
]IÀ¨hym[nIÄ F¶n§s\bpÅ
KpcpXcamb ]e tcmK§fpw \½Ä
Ct¸mįs¶ t\cnSp¶psï¦nepw -

20 \½p-sS B-tcm-Kyw | 2021 G{]nÂ

tImhnUv \½sf A{]Xo£nXambmWv t¹Kv, kv]m\njv C³^veph³k apXÂ
B{Ian¨Xv. ]IÀ¨hym[nIÄ FÃmbn Idp¯ acWw hscbpÅ ]IÀ¨hym[n
t¸mgpw a\pjycminbpsS Gähpw henb IÄ \½psS Ncn{X¯nse aäv {][m\
`ojWnbmWv F¶ hkvXpX \aps¡m acWImcW§tf¡mÄ IqSpXÂ
s¡ Adnbmsa¦nepw \½psS PohnX BfpIsf sIms¶mSp¡nbn«pïv.
ImeL«¯n C{Xtbsd thK¯n B[p\nIamb BtcmKy kwc£W
]ScpIbpw acWw hnXbv¡pIbpw amÀ¤§Ä \ap¡n¶psï¦nepw
sNbvX Hcp ]IÀ¨hym[n ]ecpsSbpw kmt¦XnIhnZyIÄ henbtXmXnÂ
HmÀ½bn ImWpIbnÃ. hnIkn¨n«psï¦nepw sshdkv
tcmK§Ä A{]Xo£nXambn s]m«n¸pd
sshdkpIfpw a\pjycpambpÅ s¸Sp¶Xv \½psS \ne\n¸n\v KpcpX
k¦oÀ®hpw \oïXpamb Ncn{X¯n camb `ojWnbmWv. hmkvXh¯nÂ
IqSn H¶v It®mSn¨m Xs¶ tImhnUv \½psS IqSnhcp¶ P\kwJybpw
]m³sUanIv `qanbnse a\pjyPohnX ]ckv]c_Ôhpw bm{XIfpw ap¼t¯
¯nsâ Ncn{X¯n ImWs¸«n«pÅ Hcp Xnt\¡mÄ thK¯n tcmK§Ä
km[mcW ]IÀ¨hym[n am{XamsW¶v ]SÀ¯m³ klmbn¡p¶hbmWv.
a\ÊnemIpw. hÊqcn apXÂ, PÌo\nb³

4. kq£vaPohnIÄ A]ISIcamb tXmXn hfÀ¶phcp¶p

2019 Ahkm\t¯msS ssN\bnse sshdknsâ ]pXnb hIt`Zamb SARS
hplm\n \n¶mWv sImtdmW sshdkv -Cov-2 t]mse s]«¶v ]IcpIbpw acWw
s]m«n¸pds¸«Xv. temIcmPy§Ä¡v hnXbv¡pIbpw sNbvX Hcp sshdkns\
`ojWnbmb sshdkns\ ssN\ \½Ä Hcn¡epw Iïn«nÃ. MERS, SARS
krãn¨XmsW¶ Btcm]Whpw F¶nh t]mepÅ Nne sImtdmW
iàamWv. F¶m aäv cmPy§fn sshdkpIsf \½Ä CXn\pap³]v
\n¶mWv sshdkv hplm\nte¡v t\cn«n«pïv. \nehnse ]IÀ¨hym[ntb
F¯nbsX¶mWv ssN\bpsS hmZw. ¡mÄ KpcpXcamb Hcp {]iv\¯nte¡v
CXv {]IrXnbpambn CS]gIp¶Xn\pÅ AXv hnc Nqïp¶p. - kq£vamWp
a\pjysâ Ak´penXamb hgnIfpsS ¡fpw ]cm¶t`mPnIfpw ap¼t¯¡mÄ
{]Xo£n¨ ]cnWX^eamsW¶v hfscb[nIw iàamhpIbmWv.
aäpÅhÀ A`n{]mbs¸Sp¶p.
Ipd¨pImeambn temIsa¼mSpw
F´pXs¶bmbmepw sImtdmW DïmImdpÅ ]IÀ¨hym[nIÄ \ap¡v

2021 G{]n | \½p-sS B-tcm-Kyw 21

ImWn¨p Xcp¶ Hcp {][m\ AhcpsS _mÎocnb {]Xntcm[w
{]iv\w CXp Xs¶bmWv. ImcWw NnInÕn¡m³ CXn\
Bân_tbm«nIv acp¶pIfpsS Iw Xs¶ _p²nap«mWv.
tXm¶nb]SnbpÅ D]tbmKw IW¡pIÄ {]Imcw, Cu
hnj¸m¼ns\ t\mhn¨p kq¸À_¤pIÄ CXn\Iw
hnSp¶Xp t]msebmWv. bpFkn am{Xw 35,000
thZ\n¨ ]m¼v IqSpXÂ t¯mfw t]sc sImÃp¶p.
Icpt¯msS B{Ian¡pw. tImhnUv tcmKnIfnÂ
IrXyamb AfhneÃmsX Ggn HcmÄ¡v A]ISIchpw
bpw A\mhiyambpw amcIhpamb ZznXob
Bân_tbm«n¡pIÄ tcmK§Ä ]nSns]Sp¶Xn
D]tbmKn¡p¶Xv aqew \mÂ, hcpw amk§fn Cu
tcmKmWp¡Ä F®w hÀ²n¡pw. _mÎocnb
acp¶pIsf AXnPohn¡m AWp_m[bv¡pÅ
\pÅ Icp¯p t\Sp¶p.
tImhnUv tcmKnIÄ¡p ]nSns]Sp¶ ]cntim[\IÄ \S¯msX anXamb
Gähpw km[mcWamb \yqtamWnb AkpJapÅ tcmKnIÄ¡v Bân_
t]mepÅ ZznXob tcmK§fn NneXv tbm«nIv \ÂIcpsX¶mWv tImhnUv
\ÂIp¶ asämcp ]mTw.

5. tcmKw hcmsX ap³IcpXÂ FSp¡pI

hnhn[ cmPy§Ä Cu {]XnkÔn B kwJyIfnse¯m³ Ignhpsï¶v
tbmSv hyXykvX coXnIfnemWv {]XnI sXfnbn¨n«pïv.
cn¨n«pÅXv. F¶ncp¶mepw GXmïv
FÃmwhcpw Xs¶ H¶v ]I¨p \nÂt¡ Zpc´§Ä DïmIpt¼mÄ {]XnIcn
ï AhØ h¶n«pïv. temI¯nse ¡m\pÅ ]pXnb amÀ¤§Ä Isï¯p
Gähpw \qX\hpw AXym[p\nIhpamb ¶Xnt\¡mÄ \ÃXv F´psImïmWv
BtcmKykwc£W kwhn[m\§Ä Zpc´§Ä DïmIp¶Xv F¶pIïv
DÅ cmPy§Ä¡p t]mepw {]mcw` Ah ap³Iq«n {]Xntcm[n¡pI
L«¯n ASnsXän. CXpt]msesbmcp F¶Xns\¡pdn¨pÅ hnetbdnb
]IÀ¨hym[nsb F§s\ t\cnSWsa ]mTamWv tImhnUv \ap¡v Xcp¶Xv.
¶p AhÀ¡p AdnhnÃmbncp¶p. SARS s]m«n¸pds¸Sp¶ kab¯v, ssN\,
tlmt¦mwKv, hnbäv\mw apXemb cmPy
`mhnbn hcm³ km[yXbpÅ §Ä kam\ {]XnkÔnItfmSv {]Xn
]IÀ¨hym[nIfpsS A]ISkm[yXIsf Icn¡p¶Xn\v AhcpsS BtcmKykwc
¡pdn¨v \nch[n imkv{XÚcpw Kthj £W kwhn[m\§Ä CXnt\mSIw
Icpw Ipd¨p Imeambn ap¶dnbn¸v Xs¶ \hoIcn¨ncp¶p. sImtdmW
\ÂInbn«pw C§s\ kw`hn¨p. AWp_m[ s]m«n¸pds¸Sp¶Xns\
1918 se kv]m\njv C³^veph³kbpsS t\cnSm³ AXpsImïp Xs¶ Cu
t]mse Hcp sshdÂ]\n s]m«n¸pds¸ cmPy§Ä IqSpX kÖcmbncp¶p,
«m GItZiw 100 Zie£w BfpIÄ ImcWw AhnSps¯ P\§Ä kmaqlnI
sImÃs¸Spsa¶v Hcp ]T\w AIew, amkvIv \nba§Ä F¶nhsb
AhImis¸«p. ¡pdn¨pw IqSpX t_m[hm·mbncp¶p.
tImhnUv aqeapÅ \mi\ã§fpsS
BZy hÀj¯n Xs¶ GItZiw 25 F®w aäv cmPy§sf At]£n¨v
Zie£w BfpIsf sIm¶pSp¡nb AhnS§fn hfsc IpdhmWv.
sImtdmW sshdkn\v CXn\Iw Xs¶

22 \½p-sS B-tcm-Kyw | 2021 G{]nÂ

6. thWw \aps¡mcp BtKmf BtcmKy \bw 7. BtKmfh¡cW¯n\p
Xncn¨Sn
hncense®mhp¶ cmPy§Ä HgnsI,
kmÀh{XnIhpw {]m]yambXpamb BtcmKy Cu ]IÀ¨hym[n temIs¯
kwc£Ww BtKmf P\kwJybpsS amänadn¡p¶ FÃm coXnIsf¡pdn
Hcp henb hn`mK¯n\v Ct¸mgpw ¨pw \½Ä¡p Ct¸mgpw hyàX
hne¡s¸«XmWv. AXpImcWw, bnsænepw CXv XoÀ¨bmbpw
BtcmKykwc£W¯nsâ KpW\nehmcw BtKmfh¡cW ImeL«¯n
temIsa¼mSpw hyXymks¸Sp¶p, CXv t\ä Hcp Xncn¨SnbmWv. cïp
tImhnUv t]mepÅ ]IÀ¨hym[nIÄ Znhkw Ah[n In«nbm Xs¶
\nb{´n¡p¶Xn\v Hcp henb XSÊamWv.. s]«nbpw InS¡bpsaSp¯p bm{X
sN¿m³ Hcp hnam\¯nÂ
tImhnUv Ime¯v kw`hn¨Xpt]mse IbdpItbm Asæn kz´w
B[p\nIhpw IgnhpäXpamb BtcmKy _nkn\Êv temI¯nsâ asämcp
kwc£W kwhn[m\§fpÅ cmPy§Ä¡v `mKt¯¡v A\mbmkw hnIkn¸n
t]mepw temI¯nsâ asäÃmbnS¯pw ¡pItbm sN¿p¶ Znhk§Ä
BtcmKy kwc£Ww e`yasæn BtKmf Ignªp F¶v Xs¶ ]dbmw.
]IÀ¨hym[nIÄ ]Scp¶Xv XSbm³ H¶pw temIsa¼mSpapÅ cmPy§Ä
sN¿m³ IgnbnÃ. BtcmKy kwc£Ww Hcp AXnÀ¯nIÄ ASbv¡pIbpw
hyànKX {]iv\ambn \½Ä IcpXp¶p, BtKmf hym]mcs¯¡mÄ
]s£ FÃmhcpw BtcmKyhm·mcsænÂ, {]mtZinI _nkn\kns\ t{]mÕm
Bcpw bYmÀ°¯n BtcmKyhm·mcà ln¸n¡p¶ \b§Ä AhXcn¸n¡p
F¶ Imcyw tImhnUv \ap¡v ImWn¨p X¶p. Ibpw sN¿pt¼mÄ, 2020 \v ap¼pÅ
]ckv]c_ÔnXamb temIw C\n
tImhnUv t]mepÅ Hcp sshdkns\ Hcn¡epw \ne\n¡nsöv
{]Xntcm[n¡m³ ]qÀ®ambpw ^e{]Zamb hyàamWv. bpFkvF, {_n«³
amÀ¤sam¶pansænepw, FÃmhÀ¡papÅ XpS§nb cmPy§Ä tImhnUn\v
kmÀh{XnIhpw BtKmfhpamb BtcmKy ap¼pXs¶ AhXcn¸n¨psImïncn
kwc£Ww `mhnbn hcm\nSbpÅ sshdkv ¡p¶ hÀ²n¨phcp¶ kwc£W
B{IaW§Ä CXpt]mse amcIamInsöv \b§Ä¡v ]pdsabmWnXv.
Dd¸m¡m³ km[n-¡pw. tImhnUv {]XnkÔn Ahkm\n¨
Xn\ptijhpw, tZiobX, kwc£
WhmZ ImgvN¸mSpIÄ DÅ
IqSpX cm{ãob¡msc \n§Ä¡v
ImWphm³ km[n-¡pw.

2021 G{]n | \½p-sS B-tcm-Kyw 23

8. hymPktµi§Ä¡v Xncn¨Sn abw \S¯p¶p, IqSmsX hm«vkvB¸v
\yqkv AteÀ«v DÄs¸sS tcmKs¯¡pdn
\nch[n tcmK§sf¡pdn¨pÅ ¨pÅ kaImenIhnhc§Ä \ÂIp¶p.
sXämbXpw sXän²cn¸n¡p¶Xpamb tkmjy aoUnbbn \n¶v hmÀ¯m
saUn¡Â hnhc§Ä \nch[n DdhnSw \o¡wsN¿m³ Ignbm¯
hÀj§fmbn tkmjy aoUnbbn kmlNcy¯n tcmKs¯¡pdn¨pÅ
hym]Iambn {]Ncn¡p¶pïv, CXv sXämb hnhc§Ä t\cnSm³ {ian¡p¶
AXnthK¯nepw ^e{]Zambpw hym]n hymP hmÀ¯m hncp² GP³knIfpw ]e
¡p¶Xn\m s]mXpP\mtcmKy¯n\v cmPy§fn Dïv. IrXyamb sshtZym]
hfscb[nIw A]ISapïm¡p¶p. tZiw \ÂIp¶Xn\v AhÀ BtcmKy
sXämb hnhc§fpw hkvXpXIfpw Øm]\§fpambn tNÀ¶v {]hÀ¯n¡p
F§s\ thÀXncn¨dnbWsa¶p ¶p. hymP saUn¡Â hmÀ¯Isf Xncn
BfpIÄ¡v Adnbnà F¶ ImcW¯m ¨dnbm\pw kb³kns\ tNÀ¯p]nSn
emWv sXän²cn¸n¡p¶ D]tZi§Ä ¡m\pw hensbmcp hn`mKw P\§Ä
{]Ncn¸n¡p¶Xv. sImtdmW sshdkv X¿mdmbn F¶XmWv tImhnUv \ÂIp¶
]m³sUan¡ns\m¸w, hymPhmÀ¯IfpsS asämcp ]mTw.
{]NmcWhpw A\p_Ô A]ISkm[yX
Ifpw Hcp ]pXnb Xe¯nse¯n.

Cu 'C³t^msUanIv' {]Xntcm[n
¡m³, sImtdmW sshdkns\¡pdn¨v
ImenIamb hnhc§fpw hnizk\obamb
D]tZi§fpw \ÂIp¶Xn\v temImtcmKy
kwLS\ AXnsâ tkmjy aoUnb
Nm\epIfn hym]Iambn Bibhn\n

9. hmIvkn³ hntcm[nIÄ ]¯naS¡p¶p sImhnUv almamcnbn s]«v temIw
heªv HSphn Bizmkambn hmIvkn³
hmIvkn\pIÄ Poh³ c£n¡p¶p. F¯n. AtXmsS Dd§n InS¶ hmIvkn³
hmIvkn\pIÄ kpc£nXhpw AXoh hntcm[nIÄ Xe s]m¡n XpS§n. ]Xnhv
^e{]ZhpamsW¶v hnZKv[À ]dbp t]mse sImhnUv hmIvkns\Xnscbpw
t¼mÄ, AXv Hcp A`n{]mbaÃ, adn¨v AhÀ \pW {]NcW§fpambn P\§sf
hmIvkn\pIÄ AWp_m[sbbpw sXän²cn¸n¨v XpS§nbncn¡p¶p. ]s£
tcmKs¯bpw XSbp¶p F¶ \nKa\w temIsa¼mSpapÅ P\§Ä hmIvkn³
]co£n¨p, \nco£n¨p sXfnbn¡s¸« hntcm[nIfpsS Pev]\§Ä ]pÑt¯msS
imkv{Xob UmäbpsS hnebncp¯emWv. XÅn¡fª a«mWv. Cu almamcnbnÂ
]s£ ZuÀ`mKyIcsa¶ ]dbs« \n¶v c£ t\Sm³ AhÀ imkv{Xs¯
hmIvkn\pIfpsS BhnÀ`mht¯mSp tNÀ¯p \nÀ¯p¶p. sImhnUv hmIvkn³
IqSn¯s¶ hmIvkn³ hntcm[nIfpw kzoIcn¡phm³ \m\mXpdIfn s]«
Ac§p hmgp¶pïv. P\§Ä `bclnXcmbn apt¶m«phcp
¶XmWv CXn\pÅ Gähpw henb
24 \½p-sS B-tcm-Kyw | 2021 G{]n sXfnhv. hmIvkn³ hntcm[nIÄ Xs¶
Hfnªpw ]Xnªpw hmIvknsâ Iyq
hn ImWs¸Sp¶p. hmIvknsâ imkv{X
¯nepw {]`mh¯nepw P\§Ä hoïpw
hnizmkaÀ¸n¡p¶XmWv sImhnUv
\ap¡v Im«n¯cp¶ asämcp ImgvN.

HEALTH QUIZ BtcmKyw ?\n§-fp-sS
A-dn-sh{X?

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

1. F´mWv hmIvkn\nse adjuvant ?
2. F´mWv copy cat suicide ?

3. t]hnj_m[¡v ImcWamb sshdkv?
4. IDRV bpsS ]qÀ® cq]w?

5. F´mWv Xnancw?

6. P·\m Xnancapïm¡p¶ sshdkv?
7. F´mWv retinopathy of prematurtiy ?

8. KÀ`Øiniphns\ s]mXnªncn¡p¶ {ZmhI¯nsâ t]cv?

9. KÀ`mibKf Im³kdn\pÅ ]cntim[\?
10. F´mWv baritaric surgery ?
11. F´mWv phagocytosis ?

12. F´mWv AIzm«nIv sXdm¸n?
13. F´mWv Sleep Apnoea?
14. F´mWv Polysomnography?

15. sXmen¡Snbn FSp¡p¶ t]hnj hmIvkn³ GsXÃmw
Znhk§fnemWv FSpt¡ïXv?

16. F´mWv ss^täm sIan¡Âkv ?

ANSWERS 10. s]m®¯Sn Ipdbv¡m\pÅ
ikv{X{Inb
1. hmIvknsâ {]hÀ¯\ £aX
Iq«m³ D]tbmKn¡p¶ 11. icoctImi§Ä
]ZmÀ°w. tcmKmWp¡sf B{Ian¨p
hngp§p¶ {]{Inb
2. A\pIcW BXvalXy
12. hyXykvX Xm]\nebnepw
3. dm_v-tUm sshdkv hyXykvX coXnIfnepw shÅw
hn`mK¯nse enÊ sshdkv. D]tbmKn¨pÅ NnInÕ.

4. Intra dermal rabies vaccine 13. Dd§pt¼mÄ DïmIp¶
izmkXSÊw
5. I®nsâ se³kn\pïmIp¶
a§Â. 14. \n{ZmtcmK§Ä \nÀ®bn¡p¶
]cntim[\
6. dqs_Ã.
15. 0, 3, 7, 28
7. amkw XnImbmsX P\n¡p¶Xv
aqeapïmIp¶ ImgvN¯Icmdv. 16. kky§fn ImWp¶

8. Amniotic fluid {]IrXnZ¯ sIan¡Âkv

9. ]m]v-kvanbÀ sSÌv 2021 G{]n | \½p-sS B-tcm-Kyw 25

Im³kÀ NnInÕbpw

NnInÕm hn`mK§fpw

Im³kÀ tcmKw ]e NnInÕm hn`mK Ibpw acp¶pIÄ sImSp¡pIbpw Hs¡
§fpsSbpw Iq«mbvabneqsS sNbvXp t]m¶ncp¶p. F¶m sshZy
\nÀ½mÀÖ\w sNt¿ï Hcp AkpJ imkv{X cwK¯pïmb A`qX]qÀÆamb
amWv. GsXms¡ sshZyimkv{X hnÚm\ hnkvt^mS\w C¶v H«\h[n
hn`mK§fmWv Im³kÀ ikv{X{Inb sshZyimkv{X imJIfnte¡p hgn
bv¡v D]Imc{]Zw F¶XmWv Cu sXfn¨ncn¡pIbmWv.
teJ\¯n {]Xn]mZn¡p¶Xv. ]ïv
Ime§fn ikv{X{Inbbnepw acp¶v AXpsImïpXs¶ Hcp kvs]jymenän
D]tbmKn¨pÅ sshZy imkv{X bnse hnZKvZ\mb tUmÎÀ¡v asämcp
coXnbnepw Htc tUmÎÀamÀ Xs¶ ]e kvs]jymenänbnÂs]« tcmKw \Ã
AkpJ§fpw NnInÕn¨ncp¶p. coXnbn NnInÕn¡m³ Adnªp
Fw._n._n.Fkv F¶ _ncpZ¯n sImÅWsa¶nÃ. Im³kdnsâ Imcy
]dbp¶Xv t]mse _m¨veÀ Hm^v ¯n CXv hfsc {]kàamWv. Im³
saUnkn³ B³Uv _m¨veÀ Hm^v kÀ NnInÕn¡p¶ sshZyimkv{X imJ
kÀPdn F¶ Hcp e£yt¯msS Htc IÄ saUn¡Â Hmt¦mfPn (acp¶pIÄ
tUmÎÀamÀ Xs¶ ikv{X{Inb sN¿p D]tbmKn¨pÅ Im³kÀ NnInÕ),
tdUntbj³ Hmt¦mfPn (tdUntbj³
D]tbmKn¨pÅ Im³kÀ NnInÕ),
kÀPn¡Â Hmt¦mfPn (ikv{X{Inb
sImïpÅ Im³kÀ NnInÕ) F¶nh

26 \½p-sS B-tcm-Kyw | G{]n 2021

Im³kÀ tcmKw ]e NnInÕm
hn`mK§fpsSbpw Hcpan¨pÅ
Iq«mbvabneqsS \nÀamÀP\w
sNt¿ Hcp AkpJamWv.

tUm. sI. N{µtaml³
BÀ. kn. kn bnse
Im³kÀ

imkv{X{Inbm hn`mK¯nse
AUnjWÂ s{]m^kÀ
Bbn tPmen sN¿p¶p.
kvX\mÀ_pZ NnInÕ,
Xmt¡mÂZzmc NnInÕ
F¶o NnInÕmcoXnIÄ
Ct±l¯nsâ {][m\
taJeIfmWv. BXpc
ip{iqjmcwKs¯ Hcp
{][m\ NGO Bb kzkvXn
kuJybpsS sNbÀam³
BWv Ct±lw.

[email protected]

bmWv. am{Xaà Zlt\{µnbhyhØbnepÅ
Im³kdpIÄ Kymkvt{Sm kÀP\pw, hr¡IÄ, aq{X\m
fnIÄ, aq{Xk©n F¶nhnS§fnepÅ Im³kdpIÄ
bqtdmfPnÌpw izmktImi§fnepÅ Im³kdpIÄ
sXmdmknIv kÀP\pw Hm¸tdj³ sN¿mdpïv. kvX\m
À_pZw kÀPn¡Â Hmt¦mfPntÌm, kvX\ ikv{X
{Inbm hnZKv²t\m BWv Hm¸tdäv sN¿pI. ]e ikv{X
{InbIÄ¡pw tijw DïmIp¶ ]p\À\nÀ½mW
ikv{X{Inb¡v ¹mÌnIv kÀPsâ (Onco Plastic Surgeons)
klmbw thïn hcmdpïv. hfsc A[nIw sshZy
imkv{X imJIfpsS GIoIcn¨pÅ {]hÀ¯\w
Im³kÀ NnInÕ¡v Bhiyambn hcmdpïv. CXv aÄ«n
Unkn¹n\dn SyqaÀ t_mÀUv hgnbmWv ]et¸mgpw
km[yamIp¶Xv. BÀ.kn.kn t]mepÅ Im³kÀ
NnInÕm Bip]{XnIfn icoc¯nsâ ]e
`mK§fnepÅ Im³kÀ NnInÕn¡m\mbn«v ]e aÄ«n
Unkn¹n\dn SyqaÀ t_mÀUpIÄ kpkÖamWv.

2021 G{]n | \½p-sS B-tcm-Kyw 27

Im³kÀ NnInÕn¡p¶ hnhn[ NnInÕm imJIÄ

saUn¡Â Hmt¦mfPn

acp¶pIÄ D]tbmKn¨pÅ Im³kÀ

NnInÕbmWv Cu sshZy imkv{X

imJbpsS {]tXyIX.

tdUntbj³ Hmt¦mfPn

tdUntbj³ sImïv Im³kÀ

NnInÕn¡p¶ imkv{XimJbmWv

tdUntbj³ Hmt¦mfPn.

kÀPn¡Â Hmt¦mfPn

Im³kÀ ikv{X{Inb hn`mKamWv 3. Zlt\{µob hyhØbpsS ikv{X{Inb
kÀPn¡Â Hmt¦mfPn. CXn\p hfsc
A[nIw k_v Unhnj\pIÄ Dïv. (G I Oncological Surgery)

1.slUv B³Uv s\¡v kÀPdn {][m\ambpw cïpXcw t{iWnbn
eqsS hcp¶ tUmÎÀamcmWv Zlt\
slUv B³Uv s\¡v kÀPdn C¶v {µnb hyhØ¡pÅ ikv{X{Inb
]e Im³kÀ Bip]{XnIfnepw DÅ sN¿p¶Xv. H¶pIn Zlt\{µnb
Hcp kq¸À kvs]jymenän hn`mKw BWv. hyhØbn _ncpZm\´c _ncpZw
Cu cwK¯v {]hÀ¯n¡p¶ ]e IcØam¡nbhtcm Asæn Im³kÀ
tUmÎÀamcpw "Fw.Fkv, P\d kÀPdn' ikv{X{Inbbn _ncpZm\´c _ncpZw
Asæn "Fw.Fkv, C.F³.än' Ignªv IcØam¡nbhtcm BImw. CXnÂ
kÀPn¡Â Hmt¦mfPn, slUv B³Uv Xs¶ h³IpSÂ, sNdpIpSÂ, ]m³
s\¡v kÀPdn _ncpZm \´c _ncpZw {Inbmkv, Bamibw, A¶\mfw
IcØam¡nbhcmWv. F¶nhsbms¡ Cu cïp hn`mKw
tUmÎÀamcpw sN¿mdpsï¦nepw IcÄ
2. kvX\mÀ_pZ Im³kÀ kÀPdn ikv{X{Inbbpw AtXmS\p_Ôn¨pÅ
ikv{X{InbIfpw IqSpXepw sN¿p¶Xv
kvX\mÀ_pZ Im³kÀ hnZKv²À Zlt\{µnb hyhØbn _ncpZm\´c
H¶pIn kÀPn¡Â Hmt¦mfPn F¶ _ncpZw IcØam¡nb tUmÎÀamcmWv.
_ncpZm\´c _ncpZw IcØam¡nb
htcm Asæn s{_kväv s^temjn]v 4. kv{XoP\y Im³kÀ
sNbvXhtcm BWv.
kv{XoIÄ¡pïmIp¶ Hthdnb³
Im³kÀ, KÀ`mibKf Im³kÀ,
F³tUmsa{Snb Im³kÀ F¶nh
NnInÕn¡p¶Xv C¯cw Im³kdpIfnÂ
_ncpZm\´c _ncpZw kv{XoP\y Im³
kÀ ikv{X{Inbm hnZKv²³ (Gynec
Oncology) AYhm Im³kÀ ikv{X{Inbm
hnZKv²³ (Surgical Oncology) t\Snb tUmÎÀ
amcmWv.

5. hr¡Ifpw aq{Xk©nbpw

hr¡IÄ¡pw aq{Xk©nIÄ¡pw
DïmIp¶ Im³kdpIÄ bqtdm
Hmt¦mfPntÌm kÀPn¡Â Hmt¦mfPn

28 \½p-sS B-tcm-Kyw | G{]n 2021

tÌm BWv NnInÕn¡p¶Xv. 8. Hmt¦m tdUntbmfPn

6. F³tUmkvtIm¸nIv kÀPdnIÄ tdUntbmfPnbpsS kq¸À
kvs]jym enän AYhm
Zlt\{µnb hyhØbn DïmIp¶ s^temjn]v Bbn \S¯p¶
sNdnbXcw Im³kdpIfpw apgIfpw Cu tImgvkv, Im³kÀ tcmK
\o¡w sN¿p¶Xn\pÅ F³tUmkv \nÀ®b¯n\mbpÅ
tIm¸nIv ikv{X{Inb sN¿p¶Xv ]e {]tXyI ]cnioe\w
t¸mgpw saUn¡Â Kymkvt{Sm F³tUm tdUntbmfPnÌpIÄ¡v
fPnÌv BWv. aq{Xk©n¡pÅnepïm \ÂIp¶p.
Ip¶ Im³kdpIÄ {][m\ambpw (Endo
Urology Operations) bqtdmfPnÌpIfpsS 9. Hmt¦m A\kvtXjy
taJebmWv.
Im³kÀ ikv{X{Inb
7. \yq¢nbÀ saUnkn³ ]et¸mgpw aäp ikv{X
{InbIsf At]£n¨p hfsc
]eXcw sFtkmtSm¸pIÄ D]tbm A[nIw t\cw \oïp \n¡p¶XmWv.
Kn¨v tcmK\nÀWbhpw tcmK NnInÕbpw Im³kÀ tcmKn¡v thï A\kvtXjy
\S¯p¶Xv Cu hn`mK¯nÂs]« ]et¸mgpw hfsc A[nIw {]mhoWyw
tUmÎÀamcmWv. kn²n¨ tUmÎÀamÀ \ÂtIïXmWv.
CXn\mbn Im³kÀ tcmKnIÄ¡v A\
kvtXjy \ÂIm\mbn«v Hmt¦m A\
kvtXjy F¶ hn`mKw ]pXpXmbn«v
]e Bip]{XnIfnepw \nehnÂ
h¶n«pïv.

10. Hmt¦m ¹mÌnIv kÀPdn Unhnj³

(Onco Plastic Surgery Division)

Im³kdn\v tijapÅ icoc ]p\À
\nÀ½mWw ]et¸mgpw AXoh IchncpXv
thï Hcp NnInÕmcoXnbmWv.
CXn\mbn«v Bombay Tata Memorial Hospital
DÄs¸sSbpÅ ]e Bip]{XnIfnepw
_ncpZm\´c _ncpZtImgvkpIÄ
\S¯p¶pïv.

11. aäp sshZyimkv{X imJIÄ

CtXmsSm¸w Xs¶ aäp ]e saUn
¡Â sshZyimkv{X imJIfnepÅ
tUmÎÀamcpsS klmbw Im³kÀ
NnInÕ¡mbn thïnhcmdpïv.
tdUntbj³ NnInÕ¡mbn tdUntbm
{Kmt^gvkv, tdUntbj³ ^nknIvkv
FIvkvs]ÀSvkv, slUv B³Uv s\¡v
kÀPdn¡p klmbIamIp¶ sUâÂ
kÀsP³kv, am{Xaà km´z\ NnInÕm
hnZKvZÀ F¶nhcpsSbpw klmbw
Im³kÀ NnInÕ¡v thïn hcmdpïv.

2021 G{]n | \½p-sS B-tcm-Kyw 29

hmin ]nSn¨v Ic-tªm-s«, F¶mepw
Ipªp-§Ä¡v kvamÀ«vt^m¬ sImSp-¡-tÃ. . .

Ipsªm¶v Ic-ªmepw `£Ww
Ign-¸n-¡m-\pw, aäp-ambn c£n-Xm-¡Ä¡v
A¸w kzØ-ambn asä-s´-¦nepw
sN¿m-\p-saÃmw Ip«n-IÄ¡v samss_Â
t^mWn hoUn-tbm-IÄ ImWn-¡p-¶-hÀ
[mcm-f-am-Wv.

C§s\ A©p-h-b-Ên Xmsg-bp-Å-hÀ¡v
ap¶n Sn.hn-bpw, Iw]yq-«-dpw, samss_Â
t^mWpw DÄs¸-sS-bpÅ UnPn-äÂ
kv{Io\n Nn{Xo-I-c-W-§Ä ImWn-¡p-¶
-Xn\v temIm-tcmKy kwL-S\ (World Health
organisation - WHO) amÀK-\nÀtZ-i-§Ä
sImïp-h-¶p.

Hcp hb-kn Xmsg-bpÅ Ip«n-Isf
C¯cw Ce-Ivt{Sm-WnIv kv{Io\p-IÄ
ImWn-¡p-hmt\ ]mSn-söpw AXn\v
apI-fn 5 hb-kp-h-sc-bpÅ Ipªp-§Ä¡v
Hcp aWn-¡qÀ hscbpw am{Xta hoUntbm
{]ZÀin-¸n-¡m-\mIq F¶-XmWv \nÀt±iw.

 Ip«n-I-Ä Ifn-¨pw, Dd-§nbpw Ah-cpsS  Hcp hb-kn Xmsg-bpÅ Ip«n-IÄ
Imbn-I-£-a-Xbpw _p²n-i-ànbpw Xd-bn Ccp¶v Ifn-¡-s«, Ah-cpsS
\ne-\nÀ¯-s«-sb¶pw `mhn-bn Btcm km¶n-[y-¯n \n¶v FÃm-¯cw
-Ky-{]-iv\-§Ä CÃm-Xn-cn-¡m³ CXp Ce-Ivt{Sm-WnIv kv{Io\p-Ifpw Hgn-hm
klm-b-I-am-Ip-sa¶pw kwL-S\ \nÀ -¡-s¸-S-Ww.
t±-in-¨p. BZy-am-bmWv U_yq.-F-¨v.H
C¯cw amÀK-\nÀt±i-§Ä \ÂIp-¶-Xv. Hmkvt{S-en-b, Im\-U, Z£n-Wm-{^n-¡,
Ata-cn-¡³ sFIy-\m-Sp-IÄ XpS-§nb
 H¶p apX \mev hbkp hsc-bpÅ cmPy-§-fn \n¶pÅ ]T-\-§-fn \n¶v
Ip«n-IÄ Znh-k-¯n 3 aWn-¡q-sd e`n¨ sXfn-hp-I-fpsS W.H.O ASn-Øm-\
-¦nepw ImbnI {]hÀ¯-\-§-fn -¯n-emWv amÀK-\nÀtZ-i-§Ä ]pd-s¸-Sp-hn
GÀs¸-«n-cn-¡-W-sa¶pw amÀK-\nÀt±i -¨-Xv. (Hcp {]apJ ]{X-¯n h¶
-¯n ]d-bp-¶p. hmÀ¯-bmWv \n§-fn-t¸mÄ hmbn-¨-Xv.)

30 \½p-sS B-tcm-Kyw | 2021 G{]nÂ

apä-¯n-d§n Ifn-¨pw, Iq«p-Im-tcm-sSm¸w ]mSn XnanÀ¯v,
hoWv þ Fgp-t¶Â¡m³ ]Tn¨pw \½psS Ip«n-IÄ
DÕm-l-ap-Å-h-cmbn hfÀ¶p-h-tc Ah-k-c-§-fm-Wv,
Ah-cpsS Igp-¯n hogp¶ Ipcp-¡mbn samss_Â
DÄs¸-sS-bpÅ UnPn-ä kv{Io\p-IÄ
dm©n-s¡m-n-cn-¡p-¶-Xv.

samss_Â F¶ hnÃ\pw \½psS a¡fpw! tUm. Fw. sI. kn. \mbÀ DSc.

A\m-h-iy-hkvXp F¶v ap³Im-e-§-fn hne-bn-cp-¯ UbdÎÀ,
-s¸-«n-cp¶ samss_ t^mWp-IÄ C¶v Pohn-X-¯n \nwkv kvs]{Îw
\n¶pw Hgn-hm-¡m-\m-Im¯ H¶mbn amdn-¡-gn-ªn-cn-¡p inip hnIk\
-¶p. ]e kµÀ`-§-fnepw a\p-jy\v Gsd D]-Im-c-{]-Z KthjW tI{µw.
-amb Cu D]-I-cWw \½psS Ip«n-I-fn sNep-¯p¶ \nwkv saUnknän.
kzm[o\w hnkva-cn-¡m-\m-Ip-¶-X-Ã. apä-¯n-d§n Ifn-¨pw, s\¿män³-Ic.
Iq«p-Im-tcm-sSm¸w ]mSn XnanÀ¯v, hoWv þ Fgp
-t¶Â¡m³ ]Tn¨pw \½psS Ip«n-IÄ DÕm-l-ap-Å-h AJn-te´ym
-cmbn hfÀ¶p-h-tcï Ah-k-c-§-fm-Wv, Ah-cpsS Igp {]i-kvX-\mb inip-tcmK
-¯n hogp¶ Ipcp-¡mbn samss_ DÄs¸-sS-bpÅ NnIn-Õ-I³. inip-tcmK
UnPn-ä kv{Io\p-IÄ dm©n-s¡m-ïn-cn-¡p-¶-Xv. hnZ-Kv²-cpsS kwL-S\
sF. F. ]n bpsS ap³
sIm¨p Ip«n-Isf im´-cm-bn-cp¯n \½psS tPmen-IÄ AJn-te´ym {]kn-Uâv,
XoÀ¡m-\mbn Ip«n-IÄ¡v samss_ t^mWp-IÄ \ Xncp-h-\-´-]pcw
ÂIp¶ A\-h[n amXm-]n-Xm-¡-fp-ïv. ]t£ Hcn-¡epw saUn¡Â tImtf-Pnse
amXm-]n-Xm-¡sf \ap¡v Ipäw ]d-bm-\m-In-Ã, ImcWw s{]m^kÀ, tIcf
Xnc-¡p-]n-Sn¨ Cu Pohn-X-¯n CsXm-s¡-b-ÃmsX BtcmKy kÀhIemime
AhÀ¡v aäp hgn-IÄ Dïm-In-Ã. sKbnw Ifn-¨m Asà ap³ sshkv Nm³keÀ,
-¦n samss_ sImSp-¯m Hcp iey-hp-an-ÃmsX inip-¡fpsS hfÀ¨bpw
HXp-§n-bn-cp-t¶m-fp-sa¶ KpW-ap-ïv. F¶n-cp-¶mepw _p²nhnIm-khpw
sNdp-{]m-b-¯n Xs¶ t^mWnsâ lcw Ipªp-§-fn Ah-tem-I\w sNbvXv
a\x-]qÀÆa-ÃmsX amXm-]n-Xm-¡Ä Ip¯n-h-bv¡p-I-bmWv icn-bmb coXn-bnÂ
sN¿p-¶-Xv. F¶m CXv Hgn-hm-¡-Ww. Ah Dd-¸m-¡p-¶-Xn\mbn
cq]o-I-cn¨ ssNÂUv
ka-b-¯nsâ ^e-{]-Z-amb D]-tbm-K-co-Xn-Isf Ipdn sUh-e-¸vsaâv skâÀ
-¨pÅ IrXy-hpw, hyà-hp-amb DÄ¡mgvN Ip«n-I-fn tUm. Fw. sI. kn
hfÀ¯n-sb-Sp-¡-Ww. ka-b-¯nsâ {]m[m-\y-hpw, ka-b \mb-cpsS Gähpw henb
kw`m-h-\-bm-Wv.

Mob: 9447121689
[email protected]
&

AizXn FÂ.F

Uhe¸vsa³d \gvkv
Iu¬kneÀ, \nwkv
kvs]{Îw inip hnIk\
KthjW tI{µw, \nwkv
saUnknän, s\¿män³Ic

2021 G{]n | \½p-sS B-tcm-Kyw 31

-]-cn[n \nÝ-bn-¡p-¶-Xnse bpànbpw -hpÅ Ip«n-IÄ kvamÀ«pw, anSp-¡-cp-am-
At¸mÄ am{Xsa Ip«n-IÄ¡v a\-Ên-em sW¶p IcpXn Ahsc t{]mÕm-ln-
-Ip-I-bp-Åq. ¸n-¡p¶ asämcp hn`mKw "A½sb
 Ip«n-IÄ¡v samss_Â t^mWpw, XÃn-bmepw cïpïv A`n-{]mbw'
F¶ ]g-s©mÃpw ChnsS kqNn-¸n¨p
em]vtSm-¸pw, Sm_ve-äpw, Sn.hn.bpw aäp t]mImsX h¿!....... CXn-\n-S-bnÂ
]e UnPn-ä hnt\m-tZm-]m-[n-Ifpw kaq-l-am-[y-a-§-fpsS AanX D]-tbm
kzX-{´-ambn \ÂIp-¶-Xn \½psS -Km-kàn ImcWw t^m¬ I¿nÂ
kaqlw cïp ]£-¯m-Wv. Ch \n¶pw Xmsg hbv¡m³ aSn-¡p¶
-sbms¡ sImSp-¯m Ip«n-IÄ hgn ho«nse aäpÅ AwK-§fpw IqsS-bm
-sXän t]mIp-sa¶v hniz-kn-¡p¶ Hcp -Ip-t¼mÄ Blm.....! IpSpw_w apgp-h³
hn`m-Kw, C¶s¯ Ime¯v Ch sslsS-¡m-bn.
-sbÃmw ssIImcyw sN¿m³ Adn

F´mWv samss_Â am\nb?

\½psS Ip«n-IÄ¡v {]mb-t`-Z-sat\y Ct¸mÄ
{]nbw kvamÀ«v t^mWp-I-fpw, Sm_vse-äp-Ifpw aäpw
Xs¶-bm-Wv. ssaXm-\-§-fn-tem, hoSn\p apät¯m
Cd§n imco-cnI hnt\m-Z-§-fn GÀs¸-Sp-¶-Xn-s\
-¡m-fp-sams¡ Ip«n-IÄ¡njvSw C¯cw coXn-I-fnÂ
sKbnw Ifn¨pw aäpw kabw If-bp-I-sb-¶Xp
Xs¶-bm-Wv.

Ifn-X-am-i-IÄ ]d-ªpw, Ifn¨pw Nncn¨pw kabw
sNe-h-gn-¨n-cn-t¡ï ka-b-¯v, kvamÀ«v t^mWp
-IÄ¡v ap¶n hf-ªn-cp¶v sKbnw Ifn-¡p-I-bpw,
hoUn-tbm-IÄ ImWp-Ibpw sN¿p-t¼mÄ; Ip«n-Isf
AUn-£³ t]mepÅ Ah-Ø-I-fn-te¡v F¯n-¡p
-¶-Xn amXm-]n-Xm-¡fpw hln-¡p¶ ]¦v hnkva-cn-
¡m-\m-Ip¶ H¶-Ã. thï ]cn-lm-c-co-Xn-IÄ
ap³Iq«n \ÂIn Ahsc \nb-{´n-¡p-¶-Xn\p ]Icw
Ip«n-I-fpsS kz´w CjvS-¯n\v Ch hn«p-sIm-Sp-¡p
-t¼mÄ {]iv\-§Ä Kpcp-X-c-am-Ip-I-bmWv sN¿p-¶-Xv.

F´mWv t\mtam-t^m-_nb?

"Blm....-sIm-Åm-atÃm! t\mtam-t^m-_ntbm?! AsX´v km[\w? \Ã FSp¸pÅ
hm¡v, F¶mepw F´m-bn-cn¡pw AXv' F¶-sÃ.....

"Hcp Iq«À samss_ CÃmsX Pohn-¡m-\m-In-söpw ]dªp \S-¡p-¶p.
ChÀs¡ms¡ Al-¦m-c-amWv; H¶p hnNm-cn-¨m Ipd-bv¡m-hp-¶-tX-bpÅp Cu ioew
F¶v ]d-bm³ hc-s«..... ImcWw, Nne hyàn-I-fn samss_ AUn-£³ Xs¶ Hcp
am\-knI _p²n-ap-«mbn amdp-¶p.

"t\mtam-t^m-_nb (Nomo Phobia) F¶m t\m samss_ t^m¬ t^m_nb F¶m
-Wv. "t^m_nb' F¶m AIm-c-W-amb `bs¯ kqNn-¸n-¡p-¶p. t\mtam-t^m-_n-bpÅ
hyàn-IÄ¡v t^mWn \n¶pw D]-tbm-Kn¡pIbpw, CXv F¶pw AXm-bXv FÃm
Znh-khpw Cu ioew XpS-cp-I-bm-sW-¦n samss_ AUn-£sâ kqN-\-bmbn IW
-¡m-¡mw.

32 \½p-sS B-tcm-Kyw | 2021 G{]nÂ

samss_Â D]-tbm-K-hpw, Fsâ Ipªnsâ `mhnbpw!

{]iv\-§Ä XpS-§p-¶Xv Ft¸mÄ?

]e Ip«n-Ifpw kvamÀ«v t^m¬ CÃmsX XpS-cm³ Ign-bm¯ hn[-¯n Akz
-Ø-cmbn XpS-§pw. AhÀ \nc-´cw t^mWn\mbn hmin ]nSn-¡p-I-bpw, GsX-¦n
epw ka-b-t¯¡v t^mWn \n¶v AI¶p \nÂt¡ïn h¶m {]tIm-]n-X-cm-Ip
-Ibpw sN¿p-¶p. samss_Â t^m¬ Bi-b-hn-\n-a-b-¯n-\m-bp-]-tbm-Kn-¡p¶
AXym-h-iy-amb Hcp hkvXp-hmbn amdp-¶-Xn\p ]Icw; Hcp Ip«n-bpsS PohnXw
\nb-{´n-¡p¶ H¶mbn amdp-t¼mÄ hnj-an-¡m³ t]mIp-¶Xv amXm-]n-Xm-¡Ä
Xs¶-bm-Wv.

samss_Â t^m¬ Aan-Xm-kàn ImcWw Dm-Im-\n-S-bpÅ
k¦oÀW-X-I-fpw, aäm-tcmKy {]iv\-§fpw

akvXnjvI {]hÀ¯-\s¯ ]-T-\-¯n ]nt¶m-¡-am-Ip¶ AhØ

_m[n-¡p¶p Iuam-c-¡m-sc-t¸mse Ip«n-Ifpw C¶v
kvamÀ«v t^mWp-IÄ¡v ASn-a-I-fm-Wv.
kvamÀ«v t^mWp-IÄ {]mY-an-I-ambn AhÀ ]T-\-¯n \n¶pw hgpXn amdn
sshZyp-X-Im-´nI Xcw-K-§-fm FÃm-bvt¸mgpw sKbn-ap-I-fnepw kaq-l-am
{]hÀ¯n-¡p¶ D]-I-c-W-am-Wv. \½psS -[y-a-§-fn-ep-ambn apgp-In-bn-cn-¡p-¶p.
Xe-t¨m-dn Xs¶ AXnsâ hnhn[ Ip«n-IÄ Krl-]m-T-¯n-\mbn sNe-h-gn
{]hÀ¯-\-§Ä¡m-h-iy-apÅ sshZypX -¡p¶ kabw Ipd-bp-¶p. ]T-\-¯nÂ
t{]c-W-§Ä Dïv. \mUn-I-fn-eq-sS-bmWv ]nt¶m-¡-am-Im-\pw, ]co-£-I-fnÂ
C¯cw Bth-i-§Ä IS-¶p-t]m-Ip-¶-Xv. \¶mbn tim`n-¡m\pw Ign-bmsX
ht¶-¡mw.
]qÀW-ambn hfÀ¨-sb-¯m-¯-Xn-
\m-epw, aäp ]e Imc-W-§-fmepw Ip«n-I Im³kÀ km[yX DbÀ¯p¶p
-fpsS Xe-t¨m-dnsâ B´-cnI `mK-§-fn
-te-¡v, t^mWn \n¶pÅ Xcw-K-§Ä t^mWp-IÄ ZoÀL-t\cw D]-tbm-Kn
Ffp-¸-¯n IS-¶p-t]m-Ipw. cïv an\näv -¡p-¶Xpw ZoÀL-t\cw t^m¬ kwkm
t]mepw t^mWn kwkm-cn-¡p-¶Xv -chpw, sNhn, Xe-t¨mdv F¶o Ah-b-h
Ip«n-bpsS Xe-t¨m-dn-\p-Ånse sshZyp-X -§-fnse AÀ_pZ km[yX DbÀ¯p-¶p.
-{]-hÀ¯-\-§Ä amäm³ Ign-bp-sa¶v
Kth-j-IÀ ]d-bp-¶p. CXp IqSmsX; AXn-t\m-sSm¸w Xs¶ t\À¯
 Aan-X-amb Xe-th-Z\ kwc-£W Ih-N-§-fpÅ AØn-IÄ,
 ImgvN XI-cm-dp-IÄ Ie-IÄ (Tissues), Xe-t¨mdv t]mse-bpÅ
 tIÄhn {]iv\-§Ä Ah-b-h-§-fnepw \mUo-hy-h-Ø-bnepw
 {i²-¡p-dhv t\cn«v _m[n¨v AÀ_pZ km[yX
 AanX DXvIWvT DbÀ¯p-¶p.
 hnjmZw
 hmin A{I-am-k-à-amb s]cp-amäw
 Dd¡ Ipdhv  tZjyw
\½psS Ipªp-§Ä XpSÀ¨-bmbn
F¶nhbpw Dïm-Imw. Xe-t¨m-dn\v hn{iaw \ÂImsX
samss_Â D]-tbm-Kn-¡p-t¼mÄ;
Ip«n-I-fn kz`mh hyXym-k-§Ä

2021 G{]n | \½p-sS B-tcm-Kyw 33

Dïm-Im-\pÅ km[yX DbÀ¯n-tb-¡mw. Ip«n-IÄ¡v FÃm-¯n-t\m-Sp-apÅ
kvamÀ«v t^m¬ D]-tbmKw Ip«n-Isf
Xm¸cyw Ipd-bp-¶p
IpSpw-_-hp-ambn Bi-b-hn-\n-abw \S-¯p
-¶-Xn \n¶v ]n³h-en-¡p-sa¶v ]T-\ samss_-en-epw, Iw]yq-«-dn-ep-sam
-§Ä ]d-bp-¶p. -s¡-bmbn \nc-´cw kabw sNe-h-gn
-¡p-¶Xv ImcWw ]pd-¯n-d§n Ifn
km[m-cW Ah-k-c-§-fn t]mepw -¡m-\pÅ Xm¸cyw Ip«n-I-fnÂ
Ip«n-IÄ A{I-aW {]h-WX ImWn-t¨ Ipd-ªp-h-cp-¶p. Btcm-Ky-apÅ
-¡mw. ico-c-hpw, a\Êpw Ip«n-IÄ¡p-ïm-I
-W-sa-¦n tZlw A\-§n-bpÅ
kvamÀ«v t^mWn \n¶v amdn \n Ifn-IÄ AXym-h-iy-am-Wv. C¯-c
¡p-t¼mÄ Nne Ip«n-Ifn ]ncn-ap-dp-¡ -¯n ico-c-a-\-§m-Xn-cn-¡p-t¼mÄ
-hpw, am\-knI k½À±hpw {]tIm-]-\-]-c s]m®-¯Sn, DbÀ¶ sImf-kvt{SmÄ,
-amb s]cp-am-ähpw ImWp-¶p. lrZvtcm-K-§Ä XpS§n ]e-]e
BtcmKy {]iv\-§Ä¡pw Imc-W-am
ssl¸À BIvSn-hnän -tb-¡mw. am{X-hp-a-Ã, Ip«n-bpsS
{]mY-an-I-amb kmaq-lnI CS-s]-SÂ
Ip«n-I-fn ssl¸À BIvSn-hnän IqsS-bmWv aäpÅ Ip«n-I-fp-ambn
AYhm Ip«n-IÄ Hcn-S¯pw AS§n, Iq«w tNÀ¶pÅ Ifn-IÄ. AXp-
HXp-§n-bn-cn-¡m³ ]äm¯ AhØ t]mse Xs¶ Ip«n-bpsS ]qÀ®-amb
Dïm-Ip-¶-Xn\pw ]n¶n-epÅ Hcp Imc-W _p²n-hn-Im-k-¯n\pw C¯cw Ifn
-¡m-c³ samss_Â t^mWm-Wv. Ip«n-I -IÄ Gsd Bh-iy-am-Wv.
-fn C¯cw kz`mhw Iïp XpS-§p-¶Xv
samss_-ensâ AanX D]-tbmKw aqe-am Bß-lXym {]h-WX
-sW¶v BtcmKy hnZ-KvZÀ ]d-bp-¶p.
]Xn-hmbn Hcp-]mSv kabw samss_Â
34 \½p-sS B-tcm-Kyw | 2021 G{]n t^mWn hoUntbm sKbnw DÄs¸-sS-bp
-Åh Ifn-¡p¶ Ip«n-I-fn Bß-lXym
{]h-W-X, Bßm-cm-[\ XpS-§n-bh
Dïm-Ip-¶-Xmbpw, C¯cw Ip«n-I-fnÂ
`mh-\m-]-c-amb tijn-I-fpw, Nn´n¨p
{]hÀ¯n-¡p-hm-\pÅ Ignhpw Ipd-hm-bn
-cn-¡p-sa¶pw ]T-\-§Ä ]d-bp-¶p.

Aan-X-tZ-jy-hpw, ]nSn-hm-inbpw

\nc-´cw samss_-en Ifn¨p kabw
If-bp¶ Ip«n-I-fn am\-knI ]ncn-ap-dp
-¡w, ]nSn-hm-in, Aan-X-tZ-jyw, Ccn-¸p-d
-bv¡msX HmSn-\-S-¡p¶ Ah-Ø-IÄ
Dïmbn XpS-§pw. \nÊmc Imcy-§Ä¡v
t]mepw C¯cw Ip«n-IÄ s]s«¶v
tZjy-s¸-Spw. am{X-hp-aà sIm¨p sIm¨p
Ipä-s¸-Sp-¯-ep-IÄ¡v t]mepw kzbw
apdn-th¸n-¨v, kzbw in£n-¡p¶ kz`m
-h-§fpw Dïm-tb-¡mw.

samss_ t^mWnsâ sXämb D]-tbm-K-hpw, CâÀs\äv F¶ hnÃ\pw

GsXmcp Imcy-¯n\pw am\y-hpw, -j-IÀ ]d-bp-¶p. CâÀs\-än-eqsS Nmän
tami-hp-amb hi-§Ä DïmImw. AXp -§n-eq-sSbpw aäp-ambn ]e-]e NXn-¡p-gn
-t]mse Xs¶ kvamÀ«v t^mWp-Ifpw -I-fnepw sN¶p-s]-Sm-\pw, ]oU-\-§Ä
sXämb Imcy-§Ä¡v D]-tbm-Kn-¡m-\m- ¡n-c-bm-Im-\p-apÅ {][m\ Imc-W-§-fnÂ
Ipw. kaql am[y-a-§Ä D]-tbm-Kn-¡p-¶ H¶v CâÀs\-änsâ Aan-tXm-]-tbm-K-
-Xn-eqsS Ip«n-IÄ Ah-cpsS {^ïvkv am-Wv.
]¦n-Sp¶ DNn-X-a-Ãm-¯Xpw {]mb-¯n-\-\p
-tbm-Py-a-Ãm-¯-Xp-amb hmN-I-§-tfm, e£-W-§Ä
Nn{X-§-tfm, hoUn-tbm-I-tfm, aäp ktµ
-i-§tfm Ffp-¸-¯n Zpcp-]-tbm-K- am\-kn-I-ambn DÄh-en-b-en\p kam-\
hn-t[-b-am-¡mw. sNdp-{]m-b-¯n Xs¶ -ambn B[p-\nI Ime¯v kw`-hn-¡p¶
AÇo-e-X-bn-te-¡pÅ hgn Isï-¯m-\pw, Hcp {]Xn-`m-k-amWv samss_Â Imc-W
Ah-cpsS [mc-W-I-fpw, Nn´m {]{In-b -apÅ DÄh-en-bÂ. kaq-l-hp-ambn ASp
-Ifpw tami-am-¡p-hm³ hgn-sX-fn-t¨-¡mw. -¯-dnªv apJm-ap-JambpÅ Bi-b-hn-\n-
Ah-cpsS kz´w Nn{X-§Ä Xs¶ a-b-¯n \n¶p-saÃmw hgpXn amdn
\ncp-¯-c-hm-Z-]-c-ambn ssIamäw sN¿p kvamÀ«v kv{Io\p-IÄ¡p-Ån-te¡v am{Xw
-¶Xv `mhnsb kmc-ambn _m[n-t¨-¡mw. Npcp-§p-¶-XmWv CXnsâ {][m\ e£-Ww.

ssewKn-I-Nq-jW km[yX Ip«n-IÄ am{X-sa¶p ]d-bm-\m-In-Ã,
Ah-cpsS amXm-]n-Xm-¡fpw CXnsâ
DbÀ¯p¶p Cc-IÄ Xs¶-bm-Wv.

CâÀs\-änsâ Aan-tXm-]-tbmKw Fs´-¦nepw {]hr-¯n-bntem/
Ip«n-Isf ssewKnI Nqj-W-§Ä¡v ]T-\-¯ntem/aäv D¯-c-hm-Zn-Xz-s¸« Imcy
Cc-bm-Im³ Imc-W-am-tb-¡p-sa¶v Kth -§-fntem GÀs¸-«n-cn-¡p-t¼mgpw Ip«n
-bpsS {i² amXm-]n-Xm-¡-fpsS t^mWn
-em-bn-cn-¡pw.

2021 G{]n | \½p-sS B-tcm-Kyw 35

CâÀs\äv Aan-Xm-kàn \ap¡p Xs¶ iii. {]Xn-Zn\w CâÀs\äv D]-tbm-Kn-¡p¶
kabw {ItaW IqSn-IqSn hcp-¶p.
Xncn-¨-dnªv th amÀK-§Ä kzoI-cn-¡mw
iv. s\äv IW-£³ hntÑ-Zn-¡-s¸-Sp¶
s\äv AUn-£³ Dtïm-sb¶p Xncn-¨-dn kml-N-cy-§-fn Dd-¡-an-Ãm-bva, Xe
-bm³ Ffp-¸-am-sW¶p Xs¶ ]d-bmw. -th-Z-\, Aan-X-amb tZjyw, {i²-¡p-d-hv,
NphsS tNÀ¡p¶ e£-W-§Ä DXvIWvT F¶o ]n³hm-§Â e£-W
\n§Ä¡p-tïm-sb¶v kzbw H¶v -§Ä Dïm-Ip-¶p.
]cn-tim-[n-¡pI;
v. Pohn-X-¯nse {][m\ Imcyw CâÀs\
i. FÃm-bvt¸mgpw CâÀs\-äns\ Ipdn¨v äv am{X-am-Wv. AXn-\p-thïn bm{X-IÄ,
Bte-m-Nn¡p-¶p. F´p-sN-¿-W-sa kplr-¯p-¡Ä, aäv hnt\mZ ]cn-]m-Sn-
-¦nepw CXv A\nhm-cy-am-bn-cn-¡pw. IÄ F¶nh Dt]-£n-¡p¶p; H¸w
Xs¶ Xm³ sNbvXp XoÀt¡ï D¯-c
DZm:þ cmhnse DW-cp-¶-Xp-t]mepw s\äv -hm-Zn-Xz-§-fn \n¶pw Hgn-ªp-am-dp-¶p.
D]-tbm-Kn-¡m-atÃm F¶ Nn´-tbm-sS
-bm-hpw. vi. Aan-Xhpw, tZmj-I-c-hp-amb hn[-¯n
-emWv Xm³ t^mWpw, CâÀs\äpw
ii. t^mWnepw, CâÀs\-än-ep-ambn sNe-h D]-tbm-Kn-¡p-¶-sX¶v a\-Ên-em-¡n
-gn-¡p¶ kabw \nb-{´n-¡m³ ]ämsX -bn«pw Cu ioew XpS-cp-¶p.
hcp-¶p.

taÂ]-dª 6 e£-W-§-fn aqs¶®w Dsï-¦n CâÀs\äv AUn-£³ Dsï¶v
a\x-imkv{X hnZ-KvZÀ ]d-bp-¶p. C¯cw AhØ \n§Ä¡p-sï-¦n Ign-hXpw t\
cs¯ Xs¶ hnZKvZ \nÀtZiw tXSp-I.

CXp IqSmsX; Dd¡ Ipdhv, IWw-I-¿n-epw hnc-ep-I-fnepw thZ\, ]pdw thZ\,
I®p-IÄ¡v hcĨ A\p-`-h-s¸-Sp-I, Igp¯v thZ\, Aan-X-h®w XpS-§nb imco-cnI
e£-W-§fpw Cu AUn-£sâ `mK-ambn Dïm-Im-dp-ïv.

]cn-lmc amÀK-§Ä

C¯-c-¯n e£-W-§Ä ImWn-¡p¶ -¨p-d-¸n¨v ]cn-[n-I-tfmsS samss_Â
Ip«n-I-fn ap³]v Ifn¨ sKbn-ansâ D]-tbm-Kn-¡m³ A\p-h-Zn¡mw; AXpw
{Xn Bbn-cn¡mw ]Tn-¡p¶ ka-b Ah³ sNbvXp XoÀt¡ï Npa-X-e-IÄ
¯pw Dïm-Im-dv. AXp-sImïv amXm- ]T-\-am-I-s«, aäp Imcy-§-fm-Is« Ch
]n-Xm-¡Ä Fhn-sS-sb-¦nepw hbv¡p \nd-th-änb tijw am{Xw.
-¶Xpw Im¯n-cn-¡p-I-bm-bn-cn¡pw Ah³.
]änb Ah-kcw In«p-t¼mÄ t^m¬
X«n-sb-Sp-¡p-I-bmWv an¡-t¸mgpw Ip«n
-IÄ sN¿m-dv, aXm-]n-Xm-¡-fpsS A\p-hm-Z-
¯n-s\m¶pw AhnsS Øm\-an-Ã. C¯cw
ioe-§Ä DÅ Ip«n-IÄ¡v Hcp
samss_Â \ÂIn-bm-epÅ `hn-j-¯p
-IÄ Duln-¡m-hp-¶-tX-bp-Åq.....
AXn-\m C¯cw {]hr-¯n-IÄ
amXm-]n-Xm-¡Ä hne-¡pI Xs¶ thWw.
CXn-\mbn;

þ \n-b-{´n-X-am-sbmcp kabw \nÝ-bn

36 \½p-sS B-tcm-Kyw | 2021 G{]nÂ

þ kv{Io³ ssSw \nÝ-bn-¡pI; am[y-a-§Ä kzX-{´-ambn D]-tbm-Kn-¡m-
\-\p-h-Zn-¡p-¶Xv F{X-am{Xw A]-I-S-I-c
FÃm kv{Io\p-Ifpw Ip«n-I-fpsS -am-sW¶v amXm-]n-Xm-¡Ä a\-kn-em-¡p-I.)
ASp¯v \n¶v FSp¯p amäp-I-bà CXn
-s\mcp ]cn-lmcw. F¶m t\sc-a-dn-¨v, þ Ip-«n-IÄ¡v FSp-¡m³ Ign-bm¯
Ah-bpsS D]-tbm-K-¯n\v \nb-{´Ww Øe-§-fn t^m¬ hbv¡p-I.
GÀs¸-Sp-¯p-I-bmWv \mw sNt¿-ï-Xv.
þ Ip«n-IÄ¡v Xpd-¡m³ km[n-¡m¯
aq¶v hb-kp-h-sc-bpÅ Ip«n-IÄ¡v Xcw kv{Io³ tem¡p-IÄ t^mWnÂ
C¯cw kv{Io\p-IÄ H¶pw Xs¶ \ skäv sN¿pI.
ÂIm-Xn-cn-¡p-I. ImcWw Cu L«-¯n
-emWv akvXnjvI hfÀ¨ kp{]-[m-\-ambn þ t^m-Wn \n¶pw aäp-ambn Ip«n-I
\S-¡p-¶-Xv. -fpsS {i² Xncn-¡p-¶-Xn-\mbn hoSn-\
-I¯pw ]pd-¯p-ambn hnhn[ Ifn-I-fn
5 hb-Êp-hsc Hcp aWn-¡q-dn-e-[nIw -epw, hnt\mZ ]cn-]m-Sn-I-fnepw
Ch \ÂIm-Xn-cn-¡p-I. GÀs¸-Sp-¯p-I.

5 hbkp Ign-ªm samss_ -þ CXn-seÃmw D]cn amXm-]n-Xm-¡fpw
D]-tbm-K-¯n-\mbn c£n-Xm-¡Ä DNn-X Ah-cpsS Ipªp-§Ä Im¬sI
-amb coXn-bn ka-b-{Iaw \nÝ-bn-¡p-I Ign-hXpw samss_ D]-tbm-Kn-¡m-Xn
-bpw, IÀi-\-ambn ]men-¡p-Ibpw sN¿p -cn-¡p-I.
-I.
þ Ip«n¡v ]m«p-IÄ CjvS-am-sW-¦nÂ
kaq-l-am-[y-a-§Ä D]-tbm-Kn-¡p-¶ AXv hoUn-tbm-cq-]-¯n ImWn¨p
-Xn-\mbn tkmjy s\äv hÀ-¡p-IÄ sImSp-¡p-¶-Xn-s\-¡m-fp-]cn
Xs¶ imkv{Xo-b-ambn \nÝ-bn-¨n-cn kv]o¡-dp-I-fn-eqsS Ip«n-IÄ¡v
-¡p¶ Gähpw Ipdª {]mbw 13 hb-Êm tIĸn¨p sImSp-¡m³ {ian-¡p-I.
-Wv. AXpw amXm-]n-Xm-¡-fpsS km¶n-[y
-¯n am{Xw. þ {][m-\-ambpw Ip«n-Isf D]-tZ-in-¡m
-Xn-cn-¡p-I, D]-tZ-i-§Ä¡p-]-I-cw,
F¶n-cp-¶m t]mepw 18 hbkv hsc IrXy-ambn `hn-jy-¯p-IÄ ]dªv
tkmjy aoUnb Ip«n-IÄ¡v A\p-im a\-kn-em-¡p-I.
-kn-¡p-¶Xv D¯-a-a-Ã, am{X-hp-aà Ip«n
-IÄ¡v CsXmcp kpc-£n-X-am-sbm-cn-S-hp-a þ amXm-]n-Xm-¡Ä Ip«n-I-tfmSv kwkm-cn
-Ã. (Cu kml-N-cy-¯n \mw sNdp-¸- -¡m-\pw, Nncn-¡m-\pw, Ifn-¡m\pw
¯n Xs¶ Ip«n-IÄ¡v kmaq-lnI ad¶p t]mIm-Xn-cn-¡p-I.

2021 G{]n | \½p-sS B-tcm-Kyw 37

Ip«n-I-tfmSv apXnÀ¶-hÀ Hcn-¡epw CXv sN¿-cp-tX...

Bfp-I-sfbpw, arK-§-sfbpw sImÃp A¸q-¸-\pw, A½q-½-bp-sam-s¡-bmbn
-Ibpw {Iqc-ambn D]-{Z-hn-¡p-Ibpw Ip«n¡v ASp¯v CS-]-g-Ip-hm³
sN¿p¶ Xcw hoUn-tbm-sK-bn-ap-IÄ kabw/Ah-k-c-§Ä A\p-h-Zn-¡p-I.
Ip«n-Isf tZjy-¡m-cpw, A{I-aW 3) A½ ho«p-tPm-en-IÄ sN¿p-t¼mÄ
{]h-W-X-bp-Å-h-cp-ambn cq]-s¸-Sp-¯mw. sNdnb sNdnb klm-b-§Ä kpc-£n
am{X-hp-aà C¯-c-¯n kv{Io\n -X-ambn Ip«n-Isf sImïv sN¿m³
ImWp-¶Xv A\p-I-cn-¡m-\pÅ {]h-W t{]cn-¸n-¡p-I.
-Xbpw Ip«n-I-fn IqSp-X-embn Iïp-h-cm 4) cmhn-se-bpw, sshIn«pw Ip«n-I-fp-ambn
-dp-ïv. \S-¡m-\n-d-§mw.
5) IS-I-fn km[-\-§Ä hm§m³
]e-t¸mgpw H¶p {i²n-¨m \ap¡v t]mIp-t¼mÄ Ip«n-I-sfbpw sImïp
Xs¶ ImWm-\m-Ip¶ H¶mWv F¶pw -t]m-Imw.
Ønc-ambn sKbn-ap-IÄ Ifn¨p sImïn-cn 6) ASp-¡-f-t¯m«w \nÀ½n¨v sIm¨p
-¡p¶ Ip«n-IÄ Nne-t¸mÄ ssI¿n sIm¨p ]¨-¡dn Irjn-IÄ sN¿mw.
t^mWn-Ãm-sb-¦n t]mepw "Snjyqw, H¸w Ipªp-§-sfbpw Iq«mw; \½psS
Snjyqw' Fs¶Ãmw BwKy-¯n-eqsS a¡Ä a®-dnªpw aäp-Å-h-cpsS
A\p-I-cn-¡m³ {ian-¡m-dp-ïv. AXn-\m a\-k-dnªpw hf-c-t«.
C¯cw Imcy-§Ä Ip«n-I-fn \n¶pw
amän \nÀ¯p-I. 7) ]Sw hc-bv¡m³ CjvS-apÅ Ip«n
-IÄ¡v Nmb-§-fpw, t{UmbnwKv _p¡p
samss_Â t^mWn\p ]Icw -Ifpw hm§nsImSp-¡mw. CXn-eqsS
Ip«n-bpsS Iem-hm-k-\-bpw t{]mÕm
an¡ Ip«n-I-fn-eq-sSbpw temIw C¶v ln-¸n-¡m\pw IqSmsX AhÀ hc¨
samss_ t^mWpw CXnse sKbn-ap-I \à Nn{X-§Ä Nph-cn {]ZÀin-¸n
-fp-ambn amdn-bn-cp¶ Cu Ah-k-c-¯nÂ; -¡mw. \½psS Ipªp-§-fpsS Ign-hp
Ip«n-I-fn samss_ t^m¬ Df-hm -IÄ \½-f-ÃmsX aäm-cmWv kt¸mÀ«v
-¡p¶ kzm[o\w A{X sNdp-Xmbn \ÂIp-I.
ImWm-\m-In-Ã. ab¡p acp-¶n-s\-bpw,
aäp el-cn-I-sfbpw Xmc-X-ay-s¸-Sp-¯n 8) Ip«nsb ssk¡nÄ Nhn-«m³ ]Tn-¸n-¡mw.
-bm samss_-ensâ X«n\v Xpe-\-ambn 9) sNdp-a-b-¡-¯n\v ka-b-a-\p-h-Zn-¡mw.
Xs¶-bn-cn-¡pw. CXv Ip«n-I-fn amc-I 10) ho«nse hfÀ¯p Pohn-I-fp-ambn
-amb {]Xym-Lm-X-§Ä¡v hgn-sX-fn
-bv¡pw. AXp-sImïv Xs¶-bmWv Ifn-¡m³ kpc-£n-X-amb Ah-k-c-sam
Ipcp¶p Ic-§-fn samss_ sImSp -cp-¡mw.
¯v ioen-¸n-¡-cp-sX¶p ]d-bp-¶-Xpw.

H¶n\p ]Icw hbv¡m-\mbn ]qÀ®
-ambn asäm-¶p-sï¶v ]d-bm-\m-In-Ã.
F¶n-cp-¶m t]mepw samss_Â
t^mWn\p ]I-c-ambn \ap¡v ]eXpw
Ipªp-§Ä¡v \ÂImw.

1) IY-]p-kvX-I-§Ä hmbn¨p sImSp
-¡mw, ]m«p-IÄ ]mSn sImSp¡mw
(\gvkdn Km\-§Ä).

2) ho«nse apXnÀ¶-h-cp-am-bpw,

38 \½p-sS B-tcm-Kyw | 2021 G{]nÂ

amXm-]n-Xm-¡-f-dn-bm³ 10 Imcy-§Ä

1) Ip«n-IÄ kvamÀ«v t^mtWm, Iw]yq-« 8) A]-I-S-I-c-amb InÃÀ sKbn-ap-I-fpsS
tdm D]-tbm-Kn-¡p-t¼mÄ Ip«n-IÄ NXn-¡p-gn-Isf Ipdn¨v Ip«n-Isf
F´mWv ImWp-¶-sX¶v \nco-£n-¡p-I. ]dªv a\-kn-em-¡p-I.

2) Ip«n-I-tfmSv Xs¶ \n§Ä Fs´ms¡ 9) kaq-l-am-[y-a-§-fn-epw, CâÀs\-änepw
Iïp-sh¶v tNmZn-¨-dn-bp-I. aäp-ambn \n§Ä ImWp¶ \nd-¸-In
-«mÀ¶ temIw am{X-aÃ; ]n¶nÂ
3) shdpsX hoUntbm sKbn-ap-I-fpw, NXn-¡p-gnbpw XoÀ¯v Im¯n-cn-¡p¶
ImÀ«q-Wp-Ifpw am{X-a-ÃmsX kvamÀ«v Igp-I-·mcpw Dsï¶v a¡Ä¡v
t^mWp-I-fn D]-tbm-K-{]-Z-am-¡m³ ]dªv a\-kn-em¡n sImSp-¡p-I.
Ign-bp¶ [mcmfw Imcy-§-fp-sï¶v
Ip«n-Isf ]dªv a\-kn-em-¡n-¡p-I. 10) Xsâ kzIm-cyX XtâXv am{X-ambn
kq£n-t¡-ï-Xnsâ {]m[m-\y-hpw,
4) Ip«n-IÄ X\n-¨n-cn-¡p¶ apdn-bn AXn asäm-cmsf A\p-h-m-Z-an-ÃmsX
Iw]yq-«-tdm, kvamÀ«v t^mtWm D] F¯n-t\m-¡m³ A\p-h-Zn-¡-cp-sX-¶pw.
-tbm-Kn-¡m³ A\p-h-Zn-¡m-Xn-cn-¡p-I. F´v _p²n-ap-«p-ïm-bmepw amXm-
IqSmsX amXm-]n-Xm-¡-fpsS km¶n-[y ]n-Xm-¡-tfmSv Xpd¶v ]d-bm-\pÅ
-¯n am{Xw Ch \ÂIp-I. kzmX{´yw \ÂIp-I. H¸w Xs¶
Ip«n-Isf Aan-X-ambn \nb-{´n-¡m-Xn
5) amXm-]n-Xm-¡Ä A\p-h-Zn-¨n-«pÅ -cn-¡pI, CXv Ahsc ]e-Xn-te¡pw
\nÝnX ka-b-t¯¡v am{Xw FSp-¯p-Nm-Sm³ t{]cn-X-cm-¡n-tb-¡mw.
samss_Â D]-tbmKw A\p-h-Zn-¡mw.
kabw Ign-ªm XncnsI hm§p-I.

6) Ip«n-IÄ sXämb coXn-bnÂ
samss_Â D]-tbm-Kn-¡p-¶Xv {i²
-bnÂs]«m B sXäns\ Ipdn¨v
IrXy-ambpw, hyà-X-tbm-sSbpw
]dªv t_m[y-s¸-Sp-¯p-I.

7) Ip«n-IÄ¡v tkmjy aoUn-b-bnÂ
A¡u-ïp-IÄ Dsï-¦n Ah-bpsS
ISn-ªm¬ amXm-]n-Xm-¡fpw
Adn-ªn-cn-¡Ww (tkmjy aoUnb
]mkvthUv Adn-ªn-cn-¡p-I).

kw{Klw samss_Â t^m¬ t]mep-Å-h-bpsS
Aan-tXm-]-tbmKw Ipd-bv¡p-I. C¯cw
t_mdSn amäm-\pw, shdpsX kabw ioe-§-fn IpSp-§n-bn-cn-¡p¶ amXm-
If-bm-\p-ambn kv{Io\p-I-fn hnc-tem-Sn ]n-Xm-¡fpw \nb-{´Ww hosï-Sp¯v
-¡p¶ ioew \ap¡v Ipd-bv¡mw, ]n¶oSv \½psS Ip«n-IÄ¡pw, kaq-l-¯n\pw
AXv ]Xnsb ]Xnsb Bh-iy-¯n\p amXr-I-bm-I-Ww.
am{X-ambn amämw. "\o t^mWn am{X
-ambn HXp-§n-bn-cn-¡p-¶p-sh-¶pw, R§ ""Øm\-a-dnbm a\-Êns\
-tfm-sSm¶pw anïm-td-bn-sÃ-¶p-sam-s¡ \nb-{´n-¡m-\m-Ipao \½Ä
-bpÅ A`n-{]m-b-§Ä/]cm-Xn-IÄ X³ \nb-{´-Ww....
Bsc-¦nepw ]d-ªm AXv sNhn-sIm b{´-¡-c-§Ä¡mbv
-Åp-I. kzbw Xs¶ \nb-{´n-¨v, hn«p-\ÂI-cpXmcpta......!''

2021 G{]n | \½p-sS B-tcm-Kyw 39

(Colo-Rhe³ctIalpC-SaÂncþera)et_m-imb[-hIÂm³¡k-c-WÀ -amkw

hÀj-¯nse 11 amk-¯nepw \½psS CS-bn IqSp-X-embn ImW-s¸-Sp¶ Im³k-dp
-Isf Ipdn¨v Hcpamkw \oïp \n¡p¶ t_m[-h¡-cW ]cn-]mSn \S-¯m-dp-ïv.
amÀ¨v amkw tImtfm sd-Ivä Im³kdns\ Ipdn¨v DÅ Imcy-§Ä kaq-l-¯nÂ
F¯n-¡pI F¶-XmWv Cu »q a³Xv (Blue month) BtLm-j-¯nsâ e£yw.
Ata-cn-¡³ Im³-kÀ skm-sskän BWv CXv XpS-§n-h-¨Xv F¦nepw temIw apgp-h³
CXv ]n³Xp-S-cp-¶p. »q {UÊv AsÃ-¦n »q dn_¬ [cn¨v Cu ktµiw \ÂIm³
Btcm-Ky-{]-hÀ¯-IÀ {i²n-¡m-dp-ap-ïv.

F´mWv Cu Im³kdn\v hcp-t¼mÄ BWv Im³kÀ Dïm-Ip-
¶-Xv.
C{X {]m[m-\yw?
95 iX-am\w Colo-rectal Im³kÀ
GXmïv 23þ HcmÄ¡v h³Ip-S ImcWw \½psS sXämb Pohn-X-ssien
aem-ib Im³kÀ _m[n¡mw F¶mWv BsW-¶mWv ]T-\-§Ä kqNn-¸n-¡p-¶
IW-¡p-IÄ kqNn-¸n-¡p-¶-Xv. Cu tcmKw -Xv. _m¡n 5 iX-am\w Nne tcmK-§-fpsS
Bcw-`-¯n Iïp-]nSn-¨m NnIn-Õn¨v _m¡n-bmtbm AsÃ-¦n ]c-¼c-m-K-X
t`Z-s¸-Sp-¯m³ km[n-¡pw. Nne sNdnb -amtbm hcp¶ (Inherited Colo-Rectal Cancer)
]cn-tim-[-\-IÄ hgn h³Ip-SÂ aem-ib h³Ip-SÂ aem-ib Im³kÀ BWv.
Im³kÀ \ap¡v Iïp-]n-Sn-¡m\pw km[n
-¡pw. AXp-t]mse Xs¶ Pohn-X-ssi-en 40 hb-Ên\v tijw BWv km[m-cW
-bn hcp-¯p¶ amä-§-fn-eqsS Colo-rectal h³Ip-S aem-ib Im³kÀ _m[ Iïp
Im³kÀ hcmsX t\m¡m\pw \ap¡v hcp-¶-Xv. {]mbw IqSp-t´mdpw Colo-rectal
Ign-bpw. Cancer Risk IqSn sImïn-cn-¡pw.
kv{XoIsf At]-£n¨v ]pcp-j-·m-cnÂ
Cu ktµiw kaq-l-¯n F¯n BWv h³Ip-S aem-ib Im³kÀ
-¡pI F¶-XmWv Cu Blue month IqSp-XÂ Iïp-h-cp-¶-Xv.
BN-cWw sImïv Dt±-in-¡p-¶-Xv.
hb-dn\v tdUn-tb-j³ FSp-¯n-«p-Å
h³Ip-SÂ aem-ib
Im³kÀ Dïm-Im-\pÅ
Imc-W-§Ä Fs´m
-s¡-bmWv F¶v
]cn-tim-[n-¡mw. GsX
-¦nepw Hcp ImcWw
sImïv am{Xw AÃ
Colo-rectal Im³kÀ
Dïm-Ip-¶-Xv. ]e
Imc-W-§Ä Hcp-an¨v

40 \½p-sS B-tcm-Kyw | 2021 G{]nÂ

40 hb-Ên\v tijw BWv km[m-cW h³Ip-SÂ
aem-ib Im³kÀ _m[ Iphcp-¶-Xv.

{]mbw IqSp-t´mdpw Colo-rectal Cancer Risk
IqSn sImn-cn-¡pw. kv{XoIsf At]-£n¨v
]pcp-j-·m-cn BWv h³Ip-S aem-ib Im³kÀ

IqSp-XÂ Ip-h-cp-¶-Xv.

-hÀ¡pw {]ta-lw, Chrons disease, Ulcerative Colitis F¶o tUm. tPmtPm hn. tPmk^v
tcmK-§Ä DÅ-hÀ¡pw h³Ip-S aem-ib Im³kÀ ko-\n-bÀ
hcm-\pÅ km²yX IqSp-XÂ BWv. I¬-kÄ-«³-dv
Hm-t¦m kÀP³
ip²o-I-cn¨ ImÀt_m sslt{U-äp-IÄ Ønc-ambn
Ign-¡p-¶-h-cn-epw, IqSp-X Af-hn Red Meat D]-tbm-Kn & tImtfm sd-Iv-äÂ
-¡p-¶hcnepw Colo-rectal Im³kÀ km²yX hÀ²n-¡p-¶ Im³-kÀ kÀP³,
-Xmbn Iïp-h-cp-¶p. `£-W-¯nse IqSnb Af-hn DÅ Im-cn-¯m-kv Im³-kÀ
^mäv, Processed Meat (Bacon, Sausage) F¶n-hbpw h³Ip-SÂ C³-kv-än-äyq«v, tIm«bw
aem-ib Im³kÀ dnkvIv Iq«p-¶p.
mob: 94472 88062
atäXp Im³k-dn-ep-sa¶ t]mse AanX aZy-]m-\hpw email: [email protected]
]pI-h-enbpw h³Ip-SÂ ae-Zzmc Im³kÀ Dïm-Ip-¶-Xn\v
Hcp Imc-W-am-Wv.

B[p-\nI Xe-ap-d-bpsS IqsS ImWp¶ Sedentary life
style, Aan-X-h-®w, P¦v ^pUv D]-tbmKw F¶nh Colo
-rectal Im³kÀ kaq-l-¯n IqSp-X Dïm-hm-\pÅ
asämcp ImcWw BWv.

F§s\ XS-bmw 2021 G{]n | \½p-sS B-tcm-Kyw 41

 ss^-_À Iq-Sp-XepÅ ]¨¡-
dnIÄ [mcmfw Ign-¡p-I.

 XhnSv If-bm¯ [m\y-§Ä
`£-W-¯n DÄs¸-Sp-¯p-I.

 t{]mk-kv sNbv-X C-d¨n,
Np-h-¶ amw-kw (_o^v, a-«¬),
ip-²o-Icn-¨ ImÀ-t_m-ssl-t{U
äv D]-tbmKw Ipd-bv¡p-I.

 [mcmfw shÅw IpSn-¡p-I.

 aZy-]m-\w, ]pI-hen Dt]-£n
-¡p-I.

 hymbmaw sN¿p-I, s]m®-¯Sn Hgn-hm-¡p-I.

shPn-tä-dn-b³ `£Ww Ign-¨Xv sImïv am{Xw
Colo-rectal Im³kÀ dnkvIv Ipd-bp-¶n-Ã. FÃmw an-Xam-b
A-fhn F¶-Xm-bn-cn-¡Ww \½psS Pohn-X-ssi-en.

F´mWv ]c-¼-cm-KX h³Ip-SÂþa-emib Im³kÀ (Inherited Colo-Rectal Cancer)

Aѳ, A½, IqS-¸n-d-¸p-IÄ XpS-§nb -hÀ¡pw h³Ip-S aem-ib Im³kÀ
cà_-ÔapÅ _Ôp-¡-fn BÀs¡ dnkvIv IqSp-X BWv. Cu {Kq¸n s]Sp-
-¦nepw cïp t]À¡v h³Ip-S aem-ib ¶-hÀ IrXy-amb CS-th-f-I-fn sshZy-]-cn
Im³kÀ h¶n-«p-sï-¦n ]c¼-cbn -tim-[, Colono Scopy F¶nh \S-¯p-Ibpw
s]-«-hÀ¡v Cu tcmKw hcm³ km[yX Bh-iy-sa-¦n tcmKw hcm-Xn-cn-¡m-\pÅ
IqSp-XÂ BWv. ]mc-¼-cy-ambn ImW-s¸ kÀPdn \S-¯p-Ibpw thWw.
-Sp¶ Nne Akp-J-§Ä DÅ-hÀ¡pw DZm.
tcmK-km-²yX IqSp-XÂ BsW-¦nepw
Herditary Nonpolyposis Colon Cancer, Familial {]mcw-`-¯n tcmKw Iïp-]n-Sn¨v NnIn
-Õn-¨m tcmK-apàn km²y-am-Wv.
Adenomatous Polyposis F¶o Akp-J-ap-Å

tcmK-e-£-W-§Ä

tcmK-¯nsâ L«w A\p-k-cn-¨mWv tcmK-e-£-W-§Ä Dïm-Ip-¶-Xv.
1) ae-tim-[-\-bn Dïm-Ip¶ hyXymkw (Change in Bowel Habits) ae-_Ôw,

hb-dn-f-¡w AsÃ-¦n Ch cïpw amdn-amdn hcn-I.

2) ae-¯n IqSn càw t]mhp-I.

3) aew Idp¯p t]mhp-I.
4) Xq¡ Ipdhv (Weight loss), hnfÀ¨, £oWw.

5) 2 BgvN-bn IqSp-X \oïp\n¡p¶

hbdv hoÀ¸v (Kymkv sI«Â))

6) IpS kvXw`\w, OÀ±n.

h³Ip-SÂ aem-ib Im³kÀ Ønco-I-c-Whpw hym]vXn \nÀ®-bhpw

(Diagnosis and Staging)

1. ¢n\n-¡Â ]cn-tim-[\ Cu ]cn-tim-[\ hgn tcmKw t\cn«v
Hcp hnZKv² saUn¡Â ]cn-tim-[-\-bn ImWm\pw _tbm]vkn FSp¯v tcmKw
Ønco-I-cn-¡m\pw km[n-¡p-¶p.
-eqsS tcmKn-bpsS AhØ tcmK-¯nsâ
hym]vXn F¶n-hsb Ipdn¨v hnh-c-ti-J 3. hnhn[ kvIm\p-IÄ
-cWw km²y-am-Ip-¶p. (a) AÄ{Sm-kuïv kvIm³ (USG)

2. F³tUm-kvtIm¸n ]cn-tim-[\ tcmKs¯ Ipdn-¨pÅ {]mY-anI hnhcw
e`n-¡p-¶p.
(Endoscopy) (b) kn.än kvIm³þIp-S-en \n¶v tcmKw
F{X-am{Xw ]pd-t¯¡v t]mbn F¶v
(a) sImtfmtWm-kvtIm]n (Colono Scopy) a\-Ên-em-¡m³ km[n-¡p-¶p. tcmK
h³Ip-SÂ apgp-h\pw aem-i-bhpw ] -hym]vXn (stages) Adn-bp-¶-Xn\v BWv
cn-tim-[n-¡p-¶p. Cu kvIm³ {]tbm-P-\-s¸-Sp-I.
(c) MRI Scan þ {][m-\-ambpw aem-ib
(b)knKvtam-bntUmktIm]n (Sigmoido Im³kÀ hym]vXn \nÀ®-bn-¡m³ Cu
Scopy) aem-i-bhpw h³Ip-S-ensâ kvIm³ {]tbm-P-\-s¸-Sp-I.
Ah-km-\-`m-Khpw ]cn-tim-[n-¡p-¶p.

(c) t{]mIvtSm-kvtIm¸n (Procto Scopy) ae
-Zzmcw am{Xw ]cn-tim-[n-¡p-¶p.

42 \½p-sS B-tcm-Kyw | 2021 G{]nÂ

(d) PET CT Scan

Hcp tdUntbm BIvSohv aqeIw ico-c-¯n Ip¯n-h-¨-Xn\v tijw (Cu aqeIw
Im³kÀ ico-c-¯nsâ GXv `mK-¯psï¦nepw B tImi-§-fn F¯n-t¨-cpw)
icocw apgp-h³ PET SCAN D]-tbmKn¨v kvIm³ sNbvXv tcmK-hym]vXn \nÀ®-bn-¡p-¶p.
{][m-\-ambpw tcmK-Nn-In-Õbv¡v tijw DÅ XpSÀ ]cn-tim-[-\bv¡v BWv
CXv {]tbm-P-\-s¸-Sp-I.

4. cà-]-cn-tim-[\
CEA SyqaÀ amÀ¡À (Tumour Marker)

h³Ip-SÂ aem-ib Im³kÀ NnInÕ

CXp-hsc Hcp-an¨v BWv \½Ä {]Xn-]m-Zn-¨Xv F¦nepw NnInÕ cïmbn
]d-bp-¶-XmWv Ffp-¸w.

h³Ip-SÂ Im³kÀ (Colon Cancer)

tcmK-hym]vXn A\p-k-cn-¨mWv NnInÕ
\nÀ®-bn-¡p-I.

Stage I to III

kÀP-dnbpw Iotam-sX-dm-¸n-bp-amWv
{][m\ NnIn-Õ-IÄ. kÀP-dn-bmWv
{]mY-anI NnIn-Õ. h³Ip-SÂ Im³kÀ
kÀP-dn¡v sImsf-IvSan (Colectomy)
F¶mWv ]d-bp-I. tcmKw _m[n¨
`mKhpw AXn-t\mSv A\p-_-Ôn-¨pÅ
Ig-eIfpw \o¡w sN¿p-I-bmWv Cu
kÀPdn sImïv Dt±-in-¡p-¶-Xv.

Right Hemi Colectomy, Left Hemi Colectomy,

Transverse Colectomy F¶n-§s\ F{X IpSÂ
\o¡w sN¿p¶p F¶-X-\p-k-cn-¨mWv

t]cv sImïv Dt±-in-¡p-¶-Xv. Nne ka-b
-§-fn apgp-h³ IpS \o¡w sN¿p¶
Total Colectomy bpw thïn ht¶-¡mw.

Hm¸¬ Bbpw, IotlmÄ hgnbpw Cu
kÀPdn sN¿m-hp-¶-Xm-Wv. tcmK-¯nsâ
tÌPv, tcmKn-bpsS BtcmKyw F¶n-h-b-\p-
k-cn¨v kÀPdn sN¿p¶ Im³kÀ kÀP³
BWv GXv kÀPdn thWw F¶v Xocp-am-
\n-¡p-¶-Xv.

Cu kÀP-dn-IÄ¡v tijw Colostomy
sImtfm-Ìan Dïm-hn-Ã.

2021 G{]n | \½p-sS B-tcm-Kyw 43

Iotam-sX-dm¸n

kÀP-dn¡v tijw e`n-¡p¶ hnh-c-§Ä
A\p-k-cn-¨mWv Iotam sXdm¸n \nÝ-bn-¡p
-¶Xv an¡-hmdpw H¶n IqSp-X acp-¶p-I
-fpsS tIm¼n-t\-j³ BWv km[m-cW
D]-tbm-Kn-¡m-dv. 6 amkw apXÂ 1 hÀjw
hsc BWv tÌPv A\p-k-cn¨v Iotam-sX
-dm¸n \ÂIp-¶-Xv. KpfnI cq]-¯n DÅ
Iotam-sX-dm-¸nbpw Nne-t¸mÄ \ÂIm-dp-ïv.

tcmKw Ign-bp-¶Xpw ]nSn¨p \nÀ¯p-I,
IpSÂ AS-bmsX t\m¡pI F¶n-h-bmWv
Cu ka-bs¯ NnIn-Õ-bpsS e£y-§Ä.
Ign-bp¶ Quality life \ÂIpI F¶Xpw
asämcp e£y-am-Wv.

aem-ib Im³kÀ NnInÕ þ tcmKw am{Xw \o¡pI
Trans Rectal Resection
kÀP-dn, Iotam-sX-dm-¸n, tdUn-tb-j³
F¶nh ka-\z-bn-¸n-¨mWv Rectal Im³kÀ Iotam-sX-dm¸n:þ ]e acp-¶p-I-fpsS
NnInÕ \S-¯p-¶-Xv. AXn-\m Cu tIm-¼n-t\j³ BWv D]-tbm-Kn-¡p-¶-Xv.
kuI-cy-§Ä FÃmw DÅ Øe¯v
NnInÕ \S-¯m³ {i²n-¡q. tdUn-tb-j³ NnInÕ þ Stage I HgnsI
kÀP-dn-IÄ FÃm Ah-k-c-¯nepw Bh-iy-ambn
þ a-em-ibw Ipd¨v `mKw \o¡pI hcpw.

Anterior Resection NnInÕ {Iao-I-cWw þ GXv NnInÕ
aem-ibw ]qÀ®-ambpw \o¡w sN¿q BWv BZyw hcnI F¶Xv MRI
dnt¸mÀ«v A\p-k-cn¨v tcmKnsb NnIn-Õn
Abdominoþperineal Resection -¡p¶ Im³kÀ kÀP³ BWv \nÝ-bn
-¡p-¶-Xv.
44 \½p-sS B-tcm-Kyw | 2021 G{]nÂ
h³Ip-SÂ aem-ib Im³kÀ kv{Io
\n§v ssKUv sse³kv (Colo-Rectal Cancer
Screening Guide Lines) 50 hb-Ên\v tijw.

1. hÀjw tXmdpw ae-¯n càw
t]mIp-¶pthm F¶v ]cn-tim-[n-¡pI

(Once a year)

2. 5 hÀj-¯n Hcn-¡Â
(kntÜmbntUm kvtIm¸n) Sigmoido
Scopy ]cn-tim-[-\.

3. 45-þmw hb-Ên sImtfm-tWm-kvtIm¸n
(Full Colono Scopy) sN¿pI FÃm
]¯p-hÀjhpw 75 hb-Êp-hsc
BhÀ¯n-¡pI.

2021 G{]n | \½p-sS B-tcm-Kyw 45

]co£-IÄ \-¶m-bn F-gpXmw

]Tn¨ Imcy-§Ä ]eXpw ]co-£m-Zn-\-¯n HmÀa-bn
-ÃmsX hcp-¶Xv ]e Ip«n-Ifpw t\cn-Sp¶
Hcp {]Xn-k-Ôn-bm-Wv. hmbn-¡p¶ Imcy-§Ä HmÀa-bnÂ
Ffp¸w \ne-\nÀ¯m³ klm-bn-¡p¶ Nne coXn-IÄ
]cn-N-b-s¸-Smw.

Nn«-tbmsS t\m«p-IÄ X¿m-dm-¡p-I-bpw, AXp
kq£n¨p hbv¡p-Ibpw sN¿p-¶Xv ]T-\-¯n\v hf-sc
-tbsd {]tbm-P-\-s¸-Spw. sSIvÌv _p¡p-I-fn ImWp¶
coXn-bn-epÅ \of³ teJ-\-§Ä¡p ]I-cw, thKw
a\-Ên-te¡p Ib-dp¶ sNdp-Ip-dn-¸p-I-fpsS cq]-¯n-epÅ
t\m«p-I-fm-bn-cn¡pw IqSp-XÂ {]tbm-P-\-I-cw.

]Tn-¡p-t¼mÄ Fgp-Xn-h-bv¡p¶ t\m«p-IÄ ]ecpw
]T\w Ign-bp-t¼mÄ Dt]-£n-¡p-I-bmWv ]Xn-hv.
F¶m t\m«p-Ifpw sNdp-Ip-dn-¸p-Ifpw kq£n-¨p-h-¨mÂ,
]co-£bv¡p sXm«p-ap-¼pÅ Znh-k-§-fnÂ,
AXp-am{Xw thK-¯n hmbn-¨p-t]m-bm aXn-bm-Ipw.
Npcp-§nb kabw sImïv IqSp-X ]mT-`m-K-§Ä
BhÀ¯n-¡m³ CXv hf-sc-tbsd klm-b-I-am-Ipw.
Hmtcm hnj-b-¯n-sâbpw t\m«p-IÄ kq£n-¡m³
{]tXyIw ^b-ep-IÄ hbv¡mw.

t\m«p-IÄ I¼yq-«-dn X¿m-dm¡n
hbv¡p¶ ioe-ap-Å-hÀ¡v, Hmtcm
hnj-b-¯n-sâbpw t\m«p-IÄ Hmtcm
t^mÄU-dn-em¡n kq£n-¡p-I. Hmtcm
Znh-khpw X¿m-dm-¡p¶ t\m«p-IÄ
XobXn tcJ-s¸-Sp¯n hbv¡-Ww.

Ign-ªp-t]mb ]co-£-I-fpsS
tNmZy-¡-S-em-kp-IÄ, D¯-c-¡-S-em
-kp-IÄ F¶nh Hcp {]tXyI
^b-en kq£n-¡p-I.
]gb tNmZy-¡-S-em-kp-IÄ
t\mt¡ïn hcp¶ ]£w,
B ^b am{X-sa-Sp¯p
t\m¡n-bm aXn-bm-Ipw.

46 \½p-sS B-tcm-Kyw | 2021 G{]nÂ

at\m-`q-]Sw \nÀan¡mw tUm. Acp¬ _n. \mbÀ

`qcn-]£w Ip«n-Ifpw Imcy-§Ä Zriy-§-fpsS Xn-cp-h-\-´-]p-cw
cq]-¯n HmÀ¯p hbv¡m³ Ign-hp-Å-h-cm-Wv. ChÀ sa-Un-¡Â
t\ÀtcJm Ipdn-¸p-I-fpsS (Linear notes) cq]-¯n t\m«p tIm-tfPnÂ
-IÄ X¿m-dm-¡p-¶-Xn-s\-¡mÄ ^e-{]-Zw, Nn{X-cq-]-¯n ssk-Iym-{Sn
Ipdn-¸p-IÄ X¿m-dm¡n hbv¡p-¶-Xm-Wv. BhÀ¯n¨p hn-`m-K¯nÂ
hmbn-¡p-t¼mÄ, Npcp-§nb kabw sImïv Cu `mK-§ Akn. s{]m-^-k-À.
-fn-eqsS IS-¶p-t]m-Im³ CXp-hgn Ign-bp-¶p. hnhn-[ Sn.hn. Nm-\-ep-I-fn-em
-bn B-bn-c-¯n-te-sd
a\-Ên-epÅ hnh-c-§-sf, AYhm hmbn¨p a\-Ên-em B-tcm-Kyþkm-aqlnI
-¡p¶ Imcy-§-sf, Hcp {]tXyI {Ia-¯n Nn{X-cq-] hn-Zym-`ym-k-]-cn-]m-Sn-IÄ
-¯n ASp-¡n-h-bv¡p¶ coXn-sb-bmWv "at\m-`q-]Sw' A-h-X-cn-¸n-¨n-«p-ïv.
(Mind map) F¶p hnfn-¡p-¶-Xv. at\m-`q-]S \nÀam-W-¯n\v A-Uzm³-kkv C³
]e-hn[ amÀK-§-fp-sï-¦n-epw, hf-sc-sb-fp-¸-ap-ff amÀK ssk-Iym-{Sn & sa-Un-kn³,
-amWv "Nne-´n-¡p-dn-¸p-IÄ' (Spider notes) X¿m-dm-¡pI \Ã Zm-¼-Xyw, sXm-gn-en-S
F¶p-Å-Xv. -§-fn-se am-\-kn-Im-tcm-Kyw,
hn-jm-Z-tcm-Kw a-dn-I-S-¡mw,
]Tn-¡m-\n-cn-¡p-t¼mÄ Ft¸mgpw "Fþ4' sskkv hz-Iv-Xn-Xz-ssh-I-ey§Ä,
hen-¸-apÅ Hcp sI«v shÅ-¡-S-em-kp-IÄ he-Xp-`m-K Ip-«n-I-fp-sS h-fÀ-¨, HmÀ-½-
-¯mbn h¨n-cn-¡-Ww. hmbn-¡p¶ `mK-§-fpsS Xe-s¡«v i-Iv-Xnbpw _p-²n-i-Iv-Xn-bpw,
AsÃ-¦n B `mK-¯nsâ {][m\ Bibw B IS-em ]-co-£-t¸-Sn ]-cn-l-cn-¡mw,
-knsâ a[y-`m-K¯v henb A£-c-¯n FgpXn A-h³ A-]-c-\mWv, ]-tiy-a-i
hbv¡mw. B hm¡n\p Npäpw Hcp hr¯w hc-bv¡mw. -c-Z-È-Xw (I-Ym-k-am-lm-cw),
B hr¯-¯nsâ Npän-te¡pw hnhn[ Zni-I-fn-te¡pw am-\-kn-I-{]-iv\-§Ä A-dnbmw
Nne tcJ-IÄ hc-bv¡mw. F{X D] Bi-b-§Ä AYhm A-I-ämw, Iuam-cw þ s]-cp-am
hkvXp-X-IÄ \mw tcJ-s¸-Sp-¯m³ B{K-ln-¡pt¶m -ä§-fpw {]-iv-\-§-fpw, Live
F¶-Xn-\-\p-k-cn¨v F{X hc-IÄ thW-sa-¦nepw -Learn-Look Bright F-¶n§-s\
hc-bv¡m-sa-¦n-epw, \mep apX ]{´ïp hsc hc-IÄ ]-Xn-aq-¶v ]p-kv-XI-§Ä F-gp
hc-bv¡p-¶-XmWv D¯-aw. Hmtcm hc-bp-sSbpw Aä-¯m -Xn-bn-«p-ïv. tdm«-dn C³-dÀ-
-bn, \mw HmÀ¯n-cn-¡m³ Dt±-in-¡p¶ Bi-b-§Ä, \mj-W shm-t¡j-WÂ
sNdnb hm¡p-I-fmbn FgpXn hbv¡mw. Hcp-]mSv hm¡p F-Iv-k-e³-kv A-hmÀUv,
-Itfm hmN-I-§tfm hmcn-h-en¨v Fgp-X-cp-Xv. hyà-ambn, sF.]n.Fkv. ao-Un-bm
Iïm a\-Ên-em-Ip¶ coXn-bnÂ, Npcp-§nb hm¡p-Itfm A-hmÀ-Uv, do-ssa³-Uv
kwJy-Itfm sImïv Dt±-in-¡p¶ t]mbnâp-IÄ Fgp-Xp-I. ssa³-Uv A-hmÀ-Uv XpS-§n
\n-ch-[n ]p-c-kv-Imc-§Ä
Hcp Nne-´n-bpsS Xebpw Imep-Ifpw t]mse-bpÅ e-`n-¨n-«pïv.
BIrXn Cu Ipdn-¸p-IÄ¡v DÅ-Xp-sImïmWv \mw
[email protected]
mob: 9895129376

2021 G{]n | \½p-sS B-tcm-Kyw 47

CXns\ "Nne-´n-¡p-dn-¸p-IÄ' F¶p Ipdªv Akz-Ø-X-bp-ïm-Ipw.
hnfn-¡p-¶-Xv.
]co£ Hcp `oIc kw`-h-am-sW¶
Nne´n-¡p-dn-¸p-IÄ X¿m-dm-¡p-t¼mÄ, ap³hn-[n-bmWv ]e-scbpw ISp¯ am\
]e \nd-¯n-epÅ t]\IÄ D]-tbm-Kn -knI k½À±-¯n sImïp-sN-s¶-¯n
-¡mw. {][m\ Bibw Nph¸p ajn-sIm -¡p-¶-Xv. F¶m ]co£ Gsd BËm-Z
-sï-gp-Xn-bmÂ, D] Bi-b-§Ä \oe, -I-c-amb Hc-\p-`q-Xn-bm-sW¶v a\-Êns\
Idp-¸v, aª, ]¨, Hmd-©v, ]n¦v F¶o t_m[y-s¸-Sp-¯p¶ Nne Zriy-h¡-c-W
hyXykvX \nd-§-fp-]-tbm-Kn-s¨-gp-Xmw. -co-Xn-IÄ ]cn-io-en-¨mÂ, Imcy-§Ä
C§-s\-sb-gp-Xn-bm hÀW-i-_-f-am kpK-a-am-Ipw. AXn\p klm-bn-¡p¶ Hcp
-sbmcp Nn{Xw t]mse B Ipdn¸v \½psS hymbmaw ]Tn-¡mw.
a\-Ên Bg-¯n ]Xn-bpw. ]co-£-b-Sp
-¡p-t¼mÄ Cu Nne-´n-¡p-dn-¸p-IÄ cm{Xn Dd-§m³ InS-¡p-t¼mÄ I®
hmbn-¨mÂ, ]mT-`m-K-§Ä thKw HmÀa -S¨p InS-¶n«v ]co-£m-lm-fn-te¡v
-bn sXfnªp hcpw. \n§Ä \S-¶p-t]m-Ip¶ cwKw a\-ÊnÂ
ImWmw. Hcp kn\n-a-bnse tÉm tamj³
]co-£-t¸Sn adn-I-S¡mw cwKw t]mse \n§Ä ]co-£m-lm-fn
-te¡v aµw \S¶p t]mIp¶ cwKw
\¶mbn ]Tn-¡p¶ Nne Ip«n-IÄ a\-Ên Zriy-h¡-cn-¡mw. ]co£m
t]mepw ]co-£sb hÃmsX `b-s¸-Sp-¶ tI{µ-¯n-se-¯n, kz´w cPn-ÌÀ \¼À
-Xmbn Iïp-h-cp-¶p. ChÀ ]co-£-bpsS DÅ apdn-tb-sX¶v a\-Ên-em-¡p-¶p.
Xte¶v sXÃpw Dd-§m-sX, ]ntä¶p AXn-\p-tijw ]co-£m-lm-fn-te¡v
cmhnse `£Ww t]mepw Ign-¡m-sX \n§Ä IS¶p sNÃp-¶-Xmbn a\-ÊnÂ
-bmIpw ]co-£-sb-gp-Xm³ t]mIp-¶-Xv. ImWmw. \n§Ä ]co-£m-lm-fn kz´w
Ch-cn ]ecpw ]co-£m-lm-fn koäv Isï¯n Ccn-¡p-¶p. XpSÀ¶v
sN¶n-cn-¡p-t¼mÄ ]Tn-¨-sXm¶pw kq¸À sshkÀ, tNmZy-I-S-em-Êp-Ifpw
HmÀ¡m-\m-ImsX sh{]m-f-s¸«v XfÀ¶p D¯-c-¡-S-em-kp-Ifpw \n§-fpsS ssI¿nÂ
t]mIp¶ Ah-Ø-bn-em-bn-cn-¡pw. sImïp-Xcp¶ cwKw a\-Ên ImWmw.
C¯cw {]bm-k-§Ä Hgn-hm-¡m³ Nne
Imcy-§Ä {i²n-¡mw. FÃm tNmZy-§fpw \n§Ä¡v Adn
-bm-hp-¶h Xs¶-bm-Wv. im´-amb apJ
]co-£-bpsS Xte¶p t]mepw -t¯msS kmh-[m\w tNmZy-§Ä¡v
Npcp-§n-bXv Bdp-a-Wn-¡qÀ Dd-t§-ïXv D¯-c-sa-gp-Xp¶ Zriyw k¦Â¸n-¡mw.
AXym-h-iy-am-Wv. ]IÂ ka-b¯v ]Tn¨p ]co-£bv¡p tNmZn¨ FÃm tNmZy
a\-Ên-em-¡p¶ Imcy-§Ä HmÀa-bn -§Ä¡pw \n§Ä IrXy-amb D¯cw
hyà-ambn ]Xn-bm³ CXm-h-iy-am-Wv. Fgp-Xn-¡-gn-ªp. XpSÀ¶v, Nncn-¡p¶
]co-£-bp-sS-b¶v \¶mbn `£Ww apJ-t¯m-sS, kt´m-j-t¯m-sS, \n§Ä
Ign-t¡-ïXpw AXym-h-iy-am-Wv. ]co£m lmfn \n¶pw ]pd-t¯-¡n-d
AÃm¯ ]£w ]co£ Fgp-Xp-¶-Xn- -§n, kl-]m-Tn-I-tfmSv ]co-£-sb-¡p-dn¨p
\nsS cà-¯nse ¥qt¡m-knsâ Afhp kwkm-cn-¡p-¶Xpw a\-Ên ImWmw.

48 \½p-sS B-tcm-Kyw | 2021 G{]n F¶pw Dd-§m³ InS-¡p-t¼mÄ
Cu cwK-§Ä a\-Ên Iïm ]Xnsb
]co-£-sb-¡p-dn-¨pÅ D¡WvT
Ipdªp hcp-¶-Xmbn a\-Ên-em-¡mw.
Hcp amk-sa-¦nepw XpSÀ¨-bmbn FÃm
cm{Xn-I-fnepw InS-¡p-t¼mÄ CXp
]cn-io-en-¡p-¶-Xv, ]co-£-t¸Sn KWy
-ambn Ipd-bv¡m³ klm-bn-¡pw.

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2021 G{]n | \½p-sS B-tcm-Kyw 49

tUm-IvSÀ, k-aqlw, \n-e-]m-SpIÄ

k¦c sshZy¯ns³-d
B-´cn-I ssh-cp-²y§Ä

a\pjyPohnX¯nsâ Kl\amb BtcmKyhpw hnZybpw DbÀ¶ ]oT§fnÂ
aqey§sf¡pdn¨v Bg¯n Nn´n¨ {]XnjvTn¡s¸Sp¶Xn\v \mw ZrIv-km£n
{]mNo\ kaql§Ä FÃmw Xs¶ Ifmhp¶pïv.
Gähpw aqeyh¯mb cïv kZvKpW§sf
(Virtues) ¡pdn¨v hmNmecmhp¶pïv, temImcw`w apX tcmK§Ä a\pjy
]et¸mgpw. hnZybpw BtcmKyhpamWv s\ imcocnIambpw Hcp]t£ AXnt\
AhÀ Aaqeyambn IcpXnt¸m¶Xv. ¡mtfsd am\knIambpw ITn\ambn
D]\nj¯pIfptSbpw alm`mcX¯n ]oUn¸n¨p t]m¶p. tcmK§Ä krãn¡p
tâbpw aäpw A[rjyXbn Duäw ¶ thZ\ Ah³ a\Ênepw icoc¯nepw
sImÅp¶ {]mKv-`mcXob kaqlamhs« apÄ¡ncoSw t]mse kln¨p. F§ns\
hnZysb kÀÆ[\m {][m\ambn thZ\Ifn \n¶v apànt\Smw F¶
AwKoIcn¨p. IhnIpeKpcphmb ImfnZm Xmbncp¶p a\pjyNcn{X¯n Ah³
k\mWv FÃmäntâbpw ASnØm\ t\cn« henb shÃphnfnIfnsem¶v.
inebmbn BtcmKys¯ DbÀ¯n¸nSn AXnsâ XnI¨pw {]m]©nIamb
¡p¶Xv, Ipamckw`h¯nÂ. icocamZyw \nÀ²mcW§fnsem¶mWv \cPohnXamb
Jep[À½km[\w. A§s\ a\pjysâ thZ\s¡mcpa«À`IÀ Huj[§Ä Xm³
CXx]cy´apÅ Ncn{X¯nepS\ofw Fs¶gpXnsh¡p¶Xp hgn Bim³
\nÀhln¨Xv. Huj[§Ä, NnInÕ,
50 \½p-sS B-tcm-Kyw | 2021 G{]n a\pjyPohnX¯nte¡v km´z\hpw
A`bhpambn IS¶ph¶t¸mgmWv AarXv
`£n¨ tZh·msct¸mse a\pjy³ thZ\
bpsS kmKcw \o´n¡S¡p¶Xv.

temIs¯ ss[jWnIambn
hnebncp¯p¶Xn ap³]´nbnÂ
\n¶ncp¶ kaql§Ä FÃmw Xs¶
AhchcpsS coXnbnepw ImgvN¸mSn
s\m¯pw NnInÕm k{¼Zmb§Ä
Icp¸nSn¸n¨p. {Ko¡v, samks¸mt«anb,
Ad_v, ssN\okv, CuPn]vXv, C´y³
kwkv-Imc§fnseÃmw hyXykvX
NnInÕm k{¼Zmb§Ä cq]w
sImÅp¶Xv A§ns\bmWv. ssN\bnse
Xmbv-Nnbpw C´ybnse BbpÀthZhpw
{]mNo\ {Ko¡v sshZyhpw
bp\m\nbpw {]hmNI sshZyhpsams¡