Feb 12, 2019 Views: 3406
mKq frda.j,g ;s; ;nuq
ksy? ta;a läir Y,Hd.dr mßirfha yeu úgu /fËkafka nereï njls' ta tys isák ieu foku Ôú;h;a urKh;a w;r foda,kh jk Ôú;hl j.lSu iys; C%shdj,shl ksr;j isák ksidh' tÈkod iqmqreÿ mßÈ Y,H l¾u isÿ flfrñka ;sìKs' yÈisfha u jdÜgqfõ ffjoHjrhdf.ka Y,Hd.drhg weu;=ula ,eìKs'
i¾ yÈis flaia tlla' wjqreÿ y;l msßñ <ufhla' Intestinal Obstruction tlla ^wka;%h wjysrùula& jf.a'
f,vd oekau ,Eia;s lr, tjkak'
tÈkg kshñ; Y,Hl¾u ,ehsia;=j uolg kj;ajd tu Y,Hl¾uhg iQodkuls'
ukaofmdaIs; fmkqulska hq;= orejd Èk foll isg fkdkj;ajd isÿ jQ jukh ksid Y,Hl¾u fïih u; È.d ù isákafka wv kskafoka fuks' Yla;sfhka f;dr l=vd w;mh fomiska lvd jeà we;af;a Ôjh rys;jh'
ks¾úkaok ffjoHjrhd orejd ks¾úkaokh lf<a h'
Y,H ffjoHjrhd w; /÷kq ;shqKq iale,am,a ;,h orejdf.a msïnqK Worh u;ska my<g .uka lf<a wä fldaÿjlska .eiqjdla fuka Rcq f¾Ldjlsks' ta fomi isyska oyrdjla jYfhka r;ameye f,a ì÷ u;= úh' Worfha udxYfmaYs újr jQ ú.iu fuf;la ta ;=< isrj isá w;=kqnyka msg;g mek wdfõ h' l=vd wka;%h Èf.a mÍlaId lrñka Y,H ffjoHjrhdf.a läir w;e.s,s frda.h we;s ;ek k;r úh' tla ia:dkhl nvje, msïî f.ähla fuka fldgils' bka tyd ks,ameye .eka ù we;af;a oekgu;a reêr iemhqu wjysr ù mgl ñh hñka mej;=k neúks' ;j úkdä lsysmhla mud ù kï nvje, mqmqrd hk w;r orejdf.a Ôú;h wk;=rg m;a ùug bv ;sìKs'
f.ähla fuka bÈuqKq nvje, yryd isÿl< lemqu;a iu.u ta ;=<ska t<shg úisrefKa tlg fj,S meg,S k,shñka ;snqKq mKqjka úYd, iuQyhls' orejd .kakd wdydrfha ish¨ fmdaIK fldgia is;a fia Wrd î jeü ;snqKq fuu jgmKq .=,sfha ms<sl=,a iy.; o¾Ykh we. ls<s fmd<d hk ;rïh' mKqjka isá fldgi fomiska wka;%h fjka fldg kej; uid h:d ;;a;ajhg m;a lrk ,§' orejd oeka ksremo%s;h'
ukqIHhdg ydks lrk mrfmdaIs; mKqjka f,dalh mqrd ì,shk follg wdikak ck;djlg úk lr;s' fuu ;;a;ajh Soil- transmitted helminth ^STH& tkï mi yryd fnda jk hk w¾:fhkao y÷kajkq ,nhs' wmg ydks lrk mKqjka j¾. lsysmhls' jg mKqjd ^Ascaris lumbricoides&" li mKqjd" ^Trichuris trichiura& " fldl= mKqjd Necator americanus/Ancylostoma duodenale& lsß mKqjd ^Enterobius vermicularis& Y%S ,xldfõ m%Odk jYfhka mj;sk mKqfjda fj;s' má mKqjd fndfyda úg olakg ,efnkafka fjk;a rgj, h'
jgmKq frda.h iq,nu mKq frda.h jk w;r f,dalh mqrd >¾u l,dmSh iy iu YSf;daIaK rgj, j, me;sr mj;S' jeäysá jgmKqjd ukqIHhdf.a l=vd wka;%fha Ôj;a jk w;r" tys§ ouk ixfiaÑ; ì;a;r u,my iu. msg fõ' tajd mig tl;= ù Èk 18l isg i;s lsysmhla w;r ld,hl § ì;a;rh ;=< l,, wjia:dj olajd fudarhs' fuu fïrE ì;a;r ;j;a ;eke;af;la f.a uqLh ;=<ska wdydr fyda c,h iu. isrerg we;=,a fõ' tys§ l=vd wka;hg meñfKk ì;a;r j,ska ,djd kï l=vd mKq wjia:dj msg;g meñfKa' Tjqka wka;%h isÿre lrf.k reêr oyrdjg tla ù wlaudj" yoj; yryd fmKy¨ lrd .uka lrhs' tys§ i;s ;=kla fudard fmKy¨ j, jdhq yqjudre lrk .¾; j,g meñfKk ,djd mKqjka leiai lysk úg fiu iu. by<g ú;a tu fiu .s,sk úg wdudYh yryd kej; l=vd wka;%hg .uka fldg tys§ w.,a 10 - 14 olajd È." jgl=re foayhla iys;" ia;S¾ mqreI jeäysá mKqj njg jefå' fmdaIK fldgia mKqjka Nqla;s úÈk neúka wdidÈ; mqoa.,hd ukaofmdaIK ;;a;ajhlg m;a fõ' fï .eyekq mKqjd Èklg 200"000 ne.ska jir tlyudrla muK mKq ì;a;r msg lrhs' wdidÈ; ;eke;a;d u,my lrk úg tajd kej; mig tl;= fõ' mi ;=< wjqreÿ oyhla jqj;a fïjd meje;sh yels nj fidhd f.k we;' fuu ì;a;r mshú weig fkdfmfkk neúka fkdfia¥ t<j¿ m,;=re wkqNjfhka " ikSmdrlaIl C%u wkq.ukh fkdlrk wdidÈ; wdydr ms<sfh,lrkakka w;ska wdydr ¥Is; ùfuka" wm .kakd wdydr j,g iy c,hg tla ùu isÿ úh yels h'
fldl= mKqjdf.a l;dkaorh óg ;rula fjkia h' jeäysá fldl= mKqjd l=vd wka;%fha t,a,S reêrh Wrd fndk neúka wdidÈ;hd rla;ySk;djhg f.dÿre fõ' .¾N uõjreka m<uq udi ;=k blaujQ miq wksjd¾hfhkau mKq fnfy;a .; hq;af;a tneúks' fldl= mKqjkaf.a ì;a;ro fmr fiau mig tlaùu isÿ fõ' tfy;a mi ;=<u ì;a;r fudard" mqmqrd we;sjk ,djd lSg wjia:dj we;s fõ' Tjqka wm mfia weúÈk úg ll=f,a we.s,s lre úo reêr oyrdjg tla fõ' tys§ reêrhg tla ù fmKy¨ lrd f.dia kej; l=vd wka;%hg meñK jeäysá mKqjka njg m;a fõ' li mKqjd f.a yeisÍu Bg fjkia h' jeäysá mKqjka /fËkafka uyd wka;%fha neúka nvje, md;a ùu wd§ frda. ,laIK we;s úh yels h'
miq .sh oYl lsysmfha Y%S ,xldfõ ikSmdrlaIl myiqlï ÈhqKq ù Mebendazole kï mKq fnfy;a j¾.h mdúÉÑh o iudchg yqre ùu;a iu. mKq frda. o iudcfhka C%ufhka wvq ù we;s nj ixLHd f,aLk j,ska fmfka' tfy;a lsß mKq frda.h wo iudcfha fndfyda fia olakg ,efí' fuhg fya;=j th fnda jkafka jeäysá mKqjka rd;%sfha § .=o ud¾.h wi,g meñu ksid kshfmd;= j,g tla jk mKq ì;a;r kej; uqLh ;=<ska wka;%hg .uka lsÍfuka fnda jk neúks'
mKq frda. je<elaùug kï mKqjdf.a Ôjk pC%h iïmQ¾K lsÍug wjia:dj fkd§ th wjysr l< hq;=h' u,my mig tla jkakg fkd§ ksis f,i neyer lsÍu jvd;a myiqu C%uhhs' ta i|yd jeisls<s mdúÉÑh wksjd¾h fõ' mKq frda. j,ska je<lS isàug kï" lEug fmr inka fhdod w;a fia§u" u,my lsÍu i|yd iEu úgu jeisls<shla mdúÉÑ lsÍu" jeisls<s mdúÉÑfhka miq inka fhdod w;a fia§u" u,my j,ska wmú;%j we;ehs is;sh yels t<suykl weúÈk úg mdjyka mdúÉÑh" kshfmd;= fldgg lmd ;sîu" t<j¿ m,;=re fyd¢ka fidaod wdydrhg .ekSu" msßisÿ c,h îug mdúÉÑh" fyd¢ka fidaod wõfõ úh<d .;a we| we;sß,s mdúÉÑ lsÍu wd§ ikSmdrlaIl C%shd mjqf,a iEu fofklau ms<smeÈh hq;= h' l=vd orejkaf.a u,my o mig tla fkdjk f,i jeisls<shlgu oeóu wd§ mqreÿ b;d jeo.;a h'
mKq frda. je<elaùug fnfy;a ke;' mKq fnfy;a j,ska flfrkafka mKq fnfy;a .kakd wjia:dfõ isrer ;=< mKqjka isà kï Tjqka úkdY lsÍuhs' fuh mKq frda. j<lajk fnfy;la f,i iudcfha woyila mj;S' th jerÈ woyils' fndfyda wh udi ;=klg jrla mKq fnfy;a .kafka tla jrla mKq fnfy;a .;a úg udi ;=klg th fkdiE§ ;sfnkq we;ehs hkq jerÈ úYajdihlsks' mKq fnfy;a .;a;dg Èk lsysmhlg miq kej; wdydr fyda c,h iu. mKq ì;a;r YÍr .; jqjfyd;a mKq frda.h iEfoa'
orejka msámi fmfoi Wiaj ;nd f.k hg w;g ksod .ekSu" ifuys ,m iE§u" kskafoka o;añálEu wdÈh mKq frda. j, frda. ,laIK fkdfõ' ksis fi!LH wdrlaIs; C%ufõo wkq.ukh lrkjd kï udi ;=klg jrla mKq fnfy;a §uo wksjd¾h ke;'
ffjoH ,xld isßj¾Ok
