dr g.s.rao, m.d., yashoda

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ag-°m-e-sa-Øn, tcmK-ßfpw; {]Xn-tcm[w Xs∂ {][m\w tUm. Pn. Fkv. dmhp (amt\-PnMv Ub-d-IvS¿, btimZ {Kq∏v Hm^v tlmkv]n-‰¬kv) ohs‚ At\-I -I-W-ß-fp-am-bmWv ag°m-e-Øns‚ BK-a-\w. F∂m¬ GsXmcp \√ Ime-Øn\pw tamiw apJ-ap-≠-t√m. AXp-t]mse ag-°m-e-Øn\p-ap≠v NoØ hi-߃. ico-c-Øns‚ {]Xn-tcm[ i‡n Ipd-bv°p-∂p-sh∂-XmWv AXn¬ {][m-\-am-b-Xv. AXn-\m¬ ag-°m-e-tØm-S-\p-_-‘n®v km[m-c-Wbmbn ]e amc-I-tcm-K-ßfpw D≠mIp-∂p. ag-sb-Øp-S¿∂p-≠m-Ip∂ XWp∏pw sh≈s°´pw sImXp-Ip-Iƒ°p ap´-bn´p -s]-cp-Im≥ kml-N-cy-sam-cp-°p-∂p. Ch- ate-dn-b, sU¶n-∏-\n t]mep≈ tcmK-߃ ]c-Øp-Ibpw sNøp-∂p. {]Xn-tcm[ i‡n hf¿Øns°m≠v CØcw tcmK-ßsf t\cn-Sm≥ ico-csØ {]m]vX-am-°m\pw Cu tcmK߃s°-Xnsc ap≥I-cp-X¬ \S-]-Sn-Iƒ ssIs°m--≈m\pw ag-°mew Hm¿an-∏n-°p-∂p.

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C¥y-bn¬ ate-dn-b, sl∏-ss‰-‰n-kv, km[m-cW Pe-tZm-jw F∂nhbpw tImf-d, ssSt^mbvUv t]mep≈ DZ-c-kw-_-‘-amb tcmK-ßfpw (gastro-intestinal diseases) Hmtcm h¿jhpw hym]-I-ambn ]nSn-s]-Sp-Ibpw {Kma-߃ apX¬ ]´-W-߃ hscbpw \K-c-߃ apX¬ sat{Sm-Iƒ hscbpw `oXn P\n-∏n-°p-Ibpw sNøm-dp-≠v. Ct∏mƒ Nn°≥ Kp\n-b, sU¶n-∏\n t]mep≈ ]pXnb tcmK-ßfpw Bi¶ P\n-∏n-°p-∂p. NnIn’n®v t`Z-am-°p-∂-Xn-s\-°mƒ DØaw tcmK-{]-Xn-tcm-[-am-sW∂ B]vX-hmIyw Chn-sSbpw _m[-I-amWv. sNdnb ioe-ßfpw \S-]-Sn-I-fpw-sIm≠v Cu tcmK-ßsf {]Xn-tcm-[n-°m≥ Ign-bpw. B¿s°-¶nepw CØcw tcmK-߃ h∂m¬ Ip´n-I-sf-bm-bn-cn°pw AXv Cc-bm-°p-I. Ip-´n-I-fpsS Imcy-Øn-em-Is´ bYm-k-a-bØv A\p-tbm-Py-amb ]cn-c£ \¬Im-Ø]£w Poh-\p-Xs∂ `oj-Wn-bm-Ipw. AXn-\m¬, Nne km[m-cW ag-°m-e -tcm-K-ß-sf-°p-dn®v hni-Zo-Icn°p∂p. hy‡nIsf kwc-£n-°p∂-Xn\v Ah-bv°p≈ {]Xn-tcm[ \S-]-Sn-Ifpw H∏w: ate-dnb IrXyamb CS-th-f-I-fn¬ hcp∂ ]\n. an°-hmdpw F√m-Zn-h-khpw Htc-k-a-bØv ]\n A\p-`-h-s∏-Smw. Xe-th-Z-\, O¿Zn F∂n-hbpw hnd-b-ep-ap-≠m-Imw. t]inth-Z-\bpw £oW-hp-amWv a‰v e£-W-߃. {]-Xn-tcm[w: tcmKw ]c-Øp-∂Xv sImXp-Ip-I-fm-b-Xn-\m¬ sImXp-Ip-h-e-Ifpw \nhmc-Wn-Ifpw D]-tbm-Kn-t°-≠-Xm-Wv. sh≈w sI´n-°n-S-°m≥ A\p-h-Zn-°p-I-bp-a-cp-Xv. ...... 2


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ImcWw sI´n-°n-S-°p∂ sh≈-Øn-emWv sImXp-Ip-Iƒ s]cp-Ip-∂-Xv. hoSn-\SpØp≈ HmS-I-fn¬ Un Un ‰n Xfn-°p-∂Xv DØ-a-am-Wv. G‰hpw A]-I-S-Im-cn-bmb tcmK-amWv ate-dn-b. AXn-\m¬ ate-dn-b-bpsS e£-Wßsf Ah-K-Wn-°-cp-Xv. e£-W-ß-fnte-sX-¶nepw tXm∂n-bm¬ DSs\ Hcp tUmIvSsd kao-]n-°p-I. tImfd ag-°m-eØv ]c-°p∂ as‰mcp A]m-b-I-c-amb tcmK-amWv tImf-d. aen-\o-I-cn-°-s∏´ `£-Whpw sh≈-hp-amWv CXns‚ {][m\ Imc-Ww. Xosc hrØn-bn-√mØ Np‰p-]mSp-Ifpw Cu tcmKw ]S-cm≥ klm-bn-°p-∂p. ipNo-I-cW {]h¿Ø-\-߃ C√mØ ÿe-ß-fn-emWv Cu tcmKw km[mc-W-bmbn hym]n-°m--dp-≈Xv. sh≈-sam-gn-°pw-t]m-se-bp≈ ISpØ hb-dn-f°w t]mep-≈- e£-W-ß-fmWv tImfdbv°v I≠p-h-cp∂Xv. h≥tXm-Xn-ep≈ O¿Znbpw I≠p-h-cm-dp-≠v. CXv \n¿P-eo-I-cW-Øn\pw ssIIm¬ Ig-∏n\pw CS-h-cp-Øp-∂p. {]-Xn-tcm[w: tImf-d-bv°p≈ {]Xn-tcm[ IpØn-sh∏v \S-Øp-∂-XmWv G‰hpw DØaw. Bdp-am-ksØ kwc-£Ww CXp-\¬Ipw. ipNn-bmb IpSn-sh≈w Xnf-∏n-®-tijw D]-tbmKn-°pI F∂-XmWv as‰mcp am¿Kw.-C-Xn-\p-]p-dsa hy‡n-]-c-amb ipNnXzhpw \√ ipNo-I-cW {]h¿Ø-\-ßfpw tImf-d XS-bm≥ klm-bn-°p-∂p. tImfdsb hfscsbfp∏w NnIn-’n-°m-sa-¶new {]mcw` L´-Øn¬ e£-W-߃ Ah-K-Wn-°p-Ibpw bYm-k-abw NnIn’ \¬Im-Xn-cn-°p-Ibpw sNøp-I-bm-sW-¶n¬ AXv Poh\v `oj-Wn-bmbn amdn-tb-°mw. tImfd _m[n-®-bmƒ°v DS\Sn H B¿ Fkv \¬tI-≠-Xm-Wv. ssSt^mbvUv ag-°m-eØv ssSt^mbvUpw ]I-cp-∂p. aen-\o-I-cn-°-s∏´ `£-Whpw sh≈-hp-amWv CXn-s‚bpw Imc-Ww. t`Z-am-bm¬t∏mepw tcmKn-bpsS ]nØm-i-b-Øn¬ CXns‚ tcmKmWp D≠m-Ip-sa-∂-XmWv Cu tcmK-Øns‚ G‰hpw `oXn-P-\-I-amb hiw. tcmKnbpsS Btcm-Ky-Øn\v CXv amc-I-am-Imw. \o-≠p-\n¬°p∂ ]\n-bmWv ssSt^m-bvUns‚ s]mXp-hmb e£-Ww. Xe-th-Z-\bpw ASn-h-b-‰n¬ ISp-Ø-th-Z-\-bp-amWv a‰p tcmK-e-£-W-߃. {]-Xn-tcm[w: ]I-cm≥ Gsd km[y-X-bp≈ tcmK-am-b-Xn-\m¬ ssSt^mbvUv tcmKnsb IpSpw-_-Ønse a‰v tcmKn-I-fn¬ \n∂v AI-‰n-\n-dp-tØ-≠-Xm-Wv. ap≥Iq´n IpØn-sh∏v \S-Øp-∂Xv henb klm-b-am-Ipw.- \n¿P-eo-I-cWw XS-bm≥ tcmKn-Iƒ hf-sc-b[nIw sh≈w IpSn- ° - W w. c≠m- g v N - b v ° p≈n¬ ho≠pw hcp- s a- ∂ p- ≈ - X n- \ m¬ ssSt^mbvUv tcmKn-Iƒ AXo-h-{i≤ ]pe¿tØ-≠-Xm-Wv. tcmK-hn-ap‡n {]m]n...... 3


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®m¬Øs∂ ap≥I-cp-X¬ \S-]-Sn-Iƒ XpS-c-W-sa-∂¿∞w. Nn°≥Kp\n-bbpw sU¶n-∏-\nbpw kao-]-Im-e-Ømbn Nn°≥Kp-\n-bbpw sU¶n-∏-\nbpw C¥y-bn¬ hym]n-°p-I-bm-Wv. sImXp-Ip ISn aqe-ap-≠m-Ip∂ Cu ag-°m-e-tcmKw C¥y-bnse `qcn-`mKw P\-ß-fpsSbpw henb Btcm-Ky-{]-iv\-ambn amdn-°gn-™p. Ccp-tcm-K-߃°pw kam-\-amb e£-W-ß-fm-Wp-≈-sX-¶nepw c‡-hm¿® Nn°≥Kp-\n-b-bn¬ Xmc-X-tay\ A]q¿ham-Wv. ]I¿®-∏-\nbpw s]s´∂v {]Xy-£-s∏-Sp∂ sImSpw-]-\n-bp-amWv Nn°≥Kp-\n-b-bpsS khn-tij e£-W-߃. k‘n-I-fn¬ ISpØ thZ-\bpw CtXm-sSm∏w D≠m-Ip-∂p. ssIIm-ep-I-fn¬ \ocv, tamW-I-fnepw sXmen-∏p-dØpw c‡w s]mSn-b¬ F∂n-hbmWv a‰p e£-W-߃. Xe-th-Z-\, hnd-b¬, sNdnb ]pdw-th-Z-\, IÆp-Iƒ A\-°p-tºm-gp-≠m-Ip∂ thZ\ F∂n-h-tbm-sS-bmWv sU¶n-bpsS Bcw-`w. tcmKw aq¿—n-®p-I-gn-bp-tºmƒ k‘n-Ifnepw Imep-I-fnepw ISp-Ø-th-Z-\-bp-≠m-Ipw. ico-tcm-jvamhv AXn-thKw 104 Un{Kn hsc Db-cpw. lrZ-b-an-Sn∏pw c‡-k-Ω¿±hpw Xmgp-Ibpw sNøpw. {]-Xn-tcm[w: sImXp-Ip-ISn Hgn-hm-°pI F∂-XmWv c≠p tcmK-ß-sfbpw {]Xn-tcm[n-°m-\p≈ anI® am¿Kw. Cu tcmK-߃°v {]Xn-tcm[ acpt∂m IpØn-sht∏m Ct∏mƒ e`y-a-√. hoSp-Isf sImXpIp hnap-‡-am-°pI F∂-XmWv as‰mcp \S-]-Sn. Xmsg-∏-d-bp∂ coXn-I-fn-eqsS sImXp-Ip-ISn Hgn-hm°mw: 1. sImXp-Ip-\n-hm-c-Wn-Iƒ D]-tbm-Kn-°pI (sIm-Xp-Ip-Xn-cn-I-fnepw am‰p-I-fnepap≈ cmk-h-kvXp-°ƒ \nc-¥cw izkn-°p-∂Xv \√-X-s√-¶nepw sImXpIp ISn-tb¬°pIbpw Nn°≥Kp-\nb As√-¶n¬ sU¶n-∏\n hcn-Ibpw sNøp-∂-Xn-s\-°mfpw \√-XmWn-Xv). 2. \of≥ ]m‚p-Ifpw j¿´p-Ifpw [cn-°p-I. 3. sImXp-Ip-Iƒ hoSn-\p-≈n¬ IS-°m-Xn-cn-°m≥ hmXn-ep-I-fnepw P\m-e-I-fnepw kv{Io\p-Iƒ ÿm]n-°p-I. 4. ho´n-epw sXcp-hnepw tKmUu-Wp-I-fnepw a‰pw sh≈w sI´n-\n¬°m≥ CS-bp≈ ]q∏m-{X-߃, _°-‰p-Iƒ, _mc-ep-Iƒ F∂nh sh≈w Hgn-®n-Sp-I. C-Xn-\p-]p-d-sa, Nn°≥Kp-\n-b As√-¶n¬ sU¶n-∏\nbp≈ Hcp tcmKnsb ho≠pw sImXp-Ip-I-Sn-°m≥ CS-h-cp-Ø-cp-Xv. tcmKw a‰p-≈-h-cn-te°v ]c-Øm≥ CXv CS-bm°pw. tcmKn ]pd-Øp-t]m-Ip-I-bm-sW-¶n¬ sImXp-Ins\ AI-‰p∂ {Ioap-Iƒ D]-tbmKn-°-Ww. As√-¶n¬ sImXp-Ip-h-e-bn¬Øs∂ Ign-b-Ww. AXp-a-s√-¶n¬ sImXpIns\ XS-bp∂ kv{Io\p-I-fp≈ taJ-e-I-fn¬ Ign-b-Ww. ...... 4


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F¥m-bmepw Pm{KX ]men-°p-I, Btcm-Ky-tØmsS Ign-bp-I, kpµ-c-amb ag-°mew Bkz-Zn-°p-I.


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