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RNI No. DELBIL/2011/40166 Postal Regd. No.DL(S)-17/3433/2013/15 Publication Date 1st of every month Posting Date 5 & 6 of every month

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Medgate Today May 2013.indd 4

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Medgate Today May 2013.indd 5

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ebZ-2013

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f[kykQ lkft'k g

ekjs ns'k esa ?kj ls dksbZ dgha tkus yxrk gS rks 'kxqu ds fy, ngh f[kykus dk fjokt gSA eryc ngh gekjs fy, ,d vkLFkk Hkh gSA ngh esa iyus okyk Hkyk cSDVhfj;k gekjs isV dks fliZQ dbZ jksxksa ls gh ugha cpkrk gS cfYd ekU;rk gS fd ;g cqjh rkdrksa ls Hkh cpkrk gSA ngh ls cus e<s ds ckjs esa ,d cgqr pfpZr dgkor gS& tks [kk, e<k] ogh gks, i<kA ysfdu yxrk gS] vc ml ngh ij gh ladV vkus okyk gSA ljlksa ds rsy dh rjg ngh vkSj mlls cus e<s dks cnuke djus dh dksbZ j.kuhfr cu jgh gks rks mlesa vk'p;Z dh ckr ughaA çksck;kWfVDl iQwM u, tekus dk izQht gksus okyk gSA ;s ,sls [kk| inkFkZ gSa ftuesa iQk;nk igq¡pkus okys cSDVhfj;k ekStwn gksrs gSaA bu Hkkstu dh xq.koÙkk bl ckr ls vk¡dh tk,xh fd muesa iQk;nk igq¡pkus okys cSDVhfj;k dh la[;k fdruh gSA [kk| inkFkksaZ esa vjcksa&[kjcksa esa cSDVhfj;k gksus ds nkos fd, tk,¡xsA [kehj mBs gq, [kk| inkFkksaZ esa 'kjhj dks iQk;nk igq¡pkus okys ;s cSDVhfj;k mRiUu gksrs gSaA isV vkSj vk¡r esa ;s cSDVhfj;k tc rd ekStwn jgrs gSa fdlh nq"V cSDVhfj;k ds ogk¡ iQVdus dk loky gh ughaA blesa Mk;fj;k jksdus] çfrjks/d {kerk c<+kus lfgr vusd xq.k gksrs gSaA cktkj esa bl rjg ds nkos djus okys çksck;kWfVd iQwM o fMªaDl dh Hkjekj gks jgh gSA ysfdu Hkkjr ds [kk| cktkj ij dkfct gksus dh ;kstuk cuk jgh çksck;kWfVDl iQwM o fMªad cukus okyh eYVhus'kuy daifu;ksa dks ?kj&?kj esa cuus okyh ngh dh yksdfç;rk [kVd jgh gSA gSnjkckn fLFkr ljdkjh us'kuy bafLVV;wV vWkiQ U;wfVª'ku ds iwoZ egkfuns'kd ch- f'ko dqekj dk dguk gS fd ns'kh ngh o e<k ihus ds cM+s iQk;ns gSaA ?kj esa cuus okyh ngh ,d csgrjhu çksck;kWfVDl [kk| inkFkZ gSA

ikpu ç.kkyh dks fo'ks"k Je ugha djuk iM+rkA isV dh xM+cM+h dks Bhd djus ds fy, iQy ls vPNs fdlh nwljs Hkkstu dh dYiuk Hkh ugha dh tk ldrhA iQyksa ds jl ds ç;ksx ls ykHk vkSj Hkh tYn gksrk gSA iQyksa esa tks ipk gqvk Hkkstu jgrk gS mlds dkj.k iQy [kkrs gh ;k mldk jl ihrs gh lqLrh vkSj FkdkoV nwj gksdj rktxh vkSj rkdr ekywe gksrh gS] D;ksafd IkQy ds vkek'k; esa igq¡prs gh 'kjhj mldk mi;ksx 'kq: dj nsrk gSA IkQyksa ds mi;ksx ls nwljs Hkkstu Hkh vklkuh ls iprs gSaA cgqr ls IkQyksa esa isIVhu uked ,d [kk| inkFkZ jgrk gS tks Hkkstu ds ikpu esa lgk;d gksrk gSA IkQyksa dh mifLFkfr ds dkj.k vek'k; ls ikpd jl Hkh vf/d L=kfor gksrk gSA IkQyksa ds jl d`feuk'kd gksrs gSaA muds mi;ksx ls gekjs 'kjhj esa fLFkr jksx ds dhVk.kq u"V gks tkrs gSa D;ksafd IkQyksa esa tks lkbfVd vEy gksrk gS muds laiiZ esa vkdj dhVk.kq ,d {k.k ds fy, Hkh Bgj ugha ldrsaA

?kkrd gks ldrk gS lkekU; fljnnZ

fl

jnnZ ,d ,slh vke leL;k gS ftlls gj dksbZ vius thou esa dHkh u dHkh ihfM+r gksrk gh gSA fljnnZ gksus ds dbZ dkj.k gks ldrs gSa ysfdu blds vke dkj. kksa esa d`f"Vnks"k ls ysdj lkbul ijs'kkuh 'kkfey gSaA xaHkhj dkj.kksa esa efLr"d esa V;wej Hkh gks ldrk gSA orZeku le; dh HkkxnkSM+ okyh thou'kSyh ds dkj.k yksxksa esa fljnnZ ,d vke leL;k cu xbZ gSA fljnnZ gksus ds vke dkj.kksa esa ruko eq[; :i ls ftEesnkj gksrk gS tks vkt ds le; esa yxHkx lHkh dks gksrk gSA mPp jÙkQpki ls ihfM+r gksus ij Hkh fljnnZ dh leL;k lkeus vk ldrh gSA mPp jÙkQpki gksus dk [krjk vkerkSj ij 40 o"kZ dh vk;q ds ckn gksrk gS ysfdu vktdy de vk;qoxZ ds yksx Hkh blls ihfM+r gks jgs gSaA dHkh&dHkh efLr"d esa V;wej gksus ls Hkh fljnnZ dh leL;k gks ldrh gS] ysfdu ,slk cgqr de ekeyksa esa gksrk gSA de jÙkQpki Hkh fljnnZ dk dkj.k gks ldrk gSA blds vykok vke lnhZ gksus vFkok lkbul esa lwtu ls Hkh fljnnZ dh leL;k lkeus vk ldrh gSA fljnnZ ls cpus ds fy, O;fDr dks ruko ls cpuk pkfg,A ruko ds dkj.k da/ksa] xnZu vkSj [kksiM+h dh ekalisf'k;ksa esa ladqpu gksrk gS ftlls fljnnZ dh leL;k lkeus vkrh gSA de uhan] [kkuk le; ij ugha [kkus rFkk 'kjkc ,oa eknd inkFkksaZ ds lsou ls Hkh fljnnZ gks ldrk gSA pkWdysV vkSj iuhj tSlh phtksa çkphu le; ls euq"; dan&ewy&iQy dk mi;ksx Hkkstu esa ds lsou ls Hkh fljnnZ gks ldrk gSA vDlj dkiQh ihus okys yksxksa djrk vk jgk gSA blds mi;ksx dk o.kZu gekjs oSfnd xzaFkksa esa Hkh dks le; ij dkiQh ugha feyus ij fljnnZ gks ldrk gSA HkkxnkSM+ miyC/ gSA lkFk gh iQy loZfç; vkgkj Hkh gSaA iQy iqf"Vdkjd vkSj rukoHkjs thou esa fnekx dks 'kkar vkSj rukoeqÙkQ j[kus ds rks gksrs gh gSa] muesa foVkfeu vkSj çkd`frd yo.k Hkh Hkjs jgrs gSaA fy, lqcg ds le; Vgyus vkSj /;ku vkfn O;k;ke djuk pkfg,A tks gekjs LokLF; ds fy, cgqr mi;ksxh gSa] buds vHkko esa 'kjhj blds vykok eYVhfoVkfeu vkSj ,aVhvkDlhMsaV nokb;ka yh tk ldrh gSaA ;fn fdlh dks yacs le; ls fljnnZ dh leL;k gS rks #X.k o detksj gks tkrk gSA iQyksa esa feBkl dh ç/urk gksrh gSaA bl feBkl ds dkj.k gh mls fdlh fo'ks"kK fpfdRld ls lykg ysdj flVh LdSu djkuk iQy ipk gqvk Hkkstu dgykrk gS D;ksafd iQyksa dks ikpu esa gekjh pkfg,] ftlls bl leL;k dk ewy dkj.k irk yx ldsA blds vykok vka[kksa dh fu;fer tkap djkuh pkfg,A

LokLF; ds fy, mi;ksxh gSa Qy

10 ebZ-2013

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17-05-2013 AM 12:00:30


Medgate Today May 2013.indd 11

17-05-2013 AM 12:00:31


MHT

lekpkj lekpkj

,.M fjlpZ

cky cuk,a LVªsV

lh

ds pj.kksa esa >qdrs gSa rks mudh çk.k ÅtkZ ls tqM+ tkrs gSa vkSj og ÅtkZ ç.kke djus okys dh psruk dks Hkh Åij mBkrh gSA vxj fuEu Lrj ds yksxksa dks ç.kke fd;k tk, rks mlls gkfu dh laHkkouk gh T;knk jgrh gSA D;ksafd ml fLFkfr esa çk.k çokg myVh fn'kk esa cgus yxrk gSA ;ksx vkpk;Z ds'ko nso ds vuqlkj ueLrs djus ds fy,] nksuks gkFkksa dks vukgr pd ij j[kk tkrk gS] vk¡[ksa can dh tkrh gSa] vkSj flj dks >qdk;k tkrk gSA bl fof/ dk foLrkj djrs gq, gkFkksa dks Lokf/"Bku pØ HkkSgksa ds chp dk pØ ij j[kdj flj >qdkdj vkSj gkFkksa dks ân; ds ikl ykdj Hkh ueLrs fd;k tk ldrk gSA ;g fof/ xgjs vknj dk lwpd gSA t:jh ugha fd ueLrs] ueLdkj ;k ç.kke djrs gq, ;s 'kCn cksys Hkh tk,aA ueLdkj ;k ç.kke dh Hkkoeqæk dk vFkZ gh ml Hkko dh vfHkO;fDr gSA

/s vkSj eqyk;e ckyksa dk iQS'ku dkiQh le; ls gSA ?kqa?kjkys o osoh ckyksa dks gsvj LVªsVfuax rduhd ls lh/k fd;k tk ldrk gSA ;s rduhdsa D;k gSa vkSj fdl rjg ls ;s ckyksa ij viuk çHkko NksM+rh gSa] vkb, tkusaA Mªk;j dk ç;ksx% xhys ckyksa dks fofHkUu Hkkxksa esa ckaV ysrs gSaA gj Hkkx ds fljs dks cz'k ij yisV dj Mªk;j fd;k tkrk gSA fiQj gj Hkkx dks lh/k idM+ dj Mªk;j fd;k tkrk gSA vxys 'kSaiw rd cky lh/s jgrs gSaA ysfdu t:jr ls T;knk ghV nsus ls ckyksa esa :[kkiu vk tkrk gS vkSj cky nks eqags gks dj VwVrs Hkh gSaA dsfedy gsvj LVªsVuj% blesa gjsd cky dh 'kkiQV esa jlk;u ços'k djrk gS vkSj ckyksa dh van:uh ijrksa dh cukoV dks çHkkfor djrk gS] ftlls dyhZ ;k osoh cky lh/s gks tkrs gSaA blesa FkksM+s xj vki ;g lksprs gSa fd czsLV dSalj dk [krjk fliQZ rst jlk;uksa dks lh/k ckyksa ij yxk;k tkrk gSA bldk vlj 6 efgykvksa ds fy, gh gS rks vki xyr gSaA ;g dsoy eghus rd jgrk gSA LVªsVfuax ges'kk gsvj ,DliVZ ls gh djkbZ tkuh pkfg,A dHkh Hkh ckyksa esa dyj vkSj LVªsVfuax ,d lkFk uk djk,aA efgykvksa dks gh ugha gksrk cfYd bldk [krjk iq#"kksa ds fy, Hkh bu nksuksa ds chp esa de ls de 2&3 eghus ds varj t:j gksuk mruk gh gSA njvly iq#"kksa ds 'kjhj esa Hkh cgqr FkksM+h ek=k esa Lru dh dksf'kdk,a gksrh gSa] ftuesa dbZ ckj vçkd`frd :i ls o`f¼ pkfg,A gksrh gS tks czsLV dSalj dh otg gks ldrh gSA vkb, tkusa] iq#"kksa esa czsLV dSalj ls tqM+s vge igyqvksa ds ckjs esaA fdruk gS fjLd czsLV dSalj dk efgykvksa esa ftruk lkekU; gS] iq#"kksa esa mruk lkekU; rks ugha gS ysfdu iq#"kksa esa ;g vf/d xaHkhj gSA gka] bldk ddj ;k gkFk feykdj vFkok xys yxdj fdlh dk lgh le; ij irk yx tk, rks bldk mipkj iq#"kksa vkSj efgykvksa] vfHkoknu djus ls vkilh laca/ rks çxk<+ gks ldrs gSaA nksuksa ds fy, ,d rjg dk gh gS vkSj bldk mipkj laHko gSA O;fDr ds lH; liQlaLd`r gksus dh Nfo Hkh curh gS ysfdu >qddj vfHkoknu djus dk vyx gh egRo gSA teZu ewy dh d`". kHk¼ lk/oh ds eqrkfcd Hkh gSyks gk; dgus ls vk/qfud gksus dk fdruk gh xoZ eglwl gksrk gks ysfdu ç.kke esa tSlh vk'oLrrk çrhr gksrh gS] og vn~Hkqr vykSfdd gSA l pht dks vki [;kyksa esa lksprs gSa] rduhd mls yxrk gS fd Hkhrj ÅtkZ dk mQku mB jgk gS] tks Hkko] cks/k gdhdr esa cny nsrh gSA rHkh rks vc vki vius vkSj efLr"d esa jgus okys cqf¼ dk vfrØe.k djrs gq, Åij gh ykbiQ ikVZuj ls nwj jgdj Hkh lsDl dk yqRkiQ mBk ldrs gSaA Åij iQSyrk tk jgk gSA çHkqikn HkfDrosnkar ls lh/s gjsd`".k ea=k daMkse rS;kj djus okyh daiuh MîwjsDl us ,d ,slk ,si daVªksy dh nh{kk çkIr lk/oh dk dguk gS fd lkekU; ç.kke viuh rqyuk vaMjfo;j cuk;k gS] ftldh enn ls vki vius ikVZuj ls nwj jgdj esa csgrj fLFkfr okyksa ds çfr fd;k tkuk pkfg,A fdlh dks Hkh lsDl tSlk vkuan mBk ldrs gSaA daiuh us vius vaMjfo;j dks ueLdkj djrs gq, ge ?kks"k.kk djrs gSa fd lHkh ds ân; esa ,d gh vkWaLVksfy;kb uke fn;k gS vkSj bldh ohfM;ks dks ;w&V;wc ij 'ks;j nSoh; psruk vkSj çdk'k gS tks vukgr pØ (ân; pØ) esa fLFkr fd;k gSA vaMjfo;lZ dh ohfM;ks dks vHkh rd djhc 30 yk[k ls gSA Hkh T;knk yksx ns[k pqds gSaA ohfM;ks esa fn[kk;k x;k gS fd ,si dks caxywj esa ;ksx ij dke dj jgh laLFkk czãfo|k iQkmaMs'ku ds fdl rjg ;wt djuk gS\ blesa ,d vkWLVªsfy;kbZ tksM+k fjeksV ls Lokeh ohds d`".ku dk dguk gS fd ç.kke ds fy, tc ge xq#tuksa ,d&nwljs dks Vp djrs gq, fn[kk;k x;k gSA

iq#"kksa dks Hkh gks ldrk gS czsLV dSalj!

v

ç.kke vkSj ueLdkj djus ds Qk;ns

>q

nwj cSBs dhft, ikVZuj ls lsDl

ft

12 ebZ-2013

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17-05-2013 AM 12:00:32


Medgate Today May 2013.indd 13

17-05-2013 AM 12:00:34


MHT

Mk0 doj gsYFkdh

LVks ds ckr ;jjh

e/kqesg vkSj vki

e

Dr.Alok Kurmar Gupta MBBS, MD Gorakhpur (U.P)

e/qesg ls ihfM+r O;fDr dks dc] fdruk vkSj dSlk vkgkj ysuk pkfg,\ dkSuls O;k;ke ;k vklku djuk pkfg,\ dkSu lh tk¡p dc] D;ksa vkSj fdrus varjky ij djkuh pkfg,\ D;k & D;k lko/kfu;ka j[kuh pkfg,\ ,slh reke ckrs gSa ftudh O;kid tkudkjh gj e/qesgh dks gksuh pkfg,-

/qesg ;kuh Mk;fcVht ds ckjs esa bUVjusV ij lSdM+ksa osc&lkbV~l vkSj gtkjksa osci`"B gS fdUrq thou Hkj lkFk pyus okyh bl chekjh ds ckjs esa fgUnh esa ;s tkudkjh fxurh ds i`"Bksa ij fleVh gS- xksj[kiqj ds fpfdRld Mk- vkyksd dqekj xqIrk dh ;s vkfVZdYl blh deh dks iwjk djrh gSA Hkkjr e/qesg dh fo'o jkt/kuh cukrk tk jgk gS-vR;f/d lqfo/ktud thou 'kSyh ds dkj.k mith ;s chekjh Hkkjr ds yksxksa dks cM+h rsth ls viuk f'kdkj cuk jgh gSxksj[kiqj ds Mk0 vkyksd dqekj xqIrk] vkfVZdYl ds ek/;e ls yksxksa dks blds ckjs esa tkx:d cukus esa tqVs gq, gS-mudh ;s vkfVZdYl e/qesg ls cpus ds fy, LoLFk thou 'kSyh dh jkg Hkh fn[kkrh gS vkSj bl chekjh ds lkFk LoLFk thou thus dk rjhdk Hkh fl[kkrh gSe/qesg ls ihfM+r O;fDr dks dc] fdruk vkSj dSlk vkgkj ysuk pkfg,\ dkSuls O;k;ke ;k vklku djuk pkfg, \ dkSu lh tk¡p dc] D;ksa vkSj fdrus varjky ij djkuh pkfg,\ D;k&D;k lko/kfu;ka j[kuh pkfg,\ ,slh reke ckrs gSa ftudh O;kid tkudkjh gj e/qesgh dks gksuh pkfg,;s vkfVZdYl bu lc ckrksa dh tkudkjh nsrh gS- viuh O;kid tkudkfj;ksa ds dkj.k Mk0 xqIrk dh ;s vkfVZdYl e/qesg ls ihfM+r O;fDr;ksa ds fy, ,d ,sls esfMdy xkbM

dh rjg gS tks ?kj cSBs mUgsa LoLFk thou thus dh jkg fn[kkrk gS- ;fn vkidks ;s vkfVZdYl ilan vk, rks bl vuwBs ç;kl ds fy, Mk0 vkyksd th dks lk/qokn t:j ns rkfd vU; fpfdRldksa dks Hkh fgUnh esa tkudkfj;k¡ ckaVus ds fy, çsj.kk fey ldsA e/qesg &leL;k dh çcyrk nh?kZdkfyd jksxksa esa tks le; ds lkFk 'kjhj ds fofHkUu vaxksa dks {kfr igqpkrsa gS] e/qesg çeq[k gSA ;g ,Slk jksx gS ftldk rkRdkfyd çHkko vf/dka'k jksfx;ksa esa ns[kus dks ugha feyrk] vkSj yEcs le; rd ihfM+r O;fDr dks bl ckr dk vkHkkl ugh gksrk fd og blls xzflr gS vkSj fdlh 'kkjhfjd vax&;Fkk xqnsZ] vk¡[k] ân; vkfn ds çHkkfor gksus ds iQyLo:i gksus okys y{k.k vkus ds i'pkr gh bl jksx dk laKku gks ikrk gSA laØked jksxksa ij fu;a=k.k ds i'pkr e/qesg ,d oSf'od egkekjh ds :i esa mHkj dj lkeus vk;k gS] tks rRdky {kfr igqpkus ds ctk; ,d nhed dh rjg vkus okys le; esa gekjs euq"; txr dks [kks[kyk djus okyk gSA blesa Hkh Vkbi & 2 e/qesg jksfx;ksa dh la[;k esa lokZf/d btkiQk gksus okyk gS tks 30 o"kZ ls mij dh vk;q ds yksxks dks vius pisV esa ysrk gSA ;|fi fd fiNys dqN o"kksZ ls vc 30 o"kZ ls de vk;q ds yksxksa esa Hkh Vkbi & 2 jksxh feyus yxsa gS vkSj leL;k dh çcyrk ?kVus ds ctk;s c<+rh tk jgh gS vkSj ;g vR;Ur fpUrk dk fo"k; gSA ;gh

14 ebZ-2013

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17-05-2013 AM 12:00:35


vk;q euq"; dk lokZf/d fØ;k'khy vkSj fofHkUu lkekftd ikfjokfjd ftEesnkfj;ksa dk fuoZgu djus okyk dky gksrk gS fu'p; gh ;g u dsoy O;fDr ds vius dk;Z{kerk dks {kfr igqapk;sxk] oju ljdkj vkSj ns'k ds cgqewY; LokLFk lsokvksa vkSj vkfFkZd lalk/uks dks Hkh fupksM+sxkA csgrj gksrh fpfdRlh; lqfo/kvksa ls yksxksa dh vkSlr vk;q fiNys 40 o"kksZ esa 59 o"kZ ls c<+dj 64 o"kZ gks xbZ gSA e/qesg ds lUnHkZ esa bldk vFkZ gksxk e/qesg tfur tfVyrkvksa ls ihfM+r tula[;k esa o`f¼ vkSj visf{kr lalk/uksa esa rqyukRed dehA b.Vjus'kuy Mk;chVht IkQsMsjs'ku }kjk çdkf'kr iqLrd ^Mk;chVht ,Vyl* ds r`rh; laLdj.k ds ek/;e ls vkb;s ns[krs gS fd bl leL;k dh çcyrk fdruh gS ;g lHkh vkdM+s 20 ls 79 o"kZ ds vk;q ds gSA lu~ 2007 ds vkadM+s crkrs gS fd fo'o Lrj ij 24-6 djksM+ yksx (vkcknh dk 5-9» e/qesg ls ihfM+r Fks] ftudh la[;k 2025 esa c<+ dj 38 djksM+ (vkcknh dk 7» gks tk;sxhA djhc djhc 55» dh c<ksÙkjh gksxhA lu~ 1994 esa vuqeku yxk;k x;k Fkk fd 2010 esa e/qesg jksfx;ksa dh la[;k 23-9 djksM+ gks tk;sxh tcfd 2007 esa gh ;g la[;k 24-6 djksM+ gks pqdh gS] ;kfu fd ge rhu o"kZ igys gh vuqekfur vkadM+s dks ikj dj pqds gS] ;g vR;Ur fpUruh; gS] Hkkjr ds lUnHkZ esa ;fn ge ns[ksa rks lu~ 2007 esa e/qesg jksfx;ksa dh la[;k 4-65 djksM+ Fkh tks 2025 rd c<+dj 8-83 djksM+ gks tk;sxhA djhc&djhc 73» dh c<+ksÙkjh gksxhA xkSj ryc ;g gS fd ftrus e/qesg jksxh Kkr :i esa lkeus gksrs gSa yxHkx mrus gh yksx e/qesg ds dxkj ij [kM+s gksrs ftUgs ge ^çh&Mk;chVht* ( Pre & Diabetes) dh voLFkk dgrs gS a A ^^çh & Mk;chVhd dks ge vkt dh rkjh[k esa e/qesg ds ?kksf"kr ekud ds rRdky igys dh voLFkk dks dgrs gSaA lkekU; rkSj ij fdlh LoLFk O;fDr dk jDr 'kdZjk [kkyh isV tkap djkus ij 110 fexzk- ls de gksuk pkfg, vkSj 75 xzke Xywdkst ihus ds nks ?kaVs ckn 140 ls de gksuk pkfg,A ;fn ;g [kkyh isV 126 ;k mlls vf/d vkSj Xywdkst ihus ds 2 ?kaVs ckn 200 ;k mlls vf/d gks rks ml O;fDr dks e/qesg jksx gSA ;fn ;g [kkyh isV 110 ls vf/d vkSj 126

ds uhps gks vkSj Xywdkst ds ckn 140 ls 200 ds chp gks rks mls ge ckf/r Xywdkst fuLrkj.k (Impaired Glucose Tolerance; IGT) dgrs gS a A ,S l s O;fDr tks IGT ds Js.kh esa vkrs gS muesa ls djhc 70» vkxs pydj e/qesg jksxh gks tkrs gSA lu 2007 esa tgk¡ e/qesg jksfx;ksa dh la[;k 24-6 djksM+ Fkh ogha IGT dh la[;k 30-8 djksM+ FkhA lu~ 2025 esa IGT dh la[;k 41-8 djksM+ gks tk;sxhA bl çdkj ;fn ge ?kksf"kr e/qesg jksfx;ksa ,oa laHkkfor e/qesg jksfx;ksa (IGT) dh la[;k tksM+ nsa rks leL;k dh çcyrk vkSj Hkh xaHkhj gks tkrh gSA ;g vIkQlksl dk fo"k; gS fd lu~ 1994 esa 2010 ds fy;s tks Hkfo";ok.kh dh xbZ Fkh mls >qBykus esa ge ukdke;kc jgsaA lu~ 2025 ds çLrkfor vkdM+ks dks ;fn gesa >qBykuk gS vkSj pqukSrh nsuh gS rks ges xHkhjark iwoZd vkt ds ;qokvksa dks ftldh mez 15 ls 30 o"kZ ds chp gS tkx`r djuk gksxk] D;ksfd 17 o"kZ ckn ;gh oxZ 32 ls 47 o"kZ dh vk;q esa gksxk vkSj vf/dka'k u;s jksxh blh oxZ ls lkeus vk;saxsaA vr% vkt ds cPpksa ,oa ;qokvksa dks ges fu;fer O;k;ke] mfpr Hkkstu p;u] ,oa thou 'kSyh ds çfr u dsoy tkx:d djuk gksxk] oju lrr~ fuxjkuh Hkh j[kuh gksxh vkSj fujUrj bl ij cy nsuk gksxkA bl ds fy;s dbZ Lrj ij ç;kl djus gksxsaA tSls ikfjokfjd] f'k{k.k laLFkkvksa] dk;kZy; vkfn ds ek/;e ls gesa ,d vfHk;ku NsM+uk gksxk ftlesa ehfM;k dh Hkwfedk Hkh vge~ gksxhA vkb;s vc ge ;g ns[krs gSa fd e/qesg fdl çdkj gekjs fpfdRlh; lalk/uks dks pqukSrh nsxh& ƒƒ e/q e s g jks f x;ks a es a e` R ;q nj nks xq uh vf/d gS A ƒƒ ân; vk?kkr dh la H kkouk nks ls pkj xq uh vf/d gS A ƒƒ 17 & 20» jks f x;ks a dh e` R ;q 50 o"kZ ls de vk;q es a ƒƒ jks x gks us ds 20 o"kZ i'pkr yxHkx lHkh Vkbi&1 e/q e s g jks f x;ks es a vkS j 60» ls vf/d Vkbi&2 e/q e s g jks f x;ks a es a vk¡ [ k ds ins Z (jS f Vuk) es a [kjkch vk tkrh gS A ƒƒ 86» Vkbi&1 ,oa 33» Vkbi&2 e/q e s g jks f x;ks a ds va / rk dk dkj.k

LVks ckrjh

MHT

Mk0 doj dh

jS f Vuk iS F kh gks rh gS A ƒƒ Vkbi & 2 e/q e s g jks f x;ks a es a 21» jks f x;ks a dks jks x dk la K ku gks u s rd jS f Vuks iS F kh gks pq d h gks r h gS ƒƒ iS jks a es a lw ukiu vkus ds dkj.k] iS j ks a es a ?kko] xS x z h u ,oa iS j ks dks dVus (Amputation) dh nj es a o` f ¼ ƒƒ 10&20 o"kZ ds i'pkr~ yxHkx 30&50» Vkbi&1 vkS j 20 & 50» Vkbi&2 e/qesg jksfx;ksa ds xqnsZ esa [kjkch (Nephropathy) vk tkrh gS mUgs ^Mk;kfyfll* vkSj xqnkZ çR;kjksi.k dh vko';drk iM+us yxrh gSA bl çdkj ge ns[krs gSa fd vkus okys le; esa vPNh la[;k esa gekjs ikl xgu ân; fpfdRlk dsUæ] Mk;kfyfll dsUæ] us=k lEcU/h mipkj gsrq mPph—r us=k fpfdRlk dsUæ] iSj fpfdRlk dsUæ vkfn dh lqfo/k dh vko';drk iMsxhA dsoy fpfdRlk lqfo/kvksa ds miyC/ gksus ls Hkh dke ugha pysxk oju jksfx;ksa dks iSls Hkh [kpZ djus iMsa+xsA lalk/uksa ds vkHkko esa ljdkjh fpfdRlky;ksa dh tks orZeku fLFkfr gS mlls vanktk yxk;k tk ldrk gS fd vPNs lqfo/k;qDr dsUæksa ij jksfx;ksa dk fdruk ncko gksxkA dkykUrj esa Je u djus dh ço`fÙk vkSj mPp olk ,oa mtkZ ;qDr Hkkstu dh çpqjrk ds dkj.k e/qesg jksfx;ksa dh la[;k esa o`f¼ gks jgh gSA ftl çdkj lkfgR; lekt dk niZ.k gksrk gS mlh çdkj e/qesg 'kgjhdj.k] vk|kSfxdhdj.k ,oa vkfFkZd fodkl dk niZ.k gksrk gS ;g dgus esa vfr';ksfDr u gksxhA leL;k dh çcyrk dks ns[krs gq, cM+s iSekus ij tu & tkxj.k vfHk;ku dh ije vko';drk gSA bl ckr dks /;ku esa j[krs gq;s Mk;kfcVht lsYIkQ ds;j Dyc fujUrj vius ekfld cSBdks ds ek/;e ls bl vfHk;ku esa yxk gqvk gS vkSj bl o"kZ ^ e/qesg fot;* uked dk;ZØe ds ek/;e ls fofHkUu Ldwyks esa O;k[;ku ,oa iksLVj çfr;ksfxrkvksa ds ek/;e ls cPpksa ds vUnj bl jksx ds çfr tkx:drk vfHk;ku pykus tk jgk gSA vkb;s ge lHkh ladYi ys fd bl xaHkhj pqukSrh ls fuiVus ds fy;s ge vius ç;klksa esa dksbZ deh ugh vkus nsaxsaA ebZ-2013 15

Medgate Today May 2013.indd 15

17-05-2013 AM 12:00:36


MHT

Mk0 gsYFkdh

ds ckr ;j

igys rhu eghuksa esa feldSjst ds dkj.k

Dr. Suman Bijlani

Director at Gyneguide (Mumbai)

i

gys rhu eghuksa esa feldSjst gksuk fdlh Hkh efgyk ds fy, vke gksrk gS] vU; nwljs eghuksa ds eqdkcys] xHkZ/kj.k ds çFke pj.k ;kuh igys 20 fnuksa esa dbZ ckj vkSjrksa dks ;g irk gh ugha gksrk dh og xHkZorh gS] og bldk /;ku ugha nsrh vkSj feldSjst gks tkrk gSA vkerkSj ij feldSjst dh esfMdy otgsa gksrh gS elyu tsusfVd dkj.k] IyklsaVk dh fLFkfr] ostkbuk esa yxkrkj bUIkQsD'ku] Mk;fcVht dh otg ls gksusokyk bUIkQsD'ku] xyr esMhflu [kkuk vkfnA igys VªkbesLVj esa gksusokys 90 iQhlnh feldSjst ftusfVd dkj.kksa ls gksrs gSaA T;knk mNy] dwn Mkal] nwljs cPps dk cgqr tYnh vkuk Hkh feldSjst dh otg cu ldrk gSA igys rhu eghuksa esa efgykvksa esa vDlj feldSjst dk dkj.k cPpk iSnk gksus ls igys gh xHkZ esa fxj tkuk gS] ,slk gksus ds 30 çfr'kr ls 35 çfr'kr dsl efgykvksa dh cPpsnkuh esa [kjkch ds dkj.k gksrs gSA dHkh&dHkh efgykvksa dh cPpsnkuh esa dksbZ deh gksus ds dkj.k ;k mlds vUnj fdlh rjg dk jksx iSnk gks tkus ds dkj.k xHkZikr

gks tkrk gSA vxj cPpsnkuh es fdlh rjg dk jksx gS rks oks T;knkrj bykt ls gh Bhd gks tkrk gS ysfdu vxj blesa igys ls gh dksbZ [kjkch gS rks blds Bhd gksus ds pkal cgqr gh de gksrs gSA tSls fdlh efgyk dh cPpsnkuh ,d uk gksdj 2 Hkkxksa es caVh gksA blesa xHkZ cPpsnkuh ds fdlh ,d Hkkx esa gks ldrk gS ;k nksuks Hkkxksa esa HkhA bl rjg vxj cPpsnkuh dk vkdkj lkekU; ls vk/k gksxk rks bles cPps dks iwjk iks"k.k ugha fey ik,xk vkSj uk gh xHkZ dk iwjh rjg fodkl gks ik,xk ftlds dkj.k xHkZ vk/s&v/wjs es gh fxj tkrk gSA blds vykok efgykvksa esa igys ds rhu eghuksa esa feldSjst ds dkj.kksa esa 'kjkc] flxjsV ihuk ;k u'khyh nokvksa dk lsou djuk gSA fdlh yEch chekjh ds dkj.k yxkrkj dbZ o"kksaZ rd nokbZ;ksa dk lsou djuk] ftuesa MªXl dh ek=k T;knk gksA igys rhu efguksa esa feldSjst ds dkj.kksa esa ls 50 çfr'kr ekeyksa esa iq#"k nks"kh gksrs gSaA ftldk dkj.k gksrk gS iq#"k ds oh;Z esa fdlh rjg dh [kjkch gksukA fdlh&fdlh iq#"k ds oh;Z esa cPps dks cukus okys

thok.kq gh ugha gksrsA ysfdu vxj muds thUl esa oa'kkuqxr [kjkch gks ;k fdlh vkSj rjg dks oh;Z nks"k gks rks blds dkj.k dbZ ckj efgykvksa dks feldSjst gks ldrk gSA fdlh çdkj dh 'kkjhfjd deh ds dkj.k xHkZ/kj.k djus dh {kerk esa deh Hkh dbZ ckj feldSjst dk dkj.k curh gSA dbZ ckj efgykvksa esa feldSjst 'kjhj esa fdlh rjg ds jksxksa ds dkj.k gksrk gSA mina'k jksx esa efgykvksa dk xHkZ Bgj rks tkrk gS ysfdu vDlj xHkZikr gks tkrk gSA ,sls gh e/qesg jksx esa Hkh xHkZikr gksus ds pkal cgqr T;knk gksrs gSA ysfdu vxj lgh rjhds ls bykt dj fy;k tk, rks gkykr dks lq/kjk tk ldrk gSA feldSjst gksus ds fy, tks jksx ftEesnkj gSa] og e/qesg] mina'k] Økfud usiQjkbfVl] xqnsZ esa [kjkch] gkbZ CyMçs'kj] cPpsnkuh esa jlkSyh vkSj ,uhfe;k ;k iks"k.k dh deh vkfnA igys rhu eghuksa esa feldSjst ds dkj.kksa esa dbZ ckj tgjhyh xSl] dhVuk'kd ds liZd esa vkuk] ;k fdlh jsfM;s'ku ds dkj.k Hkh feldSjst gksrk gSA ,d ckj feldSjst gksus ij rhu eghus ckn gh xHkZ/kj.k djsaA

16 ebZ-2013

Medgate Today May 2013.indd 16

17-05-2013 AM 12:00:38


Dr. DeepakArora

USA (ABS) Certified Clinical Sexologist Delhi & Chandigarh

v

Hkh eSa U;w&;kdZ VkbEl dh lkbV ij ;g fjiksVZ i<+ jgk Fkk (Daily Pill Greatly Lowers AIDS Risk, Study Finds) 'kk;n vki dks Hkh /;ku gksxk fd vkt ls 20&25 lky igys ,d iQS'ku lk pyk Fkk fd eysfj;k jksx ls cpus ds fy;s gj lIrkg ,d VScysV ys ysa rks eysfj;k ls cps jgk tk ldrk gS & bl iQS'ku dk Hkh te dj fojks/ gqvk Fkk] mu fnuksa ehfM;k Hkh bruk pqLr&nq:Lr Fkk ugha] blfy;s vius vki dks le>nkj le>us okys tho dqN vjlk rd ;g xksyh [kkrs jgsa--- ysfdu ckn esa /hjs&/hjs ;g ekeyk BaMk iM+ x;kA vktdy fdlh dks dgrs ugha lquk fd og eysfj;k ls cpus ds fy;s dksbZ xksyh vkfn [kkrk gSA ,d ckr vkSj Hkh le> esa vkrh gS fd tc fdlh ,pvkbZOgh laØfer O;fDr ij dke djrs gq;s fdlh fpfdRlk dehZ dks dksbZ lwbZ bR;kfn pqHk tkrh gS rks mls Hkh ,pvkbZOgh laØe.k ls cpus ds fy;s nks eghus ij dqN LVªkax lh nokbZ;ka ysuh gksrh gSa rkfd oWk;jl ml ds 'kjhj esa iui u lds &bls iksLV post & prophylisa & ok;jl ls laidZ gksus ds ckn tks ,gfr;kr ds rkSj ij nokbZ;ka yh tk,aA ysfdu vkt bl U;w&;kdZ Vkbe fjiksVZ esa ;g i<+k fd fdl rjg bl ckr ij Hkh tksjksa 'kksjksa ls fjlpZ py jgh gS fd ftl yksxksa dk gkbZ&fjLd fcgsfo;j gS tSls fd leySaxh iq:"k &vxj ;s jkstkuk ,aVh&ok;jy

ds ckr ;j

MHT

Mk0 gsYFkdh

,M~l ls cpko ds fy;s jkstkuk nokbZ ;g D;k ckr gqbZ \ nokbZ dh ,d [kqjkd ys ysrs gSa rks bu dks ,pvkbZOgh laØe.k gksus dk [krjk yxHkx 44 iQhlnh de gks tkrk gSA vkSj ,slk vuqeku yxk;k tk jgk gS fd vxj leySafxd iq:"kksa esa jkstkuk nokbZ ysus ls [krjk de gks ldrk gS rks fIkQj vU; gkbZ&fjLd yksxksa tSls dh lSDl odZjksa] Mªx&;wtjksa (tks yksx MªXl(u'kk) ysus ds fy;s ,d nwljs dh lwbZ bLrseky djrs gSa) esa Hkh jkstkuk ;g nokbZ ysus ls ;g [krjk rks de gks gh tk;sxkA vHkh bl ij Hkh tksjksa&'kksjksa ls dke py jgk gSA eSa tc ;g fjiksVZ i<+ jgk Fkk rks ;gh lksp jgk Fkk fd bl rjg dk /a/k Hkh nsj&losj py gh fudysxk fd ,pvkbZOgh ls cpus ds fy;s LoLFk yksx Hkh jkstkuk nokbZ ysuh 'kq: dj nsaxsA ysfdu lkspus dh ckr gS fd ;g nokbZ;ka fIkQygky bruh egaxh gSa fd bUgsa [kjhnuk fdl ds cl dh ckr gS\ ,d ckr vkSj Hkh rks gS fd Hkkjr tSls cgqr ls vU; fodkl'khy ns'kksa esa tks yksx ,pvkbZOgh ls igys ls laØfer gS mu rd rks ;s nokbZ;ka igqap ugha ik jgh gSa] ,sls esa leySafxdksa] lSDl odZjksa vkSj lwbZ ls u'kk djus okyksa dh fiQØ gh dkSu djsxk \ fjiksVZ i<+ dj eq>s rks ,slk Hkh yxk tSls fd yksxksa ds gkbZ&fjLd dks nwj djus dh ctk, ge yksx mUgsa ,d vklku lk fodYi miyC/ djok jgs gSa fd rqe viuk dke pkyw j[kks] ysfdu ,pvkbZOgh ls viuk cpko djus ds fy;s jkstkuk nokbZ ys fy;k

djksA bl fjiksVZ esa rks ;g dgk x;k gS fd ;g nokbZ;ka lqjf{kr gSa] ysfdu nokbZ rks nokbZ gS &vxj fdlh dks etcwju ysuh iM+rh gSa rks nwljh ckr gS] ysfdu vxj gkbZ&fjLd fcgsfo;j dks ft+ank j[kus ds fy;s vxj ;s nokbZ;ka yh tkus dh ckr gks jgh gS rks ckr gte lh ugha gks jghA vki dk D;k [;ky gS\ fjiksVZ i<+rs i<+rs ;gh /;ku vk jgk Fkk fd vkt fo'o dh leLr fo"ke leL;kvksa dk gy D;ksa Hkkjr ds ikl gh gS\ bu lc ckrksa dk lgh bykt v/;kRe gh gS] vkSj dksbZ nwljk iDdk mik; bl rjg dh fod`fr;ksa dks nwj djus dk fdlh ds ikl rks gS ughaA ;g D;k ckr gS ] leySafxd iq:"k gkbZ&fjLd esa pkgs yxs jgsa] u'kk djus okys u'ks esa fyIr jgsa ysfdu ,pvkbZOgh laØe.k ls cpus ds fy;s jkstkuk nokbZ ys fy;k djsa&;g Hkh dksbZ ckr gqbZA ,d rks bruh egaxh nokbZ;ka] Åij ls brus lkjs nwljs eqís vkSj cl ;gka fiQØ gks jgh gS fd fdl rjg ls mls laØe.k ls cpk fy;k tk,A cpk yks] HkkbZ] vxj cpk ldrs gks rks cpk yks] ysfdu vxj ml dh ykbu gh cny nh tk,] ml dh lksp] ml dh ço`fÙk gh cny nh tk, rks dSlk jgs&&;g pkch dsoy vkSj dsoy Hkkjr gh ds ikl gSA

ebZ-2013 17

Medgate Today May 2013.indd 17

17-05-2013 AM 12:00:38


MHT

Mk0 dh

ckr

Dr. Rajiv Kumar Child Specialist Muzaffarpur (Bihar)

cPpksa esa jDr dh deh dh tkap gks tk,xh vklku e

ksVh eksVh ckr ;g gS fd jDr dh ,d cwan dks ,d fLVªi ij Mky fn;k tkrk gS vkSj 30 lSdsaM bartkj djus ij ml dk tks jax fn[krk gS ml dk feyku ,d dkMZ ij fn;s x;s yky jax ds N% 'ksMksa ls fd;k tkrk gS tks gheksXyksfcu dh 4]6]8]10]12 vkSj 14xzke çfr 100 feyh dks bafxr djrs gSaA tSlk fd eSaus igys gh dgk gS fd oSls rks eSaus Hkh vHkh bl fdV dks ugha ns[kk ysfdu ,d ckr esjh le> esa ugha vkbZ fd [kcjksa esa ;g dSls dgk tk jgk gS fd ;g fgeksXyksfcu VSLV djus dk nnZjfgr rjhdk gS--- ;g nnZjfgr dSls gks x;k\ ---tc cPpksa ls jDr dh ,d cwan fudkyus ds fy, mUgsa fçd rks djuk gh iM+sxkA ysfdu nwljh ckr ;g fd ;g ,d lqfo/ktud rjhdk gS &cs'kd ;g gS D;ksafd bl esa rqjar fjtYV fey tk;sxk----T;knk vkStkjksa dk] fdlh dSehdy dks bLrseky djus dk dksbZ >a>V ugha---- Ldwyh cPpksa esa] vkaxuokfM+;ksa tSlh lSfVaXt ds fy, rks ;g cgqr lqfo/ktud gSA ysfdu ,d ckr tks cgqr egRoiw.kZ gS og ;g fd tc chfl;ksa] lSadM+s cPpksa dk

O;kid Lrj ij ;g VSLV fd;k tk;sxk rks bl ckr dk /;ku iwjk j[kuk gksxk fd gj ckj fMLikstscy ySalsV (ftls vaxqyh esa pqHkks dj jDr dh cwan fudkyh tkrh gS) dk bLrseky djuk gksxk----bl esa fcYdqy Hkh le>kSrk djus dh dksbZ xqatkbZ'k gS gh ugha --- ftrus VSLV djus gksaxs de ls de mrus fMLikstscy ySalsV miyC/ jgus pkfg, --;g ckr bl fy, Hkh t:jh gS D;ksafd tks eSa bl VSLV ds fooj.k ls le>k gwa bls yxHkx lHkh Lrj ds fpfdRlk&dehZ dj ik,axs --ftu ds fpfdRlk&Kku dk Lrj vyx vyx gks ldrk gS --blfy, bl ckr dh lko/kuh fo'ks"k :i ls j[kuh gksxhA eSa tc ;g ckr fy[k jgk gwa rks eq>s nks ckrsa ;kn vk jgh gSa &,d rks ;g fd tc ge yksx cpiu esa dksbZ CyM&VSLV vkfn djokus tkrs Fks rks ogka ij VSLV djus okys ,d gh lwbZa dks gjsd ejht ij bLrseky djrk Fkk --cl fLçV ls FkksMk iksaN fy;k djrk FkkA ysfdu vc vki yksx bl ckr dh dYiuk ugha dj ldrs ----vxj dgha ,slk gksxk ;k gks jgk gS rks xyr gks jgk gS ftls fpfdRlk vf/dkjh;ksa ds uksfVl esa yk;k tkuk pkfg,A

,d ckr vkSj /;ku esa vk xbZ ---dqN fnu igys ;g [kcj ,d v[kckj esa fn[k xbZ ---Contamination fears in Haemoglobin test at PGI …… vHkh eSaus [kcj dk 'kh"kZd gh ns[kk Fkk fd eq>s yxk fd ;gh iaxk gksxk fd ,d gh lwbZa pqHkks dj cgqr ls yksxksa dh vaxqyh ls jDr dk lSaiy fy;k tkrk gksxk ysfdu eSa xyr fudyk ---D;ksafd ;gka eqík ;g Fkk fd yksxksa us vkifÙk trkbZ fd pkgs lwbZa gj ckj ubZa yh tkrh gS ysfdu ml jDr dks ftl fiIiV ls vaxqyh ls [khapk tkrk gS og rks ,d gh gS --ftls ikuh ls /ks dj bLrseky fd;k tkrk gS] ysfdu vki bl [kcj esa i<+saxs fd gSM vWkiQ fMikVZeSaV us ;g crk;k fd fiisV dks ,saVhlSfIVd æo ls /ks;k tkrk gS ---vkSj pwafd bl çfØ;k ds nkSjku jDr ejht ds 'kjhj esa Mkyk ugha tkrk blfy, blls baIkQsD'ku ugha gks ldrhA tc eSaus ;g [kcj ns[kh rks eSa ;g lksp dj nax jg x;k fd yksxksa dh ,os;juSl fdruh c<+ xbZ gS] vkSj c<+s Hkh D;ksa ugha] vkf[kj ;g mu dh lsgr dk ekeyk gSA

18 ebZ-2013

Medgate Today May 2013.indd 18

17-05-2013 AM 12:00:53


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jaxksa dh nqfu;k dk efLr"d ls lEcU/k Dr. Rohit Garg

MBBS, MD (Neuropsychiatry) New Delhi

d

yj Cykb.M ;k jaxka/rk dk uke vusd ikBdksa us lquk gksxkA dbZ O;fDr tUe ls] jaxksa dh igpku o Hksn ugha dj ikrsA dqN ukSdfj;ksa esa] fo'ks"kdj lSfud] Mªk;oj vkfn ds fy;s] esfMdy ijh{k.k esa jax {kerk dh tkap ij [kkl tksj fn;k tkrk gSA vkerkSj ij jaxka/rk dk dkj.k gksrk gS vk¡[k ds insZ] jsfVuk esa jax dh igpku djus okyh 'kadq dksf'kdkvksa (dksUl) dh dehA blds foijhr fiQj Hkh efLr"d dh chekfj;ksa ds dkj.k jax cks/ dk gkl de gh ns[kk x;k gSA ;g lgh gS fd vk¡[k ds ijns ij iM+us okys reke fcEcksa dh iwjh igpku vUrr% efLr"d ds fiNys Hkkx esa fLFkr nks vkfLlfiVy [k.Mksa esa lEiUu gksrh gSA U;wjkyWkth 'kks/ if=kdkvksa esa cgqr [kkstus ij ,sls dqN ejhtksa dk gokyk feykA bu o.kZuksa dks i<+uk etsnkj gS rFkk bl ckr dks bafxr djrk gS fd fp=kdyk esa jaxksa ds lq:fpiw.kZ mi;ksx ij efLr"d dk fu;a=k.k (;k vfu;a=k.k) vius vki esa ,d dkfcys&xkSj fo"k; cu ldrk gSA dqN mnkgj.k nsf[k;s & lc dqN Hkwjk&Hkwjk yx jgk gS] jax dgha [kks x;s gSa] jax vyx&vyx rks yxrs gSa ij igpkus ugha tkrsA MªkbZax esa Hkjrs le; xyfr;k¡ gksrh gSaA dksbZ [kkl jax pqurs le; vf/d eqf'dy vkrh gSA jax igpku fy;s tkrs gSa ijUrq mudk xk<+kiu ; pV[kiu ;k eíkiu le> esa ugha vkrk lkjh nqfu;k Hkíh] lqLr vkSj cnjax çrhr gksrh gSA

efLr"d dk vkfLifiVy [k.M] ftlesa jax lEcU/h dk;Zfof/&fufgr jgrh gS] ;fn fdlh dkj.k ls] T;knk gh mÙksftr gks tkos rks vthcks&xjhc] jax&lalkj jp tkrk gS ejht dh vk¡[kksa ds lkeusA ,slk ekbZxzsu vkSj ,fiysIlh ds ejhtksa esa dHkh&dHkh ns[kus&lquus dks feyrk gSA laosnuk dk ;g nkSj dqN fefuV ek=k pyrk gSA ejht bls ;kn j[k dj ckn esa fp=k:i esa çLrqr dj ldrk gSA D;k ;g lkspuk jksekapd ugha gS fd fp=kdyk ds leLr :i] fcEc] jax vkfn gekjs efLr"d ds fdlh phUgs x;s va'k esa fo|eku gSA mUgsa ge fo|qrh; rjaxksa ds :i esa eki ldrs gSaA ml [k.M dks fo|qrh; :i ls míhIr dj ogh fp=k :i iqujko`Ùk fd;k tk ldrk gSA dykdkjksa dh fp=k 'kSyh o jax 'kSyh esa bu efLr"dh; [k.Mksa dh O;kf/;ksa ls ifjorZu vk ldrs gSaA teZu oSKkfud gWkiQ us tkx`r ejhtksa dh [kksiM+h ds fiNys fgLls dks lqbZ yxkdj lqUu fd;k] [kksiM+h esa ,d cM+k Nsn fd;k] efLr"d ij fctyh ds eghu rkjksa ls gYdh fo|qr çokfgr dh vkSj ejht dh vuqHkwfr;ksa dks Mk;fj;ksa esa fy[krk x;kA dqN mnkgj.k nsf[k;s & jaxksa dk foLiQksV gks jgk gS] vthc&vthc fMtkbZusa tUe ys jgh gSa vkSj xk;c gks jgh gSa] dsfyMksLdksi dh HkkafrA oLrq vkSj jax vyx gksrs tk jgs gSaA yky xsan ls yky jax vyx gks x;k gS ;k rks nwj tk jgk gS ;k ikl vk jgk gSA inkFkksaZ dh lrg e[keyh ;k Liatuqek fn[k iM+ jgh gSA

jax fcjaxh oLrqvksa ds vyx&vyx jax fHkUu fn'kkvksa o vk;keksa esa fNVd x;s gSaA ;fn ejht fp=kdkj] ifj/ku fM-tkbZuj ;k vUrfjd lTtkdkj gks rks bl çdkj dh dfe;k¡ vf/d fofo/rk tfVyrk vkSj çxk<+rk ls çdV gksrh gSaA fczfV'k U;wjksykSftLV baxzsFk us 1932 esa ,d 62 o"khZ; fp=kdkj dk o.kZu çdkf'kr fd;k Fkk& vius fp=ksa esa og xgjkbZ ;k rhljk vk;ke Bhd ls fpf=kr ugha dj ikrk FkkA bl deh ls mcjus ds fy;s og utnhdh oLrq,a fp=k ds ck¡;s fupys dksus esa o nwjLFk oLrq,a nk;sa&Åijh dksus esa fpf=kr djus yxkA og uhys o dkys jax dk ç;ksx fcuk lw>&cw> ds djrk FkkA og çk;% uhys jax dks Vkyrk Fkk] pkgs mldh fdruh gh vko';drk D;ksa u gksA dHkh&dHkh ,d gh ys.MLdSi dks nks vyx&vyx jaxksa esa nksgjk nsrk FkkA baxzsFk ds vuqlkj] fp=kdyk esa uhyk jax dk mi;ksx xgjkbZ n'kkZus esa gksrk gS D;ksafd uhyk jax gh ty] leqaæ] vkdk'k ;k 'kwU; dk jax gSA ;gh dkj.k gS fd lkr o"kZ ls de mez ds cPpsa dh dyk esa uhyk jax de fn[k iM+rk gSA mUgsa xgjkbZ dk cks/ gksrk gh ughaA yUnu vkSj iQyksjal esa cPpsa ds vLirky esa fodykax cPpsa dh cukbZ isafVaXl ds v/;;u ls ,slk gh fu"d"kZ fudkyk x;k FkkA

ebZ-2013 19

Medgate Today May 2013.indd 19

5/17/2013 10:44:08 AM


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ds ckr ;j

nqfu;k ds uD'ks esa MkW- ,e-,l- cklw us cjsyh dk fd;k uke jks'ku

I

ndo America Friends Group ds Chairman Mk0 vts; izdk'k feJk ds usr`Ro esa Joint Development Commissioner, Ministry of MSME o Govt. of India ds lkFk ns'k dh tkuh ekuh gfLr;ak ftudk vius {ks=k esa egRoiwZ.k LFkku gSa 7 yksxks dks izfrfuf/Ro djus ds fy;s Unoin Govt. of India vkSj US India Foundation (USINF) USA us 6 fnu ds vfr O;Lre dk;Zdze ds fy;s Hkstk x;k

,d o"kZ ls lkS o"kZ rd dh vk;q ds lHkh O;fDr;ksa dh utj gj gky esa okfil vkus yxrh gSa Mk0 cklw dh ;g ckr lqudj oagk lcdks cgqr gh vk'p;Z gqvk vkSj mPp Lrj ij ckr djds nqckjk fueU=.k Hkstus dks dgk [kklrkSj ij ehfM;k us cgqr gh lg;ksx fn;kA

20 ebZ-2013

Medgate Today May 2013.indd 20

17-05-2013 AM 12:00:55


FkkA bles Hkkjr ljdkj] Luisville, MSME Sector, CSIS, o vU; us lg;ksx fd;k Fkk ftles Hkkjr ljdkj us 25 yk[k :Ik;s ctV esa lgefr iznku dh Fkh bl izfrfuf/ e.My dks USA Hkstus dk mís'; Hkkjr vkSj vesfjdk ds fj'rks dks vksj etcwrh iznku djuk vkSj fofHkUu {ks=ks dh Industries, Manufacturing Companies dks c<+kok nsuk Fkk ftu yksxks us vius vius {ks=k esa egRoiw.kZ ;ksxnku fn;k gSa muls tkudkjh gkfly djuk vkSj mudks vkxs c<us esa enn iznku djuk eq[; mís'; Fkk A igys fnu Award Function okys fnu ekSle [kjkc gksus ds dkj.k Flight ysV gks xbZ Fkh fiQj Hkh 4 ?k.Vs CanonHouse Capital Hill Parliament Annexe esa Hon'ble Congressmen Ed-Royce, Chairman, Foreign Affairs Committee US Congress, ,ao mudh Vhe us bUrtkj djds fny dks Nw fy;k vkSj lkjs Deligate dk Lokxr djrs gq;s ,okMlZ nsdj lEekfur Hkh fd;k x;kA vxys fnu Prince George County, Economic Development Corporation Marryland State esa x;s tagk ij vius vius {ks=k esa tks egRoiw.kZ dk;Z fd;s x;s Fks mlds ckjs esa tkudkjh nh xbZ cjsyh ls x;s bZ0 izks0 Mk0 egsUnz falg cklw us Hkh viuh vk[kksa ds ckjs esa dh xbZ viuh fjlpZ dh tkudkjh nsrs gq, crk;k fd nqfu;k esa eksfr;kfcUn ds vkijs'ku gh gksrk gSa] ijUrq vkijs'ku ds ckn Hkh 2 ls 4 o"kksZ ckn utj de gksus yxrh gSa dh tkudkjh nsrs gq, crk;k fd dsoy eksfr;kfcUn dks gh Bhd ugha dj jgs gSa cfYd jsVhuk ls lEcfU/r mu lHkh fcekfj;ks Mk;fcfVd jsVhuksiSFkh] eSD;qyj Mhtsus'ku] jsVhukbfVl fixesUVkslk] dyj CykbaMusl] yslj ] ysfld ystj ds ckn tks utj fxj tkrh gSa mu vka[kks esa Hkh nok Mkyus ds 5 feUV ckn gh utj okfil vkus yx tkrh gSa tksfd 3&4 eghus bykt djokus ds ckn dkiQh Bhd gks tkrh gSa vkSj fLFkj Hkh jgrh gSa vHkh rd Mk0 cklw +8-5 DSPH. dk p'ek Hkh mrkj pqds gSa ,d o"kZ ls lkS o"kZ rd dh vk;q ds lHkh O;fDr;ksa dh utj gj gky esa okfil vkus yxrh gSa Mk0 cklw dh ;g ckr lqudj oagk lcdks cgqr gh vk'p;Z gqvk vkSj mPp Lrj ij ckr djds nqckjk fueU=k.k

ds ckr ;j

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Dr. Basu with Mayor of ENTUCKY

Mr. GregFish

Hkstus dks dgk [kklrkSj ij ehfM;k us cgqr gh lg;ksx fn;kA rhljs fnu State Department vkSj CSIS us Washington DC ds Mr. Ted Osius, Persis Khambataand vkSj mudh Vhe us Round Table Meeting j[kh Fkh ftlesa USA INDIA POLICY ds ckjs es fopkj foe'kZ fd;k x;k A mlds ckn Deligation Louisville x;k tagk ij 270 Air Craft Indipandent Logistic Company esa Visit djk;k x;kA Kuntuky esa pkSFks fnu FRANKFORT ds Governor Mr. Steven Beshearhere vkSj muds lg;ksfx;ks ls eqykdkr dh xbZ ftUgkasus lHkh Deligates dk xeZ tks'kh ls Lokxr fd;kA Ikkposa fnu Old Age Nursing Centre vkSj Kentucky ds Mayor Mr. Gregfisher vkSj mudh Vhe ds lkFk ehfVax dh xbZ rFkk R.D.Technology ysus dh ckr dh xbZ ftles gekjs ns'k dh Major Industries, Commercial vkSj Military Power esa lg;ksx nsus dk ok;nk Hkh fd;k x;k fo'o izfl¼ Essence cukus dh Factory ns[kh xbZ

ftles Soft vkSj Hard izR;sd izdkj dh Essence cukbZ tkrh gSa NBs fnu izoklh Hkkjrh;ks us lHkh Deligates dk xeZ tks'kh ls Lokxr fd;k mlds ckn lHkh Deligates okfil India vkx;s blesa fo'ks"k :Ik ls Mr. K.V.Kumar USINF ds v/;{k Washington DC USA, Ms. Brenda Morant (Atlanta), Deepak tiwari (Kentucky), Subhash Kulkarni (Kentucky), Rajinder Singh, Hon'ble Consul General, Embassy of India, Atlanta ,ao yxHkx 100 ls vf/d tkuh ekuh gfLr;ks us mijksDr izksxzke dks liQy cukus esa iw.kZ lg;ksx iznku fd;kA ijUrq Mk0 cklw dks vf/d tkudkjh ysus ds fy;s Atlanta ls Orlando, Miami, Las Angeles, Las Vegas, New York, Washington ls gksrs gq, 25 fnu ds lkFk Hkkjr okfil vk;sA Hkkjr vkus ij xaxk cpkvks vfHk;ku ds eq[; la;kstd Mk0 vks0 ,u0 vxzoky] vk;qosZfnd vkS"kf/ fuekZrk la?k ds v/;{k Jh vkj- Mhxaxokj] lfpo lat; vxzoky o uhek ds v/;{k Mk0 ,l0 ,u0 vxzoky vkfn us xeZ tks'kh ds lkFk Lokxr fd;kA ebZ-2013 21

Medgate Today May 2013.indd 21

17-05-2013 AM 12:00:56


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ckr ds ;j

dSalj ls futkr dh mEehnsa vkSj laHkkouk,a

Dr. Sunil Kumar Gupta MBBS, MD

Sr. Consultant Medical Oncologist Rajiv Gandhi Cancer Institute & Research Centre - New Delhi

d

Salj dks le>us vkSj bldk bykt <wa<us ds fy, nqfu;k Hkj esa py jgs gtkjksa&yk[kksa รง;ksxksa dk lkFk ns ikuk vklku ugha gSA bl fo"k; ij dqN tkudkjh ikus ds ckn ;g vkeq[k&dFkk fy[kh] blfy, blesa vuqla/ku dh jktuhfrdh

ckjhfd;ka 'kkfey ugha gks ikbZ gSaA ml ij vkxs dHkhA oSls] ewy ckr ;g gS fd v[kckj] Vhoh vkSj if=kdk,a ftl mRlkg ls dSalj czsdFkzw dh [kcjsa nsrs gSa] os ejht ds mRlkg dk dkj.k dHkh ugha cu ikrhaA fdlh dksf'kdk ds Hkhrj tsusfVd

jlk;uksa ;kuh thuksa esa vpkud cnyko vkus ds dkj.k mlds vfu;af=kr gks tkus vkSj viuh rjg dh chekj] v/wjh dksf'kdkvksa dh la[;k c<+krs tkus dk uke gh dSalj gSA ;g vpkud cnyko E;wVs'ku dgykrk gSA thukse dh tkudkjh ds ckn

22 ebZ-2013

Medgate Today May 2013.indd 22

17-05-2013 AM 12:00:57


vc oSKkfud V`;wej ds ctk, mlds cuus dh çfØ;k ij T;knk /;ku ns jgs gSa] rkfd V`;wej dh tM+ dks gh [kRe fd;k tk ldsA blh ds lkFk&lkFk dke djrh gS 'kjhj esa IkQSy pqdh dSalj dksf'kdkvksa dks ekjus ds fy, VkxsZVsM dheksFksjsihA bu nksuksa igyqvksa dks lkFk ysdj oSKkfud gj E;wVs'ku vkSj mlds jklk;fud okrkoj.k dks le> dj mlh ds vuq:i nok,a [kkstus esa tqVs gSaA bl rjg ilZuykbTM vkSj VkxsZVsM bykt ls ,dne lVhd bykt r; fd;k tk ldrk gS] fcuk LoLFk dksf'kdkvksa dks uqdlku igqapk,A bl rjg dk bykt NksVk vkSj lLrk gksxk] ejht dks bykt dh rdyhiQ Hkh ugha >syuh gksxhA blfy, fliQZ V~;wej ij iQksdl djus dh ctk, vc oSKkfud ejht dh jklk;fud cukoV dks Hkh tkap ds nk;js esa yk jgs gSaA nwljh rjiQ gekjs ckgjh jklk;fud okrkoj.k dk xgjk vlj 'kjhj ds jklk;fud larqyu ij iM+rk gSA jlk;uksa dk ;g geyk gekjs thou ij c<+rk tk jgk gSA nwljs fo'o ;q¼ ds le; vk;q/ksa ds fy, ;k yksxksa ds lkewfgd lagkj ds fy, cus vWkxSZuksDyksjhu tSls jlk;uksa dks m|ksxksa us gekjs jkst ds bLrseky dh phtksa esa rCnhy dj fn;kA /qykbZ] liQkbZ vkSj lkSan;Zo/Zu ls ysdj dhVk.kq&thok.kq] ePNj&eD[kh vkSj iQlyksa dh [kjirokj ds uk'k rd ds fy, cus mRiknksa esa ;s tgjhys jlk;u Hkjiwj gSa] ftUgsa ge csrdYyqiQh ls bLrseky djrs gSaA budk bLrseky c<+us ds lkFk gh dSalj gksus dh laHkkouk Hkh c<+rh gSA blh ds lkFk gekjh thou'kSyh dh dfe;ka Hkh uRFkh gSa] tks dSalj dks c<+kok nsrh gSaA bl vFkZ esa dSalj dksbZ ,slh chekjh ugha tks dhVk.kqvksa ls gksrh gS] cfYd dbZ dkjdksa dk nq"ifj. kke gS tks 'kjhj ds esVkcWkfyd larqyu dks fcxkM+ nsrs gSa vkSj ;g fcxM+ko dSalj ds :i esa lkeus vkrk gSA ;g njvly dSalj dh jksdFkke dk ,d egRoiw.kZ fcanq gSA

bu ckgjh vkSj Hkhrjh geyksa ds f[kykiQ 'kjhj dk çfrj{kk ra=k yxkrkj dke djrk jgrk gSA thou Hkj gj ,d ds 'kjhj esa yxkrkj ^dSalj* dksf'kdk,a curh jgrh gSa vkSj mUgsa 'kjhj u"V Hkh djrk jgrk gSA ysfdu ,d lhek ds ckn tc mUgsa jksd ikuk çfrj{kk ra=k ds cl esa ugha gksrk] rc dSalj chekjh ds :i esa iQSyus yxrk gS] ftls jksdus ds fy, bykt dh t:jr gksrh gSA bykt dh bu rduhdksa us dbZ rjg ds dSaljksa esa ejhtksa dk thou cpk;k gS] ;k igys ls vklku cuk;k gSA vejhdk esa

1990 ls 2007 ds chp dSalj ls e`R;q nj esa iq#"kksa esa 22 vkSj efgykvksa esa 14 Qhlnh dh deh vkbZ gSA 1975 esa vk/h la[;k esa gh ejht 5 lky rd th ikrs Fks] vc djhc 70 Qhlnh ejhtksa dk thou ikap lky rd f[kap tkrk gSA ;g çxfr egRoiw. kZ gS] ij dkiQh ughaA bruk vkxs c<+ ikus ds ckn Hkh ge vHkh dSalj ls eqfDr ds mik; ds vkl&ikl Hkh ugha gSaA fo'o LokLF; laxBu ds eqrkfcd nqfu;k esa gj lky lok djksM+ u, dSalj ejhtksa dh igpku gksrh gS vkSj bl lky 75 yk[k yksx bl chekjh ls ej tk,axsA 20 lky esa dSalj ls ejus okyksa dh la[;k lkykuk yxHkx nksxquh& 1-2 djksM+ rd gks tk,xhA dSalj njvly cM+h mez dh chekjh

ds ckr ;j

MHT

Mk0 gsYFkdh

gSA iqjkus gksrs 'kjhj dh dksf'kdk,a Hkh djksM+ksa ckj ds foHkktu ds ckn LokHkkfod gh] Fkd tkrh gSa] vlkekU; gksus yxrh gSa muesa cnyko] E;wVs'ku vkus yxrs gSaA blfy, yksxksa dh mez yach gksus ds vkSj cM+h mez ds yksxksa dh vkcknh c<+us ds lkFk&lkFk dSalj ds ejhtksa dh la[;k c<+ jgh gSA Hkkjr esa 25 yk[k dSalj ds ejht gSa vkSj gj lky 8 yk[k ls T;knk u, ekeys ntZ gksrs gSa vkSj lk<+s ikap yk[k ej Hkh tkrs gSaA buds vykok gtkjksa gSa tks dSalj vLirky rd igqap gh ugha ikrsA gekjs ;gka 70 iQhlnh ekeyksa esa ,Mokal LVst esa gh ejht bykt ds fy, igqap ikrk gSA rc rd chekjh dkcw ds ckgj gks tkrh gSA vkfFkZd fLFkfr Hkh dbZ ckj iwjs bykt ls ejht dks oafpr j[krh gS vkSj bl rjg cgqewY; ekuo lalk/u dk uqdlku gksrk gSA tks vkfFkZd {kerk j[krk gS] og ekStwnk egaxs] yacs bykt ls ca/k jgrk gSA bykt fdruk dkjxj gksxk] og cp ik,xk ;k ugha blh vfuf'prrk esa yxkrkj HkkoukRed Ågk&iksg dh fLFkfr esa jgrk gSA dSalj O;fDr ds lkFk&lkFk ifjokj ds fy, Hkh vkfFkZd vkSj HkkoukRed lnes dk dkj.k gSA vxj igyh ;k nwljh voLFkk esa gh dSalj dks igpku dj iwjk bykt djok;k tk, rks 80 iQhlnh rd ejhtksa dk thou cp ldrk gS tcfd LVst rhu ;k pkj ds ejhtksa ds cpus dh laHkkouk 20 iQhlnh rd gh gksrh gSA tks bykt dh rduhdsa vkSj nok,a ejht dks miyC/ gSa] os Hkh fiQygky dSalj ls eqfDr dk rjhdk ugha gSaA dSalj ls eqfDr dk jkLrk yack gS vkSj bldk Hkfo"; bUgha ekStwnk vktekb'kksa dh liQyrk ij fuHkZj djsxkA

ebZ-2013 23

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MHT

doj gsYFk

LVks ds;jjh

vLFkek%

loky viuh lkalksa dk gS e

bZ ekg esa fo'o vLFkek fnol vkrk gSA ;wa rks dbZ fnol vkrs gSa vkSj ge muds ckjs esa ppkZ djds Hkwy Hkh tkrs gSa] ij vLFkek fnol ;kn j[kuk t:jh gS] D;ksafd loky lkalksa dk gSA vxj bl fnu dh xaHkhjrk dks u le>k rks lkalsa dHkh Hkh Fke ldrh gSaA u pkgrs gq, Hkh nqfu;kHkj esa djksM+ksa yksx ,sls gSa] tks vius fgLls dh lkal Hkh iwjh rjg ugha ys ikrsA

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vk

f[kj bldh D;k otg gS] dSls vLFkek ds jksfx;ksa dks de fd;k tk ldrk gS\ 'kgjksa esa /q,a vkSj /wy ds dkj.k vLFkek ds ejhtksa dh la[;k cM+ jgh gSA ;gh ugha] isVªksy iai ij dke djus okyk gj nloka deZpkjh vLFkek dh pisV esa gSA bldh lcls çeq[k otg gS çnw"k.k ds chp dk;Z djukA bl jksx dks jksdk tk ldrk gS] t:jr gS lko/kuh dhA ƒƒ /weziku u djsa] LoPN okrkoj.k esa jgsaA ƒƒ gfj;kyh ds chp Vgysa] O;k;ke] Lohfeax djsaA ƒƒ chekjh gksus ij BaMs o [kês Hkkstu ls ijgst djsaA ƒƒ /wy] /qvka] çnw"k.k ls cPpksa dks cpk,aA ƒƒ fu;fer :i ls tkap djk,aA ƒƒ vk'kadk gksus ij lacaf/r fpfdRld ls gh tkap djk,aA ƒƒ /qvka] /wy ls cpus ds fy, ekWLd dk ç;ksx djsaA dqN rF;

ƒƒ Hkkjr esa vLFkek ds jksfx;ksa dh la[;k yxHkx 15 ls 20 dM+ksj ƒƒ yxHkx 12 çfr'kr Hkkjrh; f'k'kq vLFkek ls ihfM+r ƒƒ fo'oHkj esa vLFkek ds dkj.k oDr ls igys gh yxHkx 1 yk[k 80 gtkj ekSrsa gks tkrh gSaA çnw"k.k gh gS eq[; dkj.k vLFkek ds dkj.kksa dh ppkZ dh tk, rks c<+rh /wy o /qvka vkSj ?kVrh gfj;kyh çeq[k dkj.k gSaA blds vykok /weziku dh c<+rh ço`fÙk] /wy ds mBrs xqckj] vkS|ksfxd bdkb;ksa o okguksa ls gksus okyk ok;q çnw"k.k Hkh vLFkek ds jksfx;ksa dh la[;k c<+k jgk gSA bu dkj.kksa ls gok esa ?kqyrh dkcZu MkbZ vWkDlkbM o lYIkQj MkbZ vWkDlkbM 'olu laca/h ijs'kkfu;ksa dks c<+kok nsrh gSaA [kku&iku dh ckr djsa rks tadIkQwM] VhuIkQwM] [kk| inkFkksaZ esa jaxksa dk gksuk o rch;r fcxM+us ij mipkj ugha djkuk jksx c<+kus dh otgksa esa 'kkfey gSaA l{ke gS fpfdRlk foKku vkt bl chekjh dks gksus ls igys gh

LVks ds;jjh

MHT

doj gsYFk

jksdk tk ldrk gS vkSj ;fn 'okl laca/h jksx gks Hkh tk, rks mls nwj fd;k tk ldrk gSA orZeku esa fpfdRlk foKku bl jksx ls yM+us esa iw.kZr% l{ke gSA vc ,slh nokb;ka vkSj mipkj i¼fr Hkh vk pqdh gSa ftlds nq"çHkko 'kjhj ij fcydqy ugha iM+rsA blds fy, vko';d gS yksxksa dk tkx:d gksdj mipkj djkukA ckr vxj chekjh dh jksdFkke dh djsa rks ljdkj dks pkfg, fd gfj;kyh c<+kbZ tk, vkSj lHkh txg ,d lkFk lM+dksa dh [kqnkbZ djus ds ctk, Øeokj dk;Z fd;k tk, rkfd /wy dh leL;k jksx dk dkj.k u cu ik,A cpiu ls gksrh gS 'kq#vkr vLFkek dh 'kq#vkr cpiu ls gh gks tkrh gSA veweu 4 ls 11 lky dh mez ls gh ;g leL;k 'kq: gks tkrh gSA bldh otg ,ythZ] çnw"k.k vkSj oa'kkuqxr gks ldrh gSA cPpksa dks blls cpkus ds fy, ?kj ds Hkhrj fdlh rjg dk çnw"k.k u gksus nsa] muds dejksa dks lkiQ j[ksa] cPpksa dks 'kq¼ gok esa ys tk,a] gkfudkjd f[kykSus] cWkDluqek iyax] tadIkQwM vkfn ls cPpksa dks nwj j[ksaA ebZ-2013 25

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MHT

doj gsYFk

LVks ds;jjh

fo'o

vLFkek fnol% 4 ebZ

c<+ jgk gS vLFkek vVSd

c

nyrh thou 'kSyh gekjs ;qokvksa ds fy, [krjk cu xbZ gSA 'kgjksa esa [kRe gksrs [ksy eSnku ls c<+k baMksj xsEl dk pyu ;qokvksa dks vLFkek dk ejht cuk jgk gSA gkykr brus [krjukd gSa fd vLFkek ds dqy ejhtksa esa vc ;qokvksa vkSj cPpksa dh la[;k cM+ksa ls nksxquh gks xbZ gSA fo'ks"kKksa dh ekusa rks [ksy eSnku dh deh ds pyrs ;qok baMksj xsEl dks çkFkfedrk ns

jgs gSaA baMksj xsEl ds nkSjku ?kj ds insZ] xyhps o dkjisV esa yxh /wy muds fy, csgn [krjukd lkfcr gks jgh gSA blls muesa ,ythZ vkSj vLFkek dh leL;k gks jgh gSA fo'ks"kKksa dk dguk gS fd tc rd ge ;qokvksa ds fy, larqfyr thou 'kSyh dk pquko ugha djsaxs] ;g leL;k c<+rh gh tk,xhA bruk gh ugha ?kj dh pgkjnhokjh esa can jgus okys ;qok tc dWkyst tkus ds fy, ?kj ls ckgj fudyrs gSa rks okrkoj.k ds /wy o /q,¡ ds d.k ls Hkh mUgsa ,ythZ gksus dh laHkkouk c<+ tkrh gSA ekSle cnyrs gh c<+rh gS leL;k ,ythZ vkSj vLFkek ds y{k.k cPpksa esa ml le; çdV gksrs gSa] tc ekSle esa dksbZ cnyko gksrk gSA fo'ks"kK dgrs gSa fd e/;e vk;q oxZ ds dqy yksxksa esa 5 ls 10 iQhlnh yksxksa dks ,ythZ vkSj vLFkek gS rks fd'kksjksa vkSj ;qokvksa esa bldk vuqikr 8 ls 15 çfr'kr rd gSA ok;jy baIkQsD'ku ls gksrh gS 'kq#vkr ok;jy baIkQsD'ku ls gh vLFkek dh 'kq#vkr gksrh gSA ;qok ;fn ckj&ckj lnhZ] cq[kkj ls ijs'kku gksa rks ;g ,ythZ dk ladsr gSA lgh le; ij bykt djokdj vkSj larqfyr thou 'kSyh ls cPpksa dks ,ythZ ls cpk;k tk ldrk gSA le; ij bykt ugha feyk] rks /hjs&/hjs os vLFkek ds ejht cu tkrs gSaA fo'o vLFkek fnol vkt nok ds ne ij nes dks gjkuk eqf'dy gS nek ;k vLFkek ds ejht dks lk¡l ysus esa ijs'kkuh gksrh gS] ne iQwy tkrk gS] [kk¡lh vkrh gS] og Hkh cyxe okyhA ;g chekjh fdlh Hkh mez esa gks ldrh gSA nes ds ejht dks jkr esa T;knkrj ijs'kkuh gksrh gSA nek c<+ tkus ij [kk¡lrs&[kk¡lrs vkSj VwVh&iQwVh lk¡l ysrs gq, ejht jkr

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xqtkj ikrk gSA c<+s gq, nek esa ejht dks [kk¡lh dk nkSjk Hkh iM+ ldrk gS] tks dqN ?kaVksa rd Hkh tkjh jg ldrk gSA ;gk¡ rd fd nkSjs ds nkSjku ejht dh ekSr Hkh gks ldrh gSA ;g jksx fdlh Hkh mez esa gks ldrk gS] iq#"kksa esa blds gksus dh laHkkouk T;knk jgrh gS] cPpksa dks ;g viuh fxjiQr esa tYnh ys ysrk gSA gekjs 'kjhj esa lk¡l uyh dk O;kl 2 ls 3 lsaVhehVj gksrk gS] ;g nks czksadkbZ esa foHkkftr gksrk gS] tks nksuksa isQiQM+ksa esa tkdj fiQj ls foHkkftr gks tkrk gSA blesa lcls NksVh uyh dk O;kl dqN feyhehVj rd gh gksrk gS] blesa ekalisf'k;k¡ gksrh gSa] tks fldqM+rh o IkQSyrh jgrh gSaA ;fn ;s

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ekalisf'k;k¡ fldqM+ tk,¡ rks ejht dks lk¡l ysus esa vR;ar ijs'kkuh gksrh gSA nek lk¡l dk jksx gS] blesa lk¡l dh ufy;ksa esa fo'ks"k laosnh rRoksa ds laidZ esa vkrs gh fldqM+u vk tkrh gSA ;g fldqM+u dqN ?kaVksa ;k feuVksa rd jg ldrh gSA 'okl ufy;ksa dh nhokjksa esa ,saBu] lwtu rFkk lzkod dh ek=k c<+ tkuk lkekU; ckr gSA dqN yksxksa esa lnhZ&tqdke o xys esa lwtu iSnk djus okys cSDVhfj;k o ok;jl Hkh bl jksx dks c<+kus esa enn djrs gSaA

LVks ds;jjh

MHT

doj gsYFk

dqN yksxksa dks lsaV] ijiQ;we] b=k] [kq'kcwnkj rsy] ikoMj vkfn ls Hkh ,ythZ jgrh gS] budh lqxa/ ukd esa tkrs gh dqN yksxksa dks [kk¡lh ;k lk¡l esa ijs'kkuh 'kq: gks tkrh gSA gok esa rSjrs tgjhys inkFkZ] ijkx d.k] [kjirokj] lqxa/] iQiQwan] :bZ ;k vU; ds js'ks] ikyrw i'kqvksa ds js'ks ;k ia[k vkfn ,ythZ iSnk djrs gSaA nes ds yxHkx 30 çfr'kr ekeys esa ;s enn djrs gSaA fcLdqV] dsd] csdjh ds mRikn] tSe] vpkj] lWkl o vU; fMCckcan inkFkZ Hkh nes dks mdlkrs gSaA lnhZ dk ekSle nek jksfx;ksa ds fy, [kkl rdyhiQnk;d gksrk gSA

ebZ-2013 27

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MHT

doj gsYFk

LVks ds;jjh

bldk dkj.k ;g gS fd lnhZ esa ukbVªkstu MkbvWkDlkbM xSl] lYiQj MkbvWkDlkbM rFkk vkstksu xSl dh ek=k çnw"k.k ls c<+ tkrh gSA IkQSDVfj;ksa ls fudyus okyk /qvka dbZ gkfudkjd inkFkksaZ ls ;qDr gksrk gS] ;g nek ds u, jksxh cukrk gSA lk¡l ysus esa ijs'kkuh gksuk] ne ?kqVuk] lk¡l ysrs le; vkokt gksuk] lk¡l iQwyuk] Nkrh esa dqN tek gqvk lk ;k Hkjk gqvk lk eglwl gksuk] cgqr [kk¡lus ij fpduk&fpduk diQ vkuk] ifjJe dk dke djrs le; lk¡l iQwyuk vkfn y{k.k nes ds gksrs gSaA vLFkek ds dkj.k esfMdy lkbal esa nek dk dkj.k oa'kkuqxr Hkh ekuk x;k gSA vFkkZr nes ds ejht ds ifjokj esa igys fdlh dks ;g chekjh jgh gks rks ;g Hkh ,d dkj.k gksrk gS orZeku ejht ds fy,A vkuqoaf'kdrk ds vykok vU; dkj.kksa esa ,yftZd dkj.k gksrs gSaA ejht dks dqN oLrqvksa ls ,ythZ gks ldrh gS] blls Hkh nek gksrk gSA blds vykok /q,¡ o /wy ds laidZ esa T;knk jguk] :bZ] js'ks vkfn ds chp dke djuk] ne?kksaVw ekgkSy esa jgus ;k dke djus dks etcwj gksuk] BaMs ekgkSy esa T;knk jguk] BaMs is; rFkk BaMh oLrqvksa dk lsou djrs jguk] /weziku] çnw"k.k vkfn ,sls dkjd gSa] tks nek jksx gksus esa lgk;d gksrs gSaA nes ds mipkj dk rjhdkHkkjr esa ,d dgkor çpfyr gS fd nek ne ds lkFk gh tkrk gSA vFkkZr nek jksx dks [kRe djuk laHko ugha gS] gk¡ jksx dh rhozrk de dh tk ldrh gS] jksxh dks mipkj }kjk lk¡l ysuk vklku cuk;k tk ldrk gSA nes dk bykt MWkDVj ls djk,¡A bykt ds lkFk gh blds c<+us ds dkj.kksa ls cpsa] rks gh iQk;nk gks ldrk gSA fu;e ikyu vR;ar t:jh gSA nes dk ijh{k.k] IkQsiQM+ksa dh tk¡p rFkk ,ythZ ds dkjdksa dk irk yxkdj fd;k tkrk gSA jksxh dks ,ythZ ls eqDr djus dk mipkj fd;k tkrk gSA blls Hkh nek esa vkjke feyrk gSA nek jksxh dks ,slh nok,¡ nh tkrh gSa] tks 'olu fØ;k dks vklku cukrh gSaA bugsylZ dk ç;ksx vktdy nek jksx esa fd;k tkrk gS] ;s 'olu ra=k dh lwtu dks de djrs gSa] blls jksxh dks rqjar vkjke feyrk gS vkSj dksbZ lkbM bIkQsDV Hkh ugha gksrkA nek jksx dks dkcw esa djus ds fy, nek ds dkj.kksa ds foijhr vkpj.k djsa ;kuh /weziku u djsa] dksbZ dj jgk gks rks mlls nwj jgsa] BaM ls rFkk BaMs is; ysus ls cpsa] Fkdku dk dke u djsa] lk¡l iQwyus yxs ,slk Je u djsaA nek jksxh dks ;g le> ysuk pkfg, fd nok ds ne ij nes dks ugha gjk;k tk ldrk] blfy, fu;fer O;k;ke] ikSf"Vd vkgkj] [kqyh gok esa yach&yach lk¡l ysuk ykHknk;d jgrk gSA vLFkek ds y{k.k ?kj?kjkgV (gok ds :i esa ,d lhVh ctkus tSlh /ouh dks tcju ckgj djuk) lk¡l ysus esa dfBukbZ lhus esa tdMu yxkrkj [kkalh dqN yksxksa esa iqjkuh [kkalh gh nek dk eq[; dkj.k gSA dqN yksxksa esa O;k;ke ds ckn y{k.k c<+ tkrs gS dbZ ckj nek ds nkSjs ds le; gyds ;k xEHkhj y{k.kksa dk irk ugha yxrkA nek ds lkFk xEHkhj y{k.k vkrs gSa tc ,d mijh 'olu laØeu gks tkus ls tSls iQyw ;k lnhZA blds vykok lk¡l fd deh vkSj Nkrh fd tdMu Hkh nek dk xEHkhj nkSjk gks ldrk gS% rst ukM+h ilhuk iQwys uFkqus vkSj ncs gksaB 28 ebZ-2013

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lk¡l ysus esa dfBukbZ iQsiQM+ksa ij vLFkek dk vlj vLFkek ;wukuh 'kCn gS] ftldk vFkZ gS& tYnh&tYnh lkal ysukA tc vLFkek dk nkSjk iM+rk gS] rks lkekU; lkal ds fy, Hkh xgjh&xgjh ;k yach&yach lkal ysuh iM+rh gSA iwjh nqfu;k esa rhl djksM+ ls T;knk yksx vLFkek ls ihfM+r gSaA lfnZ;ksa ds nLrd nsrs gh bl chekjh ls ijs'kku gksus okyksa dh rdyhiQ c<+ tkrh gSA vLFkek ;kuh nek ds jksfx;ksa dks dbZ ckj lfnZ;ksa ds ekSle esa le> ugha vkrk fd viuh bl chekjh ij dkcw ikus ds fy, D;k djsaA vLFkek dk vlj iQsiQM+ksa ij& 1- vLFkek ,d ,slh chekjh gS] ftlesa 'okluyh ;k blls tqM+s fgLlksa esa lwtu vk tkrh gSA blds pyrs IkQsiQM+ksa esa gok tkus esa #dkoV iSnk gks tkrh gSA tc ,ytZUl ;k bfjVsaV~l 'okluyh ds laidZ esa vkrs gSa rks lkal ysus esa ijs'kkuh gksus yxrh gSA 2- vLFkek IkQsiQM+ksa dh ,d lk/kj.k chekjh gS] ftlesa lkal dh uyh lkekU; ls vf/d laosnu'khy gksrh gS vkSj buesa lwtu vk tkrh gSA bl otg ls lkal dh ufy;ksa esa fldqM+u vkSj #dkoV vk tkrh gSA 3- dqN fo'ks"k ifjfLFkfr;ksa esa vLFkek dk vVSd iM+ ldrk gS] tSls /qvka] /wy] ikS/kssa ds ijkxd.k] ekSle esa cnyko] i'kq&if{k;ksa ds cky ,oa ia[k] dhVuk'kd nokvksa dk fNM+dko] rhoz xa/] BaMh gok] ekufld fpark] Åu o #bZ ds js'ks vkfnA 4- vLFkek ,d vkneh ls nwljs vkneh dks yxus okyh laØked chekjh ugha gS] cfYd thUl ds tfj, ekrk&firk ls cPps esa vk tkrh gSA /wy ;k BaM ds dkj.k cyxe ;k fcuk cyxe dh [kkalh vkuk] vkjke ds le; ;k 'kkjhfjd Fkdku ds le; lkal iQwyuk] Nkrh esa dlko eglwl djuk] jkr dks

[kkalh vkuk ,oa lkal iQwyuk] lkal dh ?kj?kjkgV ;k lkal ysrs le; ckalqjh tSlh vkokt vkuk] ukd cguk o yxkrkj Nhads vkuk vkfn gSA 5- vLFkek esa 'okl ufydkvksa esa lwtu vkus ls os fldqM+ tkrh gSa] ftlls lkal ysus esa rdyhiQ gksrh gSA vLFkek dk vVSd vkus ij 'okl ufydk,a iwjh rjg can gks ldrh gSa] ftlls 'kjhj ds egRoiw.kZ vaxksa dks vWkDlhtu dh vkiwfrZ can gks ldrh gSA lkFk gh ;s vke leL;k,a Hkh gksrh gS& tYnh&tYnh lkal ysukA lkal ysus esa rdyhiQ vkSj [kkalh ds dkj.k uhan esa #dkoVA lhus esa nnZ ;k dlkoA bykt& vLFkek dh f'kdk;r gksus ij fu;fer bykt djkus ij blls cpk tk ldrk gSA MWkDVj dh lykg o bykt ls jksxh iwjh rjg lkekU; o pqLr jg ldrk gSA orZeku esa vLFkek dk bykt cgqr vklku ,oa vljnkj gSA foKku ds bl ;qx esa vLFkek ds bykt esa Hkh dkiQh [kkst gqbZ gS] ftudh eq[; nsu lkal ds tfj, ysus okyh nokvksa dh [kkst gSA

LVks ds;jjh

MHT

doj gsYFk

buesa xksyh] dSIlwy ;k ihus okyh nokbZ dh rqyuk esa dsoy ikap ls 10 çfr'kr ek=k dh vko';drk gksrh gSA ;s nok,a tYnh vlj fn[kkrh gS] blfy, lkal ysus ls yh tkus okyh nokvksa ds lkbM bIkQsDV ;k nq"çHkko 'kjhj ij ugha gksrs] ftl çdkj ?kko ;k pksV ij yxus okyh eyge viuk vlj dsoy ogha djrh gS] tgka mls yxk;k tkrk gSA Bhd mlh çdkj lkal ds tfj, ysus okyh nok viuk vlj dsoy IkQsiQM+ksa ij fn[kkrh gSA blls nokvksa dh ek=k ?kV tkrh gS vkSj bldk vlj tYnh ,oa vf/d gksrk gSA lkal ds tfj, ysus okyh nok,a LVªkax ugha gksrh vkSj u gh vafre bykt ds rkSj ij ns[kh tkuh pkfg, cfYd igyh Pokbl gksuh pkfg,A buds bLrseky ls jksxh ,d lkekU;] lq[kh rFkk liQy thou th ldrk gSA

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MHT

doj gsYFk

LVks ds;jjh

dSlk gks vLFkek ds ejhtksa dk vkgkj jlksbZ esa ryk'ksa vLFkek dk funku

,s

ls [kk| inkFkksaZ dh fyLV cgqr yach gS ftuls vLFkek ds ejhtksa dks nwj jgus dh lykg nh tkrh gSA ,slh dbZ phtsa gSa ftuls ,ythZ vkSj vLFkek vVSd iM+us dk [krjk gksrk gSA rks] vkb, tkurs gSa fd vkidh jlksbZ esa ,sls dkSu ls [kk| inkFkZ gSa tks vkidks vLFkek ls yM+us esa ennxkj gks ldrs gSaA vLFkek ls lkal ysus esa gksus okyh ijs'kkfu;ka vLFkek eq[; :i ls lkal dh uyh dh chekjh gSA vLFkek ls lkal ysus esa ijs'kkfu;ka vkrh gSA blesa ejht dh lkal dh uyh iryh gks tkrh gSA lkal dh uyh iryh gksus ls lkal ysus esa ijs'kkuh gksrh gS vkSj yxkrkj diQ dh leL;k cuh jgrh gSA ;g jksx ,ythZ ds dkj.k c<+ tkrk gSA vLFkek dk vVSd dqN le; ls ysdj ?kaVksa rd jg ldrk gSA vxj vVSd T;knk yack gks tk, rks tkuysok Hkh gks ldrk gSA

ekStwnk gkykr esa ;g leL;k fnu&c&fnu c<+rh tk jgh gSA cPpksa esa Hkh ;g leL;k vke gks xbZ gSA [kkuiku vkSj fnup;kZ esa gq, cnykoksa ds pyrs cPps Hkh lkal dh chekjh ls ijs'kku gksus yxs gSaA fpark dh ckr rks ;g gS fd vc 5 lky ds cPps Hkh vLFkek dh pisV esa vkus yxs gSaA lkal ysus esa gksus okyh ijs'kkfu;ka& vLFkek gksus ij diQ vkuk] ?kcjkgV] lhus esa tdM+u vkSj lkal ysus esa ijs'kkuh] ,;jost fldqM+ tkuk] vDlj [kkalh ;k lnhZ tqdke dh leL;k jgrh gSA [kSy&dwn ds nkSjku cPpksa dk tYnh ls tYnh Fkd tkuk vkSj lkal iQwyuk] lhus esa tdM+u] ukd can gksuk o lhus esa nnZ dh f'kdk;r gksuk] lkal ysus ij ?kj?kjkgV ds lkFk ,d lhVh tSlh vkokt vkuk tSlh lkal dh ijs'kkfu;ka vke gSaA vLFkek ds f'kdkj& vLFkek dk f'kdkj dksbZ Hkh O;fDr gks

ldrk gS] ysfdu cPps bl jksx ds f'kdkj T;knk tYnh gks tkrs gSaA ftl O;fDr ds ?kj esa vLFkek ds ejht igys ls jgs gksa] muesa Hkh bl jksx ds gksus dk [krjk T;knk gksrk gSA BaM vkSj xeZ nksuksa ekSle esa O;fDr vLFkek dk f'kdkj gks ldrk gS] ysfdu BaM esa ,;jdaMh'ku ;k vU; ek/;e ls O;fDr xeZ ls ,dk,d BaM ;k BaM ls ,dk,d xeZ esa tkus ls ,ythZ gksrh gSA ogha] BaM esa /wy T;knk Åij u jgdj uhps gh jgrh gS ftlls ,ythZ gksus ds lkFk&lkFk O;fDr vLFkek dk f'kdkj gks tkrk gSA D;k djsa& viuk bykt [kqn u djsaA MWkDVj dh crkbZ nok,a gh ysaA vLFkek vVSd gksus dh fLFkfr esa tYn ls tYn vLirky igqapus dh dksf'k'k djsaA vLFkek ds bykt dk lcls csgrj rjhdk bUgsyj gSA MWkDVj crkrs gSa fd bUgsyj ls ejht dh lkal dh uyh rd lh/h nokbZ igqaprh gSA ;g ejht dks tYnh Bhd djrh gSA bUgsyj 2 rjg ds gksrs gSaA ,d daVªksy] tks lkal uyh dks lkekU; cukrk gS vkSj nwljk lqj{kkRedA 3 eghus rd ;fn ejht dks vLFkek ds vVSd ugha vkrs rks nokbZ dh ek=k 25 Qhlnh de dj nsuh pkfg,A bl rjg /hjs&/hjs nokbZ dh ek=k de gks tkrh gSA D;k u djsa& dksbZ Hkh nwljh nokbZ fcuk MWkDVj dh lykg ds u ysaA dqN nokb;ka vLFkek dh ijs'kkuh dks c<+k nsrh gSaA fdlh Hkh rjg dk ,slk O;k;ke u djsa ftlls lkal dh uyh ij ncko iM+sA vLFkek dk fiQVusl ij vlj ;fn vkidks nek gS rks vkidks ok;qekxZ esa nnZ] lwtu] ok;qekxZ ds ladqpu vkSj

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,ythZ dh ijs'kkuh jgsxhA ,sls esa IkQsiQM+ksa esa gok ds çokg esa ck/k mRiUu gksrh gSA vLFkek ds nkSjs ds nkSjku Nkrh esa tdM+u] [kk¡lh] ?kj?kjkgV vkSj lkal ysus esa dfBukbZ dk vuqHko gksrk gSA vLFkek gksus ij vki vius fiQVusl dks cuk, j[kus ds fy, fu;fer 'kkjhfjd xfrfof/;ka vkSj O;k;ke dj ldrs gSA vLFkek ds y{k.k ok;q çnw"k.k] /weziku] laØe.k] /wy] /wy ds d.k ds dkj.k ns[ks tk ldrs gSA O;k;ke ds dkj.k vLFkek rc gksrk gS tc tksjnkj 'kkjhfjd xfrfof/ ds dkj.k 'kjhj esa ,saBu vkSj ok;qekxZ esa ladqpu gksrk gSA O;k;ke çsfjr vLFkek esa O;k;ke ds nkSjku ;k ckn esa ,sls y{k.k fn[kkbZ nsrs gSA bldk funku yach vof/ ds fu;a=.k nokvksa vkSj bugsyj ds }kjk fd;k tk ldrk gSA ,sls y{k.kksa dks jksdus ds fy, vkSj tYnh ls jkgr ds fy, MWkDVj dh lykg t:j ysA LokLF; vxj vkidk vLFkek fu;a=k.k esa gS] vkidks O;k;ke ls ugha cpuk pkfg,A O;k;ke vLFkek esa ykHk çnku djrk gS] IkQsiQM+ksa vkSj

lkal ysus ds okyh ekalisf'k;ksa dks etcwr cukrk gSA O;k;ke çfrj{kk ç.kkyh dks Hkh c<+krk gS vkSj lkFk gh LoLFk otu dks cuk, j[kus esa enn djrk gSA ,jksfcd fiQVusl] 'kjhj jpuk] yphykiu vkSj ekalisf'k;ksa dh rkdr dk vkdyu ,oa 'kkjhfjd xfrfof/;ksa ds fy, vki vius MWkDVj dh lykg ys ldrs gSA lko/kfu;ka vLFkek dh tfVyrkvksa ds tksf[ke dks de djus vkSj viuh fiQVusl ds fy, dqN lko/kuh;ka t:j j[kuh pkfg,A tSls ok;qekxZ esa diQ dks jksdus ds fy, ikuh ihukA vH;kl ds nkSjku vki vius MWkDVj dh psrkofu;ksa dk t:j /;ku j[ksA tyok;q vkSj LFkku vLFkek ds ejhtksa ds fy, tyok;q vkSj LFkku Hkh egRoiw.kZ gSaA O;k;ke ds lkFk&lkFk ,d LoLFk tyok;q Hkh t:jh gksrh gSA ftlesa xeZ ue gok dh fliQkfj'k dh xbZ gSA ,sls {ks=ksa ls tgka jlk;u ;k okgu dk / qvka gS ls cpsA

LVks ds;jjh

MHT

doj gsYFk

O;k;ke xfrfof/;ka de ls de 15 feuV ds okeZ vi ls ok;qekxZ dh lwtu dks jksdus esa enn feyrh gS vkSj vLFkek ds nkSjs ds [krjs dks de dj ldrs gSaA psrkouh dqN vLFkek ds mipkj ds vH;kl ds nkSjku vkids fny dh nj dks çHkkfor dj ldrs gSaA vius MkWDVj ls tk¡p djok,aA

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MHT

doj gsYFk

LVks ds;jjh

vLFkek ihfM+r cPpksa dks Ldwy esa gksus okyh fnDdrsa

"

vkt dh ykbiQ LVkby ds pyrs vLFkek u dsoy cM+ks dks ijs'kku dj jgk gS] cfYd cPps Hkh bldh fxjiQr esa vk x, gSA cPpksa dks vLFkek gksus ij ns[kHkky dh t:jr T;knk gksrh gS D;ksfd cPpksa dh รงfrj{kk รง.kkyh cM+ksa dh vis{kk detksj gksrh gSA mUgsa ns[kHkky dh t:jr ?kj esa gh ugha cfYd Ldwy esa Hkh gksrh gSA ?kj ds ckn Ldwy gh ,slk gksrk gS tgka ij og lcls T;knk le; fcrkrs gSaA Ldwy cPpksa ds fy, lcls egRoiw.kZ okrkoj.k esa ls ,d gSA vLFkek ihfM+r cPpksa dks Ldwy esa vusd ijs'kkfu;ksa dk lkeuk djuk iM+rk gSA vkb, tkusa cPpksa dks Ldwy esa D;k&D;k fnDdrsa vkrh gSA 32 ebZ-2013

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" Medgate Today May 2013.indd 33

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MHT

doj gsYFk

'k

LVks ds;jjh

kjhfjd xfrfof/;ka& cPpksa esa vLFkek mudh 'kkjhfjd xfrfof/;ksa dks lhfer dj nsrk gSA muds fy, Hkkjh [ksy vkSj Hkkxuk xaHkhj :i ls eqf'dy gks tkrk gSA mUgsa bl ckr dh btktr Hkh ugha gksrhA blfy, cPpksa ds ekrk&firk dks pkfg, fd og Ldwy tkdj muds v/;kid ls bl ckjs esa ckr djsaA ,ythZ dk lkeuk& Ldwy esa vLFkeSafVd cPpksa dks ,ythZ dk lkeuk djuk iM+ ldrk gSa ;g ijs'kkuh mUgs /wy Hkjs xyhps] iqjkus CySdcksMZ ;k eksYM dh mifLFkfr ls gks ldrh gSA blfy, bldk /;ku j[kuk pkfg,A mfpr osafVys'ku& d{kk esa mfpr osafVys'ku vko';d gS [kkldj tc jlk;uksa ds lkFk dke gks jgk gSA dyk ifj;kstukvksa] foKku ifj;kstukvksa] vkfn esaA dHkh dHkh ifjgkj d{kkvksa esa ifjorZu dh vko';drk Hkh gksrh gSA

Hkkstu laosnu'khyrk& vLFkeSafVd cPpsa tks Hkkstu ;k [kk| ifjj{kdksa ds çfr laosnu'khy gksrs gSaA mudks ckgj dk Hkkstu ugh [kkuk pkfg,A blfy, cPpksa dks Ldwy esa ys tkus ds fy, ?kj dk [kkuk nsuk pkfg, vkSj /;ku j[ksa fd og dSaVhu ls ys dj u [kk,aA xfrfof/;ka& vLFkeSfVd cPpksa dks ,slh xfrfof/;ksa dk çn'kZu djus ds fy, ncko ugh Mkyuk pkfg, ftuls mUgsa eqf'dy gksA ;gka rd fd vLFkek cPps dh nSfud xfrfof/;ksa dks Hkh çfrcaf/r dj nsrk gSA og ,sls [ksy [ksyus esa dfBukbZ ikrs gS ftuesa 'kkjhfjd Je 'kkfey gksA NksVs ls 'kkjhfjd Je ls cPps Fkd tkrs gS] ftlls muds IkQsiQM+ksa dks i;kZIr gok ugh feyrh vkSj mUgsa vLFkek dk nkSjk iM+ ldrk gSA cgkuk& dHkh&dHkh] vLFkeSfVd cPps vLFkek dks cgkus ds :i esa mi;ksx djrs gS] vkSj Ldwy esa mifLFkr ugha gksrs gS ;k Ldwy

dh fof'k"V xfrfof/;ksa esa Hkkx ugh ysrsA vfHkHkkodksa vkSj f'k{kdksa dks blij utj j[kus dh t:jr gS vkSj lkFk gh bl O;ogkj dks grksRlkfgr djus dh HkhA nok dk nq"çHkko& vLFkek esa nok ls lkbM bIkQsDV gksuk okLrfod leL;k gSA lkbM bIkQsDV esa fljnnZ] gkFk dkaiuk] isV esa nnZ] lqLrh vkfn 'kkfey gS] tks cPps dh lh[kus dh {kerk dks cny ldrk gSA nokvksa ls dbZ cPps dk ,dkxzrk dk Lrj rks çHkkfor gksrk gSA bldk vlj mudh fy[kkoV ij Hkh iM+rk gSA f'k{kdksa dks cPps ds vLFkek mipkj ds ckjs esa irk gksuk pkfg,A bl çdkj] vLFkek ihfM+r cPps Ldwy esa lkekU; :i ls dk;Z djsa] blds fy, ,d lkFk dke djuk vko';d gSA ifjokj] Ldwy ds vf/dkfj;ksa vkSj vLFkeSafVd cPps lHkh dks ,d lkFk dke djuk pkfg,A ;g Vhe ç;kl cPps ds fy, Ldwy esa ldkjkRed vkSj LoLFk okrkoj.k cukus esa enn djsxkA

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v

LVks ds;jjh

MHT

doj

vLFkek dk otu ij vlj

LFkek ihfM+r cPpk gks ;k cM+k lHkh dks vf/d 'kkjhfjd Je djus ls jksdk tkrk gSA ,slk bl Mj ls fd;k tkrk gS fd dgha blds pyrs mudh lkal dh rdyhiQ c<+ u tk,A gkykafd bldk ,d foijhr çHkko Hkh ns[kus dks feyrk gSA bldk vlj dbZ ckj eksVkis ds :i esa lkeus vkrk gSA vLFkek ds nkSjs ds Mj ls dbZ yksx ,d vkyL; Hkjh thou'kSyh thus yxrs gSaA nokvksa ds çHkko ds pyrs Hkh dqN vLFkek ds ejht vf/d Hkkstu djus yxrs gSa] ftlls mudk otu c<+rk gSA vLFkek ds mipkj ds dkj.k Hkh p;kip; dh xfr /heh gks tkrh gS vkSj rjy inkFkZ çfr/kj.k esa o`f¼ gksrh gSA vLFkek esa otu dk c<+uk ,d fpark dk fo"k; gSA otu esa o`f¼ ds gksus ij nek dks fu;af=kr djus dh laHkkouk de gks tkrh gS vkSj vLFkek c<+ Hkh ldrk gSA vfrfjDr otu lh/s IkQsiQM+ksa dks çHkkfor djrk gS] ftlls ok;qekxZ ladjk gks tkrk gSA vfrfjDr otu Nkrh vkSj isV ds lkFk vLFkek ls lacaf/r tfVyrkvksa dks Hkh c<+krk gSA 'kjhj ds e/; Hkkx ij vfrfjDr iSd IkQsiQM+ksa ds fy, ,d 'kfDr'kkyh [krjk

gSa D;ksafd ;s IkQsiQM+ksa ij ncko Mkyrk gS vkSj 'okl dh eqf'dysa c<+krk gSA eksVs yksxksa esa xaHkhj vLFkek ds vU; dkj.kksa esa ;g Hkh gS fd os tksj&tksj ls lkal ysrs gSA tks yksx eksVkis ls xzLr ugha gSa os tksj&tksj ls lkal ugha ysrsA lkal dh rdyhiQ vLFkek ds nkSjs dk dkj.k curh gSA dksbZ eksVk O;fDr dks de goknkj txg esa lkal ysus esa rdyhiQ gksrh gSA ,slh gh rdyhIkQ mu cPpksa dks Hkh gksrh gS tks de gh mez esa vLFkek ls xzLr gks tkrs gSaA ,sls esa IkQsiQM+ksa dk [kjkc fodkl gksrk gS ;k os vkdkj esa NksVs gSaA ;g vLFkek esa 'okl eqf'dyksa dks c<+krk gS vkSj ckn esa IkQsiQM+ksa ds dk;ksaZ dks çHkkfor djrk gSA xHkkZoLFkk otu vkSj vLFkek& lHkh efgykvksa ds fy, xHkkZoLFkk ds nkSjku otu c<+uk lkekU; gSA gkykafd] vxj fdlh vkSjr dks igys ls nek gS] rks mldks xHkkZoLFkk ds nkSjku vius otu ij /;ku nsuk pkfg,A ,d xHkZorh efgyk dks vLFkek tfVyrkvksa dks jksdus ds fy, MWkDVj ls ijke'kZ ysuk pkfg, vkSj xHkkZoLFkk ds nkSjku vius otu dk /;ku j[kuk pkfg,A vuq'kaflr otu gj xHkZorh efgyk ds fy, fHkUu gksrk gS vkSj blfy,]

;g lykg nh tkrh gS fd xHkkZoLFkk ds nkSjku lqjf{kr otu j[kk tk,A vfu;af=kr vLFkek vkSj xHkkZoLFkk ds nkSjku otu xHkZfo/h ds fy, e/qesg] mPp jDrpki] xHkZikr vkSj mPp jDrpki dk [krjk c<+k ldrh gSA vxj vkidks nek gS vkids fy, ds fy, ;g t:jh gS fd vki viuk otu de djsaA dqN [kk| inkFkksaZ ftuls vLFkek dh leL;k c<+ ldrh gS] dks ugha [kkuk pkfg,A ;g vLFkek dks jksdus ds fy, iQk;nsean gksxkA

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MHT

doj

oS

LVks ds;jjh

vLFkek vkSj [kkalh esa laca/k

ls rks [kkalh] vLFkek ls fcYdqy vyx gksrh gS] ij ;g Hkh lgh gS fd vLFkek ls ihfM+r yksxksa esa [kkalh Hkh ,d y{k.k gksrk gSaA vkSj lkFk gh vxj vkidks fu;fer :i ls [kkalh gks jgh gS rks ;g dsoy vke lnhZ okyh [kkalh ugha gks ldrhA yxkrkj [kkalh vLFkek ds çeq[k y{k.kksa esa ls ,d gSA gkykafd vkerkSj ij vLFkek esa [kkalh ?kj?kjkgV ds lkFk gksrh gS vkSj blesa lkal Hkh tksj&tksj ls yh tkrh gSA ysfdu dbZ yksx rks fcYdqy Hkh tksj&tksj ls lkal ugh ysrs tcfd og vLFkek ls çHkkfor gksrs gSA vLFkek vkSj [kkalh lkFk&lkFk pyrs gS] ;kuh lHkh vLFkeSfVd [kkalh ls xzLr gksrs gSaA pfy, tkusa fd vLFkek vkSj [kkalh esa D;k laca/ gSA vLFkek vkSj [kkalh bu nksuksa ds chp ds laca/ tkuus ls igys ge ;g tku ysrs gS fd [kkalh vkSj vLFkek D;k gSaA [kkalh vkids IkQsiQM+ksa ls ok;jl] cSDVhfj;k] ;k lzko tSls gkfudkjd d.kksa dks gVkus ds fy, 'kjhj dk ,d LokHkkfod çfrfØ;k gSA tcfd vLFkek og chekjh gS ftlesa vkids IkQsiQM+ksa vkSj blds pkjksa vksj ok;qekxZ ij ncko iM+rk gS ftlls dh lkal ysuk Hkh eqf'dy gks tkrk gSA ;g dHkh&dHkh gksrk gS ysfdu ges'kk ,d ?kj?kjkgV /ofu ds lkFk gksrk gSA [kkalh laLdj.k vLFkek [kkalh tks vLFkek ds dkj.k gksrh gS] [kkalh dk og çdkj gS ftlesa 'ys"e mRiknu ugha djrk gSA tks yksx vLFkek ds bl çdkj ls ihfM+r gS] muesa vLFkek ds vU; y{k.k tSls lkal ;k ?kj?kjkgV dh rdyhiQ fn[kkbZ ugh nsrh gSA dksbZ Hkh [kkalh vf/d ls vf/d 6 ls 8 lIrkg rd jgrh gS rks mls vLFkek ;k iqjkuh [kkalh dgk tkrk gSA tks yksx vLFkek ds bl çdkj ls ihfM+r gksrs gS] vke rkSj ij ;g uksfVl fd;k tkrk gS fd muds y{k.k jkr esa c<+ tkrs gSaA

vLFkek [kkalh ds fy, vPNk ugh gS vLFkek vDlj vkorZd [kkalh ds fy, xyr gksrk gSA tc ,slk gksrk gS] rks y{k.kksa dks xaHkhjrk ls ugha fy;k tkrk gS tSls mUgsa ysuk pkfg,A vDlj ;g dsoy [kkalh ds :i esa fy;k tkrk gS vkSj vko';d mipkj le; ij ugha fn;k tkrk gSA vkidks [kkalh ds y{k.kksa ls fo'ks"k :i ls lko/ku jguk pkfg, vxj vkids ifjokj dk vLFkek dk bfrgkl gSA bls fpfdRlk dk bfrgkl dgk tkrk gSA jksxh esa fpfdRlk bfrgkl ds vk/kj ij funku fd;k tkrk gSA 'kkjhfjd ijh{kk Hkh fpfdRld }kjk vkidh fLFkfr dk ewY;kadu djus ds fy, vk;ksftr fd;k tkrk gSA vLFkek ds funku ds fy, Hkh dqN fo'ks"k ijh{k.k fd, tkrs gSA ;g vLFkek ds ejht ds fgr esa gksxk vxj og [kkalh vkSj vLFkek ds chp varj dk ,glkl dj ldsa] vkSj

'kh?kz mipkj vkjaHk dj ldsaA nek ds fy, iks"k.k Fksjsih nek ,d fpfdRld fLFkrh gS] ftlesa IkQsiQM+ksa ds ok;qekxZ vkSj 'oluh esa lwtu vkSj ladh.kZrk vkrh gSa] ftlds dkj.k lk¡l ysus esa dfBukbZ gksrh gSA nek ls IkQsiQM+ksa ls vR;f/d cyxe dk lzko Hkh gksrk gSa] ftlls ân; nek ds ifj.kke Lo:i ?kkrd lkfcr gks ldrk gSaA nek ,d vfrlaosnuf'kyrk ls lacaf/r fodkj gS vkSj i;kZoj.k esa ekewyh ifjorZu Hkh leL;k dks 'kq# dj ldrk gSaA ,d larqfyr vkgkj ds ek/;e ls b"Vre iks"k.k çnku djus ij iks"k.k laca/h mipkj vk/kfjr gSA 21 oha lnh dh [kkuiku dh vknrsa vkSj thou 'kSyh dks ns[krs gq,] ,d nSfud vk/kj ij larqfyr vkgkj ysuk ,d nqj dh laHkkouk yxrh gSaA vesfjdk dh yxHkx 3» vkcknh nek ls xzLr gS vkSj vkerkSj ij 10 o"kZ dh vk;q ls de vk;q ds cPpksa esa bldk funku gqvk gSA ;fn vki igys ls gh eYVhfoVkfeu vkSj dSfY'k;e lIyhesaV ys jgs gSa] rks vki lgh jkLrs ij gSaA vki vius vkgkj dk;ZØe esa iks"kd rRoksa dh [kqjkd tksM+ dj] nek gksus ls jksdus esa vius ykHk mBk ldrs gSaA nek ds fy, iks"k.k laca/h mipkj ds rhu eq[; ?kVd 'kkfey gSa% ƒƒ nek ds lkFk yksxksa esa fo'ks"k :i ls de fn[kkbZ nsus okysa foVkfeuksa vkSj [kfutksa dh b"Vre [kqjkd ysuk ƒƒ 'kjhj dks jksxk.kq ls yM+us vkSj LokLF; dks cuk, j[kus ds fy, 'kjhj ds çkd`frd j[kj[kko dh çfØ;k esa enn ds fy, çfrj{kk ç.kkyh dks iks"kd rRo etcwr cukrs gSaA ƒƒ 'oluhds lwtu dks fu;af=kr vkSj lk¡l ysus dh çfØ;k lgt djus esa enn ds fy, iks"kd rRoksa ;qDr vkgkj ysA dbZ yksx ,aVh&vWkfDlMaV vkSj ,aVh&buiQyWesVjh (lqtu fojks/h) ?kVd ds

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fpfdfRl; ykHk le>us ds fy, i;kZIr #i esa iQy vkSj lfCt;ka ugh [kkrs ;k ;gk¡ rd fd eNyh ;k ekal Hkh ugha [kkrsA foVkfeu ch] lh vkSj bZ] DosjlsfVu] eSXuhf'k;e vkSj dWjksVsUl vkids 'kjhj esa iks"kd rRoksa ds vo'kks"k.k esa o`f¼ djrs gSA okuLifrd iks"k.k dks vWkjxsfud pk;] lfCt;ka] vkSj lwi ds ek/;e ls çkIr fd;k tk ldrk gSA I;kt] eqySBh tM+] dksysvl vkSj yglqu esa lqtu fojks/h vkSj ,ythZ fojks/h xq.k/ eZ gksrs gSA eNyh dk rsy Hkh 'kjhj dks vko';d iQSVh ,flM dh vkiwfrZ djrk gSaA çksck;ksfVDl ,d LoLFk thok.kq gksrs gSa] tks lwtu dks de djus vkSj çfrj{kk ç.kkyh dks etcwr djrs gSaA os ,ythZ dkjdksa ls yM+rs gSaA çksck;ksfVDl ngh] fdeph] vkSj felks tSls fdf.or [kk| inkFkksaZ esa ik, tkrs gSaA vius fpfdRld ds lkFk feydj ;kstuk cuk, vkSj vkids 'kjhj ds çdkj ds fy, lcls vPNh vuqdwfyr iks"k.k fpfdRlk O;oLFkk fodflr djsA iks"k.k laca/h fpfdRlk 'kjhj esa iks"kd rRoksa ds lsou vkSj vo'kks"k.k dks vuqdwyre cuk ldrh gSa] ftlls nek dh jksdFkke vkSj iks"kd rRoksa dh deh dk irk yxk ldrh gSaA vLFkek bUgsyj ds nq"çHkko ukd foladqyd Lçs vkSj vLFkek bUgsyj ,d vLFkk;h vk/kj ij can ukd ls NqVdkjk nsrs gSa vkSj ,d yacs le; ls nes ls tw> jgs jksfx;ksa dks rRdky jkgr çnku djrs gSaA lkSE; vLFkek ;k czksadkbfVl ds lkFk jksfx;ksa dks vLFkek bugsyj ds bLrseky djus dh fliQkfj'k ugh dh tkrh] D;ksafd mlls can ukd ;k jksxh dh gkyr vkSj [kjkc gks ldrh gSaA vLFkek bUgsyj D;ksa fu/kZfjr fd;k tkrk gS\ IkQsiQM+ksa ds fy, gokbZ ekxZ dks [kqyk djus dh çfØ;k esa lgk;rk ds fy, jksfx;ksa dks vLFkek bUgsyj dh fliQkfj'k dh tkrh gSaA gokbZ ekxZ cyxe vkSj ekalisf'k;ksa dh ,saBu ds dkj.k ladqfpr curs gSA vLFkek bugsyj dks buls jkgr nsus ds fy, fu/kZfjr fd;k tkrk gSa] ysfdu blds xaHkhj nq"çHkko

gks ldrs gSA ,d vLFkek 'olu ;a=k dks igpkusa vyC;qVsjksy ,d lkekU;r% fu/kZfjr fd;k tkus okyk vLFkek bUgsyj gSA gkykafd u, czkaMksa us cktkj esa ços'k fd;k gS] ysfdu ftl gn rd vyC;qVsjksy igwapk gS] ogk¡ rd ugha igwap ik;s gSaA vU; vLFkek bugsyj esa Ogksikjs] osaVksfyu] çks,vj vkSj v¡D;qusc gSaA lk¡l esa ysus dh [kqjkd 0-63mg] 1-25mg ls 2-5 mg rd fHkUu gks ldrh gSaA vyC;qVsjksy flji ;k xksyh ds :i esa ejhtksa dks fn;k tk ldrk gSA LVsjWk;M bUgsyj r`rh;d Js.kh ds vLFkek ls ihfM+r jksfx;ksa dks fn;k tkrk gSA vLFkek bUgsyj ds nq"çHkko vyC;qVsjksy ,d lkekU; rkSj is fu/ kZfjr fd;s tkus okyk vLFkek bugsyj gS] ysfdu blds xaHkhj nq"çHkko gks ldrs gSaA dqN nq"çHkko fuEukuqlkj gSa% ƒƒ vLFkek bUgsyj ('olu ;a=k) ds mi;ksx djus ds dqN vke nq"çHkko mi;ksx ds dqN giQrksa ds ckn fn[kkbZ nsxsaA ejht gkFkksa esa daiu] ruko] tyu] fpM+fpM+kiu] vfuaæk] vkSj isV dh leL;k,s eglwl djsaxsA ƒƒ lw[kk eqag vkSj xys esa [kjk'k ;g vke eqís gSa] ftudk lkeuk nek bUgsyj dk mi;ksx djus okysa jksfx;ksa dks djuk iM+rk gSaA ƒƒ ukd cguk vkSj eryh nek jksfx;ksa

LVks ds;jjh

MHT

doj gsYFk

dh vke ijs'kkuh gSa] ysfdu vLFkek bUgsyj dk mi;ksx djus ls ;g c<+ ldrh gSA ƒƒ ?kj?kjkgV] ?kcjkgV] lhus esa nnZ vkSj pDdj vkuk tSls xaHkhj nq"çHkkoksa dk lkeuk LVsjWk;M ij vk/kfjr vLFkek bUgsyj ds mi;ksxdrkZvksa djuk iMrk gSaA ƒƒ eqg¡ ds Lokn es cny] lj pdjkuk] Hkw[k de gksuk çkjaHk esa 'kq: gksxk] ysfdu vxj fpfdRld }kjk fuxjkuh dh xbZ] rks og le; ds lkFk de gks tk;saxsA ƒƒ vxj jksxh bUgsyj dk mi;ksx dj jgs gSa] rks Luk;q nnZ vkSj gìh tksM+h dk vuqHko gks ldrk gSaA ;g vkidh ;a=k.kk dks detksj cuk,xk vkSj jksxçfrdkj ƒƒ ;a=k.kk Lrj dks de djsxk] vkSj vkidks iQyw tSlh LokLF; leL;kvksa ls xzLr gksus ds fy, vkSj vf/d vfrlaosnu'khy cuk,xkA ƒƒ ;fn lk¡l esa fy;s tkus okys LVsjWk;M dks de ek=k esa fy;k tkrk gS] rks ;g nq"çHkko de fn[krs gSA ;fn mPp [kqjkd dk lsou fd;k tkrk gSa] rks eq¡g esa [kehj laØe.k dh laHkkouk gksrh gSaA ƒƒ vLFkek bUgsyj ls ,ythZ dh çfrfØ;k ds y{k.kksa esa pdÙks] [kqtyh] lwtu 'kkfey gS] tks Ropk ij [kqydj

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MHT

doj gsYFk

LVks ds;jjh

fn[kkbZ nsxhA blds vykok dbZ vU; nq"çHkko gks ldrs gSa] ftudks ntZ ugha fd;k gks ldrk gS] vkidks vius nek ds mipkj ds nkSjku 'kjhj ds 'kjhjfoKku esa fdlh Hkh æ'; ;k fNis gq, ifjorZu ds ckjs esa vius fpfdRld ls ijke'kZ ysuk lqfuf'pr djsaA nek jksfx;ksa ds fy, O;k;ke O;k;ke çsfjr nek ;kus ruko;qDr 'kkjhfjd xfrfof/ ds }kjk 'kq# gksus okyh lk¡l ysus esa rdyhiQ gksrh gSaA ;g rc gksrk gS tc 'kjhj IkQsiQM+ksa dks i;kZIr vWkDlhtu dh vkiwrhZ djus esa v{ke gksrk gSa] ftlds ifj.kkeLo#i IkQsiQM+ksa ds uyhdk #ih ok;qekxZ esa lwtu vkSj laosnu'khyrk gksrh gSA i;kZoj.kh; dkjd vkSj O;k;ke IkQsiQM+ksa ds ekxZ dks ladqfpr djus dks foo'k djrs gS] ftlls nek dks mRçsj.kk feyrh gSaA ;kuh nek jksfx;ksa ds fy, O;k;ke ykHkdkjh gksrk gSA O;k;ke çsfjr nek dks 'kq# djus okys dkjd O;k;ke çsfjr nek ds y{k.k eq[; :i ls 'kq"d vkSj BaMs ekSle esa ;k tc çnw"k.k vkSj ,ythZ dkjdks dk Lrj mPp gksrk gSa] T;knk fn[krs gSA tks yksx cgqr T;knk O;k;ke djrs gSa] vkSj ftudk 'kkjhfjd LokLFk detksj ;k 'olu laØe.k gksrk gS] muesa ;g gkyr vke gSA [kk¡lh] ?kj?kjkgV] lkal dh rdyhiQ] lhus esa tdM+u] Fkdku vkSj de ÅtkZ dk Lrj vknh O;k;ke çsfjr nek ds fof'k"V y{k.k gSa] ysfdu ;g O;fDr nj O;fDr esa fHkUu gks ldrs gSaA O;k;ke çsfjr nek ds fy, mipkj O;k;ke çsfjr nek ,d nh?kZdkyhu chekjh gS vkSj bykt yacs le; rd pyrk gS] dHkh dHkh ,d O;fDr ds thou HkjA ,sls esa nek fu;a=k.k ds mik;ksa dks viukuk t:jh gks tkrk gSA LVsjWk;M dks lk¡l esa ysuk yacs le; ds fy, O;k;ke çsfjr nek ds bykt ds fy, miyC/ ;g lcls 'kfDr'kkyh nok gSaA LVsjWk;M dks lk¡l esa ysus esa lqtu fojks/h xq.k gS] tks nek ds vVWd dks fu;af=kr djrs gSA LVsjWk;M lk¡l esa ysus ls nek dh fLFkfr esa lq/kj ds dkiQh fjiksVZ feys

gSaA lk¡l esa ysus ds LVsjWk;M esa vksOgj] iqyfedksVZ] iQyksOgsaV] ,>ekdksVZ] ,leWusDl] ,yOgsLdks ;k ,vjksfcM 'kkfey gks ldrs gSaA lck FkksMsls dk;Zf'ky chVk ,sxfuLV (gV/ehZ) ds fy, ,d ifjo.khZ 'kCn] tc ,d ejht dks nek ds y{k.kksa dk vuqHko gksrk gSa] bl nok dk mi;ksx rqjar jkgr ds fy, fd;k tkrk gSA O;k;ke çsfjr nek ds fy, ;g ,d vke fuokjd ds :i esa ç;ksx fd;k tkrk gSA lck vkids nek ds y{k.ks dks cnrj gksus ls jksdus ds fy, mi;ksx fd;k tkrk gS vkSj MWkDVj vkidks vycqVsjksy] çksosafVy] tksisusDl ;k eWfDl,vj tSlh nok,s fy[kdj ns ldrs gSaA ykck yacs le; dke djus okyk chVk ,sxfuLV dk mi;ksx ;kstd fpfdRlk ds :i esa fd;k tkrk gS vkSj rhoz nek çdksiu ds bykt ds fy, bLrseky fd;k tkrk gSaA ykck (,y-,ch-,) esa iQksjkfMy] ljOgaV]ijQkZefeLV ;k czksouk 'kkfey gSA Y;wdksfVªbus eWkfMiQk;j ƒƒ bls ,d gYds ysfdu yxkrkj nek ds fy, ,d oSdfYid mipkj ds :i esa ekuk tkrk gS vkSj lk¡l esa fy;s tkus okys LVsjWk;M ds lkFk la;kstu esa bLrseky fd;k tk ldrk gSA dsoy rhu Y;qdksfVªbus eWkfMiQk;j orZeku esa miyC/ gSa] muds uke gSa ,DdksysV] flaX;qy,vj vkSj >k;iQyksA ,UVhpksfyusVftl ƒƒ ;g ,d czkSUdksMk;kysVj ds :i esa dk;Z djrk gS vkSj vkikr fLFkfr;ksa esa rhoz nek ds bykt ds fy, lck ds lkFk la;kstu esa bLrseky fd;k tkrk gSaA Økseksy;u lksfM;e vkSj usMksØkseh ƒƒ IkQsiQM+ksa esa lwtu dh jksdFkke esa enn djrk gS] lkSE; yxkrkj vkSj rhoz nek ij mipkj djrk gSA la;qDr nek nok ƒƒ dbZ nok daifu;ksa ds ,d bugsyj esa nek ds la;qDr mipkj gksrs gSa] ftlesa ,d iQ gh jkgr vkSj mipkj çnku dj ldrk gSaA lcls lkekU;r% blesa ,d

lk¡l esa ysus okyk LVsjWk;M vkSj ,MOghj vkSj flfEcdksVZ tSls ykck 'kkfey gksrs gSaA bE;qukseksMîqysVsjl~ ;g nok,sa çHkkoh vkSj xq.kdkjh la;kstu gksrh gS] tks vkids LVsjWk;M [kir dks de djrh gSaA ;g nok,sa nek 'kq# djus okyh ifjfLFkrh;ksa ij mYys[kfu; <ax ls IgE çfrfØ;k dks de djrh gSaA Xolair dsoy ,d miyC/ bE;qukseksMîqysVj gSaA esFkWyWD>WufFkus ;g ,d lkSE; czkSUdksMk;kysVj gSa vkSj lk¡l esa fy;s tkus okys LVsjWk;M ds lkFk mi;ksx fd;s tkus okyk ,d ;kstd mipkj gSA dSlk gksxk ;g ekulwu vkids fy, vLFkek tSlh chekjh gksus dk vFkZ ;g ugha fd vki ftanxh ds ets ugha ys ldrsA cl FkksM+h lh lko/kuh cjrdj vki gj ekSle vkSj O;atu dk etk ys ldrs gSaA gkykafd vLFkek ds ejhtksa dks gj ekSle esa [kkl [;ky j[kus dh vko';drk gksrh gS] ysfdu ckfj'k esa mUgsa vf/d lqj{kk pkfg, gksrh gSA okrkoj.k esa ekStwn ueh vkSj rkieku vLFkek ds ejhtksa dks dbZ çdkj ls çHkfor djrk gSA ,sls esa rSjkdh ,d vPNk O;k;ke crk;k tkrk gS D;ksafd blls IkQsiQM+ksa dh {kerk c<+rh gSA eSDl vLirky dh MkW eksfudk egktu ds vuqlkj] cjlkr ds ekSle ds vkus ds lkFk gh vLFkeSfVDl dh eqlhcr Hkh c<+ tkrh gS] ,sls esa mUgsa ueh okyh txgksa ij tkus ls cpuk pkfg, ;k ,slh txgksa ij ugha tkuk pkfg, tgka ij dkbZ teh gksA /wy feêh okyh txgksa ls nwj jgus dk gj lEHko ç;kl djuk pkfg,A vLFkek ds ejhtksa ds fy, vkgkj dh dksbZ ck/;rk ugha gS] ysfdu vxj mUgsa fdlh çdkj ds [kk| inkFkZ ls ,ythZ gks rks lko/kuh cjruh pkfg,A viuh çfrjks/h {kerk c<+kus ds fy, oks foVkfeUl vkSj iQyksa dk lsou dj ldrs gSaA vxj ,sls ekSle esa vkidk ckgj tkuk vko';d gS rks vki viuh nok,a t:j lkFk esa j[ksaA

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vLFkek vVSd ds dqN lkekU; y{k.k% ƒƒ lkal ysus esa leL;k gksukA ƒƒ cPpksa esa gksus okyh [kkalh Hkh leL;k c<+k ldrh gSA ƒƒ cq[kkj ds lkFk Fkdku dk gksukA ƒƒ lhus esa tdM+u eglwl gksukA 13 o"khZ; bZ'kku vjksM+k dks vdlj vLFkek ds vVSd vkrs gSa ftlds dkj.k mls Ldwy ls tYnh gh ?kj tkuk iM+rk gSA ,sls esa de mez gksus dh otg ls mls çfrfnu lko/kfu;ka cjruh iM+rh gSA cPpksa esa vLFkek dh fLFkfr;ka dHkh&dHkh muds lkekU; dk;ZØe dks Hkh çHkkfor djrh gSA ,sls esa vfHkHkkod dks cPps ij fcuk jksd yxk;s mls ;g le>kus dh dksf'k'k djuh pkfg, fd mls dSls lko/kuh cjruh gSA vLFkek vVSd ls cpus ds fVIl% ƒƒ T;knk xeZ vkSj T;knk ue okrkoj.k ls cpsa D;ksafd ,sls esa eksYM LikslZ ds iQSyus dh lEHkkouk Hkh c<+ tkrh gSA vka/kh vkSj rwiQku ds le; ?kj ls ckgkj uk fudysaA ƒƒ vLFkek dks fu;af=kr j[ksa vkSj viuh nok,a ges'kk lkFk j[ksaA ƒƒ vxj vkidk cPpk vLFkeSfVd gS rks mlds nksLrksa o v/;kid dks crk nsa fd vVSd dh fLFkfr esa D;k djsaA ƒƒ gks lds rks vius ikl LdkiQZ j[ksa ftlls vki gok ds lkFk vkus okys ikysu ls cp lsaA ƒƒ ?kj ds vanj fdlh çdkj ds /qa, ls cpsa vkSj jkr dks f[kM+fd;ka [kksydj lksus ds ctk; , lh pyk nsaA ekSykuk vkt+kn esfMdy dkyst ds Mk ,u ih flag ds vuqlkj vLFkek ds ejhtksa ds fy, cjlkr ls dgha T;knk [krjukd gksrh gS /wy Hkjh vka/hA gka ckfj'k esa] okrkoj.k esa ueh c<+ tkrh gS] ftlls laØe.k dh lEHkkouk vf/d gks tkrh gSA gkykafd vLFkek ds ejht vxj [ksy esa Hkkx ysrs gSa ;k O;k;ke djrs gSa] rks ;g muds fy, vPNk gksrk gSA ysfdu dqN ejhtksa dks çksxzkEMj O;ka;ke dh lykg nh tkrh gSA ,d ckj viuh fLFkfr;ksa dks le>us ds ckn vkids fy, vLFkek ls cpuk vklku

gks tk;sxkA dqN lko/kfu;ka cjrdj vki vLFkek dh xaHkhj fLFkfr;ksa ls cp ldrs gSa vkSj okrkoj.k dks vius vuqlkj <ky ldrs gSaA vLFkek ;k nek fu;a=k.k ds rjhds lfnZ;ksa ds vkrs gh ,ythZ] lnhZ[kkalh&tqdke gksuk vke ckr gSA ,sls esa mu yksxksa dks lcls vf/d ijs'kkuh gksrh gS] tks nek ;kuh vLFkek ls ihfM+r gSA D;k vki tkurs gSa fo'o esa yxHkx rhl djksM+ yksx nek ls ihfM+r gSaA ,sls esa lfnZ;ka vkrs gh nek ihfM+r yksxksa esa LokLF; leL;k,a c<+ tkrh gSaA D;k vki tkurs gSa vLFkek ;k nek dks fu;a=k.k djus ds rjhds D;k gSaA rks vkb, tkusa nek ij dkcw ikus ds fy, D;k djsaA lcls igys ;g tkuuk t:jh gS fd vLFkek gS D;k] nek ds jksfx;ksa dks lfnZ;ksa esa D;k djuk pkfg,A vLFkek D;k gksrk gS vLFkek ds dkj.k 'okluyh ;k blds vklikl ds tqM+s fgLlksa esa lwtu vk tkrh gSA ftl dkj.k lkal ysus esa fnDdrsa vkus yxrh gSA bruk gh ugha blls IkQsiQMksa esa gok Bhd ls ugha tk ikrhA urhtu lkal dh leL;k] [kkalh bR;kfn gksus yxrh gSA ;gh vLFkek dh 'kq:vkr gSA ƒƒ cq[kkj ds lkFk Fkdku dk gksukA ƒƒ vLFkek dks dSls igpkusansa& vLFkek ds dbZ y{k.k gS] budks vkjke ls igpkuk tk ldrk gSA tSls& ƒƒ tc vki tYnh&tYnh lkal ysus yxs ƒƒ lkal ysus esa fnDdr gks ƒƒ [kkalh gks ƒƒ ilfy;ka py jgh gks ƒƒ lhus esa nnZ dh f'kdk;r vLFkek D;ksa gksrk gS gkykafd vLFkek gksus dk dksbZ ,d dkj.k ugha gS] ysfdu ;g ,d tsusfVd leL;k Hkh gks ldrh gS ;k fiQj tks yksx cgqr laosnu'khy gksrs gS mudks Hkh ;s chekjh gks ldrh gSA dbZ ckj dqN yksxksa dks cpiu esa ckj&ckj fueksfu;k gksus ls ;s chekjh gksus dh vk'kadk c<+ tkrh gSA gkykafd vLFkek fdlh Hkh mez esa gks ldrk gS ysfdu ftu yksxksa

LVks ds;jjh

MHT

doj gsYFk

dks cgqr vf/d ,ythZ jgrh gS] mudks Hkh vLFkek dh f'kdk;r gks ldrh gSA yksxksa esa vLFkek dk ,d dkj.k cgqr vf/d /weziku] ,Ydksgy bR;kfn dk lsou Hkh gks ldrk gSA ƒƒ vLFkek ds cpko ds fy, ?kjsyw uqL[ksa ƒƒ ;fn vki Hkh vLFkek ls ihfM+r gSa rks vkidks pkfg, fd vki dqN ?kjsyw uqL[kksa dks viuk,a ftlls vki vLFkek dks fu;af=kr dj ldsaA ƒƒ vLFkek ds bykt ds fy, lcls dkjxj gksrk gS yglquA ;fn vki nw/ esa yglqu dh dqN mckysa vkSj çfrfnu nw/ ds lkFk bldk lsou djsa rks vkidks vLFkek fu;a=k.k esa cgqr vkjke feysxkA ƒƒ vnjd dh xeZ&xeZ pk; Hkh vLFkek ds nkSjku cgqr ykHkdkjh gksrh gSA blds lkFk gh vki xeZ pk; esa yglqu dh dqN dfy;ka feykdj pk; dk lsou djsa ;s Hkh vPNk mik; gSA ƒƒ vtok;u dk xeZ ikuh vkSj bldh Hkki Hkh vLFkek jksfx;ksa ds fy, iQk;nsean gksrh gSA ƒƒ mcys gq, ykSax ds xeZ ikuh esa 'kgn feykdj dk<+k cukdj ih,aA ;s cgqr ykHkdkjh gSA ƒƒ vLFkek ls cpko ds fy, D;k djsa ƒƒ vLFkek jksxh ds fy, cpko csgn t:jh gS] ,sls esa vki /wy feêh ls nwj jgsaA lkiQ&liQkbZ djus ls cpsa vkSj iqjkus ƒƒ /wy&feêh ds diM+ksa ls nwj jgsaA ƒƒ ikyrw tkuojksa ds cgqr djhc uk tk,a vkSj mUgsa gj lIrkg ugyk,aA ƒƒ MWkDVj ls laidZ djsa vkSj muds fn'kk&funsZ'kkuqlkj bugsyj dk ç;ksx djsaA ƒƒ vLFkek gksus ij /weziku ls nwj jgsa vkSj /weziku djus okys yksxksa ls Hkh nwjh cuk,aA ƒƒ vLFkek vVSd gksus ij rqjar MWkDVj dks laidZ djsa vU;Fkk bugsyj dk ç;ksx djsaA ƒƒ le;&le; ij viuh tkap djok,aA ƒƒ vLFkek jksfx;ksa ds fy, O;k;ke djuk csgn t:jh gksrk gSA ebZ-2013 39

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MHT

gsYFk

ds;j

D;k gSa e/kqesg ds 'kq#vkrh y{k.k

e

/qesg ds 'kq:vkrh y{k.kksa dh igpku vxj gks tk, rks bldk bykt cgqr gh tYnh vkSj vklkuh ls gks ldrk gSA vktdy e/qesg ,d vke leL;k cu xbZ gSA dbZ yksxksa esa ;g chekjh 'kq: esa gks tkrh gS ysfdu] mudks bl ckr dk irk ugha py ikrk gS ftlds dkj.k ;g chekjh cgqr gh [krjukd gks tkrh gSA njvly Mk;fcVht ykbIkQLVkby laca/h ;k oa'kkuqxr chekjh gSA tc 'kjhj esa iSafØ;kt uked xzafFk balqfyu cukuk can dj nsrh gS rc e/qesg dh leL;k gksrh gSA balqfyu CyM esa Xywdkst dks fu;af=kr djus esa enn djrk gSA vkb, ge vkidks crkrs gSa fd e/qesg ds 'kq:vkrh y{k.k D;k gSaA

e/qesg ds 'kq:vkrh y{k.k Fkdku eglwl gksuk & Mk;fcVht gksus ij blds 'kq#vkrh fnuksa esa vkidks lkjk fnu Fkdku eglwl gksxhA gj jkst Hkjiwj uhan ysus ds ckn Hkh lqcg mBrs gh vkidks ,slk yxsxk fd vkidh uhan iwjh ugha gqbZ gS vkSj 'kjhj esa Fkdku lh eglwl gksxhA blls ;g irk pyrk gS dh [kwu esa 'kqxj dk ysoy yxkrkj c<+ jgk gSA yxkrkj is'kkc yxuk & e/qesg gksus ij ckj&ckj is'kkc vkus yxrk gSA tc 'kjhj esa T;knk ek=k esa 'kqxj bdëk gks tkrk gS rks ;g is'kkc ds jkLrs ls ckgj fudyrk gS] ftlds dkj.k e/qesg jksxh dks ckj&ckj is'kkc yxus dh f'kdk;r 'kq: gks tkrh gSA

vR;f/d I;kl yxuk & e/qesg jksxh dks ckj&ckj I;kl yxrh gSA pwafd is'kkc ds jkLrs ls 'kjhj dk ikuh vkSj 'kqxj ckgj fudy tkrk gS ftlds dkj.k ges'kk I;kl yxus tSlh fLFkfr cuh jgrh gSA yksx vDlj bl ckr dks gYds esa ys ysrs gSa vkSj le> gh ugha ikrs fd mudh chekjh dh 'kq#vkr vc gks pqdh gSA vka[ksa detksj gksuk& e/qesg jksx dh 'kq:vkr esa vka[kksa ij dkiQh çHkko iMrk gSA Mk;fcVht ds ejht esa jksx dh 'kq:vkr esa gh vka[kksa dh jks'kuh de gksus yxrh gS vkSj /qa/yk fn[kkbZ iM+us yxrk gSA fdlh Hkh oLrq dks ns[kus ds fy, mls vka[kksa ij tksj Mkyuk iMrk gSA vpkud otu de gksuk & e/qesg jksx dh 'kq:vkr esa gh vpkud otu rsth ls de gksus yxrk gSA lkekU; fnuksa dh vis{kk vkneh dk otu ,dk,d de gksus yxrk gSA tksj ls Hkw[k yxuk & Mk;fcVht ds ejht dk otu rks de gksrk gS ysfdu Hkw[k esa c<ksrjh Hkh gksrh gSA vU; fnuksa dh vis{kk vkneh dh Hkw[k dbZ xquk c< tkrh gSA ckj&ckj [kkuk [kkus dh bPNk gksrh gSA ?kko dk tYnh u Hkjuk & vxj vkids 'kjhj esa pksV ;k dgha ?kko yx tk, vkSj ;g

tYnh uk Hkjs] pkgs dksbZ NksVh lh [kjksap D;ksa uk gks] og /hjs&/hjs cMs+ ?kko esa cny tk,xh vkSj mlesa laØe.k ds y{k.k lkiQ&lkiQ fn[kkbZ nsus yxsaxsA rfc;r [kjkc jguk & Mk;fcVht ejht ds 'kjhj esa fdlh Hkh rjg dk laØe.k tYnh ls Bhd ugh gksrk gSA vxj vkidks ok;jy] [kkalh&tqdke ;k dksbZ Hkh cSDVhfj;y baIkQsD'ku gks tk, rks vkidks jkgr ugha feysxhA NksVs&NksVs laØe.k tks vklkuh ls [kqn Bhd gks tkrs gSa c<s ?kko cu tkrs gSaA Ropk ds jksx gksuk & e/qesg dh 'kq:vkr esa Ropk laca/h dbZ jksx gksus 'kq: gks tkrs gSaA Ropk ds lkekU; laØe.k cMs ?kko cu tkrs gSaA vkuqoaf'kd dkj.k & vkids ifjokj esa fdlh vU; lnL; dks Hkh e/qesg dh leL;k jgh gks rc Hkh vkidks lko/ku jgus dh t:jr gS D;ksafd ;g ,d vkuqokaf'kd chekjh gSA gkykafd Mk;fcVht dks iwjh rjg ls [kRe rks ugha fd;k tk ldrk ysfdu bls fu;a=k.k esa j[kk tk ldrk gSA blds fy, t:jh gS fd vius MWkDVj ls lykg ysa vkSj le;&le; ij 'kqxj ysoy dk psdvi djokrs jgsaA

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gksaxh vkSj vkidks enn feysxh vius y{;ksa dks lkiQ ns[kus o mUgsa ikus esaA 4- dE;qfuds'ku vius Hkkoksa dks çdV djuk vkSj Hkkoukvksa o mn~xkjksa dks nwljksa ij O;Dr djuk vPNk rjhdk gS ruko ls nwj jgus dkA vki viuh bPNkvksa o fopkjksa dks Li"V :i ls nwljksa ij tkfgj djsa] blesa iwjh bZekunkjh cjrsaA blls vkids ikfjokfjd o çksIkQs'kuy nksuksa gh fj'rs csgrj jgsaxsA 5- LohdkjksfDr vkSj iqf"V ;g ckr ges'kk ;kn j[ksa fd ;fn vki ruko esa gSa rks lR; dks Lohdkj djsa vkSj mldk eqdkcyk djsaA blls eqag eksM+ dj cSBus ls dqN ugha gksxkA 6- nok dk ç;ksx u djsa ,YdksgkWy] dSIkQhu vkSj lsMsfVOl dk lsou gkfudj gSA mudk ç;ksx u djsaA 7- æ<+fu'p;h gksa nwljs yksxksa ls vkids laca/ larks"ktud Hkh gks ldrs gSa o nq[knk;h o ruko Hkjs HkhA gB/ehZ gksuk FkksM+k dfBu gS ij vkids fgr esa gksxk ruko ls eqfDr ikus esaA

8- thou'kSyh ;fn vki fIkQV o LoLFk gSa rks vki ruko dks nwj j[k ldrh gSaA ;g t:jh gS fd viuh rkdr o larqyu dks cuk, j[kus ds fy, vkSj çfrfnu dh pqukSfr;ksa dk lkeuk djus ds fy, larqfyr o ikSf"Vd Hkkstu djsaA çfrfnu O;k;ke djsa] ruko nwj djus ds rjhdksa ij vey djsa] iwjh uhan ysa vkSj dqN le; fudky dj thou dks baToWk; djsaA 9- çksIkQs'kuy lgk;rk tc vki vius ruko dks >syus esa vleFkZ gks jgh gksa vkSj blls leL;k,a c<+ jgha gks rks vkidks pkfg, fd vki fdlh euksfpfdRld dh lykg ysaA og vkidh enn djsxk ruko nwj djus esa Hkh vkSj thou esa lq/kj ykus esa HkhA 10- leL;k lqy>k,a leL;k ds ckjs esa tkuuk dkiQh ugha gS] ;g t:jh gS fd vki lgh o lkbafVfiQd rjhds ls leL;k dks le> dj ruko dks nwj djuk tkusaA ebZ-2013 41

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vk;k gS] ysfdu ;g MªXl cgqr egaxh gSa vpkud ls cgqr ls y{k.k ut+j fn[kus vkSj budk lkbM ,IkQsDV Hkh [krjukd gSA yxsaA iwjs fo'o esa vcrd bl chekjh dk mipkj ugha [kkstk tk ldk gSA Hkze 3 ,p vkbZ oh ikt+hfVo gksus dk eryc gS] vkidk thou lekIr gks x;kA ,M~l tSlh chekjh ds 'kq:okrh nkSj esa blls yM+uk ukeqefdu Fkk] ysfdu vc ,.Vh jsVªksok;jy MªXl dh enn ls ,p vkbZ oh ds lkFk thou O;rhr fd;k tk ldrk gSA Hkze 4 oks iq:"k tks MªXl ugha ysrs oks ,p vkbZ oh ikt+hfVo ugha gks ldrsA vf/drj iq:"k lsDlqvy dkUVsDV ;k bUtsD'ku }kjk MªXlr ysus ls ,p vkbZ oh ikt+hfVo gks tkrs gSaA Hkze 5 vxj nksuksa ikVZulZ esa ls dksbZ ,d ,p vkbZ oh ikt+hfVo gS rks nwljs dks bldk irk py tkrk gSA ,p vkbZ oh dk irk fcuk VsLV ds ugha yx ldrk] gks ldrk gS fd cgqr lkyksa rd blds dksbZ y{k.k vkiesa uk fn[ksa vkSj

17-05-2013 AM 12:01:20


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lesa dksbZ 'kd ugha gS fd /weziku vkidh lsgr ds fy, ?kkrd gSA dbZ ckj ,slk gksrk gS fd yksx ;g tkurs gq, Hkh /weziku ugha NksM+ ikrs gSa D;ksafd oks blds vkfn gks pqds gksrs gSaA ;ksxk /weziku NksM+us ds fy, dkiQh dkjxj fl¼ gksrk gSA ;ksxk ls vkids vanj vkRe fo'okl c<+rk gS vkSj vkidks vius fnekx o 'kjhj ij fu;a=k.k djus esa enn feyrh gSA vkb, tkusa dkSu&dkSu ls ;ksx gSa ftuls /weziku NksM+us esa enn feyrh gS& lq[kvklu ;g ;ksxk dh lcls vklku fof/ gS blfy, bls lq[kvklu ds uke ls tkurs gSaA bl fof/ dk bLrseky ge esfMVs'ku esa Hkh djrs gSaA blesa vkidk flj] xnZu ,d lh/k esa gksuk pkfg,A jh<+ dh gìh dks bl rjg lh/k djds cSBsa fd dksbZ yksp uk vk,A vius nksuksa iSjksa dks frjNk eksM+ dj cSBsa vkSj nksuksa gkFkksa dks vius iSjksa ij j[ksaA blls vkids p;ikp; fØ;k Bhd jgrh gSA vuqykse&foykse bl fof/ ls vkids fnekx dks dke

djus esa enn feyrh gS tks fd dkiQh vPNk gSA lkFk gh blls vkidk fnekx 'kkar jgrk gS vkSj uolZ flLVe Bhd jgrk gSA 'ovklu bl fof/ esa vkidks vius gkFkksa&iSjksa dks <+hyk NksM+dj lh/k ysVuk gksrk gSA /;ku jgs bl vklu esa vkidks ,dkxzrk dh t:jr gSA 'kq#vkr esa ;g vkids fy, vklku ugha gksrk gS blfy, bl vklu esa vH;kl dh t:jr gksrh gSA vxj vki lgh rjhds ls ;g vklu djrs gSa rks vkids ruko o Fkdku ls jkgr feyrh gSA v/kZ~; eRl;saæ vklu vkerkSj ij yksx viuh jh<+ dh gìh dks vkxs ihNs eksM+ yrs gSa] ysfdu 'kjhj eksM+us esa ijs'kkuh gksrh gSA ;g vklu vkidks jh<+ dh gìh dh raf=kdkvksa dks eksM+us esa enn djrk gSA blls vkidh ikpu 'kfDr Hkh Bhd gksrh gSA ;ksxk ls ykHk ƒƒ ;ks xk ls vkids va n j æ<+ fu'p; o bPNk 'kfDr c<+ rh gS tks fd cgq r

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cg mBdj rjksrktk eglwl djus ds fy, gydk&iQqydk O;k;ke t:j djuk pkfg,] rkfd iwjs fnu 'kkjhfjd] ekufld :i ls ÅtkZoku cuh jg ldsaA vdlj lqcg uhan [kqyus ij vki FkksM+h lqLrh vkSj vkyL; eglwl djrh gSa] eu djrk gS fd cl FkksM+h nsj vkSj lks ysa] dqN nsj ;wa gh vka[ksa ewansa iM+s jgsaA rks 'okl laca/h O;k;ke vkidh lqLrh dks nwj Hkxkus esa enn djrk gSA fnYyh dh fiQVusl lykgdkj feuh Fkkij lqLrh nwj djus ds fy, crkrh gSa fd iQsiQM+ksa dks iwjh rjg [kksyus ds fy, vkSj Hkjiwj vkWDlhtu xzg.k djus ds fy, dqN nsj xgjh lkalsa ysaA iQ'kZ ij pVkbZ fcNkdj ;k rks fcydqy lh/h [kM+h gks tk,a ;k fiQj ikyFkh ekjdj cSB tk,aA xgjh lkalsa ysa] rkfd vkids iQsiQM+ksa esa 'kq¼ ok;q ços'k dj ldsA viuh ilfy;ksa dks IkQSyk,a] lkal dks Hkhrj IkQsiQM+ksa rd [khapsa] FkksM+h nsj ,sls gh jgsaA vc /hjs&/hjs viuh ukd ls lkal NksM+saA bl çfØ;k dks jkst lqcg ikap&nl feuV rd nksgjk,aA

ladYi dh rkdr fnu dh 'kq#vkr vxj ldkjkRed ladYi ls dh tk,a rks ;g vkidks iwjs fnu jpukRed ÅtkZ çnku djsxkA ;fn vki dk;ZLFky vkSj ?kj dh reke leL;kvksa dks fuiVkuk pkgrh gSa rks eu esa dqN ladYi t:j ysaA yxkrkj efLr"d esa ;s 'kCn nksgjkrs le; buesa fNik lans'k vkids vopsru esa tkdj lek tkrk gS vkSj ;g çR;{k rkSj ij iQk;nk igqapkrk gSA lqcg dqN nsj fdlh ikdZ esa tWkfxax t:j djsa ;k rst dneksa ls pysa ;k fiQj ç—fr ds chp FkksM+h nsj cSBsaA njvly ;gh og le; gksrk gS tc vki vius iwjs fnu ds fy, ÅtkZ xzg.k djrh gSaA vc ;fn vkius dksbZ ladYi fy;k gS rks ml ij fopkj djsaA tSls] 'eSa tSlh gwa] mlh :i esa [kqn ls I;kj djrh gwa] eSa vWkfiQl esa cWkl ;k lgdfeZ;ksa ds lkFk csgrj vkSj [kq'kxokj laca/ j[k ldrh gwa] eSa nw/ okys ;k egjh ls jkst dh fpdfpd dks vklkuh ls lqy>k ldrh gwa' ;k fiQj cPpksa dh i<+kbZ&dSfj;j dks ysdj ges'kk cus jgus okys ruko dks

[kRe dj ldrh gwa--A bu ckrksa dks vopsru esa nksgjkrh jgsa] Bhd oSls gh tSls ge cPpksa ls eqgkojs ;k dfork dh iafDr;ka nksgjkus dks dgrs gSaA tc Hkh dksbZ udkjkRed fopkj ;k loky tsgu esa mBus dks gks] vius ladYiksa dks nksgjk,aA nksigj dh Fkdku dks cnysa pqLrh esa nksigj dk le; og gksrk gS tc vkidk ÅtkZ Lrj fxjus yxrk gS vkSj [kqn dks nksckjk ls ÅtkZoku cukuk t:jh gksrk gSA feuh dgrh gSa fd nksigj ds le; vki nl feuV viuh lHkh vokafNr iQkbYl] dk;ZØe] fpëh&iQksu vkSj bZesy fuiVkus ds ckjs esa lkspsaA ,d ckj t:jh dk;Z fuiV tk,a rks FkksM+k lqLrk ysaA dksbZ lqxaf/r vWk;y ysdj ekFks ij yxk ysa] blls vkidks jkgr eglwl gksxhA ;wdsfyIVl] yseuxzkl ;k jkstesjh ds lqxaf/r vWk;y dh pkj cwan fdlh NksVh lh cksry esa ysaA blesa vk/k ikuh Hkjdj vklikl bldk fNM+dko djsaA ?kM+h dh fn'kk ds vuqlkj vius pkjksa vksj Lçs djsaA

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