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MHT

MkWgs0YFkdh

ds ;j ckr

cPpksa dks yx jgh baVjusV dh yr

b Dr. Rajiva Kumar Child Specialist Muzaffarpur (Bihar)

14 fnlacj-w®vw

aVjusV u dsoy o;Ldksa ds fy,] cfYd cPpksa ds fy, Hkh yr curk tk jgk gSA ns”k esa lkr lky ls 11 lky rd dh mez ds dbZ cPps çfrfnu ikap ?kaVs ls Hkh vf/kd le; baVjusV ij fcrkrs gSaA ;g vknr cPpksa dh lsgr ds fy, [krjukd lkfcr gks ldrh gSA ns”k ds pkj egkuxjksa fnYyh] eqacbZ] csaxywj vkSj psUubZ esa ,lksfl,VsM pkSaclZ v‚Q d‚elZ ,aM baMLVªh v‚Q bafM;k] }kjk fd, x, ,d gkfy;k losZ{k.k ds urhts crkrs gSa fd baVjusV cPpksa dh yr curk tk jgk gSA f”k”kq jksx fo’ks”kK Mk jktho dqekj dgrs

gSa fd lwpuk çkS|ksfxdh dks lh[kuk vkSj dqN le; ml ij fcrkuk xyr ugha gS] ysfdu csgn de mez esa ;g “kkSd ?kkrd gks ldrk gSA yxkrkj daI;wVj dk LØhu ns[kus ls vka[kksa ij tksj iM+rk gS vkSj utj detksj gks ldrh gSA flj esa nnZ dh f”kdk;r gks ldrh gSA dkQh nsj rd dqlhZ ij cSBs jgus ls ihB esa rdyhQ gks ldrh gSA Mk- jktho dqekj dgrs gSa fd de mez esa gqbZa ;g rdyhQsa vkxs tkdj cM+k :i ys ldrk gSaA fdlh pht dh de tkudkjh gksuk [krjukd gksrk gSA ubZ ih<+h ds T;knkrj cPps baVjusV ds tfj,


lh[kus esa T;knk fnypLih ugha ysrs] cfYd os egt daI;wVj dh LØhu ns[k jgs gksrs gSa] tgka os ml er ;k fopkj dh ryk”k djrs gSa tks muds tk;ds ds vuq:i gksrk gSA losZ ds urhts crkrs gSa fd lkr lky ls 11 lky dh mez ds 52 Qhlnh cPps jkstkuk vkSlru ikap ?kaVs usV lfQaZx djrs gSaA blh vk;q oxZ ds 30 Qhlnh cPps ,d ls ikap ?kaVs usV ij fcrkrs gSaA losZ ds vuqlkj] 12 ls 15 lky rd ds 58 Qhlnh cPpksa dks baVjusV vU; fdlh dke ls dgha vf/kd I;kjk gS vkSj og U;wure ikap ?kaVs bl ij yxkrs gSaA usV ij brus NksVs cPps vkf[kj djrs D;k gSaA losZ ds fu’d’kZ dh ekusa rks ;s cPps pSfVax djrs gSa vkSj xse [ksyrs gSaA ,sls cPpksa dh la[;k de ikbZ xbZ] tks Ldwy ds dke

ds fy, usV dh enn ysrs gSaA Mk jktho dqekj dgrs gSa fd bl leL;k dks “kgjh dj.k dh nsu ekuk tk ldrk gSA D;ksafd vxj cPps ds ekrk firk nksuksa gh ukSdjh djrs gSa rks mldh ns[k-js[k dkSu djsxkA tks Hkh vfHkHkkodksa dh xSjgkftjh esa cPps dh ftEesnkjh laHkkysxk] og vfHkHkkodksa dh rjg iwjh ftEesnkjh ls ns[k-js[k rks drbZ ugha djsxkA mUgksaus dgk fd ,sls esa cPps dks yacs le; rd vdsys jguk iM+rk gSA fQj le; fcrkus ds fy, mls baVjusV ds :i esa ,d nksLr fey tkrk gSA dbZ ckj cPps usV ls vPNh ckrsa lh[krs gSa vkSj dbZ ckj ftKklk mUgsa xyr ckrksa dh vksj Hkh ys tkrh gSA vfHkHkkodksa dks gh bl ckjs esa mik; [kkstus gksaxs] rkfd cPps usV ij

ckr

MHT

MkW0 dh

T;knk le; u fcrk,aA gky gh esa fczVsu ds yanu esa lejlsV fLFkr VkuVu Ldwy ds çeq[k t‚u U;wVu us ,d v/;;u ds ckn dgk fd Qslcqd] fV~oVj vkSj cscks tSlh lks”ky usVofdaZx lkbV~l cPpksa ds uSfrd fodkl ds fy, [krjk cu jgh gSaA D;ksafd buds tfj, cPps >wB cksyuk vkSj nwljksa dks viekfur djuk lh[k jgs gSaA mudk dguk gS fd cPps bu lkbV~l ds tfj, oSls rks dbZ vPNh ckrsa vkSj lwpuk,a lk>k dj ldrs gSa] ysfdu os bldk bLrseky QwgM+ ckrsa vkSj rF;ksa dks rksM+us ejksM+us esa dj jgs gSaA Mk- jktho dgrs gSa fd ,sls cPpksa dks vius cM+ksa ds ekxZn’kZu dh t:jr gS] rkfd os csgwnk phtksa vkSj rF;ksa esa QdZ dj ldsaA

fnlacj-w®vw 15


MHT

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ds ckr ;j

,p vkbZ oh vkSj

ekufld fodkj

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¿¥æ§ü ßè §‹ÂÈñ¤€UàæÙ ¥õÚU ×æÙçâ·¤ çß·¤æÚU ÂÚUSÂÚU ÁçÅUÜ âÕ‹Ï ÚU¹Ìð ãñ´ €UØô´ç·¤ °¿ ¥æ§ü ßè ßæØÚUâ ×æÙçâ·¤ ¥ÃØßSÍÌÌæ¥ô´ ·¤æ ·¤æÚU‡æ ÕÙ â·¤Ìæ ãñ, ¥õÚU ·¤§ü ×æÙçâ·¤ ¥ßSÍæ°´ ÃØçQ¤ ·¤æ L¤ÛææÙ °¿ ¥æ§ü ßè §´ÙÈÔ¤·¤àæÙ »ýã‡æ ·¤ÚUÙð ·¤è ¥ôÚU ·¤ÚU ÎðÌè ãñ´Ð °ðâð ×ÁÕêÌ âæÿØ Öè ãñ´ ç·¤ ·¤éÀ ̈ßô´ ·Ô¤ ÂýØô» âð ×æÙçâ·¤ ÚUô»ô´ ·Ô¤ âæÍ °¿ ¥æ§ü ßè §ÙÈÔ¤·¤àæÙ ·¤æ âÕ‹Ï ÂæØæ »ØæÐ °¿ ¥æ§ü ßè, ÃØçQ¤ ·Ô¤ ÃØçQ¤»Ì âð€Uâé¥Ü, ÃØßâæçØ·¤ ¥õÚU âæ×æçÁ·¤ ÁèßÙ ÂÚU ÕǸæ ÂýÖæß ÇæÜÌæ ãñÐ °¿ ¥æ§ü ßè ¥õÚU ×æÙçâ·¤ ÚUô» çِÙçÜç¹Ì M¤Â âð ÂÚUSÂÚU âÕ‹Ï ÚU¹Ìð ãñ´Ð 8°¿ ¥æ§ü ßè â´R¤ç×Ì ÃØçQ¤Øô´ ×ð´ §â ßæØÚUâ ·¤è ÕéÚUè ¥ßSÍæ ¥õÚU ©ââð â´»çÆÌ ÕéÚUè âæ¹ ·Ô¤ ÂçÚU‡ææ×SßM¤Â ÕÇ¸è »ÖèÚU ÁÊÕæÌè (emotional) ÂýçÌçR¤Øæ°´ ãôÌè ãñ´Ð 8°¿ ¥æ§ü ßè âèŠæð ×çSÌà·¤ ÂÚU ÂýÖæß ÇæÜÌæ ãñ Áô ÙÃâü ¥ÃØßSÍÌÌæ (Neurocognitive disturbances) ×Ùôçß·¤æÚU (Psychosis) Øæ ÃØßãæÚU ×ð´ ÌŽÎèçÜØæ¡ Üæ â·¤Ìæ ãñÐ 16 fnlacj-w®vw

8·¤éÀ Îßæ°´ Áô HAART (highly active antiretro viral therapy) ×ð´ §SÌð×æÜ ·¤è ÁæÌè ãñ´ çÁÙ·¤æ ×æÙçâ·¤ âæ§Ç §ÈÔ¤€UÅU ãôÌæ ãñÐ 8çÁÙ ßØçQ¤Øô´ ·¤ô »ÖèÚU ×æÙçâ·¤ ÚUô» ãô´ ©Ù×ð´ °¿ ¥æ§ü ßè §ÙÈÔ¤àæÙ ãôÙð ·¤è ¥æàæ´·¤æ ÕÙè ÚUãÌè ãñ ¥õÚU §â ÌÚUã ·Ô¤ Üô»ô´ ·Ô¤ çÜ° çßàæðá ÂýÕ‹ŠÙ ãôÌæ ãñÐ 8×æη¤ ÂÎæÍü ·¤æ §SÌð×æÜ ¥õÚU °¿ ¥æ§ü ßè ÂÚUSÂÚU ÇæØÚUð€UÅU ¥õÚU §Ù ÇæØÚUð€UÅU ßð ×ð´ âÕç‹ŠæÌ ãñ´Ð (Interavenous drug use: IVDU) ¥õÚU âð€Uâé¥Ü ÃØßãæÚU ÂÚU ÂýÖæß ÇæÜÌð ãñ´Ð 8§ÜæÁ ¥õÚU Õè×æÚUè ·¤è ¥ßSÍæ ÂÚU ×æη¤ ÂÎæÍô´ü ·Ô¤ âðßÙ ¥õÚU ÁÊÕæÌ ÕãéÌ ÂýÖæß ÇæÜÌð ãñ °¿ ¥æ§ü ßè âð âÕç‹ŠæÌ ÕãéÌ âè ¥ÃØßSÍÌæ°´ ãñ´, ÁñâðÑ 8°¿ ¥æ§ü ßè ÂÈ ôçÕØæÑ §â×ð´ ÃØçQ¤ °¿ ¥æ§ü ßè ßæØÚUâ ãôÙð âð ÇÚUÌæ ãñ Øæ ©‘¿ Áôç¹× ÖÚUð ÕÌæüß âð ÂãÜð ãè â´R¤ç×Ì ãô ÚUãæ ãñ, ãæÜæ¡ç·¤ ßã Âê‡ææüÌØæ Æè·¤ ãñÐ 8ç·¤âè ·Ô¤ çÕÀǸÙð âð çßØô» ¥õÚU Îé¹Ñ °¿

Dr. Rohit Garg

MD (Neuropsychiatry) New Delhi

¥æ§ü ßè ¥õÚU °Ç÷â ·¤è ¿ÚU× âè×æ ÂÚU ãôÙæ, SßæS‰Ø ·¤æ ç»ÚUÙæ, çßçÖóæ ¥´»ô´ ·¤æ âé¿æM¤ Ù ãôÙæ, àæÚUèÚU ·¤æ ÌðÁ¸è âð çàæçÍÜ ãôÙæ â×Ø âð ÂãÜð ÁèßÙ-ãæçÙ Öè (bereavement) ·Ô¤ ÂçÚU‡ææ× ãôÌð ãñ´Ð 8Õð¿ñÙèÑ x® âð y® ÂýçÌàæÌ °¿ ¥æ§ü ßè ÂèçÇ¸Ì ÃØçQ¤Øô´ ×ð´ Õð¿ñÙè ¥õÚU ÂðÚUàææÙè M¤Âè ¥ÃØßSÍÌæ¥ô´, ÕÎÙæ×è ·¤æ ¥ãâæâ, ©ç¿Ì §ÜæÁ ©ÂËŽÏ Ù ãôÙæ, ƒæçÅUØæ ãñËÍ ·Ô¤ØÚU ¥æçÎ Õð¿ñÙè ¥õÚU ÂÚUðàææÙè ×ð´ §Á¸æÈ æ ·¤ÚUÌð ãñ´Ð 8 çÇÂýðàæÙÑ ¥ŠØØÙô´ ×ð´ Îð¹æ »Øæ ãñ ç·¤ °¿ ¥æ§ü ßè â´R¤ç×Ì ÃØçQ¤Øô´ ×ð´ Øã ÕÇ¸æ ¥æ× â槷ԤçÅþ·¤ çâ´Çþô× ãñÐ v® âð y® ÂýçÌàæÌ Øã ÖæÚUÌèØ ¥ŠØØÙô´ ×ð´ ÂæØæ »Øæ ãñÐ çÇÂýðàæÙ âð ÂèçÇ¸Ì ÃØçQ¤ ×ÚUÙð ·¤è §‘Àæ ÁæçãÚU ·¤ÚUÌð ãñ´, ·¤Öè-·¤Öè ¥æˆ×ãˆØæ ·Ô¤ çß¿æÚU âð »ýSÌ ÚUãÌð ãñ´ ¥õÚU ·¤éÀ ¥æˆ×ãˆØæ ·¤è ·¤ôçàæàæ Öè ·¤ÚUÌð ãñ´Ð çÇÂýðàæÙ ¥õÚU ÎÕæß (Stress) àæÚUèÚU ×ð´ °¿ ¥æ§ü ßè âð ÜǸÙð ·¤è àæçQ¤ ·¤ô ƒæÅUæ ÎðÌð ãñ´Ð 8 ¥æˆ×ãˆØæ ¥õÚU °¿ ¥æ§ü ßèÑ ¥æˆ×ãˆØæ çÇÂýðàæÙ, çÙÚUæàææ, ¥·Ô¤ÜæÂÙ ¥õÚU âãæÚUð ·¤è ·¤×è ·¤è biopsychosocial ÁçÅUÜÌæ¥ô´ ·¤æ ÂçÚU‡ææ× ãñÐ °¿ ¥æ§ü ßè â´R¤×‡æ ¥ÂÙð âÖè Ù·¤ÚUæˆ×·¤ ¥Íô´ü ¥õÚU ÖðÎô´ ·Ô¤ âæÍ Öçß’Ø ×ð´ ¥æˆ×ãˆØæ ·Ô¤ çß¿æÚU ¥æÙð Øæ ·¤ÚUÙð ·Ô¤ L¤ÛææÙ ·¤æ Üÿæ‡æ ãô â·¤Ìæ ãñÐ 8 ×æη¤ ÂÎæÍô´ü ·¤æ âðßÙ ¥õÚU °¿ ¥æ§ü ßèÑ Øã çÈ ÚU Á¸ôÚU Îð·¤ÚU ·¤ãÙð ·¤è ÁM¤ÚUÌ Ùãè´ ç·¤ ×æη¤ ÂÎæÍü ¹æâÌõÚU âð IVU Çþ» ·¤æ âÕ‹Ï °¿ ¥æ§ü ßè âð ãñ Ølç Áôç¹× ÖÚUð âð€Uâ âÕ‹Ï ÖæÚUÌ ×ð´ °¿ ¥æ§ü ßè Èñ¤ÜÙð ·¤è °·¤ ¥æ× ßÁã ãñ, ×æη¤ ÂÎæÍô´ü ·¤æ §SÌð×æÜ Øæ ©Ù ÂÚU çÙÖüÚU ÚUãÙð ·¤ô ßæSÌß ×𴠧⠧ÙÈÔ¤àæÙ ·¤ô Èñ¤ÜæÙð ×ð´ ÀôÅUæ âæ ÚUôÜ ¥Îæ ·¤ÚUÙð âð ¥Ü» Ùã´è´ ç·¤Øæ Áæ â·¤ÌæÐ


MHT

gsYFkv‚Q M‚DVj

ndsea;Fjk

Mk.

nhid vjksM+k ,d ;w- ,l (vesfjdu cksMZ vkQ+ lsDlksyksth) izekf.kr fDyfudy lsDlksyksftLV gSa] os vesfjdu dkyst vkQ+ lsDlksyksftLV~l ;wñ ,lñ ,ñ ls f”kf{kr gSaA vkSj vU; ds vfrfjDr WAS (World Association of Sexual Health), ASECT (American Association of Sexuality Educators, Councellors and

Therapists),

ESSM

(European

Society for Sexual Medicines)

vkSj

ISSM (International Society for Sexual

ds lnL; gSaA os vesfjdu cksMZ vkQ+ lsDlksyksth] ;w ,l , vkSj iatkc vkSj fnYyh esa igys ;w ,l , (ABS) lVhZQkbM fDyfudy lsDlksyksftLV gSaA muds vkfVZdy fofHkUu fizaV vkSj baVjusV lekpkj i=ksa vkSj eSxt+huksa tSls fgUnqLrku VkbEl] VkbEl vkQ

Medicines)

Dr. Deepak Arora

USA (ABS) Certified Clinical Sexologist (Delhi & Chandigarh) 18 fnlacj-w®vw

bfUM;k] nSfud HkkLdj] esMhgsYFk VqMs] fVªC;wu] Qsfeuk] fXyEil] U;q ohesu] xsV fQ+ft+dy vkfn esa vkSj muds vius Cykx http://blog.draroras. com ij foLrkj ls ifCy”k gq, gSaA vki muds ;wV;wc pSuy% Dr. Aroras Clinic ij lsDlqvy gsYFk izkCye~l ij eqÝr ohfM;kst+ ns[k ldrs gSaA osc www.draroras.com ds Q+kmaMj Hkh gSa tks bfUM;k dh uañ1 lsDlqvy gsYFk dalYVs”ku osclkbV gSaA muds fDyfud ubZ fnYyh vkSj pUMhx<+ esa LFkkfir gSa ftuds ek?;e ls os lSdM+ksa ejht+ksa dh lsDl lEcU/kh chekfj;ksa tSls ,jsDVkby fMLaQD”ku] fizespj btSdqyS”ku ykWl vkQ fyfcMks] fQesy lsDlqvy fMlvkMZj~l] iq:’kksa ds ck¡>iu vkSj fyax lkbt+ lEcU/kh jksxksa dk bykt dj pqds gSaA


n eaFk

Hkkjr esa ,p vkbZ oh

MHT

M‚DVj v‚Q

vkSj nwljh lsDl lEcU/kh chekjf;ksa (STD’s) ds ckjs esa vkidks D;k tkuus dh t+:jr gSA

80

ds n”kd ls lcls vf/ kd QSyus okyh lsDlqvy chekfj;ksa (STD’s) esa lcls T+;knk fjlpZ “kk;n ,p vkbZ oh ij dh x;h gSA ,p vkbZ oh ok;jl euq’; ds chekfj;ksa ls yM+us okys izfrjks/kd flLVe ij izHkko Mkyrk gS vkSj “kjhj dks laØe.k ls cpko dh “kfDr dks det+ksj djrk gSA ;g ok;jl vlqjf{kr lsDl djus ls QSyrk gSA ,d gh lwbZ dk dbZ yksxksa ds “kjhj ij bLrseky] laØfer ek¡ }kjk f”k”kq esa vkSj dqN ekeyksa esa nwf’kr jDr dks nwljksa esa p<+kus ls QSyrk gSA ,p vkbZ oh dk irk yxkus esa ,d leL;k ;g gS fd yEcs le; rd laØfer O;fDr esa blds y{k.k fn[kkbZ ugha nsrsA dqN “kq:vkrh y{k.k tSls Ýyw] eq¡g ds t+[+e] cq[kkj] Fkdku vkSj xzfUF;ksa dh lwtu vkfn gksrs gSaA ,UVh&ok;jy nok,a ,p vkbZ oh dks iwjh rjg ,M~l esa rCnhy gksus ls jksdus esa enn dj ldrh gSa] ysfdu ;s tYn ls tYn ysuh “kq# djus dh vko”;drk gksrh gSA ;g lqfuf”pr djus ds fy, O;fDr laØfer gS] CyM VsLV djkuk gh ,d jkLrk gSA ;fn ifj.kke ;g crkrs gSa fd jksxh ,p vkbZ oh ikft+fVo gS rks bls duQeZ djus ds fy, osLVuZ CykM VsLV djkuk vko”;d gS vkSj blh ds vuqlkj jksxh dks A ART (,UVh jsVªks Fksjsih) Lis”kfyLV MkDVj ls lEidZ djuk pkfg,A vfodflr ns”kksa [kklrkSj ls vQzhdk esa ,p vkbZ oh ds ekeyksa esa cgqr c<+ksrjh gks pqdh gS vkSj Hkkjr Hkh bl fo”oO;kih fnlacj-w®vw 19


MHT

M‚DVj gsYFkv‚Q

ndsea;Fjk

jksx ds iatksa dh tdM+ esa vkus ls vNwrk ugha gSA 2009 esa fd;s x;s ,d losZ{k.k ds vuqlkj Hkkjr esa jgus okys 2-39 fefy;u yksx ,p vkbZ oh laØfer ik, x;s vkSj bl dkj.k mlh o’kZ 172]000 yksxksa dh e`R;q gks x;hA okLrfod vk¡dM+s blls Hkh Å¡ps gks ldrs gSa D;ksafd cgqr ls ekeys bl chekjh dks ysdj cnukeh] vyx&Fkyx iM+ tkus ds Mj vkSj “keZ dh otg ls izdk”k esa ugha vk ikrsA bu iwoZfu/kZfjr /kj.kkvksa] lwpuk ds vHkko vkSj vKkurk us ekeys dks vkSj Hkh laxhu cuk fn;k gSA bl leL;k ls fuiVus ds fy, ,d gh jkLrk gS yksxksa esa tkx:drk dks c<+kok nsuk] [kklrkSj ls xzkeh.k {ks=ksa esa] vkSj mUgsa bl chekjh ds ckjs esa mfpr lwpuk nsuk vkSj ;g crkuk fd laØfer yksxksa ls fdl rjg lqywd fd;k tk, vkSj muls fpfdRlh; vkSj lkekftd Lrj ij fdl rjg O;ogkj fd;k tk,A ;g tkuuk egRoiw.kZ gS fd ,p vkbZ oh laØfer O;fDr ls O;ogkj blh rjg djsa tSls ?kj ij ;k dk;Z&LFky ij djrs gSaA ,p vkbZ oh gkFk feykus ls] xys feyus ls ;k ePNj ds dkVus ls ugha QSyrkA ;g eq[keSFkqu djus ls] ,sls xgjs pqEcuksa ls ftuesa eq¡g dh ykj esa elw<+ksa ls fjLrs jDr ;k ?kko lEidZ esa vktk,a cSDVhfj;k laØfer vkSt+kjksa (tks VSVw cukus vkSj ukbZ dh nqdku esa iz;ksx esa yk, tkrs gksa) ls QSyrk gSA ;gk¡ rd fd daMkse Hkh “kr&izfr”kr lqjf{kr ugha gSa] os QV ldrs gSa ;k muesa lw{e Nsn gks ldrs gSa ftlls ok;jl ,d ls nwljs O;fDr esa QSy ldrk gSA blfy, vko”;d gS fd vki ukbZ dh nqdku ij “kso djkus tk,a rks mlls fcYdqy u;k CysM yxkus dks dgsa vkSj VSVw cuokus esa cSDVhfj;k jfgr vkStkjksa ds bLrseky djus dks lqfuf”pr djsaA lsDl ls ijgst+ ;k cgqr oQ+knkj lsDlqvy ikVZuj ls lEcU/k jksx ds tksf[ke dks de djus dk nwljk mik; gSA Hkkjr esa vjsat eSfjt] cgqr lkekU; lh ckr gS] ;fn vki bl rjg fookg dj jgs gSa rks cU/ku esa c¡/kus ls igys vius Hkkoh ifr@iRuh dh ,p vkbZ oh@vkSj nwljh 20 fnlacj-w®vw

laØe.k ls QSyus okys jksx lEcU/kh fjiksVZ vo”; ek¡xsaA ,sls nqHkkZX;iw.kZ ekeyksa esa tgk¡ nksuksa (ifr&iRuh) bl ok;jl ls laØfer ik, x;s rc Hkh ;g cgqr egRoiw.kZ gks tkrk gS fd nksuksa esa laØe.k dk Lrj fHkUu&fHkUu gks ldrk gS blfy, lsDl djus ds nkSjku lqj{kk ds mik; djuk t:jh gS D;ksafd c<+s gq, laØe.k Lrj dk ikVZuj ,M~l dh lEHkkouk fuEu Lrj ds laØfer O;fDr esa c<+k ldrk gSA ,p vkbZ oh ds vykok nwljh laØe.k ls QSyus okyh chekfj;ksa ls Hkh O;fDr dks pkSdUuk jguk pkfg,A STD (lsDlqvy Vªk¡fLeVsM fMlht+st+) STI (lsDlqvyh Vªk¡fLesVsM buQsD”kal) ds uke ls Hkh tkuh tkrh gSa tks cgqr vke gSa vkSj mudh QSyus dh nj Hkh cgqr gS ftruk fd yksx le>rs gSa mlls Hkh T+;knkA buds ckjs esa lwpuk gksuk] buds izdkjksa ds ckjs esa] buds dkj. kksa] y{k.kksa vkSj blds bykt ds miyC/k gksus dh tkudkjh cgqr egRo j[krh gSA dqN cgqr vke ls ;kSu jksx (STD’S) bl izdkj gSa: 8 tsfuVy okVZ~l (HPV) tuukaxksa ij xqeM+h :- ;g ,d ,slk ok;jl gS tks fcuk lsDl fd, ;kSu&jksx (STD’S) iSnk djrk gSA HPV ok;jl tsfuVy okVZl dk dkj.k curk gSA piVh vkSj xksHkh ds Qwy dh rjg dh xqykch jax dh xqefM+;k¡ mHkj ldrh gSa] ;s vkerkSj ls gkfudkjd ugha gksrha vkSj vklkuh ls budk bykt gks tkrk gS ysfdu HPV] dfoZdy (L=h ds xHkkZ”k; dk rax {ks= tks ;ksfu ls tqM+k gksrk gS) dSalj ;k xqnk dSalj dk dkj.k cu ldrk gSA bl lcls [krjukd ok;jl dk eqdkcyk djus ds fy, osDlhu miyC/k gSaA 8 xksuksfj;k (Clap) :- bl laØe.k ls QSyus okys jksx dks fcuk bykt djk, NksM+uk L=h&iq:’k nksuksa esa ck¡>iu iSnk dj ldrk gSA ;g ,d cSDVhfj;y laØe.k gS tks lsDl&fØ;k djus ds nkSjku QSyrk gSA vkSj ,d laØfer ekrk f”k”kq dks izkd`frd :Ik ls tUe nsus ds nkSjku vius f”k”kq esa Vªk¡lfeV dj ldrh gSA blds y{k.k is”kkc djus esa tyu dk vglkl] Ropk

ij fiÙkh (yky pdÙks) ^vaMdks”kksa esa lwtu] isM+w esa nnZ vkSj pdÙksA bldk bykt ,UVh ck;ksfVDl ls gksrk gSA 8 tsusVy giZl :- (;g chekjh HSV uked ok;jl ls gksrh gS) vkSj ;kSu lEcU/k cukus ls QSyrh gSA ;g cgqr laØe.k QSykus okyh chekjh gS vkSj bldk bykt ugha gS] gkyk¡fd dqN nokvksa ls blds y{k. kksa dks de fd;k tk ldrk gS] bl jksx esa ;kSukax {ks=kksa esa Nkys iM+ tkrs gSa vkSj [kqys t[+e gks tkrs gSA ;g cgqr laØe.k ls yxus okyk jksx gS vkSj cgqr ls yksx tks blls laØfer gS bls nwljksa esa iQSyk ldrs gSa] pkgs jksx ds t+fgjh y{k.k u fn[kkbZ ns jgs gksa vkSj ?kko Hkh u fn[kkbZ ns jgs gksaA 8 flQ+fyl :- ;g cgqr mPp laØe.k QSykus okyh cSDVhfj;y chekjh gSA ;g tjk dfBurk ls irk yxus okyk jksx gS D;ksafd blds y{k.k nwljh chekfj;ksa ls feyrs&tqyrs gSaA tSls l[rh] tuukaxksa esa ;k xqgk esa nnZ jfgr ?kko] ryqvksa ;k gFksyh ij ;k “kjhj ds nwljs Hkkxksa ij yky pdÙks ;k xzfUFk;ksa esa lwtu] ckyksa dk >M+uk Fkdku vkfnA ;fn bldk bykt u dj;k tk, rks ;g yhoj] efLr”d] vk¡[kksa] uo~Zl vkSj ‘kjhj ds fV”;wt+ dks cgqr uqdlku igq¡pk ldrk gSa vkSj bu esa fodkj vk ldrk gSA fliQ+fyl dk bykt isaflyhu }kjk fd;k tkrk gSA 8 DykehfM;k :- (Chlamydia) ;g QSyus okyh vke chekjh gSA tks ;kSu lEcU/ k ds nkSjku thok.kq laØe.k ls iQSyrh gSA DykehfM;k ds y{k. T+;knkrj iwjh rjg fn[kkbZ ugha nsrs ;k iwjh rjg ekStwn gh ugha gksrsA fL=k;ksa esa blds y{k.k lsDlqvy bUVjdkslZ ds ckn [kwu tkjh gksuk] ostkbuy fMlpktZ (;ksfu izlzko) vkSj is”kkc djus esa tyu gSaA iq:”kksa esa bl jksx ds y{k.k fyax ls nªolzko] vaMdks”kksa esa lwtu is”kkc esa tyu gSaA bldk ,aVh ck;ksfVDl ls bykt fd;k tk ldrk gSA 8 gsisVkbfVl ch :- ;fn bl jksx dk bykt u fd;k tk, rks bl ok;jl dk laØe.k yhoj dks rckg dj ldrk gS vkSj yhoj fljksfll vkSj yhoj dSalj dk


dkj.k cu ldrk gSA ;g [kwu vkSj “kjhj ds nwljs noksa ds lEidZ esa vkus ls gks tkrk gS blfy, ;g ;kSu lEcU/kksa ds cukus ls] ,d gh lwbZ dk dbZ O;fRd;ksa }kjk iz;ksx ls ;k ,d gh CysM dk dbZ O;fDr;ksa }kjk iz;ksx djus ls vkSj ;gk¡ rd fd nwljksa ds VwFkcz”k ds iz;ksx ls Hkh QSy ldrk gSA isV nnZ] Fkdku] vk¡[kksa ;k Ropk dk ihykiu] is”kkc esa dkykiu vkSj eryh dk vkuk blds y{k.k gSaA blds osDlhu vkidks gsisVkbfVl ch ls lqjf{kr j[k ldrs gSa blfy, ;g csgrj gS fd bldk oSDlhu ys fy;k tk, D;ksafd bl chekjh dk bykt ugha gS] gkyk¡fd ,slh nok,a gS tks blds ok;jl dks jksds j[k ldrs gSaA 8 fVªdkseksfu;fll :- ;g ,d ,slh chekjh gS tks Parasites (ijthfo;ksa)ds dkj.k gksrh gS vkSj ;kSu lEcU/k ds pyrs QSyrh gSA iq:’kksa esa blds y{k.k fyax ls nªo dk L[fyr gksuk is”kkc esa tyu] gSaA fL=;ksa esa blds y{k.k gSa lsDl fØ;k esa nnZ] ;ksfu esa [kqtyh] vkSj cncw ds lkFk L[kfyr gksukA bl jksx dk bykt lykg nh x;h nokvksa ls vklkuh ls gks tkrk gSA 8 dSuØksbM :- ;g jksx (STI) ,d csDVhfj;k ds dkj.k gksrk gS ftlls tuukax {ks=ksa esa nnZ Hkjs t+[e gks tkrs gSaA lkSHkkX; ls ,UVhck;ksfVd ls bl buQsD”ku dk bykt vklkuh ls gks tkrk gSA vktdy ukStokuksa esa lsDlqvy gSYFk dks ysdj tkx:drk c<+ jgh gSA os ,slh lwpukvksa ds izfr ltx gSa tks lsDl&eqnnksa ds izfr tkx:d gksus esa enn djrs gSa tSls gkbthu vkSj lqj{kk (lqjf{kr lsDl lEcU/k j[kuk) ysfdu blds ckotwn lsDl }kjk QSyus okyh chekfj;k¡ ds QSyus dk Lrj Hkkjr eas ukStokuksa esa cgqr T+;knk gSA [kklrkSj ls dkyst tkus okys fo|kfFkZ;ksa ds rkYyqd ls ;g ckr lp gSA buesa cgqr lkjs fo|kFkhZ lsDlqvyh ,fDVo gSa vkSj buesa cM+h la[;k ,slksa dh gS ftuds dbZ&dbZ ikVZulZ gSaA ekgkSy vkSj iz;ksx djus dh vko”;drk ds dkj.k bl ,t xzqi esa fofHkUu izdkj dh laØe.k okgd (STD’s) chekfj;k¡ iui ldrh gSa tks nwljksa es QSy ldrh gSaA dkyst ds n`”; dh ckr djsa rks ikVhZ

nsuk cM+h vke lh ckr gS ftlesa vYdksgy vkSj MªXl vke gSa ;s pht+sa lkspus dh {kerk dks de djrh gSa vkSj cfUn”kksa dks bl Lrj rd fxjkrk gS fd bls bLrseky djus okys dks dqN QSlys ysus ij mdlkrk gS] [kklrkSj ij lsDl djus ij ftl ij mUgsa ckn esa vQlksl gks ldrk gSA cnfd+Lerh ls ?kcjkgV ,d cM+k dkj.k gS ftlds pyrs ukStokuksa dh cM+h la[;k viuh ;kSu&jksxksa (STD’s) vkSj HIV dk VsLV djkus ls drjkrh gSA nwljk dkj.k ;g gS fd os VsLV djkus dh t+:jr eglwl ugha djrs D;ksafd ;kSu jksx ls ihfM+r cgqr ls jksxh okLrfod y{k.k cgqr foyEc gksus ds ckn crkrs gSaA STD VsLV djus okys fDyfud vkSj lgwyrksa dh deh Hkh bl rjg ds ;kSu&jksxksa (STD) ds fuEu Lrj dh VsfLVax dk ,d dkj.k gSA vkt dh ukStoku ih<+h ds fy, ;g egRoiw.kZ gS fd os ;g eglwl djsa fd muds fy, ;kSu jksxksa dk ijh{k.k t+:jh gS ;fn os lsDlqvyh ,fDVo gSa] D;ksafd chekfj;ksa dk igys gh irk yxk ysuk muds dke;kc bykt ds fy, egRo j[krk gSA ijgst ges”kk csgrj gksrk gS vkSj bl mnkgj.k esa ljdkj] ,u th vks vkSj izkbosV lsDVj ds yksxksa dks bl ds fy, tkx`r fd, tkus dh t+:jr gS fd fdl rjg bu chekfj;ksa ds lEidZ esa vkus ls cpk tk, (T+;knkrj STD’s daMkse ds bLrseky ls jksdh tk ldrh gSaA) vkSj mudk bykt fdl rjg fd;k tk,A vesfjdk vkSj nwljs if”peh ns”kksa ds cjf[kykQ gekjs ns”k esa foLr`r ijh{k.k dh lgwyrsa (Testing Facilities) ugha gSa k vkSj bl rjg dh VsfLVax lgwyrksa ds fy, ljdkj vkSj izkbosV lsDVj ds feydj dke djus dh t+:jr gSA pyrh&fQjrh VsfLVax ;qfuVksa dks cukus dh vko”;drk gS rkfd gekjs fo”kky ns”k ds xzkeh.k {ks=ksa esa ;g igq¡p ldsaA MkDVj vkSj nwljs esfMdy LVkQ dks bl rjg ds izkstsDVksa dks lQy cukus ds fy, viuk le; vkSj dq”kyrkvksa dk nku djus dh vko”;drk gSA Ldwyksa dkystksa vkSj nwljs f”k{k.k laLFkkuksa dks vius fo|kfFkZ;ksa dks bu chekfj;ksa ls cpko ds

ndsea;Fjk

MHT

M‚DVj gsYFkv‚Q

ckjs esa f”kf{kr djuk pkfg,A izsl [kkl rkSj ls Vh-oh pSuyksa dks pkfg, fd vius Lkzksrksa dks “tkx:drk ekl” ds rkSj ij bLrseky djsa D;ksafd bl eqís dks ysdj eqf”dy ls dojst vkSj tufgr esa dksbZ izxfr gksrh gSA (,p vkbZ oh bl dk viokn gSA) bUVjusV nwljk ek?;e gS ftls ukxfjdksa dks eksfcykbt djus ds fy, vkSj bl loZO;kih leL;k ls voxr djkus ds fy, bLrseky fd;s tkus dh t:jr gS ftlds ckjs esa gekjs ns”k esa T+;knk ckr ugha dh tkrhA

fnlacj-w®vw 21


MHT

doj gsYFk

LVks ds;jjh

,p vkb oh ds jgrs lsDl ykbQ+ dks cjdjkj j[kukA ,p vkb oh laØfer yksxksa ds fy, lqjf{kr lsDl dk igyk d+ne gS mfpr tkudkjh

,p

vkbZ oh tks fd ,M~l gksus dk ,d dkj.k gS ;fn mldh ckr djsa rks ;g tuukaxksa dks xqnxqnkus dk lcls T+;knk lsDlh :Ik ugha gS cfYd ;g lqjf{kr lsDl djus dk vkidk egRoiw.kZ d+ne gks ldrk gSA ,p vkb oh dh jksdFkke vkidks vius LVsVl (fLFkfr) dh tkudkjh vkSj vius ikVZuj dh fLFkfr dh tkudkjh ls “kq: gksrh gSA vkSj bl ckr ls Hkh fd blds laØe.k dks QSyus ls fdl rjg Vkyk tk 22 fnlacj-w®vw

ldrk gSA nqHkkZX;iw.kZ gS fd vk¡dM+s crkrs gSa fd gj dksbZ ,p vkb oh laØfer O;fDr viuh ,p vkb oh fLFkfr ds ckjs esa csykx ugha gksrk] tcfd 88 izfr”kr iq#’k tks iq#’kksa ls lsDl lEca/k j[krs gSa lEHkor% vius “kq#vkrh lsDlqvy ikVZuj dks ;g crkrs gSa fd og ,p vkb oh laØfer gS fd ughaA tks yksx vius dHkh&dHkh ds lsDlqvy ikVZuj dks bl ckjs esa crkrs gSa mu yksxksa ds eqdkcys esa yxHkx vk/ks (30 ls 40

izfr”kr) gksrs gSa tks ,slk ugha djrsA vHkh gky gh dk feuslksVk ;qfuoflZVh dk ,d vè;;u tks vesfjdk ds Ng cM+s “kgjksa esa ,p vkb oh laØfer 675 iq#’kksa ij fd;k x;k] n”kkZrk gS fd ftUgksaus vius dHkh&dHkh ds lsDlqvy ikVZujksa dks ;k nwljs lg;ksfx;ksa dks vius ,p vkb oh LVsVl ds ckjs esa crk;k mUgksaus nwljksa esa ,p vkb oh buQ+sD”ku dks QSyus ds [+krjs dks de djus dh vksj d+ne c<+k;k gSA


LVks ds;jjh

,p vkb oh dh jksdFkke ds fy, lqjf{kr lsDl

;

fn vki ,p vkb oh laØfer gSa vkSj lsDl djus ls nwj jgrs gSa ;k dsoy fdlh ,d ,p vkb oh fuxsfVo ikVZuj ls lEca/k j[krs gSa rks ;g vkidk ,p vkb oh buQ+sD”ku dks QSyus ls jksdus dk loksZÙkr mik; gSA cgjgky lqjf{kr lsDl djuk vius ikVZuj dks buQ+sD”ku ls nwj j[kus ds fy, cgqr gh egRoiw.kZ gSA vFkkZr vius ikVZuj dks vius ,p vkb oh LVsVl ds ckjs esa crk,a (lsjks LVsVl) ds ckjs esa Hkh vkSj vius ikVZuj ds LVsVl ds ckjs esa Hkh tkudkjh ysaA 8 tc dHkh lsDl djsa u, daMkse dk iz;ksx djsaA 8 L=h ls eq[k eSFkqu djrs le; ;k vius ikVZuj ls “fjfEeax” djrs le; MsaVy MSe] ysVsDl “khV ;k dV&vksiu dks QSyus ls jksdus esa ;g rjhds dgk¡ rd izHkko”kkyh gSa blds ckjs esa cgqr T+;knk lwpuk,a miyC/k ugha gSa ijUrq ;s rjhd+s cxSj fdlh #dkoV ds lh/ks&lh/ks Li”kZ djus dh vis{kk vf/ kd lqjf{kr gSaA 8?k’kZ.k jxM+ dks de djus ds fy, okVj csLM rjy dk iz;ksx djsaA 8 lsDl izfØ;k esa gkFkksa ;k maxfy;ksa dk mi;ksx djus ds fy, ysVsDl (ckjhd jcj) ds nLrkuksa (Xyo~l) dk mi;ksx djsaA vkidks ;g Hkh tkuuk vko”;d gS fd ,p vkb oh ds fofHkUu Lrj gksrs gSa] blfy, ;g lEHko gS fd nks O;fDr tks ,p vkb oh ikft+fVo gSa os ,d nwljs dks ,p vkb oh ds nwljs :Ik ls laØfer dj nsaA lEHko gS fd muesa ls dksbZ Mªx ysrk gksA ,slk u gksus nsus ds fy, ges”kk lqjf{kr lsDl djsa pkgs vkidk lkFkh ,p vkb oh laØfer gh D;ksa u gksA blls vki dbZ nwljh lsDl lEcU/kh chekfj;ksa ls lqjf{kr jgsaxs tks vkids ,p vkb oh laØe.k dks vkSj Hkh tfVy cuk ldrh gSaA eq[keSFkqu ls laØe.k QSyus dk bruk [krjk ugha gksrk ftruk fd ;ksfu eSFkqu vkSj xqgk eSFkqu esa gksrk gS ijUrq tksf[ke vo”; ekStwn jgrk gSA lssaVlZ iQkj fMlht+ daVªksy ,aM izsosaVs”ku ds ,d vè;;u esa ;g

rF; Hkh lkeus vk;k fd muesa ls izk;% lHkh xyrh ls ;g fo”okl dj cSBs Fks fd eq[keSFkqu ls ,p vkb oh dk dksbZ [krjk ugha gSA

,p vkb oh ls cpko ds fy, daMkse dk bLrseky... cFkZ daVªksy ds dbZ :Ik gSa vkSj dqN buQ+sD”ku ls cpko dk lk/ku izrhr gksrs gSa tcfd lPpkbZ ;g ugha] f>Yyhnkj daMkse dks ges”kk mi;ksx esa j[kuk cM+h gn rd lsDl izfØ;k ds nkSjku ,p vkbZ oh laØe.k dks jksdus esa izHkko”kkyh gSA daMkse fdl rjg bLrseky fd;k tk, ;g Hkh lqjf{kr lsDl dk ,d cgqr vge fgLlk gSA feuslksVk ;qfuoflZVh ds ,d vè;;u esa ;g ckr lkeus vkbZ fd iq#’k bl ckr dh ijokg u djrs gq, fd os ,p vkbZ oh laØfer gSa ;k ugha] [kqys rkSj ij lsDl fØ;k esa daMkse dk bLrseky djrs gSaA

,p vkbZ oh ds ckjs esa ckrphr dh ‘kq#vkr... ;fn vki ,p vkb oh ls laØfer gSa rks lsDl lEcU/k cukus esa lcls T+;knk lqjf{kr ;g jgrk gS fd vius lsjks&LVsVl ds ckjs esa ckr djsa vkSj vius ikVZuj ds ,p vkb oh LVsVl dh tkudkjh Hkh yasA vxj mUgsa bl ckjs esa irk ugha gS rks lsDl lEcU/k cukus ls igys ,p vkb oh VsLV djkus dks izkFkfedrk nsaA ;gka dqN fcUnq gSa ftuds ckjs esa vius ikVZuj ls ckrphr djsaA 8vkidh ,p vkb oh fLFkfr (Status) D;k gS\ 8D;k lsDl lEcU/k cukus ls igys VsLV djk ysus dh vkidh et+hZ gS\ 8D;k vkius Mªx ysus ds fy, lwb;ksa dk iz;ksx fd;k gS ;k mlesa lk>snkjh dh gS (Mªx ysus okyksa esa ,p vkb oh laØe.k dk [krjk cgqr vf/kd gksrk gSA) 8vkids fdrus ikVZuj Fks (lsDlqvy ikVZulZ dh cgqr vf/kd la[;k ,p vkb oh laØe.k ds tksf[ke dks c<+k nsrh gS)

MHT

doj gsYFk

8;fn vki ,p vkb oh ikft+fVo gSa rks vkidh CD4 dkmaV vkSj Viral Load D;k gSa\ (,p vkbZ oh laØfer yksx ges”kk laØfer gks ldrs gSa] blfy, tSls&tSls CD4 dkmaV~l Lrj fxjrk gS Viral Load c<+ tkrk gS) lsDl fØ;k ds nkSjku daMkse dk bLrseky djus ls vkidks dSlk eglwl gksrk gS (;g vius ikVZuj dh tkudkjh ds fy, vPNk le; gS fd daMkse ds bLrseky ij le>kSrk ugha fd;k tk ldrkA) 8D;k vkidks ekywe gS fd daMkse dSls bLrseky fd;k tkrk gS\ D;k eq[k eSFkqu ;k gkFk ls lsDl fØ;k djrs le; vki MsaVy Mse ;k f>Yyhnkj nLrkuksa dk bLrseky djrs@djrh gSa\ bl rjg dh ckrphr ,d u, ikVZuj ls djuk dfBu gks ldrk gS] ;fn ,p vkb oh ds ckjs esa ckrphr djus esa vkidks enn dh t+:jr gS rks feydj fdlh FksjsfiLV ;k ,M~l ijke”kZnkrk ls feysaA ;kn jf[k, fd;s x, iz”uksa ds mÙkjksa dks vki ilan ugha djrs rks vkidks lsDl fØ;k dh Iykfuax ls igys fiQj ls lkspuk pkfg,% vkidk LokLF; bl ij fuHkZj gSA

,p vkb oh laØfer jgrs gq, yEch mez ik,a... ,p vkb oh ikft+fVo O;fDr;ksa dh laHkkfor mez ,d n”kd esa pkj xquk c<+ pqdh gSA irk yxk,a D;ksa\ ,d 25 o’khZ; O;fDr ftlesa 1995 esa ,p vkb oh y{k.k ik, x,] vkSlru vkB o’kZ vkSj thus dh mEehn dj ldrk Fkk] vc ,slk O;fDr vkxs 33 o”kZ ;k vkSj vf/kd th ldrk gSA tcfd vc Hkh vkSj vkxs 51 o’kZ ls ;g de gS tks fd ,d vlaØfer O;fDr thus dh vk”kk djrk gSA ,p vkb oh laØfer O;fDr dh vk;q esa bruk lq/kj cM+k ukVdh; gS vkSj bl ok;jl ls laØfer yksxksa ds fy, vk”kk dh ,d fdj.k gSA

fnlacj-w®vw 23


MHT

doj gsYFk

LVks ds;jjh

,p vkb oh% thus dh vk’kk ij izHkko Mkyus okys dkjd ,sls cgqr ls dkjd fu”p; djrs gSa fd ,d O;fDr tks ,p vkb oh ls laØfer gS viuh vk”kk dh x;h mez dks igq¡psxk ;k mlls vf/kd ft;sxk] ftuesa ls dqN ;s gSa% vkidh izfrjks/kd “kfDr% ,p vkb oh] laØe.k ls yM+us okyh dksf”kdkvksa dks u’V djds “kjhj dh izfrjks/kd “kfDr dks rckg dj nsrk gSA ,p vkb oh ds bykt dh “kq#vkr [kklrkSj ls gkbyh ,fDVo ,UVhjsVªksok;jy Fksjsih (HAART) }kjk cgqr izHkko”kkyh gksrh gS ;fn buQ+sD”ku ds y{k.k ik, tkus ds rqjUr ckn bl rjg bykt “kq: dj fn;k tk,A bl rjg ,p vkb oh ls laØfer jksxh dh mez lEHkor% 11 o’kZ vkSj c<+ ldrh gS] ;fn HAART }kjk bykt dh “kq#vkr dh tk,A tc jksxh dh izfrjks/k “kfDr vis{kkd`r et+cwr (CD4 Count of 320 cells/ micrometer) gksrh gS] vis{kkd`r (with CD4 Count of 87 cells/microlitre) okyh det+ksj fLFkfr dsA 24 fnlacj-w®vw

vki esa ,p vkb oh dk f[kapkoiu%& dqN fuf”pr izdkj ds ,p vkb oh bykt esa nwljksa dh vis{kk vf/kd ck/k Mkyrs gSaA bykt esa enn%& funsZf”kr bykt dh Iykfuax esa vki dgk¡ rd fu;fer jgrs gSa ;g vkids yEcs le; rd LoLFk jgus esa egRoiw.kZ jksy vnk djrk gSA ,sls dqN lk{; gSa fd 50 ;k vf/kd mez ds ,p vkb oh jksxh ukStoku jksfx;ksa dh vis{kk VªhVesaV Iyku dks csgrj rjhd+s ls iQ+kyks djrs gSa urhts ds rkSj ij “kjhj esa ,p vkb oh Lrj de jgrk gS vkSj bldk izfrjks/kh flLVe l”kDr jgrk gSA gsisVkbfVl lh ok;jl (HCV) dh ekStwnxh%& 2000 vkSj 2005 ds chp ftu ,p vkb oh jksfx;ksa esa HCV buQ+sD”ku ik;k x;kA mudh lEHkkfor mez esa ls 6 o’kZ vkSj de gks x,A tc “kjhj bu nksuksa ok;jlksa ls laØfer gks rks “kjhj dks vksj T+;knk uqdlku igq¡prk gSA bl chekjh (HIV) dh Hkfo’;ok.kh esa cnyko%& ;g vc iwjh rjg lEHko gS fd ,p vkb oh ls laØfer jksxh ,M~l ds vykok nwljh chekfj;ksa ls ej tk,xk tks

fd ,p vkb oh laØe.k dh vfUre voLFkk gS tc “kjhj voljoknh laØe.kksa vkSj nwljh voLFkkvksa ls cqjh rjg {kfrxzLr gks tkrk gSA ;g fo”ks’k :Ik ls lp gS fd ,UVhfjVªksok;jy fFkjsih vkneh dh thfor jgus dh lEHkkouk c<+k nsrh gSA 1998 ls 2008 ds chp ,p vkb oh fDyfudy Vªk;y esa ,ujksy fd, x;s 12000 O;fDr;ksa esa ls 453 dh fuEufyf[kr dkj.kksa ls e`R;q gks x;hA 8 10 izfr’kr: ,M~l fMQ+kbfuax chekfj;k¡] tSls fuf”pr voljoknh laØe.k 8 21 izfr’kr: ,sls dSalj ftudk ,M~l ls lEcU/k u gks 8 9 izfr’kr: yhoj dh chekjh 8 8 izfr’kr: ,sls laØe.k tks ,M~l fMQ+kbfuax u gksa 8 5 izfr’kr: vkRe gR;k 8 4 izfr’kr: nwljh fdUgha pksVksa ;k nq?kZVukvksa ds dkj.k 8 4 izfr’kr: Mªx dk cM+h ek=k esa ysuk ;k T+;knk u”kk 8 29 izfr’kr: nwljh ;k vKkr ,p vkb oh%& lqj{kk ds mik;ksa dk ekiu mfpr gksa%& ;fn vki ,p vkb oh ls ihfM+r gSa


rks vius fQ+t+hf”k;u ls feydj vius fy, dksbZ Iyku Msoyi djuk cgqr egRoiw.kZ gS ftlls chekjh dh izxfr dks de fd;k tk ldsA blesa vkerkSj ls rhu Hkkx gksrs gSaA LokLF; dh ns[kjs[k esa ltx jguk%& t+:jh gS fd VsVul] fMIFkhfj;k vkfn chekfj;ksa ds osDlhu le;c¼rjhds ls ysaA ;|fibu osDlhuksa dh le; lkj. kh vkids det+ksj izfrjks/kh flLVe ds fglkc ls ,MtLV dh tk ldrh gSA 8 vkerkSj ls ,p vkb oh ls laxfBr chekfj;ksa dh jksdFkke%& 8 ,UVh fjVªksok;jy Fksjsih dksbZ Hkh O;fDr ,p vkb oh jksx ds fodflr gksus dh jÝ+rkj de dj ldrk gSA vius MkDVj ds lkFk feydj VªhVesaV Iyku dks Q+kyks djuk vkSj izkFkfed ekiksa dks viukuk egRoiw.kZ gSA vkidk MkDVj lEHkor% ;s ijke”kZ nsxk% 8 fu;fer :i ls O;k;ke djsa 8 lqjf{kr lsDl fØ;k djsaA bl rjg igys gh lpsr jgus ls jksxksa ds tksf[ke dks de fd;k tk ldrk gS vkSj nwljksa ds laØfer gksus ds [krjs dks Hkh de fd;k tk ldrk gSA 8 cSysal (larqfyr) MkbV ysa 8 /kweziku NksM+ nsa] vkSj ,slh MªXl u ysa ftudks ysus dh vkidks lykg ugha nh x;hA 8 vkjke djsa vkSj i;kZIr uhan ysaA ,sls lk{; gSa fd ruko vkSj Fkdku ,p vkb oh jksx dh izxfr vkSj jÝ+rkj c<+k nsrs gSaA bu ekudksa dks viukus vkSj MkDVj ds ijke”kZ dks ekuus ls vkids ,p vkb oh jksx dks eSust djus vkSj ,p vkb oh lEcfU/kr jksxksa ds fo#¼ izfrjks/k djus dh “kfDr ds flLVe dks et+cwrh feysxhA

,p vkb oh laØfer yksxksa dh [kkuiku dh vPNh vknrsa... ;fn vkidh ,p vkb oh izfrjks/h {kerk vPNh gS rks ;Fkk lEHko LoLFk jfg,] blfy, vPNk MkbV Iyku jksx ds bykt dk ,d fgLlk gSA ,d LoLFk MkbV Iyku ,p vkb oh dks u jksd ldrk gS u gh ;g bldk bykt gS ysfdu ;fn vki ,p vkb oh laØfer gSa vkSj bykt

ds fy, nok,a ys jgs gSa rks ;g vkidks vis{kkd`r vf/kd LoLFk j[k ldrk gSA vPNk [kkuiku vkidks ,p vkb oh laØfer gksus ds ckotwn lsgrean j[krk gSA ,M~l dh vksj izxfr dks /khek j[krk gS] [kjkc [kkuiku ls lEcfU/kr LokLF; leL;kvksa dh jksdFkke djrk gS] ,d LoLFk “kkjhfjd ot+u dks cuk, j[kus esa enn djrk gS tSls gh vki esa ,p vkb oh ds y{k.k ik, tk,a ;g csgrj gksxk [kkuiku dh vknrksa ij iqu% fopkj djsaA ,slk blfy, gS fd ,p vkb oh vkSj ,p vkb oh dk bykt nksuksa esa Hkw[k dk u yxuk vkSj Mk;fj;k gks ldrk gS tks yEcs le; rd ds fy, ot+u de dj nsrk gS vkSj vi;kZIr iks’k.k dh vksj ys tkrk gS vkSj vkidks ;g Hkh ekywe gksuk pkfg, fd ,p vkb oh ds lkFk ruko vkSj fMizs”ku vkids vUnj [kkus&ihus dh fnypLih dks [+kRe dj nsrk gSA

,p vkb oh laØfer yksxksa dk LoLFk [kkuiku... ;gk¡ vPNs [kkuiku dk ,d cqfu;knh [+kkdk is”k fd;k tk jgk gSA ;|fi gj O;fDr bls viuk ldrk gS ysfdu [+kklrkSj ls ;g mu O;fDr;ksa ds fy, vge gS tks jksxksa ds fo# ¼viuh izfrjks/kh “kfDr dks c<+kuk pkgrs gSaA 8 gj Hkkstu esa LVkpZ ;qDr oLrq,a [kk,a tsls vukt] pkoy vkyw czsM vkfn esa LVkpZ gksrk gSA fjQ+kbaM vukt dh ctk; ewy:i esa vukt dk iz;ksx djsaA 8 Qyhnkj lCt+h] lse] eVj vkfn vkids Hkkstu esa tgk¡ rd lEHko gks iz;ksx djsaA bu lc esa vPNh ek=kk esa ikSf’VdrRo gksrs gSaA 8 nw/k ls cus inkFkZ vkSj ek¡l Hkkstu esa ysuk lqfuf”pr djsa blls vkids “kjhj esa dSyf”k;e vkSj izksVhu dh vko”;drk iwjh gksxhA 8 jkst+kuk fofHkUu jaxksa ds Qy vkSj lfCt+;ka ysaA bl rjg izkd`frd foVkfeu vkSj feujy vki T+;knk ls T+;knk xzg.k dj ldsaxsA buds foVkfeu vkSj feujy dks lqjf{kr djus ds fy, bUgsa mckysa] okf’ir djsa vkSj vPNh rjg fgyk ysaA 8 vPNh ek=k esa ikuh fi;saA

LVks ds;jjh

MHT

doj gsYFk

8 NksVh lh ek=k esa Q+SV~l vkSj feBkbZ Hkh vius jkst+kuk ds Hkkstu esa tksM+ ysa (ysfdu ryk gqvk Hkkstu vkSj lksMk Hkkstu esa ls ?kVk ysa) 8 eYVh foVkfeu Hkh ysa ftuesa B12 vkSj ft+ad Hkh gksA

,p vkb oh% tc vkidk ot+u de gks jgk gks... ;fn vkidk ot+u de gks jgk gks vkSj Hkw[k de gks jgh gks rks fdruk U;wVªsaV~l vkSj dSyksjht+ ys jgs gSa blds ekiu ds fy, vkidks viuh MkbV esa dqN cnyko ykuk iM+sxkA gkyk¡fd ;g vkSj Hkh pSysaftax gks ldrk gS] ;fn vkidk [kkus dk th u pkg jgk gks ;k mcdkbZ lh vk, ;k eq¡g esa nkus gks tk,a ;k eq¡g esa lw[kkiu gks rks uhps fy[ks Hkkstu esa cnyko vkidh enn dj ldrs gSaA vius Hkkstu esa ek¡l dk iz;ksx djs] [kklrkSj ls fpdu] eNyh] tks vklkuh ls ip tkrs gSaA 8 Hkkstu ds ckn gYdk uk”rk Hkh ysa] vPNs uk”rs ds dqN mnkgj.k gSa ihuV cVj] lSaMfop] ;ksxVZ vkSj Qy vkfnA 8 Q+SV~l tSls ,oksdSMksl] t+Srwu dk rsy] uV~l vkSj uV cVj Hkh [kkus esa ysA 8 fcuk eykbZ mrjs gq, nw/k ds Ms;jh izksMDV~l Hkh ysaA 8 [kkus ds nkSjku fyfDoM ysa u fd [kkus esa fyfDoM gksA ;fn fcuk dksf”k”k fd, gq, 13 ls 15 ikSaM rd vkidk ot+u de gks x;k gS ;k [kkus esa vkidh :fp de gks jgh gS vkSj [+kqn dks jksxh eglwl dj jgs gSa rks MkWDVj ls feydj nokvksa ij fopkj foe”kZ djsa ;k dksbZ nwljh rduhd viuk,a ftlls [kkuk [kkuk vkids fy, vklku gks tk,A vkidk MkWDVj lqfuf”pr dj ldrk gS fd Hkw[k dk u yxuk ,p vkb oh ls lEcfU/kr gS ;k ;g ,p vkb oh ds VªhVesaV dk lkbM ,Q+sDV gS ;k fMizs”ku dk y{k.k gSA dkj.k ds vuqlkj VªhVesaV cnyk tk,xkA vkidks vkSlr ntsZ dk O;k;ke Hkh djus dh dksf”k”k djuh pkfg, tks vkidh Hkw[k dks mHkkjus ds lkFk lkFk nwljs LokLF; lEcU/kh ykHk Hkh nsxkA O;k;ke djus dk ,d vPNk dkj.k ;g fnlacj-w®vw 25


MHT

doj gsYFk

LVks ds;jjh

gS mnkgj.kr% ;g ruko vkSj fMizs”ku dks vki iy Hkj esa fdlh iqjkuh yiV dh pisV de djrk gS tks Hkw[k dks de djrs gSaA esa vk tk,a tgk¡ daMkse dk iz;ksx u fd;k x;k gksA ,p vkb oh laØfer yksxksa dh ;g dqN eat+jukes gSa ftuds dkj.k [kkuiku dh vPNh vknrsa... vkidks ,p vkb oh VsLV ds fy, eqLrSn T+;knkrj ot+u de voljoknh laØe.k jguk pkfg,A cgjgky dbZ yksx ,slk ugha ds ifj.kkeLo:Ik gksrk gS (,slk laØe.k djrs] lPpkbZ ;g gS fd ,d vankt+s ds izk;% jksxksa ds izfr det+ksj izfrjks/kh flLVe eqrkfcd+ 240000 vesfjdu bl laØe.k ls okyksa ij izHkko Mkyrk gS) le; jgrs xzLr gSa ysfdu bl ckjs esa tkurs ughaA laØe.k ls jksdFkke vkSj bykt vkidks dbZ yksx ,p vkb oh VsLV djkus ot+u vkSj Hkw[k cjd+jkj j[kus esa enn ls cprs D;ksa gSa\ ;qfuoflZVh ds fe;keh djsxkA feyj Ldwy vkQ+ esfMflu ds izksQ+slj vkerkSj ls laØe.k dk lzksr iznwf’kr vkQ+ esfMflu vkSj ,M~l fDyfudy fjlpZ Hkkstu gSA rks vius fdpu esa lqjf{kr ;qfuV ds Mk;jsDVj ekxZjsV fQ+”ky ,e Mh Hkkstu dks lqfuf”pr dj ysaA crkrs gSa fd ckj&ckj tks ,d cM+h pht+ 8 Ekk¡l vkSj v.Mksa dks vPNh rjg idk,aA fn[kkbZ nsrh gS og ;g gS fd jksx dks QSyus 8 dPps ek¡l vkSj lfCt+;ksa dks dkVus ls jksdus ds fy, vkidks viuh fLFkfr ds fy, ,d gh pkdw ;k “khV dk iz;ksx dh tkudkjh gksuk t+:jh gS blfy, VsLV u djsaA djkuk egRoiw.kZ gSA 8 gj ckj gkFk /ks,a [kklrkSj ls tc ,p vkb oh ds y{k.k fn[kkbZ nsus ls dPpk ek¡l] dPps vaMs ;k fcuk /kqyh lCt+h igys gh ;k blls nwljksa dks laØfer djus vkSj Qy gkFk esa ysaA ls igys gh bldh igpku gks ldrh gSA 8 [kkus ls igys Qy vkSj lfCt+;k¡ vPNh cgjgky dbZ dkj.k gS fd cgqr ls yksx rjg /kksysaA VsLV djkus ls drjkrs gSaA os lksprs gSa fd 8 cph gqbZ pht+sa nks fnu ls T+;knk u j[ksa irk ugha ckr jkt+ esa jgsxh ;k ugha] os bl vkSj nksckjk ges”kk mPp rki ij xeZ djsaA jksx ds tksf[ke dks de djds vk¡drs gSa] os ;fn vki fo”oLr ugha gS fd Hkkstu ;g ugha le>rs fd ,p vkb oh vkSj ,M~l dks LoLFk dSls cuk,a rks U;qVsª”ku dkSalsyj dk bykt fdl Lrj rd gksus yxk gSA ls ijke”kZ ysaA U;qVsªu ,tqds”ku ;g vk/kqfud ,p vkb oh VsfLVax ds crkus esa enn djrh gS fd ,p vkb oh fodYiksa us VsLV izfØ;k dks lh/k&lknk laØfer yksx LoLFk Hkkstu fdl rjg djsaA cuk fn;k gSA ;s ,p vkb oh ,UVh ckMht+ [kklrkSj bldk egRo rc vkSj vf/kd gks dk irk yxkus ds fy, fMt+kbu fd, x;s tkrk gS tc ,p vkbZ oh laØfer gksus ds gSa ,sls rRo tks ,p vkb oh dh ekStwnxh lkFk&lkFk vki xHkZorh Hkh gksaA n”kkZus ds fy, “kjhj esa curs gSaA bl VsLV esa eq¡g dh ykj ;k jDr dk lSEiy fy;k ,p vkbZ oh VsLV djus ds 3 rst+ rjhds... tkrk gS tks ,Dlikst+j ds mijkUr nks ls ,p vkbZ oh VsLV djkus dh pkg er vkB lIrkg rd dke djus yxrk gSA Mkjf[k, D;ksafd vki bl ckr ls ljksdkj fQ+”ky dgrs gSa okLro esa ;fn ;g fo”okl j[krs gSa tks vkidk MkWDVj lkspsxkA ;k ;g djus ds mfpr dkj.k gSa fd vki ,Dlikst+ fd D;ksafd ;g cgqr dfBukbZ esa iM+us dk gks pqd gSa] fQj bl rjg ds VsLV gSa tks fo’k; gS bu rst+ vkSj fo”oluh; tk¡p ds lh/ks&lh/ks ok;jl dh ekStwnxh dk irk yxk ysrs gSa vksj dqN gh fnuksa esa vkidks rjhd+ksa ij fopkj dhft,A ,d u;k lkFkh tks vkidks fo”okl ifj.kke nsus yxrs gSaA LVSaMMZ ,p vkb oh VsfLVax ds urhts fnykrk gS fd mldk ykLV ikVZuj ,p fudyus esa dqN gh fnu yxrs gSaA ;fn vkb oh fuxsfVo FkkA ysfdu mlls igys ds ikVZulZ ds ckjs esa D;k dgk tk,\ ;k “kq#vkrh urhts ikft+fVo gSa rks vkidks ,p 26 fnlacj-w®vw

vkb oh duQ+eZ djus ds fy, nwljs VsLV dh vko”;drk gksxhA bu ifj.kkeksa dks ns[kus esa dqN lIrkg rd yx ldrs gSaA

VsLV dgk¡ djk;s... ;fn vki ,p vkb oh VsLV djkuk pkgrs gSa rks% 8 vius MkWDVj ds ikl tk,a] ;fn vkidk dksbZ izkFkfed mipkj djus okyk MkWDVj gS rks ;g ns[ks&Hkkys ekgkSy esa VsLV djkus dk lgwyr okyk rjhd+k gSA 8 yksdy VsfLVax lkbV% ;fn vkidk dksbZ jsxqyj MkWDVj ugha gS ;k gsYFk ba”;ksjsal ugha gS izkFkfed mipkj djus okys fQ+t+hf”k;u ds ikl ugha tkuk pkgrs rks fdlh LFkkuh; ,p vkb oh @ ,M~l VsfLVax lkbV ij tk,a] tgk¡ vki eqÝ+r dkSflfyax ys ldrs gSa ;fn VsfLVax fjt+YV ikft+fVo gSaA bu lkbVksa ij rst+h ls VsLV gksrs gSa vkSj ifj.kke feUkVksa esa fey tkrs gSaA vf/kd tkudkjh ds fy, ;w-,l lsaVlZ QkWj fMlht+ daVªksy ,UM izsosU”ku ds Webste on HIV and STD testing resources ij tk,aA 8 bls ?kj ij djsa%& ;fn vki VsfLVax lkbV ij tkus esa lgwyr eglwl ugha dj jgs vkSj izkboslh ds fy, ?kj ij gh VsLV djkuk pkgrs gSa rks ;w-,l QwM Mªx ,MefuLVªs’ku (FDA) ,izwOM VsLV] the Home Access HIV-I Test System

gS tks vku ykbu ;k dbZ Mªx LVkslZ ls [kjhnk tk ldrk gSA bl rjg ds VsLV esa lIykbZ dh gqbZ lwbZ ls viuh maxyh esa dqN [kwu dh cwansa CykVj iSM ij fudky dj esy dj nh tkrh gSaA vkidks ,d dkSalyj rd igq¡pus ds fy, ,d vkbZ Mh dkMZ Hkh feysxk tks vkidks VsLV ds ifj.kke eqgS;k djsxkA ckt+kj esa dbZ rjg ds ,p vkb oh VsfLVax fdV~l miyC/k gSa ysfdu dsoy gkse ,Dlsl ,p vkb oh&1 VsLV flLVe ,Q+ Mh , ,izwOM gSA fQ+”ky dgrs gSa rjhd+k dksbZ Hkh pqusa vge pht+ ;g gS fd vki VsLV djk,aA mUgksaus dgk bl ckr dks ekU;rk gh tk pqdh gS fd ftruh tYnh VsLV djk fy;k tk,xk ge ejht+ dk bykt csgrj rjhd+s


ls dj ldrs gSa vkSj mUgsa ns[kHkky esa j[k ldrs gSaA nqHkkZX; dh ckr ;g gS fd vDlj vkneh VsLV ugha djkrs d;ksafd os tkudkjh ls Mjrs gSa% mUgsa bldk vuqHko ugha gS fd vc fdruk izHkko”kkyh bykt vk pqdk gSA ,FkjksLysjksfll (Atheroselerosis) ftlesa vkidh lsDl&ykbQ+ vkidh ft+Unxh ds fy, leL;k [kM+h djrh gS (Heart) ;g ,d rksM+&QksM+ djus okyk izkslslsl gS tks vkids g`n; dh vksj jDr ds izokg dks de djrk gS vkSj dksjksusjh vkVZjh fMlht+ gksus esa ;ksxnku djrk gS vkSj fyax esa jDr izokg djus jDr okfgfu;ksa dks Hkh izHkkfor djrk gS tks mldks vkosf”kr dM+k vkSj fLFkj j[krh gSaA blds foijhr ;fn vki fyax dks bl n”kk esa ugha ikrs rks ;g bl ckr dh vksj b”kkjk gS fd vkidk g`n; Hkh tksf[ke ij gSA ;fn ,FkjksLysjksfll vkidh

dksjksujh vkVZjht+ dks rax vkSj l[+r cuk pqdk gS rks bldk vFkZ gS fd vkids “kjhj esa dgha Hkh vkfVZjh lEHkor% izHkkfor gqbZ gSaA ,FkjksLysjksfll vkids g`n;] Vk¡xksa] efLr’d vkSj fyax esa igq¡pus okys jDr ds izokg dks jksd ldrk gSA ;fn ,FkjksLysjksfll vkids fyax esa igq¡pus okys izokg dks izHkkfor djrk gS rks fyax esa mfpr ek=k esa jDr u igq¡pus ds dkj.k fyax l[+r vkSj yEcor voLFkk esa ugha jg ldsxkA ,d vè;;u esa ik;k x;k fd 64 izfr”kr iq#’k ftUgsa gkVZvVSd gqvk mUgsa g`n; jksx dk irk yxus ls igys fyax f”kfFkyrk dh f”kdk;r FkhA dqN fo”ks’kK jk; nsrs gSa ;fn vki esa g`n; jksx ds y{k.k ugha ik;s x, rks fyax dh f”kfFkyrk dks lko/ku gks tkus dh ,d dkWy le>uk pkfg,A ;g ,d psrkouh gks ldrh gS fd g`n; dk iks”k.k djus okyh /kefu;ksa dks dksbZ gkfu igq¡p jgh gSA

LVks ds;jjh

MHT

doj gsYFk

bUgha dkj.kksa ls vkids fyax dh /kefu;ksa esa ,FkzksLysjksfll gksus dk tksf[ke vki esa dksjksujh vkVZjh jksx gksus dh vk”kadk,a c<+k nsrk gSA D;ksafd vkids fyax esa jDr ys tkus okyh /kefu;k¡ g`n; esa jDr ys tkus okyh /kefu;ksa dh vis{kk NksVh gksrh gSaA lcls igyk y{k.k fyax esa ruko dh deh gh gSA g`n; jksx gksus ds dkjd fyax esa ruko de djus dk Hkh dkj.k curs gSaA e/qesg (“kqxj)%& ,sls O;fDr ftUgsa “kqxj jksx gS mUgsa fyax esa ruko dh deh dh leL;k mu O;fDr;ksa dh vis{kk vkSj Hkh vf/kd gksrh gS ftUgsa “kqxj jksx ugha gSA bl leL;k dk FkksM+k cgqr dkj.k ;g gS fd “kqxj lEcU/kh tfVyrkvksa ls fyax dks jDr ys tkus okyh /kefu;k¡ MSest gks tkrh gSaA eksVkik%& vf/kd Hkkj okys iq#’kksa esa fyax ruko dh deh dh lEHkkouk,a T+;knk gksrh

fnlacj-w®vw 27


MHT

doj gsYFk

LVks ds;jjh

gSaA gkbZ dksysLVªksy:- yks MsfUlVh fyiksizksVhu dksysLVªksy Hkh jDr /kefu;ska esa ,FksjksLysjksfll iSnk djus esa ;ksxnku djrk gS ftlls fyax esa ruko o mÙksftr n”kk ds vHkko dh lEHkkouk cuh jgrh gSA /kweziku%& flxzsV ihus ls Hkh vkids vUnj ,FksjksLysjksfll gksus dk tksf[ke c<+ tkrk gSA /kweziku djus ls u dsoy g`n; jksx gksus ds pk¡l c<+ tkrs gSa cfYd fyax ds mÙkstuk ghu (,jsDVkby fMlQa+D”ku) c<+us dh vk”kadk Hkh yxHkx nks xquh gks tkrh gSA gkbZ cyMizs’kj:- le; ls T+;knk CyM izs”kj c<+us ls vkidh /kefu;ska dh ykbfuax dks uqdlku igq¡prk gS tks ,FksjksLysjksfll gksus dh izfØ;k dks vkSj rst+ dj nsrk gS tks g`n; jksx vkSj ,jsDVkby fMLiQ+aD”ku gksus dk ekxZ iz”kLr dj nsrh gSA Hkkjr esa iRuh&iRuh ds vykok nwljksa ls vQ+s;j% dy ds fy, ;g vPNk y{k.k ugha gSA Hkkjr ds okRlk;u us lalkj dks cM+s foLrkjiwoZd O;k[;k dh gqbZ izse lEcU/k cukus dh dyk dkelw= ds :Ik esa nh gSA bl iqLrd ds fl/kkUr fo”o Lrj ij Lohdkj fd, tkrs gSaA egRoiw.kZ iqLrd fookg ds mís”;ksa ij vk/kfjr gS blds vuqlkj fookg fdlh ds lkFk ges”kk thou fuokZg djus dk ,d flLVe gS vkSj vkxs ;g iqLrd crkrh gS fd fookg lekt dks cukus dk ,d eq[; vax gS] blfy, ;g euq’;ksa dk ,d lalkj cukrh gSA tc fookg ds cqfu;knh mís”;ksa dk mYya?ku gksrk gS rks iRkh&iRuh ds flok nwljksa ls lEcU/k cukus dk #>ku “kq: gksrk gSA tc ifr ;k iRuh esa ls dksbZ ,d dh vko”;drk dh iwfrZ ugha gksrh rks og viuh viw. kZ bPNk iwfrZ ds fy, fdlh nwljs O;fDr dh vksj ns[krk gSA Hkkjr blls vNwrk ugha gSA “kgjh bykd+ksa esa ij fL=k;ksa ;k 28 fnla çâÌ´ÕcÚUj-w®vw -w®vw

ij iq#’kksa ls vQ+s;j xzkeh.k {ks=ksa dh vis{kk vf/kd fn[kkbZ nsrs gSa D;ksafd xzkeh.k bykd+ksa esa yksxksa ds ikl tks dqN gS mlls os cgqr [kq”k gSa vis{kkd`r “kgjh bykd+ksa dsA vè;;u crkrs gSa fd bl rjg ds lEcU/k ,d nwljs ds lkFk fcrkus ds fy, O;Lrrkvksa ds pyrs le; dh deh vkSj blds ihNs nwljk cM+k dkj.k ;kSu leL;k,a ;k viuh iRuh ;k vius ifr ls larq’V u gks ikuk gSA nwljs dqN dkj.k Hkh gSa tSls tT+ckrh ut+nhfd;ksa dh deh] ,d nwljs ls fnypLih dk vHkko] lapkj vFkkZr ckrphr ;k esytksy dh deh] tks”k vkSj tT+cksa dk BaMk iM+ tkuk ;k bldk dHkh u gksuk vkil esa ,d nwljs dks gokys djus dk vHkko] ,d nwljs dks le> u ikuk] T+;knk gd+ trkuk] vdsykiu ;k mckÅiuA Hkkjr esa bl rjg ds lEcU/k Nqis rkSj ij gksrs gSa u fd if”peh ns”kksa dh rjg D;ksafd Hkkjr esa ifr&iRuh ds vfrfjDr fdlh ls lEcU/k cukus dks de gh cnkZ”r fd;k tkrk gS vkSj bls lkekftd ekU;rkvksa ds fo#¼ekuk tkrk gSA iRkh&iRuh dks ,d nwljs ds lkFk [+kq”k jguk lh[kuk iM+rk gS vkSj ;fn muds chp dksbZ leL;k mRiUu gksrh gS rks mldks rqjUr vkilh lg;ksx ls lqy>k fy;k tkrk gS rkfd Nqikus dh izo`fÙk ls mudk oSokfgd thou izHkfor u gksA blfy, ;fn vki fdlh ;kSu leL;k dk lkeuk dj jgs gSa rks ;s vki nksuksa dh ft+Eesnkjh gS fd igyh Qq+lZr esa bldk lek/ku dj ysaA ;fn leL;k ;kSu&”kfDr ls lEcfU/kr gS rks esfMdy lgk;rk ysus ls fgpfdpk,a ugha D;ksafd vkids cPps] ekrk&firk vksj vkidk iwjk iwjk ifjokj rHkh [+kq”k jg ldrk gS tc vki nksuksa (ifr&iRuh) ,d nwljs ds oQ+knkj jgdj [+kq”k jgsaA


LVks ds;jjh

MHT

doj gsYFk

,FksjksLysjksfll vkSj ,jsDVkby fMLQ+aD’ku ,

jsDVkby fMLQ+aD”ku%& ,jsDVkby fMLQ+aD”ku (ruko esa deh) ,d loZO;kih leL;k gS 40 o"kZ ;k blls Åij ds 50 izfr”kr iq#"kksa esa fdlh u fdlh Lrj ij ;g leL;k gS vkSj ,d vankt+s ds eqrkfcd+ 70 o"kZ ls Åij ds 80 izfr”kr iq#"kksa esa ;g y{k.k [kklrkSj ij ik, tkrs gSaA ,jsDVkby fMLQ+aD”ku (ED) ls thou dks rks [krjk ugha gS ysfdu bldk ;g vFkZ Hkh ugha gS fd ;g xEHkhj leL;k ugha gSA (ED) ls xzLr iq#"kksa esa fMizs”ku dh laHkkouk cgqr gksrh gS vkSj muds thou esa vkuUn dk vHkko gksrk gSA vkius ,jsDVkby fMlQ+aD”ku ds ckjs esa bldh ijokg djus dh vis{kk lquk T+;knk gksxkA ysfdu D;k vki tkurs gSa fd ,FkjksLysjksfll ED dk eq[; dkj.k gS\ ;fn fyax esa ruko esa deh gS rks lef>, dgha u dgha 'kjhj esa

,FkjksLysjksfll ekStwn gS tSls g`n; esaA MkWDVj ,FkjksLysjksfll vkSj ,jsDVkby fMLQ+aD”ku ds chp lEcU/k dks vPNh rjg tkurs gSaA ;fn vki ED ls ihfM+r gSa rks buesa lEcU/k dks le>uk vkidk thou cpk ldrk gSA

,FksjksLysjksfll vkSj ,jsDVkby fMLQ+D’ku ,d rst+h ls c<+rh vlqj{kk... fyax dks jDr dh lIykbZ isV ls vkus okyh /kefu;ksa ls gksrh gSA NksVh /kefu;k¡ fyax esa jDr ys tkus ds fy, pyh tkrh gSaA tc ruko dk le; vkrk gS ;g / kefu;k¡ QSy tkrh gSa vf/kd jDr fyax dh vksj izokg djus yx tkrk gS ftlls fyax esa ruko vk tkrk gSA jDr dk rst+ izokg fyax esa mPp ncko

cuk, j[krk gS fyax ds ckgj jDr dk izokg de gks tkrk gSA bl rjg ;g iwjh rjg ruko cuk, j[krk gS ftls dke mÙkstuk rd cuk, j[kk tk ldrk gS ;fn jDr dh ulsa LoLFk gSa rksA

,FkzksLysjksfll vkSj ,jsDVkby fMLQ+aD’ku Mke Cykdstst+\... fyax esa ruko cuk, j[kus ds fy, vkSj mlesa rst+h ls jDr izokg c<+kus ds fy, jDr ys tkus okyh ulksa dk LoLFk gksuk t+:jh gSA ,jsDVkby fMlQ+aD”ku dk izk;% ;g vFkZ gS fd jDr okfgfu;k¡ gj txg LoLFk fLFkr esa ugha gSA ;g Cykdst ls igys ,FkzksLysjksfll ds c<+rs tksf[ke dk y{k.k gks ldrk gSA ;g le>us ds fy, fd D;k xM+cM+ fnlacj-w®vw 29


MHT

doj gsYFk

LVks ds;jjh

gS ;g fopkj dhft, fd jDr dk izokg fdlh ck¡/k ds Åij ,d unh dh rjg gS bathfu;j ikuh ds izokg dks daVªksy djrs gSa os bl izokg dks c<+k Hkh ldrs gSa vkSj rax djds >jus dh rjg Hkh dj ldrs gSaA ;gh eSdsfuT+e vkidh /kefu;ksa esa Hkh dke djrk gS dkeksÙkstuk ds le; jDr dk izokg fyax esa pkSM+k jkLrk pkgrk gSA ftl rjg ,Dllkbt+ ds nkSjku vkidh g`n; dh vksj tkus okyh /kefu;ksa dks jDr ys tkus ds fy, pkSM+k jkLrk pkfg,A jDr dh ukfy;ksa ds vUnj dh ykbfuax (,UMksFkhfy;e) bl ek¡x dks iwjk djus ds fy, jlk;u NksM+rh gSa baMksFkhfy;e mPp dksysLVªksy gkbZ CyMizs”kj] /kweziku ;k “kqxj ls rckg gks ldrh gSaA ;g ,FkzksLysjkfll dk dkj.k Hkh gks ldrs gSaA ,d ckj csdkj gqbZ ,UMksFkhfy;e jDr izokg c<+kus ds fy, /kefu;ksa dks QSyk ugha ldrhaA fyax esa jDr dk det+ksj izokg dk vFkZ gS de rukoA

30 fnlacj-w®vw

,FkzksLysjksfll vkSj ,jsDVkby fMLQ+D’ku vkjfEHkd psrkouh ds b’kkjs... bUMksFkhfy;e ,d j[kj[kko djus okys LVkQ+ dh rjg Hkh dke djrk gS tks ,FkzksLysjksfll Iykd dks c<+us ls jksdrk gSA bUMksFkhfy;e [kjkc ,FkzksLysjksfll ls Cykdstst+ t+kfgj gksus ls igys gksrk gSA MkWDVj igys gh ,jsDVkby fMLiQ+aD”ku dks ,FkzksLysjksfll ds izkjfEHkd psrkouh ladsr ds :Ik esa ekU;rk ns pqds gSaA fyax esa ruko dk vHkko izk;% ;g gksrk gS fd ,FkzksLysjksfll fodflr gks jgk gSA ED dk eryc Hkh ;g gks ldrk gS fd ,Fkzksysjksfll igys gh g`n; ;k efLr’d dh /kefu;ksa esa ekStwn gSA ,jsDVkby fMlQ+aD”ku ls ihfM+r vf/ kdrj iq#’kksa esa fuEu jksxksa ds lkFk&lkFk ,FkzksLysjksfll dk [+krjk cuk jgrk gSA tSls% gkbZ dksysLVªksy Lrj gkbZ CyM izs”kj] “kqxj] eksVkikA “kqxj fo”ks’k :Ik ls fyax dh ulksa ij cqjk vlj Mkyrh gSA vf/kdrj “kqxj jksfx;ksa esa fyax f”kfFkyrk dh f”kdk;r gksrh gSA bu dkj.kksa ls ,jsDVkby fMLQ+aD”ku

dks [+krjs dh ?kaVh le>uk pkfg, ftlls lko/ku jgus dh t+:jr gSA okLro esa ,FkzksLysjksfll ds vfrfjDr nwljs dkj.kksa ls Hkh fyax esa ruko dk vHkko (ED) gks ldrk gSA uoZ (iV~Bksa) gkeksZu] HkkoukRed dkjdksa dks cgl ls vyx j[kuk pkfg,] MkWDVj ls feydj gh bldh Bhd fLFkfr dk irk pyk;k tk ldrk gSA

,FkzksLysjksfll vkSj ,jsDVkby fMLQ+aD’ku funku... ,FkzksLysjksfll dks de ;k /khek djus ,d gh rjhd+k gS og gS tksf[keksa dks de djukA /kweziku u djsa] viuk cyMizs”kj vkSj dksysLVªksy daVªksy esa j[ksa fu;fer O;k;ke djsaA mfpr Hkkstu ysaA ,FkzksLysjksfll dh xEHkhj tfVyrkvksa ds dkj.k ,jsDVkby fMLQ+aD”ku “dks;ys dh [kku esa lqUnj i{kh” dh rjg gks ldrh gSA ;fn vki fyax f”kfFkyrk ;k det+ksjh ls ihfM+r gksa rks bls xEHkhjrk ls ysa] MkWDVj ls ijke”kZ ysa vkSj crk,a vkidh lsDl ykbQ+ ds lkFk&lkFk vkids thou dks Hkh [+krjk gks ldrk gSA vr% ifj.kke Lo:Ik lsDl leL;k (ED) u dsoy vkidh lsDl ykbQ+ ls lEcfU/kr gS cfYd ;g vkids thou ls Hkh lEcfU/kr gS---------rks d`i;k bls ut+jvankt+ u djsaA


LVks ds;jjh

iq#”kksa dh lsDl eL;kvksa ls

MHT

doj gsYFk

efgyk,a

cM+h eqf’dy esa gSa

“k

gjh efgykvksa dh ,d cM+h la[;k vius ikVZuj dh lsDl leL;kvksa dks ysdj [kqys rkSj ij dfBu ifjfLFkfr;ksa esa gSa esjk rtqckZ dgrk gS fd 60 ls 70 izfr”kr ds djhc lsDl leL;kvksa ls ihfM+r iq#”k viuh efgyk lkfFk;ksa }kjk ykbZ tkrh gSa tks bl ckjs esa ckr Hkh vf/kd djrh gSaA bu efgykvksa esa d+kfcys&ft+Ø la[;k mu efgykvksa dh gksrh gS tks lsDl det+ksjh ds dkj.k rykd+ ysus ls igys viuh “kknh”kqnk ft+Unxh dks lqpk: cuk, j[kus ds fy, ;g vfUre iz;kl djrh gSaA izk;% esjs 70 izfr”kr ejht+ viuh efgyk lkfFk;ksa ds lkFk vkrs gSaA ckd+h esa

ls T+;knkrj ckgj cSBh jgrh gSaA efgyk,a vius ikVZuj dh lsDl leL;k,a crkus ds ckjs esa T+;knk csf>>d yxrh gSa tcfd iq#”k b/kj&m/kj ns[krs gSa vkSj jkt+ [kqyus ds dkj.k vleatl dh fLFkfr esa gksrs gSaA ;g lPpkbZ dsoy lHkzkar O;fDr;ksa rd gh lhfer ugha gS ;g #>ku cgqr cM+h la[;k esa yksxksa esa ik;k tkrk gSA igys ge ns[krs Fks fd lHkzkar oxZ dh efgyk,a gh lsDl jksx (ED) dk bykt djkus ykrh Fkha ysfdu vc ik;k tkrk gS fd eè;e oxZ vkSj fu/kZu oxZ dh efgyk,a Hkh ,slk dj jgh gSaA ;g #>ku pkj&ik¡p o”kZ igys “kq: gqvk gS rc ls bldh la[;k dbZ xquk c<+h gSA

ysfdu esjk fo’okl gS fd ;g nEifr ds lsDl ykbiQ+ ls lEcfU/r ekeyk gS] [+kklrkSj ls iq#”kksa dh vkReh;rk g`n; vkSj mudh iwjh lsgr ls tqM+h gqbZA vkSj mUgsa Lo;a vkxs vkuk pkfg, ctk; blds fd os ,slk djus ds fy, muls dgsaA D;ksafd ^^;s enksaZ dh leL;k,a gSa vkSj enksaZ dks gh gksrh gS] ukenksaZ dks ugha** rks enZ cfu, “kekZus ;k fgpfdpkus dh dksbZ ckr ughaA ;fn vki fdlh lsDl lEcU/h leL;k dk lkeuk dj jgs gSa rks vkidks tYn ls tYn bykt djkuk pkfg, rkfd vki vius ikVZuj dks [+kq”k j[k ldsa vkSj vkidk fj’rk et+cwr cuk jgsA fnlacj-w®vw 31


MHT

doj gsYFk

LVks ds;jjh

,jsDVkby fMLQ+aD’ku vkSj vkidk g`n;

D

;k vki tkurs gSa\ lsDl det+ksjh dksbZ leL;k dk lkeuk djrs gSa rks mUgsa (ED) nwljh chekfj;k¡ tSls g`n; fdlh DokfyQ+kbM MkWDVj ls ijke”kZ djuk jksx dk izkjfEHkd y{k.k gks ldrk pkfg,A ,sfrgkfld :i ls ;kSu det+ksjh ds gSA Lkcls igys gesa ,jsDVkby fMLQ+aD”ku fo# ¼yM+us esa lcls cM+k pSysat bykt ds (ED) ds ckjs esa le> ysuk pkfg, tks fodYiksa dk vHkko ugha jgkA cfYd ;g iq#’kksa dks lcls T+;knk izHkkfor djus okyh izkFkfed :i ls DokfyQ+kbM MkWDVjksa ls xM+cM+h gSA ;g ijs”kku dj nsus okyh bykt u djkuk jgk gSA fo”ks’kK crkrs gSa fLFkfr ,d iq#’k ds bZxks dks rckg dj fd 40 izfr”kr ls Hkh de ,sls ,sls jksxh ldrh gS vkSj lq[kn fj”rksa ds fy, [krjk DokfyQ+kbM MkWDVjksa ls feyrs gSa ckdh cu ldrh gSA ,jsDVkby fMLQ+aD”ku dqN ;ksX; MkDVjksa ls bykt u djkdj vius ugha cfYd ,d fLFkfr gS ftlesa vkneh oSokfgd thou dks cckZn dj jgs gSaA vkneh lh/ks&lkns rjhd+s ls vius lsDl mÙkstuk esa ;k bls cuk, j[kus esa ykbQ+ LVkby esa cnyko ykdj blesa dqN dfBukbZ dk lkeuk djrk gSA ;g dksbZ ubZ ckr ugha gS fd ulksa lq/kj dj ldrk gS tSls “kjkc ihuk de dh chekjh vkSj ,jsDVkby fMLQ+aD”ku esa djuk] [kwc O;k;ke djuk] LokLF; o/kZd lecU/k gS ysfdu gky gh ds vè;;u gesa Hkkstu djuk ;k /kweziku djuk NksM+djA crkrs gSa fd tks ;kSu det+ksjh ls ihfM+r ;g fdlh g`n; jksxh ds fy, ijke”kZ gks gSa mUgsa gkVZ vVSd gksus dh lEHkkouk rhu ldrk gS ysfdu blls ;g Hkh irk yxrk xquk vf/kd jgrh gSA ,d nwljs vè;;u esa gS fd ,jsDVkby fMLQ+D”ku vkSj g`n; jksx ik;k x;k fd enksaZ ls ,jsDVkby fMLQ+aD”ku esa lpeqp fdruk lEcU/k gSaA ,jsDVkby ds pyrs iq#’kksa dh /kefu;ksa esa leL;k fMLQ+aD”ku ds nks eq[; dkj.k fyax esa jDr ls u dsoy gkVZ vVSd cfYd LVªksd dh dk det+ksj izokg vkSj iV~Bksa (Nerve) dk vk”kadk Hkh fufgr gksrh gSA bu [kkstksa ls MSest gks tkuk gSaA /efu;ksa dk l[+r vksj iq#’kksa ds fy, ;g ckr vkSj Hkh egRoiw.kZ rax gks tkuk (,FkzksLyksjksfll) iwjs “kjhj esa gks tkrh gS fd ;fn os baVjdkslZ ds nkSjku jDr izokg dks de dj nsrk gS vkSj bl 32 fnlacj-w®vw

rjg ;kSu vax esa det+ksjh vk tkrh gSA gkbZ ysoy CyM “kqxj dk e/kqesg ds lkFk laxfBr gksuk g`n; jksx ds gksus ds tksf[ke dk ,d dkjd gS tks iwjs “kjhj esa NksVh jDr okfgfu;ksa dks vkSj uoZ~l dks rckg dj nsrk gS vkSj fyax ruko ds fy, vko”;d jDr izokg og uoZ flxuy~l dks jksd ldrk gSA vf/kdrj ekeyksa esa ,jsDVkby fMLQ+aD”ku dk lQ+y bykt gks ldrk gSA gekjs ikl bldk izHkko”kkyh bykt gS tks nEifÙk ds ykbQ+ LVkby vkSj vko”;drkvksa ds fglkc ls viuk;k x;k gSA ;g dksbZ egRoghu leL;k ugha gS ;k ;g ;w¡gh [+kRe gksus okyh Hkh ugha gS] blfy, bldh vuns[kh ugha djuh pkfg, [+kklrkSj ls nwljh tfVyrkvksa dks /;ku esa j[krs gq,A blfy, ;g fu’d’kZ fudkyk tkrk gS fd lsDl lEcU/kh det+ksjh dsoy vkids csM :i ;k oSokfgd thou ls gh lEcfU/kr ugha gS cfYd ;g vkidh ft+Unxh (gkVZ) ls Hkh lEcfU/kr gS% vkSj ;fn vki fyax esa ruko (Erection) esa deh ;k lsDl ykbQ+ esa dksbZ vHkko dk lkeuk dj jgs gSa rks bldks xEHkhjrk ls ysa vkSj bldh vuns[kh ugha djuh pkfg,A


ds;j

fnlacj-w速vw 33

MHT

gsYFk


MHT

gsYFk doj

ds;jjh LVks

[kq’kgky thou

esa lsDl dh Hkwfedk egRoiw.kZ

‘kjhj dks LoLF; vkSj rjksrktk j[kus esa lsDl dh Hkwfedk dks ysdj Mk0 ,l0 ds0 tSu cfyZXVu Dyhfud izk0 fy0 ds lkbZdkslsDlksykftLV] Mka0 lkjka’k tSu tks fd vesfjdu cksZM vkWQ lSDlksyksth ls lkVhZQkbM gS] ls ,d okrkZ esa muds fopkj vgfe;r j[krs gS lsDl ls de gksrk gS eksVkik& Rkuko vkSj chekfj;ksa ls feyrh gS futkr&

eks

Dr. Saransh Jain

M.B.B.S, MD (Gold Medialist) Ph.D. (Psycho Sexual Medicine) U.K. DSC (Urology) U.K. FRSPH. (LONDON)

34 fnlacj-w®vw

Vkik dbZ chekfj;ksa dh tM gSasA Mk0 lkjka”k tSu dk dguk gS] fu;fer :i ls lsDl djus ls csotg ekVkik ugha c<rk] vk/ksa /kaVs ds lsdl ds nkSjku 144 dSyksjh [kpZ gksrh gSA bruh dSyksjh dks [kpZ djus ds fy, djhc nks fdyksehVj iSny pyuk iMrk gSA ;gh ugh] g`n; dh xfr 70 ls 150 izfr feuV gks tkrh gSA bruh g`n; xfr rst nkSM yxkus ij gksrh gSA

lsDl ls lqdwu dk ,glkl ,oa vPNh funzk& Mka0 lkjka”k tSu dk dguk gS fd] lsDl ds nkSjku fudyus okys gkeksZu dh otg ls O;fDr dks lqdwu eglwl gksrk gSA vfunzk ls ijs”kku O;fDr vewweu blds ckn pSu dh uhan lksrk gS vkSj mls xgjh uhan vkrh gSA

ruko dbZ chekfj;ksa dh otg gS vkSj lsDl ruko dks de djrk gSA Mk0 lkjka”k tSu crkrs gS fd fu;fer :Ik ls lSDl ls dbZ NksVh&eksVh chekfj;ksa ls yMus esa enn feyrh gSA lsDl ds nkSjku O;fDr ds “kjhj esa ,sls gkWeksZu fudyrs gS ftudh otg ls ,aMksfQaUl iSnk gksrk gS tks fd jksx izfrjks/kd dk dke djrk gSA ;g fljnnZ dks QkSju nwj dj nsrk gSA lsDl ds nkSjku gh fo’ks”k izdkj dks jksx izfrjks/ kd fudyrk gS tks NksVs&NksVs ladze.k ls [kqn yMrk gSA ;g lnhZ&tqdke vkSj utysa ls cpkrk gSA

g`n; jksxks ls cpkrk gS lsDl& Mk0 lkjka”k tSu us viuh izSfDVl ds nkSjku ns[kk gS fd fu;fer :ils lsdl ls g`n; jksxksa dks nwj j[kus esa Hkh enn feyrh gSaA mudk dguk gS fd ;g LokHkkfod gh


gS] D;ksfd xgjh lkal ysus dh otg ls “kjhj ds iksj-iksj esa vkDlhtu igqapus yxrh gS ftlls O;fDr rjksrktk eglwl djrk gSA ;kSu fdz;k ds nkSjku fny dh /kMdu c< tkrh gS] “kjhj esa jDr dk lapkj rst gks tkrk gSSA jDr Lakpkj rst gksus vkSj iksj-iksj rd vkDlhtu igqpus ls Ropk xqykch gksdj fu[kjrh gSSA tks fLFkfr ftEusft;e esa tedj dljr djus ds ckn iSnk gksrh gS veweu ogh fLFkfr csM:e esa vkWxZTe ¼pje vkuUn½ ;k btSdqys”ku ds ckn iSnk gksrh gSA

oftZ’k ls lsDl dh rqyuk& dgrs gS oftZ”ks ls csgrj dksbZ nok

LVks ds;jjh

MHT

doj gsYFk

ugha gksrh gSA “kkjhfjd e”kDdr ds Qk;ns nwljsds izfr izse] fo”okl iSnk gksrk gS ,oaa gh Qk;ns gSaA blls LokLF; Bhd jgrk gS ,d nwljs dks le>us esa vklkuh gksrh gSA vkSj thou ds izfr ldkjkRed lksp iSnk gksrh gSA ¼lSDl cwLV nk ,uSjth½ gkykafd LoLFk O;fDr gh lsDl dk vkuan mBk ldrk gS ij mlds Qk;ns lkspdj laHkksx nnZfuokjd ds :Ik eas lsDl& ugha djuk pkfg, vU;Fkk ;g nwljh fdLe lsDl djus ds ckn flj nnZ] xfB;k dh dljr cu tkrh gSA bR;kfn jksxks ls mRiUu nnZ esa deh gksrh gSA ;g blfy, D;ksfd lsDl ds izaserRo esa lgk;d& Li”kZ ds tknw ds ek/;e ls lsDl gkeksZu vkDlhVksflu gekjs “kjhj esa lsdzhV gksrk vkids fj”rs esa lsDl ds nkSjku vius gS tks fd “kjhj esa ,UMªksfQu dks L=kfor lkFkh ds lkFk xeZ lEidZ ls I;kj ds djrk gSA tks fd “kfDr”kkyh nnZuk”kd gkjeksZu vkDlhVksflu ds Lrj esa o`f} gksrh izR;ksa ds :Ik esa dk;Z djrk gSA gSA ftlls nEifRr;ksa esa vkil esa ,d fnlacj-w®vw 35


MHT

gsYFk

ds;j

/;ku yxkus ls lnhZ vkSj cq[kkj ls eqfä /;ku yxkus ds ckjs esa ftØ fganw osnksa esa feyrk gSA ikapoha ls NBh ‘krkfCn;ksa ds nkSjku /;ku yxkus ds vU; rjhds rkvks phu vkSj ckS) Hkkjr esa fodflr gq,A Msyh esy dh [kcj ds vuqlkj] bl u, v/;;u us 149 yksxksa dks rhu lewgksa esa ckaVk FkkA ,d lewg us lpsr /;ku yxk;kA ;g ,slk /;ku gS ftlesa fnekx dks orZeku ij dsafær fd;k tkrk gSA 36 fnlacjU-w®vw

,

d u, v/;;u esa ik;k x;k gS fd lnhZ ds ekSle esa gksus okys lnhZ vkSj cq[kkj dks jksdus ds fy, /;ku yxkuk cgqr çHkkoh fl) gks ldrk gSA foLdaflu&eSfMlu fo”ofo|ky; ds ,d v/;;u ds vuqlkj] tks o;Ld /;ku yxkrs Fks ;k fQj pyus&fQjus tSlk gYdk O;k;ke djrs Fks] os vkB lIrkg rd mu yksxksa ds eqdkcys lnhZ ls de ihfM+r jgs] tks ,slk dqN Hkh ugha djrs FksA fiNys v/;;u esa ik;k x;k Fkk fd /;ku yxkus ls ewM esa lq/kkj vkSj ruko esa deh gksus ds lkFk gh çfrjks/kd {kerk Hkh csgrj gksrh gSA /;ku yxkus ds ckjs esa ftØ fganw osnksa esa feyrk gSA ikapoha ls NBh “krkfCn;ksa ds nkSjku /;ku yxkus ds vU; rjhds rkvks phu vkSj ckS) Hkkjr esa fodflr gq,A Msyh esy dh [kcj ds vuqlkj] bl u, v/;;u us 149 yksxksa dks rhu lewgksa esa ckaVk FkkA ,d lewg us lpsr /;ku yxk;kA ;g ,slk /;ku gS ftlesa fnekx dks orZeku ij dsafær fd;k tkrk gSA nwljs lewg

us vkB lIrkg rd yxkrkj nkSM+ yxkbZ tcfd rhljs lewg us dqN Hkh ugha fd;kA “kks/kdrkZ flracj ls ebZ rd bu yksxksa ds LokLF; dh tkap djrs jgsA gkykafd mUgksaus ;g tkap ugha dh fd D;k ;s yksx vkB lIrkg ds le; ds ckn Hkh O;k;ke o /;ku dj jgs gSa ;k ughaA bu yksxksa esa tqdke] ?kqVu] xys esa [kjk’k] Nhad tSls lnhZ vkSj cq[kkj ds y{k. kksa dh tkap dh xbZA bdës fd, x, uewuksa dk fo”ys’k.k y{k.k “kq: gksus ds rhu fnu ckn fd;k x;kA v/;;u esa ik;k x;k fd /;ku yxkus okyksa us dqN u djus okyksa dh rqyuk esa 76 çfr”kr de Nqfê;ka yhaA tcfd O;k;ke djus okyksa us bl nkSjku 48 çfr”kr de Nqfê;ka yhaA v/;;u esa ;g Hkh ik;k x;k fd lpsr /;ku ds tfj, lkal laca/kh laØe.kksa dh vof/k dks 50 çfr”kr rd ?kVk;k tk ldrk gS vkSj O;k;ke ls bls 40 çfr”kr rd de fd;k tk ldrk gSA ;g v/;;u ,UukYl v‚Q QSfeyh esfMflu esa çdkf”kr fd;k x;k FkkA


MHT

gsYFk

ds;j

‘kjkc ls nwjh xHkZorh efgykvksa ds fy, Qk;nsean ftu fL=;ksa esa vk;ju rFkk vU; iqf”Vdkjh dh deh gksrh gS] os ,fufe;k dh f’kdkj curh gSaA ;g jä dh vlkekU; fLFkfr gS] ftlesa [kwu esa yky jä df.kdkvksa dh la[;k cgqr ?kV tkrh gSA vk;ju çkIr djus dk lcls cf<+;k ek/;e os [kk| inkFkZ gSa] ftuesa u dsoy [kwc vk;ju gksrk gS] cfYd tks vk;ju dks ‘kjhj esa vo’kksf”kr gksus esa Hkh lgk;rk djrs gSaA

x

HkkZoLFkk ds nkSjku “kjkc dk lsou djus okyh efgykvksa ds cPpksa ds “kkjhfjd vkSj ekufld fodkl ij cqjk çHkko iM+rk gSA iksySaM ds “kks/kdrkZvksa us QhVy ,Ydksgy flaMªkse` uke dh bl chekjh ds çHkkoksa dks crkus ds fy, eSxusfVd fjtksusal besftax` rduhdksa dk bLrseky fd;kA “kks/k esa 300 cPpksa dks “kkfey fd;k x;k ftudh ekavks us xHkkZoLFkk ds nkSjku “kjkc dk lsou fd;k Fkk vkSj 30 ,sls cPps fy, x, ftudh ekavks us “kjkc dk lsou ugha fd;kA tSthyksfu;k ;wfuoflZVh ds vuqlkj “kks/kdrkZvksa us eSxusfVd fjtksusal besftax` rduhd }kjk efLr’d ds nksuksa Hkkxksa dks tksM+us okyh egkla;ksftdk ¼d‚jil dksyksle½ ds vkdkj çdkj dh tkap dh A ftu cPpksa dh ekavksa us xHkkZoLFkk ds nkSjku “kjkc dk lsou fd;k Fkk mudh efLr’d egkla;ksftdk vis{kk—r detksj ikbZ xbZaA iksySaM ds dkjdkso esa fLFkr tSthyksfu;k ;wfuoflZVh ds jsfM;ksy‚th foHkkx ds çeq[k ,UMªst mjckfud dk dguk gS] ^;g cnyko

38 fnlacj-w®vw

cPpksa esa euksoSKkfud ijs”kkfu;ksa dk dkj.k cu ldrs gSaA* efgykvksa ds fy, D;ksa t:jh gS vk;ju efgyk,a ekfld /keZ ds nkSjku cgqr lkjk jä xoka cSBrh gSaA nwf”kr jä ds lkFk cgqr lkjs t:jh [kfut ,oa /kkrq,a Hkh fudy tkrh gSaA ;fn mldh iwfrZ u gks rks efgyk,a xaHkhj leL;k ls xzLr gks tkrh gSaA ç—fr us efgykvksa dks dqN bl rjg cuk;k gS fd os çk;% [kwu dh deh ls tw>rh gSa] [kkldj os efgyk,a] tks eka cuus ds nkSj esa gSaA bl jä{kh.krk ds ihNs ,d cM+k dkj.k gS& ekgokjhA blls efgykvksa dh dke djus dh {kerk ?kV tkrh gS vkSj os tYnh Fkd tkrh gSaA jä{kh.krk jksx çfrjks/kd {kerk dks Hkh çHkkfor djrh gSA bl dkj.k os jksxksa ls Hkh “kh?kz laØfer gks tkrh gSaA ekfld /keZ dh otg ls fL=;ka yxHkx ,d yhVj jä [kks cSBrh gSa] tks ,d lky esa rhu ckj jänku ds cjkcj gSA ,d efgyk ds thou esa ekfld /keZ


vfregRoiw.kZ gS] D;ksafd ;g L=h dks tuuh cuus ds fy, rS;kj djrk gSA bl nkSjku ukjh esa cM+s uktqd ifjorZu gksrs gSa] ftl dkj.k mlds “kjhj esa detksjh vk tkrh gS] tks LokLF; ds fy, tksf[keiw.kZ gSA ,d tuuh dk LoLFk gksuk t:jh gS] D;ksafd ml ij ,d u, thou dks /kjrh ij ykus dk ftEek gSA ,sls esa ;fn ekgokjh ds dkj.k “kjhj ls jä fudy tk, rks tkfgj gS LokLF; dh gkfu rks gksxh ghA jä çokg gekjs “kjhj dh og thou/kkjk gS] tks lHkh t:jh iks”kd inkFkZ fy, iwjs “kjhj esa pyrh jgrh gSA vc ;fn ;g vewY; jä “kjhj ls ckgj cg tk,xk rks mlesa ekStwn iks’kd inkFkZ Hkh ckgj pys tk,axsA ;fn dksbZ L=h igys gh vk;ju dh deh >sy jgh gS rks mldk ,fufe;k vkSj vf/kd gks tk,xkA ,fufe;k ds ckjs esa FkksM+h tkudkjh ys ysuk vko”;d gSA gekjs jä dh yky jä df.kdkvksa esa ,d çksVhu gksrk gS] ftls fgeksXykschu dgrs gSaA fgeksXykschu v‚Dlhtu dk lIyk;j gS] tks QsQM+ksa ls v‚Dlhtu mBkrk gS vkSj lkjs “kjhj esa igqapkrk gSA fgeksXykschu cukus ds fy, vk;ju pkfg,A ;fn vkids “kjhj esa vk;ju de gS rks fgeksXykschu Hkh de gksxkA ;gh fLFkfr ,fufe;k dgykrh gSA ekfld /keZ ds dkj.k gksus okyh vk;ju dh deh ds pyrs fL=;ksa dh /;ku dsafær djus dh {kerk ij QdZ iM+rk gSA ;fn efgyk xHkZorh gks rks bE;wu flLVe detksj gksus dh otg ls tPpk&cPpk nksuksa ds fy, [krjk iSnk gks ldrk gSA lky Hkj esa ,d vkSjr vius dqy jä dk 22 çfr”kr [kks nsrh gSA ,sls esa tks vkSjrsa viuh [kqjkd esa [kwu cukus okys ikSf’Vd rRoksa dks ‘kkfey ugha djrha] mUgsa

,fufe;k gksus dk vf/kd [krjk jgrk gSA xkSjryc gS fd Hkkjr esa igys gh 80 çfr”kr efgyk,a ,fufe;k dh f”kdkj gSaA ;g tuLokLF; laca/kh leL;k gS] tks gj oxZ esa QSyh gSA ,d vke Hkkjrh; “kkdkgkjh [kqjkd [kwu cukus ds fy, i;kZIr iks’kd inkFkZ ugha ns ikrhA vk/ks di pkoy esa 0-5 fexzk vk;ju gksrk gS] tcfd ,d di nw/k ls 0-1 xzke vk;ju fey ikrk gSA ,d L=h] ftldk ekfld /keZ py jgk gks] dks gj jkst 28 fexzk vk;ju dh t:jr gksrh

ds;j

MHT

gsYFk

dks vo”kksf’kr dj ik,] blds fy, vkidks ,slh [kqjkd ysuk gksxh] ftlesafoVkfeu lh vkSj vkSj ch&12 i;kZIr ek=k esa ekStwn gksaA lkFk esa vk;ju;qä [kqjkd ysaA blds fy, vkidks larqfyr Hkkstu ds vykok ,sls [kk| ;k is; inkFkZ ysus gksaxs] ftlesa jä dk fuekZ.k djus okys lw{e:i ls ikSf’Vd rRoksa ds lkFk gksA gksaA ,slh phtksa dks vkiiwjd vkgkj ds rkSj ij ysa rHkh vkidks jä fuekZ.k djus okyh ikSf’Vdrk fey ik,xhA

,fufe;k ds y{k.k 8 vDlj ,fufe;k ds dksbZ y{k.k çdV ugha gksrsA 8 psgjk ihyk iM+ tkukA 8 Fkdku eglwl gksukA 8 O;k;ke ds oä vlkekU; rjhds ls lk¡l dh vof/k ?kV tkukA 8 fny dk rsth ls /kM+dukA 8 gkFk&ikao csgn BaMs gks tkukA 8 uk[kwuksa dk uktqd gks tkukA 8 fljnnZA

gSA dqN inkFkZ gksrs gSa] tks vk;ju dks “kjhj esa vo”kksf’kr gksus ls jksdrs gSa& tSls QkbVsV] tks fd lkcqr xsgwa ds vkVs o vU; vuktksa esa ik;k tkrk gS ;k fQj dSQhu tks d‚Qh] pk;] dksyk esa ikbZ tkrh gSA ;s phtsa vk;ju ij te dj mldks “kjhj esa vo”kksf’kr ugha gksus nsrhaA ftu fL=;ksa esa vk;ju rFkk vU; iqf’Vdkjh dh deh gksrh gS] os ,fufe;k dh f”kdkj curh gSaA ;g jä dh vlkekU; fLFkfr gS] ftlesa [kwu esa yky jä df.kdkvksa dh la[;k cgqr ?kV tkrh gSA vk;ju çkIr djus dk lcls cf<+;k ek/;e os [kk| inkFkZ gSa] ftuesa u dsoy [kwc vk;ju gksrk gS] cfYd tks vk;ju dks “kjhj esa vo”kksf’kr gksus esa Hkh lgk;rk djrs gSaA “kjhj T;knk ls T;knk vk;ju fnlacj-w®vw 39


MHT

ckyks a v gsYFk

ds;j

dks nhft, foVkfeu dk lkFk

40 fnlacj-w®vw

uqla/kkuksa ls irk pyk gS fd ckyksa dh lqanjrk ds fy, çksVhu] foVkfeu ,] ch] lh] Mh] bZ] ch&d‚EIysDl] vk;ksMhu] QkLQksjl] d‚ij] flfyd‚u] vk;ju] esfXuf”k;e] iksVsf”k;e vkfn rRoksa dh vko”;drk gksrh gSA foVkfeu ,% ckyksa dh lqanjrk ds fy, foVkfeu , çeq[k rRo gS] tks bUgsa yack] ?kuk o eqyk;e cuk, j[krk gSA foVkfeu , dh deh dk çHkko lcls igys ckyksa ij gh iM+rk gS] os cstku fn[kkbZ nsrs gSaA “kjhj esa foVkfeu , dh 1000 ls 4000 ;wfuV dh t:jr gksrh gSA ch d‚EIysDl % “kjhj esa ch d‚EIysDl ds vHkko esa cky vle; lQsn gksus yxrs gSa vkSj detksj gksdj fxjus yxrs gSaA “kjhj esa ch d‚EIysDl dh iwfrZ gks tkus ij cky iqu dkys o etcwr gksus yxrs gSaA ch d‚EIysDl esa ik;k tkus okyk iSaVksFkSfud ,flM lQsn ckyksa dks dkyk djus esa egRoiw.kZ Hkwfedk fuHkkrk gSA iSjk ,feuks cSatkbd ,flM rFkk Qksfyd ,flM Hkh ckyksa dks dkyk dkus esa lgk;d gksrs gSaA foVkfeu lh % “kjhj esa foVkfeu lh dh deh gks tkus ls ckyksa esa :[kkiu vk tkrk gSA flj dh Ropk ij lw[kh iiM+h te tkrh gS] ftlls ckyksa dh tM+sa detksj gksrh gSa vkSj cky fxjus yxrs gSaA foVkfeu Mh % “kjhj esa foVkfeu Mh ckyksa dks eksVk] yack o LoLFk cuk, j[krk gSA foVkfeu bZ % ;g foVkfeu “kjhj ds lsDl gkjeksu ,aMªkstu dks mRçsfjr djrk gS] tks ckyksa dks lqanj] ?kuk] pednkj cukus esa lgk;rk djrk gSA vkgkj esa gjh lCth] lykn] vadqfjr vukt] nw/k] nw/k ds cus inkFkZ] rkts Qy] lw[kk esok] eNyh] nkysa] vaMs] pkoy] pksdj;qä vkVs dh jksVh] [kksijk vkfn dk Hkjiwj lsou djsaA çfrfnu 6&7 yhVj ikuh fi,a o dCt u

jgus nsaA ftu foVkfeuksa dh deh ls xatkiu vkrk gS] muesa foVkfeu ‘ch’ xzqi ds vkbuksflV‚y vkSj ‘ih,ch,’ “kkfey gSa] ;s foVkfeu jksedwiksa dh j{kk djrs gSaA ‘ih,ch,’ u dsoy jksedwiksa dh j{kk djrk gS] cfYd ckyksa dks viuk dqnjrh jax cuk, j[kus esa Hkh enn djrk gSA le; ls igys ckyksa dk lQsn gksuk ,ehuks ,flM QsuhykySekbu dh deh ds dkj.k Hkh gksrk gS] bldk laca/k ckyksa ds jax d.kksa esykfuu ls gksrk gSA ckyksa dk dqnjrh jax cuk, j[kus esa c‚;ksfVu] Q‚fyd ,flM vkSj iS.VksFksfud ,flM ennxkj lkfcr gks ldrs gSaA ckyksa ds fy, lHkh ch&foVkfeu ykHknk;d gksrs gSaA 100 fexzk “kfä okyh foVkfeu ch d‚EIysDl dh 1 xksyh fnu esa rhu ckj c‚;ksfVu] iS.VksFksfud ,flM] ch&6] fu;kflu vkSj vkbuksflV‚y ds lkFk ysus ls ykHk gks ldrk gSA foVkfeu ch&6 dh deh ls cky fxjrs gSaA fu;kflu jä lapkj dks c<+krk gSA iS.VksFksfud ,flM ,fMªuy xzafFk ds dke esa enn djrk gS] ftlls ruko de gksrk gSA ykSg rRo ;k vk;ju dh deh ls Hkh cky fxjrs gSa] ysfdu bldh deh dh iqf’V gksus ij gh vk;ju dh xksfy;ksa dk lsou djsaA vk;ju dh ekU; [kqjkd 15 fexzk gSA foVkfeu lh ¼3-8 xzke- jkst½ ls flj esa jä&lapkj c<+rk gSA fnu Hkj esa 90 fexzk “Mh,eth” vkSj ‘dks ,atkbe D;w’ 10 ¼60 fexzk½ fnu esa rhu ckj ysus ls Hkh ykHk gks ldrk gSA foVkfeu&bZ ¼400&1200 vkbZ-;w- çfrfnu½ ls Hkh ckyksa ds mxus esa rsth vkrh gSA foVkfeu&, dk t:jr ls T;knk ek=k esa lsou xatkiu ykrk gSA lHkh çdkj ds ,feuks ,flM LoLFk ckyksa ds fy, t:jh gksrs gSaA uk[kwuksa dh rjg cky esa Hkh 95&98 çfr’kr çksVhu gksrs gSaA lYQj ¼xa/kd½ ;qä ,feuks ,flM] flLVhu vkSj esfFk;ksfuu fo’ks”k :i ls mi;ksxh gksrs gSaA ,feuks ,flMksa ls cky etcwr gksrs gSaA lLVhu ls yhoj dks


csgrj <ax ls dke djus esa enn feyrh gSA 500 fexzk dh ek=k esa lLVhu fnu esa nks ckj ysaA esfFk;ksfuu ¼500 fexzk½ fnu esa nks ckj½ ysus ls ckyksa dk fxjuk Fke tkrk gSA vylh ds rsy esa ekStwn ‘bZ,Q,’ vkSj bofuax fçejkst rsy ckyksa ds LokLF; ds fy, ykHknk;d gSA ,d ;k nks pEep vylh dk rsy 50 fexzk foVkfeu ch&6 ds lkFk ;k 500 fexzk dh ek=k esa bfofuax fçejkst v‚;y dSIlwy dk bLrseky çfrfnu djuk T;knk ykHknk;d gksrk gSA p‚dysV] feBkbZ] fpIl] uedhu] vkbihe] pVuh] ikiM+] vpkj] eqjCck] dksYM fMªad] “kjkc] rEckdw] vU; u”khys inkFkZ] vf/kd rys&Hkqus inkFkZ o cklh Hkkstu vkfn dk lsou u djsa A mQ---! fdruk cqjk yxrk gS u] ;g ,glkl Hkh fd dHkh vki ?kus] dkys] ueZ

eqyk;e ckyksa dh efydk gqvk djrh ‘Fkha’A vkids cky vxj fdlh chekjh] nq?kZVuk ;k vU; ijs’kkuh ds dkj.k >M+ x, gksa rks ckr vyx gS] ysfdu vxj lkekU; iks’kd rRoksa dh deh ;k ,sls gh fdlh lkekU; dkj.k ls lj ds cky vkidk lkFk NksM+ jgs gSa rks bls jksdk tk ldrk gSA lkekU; rkSj ij 80&100 ckyksa dk jkstkuk >M+uk ,d lkekU; çfk<;k gS] ysfdu ;fn blls T;knk cky >M+ jgs gSa rks ;g ijs”kkuh dk lcc gks ldrk gSA ckyksa ds >M+us ds ihNs iks”kd rRoksa dh deh ,d egRoiw.kZ dkj.k gSA [kku&iku esa lq/kkj ykdj vki ckyksa dks lsgrean cuk, j[k ldrh gSaA lcls igys vius Hkkstu esa çksVhu dh ek=k c<+k,aA nw/k] gjh iÙksnkj lfCt;ka] Qy rFkk lHkh çdkj dh nkysa çksVhu dk vPNk lkslZ gksrh gSaA buds vykok

ds;j

MHT

gsYFk

ewaxQyh] cknke] fpyxksts vkSj v[kjksV tSls foVkfeu bZ ls Hkjs esos Hkh ckyksa dh lsgr cukus esa ennxkj gksrs gSaA ckyksa dh ped] etcwrh rFkk xq.koÙkk cuk, j[kus ds fy, LVª‚csjh] jkLicsjh] dkys vaxwj rFkk vU; csjht dk lsou Hkh Qk;nsean gksrk gSA ;s lwjt dh fdj.kksa ls gqbZ gkfu ls ckyksa dks lqjf{kr j[krs gSaA lkFk gh buesa ekStwn ,aVhv‚DlhMsaV~l ckyksa ds fy, ykHknk;h gksrk gSA blh rjg foVkfeu lh ls Hkjiwj larjk] uhcw rFkk ve:n Hkh ckyksa dh lsgr ds fy, vPNk gksrk gSA nky&lCth] jksVh&pkoy] ngh] Qy vkfn okyk lkekU; Hkkstu lcls vPNk gSA lkFk gh mfpr ek=k esa ikuh ihuk Hkh ckyksa ds fy, ykHkdkjh gksrk gSA bu lcds vykok Vsa’ku] t:jr ls T;knk dke djuk] vkfVZfQf”k;y rFkk jklk;fud d‚LesfVDl dk t:jr ls T;knk ç;ksx rFkk lwjt dh gkfudkjd fdj.kksa dk çHkko] detksjh vkfn tSls dkj.kksa ls Hkh cky >M+rs gSa vkSj bu dkj.kksa dk Hkh bykt fd;k tk ldrk gSA blesa dksbZ nks jk; ugha gS fd lqUnj dkys o pednkj cky ukjh dh lqanjrk esa pkj pkan yxk nsrs gSaA iqjkus le; esa ckyksa ds j[kj[kko o fu[kkj ds fy, ukfj;ka vusd rjhds bLrseky esa ykrh Fkha] ftuls cky okLro esa gh dkys] ?kus] etcwr vkSj pednkj curs FksA vkt ds ;qx esa dbZ rjg ds lkcqu vkSj vU; phtksa dks ckyksa dh lkj&laHkky ds fy, ç;ksx esa yk;k tkus yxk gSA buls cky iks”kd rRo gkfly djus ds LFkku ij le; ls iwoZ VwV dj fxjus yxrs gSa] lkFk gh lQsn gksus yxrs gSaA bl ys[k esa ge vius ikBdksa dks ckyksa ds j[k j[kko ds ckjs esa dqN ,slh egRoiw.kZ tkudkfj;ka ns jgs gSa] ftUgsa bLrseky esa ykdj ckyksa dks lq–<+] dkys vkSj pednkj cuk;k tk ldrk gSA [kêh ngh esa pqVdh Hkj fQVdjh feyk ysa] lkFk gh FkksM+h lh gYnh Hkh feyk ysaA fnlacj-w®vw 41


MHT

ykbQ

LVkby

,sls djsa cPpksa esa lp cksyus dh vknr dk fodkl tks cPps lp cksyuk pkgrs gSa os lp cksysaxsA vxj os lp ugha cksyuk pkgrs rks ;s vkidh ftEesnkjh gS fd vki mUgsa lp cksyus ds fy, çksRlkfgr djsaA cPpksa ij nckou MkysaA ncko esa cPps tYnh >wB cksyus yxrs gSaA

d

bZ ckj NksVh mez esa cPps >wB cksyrs gSaA vfHkHkkod [kqn dks bldk dqlwjokj ekurs gSaA blesa vfHkHkkodksa dh dksbZ xyrh ugha gSA cPpksa ds ekufld fodkl esa >wB cksyuk “kkfey gSA eSdfxzy ;wfuoflZVh ds “kks/kdrkZ M‚foDVksfj;k ryokj dgrs gSa fd pkj lky dk cPp nks ?kaVs esa ,d ckj vkSj Ng lky dk cPps ,d ?kaVs esa ,d ckj >wB cksyrk gSA ;s irk yxkuk fnypLi gS fd cPps >wB cksyuk dSls “kq: djrs gSa\ upZj “k‚d fdrkc ds ys[kd iks- czksulu dgrs gSa fd cPps >wB cksyus ls igys fdlh ,sls lp dk irk yxkrs gSa ftls os nwljksa ds 42 fnlacj-w®vw

vkxs cksy ldsaA blds fy, [kkl fLdYl dh t:jr iM+rh gSA >wB cksyuk /khjs&/ khjs xaHkhj leL;k cu tkrh gSA cPps ckrsa Nqikrs gSa ;k vdsys jgus yxrs gSaA cPpksa dh ;g vknr lq/kkjus ds fy, vfHkHkkod ;s djsa--tks cPps lp cksyuk pkgrs gSa os lp cksysaxsA vxj os lp ugha cksyuk pkgrs rks ;s vkidh ftEesnkjh gS fd vki mUgsa lp cksyus ds fy, çksRlkfgr djsaA cPpksa ij nckou MkysaA ncko esa cPps tYnh >wB cksyus yxrs gSaA >wB ds ekeys esa vPNh ;k cqjh /kkj. kk u cuk,aA lp dh vknr c<+kus ds fy, ppkZ djsaA ckrphr ds fy, [kqyk okrkoj.k cuk,aA mUgsa lp dh tkudkjh nsaA mUgsa

crk,a fd fo’okl cukus ds fy, lp t:jh gSA tc vkidks yxs fd cPp >wB cksy jgk gS rks mls I;kj ls lp ckr iwNsaA mls MkaVsa ughaA tc og lp cksys rks mls I;kj ls lqusaA cPps ckj&ckj >wB cksys rks mldh xgjkbZ rd igqapsaA blls ijs”kkuh c<+ ldrh gSA cPps ij fj;fyVh pkSd djsa ;kuh ns[ksa fd cPp fnu esa fdruh ckj vkSj dc&dc >wB cksyrk gSA ,d ckr ;kn j[ksa fd cPps gesa yxkrkj ns[k jgs gSa blfy, vki de ls >wB cksysaA tks vki dgsaxs cPp ogh lh[ksxkA


MHT fnlacj-w速vw 43


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ykbQ

LVkby

ubZ ukSdjh] dqN ,sls djs [kqn dks lkfcr ukSdjh cnyus ds lkFk gh vkids #Vhu esa Hkh cnyko gksrk gS [kkl rkSj ij dke ls tqM+h gekjh fnup;kZ esaA ;g ckr nqfu;kHkj ds ns’kksa esa ubZ ukSdjh djus okyksa ij ykxw gksrh gSA

fd

lh Hkh ukSdjh ;k fctusl esa lQyrk ikus ds fy, ;g csgn t:jh gS fd vkidh usVofdZx vPNh gksA u, v‚fQl esa dSls [kqn dks lkfcr dj lcdk lg;ksx ik,a\ ;g pqukSrh ukSdjh “kq: djus okys gj “k[l ds lkeus jgrh gSA dSls djsa bldk lkeuk] crk jgs gSa ç”kkar tks”kh--gqlSu tc vius u, v‚fQl igqapk rks FkksM+k lgek gqvk lk FkkA ;g mldh igyh ukSdjh FkhA ukeh daiuh esa ubZ HkrhZA tc ukSdjh yxh Fkh rks og csgn mRlkfgr Fkk vkSj vkt tc ukSdjh dk igyk fnu Fkk rks mls Mj yx jgk FkkA gqlSu tc v‚fQl dh vkSipkfjdrk,a iwjh dj viuh MsLd ij igqapk rks ogka dk ekgkSy csgn nksLrkuk FkkA og MsLd ij igqap dj vius c‚l ls feykA fQj c‚l [kqn mls ckdh yksxksa ls feykus ysdj vk,A 10&15 feuV dh ckrphr esa gh gqlSu Hkh lkekU; gks x;k vkSj muds chp ,sls ?kqy&fey x;k tSls dkQh fnuksa ls muds lkFk dke dj jgk gksA

44 fnlacj-w®vw

gqlSu dks ubZ ukSdjh ds igys fnu tks eglwl gks jgk Fkk ;g gekjs] vkids ;k fQj dgsa fd lcds lkFk gksrk gSA tc Hkh ge ubZ ukSdjh Tokbu djrs gSa rks ogka ds yksxksa] ogka ds ekgkSy] ogka ds rkSj&rjhdksa dks ysdj nl loky mB [kM+s gksrs gSaA ukSdjh cnyus ds lkFk gh vkids #Vhu esa Hkh cnyko gksrk gS [kkl rkSj ij dke ls tqM+h gekjh fnup;kZ esaA ;g ckr nqfu;kHkj ds ns”kksa esa ubZ ukSdjh djus okyksa ij ykxw gksrh gSA vesfjdk ds Je foHkkx ds vkadM+ksa ds eqrkfcd vkSlru 18 ls 46 lky dh mez ds chp yksx 11 ckj ukSdfj;ka cny pqds gksrs gSaA [kkl ckr ;g fd ;qokvksa ds chp tYnh&tYnh ukSdjh cnyus dk pyu T;knk ns[kus dks feyrk gSA 18 lky esa ukSdjh “kq: djus okyk 24 lky dh mez rd igqaprs&igqaprs de ls de 5 ukSdfj;ka cny pqdk gksrk gSA ,sls esa gj ubZ ukSdjh ds lkFk vkids ikl mu yksxksa dh ,d QkSt gksrh gS ftuds lkFk vkidks dke djuk gksrk gSA


MHT

ysgsfYMt Fk

Lis ds’;ky j

BaM esa dSls jgsa rjksrktk&f[kys&f[kys fnu esa nks&pkj ckj lhf<+;ka vo’; pf<+,A blls ‘kjhj dk O;k;ke Hkh gksxk vkSj xehZ Hkh vk,xhA ;fn vkidk dke iSny pyus dk vf/kd ugha gS rks tc Hkh le; feys ?kj esa gh rst pky ls dqN nsj pfy,A

46 fnlacj-w®vw

l

fnZ;ksa esa rqjar fcLrj NksM+us dh bPNk ugha gksrhA Hkw[k c<+ tkrh gS vkSj “kkjhfjd esgur de gks tkrh gSA ysfdu NksVh&NksVh ckrksa ds lkFk lqcg dh “kq#vkr dh tk, rks ;g ekSle vkids LokLF; o lkSan;Z ds fy, ojnku lkfcr gksxkA

fcLrj NksM+us ds igys O;k;ke tSls gh vki fcLrj ls mBrs gSa vius “kjhj dks rkfu, vkSj <hyk NksfM+,A fQj ls rkfu, vkSj <hyk NksfM+,A pkj&ikap ckj bl fØ;k dks nksgjkb,A ,slk djus ls “kjhj esa xehZ ds rkiØe esa o`f) gksxhA ;fn vkids ikl le; gS rks ,d gh LFkku ij [kM+s gksdj dqN nsj t‚fxax dhft,A ,slk djus ls Hkh “kjhj esa pqLrh&QqrhZ vk,xh vkSj vkids vxys dke QVkQV gksaxsA

mcVu Luku vkSj rktxh Luku esa lkcqu dks vf/kd egRo u nhft,A dksbZ&lk Hkh mcVu yxkb,A ckagksa] iSjksa] ?kqVuksa] ihB ,oa xnZu dks mcVu ls jxfM+,] mlds ckn ugkb,A fQj [kqjnjs rkSfy, ls cnu iksafN,A bl rjg ds Luku ls rktxh] pqLrh vkSj xehZ eglwl gksxhA

MVdj [kkb, bu fnuksa Hkw[k vf/kd yxrh gS vkSj Hkw[ks isV lnhZ vf/kd yxrh gSA lqcg ikSf’Vd uk”rk Hkjiwj dhft,A [kkus esa Hkjiwj ÅtkZ çnku djus okyk Hkkstu dhft,A blesa çksVhu] iuhj] nw/k] vukt] vkyw] rkts Qy vkSj gjh lfCt;ksa dk lsou dhft,A xjekxje lwi ysuk Hkh bu fnuksa vPNk jgrk gSA


Lis ds’;ky j

xeZ diM+s Hkjiwj igusa ekSle ds vuqlkj diM+ksa dk p;u dhft,A “kks[k jaxksa dks viukb,A lnhZ ls cpko dk cf<+;k rjhdk gS ,d gh Hkkjh&Hkjde xeZ yckns ds ctk, iryh rg okys dbZ xeZ diM+s igfu,A vanj ds oL= d‚Vu ds gh gksa rks csgrj gksxkA nLrkus vkSj ekSts iguus ls drjkb, ugha buls vkidks vkjke Hkh feysxk vkSj Ropk dh lqj{kk Hkh gksxhA

iSny pfy, ;fn vki dkedkth gSa o v‚fQl vkids ?kj ls T;knk nwj ugha gS rks laHko gks lds rks vki iSny gh tkb,A blls jä lapkj c<+sxk] tks lnhZ dks de djsxkA bl ekSle esa fy¶V dk ç;ksx de ls de dhft,A fnu esa nks&pkj ckj lhf<+;ka vo”; pf<+,A blls “kjhj dk O;k;ke Hkh gksxk vkSj xehZ Hkh vk,xhA ;fn vkidk dke iSny pyus dk vf/ kd ugha gS rks tc Hkh le; feys ?kj esa gh rst pky ls dqN nsj pfy,A iSny pyuk “kjhj dks xehZ igqapkrk gSA

gkFk&iSjksa dks cpk,a ,fM+;ka o gksaBksa dks QVus ls cpk,aA iSjksa dh ekfy”k djds lnhZ ls cpk,aA ?kj esa Lyhij ds lkFk eksts igus jgsaA fcokbZ ugha iM+sxhA gksaBksa ij oSlyhu o pkSifLVd yxkrh jgsa] blls ;s lw[ksaxs ughaA

‘kks[k dyj igfu, “kks[k diM+ksa ds lkFk&lkFk esdvi Hkh “kks[k jaxksa ls dhft,A czkmu ;k yky jax ds fofHkUu ‘ksM fyifLVd ds bu fnuksa [kwc QcsaxsA ;fn vki vka[kksa dk esdvi djrh gSa rks LysVh] Hkwjs] lqugjs vkSj rst jax ds vkbZ “ksMks dk bLrseky djsaA

dejs dk rkiØe cgqr vf/kd xje ;k ,;j daMh”kuj;qä :e esa u lks,aA blls vki lnhZ ls rks cp tk,axs] ij lqcg mBus ij vki vius vkidks rjksrktk eglwl djus dh vis{kk lqLrh ls f?kjk ik,axsA

/kwi dk O;kid çHkko Hkh Ropk ij iM+rk gSA vr% dksYM Øhe ds lkFk e‚b”pjkbtj dk Hkh ç;ksx djsaA Ropk dh ueh cuk, j[kus ds fy, isVªksfy;e] ysuksfyu] feujy v‚by] fXyljhu vkfn dk Hkh ç;ksx djsaA ;s ueh çnku djus okys rRo Ropk dh j{kk Hkh djsaxsA çfrfnu psgjs dh lQkbZ Dyhaftx feYd ls djsaA foaVj ds;j yks”ku dksYM Øhe o e‚b”pjkbtj nksuksa dh deh iwjk djrk gSA fdlh vPNh daiuh dk yks’ku bu fnuksa ds fy, pqu ysaA vkidh Ropk ij ekSle dk vfrfjä çHkko ugha iM+sxkA

e‚b’pjkbtj csgrjhu lkFkh bu fnuksa lnZ gokvksa ds lkFk&lkFk fnlacj-w®vw 47

MHT

ysgsfYMt Fk


MHT

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LVkby ds;j

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MHT

gsYFk

48 fnlacj-w速vw

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RNI No. DELBIL/2011/40166


MEDIHELATH TODAY MAGAZINE