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iSnkdjue,d chtd rkSjijdked jrkgo g h

v Yi' k q ÿ k. k q rkdhoe `r' k q ÿ k. k q rkd krklQ y byktfd ;ktkld rkgyfduv ' k q ÿ k.kr k

ikS# "k]lkgl]cyv kSjmRlkgHkhiSnkd jrkgSA

(Azospermia) dkbykt ughgkld rkA

l UrkuiSnkdjudfy ,'kÿedoy 'kÿ k.kv k

d kgkukghdkQ hug h a cfYdmud ki q"Vgkuk]mfp r

v k/ k q fud gkjekufpfd RlkvkSjv k; q o Zn

jljlk;uckthd j.kd mPpdkfVd ;kxkl

l a [;kexfr 'khy gkukHkhvfrv ko';d gSA

' k q ÿ k. k q vkdhl a [;kd kc <+kd jxfr 'khy rkfd ; k

' k q ÿ k. k q tuue a i w . k Z v Hkko(v 'kÿ k.krk)d k

tkld rkgyfdui a chtug h a culd rkA

v a xthe (Azoo Spermia) dgrgSaAv Yi

v 'kÿ k.krkoky jkxhdhfpfd Rlkd eZ;kxekud j

' k q ÿ k.kv k a d k(Oligo Spermia) dgrgSaA,d

NkMnuhpkfg; A

lgrokyvknehed njrhrkSjij80izfr 'kr

' k q ÿ k.kgkut: jhgAyfdul rkuiSnkdjud

fpfd Rl klcl igy jkxhd ki a pld kj

p .k]n /kl ,j.Mry 20feyhfeykdjmld kmn j

fy,deld e60ifr 'krxfr 'khy 'kÿ k.kgku k

' k qfºd jukpkfg;AtSleSydiMijj a xv PN h

vfrt: jhgSA HkkoLo LFk]rt xfrv kSj'kfDr 'kky h

rjgug h a c<+rkmlhid kj' kjhjd k'kk/kuudjul

gkukHkht: jhgSAdbckjn[kkt krkgfd

jljlk;uv kS"kf/kdYii w jhrjgdkeughd jrhA

‚"Vi q "VokykvPNMhyMkSy okykl q MkSy iq# " k

el a Hkkxdjud hi jh'kfDrgkrhgyfduv Yi

v k"kf/kfpfd Rlkxk{kjvkfnp w . k Z

xk[k#]'krko j]d kSap cht]xxju]cy k]rkye[kku k]

'kÿ k.kv k a dd kj.kogl UrkuiSnkughdjld rkA

feJhl Hkhl e Hkkxyd je ghup w . k Z djy a A

'kÿ k.kv k a dhy SokjV ™ hltkpdjulgekjd krhu

ckrfey rhgSA

ek= k55xzkep w .kl q cg'kkefeJ h

feygYdxen w /kd l kFkvkSjl kFke22xky h

v ' k q ÿ .kr k(Azospermia) oh;e

'kÿ k.kugkukA

i q "i /kUokjldhnoAHkktud ckncy kfj"V$

v'ox /kkfj"Vnku k a dkfeykdj66pEep

v Yi ' k q ÿ k.kr k(Oligospermia) oh;

e ' k q ÿ k. k q d e gkukA

l e Hkkxtyfeykdjno a A

x . koh; Z dkirykiunjdjd ' k q ÿ k. k q v k a d h

er'kÿ k. k q (Nero Spermia) oh;e

'kÿ k.kdhp a py rkxfrdkd e gkukA

v Yirk45fnu k a exkj.Vhl njd jnrkgSA;ge j k

c g q i jhf{kr;kxgSA

' k q ÿ k.ko /kd i q fM + ; k;g;kx

i q "i /kUokjl40xke]ioky fi"Vh15xke]ekr h

l /kkfu f/kif=dkdl Eikndd kFkkyfdue u

fi"Vh5xzke]l Hkhv kS"kf/k; k a d ke nZux .ko nZud

FkkM+kifjorudjd cudj,d jkxhdkfn; k

'ykd Hkkolv PNhrjg[kjydjdbldh180

d jhcpkje ghuigy ejDyhfud ij,dv Yi

i q fM +;kc uky];grhue ghudhnokgSA

'kÿ k.kvkd kjkxhtkih-th-v kb-g k W LihVy

p.Mhx<oMh-,e-lh-v Lirkyy q f/k;kuklv kSj

y s u s dhfo f/ k ,d,d i q fM +; k

l cg'kke[kt j'kkf/krn /kd l kFkA

vU;dblSDld ekfgjMkDV j k a lbyktd jo k

p q d kFkkyfdumld ' k q ÿ k. k q 10ifr 'krlT;kn k

[kt wjl af/krn w / k250xzken /ke a 100

xkeikuhfeykdjml e a 45[kt w jMkyd jn /kd k

mcky rjg a tcikuhtyt k;flQ n /kjgtk;rc

c<ug h a jg FkAigy rkeSaulkpkfdtcih-t h-

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bl n /kd l kFk,d,d i q fM +;kl cg'kkey o A

x q . k ;gi q fM +;kvYi'kÿ k.kv k a d k

c <+kdjomud kxfr 'khy c ukdjlcyvkSjpiy

lkoS| HkykmldkD;kbyktd jxkyfd ufQ jH kh

c uknrhgSA

HkxokuJ h/kUoUrfjthdkLe j.kdjdlcl

igyblcxky $f=Q ykp . k Z ndjmldkiVlkQ

fd ;ktkv a xzthv kS"kf/k[kk[kkdjeSMhd y LV kj

fo ' k"k;ge jki .ki jhf{kr;kxgSAl H kh

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ijgtbl e a v p kj][ kVkb]' kjkc]rt

cup q d kFkkAfQjfuEufy f[kr'kÿ k.ko / kZd

fep Z elkykvkfni jhrjgijgtj[kAuhc w d

i q fM +;knh]doy 45fnue ghmld 'kÿ k. k q vkd h

v pkjo[ kVkb Z d kijgtcgrght: jhgSA; g

ek=ktk10ifr 'krlc<ug h a jghFkh]35ifr 'kr

nkuk' k q ÿ k. k q v k a dk,l[kRedjrgtSl

gkxbv kSjrhue ghuemld h'kÿ k.kvkdhl[; k

d hVuk'kdv kS"kf/k;kd hM+kd k[kRedjnrhgSA

;ge jkfuthv u q HkogSA

35lc<+dj65gkx b Z vkSjp kSFkekgmld hiRu h

d kx H k Z HkhBgjx;kA

'kÿ k. k q o / k Z d ifM + ;kdk;kx

v'ox a /kkp . k Z 450xke]eqy gBhp . k Z 150xke ]

xk[k#vkfnp .k90xke]flºedj/ot40xke ]

t;vk;o n !

m# Lr EHkj ksx d kj .k]y

{k.k,olQ ymipkj

m#Lr EHkjkxfo ' k"kr%ok;izdkil gku

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O; kf/kd gkgSAbl jkxeokridkic<tkudd kj. k

jkxhdkdkQhd"Vl gukiM +rkgv k; q oZndvul kj

B.MhxjeoLrq, a [kku]ihryd c rZuenjlj[ kh

(3)fp=d]pO;]gjMdhNky]no nk# ]

d .kxpdQ yoljlkl Hkhdkl e Hkkxydjp w . k

(firy k;h)oLr q x g .kd ju]fnue a v f/kd rjl ku ]

c uky a Ablel ' kjhjdcykcydvulkj5l10

jkf=e a T;knktkxu]v t hZ.kex fj"VHkktud jr

xzkeyd j' kqº 'kgnd l kFkl oudjuijm#Lr EH k

jgu]{kf/krjguvkfnd kj.kko 'k' kjhje a ok;

ei; kZIry kHkfey rkgSA

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izn 'kd kfo ' k"k:il i Hkkford jrhgftllt ?kk,

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jkxd km#Lr EHkukefn;kx;kgSA

bl e a l5l8xzkerd ' kjhjdcykcydvul kj

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bl jkxe a igy u h a nv f/kdv krhgSAgYd k

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lkTojjgrkgSA jkekp ( jkxV[kM gkt kuk)oN fn

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mi; q Drv k; q ofnd ;kx k a eld kb Z ,d

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ekfy 'kdjAbllvkSjt Ynhy kHkfey rkgSA jkx

(1)fxy k;]fHky kok]l k a B]gjMd hnky ]

i zkjfEHkdv o LFkke a ghgkrkek=n 'ke w yDo kFkd

no nk#vkSjl kBhdhtMl e Hkkxydjd w Vy]l H kh

l kFkxXxyd kl oudjul ghpykt krkgSA

v kS"kf/k; k a l,d frgkbek=ken 'ke w yydjd k< +k

c uky a Abldk<e a l10l20feyhe hVjizkr %

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m#Lr EHkd jkxhdkv a x k a lt k a dv Fko k

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l kFk*'okl jkxl ' kjhjvkÿ kUrgktkuij' kjhje

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jgdd kj.kbl jkxdknekdgrgA

od q Ÿkd ckyd hx a /kl,yt hgkrhgSAlkQkv kfn

d xn~ncny ughtkrvkSjmue / k w yldkd jkp ]

jkxdd kj. k; gfo'oO;ki hjkxgl H kh

v k; q oxdykxi zHkkforgA

ePNjekjdkbyd k/ k a q vkl]ckl hHkkt u]cklhczM ]

f›tej[kg,B.M HkkT;in kFk],Lizhuv kfn

v k;ckY;,oo`º ko LFkkefo ' k"kr%gkr k

gl Hkhv o LFkke a gkld rkgSA

nnZuk'kdnok,]Q y k a d i jkxd .kv kfnfofo / k

d kj.kkl gkrkgSA

fy xfL=;kdctk;iq# " kk a enkx q u k

fn[ kkb Z nrkgi jfL=;ke a HkhgkrkgSA

v r%ftuoLrv k a l,yt hgkmud kR;kx

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dyt izo fŸ kizk;%'oklo a 'ki jEi jkxr

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cy oku ~ dQ kf/kD;; q Dr jkxhe 'kk/kufpfd Rlk,o a

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nkrjv k a r k a d ijthfo;ktSldhMdd kj.kgkrkgSA

ftlv k; q oZneœ fe jkxdgrgSA

v k/ k q fudfpfd RlkfoKkueœ fe jkxd kWorm

infestations (Helminthiasis) d ukelt kukt krkgA

ftlee q [;d kj. kRound worm (Ascaris lumbricoides) Thread worm (Enterobius Vermicularis) r F kkTape worm (Taenia solium) gSA

œ fe jkxdd kj.kdhMv k a rkejgrgvkSjvkid cPp

d ki k"k.k[kktkrgAiVed hM gkudhdbot ggkr h

g Sa ije[;:il;gn w f"kr,o a cklh[kkuiku]xUn

g kF kk a l Hkktud juk][ky e a j[kg, Hkktud k[kku k]

cPp k a dkfeÍh[kkuk]uk[kukd kxnkjguk]dPphlCt h

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flQv kjked jukv kSjifjJeudjuliVe a d hM g k

tkrgSaA

v k; q o Z nd s x a Fkke a bld s d kj.kof. k Z r g

?-v t h. k Z gkrg, HkhHkktud ju k

?-vEy,o a e / kqjin kF kk a d kfuR;l o u

?-Êoin kF kk a e a v R; f/kd:fp gku k

?-fi"Ve;in kF kk aZ dkv R; f/kd l o u

?-xMdkv f/kd ek=kel o u

?-O;k;keud ju k

?-fnuel ku k

?-fo#º kgkjdkl o u

?-' kqº rklughjgu k

œ œ f e e d v v ? ? ? ? ? ? ? ?

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œfed Bkjjl

iy k'kchtp . k

fpfd Rl k

vkpk;pjduœ fefpfd Rlkd rhuÁe[kflº kUr

o f. kZrfd ,g Sa

?-vid "k.k?-Ád ` frfo ?kkr ?-funkuifjot u

?-vid "k. k vid " kZ.klrkRi; Z [khpdjc kg j

?-ygl q udhp Vuhel a /kkuedfeykdjl q cg'kke

[kkuliVddhM u"VgktkrgSaA

fudky ukgSAbl e a œ fe; k a d k;U=kl;kg kFkl

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?-p q Vd hHkjdkykuedvkSjv k/kkxkev t ok;up . k

feykd jjkrdklkrle;xeikuhlyAv t ok;ue

fLFkrœ fe; k a dkc kgjfudkyudfy;l a 'kk/ku

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fpfd Rlkdhl gk; rkyht krhgSAbl e a f' kjkfojpud

nrgA

} kjkf'kjLFkœ fe;kdk]oeu} kjkv ke k'k; LFkœ fe; k

d kr FkkiDo k'k; LFkœ fe;kd kfojpuoofLrd } kj k

c kg jfudkykt krkgSA

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dkp w .kfeykdjl oudjuly kHkgkrkgSA

?-Ád frfo ?kkrœ fe; k a dhÁd ` frd kuk'kd jukÁd ` fr

iVd s d hM + ekju s dfy , ?kj s ymik; %uk[kuN kV

fo ?kkrgSAbleœ fe;kdhÁd ` frd fo#º]d V]fr‰ ]

j[kuk]V k W ;yVbLrekydjud ckng kFkvPNl

d "kk;]{kkj,om".kÊO;kdkÁ;kxd jkdjœ fe; k a d k

lkQd juk]?kje a lQkbj[kuk]lCth]Qyd k[kku

u"Vfd ;kt krkgSA

?-funkuifjotuœ fe jkxdfo fHkUufunkukd k

i fjR;kxd jukv F kkZr ~ ftud kj.kklœ femRiUugq,g

mud kR;kxd jukA

fnuenkckjihuliVddhMejdjeyd l kFkc kg j fudytkrgSaA

vkSjidkul igyvPNl /kk,]dPpku[kk, a ][ky

e a 'kkSpud j a ] Hkktudjul igy g kF kk a dkv PN

Ádkjl /kk, ° ]cPpkdkfeÍh[kkul jkd u k

cp ko

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n /k]d V q fr‰d "kk;in kF k Z]rÿ];okx]y 'ku ]I;kt ]

e / kq]'kkd ]c Fkvk]v kfnA

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cPp k a dkfiykuliVdd hMfudytkrgSaAr F kk

bllcPp k a diVe a gkuokyhcp Suhlv kjkefey r k

gSA

v iF;v kgkjn X/keNyhdkl o u]Êoofi"Ve; in kF kk aZ dkvfrl o u]mM +n]ngh]ikydvkfni= 'kkd ]

ekl]≈ Vuhd kn q X/k]vEy,oe /kjjl Á /kkuHkkt u v kfnA

CHANDRAKANTA