fujh{k.k ls tqM+s vè;;u - Biswaroop · flfyaMj ds fcydqy Bhd fd;k tk ldrk gSA ;gk ¡ij vR;f/d...

fujh{k.k ls tqM+s vè;;u(lHkh izek.k iqLrd esa fn, x, gSa)

(14 tqykbZ] 2020 rd igys 5000 ejht)

5000 ls vf/d ILI/Covid-19 ds jksfx;ksa dks liQyrkiwoZd Bhd djus ds ckn gekjk fu"d"kZ%

1) SARS-CoV2 dk laØe.k jsV (rate of transmission) lkekU; lnhZ&tqdke ds cjkcj gSA

2) Covid-19 dh e`R;q nj (mortality rate) dh rqyuk lhtuy Ýyw ls dh tk ldrh gSA

3) Social distancing dks ;fn iQkWyks u fd;k tk, rks nksckjk laØe.k (;fn y{k.kksa dks ns[kk tk;s u fd VsLV dks) dh laHkkouk vk'p;Ztud :Ik ls 2% ls Hkh de gSA

4) Fkzh LVsi Ýyw MkbV dks 'kq: djus ds 24 ?kaVksa ds vanj 90% ejhtksa dk cq[kkj 1000F ls uhps vk tkrk gSA

5) Fkzh LVsi Ýyw MkbV dks 'kq: djus ds 48 ?kaVksa ds vanj 60% ejht Covid-19 test esa negetive ik, tkrs gSaA

6) Fkzh LVsi Ýyw MkbV dks 'kq: djus ds 72 ?kaVksa ds vanj %

(i) 80% ejhtksa ds lHkh y{k.kksa dk funku gks x;kA

(ii) 75% ejht dksfoM &19 tkap esa usxsfVo ik, x,A

7) Fkzh LVsi Ýyw MkbV dk rhu fnu rd ikyu djus ds ckn D.I.P Diet dks 'kq: djus ij%

(i) 95% ejht 7 fnu esa Bhd gks x,A

(ii) 100% ejht 14 fnu esa fcydqy Bhd gks x,A

8) ILI/Covid-19 Lks xzLr vR;f/d chekj ejhtksa dks dsoy ?kj

esa jgdj fcuk nokb;ksa (zero medicines) @ fcuk vkWDlhtu flfyaMj ds fcydqy Bhd fd;k tk ldrk gSA ;gk¡ ij vR;f/d chekj dk eryc gS%

(i) cq[kkj ≥ 1040F(ii) SpO2 ≤ 75%(iii) Acute Respiratory Distress Syndrome (ARDS )9) 95% Lks T;knk ejht vkSj muds ifjokj okyksa esa Covid-19 ds

y{k.kksa @ 'kkjhfjd O;Fkk dh otg ls ugha vfirq iQksfc;k vFkkZr Mj vkSj fiQ;j lkbdksfll (fear psychosis) vFkkZr euksfod`fr dh otg ls vkrad gSA

50,000 ls vf/d jksfx;ksa dks Bhd djus ds ckn gekjk fu"d"kZ (30 flracj] 2020 rd)

iz'u&1% dksfoM&19 fdlh nwljs Ýyw ls dgha vf/d Hk;adj vkSj ?kkrd dSls gS\

mRrj % ;g fdlh Hkh nwljs Ýyw tSlk gh gSA mlls Hk;adj ;k ?kkrd ugha gSA

iz'u&2% D;k dksbZ dksfoM&19 jksfx;ksa vkSj lkekU; Ýyw jksfx;ksa ds chp dksbZ varj dj ldrk gS\ ;fn gk¡] rks buesa D;k varj gksrk gS\

mRrj % dksfoM&19 ds y{k.k fdlh Hkh nwljs Ýyw tSls gh gksrs gSa vkSj buds y{k.kksa esa fcydqy Hkh varj ugha gksrkA

iz'u&3% fdlh Hkh lks'ky fMLVsaflax dk ikyu fd, fcuk ;k ekLd yxk, fcuk Hkh lM+dksa ij tkuoj vkSj fHk[kkjh fn[kkbZ nsrs gSaA buds chp dksfoM&19 ls gksus okyh ekSrsa fjiksVZ D;ksa ugha gqbZ\

mRrj % tc gekjs jksxh gekjs bykt ds izksVksdkWy ij Fks] rks os vius ?kjksa esa Fks] ml nkSjku mUgkasus fdlh lks'ky fMLVsaflax dk ikyu ugha fd;k vkSj u gh laØe.k ds Hk; ls nwljs lnL;ksa ds lkFk ekLd vkfn yxk;kA fiQj Hkh dsoy 2 izfr'kr ikfjokfjd lnL;ksa us Ýyw ds gYds y{k.kksa dks fjiksVZ fd;k tks fd fcuk fdlh eè;LFkrk ds Lo;a gh Bhd Hkh gks x,A bl rjg ge fu"d"kZ fudky ldrs gSa fd dksfoM&19 mruk laØe.k ugha iQSykrk] ftruk bldk izpkj fd;k x;k gS ;k bls fn[kk;k x;k gSA bldh laØe.k nj] fdlh Hkh vU; Ýyw ftruh gh gSA

iz'u&4% vc rd] nqfu;k Hkj esa cPpksa ds vf/drj Ldwy [kksys tk pqds gSa] Ldwyksa ds [kqyus ds ckn cPpksa esa dksbZ izeq[k

dksjksuk foLiQksV ;k fiQj cPpksa esa dksfoM&19 ls gksus okyh ekSrksa dh fjiksVZ lkeus D;ksa ugha vkbZ\

mRrj % gekjs jksfx;ksa esa dsoy 2 izfr'kr cPps 'kkfey Fks vkSj muesa ls 96 izfr'kr ls vf/d cky jksxh] bykt ds igys 72 ?kaVksa ds Hkhrj vius jksx ls eqDr gksus esa liQy jgsA gekjk fu"d"kZ ;g gS fd cPpksa esa dksfoM&19 dk bykt djus dh t:jr ugha gS D;ksafd buesa cgqr gh gYds y{k.k fn[kkbZ nsrs gSa tks Lo;a gh Bhd gks tkrs gSaA budh vksj ls ok;jl dk laØe.k Hkh cgqr gh nqyZHk gSA

dksfoM&19 "kM+;U=k ls lek/ku rd - MkW- fcLo:i jk; pkS/jh

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India Office:C/o India Book of Records

B-121, 2nd Floor, Greenfields, Faridabad -12003 (Haryana), India

Ph. :+91-9312286540

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148 Hong Ha Street9 Award, Phu Nhuan District,

Ho Chi Minh City, Vietnam - Hotline: (+84) 903710505

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PT 573, Lot 15077 Jalan Tuanku Munawir, 70000 Negeri Sembilan, Malaysia

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iQksu% 011&40712100 bZ&esy% [email protected] osclkbV% www.diamondbook.in

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fo"k; oLrq• fujh{k.k ls tqM+s vè;;u• 50]000 ls vf/d jksfx;ksa dks Bhd djus ds ckn gekjk

fu"d"kZ (30 flracj] 2020 rd)

HkkXk&1

1-Covid-19 ds jgL; dk lek/ku (14 tqykbZ] 2020 rd igys 5000 ejht)------------------------------------------------------------------------------ 19

2-dksjksuk ls bruh vf/d ekSrsa D;ksa\ rhu pj.kksa esa mRrj ---------- 26

3-izk.k&;ejkt dk foKku------------------------------------------------------------- 40

4-ILI / Covid-19 dk vkikrdkyhu izca/u------------------------------- 58

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1

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(14 tqykbZ] 2020 rd igys 5000 ejht)

20 | dksfoM&19 "kM+;U=k ls lek/ku rd

;fn ge ICMR1 (Indian Council of Medical Research) }kjk e`R;q izek.k i=k tkjh djus ds fn'kk&funsZ'kksa ds vuqlkj pyrs gSa] ;fn dksbZ O;fDr ILI ds Dykfldy y{k.kksa ls ej tkrk gS] rks e`R;q dk dkj.k Covid-19 gksxkA ;gk¡ rd fd vxj e`R;q ds igys ;k ckn RT-PCR VsLV ds }kjk O;fDr SARS CoV-2 usxsfVo ik;k x;k rks mldk eryc] ICMR dk ekuuk gS fd ILI ds 100% jksfx;ksa es ,d gh dkjd ,tsaV gksrk gS vkSj og gS SARS CoV-2] gkykafd ICMR ds bl fl¼kar dk fpfdRlk lkfgR; esa dksbZ izek.k ugha gSA

ICMR ds }kjk ¶e`R;q izek.ki=k esa fjiksVZ dSls djsa¸ ds funsZ'kksa ds vuqlkj] ifjHkkf"kr :i esa] eq>s dguk pkfg, fd fiNys 40 fnuksa es] geus 5000+ Covid-19 ejht Bhd fd,A gkykafd] ÝYkw ;k ILI ds y{k.kksa ds vkt rd igpkus x, dkjd ,tsaV 200 ls vf/d ok;jl gks ldrs gSa rFkk ;s cSDVhfj;k] iQaxl vkSj ;gka rd fd xSj&ijthoh dkj.k lfgr vU; jksxtudksa dk dkj.k gks ldrs gSa ftuesa nokvksa ds nq"izHkko vkfn 'kkfey gSaA

bu 5000+ jksfx;ksa dk bykt djrs le; esjs fy, jgL; ;s Fkk fd eSa ejhtksa esa dksjksuk iksftfVo dh fLFkfr esa dksbZ fo'ks"k vUrj ugha dj ldk tks muds fy, vf}rh; gS (muesa ls cgqr ls yksx SARS CoV-2 ds vykok vU; ok;jl ds okgd gks ldrs gSa)A

esjk izFke fu"d"kZ---

y{k.kksa ds vuqlkj] Covid-19 ejht fueksfu;k@ ILI jksfx;ksa ds leku gSa ftuds ikl dksbZ fof'k"V ladsr ;k vkjksX; izkfIr dk rjhdk ugha gSA

eSa Covid-19 uked igsyh dks gy djus ds ctk, mlds jgL; dks mtkxj djus ds fy,] nqfu;k ds vf/dka'k v[kckjksa ds 'kh"kZdksa ds lkFk vkidks tuojh] 2020 ds igys LkIrkg (4&7 tuojh ds chp)


dh vksj ysdj pyrk gw¡A phuh vf/dkfj;ksa2 dk dguk gS ¶oqgku ds jgL;e;h fueksfu;k ekeys ds dkj.k vHkh Hkh vKkr gSaA¸ 5 tuojh] 2020 dks WHO ds }kjk mudh osclkbV3 ij Hkh bls Lohdkj fd;k x;kA

3 tuojh] 20204 dks WHO ds vuqlkj Pkhu ds jk"Vªh; vf/dkfj;ksa }kjk vKkr etiology ds fueksfu;k okys dqy 44 jksfx;ksa dh fjiksVZ dh xbZ FkhA

;g tkurs gq, fd izR;sd o"kZ 2-5 fefy;u5 ls vf/d yksx fueksfu;k ds dkj.k ej tkrs gSa vkSj yxHkx 450 fefy;u vkcknh fueksfu;k ;k ILI ls ihfM+r gksrh gS] isphnk loky ;g gS fd LokLF; vf/dkfj;ksa us vKkr etiology (gsrqfoKku) ds LkkFk fueksfu;k ds :i esa 44 jksfx;ksa dh lwpuk nhA mUgksaus budh igpku fdl vk/kj ij dhA vkb, fuEu RkF;ksa ij ut+j Mkyrs gSa---

1- 60% ls vf/d ILI esa] fdlh Hkh ok;jl dk irk ugha yxk;k tk ldkA6

2- fueksfu;k ds 20% ls vf/d ekeyksa esa] dksbZ Hkh izsjd okgd dk irk ugha yxk;k tk ldkA7

esjk rdZ

1- vkids iM+ksl lfgr nqfu;k Hkj esa] ILI ds izR;sd 10 jksfx;ksa eas (yk{kf.kd :i ls) de ls de 6 dks ILI ds fy, Kkr fdlh Hkh ok;jl ls ugha igpkuk tk,xkA

2- fueksfu;k ds izR;sd 10 jksfx;ksa ds fy,] de ls de nks dks fdlh vKkr dkjd ,tsaV ds lkFk ugha igpkuk tk,xkA

bldk vFkZ ;g gS fd ILI okys 60% ls vf/d jksfx;ksa dks vKkr etiology ds lkFk ILI jksxh dgk tk ldrk gS vkSj 20% dks vKkr


dkj.k ;k etiology ds lkFk fueksfu;k is'ksaV ;k muesa ls 20% dks jgL;e;h fueksfu;k jksxh dgk tk ldrk gSA

;gk¡] eq>s vkidks ;g è;ku fnykuk gksxk fd y{k.kksa ds vk/kj ij] Covid-19 jksfx;ksa esa dksbZ vuks[kh fo'ks"krk ;k ladsr ;k iSVuZ ugha fn[krs gSa tks U;weksfu;k@ ILI ls vyx gksa--- rFkk blds lkFk gh fueksfu;k ds lHkh Kkr dkj.kksa dk Hkh irk yxkuk laHko ugha gSA fueksfu;k dk dkj.k cuus okys gtkjksa vU; ,tsaV gSaA UkSnkfud :i ls (Diagnostically) foKku ds fy, lcls vPNk miYkC/ midj.k PCR Test gS (ftls lksus ds ekud ds rqY; ekuk tkrk gS) ijarq ;g High false positive ds lkFk gksxkA ;kuh tc euq";ksa ds fy, Kkr 200 ls vf/d ok;jl dk PCR VsLV fd;k tk,xk] rks ILI@fueksfu;k ds izsjd ,tsaV gksus ds fy,] lkaf[;dh; :i ls (vkSlru) ;g 200 esa ls de ls de nks ok;jl ds fy, fn[kk,xk] ;gk¡ rd fd 200 ok;jlksa ds vHkko esa Hkh PCR VsLV dh fof'k"Vrk 99%8 ls vf/d ugha gks ldrh gS] tks nks ok;jl dks ,d izsjd ,tsaV ds :i esa fn[kkrk gS] Hkys gh muesa ls dksbZ Hkh ok;jl ekStwn u gksA

vc oLrqr% ;g tkuus dk dksbZ lk/u ugha gS fd ijh{k.k TRUE Positive gS ;k FALSE Positive gSA

fo'ks"k :i ls] Positive Result ,d fo'ks"k jksxh ds fy, (Hkys gh ;g FALSE Positive gks) ILI ds izsjd ,tsaV ds :i esa Lohdkj fd;k tk ldrk gSA

blfy,] loky ;g gS fd 44 jksfx;ksa esa fueksfu;k ds izsjd ,tsaV Unknown etiology ds fu.kZ; dk vk/kj D;k Fkk\ eSus fyad ij WHO dh osclkbV dks ns[kus dk iz;kl fd;k (vkxs ckWDl ns[ksa) ysfdu Link ekStwn ugha gSA


pwafd WHO vkSj phu ds LokLF; vf/dkfj;ksa us ;g lkfcr djus ds fy, dksbZ MsVk ;k lcwr ugha fn;k gS] os fueksfu;k ds lHkh Kkr dkj.kksa dh laHkkouk dks SARS CoV-2 dSls crk ldrs gSa\ os bl fu"d"kZ ij dSls igq¡ps fd mu 44 jksfx;ksa esa fueksfu;k SARS CoV-2 dk izsjd ,tsaV gks ldrk gS] Hkys gh ;g izsjd ,tsaV gS] ;g euq"; ds fy, ,d u;k ok;jl ugha gks ldrk gS] cfYd mu 20% jksfx;ksa esa fueksfu;k dk ,d izsjd ,tsaV gks ldrk gS] ftuds fy, izsjd ,tsaV igys irk ugha pykA

ljy Hkk"kk esa] SARS CoV-2 yEcs le; ls ILI/Pneumonia iSnk dj jgk gS] ysfdu vc ge ok;jl dk irk yxkus ds fy, ,d fof/ rS;kj dj jgs gSaA

esjk fu"d"kZ

esjs 5000+ jksfx;ksa vkSj mijksDr lcwrksa ds lkFk bykt djus ds vuqHko ds vk/kj ij] ge ;g fu"d"kZ fudky ldrs gSa fd SARS CoV-2 ,d u;k ok;jl ugha gS] ftlls dksbZ vuks[kh chekjh @ y{k.k


gksa] fo'ks"kdj rc tc WHO ;k phu ls bls u;k ok;jl lkfcr djus ds fy, dksbZ lcwr ugha fn;k x;k gSA

blfy,] egkekjh dh ?kks"k.kk rduhdh :i ls xyr gS D;ksafd ifjHkk"kk9 ds vuqlkj egkekjh dk eryc nqfu;k Hkj esa ,d ubZ chekjh dk izlkj gSA vxj ge Hkkjr ds ¶egkekjh vf/fu;e 1897¸ dh ckr djsa] tks fd Hkkjr ljdkj }kjk ykxw fd;k x;k gS] vlaoS/kfud vkSj WHO dh ifjHkk"kk10 ls vyx gS] D;ksafd egkekjh dk eryc lkekU; izR;k'kk ls vf/d ,d chekjh dh ?kVuk gSA Hkkjr esa fueksfu;k ds dkj.k izR;sd o"kZ 1-5 yk[k e`R;q gksrh gSa vkSj 13 tqykbZ] 2020 rd Covid-19 ds dkj.k gksus okyh e`R;q 22000 gaS] tksfd ,d okLrfod dksjksuk e`R;q ugha gS] cfYd e`R;q SARS CoV-2 ds lkFk ,d experimental medical izfØ;k vkSj co-morbid 'krksZa ds dkj.k gSA (tSlk fd vkxs ds vè;k;ksa esa crk;k x;k gS)

gesa ;kn djuk pkfg, fd egkekjh dh ?kks"k.kk ykWdMkmu vkSj Social distancing dk vk/kj ekpZ] 2020 ds eghus esa WHO }kjk dh xbZ Hkfo";ok.kh11 FkhA

Hkfo";ok.kh uEcj 1nqfu;k ds fy, Hkfo";ok.kh

vxj ykWdMkmu ;k Social distancing ;k vU; fuokjd mik; ugha fd, x,] rks nqfu;k Hkj esa yxHkx 4 djksM+ yksx ej tk,axs vkSj vxj LkHkh jksdFkke vkSj ykWdMkmu tSls mik;ksa dk ikyu fd;k tkrk gS] rc Hkh vxys dqN eghuksa esa nqfu;k Hkj esa 2 djksM+ yksx ej tk,axsA

Hkfo";ok.kh uEcj 2Hkkjr ds fy, Hkfo";ok.kh

vxj ykWdMkmu ;k Social distancing ;k vU; fuokjd mik; ugha fd, x,] rks 60]96]359 yksxksa dh e`R;q gks tk,xh vkSj ;fn


ykWdMkmu ;k Social distancing ds lHkh WHO fn'kkfunsZ'kksa dk ikyu fd;k x;k] rks Covid-19 ds dkj.k vxys dqN eghuksa esa yxHkx 23]75]803 yksx ekjs tk,axsA

vc ICMR }kjk Serology losZ{k.k ds lkFk] ;g LFkkfir fd;k x;k gS fd Covid-19 dk Case fatality rate (CFR) 0.08%12 gS] tks fd ekSleh Ýyw ls de gS vkSj Vªkalfe'ku (RO) dh nj 1-1513 gS tks fd lk/kj.k tqdke&cq[kkj ls de gS] ftldk vFkZ gS fd Covid-19 u rks ?kkrd gS vkSj u gh laØked gS tSlk fd Hkfo";ok.kh vkSj vuqeku yxk;k x;k gSA

lkSHkkX; ls] yks Lkh,iQvkj vkSj vkjvks ds lkFk nqfu;k Hkj esa vkSj Hkkjr es Hkh e`R;q dk vkadM+k WHO dh Hkfo";ok.kh ds fudV ugha gSA

blfy, lc dqN lkekU; djus ds fy,] gesa vius thou ls rhu 'kCnksa dks feVkuk gksxk%

1- ;g dksbZ jgL;e; ok;jl ugha gS]

2- No Epidemic

3. No Pandemic (;g dksbZ egkekjh ugha gS)

ckj&ckj ehfM;k vkSj Phone Caller Tune ds ekè;e ls] vkidks ;g fo'okl fnyk;k tkrk gS fd ;g ,d jgL;e;h ?kkrd ok;jl gS tks cM+h la[;k esa e`R;q dk dkj.k curk gS ysfdu dksbZ lg;ksxh izek.k ugha gSA

lanHkZbl vè;k; ls lacf/r video and references ds fy, www.biswaroop.com/nicebook fyad ij tk,¡


vè;k;

dksjksuk ls bruh ekSrsa D;ksa\rhu pj.kksa eas mRrj

2

Covid-19 dk bykt dSls djsa\

(5 twu] 2020 dks N.I.C.E. Launch ij fn, x, O;k[;ku ds vk/kj ij)

dksbZ O;fDr ,d ;ksn~/k dSls cu ldrk gS\ blds fy,] eSa fiNys nks eghuksa ls N.I.C.E. ds uke ls ,d :ijs[kk cuk jgk Fkk vkSj ;s fo'o i;kZoj.k fnol ds volj ij 5 twu] 2020 dks 'kke 5 cts yk¡p dh xbZA ;g iwjs ns'k esa iQSys izf'kf{kr yksxksa dk ,d usVodZ gS vkSj bldh LFkkiuk ds ckn ls] ;fn fdlh O;fDr esa ILI/Ýyw (eSa bls dksjksuk ugha dgrk) ds y{k.k gSa] rks ml O;fDr dh iwjh rjg ls eqÝr esa ns[kHkky dh tk jgh gSA tc rd O;fDr iwjh rjg ls Bhd ugha gks tkrk gS] rc rd og gekjh lgk;rk iz.kkyh ds v/hu jgrk gSA

vkb,] ge igys iwjs [ksy ds ckjs es ckr dj ysrs gSaA izR;sd O;fDr bl ckr ls gSjku gS fd vkf[kj bruh ekSrsa D;ksa gks jgh gSa\ czkthy] Lisu] bVyh vkSj ;w-,l-,- esa brus yksx D;ksa ej jgs gSa\ Hkkjr esa dksjksuk dsl D;ksa c<+ jgs gSa\ izfrfnu brus u, dsl D;ksa lkeus vk jgs gSa\ yxrk gS dqN rks xM+cM+ gSA eS 'kq: ls le>krk gw¡A eSa tks Hkh vkidks crk jgk gw¡ og iwjh rjg ls izekf.kr gSA

vkb,] le>rs gSa fd dSls dksjksuk ejht dks rhu pj.kksa es ekjk tkrk gS\


igyk pj.k

tSls gh vki ?kj ds ckgj fudyrs gSa(vly esa dqN yksx ?kj ij Hkh)] rks vki ;g lkspdj iQsl ekLd yxkrs gSa fd vki lqjf{kr gaSA njvly gksrk ;g gS] tSls ,d if=kdk14 esa crk;k x;k gS] fd ,d ?k.Vs esa ge vkSlru 23 ckj ekLd dks Nwrs gSaA

EkkLd dks Bhd@ djus ds fy, ,d ?k.Vs esa mls vkSlru 23 ckj Nqvk tkrk gSA vki ekLd yxkdj lfCt+;ksa dks [kjhnus ds fy, ,d nqdku ij tkrs gSaA tc vki foØsrk ls nkeksa dh iwNrkN dj jgs gksrs gSa rks vki yxkrkj ekLd Bhd djrs gSaA var esa] vki ,d iQy mBkrs gSa] eku yhft, vkius ,d vke mBk;k ftlesa dksbZ nkx ugha Fkk] fiQj vki ,d vkSj vke mBkrs gSa_ blh rjg tc vki vkeksa dks Nk¡V jgs gksrs gSa] rks vkidk gkFk ckj&ckj ekLd ij tkrk gS] D;ksafd vkids fy, cksyuk eqf'dy gks jgk gS vkSj vki ?kqVu eglwl dj jgs gSaA

eSa vkidks tks le>kus dh dksf'k'k dj jgk gw¡] og ,d egÙoiw.kZ ckr gSA vkids eq¡g esa dsoy dksjksuk ok;jl ugha gS_ cfYd vkids eq¡g esa dbZ izdkj ds ok;jl gSaA dksjksuk ds iQSyus ls igys tc vki Nhadus ;k [kk¡lus ij ekLd dk mi;ksx ugha dj jgs Fks] rks vkids eq¡g ds cSDVhfj;k vkSj ok;jl ok;qeaMy esa pys tkrs Fks vkSj rkth gok vkSj /wi ds dkj.k ekjs tkrs FksA vc] tc vki ekLd igu jgs gSa] rks vki mu thok.kqvksa vkSj fo"kk.kqvksa dks ejus gh ugha ns jgs gSa] D;ksafd ogk¡ rkth gok vkSj /wi ugha gS_ vly esa vki mUgsa vius ekLd esa tek dj jgs gSaA

iQsl ekLd lHkh izdkj ds ok;jl (dksjksuk ok;jl lfgr) ds teko@laxzg dk dkj.k curk gS vkSj ekLd dk yxkrkj Li'kZ ok;jl ds lapj.k esa o`f¼ dk dkj.k gS ftldk vFkZ gS vf/d chekjh vkSj vf/d ekSrsaA


;gk¡ igyk dne ;g gS fd ,d LoLFk euq"; rkt+h gok vkSj /wi ls nwj ?kj ij cSBk gS_ tgk¡ dksbZ 'kkjhfjd xfrfof/ ugha gSA bl dksjksuk egkekjh esa cgqr ls yksx viuh ukSdjh [kks pqds gSa] blfy, os fpafrr gSa_ cPps Ldwy ugha tk ik jgs blfy, os Hkh fpafrr gSa_ ;g lc ?kj esa dyg dk dkj.k cu jgk gSA ifj.kkeLo:i] gekjh izfrj{kk (Immunity) de gks jgh gS vkSj tks Hkh izfrj{kk gekjs ikl cph gksrh gS] og ekLd ds dkj.k u"V gks tkrh gSA pwafd vki yxkrkj ekLd dks Bhd dj jgs gSa] vkSj vke dks Nw jgs gSa (ftldks vUrr% vkius ugha [kjhnk D;ksafd vkidks ilan ugha vk;k)] vutkus esa vki vius ok;jl dks vkeksa ij NksM+ nsrs gSaA blds ckn ,d vkSj LoLFk O;fDr nqdku ij vkrk gS vkSj mu vkeksa dks [kjhnrk gS] ftlds dkj.k vkidk ok;jl mlds ?kj rd igq¡p tkrk gSA

(Tk:jh ugha fd og dksjksuk ok;jl gh gks] ;g dksbZ Hkh ok;jl gks ldrk gS)A

bldh tkap ds fy, eSaus lHkh Medical Research paper [kksts fd ekLd ok;jl] ILI o Common Cold ls cpkrk gS ;k ugha] eSa rhu 'kks/ i=k izkIr djus esa lIkQy jgk tks ekLd ds mi;ksx ls lacaf/r FksA ,d 'kks/ i=k us ekLd dks ,d ?k.Vs esa 23 ckj Nwus dh ckr dghA vU; isij15 dk 'kks/ bl ckjs esa Fkk fd ekLd dk mi;ksx laØe.k dks de djrk gS ;k Ck<+krk gS\ bu lHkh 'kks/ i=kksa dk fu"d"kZ leku FkkA ;fn vki fdlh fo'ks"k ok;jl ls [kqn dks cpkus ds fy, ekLd dk mi;ksx djrs gSa rks ok;jl c<+ tk,¡xsA blfy,] igyk dne yksxksa dks chekj cukus vkSj mudh bE;wfuVh dks de djus dh lkft'k gSA vki viuh Lo;a dh bE;wfuVh gSaA bE;wfuVh dks de djus ds fy,] ,d O;fDr dks Mjkdj ?kj ij cSBk nksA ftruh ckj vki iQksu djrs gSa] v[kckj i<+rs gSa ;k lekpkj lqurs gSa] vkidk Mj c<+sxk tks fd yxHkx 50% rd Immunity dks de djsxkA 'ks"k Immunity dks ekLd ds mi;ksx ls de fd;k tk jgk gSA eSa iwNrk gw¡] ¶vki ,d eghus esa ekLd fdruh ckj /ksrs gSa\¸ eq>s iwjk ;dhu


gS vki bls fcydqy ugha /ksrsA ekLd esa ok;jl dk laxzg bE;wfuVh de djrk gS vkSj mls mlh Lrj ij yk nsrk gS tSls fd orZeku esa Hkkjrh; vFkZO;oLFkkA

ftl fcUnq ij eSa tksj nsus dh dksf'k'k dj jgk gw¡] og ;g gS fd ok;jl] tks vU;Fkk gh vkids ikl u vkrk] oks ,slh ifjfLFkfr;ksa es vkids ikl vk tk,xkA vxj igys dHkh fdlh vkSj dk ok;jl vkids ikl vkrk Fkk] rks vki lkekU; ifjfLFkfr;ksa esa bldk lkeuk dj ysrs Fks D;ksafd vkidh bE;wfuVh etcwr Fkh ijarq bu gkykr eas viuh igys ls ?kVh gqbZ bE;wfuVh ds lkFk vki bldk lkeuk ugha dj ikrs vkSj chekj gks tkrs gSaA

nwljk pj.k

tc Hkh ok;jl vkids 'kjhj esa izos'k djrk gS (ekLd ds mi;ksx ds dkj.k)] ;g dkiQh Li"V gS fd jksxh dks lnhZ] [kkalh] cq[kkj ;k dqN vU; y{k.k gksaxsA ,sls ekeys esa O;fDr D;k djsxk\ og vLirky tk,xk D;ksafd ;fn og cq[kkj dks de djus ds fy, nok [kjhnus dSfeLV ds ikl tkrk gS] rks mls nok ugha nh tk,xh_ cfYd mls vLirky tkus dh lykg nh tk,xhA ;fn vki vLirky tkrs gSa rks vkidks dksjksuk VsLV ls xqtjuk gksxk vkSj ;g lcls vf/d laHkkouk gS] fjiksVZ Positive gksxhA D;ksa\ bldh ppkZ ckn esa dh tk,xhA dksjksuk ikWftfVo gksus ds ckn tks gksrk gS] og nwljk pj.k gSA

tc vki vLirky igq¡prs gSa] rks ok;jl vkids xys ;k Åijh 'okl ufydk esa gSA ;kn j[ksa tc rd Influenza Virus (Corona) mQijh 'olu iFk esa gS rc rd dksbZ tfVyrk ugha gksxh vkSj u gh O;fDr ekjk tk,xkA 'olu bUÝyq,atk ok;jl dk eryc gS fd ;g eq¡g ;k ukd ds ekè;e ls 'kjhj eas izos'k dj ldrk gSA bl le; vkidks BaM idM+ ysxh vkSj cq[kkj vkus yxsxk rkfd ok;jl 'kjhj ds ckgj fudys] dksjksuk ok;jl ;k dksbZ Hkh ok;jl fo?kfVr gksus yxrk gS]


u"V gksus yxrk gS vkSj gekjh izfrj{kk bls 'kjhj ls ckgj iQsad nsrh gSA vki fdlh Hkh tfVyrk ;k lk¡l ysus esa dfBukbZ dk vuqHko ugha djsaxs D;ksafd ok;jl mQijh 'olu iFk esa gS vkSj ge iQsiQM+ksa ls lk¡l ysrs gSaA ok;jl nks fnuksa ds ckn mQijh 'olu iFk ls uhps pyk tk,xkA ;fn blds geys dks jksdus ds fy, dqN Hkh ugha fd;k tkrk gS rks /hjs&/hjs] ok;jl rhljs fnu ls uhps tkuk 'kq: dj nsxkA MkWDVj ,afVck;ksfVDl] ,aVh&ik;jsfVd] eysfj;k&jks/h vkSj anti-HIV nok,¡ fy[ksaxsA

dksjksuk ok;jl mQijh 'olu iFk (eq¡g] ukd] xyk) esa fcydqy Hkh ?kkrd ugha gS vkSj ;g leL;k ;k e`R;q dk dkj.k ugha cu ldrk gSA

ejht dks fuEufyf[kr nok,¡ nh tk jgh gSa % 1- ,aVhck;ksfVDl16

2- ,aVhik;jsfVd MªXl17

3- ,aVh ok;jy MªXl18

4- ,aVh&eysfj;y MªXl19

tks fd ejht esa ok;jl dks fupys 'olu iFk (iQsiQM+s) esa iQSykus dk dkj.k curk gSA 7osa fnu rd] ;g lk¡l ysus esa dfBukbZ] jksfx;ksa esa fueksfu;k tSls y{k.kksa vkSj vkWDlhtu dh deh dk dkj.k gks ldrk gSA

9 vizSy] 2020 dk xYiQ U;wt+20 i<+saA ;g [kkM+h ns'kksa dk izfrf"Br v[kckj gS] ftlesa esjk baVjO;w izdkf'kr gqvk FkkA baVjO;w esa fy[kk gS%

WHO dk izksVksdkWy ns[ksa vkSj vki ns[ksaxs fd ;s eysfj;k&jks/h] ,aVhck;ksfVDl] ,aVh&ik;jsfVDl vkSj ;gka rd fd HIV MªXl dh nok dk esy gSA vkidks ok;jy cq[kkj ds bykt ds fy, ,aVhck;ksfVDl


dh vko';Drk D;ksa gS\ ;gk¡ rd fd ,aVh&ik;jsfVd dh [kqjkd Hkh cgqr vf/d gS vkSj ;g vDlj ,d ?kkrd la;kstu cu ldrk gSA¸

esjs dbZ baVjO;wt+ esa eSaus ladsr fn;k gS fd e`R;q dk dkj.k dksjksuk ok;jl ugha gS] ysfdu dksjksuk ok;jl ds uke ij nh tkus okyh nok,¡ ftl izdkj ok;jl dks iQsiQM+ksa (Lower Respiratory track) rd igq¡pus ds fy, xfr iznku djrh gSa] os bldh vlyh otg gSaA nokvksa dks [kkus ls izfrjks/d 'kfDr de gks tkrh gS] ftlds ifj.kkeLo:i ok;jl dks iQsiQM+ksa ds uhps tkus dk ekSdk feyrk gSA mQijh 'olu iFk ls fupys 'olu iFk esa tkus ds fy, ok;jl dh enn dkSu dj jgk gS\ nokb;k¡A

eSa ;g lc iQjojh] 2020 ds eghus ls dg jgk gw¡ D;ksafd ;g lc ml le; oqgku esa vkSj vU; txgksa ij Hkh iQSy jgk FkkA

ftldk ifj.kke D;k gqvk\ esjk ;wV~;wc pSuy (YouTube)] iQslcqd ist vkSj V~foVj vdkmaV fMyhV dj fn;k x;kA

1 twu] 2020 dks WHO us The Guardian21 esa Lohdkj fd;k fd Covid-19 ds fy, ,aVhck;ksfVDl ds vfr iz;ksx ls vf/d ekSrsa gksaxhA eSaus 2&3 eghus igys tks dgk Fkk og vc WHO ds }kjk Lohdkj fd;k tk jgk gS fd ekSrksa ds c<+us dk dkj.k nokb;k¡ gSaA tc brus yksx viuh tku x¡ok pqds gSa rc WHO ;g dg jgk gSA vkius ns[kk gksxk fd gky gh esa eysfj;k dh nok ij Hkh izfrca/ yxk fn;k x;k gS D;ksafd WHO us dgk fd ;g ekSrksa ds c<+us dk dkj.k gSA HIV dh nok dks Hkh mlh dkj.k vizSy dh 'kq#vkr esa izfrcaf/r dj fn;k x;k FkkA WHO og lc D;ksa dg jgk gS tc brus yksx viuh tku x¡ok pqds gSa\ esjs tSlk ,d vke vkneh Hkh tkurk gS fd vxj ge nokb;k¡ ysdj ok;jl esa gLr{ksi djrs gSa] rks ;g iQsiQM+ksa ij geyk djsxkA


Rkhljk pj.k

,d ckj ok;jl iQsIkQM+ksa es igq¡p tkrk gS] rks alveoli (,Yoh;Yl) esa nzo Hkj tkrk gS] ftlds ifj.kkeLo:i jksxh dks lk¡l ysus esa dfBukbZ gksus yxrh gSA ,sls ifjn`'; esa] ;fn vki Oximeter (vkWDlhehVj ) dh enn ls vkWDlhtu ds Lrj dks ekirs gSa] rks ;g dHkh&dHkh 80% ls Hkh de gksxk] tks lkekU; :i ls 99% gksrk gSA tSls gh ;g 90% gksrk gS] MkWDVj vkidks osaVhysVj ij tkus dh lykg nsaxs& gR;k ;k ekSr dk rhljk pj.kA

uhps fn, x, osaVhysVj fp=k dks ns[ksa fd eSdsfudy osaVhysVj fdruk [krjukd fn[krk gSA tcfd eSdsfudy osaVhysVj ,d thou j{kd midj.k gSA vkidks crk nsa fd osaVhysVj ij 94% yksx ekjs tkrs gSaA 6% yksx tks osaVhysVj ls ftank vkrs gSa] muesa ls vk/s 2&3 eghus ds Hkhrj ej tkrs gSa vkSj tks 3% thfor gSa os ,d n;uh; fLFkfr esa gSa ;kuh os viuh fnu&izfrfnu dh t:jrksa ds fy, nwljksa ij fuHkZj gSaA tc dksbZ O;fDr osaVhysVj ij gksrk gS] rks osaVhysVj iQsiQM+ksa ds :i esa dk;Z djrk gS_ ,sls ekeys esa] efLr"d vkSj iQsiQM+ksa ds chp rkyesy [kRe gks tkrk gSA


blds ckn D;k gksrk gS\ blds ckn tc iQsiQM+s lk¡l ysrs gSa] rks efLr"d bls igpku ugha ikrk gS vkSj nSfud xfrfof/;k¡ tSls nk¡r lkiQ djuk o [kkuk vkfn 'kjhj }kjk Hkqyk fn, tkrs gSaA O;fDr ,d thfor yk'k cu dj jg tkrk gSA EkSa tks dgus dh dksf'k'k dj jgk gw¡] og ;g gS fd eSdsfudy osaVhysVj ekSr dk ,d O;kikj gS_ ;g e`R;q dh vksj ,d ;k=kk gSA eSaus lcwrksa ds vk/kj ij dgk fd osaVhysVj22 ij 94% ekSrsa gksrh gSa ysfdu esjs nksLr] lykgdkj] N.I.C.E. MkW- ds- ch- rqekus dk dqN vkSj gh dguk gSA os iwoZ&eq[; fpfdRld (mi funs'kd LokLF; lsok,¡) ukxiqj uxj fuxe ls gSa] tks fiNys 32 o"kksZa ls Nkrh jksxksa ds fo'ks"kK gSa vkSj fueksfu;k] risfnd vkfn tSls iQsiQM+ksa ds xaHkhj jksxksa ls ihfM+r jksfx;ksa ls tqM+s gq, gSa_ MkW- rqekus dgrs gSa fd vius yEcs esfMdy dSfj;j esa mUgksaus dHkh Hkh osaVhysVj ls jksxh dks thfor okfil vkrs ugha ns[kk] ftldk vFkZ gS fd osaVhysVj ij 100% ekSrsa gksrh gSaA og tks dg jgs gSa] O;kogkfjd :i ls muds }kjk ns[kk x;k gSA

bl izdkj jksxh rhu pj.kksa esa ej tkrk gSA igyk pj.k ekLd }kjk iwjk gks tkrk gSA pj.k nks dks iwjk fd;k tkrk gS] tc vki vLirky tkrs gSa vkSj nok,¡ ysrs gSa vkSj pj.k rhu esas ejht dks osaVhysVj ij j[kdj iwjk dj fn;k tkrk gSA

iwjh nqfu;k esa] bruh lkjh ekSrsa gks jgh gSa D;ksafd izksVksdkWy ,d gh gS (lkjs rhu pj.k & ekSr dh vksj) ;gh gky Hkkjr esa Hkh gSA ysfdu Hkkjr esa osaVhysVj dh la[;k de gS blfy, dqN yksx HkkX;'kkyh gSa fd mUgsa vLirky esa izos'k ugha feyrk gS vkSj ifj.kkeLo:i] mUgsa osaVhysVj ugha feyrs gSa vkSj Hkxoku dh d`ik ls os MkWDVj ds mipkj ds ckotwn e`R;q ls cp tkrs gSaA

yksx czkthy ;k USA esa cM+h la[;k esa ekSrksa dk dkj.k iwNrs gSa] tc eSa nqfu;k Hkj ds MkWDVjksa ds vius usVodZ ds laidZ esa Fkk (ftuls eq>s izkekf.kd tkudkjh feyh) rks eSaus fu"d"kZ fudkyk fd tks Hkh


ns'k mijksDr rhu pj.kksa dk vuqlj.k djrk gS (ekLd] fpfdRlk vkSj osaVhysVj)] ogka ekSrksa dh la[;k vf/d gSA fo;ruke tSls ns'kksa esa (tgka eSa fiNys vkB o"kksZa ls viuk dsanz pyk jgk gw¡) o dEcksfM;k vkfn esa ejus okyksa dh dqy la[;k 'kwU; gS_ ratkfu;k esa] N% djksM+ dh dqy vkcknh esa ls 21 ekSrsa gSa_ ;gk¡ rd dh drj esa (tgk¡ esjs cM+h la[;k esa ejht gSa)] izksVkssdkWy ;g gS fd yksxksa dks vkjke djus] [kqn dks gkbMªsVsM j[kus vkSj ,d dejs rd lhfer j[kus dh lykg nh tkrh gSA iwjk 'kgj ;k dLck ;k lekt ;k bekjr quarantine ugha gSA

ogk¡ tc Hkh dksbZ O;fDr dksjksuk ls ihfM+r gksrk gS] rks mls vyx&Fkyx (fdlh Hkh laØked chekjh ds :i esa) fd;k tkrk gS vkSj ckdh yksxksa dk dke pyrk jgrk gSA

ftl fcanq ij eSa tksj nsus dh dksf'k'k dj jgk gwa og ;g gS fd ;g ,slk ok;jl ugha gS] tks vxj geyk djrk gS] rks lHkh esa iQSy tk,xkA

pw¡fd yksx rhu pj.kksa es ej jgs gSa] blfy, ;g gekjh ftEesnkjh gS fd vki vkSj ge mUgsa ekSr ls cpk,¡ vkSj mUgsa lgh Kku nsaA lgh Kku dk vFkZ gS fd ;fn lHkh ok;jl 'kjhj esa izos'k djrs gSa] rks ;s mQijh 'olu iFk ls vkxs ugha tkus pkfg,A ;fn vki ,slk djus eas liQy gksrs gSa] rks eS vkidks fo'okl fnykrk gww¡ fd ejht dksjksuk ls ejus okyk ugha gSA ;kn j[ksa ge lc ejus ds fy, iSnk gq, gSa] ysfdu ge fdlh Hkh chekjh dk f'kdkj gksdj ekSr dks xys ugha yxk,¡xs (dksjksuk ls rks fcydqy ugha)A

mik; D;k gS\ ;g cgqr egÙoiw.kZ gSA nqfu;k esa 60% yksx dksjksuk ok;jl ;k SARS CoV-2 uksoy (Novel) ok;jl ds igys ls gh bE;wu gSa & os igys ls gh dksjksuk ds f[kykiQ Vhdkd`r gSaA oSDlhu dh vuqifLFkfr ds ckotwn] os jksx izfrjks/d gSaA 14 ebZ] 2020 dks


lsy 'Cell'23 ,d izfrf"Br if=kdk ds 'kks/ i=k esa dgk x;k gS fd nqfu;k esa 60% yksx dksjksuk ok;jl ls bE;wu gSaA 'kks/drkZvksa us ik;k fd 2005 esa gkaxdkax dksjksuk ok;jl] 2004 esa uhnjyS.M dksjksuk ok;jl ;k 1965 esa 229E US dksjksuk ok;jl & bu lHkh ok;jl us gesa dbZ ckj lnhZ vkSj cq[kkj fn;k gS_

ifj.kkeLo:i gekjs 'kjhj esa ,d izdkj dh izfrj{kk fodflr gS vkSj bl izfrj{kk dks i`"BHkwfe izfrj{kk dgk tkrk gSA nqfu;k esa 60% yksxksa dh i`"BHkwfe izfrj{kk gSA

lsY;qyj cSdxzkm.M bE;wfuVh (izfrj{kk)% 60% rd vkcknh uksoy dksjksuk ok;jl lsY;qyj i`"BHkwfe dh izfrj{kk gS D;ksafd os cpiu ls fiNys dksjksuk ok;jl (lnhZ&tqdke dk ok;jl) ls laØfer gSaA

'ks"k 40% ds ckjs esa D;k\ muds ikl ,d vU; izdkj dh izfrj{kk gS ftls Herd immunity dgk tkrk gSA ml ekeys esa fdlh Hkh ns'k ;k leqnk; esa ;fn 60&70% vkcknh Immuned cu tkrh gS] rks 'ks"k vkcknh lqjf{kr cu tkrh gSA ;g >q.M izfrj{kk ds dkj.k gSA ftl fnu dksjksuk ok;jl vk;k Fkk] ge (60%) cSdxzkÅ.M bE;qfuVh ds lkFk doj fd, x, vkSj 40% gMZ bE;qfuVh ds lkFk doj gks x,A bl izdkj] ;g nqfu;k ok;jl ds gekjs ns'k esa izos'k djus ls igys gh uksoy dksjksukok;jl ls lajf{kr gSA

>q.M izfrj{kk% pwafd 60% vkcknh igys ls gh i`"BHkwfe dh izfrj{kk gS] ckdh 40% vkaf'kd :i ls >q.M izfrj{kk ds rgr doj gks ldrs gSaA bldh otg ls oSf'od ekeys esa e`R;q nj 0-1% gS] ;kuh ekSleh ÝYkw ds cjkcjA

vki dSls Bhd gksaxs \

gekjh vf/dka'k vkcknh esa igys ls gh i`"BHkwfe izfrj{kk ds


lkFk&lkFk >q.M izfrj{kk Hkh gSA E;wdksly bE;qfuVh uked ,d rhljs izdkj dh bE;qfuVh gS& E;wdl ls lEcaf/r bE;qfuVh&ftls vk;qosZn esa ¶fpifpik inkFkZ¸ dgk tkrk gSA gekjk 'kjhj eq¡g ls gh cyxe ds lkFk iafDrc¼ 'Lined' gksrk gSA tSls gh ok;jl 'kjhj esa izos'k djrk gS] ;g igyh ckj esa E;wdksly izfrj{kk dk lkeuk djrk gSA ;fn vki vius E;wdksly izfrj{kk dks etcwr djrs gSa] rks vkidks 'oLku ok;jl ds ckjs esa fpark djus dh vko';Drk ugha gSA

vki E;wdksly izfrj{kk dks dSls etcwr dj ldrs gSa \

0-2 xzke foVkfeu lh dk lsou djus lsA24

foVkfeu lh xksyh ls ugha cfYd iQy vkSj lfCt;ksa ds lsou ls ysuk pkfg,A 2 vke @ 4 VekVj @ eqV~Bh Hkj dPps eVj @ fofHkUu izdkj ds iQy (300&400 xzke) lHkh esa 0-2 xzke foVkfeu lh gksrk gSA foVkfeu dh xksyh lh/s isV es tkrh gS] tcfd iQyksa vkSj lfCt;ksa dk lsou ekSf[kd :Ik ls isV esa tkrk gS vkSj E;wdksly izfrj{kk dks etcwr djrk gSA tc Hkh vki ,d VScysV ysrs gSa] rks ml fLFkfr esa vkidh E;wdksly bE;wfuVh de gks tkrh gSA

E;wdksly bE;wfuVh% 'olu ok;jl ds geys dks jksdus ds fy, izfrfnu iQyksa (3 vke] 2 larjs ;k 1 ve:n) dPph lfCt;kas (4 VekVj ;k eqV~Bh Hkj eVj) ls de ls de 0-2 xzke foVkfeu lh dk lsou respiratory virus ds vVSd ls cpko djrk gSA

igyk pj.k

vkids ikl rhu izdkj dh izfrj{kk (Immunity) gS_ cSdxzkmQ.M izfrj{kk (Background Immunity), >q.M izfrj{kk (Herd Immunity) vkSj E;wdksly izfrj{kk (Mucosal Immunity) A


0-2 xzke foVkfeu lh dk lsou djds bUgsa etcwr djsa] nokvksa ds lsou ls cpsa (os izfrj{kk dks de djrs gSa) vkSj i'kq izksVhu (tkuojksa ls izkIr fdlh Hkh Hkkstu) tSls eVu] fpdu] eNyh vkfn dk lsou de djsa (okLro esa iwjh rjg cpsa) v.Mk] Ms;jh mRikn&nw/] ngh] eD[ku vkfnA i'kq izksVhu E;wdksly izfrj{kk dks de djrk gSA bu rhu izdkj dh izfrj{kk ds ckotwn] ok;jl 'kjhj esa izos'k djrk gS D;ksafd O;fDr nokvksa ij gksrk gS ;k i'kq izksVhu dk lsou djrk gS] vkSj chekj iM+rk gSA

nwljk pj.k

tSls gh Ýyw dk igyk ladsr feys tSls fd cq[kkj] fljnnZ] 'kjhj esa nnZ] lnhZ ;k [kkalh eglwl djuk tSls y{k.k] rqjUr rhu fnuksa ds izksVksdkWy dk ikyu djsa (tksfd eSa 2016 ls vius jksfx;ksa dks nsrk jgk gw¡)A Ýyw ds igys y{k.k ds lkFk (cq[kkj] [kkalh] 'kjhj esa nnZ] detksjh) 3 pj.k Ýyw vkgkj25 dk ikyu djsaA ftls geus Fkzh LVsi Ýyw MkbV dk uke fn;k gSA

3 pj.k Ýyw vkgkj dk dke djrk gS vkSj fiNys 100 o"kks± ls 167 ls vf/d 'kks/ i=kksa26 ds lk{; ij vk/kfjr gSA

fnu & 1 (rjy)

uhps fufnZ"V ek=kk esa [kV~Vs iQyksa dk jl vkSj ukfj;y ikuh dk lsou djsa%

vkids 'kjhj dk otu (fdyks)@10 rktk flVªl izQwV twl ds fxykl $ 'kjhj dk otu (fdyks)@10 fXkykl ukfj;y ikuh

;fn 'kjhj dk otu 60 fdyksxzke gS rks vki 60@10 = 6 fxykl [kV~Vs iQyksa dk jl vkSj 6 fxykl ukfj;y ikuh ysaA


iSd fd, x, twl dk lsou u djsa] blds ctk; rktk jl ysa vkSj bls fcuk Nkus ysaA izR;sd fxykl ij de ls de 15 feuV O;rhr djds gj ?k.Vs ?kwaV&?kwaV djds ckjh&ckjh ls jl vkSj ukfj;y ikuh ysaA blls rkieku fu;a=k.k esa jgsxkA [kV~Vs iQyksa ds jl esa foVkfeu lh bE;wfuVh dk leFkZu djrk gS vkSj ok;jl ls NqVdkjk ikus esa enn djrk gSA ukfj;y ikuh gkbMªs'ku esa enn djrk gSA ;g Hkxoku }kjk cuk;k x;k nqfu;k dk lcls vPNk [kfut ikuh gSA

fnu & 2 (nzo)

[kV~Vs iQyksa dk jl vkSj ukfj;y ikuh dk lsou djsa

'kjhj dk otu (fdyks)@20 (fxykl [kV~Vs iQyksa dk jl) $ 'kjhj dk otu (fdyks)@20 (fXkykl ukfj;y ikuh) $ vkids 'kjhj dk otu (fdyks) x 5 xzke [khjk vkSj VekVj

;fn 'kjhj dk otu 60 fdyksxzke gS rks vki 60@20 = 3 fxykl [kV~Vs iQyksa dk jl vkSj 3 fxykl ukfj;y ikuh ysa vkSj 60 x 5 = 300 xzke ddM+h vkSj VekVj

vkidks ;g ns[kdj vk'p;Z gksxk fd fnu 2 ds var rd] vki csgrj eglwl djus yxsaxs vkSj vkidk rkieku fu;a=k.k esa jgus yxsxkA

fnu & 3 (Bksl)

uk'rs ds fy,

'kjhj dk otu (fdyks)@30 (fxykl [kV~Vs iQyksa dk jl) $ 'kjhj dk otu (fdyks)@30 (fXkykl ukfj;y ikuh) ;fn 'kjhj dk otu 60 fdyksxzke gS rks vki 60@30 = 2 fxykl [kV~Vs iQyksa dk jl vkSj 2 fxykl ukfj;y ikuhA

nksigj ds Hkkstu ds fy,] miHkksx djsa

vkids 'kjhj dk otu (fdyks) x 5 xzke [khjk vkSj VekVjA ;fn 'kjhj dk otu 60 fdyksxzke gS rks vki 60 x 5 = 300 xzke [khjk


vkSj VekVj 'kke rd] vki [kqn dks fiQV ikdj vk'p;Zpfdr gksaxsA

vki de rsy ds lkFk ?kj dk idk gqvk lkekU; Hkkstu dj ldrs gSa] jkr ds [kkus ds fy, de rsy okyk] de ued okyk vkSj i'kq izksVhu ls jfgr [kkuk idk,¡ A ;fn vki bl ljy vkgkj dk ikyu djrs gSa] rks vki PkkSFks fnu ls dke djus yxsaxsA

rhljk dne

vkerkSj ij] yksx Ýyw dh nok dk izca/u djus dh dksf'k'k djrs gSa vkSj dHkh&dHkh] ok;jl ds mQijh 'olu iFk ls fupys 'olu ra=k esa tkus dh laHkkouk gksrh gSA ftl dkj.k] lk¡l ysus es dfBukbZ gksrh gS vkSj vkWDlhehVj ds lkFk tkap dh tkrh gS] rks vkWDlhtu dk Lrj] ≤ 90% gks tkrk gSA ,slh fLFkfr esa] MkWDVj osaVhysVj ij j[kus dh lykg nsrk gS D;ksafd iQsiQM+s ikuh ls Hkjs gksrs gSaA ,slh fLFkfr esa vkidks ;g djuk gS fd vki vLirky tkusa ls cpsa D;ksafd vkidks eSdsfudy osafVysVj ij j[kk tk,xkA vkidks ?kj ij viuk osafVysVj cukuk gksxkA bls izksu osafVys'ku26 dgk tkrk gSA vkxs vkus okys vè;k;ksa esa] eSa vkidks izksu osafVys'ku fl[kkmQ¡xkA

N.I.C.E. InitiativeÝyw ds igys y{k.k dk vkHkkl gksrs gh vki gesa www.biswaroop.com/nice ;k 8587059169 ij fu%'kqYd lgk;rk] fpfdRlk rFkk ekxZn'kZu ds fy, call dj ldrs gSaA ;g lsok ,dne fu%'kqYd gSA

blds ckn ejht gekjs izf'kf{kr Expert ds }kjk guide rFkk support fd, tk,¡xs tc rd fd ejht dksjksuk @ Ýyw @ bUÝyw,atk ds paxqy ls ckgj ugha vk tkrkA



vè;k;

izk.k&;ejkt dk foKku

3

(21 twu] 2020&vUrjkZ"Vªh; ;ksx fnol ij fn, x, O;k[;ku ij vk/kfjr)

dksjksuk ok;jl D;k gS\

dksjksuk ok;jl ,d RNA 'olu bUÝyq,atk ok;jl gSA 'olu bUÝyq,atk ok;jl dk eryc gS fd ;g dsoy eq¡g vkSj ukd ds ekè;e ls ekuo 'kjhj eas izos'k dj ldrk gSA ;g ,d RNA 'olu bUÝyq,atk ok;jl gS ftldk vFkZ gS fd blds fy, dksbZ nok ;k Vhdk (Vaccination) ugha gks ldrk gSA bldk dkj.k ;g gS fd ;g cgqr vklkuh ls vkSj tYnh viuk :i cnyrk gSA gky gh esa 5 ebZ] 2020 dks ;wfuoflZVh dkWyst vkWiQ yanu us 7500 yksxksa ij bl ok;jl dk ,d vè;;u28 fd;k vkSj mUgsa irk pyk fd ok;jl vc rd 198 ckj cny pqdk FkkA

bl izdkj ;g cgqr fuf'pr :i ls dgk tk ldrk gS fd tc ls ok;jl oqgku esa iQSyuk 'kq: gqvk gS] ;g igys gh gtkjksa ckj mRifjofrZr gks pqdk gksxkA (gkykafd] ;g lkfcr djus ds fy, dksbZ lcwr ugha gS fd ok;jl oqgku ls igys ekStwn ugha Fkk] tSlk fd igys le>k;k x;kA mRifjofrZr dk vFkZ gS fd ;g ,d izfr:i.k dh rjg viuk :i cnyrk jgrk gS vkSj vxyh ckj tc ge bl rd igq¡prs gSa rks ;g mlh voLFkk esa ugha ik;k tk ldrk gSA vr% ,sls fo"kk.kqvksa ds fy, tks bruh rsth ls mRifjorZu djrs gSa] dksbZ nok ;k Vhdk ugha gks ldrkA


,d mnkgj.k ysrs gSa%

;fn dksbZ taxyh lwvj vkidh vksj nkSM+rk gqvk vkrk gS vkSj vki mls ekjus ds fy, ,d gfFk;kj mBkrs gSa] lwvj ,d ePNj esa cny tkrk gSA vc] ml gfFk;kj dk bLrseky ePNj dks ekjus ds fy, ugha fd;k tk ldrk gSA tSls gh gfFk;kj cnyk tkrk gS] ePNj ,d gkFkh esa cny tkrk gSA ,d mRifjofrZr ok;jl blh izdkj dk gksrk gSA ;g viuk :i cnyrk jgrk gSA blfy,] ;g RNA 'olu bUÝyq,atk ok;jl Hkh blh izdkj dk gSA tc 7500 yksxksa dk ifj{k.k fd;k x;k] rks ik;k x;k fd okljl 198 ckj igys gh mRifjofrZr gks pqdk FkkA ;fn ,d cM+k uequk ,d=k fd;k tkrk gS] rks] ge ik,axs fd ok;jl us gtkjksa vkSj yk[kksa ckj mRifjofrZr fd;k gSA bl izdkj ;g Li"V gS fd ;fn dqN ok;jl vR;f/d mRifjorZu djrs gSa] rks blds fy, dksbZ nok ;k Vhdk ugha cuk;k tk ldrk gSA tc rd nok cukbZ tkrh gS] rc rd ;g fdlh vkSj :i esa vk tkrk gSA

nwljk] dksjkuk ok;jl laØe.k ds dkj.k dksbZ Hkh ej ugha ldrk gSA bldk dkj.k cgqr ljy gSA ;g ok;jl eq¡g vkSj ukd ds ekè;e ls 'kjhj esa izos'k djrk gSA tc rd ;g mQijh 'olu iFk esa gS] rc rd dksbZ tfVyrk ;k uqdlku ugha gks ldrk gSA 4&5 fnuksa ds ckn] ;g fupys 'olu iFk rd igq¡prk gS] tgk¡ ;g fueksfu;k] ;k ;gk¡ rd fd ân; vk?kkr dk dkj.k cu ldrk gSA cgqr ls yksxksa us laØe.k ds dkj.k ne rksM+ fn;k gS tks dsoy rc gksrk gS tc ok;jl fupys 'olu iFk ij tkrk gSA 'olu ra=k ds fupys fgLls esa ok;jl D;ksa vkrk gS\ eSus igys Hkh ;g le>k;k gS fd ;fn vki laØe.k] Ýyw ;k bUÝyq,atk ls ihfM+r gSa vkSj ,sls le; esa] ;fn vki nok ysrs gSa] tSls& dksbZ ,aVhck;ksfVd] ,aVhih;jsfVd] ,aVh&eysfj;k] ,aVh&,pvkbZoh ;k mlds fy, dksbZ vU; nok nzO;] ;g vkidh izfrj{kk ds lkFk izR;{k ;k vizR;{k :i ls le>kSrk djrk gS vkSj ok;jl dks mQijh 'olu iFk ls fupys 'olu iFk dh ;k=kk djus dk volj feyrk gSA blls fueksfu;k gks ldrk gS ;k lk¡l ysus esa leL;k gks ldrh gSA


,sls le; esa] ijaijkxr :i ls] igyh pht vkWDlhtu dk lapkyu vkSj blds ckn eSdsfudy osaVhysVj vkrk gSA yksxksa dks yxrk gS fd vxj mUgsa osaVhysVj ij j[kk tkrk gS] rks os cp tk,¡xs ysfdu vkidks crk nw¡ fd osaVhysVj esa 94% rd dh vliQyrk nj gSA

;g ;kaf=kd e'khu ftls osaVhysVj dgk tkrk gS okLro esa ekuork ds fy, ,d 'kki gS D;ksafd tc ikbi xys ds ekè;e ls iQsiQM+ksa rd tkrh gS vkSj vkWDlhtu iai djus dh dksf'k'k djrh gSA ml le;] efLr"d vkSj iQsiQM+ksa ds chp laca/ VwV tkrk gSA

ftl jksxh dks osaVhysVj ij j[kk x;k gS] var esa mlds efLr"d dks 'kjhj ds dk;ks± ds lkFk rkyesy djus esa dfBukbZ gksrh gS vkSj blfy,] ge mls mu gkykr esa ns[krs gSa tks vkidks cgqr ijs'kku dj ldrs gSaA

vkidks ;kn fnyk nw¡ fd vkt varjkZ"Vªh; ;ksx fnol gS vkSj ;ksx ,d ,slh pht gS ftls ge Hkkjrh;ksa us nqfu;k dks fn;k gSA bldk izk.kk;ke uked vklu & 'okl O;k;ke] iQsiQM+ksa vkSj efLr"d ds chp laca/ dks n'kkZrk gSA ;g iQsiQM+s gh gSa tks 'okl dks fu;af=kr djrs gSa vkSj tc efLr"d vkSj iQsiQM+ksa ds chp ;g laca/ VwV tkrk gS] rks eu&'kjhj dk rkyesy cckZn gks tkrk gSA ml {k.k] jksxh thfor rks gS ysfdu ,d e`r 'kjhj dh rjgA 'okl py jgh gS ysfdu efLr"d dks ugha irk fd og dkSu gSA ;kaf=kd osaVhysVj }kjk ;gh dke fd;k tkrk gSA blfy, tks yksx osaVhysVj ij thfor jgrs gSa] os okLro esa thfor yk'ksa gSaA bl rjg osaVhysVj ekuork ds fy, ojnku ugha gSA ;fn vki fdlh ,sls O;fDr ;k jksxh ls feys gS] ftls dHkh osaVhysVj ij j[kk x;k Fkk] rks vki bls vPNh rjg le> ik,¡xsA

vkt] vxj dksbZ dksjksuk ok;jl ds fy, ikWftfVo vkrk gS vkSj og vLirky esa tkrk gS] vLirky esa fcLrj dk 'kqYd 3&4 ;k 5 yk[k #Ik, rd gSA ;gk¡ rd fd ;g 25 yk[k #Ik, rd gks ldrk gS tks (dqN ds fy,) muds thou dh iwjh dekbZ gks ldrh gSA vLirky


eas ,d fcLrj ds fy, viuh iwjh dekbZ] dYiuk djsaA vc eq>s ,d oS/ (Valid) iz'u iwNuk gS & vLirky esa ml fcLrj ls vki D;k izkIr djuk pkgrs gSa\ ;fn dksjksuk ok;jl dh dksbZ nok ugha gS] dksbZ oSDlhu ugha gS] rks vLirkyksa esa HkrhZ gksus vkSj 7 ls 10 yk[k #i, [kpZ djus dh D;k vko';drk gS\ [kqn ls iwNuk pkfg,] ,slk D;k gS fd ftlls MkWDVj esjk bykt djus tk jgs gSa\ vHkh rd dksbZ Hkh nok ;k oSDlhu ;k e'khu ugha gS tks COVID-19 jksfx;ksa dh enn dj ldsA vLirkyksa ds ikl dqN Hkh ugha gS tks ,d va'k ls Hkh thfor jgus dh laHkkouk c<+k ldrk gSA blds vykok] muds ikl dqN phtsa gSa tks ekSr dh laHkkoukvksa dks c<+k ldrh gSaA

vc eSa vkidks fo'okl fnykrk gw¡ fd okLro esa bl ok;jl dk Bhd gksuk cgqr ljy gS] fo'ks"k :i ls SARS CoV-2 ds fy, rhu fnolh; Ýyw vkgkj tks fd ,d gkfujfgr Ýyw ok;jl gS vkSj 'kk;n gh dHkh ?kkrd gksrk gSA yksx vDlj iwNrs gSa fd Hkkjr esa bruh ekSrsa D;ksa gks jgh gSa\ bldk mRrj ljy gSA dksjksuk ds ctk, MCy;w,pvks dk izksVksdkWy eq[; vijk/h gS vkSj blds lkFk gh vkbZlh,evkj dh vksj ls e`R;q dh fjiksfVZax djus ds xkbMykbal dks Hkh ftEesokj ekuk tk ldrk gSA

ICMR us gky gh esa fn'kk&funsZ'k tkjh fd, gSa fd ;fn fdlh dh Hkkjrh; Hkwfe ij e`R;q gks xbZ vkSj mls lk¡l ysus esa rdyhiQ gks jgh Fkh ;k mls ân; ls tqM+h leL;k Fkh] rks mls dksjksuk ok;jl ds dkj.k e`R;q ekuk tk,xk] Hkys gh mldk RT PCR test usxsfVo gksA vc D;k vki eq>s fdlh ,sls O;fDr ds ckjs esa crk ldrs gSa ftls e`R;q ds le; lk¡l ysus esa dfBukbZ ;k ân; laca/h leL;k ugha gksxh\ tc Hkh fdlh O;fDr dh e`R;q gksrh gS] rks nks phtsa ges'kk gksrh gSa% ,d lk¡l ysus esa dfBukbZ gksrh gS vkSj nwljh ân; laca/h leL;k gksrh gS ;kuh ân; :d tkrk gS vkSj lk¡l #d tkrh gSA bu nksuksa fLFkfr;ksa dks ICMR }kjk dksjksuk e`R;q ds :i esa ekuk tkrk gSA blds vykok] cnys gq, fn'kk&funsZ'kksa ds vuqlkj] ;fn fdlh ejht dh nq?kZVuk esa


e`R;q gks xbZ vkSj dksjksuk ikWftfVo dk Hkh ijh{k.k fd;k x;k] rks mls dksjksuk ok;jl ds dkj.k e`R;q ekuk tkuk gSA bl izdkj Hkkjr esa gksus okyh ekSrksa esa bu lHkh jksfx;ksa dks Hkh 'kkfey fd;k x;k gSA bZekunkjh ls dgw¡ rks dksbZ Hkh lgh rjhds ls ugha tkurk gS fd fdrus jksfx;ksa dh e`R;q okLro esa dksjksuk ok;jl ls gqbZ FkhA

dksjksuk ok;jl jksfx;ksa ds lkFk esjk O;fDrxr vuqHko dgrk gS fd ;fn vki ,sls O;fDr dks vkjke nsrs gSa vkSj jksxh dks gkbMªsVsM j[krs gSa] rks dksjksukok;jl 3 ls 5 fnuksa esa xk;c gks tk,xkA ;g fdlh Hkh vU; Ýyw dh rjg gh gSA

u, [kksts x, SARS CoV-2 ds O;ogkj dh Hkfo";ok.kh djuk eqf'dy ugha gS (gkykafd] gks ldrk gS fd ;g vuar dky ls euq";ksa dks laØfer djrk vk jgk gks)] tSlk fd pkj vU; dksjksukok;jlksa dks (229E, NL63, OC43, HKU1) igys ls gh dbZ o"kksZa ls euq";ksa ds fy, tkuk tkrk FkkA lkaf[;dh; :i ls yxHkx 10% Ýyw dh otg gSa] tks ge vius thoudky esa >sy pqds gSaA

ge dgrs gSa fd dksbZ vke [kkuk pkgrk gSA vke esa dbZ fo'ks"krk,¡ gSa tks nqfu;k ds fdlh Hkh fgLls esa gSa tks vkdkj vkSj Lokn esa fHkUu gks ldrs gSa ysfdu ewy phtsa+ leku gksaxhA blh rjg ;g Covid-19 vfuok;Z :i ls vU; pkj ok;jl ds leku gSA ?kkrd nj vkSj lapj.k ds lk/u ewy :i ls leku jgsaxsA bl izdkj] ge ;g fu"d"kZ fudky ldrs gSa fd ;gk¡ rd fd ;g ok;jl vU; pkj ds O;ogkj ds leku gksxk] blfy, Mjus dh dksbZ ckr ugha gSA

vkb,] ge fo;ruke ds mnkgj.k dks ns[ksa tgk¡ eSa fiNys lkr o"kksZa ls vH;kl dj jgk gw¡A Hkkjr igq¡pus ls igys dksjksukok;jl fo;ruke igq¡p pqdk Fkk vkSj vkidks crk nw¡ fd dksjksukok;jl ds dkj.k fo;ruke esa ekSrksa dh la[;k 'kwU; gSA dksjksukok;jl ds dkj.k fo;ruke esa fdlh dh e`R;q ugha gqbZA eSaus vius fo;rukeh lg;ksfx;ksa


ls fo;ruke esa 'kwU; dksjksuk ekSrksa ds ckjs esa iwNkA mUgksaus tks tokc fn;k] og Fkk] ¶gekjk ns'k balkuksa ij nokvksa dk iz;ksx ugha djrk gSA ge fliQZ ejhtksa dks iwjk vkjke djus dh lykg nsrs gSa vkSj os tYn Bhd gks tkrss gSaA¸

fo;ruke dh vkcknh yxHkx 15&16 djksM+ gS vkSj vHkh Hkh ogk¡ dksbZ ekSr ugha gqbZ gS tcfd Hkkjr esa iwjh vFkZO;oLFkk fc[kj xbZ gS vkSj yksx dksjksuk ds Mj ls th jgs gSaA vUrjkZ"Vªh; ;ksx fnol ds volj ij] ;g dkiQh nqHkkZX;iw.kZ gS (D;ksafd ;g lw;Z xzg.k Hkh gS) fd v[kckj dh lqf[kZ;ksa esa ^iQSch Ýyw* dh 'kw#vkr gqbZ gSA ;g nok ,d izk;ksfxd nok gS vkSj 'kjhj esa igq¡prs gh bldk D;k uqdlku gksxk] bldh dksbZ O;k[;k ugha gSA vesfjdk] fczVsu vkSj tkiku (tgk¡ bls 2014 esa fodflr fd;k x;k Fkk) lfgr fdlh Hkh ns'k us bls eatwjh ugha nh gSA bl nok dh 'kq#vkr] Hkxoku u djs] Hkkjr ds fy, dqy&xzg.k dh ?kks"k.kk dj nsA

tc Hkh dksbZ ubZ nok cktkj esa mrkjh tkrh gS] rks ;g r; djus ds fy, dqN lanHkZ ;k uSnkfud ijh{k.k gksrk gS fd ;g nok ,d fo'ks"k chekjh ds fy, iQk;nsean gksxhA tc eaSus iQSch Ýyw (iQ+sfofijkfoj) ds uSnkfud ijh{k.k lanHkZ dks [kkstus dh dksf'k'k dh] rks eq>s fliQZ ,d ijh{k.k feyk vkSj og Hkh dqN eghus igys phu ls vk;k FkkA ,d rjiQ ge phuh lkekuksa dk cfg"dkj dj jgs gSa vkSj yksxksa dks phuh mRiknksa dk mi;ksx ugha djus ds fy, izsfjr fd;k tk jgk gS vkSj nwljh vksj] phu ds trail dks bl nok dks ykWUp djus ds fy, ,d lanHkZ ds :i esa ekuukA eSaus bl trail dk vè;;u fd;k ftlesa 80 jksxh 'kkfey Fks_ 35 jksfx;ksa dks Favipiravir nok nh xbZ] ftls iQSch Ýyw uke ls ykWUp fd;k x;k gSA 45 yksxksa dks Ritonavir vkSj Loopinavir uke dh nok nh xbZA ;s nksuksa HIV dh vliQy nok,¡ gSa tks jksfx;ksa dks dksjksuk ds uke ij nh xbZ FkhaA bu ij izfrca/ rc yxk;k x;k tc ekSrksa dh la[;k c<+us yxhA blfy, izfrcaf/r nokvksa dh rqyuk iQSch Ýyw ls dh tk jgh gSA ;g ,d pkykd yM+ds ds


leku gS tks d{kk esa vliQy gks tkrk gSA og dsoy 20 vad izkIr djrk gS] ysfdu vius ekrk&firk dks lwfpr djuk pkgrk gS fd mls cgqr vPNs vad feys gSa] blfy, og ?kj ij ,d vkSj cPpk ykrk gS] ftls flIkQZ 10 vad feys gSaA og vius ekrk&firk dks crkuk pkgrk gS fd esjs vad [kjkc gks ldrs gSa] ysfdu dksbZ ,slk Hkh gS ftlds vad mlls Hkh [kjkc gSaA mlh vankt esa ;g ijh{k.k lkfcr djrk gS fd ;g nok yksfiuohj vkSj fjrksuohj ls csgrj gSA fdUrq ;g ugha fn[kkrk gS fd ;g nok ,d dksjksuk jksxh dks Bhd dj ldrh gSA bl ijh{k.k ds lko/kuhiwoZd vè;;u ls irk pyrk gS fd u rks Randomised fu;a=k.k ijh{k.k gS vkSj u gh double blind trail. ijh{k.k dk lapkyu djus okys yksxksa us jksfx;ksa dks bl Js.kh dh nok (iQSch Ýyw) ;k ml (yksfiuohj vkSj fjrksuohj) esa j[kus dk iQSlyk fd;kA

iQSch Ýyw Js.kh ds 35 jksxh] irys vkSj de chekj Fks vkSj nwljs lewg ds jksfx;ksa dh rqyuk esa mudk rkieku de FkkA muesa ls dqN fo"ke Hkh FksA bl izdkj xaHkhj :i ls chekj Covid-19 jksfx;ksa dks ckgj j[kk x;k Fkk] blfy, bls okLrfod ijh{k.k ugha ekuk tk ldrk gSA

bl nok dh lPpkbZ dks tkuus ds fy,] bl fu;ekoyh29 ij ,d ut+j Mkysa tks eSaus LokLF;] Je vkSj dY;k.k ea=kky; ls yh gS] tkiku esa 4 ekpZ 2014 dks iQSch Ýyw cuk;k x;k FkkA bl eSuqvy dks i<+sa vkSj vkidks iwjh lPpkbZ dk irk yx tk,xkA bl eSuqvy ds ist 56 ij fy[kk gS fd bl nok dks 12 fiYyksa ij vktek;k x;k Fkk] ftlesa ls dqN gh fnuksa es ukS fiYyksa dh ekSr gks xbZA fIkQj] rhu canjksa ij nok dh dksf'k'k dh xbZ_ dqN gh fnuksa esa ,d canj dh ekSr gks xbZA blds ckn] dqN pwgksa ij nok dh dksf'k'k dh xbZ FkhA

ifj.kkeLo:i uj pwgksa esa o`"k.k fo"kkDrrk feyh ftldk vFkZ gS fd os cka> ;k uiqald gks x,A eknk pwgksa us ;qok iSnk djus dh {kerk [kks nhA bl izdkj] ;k rks e`r cPps iSnk gks jgs Fks ;k os vkuqokaf'kd nks"k


ds lkFk iSnk gks jgs FksA ,slh nokvksa dks ,d fo'ks"k Js.kh lkSaih tkrh gS ftls VsjkVkstsfud nokvksa ds :i esa tkuk tkrk gSA Teratogenic drugs fdruh gkfudkjd gSa] eaS 6 ebZ] 2020 ds U;w;kdZ VkbEl30 esa ,d ys[k dk lanHkZ nsdj le>kÅ¡xkA ys[k dgrk gS fd bl nok (iQSch Ýyw) dh rqyuk fdlh vU; VsjkVkstsfud nok ls dh tk ldrh gS ftls 1950 esa ;wjksih; jk"Vªksa es FkSfyMksekbM dgk x;k FkkA bl nok ds nq"izHkko ;g Fks fd 1]23]000 cPps e`r iSnk gq, FksA tks thfor iSnk gq, Fks os fofHkUu izdkj dh fod`fr ls ihfM+r FksA

yxHkx 24]000 ,sls cPps gSa tks vHkh Hkh mu fod`fr;ksa ds lkFk jg jgs gSaA bl izdkj bl nok ij TkYn gh izfrca/ yxk fn;k x;kA


blh rjg dh fLFkfr bl nok ds lkFk mRiUu gks ldrh gS ;kuh ^iQSch Ýyw*A nq"izHkko dqN o"kksZa ds ckn irk pysxkA v[k+ckj vkSj nok dEifu;k¡ nq"izHkko dks Nqik ldrh gSa ysfdu cPps iSnk gksus ij os cgqr tYn mtkxj gks tk,¡xhA

Hkkjr esa iQSch Ýyw

vkb,] ge Hkkjrh; lanHkZ esa iQSch Ýyw ij ppkZ djrs gSaA 20 twu] 2020 dks tc Hkkjr esa bl nok dks ykWUp fd;k x;k Fkk] rc lekpkj i=kksa vkSj Vhoh us bldh dher 103 #Ik, crkbZ FkhA yksx lksprs gSa fd 103 #i, dh nok dk lsou djus ls os dksjksuk ls jksx eqDr gks tk,¡xsA lPpkbZ ;g gS fd nok dh iwjh fLVªi (34 xksfy;k¡) igys fnu gh [kkuh gksrh gSaA 14 fnuksa esa] 7&8 nokvksa dh ,slh fLVªIl dk lsou fd;k tkrk gS] ftldk vFkZ gS Bhd gksus ds fy, 14 fnuksa esa 25]000 #Ik, dh xksfy;ksa dk lsou djukA LokLF; ykHk dsoy mu yksxksa ds fy, gksxk tks igys ls Bhd gSaA xaHkhj :i ls chekj jksfx;ksa ij bldk D;k izHkko iM+sxk] ;g Kkr ugha gSA

;fn vki bl nok dks [kjhnrs gSa] rks vkidks ,d iQWkeZ Hkjuk gksxk] ftls ckWDl ds vanj Mkyk tk,xkA vkidks bl iQWkeZ ij gLrk{kj djus dh vko';drk gSA

izi=k dgrk gS fd vki bl nok ds nq"izHkkoksa dks vPNh rjg ls le> pqds gSa vkSj vki Lo;a blds nq"izHkkoksa ds fy, ftEesnkj gSa_ dksbZ nwljk ughaA nok dk lsou djus ds ckn] ;g dSls izHkkfor djrk gS] ml MsVk dks daiuh }kjk fy;k tk,xk] fjiksVZ ds vxys laLdj.k esa fjiksVZ dj fy;k tk,xk D;ksafd ;g fjiksVZ fiYyksa] canjksa vkSj pwgksa ij bl nok ds izHkko dh O;k[;k djrh gSA

bl nok dh vxyh fjiksVZ }kjk Hkkjrh;ksa ij blds izHkko dk o.kZu djus dh cgqr laHkkouk gSA bls ekuo fxuh fix ds :i esa tkuk tkrk gSA ekuo ijh{k.k vkSj ekuo fxuh fix nks vyx&vyx phtsa


gSaA ekuo ijh{k.k dk eryc gS fd ,d O;fDr us ijh{k.k dk fgLlk cuus ds fy, lgefr ns nh gS (vius fufgr LokFkksZa ds fy,&foRrh; ykHk ds fy, gks ldrk gS)A ,sls yksxksa dks 10&15 yk[k #Ik, feyrs gSaaA O;fDr ekSdk ysus ds fy, rS;kj gks tkrk gSA ;g ekuo ijh{k.k ds fy, Loa;lsod ds :i esa tkuk tkrk gSA nwljk fxuh fix gS ftldk vFkZ gS vkius bu nokvksa dks 25]000 #Ik, esa [kjhnk vkSj ijh{k.k dk fgLlk cusA vki fiYys] canj ;k pwgksa dh rjg gks tk,¡xsA bls ekuo fxuh fix dgk tkrk gSA

dksjksuk ds jksfx;ksa ij ;g nok dSls dke djsxh] bldk ijh{k.k dHkh ugha gqvkA dsoy rqyuk dh xbZ fd ;g nok vU; nks nokvksa dh rqyuk esa vf/d mi;ksxh gS D;ksafd bls yxHkx y{k.kghu jksfx;ksa ij vktek;k x;k FkkA

esjk lq>ko gS] bl nok dk eSuqvy MkmuyksM djsa vkSj bls vPNh rjg ls i<+saA fIkQj fdlh Hkh MkWDVj ;k LokLF; fo'ks"kK ds ikl tk,¡ vkSj mlls iwNsa fd D;k mlds ifjokj esa dksbZ Hkh fudV ;k fiz; O;fDr (mldk cPpk@ iRuh@ ekrk&firk gks ldrk gS) ;k ;gk¡ rd fd og [kqn Covid-19 Positive gS] rks D;k og bl nok dks ysxk\

tSlk fd igys dgk x;k gS] dksjksukok;jl ,d RNA 'olu bUÝyq,atk ok;jl gS vkSj ;g rsth ls mRifjofrZr gksrk gS blfy, blds fy, dksbZ nok ugha gks ldrh gSA ;g nok] tks ckt+kj esa gS] vuqokaf'kd ifjorZu ykrh gSA ;g vuqokaf'kd :i ls 'kjhj ds RNA dks cnyrk gS ;k mRifjofrZr djrk gSA bls lh/s 'kCnksa esa dgsa] rks vki ,d iwjh rjg ls vyx O;fDr cu tkrs gSa] gkykafd 'kjhj ,d gh jgrk gSA nwljs 'kCnksa esa] ;g fudV Hkfo"; esa ekuo 'kjhj dh uhao dks fgykrk gS] laHkkouk gS fd O;fDr vkWVksbE;wu chekfj;ksa] dSalj ;k V~;wej ls ihfM+r gks ldrk gSA ;g vkids fy, ugha cfYd vkus okyh ihf<+;ksa ds fy, gks ldrk gSA blfy, bl nok dks ysrs le; lko/kuh cjrsaA ,slk ugha gS fd vf/dkfj;ksa dks bl nok ds ckjs esa irk ugha gS_ Hkkjr dks NksM+dj fdlh Hkh ns'k us bls O;kolkf;d :i ls ykWUp ugha fd;k gSA


Hkkjrh; vFkZO;oLFkk igys gh iaxq gks pqdh gS vkSj vc Hkkjr ds ukxfjdksa dks iaxq cukus dh ;kstuk,¡ py jgh gSaA

vUrjkZ"Vªh; ;ksx fnol ds volj ij ;ksx dh ckr djrs gSaA izk.kk;ke ,d egÙoiw.kZ vH;kl gS ftlesa vkWDlhtu 'kjhj ds mu fgLlksa (tgk¡ ;g lkekU; :i ls ugha gksrk gS) rd igq¡prk gSA blls dSalj] e/qesg vkSj bl rjg dh vU; Ckhekfj;ksa dh jksdFkke gks tkrh gSA nqfu;k Hkj esa vkSj vklikl ds cgqr ls yksx fo'ks"k :i ls izk.kk;ke ds ;kSfxd O;k;keksa dk ikyu djrs gSaA eSa lqjf{kr :i ls dg ldrk gw¡ fd izzk.kk;ke ;k lk¡l ysus dk O;k;ke ,d lexz bykt gSA ;fn ge bldk mYVk djrs gaS] vFkkZr~ ;fn ge vkWDlhtu dks 'kjhj dh dksf'kdkvksa rd igq¡pus dh vuqefr nsus dh ctk;] dkcZu MkbvkWDlkbM mu rd igq¡pkrs gSa] rks] rc D;k gksxk vkSj ;fn ;g izfd;k yacs le; rd vkSj nSfud vk/kj ij tkjh jgs] rc fuf'pr :i ls dksbZ ;g dgsxk fd fjolZ lp gksxkA vxj bldk ikyu fd;k tkrk gS] rks mu lHkh chekfj;ksa tSls dSalj] e/qesg] mPp jDrpki] ân; jksx vkfn esa Hkh o`f¼ gksxhA ;s nh?kZdkfyd izHkko gSaA vYidkfyd leL;kvksa ds ckjs esa D;k dgsa!! ;g fljnnZ] cq[kkj o izfrj{kk dh gkfu vkfn dk dkj.k gksxkA

lans'k nsus ds fy, eSaus ,d u;k rjhdk <w¡<k gS] og gS& ;g ,d IysdkMZ gS ftlesa ^izk.kk;ke* fy[kk gS vkSj eSa ,d ekLd igurk gw¡]


ftl ij ^jkt* fy[kk gS vkSj ;s fey dj curs gSa & ^izk.k&;ejkt*

bls Li"V :i ls le>us dh vko';drk gSA tc ge ekLd igurs gSa vkSj ge lk¡l ysrs jgrs gSa] rks ge okLro esa dkcZu MkbvkWDlkbM ys jgs gksrs gSa] ftls ge Lo;a NksM+rs gSa vkSj ;g yxkrkj fd;k tk jgk gSA tks LoLFk gSa os yxHkx ,d ;k nks ?k.Vs eas lkbM biQsDV~l dk vuqHko djsaxs vkSj tks jksxh&Hkko ls ifjfpr gSa] os yxHkx vk/s ?k.Vs esa ;g vuqHko djsaxsA njvly] ge ;ejkt ^ekSr dk nsork* rd igq¡pus ds fy, ,d pSuy [kksy jgs gSaA

10 twu] 2020 dh CDC dh fjiksV30 dks ns[ksaA (lhMhlh jksx fu;a=k.k dsUnz gS) mUgksaus bl fjiksVZ esa Lohdkj fd;k gS fd vxj ge ,d ?k.Vs ls vf/d iQsl ekLd igurs gSa] bls iguus ds ckn ls bldk 'kjhj ij izHkko iM+sxkA dkcZu MkbvkWDlkbM] tks ge Lo;a NksM+rs gSa] dbZ rjg dh leL;kvksa dks tUe ns ldrk gS% fljnnZ] [kksiM+h ds vUnj ncko esa o`f¼] raf=kdk ra=k esa ifjorZu] 'okl dh vko`fRr esa o`f¼] ân; laca/h izHkko] gYds dke ds cks> dh lgu'khyrk esa deh vkfnA eaS fiNys dbZ eghuksa ls bl ij tksj ns jgk gw¡] vkSj vc lcus bls Lohdkj dj fy;k gS ysfdu ;g dkiQh nqHkkZX;iw.kZ gS fd gekjh ljdkj bl ij dksbZ è;ku ugha ns jgh gSA fiNys dqN fnuksa esa izkIr ejhtksa dh dkWy ls ;g ns[kk x;k gS fd mUgsa fljnnZ] lk¡l ysus esa rdyhiQ dh f'kdk;r gS vkSj mUgsa lansg gS fd mUgksaus dksjksukok;jl dk vf/xzg.k dj fy;k gSA eSa ewy :i ls mUgsa vius ekLd dks gVkus vkSj 4&5 ?k.Vs vkjke ls lk¡l ysus ds fy, dgrk gwa vkSj eq>s fo'okl gS os csgrj eglwl djuk 'kq: djrs gSaA ;g le>uk egÙoiw.kZ gS fd ;g 'Mask theory' dgk¡ ls vk;h gSA ;g ewy :i ls ltZuksa ls gekjs ikl igq¡pk gSA lapkyu djrs le;] os vke rkSj ij ekLd dk mi;ksx djrs gSaA gesa okLrfod ifjn`'; esa tkuk pkfg, fd D;k ekLd iguus ls okLro esa ltZu dks enn feyrh gS\ ekLd iguus dh ;g laLd`fr 130 lky iqjkuh gSA ewy :i ls ltZjh djrs le; ekLd iguus dh ijaijk gS vkSj ltZuksa


}kjk bldk dM+kbZ ls ikyu fd;k tkrk gS ysfdu ;g lgk;d gS ;k ugha] bl ij lansg gSA

dksØsu lg;ksx }kjk ,d esVk&fo'ys"k.k31 fd;k x;k FkkA os ljy iz'u ij fd, x, lHkh 'kks/ksa dk fo'ys"k.k djrs gSa fd D;k ltZjh ds nkSjku ekLd iguuk iQk;nsean gS ;k fcuk ekLd ds ltZjh djuk Hkh mruk gh vPNk gSA ;g laxBu ,d fu"i{k laxBu gS vkSj ;g dHkh Hkh fdlh nok daiuh ls nku ugha ysrk gS vkSj lPpkbZ lkeus ykrk jgrk gSA dksØsu lg;ksx us yxkrkj ;g irk yxkus ds fy, 'kks/ fd;k fd D;k ltZu }kjk ekLd igudj ltZjh djuk iQk;nsean gS ;k iQk;nsean ugha gSA mUgksaus lHkh ;kn`fPNd fu;a=k.k ifj{k.kksa dks bdV~Bk fd;k vkSj ,d fu"d"kZ ij igqaps fd ekLd iguus ls laØe.k dh laHkkouk de ugha gksxh cfYd os c<+ tk,¡xsA ltZjh ds nkSjku Hkh ekLd iguus ls laØe.k de ugha gksrk gSA

ekLd iguus ls laØe.k dh laHkkouk dSls c<+ tkrh gS\

tc ge ekLd igurs gSa vkSj mlesa lk¡l ysrs gaS rks og {ks=k (tks ukd vkSj eq¡g gks ldrk gS) dk rkieku gekjs 'kjhj ds leku gh gksrk gSA blds lkFk gh] tSlk ge cksy jgs gSa vkSj mlh {k.k lk¡l ys jgs gSa] ;g {ks=k FkksM+k ue gks tkrk gSA ;gk¡ nks phtksa dks è;ku esa j[kus dh t:jr gS fd ;g {ks=k FkksM+k xeZ gksus ds lkFk&lkFk ue Hkh gksrk gSA dhVk.kq] thok.kq vkSj laØe.kksa dks iuius ds fy, ueh vkSj xehZ cgqr vuqdwy okrkoj.k gSA ;fn vki yxkrkj vk/s ?k.Vs ls ysdj ,d ?k.Vs rd ekLd igurs gSa] rks bl txg ij cuk okrkoj.k dhVk.kqvksa dh o`f¼ ds fy, cgqr vuqdwy gks tkrk gSA tuZy&ts dh fjiksVZ32 o"kZ 2018 dk vkWFkksZi Vªkalys'ku&vkWijsfVo izfØ;kvksa ds nkSjku cSDVhfj;y lanw"k.k ds lzksr ds :i esa ds ckjs esa fy[krk gSA ^bl izdkj ekLd iguus ls laØe.k dh laHkkouk de ugha gksrh cfYd c<+ tkrh gSA* ekLd iguus lss ekuo 'kjhj esa ,d vkSj chekjh gks tkrh gS ftls ^nk gkbijdsifu;k*33 dgk tkrk gS] ;gh og fLFkfr gS tgk¡ gekjs


'kjhj esa vko';drk ls vf/d dkcZu MkbvkWDlkbM gksrk gSA ftl izdkj izk.kk;ke dk vFkZ gS 'kjhj dks vkWDlhtu ls Hkjuk] bldk mYVk gkbijdsisfu;k gS tks 'kjhj dks dkcZu MkbvkWDlkbM ls Hkj jgk gSA

¶gkbijdsisfu;k foHksfnr ekuo czksfUd;y midyk dksf'kdkvksa esa izfrj{kk izfrfØ;k] U;wfDy;kslkse vlsacyh vkSj fyfiM p;ki; thu dh vfHkO;fDr dks cny nsrk gSA¸

& oSKkfud fjiksVZ 2018

loky mBrk gS fd ekLd iguus dk ;g fopkj dgk¡ ls fodflr gqvk\

;g 130 lky igys fodflr fd;k x;k Fkk ysfdu og O;fDr dkSu gS ftls Mask cukus dk ;g fopkj feyk\

;g irk pyk fd MkW tkslsiQ fyLVj uke dk ,d ltZu FksA os 1880 ds n'kd esa ,d ltZu Fks vkSj mudh jk; Fkh fd vxj ekLd igurs gSa] rks ge laØe.k ls lqjf{kr jgsaxsA fyLVfju ekmFk okW'k ls yxHkx ge lHkh okfdiQ gSaA ;g mRikn MkW tkslsiQ fyLVj ds uke ij vk/kfjr gSA beesa ls dbZ yksx eq¡g es [kjkc cSDVhfj;k ;k ok;jl dks ekjus ds fy, ekmFkokW'k ds :i esa bldk bLrseky djrs gSaA blesa ,Ydksgy dh ek=kk vf/d gksrh gS okLrfodrk ;g gS fd ;g u dsoy gkfudkjd cSDVhfj;k dks ekjrk gS cfYd iQk;nsean cSDVhfj;k dks Hkh ekjrk gS tks gekjh E;wdksly izfrj{kk dks c<+krk gSA

¶vYdksgy ;qDr ekmFkokW'k ds fo'ks"k lanHkZ esa ekSf[kd dkflZukstsusfll esa vYdksgy dh Hkwfedk¸

&vkWLVªsfy;u MsaVy tuZy] 2008

2008 ds vkWLVªsfy;u MsaVy tuZy us ,d fjiksVZ34 izdkf'kr djrs gq, dgk fd ;g dSalj dk dkj.k curk gSA ;s nksuksa fopkj ;kuh ekLd


iguuk vkSj eq¡g dqYyk djus ds fy, mi;ksx esa vkus okys vU; ('kjkc ij vk/kfjr) ekmFkokW'k] ,d gh O;fDr & MkW tkslsiQ fyLVj }kjk fodflr gq,A

ge cSDVhfj;k vkSj ok;jl ls f?kjs gSa vkSj muesa ls yk[kksa gekjs 'kjhj ds vanj jgrs gSaA ge muds lkFk ln~Hkko esa jgrs gSaA 'kjhj ls [kjkc cSDVhfj;k ;k ok;jl ;k fdlh vU; laØe.k dks ckgj fudkyuk gekjh izfrj{kk iz.kkyh dk drZO; gSA ;g izfrj{kk gj txg ekStwn gS & e¡qg] Ropk vkSj gj txgA ge vYdksgy&vk/kfjr ekÅFk okW'k ds bLrseky ls vius eq¡g dh izfrjks/d {kerk dks ekjrs gSa vkSj ge vYdksgy ;qDr lSfuVkbtj dk mi;ksx djds vius gkFkksa dh izfrjks/d {kerk dks ekjrs gSaA lPpkbZ ;g gS fd ekmFk okW'k vkSj gSaM okW'k nksuksa leku gSa D;ksafd nksukas dh lkexzh yxHkx ,d tSlh gS vkSj nksuksa dSalj dkjd gSaA

;s os inkFkZ gSa tks okLro esa izfrj{kk dks nckrs gSa vkSj tc gesa viuh lqj{kk ds fy, yM+us ds fy, izfrj{kk dh vko';drk gksrh gS] rks ;s ,sls mRikn gSa tks bls de djrs gSaA ;kn j[ksa fd tks yksx lSfuVkbt+j vkSj eq¡g /ksus ds fy, ;k ;gk¡ rd fd LoPNrk ij c<+kok nsus dh dksf'k'k dj jgs gSa os okLro esa dSalj dks c<+kok ns jgs gSaA

D;k fd, tkus dh vko';drk gS\ lek/ku

'N.I.C.E. - bUÝyq,atk ns[kHkky fo'ks"kKksa dk ,d usVodZ gS ftlesa gekjs ikl ns'k Hkj ds yxHkx 200 fo'ks"kK gSaA ge vDlj cq[kkj] fljnnZ ;k detksjh dh f'kdk;rksa ds lkFk jksfx;ksa dk lkeuk djrs gSa_ os Ýyw ;k dksjksukok;jl ;k ;gk¡ rd fd bUÝyq,atk ls ihfM+r gks ldrs gSa ysfdu ewy dkj.k ;g Hkh gks ldrk gS fd mUgksaus ekLd dks vf/d le; rd iguk gksA ,d iz;ksx djrs gSaA Oximeter ysaa vkSj vius vkWDlhtu Lrj vkSj viuh iYl nj dh tk¡p djsaA bu nksuksa phtksa dh tk¡p djus ds ckn] yxHkx ,d ?k.Vs ds fy, viuk


ekLd igusa vkSj fiQj ,d ckj] vius vkWDlhtu Lrj vkSj ukM+h tk¡p djsaA vki ik,¡xs fd vkidh iYl nj esa 5 ;k 7 ;wfuV dh o`f¼ gqbZ gSA bldk eryc gS fd ekLd iguus ls lh/s vkids fny ij vlj iM+rk gS vkSj blfy,] iYl nj Ck<+ tkrh gSA vkWDlhtu Lrj ij ekLd dk izHkko D;k gS\ ;fn dksbZ O;fDr vk/s ?k.Vs ds fy, ekLd igurk gS] rks vkWDlhtu dk Lrj 1% de gks tkrk gSA bldh

iqf"V 2008 esa U;wjksfd:fx;k esa izdkf'kr 'kks/ i=k35 ds ekè;e ls dh xbZ gSA vki ges'kk Lo;a iz;ksx dj ldrs gSa vkSj ifj.kke dk irk yxk ldrs gSaA

gekjs vklikl ds {ks=k esa] gekjs ikl cgqr lkjs LokLF; dk;ZdrkZ] iqfyldehZ] nqdkunkj vkfn vkSj vU; yksx gSa] tks vius drZO; ds dkj.k] yEcs le; rd yxkrkj Mask igu dj j[krs gSaA ;fn os Mask ugha igurs gSa] rks mu ij xSj&vuqikyu dk tqekZuk yxk;k tk,xkA tc ,sls yksx gels lEidZ djrs gSa vkSj gesa crkrs gSa fd muds ikl fljnnZ] cq[kkj] detksjh vkSj lk¡l ysus esa leL;k tSls y{k.k gSa] COVID-19 tSls y{k.k gS] rks ge tkurs gSa fd ekLd iguus ls Hkh ogh leL;k,¡ gksrh gSA ,sls jksfx;ksa ds funku ls irk pyrk gS & de vkWDlhtu lar`fIr Lrj] iYl nj vkSj rkieku esa o`f¼A

,sls jksfx;ksa esa vkWDlhtu dk de lar`fIr Lrj] iYl nj esa o`f¼ ds dkj.k fueksfu;k dk dkj.k cu ldrk gS_ os ân; vk?kkr dk lkeuk dj ldrs gSa vkSj mPp rkieku ds dkj.k os cq[kkj vkSj detksjh eglwl dj ldrs gSaA gkykafd rkieku dsoy vk/k fMxzh c<+ tkrk gS] ysfdu vk/k fMxzh vf/d vof/ ds fy, c<+h gqbZ fLFkfr esa jgsxk] tks vR;f/d tksf[ke Hkjk gks ldrk gSA


;gk¡ eS bl rF; dks nksgjkuk pkgw¡xk fd ekLd iguus vkSj lk¡l ysus ls 'kjhj ds rkieku esa yxHkx vk/k fMxzh dh o`f¼ gksrh gSA ;gk¡ laca/ 'kjhj ds FkeksZjsX;wys'ku ls gSA ^ekuo FkeksZjsX;wys'ku ij iQsl ekLd dk izHkko*] ;g ys[k gky gh esa ^n ,uYl vkWiQ vkWD;qis'kuy

gkbthu 2020* es izdkf'kr gqvk gSA vkfVZdy36 dks i<+us ij vki le>saxs fd efLr"d] tks iwjs 'kjhj ds rkieku dks fu;af=kr djrk gS] ekLd iguus ds dkj.k ijs'kku gks tkrk gS_ ifj.kkeLo:i] 'kjhj dk rkieku vk/s fMxzh rd c<+ tkrk gSA gkyk¡fd] vk/h fMxzh cgqr gh gYdh o`f¼ gS ysfdu ;g vf/d le; rd cuh jgrh gSA

;g yEcs le; rd gksus okyh o`f¼ ekuo 'kjhj ds fy, dkiQh [krjukd gks ldrh gSA ;fn vkids ikl Ýyw tSls y{k.k gSa] rks os dksjksukok;jl ;k bUÝyq,atk ds y{k.k ugha gks ldrs gS_ okLro esa] os vkids 'kjhj esa vkWDlhtu dh deh ds dkj.k gksrs gSaA

;fn vkids vklikl dksfoM&19 ;k dksjksuk tSls y{k.k fn[kus okys yksx gSa] rks vki mUgsa bl ckr ls voxr djk ldrs gSa fd muds bu


y{k.kksa dk dkj.k ^ekLd iguuk* Hkh gks ldrk gSA blds lkFk gh vki mUgsa '3 Step Flu diet' follow djus ds fy, izsfjr dj ldrs gSaA ;fn os vfo'okl O;Dr djrs gSa rks vki mUgsa gekjk Helpline No. ns ldrs gSaA

vkSj ;fn vkiesa ls tks yksx MBBS, BHMS, BMS ;k LokLF;dehZ gSa rks eSa vki lHkh dks gekjs N.I.C.E. Initiative ls tqM+us rFkk enn djus ds fy, vkeaf=kr djrk gw¡A

vki gekjh Website : www.biswaroop.com/expert ds }kjk gels tqM+ ldrs gSaA vkidks ,d special training nh tk,xh rkfd vki vklkuh ls influenza dksfoM&19 ds ejhtksa dks handle dj ldsaA

vki vius iwoZ Kku @ fo|k @ vuqHko ds vk/kj ij gekjs vfHk;ku dk fgLlk cu ldrs gSa vkSj bl izdkj ge feydj lekt esa dksjksuk @ dksfoM&19 @ influenza ds jksfx;ksa dks Bhd djus esa enn dj ldrs gSaA



("N.I.C.E. iSzfDV'kuj ds fy, izf'k{k.k" ij vk/kfjr 29 twu] 2020 dks vk;ksftr)

ILI / COVID-19 dk vkikrdkyhu izca/u

1- 'okl izca/u 2- [kkalh izca/u 3- cq[kkj izca/u 4- mYVh gksuk 5- eryh 6- vR;f/d detksjh 7- nLr

Ýyw @ bUÝyq,atk @ ILI / COVID-19 dk izca/u djrs le; lcls egÙoiw.kZ ckr ;g gS fd 'okl] [kkalh] cq[kkj] mYVh] eryh vkSj vR;f/d detksjh tSls fuEufyf[kr Yk{k.kksa dk izca/u fd;k tkrk gSA ,slh fLFkfr esa] ejht ?kcjk ldrs gSa_ gesa mUgsa ;kn fnykuk gksxk fd mUgsa FkksM+k /S;Z j[kus dh t:jr gSA gesa muls dsoy nks phtsa iwNus dh t:jr gS% rkieku rFkk vkWDlhtu Lrj (SpO2) (Oximeter dk mi;ksx djds tkap ldrs gSa) A tc rd rkieku 102oF gS] rc rd Bhd gSA ;fn vkWDlhtu dk Lrj ≥ 88% gS] rks ;g vkjkenk;d gSA

vè;k;

ILI / COVID-19 dk vkikrdkyhu izca/u

4


'okl izca/u ds lkFk 'kq: djrs gSaA czhfnax eSustesaV vFkkZr 'okl izca/u dk eryc gS fd O;fDr dks lk¡l ysus esa dfBukbZ gks jgh gSA ,sls O;fDr ds fy, ge vLirky eas LFkkfir vkWDlhtu nsus ds ckjs esa lksprs gSaA ;fn lk¡l ysus esa dfBukbZ cuh jgrh gS rks ge ;kaf=kd osaVhysVj ds ckjs esa lksprs gSaA vkWDlhtu flysaMj ;k vkWDlhtu Fksjsih] fpfdRlk m|ksx esa lcls [kjkc /ks[kk/M+h gSA D;ksa\

D;ksafd vkids 'kjhj dks vkWDlhtu ysus ds fy, fMtk+bu ugha fd;k x;k gSA vkids 'kjhj dks gok ls cuk;k x;k gS ftlesa dsoy 21% vkWDlhtu gS vkSj ckdh ukbVªkstu vkSj vU; xSlsa gSaA ;g ,d egÙoiw.kZ pht gS] ftls vkidks è;ku esa j[kuk pkfg,A

mnkgj.k ds fy,] vkids ikl isVªksy ;k Mhty dkj gSA isVªksy ;k Mhty ds ctk,] vki vf/d 'kq¼ vkSj eg¡xk b±/u Mkyrs gSa] tks fd tsV b±/u gS] D;k vkidks yxrk gS fd dkj pysxh\ tokc gS ughaA

vkidh dkj dks isVªksy @ Mhty ds fy, fMt+kbu fd;k x;k gSA ;gk¡ rd fd vxj vki csgrj izdkj dk baZ/u Mkyrs gSa] rks Hkh ;g dke ugha djsxkA batu {kfrxzLr gks tk,xkA blh rjg] vkids 'kjhj dks yacs le; rd ;k ,d feuV ds fy, Hkh vkWDlhtu dks lk¡l ysus ds fy, fMtk+bu ugha fd;k x;k gSA ;g vkids 'kjhj dks uqdlku igq¡pkus okyk gSA

;g lksp gh xyr gS fd vkWDlhtu Fksjsih ,d O;fDr dh e`R;q nj @ :X.krk dks de dj ldrh gSA tc ls bl nqfu;k esa vkWDlhtu Fksjsih 'kq: dh xbZ Fkh] rc ls ,d Hkh lcwr ugha vk;k gS] tks crkrk gS fd vkWDlhtu Fksjsih thou izR;k'kk dks c<+k ldrh gS ;k fdlh O;fDr ds thou dks cpkus esa enn dj ldrh gSA dksbZ 'kd ugha] vkWDlhtu Fksjsih iznku djus ij] ,d O;fDr dks izkjafHkd vkjke fey ldrk gS ysfdu vxj vkidks yxrk gS fd ;g vkids thou dky


dks c<+kus okyk gS] vkSj ;g :X.krk (Mortality) dks de djus esa enn djus okyk gS_ ;g chekjh dks Bhd djus esa vkidh enn djus okyk gS] bldk dksbZ lcwr ugha gSA

eS vkidks lcwr fn[kkus tk jgk gw¡ vkSj fiQj vki fo'okl djsaxs fd dksØsu flLVeSfVd fjO;w&ou lcwr gS] ftl ij eq>s lcls T;knk Hkjkslk gS vkSj eSa vDlj bl ckjs esa ckr djrk gw¡A dksØsu ,d laxBu gS tks fdlh Hkh nok daiuh ls dksbZ nku ugha ysrk gSA mUgksaus ,d esVk fo'ys"k.k37 fd;k & lHkh izdkj ds fo'ys"k.kksa ls mPpreA dksØsu ds vuqlkj] yksxksa ds nks lewgksa dks ys tk;k x;k ,d dks vkWDlhtu dh mPp lkanzrk nh xbZ Fkh vkSj nwljs dks vkWDlhtu dh de lkanzrk nh xbZ FkhA ftu yksxksa dks mPp lkanzrk nh xbZ Fkh] mUgsa vf/d uqdlku gqvk_ de lkanzrk izkIr djus okyksa dks de uqdlku gqvkA blfy, vkWDlhtu dh de lkanzrk csgrj gSA

;fn vki ,d iz'u iwNrs gSa fd vkWDlhtu ysuk ;k vkDlhtu ugha ysuk & D;k csgrj gS\ vkWDlhtu ugha ysuk csgrj gSA ;g lUnHkZ38 vLirky esa LFkkfir vkWDlhtu flysaMj ls gS tks dqN izkjafHkd vkjke iznku dj ldrk gS ysfdu ;g pht vki ?kj ij ,d gkFk ls idM+s tkus okys ia[ks ds lkFk izkIr dj ldrs gSaA mik; cgqr gh ljy gSA yxHkx gj ?kj esa gkFk ls idM+s tkus okyk ia[kk miyC/ gSA vkidks cl bls ejht dh ukd ds lkeus j[kuk gSA ia[ks

Higher v/s Lower OxygenHigher versus lower fraction of inspired oxygen or

targets of arterial oxygenation for adults admitted to the intensive care unit

Cochrane Systematic Review – 27 November 2019


dks pkyw djsa vkSj ia[ks ls ejht dh ukd esa gok iQSadh tk,xhA ;fn jksxh 5 feuV ds fy, viuh ukd ds lkeus ia[ks dks idM+ ldrk gS rks mls mlh rjg dk vkjke feysxk tks mls vLirky esa vkWDlhtu Fksjsih ds lkFk feyk gksxkA ;g vkWDlhtu ds nq"izHkko ds fcuk gksxk tks 'kjhj esa vkWDlhtu fo"kkDrk dk dkj.k curk gSA vkWDlhtu Fkssjsih dh rqyuk esa ,d gkFk ls idM+s tkus okyk ia[kk cgqr csgrj gSA

ykalsV 'kh"kZ (top) ik¡p if=kdkvksa esa ls ,d gSA ,d ys[k esa ykalsV esa izdkf'kr fd;k x;k gS] bls ,d mPp 'kks/ i=k ekuk tkrk gSA ;g ,d Mcy&CykbaM jSaMekbT+M daVªksy Vªk;y gS vkSj ;gk¡ 'kks/drkZvksa us nks groups ds yksxksa dh rqyuk dh] tks ,d gh rjg dh rhozrk ls lk¡l dh rdyhiQ ls ihfM+r FksA ,d lewg dks vkWDlhtu fn;k x;k vkSj bl rjg nwljs lewg dks ,d ia[kk fn;k x;k vkSj mls viuh ukd ls Ng bap nwj j[kus dks dgk x;kA mUgsa ia[ks dh gok ls lk¡l ysus dks dgk x;kA bu mipkjksa ds 5 feuV ds ckn yksxksa ds nksuksa lewgksa dks ,d gh rjg dk vkjke feykA bl izdkj ;g Li"V :i ls izkekf.kd gS fd ;g ia[kk vkWDlhtu flysaMj ds leku dke dj ldrk gSA ;g ia[kk vkWDlhtu flysaMj dh rqyuk esa cgqqr lLrk (yxHkx 200 #i,) gS tks ?kj ij miyC/ ugha gS vkSj ftlds fy, ge vLirky ij fuHkZj gSaA

gkFk esa idM+s tkus okys ia[ks ls 'okl m[kM+us esa vkjke

European Respiratory Journal 2017 50: 1701383; DOI: 10.1183/13993003.01383-2017


vLirky ds vf/dkjh muds O;olk; ds cqjh rjg izHkkfor gksus ds Mj ls ;g dHkh ugha dgsaxs fd ;g ia[kk vkWDlhtu flysaMj ls csgrj gSA rks 95% jksfx;ksa ds fy,] tks lk¡l iQwyus dh f'kdk;r djrs gSa] ;fn vki mUgsa bl rjg ls ia[kk idM+us ds fy, dgsa vkSj bl eqnzk esa cSBsa (FkksM+k vkxs >qd dj vkSj fiQj ia[ks dks mudh ukd ls Ng bap nwj j[krs gq,) rks mUgsa mruk gh vkjke feysxk] ftruk mUgsa vkWDlhtu flysaMj ls feyk gksxkA dksbZ Åijh le; lhek ugha gS vkSj os vkjke ikus rd ia[ks dks idM+ ldrs gSaA esfMdy if=kdkvksa esa blds ckjs esa crk;k x;k gS ij dHkh vke turk dks ugha crk;k x;kA vxj ge yksx bl lp dks tku ysaxs rks mUgsa vkWDlhtu flysaMj dh t:jr ugha jgsxhA ,slk djus ls vki vius jksfx;ksa dh 95% leL;kvksa dks gy djus esa liQy gksaxsA 5% yksx 'ks"k gSa] ftUgsa vk/s ?k.Vs ;k mlls vf/d le; rd ia[kk j[kus ds ckotwn jkgr ugha feysxhA os ejht ftUgsa okLrfod leL;k gks ldrh gSA bl le;] vki SpO2 Oximeter dh enn ls muds SpO2 ;kuh vkWDlhtu Saturation Lrj dh tkap dj ldrs gSaA ;fn jhfMax ≥ 88% gS] rks bldk eryc gS fd ;g ,d okLrfod leL;k gS & vfu;af=kr 'okl&iz'okl dk eryc gS fd ;g okLrfod vkikrdky gS vkSj vLirky esa tkus ij] os eSdsfudy osaVhysVj ij j[ks tkrs gSaA eSdsfudy osaVhysVj D;k gS vkSj bldk fodYi D;k gS\ oSdfYid osaVhysVj eSdsfudy osaVhysVj ds leku ifj.kke ugha nsxk ysfdu eSdsfudy osaVhysVj dh rqyuk esa csgrj ifj.kke gksxkA

Oxygen v/s Room Air in BreathlessnessEffect of palliative oxygen versus medical (room)

air in relieving breathlessness in patients with refractory dyspnoea: a double-blind randomized

controlled trial

Cochrane Systematic Review – 27 November 2019


jksxh dks vk/s ?k.Vs ds fy, izksu (Prone) osafVys'ku ij j[ksa vkSj fiQj ls SpO2 dh tkap djsa vkSj vki bls ≥ 90% ik,¡xs vkSj jksxh Hkh csgrj eglwl djuk 'kw: dj nsxkA

izksu (Prone) osafVys'ku ij è;ku dsafnzr djus ls igys] eSa vkidks crk nw¡ fd eSdsfudy osaVhysVj ls D;ksa cpsaA

eSdsfudy osafVysVj & dqN cgqr fo'kky] cgqr oSKkfud fn[krk gS] dqN cgqr gh vk'kktud] dqN bl rjg ls cgqr XySejl yxrk gS fd ;g cgqr eg¡xk gS vkSj gj dksbZ bldk [kpZ ugha mBk ldrkA ;g vLirky dk ,d LVsVl flacy gS & ,d O;fDr dks yxrk gS fd ;g vk/qfud gS&vLIkrky esa ,d O;fDr dks cpkus dh vf/d {kerk j[krk gS ysfdu ;g lc XySej gSA

,d osaVhysVj dk eryc gS fd ,d ikbi vkidh ukd vkSj eq¡g ls iQsiQM+ksa vkSj isV rd tkrk gSA ;g iQhfMax ukd esa ikbi ds tfj, dh tkrh gS vkSj eq¡g ls gok iQsiQM+ksa esa tkrh gSA bldk eryc gS fd O;fDr iwjh rjg ls ikbi ij fuHkZj gS tSlk fd vkxs fp=k esa fn[kk;k x;k gSA

tc 'kjhj esa cgqr lkjh ikbi tkrh gSa] rks os dbZ jksxksa dks tUe nsrs gSaA ;g ns[kk x;k gS fd nl jksfx;ksa esa ls UkkS] ftUgsa osaVhysVj ij j[kk x;k gS] os dHkh osaVhysVj ls okil ugha vkrs gSaA os ej tkrs gSaA ,d efjt osaVhysVj dh otg ls ugha cprk gS] ysfdu og osaVhysVj

'okl (vkikrdkyhu izcU/u)vLirky ?kj

vkWDlhtu flysaMj

eSdsfudy osaVhysVj izksu osaVhysVj

gkFk esa idM+k tkus okyk ia[kk


ij j[ks tkus ds ckotwn cp tkrk gSA rks] jksxh HkkX;'kkyh ;k csgn cnfdLer gks ldrk gSA cnfdLer blfy, D;ksafd osaVhysVj ij j[kuk cgqr nnZukd gS_ nwljh ckr ;g gS fd tks yksx ckgj fudyrs gSa os n;uh; fLFkfr esa gksrs gSa vkSj vxys 2&3 eghuksa ds Hkhrj ej tkrs gSa vkSj fiQj Hkh tks yksx cp tkrs gSa mUgsa ejus rd ydok ekj tkrk gSA ,slk D;ksa gS\

tc ejht osaVhysVj ij gksrs gSa] rks mUgsa VALI (osafVysVj ,lksfl,VsM yax batjh) feyrk gSA osaVhysVj ds ekè;e ls] iQsiQM+ksa ij vkWDlhtu dks ,d fo'ks"k xfr ls ysus ij etcwj fd;k tkrk gSA pwafd gekjs 'kjhj dks fdlh Hkh xfr ls vkWDlhtu dh /kjk ysus ds fy, fMt+kbu ugha fd;k x;k gS] ;g rqjar iQsiQM+ksa dks uqDlku igq¡pkrk gS] tks igys ls gh le>kSrk dj jgs FksA nwljs osaVhysVj ij j[kus ls vkWDlhtu dh fo"kkDrrk gksrh gSA tSlk fd igys dgk x;k gS] gekjs 'kjhj dks 'kq¼ vkWDlhtu dks ysus ds fy, fMt+kbu ugha fd;k x;k gS] ysfdu osaVhysVj ds ekè;e ls vkWDlhtu dks 'kq¼ :i esa fn;k tkrk

;kaf=kd osaVhysVj

osaVhysVj ij j[ks x, nl dksfoM&19 jksfx;ksa esa ls 9 ekjs x,

vizSy 23]2020 ykbo lkbal


;kaf=kd osaVhysVj 1. VALI (Ventilator

Associated Lung Injury)2. Oxygen Toxicity3. Neuro Damage4. VAP (Ventilator

Associated Pneumonia)

gSA xfr vkSj vkWDlhtu dh 'kq¼rk ,d lkFk U;wjks {kfr dk dkj.k curh gSA efLr"d vkSj iQsiQM+s tks ,d nwljs ds lkFk esy [kkrs gSa vkSj ,d nwljs ds lkFk feydj dke djrs gSa] O;fDr dks osafVysVj ij j[kus ds ckn ,d&nwljs ds lkFk laca/ [kks nsrs gSaA urhtru] O;fDr viuh ;kn~nk'r vkSj ljy dkS'ky [kks nsrk gS tSls nkarksa dks cz'k djuk] 'kkSpky; tkuk] Hkkstu djuk] fxykl idM+uk vkfnA og ,d NksVs cPps dh rjg gks tkrk gS vkSj mls bu lHkh dkS'kyksa dks nksckjk lh[kus dh vko';drk gksrh gSA pje ekeyksa esa O;fDr VAP (osafVysVj ,lksfl,VsM U;weksfu;k) ls ihfM+r gksrk gSA bls le>us dh dksf'k'k djsaA tc vkids 'kjhj esa cgqr lkjs ikbi tkrs gSa] rks cSDVhfj;k vkSj ok;jl ikbi ds ekè;e ls ;k=kk djrs gSa vkSj iQsiQM+ksa ds van:uh fgLls esa ,d txg ij dCtk dj ysrs gSaA bls osafVysVj ,lksfl,VsM U;weksfu;k dgk tkrk gS vkSj tc O;fDr dh e`R;q gks tkrh gS] rks og fueksfu;k ls ejrk gS] bUÝyq,atk ls ugha] ysfdu nqHkkZX; ls] bls dksjksuk ekSr ds :i esa oxhZd`r fd;k x;k gSA bl izdkj ;s ,slh chekfj;k¡ gSa tks ,d ejht dks rc feyrh gSa tc mls eSdsfudy osaVhysVj ij j[kk tkrk gSA

Role of Bacteria as a cause of death in Pandemic Influenza

J Infect Dis. 2018 October 1; 198(7): 962-970. doi: 10.1086/591708


The Solution % izksu osafVys'ku

tc Hkh dksbZ O;fDr vLirky esa HkrhZ gksrk gS vkSj nok ;k osafVysVj ij gksrk gS vkSj ej tkrk gS] rks ekSr ok;jl ds dkj.k gksus okyh fueksfu;k ds dkj.k ugha gksrh gS cfYd cSDVhfj;k ds dkj.k gksus okys fueksfu;k ls gksrh gSA ok;jl cSDVhfj;k ds fy, jkLrk cukrk gSA eSa ftl ckr ij tksj nsus dh dksf'k'k dj jgk gw¡] og ;g gS fd vxj ok;jl yacs le; rd 'kjhj esa jgrk gS] rks ;g fo'ks"k :i ls osaVhysVj ds ekè;e ls CkSDVhfj;k ds fy, jkLrk cukrk gSA cSDVhfj;k ikbi ds ekè;e ls ;k=kk djrs gSa vkSj iQsiQM+ksa esa tkrs gSa] ftlesa dbZ NksVs xqCckjs tSls gksrs gSa ,fYo;ksyhA ;s FkSfy;ka vkWDlhtu ls Hkjh gksrh gS vkSj xSlksa dk vknku&iznku ;gk¡ gksrk gSA vc thok.kq bu FkSfy;ksa ij dCtk dj ysrs gSa vkSj mUgsa rjy ls Hkj nsrs gSa ftlls lk¡l iQwy tkrh gSA

ge vke rkSj ij bl rjg ysVrs gSa (psgjk Åij j[krs gq,)A NksVs MkWV~l FkSyh @ ok;qdksf'kdk dk izfrfuf/Ro djrs gSa] tks la[;k esa yxHkx 50 djksM+ gSaA bl fLFkfr esa] ân; dk xq:Rokd"kZ.k ncko vkSj isV dk xq:Rokd"kZ.k ncko iQsiQM+ksa ds dksus ij fLFkr gksrk gS vkSj blds ifj.kkeLo:i] xqCckjs vkdkj esa fldqM+ tkrs gSa] ftlls iQsiQM+ksa dh yxHkx 20% {kerk de gks tkrh gSA ,d LoLFk euq"; ds iQsiQM+ksa dh {kerk esa 20% dh deh dk dksbZ izHkko ugha iM+rk gS] ysfdu tc dksbZ chekj gksrk gS (20% ls le>kSrk fd;k tkrk gS)] rks ;g mls cqjh rjg izHkkfor djrk gSA ;fn ge ân; vkSj isV ds xq:Rokd"kZ.k ncko dks nwj dj ldrs gSa] rks ge ml 20% dk mi;ksx dj ldrs gSaA

Fig-1

jh< dh gM~Mh

ân;


blds fy,] gesa vklu cnyus dh vko';drk gS] bls (Prone) izksu fLFkfr ;k izksu osafVys'ku dgk tkrk gSA tSlk fd vki Fig.-2 esa ns[k ldrs gSaA

NksVs xqqCckjs vkdkj esa cM+s gks tkrs gSa vkSj blls iQsiQM+ksa dh {kerk yxHkx 20% c<+ tkrh gS vkSj ;gh thou vkSj e`R;q ds chp dh nwjh gSA og O;fDr] tks igys e`R;q ds dxkj ij Fkk] vc cp x;kA

izksu osafVy'ku 1970 ds n'kd ls vH;kl esa gSA fiNys ,d n'kd esa] tc eSdsfudy osaVhysVj yksdfiz; gks x;k] izksu osafVys'ku (Prone Ventilation) vkSj vU; ,slh phtksa dks ;kaf=kd osaVhysVj dh fcØh dks c<+kok nsus vkSj HkkSfrd ykHk ds fy, njfdukj dj fn;k x;kA eSdsfudy osaVhysVj dh rqyuk esa izksu osafVys'ku dk dksbZ lkbM biQsDV ugha gSA ;kaf=kd osaVhysVj ds pkj [krjukd lkbM biQsDV gksrs gSa

izksu osaVhys'ku dk ra=k

isV ds fupys fgLls ij de ncko

ân; ij de ncko

,Yohvksy {kerk esa c<+ksrjh

'olu esa lq/kj

Respiratory Care. August 2017 Vol 62 No 8

Fig-2

izksu

jh< dh gM~Mh

ân;


ftlds ifj.kkeLo:i nl esa ls ukS ekSrsa gksrh gSaA 15 ebZ] 2020 dks vesfjdu esfMdy ,lksfl,'ku ds tuZy esa] 'kks/drkZvksa us 500 ;k vf/d COVID-19 jksfx;ksa dh tkap dh] ftUgsa izksu osafVys'ku ij j[kk x;k Fkk] ,d rjiQ eSdsfudy osaVhysVj gS] tks cgqr egaxk vkSj nnZukd gS vkSj vf/dka'k ekSrksa dk dkj.k curk gS vkSj nwljh rjiQ] izksu osafVys'ku gS tks ?kj ij fd;k tk ldrk gS vkSj bldk dksbZ lkbM biQsDV ugha gS vkSj bykt dh nj fo'ks"k :i ls COVID-19 jksfx;ksa ds fy, 100% gSA

fu"d"kZ ds :i esa] tc vki fdlh O;fDr dks izksu osafVys'ku ij Mkyrs gSa] rks isV ds lkFk&lkFk ân; dk ncko de gksrk gS] ogk¡ ,fYo;ksyh {kerk c<+ tkrh gS vkSj bl izdkj 'okl esa lq/kj gksrk gSA ;g lc yxHkx vk/s ?k.Vs esa gksus dh mEehn gSA ;gk¡ t:jh ;g gS fd jksxh dks ,d fnu esa de ls de 12 ?k.Vs ds fy, izksu osafVys'ku dh fLFkfr esa gksuk pkfg, D;ksafd og ftl {k.k mBrk gS] 'okl dh leL;k 'kq: gks tkrh gSA og gj ?k.Vs 10&15 feuV dk


czsd ys ldrk gSA czsd ds nkSjku] og vius 'kjhj dks LFkkukarfjr dj ldrk gS vkSj fdlh Hkh eqnzk esa gks ldrk gSA

izksu osafVys'ku fLFkfr dks jksxh ds fy, vkjkenk;d cukus ds fy,] fp=k esa fn[kk, vuqlkj rfd;k j[kk tk ldrk gS] D;ksafd dqN yksxksa dk isV cM+k gksrk gSA cM+k isV iQsiQM+ksa dks ladqfpr dj ldrk gS ftlds ifj.kkeLo:i vkidks 20% dk ykHk ugha fey ldrk gSA rfd;s dks dSls lek;ksftr fd;k tk, ;g jksxh ds vkjke Lrj ls r; fd;k tk ldrk gSA LFkkbZ ykHk ikus ds fy, jksxh dks dbZ ?k.Vkas rd bl fLFkfr esa jgus ds fy, izsfjr djsaA bl rjg ls dksbZ O;fDr lk¡l ysus dh vkikrdkyhu leL;kvksa dk izca/u dj ldrk gSA

eSa nksgjkrk gww¡ fd vLirky esa LFkkfir vkWDlhtu flysaMj vkSj eSdsfudy osaVhysVj ds fy, dksbZ lcwr ugha gS fd ;s yksxksa ds thou dks cpkrs gSa] tcfd ;kaf=kd flysaMj ds ctk, bLrseky djk, tk jgs ia[ks vkSj eSdsfudy osaVhysVj ds ctk, izksu (Prone) osafVys'ku ds i{k esa cgqr lkjs lcwr gSaA bu lk{;ksa eas Li"V :i ls dgk x;k gS fd ?kj ij rS;kj ,d LksV lkbM biQsDV~l ls jfgr gS vkSj blls cpus dh laHkkouk c<+ tkrh gS_ e`R;q nj dh laHkkouk] okLro esa de gks tkrh gSA rks ,d ejht ?kj dh lsfVax esa lqjf{kr gSA mls vLirky tkus dh lykg u nsa D;ksafd blls mlds cpus dh laHkkouk ?kV tk,xhA

vfu;af=kr [kkalh dk izca/u

;fn dksbZ O;fDr rhu fnu ds Ýyw vkgkj ds lkFk&lkFk vfu;af=kr


[kkalh dh f'kdk;r djrk gS] rks gYnh fpfdRlk 'kq: djsaA jksxh dks fnu esa rhu ckj gYnh (dPph vkSj rkth) ds NksVs VqdM+s (5 xzke) dk lsou uk'rs ls igys] nksigj ds Hkkstu ls igys vkSj jkr ds [kkus ls igys djus dks dgsaA vke rkSj ij] ge pkSFks fnu dPph @ rkth gYnh dh lykg nsrs gSa tc jksxh DIP vkgkj ij gksrk gSA ;fn jksxh dks vkjke ugha feyrk gS] rks dPph @ rkth gYnh dh [kqjkd dks nksxquk djsa ;kuh dPph gYnh ds rhu VqdM+ksa ds ctk;] mls dPph gYnh ds VqdM+s fnu esa Ng ckj nsaA 2&3 fnuksa ds le; esa [kkalh dk izca/u fd;k tk ldrk gSA bl chp] ejht dks /S;Z u [kksus ds fy, izsfjr djsaA mudh leL;k,a tYn gh de gks tk,axhA

vfu;af=kr [kkalh izca/u

gYdh dh [kqjkd nqxuh dj nsa(nh xbZ MkbV ds lkFk fnu esa Ng ckj ysa)

cq[kkj izca/u

tc rd rkieku ≥ 1020 F gS] rc rd fpark djus dh dksbZ vko';drk ugha gSA ;fn rkieku 1020 F dks ikj dj tkrk gS] rks 15 feuV ds fy, BaMk lsd vkSj BaMh gok esa tk,¡A ;fn jksxh dkaius yxs rks izfØ;k dks jksd nsaA vk/s ?k.Vs ds varjky ds ckn] izfØ;k dks nksgjk,a & BaMk lsd vkSj 15 feuV ds fy, BaMh gokA ;fn og daidaih 'kq: dj nsrk gS ;k rkieku uhps vkrk gS] izfd;k dks jksd nsaA dHkh&dHkh rkieku 1030 F &1040 F gksrk gS] blls ?kcjk,¡ ughaA ,aVh&ik;jsfVd nokvksa ds lsou ls cpsa] tks rkieku dks de dj ldrs gSa ysfdu nkSjs dh laHkkouk dks de ugha djrs gSa tks vU;Fkk rkieku esa o`f¼ dk dkj.k gks ldrk gSA bl ckr dk dksbZ lcwr ugha gS fd iSjkflVkeksy @ ,aVhih;jsfVd MªXl fdlh O;fDr dks yack thou


thus esa enn dj ldrh gS ;k ;g nkSjk iM+us ls cpus esa enn dj ldrh gSaA ;gk¡ rd fd vxj rkieku cgqr vf/d gks tkrk gS] rks ?kcjk,¡ ugha D;ksafd gekjs 'kjhj dh viuh gkseksLVsfll gS vkSj rkieku dks [krjukd :i ls vf/d ugha gksus nsxkA ;g tkurk gS fd fdl rkieku ij ok;jl dks ekjk tk ldrk gSA rks ok;jl ls NqVdkjk ikus ds fy, 'kjhj dk viuk ra=k gSA viuh vksj ls] B.Mk lsd vkSj BaMh gok iznku djrs jgsa vkSj rhu fnu Ýyw vkgkj dk ikyu djuk tkjh j[ksaA ILI @ Ýyw ds jksfx;ksa ds izca/u ds esjs fiNys 12 o"kk±s esa] ;g ,d ckj Hkh ugha gqvk gS] tc bl j.kuhfr ds lkFk rkieku dks fu;af=kr ugha fd;k tk ldkA

mYVh dk izca/u

;fn jksxh dks mYVh dh f'kdk;r gS] rks mlds [kkus vkSj ihus dks 4 ?k.Vs rd jksd nsaA vxj t:jr gks rks lk/kj.k ikuh ;k ukfj;y ikuh fn;k tk ldrk gSA mYVh ,d vkjkenk;d ckr ugha gks ldrh gS ysfdu ;g cqjh Hkh ugha gSA ;g 'kjhj esa dqN laØe.k dk ,d ladsr gS ftlls 'kjhj NqVdkjk ikuk pkgrk gSA ?kcjk,¡ ughaA 'kkfUr cuk, j[ksaA mYVh ls dksbZ ugha ejrkA jksxh dks vkjke nsus dh dksf'k'k djsaA

eryh vkSj detksjh

;g ns[kk tkrk gS fd dbZ yksx detksjh eglwl djus ;k eryh vkus ij ?kcjk tkrs gSaA ;kn j[ksa] dksbZ Hkh detksjh ;k eryh ds dkj.k ejus okyk ugha gS_ blesa dksbZ LFkkbZ {kfr Hkh ugha gksxhA jksxh dks fnu esa 3&4 ckj rktk vnjd dk ,d NksVk VqdM+k nsdj vkjke nsaA vnjd 'kfDr iznku djrk gSA ;fn jksxh ,slk djus ls badkj djrk gS] rks vnjd dks ely nsa vkSj bldks ikuh esa mckysaA blesa FkksM+k uhacw vkSj FkksM+k 'kgn feyk,¡A jksxh dks bls fli djus ds fy, dgsaA mls


'kfDr vkSj mtkZ feysxhA rkieku de gks tkus ij] og lHkh leL;kvksa ls NqVdkjk ik ysxkA

nLr

;g ns[kk x;k gS fd dHkh&dHkh jksxh 3 fnu Ýyw vkgkj dk ikyu djrs gq, eks'ku@nLr dk vuqHko djrs gSaA ;fn nLr 6&7 ls vf/d ckj gksrh gS_ rks jksxh dks [kV~Vs iQyksa dk jl (;fn og 3 fnu Ýyw vkgkj ij gS) ;k iQy vkSj lykn (;fn og MhvkbZih vkgkj ij gS) dk lsou can dj nsuk pkfg, vkSj ukfj;y ds ikuh dks rc rd ysuk pkfg, tc rd fd nLr de u gks tk,¡ ;k iwjh rjg can u gks tk,¡A



vè;k;

egkjk"Vª ljdkj dksfoM dsanz ds lkFk rhu pj.k;qDr Ýyw vkgkj vè;;u

5

72 ?kaVs esa dksfoM&19 dk bykt!

fo'ks"k :i ls tc O;fDr lg&:X.k fLFkfr (Co-morbidity) ds lkFk ,d ofj"B ukxfjd gks vkSj xaHkhj fueksfu;k ds lkFk bykt ds fy, yk;k tk,------------ rks ;g csrqds lius ds ctk, ,d vlaHko dne yxrk gSA gkykafd] gekjs lykgdkj vkSj ,u-vkbZ-lh-bZ- fpfdRld MkW- uhys'k ikfVy vkSj MkW- iYyoh ikfVYk bls vlaHko ls laHko cuk ldsA

;g dgkuh egkjk"Vª ljdkj] tyxk¡o Covid-19 dsanz ds vf/dkfj;ksa }kjk ^3 pj.k Ýyw vkgkj* ds lkFk Covid-19 jksfx;ksa ds bykt dh vuqefr nsus ds lkFk 'kq: gksrh gSA mUgsa pkj jksfx;ksa ds bykt dh vuqefr bl 'krZ ij feyh fd jksfx;ksa ds fy, vko';d vkgkj dk Hkqxrku MkW- uhys'k vkSj mudh Vhe }kjk fd;k tk,xkA 9 tqykbZ] 2020 dks] MkW- uhys'k vkSj MkW- iYyoh ikfVy us jksfx;ksa dks vius fujh{k.k esa fy;k] muesa ls nks fueksfu;k vkSj lg&:X.k fLFkfr;ksa ls xaHkhj :i ls chekj Fks vkSj ckdh nks eè;e fLFkfr esa FksA 3 pj.k Ýyw vkgkj dk ikyu djus ds 72 ?k.Vksa ds var rd] lHkh dks dksfoM&19 ds lHkh y{k.kksa ls jkgr feyh vkSj muesa ls rhu us dksfoM&19 ds fy, udkjkRed ijh{k.k fd;k] ftlesa lg&:X.k fLFkfr;ksa ds lkFk xaHkhj :i ls chekj nksuksa ofj"B ukxfjd 'kfey gSaA d`i;k tyxk¡o ftyk dksfoM dsanz }kjk tkjh lkjka'k i=k ns[ksaA


rhu pj.k;qDr Ýyw vkgkj ds 72 ?k.Vksa ds ckn ifj.kke%

• 100% jksfx;ksa dks lHkh y{k.kksa ls jkgr feyhA

• 75% jksfx;ksa us dksfoM&19 ds fy, udkjkRed ijh{k.k fd;kA


egkjk"Vª ljdkj Covid-19 dsUnz ds lkFk nwljk vè;;u&

D;k gksrk gS vxj Covid-19 jksxh dsoy 48 ?k.Vksa ds fy, rhu pj.k okys Ýyw vkgkj dk ikyu djrs gSa\

,d ckj fiQj MkW- uhys'k ikfVy vkSj MkW- iYyoh ikfVy dks Covid-19 jksfx;ksa dk rhu pj.k Ýyw vkgkj ds lkFk 48 ?k.Vksa ds fy, bykt djus dh vuqefr feyh] ysfdu nwljs Covid-19 ijh{k.k ds [kpZ dks ogu djus dh 'krZ ds lkFkA

bl ckj gekjs ,u-vkbZ-lh-bZ- fpfdRldksa us 48 ?k.Vs (2 tqykbZ] 2020 ls 3 tqykbZ] 2020) ds fy, 20 dksfoM&19 jksfx;ksa dks izkIr fd;kA U;wure vk;q okyk jksxh 11 o"kZ dk Fkk vkSj lcls cqtqxZ 85 o"kZ dk FkkA buesa 13 iq#"k vkSj 7 efgyk,a FkhaA 14 tqykbZ] 2020 dks ,uih LoSc Covid-19 ijh{k.k ds fy, fy;k x;k FkkA

ifj.kke %

•12 ejhtksa us Covid-19 ds fy, udkjkRed ijh{k.k fd;kA

•8 jksfx;ksa dk ijh{k.k ldkjkRed jgkA

fu"d"kZ %

Covid-19 jksfx;ksa dk 60% rhu pj.k Ýyw vkgkj dk ikyu djus ds nks fnuksa ds Hkhrj Covid-19 dks myV ldrk gSA

MkW- uhys'k ikfVy vkSj MkW- iYyoh ikfVy dh rjg] bankSj esa dksjksuk ikWftfVo iqfyldfeZ;ksa ds fy, iqfyl egkfuns'kd Jh gfj ukjk;.k pkjh feJk }kjk blh rjg dh xfrfof/;k¡ lapkfyr dh tk jgh gSa vkSj 3 ls 5 fnuksa ds Hkhrj rhu pj.k Ýyw vkgkj dksjksuk usxsfVo izkIr djus esa l{ke gSaA bankSj (nSfud HkkLdj) ds izeq[k v[kckj esa mudk dojst muds dke dh xokgh gSA


lanHkZbl vè;k; ls lacf/r references ds fy,

www.biswaroop.com/nicebook fyad ij tk,¡


vè;k;

dksjksukdky esa ?kj ij viuk [kqn dk Super Speciality Hospital cuk,¡

6

• ;g fn[kkus ds fy, dksbZ lcwr ugha gS fd ekLd vkidks laØe.k gksus ls cpk ldrk gS tcfd ;g fn[kkus ds fy, MsVk dh cM+h ek=kk gS fd ekLd iguuk vkidks chekj dj ldrk gSA (tSlk fd vkius fiNys vè;k; esa ns[kk)

• SARS - CoV-2 ;k dksbZ vU; ok;jl ds dkj.k ykWdMkmu e`R;q nj dks de dj ldrk gS bldk dksbZ lcwr ;k oSKkfud vk/kj ugha gS] yssfdu ;g lkfcr djus ds fy, i;kZIr lcwr39 gSa fd ykWdMkmu Social Distancing dk ikyu djus ds dkj.k vf/d dksjksuk ekSrsa gqbZ vkSj e`R;q nj40 Hkh c<+hA ;gk¡ rd fd WHO us Hkh vDVwcj 2019 esa crk fn;k41 fd ykWdMkmu fdlh fo'ks"k ok;jl ls gksus okyh e`R;q nj dks de ugha dj ldrk gSA

• lHkh nokvksa (anti-HIV / anti-malaria / anti-pyretic / antibiotic) vkSj xSj&Mªx esfMdy gLr{ksi (Ventilator support / plasma therapy) tksfd cxSj fdlh lcwr ds COVID-19 dks Bhd djus ds uke ij euq";ksa ij iz;ksx fd, x, Fks] buds dkj.k vf/d uqdlku vkSj ekSrsa 42 gqbZ gSaA

• ;g lkfcr djus ds fy, dksbZ izek.k ugha gS fd SARS - CoV-2 ,d u;k] ?kkrd vkSj mPPk lapj.k nj okyk ok;jl gS] gkykafd] eSaus iqLrd esa i;kZIr lcwr fn, gSa fd ;g ,d detksj ok;jl gSA


• iqLrd esa fn, x, lHkh lk{; vkSj mipkj j.kuhfr;ksa ds lkFk] ;g fu"d"kZ fudkyuk lgh gS fd SARS - CoV-2 ,d lkekU; Ýyw ok;jl gS vkSj yEcs le; ls ekuo tkfr ds lkFk gS o dksbZ ubZ ckr ugha gSA

ekbaM xse D;k gS & Mj ds gfFk;kj ds ekè;e ls tUkla[;k dks fu;af=kr djus dh dksf'k'k djuk] tSlk fd gekjh euksoSKkfud lykgdkj MkW- gsek xqIrk dgrh gSa fd ekuo eu dks fu;af=kr djus dk lcls vPNk rjhdk Walter-Barbe-Raymond Swassing model dk mi;ksx djuk gSA vFkkZr udyh lwpuk nsuk vkSj rhuksa bafnz;ksa (auditory, visual and kinesthetic) ds ekè;e ls nksgjkuk] ftlls blds lp vkSj okLrfod gksus dk fo'okl gksus yxrk gSA

;gk¡ dke djus dk rjhdk cgqr gh ljy gSA

rhuksa izeq[k bafnz;ksa dk mi;ksx djuk %

Audio : dkWyj V~;wu ds ekè;e ls ckj&ckj psrkouh lans'kA

Visual : Vsyhfotu pSuyksa ds ekè;e ls 24x7 eux<+ar fn[kus okyh@udyh ekSrksa dh la[;k (tSlk fd eSaus fiNys vè;k; esa lkfcr fd;k Fkk)

Kinesthetic : ekLd iguuk vkSj fnu esa dbZ ckj gkFkksa dks lkiQ djuk] Social Distancing vkfn&vkfnA

fnu esa dbZ ckj dkiQh fnuksa rd eux<+ar lwpukvksa ds ckj&ckj izgkj ls ekuo efLr"d nwf"kr gksus yxrk gS] ftlls mudh rkfdZd lksp vkSj lkekU; Kku esa deh ds dkj.k os xqykeh dh lksp esa vk tkrs gSaA


mijksDr iQjsc dh otg ls] vke turk dk fnekx bl gn rd Hkz"V gks tkrk gS fd os Covid-19 ds bykt dh mEehn ds lkFk vLirky esa ,d fcLrj ds fy, fdlh Hkh jkf'k (;gk¡ rd fd 3 yk[k ls 30 yk[k #Ik, rd) ds fy, RkS;kj gks tkrs gSa] tks okLro esa ekStwn gh ugha gSA

eq>s dksbZ lansg ugha gS fd tc Covid-19 dh jksdFkke ds uke ij ,d Nykok Vaccine Launch dh tk,xh] rks lHkh mls izkIr djus ds fy, ykbu yxk,¡xs vkSj ;fn Vaccine ds lkekU; vkSj visf{kr nq"izHkko (e`R;q jfgr) gksrs gSa] rks ,d u;k uke ns fn;k tk,xk vkSj ;g ,d ubZ chekjh dgyk,xh] tks la;ksx ls mlh le; esa vkbZ gksxh vkSj mUgha yksxksa dks gksxh ftUgsa Vhdk fn;k x;k gks (;kn j[ksa izR;sd o"kZ] vkSlru 50]000 Vhdkd`r iksfy;ks ds u, ekeys Hkkjr esa vkrs gSa] ysfdu mUgsa ,d u;k uke (Acute Flaccid Non Polio Paralysis) 43 fn;k tkrk gSA

;gk¡ bl lkft'k ds Hkkxhnkj nok daifu;k¡ vkSj vk/qfud nok,a gSa tks vius izlkjd ra=k & WHO dk mi;ksx djds ok;jl ds jksdFkke ds fu;eksa dks fofp=k cukus dk iz;Ru dj jgh gSaA mnkgj.k ds fy,] IykfLVd dh FkSyh esa iSd fd;k x;k e`r 'kjhj] fj'rsnkjksa dks lkSai fn;k tk,] ysfdu fdlh Hkh {k.k 'kjhj dks [kksyk uk tk,] nks ls vf/d fj'rsnkjksa dks 'ko ds ikl mifLFkr gksus dh vuqefr u gks vkSj de ls de ,d ehVj dh nwjh e`r 'kjhj44 ls cuk, j[kukA

;gk¡ ;fn vki viuh Ldwy dh ikB~; iqLrd dks ;kn djrs gSa] rks vki tkusaxs fd 'kjhj esa fdlh Hkh okljl dk c<+uk vkSj iQSyuk tSo&jklk;fud mQtkZ ;kuh Adinosine triphosphate (ATP) ij fuHkZj djrk gS] ysfdu ,d ckj tc O;fDr ej tkrk gS] rks dksf'kdk,¡ ATP cukuk yxHkx rqjar ckn can dj nsrh gSaA blfy, fdlh ok;jl ds vkxs c<+us dh dksbZ laHkkouk ugha gSA dqN ok;jl cps gks ldrs


gSa tks e`R;q ls Bhd igys mRiUu gq, FksA ysfdu SARS - CoV-2 ds ekeys esa] lapj.k ds izkFkfed ekxZ ij ckr djrs le;] [kkalus ;k Nhadus ds nkSjku fu"dkflr cwanksa ds ekè;e ls gksrk gSA pwafd 'ko lk¡l ugha yss ldrs gSa] 'ko ds ekè;e ls SARS - CoV-2 ds lapj.k dh dksbZ laHkkouk ugha gSA

esjh le> esa] Covid-19 'koksa dks laHkkyus ds fy, ,d fo'ks"k izksVksdkWy cukus dk eq[; dkj.k e`R;q ds okLrfod @ vlyh dkj.k dks fNikuk gS] tks fd vf/dka'k ekeyksa esa] izk;ksfxd nok vkSj ?kkrd eupkgh gLr{ksi (IykTek) fpfdRlk gSA eq>s ;g Hkh Mj gS fd 'ko dks ns[kuss @ fujh{k.k djus ds fy, ifjtu @ fj'rsnkj dks jksduk ̂ yky ckt+kj* (vax rLdjh) ds igys ls gh mPp ekftZu okys O;olk; dks c<+kok nsxkA esjh iqLrd (Why the Mortality Rate Drops When Doctors Go on Strike?)45 dk dsoy ,d i`"B i<+us ij (page 65)] vkidks yky&cktkj dk Hk;kud Mjkouk lp fn[ksxk] tc MkWDVj gM+rky ij tkrs gSa rks e`R;q nj D;ksa de gksrh gS\

vc Non-COVID-19 ejhtksa ij COVID-19 dk BIik yxkus okys orZeku ifjn`'; vkSj rF;ksa dks è;ku esaa j[krs gq, (tSlk fd vè;k;&1 esa ppkZ dh xbZ gS)] fdlh Hkh dkj.k ls vLirky tkuk mfpr ugha gSA cfYd [kqn dks vixzsM djus dk le; gS rkfd vki vius [kqn ds MkWDVj cusa vkSj vius ?kj dks viuk vLirky cuus nsaA

vius vki ?kj ij bykt djus dk lcls vPNk rjhdk Økafrdkjh D.I.P. diet lh[kuk gSA

lkekU; lnhZ ls ysdj dSalj rd

e/qesg ls volkn rd


D.I.P. diet euq";ksa esa lcls vf/d gksus okys 60 ls vf/d jksxksa ds fy, lcls rst+] lcls lqjf{kr vkSj yacs le; rd pyus okyk bykt gks ldrk gSA ;gk¡ rd fd vf[ky Hkkjrh; vk;qosZn laLFkku (vk;q"k ea=kky; ds rgr) us MkW- ,l- ds- xqIrk (HOD 'kY; foHkkx) ds ekxZn'kZu esa D.I.P. Diet ds fy, clinical trial46 (TRI /2018/016654,13/12/2018 dks iathd`r) fd;k gSA

Clinical trial dh 'kks/drkZ MkW- eksfudk lk<s us ihB nnZ (vè;;u dk izkFkfed mn~ns';) esa ykHk ds vykok Fkk;jkbM] CYkM 'kqxj] jDrpki vkfn esa ykHk dh Li"V lwpuk nhA

njvly] Hkkjr esa esjs uSnkfud vH;kl ds fiNys 12 o"kksZa esa] fo;ruke (2014 ls) vkSj eysf'k;k esa (2017 ds ckn ls)] fofHkUu chekfj;ksa ds 22]000 ls vf/d jksfx;ksa us D.I.P. Diet dks viuk;k gSA jksfx;ksa dh izfrfØ;k ds vk/kj ij jksx ds mRØe.k dh le; js[kk vkSj esjs ekeys dh vè;;u fjiksVZ47 bl izdkj gSaA

ohvkbZih MkbV MhvkbZih MkbV

24 ls 72 ?kaVs

3 fnu ls 1 lIrkg

,d ekg

2 ekg

6 ekg

8 ekg

e/qesg

mPpjDrpki] gkbZ dkWysLVªkWy] vkarksa ls tqM+h vO;oLFkk

eksVkik] fny ds jksx

Fkk;jkbM jksx

dSalj] nek] xfB;k

fLdu ls tqM+s jksx] fdMuh esa [kjkch] yhoj ls tqM+s jksx


viuh O;fDrxr D.I.P. Diet cukus ds pj.k

izFke pj.k

nksigj 12 cts rd dsoy 3&4 izdkj ds iQy [kk,¡ vke] dsyk] vaxwj--- vkfn

U;wure ek=kk = vkids 'kjhj dk otu x 10 = ----------- xzke

mnkgj.k ds fy,] 70 fdyks otu ds O;fDr dks nksigj 12 cts rd 3&4 izdkj ds de ls de 700 xzke iQy [kkus pkfg,A

pj.k nks

ges'kk yap vkSj fMuj nks IysV esa [kk,¡A IysV&1 vkSj IysV&2 IysV&1 esa de ls de 4 izdkj dh lfCt;k¡ gksuh pkfg, tSls & xktj] VekVj] ewyh vkSj ddM+h vkfn dPps :i esaA

IysV&1 dh U;wure ek=kk = vkids 'kjhj dk otu x 5 = --------- xzke

mnkgj.k ds fy,] 70 fdyks otu ds O;fDr dks de ls de 4 izdkj dh lfCt;k¡ 350 xzke [kkuh pkfg, dPps :i esaA

IysV&2 & ukeek=k ds rsy vkSj ued ds lkFk ?kj ij cuk gqvk 'kkdkgkjh Hkkstu

yap@fMuj

IysV&1pkj rjg dh dPph lfCt;k¡

IysV&2

?kj dk cuk 'kkdkgkjh Hkkstu


ihNs nh xbZ calculation ds vk/kj ij igys IysV&1 dk [kkuk [kk,¡] mlds ckn viuh bPNk vuqlkj IysV&2 dk [kkuk [kk,¡--- yap vkSj fMuj ds fu;e leku gSa gkykafd] vkidks ;g è;ku j[kuk gS fd [kkuk 'kke 7 cts rd [kk ysaA

pj.k & rhubuls nwj jgsa %

mijksDr D.I.P. ekud dks vkids y{k.kksa@ fpfdRlk fLFkfr;ksa vkSj mez ds vk/kj ij vkgkj la'kksf/r vkSj vuqdwfyr djuk iM+ ldrk gSA vuqdwfyr djuk lh[kus ds fy,] "Game of Life (GOL)"48 dk lanHkZ ysa vkSj vki tku ik,¡xs fd vki rhljs pj.k ds dSalj jksxh gSa ;k balqfyu ij fuHkZj e/qesg ds jksxh gSa] nok ds :i esa [kk| vkgkj dk mi;ksx djuk lcls rst+] lcls lqjf{kr vkSj yacs le; rd pyus okyk bykt gSA


buls cpsa1- iSDM iQwM2- fjiQkbUM iQwM3- Msjh iQwM@i'kq tfur [kk| inkFkZ4- U;wVªs'kuy lIyhesaVl5- pk;@dkWiQh ihus ls cpsa fo'ks"k

:i ls nksigj ds Hkkstu ls igys6- jkf=k 8 cts ds ckn dHkh Hkkstu

u djsa7- nnZ fuokjd nokbZ;kW

(NSAID's)

Ukk'rk1- fHkxks;s gq, esos% vkidk

otu (fdyksxzke esa)= -----xzke (mnkgj.k ds fy, 70 fdyksxzke otu okys ds fy, 70 xzke esosa izfrfnu)

2- iQy % cgqr lkjs3- ukfj;y ikuh% ftruk vki

ihuk ilUn djrs gSa4- gqatk pk; % ftruk vki ihuk

ilUn djrs gSa5- vadqfjr Hkkstu% vkids otu

(fdyksxzke esa) = ---- xzke 6- dPPkk ukfj;y% ftruk vki

[kkuk ilUn djrs gSa7- /wi% 45 feuV


dksfoM&19 iSUMsfed dks dSls [kRe fd;k tk,\

bl iz'u ds mRrj dks tkuus ds fy,] gesa ihNs tkuk gksxk tc ekuk x;k Fkk fd dksfoM&19 ds dkj.k igys euq"; dh ekSr gqbZA ;s ekSrsa tuojh 2020 esa gqbZa] tc oqgku49 esa ,d 61 o"khZ; chekj bUlku dh ekSr gks xbZ FkhA

;gk¡ nks ckrsa ;kn j[kuh gSa%&

1- jksxh isV ds dSalj vkSj yhoj ds jksxksa ls ihfM+r Fkk vkSj 61 o"kZ dk FkkA 50 2- ekSr ds ckn jksxh dh dksbZ ck;ksIlh ugha dh xbZ FkhA51

mijksDr ckrksa dks lkeus j[krs gq, ge dSls fu"d"kZ fudky ldrs gSa fd bl O;fDr dh ekSr dk dkj.k SARS - CoV-2 Fkk ;k fiQj dSalj ;k yhoj dk jksx\

vly esa tc Hkh dksfoM&19 jksxh52 ds e`r 'kjhj ij vkWVksIlh fd;k tkrk Fkk] bldk dkj.k ok;jl dHkh ugha ik;k tkrk FkkA esjs fy, SARS - CoV-2 ij 'kd vkSj Hkh c<+ x;k tc eSaus nwljh vkj-Vh- & ih-lh-vkj- dh MkW;XuksfLVd fjiksVZ ns[kha vkSj mudh vlaxrrkvksa dks y{; fd;kA

izeq[k vlaxrrk,¡ uhps nh xbZ gSa%

1- jksxh tks Ýyw ls ihfM+r gSa] mudk nwljk vkj-Vh- & ih-lh-vkj- usxsfVo vk;k (igyk VsLV ikWftfVo Fkk)A

vè;k;

7


2- cgqr ls jksfx;ksa ij nwljk vkj-Vh- & ih-lh-vkj- VsLV dksfoM&19 ds fy, ikWftfVo vk;k FkkA lkjs y{k.kksa ds lek/ku ds ckn (igyk dksfoM&19 VsLV lcds fy, ikWft+fVo vk;k Fkk)] bl fookn dk var djus ds fy, fd fo'ks"k iSFkkstsu fdlh jksx ds ftEesnkj gSa ;k ugha_ ,d xksYM LVSaMMZ VsLV] dqd ikWLV~;qysV dks fopkj fn;k x;kA ;g 1890 ls iz;ksx esa gS vkSj vkt Hkh izklafxd gSA

;gk¡ rd fd lkt+Z (2003) dksjksuk ok;jl us dqd ikWLV~;qysV53 dks fuHkk;k vkSj blfy, ^flfo;j ,D;wV jsfLijsVjh flaMªkse* ds lp ds dkj.k dh LFkkiuk dhA fiQj Hkh] SARS - CoV-2 ij dqd ikWLV~;qysV54 ds VsLV ugha fd, x, FksA

esjs fu"d"kZ ,oa fofu;eu vf/dkfj;ksa ls ek¡xas fuEufyf[kr gSa%1- lafnX/ dksfoM&19 ekSrksa ij vkWVksIlh vo'; fd;k tkuk pkfg,]

;g ?kksf"kr djus ls igys fd ;g ,d dksfoM&19 ekSr gSA

55dksp ds Lo;a fln~/ izek.k

1- jksx ds lHkh ekeyksa esa ekbØksvkxsZfuTe ik;k tkuk pkfg,A

2- bls gksLV ls ijs j[krs gq,] fo'kq¼ dYpj esa cM+k fd;k tk,A

3- tc bls fdlh xzg.k'khy gksLV dks fn;k tk, rks mlesa Hkh ewy jksx gh iqu% iSnk gksuk pkfg,A

4- bls iz;ksxh gksLV esa Hkh gksuk pkfg, rkfd laØe.k gks


2- ^dqd dh ikWLV~;qysV* dks SARS - CoV-2 ok;jl ds fy, iwjk djuk pkfg,_ rHkh egkekjh@ oSf'od egkekjh LFkkfir fd;k tk ldrk gSA

3- lHkh Ýyw ekeyksa (dksfoM&19 lfgr) dk ^rhu LVSi Ýyw MkbV* ls bykt djuk pkfg,A ?kj cSBsa] D;ksafd bl dk;Zuhfr ls geus 0% lh-,iQ-vkj- ds vykok dsoy ^rhu LVSi Ýyw MkbV* nsus ds 72 ?k.Vksa ds vanj 80% ls vf/d lq/kj dh nj ikbZ gSA


vè;k;

8

dksjksuk dky ds rhu iQkewZys(23 vxLr dh osc izsl dkaÚsal ij vk/kfjr)

vki vkt tks Hkh ifjfLFkfr;k¡ ns[k jgs gSa] bUgsa ^U;w ukWeZy* dk uke fn;k x;k gSA tc Hkh euq"; ds efLr"d dks vki dksbZ Hkh ckr ;k rF; fujarj fn[kkrs ;k crkrs gSa] fiQj pkgs og fdruk Hkh fofp=k ;k vLohdk;Z D;kas u gks] og mls ukWeZy ;k lkekU; eku gh ysxkA

tjk fopkj djsa] ;fn vkils yxHkx ,d o"kZ igys ;g dgk tkrk fd tYn gh og le; vk,xk tc vkidks vius ?kjksa esa can jguk gksxk] tc Hkh vki ?kj ls ckgj fudysaxs rks vkidk psgjk iwjh rjg ls ekLd ls <dk gksxk] ;fn vki ekLd ugha yxk dj fudyrs rks vki ij tqekZuk yxk;k tk,xk vkSj fiVkbZ Hkh gks ldrh gSA ;g Hkh ns[kus dks feysxk fd fdlh ds ?kj ds lkeus liQsn jax dh xkM+h vk dj [kM+h gksxh vkSj jksxh dks vLirky ys tk,xh] ekuks fdlh O;fDr dk vigj.k fd;k tk jgk gksA nks fnu ckn lekpkj feysxk fd og vPNk&[kklk LoLFk O;fDr vc bl lalkj esa ugha jgkA og jksxeqDr gks dj ?kj okfil vkus ds ctk, iwjh rjg ls iSd fd, x, 'ko esa cny tk,xkA mldk psgjk rd ugha ns[kus fn;k tk,xk vkSj ;g Hkh gks ldrk gS fd mldk nkg laLdkj Hkh ?kj yk, fcuk gh ckgj gh dj fn;k tk,A vki ;g lc lqu dj lksprs fd ;g rks ekuk gh ugha tk ldrkA ;g rks cM+h gh vlkekU; lh ckr gksxhA ijarq vc ;gh vlkekU;] lkekU; gks x;k gS ;kuh U;w ukWeZy esa cny x;k gSA

tc gekjk fnekx ckj&ckj ,d gh pht+ dk nksgjko ns[krk gS rks og mlh pht+ ;k ckrksa dks lkekU; eku ysrk gSA mls yxrk gS fd ;gh


ukWeZy ;k Lohd`r rF; gSA ijarq ;g Bhd ugha gSA ,slk gksus ij Hkh ge xyr dks lgh ugha dg ldrsA gekjk efLr"d rdZ] foKku ;k cqf¼erk ls ugha Hkkoksa] nksgjko vkSj Hk; vkfn ds dkj.k o'k esa vkrk gSA eku ysrs gSa fd vkius fdlh O;fDr ds fnekx dks vius cl esa djuk gS rks vki yk[k rdZ ns dj Hkh ,slk ugha dj ldrsA ,slk djus ds fy, vkidks vius Hkkoksa vkSj nksgjko dh enn ysuh gksxhA rHkh ml O;fDr dks viuh ckr ekuus ds fy, jkth dj ldsaxsA

eaS vkidks ,d mnkgj.k ds ekè;e ls viuh ckr le>kus dh ps"Vk djrk gw¡A eku ysrs gSa fd vki fdlh ewoh fFk;sVj esa fiQYe ns[kus x, gSaA ;g ,d Mjkouh fiQYe gSA vki ;g ckr vPNh rjg tkurs gSa ijarq fiQj Hkh dksbZ Mjkouk n`'; ;k Hkwr vkfn fn[kkbZ nsus ij vki Mj tkrs gSaA vkids fny dh /M+du rst+ gks tkrh gSA vki ,d {k.k ds fy, Hkh ugha Hkwys fd vki flusek gkWy esa cgqr lkjs yksxksa ls f?kjs gSaA vkids fnekx dks Hkh irk gS fd og ml txg iwjh rjg ls lqjf{kr gS] dksbZ Hkwr ;k dksbZ vkSj Mj mldk dqN ugha fcxkM+ ldrkA ij T;ksa gh dksbZ Hk;kog n`'; fn[krk gS rks vki Bhd oSlk gh Hk; vuqHko djrs gSa] tSls vki fdlh vdsyh txg ij gSa vkSj vkids lkeus vpkud dksbZ Hkwr ;k izsr vk x;k gSA ml oDr vkids 'kjhj esa Bhd oSls gh tSfod cnyko vkrs gSa] tSls ml vdsyh txg ij Mjus esa iSnk gq, gksrsA ge cqf¼ ds ctk, beks'kal ;k Hkkoksa ds cl esa jgrs gSaA beks'kal gh gesa ,D'ku ysus dks izsfjr djrs gSaA

vkSj dqN le; ls gekjs vklikl ds ifjos'k esa ;gh rks gks jgk gSA gesa cgqr vPNh rjg irk gS fd ;g tks fn[k jgk gS og dksbZ ubZ chekjh@egkekjh ;k fiQj dksbZ u;k ok;jl ugha gS ij fiQj Hkh gekjs Mj dh lhek ugha gSA tuojh ekg ls eSa ;gh ckr crkrk vk jgk gw¡ vkSj esjs lkFk tqM+s lHkh yksxkas us Hkh bl rF; dks ekuk gS fd ;g u;k ok;jl ugha gSA esjh ukbl Vhe] (ftls geus usVodZ vkWiQ baÝyq,atk ds;j ,DliVZ dk uke fn;k gSA) ds 500 fo'ks"kK ns'k Hkj esa vkbZ,yvkbZ@dksfoM&19 jksfx;ksa dks ns[k&js[k vkSj fpfdRlk ls Bhd


dj jgs gSaA geus fiNys rhu ekg ;kuh uCcs fnu ds Hkhrj 20]000 ls vf/d jksfx;ksa dks dksjksuk ls jksxeqDr fd;k gSA vkbZ,yvkbZ dks foLr`r :i esa baÝyq,atk ykbd byusl (influenza like illness, ILI) dgk tkrk gSA jksxh dks igys rhu fnu rd rjy vkgkj (Fkzh LVsIl Ýyw MkbV) nh xbZ vkSj og jksxeqDr gks x;kA ;fn dksbZ chekjh dsoy rhu fnu esa rjy vkgkj o ukfj;y ikuh dh enn ls fcuk fdlh nok ds Bhd gks ldrh gS] ;fn mldh otg ls jksxh dh e`R;q ugha gksrh] rks mls egkekjh dk uke dSls fn;k tk ldrk gS\

njvly bldk oSKkfud uke vkbZ ,y vkbZ ;kuh baÝyq,atk ykbd byusl gSA ;g ,slh chekjh gS ftls Ýyw dgrs gSaA tSls ,p 1 ,u 1] baÝyq,atk ok;jl] iSjk baÝyq,atk ok;jl] ;s fey dj eq¡g vkSj ukd ls 'kjhj esa izos'k djrs gSaA ;s lHkh fey dj jsfLijsVjh flaMªkse cukrs gSaA ;s euq"; dks chekj dj nsrs gSa] chekjh ;kuh ,sls O;fDr dks cq[kkj gks tkrk gSA njvly cq[kkj dksbZ chekjh ;k jksx ugha] ;g ,d ra=k gS tks ok;jl ls yM+rk gSA

gesa bl txg ;g ckr cgqr è;ku ls le>uh gksxh fd ok;jl ls gksus okyk cq[kkj dksbZ chekjh ugha] ;g rks gekjk vkStkj gSA ;fn gesa cq[kkj vkrs gh dksbZ ,aVhik;jsfVd nok tSls iSjkflVkeksy vkfn ys ysrs gSa rks eku ysa fd vki Lo;a gh vius 'k=kq gks x, gSaA ;g cq[kkj vkids ok;jl ls yM+us ds fy, vk;k Fkk ijarq vkius mls gh mrkjus dh nok ys yhA

;g rks dqN ,slk gh gqvk ekuks vkius viuk gh gfFk;kj Nhu dj iVd fn;kA tSls fdlh nq'eu ls yM+us ds fy, vkidks canwd nh xbZ FkhA pawafd canwd cgqr Hkkjh Fkh blfy, vki mls mBk ugha ik jgs FksA og Hkjh gqbZ canwd nq'eu dks xksyh ekjus ds dke vkuh FkhA og rks vkidh fe=k FkhA vkius mlds Hkkj ds Mj ls mls iQsad fn;kA og vkidk gfFk;kj FkkA vkius Lo;a dks fujL=k dj fn;kA

bl fLFkfr eas cq[kkj Hkh gekjs fy, ml Hkjh gqbZ canwd ds leku gS ftls mBkuk gesa dfBu yx jgk gSA cq[kkj vkus ij gekjk cnu nnZ


djrk gS] Fkdku eglwl gksrh gS vkSj lkjs 'kjhj esa gjkjr ds dkj.k fcLrj ls mBk ugha tkrkA njvly vkids 'kjhj us cq[kkj dks Hkkjh canwd dh rjg mBk j[kk gS rkfd nq'eu ok;jl dks xksyh ekjh tk ldsA

T;ksa gh vki cq[kkj mrkjus ds fy, iSjkflVkeksy nok ysrs gSa rks vki mlh le; fugRFks gks tkrs gSaA 'kjhj esa ok;jl rsth ls iQSyus yxrk gSA ml le; vkius vius 'kjhj ls nq'euh djrs gq,] ok;jl dks viuk nksLr cuk fy;k gSA

vc lcls [kkl ckr djus tk jgs gSaA vDlj yksx gesa dgrs gSa fd vxj Ýyw ds nkSjku 'kjhj dk rkieku c<+ x;kA og 102] 103] ;k 105 fMxzh rd pyk x;k vkSj ,sls esa vxj cq[kkj dks mrkjus ds fy, dksbZ nok u yh rks fnekx dks nkSjk iM+ ldrk gS] mls lnek yx ldrk gS ;k LVªksd gks ldrk gSA

ge vkidks crkuk pkgrs gSa fd balku ds 'kjhj dk rkieku mlh fglkc ls c<+rk gS ftruk mlds 'kjhj esa FkzsV ;k [krjk gksrk gSA gekjs 'kjhj esa ,d ra=k gS] gkseksLVsfll_ og bl rkieku vkSj [krjs dk larqyu cuk dj j[krk gSA ;g dke 'kjhj vius&vki djrk gS ftlesaa gesa fdlh rjg ls ck/k ugha nsuh pkfg,A

tSlk fd geus vkidks igys Hkh crk;k fd gekjh ukbl Vhe ds fo'ks"kKksa ds iz;Ruksa ds iQyLo:i chl gt+kj ls vf/d jksxh bl dksfoM@ vkbZ ,y vkbZ ;k Ýyw ls jksxeqDr gks pqds gSaA mUgsa fdlh rjg dh nok ugha nh xbZA gkykafd muesa ls dbZ jksfx;ksa dk rkieku 105 fMxzh rd Hkh x;k ijarq cq[kkj mrkjus ds fy, dqN ugha fn;k x;kA

tc bl rjg dh ifjfLFkfr vkrh gS rks jksxh ds ifjtu dks yxrk gS fd cq[kkj c<+rk tk jgk gS vkSj os ?kcjk dj nok ns nsrs gSaA ;gh nok jksxh dks Bhd djus ds ctk, ekj nsxhA fiQj uke ;g vk,xk


fd jksxh dksfoM@ vkbZ ,y vkbZ ;k Ýyw ls ekjk x;kA njvly geus cq[kkj dh nok ys dj vius gh ra=k dks gjk fn;kA

iSjkflVkeksy nqfu;k dh lcls iqjkuh nok gSA bls lcls [krjukd nokvksa esa ls ,d ekuk tkrk gSA56 ;gh og nok gS ftlus nqfu;k esa lcls T;knk yksxksa dh tku yh gSA

vc ,d ckr tks ;gha ls vkjaHk gks dj ;gha ij [kRe gksxhA og ;g gS fd dHkh Hkh ?kcjk dj cq[kkj mrkjus dh nok u ysaA fiNys o"kZ rd Hkh yksxksa dks Ýyw gksrk Fkk vkSj os fcuk Mjs vkjke ls viuk bykt dj ik jgs Fks ijarq vc blh pht+ us dksfoM ds :i esa viuk LFkku cuk fy;k gS vkSj yksx blds Mj ls nokvksa dh vko';drk ls vf/d [kqjkd fy, tk jgs gSaA

bu nokvksa dh vksojMkst+ ls gksus okyh ekSrksa dks dksfoM ;k vkbZ ,y vkbZ ls gksus okyh ekSrsa ekuk tk jgk gSA ,sls esa vxj dksbZ jksxh chekj gks dj gkWfLiVy ds lsVvi esa tk jgk gS vkSj ml txg ls dksfoM ls Bhd gks dj cp fudyrk gS rks bls cM+h ckr ekuk tkrk gSA vLirkyksa esa rks nokvksa dk bruk vksojMkst fn;k tk jgk gS ftlds ckjs esa vki lksp rd ugha ldrsA tSlk fd eSa igys Hkh crk pqdk gww¡ fd dksfoM dksbZ chekjh ;k egkekjh ugha] ;g ,d Ýyw ;k ok;jl gSA eku yssrs gaS fdlh us dksfoM gksus ij jseMsflfoj vkSj ,aVhik;jsfVd nokvksa (Remdesivir and anti pyretic) dks feyk dj fy;k rks ;s 'kjhj ds fy, tgj cu tk,¡xhA ;fn O;fDr ds 'kjhj esa igys ls ok;jl gS vkSj mldh gkyr [kjkc gS rks ,ssls esa nokvksa ls ykHk ds ctk, uqdlku gh gksxk D;ksafd 'kjhj dk ra=k viuk dke ugha dj ldsxkA

,sls esa vkidks djuk D;k gSA vki yksx 31 tuojh ds n LVsV~leSu57

esa izdkf'kr esjk ys[k i<+sa] tks dksjksuk ij vk/kfjr FkkA blds ckn 18 vizSy dks yYyuVkWi58 ij Ms< ?kaVs dk ohfM;ks Hkh izlkfjr gqvkA


bu nksuksa esa eSaus vkus okys Ng ekg ds ckjs esa tks crk;k Fkk] mls geus gw&c&gw ?kVrs gq, ns[kkA vkt eSa tks crkus okyk gw¡] og vki lksp Hkh ugha ldrsA vxj vki vkus okys Ng ekg dh Hkfo";ok.kh dks tku ysaxs rks de ls de fdlh dh tku ugha tk,xhA

;fn vki ;g le>uk pkgrs gSa fd ;g dksjksuk dky dc rd pysxk] rks vkidks dksjksudky ds rhu iQkewZys le>us gksaxsA

gekjs ikl tks chl gtkj jksxh vk, muesa ls yxHkx 550 cPps FksA mudh vk;q 17 o"kZ ls de FkhA os iwjs rhu fnu esa lkS izfr'kr Bhd gks x,A cPpksa esa nwljs jksfx;ksa dh rqyuk esa Bhd gksus dh 'kfDr vf/d gksrh gSA Ýyw ds ckjs esa ;g rF; esfMdy lkbal dks vPNh rjg irk gSA ;gh otg gS fd ;w,l esa VkWMyj ;kuh Ms ds;j@Iys Ldwy esa tkus okys cPpksa ds Ldwy dHkh can ugha fd, x,A59

nwljk mnkgj.k ;g fn;k tk ldrk gS fd cPpksa dks vxj Ýyw gksrk Hkh gS rks og vius&vki gh Bhd Hkh gks tkrk gSA ;gh otg gS fd uhnjySaM dh ljdkj us 17 o"kZ ls de vk;q ds cPpksa ij lkjh ikcanh gVk nh gSA muds fy, ekLd yxkuk ;k lks'ky fMLVsaflax djuk t:jh ugha gSA60

rhljk mnkgj.k ;wds ljdkj dk ns ldrs gSaA mUgksaus 11 o"kZ ls de vk;q ds cPpksa ij yxh lkjh ikcanh gVk nh gSA lkjs Ldwy [kksy fn, x, gSaA61

T;knkrj ns'kksa esa cPpksa ds Ldwy [kqys gSaA ;wjksi esa] vÚhdk esa] ,f'k;kbZ ns'kkas esa cPpksa ds Ldwy [kqys gSaA

;fn vki ;gh iz'u Hkkjr ds fy, iwNsa fd ;gk¡ cPpksa ds Ldwy dc [kqysaxs rks mRrj fdl :i esa feysxkA bldk ,d mnkgj.k Hkh vkidks nsuk pkgw¡xkA og mRrj bl :i esa feysxk fd vki Lo;a gh 'kkar gks tk,¡xs vkSj vius iz'u dks Hkqyk nsaxsA


vki 31 vxLr] 2020 dk lekpkj&i=k ns[ksaA esjs ikl n fganw esa Nih [kcj dk lanHkZ gSA ml fnu vU; v[kckjksa esa Hkh ;g vo'; Nih


gksxhA mls i<+ dj vki tku ldrs gSa fd cPpksa ds ekrk&firk dks ew[kZ cukus ;k muds lkFk Ny djus ds fy, fdl rjg ds gFkdaMs viuk, tk jgs gSa ;k [kcjsa Nki dj mUgas xqejkg fd;k tk jgk gSA

dbZ ckj yksx eq>ls iwNrs gSa fd MkWDVj lkgc vkidh ckrksa dks lp ekusa ;k ehfM;k esa pkjksa vkSj iQSyh gqbZ ckrksa ij è;ku nsaA eSa dgrk gw¡ fd vki Lo;a rF;ksa dh tkap djrs gq, fu.kZ; ysa fd vkidks fdls lp ekuuk gSA tks ,d >wBk lp gS ;k tks lp vkidks rF;ksa ds lkFk fn;k tk jgk gSA

ml fnu v[kckj esa cPpksa ds Ldwy [kqyus ds lanHkZ esa [kcj Nih fd Hkkjr eas MkWDVj Ldwy u [kksyus dh lykg ns jgs gSaA duZy fot;nRrk tks fd jsfLijsVjh esfMlu ds bafM;u Likbuy lsaVj ls tqM+s gSaA v[kckj esa mudk Hkh uke gSA [kcj esa dgk x;k fd vesfjdk esa Ldwy [kqyus ds ckn fiNys nks lIrkg esa 97]000 cPpksa dks dksjksuk gks x;kA

;g [kcj i<+us ds ckn vkils gh iwNk tk,xk fd cPpksa ds Ldwy [kqyus pkfg, ;k ugha\

cPpksa ds laj{kd Lusgh ekrk&firk ds :i eas vki gh lcls igys udkjkRed mRrj nsaxs fd Hkkjr esa cPpksa ds Ldwy fcydqy ugha [kqyus pkfg,A ;g muds fy, gkfudkjd gks ldrk gSA

njvly ;g lekpkj fujk >wB gSA igyh ckr] 97]000 cPpksa okyk vkadM+k Ldwy [kqyus ds ckn dk] Ldwy [kqyus ls igys dk gSA vki Lo;a baVjusV dh lgk;rk ls bl rF; dh tkap dj ldrs gSaA ;gk¡ vkadM+s dks viuh lqfo/k ds fygkt+ ls iz;qDr fd;k x;k gSA

nwljs] 97]000 cPPks dksjksuk ls ihfM+r ugha gSaA 97]000 cPpksa ds dsflt+ vk, gSaA


vkidks bl ckr dks è;ku esa j[kuk gksxk fd dksjksuk ds dsflt+] dksjksuk ls ihfM+r O;fDr ugha gSaA dsl c<+us dk vFkZ ;g ugha fd jksfx;ksa dh la[;k c<+ jgh gSA gesa ehfM;k jksfx;ksa dh la[;k ugha dslksa dh la[;k crk,xkA

vc vki bu dsflt+ dk Hkh lp tku ysaA eku ysa fd vxj lkS LoLFk O;fDr;ksa ij ;g dksjksuk VsLV] vkj-Vh-&ih-lh-vkj- VsLV fd;k tk,xk rks ;g vkSlru bu lkS O;fDr;ksa esa ls 10 izfr'kr dks ikWftfVo gh crk,xkA62

os nl O;fDr jksxh gksa] ;g vko';d ugha gS] os dksjksuk tkap esa ikWftfVo ik, x, gSaA

;fn os vkidks ;g fo'okl fnykuk pkgsa fd Hkkjr esa cPpksa ds Ldwwy [kksyuk tkuysok gks ldrk gS rks Ldwyksa dks ,d lIrkg ds fy, [kksyk tk,xk vkSj Ldwyksa esa cPpksa ij vkj-Vh-&ih-lh-vkj- VsLV fd;k tk,xkA ;fn os vkSlru nl yk[k VsLV Hkh djrs gSa rks buesa ls fuf'pr :i ls nl izfr'kr cPpksa ds VsLV ikWftfVo gh vk,¡xsA fiQj cPpksa ds ekrk&firk dks crk fn;k tk,xk fd Ldwy [kqyrs gh dsflt+ dh la[;k fdruh rst+h ls c<+h gSA bl rjg ekrk&firk Lo;a gh viuh fliQkfj'k okfil ys ysaxsA

bl ckr dks le>us dh dksf'k'k djsa fd dsflt+ dksbZ esfMdy VeZ ugha gSA ;g chekjh ugha gSA ;g dsoy vkidks Mjkus ds vL=k ds :i esa iz;qDr fd;k tk jgk gSA vki 97]000 dsflt+ dk uke lqu dj gh ?kcjk tk,¡xs_ u rks vki rF;ksa dh Nkuchu djsaxs vkSj u gh vkidks ;g irk gksxk fd cPpksa ds dksjksuk dsflt+ Fks] os dksjksuks ds jksxh ugha FksA cl blh pht+ dk vuqfpr ykHk mBk;k tk jgk gSA

Koronakaal Formula -1

Cases Sick People=


t+jk baVjusV ij rF;ksa dh tkap djsaA ;gk¡ ge ftl VsLV dh ckr dj jgs gSa ftlesa lkS esa ls nl izfr'kr LoLFk Hkh ikWftfVo fudysaxsA vkj-Vh-&ih-lh-vkj- VsLV dh fo'oluh;rk ds ckjs esa Hkh dqN ugha dg ldrsA vHkh vki bruk tku ysa fd ;g VsLV ywM+ks ds Mkbl dh rjg gSA blds urhts Hkh jsaMe vkrs gSaA Hkkjr esa ;fn dksbZ dksjksuk ikWftfVo ik;k tkrk gS rks mls rqjar vLirky esa HkrhZ dj nsrs gSaA vxj pkSng fnu ckn nksckjk ml jksxh dk VsLV gks rks gks ldrk gS fd og fiQj ls ikWftfVo vk tk,A gks ldrk gS og fiQj ls pkSng fnu vLirky esa jgs] mldk VsLV gks vkSj tkap esa dksjksuk ikWftfVo gh vk,A mls fiQj ls vLirky esa HkrhZ djsa vkSj pkSng fnu ckn tkap djsa rks fiQj ls VsLV ikWftfVo vkus dh laHkkouk gks ldrh gSA bl rjg ;g flyflyk varghu :i ls Hkh tkjh jg ldrk gS D;ksafd ;g ,d jsaMe VsLV gSA

vc bl laHkkouk ls cpko djus ds fy, gekjs ns'k esa pkykdh dk lgkjk fy;k x;k vkSj u;k fu;e cuk;k x;k fd ;fn dksbZ ejht dksjksuk ikWftfVo gks dj vLirky esa vkrk gS rks pkSng fnu ckn NqV~Vh feyrs le; mldk nksckjk VsLV ugha gksxkA mls nksckjk bl VsLV dks djokus dh t:jr gh ugha gSA vki gh lkspsa fd ;g fu;e cukus dk D;k vkSfpR; gqvk\

vc rd rhu djksM+ ls vf/d VsLV gks pqds gSa ijarq ;w,l ds ,iQMh, us bls vHkh rd izekf.kr ugha fd;kA ;fn vki pkgsa rks Lo;a mudh lkbV ij tk dj ns[k ldrs gSaA mUgksaus vHkh rd bls izekf.kr ugha fd;k D;ksafd mudk dguk gS fd ;g tkap iwjh fo'oluh;rk ls ;g ugha crkrh gS fd O;fDr dks dksjksuk gS ;k ugha] blds ifj.kke jsaMe gSaA

VsLV djus dk lkjk [ksy lc dqN vius rjhds ls daVªksy djus ds fy, gh gS] bldk dksbZ vkSj edln ugha gSA tks fd vki Lo;a ifjfLFkfr;ksa dks ns[k dj vuqeku yxk gh ldrs gSaA


vc eSa vkidks ,d vkSj pht+ crkus tk jgk gw¡ tks vkidks 'kk;n ns[kus esa vthc yxsA 15 vxLr dks oqgku eas yxHkx pkyhl gtkj yksx ,d lkFk tek gq, vkSj ikVhZ dhA ogk¡ tuthou lkekU; gks x;k gSA63

mUgha fnuksa dk yanu dk ,d ohfM;ks tkjh gqvkA ftlesa yanu esa dksbZ O;fDr ekLd igus gq, ugha fn[k jgkA ogk¡ fdlh lks'ky fMLVsaflax dk ikyu ugha fd;k tk jgkA ;g vc muds fy, U;w ukWeZy gS ;kuh os yksx ekurs gSa vc dksjksuk dk dksbZ vkrad ugha jgkA64

vf/drj ;wjksih; ns'kksa esa lc dqN lkekU; gks x;k gSA cl ;g gekjs ;gk¡ gh ;g Mj jg x;k gS fd dksjksuk ls gks jgh ekSrksa ds dkj.k ykWdMkmu dk ikyu gksA

teZuh esa FkksM+h ikacnh yxkus dh dksf'k'k gqbZ ij 1 vxLr dks cfyZu esa chl yk[k yksx fonzksg djrs gq, lM+dksa ij vk x,A mUgsa le> vk x;k Fkk fd ;g lc ,d "kM+;a=k ds rgr fd;k tk jgk gSA65

vc vki tk dj ;g Hkh irk dj ldrs gSa fd tc yk[kksa yksx lM+dksa ij vk, gksaxs rks ml txg dksjksuk ds ekeyksa dh la[;k Hkh vf/d gqbZ gksxh ijarq ,slk ugha gqvkA dksjksuk ds ekeyksa esa dksbZ c<+r ugha fn[khA


;g vkSj Hkh gSjraxst ckr gS fd 15 vxLr dks Hkh blh rjg dk fojks/ nksckjk fd;k x;k ijarq ;w V~;wc vkSj iQslcqd vkfn us ;g è;ku j[kk fd bl rjg ds ohfM;ks Hkkjr ds HkkSxksfyd {ks=k u fn[kk, tk,¡ D;ksafd Hkkjr dks ;gh ,glkl fnykuk gS fd nwljs ns'kksa esa Hkh mldh rjg lkjh ikcafn;ksa dk ikyu gks jgk gSA

teZuh dk og ohfM;ks vkidks vkWuykbu dgha ugha feysxkA esjs dqN lg;ksxh teZuh esa Hkh gSa] mUgksaus eq>s OgkV~l ,i ds ekè;e ls ;g ohfM;ks Hkstk ftlesa os yksx fiQj ls yk[kksa dh la[;k esa lM+dkas ij Fks ij gekjs ns'k ls ;g rF; fNik;k x;kA66

gekjh vk¡[kksa ij ehfM;k dk p'ek p<+k fn;k x;k gSA gekjs fy, U;w ukWeyZ ogh gS tks gesa ehfM;k vkSj MCy;w ,p vks fn[kkuk pkgrk gSA

oqgku ;k ;w,l dh ckr djsa--- Hkkjr tSls ns'kksa esa ykWdMkmu gksus ls bu yksxksa dks gh ykHk gksxkA ftu ns'kksa esa ykWdMkmu ;k lks'ky fMLVsaflax ds uke ij ikcanh yxkbZ xbZ FkhA vkt ds gkykr esa ogha lcls T;knk izHkko fn[kkbZ ns jgk gSA mu ns'kksa dh n'kk 'kkspuh; gSA os ykWdMkmu ls gksus okyh gkfu;ksa dks Hkqxr jgs gSaA mu yksxksa ij Hkh oSDlhu Fkksik tk,xk vkSj mUgsa f'kdkj cuk;k tk,xkA

njvly gekjs ns'k esa nok,¡ rS;kj djus ds fy, 70 izfr'kr dPpk eky phu ls vkrk gS ;kuh gekjh nl esa ls lkr nok,¡ os gh cuk jgs gSaA bls ,fDVo iQkekZL;wfVdy baxzhfM,aV dgk tkrk gSA67

oqgku esa fdlh Hkh ikcanh ds fcuk euk, tk jgs gSa ohfM;ks bl ckr ds xokg gSa fd ogk¡ dksbZ dksjksuk ugha gSA os yksx ekSt&eLrh dj jgs gSa vkSj gekjs fy, Hkw[kksa ejus dh ukScr vk jgh gSA

os rks t'u euk jgs gSaA os gesa ew[kZ cuk jgs gSaA gesa ;gh fn[kk;k tk jgk gS fd ftl rjg nqfu;k dh gkyr [kjkc gS] mlh rjg gekjs ns'k dh gkyr Hkh [kjkc gSA dksjksuk ds ekeys esa dsflt+ dh la[;k


ek;us ugha j[krhA vkidks chekjksa dh la[;k ns[kuh pkfg,A tc Hkh fdlh txg ij ykWdMkmu yxkuk gks rks vki yksxksa ij VsLV dj nsa vkSj muesa ls vkSlru nl izfr'kr LoLFk yksx Hkh dksjsuk ikWftfVo fudy vk,¡xsA vxj ge VsLV ugha djsaxs rks os chekj ugha gksaxsA ;gh fu;e i'kqvksa ij Hkh ykxw gksrk gSA mu ij Hkh blh rjg dksjksuk ds VsLV fd, x, vkSj jsaMe urhts feysA EksMkxkLdj vkSj ratkfu;k tSls ns'kksa us vius ;gk¡ dbZ rjg ds ijh{k.kksa ds ckn bu rF;ksa dks lp ik;k vkSj McY;w ,p vks dks vius ns'k ls ckgj fudkykA

vc ge dksjksukdky ds iQkewZyk uacj 2 dh ckr djrs gSa %

brus yksxksa dh e`R;q D;ksa gks jgh gS\

blds fy, Hkh nks dkj.k mRrjnk;h gSa %

vLirkyksa esa HkrhZ djuk vkSj jseMsflfoj vkSj ,aVhik;jsfVd (Remdesivir and anti pyretic) nokvksa dks feyk dj fn;k tkukA T;kas gh jksxh dks ;s nok,¡ nh tkrh gSa rks mldh 'olu laca/h leL;k c<+ tkrh gSA mls lk¡l ysus esa fnDdr eglwl gksus yxrh gSA

blds ckn vxj vkils iwNsa fd jksxh ds fy, D;k fd;k tkuk pkfg, rks vki dgsaxs fd MkWDVj jksxh dks vkDlhtu nsaxsA eSa nksckjk crkuk pkgw¡xk fd gekjk 'kjhj bl izdkj ugha cuk fd ;g vkWDlhtu ys lds] ;g ,;j ys ldrk gSA vxj vki viuh Mhty dh xkM+h esa iSVªksy ;k tsV vkW;y Mkysaxs rks mls ykHk ds ctk, uqdlku gh gksxkA

tc jksxh lk¡l ysus esa fnDdr eglwl djrk gS rks mls vkWDlhtu p<+kus ds lkFk gh jseMsflfoj vkSj ,aVhik;jsfVd nok,¡ Hkh nh tkrh gSa ftlls mlds 'kjhj esa fueksfu;k gks tkrk gSA

tc jksxh ds 'kjhj esa fueksfu;k gksrk gS rks blds ckn osaVhysVj dh ckjh vkrh gSA ;g lkjh izfØ;k pj.k nj pj.k pyrh gS ftlesa fdlh Hkh izdkj dh ck/k dh xqatkbZ'k ugha gSA ;g ,d r;'kqnk iQkewZyk gSA


dksjksuk dk jksxh osaVhysVj ij vk pqdk gS vkSj vki Hkh bl iqLrd ds vkjaHk esa fn, x, lanHkksaZ dh lgk;rk ls tku pqds gSa fd oasVhysVj ij j[ks x, jksfx;ksa esa ls 97 izfr'kr jksfx;ksa ds ekjs tkus dh laHkkouk gksrh gSA

vc bl ekSr dk ftEesnkj dksfoM] Ýyw ;k dksjksuk ugha cfYd jksxh dk bykt djus dk rjhdk vkSj mls nh xbZ nok gSA

esjk nwljk iQkeZwyk dgrk gS fd gekjs ns'k esa fdlh Hkh ekSr dks dksjksuk dh ekSr gh ekuk tk jgk gSA

vkbZlh,evkj (The Indian Coucil of Medical Research, ICMR) dh xkbMykabl ds vuqlkj dksbZ Hkh jksxh vxj ejrs gq, fny ;k lk¡l dh chekjh ls ihfM+r Fkk vkSj Hkys gh dksjksuk tkap usxsfVo gh D;ksa u vkbZ gks] mldh ekSr dks dksjksuk ls gqbZ ekSr eku fy;k tk,xkA

tcfd ge lHkh tkurs gSa fd tc fdlh balku dh ekSr gksrh gS rks ;k rks mls lkal ysus esa fnDdr gksrh gS ;k mldk fny dke djuk can dj nsrk gSA ,sls esa lHkh ekSrksa dks dksjksuk MsFk dguk dgk¡ rd tk;t gS\

vc vki lksp ldrs gSa fd nwljs ns'kksa esa gksus okyh bruh ekSrksa dk D;k dkj.k gS\

gekjh bl iqLrd esa lanHkZ fn;k x;k gS fd lsaVj vkWiQ fMlht+


Any Death

Corona Death=

In India


daVªksy (Center for Disease control and Prevention, CDC) esa Hkh fn'kkfunsZ'kksa dks cny fn;k x;k gSA ;fn MkWDVj dks jksxh ds dksjksuk jksxh gksus dk lansg gksxk rks og dksjksuk usxsfVo vkus ij Hkh ml ekSr ds fy, dksjksuk dks gh ftEesnkj Bgjk ldrk gSA vki bu lanHkksaZ dks mudh lkbV ij Hkh ns[k ldrs gSaA fdlh Hkh vLirky esa dksjksuk jksxh dh e`R;q ik, tkus ij ljdkj dh vksj ls pkyhl gtkj MkWyj dh jkf'k nh tkrh gS vkSj ,sls esa MkWDVj pkgs rks viuh euethZ pyk ldrk gSA

bVyh us nqfu;k dks fn[kk;k fd dksjksuk ds dkj.k muds ;gk¡ iSarhl gt+kj ekSrsa gks xb±A vxj ge bVyh gsYFk baLVh~V;wV dh lkbV ij tk dj ns[ksa rks ik,¡xs fd mUgksaus bu ekSrksa dks nks Hkkxksa esa ckaV dj fn[kk;k gSA

MsFk fon dksjksuk vkSj MsFk ÚkWe dksjksuk

MsFk fon dksjksuk ;kuh tc dksbZ ejk rks mlds 'kjhj esa dksjksuk Hkh Fkk ij mldh ekSr dk dkj.k dksbZ vkSj FkkA

MsFk ÚkWe dksjksuk dk vFkZ gS fd jksxh dh ekSr dksjksuk ds dkj.k gqbZ gSA

;fn vki è;ku ls ns[ksa rks ik,¡xs fd dsoy nl izfr'kr ekSrsa gh MsFk ÚkWe dksjksuk esa vk jgh gSa ;kuh vxj iSarhl gt+kj dk vkdaMk gS rks ;gk¡ dksjksuk ls gksus okyh ekSrksa dh la[;k iSarhl lkS gh gSA tcfd Hkkjr esa gj rjg dh ekSr dks dksjksuk ls gksus okyh ekSr ekuk tk jgk gSA ftlls Mj dk dkjksckj c<+rk tk jgk gSA

gekjs ukbl ,DliVZ~l us chl gt+kj ls vf/d jksfx;ksa dks Bhd fd;k gS tks dksjksuk ds jksxh dgykrs Fks ijarq og okLro esa ,d vke Ýyw gSA os rhu fnu esa iwjh rjg ls LoLFk gq,A mUgsa dksbZ nok ugha nh xbZ vkSj 'kjhj esa vius vanj vkbZ [kjkch dks Lo;a gh Bhd dj fy;kA


bl le; vLirkyksa esa dksjksuk ds jksfx;ksa dh ns[k&js[k djus okys MkWDVjksa dks dksjksuk okfj;lZ dgk tk jgk gSA os Hkh Hkkjh la[;k esa ej jgs gSaA

os u rks viuk cpko dj ik jgs gSa vkSj u gh vius jksfx;ksa dks cpk ik jgs gSaA vlyh dksjksuk okfj;j rks og gksxk tks vki Hkh jksx ls cps vkSj nwljs dks Hkh cpkus esa dke;kc gksA

gekjs ukbl ,DliVZ dksjksuk okfj;lZ gSa] ftUgkasus u dsoy viuk cpko fd;k cfYd jksfx;ksa dks Hkh iwjh rjg ls LoLFk djus eas liQy jgsA

vc ge dksjksukdky ds iQkewZyk uacj 3 dh ckr djrs gSa %

og gS & n g~;weu fxuh fix (The Human Guinea Pig)


Indian HumanGuinea Pig=

vkius fiNys vè;k;ksa esa i<+k fd lu~ 2000 esa ftl vksjy iksfy;ks oSDlhu dks iwjh nqfu;k esa cSu dj fn;k x;k Fkk vkSj mls vkt Hkh Hkkjr ds cPpksa dks fn;k tk jgk gSA ;k fiQj iQsohfijkfoj (Favipiravir) tSlh [krjukd nok dks dksjksuk ds uke ij iwjh nqfu;k esa] fliQZ Hkkjr esa ykap fd;k x;kA

Bhd blh rjg nsf[k,xk] ,d vkSj [krjukd ;kstuk rS;kj dh tk jgh gSA ;gk¡ eSa dksjksuk oSDlhu dh ckr dj jgk gw¡A vHkh rd ;s izekf.kr gks pqdk gS fd baÝyq,atk (dksjksuk Hkh ,d Influenza virus gS)


oSDlhu yxokus okys yksxksa esa 'olu laca/h laØe.k (Respiratory infection ) gksus dh laHkkouk ik¡p xquk vf/d gqbZ gSA68 ,sls esa nks [krjukd ckrsa gSaA

1- gekjs LokLFk; ea=kh g"kZo/Zu th us ?kks"k.kk dh gS fd 2021 esa Emergency Use Authorization (EUA) ;kuh fcuk fdlh lqj{kk ;k oSDlhu dh izHkkoksa dh tkap fd, fcuk gh Hkkjr esa dksjksuk oSDlhu ykap dj nsaxsA ekuks gj Hkkjrh; ,d fxuh fix (Guinea Pig) gksA

2- nwljh [kjrukd ckr gS] oSDlhu esa iz;qDr gksus okyh lkexzhA

ns'k Hkj esa oSDlhu dh ppkZ gks jgh gSA igys Hkh ;g chekjh gksrh Fkh ij gekjs eu esa bldk Mj ugha Fkk blfy, ge fuf'apr Fks ij vkt ds gkykr vyx gks x, gSaA gekjs fnekx dks nksgjko vkSj Hkkoksa ds ekè;e ls bldh Hk;kogrk dk ;dhu fnyk fn;k x;k gSA dbZ yksx rks ?kjksa esa gh nqcd dj cSBs gSa fd os oSDlhu ysus ds ckn gh ckgj fudysaxs rkfd os lqjf{kr jg ldsaA os cslczh ls oSDlhu cuus dh izrh{kk dj jgs gSaA

vc ge ;g ns[krs gSa fd oSDlhu esa D;k lkexzh gksxhA ;g lkexzh ok;jl dks dYpj djus ds dke vkrh gS ;kuh dksfoM dk oSDlhu cukus ds dke vk,xh ftlds ckjs esa vkidks igys ls irk gksuk pkfg, ojuk bl pht ls vkids fy, oSDlhu rS;kj gks tk,xhA

iQhVy cqokbu flje ((Fetal Bovine Serum, FBS) uked lkexzh dks oSDlhu cukus ds fy, dke esa yk;k tkrk gS vkSj ;g izfØ;k nks pj.kksa esa iwjh gksrh gSA ,d xHkZorh xk; dks ekj dj] mldh dks[k esa iy jgs cNM+s@cNM+h ds ân; esa iaDpj djrs gSa] mlesa ,d V~;wc Mky dj tks jDr fudkyk tkrk gS] mlh lkexzh ls oSDlhu rS;kj fd;k tkrk gSA ogh iQhVy cqokbu flje gSA ;g oSDlhu cukus dh cgqr egÙoiw.kZ lkexzh gSA


iQhVy cqokbu flje ;kuh ,iQ ch ,l dk nqfu;k Hkj esa yxHkx ,d fcfy;u MkWyj dk ckt+kj gSA eSaus blds lkjs lanHkZ viuh lkbV esa Hkh fn, gSa vki osclkbV ls Hkh foLr`r tkudkjh ys ldrs gSaA

T;ksa gh bl lkexzh ls oSDlhu cuus yxsxk rks bldh ekax yxHkx nqxuh gks tk,xh ;kuh yk[kksa dh la[;k esa xHkZorh xk;ksa dks ekjk tk,xkA mudh dks[k esa iy jgs cPpksa dks ftank j[krs gq, muds ân; ls lhje fudkyk tk,xkA ;fn os ej x, rks fdlh dke ds ugha gksaxs blfy, bl nkSjku mudk thfor jguk vko';d gS vkSj lkFk


gh mUgsa ,uLFkhfl;k Hkh ugha fn;k tk ldrk D;ksafd ,slk djus ij lhje oSDlhu rS;kj djus ds dke ugha vk,xkA og vtUek cNM+k@cNM+h nnZ ls rM+irs gq, iQhVy cqokbu flje nsaxs vkSj bl nqfu;k ls fonk ysaxsA

vc vki r; djsa fd vkidks vius fy, ;g oSDlhu pkfg, ;k ughaA ;fn ugha pkfg, rks blds fy, vkokt+ mBk,¡ vkSj lkFk gh viuh vksj ls lsYiQ fjlpZ djrs gq, ;g ns[ksa fd vkSj dkSu lh oSDlhu esa ;g lkexzh iz;qDr gksrh gSA68

bu ckrksa dh rF;kRed tkudkjh ikus ds ckn gh r; djsa fd bl ckjs eas vkidk vxyk dne D;k gksxkA

var esa eSaa ogh dguk pkgw¡xk tks eSa tuojh 2020 ls cksyrk vk jgk gw¡ fd dksjksuk ok;jl ,d vkj ,u , jsfLijsVjh ok;jl gS tks fd cM+h rsth ls E;wVsV gksrk gS ;kuh viuk :i cnyrk gS blfy, blds fy, dHkh dksbZ izHkkoh oSDlhu cu gh ugha ldrkA ;gh ckr ns'k ds rhu cM+s laLFkkuksa bafM;u ifCyd gsYFk ,slksfl,'ku (Indian Public health Association, IPHA)] bafM;u ,lksfl,'ku vkWiQ izhosafVo ,aM lks'ky esMhflu (Indian Association of Preventive and Social Medicine, IAPSM) vkSj bafM;u ,slksfl,'ku vkWiQ ,ihMsehykWftLV (Indian Association of Epidemiologist IAE) us fey dj ,d la;qDr oDrO; tkjh fd;k vkSj crk;k fd orZeku dksjksuk dky dk oSDlhu ls dksbZ ysu&nsu ugha gS vkSj u gh fudV Hkfo"; esa dksjksuk dk oSDlhu vkus okyk gS blfy, lkjs ykWWdMkmu [kksy dj ikcanh gVk nsuh pkfg,A69

bl fdrkc esa fn, x, lkjs izek.kksa ds ckotwn gekjs ekuuh; iz/kuea=kh ns'k esa ykWdMkmu@lks'ky fMLVsaflax ds fu;e ykxw djds ns'k dks gkfu D;ksa igq¡pk jgs gSa tcfd 90 izfr'kr ns'kksa esa Ldwy [kqy


pqds gSa vkSj ekgkSy yxHkx lkekU; gks x;k gSA bl iz'u dk mRrj nsus ds fy, eSa vkidks dsoy rhu ladsr gh nw¡xk %

1- esMkxkLdj ds jk"Vªifr ,aMªh jktks,fyuk us vius ,d c;ku esa crk;k fd MCy;w ,p vks us mUgsa chl fefy;u MkWyj dh fj'or nsus dh is'kd'k dh gS] c'krsZ os vius ;gk¡ rS;kj gksus okyh gcZy nok esa fo"k feykus dks rS;kj gks tk,¡A70

2- csyk:l ds jk"Vªifr yqdk'ksadks us [kqyklk fd;k fd oYMZ cSad mUgsa 940 fefy;u MkWyj dksjksuk yksu nsus ds fy, eku x;k gS ijarq mUgsa ns'k esa ykWdMkmu yxk dj lkjh vFkZO;oLFkk dks nkao ij yxkus ds fy, rS;kj gksuk gksxkA71

3- ;kn j[ksa fd 22 ebZ] 2020 dks MkW- g"kZo/Zu dks MCy;w ,p vks ds ps;jeSu vkWiQ ,DthD;wfVo cksMZ dk in feyk vkSj fiNys o"kZ vDVwcj ekg esa iz/ku ea=kh Jh ujsanz eksnh th dks fcy xsV~l dh vksj ls rksgiQs ds :i esa ,d [kkl vokMZ fn;k x;kA72

vc ;g vki ij fuHkZj djrk gS fd vki bu lHkh fcanqvksa dks tksM+ ikrs gSa ;k ugha!

vkidks ;kn gksxk] fcy xsV~l us 2009 esa vka/z izns'k vkSj xqtjkr dh gt+kjksa vkfnoklh yM+fd;ksa ij xSj&dkuwuh Vhdkdj.k djok;k Fkk] ftlls dbZ yM+fd;k¡ ekjh xb± vkSj muesa ls lSadM+ksa xaHkhj :i ls chekj gks xbZaA73

;gk¡ rd fd] fcy xsV~l iQkmaMs'ku us Hkkjr esa vksjy iksfy;ks oSDlhu dk Vhdkdj.k djok;k] ftlls 2000 ls 2017 ds chp 496000 cPpksa dks ydok gks pqdk gSA74


Hkkx&2


uke % MkW- uhys'k ikfVy mez % 45 o"kZ LFkku % tyxk¡oO;olk; % ,echch,l&gM~Mh fo'ks"kK

uke % Mhthih gfjukjk;.k feJk mez % 43 o"kZ LFkku % bankSjO;olk; % vkbZih,l vkWfiQlj

uke % iwoZ vkbZ,,l MkW- ijohu dqekj mez % 60 o"kZ LFkku % iapdwykO;olk; % gksE;ksiSFk

uke % ;ksxs'k feRRkymez % 49 o"kZ LFkku % iQjhnkcknO;olk; % O;kikj

uke % MkW iYyoh ikfVy mez % 42 o"kZ LFkku % tyxk¡oO;olk; % ,echch,l&Mh,evkjbZ

uke % MkW- ds- ch- rqekus mez % 59 o"kZZ LFkku % ukxiqjO;olk; % Nkrh fo'ks"kK & ukxiqj uxj fuxe ds iwoZ phiQ

Mk;jsDVj (fMIVh Mk;jsDVj gSYFk lfoZl)

uke % ekul leFkZ mez % 51 o"kZ LFkku % xkft;kcknO;olk; % O;kikj

,u-vkbZ-lh-bZ- (N.I.C.E) fo'ks"kK

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;gk¡ mu ,u-vkbZ-lh-bZ- fo'ks"kKksa dh vkaaf'kd lwph nh tk jgh gS tks dksfoM& 19@baÝyq,atk@vkbZ,yvkbZ jksfx;ksa dks jksxeqDr djus esa fnu&jkr yxs gq, gSaA muesa ls vf/drj eysf'k;k ds fyadu ;wfuoflZVh dkWyst ls lfVZiQkbM esfMdy iks"k.kfoKkuh gSaA


uke % vk'kqrks"k feRrymez % 42 o"kZ LFkku % iQjhnkcknO;olk; % ps;jeSu] lkbafVfiQd baLVªwesaV daiuh

uke % fueZyk ikaMsmez % 58 o"kZ LFkku % xqM+xk¡oO;olk; % lkWÝVos;j VsfLVax Vsªuj o izkd`frd fpfdRld

uke % vxemez % 24 o"kZ LFkku % vkWLVsªfy;kO;olk; % LokLF; iks"k.k o O;k;ke fo'ks"kK

uke % vkjrh ;knomez % 33 o"kZ LFkku % MYYkkl] VsDlkl] ;w,l,O;olk; % esfMdy iks"k.kfon~

uke % egs'k dkSf'kdmez % 58 o"kZ LFkku % iQjhnkcknO;olk; % lfoZl

uke % vkn'kZ ukjk;.k iz/kumez % 35 o"kZ LFkku % dkBekaMw] usikyO;olk; % lkW;dksyksftLV @ izekf.kr dksM&Cyw Vsªuj @ izekf.kr

e/qesg ,tqdsVj

uke % vfey rezkdjmez % 22 o"kZ LFkku % dkBekaMw] usikyO;olk; % vkbZ,yvkbZ ,tqdsVj

uke % Msfu;ymez % 38 o"kZ LFkku % nqcbZ] ;w,bZO;olk; % ch- bZ @is'ksoj ,Mokal iks"k.k FksjfiLV

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uke % MkW- /uqikrZc calh (v;ksè;kukFk nkl)mez % 60 o"kZ LFkku % ekWjh'klO;olk; % uSpqjksiSFkh MkWDVj

uke % bczkfge iQSt+y tyhymez % 56 o"kZ LFkku % ekys] ekynhoO;olk; % dSIVu

uke % gSes'ksy dkSjmez % 38 o"kZ LFkku % bZLVu] isaflYosfu;kO;olk; % e/qesg fpfdRld

uke % MkW- deyk{kh 'kkgnsomez % 51 o"kZ LFkku % xzhalcksjks] ukWFkZ

dSfyiQksfuZ;k] ;w,l,O;olk; % iwoZ iQkekZL;wfVdy fjlpZ lkabfVLV

uke % MkW- elwn vgen [kkumez % 54 o"kZ LFkku % xqtjk¡okyk] ikfdLrkuO;olk; % gksE;ksiSFkh MkWDVj

uke % nqxsZ'k izlknmez % 45 o"kZ LFkku % ,VykaVk] th,] ;w,l,O;olk; % eSustj] vkbZVh @ is'ksoj ,Mokal iks"k.k fpfdRld

uke % deyizhr flagmez % 23 o"kZ LFkku % fefLllkxqvk] dukMkO;olk; % fo|kFkhZ @ is'ksoj ,Mokal iks"k.k fpfdRld

uke % es?k cgknqj cklusVmez % 42 o"kZ LFkku % dkoklksrh] usikyO;olk; % LokLF; dksp

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uke % eksguk jkekLokehmez % 41 o"kZ LFkku % yanu] ;wdsO;olk; % izekf.kr e/qesg ,tqdsVj

uke % #fp lqjkukmez % 33 o"kZ LFkku % nqcbZ] ;w,bZO;olk; % iquchZek fo'ys"kd (iks"kdfon~)

uke % Åek Jh eksrq#mez % 31 o"kZ LFkku % vYiQkjsV~Vk] th,] ;w,l,O;olk; % osyusl dkmalyj

uke % vfHk"ksd flagmez % 33 o"kZ LFkku % okjk.klhO;olk; % ch,p,e,l

uke % izeksn dqekj HkaMkjhmez % 67 o"kZ LFkku % ,Ldj] ukosZO;olk; % lhfu;j baLVªwesaV bathfu;j

uke % lkanzk iQukZaMht+ islmez % 42 o"kZ LFkku % lkfYe;k] dqoSrO;olk; % lfoZl

uke % foØkar Mksxjkmez % 42 o"kZ LFkku % eklZMu ikdZ]

,u,lMCyw vkWLVªsfy;kO;olk; % lksY;w'ku vkfdZVsDV ,pihbZ

uke % vt; flagmez % 39 o"kZ LFkku % lhrkiqjO;olk; % LokLF; O;olk;h

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uke % vthr flag iQkStnkjmez % 34 o"kZ LFkku % HkjriqjO;olk; % izekf.kr e/qesg ,tqdsVj

uke % vehuk dkSljmez % 60 o"kZZ LFkku % gSnjkckn+O;olk; % ,D;qizs'kj fpfdRld

uke % vejukFk oh xk¡odjmez % 46 o"kZ LFkku % ekjxk¡o+O;olk; % tSfod fdlku @ is'ksoj ,Mokal iks"k.k fpfdRld

uke % vfer f'kEihmez % 33 o"kZZ LFkku % ukfldO;olk; % e/qesg ,tqdsVj

uke % vthr dqekj cuZokymez % 30 o"kZ LFkku % ikaMos'ojO;olk; % lapkyu eSustj @ is'ksoj ,Mokal iks"k.k fpfdRld

uke % vfy'kk eSlhmez % 44 o"kZ LFkku % paMhx<+O;olk; % izekf.kr e/qesg fpfdRld

uke % vfer vustkmez % 37 o"kZ LFkku % ikuhirO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % ve`r Vhdepan fla?kohmez % 42 o"kZ LFkku % vejkorhO;olk; % e/qesg ,tqdsVj

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uke % vuar dqekj ikaMkmez % 44 o"kZ LFkku % xquqiqjO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % vatyh vk;Z pksiM+kmez % 47 o"kZ LFkku % o`ankou] eFkqjkO;olk; % uspqjksFksjsih fpfdRld

uke % vuqiek rksejmez % 39 o"kZ LFkku % iwukO;olk; % izkd`frd fpfdRlk

uke % vi.kkZ nklmez % 55 o"kZ LFkku % flfyxqM+hO;olk; % osyusl dkmalyj

uke % vfuy dqekj gjHktadkmez % 46 o"kZZ LFkku % dksydkrkO;olk; % LokLF; lykgdkj

uke % valkjh lkfgek fugky vgenmez % 19 o"kZ LFkku % eqEcbZO;olk; % fiQft;ksFksjsfiLV

uke % vuqjkx feRrymez % 49 o"kZ LFkku % fnYYkhO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % vkfdc j'khnmez % 27 o"kZ LFkku % D;ksa>jO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

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uke % vi.kkZ e/q lqo.kZmez % 38 o"kZ LFkku % FkkusO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % v#.k 'kekZmez % 34 o"kZ LFkku % vkxjkO;olk; % vkbZ,yvkbZ ,tqdsVj

uke % v#.k dqekj mikè;k;mez % 33 o"kZ LFkku % gkoM+kO;olk; % fiQVusl Vsªuj o e/qesg ,tqdsVj

uke % vk'kh"k vxzokymez % 37 o"kZZ LFkku % iwukO;olk; % cSMfeaVu dksp @ izekf.kr e/qesg ,tqdsVj

uke % vj'kn gluSumez % 46 o"kZ LFkku % cSaxyksjO;olk; % vkbZ,yvkbZ ,tqdsVj

uke % v#.k dqekjmez % 40 o"kZ LFkku % pk¡niqj ftyk fctukSjO;olk; % ,Mokal iks"k.k fpfdRld

uke % vjfoan dqekj Iykgkmez % 46 o"kZ LFkku % yqf/;kukO;olk; % ;ksx Vhpj o e/qesg ,tqdsVj

uke % vk'kh"k dqekj tkuhmez % 36 o"kZ LFkku % vnkyt (xk¡/h uxj)O;olk; % ,uMhMhok; vafre o"kZ fon~;kFkhZ @ vkbZ,yvkbZ

,tqdsVj

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uke % v'kksd ,u vndmez % 57 o"kZ LFkku % iwukO;olk; % O;olkf;d lykgdkj @ izekf.kr e/qesg ,tqdsVj

uke % vrqy tSumez % 49 o"kZ LFkku % fnYyhO;olk; % izkd`frd fpfdRld o e/qesg ,tqdsVj

uke % v;ku gkynjmez % 25 o"kZ LFkku % nkudquhO;olk; % izekf.kr e/qesg ,tqdsVj vkWiQ vkbZoh,ech

uke % ch- ujsanzemez % 41 o"kZ LFkku % psUUkbZO;olk; % e/qesg ,tqdsVj] LokLF; dksp] is'ksoj bysDVªks gksE;ks

uke % vkfr'k vkj tk;lokymez % 34 o"kZ LFkku % iwukO;olk; % fpfdRld iks"k.k gkoMZ @ is'ksoj e/qesg ,tqdsVj

vkbZoh,ech fo;ruke

uke % vfouk'k iksiVjko lckjsmez % 51 o"kZ LFkku % vgen uxjO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % vt+g:n~nhu vgenmez % 22 o"kZ LFkku % xqycxkZO;olk; % ch;w,e,l

uke % ckcklkgsc /sjsmez % 33 o"kZ LFkku % MksEchoyhO;olk; % ÅtkZ mipkjd

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uke % ckyklqczke.;e ,lmez % 42 o"kZ LFkku % eqEcbZO;olk; % ;ksx Vhpj

uke % Hkwisanz flag iaokjmez % 49 o"kZ LFkku % gfjn~okjO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % HkkLdj Jhfuoklmez % 29 o"kZ LFkku % cSaxyksjO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % fcey ikymez % 41 o"kZZ LFkku % c/ZekuO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % cyrst flagmez % 35 o"kZ LFkku % cjukykO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % Hkxoku nklmez % 60 o"kZ LFkku % mUUkkoO;olk; % LokLF; lykgdkj

uke % fcHkwfr ckfjdmez % 32 o"kZ LFkku % cksyaxhjO;olk; % fpfdRld izfrfuf/

uke % fcu; dqekj flUgkmez % 43 o"kZ LFkku % eksgkyhO;olk; % ljdkjh deZpkjh @ vkbZ,yvkbZ ,tqdsVj

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uke % foLothr nRRkkmez % 52 o"kZ LFkku % dapuckM+hO;olk; % ljdkjh f'k{kd @ is'ksoj ,Mokal iks"k.k fpfdRld

uke % fczts'k flagmez % 48 o"kZ LFkku % dkuiqjO;olk; % izkd`frd fpfdRld @ is'ksoj ,Mokal iks"k.k fpfdRld

uke % lh uhyk es?k ';kemez % 40 o"kZ LFkku % cSaxyksjO;olk; % iwoZ lkWÝVosssssssssssssss;j @ vkbZ,yvkbZ ,tqdsVj

uke % panzekSyh dksEekukfcYyhmez % 32 o"kZ LFkku % foftvkukxzkeO;olk; % iks"k.k o LokLF; ,tqdsVj

uke % cztfd'kksj flUgkmez % 28 o"kZZ LFkku % flYpjO;olk; % l'kL=k cy @ is'ksoj ,Mokal iks"k.k fpfdRld

uke % fczteksgu ;knomez % 46 o"kZ LFkku % psUubZO;olk; % is'ksoj e/qesg ,tqdsVj

uke % dSIVu vfHk"ksd lgk;mez % 42 o"kZ LFkku % dksydkrkO;olk; % ik;yV @ vkbZ,yvkbZ ,tqdsVj

uke % panz'ks[kj ikfydksaMkojmez % 45 o"kZ LFkku % iqlnO;olk; % izkd`frd fpfdRld @ is'ksoj ,Mokal iks"k.k

fpfdRld

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uke % Nk;k JhokLromez % 56 o"kZ LFkku % iQjhnkcknO;olk; % f'k{kd o izkd`frd fpfdRld

uke % /eZsanz dqekj ikaMsmez % 40 o"kZ LFkku % fnYYkhO;olk; % lkWÝVos;j bathfu;j @ is'ksoj ,Mokal iks"k.k

fpfdRld

uke % nhIrh oh gsyxk¡odjmez % 42 o"kZ LFkku % eqEcbZO;olk; % lgk;d tujy eSustj] ukckMZ @ is'ksoj ,Mokal

iks"k.k fpfdRld

uke % /hjt xqIrk mez % 32 o"kZ LFkku % dY;k.k (Fkkus)O;olk; % vk;qosZn izpkjd

uke % fp=kk tSumez % 50 o"kZ LFkku % iwukO;olk; % osyusl dkmalyj @ ;ksx izf'k{kd

uke % pksVkfy;k lqjs'kpanzmez % 65 o"kZ LFkku % jktdksVO;olk; % izkd`frd fpfdRld

uke % /esZanz dqekj flagmez % 42 o"kZ LFkku % iVukO;olk; % e/qesg ,tqdsVj

uke % /hjt dqekj 'kqDykmez % 37 o"kZ LFkku % jksgrdO;olk; % odhy @ is'ksoj ,Mokal iks"k.k fpfdRld

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uke % fnyckx flagmez % 27 o"kZ LFkku % oh dksVyk gsjuO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % MkW- ,ch,eds okjk izlknmez % 38 o"kZ LFkku % fo'kk[kkiV~ueO;olk; % izekf.kr e/qesg ,tqdsVj fpfdRld

uke % MkW- vf[kys'k lkgwmez % 35 o"kZ LFkku % jk;iqjO;olk; % MkWDVj (,eihVh] ,e,l)] ih,pMh (izkd`frd

foKku o fpfdRlk)

uke % MkW- prqjk uan nklmez % 63 o"kZ LFkku % vkxjkO;olk; % esfMdy izSfDVl

uke % fnyhi jk;mez % 35 o"kZ LFkku % ukxiqjO;olk; % dky lsaVj ,Dt+hD;wfVo @ is'ksoj ,Mokal iks"k.k

fpfdRld

uke % MkW- vt; iky flagmez % 60 o"kZ LFkku % iQjhnkcknO;olk; % izekf.kr e/qesg ,tqdsVj

uke % MkW- vfouk'k nk/hpmez % 40 o"kZ LFkku % t;iqjO;olk; % LokLF; izpkjdfoKku o fpfdRlk

uke % MkW- xkSre ikWymez % 47 o"kZ LFkku % dksydkrkO;olk; % Mhch,e,l

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uke % MkW- g"kkZ Hkksjgjhmez % 43 o"kZ LFkku % vgenkcknO;olk; % lexz fpfdRld o vk;qosZn lykgdkj

uke % MkW- iadt pkS/jhmez % 39 o"kZ LFkku % dkuiqjO;olk; % ch,p,e,l

uke % MkW- fuf/ tSumez % 42 o"kZ LFkku % eaMys'ojO;olk; % gksE;ksiSFkh

uke % MkW- iwju 'kekZmez % 45 o"kZ LFkku % ubZ fnYyhO;olk; % lexz thou 'kSyh dksp

uke % MkW- d.kZjkt lanhi ns'keq[kmez % 27 o"kZ LFkku % dksjsxk¡oO;olk; % MkWDVj

uke % MkW- ek/o uk;dmez % 32 o"kZ LFkku % csgjkeiqjO;olk; % MkWDVj ,echch,l ,eMh

uke % MkW- ijekuan ikfVymez % 34 o"kZ LFkku % tyxk¡oO;olk; % ch,p,e,l

uke % MkW- jkt Hkxrmez % 34 o"kZ LFkku % tEewO;olk; % chMh,l @ ihthMhlhlh @ izekf.kr e/qesg ,tqdsVj

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uke % jtr Hkkjrhmez % 25 o"kZ LFkku % iBkudksVO;olk; % ck;ksVsDuksykWftLV] OghVxzkl fo'ks"kK o is'ksoj e/

qesg ,tqdsVj

uke % MkW- lhek vjksM+kmez % 53 o"kZ LFkku % ÅukO;olk; % MkWDVj

uke % MkW- 'osrkmez % 38 o"kZ LFkku % xkft;kcknO;olk; % MkWDVj

uke % MkW- jktsanz izlkn dqekormez % 53 o"kZ LFkku % dkykMsjk (t;iqj)O;olk; % LiksVZl fiQft;ksFksjfiLV

uke % MkW- f'koe cFkjhmez % 24 o"kZ LFkku % cSaxyksjO;olk; % ch,,e,l

uke % MkW- fo'kky flag pkSgkumez % 40 o"kZ LFkku % xzsVj uks;MkO;olk; % ch,p,e,l] ,e- Mh-

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uke % MkW- cjhu dqekj jk;mez % 50 o"kZ LFkku % dksydkrkO;olk; % f'k{kd o e/qesg ,tqdsVj

uke % MkW- lh jkt'ks[kjmez % 46 o"kZ LFkku % cSaxyksjO;olk; % LokLF; dksp


uke % MkW- banq fo'odekZ mez % 56 o"kZ LFkku % okjk.klhO;olk; % esfMdy vkWfiQlj

uke % MkW- xksiky ekSj mez % 47 o"kZ LFkku % lwjrO;olk; % e/qesg ,tqdsVj

uke % MkW- lat; dqekj iVsymez % 49 o"kZ LFkku % jk; cjsyhO;olk; % gksE;ksiSFkh fiQftf'k;u

uke % MkW- ,drk vxzoky mez % 44 o"kZ LFkku % dksVkO;olk; % e/qesg ,tqdsVj izkd`frd foKku o fpfdRlk

uke % MkW- d`".k ikjhdmez % 25 o"kZ LFkku % gSnjkcknO;olk; % ifCyd gsYFk LVwMsaV

uke % MkW- 'kfeZ"Bk pØorhZmez % 33 o"kZ LFkku % dksydkrkO;olk; % e/qesg ,tqdsVj] dksM Cyw Vsªuj

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uke % MkW- f'k[kk JhokLromez % 41 o"kZ LFkku % ubZ fnYYkhO;olk; % lgk;d izksiQslj

uke % MkW- lquhrk vk;Zmez % 53 o"kZ LFkku % gSnjkcknO;olk; % fDyfudy iks"k.k (ih,pMh] iks"k.k)


uke % MkW- lqjsanz eqUMkmez % 41 o"kZ LFkku % jkmjdsykO;olk; % LokLF; izpkjd

uke % MkW- vads'k jatu ikymez % 45 o"kZ LFkku % vklulksyO;olk; % lexz o lkeqnkf;d LokLF; izpkjd

uke % MkW- lS;n vkfjiQmez % 45 o"kZ LFkku % xqycxkZO;olk; % LokLF; izpkjd o ysDpjj

uke % MkW- vrqy jes'k ukj[ksMsmez % 48 o"kZ LFkku % lwjrO;olk; % gksE;ksiSFkh

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uke % MkW- , oh vxzokymez % 46 o"kZ LFkku % paMhx<+O;olk; % MkWDVj

uke % MkW- Hkokuh osnhpsjykmez % 41 o"kZZ LFkku % gSnjkcknO;olk; % lg;ksxh oSKkfud

uke % MkW- enu ykymez % 40 o"kZ LFkku % vEcsMdj uxjO;olk; % izkd`frd fpfdRlk

uke % MkW- ujflagkLokeh eaM;kymez % 39 o"kZ LFkku % 'kksykiqjO;olk; % vk;qosZn o U;wjks fpfdRld


uke % MkW- jf'e ,e- ikfVymez % 23 o"kZ LFkku % /kjokMO;olk; % ch,,e,l

uke % MkW- nq";ar prqosZnhmez % 49 o"kZ LFkku % Hkk#pO;olk; % lhfu;j eSustj @ izekf.kr e/qesg ,tqdsVj

uke % MkW- foosd lqHkk"k rjkVsmez % 30 o"kZ LFkku % lrkjkO;olk; % iQkekZflLV] izekf.kr e/qesg ,tqdsVj] izekf.kr dksM

Cyw izf'k{kd

uke % ,drk flagmez % 36 o"kZ LFkku % y[kuÅO;olk; % izekf.kr e/qesg ,tqdsVj

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uke % bZeUMh dqekj jkomez % 40 o"kZ LFkku % te'ksniqjO;olk; % eps±V usoh vkWfiQlj @ is'ksoj ,Mokal iks"k.k

fpfdRld

uke % fiQYMk Mkumez % 32 o"kZ LFkku % vkSjaxkcknO;olk; % ulZ

uke % bZeUMh ljLorhmez % 28 o"kZ LFkku % te'ksniqjO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % MkW- ckyk 'kksjh :nziksxqmez % 39 o"kZ LFkku % vejkorhO;olk; % dSFkksfyd iqjksfgr @ odhy @ vkbZ,yvkbZ ,tqdsVj


uke % x.ks'k lkgkmez % 28 o"kZ LFkku % vxjrykO;olk; % vkbZ,yvkbZ ,tqdsVj

uke % xO;fln~/ jtuh Hkkjrh;mez % 40 o"kZ LFkku % xk¡o nqxuhgkjO;olk; % is'ksoj iapxO;

uke % xkSjo tSumez % 40 o"kZ LFkku % fnYYkhO;olk; % ,jksLisl o ,fo,'ku

uke % xhfrdk diwjmez % 32 o"kZ LFkku % iQSt+kckn] v;ksè;kO;olk; % iks"k.k o vkgkj fo'ks"kK

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uke % fxfj'k cuohmez % 55 o"kZ LFkku % /kjokMO;olk; % osyul dksp

uke % xksfcan yky ljdkjmez % 62 o"kZ LFkku % gkcjkO;olk; % fjVk;jMZ lhfu;j vkWfMVj] fMiQsal vdkmaVl

fMikVZesaV

uke % xksek jkemez % 33 o"kZ LFkku % ckMesjO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld fMikVZesaV

uke % xksihukFk ukjk;.kemez % 62 o"kZ LFkku % gSnjkcknO;olk; % e/qesg ,tqdsVj @ ;ksx fpfdRld esfMdy iks"k.k

fpfdRlk


uke % gjsanz dqekjmez % 48 o"kZ LFkku % /ucknO;olk; % ekbfuax bathfu;j fpfdRlk

uke % gsek flagmez % 50 o"kZ LFkku % fnYyhO;olk; % vkgkj fo'ks"kK o e/qesg ,tqdsVj

uke % gf"kZr egs'ojhmez % 24 o"kZ LFkku % ubZ fnYyhO;olk; % fDyfudy iks"k.k fpfdRld

uke % gseaFk lhmez % 32 o"kZ LFkku % cSaxyksjO;olk; % bathfu;j o izekf.kr e/qesg ,tqdsVj

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uke % gsejkt txUukFk lkusjmez % 46 o"kZ LFkku % eqEcbZO;olk; % vkbZ Vh izkstsDV eSustj o ,u- vkbZ- lh- bZ- ,DliVZ

uke % gqyk'k pan lka[kykmez % 72 o"kZ LFkku % fldanjkcknO;olk; % vk;qosZn izpkjd

uke % fgrs'k c=kkmez % 40 o"kZ LFkku % vgenkcknO;olk; % lfoZl @ is'ksoj ,Mokal iks"k.k fpfdRld

uke % banzthr flag cXxkmez % 58 o"kZ LFkku % fnYyhO;olk; % izkd`frd fpfdRlk


uke % banzdey frokjhmez % 27 o"kZ LFkku % vkxjkO;olk; % fjlpZj

uke % balkiQ [kkumez % 39 o"kZ LFkku % tks/iqjO;olk; % LokLF; vf/dkjh

uke % b'kkad dqekj ok"kZ.ks;mez % 36 o"kZ LFkku % gkFkjlO;olk; % f'k{kd

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uke % tlehr dkSjmez % 38 o"kZ LFkku % ubZ fnYyhO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % ftrsanz jeSÕ;ksmez % 48 o"kZ LFkku % Mcjk ftyk] Xokfy;jO;olk; % is'ksoj dEI;wVj gkMZos;j

uke % tSfldk flagmez % 29 o"kZ LFkku % yqf/;kukO;olk; % nar fpfdRld

uke % ftrasnz dqekj pkScsmez % 37 o"kZ LFkku % Nijk] lkjuO;olk; % e/qesg ,tqdsVj

uke % dey /oumez % 36 o"kZ LFkku % yqf/;kukO;olk; % bathfu;j @ O;olk;h


uke % dfiy nso 'kekZmez % 33 o"kZ LFkku % dyk;rO;olk; % esfMdy iks"k.k fpfdRld

uke % dfu"d vejiqjhmez % 21 o"kZ LFkku % ubZ fnYyhO;olk; % ;ksx izf'k{kd

uke % dju 'ksV~Vhmez % 27 o"kZ LFkku % eqEcbZO;olk; % eSjhu bathfu;j

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163uke % dkfrZd ;knomez % 29 o"kZ LFkku % fnYYkhO;olk; % bathfu;j

uke % dherh ykymez % 37 o"kZ LFkku % ckaxkO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % fd'kksj dqekjmez % 64 o"kZ LFkku % cSaxyksjO;olk; % O;olk;

uke % dfork xk¡/hmez % 37 o"kZ LFkku % psUubZO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % fdj.k thr dkSjmez % 38 o"kZZ LFkku % paMhx<+O;olk; % vkxsZfud iQkfeZax o iQwM izksMD'ku


uke % dqekj f'koemez % 21 o"kZ LFkku % iwukO;olk; % LVwMsaV @ is'ksoj ,Mokal iks"k.k fpfdRld

uke % dksMqj osadV jeu 'kkL=khmez % 65 o"kZ LFkku % eqEcbZO;olk; % fjVk;MZ lgk;d izksiQslj vkWiQ dkWelZ

uke % d¡oj vk;Zeumez % 20 o"kZ LFkku % nsocanO;olk; % ch,p,e,l vafre o"kZ LVwMsaV

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uke % y{eh fiz;k ,emez % 27 o"kZ LFkku % cSxyksjO;olk; % lekt lsoh o ;ksx izf'k{kd

uke % yh'kk vxzokymez % 26 o"kZZ LFkku % ve`rljO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % ykses'k vkuanmez % 68 o"kZ LFkku % egkleanO;olk; % ,ybZMh IykTek Vhoh Vsªfuax baLVhV~;wV izf'k{kd

uke % ek/qjh vkuan fdfudjmez % 48 o"kZ LFkku % eqEcbZO;olk; % izkd`frd fpfdRld

uke % eS=ks;k Lokehmez % 55 o"kZ LFkku % yksgsxk¡o] iwukO;olk; % lfoZl


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uke % euh"k vk;Zmez % 28 o"kZ LFkku % xqM+xk¡oO;olk; % lg;ksxh ;ksx ,DliVZ

uke % euh"kmez % 36 o"kZ LFkku % fnYyhO;olk; % bathfu;j

uke % euh"k lSuhmez % 22 o"kZ LFkku % dksViqryhO;olk; % izekf.kr dksM Cyw izf'k{kd

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179uke % eatqukFk ch ohmez % 37 o"kZZ LFkku % cSaxyksjO;olk; % fMIVh eSustj iQkbukal

uke % ekulh Fkkdjmez % 31 o"kZ LFkku % psUUkbZO;olk; % [kkn~; lqj{kk lykgdkj

uke % ehuk xqIrkmez % 57 o"kZ LFkku % dksydkrkO;olk; % vkgkj fo'ks"kK o e/qesg ,tqdsVj

uke % euqt xqIrkmez % 23 o"kZ LFkku % cSaxyksjO;olk; % thvkbZ,l fo'ys"kd

uke % ehys'k Mh lgkjsmez % 30 o"kZ LFkku % eqEcbZO;olk; % f'k{kd


uke % eksgEen vkfnymez % 33 o"kZ LFkku % lhrkiqjO;olk; % fizafliy

uke % eksgEen fiQjkst+ vkyemez % 49 o"kZ LFkku % uks;MkO;olk; % Hkk"kk lykgdkj

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uke % ehuk tks'khmez % 50 o"kZ LFkku % oYYkHk fon~;k uxjO;olk; % f'kf{kdk

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187uke % eksgEen jkfgy ulhe vgen 'ks[kmez % 21 o"kZ LFkku % eqEcbZO;olk; % n`f"V fo'ks"kK

uke % eksgu jko vkuan jko dhfrZdjmez % 64 o"kZ LFkku % vkSjaxkcknO;olk; % fjVk;MZ cSad lgk;d eSustj

uke % eksfguh ,e pkSumez % 29 o"kZ LFkku % psUUkbZO;olk; % is'ksoj izkd`frd fpfdRld

uke % eksguh'k flagmez % 35 o"kZ LFkku % eFkqjkO;olk; % iqfyl

uke % eksfgr oRlmez % 38 o"kZ LFkku % ubZ fnYyhO;olk; % bathfu;j


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193uke % dfork tSumez % 40 o"kZ LFkku % dksphO;olk; % is'ksoj iapxO;] e/qesg ,tqdsVj] dksM Cyw

uke % vfer dqekj jkenkl uk;dmez % 40 o"kZ LFkku % ikasMkO;olk; % LokLF; dksp

uke % eq'rkd vgenmez % 65 o"kZ LFkku % flokuO;olk; % f'k{kd

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195uke % ,u njglk ygjhmez % 58 o"kZ LFkku % gSnjkcknO;olk; % e/qesg ,tqdsVj

uke % ujsanz flag iVsymez % 48 o"kZ LFkku % fHkykbZO;olk; % lsy] fHkykbZ LVhy IykaV esa dk;Zjr

uke % usgk lSÕ;nmez % 27 o"kZ LFkku % jgkrkO;olk; % efgyk fte izf'k{kd

uke % uhywmez % 31 o"kZ LFkku % iksjcanjO;olk; % lhvkbZ,l,iQ esa ,,lvkbZ

uke % uhfyek pVthZmez % 63 o"kZ LFkku % ubZ fnYyhO;olk; % izkd`frd fpfdRlk] e/qesg ,tqdsj] izekf.kr dksM

Cyw /kjd


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201uke % uhfyek fufru HkVdjmez % 45 o"kZ LFkku % vejkorhO;olk; % lqtksd fpfdRld

uke % fugkj jatu jkSrmez % 52 o"kZ LFkku % Hkqous'ojO;olk; % ,yvkbZlh esa lhfu;j O;olkf;d lg;ksxh

uke % fu'kku flag teokymez % 39 o"kZ LFkku % tEEkwO;olk; % vflLVsaV vdkmaVl vkWfiQlj

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203uke % fu'kw laè;kmez % 23 o"kZ LFkku % tkatxhj pkaikO;olk; % xk;d

uke % uhrs'k |ks'kkymez % 40 o"kZZ LFkku % flfyxqM+hO;olk; % O;kikjh

uke % uhfru tSumez % 34 o"kZ LFkku % fd'kux<+O;olk; % lkÝVos;j Msoyij

uke % ih- ds- 'kekZmez % 46 o"kZ LFkku % xkft;kcknO;olk; % f'k{kd

uke % iadt dqekjmez % 24 o"kZ LFkku % dkuiqj uxjO;olk; % futh O;olk;

134 | dksfoM&19 "kM+;U=k ls lek/ku rd dksfoM&19 "kM+;U=k ls lek/ku rd | 135

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uke % izKk >kmez % 39 o"kZ LFkku % bankSjO;olk; % e/qesg ,tqdsVj

uke % ikFkZ HkV~Vkpk;Zmez % 40 o"kZ LFkku % fljkeiqjO;olk; % V~;wVj

uke % izd`r dqekj flagmez % 27 o"kZ LFkku % jkaphO;olk; % djkVs izf'k{kd

uke % iwtk vjksM+kmez % 38 o"kZ LFkku % dksydkrkO;olk; % vkbZ,yvkbZ ,tqdsVj

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uke % izHktksr dkSjmez % 26 o"kZ LFkku % eksgkyhO;olk; % izekf.kr e/qesg ,tqdsVj

uke % izchu uankmez % 35 o"kZ LFkku % cksyaxhjO;olk; % e/qesg ,tqdsVj

uke % iznhi flag pkSgkumez % 20 o"kZ LFkku % tks/iqjO;olk; % O;kikjh

uke % iznhi pkSgkumez % 36 o"kZ LFkku % olbZ] iky?kjO;olk; % LokLF; lykgdkj


uke % izrhd tks'khmez % 24 o"kZ LFkku % bankSjO;olk; % O;kikjh

uke % izrhd vkuanmez % 31 o"kZ LFkku % fnYYkhO;olk; % Vsªoy ,taslh

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uke % izhrh dVkfj;kmez % 36 o"kZ LFkku % cSaxyksjO;olk; % izkd`frd fpfdRld

uke % izse diwjmez % 45 o"kZ LFkku % vjfj;kO;olk; % ljdkjh deZpkjh

uke % iqU;kfiz;kmez % 26 o"kZ LFkku % fnYyhO;olk; % lk;dkWyksth f'k{kd

uke % izse dqekj d`".kumez % 55 o"kZ LFkku % dks;acVwjO;olk; % O;kikjh

uke % izse dhfrZ mez % 48 o"kZ LFkku % /eZ'kkyk+O;olk; % vk;qosZn o esfMVs'ku

uke % Dohulh fcanzkmez % 26 o"kZ LFkku % yqf/;kukO;olk; % O;wVhf'k;u

136 | dksfoM&19 "kM+;U=k ls lek/ku rd dksfoM&19 "kM+;U=k ls lek/ku rd | 137

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uke % jktho dqekjmez % 52 o"kZ LFkku % vkxjkO;olk; % bathfu;j

uke % jktsanz MsfYydjmez % 58 o"kZ LFkku % fldanjkcknO;olk; % O;kikjh @ e/qesg ,tqdsVj

uke % jktho ukjk;.kmez % 50 o"kZ LFkku % iVuk O;olk; % f'k{kd

uke % vkj ,l ds oekZmez % 26 o"kZ LFkku % iVukO;olk; % O;kikjh

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uke % jch fcLoklmez % 43 o"kZZ LFkku % vklulksyO;olk; % ;ksx o fiQft;ksFksjih

uke % jkgqy calymez % 34 o"kZ LFkku % [kaMokO;olk; % VsªfMax O;kikj

uke % jtuh ,axwmez % 31 o"kZ LFkku % gSnjkcknO;olk; % ,echch,l] ,eMh

uke % jkt fd'kksj dksMokuhmez % 52 o"kZ LFkku % HkksikyO;olk; % ,D;wizs'kj fpfdRld


uke % jktsanz xksj[kjko ikfVymez % 49 o"kZ LFkku % tyxk¡oO;olk; % O;kikjh (bysDVªkWfuDl)

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uke % jkts'k Hkuq'kkyhmez % 56 o"kZ LFkku % eqEcbZO;olk; % O;kikjh

uke % jkts'k dqekj cqfn~/jktkmez % 44 o"kZ LFkku % ubZ fnYYkhO;olk; % Lkh-,-

uke % jkts'k lksuhmez % 52 o"kZ LFkku % xkft;kcknO;olk; % O;kikjh

uke % jkts'k frokjhmez % 49 o"kZ LFkku % tcyiqjO;olk; % jsyos izksVsD'ku iQkslZ

uke % jktfoanj dkSjmez % 26 o"kZ LFkku % ckaxkO;olk; % uflZax

uke % jktdqekj esgrkmez % 45 o"kZ LFkku % vgenkcknO;olk; % O;kikjh

uke % jkds'k dqekjmez % 50 o"kZ LFkku % ubZ fnYyhO;olk; % izkbosV tkWc


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uke % jkS'ku dqekjmez % 25 o"kZ LFkku % ukFkZ bZLV fnYyhO;olk; % Ýyksj eSustj] vk;qosZfnd fDyfud

uke % jfoanz flag daojmez % 44 o"kZ LFkku % gksf'k;kjiqjO;olk; % ,D;wisz'kj @ is'ksoj ,D;wiapj o oSdfYid fpfdRld

uke % jfo oekZmez % 62 o"kZ LFkku % jk;iqj O;olk; % lhfu;j i=kdkj

uke % js[kk xqIrkmez % 43 o"kZ LFkku % ubZ fnYyhO;olk; % fDyfudy fjlpZj

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uke % jkeiQymez % 45 o"kZ LFkku % ubZ fnYyhO;olk; % Hkkjrh; lsuk ls fjVk;MZ

uke % jatu ?kks"kmez % 49 o"kZ LFkku % Hknzdkyh] mRrjikM+kO;olk; % LokLF; deZpkjh

uke % jatuk #axVkmez % 52 o"kZ LFkku % psUUkbZO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % jsuw xxZmez % 44 o"kZ LFkku % lksyuO;olk; % esfMdy iks"k.k @ osyusl dkmalyj @ iwoZ ,yvkbZlh

lykgdkj


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uke % jsuw dqekjhmez % 45 o"kZ LFkku % iVukO;olk; % ,D;wisz'kj izf'k{kd o ;ksx Vhpj

uke % fjrs'k 'kekZmez % 34 o"kZ LFkku % flaxjkSyhO;olk; % O;kikjh @ e/qesg ,tqdsVj @ dksM Cyw Vsªuj

uke % fj"kq xxZmez % 33 o"kZ LFkku % iapdwykO;olk; % odhy

uke % ½"kHk tSumez % 60 o"kZ LFkku % fnYyhO;olk; % dsfeLV

uke % fjrs'k ;knomez % 23 o"kZ LFkku % xkt+hiqjO;olk; % izekf.kr e/qesg ,tqdsVj

uke % fjrq flagmez % 46 o"kZ LFkku % vkxjkO;olk; % iks"k.k fpfdRld

uke % :is'k dqekjmez % 31 o"kZ LFkku % ckadkO;olk; % e/qesg ,tqdsVj] dksM Cyw Vsªuj ] ,Mokal iks"k.k

fpfdRld

uke % lkfgy feJkmez % 42 o"kZ LFkku % iwukO;olk; % lykgdkj


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uke % lat; xqIrkmez % 51 o"kZ LFkku % ubZ fnYyhO;olk; % LokLF; dkspZ

uke % lat; 'kkgmez % 27 o"kZ LFkku % vkjkO;olk; % f'k{kd o gksE;ksiSFkh izpkjd

uke % lat; ikfVymez % 50 o"kZ LFkku % Xokfy;jO;olk; % izekf.kr e/qesg ,tqdsVj] iks"k.k o LokLF; izf'k{kd

uke % lathc dqekj iVsymez % 47 o"kZ LFkku % laaqnjx<+O;olk; % oSdfYid mipkjd

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uke % lehj iafMrmez % 39 o"kZ LFkku % jk;x<+O;olk; % futh O;olk;

uke % lat; /nqdmez % 37 o"kZ LFkku % cSaxykSjO;olk; % O;olk;h

uke % lehj nklmez % 48 o"kZ LFkku % ubZ fnYyhO;olk; % ;ksx izf'k{kd

uke % larks"k xq#thmez % 36 o"kZ LFkku % MksEchoyh] FkkusO;olk; % ;ksx xq#


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uke % l'kkizk pØorhZmez % 38 o"kZ LFkku % jkaphO;olk; % f'k{kd

uke % lSÕ;n 'kkgmez % 32 o"kZ LFkku % eqEcbZO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % lR; ukjk;.k 'kekZmez % 59 o"kZ LFkku % iqRrikFkhZO;olk; % fcuk fdlh 'kS{kf.kd ;ksX;rk ds izkd`frd fpfdRld

uke % lhek ef.kdksBmez % 51 o"kZ LFkku % eqEcbZO;olk; % lfoZl

uke % lrh'k dqekj oekZ oqIiyifrmez % 39 o"kZ LFkku % gSnjkcknO;olk; % usVodZ vkfdZVsDV

uke % lhek cS.kthZmez % 45 o"kZ LFkku % cSaxyksjO;olk; % vkbZ Vh deZpkjh

uke % 'kkgtknk vkyemez % 25 o"kZ LFkku % dksydkrkO;olk; % O;kikjh fpfdRld

uke % 'ks[k bdjk vk;kt+mez % 19 o"kZ LFkku % eqEcbZO;olk; % ch,,e,l fo|k FkhZ


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uke % 'khry daojmez % 19 o"kZ LFkku % fHkokM+hO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % f'k[kk lDlsukmez % 55 o"kZ LFkku % y[kuÅO;olk; % e/qesg ,tqdsVj

uke % 'khry lkSjhmez % 34 o"kZ LFkku % iwukO;olk; % Mkalj o fiQVusl izf'k{kd

uke % f'ko nqykjmez % 52 o"kZ LFkku % ubZ fnYyhO;olk; % is'ksoj izekf.kr e/qesg ,tqdsVj] izkÑfrd fpfdRld]

,D;wizs'kj] izkÑfrd LokLF; lykgdkj o dksM Cyw Vsªuj

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uke % 'ks[k okfj'kk ulhemez % 19 o"kZ LFkku % eqEcbZ+O;olk; % ch;w,e,l dkslZ izFke o"kZ fo|kFkhZ

uke % 'kk'or dqekjmez % 26 o"kZ LFkku % iVuk O;olk; % LokLF; izf'k{kd

uke % 'kkfyuh tSumez % 36 o"kZ LFkku % enuxatO;olk; % f'kf{kdk

uke % f'ko dqekjmez % 54 o"kZ LFkku % ifV;kykO;olk; % ,D;wizs'kj


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uke % f'kokth ckyw dqykymez % 32 o"kZ LFkku % f'k:jO;olk; % is'ksoj izkd`frd fpfdRld] ;ksx izf'k{kd

uke % 'kqHkkaxh xksMlsmez % 25 o"kZ LFkku % iwukO;olk; % lkÝVos;j bathfu;j

uke % Js;k xkfM;kmez % 25 o"kZ LFkku % mn;iqjO;olk; % ;ksx Vhpj] izkd`frd o ,D;wizs'kj fpfdRld

uke % f'kokth xksjkymez % 50 o"kZ LFkku % iwukO;olk; % O;kikjh

uke % fleh gkaMkmez % 55 o"kZZ LFkku % ubZ fnYyhO;olk; % iQkekZflLV

uke % fl¼kFkZ tSumez % 33 o"kZ LFkku % xkft;kcknO;olk; % bathfu;j

uke % Lusgk flUgkmez % 31 o"kZ LFkku % iVukO;olk; % ulZ

uke % lksuy vfer 'kkgmez % 47 o"kZ LFkku % oMksnjkO;olk; % O;kikjh


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uke % lkSjo ckbZlSdmez % 25 o"kZ LFkku % /udqatO;olk; % is'ksoj ,Mokal iks"k.k fpfdRld

uke % Jhin dqekj cS|mez % 47 o"kZ LFkku % dksydkrkO;olk; % vk;qosZfnd mRikn lykgdkj

uke % ljcu ckfjdmez % 26 o"kZ LFkku % ckyaxhjO;olk; % O;olk;h

uke % lqgkl eq[kthZmez % 44 o"kZ LFkku % jkuhxatO;olk; % iapxO; lykgdkj

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uke % lkSeu eq[kksikè;k;mez % 58 o"kZ LFkku % xkft;kcknO;olk; % izkd`frd fpfdRld

uke % lkSud nklmez % 19 o"kZ LFkku % [kMxiqjO;olk; % fpfdRlk iks"k.k fo'ks"kK

uke % lkSE;k izdk'k nklmez % 43 o"kZ LFkku % tktkiqjO;olk; % O;kikjh

uke % lq/hj dqekjmez % 39 o"kZ LFkku % jsokM+hO;olk; % dsfeLVªh f'k{kd


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uke % lqys[kk nkxyhmez % 66 o"kZ LFkku % eqEcbZO;olk; % is'ksoj izkd`frd fpfdRld

uke % lqeu pkSgkumez % 33 o"kZ LFkku % vEckykO;olk; % LokLF; dksp

uke % MkW- lquhy dgkysdjmez % 44 o"kZ LFkku % ukansMO;olk; % iksLV xzstq,V @ ch,,e,l

uke % lqfiz;ks etwenkjsmez % 55 o"kZ LFkku % ubZ fnYyhO;olk; % uknZu jsyos esa lhfu;j lsD'ku bathfu;j

uke % lqjsanz dqekjmez % 42 o"kZ LFkku % HkqtO;olk; % ljdkjh deZpkjh

uke % lqjs'k dqekj ;knomez % 27 o"kZZZ LFkku % ykrwjO;olk; % U;wjksFksjkfiLV

uke % lq"kek ?kks"k (jkW;)mez % 27 o"kZ LFkku % [kMxiqjO;olk; % osyusl dkmalyj

uke % lq"kek cSaxuhmez % 56 o"kZ LFkku % cSaxyksjO;olk; % izkd`frd fpfdRld ,uMhMhokbZ


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uke % rkgsjk [kkysnhmez % 29 o"kZ LFkku % gSnjkcknO;olk; % fiQft;ksFksjsfiLV

uke % rstiky flagmez % 57 o"kZ LFkku % diwjFkykO;olk; % is'ksoj e/qesg ,tqdsVj

uke % riu dqekj egkik=kkmez % 49 o"kZ LFkku % iwckZ esfnuhiqjO;olk; % dEI;wVj flLVe ,MfefuLVªsVj

uke % Fkksdpkse jkes'oj flagmez % 42 o"kZ LFkku % bEiQkyO;olk; % LokLF; dksp

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uke % lSÕ;n okftn gqlSumez % 62 o"kZ LFkku % FkkusO;olk; % odhy

uke % lSÕ;n ckcj vgenmez % 39 o"kZ LFkku % gSnjkcknO;olk; % bZMhvkbZ Lis'kfyLV

uke % frvkyk bepsumez % 30 o"kZ LFkku % dksfgekO;olk; % O;olk;h

uke % Åek ;knomez % 47 o"kZ LFkku % xqM+xk¡oO;olk; % fjlpZ LdkWyj


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uke % oS".koh ftrsanz okyqatmez % 32 o"kZ LFkku % fiEijh fpapokMO;olk; % iQkekZflLV

uke % mRiy jk;mez % 57 o"kZ LFkku % xksiky uxj] ukFkZ 24

ijxukO;olk; % O;kikjh

uke % Åekdkar eksgik=kkmez % 36 o"kZ LFkku % Hkqous'ojO;olk; % f'k{kd

uke % oklqnso jk;mez % 21 o"kZ LFkku % HkkjrO;olk; % LokLF; lykgdkj

uke % ohuk nsoh dksYyhikjkmez % 35 o"kZ LFkku % gSnjkcknO;olk; % osyusl dkmalyj

uke % fot; vkuanmez % 33 o"kZ LFkku % egkleanO;olk; % O;kikjh

uke % fot; oMxckydjmez % 63 o"kZ LFkku % eqEcbZO;olk; % osyusl o fiQVusl ÚhMe dksp

uke % fouhr [ksrkumez % 36 o"kZ LFkku % dksydkrkO;olk; % lfoZl


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uke % fo'kky csdsYyqmez % 36 o"kZ LFkku % iwukO;olk; % LokLF; dksp

uke % osadVs'oj uan feJkmez % 39 o"kZ LFkku % lrukO;olk; % tu LokLFk j{kd

uke % okftn gqlSu lSÕ;nmez % 63 o"kZ LFkku % FkkusO;olk; % odhy

uke % n;kuUn lkseukFk tk/omez % 55 o"kZ LFkku % iq.ksO;olk; % vkgkj fpfdRlk esa ,M~okal Vªsfuax

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uke % fouksn uanhxkemez % 40 o"kZ LFkku % gSnjkcknO;olk; % dkiksZjsV Vsªuj

uke % fouksn dqekj dFksfj;kmez % 56 o"kZ LFkku % tSriqj] ubZ fnYyhO;olk; % vk;qosZfnd fpfdRld

uke % 'kcue [ksjMhmez % 28 o"kZ LFkku % Bk.ksO;olk; % dfiax FksjsfiLV

uke % thou txnh'k lkoarmez % 36 o"kZ LFkku % olkbZO;olk; % vkgkj fpfdRlk LiS'kfyLV


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uke % usgk lkyokuh mez % 48 o"kZ LFkku % HkksikyO;olk; % vkgkj fpfdRlk esa ,M~okal Vªsfuax

uke % f'k[kk xqIrkmez % 43 o"kZ LFkku % y[kuÅO;olk; % izkd`frd fpfdRld @ uhth LokLF; fpfdRld

uke % dkty nks'khmez % 43 o"kZ LFkku % eqEcbZO;olk; % vkgkj fo'ks"kK Dyhfud

uke % /jk yfFk;kmez % 25 o"kZ LFkku % lwjrO;olk; % LokLF; fo'ks"kK

uke % lUrks"k dqekj vuq mez % 46 o"kZ LFkku % eqt+ÝiQjiqjO;olk; % laxhrdkj

uke % gseUr vjksM+kmez % 37 o"kZ LFkku % iQjhnkcknO;olk; % O;olk;h

uke % gjsUnz 'kkfUMY; mez % 40 o"kZ LFkku % vyhx<+O;olk; % tSfod d`f"k

uke % thuq teMkXuhmez % 43 o"kZ LFkku % cokukO;olk; % vkgkj foKku es ,M~okal Vsªfuax lfVZfiQds'ku


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uke % eks- bZlk ckdsj ckcqmez % 45 o"kZ LFkku % <kdkO;olk; % Mk;fcVht+ ,tqdsVj

uke % MkW- nhid olar rqismez % 38 o"kZ LFkku % okMqtO;olk; % izSDVh'uj

uke % v:u eqdqan ikfVymez % 52 o"kZ LFkku % okMkO;olk; % O;olk;h

uke % t;kjke ckjsxj mez % 54 o"kZ LFkku % iq.ksO;olk; % O;olk;h

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uke % MkW- cztsUnz ;kno mez % 30 o"kZ LFkku % Xokfy;jO;olk; % gksfe;ksiSFkh lykgdkj

uke % MkW- vkn'kZ foan vxzokymez % 46 o"kZ LFkku % paaMhx<+O;olk; % MkWDVj

uke % uohu HkkfV;k mez % 56 o"kZ LFkku % cSaxykSjO;olk; % izkd`frd fpfdRld

uke % MkW- ';ke lqUnj xqIrk mez % 53 o"kZ LFkku % fcykliqjO;olk; % MkWDVj


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uke % foØkUr ¯lg Mksxjkmez % 42 o"kZ LFkku % flMuhO;olk; % vkfdZVsDV lykgdkj

uke % jkfgy 'ks[kmez % 21 o"kZZ LFkku % eqEcbZO;olk; % vksIVksesfVªLV

uke % fuys'k rysysmez % 45 o"kZ LFkku % eqEcbZO;olk; % izkd`frd mipkj ,oa ,D;wizs'kj FksjsfiLV] edSfudy

bathfu;j rFkk vkbZVh vkfdZVsDV

uke % laxzke cokpdj mez % 39 o"kZ LFkku % eapkjO;olk; % ch,,e,l

uke % cyfoanj ¯lg mez % 54 o"kZ LFkku % feyiQksMZO;olk; % [kk| lapkyd

uke % lksuk dsjdj mez % 44 o"kZ LFkku % eqEcbZ+O;olk; % vkgkj lykgdkj

uke % f'koe~ pkS/jhmez % 22 o"kZ LFkku % eqt+ÝiQjuxjO;olk; % ch,,e,l

uke % oh- oSUdVs'ojyq mez % 56 o"kZ LFkku % HkksikyO;olk; % vkbZVh izksisQ'uy

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uke % fueZy ikWymez % 28 o"kZ LFkku % fMxuxj iyikjkO;olk; % fiQft;ksFksjsfiLV

uke % pUnz izdk'k jk;fla?kkuhmez % 28 o"kZ LFkku % HkksikyO;olk; % LokLF; fo'ks"kK ,oa vkgkj lykgdkj

uke % ozUnk [kk.Mos mez % 54 o"kZ LFkku % bankSjO;olk; % izkd`frd fpfdRld ,oa vkgkj fo'ks"kK

uke % oUnuk vkgqtk mez % 39 o"kZ LFkku % iq.ksO;olk; % lksÝVos;j bathfu;j

uke % nhidmez % 29 o"kZ LFkku % ukjukSyO;olk; % ljdkjh deZpkjh

uke % vferk tSu mez % 39 o"kZ LFkku % fnYyhO;olk; % vkgkj fo'ks"kK @ ys[kd

uke % lSfo;ks ikbl mez % 52 o"kZ LFkku % dqosrO;olk; % lfoZl

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uke % yoyhu flagmez % 35 o"kZ LFkku % tkya/jO;olk; % ,echch,l] ,eMh


uke % MkW- nsosUnz flag iVoky mez % 50 o"kZ LFkku % jkeuxjO;olk; % izkd`frd foKku ,oa ;ksx

uke % MkW- lqjs[kk flagmez % 57 o"kZ LFkku % ikSM+h x<+okyO;olk; % MkWDVj

uke % jke;k ih vkj mez % 34 o"kZ LFkku % ikyDdM+] dsjykO;olk; % ch ,p ,e ,l

uke % iz'kkar dqekj ?kks"kmez % 40 o"kZ LFkku % xss?kkrk cksuxkaoO;olk; % V~;wVj

uke % fouksn dqekjmez % 38 o"kZ LFkku % ;equk uxjO;olk; % ljdkjh lfoZl

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fujh{k.k ls tqM+s vè;;u - Biswaroop · flfyaMj ds fcydqy Bhd fd;k tk ldrk gSA ;gk ¡ij vR;f/d...

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Transcript of fujh{k.k ls tqM+s vè;;u - Biswaroop · flfyaMj ds fcydqy Bhd fd;k tk ldrk gSA ;gk ¡ij vR;f/d...