g~ÎZ‡š¿i
mvaviY †ivM
wKWbxi MVb I KvR t wKWbx Avgv‡`i †`‡ni
AZ¨š— ¸i“Z¡c~Y© A½| wKWbx
i‡³i eR©¨ ev Lvivc c`v_©¸‡jv †ei
K‡i †`q| gvbe‡`‡n `y‡Uv wKWbx i‡q‡Q|
†Kvg‡ii Dc‡i †c‡Ui G‡Kev‡i
†cQ‡bi †`qv‡j †gi“`‡Ûi
`yÕcv‡k G `y‡Uvi Ae¯’vb| mx‡gi exwPi
g‡Z †`L‡Z cÖwZwU wKWbx cÖvq 12 †mw›UwgUvi
j¤^v I 6 †mw›UwgUvi PIov| wKWbxi IRb GKRb c~Y©eq¯‹
†jv‡Ki †²‡Î cÖvq 140 MÖvg|
`ywU wKWbxi cÖ‡Z¨KwU‡Z cÖvq 10 j² †bd«b
_v‡K| KvR A‡bKUv QuvKwbi g‡Zv| †bd«‡bi
cÖavb `ywU Ask †Mv‡gi“jvm I †ibvj
wUDweDj| Avgv‡`i kix‡i AbeiZ ˆRe ivmvqwbK cÖwµqv
P‡j‡Q, Zvi d‡j cÖPzi cwigv‡Y `~wlZ c`v_©
I GwmW ˆZwi nq| wKWbxi mvnv‡h¨ kix‡ii GB `~wlZ
c`v_© I GwmW cÖmªv‡ei mv‡_ †ei n‡q
Av‡m| ïay ZvB bq, †KD nq‡Zv †ewk cwigvY
cvwb, AwZwi³ jeY †L‡q †dj‡jb; wKWbx GB
AwZwi³ cvwb I jeY cÖmªv‡ei mv‡_ †ei
K‡i †`q| Avevi Ae¯’v we‡k‡l †KD
nq‡Zv cÖ‡qvRbxq cwigvb cvwb I jeY †L‡Z
cvi‡Qb bv| †m‡²‡Î wKWbx jeY I cvwb
msiY K‡i i‡³ cvwV‡q †`q| GK K_vq wKWbx
n‡jv kix‡ii QuvKwb| GB QuvKwb Avgv‡`i †`‡ki
mvaviY wKWbx †ivM¸‡jv †`Lv †`q|
Avgv‡`i †`‡ki
mvaviY wKWbx †ivM¸‡jv n‡”QÑ*
g~ÎZ‡š¿i msµgb * †bd«vBwUm
* †b‡d«vwUK wmb‡Wªvg * wKWbxi cv_yix †ivM
* wKWbx A‡K‡Rv n‡q hvIqv ev †ibvj †dBwjIi|
DcmM© I j²Y t
wKWbx †ivM A‡bK cÖKvi Ges Gi jY¸‡jvI wfbœ
wfbœ| cÖavb cÖavb wKWbx
†iv‡Mi mvaviY j²Y¸‡jv
t * gyL, nvZ, cv, A_ev mg¯— kixi dz‡j hvIqv
* cÖmªv‡ei cwigvY K‡g hvIqv * cÖmªv‡ei
m‡½ i³ A_ev †cÖvwUb hvIqv * cÖmªv‡e
R¡vjv‡cvov, Nb Nb cÖmªve nIqv, Zj‡c‡U
A_ev †Kvg‡i e¨_v nIqv I †K‡c R¡i Avmv
* D”P i³Pvc I i³¯^íZv * cÖmªv‡ei
m‡½ cv_i †ei nIqv * iv‡Z AwZwi³ cÖmªve
nIqv, LvIqvi i“wP K‡g hvIqv, ewg ewg fve nIqv, kixi PzjKv‡bv
BZ¨vw`|
‡h †h Kvi‡Y
wKWbx †ivM nq t `xN©w`b a‡i Wvqv‡ewUm
_vK‡j * `xN©w`b D”P i³Pv‡c fyM‡j *
¯‹¨vwem I Ubwm‡ji cÖ`vn n‡j * GKvwaKevi
g~Îbvjxi msµgb n‡j * wKWbxi cwjwmw÷K †ivM
_vK‡j * g~Îbvjx‡Z †Kv‡bv Ae‡iva
ev euvav _vK‡j * Wvqwiqv n‡j, mv‡c Kvgov‡j,
cy‡o †M‡j, nVvr i³Pvc K‡g †M‡j
ev †Kv‡bv Jly‡ai cvk¦©-cÖwZwµqvq
wKWbxi wewfbœ mgm¨v †`Lv w`‡Z cv‡i|
g~ÎZ‡š¿i
wb‡Pi As‡ki msµgb t g~Î A½ wb‡q
MwVZ Zv‡`i msµgb‡KB g~Î Z‡š¿i
msµgb e‡j| g~Î Z‡š¿i msµgb‡K
`yÕfv‡M fvM Kiv hvq|
g~Î Z‡š¿i wb‡Pi As‡ki msµgb|
†hgbt g~Î_wj I g~Îbvjxi msµgb|
g~Î Z‡š¿i Dcwifv‡Mi msµgb| †hgbt
cvB‡jv‡bd«vBwUm A_©A wKWbx I BD‡iUvi Gi
msµgb|
g~Î Z‡š¿i wb‡Pi As‡ki msµgbt
gyÎ Z‡š¿i wb‡Pi As‡k i‡q‡Q
g~Î_wj I g~Îbvjx| GB `yÕwUi msµgb‡K GK‡Î
g~ÎZ‡š¿i wb‡Pi As‡ki msµgb
e‡j| Avjv`v Avjv`v fv‡e g~Î_wji msµgb‡K
wmmUvBwUm Ges g~Îbvjxi msµgb‡K BD‡i_ªvBwUm
e‡j| G¸‡jvi KviY I jY cÖvq GKB ai‡bi|
KviY t mvaviYZ B-‡KvjvB, †÷ªc‡UvK°vB
I †÷ªdvB‡jvK°vB bvgK RxevYyi Øviv
GB †ivM nq| g~Îbvjxi msµgb Lye †ewk nq †g‡q‡`i
g‡a¨| KviY †g‡q‡`i gyÎbvjx ˆ`N©¨
†QvU, †g‡q‡`i g~ÎØvi I †hvwbc_
Lye KvQvKvwQ, gvwmK FZzmªv‡ei mgq A‡bK †g‡qiv
gqjv, †Quov I †bvsiv RvZxq Kvco e¨envi K‡ib G‡Z
RxevY~ cÖ_‡g †hvwbc‡_ I c‡i msjMœ
g~Îbvjx‡K msµwgZ K‡i Ges †g‡q‡`i
cÖmªve bv K‡i AvU‡K ivLvi cÖeYZv †ekx
ZvB cÖmªv‡e msµgb nIqvi m¤¢vebvI †ekx|
DcmM© I j²Y t
* nVvr K‡i Nb Nb cÖmªve ïi“ nIqv * cÖmªve
Kivi mgq R¡vjv †cvov Kiv * cÖmªv‡ei mgq
Ges cÖmªv‡ei c‡i Zj‡c‡U e¨_v Kiv
* cÖmªve †kl nIqvi c‡iI cÖmªve Kivi
Rb¨ Zxeª B”Qv| Zj‡c‡U Pvc w`‡j e_v
Abyfe Kiv * cÖmªv‡ei is †Nvjv‡U I `yM©Ühy³
nIqv * KL‡bv KL‡bv cÖmªv‡ei m‡½
i³ hvIqv * R¡i, kxZkxZ fve I Kuvcywb _vK‡Z cv‡i|
RwUjZv t mgq g‡Zv wPwKrmv bv Kiv‡j msµgb
wKWbx‡Z Qwo‡q †h‡Z cv‡i Ges Zv †_‡K
wKWbx bó n‡q †h‡Z cv‡i|
j¨ve cix²v t
BDwi‡bi i“wUb cix²v Kiv `iKvi * BDwi‡bi KvjPvi
†mbwmwfwU †`Lv †h‡Z cv‡i|
wPwKrmv t
‡ivMx‡K cÖPzi cvwb †L‡Z ej‡Z n‡e|
K¨vcmyj G‡gvw•wmwjb (250-500 wgtMÖvt) GUv K‡i
8 NÈv Aš—i w`‡b 3 evi wn‡m‡e 5-7
w`b A_ev U¨ve‡jU †KvUªvB‡gv•Rj (480
wgwjMÖvg) 2Uv K‡i 12 NÈv Aš—i w`‡b
2 evi wn‡m‡e 5-7 w`b A_ev, U¨ve‡jU Ciprofloxacin
(500mg) 1wU U¨ve‡jU 12 NÈv cici 3-5w`b|
Dc‡iv³ wPwKrmvq DbœwZ bv n‡j †ivMx‡K
AwfÁ wPwKrm‡Ki Kv‡Q cvVv‡Z n‡e|
cÖwZ‡iva t
ch©vß cvwb (eo‡`i w`‡b Kgc‡² 12 Mvm)
†L‡Z n‡e|
cÖmªve A‡bK²Y AvUwK‡q ivLv hv‡e bv|
gwnjv‡`i gvwm‡Ki mgq cwi¯‹vi c¨vW/Kvco e¨envi
Kiv DwPZ|
mnev‡mi Av‡M I c‡i cÖmªve Kiv DwPZ|
