Friday, October 12, 2012

Dengue fever


†W½y R¡i


†W½y GwWm gkvevwnZ fvBivm †ivM| Pvi ai‡bi fvBiv‡m G †ivM nq| GK fvBiv‡m Avµvš— n‡j IB fvBiv‡m wØZxqevi Avµvš— nIqvi m¤¢vebv †bB| 7-8 gv‡mi Rb¨ wØZxq †Kvb fvBivm I AvµgY K‡i bv, Z‡e wØZxqevi Bb‡dKkb n‡j mvaviYZ gvivÍK †W½y †n‡gv‡iwRK wdfvi nq| †mRb¨B †W½y †n‡gv‡iwRK wdfv‡ii †ivMxi msL¨vI cÖwZ eQ‡i ev‡o|
cwimsL¨vb : wek¦¯^v¯’¨ ms¯’vi Z_¨ Abyhvqx cÖwZ eQi c„w_ex‡Z cuvP †_‡K `k †KvwU †jv‡Ki †W½y n‡”Q| AvovB †_‡K cuvP jvL †jv‡Ki n‡”Q †W½y wn‡gv‡iwRK wdfvi| gviv hv‡”Q cÖvq cuwPk nvRvi| e„wócv‡Zi m‡½ †W½y cÖv`yf©ve n‡q _v‡K| G eQi GwcÖj †_‡KB ïi“ n‡q‡Q| Avgv‡`i †`‡k me‡P‡q †ewk †W½y nq †m‡Þ¤^i-A‡±vei gv‡m|
gkv : R¡‡ii mgq Kvgov‡j gkv RxevYyevnx nq Ges mvivRxeb IB gkv msµvgK _v‡K| gkv hZ¸‡jv wWg †`q me RxevYyevnx nq| †W½y gkv Av‡jv‡Z Kvgovq, we‡kl K‡i w`‡bi ïi“‡Z I †klfv‡M| †W½y gkv †Wviv KvUv, mvB‡R Ab¨vb¨ gkvi †P‡q eo| G gkv R½‡j _v‡K bv, e× ev cÖevngvb Rjvk‡q wWg †`q bv| cuvP w`‡bi †ewk R‡g _vKv ¯^”Q cvwb‡Z gkv Rš§vq|
†W½y R¡i : RxevYyevnx GwWm gkv bv Kvgov‡j †W½y n‡e bv Ges gkv †W½y Avµvš— †ivMx‡K Kvgov‡Z n‡e| i³evnx IB gkv hv‡`i Kvgov‡e Zv‡`iB ïay †W½y n‡e| †W½y R¡‡i Avµvš— gv‡qi ey‡Ki `ya †L‡j ev”Pvi †W½y nIqvi m¤¢vebv †bB|
R¡‡ii m‡½ i³ÿiY _vK‡jB Zv‡K †W½y †n‡gv‡iwRK wdfvi e‡j bv| wek¦¯^v¯’¨ ms¯’vi msÁv Abyhvqx i‡³ cøvwU‡j‡Ui msL¨v 100000 (GK jvL) ev Zvi Kg n‡j Ges PCV (†ngv‡Uvwµ‡gi) ZviZg¨ kZKiv wek fvM (20%- Kg/†ewk) n‡j Zv‡K †W½y †n‡gv‡iwRK wdfvi e‡j| †W½y wPwKrmvi Rb¨ wPwKrm‡Ki m‡›`nB h‡_ó| GKB ai‡bi AmyL †Kvb A‡j †_‡K _vK‡j m‡›`n bv Kivi wKQy †bB|
DcmM© : wPwKrmvi myweavi Rb¨ †W½y‡K wZb fv‡M eY©bv Kiv nq| K¬vwmK¨vj †W½y wdfvi, †W½y †n‡gv‡iwRK wdfvi I †W½y kK wmbWªg| AviI `yBfv‡e †W½y †ivMxiv wPwKrmvi Rb¨ Av‡m| 1. bb-†¯úwmwcK wdfvi †hme †W½y R¡i‡K Ab¨ R¡i †_‡K c„_K Kiv m¤¢e nq bv| 2. †W½yI RwUjZv-gvivÍK wjfv‡ii AmyL (dvjwg‡bwUs wjfvi †dBji) A_ev †eª‡bi AmyL (Gb‡mdvjvBwUm/Gb‡mdvjc¨vw_)|
†W½y‡Z Gb‡mdvjvBwUm nq bv ej‡jB P‡j|
gkv Kvgovevi `yB mßvn c‡i R¡i n‡j ev `yB mßv‡ni †ewk R¡i _vK‡j †mUv †W½y bq| †W½y‡Z nVvr Kv‡iB me DcmM© †`Lv †`q| †ivMxi fxlY R¡i, Amnbxq Mv e¨_v, wMiv e¨_v, gv_v aiv, ewg nq, i¨vk †ei nq| †W½y‡Z we‡kl K‡i †Pv‡Li †cQ‡b Lye e¨_v nq| Avgiv 104 †_‡K 106 dv. R¡i cvB|
†W½yi i¨vk Pvi ai‡bi| cÖ_g w`b ev wØZxq w`‡bi mviv kixi jvj (d¬vm) n‡q hvq, kix‡ii wewfbœ RvqMvq i³vf `vbv (wd¬wUs i¨vk) †`Lv hvq| Z…Zxq ev PZz_© w`‡b nv‡gi g‡Zv i¨vk (giwewjdig) DV‡Z cv‡i| wUwcK¨vj i¨vk †ei nq lô w`‡b| wc‡bi gv_vi AvK…wZi i³`vbvi g‡Zv mviv kix‡i Qwo‡q hvq Ges Gi gv‡S gv‡S ¯^vfvweK Pvgov †`Lv hvq| G‡K e‡j Kbfv‡j‡m›U Kbd¬z‡q›U †cwUwKqvj i¨vk| i¨vk QvovI †W½y n‡Z cv‡i| wn‡gv‡iwRK bv n‡qI i¨v‡ki m‡½ i³ÿiY _vK‡Z cv‡i K¬vwmK †W½y‡Z| †W½y R¡‡ii mgq A‡bK †ivMxB Amg‡q gvwmK ïi“ nIqvi K_v e‡j‡Q hv‡`i K¬vwmK¨vj †W½y wQj, †W½y wn‡gv‡iwRK wdfvi nqwb| †W½y‡Z i³bvjx wjK K‡i I i³ÿiY e‡Üi ¯^vfvweK cÖwµqv weaŸ¯— nq| i³bvjxi wjKB Avm‡j †W½y wn‡gv‡iwRK wdfv‡ii g~j mgm¨v| GRb¨B †W½y‡Z i³ÿiY QvovI i³ Pvc ev e­vW †cÖmvi K‡g hvq, †c‡U cvwb (GmvBwUm) I dzmdz‡m cvwb (Bdzkb) R‡g| Gme jÿY mvaviYZ R¡i P‡j hvIqvi 24 NÈv Av‡M †_‡K ïi“ K‡i 48 NÈv ci ch©š— n‡q _v‡K|
†MÖwWs : †W½y wn‡gv‡iwRK wdfv‡i `„kZ †Kvb i³ÿiY bv _vK‡j e‡j †MÖW-1, i³ÿiY _vK‡j †MÖW-2| G¸‡jvi m‡½ i³ Pvc Kg‡Z _vK‡j e‡j †MÖW-3, Avi i³ Pvc bv cvIqv †M‡j †MÖW-4| †W½y kK wmbWªg : †MÖW-3 I †MÖW-4 †K GK‡Î †W½y kK wmbWªg e‡j|
j¨ve‡iUwi †U÷ : †W½y‡Z †k¦Z KwYKv (wjD‡KvmvBU), AbyPwµKv (cøvwU‡jU), BGmAvi K‡g| Pvi nvRv‡ii Kg †k¦Z KwYKv me‡P‡q wek¦¯— j¨ve BwÛ‡Kkb| wn‡gv‡M­vweb, wngv‡UvwµU (wcwmwf), wjfvi GbRvBg I Gw›UewW ev‡o| WvqvMbwm‡mi Rb¨ Gme cixÿv evievi Ki‡Z nq| †W½y kK wmbWª‡g me A‡½i mgm¨v nq| †m Abyhvqx cixÿv Kiv‡Z nq| †c‡Ui I dzmdz‡mi cvwb †`Lvi Rb¨ AvjUªvm‡bvMÖvwd Kiv‡bv `iKvi c‡i| cÖ‡qvRbvbyhvqx mßg w`‡bi c‡i GUv Kiv fv‡jv| Gw›UewW †U÷ cÂg ev lô w`b †_‡K Kiv †h‡Z cv‡i| R¡i _vKv Ae¯’vq fvBivm †`L‡Z nq| wbwðZ WvqvMbwm‡mi Rb¨ GwÛewW †U÷ I fvBivm wbY©q Kiv `iKvi| fvBivm wbY©qB me‡P‡q wbwðZ cixÿv| R¡‡ii cÖ_gw`‡K Aek¨B wUwm wWwm B Gm Avi Ki‡Z n‡e Zv‡Z e¨v‡±wiqv †_‡K fvBivj Bb‡dKkb c„_K Kiv hv‡e| fvBivj g‡b n‡j PZz_© w`b †_‡K cøwU‡jU I wcwmwf Ki‡Z n‡e| mßg w`‡b R¡i bv †M‡j UvBd‡qW, wi‡KUwkqvi K_v fve‡Z n‡e| †m Abyhvqx cixÿv-wbixÿv Kiv‡Z n‡e|
cÖwZKvi : †W½y wn‡gv‡iwRK wdfv‡i wZbwU gvivÍK mgm¨v †`Lv †`q| 1) i³ÿiY 2) wjfvi †dB‡jvi 3) kK| i³ÿiY we‡kl K‡i Lv`¨bvjxi i³ÿiY (i³ ewg, Kv‡jv cvqLvbv) I †ncvwUK †dB‡jvi Ges A‡bK †ÿ‡Î wKWwb †dB‡jvi IB me †ivMxi †ewk nq hviv WvB‡K¬v‡db RvZxq Ilya e¨envi K‡i| `ytLRbK n‡jI mZ¨ Avgv‡`i †`‡ki A‡bK wPwKrmK R¡i Kgv‡bvi Rb¨ G¸‡jv GLbI e¨envi K‡i _v‡Kb| wWnvB‡Wªk‡bi †ivMxi †ÿ‡Î G¸‡jvi e¨envi gvivÍK cwiYwZ‡K Z¡ivwš^Z K‡i|
†W½yi we‡kl †Kvb wPwKrmv †bB| ZvB kK cÖwZ‡iv‡ai Rb¨ h‡_ó cwigvY cvwb w`‡Z n‡e| R¡‡ii Rb¨ D‡jøwLZ Ilya¸‡jv e¨envi bv K‡i c¨vivwmUvgj (60 wg. MÖvg/†KwR/cÖwZw`b) w`‡Z nq| R¡i ¯^vfvweK bv n‡jI £100 wWwMÖ dv‡ibnvBU ivL‡Z cvi‡jB n‡e| A‰ah© bv n‡q h‡_vchy³ cwigvY c¨vivwmUvgj I cvwb w`‡j me †ivMxiB R¡i K‡g| †gvUvgywU 2.5 †_‡K 3 wjUvi cvwb †L‡Z cvi‡jB n‡e| cvwb bv †L‡Z cvi‡j m¨vjvBb w`‡Z n‡eÑ G †ÿ‡Î bigvj m¨vjvBbB me‡P‡q fv‡jv| wbDwUªkb wVK ivLvi Rb¨ Lvevi †L‡Z Drmvnx Ki‡Z n‡e| Wv‡ei cvwb, Iim¨vjvBb, Rym, †KvK BZ¨vw` cvbxq w`‡j cvwbi m‡½ K¨vjwiI wbwðZ nq| †W½y kK cÖwZ‡iva Ki‡Z n‡j e­vW †cÖmvi, cÖmªv‡ei cwigvY BZ¨vw` gwbUi Ki‡Z n‡e|
cwimsL¨vb : †W½y wn‡gv‡iwRK wdfv‡i g„‡Zi msL¨v 10-12 fvM n‡Z cv‡i| kK wmbWªg n‡j GmsL¨v 40 fvM G `uvov‡e| Z‡e cÖ_g †_‡KB Dchy³ wPwKrmv w`‡Z cvi‡j GmsL¨v 0.2% ivLv m¤¢e| _vBj¨v‡Û g„‡Zi msL¨v 0.2% ivL‡Z cvi‡jI fviZ, kÖxjsKv, wm½vcy‡i g„‡Zi msL¨v 2 Gi †ewk| MZ K‡qK eQi cwimsL¨v‡b †`Lv hvq, Avgv‡`i g„‡Zi msL¨v 2 Gi Kg Ges Kg‡Q| m‡›`n n‡j †ivMx‡K fv‡jv nvmcvZv‡j AvbvB m‡e©vËg| hvi †c‡Ui e¨_v _vK‡QB, ewg Kg‡Q bv, †h Dëv-cvëv eK‡Q G ai‡bi †ivMx †W½y kK wmbWªg nIqvi m¤¢vebv †ewk| Gme †ivMxi nVvr K‡i R¡i †b‡g hvq I cøvwU‡jU Lye K‡g hvq|
†MÖW-1 I †MÖW-2 †Z we‡kl wKQy jvMvi K_v bq| †MÖW-3 n‡j m¨vjvBb w`‡q gwbUi Ki‡Z n‡e| cÖ_‡g Qq wgwj/†KwR/NÈv w`‡q ïi“ K‡i cÖ‡qvRb Abyhvqx Kgv‡Z ev evov‡Z n‡e| g‡b ivL‡Z n‡e †ewk cvwb †`qvI gvivÍK SuzwKc~Y©| †W½y‡Z i³bvjxi (cøvRgv) wj‡Ki Rb¨ wWnvB‡Wªkb nq Ges cvwb jv‡M| wjKUv ÿY¯’vqx (12-48) NÈv| wjK eÜ n‡q †M‡j ZvB AwZwi³ cvwb †c‡j †mUv †cU, dzmdzm, †eªb ev Ab¨vb¨ RvqMvq Rg‡e| i³ÿi‡Yi Rb¨ †ngv‡UvwµU K‡g †M‡j cyiv (†nvj) evW w`‡Z n‡e|
AvksKvRbK i³ÿiY _vK‡j I wngv‡UvwµU †ewk _vK‡j cvjvwU‡jU w`‡Z nq| A‡b‡K KvD›U 10000 Gi Kg n‡j cjvwU‡jU w`‡Z e‡jb| KviY Gme †ÿ‡Î †eªb ev Ab¨ †Kvb fvBUvj AM©v‡b i³ÿiY nIqvi fq _v‡K| Z‡e ev¯—e AwfÁZv †_‡K ejv hvq, †W½y wPwKrmvq cvwU‡jU †`qvi cÖ‡qvRb cÖvq †bB|
†W½yi wPwKrmvq A¨vw›UfvBivj, KiwU‡Kv‡÷i‡qW, †Wvcvwgb (†cÖmvi evovq) Kve©v‡Rvµvg (K¨vwcjvix wjK Kgvq) BZ¨vw` Wªv‡Mi †Kvb Kvh©KvwiZv †bB| fvBivm †ivM weavq Gw›Uev‡qwU‡Ki †Kvb †ivj †bB| wbD‡Uªv‡cwbqv nq e‡j A‡b‡K AvMvg (†cÖvdvB‡jKwUK) Gw›Uev‡qwUK w`‡q †`b GUv AviI ÿwZ K‡i| Avgv‡`i †`‡k A‡b‡K nvB‡Wv‡R KiwU‡K‡÷i‡qW (Iiv‡W·b,mjyKi‡Ud) †`b| G ai‡bi Ilya †`qvi K_v eB ev Rvb©v‡j †bB| Avgiv ev¯—‡e Gi †Kvb `iKvi Dcjwä Kwiwb| KiwU‡Kv‡÷i‡q‡Wi A‡bK cvk¦©cÖwZwµqv| Avgiv A‡bK †ivMxB †c‡qwQ hviv †÷i‡qW e¨envi Kivi Kvi‡Y R¡i mvivi c‡i Wvqv‡ewUm wb‡q G‡m‡Qb|
cÖwZ‡iva : f¨vwKmb †h‡nZz GK fvBivm AvµgY Ki‡j Ab¨ fvBiv‡mi AvµgY I †iv‡Mi cÖ‡Kvc Z¡ivwš^Z nq| Pvi fvBiv‡mi G †iv‡Mi Rb¨ ZvB †UUªvf¨v‡j›U f¨vw·b jvM‡e| gvbyl Qvov Ab¨ †Kvb Rx‡ei †W½y nq bv, ZvB m½Z Kvi‡YB f¨vw·‡bi wimvP© I KwVb| _vBj¨vÛ f¨vw·‡bi wimv‡P© wKQyUv AMÖMwZ AR©b Ki‡jI GLbI f¨vw·b evRv‡i Av‡mwb| †h‡nZz f¨vw·b †bB, ZvB gkv I Zvi jvf©v ev wWgB G‡ÿ‡Î Avgv‡`i Uv‡M©U|
gkv : GwWm gkv W‡gw÷K ev M„ncvwjZ| †`qv‡ji †Kv‡b, `iRvi duv‡K, I c`©vi fuv‡R †mu‡U _v‡K GwWm| †W½y Gov‡Z n‡j GwWm gkv‡K cÖwZnZ Ki‡Z n‡e| gkvi wWg cvivi ev jvf©v Rš§vevi RvqMv nj RjKv›`v, wW‡gi †Lvmv, bv‡i‡K‡ji †Lvjv, Gqvi Kzjvi/Gwm, Mvwoi cwiZ¨³ Uvqvi, dz‡ji Ue I wbgx©qgvY Bgvi‡Zi †PŠev”Pvq Rgv _vKv cvwb Ges evmvi cv‡k Rgv‡bv Ave©Rbv| †Kvb Ae¯’v‡ZB Gme †QvU Rjv av‡i cuvP w`‡bi †ewk cvwb Rg‡Z †`qv hv‡e bv| Zvn‡j cvÎ gkv wWg †`‡e bv| jvf©v Rš§v‡e bv| N‡ii g‡a¨ gkv gvi‡Z n‡e/†VKv‡Z n‡e|ïay iv‡Z bq, w`‡b I gkvwi e¨envi Ki‡Z n‡e| K‡qj, †¯úÖ, g¨vU, wjKzBW me ai‡bi gkK wbaK e¨envi Ki‡Z n‡e| N‡ii gkv wb‡R‡KB gvi‡Z n‡e| gkv hv‡Z bv Kvgovq †mRb¨ dzjnvZv Rvgv civi Af¨vm wb‡R‡KB Ki‡Z n‡e| AvÇv, cvwU©, †KvwPs†m›Uvi, Wv³vi, DwKj †P¤^vi, †i÷z‡i›U, †mwgbvi-wm‡¤úvwRqvg †hLv‡bB hvb GwWm gkvi K_v g‡b ivL‡Z n‡e|
†ivMx I Ilya : †ivMx Ges AvZ¥xq¯^Rb‡K R¡i bvg‡bvi Rb¨ c¨vivwmUvgj Qvov Ab¨ wKQz e¨envi †_‡K weiZ _vK‡Z n‡e| cvwb cvIqv wbwðZ Ki‡Z n‡e|
Wv³vi : Wv³vi‡K wn‡gv‡iwRK †W½y kbv³ Ki‡Z n‡e| kK wmbWªª‡g hv‡Z bv hvq †mRb¨ e­vW †cÖmvi cÖm v‡ei cwigvY BZ¨vw` †`‡L gwbUi Ki‡Z n‡e| A‡hŠw³K, AwZwi³ wPwKrmvi Rb¨ RwUjZv bv ev‡o †mw`‡K †Lqvj ivL‡Z n‡e| g‡b ivL‡Z n‡e †W½y fvBivm R¡i-cÖwZ‡ivaUvB GLv‡b eo| me fvBivmB †W½y bq, K¬vwmK¨vj †W½y Avi `kUv fvBiv‡mi g‡ZvB mvaviY †ivM| wn‡gv‡iwRK bv n‡j †W½y wmwiqvm bq| wn‡gv‡iwRK n‡jI fq †bB hw` †MÖW-1 I †MÖW-2 nq| wPwKrmK‡K ZvB me©vÍK †Póv Ki‡Z n‡e †hb †MÖW-2 †W½y †MÖW-3 ev †MÖW-4 G bv hvq, A_©vr †W½y kK wmbWª‡g bv hvq|cwiwgZ cvwb w`‡Z cvi‡jB †hUv m¤¢e †MÖW-1, †MÖW-2 evmvq ev AvDU‡Wv‡iB wPwKrmv †`qv m¤¢e|
ZvB †W½y cÖwZ‡iva I cÖwZKv‡ii Rb¨ 2wU wRwbm `iKvi| 1. wb‡R‡K gkvi Kvgo †_‡K euvPv‡Z n‡e A_©vr gkv Ges gkvi jvf©v †hb bv Rš§vq †m e¨e¯’v Ki‡Z n‡e| e¨w³ Ges mvgvwRK m‡PZbZv †hUvi Rb¨ Acwinvh©| 2. †W½y wn‡gv‡iwRK †dfvi †hb †W½yy kK wmbWª‡g bv hvq †mfv‡e wPwKrmv Ki‡Z n‡e| GUv G †`‡ki me wPwKrm‡Ki `vwqZ¡|
MZ K‡qK eQ‡i †W½y‡Z g„Zz¨i nvi K‡g‡Q| †W½yi wPwKrmvi DbœwZ n‡q‡QÑ Gm‡ei †cQ‡b wPwKrmK mgvR, ¯^v¯’¨ Awa`dZi I MYgva¨‡gi Ae`vb A‡bK †ewk| mewKQzB MYm‡PZbZv evwo‡q‡Q|
†W½y cÖwZ‡iva I cÖwZKvi `ywUi Rb¨B `iKvi MYm‡PZbZv, †lvj †KvwU gvby‡li mwµq m¤ú„³Zv|


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