p:t} nfUg] oL ladf/
s] 5 n" / ?3faLr cGt/ < @)!* cS6f]a/ jif{ ( c+s !!@
cS6f]a/kl5 ˆn"
(flu)
n] ;tfOPsf la/fdL e]l6G5g\ . ˆn"nfO{ k"0f{ ?kdf OGˆn'oGhf (Influenza) elgG5 . ˆn"sf] vf]k jif]{lg nufpg] ul/G5 . vf]k nufPsf] sl/a b'O{ xKtfdf dfq vf]kn] z/L/df sfd ug{ yfNg] ePsfn] cS6f]a/ dlxgfsf] clGtd ;ftf;Dd of] vf]k nufpg l;kmfl/z ul/Psf] 5 .
5'6\ofpg ufx|f] kgf{n] klg w]/} b'vfO -hLp b'Vg]_ à ¿3f Tolt ;fx|f] x'Gg dflg; l;ls:t ePsf à ˆn" eof] eg] lgs} ;fx|f] 5g\ . ?3f / ˆn"aLr b'V5 nfIfl0fs cGt/ 5g\ . s] tkfO{+ w]/} ysfO ?3f / ˆn"sf cGt/ eGg à ¿3f nfUbf ;w}+ nfUb}g ;Sg'x'G5 < ;Sg'x'Gg eg] à ˆn" x'Fbf ;w}+h;f] nfU5 cGt/ km]nf kfg{ oxfF s]xL s] Vofn /fVg'k5{ < ;"qx¿ n]lvPsf 5g\M á oL cGt/sf] vf; lgs} ;fx|f] 6fpsf] b'Vg' < hfgsf/L tkfO{+sf à ¿3f nfUbf sd} b'Vnf lrlsT;s -8fS6/_ nfO{ à ˆn" x'Fbf w]/}h;f] b'V5
n"af/] yk hfGg
o; c+sdf s] s] <
cIfl/sfsf k'/fgf c+sx¿ hgj/L @)!#, cS6f]a/ @)!^, / cu:t @)!& x]g'{xf]nf .
(What is inside ?) à n" / ?3faLr cGt/===============!
cflv/ ˆn";Fu o:tf] 8/ gfs 6flng' < à ¿3f nfUbf ;w}+h;f] x'G5 cd]l/sfdf @ xhf/ @ ;o @*==@ lsg < k|Zg p7\5 . ljutsf sof} + jif{ ˆn" n ] 8/nfUbf à ˆn" x'Fbf slxn]sfxL+ x'G5 (22 hundreds Bhutanese on 017/18) b] l vP . o;} n ] ˆn" s f] pRr Hj/f] %) jif{sf :jf:Yo–k/LIf0f========# vf] k df hf] 8 lbg] ul/G5 . ?3f à ¿3f nfUbf sd} cfpF5 (Health screening after 50s) à ˆn" x'Fbf w]/}h;f] d x'FM Go' h;L{ /fHo==================$ / ˆn"sf] cGt/ yfxf gkfP/ cndndf k/]sf] kfOG5 . ;'vf, unf a;]sf] vf]sL (I am the state of New Jersey) à ¿3f nfUbf ;w}+ nfUb}g rNtLsf c+u|]hL zAb &%==========$ n" / ¿3faLr cGt/ (Most common Eng. words 75) ?3f (cold) / ˆn"df km/s à ˆn" x'Fbf ;w}+h;f] nfU5 (Differences between flu cold )
à à à à
dfq x'G5 . To;}n] cfkm" cndndf k/], lrlsT;snfO{ ;f]Wg'xf];\ . á :j:y /xg] k|of; ug'{xf];\ / ˆn"af6 3/ k|efljt x'g glbg /f]syfdsf pkfox? ckgfpg'xf];\ .
@
cd]l/sfdf @ xhf/ @ ;o @* k'g:yf{lkt ;g\ @))* b]lv ;]]K6]Da/ @)!* ;Dd s"n (^ xhf/ ! ;o $@
ax';f+:s[lts dxf]T;j tyf cGt/f{li6«o em08f k|bz{g gfds sfo{qmddf ;g\ @)!* ;]K6]Da/ @# sf lbg Go' ≈ofD;/sf] /fhwfgL s+s8{df cf–cfgf] b]zsf] em08f af]s]sf ljleGg b]zsf z/0ffyL{ . tl:a/M ;'/h a'9fyf]sL
cfly{s jif{ ;g\ @)!&÷)!* df cd]l/sfdf @ xhf/ @ ;o @* e"6fgL z/0ffyL{nfO{ k'g:yf{kgf ul/Psf] 5 . cd]l/sfsf] cfly{s jif{ cS6f]a/ ! df ;'¿ eP/ ;]K6]Da/ #) df ;lsG5 . of] tYofÍ ;g\ @)!& cS6f]a/ ! df ;'¿ eP/ @)!* ;]K6]Da/ #) ;Ddsf] xf] . o;/L ;g\ @)!* sf] ;]K6]Da/ cGt -cfly{s jif{ ;g\ @)!&÷)!* sf] cGt_ ;Dd cd]l/sfdf z'?b]lv k'g:yf{lkt e"6fgLsf] ;+Vof (^ xhf/ ! ;o $@ k'u]sf] 5 .
e"6fgL;lxt s"n slt< :6]6 l8kf6{d]G6sf] tYofÍ– cg';f/ cf=j= @)!&÷!* df e"6fgnufot ljZjsf ljleGg d'n'ssf s"n @@ xhf/ $ ;o (! z/0ffyL{nfO{ cd]l/sfdf k'g:yf{kgf ul/Psf] 5 . ;g\ !(&% cd]l/sfn] cf}krfl/s ¿kdf z/0ffyL{ k'g:yf{kgf yfn]sf] xf] .
dlxgf–dlxgf slt < cd]l/sL ljb]z dGqfno -:6]6 l8kf6{d]G6_ sf cg';f/ ;g\ @)!& cS6f]a/kl5 ;g\ @)!* ;]K6]Da/;Dd dlxgflkR5] lgDg ;+Vofdf k'g:yf{lkt x'g'ePsf] 5M ;g\ @)!& cS6f]a/M @&# gf]e]Da/M %#@ l8;]Da/M &#) ;g\ @)!* hgj/LM @%& km]a|'c/LM (@ dfr{M $! clk|nM $! d]M !$# h"gM *# h'nfO{M !@ cu:tM !^ ;]K6]Da/M * ––––––––––––––––––––– s"nM @,@@* -@ xhf/ @ ;o @* hgf_
clxn];Dd s'g jif{ slt< ;g\ @))& df e"6fgLnfO{ g]kfnaf6 t];|f] d'n's k'g:yf{kgf ug]{ lg0f{o ul/Psf] lyof] . ;g\ @))* dfr{ $ df k'gjf{;sf nflu e"6fgL z/0ffyL{sf] klxnf] v]k g]kfnaf6 cd]l/sf p8]sf] lyof] . clxn];Dd s'g cfly{s jif{df slt < • ;g\ @))&÷* M % xhf/ # ;o @) • ;g\ @))*÷( M !# xhf/ $ ;o #@ • ;g\ @))(÷!) M !@ xhf/ # ;o ^# • ;g\ @)!)÷!! M !$ xhf/ ( ;o (( • ;g\ @)!!÷!@ M !% xhf/ &) • ;g\ @)!@÷!# M ( xhf/ ! ;o #$ • ;g\ @)!#÷!$ M * xhf/ $ ;o #$ • ;g\ @)!$÷!% M % xhf/ & ;o &% • ;g\ @)!%÷!^ M % xhf/ * ;o !& • ;g\ @)!^÷!& M # xhf/ % ;o %) • ;g\ @)!&÷!* M @ xhf/ @ ;o @*
;g\ @)!*÷@)!( df< cd]l/sL ;/sf/n] cfly{s jif{ @)!*÷@)!( df #) xhf/ dfq z/0ffyL{ leœofpg] lg0f{o u/]sf] 5 .
@)!* cS6f]a/, jif{ ( c+s !!@
cfly{s jif{ ;g\ @)!&÷!*
%) jif{kl5 ug]{ :jf:Yo–k/LIf0f dlxnf / k'?ifsf nflu s]xL p:t}
krf; jif{ pd]/ k'u]kl5 k'?if jf dlxnf b'j}nfO{ :jf:Yosf] lgoldt k/LIf0fsf nflu s]xL l;kmfl/z ul/G5 . To;}– cg';f/ lgDg :jf:Yo k/LIf0fx¿ lgDg ;dodf lgoldt ¿kdf ug{'kg]{ b]lvG5M à ;Dk"0f{ zf/Ll/s k/LIf0f (Annual physical exam) M of] k/LIf0f
Ps jif{df Psk6s ug'{– k5{ . of] k/LIf0f k'?if tyf dlxnf b'j}sf nflu
Psk6s ul/g] :tg k/LIf0f xf] . of] dlxnfsf nflu ul/g] k/LIf0f xf] . à sf]nf]gf]:sf]kL (Colonoscopy)M of] :j:Yo cj:yf /x]df bz jif{df Psk6s ul/g] 7"nf] cfGb|fsf] :jf:Yo k/LIf0f xf] . of] k/LIf0f k'?if tyf dlxnf
/utdf lrgLsf] dfqf hfFRg] klg ul/G5 . t/ /utdf sf]n]:6«f]n cflb hfFRg lrlsT;sn] k|of]uzfnfdf k7fpg'x'G5 . c? dxÎjk"0f{ hfFr x'g\, cfFvf, / bfFtsf . o:tf hfFrsf nflu ;w}sf cfˆgf lrlsT;s;Fu 5nkmn u/]kl5 pxfFs} ;Nnfxdf cGoq hfg ;lsG5 . cfˆgf] hGdlbgsf]
b'j}sf nflu xf] . àà
%) jif{sf] ePkl5 clgjfo{ ?kdf oL k/LIf0f ul/G5g\ . oL k/LIf0f s'g} 7"nf] ladf/ gxf];\ eg]/ /f]syfdsf nflu ul/G5g\ . oL k/LIf0f /f]usf nIf0f b]lvPkl5 jf kl/jf/df b]lvPsf sf/0f ul/g] xf]Ogg\ . nIf0f b]lvg'eGbf klxn] /f]syfd ug{ ;lhnf] x'g] ePsfn] k/LIf0f ul/g] ul/G5 . ;Dk"0f{ zf/Ll/s k/LIf0f / xf] . o; hfFrdf tf}n, /Strfk (blood pressure), Kofk l:d/ k/LIf0f tkfO{+sf ;w}+sf lrlsT;s (Primary sf]n]:6«f]n (Cholesterol), care provider; PCP) n] ug{ cfFvf, 5fnf, /utdf ;Sg'x'G5 . jflif{s k/LIf0f ubf{ lrgLsf] dfqf (Blood tf}n lng] / /Strfk sugar), / vf]k (immuhfFlrG5 g} . slxn]sfxLF nizations) sf ljifodf 5nkmn ug{ ;lsG5 . à Kofk l:d/ k/LIf0f (Pap ;Dk"0f{ zf/Ll/s k/LIf0f / smear): :j:Yo cj:yfdf sf]nf]gf]:sf]kL k'?if tyf kf7]3/ / dlxnf k|hgg dlxnf b'j}sf nflu x'g\ eg] c+usf] tLg jif{df Ps Kofk l:d/ k/LIf0f / k6s ul/g] k/LIf0f xf] . Dofdf]u|fd dlxnfsf nflu dfq ul/g] k/LIf0f x'g\ . à Dofdf]u|fd (Mammo– gram)M of] b'O{ jif{sf]
Photos: Aksharica’s archive
@)!* cS6f]a/, jif{ ( c+s !!@
#
5]p5fpsf] s'g} lbg kf/]/ o:tf hfFrdf hfFbf ;Demg ;lhnf] x'G5 . Dofdf]u|fd / sf]nf]gf]:sf]kL cln dxFuf k/LIf0f x'g] ePsfn] OG:of]/]G; -ladf_ jf 5'6sf] ;'ljwf rflxG5 . %)–^$ jif{sf JolQmsf nflu ladf gx'Fbf ;/sf/L ;xof]udf oL hfFr ug{ ;lsG5 . o;af/] :yfgLo c:ktfn, /fHo ;/sf/sf] :jf:Yo ljefu (Department of Health and Human Services; DHHS) df a'‰g
;lsG5 .
$ @)!* cS6f]a/, jif{ ( c+s !!@
Go' h;L{
(New Jersey)
n]lvG5 . n
n
8]nf]j]o/
n
Go' h;L{ /fHosf] j]a;fO6 www.nj.gov xf] . n
n
(Delaware)
n
n
5 .
n
cd]l/sfsf] rf}yf] ;fgf]
n
Go' h;L{df # j6f dfq sfpG6L (county) 5g\ . n
n
n
Go' h;L{ pklåk /fHo xf] . o;sf] pQ/ tyf k"j{tkm{ Go' of]s{ (New York), blIf0f, d Go' h;L{ /fHo x'F . k"j{ tyf k"j{–blIf0fdf Go' h;L{, pQ/–k"jL{ /fHo cfGw| dxf;fu/ (Atlantic xf] . Go' h;L{sf] /fhwfgL Ocean), klZrddf 8]nf]j]o/ 6«]G6g (Trenton) / 7"nf] zx/ gbL (Delaware river) tyf g]jfs{ (Newark) xf] . k]G;ne]lgof (Pennsylvania), n n n blIf0f–klZrddf 8]nf]j]o/ o;nfO{ 5f]6s/Ldf NJ vf8L (Delaware Bay) tyf
/fHo xf], h;sf] If]qkmn * xhf/ & ;o @@ ju{ dfOn -@@ xhf/ % ;o (! ju{ lsnf]ld6/_ 5 . n
n
n
hg;+Vof sl/a ( s/f]8 ## xhf/ &^ 5 . w]/} hg;+Vof ePsf] of] !! cf}+ xf] . n
n
n
c+u|]hL zAb ;"rL 75 c+u|]hLdf ;fwf/0f af]nrfn ug{ rflxg] sl/a # xhf/ zAbdWo]af6 krxQ/f}+ ;"rL -efu &%_ • directly:
• disabled:
• disagreement:
lqmof–ljz]if0f– ;f]emf], cg'qmdt, ;Lw}, k|ToIf, lans'n, ;/f;/, cljnDa, t'?Gt, lalQs}, tTsfn .
ljz]if0f– ckfª\u, ljsnfª\u, c;dy{, Ifltu|:t, cof]Uo 7x/fPsf], cof]Uo .
gfd– a]d]n, a]d~h'/L, gfd~h'/L, dte]b, km"6, c;xdlt, ljjfb, emu8f, kmf6f] .
• disadvantage:
• disappear:
• director:
gfd– xflg, cju'0f, cksf/, a]kmfObf, clxt, Iflt, sl7gfO, c;'ljwf, k|lts"n cj:yf, 3f6f . lqmof– cksf/ ug'{, k|lts"n l:yltdf kfg'{ .
lqmof– a]kQf x'g', gb]lvg', clNkg', x/fpg', lanfpg', cb[Zo x'g', ufoa x'g', nf]k x'g', n'Kt x'g', d]l6g' .
gfd– ;~rfns, lgb]{zs . • dirt:
gfd– w'nf], kmf]xf]/, don, df6f], b"lift, kmf]xf]/sf] bfu . • dirty:
gfd– kmf]xf]/L, d}nf], kmf]xf]/ ePsf], cZnLn, 3[l0ft, xfjfx'/L cfPsf], t'kmfgL, nHhfhgs, gLr, sk6k"0f{ . lqmof– d}nfpg', d}lng', kmf]xf]/ nufpg' .
• disagree:
lqmof– gdfGg', a]d~h'/ ug'{, ;xdt gx'g', c;xdt x'g', d]n gvfg', a]d]n x'g', k|lts"n x'g', ljrf/ jf /fo gldNg', cg's"n gx'g', cgledt x'g' .
• disappoint:
lqmof– lg/fz x'g', cfzf eª\u kfg'{, lgikmn t'Nofpg', xtfz kfg'{ . • disappointed:
ljz]if0f– lg/fz, xtfz, cfzf eª\u ePsf], dgf]/y ljkmn ePsf] . qmdzM
la6 dfbf{dfb}{ :jf:Yosf ljifodf
o;k6s klg xfdLn] ˆn"sf] rrf{ u/]sf 5f}+ . ;DemfPsf 5f}+, ˆn"sf] vf]k nufpg] a]nf eof] eg]/ . aLrdf csf]{ k|;+u, cf}krfl/s btf{ /f]lsP klg k'g:yf{kgfsf] qmd hf/L 5 . cd]l/sfn] (^ xhf/eGbf a9L g]kfnL–d"nsf e"6fgLnfO{ csf]{ hLjg lbPsf] 5 . cd]l/sfnfO{ wGojfb . cGtdf, :jf:Yosf] csf]{ ljifo %) s6]kl5 /dfpFnf eGgsf nflu xf] . :j:Yo /fd|f] eP kf] /dfpg] xf], s] xf]Og / < To;}n] of] ljifodf klg emSemsfpg] k|of; ul/Psf] 5 . afFsL kf7ssf] thlah . wGojfb
Editor : Rajesh Koirala, Advisors : Doug Hall, Sattan Acharya, Tara Acharya, Tika Acharya, and Bhagirath Khatiwada Building Community of New Hampshire, 510 Chestnut St., Manchester, NH 03101, Email: aksharica.communication@gmail.com