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IkkfdZalu jksx ds vkadMs+ dkSu gS\ 100]000 yksxksa es ls yxHkx 1&2 dks ikfdZlu jksx ¼ Hkkjrh; vuqeku ½ gks ldrk gS rFkk mez c<+us ds lkFk ;g vf/kd lekU; :Ik ls ik;k tkrk gSA yksxksa esa ikfdZlu gksus dh mez vkSlru 60&64 o’kZ dh gksrh gS fdarq 4% yksxksa esa ikfdZlu 40 o’kZ dh vk;q ls igys ns[kk x;k gSA pwafd yach vk;q thus okys yksxksa dh la[;k c<+rh tk jgh gSa blfy, ikfdZlu jksx Hkh c<+ tk jgk gSA ikfdZlu gksus ds fBd&dkj.kksa ds ckjs esa yksxksa dks vc rd irk ugh py ik;k gS] ij fo’kk.kq laØe.k rFkk I;kZoj.kh; iznw’ku.k blesa ,d vge Hkwfedk fuHkk ldrs gSaA ,sls yksx ftuds ekrd&HkkbZ&;k cPps esa ikfdZlu jksx gks] mUkes nwljksa dh
vis{kk ;g jksx gksus fd nqxuh laHkkouk daidikuk½ gksrh gSA ikfdZalu jksx efgykvksa dh 8ikWLV~;qjy vfLFkjrk] ftldk laca/k vis{kk iq#’kksa esa ik;k tkrk gSA izkFkfed fotqvy] lsfjcsyj] osfLVC;qyj vFkok izksizk;kslsfIVo vfØ;rk ls ugh funku gksrkA ikfdZlu jksx dk funku lnSo blds fo”ks’kK fpfdRldksa }kjk dh fd;k tkuk IkkfdZalu jksx ds xfr ls pkfg, vkSj vki dks bldk mipkj tqM+s y{.k blds funku dh iqf’V fd, tkus ls Xkfr ls tqM+s y{k.k ¼eksVj y{k.k Hkh igys “kq# ugh djuk pkfg,A dkj.k dgykrs gSa½ ikfdZalu jksx ds izFke ;g gS fd ikfdZlu jksx dks dHkh&dHkh ladsr gksrs gSA ;s “kjhj ds ,d fgLls blls feyrh&tqyrh vU; n”kkvksa ls ls “kq# gksdj vU; fgLlksa es QSyrs gSaA vyx djuk eqf”dy gksrh gSA mnkgj.k ds fy, ikfdZlu jksx tSls y{k.kksa esa “kkfey gS% dqN y{k.k LVªksd] fMLVksfu;k ¼Vªsej 8daidaikgV ¼Vªsej½% ,d vfu;af=r vFkok daidaih½] vU; raf=d jksxksa] daiu] fo”ks’kdj gkFkksa vkSj iSjksa T;knkrj vfrfØ;k”khy Fkk;jkbM] vY>knbej gksrh gSA izk;% fn[kus okyk izFke y{.k jksx vkSj nokvksa ds lkbM bQSDV~l ds gS vaxwBksa vkSj rtZuh dh vkxs&ihNs gksus okyh y;c) xfr] ftls *fiyjksfyax* dkj.k Hkh mRiUu gks ldrs gSA gSA nSfud dk;Z] tSls cVu ikfdZlu jksx ds fy, HkhVkaddgrs uk ;k gtker cukuk dfBu gks dksbZ vyx ls ;k fo’ks"k tkrk gSA 8/kheh xfr ¼cSzfMdkbusfl;k½% ifj{k.k ugh gSA pyuk&fQjuk /khek vkSj d’Vnk;h gks bldk funku fuEufyf[kr tkrk gS vkSj ,d gh LFkku ij fLFkj gks tkrsa gSaA ij vk/kkfjr gksrk gS% 8gkFk] Hkqtk nksyu rFkk psgjs ds 8xfr ds y{k.k gko&Hkko esa deh gks tkukA 8xfrghurk ds y{k.k 8dBksjrk% ekalisf”k;ksa dh ,d 8“kkjhfjd ijh{k.k vlkekU; vdM+uA 8vU; laHko funkuksa gsrq tkap 8larqyu rFkk leao;u esa deh] ftlls dsoy ,sls yksxksa esa gh fxjus dk [krjk iSnk gksrk gSA
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8mnklhurk 8fxjuk vkSj xaHkhj vfLFkHkax 8vfr”k; Fkdku 8vka[k QM+duk Lyhi fcgsfo;j 8jsLVysl ysXl flaMªkse ¼iSjksa vkSj Vkaxks
esa vfLFkjrk [kkl rkSj ls foJke dh voLFkk esa½ 8baoVZsM Lyhi osd lkbdy ¼lksus vkSj tkxus dk foijhr pdz½ 8jkr esa ,sfPNd xfr;ksa dk ugh gksuk ;k mUesa dHkh 8dCt lfgr isV dh xM+cMh] fuxyus esa dfBukbZ 8otu es deh 8eq=k”k; dh xM+cM+h 8;kSu vlkekU;rk 8fuEu jDrpki 8vR;f/kd ilhuk 8nnZ 8vU; fLFkfr;ksa ls lacaf/kr gM~Mh ds tksM+ks dk jksx 8fMLVksfu;
'kkjhfjd tkap ikfdZalu jksx fo”ks’kK vkils Yk{k.kksa ds ckjs esa iwNsxs vkSj mldh xaHkhjrk dh tkap djsaxsA blfy, y{k.kksa dks lkQ&lkQ crk,a&tSls y{k.k D;k gS] os dc mRiUu gksrs gSa rFkk muls vkiuk nSfud thou dSls izHkkfor gksrk gSA
fo”ks’kK vkids leLr LokLF; dk ijh{k.k djsaxs vkSj dqN ljy tkap ds ikfdZlu dh tkap vkSj xfrghurk ds y{k.k fy, dg ldrs gSA rkfd vki dSls bues a ls dq N ikfdZ a l u jks x ds fdlh Hkh pyrs&fQjrs gSa] “kjhj dh vdM+u dSlh funku laHko gS ftUesa pj.k esa gks ldrs gSa tcfd vU; ckn esa gS vkSj vkidks fdl dk Vªsej gksrk gS] czSfMdkbusfl;k ¼ean gks ldrs gSA os vLi’V gks ldrs gSa vkSj vkfn dh tkudkjh fey ldsA xfr½ vkSj fuEufyf[kr ;g tkuuk eqf”dy gks ldrk gS fd fo”ks’kK vkils xSj&xfr¼uksu&ewoesaV½ls mudk laca/k ikfdZalu jksx ls gS vFkok esa ls de ls de ,d fdlh vU; lsA bUds varxZr “kkfey gS% tqM+s y{k.kksa dh tkap djsasxs rFkk vkils dqN loky dj ldrs gS fd ftlls 8fMesafl;k vFkok ;knnk”r dk {k; y{k.k ik;k tkrk gS% vkidh fpark] volkn rFkk nqfo/kkxzLrrk 8ruko 8ekal isf”k;ksa dk vdM+uk ds ckjs esa irk py ldsA bl izdkj 8jsLV Vªsej (4-6Hz) ¼foJke dh 8euksfof{kfIr dh tkap ds fy, vki uksu&ewoesaV ds voLFkk esa dqN vaxks dk rst xfr ls 8fpark ¥ ÅåÕÚ-w®vw 17
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fo”ks’kK] fpfdRldksa ls fey ldrs gSA lHkh urhtksa ls vkids y{k.kksa ds vU; laHkkfor dkj.kksa dks NkaVus esa enn feysxh rFkk bldh iqf’V gks ik,xh fd vkidks ikfdZalu jksx gS vFkok ughaA vkids fpfdRld vius Kku ls vkids “kkjhfjd ijh{k.k dks iwjk djsaxsA
LdSal ;fn vkids fpfdRld bl ckjs esa lqfuf”pr ugha gSa fd vkidks ikfdZalu jksx gS vFkok dqN rks vkidks vkids efLr’d ds vUnj dh rLohjksa ds fy, LdSu dh vuq”kalk dh tkrh gSA flaxy QksVksu beh”ku dEI;wVjkbTM VkseksxzkQh (SPECT) LdSu ls vkids efLr’d esa Mksikekbu dh fdz;k”khyrk dh dEkh dk irk py ldrk gSaA ;g nnZ jfgr gksrk gS vkSj rLohjs ysus ls igys vkids efLr’d dh raf=dkvksa ds vPNh rjg izdV gksus ds fy, vkidks ,d [kkl jlk;u dh lwbZ yxkbZ tkrh 8ckn dh voLFkk dk jksx (Later gS A disease) tc yacs le; ds fy, vU; izdkj ds LdSu] tSls fd eSXusfVd vkjafHkd voLFkk dk mipkj pyrk gS jstksusal besftax (MR) vkSj ikWftVªkWu rc dqN xfr lfEHkr leL;k,a mRiUu beh”ku VkseksxzkQh (PET) LdSu dk gks ldrh gSA ;s leL;k, izk;% rc iz;ksx Hkh irk yxkus esa ennxkj gksrh gS gksrh gSa tc O;fDr dqN le; ds fy, fd D;k vkidks ikfdZalu jksx gSa vFkok dqN ikdhZalu dh nokbZ;k¡ ysA ;g dqN vU;A vkids fpfdRld ;g r; O;fDr ij fuHkZj djrk gS fd mUesa djsaxs fd vkidks fdlh MkbXukWfLVd ;g xfr lcfU/kr leL;k,a dqN le; LdSu dh vko;drk gS ;k ughaA ds mipkj ls gh vkrh gS vkSj dqN ikfdZalu jksx ds pj.k OlfDr;ksa esa yacs le; ds mipkj ds ikfdZalu jksx dks izk;% fuEu pj.kks ckn
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8vkjafHkd jksx (Early) disease) : nnokb;ksa ds jkr Hkj ds izHkko ds dkj.k
tc y{k.kksa dh “kq#vkr gksrh vkSj vkids nSfud dk;Z] tSls diM+s /kksuk] diM+s iguuk vkSj pyuk&fQjuk izHkkfor gksus yxrk gS vkSj vkidks vipkj dh vko”;drk gksrh gSaA 18 ¥ VwÕÚ-w®vw
lqcg losjs pyus&fQjus dh v{kerk rFkk “kjhj dk vdM+uA] npkyw@can gksus dh ?kVuk% dqN lsdaM ;k vf/kd yacs le; okys dk;ksZ vkSj xfr;ksa esa deh tks fpfdRlk ls gksus
okyh xM+cfM+;ksa ls tqM+s u gksaA nvlkekU; xfr;ka ¼fMLdkbusafl;k½ vfu;af=r gkFk] iSj] psgjk] ;k vU; xfr;ka tSls cktqvksa dk ckj& ckj fgyuk ;k ckj&ckj pckus okyh xfrA
IkkfdZalu jksx dk mipkj ikfdZalu jksx ds mipkj dk Yk{; gksrk gS efLr’d esa Mksikekbu dh {kfriwfrZ dj jksx ds y{k.kksa ij dkcw ikukA D;ksafd gj vkneh ds fy, bl gsrq dksbZ ,dy nok ugh gksrh] vusd izdkj dh nokvksa esa ls p;u djuk iM+rk gS vkSj vkids fpfdRld vkidks miyC/k fodYiksa ds ckjs esa crkrs gSA bldk y{; gS ,sls mipkj dh ryk”k djuk tks ds y{k.kksa ls jkgr fnyk, vkSj lkFk gh lkbM bQSDV~l rFkk xfr laca/kh tfVyrk,a de ls de gksaA n
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Dr. Rajiva Kumar Child Specialist
Okkrkoj.k ds cgqr lkjs dkjd gksrs gS tks cPPkksa dks izHkkfor djrs gS vkSj muesa ekufld xM+cM+h dk fodkl gksrk gSA blesa okrkoj.k esa QSys fo”kSys inkFkksZ ls laidZ vkSj lhlk ds Åaps Lrj dks ‘kkfey fd;k tkrk gSA
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Ppksa esa cgqr izdkj dh leL;k,a gksrh gS vkSj muds ekufld LokLF; dk eq}k cgqr gh vko';d gSA vf/drj le; yksx ;g lksprs gSa cPpksa esa ekufld LokLF; dh leL;k iSnk ugha gksrhA exj ;g lR; ugha gS] cPps cgqr lkjs ekufld leL;kvksa vkSj xM+cfM+;ks ls xzLr gks ldrs gSaA ekufld LokLF; dk iz;ksx thou ds fofHkUu ifjfLFkfr;ksa dks ge dSls lksprs gS] eglwl djrs gS] vkSj xfrfof/ ij fuHkZj djrk gSA blfy, gekjk ekufld LokLF; ruko dk lkeuk djus] ,d nwljs ls laca/ vkSj fu.kZ; ij izHkko Mkyrk gSAA ekufld LokLF; n'kkZrk gS fd ,d O;fDr vius vki dks dSls ns[krk gS vkSj blesa 'kkjhfjd LokLF; dks Hkh 'kkfey fd;k tkrk gSA ;g ;kn j[kuk pkfg;s fd ekufld LokLF; thou esa gj Lrj ij egRoiw.kZ gS vkSj ;g thou ds lkjs vk;ke ij izHkko Mkyrk gSA ;g ns[kk x;k gS fd cPPkksa dh ns[kHkky vkSj lqj{kk gekjs thou dk vVwV Hkkx gSA blfy, cPpksa dh rjg thou dk eqdkcyk djsa] muds Hkh ekufld LokLF; esa xM+cM+h gksrh gS tks muds ,glkl vkSj xfrfof/ esa ckf/r gksrk gSA vxj bu leL;kvksa dk mipkj u fd;k x;k rks og Ldwy esa ukdke] ifjokj esa ruko vkSj >xM+s gksrs gSA
cgqr lkjs mnkgj.k gS fd ekufld LokLF; ds dkj.k vkRegR;k gksrh gSA blfy, fdlh Hkh izdkj ds ekufld LokLF; mipkj u djkus ls ifjokj dks cgqr gkfu mBkuh iM+rh gSA ;g ekufld xM+cM+h lekt vkSj LokLF; iz.kkyh ds fy, gkfudkjd gS vkSj ,sls cPPkksa esa vijkf/d izo`fRr dh vk'kadk lkeku;r% vf/d gksrh gSA cPPkksa vkSj fd'kksjksa esa xaHkhj HkkoukRed 'kCnkoyh ekufld xM+cM+h dks n'kkZrk gSA ;g lkekU; rkSj ij mu cPPkksa esa gksrk gS ftudks jkstkuk ds thou esa cgqr vf/d ck/k,a mRiUu dh tkrh gSA ,slk ?kj] Ldwy vFkok lekt esa gks ldrk gS vkSj gj 10 cPPkksa esa ls 1 cPPkk xaHkhj HkkoukRed ck/kvksa ls ihfM+r gksrk gSA cPPkksa esa ekufld LokLF; dk eq} k cgqr tfVy gksrh gSA cPpksa esa ekufld LokLF; dk tSfod dkj.k vkuqokaf'kd xM+cM+h] 'kjhj ds Hkhrj jklk;fud vlarqyu vkSj flj esa pksV ds dkj.k dsUnzh; Luk;q iz.kkyh (Nervous System) dks gkfu igaqpus ds dkj.k gSA Okkrkoj.k ds cgqr lkjs dkjd gksrs gS tks cPPkks dks izHkkfor djrs gS vkSj muesa ekufld xM+cM+h dk fodkl gksrk gSA blesa okrkoj.k esa iQSys fo"kSys inkFkksZ ls laidZ vkSj lhlk ds Åaps Lrj dks 'kkfey fd;k tkrk gSA blds vfrfjDr >xM+ks vkSj vijk/ksa ls laidZ vkSj
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'kkjhfjd vFkok ;kSfu NsM+NkM+ cPPkksa esa ekufld lekL;kvksa dk dkj.k gSA ,sls cPPks fiQYe] Vhoh] ywVekj ds n`'; vkSj nwljs vkinkvksa ls Hkh izHkkfor gksrs gSA xjhch ls lacaf/r ruko vkSj nwljh ijs'kkfu;ksa ds lkFk lkFk HksnHkko Hkh ekufld xM+cM+h ds dkj.k gSaA
cPPkksa esa ;g lekU; ekufld LokLF; dh leL;kvksa ds y{k.k esa HkkoukRed ck/ k,a Hkh cPPkksa vkSj fd'kksjks esa bldk dkj.k gSA blesa fcuk fdlh dkj.k ds ukmEehnh 'kkfey gS tks dHkh tkrh ugh gSA vf/drj Øks/ esa jguk vkSj gj le; fpYykuk] fcuk fdlh dkj.k mijk/h dk ,glkl djuk]
Hkkoukvksa esa mRlkg dh deh vFkok ?kcjkgV] fdlh pht ds [kksus ;k e`R;q ij fu;a=k.k j[kuk] ;g lc bl leL;k ds dqN lkekU; y{k.k gSA blds vfrfjDr vR;f/d Mj vkSj fcuk fdlh dkj.k o'k Mjuk vkSj Hk;Hkhr gksuk Hkh blds y{k.k gSaA n
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çÇÜßÚUè ·Ô¤ ÕæÎ ÂèçÚUØÇ÷â ×ð´ ÎðÚUè? Dr. Suman Bijlani Director at Gyneguide Mumbai
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Dr. Rohit Garg
MD ( Neuropsychiatry ) New Delhi
GARG PSYCHIATRY & EYE MULTISPECIALITY CLINIC
H.NO.: 1922, (Basement), J-Block, Near Kali Wadi Mandir & Market No-4, C.R. Park, New Delhi - 110019, Ph.: 011-64646655, 09818346767 26 çâÌ´ÕÚU-w®vw
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Mr.Krishnendu Ghosh Industry Expert
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