Child health
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Transcript of Child health
*cky LokLF;*
tUe ds mijkar f'k'kqq dks ek¡ ds Ropk ls laidZ
tUe ds mijkar f'k'kqq dks ek¡ ds Ropk ls laidZ tUe ds mijkar f'k'kqqq dks ek¡ dh Ropk ds laidZ esa rqjUr ykuk pkfg,A blls f'k'kqqqq ds 'kjhj dks mfpr xehZ feysxh vkSj ek¡ ds lkFk mldk vPNk laca/k LFkkfir gksxkA ek¡ dks izksRlkfgr djsa fd og vius f'k'kqq dks xeZ vkSj lkQ j[ksaA
f'k'kqqqqqq dks Lruiku ,oa dksyksLVªkse dk egRo
f'k'kqqqqqq dks Lruiku ,oa dksyksLVªkse dk egRo
ek¡ dk igyk ihyk xk<+k nw/k ¼dksyksLVªkse½ ek¡ dk 'kq:vkrh nw/k gksrk gSA f'k'kqqqq dh fodkl ds fy, ek¡ dk nw/k loksZŸke gSA ;g iks"kd rRoksa ls Hkjiwj gS vkSj f'k'kq dh izfrjks/kd {kerk dks fodflr djrk gSA rqjUr Lruiku ls ek¡ dks jDr fjlko dks jkdus esa lgk;rk feyrh gSA tUe ls igys N% eghus rd f'k'kqqq dks dsoy ek¡ dk nw/k gh fiyk,aA ek¡ dk nw/k foVkfeu , dk vPNk lzksr gSA
f'k'kqqq ds tUe dk iathdj.k
tUe ds le; f'k'kqqq dk otu vkSj fujUrj tk¡p
tUe ds le; f'k'kqqq dk otu vkSj fujUrj tk¡p
• tUe ds le; ij ,d LoLF; f'k'kqq dk otu de ls de 2-5 fdyks gksuk pkfg,A • ;fn f'k'kqqq dk otu blls de gks] rks f'k'kqqqqq dks fpfdRld /;ku dh vko';drk gSA LokLF; dsUnz esa MkWDVj ls lykg ysaA• f'k'kqqqqq ds otu ,oa yEckbZ dh le;≤ ij fu;fer tk¡p gksuh pkfg,A • tk¡p ds }kjk ;g irk pyrk gS fd f'k'kqqqqq dk lgh fodkl gks jgk gS ;k ughaA• ;fn f'k'kqqqqq dk otu yEcs le; rd ugha c<+ jgk gS rks blds dkj.k dqN bl izdkj ds gks ldrs gSa&d½ f'k'kqqqqq dks i;kZIr ek=k esa Lruiku ds }kjk iks"k.k ugha fey jgk gSA[k½ f'k'kqqqqqqq dks iw.kZ ek=k esa foVkfeu&, ugha fey jgk gSAx½ mlds isV esa d`fe ¼dhM+s½ gSA?k½ f'k'kqqqqqqq dks dksbZ fcekjh ;k ladze.k gS vkSj og Bhd ls [kk ugha jgk gSA
tUe ds igys N%eghus rd f'k'kqqqqq dks dsoy Lruiku djk,a
ek¡ dk nw/k f'k'kqqqqq ds iks"k.k vkSj fodkl ds fy, i;kZIr gS vkSj f'k'kqqqqq dks vusd chekfj;ka ,oa ladze.k tSls fd Mk;fj;k ¼nLr½] fueksfu;k] vLFkek ls cpkrk gSA
igys N% eghus rd f'k'kqqqqq dks vU; dksbZ pht tSls ikuh] 'kgn] nky dk ikuh] ?kwVh u nsaA
fnu es gj nks ?kaVs ds varjky ij Lruiku djkuk pkfg,A
tUe ds igys N%eghus rd f'k'kqqqqq dks dsoy Lruiku djk,a
uotkr f'k'kqqqqq esa [krjs ds y{k.k
uotkr f'k'kqqqqq esa [krjs ds y{k.kf'k'kqqqqq esa dqN [krjksa ds y{k.k bl izdkj esa gks ldrs
gSa%&
f'k'kqqqqqqq dk ot+u yEcs le; rd u c<+ jgk gksA vDlj ;k yxkrkj f'k'kqqqqq dks nLr gks jgk gksA vDlj ;k yxkrkj f'k'kqqqqq dks rst cq[kkj gks jgk gksA f'k'kqqqqq Bhd ls nw/k ugha ih jgk gksA f'k'kqqqqqqq rst 'okl ys jgk gksA f'k'kqqqqq dk 'kjhj vdM+ tk,A
bu ifjfLFkfr;ksa esa rqjUr LokLF; dsUnz tkdj MkWDVj dh lykg ysaA
N% ekg ds mijkar f'k'kqqqqq dks Åijh vkgkj
tUe ls N% ekg rd f'k'kqqqqq dks dsoy ek¡ dk nw/k fiyk,aA N% eghus ckn] f'k'kqqqqq dks ek¡ ds nw/k ds lkFk Åijh vkgkj nsuk 'kq: djsaA
vkgkj esa dqpyk gqvk dsyk] mcyh lCth] nfy;k] f[kpM+h] vaMk tSls ikSf"Vd phtsa ns ldrs gSaA tc f'k'kqqqqq ,d o"kZ dk gks tk,] rc mls lkekU; Hkkstu ns ldrs gSaA
,d c<+rs gq, f'k'kqqqqq dks fnu esa 5&6 ckj FkksM+s&FkksM+s ek=k esa vkgkj dh vko';drk gksrh gSA
N% ekg ds mijkar f'k'kqqqqq dks Åijh vkgkj
f'k'kqqqqq ds vkgkj esa foVkfeu , dh t:jr
f'k'kqqqqq ds vkgkj esa foVkfeu , dh t:jr
f'k'kqqqqq dks chekfj;ksa vkSj ladze.kksa ls cpko vkSj vk¡[k dh vPNh jks'kuh ds fy,
foVkfeu , xgjs gjs jax dh iŸksnkj lfCt;ksa tSls & ikyd] pkSykbZ] ihys jax dh lfCt;ksa vkSj nw/k ls cus inkFkksZa esa] eNyh] vaMs ls feyrk gSA
blds vfrfjDr] foVkfeu , dh cw¡ns] Vhdkdj.k ds le; Hkh fn;s tkrs gSaA foVkfeu&, dh u© [kqjkdsa] N% eghus ds varjky ij ik¡p o"kZ rd f'k'kqqqqq dks fiykbZ tkrh gSaA
foVkfeu&, dh i;kZIr ek=k u feyus ij f'k'kqqqqq @cPpksa esa jrkSa/kh] va/kkiu] 'kkfjfjd vkSj ekufld fodkl esa :dkoV vkSj e`R;q Hkh gks ldrh gSA
f'k'kqqqqq ds vkgkj esa vk;ju dh t:jr
f'k'kqqqqq ds vkgkj esa vk;ju dh t:jr
f'k'kqqqqq @cPpksa ds 'kkjhfjd ,oa ekufld fodkl ds fy, vkgkj esa vk;ju dk gksuk Hkh cgqr vko';d gSA blhfy, xHkZorh efgykvksa dks vk;ju dh xksfy;k¡ [kkus ds fy, lykg nh tkrh gS rkfd ek¡ vkSj cPps nksuksa dks ,uhfe;ka ls cpko feysA [kwu dh deh ds dbZ y{k.k gSa&
thHk] gFksfy;ksa vkSj gksB ds Hkhrjh fgLls esa ihykiu
Fkdku eglwl djuk lk¡l Qwyuk vkgkj tSls gjh iŸksnkj lfCt;k¡] vaMk] eNyh] ek¡l
vkSj nkysa vkfn vk;ju ds vPNs lzksr gSaA bUgsa f'k'kqqqqq ds vkgkj esa t:j 'kkfey djsaA
cPpksa dks vkgkj esa vk;ksMhu
cPpksa dks vkgkj esa vk;ksMhu cPpksa dks vkgkj esa vk;ksMhu dh i;kZIr
ek=k Hkh muds fodkl ds fy, t:jh gSA 'kjhj esa vk;ksMhu dh deh ls ekufld detksjh]
'kkfjfjd fodykaxrk ¼tSls lquus ;k cksyus dh {kerk esa deh½ Hkh gks ldrh gSA
xnZu dk lwtuk ¼?ks?kk@xyxaM½ vk;ksMhu dh deh ,d y{k.k gSA blfy, cPpksa ds vkgkj esa vk;ksMhu ;qDr ued gh bLreky djsaA
eq[; lans'k
tUe ls N% o"kZ rd cPpksa dks fo'ks"k ns[kHkky vkSj /;ku dh vko';drk gksrh gSA
blesa lcls igys ek¡ }kjk N% eghus rd dsoy Lruiku f'k'kqq dh gj t:jr vkSj lEiw.kZ fodkl ds fy, i;kZIr gksrk gSA
LokLF; dh fu;fer tk¡p] le; ij Vhdkj.k vkSj ikSf"Vd vkgkj tks foVkfeu&,] vk;ju ls Hkjiwj gks] cPps ds fodkl ds fy, vfrvko';d gSA
;g tkudkjh cPps ds ekrk&firk vkSj LokLF; dk;ZdrkZ lHkh ds fy, ykHknk;d gSA blds }kjk cPps dh mfpr 'kkfjfjd] ekufld ,oa lkekftd fodkl laHko gks ldrk gSA
f'k'kqqqqq esa Lokal lacaf/kr ladze.k
f'k'kqqqqq esa Lokal lacaf/kr ladze.k
cPpksa esa vDlj [kk¡lh] tqdke] ukd cguk] xys esa [kjk'k tSlh NksVh leL;k ds vykok Lokal lacaf/kr xEHkhj ladze.k gks ldrs gSaA muesa ls ,d fueksfu;k gSA fueksfu;k tkuysok Hkh gks ldrk gS vkSj blds y{k.k bl izdkj gSa%&
cPps dh lk¡l rst py jgh gks lk¡l ysus esa dfBukbZ gks jgh gks cPps dks nks lIrkg ls T;knk [kk¡lh jgs cPps dks ek¡ dk nw/k ihus esa dfBukbZ gks
jgh gks
,sls voLFkk esa cPps dks rqjUr LokLF; dsUnz ys tk, vkSj MkWDVj ds lykg ls bykt 'kq: djasA
cPps esa nLr
nLr ,d xEHkhj chekjh gS ftlls cPps ds 'kjhj esa ikuh dh deh gks tkrh gS vkSj le; ij bykt u gksus ij e`R;q Hkh gks ldrh gSA
tc cPps dks ikuh tSlk ey rFkk cq[kkj vkSj ckj&ckj mYVh gks] rks ;g nLr ds y{k.k gSaA
nLr] eq¡g ds jkLrs 'kjhj esa tkusokys dhVk.kqvksa [kkldj ey ls iSnk gksus okys dhVk.kqvksa ls QSyrk gSA
xUns ikuh ds ihus ls] cksry ls nw/k fiykus vkSj ey dk Bhd rjg ls fuiVku u djus ds dkj.k ls nLr gks ldrk gSA
cPps esa nLr
cPps esa nLr
cPps dks nLr yxus ij Lruiku djkrs jgus ls nLr dh xEHkhjrk de gksrh gS
cPps dks [kkus&ihus dh lkekU; [kqjkd ds lkFk&lkFk rjy inkFkZ T;knk ek=k esa nsaA idh gqbZ nky dk ikuh lCth dk ikuh] pkoy dk ek¡M] ukfj;y dk ikuh tSlh rjy inkFkZ cPps dks ns ldrs gSaA
vks-vkj-,l- ?kksy fiyk,aA
vks-vkj-,l- ?kksy cukus dh fof/k&
& ,d lkQ crZu esa 1 yhVj lkQ ikuh ysaA
& mlesa vks-vkj-,l- iSdsV dk feJ.k MkysaA
& cPps dk lkQ crZu ls vks-vkj-,l- ?kksy fiyk;saA
& gn ckj irys nLr ds ckn 2 o"kZ ls NksVs cPps dks pkSFkkbZ ls vk/kk di ,oa 2 o"kZ ls cM+s cPps dks vk/kk ls ,d di ?kksy fiyk,aA
& cuk gqvk ?kksy 24 ?kaVs ds vUnj gh bLreky djsaA
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cPpksa esa lQkbZ ,oa LoPNrk
cPpksa esa lQkbZ ,oa LoPNrk
• cPpksa dks vusd ladze.k ,oa chekfj;k tSls nLr ls cpus ds fy, O;fDrxr vkSj ?kj dh lkQ&lQkbZ dk fo'ks"k /;ku j[kuk t:jh gSA • vxj fdlh dkj.k (tSls fd [kkuk [kkus ls igys ;k 'kkSp ds ckn Bhd izdkj ls gkFk u /kksus ds dkj.k½ ] ey esa ekStwn dhVk.kq 'kjhj ds vUnj izos'k dj tkrs gSa r® ;g nLr ds dkj.k gks ldrs gSaA
•ifjokj ds lHkh lnL;ksa] fo’ks'k dj cPpksa dks] 'kkSp ds ckn vkSj [kkuk [kkus ls igys vius gkFk lkcqu vkSj ikuh ls vPNh rjg /kksus pkfg,A• Qy] lfCt;ksa vkSj dPps Hkkstu dks [kkus vkSj idkus ls igys /kksuk t:jh gSA• ihus dk ikuh lkQ crZu esa <+d dj j[ksa vkSj yEch MaMh okyh dM+Nqy dk bLreky ikuh fudkyus ds fy, djsaA
cPpksa esa lQkbZ ,oa LoPNrk
Vhdkdj.k
Vhdkdj.k i= ¼pkVZ½
vk;q Vhdk jksx t® izfrjf{kr gksrs gSa
tUe ds le; ch-lh-th-] iksfy;kgsisVkbfVl ch
risfnd] iksfy;ks
1-5 eghus ij Mh-ih-Vh-] iksfy;ksgsisVkbfVl ch
fMIFkhfj;k] dkyh [kkalh] fVVsul] iksfy;ks] gsisVkbfVl
2-5 eghus ij Mh-ih-Vh-] iksfy;ks] gsisVkbfVl ch
fMIFkhfj;k] dkyh [kkalh] fVVsul] iksfy;ks] gsisVkbfVl
3-5 eghus ij Mh-ih-Vh-] iksfy;ks] gsisVkbfVl ch
fMIFkhfj;k] dkyh [kkalh] fVVsul] iksfy;ks] gsisVkbfVl
9 eghus ij [kljk foVkfeu ,
[kljkfoVkfeu , dh 9 [kqjkd 6 eghus ds vUrjky ij
16&24 eghus ij
Mh-ih-Vh-] [kljk iksfy;ks cwLVj Mkst
fMIFkhfj;k] dkyh [kkalh] fVVsul] iksfy;ks] [kljk