xU kUj;Jthpd; Mg;fhd; mDgtq;fs;

ehd; fdlh ehl;by; gapw;rp ngw;w xU kUj;Jtd;. Mg;fhdpy; r%f kw;Wk; cly; eyk; Fwpj;j gpur;idfs; rk;ge;jkhf cz;ik mwpAk; Fotpy; nrd;W tpl;L ,g;nghOJ ehL jpUk;gp ,Uf;fpd;Nwd;. Ehd; xl;lhth efhpy; ,Uf;fpd;Nwd;> fdlh itj; jiyikafkhff; nfhz;l muR rhuh epWtdq;fspd; cjtpAld; Mg;fhdpy; cly; ey trjpf; $lq;fs; kw;Wk; efuq;fSf;F nrd;W tu cjtp nra;ag;gl;Nld;. Mq;Fs;s kUj;Jtkidfs; kw;Wk; efuq;fs; kw;Wk; fhG+ypy; cs;s ,uz;L kUj;Jt cjtp epiyaq;fspy; Mfpatw;wpy; ehd; fz;ltw;iw ,q;Nf rhl;rpakspf;fpd;Nwd;.

,q;Nf ehd; fz;litfs; rpytw;iwj; jUfpd;Nwd; :

       1.         fhG+ypy; cs;s xU kUj;Jtkid KotJk;> ngz;fspd; eyj;ijg; ghJfhg;gjpNyNa Kof; ftdj;ijAk; nrYj;jf; fz;Nld;. ,J fhG+ypy; ngz;fs; fUtpay;> kfg;NgW kUj;JtkidahFk;. ,e;j kUj;Jtkid Mg;fhdpy; cs;s kw;w kUj;Jtkidfisg; NghyNt kUe;Jg; gw;whf;Fiwapdhy; ntFthfg; ghjpf;fg;gl;Ls;sJ. mtrug; gphptpy; gzpahw;wpf; nfhz;bUf;Fk; kUj;JtHfs;> clypd; ijay; NghLk; gFjpfis ifAiw ,d;wp ntw;Wf; iffspdhy; NghLtij ehd; ghHj;jpUf;fpd;Nwd;. Xt;nthU ehSk; fpUkpg; G+r;rpfspdhy; ghjpf;fg;gl;l 2-3 Fly; rk;ge;jg;gl;l Neha;fspdhy; mt];ijg; gLk; Foe;ijfSf;F kUj;Jtk; nra;fpd;whHfs;. ,e;j Nehia Koikahd Rfhjhu Rw;Wg;Gwk; kw;Wk; cztpd; %ykhff; fl;Lg;gLj;jp tpl KbAk;. Mg;fhdpy; thOk; Mz; ngz; midtUf;Fk; cly;eyk; vd;gJ kpfTk; ftiyf;Fhpa ghpjhgkhdnjhU tprakhf ,Uf;fpd;wJ.

       2.         epue;ju Neha;j; jLg;G Crpfs; %yk; jLj;Jtplf; $ba Neha;fs; mq;F fhzg;gLfpd;wd. Vd;Dila kUj;Jt tho;tpy; Kjd; Kjyhf nlld]hy; ghjpf;g;gl;L jhilia mirf;f (Lock jaw) Kbahj epiyapy; xU Nehahspia [yhyhghj; efhpy; ehd; re;jpj;Njd;.

       3.         Fiwe;j rk;gs tpfpjk; fhuzkhf Mz; kw;Wk; ngz; KUj;JtHfs; Mg;fhid tpl;L ntspNaWfpd;whHfs;. KUj;JtHfSf;F 6000 &ghAk;> eH]; fSf;F 3000 &ghAk;> Jg;GuTg; gzpahsHfSf;F 2000 &gha; rk;gskhff; fpilf;fpd;wJ.

       4.         mtHfSf;Fk;> mtHfsJ Foe;ijfSf;Fk; kUj;JtHfs; vOjpf; nfhLf;Fk; kUe;Jfis thq;f trjpaw;wtHfshf mNef Mg;fhd; kf;fs; ,Ug;gijf; fhz Kbfpd;wJ. mtHfs; njUf;fSf;Fr; nrd;W njUtpy; nry;Nthhplk; kUe;Jr; rPl;ilf; fhz;gpj;J> kUe;Jfs; thq;f gz cjtp nra;AkhW gpr;ir vLf;f Muk;gpj;J tpLfpd;whHfs;.

       5.         400 gLf;ifs; nfhz;L xU kUj;Jtkidapy; B]y; vd;[pdhy; ,af;fg;gLk; xU ntg;gj;ij cUthf;fpj; jUk; xU ,ae;jpuk; cs;sJ> Mdhy; mjid ,af;Ftjw;F B]y; Njitg;gLfpd;w fhuzj;jhYk;> B]ypd; tpiy fLikahd caHT fhuzkhf> mtw;iw ,e;jf; FspH fhyj;jpy; $l ,af;f Kbahj msT epiyik Nkhrkhf cs;sJ. rPNjh\;z epiy ,g;nghOJ -15 bfphpf;Fk; Fiwthff; $l Mfp tpLfpd;wJ.

       6.         yhf; Nkd; gFjpapy; cs;s xU gs;spapy; ngz;fSf;F Ntiytha;g;G mspf;Fk; Nehf;fj;Jld; ijay; gapw;rp kw;Wk; Mil nea;Ak; gapw;rpAk; mspf;fg;gLfpd;wJ. MuR rhuh epWtdq;fshy; elj;jg;gl;l gy gs;spfs; %lg;gl;L tpl;ljd; fhuzk;> ,];yhkpa Kiwapy; my;yhJ MZk; ngz;Zk; ,ize;J fy;tp fw;Fk; Kiwia mtHfs; nra;jjhy;> mjw;Fj; jil tpjpf;fg;gl;L me;jg; gs;spfs; %lg;gl;Ls;sd. ngz;fSf;nfd epiwa gs;spf; $lq;fs; elj;jg;gl;L tUfpd;wd.

       7.         ehd; Mg;fhdpy; tho;e;j ehl;fspy;> Mg;fhd; ngz;fs; Rje;jpukhf khHf;nfl;Lf;F jd;de;jdpahfNth my;yJ jq;fsJ Foe;ijfSlNdh ve;jtpj ghJfhg;Gk; ,y;yhky; nrd;W te;jijg; ghHj;Njd;. mtHfspy; gyH Fjpfhy; caHe;j nrUg;Gf;fis mzpe;jpUe;jdH. mtHfspy; vtUf;Fk; fy; nfhz;L vwpe;Njh my;yJ gpuk;gpdhy; mbj;Njh jz;lid jug;gltpy;iy.

       8.         gy ngz;fs; GHfh mzpahky; (mjhtJ jiyKjy; fhy;tiuAk;> fz;Zf;F kl;Lk; tiy Nghd;w mikg;ig cila KO cil) ,Ug;gijAk;> Mdhy; fyH jiyj; JzpfisAk;> me;jj; Jzpfs; jiyiaAk; mtHfsJ thiaAk; kiwf;Fk; msTf;F mtw;iw mzpe;jpUe;jdH. mtHfis vtUk; fy; nfhz;L vwpaTk; ,y;iy> gpuk;ghy; mbf;fTk; ,y;iy.

       9.         [d;dy; topahfg; ngz;fs; ntspNa ghHg;gijj; jil nra;Ak; Nehf;Fld; tPl;Lr; [d;dy;fSf;F ngapz;l; mbf;fgl;l tPLfis vd;dhy; ghHf;f ,aytpy;iy. mNefkhf midj;J Mg;fhdpaHfsplk; tPLfSk; caHe;j kz;zpdhy; Md Rw;Wr; RtHfspdhy; fl;lg;gl;Lk;> ,e;jr; RtHfs; me;jf; FLk;gj;jpdHfSf;F jdpj;jd;ikahd jdpikia mtHfSf;F toq;fpf; nfhz;bUf;fpd;wd. Mg;fhd; kf;fs; jdpj;jd;ik kpf;ftHfs;> gpwH jq;fis cw;W Nehf;FtijNah> Fwpg;ghf jq;fs; ,y;yg; ngz;fis gpwH ghHg;gij mtHfs; tpUk;Gtjpy;iy.

     10.        Mg;fhdpy; fLikahd gQ;rk; epyTfpd;wJ> tWikapdhy; ghjpf;fg;gl;l Mz;> ngz;> Foe;ijfs; ghHj;jpUf;fpd;Nwd;. jq;fsJ FLk;gj;jpw;Fj; Njitahd czTg; nghUl;fis thq;fpf; nfhs;tjw;fhf jq;fsJ tPl;Lg; nghUl;fis tpw;Wf; nfhz;bUf;fpd;whHfs;. tpw;gjw;F ve;jg; nghUl;fSk; ,y;iy vDk; gl;rj;jpy;> njUtpy; ,wq;fp gpr;ir vLf;f Muk;gpj;J tpLfpd;whHfs;.

      11.        Mg;fhdpy; mNefk; NgHfs; tWikapd; fhuzkhf gpr;ir vLg;gjw;F epHg;ge;jk; nra;ag;gl;ltHfs;> Mg;fhdpy; gpr;ir vLg;gij vtUk; jil nra;atpy;iy vd;gij epidtpy; nfhs;s Ntz;Lk;.

     12.        u\;aHfisg; GwKJFfhl;lr;  nra;j gpd;dH> Mg;fhdpy; Ml;flj;jy;> fw;gopg;G> tpgr;rhuk;> jpUl;L> kw;Wk; nfhiyfis nfhs;isf; fhuHfs; nra;J te;jhHfs;. jhypghd;fs; Ml;rpg; nghWg;ig Vw;Wf; nfhz;lTld; fhG+y; efhpy; ,Ue;j 41 tpgr;rhu ikaq;fs; ,Oe;J %lg;gl;ld> nfhs;isf;fhuHfs; ehl;bd; mUfpy; cs;s ehLfSf;Fr; nrd;W Gfyplk; ngw;W jQ;rkile;J tpl;lhHfs; (cjhuzk;: ghf;fp];jhd; kw;Wk; <uhd;). (jhypghd;fspd; Ml;rpapy; ,Ue;j) Mg;fhdpy; ,utpy; $l xUtH Rje;jpukhf jd;Dila gazj;ij Nkw;nfhs;s KbAk;.

     13.        jhypghd;fs; Mg;fhdpy; jlk;gpwohj tifapy; ,];yhkpar; rl;lq;fis epWtpapUe;jdH. mtHfs; rpdpkhj; jpNal;lHfis %b tpl;lhHfs;> ve;j caphpdj;ijAk; Gifg;glk; vLg;gijj; jil nra;jhHfs;> #jhl;lj;ijj; jil nra;jhHfs;> tpgr;rhuj;ij xopj;jhHfs; ,d;Dk; gy.. .. mtHfs; jq;fsJ kf;fSf;F kj;jpapy; xOf;fj;ij epiyehl;bdhHfs;.

     14.        mLj;j ,uz;lhz;LfSf;F Mg;fhdpy; gQ;rk; ePbf;Fk; vd Ieh rig cWjpgLj;jpaJ. ePhpypUe;J jahhpf;fg;gLk; kpd;rhuk; rw;Nwwf;Fiwa epd;Nw tpl;lJ vdyhk;. ,jd; tpisthf> xU ehisf;F 5-6 kzp NeuNk kpd;rhuk; fpilj;J te;jJ.

     15.        Mg;fhdpd; cs; fl;likg;ghdJ Nghhpdhy; KotJkhfr; rpije;J jhd; NghdJ. MNefkhf mq;F Ntiy vd;gNj fpilg;gjpy;iy. Nghpa efuq;fis ,izf;ff; $ba rhiyfs; jhd; ,g;nghOJ gOJ ghHf;fg;gl;Ls;sJ.

Mg;fhd; kf;fs; jq;fs; kz;izAk; kjj;ijAk; u\;aHfsplkpUe;J fhg;ghw;wpf; nfhs;tjw;fhf 1.8 kpy;ypad; capHfis ,oe;jpUf;fpd;whHfs;. Mg;fhid Mz;l jhypghd; muR kpfr; rhpahdnjhU murhf ,y;yhky; ,Uf;fyhk;> Mdhy; Mg;fhd; kf;fspd; Njitfis ehk; kwe;J Gwe;js;sp tplf; $lhJ> Fwpg;ghf mNef tpjitfisAk; kw;Wk; Foe;ijfisAk;. Mg;fhidg; gw;wp jtwhfg; gpur;rhuk;

ehd; nra;jJ NghyNt> NkNy ehd; nfhLj;jpUf;Fk; Fwpg;Gfis vLj;Jf; nfhz;L mtw;iw rhp ghHj;J tUtjw;fhf nry;yf; $batHfsplk; ehd; rthy; tpLfpd;Nwd;> ehd; nfhLj;jpUf;Fk; ,e;jr; nra;jpfs; cz;ikjhdh? my;yJ ,J Gide;Jiuf;fg;gl;ljh vd;gij mtHfs; nrd;W Ma;T nra;J ghHj;J tul;Lk;. ve;jtpj rpuKkpy;yhky; ,izaj;jpd; thapyhf gug;gp tplg;gLk; ngha;r; nra;jpfspd; jhf;fj;jpy; kl;Lk; ,Ue;J tplhky;> Vo;ikapd; tpisitAk;> mjd; tpisthf mtHfs; mDgtpf;Fk; nfhLikfisAk; fz;L thUq;fs;. cq;fsJ kdq;fisj; jpwe;J> xg;Gf; nfhs;sf; fbdkhd cz;ikfisAk;> Mjhuq;fisAk; cq;fs; kdj;jpiuapy; Xl tpl;L> ehd; NkNy nfhLj;jpUf;Fk; cz;ikfisAk;> cq;fsplk; ehd; itf;Fk; Nfhhpf;iffisAk; ghprPypj;J xU Kbit vLq;fs;.

cq;fsJ rf;jpfis xd;W jpul;b ghjpf;fg;gl;l me;j kf;fSf;F Fwpg;ghf tpjitfs; kw;Wk; mehijfSf;F cjTq;fs;. Fdlh ehl;bd; xl;lhth efiu ikakhff; nfhz;l ngz;fs; kw;Wk; Foe;ijfSf;fhd cly;eyk; kw;Wk; fy;tp Mfpatw;wpd; midj;Jyf jpl;lj;jpdhy; ,af;fg;gLk; gy;NtW jpl;lg;gzpfspy; gzpahw;wpf; nfhz;bUf;fpd;Nwd;. tpiutpy; fPof;fz;l fPo;f;fz;l cjtpg; nghUs;fSld; xU jpl;lg; gzpia Muk;gpf;ftpUf;fpd;Nwd; :

       1.         kUj;JtHfs; kw;Wk; eH];fSf;fhd mjpfg;gb tUkhd cjtpj; njhif - ,jd; %yk; ,lk; ngaUk; kUj;JtHfisAk;> eH];fisAk; jf;f itj;Jf; nfhs;s ,aYk; (xU kUj;JtUf;F ehk; nfhLf;Fk; mjpfg;gbahd 10 lhyHfs; $l kpfg; nghpanjhU khw;wj;ij cUthf;fty;yJ.)

       2.         Muk;g Rfhjhuj;jpw;Fj; Njitahd kUe;Jfs;> cjtpg; nghUl;fs;> fUtpfs; Mfpatw;iw fdlhtpd; ,uhZtj;jpd; xg;GjNyhL> 6 khj;jpw;F xU jlit vd ,il tplhJ mDg;gp itj;jy;. ,it ahTk; [yhyhghj; - y; cs;s kUj;Jtkid kw;Wk; fhG+y; efhpy; cs;s ,e;jpuh fhe;jp Foe;ijfs; kUj;Jt kidf;Fk; mDg;gp itf;fg;gLk;.

       3.         #f;fs;> FspH Milfs;> NghHitfs; kw;Wk; J}q;fg; gad;gLj;jg;gLk; igfs; (FspHfhyj;jpy; fhG+ypy; fLikhad FspH fhzg;gLk;> ntg;gj;ij cUthf;ff; $ba ,ae;jpuq;fs; kpf tpiyAaHe;jit> nryTgpbg;gitahf ,Uf;fpd;wd) Mfpait ,iltplhJ Mg;fhDf;F fg;gy; %yk; mDg;gpf; nfhz;bUj;jy;.

       4.         kUj;Jtkidfis J}a;ikahf itj;jpUf;fj; Njitahd nghUl;fs; kw;Wk; Jg;GuTj; njhopyhsHfis epakpj;jy; Nghd;wtw;wpw;F vd cjtpg; gzj;ij kUj;JtkidfSf;F toq;Fjy;

       5.         NjitahdtHfSf;F cjtTk;> mtHfSf;F cztspg;gjw;fhfTk; ghy; fwit khLfis thq;Ftjw;fhf cjtpg; gzk; Vw;gLj;Jjy;

Mjhuf; Nfhg;Gfs; jahhpg;gjw;fhf my;yJ tPbNah efy;fs; jahhpg;gjw;fhfTk; kw;Wk; ,J gw;wpa Nfs;tpfs; my;yJ tprhuizfs; vJTkpUg;gpd;> ahuhf ,Ue;jhYk; vd;idj; njhlHG nfhs;syhk;> mtHfis ehd; tuNtw;fpd;Nwd;. ,e;jr; nra;jpia cq;fshy; Kbe;jsT vt;tsT NgHfSf;F nfhLf;f KbANkh me;j msTf;F ,e;jr; nra;jpia efnyLj;J ntspapLkhWk; cq;fisf; Nfl;Lf; nfhs;fpd;Nwd;.

nu]h vk;. fhd;. BSc, MD, CCFP.

FLk;g ey kUj;JtH.