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Foe;ijfSf;F jpl czT mwpKfg;gLj;Jk; Kiw!

Dr. SAFAA AL-ESSA

MB. Dch. Dcch. FRCP. Edin., (U.K.), Consultant Paediatrician. (SAUDI ARABIA).


nghJthf Foe;ijfSf;Fj; jpl czT nfhLg;gij mjd; %d;whtJ khjj;jpy; ,Ue;J Muk;gpf;f Ntz;Lk;. rpy jha;khHfs; ,e;j %d;W khj fhyj;jpw;F Kd;Ng Foe;ijfSf;Fj; jpl czT nfhLg;gjw;F mtrug;gLfpd;wdH> ,J xU jtpHf;f Ntz;ba topKiwahFk;.

Foe;ijapd; Kjy; %d;W khjj;jpw;F ghiyj; jhd; czthff; nfhLf;fg;gl Ntz;Lk;> mijj; jtpHj;J ,e;j %d;W khj fhyj;jpw;F Kd;gjhf jpl czT nfhLg;gJ> Foe;ij ghiy cwpQ;rpf; Fbg;gjw;fhd tpUg;gj;ijf; Fiwj;J tpLk;. NkYk;> me;j %d;W khj fhyj;jpw;F Kd;gjhff; Foe;ijfSf;Fj; jpl czT mspg;gJ> Foe;ijapd; rpWePufj;jpw;F mjpfkhd Ntiyr; Rik my;yJ mOj;jj;ijf; nfhLj;J> Foe;ijf;F xt;thik my;yJ myH[p Nghd;w Neha;fis cUthf;fp tpLk;.

Kjy; %d;W khjj;jpw;Fg; gpd; nfhLf;fg;gl Ntz;ba czTfspd; gl;bay; :

Kjy; thuk; - ,uz;lhk; thuk; tiu

Foe;ijfSf;fhd u];f; (fha;e;j) nuhl;b my;yJ Foe;ijfSF;fhd gp];fl; miuj; Jz;L> ,ij vLj;J ghypy; fiuj;J Foe;ijfSf;F Cl;l Ntz;Lk;. xU thuk; ,t;thW nfhLj;J Kbj;jTld;> ,e;j miu u];f; my;yJ gp];fl; vd;w msit> KO u];f; my;yJ gp];fl; vd;w mstpy; mjpfg;gLj;jpf; nfhs;s Ntz;Lk;.

NkYk; ,e;j thuj;jpy; gpope;njLf;fg;gl;l MuQ;Rg; gor;rhiw> mjpfg;gbahd jz;zPH fye;J nfhLf;fyhk;.

Fwpg;G : ghy;> gor;rhW ,tw;wpy; rPdp my;yJ rHf;fiu fyf;ff; $lhJ.

3 tJ thuk; - 4 tJ thuk;.

Goq;fspy; gOj;j thiog;gok;> Mg;gps;> Nghpf;fha;> rhW epiwe;j goq;fs; kw;Wk; fha;fwpfspy; cUisf; fpoq;F> Nful; kw;Wk; fhyp gpstH Mfpatw;iwf; nfhLf;f Muk;gpf;f Ntz;Lk;. NkYk;> filfspy; tpw;Fk; ghl;by;fspy; milj;j #];fisf; nfhLg;gijj; jtpHj;J> ehNk cld; jahhpj;J Foe;ijfSf;F nfhLf;f Ntz;Lk;. NkYk;> Foe;ijfSf;F czT jahhpf;F Kd;ghf cq;fs; iffisAk;> ghj;jpuq;fs;> Foe;ijfSf;F czT toq;ff; $ba ghl;by;fs; kw;Wk; fpz;zq;fis Kjypy; Jha;ikahf> Rj;jg;gLj;jpf; nfhs;s Ntz;Lk;. NkYk;> Foe;ijfSf;fhd czT jahhpj;J Kbj;jTld;> kPjkpUf;Fk; czTfisNah my;yJ Foe;ijfSf;fhf fhj;jpUf;f Ntz;ba re;jHg;gk; ,Ue;jhNyh> jahhpf;fg;gl;l czTfis fz;bg;ghf FspHrhjdg; ngl;bapy; ghJfhg;ghd Kiwapy; itf;f Ntz;Lk;.

Kf;fpakhf jpl czTfis nfhLf;f Muk;gpf;Fk; nghOJ> kjpa Neuq;fspy; nfhLf;f Muk;gpg;gJ kpfr; rpwe;jJ. mNj Nghy Foe;ijfSf;F czT Cl;Ltjw;F Kd; cq;fs; kbapNyh my;yJ jiuapNyh Foe;ijfis cl;fhHj;jp itj;Jj; jhd;> czit Cl;l Ntz;Lk;. czit vLj;J Cl;Lk; nghOJ> fuz;bia thapd; kpf Moj;jpw;Ff; nfhz;L nry;yf; $lhJ. Foe;ij jpUg;jpaile;J tpl;lhy; my;yJ mjw;F NghJkhd msT czit cz;L tpl;lJ vd;why;> mJ czT cz;gij tpl;Lk; jd; Kfj;ij NtW jpirapy; jpUg;gpf; nfhs;Sk;> ,j;jifa re;jHg;gq;fspy;> czit typaf; nfhz;L Ngha;> mjd; tpUg;gj;jpw;Fk; mjpfkhd czit cl;nfhs;SkhW tw;GWj;jhjPHfs;.

NkYk;> xU tifg; Gjpa czTfis xU Neuj;jpy; ePq;fs; mwpKfg;gLj;jpdPHfs; vd;why;> me;j czT mjw;F xj;Jf; nfhs;fpd;wjh vd;gij mwpe;J nfhs;s xU rpy ehl;fshtJ fhj;jpUf;f Ntz;Lk;. NkYk;> ,d;Dk; me;jf; Foe;ijfSf;F ghy; czit mspf;f Ntz;ba NjitapUg;gpd;> xU ehisf;F ehd;F Kiw vd;w mstpy; nfhLg;gJ ey;yJ.

ehd;fhtJ khjKk; mjw;Fg; gpd;Gk;

czT Cl;lf; $ba czT gw;wpa khjphpg; gbtk;.

Kjy; fl;lk; : KOikahd ehd;F khjq;fspy;

Kjy; czT+l;ly; :

jha;g;ghy; my;yJ Gl;bg; ghy;> tof;fk; Nghy (ghypy; fiuj;j xU gp];fl;)

,uz;lhtJ czT+l;ly; :

jha;g;ghy; my;yJ Gl;bg; ghy; nfhLg;gij ghjpahff; Fiwj;J tpLtJ. kPjj;jpw;F> ghYf;F khw;W czthf xd;W my;yJ ,uz;L rpW fuz;b (B ];G+d; - 4 kp.yp) msTs;s miuj;j jhdpa czT (Nguf;];> nrhpyhf;)

3 tJ czT+l;ly; :

jha;g;ghy; my;yJ Gl;bg;ghYld; NkNy nrhd;dJ NghyNt cztspf;f Ntz;Lk;.

4 tJ czT+l;ly; :

jha;g;ghy; my;yJ Gl;bg;ghYld; NkNy nrhd;dJ NghyNt cztspf;f Ntz;Lk;.

5 tJ czT+l;ly; :

jha;g;ghy; my;yJ Gl;bg;ghYld; NkNy nrhd;dJ NghyNt cztspf;f Ntz;Lk;.

 

,uz;lhtJ fl;lk; : ( fpl;lj;jl;l ehyiu khjq;fspy;)

1 tJ czT+l;ly; :

jha;g;ghy; my;yJ Gl;bg;ghYld; NkNy nrhd;dJ NghyNt cztspf;f Ntz;Lk;.

2 tJ czT+l;ly; :

jha;g;ghy; my;yJ Gl;bg;ghy; nfhLg;gij ghjpahff; Fiwj;J tpLtJ. kPjj;jpw;F   ghYf;F khw;W czthf>   ,uz;L rpW fuz;b (B ];G+d; - 4 kp.yp) msTs;s miuj;j jhdpa czT (Nguf;];> nrhpyhf;)

3 tJ czT+l;ly; :

jha;g;ghy; my;yJ Gl;bg;ghy; nfhLg;gij ghjpahff; Fiwj;J tpLtJ. kPjj;jpw;F ghYf;F khw;W czthf>   ,uz;L rpW fuz;b (B ];G+d; - 8 kp.yp) msTs;s fha;fwp (mtpj;jJ)> goj;Jz;Lfs;.

4 tJ czT+l;ly; :

jha;g;ghy; my;yJ Gl;bg; ghy; nfhLg;gij ghjpahff; Fiwj;J tpLtJ. kPjj;jpw;F ghYf;F khw;W czthf>   ,uz;L rpW fuz;b (B ];G+d; - 8 kp.yp) msTs;s fha;fwp (mtpj;jJ)> goj;Jz;Lfs;.

5 tJ czT+l;ly; :

jha;g;ghy; my;yJ Gl;bg; ghy; nfhLg;gij ghjpahff; Fiwj;J tpLtJ. kPjj;jpw;F ghYf;F khw;W czthf>   ,uz;L rpW fuz;b (B ];G+d; - 8 kp.yp) msTs;s fha;fwp (mtpj;jJ)> goj;Jz;Lfs;.

,jpy; Fwpg;ghf ftdpf;f Ntz;baJ vd;dntd;why;> xNu khjphpahd czT tif(nkDf;)fisf; nfhLf;fhky;> gyjug;gl;l czT tiffisAk;> gy;NtW Ritfisf; nfhz;l czthfTk; jahhpj;jspf;f Ntz;Lk;. ve;j msTf;F jpl czT mspf;fpd;NwhNkh me;j msTf;F ghypd; msitf; Fiwj;J tpLtJ ey;yJ. kpfTk; kpUJthd ghF Nghd;w czTfisj; jhd; Foe;ijfs; mjpfk; tpUk;Gk;.

5 tJ khjk; :

,e;j khjj;jpy; japH> gr;irf; fPiufs;> gUg;G tiff; fha;fwpfs; (gPd;];> mtiu> nkhr;ir) Nghd;wtw;iw mwpKfg;gLj;j Ntz;Lk;. ,tw;wpy; mjpfg;gbahd rj;Jf;fs; ,Uf;fpd;wd. ,j;Jld; Vw;fdNt nfhLj;J tUfpd;w czT tiffisAk; nfhLj;J tu Ntz;Lk;.

6 - 7 tJ khjk; :

,e;j khjq;fspy; nfl;bahd czTg; nghUs;fshd> ntz;nza;> kPd;> fwp> Nfhopf; fwp> <uy;> Kl;il (mtpj;j kQ;rs; fUit rpwpa mstpy; kl;Lk; vLj;Jf; nfhLf;f Ntz;Lk;)

,e;j tajpy;> mjw;F vspjhf tpOq;ff; $ba mstpy; cs;s ve;j czTg; nghUl;fisAk;> Foe;ij vspjhf czthf cl;nfhs;s KbAk;. Mdhy; me;j czTfs; cg;G my;yJ ciug;Gf; fye;jjhfNth ,Uf;ff; $lhJ

Foe;ij czT jahhpg;gpw;fhf rpy topKiwfs; :

        fha;fwp kw;Wk; goq;fspy; cs;s tpijfis ePf;fp tpl;L mtw;iw cq;fs; Foe;ijfSf;F Cl;Lq;fs;.

        vg;nghOJk; Gjpjhfg; gwpj;j fha;fwp kw;Wk; goq;fisNa Cl;Lq;fs;| goq;fis Ntf itj;jy; $lhJ> fha;fwpfis ePz;l Neuk; Ntf itj;jy; $lhJ.

        cq;fs; Foe;ijapd; tajpw;Fj; jFe;jthW> jahhpf;fg;gl;l cztpd; jd;ik (mjhtJ totog;ghfNth> $o; jd;ik nfhz;ljhfNth> nfl;bahdjhfNth) ,Uf;FkhW jahhpj;Jf; nfhs;tJ rpwe;jJ. cjhuzkhf> 4 khjf; Foe;ijf;F nfl;bahd ghYk;> 6 khjf; Foe;ijf;F  totog;ghd $o;  Nghd;w czTk;> 9 khjf; Foe;ijf;F nfl;bahd $o; czTk; jahhpj;jspj;jy; Ntz;Lk;.

        fPiu tif czTfisj; jahhpf;Fk; nghOJ> jhkpuk; (fhg;gH) mbg;ghfNkh> my;yJ jhkpuj;jpdhy; nra;ag;gl;l ghj;jpuq;fisj; jtpHj;J tpl Ntz;Lk;. ghj;jpuj;jpy; cs;s jhkpuk; me;jf; fPiuapy; cs;s tpl;lkpd; rp ia mopj;J tpLk;.

        Foe;ijfSf;Fj; jahhpf;fg;gLk; cztpy; ,dpg;G (rPdp> rHf;fiu) my;yJ cg;G fyf;ff; $lhJ

        vg;nghOJk; Gjpjhfj; jahhpf;fg;gl;l gor;rhWfisNa czthff; nfhLq;fs;. ,dpg;ghd my;yJ ,dpg;Gf; fye;j gor;rhWfisf; jtpHj;J tpLq;fs;.

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