Beg-'Kg Köwy Mvaviy Weávb: (Z ZXQ Aa VQ: Ü'H Š¿I HZ K - V M RBKXJ Cö Kœi Dëi Ges Cixÿv Cö WZ)
Beg-'Kg Köwy Mvaviy Weávb: (Z ZXQ Aa VQ: Ü'H Š¿I HZ K - V M RBKXJ Cö Kœi Dëi Ges Cixÿv Cö WZ)
[Z…Zxq Aa¨vq: ü`h‡š¿i hZ K_v m„Rbkxj cÖ‡kœi DËi Ges cixÿv cÖ¯‘wZ]
1. wb‡Pi wPÎwU †`L Ges cÖkœ¸‡jvi DËi `vI : cwien‡b mÿg| wn‡gv‡Møvweb i‡³i A¤ø-¶v‡ii mgZv eRvq ivLvi
Rb¨ evdvi wn‡m‡e KvR K‡i|
Ab¨w`‡K AYyPwµKvi cÖavb KvR n‡jv i³ ZÂb Ki‡Z mvnvh¨
Kiv| hLb †Kv‡bv i³evwnKv ev †Kv‡bv wUmy¨ AvNvZcÖvß n‡q †K‡U
hvq, ZLb †m ¯’v‡bi AYyPwµKv¸‡jv †f‡O hvq Ges _ª‡¤^vc-vmwUb
bvgK c`v_© m„wó K‡i| G¸‡jv i‡³i Avwgl †cÖv_ªgweb‡K _ªgwe‡b
cwiYZ K‡i| _ªgweb cieZ©x‡Z i³i‡mi †cÖvwUb dvBweª‡bv‡Rb‡K
K. i³ Kv‡K e‡j? dvBweªb Rvj‡K cwiYZ K‡i i‡³i ZÂb NUvq| dvBweªb ¶Z¯’v‡b
L. ˆKwkK RvwjKv ej‡Z Kx eySvq? RgvU euv‡a Ges i³¶iY eÜ K‡i| GQvovI i³ RvwjKvi ¶wZMÖ¯Í
M. gvbe‡`‡n wP‡Îi B wPwýZ †Kv‡li f~wgKv e¨vL¨v Ki| As‡k Gu‡U wM‡q _ª‡¤^vmvBU `ªæZZvi mv‡_ Zvi †givgwZi KvR
N. wP‡Îi A I C GKB †hvRK Kjvq Aew¯’Z n‡jI G‡`i KvR K‡i|
wfbœ-we‡kølY Ki| myZivs Dc‡ii Av‡jvPbv †_‡K GUv ¯úó †h, hw`I A, B I C
GKB †hvRK Kjvq Aew¯’Z ZeyI Zv‡`i Kv‡Ri wfbœZv Av‡Q|
1 b¤^i m„Rbkxj cÖ‡kœi DËi
K. i³ GK ai‡bi jvj e‡Y©i A¯^”Q, AvšÍt‡Kvlxq jeYv³ I ¶viag©x 2. ivwdb 10g †kªwYi QvÎ| Zvi AveŸv myVvg †`‡ni AwaKvix| ivwdb
Zij †hvRK wUmy¨| j¶ Ki‡Q Zvi AveŸvi †`‡n ¶Z m„wó n‡j ïKv‡Z †`wi n‡”Q,
L. agwb I wkivi ms‡hvM¯’‡j Aew¯’Z †Kej GK¯Íi wewkó Pvgov ïwK‡q hv‡”Q, mvgvb¨ cwikª‡g K¬všÍ I `ye©j n‡q co‡Q| Gme
G‡Ûv‡_wjqvg w`‡q MwVZ †hme m~² i³bvwj Rvj‡Ki AvKv‡i Kvi‡Y ivwd‡bi AveŸv Wv³v‡ii kiYvcbœ nb| Wv³vi mv‡ne
web¨¯Í _v‡K, †m¸‡jv‡K ˆKwkK RvwjKv e‡j| ˆKwkK RvwjKvi cix¶v-wbix¶v †k‡l my¯’ _vKvi Rb¨ wKQy wbqgk„•Ljv †g‡b Pjvi
g‡a¨ e¨vcb cÖwµqvi Øviv cywó`ªe¨ Aw·‡Rb, Kve©b WvBA·vBW, Dc‡`k w`‡jb|
†iPb c`v_© BZ¨vw`i Av`vb-cÖ`vb N‡U| K. i³Pvc Kv‡K e‡j?
M. wP‡Îi B wPwýZ †KvlwU n‡jv i‡³i †k¦ZKwYKv ev wjD‡KvmvBU L. wm‡÷vwjK i³Pvc ej‡Z Kx eySvq?
hvi f‚wgKv gvbe‡`‡n Ab¯^xKvh©| M. ivwd‡bi AveŸv Kx †iv‡M AvµvšÍ n‡q‡Qb? e¨vL¨v Ki|
†k¦ZKwYKv A¨vwgevi g‡Zv †`‡ni AvKv‡ii cwieZ©b K‡i N. Wv³vi mv‡ne ivwd‡bi AveŸv‡K my¯’ _vKvi Rb¨ Kx Dc‡`k
d¨v‡MvmvB‡Uvwmm cÖwµqvq †ivMRxevYy aŸsm K‡i| i³RvwjKvi †`b? e¨vL¨v Ki|
cÖvPxi †f` K‡i Giv wUmy¨i g‡a¨ cÖ‡ek Ki‡Z cv‡i| wj‡çvmvBU 2 b¤^i m„Rbkxj cÖ‡kœi DËi
†k¦ZKwYKv A¨vw›UewW MVb K‡i †ivMRxevYy‡K aŸsm K‡i †`‡ni K. ürwc‡Ði ms‡KvPb I cÖmvi‡Yi d‡j ürwcÐ †_‡K i³ agwbi ga¨
†ivM cÖwZ‡iva ¶gZv e„w× K‡i| GK K_vq Giv †`‡n ˆmwb‡Ki w`‡q cÖevnKv‡j agwb cÖvPx‡i †h cvk¦©Pvc m„wó K‡i Zv‡K i³Pvc
g‡Zv KvR K‡i| †`n evB‡ii RxevYy Øviv AvµvšÍ n‡j G Rb¨ `ªæZ e‡j|
†k¦ZKwYKvi msL¨vi e„w× N‡U| GQvovI BIwm‡bvwdj I †e‡mvwdj L. wm‡÷vj Ae¯’vq agwb‡Z i‡³i †h Pvc _v‡K Zv‡K wm‡÷vwjK
†k¦Z KwYKv¸‡jv i‡³ wn÷vwmb bvgK ivmvqwbK c`v_© wbtm„Z K‡i i³Pvc e‡j| ürwc‡Ði ¯^Ztù‚Z© ms‡KvPb‡K wm‡÷vj e‡j|
†`‡n GjvwR© cÖwZ‡iva K‡i| †e‡mvwdj i‡³ †ncvwib wbtm„Z K‡i ürwc‡Ûi Kvh©KvwiZv Ges agwbi cÖvPx‡ii w¯’wZ¯’vcKZvi mv‡_
i³‡K i³ evwnKvi †fZ‡i RgvU euva‡Z †`q bv| wm‡÷vwjK i³Pvc m¤úwK©Z| ¯^vfvweK I my¯’ GKRb cÖvßeq¯‹
AZGe, †`Lv hv‡”Q †h, gvbe‡`‡n B wPwýZ †Kvl A_©vr gvby‡li wm‡÷vwjK i³Pvc 110Ñ140 wgwjwgUvi (mmHg) nq|
†k¦ZKwYKvi f‚wgKv AZ¨šÍ ¸iæZ¡c~Y©| M. ivwd‡bi AveŸvi g‡a¨ †h j¶Y¸‡jv †`Lv hv‡”Q Zv‡Z cÖv_wgKfv‡e
N. wP‡Îi A i‡³i †jvwnZ KwYKv ev Gwi‡_ªvmvBU Ges C i‡³i eySv hv‡”Q wZwb Wvqv‡ewUm ev eûg~Î †iv‡M AvµvšÍ n‡q‡Qb| G
AYyPwµKv ev _ª‡¤^vmvBU| G `yB ai‡bi i³KwYKv hw`I GKB †iv‡Mi jÿY¸‡jv n‡jvÑ
ai‡bi †hvRK Kjv i‡³ Aew¯’Z wKš‘ G‡`i KvR wfbœag©x| 1. Nb Nb cÖmªve nIqv|
†jvwnZ KwYKv¸‡jv AvK…wZ‡Z P¨vÞv I fvmgvb e¨v‡Mi g‡Zv| 2. mvgvb¨ cwikª‡g K¬vwšÍ I `ye©jZv †eva Kiv|
G‡`i g‡a¨ wn‡gv‡Møvweb bvgK iÄK c`v_© _vKvi Kvi‡Y Giv jvj 3. Pvgov ïwK‡q hvIqv|
e‡Y©i| †jvwnZ KwYKvi wn‡gv‡M-vweb Aw·‡Rb Ges Kve©b 4. kix‡ii †Kv_vI ÿ‡Zi m„wó n‡j, †`wi‡Z ïKv‡bv|
WvBA•vB‡Wi mv‡_ hy³ n‡q Aw•‡Rb I Kve©b WvBA•vBW‡K cwienb 5. Lye †ewk wccvmv jvMv I †ewk wÿ‡` cvIqv|
K‡i| †jvwnZ KwYKv¸‡jv AvK…wZi Kvi‡Y AwaK cwigvY Aw•‡Rb 6. †Pv‡L Svcmv †`Lv|
jÿY¸‡jvi g‡a¨ †ek wKQz jÿY ivwd‡bi AveŸvi g‡a¨ cÖKvk Zvn‡j †m e¨w³i i³ ¸”Qe× n‡q Zvi g„Zz¨ n‡Zv| myZivs GKRb
†c‡q‡Q| myZivs a‡i †bIqv hvq Zvi Wvqv‡ewUm †ivM n‡q‡Q| gvby‡li i‡³i MÖæc A n‡j Zvi i‡³ A A¨vw›U‡Rb _vK‡e| Gi
N. Wv³vi mv‡ne ivwd‡bi AveŸv‡K my¯’ _vKvi Rb¨ Zuvi c_¨ Kx n‡e weiæ‡× †Kv‡bv A¨vw›UewW _vK‡e bv, Zvi i‡³ †Kv‡bv B A¨vw›U‡Rb
Ges Wvqv‡ewUm †ivM‡K wbqš¿Y Kivi Rb¨ Kx Kx Ki‡Z n‡e †m †bB; wKš‘ B A¨vw›UewW _vK‡e| GRb¨ A MÖy‡ci i‡³i A¨vw›UewW
m¤^‡Ü Dc‡`k w`‡jb| G¸‡jv wb‡P D‡jøL Kiv n‡jv : B MÖæ‡ci †jvwnZ KwYKv‡K ¸”Qe× K‡i Rwg‡q †`q| Abyiƒcfv‡e
Wvqv‡ewUm wbqš¿‡Yi Rb¨ wZbwU ÔDÕ †g‡b Pjv Avek¨K| h_v : Lv`¨ B MÖæ‡ci i‡³i A¨vw›UewW A MÖæ‡ci i³‡K Rwg‡q †`q|
wbqš¿Y (Diet), Ilya †meb (Dose) I k„•Ljv (Discipline)| DÏxc‡Ki wigy I wiZvi i‡³i MÖæc h_vµ‡g A I B| Kv‡RB
Wvqv‡ewU‡mi c_¨ wbqš¿Y : Wvqv‡ewUm †ivMx‡`i GKUzI wPwb ev wgwó wiZvi kix‡i wigyi i³ A_©vr B MÖæ‡ci i‡³i mv‡_ A MÖæ‡ci i³
LvIqv Pj‡e bv| Zv‡`i Ggb Lvevi LvIqv DwPZ hv †cÖvwUbmg„× wgwkªZ n‡j wiZvi kix‡i i³ RgvU †eu‡a gvivZ¥K kvixwiK mgm¨v
Avi hv‡Z †k¦Zmvi Kg _v‡K| n‡Z cv‡i|
Ilya †meb : Wv³v‡ii civgk© Abyhvqx wbqwgZ Jla †meb Ki‡Z N. DÏxc‡Ki Q‡K †`Lv hv‡”Q iZb Rh+ Ges †gwi Rh_ i³ MÖæ‡ci|
n‡e| †imvm evb‡ii †jvwnZ KwYKvq Aew¯’Z GK ai‡bi
Rxeb k„•Ljv : k„•Ljv Wvqv‡ewUm †ivMxi RxebKvwV| Zv‡K hv hv A¨vMøywU‡bv‡Rb‡K evb‡ii bvg Abymv‡i ms‡ÿ‡c Rh d¨v±i e‡j|
Ki‡Z n‡e Zv n‡jv :
hv‡`i i‡³ Rh d¨v±i _v‡K Zv‡`i Rh+ Ges hv‡`i i‡³ Rh
1. wbqwgZ I cwigvYg‡Zv mylg Lvevi †L‡Z n‡e|
d¨v±i _v‡K bv Zv‡`i Rh Rh_ i³ wewkó e¨w³i †`‡n
2. wbqwgZ I cwigvYg‡Zv e¨vqvg Ki‡Z n‡e|
3. wbqwgZ cÖmve cixÿv Ges djvdj wj‡L ivL‡Z n‡e| Rh+ i³ w`‡j, MÖnxZvi i³i‡m µgk Rh+ A¨vw›U‡R‡bi
wecixZ A¨vw›UewW Drcbœ n‡Z _vK‡e| cieZx©‡Z Avevi Rh+ i³
3. wb‡Pi DÏxcKwU co Ges cÖkœ¸‡jvi DËi `vI : MÖæ‡ci i³ MÖnY Ki‡j Zv MÖnxZvi i³ i‡m A¨vw›U Rh d¨v±‡ii
cÖfv‡e RgvU †eu‡a hv‡e|
bvg i‡³i MÖæc GKvi‡Y mšÍvb m¤¢ev gwnjvi Rb¨ Rh d¨v±i Lye ¸iæZ¡c~Y©| GKRb
wigy A Rh Rh+| cyiæ‡li we‡q n‡j Zv‡`i cÖ_g
wiZv B mšÍvb n‡e Rh+| KviY Rh d¨v±i GKwU eskMZ ˆewkó¨ Ges GwU
iZb Rh+ GKwU cÖKU ˆewkó¨| åæY Ae¯’vq mšÍv‡bi Rh+ d¨v±i hy³ †jvwnZ
†gwi Rh KwYKv Avmvi gva¨‡g gv Gi i‡³ G‡m †cŠQv‡e| d‡j gv‡qi
K. wmivg Kx? i³i‡m A¨vw›U Rh d¨v±i A¨vw›UewW Drcbœ n‡e| GB A¨vw›UewW
L. i³ Kxfv‡e RgvU euv‡a? Rh d¨v±i gv‡qi i³ †_‡K Agivi gva¨‡g 僇Yi i‡³ cÖ‡ek
M. wiZv wigyi i³ MÖnY Ki‡j Kx mgm¨v n‡Z cv‡i? e¨vL¨v Ki| K‡i| 僇Yi †jvwnZ KwYKv‡K aŸsm K‡i| d‡j åƒY bó n‡q
N. iZb‡K we‡q Kiv †gwii Rb¨ SuywKc~Y© †Kb? we‡kølY Ki| Mf©cvZ N‡U| †h‡nZz Rh d¨v±i we‡ivax A¨vw›UewW gvZ…‡`‡n Lye
ax‡i ax‡i Drcbœ nq †m‡nZz cÖ_g mšÍv‡bi †Kvb ÿwZ nq bv| wKš‘
3 b¤^i m„Rbkxj cÖ‡kœi DËi cieZx© Mf©avi‡Yi ci RwUjZv m„wó nq Ges G‡Z 僇Yi g„Zy¨ N‡U|
K. wmivg n‡jv nvjKv njy` ev L‡oi i‡Oi g‡Zv GK iKg ¯^”Q im hv ZvB †h‡nZz iZb I †gwii Rh dv±i wecixZagx©| †m‡nZz iZb‡K
i³ RgvU euvavi ci RgvU Ask †_‡K wbtm„Z nq| †gwii we‡q Kiv SzwKc~Y© n‡e|
L. hLb †Kv‡bv i³evwnKv ev †Kv‡bv wUmy¨ AvNvZcÖvß n‡q †K‡U hvq,
ZLb H ¯’v‡bi AYyPwµKv¸‡jv †f‡O hvq Ges _ª‡¤^vcøvw÷b bvgK 4. wkewji evev cÖwZw`b mKvj weKvj 1 NÈv K‡i nuv‡Ub| wkewj Zvi
c`v_© m„wó K‡i| G c`v_©¸‡jv i‡³i Avwgl †cÖv_ªgweb‡K _ªgwe‡b evevi Kv‡Q nuvUvi KviY Rvb‡Z PvBj| evev †Q‡j‡K ej‡jb Avgvi
cwiYZ K‡i| _ªgweb cieZx©‡Z i³i‡mi †cÖvwUb-dvBweª‡bv‡Rb‡K kix‡i Ggb GKwU †ivM n‡q‡Q, hvi GKgvÎ wPwKrmv n‡”Q mKvj-
dvBweªb Rvj‡K cwiYZ K‡i i‡³i ZÂb NUvq| dvBweªb GK weKvj e¨vqvg Ges wbqggvwdK Lv`¨ MÖnY|
ai‡bi A`ªeYxq †cÖvwUb, hv `ªæZ myZvi g‡Zv RvwjKv cÖ¯‘Z K‡i| K. LDL Gi c~Y© bvg Kx?
Gfv‡e i³ RgvU euv‡a| L. i³ RgvU euvav AYyPwµKvi cÖavb KvR eywS‡q wjL|
M. wiZv wigyi i³ MÖnY Ki‡j wiZvi kix‡i i³ RgvU †eu‡a wewfbœ M. DÏxc‡K DwjøwLZ †iv‡Mi jÿY¸wj e¨vL¨v Ki|
kvixwiK mgm¨v GgbwK g„Zz¨I n‡Z cv‡i| N. Òwbqg-k„•Ljv †g‡b PjvB D³ †ivM wbqš¿‡Yi PvweKvwVÓÑ
i‡³ Dcw¯’Z A¨vw›U‡R‡bi wfwˇZ gvby‡li i‡³i MÖæc¸‡jv c„_K we‡kølY Ki|
nq| †h gvby‡li i³‡Kv‡l A A¨vw›U‡Rb _v‡K, Zv‡K MÖæc A, †h
gvby‡li i³‡Kv‡l B A¨vw›U‡Rb _v‡K Zv‡K MÖæc B e‡j AvL¨vwqZ 4 b¤^i m„Rbkxj cÖ‡kœi DËi
Kiv nq| gvby‡li i³‡Kv‡l †h ai‡bi A¨vw›U‡Rb _vK‡e, wVK Zvi K. LDL Gi c~Y© bvg n‡jv Low Density Lipoprotein ev
Abyiƒc A¨vw›UewW Zvi i³ wmiv‡g _vK‡e bv| hw` A A¨vw›U‡Rb wbgœNbZ¡ wewkó jvB‡cv‡cÖvwUb|
enbKvix gvby‡li wmiv‡g A A¨vw›U‡R‡bi weiæ‡× A¨vw›UewW _vK‡Zv
L. hLb †Kv‡bv i³evwnKv ev †Kv‡bv wUmy¨ AvNvZcÖvß n‡q †K‡U hvq,
ZLb †m ¯’v‡bi AYyPwµKv¸‡jv †f‡O hvq Ges _ª‡¤^vcøvmwUb bvgK
c`v_© m„wó K‡i| G c`v_©¸‡jv i‡³i Avwgl †cÖv_ªgweb‡K _ªgwe‡b
cwiYZ K‡i| _ªgweb cieZx©‡Z i³i‡mi †cÖvwUb-dvBweª‡bv‡Rb‡K
dvBweªb Rvj‡K cwiYZ K‡i i‡³i ZÂb NUvq| dvBweªb GKai‡bi
A`ªeYxq †cÖvwUb, hv `ªæZ myZvi g‡Zv RvwjKv cÖ¯‘Z K‡i| GwU ÿZ
¯’v‡b RgvU euv‡a Ges i³ÿiY eÜ K‡i| AZGe, i³ RgvU euvav-
B AYyPwµKvi cÖavb KvR|
M. DÏxc‡K DwjøwLZ †ivMwU n‡jv Wvqv‡ewUm ev eûg~Î †ivM ev gay‡gn K. †ivM RxevYy aŸsmKvix i³KwYKvi bvg Kx?
†ivM| wb‡P †ivMwUi jÿY¸wj e¨vL¨v Kiv n‡jv| L. gvby‡li i‡³i MÖæc Rvbv cÖ‡qvRb †Kb?
(1) Nb Nb cÖmªve nIqv, we‡kl K‡i iv‡Z Nb Nb cÖmªve nIqv| M. 'A' Gi MVb eY©bv Ki|
(2) Lye †ewk wccvmv jvMv| N. i³ cwien‡b 'B' I 'C' Gi f‚wgKv we‡kølY Ki|
(3) †ewk wÿ‡` cvIqv Ges AwZgvÎvq kvixwiK `ye©jZv Abyfe
Kiv| 5 b¤^i m„Rbkxj cÖ‡kœi DËi
(4) h‡_ó LvIqv m‡Ë¡I IRb K‡g hvIqv Ges kxY©Zv| K. †ivM RxevYy aŸsmKvix i³KwYKvi bvg †k¦ZKwYKv|
(5) mvgvb¨ cwikª‡g K¬vwšÍ I `ye©jZv †eva Kiv| L. GK MÖæ‡ci i‡³i mv‡_ Ab¨ MÖæ‡ci i³ wg‡k †M‡j RwUjZvi m„wó
(6) Pvgov ïwK‡q hvIqv| n‡Z cv‡i e‡j gvby‡li i‡³i MÖæc Rvbv cÖ‡qvRb|
(7) †Pv‡L Svcmv †`Lv| `yB ai‡bi A¨vw›U‡Rb I A¨vw›UewWi Dcw¯’wZi Kvi‡Y gvby‡li i‡³i
(8) kix‡ii †Kv_vI ÿ‡Zi m„wó n‡j, †`wi‡Z ïKv‡bv| MÖæc wewfbœ nq| †Kv‡bv Kvi‡Y gvby‡li †`‡n i³ cÖ`v‡bi cÖ‡qvRb
N. D³ †ivMwU n‡jv Wvqv‡ewUm ev eûg~Î †ivM hv wbqš¿‡Yi GKgvÎ co‡j Ab¨ e¨w³i wfbœ wfbœ MÖæ‡ci i‡³i A¨vw›U‡Rb I A¨vw›UewWi
Dcvq n‡jv wbqg-k„•Ljv †g‡b Pjv| wewµqvi d‡j i³ KwYKv¸‡jv ¸”Qe× n‡q hvq| G‡Z bvbviKg
wb‡P Wvqv‡ewUm wbqš¿‡Yi Dcvq¸‡jv Av‡jvPbv Kiv n‡jv| kvixwiK mgm¨v GgbwK g„Zz¨I n‡Z cv‡i| ZvB gvby‡li i‡³i MÖæc
Wvqv‡ewUm cÖavbZ wZbfv‡e wbqš¿Y Kiv hvq| h_v, Lv`¨ wbqš¿Y, Rvbv AZ¨šÍ cÖ‡qvRb|
Ilya †meb I Rxeb k„•Ljv| M. 'A' n‡jv ürwcÐ hv ü`h‡š¿i †K›`ªwe‡kl| GwU i³ msenbZ‡š¿i
K. Wvqv‡ewU‡mi c_¨ wbqš¿Y : Wvqv‡ewUm †ivMx‡`i GKUzI wPwb ev AšÍM©Z GK iK‡gi cv¤úhš¿we‡kl| wb‡P Gi MVb eY©bv Kiv n‡jv|
wgwó LvIqv Pj‡e bv| Zv‡`i Ggb Lvevi LvIqv DwPZ hv gvby‡li ürwcÐwU eÿMnŸ‡i dzmdzm `ywUi gvSLv‡b Ges ga¨”Q`vi
†cÖvwUbmg„× (Mvp meyR i‡Oi kvK-mewR, eiewU, gvkiæg, ev`vg, Ic‡i Aew¯’Z| ürwc‡Ði cÖk¯Í cÖvšÍ Ic‡ii w`‡K Ges QuyPv‡jv cÖvšÍwU
wWg, gvQ, Pwe© Qvov gvsm BZ¨vw`) Avi hv‡Z †k¦Zmvi Kg _v‡K| wb‡Pi w`‡K web¨¯Í _v‡K|
L. Ilya †meb : Wv³v‡ii civgk© Qvov †Kvb Jla †meb Kiv DwPZ ürwcÐ wدÍix †cwiKvwW©qvg c`©v †ewóZ _v‡K| Dfq ¯Í‡ii gv‡S
bq| Wv³v‡ii civgk© Abyhvqx †ivMx‡K wbqwgZ Jla †meb Ki‡Z †cwiKvwW©qvj d¬zBW _v‡K, hv ürwcЇK ms‡KvP‡b mvnvh¨ K‡i|
n‡e| gvby‡li ürwcÐ PviwU cÖ‡Kvô wb‡q MwVZ| Ic‡ii cÖ‡Kvô `ywU‡K
M. Rxeb k„•Ljv : k„•Ljv Wvqv‡ewUm †ivMxi RxebKvwV| Zv‡K h_vµ‡g Wvb I evg A¨vwUªqvg Ges wb‡Pi cÖ‡Kvô `ywU‡K h_vµ‡g
we‡kl bRi w`‡Z n‡e Gme wel‡q Ñ Wvb I evg †fw›UªKj e‡j| A¨vwUªqvg `ywU AvšÍtA¨vwUªqvg c`©v w`‡q
1. wbqwgZ I cwigvYg‡Zv mylg Lvevi †L‡Z n‡e| Ges †fw›UªKj `ywU AvšÍt‡fw›UªKj c`©v w`‡q c„_K _v‡K|
2. wbqwgZ I cwigvYg‡Zv e¨vqvg Ki‡Z n‡e| A¨vwUªqv‡gi cÖvPxi cvZjv| †fw›UªK‡ji cÖvPxi cyiæ, †cwkeûj| Wvb
3. wbqwgZ cÖmªve cixÿv Ges djvdj wj‡L ivL‡Z n‡e| A¨vwUªqv‡gi m‡½ GKwU mywcwiqi †fbvK¨vfv Ges GKwU Bbwdwiqvi
4. wgwó LvIqv m¤ú~Y© Qvo‡Z n‡e| †fbvK¨vfv hy³ _v‡K| evg †fw›UªK‡ji m‡½ PviwU cvj‡gvbvwi wkiv
AZGe, DcwiD³ Av‡jvPbv we‡kølY K‡i GUvB cÖZxqgvb nq †h, hy³ _v‡K| Wvb †fw›UªKj †_‡K cvj‡gvbvwi agwb Ges evg †fw›UªKj
Wvqv‡ewUm †ivM‡K `wg‡q ivL‡Z Lv‡`¨i f‚wgKv Amvgvb¨| †_‡K A¨vIU©vi DrcwË n‡q‡Q|
Wvqv‡ewUm †iv‡Mi Rb¨ Ilya †meb Ki‡jI †ivMx‡K Lv`¨ wbqš¿Y N. B I C n‡jv h_vµ‡g agwb I wkiv| i³ cwien‡b G‡`i f‚wgKv
Ki‡Z nq| wbqwš¿Z Lv`¨ e¨e¯’v bv _vK‡j Ilya †meb K‡iI Acwimxg|
Wvqv‡ewUm wbqš¿Y Kiv hvq bv| A_©vr wbqg-k„•Ljv †g‡b PjvB D³ cÖ`Ë wPÎ Abymv‡i B ürwcÐ †_‡K O2 mg„× i³ cwienb K‡i
†ivM wbqš¿‡Yi PvweKvwV| †`n‡Kv‡l wb‡q hvq hv agwbi KvR Ges C †`n‡Kvl †_‡K CO2
mg„× i³ cwienb K‡i ürwc‡Ð wb‡q hvq hv wkivi KvR| wb‡P i³
5. wb‡Pi DÏxcKwU co Ges cÖkœ¸‡jvi DËi `vI : cwien‡b G‡`i f‚wgKv we‡kølY Kiv n‡jvÑ
†hme i³bvwji gva¨‡g i³ ürwcÐ †_‡K †`‡ni wewfbœ As‡k evwnZ
nq, Zv‡K agwb ev AvU©vwi e‡j| agwb‡Z †Kv‡bv KcvwUKv _v‡K bv
e‡j agwb w`‡q i³ Zxeª †e‡M cÖevwnZ nq|
GwU †`‡ni wewfbœ As‡k ¶z`ª ¶z`ª kvLv-cÖkvLvq wef³ n‡q Ae‡k‡l 3. wbjqØq i³c~Y© n‡j †m¸‡jvi wm‡÷vj nq|
m~²vwZm~² ˆKwkK RvwjKvq †kl nq| Gfv‡e agwbi gva¨‡g ürwcÐ Gfv‡e ürwc‡Ði ch©vqµ‡g wm‡÷vj I Wvqv‡÷v‡ji gva¨‡g gvby‡li
†_‡K †`‡ni wewfbœ As‡k Aw•‡Rbhy³ i³ cwievwnZ nq| Z‡e †`‡n i³ msenb nq|
cvj‡gvbvwi agwb Kve©b WvB-A•vBW hy³ i³ ürwcÐ †_‡K dzmdz‡m G mgq evg wbjq †_‡K O2 hy³ i³ Ges Wvb wbjq †_‡K CO2
wb‡q Av‡m| hy³ i³ cvj‡gvbvwi agwb‡Z cÖ‡ek K‡i| gnvagwb †_‡K i³ wewfbœ
Ab¨w`‡K †hme i³bvwj mvaviYZ Kve©b WvBA•vBW mg„× i³ agwb I kvLv agwb w`‡q †`n¯’ Kjv‡Kvl‡K cywó`ªe¨ I Aw•‡Rb
†`‡ni wewfbœ A½ †_‡K ürwc‡Ð enb K‡i wb‡q Av‡m, Zv‡`i wkiv mieivn K‡i| Aciw`‡K dzmdymxq agwb †_‡K CO2 hy³ i³
e‡j| Z‡e cvj‡gvbvwi bv‡g wkivwU dzmdzm †_‡K Aw•‡Rb mg„× dzmdzmxq Rvj‡K cÖ‡ek K‡i| dzmdzm †_‡K i³ Aw•‡Rb MÖnY K‡i
i³ ürwc‡Ð wb‡q Av‡m| wkivq KcvwUKv _vKvq wkiv w`‡q i³ ax‡i dzmdzmxq wkiv w`‡q evg Awj‡›` Av‡m| Gw`‡K mviv †`n¯’ Kve©b
ax‡i GKgy‡L cÖevwnZ nq| WvBA•vBW hy³ i³ (`~wlZ i³) Dcwkiv, wkiv I gnvwkiv w`‡q
AZGe, †`Lv hv‡”Q †h, i³ cwien‡b B I C Z_v agwb I wkivi cybivq A¨vwUªqv‡g wd‡i Av‡m| ürwcÐ cv¤ú h‡š¿i g‡Zv wbw`©ó Zv‡j
f‚wgKv Acwinvh©| I Q‡›` msKzwPZ n‡q mviv‡`‡n Gfv‡e i³ mÂvjb NUvq|
N. DÏxc‡Ki cÖevn wP‡Îi A I V n‡jv h_vµ‡g agwb I wkiv bvgK
6. wb‡Pi DÏxcKwU co Ges cÖkœ¸‡jvi DËi `vI : i³bvjx| G‡`i ˆemv`„k¨¸‡jv wb‡q we‡kølY Kiv n‡jv :
†hme i³bvwji gva¨‡g O2 hy³ i³ ürwcÐ †_‡K †`‡ni wewfbœ
As‡k evwnZ nq Zv‡`i agwb ev AvU©vwi e‡j| e¨wZµg dzmdzmxq
agwb †hwU CO2 hy³ i³ dzmdz‡m wb‡q Av‡m| Aci w`‡K †hme
i³bvwj CO2 mg„× i³ mviv †`n †_‡K ürwc‡Ð enb K‡i wb‡q
Av‡m Zv‡`i wkiv e‡j| e¨wZµg dzmdzmxq wkivwU †hwU dzmdzm
†_‡K O2 mg„× i³ ürwc‡Ð wb‡q Av‡m|
agwbi DrcwË ürwcÐ †_‡K| agwbi cÖvPxi cyiæ I wZb ¯Íi wewkó|
MnŸi †QvU, G‡`i g‡a¨ †Kv‡bv KcvwUKv _v‡K bv| d‡j agwbi
K. nvU© A¨vUvK Kv‡K e‡j? ga¨ w`‡q i³ †e‡M cÖevwnZ nq| GRb¨ agwb †d‡U †M‡j i³
L. i³Pvc ej‡Z Kx †evSvq? wdbwK w`‡q †ei nq| agwbi ¯ú›`b Av‡Q ZvB †iwWqvj agwbi
M. cÖevn wPÎwU eY©bv Ki| gva¨‡g Avgiv nvU©weU ev cvjm& MYbv Ki‡Z cvwi| agwbi kvLv
N. wP‡Îi A I V A½vYy `ywUi ga¨Kvi ˆemv`„k¨ we‡kølY Ki| cÖkvLvq wef³ n‡q m~²vwZm~² ˆKwkK RvwjKvq †kl nq| agwbi
6 b¤^i m„Rbkxj cÖ‡kœi DËi Mv‡Î †Kv‡j‡÷ij Rgv nq| Aci w`‡K ˆKwkK RvwjKv¸‡jv µgk
K. ü`‡cwki i³ mieivn eÜ n‡q †M‡j †h †ivM m„wó nq, Zv‡K nvU© GKwÎZ n‡q m~² wkiv m„wó K‡i c‡i GKwÎZ n‡q wkiv MVb K‡i|
A¨vUvK e‡j| agwbi cÖvPxi 3wU ¯Í‡i MwVZ n‡jI cÖvPxi cvZjv I MnŸi eo|
L. ürwc‡Ði ms‡KvPb I cÖmvi‡Yi d‡j ürwcÐ †_‡K i³ agwbi ga¨ wkivq KcvwUKv _vKvq i³ GK gy‡L ax‡i ax‡i cÖevwnZ nq Ges
w`‡q cÖevnKv‡j agwb cÖvPx‡i †h cvk¦©Pvc m„wó nq Zv‡K i³Pvc ürwc‡Ð †kl nq|
e‡j|
ZvB i³Pvc ej‡Z mvaviYfv‡e agwbi i³Pvc‡KB †evSvq| GwU 7. nVvr `yN©Ubvq c‡o kvnx‡bi A‡bK i³ÿiY nq| nvmcvZv‡j
ürwc‡Ði Kvh©KvwiZv, agwbi cÖvPx‡ii w¯’wZ¯’vcKZv Ges i‡³i †bIqvi ci Wv³vi kvnx‡bi i³ cixÿv K‡i †`L‡jb Zvi i‡³
NbZ¡ I cwigv‡Yi m‡½ m¤úwK©Z| †Kv‡bv A¨vw›U‡Rb †bB| Zvi †QvU fvB Zv‡K i³ w`‡Z PvB‡j †`Lv
M. DÏxc‡Ki cÖevn wPÎwU gvbe‡`‡ni i³ msen‡bi| †Mj Zvi i‡³ †Kv‡bv A¨vw›UewW †bB|
gvby‡li ürwcÐ Aweivg msKzwPZ I cÖmvwiZ n‡q agwb (wP‡Îi A) K. cøvRgv Kx?
I wkivi (wP‡Îi V) gva¨‡g i³ msenb K‡i| ürwc‡Ði wP‡Îi L. nvU©-weU ej‡Z Kx †evSvq?
¯^Ztù‚Z© ms‡KvPb‡K wm‡÷vj Ges ¯^Ztù‚Z© cÖmviY‡K Wvqv‡÷vj M. kvnx‡bi †`n †_‡K ÿwiZ Dcv`v‡bi KvR eY©bv Ki|
e‡j| D‡jøL¨, Awj‡›` hLb wm‡÷vj nq, wbjq ZLb Wvqv‡÷vj N. kvnxb wK Zvi fvB‡qi i³ MÖnY Ki‡Z cvi‡e? hyw³mn
Ae¯’vq _v‡K| gvbe‡`‡n i³ msenb wbgœiƒ‡c N‡UÑ †Zvgvi gZvgZ `vI|
1. Awj›`Øq hLb Wvqv‡÷vj Ae¯’vq _v‡K ZLb mviv‡`‡ni 7 b¤^i m„Rbkxj cÖ‡kœi DËi
CO2 hy³ i³ EaŸ© I wbgœ gnvwkiv w`‡q Awj‡›` Av‡m Ges dzmdzm K. cøvRgv n‡jv i‡³i Zij Ask|
†_‡K O2 mg„× i³ Awj›` wkiv w`‡q evg Awj‡›` Av‡m| L. ürwcÐ GKwU cv¤ú h‡š¿i g‡Zv| GwU ¯^qswµq cv‡¤úi g‡Zv †`‡ni
2. Awj›` `ywU i³c~Y© n‡j Awj‡›`i wm‡÷vj nq| d‡j Wvb Awj›` wfZ‡i me©ÿY Q‡›`i nv‡i ¯úw›`Z nq| GB ü`¯ú›`‡bi gva‡g
†_‡K CO2 mg„× i³ Wvb wbjq Ges evg Awj›` †_‡K O2 mg„× Avgv‡`i kix‡i i³ cÖevwnZ nq| gvby‡li ürwcÐ gv‡qv‡RwbK
i³ evg wbj‡q Av‡m| A_©vr evB‡ii †Kv‡bv DÏxcbv Qvov ü`‡cwk wb‡Ri †_‡K ms‡KvPb
I cÖmvi‡Yi Øviv ür¯ú›`b m„wó K‡i| GB ¯ú›`b‡KB ejv nq 8. wb‡Pi wPθ‡jv †`L Ges cÖkœ¸‡jvi DËi `vI :
nvU©weU|
M. kvnx‡bi †`n †_‡K ÿwiZ Dcv`vb n‡jv i³|
i³ cÖvwY‡`‡ni GK ai‡bi jvj e‡Y©i A¯^”Q, AvšÍt‡Kvlxq jeYv³
I ÿviagx© Zij †hvRK wUmy¨| gvbyl I Ab¨vb¨ †giæ`Ðx cÖvwY‡`‡ni
i‡³i KvR¸‡jv eY©bv Kiv n‡jv :
1. k¦vmKvh© : †jvwnZ KwYKv I i³im i‡³i Aw•‡Rb‡K dzmdzm
†_‡K wUmy¨ †Kv‡l Ges wUmy¨ †Kvl †_‡K Kve©b WvBA•vBW‡K K. cøvRgv Kx?
dzmdz‡m cwienb K‡i| L. i³ jvj †`Lvq †Kb? e¨vL¨v Ki|
2. ni‡gvb cwienb : AšÍtÿiv MÖwš’ †_‡K wbtm„Z ni‡gvb †`‡ni M. wPÎ K, L I M Gi cv_©K¨ †jL|
wewfbœ As‡k cwienb K‡i| N. DÏxc‡Ki wPθ‡jvi kvixie„Ëxq f‚wgKv Ab¯^xKvh©-†Zvgvi
3. Lv`¨mvi cwienb : †`‡ni mÂq fvÐvi †_‡K Ges cwicvKK…Z gZvgZ `vI|
Lv`¨mvi †`‡ni wUmy¨ †Kvl¸‡jv‡Z enb K‡i| 8 b¤^i m„Rbkxj cÖ‡kœi DËi
4. eR©¨ cwienb : bvB‡Uªv‡RbNwUZ eR©¨ c`v_©¸‡jv‡K e„‡° K. i³KwYKvhy³ i‡³i Zij Ask‡K cøvRgv e‡j|
cwienb K‡i| L. i‡³i †jvwnZ KwYKvq wn‡gv‡Møvweb bvgK GK ai‡bi †jŠnNwUZ
5. DòZv wbqš¿Y : †`‡n Zv‡ci we¯Í„wZ NwU‡q †`‡ni wbw`©ó iÄK c`v_© _vKvi Kvi‡Y i‡³i eY© jvj †`Lvq|
ZvcgvÎv wbqš¿Y K‡i| †jvwnZ KwYKv cÖK…Zc‡ÿ wn‡gv‡Møvweb fwZ© fvmgvb e¨vM AvK…wZi|
6. †ivM cÖwZ‡iva : †`‡n †ivMRxevYy cÖ‡ek Ki‡j g‡bvmvBU I G Kvi‡Y †jvwnZ KwYKv AwaK cwigvY Aw•‡Rb cwien‡b mÿg|
wbD‡Uªvwdj †k¦Z KwYKv d¨v‡MvmvB‡Uvwmm c×wZ‡Z RxevYy‡K MÖvm M. wPÎ K, L I M n‡jv h_vµ‡g i‡³i †jvwnZKwYKv, †k¦ZKwYKv I
K‡i aŸsm K‡i| wj‡çvmvBU †k¦ZKwYKv A¨vw›UewW MVb K‡i †`‡ni AYyPwµKv| wb‡P G‡`i g‡a¨ cv_©K¨ eY©bv Kiv n‡jvÑ
wfZ‡ii RxevYy‡K aŸsm K‡i Ges evB‡ii †_‡K RxevYy Øviv
AvµgY‡K cÖwZnZ K‡i| †jvwnZ KwYKv †k¦Z KwYKv AYyPwµKv
N. gvby‡li i³‡Kv‡l `yB ai‡bi A¨vw›U‡Rb A I B Av‡Q Ges 1. cÖwZ wKDweK 1. cÖwZ wKDweK 1. cÖwZ wKDweK
wgwjwgUvi i‡³ wgwjwgUvi i‡³ wgwjwgUvi i‡³
GKBfv‡e i‡³i wmiv‡g `yB ai‡bi A¨vw›UewW Av‡Q antiA I
cyiæ‡l 4.5-5.5 4-10 nvRvi| 1,50,000-
antiB| GKRb gvbyl Zvi i‡³ GB `ywU A¨vw›U‡R‡bi g‡a¨
jvL| ¯¿x‡jv‡K 4- 4,00,000 _v‡K|
†h‡Kv‡bv GKwU A_ev `ywUB aviY K‡i A_ev `ywUi GKwUI aviY
5 jvL|
K‡i bv| †h i‡³ ïay A A¨vw›U‡Rb _v‡K Zv‡K A MÖæc Ges †h
2. ¯Íb¨cvqx cÖvYx‡`i 2. me mgq 2. wbDwK¬qvm _v‡K
i‡³ ïay B A¨vw›U‡Rb _v‡K Zv‡K B MÖæ‡ci i³ ejv nq| †h wbDwK¬qvmwenxb wbDwK¬qvm bv|
gvby‡li i‡³ A I B Dfq A¨vw›U‡Rb _v‡K Zv‡K AB MÖæc Ges nq| Ab¨vb¨ _v‡K|
hvi g‡a¨ A I B A¨vw›U‡R‡bi †Kv‡bvwUB _v‡K bv, Zv‡K MÖæc O †giæ`Ðx cÖvYx‡`i
e‡j AvL¨vwqZ Kiv nq| wbDwK¬qvm _v‡K|
†h‡nZz DÏxc‡Ki kvnx‡bi i‡³ †Kv‡bv A¨vw›U‡Rb †bB ZvB Zvi 3. †Kv‡l wn‡gv‡Møvweb 3. †Kv‡l 3. eY©nxb|
i‡³i MÖæc O| Avi †h‡nZz kvnx‡bi fvB‡qi i‡³ †Kv‡bv A¨vw›UewW _vKvq G¸‡jv‡K wn‡gv‡Møvweb bv
†bB, A_©vr Zvi i‡³ A I B Dfq A¨vw›U‡RbB i‡q‡Q, ZvB Zvi jvj e‡Y©i †`Lvq| _vKvq Giv
i‡³i MÖæc AB| †h‡Kv‡bv MÖæ‡ci i‡³i mv‡_ Ab¨ †h‡Kv‡bv MÖæ‡ci eY©nxb|
i³ †gkv‡bv hvq bv| KviY, i‡³i †Kv‡li †ÿ‡Î A¨vw›U‡Rb 4. 120 w`b| 4. 1-15 w`b| 4. 5-10 w`b|
A¨vw›UewW wewµqvi d‡j i³ RgvU †eu‡a hvq Ges i³ MÖnYKvixi 5. wØ-AeZj, 5. †MvjvKvi ev 5. AwbqZ
g„Zz¨I n‡Z cv‡i| PvKwZi g‡Zv| AwbqZ| AvK…wZi|
kvnx‡bi i³ O MÖæ‡ci Ges Gi i³i‡m anti-A I anti-B Dfq 6. O2 cwienb| 6. †ivM cÖwZ‡iva| 6. i³ ZÂb|
A¨vw›UewW _v‡K| ZvB KviI †`‡n O MÖæ‡ci i³ _vK‡j †m †Kej
O MÖæ‡ci i³ wb‡Z cvi‡e| wKš‘ †`Iqvi mgq me MÖæc‡K i³ w`‡Z N. DÏxc‡Ki K wPÎwU †jvwnZ KwYKvi, L wPÎwU †k¦Z KwYKvi Ges M
cvi‡e| Aci w`‡K Zvi fvB mKj MÖæ‡ci i³ MÖnY Ki‡Z cvi‡e wPÎwU AYyPwµKvi| hv‡`i kvixie„Ëxq f‚wgKv Ab¯^xKvh©| †jvwnZ
wKš‘ ïay AB MÖæ‡ci i³ enbKvix‡K i³ w`‡Z cvi‡e| KwYKvi wn‡gv‡Møvweb dzmdz‡m Aw•‡R‡bi mv‡_ hy³ n‡q
AZGe, DcwiD³ Z‡_¨i wfwˇZ Avgvi gZvgZ n‡jv kvnxb Zvi Aw•wn‡gv‡Møvweb Ges †Kv‡li Kve©b WvBA•vB‡Wi mv‡_ hy³ n‡q
fvB‡qi i³ MÖnY Ki‡Z cvi‡e bv| Kv‡e©v A¨vwg‡bv wn‡gv‡Møvweb MVb K‡i h_vµ‡g cÖwZwU †Kv‡l
Aw•‡Rb I †Kvl †_‡K Kve©b WvBA•vBW cwien‡b Ask †bq| d‡j
k¦mb N‡U|
RxevYy †`‡n cÖ‡ek Ki‡j d¨v‡MvmvB‡Uvwmm c×wZ‡Z †k¦ZKwYKv N. Bgivb I mybxj fwel¨‡Z i³ msenbZš¿ I k¦mbZ‡š¿i gvivZ¥K
Zv‡`i aŸsm K‡i| wj‡çvmvBU †k¦Z KwYKv A¨vw›UewW Drcv`b K‡i RwUjZvq co‡e Ges wewfbœ †iv‡M fzM‡e| Bgivb BwZg‡a¨B
†`‡n cÖwZiÿv e¨e¯’v M‡o †Zv‡j| i‡³i Zvij¨ eRvq iv‡L nvBcvi‡Ubk‡b AvµvšÍ| D”P i³Pvc‡K Wv³vwi fvlvq
†e‡mvwdj †k¦ZKwYKv †ncvwib bvgK ZÂb †ivaK c`v_© wbtm„Z nvBcvi‡Ubkb e‡j| nvBcvi‡Ubkb †ivMx‡`i †hme RwUjZv †`Lv
K‡i| BIwm‡bvwdj †k¦ZKwYKv wn÷vwmb bvgK ivmvqwbK c`v_© w`‡Z cv‡i †m¸‡jv n‡jvÑ †÷ªvK, c¨vivjvBwmm, ürwcÐ eo n‡q
wbtm„Z K‡i †`‡n GjvwR© cÖwZ‡iva K‡i| †`‡ni †Kv_vI †K‡U †M‡j hvIqv, nvU© A¨vUvK I †dBwjDi, e„‡°i Kvh©ÿgZv K‡g hvIqv
i³Z‡b AYyPwµKv GK ¸iæZ¡c~Y© f‚wgKv cvjb K‡i| GQvov i³ cÖf…wZ|
RvwjKvi cÖvPx‡i wQ`ª m„wó n‡j AYyPwµKv †givgwZ NUvq| Ab¨w`‡K mybxj eª¼vBwU‡m AvµvšÍ| G †iv‡M k¦vmbvjxi Mv‡Î cÖ`vn
myZivs Dc‡ii Av‡jvPbv †_‡K cÖZxqgvb nq †h, DÏxc‡K i³ m„wó nq| a~gcvb n‡j evievi G †iv‡M AvµvšÍ nIqvi m¤¢vebv _v‡K|
KwYKvi wPθ‡jvi kixie„Ëxq f‚wgKv Ab¯^xKvh©| G †iv‡M ey‡K e¨_v I k¦vmKó nq| R¡i nq, †ivMx µgk `ye©j n‡q
c‡o| cieZ©x‡Z k³ Lvevi †L‡Z cv‡i bv|
9. Bgivb dv÷dzW I †mœnc`v_©hy³ Lvevi †ewk Lvq| m¤cÖwZ Zvi D”P myZivs Dc‡ii Av‡jvPbv †_‡K ejv hvq Bgivb I mybxj hw` GLb
i³Pvc aiv c‡o‡Q| Zvi eÜy mybxj cÖPzi a~gcvb K‡i| †m †_‡K Zv‡`i †ivM¸‡jv cÖwZKvi I cÖwZ‡iv‡ai e¨e¯’v bv †bq Zvn‡j
eª¼vBwU‡m fzM‡Q| fwelr G Zviv `yR‡bB Dc‡ii Av‡jvwPZ mgm¨v¸‡jvi m¤§yLxb n‡Z
K. †ncvwib Kx? cv‡i|
L. i‡³i MÖæc Kxfv‡e wbY©q Kiv hvq?
M. DÏxc‡Ki †ivM `ywU Øviv †h Zš¿¸‡jv AvµvšÍ nq Zviv ci¯úi 10. gvbe‡`‡ni wewfbœ †Kv‡l cywó `ªe¨ k¦vmevqy I †iPbe¯‘ cwienb
m¤úwK©Z| e¨vL¨v Ki| BZ¨vw` Kv‡R i³ cÖavb f‚wgKv MÖnY K‡i| i³‡K we‡kl ai‡bi
N. Bgivb I mybxj fwel¨‡Z wK ai‡bi kvixwiK mgm¨vq ci‡Z ms‡hvM wUmy¨ wn‡m‡e MY¨ Kiv nq|
cv‡i? Av‡jvPbv Ki| K. i‡³ jvj i‡Oi Kx _v‡K?
L. i³‡K Zij †hvRKKjv †Kb ejv nq?
9 b¤^i m„Rbkxj cÖ‡kœi DËi
M. DÏxc‡Ki ms‡hvM wUmy¨wUi MVb m¤^‡Ü aviYv `vI|
K. †k¦Z KwYKv †e‡mvwdj Øviv wbtm„Z †ncvwib GK cÖKvi i³ ZÂb
N. gvbe‡`‡ni DÏxc‡Ki ms‡hvM wUmy¨i A¯^vfvweK Ae¯’vi m„wó
†ivaK c`v_©|
n‡j Kx Kx Ae¯’vi m„wó n‡Z cv‡i †m m¤^‡Ü ms‡¶‡c
L. hw` †jvwnZ KwYKv ïay A¨vw›U-A Gi ms¯ú‡k© RgvU euv‡a Z‡e Zv
Av‡jvPbv Ki|
n‡e A MÖæ‡ci i³| hw` ïay A¨vw›U-B Gi ms¯ú‡k© RgvU euv‡a Zv
n‡e B MÖæ‡ci i³| A¨vw›U-A Ges A¨vw›U-B Dfq wmiv‡gi Øviv 10 b¤^i m„Rbkxj cÖ‡kœi DËi
i³KwYKv RgvU euva‡j i‡³i MÖæc n‡e AB| Dfq A¨vw›U-A Ges K. i‡³ wn‡gv‡M-vweb bvgK jvj i‡Oi iÄK c`v_© _v‡K|
A¨vw›U-B wmivg Øviv i³KwYKv RgvU bv euva‡j i‡³i MÖæc n‡e L. i‡³i gvZ…Kv Zij hv‡Z †Kvlxq Dcv`vb¸‡jv fvmgvb Ae¯’vq _v‡K
O| Gfv‡e i‡³i MÖæc wbY©q Kiv hvq| Ges i³ wewfbœ A‡½i mv‡_ †hvMv‡hvM i¶v K‡i| G Kvi‡Y i³‡K
M. Bgiv‡bi †ivMwU i³ msenbZ‡š¿i mv‡_ m¤úwK©Z Avi mybx‡ji Zij †hvRKKjv ejv nq|
†ivMwU k¦mbZ‡š¿i mv‡_ m¤úwK©Z| ürwcÐ i³‡K i³evwnKvi †fZi M. DÏxc‡Ki ms‡hvM wUmy¨wU n‡jv i³ hvi Zij gvZ…Kvq †Kvlxq
w`‡q mÂvj‡bi Rb¨ cv¤ú h‡š¿i g‡Zv KvR K‡i| Gi ms‡KvPb I Dcv`vb¸‡jv fvmgvb Ae¯’vq _v‡K| †Kvlxq Dcv`vb¸‡jv‡K i³
cÖmvi‡Yi d‡j i³ mviv †`‡n mÂvwjZ nq| KwYKv e‡j|
mvaviYZ Kve©b WvBA•vBW mg„× i³ †`‡ni wewfbœ A½ †_‡K wkivi i‡³i cÖavb Dcv`vb¸‡jv n‡jv i³im ev cøvRgv Ges i³KwYKv|
gva¨‡g ürwc‡Ð wd‡i Av‡m| ürwcÐ †_‡K cvj‡gvbvwi agwb GB i‡³i 55% i³im Ges 45% i³KwYKv| i³i‡mi cÖvq 90%
i³ dzmdz‡m enb K‡i| dzmdz‡mi A¨vjwfIjvm GB i³ Kve©b cvwb Ges evwK 10% wewfbœ iKg ˆRe I A‰Re c`v_© `ªexf‚Z
WvBA•vBW‡K wbM©Z K‡i Ges Aw•‡Rb MÖnY K‡i| Aw•‡Rbhy³ i³ Ae¯’vq _v‡K|
dzmdzm †_‡K cvj‡gvbvwi wkivi gva¨‡g ürwc‡Ð Av‡m Ges mviv i³ KwYKv¸‡jv wZb cÖKv‡ii| h_v : †jvwnZ KwYKv ev Gwi‡_ªvmvBU;
†`‡n agwbi gva¨‡g GB i³ evwnZ nq| G NUbv¸‡jv ürwc‡Ði †k¦ZKwYKv ev wjD‡KvmvBU Ges AYyPwµKv ev _ª‡¤^vmvBU|
¯^Ztù‚Z© ms‡KvPb (wm‡÷vj) Ges cÖmviY (Wvqv‡÷vj) Øviv N‡U| †k¦ZKwYKv¸‡jv Avevi `yB iK‡gi h_v : `vbvwenxb ev
Dc‡ii Av‡jvPbv †_‡K eySv hv‡”Q ürwcÐ mwVKfv‡e KvR bv Ki‡j A¨vMÖvby‡jvmvBU Ges `vbvhy³ ev MÖvby‡jvmvBU| A¨vMÖvby‡jvmvBU `yB
Kve©b WvBA•vBWhy³ i³ dzmdz‡m hv‡e bv Ges Aw•‡Rbhy³ i³ iK‡gi h_v wj‡çvmvBU I g‡bvmvBU Ges MÖvby‡jvmvBU wZb ai‡bi
mwVKfv‡e ürwc‡Ð Avm‡e bv| Aciw`‡K dzmdzm †ivMvµvšÍ n‡j h_v : wbD‡Uªvwdj, BIwm‡bvwdj I †e‡mvwdj|
i³ Aw•‡Rb hy³ n‡Z cvi‡e bv Ges i‡³ Kve©b WvBA•vBW evwn‡i N. DÏxc‡Ki ms‡hvM wUmy¨ n‡jv i³, hvi A¯^vfvweK Ae¯’vi m„wó n‡j
wb®‹vwkZ n‡Z cvi‡e bv| d‡j k¦m‡b mgm¨v m„wó n‡e| myZivs gvbe‡`‡n wbgœ wjwLZ mgm¨v¸‡jv m„wó n‡Z cv‡i :
DÏxc‡K Bgiv‡bi †iv‡M AvµvšÍ Zš¿wU Ges mybx‡ji †iv‡M AvµvšÍ i. cwjmvBw_wgqv : †jvwnZ i³KwYKvi msL¨v ¯^vfvwe‡Ki Zzjbvq
Zš¿wU ci¯úi m¤úwK©Z| e„w× cvq|
ii. A¨vwbwgqv : wn‡gv‡M-vwe‡bi cwigvY K‡g hvq| iwdK mv‡n‡ei †Q‡ji i³ A MÖæ‡ci Ges mnKg©xi i³ B MÖæ‡ci|
iii. wjD‡Kwgqv : †k¦ZKwYKvi msL¨v AZ¨waK nv‡i †e‡o †M‡j G B MÖæ‡ci i³ A MÖæc w`‡j †Q‡jwUi Rb¨ Rxe‡bi SuywK n‡q †hZ|
Ae¯’vi m„wó nq| G Kvi‡YB iwdK mv‡n‡ei cy‡Îi Rb¨ Zvi mnKg©xi i³ †bIqv †Mj
iv. wjD‡KvmvB‡Uvwmm : †k¦ZKwYKvi msL¨v ¯^vfvweK Ae¯’vi gvb bv|
†_‡K †e‡o 20,000Ñ30,000 nq| wbD‡gvwbqv, ûwcsKvwk N. iwdK mv‡n‡ei mnKg©xi i³ Zvi †Q‡ji †`‡n w`‡j gviZ¥K
BZ¨vw` †iv‡M G Ae¯’v nq| kvixwiK cÖwZwµqv NUZ GgbwK g„Zz¨I n‡Z cviZ| gvby‡li
v. _ª‡¤^vmvB‡Uvwmm : G Ae¯’vq AYyPwµKvi msL¨v ¯^vfvwe‡Ki i³‡Kv‡l †h ai‡bi A¨vw›U‡Rb _vK‡e wVK Zvi Abyiƒc A¨vw›UewW
Zzjbvq †e‡o hvq| Zvi i³ wmiv‡g _vK‡e bv| GKRb gvby‡li i‡³i MÖæc A n‡j Zvi
vi. cvicyiv : G Ae¯’vq AYyPwµKvi msL¨v ¯^vfvwe‡Ki Zzjbvq i‡³ A A¨vw›U‡Rb _v‡K †Kv‡bv B A¨vw›U‡Rb _v‡K bv, wKš‘ B
K‡g hvq| †W½yR¡‡i G Ae¯’v n‡Z cv‡i| A¨vw›UewW _v‡K| ZvB hw` A A¨vw›U‡Rb enbKvix gvby‡li wmiv‡g
vii. _¨vjvwmwgqv : G †iv‡M AvµvšÍ e¨w³i i‡³i wn‡gv‡M-vwe‡bi A A¨vw›U‡R‡bi weiæ× A¨vw›UewW _v‡K Zvn‡j †m e¨w³i i³ RgvU
cwigvY K‡g i³k~b¨Zvi m„wó nq| GwU GK ai‡bi eskMZ †eu‡a g„Zz¨eiY Ki‡e|
†ivM| iwdK mv‡n‡ei mnKg©xi i‡³i MÖæc B A_©vr Zvi i‡³ B A¨vw›U‡Rb
Av‡Q Ges A A¨vw›UewW Av‡Q| Aciw`‡K iwdK mv‡n‡ei †Q‡ji
11. GKwU Acv‡ik‡bi Kvi‡Y iwdK mv‡n‡ei cy‡Îi i‡³i cÖ‡qvRb i‡³i MÖæc A| myZivs iwdK mv‡n‡ei mnKg©xi i³ hw` Zvi †Q‡ji
n‡q c‡o| i‡³i MÖæc A| Zuvi GK mnKg©x i³ w`‡Z Avm‡jb wKš‘ †`‡n †bIqv n‡Zv Zv n‡j i‡³ Zvi A A¨vw›UewW iwdK mv‡n‡ei
†`Lv †Mj †m e¨w³i i‡³i MÖæc B| Wv³vi ej‡jb Zuvi i³ †bIqv †Q‡ji i³‡K ¸”Qe× K‡i †djZ Ges G‡Z g„Zy¨ ch©šÍ n‡Z cviZ|
hv‡e bv|
K. gvbe RvwZi i‡³i MÖæc¸‡jv Kx Kx? 12. wb‡Pi wPÎ †`L Ges cÖkœ¸‡jvi DËi `vI :
L. mšÍvbm¤¢ev gwnjv‡`i †ÿ‡Î Rh d¨v±‡ii ¸iæZ¡ †jL|
M. iwdK mv‡n‡ei mnKg©xi i³ Zvi †Q‡ji †`‡ni Rb¨ †bIqv
†Mj bv †Kb?
N. iwdK mv‡n‡ei mnKg©xi i³ iwdK mv‡n‡ei †Q‡ji †`‡n
w`‡j Kx cÖwZwµqv NUZ Ges †Kb NUZ eySvI?
11 b¤^i m„Rbkxj cÖ‡kœi DËi
K. gvbe RvwZi i‡³i MÖæc¸‡jv n‡jvÑ A, B, AB I O|
L. mšÍvbm¤¢ev gwnjv‡`i †ÿ‡Î Rh d¨v±i Lye ¸iæZ¡c~Y©| GKRb Rh K. gvby‡li i³msenb Z‡š¿i Dcv`vb¸‡jvi bvg †jL|
gwnjvi m‡½ Rh+ cyiæ‡li we‡q n‡j Zv‡`i cÖ_g mšÍvb n‡e Rh+, L. wPÎwUi bvg D‡jøL K‡i A, B, C I D Ask¸‡jv wPwýZ
KviY Rh+ GKwU cÖKU ˆewkó¨| Ki|
M. gvbe‡`‡n DÏxc‡Ki wPÎwUi KvR Kivi cÖwµqv we¯ÍvwiZ
åƒY Ae¯’vq mšÍv‡bi Rh+ d¨v±ihy³ †jvwnZ KwYKv Agivi gva¨‡g
†jL|
gv‡qi i‡³ G‡m †cuŠQv‡e| gv‡qi i³ Rh nIqvq Zvi i‡³ A¨vw›U
N. DÏxc‡Ki wPÎwU cybivq A¼b K‡i Gi wfZ‡i msen‡bi
Rh A¨vw›UewW Drcbœ n‡e| A¨vw›U Rh d¨v±i gv‡qi i³ †_‡K MwZc_ †`LvI|
Agivi gva¨‡g 僇Yi i‡³ cÖ‡ek K‡i 僇Yi †jvwnZ KwYKv‡K
aŸsm K‡i| G‡Z åƒY bó n‡q gviv †h‡Z cv‡i| 12 b¤^i m„Rbkxj cÖ‡kœi DËi
M. iwdK mv‡n‡ei cyÎ I Zvi mnKg©xi i‡³i MÖæc wfbœ e‡j Zvi K. gvby‡li i³ msenbZ‡š¿i Dcv`vb¸‡jv n‡jv i³, ürwcÐ, agwb,
mnKg©xi i³ †bIqv †Mj bv| wkiv Ges ˆKwkK RvwjKv|
hLb †Kv‡bv Kvi‡Y †`‡n i‡³i cÖ‡qvRb c‡o, ZLb A‡b¨i †`n L. wPÎwU gvbe ürwc‡Ði j¤^‡”Q‡`iÑ
†_‡K i³ wb‡q Amy¯’ gvby‡li †`‡n i³ cÖ`vb Ki‡Z nq| wKš‘ GK A-evg wbjq
e¨w³i †`n †_‡K i³ Ab¨ e¨w³i †`‡n cÖ`vb Ki‡Z n‡j Dfq B-evg Awj›`
e¨w³i i³ mgwefv‡Mi n‡Z n‡e A_©vr A i³ MÖæ‡ci i³`vZv A C-Wvb Awj›`
I AB i³ MÖæ‡ci e¨w³‡K i³ w`‡Z cvi‡e| D-Wvb wbjq
†Zgwb B i³ MÖæ‡ci i³`vZv B I AB i³ MÖæ‡ci e¨w³‡K i³ M. DÏxc‡Ki wPÎwU gvby‡li ürwc‡Ði |
w`‡Z cvi‡e| A MÖæ‡ci i‡³i A¨vw›UewW B MÖæ‡ci †jvwnZ ürwcÐ cv¤úh‡š¿i g‡Zv Aweivg msKzwPZ I cÖmvwiZ n‡q agwb I
KwYKv‡K ¸”Qe× K‡i Rwg‡q †`q| Abyiƒcfv‡e B MÖæ‡ci i‡³i wkivi gva¨‡g i³ msenb K‡i| wb‡gœ Gi KvR Kivi cÖwµqv
A¨vw›UewW A MÖæ‡ci i³‡K Rwg‡q †`q| G‡Z gvivZ¥K kvixwiK we¯ÍvwiZ Av‡jvPbv Kiv n‡jv :
mgm¨v GgbwK g„Zz¨I n‡Z cv‡i| i. Awj›` hLb Wvqv‡÷vj Ae¯’vq _v‡K ZLb mviv‡`‡ni CO2
hy³ i³ EaŸ© I wbgœ gnvwkiv w`‡q Wvb Awj‡›` Av‡m Ges
dzmdzm †_‡K O2 mg„× i³ cvj‡gvbvwi wkiv w`‡q evg Awj‡›` AvU©vwiI‡¯‹j‡ivwm‡mi Kvi‡Y Kwig mv‡n‡ei agwbi cÖvPx‡i dvUj
Av‡m| †`Lv w`‡Z cv‡i| agwbi dvUj w`‡q i³¶iY n‡q ürwc‡Ði
ii. Awj›` `ywU i³c~Y© n‡j †m¸‡jv msKzwPZ nq, A_©vr Awj‡›`i K‡ivbvwi i³bvwjKvq i³ RgvU †eu‡a K‡ivbvwi _ª‡¤^vwmm A_ev
wm‡÷vj nq| d‡j Wvb Awj›` †_‡K CO2 mg„× i³ Wvb gw¯Í‡®‹i i³bvwj‡Z i³ RgvU †eu‡a †mwieªvj _ª‡¤^vwmm n‡Z cv‡i|
wbjq Ges evg wbj‡q †_‡K O2 mg„× i³ evg wbj‡q Av‡m| G‡Z Zvi g„Zz¨I NU‡Z cv‡i|
GB mgq wbjqØq Wvqv‡÷vj Ae¯’vq _v‡K| N. Wv³vi mv‡ne Kwig mv‡n‡ei i³Pvc gvcvi ci e‡jwQ‡jb Zvi D”P
iii. wbjqØq i³c~Y© n‡j †m¸‡jv msKzwPZ nq A_©vr wbj‡q i³Pvc n‡q‡Q|
wm‡÷vj nq| D”P i³Pvc cÖwZ‡iva Kivi Rb¨ Zv‡K wbgœwjwLZ mZK©Zvg~jK
Gfv‡e nrwc‡Ð ch©vqµ‡g wm‡÷vj I Wvqv‡÷v‡ji gva¨‡g gvby‡li Dcvq¸‡jv cvj‡bi Rb¨ Dc‡`k †`b :
†`‡n i³ msen‡bi KvR K‡i| 1. †`‡ni IRb Kgv‡Z n‡e|
N. wPÎwU n‡jv gvbe ürwc‡Ði hvi †fZi w`‡q i³ msenb nq| wb‡gœ 2. Pwe©hy³ Lv`¨ †hgb : wN, gvLb, Miæ I Lvwmi gvsm, wPswo
GwU Gu‡K i³ msen‡bi MwZc_ †`Lv‡bv n‡jv- eR©b Ki‡Z n‡e|
3. mylg Lv`¨ MÖnY Ki‡Z n‡e Ges cwigv‡Yi AwZwi³ Lv`¨ MÖnY
†_‡K weiZ _vK‡Z n‡e|
4. g`¨cvb I a~gcvb †_‡K weiZ _vK‡Z n‡e|
5. wbqwgZ e¨vqvg †hgb nuvU‡Z n‡e Ges 7Ñ8 NÈv Nygv‡Z n‡e|
6. gvbwmK Pvc I `ywðšÍvgy³ Rxebhvcb Ki‡Z n‡e|
7. Lvev‡ii mv‡_ AwZwi³ jeY MÖnY †_‡K weiZ _vK‡Z n‡e|
8. wPwKrm‡Ki civgk©g‡Zv Ilya MÖnY Ges Rxebhvcb Ki‡Z
13. Kwig mv‡ne ¯’~j †`‡ni| GKw`b nVvr gv_v Ny‡i c‡o †M‡jb| mv‡_ n‡e|
mv‡_ Zv‡K nvmcvZv‡j †bIqv n‡jv| Wv³vi Zuvi i³Pvc †`L‡jb,
ECG Ki‡jb Ges AviI bvbv cix¶vi ci ej‡jb Kwig mv‡n‡ei 14. kixdzj mv‡ne nVvr `ye©j †eva Ki‡Z jvM‡jb Ges w`‡b w`‡b kixi
AvU©vwiI‡¯‹‡j‡ivwmm nIqvq i³msen‡b mgm¨v m„wó n‡q‡Q| d¨vKv‡m n‡Z jvMj| Wv³vi †`‡L Zuv‡K ej‡jb Zuvi i‡³i mgm¨v
K. D”P i³Pvc Kv‡K e‡j? n‡q‡Q Ges AwZmZ¡i i³ wb‡Z ej‡jb| wZwb Wv³v‡ii civgk©
L. †Zvgvi fvB-Gi nvU©weU ev cvjm †iU Kxfv‡e MYbv Ki‡e? Abymv‡i cixÿv K‡i i³ †bIqvi e¨e¯’v MÖnY Ki‡jb|
M. Kwig mv‡n‡ei †ivMwUi KviY Kx? GwUi d‡j Zvi Kx mgm¨v K. wn‡gv‡Møvweb Kx?
†`Lv w`‡Z cv‡i? L. wn‡gv‡Møvwe‡bi mv‡_ m¤úwK©Z gvbe‡`‡ni `ywU †iv‡Mi bvg
N. Wv³vi mv‡ne Kwig mv‡n‡ei i³Pvc †`‡L Kx gšÍe¨ KviYmn D‡jøL Ki|
K‡iwQ‡jb Ges cÖwZ‡iv‡ai Rb¨ Zv‡K mZK©Zvg~jK Kx Kx M. kixdzj mv‡ne‡K Wv³vi i³ cixÿv Ki‡Z civgk© w`‡jb
Dc‡`k w`‡qwQ‡jb e‡j Zzwg g‡b Ki? †Kb? e¨vL¨vmn †jL|
N. DwjøwLZ Zij c`v_©‡K †hvRK wUmy¨ ejv nq †Kb? GB †hvRK
13 b¤^i m„Rbkxj cÖ‡kœi DËi wUmy¨ †h A‡½i gva¨‡g †`‡n †hvMv‡hvM mvab K‡i Zvi MVb
K. ¯^vfvweK Ae¯’vq i³Pvc eq‡mi Rb¨ wba©vwiZ gvÎvi Dc‡i _vK‡j m¤^‡Ü aviYv `vI|
Zv‡K D”P i³Pvc ev nvBcvi‡Ubkb e‡j|
L. Avgvi fvB-Gi nvU©weU ev cvjm †iU MYbvi Rb¨ Avwg Zvi nv‡Zi 14 b¤^i m„Rbkxj cÖ‡kœi DËi
KewR‡Z nv‡Zi wZb AvOyj †hgb : AbvwgKv, ga¨gv I ZR©wb w`‡q K. wn‡gv‡Møvweb †jvwnZ i³KwYKvi GK cÖKvi †jŠnNwUZ iÄK c`v_©|
Pvc w`e| PvcUv Ggbfv‡e w`e hv‡Z ZR©wb _v‡K ürwc‡Ði w`‡K, L. wn‡gv‡Møvwe‡bi mv‡_ m¤úwK©Z gvbe‡`‡ni `ywU †ivM n‡jv A¨vwbwgqv
ga¨gv gvSLvb Ges AbvwgKv nv‡Zi AvOy‡ji w`‡K| ga¨gv AvOyj Ges cwjmvBw_wgqv|
w`‡q †evSv hv‡e nv‡Zi †iwWqvj agwb GK wgwb‡U KZevi ayKayK gvbe‡`‡n wn‡gv‡Møvwe‡bi cwigvY K‡g †M‡j A¨vwbwgqv ev
Ki‡Q| Gfv‡e Avgvi fvB‡qi cvjm †iU ev nvU©weU MYbv Kie| i³k~b¨Zv †ivM nq| Ab¨w`‡K †jvwnZKwYKv A_©vr wn‡gv‡Møvwe‡bi
M. Kwig mv‡n‡ei †ivMwU n‡jv AvU©vwiI †¯‹‡j‡ivwmm| i‡³ cwigvY ¯^vfvwe‡Ki Zzjbvq hLb e„w× cvq ZLb cwjmvBw_wgqv †ivM
†Kv‡j‡÷i‡ji cwigvY ¯^vfvwe‡Ki †_‡K †e‡o hvIqvq Zuvi G †ivM nq|
n‡q‡Q| gvby‡li i‡³ †Kv‡j‡÷i‡ji ¯^vfvweK cwigvY 100Ñ200 M. kixdzj mv‡ne i³ MÖn‡Yi c~‡e© Wv³vi i³ cixÿv Ki‡Z ej‡jb
mg/dl| hv‡Z i‡³i MÖæc bv †gjvi Kvi‡Y kixdzj mv‡n‡ei †Kv‡bv kvixwiK
i³bvwji AšÍtcÖvPx‡ii Mv‡Î †Kv‡j‡÷ij I K¨vjwmqvg Rgv n‡q SzuwK bv nq|
i³bvwji MnŸi‡K msKzwPZ K‡i †d‡j| d‡j agwbi cÖvPx‡ii i³ mÂvi‡Yi mgq `vZvi †jvwnZ KwYKv I MÖnxZvi cøvRgv Ges
w¯’wZ¯’vcKZv K‡g k³ n‡q hvqÑ G Ae¯’v‡K agwbi KvwVb¨ ev MÖnxZvi †jvwnZ KwYKv I `vZvi cøvRgvi g‡a¨ wewµqv we‡ePbv
AvU©vwiI‡¯‹j‡ivwmm e‡j| AZxe cÖ‡qvRbxq| Gi KviY A¨vw›U‡Rb A mgwš^Z †jvwnZ KwYKv
A¨vw›UewW anti-A Gi ms¯ú‡k© Ges A¨vw›U‡Rb B hy³ †jvwnZ mv‡n‡ei i‡³ LDL (Low Density Lipoprotein) Gi
KwYKv A¨vw›UewW anti-B Gi ms¯ú‡k© G‡j †jvwnZ KwYKv ¸”Qe× cwigvY †ewk n‡q hvIqvq i‡³ †Kv‡j‡÷ij †ewk n‡q‡Q|
n‡q R‡g hvq A_©vr cyÄxf‚Z n‡q hvq| Gi d‡j MÖnxZvi g„Zz¨I n‡Z i³ÿiY n‡q i³ RgvU †eu‡a i³cÖevn evavMÖ¯Í n‡q‡Q| Gi d‡j
cv‡i| Zvi K‡ivbvwi _ª‡¤^vwmmI n‡Z cv‡i ürwc‡Ði K‡ivbvwi i³bvwjKvq
myZivs kixdzj mv‡ne‡K i³ MÖnYRwbZ SuywK Gov‡bvi Rb¨ †`‡n i³ RgvU euva‡j Zv‡K K‡ivbvwi _ª‡¤^vwmm e‡j Ges gw¯Í‡®‹i
i³ mÂvi‡Yi c~‡e©B `vZvi Ges wb‡Ri i³ MÖæc cixÿv Ki‡Z i³bvwj‡Z i³ RgvU euva‡j Zv‡K †mwieªvj _ª‡¤^vwmm e‡j| AviI
n‡e| cixÿvi ci jwZd mv‡n‡ei _ª‡¤^vwm‡mi aib m¤ú‡K© ejv hv‡e|
N. DwjøwLZ Zij c`v_© n‡jv i³ hv, cÖvwY‡`‡ni wewfbœ hš¿ I Z‡š¿i N. jwZd mv‡n‡ei eZ©gv‡b kvixwiK mgm¨vi g~j KviY Wvqv‡ewUm I
g‡a¨ †hvMv‡hvM mvab K‡i| ZvB G‡K †hvRK wUmy¨ e‡j| D”P i³Pvc| wZwb AZx‡Z wb¤œwjwLZ mZK©Zvg~jK Dcvq¸‡jv
i³ ürwc‡Ði Øviv cÖvwY‡`‡ni mKj hš¿ I Z‡š¿i g‡a¨ agwb, wkiv †g‡b Pj‡j Zvi eZ©gv‡b G mgm¨vi m„wó n‡Zv bv|
I ˆKwkK RvwjKvi gva¨‡g Qwo‡q c‡o| GB hš¿‡K ejv nq ü`hš¿| 1. Wvqv‡ewUm wbqš¿‡Y ivLv|
wb‡P Gi MVb eY©bv Kiv n‡jv : 2. †`‡ni IRb e„w× bv NUv‡bv|
gvby‡li ürwcÐwU PviwU cÖ‡Kvô wb‡q MwVZ| Ic‡ii cÖ‡Kvô `ywU‡K 3. Pwe©hy³ Lv`¨ m¤ú~Y© eR©b Kiv|
h_vµ‡g Wvb I evg Awj›` Ges wb‡Pi cÖ‡Kô `ywU‡K h_vµ‡g Wvb 4. cwigv‡Yi AwZwi³ Lv`¨ MÖnY †_‡K weiZ _vKv|
I evg wbjq e‡j| Awj›` `ywU AvšÍtAwj›` c`©v Øviv Ges wbjq `ywU 5. †h‡Kv‡bv †bkvgy³ _vKv|
AvšÍtwbjq c`©v Øviv c„_K _v‡K| 6. wbqwgZ I cwiwgZ e¨vqvg Kiv Ges nuvUv|
Awj‡›`i cÖvPxi cvZjv wKšÍy wbj‡qi cÖvPxi cyiæ I †cwkeûj| Wvb 7. gvbwmK Pvcgy³ Rxeb hvcb Kiv|
Awj‡›`i m‡½ GKwU EaŸ© gnvwkiv Ges GKwU wbgœ gnvwkiv hy³ 8. wgwó RvZxq Lv`¨ cwinvi Kiv|
_v‡K| evg wbj‡qi mv‡_ PviwU cvj‡gvbvwi wkiv hy³ _v‡K| Wvb 9. Lvev‡i jeY Kg LvIqv|
wbjq †_‡K dzmdzmxq agwb Ges evg wbjq †_‡K gnvagwb DrcwË 10. wbqwgZ cÖmªve I i³Pvc cixÿv Kiv|
n‡q‡Q| 11. wPwKrm‡Ki civgk©g‡Zv Rxeb cwiPvjbv Kiv|
15. jwZd mv‡ne Wvqv‡ewUm †ivMx wKš‘ wZwb cÖwZw`b Pwe©hy³ gvsm Lvb| 16. cÖvYx‡`‡ni w·KvYvKvi duvcv cÖ‡Kvôhy³ cv‡¤úi g‡Zv GKwU A½
G‡Z K‡i Zvi i³Pvc †e‡o †Mj| nVvr GKw`b wZwb AÁvb n‡q Zvi ms‡KvPb I cÖmviY cÖwµqvi gva¨‡g †Kv‡l †Kv‡l Dcv`vbmg~n
co‡jb Ges †`‡ni GKw`K Aek n‡q hvq| nvmcvZv‡j †bIqvi mieivn I msMÖn K‡i _v‡K| hš¿ wb‡q MwVZ Zš¿wUi msMÖn I
ci bvbv cixÿvi ci aiv coj Zuvi agwb‡Z dvUj a‡i i³ ZÂb mieiv‡ni ms‡hvM¯’‡j Av‡Q GK we‡kl cÖwµqv hvi Øviv Zš¿wU
n‡q i³cÖevn evavMÖ¯Í n‡q‡Q| mgš^q mvab K‡i _v‡K|
K. i³ ZÂb Kv‡K e‡j? K. _¨vjvwmwgqv Kx?
L. i³ Z‡bi cÖavb Dcv`vb¸‡jv Kx Kx? L. ÔAYyPwµKvi cÖavb KvR i³ZÂbÕÑe¨vL¨v Ki|
M. jwZd mv‡n‡ei agwb‡Z dvUj †Kb a‡i‡Q Ges Gi d‡j Kx M. DÏxc‡Ki A½wU †Kv‡l †Kv‡l Kx mieivn K‡i Ges †Kvb
mgm¨v m„wó n‡q‡Q? we‡kl cÖwµqv Øviv mgš^qmvab K‡i?
N. jwZd mv‡ne AZx‡Z Kx Kx Ki‡j Zuv‡K GB kvixwiK mgm¨vi N. Av‡jvP¨ Zš¿wU Rxe‡`‡ni Ab¨vb¨ Zš¿ A‡cÿv AwaKZi
m¤§yLxb n‡Z n‡Zv bv? Av‡jvPbv Ki| D‡jøL‡hvM¨ †Kb-we‡kølY Ki|
15 b¤^i m„Rbkxj cÖ‡kœi DËi 16 b¤^i m„Rbkxj cÖ‡kœi DËi
K. †h cÖwµqvq AvNvZcÖvß i³bvwj †_‡K wbM©Z i³ Aa©KwVb †Rwj K. _¨vjvwmwgqv GK ai‡bi eskMZ i‡³i †ivM|
m`„k¨ c`v‡_© iƒcvšÍwiZ nq Zv‡K i³ ZÂb e‡j| L. AYyPwµKvi cÖavb KvR n‡jv i³ ZÂb Kiv KviY hLb †Kv‡bv
L. i³Z‡bi cÖavb Dcv`vb¸‡jv n‡jvÑ _ª‡¤^vcøvmwUb, †cÖv_ªw¤^b, i³evwnKv ev †Kv‡bv wUmy¨ AvNvZcÖvß n‡q †K‡U hvq, ZLb †m
_ªgweb, dvBweª‡bv‡Rb Ges K¨vjwmqvg Avqb| Gi g‡a¨ cÖ_gwU ¯’v‡bi AYyPwµKv¸‡jv †f‡O hvq Ges _ª‡¤^vcøvmwUb bvgK c`v_© m„wó
AvNvZcÖvß ¯’v‡b AYyPwµKv webó n‡q wbM©Z nq Ges evwK¸‡jv i‡³ K‡i| G c`v_©¸‡jv i‡³i Avwgl †cÖv_ªgweb‡K _ªgwe‡b cwiYZ
_v‡K| K‡i| _ªgweb cieZ©x‡Z i³i‡mi †cÖvwUb-dvBweª‡bv‡Rb‡K dvBweªb
M. jwZd mv‡n‡ei i³bvwj‡Z AvU©vwiI‡¯‹j‡ivwmm nIqvq agwb Mv‡Î Rvj‡K cwiYZ K‡i i‡³i ZÂb NUvq|
dvUj m„wó n‡q‡Q| d‡j, ¯^vfvweKgvÎv †_‡K i‡³ †Kv‡j‡÷ij M. DÏxc‡Ki A½wU n‡jv i³msenbZš¿| GwU gvbe‡`‡ni †Kv‡l
†ewk n‡j i³bvwji AšÍtcÖvPx‡ii Mv‡Î †Kv‡j‡÷ij I K¨vjwmqvg †Kv‡l i³ mieivn K‡i| gvby‡li ürwcÐ cv¤úh‡š¿i g‡Zv Aweivg
Rgv n‡q i³bvwj MnŸi msKzwPZ n‡q hvq| d‡j agwbi cÖvPx‡ii msKzwPZ I cÖmvwiZ n‡q agwb, wkiv i³RvwjKvi gva¨‡g i³
w¯’wZ¯’vcKZv K‡g hvq Ges k³ n‡q hvqÑ G Ae¯’v‡K msenb K‡i| ürwc‡Ði ¯^Ztù‚Z© ms‡KvPb‡K wm‡÷vj Ges
AvU©vwiI‡¯‹j‡ivwmm e‡j| cÖwZw`b Pwe©hy³ gvsm LvIqvi d‡j Kwig ¯^Ztù‚Z© cÖmviY‡K Wvqv‡÷vj e‡j| gvby‡li ürwc‡Ði Øviv
i³msenb cÖwµqv wbgœiƒ‡c N‡UÑ
i. Awj›`Øq hLb Wvqv‡÷vj Ae¯’vq _v‡K ZLb mviv †`‡ni CO2 MnŸi msKzwPZ n‡q hvq| d‡j agwbi cÖvPx‡ii w¯’wZ¯’vcKZv K‡g
hy³ i³ EaŸ© I wbgœ gnvwkiv w`‡q Wvb Awj‡›`i Av‡m Ges hvq Ges k³ n‡q hvqÑ G Ae¯’v‡K AvU©vwiI‡¯‹‡j‡ivwmm e‡j|
dzmdzm †_‡K O2 mg„× i³ cvj‡gvbvwi wkiv w`‡q evg Awj‡›` M. iægvi `v`yi †ivMwU n‡jv nvBcvi‡Ubkb ev D”P i³Pvc|
Av‡m| ¯^vfvweK i³Pv‡ci E‡aŸ© i³Pvc n‡j Zv‡K nvBcvi‡Ubkb ev D”P
ii. wbjq `ywU i³c~Y© n‡j †m¸‡jv msKzwPZ nq, A_©vr Awj‡›`i i³Pvc e‡j| mvaviYZ AwZgvÎvq ˆZjv³ I Pwe©hy³ Lv`¨ MÖnY,
wm‡÷vj nq| d‡j Wvb Awj›` †_‡K CO2 mg„× i³ Wvb ¯’~jZv, cwikªgnxbZvq gvby‡li G †ivM nq| i‡³ †Kv‡j‡÷i‡ji
wbjq Ges evg wbjq †_‡K O2 mg„× i³ evg wbj‡q Av‡m| gvÎv †e‡o †M‡j GwU i³bvwji cÖvPx‡i Rg‡Z _v‡K Ges i³bvwji
GB mgq wbjqØq Wvqv‡÷vj Ae¯’vq _v‡K| MnŸi †QvU n‡Z _v‡K| d‡j D”P i³Pvc m„wó nq|
iii. wbjqØq i³c~Y© n‡j †m¸wj msKzwPZ nq A_©vr wbj‡q wm‡÷vj Dch©y³ Av‡jvPbv †_‡K †`Lv hvq, iægvi `v`yi Lv`¨vf¨vm, Ajm
nq| Gfv‡e nrwc‡Ð ch©vqµ‡g wm‡÷vj I Wvqv‡÷v‡ji Rxebhvcb Ges Zvi i‡³ †Kv‡j‡÷i‡ji gvÎvi e„w×i Kvi‡Y Zvi
gva¨‡g gvby‡li †`‡n i³ msenb nq| D”Pi³ Pvc ev nvBcvi‡Ubkb n‡q‡Q| G Kvi‡Y Zvi †÷ªvK, nvU©
N. Av‡jvP¨ Zš¿wU n‡jv i³ msenb Zš¿ hv Rxe‡`‡ni Ab¨vb¨ Zš¿ A¨vUvK, c¨vivjvBwmm BZ¨vw`I n‡Z cv‡i|
A‡cÿv AwaKZi D‡jøL‡hvM¨| N. DÏxc‡Ki †k‡lv³ †ivM¸‡jv ürwc‡Ði †ivM, hv‡K fv‡jv ivLvi
i³ msenb Z‡š¿i gva¨‡g †`‡ni hveZxq wecvKxq Kv‡Ri im` Dcvq n‡jv mwVK Lv`¨e¨e¯’v Ges RxebcÖYvwj AbymiY Kiv|
cwievwnZ nq| ürwcÐ ü`‡cwk wbwg©Z w·KvYvKvi duvcv cÖ‡Kvôhy³ wZwb hv hv Ki‡Z cv‡ib †m¸‡jv n‡”Q-
A½| Gi ms‡KvPb I cÖmvi‡Yi d‡j mviv †`‡n i³, agwb, wkiv Kvw•LZ †`‡ni IRb eRvq ivLv|
I †KŠwkK RvwjKvi gva¨‡g msewnZ nq| ürwcÐ gvbyl I Ab¨ mKj cÖvwYR I Dw™¢¾ †cÖvwUb wgwkªZ Lvevi LvIqv|
cÖvYx‡`‡n cv¤ú h‡š¿i g‡Zv KvR K‡i| agwb w`‡q Aw•‡Rb mg„× kK©iv, wgwó I †mœn RvZxq Lv‡`¨i cwigvY wbqš¿‡Y ivLv Ges
i³ ürwcÐ †_‡K mviv †`‡n evwnZ nq| i³ I Kjvi‡mi g‡a¨ iv‡dRhy³ Lv`¨ †ewk LvIqv|
e¨vcb cÖwµqvi Øviv cywó `ªe¨, Aw•‡Rb, Kve©b-WvBA•vBW, †iPb gvs‡mi cwie‡Z© gvQ LvIqv|
c`v_© BZ¨vw`i Av`vb cÖ`vb N‡U|
wfUvwgb ÔwmÕ mg„× dj I Ab¨vb¨ dj wbqwgZ LvIqv|
ZvB i³msenbZ‡š¿i gva¨‡g Rxe‡`‡ni cÖwZwU †Kvl k¦m‡bi Rb¨
G¸‡jv QvovI `v`y‡K cwiwgZ cwigvY Lv`¨ MÖnY Ges AwZ‡fvRb
Aw•‡Rb cvq Avevi k¦m‡bi d‡j wbM©Z Kve©b WvBA•vBW‡KI GB
†_‡K weiZ _vK‡Z n‡e| AZ¨waK gvbwmK Pvc m„wóKvix cwiw¯’wZ
Zš¿ enb K‡i wb‡q dzmdz‡mi gva¨‡g †`‡ni evB‡i wbM©Z K‡i|
Gwo‡q Pj‡Z n‡e| wbqwgZ nvjKv e¨vqvg we‡kl K‡i nuvUv Ges
GQvov †`‡ni welv³ †iPb c`v_©¸‡jv‡KI g~Î AvKv‡i †`‡ni evB‡i
myôz I k„•Lj Rxeb hvcb Ges a~gcvb I g`¨cvb †_‡K weiZ _vK‡j
wbM©Z K‡i| †`‡ni †Kv_vI †K‡U †M‡j i‡³i we‡kl KZ¸‡jv †Kvl
iægvi `v`y ü`‡ivM I D”P i³Pvc †_‡K iÿv cv‡eb Ges nvU© fv‡jv
†m ¯’v‡b ZÂb NwU‡q i³ ÿiY eÜ K‡i| †`n‡K my¯’ I mej ivLvi
ivL‡Z cv‡ib|
Rb¨ Gfv‡e AviI A‡bK KvR K‡i|
Dc‡i DwjøwLZ KviYmg~‡ni Rb¨ i³msenbZš¿‡K Ab¨me Zš¿
18. wb‡Pi DÏxcKwU c‡o cÖkœ¸‡jvi DËi `vI :
A‡cÿv AwaKZi D‡jøL‡hvM¨ ejv hvq|
17. iægvi `v`yi nVvr ey‡Ki evg cv‡k e¨_v Kivq Wv³v‡ii Kv‡Q wb‡q
hvIqv n‡jv| Wv³vi ej‡jb, wZwb nvBcvi‡Ubk‡b fzM‡Qb| G
Kvi‡Y Zvi †÷ªvK, nvU© A¨vUvK, c¨vivjvBwmm BZ¨vw`I n‡Z cv‡i|
K. nvU© A¨vUvK Kx?
L. Arteriosclerosis Kx e¨vL¨v Ki|
M. iægvi `v`yi †iv‡Mi KviY e¨vL¨v Ki| K. ü`hš¿ Øviv gvby‡li †Kvb cÖwµqv m¤úbœ nq?
N. DÏxc‡Ki †k‡lv³ †ivM¸‡jv †h A‡½ nq, Zv‡K fv‡jv ivLvi L. KcvwUKv _vKvi myweav Kx?
Dcvq Av‡jvPbv Ki| M. i‡³i MwZc_ Gu‡K †`LvI Kxfv‡e A½wUi gva¨‡g i³ †`‡ni
17 b¤^i m„Rbkxj cÖ‡kœi DËi wewfbœ As‡k Qwo‡q c‡o?
K. ürwc‡Ði K‡ivbvwi agwb †Kv‡bv Kvi‡Y eÜ n‡q †M‡j ü`‡cwki N. †`‡ni cÖwZwU †Kv‡l i³ †cuЇQ †`Iqvi gva¨‡g †`n‡K mPj
i³ mieivn eÜ n‡q †h †ivM m„wó nq Zv‡K nvU© A¨vUvK e‡j| I my¯’ ivLvi †ÿ‡Î A½wU KZUv ¸iæZ¡c~Y© Zv e¨vL¨v Ki|
L. Arteriosclrosis n‡jv †Kv‡j‡÷i‡ji AvwaK¨RwbZ ü`h‡š¿i 18 b¤^i m„Rbkxj cÖ‡kœi DËi
GKwU †ivM| K. ü`hš¿ Øviv gvbe †`‡n i³ msenb cÖwµqv m¤úbœ nq|
¯^vfvweK gvÎv †_‡K i‡³ †Kv‡j‡÷ij †ewk n‡j i³bvwji L. KcvwUKv _vKvi myweav n‡jv Gi d‡j ürwc‡Ði wfZ‡i i³ GKgyLx
AšÍtcÖvPx‡ii Mv‡Î †Kv‡j‡÷ij I K¨vjwmqvg Rgv n‡q i³bvwj w`K cÖevwnZ nq| KcvwUKv¸‡jv †Kej wb‡Pi w`‡K †Lvjv _v‡K|
KcvwUKv¸‡jv ürwc‡Ð i³‡K wecixZ w`‡K †h‡Z evav †`q|
G¸‡jv i³‡K Awj›` †_‡K wbj‡q †cÖi‡Y mnvqZv K‡i wKš‘ wbjq Wvqv‡ewU‡mi c_¨ wbqš¿Y : Wvqv‡ewUm †ivMx‡`i GKUzI wPwb ev wgwó
†_‡K Awj‡›` i³‡K Avm‡Z evav †`q| LvIqv Pj‡e bv| Zv‡`i Ggb Lvevi LvIqv DwPZ hv †cÖvwUbmg„×
M. A½wU n‡jv ürwcÐ hvi gva¨‡g i³ †`‡ni wewfbœ As‡k Qwo‡q Avi hv‡Z †k¦Zmvi Kg _v‡K|
c‡o| wb‡P i‡³i MwZc_ Gu‡K cÖwµqvwU †`Lv‡bv n‡jv : Ilya †meb : Wv³v‡ii civgk© Abyhvqx wbqwgZ Jla †meb Ki‡Z
n‡e|
Rxeb k„•Ljv : k„•Ljv Wvqv‡ewUm †ivMxi RxebKvwV| Gme wel‡q
we‡kl bRi w`‡Z n‡e|
Dch©y³ Av‡jvPbv †_‡K †`Lv hvq, wbqwgZ I cwigvYg‡Zv mylg
Lvevi MÖnY, e¨vqvg Kiv, wbqwgZ cÖmve cixÿv Ges djvdj wj‡L
ivLvi gva¨‡g wbRvg Zvi †ivM A_©vr Wvqv‡ewUm wbqš¿‡Y ivL‡Z
cvi‡e|
N. DÏxc‡Ki A½wU n‡jv ürwcÐ hv †`‡ni cÖwZwU †Kv‡l i³ †cuЇQ N. wbRv‡gi †ivMwU Wvqv‡ewUm †gwjUvm hv ü`‡iv‡MiI KviY|
†`qvi gva¨‡g †`n‡K mPj I my¯’ ivLvi †ÿ‡Î AZ¨šÍ ¸iæZ¡c~Y©| Wvqv‡ewUm GK cÖKvi wecvKRwbZ †ivM| G †iv‡M i‡³ Møy‡Kv‡Ri
gvby‡li i³ msenbZš¿ ürwcÐ, agwb, wkiv Ges RvjK wb‡q MwVZ| cwigvY `xN©¯’vqxfv‡e †e‡o hvq| Wvqv‡ewUm ü`h‡š¿i i³cÖev‡ni
i³c~Y© ürwcÐ hLb msKzwPZ nq ZLb evg wbjq †_‡K weï× i³ Ici c‡ivÿfv‡e cÖfve we¯Ívi K‡i| Wvqv‡ewU‡m i‡³ kK©ivi
(†ewk O2 hy³ i³) gnvagwb Ges gnvagwb Ges Wvb wbjq †_‡K cwigvY †ewk _vKvq GwU ürwc‡Ði ¯^vfvweK Kv‡R evav m„wó K‡i|
`~wlZ i³ (†ewk CO2 hy³ i³) dzmdzmxq agwb‡Z cÖ‡ek K‡i| DÏxc‡Ki Z_¨vbymv‡i wbRv‡gi Wvqv‡ewUm †iv‡M AvµvšÍ| G †iv‡M
gnvagwb †_‡K i³ wewfbœ agwb I kvLv agwb w`‡q †`‡ni wewfbœ i‡³ Møy‡Kv‡Ri cwigvY `xN©¯’vqxfv‡e †e‡o hvq| ZvB GwU
i³Rvj‡K Qwo‡q c‡o Ges Kjv‡Kvl‡K cywó`ªe¨ I Aw•‡Rb ü`‡iv‡MiI KviY n‡q `uvovq|
mieivn K‡i| Dch©y³ Av‡jvPbv †_‡K †`Lv hvq Wvqv‡ewUm †ivMx‡`i Kv‡ivbvwi
Aciw`‡K dzmdzmxq agwb †_‡K `~wlZ i³ dzmdz‡m cÖ‡ek K‡i| ü`‡ivM nIqvi cÖeYZv †ewk _v‡K| G‡Z ürwcЇK APj K‡i †`q
dzmdzm †_‡K i³ Aw•‡Rb MÖnY K‡i cvj‡gvbvwi wkivi gva¨‡g evg Ges †ivMx †÷ªvK n‡q gviv hvq| GQvov `xN©¯’vqx Wvqv‡ewUm †iv‡M
Awj‡›` Av‡m| GKB mv‡_ mviv‡`‡ni Kve©b WvBA·vBW hy³ i³ i³ Pvc †e‡o hvq Ges Gi †_‡K D”P i³Pvc ev nvBcvi‡Ubkb
cybivq Wvb Awj‡›` wd‡i Av‡m| nq| D³ i³Pvc K‡ivbvwi ü`‡iv‡Mi c~e©jÿY| Wvqv‡ewUm
Gfv‡e ürwcÐ cv¤úh‡š¿i g‡Zv Zv‡j I Q‡›` msKzwPZ n‡q †ivMx‡`i i‡³ kK©ivi gvÎv `xN©w`b Awbqwš¿Z _vK‡j K‡ivbvwi
mviv‡`‡ni cÖwZwU †Kv‡l i³ †cŠuwQ‡q †`q Ges †`n‡K mPj I my¯’ ü`‡iv‡M AvµvšÍ nIqvi m¤¢vebv LyeB †ewk| ZvB ejv hvq, wbRv‡gi
iv‡L| GB †ivMwU cieZ©x‡Z ü`‡iv‡Mi m„wói KviY n‡Z cv‡i|
19. wbRv‡gi wccvmv †ewk jvM‡Q| Nb Nb cÖmªve n‡”Q| kix‡ii IRb 20. Kvgvj mv‡ne nVvr K‡i ey‡K e¨_v I Pvc Abyfe KiwQ‡jb| Wv³vi
K‡g hv‡”Q| Wv³v‡ii wbKU †M‡j Wv³vi i³ cixÿv K‡i ejj, Zvi i³Pvc cixÿv K‡i Pwe©hy³ Lvevi cwinvi Ki‡Z ej‡jb
i‡³ Møy‡Kv‡Ri gvÎv †e‡o †M‡Q| cvkvcvwk Zv‡K my¯’Zvi Rb¨ mZK© I `ywðšÍvgy³ Rxebhvc‡bi e¨e¯’v
K. †cwiKvwW©qvj d¬zBW Kx? Kivi civgk© w`‡jb|
L. gvbe ürwcÐ gv‡qv‡RwbK †Kb? K. nvU© †dBwjIi Kx?
M. wbRv‡gi †h †ivM n‡q‡Q Zv wbqš¿‡Yi Dcvq e¨vL¨v Ki| L. wewfbœ eq‡m nvU©we‡Ui ¯^vfvweK MwZ †jL|
N. ÔwbRv‡gi †ivMwU ü`‡iv‡MiI KviYÕ Dw³wU e¨vL¨v Ki| M. DÏxc‡K Av‡jvwPZ mgm¨vwU e¨vL¨v Ki|
N. Kvgvj mv‡n‡ei my¯’Zvi Rb¨ †Zvgvi civgk© cÖ`vb Ki|
19 b¤^i m„Rbkxj cÖ‡kœi DËi
K. †cwiKvwW©qvj d¬zBW ürwc‡Ði Dfq¯Í‡ii gv‡S GK ai‡bi Zij 20 b¤^i m„Rbkxj cÖ‡kœi DËi
c`v_©, hv ürwcЇK ms‡KvP‡b mvnvh¨ K‡i| K. ürwc‡Ði Awj›` A_ev wbjq A_ev Df‡qi ms‡KvPb ÿgZv †jvc
L. gvbe ürwcÐ evB‡ii †Kv‡bv DÏxcbv QvovB ¯ú›`b m„wó K‡i e‡j cvIqv‡K nvU© †dBwjIi e‡j|
GwU gv‡qv‡RwbK| L. wewfbœ eq‡m nvU©we‡Ui ¯^vfvweK MwZ wewfbœ iKg nq|
nvU©weU ev ü`¯ú›`b GKwU RwUj welq| ürwc‡Ði Awj›` I nvU©we‡Ui ¯^vfvweK MwZ cÖvßeq¯‹‡`i †ÿ‡Î cÖwZ wgwb‡U 60-100
wbj‡qi evievi ms‡KvPb Ges cÖmvi‡Yi mv‡_ GwU m¤úwK©Z| evi Ges wkï‡`i †ÿ‡Î cÖwZ wgwb‡U 100-140 evi|
evB‡ii †Kv‡bv DÏxcbv QvovB ü`‡cwk wb‡R †_‡K ms‡KvPb I M. DÏxc‡K Av‡jvwPZ mgm¨vwU n‡jv nvBcvi‡Ubkb ev D”Pi³Pvc|
cÖmvi‡Yi Øviv ü`¯ú›`b m„wó K‡i| ZvB gvbe ürwcÐ gv‡qv‡RwbK| ¯^vfvweK i³Pv‡ci E‡aŸ© i³Pvc n‡j Zv‡K nvBcvi‡Ubkb ev D”P
M. wbRv‡gi †h †ivM n‡q‡Q †mwU n‡jv Wvqv‡ewUm| i³Pvc e‡j| mvaviYZ AwZgvÎvq ˆZjv³ I Pwe©hy³ Lv`¨ MÖnY,
GB †ivM wbqš¿‡Yi Dcvq¸‡jv wb‡P D‡jøL Kiv n‡jv : ¯’~jZv, cwikªg bv Kiv gvby‡li G †ivM nq| i‡³ †Kv‡j‡÷i‡ji
Wvqv‡ewUm cÖavbZ wZbfv‡e wbqš¿Y Kiv hvq| h_v :
gvÎv †e‡o †M‡j GwU i³bvwji cÖvPx‡i Rg‡Z _v‡K Ges i³bvwji
MnŸi †QvU n‡Z _v‡K| d‡j D”P i³Pvc m„wó nq|
Dch©y³ Av‡jvPbv †_‡K †`Lv hvq, hviv cwikªg Kg K‡i cvkvcvwk
ˆZjv³ Lvevi MÖnY K‡i Zv‡`i kix‡i †Kv‡j‡÷i‡ji gvÎv †e‡o
hvq| hv nvBcvi‡Ubkb ev D”Pi³Pv‡ci jÿY cÖKvk K‡i|
N. Kvgvj mv‡n‡ei †ivMwU ü`h‡š¿i mv‡_ m¤úwK©Z| ü`hš¿‡K fv‡jv
†i‡L D”Pi³Pvc †_‡K m„ó †ivM †_‡K cwiÎvY cvIqv hvq|
Kvgvj mv‡n‡ei my¯’Zvi Rb¨ Avgvi civgk© n‡jv mwVK Lv`¨ e¨e¯’v
Ges RxebcÖYvwj AbymiY K‡i ü`hš¿‡K fv‡jv ivLv| Zv‡K hv hv
Ki‡Z n‡e Zv n‡jv :
Kvw•LZ †`‡ni IRb eRvq ivLv|
cÖvwYR I Dw™¢¾ †cÖvwUb Lvevi †L‡Z n‡e|
kK©iv, wgwó I †mœnRvZxq Lv‡`¨i cwigvY wbqš¿‡Y ivL‡Z n‡e
Ges iv‡dRhy³ Lvevi †ewk †L‡Z n‡e|
gvQ †ewk †L‡Z n‡e KviY gvQ‡fvRx‡`i ü`‡iv‡Mi m¤¢vebv †ek
Kg _v‡K|
imyb, †ZuZzj, wfUvwgb ÔwmÕ mg„× dj I Ab¨vb¨ dj wbqwgZ
†L‡j ü`‡iv‡M AvµvšÍ nIqvi m¤¢vebv Kg|
G¸‡jv QvovI Kvgvj mv‡ne‡K mwVK I cwiwgZ cwigv‡Y Lv`¨ MÖnY
Ges AwZ‡fvRb †_‡K weiZ _vK‡Z n‡e| AZ¨waK gvbwmK Pvc
m„wóKvix cwiw¯’wZ Gwo‡q Pj‡Z n‡e| wbqwgZ nvjKv e¨vqvg we‡kl
K‡i nuvUv, wbqwgZ Nygv‡bv Ges myôz I k„•Ljvc~Y© Rxebhvcb Ki‡Z
n‡e a~gcvb I g`¨cvb †_‡K weiZ _vK‡j ü`‡ivM I D”P i³Pvc
†_‡K iÿv cvIqv hvq|