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a&,kef taeeJ@ jyif;xefpGmacgif;udkufjcif;/ rsufpdukdufjcif;/ rsufpd
a&mifjcif;/ rsufpdtajrS;yg; xdcdkufysufpD;jcif;a=umifh rsufpd=unfh
raumif;jcif; rsm;jzpf wwfygonf? xkda=umifh rsufvHk;wpf0dkufrSm
a&,kefjzpfv#if apmpD;pGmjyo+yD; ukor_cH,loifhygonf? odk@r[kwf
rsufpd'kuQ ay;Edkifygw,f? yg;csdwfwpf0dkufrSm a&,kefjzpfv#if rsufESmrSm
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Edkifygonf? qifa&,kefjzpf+yD;wJhae&mawGrSm t&nf=unf
zkawG/ temaysmufoGm;ayr,hf jzpfcJhwhJae&mawGrSm&SdwJh16tvkyf
orm; a&;&m ynmay;pmapmiftrSwfpOf (5) 'DZifbmv/ 2006tm&Hk
a=umawG a&mif&rf;xdcdkufr_a=umifh emusifukdufcJr_a0'em
qufvufcHpm;&wwfygonf? a&,kefa&m*gjzpfvdk@apmpD;pGm ukor_ay;
v#ifta=umao ta=umem a0'emcHpm;&r_rsdK;enf;rSmjzpf+yD;/a&m*g &ifh
rS ukor_cH,lolrsm;twGuf tm&Hka=umao/ tm&Hka=um a0'em
ykd+yD;cHpm;&rSmjzpfygw,f?b,fae&mawGrSmjzpf&ifykdqdk;ovJ?a&,keftaeeJ
@uawmh cE<mudk,ftES@H ae&mra&G;jzpfwwfygw,f? qifa&,kef
taeeJ@uawmh rsufpdwpf0dkuf/ rsufESmeJ@&ifacgif;ydkif;awGrSmjzpf&if
aemufqufwJG ysufpD;cHpm;&r_rsdK;rsm;wwfygw,f? a&,kefjzpf+yD;wJh
ae&mawGrSm emusifjcif;/ udkufcJjcif;/ ta=umao/ta=umusOfjcif;rsm;
ESpf/ v/wm&Snf cHpm;&wwfygw,f? ckcHtm;usqif;a&m*g HIV/AIDS
eJ@wGJ+yD;&if ydk+yD;cHpm;&rSmjzpfygw,f? ckcHtm;usqif;a&m*g&Sdae&ifvnf;
qifa&,keftae eJ@r=umc%qdkovdk
qufvufay:aygufaerSmjzpfygw,f? xkda=umihf qifa&,kefr=um
c%ay:aew,fqdk&if ckcHtm;usqif;a&m*g&Sd r&Sd tjcm;a&m*g}uD;rsm;
&Sdr&Sdukd txufwGif azmfjycJhwhJtwdkif; ppfaq;=unhf&rSmjzpfonf?a&,kkef
tao;pm; (Herpes Simplex) tao;pm; a&,kefut&nf=unfzk
tao;pm;av;awG pk+yHK+yD; jzpfay:vmjcif;jzpfonf?
b,fae&mawGrSmay:wwfovJ?txl;ojzifh E_wfcrf;/ rsufESm/udk,fcE<meJ@
a,musfm;udk,f/ rdef;rudk,fawGay:rSm ay:wwfygonf?t&nf=unf
zkav;awG[m tpkvdkufjzpfaewwf+yD;aysmufuif;oGm;jyef&ifvnf;
aemufwpfzef ay:+yD;om;ae&mrSm xyfjzpfavh&Sdygonf? tao;pm;
a&,keftaeeJ@ESpfrsdK;ESpfpm;awG@Edkifygonf? wpfrsdK;u r=umc%jyefjzpf
wJh trsdK;tpm; (Recurrent Type) jzpf+yD;usefwpfrdsK;ujyefrjzpf
wJhtrsdK;tpm; (Non Recurrent Type) jzpfygonf? wpfcgyJjrif+yD;
jyefray:wwfwJhtrsdK;tpm;uawmhyg;pyfwGif;rSmjzpfygonf?t&nf=unf
bkawG aygufxGufoGm;jcif;? temjzpfjcif;? tem[m (15) &uftwGif;
avmufrSm usufoGm;jcif;/ aumif;oGm;jcif;wkd@jzpfrnf?b,ftcsdefrSm
qdk;qdk;&Gm;&Gm;ay:wwfovJ?ckcHtm;usqif;a&m*g (HIV/ AIDS) jzpfaeol
awGqdkv#if tao;pm;a&,kef[m wpfudk,fvkH;ysH@ES@H aewm awG@Ekdifyg
onf? aysmufvdkuf/ aygufvdkufESihf wpfudk,fvkH;ysH@E@HS oGm; wmrsdK;jzpf
wwfonf?qifa&,keftwGufukocsuf
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- t&nf=unfzkawGayguf+yJroGm;atmif*&kpdkuf&rnf? t&nf=unfzk
}uD;awG ayguf+yJoGm;wmESifhw+ydKifeuf jyifyrS AufwD;&D;,m; (Bacteria)
ydk;awG0ifa&mufvm+yD; temawGjzpfoGm;jcif;jzifh a&m*gydkqdk;Ekdifonf?
- pwD;&dGKufxdk;aq;/ aomufaq;awGudkapmpD;pGmay;oifh ygonf?
aemifwGifjzpfay:vmr,hf tm&Hka=umao/tm&Hka=umem(Post Herpetic
Neuralgia) tjzpfenf;+yD;oufomapEkdifonf?
- "mwfa&mifjcnftao;pm;ay;+yD; ukojcif;jzifh emusif
udkufcJr_jzpfay:apjcif;ukd umuG,fEdkifonf?emusifukdufcJr_jzpfapwJh
tm&Hka=umawGudk ydwfqd@k vdkuf
jcif;jzpfonf? tajctaeqdk;vmrS ukor_taeeJ@ pOf;pm;
&rSmjzpfygonf? - aomufaq; atqdkufuvdkbm 800 rDvD*&rf;
wpfae@v#if (5) }udrf/ (10)&ufay;Ekdifonf?
- atqdkufuvdkbm (Acyclovir) vdrf;aq;wpfae@v#if (3)
}udrfvdrf;yg?owdðy&rnhftcsufb,fbuf&iftHkae&m (ESvHk;tdrfae&m)
wGifa&,keft&nf=unfbkrsm; ray:rDS emusifjcif; cHpm;&r_taeu
ESvHk;a&m*ga0'emcHpm; &r_ESihf qifwl aea=umif; owdjyK&rSmjzpfygonf?
'Dvdka0'emrsm; cHpm;&wmuawmh wwfodu|rf;usifwJh q&m0ef}uD;
rsm;ESifh jyo+yD; ukor_vdktyfonf?ig;rsufpdDNA Virus a=umifh jzpfwm
jzpfygonf? HIV/AIDS rjzpfay:rDumvuwnf;u &SdaewJhAkdif;&yfpf(Virus
Infection)a&m*gwpfckjzpfygonf? b,fvdkvuQ%m
awGawG@EdkifovJta&jym;rSmtvHk;av;awGxGufay: vmjcif;jzifhjrif
Ekdifygonf? tvHk;uta&jym;ay:rSm wpf0ufjcrf;taee@Jay:aewmjzpf+yD;
(4-6mm) avmufjzpfygw,f?puf0dkif;jcrf;vdkcHk;+yD;ay:aewJh tcHk;av;acsm
aer,f/ ajymifaer,f/ za,mif;tjzLa&mifvdkjzpfcsifjzpfr,f? yef;a&mif
jzpfcsifjzpf r,f/ t&G,ftpm;taeeJ@ touf&ifhvmav}uD;xGm;vm+yD;
tvHk;av;&J@ tv,fwnhfwnhfrSm csufozG,f (Umbilication)
tcGufav; awG@&&SdrSmjzpfygonf? b,fae&mawGrSm trsm;qHk;awG@rSmvJ
rsufESm/ vufrsm;/ &ifom;/ &iftHk/ aygiftwGif;om;awGESifh a,musfm;
wefqmawGrSm awG@&wwfonf? rsm;omtm;jzifh uav;awGrSm
awG@&wwf+yD; ul;pufwwfonf? HIV/AIDS a&m*g&SifawGjzpfyGm;r_
taetxm;u rsufESmjyifay:rSm jzpfonf? jzpfyGm;r_uvnf; tvHk;a&
aygif;wpf&mausmf&Sdwwfonf?&dk;&dk;omrmefvlawGrSmta&twGufodyfr
rsm;yg?a&m*gowfrSwfcsuf b,fvdk&EdkifrvJtzkav;awGxJu tqefukd
!Spfxkwf+yD;Wright Stain (odk@r[kwf) Wright Giemsa StainjyKjyif+yD;
t%k=unhfrSefajymif;eJ@ =unfhvdkufv#if od&rSmjzpfygw,f?
aemufwpf enf;rSm tvHk;rS tom;r#ifwdk@udkcGJpdwfppf aq;jcif; (Biopsy)
jzifhvnf; a&m*gowfrSwfcsuf&&SdEkdifonf? awG@&Sd&wJh vuQ%m
awGukd=unfhjcif;jzifhvnf;cef@rSef;od&SdEdkifonf? ukojcif;-
- tzkvHk;av;awGenf;v#if 0uf+cH!SpfouJhokd@
txJutqefukd !Spfxkwf+yD; wifcsmbdkiftdk'if;aq;&nf(Biodine)
odk@r[kwf t&ufjyefwdk@xm;Ekdifonf?- 5% podophyllin
aq;&nfwdk@ay;yg?- 20% Trichloro Acetic Acid wdk@ay;yg?
- cGJpdwfjcif;xkwfypfjcif; (Curettage)
- avqma&mifjcnfukojcif;rsm;jzifh ukoay;r_jzifh ukoay;Edkifonf?
umvom;a&m*g=uGufEdk@HIV/AIDS a&m*gESifhwGJ+yD; umvom;a&m*g
=uGufEdk@ jzpfwwfonf? ckcHtm;usqif;a&m*g (AIDS)&Sdolrsm;rSm =uGufEdk@
jzpfr_rsm;onf? jzpfwwf/ awG@&SdwwfwJh ae&mrsm;rSm t*F gpyfwpf0dkuf/
ptdk0wpf0dkufwkd@wGitwufawGxGuf+yD; =uGwufaeonf? ‚if;uJhokd@
=uGufEdk@awG@&HkESihf ckcHusa&m*g (AIDS) jzpfae+yDvdk@rajymEdkifyg?
‚if;=uGufEdk@ukd jzpfaponfhykd;rSm Papilloma Virusjzpfonf?ukojcif;- 25%
Podophyllin in Tincture Benzoin
wdk@ay;yg/- 5% Podophyllin vdrf;yg/udk,f0efaqmifrdcifrsm; twGuf
uawmh 20%Trichoro AceticACldvdrf;yg/wd@k yg?fawG@&dSwwfonf?
=uGufEdk@. yHko¾mefonf ta!Smuf (qufvufaz:jyygrnf)