MkWñ uljhu Hkkjrh

lfpo] la?k"kZ lfefr

vf[ky Hkkjrh; jkT; lsokjr
fpfdRlk la?k

fo"k; & ¼1½ ftyk {k; jksx vf/kdkjh (RNTCP) dh iksLV

dks uku izsfDVl ugha djusA
¼2½ dfu"B o ofj"B fo'ks"kK o{k ,oa {k; jksx
dk uke cnydj dfu"B ,oa ofj"B fo'ks"kK
iyeksujh esfMflu djus gsrqA
¼3½ mDr iksLV ftyk {k; jksx fuokj.k dsUnz dh
ctk; ftyk fpfdRlky; esa nsus gsrqA

egksn;k]

vf[ky jktLFkku jkT; lsokjr fpfdRld la?k ds rRok/kku

esa tks] MkDVjksa ds fgr esa vkius la?k"kZ fd;k gS og
dkQh ljkgfu; gSA ge bl la?k"kZ esa vkids lkFk gSA gesa
Kkr gqvk gS fd ljdkj DTO (RNTCP) dks iksLV dks uku
izsfDVl dj jgh gSA

egksn;k eSa DTO (RNTCP) dks iksLV dks uku izsfDVl

djus ds f[kykQ gw¡ o esjs vU; lkFkh tks o{k ,oa {k; jksx
fo"ks'kK gS os Hkh ,slk gh lksprs gSA esjs fojks/k fuEu
fcUnqvksa ls Li"V gks tk;sxk &

1- o{k ,oa {k; jksx fo"k; flQZ {k; jksx rd lhfer ugha gS
blesa o{k lEcfU/kr lHkh chekfj;ksa dh fo'ks"kKrk
 gkWfly gksrh gS] tSls lh-vks-ih-Mh- vLFkek]
QSQMs+ dk dSalj] fueksfu;k vkfnA ;fn ;g fo'ks"kK
flQZ Vh-ch- lsUVj ij dke djrk gS rks viuh fo"ks'kKrk
dk iwjk mi;ksx ugha dj ldrk gSA ;fn ;g ftyk vLirky esa
dke djsa rks 'ok'k o QsQMs lEcU/kh lHkh chekfj;ksa
esa turk dks Qk;nk gksxkA

2- ^^,e-Mh- o{k ,oa {k; jksx** fMxzh dk ;g uke lgh :i ls

fo'ks"kKrk dks ugha n'kkZrk Fkk blfy;s vc bl fMxzh dk
uke esfMdy dkÅflay us cnydj ,e-Mh- iyeksujh esfMflu
dj fn;k gS ftlls iqu% ;g Li"V gS fd bl fo'ks"kKrk okys
MkWDVj dk dk;Z {ks= 'olu o QSQMksa dh lHkh
chekfj;ksa dk funku gS uk fd flQZ Vh-ch- dk A

3- o{k ,oa {k; jksx fo"ks'kK czkdksLdksih

¼,UMksLdksi }kjk QsQM+ks dh tkap½ esa ikjkxar
gksrs gSA ;g tkap QsQMks dh cgqr egRoiw.kZ tkap
gS] ftls djkus ds fy;s jkT; ds dksus&dksus ls ejht
t;iqj ;k vU; esfMdy dkWyst tkrk gSA bl tkap dk midj.k
ek= 4&5 yk[k :i;s dk vkrk gSA bl tkap ds fy;s lgk;d
uflZax LVkQ dks fdlh fo'ks"k Vªsfuax dh vko';drk
ugha gksrh gSA ;fn o{k ,oa {k; jksx fo'ks"kK ftyk
vLirky esa ;g tkap djasxs rks ejhtksa dks vf/kd Qk;nk
gksxkA
4- o{k ,oa {k; jksx fo'ks"kKksa dh lgk;rk ls jkT; ds ftyk
vLirkyksa esa Critical Care dk Lrj c<k;k tk ldrk gS o
ftyk Lrj ij ejhtksa dks csgrj lsok,a nh tk ldrh gSA

5- ftyk vLirky ftys dk og vLirky gS tgka ejht lcls igys tkrk

gSA ejht Vh-ch- fDyfud esa lh/ks tkus ls cprs gSA ,sls
esa 'kq:vkr ls gh ejht o{k ,oa {k; jksx fo'ks"kK ds ikl
ugha igqaprsA blls dbZ ckj bykt esa nsjh lesr dbZ vU;
dfBukbZ vk ldrh gSA ;fn o{k ,oa {k; jksx fo'ks"kK
ftyk Lrj ij jgsxk rks RNTCP esa dsl T;knk ukekafdr
gksxsa o csgrj lsok ik,xsaA

6- Vh-ch- ,d ,lh chekjh gS ftlesa ejht dks HkrhZ dh

vko';drk iM ldrh gSA Vh-ch- esa HkrhZ ds dqN izeq[k
dkj.k fuEu izdkj ls gks ldrs gS&

 vR;f/kd QSyh gqbZ Vh-ch-

 fnekxh Vh-ch-

 ;g r; djus ds fy;s dh ejht Vh-ch- dk gS ;k vU; fdlh

chekjh dk

 ejht dh Nkrh esa ikuh fudkyuk

 Vh-ch- dh nokvksa ds lkbM bQsDV tSls fiyh;k

gksuk
  ejht ds QsQMks esa ls [kwu vkus ij

 czkDdksLdksih o ck;ksIlh bR;kfn dh tkap

 Vh-ch- ds ckn gksus okys jsfLijsVjh Qsfy;j

bR;kfnA

ysfdu vk'p;Z dh ckr gS jkT; esa nks ;k rhu ftyks

dks NksMdj ,sls ejhtksa dh HkrhZ dh lqfo/kk ugha
gSA ,sls esa o{k ,oa {k; jksx esa fo'ks"kKrk izkIr djus
okys MkWDVj dh esgur dk ljdkj dks Qk;nk ugha fey
ikrk gSA ;g dgk tkrk gS fd Vh-ch- ds ejhtksa dks
HkrhZ dh vko';drk ugha gSA ;g dguk fcYdqy xyr
gSA ;fn ,slk gksrk rks esfMdy dkWyst ds vLirkyksa
esa ejht ugha gksrsA t;iqj ds o{k ,oa {k; jksx fpfdRlky;
esa gh lky esa djhc 20&25 gtkj yksx fn[kkus vkrs gS o
iyax ges'kk iw.kZ Hkjs jgrs gS ;fn ftyk Lrj ij
fo'ks"kKksa dh lgh lsok,sa yh tk, rks ejhtksa dks
nwj&nwj ls esfMdy dkWyst ugha Hkkxuk iMsxkA

7- ftyk Vh-ch- fDyfud esa o{k ,oa {k; jksx fo'ks"kK dh

lsok,as fDyfudy u gksdj ,d LVsfVf'k;u tSlh gksrh gS &

 eghus esa mls 20 nkSjs djus gksrs gSA ;fn pkj

jfokj dks blesa tksM ns rks de ls de 24 fnu o Vh-
ch- fDyfud ij jgrk gh ugha gS ,sls esa ejhtksa dks
fo'ks"kK lsok dSls feysxh \
 nkSjs ij ;g fo'ks"kK ;g ns[krk gS fd ejhtksa dks
V~kV~l fey jgk gS ;k ughaA ejhtksa ds
VªhVesUV dkMZ lgh izdkj ls Hkjs tk jgs gS ;k
ughaA nokvksa dh fLFkfr izkFkfed LokLF;
dsUnz ij dSls gSA D;k yScksjsVjh lgh dke dj jgh
gS ;k ughaA ;g lkjs dke djus ds fy;s o{k ,oa {k;
jksx esa fo'ks"kKrk gksus dh D;k vko';drk gSA ,e-
Vh-,l- ¼VªhVesUV lqijokbZtj½ tc vius {ks= esa
nkSjk djrk gS rks ;gh lkjs dke djrk gSA ;gka rd dh
nkSjks ij ,l-Vh-,l- o Mh-Vh-vks }kjk Hkjk tkus
okyk QkeZ rd ,d gh gSA Li"V gS fd ,d vR;f/kd
;ksX;rk/kkjh ls ,d cgqr gh NksVk lk dke djk;k tk
jgk gSA

 blds vykok Mh-Vh-vks- vkWdMks dk ladyu djrk

gS o mudk fujh{k.k djrk gSA ;g Hkh cMk
lk/kkj.k dk;Z gS ftls ,d ,slk MkWDVj Hkh dj ldrk
gS tks fo'ks"kK ugha gSA

bu lHkh ckrksa ls Li"V gS fd o{k ,oa {k; jksx

fo'ks"kK dh lsokvksa dk ljdkj iw.kZ mi;ksx ugha dj jgh
gSA bu ifjfLFkfr;ksa esa o{k ,oa {k; jksx fpfdRldks
esa jks"k gSA o{k ,oa {k; jksx fpfdRld dbZ ckj ;g ekax
mBk pqds gSA ijUrq dksbZ lquokbZ ugha gqbZ gSA
bu ifjfLFkfr;ksa esa o{k ,oa {k; jksx fo'ks"kK ftyk Vh-
ch- fDyfud ij tkus ls cprk gSA dbZ fo'ks"kK izeks'ku
ugha ysrs o dbZ ukSdjh R;kx pqds gSA

vr% gekjh ekax gS fd

¼1½ o{k ,oa {k; jksx dfu"B fo'ks"kK ,oa ofj"B

fo'ks"kK dh iksLV dk uke cnydj dfu"B
fo'ks"kK ,oa ofj"B fo'ks"kK iyeksujh esfMflu dj
fn;k tkosA

¼2½ mDr iksLV ftyk vLirky esa gksA

vk'kk gS fd vki bu ekaxksa dks le>rs gq;s

vius ,ts.Ms esa 'kkfey djsaxsA

/kU;oknA

Hkonh;

uke
in
LFkku