0rf;ysuf0rf;avSsma&m*gtaMumif; odaumif;p&mrsm;

rcifausmhausmhjzL

olemjyKr[modyÜH ausmif;ol

olemjyKwuúodkvf? &efukef/
 0rf;ysuf0rf;avSsma&m*geSifhywfoufaomusef;rma&;
owif;tcsuftvufrsm;

þpmtkyfwGif 0rf;ysuf0rf;avSsma&m*g eSifh ywfoufaom atmufyg

usef;rma&;owif; tcsuftvufrsm;yg0ifygonf/

(u) 0rf;ysuf0rf;avSsma&m*g\ tPdyÜg,f

(c) 0rf;ysuf0rf;avSsma&m*gjzpfapaom taMumif;rsm;

(*) 0rf;ysuf0rf;avSsma&m*g\vu©Pmrsm;

(C) 0rf;ysuf0rf;avSsma&m*g\aemufqufwGJusef;rma&;jyóemrsm;

(i) MudKwifumuG,fjcif;
(1) 0rf;ysuf0rf;avSsma&m*g

24 em&DtwGif; 0rf;aysmhaysmh odkYr[kwf 0rf;t&nf okH;Mudrf eSifh txuf

oGm;jcif;udk 0rf;ysuf0rf;avSsmjcif;[kac:onf/

(2) jzpfapaomtaMumif;t&if;rsm;

• a&m*gydk; - 0rf;ysuf0rf;avSsma&m*gonf npfnrf;aoma&wGif ysHUeSHUwwfaom

bufwD;&D;,m;? Adkif;&yfpf ESifhuyfyg;ydk;rsm; 0ifa&mufíjzpfvmaom vu©Pm
jzpfonf/ ywf0ef;usifeSifh wpfudk,f&nfoefU&Sif;a&; nHhzsif;jcif;? tEå&m,f
uif;aom aomufa&rvkHavmufjcif;? csufjyKwfjcif;eSifh oefU&Sif;jcif;wdkU
nhHzsif;jcif;aMumifh a&m*gydk;ydkrdk0ifa&mufwwfonf/
• tm[m&csdKUwJhjcif;-0rf;ysuf0rf;avSsmaMumifhaoqkH;oGm;aom
uav;rsm;onf tm[m& csdKUwJhrIudkcHpm;ae&aom uav;rsm; jzpfMuonf/
touf (5) eSpf atmufuav;rsm;wGif 0rf;ysuf? 0rf;avSsma&m*gonf
tm[m& csdKUwJhjcif;udk jzpfapaom taMumif;t&if;wpfckjzpfonf/

• t&if;tjrpf – vlwdkY\rpif eSifhxdawGUxm;aom a& (Oyrm- rdv’ma&?

rdv’muef? tdrfom) eSifh a&m*gydk;ygaom wd&dpmäef tnpftaMu;rsm;onf
0rf;ysuf0rf;avSsm jzpfaponf/
• tjcm;jzpfapaomtaMumif;t&if;rsm; - 0rf;ysuf0rf;avSsma&m*g onf
vlwpfOD; rSwpfOD;odkY ul;pufedkifonf/ wpfudk,f&nf oefY&Sif;rInHhzsif;vsif
ydkqdk;apedkif onf/
• tpm;taomufjyifqifjcif; eSifh odkavSmifjcif; oefY&Sif;rIr&SdvSsif tpm;tpm
onf 0rf;ysuf0rf;avSsma&m*g jzpfapaom tPdu taMumif;t&mwpfck
jzpfonf/ tEå&m,fruif;aom okH;a& okdavSmifjcif; eSifh
okH;pJGjcif;onfvnf; ta&;MuD;aomf t&if;tjrpfjzpfonf/
• npfnrf;aoma&rS ig;eSifhyifv,fpm onfvnf; 0rf;ysuf0rf;avSsm a&m*g
jzpfapedkifonf/

အရည်ြမ််းလခြ ြွ်ခြင််း

ဖ ်းခြင််း

ကြွြွ်တြွ်ခြင််း၊

အန်ခြင််း ဗိုြွန
် ခြင််း၊ လေပွခြင််း
(3) 0rf;ysuf0rf;avSsma&m*g vu©Pmrsm;

• 0rf;aysmhaysmh odkYr[kwf 0rf;t&nfykHrSefxuf tMudrfydkoGm;jcif;

• Adkufatmifhjcif; odkYr[kwf Adkufemjcif;
• zsm;jcif; eSifh acgif;udkufjcif;
• ajcaxmuf MuGufwufjcif;
• ysdKUjcif; eSifh tefjcif;
• t&nfcrf;ajcmufjcif; vu©Pmrsm;
• 0rf;Adkuft&nfjym;zdqGJíprf;MunfhvSsiftvGefjznf;nif;pGm jyefusjcif;
(2 puúefUeSifhtxufjumjcif;)

t&nfcrf;ajcmufjcif;
• 0rf;ysuf0rf;avSsma&m*g\ tqdk;&Gm;qkH;jcdrf;ajcmufrIrSm t&nf
crf;ajcmufjcif; jzpfonf/ 0rf;ysuf0rf;avSsmjzpfaecdsefwGif a&eSifh
Pgwfqm;rsm; (qdk'D,rf? uvdk&dkuf? ydkwufpD,rf eSifh umbdkedkyf) onf
t&nf0rf;? tefjcif;? acGs;xGufjcif;? qD; wdkUrSwpfqifh qkH;&IH;oGm;onf/
xdkqkH;&IH;rIrsm;udk jyefvnfrjznfhygu t&nf crf;ajcmufjcif;jzpfay:vmonf/
atmufyg vu©Pmrsm;rS tenf;qkH;eSpfck &Sdygu jyif;xefpGm t&nf
crf;ajcmufjcif; [kac:onf/

• tiftm;r&Sdxdkif;rdIif;jcif;? owdvpfjcif;
• rsufwGif;csdKifh0ifjcif;
• a&raomufedkifjcif; odkUr[kwf tm;r&SdpGmaomufjcif;
• 0rf;Adkuft&nfjym;zdqGJíprf;MunfhvSsiftvGefjznf;nif;pGm jyefusjcif;
(2 puúefUeSifhtxufjumjcif;)

atmufyg vu©Pmrsm;rS eSpfckeSifh txuf &Sdygu toifhtwifh

t&nfcrf;ajcmufjcif; [kac:onf/

• *emrjidrfjcif;? *sDusjcif;
• rsufwGif;csdKifh0ifjcif;
• a&udktirf;r&aomufjcif;? a&iwfjcif;

toifhtwifh odkYr[kwf jyif;xefpGm t&nfcrf;ajcmufjcif; tqifhowfrSwf &ef

vkHavmufaom vu©Pmrsm; r&SdvSsif t&nfcrf;ajcmufrIr&Sdjcif; [kac:onf/
 rsufwGif;csdKifh0ifjcif;

a&tirf;r&aomuf jcif;/
a&raomufedkifjcif

owdvpfjcif;? rSdef;jcif;

ta&jym;zdqGJMunfhvSsif t&nfcrf;ajcmufjcif;
tvGefjznf;nif;pGm jyefusjcif;
vu»Pmrsm;

(4) ul;pufaom vrf;aMumif;

tnpftaMu;?yg;pyfeSifhqdkifaom vrf;aMumif;onf 0rf;ysuf0rf;avSsm

a&m*gul;pufapaom t"duvrf;aMumif;jzpfonf/ 4if;wGif rpifeSifh xdawGUrdaom
a& odkYr[kwf tpm;tpm pm;aomufrdjcif;? a&m*gydk;&Sdaom rpiftm; vuf?
ypönf;rsm;? ,ifaumifrsm; eSifh zkefrIefY wdkYudk wdkuf&dkuf xdawGYrdjcif;wdkUrS
ul;pufedkifonf/
 အညစ်အလ ြွ်း၊ ပ ်းစပ်နင
ှ ် င
ို လ
် သ ေမ််းလ ြွ င််း

ယင်ေအ
ို မ်သ

လရ
ဝမ််း

ြွိုန််းလခမ

ပ ်းစပ်

အစ ်းအစ
ယင်
ေြွ်လ ်းခြင််း

ေြွ်

(5) aemufqufwGJ usef;rma&;jyóemrsm;

0rf;ysuf0rf;avSsma&m*g\ touf tEå&m,fudkjcdrf;ajcmufaeaom aemufqufwGJ

usef;rma&;jyóemrSm t&nfcrf;ajcmufjcif;eSihf 4if;\ aemufqufwGJ usef;rma&;
jyóemrsm;jzpfonf/ tjcm; aemufqufwJG usef;rma&;jyóemrsm;rSm
aoG;vefUjcif;? ausmufuyfysufpD;jcif;? wufjcif;? tm[m&csdKUwJhjcif;? zGUHjzdK;rI
aeSmifhaeS;jcif; ESifhpdwfydkif;qkdif&m ykHrSefr[kwfrI wdkUyg0ifygonf/

(6) umuG,fjcif; eSifh jyKpkapmihfa&Smufjcif;

ဆီး ဝမီး တ ွေကို

တေ ွေငီးတေကန တေစပတ ွေန ီး

ခ ျုံတ ွေန ီးမသွေ ီးေဘီးတန

 tdrfwGif jyKpkukojcif;
• (1)0rf;ysuf0rf;avSsmpwifjzpfay:onfeSifhwpfjydKifeuf-oif\uav;udk
ykHrSefxufydkít&nf ydkwdkufyg/

atmufyg t&nfrsm;udk uav;tm;wdkufay;edkifygonf/

• "mwfqm;&nf
• tpmudktajccHaom t&nfrsm; -Oyrm pGyfjyKwf? xrif;&nf? 'defcsOf
• a&oefU
• uav;touf6vatmufjzpfvSsif rdcifedkUudkomwkdufay;&rnf/ xyfaqmif;í
"mwfqm;&nf? a&oefU wdkUudkwdkufyg/
• rdcifEdkUudk uav;aomufedkiforSswkdufay;&rnf/

(2) oif\uav;udk trdsK;rsdK;aomtpm;tpm ay;yg/

• rdcifedkU tMudrfrsm;rsm;wdkuf&ef
• uav;toufonf 6 eSpfeSifhtxuf odkUr[kwf ykHrSeftpm;tpm pm;aeaom
uav;jzpfygu-
▪ vwfqwfaom toD;azsmf&nf odkYr[kwf acsxm; aom iSufaysmoD;
▪ vwfqwfoefU&Sif;pGm jyifqifcsufjyKwfxm;aomtpm;tpmrsm;
▪ tpmudk enf;enf; eSifh cPcP auGs;&ef (tenf;qkH;wpfaeU 6 Mudrf)
▪ 0rf;ysuf0rf;avSsmjzpfjyD; eSpfywftxd wpfaeUpD tpm;tpm ydkauGs;&ef

• t&nfcrf;ajcmufrI ydkqdk;vmjcif;rS umuG,f&ef t&nf ydkwdkuf&rnf/

▪ touf 2 eSpftxduav;rsm; t&nf0rf;wpfcgoGm;jyD;wdkif; t&nf 50 rS
100 rDvDvDwm ydkwdkuf&rnf/
▪ touf 2 eSpfeSifhtxuf uav;rsm; 0rf;t&nf wpfcg oGm;jyD;wdkif; t&nf
100 rS 200 rDvDvDwm ydkwdkuf&rnf/
▪ uav;tefygu 10-rdepf apmifhyg/ jyD;vSsif jznf;jznf;csif; qufwdkuf&rnf/
0rf;r&yfrcsif; t&nfydkwdkufoifhonf/
▪ Zifhqmvfzdwfaq;udk 10 &ufrS 14 &ufxdwdkufay;&rnf/
▪ touf 6 v txd uav;rsm;twGuf Zifhqmvfzdwfaq;
wpfaeUvSsif 10 rDvD*&rf wkduf&rnf/
▪ touf 6 v eSifhtxuf uav;rsm;twGuf Zifhqmvfzdwfaq;
wpfaeUvSsif 20 rDvD*&rf wdkuf&rnf/
▪ Zifhqmvfzdwfaq;jym;udk a&oefU? nSpfxm;aom rdcifedkU
odkUr[kwf "mwfqm;&nf tenf;i,f eSifh aysmfatmifazsmfjyD;
wdkufedkifygonf/
 ▪ uav;MuD;rsm;twGuf aq;jym;udk 0g;í aomfvnf;aumif;?
a&azsmfí aomfvnf;aumif; wdkufedkifygonf/

(3) atmufygtajctaersm;jzpfay:vmvSsif oif\uav;udk usef;rma&;

0efxrf;rsm;xH ac:oGm; &rnf-

▪ okH;&ufajrmufaeUtxd usef;rma&;wdk;wufrIr&SdvSsif
▪ t&nf0rf;rsm; oGm;jcif;
▪ xyfcgxyfcg tefjcif;
▪ tvGefa&iwfjcif;
▪ tpm;taomuf enf;oGm;vSsif
▪ tzsm;&SdvSsif
▪ 0rf;xJwGif aoG;ygvSsif
usef;rma&;0efxrf;rS nTef;qdkjcif;r&SdbJ 0rf;ysuf0rf;avSsmjcif; twGuf
aq;rsm; ray;&yg/

(4) 0rf;ysuf0rf;avSsma&m*g udkumuG,fedkifygonf/

▪ uav;touf (6)v txd rdcifedkUwpfrsdK;wnf; wdkufauGs;jcif; eSifh

tenf;qkH;touf2eSpftxdqufwdkufjcif;tm;jzifh0rf;ysuf?0rf;avSsma&m*g
udkumuG,fedkif ygonf/
 ▪ vwfqwfoefU&Sif;pGmjyifqifxm;aom tpm;tpmrsm; eSihf
tEå&m,fuif;aom aomufa&? wdkufauGs;jcif;tm;jzifh 0rf;ysuf?
0rf;avSsma&m*g udkumuG,fedkif ygonf/

▪ edkUeSifhtjcm;t&nfrsm;udk edkUbl;rsm;tpm; cGuf? ZGef; wdkUeSifh

wdkufauGs;jcif;tm;jzifh 0rf;ysuf0rf;avSsma&m*gudk umuG,fedkif ygonf/
▪ 0rf;ysuf0rf;avSsma&m*g udkumuG,fedkif&ef rdom;pk0ifrsm;tm;vkH;
0rf;oGm;tjyD;? tpm;tpmrsm;rjyifqifrDfeSifhrpm;rD vufaq;&rnf/
 ▪ rdom;pk0ifrsm;tm;vkH; ,ifvkHa&avmif;tdrfom okH;&rnf/
▪ owfrSwfxm;aom uav;touft&G,ftvdkuf 0ufoufa&m*g
umuG,faq; xdk;&rnf/
▪ wpfudk,f&nfoefY&Sif;jcif;eSifhoefY&Sif;aom tpm;tpmrsm;pm;jcif;?
▪ &dkwm Adkif;&yftwGuf umuG,faq;xdk;jcif;tm;jzifh 0rf;ysuf?
0rf;avSsma&m*gudk umuG,fedkifygonf/

Pgwfqm;&nf azsmfpyf&eftwGufjyifqifjcif;

▪ ta&;MuD;aom pnf;rsOf; okH;ckudk vdkufem&rnf/

o vufoefU&rnf
o oefU&Sif;aom a& jzpf&rnf
o tokH;jyKaom rD;zdkacsmifypönf;rsm; oefU&rnf
 ဓါတ်ဆြာေးထိုတက
် ို သန်ရှင်ေး ဆသြာ
လက်ကို ဆပ်ပပြာနှင်ဆဆေးပါ
ခွက်ထဲသို ထည်ပါ

သန်ရှင်ေးဆသြာဆသြာက်ဆရ (၁) လီတြာ ဓါတ်ဆြာေးမှုန်မ ြာေး ဆပ ြာ်ဝင် သွြာေးသည်

ထည်ပါ အထ ဆမွှေပါ

▪ "mwfqm;&nfazsmfenf; tqifhqifhrSm-
▪ (u) vufudk a&?qyfjymwdkUeSifhaq;yg/
▪ (c) "mwfqm;xkwf tm; razmufrSD vSKyfMunfhyg/ "mwfqm;xkwf cJaevSsif?
ta&mifajymif;aevSsif? rokH;ygeSifh/
▪ (*) "mwfqm;&nf wpfxkyfrS trIefYrsm;tm;vkH;udk oefU&Sif;aom ZvkH
(odkUr[kwf) u&m; (odkUr[kwf) ykvif;xJodkU avmif;xnfhyg/
 ▪ (C) oefU&Sif;aoma& odkUr[kwf usdKcsufjyD;tat;cHxm;aom aomufa&
odkUr[kwf a&oefUAl;rSa& wpfvDwmeSifh a&mí trIefYrsm; aysmf0ifonftxd
arTyg/
▪ (i) azsmfxm;aom "mwfqm;&nfudk tkyfxm;&rnff/ 24 em&D MumjyD;aemuf
aomufíusef aom "mwfqm;&nfudk oGefypf&rnf/

အမ်တင
ွ ်း် ခဖစ် ဓ တ် ်းရည် ခပြုေိုပ်ပို

oMum; vufzuf&nfZGef;(6)
ZGef;

qm; vufzuf&nfZGef; wpf0uf

aomufa&oefU
wpfvDwm
(200 ml ygaom
aomufa&cGuf 5 cGufpm)

tdrfwGif;jzpf "mwfqm;&nf udk oMum; vufzuf&nfZGef; (6) ZGef;? qm;

vufzuf&nfZGef; wpf0uf? aomufa&oefU wpfvDwm (200 ml ygaom
aomufa&cGuf 5 cGufpm) eSifha&mí jyKvkyfekdifygonf/
ကိုေးကြာေးခ က်

✓ Myanmar Pediatric Society (2018) Pediatric Management

Guidelines. 3rd ed. Myanmar: Myanmar Medical Association.

✓ World Health Organization (2017) Diarrhea diseases. WHO [online].

Available from: https://www.who.int/news-room/fact-

sheets/detail/diarrhoeal-disease [Accessed 30th November 2019].

✓ World Health Organization (2013) Pocket book of hospital care for

children [online]. Available from:

https://apps.who.int/iris/bitstream/handle/10665/81170/97892415483

73_eng.pdf?sequence=1 [Accessed 2nd December 2019].