tUm.tXmakv hÀKokv MS FICS(Oncology)FACS

(ko\nbÀ I¬kÄ«âv kÀPn¡Â Hmt¦mfPn & doI¬kv{SÎohv kÀPdn, te¡vtjmÀ, sIm¨n. e mail: drthomasoncologist@gmail.com, Ph: 94471 73088)

kuµcy¯n\p tIm«wX«msX tXmakv sSIv\n¡n ssXtdmbvUv kÀPdn

tXmakv sSIv\n¡n sN¿p¶Xv

\nehnepff ikv{X{InbmcoXnbn \n¶p XnI¨pw hyXykvXamWv tXmakv sSIv\n¡v. a\pjyicocw Iw]yq«dn {Xo Ubsa³jy ]nIvNÀ CtaPm¡mw.

ssXtdmbvUnsâ {XoUn CtaPv hniIe\w sNbvXmWp kÀPdn \S¯p¶Xvv. {XoUn UnPnä C³{SmÎohv A\m«an F¶ kmt¦XnIhnZybpsS klmbt¯msSbmWp kÀPdn.

tXmakv sSIv\n¡n BZyw Xs¶ cà¡pgepIsf ]nSn¨psI«n kpc£nXam¡pw. kwc£nt¡WvS t\ÀhpIsfbpw ]mcm ssXtdmbvUv {KÙnsbbpw kwc£n¡m\pff Imcy§Ä BZyw Xs¶ sN¿pw. ASp¯ L«¯nte ssXtdmbvUv {KÙnbnte¡p t]mhpIbpffq.

At¸mtg¡pw {KÙnbnte¡pff »Uv kt¹ ]qÀWambpw hntÑZn¡s¸«ncn¡pw. kmt¦XnIambn AXvv »Uv kt¹ CÃm¯ Hcp ssXtdmbvUv ¥m³Umbn amäpw. harmonic scalpel technique D]tbmKn¨mWp cà¡pgepIsf ]nSn¨psI«p¶Xv.

ssXtdmbvUv kÀPdnbnse tXmakv sSIv\n¡v þ Hät\m«¯nÂ

* kÀPdn¡p tijw 24 aWn¡qdn\pffn tcmKnsb ho«n hnSmw.

* ap¶p Znhks¯ hn{ia¯n\p tijw AhchcpsS tPmenIfn {]thin¡mw

* Igp¯nsâ Hcp his¯ apdnhneqsS¯s¶ adphis¯ {KÙn amäm³ km[yamIp¶ Xc¯nepff kÀPdn

* Bdpamk¯n\p tijw kÀPdnbpsS ]mSpIÄ ]qÀWambpw A{]Xy£amIpw.

* an\naen C³thknhv ssXtdmbvUv kÀPdn. hfsc sNdnb Hcp apdnhneqsS Hm¸¬ sNbvXn«v kÀPdn \S¯p¶p. Igp¯n kzXth ImWs¸Sp¶ aS¡pIfn IqSn Hm¸tdäv sN¿p¶p. AXn\m ]mSpIÄ Ahtijn¡nÃ.

* t\ct¯ UnkvNmÀPv sN¿s¸Sp¶Xn\m DWvSmIp¶ sNehpIpdhv

* C³{Sm sXmdmknIv SyqaÀ(s\©n\pffnte¡p hfÀ¶ apgIÄ) NnInÕbv¡pw ^e{]Zw

* kÀPdn kw_Ôamb k¦oÀWXIÄ CÃ

* F{Xbpw t\ct¯ ho«nse¯mw

* Bip]{XnsNehp Ipdbpw (Bip]{Xnbn Xt§WvS Znhk§fpsS F®w IpdhmWv)

* anI¨ NnInÕmcoXnsb¶v BtKmfXe¯n AwKoImcw (hntZicmPy§fn \S¶ skan\mdpIfn AwKoImcw)

* càw \evImsX, càw \ãamImsX \S¯p¶ kÀPdn

* kuµcyw \ãamIm¯ kÀPdn

* kÀPdn¡p tijw ]mSpIÄ DWvSmInà A\p_Ô{]iv\§fnÃ, k¦oÀWXIfnÃ

* tXmakv sSIv\n¡n ]ckv]c Bibhn\nab¯neqsS tcmKnbpambn

FÃmhn[ NÀ¨Ifpw \S¯nb tijambncn¡pw kÀPdn¡pthWvSn apdnhpWvSm¡p¶ Øm\w \nÝbn¡p¶Xv

* tlmkv]näen\pw tcmKn¡pw em`w

* C³jpd³kv I¼\n¡pw em`w (Ipdª Imebfhnse Bip]{Xn sNehp\evInbm aXnbmIpw)

* tXmakv sSIv\nIv coXnbn kÀPdn¡p tijw Ip¯ns¡«v \ot¡WvS ImcyanÃ.

s\©n\pffnte¡p hfÀ¶ ssXtdmbvUv apg \o¡p¶ kÀPdnbnepw

XpWbmbv tXmakv sSIv\nIv

tXmakv sSIv\n¡nsâ klmbt¯msSbpff ssXtdmbvUv kÀPdn¡p tijw tcmKn Im³kdpff hyànbmtWm, Im³kÀ CÃm¯bmfmtWm, ssXtdmbvUv tlmÀtam¬ dot¹kp sNt¿WvS tIkmtWm ... F¶n§s\bpff Imcy§Ä ]Xnhpt]mse ]cnKWn¡p¶p. aÄ«n t\mUpemÀ tKmbnäÀ BsW¦n ssXtdmbvUv sam¯ambn \o¡p¶p. A¯c¡mÀ¡p hoWvSpw ssXtdmbvUv tlmÀtamWnsâ Bhiyw thWvSnhcpw.

Im³kdnÃm¯hÀ¡p t^mtfm A¸n\p tUäv \evIp¶p. AhÀ¡p km[mcWbmbn acp¶nsâ Bhiyw thWvSnhcnÃ.

Im³kÀ tcmKnbmsW¦n AXn\pff ASp¯ L«w hnZKv[ NnInÕbpw t^mtfm A¸pw Bhiyambn hcpw.

C³{Sm sXmdmknIv SyqaÀ NnInÕbv¡pw tXmakv sSIv\n¡v

ssXtdmbvUv {KÙn Nne kmlNcy§fn Igp¯n \n¶p hfÀ¶p s\©n\pffnte¡p t]mIpw. AXns\ C³{Sm sXmdmknIv

SyqaÀ F¶p hnfn¡p¶p. A¯cw kmlNcy§fn ]et¸mgpw Igp¯n\p]pdta AXnsâ henb e£W§Ä ImWmdnÃ. AtbmÀ«m{KmanemWv AXnsâ hfÀ¨ a\knem¡m\mIp¶Xvv.

Nnecn Hcp L«w hscbpw _mlye£W§Ä {]ISamInÃ. F¶m apghfÀ¨bpw hym]\hpw IqSnhcpt¼mÄ `£Ww Ign¡m\pff {]bmkw, izmkw hnSm³ _pZv[nap«v XpS§nb e£W§Ä {]ISamIpw.

C´y DÄs¸sS ]e cmPy§fnepw s\©n\pffnte¡p hfÀ¶ ssXtdmbvUv {KÙnsb s\©p Xpd¶v Hm¸tdäv sN¿mdpWvSv. AXn\p]Icw A¯c¯nepff tcmKnbpsS s\©pXpd¡msXXs¶ s\©n\pffnse apgIÄ \o¡m³ klmbIamb \qX\ kÀPdncoXnbmWp tXmakv sSIv\n¡v.

s\©pXpd¶p am{Xw sN¿m\mIp¶ kÀPdnsb¶p sshZyimkv{Xw hn[nsbgpXnsb C¯cw tIkpIfnÂt]mepw tXmakv sSIvv\nIv hnPbw IWvSncn¡p¶p. icnbmb coXnbn ¹m³ sNbvXv tXmakv sSIv\nIv {]tbmP\s¸Sp¯n kÀPdn \S¯Wsa¶pam{Xw.

C¯cw tIkpIfn t\cnb Hcp ]mSpam{Xw Ah tijn¸n¨v tXmakv sSIv\n¡neqsS SyqaÀ ]qÀWambpw \o¡m\mIpw. AXmWp tXmakv sSIv\n¡nsâ khntijX.

sNdnb apdnhpWvSm¡n ikv{X{InbneqsS SyqaÀ \o¡w sN¿m\mIpw.

24 aWn¡qdn\pffn tcmKn km[mcW\nebnte¡p aS§nsb¯pw. Bdp amk¯n\p tijw ]mSv amdn¯pS§pw. an¡hcnepw Hcp hÀjw Ignbpt¼mtg¡pw Xp¶Â]mSv ]qÀWambpw amdpw.

tXmakv sSIv\nIv coXnbn kÀPdn Ignªv aq¶pZnhks¯

hn{ia¯n\p tijw tPmen¡p t]mImw!

Ip¯ns¡«v FSpt¡WvS!

tXmakv sSIv\n¡n kÀPdn¡p tijw Ip¯ns¡«v FSpt¡WvS BhiyanÃ. icocw kzbw BKncWw sN¿p¶Xcw \qemWv

(_tbm Uot{KU_nÄþ FSp¯p \ot¡WvS BhiyanÃm¯Xv) D]tbmKn¡p¶Xvv. AXn\memWp ]mSpIÄ amªpt]mIp¶Xv.

A©pZnhkw Ignªv dnhyq

tXmakv sSIv\nIv coXnbn ssXtdmbvUv kÀPdn¡v A©p Znhk¯n\p tijw dnhyqhn\p aS§nsb¯Ww.

]n¶oSp cWvSmgvN Ignªmbncn¡pw ASp¯ dnhyq. \nehnepff kÀPdn coXnbn A©p apX GgpZnhkw Ignªmbncn¡pw Bip]{Xn hn«pt]mIp¶Xv. Ahcpw Bip]{Xnbn \n¶p UnkvNmÀPv sNbvXv A©p apX Fgp Znhk¯n\Iw dnhyqhn\v F¯p¶XmWp ]Xnhv

sl¯v C¡tWmanIvkv tXmakv sSIv\n¡nÂ

Bip]{Xnbn Gsd\mÄ IgntbWvSn hcp¶ AhØ sNehp hÀ[n¸n¡pw. tXmakv sSIv\n¡n kÀPdn \S¯nbm Gähpw Ipdª kab¯n\Iw Bip]{Xn hnSm\mIp¶p. Bip]{Xn¡pw em`w. tcmKn¡pw em`w.

hfsc Znhkw tlmkv]näen Hcmsf InS¯p¶XmWp tlmkv]näen\p em`sa¶p ]ecpsSbpw [mcW. AXp sXän²mcWbmWvv. F{Xbpw t\ct¯ tcmKn Bip]{Xn hnSp¶pthm A{Xbpw em`w. thKw tStWmhÀ In«pt¼mgmWv Bip]{Xn¡p em`w.

Htc _Uv HcmgvNbv¡pffn \mep t]À D]tbmKn¡pt¼mÄ Bip]{XnbpsS t{]m^näv IqSpw. Ignbp¶{X Ipd¨p Imebfhnse Bip]{Xn sNehp sImSp¡m\mWv C³jpd³kv I¼\n¡pw XmXv]cyw. C³jpd³kv I¼\n¡pw em`w. B[p\nI imkv{Xkmt¦XnI kuIcy§Ä {]tbmP\s¸Sp¯n aq¶p Iq«À¡pw em`w \evIp¶ kÀPdn. AXmWp tXmak sSIv\n¡v.

AwKoImc§fpsS \ndhn tXmakv sSIv\nIv

tXmakv sSIv\nIv coXnbn \S¯p¶ kÀPdn¡v 24 aWn¡qdn\p tijw Bip]{Xn hnSmw. aq¶pZnhks¯ hn{ia¯n\p tijw tPmen¡p t]mImw.

Hcp taPÀ kÀPdn Ignªp Znhk§Ä¡Iw hyànIÄ¡v AhchcpsS {]hÀ¯\taJeIfn ]gbXpt]mse hym]rXamIm³ Ahkcsamcp¡p¶ kÀPdn, tXmakv sSIv\n¡p t]mse hncfw. 500 A[nIw kÀPdnIÄ hnPbIcambn \S¯n.

tXmakv sSIv\n¡n\p e`n¨ tZiob cmPym´c AwKoImc§Ä \nch[n. 2012 Pqsse H¶n\p sNss¶ FwPnBÀ saUn¡Â kÀhIemime s_kväv tUmÎÀ, s_kvä C¶thj³ AhmÀUv k½m\n¨p tUm. tXmakv hÀKokns\ BZcn¨p. {Inkn CâÀ\mjW tdänwKv GP³knbpsS kzÀWsaU t\Sn.

djybnse tamkvtImbn Cu hÀjw \S¶ thÄUv tIm¬{Kkn tXmakv sSIv\nIv AhXcn¸n¨p {]iwk t\Sn. kvs]bn\nse hse³knbn \S¶ bqtdm]y³ kb³kv tIm¬{Kkv, \yqUÂlnbn \S¶ Atkmkntbj³ Hm^v kÀP³kv Hm^v C´y \mjW tIm¬{Kkv, sIm¨n³, _mwKfqÀ \mjW tIm¬{KkpIÄ, apwss_bnse Smä sat½mdnb Im³kÀ

skâdn \S¶ \mjW kÀPn¡Â A]vtUäv XpS§nb saUn¡Â kt½f\§fnepw tXmakv sSIv\nIv hnZKv[cpsS AwKoImchpw {]iwkbpw t\Sn.

sSIvt\mfPnbnepw BfpIfpsS kao]\¯nepw DWvSmb amäw, dnkvIp¡Ä Hgnhm¡p¶ kÀPdn coXn, kuµcy¯n\p tIm«w hcp¯msXbpff kao]\w F¶nh tXmakv sSIv\n¡nsâ kzoImcyX BtKmfXe¯n hÀ[n¸n¨ncn¡p¶p.

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BWh hnIncW`ojWnbpw ssXtdmbvUv tcmKkm[yXbpw

AbUn³ A[nIambmtem..

Øncambn AbUn³ D¸p Xs¶ Ign¡p¶Xp aqew aäv BtcmKy{]iv\§fpWvSmImsa¶p NneÀ¡p [mcWbpWvSv. AXp sXämWv. A\mhiyamb tXmXn GXp [mXp icoc¯nse¯nbmepw AXns\ ]pd´ffm\pff tijn icoc¯n\pWvSv. DÄs¡mffm\mIp¶ Afhn am{Xta AXns\ kzoIcn¡q. \mw sImSp¯Xp sImWvSp am{Xw icocw kzoIcn¡Wsa¶nÃ. F{XsImSp¯mepw icoc¯n\v BhiyapffXp am{Xta kzoIcn¡s¸SpIbpffq.

{]tZi¯nsâ {]tXyIXbpw tcmKkm[yXbpw

]cnØnXn {]iv\w þ BWhhnIncW`ojWn

BWhZpc´w kw`hn¨ djybnse sNÀtWm_nen _m¡v {KuWvSv tdUntbj³ aqew \mep hbkpff Ip«nIfn t]mepw ssXtdmbvUn Im³kÀ IsWvS¯nbn«pWvSvv. sNÀtWm_nÂZpc´¯n\p ]XnämWvSpIÄ¡p tijw P\n¡p¶ Ipªp§fn t]mepw ssXtdmbvUv Im³kÀ dnt¸mÀ«v sN¿s¸Sp¶p. sNÀtWm_n ]«W¯n t]mepw ssXtdmbvUv Im³kÀ DffhÀ [mcmfw.

{]IrXnZpc´w aqew BWh\neb§Ä XIÀ¶mÂ..?

{]IrXnZpc´w aqew BWh\neb§Ä XIÀ¶v BWhhnIncW§Ä A´co£¯n IeÀ¶m AXp ssXtdmbvUn Im³kdn\p ImcWamIp¶p. hnZqc`mhnbnepw B {]tZi§fn Xmakn¡p¶hÀ¡p ssXtdmbvUv tcmK§Ä DWvSmImw.

\yq¢nbmÀ slÂXv taJebn tPmen sN¿p¶hÀ¡p seUvIhÀ kwc£Ww

\yq¢nbmÀ slÂXv taJebn tPmen sN¿p¶hÀ¡p kwc£W¯n\p {]tXyI kwhn[m\§Ä GÀs¸Sp¯nbn«pWvSv. Igp¯n seUnsâ IhÀ [cn¨mWv AhÀ tPmensbSp¡p¶Xvv. AXn\m BWhtaJebn tPmensbSp¡p¶hÀ¡p km[mcWbmbn ssXtdmbvUv tcmK§Ä¡p km[yXbnÃ.

IcnaW J\\w \S¡p¶ {]tZi§fn AWphnIncW`ojWn

IcnaWÂJ\\w \S¡p¶ {]tZi§fn BWh[mXp¡fn \n¶pff tdUntbj³ hfsc IqSpXemWv. tIcfXoc§fnse IcnaW J\\{]tZi§fn ssXtdmbvUv Im³kÀkm[yX \ne\nev¡p¶Xmbn temImtcmKykwLS\bpsS t\XrXz¯n \S¡p¶ ]T\§Ä ]dbp¶p. sImÃw, Be¸pg t]msebpff IcnaW J\\{]tZi§fn Xmakn¡p¶hcn _m¡v {KuWvSv tdUntbj³ aqew ssXtdmbvUn apgIÄ DWvSmImdpWvSv. AXp an¡hmdpw Im³kdkv Bbncn¡pw. AXv AbUnsâ IpdhpaqeaÃ. Cu {]tZi§fn Xmakn¡p¶hcn ssXtdmbvUv Im³kÀ km[yX IqSp¶Xmbn ]T\§Ä ]dbp¶p.

ssXtdmbvUv tcmK§Ä tIcf¯nÂ

ssXtdmbvUv tcmK§Ä tIcf¯n hfsc km[mcWw. ^nkntbmfPn¡Â {]iv\§Ä hcmw. ]tYmfPn¡Â {]iv\§Ä hcmw. SyqaÀ skzÃnwKv( apgIfn AWp_m[bpw ho¡hpw)kw`hn¡mw. \mjW kvämänänIvkv CÃ. Im³kÀ t]mepw tUmIypsaâv sN¿m³ A[nI kwØm\§fpw Xbmdmbn«nÃ. BÀknknbnse IW¡v tIcf¯nsâ sam¯w IW¡Ã. AXv AhnsSsb¯p¶ tcmKnIfpsS am{Xw IW¡mWv. aäp Im³kÀ \nc¡p IqSp¶Xp t]mse ssXtdmbvUv Im³kÀ \nc¡nepw hÀ[\bpWvSv. ssXtdmbvUv tcmK§Ä km[mcWbmWv

PohnXssienbpambn _ÔanÃ

sse^v ssÌepambn ssXtdmbvUv tcmK§Ä¡p _ÔanÃ. {]jÀ, sImfkvt{SmÄ, jpKÀ XpS§nbhbv¡pw ssXtdmbvUv tcmK§fpambn _ÔanÃ. AsXms¡bpffhÀ¡p ssXtdmbvvUv hcmw; hcmXncn¡mw.

\nehnepff ssXtdmbvUv kÀPdnbn dnkv¡pIÄ \nch[n

GItZiw 125 hÀj§Ä¡p ap¼v XntbmUÀ tImlÀ F¶ PÀa³ kÀP\mWv temI¯mZyambn ssXtdmbvUv ikv{X{Inb kpc£nXambn sNbvXp hnPbn¸n¨Xv. B IWvSp]nSn¯¯n\p tImlÀ¡v s\mt_ k½m\w e`n¨ncp¶p. A¶v FIvkv td, knSn, AÄ{SmkuWvSv XpS§nb ]cntim[\mkwhn[m\§Ä \nehnenÃ. anI¨ kmt¦XnIkuIcy§Ä CÃmXncp¶ B Ime¯mWv tImlÀ AXp IWvSp]nSn¨p cwKs¯¯n¨Xv!

\nehnepff ssXtdmbvUv kÀPdnbnÂ..

\nehn ssXtdmbvUv ikv{X{Inb \S¯p¶Xp Igp¯nsâ Gähpw Xmsg¡qSnbmWv. C¯c¯n kÀPdn sN¿pt¼mÄ, ssXtdmbvUns\ Igp¯n\p ap¶n¡qSn kao]n¨p kÀPdn \S¯p¶p. \nehn temIsa¼mSpw \S¶psImWvSncn¡p¶ C¯c¯nepff ssXtdmbvUv kÀPdnbn Igp¯nse NÀa¯n apdnhpWvSm¡nb tijw Dffnte¡p sN¶n«v NÀa¯nsâ Hmtcm sebdpw IS¶v Igp¯nse ¥m³Uv IWvSp]nSn¡p¶p. XpSÀ¶v sIt«WvS Hmtcm cà¡pgens\bpw sI«m³ {ian¡p¶p. Igp¯n ImWs¸Sp¶ ¹mänkva, kv{Sm]v F¶o t]inIsf Ccphit¯¡pw hen¨pamän ssXtdmbvUn Bhiyamb kÀPdn \S¯nbtijw Xp¶p¶p. t]inIÄ Ccphi§fnte¡pw hen¡s¸«p Ignªm Igp¯nsâ a[y`mK¯p akn CÃm¯ AhØbn Xp¶Â¸mSv ambmsX hcp¶p.

(]et¸mgpw ssXtdmbvUv {KÙnbpsS hep¸w IqSpXembncn¡pw. \nehnhpff kÀPdnbn 120 anÃoaotägvkv Hm^v saÀ¡pdn {]jdn càw ]¼p sNbvXpsImWvSncn¡p¶ Hcp ¥m³UnemWp kÀPdn \S¯p¶Xv. AXv »oUv sN¿m³ XpS§n¡gnªm AhnShnsS cà¡pgepIÄ ]nSn¨psI«m\pff {iaambncn¡pw kÀP³ \S¯pI. B {ia§Ä¡nSbn Nnet¸mÄ \nÀWmbI Rc¼pIÄ¡p tISp kw`hn¡mw.)

dnkv¡pIÄ

* ssXtdmbvUn\p kao]apff {][m\ Rc¼pIfmb recurrent laryngeal nerve, superior laryngeal nerve F¶nhbv¡p tISp kw`hn¡msX kÀPdn hnPbIcam¡Ww.

* ssXtdmbvUn\p kao]apff {][m\s¸« asämcp {KÙnbmWp ]mcmssXtdmbvU. icoc¯nse ImÂkyw saät_mfnkw \nb{´n¡pIbmWv CXnsâ [Àaw. AXn\pw £Xtaev¡msX kÀPdn ]qÀ¯nbm¡Ww.

* kuµcyw \ne\nÀ¯Ww þ kv{Xobv¡pw ]pcpj\pw kuµcyw BhiyamWv. AXp hyànXz¯nsâ `mKamWv. Ghcpw AXv B{Kln¡p¶hcpamWv. BcmWp Igp¯n kÀPdnbpsS ASbmfw B{Kln¡p¶Xv? kuµcy¯n\p `wKw hcmsX kÀPdn hnPbIcam¡Ww.

* »oUnwKv(cà\ãw)]camh[n Ipdbv¡Ww.

* iÐw \ãamIcpXv ssXtdmbvUv kÀPdn¡mbn kao]n¡p¶hcpsS Unam³UpIfpw CsXms¡¯s¶.

Imew amdnbncn¡p¶p. ]pXnb kmt¦XnI hnImk§Ä temIw IogS¡nbncn¡p¶p. C¶p {XoUn, 4 Un AÄ{Sm kuWvSpw knSn kvIm\pw hsc \ap¡pWvSv. \½psS Nn´mKXn H¶msI amdnbncn¡p¶p. F¶m hÀj§Ä¡ptijhpw Igp¯n ]mSv Ahtijn¸n¡p¶ ]c¼cmKX ssXtdmbvUv kÀPdn Imem\pkrXamb amä§Ä¡p hnt[bamImsX XpSÀ¶p. imkv{X]ptcmKXnbpsS Ime¯pw AXv C§s\Xs¶ XpSctWm?

ssXtdmbvUv kÀPdnbnse tXmakv sSIv\nIv

]c¼cmKXcoXnbnepff ssXtdmbvUv kÀPdn¡p hÀj§Ä¡ptijhpw Igp¯n ]mSv Ahtijn¡p¶p. ]pcpj\mbmepw kv{Xobmbmepw Igp¯v FÃmhcpw {i²n¡p¶ `mKamWv. ]mSpIÄ BÀ¡pw {]iv\w. Igp¯n ]mSnÃm¯ Ip«nsb hnhmlw Ign¡m³ XmXv]cyw Im«p¶Xp kzm`mhnIw. ]pcpj·mÀ kZmkabhpw ssS [cn¡p¶ kwkvImcaà \ap¡pffXv. Igp¯v kzm`mhnIambpw FÃmhcpsSbpw {i²bnÂs¸Sp¶p. ]mSpIfpWvSmIm¯ ]pXnbcoXnbnepff ikv{X{Inb \ap¡p thtWvS?

AXpt]mse Xs¶ {][m\amWv kÀPdn¡p tijw tImw¹nt¡j³kv hcm³ ]mSnà F¶pffXpw. iÐw hnes¸«XmWv. kwkmctijn \ãamIcpXv. tIm¹nt¡j³kv hcm¯ coXnbn GsX¦nepw saUn¡Â Bib§Ä D]tbmKn¨p \qX\ ssXtdmbvUv kÀPdn km[yamtWm? {]iv\§fpsS k¦oÀWX Ipdbv¡mhp¶ kÀPdn coXn IsWvS¯m\mIptam? C¯cw Nn´IfmWp ]pXnb kÀPdn coXn þ tXmakv sSIv\nIvþ IWvSp]nSn¡p¶Xn\p t{]cIambXv

\nehnepff ikv{X{Inbbnse t]mcmbvaIÄ \o¡n ]pXnb hgnbnte¡p \o§Wsa¶ Nn´bpw KthjWhpw tXmakv sSIv\n¡v F¶ \qX\ ssXtdmbvUv kÀPdncoXn¡p hgnsXfn¨p. ikv{X{Inbbv¡nsS càw [mcmfw \ãamIp¶sXms¡ ]gb IY. Xp¶Â¸mSpt]mepw Ahtijn¸n¡msX C¶p ssXtdmbvUv kÀPdn km[yamWv. sSIvt\mfPn t\«§Ä saUn¡Â kÀPdn cwK¯pw {]tbmP\s¸Sp¯p¶Xnsâ km£yamWv tXmakv sSIv\n¡v.

ssXtdmbvUv IrXyambn Igp¯nsâ a[y`mK¯pff {KÙnbÃ. ssXtdmbvUv {KÙn Xs¶ emädenbmWp({S¡nbbpsS hi§fnembmWp) ImWs¸Sp¶Xv. CXn\p cWvSv tem_pIÄ(CXfpIÄ) DWvSv. cWvSptem_pIfpw Igp¯nsâ cWvSp hi§fnembmWv. AXn\m Hcn¡epw ssXtdmbvUns\ a[y`mK¯pIqSn Iodnapdnt¡WvS BhiyanÃ.

»Uv kss¹bpw ssXtdmbvUnsâ hi§fnemWv. ssXtdmbvUv {KÙnbn kwc£n¡s¸tSWvSsXms¡bpw emäd sskUnemWv. ]mcm ssXtdmbvUv, recurrent laryngeal nerve F¶nhbpw emäd sskUnemWv. cà¡pgepIfpw sskUnemWv. A§s\sb¦n ]mSv Ahtijn¸n¡p¶ a[y`mK¯p IqSnbpff ssXtdmbvUv kÀPdncoXn XpSctWm? Cu Nn´bn \n¶mWp ]pXnb kÀPdn coXn IsWvS¯nbXv. \ho\ imkv{Xkmt¦XnI kwhn[m\§Ä {]tbmP\s¸Sp¯n tcmKnIÄ¡p IqSpX KpW]camb coXnbn ]c¼cmKX ssXtdmbvUv kÀPdnbn amäw hcp¯n cq]s¸Sp¯nbXmWv tXmakv sSIv\n¡v.

P·\m ssXtdmbvUv {KÙn CÃm¯ AhØ !

P·\m ssXtdmbvUv {KÙnbnÃm¯ Ipªp§Ä!

Ipªp§fpsS hfÀ¨mL«§fn Nne \mgnI¡ÃpIÄ DWvSv. Iagv¶p hogp¶Xpw \S¡p¶XpsaÃmw C{X hbkn\pffnembncn¡Ww F¶p inip]cn]me\ hnZKv[À \nÀtZin¨n«pWvSv. Hmtcm {]mb¯nepw D|mtI| hfÀ¨bpsS tXmXpw \nÀWbn¡s¸«n«p|v. Nne Ip«nIÄ¡v B {]mbw Ignªmepw hfÀ¨ DWvSmhnÃ. hfÀ¨bn A¯cw Akzm`mhnIX IsWvS¯nbm iniptcmKhnZKv[s\ kao]n¡Ww. ssXtdmbvUv {KÙnbpsS km¶n[yaptWvSm F¶p ]cntim[n¨dnbWw. {KÙn Csæn AhÀ¡p tlmÀtam¬ Ign¡m³ \evIp¶p. AhÀ PohnXImew apgph³ ssXtdmbvUv tlmÀtam¬ Ignt¡WvSn hcpw. A¯c¯nepff hfÀ¨mapcSn¸mWp {I«n\nkw. KÀ`mhØbn kv{XoIfn ssXtdmbvUv tlmÀtamWpIfpsS Afhp IpdhmsW¦n Ipªn\p {I«n\nkw hcmdpWvSv. imcocnIambn hfÀ¨bnÃm¯Xpw Aev]w _p²namµyapffXpamb Ip«nIÄ ]nd¡m\nSbmIp¶p.

* Ip«nIfnse ssXtdmbvUv {]iv\§fpsS XpSÀNnInÕ

ssXtdmbvUv {]iv\§fpff Ip«nIfn hfÀ¨bpsS Hmtcm L«¯nepw k¹nsaâp sN¿p¶ tlmÀtam¬ KpfnIbpsS Afhpw hyXymks¸Sp¯mdpWvSv. Hmtcm {]mb¯nepapff tlmÀtamWnsâ BhiyIXbmWv AXp \nÀWbn¡p¶Xv. imcocnI hfÀ¨bv¡\pkcn¨vv Nnet¸mÄ IqSpX tlmÀtam¬ KpfnI sImSpt¡WvSn hcpw.

ssXtdmbvUv tlmÀtam¬ ]Icw sImSp¡pt¼mÄ aq¶p amkw, Bdp amkw F¶n§s\bpff IrXyamb CSthfIfn Ahsc hnfn¸n¨v

cà¯nse ssXtdmbvUv tlmÀtamWnsâ Afhp ]cntim[n¨ tijambncn¡pw hoWvSpw AXp XpSÀ¨bmbn F{X Afhn sImSp¡Ww F¶p \nÝbn¡p¶Xvv. BZyw ]cntim[\bv¡p kao]n¨ ssXtdmbvUv hnZKv[s\ Xs¶ XpSÀ¶pw ImWp¶XmWv DNnXw. tUmÎdpsS \nÀtZi{]Imcw càw ]cntim[n¡Ww. icoc¯n\v Bhiyamb Afhn Xs¶bmWp acp¶p Ign¡p¶sX¶p XoÀ¨s¸Sp¯Ww. F¦nÂam{Xta `mhnbn BtcmKy]qÀWamb PohnXw \bn¡m\mIq.

^vfqssdUv t]ÌpIfpw ssXtdmbvUv {]iv\§fpw

^vvfqssdUv IeÀ¶ t]ÌpIÄ D]tbmKn¡p¶XneqsS ssXtdmbvUv {KÙn¡p t\cnb tXmXn amä§Ä kw`hn¡msa¶p Nne ]T\§Ä ]dbp¶p. Ip«nIfn CXp sslt¸mssXtdmbvUnk¯n\v CSbm¡p¶Xmbn Nne ]T\§Ä ]dbp¶p. ]t£, AXns\ms¡ Imcyamb {]XymLmXw DWvSm¡m\mhnÃ. ^vfqssdUv C³sPÎv (Ip¯nhbv¡s¸Sp¶nÃ) sN¿s¸Sp¶nÃ. hngp§n Dffnte¡p t]mIm\pff km[yXbpw Xosc IpdhmWv.

Bân ssXtdmbvU v s]tdmIvknsUbvkv B³dnt_mUokv

(Bân Sn]nHm Bânt_mUokv) sSÌv

Iuamc{]mb¯nepff s]¬Ip«nIfpsS ssXtdmbvUv {]iv\§Ä hniIe\w sN¿pt¼mÄ ssXtdmbvUnsâ Hmt«m Bânt_mUnbpff hyànbmtWm F¶p IWvSp]nSn¡Ww. AXn\pff ]cntim[\bmWv Bân Sn]nHm Bân t_mUokv (Antithyroid peroxidase antibodies) sSÌv. Cu sSkväv sNbvXp t\m¡pt¼mÄ Hmt«mamän¡mbn«v \½psS icoc¯n\v FXncmbn {]hÀ¯n¡p¶ Bânt_mUn \½psS icoc¯n¯s¶ DtWvSm F¶p IWvSp]nSn¡mw. A§s\bpsWvS¦n AhÀ BPoh\m´w NnInÕsbSpt¯ aXnbmIq. A¯cw s]¬Ip«nIÄ hnhmlPnhnX¯nte¡p IS¡pIbpw A½bmhpIbpw sN¿pt¼mÄ tlmÀtamWnsâ Bhiyw IqSpXembn thWvSnhcp¶p. At¸mÄ tlmÀtamWnâ Afhp Iq«n\evtIWvSn hcpw.

]mcm ssXtdmbvUv {K\vYn; ImÂkyw saät_mfnk¯nsâ Imcy¡mc³

]mcm ssXtdmbvUv {KÙnIÄ \mev

ssXtdmbvUv {KÙnbpambn t\cn«p _ÔanÃm¯Xpw F¶m AXns\m¸wXs¶ ImWs¸Sp¶Xpamb asämcp {KÙnbmWp ]mcm ssXtdmbvUv {KÙn. ImÂkyw saät_mfnkw(icocw ImÂkys¯ kzoIcn¡pIbpw hn\ntbmKn¡pIbpw sN¿p¶ {]{Inb) \nb{´n¡p¶ {KÙnbmWp ]mcmssXtdmbvUv.

icoc¯nse ImÂky¯nsâ Afhp Iq«p¶p. ssXtdmbvUpambn bmsXmcp _ÔhpanÃ.

Ch \mse®amWvv; cWvSphoXw ssXtdmbvUnsâ cWvSp hi§fnembn. ]mcm ssXtdmbvUv tlmÀtam¬ DXv]mZn¸n¡p¶p.

bYmÀY¯n Hcp {KÙnbpsS BhiyIX am{Xtabpffq. AXn\m km[mcWbmbn Hcp {KÙn amänbbpsImWvSp am{Xw ImÂkyw k¹nsaâp sNt¿WvSn hcnÃ. ssXtdmbvUv {KÙn \o¡nbhÀ¡p ImÂkyw k¹nsaâpIÄ km[mcWbmbn \evImdnÃ. ssXtdmbvUv {KÙn \o¡p¶ kÀPdn¡nsS GsX¦nepw ImcWhim ImÂkyw saät_mfnkw \nb{´n¡p¶ ]mcm ssXtdmbvUv {KÙn¡p ]qÀWambn £Xw kw`hn¨m am{Xw ImÂkyw k¹nsaâvkv \nÀtZin¡pw.

]mcm ssXtdmbvUns\ kwc£n¡Ww

]mcm ssXtdmbvUnsâ kpc£bpw ssXtdmbvUv kÀPdnbn {i²n¡Ww. AXns\ kwc£ns¨¦n am{Xta, kÀPdn¡p tijw ImÂkyw saät_mfnIv ^Mvj³ icnbmb hn[¯n \S¡pIbpffp.

]mcm ssXtdmbvUv {KÙnbnse {]iv\§Ä

1. ]mcm ssXtdmbvUn apgIÄ þ]mcm ssXtdmbvUv AUnt\ma

A]qÀhambn ]mcmssXtdmbvUn apgIÄ hcmw. AXns\ ]mcm ssXtdmbvUv AUnt\ma F¶p hnfn¡p¶p. A§s\bpffhcn ssl¸À ImÂkoanb F¶ AhØ hcp¶p. ImÂky¯nsâ Afhp IqSp¶ AhØ. C¯c¡mcn XpSÀ¨bmbn InUv\nbn IÃpIfpWvSmIp¶p. Cu AhØ groans and stones F¶mWv Adnbs¸Sp¶Xv. ]et¸mgpw InUv\nbn IÃpIfpambn F¯p¶hsc ]cntim[n¡pt¼mÄ

AhcpsS ]mcmssXtdmbvUn sNdnbapgIÄ DWvSmbXmbn IsWvS¯nbn«pWvSv. A§s\bpffhÀ¡v B {KÙn am{Xw amäpIbmsW¦n hr¡bn IÃpIfpWvSmIp¶ {]iv\w amdp¶Xmbn {i²bn s]«n«pWvSv.

2. ]mcm ssXtdmbvUv ImÀknt\ma

A]qÀhambn ]mcm ssXtdmbvUn Im³kÀhfÀ¨ D|mIp¶p. AXns\ ]mcmssXtdmbvUv ImÀknt\ma F¶p ]dbp¶p. AXn\p {]Xnhn[n kÀPdn am{Xw. hnZKv[ tcmK\nÀWbhpw ikv{X{InbbpamWv Bhiyw.

ssXtdmbvUv acp¶pIÄ `£W¯n\pap¼v Ign¡p¶Xp KpWIcw

FIvkv td ]cntim[\ ssXtdmbvUv BtcmKy¯n\p `ojWnbmtWm?

GIvtk td ]cntim[\bv¡p hnt[bamIps¼mgpw Ipdª Afhnepff tdUntbj³ Gevt¡WvSn hcp¶p. ]t£ F¶pw FIvkv td FSp¡mdnÃtÃm. hÃt¸mgpw am{Xw ]cntim[\bv¡mbn AXp sN¿p¶Xn sXänÃ. FIvkv td sSIv\ojy³amÀ kpc£bv¡mbn seUv tImfÀ [cn¡mdpWvSvv. tcmK\nÀWb¯n\mbn Igp¯nsâ FIvkv td FSpt¡WvSn hcpt¼mÄ tcmKnsb tImfÀ [cn¸n¡m\pamhnÃ.

Im³kÀ NnInÕbv¡pff tdUntbjsâ ]mÀiz^eambn ssXtdmbvUn\p {]iv\apWvSmIptam?

tdUntbjsâ ]mÀiz^eambn ssXtdmbvUn\p {]iv\apWvSmIp\ kmlNcyw hfsc A]qÀhw. Im³kÀ NnInÕbpsS `mKambn tdUntbj³ sImSp¡pt¼mÄ seUv sImWvSv kwc£Ww \evInb tijamWp tdUntbj\p hnt[bam¡p¶Xv. tdUntbj³ BhiyanÃm¯ icoc`mK§Ä¡p kwc£Ww \evInb tijamWv tdUntbj³ sImSp¡p¶Xv. BhiyanÃm¯ `mKw ad¨phbv¡pw. Bhiyapff `mK¯p am{Xta tdUntbj³ sImSp¡pIbpffq.

Asb¬ KpfnIIÄ ssXtdmbvUv BtcmKy¯n\p tZmjIcamIptam?

Ab¬ k¹nsa³dvkv Ign¡p¶Xp aqew ssXtdmbvUn\p {]iv\apWvSmInÃ. aäp tcmK§fpsS acp¶pIÄs¡m¸w ssXtdmbvUv acp¶pIfpw Ign¡mw. F¶m ssXtdmbvUv acp¶pIÄ `£W¯n\p ap¼v Ign¡p¶Xp KpWIcw.

KÀ`Ime¯v ssXtdmbvUv tlmÀtam¬ IpdhmsW¶p Is|¯nbm F´psN¿pw?

KÀ`Ime¯v ssXtdmbvUv tcmKw h¶m AXp sslt¸m BsW¦nÂ(^Mvj³ Ipdhpff AhØ) tlmÀtam¬ k¹nsaâpIÄ \evtIWvSn hcpw.

NnInÕbv¡nsS A\p`hs¸Sp¶ imcocnI{]iv\§Ä ssXtdmbvUv tcmK§fpsS `mKamtWm?

sXmWvSthZ\, ssIs]cp¸vv, Xp½Â, ssIImepIfn s]cp¸vv, Ip\nbpt¼mÄ Xebn thZ\, XeNpäÂ... NnInÕsbSp¡p¶ ssXtdmbvUv tcmKnIfn [mcmfw {]iv\§Ä ]dbmdpWvSv. Chbn ]eXpw ssXtdmbvUpambn _Ôs¸«XÃ. ]et¸mgpw CF³Sn, \yqtdm{]iv\§Ä... aqeambncn¡pw.. AXpambn _Ôs¸« hnZKv[sc I¬kÄ«v sN¿p¶XmWv DNnXw. F¶m ssXtdmbvUv {]iv\¯n\p NnInÕ \nÀtZin¨ tUmÎsd A¯cw {]iv\§Ä [cn¸n¡Ww.

tUmÎdpsS A\phmZw IqSmsX NnInÕ \nÀ¯mt\m Ign¨psImWvSncn¡p¶ acp¶pIfpsS Afhn hyXymkw hcp¯mt\m ]mSnÃ. hÀj§fmbn ssXtdmbvUv NnInÕsbSp¡p¶ tcmKnIfnse AImcWamb `mc¡pdhp {i²bn s]«m NnInÕIs\ [cn¸n¨p aäp tcmK§Ä¡pff km[yXbnsöv Dd¸n¡Ww.

Igp¯nse apgIÄ AhKWn¡cpXv; tcmKw ap³Iq«n XSbepw {]mcw`Zibn Is|¯epw {][m\w

ssXtdmbvUv sSÌpIÄ CSbv¡nsS \S¯tWm?

km[mcWbmbn Bcpw shdptX ssXtdmbvUv sSkväv sN¿mdnÃ. jpKÀ, sImfkvt{SmÄ ]cntim[\IÄ t]mse Bcpw IrXyamb CSthfIfn tUmÎÀamcpsS \nÀtZianÃmsX ssXtdmbvUv sSkväpIÄ sN¿mdnÃ. ssXtdmbvUn apgIÄ hcpt¼mgpw ^Mvj³ hyXnbm\¯nsâ e£W§Ä {i²bnÂs¸Spt¼mgpamWp km[mcW ssXtdmbvUv sSkväv v\nÀt±in¡s¸SmdpffXv. ssXtdmbvUv sSkväpIÄ¡v C{Xmas¯ hbkn hnt[bamIWw F¶ am\ZÞsam¶panÃ. ssXtdmbvUn FsX¦nepw Xc¯nepff apgIÄ DffXmbn kwibw tXm¶p¶psh¦n ssXtdmbvUv hnZKv[sâ \nÀtZi{]Imcw sSÌpIÄ¡p hnt[bamIWw.

ssXtdmbvUn apg hcnIbmsW¦n {][m\ambpw AÄ{Sm kuWvSvv ]cntim[\ \S¯p¶p. Øncambn I^s¡«p hcnI, iЯn\p amddw hcnI F¶nh kw`hn¡pt¼mÄ ssXtdmbvUv ^Mvj³ sSÌv sN¿Wsa¶p \nÀtZin¡mdpWvSv.

FÃmbvt]mgpw ssXtdmbvUnse apg ]pdta ImWWsa¶nÃ. Igp¯n\p \ofw IpdªhÀ¡pw aäpw apg ]pdta ZriyamIWsa¶nÃ. AXn\m izmkwap«Â, `£Ww Ign¡m³ {]bmkw F¶nh A\p`hs¸Spt¼mgpw tUmÎsd I¬kÄ«v sNbvXp ssXtdmbvUv {]iv\asöv Dd¸phcp¯Ww.

ssXtdmbvUv tcmK§Ä XSbm\mIptam? t\ct¯ Is|¯m\mIptam?

BtcmKyPohnX¯n\p {]nh³j\pw(tcmKw ap³Iq«n XSbepw) GÀen UnäIvvj\pamWv (tcmKw Bcw`L«¯n Xs¶ IsWvS¯pI){][m\w. XSbm\mIp¶ tcmK§sf XSbm\pff \S]SnIÄ kzoIcn¡Ww. AbUn³ IeÀ¶ D¸v Ign¨m tKmbnäÀ apgIÄ hcnÃ. FÀen Un䣳 km[yamWv. ]pdta ImWm\mIm¯ Hcp Ahbh¯n apg hcp¶Xpt]msebà Igp¯n hcp¶ apgIÄ. Igp¯n\p ap¶n Xffn\nev¡p¶ apg {i²bnÂs¸«m AhKWn¡cpXv. t\ct¯ AXp IsWvS¯n ]cntim[n¸n¡pI F¶Xv Fsd {]m[m\yapff ImcyamWv. ]pcpj\pw kv{Xo¡pw ]pdta ZriyamIp¶ AhbhamWp Igp¯v. I®mSn t\m¡n kuµcyw BkzZn¡p¶hcmWtÃm \mw. F¶n«pw apgIÄ ]et¸mgpw {i²bnÂs¸Sp¶nÃ! {i²bn s¸«mepw F{Xtbm sshInbmWp ]ecpw tUmÎdpsS ASps¯¯p¶Xv.

Hät\m«¯nÂ

* Iuamc{]mb¯nepffhÀ¡p hfÀ¨bpsS L«¯n ^nkntbmfPn¡Â tKmbnädn\p km[yXbpWvSv. AXp km[mcWw. Ipg¸anÃ.

* ssXtdmbvUn Im³kdkpw AÃm¯Xpamb hfÀ¨ GXp {]mb¯nepffhÀ¡pw DWvSmImw.

* BWhhnIncW`ojWnbpff {]tZi§fn Xmakn¡p¶ sIm¨pIp«nIfn t]mepw ssXtdmbvUv Im³kÀ hcmw.

* knkväpIfpw aäpXc¯nepff apgIfpw a[yhbkvIcnemWp IqSpXembn ImWmdpffXv.

* aÄ«nt\mUpemÀ tKmbnäÀ km[mcWbmbn anUn GPp (50\p apIfnÂ) Ignªnt« DWvSmImdpffq.

* GXp {]mb¯nembncn¡pw ssXtdmbvUv apg hcp¶sX¶p IrXyambn ]dbm\mInÃ. GXp {]mb¯nepw ssXtdmbvUn apg hcmw. Hmtcmtcm ImcWw sImWvSv GXp {]mb¡mÀ¡pw AXp kw`hn¡mw.

* kv{XoIfnepw ]pcpj³amcnepw ssXtdmbvUn apg DWvSmImw.

* ssXtdmbvUv {KÙnbn DXv]mZn¸n¡s¸Sp¶ tlmÀtam¬ kv{XoIfn kvss{XW tlmÀtamWnsâ DXv]mZ\¯n\pw BhiyapWvSv. AXn\m tlmÀtam¬ hyXnbm\§fpw aäpw BÀ¯hhncmaw Ignª kv{XoIfn Ipdhmbncn¡pw. F¶m Im³kÀ km[yXbn henb IpdhnÃ.

* 50 hbk\p ta {]mbapff kv{XoIfn ssXtdmbvvUv tcmK§fn Ipdshm¶pw ImWmdnÃ.

* kv{XoIfnemWv ssXtdmbvUv tcmK§Ä IqSpXÂ; ssXtdmbvUv Im³kdpIfpw.

ssXtdmbvUv tlmÀtam¬ DXv]mZ\w AbUn³ km¶n[y¯n am{Xw!

* AbUn³ D¸v ioeam¡Ww

ssXtdmbvUv tlmÀtam¬ \nÀamW¯n\v AbUn³ AXy´mt]£nXw. AbUnsâ km¶n[y¯n am{Xta ssXtdmbvUv tlmÀtamWnsâ DXv]mZ\w km[yamIq. AXn\m AbUn³ tNÀ¯ Idnbp¸v BtcmKyhIp¸p \nÀ_Ôam¡nbncn¡p¶p. `mcXkÀ¡mcnsâ tZiob BtcmKy\bamWXv. ]WvSv IÃp¸mWv D]tbmKn¨psImWvSncp¶Xv. tKmbnädns\ XSbm³ thWvSnbmWv AbUn³ tNÀ¯ D¸p am{Xta ]mSpffq F¶ \nbaw \S¸m¡nbXvv.

s]mXpsh ssXtdmbvUv tKmbnädnsâ \nc¡v Ipdbm³ Cu \bw KpWw sNbvXXmbn ]T\§Ä ]dbp¶p. Imt_Pv t]msebpff ]¨¡dnIÄ ioeam¡nbXp ssImWvSpam{Xw ssXtdmbvUv tcmK§Ä hcp¶psh¶ hmZw \qdp iXam\w icnbÃ.

tImfn^vfhtdm Imt_tPm Hgnhm¡p¶Xà ssXtdmbvUv tcmK§Äs¡Xntcbpff {]Xntcm[w. AbssUkvUv D¸v D]tbmKn¡Ww. AXmWp apJyw.

* AbUn³ Ipdhmb `£Ww Ign¡m\pff km[yX

FÃmbvt¸mgpw ISÂaÕy§Ä Ign¡m³ kmlNcyanÃm¯hcnÂ(lnÃn þ ssltd©vþ {]tZi§fn Xmakn¡p¶hÀ) ]et¸mgpw tKmbnäÀ (t\m¬ Im³kdkv ssXtdmbvUv skzÃnwKvv)IqSpXembn ImWp¶Xvv. AXv AbUnsâ IpdhpaqeamWv. ssltd©v {]tZi§fn Xmakn¡p¶hcpsS icoc¯n `£W¯neqsS In«p¶ AbUnsâ tXmXv XmcXtay\ Xoc{]tZi§fn Xmakn¡p¶hÀ¡p In«p¶Xnt\¡mÄ Ipdhmbncn¡pw.

ssltd©v {]tZi§fn hnfbp¶ kkyhn`h§fn Xoc{]tZi¯p hnfbp¶ hn`h§fn DffXns\ At]£n¨v AbUnsâ tXmXp Ipdhmbncn¡pw. Blmc¯nepw shff¯nepw AbUnsâ Afhp Ipdhmbncn¡pw. AXn\m temIs¯hnsShnsSbpw DbÀ¶ {]tZi§fn ssXtdmbvUv tKmbnädnsâ tXmXp IqSpXemsW¶p ]T\§Ä ]dbp¶p.

ISÂaÂky§fn AbUn³ [mcmfambn AS§nbncn¡p¶p. ]t£ FÃmhcpw ao³ Ign¡p¶nÃ. `£W¯neqsSbpw Pe¯neqsSbpw In«p¶ AbUnsâ tXmXpw IpdhmWv. hnhn[ `q{]tZi§fn hnfbp¶ ]¨¡dnIfneqsS In«p¶ AbUnsâ tXmXp kw_Ôn¨pw hyàXbnÃ. AbUn³ tNÀ¯ D¸nsâ D]tbmKw ao³hn`h§Ä ioeam¡¯hcnepw tKmbnäÀkm[yXbpsS tXmXp Ipdbv¡p¶Xmbn KthjIÀ ]dbp¶p.

AbUn³ Ipdhmb `£Ww Ign¡m\pff km[yX, \yq¢nbmÀ tdUntbj\p hnt[bamI F¶nh ssXtdmbvUv tcmKkm[yX Iq«p¶p. Nne {]tXyI {]tZi§fn Xmakn¡p¶hÀ¡pw Nne {]tXyIXcw `£Ww am{Xw Ign¡p¶hÀ¡pw ssXtdmbvUv tcmKkm[yX IqSpXemWv.

ssXtdmbvUv tcmKnIÄ {i²n¡pI

* PohnXssienbn {]tXyIn¨p amä§Ä BhiyanÃ

* aq¶p amk¯nsemcn¡Â ssXtdmbvUv tlmÀtam¬ \ne

tamWn«dnwKn\p hnt[bamIWw. Ign¡p¶ acp¶n amä§Ä hcpt¯WvS BhiyaptWvSm F¶p \nÀWbn¡p¶Xn\v AXp klmbIw. Hmtcm ssXtdmbvUv tcmKnbpw Ignt¡WvS tlmÀtamWnsâ Afhn amäw hcp¯mdpWvSv.

* ssXtdmbvUv acp¶pIÄs¡m¸w aäp acp¶pIÄ Ign¡p¶Xp sImWvSp {]iv\§fnÃ. ssXtdmbvUv tlmÀtamWpIÄ aäp acp¶pIfpambn {]Xn{]hÀ¯n¡pIbnÃ.

* `£W¡mcy¯n ]YyanÃ. Imt_Pv t]msebpff Nne `£yhkvXp¡Ä ssXtdmbvUv tlmÀtamWnsâ Afhp Ipdbv¡psa¶p KthjIÀ ]dbmdpWvSv. ]t£ FÃmZnhkhpw Imt_Pv Ign¡mdnÃtÃm! AXn\m AXp Imcyamt¡|XnÃ.

ssXtdmbvUv tcmK¯n\p acp¶p Ign¡p¶hcpsS {i²bv¡v

* acp¶p Ign¡p¶hÀ AXp apS§msX IrXyamb Afhn Ign¡Ww.

* CSbv¡sS F³tUmss{It\mfUnkväns\ I¬kÄ«v sN¿Ww

* Bdpamk¯nsemcn¡Â cà]cntim[\ \S¯Ww.

* tUmÎÀ \nÀtZin¡p¶ IrXyambCSthfIfn t^mtfm A¸v XpScWw.

* acp¶nsâ Afhn amäw tUmÎdnsâ \nÀtZi{]Imcw am{Xw. ssXtdmbvUv acp¶nsâ AfhpIÄ tamWn«dnwKv dnt¸mÀ«nsâ ASnØm\¯n CSbv¡p amämdpWvSv. {KÙn DXv]mZn¸n¡p¶nsæn BhiyapffanSt¯mfw tlmÀtam¬ k]vfnsaâv BPoh\m´w XpScWw.

ssXtdmbvUv tcmK§Ä: ap³Iq«n Xncn¨dnbm³ Nne kqN\IÄ

an¡t¸mgpw ssXtdmbvUv {KÙnbnse {]iv\§fpsS e£W§Ä \mw t\ct¯ Xncn¨dnbmdnÃ. ]et¸mgpw aämhiy§Ä¡mbn slÂXv sN¡¸v \S¯pt¼mgmWv ssXtdmbvUv {]iv\apffXmbn IsWvS¯p¶Xv.

ssXtdmbvUnsâ ^Mvj\nepw(tlmÀtam¬ DXv]mZ\¯nse Gä¡pd¨nepIÄ) LS\bnepw DWvSmIp¶ hyXymk§Ä t\ct¯ Xncn¨dnbm³ klmbn¡p¶ Nne kqN\IÄ NphsS.

* Igp¯nsâ ap¼n FItZiw a[y`mKmWp ssXtdmbvUv {KÙnbpsS Øm\w. Cu {KÙn¡p hep¸w hbv¡p¶Xp kzm`mhnIambpw ]pdta {i²bnÂs¸Spw. {KÙnbpsS hep¸w IqSp¶tXmsS `£Ww hngp§m³ {]bmkw t\cnSp¶p. {KÙnbpsS hep¸w AanXambn IqSnbm izmkwhnSm\pw {]bmka\p`hs¸Spw. CsXÃmw ssXtdmbvUv {KÙnbpambn _Ôs¸«pWvSmIp¶ {]iv\§fpsS Nne kqN\IfmWv.

* BÀ¯hIme¯v AanXcà{kmhw DWvSmIp¶ kv{XoIfn sslt¸m ssXtdmbvUnk¯n\pff km[yXbpsWvS¶p Xncn¨dnbmw.

* apSnsImgn¨nÂ, icocnIambpw am\knIambpw DuÀPkzeX \ãamIp¶ AhØ(s]mXpsh Hcp XWp¸³ a«msW¶ tXm¶Â). an¡t¸mgpw AXv ssXtdmbvUv tlmÀtam¬ AfhnepWvSmIp¶ hyXnbm\w aqeamIpw. C¯cw kqN\IÄ Xncn¨dnªp ssXtdmbvUv hnZKv[s\ kao]n¡p¶Xv DNnXw.

* AtXt]mse ssl¸À BÎnhnänbpw km[mcWw. hni¸p IqSpw, icocw saenbpw. I®p apt¶m«p Xffnhcp¶ AhØ. AXns\ t{Khvkv Unkokv F¶phnfn¡pw. C¯cw e£W§Ä Hcp]t£ ssl¸À ssXtdmbvUnk¯nsâ kqN\Ifmhmw.

* hfÀ¨ {]m]n¡p¶ ssXtdmbvUv apgbpsS k½ÀZtaäv recurrent laryngeal nerve \p tISp h¶m iЯn amäw hcmw. IqSmsX ssXtdmbvUn Im³kÀ _m[n¨m Nnet¸mÄ iЯn amäw hcmw. ssXtdmbvUv apg IsWvS¯nb tijhpw NnInÕ sshIn¸n¡pIbmsW¦n Ime{ItaW sNdnb sNdnb apgIÄ ssXtdmbvUnsâ hi§fn DWvSmIpw. Ah hepXmIp¶tXmsS iÐw ]pds¸Sphn¡p¶Xn\p klmbIamb t\Àhn\p þ recurrent laryngeal nerveþ tISphcp¯pw. At¸mgmWp iÐhyXnbm\w DWvSmIp¶Xv.

* izmkwap«Âþ ssXtdmbvUnse apgIÄ Nnet¸mÄ izmk\mfnbpsS Dffn¡S¶v izmtkmÑzmkw XSks¸Sp¯mw. CXp izmkwap«en\p ImcWamImw..

* FÃm sXmWvSthZ\bpw ssXtdmbvUv tcmKe£WaÃ. sXmWvSthZ\ aäp]e ImcW§Ä sImWvSpw hcmw.

sXmWvSthZ\ km[mcWw. \oWvSp\nev¡p¶ thZ\bmWp {]iv\w. thZ\bmÀ¶ ssXtdmbvUv apg F¶Xv lmjntamt«m ssXtdmbvssUänknsâ e£WamWv.

aäpXc¯nepff ssXtdmbvUv apgIÄs¡m¶pw km[mcWbmbn thZ\ DWvSmImdnÃ.

ssXtdmbvUv {]iv\§Ä 80 iXam\hpw kv{XoIfnÂ

* kv{XoPohnX¯nsâ hnhn[ L«§fn ssXtdmbvUv tlmÀtamWpIfpsS BhiyIX IqSpXembn hcp¶p. Hmtcm amkhpw thWvSnhcp¶ tlmÀtamWnsâ Afhnepw hyXnbm\§Ä kw`hn¡mdpWvSv. A½bmhp¶ L«w, apebq«p¶ kµÀ`w... Cu Hmtcm L«¯nepw thWvSnhcp¶ tlmÀtamWnsâ Afhp hyXykvXambncn¡pw.

kzm`mhnIambn kv{XoIÄ¡mWv ssXtdmbvUv tlmÀtamWpIfpsS BhiyIX IqSpXÂ. {]tXyIn¨p hnhmlnXcnepw Ip«nIfpffhcnepw ssXtdmbvUv tlmÀtam¬ IqSpXembn Bhiyambn hcp¶p. AXn\m \ymbambpw kv{XoIfnemWv ]pcpj³amsc At]£n¨p ssXtdmbvUv {KÙnbn Akzm`mhnXIzw IqSpX IWvSphcp¶Xv. ssXtdmbvUv {]iv\§fn 80 iXam\hpw IWvSphcp¶Xp kv{XoIfnemsW¶p ]T\§Ä kqNn¸n¡p¶p.

* BÀ¯hkw_Ôambn ssXtdmbvUv {]iv\§Ä DWvSmIp¶Xmbn dnt¸mÀ«v sN¿s¸«n«pWvSv. AWvvUmib¯nsâ {]hÀ¯\¯nepWvSmIp¶ XIcmdpIÄ ssXtdmbvUv tlmÀtamWnsâ DXv]mZ\s¯bpw kzm[o\n¡p¶p.

(AÞmibw cWvSpXcw tlmÀtamWpIfmWp ]pds¸Sphn¡p¶Xvv þ Cukv{SP³, s{]mPkvt{Sm¬. ChbpsS DXv]mZ\w Xet¨mdnÂ\n¶v Dt¯Pn¸n¡p¶Xv ]näyq«dn {KÙn DXv]mZn¸n¡p¶ sKmWmtUm t{Sm]nIv tlmÀtamWmWv.)

ssXtdmbvUv Im³kÀ: H¡Ä«v Im³kdpw ssXtdmbvUÎanbpw

* H¡Ä«v Im³kÀ

ssXtdmbvUn {]mYanI]cntim[\bn ImWm\mIm¯ hn[w Xoscs¨dnb SyqadpWvSmImw. {]ISambcoXnbn a\knem¡m\mIm¯ Xcw Im³kÀ. A¯cw Im³kÀ H¡Ä«v Im³kÀ F¶dnbs¸Sp¶p. C¯cw Im³kÀ {]ISamIp¶Xv aäpNne coXnIfmbncn¡pw. Nnebhkc§fn AØnbn _e¡pdhp h¶v ssIsbmSnª coXnbnembncn¡pw ssXtdmbvUv Im³kÀ {]ISamIp¶Xv.

AØn{`wi¯n\p NnInÕsbSp¡pt¼mÄ ]t¯mfPnbn \S¯p¶ _tbm]vknbn ]et¸mgpw CXp ssXtdmbvUnÂ\n¶p h¶XmsW¶p sXfnbmdpWvSv.

* ssXtdmbvUÎan þssXtdmbvUv {KÙn \o¡w sN¿Â

apgIfpsS NnInÕbpambn _Ôs¸«mWp ssXtdmbvUv {KÙn \o¡w sNt¿WvS kmlNcyapWvSmIp¶Xvv. Nne kµÀ`§fn ssXtdmbvUnsâ Hcp `mKw am{Xw amtäWvS coXnbn apgIfpWvSmIpw. cWvSp hi§fnse CXfpIfpw amtäWvS kmlNcyw Nnet¸mÄ DWvSmhmw. A¯cw apgIÄ Im³kdtkm t\m¬ Im³kdtkm Bhmw.

ssXtdmbvUv {KÙn ]IpXnam{Xw amäp¶Xns\ slan ssXtdmbvsUÎan F¶pw apgph³ amäp¶Xns\ tSm«Â ssXtdmbvUÎan F¶pw ]dbp¶p.

ssXtdmbvUv {KÙnbnepWvSmIp¶ Im³kdpIÄ¡p km[mcWbmbn IotamsXdm¸nbnÃ. ASnØm\]cambn IotamsXdm¸n thWvSnhcp¶ Syqadà ssXtdmbvUn DWvSmIp¶Xvv.

ssXtdmbvUv {KÙnbnepWvSmIp¶ aq¶pXcw Im³kdpIÄþ

Un{^³tjyäUv ssXtdmbvUv Im³kÀ, ]m¸nedn, t^mfn¡pemÀ...AXns\m¶pw Iotam CÃ. saUpÃdn Im³kdn\pw IotamsXdm¸nbnÃ. F¶m A\m¹mÌnIv Im³kdn\p Nnet¸mÄ IotamsXdm¸n \evImdpWvSvv. ]t£ ]et¸mgpw A¯cw Im³kÀ IsWvS¯pt¼mtg¡pw KpcpXcL«w F¯nbncn¡pw.

NnInÕsbSp¯Stijw 100 iXam\w t`ZamIp¶ Xc¯nepff Im³kdpIfnsem¶mWv ssXtdmbvUv Im³kÀ; {]tXyIn¨pw ]m¸nedn Im³kÀ.

* ssXtdmbvUv tcmK§Ä ]mc¼cyaÃ

ssXtdmbvUv tcmK§Ä ]mc¼cyaÃ. A½bvt¡m AÑt\m ssXtdmbvUv tcmKapffXpsImWvSp a¡Ä¡p tcmKw hcWsa¶nÃ. ssXtdmbvUnse Im³kdpIÄ hfsc A]qÀhambn am{Xta ASp¯ Xeapdbnte¡p ssIamäw sN¿s¸Sp¶pffq. tKmbnätdm ^nkntbmfPn¡Â amä§tfm ]c¼cmKXambn ssIamäw sN¿s¸Sp¶nÃ.

F¶m apgph³ IpSpw_mwK§Ä¡pw hcmhp¶ ssXtdmbvUv Im³kÀ DWvSvþ saUpÃdn Im³kÀ AXp IpSpw_¯nse aäpffhÀ¡p hcmw. A§s\ IpSpw_]Ým¯e¯nepffhÀ¡p hcmhp¶ Htcsbmcp ssXtdmbvUv Im³kdmWp saUpÃdn Im³kÀ. AXv A]qÀhambn am{Xta DWvSmhpIbpffq. saUpÃdn Im³kÀ h¶hcpsS cà_Ôp¡Ä

cà]cntim[\, sP\änIv sSkväv F¶nh sNbvXp t\m¡mw. A§s\bpffhcpsS _Ôp¡Ä càw, P\änIv LSI§Ä F¶nh ]cntim[n¡Ww. A§s\bpffhcn ImÂkntSmWnsâ Afhp IqSpXemsW¦n ssXtdmbvUv amäp¶Xp \ÃXmWv. AXp hfsc A]qÀhw.

 

ssXtdmbvUv Im³kÀ BZyL«¯n IsWvS¯nbm 100 iXam\w tcmKhnapàn

ssXtdmbvUv Im³kÀ aq¶pXcw

1. Un{^³tjyäUv ssXtdmbvUv Im³kÀ

ssXtdmbvUv tImi§Ä GXmWvSp km[mcW ssXtdmbvUv tImi§sft¸msebmsW¦nepw Im³kdkmbncn¡pw.

CXp Xs¶ cWvSp hn`mKw

a. ]m¸nedn Im³kÀ

CXv FÃmw enw^v t\mUpIfnte¡pw t]mIm³ Ignhpff Xcw Im³kdmWv

b. t^mfn¡pemÀ Im³kÀ

enw^v {KÙnIfnte¡p hym]n¡m\pff km[yX IpdhmWv. F¶m cà¯nte¡p hym]n¡m\pff km[yX IqSpXembncn¡pw.

2. A¬ Un{^³tjyäUv ssXtdmbvUv Im³kÀ

hn\miIcamb ssXtdmbvUv Im³kdmWnXv. {KÙn s]s«¶p hepXmIpw. {S¡nbbnÂ(izmk\mfw) k½ÀZw sNep¯pw. ssXtdmbvUn\p kao]apff \nch[n kp{][m\ Rc¼pIÄ¡p tISp]äpw. i_vvZw XIcmdnemIpw. A]IScamb Im³kÀ.

3. saUpÃdn ssXtdmbvUv Im³kÀ

sXtdmbvUpambn _ÔanÃm¯ aäpNne tImi§Ä ssXtdmbvUnepWvSv. AXnsem¶mWv ]mcm t^mfn¡pemÀ skÂkv AYhm kn skÂkv. C¯cw kn skÂknepWvSmIp¶ SyqaÀ Im³kdkmWv. A¯cw ssXtdmbvUv Im³kdmWv saUpÃdn ssXtdmbvUv Im³kÀ.

* ssXtdmbvUnte¡pw adn¨pw Im³kÀ hym]n¡mw

km[mcWtcmK§Ä ssXtdmbvUn {]iv\§Ä DWvSm¡nÃ. F¶m aäp]e Ahbh§fn \n¶p ssXtdmbvUnte¡p Im³kÀ hcmw. izmktImi Im³ktdm kvX\mÀ_pZtam ssXtdmbvUnte¡p hym]n¡m\nSbpWvSv.

ssXtdmbvUnse Im³kÀ aähbh§fnte¡pw hym]n¡m\pff km[yXbpapWvSv. GXp L«¯nepff Im³kdmWv F¶Xns\ B{ibn¨mWv AXp kw`hn¡p¶Xv. izmktImiw, AØn, Xet¨mdv XpS§nb Ahbh§fnte¡p hym]n¡mw.

kzÀK¯p \n¶p ssZhw `qanbnend§n Hcp kv{Xosb i]n¡p¶psh¶p IcpXpI...\n\¡p Im³kÀ Xcm³ t]mIp¶psh¶p ]dªm hmt§WvSXp ssXtdmbvUv Im³kdmbncn¡Ww F¶p Ifnbmbpw Ae v]w Imcyambpw ]dbmdpWvSv. ssXtdmbvUv Im³kÀ BZyL«¯n IsWvS¯nbm 100 iXam\w NnInÕn¨p t`Zs¸Sp¯m\mIpw. F{Xbpwt\ct¯ IsWvS¯nbm 100 iXam\hpw NnInÕn¨p t`Zs¸Sp¯mw. enw^v t\mUv h¶m t]mepw 100 iXam\w t`Zs¸Sp¯mw.

* NnInÕ sshIn¸n¡cpXv

ssXtdmbvUn apgh¶m AXp Im³kdkmtWm AÃm¯XmtWm F¶p IsWvS¯m\pff kwhn[m\§Ä \nehnepWvSv. F¶m NnInÕ sshIn¸n¡m³ ]mSnÃ. t\ct¯ IsWvS¯nbm 100 iXam\hpw NnInÕn¨p t`Zs¸Sp¯m\mIp¶ Im³kdmWv ssXtdmbvUv Im³kÀ. NnInÕ ^en¡Wsa¦n bYmkabw tUmÎsd I¬kÄ«v sN¿m³ a\kp Im«Ww.

ssXtdmbvUnse \oÀho¡w: lmjntamt«m ssXtdmbvssUänkv

ssXtdmbvUnse \oÀho¡wþ ssXtdmbvssUänkv

\ocph¶p ssXtdmbvUv hepXmIp¶ AhØ. hnhn[ ImcW§Ä sImWvSv CXp kw`hn¡mw. CtX¯pSÀ¶p ssXtdmbvUv {KÙnbpsS tImi§Ä¡p \miw kw`hn¡p¶p. {]tXyIhpw IrXyhpamb e£W§Ä CXn\nÃ. AXn\m tcmK\nÀWbw {iaIcw.

lmjntamt«m ssXtdmbvssUänkv

ssXtdmbvUn hcp¶ HcpXcw C³^vftaj³(\oÀho¡w)lmjntamt«m ssXtdmbvssUänkv F¶dnbs¸Sp¶p.

Bân ssXtdmbvUv Bânt_mUnIfmWv CXn\p ImcWw. icocw Xs¶ ssXtdmbvUv {KÙnsb B{Ian¡p¶ AhØ.

enwt^msskänIv ssXtdmbvssUänkv F¶pw CXv Adnbs¸Sp¶p.

`£Ww hngp§m\pff {]bmkamWp {][m\ {]iv\w. Igp¯n\p ap¶nembn ssXtdmbvUv apg (tKmbnäÀ) cq]s¸«phcp¶p.

{ItaW cà¯nse ssXtdmbvUv tlmÀtamWnsâ Afhp IpdbpIbpw sslt¸m ssXtdmbvUnk¯ntâXn\p Xpeyamb e£W§Ä(£oWw, Xq¡¡pdhv, NÀa¯n hcĨ, Un{]j³, ae_Ôw...) A\p`hs¸SpIbpw sN¿p¶p

Nne tIkpIfn Im³kÀ BIp¶Xn\p ap¼pff AhØbpw BImw. CXp {i²bnÂs¸«m IrXyamb t^mtfmA¸v \nÀtZin¡s¸Sp¶p.

Bdp amk¯nsemcn¡Â AÄt{SmkuWvSv kvIm³ sN¿Ww. A¯cw tcmKnIÄ¡v enwt^ma(enwt^msskävkv tImi§fnepWvSmIp¶ Im³kÀ)bnte¡p t]mIm\pff km[yX IqSpXemWv.

ssXtdmbvUv kÀPdn¡p tijw iÐw \ãs¸Sm³ km[yXbptWvSm?

kÀPdn hnZKv[À sNbvXm iÐs¯ _m[n¡nÃ. iÐw ]pds¸Sphn¡p¶Xn\p klmbIamb t\ÀhpIsf(Rc¼pIsf) sXtdmbvUv {KÙnbpambn _Ôs¸« {]iv\§Ä A]IS¯nem¡nbm iÐw XIcmdnemIpw. \nehnepff ssXtdmbvUv kÀPdnbn hcmhp¶ A{i²Ifpw hogvNIfpw iÐw \ãamIp¶Xn\nSbm¡mw.

ssXtdmbvUn\p kao]apffXpw F¶m ssXtdmbvUnsâ `mKaÃm¯Xpamb cWvSp t\ÀhpIfpWvSv. recurretnt laryngeal nerve hpw superior laryngeal nerve hpw. Ahbv¡p kÀPdn¡nsS tISp ]äm\nSbmbmepw iÐw \ãamImw.

AXn recurretnt laryngeal nerve ssXtdmbvUnsâ ]ndInemWvv. CXmWv thm¡Â tImUns\ Nen¸n¡p¶Xv. Cu t\Àhv thKkv t\Àhv F¶ t\Àhnsâ {_m©mWv. thm¡Â tImUnsâ Ne\w \nb{´n¡p¶ t\ÀhmWnXv. \ap¡p iÐw \evIp¶ t\Àhv. Cu t\Àhn\v apdnhp ]änbm Hcn¡epw anWvSm\mhnÃ. iÐw \ãamIpw.

cWvSmas¯ t\ÀhmWv superior laryngeal nerve. AXp ssXtdmbvUn\p apIfnencn¡p¶ t\ÀhmWv. AXp iЯn\p Izmfnän \evIp¶p. ]mSp¶ hyànbmsW¦n Cu t\Àhn\p apdnhpWvSmbm AbmfpsS kzcw tenor ]mSp¶ hyànbmsW¦n t_knte¡p amdm\nSbpWvSv. AbmÄ¡v Hcn¡epw ]ns¶ tenor ]mSm\mhnÃ. Cu t\Àhn\p tISph¶m AXp kuWvSv ]n¨ns\ _m[n¡pw. iЯnsâ Izmfnänsb kmcambn _m[n¡pw.

Hcp KmbIs\, A[ym]Is\, s]mfnäojs\, UºnwKv BÀ«nÌns\ ...iÐw sImWvSp Pohn¡p¶hsc kw_Ôn¨nSt¯mfw Cu t\ÀhpIfpsS kpc£ {]m[m\ytadnbXmWv. ssXtdmbvUv {KÙnbpsS BtcmKyhpw kpc£nXamb ssXtdmbvUv kÀPdnbpw AXn\m Gsd {]m[m\yaÀln¡p¶p. A¯cw t\ÀhpIÄ¡p tISp]ämsX AXoh{i²tbmsSbpffXpw \qX\hpamb ssXtdmbvUv kÀPdnbmWp sXcsªSpt¡WvSXv. (A¯cw kÀPdnsb¡pdn¨v (tXmakv sSIv\nIv)hniZhnhc§Ä hcpwZn\§fn {]Xo£n¡pI)

{KÙn \o¡nbm PohnXImew apgph³ tlmÀtam¬ k¹nsaâpIÄ

* ssXtdmbvUv sSkväpIfnse hnizmkyX

Hmt«mamänIv sajo\pIfpsS klmbt¯msSbmWp Ct¸mÄ ssXtdmbvUv kw_Ôamb ]cntim[\IÄ. dnt¸mÀ«v Iw]yq«ssdkvvUv Bbncn¡pw.

KpW\nehmcapff sajo\nembncn¡Ww sSÌpIÄ. an¡ KpW\nehmcapff Bip]{XnIfnepw Hmt«mtaäUv sajo\pIfmWpffXv. Hmtcm em_n\pw AhÀ D]tbmKn¡p¶ sajotâXmb t\mÀa ImWpw.

* tdUntbm BÎohv AbUn³ þ tcmK\nÀWb¯n\pw NnInÕbv¡pw

cWvSpXc¯nemWv tdUntbm BÎohv AbUn³ D]tbmKn¡p¶Xvv. H¶v: tcmK\nÀWb¯n\v..AXphfsc sNdnb Afhn am{XamWv D]tbmKn¡p¶Xvv. cWvS:v acp¶mbn Nne tIkpIfnÂ... \nÀtZin¡s¸Sp¶p.

t^mfn¡pemÀ, ]m¸nedn Im³kÀ...A§s\bpff Un{^³tjyäUv ssXtdmbvUv Im³kÀ BsW¦nÂ...kÀPdn¡p tijw Iw¹oäv Unkokpw ssat{ImkvtIm]nIv Unkokpw amdm³ tdUntbm BÎohv AbUn³ IpSn¡m³ sImSp¡p¶p.

(ssXtdmbvUv Im³kdns\¡pdn¨v XpSÀ¶pff `mK§fn hmbn¡pI) _mly tdUntbj\nÃ. knwKnÄ tUmkv acp¶mWp \evIp¶Xvv. H¶p cWvSp Znhkw sFktej\n InS¯p¶p. {IatW icoc¯n \n¶pff tdUntbm BÎnhnänbpsS Afhp Ipdbp¶p. ]ns¶ kpc£nXambncn¡pw. `bs¸Sm\pff Imcy§fnÃ. tdUntbm BÎohv AbUn³NnInÕsbSp¯ Ne kv{XoIÄ¡q aq¶p \mep hÀj¯n\p tijw Ipªp§fpWvSmb Ncn{XapWvSv. AhÀs¡m¶pw {]iv\§fpWvSmbn«nÃ.

* ssXtdmbvUv NnInÕmsNehv

GXv Bip]{XnbmWv sXcsªSp¡p¶Xvv, GXpXcw kÀPdnbmWv thWvSnhcnI, apg Im³kdkmtWm t\m¬ Im³kdkmtWm, GXpXcw XmakkuIcyamWp sXcsªSp¡p¶Xv, aäv Ahbh§fnte¡v tcmKw hym]n¨n«ptWvSm....ChsbÃmw ssXtdmbvUv tcmKNnInÕbpsS sNehns\ kzm[o\n¡p¶p.

* PohnXImew apgph³ acp¶p Ignt¡WvSn hcptam?

ssXtdmbvUv tlmÀtam¬ BPoh\m´w Bhiyapff tlmÀtamWmWv. ssXtdmbvUv {KÙn apgph³ amäp¶ AhØbmsW¦n kzm`mhnIambpw PohnXImew apgph³ tlmÀtam¬ k¹nsaâvkv Ignt¡WvSn hcpw. ssXtdmbvUn Im³kÀ _m[n¨m {KÙn sam¯ambn \o¡w sN¿pw.

sslt¸mbv¡v AXp thWvSnhcnÃ. ssl¸dn\p {KÙn amäpw. F¶n«p k¹nsaâv sImSp¡pw. ssl¸dpff BfpIÄ¡p {KÙn amänb tijw acp¶p Øncambn Ignt¡WvSn hcpw.

* acp¶pIÄ¡p ]mÀiz^eapWvSmIptam....

]mÀiz^eanÃ. aq¶pamk¯nsemcn¡Â ssXtdmbvUv tlmÀtamWnsâ Afhp ]cntim[n¡m³ \nÀtZin¡mdpWvSv. IrXyambn tamWn«À sN¿p¶Xn\m {]iv\§Ä DWvSmImdnÃ.

ssXtdmbvUv apgIÄ: ]cntim[\mcoXnIÄ

apgbv¡pffn aäp {]iv\§fptWvSm...?

AÄ{SmkuWvSv kvIm³

ssXtdmbvUnse apgbv¡p NnInÕ tXSnsb¯nb hyàn¡p ^MvjWen {]iv\§sfm¶pw(tlmÀtam¬ DXv]mZ\¯n Gä¡pd¨nepIÄ) Csöp IsWvS¯nbm tcmK\nÀWb¯nsâ ASp¯ L«¯nte¡p IS¡p¶p. ssXtdmbvUn cq]s¸« apgbv¡pffn F´mWp {]iv\sa¶p IsWvS¯m\pff ]cntim[\IÄ¡p hnt[bam¡p¶p. AXp IsWvS¯m\pff Gähpw efnXamb amÀKamWv AÄ{SmkuWvSv ]cntim[\. kÀhkm[mcWhpw thZ\bnÃm¯Xpamb ]cntim[\bmWnXv.

Hä apgbmtWm, AtXm ]e apgIfmtWm, ssXtdmbvUnsâ Hcp CXfn am{Xtabptffm? cWvSv CXfnepw apgbptWvSm? Cu apgbv¡I¯pff ]ZmÀYw JcmhØbnepff XmtWm? AtXm {ZhmhØbnepffXmtWm? AXn\v F´p {]tXyIXbmWpffXv? kwibmkv]Zamb Im³kdmsW¦n Igp¯nsâ aäp `mK§fn thsd sIm¨psIm¨p apgIÄ(enw^v t\mUpIÄ) DtWvSm? AsXm¡ hfÀ¶p hepXmb L«¯nemtWm? C¯cw Imcy§sf¡pdn¨v GItZicq]w In«p¶Xn\p klmbIamb sSÌmWv AÄ{SmkuWvSv kvIm\nwKvv(tkmtWm{K^n).

DbÀ¶ Bhr¯nbnepff iÐXcwK§Ä D]tbmKn¨v ssXtdmbvUv {KÙnbpsS DÄhiw ]IÀ¯m³ klmbIamb ]cntim[\. XnI¨pw kpc£nXw.

ssXtdmbvUv {KÙnbpsS LS\, Ne\w, AXneqsSbpff càk©mcw F¶nhsbÃmw AÄ{SmkuWvSv kvIm\nwKneqsS e`yamIpw. temIsa¼mSpw {]Npc{]Nmcw t\Snb ]cntim[\mcoXn.

* NnInÕ ¹m³ sN¿m³ klmbIambn FwBÀsF

ssXtdmbvUvapg BZyw kvIm³ sN¿pw. AXmbXv tdUntbm BÎohv AbUn³ D]tbmKn¨p \S¯p¶ kvIm\nwKv. apgbv¡pffn Akm[mcWXzw DtWvSm F¶v Cu kvIm³ sNbvXmednbmw.

ssXtdmbvUnsâ Hcp `mK¯pam{XamWp apg DWvSmbsX¦n ikv{X{Inb Hcp hi¯pam{Xambn HXp¡mw. FÃm `mK§fnepapff apgIfmsW¦n ikv{X{InbbpsS hym]vXnbpw AXnsâ ¹m\nwKpw hyXymks¸Spw. AXn\mWp XpSÀ¶p aäp sSkväpIÄ \nÀtZin¡p¶Xvv. Nne kmlNcy§fn AÄ{SmkuWvSv kvIm\nwKv am{Xw t]mcm. tdUntbm BÎohv AbUn³ D]tbmKn¨p \S¯p¶ kvIm\n aensá³knbpsS(Im³kÀ hym]\w) kwibapsWvS¦n Nne tIkpIfn FwBÀsF kvIm³ FSp¡pw. F¦nÂam{Xta A¯cw tIkpIfn XpSÀNnInÕ ¹m³ sN¿m\mIq.

* FwBÀsF AhiyamtWm?

FÃm ssXtdmbvUv tcmKnIÄ¡pw FwBÀsF BhiyanÃ. Nne kmlNcy§fn s\©n\It¯¡p hfÀ¶ apgbmsW¦nÂ; Itcm«nUv BÀ«dnsbbpw {S¡nbsbbpw AXp tISphcp¯nsb¶p kwibapsWvS¦n AXp IsWvS¯m³ FwBÀsF kvIm³ Bhiyambn hcp¶p.

AÄ{SmkuWvSn\pw FwBÀsFbv¡pw tdUntbj\nÃ(AWphnIncW`ojWn). kpc£nXw. ]t£, knSn kvIm\n\p tdUntbj³ DWvSv.

FÃm ssXtdmbvUv apgIfpw Im³kÀ `ojWnbpffXmtWm..?

ssXtdmbvUns\¡pdn¨pff hÀ¯am\w ]et¸mgpw F¯nt¨cpI Igp¯nse apgIsf¡pdn¨pff ]cmaÀi¯nemhpw. FÃm apgIfpw Im³kdmtWm....km[mcW¡mcsâ kwibw AhnsS¯pS§p¶p. FÃm apgIfpw Im³kdkÃ. Im³kdkv AÃm¯ apgIfmWp IqSpXepw.

ssXtdmbvUv apgIÄ s]mXpsh cWvSp {Kq¸mWv. t\m¬ Im³kdkv apgIfpw(Im³kdn\p ImcWamIm¯Xv) Im³kdkv apgIfpw(Im³kdn\p ImcWamIp¶Xv). A[nIhpw t\m¬Im³kdkvapgIfmWv. AXn Gähpw km[mcWw aÄ«n t\mUpemÀ tKmbnäÀ. henb apg ZriyamIp¶p. ssXtdmbvUv {KÙnbpsS cWvSv CXfpIfnepw [mcmfw s\mUyqÄkv(sNdnb apgIÄ) DWvSmbnhcp¶ AhØ.

aÄ«n t\mUpemÀ tKmbnäÀ (Im³kdkv AÃ)

ssXtdmbvUn\v CS¯pw he¯pambn cWvSp tem_pIÄ AYhm Zf§Ä DWvSvv. Cu tem_n\pffnepw Nnet¸mÄ hyXymk§Ä DWvSmhmw. Nne kµÀ`§fn ssXtdmbvUv {KÙn¡v icoc¯n\v Bhiyamb Afhn tlmÀtamWns\ DXv]mZn¸n¡m\pff Ignhp \ãamIp¶p.

At¸mÄ \nehnepff {KÙnbnse tImi§fpsS F®w Iq«n F§s\sb¦nepw AUvPkväv sN¿m³ {ian¡pw. A§s\ tem_v hepXmbn h¶v AXn\pffn aÄ«n¸nÄ s\mUyqfpIÄ cq]s¸Sp¶ Hcp L«apWvSv.

C§s\ {KÙn kzbw AUvPkväv sN¿pt¼mÄ BZyta DWvSmbn h¶ Nne s\mUyqÄkv \in¨pt]mIp¶p. ]pXpXmbn BÎohv s\mUyqÄkv DWvSmbns¡mtWvSbncn¡pw. AXns\ aÄ«n t\mUpemÀ tKmbnäÀ F¶p ]dbp¶p. AXmbXv ssXtdmbvUv {IamXoXambn hepXmIp¶p.

* aÄ«n t\mUpemÀ tKmbnädn\p Imem´c¯n kw`hn¡mhp¶ amä§Ä Im³kdkv AÃm¯ aÄ«n t\mUpemÀ tKmbnädn\p t]mepw \mep Xc¯nepff amä§Ä kw`hn¡mw.

* H¶vþ knkväpIÄ DsWvS¦n AXp »oUv sN¿mw. cà{kmhw DWvSmImw. AXns\ slatdPv F¶p hnfn¡p¶p.

* cWvSv þ temMv kväm³UnwKv aÄ«n t\mUpemÀ tKmbnäÀ. hÀj§fmbn \ne\nev¡p¶ aÄ«n t\mUpemÀ tKmbnäÀ. aená³kn sNbn©pWvSmImw. Im³kdkmbn amdmw.

* aq¶vþ temMv kväm³UnwKmbn \n¡p¶Xv.(\mtfsdbmbn \ne\nev¡p¶ ssXtdmbvUv apg). Ccpt¶ms« Ccpt¶ms«... F¶v AhKWn¡p¶ apgbv¡I¯v ]et¸mgpw ssXtdmbvUv tSmIvknt¡mknkv hcmw. AXmbXv ssl¸À ^Mvj³ DWvSmhmw. AXns\

sk¡³Udn ssXtdmbvUv tSmIvknt¡mknkv F¶p hnfn¡p¶p. ssXtdmbvUv tlmÀtam¬ ^Mvj³ Dbcp¶p.

ssl¸À Bbn amdp¶p.

* \mevþ {]jÀ C^Îvkv. hep¸w h¨psImWvSncn¡p¶ ssXtdmbvUv {KÙn izmk\mfnbn k½ÀZw sNep¯mw. `£Ww IS¶pt]mIp¶ \mfnbn {]jÀ sImSp¡mw. s\©n\It¯¡p hfÀ¶v C³{Sm sXmtdmkn¡mbn amdmw.

ssXtdmbvUnse knÌv

ssXtdmbvUv AUnt\maþ Im³kdkv AÃ

ssXtdmbvUv {KÙnbnse HcnXfn am{Xw apg am{Xw hcp¶ AhØ. AXmWv ssXtdmbvUv AUnt\ma. CXp Im³kdkv AÃ. ]t£ I«nbpff Hcp apgbmbncn¡pw. AXp hepXmbns¡mWvSncp¶m {]jÀ C^ISvv DWvSmIm\nSbpWvSv.

hep¸w h¨psImWvSncn¡p¶ ssXtdmbvUv {KÙn izmk\mfnbn k½ÀZw sNep¯mw. `£Ww IS¶pt]mIp¶ \mfnbn {]jÀ sImSp¡mw. kuWvSns\m¶pw amäw hcm\nSbnÃ. AXp Im³kdÃm¯ apgbmWv.

dnt{Sm tÌW tKmbnäÀ (retro sternal goiter)

ssXtdmbvUn \n¶p s\©nte¡nd§p¶ apgIÄ s\©nsâ a[y¯nepff FÃnsâ sXm«p]ndInte¡pw hfcmw. AXns\ retro sternal goiter F¶p hnfn¡p¶p.

knkvväv C³ ssXtdmbvUv ssXtdmbvUn\I¯pWvSmIp¶ knkväpIfmWv asämcp ssXtdmbvUv {]iv\w.

ssXtdmbvUnsâ Hcp CXfn\I¯pff sNdnb Hcp `mKs¯ tImi§Ä \in¡pIbpw AhnsS Hcp sNdnb iq\yØew cq]s¸SpIbpw sN¿p¶p. Npän\pw Hcp `n¯n DWvSmbncn¡pw. {Zhw \ndªp \nev¡p¶ C¯cw Hcp Imhnän¡p knkväv F¶p ]dbp¶p. CXpw ssXtdmbvUn\I¯p ImWs¸Smdpff Hcp {][m\ {]iv\amWv.knkvän\p hep¸apWvSmbm AXn \n¶p »oUnwKv(cà{kmhw)DWvSmhmw.

*NnInÕ

knkvän\pffnse {Zhw Hcp XhW kqNn sImWvSp hens¨Sp¯p Ifbmw. sN¿mw. AXv 1þ2 FwF am{Xambncn¡pw. ]t£ Nnet¸mÄ knkvän\pffn ]m¸nedn s{]mPIvvj³kv DWvSmbncn¡pw. Nnet¸mÄ AXp Im³kdkmIm\pff km[yXbpWvSv. Hcp XhW kndn©v D]tbmKn¨p hens¨Sp¯Xn\ptijw kao]Ime¯p Xs¶ hoWvSpw {Zhw \ndbpImsW¦n kÀPdn \S¯pIbmbncn¡pw KpWIcw. B knkväv am{Xw \o¡p¶XmWv DNnXw. knÌn \ns¶Sp¯ {Zhw _tbm]vvkn \S¯n AXp Im³kdkmtWm F¶p IsWvS¯mw. Nne knÌpIfpsS `n¯nbn Im³kÀ hcmw.

ChbmWp km[mcW ssXtdmbvUn hcp¶ apgIfpambn _Ôs¸«Xpw km[mcWKXnbn Im³kdn\p ImcWamIm¯Xpamb {]iv\§Ä.

X¡mew apg AhnsSbncn¡s«...

Ipg¸anÃ...!

X¡mew apg A§s\ AhnsSbncpt¶ms«...Xev¡mew {]iv\sam¶pw hcnÃ...]et¸mgpw C¯cw A`n{]mbw ]e tIkpIfnepw Nne tUmÎÀamcn \n¶pw In«mdpWvSv. sslt¸m ^Mvj\pff(tlmÀtamWpIfpsS Afhp Ipdbp¶ AhØ) ssXtdmbvUv {KÙnbmbncn¡pw AXv. AÃm¯ kmlNcy§fn apg Hcp ]cn[n¡¸pdw hfÀ¨ {]m]n¡m³ A\phZn¡mdnÃ. Im³kdkv Asæn t]mepw AXp \ne\nÀ¯mdnÃ. \o¡w sN¿pw.

IrXyamb tcmK\nÀWbw ^e{]Zamb NnInÕbpsS ASnØm\w

Im³kdkv tKmbnäÀ

ssXtdmbvUv tImi§fn Im³kÀ(A\nb{´nXamb tImihn`P\w) DWvSmbmepw ssXtdmbvUv tKmbnäÀ DWvSmhmw.

* ssXtdmbvUnse apg

þ tcmK\nÀWbw, NnInÕ

ssXtdmbvUn GXpXc¯nepff apg DWvSmbmepw AXns\ IrXyambn Ubtámkv(hnZKv[ tcmK\nÀWbw) sN¿Ww. B[p\nIhpw ^e{]Zhpamb NnInÕ IrXykab¯v kzoIcn¡Ww. AXmWp {][m\w. kzbwNnInÕbpw NnInÕ sshIn¸n¡p¶Xpw A]ISw.

* tUmÎsd kao]nt¡WvSsXt¸mÄ?

ssXtdmbvUn apg Ft¸mÄ {i²bnÂs¸«mepw `mhnbn AXp KpcpXc{]iv\§Ä¡nSbm¡p¶XmtWm AÃtbm F¶p ]cntim[n¨v Dd¸m¡Ww.

AXp ^nkntbmfPn¡Â BtWm ]t¯mfPn¡Â BtWm, {]iv\ImcnbmtWm; AÃtbm, kÀPdn thtWm; acp¶psImWvSp amäm\mIptam... Cu hI Imcy§sfm¡ BZyta Xs¶ IrXyambn ]cntim[n¨dnbWw. kq£vahpw hniZhpw \ho\hpamb ]cntim[\IÄ¡p hnt[bam¡Ww.

* Bsc I¬kÄ«v sN¿Ww?

ssXtdmbvUv A\m«anbn sshZKv[yapff tUmÎÀamsc I¬kÄ«v sN¿p¶XmWv DNnXw. AhÀ¡v B[p\nI coXnbnepff ssXtdmbvUv kÀPdnbpw NnInÕbpw tcmKn¡p \evIm\mIpw.

{Kma{]tZi§fnepffhÀ P\d kÀPs\ I¬kÄ«v sN¿Ww. knänbnepffhÀ F³tUmss{It\mfPnkväns\ ImWp¶Xv DNnXw.

ChÀ tcmKw \nÀWbn¨p Ignªm {Soäv sNt¿WvSXv ssXtdmbvUv hnZKv[t\m slUv B³Uv s\¡v kÀPt\m Bbncn¡Ww.

ssXtdmbvUn Im³kÀ DsWvS¶p IsWvS¯nbm Im³kÀ NnInÕbn sshZKv[yw t\Snbn«pffXpw AXpt]mseXs¶ ssXtdmbvUv kÀPdnbn anI¨ A\p`h]mShw DffXpamb Hcp kÀP³ ikv{X{Inb \S¯p¶XmWv D¯aw.

* tcmK\nÀWb]cntim[\IÄ

ssXtdmbvUn apgIfmsW¦n AXp Im³kdkmtWm AÃtbm F¶p a\knem¡nb tijw AXn\\krXamb NnInÕ kzoIcn¡Ww.

ssXtdmbvUnse apgIÄ kÀPdnbneqsS \ot¡WvSXmtWm; AÃm¯XmtWm F¶Xpw {][m\w. apg XpSÀ¶m `mhnbn A]ISImcnbmIptam, AXp \o¡nbtijw km[mcW PohnXw km[yam¡m\mIptam... C¯cw Imcy§Ä ssXtdmbvUv hnZKv[\pambn I¬kÄ«v sNbvXp \nÝbn¡mw.

ssXtdmbvUn Hcp apg {i²bn s]«m ssXtdmbvUv hnZKv[sâ \nÀtZi{]Imcw {Iam\pkrXambn Nne sSÌpIÄ¡p hnt[bamIWw. F¦n am{Xta IrXyamb tcmK\nÀWbw km[yamIq. FÃmbvt¸mgpw ^e{]Zamb NnInÕbpsS ASnØm\w IrXyamb tcmK\nÀWbw Xs¶. AXn\p Nne {Ia§fpWvSv.

ssXtdmbvUnsâ ^Mvj³ sSÌv, FIvkv td, AÄ{SmkuWvSvv, FwBÀsF... F¶n§s\ ssXtdmbvUv tcmK\nÀWb¯n\p hnhn[ ]cntim[\mcoXnIÄ \nehnepWvSv.

Hmtcm¶n\pw AXntâXmb BhiyIXbpWvSv. FÃm tcmKnIfnepw FÃmbvt¸mgpw Htc tcmK\nÀWbkwhn[m\aà D]tbmKs¸Sp¯p¶Xvv.

^Mvj³ sSÌpw ssXtdmbvUv kvIm\pw

ssXtdmbvUv{KÙnbnse tlmÀtamWnsâ ^Mvj³ hniIe\w sN¿p¶p. AXmbXv tlmÀtamWnsâ DXv]mZ\¯n DWvSmIp¶ Gä¡pd¨nepIÄ IsWvS¯m\pff ]cntim[\bmWnXv. AXmWv BZyw ]cntim[\bv¡p hnt[bam¡p¶Xv. cà]cntim[\bneqsS AXp km[yamWv.

sslt¸m ssXtdmbvUnktam ssl¸À ssXtdmbvUnktam DtWvSm F¶p ]cntim[n¨v Dd¸phcp¯Ww. tamÀt^mfPn¡en(LS\m]cambn) Akzm`mhnIXzw H¶pansöp XoÀ¨s¸Sp¯nbm sslt¸m ssXtdmbvUnkambn«p {_m³Uv sNbvXv AXn\pff tlmÀtam¬ dot¹kv sN¿pw.

ssl¸À ssXtdmbvUnkapff(ssXtdmbvUv tlmÀtam¬ Bhiy¯nepw A[nIambn DXv]mZn¸n¡s¸Sp¶ AhØ) kmlNcy§fn Nnet¸mÄ

apgIÄ DWvSmhmw. AXpXs¶ cWvSphn[w

1. tkmfnädn s\mUyqÄþ Nnet¸mÄ Hcp s\mUyqÄ am{Xw hepXmbn«v AXp ssl¸À ^Mvj\mbn amdp¶p.

2. {KÙn sam¯ambn hepXmbpw ssl¸À ^Mvj³ DWvSmImw.

ssl¸À ssXtdmbvUnkamsW¶p IWvSp]nSn¨m ssXtdmbvUv kvIm³ BhiyapWvSv.

HcnXfn am{Xta Cu ssl¸À BÎnhnän

Dtffm AtXm FÃm `mK¯paptWvSm F¶dnbm\mWp kvIm³. kvIm³ dnt¸mÀ«nsâ ASnØm\¯n NnInÕmhn[n \nÝbn¡pw.

tdUntbm BÎohv AbUn³ shbn\n Ip¯nh¨tijw {]tXyI ImadbpsS klmbt¯msS \S¯p¶ ]cntim[\bmWp ssXtdmbvUv kvIm³. (ssXtdmbvUv {KÙnbpWvSm¡p¶ tlmÀtamWpIfpsS ASnØm\w AbUn³ BWtÃm.)

tdUntbm BÎohv AbUn³ ]pds¸Sphn¡p¶ tdUntbj³ ]nSns¨Sp¡p¶ ImadbpsS klmbt¯msSbmWv kvIm³ \S¯p¶Xv. cà¯n \n¶v ssXtdmbvUv {KÙn F{Xam{Xw tdUntbm BÎohv AbUn³ BKncWw sNbvXpsh¶v IsWvS¯p¶p. AbUn³ AeÀPn DffhÀ¡p sSIvs\änbw ]Icw \evIn kvIm\nwKv \S¯p¶p.

ssXtdmbvUv {KÙnbn kw`hn¨ amä§Ä Im³kdkv BtWm AtXm ssl¸À ^MvjsâbmtWm, FÃm apgIfnepw Im³kÀ _m[n¨n«ptWvSm...Fs¶ms¡ IsWvS¯m³ klmbIamb sSkvämWnXv. ssXtdmbvUv {KÙnbpsS BIrXn, hep¸w, Øm\w Ch IrXyambn \nÀWbn¡mw.

Nn{Xie`¯nsâ BIrXnbn ssXtdmbvUv {KÙn

icoc¯nse an¡ Ahbh§fpsSbpw {]hÀ¯\w \nb{´n¡p¶ {KÙnbmWp ssXtdmbvU.v a\pjyicoc¯nse F³tUmss{I³ {KÙnIfn (A´:{kmhn {KÙn) Gähpw {][m\s¸«XmWp ssXtdmbvUv. Nn{Xie`¯nsâ BIrXnbnepff {KÙn. Igp¯n\p ap¶n kz\t]SI¯n\p sXm«pXmsg ØnXn sN¿p¶p. icocw DuÀPw D]tbmKs¸Sp¯p¶Xnsâ \nc¡ns\ ssXtdmbvUv {KÙnbpsS {]hÀ¯\§Ä kzm[o\n¡p¶p.

F³tUmss{I³ F¶Xnsâ AÀYw UÎv (\mfn) CÃm¯Xv F¶mWv. an¡hmdpw FÃm {KÙnIfpw DXv]mZn¸n¡p¶ {kh§sf ]pdt¯¡v Hgp¡ns¡mWvSp t]mIm³ \mfnIfpWvSv. F¶m A¯cw \mfnIfnÃm¯ CÃm¯ {KÙnIÄ¡p s]mXpthbpff t]cmWv F³tUmss{I³ {KÙnIÄ. C¯cw {KÙn DXv]mZn¸n¡p¶ tlmÀtamWpIÄ cà¯nte¡p t\cn«p Iecp¶p. ssXtdmbvUv, ]näyq«dn, A{Un\ XpS§nbhbpw B KW¯n s]Sp¶p.

* ssXtdmbvUv F¶m kwc£Ww

ssXtdmbvUv F¶ hm¡nsâ AÀYw joÂUv AYhm s{]m«Ivvj³ (kwc£Ww) F¶mWv. icoc¯nsâ FÃmhn[¯nepapff hfÀ¨, icoc¯nsâ hnhn[ ssZ\wZn\ {]hÀ¯\§Ä, _nFwBÀ (t_k saämt_mfnIv tdäv þ hnhn[ Ahbh§fpsS {]hÀ¯\¯n\p ssZ\wZn\w sNehmIp¶ DuÀP¯nsâ tXmXv), A\p\nanjapff imcocnIamä§Ä Chsb \nb{´n¡p¶Xn ssXtdmbvUv {KÙn DXv]mZn¸n¡p¶ tlmÀtamWpIÄ¡p kp{][m\ ]¦pWvSv.

en¸nUv saät_mfnkw, ImÀt_m sslt{Uäv saät_mfnkw F¶nhsb Dt¯Pn¸n¡p¶p. ssXtdmbvUv tlmÀtam¬ FÃmhn[ imcocnI {]hÀ¯\§sfbpw \nb{´n¡p¶p. hnhn[ imcocnI{]hÀ¯\§fpsS Xmfw \nb{´n¡p¶Xn ssXtdmbvUn\p {][m\ ]¦pWvSv. ssXtdmbvUv {KÙnbnse BtcmKy{]iv\§Ä AXpsImWvSp Xs¶ ASnb´c]cnKW\ AÀln¡p¶p.

hyànbpsS kz`mhhpw s]cpamäcoXnIfpw \nb{´n¡p¶ {KÙnbmWp ssXtdmbvUv. tZjyw, XtâSw XpS§nbhsbÃmw ssXtdmbvUnsâ {]hÀ¯\s¯ B{ibn¨ncn¡p¶p. NnecpsSsb¦nepw tZjy¯n\p ]n¶n ssl¸À ssXtdmbvUnkamImw.(ssXtdmbvUv tlmÀtam¬ DXv]mZ\w IqSp¶ AhØ). ssXtdmbvUv {KÙnbnepWvSmIp¶ ssXtdmbvUv tlmÀtamWpIfmWp icoc¯nsâ saät_mfnIv knkväw(icoct]mjWw) sam¯w \nb{´n¡p¶Xvv.

aäp ]e {KÙnIfpsSbpw {]hÀ¯\w \nb{´n¡p¶Xpw ssXtdmbvUv tlmÀam¬ Xs¶.t_k saät_mfnIv tdäv \nb{´n¡p¶Xp ssXtdmbvUv tlmÀtam¬ BbXn\m AXnâ Afhn hyXnbm\apWvSmbm _p²n]cambpw imcocnIhpamb hyXymk§Ä DWvSmIpw.

GXhØbnepff hfÀ¨bv¡pw ssXtdmbvUv tlmÀtamWpIÄ BhiyamWv. hfÀ¨bpsS hnhn[ L«§fn DWvSmIp¶ FÃm¯cw amä§tfmSpw icocw s]mcp¯s¸Sp¶Xn\p ssXtdmbvUv tlmÀtamWnsâ BhiyIXbpWvSv.

KÀ`Øiniphn\pw \hPmXiniphn\pw Iuamc{]mb¡mÀ¡pw sNdp¸¡mÀ¡pw KÀ`nWnIÄ¡pw ssXtdmbvUv tlmÀtam¬ Ahiyw. sslt¸m ssXtdmbvUnkhpw(ssXtdmbvUv tlmÀtam¬ DXv]mZ\w Ipdbp¶ AhØ) hÔyXbpw X½n _ÔapffXmbn Nne ]T\§Ä kqNn¸n¡p¶p. {]mbt`Zsat\y GsXmcmÄ¡pw ssXtdmbvUv tlmÀtamWpIÄ Ahiyw.

ssXtdmbvUv tlmÀtamWpIÄ

ssXtdmbvUv {KÙnbpambn _Ôs¸«p {][m\ambn aq¶p tlmÀtamWpIfmWpffXv.

H¶v: Sn 3 AYhm ss{S AbtUm ssXtdm\n³. BÎohmbpff ssXtdmbvUv tlmÀtam¬.

cWvSv: Sn 4 AYhm ssXtdmIvkn³.

CXv Sn 3 Bbn amdnb tijta BÎohmIq.

aq¶v: ImÂkntSmWn³. ssXtdmbvUn\pffn ImWs¸Sp¶ ]mcm t^mfn¡pemÀ F¶dns¸Sp¶ tImi§fmWv ImÂkntSmWn³ DXv]mZn¸n¡p¶Xvv.

AbUn³ Ipdª `£Ww Ign¡p¶ KÀ`nWnIfn ssXtdmbvUv tlmÀtamWnsâ DXv]mZ\w Ipdbp¶p. ]et¸mgpw CXp \hPmXinip¡fn ssXtdmbvUv tlmÀtamWpIfpsS Afhp Ipdbp¶Xn\p ImcWamIp¶p. AXns\ tIm¬sP\nä sslt¸m ssXtdmbvUnkw F¶p hnfn¡p¶p.

P\\tijw bYmkabw ssXtdmbvUv tlmÀtam¬ k¹nsaâpIÄ \evInbnsæn AXv Ipªnsâ hfÀ¨ apcSn¡p¶Xn\nSbm¡pw. Cu AhØbmWp {I«n\nkw. imcocnIhpw am\knIhpamb hfÀ¨ apcSn¡pw. Xet¨mdnsâ hfÀ¨bpw hnImkhpw XSks¸Sp¶p. Cu AhØbnepff Ip«nIÄ¡p s]m¡w Xosc Ipdhmbncn¡pw.

KÀ`Øiniphnsâ Xet¨mdnsâ hfÀ¨bv¡pw ssXtdmbvUv tlmÀtamWpIÄ Ahiyw. ImÀUntbm hmkvIpemÀ knkväw, tI{µ\mUohyhØ, {]XypXv]mZ\ hyhØ F¶nhbpsS Imcy£aamb {]hÀ¯\s¯bpw ssXtdmbvUv tlmÀtamWpIÄ kzm[o\n¡p¶p.

ssXtdmbvUv tcmK§Ä

ssXtdmbvUv tlmÀtamWpIfpsS DXv]mZ\¯nse Gä¡pd¨nepIÄ aqehpw(^MvjWÂ), {KÙnbpsS LS\m]camb hyXnbm\w aqehpw(]t¯mfPn¡Â)ssXtdmbvUn {]iv\§Ä DWvSmIp¶p.

1. ssXtdmbvUv {]iv\§Ä þ ^MvjWÂ

* sslt¸m ssXtdmbvUnkw

* ssl¸À ssXtdmbvUnkw

2. ssXtdmbvUv {]iv\§Ä þ ]t¯mfPn¡Â

3. ]eXc¯nepff apgIÄ (Im³kÀ _m[n¨Xpw AÃm¯Xpw)

4. imcocnIhfÀ¨bpsS L«¯n IpamcoIpamc³amcn DWvSmIp¶ ^nkntbmfPn¡Â tKmbnäÀ.

sslt¸m ssXtdmbvUnkw

ssXtdmbvUv tlmÀtamWpIfpsS Afhp Ipdbp¶ AhØbmWp sslt¸m ssXtdmbvUnkw. ssZ\wZn\{]hÀ¯\§Ä¡v Bhiyamb Afhn ssXtdmbvUv tlmÀtam¬DXv]mZ\w \S¡m¯ AhØ.

*e£W§Ä:

£oWw, apSnsImgn¨nÂ, BÀ¯hN{I¯nepff hyXymkw, AanXcà{kmhw,

h®w hbv¡Â , apSnbpsS I\w Ipdªp apSn s]m«nt¸mIp¶ AhØ, NÀa¯n hcĨ, kÔnthZ\, Un{]j³ XpS§nb e£W§Ä {]ISamIp¶p.

*ImcWw:

AbUnsâ IpdhmWp sslt¸m ssXtdmbvUnk¯nsâ {][m\ ImcWw.

ssXtdmbvUv tlmÀtam¬ Xosc¡pdbp¶ ØnXn A]ISIcw. {ZpXKXnbnepff lrZbanSn¸v, s\©pthZ\ F¶nh A\p`hs¸«m F{Xbpw s]s«¶p tUmÎsd I¬kÄ«v sN¿Ww.

*NnInÕmcoXn:

sslt¸m ssXtdmbvUnkapffhcpsS ssXtdmbvUv tlmÀam¬ Afhv FÃm amkhpw IrXyambn ]cntim[n¡pw.

Gä¡pd¨nepIÄ hniIe\w sN¿pw. tlmÀtam¬ Afhnse Gä¡pd¨nepIÄ ]cnKWn¨mWp k¹nsaâpIÄ \evIp¶Xv.

FÃm ssXtdmbvUv tcmKnIÄ¡pw tlmÀtam¬ k¹nsaâvkv sImSp¡p¶Xv Htc AfhneÃ. Hmtcmcp¯cpsSbpw dnt¸mÀ«v ]Tn¨v IrXyamb tXmXn Bhiyamb F®w Sm_vvseäpIÄ \evIp¶p. tlmÀtam¬ Afhp t\mÀa sehen F¯n¡p¶Xn\v Bhiyamb tXmXn am{Xw k¹nsaâpIÄ \evIp¶p. AXn\m Hcn¡epw ssl¸À(tlmÀtam¬ DXv]mZ\w AanXamhnÃ)BInÃ. sslt¸m ssXtdmbvUnk¯n\p NnInÕ tXSp¶Xnsâ ]mÀiz^eambn ssl¸À ssXtdmbvUnkw DWvSmInÃ. ]eÀ¡pw adn¨pff [mcWbpWvSv. AXv AhmkvXhw.

]n¶oSp hÀjw tXmdpw tlmÀtam¬ ]cntim[\ XpScWw. aäp acp¶pIÄ Ign¡p¶hÀ AXn\v Hcp aWn¡qÀ ap¼pXs¶ ssXtdmbvUv acp¶pIÄ Ign¡pI. NnInÕbneqsS tlmÀtam¬ \ne km[mcWAfhnte¡p Xncns¨¯pw.

F¶m PohnXImew apgph³ k¹nsaâpIÄ Ign¡p¶Xp XpScWw. sslt¸m ^Mvvj³ am{XamsW¦n tlmÀtam¬ k¹nsaâpIÄ kzoIcn¨v km[mcWPohnXw \bn¡mw. sslt¸m NnInÕn¨p kpJs¸Sp¯msa¶p Npcp¡w.

ssl¸À ssXtdmbvUnkw

ssXtdmbvUv tlmÀtamWpIÄ {IamXoXambn DXv]mZn¸n¡s¸Sp¶ AhØbmWp ssl¸À ssXtdmbvUnkw. HmhÀ BÎohv ssXtdmbvUv. ssl¸À ssXtdmbvUnkw cWvSphn[w.

1. ss{]adn ssl¸À ssXtdmbvUnkw

ssXtdmbvUnse GsX¦nepw Hcp CXfnse s\mUyqÄ am{Xw ssl¸À ^Mvj³(ssXtdmbvUv tlmÀtam¬ DXv]mZ\w IqSp¶ AhØ) Bbn amdp¶ AhØ. F¶m ssXtdmbvUv

{KÙn sam¯ambn ssl¸À ^Mvj³ Bbn amdp¶nÃ. AXmWp ss{]adn ssl¸À ssXtdmbvUnkw.

2. t{Khvkv tcmKw

{KÙn sam¯ambpw ssl¸À ssXtdmbvUmbn amdmw. A§s\ kw`hn¡pt¼mÄ \nch[n imcocnI {]XymLmX§Ä {]ISamIp¶p. DZmlcWambn I®v apt¼m«p Xffpw. ssI hndbv¡m³ XpS§pw. \m¡p hndbv¡pw. ssI AImcWambn hnbÀ¡pw. kv{XoIÄ¡p amkapd CÃmsX hcpw. apSn sImgnbp¶ AhØ DWvSmIpw. Cu AhØbmWp t{Khvkv tcmKw.

ssl¸À ssXtdmbvUnkw: aäp ImcW§Ä

* ]näyq«dn {KÙnbpsS hfÀ¨ aqehpw ssl¸À ssXtdmbvUnkw hcmw

* sshdkv AWp_m[ aqeapWvSmIp¶ ssXtdmbvUv ho¡w

ssXtdmbvUv: ]t¯mfPn¡Â {]iv\§Ä ssXtdmbvUnse apgIÄ(SyqadpIÄ), \oÀho¡w F¶nhbmWp ssXtdmbvUn\pWvSmIp¶ s]mXphmb ]t¯mfPn¡Â {]iv\§Ä.

ssXtdmbvUnse apgIÄ

tKmbnäÀ

ssXtdmbvUnepWvSmIp¶ FÃm¯cw apgIfpsSbpw s]mXphmb t]cmWp tKmbnäÀ. GXp ImcWw sImWvSp ssXtdmbvUnsâ hep¸w IqSnbmepw AXns\ tKmbnäÀ F¶p hnfn¡mw. 80 iXam\w BfpIfnepw DWvSmIp¶ ssXtdmbvUv apgIÄ Hät\m«¯n¯s¶ Xncn¨dnbm\mIpw.

]t£, Xosc Dffn sNdpXmbn Bcw`n¡p¶ apgIÄ {]mcw`L«¯n ]et¸mgpw ]pdta Xncn¨dnbm\mInÃ. hfsc \ofw Ipdª Igp¯pffhcpWvSv, \ofwIqSnb Igp¯pffhcpWvSv, imcocnIambn XSn¨hcpWvSv, saenªhcpWvSv. Cu hyXykvXXbmWv AXn\p ImcWw.

* tKmbnäÀ ]eXcw

^nkntbmfPn¡Â tKmbnäÀ

Iuamc¯n kw`hn¡p¶ ssXtdmbvUv skzÃnwKv(ssXtdmbvUnsâ hep¸w IpSp¶ AhØ).

Iuamc¯nse hfÀ¨bpsS L«w Ignbpt¼mÄ ssXtdmbvUnsâ hep¸w km[mcW t]mse t\mÀa Bbn amdpw.

12þ14 hbkn s]¬Ip«nIÄ EXpaXnIfmIpt¼mÄ ssXtdmbvUv hepXmIpw. hfÀ¨bpsS B {]mb¯n ssXtdmbvUv tlmÀtam¬ Gsd AXymhiyw. Iptd \mft¯¡p {KÙn DbÀ¶ Afhn tlmÀtamWpIÄ DXv]mZn¸n¨p XpS§pw. ]n¶oSp {Iaamb BÀ¯h¯nte¡v F¯p¶tXmsS ssXtdmbvUv ]gb hep¸¯nte¡p Npcp§p¶p.

B¬Ip«nIÄ {]mb]qÀ¯nbmIp¶Xv km[mcW 14þ15 hbtkmsSbmWv. imcocnIhfÀ¨bpsS kabw. Cu {]mb¯n ssXtdmbvUv {KÙn hepXmIp¶p. tlmÀtamWpIÄ A[nIambn DXv]mZn¸n¡s¸Sp¶p.

ssl¸À ssXtdmbvUnkw þ NnInÕ

ssl¸À^Mvj³ ({IamXoXamb tlmÀtam¬ DXv]mZ\w) \nb{´n¡m³ saUnkn³ sImSp¯psImWvSpff NnInÕmcoXn Gsd\m XpScm\mhnÃ.

ssl¸À ^Mvj\pffhÀ¡p acp¶v Hcp]cn[n¡¸pdw sImSp¯psImWvSncp¶m AXpXs¶ A]ISambn amdpw. AXn\m A§s\bpffhÀ¡p kÀPdnbmWv DNnXw.

ssl¸À ^Mvj\v {][m\ NnInÕ kÀPdn Xs¶. ssXtdmbvUv {KÙn \o¡Ww. ssXtdmbvUv tlmÀtam¬ k¹nsaâpsN¿m\mIpw. tlmÀtam¬ AS§nb KpfnI Ign¡m³ \evIpw. PohnXImew apgph³ tlmÀtam¬ KpfnIIÄ Ign¡Ww.

ssXtdmbvUv tcmK§Ä¡v NnInÕbmbn kÀPdn thWvSnhcpt¼mÄ IqSpX ^e{]Zhpw Imcy£ahpw dnkv¡v IpdªXpw B[p\nI kmt¦XnIkwhn[m\§Ä {]tbmP\¸Sp¯p¶Xpamb \ho\ kÀPdncoXn kzoIcn¡Ww.

Xbmdm¡nbXv: Sn.Pn.ss_Pp\mYv

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