News

@

~{ pl
x|z p Rxf l{l lMcpxY RYvN Kn lprl v

{n RlK Rp{ tno uY}p {p~z Rly K lll{x ~zx xl Rpnp r{. lyj uY}p {p~z Rly n K lll{x ~zt {p t{ {n Rlvx.

n| x ~q ~pK {p lyjxp vj x xl {n rY}j xfl RYvN Wp~xv {M[ nYY rY} vn R{Mx R[xY x. A ~q ~pK {p lyjxp l vv Wp~xvx { {|xp Rh[ t{f t {n rY}j {Ml ~pm Yx. K {Ml{zp x{pp RYvN Kn lprl  R t{x. RYvN Kn lprl v (Fatty Liver) o l ~ ~{{n {x~ R{y 20l 30l Rly lyj lyxpf K r|px tzrppf rfp [p Rll vl YzxY ~fx. zYxv K r{jl{ { {p t{ vl Yzp { ~ Yyj rY}j{z Rp{yjx Yy [p zt Rl.
{~~pv x|zl{xp ly Rz~ xY [l Yyp rn[zxp l RYvN Kn lprl K lll{x {ry nYpf R t{ r [~ Rl. Q zY ~vcxf n K Yyj r lll{xY Rn {pf Mvjx  Rl. {n RlK Rp{ tno uY}p {p~z Rly K lll{x ~zx xl Rpnp r{. WpK RlK lyj uY}p {p~z Rly K lll{x ~zt {p t{x.
{n nlvY { K lll{x p{pp vn~y l p{p rf~~ (Non Alcoholic Steatorrhoeic Hepatosis) z~px. vx Kn ~l RYv{ z~p n p{p zJ. vx r~[x 13 { y ~{pl rfN ~YDb{f [pj r{lx ~phvx ~v[ n WY ~ tnox.
RYvN Kn lprl  R t{ S` Yyp zY}j Y{Mn xpp v~ tzv {n[lx. X{pf Kn R t{f S` Yyp WY y[ zY}jxY {pp Unyx S nYj rll ~p Nnp{Y , Rr~ [xY R vx. Wx A lyK v pp y[ zY}jxY p{p Rly K ~v[ tno { lGf ~{u{x n K ~v[ R v ~{uYx.
lll{x l{y vf ryI{ rzYp WpK Rzf ~{pH ~Yp WYY ~ Yy [v qfv rvj{lx.
vx tyrl y[ lll{xY pN Wl K ~v[ tno { tyrl Yyj ~Y Rl. WpK r{lx ~phvx ~v[ vx tno  R Rly K ~v[ x{x{, nxto rtq Rply R`{p Y~ YyxY t{f vx rl  Rl.Tf Rvly{ ~y~~ nY{ n K lll{xf y [ x x. p {n nlvY{ K p{pp Wp~xv n~ Yyp Mp [pxY z~. K Mp [p RYvN Kn r{lxf tp tzrK Yyx. {~~pv ~yM [Y~ r{lxf Wx tzrp ~ Wx Sl  zh y[{zf v[ rnx.
Wl RYvN Kn Rlx l{y Yyp {n{yp t z~pv y[xf lv rYyx z~ Mn| Yypp tl pN. WpK x|z {p yf{Yf y {p z~x. RpY Kn ~ RY Yz Ry rucpx Rh Yyp z~x.
RYvN Kn ~l { v{p rn[zxp ~xzzv r v~K r [~ R YyjY {pp X{p x|z {p yf{p ly rn[zxp t{x. tno uY}p {p~z [ {p yf{ Wf {h Rn {p~  Rl. Wn rjhrY aMx{Y [l Y uY}p {p~z f ~v ~rlYv zt vf ~vcx x Yyx. A ~v Rn npf {pp r [vp p{ {p{z. p vp z~ rpvpp Knx ~ Yz rvjx { ~Zxf RlYy np Nz. uY}p {p~ Rly Kn ~l RYv lll{x RY vf K l tzr R t{ ~x x.
{Mlvpx p[Y vpv [x rn~{z rn[zxp [lln X{pn t f y{ ~pp Rz~  r{lYfx. Yzp r [vp [x [vp Rn t f xpp yn ymx. ppK {px. W r rxp [x Rx Rn xly rxp [vp vp xvf YvllY nY{. R{v {|xp Yh [vp vp {l r [vp xppf X{p nY{pp vl { Rz~ Yv. K lll{xp RYvN Kn { vf rvjY p{ x{x ~ n y[p[ [jp {vf n pRh xYl{xY zt nx.
Rhv {|xp pYf p 20l 30l Rly YzxY{l x|z |Y Ru~xY yl v R|xpv {n[lx. A ~q lv nY aMx{p Nz{Y {p Yy [v Rr~ pl. K rop rYMvxp ty{ Mn| Yyp X}x rYyn Rl. Wl {n{yxY z~ rp rp xpp x|z {p yf{p ~ Ry aMx{p Knx vGf Yyp z~x.
YxY y[ |}e
{n {yj [jzY

***

x|z t{ Rh pK R~ K r{jl{l {x

p ry ~ YzY p{ y Rpnp p R~ xK  r{jl{Yf ~p [y  R t{Y Yz[ y[ |}exp[p R~ppf zJ. K lll{x S-Yf r~j |Y{ M{z { {xpf rvjY p{ tz, lyj, v Y Rlpl nYpf ztp {l{yjx. K rtq{ R~ppf ztp lyly n~ v~zzp t{l Y{yl rv {p{f ~YxY pl. R~ y[ |}e {n{yp r{~p Rpnvf SpxN rvjY ~v {~yY v r Y pyx R~  [x y[p (3,00,000) lp zY}xY rvj n {z ~p [x y[p (2,00,000) nzY}xY rvj n, ~yM RpYl R~  [x y[p 3,00,000Y rvj n {Ml{p nYpf zJ. ~vpxp {x~ R{y 25l 60l Rly Rx[ K lll{x {hl rz {p t{ {n {Ml nY{x. |}xp v K R~ K y[ lll{x tp v {Ml {pp ~ {K { Yh ~ Rply{z. tpv K lll{x {Y{ [l  WYY. W~ r{~pp Spx Yz[ |z {n |}exY { ~. yK} tt x.
K Yz Rr { npYf v lx xpp N[{l [vpY. Rr |Y Ru~{z xpp p. Wv Yypp Rrf {z{Yl ztpp p. A ~ v p Rr Y{yl |Y {|xp x[ lll{xY p. Rl Yyjx Rr { npY v p j | Ry{zf, j [z{ Ry{zf y ry {z. Yz~xK, v[~xK { Zc { RplM[lx A Yyp S{l {z. K lll{x Rp{ Rr R~{zp v Yz~xK, v[~xK R Zc { ~yy R{|}jx Yy[pp{. vYn |yx xYl{x ~q. Wv Zc { nY R{|l{Y Wv {n |}ex ~ly Yyx.
K ~ {n{yx r{~p x|z lx ~yM ~p~mp{z R~pf ly Ru~ zt x xl x. n{~Yf rx u[xY {l R~ {p{p Ru~ zt x xl x. Rv, x[ {xv v  h{z yl v Slv x[ x. A v nxY v XJ r~{ Rp{ ly[l x. Al `rl YHYf Rn[p xv { nxY Ru~xY z~ ~zYpp t. Xt Ru~xY xnp{ pK |x Yz rvjxY npx {p x{zxY yl x xlv x. Xt Ry [pp Rly v XJ R~pfl R{| Ry ztx xl x. n{~Yf Rr  y nYY{l rpx Y xlv x. Y~ {ll Rl rzly Ryxf [v, W{ Ryxf [v yj Yf ~x { Rf {M[, v~  lly { nl Ryxf WYYy [l xlx y[ |z}Y Spx {n |}exY { |z yvpnp W~ r{~x.
ly x|z {pp ! XJ R~p yxvf Sh npp Wr. R~pf ly R{| n zt npp. Wf R~p Xtf R{| ~lf, rx xlvY t{ pRh{v zt np{ ~Yyx. l Yzxf v Wx Xtf R|M{nxY N {n |}e |z R{~p {|xp ~vf R{{n Yyx.
n|rx ~pxY

***

l{ Wpplf WY { Rl Wppl J [p

~Z Rvl|x vv {~M  cY r|YYyj {h~fpf J (Hib- vz~ Sp{p~ ) Wppl p{ . vv J (Hib) Wppl, ~xYl rpfNzpG (ra ~xc) WpplY z~ l{  rfx~ B Wppl ~v[ ~xcpx Yy Rl.
{xp Rly yz R~npxY {p vz~ Sp{p~ B (J) tYx{ ny{p ~ Yh vxp Rly R~np R Yyp {n[l y[ YyYx.
W~v, ny{p ~ {x~ R{y 5f Rh vp Rly tYxp v~}Y rfz rx (vx R{yjx Yyp rfzxp[ R{p R~np lll{xY - Bacterial Meningitis) ~np rop y[ YyxY {pp n J (Hib) x. xl rYy K y[ lll{x ~q zt pp n vv y[p[p ~xxf lpl ~rl Rly rvjxY vxp vyjxf rl N. W~v, vxp  Y[pp{p Rly tz{  t{, S[K M{zl ~ ~azp M{zl R N. l{n, Yh vxp Rly U[ xvx R~np{zp lyp WYY ~q n J (Hib) tYx{ l ~oY {p t{ K {p f p[p Rl.
r|YYyjx yl{ ~v {~yYv vp yzY}xY rvj Sl |z rvjxY J (Hib) y[ ~ x xp t{ zY ~Z ~opx R~lKpl Yy Rl. vyff n vl  Wp vcp ~Z [f{Y z~ J (Hib) R~np ~zx  t{ 2004 {~M ~ Yyj J y[ ~ ~{p rh{ rtq Roxpxp rp{  J..
l{, rfx~ B, J (Hib) y[ ~q zY{f p{ p vv p{lv r|YYyj Wppl rpfNzpG (Pentavalent) N. vv Wppl GAVI (Global Alliance for Vaccines and Immunization) ~opx ~x[x vl vv {~M  {xp ~x ~YY{z cY r|YYyj {h~fpf p{ np zJ.
vv rpfNzpG (Pentavalent) Wppl pf r{p cY r|YYyj {h~fp {x~ v~ 2, 4 ~ 6 ~KrMj ny{p ~q p{ np zJ. W~v, vZ rzx Wppl vz vl 3 n Sl Wppl ~v[v ry rv Wv R{~mN  v zt np Rl.
l{n, {x~ v~ 18  rpfNzpG Wppl 4 {p vl{ zt pnp Rly Wv {x~ Yjhx  l{ Wpplp vl{Y zt n. W~v, vv Wppl xK vl{Y zt vf Rr~ {{l  rvn {{l  SYvp Wv vl{ ztx xl t{ {n{y r{~.
2008 {~M cp{ rv{p p ~f l{ Wppl  rfx~ B Wppl vz vl{ zt [v ~q r|YYyj ~xpxf rjp ~x vpf p{ rpfNzpG zt vf x[l{x Rl. rfx~ B Wppl rv ~ n{p vl{ zt p vpf T` vl{ z~ rpfNzpG Wppl zt px xl t{ {n{yp[ Rn~x.
SpY AYpxY

***

pyYv pn S pn

x ~ {ry Yyp rn[zxp [ pyYv pn S pn t{ rMx}jxp ~pm  J. X{p ~p rn[zxp 3500Y [ rvj ~u[l{xp ~ Yyj K rMx}jx rszx  Rll ~x p lY ~zY{l to{p ly{ ~{x pnYf y~ Yrp px S t{x.
K rMx}jx ~ Y Rll lpx pzY ~ pMD yz pn ~Ktpo rMx}YxY ~ |}e {n{yxY {p r ~fpz vl Rl rMx}Y YjhxvY [ vzYl{x. X{p r{~pp Roxpxf zY Yyj rn[zxp[p ~xxf 60Yf rvj S ztp pn R~lfxY t{   R t{x. K l{ ~ ~ px lv ycY Yfxl YMxY}v Rxp ~ p{p t{l Rlvp ycY ~mp l  y {fp t{l K Roxpxp   Rl.
K lll{xf l x  Yyj Srl Yyp {n ~fpz r{~pp ~ {hf xppf R t{f vp~Y { R Yyp tzrv ~ A l R {p RlY lll{x t yf K lll{xf l x  t{x. f Rvly { S px N{ ~p RY z~ Ry [v Rx n K l Rly x  t{ {n ~fpz ..~ r{l ~{xf r{~ Rl. {n ~fpz r{~pp ~x ~v pYv WYv {z{Yf pnf xvl WYv {z{Yf R{ vl ~Zx Rp {hl lYy x  t{x.

***

[ ~vx vz v~ lp l Yr rpxp Rl {pp

[ ~vx vz v~ lp l Yr rpxp S{l {p z~ lpx rMx}Y r~Y r~[x xcp Y. K Yzx l ~ {|xp Yr rpxp r{ [J~{p ~K zY ShYhY r{p t{ X{p ~p ~Yyp zn rMx}jxY Rp{yjx Yy[p Rl.
RvYp r~{  pNn {n ~`y{f lv rMx}j {Ml{ Srl Yyp RvYN YzMx  {n rMx}j RxlpxY rMx}YxY {p {n  Yp z ~qp Yypp pYf Yr Yrr nY lpY v vpv RY {|xp l rpx vn K lll{xf l x  t{x. l ~ Yr{z RplM[l Yp K lll{xf l {p t{ l{y  Rlx K rMx}Yx r{~. Y~ l ~p ny{f [ ~vx vz v~ lp R|xpv {n[l {p ~ K Yzx l Yr rpxp Rl {p z~ rMx}Yx Szz ~.

***

~xpxY Yl{
x{x{

~vp{ S~Yz pf K n{~{z S~r~{Y p. r [ v`z [ ztp ~vp. Rnl f{vf R{ Rhrh y YY Ry[pp. A {jf Rn pK R`f  p {[. X{l YY YY YyY{p{. thYf rr~x. YzplxY {[ Rr ~x ` tj rf{Yf Rz {j. {~ {ply ~ Yyzz Rh {j p. AY ~x S~Yz p ~z{ ~ly vllx Kt{pp [x. ~ly vl zh{ rY} Yyz yy{ yyx ~ vGfv (fasting blood suger) tz[pp xv Y.
~vp{ S~Yz p[ yy yyx ~ vGfv 192mg/dl {j. ~vp RxY[ yy yyx ~ vGfv 60-110mg/dl l Rly x xl x.
yyx ~ vGfv rzpx Yypp R[p|x v[p ~{x Yyp Sp~xzp pv vpx v[p. Sp~xzp ~{x Rh { f yyx ~ vGfv S xp{.
x{x{ rop {M[ 2. {M[ 1 (Type I)  {M[ 2 (Typel II). rv {M[x (Typel I) x{x{ { {|xp {zqpp {x~ R{y 30f Rh Rxf x. W{p Rxf l Yzx ry v Sp~xzp zt x xl x. n{p {M[x (Typel II) x{x{ { {|xp {zqpp {x~ R{y 40f { Rxf x. vZ vM[xp zt [pp X}o v[p y[x rzpx Y x. pvl yyx ~ vGfv Sl RY {p f Sp~xzp zt vf ~N.
x{xN y[ zY}j.
* RY{ pp rr~x
* rf Yyp ztp vl rvjx RY v
* ty Rh v
* |y |Yx Rhv
x{x{p ~{p M]Yzp tzrK
nx: rrN Nnp{, nxto
~px: nr {v, l{z R rn Yrvf ~v, R|u[x
R~: R~ ~n Rv, Rpou{x
{Y[h: vl R~np, {Y[h x yl v.
x{x y[pf ~~ Ry-
* ~vp Urn~
Yy ~ vpv RlYyx. Y ~l Ry [v {hl q x. ry rp ~ rp{zf {h [jx. yl YY z rp zn ~z{zf {h [jx. rzly [ Yv x} vf {h ~~x. W{ lz ~ll{ lz{zf {h ~~x.
* ~KrMjxp {x xl Ry-
i) ~xv ry~ {M[- ~, Yy,  r, yf S
ii) r y~xp ~np Ry- YY, f, y~Yz, aYzG, cK, ~~z v, Rx~ K
* ~v Y xl p{p Ry-
i) rz {M[- vYj{pp, [fY, lKrz, ,YpYp, Ylyvy[
ii) r}g ol Rh W{- t, vYyz, nwz, {Ktf, Yyz, rlz
iii) l, Yr (r y~ yl), v, Yy{z, zv~~p, lly ~ vnx

~v Y xl Ry
i) op {M[- tl, Rrr, rGf, rp, YyYYp, l~, SGz
ii) Rz {M[- RMlrz, [z, Rz
iii) Kn RY Ry- yY v~, Uy v~, YY v~, lly Yvn,
tfM, v[p
iv) rzly- rrz, Y~z
{n Rp} rGRyD