स्वास्थ्य और कल्याणः टीबी, मलेरिया -...

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;qok LokLF; dk;ZØe LokLF; vkSj dY;k.k% Vhch] eysfj;k vkSj Msaxw ij dsafnzr f¶yicqd

Transcript of स्वास्थ्य और कल्याणः टीबी, मलेरिया -...

;qokLokLF;

dk;ZØeLokLF; vkSj dY;k.k% Vhch] eysfj;k vkSj Msaxw ij dsafnzrf¶yicqd

Iyku bafM;k }kjk flarcj 2011 esa izdkf'kr

d`i;k bl izdk”ku ds fgLlksa vFkok iwjs izdk”ku dks csfgpd m)`r] vuwfnr] forfjr

vkSj izsf’kr djsa c”krsZ gS fd Iyku bafM;k ds uke dk mYys[k fd;k x;k gksA

vkLVªktsusdk ;qok LokLF; dk;ZØe

;g izdk'ku ;qok LokLF; dk;ZØe] vkLVªktsusdk HkweaMyh; leqnk; fuos'k dk;ZØe gSA

*;qok LokLF; dk;ZØe* dks vius lkeus mifLFkr eqn~nksa ls fuiVus esa vlaxr ;qok yksxksa dh enn djuk] orZeku esa muds LokLF; dh j{kk djuk vkSj Hkfo"; esa csgrj thou dh mudh laHkkoukvksa dks lq/kkjuk gSA

;g dk;ZØe vkLVªktsusdk] *fn tkWu gkifdUl CywecxZ Ldwy vkWQ ifCyd gSYFk* vkSj ,d vxz.kh cky&dsafnzr fodkl laxBu Iyku baVjus'kuy dh lk>snkjh gSA

Iyku fu/kZurk ds thou ls voljksa ls ;qDr Hkfo"; dh vksj c<+us esa fo'o ds fu/kZu cPpksa dh lgk;rk djrs gq, ySfVu vejhdk] vÝhdk vkSj ,f'k;k ds 48 ns'kksa esa dk;Zjr gSA

Vhch] mlds dkj.k vkSj y{k.k

Vhch cflykb uked jksxk.kq ls gksrk gSA tc Vhch dk jksxk.kq QsQM+ksa esa ik;k tkrk gS rks mls QsQM+s dh Vhch dgrs gSaA tc ;g jksxk.kq 'kjhj ds vU; Hkkxksa ij geyk djrk gS rks bls QsQM+k&brj ;kuh ,DlVªk iYeksujh Vhch dgrs gSaA

Vhch laØfer tyh; d.kksa ds ek/;e ls QSyrk gSA FkksM+h lh ek=k esa buds lkal esa tkus ls LoLF; O;fDr dks Vhch gks ldrh gSA fQj ;g jksxk.kq jDr ds ek/;e ls 'kjhj ds nwljs fgLlksa esa tkrk gS tSls fd] xqnsZ] jh<+ vkSj efLr"d( vkSj bu fgLlksa dh Vhch gks ldrh gSA

Vhch gok esa ekStwn ikuh ds d.kksa }kjk QSyrh gSA bldk eryc ;g gS fd tc Vhch ds jksxh lkal NksM+rs gSa] [kkalrs ;k Nhadrs gSa rks V~;wcjdqys csfdykb ls ;qDr ikuh ds d.k gok esa NwV tkrs gSaA ;s utnhd [kM+s fdlh Hkh O;fDr dh lkal esa tkdj QsQM+ksa esa izfo"V gks ldrs gSaA

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Vhch ds D;k y{k.k gSa\

fdlh Hkh O;fDr esa vxj fuEufyf[kr y{k.k fn[ksa rks mls Vhch dk yxkus ds fy, vius cyxe dh tkap vkSj ,Dl&js djkuk pkfg,A Vhch dk irk yxkus ds fy, cyxe dh tkap lcls vf/kd Hkjkslsean rjhdk gSA

y{k.k

[kkalh% vxj ;g nks lIrkg rd jgrh gS vkSj O;fDr dks vius cyxe dh tkap djkuh pkfg,

cq[kkj vkuk vkSj og Hkh [kkl dj jkr dks

otu ?kVuk% [kkldj rc tc otu ?kVus ds vkSj nwljs dkj.k u gksa

Hkw[k u yxuk% [kkus dk eu u djuk

Vhch ds jksxh ds dkQh fudV jguk

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D;k Vhch dk bykt gS] blds mipkj dks D;k dgrs gS\

Vhch ds fu;a=.k dh lcls izHkkodkjh j.kuhfr gS lh/kh fuxjkuh esa laf{kIr mipkj ¼MkWV~l½A ;g mipkj ljdkjh vLirkyksa ls djk;k tk ldrk gSA

nokb;ka ysuk u jksdsaA rc rd nok ysrs jgsa tc rd Vhch ds jksxk.kq iwjh rjg ls ej ugha tkrs & pkgs vki fdruk gh vPNk eglwl u dj jgs gksa vkSj pkgs vki esa jksx ds y{k.k u fn[kkbZ ns jgs gksaA

• Vhch dh nok,a LokLF; ns[kjs[k iznkrk ds i;Zos{k.k esa 6&9 eghus rd ;k MkWDVj ds funsZ'k ds vuqlkj ysuh pkfg,A

• vfu;fer mipkj ;k dksbZ [kqjkd u ysus ls Vhch dk mipkj vf/kd tfVy gks tkrk gS D;ksafd tc Vhch ds jksxk.kq nokvksa ds izfr izfrjks/k&'kfDr fodflr dj ysrs gSaA blfy, MkDVj dh lykg ds vuqlkj nok;sa ysuk cgqr vko';d gSA

• MkWV~l mipkj dks jksdus ls jksxh dh e`R;q gks ldrh gS vkSj mls ,eMhvkj rFkk ,DlMhvkj Vhch Hkh gks ldrh gSA

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,eMhvkj vkSj ,DlMhvkj Vhch

vxj vki MkDVj dh lykg ds vuqlkj nok,a ugha ysrs rks Vhch ds jksxk.kqvksa ij dqN nokvksa dk vlj gh ugha gksxkA bldh otg ls vkidks ,eMhvkj&Vhch gks tk;sxhA bl izdkj dh Vhch dk mipkj dqN fo'ks"k nokvksa ls gh fd;k tk ldrk gSA tgka lkekU; Vhch ds mipkj ds fy, 6 ls 9 eghus rd nok,a ysuh gksrh gSa] ogka ,eMhvkj&Vhch ds mipkj ds fy, 24 ls 27 eghus rd nok,a ysuh gksrh gSaA

,DlMhvkj&Vhch dk eryc gS vR;f/kd nok&izfrjks/kh Vhch ;kuh fd ftl ij dbZ nokvksa dk vlj ugha gksrkA vkerkSj ij Vhch dk bykt pkj] igyh iafDr dh nokvksa ls gks tkrk gSA ij vxj bu nokvksa dks lgh <ax ls mi;ksx esa u yk;k tk;s ;k chp esa nok ysuk can dj fn;k tk, rks cgq&nok&jks/kh Vhch ¼,eMhvkj½ Vhch gks ldrh gSA vxj bldh nok,a Hkh chp esa jksd nh tk,a rks ,DlMhvkj&Vhch gks ldrh gSA

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lko/kkfu;ka ¼Vhch½

Vhch dh jksdFkke dk lcls vPNk rjhdk ;g gS fd Vhch dk irk yxkus ds ckn tYnh ls tYnh bldk mipkj 'kq: dj fn;k tk;sA

• MkDVj dh lykg ds vuqlkj vkSj cjkcj nok,a ysuh pkfg,A

• jksxh dks [kkaalrs] Nhadrs ;k galrs le; eqag ij fV'kw isij ;k #eky j[k ysuk pkfg,A fQj fV'kw isij dks FkSyh esa yisV dj Qsad nsuk pkfg,A #eky dks xje ikuh esa lkcqu ls jxM+ dj /kksuk pkfg,A

• jksxh ds dejs dks goknkj cukuk pkfg,A

• ;fn jksxh ds ifjokj ds lnL;ksa vkSj [kkl dj cPpksa dks fe=ksa dks 2&3 lIrkg ls vf/kd le; rd [kkalh gks rks Vhch ds fy, mudh tkap djkuk csgrj gksrk gSA

• Vhch fo'ks"k :i ls cPpksa vkSj ,pvkbZoh laØe.k ls ihfM+r yksxksa ds fy, [krjukd gksrh gSA Vhch ds jksxk.kq ls laØfer gksus ij bUgsa rRdky nokb;ksa dh t:jr gksrh gS rkfd muesa lfØ; Vhch fodflr u gksA

blds lkFk gh lQkbZ cjruk vkSj vkl&ikl dh txgksa dks lkQ j[kuk t:jh gSA vPNk iks"kd vkgkj ysuk Hkh t:jh gSA

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eysfj;k] mlds y{k.k vkSj dkj.k

eysfj;k ,d ,slk jksx gS ftlesa cq[kkj vkrk gS] daidaih gksrh gS] ¶yw tSls y{k.k fn[kkbZ nsrs gSa vkSj [kwu dh deh gks tkrh gSA eysfj;k ,d ,sls ijthoh ls gksrk gS tks laØfer ,uksfQfyl ePNjksa ds dkVus ls ,d O;fDr ls nwljs esa lapfjr gksrk gSA

eysfj;k eka ls mlds xHkZ eas iYk jgs f'k'kq dks gks ldrk gS vkSj laØfer jDr p<+kus ls Hkh gks ldrk gSA

y{k.k

[kwu dh deh

ilhuk vkuk

daidaih

fljnnZ

ihfy;k

isf'k;ksa esa nnZ

feryh vkSj mYVh

ey ds lkFk [kwu vkuk

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funku vkSj mipkj

jksxh ds fyoj vkSj Liyhu dh tkap djus ds ckn MkDVj [kwu dh tkap dk lq>ko nsrk gSA funku dh iqf"V ds fy, 6&12 ds varjky ij eysfj;k ds jDr ds uewus fy, tkrs gSaA

mipkj

eysfj;k ds ekeys esa rRdky nok nsus vkSj ns[kjs[k djus dh t:jr gksrh gSA mipkj ds fy, vke rkSj ij DyksjksDohu dk bLrseky fd;k tkrk gSA D;k fpfdRlk djuh gS ;g vkaf'kd :i ls bl ckr ij fuHkZj djrk gS fd laØe.k dgka gqvkA mipkj dsoy izf'kf{kr LokLF;dehZ ds ekxZn'kZu esa fy;k tkuk pkfg,A

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ePNjksa ds iztuu dh jksdFkke

jksdFkke

vyhZ fMVsD'ku fizosafVo VsDuhd ¼bZMhihVh½ dk mi;ksx djds vkSj ePNjksa dks ?kj ds vklikl iuius u nsdj eysfj;k dh jksdFkke dh tk ldrh gSA cpko rduhd bl izdkj gS%

• iwjs cktw ds vkSj yacs diM+s igusa rkfd vkidk vf/kdrj 'kjhj <dk jgsA

• dhV&jksf/k;ksa ¼jsiSySaV~l½ dk mi;ksx djsa ¼ij tgka NksVs cPps rFkk o`) jgrs gSa ogka lrdZrk cjrsa½A

• fo'ks"kdj 'kke ds ckn ePNj Hkxkus okyh DokbYl vkSj osij eSV~l dk mi;ksx djsaA ePNjnkfu;ksa ij ijesFkzhu ¼ikbjsFkzksbM dhVuk'kd½ yxk dj bUgsa vkSj vljdkjh cuk;k tk ldrk gSA bl rjg dh ePNjnkuh dks dhVuk'kd&mipkfjr ePNjnkuh dgrs gSaA

• tc mi;ksx esa u gks rc dwyjksa vkSj Vafd;ksa] ihiksa] Mªeksa] ckfYV;ksa vkfn esa iM+k ikuh fudky nsaA

• ?kj ls mu lHkh phtksa dks gVk nsa ftuesa viz;qDr ikuh iM+k jgrk gS ¼tSls fd xeys vkfn½A

• mu phtksa dks u dsoy vius ?kj ls] cfYd vkl&iM+kSl ls Hkh ,d= dj u"V dj nsa ftuesa ikuh tek gks ldrk gS tSls fd cksrysa] IykfLVd ds cSx] fVu] csdkj iM+s Vk;j vkfnA

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vxj gj txg tek ikuh dks gVkuk ;k iwjh rjg <duk laHko ugha gS rks funsZ'kksa ds vuqlkj ,d fyVj esa ,d feyhxzke dhVuk'kd] VsesQksl ¼vcsV czkaM½ dk mi;ksx djsaA ;g ykokZ dks fodflr gksdj o;Ld ePNj cuus ls jksdrk gSA

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Msaxw] blds dkj.k vkSj y{k.k

Msaxw ,d ,slk cq[kkj gS tks ^bZM~l bftIVkb* uked ePNj ds dkVus ds ckn Msaxw ds fo"kk.kq ls gksrk gSA bls gM~Mh&rksM+ cq[kkj Hkh dgrs gSaA

Msaxw ds y{k.k

vpkud 103&105 fMxzh QkjsugkbV ;k 39&40 fMxzh lsfYl;l rd cq[kkj gksuk tks 5&7 fnu rd jgrk gSA

rst ljnnZ ¼vf/kdrj ekFks esa½

cnu nnZ vkSj mlds lkFk vka[kksa ds ihNs nnZ

Ropk ij pdÙks mHkjuk

feryh ;k mYVh gksuk

dqN jksfx;ksa esa rhljs ;k pkSFks fnu cq[kkj de gks tkrk gS] ij og fQj ls c<+us yxrk gSA ;g t:jh ugha fd mDr lHkh y{k.k vkSj ladsr jksxh esa ekStwn gksaA chekjh ds ckn Hkh jksxh dks dkQh rdyhQ eglwl gksrh gSA

lko/kkuh cjrsa% dHkh&dHkh Msaxw ds cq[kkj ds y{k.k cgqr gYds gksrs gSaA tc mDr lHkh y{k.k] fo'ks"kdj ^Msaxw ekSle*] ekulwu ds nkSjku & tc ePNjksa dh la[;k c<+ tkrh gS & fn[kkbZ nsa rks rRdky MkDVj ds ikl tkuk pkfg,A

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Msaxw gheksjsftd cq[kkj vkSj Msaxw vk?kkr y{k.k

Msaxw gheksjst cq[kkj vkSj vk?kkr y{k.k rc gksrs gSa tc O;fDr dks igys dHkh Msaxw dk cq[kkj gqvk gS vkSj og ml cq[kkj ls izfrjf{kr gks x;k gksA Msaxw gheksjst cq[kkj vkSj Msaxw vk?kkr y{k.k vf/kdrj ?kkrd gksrs gSaA

Msaaxw gheksjsftd cq[kkj vkSj Msaxw vk?kkr y{k.k ds y{k.k ogh gSa tks Msaxw ds cq[kkj ds gksrs gSa] ij buds lkFk fuEufyf[kr y{k.k Hkh izdV gks ldrs gSa%

Ropk ij pdÙks] D;ksafd jDr /kefu;ka Ropk ds uhps QVus yxrh gSa

vka[kksa esa tyu

elwM+ksa vkSj ukd ls [kwu fudyuk

dkyk ey

feryh vkSj mYVh

cspSuh

vR;f/kd I;kl

ihyh vkSj BaMh Ropk ¼fuEu jDrpki dh otg ls½

dkQh ilhuk

Msaxw ds cq[kkj ds y{k.kksa dk vkSj xaHkhj gksuk

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mipkj vkSj jksdFkke

Msaxw gksus dk irk yxkus ds fy, fdlh Hkjkslsean iz;ksx'kkyk ls [kwu dh tkap djk;saA

Msaxw dk laØe.k 'kq: ls gh fpark dk fo"k; gksrk gS vkSj jksxh dks rRdky MkDVj dh lykg ysuh pkfg,A ;g rc [kkl rkSj ij fparktud gksrk gS tc jksxh mYVh djus yxrk gSA vxj mldh ukd] elwM+ksa vkSj Ropk ls jDr fudy jgk gS rks mls rRdky MkDVj ds ikl ys tkuk pkfg,A

mipkj

vf/kdrj okbjy ¼fo"kk.kq okys½ jksxksa dh rjg Msaxw ds cq[kkj dk dksbZ fof'k"V bykt ugha gSA ,aVhck;ksfVDl ls enn ugha feyrhA vke rkSj ij cq[kkj mrkjus vkSj tksM+ksa dk nnZ de djus ds fy, jksxh dks isjkflVkeksy nh tkrh gSA ,fLifju vkSj czwQsu tSlh ihM+kgkjh nok,a ¼isu fdylZ½ ugha nh tkuh pkfg, D;ksafd buls [kwu cgus dk [krjk vkSj vf/kd gksrk gSA

jksdFkke

• t:jh lkQ&lQkbZ dk /;ku j[k dj ?kj esa vkSj ?kj ds vklikl ePNjksa dks iuius ls jksdsaA

• iwjh ckag ds diM+s igudj vkSj ePNj Hkxkus okys ysi vkfn yxk dj ePNjksa ds dkVus ls cpsaA

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Vhch] eysfj;k vkSj Msaxw dh jksdFkke ds fy, leqnk; ds ;qokvksa dh Hkwfedk

lp dgsa rks leqnk; ds ;qok yksx gh mlds eq[; ifjorZudrkZ gksrs gSaA

Vhch

;qok vkSj cM+s yksx Vhch dh jksdFkke vkSj bykt ds ckjs esa tkx:drk vfHk;ku pykdj Vhch dks QSyus ls jksd ldrs gSa vkSj bl rjg ifjorZu ds egRoiw.kZ nwr cu ldrs gSaA

mUgsa vius ifjokj vkSj fe=ksa dks ;g tkudkjh nsuh pkfg, fd Vhch gok ds ek/;e ls QSyrk gS] blfy, Nhadrs ;k [kkalrs le; ges'kk eqag dks <d dj j[kuk pkfg,A lkFk gh vius okrkoj.k dks LoPN vkSj jgus ds LFkku dks goknkj j[kuk pkfg,A

MkWV~l mipkj ds varxZr nh tkus okyh nokb;ka gh Vhch dh ,dek= nokb;ka gSa vkSj bUgsa fudV ds LokLF; dsanz ls eq¶r izkIr fd;k tk ldrk gSA

eysfj;k vkSj Msaxw

mUgsa ;g lqfuf'pr djus ds fy, tkx:drk vfHk;ku pykus pkfg, fd gj ifjokj ljy ls dne mBk dj ikuh ,d= gksus dh txgksa dks ePNjksa ds iuius ds LFkku u cuus nsA

ftu phtksa esa ikuh tek gksrk gS mu phtksa ls ikuh fudky nsaA

tgka ikuh tek djuk iM+rk gS ogka dk ikuh fu;fer :i ls cnyrs jgsaA

Qwynkuksa vkSj ikuh okys vU; LFkkuksa dks lkQ j[ksaA

mu csdkj iM+h phtksa dks gVk nsa ftuesa ikuh tek gksrk gSA

;kn j[ksa] jksdFkke bykt ls csgrj gS vkSj FkksM+k lk Bgjk ikuh Hkh ePNjksa ds iuius dk LFkku iznku dj ldrk gSA

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Iyku bf.M;k & ,d ifjp;

Iyku bf.M;k] Hkkjr esa jftLVMZ ,d laLFkk gS tks cky vf/kdkjksa o lkeqnkf;d fodkl ds fy, dk;Zjr gSA yxHkXk 30 o"kks± ls Iyku bf.M;k o blds lgHkkfXk;ksa us iwjs Hkkjr esa txg&txg vusd leqnk;ksa ds lkFk dke fd;k gS rkfd os vkRefuHkZj@Lokoyach cu ldsaA lkFk gh cPpksa dks muds vf/kdkj fey ik,sa] ftues lqj{kk dk vf/kdkj] f'k{kk dk vf/kdkj] mfpr LokLF; lac/kh ns[kHkky] LoLFk ekgkSy] jkstxkj ds volj ,oa mu fu.kZ;ksa esa Hkkxhnkjh dk vf/kdkj 'kkfey gS ftuls cPpksa ds thou ij izR;{k izHkko iM+rk gksA ge cPpksa dks izksRlkfgr djrs gSa rkfd os vius fopkjksa dks O;Dr dj ldsa ,oa leqnk; dh fLFkfr dks lq/kkjus dh izfØ;k esa 'kkfey gks ldsaA

orZeku esa Iyku bf.M;k Hkkjr ds 11 jkT;ksa esa dk;Zjr gS vkSj blls 10 yk[k ls Hkh vf/kd cPpksa dh ifjfLFkr;ksa esa lq/kkj vk;k gSA Iyku bf.M;k dh xfrfof/k;ksa esa fo'ks"k gSa% vlqjf{kr o detksj oxZ ds cPpksa o muds leqnk; dh ifjfLFkr;ksa esa lq/kkj ykuk] buesa lM+dksa ij jgus okys cPps] 'kgjksa esa jgus okys csÄj ifjokjksa ds cPps] 'kkfjfjd vleZFkrkvksa ;k ,pvkbZoh ls ifM+r cPps] 'kksf"kr o xSj dkuwuh rkSj ij yk;s x;s cPps] lsDl odZlZ ds cPps ,oa cky Jfed 'kkfey gSaA buds vykok ,slh yM+fd;k¡ tks T;knkÙkj leqnk;ksa esa HksnHkko dk f'kdkj gkrh gSa] mUgs ,slh izfrdwy ifjfLFkr;ksa ls ckgj fudkyus esa Iyku bf.M;k mudh enn djrk gSA

Iyku bf.M;k cPpksa ds vf/kdkjksa o mudh leku Hkkxhnkjh ds fy, iwjh rjg ls lefiZr gSA ge leqnk; dh {kerkvksa dks fodflr djus gsrq dk;Z djrs gSa rkfd os Loa; Hkh fodkl ds nwljs rjhdksa ls lh[k ysdj viuh t:jrksa dks Loa; iwjk dj ldsaA

Iyku bf.M;k] Iyku bUVjus'kuy dk ,d fgLlk gSA Iyku bUVjus'kuy nqfu;k dh lcls cM+h lkeqnkf;d fodkl laLFkkvksa esa ls ,d gSA Iyku bf.M;k ,d ,slh nqfu;k dh ifjdYiuk ds izfr iz;kljr gS] ftlesa cPps viuh iwjh laHkkoukvks vkSj ;ksX;rkvksa dks ,sls lekt esa fodflr dj lds tgka yksxksa ds vf/kdkjksa o xfjek dk lEeku gksA

vLohdj.k

**;g lkexzh dsoy vke yksxksa esa tkx:drk iSnk djus ;k mudh tkx:drk dks c<+kus ds fy, gSA blesa dksbZ mipkj lEcU/kh ekxZ&funsZ'k ugha fn, x, gSaA bl lkexzh ds vk/kkj ij lykg u nsa vkSj dksbZ flQkfj'k u djsaA bls vius fu.kZ;ksa ;k dkjZokb;ksa dk vk/kkj u cuk;saA dksbZ Hkh dkjZokbZ djus ls igys bl lkexzh ;k fo"k;&oLrq esa nh x;h fdlh Hkh leL;k ds fy, mi;qDr LokLF;dehZ ;k MkWDVj dh lykg ysaA bl lkexzh ds ckjs esa ge vfHkO;Dr vFkok ;k fufgr :i esa u rks dksbZ vk'oklu nsrs gSa] u çfrfuf/kROk djrss gSa vkSj u gh dksbZ opu nsrs gSa ¼bl lkexzh ds fdlh fo'ks"k mn~ns'; ds fy, fcuk fdlh lhek ds] lkef;drk] lVhdrk] iw.kZrk ;k mi;qDrrk vkfn ds laca/k esa ;k bl laca/k esa fd bl lkexzh ds mi;ksx ds ifj.kke =qfVghu vkSj fo'oluh; gksaxs½A

bl lkexzh ;k fo"k;&oLrq dks vLV~jktsusdk QekZ bfUM;k fyfeVsM ;k mlds 'ks;jksa ;k fQj çfrHkwfr;ksa ¼lhD;ksfjVhl½ esa dksbZ fuos'k ;k vU; dkjksckj djus ds fy;s vkea=.k ugha le>k tk,xkA**

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