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Pj+ UofF:6«f]OG6]:6fOgn ;h{g k|f=8f= /d]z l;+x e08f/Lsf] g]t[Tjdf sn]hf]

k|Tof/f]k0f x'g]5 . o;cl3 eQmk'/l:yt zxLb wd{eQm /fli6«o k|Tof/f]k0f

s]Gb|n] sn]hf] k|Tof/f]k0f ;]jf z'? ub}{ cfPsf] 5 . s]Gb|df clxn];Dd #

hgfsf] sn]hf] k|Tof/f]k0f eO;s]sf] 5 .

l;sn;]n Plgldofsf] lgMz'Ns hfFr

e]/L c~rn c:ktfnn] l;sn ;]n Plgldof lgMz'Ns k/LIf0f z'? u/]sf]

5 . o;cl3 c:ktfnn] l;sn;]n k/LIf0fsf nflu k|ltJolQm Ps xhf/

?lkofF z'MNs lnFb} cfPsf] lyof] .

%) k|ltzt cf}iflw pkTosfdf vkt

g]kfndf jif]{gL #^ ca{sf] cf}iflw vkt x'g] cf}iflw Joj:yf ljefun]

hgfPsf] 5 . To;dWo] %) k|ltzt cf}iflw pkTosfdf vkt x'G5 . To;df

$% k|ltzt cf}iflw g]kfnL pBf]ux?n] wfg]sf 5g\ . xfn ljefudf @! xhf/

cf}iflw k;n btf{ /x]sf] ljefusf] tYof+s 5 .

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;fpg @)&% • hg:jf:Yo ;/f]sf/ • 13


Go"h ckm b dGy

8f= s]=;L=n] ?Fb} eg]—…;xdlt sfof{Gjog u/Ú

d'n'ssf] lrlsT;f lzIff ;'wf/sf] dfu /fVb} cfPsf lq=la=lzIf0f

c:ktfnsf jl/i7 cyf]{k]l8s ;h{g k|f=8f= uf]laGb s]=;L=n] cfkm";Fu

ePsf] ;xdlt sfof{Gjogdf Nofpg ;/sf/sf] Wofgfsif{0f u/fPsf 5g\ .

!% cf}+ k6ssf] cg;gsf qmddf la/fdL ePsf s];Ln] cfkm" c:ktfnaf6

l8:rfh{ x'g] qmddf JolQmut?kdf kqsf/x?nfO{ af]nfP/ ?Fb} pgn] cfkm";Fu

ePsf ;Demf}tf sfof{Gjog ug{ ;/sf/nfO{ cfu|x u/]sf x'g\ . !# lbg;Dd

lq=lj=lzIf0f c:ktfndf pkrf/ kl5 ;fpg @@ ut] pgL c:ktfnaf6

l8:rfh{ ePsf lyP .

pgn] kqsf/x?nfO{ lbPsf] lj1KtLdf eg]sf 5g\—…lrlsT;f lzIff

P]g;DaGwLafx]s s0ff{nL :jf:Yo lj1fg k|lti7fgsf] sfd cl3 a9fpg

sfo{bn agfpg] tyf hfFra'em cfof]un] bf]ifL 7x/\ofPsf kbflwsf/Lx?nfO{

sf/afxL ug]{ nufot ;Demf}tfsf afFsL ^ a'Fbfx?nfO{ tTsfn sfof{Gjogdf

n}hfg ;/sf/sf] Wofgfsif{0f u/fpg rfxG5f}+ .Ú

cfkm";Fu ePsf] ;xdltnfO{ ;/sf/n] cIf/; sfof{Gjog ug]{ k|ltj4tf

hgfPsf] k[i6e"lddf lrlsT;s lzIff P]g lz3| hf/L x'g] ljZjf; lnPsf]

8f= s]=;L=sf] egfO lyof] . cfkm\gf] cg;gaf6 h'Dnfnufot d'n'ssf w]/}

c:ktfnx?af6 la/fdLn] pkrf/ kfpgaf6 al~rt ePsf] eGb} /f]Psf lyP .

pgL ?Fb} ubf{ sltko eGb} lyP—…/fhgLlts 3';k}7jLgf olb 8fS6/ uf]ljGb

s]=;L=n] g]kfnsf] d]l8sn lrlsT;f lzIffnfO{ /fd|f] xf];\ eGg] rfxgf

/fVg'ePsf] xf] eg] /f]P/ xf]Og xfF;]/ clg 86]/ cfkm\gf] kIfdf ;a}nfO{ ;dflxt

u/]/ dg lht]/ sfd ug'{k5{ .Ú

pkTosfdf !) jif{ d]l8sn sn]h vf]Ng gkfOg], cfzokq lnO{ k"j{fwf/

agfPsf sn]hnfO{ ;/sf/n] lsGg ;Sg], pkTosf aflx/ hfg rfx]df k|f]T;fxg

;'ljwf lbOg], Pp6f ljZjljBfnon] % eGbf a9L d]l8sn sn]hnfO{

;DaGwg glbg], d]l8sn sn]hx¿n] &% k|ltzt 5fqj[lQ lbg'kg{]nufotsf

( a'Fb] ;Demf}tfkl5 @& lbgsf] cfd/0f cg;gkl5 ut ;fpg !) ut] 8f=

s]=;L=n] c;g tf]8]sf lyP .

;xdltcg';f/ ca !) jif{;Dd pkTosfdf gofF sn]h vf]n\g] cfzokq

k|bfg ul/g]5}g . t/ o;cl3 g} cfzokq k|fKt u/L k"j{fwf/ tof/L ul/;s]sf

sn]hsf xsdf eg] ;/sf/n] d'cfAhf lbP/ lsGg ;Sg] vfnsf] ;xdlt

ePsf] lyof] . To:tf sn]hn] ;/sf/nfO{ laqmL gug{] t/ pkTosfeGbf aflx/

hfg rfx]df ;/sf/n] k|f]T;fxg ;'ljwf pknAw u/fpg] u/L lrlsT;f lzIff

ljw]os ;+zf]wg ug{] ;xdlt ePsf] lyof] .

…of] P]g k|f/De ePsf] ldltn] !) jif{;Dd sf7df8f}+, nlntk'/ / eQmk'/

lhNnfdf d]l8sn, 8]G6n / gl;{ª ljifodf :gfts sfo{qmd ;~rfng

ug{sf nflu lzIf0f ;+:yf :yfkgf ug{ cfzo kq k|bfg ul/g]5}g’ ;xdltdf

5 . t/ cfzokq k|fKt u/L k"j{fwf/ k"/f u/]sf lzIf0f ;+:yfsf xsdf

…;DalGwt lzIf0f ;+:yfn] ;/sf/nfO{ ;DklQ x:tfGt/0f ug{ rfx]df

g]kfn ;/sf/n] plrt d'cfAhf lbO{ :jfldTj u|x0f ug{ ;Sg]5,’ ;xdltdf

elgPsf] 5, …o:tf lzIf0f ;+:yfn] cfof]un] k|fyldstf tf]s]sf If]qdf

:yfgfGt/0f ug{ rfx]df g]kfn ;/sf/n] k|f]T;fxg ;'ljwf pknAw u/fpg]5 .’

;xdltcg';f/ o;cl3 cfzokq kfPsf dgdf]xg d]l8sn sn]hnufotn]

ca !) jif{;Dd klv{g'kg{]5 . geP ;/sf/nfO{ a]Rg jf ;/sf/af6 ;'ljwf

lnP/ pkTosfaflx/ hfg ;Sg]5g\ .

Pp6f ljZjljBfnon] % eGbf a9L d]l8sn sn]hsf nflu ;DaGwg glbg]

;xdlt ePsf] 5 . o;cl3 g} ;DaGwg lbO;s]sf lzIf0f ;+:yfdf eg] of]

k|fjwfg nfu" x'g] 5}g . sf7df8f}+ aflx/ vf]Ng] lzIf0f ;+:yfsf nflu ca

aGg] lrlsT;f lzIff cfof]un] gLlt lgd{f0f u/L lg0f{o u/]adf]lhd x'g] pNn]v

5 .d]l8sn sn]hx¿n] &% k|ltzt 5fqj[lQ lbg'kg{] / of] ;'ljwf j[l4 ub{}

n}hfg'kg{] klg ;xdlt ePsf] 5 . d]l8sn sn]h ;~rfng ug{]x¿n] tLg

jif{;Dd cfkm\g} c:ktfn ;~rfng u/]sf] x'g'kg{]5 .

!) nfv Ifltk"lt{ lbg cfb]z

;jf]{Rr cbfntn] vf]k nufpg] qmddf ;/sf/L lgsfoaf6 nfk/afxL ubf{

Hofg u'dfPsf rf/ afnaflnsfsf kl/jf/nfO{ hgxL !) nfv ?lkofF

Ifltk"lt{ lbg ;/sf/nfO{ cfb]z lbPsf] 5 . 8f]6Ldf gf} jif{cl3 bfb'/flj?4

vf]k nufPsf afnaflnsfsf] @$ 3G6fleq} d[To' ePsf] lyof] . pgLx¿nfO{

vf]k nufpg]lalQs} sfdHj/f], emf8fkvfnf / afGtf eO{ pgLx?sf] d[To"

ePsf] lyof] .

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 14

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Go"h ckm b dGy

cl6hdsf /f]uL a9\b} uPsf]df lrGtf

ljZjdf k|To]s %( hgf afnaflnsfdWo] Pshgfdf cl6hdsf]

;d:of b]lvP klg g]kfndf slt afnaflnsf o;af6 k|efljt 5Gf eg]

olsg tYof+s 5}g . jif{]gL !% k|ltztsf b/n] cl6hdsf /f]uL ylkFb}

uPsfdf o;sf] pkrf/sf nflu clxn];Dd /fHon] s'g} Wofg glbPsf]

;DalGwt ;/f]sf/jfnfn] atfPsf 5Gf\ . cl6hd x'g'sf] sf/0f j+zf0f'utnfO{

cfwf/ dfg] klg cem;Dd o;sf] d'Vo sf/0f kQf nfUg g;s]sf] cl6hd

s]o/ g]kfn ;f];fO6LsL cWoIf 8f= ;'gLtf dn]s' cdfTon] atfpg'eof] .

o; /f]usf] nIf0fdf aRrfn] cfFvfdf cfFvf gh'wfpg], PSn} a:g ?rfpg],

af]n]/ cfˆgf s'/f JoQm ug{ g;Sg], zAb jf jfSo bf]xf]¥ofpg] / km/s

9+uaf6 :gfo'hGo k|ltlqmofx? b]vfpg] u5{Gf . g]kfndf slt afnaflnsf

o; /f]uaf6 kLl8t 5Gf eGg] tkm{ s'g} cWoog gePsf] t/ s]G›n] ;~rfng

u/]sf ljleGg tfnLd / y]/fkLdf cfPsf afnaflnsfsf] ;+Vofsf cfwf/df

s/La tLg nfv /x]sf] s]G›sf] cg'dfg 5 . ljZj :jf:Yo ;+u7gn] ljZjsf

Ps k|ltzt hg;+Vofdf cl6hdsf] ;d:of /x]sf] cf}FNofPsf] 5 . blIf0f

sf]l/ofdf xfn} ul/Psf] Ps cWoogdf ToxfFsf @=^ k|ltzt JolQmdf

cl6hd /x]sf] kfOPsf] 5 . …cl6hd ePsf la/fdLsf nflu ;a}eGbf

k|efjsf/L pkrf/ eg]sf] pgLx?df /x]sf] sdhf]/L kIfnfO{ cy{fTf ;~rf/

/ ;fdflhs a'emfO{nfO{ Wofgdf /fvL Jofjxfl/s l;4fGtsf cfwf/df

lzIff k|bfg ug{' g} xf]’ 8f= cdfTon] eGg'eof] .cl6hdsf nflu cf}iflw

pkrf/ geP klg pgLx?df x'g] ljz]if nIf0fnfO{ pkrf/ ug{ ljleGg y]/fkL

/ cf}ifwf]krf/ 5 k|of]u ug{] eg] ;lsg] pxfFsf] egfO 5 . cl6hdsf af/]df

clxn];Dd s'g} cWoog, pkrf/ s]G›sf] Joj:yf geP klg klxnf]k6s

ckfËtf clwsf/ P]g, @)&$ df ckfËtf ePsf JolQmnfO{ !) k|sf/df

juL{s/0f u/]sfdf gjf}F :yfgdf cl6hdnfO{ ;dfj]z u/]sf] 5 .

d]l8l;6Ldf a|]i6 tyf P;f]km]u; ;Dd]ng

nlntk'/sf]] e}F;]kf6L l:yt g]kfn d]l8l;6L c:ktfndf # lbj;Lo

a|]i6 tyf P;f]km]u; ;Dd]ng ;DkGg ePsf] 5 . …pkrf/, k'g:yf{kgf /

eljiosf cfwf/x?Ú gf/f lbOPsf] ;f] ;Dd]ngdf b]z ljb]zu/L @)) eGbf

al9 SofG;/ ljz]if1 tyf /]l8of]nf]lhi6x?sf] ;xeflutf /x]sf] lyof] .

c:ktfnsf d]l8sn 8fO/]S6/ Pj+ jl/i7 UofF:6«f]OG6]/f]nf]hL ;h{g k|f=8f=

;'lgn s'df/ zdf{sf] ;lqmotfdf ;f] ;Dd]ng ePsf] lyof] . cd]l/sf l:yt

ljZjk|lz4 o]n Go' x]eg xl:k6n / g]kfn d]l8l;6L c:ktfnn] :tg /

vfgf gnLsf] SofG;/ /f]u ;DaGwdf ljZj:t/Lo ;Dd]ngsf] cfof]hgfn]

SofG;/ /f]u ljz]if1, zNolrlsT;s, lkmlhl;og, /]l8of]nf]lhi6x?n] w]/}

1fg tyf cg'ejsf] ;f6f;f6 ug]{ cj;/ kfPsf] atfPsf 5g\ . cd]l/sfaf6

8f= l8s/Dofg xf]ln:6/sf] g]t[Tjdf u|Lgljr / Pn Go' x]e]g c:ktfnsf

8f=afa{/f jf8{, 8f= a]/L af}O8\, 8f= c:jyf gf/fo0f, 8f= kpn j]6;{, / 8f=

PN;f /fl:sg h:tf ljZf]if1 6f]nLx?sf] ;Dd]ngdf ;xeflutf /x]sf] lyof] .

g]kfn d]l8l;6L c:ktfnsf cWoIf 8f= pk]Gb« dxtf]n] d'n'sdf o; k|sf/

sf] ;Dd]ngsf] 7"nf] dxTj ePsf] atfpg'eof] . pxfFn] :tg SofG;/sf]

ljZj:t/Lo pkrf/sf nflu g]kfn ;Ifd /x]sf] :ki6 kfg'{eof] . c:ktfnsf

dxfk|aGws ljho l/dfnn] SofG;/ /f]usf] hgr]tgf / pkrf/nfO{ b'/–

b/fhdf k'¥ofpg] p4]Zo k|flKtsf nflu ;Dd]n xftf]dfnf] x'g] ljZjf; JoQm

ug'{eof] .

;Dd]ng cjlwdf :tg SofG;/ / vfg]gnLsf] SofG;/sf hl6n

zNolqmofsf] g]kfn d]l8l;6L c:ktfnsf] ck/]zg lyP6/ b]lv ;Dd]ng

:yndf k|ToIf k|zf/0f ul/Psf] lyof] . h;sf dfWoodaf6 Go'of]s{ /

g]kfndf x'g] zNolqmofsf] ;dfgtf / leGgtf Pj+ k|ljlwsf] ljifodf a[xt\

cGt/lqmof ;d]t ul/Psf] lyof] . ;Dd]ngdf ;lh{sn, d]l8sn,

/]l8P;g SofG;/ ljz]if1 / SofG;/ ;+u ;DalGwt cGo ;a} ljz]if1 /

;/f]sf/jfnfsf] ;xeflutf /x]sf] lyof] .

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 16

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xf8hf]gL{ ljz]if

cTolws ult,

;8ssf] b"/fj:yf,

;8s aQLsf]

g/fd|f] cj:yf,

af6f] sf6\g] unt

tl/sf, ult /f]Sg]

unt 7fpF, uf8Lsf]

dd{t gug'{,

;8s lrGxx?sf]

x]nr]qm\ofO{+,

ysfO{, dBkfg,

dflg; / hgfj/sf]

c;fwf/0f Jojxf/

b'3{6gfsf sf/0f

cGtu{t k5{g\ .

jif]{gL ! s/f]8 ckfË

ljZj :jf:Yo ;+u7gsf cg';f/, ljZjdf x/]s lbg # xhf/

$ ;o eGbf a9L JolQmsf]] ;8s b'3{6gfsf qmddf x'g] rf]6af6

d[To' x'g] u/]sf] 5 . rf]6af6 x/]s jif{ ! s/f]8 eGbf a9L JolQm

ckfª\u x'g] u/]sf 5g\ . ;8s b'3{6gfaf6 x'g] d[To'dWo] (#

k|ltzt sd Pj+ dWod cfo ePsf b]zx? kb{5g\ .

;8s k|of]ustf{dWo] afnaflnsf, k}bnofqL,

;fOsnofqL, a[4a[4f ;a}eGbf a9L hf]lvddf 5g\ . !%b]lv

@( jif{sf] pd]/df d[To'sf] k|d'v sf/0f ;8s b'3{6gfnfO{

lnOPsf] 5 .

g]kfndf slt JolQmsf] b'3{6gfaf6 d[To' x'G5 / slt ckfË

x'G5g\ eGg] s'g} cflwsfl/t tYof+s 5}g . t/ c:ktfndf

la/fdLsf] ;+Vof eg] pNn]Vo 5 .

;8s b'3{6gfdf xftv'6\6, 6fpsfsf] rf]6, k]lNes OGh'/L,

lnDa k|m\ofS;gnufotsf w]/} rf]6 nfUg] u/]sf] kfOG5 .

6fpsfsf] rf]6 vt/gfs dflgG5 . tTsfn zNolqmof ug{

g;Sbf 6fpsf]sf rf]6 nfu]sf la/fdLx? Hofg u'dfpg k'U5g\ .

zNolqmof ;dod} eP klg zf/Ll/s ckfª\utfdf afFRg k'u]sf

la/fdLx? klg lgs} 5g\ .

cTolws ult, ;8ssf] b"/fj:yf, ;8s aQLsf]

g/fd|f] cj:yf, af6f] sf6\g] unt tl/sf, ult /f]Sg] unt 7fpF,

uf8Lsf] dd{t gug'{, ;8s lrGxx?sf] x]nr]qm\ofO{+, ysfO{,

dBkfg, dflg; / hgfj/sf] c;fwf/0f Jojxf/ b'3{6gfsf

sf/0f cGtu{t k5{g\ . ;a} pd]/sf JolQmx?df ;jf/L ;fwgsf]

rf]6k6s uDeL/ / d[To"hGo x'g;S5g\ .

;8s b'3{6gfsf lhDd]jf/ # kIf

;8ssf] cj:yf

;8sx? a}1flgs 5}gg\ . kxf8sf ;8sx? ;fF3'/f 5g\ .

b'O{j6f ;jf/L ;fwg Ps}k6s l5g{ ;Sb}gg\, u|]l8ª ldn]sf] 5}g .

;8sx? sRrL 5g\ . 3'DtLx? glhs glhsaf6 sfl6Psf

5g\ . k|foM 3'DtLx?df uf8L 3'dfpg];Dd 7fpF k'Ub}g .

;jf/L ;fwgsf] cj:yf

k|foM gofF uf8Lx? zx/sf kLr ;8sdf rN5g\ eg]

k'/fgf tyf yf]qf uf8Lx? cK7\of/f] u|fdL0f efudf rnfpg]

ul/G5 . ltg} k'/fgf / yf]qf uf8Ldf xfdL c;'/lIft ofqf ug{

afWo x'G5f}+ .

k|foM k'/fgf / yf]qf ;jf/L ;fwgx?df ;d:of cfpg] /

b'3{6gf x'g] u/]sf 5g\ . ;jf/L ;fwgsf] a|]s km]n x'g], 6fo/

km'6\g], 6fo/ lg:sg] h:tf ;d:ofn] ubf{ b'3{6gf x'g] u/]sf] 5 .

rfnssf] cj:yf

/flqsfnLg ;jf/L ;fwg k|foM Pshgf rfnssf] e/df

/fte/ u'l8/fv]sf x'G5g\ . Pshgf rfnsn] slt 306f;Dd

uf8L rnfpg ;S5 < eGg] Vofn gubf{ b'3{6gf x'g] ;Defjgf

/xG5 .

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 18

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lbg rof{ s;/L laTb} 5 <

x/]s lbg laxfg ;a]/} p7\5', 5f]6s/L Jofofd u5{' . xKtfsf]

;ft} lbg sfd ug]{ lgoldt sfo{tflnsf agfPsf] 5' . To;}n]

cfkm\gf] k]zf / sfd k|lt k"/} cSo'kfO6 5' . o;sf ;fy} cfˆgf]

l:k|Ro'cn nfOkm -cWoflTds hLjg_ df klg b[9tfk"j{s

;do latfO/x]sf] 5' .

d]/f] JolQmut

rrf{ eGbf klg

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cfkm\gf] cg'kl:yltdf la/fdLnfO{ cTofw'lgs

pkrf/ ;]jf lbg s:tf] l6djs{ 5 <

/fd|f] pkrf/ kfPkl5 pkrf/ ug]{ 8fS6/nfO{ la/fdLn] dg

k/fpg' :jefljs s'/f g} xf] . o;df d cfkm'nfO{ efUodfgL

7fGb5' . sfd ;'? u/]b]lv slxNo} klg dnfO{ sfdsf] sdL

ePg .

Ps hgfn] dfq ;a} sfd Eofpg g;Sg] ePsfn] d}n]

;'?b]lv g} l6dsf] 8]ened]G6 ub}{ cfPsf] 5' . d ;Fu sfd ug]{

8fS6/x? slDk6]G6 5g\ . a9]sf] sfdsf] ef]No'dnfO{ Psf]d]8]6

ug{ pgLx?nfO{ Kn]6kmd{df OGu]h u/fPsf] 5' . d]/f] l8kf6{d]G6df

dfq clxn] !( hgf cyf]{k]l8s ;h{g x'g'x'G5 . cf–cfˆgf]

OR5f cg';f/sf] l;kdf ;a} cAan x'g'x'G5 . xfdLn] ;/n

tyf w]/} hl6n lsl;dsf la/fdLx?nfO{ pkrf/ ;]jf lbg]

Pp6f /fd|f] KNof6kmd{ agfPsf 5f}F . la/fdLsf] /fd|f] pkrf/df

Pp6f l;:6dsf] ljsf; eO;s]sf] 5 . d gePsf] v08df klg

l6dsf cGo 8fS6/x?Nf] d}n] eGbf /fd|f] ;]jf lbg ;Sg'x'G5 .

xfdL;Fu xf8hf]gL{;DalGw hg/n ;le{;b]lv 6«df cGtu{t

;a:k]znfOh :kfOg, :kf]6{;\ d]l8l;g, XofG8 ;le{;,

k]l8ofl6«s cyf]{k]l8s, cfyf]{Knfli6s nufotdf w]/} ;]jf lbg]

cyf]{k]l8ssf r]Ghd]s/

k|f= 8f= czf]s afF:sf]6f

k|f=8f= czf]s afF:sf]6f kfolgo/ cyf]{k]l8s ;h{gsf] ?kdf kl/lrt x'g'x'G5 . cyf]{k]l8s ;h{/Lsf] If]qdf pxfFsf] $ bzs

eGbf a9Lsf] cg'ej 5 . cyf]{k]l8s ;h{/Lsf] cWofkg / cEof;af6 xhf/f}+n] nfe lng ;kmn ePsf 5g\ . pd]/n] ^( jif{df

k'lu;Sbf klg pxfF cfkm\gf] sfddf TolQs} ;lqmo / Jo:t x'g'x'G5 .

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 20

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xf8hf]gL{ ljz]if

/fd|f] l6d 5 . o;;Fu ;DalGwt hl6n zNolqmof ;]jfsf nflu

;DalGwt 8fS6/x? ;Ifd x'g'xG5 . ?l6g sfd afx]s cGo

hl6n lsl;dsf pkrf/ ;]jf lbg] xfd|f] l6dsf] Ifdtf 5 .

pxfFx?sf] tflnd / cg'ejn] of] ;Dej t'NofPsf] xf] .

oxfFn] cfkm"nfO{ s;/L b]Vg'ePsf] 5 <

d cfkm"n] cfkm}FnfO{ t To:Tff] dxTjk"0f{ 7fFlGbg . d}n]

g]kfndf ;/sf/sf] d]g l:6«d l;:6d aflx/ a;]/ w]/} ;]jfx?

ljsf; ug]{ df}sf kfPsf]df cfkm'nfO{ efUozfnL 7fG5' . d}n]

ef/tsf] gofF lbNnLl:yt cn OlG8of OlG:6Ro'6 ckm d]l8sn

;fOG; -PD;_ af6 lrlsT;f lj1fgdf Pd=aL=aL=P;= u/]sf]

x'F . d ToxfFsf] !) cf}F Aofr lyPF . ckf]{k]l8s ;h{/Ldf

:k]znfO{h ug{ cd]l/sf uPF . To;kl5 g]kfndf cfP/ Pp6f

r]Gh d]s/ ePF . d]/f] JolQmut rrf{ eGbf klg b]zdf Pp6f

cyf]{k]l8s :k]lzofln6LnfO{ ljsf; ug]{ df}sf kfPF . To;}df

s]lx g s]lx ;kmntf xfFl;n u/]sf] h:Tff] nfU5 . d ;Fu sfd

ug]{ lrlsT;s, xft]dfnf] ug]{ ;feLefO, pkrf/ u/fpg cfpg]

la/fdLx? k|lt lgs} g} cfef/L 5' .

d ;Fu} cn OlG8of OlG:6Ro"6 ckm d]l8sn ;fOG; -PD;_

df cWoog u/]sf w]/} ;fyLx? cd]l/sflt/ knfog x'g'eof] .

pxfFx? w]/}h;f] 7"nf 7fpFdf k|fWofks x'g'x'G5 . b'O{jif{cl3

dnfO{ pxfFx?sf] PNd'gfO{ P;f]l;P;gaf6 g]kfnsf] cyf]{k]l8s

;h{/Laf/] n]Sr/ lbg lgDtf cfPsf] lyof] . of] n]Sr/n]

g]kfnsf xhf/f}+ xhf/ cyf]{k]l8s ;d:of ePsf dflg;sf]

nfO{km 5'g ;s]sf] eGb} dnfO{ w]/} k|f]km];/x?n] ;Ddfg / awfO

lbg'ePsf] lyof] .

Pp6f ;kmn cyf]{k]l8s ;h{Gf x'gnfO{ s] s:tf

u'0f x'g'k5{ <

8fS6/L k];fdf cWoog slxNo} ;lsb}Gf . To;sf/0f

Pp6f ;kmn ;h{g aGg k9fOnfO{ lg/Gt/tf lbg'k5{ . la/fdLsf]

s'g} klg ;Df:of ;fgf] x'g;Sb}g, To;k|lt lgs} Vofn ug'{k5{ .

cfkm" …nlg{ª PS;lkl/oG;Ú af6 al~rt x'g'x'Fb}g . …d]/f] l8u|L

;lsof]Ú, …d}n] c? w]/} l;Sg' kb}{gÚ eGGf] ;f]rfOnfO{ la;]{/ hlxn]

klg ljBfyL{ h:t} l;Sg] afgLsf] ljsf; ug{'k5{ .

cd]l/sfdf cyf]{k]l8s ;h{/Ldf :k]znfO{h cWoog

;s]/ g]kfn cfPkl5 d klg lg/Gt/ l;Sb}5' / w]/}nfO{ k9fpg]

l;sfpg] sfd u/]F . Jojl:yt tl/sfn] !* jif{ o'lgel;{6Lsf]

dftxtdf kf]i6 Uo|fh'o6 6«]lgª ;~Rffng u/]F . w]/}

sl7gfOx? lyP . sf7df8f}+ ljZjljBfnocGtu{t d}n] ## hgf

cyf]{k]l8s ;h{Gf 6«]g u/]sf] 5' . clxn] klg Pkm= l;= lk= P;=

kfls:tfg k|f]u|fddf #—$ hgf ljBfyL{ eO/xG5g\ . To;}n] d}n]

sfd z'? u/]b]lv g} k9\g] / l;Sg] afgLnfO{ lg/Gt/tf lbPF . of]

afgLn] cfkm\gf] ;Lk ;fk{g u/]/ :k]znfO{h ;]jf lbg ;kmn ePF .

d}n] lghL If]qaf6 sfd u/]sf] ePklg OG6/g];gn hg{nx?df

cfkm\gf] sfdsf] ljifodf RofK6/ n]v]sf] 5' . clxn] klg

OlG8og hg{n ckm cyf]{k]l8S;sf] OG6/g];gn P8\efOh/ 5' .

clxn];Dd slt la/fdLn] cyf]{k]l8s nfe

lng ;kmn eP <

ljut #% aif{b]lv ;~rfngdf NofOPsf] ag]kfsf] ckfª\u

afn c:ktfn tyf k'g:yf{kgf s]Gb|cGtu{t Rofl/6]an

lkl8ofl6«s cyf]{k]l8s xl:k6naf6 sl/a *# xhf/ eGbf

al9 ckfª\u afnaflnsfn] pkrf/ ;]jf k|fKt ul/;s]sf 5g\ .

To;dWo] $$ xhf/sf] ;h{/L ePsf] 5 . aL P08 aL xl:k6ndf

jif]{gL !@ xhf/ eGbf a9L la/fdLsf] ;kmn zNolqmof pkrf/

eO/x]sf] 5 .

oxfFnfO{ :jb]zdf g} a;]/ sfd ug]{ k|]/0ff s;/L

ldNof] <

d cyf]{k]l8sdf kf]i6 u|fh'P;g ;s]/ cd]l/sfd} sfd ug{

yfn]sf] lyPF . h]7f] 5f]/f klg cd]l/sfdf hlGd;s]sf] lyof] .

Tof] a]nf a'jf alb{ofsf] dfgk'/ 6k/fsf] k'/}gf eGg]

ufpFdf a:g'x'Yof] . pxfFn] sf]lx g sf]lx 5f]/f5f]/L oxfF al;lbP

x'GYof] eGg] rfxgf /fVg'ePsf] lyof] . Tof] a]nf clxn]sf]

h:tf] lr7L kmf]gsf] ;'ljwf klg lyPg . …a'afsf] rfxgfcg'?k

g]kfndf cyf]{k]l8s ;]jf lbG5'Ú eGg] ;f]r cfof] . k|foM d]/f]

a'af cfdf alb{ofdf a:Gf'x'GYof] . d hGd]sf] sf7df8f}Fdf xf] .

d]/f] a'afcfdfsf] ^ hgf 5f]/f5f]/L / !^ hgf gflt gfltgL 5g\ .

d dfOnf 5f]/f xF' . 5'l§df ;a} Hfgf ufpFdf hfGYof}+ .

oBkL cn OlG8of OlG:6Ro"6 ckm d]l8sn ;fOG; -PD;_

df Pd=aL=aL=P;= ;s]/ ;g\ !(&@ df kl/jf/sf ;b:ox?nfO{

s'g} cfly{s ef/ gu/fO{ pRr dgf]jnsf yk cWoogsf nflu

cd]l/sf uPsf] lyPF . cd]l/sf k'Ug] l6s6 ;fk6L lnPsf] lyPF .

Tof] a]nf d]/f] ;fydf %) o'P; 8n/ dfq lyof] . cd]l/sf

uP/ g]zgn OG6g{ /]lh8]G6 Doflrª k|f]u|fdcGtu{tsf] 6«]lgª ug{

;kmn ePF . Tof] a]nf w]/} k|lt:kwf{ x'GYof] . k9fO ;sfP/

g]kfn kmls{Pkl5 zfGtfejg xl:k6ndf :jod\ :f]jssf

?kdf cyf]{k]l8s ljefudf sfd ug{ yfn]F . ToxfF e]l6Psf

clt ul/a la/fdLsf] pkrf/ ubf{ …g]kfn 5f]8]/ hfg' x'GgÚ eGg]

cg'e"lt eof] . dnfO{ Pp6f cg'e"lt clxn] klg 5 , Tof] s]

;g\ !(&@

df kl/jf/sf

;b:ox?nfO{ s'g}

cfly{s ef/

gu/fO{ pRr

dgf]jnsf yk

cWoogsf nflu

cd]l/sf uPsf]

lyPF . cd]l/sf

k'Ug] l6s6 ;fk6L

lnPsf] lyPF .

Tof] a]nf d]/f]

;fydf %) o'P;

8n/ dfq lyof] .

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xf8hf]gL{ ljz]if

d}n] cfkm' ;'Tg]

sf]7fdf nf]sn

Pg]:y]l;of lbP/

3/d} ck/]zg u/]/

la/fdLsf] Hofg

arfPsf] lyPF .

Tof] a]nf d}n]

s}Fof}sf] pkrf/

o;/L klg u/]sf]

5' .

xf] eg] Tof] a]nf d]/f] 3/df Pp6f s]6f] a:Yof] . pm ;Fu} p;sf]

cfdf klg lyOg\ . l;Gw'kfNrf]s vfFl8rf}/df ?vaf6 v;]/

p:fsf] efph'nfO{ g/fd|f];Fu rf]6 nfu]sf] lyof] . /flt !! ah]

la/fdL lnP/ pgLx? d]/f] 3/df cfPsf lyP . Tolt a]nf

Odh]{G;L ;]jfx?sf] Joj:yf lyPg . d}n] cfkm' ;'Tg] sf]7fdf

nf]sn Pg]:y]l;of lbP/ 3/d} ck/]zg u/]/ la/fdLsf] Hofg

arfPsf] lyPF . Tof] a]nf d}n] s}Fof}sf] pkrf/ o;/L klg u/]sf]

5' .

oxfFsf] dg 5'g] s'/fx? s] 5 <

d]/f] dg sdnf] 5 . s;}nfO{ ;d:of k/]sf] b]Vbf dg

?G5 . lrg]sf] xf];\ of glrg]sf] ;d:of k/]sf] 5 eg] ;xof]u

ug{ dg nfU5 . d]/f] :t/cg';f/ …d}n] s;/L ;]jf ug{ :fS5'Ú

eGg]df d]/f] ;f]rfO s]lGb|t x'G5 . ;f]xL cg';f/ ag]kfsf]

lkl8ofl6«s cyf]{k]l8s xl:k6n kl/;/df :s'n vf]n]/ ;of}F

afnaflnsfx?nfO{ k9fO/x]sf] 5' . a'af gf/fo0fk|;fb af:sf]6f

/ cfdf /dfb]jL af:sf]6fsf] ;Demgfdf …/dfgf/fo0f Ph's]zg

kmG8Ú :yfkgf u/]sf] 5' . c;xfo ul/a b'vLk|lt d]/f] Psbd}

;xfg'e'lt ePsfn] cfkm'n] ;SGf] ul//x]sf] 5' .

lkl8ofl6«s lrN8«]g xl:k6nsf] z'?jftLdf

;+3if{sf lbgx? s:tf lyP <

s'g} klg sfd ;lhnf] xF'b}g . d}n] ;'? u/]sf] lrN8«]g

xl:k6n klxnf hf]/kf6Ldf lyof] . ToxfFaf6 xfdL lgsflnof}F .

To;nfO{ k'g:yf{kgf ug{ w]/} ;+3if{ ug'{k¥of] . b'Mv gu/L ;'v

gcfpFbf] /}5 . Wf}/} x08/ vfP/ ;kmntf k|fKt ubf{ To;sf]

ld7f; 5'6\6} g} x'G5 . ;fgf ltgf b'Mvsf If0f t w]/} g} 5g\ .

cfkm'n] ;kmf dgn] ;]jf u5{' eGbf s}of}Fn] cf/f]k klg nufPsf

lyP . o:tf s'/fx? :flDembf clxn] klg b'Mv nfU5 .

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xf8hf]gL{ ljz]if

g]kfndf :kf]6{;\

d]l8l;gsf]

;]G6/ agfpg'k5{ .

cg's"n jftfj/0f

;[hgf ug{ ;s]sf]

cj:yfdf cfufdL

@) jif{df g]kfnL

v]nf8Lx?nfO{

ljZj cf]nlDksdf

k'¥ofpg ;lsG5 .

xf8hf]gL{ zNolrlsT;s

8f= rqm/fh kf08]n] @@

jif{sf] cjlwdf ;fgf–

7"nf u/]/ 8f= kf08]n]

$) xhf/eGbf a9L

zNolqmof / sl/a b'O{

nfv la/fdLnfO{ cf]kL8L

;]jf k|bfg ul/;Sg'ePsf]

5 . pxfFn] !@ jif{eGbf

a9L ;do ljb]zdf

cWoog ug{'ePsf] lyof] .

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 24

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xf8hf]gL{ ljz]if

cfhsnsf] lbgrof{ s:tf] 5 <

la/fdLnfO{ ;dodf pkrf/ ;]jf lbg] d]/f] klxnf] sfd xf] .

hl6n lsl;dsf cyf]{k]l8s ;d:ofsf] pkrf/df d]/f] w]/} ;do

lalt/x]sf] 5 . cfyf]{:sf]kL hf]gL{ k|Tof/f]k0f, k]lNes OGh'/Lsf]

zNolqmof / kf]ln 6«dfsf] ;d:of lnP/ cfpg] la/fdL

eO/xG5g\ .

o;sf ;fy} cfˆgf] ljwf;DalGw ljleGg lstfa cWoog

u5{' . ;]ldgf/sf] tof/L, zNolqmof ug{'kg]{ la/fdLaf/] l6d;Fu

5nkmn ug]{nufotsf sfddf Jo:t x'G5' . c:ktfndf sfo{/t

:6fkm, g;{, 8fS6/, P8ldlg:6]6/, ;d'bfo, ;]o/xf]N8/ ;a};Fu

;dGjo u/]/ Pp6f gofF ;Defjgfsf] af6f] klxrfg ub}{ hfg] d]/f]

sfd xf] . o;afx]s ar]sf] ;do kl/jf/sf ;b:ox?;Fu laT5 .

;kmn cyf]{k]l8s ;h{g x'g s] s:tf u'0f x'g

h?/L 5 <

klxnf] s'/f cfkm"leq ;+3if{ ug]{ Ifdtf x'g'k5{ .

j}1flgs tl/sfn] sfd ug{'k5{ . la/fdLnfO{ dfof ug]{ efjgf

x'g'k5{ . sfd ug]{ z}nL, afgL Jojxf/af6 la/fdL k|efljt

x'g'k5{ . cfkm"leqsf] sdhf]/L lgsfNg] sf]lz; ug{'k5{ .

la/fdLnfO{ cfkm" ;~rf] x'G5' eGg] ljZjf; lbnfpg ;Sg'k5{ .

o;sf ;fy} k9\g'k5{ / cTolws ldx]gt ug{'k5{ .

:kf]6{;{ d]l8l;g s] xf] <

slDk|x]lG;e v]nf8L Pj+ v]n ?rfpg] JolQmx?nfO{

;xof]u ug]{ ljwf :kf]6{;{ d]l8l;g xf] . of] d]l8sn, ;lh{sn

/ kf]if0f s'g} klg x'g;S5 . hf]gL{ k|Tof/f]k0f / cfyf]{:sf]kL d]/f]

Kof;g xf] . o;k|lt d]/f] ljz]if rfxgf 5, o;nfO{ d}n] cfˆgf]

hLjg g} 7fg]sf] 5' .

g]kfndf :kf]6{;\ d]l8l;gsf] ;]G6/ agfpg'k5{ . cg's"n

jftfj/0f ;[hgf ug{ ;s]sf] cj:yfdf cfufdL @) jif{df

g]kfnL v]nf8Lx?nfO{ ljZj cf]nlDksdf k'¥ofpg ;lsG5 .

;/sf/n] ljZjf; u/]df d o;sf] lhDd]jf/L lnP/ sfd ug{

klg tof/ 5' .

g]kfnL v]nf8Lx? cf]nlDks;Dd k'Ug g;Sg'sf]

k5fl8 s] s:tf ;d:of b]Vg'ePsf] 5 <

o;sfnflu aRrfx?nfO{ cfdfsf] ue{af6 g} tflnd,

kf]if0fo'Qm vfgf, ;do ;dodf :jf:Yo hfFr ;lxt tflnd z'?

ug{'k5{ .

v]nf8Lx?df …dgf]lj1fgÚ Ps k|d'v ;d:of xf] . Pp6f

alnof] v]nf8Ldf dgf]jn sdhf]/ ePdf uf]n xfGg ;Sb}g .

o;sf/0f dgf]j}1flgs ?kdf v]nf8LnfO{ …lkm6Ú /fVg'k5{ .

v]nf8Lx?df OG8\o'/]G; 6«]lgªsf] cefj csf]{ ;d:of xf] .

v]nf8Lx?nfO{ OG8\o'/]G; 6«]lgª lbP/ alnof] agfpg'sf ;fy}

pgLx?sf] sdhf]/L kQf nufP/ dgf]j}1flgs k/fdz{ lbP/

cfTdan a9fpg'k5{ .

o;sf ;fy} v]nf8Lx?df 6]lSgssf] cefj csf]{ ;d:of

xf] . pgLx?nfO{ v]nsf] 6]lSgs l;sfpg'k5{ . b'O{ rf/ lbg

l;sfP/ dfq v]nf8Ln] uf]n xfGg ;Sb}g . o;sf nflu

lg/Gt/tfsf] h?/t k5{ . ;kmf ;8s, cfsif{s kfs{ Pj+ v'nf

d}bfgnufot w]/} s'/fdf ;'wf/ ug{'k5{ .

;kmn lrlsT;s aGg s:tf] af6f]

klxNofpg'k5{ <

g]kfnL lrlsT;sx? ;+;f/sf /fd|f ;]G6/x?af6 /fd|f] tflnd

kfP/ cfO/x]sf 5g\ . pgLx?df cfkm\gf] sfddf Kof;g zf]v /

nufj b'j} x'g'k5{ . o;sf nflu /fli6«o:t/sf] kmfpG8];g tof/

kfg{'k5{ . slxNo} gyfSg] OR5fzlQm tyf OdfGbf/Ltfsf] h?/L

j}1flgs tl/sfn]

sfd ug{'k5{ .

la/fdLnfO{ dfof

ug]{ efjgf

x'g'k5{ . sfd

ug]{ z}nL, afgL

Jojxf/af6 la/fdL

k|efljt

x'g'k5{ .

cfkm"leqsf]

sdhf]/L lgsfNg]

sf]lz; ug{'k5{ .

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xf8hf]gL{ ljz]if

la/fdLsf] lxF8fO

gldn]/, v]ns'bsf]

qmddf lemlNn

RofltP/, pd]/n]

ubf{ x•L lvP/,

OGkm]S;g, afy,

lnufd]G6 rF'l8P/,

SofG;/,

/ut;DalGw

;d:of, o'l/s

Pl;8, l;sn;]n

Plgldof cflb

sf/0fn] klg 3'F8f

b'Vg;S5 .

x'G5 ;fydf ef}lts k"jf{wf/x? OGk|mf:6«Sr/df nufgL x'g'k5{ .

Kof;g lng] dfG5] klg Ifdtfjfg x'g'k5{ . xfdLn] ca Tofu ug]{

xf] . d]xgtsf] af6f] g} ;kmn af6f] xf] .

Pp6f cAan v]nf8L agfpg] cfwf/x? s] s]

5g\ <

/fd|f] v]nf8Lsf nflu cfdfsf] ue{b]lv kf]if0fo'Qm

vfgfsf] h?/t k5{ . cfdfn] /fd|f];Fu kf]if0fo'Qm vfgf vfg'k5{ .

hGdkl5 ljleGg /f]uaf6 hf]ufpg vf]k / cGo kf]if0fo'Qm

vfgfsf] h?/t k5{ . o;sf nflu nufgL ug{'k5{ . lg/Gt/

tflnd ufO8 tyf lbzflgb]{z ug{'k5{ / ;fydf lhT5' eGg]

cfTdlaZjf; hufpg'k5{ .

cyf]{k]l8s 8fS6/sf] b[li6n] ljZjsk v]nnfO{

s'g ?kdf lng'eof] <

ljZjsk v]n;Dd k'Ug ;DalGwt b]zx?n] w]/} nufgL

u/]sf 5g\ . sltko v]nf8Lsf] n8]/ v'§f 7f]lsG5 t/ klg p7]/

v]ln/x]sf x'G5g\ . w]/} l/; p7\g;S5 t/ l/;nfO{ zfGt kfb}{

dgf]j}1flgs ?kdf dgnfO{ alnof] agfpF5g\ . c? h:t} x'g

g;s] klg …xfdL klg v]Ng ;S5f}FÚ eGg] dgf]an a9fpg'k5{ .

cg'zf;g / lkm6g];sf] /fh l;Sg'k5{ . tL v]nf8Lx?n] Tolts}

v]n]sf 5}gg\ . pgLxsf] k5f8L k|ltli7t 8fS6/ / c:ktfnx?n]

;kf]{6 u/]sf x'G5g\ . l;+Ëf] /fi6« v]nf8Lsf] k5fl8 5 .

hf]gL{ k|Tof/f]k0f / cfyf]{:sf]kLsf] s] dxTj

5 <

sltko cj:yfdf hf]gL{ k|Tof/f]k0f vf]n]/} ul/G5 . t/

3'F8fsf] lnufd]G6 r'Fl8Pdf Sofd]/faf6 g} x]/]/ -cfyf]:sf]kL_

ug{ ;lsG5 . hf]gL{ v'l:s/xg] ;d:ofdf klg Sofd]/faf6 x]/]/

l;nfpg ;lsG5 . hf]gL{ grNg] JolQmnfO{ cfyf]{:sf]kLaf6

rnfpg ;Sg] agfOG5 . cfyf]{:sf]kLaf6 pkrf/ ubf{ 7"nf]

3fp agfpg'kb}{g . c:ktfndf w]/} ;do a:g'kb}{g . 3fp rfF8}

lgsf] x'G5 / la/fdL l56} cfˆgf] sfddf kmls{g ;S5 . hf]gL{

lvP/ lx8\g}+ g;Sg] cj:yfdf s[lqd hf]gL{ /fv]/ lx8\g ;Sg]

lalwnfO{ hf]gL{ k|Tof/f]k0f zNos[of elgG5 .

hf]gL{ lsg b'V5 <

3'F8fsf] hf]gL{ b'Vg] w]/} sf/0f x'G5g\ . o;dWo] la/fdLsf]

lxF8fO gldn]/, v]ns'bsf] qmddf lemlNn RofltP/, pd]/n]

ubf{ x•L lvP/, OGkm]S;g, afy, lnufd]G6 rF'l8P/, SofG;/,

/ut;DalGw ;d:of, o'l/s Pl;8, l;sn;]n Plgldof cflb

sf/0fn] klg 3'F8f b'Vg;S5 . To;}n] s] sf/0fn] 3'F8f b'v]sf]

xf] < eGg] sf/0f kQf nufpg h?/L x'G5 . zf/Ll/s cEof; u/]/

;fdfGo 3'F8f b'vfO lgsf] kfg{ ;lsG5 . t/ cGo sf/0faf6 3'F8f

b'v]df ;DalGwt lrlsT;saf6 pkrf/ u/fpg'k5{ .

u|f]y ˆofS6/ OGh]S;g eg]sf] s] xf] <

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;d:ofdf u|f]y ˆofS6/ tTjn] gofF ;]n agfpg d4t u5{ .

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ljb]zL k|ljlw ePsfn] ljZje/ k|Voft 5 .

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 26

www.nepalhealthnews.com


24 HOURS RADIOLOGY SERVICES

Star Hospital’s radiology lab is equipped with:

• 500mA X-Ray machine (microprocessor-controlled)

• Latest model Ultrasound machine

• Computerized Tomography (CT scan-32 Slice)

24 HOURS PATHOLOGY SERVICES

Star Hospital features 24 hours pathology services.

To provide accurate reports, our pathology lab is

fully equipped with equipment such as:

• Semi-automated analyzers

• Blood Gas Analyzer (ABG)

• Latest microscopes and all other necessary

equipment.

INTENSIVE CARE UNIT

Various ICUs at Star Hospital:

• Intensive Care Unit (ICU)

• Neonatal Intensive Care Unit (NICU) Operating Soon

• Pediatric Intensive Care Unit (PICU) Operating Soon

24 HOURS EMERGENCY SERVICES

24 HOURS PHARMACY

SPECIALIST SERVICES

100 - bedded multi speciality hospital:

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·

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·

·

·

·

·

·

·

·

·

·

·

·

·

·

·

·

Anesthesia & Critical Care

Cardiology - Heart Care Centre

Cardio Vascular & Thoracic Surgery

Dermatology, Cosmetic & Veneral

Disease

Diabetes, Thyroid & Endocrine Centre

ENT

Family Physician & Emergency Medicine

Gastroenterology

Gyaenocology & Obstetrics

General, GI, Laparoscopy & Onco Surgery

Hepatology

Internal Medicine

Nephrology

Neuro & Spine Surgery

Orthopedics & Arthoplasty Surgery

Orthopedics, Arthroscopy & Sports

Medicine

Oncology

Opthalmology

Oral & Maxillo Facial Surgery

·

·

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·

·

·

·

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Pediatric (Gastroenterology,

Neonatology & Pulmonology)

Pediatric Nephrology

Pulmonology

Psychiatry

Plastic & Reconstructive

Surgery

Physical Medicine &

Rehabilitation

Rheumatology

Urology

Modular Operation Theater

Dental Services

Sanepa Height-2, Ringroad, Lalitpur, Nepal, PO Box. 8975EPC 2708

Phone no: +977-1-5550197/198, 5540478, Fax: +977-1-5544283, Email: starhospital@gmail.com


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;fpg @)&% • hg:jf:Yo ;/f]sf/ • 28

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www.nepalhealthnews.com ;fpg @)&% • hg:jf:Yo ;/f]sf/ • 29


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;fpg @)&% • hg:jf:Yo ;/f]sf/ • 30

www.nepalhealthnews.com


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www.nepalhealthnews.com ;fpg @)&% • hg:jf:Yo ;/f]sf/ • 31


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cj:yf cg';f/ zNolqmofsf] kl/0ffd s:tf] cfpF5 eGg] s'/

fsf] lgSof}{n x'G5 .

;kmn pkrf/df :kfOg ;h{gn] Wofg lbg'kg]{ s]

s] 5g\ <

;DalGwt ljwfdf /fd|f] 6«]lgª lnPsf] x'g'k5{ . zNolqmof

ug{cl3 la/fdL / 8fS6/ aLr /fd|f] 5nkmn x'g'k5{ . la/fdLn]

;f]w]sf k|To]s k|Zgsf] hjfkm 8fS6/;Fu x'g'k5{ / la/fdLnfO{

a'emfpg ;Sg'k5{ .

zNolqmofkl5 la/fdLnfO{ ;fdfGo hLjgdf kmsf{pg] x/]s

;h{gsf] p2]Zo x'G5 . zNolqmof kl5 b}lgs lqmofsnfkdf

la/fdLnfO{ cfTdlge{/ agfpg'k5{ . la/fdLnfO{ c?n] n'uf

nufOlbg'kg]{, v'jfOlbg'kg]{, g'xfOlbg'kg]{ h:tf ;d:of cfpg

glbg e/k'/ sf]lz; ug'{k5{ .

zNolqmokl5 lj/fdLn] Vofn ug'{kg]{ s'/fx?

zNolqmof ul/;s]kl5 % b]lv & lbg ;Dd c:ktfndf

a:g'k5{ . b'OxKtf kl5 6fFsf vf]lnG5 . To;kl5 la/fdLnfO{

^ xKtf k]6L nufpg ;Nnfx lbOG5 . lkmlhof]y]/flk:6x?n]

;DalGwt cEof; ug{ l;sfpF5g\ . of] cEof; 3/df lg/Gt/

ug{'k5{ . o;sf ;fy} :kfOgsf] zNolqmof u/]sf JolQmn] xf]rf]

7fpFdf 6'qm'Ss a:g x'Fb}g . slxn]sfFxL s]xL b'vfO x'g;S5 .

o:tf] cj:yfdf cflQxfNg x'Fb}g .

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 32

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xf8hf]gL{ ljz]if

ut jif{dfq sl/a

$& xhf/ ! ;o

*^ eGbf a9L

la/fdLnfO{ pkrf/

;]jf lbg ;kmn

eO;s]sf 5f}+ .

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hl6n u/L # xhf/

#) eGbf a9L

zNolqmof u/]sf

5f}+ .

8f= /fh]z dxh{g

d]l8sn 8fO/]S6/ Pj+ xf8hf]gL{ ljz]if1

wlgnfO{ z'Ns

ul/anfO{ lgMz'Ns

ljut @) jif{b]lv xf8hf]gL{ pkrf/

;]jfdf ;dlk{t g]kfn cyf]{k]l8s xl:k6n

clt ljkGg / ul/a la/fdLx?sf] kx'Fr, cfzf

/ e/f];fsf] ?kdf kl/lrt 5 . of] Rofl/6]jn

xl:k6n xf] . k};f gePklg pkrf/af6 sf]xL

klg al~rt x'g'kb}{g . la/fdLsf] k|s[lt cg';f/

c:ktfnn] ;xof]u ;]jf pknAw u/fpF5 .

la/fdLsf] cj:yf x]/]/ s;}nfO{ cf+lzs

t s;}nfO{ k"0f{?kdf pkrf/ ;]jfdf 5'6 lbFb}

cfPsf] 5 . ut cfly{s jif{df dfq xl:k6nn]

emG8} *) nfv ?lkofF a/fa/sf] Rofl/6L ;]jf

k|bfg u/]sf] 5 . ljut !# jif{b]lv lg/Gt/

cyf]{k]l8s ;h{/L ;]jf lbFb} cfpg'ePsf

jl/i7 xf8hf]gL{ zNolrlsT;s 8f= /fh]z

dxh{g xfn xl:k6nsf] d]l8sn 8fO/]S6/

x'g'x'G5 . c:ktfnn] pknAw u/fpg] ;]jf /

;'ljwfk|lt 8f= dxh{g s] eGg'xG5 <

ljkGg la/fdLnfO{ ;x'lnot lbg] cfwf/x? s]

s] x'g\ <

oxfF clwsf+z la/fdL sf7df8f}+ aflx/af6 cfpF5g\ .

c:ktfndf …;f]l;on 8]:sÚ 5 . s;nfO{ slt Rofl/l6 lbg] <

s;nfO{ glbg] < s;nfO{ w]/} lbg] < / s;nfO{ yf]/} lbg] < eg]/

5'6\ofpg] o;sf] d'Vo sfd xf] . cfkm\gf] lhNnfsf] j8f jf

lhNnf hg:jf:Yo sfof{noaf6 ljkGg gful/ssf] l;kmfl/;

lnP/ cfPsfx?nfO{ Rofl/6L lbg ;lhnf] x'G5 . sltko

cj:yfdf la/fdL;Fu ;f]w]/, p;sf l5d]xLx?;Fu s'/f u/]/ klg

Rofl/6L lbg'kg]{ x'g;S5 . qm; r]lsª u/]/ ;f]l;on 8]:sn]

l;kmfl/; u/]kl5 dfq la/fdLnfO{ ;x'lnot lbOG5 . o;af6

;x'lnot kfpg'kg]{ la/fdLn] dfq Rofl/6L ;]jf kfpF5g\ .

clxn] ;Dd xl:k6ndf slt hlt la/fdLn]

;]jf k|fKt u/]sf 5g\ <

xf8hf]gL{;DalGw ;d:of ePsf ut jif{dfq sl/a $&

xhf/ ! ;o *^ eGbf a9L la/fdLnfO{ pkrf/ ;]jf lbg ;kmn

eO;s]sf 5f}+ . To;df ;fdfGo / hl6n u/L # xhf/ #) eGbf

a9L zNolqmof u/]sf 5f}+ . of] qmd jif]{gL a9\bf] 5 . ;g\ !((*

df xl:k6n :yfkgf ePotfsf] tYof+s x]bf{ of] u'0ffTds j[l4

xf] . xl:k6n :yfkgfsf] ;fn ^ ;o #! n] dfq cf]lk8L ;]jf

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 34

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xf8hf]gL{ ljz]if

kfPsf lyP eg] zNolqmof z'? u/]sf] jif{ ;g\ !((( df # ;o

!^ hgfsf] zNolqmof ePsf] lyof] .

la/fdLsf] hl6ntf s;/L klxrfg ul/G5 <

cf]lkl8df la/fdL cfPkl5 Pp6f l6dn] 8foUgf]l;; u5{ .

Tolx cg';f/ egf{ ug'{kg]{ of 3/ k7fpg'kg]{ xf] eGg] af/] ;Nnfx

x'G5 . c:ktfndf Pp6f ;f]l;on 8]:s 5 . 8]:sn] Rofl/6L

lbg'kg]{ jf gkg]{ eGg] lg0f{o u5{ . To;kl5 c:ktfn egf{ u/]/

zNolqmof lt/ nfluG5 .

ljs6 7fpFx?df pkrf/ ;]jf lnP/ hfFbf s;/L

Joj:yfkg ldnfpg'x'G5 <

ckfËtf w]/} ePsf / sf7df8f}+;Dd pkrf/sf] kx'Fr

gk'u]sf ljs6 7fpFx?df c:ktfnn] jif{df # b]lv $ j6f

;DDf ;lh{sn lzlj/sf] cfof]hgf u5{ . k|foM lzlj/ &

lbgsf] x'g] u5{ . lzlj/df cfjZos kg]{ ;Dk"0f{ ;lh{sn

pks/0fsf] Joj:yf u/L cNksfnLg ck/]zg lyo6/ agfP/

zNolqmof ;]jf k|bfg ul/G5 . Pp6f lzlj/df ;fgf 7"nf] u/L

sl/a %)—^) j6f zNolqmof ul/G5 . zNolqmofsf nflu

cfjZos kg]{ a]8, nfO6, ;Dk"0f{ cf}hf/ ;fdfu|L sf7df8f}+af6

af]s]/ nluG5 . l6d hfg'eGbf klxnf 6«sdf ;fdfGf k7fOG5 /

lzlj/ tof/ ePkl5 lrlsT;ssf] 6f]nL k'U5 . lzlj/ cfof]hgf

ubf{ :yfgLo ;xof]uL Snax? / ;DalGwt c:ktfnx?;Fu

;dGjo u/L :yfgLo afl;Gbfx?nfO{ e]nf x'g cfJxfg

ul/G5 . o;/L :yfgLo txdf zNolqmof ug{ g;Sg] ;d:ofdf

k/]sf JolQmnfO{ sf7df8f}+ l;kmfl/; ul/G5 . sf7df8f}+

cfpg'kg]{ ;d:ofsf la/fdLnfO{ oftfoftb]lv pkrf/ ubf{ a:g]

vfg] ;Dk"0f{ vr{ c:ktfnn] Joxf]5{ .

c:ktfndf s:tf] k|sf/sf la/fdL pkrf/sf

nflu cfpF5g\ <

n8]/ xft v'§f efFlrPsf la/fdLx? w]/} cfpF5g\ . pgLx?df

sf]xL c:ktfn k'u]/ Knfi6/ u/]/ ;f]xL lbg 3/ kmls{G5g .

zNolqmof ug'{kg]{ hl6n cj:yfsf la/fdLnfO{ rfFxL egf{ u/L

hlt;Sbf] rfF8f] zNolqmof u/]/ 3/ kmsf{pg] sf]lz; ul/G5 .

k|fo cGo c:ktfnx?af6 hl6n ;d:ofsf] pkrf/sf nflu

l;kmfl/; eP/ cfPsf x'G5g\ . cGtaf6 OGkm]S;g / lalu|Psf

36gfx? klg w]/} cfpF5g\ . c:ktfndf # j6f ck/]zg lyo6/

ePsfn] la/fdLn] Ps /ft eGbf al9 s'g'{kb}{g .

To;afx]s clxn]sf] c:ktfnsf] kmf]s; hf]gL{ k|Tof/f]k0f

;h{/Ldf xf] . ljleGg sf/0fn] lvOPsf] hf]gL{ k|Tof/f]k0f

k|fyldstfdf /fv]sf 5f}+ . Go"gtd d"Nodf hf]gL{ k|Tof/f]k0f x'G5 .

o; k|sf/sf] hf]gL{ k|Tof/f]k0fdf 3/ kl/jf/sf] 7"nf] ;kf]6{

rflxG5 .

la/fdLn] /fd|f] ;]jf kfpg] s'/fdf 9'Ss eP x'G5 . t/

ODKnfG6x? dxFuf x'G5g\ . o:tf] cj:yfdf ;s];DDf lj/fdLnfO

;xh u/fpg] sf]lz; u5f}{+ . o;/L g]kfnL hgtfsf] ljZjf;

k|fKTf ubf{ v'zL nfU5 .

s:Tff] cj:yfdf hf]gL{ km]g'{k5{ <

g]kfndf hf]gL{ b'v]/ r/d l;dfdf k'u]kl5 dfq c:ktfndf

cfpg] k|rngn] ubf{ hf]gL{ w]/} g} lvO;s]sf kfOPsf] 5 .

o:Tff] cj:yfdf d]l8sn pkrf/n] sfd gug]{ ePsfn] hf]gL{

k|Tof/f]k0f g} ug'{k5{ .

;'?sf] cj:yfdf yfxf ePdf lvOPsf] hf]gL{nfO{

l/—h]g]/]6 ug]{ cf}iflwx? k|of]u ug{ ;lsG5 . o;sf ;fy}

lkmlhof]y]/fkLnufotsf ljleGg pkfo ckgfP/ hf]gL{ lvOgaf6

yk arfpg ;lsG5 .

hf]gL{ s;/L km]l/G5 <

hf]gL{ km]g'{ eg]sf] k|Tof/f]k0f xf] . k|Tof/f]k0fsf] cfˆg}

k|f]6f]sn x'G5 . hf]gL{ vf]n]/ lau|]sf] x•L x6fOG5 . To;sf]

7fpFdf To;s} -;fOHf_ ;]ksf] gSsnL hf]gL{ /flvG5 . rfF8f]

l/se/L x'g] gx'g] eGg] s'/f la/fdLsf] z/L/ cg';f/ lge{/ x'G5 .

sltko cj:yfdf k|Tof/f]k0f ul/Psf] hf]gL{df slDKn]s];g klg

cfpg;Sg] ePsfn] o;k|lt klg ;r]t x'g h?/L 5 . xfd|f]

xl:k6ndf o;k|sf/sf] slDKns];g cfPsf] /]s8{ 5}g .

xf8hf]gL{sf] ;d:ofsf] hf]lvddf /x]sf]

JolQmnfO{ s] ;Nnfx lbg'x'G5 <

k|fo w]/}nfO{ b]lvg] hf]gL{ lvOGf] ;d:of xf] . 9f8sf] x8\8L

lvOGf], hf]gL{ lvOGf], 3Ff6Lsf] x8\8L lvOg] ;d:of Psbd sdg

kfOPsf] 5 . sDKo'6/ rnfpFbf, 6fpsf]df ef/L af]Sbf, al9

psfnf] cf]/fnf] ubf{ of] ;d:of b]lvG5 . sfd ug]{ tl/sf

/ kf]:r/ ldnfpg'k5{ . dlxnfx?n] dlxgfjf/L /f]lsPkl5

lrlsT;ssf] ;Nnfxdf x8\8L lvOg] ;d:of /f]Sg ;lKnd]G6«L

cf}ifwLsf] Kf|of]u ug{'{'k5{ . a"9fa"9Lx?n] lgoldt :jf:Yo hfFr,

3'F8f / 9f8sf] cEof; ug{'k5{ .

clxn]sf]

c:ktfnsf] kmf]s;

hf]gL{ k|Tof/f]k0f

;h{/Ldf xf] . ljleGg

sf/0fn] lvOPsf]

hf]gL{ k|Tof/f]k0f

k|fyldstfdf

/fv]sf 5f}+ .

www.nepalhealthnews.com ;fpg @)&% • hg:jf:Yo ;/f]sf/ • 35


xf8hf]gL{ ljz]if

k]lNe; km\ofSr/

df cTolws

b'vfO{ x'g'sf ;fy}

zNolqmof ubf{

lkmdf]/n ge{,

lkmdf]/n cf6{/L,

lkmdf]/n e]gdf

Iflt x'g] ;+efjgf

w]/} x'G5 . k'?ifdf

k]lNe;

zNolqmof

ubf{ jLo{

agfpg] s8{nfO{

Wofg lbg'k5{ .

dlxnfx?df

cf]e/Ldf Wofg

lbg'k5{ .

8f= g]kfnn]

;g\ @))$

b]lv !% jif{sf]

cjlwdf w]/}

cyf]{k]l8s;DalGw

zNolqmof

ug'{ePsf]

5 . pxfFn] &

jif{b]lv z'?

ug'{ePsf] k]lNe;

zNolqmofaf6 dfq

$ ;o eGbf w]/}

;DalGwt la/fdLn]

nfe lng ;kmn

ePsf 5g\ .

z/L/df k]lNe; af]gsf] w]/} 7"nf] dxTj x'G5 . hfª\unfO{

c8fP/ /fVg] x8\8Lsf] ;+/rgf g} k]lNe; af]g xf] . o;sf]

l7s dfyL 9f8 -:kfOg_ x'G5 . hfª\u;Fu lxk hf]gL{ c8]/

a;]sf] x'G5 . ;fdfGo b'3{6gfn] of] ˆofSr/ x'Fb}g . k]lNe;

af]g ˆofSr/ x'g 7"n} b'3{6gf x'g'k5{ . k]lNe;df rf]6 nfu]sf

JolQmx?dWo] cTolws /Qm>fjsf sf/0f sltko JolQmsf]

36gf:ynd} Hofg hfG5 eg] sltko JolQmsf] xl:k6n nfb}

ubf{ aLr af6f]df d[To' x'G5 . k]lNe; af]g g/d -:kf]GhL_ x'G5 .

o; efudf /utsf w]/} gnLx? hf]l8Psf x'G5g\ . b'3{6gfaf6

k]lNe; af]gdf Iflt k'u]sf] cj:yfdf /Qm;|fj al9 x'G5 . lxk

hf]gL{sf] k5fl8sf] efudf cjl:yt l;ofl6s ge{df k'?ifsf]

lk;fay}nL / dlxnfsf] uef{zo hf]l8Psf] x'G5 . k]lNe; af]gdf

cTolws Iflt ePdf w]/} /Qm;|fj eO{ lk;fay}nLdf ;d:of

cfpg ;S5 . k]lNe; km\ofSr/df cTolws b'vfO{ x'g'sf ;fy}

zNolqmof ubf{ lkmdf]/n ge{, lkmdf]/n cf6{/L, lkmdf]/n e]gdf

Iflt x'g] ;+efjgf w]/} x'G5 . k'?ifdf k]lNe; zNolqmof ubf{ jLo{

agfpg] s8{nfO{ Wofg lbg'k5{ . dlxnfx?df cf]e/Ldf Wofg

lbg'k5{ . cGoyf oL lrhdf Iflt k'Ug;S5 . oBkL la/fdLnfO{

km+u;gn df]laln6Ldf k'¥ofpg] xfd|f] p2]Zo x'G5 . ;fdfGotof

tLg lsl;dn] k]lNes rf]6sf] pkrf/ ul/G5 . z'?df 3fOt]sf]

8f=k|la0f g]kfn

l;lgo/ sG;N6]G6 cyf]{k]l8s ;h{g

-PdP; cyf]{, PD; gofF lbNnL_

pravinnp@gmail.com

k]lNe; ˆofSr/ / ;fjwfgL Û

cj:yf x]/]/ /Qm>fj 36fpg] / d[To'sf] hf]lvdaf6 jrfpg'k5{ .

To;kl5 hl6ntfsf] cfwf/df of]hgfj4 9+un] zNolqmofsf]

of]hgf agfOG5 . ;h{/Lkl5 la/fdLnfO{ y]/fkL / k'g:yf{kgfsf]

h?/t k5{ .

gg;lh{sn pkrf/

hl6ntfsf] cfwf/df zNolqmof ug]{ jf gug]{ eGg] lgSof}{n

ul/G5 . ˆofSr/nfO{ z'?jflt r/0fdf l:y/ -:6]an_ rf]6 /

cl:y/ -gg:6]an_ rf]6 ul/ b'O{ efudf afl8G5 . l:y/ rf]6

eg]sf] yf]/} x8\8L dfq rls{Psf] cj:yf xf] . x8\8L g;/]sf]

cj:yfdf zNolqmof ljgf g} pkrf/ z'? ul/G5 . ;fwf/0ftof

k]lNes af]g lxkdf hf]l8Psf] x'G5 . olb tndfyL ;¥of] jf

6'qmf 6'qmf ePsf] cj:yfdf k]lNes rf]6nfO{ cl:y/ dflgG5 .

z'?sf] cj:yfdf c:ktfn k'u]kl5 lj/fdLnfO{ z}ofdf cf/fd

ug{ nufOG5 . kL8f w]/} x'g] ePsf]n] b'vfO sd ug]{ cf}iflw klg

lbg'k5{ . ;fdfGo cj:yfsf la/fdLnfO{ b'vfO sd x'b} uPkl5

lx8\g nufOG5 . la/fdLnfO{ k'j{jt\ cj:yfdf kmsf{pg zf/Ll/s

cEof;sf] e'ldsf klg w]/} x'G5 lsgsL o;n] df+zk]zL / gzf

;'Sgaf6 arfpg d4t u5{ .

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 36

www.nepalhealthnews.com


xf8hf]gL{ ljz]if

;lh{sn pkrf/

hl6ntfsf] cfwf/df jfx\o / cfGtl/s ;lh{sn pkrf/

sf] h?/t kg{;S5 . jflx/af6 cfjZos /8x? /fv]/ ul/g]

pkrf/nfO{ afx\o pkrf/ cyf{t PS:6/gn lkmS;];g elgG5 .

cfGtl/s /Qm;|fj /f]Sg PS:6/gn lkmS;];g ul/G5 . of]

cfsl:ds sIfdf klg k|of]u x'G5 .

k]lNes af]g cl:y/ ePdf ;lh{sn pkrf/ ug{'k5{ .

cfGtl/s h8fg ug]{ ljleGg tl/sfx? 5g . k]lNes x8\8L

cuf8Lk6\l6sf] efudf efFlrPsf] 5 eg] cuf8Laf6 cfGtl/s

kftf h8fg ug{'k5{ . k5f8Laf6 efFlrPsf] cj:yfdf

k5f8Laf6 g} kftf h8fg ug'{k5{ . zNolqmof ug{'k'j{ ;d:of

klxrfg ug{ l;l6 :Sofg u/]/ ly| l8 lkSr/ cjnf]sg ug'{ k5{ .

;f]xL cfwf/df zNolqmofsf] tof/L ul/G5 . sltko cj:yfdf

cuf8L / k5f8L b'j} 7fFpaf6 Ps}rf]l6 zNolqmof ug{'kg]{

x'g;S5 . o:tf] cJf:yfdf zNolqmofsf nflu &÷* 306f

;DDf nfUg ;S5 . lj/fdLsf] cj:yf cg';f/ Ps xKtfsf]

km/sdf klg zNolqmof ug{ ;lsG5 .

;fjwfgL

k]lNes k5f8Lsf] zNolqmof k|foh;f] ;a} cyf]{k]l8s

;h{gn] ug{ ;S5g . t/ cufl8 kl§sf] efusf] zNolqmof

;a}n] ub}{gg\ . of] Psbd hl6n x'G5 . lsgeg] cufl8sf]]

efudf lkmdf]/n ge{, lkmdf]/n cf6{/L, lkmdf]/n e]g x'G5 .

To;sf] 5]pd} x8\8L tfg]/ Kn]6 ldnfpg' k5{ . Tof] a]nfdf oL

lrhx? Iflt x'g ;Sg] ;Defjgf w]/} x'G5 . k5fl8sf] efudf

klg l;ofl6s ge{ Iflt x'g] vt/f al9 x'G5 .

x]/rfx

;fdfGotof x8\8L hf]l8g 8]9 dlxgf nfU5 . t/, k]lNes

af]g g/d x'g] ePsfn] lkmS;];g u/]sf] # dlxgf;Dd ljgf jhg

lx8\g ;Nnfx lbOG5 . g;f / df;' ;'Sg glbg lkmlhof]y]/fkL

/ cEof;sf] h?/L x'G5 . ^ xKtf k5f8L PS; /] u/]/

lj/fdLsf] cj:yf klxrfg ul/ ;'wf/ ePsf] cj:yfdf v'6\6f

6]Sg ;Nnfx lbOG5 . 6]Sg gldNg] cj:yfdf klg cf]5\ofgdf

cf/fd ub}{ xftv'§f rnfO/xg ;Nnfx lbOG5 .

;+qmd0fsf] hf]lvd

ljleGg cg'Gwfgx?n] k]lNes zNolqmof kl5 klg ;+qmd0f

;Defjgf %b]lv !) Kf|ltzt x'g] b]vfPsf] 5 . of] rf]6sf]

k|s[ltdf lge{/ x'G5 . rf]6 7'nf] ePdf ;+qmd0f al9 x'Gf;S5 .

;kmntfnfO{ cg'Gwfgstf{x?n] PlS;n]G6, u'8, km]o/ / k'c/

ul/ rf/ efudf ljefhg u/]/ x]/]sf 5g . ;fdfGo rf]6k6s

ePdf glthf ;sf/fTds cfp5 . rf]6k6s 7'nf] ePdf glthf

ck]lIft x'g ;Sb}g .

!= lsg zNolqmof ug{'k5{ <

k]lNes eg]sf] b'Oj6f v'§fnfO{ pefP/ /fVg] Pp6f af]g

:6«Sr/ xf] . h;sf] dfyL :kfOGf -9f8_ a:5 . To;sf/0f

o;sf] dxTj w]/} 5 . of] :kf]GhL af]g ePsfn] x8\8L hf]l8g

;donfU5 . rnfodfg sfo{ /fd|f] agfpg zNoflqmof ug{ h?/L

5 .

@= ck/]zg kZrft\ slt ;do c:ktfndf

a:g'k5{ <

of] la/fdLsf] rf]6sf] cj:yf x]/]/ x'G5 . olb rf]6 hl6n

5}g eg] lj/fdLn] b'O xKtf;Dd c:ktfndf a:g'k5{ . b'O xKtf

kl5 6fFsf sf6]/ la/fdLnfO{ 3/ k7fOG5 . t/ w]/} efusf] x8\8L

efFlrP/ ;d:of ePdf nfdf] ;do;Dd c:ktfn a:g'k5{ .

#= ;h{/L kl5 lx8\g sltsf] ufx«f] x'G5 <

;h{/Lkl5 x8\8L ghf]l8P;Dd v'6\6f 6]Sg ldNb}g . x8\8L

hf]l8Pkl5 v'6\6f 6]Sbf b'MV5 / lxF8\g ufx«f] x'G5 . la/fdLn]

lx8\bf v'§f vf]Rofpg] u5{g . t/ sfnfGt/df vf]Rofpg] ;d:of

klg x'g;S5 gx'g klg ;S5 .

$= sfddf slt ;dokl5 kmls{g ;S5' <

sfdsf kmls{g 8]9 b]lv # dlxgf leqdf sfddf kmls{g

;lsG5 .

%= ;h{/L kl5 b'vfO{ x'G5 ls x'b}Gf <

:kf]GhL af]g ePsfn] kL8f x'G5 . b'vfO sd ug{sf nflu

ljleGg lsl;dsf] cf}iflwx? kfOG5 . tL cf}iflw ;]jg ubf{

b'vfO{sf] dxz'z x'Fb}g .

^= slxn];Dd lkmlhof]y]/fkL / 8fS6/sf]

lgu/fgLdf a:g'k5{ <

lkmlhof]y]/fkL slDtdf ^ dlxgf;Dd ug'{ kg]{ x'g ;S5 .

rf]6sf] k|s[lt x]/]/ lgsf] kfg{ la/fdLn] ;h{gsf] k|ToIf

lgu/fgLdf a:g' k5{ . lgu/fgLdf ^ dlxgf b]lv ! jif{ ;Dd

a:g'kg]{ x'g;S5 .

k]lNes x8\8L

cuf8Lk6\l6sf]

efudf efFlrPsf]

5 eg] cuf8Laf6

cfGtl/s kftf

h8fg ug{'k5{ .

k5f8Laf6

efFlrPsf]

cj:yfdf

k5f8Laf6 g} kftf

h8fg ug'{k5{ .

www.nepalhealthnews.com ;fpg @)&% • hg:jf:Yo ;/f]sf/ • 37


xf8hf]gL{ ljz]if

8f= ljj]s afF:sf]6f o'jfk':tfsf h'emf?

xf8hf]gL{ zNolrlsT;s x'g'x'G5 . pxfFn]

aL P08 aL c:ktfnaf6 ;]jf k|bfg ul//

xg'ePsf] 5 eg] ag]kfl:yt ckfË afn

c:Kftfn k'g:yf{kgf s]Gb|df ljut ^ jif{b]lv

d]l8sn 8fO/]S6/sf ?kdf sfo{/t x'g'x'G5 .

pxfF ;+nUg ckfË afn c:Kftfn k'g:yf{kgf

s]Gb|n] clxn];Dd *# xhf/ eGbf al9

afnaflnsfx?sf] lgMz'Ns xf8hf]gL{;DalGw

k'g:yf{kgf l6«6d]G6 ul/;s]sf] 5 eg] $$

xhf/ eGbf a9L afnaflnsfx?n] lgMz'Ns

;h{/L ;]jf kfO;s]sf 5g\ . s]Gb|af6 ckfª\u

afnaflnsfx?n] k|fKt ug]{ ;]jf /

;'ljwfaf/] 8f= laj]ssf] 8fo/L o:tf] 5 —

pxfFsf] cfkm\g} efiffdf .

$$ xhf/

eGbf a9L afnaflnsfx?n]

lgMz'Ns ;h{/L

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 38

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xf8hf]gL{ ljz]if

ag]kfl:yt ckfË afn c:Kftfn k'g:yf{kgf s]Gb|sf]

:yfkgf ;g\ !(*% df d]/f] a'af k|f=8f= czf]s afF:sf]6fn]

;fdflhs ;]jfefjaf6 k|]l/t eP/ :yfkgf ug{'ePsf] lyof] .

zf/Ll/s ckfËtf ePsf ljkGg afnaflnsfx? lgMz'Ns

pkrf/ ug]{ p2]Zon] of] c:ktfnsf] :yfkgf ul/Psf] xf] .

s]Gb|n] aif]{gL !&) lbg g]kfne/ …df]afOn lSnlgsÚ

;~rfng u/L xhf/f}+ ckfË afnaflnsfnfO{

;]jf k'¥ofpFb} cfPsf] 5 . o;} lznl;nfdf afnaflnsfx?sf]

xf8hf]gL{;DalGw ;d:ofsf] pkrf/sf nflu :jf:Yo lzlj/

lnP/ sl/a $( j6f lhNnfdf d klg k'lu;s]sf] 5' .

ef}uf]lns c;dfgtf / ul/aLsf sf/0f xf8hf]gL{;DalGw

pkrf/ w]/} afnaflnsfx?sf] kx'FreGbf aflx/ ePsf] b]v]F .

To;}n] s'g} klg ;+qmd0f eP/ lgsf] gx'g] cj:yf cfpg glbg

a]n}df tkfO{+ cfkm}+ ;r]t x'g'k5{ .

;]jf

zf/Ll/s ckfËtf ePsf ljkGg ju{sf afnaflnsfx?sf]

lgMz'Ns pkrf/ / k'g:yf{kgfsf nflu vf]lnPsf] Rofl/6L

c:ktfn xf] of] . klZrddf g]kfnu~h, k"j{df O6x/L, nxfg,

afUn'Ë / a'6jn u/L b]zsf % j6f 7fpFdf 8]l8s]6]8 zfvf

;]G6/x? /x]sf 5g\ .

afnaflnsfsf] ;d:of

of] c:ktfndf ;a}eGbf w]/} xf8hf]gL{sf] hGdhft ;d:of

ePsf w]]/} afnaflnsf cfpg] u5{g\ . …Snakm"6Ú hGdhft

w]/}nfO{ b]lvg] ;d:of xf] . o;afx]s afnaflnsfx?df dl:tis

kIf3ftsf] ;d:of b]lvg] u/]sf] 5 . aRrf hlGdg] a]nf s'g}

sf/0f dl:tisdf clS;hg gk'u]df, ;doeGbf klxnf aRrf

hlGdPdf / hGdkl5 ;+qmd0f ePdf o; lsl;dsf] ;d:of

b]lvg;S5 .

dlitis3ft ePsf afnaflnsfx?df df]ed]G6 -ult_

l8;c8{/ x'G5 . lx8\g / xftv'6\6f rnfpg ;Sb}gg\ . o:tf]

;d:of ePsf @)–@% k|ltzt la/fdLnfO{ zNolqmof,

lkmlhof]y]/fkL u/fP/ sfo{ultdf Nofpg d4t ub{5f}+ .

rf]6k6s nfu]/ af+luPsf] xftsf] zNolqmof u/]/ l;wf

agfpg] ul/G5 . o;sf ;fy} tTsfn rf]6k6s nfu]sf

afnaflnsfnfO{ klg pkrf/ ;]jf k|bfg ul/G5 .

le6fldg …8LÚ gk'u]/ v'§f af+luPsf afnaflnsfx?nfO{

;lh{sn pkrf/ ;]jf k|bfg ul/G5 o;sf ;fy} sltko

afnaflnsfnfO{ le6fldg 8L klg v'jfOG5 . cfuf]n] hn]/

ckfª\u ePsf afnaflnsfx? Knfli6s ;h{/L ;]jf lbO/x]sf]

5 .

To:t} 6\o'd/, hGdhft x'g] :sf]lnof]l;;, :kfOGfsf

;d:of, OGkm]]S;g Pj+ aRrfx?df b]lvg] cyf]{k]l8s;DalGw

;a} ;d:ofx?sf] pkrf/ ;]jf k|bfg ub}{ cfPsf 5f}+ .

hGdhft ckfË

j+zf0f'ut sf/0fn] afnaflnsfx? hGdhft ckfª\u

hlGdG5g\ . …Snjkm'6Ú hGdhft b]lvg] sdg /f]u xf] . t/

cg';Gwfgstf{x?n] #—$ j6f hLg kQf nufPsf] ePklg

s] sf/0fn] x'G5 < eGg] clxn];Dd yfxf 5}g . ue{df

v'§fsf] ljsf; x'g] a]nf lhgdf ;d:of b]lvg;Sg] s]xL

cg';Gwfgstf{x?sf] egfO 5 .

ef}uf]lns

c;dfgtf /

ul/aLsf sf/0f

xf8hf]gL{;DalGw

pkrf/ w]/}

afnaflnsfx?sf]

kx'FreGbf aflx/

ePsf] b]v]F .

To;}n] s'g} klg

;+qmd0f eP/ lgsf]

gx'g] cj:yf

cfpg glbg a]n}df

tkfO{+ cfkm}+ ;r]t

x'g'k5{ .

www.nepalhealthnews.com ;fpg @)&% • hg:jf:Yo ;/f]sf/ • 39


xf8hf]gL{ ljz]if

xl:k6ndf

ltAat l;lSsd,

d+uf]lnofaf6

afnaflnsf

cfpg] u5{g\ .

oxfFaf6 pkrf/

u/]/ uPsf

afnaflnsfx?

8fS6/ t sf]xLn]

ljBfafl/lw;d]t

ul/;s]sf 5g\ .

s'g} s'g} qmf]df]hf]dsf sf/0f klg x8\8Ldf ;d:of

b]lvg;S5 . …8fpg l;G8«f]DfÚ qmf]df]hf]dsf sf/0f x8\8Ldf

b]lvg] ;d:of xf] . o;n] xf8hf]gL{, d'6' / lduf}{nfdf ;d:of

ug{;S5 . …d:So'n/ l8;6«f]kmLÚ kl/jf/df ;b}{hfG5 .

x8\8L aGg]a]nf sdnf] tl/sfn] x8\8L aGg] ;d:ofnfO{

cl:6of]h]g]l;; ODk/km]S6f elgG5 .

/f]u klxrfg

afnaflnsfx?nfO{ slDKn6 x]Ny s]o/ ;f]n';g lbg] of]

Rofl/6]an c:ktfn xf] . z'?df xfdL ljkGg kl/jf/df /x]sf

ckfª\u afnaflnsfx? klxrfg ub{5f}+ . pkrf/kl5 ;DalGwt

afnaflnsfx?nfO{ ;fdflhs k'g:yf{kgf u5f}{ .

xfd|f] kfFr cf]6f :of6fnfO6 ;]G6/x? 5g\ . @@) hgf

:6fkm 5g\ . To;dWo] #) hgf :6fkm s]Gb|df pkrf/ kfPsf k"j{

la/fdL /x]sf 5g\ . &) hgf :6fkm lkmN8df g} x'G5g\ . pxfFx?n]

df]afOn lSNflgs ;~rfng ul//xg'ePsf] 5 . jif]{gL @% xhf/

hgf afnaflnsfx?nfO{ ;]jf k'¥ofpFb} cfPsf 5f}+ . To;dWo]

^) k|ltzt afnaflnsfx?nfO{ ;DalGwt lkmN8af6 pkrf/

;]jf k|bfg ub{5f}+ . ufpF ufpFdf k'u]/ aRrfx? 5gf]6 u/]/ pkrf/

u5f}{ / ljleGg ;+:yfx?;Fu ldn]/ pgLx?sf] cWoogdf klg

d2t ub{5f}+ .

nfe

s]Gb|df clxn];Dd *# xhf/ eGbf a9L afnaflnsfx?sf]

k'g:yf{kgf pkrf/ eO;s]sf] 5 . To;dWo] $$ xhf/sf]

;h{/L ePsf] 5 . To;df sltko klxnfb]lv g} :s'n uO/x]sf

afnaflnsf klg x'G5g\ eg] slt afnaflnsfx? 6'x'/f x'G5g\ .

pgLx?nfO{ s]Gb|df g} k'g:yf{kgfsf] ;'ljwf 5 .

cWoog ;'ljwf

ufpF3/af6 aRRff NofP/ pkrf/ ubf{ …cfh ltdLx? 3/

hfpm, ef]ln cfpmÚ eGg] cj:yf /xFb}g . pkrf/sf qmddf #

xKtfb]lv ^ dlxgf;Dd a:g'k5{ . To; qmddf pgLx?sf] k9fO

g5'6f];\ eg]/ xl:k6ndf :s'nsf] :yfkgf u/]sf 5f}F . xl:k6nd}

ltg hgf lzIfsx? 5g\ . aRrfx?sf] sf];{ cg';f/s} k9fO

x'G5 .

o; s]Gb|df ef/taf6 $ ;o hgf afnaflnsf kmnf]ckdf

5g\ . xl:k6ndf ltAat l;lSsd, d+uf]lnofaf6 afnaflnsf

cfpg] u5{g\ . oxfFaf6 pkrf/ u/]/ uPsf afnaflnsfx?

8fS6/ t sf]xLn] ljBfafl/lw;d]t ul/;s]sf 5g\ . of]

c:ktfn rnfpg w]/} b'Mv u/]/ k};f p7fpg'k5{ . xfdLnfO{

c? ;kf]{6 5}g . Pp6f 6'x'/f] aRRffnfO{ pkrf/ u/]/ ;fdflhs

k'g:yf{kgf ug{ ;s]df p:fn] b]zsf nflu /fd|f] sfd ug{;S5 .

o;af6 ;dfhnfO{ l/6{g ckm Oge];d]G6 /fd|f] x'G5 . To;sf/0f

s'gf sfKrfdf SofDk ug{ k|]/0ff ldn]sf] 5 .

d]/f] of] xl:k6n ;Fu :k];n ;DaGw 5 lsg ls d]/f] a'afn]

;'? ubf{ d, d]/f] bfO / alxgLnfO{ klg ;Fu} nu]/ sfd ug'{x'GYof] .

5'l§sf] a]nf xfdL k'g:yf{kgf s]Gb|sf aRrfx?;Fu v]NYof} .

dnfO ;fgf] pd]/b]lv 8fS6/ aGg dg lyof] . 8fS6/ ePkl5 oxfF

sfd ug]{ df}sf kfPF . of] d]/f] nflu w]/} v'zL / uj{sf] s'/f xf] .

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 40

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xf8hf]gL{ ljz]if

8f= bL3{/fh cf/;L l;len ;le{;

xl:k6nsf sfo{sf/L lgb]{zs Pj+

jl/i7 xf8hf]gL{ ljz]if1 x'g'x'G5 .

pxfFn] & jif{sf] cjlwdf sl/a $

;o !% hgfhltsf] lxk tyf hf]gL{

k|Tof/f]k0f ul/;Sg'ePsf] 5 .

k|To]s aif{ !

k|ltzt dflg;sf]

hf]gL{ km]g{'kg]{

cf+sng

ul/Pklg

aif{df )=!

k|ltztsf] klg

hf]gL{ k|Tof/f]k0f

x'g ;s]sf]

5}g .

hf]gL{ k|Tof/f]k0fsf]

cefjdf rf/

xhf/ hlt dflg;

ckfË eP/

a:g'kl//x]sf]

l:ylt 5 .

hf]gL{ k|Tof/f]k0f s]Gb|

d'n'sdf lsg rflxG5 <

r'gf}lt

b]zsf ;/sf/L tyf lghL c:Kftfndf hf]gL{ k|Tof/f]k0f

eO/x]sf] 5 . hf]gL{ k|Tof/f]k0fkl5 JolQmnfO{ lx8\g ;Sg]

cj:yfdf k'¥ofpg ;lsG5 . hf]gL{ k|Tof/f]k0f ug]{ w]/}h;f]

JolQm ^)÷&) jif{ s6]sf a[4a[4fx? x'G5g\ . pgLx? lx8\g

;Sb}gg, kl/jf/sf ;b:on] :ofxf/ ug{'k5{ . hf]gL{ k|Tof/f]k0f

u/]df pgLx?n] cfkm\gf] sfd cfkm}F ug{ ;S5g\ . of] pkrf/

cln dxFuf] ePsfn] kl/jf/sf ;b:on] g} hf]gL{ k|Tof/f]k0fdf

rf;f] /fVb}gg\ . To;}n] ;/sf/n] ;x'lnot lbg'k5{ . ;/sf/n]

cTofw'lgs hf]gL{ k|Tof/f]k0f s]Gb| vf]Ng] rf;f] /fVg'k5{ .

pd]/n] ^) s6]sf a[4a[4f cfdfa'afsf] hf]gL{ k|Tof/f]k0fdf

vr{ ug{ 5f]/f5f]/Lx? kl5 x6\b}5g\ . o;n] hf]gL{ k|Tof/f]k0f

ug]{sf] ;+Vofdf pNn]Vo a[l4 x'g ;s]sf] 5}g .

clxn] hf]gL{ k|Tof/f]k0f Pslqt ?kdf x'g ;ls/x]sf]

5}g . k|To]s aif{ ! k|ltzt dflg;sf] hf]gL{ km]g{'kg]{ cf+sng

ul/Pklg aif{df )=! k|ltztsf] klg hf]gL{ k|Tof/f]k0f x'g ;s]sf]

5}g . hf]gL{ k|Tof/f]k0fsf] cefjdf rf/ xhf/ hlt dflg;

ckfË eP/ a:g'kl//x]sf] l:ylt 5 . To;}n] d'n'sdf hf]gL{

k|Tof/f]k0f s]Gb| :yfkgf ug{ ;/sf/sf] rf;f] / ;lqmotfsf]

h?/t 5 . o;af6 Pslqt ?kdf la/fdLnfO{ ;x'lnot b/df

k|Tof/f]k0f ;]jf pknAw u/fpg ;lsG5 .

cfly{s cefj

cfly{s cefjdf hf]gL{ k|Tof/f]k0f ug{ g;s]sf JolQm

k|z:t 5g\ . hf]gL{ k|Tof/f]k0f ug{ OR5f ePsf t/ 5f]/f5f]/Ln]

rf;f] glbPsf] eGg] u'gf;f] ug]{x?sf] klg sdL 5}g . cfly{s

cefjdf hf]gL{ k|Tof/f]k0f ug{af6 al~rt ePsf w]/} JolQmx?

5g\ .

To;}n] g]kfndf hf]gL{ k|Tof/f]kg s]Gb| vf]Ng Psbd}

cfjZos 5 . ;/sf/n] ;a} Aoj:Yff ldnfPsf] v08df

xfdL sfd ug{ tof/ 5f}F . hUuf, eagsf] Aoa:yf u/]/ Pp6f

cTofw'lgs ;]G6/ vf]Ng'k5{ .

;/sf/L c:ktfndf @ nfv %) b]lv # nfv ;Dd

nfU5 . lglh c:ktfndf ODKnfG6sf] rfh{ p:t} xf] a]8 rfh{

nufotsf sf/0fn] ;/sf/L eGbf 8an vr{ nfUg;S5 .

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 42

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xf8hf]gL{ ljz]if

;8s b'3{6gf, ?v / le/af6

v;]/ nfUg] hl6n lsl;dsf

rf]6k6ssf] pkrf/df dxFuf]

vr{ nfUg;S5 . dxFuf] vr{

ltg{;Sg] w]/} JolQmsf] ;fdYo{

gx'g] ePsfn] :jf:Yo

aLdfnfO{ k|fyldstf lbg'k5{ .

lsg rflxG5 <

:jf:Yo aLdf

8f= /fh /f0ff

jl/i7 cyf]{k]l8s ljz]if1

g]kfn d]l8l;6L xl:k6n

hj;Dd :Jff:Yo

aLdf x'Fb}g ta;Dd

la/fdLn]

vNtLaf6 k};f

lgsfn]/ pkrf/

ug'{k5{ . :jf:Yo

aLdfnfO{ /fHo:t/

af6 g} nfu'

ug'{k5{ .

ljutdf hl6n lsl;dsf rf]6k6sf] pkrf/sf nflu ljb]z

hfg'kg]{ jfBtf lyof] . t/ clxn] g]kfnsf w]/} c:ktfnx?df

;Dej eO;s]sf] 5 . ef/tsf] d]bfGt xl:k6ndf lbg] ;]jf /

g]kfndf lbg] ;]jfdf s'g} cGt/ 5}g . d}n] nfdf] ;do d]bfGt

xl:k6ndf sfd u/]sf] cg'ejn] of] s'/f atfPsf] xf] . To;}n]

g]kfndf xf8hf]gL{sf] pkrf/ ;]jf lbg g]kfn kmls{Psf] 5' .

ca pkrf/sf nflu ef/t xf]Og ef/tsf la/fdLx? g]kfn

cfpg yfn]sf 5g\ . uDeL/ rf]6 nfu]sf] Pp6f la/fdL pkrf/

ug{ cfPkl5 ;DalGwt OGe]li6u];g / pkrf/ ug{ y'k}| 7fpFdf

hfg'kg]{ cj:yf dfq} sd ePkl5 la/fdLn] u'0f:t/Lo ;]jf k|fKt

u5{g\ . ef/tsf c:ktfnx? pkrf/df ;kmn x'g'sf] k5f8L klg

olx sf/0f xf] .

cyf]{k]l8s pkrf/ ug]{ 7fpFdf Pp6fdfq ljefu geP/ ;a}

lsl;dsf ljefu x'g h?/L x'G5 . hf]gL{ lvOPsf la/fdLx?dfq

geP/ xftv'§f efFlrPsf la/fdL ;d]t pkrf/sf nflu d]bfGtdf

k'Uf]sf] b]Vbf dnfO crDd nfUYof] . Tolta]nf la/fdLnfO{

g]kfndf g} pkrf/ ug{ ;S5f}F eGg] ljZjf;sf] jftfj/0f agfpg

;s]sf lyPgf} . t/ clxn] ;a} pkrf/ g]kfnd} ;Dej x'\G5 .

b'3{6gf eP/ Pp6f x8\8L efFlrPkl5 ToxfF 5fnf, df;',

/utsf gnLx?, :gfo'gnLx? klg 8\ofd]h ePsf] x'G5 . o;sf

nflu 5'§} l6dsf] h?/L k5{ . ;Dk"0f{ pkrf/sf] Joj:yf klg

Ps} 7fpFdf x'g'k5{ . ;a} l6d ldn]/ la/fdLsf] pkrf/ u/]df rfF8}

l/se/ x'G5 / la/fdLsf] k};f / ;do b'j} jrt x'G5 . To;sf/0f

slDKn6 pkrf/ ;f]n';g lbg] c:ktfn /f]Hg h?/L x'G5 .

ha la/fdL 6fpsf] nufot cGo c+usf] pkrf/ ug{

c:ktfn k'U5 ToxfFsf] 8fS6/n] lsg l9nf] cfPsf] eg]/

;f]Wg'x'G5 . ;do w]/} lat]sf] x'Fbf la/fdLsf] l/se/ /fd|f] x'g

;Sb}Gf . o:tf] cj:yfdf la/fdL / p;sf] kl/jf/n] w]/} g} b'Mv

kfpg'k5{ . olb 6fpsf] / v'§fdf rf]6k6s nfu]sf] 5 eg] Ps}

rf]l6df Pg]:y]l;of lbP/ ck/]zg ug{ ;lsG5 . t/ b'3{6gf x'g]

lalQs} lj/fdLnfO{ k|fOd/L s]o/df pkrf/ u/]/ …oxfF pkrf/ x'g]

olQdfq xf]Ú …ca tkfO{ ca csf]{ c:ktfndf hfg';\Ú eg]/

t'?Gt elgb}g ta;Dd la/fdLn] b'Mv kfO/xG5, of] ;a}eGbf

7'nf] r'gf}lt xf] .

hj;Dd :Jff:Yo aLdf x'Fb}g ta;Dd la/fdLn] vNtLaf6

k};f lgsfn]/ pkrf/ ug'{k5{ . :jf:Yo aLdfnfO{ /fHo:t/af6

g} nfu' ug'{k5{ .

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 44

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xf8hf]gL{ ljz]if

cyf]{:kfOg

/

Go'/f]:kfOgdf e|d

Go'/f] ;h{/Laf6

:kfOgsf] ;h{/L

ug{ cfPsf 8fS6/

nfO{ Go'/f] :kfOg

;h{g elgG5 eg]

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;h{/Laf6 cfPsf

8fS6/x?nfO{

cyf]{:kfOg ;h{g

elgG5 .

b'j}n] ug]{ Pp6}

pkrf/ ljlw xf] .

k|f=8f= /f]lxt kf]v/]n

jl/i7 cyf]{:kfOg ;h{g

lq=la=lzIf0f c:ktfn

k|f=8f= kf]v/]nn] ;g\ !(((

b]lv xfn;Dd sl/a @ xhf/ %

;o eGbf a9L :kfOgsf] ;h{/L

ul/;Sg'ePsf] 5 .

:kfOg;DalGw pkrf/sf nflu c:ktfn cfpg] clwsf+z

la/fdLx?df cyf]{:kfOg ;h{g jf Go"/f] :kfOg ;h{g sf];Fu

pkrf/ ug]{ eGg] l4ljwf ePsf] kfOG5 . t/ cyf]{:kfOg xf];\

jf Go"/f] :kfOg hf] ePklg s]xL km/s kb}{g . b'j}sf] Pp6} p2]Zo

x'G5 ;DalGwt la/fdLnfO{ ;d:ofaf6 d'Qm u/fpg] . b'j}sf]

ljz]iftf klg :kfOg;DalGw g} x'G5 .

cyf]{:kfOg ;h{gn] x•Lsf] l6:o'nfO{ /fd|f];Fu XofG8lnª

ug{ ;S5 eg] Go'/f] :kfOg ;h{gn] g;fsf] ;km\6 l6:o'nfO{

/fd|f];Fu XofG8lnª ug{ ;S5 . To;sf/0f b'j} ljwfsf ;h{gnfO{

Ps} 7fpFdf /fv]/ tflnd pknAw u/fPdf l;ksf] cfbfg k|bfg

ug{ cem ;xh x'g] b]lvG5 . Go'/f] ;h{/Laf6 :kfOgsf] ;h{/L ug{

cfPsf 8fS6/nfO{ Go'/f] :kfOg ;h{g elgG5 eg] cyf]{k]l8s

;h{/Laf6 cfPsf 8fS6/x?nfO{ cyf]{:kfOg ;h{g elgG5 .

b'j}n] ug]{ Pp6} pkrf/ ljlw xf] . o;df e|ldt x'g h?/L 5}g .

:kfOgnsf s];x?df k|foM ?v / le/af6 n8]/, ;8s

b'3{6gf, rf]6k6s, :kfOgsf] Ifo/f]u, 6\o'd/, afy, l;ofl6sf,

pd]/ / afysf]] sf/0f :kfOgdf ;d:of lnP/ la/fdLx? cfpg]

u/]sf 5g\ .

s'k|f] lsg eOG5 <

o;nfO{ cf]l:6of]kf]/f]l;; :kfOg elgG5 . d]?b08df

s'/s'/] x•L, OG6e6]«an l8:s x'G5 . pd]/ a9\b} hfFbf d]?b08sf]

x•Lx? g/d x'Fb} hfg] ePsfn] of] la:tf/} em'Sb} hfG5 . o;/L

s'k|f] k/]sf] :kfOgnfO{ l;wf agfpg;lsG5 .

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 46

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xf8hf]gL{ ljz]if

nlsª sDk|];g Kn]6

;'/h cjfn]

cyf]{ l8kf6{d]G6

lxdfno d]l86]s

7"nf Pj+ ;fgf b'3{6gfdf

k/L efFlrPsf xft / v'6\6fsf

x8\8Lx?sf] ;kmn h8fgsf

nflu nlsª sDk|];g Kn]6

-kftf_ k|efjsf/L aGb} uPsf]

5 . of] cl:6of]kf]/f]l;;

af]g ˆofSr/df klg k|of]u

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efFlrPsf x8\8Lx?nfO{

h:tfsf] To:t} hf]8\g nlsª

sDk|];g Kn]6sf] dxTjk"0f{

e"ldsf /xG5 . vf;u/L kfv'/f

/ kfv'/f eGbf d'lgsf] x8\8L, s'Ogf]sf] x8\8L efFlrbf nlsª

sDk/]zg Kn]6 / l:qmp nufP/ x8\8L hf]8\g] ul/G5 .

of] ;]jfnfO{ cem Jofks agfpg g]kfndf ut d] dlxgfdf

nlsª sDk|];g Kn]6;DalGw Ps lbg] cyf]{k]l8s sfo{zfnf

uf]i6L ul/Psf] lyof] . ef/tsf cyf]{k]l8s ljz]if1x?sf] ;d]t

;xeflutf /x]sf] ;f] uf]i6Ldf sl/a $) hgf g]kfnL cyf]{k]l8s

ljz]if1sf] ;xeflutf /x]sf] lyof] . ;f] cj;/df cyf]{k]l8s

cWoog ul//x]sf 8fS6/x?nfO{ k|of]ufTds lqmofsnfkaf6

Kn]6 / l:qmp s:g] cEof; u/fOPsf] lyof] . pgLx?n] Kn]6 /

l:qmp s'g 7fpFdf s;/L nufpg] eGg]af/] k|of]ufTds 1fg k|fKt

ug{ ;kmn ePsf] jl/i7 xf8hf]gL{ zNolrlsT;s 8f= k|ljg

g]kfnn] hfgsf/L lbg'eof] .

lxdfno d]l86]s -PrPd6L_ sf] k|fof]hgdf ePsf] ;f]

uf]i7Ldf ;xefuL 8fS6/x?n] e/]sf] lkm8Aofs kmd{df pgLx?n]

km]l/ klg l;Sg kfOof];\ eGg] wf/0ff JoQm u/]sf lyP .

nlsª sDk|];g Kn]6n] k'/fgf] sGe]G;gn Kn]6sf] klg sfd

ub{5 . klxnf of] k|ljlw lyPg t/ cfhef]ln nlsª sDk|];g

Kn]6df b'O cf]6f ns ug{ ldNg] Pj+ b'Ocf]6f ˆofSr/ x8\8LnfO{ Ps}

7fpFdf hf]8\g] ljz]iftf

/x]sf] 5 . o;n]

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eP/ efFlrPsf] 5 eg]

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ug'{k5{ . efFlrPsf]

x8\8Lsf] tNnf] / dflyNnf] efunfO{ hf]8]/ aLrsf] efunfO{

Tolts} 5f]8]df l56f] hf]l8G5 eGg] l;4fGt 5 . 8f=k|ljgsf

cg';f/, ˆofSr/ Joj:yfkg ug{ efFlrPsf] x8\8L hf]8\g] k|lqmof

;lx 9+un] u/]sf] v08df km]lno/ Go'lgs/0f ug{ ;lsG5 .

/fd|f] 9+un] hf]l8Pg eg] Kn]6 l:qmp ;'l:sg ;S5 . To;}n] o;

af/]df 1fg xfFl;n u/]df ;d:of 36]/ hfg] ljZjf; lnOPsf]

5 .

d]6«f]lgs Kn]6sf ljz]iftf

• d]6«f]lgs Kn]6 nufPsf la/fdLsf] Pdcf/cfO{ ubf{

s'g} ;d:of x'Fb}g .

• of] z/L/sf] x8\8Lsf] cfsf/df x'g] ePsfn]

la/fdLnfO{ s'g} ;d:of x'Fb}g .

• z/L/af6 nfdf] ;do;Dd glgsfNbf klg o;n] s'g} c;/

ub}{g .

• of] k"0f{?kdf 6fO6flgod wft'n] ag]sf] x'G5 .

d]6«f]lgssf] ef]l/ns Kn]6sf] ljz]iftf

o;df % j6f k|sf/sf] :qm' /fVg ldN5 . Pp6f :qm' !)

l8u|L P+undf /fVg ;lsG5 . 58\s] u/]/ klg ns ug{ ;lsg]

ePsfn] ckm\6\of/f] 7fpFdf efFlrPsf] x8\8L klg ;lhn}

/fVg ;lsG5 . la/fdLsf] z/L/sf] ;]k cg';f/ x'g] ePsfn]

la/fdLnfO{ ;lhnf] x'G5 . of] k"0f{ ?kdf 6fO6flgod wft'n]

ag]sf] x'gfn] w]/} nfdf] ;do;Dd z/L/df /fVg ;lsG5 . To;}n]

of] a'9fa'9Lx?sf nflu k|efjsf/L dflgG5 .

www.nepalhealthnews.com ;fpg @)&% • hg:jf:Yo ;/f]sf/ • 47


kf]if0f

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v'/fs

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$) jif{b]lv lqe'jg ljZjljBfnodf sfo{/t x'g'x'G5 . pxfF

xfn u[x lj1fg s]lGb|o ljefusf] cWoIf ;d]t x'g'x'G5 .

xf8hf]gL{;DalGw ;d:ofdf kf}li6s tTjsf] dxTjaf/]

k|f=8f=7s'/f7L s] eGg'x'G5 <

Ps :j:y z/L/sf] klxrfg alnof] x•Lsf] ;+/rgfaf6 z'?

x'G5 . To;}n] afNoj:Yffb]lv g} x•L alnof] / :j:Yo /fVg]

kf}li6s tTj k|fKt x'g] vfBj:t'x? vfg] afgL a;fNg'k5{ .

pd]/ k'u]sf k'?if / dlxnfdf b]lvg] x•L dlSsg]

-cl:6of]kf]/f]l;;_ Ps k|rlnt /f]u xf] . x•L;DalGw /f]un]

b'MvfO{, kL8f, c;Ifd, lxgtfaf]w / g}/fZotf pTkGg u/fpFb5 .

s]6fs]6L / o'jf cj:yfdf klg x•Lsf] ;d:ofn] b'Mv lbg]

ub{5 . To;}n] afNofj:yfb]lv x•Lsf nflu cfjZos kf}li6s

tTjx? vfgfdf ;dfj]z ug{ h?/L 5 .

kf}li6s tTj

x•L :j:y / alnof] agfpg SoflN;od, le6fldg 8L

/ DofUg]l;odh:tf vlgh tTjsf] d'Vo e"ldsf x'G5 .

SoflN;odsf] d'Vo sfd z/L/sf] x•L / bfFtnfO{ alnof]

agfpg] xf] . oBkL z/L/sf] cfjZostf cg';f/ hGdb]lv

g} SoflN;od k|fKt x'g] vfB kbfy{ ;]jg ug'{k5{ . z/L/sf]

;+/rgf cg';f/ ^) lsnf]u|fd tf}n ePsf] Ps jo:s JolQmsf]

z/L/df sl/a ! lsnf]u|fd SoflN;od x'G5, h'g z/L/sf] bfFt

/ x•Ldf a9L kfOG5 .

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 48

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kf]if0f

z/L/df /x]sf] SoflN;odsf] s]xL dfqf lbzf, lk;fa,

lkQ / kl;gfaf6 aflx/ lgl:sG5 . Ps jo:s JolQmsf] z/L/

af6 Pslbgdf & ;o ldlnu|fd SoflN;od z/L/af6 aflx/

lg:sG5 . o; k|lqmofsf] Ifltk"lt{sf nflu SoflN;odo'Qm vfB

kbfy{x?sf] pkef]udf hf]8 lbg'kb{5 . cGoyf x8\8L kftnf] /

dlSsg] x'g;S5 .

:d/0f /xf];\ SoflN;odo'Qm vfgf k|z:t vfP/ dfq x'Fb}g

o;sf] pkof]u / z/L/df zf]if0fsf nflu le6fdLg 8L k|fKt x'g]

vfg]s'/f vfg klg lgtfGt h?/L kb{5 .

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z/L/sf] ljsf; / j[l4 Pj+ b"w v'jfpg] cfdfnfO{ w]/} rflxG5 .

SoflN;odsf] cfjZostf pd]/ / kl/>d cg';f/ klg x'G5 .

pd]/ cg';f/ s8f kl/>d ug]{ / b"wsf] ;]jg gug]{

JolQmnfO{ SoflN;odsf] cfjZostf k'\/f ug{ SoflN;od

;lKnd]G6 v'jfpg'k5{ . cGoyf SoflN;od 36]/ x•LnfO{

sdhf]/ agfpFb} hfG5 . bfn tyf u]8fu'l8nfO{ pdf/]/ vfPdf

al9 SoflN;od kfOG5 .

pd]/ cg';f/ SoflN;odsf] cfjZostf

pd]/

ld=ln=-k|ltlbg_

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pkef]udf hf]8

lbg'kb{5 .

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/ DofUg]l;od ltGf} vlgh tTj rflxg] x'Fbf k|foM h:tf] g]kfnL

vfgfsf] ljljwtfdf clnslt dfq Wofg k'¥ofPdf ;xh} x•L

alnof] agfpg ;lsg] cj:yf b]lvG5 .

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 50

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klg lgsf] eO;Sof] . t/ ljutsf] h:tf] hf]z, hfFu/ / cfF6

cln 5}g . ;fdfGo lxF88"n u5'{ . w]/} lxF8\of] eg] 9f8 b'MV5 .

To;}n] lrlsT;sn] cem} b'Odlxgf hlt 3/d} cf/fd ug{

;Nnfx lbg'ePsf] 5 . w]/} lxF88"n ug{ gePsfn] z/L/ cln

df]6fPsf] 5 . lbge/ w]/} lx8\of] eg] /ftL ysfOnfu]/ d'ed]G6

ug{ uf/f] x'G5 . To;}n] w]/} lxF8lbg . 3/d} a:5', 6]lnlehg x]5'{

/ ;dfrf/ ;'G5' .

ha a]xf]; ePF

sn]hsf] clGtd k/LIff ;s]kl5 s]xL ;fyLx? uf8Laf6

sf7df8f} uP . s]xL ;fyL kl5 hfg] eg]/ a;] . Tof] lbg ?d

kf6{g/ ;fyL lk|G;L wfdL, rf? a/fn / cf:df zfSo ;Fu}

ePsfn] /dfOnf] nflu/x]sf] lyof] . ;a}sf] l/hN6 Ps}k6s

lg:sg] ePsfn] ;a} ldn]/ sf7df8f}+df kf6L{ u/]/ /dfOnf]

ug]{ ;Nnfx ePsf] lyof] . ha Kn]gsf] em\ofnaf6 lgofFn],

sf7df8f}+sf] b[io b]lvof] . clg 3/ cfOk'Ug yfNof] eg]/ cfgGb

dx;'; eO/x]sf] lyof] . t/ ladfg:yndf Kn]g NoflG8ª geP/

dfly dfly p8\g yfNof] . k'gM Kn]g NoflG8ª x'g vf]lh/x]sf]

lyof] . 6«flkmlsªsf] ;d:of xf]nf h:tf] nfUof] . sf7df8f}

cfO;s]sfn] Nof08 ul/xfN5 lg eGg] eof] . xfdL t 3/ k'lug}

;Sof}F, sf7df8f}d} 5f}F eGg] nflu/x]sf] lyof] . t/ Kn]g PSsf;L

em¥of} . d]/f] 6fpsf] 7f]lsof] . To;kl5 s] eof] dnfO{ yfxf

5}g . Kn]gdf nfu]sf] cfuf] lgoGq0f ug{ xfn]sf] kfgL k/]/ d

xf];df cfP5' . To; kl5 ;xof]]u dfUb} ?g yfn]F .

;kgf h:tf]

d sxfF 5' < s:tf] cj:yfdf 5' < eGg] s]xL yfxf ePg .

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 52

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Ps 6'qmf hLjg

cFWof/f] h:t} lyof] . aflx/ dflg;x? sf]xL vlg/x]sf],

af]ln/x]sf] / s/fO/x]sf] h:tf] ;'lgGYof] . Kn]g v;]sf] eGg]

yfxf kfPkl5 cflQg yfn]F / arfpg u'xf/ u/]F .

hLjgsf] cy{

a"9f] g} eP/ dl/G5 eGg] /x]g5 . h'g;'s} pd]/df h] klg

x'g;Sg] dx;'; u/]F . To;}n] ;dodf /fd|f] sfd u/]/ cufl8

a9\g'kg]{ ;Nnfx lbg rfxG5' .

d[To'sf] 8/

d]/f ?dd]6 ;fyLx?sf] lgwg eO;s]sf] 5 . d klg Psrf]l6

d/]/ afFr]sf] 5' . d[To'b]lv dnfO{ dfq xf]Og ;a}nfO{ 8/ nfU5 .

36gfnfO{ la:tf/} e"Ng] sf]l;; ub}{ 5' . t/ ljutsf] 36gf /

;Fu} a;]sf ;fyLx?sf] ofb cfO/xG5 . …klxnfb]lv g} hLjgdf

/fd|f] sfd ug{'k5{Ú eGg] ;f]r lyof] . of] 36gfn] Tof] OR5fdf emg}

pT;fx ylklbPsf] 5 .

k9fOsf] l:ylt

a+unfb]zdf cWofkg ug]{ k|fWofksx? k9fOdf w]/} g} Wofg

s]lGb|t ug{'x'G5 . ToxfF al9 k9fOnfO{ dxTj lbOG5 . k9\g k|]l/t

ul/G5 . lbglbg} 6]i6x? eO/xG5g\ . klxnf] / bf];|f] aif{ k"/} g}

;}4flGts cWoog x'G5 . t];|f] aif{b]lv jf8{x? 3'd]/ la/fdL

x]g{'k5{ .

j+unfb]z hfg] lg0f{o

g]kfndf l;6 kfpg uf¥x«f] x'G5 . l;6 kfPklg Ps}rf]l6

k};f ltg{ nufOG5 . o:tf] cj:yfdf kl/jf/n] k};f ltg{

:fSg'x'Gg . ToxfF cfkmGt lblb klg k9\g'x'g'x'GYof] . lblbn]

cfpg ;Nnfx lbPsfn] pxfF k9]s} sn]hdf egf{ ePsf] lyPF .

z'Ns OG:6nd]G6 -ls:tf_ df a'emfpFbf x'G5 . d]/f] kfnfdf

PdaLaLP; cWoogdf #% xhf/ 8n/ lyof] . clxn] ;fob

$) xhf/ hlt k'Uof] xf]nf .

8fS6/ aGg] rfxgf

dnfO{ ;fgf] a]nfdf Psbd 6fpsf] b'VYof] .

To;sf/0f w]/}k6s 8fS6/sxfF hfg'kYof]{ . dnfO{ 8fS6/

sf] JolQmTj w]/} g} dg kYof]{ . Tof] b]v]/ cfkm\g} rfxgfn]

8fS6/ k9]sf] xf] . t/ afafn] ;lhnf] ljifo cWoog ug{

eGg'x'GYof] . d lhl4 :jefjsL ePsfn] 8fS6/ g} k9]F .

d hg/n ;h{g aG5' . Pd8L ;s]kl5 8\of8L -a'af_ sf]

rfxgf xl:k6n jf 7"nf] lSnlgs vf]Ng] eGg] ;kgf k"/f

u/]/ 5f]8\5' .

d]/f] rfxgf

ci7jL/ AoGhgsf/

;ld/fsf] a'af

;ld/fn] Ps sIffb]lv g} 8fS6/ k9\5'

elGyg\ . t/ d eg] ;Fw} la/fdLsf] ;]jfdf /xg'kg]{ ePsfn] 8fS6/

sf] nfOkm 5}g h:tf] nfu]/ Jofkf/ ug{ Dofg]Hd]G6 cWoogsf

nflu ;Nnfx lbg] ub{y]F . kl5 pgsf] JolQmut rfxgfsf sf/0f

g]kfndf g} 8fS6/ cWoog u/fpg ;f]r]sf] lyPF . oxfF Ps}k6s

$) nfv a'emfpg'kg]{ /x]5 . h;n] $) nfv a'emfpF5 p;sf]

d]l/6 lni6df gfddf gfd glg:s]klg egf{ ldNbf] /x]5 . d eGbf

sdhf]/ laBfyL{n] Ps}k6s z'Ns a'emfPkl5 egf{ ldNof] . of]

b]v]/ dnfO{ b'Mv nfUof] . To;kl5 a+unfb]z k7fpg] lg0f{o

u/]F . a+unfb]zdf cWoog ub}{ /x]sL d]/f] ;fyLsf] 5f]/L lk+sL

dxh{g;Fu ;Nnfx u/]/ 5f]/LnfO{ a+unfb]z k7fPF . d klg ;Fu}

uP/ ToxfFsf] xf]:6]n jftfj/0f cjnf]sg u/]/ cfPsf] lyPF .

dnfO{ /fd|f] nfu]sf] lyof] .

ca 5f]]/Lsf] cj:yf x]/]/ g]kfnd} Pd8L k9fpg] lg0f{o

u/]sf] 5' . kf6g Ps]8]dL ckm x]Ny ;fOG;df k9fpg] s'/f ePsf]

5 . g]kfndf hGd]kl5 g]kfns} ;]jf ug'{k5{ Efg]/ 5f]/LnfO{ ;fg}

b]lv eGb} cfPsf] 5' . ;dfhdf a;]kl5 ;dfhsf] ;]jf ug'{k5{

EfGg] d]/f] rfxgf xf] .

nugzLn

;l/tf AoGhgsf/

;ld/fsf] cfdf

5f]/L ;fg}b]lv nugzLn lyOg\ . clxn]

;Dd xfdLn] eg]sf] s'g} klg s'/fx? gfO eg]sf] 5}g . p;n]

;x/L If]qdf dfq xf]Og ufpF ufpF uP/ ul/a / c;xfox?sf] ;]jf

ug]{ cj;/ kfcf];\ .

Pd8L ;s]kl5

8\of8L -a'af_ sf]

rfxgf xl:k6n

jf 7"nf] lSnlgs

vf]Ng] eGg] ;kgf

k"/f u/]/ 5f]8\5' .

www.nepalhealthnews.com ;fpg @)&% • hg:jf:Yo ;/f]sf/ • 53


cWofTd

Pnlk efg' zdf{

hLjg lj1fg ljz]if1

hLjg g :jf:Yo

xf], g /f]u, hLjg

t cfgGb /

v'zLofnL xf] .

d v'zL;Fu afFRg

;S5' eg] Tof] k/d

:jf:Yo xf] . v'zL

eGbf 7"nf] :jf:Yo

5}g . cfkm"leqsf]

cfgGb eGbf 7"nf]

cf}iflw 5}g .

cWofTdleq n's]sf]

;du| :jf:Yo

…:jÚ / …c:yÚ zJbaf6 :jf:Yo ag]sf] 5 . …:jÚ eg]sf]

cfkm"df / …c:yÚ eg]sf] l:y/ x'g' xf] . cfkm"df l:y/ x'g]

JolQmnfO{ :jf:Yo elgG5 . o;}nfO{ cf/f]Uo elgG5 . cf/f]Uosf]

kl/efiff cfkm"df l:y/ /xg'df k|ltlglw xf] .

cfkm"leqsf] r]tgf aflx/ bf}l8G5 cyf{t /f]ult/ bf}l8/xG5 .

d]/f] dgdf st} ;d:of 5, d]/f] r]tgfdf sdL 5, d ;kmntf

/ c;kmntfsf] s'/f ul//x]sf] 5', d}n] s] ug]{ < sxfF hfg] <

eGg]af/] dnfO{ yfxf 5}g . o:tf] cj:yfdf cfkm"df l:y/ /xg

g;s]sf] a'em\g'k5{ .

c;Gt'i6L lbG5 . To;sf/0f zf/Ll/s, dfgl;s, efjgfTds /

cflTds ljZjf; lnP/ x'g] k"0f{tf :jf:Yo xf] .

cWofTd k"0f{ Onfh xf] . xfd|f Clifd'lgx?n] /f]u nfUof]

eg] JolQmsf] k|j[lQ, :jf:Yosf] k|s[lt, kfl/jf/Ls k[i7e"ld,

JolQmsf] vfgkfg s:tf] 5 < s] sfd u5{ < slt ah] ;'T5

/ slt ah] p7\5 < s:tf] s'/f af]N5 < s] s'/f dg k/fpF5 <

s] dg k/fpFb}g < h:tf s'/fdf Vofn ub{y] . oL ;a} s'/fn]

JolQmsf] cflTds, efjgfTds, dfgl;s / :jf:Yosf] cj:yf

atfpF5 . o;/L ul/g] ;du| pkrf/nfO{ cf/f]Uo elgG5 .

d]/f] x[bosf] efjgfdf ;d:of 5, hLjgdf k|]d 5}g, k|]d

JoQm ug{ / k|fKt ug{ klg ;ls/x]sf] 5}g, d}n] k|]dsf] cfbfg

k|bfg ug{ ;ls/x]sf] 5}g eg] d]/f] hLjg r]tgf lau|]sf]

efjgfx?df hfG5 . d]/f] hLjgdf s] ug]{ / s] u/]F eg] jf:tjdf

dnfO{ cfgGb cfpF5, s] u/]F eg] hLjge/ b'Mv kfpF5', o:tf

ljifox?df dnfO{ 1fg 5}g eg] d}n] h] klg u5'{ . To;n] dnfO{

c:ktfnsf 8fS6/x?n] z/L/sf] s'g} Pp6f efudf pkrf/

s]lGb|t u/]sf x'G5g\ . pgLx?n] la/fdLsf] rf}tkmL{ ;d:of Vofn

ub}{gg\ . Clifd'gLx?n] u/]sf] :jf:Yosf] kl/sNkgf leGg

k|sf/sf] 5 . bzf}+ xhf/ jif{;Dd k[YjLsf] k"jL{o e"—efudf

Tof] kl/sNkgfnfO{ nfvf}+ nfv JolQmn] k|of]u u/] . kmn:j?k

ca JolQmsf] hLjgdf cf/f]Uo pleof], :jf:Yo pleof] cyf{t

;fpg @)&% • hg:jf:Yo ;/f]sf/ • 54

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cWofTd

:jf:Yosf] Pp6f dxfo'u rln/Xof] . kl/jf/, lzIffnufotsf

s'/fdf ;Gt'ng Nofpg :jf:Yosf] k|efj w]/} 5 .

hLjgz}nL

:jf:Yo lj1fgnfO{ z/L/sf] c+u s]lGb|t gu/]/ hLjgz}nL;Fu

bfHg h?/L 5 . d kof{Kt lgb|f lnG5' ls lnGgF <, kof{Kt

Jofofd u5'{ ls ulb{g <, kf]if0fo'Qm ef]hg u5'{ ls ulb{gF <,

b}lgs slt kfgL lkpF5' <, d df ;sf/fTds ;f]r cfpF5g\ ls

cfpFb}g < eljiolt/ Wofg lbFbf cf3ft hlGdG5 ls 8/ <

h:tf s'/fdf Vofn ug{ h?/L x'G5 . hLjgz}nLaf6 hLjgsf]

cfgGb lng ;Sg'k5{ . oBkL hLjg g :jf:Yo xf], g /f]u, hLjg

t cfgGb / v'zLofnL xf] . d v'zL;Fu afFRg ;S5' eg] Tof] k/d

:jf:Yo xf] . v'zL eGbf 7"nf] :jf:Yo 5}g . cfkm"leqsf] cfgGb

eGbf 7"nf] cf}iflw 5}g .

v'zLofnLaf6 z/L/df rflxg] ;a} ;sf/fTds /; / xdf]{g

tTjx? hlGdG5g\ . To;}n] ;sf/fTds xdf]{g hGdfpg] pkfo

vf]Hg'k5{ . l/;fpFbf z/L/df gsf/fTds /;x?sf] hGd x'G5

/ la:tf/} /f]usf] hGd x'gyfN5 . cfh d l/;fO/x]sf] 5' eg]

ef]ln d /f]uL x'g;S5' . d df /f]u sxfFaf6 cfof] < cfkm"leqsf]

cfTd u'kmfdf qmf]wsf] cg'e"ltn] dg / z/L/df /f]usf] 7"nf]

;d:of hGdfpF5 .

cWofTdsf] k|f?k g} JolQmnfO{ /f]uL x'gaf6 arfpg ePsf]

xf] . To;}n] cfhb]lv d}n] ;sf/fTds hLjgz}nL ckgfpg

yfn]F, ;sf/fTds aGg yfn]F, ;sf/fTds /;x? hGdfpg yfn]F

eg] d leq hlGdg yfn]sf /f]ux? klg la:tf/} lgsf] x'g yfN5g\ .

To;}n] o;k|lt lgs} Vofn ug'{k5{ .

;a};Fu /fd|f] ;DaGw agfpg'k5{ . cfkm\gf] tkm{af6 ;DaGwdf

k|]dsf] nufgL u/ . c?n] s] u5{g\ eGg] Vofn gu/ . d}n] s;}nfO{

klg ;lDembf k|]d, ;sf/fTds ;f]r / d}qLk"0f{ efjn] ;lDemg

;Sg] ag'F . ;DaGwnfO{ 7Ls 7fpFdf /fVg] lalQs} cfwfeGbf

a9L /f]u hLjgdf nfUg g;Sg] cj:yf aG5 . ha ;DaGw

7Ls x'G5, ;DaGw;Fu ;DalGwt ;a} /;x? 7Ls x'g yfN5g\ .

;DaGwn] efjgf 7Ls 7fpFdf cfpF5 / hLjgdf pNnf; / pd+u

NofpF5 .

;fwf/0f JolQmn] !) jif{df h] sfd ug{ ;S5, pQd ;DaGw

ePsf] JolQmn] Ps} jif{df Tof] sfd ug{;S5 . ;DaGw 7Ls

ePdf JolQmsf] pTkfbgzLntf 7Ls x'G5 . ;DaGw 7Ls ePdf

JolQmsf] hLjgz}nL cToGt} ;sf/fTds x'G5 .

ef]hg

cf/f]Uo cyjf :jf:Yosf] dxTjk"0f{ cfofd ef]hg xf] .

cWofTdn] ef]hgnfO{ @ efudf jlu{s/0f u/]sf] 5 . Pp6f k|]dn]

hlGdPsf] ef]hg / csf]{ 8/ qmf]w / lx+;fn] hlGdPsf] ef]hg .

cWofTdsf] k|:tfj g} s] 5 eg] k|]dn] hlGdPsf] ef]hg rfx] yf]/}

lsg gxf];\ To;n] ckf/ cfgGb lbG5 . csf]{lt/ lx+;f, 8/ /

qmf]w 5 eg] JolQmnfO{ To;n] slxNo} klg ;sf/fTds kl/0ffd

lbFb}g . To;sf/0f cWofTd eG5—…ltd|f] yfndf k|]dn] ag]sf]

ef]hg 5 ls xTof, lx+;f / qmf]wn] ag]sf] ef]hg 5 x]/ .Ú

cWofTd eG5—…rf}sf]df x]/ ef]hg s;/L kfls/x]sf] 5 <Ú

To;df cfuf] s:tf] k|sf/n] an]sf] 5 < ef]hgdf s:tf s'/f

ld;fOPsf] 5 < oBkL ;a}eGbf dxTjk"0f{ s'/f xf] rf}sfdf

s:tf] JolQmn] ef]hg agfO/x]sf] 5 . k|]dn] el/P/ ag]sf]

ef]hg a8f] kf]lifnf] x'G5 .

ltdLn] cfxf/, laxf/ / ljrf/nfO{ Wofg b]pm eGg]

cWofTdsf] ;Gb]z xf] . ltdL :j:Yo /xg' 5 eg] ltd|f] dgdf

gsf/fTds ljrf/ cfO/x]sf 5g\ ls To;nfO{ Tofu . lg/Gt/

ltdL h] ;f]Rb5f}+ Totflt/ Wofg b]pm . ltdL;Fu ePsf]

gsf/fTds j[lQn] ;dfhnfO{ klg vfG5 . To;sf/0f hLjgsf]

;du|tf, p7a;, lqmofsnfk x]g'{k5{ . dgdf kljq efjgfx?

cfpg\ eGg] sNkgf ug'{k5{ . ;a} s'/fsf] clGtd kl/0ffd z/L/

geO{ JolQmsf] dg xf] . klZrd]nL lrlsT;f lj1fgn] ;a}

s'/fsf] clGtd kl/0ffd :j:Yo z/L/ dfGb5 eg] cWofTdn] oL

;a} k|of;x?sf] clGtd kl/0ffd :j:Yo dgnfO{ dfGb5 .

dgdf x[bo / cfTdf klg cfpF5 . cWofTdsf nflu z/L/

dfq geP/ gb]lvg] s'/f dxTjk"0f{ x'G5 . cWofTdsf nflu .

:jf:Yosf nflu gb]lvg] s'/f dxTjk"0f{ x'G5 .

To;sf/0f cfo'j]{b Pj+ k"jL{ lrlsT;f zf:qx?df x[bo /

cfTdf hf]l8Psf] dg kfOG5 . z/L/ s]lGb|t t Go"g 5g\ .

xfdLnfO{ nfUg] () k|ltzt eGbf a9L /f]u dgdf klxnf

aGb5g\ clg ToxfFaf6 ;5{g\ . of] s'/f lj1fgn] klg :jLsf/

u/]sf] 5 . To;}n] dgdf ;'Gb/ ljrf/ / efjgfx? /f]kf}+ . dg

k|]dn] el/Psf] xf];\ . dgsf] b]lvg] ?k z/L/ xf] . dg z/L/sf]

gb]lvg] ?k xf] . dgdf ;'Gb/ efjgf hlGdPdf z/L/ ;'Gb/ aGg

;do nfUb}g . z/L/ lg/f]uL aG5 . z/L/n] dgsf] cg'udg u5{ .

dgnfO{ k5\ofpF5 . dgn] slxNo} klg z/L/sf] cg'udg ub}{g .

o;/L cWofTdn] ;du| :jf:Yosf] lj1fg lbG5 .

k|]dn] hlGdPsf]

ef]hg rfx] yf]/}

lsg gxf];\ To;n]

ckf/ cfgGb

lbG5 . csf]{lt/

lx+;f, 8/ / qmf]w

5 eg] JolQmnfO{

To;n] slxNo}

klg ;sf/fTds

kl/0ffd lbFb}g .

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Q

d #& jif{ ls dlxnf x'F . d]/f] lduf{}nfdf kTy/L ePsf] 5 . lduf}{nfdf kTy/L s;/L

x'G5 < o;af6 aRg s] ug{'k5{ <

• ljdnf clwsf/L, emfkf

tkfO{+sf] s'g} klg :jf:Yo;DalGw ;d:of ePdf

xfdLnfO{ n]v]/ k7fpg'xf];\ . ;DalGwt ljz]if1af6

pko'Qm hjfkm lbg]5f}+ . kqfrf/sf nflu xfd|f] Od]n—

nepalhealthnews@gmail.com

d sf7df8f}+sf] sn]hdf cWoogdf ub}{ /x]sf] Ps

ljBfyL{ x'F . d]/f] dgdf dflg; lsg cUnf] / xf]rf] x'G5 <

eGg] k|Zg hfu]sfn] s[kof o;af/] :ki6 kfl/lbg'xf]nf

• aL=P;=, sf7df8f}+ .

8f= /flha emf

Go"/f] ;h{g

jL/ c:ktfn

xf]rf] k'8\sf]sf] /x:o

x8\8Lleq :kfOgn s8{ x'G5 . of] a|]gs} lg/Gt/tf xf] . :kfOgn s8{af6

xftv'6\6f rNg], cg'e"lt u/fpg], lb;flk;fa u/fpg]nufotsf z/L/

;~rfngdf w]/} sfd x'g] u5{ . :kfOgn s8{sf] 6\o"d/n] Kof/fnfO{l;;

u/fpF5 . o; lsl;dsf] ;d:of ePsfx?nfO{ slt k|ltzt;Dd arfpg

;lsG5 < eGg] s'/f la/fdLsf] pd]/, z/L/ ;+/rgf, ;d:ofsf] hl6ntfdf

lge{/ x'G5 .

dl:tisdf x'g] lk6\o"6/L u|GyLn] km/s km/s xdf]{gx? pTkfbg

u5{ . km/s km/s xdf]{gsf] km/s km/s sfd x'G5 . s'g} xdf]{gn] z/L/sf]

a[l4 lgoGq0f ug]{, s'g}n] dlxgfjf/L lgoGq0f ug]{, s'g}n] k|hgg lgoGq0f

ug]{ h:tf km/s km/s sfd ul//x]sf] x'G5 . sl/a !) k|ltztdf lk6\o"6/L

6\o"d/ x'g] ePsfn] dlxgfjf/L gx'g], k|hgg Ifdtfdf sdL, cfFvf sdhf]/,

;fg} pd]/df cTolws cUnf] x'g] h:tf ;d:of b]lvg;S5 .

lk6\o"6/L u|GyLn] ( j6f xdf]{g pTkfbg u5{ . s'g} Pp6f xdf]{gsf]

l8km]S6 ePdf To;sf] leGg} ;d:of b]lvG5 . h:t}M u|f]y xdf]{gdf l8km]S6

cfPdf dflg; Psbd} 7"nf] x'g] jf Psbd} ;fgf] eP/ hfG5 . k|f]NoflS6g

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xdf]{gsf] l8:km+;gsf sf/0f o; lsl;dsf] ;d:of b]lvPsf] xf] .

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gnfUg] j:t'x? x'G5Gf . olb z/L/df kof{Kt

dfqdf kfgL gx'Fbf sfd gnfUg] j:t'x?

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kfpFb}g . o;n] cGo tTjx? ;Fu ldn]/

la:tf/} kTy/Lsf] ?k wf/0f u5{ .

lduf}{nfsf] kTy/Lsf] cfsf/ s'g}

tf]/Lsf] bfgf h:tf ;fgf x'G5g\ eg] s'g}}

7"nf x'G5g . KfTYf/Lsf] cfsf/ uf]nf],

lrNnf], v;|f] / r'Rrf] x'G5 .

lrNnf] vfnsf] kTy/Ln] sd kL8f

lbG5 . o;sf] cfsf/ ;fgf] eP cf}iflwsf]

;]jgaf6 lgsfNg ;lsG5 . v;|f] / r'Rrf]

kTy/Ln] al9 kL8f

lbG5 . kTy/L s'g} klg

efudf aGg ;S5 .

lduf{}nfdf x'g] kTy/L

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ag]sf] kTy/L ;a}

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lduf{}nfdf x'g] s'n

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k|ltzt SoflN;ods}

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cS;fn]6 / SoflN;od

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jl/i7 lduf}{nf /f]u ljz]if1

n'lDagL c~rn c:ktfn, a'6jn

km;km]6af6 ag]sf] x'G5 . SoflN;od kTy/L

t'ngfTds ?kdf al9 s8f x'G5 . cToGt

;fgf] kTy/LnfO{ dfq cf}iflwsf] ;]jgaf6

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x'G5 . lk;fadf w]/} o'l/s Pl;8 ePdf of]

kTy/L x'g] ;Defjgf x'G5 . l;:6 kTy/L

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/ lxF88"n gug]{, af/DAff/ d'qgnL ;+qmd0f

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sf/x?sf] cTolws ;]jg, j+zf0f'ut cflb

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n] o;k|lt x/]sn] ;hu / ;r]t x'g h?/L

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;fpg @)&% • hg:jf:Yo ;/f]sf/ • 56

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