K… - NHS Bradford and Airedale

ivgv`vb I ¯^v¯’¨

Avm-mvjvgy AvjvBKyg,
c~e©K_v: n¨v‡iv ‡m›U«vj g¯‹
Avevi eQ‡ii ‡mB mgqUv G‡jv hLb me©kw³gvb Avjøvn Avgv‡`i me‡P‡q AvKl©Yxq we‡bv`b -
Lv`¨M«nY ‡_‡K weiZ _vK‡Z e‡jb! `¨v Gw·wKDwUf KwgwU Ae n¨v‡iv ‡m›U«vj g¯‹ Avmbœ gv‡mi
Rb¨ Avcbv‡`i Avš—wiK ï‡f”Qv Rvbv‡”Q, wKš‘ mgM« ivgv`vb gvm Ry‡o wKQy welq g‡b ivL‡Z Ges
Zv wb‡q fve‡Z Aby‡iva Ki‡Q|
Avgv‡`i hv Av‡Q Zvi Rb¨ ‡hb K…ZÁ _vK‡Z cvwi, ‡mRb¨ Avjøvn Avgv‡`i ivgv`vb gvm Ry‡o
‡ivRv ivL‡Z e‡j‡Qb| ‡ivRv GKRb Cgvb`vi‡K Avjøvn ZvAvjvi AviI Kv‡Q Avmvi my‡hvM ‡`q|
G mgq Avgv‡`i wbZ¨w`‡bi wKQy welq ‡_‡K Avjøvn Avgv‡`i weiZ _vK‡Z e‡jb| Gfv‡e Avgv‡`i
wek¦v‡mi ‡PZbv Dcev‡mi mgq m‡e©v”P gvÎvq ‡cŠuQvq| Avgiv Avjøvni Amš‘wói welq¸‡jv m¤ú‡K©
AviI ‡ewk mveavbx nB| Avmyb Avgiv ZvK&Iqv (Avjøvn fxwZ) evov‡bvi ‡Póv Kwi Ges Zvi mš‘wói
Rb¨ AviI wKQy Kwi| Avkxe©v`cyó GB gvm P‡j hvIqvi c‡iI Avgv‡`i Rxe‡b GB Af¨vm Pvwj‡q
‡bqv DwPZ n‡e।
gnvbex (mvt) Avgv‡`i wkwL‡q‡Qb ‡h, GB gv‡m Avgiv ‡hb AwZwi³ ‡fvM wejv‡m Aek¨B gË bv
nB| ‡ivRv ivLvi cy‡ivUv e¨vcviB n‡jv ‡Kvb wKQyi Afve ‡eva Kiv, Avgv‡`i hv Av‡Q ‡mwUi
e¨vcv‡i Avjøvni Kv‡Q K…ZÁZv‡eva Ges fvM¨weow¤^Z‡`i Rxeb‡K ‡evSv| Avgv‡`i mKj ‡Póv e¨_©
n‡e hw` GB gvm ïaygvÎ LvIqv `vIqv ‡_‡K weiZ _vKvi ‡P‡q ‡ewk wKQy bv nq| cwiev‡ii m‡½
GKmv‡_ Avb‡›` Dc‡fvM Ki“b, Avjøvni ingZ c«vß Lvevi Dc‡fvM Ki“b, wKš‘ AwZwi³ ‡fvM
wejvm bv Kivi ‡Póv Ki“b| bZyev GwU Avcbvi DwÏó K‡ói Abyf~wZ‡K AKvh©Ki K‡i ‡dj‡e|
cieZ©x gv‡mi Rb¨ Avcbv‡K Avgiv Avš—wiK ï‡f”Qv RvbvB| Avgiv ‡`vqv Kwi ‡hb, Avjøvn
Avcbv‡`i mK‡ji Dci ingZ el©Y K‡ib| g‡b ivL‡eb ‡h, GwU GKwU we‡kl gvm Ges Avgv‡`i
me fv‡jv Kv‡Ri Rb¨ evowZ cyi¯‹vi Av‡Q| Avmyb, Avgiv mevB c«wZw`b Aíwe¯—i e`vb¨Zv
‡`LvB- Avgv‡`i ‡jvf-jvjmv I AnwgKv jvNe Kwi- Avi Avj vni ingZ M«n‡Yi ‡Póv Kwi| Avgiv
Aek¨B Ab¨‡`i c«wZ Avgv‡`i Cl©v I N…Yv `~‡i mwi‡q ivL‡ev; G‡K Ab¨‡K fv‡jvevm‡Z wkL‡ev
Ges Avgv‡`i c«wZUv Kv‡Ri e¨vcv‡i mveavbx _vK‡ev| Avgiv Aek¨B Avgv‡`i Rb¨ ‡`vqv Ki‡ev
Ges Ab¨‡`i‡KI Avgv‡`i ‡`vqv‡Z ¯§iY Ki‡ev|
fv‡jvevmv, kvwš— I k«×v|
w` Gw·wKDwUf KwgwU Ad n¨v‡iv ‡m›U«vj g¯‹

ewg Kivi Kvi‡Y Kx ‡ivRv ‡f‡½ hvq?
Awb”Qvi ewg‡Z ‡ivRv ‡f‡½ hvq bv| mnxn eY©bvq gnvbex (mvt) e‡j‡Qb, Ò‡ivRv _vKv
Ae¯’vq KviI hw` ewg P‡j Av‡m Zvn‡j Zvi ‡ivRv _vKvi c«‡qvRb ‡bB|Ó
wKWbx WvqvjvBwmm Kiv Ae¯’vq mgq wK Avwg ‡ivRv ivL‡Z cvwi?
hviv ‡cwi‡Uvwbqvj WvqvjvBwmm ev wn‡gvWvqvjvBwmm Kiv‡”Qb Zv‡`i ‡ivRv cvjb Kivi
c«‡qvRb ‡bB Ges Zv‡`i Rb¨ cÖvqwðËg~jK A_© cÖ`vb (wd`qvn) Ki‡Z n‡e|

Wv³vix cixv wbixv, we‡kl K‡i Af¨š—ixY cixvi AbygwZ Av‡Q wK?
kvixwiK cixv-wbixvi Kvi‡Y ‡ivRv bó nq bv| ‡KejgvÎ ‡hvwbc_ ev cvqyc‡_ Av½yj ev Ab¨
‡Kvb hš¿ c«‡ek Kiv‡bvi Kvi‡Y ‡ivRv ‡f‡½ hvq bv, hw` GwU‡Z cvwb ev ‡Zj RvZxq wKQy bv ‡j‡M
_v‡K (ev Ab¨ ‡h‡Kvb c`v_© hv-Gi wfZ‡i _v‡K)|
i³ cixvi Kvi‡Y ‡ivRv bó nq bv, KviY GwU ïaygvÎ i³ ‡ei K‡i Av‡b| ‡ivRv ZLbB fv‡½,
hLb ‡Kvb wKQy ‡`n MnŸ‡i c«‡ek K‡i| GB Kvi‡YB Bb‡RKkb I ‡dvUvq ‡dvUvq i³ covi
Kvi‡Y ‡ivRv fv‡½ bv| hv-B ‡nvK, G e¨vcv‡i gZ‡f` i‡q‡Q| Zvic‡iI cywómva‡bi Rb¨ e¨eüZ
Bb‡RKkb cwinvi KivB DËg|
Avgvi c«PÊ gvB‡M«b (gv_ve¨_v)-Gi mgm¨v i‡q‡Q, Avwg wK ‡ivRv ivL‡Z cvi‡ev?
h_vhZ Jla ‡meb I Rxebe¨e¯’vq cwieZ©‡bi gva¨‡g gvB‡M«b e¨e¯’vcbv Kiv m¤¢e| (gvB‡M«b‡K
mvaviY ‡Ubkb gv_ve¨_vi m‡½ ¸wj‡q ‡djv DwPZ n‡e bv| hw` G `yÕwUi g‡a¨ cv_©K¨ wb‡q Avcbvi
m‡›`n _v‡K Zvn‡j Avcbvi wRwc‡K wRÁvmv Ki“b|) hw` gvB‡M«b Amn¨ n‡q I‡V I wbqš¿‡Yi
evB‡i P‡j hvq, Avi ‡ivRv ivLvi Kvi‡Y ‡mwUi AviI fqven Ae¯’vi m…wó nq, Zvn‡j Avcwb ‡ivRv
‡_‡K weiZ _vK‡Z cv‡ib|
wb‡KvwUb Mvg-Gi gZ Jla iƒ‡c e¨eüZ ‡h‡Kvb PyBs Mvg (KvU mn) wK ‡ivRv bó K‡i
‡`q?
ﮋ PyBs Mvg ‡hwU‡Z ‡Kvb ¯^v` ev ÔRym ev imÕ _v‡K bv ‡mwU Aby‡gvw`Z (‡jnb Kivi mgq GwUi
Kvi‡Y gy‡Li i‡mi cwieZ©b ev c«fveb nq bv)| mvaviYZ eZ©gv‡b cwiwPZ PyBs Mvg ev ÔKvUÕ ‡ivRv
bó K‡i ‡`q| KviY, Zviv DfqB c«Z¨ ev c‡ivfv‡e evB‡ii e¯—y wM‡j ‡djvi m‡½ RwoZ|
bvK w`‡q i³ co‡j wK ‡ivRv bó nq?
i³ ‡L‡q bv ‡dj‡j bvK w`‡q i³ co‡j ‡ivRv bó n‡q hvq bv|
‡ivRv _vKv Ae¯’vq gvwo w`‡q i³ co‡j I ‡mwU ‡L‡q ‡dj‡j ‡ivRv bó n‡q hvq wK?
i³iY hw` Ggb nq ‡h GwU Ihy ‡f‡½ ‡`q (wKsev GK`jv _y_yi ‡P‡q-Gi cwigvY ‡ewk nq),
Zvn‡j Zv ‡L‡q ‡dj‡j ‡ivRv ‡f‡½ hv‡e|

f~wgKv
ivgv`vb GKwU cweÎ gvm ‡hLv‡b gymwjgiv ‡fvi n‡Z mܨv ch©š— Dcevm K‡i _v‡K| KviY, m…wóKZ©v
cweÎ ‡KviAvb kix‡d Av‡`k w`‡q‡Qb ‡h, Ò‡Zvgv‡`i Dci ‡ivRv eva¨Zvg~jK Kiv n‡q‡Q, ‡hgbwU
Kiv n‡qwQ‡jv ‡Zvgv‡`i c~e©myix‡`i Dci, hv‡Z ‡Zvgiv ci‡nRMvix AR©b Ki‡Z cv‡iv|Ó(‡KviAvb
2: 183)
Avgv‡`i kixi GKUv Dcnvi¯^i“c Ges m…wóKZ©v ‡mwUi hZœ ‡bevi e¨vcv‡i Avgv‡`i Dci wek¦vm
¯’vcb K‡i‡Qb| kixiPP©v, mylg Lv`¨vf¨vm I wZKi e¯—ymg~n cwinvi K‡i Avgiv Avgv‡`i kvixwiK
my¯’Zvi e¨vcv‡i m‡PZb _vK‡ev| Gfv‡e GB gvm n‡q DV‡Z cv‡i ¯^v¯’¨Ki Rxebhvcb ïi“i Av`k©
my‡hvM| m«óvi c«wZ Cgvb I AvZ¥-msh‡gi Rb¨ gymwjgiv ‡ivRv iv‡L, Gi cvkvcvwk ‡ivRv ivLvi
d‡j ‡`‡ni Dci cvk¦©-c«wZwµqv wnmv‡e DcKvix c«fve co‡Z cv‡i|
GB cyw¯—KvwU Avcbvi mvnv‡h¨i Rb¨ c«Yqb Kiv n‡q‡Q hv‡Z Avcwb ‡ivRv ‡_‡K jvf ‡c‡Z cv‡ib,
Aev¯—e AwZK_b `~i Ki‡Z cv‡ib Ges ¯^v¯’¨ I Jlac_¨ m¤úwK©Z mvaviY c«‡kœi DËi ‡c‡Z
cv‡ib| gymwjg wPwKrmK, Wvqv‡ewUm we‡klÁ, cvewjK ‡nj_ KbmvjU¨v›U I Bmjvgx weÁ e¨w³‡`i
m‡½ wb‡q GwU msKjb Kiv n‡q‡Q|
AvZ¥-cwiïw×
`yf©vM¨RbKfv‡e Wvqv‡ewUm-Gi gZ `xN©‡gqv`x ‡iv‡M gymwjg Rb‡Mvwôi wekvj Ask Avµvš—| kixiPP©vi
Afve, ‡eKviZ¡, kvixwiK ‡Ljvayjvq AskM«n‡Y AcviMZv, fywi‡fvR Ges/A_ev a~gcvb-Gi
Kvi‡Y Avgv‡`i kvixwiK Amy¯’Zv n‡Z cv‡i|
AvZ¥-wbqš¿Y, wbqgvbyewZ©Zv I Avgv‡`i Dci m…wóKZ©vi Awc©Z `vwqZ¡ cvj‡bi gvm n‡jv ivgv`vb|
GBme hw` Avgv‡`i ‰`bw›`b Rxe‡bi wPš—vavivq c«‡qvM Kwi, Zvn‡j Avgiv ‰`wnK yavZ…òvq Kg
e¨¯— _vK‡ev Ges m«óv I G‡K A‡b¨i mv‡_ m¤ú‡Ki« DbœwZ Ki‡Z mg n‡ev|
‡ivRv ivLvKvjxb mg‡q wKQy ni‡gvb wiZ n‡q kw³ m‡qi Rb¨ ‡gUvewjRg c«wµqv Kwg‡q w`‡Z
cv‡i Ges gvbwmK Amy¯’Zv `~ixKi‡Y mvnvh¨ Ki‡Z cv‡i| GB gv‡m iv‡Z evowZ 20 ivKvZ bvgvR
Av`vq Kiv nq| Gi Kvi‡Y kix‡i evowZ K¨vjix q nq, bgbxqZv Av‡m I Aw¯’mwÜmg~‡ni Pjb
N‡U I gvbwmK Pvc K‡g hvq hv `ywðš—v I welYœZv `~i Ki‡Z cv‡i|

ivgv`vb gvm Avgv‡`i e¨¯— Rxe‡b ü`q I g‡bi Rb¨ AwZ c«‡qvRbxq Lv`¨ ‡hvMv‡biI mgq e‡U| hv-
B ‡nvK, kvixwiK c«fveKmg~n ‡hgb, yav, Z…òv I wb`«vnxbZv weiw³ evwo‡q w`‡Z cv‡i| GUv g‡b
ivLv c«‡qvR়b ‡h, ‡ivRv nj c«wZdj‡bi mgq| myZivs c«v_©bv, c_wb‡`©kbv I ‡µva c«kg‡bi gva¨‡g
gvbwmK Pv‡ci Dci KvR Ki‡Z n‡e| RxebhvÎvi c«‡qvR‡bi GBUvB mgq| Lvevi n‡Z weiZ _vKvi
d‡j kixi I g‡b wKQy c««fve co‡Z cv‡i e‡U, wKš‘ AvZ¥ cwiïw×, PwiÎ MVb, e`f¨vm cwiZ¨vM Ges
ü`q I g‡bi c«kvwš—i GUvB mgq| hw` Avcwb GB gv‡m P¨v‡jÄmg~n wVK gZ M«nY Ki‡Z cv‡ib Ges
wb‡R‡K bZybfv‡e Avwe¯‹vi Ki‡Z cv‡ib, Zvn‡j GwU Avcbv‡K mviv eQ‡ii Rb¨ c«¯—yZ K‡i ivL‡e!
mvnix
ivgv`v‡bi c«avb `yB Lvevi
GwU ‡fvi nevi Av‡Mi Lvevi| g‡b n‡Z cv‡i ‡h, GwU Avcbvi Nyg fvw½‡q w`‡”Q, wKš‘ GKwU ¯^v¯’¨c«`
‡ivRv ivLv wbwðZ Ki‡Z GwUi mv‡_ GKvZ¥ ‡nvb| gnvbex nhiZ gynv¤§v` (mvt) e‡j‡Qb, Ò‡Zvgiv
mvnix K‡iv, KviY G‡Z ingZ i‡q‡Q|Ó (mnxn gymwjg)| mvivw`‡bi Rb¨ Avcbvi c«‡qvR়bxq kw³
GB mg‡qi Lvev‡i Avcwb cv‡eb| hvB‡nvK, Ab¨ meiKg Lvev‡ii gZ, G‡‡ÎI AwZwi³ Lv‡eb bv
Ges mywPwš—Zfv‡e Lvb|
BdZvi
BdZvi nq ‡Mva~jx ‡ejvq| GwU ‡mB mgq hLb ‡ivRv fv½v nq| gnvbex
(mvt)-Gi nvw`m Abyhvqx G‡Z mvaviYZ ‡LRyi I cvwb Aš—f©y³
_v‡K| ‡LRyi ‡ek fv‡jv cwigvY kw³ c«`vb K‡i Ges Avuk-Gi fv‡jv
Drm| GwU AvZ¥wbqš¿‡Yi fv‡jv wkv n‡Z cv‡i Ges Bmjv‡gi wkv
Abyhvqx GwU wbwðZ Ki“b ‡h, GB Lvevi ‡gvUvgywU ga¨gvKv‡ii nq hv
fywi‡fv‡Ri wecixZ|
¯^v¯’¨cÖ` Dcevm gv‡b AwZ‡fvRb-Dcevm bq!
mwVK Lv`¨vfv‡mi PP©v bv Ki‡j ‡ivRv ivLvi DcKvwiZv nvwi‡q hv‡e Ges AviI Lvivc n‡Z cv‡i,
IRb ‡e‡o hvevi gva¨‡g kix‡ii Rb¨ wZi KviY n‡Z cv‡i! g‡b ivL‡eb, ivgv`v‡bi g~j wkv n‡jv
¯^wbqgvbyewZ©Zv I AvZ¥wbqš¿Y| ‡ivRv ‡f‡½ ‡djvi mgq M…nxZ Lv`¨ Avcbvi kix‡ii Rb¨ ‡ivRv ivLvi
‡P‡qI ‡ewk ¸i“Z¡c~Y© n‡q DV‡Z cv‡i|

ivgv`vb gv‡mi Lv`¨vfvm mvaviY ¯^v¯’¨cÖ` mylg Lv`¨vfv‡mi ‡P‡q Lye ‡ewk Avjv`v nIqv
DwPZ bq| wKQy welq we‡ePbv Kiv ‡h‡Z cv‡i:
1. mvnix‡Z Pv I Kwd cwinvi Ki“b KviY K¨v‡dBb g~Îe…w×KviK wnmv‡e KvR K‡i Ges
cÖv‡ei gva¨‡g cvwb wbtmi‡Yi D‡ËRbv ‡RvMvq| Z…òv wbevi‡Y wPwbwenxb cvbxq ev K…wÎg
wgwóKviK cvb Kiv DwPZ n‡e| wgwó jvw”Q, Av‡gi kvum, M«x®§gÛjxq d‡ji im, M¨vmhy³
‡Kvgj cvbxq cwinv‡ii ‡Póv Ki“b|
2. AwaK Avukhy³ Lvevi M«nY Ki“b KviY G¸‡jv ax‡i ax‡i nRg nq| Gi g‡a¨ Av‡Q fywl,
‡mwiqvj mg~n, Mg, km¨ I exRmg~n, ‡Lvmvhy³ Avjy, meyR gUiïuwU mn kvKmeRx Ges GwcÖKU,
Kyj I Wygyi mn c«vq me dj|
3. ‡ivRv ivLvi `xN©mg‡q RwUj Kv‡e©vnvB‡W«U RvZxq Lv`¨ ax‡i ax‡i kw³i wbtmi‡Y mvnvh¨
K‡i| mvnix‡Z ‡ewk K‡i ‡kZ¯^vi RvZxq Lvevi ‡hgb, exRhy³ `vbv`vi i“wU, cwiR,
‡m‡gvwjbv, fywl, ‡d¬K, M‡gi PvcvwZ I bvbi“wU Ges djg~j I `B Lvb hv‡Z Avcbvi yavi
Abyf~wZ eÜ n‡q hvq|
4. ‡hme Lvevi BdZvix‡Z cwinvi Ki‡Z n‡e ‡hgb, ‰ZixK…Z Lvevi, `ª“Z LiP n‡q hvIqv
Lvevi hv‡Z wPwb I mv`v AvUvi gZ ‡kvwaZ Kv‡e©vnvB‡W«U _v‡K| nvjKv fvc ‡`qv we¯‹yU,
‡KK, we¯‹yU, P‡Kv‡jU Ges fviZxq wgwói gZ wgwómg~n cwinvi Ki‡Z n‡e|
5. mylg Lv`¨vfvm eRvq ivLv I ‡KvôKvwVb¨ `~i Kivi Rb¨ mvnix I BdZv‡i wewfbœ iKg
djg~j, kvKmeRx I `B M«nY Ki“b|
6. c‡ivUv, cywi, mvgyPv, ‡Pfiv, cv‡Kvov, KvZjv gvQ, fvRv Kveve I ‡ev‡¤^ wg· ‰Zix‡Z
‡Z‡ji e¨envi I fvRv Lvevi M«nY Kwg‡q w`b| ivbœvi mgq ‡KejgvÎ 1-2 ‡UwejPvgP ‡Zj
e¨envi Ki“b|
7. ivgv`v‡bi mgq wWc d¨vU d«vqvi-Gi e¨envi cwinvi Ki“b| cybivq Mig Kiv ‡Zj-Gi
Rb¨ Avcbvi kix‡i wZKviK Pwe© Rg‡Z cv‡i|
8. mvnix‡Z h‡_ó cwigvY cvwb cvb K‡i I Avukhy³ DbœZgv‡bi Lvevi M«nY K‡i Avcwb
‡KvôKvwVb¨ `~i Ki‡Z cv‡ib|

ivgv`v‡bi mg‡q ‡nvg e vW Møy‡KvR cixv:
� ‡gUdiwgb, wM Uv‡Rvb I wmUvwM wÞb HbA1c < 7.5% n‡j ‡Kvb cixvi
c«‡qvRb ‡bB|
� wM KjvRvBW/wM ‡gc«vBW- gvcvi c«‡qvRb (nvB‡cvM vB‡Kwgqvi DcmM© ‡`Lv w`‡j
cixv Ki“b)
hLb ‡ivRv Aek¨B ‡kl n‡e:
� nvB‡cvM vB‡Kwgqv (e vW Møy‡KvR < 3.5 mmol)
� e vW Møy‡KvR < 3.9 mmol ‡ivRvi c«_g Pvi NÈvi g‡a¨
� e vW Møy‡KvR 16 mmol-Gi ‡P‡q ‡ewk
KZ eQi eqm ‡_‡K wkïiv wbivc‡` ‡ivRv ivL‡Z cv‡i?
c«vßeq‡m ‡cŠQvu‡j Bmjv‡gi Ab¨vb¨ mKj weav‡bi gZ ‡ivRv ivLvI GKUv eva¨Zvg~jK weav‡b cwiYZ
nq| gnvbex (mvt)-Gi GKUv nvw`‡m Av‡Q, ÒmvZ eQi eqm n‡j ‡Zvgv‡`i mš—vb‡`i bvgv‡Ri Rb¨
e‡jv, hw` Zviv Zv bv K‡i Zvn‡j `k eQi eqm n‡j Zv‡`i ‡Rvi K‡iv|Ó (mnxn Avey `vD`)| ‡ivRv
m¤ú‡K©I GKB iKg ejv hvq| GBfv‡e Avgv‡`i mš—vb‡`i mvZ eQi eqm n‡jB ‡ivRv ivL‡Z Drmvn
c«`vb Ki‡ev I Zv‡`i `k eQi eqm n‡jB ‡ivRv ivLvi e¨vcv‡i ‡Rvi ‡`‡ev| wKš‘ Zviv hLb
c«vßeq‡m ‡cŠuQv‡e ZLb Zv‡`i Rb¨ e¨vcviwU eva¨Zvg~jK n‡q hv‡e|
mš—vb‡`i mvnv‡h¨i Rb¨ wcZvgvZvi DwPZ n‡e GB gv‡mi Zvrch© e¨vL¨v Kiv I BdZvixi LveviUv
cwiev‡ii m‡½ Kiv, AviI fv‡jv nq Kg¨ywbwU wnmv‡e Kiv| GB e¨vcv‡i Abykxjb Kivi Rb¨ w`‡b
K‡qK NÈvi ‡ivRv Zviv ivL‡Z cv‡i Ges ‡h ‡Kvb AR©‡bB Zv‡`i e¨vcK c«ksmv I Drmvn c«`vb
Ki‡Z n‡e|
eY©bvq Av‡Q ‡h, BdZvixi wbKUeZ©x mg‡q ‡Ljbv w`‡q yav ‡_‡K Zv‡`i g‡bv‡hvM mwi‡q ‡`qv
m½x‡`i DwPZ n‡e, ÒAvgiv Zv‡`i Rb¨ Dj Øviv c«¯—yZ ‡Ljbv evbvB, hw` ‡Kvb wkï yavq ‡Ku‡` I‡V
Zvn‡j, Avgiv Zv‡`i ‡Ljvi Rb¨ ‡Ljbv w`B, ‡ivRvi ‡kl mgq ch©š—|Ó (mnxn Avj ‡evLvix)
ivgv`v‡bi mg‡q Avwg wK A¨vRgv Bb‡njvi wb‡Z cvwi?
‡ewki fvM Av‡jg g‡b K‡ib ‡h, Bb‡njvi ‡`‡ni wfZ‡i Jla c«‡ek Kivq, ZvB G‡Z ‡ivRv ‡f‡½
hvq| hw` AwZ Ri“ix c«‡qvR‡b Bb‡njvi-Gi c«‡qvR়b nq, Z‡e ‡h ‡KD GwU wb‡Z cv‡i Ges ‡ivRv
‡f‡½ ‡dj‡Z cv‡i| GB ‡ivRv cieZ©x ‡h‡Kvb w`‡b ivLv hv‡e| KviI KviI ‡‡Î `xN©mgq a‡i
Kvh©Kix Bb‡njvi e¨envi Kiv ‡h‡Z cv‡i, hv‡Z ‡ivRv ivLv hvq| G e¨vcv‡i Avcbvi wRwc-i m‡½
Av‡jvPbv Ki“b|

Avwg wbqwgZ Jla ‡meb KiwQ, ZviciI wK Avwg ‡ivRv ivL‡Z cvi‡ev?
Jla hw` Amy¯’Zvi Rb¨ c«‡qvR়bxq nq (‡hgb, GwU bv wb‡j wZ n‡Z cv‡i ev Avcbvi Av‡ivM¨
jv‡f evav n‡Z cv‡i), Zvn‡j Aek¨B ‡ivRvi mgq ‡mwU wb‡Z n‡e, ‡ivRv ivL‡eb bv| hw`
AíKv‡ji Amy¯’Zvi Kvi‡Y Jla c«‡qvR়b nq Ges ‡ivRv _vKv Ae¯’vq GwUi c«‡qvRb nq, Zvn‡j
cieZ©x‡Z Qy‡U hvIqv ‡ivRv¸‡jv ivL‡Z n‡e|
Av‡M ‡_‡KB e¨e¯’vcÎ ‡bqv ‡h‡Z cv‡i hv‡Z ‡ivRv bv _vKv NÈv¸‡jv‡Z `xN©mgq a‡i KvR K‡i
Ggb Jla M«nY Kiv ‡h‡Z cv‡i| hviv `xN©‡gqv`x Jla ‡mebRwbZ Kvi‡Y ‡ivRv ivL‡Z cvi‡eb
bv, Zv‡`i c«vqwðËg~jK A_© ‡`qv DwPZ n‡e (wd`qvn)- AviI we¯—vwiZ Rvbvi Rb¨ AbyM«n K‡i
¯’vbxq Av‡j‡gi m‡½ ‡hvMv‡hvM Ki“b|
‡ivRvi mgq Aby‡gvw`Z Jlamg~n:
Uvwgd¬y:
� ‡PvL I Kv‡bi W«c [bv‡Ki W«c, hw` ‡mUv Mjv ch©š— ‡cŠu‡Q hvq, Zvn‡j
AwaKvsk Av‡j‡gi g‡Z ‡ivRv ‡f‡½ hvq|]
� wµg I I‡qb‡g‡›Ui gZ Jla hv Z¡‡Ki ‡kvl‡Yi gva¨‡g M…nxZ nq|
� RxevYy msµgY we‡ivax wUKv mn ‡h‡Kvb Bb‡RKkb (‡hgb wkï I ågY
wUKvmg~n)| wKš‘ cywóKviK Bb‡RKk‡bi e¨vcv‡i gZ‡f` Av‡Q, ZvB ‡mwU
cwinvi KivB DËg|
� ‡PZbvbv‡ki Rb¨ e¨eüZ Aw·‡Rb I Ab¨vb¨ M¨vm| (hw`I, G e¨vcv‡iI wfbœ
gZvgZ i‡q‡Q)
� ey‡K e¨_vi Rb¨ wRnevi wb‡P ivLv bvB‡U«vwM mvwib U¨ve‡jU|
� wM‡j ‡djv bv n‡j gvD_Iqvk I MvM©j e¨envi Kiv| GwU e¨env‡ii ci cvwb
w`‡q gyL ay‡q ‡djv fv‡jv Ges mvaviYZ GwU cwinvi KivB DËg|
BmjvwgK AvBb Amy¯’ ‡jvK‡`i‡K ‡ivRv ivLv ‡_‡K Ae¨vnwZ w`‡q _v‡K| d‡j ‡KD hw`
ivgv`v‡bi mg‡q ‡mvqvBb d¬y-‡Z Avµvš— n‡q c‡o, Zvn‡j ‡ivRv ‡f‡½ A¨vw›U fvBivj mn
d¬y-Gi Rb¨ c«‡qvRbxq Jla ‡bqv Ges cÖPyi cvbxq cvb Kivi wb‡`©kbv cÖZ¨ Kiv
hyw³m½Z n‡e|
Z‡e, ‡Kvb e¨w³ hw` ‡ivRv ivLvi Rb¨ h‡_ó my¯’ ‡eva K‡ib, Zvn‡j mvnix (‡fvi nevi
Av‡Mi Lvevi) Ges BdZvi (‡Mva~jx ‡ejvi Lvevi)Gi mv‡_ A¨vw›U fvBivj Jla ‡bqv
‡h‡Z cv‡i|

‡ivRvi Kvi‡Y m…ó kvixwiK c«wZwµqvq Lvc
LvIqv‡bvi e¨vcv‡i Dc‡`k
GwmW wid¬v·/ey‡K R¡vjv‡cvov
Lv`¨M«n‡Yi B”Qv ev Lvevi N«vY ‡_‡K cvK¯’wj‡Z GwmW wbtmiY N‡U| Gwm‡Wi Dcm‡M©i Kvi‡Y
hviv mvaviYZ Jla M«nY K‡i _v‡Kb, Zv‡`i Jla Pvwj‡q ‡h‡Z n‡e| GUv Kivi Dchy³ mgq
n‡Z cv‡i mvnix| BdZv‡ii mgq fvRv‡cvov I gkjvhy³ Lvevi cwinvi K‡i I Kg Avnvi K‡i
GB jY c«kgb Kiv ‡h‡Z cv‡i|
i‡³i wPwb ¯^íZv (nvB‡cvM vB‡Kwgqv)
i‡³ wPwb ¯^íZv (we‡kl K‡i hv‡`i Wvqv‡ewUm Av‡Q) wSgybx, gv_v‡Nviv ev AviI Lvivc fv‡e
ej‡j, wPwKrmv Kiv bv n‡j, Ávb nviv‡bvi KviY n‡Z cv‡i| Wvqv‡ewUm Av‡Q-GiKg ‡KD hw`
nvB‡cvM vB‡Kwgqvi DcmM© ¸‡jv (wewfbœ ‡‡Î ‡hgb, `ywðš—v, AwZwi³ ‡N‡g hvIqv, Kvucywb, AwbðqZvi
w`‡K avegvbZv, wb`«vjyZv, evK A¯úóZv c«f…wZ) Abyfe K‡ib, Zvn‡j wgwó kieZ ev
wgwó wKQyi gva¨‡g ‡ivRv ‡f‡½ ‡djv DwPZ n‡e|
gv_ve¨_v
‡ivRv ivLvKvjxb mg‡q wewfbœ Kvi‡Y gv_ve¨_v n‡Z cv‡i| mvaviYfv‡e ¯^í cvbvnvi, wb`«vnxbZv,
K¨v‡dBb/wb‡KvwUb ‡_‡K weiZ _vKv I gvbwmK Pv‡ci Kvi‡Y GwU AviI Lvivc n‡Z cv‡i|
myZivs ‡ivRvi mv‡_ Lvc LvB‡q ‡bevi Rb¨ hv‡Z kix‡i h‡_ó cwigvY kw³ mwÂZ _v‡K, ‡m Rb¨
mvnix wgm bv Kiv AZ¨š— ¸i“Z¡c~Y© Ges h‡_ó cwigvY cvwb cvbI wbwðZ Ki‡Z n‡e GB mgq|
hw` KviI `ywðš—vRwbZ gv_ve¨_v ev gvB‡M«‡bi BwZnvm _v‡K, Z‡e ‡m‡‡Î hš¿YvbvkK ‡hgb
Bey‡c«v‡db (Lvwj‡c‡U bq) ev c¨vivwmUvgj wKQy c«kgb w`‡Z cv‡i|
cvwbk~b¨Zv
‡ivRv ïi“ Kivi Av‡M hw` h‡_ó cwigvY Zij M«nY Kiv bv nq, Zvn‡j cvwbk~b¨Zvi SyuwK
A‡bK
‡e‡o hvq| Mig Rjevqy‡Z, eq¯‹ I wkï, Mf©eZx gwnjv Ges hviv g~Îea©‡Ki gZ ‡ewk cvwb wbtmiYKvix
Jla e¨envi Ki‡Qb, Zv‡`i SyuwKi
cwigvY Zyjbvg~jK ‡ewk| hw`I mvaviY gvbyl G‡Z
wek¦vm K‡ib bv, Z‡e K¨v‡dB‡bi c«fv‡ei Kvi‡Y Pv I Kwd Avm‡j kixi ‡_‡K cvwb ‡ei K‡i
‡`‡e| myZivs Pv ev Kwd cv‡bi mgq GK M vm cvwb cvb K‡i wbb|

ivgv`v‡b ¯^v¯’¨ msµvš— mvaviY c«kœvejx
‡ivRv ivLv wK wZKi?
gymwjg‡`i‡K c«vqkB wR‡Ám Kiv nq ‡h, Lvevi I cvbvnvi eR©b Avm‡j Zv‡`i kix‡ii Rb¨
wZKi wK bv| hw` AvU ev Z‡ZvwaK NÈv a‡i wKQy LvIqv ev cvb Kiv bv nq ZLb gvbe‡`n ÔDcevmÕ
Ae¯’vq c«‡ek K‡i| G c«wµqv‡Z ‡`‡ni kw³i c«avb Drm wnmv‡e M y‡Kv‡Ri cwie‡Z© Pwe©
fvO‡Z _v‡K| Gfv‡eB IRb Kg‡Z cv‡i| GwU D”P i³Pvc A_ev Wvqv‡ewUm BZ¨vw`i gZ
cwiw¯’wZi ‡‡Î we‡kl DcKvix| hLb ‡KD K‡qK w`b A_ev mßvn a‡i Dcevm K‡i ZLb ‡`n
µ‡g µ‡g ‡c«vwUb e¨envi ïi“ K‡i (÷v‡f©kb)| ivgv`vb-Gi ‡‡Î G Ae¯’v ch©š— ‡cŠuQv‡bv nq bv
KviY ‡ivRvi mgq GZUv `xN© nq bv| G‡Z ‡`‡ni mwÂZ ‡c«vwUb e¨envi Kivi c«‡qvRb c‡o bv|
ZvB G ai‡Yi Dcevm wZKi bq|
`xN©‡gqv`x ‡ivM ‡fvMKvix Kv‡iv (‡hgb, D”P-i³Pvc A_ev Wvqv‡ewUm) ‡ivRv ivLv
DwPZ wK?
GLv‡b Ab¨vb¨ mvaviY ‡ivM ‡hgb, A¨vRgv hv‡Z c«wZw`b Jla M«n‡Yi `iKvi nq ‡m¸‡jvI Aš—
f©y³| hw` G ai‡Yi Ae¯’v wbqš¿‡Yi g‡a¨ _vK‡j Avcwb ‡ivRv ivL‡Z cv‡ib, hw`I, c«_gZ
Avcbvi wRwc-i mv‡_ K_v e‡j wbwðZ n‡q ‡bqvUv ¸i“Z¡c~Y©| ‡ivRv ivLvi D‡Ï‡k¨ Avcwb Jla
‡me‡bi mgq cwieZ©b K‡i wb‡Z cv‡ib, wKš‘ ‡mwU Avcbvi wRwc-i m‡½ Avjvc K‡i wVK K‡i
wb‡j Avcwb wbivc‡` ‡ivRv ivL‡Z cv‡ib| Avcbvi ‡ivMwU hw` Aw¯’wZkxj nq I fv‡jvfv‡e wbqš¿Y
Kiv bv hvq, Avcbv‡K ‡ivRv bv ivLvi civgk©B ‡`qv n‡Z cv‡i|
Wvqv‡ewU‡m Avµvš— ‡hme e¨w³‡`i‡K ‡ivRv bv ivLvi civgk© ‡`qv n‡Z cv‡i, Zv‡`i Aš—f©y³ n‡jb
Ibviv:
� hviv ÔUvBc-1Õ ‡k«Yxfy³
� hviv w`‡b 2 ev‡ii ‡ekx Bbmywjb wb‡q _v‡Kb
� hviv Qq gvm hver gvÎvwZwi³ nvB‡cvM vB‡mwgK
A_ev wK‡UvGwm‡Wvwmm (i‡³ wec`RbK gvÎvi
wK‡Uvb hvi d‡j myMÜhy³ k¦vm-c«k¦vm)-Gi wkKvi
n‡q‡Qb
� hv‡`i Wvqv‡ewUm wbqš¿Y Lye Lvivc (HbA1c >
9%)
� hv‡`i wKWwb, ü`wcÊ ev ‡PvL msµvš— Wvq‡ewUK
RwUjZv i‡q‡Q
� hviv Mf©eZx
� hviv A‡bK ‡ekx kvixwiK Amy¯’Zvq fyM‡Qb

‡ivRv ivLv ‡_‡K ‡invB
eqtmwÜKv‡ji ci myeyw× I my¯^v‡¯’¨i AwaKvix mKj gymwj‡gi Rb¨ ‡ivRv ivLv nj Aek¨ KZ©e¨, wKš‘
GLv‡b wKQy Qvo ‡`qv n‡q‡Q| Bmjvg Rv‡b mevi c‡ memgq ‡ivRv ivLv m¤¢e bq| hv‡`i Rb¨
‡ivRv ivLvi eva¨evaKZv bvB Zv‡`i Aš—f©y³iv n‡jb:
� hviv Amy¯’
� ‡hme ågYKvix 77 wKwg (48 gvBj)-Gi ‡ewk `~i‡Z¡ ågY Ki‡Qb Ges H
¯’v‡b 14 w`‡bi ‡ekx bv _vKvi gb¯’t K‡i‡Qb
� ‡hme gwnjv‡`i gvwmK Pj‡Q A_ev c«me-cieZ©x i³iY n‡”Q
� i“Mœ I e‡qve…× e¨vw³
� hviv Amy¯’
� ‡hme ågYKvix 77 wKwg (48 gvBj)-Gi
‡ewk `~i‡Z¡ ågY Ki‡Qb Ges H ¯’v‡b
14 w`‡bi ‡ekx bv _vKvi gb¯’t K‡i‡Qb
� ‡hme gwnjv‡`i gvwmK Pj‡Q A_ev
c«me-cieZ©x i³iY n‡”Q
� i“Mœ I e‡qve…× e¨vw³
� hw` Avk¼v Kiv nq yav I Z…òvi d‡j
(‡ivRv ivLvKvjxb) g„Z¨y (A_ev wbwðZ
kvixwiK wZ) NU‡Z cv‡i Zvn‡j ‡mB
e¨w³ ‡ivRv fvO‡Z cv‡ib|
� Mf©eZx A_ev wkï‡`i ey‡Ki `ya
LvIqv‡”Qb Ggb gwnjviv hviv
c~e©vwfÁZvi Av‡jv‡K A_ev ‡Kvb
we‡klÁ Wv³vi KZ©…K wb‡`©k c«vwßi
Kvi‡Y wb‡R‡`i A_ev wkïi Rb¨ fxZ,
A_ev hw` Zv‡`i fq cvevi ‡hŠw³K
KviY ‡_‡K _v‡K| Ggb ‡ivRv hLb mg_©
n‡eb ZLb ivLv ‡h‡Z cv‡i|
� Ac«vß eq¯‹ wkï‡`i ‡ivRv ivLv Avek¨K
bq Z‡e Zviv mg_© n‡j Zv‡`i ivLvi
Rb¨ ejv ‡h‡Z cv‡i|
hv‡`i Dci Dc‡iv³ KviYmg~n c«‡hvR¨, ‡mB me KviY I Ae¯’vbyhvqx nq Zviv cieZ©x‡Z Ab¨ mg‡q
mgvb msL¨K ‡ivRv ivL‡eb A_ev GKwU wbw`©ó cwigvY A_© `vZe¨ c«wZôv‡b `vb Ki‡eb| G‡‡Î ¯’vbxq
Av‡jg‡`i civgk© wb‡Z ejv n‡”Q|

gvÎvwZwi³ cvwbk~b¨Zvi jY nj ‡Pv‡L Svcmv ‡`Lv, gv_v ‡Nviv, ‡PZbv ‡jvc cvIqv Ges mvgvb¨
cwigvY c«mªve nIqv| Gme ‡‡Î Avcbvi ‡ivRv ‡f‡½ cvwb cvb Kiv DwPZ| GQvov, Ávb nviv‡bv e¨w³i
cv DuPy K‡i gv_vi ‡P‡q DuPy ¯’v‡b ivL‡Z n‡e|
‡KvôKvwVb¨
Kg cvwb cvb GB mgm¨v‡K Av‡iv evwo‡q ‡Zv‡j| BdZv‡ii mgq wb‡Ri cvwb¯^íZv `~i Kiv Ges mvnixi
mgq ch©vß Zij cvb Kiv Ri“ix| Avcbvi Lvev‡i dj, kvK-mewR Ges Avuk RvZxq Lvevi ivLyb| hw`
ZviciI mgm¨v ‡_‡KB hvq Z‡e Avcbvi wRwc-i mv‡_ ‡`Lv Ki“b A_ev ¯’vbxq dvg©vwm÷‡K j¨v·vwUf
msµvš— e¨vcv‡i wR‡Ám Ki“b hv ‡fv‡i ‡ivRv c~e©eZ©x A_ev ‡ivRv cieZ©x Lvevi-Gi mv‡_ M«nY Kiv
‡h‡Z cv‡i|
a~gcvb
Ges
kxmv
ZvgvK M«n‡Yi wZKi c«fve mg~n we¯—vwiZ wjwce× Av‡Q| K¨vbmvi, `ª“ZMwZi ü`¯ú›`b I nvU©-
A¨vUv‡Ki w`‡K avegvb D”P i³Pvc, ‡÷«vK, GgdvB‡Rgv I e«sKvBwUm-Gi Aš—f©y³| a~gcv‡bi
cv‡k Aew¯’Z Aa~gcvqxivI SyuwKi
g‡a¨ i‡q‡Qb|
ev”Pv‡`i ‡‡Î GUv Rvbv hvq ‡h, a~gcv‡bi Kvi‡Y ¯^í IR‡bi ev”Pv, AvKw¯§K wkï g…Z¨y, e«sKvBwUm,
wbD‡gvwbqv I Kv‡bi wfZi Bb‡dKkb NUv‡Z cv‡i| Bmjv‡g a~gcvb `vi“Yfv‡e AcQ›` Kiv
nq Ges A‡bK Av‡j‡gi g‡Z GwU wbwl×| myZivs GwU Avcbvi ev‡R Af¨vm `~ixKiY Ges m«óvi
mš‘wó jv‡fi GKwU fv‡jv my‡hvM|
MZ `k‡K AviwMjv/ kxmv/ ûuKv/ nvewj evewj a~gcvb mgq KvUv‡bvi Rb¨ Rbwc«q n‡q D‡V‡Q| Gi
cvkvcvwk a~gcv‡bi wZKi welqmg~n m¤ú‡K© mvgvb¨ m‡PZbZv i‡q‡Q| hvB ‡nvK, ‡`Lv ‡M‡Q ‡h,
kxmv‡Z wmMv‡i‡Ui ‡P‡q ‡ewk wb‡KvwUb i‡q‡Q Ges GK kxmv a~gcvb 18 wU wmMv‡i‡Ui mgZyj¨|
wewfbœ M‡elYvq ‡`Lv ‡M‡Q ‡h, wewfbœ mgq kxmvi evowZ e¨envi gvby‡li ¯^v‡¯’i Rb¨ wmMv‡i‡Ui
gZB wZKi| c«wZwU kxmv M«n‡Yi mgq mvaviYZ 10 wgwb‡Ui ‡P‡q ‡ewk hv j¨ve‡iUwii GKwU
Bù yi-Gi K¨vbmvi m…wói Rb¨ h‡_ó|

Pwe© I ‡Zjmg~n
cvbxq mg~n
‡hme Lvevi eR©b Ki‡Z n‡e ¯^v¯’¨Ki/weKí Lvevi
Kov fvRv Lvevi ‡hgb, cv‡Kvov,
mvgyPv|
ivbœvi mgq Kg Pwe© I ‡Zj e¨envi
Ki“b|
wN I gvL‡bi e¨envi cwinvi
Ki“b|
jvw”Q, M¨vmhy³ cvbxq, d‡ji im,
Av‡gi kvum, Pv, Kwd Ges Nb `ya
cwinvi Ki“b|
Avcbvi Lvevi wM«j I ‡Qu‡K wbb ‡hgb,
wM«j Kiv mvgyPv I Kvevemg~n|
c«wZR‡bi Rb¨ 1 PvgP ‡Zj eivÏ
ivLyb|
nvjKv fvwR I ‡fwR‡Uej ev Awjf
A‡qj e¨envi Ki“b|
wPwb Qvov cvbxq cvb Ki“b
nvjKv mi ‡Zvjv (‡mwg-¯‹xg&W) `ya
cvb Ki“b|
M«x®§gÛjxq d‡ji im I Av‡gi kvum
BdZvixi mgq 2-3 cikb dj ‡L‡q
(G‡Z c«Pyi wPwb _v‡K) cwinvi
djg~j I kvKmeRx
wbb|
Ki“b mvnixi mgq `yBfvM dj
mvjv‡`i I meRxi ZiKvixi ‡QvU evwU
‡L‡q wbb|
wgóvbœ mg~n
jeY
fviZxq wgwó ‡hgb wRjvwc, jvÇy,
¸jveRvg BZ¨vw` Ges evKjvIqv-
Gi gZ wgwó cwinvi Ki“b
ivbœvi mgq Kg jeY e¨envi Ki“b|
‡bvbZv bv¯—v LvIqv Kwg‡q w`b
nvjKv mi ‡Zvjv `ya I K…wÎg wgwóKviK
w`‡q MvR‡ii nvjyqv, xi,
imgvjvB evmvq evbvb
weKí gkjv, ‡jeyi kieZ, awbqv,
imyb, wcuqvR, gwiP I Kg Pwe©hy³
mvjv` e¨envi Ki“b|

mKv‡ji bv¯—v
iv‡Zi Lvevi
mϬvKm
wWg fvwR, c‡ivUv, cywi,
ZiKvix I fvZ cwinvi Ki“b
‡cvjvI, fvRv fvZ ev wewiqvwb,
‡Zjhy³ ZiKvix, d«v‡qW wP‡Kb
I wPcm cwinvi Ki“b
mvgyPv, cv‡Kvov, w¯ú«s ‡ivj,
wUw°, ‡Pfiv, we¯‹yU, iv¯‹, cvd
c¨vw÷« cwinvi Ki“b|
`vbv`vi ‡Uv÷|
Wv‡ji m‡½ `vbv`vi AvUv ‡_‡K
‰Zix i“wU A_ev Kg-Pwe©hy³
`B|
gy‡qmwj, DBUvwe·-Gi gZ
wmwiqvj, cwiR, djg~j I Avuk
Ges Kg Pwe©hy³ `yahy³ Avuk
‡m× fvZ I-Gi m‡½ c«Pyi
cwigv‡Y mewR ‡hvM K‡i wbb|
Kg Pwe©hy³ `B|
wM«j Kiv wP‡Kb, I‡f‡b ‡Q‡K
‡bqv mvgyPv, Kb© Ab `¨v Ke,
wM«j Kiv Kveve mg~n, nvjKv
fvRv cv‡Kvov I bb-w÷wK
c¨v‡b Kiv wUw°

K…ZÁZv
m¤úv`bv, ‡jLv I msM«‡n
Wt Avd‡ivRv Avn‡g`, wRwc GgweweGm, GgAviwmwRwc, wWwmGBP
cyw¯—Kv Aj¼i‡Y
Wt wmivR Av‡bvqvi
Wt bvwRqv Avn‡g`
wbDwU«kb BbcyU
mvjgv gv‡ni, b_©DBK cvK© nmwcUvj
Wvqv‡ewUm ‡¯úkvwj÷ BbcyU
Wt ‡mbvb ‡`‡f›`«v, ‡m›U«vj wgWj‡m· nmwcUvj GÛ ‡e«›U GbGBPGm
BD‡K Wvqv‡ewUm ivgv`vb ‡bUIqvK©
Wt ‡gvnv¤§v` nvmvbvBb, ‡Kv-Gw·wKDwUf wW‡i±i
BmjvwgK K‡›U›U MvB‡WÝ
kvBL dvivR iveŸvbx
GWy‡Kkbvj wW‡i±i, wmKvim& MvB‡WÝ
www.SeekersGuidance.com
kvBL nvB_vg Zvwgg
dvDÛvi GÛ wjwWs ¯‹jvi Ad DU«yR dvD‡Ûkb
www.utrujj.org
GbGBPGm n¨v‡iv-Gi AbygwZ‡Z cybtc«KvwkZ