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fof'k"V f'k{kk



                  uksV          ldus okys dk;ks± esa ck/k dk vuqHko djrs gSaA blosQ vfrfjDr bu ckykdksa esa oqQiks"k.k] chekjh i{kk?kkr
                                (paralysis), ;{ek (leprosy), jDrkYirk (anaemia) ;k vU; 'kkjhfjd vlekurkvksa osQ dkj.k vFkok lgtr%
                                thou 'kfDr eUn gksrh gSA buosQ f'k{k.k O;oLFkk djrs le; fo'ks"k midj.k ,oa funsZ'ku osQ vfrfjDr vuqowQy
                                laosxkRed ,oa HkkokRed ifjos'k dh Hkh vko';drk gksrh gSA lkekU; :i ls  fo:fir ckydksa dks nks oxks± esa j[kk
                                tk ldrk gSµ
                                1-   iaxqrk vFkok 'kkjhfjd foÑfr]
                                2-   jksxksa ls xzflr gksus osQ dkj.k foÑfrA

                                nksuksa gh voLFkk,¡ dHkh&dHkh leku :i ls lkFk&lkFk pyrh gSaA ,slh voLFkk esa fpfdRlk] f'k{k.k ,oa lh[kus dh
                                {kerk rhuksa esa lkE;rk (co-ordination) vR;Ur vko';d gksrh gSA

                                4-1-5 vLoLFk fodykax ckyd  (Unhealthy Impaired Children)
                                vLoLFk fodykax ckyd os ckyd gksrs gSa tks 'kkjhfjd vLoLFkrk o 'kfDrghurk osQ dkj.k i<+kbZ esa vis{kkÑr
                                detksj gksrs gSa rFkk ftuosQ fy, LowQy esa fo'ks"k LokLF; lsok dh O;oLFkk djuh vko';d gksrh gSA fexhZ
                                (epilepsy), riSfnd  (tuberculosis), ân; jksx  (cardiac anomalies), lw[kk jksx  (berry berry), 'okl&jksx
                                (asthama), jDr&vYirk (anaemia) vkfn jksxksa ls xzflr ckyd bl oxZ osQ varxZr vkrs gSaA mudk 'kkjhfjd
                                fodkl #d tkrk gS rFkk os 'kkjhfjd Je ugha dj ikrs gSaA 'kh?kz gksus okyh 'kkjhfjd o ekufld Fkdku osQ dkj.k
                                os viuk è;ku i<+kbZ esa osQfUnzr ugha dj ikrs gSaA
                                fo|ky; esa ,sls ckydksa dks lnSo vU; ckydksa osQ lkFk lkekftd dk;Z] [ksyowQn vkfn esa mudh 'kkjhfjd o ekufld
                                {kerk osQ vuqlkj Hkkx ysus osQ fy, izksRlkfgr djuk pkfg,A mfpr LokLF;&lsok o ns[k&js[k esa ckyd dks Lora=k
                                okrkoj.k esa dk;Z djus dk volj nsus ls LokLF; ykHk o vkRe&fuHkZrjrk dk fodkl 'kh?kz gh gks ldrk gSA blosQ
                                vfrfjDr muosQ fy, lUrqfyr Hkkstu] O;k;ke vkfn dh Hkh O;oLFkk ?kj rFkk fo|ky; esa gksuh pkfg,A






                                       vLoLFk fodykax ckyd lnSo vLoLFk jgus osQ dkj.k fpM+fpM+s o nqcZy gks tkrs gSaA le; ij
                                       mipkj u gksus ij bu jksxksa dks nwljksa esa iQSyus dk Hk; Hkh cuk jgrk gSA
                                4-1-6 izefLr"dh; {kfr  (Cerebral Palsy)

                                bl ckr dk /hjs&/hjs vuqHko gksus yxk gS fd leqfpr ns[kHkky] lgh izf'k{k.k vkSj ekSosQ fn, tkus ij fodykax
                                O;fDr Hkh lekt osQ ;ksX; lnL; cu ldrs gSa] ftUgsa lekt osQ v;ksX; ekuk tkrk gSA fiNys chl o"kks± esa dbZ
                                Lo;alsoh laLFkkvksa us fodykax cPpksa dks izf'k{k.k nsus osQ fy, ,sls osQUnzksa dh LFkkiuk dh gS ftuesa bu cPpksa dks
                                izf'k{k.k fn;k tkrk gSA ysfdu lsfjczy ikSYlh osQ dkj.k vHkh Hkh bl izdkj osQ osQUnzksa dh deh gS tgk¡ bu fodykax
                                cPpksa dk iquokZ gks losQA
                                'kjhj dk fodykax osQUnz vFkkZr~ efLr"d dk dksbZ Hkkx tks 'kjhj lapkyu ls lEc¼ gS] mlesa ;fn fdlh dkj.ko'k
                                pksV vk tk, rks lsjsczy dh voLFkk iSnk gksrh gSA lsjsczy ikSYlh ls ihfM+r cPpksa esa vf/drj cgq&fodykaxrk ikbZ
                                tkrh gSA blls ihfM+r O;fDr vlarqfyr vax&lapkyu osQ lkFk&lkFk Bhd ls cksyus esa] lquus esa vkSj le>us esa
                                dfBukbZ dk vuqHko djrs gSaA bUgssa oqQN lh[kus esa Hkh le; yxrk gSA Hkkjro"kZ esa 30 yk[k ls Hkh vf/d yksx gSa
                                tks blls jksxxzLr gSaA vr% buosQ fy, vfr 'kh?kz ,slh lsokvksa dks 'kq: djus dh t:jr gS tks mUgsa lgh <ax ls
                                enn dj losaQA bu lsokvksa dks dksbZ Hkh 'kq: dj ldrk gS tSlsµekrk&firk] fj'rsnkj] izf'k{k.k izkIr O;fDr] bl
                                {ks=k esa #fp j[kus okys yksx ;k bl leL;k dk funku <w¡<+us okys lektlsohA vki [kqn Hkh bl fn'kk esa dne mBk
                                ldrs gSaA


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