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fof'k"V f'k{kk



                  uksV                dk lsou dj ys] 'kjkc dk lsou djs] vlUrqfyr Hkkstu xzg.k djs] nwf"kr Hkkstu djs vFkok chekj jgsA

                                (4) vlkekf;d izlo (Premature delivery)µ vlkef;d izlo ls Jo.k nks"k mRiUu gksrk gSA ;g vHkh
                                      fuf'pr :i ls ugha dgk tk ldrk fd vklef;d izlo bldk dkj.k gS ;k os dkj.k gSa tks vlkekf;d
                                      izlo djkrs gSaA
                                (5) vlqjf{kr izlo (Unsafe delivery)µ ;fn izlo osQ le; jDrizokg vfèkd gks tk;] jDr dk foo`Qfr
                                      lapkj gks] vkWDlhtu dk vHkko gks rks ckyd osQ Jo.k ;U=k izHkkfor gks ldrs gSaA
                                (6) lUrqfyr Hkkstu (Malnutrition)µ bl voLFkk esa tc ek¡ dks lUrqfyr Hkkstu ugha feyrk rks ckyd
                                      osQ fodkl ij izHkko iM+rk gSA vkSj og fofHkUu jksxksa ls ihfM+r Hkh gksus yxrk gSA ftlosQ izHkko ls bfUnz;ksa
                                      dk leqfpr fodkl ugha gks ikrkA

                                (7) nokvksa dk mi;ksx (Drugs)µ oqQN 'kksèk dk;ksZ }kjk ;g fofor gqvk gS fd xHkkZoLFkk osQ le; mUgsa
                                      vfèkd  nokvksa osQ lsou djus ls ;k fdlh rst nok osQ lsou ls Hkh ckyd osQ fodkl vkSj mlosQ vaxksa
                                      dks izHkkfor djrh gSA
                                tUe osQ i'pkr osQ dkj.k (Post Natal Causes)
                                cgqèkk ,slk gksrk gS fd ckyd tUe osQ le; lkekU; gksrk gS] ijUrq fodkl ozQe esa ckn esa og Jo.k nks"k ls ;qDr
                                gks tkrk gSA ,slk fuEufyf[kr dkj.kksa ls gksrk gSµ

                                (1) chekjh (Illness)µ oqQN fcekfj;k¡ ,slh gSa tks Jo.k nks"k mRiUu djrh gSaA bu chekfj;ksa osQ uke bl izdkj
                                      gSaµ
                                       (v) duiQM+k (Mumps)                 (c) [kljk (Measles)
                                       (l) pspd  (Small Pox)               (n) eksrh>jk  (Typhoid)
                                       (;) oqQdj [kk¡lh (Whooping cough)   (j) dku esa eokn (Pus in ear)

                                (2) nq?kZVuk (Accident)µ dksbZ Hkh nq?kZVuk Jo.k rU=k dks gkfu igq¡pk ldrh gS ftlls Jo.k nks"k mRiUu gks
                                      ldrk gSA fdlh ydM+h ;k fiu ls dku dk eSy fudkyrs le; Hkh ckyd vutkus esa d.kZ iVy (Internal
                                      Ear Membrance) dks uqdlku igq¡pk nsrk gSA
                                (3) mPp èofu (High Sound)µ dHkh tksj dk èkekdk d.kZ iVy dks iQkM+ nsrk gSA blh izdkj fujUrj mPp
                                      èofu dks lqurs jgrs ls dku mPp èofu dks gh idM+ ikrs gSaA lkekU; o èkheh xfr esa cksys x;s 'kCn dku
                                      Hkyh izdkj ugha lqu ikrsA bl izdkj mPp èofu Jo.k nks"k mRiUu djrh gSA

                                (4) vk;q (Age)µ o`¼koLFkk esa 'kkjhfjd rU=k detksj iM+us yxrs gSaA vr% lqukbZ de iM+rk gSA ;g dkj.k
                                      ckydksa ij ykxw ugha gksrk gSA D;ksafd mudk 'kjhj fodkl djrk gS u fd {kh.k gksrk gSA
                                (5) vlUrqfyr vkgkj (Imbalanced Food)µ ;fn ckyd dks lUrqfyr vkgkj ugha feyrk gS rks Hkh mldh
                                      Jo.k 'kfDr foijhr :i ls izHkkfor gks ldrh gSA bldk dkj.k ;g gS fd ckyd osQ Jo.k rU=k osQ dksey
                                      rUrqvksa dks thfor jgus vkSj fodkl djus osQ fy, mQtkZ ugha feyrh gSA


                                11-3 ok.kh ,oa Jo.k ckfèkr dh leL;k,¡  (Probems of Speech and Hearning
                                     Impaired)

                                11-3-1 ok.kh ckfèkr dh leL;k,¡  (Problem of Speech Impaired Children)

                                oqQN egÙoiw.kZ leL;kvksa dk mYys[k ;gk¡ fd;k x;k gS tks leL;k,¡ bl izdkj gSaµ


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