vkidh fo'ks"k pqukSfr;k

cÄkbZ! cPps dk tUe ges'kk mÙkstuk o vkuan dk le; gksrk gSA ;g pqukSrh o u, mÙkjnkf;Ro dk Hkh le; gksrk gSA ân; esa [kjkch ds lkFk iSnk gq, ,d cPps ds ekrk&firk ds :Ik esa vkidks dqN fo'ks"k pqukSfr;ksa o mÙkjnkf;Roksa dh tkudkjh gks xbZ gksxhA

vkidk fpfdRld vkidks vkids cPps ds ân; jksx ds Ádkj o fo'ks"k mipkj ftldh mls vko';drk gksxh] ds ckjs esa vkidks crk pqdk gSA ;g iqfLrdk vkidks ;g le>us esa lgk;rk djsxh fd dSls ân;] QsQMs+ o jDr lkFk&lkFk dke djrs gSa] o dSls tUetkr ân; nks"k mUgsa ÁHkkfor dj ldrs gSaA

tUetkr ân; nks"k okys cPpksa dks jsfLijsVjh flaflf'k;y ok;jl ;k RSV dgs tkus okys ok;jl ls QsQM+ksa esa laØe.k dk [krjk vfÄd gksrk gSA ;g iqfLrdk vkidks ;g Li"V djsxh fd D;ksa vkidks vius cPps ds RSV ls xzflr gksus ds ckjs esa fpafrr gksuk pkfg, o ppkZ djsxh fd dSls vki vius cPps ds RSV ds tksf[ke o laHkkfor laØe.k dks de djus esa lgk;rk dj ldrs gSaA

'kjhj ds fy,a vkWDlhtudh vko';drk

'kjhj ds lkekU; dk;ksZa ds fy, vkWDlhtu vko';d gSA yky jDr dksf"kdk,¡ QsQM+ksa ls vkWDlhtu mBkrh gSa o iwjs 'kjhj esa ekal&rarqvksa ¼o vaxksa½ dks Ánku djrh gSaA tc dksf'kdk,¡ vkDlhtu ls Hkjh gksrh gSa] jDr pednkj yky jax dk gksrk gSA tc rarq( ¼o vax½ vkDlhtu ys pqds gksrs gSa] jDr xk<+s uhys jax dk gks tkrk gSA rc bls vfÄd vkWDlhtu ysus ds fy, QsQM+kas esa okfil pys tkuk pkfg,A ³

iwjk pØ ,d vn~Hkqr iai }kjk lapkfyr gksrk gS&ân; ³

ân; o cM+h oslsYl

ân; esa pkj d{k gksrs gSa% nka;k ,fVª;e o cka;k ,fVª;e( ¼lkFk feydj ,fVª;k dgs tkrs gSa½] vfÄd ekaly nkbZa o ckbZa osafVªdYlA blds vykok] cM+h oslsYl ¼Äefu;k¡ o f'kjk,¡½ gksrh gSa tks ân; rd o ân; ls jDr ys tkrh gSaA ³

vkWDlhtu mBkuk o Ánku djuk

tc jDr 'kjhj esa ?kwe pqdk gksrk gS&'kjhj ds rarqvksa o vaxksa esa vkWDlhtu ys tkrs gq,&;g f'kjkvksa (vena cava) ds ek/;e ls ân; rd okil vkrk gS o nkbZa ,fVª;e esa Áos'k dj tkrk gSA jDr uhys jax dk gksrk gS D;ksafd blesa vkWDlhtu de gksrh gSA tc ân; vkjke dj jgk gksrk gS] jDr ,d okWYo ds ek/;e ls nkbZa osafVªfdy esa cgrk gSA nkbZa osafVªfdy jDr dks iqyeksusjh okWYo ls iqyeksusjh Äefu;ksa rd ys tkus ds fy, fldqM+rh gS] ;k nc tkrh gSA jDr QsQM+ksa esa pyk tkrk gS tgk¡ bls rkth vkWDlhtu feyrh gS o fQj ls ;g pednkj yky jax dk gks tkrk gSA ;g iqyeksusjh f'kjkvksa ds ek/;e ls ckbZa ,fVª;e esa pyk tkrk gSA rc ;g ,d okWYo ds ek/;e ls ckbZa osafVªdy esa tkrk gSA ckbZa osasfVªdy vkDlhtu ls Hkjs jDr dks ,d okWYo ds ek/;e ls vkSjVk esa iai djrk gSA vkSjVk 'kjhj dks jDr Ánku djrk gS o fQj ls ÁfØ;k ÁkjaHk gks tkrh gSA ¼vxyk i`"B ns[ksa½ ³

tUetkr ân; jksx

100 esa ls yxHkx ,d cPpk tUetkr ân; nks"k ds lkFk iSnk gksrk gSA dqN ân; jksxksa dk vkuqokaf'kd fyad gksrk gS ; nwljksa ds fy,] dkj.k vKkr gSA ⁴

tUetkr ân; nks"k] ;k {kfr ml ân; ds Hkkx gSa tks iwjh rjg ls ugha cuk gSA tUetkr ân; nks"kksa dk lcls lkekU; Ádkj gS ftls ßÁokg nks"kÞ ds :Ik esa ÁLrqr fd;k tkrk gS D;ksafd ;s bl ij ÁHkko Mkyrs gSa fd jDr dSls ân; esa cgrk gSA ⁵

ân; nks"kksa ds fdrus Ádkj gSa\
ân; dh fLFkfr;ksa ds nks Ádkj gSa% L;kukSfVd o ,L;kukSfVdA ,d L;kukSfVd fLFkfr esa y{k.k ds :Ik esa ,d L;kukSfll gksrk gSA L;kukSfll vksaB] elwM+ksa o Ropk dks uhys jax dk dj nsrk gSA bldk dkj.k bu {ks=ksa esa tkus okyk jDr gksrk gS ftlesa i;kZIr vkWDlhtu ugha gksrhA ,L;kukSfVd ân; fLFkfr okys fdlh Hkh O;fDr ds uhys vksaB] ealwM+s ;k Ropk ugha gksrs gSaA ⁵

tUetkr ân; nks"k okys cPps rsth ls lkal ysrs gSa o [kkrs ;k lksrs le; mUgsa ilhuk vkrk gSA bu cPpksa dks [kkus esa leL;k vkrh gS] [kkrs le; ilhuk vkrk gS o mruh rsth ls otu ughs c<+rk ftruk fd fcuk ân; nks"k okys cPps dkA ⁵

tUetkr ân; nks"k okys cPps QsQM+ks ds laØe.k ds lkFk cgqr chekj iM+ ldrs gSaA ²

tUetkr ân; jksxksa dk mipkj ³

cgqr ls ân; jksxksa dk lQyrkiwoZd ÁcaÄu fd;k tk ldrk gSA mipkj bl ckr ij fuHkZj djrk gS fd ân; dk dkSu lk Hkkx ÁHkkfor gSA dqN cPpksa dks mipkj dh vko';drk ugha gksxh ;fn jDr Áokg ij ÁHkko de gS] tcfd nwljksa dks ân; lacaÄh dSFkstSjkbt+s'ku ;k 'kY;fpfdRlk }kjk cuk, x, mipkj ;k la'kksÄuksa dh vko';drk gksxhA dqN nks"kksa dk bykt pj.kksa esa fd;k tkrk gS o nwljksa dk mipkj QkSju ugha fd;k tkrk gS]ijarq cPps ds FkksM+k cM+k gksus rd Árh{kk dhft,A tcfd cgqr ls ân; jksxksa dk ßbykt laHko ugha gS]Þ mudk dkQh Bhd ls ÁcaÄu fd;k tk ldrk gS rkfd cPpk Bhd ls dke djus esa leFkZ gks ldsA ⁴

NksVs cPpksa esa RSV ls xzLr gksus dk [krjk vf/kd gksrk gSA

RSV jsfLijsVjh flaflf'k;y ok;jl ds fy, Á;qDr gksrk gSA dqN cPpksa esa RSV laØe.k dk vfÄd [krjk ekuk tkrk gSA le; ls igys iSnk gq, cPps ;k os cPps ftUgsa LFkk;h QsQM+ksa dh chekjh gS ;k ftUgsa d"Ve; tUetkr ân; jksx gks] mUgsa RSV ls cgqr chekj iM+us dk [krjk vfÄd gksrk gSA ^{1, 2}

vius vfÄd [krjs okys cPps dh RSV laØe.k ls j{kk djuk vkids cPps dk vR;ar xaHkhj RSV laØe.k dk [krjk de dj ldrk gS ftlds fy, mls vLirky esa HkrhZ djus dh vko';drk iM+ ldrh gSA ²

vkidk cPpk o RSV

D;ksafd vkids cPps dk tUetkr ân; jksx mlds jDr esa vkWDlhtu dh ek=k dks ÁHkkfor dj ldrk gS] ;g lqfuf'pr djuk vko';d gS fd vkids cPps ds QsQM+s laHkor% vfÄd ls vfÄd vPNh rjg ls dke dj jgs gSaA bles vius cPps dh lkal lacaÄh chekfj;ksas tSls RSV ls j{kk djuk vko';d gSA

RSV D;k gS\

RSV iSnk gq, cPpksa esa ;k cPkiu ds ÁkjaHk esa ,d cgqr lkekU; ok;jl gSA ;g thou ds ÁFke o"kZ esa czkSfUd;ksykbfVl o fueksfu;k dk lcls lkekU; dkj.k gS o 2-3 lky dh mez rd yxHkx lHkh cPpksa dks laØfer djrk gSA ^{1, 2, 6}

vfÄdka'k cPpksa o cM+ksa esa] RSV gYdh BaM ds y{k.kksa tSls can ;k cgrh ukd] dku esa laØe.k ¼dHkh&dHkh½] gYdk cq[kkj o [kjkc xyk vkfn dks iSnk djrk gSA 2 ijarq dqN ßmPp [krjs okys cPpksa esaÞ ¼i`"B 8 ls lanHkZ ysa½] RSV QsQM+ksa ds laØe.k dks iSnk dj ldrk gSA ;s cPps cgqr chekj iM+ ldrs gSa o mUgsa vLirky esa HkrhZ fd, tkus dh vko';drk gks ldrh gSA ^{1, 2}

;g cgqr vko';d gS fd vki fuEu ckrksa dks tkusa%

• RSV ,d cgqr lkekU; ok;jl gS tks 'kkjhfjd laidZ tSls Nwuk] pqacu ysuk o ,d laØfer O;fDr ds lkFk gkFk feykus ls gksrk gSA ^{1, 7}
• ,d laØfer O;fDr }kjk [kkals ;k Nhads tkus ij Hkh jksxk.kq gok ds ek/;e ls QSy tkrs gSaA ^{1, 7}
• RSV dkmaVj ds Åijh Hkkx ;k Á;ksx fd, x, fV'kw ij ?kVksa rd thfor jg ldrk gSA ¹
• RSV laØe.k HkhM+&HkhM+ okys vkoklh; {ks=ksa o fnu ds le; cPpksa dh ns[kHkky djus okys dsUnzksa esa cgqr lkekU; gSA ^{1, 7}
• ,d O;fDr ok;jl ls xzLr gks ldrk gS o vutkus esa bls nwljksa dks ns ldrk gSA

bu lHkh dkj.kksa ls vkidks cgqr lkoÄku gksuk pkfg, o vius cPps dh RSV ls xzLr gksus ls j{kk djus ds fy, dne mBkuk pkfg,A

RSV laØe.k VsEijsV tyok;q tSls dukMk esa Qky ls fLiazx rd gksrs gSa] ij RSV ekSle {ks= ds vuqlkj vyx gks ldrk gSA 1 vius MkWDVj ls ;g iwNuk lcls vPNk gksrk gS fd vkids LFkkuh; {ks= esa RSV dc gksrk gSA

vius cPps ds RSV tksf[ke dks de djuk

dqN mik; ,sls gSa tks vki ekrk&firk ds :Ik esa RSV laØe.k ds [krjs dks ?kj o ?kj ls nwj ij de djus esa lgk;rk djus ds fy, dj ldrs gSaA

• cPps dks Nwus ls igys gkFkksa dks xeZ ikuh o lkcqu ;k ,Ydksgy ij vkÄkfjr gSaM jc ls Äks,¡A ¹
• ;fn vkidks BaM ;k cq[kkj gS] /;ku j[ksa fd cPps dk paqcu ysus ls laØe.k QSy ldrk gSA vius cPps dk dkseyrk ls vkfyaxu djs ;k blds ctk, vius cPps dk flj FkiFkik,¡A ⁷
• ;fn nwljs NksVs cPpksa dks BaM ;k cq[kkj gks rks mUgsa cPps ls nwj j[kus dk Á;Ru djsaA ;g djuk dfBu gS D;ksafd NksVs cPps ;g ugha le>saxs fd os cPps ds vkl&ikl D;ksa ugha gks ldrsA vkidh ?kj esa nwljs cPpksa ds fy, ,d ßfo'ks"k LFkkuÞ cukus dh bPNk gks ldrh gS] tSlkfd cPps dk ,d fo'ks"k LFkku gSA jax djus dh fdrkcsa o nwljh 'kkar xfrfofÄ;ksa dks ml ßfo'ks"k LFkkuÞ esa j[ksaA
• BaM o cq[kkj ds y{k.kksa okys yksxksa dks cPps ls nwj j[ksaA
• vius cPps dks HkhM+&HkkM+ okys LFkkuksa ¼fo'ks"kdj fnu ds le; cPpks dh ns[kHkky djus okys dsUnzksa] cM+s ikfjokfjd lekjksgksa tgk¡ cPpksa dks vDlj mBk;k o pwek tkrk gS] o nwljs LFkkuksa tSls 'kkfiax dsUnzksa½ ^{1, 7} ls nwj j[ksaA
• cPps ds vkl&ikl Äweziku u djsaA vius ?kj esa Äweziku ij ÁfrcaÄ yxk,¡A ¹

;fn vkidk cPpk RSV ls xzLr gks tkrk gSA

;g igpkuuk lh[ksa fd vkidk cPpk chekj gS ;k mls cq[kkj gSA vkids cPps ds dke djus ds rjhds esa ifjorZu] tSls Bhd ls u [kkuk ;k fpM+fpM+k gksuk] chekjh dk igyk ladsr gks ldrk gSA ;fn gYdh BaM ds y{k.k cus jgrs gSa ;k c<+ tkrs gSa] ;k ;fn vkids cPps dks [kaklh gks tkrh gS] ?kj?kjkgV ¼,d Ádkj dh lhVh dh vkokt+½] gksrh gS] rsth ls lkal ys jgk gS] ;k dfBukbZ ls lkal ys jgk gS] rqjar vius fpfdRld ls laidZ djsaA

de ;k vfÄd tuetkr ân; jksx okys dqN cgqr NksVs cPpksa ds fy, RSV ds gYds ekeyksa dks Hkh xaHkhjrk ls fy;k tkuk pkfg,A vkidk fpfdRld vkidks ;g crk,xk fd ;fn vkidk cPpk RSV ls xzLr gks tkrk gS rks D;k vkidks vfrfjDr lkoÄkfu;k¡ cjrus dh vko';drk gSA

lkekU; :Ik ls] vius cPps dks xeZ o vkjkenk;d rjhds ls j[kuk lqfuf'pr dj ysaA ;kn j[ksa fd vki vius cPps dks lcls vPNh rjg ls tkurs gSa !

;fn vkids eu esa dksbZ Á'u gksa rks vius fpfdRld ls ckr djsaA

lanHkZ%

1. n gkfLiVy QkWj fld fpYMªsu],ckmV fdM~l gsYFk]jsfLijsVjh flaflf'k;y ok;jl (RSV) http://www.aboutkidshealth.ca/Query.aspx?qt ij miyCÄ =Respiratory%20Syncytial%20Virus. Accessed on May 28, 2009.

2. dusfMvu yax ,lksfl,'kuA fMt+ht+st+ A-Z.A jsfLijsVjh flaflf'k;y ok;jl (RSV). http://www.lung.ca/diseases-maladies/a-z/rsv-vrs/index_e.php ij miyC/k Accessed on May 28, 2009.

3. n gkfLiVy QkWj fld fpYMªsu],ckmV fdM~l gsYFk] ,u vksojO;w vkWQ n gkVZ http://www.aboutkidshealth.ca/HeartConditions/An-Overview-of-the-Heart. aspx?articleID=6541&categoryID=HC-nh1-02 Ikj miyCÄ Accessed on August 6, 2009.

4. n gkfLiVy QkWj fld fpYMªsu],ckmV fdM~l gsYFk] Mk;Xuksfll vkWQ datsfuVy gkVZ fMQsDV~l http://www.aboutkidshealth.ca/PrinterFriendly.aspx? articleID=6482&categoryID=HC-nh2-04 ij miyCÄ Accessed on May 28, 2009.

5. n gkfLiVy QkWj fld fpYMªsu],ckmV fdM~l gsYFk] ÁsXusalh & cscht+]gkVZ ÁkCyEl http://www.aboutkidshealth.ca/Pregnancy/Heart-Problems.aspx?article ID=7642&categoryID=PG-nh2-09d ij miyCÄ Accessed on May 28, 2009.

6. lsaVj~l QkWj fMt+ht+st+ daVªksy ,aM Áhosa'kuA jsfLijsVjh flaflf'k;y ok;jl (RSV) ,baQsD'kal ,aM balhMsalA http://www.cdc.gov/rsv/about/infection.html ij miyCÄ Accessed on May 28, 2009.

7. lsaVj~l QkWj fMt+ht+st+ daVªksy ,aM izhosa'kuA RSV: QzhDosaVyh vkLDM Doks'kal Frequently asked questions. http://www.cdc.gov/RSV/about/faq.html ij miyC/k Accessed on May 28, 2009.