†Ljvayjvi yN©Ubv I cÖv_wgK cÖwZweavb

f~wgKv

Rxe‡b Pjvi c‡_ A‡bK mgqB Avgv‡`i `yN©Ubvi gy‡LvgywL n‡Z nq| `yN©Ubv gvby‡li Rxe‡bi †Kv‡bv A¯vfvweK

NUbv bq| ˆ`bw›`b KvRKg© Kivi mgq nVvrB `yN©Ubv N‡U _v‡K| Avevi †Ljvayjv ev e¨vqvg Kivi mgqI

AvKw¯§Kfv‡e gvsm‡cwk‡Z Uvb, e¨_v ev wjMv‡g›U wQu‡o hvIqvi gZ NUbv N‡U| †Kv‡bv mgq mwÜP~¨wZ ev nvoI

†f‡½ hvq| GQvovI AmveavbZvekZ cvwb‡Z Wz‡e hvIqv, AvNv‡Z bvK w`‡q i³ co‡Z cv‡i| G mg¯Í yN©Ubvi

cÖv_wgK cÖwZweavb mK‡jiB Rvbv `iKvi| Zvn‡j †ivMx‡K `ªæZ cÖv_wgK cÖwZweav‡bi e¨e¯’v †`qv m¤¢e n‡e|

BDwbU mgvwßi mgq BDwbU mgvwßi m‡e©v”P mgq 2 mßvn

G BDwb‡Ui cvVmg~n

cvV-9.1 : yN©Ubvq cÖv_wgK cÖwZweavb

cvV-9.2 : Pvgov Q‡o hvIqv, gvsm‡cwki Uvb I dz‡j hvIqv

cvV-9.3 : mwÜP~¨wZ, gPKv‡bv, nvofv½v I wjMv‡g›U wQu‡o hvIqv

cvV-9.4 : bvK w`‡q i³ cov, cvwb‡Z Wz‡e hvIqv

BDwbU

9

evsjv‡`k Dš§y³ wekwe`¨vjq kvixwiK wkÿv, ¯v¯’ weÁvb I †Ljvayjv

BDwbU 9 c„ôv 110

yN©Ubvq cÖv_wgK cÖwZweavb

D‡Ïk¨

G cvV †k‡l AvcwbÑ

cÖv_wgK cÖwZweav‡bi ¸iæZ¡ ej‡Z cvi‡eb;

cÖv_wgK cÖwZweav‡bi welq I DcKiYmg~‡ni avivevwnKfv‡e eY©bv cÖ vb Ki‡Z cvi‡eb;

cÖv_wgK cÖwZweavbKvixi ¸Yvewj eY©bv Ki‡Z cvi‡eb|

cÖv_wgK cÖwZweavb

`yN©Ubv nVvrB N‡U| `yN©Ubvi ¯’‡j ev Gi Av‡k-cv‡k AwaKvsk mgqB wPwKrmK cvIqv hvq bv| G mgq

†ivMxi Rxeb euvPv‡bvi Rb¨ †h mvgwqK e¨e¯’v cÖ vb Kiv nq Zv‡K cÖv_wgK cÖwZweavb e‡j|

AvnZ †ivMx‡K Wv³v‡ii Kv‡Q wb‡q hvIqvi Av‡M †ivMxi Ae¯’vi AebwZ hv‡Z bv N‡U Zvi e¨e¯’v MÖnY Kiv

cÖ‡qvRb| cÖv_wgK cÖwZweavb ej‡Z †Kv‡bv yN©Ubvq Wv³vi bv Avmv ch©šÍ nv‡Zi Kv‡Qi wRwbm w`‡q †ivMx‡K

cÖv_wgKfv‡e mvnvh¨ Kiv Ges †ivMxi Ae¯’v hv‡Z RwUjZi bv nq ev Lviv‡ci w`‡K bv hvq †mw`‡K jÿ¨ †i‡L

mvgwqK e¨e¯’v MÖnY Kiv‡K †evSvq|

cÖv_wgK cÖwZweav‡bi Bs‡iwR cÖwZkã n‡jv dv÷©-GBW (First Aid)| First A_© cÖ_g, Aid A_© mvnvh¨| myZivs

First Aid-Gi A_© cÖ_g mvnvh¨| First Aid kãwU fv½‡j AviI ¯úófv‡e †evSv hv‡e|

F-Fast- ( ªæZ): cÖv_wgK cÖwZweavbKvix‡K `ªæZ KvR m¤úbœ Ki‡Z n‡e|

I-Investigation- (AbymÜvb): †ivMxi Ges cvwicvwk¦©K Ae¯’v ch©‡eÿY K‡i ªæZ wm×všÍ wb‡Z n‡e|

R-Relief- (Avivg): me©cÖ_‡g †ivMxi hš¿Yv jvN‡ei †Póv Ki‡Z n‡e|

S-Sympathy- (mnvbyf~wZ): †ivMx‡K mnvbyf~wZi mv‡_ †`L‡Z n‡e|

T-Treatment- (wPwKrmv): †ivMx‡K `ªæZ wPwKrmvi e¨e¯’v Ki‡Z n‡e|

A-Arrangement- (e¨e ’v): cÖv_wgK wPwKrmvi mgq mwVK cš’v ev e¨e ’v AbymiY Ki‡Z n‡e|

I-Immediate- (Zwor): nv‡Zi Kv‡Q hv cvIqv hv‡e Zv w`‡qB Zwor e¨e¯’v wb‡Z n‡e|

D-Disposal- (AcmviY): `yN©Ubvi ¯’vb †_‡K †ivMx‡K wPwKrmv Dc‡hvMx ¯’v‡b Avb‡Z n‡e|

cÖv_wgK cÖwZweav‡bi g~j welq

cÖv_wgK cÖwZweav‡bi cÖwZwU KvR myôzfv‡e †kl Kivi Rb¨ wKQz mywbw`©ó welq AbymiY Ki‡Z nq| welq¸‡jv n‡jvÑ

1| †ivMx‡K NUbv¯’vb †_‡K wbivc` ¯’v‡b miv‡Z n‡e|

2| †ivMx‡K fv‡jvfv‡e ch©‡eÿY Ki‡Z n‡e|

3| †ivMxi Ávb (sense) Av‡Q wKbv †`L‡Z n‡e|

4| wePwjZ bv n‡q AvZ¥wek¦v‡mi mv‡_ Av‡Mi KvR Av‡M Ki‡Z n‡e|

5| k¦vm-cÖk¦vm wVKgZ Pj‡Q wKbv †`L‡Z n‡e| cÖ‡qvR‡b K…wÎg Dcv‡q k¦vm-cÖk¦vm w`‡Z n‡e|

6| kix‡ii Kvco AvjMv K‡i w`‡Z n‡e|

7| bvwoi MwZ jÿ¨ ivL‡Z n‡e|

8| †jvKRb †hb Pvicv‡k wfo Ki‡Z bv cv‡i †mw`‡K jÿ¨ ivL‡Z n‡e|

9| i³ÿiY n‡j eÜ Kivi †Póv Ki‡Z n‡e|

10| ch©vß Av‡jv evZv‡mi e¨e¯’v Ki‡Z n‡e|

11| h_vkxNª Wv³v‡ii Kv‡Q ev nvmcvZv‡j †bqvi e¨e¯’v Ki‡Z n‡e|

cvV-9.1

evsjv‡`k Dš§y³ wekwe`¨vjq GmGmwm †cÖvMÖvg

BDwbU 9 c„ôv 111

wkÿv_©xi KvR

evg cv‡ki k‡ãi mv‡_ Wvb cv‡ki kã wgj Kiæb|

bvwoi

kix‡ii Kvco †Pvco

†ivMx‡K NUbv¯’vb †_‡K

wePwjZ bv n‡q

wfo Ki‡Z bv †`qv

wbivc` ¯’v‡b mwi‡q †bqv

AvjMv

AvZ¥wek¦vm ivLv

PZzc©v‡ki †jvKRb MwZ

cÖv_wgK cÖwZweav‡bi cÖ‡qvRbxq DcKiY

1| RxevYygy³ Zzjv I MR : AvnZ ¯’vb cwi®‹vi Ki‡Z Kv‡R jv‡M|

2| w¯úø›U (splint) : fv½v nvo‡K †mvRv ivLvi Rb¨ †h PwU e¨envi Kiv nq Zv‡K w¯úø›U e‡j|

3| c¨vW : ÿZ ’vb‡K Avivg †`qvi Rb¨ †h Mw` e¨envi Kiv nq Zv‡K c¨vW e‡j|

4| KuvwP : e¨v‡Û‡Ri Kvco KvUvi Rb¨ e¨eüZ nq|

5| e¨v‡ÛR : †Wªwms, c¨vW ev w¯úø›U‡K h_v ’v‡b a‡i ivLvi Rb¨ e¨v‡ÛR e¨envi Kiv nq|

6| m¨vfjb (RxevYybvkK) : AvnZ ¯’vb RxevYygy³ Ki‡Z e¨eüZ nq|

7| wPgUv : wKQz weu‡a †M‡j Zv †ei Ki‡Z Kv‡R jv‡M|

8| †mdwUwcb : e¨v‡ÛR AvUKv‡bvi Rb¨ e¨eüZ nq|

9| †eøW : Pzj Kvwg‡q AvnZ¯’vb cwi®‹vi Kivi Rb¨ e¨eüZ nq|

10| myP : †mjvB-Gi Kv‡R e¨eüZ nq|

11| w¯úwiU : Bb‡RKk‡bi c~‡e© Bb‡RKk‡bi ¯’v‡b e¨eüZ nq|

12| wj‡Kvcøv÷vi : Db¥y³ ¯’vb‡K †X‡K ivLvi Kv‡R e¨eüZ nq|

13| evibj : cy‡o hvIqv ¯’v‡b jvMv‡Z nq|

14| wmwiÄ : Bb‡RKkb †`qvi Kv‡R e¨eüZ nq|

15| wj›U : RxevYygy³ ev Jlahy³ GK LÛ Kvco|

16| Jl‡ai †Uª : wewfbœ DcKiY en‡bi Kv‡R e¨eüZ nq|

17| dv÷ GBW e· : DwjøwLZ DcKiY¸‡jv G ev‡· ivLv nq|

cÖwZweavbKvixi ¸Yvewj

GKRb cÖv_wgK cÖwZweavbKvixi wb¤œwjwLZ ¸Y¸‡jv _vKv cÖ‡qvRbÑ

1| †ivMxi AvNv‡Zi aib I wPý mn‡RB wPwýZ Kivi ÿgZv _vK‡Z n‡e|

2| i³cov ev ÿZ †`‡L Nve‡o bv wM‡q AvZ¥wek¦v‡mi mv‡_ KvR Ki‡Z n‡e|

3| nv‡Zi Kv‡Q hv cv‡e Zv w`‡qB cÖwZweav‡bi KvR Pvjv‡Z cv‡ib Ggb AwfÁ n‡Z n‡e|

4| †ivMxi Dcw¯’Z †jvKRb‡`i‡K Zv‡`i KZ©e¨ m¤ú‡K© mwVK wb‡`©kbv w`‡Z n‡e|

5| AvNv‡Zi ¸iæZ¡ ey‡S Av‡Mi KvR Av‡M I c‡ii KvR c‡i Ki‡Z n‡e Ggb Ávb m¤úbœ n‡Z n‡e|

6| †ivMxi cÖwZ KLbI K‡Vvi n‡e bv| †ivMx †hb Kó bv cvq †m w`‡K jÿ¨ ivL‡Z n‡e|

wkÿv_©xi KvR

Avcbvi g‡Z cÖwZweavbKvixi

†Kvb wZbwU ¸Yvewj †ewk

cÖ‡qvRb?

1|

2|

3|

evsjv‡`k Dš§y³ wekwe`¨vjq kvixwiK wkÿv, ¯v¯’ weÁvb I †Ljvayjv

BDwbU 9 c„ôv 112

mvivsk

Pjvi c‡_ †h †Kvb mgq `yN©Ubv NU‡Z cv‡i| AwaKvsk mgq Wv³vi cvIqv hvq bv| ZvB nv‡Zi Kv‡Q hv

cvIqv hvq Zv w`‡qB †ivMxi Rxeb euvPv‡bvi Rb¨ †h mvgwqK e¨e¯’v MÖnY Kiv nq ZvB cÖv_wgK cÖwZweavb| †ivMxi Ae¯’vi †hb AebwZ ev RwUj bv nq †mw`K we‡ePbvq †i‡L e¨e¯’v MÖnY KivB Gi jÿ¨| cÖv_wgK cÖwZweavbKvix‡K KvR Kivi mgq †ivMxi mew`K fv‡jvfv‡e hvPvB K‡i KvR ïiæ Ki‡Z n‡e| nv‡Zi Kv‡Q cÖvß DcKiY w`‡qB KvR m¤úbœ Ki‡Z n‡e| †m¸‡jv fv‡jvfv‡e RxevYygy³ K‡i wb‡Z n‡e| Dcw¯’Z eyw×, AvZ¥wek¦v‡mi mv‡_ I Kv‡Ri avivevwnKZv iÿv K‡i †ivMxi Rxeb euvPv‡Z mvgwqK e¨e¯’v

wb‡Z n‡e|

cv‡VvËi g~j¨vqb-9.1

mwVK Dˇii cv‡k wUK () wPý w`b|

1| cÖv_wgK cÖwZweavb Kx?

K) GwU GKwU `yN©Ubv L) Wv³vi Øviv wPwKrmv Kiv

M) e¨v‡ÛR Kiv N) Wv³v‡ii Kv‡Q cvVv‡bvi Av‡M mvgwqK wPwKrmv †`qv

2| †ivMxi k¦vm-cÖk¦v‡mi weNœ NU‡j Kx Ki‡Z nq?

K) evZvm Ki‡Z nq L) K…wÎgfv‡e k¦vm cÖk¦vm w`‡Z nq

M) gy‡L cvwb wQUv‡Z nq N) eid jvMv‡Z nq

3| cÖv_wgK cÖwZweav‡bi DcKiY bq †KvbwU?

K) c¨vW L) †Wªwms

M) KuvwP N) Zzjv

4| w¯úø›U-Gi KvR Kx?

i. ÿZ ¯’vb †X‡K ivLv

ii. ÿZ¯’v‡b jvMv‡bv

iii. fv½v¯’vb Abo ivLvi Rb¨ e¨envi Kiv

wb‡Pi †KvbwU mwVK?

K) i L) ii M) iii N) i, ii

evsjv‡`k Dš§y³ wekwe`¨vjq GmGmwm †cÖvMÖvg

BDwbU 9 c„ôv 113

Pvgov Q‡o hvIqv, gvsm‡cwki Uvb I dz‡j hvIqv

D‡Ïk¨

G cvV †k‡l AvcwbÑ

Pvgov Q‡o hvIqvi cÖv_wgK cÖwZweavb eY©bv Ki‡Z cvi‡eb;

gvsm‡cwki Uvb I dz‡j hvIqvi cÖwZKvi eY©bv cvi‡eb|

Pvgov Q‡o hvIqv

cov‡kvbv QvovI cÖvZ¨vwnK Rxe‡b Avgv‡`i A‡bK KvRKg© Ki‡Z nq| c‡o wM‡q BU cvU‡K‡ji AvNv‡Z

Pvgov Q‡o †h‡Z cv‡i| Avevi nvZzwo w`‡q KvR Kivi mgq, cv_i ev †fvZv †Kv‡bv wRwb‡mi AvNv‡Z Pvgov Q‡o

†h‡Z cv‡i| †Ljvi mgq mncvVxi av°v †j‡M, BU ev cv‡qi ey‡Ui AvNv‡Z c‡o wM‡qI Pvgov Q‡o †h‡Z cv‡i|

†mRb¨ †Ljvi c~‡e© †Ljvi gvVwU fv‡jvfv‡e cwi®‹vi K‡i wb‡Z nq| †hgbÑ gvV †hb wcw”Qj bv nq, BU cvU‡Kj bv

_v‡K Ges DuPz wbPz bv nq| Pvgov Q‡o †M‡j H ¯’vbwU †_Zjv‡bv, i³ RgvU euv‡a I Kvjwk‡Uhy³ nq|

Pvgov Q‡o hvIqvi cÖv_wgK cÖwZweavb

1| Q‡o ev †_Zjv‡bv RvqMvq VvÛvcvwb ev eid jvMv‡Z n‡e|

2| cwi®‹vi †Zvqv‡j ev †fRv Kvco w`‡q AvNvZ cÖv߯’vb †eu‡a ivL‡Z n‡e| ïwK‡q †M‡j cybivq wfwR‡q w`‡Z

n‡e|

3| i³ †ei n‡j Zv eÜ Kivi e¨e ’v Ki‡Z n‡e|

4| RxevYygy³ Zzjv w`‡q RgvU i³ gy‡Q gjg jvMv‡Z n‡e|

5| cÖ‡qvR‡b Wv³v‡ii Kv‡Q cvVv‡Z n‡e|

gvsm‡cwki Uvb (sprain)

†Ljvayjvi mgq ev fvix †Kv‡bv wRwbm †Zvjvi mgq wKsev ch©vß Iqvg©Avc bv K‡i †Ljvayjv Ki‡j gvsm‡cwk‡Z

A‡bKmgq Uvb jvM‡Z cv‡i| G‡Z †cwki Avk wQu‡o e¨_v Abyfe Ges nuvUv-Pjv Ki‡Z Amywe‡a nq| †Kv‡bv

†Kv‡bv mgq AvnZ ¯’vb dz‡j D‡V Kvjwkiv c‡o hvq| G Ae¯’v‡K gvmjcyj ev gvsm‡cwk‡Z Uvb aiv e‡j| G

Ae¯’v n‡j AvnZ ¯’vbwU‡K wekÖvg w`‡q eid jvMv‡Z n‡e| PweŸk N›Uv ci Mig cvwb‡Z †evwiK GwmW cvDWv‡ii

Kg‡cÖm cÖ‡qvM Ki‡Z n‡e| A¨v_‡jwUKm&&, fv‡iv‡Ëvjb, muvZvi cÖwZ‡hvwMZvi cÖwZ‡hvMx‡`i gvsm‡cwk‡Z Uvb a‡i

†ewk|

dz‡j hvIqv

dzUej †Ljvi mgq ey‡Ui AvNv‡Z, ew·s †Ljvi mgq gywói AvNv‡Z ev wµ‡K‡Ui ej †j‡M dz‡j †h‡Z cv‡i| Avevi

c‡o wM‡qI AvNvZ †j‡M kix‡ii †Kv‡bv ¯’vb dz‡j †h‡Z cv‡i| Giƒc AvNvZ †j‡M dz‡j hvIqvi mv‡_ mv‡_

cÖv_wgK cÖwZweavb bv Ki‡j †dvjv mn‡R K‡g bv eis †e‡o hvq|

jÿY

1| e¨_v Abyf~Z nIqv

2| Kvjwkiv cov

3| AvNvZ cÖvß A½ bvov‡Z Kó nIqv

cvV-9.2

evsjv‡`k Dš§y³ wekwe`¨vjq kvixwiK wkÿv, ¯v¯’ weÁvb I †Ljvayjv

BDwbU 9 c„ôv 114

cÖwZKvi

1| †dvjv RvqMvq eid jvMv‡Z n‡e, eidB Gi cÖavb cÖwZKvi|

2| ivBm (Rice) c×wZ AbymiY Kiv

R-Rest (wekÖvg) : AvnZ A½ wekÖvg I mv‡cvU© w`‡q ivL‡Z n‡e|

I-Ice (eid) : eid jvMv‡Z n‡e|

C-Comfort (Avivg‡eva) : AvnZ A½wU Ggbfv‡e ivL‡Z n‡e †hb Avivg‡eva nq|

E-Elevate (DPzu ’vb) : AvnZ A½wU DPuy ¯’v‡b ev DPuy RvqMvq ivL‡Z n‡e|

wkÿv_©xi KvR

Pvgov Q‡o hvIqvi cÖwZKv‡ii avcmg~n 1|

2|

3|

4|

gvsm‡cwk‡Z Uvb Gi cÖwZKvi RICE

c×wZ n‡jvÑ

R I C E

mvivsk

ˆ`bw›`b KvRKg© Kivi mgq c‡o wM‡q AvNvZ †j‡M Pvgov Q‡o hvq| cv_i ev †fvZv †Kv‡bv wRwb‡mi

AvNv‡ZI Pvgov Q‡o †h‡Z cv‡i| Pvgov Q‡o †M‡j H RvqMv †_Zjv‡bv, i³RgvU ev Kvjwk‡U nq| †Ljvayjv ev fvix †Kvb wRwbm †Zvjvi mgq gvsm‡cwk‡Z Uvb a‡i| †ewk †Rv‡i jvM‡j gvsm‡cwki AuvkI

wQu‡o †h‡Z cv‡i| AvnZ ¯’vbwU‡K wekÖvg w`‡q eid jvMv‡Z n‡e| ey‡Ui AvNv‡Z ev wµ‡KU ej †j‡M dz‡j †M‡j †dvjv RvqMvq eid jvMv‡Z n‡e Ges Rice c×wZ AbymiY

Ki‡Z n‡e|

cv‡VvËi g~j¨vqb-9.2

mwVK Dˇii cv‡k wUK () wPý w`b|

1| Pvgov Q‡o hvIqv ej‡Z Kx †ev‡Sb?

K) ÿZ nIqv L) †_Z‡j hvIqv

M) †K‡U hvIqv N) dz‡j hvIqv

2| gvsm‡cwk‡Z Uvb ai‡j H A½wU bvov‡ZÑ

K) Kó nq L) Avivg †eva nq

M) PzjKvq N) mn‡R bvov‡bv hvq bv

3| dz‡j †M‡j Zvi cÖv_wgK cÖwZweavb Kx?

K) Mig †mK †`qv L) eid jvMv‡bv

M) †e‡a ivLv N) e¨v‡ÛR Kiv

4| Rice Gi R-Gi A_© Kx?

K) Rest L) Remove

M) Relief N) Recevery

evsjv‡`k Dš§y³ wekwe`¨vjq GmGmwm †cÖvMÖvg

BDwbU 9 c„ôv 115

mwÜP~¨wZ, gPKv‡bv, nvofv½v I wjMv‡g›U wQu‡o hvIqv

D‡Ïk¨

G cvV †k‡l AvcwbÑ

mwÜP~¨wZ I wjMv‡g›U wQu‡o hvIqvi KviY I cÖwZKvi e¨vL¨v Ki‡Z cvi‡eb;

gPKv‡bv I nvofv½vi Rb¨ cÖ‡qvRbxq cÖv_wgK cÖwZweavb eY©bv Ki‡Z cvi‡eb|

mwÜP~¨wZ

kix‡ii GKwU nvo Ab¨ nv‡oi mv‡_ †hLv‡b wgwjZ n‡q‡Q H ¯’vb‡K mwܯ’vb ejv nq| A_©vr `yB ev

Z‡ZvwaK nv‡oi ms‡hvM ¯’vb‡K mwÜ e‡j| GB mwܯ’vb †_‡K hw` †Kvb nvo m‡i hvq ev weP~¨Z nq Zv‡K mwÜP~¨wZ

e‡j| Kuva, KbyB, Kwâ, Av½yj, nuvUz I cv‡qi †Mvovwj BZ¨vw` ¯’v‡bi mwÜP~¨wZ N‡U| A‡bK mgq mwÜP~¨wZ I

nvofv½v GKB mg‡q n‡q _v‡K|

mwÜP~¨wZi jÿY

1| mwܯ’v‡b e¨_v Abyf~Z nq, 2| mwܯ’vb dz‡j hvq, 3| weP~¨Z A½ bovPov Kiv‡bv hvq bv, 4| A‡bK mgq

mwܯ’v‡bi nvo m‡i wM‡q weK…Z iƒc aviY K‡i|

cÖv_wgK cÖwZweavb

1| AvnZ A½ Avivg`vqK Ae¯’vq Ges mv‡cvU© w`‡q ivL‡Z n‡e|

2| AvnZ A½ bovPov Kiv‡bv hv‡e bv|

3| weP~¨Z nvo ywU‡K mwVK Ae¯’vq ms‡hvM †`qvi †Póv Ki‡Z n‡e|

4| mwÜP~¨wZ ¯’v‡b †fRv Kvco ev eid jvMv‡Z n‡e|

5| nvofv½v g‡b n‡j nvofv½vi e¨v‡ÛR Ki‡Z n‡e|

6| `ªæZ †ivMx‡K Wv³v‡ii Kv‡Q cvVv‡bvi e¨e ’v Ki‡Z n‡e|

gPKv‡bv

nv‡oi †Rvov jvMv‡bvi ¯’v‡b wjMv‡g›U k³fv‡e nv‡oi †Rvo‡K GKmv‡_ iv‡L| †Kv‡bv Kvi‡Y hw` wjMv‡g›U

UvbUvb nq ev wQu‡o hvq Zvn‡j mwܯ’‡j cÖPÐ e¨_v Abyf~Z nq I Pvicvk dz‡j hvq| G‡K mwÜ gPKv‡bv e‡j| nVvr

cv wcQ‡j c‡o †M‡j, †Ljvayjv Kivi mgq ev †Kv‡bv AvNvZ jvM‡j mwÜ gP‡K hvq|

cÖwZKvi

1| gPKv‡bv mwܯ’vb‡K Avivg`vqK Ae¯’vq ivL‡Z n‡e|

2| mwܯ’v‡b eid jvMv‡Z n‡e|

3| AvnZ ¯’v‡bi Dc‡i I wb‡P c¨vW w`‡q k³fv‡e e¨v‡ÛR Ki‡Z n‡e|

4| cÖ‡qvRb n‡j Wv³v‡ii Kv‡Q cvVv‡Z n‡e|

wkÿv_©xi KvR

1 2 3 4

mwÜP~¨wZi

jÿY

cvV-9.3

evsjv‡`k Dš§y³ wekwe`¨vjq kvixwiK wkÿv, ¯v¯’ weÁvb I †Ljvayjv

BDwbU 9 c„ôv 116

nvofv½v (Fracture): †Ljvayjv Kivi mgq ev MvQ †_‡K c‡o wM‡q ev Ab¨ †Kv‡bvfv‡e kix‡ii †Kv‡bv nvo †f‡½

†M‡j Zv‡K nvofv½v e‡j| nvofv½v wewfbœ cÖKvi n‡Z cv‡i| cÖavbZ wZbfv‡M fvM Kiv hvq|

1| mvaviY nvofv½v 2| †hŠwMK ev wgwkÖZ nvofv½v 3| RwUj nvofv½v

1| mvaviY nvofv½v: GB ai‡bi nvofv½v kix‡ii Af¨šÍ‡i N‡U| cÖ_‡g nv‡oi `yB gv_v †U‡b a‡i †mvRv K‡i

†Rvov jvMv‡bvi †Póv Ki‡Z n‡e| Zvici PUv (Splint) w`‡q k³fv‡e †eu‡a Abo Ki‡Z n‡e|

2| †hŠwMK nvofv½v: G‡K Dš§y³ d«vKPviI e‡j| GB nvofv½v Pvgov †f` K‡i gv_v †ewi‡q Av‡m| nvowU †U‡b

†mvRv K‡i `yB gyL †Rvov jvMv‡Z n‡e| Zvici k³fv‡e e¨v‡ÛR K‡i mwܯ’j Abo Ki‡Z n‡e|

3| RwUj nvofv½v: GB d«vKPv‡i fv½v nv‡oi cÖvšÍ kix‡ii †Kvb ¸iæZ¡c~Y© A½ h_vÑ wKWbx, wjfvi , dzmdzm ev

†Kv‡bv i³bvjx‡K ÿwZMÖ ’ K‡i|

G QvovI Av‡iv K‡qK cÖKvi nvofv½v i‡q‡Q| †hgbÑ

1| KwgwbD‡UW nvofv½v: nvo‡f‡½ cÖvšÍØq ci¯úi mswe× n‡q c‡o|

2| Bgc¨v‡±W nvofv½v: fv½vnv‡oi cÖvšÍØq ci¯úi mswe× n‡q c‡o|

3| wMÖb w÷K: we‡kl K‡i wkï‡`i †ÿ‡Î nvo bv †f‡½ †Kej wPo †L‡q hvq| KwP wbgWvj LvwbKUv `yg‡o †Q‡o

w`‡j †hgb nq|

nvo †f‡½ †M‡j KiYxqÑ

1| nvo‡K hZ ~i m¤¢e †U‡b `yB nv‡oi gv_v †Rvov jvMv‡Z n‡e|

2| PUv w`‡q k³fv‡e e¨v‡ÛR K‡i Abo Ki‡Z n‡e|

3| †ivMx‡K `ªæZ nvmcvZv‡j ’vbvšÍi Ki‡Z n‡e|

wjMv‡g›U wQu‡o hvIqv

wjMv‡g›U mwÜi mv‡_ m¤ú„³| wjMv‡g›U, †UªbWb I †gg‡eªb w`‡q mw܇ewóZ| P¨vÞv RvZxq eÜbxi bvg wjMv‡g›U|

wjMv‡g›U `yB nv‡oi bovPov Ki‡Z mvnvh¨ K‡i| Gici Av‡Q wUmy¨i eÜbx| d‡j ms‡hvM ¯’jwU AviI gReyZ nq|

KLbI hw` AmgvšÍivj RvqMvq cv c‡o, evm †_‡K bvgvi mgq R‡q‡›U SvwK jvM‡j ev †`Š‡oi mgq †Kv‡bv Kvi‡Y

AvNvZ jvM‡j wjMv‡g›U wQu‡o hvq| AvnZ ¯’vbwU dz‡j hvq I e¨_v Abyf~Z nq| H A½ bovPov Ki‡Z Amywe‡a nq|

AvnZ ¯’vbwU‡Z eid jvMv‡Z n‡e Ges wekÖv‡g _vK‡Z n‡e| cÖ‡qvRb n‡j †ivMx‡K Wv³v‡ii Kv‡Q cvVv‡Z n‡e|

wkÿv_©xi KvR

Kx Kx Kvi‡Y

wjMv‡g›U wQu‡o hvq?

1|

2|

3|

mvivsk

mwܯ’vb †_‡K †Kv‡bv nvo hw` ¯’vbP~¨Z nq Zv‡K mwÜP~¨wZ e‡j| nuvUz, Kwâ, †Mvovwj, KbyB cÖf…wZi ms‡hvM

¯’‡j mwÜP~¨wZ nq| †Ljvayjv Kivi mgq AvNvZ †j‡M ev †Kv‡bv Kvi‡Y nv‡oi †Rvovi wjMv‡g›U hw` Uvb jv‡M ev wQu‡o hvq

Zv‡K mwÜ gPKv‡bv e‡j| ZLb cÖPÛ e¨_v nq Ges Pvicvk dz‡j hvq| AmveavbZvekZ c‡o wM‡q ev eo †Kv‡bv AvNv‡Z nvo †f‡½ hvq| H ¯’vb‡K k³fv‡e e¨v‡ÛR K‡i Abo

Ki‡Z nq I nv‡oi gyL †mvRv K‡i wb‡Z nq| wjMv‡g›U wQu‡o †M‡jI e¨_v Abyf~Z nq I Pvicvk dz‡j hvq| AvnZ ¯’vbwU wekÖv‡g ivL‡Z nq Ges †mLv‡b

jvMv‡Z nq|

evsjv‡`k Dš§y³ wekwe`¨vjq GmGmwm †cÖvMÖvg

BDwbU 9 c„ôv 117

cv‡VvËi g~j¨vqb-9.3

mwVK Dˇii cv‡k wUK () wPý w`b|

1| mwÜP~¨wZ †Kv_vq nq?

K) nuvUz‡Z L) wc‡V

M) gvs‡m N) nv‡Z

2| nvo †f‡½ †M‡j H ’vb‡K Kx Ki‡Z nq?

K) DuPz K‡i ai‡Z nq L) e¨v‡ÛR K‡i Abo Ki‡Z nq

M) a‡i ivL‡Z nq N) cvwb w`‡Z nq

3| wjMv‡g‡›Ui KvR Kx?

K) nvo k³ iv‡L L) i³ PjvP‡j mvnvh¨ K‡i

M) `yB nv‡oi bovPovq mvnvh¨ K‡i N) kw³ †RvMvq

4| wMÖb w÷K nvo fv½v †Kvb eq‡mi †jvK‡`i nq?

K) eq¯‹‡`i L) hyev‡`i

M) ga¨g eq‡mi †jvK‡`i N) wkï‡`i

evsjv‡`k Dš§y³ wekwe`¨vjq kvixwiK wkÿv, ¯v¯’ weÁvb I †Ljvayjv

BDwbU 9 c„ôv 118

bvK w`‡q i³ cov I cvwb‡Z Wz‡e hvIqv

D‡Ïk¨

G cvV †k‡l AvcwbÑ

bvK w`‡q i³ covi cÖv_wgK cÖwZweavb e¨vL¨v Ki‡Z cvi‡eb;

cvwb‡Z Wz‡e †M‡j ZvrÿwYK KiYxq eY©bv Ki‡Z cvi‡eb;

†KD cvwb‡Z Wz‡e †M‡j ZvrÿwYK cÖwZweavb w`‡Z cvi‡eb|

bvK w`‡q i³ cov

†Ljvayjv Kivi mgq mvgvb¨ AvNvZ jvM‡jB bvK w`‡q i³ †ei nq| mvaviYZ ew·s I dzUej †Ljvi

mgq G ai‡bi NUbv N‡U †ewk|

cÖwZKvi

1| †ivMx‡K cÖ_‡g †Pqv‡i ev gvwU‡Z ewm‡q gyL wcQ‡bi w`‡K mvgvb¨ †nwj‡q ivL‡Z n‡e|

2| wbtk¦vm gyL w`‡q wb‡Z ej‡Z n‡e|

3| bvK nvjKvfv‡e †P‡c a‡i ivL‡Z n‡e 10 wgwbU ch©šÍ| eÜ bv n‡j AviI 10 wgwbU †P‡c a‡i ivL‡Z n‡e|

4| RgvU evav i³ miv‡Z nq bv G‡Z i³ AviI †ei nq|

5| eid ev VvÛv cvwb jvMv‡Z n‡e| G‡Z i³ cov ZvovZvwo eÜ n‡q hv‡e|

6| Gic‡iI hw` i³ cov eÜ bv nq Zvn‡j Wv³v‡ii Kv‡Q cvVv‡Z n‡e|

cvwb‡Z †Wvev

evsjv‡`k b`xgvZ…K †`k| †mRb¨ Avgv‡`i Pvicv‡k AmsL¨ b`x, bvjv, cyKzi i‡q‡Q| GRb¨ mK‡jiB muvZvi Rvbv

`iKvi| muvZvi bv Rvb‡j cvwb‡Z †b‡g †Mvmj Kiv DwPZ bq| cvwb Dc‡i Zz‡j †Mvmj Ki‡j `yN©Ubv Gov‡bv

m¤¢e| †KD cvwb‡Z Wz‡e †M‡j fvmgvb e¯‘ cvwb‡Z Qzu‡o w`‡q ev muvZwi‡q Zv‡K D×vi Ki‡Z n‡e| Z‡e jÿ¨

ivL‡Z n‡e †ivMx †hb D×viKvix‡K Rwo‡q a‡i Rxeb wecbœ bv K‡i| †ivMx hw` cvwb Lvq Zvn‡j cvwb `ªæZ †ei

Kivi e¨e¯’v Ki‡Z n‡e| `ªæZ †ei bv Ki‡j k¦vmbvjx‡Z cvwb Xz‡K k¦vm eÜ n‡q †h‡Z cv‡i|

Wy‡e hvIqv †ivMxi cvwb †ei Kivi Rb¨ wb¤œwjwLZ e¨e¯’v wb‡Z n‡e|

wkï n‡jÑ

1| cv‡qi †Mvovwj DuPy K‡i ai‡Z n‡e| gv_v wb‡Pi w`‡K _vK‡e| gv‡S gv‡S wc‡V nvjKv Pvc w`‡Z n‡e| G‡Z

wM‡j LvIqv cvwb †ei n‡q Avm‡e| gy‡L RjR Dw™¢ XzK‡jI †ei n‡q Avm‡e|

2| K…wÎg Dcv‡q k¦vm cÖk¦v‡mi e¨e¯’v Ki‡Z n‡e|

3| †fRv Kvco Ly‡j †dj‡Z n‡e|

4| †gwW‡Kj mvnvh¨ bv cvIqv ch©šÍ K…wÎg Dcv‡q k¦vm cÖk¦vm Pvwj‡q †h‡Z n‡e|

eq¯‹‡jvK n‡jÑ

cÖ_‡g †ivMxi Mjv I gyL cwi®‹vi Ki‡Z n‡e|

1| nuvUz fuvR K‡i †Pqv‡i ev Uz‡j Ggbfv‡e emv‡Z n‡e †hb †ivMxi gv_v Sz‡j _v‡K| wc‡V nvjKv Pvc w`‡j wM‡j

LvIqv cvwb †ei n‡q Avm‡e|

2| †fRv Kvco Ly‡j †dj‡Z n‡e|

3| †gwW‡Kj mvnvh¨ bv cvIqv ch©šÍ K…wÎg Dcv‡q k¦vm cÖk¦vm Pvwj‡q †h‡Z n‡e|

cvV-9.4

evsjv‡`k Dš§y³ wekwe`¨vjq GmGmwm †cÖvMÖvg

BDwbU 9 c„ôv 119

K…wÎg Dcv‡q k¦vmwµqv

†ivMxi k¦vmwµqv eÜ n‡q †M‡Q ev eÜ nIqvi Dcµg n‡q‡Q ZLb K…wÎg Dcv‡q k¦vmwµqv Pvjy Ki‡Z nq Zv‡K

K…wÎg k¦vmwµqv e‡j| K…wÎg k¦vmwµqv nvZ w`‡q ev h‡š¿i mvnv‡h¨ †`qv hvq| nvZ w`‡q Pvc w`‡q K…wÎg k¦vm wµqvi

jÿ¨ n‡”Q †ivMxi dzmdzm wgwb‡U 10-12 evi †QvU I eo Kiv| †QvU n‡j dzmdzm †_‡K evZvm †ewi‡q hvq G‡K

wbtk¦vm e‡j| eo n‡j evZvm cÖ‡ek K‡i G‡K cÖk¦vm e‡j|

K…wÎg Dcv‡q k¦vm cÖk¦vm †`qvi K‡qKwU c×wZ Av‡Q| c×wZ¸‡jv n‡jvÑ

1| †mdvi (Schafer) c×wZ 2| wmj‡f÷vi (Silvester) c×wZ 3| †nvjRvi wbjmb (Holger Neilson) c×wZ

4| gy‡L gyL jvMv‡bv (Mouth to Mouth) c×wZ|

1| †mdvi c×wZ: †ivMx‡K Dcyo K‡i †kvqv‡Z n‡e| gyL _vK‡e

wb‡Pi w`‡K| nvZ `ywU gv_vi `ycv‡k Qov‡bv _vK‡e| gv_v GKcvk

K‡i w`‡Z n‡e hv‡Z Zvi gyL gvwU‡Z †X‡K bv _v‡K| ci‡bi Kvco

†Pvco †Lvjvi Rb¨ mgq bó Kiv wVK bq| cÖwZweavbKvix †ivMxi

gv_vi w`‡K gyL K‡i †Kvgi eivei mgvšÍivj n‡q cv‡k nuvUz †M‡i

em‡e| Zvici †Kvg‡ii `ycv‡k wb‡Ri `ywU nvZ Ggbfv‡e ivL‡e

hv‡Z e„×v½ywj `yBwU mvg‡bi w`‡K Ges Ab¨ Av½yj¸‡jv †Kvg‡ii

`ycv‡k AvovAvwofv‡e Qwo‡q _v‡K| wb‡Ri nvZ `ywU Ges KbyB

wVK †mvRv ivL‡Z n‡e| Zvici KbyB bv euvwK‡q mvg‡bi w`‡K

Szu‡K c‡o Pvc w`‡Z n‡e| G Pvc †c‡Ui mg¯Í A‡½ co‡e Ges

dzmdz‡mi evqy †ewi‡q Avm‡e| ax‡i ax‡i Pvc †Q‡o w`‡Z n‡e|

Pvc †`qv I Qvov G `ywU KvR 5 †m‡K‡Ûi wfZi Ki‡Z n‡e| Pvc

2 †m‡KÛ, Qvov 3 †m‡KÛ, †gvU 5 †m‡KÛ| hZÿY k¦vmwµqv

¯vfvweK bv nq ZZÿY Pj‡e|

2| wmj‡f÷vi c×wZ: †ivMx‡K cÖ_‡g wPr K‡i †kvqv‡Z n‡e| †ivMxi Nv‡oi wb‡P GKwU †QvU evwjk w`‡Z n‡e|

gv_vUv evwj‡ki Dci Ggbfv‡e ivL‡Z n‡e †hb gv_v mvg‡bi w`‡K _v‡K| Rvgv Kvco Ly‡j †dj‡Z n‡e| wRnŸv

D‡ë †hb evZvm eÜ K‡i bv †`q †mw`‡K jÿ¨ ivL‡Z n‡e| †ivMx‡K ïB‡q `yB nvZ w`‡q Zvi KbyB `ywU m‡Rv‡i

Dc‡ii w`‡K †U‡b Zzj‡Z n‡e| Zvi c‡i m‡Rv‡i KbyB `ywU ey‡Ki `ycv‡k ivL‡Z n‡e| hv‡Z ey‡Ki `ycv‡k Pvc

c‡o| Gfv‡e GKevi Pvc co‡e Avevi Pvc Qvo‡Z n‡e| †gvU mgq 5 †m‡KÛ| bv‡Ki Kv‡Q GK UzKiv KvMR a‡i

†`L‡Z n‡e †fZi †_‡K wbtk¦vm †ei n‡”Q wK bv| k¦vmwµqv ¯vfvweK bv nIqv ch©šÍ G wµqv Pj‡e|

wPÎ-9.4.2: wmj‡f÷vi c×wZ

wPÎ-9.4.1: †mdvi c×wZ

evsjv‡`k Dš§y³ wekwe`¨vjq kvixwiK wkÿv, ¯v¯’ weÁvb I †Ljvayjv

BDwbU 9 c„ôv 120

3| †nvjRvi wbjmb c×wZ: †ivMx‡K Dcyo K‡i †kvqv‡Z n‡e|

cÖwZweavbKvix †ivMxi gv_vi w`‡K nuvUz †M‡i em‡e| †ivMxi wc‡V

Pvc w`‡Z n‡e| †ivMxi evû ywU IVvbvgv Kiv‡Z n‡e| g‡b ivL‡Z

n‡e †kvìvi R‡q›U ev Zvi KvQvKvwQ Aw¯’ fv½v _vK‡j G c×wZ

Pj‡e bv| Pvc †`qvi wbqgÑ

GK, yB- wc‡V Pvc;

wZb- GKUz _vg‡Z n‡e;

Pvi, cuvP- evû‡Z Uvb m„wó;

Qq- wKQzÿY _vg‡Z n‡e|

4| gy‡L gyL jvMv‡bv c×wZ: G c×wZ me‡P‡q mnR I cwikÖgI

Kg| G c×wZ‡Z dzmdz‡m evZvm †XvKv‡bv hvq| Aí eq¯‹ivI

mn‡R G c×wZ e¨envi Ki‡Z cv‡i| wkï f~wgô nIqvi ci cÖk¦vm

bv †c‡j G ai‡bi cÖwµqv eûKvj Av‡M †_‡K Pvjy Av‡Q| Gi g~j

jÿ¨B n‡”Q †ivMx‡K †h‡Kv‡bv Dcv‡q euvPv‡bvi †Póv Kiv| gy‡Li

wfZi gqjv _vK‡j Zv cwi®‹vi K‡i GK nvZ w`‡q †ivMxi gv_v

†P‡c ai‡Z n‡e, Aci nvZ wb‡Pi †Pvqvj a‡i gyL duvK K‡i wb‡R

k¦vm cy‡iv MÖnY K‡i †ivMxi gyL †VuvU w`‡q †P‡c a‡i evZvm †XvKv‡Z

n‡e| Gfv‡e 10-12 evi eyK †dvjv‡bvi e¨e¯’v Ki‡Z n‡e|

wkÿv_©xi KvR

K…wÎg k¦vm cÖk¦vm

wµqv c×wZ

1|

2|

3|

mvivsk

†Ljvayjv Kivi mgq bv‡K mvgvb¨ AvNvZ jvM‡jB bvK w`‡q i³ c‡o| i³ †ei n‡j eidB n‡jv Gi

GKgvÎ cÖwZweavb| AmveavbZvekZt A‡bK mgq cvwb‡Z c‡o Wz‡e hvq| mv‡_ mv‡_ Zv‡K D×v‡ii e¨e¯’v Ki‡Z n‡e| wb‡R

muvZvi †K‡U A_ev fvmgvb wKQz Qzu‡o w`‡q D×vi Ki‡Z n‡e| cvwb †L‡j- wkï n‡j cv a‡i k~‡b¨ IVv‡j cvwb †ei n‡q Avm‡e| eq¯‹ †jvK n‡j Dcyo K‡i ïB‡q w`‡q

wc‡V Pvc w`‡q cvwb †ei Ki‡Z n‡e| k¦vm cÖk¦vm wµqv eÜ n‡j K…wÎg Dcv‡q k¦vm cÖk¦vm Pvjy Kivi †Póv Ki‡Z n‡e|

cv‡VvËi g~j¨vqb-9.4

mwVK Dˇii cv‡k wUK () wPý w`b|

1| bvK w`‡q i³ co‡j eÜ Kivi Dcvq Kx?

K) Mig †muK †`qv L) gjg jvMv‡bv

M) eid jvMv‡bv N) Zzjv w`‡q AvUKv‡bv

wPÎ-9.4.3: †nvjRvi wbjmb c×wZ

wPÎ-9.4.4: gy‡L gyL jvMv‡bv c×wZ

evsjv‡`k Dš§y³ wekwe`¨vjq GmGmwm †cÖvMÖvg

BDwbU 9 c„ôv 121

2| cvwb‡Z Wz‡e †M‡j D×v‡ii Dcvq Kx?

K) fvmgvb e¯‘ Qzu‡o w`‡q L) iwk w`‡q

M) bvg a‡i †W‡K N) cvwb‡Z †XD w`‡q

3| K…wÎg Dcv‡q k¦vm cÖk¦vm Pvjy Kivi c×wZ KqwU?

K) 3wU L) 4wU

M) 2wU N) 5wU

4| wc‡V Pvc †`qv I Qvov KZ †m‡K‡Ûi wfZi Ki‡Z nq?

K) 3 †m‡KÛ L) 4 †m‡KÛ

M) 2 †m‡KÛ N) 5 †m‡KÛ

P‚ovš— g~j¨vqb

mswÿß cÖkœ

1| dv÷© GBW e· Kx?

2| Kvjwkiv Kx?

3| wjMv‡g›U Kv‡K e‡j?

4| K…wÎg k¦vm cÖk¦vm Kxfv‡e †`qv nq?

5| bvK w`‡q i³ co‡j Kxfv‡e wbtk¦vm wb‡Z nq?

iPbvg~jK cÖkœ

1| cÖv_wgK cÖwZweav‡bi D‡Ïk¨ Kx?

2| cÖv_wgK cÖwZweavbKvixi 3wU ¸Y wjLyb?

3| Rice k‡ãi A_© Kx eY©bv Kiæb|

4| gvsm‡cwk‡Z Uvb †Kb jv‡M?

5| nvo †f‡½ †M‡j KiYxq Kx?

DËigvjv

cv‡VvËi g~j¨vqb- 9.1 : 1| N 2| L 3| L 4| M

cv‡VvËi g~j¨vqb- 9.2 : 1| L 2| K 3| L 4| K

cv‡VvËi g~j¨vqb- 9.3 : 1| K 2| L 3| M 4| N

cv‡VvËi g~j¨vqb- 9.4 : 1| M 2| K 3| L 4| N