nvU© A¨vUvK, ‡÷ªvK Ges Ab¨vb¨ KvwW©IfvmKzjvi ‡ivM

wek¦e¨vcx KvwW©IfvmKzjvi †ivMmg~n‡K cÖwZ wZb R‡b cÖvq GKR‡bi g„Zz¨i KviY wn‡m‡e wPwýZ Kiv nq| wek¦e¨vcx cÖwZ eQi cÖvq 30 j¶ gvby‡li

KvwW©IfvmKzjvi †iv‡M g„Zz¨ nq| G‡`i †fZi GKUv eo AskB ZvgvK †mebKvix A_ev c‡ivÿ a~gcv‡bi wkKvi| a~gcvqx‡`i ‡÷ªvK nevi SzuwK cÖvq

wظY Ges ü`‡ivM nevi SyuwK cÖvq Pvi¸Y †ewk|

Zvgv‡Ki †avuqv agbxi ÿwZ K‡i, i³bvwji wfZi ‡cøK (plaque) ‰Zwi K‡i Ges i³ RgvU euvwa‡q †`q, hvi d‡j i³ cÖevn evav cvq Ges †kl ch©šÍ nvU© A¨vUvK (1) Ges †÷ªvK (2) nq| hw` evavcÖvß i³cÖev‡ni h_vh_ wPwKrmv Kiv bv nq Zvn‡j M¨vswMÖb (gangrene - kix‡ii wUmy¨ gviv hvIqv) nevi m¤¢vebv ˆZwi nq (3) Ges AsµvšÍ Ask †K‡U †dj‡Z n‡Z cv‡i (amputation) (4)| ü`‡iv‡Mi gZ †÷ªv‡Ki d‡jI g„Zz¨i gvivZ¥K SzuwK _v‡K| †÷ªv‡Ki c‡i †eu‡P hvIqv e¨w³‡`i me©bvkv Aÿg Ae¯’v †fvM Ki‡Z n‡Z cv‡i| †hgb c¨vivjvBwmm, `„wónxbZv A_ev evK‡iva nIqv|

a~gcv‡bi gvÎv †hgbB †nvK bv †Kb, Zv ÿwZKi| hviv w`‡b gvÎ GKwU wmMv‡iU Lvb Zviv w`‡b 20wU wmMv‡iU LvIqv gvbyl‡`i ü`‡ivM I †÷ªvK nevi

SuzwKi c‡_ BwZg‡a¨B A‡a©KUv GwM‡q †M‡Qb|

Z‡e ïaygvÎ a~gcvb Ges c‡ivÿ a~gcvbB KvwW©IfvmKzjvi ‡ivM nevi SzuwK evwo‡q †Zv‡j bv| ‡avuqvwenxb Zvgv‡Ki e¨enviI nvU© A¨vUvK ev †÷ªv‡Ki

Kvi‡Y g„Zz¨i SzuwK evwo‡q †Zv‡j|

Òme ai‡Yi ZvgvK †_‡K †h ‡ivM ¸‡jv n‡q _v‡KÓ

dzmdz‡mi K¨vÝvi

a~gcvqx‡`i Zuv‡`i RxebKv‡j dzmdzm Gi K¨vÝv‡i AvµvšÍ nIqvi m¤¢vebv Aaygcvqx‡`i Zzjbvq 22 ¸b ch©šÍ ‡ekx (9)| a~gcvb dzmdz‡mi K¨vÝv‡ii cÖavb KviY|

wek¦e¨vcx dzmdz‡mi K¨vÝv‡i g„Zz¨i `yB Z…Zxqvs‡ki †ewk N‡U _v‡K a~gcv‡bi d‡j Ges cÖwZ eQi Zv cÖvq 12 j¶ Rxeb †K‡o †bq | evwo‡Z ev Kg©‡ÿ‡Î †h

mg¯Í Aa~gcvqx e¨w³ c‡ivÿ a~gcv‡bi wkKvi nb, ZvivI dzmdy‡m K¨vÝvi nevi SzuwK‡Z _v‡Kb|

µwbK Ae÷ªvw±f cvj‡gvbvwi wWwRR

cÖwZ cvuP R‡bi g‡a¨ GKRb a~gcvqx Zv‡`i RxeÏkvq µwbK Ae÷ªvw±f cvj‡gvbvwi wWwRR (wmIwcwW) G AvµvšÍ n‡eb (10); we‡kl

K‡i Zviv, hviv wkïKvj ev ˆKk‡i a~gcvb ïiæ K‡i _v‡Kb| Kvib Zvgv‡Ki †avuqv dzmdz‡mi e„w× I weKvk D‡jøL‡hvM¨nv‡i Kwg‡q

†`q| A-a~gcvqx‡`i Zzjbvq a~gcvqx‡`i wmIwcwW‡Z AvµvšÍ nIqvi m¤¢vebv wZb ‡_‡K Pvi¸Y †ewk _v‡K| a~gcv‡bi d‡j dzmdz‡mi

evqy_wj¸‡jv ùxZ Ges dz‡Uv n‡q hvq, hvi d‡j dzmdz‡mi Aw·‡Rb MÖnY I Kve©b-WvBA·vBW Z¨v‡Mi ÿgZv K‡g hvq| GUv cyuRhy³

Kd ˆZwi K‡i, hvi d‡j Lye KóKi Kvwk Ges k¦vmcÖk¦v‡mi Kó ‡e‡o hvq| ‡h mg¯Í cÖvßeq¯‹iv wkïKv‡j c‡ivÿ a~gcv‡bi wkKvi

n‡q‡Qb Ges Zvi d‡j NbNb dzmdz‡mi msµg‡b AvµvšÍ n‡q‡Qb, ZvivI wmIwcwW nevi SzuwK‡Z Av‡Qb|

k¦vmKó/nuvcvwb

a~gcvb cÖvßeq ‹̄‡`i nuvcvwb RwbZ k¦vmKó evwo‡q †`q, Zuv‡`i KvR Kivi ¶gZv mxwgZ K‡i, Aÿg K‡i †Zv‡j Ges Zxeª k¦vmK‡ói SzuwK e„w× K‡i, hvi d‡j Riæix ¯̂v ’̈̄ †mevi

cÖ‡qvRb c‡o| a~gcvqx AwffveK‡`i ‹̄zjMvgx ev”Pviv c‡ivÿ a~gcv‡bi ÿwZKviK cÖfv‡e AvµvšÍ nq, Ges k¦vmbvwji cÖ̀ vn nIqvi gva¨‡g nuvcvwb †iv‡M AvµvšÍ nIqv I k¦vmKó

e„w×i SzuwK‡Z _v‡K|

ÒZvgv‡Ki †avuqv ‡_‡K †h †ivM ¸‡jv n‡q _v‡KÓ

mKj ai‡Yi ZvgvKB ÿwZKi Ges ZvgvK †me‡bi †Kvb wbivc` gvÎv †bB| wek¦e¨vcx ZvgvK e¨env‡ii

me‡P‡q ‡ekx cÖPwjZ aib n‡”Q wmMv‡iU| Ab¨vb¨ ZvgvKRvZ `ªe¨ n‡”Q wewo, wµ‡UK, PziƒU, †QvU PziƒU, bvbv

iKg ‡avuqvwenxb ZvgvKRvZ `ªe¨, wb‡Ri nv‡Z KvMR w`‡q cvKv‡bv (roll-your-own) wmMv‡iU, cvBc, MoMov ev ûuKv Ges Ab¨vb¨ bZzb ai‡bi ZvgvKRvZ `ªe¨|

gy‡Li K¨vÝvi Ges gy‡Li Ab¨vb¨ †ivM

Zvgv‡Ki e¨envi (‡avuqvhy³ Ges †avuqvwenxb DfqB) gy‡Li †iv‡Mi Rb¨ we‡kl fv‡e `vqx| Dfq ai‡bi ZvgvKB gy‡Li

K¨vÝv‡ii KviY wn‡m‡e cwiwPZ (5)| A‡bK †`‡kB, gy‡Li K¨vÝvi aiv covi c‡i cvuP eQ‡ii ‡ewk †eu‡P _vKvi m¤¢vebv Kg|

hviv gy‡Li K¨vÝvi wb‡q ‡eu‡P _v‡Kb Zviv cÖvqmB weK…Z g~LgÐj wb‡q †eu‡P _v‡Kb Ges K_v ejvi, wPev‡bvi wK¤^v †Mjvi

ÿgZv nvwi‡q †d‡jb|

ZvgvK †meb ‡cwiIW›Uvj (periodontal) †iv‡Mi SzuwKI e„w× K‡i| GUv Ggb GKwU †ivM hvi d‡j `vu‡Zi gvwo‡Z w`N©¯’vqx cª`vn m„wó nq, gvwo ÿq n‡q hvq Ges †Pvqv‡ji nvo bó n‡q hvq; hvi d‡j `vuZ nviv‡Z nq (6)| a~gcvb Ges †avuqvwenxb

Zvgv‡Ki e¨envi gy‡Li ivmvqwbK Kvh©µg e¨vnZ K‡i, AwZwi³ †cøK (plaque) ‰Zwi K‡i Ges `vuZ njy` n‡q hvq, †mB mv‡_ gy‡L `~M©Ü m„wó K‡i|

Mjvi K¨vÝvi

a~gcvb Ges †avuqvwenxb Zvgv‡Ki e¨envi †VuvU, Mjv (d¨wism& I ¯^ihš¿) Ges Lv`¨bvjxi K¨vÝvi mn gv_v I

Nv‡oi K¨vÝv‡ii SzuwK evovq| A‡¯¿vcvPv‡ii gva¨‡g K¨vÝvi AvµvšÍ ¯^ihš¿ Acmvi‡Yi ci Uª¨vwK‡qv‡÷vwgi

(tracheostomy) cÖ‡qvRb n‡Z cv‡i (7)| Uª¨vwK‡qv‡÷vwg n‡”Q Mjvq I k¦vmbvjx‡Z ‰Zwi Kiv GKwU wQ`ª, hvi gva¨‡g ‡ivMx k¦vm wb‡Z cv‡i| Mjvi K¨vÝv‡ii Rb¨ †iwW‡qkvb Ges †K‡gv‡_ivwc wPwKrmvi †ek ÿwZKi cvk©cÖwZwµqv

i‡q‡Q | Gi d‡j gy‡Li ¯^v` nvwi‡q hvq, jvjv Drcv`b K‡g hvq I Mjvq Kd R‡g hvq, hv Lye hš¿Yv `vqK n‡q I‡V,

Ges KL‡bv KL‡bv LvIqv `vIqv KivI Am¤¢e n‡q I‡V|

Ab¨vb¨ K¨vÝvi

ZvgvK e¨env‡ii d‡j Av‡iv cÖvq 10 ai‡Yi K¨vÝvi n‡q _v‡K| wmMv‡i‡Ui cÖwZwU Uv‡bi mv‡_ welv³ Ges K¨vÝvi

Drcv`K c`v_© kix‡ii †fZi hvq| Zvgv‡Ki ‡auvqvq _vKv AmsL¨ ivmvqwbK c`v‡_©i g‡a¨ Kgc‡ÿ 70wU K¨vÝv‡ii

KviY wn‡m‡e cwiwPZ| a~gcvqxiv we‡kl fv‡e A¨vwKDU gvBj‡qW wjD‡Kwgqvq; bvK I c¨ivb¨vmvj mvBbvm K¨v‡fwU

(8G), e„n`vš¿ I cvqyc_ (8we), e„° (8wm), hK…Z, AMœvkq (8wW), cvK ’̄wj (8B) ev Ifvwiqvb K¨vÝv‡i; Ges gyÎbvjxi

K¨vÝv‡i (gyÎ_wj, BD‡iUvi Ges †ibvj †cjwfm mn) AvµvšÍ nIqvi D”P SzuwK‡Z _v‡Kb| mv¤úªwZK M‡elYv ¸‡jv‡Z

a~gcv‡bi mv‡_ Í̄b K¨vÝv‡ii SyuwK e„w×i GKUv ms‡hvM †`Lv‡bv n‡q‡Q (8Gd), we‡kl fv‡e Zuv‡`i g‡a¨ hviv AwZwi³

a~gcvb K‡ib Ges †h mKj gwnjv cÖ_gevi Mf©avi‡Yi Av‡M a~gcvb ïiæ K‡ib| a~gcvb wnDg¨vb c¨vwc‡jvgv fvBiv‡m

AvµvšÍ gwnjv‡`i g‡a¨ Rivqygy‡Li K¨vÝv‡ii SzuwKI evwo‡q †`q (8wR)| welv³ I K¨vÝvi Drcv`K c`v‡_©i wbiwew”Qbœ

ms¯ú‡k©i Kvi‡Y a~gcv‡bi cwigvb I †gqv`Kvj e„w×i mv‡_ mv‡_ GB K¨vÝvi ¸‡jvi SzuwKI ‡e‡o hvq| ‡avuqvwenxb

Zvgv‡K 28wU K¨vÝvi m„wóKvwi c`v_© _v‡K hv gyLMnŸi, Lv`¨bvjx I AMœ̈ vk‡qi K¨vÝv‡ii KviY|

K¨vÝvi aiv covi c‡iI ZvgvK e¨envi Ae¨vnZ ivL‡j ‡iv‡Mi ZxeªZv †e‡o hvq| KviY Zvgv‡Ki welv³ c`v_©

Rxe‡Kv‡l cwieZ©b Avb‡Z cv‡i, hv bZzb K‡i wUDgv‡ii weKvk NUv‡Z cv‡i; K¨vÝv‡ii Jl‡ai Kvh©KvixZvq euvav

w`‡Z cv‡i; Ges wPwKrmvi RwUjZv evwo‡q w`‡Z cv‡i|

åæY g„Zz¨

Zvgv‡Ki e¨envi Ges Mfv©eZx Ae¯’vq c‡ivÿ a~gcvb åæY g„Zz¨i SzuwK e„w× K‡i| †h mKj gwnjv

Mf©ve¯’vq a~gcvb K‡ib ev c‡iv¶ a~gcv‡bi wkKvi nb, Zv‡`i Mf©cv‡Zi SzuwK †ewk _v‡K|

å‡Y Aw·‡Rb mieivn Kg nIqv I Mf©dz‡ji A¯^vfvweKZvi d‡j w÷jev_©I (Stillbirth - gvZ…M‡f© gviv hvIqv ev”Pv cÖme) †ewk N‡U| G¸‡jv Zvgv‡Ki †auvqvq _vKv Kve©b g‡bv·vBW Ges Zvgv‡Ki †auvqv

I ‡auvqvwenxb Zvgv‡K _vKv wb‡KvwU‡bi cÖfv‡e N‡U _v‡K|

a~gcvqx‡`i GKUwcK Mfv©e¯’v nevi SzuwK †ewk| GKUwcK Mfv©e¯’v n‡”Q Ggb GKwU Mf©ve¯’v ‡hLv‡b

wbwl³ wW¤^vby Rivqyi evB‡i †j‡M _v‡K Ges Zv Mfv©eZx gv Gi g„Zy¨i KviY n‡Z cv‡i|

myZivs, Mf©eZx bvix Ges ‡hmKj bvix Mf©eZx nevi cwiKíbv Ki‡Qb, Zuv‡`i Rb¨ a~gcvb ‡Q‡o †`qv

Ges c‡iv¶ a~gcvb †_‡K wb‡R‡K myiwÿZ ivLv we‡kl Riæix|

åæY Gi e„w× n«vm, Kg IRbm¤úbœ beRvZK wkïi

Ges AcwiYZ wkïi Rb¥

Mfv©e¯’vq ‡h †Kvb ai‡Yi Zvgv‡Ki e¨envi ev c‡ivÿ a~gcvb wkïi weKv‡k ÿwZKi cÖfve ‡dj‡Z cv‡i|

Mf©ve¯’vq a~gcvqx, †auvqvwenxb ZvgvK e¨enviKvix A_ev c‡ivÿ a~gcv‡bi wkKvi gv‡qi AcwiYZ wkï ev Kg IRbm¤úbœ wkky Rb¥ †`evi SzuwK †ewk|

AcwiYZ Ae¯’vq ev Kg IRb wb‡q Rb¥MÖnb Kiv wkï‡`i eo n‡q `xN©¯’vqx †ivM mn evKx Rxeb bvbv iKg ¯^v¯’¨ mgm¨v †fvM Ki‡Z n‡Z cv‡i|

AvPiY I (wW‡gbwkqv)

a~gcvb ¯§„wZås‡ki SzuwK evovq| ¯§„wZåsk n‡”Q wKQz Amy‡Li mgvnvi hvi d‡j gvbwmK m¶gZv K‡g hvq Ges GLb

ch©šÍ Gi †Kvb djcÖmy wPwKrmv †bB| ‡ekxifvM †ÿ‡Î ¯§„wZåsk AebwZi w`‡K hvq, hv ¯§„wZkw³, AvPiYI †evakw³‡K

¶wZMÖ¯’ K‡i Ges ‰`bw›`b Rxe‡bi Dci weiæc cÖfve †d‡j| ¯§„wZåsk AvµvšÍ e¨w³‡K ¸iæZiiæ‡c Aÿg Kiv QvovI

GB AmyL †ivMxi cwievi I ‡mev`vbKvix e¨w³‡`i Dci gvbwmK Pvc ‰Zwi Ki‡Z cv‡i| Avj‡SBgvi

(Alzheimer’s) †ivM n‡”Q ¯§„wZås‡ki me©vwaK cÖPwjZ aiY Ges wek¦e¨vcx Avj‡SBgvi †iv‡M AvµvšÍ‡`i AvbygvwbK 14% gvby‡li GB †iv‡M AvµvšÍ nevi KviY a~gcvb|

‡hŠb AÿgZv

a~gcvb wj‡½ i³ PjvP‡j evav m„wó K‡i, hvi d‡j cyiælZ¡nxbZv n‡Z cv‡i (†hŠbv½ k³ n‡Z Aÿg nq)|

a~gcvqx‡`i †fZi ‡hŠb AÿgZvi nvi †ewk, Ges a~gcvqx cyiæl ïiæi w`‡KB a~gcvb eÜ bv Ki‡j G Ae¯’v

`xN©¯’vqx ev wPi¯’vqx n‡q †h‡Z cv‡i |

AvKw¯§K wkï g„Zz¨

AvKw¯§K wkï g„Zz̈ ev Sudden Infant Death Syndrome (SIDS) n‡”Q 1 eQ‡ii Kg eq¯‹ †Kvb wkïi nVvr ‡Kvb e¨vL¨v Kivi gZ KviY QvovB g„Zz̈ | AwffveK‡`i a~gcv‡bi Af¨vm AvKw¯§K wkï g„Zz̈ i SzuwK e„w× K‡i

Ges †h mKj wcZvgvZv ev”Pvi R‡b¥i c‡i a~gcvb Ae¨vnZ iv‡Lb Zv‡`i mšÍvbmšÍwZi gv‡S GB SzuwK AviI e„w× cvq|

FZz¯ªve I i‡Rvwbe„wË

‡hmKj gwnjv a~gcvb K‡ib Zv‡`i FZz¯ªv‡ei mgq e¨v_v nIqvi Ges FZz¯ªve eÜ n‡q hvevi ci KwVbZi Dcm‡M©i m¤§yLxb

nevi m¤¢vebv ‡ewk _v‡K| a~gcvqx gwnjv‡`i ¯^vfvweK mg‡qi Zzjbvq 1-4 eQi Av‡MB i‡Rvwbe„wË n‡q hvq| KviY a~gcvb

wW¤^vk‡q wW‡¤^i Drcv`b n«vm K‡i, Gi d‡j cÖRbb ÿgZv nvwi‡q hvq Ges i‡³ B‡óªv‡Rb n‡gv©‡bi gvÎv K‡g hvq|

Rb¥ MZ ÎæwU

a~gcv‡bi d‡j ïµvbyi weK…wZ NU‡Z cv‡i Ges Gi wWGbG ÿwZMÖ¯Í n‡Z cv‡i| d‡j Rb¥MZ ÎæwU wb‡q wkï R‡b¥i m¤¢vebv ˆZwi nq|

wKQz M‡elYvq †`Lv †M‡Q †h, a~gcvqx e¨w³ †h mšÍvb Rb¥`vb K‡ib, †mB mšÍvbI K¨vÝv‡ii AwaKZi SywKu‡Z _v‡K| Mf©ve¯’vi cÖ_g

w`‡K gv‡qi a~gcvb ‡VuvU KvUv Ges/ A_ev Zvjy KvUv wkï R‡b¥i m¤¢vebv e„w× K‡i| GwUI jÿ¨ Kiv †M‡Q †h, †hmKj cyiæl‡`i gv‡qiv

Mfv©e¯’vq a~gcvb Ki‡Zb, Zv‡`i ïµvbyi NbZ¡ †h mKj cyiæ‡li gv KL‡bv a~gcvb K‡ibwb Zv‡`i †P‡q Kg|

`„wónxbZv

a~gcv‡bi d‡j A‡bK ai‡Yi †Pv‡Li †ivM nq| †m¸‡jv mgqgZ wPwKrmv bv Kiv n‡j Zv ¯’vqx AÜZ¡ ˆZwi Ki‡Z cv‡i| A-a~gcvqx‡`i Zzjbvq a~gcvqx‡`i

eqmRwbZ g¨vKzjvi ÿ‡qi wkKvi nevi m¤¢vebv †ewk| g¨vKzjvi ÿq n‡”Q ‡Pv‡Li Ggb GKwU Ae¯’v hvi d‡j ¯’vwq AÜZ¡ n‡Z cv‡i| eqmRwbZ g¨vKzjvi

ÿq gvby‡li covi, Mvwo Pvjv‡bvi, KviI gyL †Pbvi I †Kvb iO wPb‡Z cvivi Ges †Kvb wKQy ¯úó †`L‡Z cvevi ÿgZv bó K‡i †d‡j| a~gcvqx‡`i †Pv‡L

Qvwb covi SzuwKI †ewk| Qvwb n‡”Q ‡Pv‡Li †j‡Ý Am”QZv hv Av‡jv †h‡Z euvav †`q| Qvwb covi d‡j (11) `„wókw³ K‡g hvq Ges †KejgvÎ Acv‡ikb

Gi gva¨‡gB `„wókw³ wdwi‡q Avbv m¤¢e| bZzb Z_¨ cÖgv‡bi wfwˇZ Rvbv hv‡”Q †h a~gcvb Møy‡KvgviI KviY| Møy‡Kvgv n‡”Q Ggb GKwU Ae¯’v †hLv‡b

†Pv‡Li wfZi Pvc e„w× cvq Ges Zv `„wókw³ bó K‡i w`‡Z cv‡i| Zvgv‡Ki †auvqv a~gcvqx‡`i I a~gcvqxi Av‡kcv‡k _vKv c‡iv¶ a~gcv‡bi wkKvi

gvbyl‡`i †Pv‡L R¡vjv‡cvov m„wó K‡i Ges ﮋ †Pv‡Li DcmM© Av‡iv evwo‡q †`q, we‡kl K‡i Zv‡`i hviv KbU¨v± †jÝ e¨envi K‡ib|

kÖeYkw³ nvwi‡q †djv

AwffveK‡`i a~gcv‡bi d‡j evwo‡Z c‡iv¶ a~gcv‡bi wkKvi 2 eQ‡ii Kg eqmx wkïiv wgWj Bqvi wWwRR ev ga¨K‡b©i †iv‡M AvµvšÍ n‡Z

cv‡i| wkï‡`i `xN©¯’vqx Kvb cvKv †ivM kÖeYkw³ nviv‡bv ev ewai nIqvi Rb¨ Lye cÖPwjZ GKwU KviY (12)| Kv‡bi KK‡jqvq (cochlea) i³ mieiv‡n `xN©w`b a~gcv‡bi cÖfv‡ei d‡j cÖvßeq¯‹ a~gcvqx‡`i kÖeY kw³ nviv‡bvi m¤¢vebv ‡`Lv †`q| mgqgZ wPwKrmv Kiv bv n‡j kÖeYkw³ n«vm

Ges ewaiZv bvbv ai‡Yi mvgvwRK, gvbwmK I A_©‰bwZK †fvMvwšÍi KviY n‡Z cv‡i|

Aw¯’g¾vi `ye©jZv A_ev `~e©j Aw¯’

hvbevnb †_‡K wbM©Z †avuqv I Zvgv‡Ki †avuqvq _vKv cÖavb welv³ M¨vm Kve©b g‡bv·vBW| GB Kve©b g‡bv·vBW Aw·‡R‡bi PvB‡Z mn‡R i‡³i

wn‡gvMøwe‡bi mv‡_ wg‡k hvq Ges kix‡ii wUmy¨‡Z Aw·‡Rb mieivn Kwg‡q †`q| a~gcvqx‡`i nv‡oi NbZ¡ K‡g hvevi m¤¢vebv †ewk| d‡j mn‡R nvo

‡f‡½ †h‡Z cv‡i Ges RwUjZvi m„wó n‡Z cv‡i, †hgb nvo †Rvov jvM‡Z A‡bK mgq jvMv ev †Rvov bv jvMv|

Pg©‡ivM ev Z¡K bó n‡q hvIqv

a~gcvb ‡mvwiqvwmm nevi SzuwK evovq (13)| GUv Pvgovi GKai‡bi AmsµvgK †ivM hvi d‡j kix‡ii wewfbœ ¯’v‡b Z¡‡K jvj‡P Av`©ª PzjKvwbhy³ cÖ`vn nq|

a~gcvb Ki‡j Z¡‡Ki †cÖvwUb K‡g wM‡q Z¡‡Ki bgbxqZv bó n‡q hvq, Z¡‡K wfUvwgb G Gi ¯^íZv †`Lv †`q, i³ cÖevn evavMÖ¯’ nq Ges mg‡qi Av‡MB Z¡K eywo‡q

hvq| a~gcvqx‡`i Z¡K, we‡kl K‡i †VuvU I †Pv‡Li Pvicv‡ki Z¡K, ﮋ I k³ n‡q KuyP‡K hvevi m¤¢vebv †ewk (14)|

`ye©j ‡ivM cÖwZ‡iva ÿgZv

Zvgv‡Ki †auvqvi Dcv`vb ¸‡jv ‡ivM cÖwZ‡iva ÿgZv `ye©j K‡i †d‡j Ges a~gcvqx e¨w³‡K dzmdz‡mi msµg‡bi SzuwK‡Z †d‡j| cvkvcvwk, A‡UvBgwgDb

†iv‡Mi wRbMZ cÖeYZv _vKv a~gcvqxiv AwaK gvÎvq ‡M‡UevZ, ‡µvbm (Crohn’s) †ivM, e¨v‡±wiqvj g¨wbbRvBwUm, A‡¯¿vcPvi cieZ©x Bb‡dKkb, Ges K¨vÝvi mn wewfbœ †ivM nevi SzuwK‡Z _v‡Kb| ‡hme e¨vw³i ‡ivM cÖwZ‡iva ÿgZv Kg, †hgb †h mKj e¨w³ wmw÷K dvB‡eªvwmm, gvjwUcj Gm‡K¬‡ivwmm

I K¨vÝv‡i AvµvšÍ, a~gcv‡bi d‡j Zviv †ivMmsµvšÍ RwUjZv Ges AKvj g„Zz¨i ewa©Z SzuwK‡Z _v‡Kb| Zvgv‡Ki ‡ivM cÖwZ‡iva ÿgZv Kwg‡q †`evi

cÖfve GBPAvBwf wb‡q †eu‡P _vKv gvbyl‡`i GBWm nIqvi SzuwK‡Z †d‡j| GBPAvBwf cwRwUf a~gcvqxiv Zv‡`i Rxeb †_‡K M‡o 12.3 eQi nvivb, hv

GBPAvBwf c‡RwUf A-aygcvqx‡`i nviv‡bv eQi¸‡jvi PvB‡Z wظY|

UvBc-2 Wv‡q‡ewUm

a~gcvqx‡`i gv‡S Wv‡q‡ewU‡m AvµvšÍ nIqvi SzuwK †ewk| cÖwZw`b LvIqv wmMv‡i‡Ui msL¨v Abycv‡Z GB SzuwK e„w× cvq|

c‡ivÿ a~gcvbI UvBc-2 Wvqv‡ewU‡m AvµvšÍ nIqvi mv‡_ m¤úwK©Z|

dzmdz‡mi Ab¨vb¨ AmyL Ges dzmdz‡mi Kvh©ÿgZv n«vm

a~gcvb wbD‡gvwbqv, Kvwk, k¦vmKó Ges Kvwki mv‡_ Kd D‡V Avmv mn A‡bK eo eo k¦vm-cÖk¦vmRwbZ Dcm‡M©i

KviY| a~gcvqx‡`i dzmdz‡mi weKvk I wµqv e¨vnZ nIqvi m¤¢vebvI ‡ewk| a~gcvqx AwffveK‡`i mšÍvbivI GKB

iKg k¦vm-cÖk¦vmRwbZ mgm¨vq †fv‡M Ges Zv‡`i wkïKvj Ry‡o dzmdz‡mi Kh©¶gZv Kg _v‡K| †hmKj gv‡qiv Zv‡`i

Mfv©e¯’vq a~gcvb K‡ib, M‡f© weKv‡ki mgq Zvgv‡K _vKv welv³ ivmvqwbK c`v‡_©i ms¯ú‡k© Avmvq, R‡b¥i ci Gme

wkïiv we‡kl fv‡e GB mgm¨vq AvµvšÍ nIqvi SzuwK‡Z _v‡K|

h²v‡ivM

wek¦ RbmsL¨vi cÖvq GKPZz_©vs‡ki myß h²v‡ivM Av‡Q, Ges Zviv GB †ivM mwµq n‡q IVvi SzuwK‡Z Av‡Qb| a~gcvb h²vi GB myß Ae ’̄v

†_‡K mwµq Ae ’̄vq iƒcvšÍwiZ nevi SzuwK wظY GiI †ewk e„w× K‡i Ges GB †iv‡Mi e„wׇK Av‡iv ª̀æZZi K‡i| ‡mB mv‡_, c‡ivÿ a~gcvb

h²v msµgb‡K mwµq h¶v †iv‡M iæcvšÍwiZ nevi SzuwK Av‡iv evwo‡q ẁ ‡Z cv‡i| hÿ¥v, a~gcv‡bi d‡j ¶gZv K‡g hvIqv dzmdz‡mi AviI

ÿwZ K‡i, Ges kvixwiK AÿgZv I k¦vmK‡ó gviv hvIqvi SzuwK evwo‡q †`q|

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‡avuqvhy³ ZvgvKRvZ `ªe¨t ZvgvK †_‡K ˆZwi ev D™¢zZ †h †Kvb ai‡Yi `ªe¨ hv `vnb cÖwµqvi gva¨‡g †meb

Ki‡Z nq| D`vniY wn‡m‡e ejv hvq, KviLvbvRvZ wmMv‡iU, wb‡Ri nv‡Z KvMR w`‡q cvKv‡bv wmMv‡iU,

PziæU, wkmv I ûuKv, wµ‡UK Ges wewo|

‡avuqvwenxb ZvgvK: ‡h †Kvb ai‡Yi ZvgvKRvZ `ªe¨ hv KvUv, †clv, ¸ov Kiv ev Av¯Í ZvgvK cvZv w`‡q

ˆZwi Ges hv gy‡L wPwe‡q ev bv‡K †U‡b MÖnb Kiv Kiv| D`vniY wn‡m‡e ejv hvq bwm¨, wPwe‡q MÖnY‡hvM¨

ZvgvK, ¸UKv, ¸j, mv`vcvZv I R`v©|

c‡ivÿ ‡auvqv: a~gcvqxi cÖk¦v‡mi mv‡_ wbM©Z Òg~javiviÓ †auvqv Ges R¡jšÍ wmMv‡iU ev Ab¨vb¨ †auvqvhy³

ZvgvKRvZ `ªe¨ †_‡K cwi‡e‡k wbM©Z Òcvk¦©aviviÓ †auvqvi mw¤§jb| c‡iv¶ †auvqvi mv‡_ ms¯úk© †evSv‡Z

Òc‡ivÿ a~gcvbÓ ev ÒA‰bw”QK a~gcvbÓ k㸇jv e¨envi Kiv n‡q _v‡K|

‡h †Kvb cÖKvi ZvgvKB cÖvYNvZx| ‡auvqvhy³ ZvgvKRvZ `ª‡e¨ cÖvq 7000 Gi Dci ivmvqwbK c`v_© _v‡K| Gi g‡a¨ Kgc‡ÿ 250 wUi gZ ivmvqwbK c`v_© welv³ I K¨vÝv‡ii KviY wn‡m‡e cwiwPZ| †avuqvwenxb ZvgvKRvZ `ªe¨ e¨env‡ii d‡jI gvivZ¥K

¯^v¯’¨ mgm¨v NU‡Z cv‡i; Ges KL‡bv KL‡bv Zv cÖvYNvZxI n‡Z cv‡i| c‡ivÿ a~gcvbI g„Zy¨mn ¯^v‡¯’¨i Rb¨ bvbv ai‡Yi ÿwZi KviY n‡q `vuovq| cÖPwjZ ZvgvKRvZ `ª‡e¨i gZB bZzb ai‡bi ZvgvKRvZ `ªe¨¸‡jv‡ZI GKB ai‡Yi ivmvqwbK c`v_© _v‡K

Ges Zv kix‡ii Rb¨ ÿwZKviK| ‡h mKj e¨w³ Rxebfi a~gcvb K‡ib, Zuviv M‡o Kgc‡¶ 10 eQi Kg evu‡Pb| wek¦e¨vcx, cÖZ¨ÿ ev c‡ivÿfv‡e ZvgvK †me‡bi d‡j, cÖwZ 4 †m‡K‡Û 1 Rb Ges cÖwZw`b 22 000 R‡bi AwaK gvbyl gviv hvq | ZvgvK

e¨env‡ii d‡j gvby‡li kix‡ii cÖvq me A½B ¶wZMÖ¯’ nq| ZvgvK e¨enviRwbZ gv_v †_‡K cv ch©šÍ nIqv wKQz ¯^v¯’¨ ¶wZi wPÎ wb‡P Zz‡j aiv n‡jv|

ZvgvK †Q‡o †`evi Rb¨ A‡bK †`wi n‡q †M‡Q - GgbwU KLbB bq| ZvgvK e¨enviKvix Zvgv‡Ki e¨envi

eÜ Ki‡j wewfbœ ai‡Yi †ivM nevi SzuwK e¨cKfv‡e K‡g hvIqvi m¤¢vebv i‡q‡Q Ges wKQz wKQz ‡ÿ‡Î Gme

SuywKi gvÎv Zuv‡`i mgch©v‡q †b‡g Av‡m hvuiv KL‡bv a~gcvb K‡ibwb| Av‡iv Z_¨ I †idv‡iÝ Gi Rb¨ AbyMÖn

K‡i wfwRU Kiæb : http://www.who.int/tobacco/

Qwe I Bjv‡÷ªkb: © Australian Government Department of Health; © Convention Secretariat WHO Framework Convention on Tobacco Control; © Georgios Kekos; © Ministry of Public Health, Thailand; © Richard Schneider/lndiana University; © Shutterstock.com

WHO/NMH/PND/19.1.© World Health Organization 2019. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO licence.Bangla translation by WHO Country Office of Bangladesh.

m~Î: WvweøDGBPI I‡q÷vb© c¨vwmwdK wiwRIb

cyiæl Ges gwnjv‡`i cÖRbb ÿgZv n«vm

a~gcvqx‡`i eܨvZ¡ mgm¨vq †fvMvi m¤¢vebv †ewk| A-a~gcvqx‡`i Zzjbvq a~gcvqx gwnjv‡`i Mf©eZx n‡Z mgm¨v nevi

m¤¢vebv †ewk, Zuv‡`i Mf©avi‡bi Rb¨ †ekx mgq jv‡M Ges Mf©cv‡Zi SzuwKI †ewk _v‡K| a~gcv‡bi d‡j cyiæl‡`i

ïµvbyi msL¨v n«vm cvq, ïµvbyi Pjrkw³ K‡g hvq Ges ïµvbyi MVb bó nq| †hmKj a~gcvqx cÖRbb cÖhyw³i mnvqZvq

Mf©avi‡bi †Póv K‡ib Zv‡`i g‡a¨ mdjZvi nvi A‡bK Kg| KL‡bv KL‡bv Gfv‡e Mf©avi‡b mdjZv †c‡Z Zuv‡`i

¯^vfvwe‡Ki Zzjbvq wظ‡biI †ewk evi Bb-wf‡Uªv cÖRbb cÖ‡Póvi (in-vitro fertilization) cÖ‡qvRb nq|

cwicvKZ‡š¿i AmyL

a~gcvqx‡`i wewfbœ ai‡bi cwicvKZ‡š¿i AmyL, †hgb cvK¯’wji Avjmvi, †µvbm (Crohn’s) †iv‡Mi gZ A‡š¿i cÖ`vn Ges A‡š¿i K¨vÝv‡i †fvMvi m¤¢vebv †ewk| Aš¿ cÖ`vn †iv‡Mi d‡j ‡c‡Ui e¨v_v, µgvMZ †cU Lvivc, R¦i Ges gjØv‡i i³ÿiY n‡Z cv‡i|

Zvgv‡K AvµvšÍ kixi

ZvgvK ev a~gcvb Z¨v‡Mi mydj