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ONLINE ACCESS

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www.npl.com.np

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Email: [email protected]

www.npl.com.np

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tyf lghL If]qsf & c:ktfnx?sf] ;xefl

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agfPsf] lyof] . PS:kf]df cf}iflw sDkgLx?

sf] b]zsf] ;d[l4df u'0f:t/Lo of]ubfgsf

emns b]lvGYof] eg] WHO-GMP cg'?k u'0f:t/Lo pTkfbg ug{sf] nflu rf

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pks/0fx?sf] klg k|bz{gL lyof] . pQm k

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"Quality in the Service of Millions"

Pdnf]8 ljz]if

hf]lvd afNosfn b]lv

afyd'6' /f]u

d'6'sf] eNe lau|]sf] cj:yf

eNe k'/f gv'n]sf] cj:yf

eNe k'/f aGb gePsf] cj:yf

!_ afy Hj/f], afy d'6' /f]u eg]sf] s:tf] /f]u xf] <w]/} d'6' /f]ux? dWo] afy d'6' /f]u

Ps bL3{sfnLg /f]u xf] . of] /f]u la6f x]df]nfO{l6s :6]«K6f]sf]s; u|"k ÚPÚ (Beta Haemolytic Streptococcus Group 'A') gfds AofS6]/Lofsf sf/0fn] x'G5 . of] JofS6]/Lofsf] ;+qmd0faf6 3fF6L b'Vg], 6lG;n a9\g] / kfSg] cj:yf cyf{t 6lG;nfO{l6; / ˆof/]GhfO{l6; ePdf kl5 uP/ xft v'§fsf 7"nf h]fgL{x? ;/L;/L b'Vg], ;'lGgg] / Hj/f] cfpg] x'G5 . of] cj:yfnfO{ afy Hj/f] (Rheumatic Fever) elgG5 . oL nIf0fx? b]vf k/]df / o;nfO{ ;dod} /fd|f];“u pkrf/ ug{ g;s]df d'6'sf eNex? v/fa eO{ afy d'6' /f]u pTkGg x'g ;S5 . ljz]ifu/L of] /f]u % b]lv !% jif{;Ddsf afnaflnsfx?nfO{ nfUg] ;Defjgf w]/} x'G5 .

@_ afy Hj/f]sf nIf0fx? s] s] x'g\<l ;'?df 3f“6L b'V5 / Hj/f] cfp“5 .l 3f“6L b'Vg] / Hj/f] cfpg] ePsf] !

b]lv $ xKtfsf] lardf km]/L Hj/f] alNemP/ cfp“5 / o;kN6 ;fydf kfn}kfnf] 3'8f“, s's{'Rrf, s'lxgf, gf8L

cflbsf hf]gL{ b'Vg] x'G5 .l o; /f]uaf6 d'6'sf $ eNex? dWo]

s'g} Ps jf ;f] eGbf a9L eNex? lau|]/, ;f“u'l/g] jf v's'nf] x'g] x'G5 .

l s;} s;}df s'lxgfdf, 3'“8fd'lg, v'§fsf 5fnfd'lg ;fgf ;fgf s]/fpsf bfgfhqf luvf{x? b]vfkb{5g\ .

l s;} s;}df k]6 of k5f8L lkl7pdf glrnfpg], lardf ;]tf] / jl/kl/ /ftf] rSsfx? ePsf] 8fa/x? klg b]vfkb{5g\ .

l s;}s;}df afy Hj/f]n] lbdfudf c;/ kbf{ xft uf]8fx? dWo] s'g} Ps efudf em8\sf lbP/ rNg] crDd vfnsf] nIf0f b]lvG5 .

l lx+8\bf bd a9\g], d'6' 9's 9's ug]{ x'G5 .

#_ of] /f]u lgoGq0f ug{ s] s:tf sfo{x? ug{ cfjZos 5 <l s]6fs]6L pd]/df 3f“6L b'Vg], 6lG;n

a9\g], Hj/f] cfpg] ePsf] a]nf 8fS6/sf] k/fdz{ cg';f/ pkrf/ ug'{k5{ . ;dod} Pl06afof]l6ssf] k|of]u ul/ 3f“6Lsf] OGkm]S;g l7s

kfg{ ;s]df afyHj/f] pTkGg x'g] ;Defjgf cToGt} sd x'G5 .

l afy d'6' /f]u af/] Jofks ?kdf hfgsf/Ld'ns s'/fx?sf] k|rf/ k|;f/ / hgr]tgf d'ns sfo{x? ljBfnox?df ug'{k5{ .

l afnaflnsfx?sf] d'6'sf] kl/If0f ul/ /f]usf] nIf0f b]lvPdf tTsfn pkrf/ ;'? ug'{k5{ . #—# xKtfdf k]lgl;lng ;'O{ nufpg' k5{ .

l afyHj/f] / afy d'6'/f]usf] lgoGq0fsf nflu cfjZos cf}iflw tyf k]lgl;lngsf] ;'O{ / rSsL g]kfndf ;a} c:ktfn / :jf:Yo rf}sLx?df ;j{;'ne ?kdf pknAw u/fpg'k5{ .

$_ afy d'6' /f]uLn] vfgfdf s] s:tf] ;fjwfgL ckgfpg' k5{ <l vfgfdf g'g / lrNnf] sd vfg'k5{ .

df5f df;' vfg s'g} cfklQ 5}g . l xl/of] t/sf/L, kmnkm"n, u]8fu'8L

lbglbg} vfg'k5{ . l df]6fpg' x'b}g .l /ut kftnf] ug]{ cf}iflw (Warfarin,

Acitrom) vfO{/x]sfx?n] vfgfdf ljz]if Wofg lbg'k5{ . q

;|f]t M afy Hj/f]÷afy d'6' /f]uaf/] k|Zgx? / pQ/x?8f= k|sfz /fh /]UdL, jl/i7 d'6'/f]u ljz]if1

jif{ !$, cÍ $%, k|sflzt M a}zfv÷c;f]h @)&^;f+lu|nf hg:jf:Yo4

Nepal Pharmaceuticals Laboratory Pvt. Ltd.

xfd|f] z/L/df nfUg] ljleGg /f]ux? dWo] xfdLn] sd} Wofg k'¥ofpg] luhfsf] ;d:of xf] luhf /f]u . luhf /f]u eGg] lalQs} xfdL luhfdf nfUg] ;fdfGo /f]u eg]/ cg'dfg nufp“5f}, t/ jf:tjdf To:tf] cln xf]Og .

luhfdf klg leGg k|sf/sf /f]ux? nfUg ;S5 h;dWo] Pp6f d'Vo /f]u xf] lhlGhefOl6;\ (Gingivitis) h;df ;+qmd0fsf sf/0f luhf ;'lGgg] u5{ . To;}u/L c? /f]ux? x'g\ M

– Gingival Recession -luhf Rofltb}÷lvOFb} uP/ bf“tsf] h/f b]lvg] /f]u_

– Gingival Enlargement -luhfsf] cfsf/df cgfjZos j[l4 x'g]_

– Halitosis -d'v uGxfpg] /f]u_ cflb

log} tdfd /f]ux?nfO{ Ps} 7fp“df /fv]/ eGg] ul/G5 æluhf /f]uÆ / o;sf] Wofg ;dod} k'¥ofpg ;lsPg eg] luhfdf 3fp x'g] b]lv lnP/ d'vsf] SofG;/ klg b]lvg ;S5 . t;y{, log} /f]ux?af6 aRgsf] nflu luhf;Fu ;DalGwt hfgsf/L lnP/ pkl:yt ePsf 5f}F, cfpg'xf];\ hflg/fvf}“M–

luhf /f]u s] xf] <luhf /f]u Pp6f luhfdf b]lvg]

o:tf] /f]u xf] h;df d'Votof xfdLn] vfPsf] vfgfsf] z]if efux? bf“tsf] tNnf] efudf uP/ a:5 / h;sf/0f luhf ;'lGgG5 . nfdf] ;do;Dd vfgfx? bf“taf6 ;kmf ePg eg] Toxf“ ;"Id hLjf0f'x?sf] cfs|d0fsf sf/0f luhf cem} ;'lGgg] b]lv lnP/ luhfaf6 /ut klg cfpg ;S5 . slxn]sf“xL

vfgf vf“bf bf“tsf] aLrdf c8\lsPsf] vfgfsf] c+zn] luhf ;'lGgg] cj:yf ;fdfGo xf] h'g bf“t ;kmf ugf{;fy cfkm} lgsf] x'G5 . t/ clncln ub}{ hDdf ePsf] kmf]xf]/ xfdLn] lbgx'“ ?kdf b]Vg ;Sb}gf}“ / ;dod} ;/;kmfOdf Vofn /flvPg eg] luhf /f]u a9\b} uP/ bf“tnfO{ klg c;/ k'U5, lvO{“b} hfG5 / cGTodf bf“t g} lgsfn]/ kmfNg' kg]{ klg x'g ;S5 .

luhf /f]u nfUg] sf/0fx? s] s] x'g\ <luhf/f]u ePsf PsltxfO{ hg;+Vofdf

of] /f]u j+zf0f'ut /x]sf] cg'dfg nufOPsf] 5 / clxn] of] s'/f kQf nufpg] ljlwx?klg kfOg yfn]sf] 5 .

ljleGg lsl;dsf hLjgz}nLsf

luhf /f]u (Gum Disease)

pkrf/ ljz]if ? ljz]if kf08] (Pharmacist)



sf/sx?n] klg luhf /f]unfO{ k|f]T;fxg lbg] ub{5, h;dWo] clt ;fdfGo dflgG5 cg'lrt vfglkg / ck'/f] df}lvs :jR5tf . vfglkgsf] tl/sf ldn]g eg] klg d'v tyf luhf ;DalGw cg]s k|sf/sf /f]ux? nfUg] ;Defjgf a9\5 . u'lnof] vfg]s'/fx? bf“tdf 6f“l;P/ a:g] x'“bf d'v uGxfpg] ;d:of b]lvG5, To;}u/L w'd|kfg / cGo ;'tL{hGo kbfy{sf] ;]jgn] klg bf“t tyf luhfdf gsf/fTds c;/ k'¥ofp“b5 . dlxnfx?df b]lvg] xfdf]{gsf] kl/jt{g (Hormonal Changes) n] klg luhfdf g/fd|f] c;/ k'¥ofpg ;S5 . dlxgfjf/L / ue{jtL cj:yfdf dlxnfx? cfkm"nfO{ luhfsf] ;d:of ePsf] dx;'; ub{5g\ . To;}u/L, ue{–lg/f]ws cf}iflwx?sf] k|of]u ul//x]sf dlxnfx?df klg luhfdf ;d:of b]lvg] ;Defjgf lgs} a9]/ hfg ;S5 . xfdLnfO{ cjut g} 5 ¥ofnn] vfgfnfO{ krfpg] dfq} geP/ luhf / bf“tdf 6fFl;Psf vfg]s'/fnfO{ kvfNb} k]6;Dd k'¥ofpg] sfd ub{5 / s'g} sf/0fjz s;}df ¥ofnsf] pTkfbg sd x'G5 eg] To; JolQmdf klg luhf / bf“tsf] ;d:of l56} b]lvg ;S5 .

dw'd]x tyf Pr= cfO{= eL= ;+qmd0f ePsf JolQmx?df /f]u k|lt/f]wfTds Ifdtf sd x'g] x'“bf d'vsf] ;/;kmfOdf cToflws Wofg k'¥ofpg' kg]{ x'G5 .

luhf /f]usf nIf0fx? s] s] x'g\ <luhf /f]usf nIf0fx? lgDg lnlvt

5g\ M– luhf /ftf] x'g] / ;'lGgg], /ut

cfpg]– bf“t / luhfaLr vfnL 7fFp aGg]– bf“t sdhf]/ x'g] / xlNng]– luhfsf] cfsf/ 7"nf] x“'b} hfg]– ;f; uGxfpg]

luhf /f]usf] lgbfg s;/L ug]{ <luhf /f]u nfu]–gnfu]sf] af/] yfxf

kfpg xfdL bGt lrlsT;s s“xf uO{ hf“r u/fpg' kg]{ x'G5 . dfly pNn]lvt s'g} klg nIf0fx? b]vf k/]df t'?Gt} :jf:Yo rf}sL uO{ cfjZos hf“r u/fpg' plrt x'G5 .

luhf /f]usf] pkrf/ s;/L ug]{ <luhf /f]usf] pkrf/ ug]{ tl/sf tn

pNn]v ul/Psf] 5 M–

– ;fwf/0ftof, luhf /f]usf] pkrf/ ubf{ ;'?df bf“t tyf luhfdf c8\lsPsf kmf]xf]/ ;kmf ug]{ ul/G5 .

– To;kl5 bGt lrlsT;sn] cfjZostf cg';f/ cf}iflwx? vfg lgb]{zg lbG5g\ . k|foM cf}iflwx? PlG6jfof]6Ls / d'v s'Nnf ug]{ emf]nx? h:t}M Chlorhexidine x'g] ub{5 .

– la/fdLsf] cj:yf x]l/sg le6fldg ;lKnd]G6 klg lbg] ul/G5 .

luhf /f]udf gof“ pkrf/ luhf /f]udf w]/} lsl;dsf pkrf/sf

ljlwx? k|of]u ug]{ ul/G5 . gof“ k4ltx? cfP;Fu} luhfdf l;w}

PlG6jfof]6Lssf] ls|d nufpg] rng klg xfn;fn} ahf/df b]lvg yfn]sf] 5 . To:tf la/fdLx? h;nfO{ cGo tl/sfaf6 pkrf/ ;Dej x'“b}g, cyjf h;nfO{ kf/Dkl/s k4ltn] vf;} kmfObfhgs k|ltlqmof b]vfp“b}g, To;nfO{ dfq of] tl/sf k|of]u ug]{ ul/G5 .

l;w} luhfdf cf}iflw nufpg] tl/sf klg y'k|} yl/sf 5g\ . To:tf cf}iflwx? h]n, emf]n / bf“tsf] aLrdf k'¥ofpg] ˆn;\ (Floss) sf ?kdf pknAw x'G5g \ . ljleGg cWoog4f/f PlG6jfof]6Lsn] luhf /f]udf /fd|f] k|ltlqmof b]vfPsf] kfOG5 t/ sltko bGt lrlsT;sx?sf] /fon] s] eG5 eg] ;'?d} PlG6jfof]6Ls lbg' eGbf cufl8 cg]s ljlwaf6 bf“t ;kmf ug'{ pko'Qm x'G5 . To:tf ljlwx?nfO{ Scaling clg Planing elgG5 . ;s];Dd cf}iflwx? k|of]u ug'{ x'“b}g eGg] lrlsT;sx?n] 3/d} bf“t / luhfnfO{ k|fs[lts dfWodaf6 ;kmf ug]{ tl/sfx? l;sfp“5g\ eg] sltko bGt lrlsT;sx? PlG6jfof]6Ls / cGo d'v ;kmf /fVg] cf}iflwx? k|of]u ug{ l;sfp“5g\ . o:tf] jfXo ?kaf6 PlG6jfof]6Ls k|of]u ul//x]sf la/fdLx?n] lgoldt bGt lrlsT;s sxf“ uO{ bf“t / luhf ;kmf ug{'kb{5 . To;/L k|of]u ul/g] PlG6jfof]6Ls obL k]6df k'Uof] eg] gsf/fTds c;/x? b]lvg ;S5, t;y{ ;ts{tf ckgfpg' kb{5 .



luhf /f]usf] /f]syfd s;/L ug]{ </f]syfdsf pkfox? lgDg lnlvt 5g\ M– lbgsf] @ k6s bf“t df‰g] . bf“t

df‰bf g/d vfnsf] a|; k|of]u ug]{ . a|; ubf{ luhfdf w]/} a]/ g3f]6\g]

– bf“t ;Fu–;Fu} lha|f] klg ;kmf ug]{– bf“t dflem;s]kl5 Floss ug]{ .

bf“tx?sf] aLrdf klg ;kmf ug{ Tolts} cfjZos 5 .

– bGt lrlsT;ssf] ;Nnfx lnP/ bf“t ;kmf ug]{ oGqx? klg k|of]u ug{ ;lsG5 .

– bf“tsf] aLrdf hd]/ a;]sf] kmf]xf]/ lgsfNg slDtdf jif{sf] Ps k6s lrlsT;snfO{ e]6\g] .

– clws kmfOa/o'Qm t/sf/L / kmnkm"nx? vfg] h;n] luhf / bf“t ;kmf /fvL luhf /f]uaf6 arfp“5 .

– w'd|kfg, ;'tL{ hGo kbfy{x? tyf dBkfg ;s];Dd gug{] .

bGt lrlsT;ssf] ;/–;Nnfx slQsf] cfjZos <bf“t / luhfsf] ;/;kmfO / :jf:Yosf]

x]/rfx plQs} dxTjk"0f{ ePsf sf/0f lgoldt ?kdf bGt lrlsT;snfO{ e]6L k/fdz{ lng' h?/L 5 . ;s];Dd jif{df ! rf]l6, xf]Og eg] luhf /f]usf] s'g} klg nIf0f b]vf k/]df bGt lrlsT;snfO{ e]6\g' cfjZos x'G5 . obL bf“t cyjf luhf ;DalGw x]/rfxdf nfk/jfxL u¥of}+ eg] leq–leq} bf“t lalu|P/ yfxf gkfpg] tl/sfn] ;"Id hLjf0f'n] af; ug{ yfNb5 / cGTodf bf“t lgsfn]/ kmfNg'kg]{ x'G5 . Pp6f bf“tn] c? bf“tnfO{ klg laufg{ ;S5 . t;y{, lgoldt bf“t ;kmf ug]{,

lbgsf] @ k6s bf“t df‰g] / ;Gt'lnt vfgfsf] afgL cfh}af6 a;fNg' plrt x'G5 .

luhf /f]usf] 3/fo;L pkrf/ M–luhf /f]usf] nIf0f b]lvgf ;fy

bGt lrlsT;snfO{ b]vfO{ To;sf] sf/0f / cj:yf a'‰g' pko'Qm x'G5 . lrlsT;ssf] ;Nnfx adf]lhd bf“t / luhfsf] ;/;kmfO ug'{sf ;fy} ;Gt'lnt vfgf vfPdf /f]u l56f] lgsf] x'g d2t k'Ub5 .

– lgoldt bf“t df‰g] M lbgsf] @ k6s bf“t df‰g] / bf“t df‰bf g/d a|;sf] k|of]u ug]{ . bfFtdf s'g} klg lsl;dsf] an k|of]u gug]{ .

– lha|f] ;kmf ug]{ M bf“t ;Fu—;Fu} lha|f] klg lgoldt ;kmf ug{' kb{5 .

– bf“t / luhf Floss ug]{ M bf“tsf] aLrdf vfg]s'/fx? c8\lsg ;Sg] x“'bf lgoldt ?kdf bf“t dflem;s]kl5 Floss ug'{ cfjZos 5 .

– d'v s'Nnf ug]{ M d'v s'Nnf ug]{ PlG6j]S6]l/on (Anti-bacterial) sf] emf]nn] lgoldt s'Nnf ugf{n] d'v leq ;"Id hLjf0f'sf] ;+qmd0f x'Fb}g . To:tf] k|sf/sf] PlG6j]S6]l/onsf] emf]n Chlorhexidine gfdsf] /;fogn] ag]sf] x'G5 .

– bGt lrlsT;ssf] ;Nnfx cg';f/ bf“t leqsf] kmf]xf]/ ;kmf ug]{ oGqsf] klg k|of]u ug{ ;lsG5, t/ To;sf nflu lrlsT;s;Fu k|of]usf] ljlw a'‰g'kg]{ x'G5 .

Source:- The Complete Home Wellness Handbook- The Complete Home Medical Reference q



dlxnf ljz]if

:tgkfg / :tgkfgsf af/] unt wf/0ff

?/f]lxgL j}B (Pharmacist)

;fob} s'g} klg JolQm jf cleefjsn] hLjgdf ;GtfgnfO{ klxnf]rf]6L af]s]sf] If0f e'Ng ;Snf . ;Gtfg k|flKt eg]sf] s'g} klg JolQm / k|f0fLsf nflu xif{, v'zL / pT;fxn] el/Psf] If0f x'G5 . Pp6L cfdfn] cg]s b'Mv / si6 ;x]/ ;GtfgnfO{ hGd lbPsL x'lG5g\ . lzz' ue{df x'“bf x/]s cfdfn] p;sf] ;xL ljsf;sf nflu eujfg\;Fu k|fy{gfsf ;fy} cfkm\gf] vfgkfg / hLjgz}nLdf lgs} Wofg lbPsL x'lG5g\ . h;/L Pp6L cfdf cfkm\gf] lzz'sf] plrt j[l4 / ljsf;sf nflu lqmofzLn / lrlGtt x'lG5g\ To;/L g} aRrfsf] nflu k|s[ltn] klg o; hut\df ePsf x/]s :tgwf/Lx?sf] :tgaf6 k|fs[lts ?kdf b"w agfp“b5 .

t;y{, k|s[ltsf] o:tf] /fd|f] pkxf/nfO{ ;xL cg'?k k|of]u u/L lzz'sf] plrt dfgl;s / jf}l4s ljsf;sf] nflu Pp6L cfdfn] dfq xf]Og 3/kl/jf/sf] x/]s ;b:on] plQs} k|of; ug'{kb{5 .

clxn]sf] jt{dfg ;dodf sfo{Jo:ttfsf sf/0f egf}F of ;f}Gbo{df x«f; cfpg] unt wf/0ffsf sf/0f egf}F lzz'nfO{ :tgkfg u/fpg] b/df

sdL b]lvPsf] 5, h;n] ubf{ lzz'sf] plrt ljsf;df x«fif cfpg;S5 / 3/kl/jf/df cfly{s ef/ klg a9\g ;S5 . t;y{, o; n]våf/f xfd|f] cfb/0fLo kf7sj[GbnfO{ :tgkfgsf] kmfObf / :tgkfg;DalGwt c? lh1f;fnfO{ klg ;d]6\g] k|of; u/]sf 5f}+ .

:tgkfg eg]sf] s] xf] <cfdfn] lzz'nfO{ hGd lbPkl5

cfkm\gf] :tgaf6 lg:sg] k|fs[lts b"w r';fpg] k|lqmofnfO{ :tgkfg elgG5 . ue{wf/0f;Fu} :tgdf b"w aGg] k|lqmof klg ;'? x'G5 . lzz' hGd]kl5 :tgaf6 axg] klxnf] b"wnfO{ lauf}t]



b"w elgG5 . lauf}t] b"w lzz'sf nflu /f]u;Fu n8\g ;Sg] klxnf] vf]k xf] . o;n] aRrfx?nfO{ w]/} /f]ux?af6 n8\g ;Sg] k|lt/f]wfTds Ifdtf k|bfg u5{ . t;y{, lzz' hGd]sf] ! 306f leq :tgkfg u/fpg'kb{5 . obL cfdfn] s'g} sf/0fjz :tgkfg u/fpg ;Sb}g eg] 3/kl/jf/ jf :jf:YosdL{sf] ;xof]un] ePklg :tgkfg u/fpg lgs} h?/L x'G5 .

:tgkfgsf] kmfObfcfdfsf] b"w lzz'sf] nflu Pp6f

kf}li6s tŒj dfq geO{ hLjg /Iff ug]{ Pp6f /Iffsjr klg xf] . gjhft lzz'df /f]u;Fu n8\g ;Sg] zlQm x'“b}g . cfdfsf] b"waf6 lzz'nfO{ of] zlQm k|bfg x'G5 . h;n] lzz'df /f]u;Fu n8\g] k|lt/f]wfTds zlQmsf] ljsf; x'G5 . cfdfsf] b"w lzz'n] ;lhn} krfpg ;S5 . o;n] cfdf / lzz'sf] :jf:Yodf ;sf/fTds k|efj kfb{5 . o;af6 lzz'df x'g] kmfObfx? lgDg cg';f/ 5g\ M

l cfdfsf] b"w ;lhn} krfpg ;Sg] ePsf]n] k]6sf] u8a8Lsf] 8/ x'“b}g .

l sfg kfSg] / emf8fkvfnfsf] ;d:of 36fp“5 .

l bd, Go"df]lgof / c? /f]ux?sf] hf]lvdnfO{ 36fp“5 .

l dfgl;s / jf}l4s :t/sf] plrt ljsf; x'G5 .

l lbdfu / g]qsf] plrt ljsf; x'G5 .l bL3{sflng /f]ux? h:t} Mdw'd]x,

pRr /Qmrfk / c? d'6';DaGwL /f]ux?sf] hf]lvdnfO{ 36fp“5 .

l eljiodf x'g] df]6f]kgsf] hf]lvdnfO{ 36fp“5 .

l c;fdflos d[To'sf] hf]lvdnfO{ 36fp“5 .

:tgkfgn] lzz'sf ;fy} cfdfnfO{ klg kmfObf u5{ . h;nfO{ a“'bfut ?kdf k|:t't ul/Psf 5g\M

l cfdf / lzz' b'j}nfO{ cfTdLo / ;'/lIft ePsf] cg'e"lt lbG5 .

l ;'Ts]/L e};s]kl5 /ut aUg] k|lqmofnfO{ /f]S5 .

l :tg / kf7]3/sf] SofG;/ x'g] hf]lvdnfO{ 36fp“5 .

l x8\8L sdhf]/ -cf]l:6of]kf]/f]l;;\_ x'g] ;d:ofsf] hf]lvdnfO{ 36fp“5 .

l hGdfgGt/ a9fpg d2t u5{ .l :tgkfg u/fpg s'g} klg vr{

nfUb}g .

ljz]if cj:yfsf lzz'x?nfO{ :tgkfg u/fpg] tl/sfx?l Hofb} ;fgf cyjf sd tf}n

ePsf lzz' M lzz'n] /fd|f];Fu b"w r':g g;s];Dd kDkn] b"w lgsfn]/ rDrfn] v'jfpg'k5{ . aRrf hGdg] lalQs} of] k|lqmofaf6 b"w v'jfpg ;'? ug'{k5{ / lzz'n] cfkm} b"w r':g ;Sg] gx'Gh]n;Dd o:t} u/L b"w v'jfpg'k5{ . lzz' hGdbf lzz'sf] tf}n !=% lsnf] -8]9 lsnf]_ eGbf sd eP klg cfdfsf] b"w v'jfpg ldN5 . o;sf nflu :jf:YosdL{;Fu plrt ;Nnfx ;'emfj lng'k5{ .

ldlxgf gk'uL hGd]sf] lzz' M o:tf aRrfx?nfO{ klg cfkm}n] b"w r':g g;s'Gh]n xft}n] b"w lgrf]/]/ v'jfpg' k5{ . ;fy} oL lzz'x?nfO{ w]/} Gofgf]kg rflxg] x'gfn] p;nfO{ Gofgf] sk8fdf a]/]/ cfkm\gf] gfª\uf] :tg;Fu} 6fF:g'k5{ . o; tl/sfnfO{ sª\uf? db/ s]o/ elgG5 . sk8fleq cfdf / aRrfsf] 5fnfsf] :kz{ ePkl5 dfq b"w r';fpg'k5{ .

l cf]7 / tfn' v'“8] ePsf lzz' M o:tf lzz'x?nfO{ b"w r':gsf nflu ljz]if ;xof]u rflxG5 . cf]7leq wf“hf kmf6]sf] 5 eg] t p;n] cfkm}n] /fd|f];Fu b"w r':g ;S5 . b"w v'jfp“bf cf]7 kmf6]sf] 5 eg] cfkm\gf] xftsf] cf}+nf /fVg] . cf]7dflysf] efu g} v'Nnf 5 eg] b"w v'jfp“bf lzz'nfO{ l;wf kf/]/ /fVg] . aRrfn] :tg Rofk]kl5 cfdfn] xft}n] b"w lgrf]/]/ d'vdf emfg]{ . o; a]nf cfdfnfO{ ljz]if ;xof]u rflxG5 .

l sdnlkQ ePsf] lzz' M sdnlkQ ePsf] lzz'nfO{ cfdfsf] b"w / 3fdsf] ls/0f kof{Kt dfqfdf rflxG5 . t;y{, o;a]nf lzz'nfO{ gfª\uf] kf/]/ laxfgsf] 3fddf @ 306f /fVg' k5{ . o:tf] a]nf s'g} s'g} lzz'x? w]/} lgbfpg] u5{g\ . w]/} lgbfpg] aRrfx?nfO{ cfkm}n] @$ 306fdf sDtLdf klg *–!@ k6s b"w v'jfpg kb{5 .

l h'DNofxf aRrf M h'DNofxf aRrfx?sf] klg ;xL ljsf;sf nflu cfdfsf] b"w lgs} cfjZos k5{ . o;a]nf klg cfdfn] b'j} aRrfnfO{ b"w k|z:t v'jfpg'k5{ . h'DNofxf aRrfsf] cfdfn] b'j} lzz'nfO{ k'Ug] k|z:t b"w agfpg ;S5 .

:tgkfgsf unt wf/0ffx?!_ wf/0ff M obL lzz'n] w]/} k6s b"w

vfg vf]Hof] eg] p;nfO{ cfdfsf] b'w k'u]g elgG5 .

tYo M cfdfsf] b"w lzz'n] ;lhn} krfpg ;Sg] x'“bf lzz' l56f] ef]sfp“5 . gjhft lzz'nfO{



sDtLdf lbgdf *–!@ k6s b"w v'jfpg h?/L x'G5 .

@_ wf/0ff M cfdfn] nfdf] ;dosf] cGt/fndf b"w v'jfPdf b"wsf] dfqf a9\5 .

tYo M lzz'n] hlt a9L b"w r':5 Tolt g} a9L b"w cfpg yfN5 .

#_ wf/0ff M af]tnsf] b"w v'jfP lzz' /ftL cf/fd;Fu ;'Tg ;S5 .

tYo M cg';Gwfgn] af]tnsf] b"w v'jfP lzz' cf/fdn] eGbf klg nfdf] ;do ;'Tg] b]vfPsf] 5 .

$_ wf/0ff M lzz'nfO{ slxn]sfxL“ af]tnaf6 b"w v'jfPdf, lzz' e|ldt eP/ cfdfsf] b"w vf“b}g .

tYo M cfdfsf] b"w xftn] lgrf]/]/

af]tndf /fv]kl5 af]tnaf6 v'jfpg ldN5 . o;f] ubf{ lzz'n] la:tf/} af]tnaf6 b"w r':g ;Sg] x'G5 .

t;y{M af]tnsf] k|of]u ubf{ lzz'n] cfdfsf] b"w r':g rfxL“ e'Nb}g .

%_ wf/0ff M :tgkfgn] :tgsf] cfsf/ / ;+j]bgzLntfnfO{ 36fp“5 .

tYo M :tgkfgn] :tgsf] cfsf/ / cfdfsf] ;f}Gbo{tfdf s'g} klg x«fif cfp“b}g . :tgkfgn] pN6} :tgSofG;/ h:tf] 8/nfUbf] /f]usf] hf]lvdnfO{ 36fp“5 .

^_ wf/0ff M lzz' ;'t]sf] a]nf :tgkfg u/fpg' x'“b}g .

tYo M ;fdfGotof lzz'n] x/]s @–# 306fdf b"w vfG5 . t;y{, ;do x]/]/ cfkm}n] lzz' ;'lt/x] klg x/]s @–# 306fdf :tgkfg u/fpg' k5{ .

&_ wf/0ff M s'g} sf/0fjz s]xL lbgsf nflu cfdfn] :tgkfg u/fpg ;s]g eg] lzz'nfO{ k'gM :tgkfg g} u/fpg' x'“b}g .

tYo M lzz'nfO{ sDtLdf klg @ jif{sf] pd]/;Dd :tgkfg u/fpg h?/L x'G5 . s'g} sf/0fjz jf kl/l:yltn] ubf{ cfdfn] :tgkfg u/fpg g;s] cfkm}n] lbgx'“ xftn] b"w lgrf]/]/ b"w lgsfNg] / kmfNg] . kl5 kl/l:ylt / ;do cg's"n ePkl5 k'gM :tgkfg u/fpg ldN5 .

cGTodf, :tgkfgsf] dxŒj a'em\b} lzz'sf] dfgl;s / jf}l4s :t/sf] plrt ljsf;sf nflu Pp6L cfdfn] dfq xf]Og k"/} 3/sf] ;b:on] ;Sbf] ;xof]u / ;xsfo{ ug'{k5{ . :tgkfg Pp6L :j:Yo dlxnfsf ;fy} Pr= cfO{= eL= ;+qmldt dlxnfn] klg ;fdfGo dlxnf ;/x u/fpg' x'G5 . Pr= cfO{= eL = ;+qmldt dlxnfsf] xsdf cfjZos cf}iflw pkrf/sf ;fy} :jf:YosdL{sf] plrt ;Nnfx / ;'emfj lnP/ cfkm\gf] lzz'nfO{ :tgkfg u/fpg' x'G5 . q



kl/ro M :jf:Yo eg]sf] s'g} /f]u jf b'j{ntfaf6

d'Qmdfq geO{ zf/Ll/s, dfgl;s tyf ;fdflhs ;du| ?kdf :j:y x'g' xf] . zf/Ll/s ?kdf ;d:of ;fgf] eP tfklg xfdL t'?Gt c:ktfnlt/ nfU5f}+ . t/ dfgl;s tyf ;fdflhs ?kdf hlt c:j:y eP klg jf:tf ub}{gf}+ . hasL z/L/ :j:y x'gsf nflu dg :j:y x'g' clt g} cfjZos x'G5 . dfgl;s :jf:Yo lagf k"0f{ :jf:Yosf] kl/sNkgf g} cw'/f] 5 . dfgl;s ?kdf c:j:y x'g' eGgfn] duh lalu|g' jf kfun x'g' dfq xf]Og a? dfgl;stfdf c;fdfGo kl/jt{g x'g', dgdf cGtå{Gå x'g', cgfjZos 8/ qf; Pj+ pbf;Lkg dx;'; x'g'sf ;fy} tgfj ;xg ;Sg] Ifdtf sd x'g', JolStut / ;fdflhs

hLjg aLr ;Gt'ng sfod /fVg ;Ifd gx'g' tyf JolQmsf] pTkfbgzLntf Pj+ af}l4s Ifdtfdf x|f; cfpg' eGg] s'/f a'´\g' kb{5 .

dfgl;s /f]ux?sf] Joyfsf] k|j[lt zf/Ll/s kL8f eGbf laNs'n} km/s x'G5 . oxL c;xgLo kL8fs} sf/0f dfgl;s la/fdLx? ;lhn} cfk"m dg{ jf c?nfO{ dfg{ ;d]t klg kl5 kb}{gg\ . ljZjdf x'g] cfTdxTofx?sf] k|d'v sf/0f dfgl;s c:j:ytf g} /x]sf] 5 / k|foM xTofsf08x? klg dfgl;s jf ;fdflhs ljs[lt s} sf/0f x'g] ub{5g\ . t;y{, xfdLn] dfgl;s ?kdf c:j:y JolQmx?sf] ;dod} cf}iflw pkrf/ u/fof}F eg] o;/L csfnd} dg]{ cuGo JolQmx?sf] Hofg ;lhn} hf]ufpg

;kmn x'G5f}+ / pgLx?nfO{ Pp6f gof“ hLjg k|bfg ug{ ;Sb5f}+ .

dfgl;s :jf:Yosf] cj:yf M ;g\ !(&* df g} dfgl;s :jf:YonfO{

k|fylds :jf:Yosf] ?kdf ;]jf k|bfg ug{' kb{5 eGg] cjwf/0ff cfP tfklg ;dfhn] clxn];Dd Jojxf/df nfu' ug{ ;s]sf] 5}g . c:ktfnx?sf /]s8{x? x]bf{ xfd|f] ;dfhdf dfgl;s la/fdLx? 7"nf] ;+Vofdf lbgk|ltlbg a9\b} u/]sf] klg 5 . cfh ljZjel/ g} dfgl;s ;d:of dxfdf/L em}+ km}lnFb} uO/x]sf] 5 . ljleGg cWoog cg';f/ @) k|ltzt b]lv @% k|ltzt hg;+Vof cyf{t rf/ jf kf“r hgf dWo] Ps hgf hLjgdf s'g} g s'g} dfgl;s ;d:ofaf6 kLl8t

cfhsf] ;Gbe{

dfgl;s :jf:Yo / xfd|f] ;dfh

? 8f= df]= P]g'4Lg afuafg gzf tyf dgf]lrlsT;s e/tk'/ c:ktfn



x'G5 . o;sf] k|d'v sf/0f ;dfhdf ljBdfg ul/aL, a]/f]huf/L, zf]if0f cflbn] agfPsf] tgfjk"0f{ hLjgz}nL tyf nf]enfnr, c;kmntf, la5f]8, gzfn' Pj+ nfu' cf}iflwsf] ;]jgsf ;fy} bL3{sfnLg /f]ux?n] ubf{ x'g] dgsf] czflGt xf] .

xfd|f] b]zdf dfgl;s :jf:Yo ;d:ofn] Pp6f uDeL/ hg:jf:Yo ;d:ofsf] ?k wf/0f ul/;s]sf] 5 . aiff}{+sf] åGåsfn, /fhg}lts cl:y/tfsf ;fy} af9L klx/f], e"sDk h:tf ljkb 36gfx?n] klg g]kfnL hgtfsf] dfgl;s :jf:Yodfly gsf/fTds c;/ k/]sf 5g\ . h;n] ubf{ ;du|df b]zsf] pTkfbgzLntf Pj+ ljsf; lgs} lrGtfhgs cj:yfdf k'u]sf] 5 . t}klg xfd|f] ;dfhdf dfgl;s :jf:Yok|ltsf] hgrf;f], ;/sf/L tyf u}/;/sf/L lgsfox?sf] k|fyldstf lgs} sd b]lvPsf] 5 . kmn:j?k hgr]tgfsf] cefjsf] sf/0f dflg;x? PGhfO6L, l8k|]zg, hf“8 /S;L tyf nfu' cf}iflwsf] b'Jo{;g cflb h:tf dfgl;s ;d:ofx?sf] klg plrt cf}iflw pkrf/ gu/fO{ cfhLjg dfgl;s kL8f ;x]/ a:g afWo ePsf 5g\, hasL dgf]/f]u ljz]if1sf] k/fdz{ lnO{ cf}iflw pkrf/ u/]df ;xh} tL ;d:ofx?af6 5'6sf/f kfpg ;lsG5 .

xfd|} ;dfhn] dfgl;s la/fdLx?nfO{ km/s gh/n] x]g]{ u/]sf] 5 . Psflt/ ;dfhn] o:tf la/fdLnfO{ b}jLzlSt jf k]|t—cfTdfaf6 k|efljt ePsf] ?kdf b]Vg] u/]sf] 5 . To;} ;dfhdf af]S;Ln] lsrsG8L nufO{ lbPsf] cf/f]kdf u/La tyf c;xfo dlxnfx?nfO{ lg3f{t s'6lk6 ug]{,

dnd'q ;d]t v'jfpg], To;dfly emf/km'ssf] gfddf wfdL emf“j|mLx?n] emg\ j]sDdf 7fg]/ kmnfd] ;fËnfn] af“wL vf]/leq y'g]/ cdfgjLo cj:yfdf /fVg] u/]sf] hgfj/ eGbf klg tNnf] :t/sf] hLjg lhpg jfWo t'NofPsf] 5 .

ToxL ;dfhdf cToGt kmf]x/ sk8fdf s}of}+ lbgsf] ef]s Kof;n] a]xfn eP/ s]xL vfg]s'/f dfUg cfPdf ;dfhn] l3g dfgL ltgLx?nfO{ wkfP/ 6f9f eufpg] u/]sf] kfOG5 . ltgLx?sf] plrt Joj:yfkg ug'{sf] ;§f xfdL cfkm\gf] gfsd'v 5f]kL d"sbz{s ag]/ ;a} x]l//x]sf x'G5f}+ . clxn];Dd ;/sf/n] klg o;af/] df}g wf/0f u/]sf] 5 . s] o:tf la/fdLx? k|lt xfd|f] ;dfh jf ;/sf/sf] s]xL lhDd]jf/L

5}g t < s] xfd|f] cfkm\g} a'jfcfdf, 5f]/f5f]/L,efOalxgL jf :jod\ cfk"mnfO{ o:tf] ;d:of x'g} ;Sb}g eGg ;lsG5 / < Ps k6s xfdL uDeL/tfk"j{s dgg u/f}“ / o;af/] hgr]tgf km}nfpg / o:tf la/fdLx?sf] cf}iflw pkrf/df oyf;Dej ;xof]u Pj+ ;xsfo{ u/f}“ .

e|d M dfgl;s :jf:Yo ;DaGwL ;xL 1fg gePsf] sf/0f xfd|f] ;dfhdf w]/} e|d Pj+ e|lGtx? ljBdfg 5g\ . dfgl;s ;d:ofx? s'nb]jtf l/;fPsf], u|xbzf lau|]sf], nfuf]efuf] cflb ePsf] sf/0fn] ubf{ x'g] ub{5g\ eGg] k|an ljZjf; 5 . t;y{ o:tf ;d:ofx? k'hfkf7, 6'gfd'gf, emf/km's cflbaf6 ;dfwfg x'G5g\ . cf}iflwsf] k|of]un] lgsf] x'Fb}g . dgf]lrlsT;f cGtu{t kfun ePsf la/fdLx?sf]



pkrf/ ug]{ eP xfdL lsg hfg] < eGg] ljleGg lsl;dsf e|dx?n] la/fdLx?sf] cf}iflw pkrf/df afwf cj/f]wx? pTkGg ul//x]sf x'G5g\ . ;fy} ;dfhdf dgf]/f]u ;DaGwL cf}iflw ;]jg ul//x]sf JolStx?nfO{ xf};nf a9fpg'sf] ;§f z+sf pkz+sf tyf x]nfsf] b[li6n] x]]g]{ u/]sf] klg kfOG5 .

oyfy{ M dfgl;s ;d:ofx?sf] jf:tljs sf/0f dl:tisdf x'g] /;folgs c;Gt'ng xf] . h;sf] k5f8L dfgl;s tgfj u/fpg] ljleGg jftfj/0fLo sf/s tTjx?sf] d'Vo e"ldsf /x]sf] x'G5 . of] /;folgs pynk'ynnfO{ emf/km's u/L ;Gt'ngdf Nofpg ;lsb}g . t}klg emf/k'msaf6 s}of}+ la/fdLx? ;Grf] ePsf 5g\ eGg] s'/fx? klg cfpg] ub{5g\ . oyfy{ s] xf] eg] ;fdfGo vfnsf s]xL dfgl;s ;d:ofx? ;+of]ujz cfkm} klg lgoGq0fdf cfPsf x'G5g\ . ;fy} o;sf] Kn]l;af] Okm]S6n] (Placebo Effect) klg 7Ls ePsf x'g ;Sb5g\ . t/ To:tf ;d:ofx?nfO{ cf}iflw pkrf/af6 jl~rt /fVg' eg]sf] p;sf] dfgj clwsf/ xgg ug'{ xf] .

dgf]lrlsT;f cGtu{t duh lalu|P/ kfun ePsf la/fdLx?sf] pkrf/ dfq geO{ dfgl;s :jf:Yosf] k|j4{g, ;a} vfnsf

dfgl;s ;d:ofx?sf] /f]syfd, ;dod} o:tf /f]ux?sf] lgbfg tyf pkrf/sf ;fy} dfgl;s la/fdLx?sf] k'g:{yfkgf h:tf ;Dk"0f{ lqmofsnfkx? kb{5g\ . cGo /f]ux?sf] pkrf/ em}+ dfgl;s /f]ux?sf] klg ;kmn pkrf/ ;Dej 5 . ;dod} dgf]/f]u ljz]if1sf] ;Nnfx lnO{ lgoldt cf}iflw pkrf/

u/]/ ;lhn} dfgl;s ;d:ofx?nfO{ ;dfwfg ug{ ;lsG5 . cf}iflw pkrf/df ;xof]usf ;fy} ;dfhn] efjgfTds ;fxf/f, ;xfg'e"lt, :g]xk"0f{ Jojxf/ ul/lbPdf ltgLx? klg :j:y x'G5g\ / xfdL h:t} ;fdfGo Pj+ ;Eo hLjg lgjf{x ug{ ;Ifd x'G5g\ . q



kf7s ljz]if

!_ cfh lj/f6gu/df eO/x]sf] @$ cf}“ cyf]{sg (ORTHOCON) sf] Joj:yfkg ;ldltsf] ljifodf s]xL eGg' x'G5 ls <Joj:yfkg ;ldltaf/] eGg'kbf{

laut ^ dlxgf cl3 dfq xfdLn] g]kfn cyf]{k]l8s ;f];fOl6 cGtu{t df]/ª RofK6/ (Morang Chapter) eGg] zfvf :yfkgf u/]sf 5f}+ . o; zfvfdf k"jf{~rndf sfo{/t k|foM ;a} cyf]{k]l8s lrlsT;sx? ;+nUg x'g'x'G5 . o; zfvfsf] d"n p2]Zo rfxL“ lrlsT;sx?sf] cyf]{k]l8s snfsf] plrt ljsf; / k"jf{~rnsf la/fdLx?sf] ;xL cf}iflw pkrf/ xf] . o; zfvfsf ;lrj 8f= gjLg ;'j]bL x'g\ .

@_ o;kflnsf] ;Dd]ngdf cyf]{k]l8s laof]Gb ;h{/L (Orthopedic beyond Sur-gery) eGg] ljifo /f]Hg'sf] d"n sf/0f s] xf]nf < ;j{k|yd cyf]{k]l8s zNolqmof ;kmn

x'gsf nflu tLg s'/f dxŒjk"0f{ x'G5 .

!_ cf}iflw pkrf/ ;xL x'g'k5{ .@_ la/fdLn] ug]{ zNolqmof kl5sf]

lkmlhof]y]/fkL ;xL x'g'k5{ .#_ la/fdLn] zNolqmof kZrft\

8fS6/;Fu k'gM hf“r u/fpg'k5{ . o;sf ;fy} la/fdLdf zNolqmof kl5 b]lvg] ;+qmd0f / xf8hf]gL{sf] ;d:ofnfO{ klg 36fpg / lgoGq0f ug{ h?/L x'G5 . oL ;a} s'/fn] la/fdLsf] hLjgz}nLdf ;sf/fTds c;/ / ;xhtf Nofp“5 . t;y{, oL s'/fx?sf] dxŒjaf/]

hgr]tgf km}nfpg / zNolqmof ;kmn, ;/n / ;xh agfpgsf nflu xfdLn] of] ljifo /f]h]sf xf}+ .

#_ o;kflnsf] @$ cf}+ cyf]{sg sf7df08f} aflx/ lj/f6gu/df cfof]hgf ubf{ sltsf] ;lhnf] jf cK7\of/f] dx;'; ug'{eof] <s'g} klg sfo{qmd

sf7df08f}df cfof]hgf ug{' / sf7df08f} aflx/ ug'{eg]sf] b'O{ km/s s'/f x'g\ .

lj/f6gu/df ;DkGgePsf] cyf]{sg @)!(df 8f= gjLg s'df/ s0f{, 8f= /d]z a:g]t / 8f= of]u]Gb| u'Ktf;“u ul/Psf] cGtjf{tf{




sf7df08f}df kof{Kt ;|f]t / ;fwgx? x'g] ePsf]n] sfo{qmd cfof]hgf ug{ ;lhnf] x'G5 . sf7df08f} aflx/ ;Lldt jf Go"g dfqfdf ;|f]t / ;fwgx? x'g] ePsf]n] o;kflnsf] sfo{qmd cfof]hgf ug{ r"gf}tLk"0f{ /x\of] . klxnf]rf]6L lj/f6gu/df eO/x]sf] cyf]{sgdf ;xefuL x'g] ;xefuLx?nfO{ lgdf{0fflwg\ lj/f6gu/n] s'g} sl7gfO{ gk'¥ofcf];\ eGg] xfd|f] ;f]rnfO{ ;Dej u/fpg w]/} ;+3if{ klg ug'{k¥of] .

$_ o;kflnsf] cyf]{sgdf 8fS6/x?sf] ;xeflutf slt xf]nf <cyf]{sg sf7df08f} aflx/ ePsf]n]

sl/j @)) hgf 8fS6/x?sf] ;xefuL x'g] ck]Iff u/]sf lyof}+ . geGb} klxnf] lbgdf g} @%) eGbf a9L 8fS6/x? ;xefuL ePsf 5g\ .

%_ csf]{ jif{ cyf]{sg s'g 7fp“df x'g] ;Defjgf 5 <csf]{ jif{ g]kfn cyf]{k]l8s ;f];fOl6

:yfkgf ePsf] @% jif{ k'Ug] x'“bf ca x'g] cyf]{sg sf7df08f}df g} x'G5 . lgoddf klg cyf]{sg Ps jif{ sf7df08f} leq / csf]{ jif{ sf7df08f} aflx/ x'g] pNn]v ul/Psf] 5 .

^_ o; sfo{qmdnfO{ ;kmntfk"j{s cufl8 a9fpg ljleGg cf}iflw sDkgLx? / k|fof]hsx?sf] s:tf] e"ldsf /x\of] / s] ;Gb]z lbg rfxg'x'G5 <ljleGg dfWodaf6 cf}iflw sDkgLx?n]

k'¥ofpg' ePsf] pNn]vgLo ;xof]u ljgf xfd|f] of] sfo{qmd ;kmntfk"j{s ;DkGg x'g} ;Sb}g . t;y{, ;j{k|yd o; sfo{qmdsf] ;kmntfsf] >]o pxf“x?nfO{ g} hfG5 . o; sfo{qmd

dfkm{t ;xefuL 8fS6/x?n] gof“ cf}iflw / k|ljlwsfaf/] 1fg xfl;n ub{5g\ . ;do / kl/l:ylt cg';f/ pQm 1fg / ;LknfO{ la/fdLsf] pkrf/ k4ltdf nfu' klg ub{5g\ . t;y{, oL rLhx?nfO{ a'em\b} x[bob]lv g} xfdL cf}iflw sDkgLx?nfO{ wGojfb lbg rfxG5f}+ .

&_ o; ;Dd]ngaf6 ;xefuLx?n] s:tf] 1fg xfl;n ug{ ;Sg'x'g]5 <o; ;Dd]ngdf ;xefuL x'g] /]l;8]G6

8fS6/x?n] o; ;Dd]ng eGbf cufl8 Go"/f] xl:k6n / gf]a]n xl:k6ndf ;DkGg ePsf] k|L–sGkm]/]g;af6 Arthoscopy / PG Instructional Course sf af/] 1fg xfl;n ug'{ ePsf] 5 . ;fy} oxf“ kfNg' ePsf ljz]if1x?n] lbg' ePsf] JofVofg (Lecture) / k|ltlglwx?n] lbg' ePsf] k|:t'ltx?n] cjZo klg ;xefuLx?sf] 1fgdf j[l4 x'g]5 eGg] cfzf /fv]sf 5f}“ . q

8f= ;/f]h s[i0f >]i7 Pg= lk= Pn= l6dsf ;fy



ljleGg 5fnf ;d:ofx?dWo] efO/;n] (virus) ubf{ x'g] 5fnf ;d:ofsf] ;+Vofklg xfd|f] b]zdf al9/x]sf] kfOG5 . t;y{, of] n]våf/f hgdfg;df efO/;n] ubf{ x'g] 5fnf ;d:ofaf/] hfgsf/L lbg] hdsf]{ u/]sf 5f}+ . w]/} ;d:ofdWo] Ps xf] hg} vl6/f (Herpes Zoster/Shingles) . of] ;d:ofdf x'g] km/s nIf0f eg]sf] vl6/f z/L/sf] s'g} Ps efuaf6 ;'? x'G5 / o;n] Pp6f rqm h:tf] agfpF5 . Latin df Shingles sf] cy{ k]6L (belt) ePsf]n] o;nfO{ of] gfd lbOPsf] xf] . g]]kfnLdf Æhg} vl6/fÆ gfdsf] ;fy{stf cem} ljz]if 5 . a|fÃdg tyf If]qL hfltsf k'?ifx?n] nufpg] kljq wfuf]nfO{ hg} elgG5 . Herpes Zoster df klg vl6/f hg} h;/L g} 5ftL / lk7\o"Fpdf km}lng] x'“bf o;nfO{ hg} vl6/f gfd lbOPsf] xf] .

sf/s tŒj (Causative agent)hg} vl6/f efO/;n] ubf{ x'g]

;d:of xf] / Tof] efO/;sf] gfd Varicella Zoster virus xf] . Chicken pox h;nfO{ 7\of}nf elgG5, o;sf] sf/s tŒj klg oxL efO/; g} xf] . of] efO/; lagf nIf0f !) jif{;Dd dflg;df lglis|o x'g ;S5 .

dfgj z/L/df of] efO/;sf] k|j]z kl5 b]lvg] klxnf] ;d:of eg]sf] 7\of}nf (Chicken pox) xf] . of] ;d:of afNoj:yfdf dfq x'G5 eGg] ;f]r hgdfg;df /x]sf] kfOG5 . t/ of] jo:sx?df klg b]lvg ;S5 . 7\of}nfsf] pkrf/kl5 klg efO/;sf] cGTo x'g] eGg] Uof/]G6L x'“b}g . of] dl:tis / /L8+sf] x•Ldf n's]/ a:5

/ s]xL ;dokl5 km]l/ ;ls|o eP/ csf]{ 5fnf ;d:of hg} vl6/fsf] nflu lhDd]jf/ x'G5 .

hl6ntf (Complications)!_ Post herpetic neuralgia hg} vl6/fdf ;a}eGbf a9L

b]lvg] hl6ntf eg]sf] post-herpetic neuralgia xf] . o;n] :gfo' kmfOa/ (nerve fiber) / 5fnfnfO{ c;/ u5{ . o;sf] hl6ntfdf dl:tisdf k'Ug] unt ;+s]tn] ubf{ ;a} vl6/fx? x/fO;s]kl5 klg c;xgLo b'vfO{ cem} klg dx;'; eO/xG5 .

@_ Vision loss cf“vf jl/kl/ x'g] vl6/fn] ubf{

c? ljleGg si6s/ cf“vf ;+qmd0f u/fO{ b[li6df Iflt klg u/fpg ;S5 .

/f]u Ps hfgsf/L

hg} vl6/f(Herpes Zoster)

?/Lof ;flns] (Pharmacist)

7\of}nf (Chicken pox) hg} vl6/f (Herpes-Zoster)



#_ Neurological problems ;+qmldt :gfo'sf] cfwf/df o;n]

dl:tissf] ;"hg (encephalitis), cg'xf/sf] kIf3ft (Facial paralysis) klg u/fpg ;S5 .

$_ Skin infections hg} vl6/fsf] pkrf/df nfk/jfxL

ul/Pdf leGg} JofS6]l/on ;+qmd0f klg x'g ;S5 .

/f]syfd (Prevention) of] ;d:ofaf6 hf]lugsf] nflu b'O{

lsl;dsf] vf]k pknAw 5 ,+

• Chickenpox (Varicella) vaccine• Shingles (Varicella Zoster)

vaccine

Wofg lbg' kg{] s'/fx? M–l vl6/f ePsf] efudf gsGofpg]l hngaf6 5'6\sf/f kfpgsf lgldQ

lrlsT;ssf] k/fdz{ lnP/ dnd k|of]u ug]{

l ;kmf sk8fnfO{ lr;f] kfgLdf 8'afP/ la:tf/} km'6]sf] vl6/f ;kmf ug]{

l v's'nf] lkml6Ësf] n'uf dfq nufpg] l ;do–;dodf blnofn] (Oatmeal)

g'xfpg]

pkrf/ (Treatment)g]kfnL ;dfhdf cem} klg ljleGg

lsl;dsf cGwljZjf; k|rlnt 5g\ . hg} vl6/fsf] pkrf/sf] nflu ;+qmldt efudf l;+x (Lion) sf] lrqsf/L ug]{ k|j[lt lgs} g} k|rlnt 5 . o:tf cGwljZjf; dfgjsf] ;f]rfOdf e/ k5{ .

cf}krfl/s kl/k]Ifdf s'/f ug]{ xf] eg] ahf/df hg} vl6/fsf] pkrf/sf] nflu ljleGg PlG6efO/n cf}iflw (anti-viral drugs) pknAw 5g\ . To;df Aciclovir, Valacyclovir, famciclovir h:tf cf}iflwx? kb{5g\ . o; afx]s Hj/f]sf] Joj:yfkg ug{sf] nflu paracetamol eGg] cf}iflw klg ahf/df ;lhn} pknAw 5 . PlG6efO/n cf}iflwsf] ;xL k|of]un] of] ;d:ofn] lgDTofpg] hl6ntfx?sf] Joj:yfkg klg ug{ d2t k'¥ofp“5 . q

7\of}nf (Chicken pox) hg} vl6/f (Herpes-Zoster)xfjfsf] dfWodaf6 z/L/df Varicella Zoster sf] k|j]zn] ubf{ 7\of}nf x'G5 .

o;sf] sf/0f eg]sf] sdhf]/ k|lt/Iff k|0ffnL xf] h;n] ubf{ Varicella Zoster efO/; k'gM ;ls|o x'G5 .

of] ;+qmfds /f]u xf] h'g Pp6f dflg;af6 csf{] dflg;df ;g{ ;S5 .

of] cfkm}df ;+qmfds /f]u xf]Og t/ of] ;d:ofsf] nflu lhDd]jf/ efO/;n] eg] 7\of}nf km}nfpg ;S5 .

;'?jftdf Hj/f] cfpg', u|lGy ;'lGgg' / c? Flu h:t} nIf0f o;df b]lvG5 .

;'?jftdf lhp lrnfpg', Hj/f] cfpg', df+;k]zL b'Vg', jfsjfsL nfUg' h:tf nIf0f b]lvG5 .

;–;fgf vl6/fx? z/L/sf] s'g} klg efudf b]lvG5, of] lglZrt efudf dfq ;Lldt x'Fb}g .

o;df vl6/fx? hg}sf] cfsf/df lhpsf] jl/kl/ b]lvG5 . lghL cË tyf d'vdf klg oL vl6/fx? b]lvG5g\ .

o;df vl6/fx? Pp6} efudf hDdf eP/ a;]sf] h:tf] b]lvb}g .

o;df w]/} vl6/fx? Pp6} efudf hDdf eP/ a;]sf] x'G5 . o;df kfgL vl6/fafx]s lkk hd]sf] vl6/f klg b]lvG5g\ .

;fdfGotof !) jif{eGbf d'lgsf afnaflnsfx?df of] ;d:ofsf] k|sf]k w]/} x'G5 .

of] ;d:ofsf] k|sf]k jo:sx?df a9L e]l6Psf] kfOG5 .

o;n] k|foM w]/} hl6n ;d:ofx?nfO{ lgDTofpg ;S5 .



;do ;Gbe{

;'Gtnf hf8f]ofddf dgk/fpg] ;+;f/sf] ;a}eGbf nf]slk|o kmnx? dWo] Ps kmn xf] . kmnx?df lgs} sd dfqfdf Sofnf]/L x'G5 . 5fnfsf] nflu /fd|f] x'g'sf ;fy} kfrgk|0ffnL / :gfo' k|0ffnL klg alnof] x'G5 . o;y{ o; kmnnfO{ xfd|f] laxfgsf] gf:tfsf ;fy} pTs[i7 ldi7fg ef]hgdf klg k|of]u ul/G5 . cfpg'xf];\, hfgf}+ o;sf kmfObfx? .

!_ le6fldg ;L sf] Ps /fd|f] ;|f]t dfgj z/L/n] le6fldg ;L c?

kf}li6s tŒjx? em}+ cfkm} pTkfbg ug{ ;Sb}g . xfd|f] z/L/sf] nflu le6fldg ;L Psbd cfjZos 5 / of] ;'Gtnfdf kof{Kt dfqfdf kfOG5 . ;'GtnfnfO{ xfd|f] cfxf/df ;dfj]z ug{ klg cfjZos 5 . le6fldg ;L n] ljleGg df+;k]zLsf rf]6k6ssf ;fy} d'6' /f]u h:tf] 8/nfUbf] /f]usf] hf]lvdnfO{ klg 36fp“5 . ;'Gtnfdf le6fldg ;L sf ;fy} c? kf}li6s tŒjx? h:t} M le6fldg aL, le6fldg P, SoflN;od / kf]6fl;od klg kfOG5 .

@_ kmfOa/sf] pTs[i6 ;|f]t xf] ;'Gtnf kmfOa/sf] Ps pTs[i6 ;|f]t

xf] . o;df ePsf] k|fs[lts lrgL–

k|'mS6f]hn] ubf{ vfgf kl5 /utdf a9\g] lrgLsf] dfqfnfO{ dWod :t/n] 36fp“5 . t;y{, dw'd]xLn] ;'Gtnf s'g} lrGtfljgf vfg ldN5 . o;df ePsf] kmfOa/n] slAhotsf] hf]lvdnfO{ klg 36fp“5 .

#_ SofG;/af6 aRg] dfWod M;'Gtnfdf le6fldg ;L kfOg] x'“bf

z/L/sf] k|lt/Iff k|0ffnL alnof] x'g'sf ;fy} sf]lzsfx?df auto-oxidation x'g] k|lqmofnfO{ klg /f]Sb} SofG;/ h:tf] 3fts /f]uaf6 xfdLnfO{ hf]ufp“5 . o;df kfOg] kmfOa/n] SofG;/ u/fpg] tŒjnfO{ dfgjz/L/sf] cfGb|fb]lv 6f9} /fV5 . o;y{ ;'Gtnfsf] ;]jgn] ljleGg SofG;/x? h:t} M :tgSofG;/, 5fnfsf] SofG;/, k]6sf] SofG;/ / kmf]S;f]sf] SofG;af6 klg arfp“5 .

$_ k'?ifsf] jLo{ (Sperm) sf] u'0f:t/ a9fp“5 ;'Gtnfdf kfOg] kmf]lns Pl;8 eGg]

tŒjn] k'?ifsf] jLo{sf] u'0f:t/ a9fp“5 . o;n] jLo{nfO{ s'g} klg lsl;dsf] cfg'j+lzs u8j8Laf6 arfp“5 .

%_ skfn emg{ /f]S5 dfgj z/L/sf nflu sf]nfh]g eGg]

k|f]l6g lgs} dxTjk"0f{ k|f]l6gx? dWo] Ps xf] . sf]nfh]gn] dfgj z/L/df 5fnfb]lv skfn;Dd 7"nf] e"ldsf lgjf{x u/]sf] x'G5 . sf]nfh]g aGgnfO{ rflxg] le6fldgsf tŒj ;'Gtnfdf kfOG5 . To;}n] ;'Gtnfsf] ;]jg ugf{n] 5fnf / skfn :j:Yo / rdlsnf] x'G5 .

^_ d[uf}nfdf kTy/ aGg] ;Defjgf 36fp“5 ;'Gtnfsf] /;n] lk;fasf] lk= Pr

(pH) a9fpg] x'“bf z/L/af6 a9L dfqfdf l;l6«s (Citric) eGg] tŒj aflx/ lg:sG5 / kTy/L x'g] ;Defjgf 36fpF5 .

&_ lbdfusf] plrt ljsf; x'G5le6fldg aL ! / kmf]lns Pl;8

lbdfu cyjf dl:tissf] plrt ljsf;sf nflu cfwf/e"t tŒj ePsfn] dl:tissf] l;Sg] / :d/0fzlQmsf] IfdtfnfO{ a9fp“b5 . o;sf ;fy} ue{df /x]sf] lzz'sf] dl:tissf] plrt ljsf; klg u/fp“b5 .

dfly pNn]lvt kmfObfx?sf sf/0fn] ubf{ x/]s JolQmn] ;'GtnfnfO{ Ps lgoldt cfxf/ agfpg' g} kb{5 . q

;'Gtnf vfg'kg]{;ft ljleGg sf/0fx?




?;/nf k/fh'nL (Pharmacist)

;fdfGo hLjgz}nLdf dflg; efjgfTds x'G5, t/ w]/} b'MvL x'g' b}lgs ?kdf c;fdfGo dflgG5 .

dfgl;s lrGtf eg]sf] efjgfTds l:ylt xf] h;df dflg; c;fdfGo ?kdf lrlGtt x'G5 . h:t} b'MvL /xg', PSnf] dx;'; ug'{, lg/fzfjfbL /xg', s'g} s'/fdf v'zL dx;'; gug'{ cflb .

dfgl;s lrGtfn] dflg;nfO{ s'g} klg k|sf/sf] cfgGb lngaf6 jl~rt u/fO{ ;a} k|sf/sf] ljrf/df c;/ ub{5 . olt dfq geO{ dfgl;s lrGtfn] xfd|f] b}lgs hLjgz}nLdf ;d]t c;/ kfb{5 .

dfgl;s lrGtfnfO{ sd ug{sf nflu pkrf/ dfq xf]Og xfd|f] hLjgz}nLdf klg kl/jt{g Nofpg h?/L x'G5 . h;sf] sf/0fn] xfd|f] ;f]rfO / z/L/ b'j} tGb'?:t x'g d2t k'Ub5 . tn

lbOPsf s]xL ;'emfjn] tkfO{ xfd|f] hLjgdf kl/jt{g Nofpg ;S5 h:t}M

!= :j:y vfgf:j:y vfgfn] z/L/dfq geO{ xfd|f]

;f]rfOdf klg ;sf/fTds pmhf{ lbg] x'“bf :j:y vfgf vfg' lbdfusf] nflu pko'Qm dflgG5, h:t} M–

l Fatty acids ePsf] vfg]s'/fl Amino Acids ePsf] vfg]s'/f

l Nuts M jbfd, cf]v/l Complex CarbohydratesM u]8fu'8L,

kfn'ª\uf]sf] ;fu, a|f]sfpnLl kmnkm"n h:t}M ;'Gtnf, gfzkftL l xl/of] ;fukftl df5f–df;'l h}t'gsf] t]nl b"wsf kl/sf/x?

@= Jofofdb}lgs Jofofdn] z/L/df pmhf{ k|bfg

ug'{sf ;fy} lbdfunfO{ :j:y /fVg] xfdf]{gsf] klg pTkfbg ug{] x'“bf b}lgs #) ldg]6 Jofofd ug'{ :j:y lbdfusf] nflu pko'Qm x'G5 . Jofofdn] tn lbOPsf] s'/fx?df ;'wf/ Nofp“5, h:t} M

l tgfj sd ug{ d2t u5{ .l v'zL /xg d2t u5{ .l cfTdjn a9fp“5 .l cf/fdbfoL lgGb|f cfpg d2t u5{ . q

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;ftf}“ ;+:s/0fsf] g]kfn kmdf{ P08 x]Ny PS:kf] @)!(, ev{/} !&, !*, !( kmfNu'0f @)&% df lrtjgdf ;DkGg ePsf] 5 . k|To]s b'O{–b'O{ jif{df x'g] o; kmdf{ PS:kf]sf] dxTj–cf}iflw lj1fg / k|ljlwsf] If]qdf Ps pRr :yfgdf /x]sf] 5 . o; cy{d}, b]zleq / aflx/ klg cf}iflw pTkfbg;“u g};lu{s ;DaGw /fVg] o; k|sf/sf] k|ljlw / To;sf] plrt k|of]un] t'ngfTds ljsf; x'Fb} uPsf] 5 .

ljutsf ^ j6f ;+:s/0f;Dd sf7df08f}d} ;Lldt eP/ PS:kf] ug{] ul/Psf]df o;k6s sf7df08f} aflx/ ubf{ klg cjnf]sg ug{] hgdfg;x?sf] 7"nf] ;+Vofdf pkl:ylt b]lvof] . cf}iflwaf/] hfgsf/L lbg] dfq geO{ d/0ff]k|fGt c+ubfgsf] ;fdflhs cleofgnfO{ cufl8 ;f/]sf]n] ljutsf eGbf o;jif{sf] sfo{qmd k[ys klg /Xof] . o; g]kfn kmdf{ P08 x]Ny PS:kf] @)!( sf cfof]hs g]kfn cf}iflw pTkfbs ;+3n] Ælhp“bf]df /Qmbfg, d/]kl5 c+ubfgÆ d"n gf/fsf ;fy ;fdflhs cleofgsf] ;'?jft klg u/]sf] lyof] . @)&% ;fn kmfNu'0f !& ut] z'qmjf/sf lbg pBf]u, jfl0fHo tyf cfk"lt{dGqL dft[sf k|;fb ofbj Ho"n] o; kmdf{ PS:kf]sf] ljlwjt ?kdf pb\3f6g ug{' ePsf] lyof] eg], zlgjf/sf lbg pkk|wfgdGqL PJf+

:jf:Yo tyf hg;+VofdGqL pk]Gb| ofbj Ho"sf] pkl:yltdf ;'? ePsf] æd/0ff]k|fGt c+ubfgÆ ;fdflhs cleofgn] PS:kf]sf] cjlw / To; kZrft\ klg pNn]Vo bfg ug{]x?sf] ;xeflutf clg ;kmntf klg xfl;n ub{} uPsf] 5 . o; ;fdflhs cleofgdf :jf:YodGqLn] pb\3f6g ;'?u/];Fu} ;of}“ dxfbfgLx?n] d/0ff]k|fGt c+ubfgsf nflu dGh'/Lgfdfdf x:tfIf/ u/]sf 5g\ . yk cGon] cleofgnfO{ :jLsf/ ub{} kmf/fd klg nu]sf 5g\ . PS:kf] cfof]hsx?n] zxLb wd{eQm /fli6«o k|Tof/f]k0f s]Gb|, eQmk'/;“u ldn]/ d/0ff]k|fGt c+ubfgsf] cleofgnfO{ cleofgnfO{ ;'?jft u/]sf] lyof] .

o;k6ssf] g]kfn kmdf{ PS:kf]df cf}iflw Joj:yf ljefu, g]kfn pBf]u jfl0fHo dxf;+3, g]kfn pBf]u kl/;+3 nufotn] ;xsfo{ u/]sf lyP . o;

PS:kf]df @)) j6f :6n /flvPsf lyP, h:df g]kfnL sDkgLsf %!, ax'/fli6«o sDkgLsf #) / ef/tLo sDkgLsf !@) :6n lyP . ;/sf/L / lghL If]qsf c:ktfn tyf d]l8sn sn]hx? cf]d c:ktfn, e/tk'/ c:ktfn, aL= kL= sf]O/fnf SofG;/ c:ktfn, k'ikfGhnL c:ktfn, lrtjg d]l8sn sn]h, sn]h ckm d]l8sn ;fO{G;, gf/fo0fL ;fd'bflos c:ktfn, sf7df08f} df]8]n c:ktfn OTofbLsf] klg o; PS:kf]df ljlzi6 pkl:ylt /x]sf] lyof] .

!& ut] laxfg k|eftkm]/Ldf klg g]kfn lrlsT;s ;+3, gl;{Ë ;+3, g]kfn s]ldi6 P08 8«lu:6 P;f]l;Pzg, g]kfn Kof/fd]l8s ;+3, kmdf{:o'l6sN; PlShSo'l6e P;f]l;Pzg ckm g]kfn, g]kfn d]l8sn P08 ;]N; /]lk|h]G6]l6e P;f]l;Pzg, g]kfn cfo'j{]lbs pTkfbs ;+3, e]6]/]g/L P;f]l;Pzg tyf cfof]hs ;+3;+:yfaf6 pNn]Vo

c+s ljz]if

;ftf}“ g]kfn kmdf{ P08 x]Ny PS:kf] @)!( M;Gbe{ k|ljlw / :jb]zdf To;sf] ljsf;

?z/brGb| cf]emf (MM, NPL Div. I)



;+Vofdf k|ltlglwTj lyof] . ;jn pBf]u–;Dj[4 /fi6«, xfd|f] bfloTj–:jb]zL pBf]usf] hu]gf{, d d]/f] b]z / d]/f] pBf]u, ;j{] ejGt' ;'lvgf–;j{] ;Gt' lg/fdo, c+ubfg–dxfbfg, LET US SUPPORT DOMESTIC INDUSTRY nufotsf gf/fx?sf ;fy k|eftkm]/Lsf hgdfg;n] lrtjg PS:kf] ;]G6/ x'“b} :yflgo zxLb rf}s;Dd Kn]sf8{ af]sL kl/qmdf u/]sf lyP .

g]kfnsf] cf}iflw pBf]usf] ljsf;qmdnfO{ lgofNbf, ljZj :jf:y ;Fu7gn] k|ltkflbt u/L nfu' u/]sf] lh=Pd=kL= ;6L{lkms]zg ;DaGwL k|fjwfgnfO{ cIf/; nfu' ul/g'n] pRr u'0f:t/sf ;fy} ;:tf] z'ne d'No lgwf{/0fsf] dfkb08nfO{ plrt 6]jf k'¥ofPsf] 5 eg]/ eGg ;lsG5 . ljutdf Go"g pkl:ylt /x]sf] g]kfnL cf}iflw pBf]un], cfly{s jif{ &$.&% ;Dd cfOk'Ubf em08} %% k|ltztsf] cf}iflw ahf/ cf]u6\g ;kmn x'g'nfO{ xfd|f] pTkfbgx?sf] u'0f:t/df j[l4 clg :jb]zL pBf]usf] k|j4{gdf lrlsT;s, ljqm]tf, Kof/fd]l8S; tyf cGo ;Dk"0f{ ;/f]sf/jfnfx?sf] Gofgf] dfof / ;xof]u klg hf]l8Psf] 5 eGg'df s'g} cTo'QmL gxf]nf . b]z leq pTkfbg / ljlqm ljt/0f ul//x]sf $# j6f pBf]u tyf eljiodf pTkfbg yfNg] cGo s]xL pBf]un] cf}iflw Joj:yf ljefun] tf]s]sf] dfkb08nfO{ nfu' ub{} klg nfg]5g\ . o;cy{df cfkm\g} b]zleq pTkfbg cfTdlge{/ x'g ;kmn eP/ cf}iflwx?sf] cfoftnfO{ /f]Sg;s] cem} /fi6« lxtsf] lgldQ sf]z]9'Ëf aGg ;Sg] lyof] eg]/ lj1x? ljZn]if0f ub{5g\ . ljZj :jf:y ;Fu7gn] tf]s]sf] dfkb08 cg';f/ cf}iflw pTkfbg ug{ w]/} r/0fsf] k|lqmof kf/ ug{'kg{]

pTkfbsx? atfp“5g\ . o;} dfkb08 cg';f/ pTkflbt g]kfnL cf}iflwx? ljZjahf/df k|lt:kwf{ ug{ ;Ifd 5g\ . cf}iflwsf] u'0f:t/ eGg] lalQs} s]xL s'/fdf ljz]if Wofg k'¥ofpg' kg{] x'G5, klxnf] h'g /f]usf] lgjf/0fsf] nflu agfOPsf] xf], rflxPsf] glthf b]vfpg ;Sg] k|efjsf/L / ;'/lIft x'g' kb{5, cf}iflw ;]jg kl5 To;n] z/L/df slt ;doleq k|ltlqmof b]vfpg'kg{] xf], ;f]xL cg';f/ ;a} ldn]sf] x'g' kb{5, cyf{t lj/fdLsf] z/L/leq k'Ug] cf}iflw k|efjsf/L, ;'/lIft, /f]u lgbfg ug{ ;Sg], k|lts"n c;/ sd ePsf] x'g' kb{5 . o;} ;Gbe{df Pp6f gof“ cf}iflw pTkfbg x'g sDtLdf b'O{ jif{ nfUg ;Sb5, h;sf nflu w]/} r/0fsf k|lqmofx? kf/ ug{' kb{5 . u'0f:t/Lo pTkfbg ;xh} aGg g;Sg] x'gfn] g} cf}iflw pBf]unfO{ Ps xfO{6]s pBf]usf] ?kdf x]g{] ul/G5 . cf}iflwsf] u'0f:t/ sfod ug{ pBf]u jl/kl/sf] jftfj/0fb]lv, leqsf] jftfj/0f, ;+/rgf, pks/0fx?, sRrf kbfy{,

hgzlQm, cf}iflw KoflsË nufotsf y'k|} ljlw / k|lqmofdf Wofg lbg' kg{] x'G5 . log} ;Dk"0f{ dfkb08x?leq /x]/ pTkfbg ePsf g]kfnL cf}iflwsf] u'0f:t/ ljb]zL cf}iflwx?sf] bf“Fhf]df a/fa/L ug{ ;Sg] tYo klg n]Vg rfxG5' .

cGTodf, o;} kmdf{ P08 x]Ny PS:kf]sf] ;Gbe{ kf/]/ g]kfn cf}iflw pTkfbs ;+3 cGtu{t /x]sf dfs{]l6Ë ;s{n tyf Sjfln6L ;s{nn] klg 5'§f5'§} Joj;flostf clej[l4 tflndx?sf] cfof]hgf u/]sf] klg oxf“ p4t ug{ rfxG5' .

xfd|f] o; ul/dfdo ;+:yf g]kfn kmdf{:o'l6sN; Nofaf]/]6f]/L k|f= ln= -Pg= kL= Pn=_ sf] klg cfof]hgfb]lv PS:kf] k|bz{gL;Dd pNn]Vo ;xeflutf /x]sf] lyof] . Pg= kL= on= ;dfh sNof0f ;+:yfn] klg PS:kf]sf] cjlw e/L /Qmrfk / dw'd]xsf] lgMz'Ns hf“Fr sfo{qmdsf] cfof]hgf klg u/]sf] lyof] . q



g]kfn kmdf{ P08 x]Ny PS:kf]sf] pb\3f6g ;q

dfggLo pBf]u dGqL >L dft[sf k|;fb ofbj Ho"4f/f PS:kf]sf] :6nx? cjnf]sg ub}{

k|f]= 8f= ljho kf}8]n Pg= kL= Pn sf] :6ndf Joj:yfkg lj1 >L clgn lrqsf/sf ;fy Pg= kL= Pn=sf z/b rGb| cf]emf k|eftkm]/L sfo{qmddf ;xefuL x'Fb}

;ftf}“ g]kfn kmdf{ P08 x]Ny PS:kf] @)!( sf s]xL emnsx?



8f= z'lzn s'df/ l;+x tyf ;femf :jf:Yo ;]jfsf kwflwsf/L Ho"x?sf ;fy Pg= kL= Pn= l6d=

cf}iflw Joj:yf ljefusf ljlzi6 JolQmTjx? Pg= kL= Pn= :6ndf 5nkmn ub}{

Pg= kL= Pn= sf k|aGw lgb{]zs cfkm\gf sd{rf/Lx?;+u dfggLo pkk|wfg, :jf:Yo tyf hg;+Vof dGqL >L pk]Gb| ofbj Ho" Pg= kL= Pn= sf] :6n cjnf]sg ug'{ x'Fb}



PS:kf] ;]G6/af6 ;'? ePsf] k|eftkm]/L sfo{qmdsf] Ps emns

dfggLo pkk|wfg, :jf:Yo tyf hg;+Vof dGqL >L pk]Gb| ofbj Ho" cf}iflw Joj:yf ljefusf dxf lgb]{zs gf/fo0f 9sfn Ho" / cf}iflw pBf]usf ljlzi6 JolQmTjx?;Fu

k|eftkm]/L sfo{qmdsf ;xefuLx? 8f= ljZj aufn] Pg= kL= Pn= :6n cjnf]sg ub}{



dfggLo pkk|wfg, :jf:Yo tyf hg;+Vof dGqL >L pk]Gb| ofbj Ho" æc+ubfg dxfbfgÆsf] pb\3f6g ub}{

ljlzi6 ;h{g 8f= eQmdfg >]i7 Pg= kL= Pn= l6dsf ;fy

ef/tLo kfx'gfx? Pg= kL= Pn= sf] :6ndf 5nkmn ub}{ 8f= k'sf/ >]i7 d[uf}nf k|Tof/f]k0faf/] k|:t'lt lbg' x'“b}



afof“af6 >L lblnk lkof, aLrdf Pg= kL= Pn=sf ahf/ lgb{]zs >L dx]z uf]vf{nL / >L sNof0f lkof -yf]s ljqm]tf_

g]kfn pBf]u jfl0fHo ;+3sf pkfWoIf tyf cf}iflw pTkfbs ;+3sf k"j{ cWoIf >L pd]znfn >]i7 Ho"sf ;fydf Pg= kL= Pn= l6d

g]kfn lrlsT;s ;+3sf cWoIf 8f= k|sfz vltj8f, 8f= bof/fd nD;fn tyf cGo lrlsT;ssf ;fy Pg= kL= Pn= l6d



cf}iflw pBf]u hut\sf ljlzi6 JolQmTjx? c+ubfg cleofgdf ;fd]n x“'b}

afof“af6 qmdzM Pkf]gsf lgjt{dfg cWoIf >L z+s/ l3ld/]Ho", k"j{ cWoIf tyf Pg= kL= Pn=sf ahf/ lgb{]zs >L dx]z uf]vf{nLHo" Pj+ Pkf]gsf cWoIf >L lbks k|;fb bfxfnHo" k|eftkm]/L sfo{qmddf ;xefuL x'“b} .



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Telmisartan + Hydrochlorothiazide

@_ kmf]S;f]df x'g] =============== df O2 /

CO2

sf] cfbfgk|bfg x'G5 .

#_ Lapen n] ahf/df NofPsf] Linagliptin + Metformin

$_ NPL Div I n] ahf/df NofPsf]

Cefixime

%_ x•L sdhf]/ x'g] /f]u

t];f]{

!_ 3f“6LeGbf tn / lxk eGbf dflysf]

efunfO{============ elgG5 .

@_ NPL Div II n] ahf/df

NofPsf] Fexofenadine

#_ z/L/df O2 sf] dfqf sd x'g'

$_ NPL-Esthetica n] ahf/df

NofPsf] Butenafine.

%_ cª\u]|hLdf ;]tf] b'aLnfO{ s] elgG5 <

;f+lu|nf k|ltof]lutf g+ $# sf k'/:sf/ ljh]tf >L a]b s'df/ v8\sf, lu|gNof08 kmfd]{;Lsf7df8f}+nfO{ k'/:sf/ k|bfg ub}{ Pg= kL= Pnsf Pd= cf/ ;'lgn dx{hg -afof“_

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dxfg'efjx?

k|yd k'/:sf/

zld{nf zfSozfSo d]l8sn xn

latf{df]8, emfkf

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elgG5 <@_ SofG;/df x'g] c;xo b'vfO{df k|of]u

ul/g] cf}iflw#_ NPL Div II n] ahf/df NofPsf]

Amoxicillin + Clavulanic acid.$_ skfn emg]{ ;d:ofnfO{ s] elgG5 <%_ NPL Div I n] ahf/df NofPsf]

Moxifloxacin eye drop.

t];f]{!_ Lapen-Rhythm n] ahf/df NofPsf]

Clozapine@_ k'?if k|hgg k|0ffnLnfO{ k|efljt ug]{

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xfd|f] kqfrf/sf] 7]ufgf M

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lbk]Gb| rf}nfufO{, ljBf cNsf kmfd]{;L, nlntk'/

g]kfn kmdf{:o"l6sN; Nofaf]/]6f]/L k|f= ln=(A WHO - GMP Certified Company)

Regd. Office & Factory: Jeetpur, Bara, Narayani Zone, Nepal, Tel: 053-412133, Email: [email protected] Office: Om Ashram, Shreepur, Birganj, Narayani Zone, Nepal, Tel: 051-529949, Fax: 977-51-522084, Email: [email protected]

Marketing Office: Krishna Galli, Lalitpur, Bagmati Zone, Nepal, Tel: 01-5529059 Fax: 977-1-5529434, Email: [email protected]

g]kfn kmdf{ P08 x]Ny PS:kf] @)!(...3 Pdnf]8 ljz]if hf]lvd afNosfn b]lv afy d'6' /f]u d'6'sf] eNe...

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Transcript of g]kfn kmdf{ P08 x]Ny PS:kf] @)!(...3 Pdnf]8 ljz]if hf]lvd afNosfn b]lv afy d'6' /f]u d'6'sf] eNe...