]°ym]°y§Ä _meNnInÕbnÂ
B\µv
]n.sI.hn.
sshZycXv\w
BbpÀthZ tImtfPv
Iuamc`rXysa¶Xv Ipamcsâ `rXy\mtbm Ipamcs\
`cn¡emtbm CXv hymJym\n¡mw. IpamcX{´sat¶m _meNnInÕsbt¶m ]Xnhp NÀ¨Ifn D]tbmKn¡p¶Xn\p ]Icw Iuamc`yXysa¶pw Ipamc`cWsa¶papÅ A\zÀ°hpw hyXykvXamb AÀ°hym]vXnbpÅXpamb Cu ]Zw [mcmfambn D]tbmKn¡pIbmsW¦n Cu
imJbpsS {]hÀ¯\k{¼Zmbw F§s\bmsW¶v \½psS a\Ênepd¨pIn«pw. ]cnNcW¯n\pÅ {]m[m\yamWnhnsS
NnInÕtb¡mfp]cn kqNn¸n¡s¸Sp¶Xv. Ip«nIÄ kXz_ehpw
icoc_ehpw IpdªhcmbXpsIm-v
NnInÕm^ew sshZys\ am{Xaà ]cnNmcIt\bpw A½tbbpw IqSn
hfscb[nIw B{ibn¨ncn¡p¶p. AXn\m {]tXyI]cnioe\w e`n¨
]cnNmcIscbmIWw AhnsS \ntbmKnt¡-Xv.
apeIpSn¡p¶ Ip«nIÄ¡v ip²amb ape¸m Gähpw ]°yamWv. Aip²ambsX¦n AXv ae_Ôw, aq{Xtcm[w,
A´À±mlw, OÀ±n XpS§nbh I--m a\Ênem¡Ww. Ip«nIÄ¡v Aip²n AYhm
tZmjZpjvSn¡v aäp hyàamb ImcW§sfm¶pw Adnbm\mIp¶nsænepw Gsd¡psd AXv XpS§p¶Xpw hÀ²n¡p¶Xpw Zpjn¨ ape¸m hgnXs¶sb¶v Duln¡mw. ape¸m ZpjvSn C¶pw kaql¯n hym]Iambn«ps-¶v \nco£n¨m Adnbm\mIp¶XmWv. ape¸m {]mb¯nepÅ inip¡Ä¡nSbnen¶v [mcmfw ImWs¸Sp¶ ae_Ôhpw, A´À±ml¯ns\
kqNn¸n¡p¶ Xe¨qSpw XehnbÀ¸pw AXv icnh¡p¶XpamWv.
Pzcw, AXnkmcw, XpS§nb Nne tcmK§Ä {]hr¯yp·pJambncn¡p¶ AhØbn ZpÀÖbamb hym[nthKapÅhbmsW¶v {]tXyIw ]cmaÀin¡s¸«n«pÅXn\m B kµÀ`§fn Huj[§Ä¡v {]m[m\yw IpdbpIbpw ]°y¯n\pw ]cnNcW¯n\pw {]kàn hÀ²n¡pIbpw sN¿p¶p. ]\nbpÅ kab¯v NqSpIpd¡phm\mbn s\änbn \\¨nSpIbpw XpWnap¡n¯pS¡pIbpw sN¿p¶Xv ]\n¨qSp Ipdbphm\pw NqSpsIm--v I^anfInbn«v A]kvamctam Gsd \o--p\n¡p¶ Npabp-mIp¶tXm Hs¡ HgnhmIp¶p. AhnsS
Pzclcuj[§Ä¡v {]kànbnÃ. AXnkmcuj[§Ä Ip«nIfn BZymhØbn Xs¶ {]tbmKn¡p¶Xnt\¡mÄ AhcpsS XrjvWbpw XfÀ¨bpw Hgnhm¡p¶Xn\v {]m[m\yapv. AXpsImpXs¶ AXnkmc¯n shÅw A]°yamsW¦nepw, kvXw`\§fn A{Kyamb Peap]tbmKn¡p¶Xphgn \nÀÖeoIcWsamgnhm¡m\mIp¶p.
]°ysa¶Xv NnInÕbnÂ\n¶pw hyXymks¸«ncn¡p¶Xv Huj[m¶hnlmc§fn {][m\ambhbpw
A{][m\ambhbpw F¶ XcwXncnhp sImmWv. {][m\ambn \nÝbn¡s¸Sp¶ NnInÕmkq{X¯n\pw Huj[¯n\pw {Inbm{Ia§Ä¡pw klmbIambn XncsªSp¯v \nÝbn¡p¶hbmWv ]°y§fmbn
hyhlcn¡s¸Sp¶Xv. _mecpsS tcmK\nÀ®b¯nepw NnInÕm D]mb§fnepw kztX DÅ FÃm ]cnanXnIfpw ]°y\nÝb¯n\pw {]tbmK¯n\pw IqSn _m[IamWv.
"kmXXymÂ
kzmZz`mhmZzm ]°yw
tZzjXzamKXw
IÂ]\mhn[n`nkvssXkvssXx
{]nbXzw Katb ]p\x
eueymtZmj£bmZzm[nsshjtaW
N bmcpNnx
Xmkp]°ym]lmctÚm tbmtK\m\yw hnIÂ]tbÂ
a\kÝm\pIqtey\
]pjvSyqÀÖm _ehÀ²\w
kptJm]t`mKXm N kymÂ
hymt[ÝmXx ]cn£bx"
NcIw.
Ip«nIÄ¡njvSs¸Sp¶ kzmZn Huj[§Ä XncsªSp¯v \ÂIpI Ffp¸aÃ. ]et¸mgpw sNdnb hminbpw A\pkcWt¡Spw aäpw tcmK¯nsâ `mKamtbm e£Wamtbm D--mImw. AhÀ¡v sImSp¡p¶ acp¶v a[pcambncp¶mÂt]mepw tkhn¸n¡ms\fp¸aÃ. KuchapÅ tcmK§Ä¡v apjn¨nepm¡p¶{X ZoÀLImew acp¶psImSpt¡-nh¶mepw a[pctam kzmtZm CÃm¯XpsIm--pw aäpw ]°yambncn¡p¶ BlmcmZnItfmSv shdp¸v tXm¶ntb¡mw. A¯cw kµÀ`§fn hyXyØIÂ]\mhn[nIÄ D]tbmKn¨v AXv CjvSapÅXm¡n¯oÀt¡-XmWv. Htc
Blmc¯nsâ aSp¸pamdphm³ FÃm¯cw ]mNIcoXnIfpw
]co£nt¡-XmWv. Ip«nIÄ¡v {]tXyIn¨pw hyXyØ`wKnbnepÅ ]nªmW§fn hnf¼pIbpw, ]eXcw
BIrXnbn \ndhpw aWhpw sImSp¯v BIÀjam¡n \Ãhm¡p]dªpw sIm©n¨psIm--pw Blmcw sImSp¡pI F¶Xv {][m\amWv. "kpZÀi\a¶w {i²mP\\m\mw t{ijvTw" F¶Xv A¶m{i²bpw AcpNnbpw {]ISamIp¶ FÃm kµÀ`§fnepw HmÀ½nt¡-XmWv. Ip«nIfmbXpsIm--v CjvSs¸«htbmSv
sImXnbpw aäpÅhtbmSv AcpNnbpap-mIpw. CXv tZmj£bwsImtm hym[n Gdnbpw Cd§nbpw Ccn¡sIm-tm IqSn D--mImw. ]°y§Ä At\zjn¨dnªv {]tbmKn¨m a\Ênsâ A\pIqe`mhhpw
]pjvSn, DuÀÖw, _ew Chbp-mIpIbpw kptJm]t`mKXbpw hym[nia\hpap--mIp¶p.
\nÀt±i§fpsS bYmÀ°XmÂ]cyw ImelcWs¸«pt]mb Iptd kµÀ`§fpw \½psS
CSbnepv. ]e tcmK§fnepw \½psS \m«n s]mSnbcn¡ªnbmWv {][m\]°ymlmcsa¶ncns¡ C¶v \mw D]tbmKn¡p¶Xpw e`yambncn¡p¶Xpw Bb s]mSnbcnbà ChnsS ]cmaÀin¡p¶sX¶Xv {]tXyIw {i²nt¡-XmWv. ]pcmW[m\y§Ä FÃmtcmK§fnepw ]°yamWv. A{]Imcw Hcp hÀjsa¦nepw ]g¡sa¯n X\nsb s]mSnbmIp¶ Acnsb¶mWv Cu s]mSnbcnsIm--v Dt±in¡p¶Xv. G{XImew ]g¡apmIWsa¶Xn\v am\ZWvUambn«v, Hcp AcnaWnXs¶ ]g¡wsImv X\nsb Ggp \pdp¡mbn«v apdnbp¶nSt¯mfw Imesa¶pw ]dbmdp--v. C¶v DÂ]¶§Ä F{Xbpw thK¯n hn]Wnbnse¯n¡pIbmWv k{¼Zmbsa¶XpsIm--v, anÃn Ip¯pt¼mÄ \pdp§nt¸mIp¶ ]ps¶ÃcnXs¶bmWv e`yamb
s]mSnbcnsbÃmw. Cu s]mSnbcn¡v
]pXnb AcnbpsS A]°yamb KpW§sfÃmw Dmbncn¡pw. ]pcmW[m\y§sft¸mse ]°yamsW¶v
]dbpIh¿. AXpsIm--v hn]Wnbnse
s]mSnbcnsb¦n ]°yam¡n¯oÀ¡m³ PzcNnInÕbn ]dbp¶Xpt]mse Acnhdp¯v Iªnh¡pIsb¶XmWv \mw
s]mSnbcn¡ªn¡p]Icw \nÀt±int¡--Xv.
Ip«nIfnse hym[n£oWX (Convalescence)
"t`jP£]ntX
]°yamlmsscÀ_rwlWw {IamX"v F¶Xv Ip«nIfn {]tXyI {]m[m\yapÅ
H¶mWv. AhÀ¡v NnInÕsImpÅ £oWw am{XaÃ, tcmKw amdnbmepÅ £oWw amdphm\pw {IaoIcn¨
_rwlWw BhiyamWv. Aán_eaps¦n sh®bpw s\¿pw Ip«nIÄ¡v th-- {][m\ ]°ymlmc§fmWv.
\memgvNtbm F«mgvNtbm IqSpt¼mÄ s]s«¶v I^anfIn ]\nbpw aäpw D--mImdpÅ Ip«nIÄ¡v hym[n£oWmhØ amdm\mbn s\¿v Iq«n \ntXy\ DuWv
Ign¸n¡p¶XpsIm--v am{Xw B tcmK§Ä Hgnhmbn\n¡p¶XmWv. an¡hmdpw tcmK§fn Ip«nIÄ¡p]tbmKn¡mhp¶ {][m\ ]°ymlmcamWv
aecv. Gähpw eLphpw t¢Zlchpw tZlw XWp¸n¡p¶Xpw Imkizmklchpw
Bb aecv a\Ên\pw icoc¯n\pw Hcpt]mse XÀ¸Ws¯ D--m¡p¶XmWv. Ir{Xnaambn kzmZpw aWhpw ]nSn¸n¨sX¦nepw, tKmX¼pw tNmfhpw aäpw hdp¯vs]mSn¨v Dm¡p¶ hmWnPyh¡cn¡s¸« \yq{Sap t]mepÅ Ip«nIfpsS ]m\ob§fpw tlmÀenIvkv t]mepÅ
"BtcmKy"]m\ob§fpw aecn\pw
aeÀs¸mSn¡pw XÀ¸W¯n\pw kam\KpWapÅXmbn«v IW¡m¡mhp¶XmWv
Ipfn Ip«nIÄ¡v hfsc {][m\amWv. £oWw amdm\pÅ A{Kyuj[w IpfnbmsW¶ncns¡ Ipfn¨m tcmKw hcpsa¶v `bs¸Sp¯nbXpsIm--v amk§tfmfw F®bpw shÅhpw sXmSo¡m¯ Ip«nIÄ [mcmfap--v. F¶m Xzt{KmK§Ä¡pw izmkImk§Ä¡pw Pzc¯n\pw aäpw CeIÄ NX¨n«v shbne¯v sh¨ shůn Øncambn Ipfn¸nt¡--Xv henb I^s¡t«m Zl\sshjaytam CÃm¯ Ip«nIÄ¡v acp¶pItfmfw Xs¶ {]m[m\yapÅXmWv.
I^apÅ kµÀ`§fnse¦n Npt¡m PocItam C«v Im¨nb ]m sImSp¡Ww. AÂ]kzÂ]w BamhØsb¦nÂt]mepw
D]tbmKn¨psIm--ncn¡p¶ Ba]mN\uj[§Ä¡v hncp²amIm¯coXnbn Huj[§fn«v Im¨nb ]m sImSp¡mhp¶XmWv. AXmbXv
Baw apgph³ amdp¶hsc \op\n¡p¶ ewL\wsNbvXv Ip«nIÄ¡v icoct¢iap--mt¡-XnÃ. ]m shÅw tNÀ¯v t\À¸n¨v Ffp¸w Zln¡mhp¶Xm¡ns¡mSp¡p¶XmWv A½amcpsS
]XnhpcoXn. F¶m ]mtemfw shÅw tNÀ¯v ]mefhm¡n hän¨v eLphm¡p¶XmWv IqSpX A`nImayambXv. Bhiy¯n\pÅ Dd¡w Gsd {i²nt¡-- ]°yamWv. izmkw, APoÀ®w t]mepÅ ]e tcmK§fnepw ]Iepd¡w Gsd ]°yhpamWv. DWÀs¶Wo¡pt¼mgpÅ DÕml¡pdhv hnfÀ¨bptSbpw aäpw km²yX kqNn¸n¡p¶p.
XpÑamb tcmKmhØ
]et¸mgpw Ip«nIÄ¡v tcmKt¯¡mÄ subclinical AhØIÄ \o--p\n¶p]{Zhn¡mdp-v.
DZmlcWambn ]o\kw Xncn¨dnbmhp¶{X Csænepw t\cnbXmbn
aq¡SªmÂt]mepw Ip«nIÄ¡v AcpNnbp--mImw. Nne
Blmc§tfmSp am{Xw XmÂ]cyhpw asäm¶pw Ign¡mXncn¡epw ImWn¡pw. ]t£ cpNnbp--m¡p¶ ckamb D¸v IqSpXepÅh, {]tXyIn¨v e`yX¡\pkcn¨v C¡me¯v hdps¯Sp¯ Nn]vkpw anIvkdpw
aäpw XmÂ]cyt¯msS Ign¡pIbpw IqSpXemhiys¸«v hmin]nSn¡pIbpw I--m AXv Xncn¨dnbmw. AXpt]mse
Ipdsªmcp ae_Ôw, DÅwssI¡pw DÅw Imen\pw am{Xw NqSv, XehnbÀ¡Â, t\cnb
hbdpthZ\, hÃt¸mfpapÅ aeanfIÂ, Blmcw Ign¨mepS³ aetim[\bp--mI XpS§n tcmKambn«nÃm¯Xpw ]°yw am{Xw BNcn¨m hcm\ncn¡p¶ tcmKw Hgnhm¡m\mIp¶Xpamb \nch[n
kqN\IÄ¡mbn Ip«nIfn \mw ]cntim[\ \S¯n, Ah Is--¯n ]°ym\pjvTm\§Ä \nÀt±int¡XmWv.
_meyw I^tcmK§Ä¡v {]m[m\yapÅ ImeamWv. I^w AXnsâ bYmÀ°KpW§Ä sImv hÀ²n¡pIbmsW¦n AXv icoc_ehpw
tcmK{]Xntcm[tijnbpw Iq«p¶XmWv. ioXhocyt¯msSbpÅ I^hr²n kvI¶ambncn¡psIm--v tcmtKmÂ]mZIkaÀ°aÃ. hÀ²n¨ I^¯n DjvWw {]hÀ¯n¡pt¼mgmWv AXv tIm]n¨v tcmKap--m¡p¶Xv. AXmbXv tcmK§Ä¡v I^{]m[m\yaps--¦nepw AXv
hyRvPIImcWw am{Xta BIp¶pÅq. DÂ]mZIImcWamIp¶Xv ]n¯w, DjvWw, Aán, Ah¡SnØm\amb {KlWn F¶nhbpamWv. {KlWosshKpWyhpw
Dujvahr²nbpw ]n¯hr²nbpw I^apcp¡nhÀ²n¸n¡pt¼mÄ
B I^w Aánsb ad¨v Aánamµycq]¯nepÅ tcmK§fp--m¡p¶p.
Ip«nIÄ¡v ]et¸mgpw ZoÀLImek©nXamb
tZmjZpjvSnsIm--v F¶v IW¡m¡mhp¶ tcmK§Ä IpdhmWv. AXpsIm--pXs¶ apXnÀ¶hcpambn At]£n¨v ip²icoc·mcmsW¶pw AhcpsS tZmjZpjvSn AXmXv kµÀ`¯nepÅ tcmK¯n\v am{Xw
ImcWamsW¶pw A\pam\n¡mhp¶XmWv. Ip«nIÄ ]e tim[\IÀ½§Ä¡pw AtbmKycmWv. am{XaÃ, AhÀ¡v tim[\w th--nhcp¶ Ahkc§fpw Cu ip²icocXzwsIm--v Ipdhmbncn¡p¶p. Hcp]t£ iàamb tZmjZpjvSnbpsS kqN\bps--¦n _oPZpjvSntbm
[mXpk¼qÀ®XbnÃm¯XpsIm--pÅ hym[n£aXzanÃmbvItbm IW¡mt¡--Xp-v. Kuchtadnb
tim[\NnInÕ ]XnhnÃm¯XpsIm--pw ]°yNcyIÄ NnesXms¡ Ip«nIÄ¡v A{]kàambXpsIm--pw Gsd
IÀi\aÃm¯Xpw Ip«nIfn {]tbmKn¡mhp¶Xpw Bb ]°y§Ä F¶ ]cnKW\bmWv {][m\amIp¶Xv.
hr¯nbpÅ ]cnkc¯n s]cpamdp¶XpsIm--v C¶v IrantcmKw hfsc IpdhmWv. ]mensâbpw aäp t]mjI§fptSbpw
e`yXsIm--v Ip«nIÄ¡nSbn C¶v ]pgp¸Ãpt]mepw ap³Ime§fnte¡mÄ hfsc
IpdhmWv. Hmtcm Ip«n¡pw Häs¡mä¡pXs¶ {i²In«p¶psh¶Xpw CXnsemcp
LSIamWv. Ip«nIfpsS ]°y¯n\v "\ _meaXnb{´tbXv" Fs¶mcp ]cn[nbpw
]dªn«p--v. AXmbXv, tcmK¯n\pw acp¶n\pw IW¡m¡n At§bäw Hgnhm¡s¸tS-hbpsS ]«nI X¿mdm¡p¶Xnt\¡mÄ {i²nt¡-Xv Poh\hpw
_ehÀ²Ihpamb Blmchnlmc§Ä XpSÀ¶psIm--pt]mIpIsb¶XmWv Ip«nIfpsS NnInÕbn Bhiyambncn¡p¶Xv.
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