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44.नवजात शिशु स्याहार कसरी र किन गर्ने _ New Born Care: How and Why BY DR. SURYA B. PARAJULI, NEPAL


      
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gjhft lzz'sf]  afFRg] / :j:y  hLjgsf]  ;Defjgf hGd]sf] klxnf]  306fleq lbOg] :ofxf/df e/ kb{5 / ;fy;fy} cfdfnfO{ k|;'lt / ;'Ts]/L cj:yfdf lbOg] :ofxf/sf] klg plQs} e"ldsf /xG5 . To;}n] 3/df g} aRrf hGdfpg' eGbf cfdf / aRrf b'j}sf] ;':jf:Yosf] nflu  c:ktfndf cyjf tflnd k|fKt ;'8]gL åf/f k|;'lt u/fpg' kb{5 . To;}n] cfh d}n]  gjhft lzz' :ofxf/ ;DaGwdf rrf{ ug]{ hdsf]{ u/] .

g]kfndf gjhft lzz' :jf:Yo l:ylt
gjhft lzz' eGgfn] lzz' hGdb]lv @* lbg ;DdnfO{ hgfpFb5 . g]kfndf gjhft lzz' d[To'b/ @) प्रतीहजार जन्ममा 5, h'g ljZj e/df  t];|f] pRr lzz' d[To'b/ xf] . gjhft lzz' d[To'b/n] afn d[To'b/sf] ^)Ü c+z cf]u6]sf] 5 . s'n lzz' d[To'b/sf] b'O{ ltxfO{ d[To' hLjgsf] klxnf] dlxgfdf x'G5 . o; dWo] b'O{ ltxfO{sf] d[To' klxnf] xKtfdf x'G5 / o; dWo] klg b'O{ ltxfO{sf] d[To' hLjgsf] klxnf] lbgdf g} x''G5 .  o; dWo] #–$ gjhft lzz[' k|To]s 306fdf db{5g\ . of] klg w]/} h:tf] ufpFdf g} x'g] u/]sf] kfOG5 . To;} sf/0f gjhft lzz'sf] 3/}df x]/rfx ug{ clt g} cfjZos klg 5 .

gjhft lzz'sf] cfwf/e't cfjZostf
;'/Iff, ;fdfGo Zjf;k|Zjf;, Gofgf]kgf,:tgkfg

gjhft lzz'nfO{ k|;'ltkl5 tTsfn} ul/g'kg]{ cTofjZos :ofxf/
gjhft lzz'nfO{ hGdgf;fy cfdfsf] k]6 dfly /x]sf] ;kmf Gofgf] / ;'Vvf sk8fdf /fVg] / Tolx ;'Vvf g/d / ;kmf sk8fn] k'l5lbg] . gjhft lzz'n] ;fdfGo ?kn] Zjf; lnO/x]sf] 5 5}g d'NofËg ug]{ obL lg;fl;Psf] ePdf gfeL sf6L gjhft lzz'nfO{ tTsfn} s[lqd Zjf;k|Zjf; lbg' kg]{ x'g ;Sb5 . To;y{ o;af/] ljz]if Wofg lbg' kb{5 . leh]sf] sk8fnfO{ gjhft lzz'af6 x6fpg] / Gofgf] kfl/ lzz'nfO{ cfdfsf] gfËf] k]6df 6fF;]/ /fVg] clg Gofgf] / ;'Vvf sk8fn] 5f]lklbg] . gfeL sf6\bf lgd{nLs[t cf}hf/sf] dfq k|of]u ug'{ kb{5  / wfuf] gfO6f] afFWg]  lrlD6n] afFWg' kb{5 . /ut lgl:sPsf] 5÷5}g x]g]{ / gfeLdf s]xL klg gnufpg] ;fy} gfeLnfO{ v'nf 5f]l8lbg' kb{5 .w]/} h:tf] ;+qmd0f ;'? x'g] 7fpF g} gfeL  xf] . gfeLdf s]xL klg nufpg' x'Fb}g / o;nfO{ ;kmf tyf ;'Vvf /fVg'k5{ . gjhft lzz'nfO{ ;+qmd0faf6 arfpg gfeLsf] ;/;kmfO{df ljz]if Wofg lbg'k5{ . To;}n] gjhft lzz'sf] :ofxf/  ug'{ cufl8 :ofxf/ stf{x?n] k6s÷k6s xft w'g] / gfeLnfO{ ;kmf / ;'Vvf /fVg], gfeLdf t]n÷a];f/ s]xL klg gnufpg] ug'{kb{5 . k|To]s gjhft lzz'sf] tf}n lng cToGt dxTjk"0f{ x'G5 lsg eg] sdtf}n ePsf lzz'sf] d[To' x'g] ;Defjgf a9L x'G5 . lzz'nfO{ tf}n ubf{ ;kmf sk8fn] j]/L tf}n lng' kb{5 . tf}n lnFbf  lzz' gfË} x'g' x'Fb}g . lr;f]sf] sf/0f gjhft lzz'sf] d[To'b/ a9]sf] klg kfOPsf] 5 . To;df klg sd tf}n -@=% s]=hL= eGbf d'lg_ ePsf lzz'x?nfO{ t cem ljz]if x]/rfx ug'{kb{5 . hGd]kl5 gjhft lzz'nfO{ ;lhnf] x'g] u/L cfdfsf] b'O{ :tgsf] jLrdf gfËf] 5fltdf 6fF;]/ /fVg] . of] ljlw cfdfn] 3/df klg cfkm} ug{  ;lS5g\ . o;nfO{ æ sËf? ljlwÆ cyjf ædfofsf] cËfnf]Æ ljlw klg elgG5 . æsËf? ljlwÆ n] gjhft lzz'nfO{ rf}lj;} 306f Gofgf] /fVb5 lsgls cfdf g} ;jf]{Qd æcf]yf/L oGqÆ x'g\ . o;af6 gjhft lzz'sf] :jf:Yo l:ylt l56f] ;'wf/ x'G5 ;fy} k|lt/Iff k|0ffnL . zlStdf l56f] ljsf; x'g] ePsfn] :jf:Yo ;+:yf hGo ;Defljt ;+qmd0faf6 klg aRg ;lsG5 . sd tf}n ePsf aRrfx?sf] nflu Gofgf] /fVg  …sËf? ljlwÚ pko'Qm dflgG5 .

gjhft lzz'nfO{ Gofgf] kf/f] /fVg'sf] h?/L
jo:s / x's]{sf]  lzz'sf] t'ngfdf gjhft lzz'nfO{  hGd]sf] ;dodf / To;kl5sf s]xL lbgx?;Dd cfkm\gf] z/L/sf] tfkqmd ;Gt'ng ug{df ;d:of x'G5 . gjhft lzz' hGdbf p;sf] z/L/ ue]{ kfgL cflbn] leh]sf] x'gfn] gjhft lzz'n] z/L/sf] tftf] rfF8} u'dfpF5g\ . gjhft lzz' hlGdPkl5 aflx/L jftfj/0fsf] tfkqmd ue{sf] eGbf sd x'g] ePsf]n] klg Gofgf]kgf l56f] u'dfp5g\ . em\ofn, 9f]sf v'nf ePdf lr;f] jfo'sf] k|efjn] klg Gofgf]kgf sd x'Fb} hfG5 . olb gjhft lzz'nfO{ /fd|f];Fu ;'Vvf gkfl/lbPdf, 6fpsf] / lhp g5f]lklbPdf / tfkqmd u'dfpgaf6 ;'/lIft gul/Pdf !)–@) dLg]6df lzz'n] @–$ l8u|L ;]= tfkqmd u'dfpg ;S5g\ . olb lr;f] ePdf pgLx?n] cfkm"nfO{ Gofgf] /fVg w]/} zlQm vr{ ug'{ kg]{ x'G5 . o:tf] lzz'sf] z/L/sf cËx? lg:s[o x'G5g\ / lzz'n] Gofgf] xfl;n ug{sf nflu w]/} zlQm vr{ ug'{ kg]{ x'G5 . cem To;dfly klg lzz' ;fgf] tyf cjlw gk'Ub} hGd]sf] eP  yk vt/f x'G5 . o;sf ;fy} gjhft lzz'sf] Hofg hf]lvddf kfg]{  lztfËsf] af/]df s]xL hfgsf/L lnO{ xfnf} . ;fdfGotof gjhft lzz'sf] z/L/sf] tfkqmd #^=%l8u|L ;]lN;o;b]lv #&=%l8u|L ;]lN;o; ;Dd xf] . olb z/L/sf] tfkqmd ;fdfGo eGbf  sd eof] eg] To;nfO{ ælztfËÆ ePsf] a'lemG5 . udL{sf] df};d 5 eGb}df aRrfnfO{ …zLtfËÚ gx'g] eGg] wf/0ff /fVg' x'Fb}g . lztfË x'Fbf  lzz'sf] z/L/sf cËx? lg:s[o x'G5g\ / gjhft lzz' sd rN5 . ;f; km]g{ ufx|f] x'G5 . b'w r':g] Ifdtf 36\5 ;fy} ;w} ;+qmd0f x'g] pRr hf]lvddf x'G5g\ / dg]{ vt/f klg a9L x'G5 . t;y{ gjhft lzz'nfO{ jo:s tyf x's]{sf lzz'sf] t'ngfdf ;fjwfgLk"j{s :ofxf/ ug'{ kb{5 / Gofgf] kf/L /fVg' kb{5 . ;d:of a9\b} uPdf t'?Gt cf}ifwL pkrf/sf nflu c:ktfn nUg' kb{5 . cfdfn]  hlt ;Sbf] rfF8f] gjhft lzz'nfO{ :tgkfg  u/fpg' kb{5 . lzz' hGd]sf] ! 306f leq :tgkfg u/fO;Sg' k5{ . gjhft  lzz'nfO{ 5 dlxgf;Dd cfdfsf] b'w afx]s cGo s'g} vfgf jf emf]n kbfy{ glbO{ -cf}ifwL / vf]k afx]s_ :tgkfg k"0f{ ?kdf u/fpg' kb{5 . gjhft lzz'n] cfdfsf] :tgaf6 b'w r':g yfn]kl5 cfdfsf] kf7]3/ v'Dr]/ ;f] af6 x'g] /Qm>fj sd x'g yfNb5 . ljuf}tL b'w jf cfdfsf] :tgaf6 cfpg] klxnf]  b'w gjhft lzz'nfO{ cd[t ;dfg x'G5 lsgsL  o;df ;xL dfqfdf kf}li6s tTjx? /x]sf x'G5g\ . cfkm" hGdbf gjhft lzz'sf] klg w]/} zlQm vr{ x'g] ePsf]n] gjhft lzz' :jod\nfO{ ;d]t o;sf] cfjZostf kb{5 . cfdfsf] kx]nf] ljuf}lt b'wn] gjhft lzz'sf] z/L/df /f]u k|lt/f]wfTds Ifdtf k|bfg ub{5 o;df lzz'nfO{ j[l4 ug]{ tTj / le6fldg …PÚ k|z:t dfqfdf  kfOG5 h;n] ubf{ cfGb|fnfO{ klg kl/kSs agfpFb} n}hfg d2t u5{ / cfFvfsf]  /f]u / ;+qmd0faf6 arfpF5 . ljuf}lt b'w gjhft lzz'sf] nflu klxnf] vf]k  xf] . t;y{ gjhft lzz'nfO{ ljlw k'¥of{O{ aRrfn] rfx] hlt pko'Qm dfqfdf ^ dlxgf;Dd cfdfsf] b'w v'jfpg' kb{5 .