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63. Smoking_धुमपान _ A HEALTH ARTICLE BY DR SURYA PARAJULI












kl/ro
r'/f]^, la+*L, l;uf/, x'Ssf, sSs* / ;'tL{ ;]jgnfO{ w'dkfg elgG% . w'dkfg Ps k|sf/sf] b'Jo{;g xf] . w'dkfghGo pTkfbgx? k|fozM ;'tL{af^ ag]sf x'G%g\ . ;'tL{sf] k|of]u d'Votof b'O{ lsl;daf^ ePsf] kfOG% . w'+jfsf] ?kdf h:t}M r'/f]^, tdfv', sSs*, x'Ssf, la+*L / rkfpg] ?kdf ;'tL{, v}gL, hbf{, dw', kfg cflb .
w'dkfgsf] l:ylt
ljZjdf s/La 1 s/f]* 30 nfv w'dkfgsf cDdnLx? /x]sf] ljZj :jf:Yo ;+u&gsf] tYof~s % . xfn jif]{gL 49 nfvsf] d[To' s]jn w'dkfgaf^ g} x'g] u/]sf] kfOG% . oxL l:ylt /x]df ;g\ 2020 ;Dddf ljZjdf x/]s jif{ 1 s/f]* dflg;x?sf] d[To' w'dkfgaf^ x'g]%, h;sf] lzsf/ g]kfn klg x'g] s'/fdf b'Odt g} %}g .g]kfnsf] ;Gbe{df s'/f ug]{ xf] eg] 15 jif{eGbf dflysf 48=5 k|ltzt gful/s w'dkfgsf cDdnL %g\ .
w'dkfg ;]jgsf c;/x?
;'tL{df :jf:YonfO{ g/fd|f] c;/ ug]{ 4 xhf/ lsl;dsf /f;folgs kbfy{ x'G%g\ . tLdWo] 45 lsl;dsf /;fogn] SofG;/ u/fp+b% .lgsf]l^g ;a}eGbf xfgLsf/s /;fog xf], h;n] kmf]S;f], Zjf; k|Zjf; gnL, d'v, lbdfu / cf+vfdf k|ToIf c;/ kf%{ . ;fy}, z/L/sf cGo efu -h:t}M d'^', k]^ cflb_ df ;d]t gsf/fTds c;/ kfb{% .w'dkfgn] ;a}eGbf a(L c;/ ;f; km]g]{ c~\u, kmf]S;f]nfO{ kfb{% . o;n] kmf]S;f]df bd, vf]sL, a|f]GsfOl^; / SofG;/ u/fp+b% . o;n] dfgj dl:tis / /utnfO{ c;/ kfb{% . cdnsf] bf; ag]kl% w'dkfg %f*\g Psbd} ufx|f] x'G% .
w'dkfghGo :jf:Yo ;d:ofx?
ljZj :jf:Yo ;+u&gsf cg';f/ s/La 25 k|sf/sf /f]ux? b]lvPsf %g\ . tLdWo] k|d'v :jf:Yo ;d:ofx?df  bd, vfsL, a|f]GsfOl^; . kmf]S;f], k]^, lkmof], kf&]#/sf] SofG;/ .
·    d'^'sf] /f]u .dl:tisdf /Qm;|fj .   ue{sf] aRrf sdhf], /f]uL / c~\ue~\u x'g] . sfd ug]{ Ifdtfdf sdL x'g] . ;'tL{hGo kbfy{sf] ;]jgaf^ ljZjdf jif]gL{ 50 nfv dflg;x?sf] d[To' x'G% . o;cg';f/ k|ltldg]^ s/La 10 hgf dflg;sf] d[To' w'dkfgaf^ e}/x]sf] %   Ps cWoog cg';f/ Ps lvnL r'/f]^ ;]jg ug]{ JolQmsf] 7 ldg]^ cfo' #^\g] klg kfOPsf] % .
;'tL{hGo kbfy{ ;]jg / uef{j:yf
·    ue{jtL dlxnfsf] ue{df /x]sf] aRrfsf] j[l$ s|ddf c;/ kf/L sd tf}nsf] aRrf hGdg ;S% .ue{ktg x'g] / cjlw k'/f geO{ aRrf hGdg ;S% .  ue{d} aRrf dg{;S% jf lhp+b} hGd]sf] eP klg hGd]sf] xKtf lbgleq} dg{;S% . ue{sf] aRrfnfO{ rflxg] clS;hgsf] dfqf #^fp% . ue{sf] aRrfsf] x[bosf] ult a(fp+% . gfeLsf] dfWodaf^ aRrfdf /ut k'Cofpg] sfd sd u/fp+% . aRrfsf] Zjf; k|Zjf;df sdL cfp+% .
c? JolQmdf c;/x?
·      w'dkfg gug]{ dlxnfx? klg w]/} ;do;Dd w'dkfg ug]{ JolQmsf] glhsdf /x]df 20 b]lv 30 k|ltzt a(L SofG;/ x'g] ;Defjgf /xG% . w'dkfg ug]{ cfdfafa'sf] aRrfnfO{ w'dkfg gug]{ JolQmsf] eGbf lgdf]lgof b]fAa/ dfqfdf a(L x'g] ub{% . o;sf] c;/n] aRrfx?sf] #f+^L b'Vg], vf]sL nfUg] / :j:y hGd]sf] aRrf klg /f]uL eO{ p;sf] csfndf d[To' x'g ;Sb% . To:t}, >Ldfg\ / >LdtL Pshgf w'dkfg gug]{ eP klg csf{n] u/]sf] w'dkfgsf sf/)f /f]usf] lzsf/ ePsf] kfOPsf] % .
:tgkfgdf kfg]{ c;/x?
·    ;'tL{hGo kbfy{n] cfdfsf] b'wnfO{ gf]S;fg k'Cofp+% / lzz'df ljiffn' /;fogx? k'U%g . cfdfsf] b"wsf] kl/df)fnfO{ klg #^fp+% .
w'dkfg / lszf]/ cj:yf
lszf]/ lszf]/Lx? a(L r`rn / gSsn ug{ a(L ?rfpg] jf gof+ s'/f l;Sg pT;'s x'g] / cfk\mgf] nflu s] /fd|f] s] g/fd|f] cfkm} %'^\ofpg g;Sg] ePsfn] w'dkfg, dBkfgsf] s'ntdf nfUg ;S%g\ . k|foM dflg;x?sf] w'dkfgsf] s'nt klg o;} cj:yfaf^ z'? ePsf] kfOG% . s]lx d'Vo sf/)fx?df &"nf dflg;x?sf] b]lvl;sL ugf{n], ;fyLx?sf] bafj kgf{n], lh!f;f / sf}t'xn x'gfn], tgfj / lrGtf km];g ugf{n] / hf]z x'g] t/ xf]; gx'gfn] .
w'dkfg, jt{dfg g]kfnL ;dfh / o'jf
xfd|f] u|fld)f ;dfhb]lv zx/L ;dfh;Dd k|fozM ljleGg dfWoddf w'dkfg cToflws x'g] u/]sf] kfOG% . lszf]/b]lv o'jf x'+b} j[$ cj:yfsf] pd]/ ;d'x kfOG% . h] xf];\, cfsif{s lj!fkg, nx}nx} / ;/n?kdf kfpg ;lsPs} sf/)f o;sf] ;]jg a(]sf]df b'O{dt g} %}g . s]lx cl#;Dd klg /]l*of] ^]lnlehg, kqklqsf, xf]l*{é af]*{x?df cfsif{s?kdf /flvPsf ;'tL{hGo kbfy{sf lj!fkgn] ;dfhnfO{ cw]fulttkm{ nlu/x]sf] lyof] . h] xf];\, l(n} eP klg ;DalGwt lgsfon] ;fj{hlgs :yndf w'dkfgnfO{ k|ltalGwt u/]sf] %, t/ o;sf] sfo{fGjog kIf Psbd} lkmtnf] % . o;sf] cg'udg s;n] ug]{, lhDd]jf/ lgsfo sf] xf], clg csf]{ s'/f s]jn ;fyLefO / rf*kj{sf] axfgfdf w'dkfg, dBkfg / nfu'cf}ifwdf k+ml;/x]sf o'jfnfO{ /f]Sg tkfO{ xfdL ;a}n] ;xsfo{ ug]{ a]nf ePg / .