Page 14 - DREAM 2047_Hindi June 2021

LokLF;
dkfs oM] v‚Dlhtu] SpO2 vkjS v‚DlhehVj
lkal ysus ds nkSjku NksVh-NksVh cwanksa esa ekStwn lklZ-dkso-2 ok;jl gekjh ukd dh ijr esa ?kj dj ysrs gSaA 'olu ç.kkyh dh ijr dk fuekZ.k djus okyh lrg dh dksf'kdkvksa dks ,ihFkhfy;y dksf'kdk,a dgk tkrk gS] ftudh dksf'kdk-lrg fjlsIVlZ ls le`) gksrh gSaA ;s fjlsIVj ,d çdkj dh çksVhu gksrs gSa] ftls ,aft;ksVsaflu-daofVaZx ,atkbe 2 1⁄4ACE21⁄2 dgk tkrk gSA vkerkSj ij] jäpki dks fu;af=r djus esa enn djus okyk ;g fjlsIVj] fjlsIVj-ckbafMax Mksesu 1⁄4vkjchMh1⁄2 dgs tkus okys ok;jy Likbd çksVhu ds ,d fgLls ds lkFk ca/k tkrk gSA blds ckn] ok;j ACE2 fjlsIVj dks dCts esa ysrs gq, viuh idM+ dks vkSj etcwr djrk gS vkSj dksf'kdkvksa esa ços'k djrk gSA ,d ckj vanj tkus ds ckn] ok;jl dksf'kdk dh ç.kkyh 1⁄4e'khujh1⁄2 dks vius dCts esa dj ysrk gS vkSj Lo;a dh vla[; çfr;ka cukus yxrk gSA
tSls-tSls ok;jl c<+rk gS vkSj ok;jl }kjk vf/kd ls vf/kd dksf'kdkvksa dks laØfer fd;k
nkbaZ vkjs ds {kfrxLz r QQs Mk+ as e]as dky&s /k/aq kyis u dk cgrq cMk+ {k=s g]S tks jä eas v‚Dlhtu ds ifjogu eas mRiUu gkus s okyh dfBukbZ dk çfrfuf/kRo djrs gAaS 1⁄4QkVs ks v‚DlQkMs Z fo'ofo|ky;1⁄2
tkrk gS] çfrj{kk ç.kkyh Hkh vf/kd rsth ls dke djus yxrh gSA ;fn çkjafHkd voLFkk esa gh bls fu;af=r ugha fd;k tkrk gS] rks ok;jl QsQM+ksa ds ok;qdks"Bd 1⁄4,fYo;ksykb1⁄2 esa ços'k dj tkrk gSA ,fYo;ksykb dksf'kdkvksa dh ,d ijr ds lkFk iafäc) gksrh gSa] tks ACE2 fjlsIVlZ esa Hkh Hkjiwj ek=k esa ikbZ tkrh gSA ,d ckj tc ;s dksf'kdk,a laØfer gks tkrh gSa] rks ,fYo;ksykb u"V gks tkrh gSa vkSj ok;jl jäçokg esa ços'k djus esa l{ke gks tkrs gSaA ,sls esa tc 'osr jä dksf'kdk,a ok;jl vkSj laØfer dksf'kdkvksa ij çfrfØ;k djrh gSa rks os çfrfØ;k Lo:i] dheksdkbu uked lwtu lwpd
Vh oh osadVs'oju
1⁄4ba¶ykesVah1⁄2 v.kq NksM+rh gSaA ok;jl ls laØfer dksf'kdkvksa dks yf{kr djus vkSj u"V djus ds fy, vf/kd çfrj{kk dksf'kdkvksa dks funsZ'k Hkstk tkrk gSA ok;qdks"Bd 1⁄4,fYo;ksykb1⁄2 rjy inkFkZ] lQsn jä dksf'kdkvksa] cyxe vkSj u"V QsQM+ksa dh dksf'kdkvksa ds vif'k"V ls Hkj tkrk gSA Hkjk gqvk ;g ,fYo;ksykb vkids fy, lkal ysuk dfBu cuk nsrk gS] dHkh-dHkh vlaHko HkhA tSls gh] QsQM+ksa ds vanj æo tek gksus yxrk gS] os vkids jä esa de ek=k es v‚Dlhtu ys tkus yxrs gSaA bldk vfHkçk; ;g gS fd vkidk jä vkids vaxksa dks thfor jgus ds fy, i;kZIr ek=k esa v‚Dlhtu dh vkiwfrZ ugha dj ik,xkA
,fYo;kys kb eas ok;q vkjS iYekus js h dfs 'kdkvkas ds chp folj.k ds ek/;e ls vkDlhtu vkjS dkcuZ MkbZ vkDlkbMZ dk vknku&çnku gkrs k gAS
QsQM+ksa esa xSlksa dk vknku&çnku
rus] 'kk[kkvksa vkSj Vgfu;ksa ds :i esa QSys fdlh ,d o`{k dh rjg QsQM+s Hkh czkadkbZ] czkafdvksYl vkSj czkafdvksYl ds vafre ok;qdks'kksa ;kuh ,fYo;ksykb esa caVs gksrs gSaA QsQM+ksa dh nks 'kk[kkvksa esa caVh o`{k tSlh lajpuk bruh O;kid gksrh gS fd QsQM+ksa dks ,d lkFk tksM+us ij budh yEckbZ yxHkx 2]400 fdyksehVj yEcs ok;qekxZ ftruh gks tkrh gS] tks fnYyh ls psUubZ ds chp dh nwjh gSA QsQM+ksa esa 300 ls 500 fefy;u dh la[;k esa ekStwn bu ,fYo;ksykb dh lrg dk dqy {ks=Qy yxHkx 100 oxZ ehVj dk gksrk gS] tks yxHkx ,d Vsful dksVZ ds vkdkj ds cjkcj gSA
v‚Dlhtu ifjlapj.k
jä esa gheksXyksfcu vkSj ekalisf'k;ksa esa ek;ksXyksfcu v‚Dlhtu ys tkus okyh çksVhu gSaA bu çksVhuksa esa ,d vk;ju;qä lewg gksrk gS ftls ^ghe* dgrs gSaA vkerkSj ij] çR;sd 100 feyhyhVj jä esa yxHkx 12 ls 20 xzke gheksXyksfcu gksrk gSA v‚Dlhtu 1⁄4O21⁄2] gheksXyksfcu esa Fe2+ ds lkFk myVØe esa ca/k ldrk gSA v‚Dlhtu ,d xSj-/kz`oh; v.kq gS tks] bysDVa‚uksa dh forj.k O;oLFkk ds dkj.k f}/kz`o dks çsfjr djrk gSA Fe2+ ,d detksj vk;u- çsfjr f}/kz`o dks vkdf"kZr djrk gS vkSj O2 ls ca/k tkrk gSA jä esa ,d ckj] yky jä dksf'kdkvksa esa v‚Dlhtu ds gheksXyksfcu ls ca/k tkus ds ckn gS]
L o L F k Q Qs M k +
d k f s o M & x f z l r Q Qs M k +
D;k dksbZ O;fä LekVZQksu SpO2 lsalj ij Hkjkslk dj ldrk gS\
mÙkj ljy gS] ughaA SpO2 Lrjksa dh x.kuk ds fy,] çksc çdk'k dh che 1⁄4fdj.k1⁄2 esa yky vkSj buÝkjsM çdk'k dh fof'k"V rjax nS/;Z gksrh gSaA gkyk¡fd] LekVZQksu ds dSejksa esa lqO;ofLFkr lQsn ;k ihys jax dh ¶yS'kykbV gksrh gSA ysfdu] blls muls i;kZIr ek=k esa fo'oluh; jhfMax 1⁄4vkadMs1⁄2 ugha fey ik,xhA
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