8]+u' · 2019. 11. 13. · 7 g]kfndf k'?ifk|wfg dfgl;stfn] ubf{ oxfFsf] k/Dk/fut ;f]r kl/jt{g ePsf] 5}g . g]kfnL dlxnfnfO{ xf]Rofpg ;lsG5 eGg] ;f]r cem} JofKt 5 . 3/]n' lx+;fsf k|d'v

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"Quality in the Service of Millions"

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Nepal Pharmaceuticals Laboratory Pvt. Ltd.

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dfgjnfO{ hLjgsf ;fy} ljj]s / a'l4 klg lbPsf 5g\ h;n] ubf{ dfgj o; hut\df ePsf] c? k|f0fLx? eGbf lgs} leGg 5 . dfgj ljj]szLn, l;h{gzLn / a'l2dfg\ x'g'df lbdfusf] 7"nf] e"ldsf 5 . lbdfusf ;fy} dfgjdf x'g] OlGb|o c+ux?sf] klg plQs} dxŒj 5 h;n] ubf{ JolQmn] cfkm\gf] lbgrof{;+u} c? dxŒjk"0f{ sfo{x? ;xh} ug{ ;S5g\ .

OlGb|o c+ux?sf] s'/f ug'{ kbf{ cf“vf lgs} dxŒjk"0f{ / ;+j]bgzLn OlGb|o c+ux? dWo] Ps xf], h;n] b[li6sf ;fy} j/k/ eO/x]sf] 36gfnfO{ klg b;f{p“5 . t;y{, cf“vf h:tf] ;+j]bgzLn c+usf] ;xL x]/rfx ug{ lgs} g} h?/L 5 .

jt{dfg ;dodf xfjfkfgL, k|b'if0f / cToflws Uofh]6 (Gadget) x?sf] k|of]usf sf/0f cf“vf ;'Vvf x'g] ;d:of al9/x]sf]] 5 . t;y{, o; n]v4f/f cf“vf s;/L ;'Vvf x'G5 / To;sf] s;/L pkrf/ ug]{ eGg] hfgsf/L lbg] k|of; u/]sf 5f}+ .

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cf“vf ;'Vvf x'“bf tn lnlvt nIf0fx? b]vf kg{ ;S5g\ .

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l tftf] xfjfkfgLl cToflws dfqfdf sG6\ofs n]G; (Contact Lens) k|of]u

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cf“vf ;'Vvf x'g] ;d:of h'g;'s} pd]/sf] JolQmdf klg b]lvg ;S5 . k|foM of] ;d:of #) jif{ eGbf dfly pd]/ ePsf JolQmx?df b]lvG5 eg] dlxnf / k'?ifsf] t'ngf ubf{ dlxnfdf a9L ePsf] kfOG5 .

%_ ;'Vvf cf“vfn] s:tf] lsl;dsf] hl6ntf lgDTofpg ;S5 <

cf“vf ;'Vvf x'g] ;d:ofn] JolQmnfO{ c;xh dx;'; u/fPklg cf“vfsf] uDeL/ ;d:of eg] lgDTofp“b}g . t/, nfdf] ;do;Dd o;nfO{ lgoGq0f jf o;sf] ;xL pkrf/ ul/Pg eg] Conjunctivitis / Keratitis h:tf hl6n ;d:ofx? l;h{gf x'g;S5 .

^_ ;'Vvf cf“vfsf] pkrf/ s;/L ug]{ <;fwf/0ftof cf“;'M kfgL, t]n / anud (Mucus) sf]

ld>0faf6 ag]sf] x'G5 . o; ld>0fdf s'g} klg lsl;dsf] u8a8L ePdf cf“vf ;'Vvf x'g] ub{5 . cf“vf ;'Vvf ljleGg sf/0fn] ubf{ x'g] ub{5 . t;y{, o;sf] pkrf/ klg ljleGg lsl;dsf] cf}iflwx?sf] k|of]uaf6 ul/G5 . ljleGg cf}iflwx? dWo] Artificial tear -s[lqd cf“;'_nfO{ jl/i7 lrlsT;sx?n] pkrf/sf] cu|k+lQmdf /fVg] ub{5g\ . o;afx]s cj:yf / ;d:ofnfO{ Wofgfsif{0f ub}{ c? ljleGg lsl;dsf cf}iflwx? klg k|of]u ug]{ u5{g\ .

s[lqd cf“;'df lrlsT;sx?n] w]/} h;f] Sodium

Carboxymethylcellulose gfds cf}iflw ;'Vvf cf“vfsf] pkrf/sf nflu k|of]u ug]{ u5{g\ . o;sf] k|of]uaf6 cf“vf ;'Vvf gx'g'sf ;fy} cf“vfsf] b[li6 klg :ki6 x'G5 . cf“vfdf c? /f]u / ;d:ofx? x'“bf klg o;nfO{ lgw{Ss

?kdf k|of]u ug{ ;lsG5 . o;sf] k|of]un] cf“vfdf s'g} klg lsl;dsf] gsf/fTds c;/ kb}{g . ;fdfGotof x'g] cf“vfsf] ;'Vvfkg x6fpgsf nflu of] kmdf{l;:6sf] ;Nnfx cg'?k klg k|of]u ug{ ;lsG5 .

&_ Sodium Carboxymethylcellulose slt dfqfdf k|of]u ug]{ / Wofg lbg' kg]{ s'/fx? s] s] x'g\ <l b}lgs ?kdf !–! yf]kf b'j} cf“vfdf lbgsf] $ b]lv ^

k6s;Dd nufpg] .l o;sf] k|of]u u/]sf] !% ldg]6;Dd uf8L / d]l;gx?

grnfpg] .l cf“vfdf xfn]sf] !% ldg]6 kl5 dfq c? cf“vfsf]

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?/f]lxgL j}B (Pharmacist)

!_ 3/]n' lx+;f eg]sf] s] xf] <3/]n' lx+;f eg]sf] kl/jf/sf] s'g} ;b:oaf6 c? s'g}

;b:odfly ul/g] lx+;f xf] . 3/]n' lx+;f s'g} klg ju{, ;d'bfo, hfltdf x'g ;S5 . ;j]{If0f cg';f/ ljz]if u/L 3/]n' lx+;f dlxnf dfly x'g] e]l6Psf] 5 . 3/]n' lx+;fdf s'6lk6, zf/Ll/s÷dfgl;s oftgf, ufln—unf}r cflb kb{5g\ .

g]kfnsf] ;Gbe{df x/]s ;dfh, ;+:s[lt, ;d'bfo / wd{df km/s lsl;dn] 3/]n' lx+;f eO/x]sf] kfOG5 . g]kfn k'?ifk|wfg d'n's ePsf sf/0f 3/]n' lx+;f k'?if eGbf dlxnf dfly g} a9L ePsf] kfOG5 .

@_ g]kfnsf] 3/]n' lx+;fsf k|d'v sf/0fx? s] s] x'g\ <

cfhsf] of] @! cf}+ ztfAbLdf c;ª\Vo ?kdf j}1flgs cfljisf/, ljsf;, lgdf{0f / k|ult ePsf] 5 . o;n] ubf{ xfd|f] hLjgz}nL ;xh / ;lhnf] klg x'Fb} uPsf] 5 . o:tf] cfw'lgs o'udf klg ljZjsf w]/} d'n'sx?df em}+ g]kfndf klg dlxnf / k'?if aLrsf] lje]b rfxLF x6\g ;s]sf] 5}g . g]kfnsf] s"n hg;ª\Vofsf] cfwf eGbf a9L lx:;f dlxnfn] cf]u6] klg oxfFsf] ;fdflhs, cfly{s, z}lIfs, /fhgLlts, k|zf;lgs nufot c? If]qx?df dlxnfx?sf] ;+nUgtf sd 5 . g]kfnsf] ;+ljwfgdf klg dlxnfsf] clwsf/ ;'lglZrt ul/Ptfklg k/Dk/fut ?kdf x'g] n}+lus c;dfgtf, 5f]/fsf] dxTj / ;|f]t;fwgsf] sdLn] ubf{ klg dlxnfsf] :t/ k'?if eGbf k5f8L 5 . h;n] ubf{ dlxnfn] dfgl;s, zf/Ll/s, of}lgs tyf cfly{s ?kdf oftgfx? klg ;xg' k/]s]f 5 . o; tLtf] oyfy{nfO{ xfdL gsfg{ ;Sb}gf}+ . oL oftgfx? dWo] Ps xf] 3/]n' lx+;f, h;n] dlxnfsf] JolQmTjdf lgs} k|efj kfb{5 . o; n]våf/f xfdLn] dlxnf dfly x'g] 3/]n' lx+;faf6 x'g] k|efjnfO{ phfu/ ug]{ hdsf]{ u/]sf 5f}+ .



g]kfndf k'?ifk|wfg dfgl;stfn] ubf{ oxfFsf] k/Dk/fut ;f]r kl/jt{g ePsf] 5}g . g]kfnL dlxnfnfO{ xf]Rofpg ;lsG5 eGg] ;f]r cem} JofKt 5 . 3/]n' lx+;fsf k|d'v sf/0f tn lbOPsf] 5 .

l dlxnfx? sdhf]/ x'G5g\ eGg] ;f]r,l dlxnfx? dgf]/~hgsf ;fwg x'g\ / h] u/] klg s]xL

km/s kb}{g eGg] ;f]r,l dlxnfx? 3/sf] sfd ug{ dfq of]Uo 5g\ eGg] ;f]r,l c?n] eg]sf] dlxnfn] ug}{ k5{ eGg] wf/0ff,l dlxnfx? r'nf] rf}sf]df dfq} ;Lldt x'g'k5{ eGg] wf/0ffl dlxnfnfO{ lax] u/]/ k'?ifsf] 3/df Nofpg' eg]sf]

p;nfO{ 3/fo;L sfdsfh / oftgf lbg ldN5 eGg] dfgl;stf .

#_ g]kfnL ;dfhdf s:tf] lsl;dsf] 3/]n' lx+;f b]lvG5 <l ax'ljjfx, b]xJofkf/, ufnL, s'6lk6, r]nLa]6L a]rljvg,

j}b]lzs /f]huf/Lsf] gfddf 7uL, of}g zf]if0f, anfTsf/, dfgl;s oftgf nufotsf lx+;f ;dfhdf b]lvg] / ;'lgg] x'G5 . To; afx]s dlxnfn] bfOhf] gNofPsf] sf/0fn] klg kL8f ef]Ug' kg]{ b]lvPsf] 5 .

l af]S;Lsf] cf/f]kdf 3/ lgsfnf u/L s'6lk6 u/L dnd'q v'jfOPsf] pbfx/0fx? klg b]lvG5g\ .

$_ 3/]n' lx+;fn] dlxnfsf] :jf:Yodf s:tf] c;/ k5{ <

3/]n' lx+;fn] dlxnf dfly bL3{sflng zf/Ll/s / dfgl;s :jf:Yo ;d:of lgDTofpg ;S5 . lx+;fn] dlxnf dfq xf]Og pgLx?sf] aRrfx?, kl/jf/ / ;d'bfox?nfO{ klg c;/ ub{5 .

l 3/]n' lx+;fn] ubf{ b]lvg] cNksflng zf/Ll/s k|efjx?df ;—;fgf jf uDeL/ rf]6k6sx?, leqL c+ux?sf] rf]6, x8\8L efFRg', 3fp nfUg' cflb x'g\ .

l of}g lx+;fsf sf/0f b]lvg] k|efjx?df rfxL+ of]gLaf6 /Qm;|fj x'g', cgfjZos ue{wf/0f ug{', of}g /f]u nufot Pr=cfO{=eL= af6 ;+qmldt x'g', ;'Tg g;Sg', ;'t]klg 8/nfUbf] / qf;k"0f{ ;kgf b]Vg' cflb x'g\ . obL ue{jtL dlxnf dfly cfqmd0f ePsf] 5 eg] ;f] dlxnfsf] aRrfsf] d[To' klg x'g ;S5 .

3/]n' lx+;fn] cNksflng k|efj dfq geO{ dlxnfsf] :jf:Yodf bL3{sflng ;d:ofx? klg b]vf k5{ . tL k|efjx? a'Fbfut ?kdf k|:t't ul/Psf] 5 .

l xf8 hf]gL{sf] b'vfOl d'6'sf] ;d:ofl kfrg k|0ffnLsf] ;d:ofdf k]6sf] cN;/l clgb|f / ;'t] klg ql;t x'g'l dfOu|]gl nfdf] ;do;Dd tgfj / kL8f x'g'l dl:tisdf rf]6 k'Ug'

dl:tissf] cf3flts rf]6n] bL3{sflng ?k lnPdf JolQm lrlGtt, l8k]|zg, lg0f{o ug{ g;Sg] / ;f]Rg] Ifdtfdf x|f; cfpg] x'G5 . oL k|efj;Fu} JolQm 8/fpg], e|ldt x'g], l/;fpg], PSnf] ePsf] dx;'; ug]{ klg x'g ;S5 . ;fy} zf/Ll/s / of}g lx+;f ePsf] dlxnfdf Traumatic stress disorder klg x'g ;S5 . o; afx]s, dlxnfsf] d[To' g} ePsf] pbfx/0fx? nufot dlxnfx? hfF8/S;L, nfu' kbfy{ / w'd|kfg klg ;'? u/]sf ;dfrf/x? klg k|z:t ;'Gg kfO{G5 .

%_ o;sf] /f]syfdsf nflu s] ug{ ;lsG5<l ;j{k|yd dlxnf sdhf]/ xf] eGg] ;f]rnfO{ x6fpg' k5{ .l ljleGg ;+3;+:yfx?n] cfof]hgf ug]{ hgr]tgf d"ns

sfo{qmddf ;xefuL x'g' k5{ .l 3/]n' lx+;f nufot af]S;L / bfOhf] k|yf lj?4

cfjfh p7fpg' k5{ .l 3/]n' lx+;f ;DaGwL dlxnfnfO{ lzlIft u/fpg' k5{ .

cGTodf, 3/]n' lx+;f dlxnf dfq geO{ h'g ;'s} pd]/ ePsf JolQmx?df klg lx+;f x'g ;S5 . blIf0f PlzofnL d'n'sx?df rflxF dlxnf dfly a9L ePsf] kfOG5 . t;y{, o;sf] /f]syfdsf nflu ljleGg ;+3;+:yfx? h:t}M z}lIfs ;+:yf, :jf:Yo ;+:yf, k'ln;, k|zf;g nufot ;/sf/L lgsfox?;uF ;xsfo{ ug'{ k5{ . xfd|f] ;dfhdf o:tf] lx+;f ljBdfg ePsf] xF'bf xfdL cfkm} g} Psh'6 eO{ o;nfO{ h/}b]lv d]6fpg] k|of; ug'{k5{ . g]kfnd} klg o:tf] lx+;fsf] l/kf]6{ ug{ /fli6«o dlxnf cfof]u4f/f :yflkt @$;}–306f 6f]n k|mL x]NknfOg (Toll Free Helpline) sf] k|fjwfg klg /x]sf] 5 . t;y{, cfkm" nufot cGo sf]lxdfly o:tf] cTofrf/ ePsf] v08df !!$% df ;Dks{ u/L ;xof]u lng'xf]nf . w



k|fylds :jf:Yy s]Gb| rt/fåf/f cfof]lht z'esfdgf cfbfg k|bfg sfo{qmddf ;xefuL x'“b} Pg=lk=Pn

g]kfn kmdf{:o"l6sN; Nofa k|f= ln= w/fg OsfO{sf] cfof]hgfdf ;'G;/L lhNnfdf cjl:yt rt/f :jf:Yo rf}sL / k|fylds :jf:Yo s]Gb| rt/fdf z'e ljhof bzdL / bLkfjnLsf] pknIodf z'esfdgf cfbfg k|bfg sfo{qmd cfof]hgf ul/Psf] lyof] . o; cj;/df pBf]u jfl0fHo ;3+sf >L ;'/]Gb| k|;fb u'Ktfn] klg z'esfdgf JoQm ug{' ePsf] lyof] . pQm sfo{qmddf ;f] :jf:Yo s]Gb|sf k|d'v 8f= clgn lu/Ln] pQm :jf:Yo s]Gb|df #^% lbg}-{zlgjf/ / ;fj{hlgs labfsf lbgdf klg_cf]= lk= 8L= ;]jf nufot O{dh]{G;L, Nofa, kmfd]{;L / ;'/lIft k|;'lt ;]jf pknAw x'g] hfgsf/Lsf ;fy pkl:yt ;a}nfO{ z'esfdgf lbg' ePsf] lyof] . ;f] cj;/df Pg= lk= Pn= sf k|ltlglw >L cleif]s b]jn] klg dxfg\ rf8sf] z'esfdgf lbg' ePsf] lyof] .



cfhsf] ;Gbe{

8]+u' /f]u nfdv'§]sf] 6f]sfOaf6 ;g]{ efO/n /f]u xf] . udL{ a9L x'g] :yfgdf o;sf] ;+qmd0f a9L b]lvG5 . 8]+u' /f]u / nfdv'§] b'j}sf] ;+Vof kfgL kg]{ dlxgfdf a9L x'G5 . 8]+u' efO/; kf]yL hftsf] nfdv'§]M d'Votof Pl8; OlhK6fO{ (Aedes aegypti) / yf]/} xb;Dd Pl8; cNaf]lkS6; (Aedes albopictus) k|hfltn] k|;fl/t ug]{ u5{ . oL b'O{ k|hfltsf ;+qmldt kf]yL hftsf] nfdv'§]sf] 6f]sfOaf6 dfq of] /f]u ;g]{ u5{ . kf]yL hftsf] nfdv'§]nfO{ km"n kfg{ k|r'/ dfqfdf k|f]l6gsf] cfjZostf kg]{ ePsf]n] o;n] dfq /ut r':g] u5{ eg] efn] hftsf] nfdv'§]n] af]6la?jfsf] /; r';]/ lhjgofkg ub{5 . ;+qmldt dflg;x? of] efO/;sf d'Vo jfxs (Main carriers) x'g\ h;n] c;+qmldt nfdv'§]x?sf] nflu efO/;sf] ;|f]tsf] ¿kdf ;]jf u5{ . 8]+u' efO/; rf/ k|sf/sf x'G5g\, h;nfO{ efO/; !, @, #, $ df ljefhg ul/Psf] 5 . Ps k6s Ps k|sf/sf] 8]+u' nflu;s]kl5 hLjge/ To;} k|sf/sf] 8]+u' nfUb}g, t/ cGo k|sf/sf] 8]+u' /f]u eg] nfUg ;Sb5 / bf];|f] k6s nfUg] 8]+u' klxn]sf] t'ngfdf a9L vt/gfs x'G5 . of] k|hfltsf] nfdv'§]sf] 6f]sfOaf6 8]+u' afx]s hlG8;df cfpg] Hj/f] (Yellow fever) tyf lhsf (Zika) ;+qmd0f klg km}lnG5 .

?/Lof ;flns] (Pharmacist)

8]+u'(DENGUE)



s;/L ;5{ 8]+u' < Pl8; OlhK6fO{ zx/L a:tLdf / k|foM ;kmf kfgL

hDg] 7fpFdf kfOG5g\ . c? k|hflt ljkl/t, oL nfdv'§]n] ;fdfGotM pHofnf]df 6f]Sg] u5{g\ . ljxfg ;a]/} / a]n'sf ;f“em x'g'eGbf klxn] oL nfdv'§] a9L ;lqmo x'G5g\ .

kf]yL hftsf oL nfdv'§]n] k|lt Aofr !)) – @)) j6f c08f kfg]{ ub{5 / hLjge/ sl/a %)) – !))) j6f ;Dd c08f kfg{ ;S5g\ . ;+qmldt nfdv'§]sf ;a} c08f ;+qmldt g} x'G5g\ / o;sf] c08f kfgLljgf klg dlxgf};Dd hLljt /xg ;S5 . x/]s c08faf6 gof“ nfdv'§]sf] hGd x'“bf k|To]s gjhft nfdv'§]n] 8]+u' efO/; af]s]sf] x'G5 / To;n] csf]{ :j:y dflg;nfO{ 6f]s]df pQm JolQm /f]uaf6 ;+qmldt x'G5 .

Plk8]ldof]nf]hL (Epidemiology)!(%) df 8]+u' lkmlnlkG; / yfO{n}+8df ePsf] dfxfdf/Ldf

klxnf] k6s e]l6Psf] lyof] . jt{dfg ;dodf o;n] clwsf+z Pl;og / Nofl6g cd]l/sL b]zx?df k|efj kf/]sf] 5 . g]kfndf xfn;fn} of] aRrfx? / jo:sx?sf] c:ktfn egf{ x'g] / d[To' x'g]sf] Pp6f k|d'v sf/0f ag]sf] 5 . WHO sf] tYof+s cg';f/ ljZje/ 8]+u' l/kf]6{ ul/Psf] 36gfx?sf] ;+Vof @=@ s/f]8 -@)!)_ af6 a9]/ #=#$ s/f]8 -@)!^_ k'u]sf] kfOG5 .

xfn} xfd|f] b]zsf ljleGg lhNnfx?df 8]+u' /f]u k|sf]ksf ¿kdf b]vf kl//x]sf] s'/f ;a}dfem cjut g} 5 . g]kfndf eg] klxnf] k6s ;g\ @))$ df 8]+u' l/kf]6{ ul/Psf] lyof] . km]l/ @))^ sf] k|sf]k kl5 o;sf] 7"nf] k|sf]k eg] @)!) / @)!# df b]lvof] h'g a]nf (!& / ^*# 36gf ;+Vof l/kf]6{ ul/Psf] lyof] . emg\ @)!^ df %&^( dflg;x? 8]+u'sf] z+sf ub}{ ljleGg c:ktfndf egf{ ePsf lyP eg] !$&# la/fdLx?df 8]+u' efO/; e]l6Psf] lyof] . @)!( df xfn;Dd & j6} k|b]zsf ^) eGbf a9L lhNnfdf of] /f]u lj:tf/ ePsf] b]lvG5 . :jf:Yo dxfzfvfsf] tYof+s cg';f/ ;fpg / ebf} dlxgfdf dfq 8]+u'af6 ^& lhNnfsf emG8} * xhf/ dflg; ;+qmldt eO;s]sf 5g\ . of] b'O{ dlxgfsf] cjlwdf 8]+u's} sf/0f ^ hgfn] Hofg ;d]t u'dfO;s]sf 5g\ . g]kfnsf] k|b]z gDa/ # ;a}eGbf a9L k|efljt ePklg b]zsf ;ftj6} k|b]zdf o;n] ;+qmd0f ul/;s]sf] 5 .

8]+u' /f]usf] nIf0fx?;+qmldtdWo] clwsf+zdf 8]+u'sf] nIf0f b}lv“b}g .

sltkodf ;fdfGo Hj/f] dfq cfp“5 . 8]+u' Hj/f]sf] d'Vo nIf0f PSsfl; Hj/f] cfpg' xf] h'g % b]lv & lbg;Dd /xg] u5{ . o;afx]s c? nIf0fx? klg b]lvg ;S5, h:t}M

l 6fpsf]sf] kl5Nnf] efu w]/} b'Vg', k]6 b'Vg'l jfsjfsL nfUg', c?lr x'g'l cf“vfsf] u]8L b'Vg', a]xf]; x'g'l z/L/ s6\s6L b'Vg' M hLp, hf]gL{ b'Vg'l pRr Hj/f] cfPsf] #, $ lbg kl5 /ftf]/ftf] lald/f

cfpg'M s]xL la/fdLdf z'?d} z/L/el/ vl6/f cfp“5

8]+u'sf] hl6ntfx?;dod} o;sf] pkrf/ gu/]df 3fts hl6ntfx?

klg lgDTofpg ;S5 . #–& lbgkl5 crfgs z/L/sf] tfkqmd 36]/ yk nIf0f b]lvg' eg]sf] 8]+u'sf] hl6ntfnfO{ lgDTofpg' xf] .

8]+u' efO/;n] /QmgnLdf Kjfn agfP/ /utdf x'g] Kn]6\n]6\; (Platelets) sf] dfqf 36fOlbG5 / /Qm;|fj klg u/fp“5 . z/L/sf] ljleGg cËx?nfO{ klg sdhf]/ agfO{ :jf; km]g{ ufx|f] x'g], c;x\o k]6 b'Vg], lg/Gt/ jfsjfsL nfUg], jfGtfdf klg /ut e]l6g], luhfaf6 /ut cfpg], z/L/df /ut /x]sf] gLn8fd b]vfkg]{, ysfg dx;'; x'g] h:tf yk nIf0fx? b]lvG5g\ .

8]+u'sf] pkrf/ <l 8]+u' efO/;sf] lj?4 pkrf/ gePsf] / vf]ksf] klg

ljsf; eOg;s]sf]n] ;dod} c:ktfndf pkrf/sf nflu hfg' k5{ .

l nfdv'§]sf] 6f]sfOaf6 aRg' g} o; /f]uaf6 aRg] d'Vo pkfo xf] .

l cfkm"" v'zL cyjf lrlsT;ssf] ;Nnfxljgf hyfefjL cf}iflw sbflk vfg' x'“b}g .

l :jf:Yo ;+:yfdf o;sf] nIf0f cg';f/ pkrf/ ul/G5 . Hj/f] 36fpg l;6fdf]n vfg' k5{ tyf k|z:t emf]n kbfy{ lkpg'k5{ .

l ;dodf g} /ut k/LIf0f u/fpg'k5{ .



/f]syfdsf pkfo l kfgL hDg ;Sg] ef“8fx? h:t}M udnf, km'nbfgL vfnL ug]{l a§f, d§Lt]nsf vfnL 8«dx?, uf8Lsf] 6fo/ 3/sf]

jl/kl/ g/fVg]l kfgL hDdf kf/]sf 6\ofªsL tyf afN6Ldf Ps xKtfeGbf

a9L ;do kfgL g/fVg]l km'nbfgLsf] kfgL sDtLdf xKtfdf b'O{ k6s km]g]{l k"/f afx'nf ePsf] jf z/L/ k'/} 9fSg] sk8f nufpg]l ;Dej eP;Dd lbp“;f] ;'Tbf klg em'n k|of]u ug]{l afnaflnsfnfO{ ;'tfp“bf klg em'n leq} ;'tfpg]

l nfdv'§]sf] 6f]sfOaf6 aRg nfdv'§] eufpg] dnd klg nufpg]

l 3/sf ‰ofn 9f]sfdf hfnL nufpg]l 3/ j/k/ ;kmf ;'U3/ /fVg], vfN8fv'N8L k'g]{

;dodf g} 8]+u' kQf nfu]df ;xh} of] /f]uaf6 5'6sf/f kfpg ;lsG5 . t;y{, gcflQsg cfkm"" ;r]t eO{ ;do d} lrlsT;ssf] k/fdz{ lng' cToflws h¿/L x'G5 .

Source : WHO (World Health Organization) BMC Research Notes volume 11, Article number: 423 (2018) w



kf7s ljz]if

cfy|f]{:sf]kL Pp6f zNolqmof ljlw xf] h;df cyf]{k]l8s zNolrlsT;sx?n] hf]gL{ leqsf] ;d:of kQf nufpg] / pQm ;d:ofx?sf] pkrf/ ug]{ ub{5g\ . of] cfy|f]{:sf]kL eGg] zAb lu|s efiffsf] @ j6f zAbx? cfyf]{ -hf]gL{_ / :sf]lkg\ -x]g]{_ ldn]/ ag]sf] xf], h;sf] cy{ hf]gL{ leq x]g]{ eGg] a'lemG5 .

3'F8fsf] cfy|f]{:sf]kL Pp6f zNolqmof ljlw xf] h;n] 5fnfdf ;fgf] Kjfn kf/]/ hf]gL{leq x]g{ ;+ej agfpFb5 . of] 3'F8fdf x'g] ljleGg ;d:ofx?sf] lgbfg / pkrf/ ug{ k|of]u ul/G5 .

cfy|f]{:sf]kL ug]{ a]nfdf la/fdLsf] 3'F8fdf ;fgf] Kjfn kf/L cfyf]{:sf]k eGg] ;fgf] Sofd]/f 3'F8fleq l5/fOG5 . Sofd]/fn] lel8of] dlg6/df tl:a/x¿ / lel8of] b]vfpFb5, oL tl:a/x¿ / lel8of]sf] k|of]u u/]/ 3'F8fleq /x]sf] ;d:of kQf nufpg'sf] ;fy} ;–;fgf cf}hf/x?sf] k|of]u u/]/ ljleGg ;d:ofx?sf] pkrf/ klg ul/G5 .

cfy|f]{:sf]kLdf k|of]u ul/g] pks/0fx? ;–;fgf x'g]

ePsf]n] w]/} lr/]/ 7"nf] 3fp agfpg'sf] ;§f ;fgf] Kjfn kf/]/ pkrf/ ul/G5 h;n] ubf{ zNolqmof kl5 b'vfO sd x'g], rfF8} 3'F8f rnfpg ;lhnf] x'g], klxn]sf] cj:yfdf kmls{g sd ;do nfUg] h:tf] kmfObf x'g] ub{5 .

cfy|f]{:sf]kLsf] a]nfdf lrlsT;sx?n] Sofd]/fsf] ;xfotfn] lel8of] df]lg6/df 3'F8fleqsf] agfj6 x]/L ;d:ofx?sf] lgbfg tyf pkrf/ ub{5g\ .

Dr. Sailendra K. D. ShresthaConsultant Orthopedic and

Arthroscopic surgeonSuvekchya International Hospital and

Research Centre

3'“8fsf] cfy|f]{:sf]kL



3'“8fsf] agfj63'F8f z/L/sf] 7"nf] / hl6n k|sf/sf] hf]gL{ xf] . of]

lt3|fdf x'g] lkmd/ x•Lsf] tNnf] efu, k6]nf / l6laofsf] dflyNnf] efun] ag]sf] x'G5 . oL afx]s c? dxTjk"0f{ agfj6x? lgDg k|sf/sf 5g\ .

!= cfl6{s'n/ sfl6{n]hlkmd/ / l6laofsf] kl5Nnf] efu / k6]nfsf] leqL efu

cfl6{s'n/ sfl6{n]hn] 9fs]sf] x'G5 . 3'F8f v'DRofp“bf / l;wf agfp“bf x•Lx?nfO{ Ps cfk;df ;xh ?kdf rNg lbg o;n] ;xof]u k'¥ofpg] sfd ub{5 .

@= ;fOgf]leod\3'F8fsf] hf]gL{ ;fOgf]leod gfds kftnf] lemNnLn]

9flsPsf] x'G5 h;n] t/n kbfy{ pTkfbg u/L sfl6{n]hx?nfO{ lrNnf] agfpFb5 / 3'8fF rnfpFbf 3if{0f sd x'G5 .

#= d]lg:s;3'F8fdf x'g] @ j6f d]lg:s;n] lkmd/ / l6laofsf]

aLrdf …;s Pjhf]j{/Ú (Shock Absorber) sf] sfd ub{5 . of] s8f / /a/ h:tf] x'G5 h;n] 3'F8fnfO{ ;Gt'lnt /fVg d2t ub{5 .

$= lnufd]G6Pp6f x•L csf]{ x•L;Fu lnufd]G6sf] ;xfotfn]

hf]l8Psf] x'G5 . 3'F8fdf $ j6f lnufd]G6x? x'G5 h;n] alnof] 8f]/Lsf] h:tf] sfd u/L x•Lx?nfO{ ;dfO{ 3'F8fnfO{ ;Gt'lnt /fVg dxTjk"0f{ e"ldsf v]n]sf] x'G5 .

;fdfGotof 3'F8fsf] cfy|f]{:sf]kL cfl6{s'n/ sfl6{n]h, lnufd]G6 / hf]gL{df x'g] c? agfj6x?df x'g] ;d:of kQf nufpg tyf To;sf] pkrf/ ug{ k|of]u ul/G5 . zNolqmof lagfsf] pkrf/x? h:t} cf}iflw, lkmlhof]y]/flk / /]:6n] klg 3'F8fsf] ;d:ofdf ;'wf/ cfPg / b'vfO sd ePg eg] lrlsT;sx?n] cfy|f]{:sf]kLsf] ;Nnfx lbg ;Sb5g\ . cfy|f]{:sf]kLsf] dfWodn] 3'F8fsf] b'vfO;lxt x'g] ljleGg ;d:ofx?sf] pkrf/ ul/G5 . k|foM ul/g] 3'F8fsf] cfy|f]{:sf]kLs ljlwx? lgDg k|sf/sf 5g\ .

!= RofltPsf] d]lg:s;nfO{ lgsfNg] tyf l;nfpg] .@= RofltPsf] lnufd]G6df csf]{ /fVg] .#= lalu|P/ sfd gnfUg] ePsf] ;fOgf]leon tGt'x?nfO{

lgsfNg] .$= lalu|P/ sfd gnfUg] ePsf] cfl6{s'n/ sfl6{n]hnfO{

sf6\g] / lgsfNg] .%= 6'qmf eP/ 5'l§Psf] x•LnfO{ lgsfNg] .^= k6]nfsf] ;d:ofsf] pkrf/ ug{] .&= 3'F8fsf] hf]gL{df ePsf] ;+qmd0fsf] pkrf/ ug]{ .

zNolqmofsf] tof/LzNolqmofk"j{ la/fdLsf] zNolqmofdf c;/ k'¥ofpg]

c? ljleGg ;d:ofx? kQf nufpg ljleGg hfFrx? ug{'kg]{ x'G5 . o;df /ut, lk;fa, O= l;= lh=, PS;M/] kb{5 . obL la/fdL :j:y 5 eg] la/fdLnfO{ egf{ gu/L zNolqmof ug{ klg ;lsG5 h;df la/fdLn] c:ktfndf /ft latfpg' kb}{g . obL la/fdLn] s'g} cf}iflw lgoldt ?kdf lng] u/]sf] 5 / s'g} k'/fgf] /f]ux? 5 eg] clgjfo{ ?kdf lrlsT;snfO{ hfgsf/L u/fpg' kb{5 . lrlsT;s tyf g;{x?n] la/fdLsf] zNolqmof ljlw / la/fdLn] ug{'kg]{ sfo{x?sf] hfgsf/L lbG5g\, pQm lgb]{zgsf] la/fdLn] Wofg lbP/ kfngf ug{'kg]{ x'G5 .

zNolqmofk"j{ Pg]l:yl;of lrlsT;sn] la/fdL;Fu ;Dks{ ub{5 . 3'F8fsf] cfy|f]{:sf]kL lgDg k|sf/sf Pg]l:yl;ofdf ug{ ;lsG5 .

l nf]snM o;df 3'F8f dfq nf6f] x'G5 .l :kfOgnM o;df sDd/eGbf d'lgsf] efu nf6f] x'G5 .l h]g]/nM o;df a]xf];\ agfOG5 .

lrlsT;sx?n] s'g k|sf/sf] Pg]l:yl;of la/fdLnfO{



/fd|f] x'G5 eg]/ hfgsf/L u/fpFb5g\ .

zNolqmof ljlwla/fdL zNolqmof ug]{ sf]7fdf k'u]kl5 Pg]l:yl;of

lbOG5 . ;+qmd0f x'g glbg la/fdLsf] 3'F8f ;kmf u/]/ …;lh{sn 8«oflkªn]Ú 9flsG5 / 3'F8fdf s]xL ;fgf] Kjfn agfOG5 h;nfO{ kf]6{n elgG5 . of] kf]6{naf6 cfyf]{:sf]k eGg] ;fgf] Sofd]/f l5/fP/ lrlsT;sn] la/fdLsf] 3'F8fleq ePsf] ;d:of kQf nufpFb5g\ / cfjZos ePdf cGo ;–;fgf pks/0fx? l5/fP/ zNolqmof ub{5g\ . To:tf] ;–;fgf pks/0fx? v'ls{g, ;dfpg, sf6\g / d]lg:s; l;nfpg k|of]u ul/G5 .

k|foMh;f] o:tf] cfy|f]{:sf]kL ! 306fleq ;lsG5 t/ la/fdLsf] ;d:of / ug{'kg]{ pkrf/df klg e/ kb{5 . 3'F8fdf kfl/Psf] Kjfn l:6rsf] ;xfotfn] aGb u/L g/d AofG8]hn] 9flslbG5g\ . of] cfy|f]{:sf]kL zNolqmofsf] hl6ntf Psbd sd / ;fdfGo vfnsf] x'G5 . s]xL ;DefJo hl6ntfx? lgDg k|sf/sf 5g\M

l ;+qmd0fl 3'F8fsf] l:6kmg];\ -rnfpg cK7\of/f] x'g]_l hf]gL{df /ut hDdf x'g]l /ut hDg]

k/Dk/fut ?kdf ul/g] pkrf/eGbf of] ljlwjf6 ul/g] pkrf/df ;'wf/ rfF8f] x'g] ub{5 . zNolqmofkl5 la/fdLn] ;fdfGo b'vfO dx;'; ug{ ;S5 . s]xL lbgkl5 klg b'vfOdf sd geP lrlsT;s;Fu ;Nnfx ug{' kb{5 . b'vfO{sf] afx]s ;+qmd0f x'g glbg / /ut hDg glbg lrlsT;sn] la/fdLnfO{ c? cf}iflwx? lbg ;S5g\ . zNolqmofkl5sf] s]xL lbg v'§f p7fP/ /fVg] / cfO;\ Kofsn] ;]Sg] ug{'kb{5 h;n] ubf{ ;'lGgg sd x'g'sf] ;fy} b'vfOklg sd x'G5 . c:ktfndf nufPsf] 8«]l;ªnfO{ ;kmf /fVg] / csf]{ 8«]l;ª slxn] ug]{, slxn] g'xfpg] h:tf] s'/fx?sf] lgb]{zg lrlsT;sn] lbg] ub{5 . k|foM la/fdLx?nfO{ cfy|f]{:sf]kL kl5

j};fvLsf] ;xfotf rflxG5 . slxn]af6 v'§f 6]Sg] eGg] af/] la/fdLsf] pkrf/sf] k|s[lt x]/]/ lrlsT;sx?n] ;Nnfx lbG5g\ .

la/fdLnfO{ lgoldt ?kdf l;sfPsf] lkmlhof]y]/fkL Jofofdx? ug{'kb{5 h;n] ubf{ la/fdLsf] 3'F8fsf] rfn cfpg'sf] ;fy} df+;k]zLx? klg alnof] x'G5 . lkmlhof]y]/fkL Jofofdn] la/fdL rfF8f] 7Ls x'G5 / la/fdLsf] 3'F8fsf] ;'wf/df dxTjk"0f{ e"ldsf v]Nb5 . k|foM dflg;x? cfy|f]{:sf]kL kl5 k"0f{ ?kdf klxn]sf] h:t} ;fdfGo cj:yfdf kmls{G5g\ . la/fdLsf] ;'wf/df 3'F8fsf] rf]6sf] k|sf/df klg lge{/ ub{5 .

3'F8fsf] lnufd]G6 km]/]sf] afx]s c? cj:yfdf la/fdLn] ^–* xKtfleq k|foM ;a} b}lgs zf/Ll/s lqmofsnfk ug{ ;Sb5 t/ 3'F8fnfO{ w]/} ef/ kg]{ sfdx? s]xL nfdf] ;do;Dd ug{' x'“b}g . obL la/fdLsf] s8f zf/Ll/s lqmofsnfk ug]{ sfd 5 eg] sfddf kmls{g s]xL nfdf] ;do nfUg ;S5 . slxn] ;'/lIft ?kdf sfddf kms{g] eg]/ la/fdLn] lrlsT;s;Fu ;Nnfx ug{ ;Sb5 . s]xL dflg;x?sf] nflu hf]gL{nfO{ nfdf] ;do arfpgsf] nflu …nfOkm :6fOnÚ df kl/jt{g ug{ cfjZos x'G5 . h:t} bf}l8g], kf}l8g], ;fOlSnª, of] tkfO“{n] lrlsT;ssf] ;Nnfx cg';f/ lg0f{o lng ;Sg'x'G5 .

s'g} cj:yfdf la/fdLsf] 3'F8fsf] rf]6 Psbd hl6n x'g;S5, h'g zNolqmofkl5 klg klxn]sf] cj:yfdf cfpg ;Dej x'“b}g . w

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cfTdxTof Ps o:tf] zAb xf], h;n] ;a} a'l4hLjLx¿sf] Wofg cfslif{t u5{ . cfTdxTofsf] va/ ;'Gg] ljlQs} ;a}nfO{ cfZro{ / ysysL nfU5 . lsg cfTdxTof u¥of] xf]nf eGg] sf}t'xntf eOxfN5 . o;n] ubf{ s'g} klg lj1 ;d"xdf -8fS6/, OlGhlgo/, jlsn, kqsf/, ;fdflhs cleoGtf, n]vs_ Pp6f ax;sf] ;'?jft hlxn] klg x'G5 .

cfTdxTof Ps uDeL/ dfgl;s :jf:Yo ;d:of xf] . o;n] ;a}sf] Wofg tfGg] x'gfn] o;sf] /f]syfdsf] nflu Wofg lbg'kg]{ x'G5 t/ of] jf:tjdf Tolt ;xh eg] 5}g . o;sf nflu cfjZos ;"rgf k|ljlwnfO{ pkof]u u/]/, ;kmn ¿kdf dfgl;s /f]usf] pkrf/ ug{'k5{ . cfTdxTof;DaGwL hfgsf/Ld"ns k|rf/—k|;f/nfO{ k|f]T;fxg ug{'k5{, h;n] ubf{ ;a} pd]/ ;d"xsf dfG5]nfO{ o;af/] hfgsf/L u/fpg ;lsof];\ .

cfTdxTof;DaGwL s]xL tYox¿!= x/]s jif{ bz nfv dflg;x¿n] cfToxTof u/L Hofg

u'dfpg] u5{g\ .@= ;+;f/df x/]s $) ;]s]08df Ps hgfn] cfTdxTof

u5{g\ / x/]s # ;]s]08df cfTdxTofsf] k|of; u5{g\ .

#= !% b]lv #% jif{sf] pd]/ ;d"xdf Hofg u'dfpg]df æcfTdxTofÆ bf];|f] sf/0f dflgG5 .

$= s'g} dfG5]n] cfTdxTof u/]df To;sf] uDeL/ gsf/fTds c;/ ^ hgf :j:y dfG5]nfO{ k5{ .

%= Pp6f dfG5]sf] cfTdxTofsf] sf/0fn] ubf{ ;d'bfodf ;fdflhs, cfly{s tyf dfgl;s ¿kdf ulx/f] c;/ kl//x]sf] x'G5 .

cfTdxTof Pp6} sf/0fn] x'G5 eGg] x'Fb}g, o;df ljleGg sf/0fx¿ hf]l8Psf x'G5g\ . o;df ljleGg tTjx¿ ldl;Psf x'G5g\, h;df j+zf0f'ut, ;fdflhs, dfgl;s, ;f+:s[lts tyf jftfj/0fLo tTj x'G5g\ . s'g} klg dflg;n] cfTdxTof u/]sf] v08df lsg u¥of] eg]/ eGg ;lhnf] 5}g, lsgeg] ;a}sf] cj:yf km/s eO/x]sf] x'G5 / To:t} cj:yfdf csf]{ JolQmn] gug{ klg ;S5 . t/, sf/0f h];'s} eP klg cfTdxTofsf] sf]l;; u/]df o;nfO{ /f]syfd ug{ eg] ;lsG5 .

w]/}h;f] cfTdxTof u/]sf dflg;x¿df /fd|f];Fu lgsf] x'g] dfgl;s /f]u nfu]sf] x'G5 . t/, dfgl;s /f]u nfu]sf] ;dod} pkrf/ gug]{ sf/0f g} k|d'v x'G5 . cljsl;t b]zdf

a9\bf] cfTdxTof Msf/0f / /f]syfd, e|d / oyfy{

?k|f= 8f= ;'bz{g g/l;+x k|wfg ;do ;Gbe{



dfq} xf]Og, ljsl;t b]zx¿df klg dflg;x? dfgl;s /f]usf] pkrf/ gu/Lsg g} a;]sf x'G5g\ .

ljleGg dfgl;s /f]udf cfTdxTofsf] ;Defjgf ePsf] k|d'v /f]u l8k|];g -cj;fb_ g} xf] . To;kl5 …k;{gfln6L l8;c8{/Ú, nfu' kbfy{ tyf /S;Lsf] cToflws ;]jg, l:shf]k|m]lgof cflb k5{g\ .

l8k|];g ePsf JolQmx¿df k|foh;f] dg pbf; x'g], cfkm"" / cfˆgf] kl/jf/sf] eljio cGwsf/ b]Vg] x'G5 . s'g} /dfOnf s''/fx¿df Wofg hfFb}g / cfTdxTofsf] k|of; klg u5{g\ . t/, k|foh;f] l8k|];gsf] ljleGg lsl;dsf] ;kmn pkrf/ x'Fbfx'Fb} klg /f]u klxrfg x'Fb}g, lsgeg]M

!= k|foM dflg;nfO{ l8k|];g ePsf] a]nfdf cfkm""nfO{ of] dfgl;s /f]u xf]Og / o;sf] Onfh rflxFb}g eGg] e|d 5 .

@= la/fdLx? o;sf] pkrf/ ug{ dfgl;s /f]u ljz]if1sxfF hfg 8/fpF5g\ jf lxlRsrfpF5g\ clg c¿ y]/flki6sxfF uP/ pkrf/ ubf{ unt klxrfg x'G5 .

slxn]sfxLF l8k|];gsf] 5'§} lsl;dsf] nIf0f x'G5, h:t}M hLp ef/L x'g], hLp b'Vg], 5ftL b'Vg], h;n] ubf{ l8k|];g klxrfg x'g ufx|f] eOlbG5 clg l8k|];g ulx/f] eP/ a:g yfN5 . lgsf] gx'g] /f]u nfUof] eg]/ dfG5] cfTdxTof ug{ ljjz x'G5g\ .

k|foM cfTdxTof u/]sf dflg;x¿df Ps ltxfO{ dflg;x¿ hfF8 / /S;Lsf] s'ntdf km;]sf x'G5g\ . hfF8 / /S;Lsf] s'ntdf km;]sf dflg;x¿df % b]lv !) k|ltztn] cfTdxTof u/L cfˆgf] lhGbuL ;dfKt kf5{g\ eg] %) k|ltztn] cfTdxTofsf] k|of; u5{g\ .

s'g}s'g} uDeL/ k|sf/sf zf/Ll/s /f]u nfu]sf dflg;x¿sf] cWoogdf cfTdxTofsf] k|an ;Defjgf /x]sf] x'G5 . h:t}M 5f/] /f]u, SofG;/ /f]u -ca{'b /f]u_, Pr=cfO{=eL P8\;, dl:tis3ft cflb /f]ux¿ bL3{ /f]usf] ¿kdf lnOg] x'Fbf / oL /f]u 7Ls gx'g] /f]u eGg] hgdfg;sf] a'emfOn] ubf{ klg cfTdxTofsf] ;Defjgf Hofb} /x]sf] kfOG5 .

bL3{ /f]u eGgfn] oL /f]ux¿ a'lemG5M!= dw'd]x@= lduf}{nf;DaGwL /f]u

#= sn]hf] tyf k]6;DaGwL /f]u$= x•Lsf] nfdf] ;dosf] b'vfO%= d'6';DaGwL /f]u^= of}g;DaGwL ;d:ofx¿

k|foM k'?ifx¿df cfTdxTof a9L b]lvPsf] 5 hals dlxnfdf cfTdxTofsf] k|of; a9L b]lvPsf] 5 .

pd]/ ;d"xdf !% b]lv #% jif{df tyf &% eGbf dfly pd]/sfn] a9L cfTdxTof ug]{ b]lvPsf] 5 .

kf/kfr's] u/]sf, ljwjf, Psn a;]sf dflg;x¿df cfTdxTofsf] ;Defjgf a9L b]lvPsf] 5 .

Joj;fox¿df cToflws tgfjdf sfd ug]{ dflg;x¿df h:t}M 8fS6/, e]6]/]g/L, /;fogzf:qL, kmdf{l;:6 / ls;fgx¿df cfTdxTofsf] hf]lvd Hofbf b]lvPsf] 5 .

hflu/ vf]l;Psf, cjsf;k|fKtx¿df cfTdxTofsf] ;Defjgf w]/} b]lvPsf] 5 .

ufpFaf6 zx/df a;f]jf; ;/]sf tyf Pp6f b]zaf6 csf]{ b]zdf a;fO ;/]sfx¿df klg cfTdxTofsf] hf]lvd a9L /x]sf] 5 .

w]/}h;f] cWoogx¿n] s] b]vfpF5g\ eg] cfTdxTof ug{'k"j{ # dlxgf;Dd dflg; cToflws tgfjdf a;]sf] kfOPsf] 5 . oL tgfjx¿ o:tf 5g\ .

!= >Ldfg\—>LdtLaLr emu8f@= cfkmGt, ;fyLefO{, k|]dL, k|]ldsfaLr emu8f#= kl/jf/ tyf ;fyLefO;Fu cnu ePsf]$= cfly{s gf]S;fgL -Jofkf/ 3f6f, cToflws C0f_%= cfkmGtsf] d[To'^= gf]s/Laf6 lgsflnPsf], gf]s/Laf6 cjsf; k|fKt ePsf]&= cfkm""n] u/]sf] uNtLdf w]/} kZrftfk ug]{ .

g]kfn h:tf] b]zdf ;a}eGbf dxTjk"0f{ s'/f s] 5 eg] cfTdxTof ug]{ dfWodx¿ ;lhn} kfOG5g\ . h:t}M ls6gfzs cf}iflw, 8f]/L, lgGb|f nufpg] cf}iflwx¿, h'g ahf/df ;lhn} kfOG5 . ls6gfzs cf}iflwdf s8fOsf ;fy k|ltaGw nufpg] xf] eg] cfTdxTofsf] /f]syfddf w]/} ;lhnf] x'G5 .



s;/L lrGg] cfTdxTof ug{ nfu]sf JolQmnfO{ <!= 3';—3':ofxf k|j[lQsf] dflg;, h;n] w]/} ;fyLx¿

agfpg ;Sb}g .@= ljleGg lsl;dsf] dfgl;s /f]u nfu]sf dflg;x¿ .#= hfF8 / /S;Lsf] s'nt nfu]sf JolQmx¿ .$= JolQmTj ljsf;df sdL ePsf dflg;x¿, hf] cfˆgf

uNtLx¿af6 kf7 gl;Sg], rfF8} emls{g] / l/;fpg], c¿nfO{ dfof b]vfpg g;Sg]x¿ .

%= klxn] cfTdxTofsf] k|of; ul/;s]sfx¿ .^= ev{/} cfkmGtsf] d[To', kf/kfr's] ePsf / 5'l§P/

a;]sfx¿ .&= kl/jf/df s;}n] cfTdxTof u/]sf] ePdf .*= s;}n] cs:dft\ cfˆgf] d/0fkl5sf] OR5fkq n]Vg]

dg;fo JoQm u/]df .(= s;}n] cfTdxTof u5{' eg]/ JoQm ug]{ kq n]v]/ /fv]df .!)= s;}df nfdf] jf bL3{ /f]u nfu]df .

cfTdxTof;DaGwL e|d / oyfy{M!= e|dM h;n] cfTdxTofsf] s'/f u5{, p;n] cfTdxTof

ub}{g . oyfy{M cfTdxTof ug]{ dflg;n] s]xL g s]xL ;+s]t

lbPsf] x'G5, h;n] ubf{ p;n] cfTdxTof ug{;Sg] x'G5 .

@= e|dM cfTdxTof ug]{ dflg;n] dg{ vf]h]sf] xf] .

oyfy{M w]/}h;f] dflg;df cfTdxTof ug]{ ls gug]{ eg]/ bf]wf/ ePsf] x'G5 .

#= e|dM cfTdxTof ug]{nfO{ arfpg ;lsFb}g .

oyfy{M t/ w]/}h;f]nfO{ arfpg ;lsg] ;Defjgf hlxn] klg x'G5 .

$= e|dM cfTdxTofsf] af/]df ;f]Wg'x'Fb}g . ;f]wLvf]hL ubf{ cfTdxTof ug{ k|]l/t ug{;S5 .

oyfy{M cfTdxTof ug]{af/]df ;f]wLvf]hL ubf{ cfTdxTof

ug{ k|]l/t ub}{g .

/f]syfdsf pkfox¿McfTdxTof sd ug{sf nflu ;d'bfodf cfwfl/t

dgf]lzIff ;DaGwL sfo{qmd ;dfhsf ljleGg ;d'bfodf lbg' cfjZos 5 . JolQmsf] dgf]j}1flgs kIfnfO{ Vofn u/]/ 3/ kl/jf/ / ;fyLx¿af6 k|f]T;fxg, xf};nf Pj+ dgf]j}1flgs, dgf]lrlsT;s, dgf]ljdz{stf{ / dgf];fdflhs sfo{stf{sf] plrt dgf]ljdz{, dgf]lrlsT;f Pj+ pkrf/af6 cfTdxTofsf] a9\bf] qmdnfO{ /f]syfd ug{ ;lsG5 .

;+rf/ dfWodx¿n] cfTdxTof /f]syfddf dxTjk"0f{ e"ldsf v]Ng ;S5g\ . cfTdxTof /f]syfdsf nflu tgfj, c;'/Iff, c;dfgtf, 3/]n' lx+;f, ;f+:s[lts ljrng sd ug{ dgf]j}1flgs dgf]ljd{z Pj+ hLjg pkof]uL ;Lkx¿ / tflnd lbP/ JolQmnfO{ cfTdlge{/ agfpg ;s] cfTdxTofnfO{ /f]syfd ug{ ;lsG5.

dfgl;s /f]uLx¿sf nflu ljz]if dfgl;s :jf:Yo gLlt agfpg / To;sf] sfof{Gjog u/L dfgl;s :jf:Yo s]Gb| / dgf]ljdz{stf{sf] Joj:yf u/L cfTdxTof Go"gLs/0f ug{ ;lsG5 . w



bdaf6 aRg]!% ;'emfjx?!_ tlsofsf] vf]n / tGgfx? ;s];Dd PnhL{–/lxt

sk8fsf] k|of]u u/f}“ Mtlsofsf] vf]n / tGgfx? w'“bfv]/L %)o C eGbf dflysf]

tfkqmd ePsf] kfgLn] w'g' pko'Qm dflgG5 h;sf sf/0f sk8fdf 6fFl;Psf] w'nf] / ls6f0f'x? gi6 eP/ hfG5 .

@_ xfjf÷jfo"sf] u'0f:t/df Wofg k'¥ofpm“ M –w]/} dflg;x?nfO{

clt tftf], cf]l;nf] / sd u'0f:t/sf] xfjfsf] glhs a:bf bd a9]sf] kfOG5 . cfkm""nfO{ plrt x'g] jftfj/0fdf dfq} a:g ;lsof] eg] bdsf] cfqmd0faf6 aRg ;lsG5 .

#_ 3/ leqsf] jftfj/0f Mjfo"df x'g] cf];sf] dfqf sd ug{sf] lgldQ Dehumidifier

cyjf jfo"sf] cf]; sd ug]{ oGqsf] k|of]u ug{'kb{5 .

$_ afy?d / 6\jfOn]6 ;'Vvf /fvf}“ Mlr;f] jf cf]l;nf] 7fp“df 9'“;L nfUg] ub{5 / 9'“;Ln]

bdsf la/fdLnfO{ ;f; km]g{ cK7]/f] kfb{5 . o;}sf/0f afy?d, 6\jfOn]6 / kfgL hDg] cGo 7fp“x? ;'Vvf /fVg'kb{5 . g'xfp“bf jf afy?ddf kfgLsf] k|of]u ubf{ e]lG6n];g cyjf ‰ofn vf]nL afy?dnfO{ l56f] ;'Vvf ug]{ tl/sf ckgfpg' g} a'l4dfgL x'G5 .

%_ 3/kfn'jf hgfj/nfO{ cf]5\ofg jl/kl/ g/fvf“} M 3/kfn'jf hgfj/ h:t} s's'/ / la/fnf] xfd}| kl/jf/sf]

;b:o h;/L /fVg] rng xfdLdfem 5 . t/, hfgL/fVg' kg]{ s'/f s] xf] eg] To:tf hgfj/x?sf] /f}+n] bdsf la/fdLnfO{ PnhL{ k}bf u/L t'?Gt} bd a9fpg ;Sg] x'“bf ;s];Dd cf]5\ofgdf jf cfkm"" ;'Tg] sf]7fdf s's'/, la/fnf] cflbnfO{ aGb]h ug'{ /fd|f] dflgG5 .

^_ w'“jf–w'nf] af6 6f9f a;f}“Mw'“jf–w'nf] b'a} bdsf sf/s x'g\ . bdsf] la/fdLn]

;s];Dd r'/f]6sf] w'“jf, sk8fdf 6f“l;g] w'“jfw'nf], kmlg{r/af6 lgl:sg] sf7sf] dl;gf] /];f cflbaf6 6f9f a:g' kb{5 . o:tf rLhx?n] t'?Gt} bdsf] cfqmd0fnfO{ a9fjf lbg ;S5 .

&_ s8f s]ldsnx?sf] k|of]u ;s];Dd gu/f}“ M3/ ;kmf ug]{ jf ‰ofn, l;;f ;kmf ug]{ s]ldsnsf]

k|of]u ubf{ To;af6 lgl:sg] x:sf]n] klg bdsf] cfqmd0f lgDTofpg ;S5 . To:tf s]ldsnsf] k|of]u ;s];Dd sd ug'{xf];\, / obL ug}{ k/]klg df:s nufP/ ug'{xf];\ .

*_ tgfj sd u/f}“ Mdg–dl:tisdf x'g] cg]s k|sf/sf] tgfjn] klg bdsf]

nIf0fnfO{ cem} a9fp“b5, To;}n] x/]s lbg tgfj sd ug]{

/f]u Ps hfgsf/L ? ljz]if kf08] (Pharmacist)



tl/sfx? h:t} Wofg, of]u cflb ug'{ /fd|f] x'G5 .

(_ lgoldt sfk{]6sf] ;kmfO{ Mw'nf] hDg] cyjf ;–;fgf /];f lgl:sg] sfk]{6sf] k|of]u

gug'{ g} /fd|f] x'G5 . ;s];Dd xKtfdf @ k6s sfk]{6sf] ;kmfO{ ug{' pko'Qm dflgG5 . ;kmfO{ ubf{ d'vdf df:s k|of]u ug'{ plrt x'G5 .

!)_ Jofofd plQs} cfjZos M–bdsf la/fdLnfO{ klg Jofofd cfjZos kb{5 t/

o;sf] af/]df lrlsT;ssf] ;Nnfx lnP/ dfq} ug'{kb{5 . k|foM Jofofd ubf{ yf]/} ;dosf] nflu, 3/ leq} / plrt df};ddf dfq} ug'{kb{5 .

!!_ tkfO{“sf] bdsf] hfgsf/L 3/–kl/jf/nfO{ klg yfxf x'g h?/L 5 Mbdsf] cfqmd0fsf a]nf cfkm"“";+u} c? sf]lx ;fydf

/x\of] eg] ljkt\af6 aRg ;lsg] x'“bf ;s];Dd PSn} ;do glatfpg] / 3/df jf cfkm"" sfd ug]{ 7fp“df x'“bf cfkm""nfO{ bd a9\g ;Sg] hfgsf/L ;a}nfO{ u/fpg h?/L 5 .

!@_ lr;f] / PnhL{af6 vt/f M–hf8f]ofddf nfUg] lr;f] / PnhL{ -h;nfO{ l;hgn

PnhL{ elgG5_ af6 ;r]t /xg' kb{5 . lr;f]df o;}klg bd al9/xg] x'“bf l;hgn PnhL{n] bdnfO{ cem ufx|f] agfpg ;S5 . t;y{, lrlsT;ssf] ;Nnfx lnP/ PnhL{sf] cf}iflw ;]jg ug'{kb{5 .

!#_ bdsf] cf}iflw cfkm"";“u}} /fVg] u/f}“ M–s'g} klg a]nf bdsf] cfqmd0f cfpg ;Sg] x'“bf t'?Gt}

sfd ug]{ bdsf] cf}iflw jf Inhaler jf cGo pks/0f hxf“ hf“bf klg cfkm"";+u} /fVg] ug'{ k5{ .

!$_ afnaflnsfsf] ljz]if Wofg M:s'ndf k|of]u x'g] rNs, 8:6/ (Chalk/duster) af6

lgl:sg] w'nf]n] klg bdsf] cj:yfnfO{ cem a9fpg ;Sg] x'“bf :s'ndf Tof] s'/f hfgsf/L u/fpg Tolts} cfjZos 5 . To:tf] cj:yfdf aRrf–aRrLnfO { k5fl8sf] l;6df /fvL k9fpg] ug'{ kb{5 .

!%_ glhs}sf] c:ktfn yfx kfO/fvf}“ Ms'g} klg a]nf s'g} klg tTj jf cj:yfn] Zjf;–

k|Zjf;df cK7]/f] kf/L bdsf] cfqmd0f lglDtg ;Sg] x'“bf cfkm\gf] 3/, clkm;, :s"n÷sn]h jf cGo 7fp“sf] glhs s'g} c:ktfn 5 ls 5}g / s;/L k'Ug] eGg] s'/fsf] hfgsf/L ;'?b]lv g} /fVg'k5{ . w



plrt cf}iflwljt/0f cEof;

c+s ljz]if

!= e"ldsfcf}iflw ljt/0f eGgfn] Pp6f k|lqmofnfO{ a'lemG5 h;df

lrlsT;ssf] k'hf{ (prescription) sf] cfwf/df cf}iflw-x?_ tof/ kf/L ;DalGwt la/fdLnfO{ lbOG5 . o;;“u} 8fS6/sf] k'hf{ cg';f/ cf}iflwsf] dfqf / ;]jg ug]{ ljlw klg la/fdLnfO{ a'emfOG5 . of] k|lqmof s'g} klg c:ktfn, lSnlgs, x]Ny kf]i6 cyjf ;fdfGo cf}iflw k;ndf klg x'g ;S5 . o; k|lqmof;“u} hf]l8Psf] csf]{ s'/f xf] cf}iflw ljt/0f ug]{ JolQm cyjf cf}iflw ljt/s . cf}iflw ljt/0f ug{ Ps ;Ifd JolQmsf] vf“rf] x'G5 hf] lzlIft x'g'sf] ;fy} cf}iflwsf] 1fg klg af]s]sf] x'G5 . cf}iflw ljt/0f ug]{ qmddf s;}n] ;fgf] dfq} klg uNtL u¥of] eg] la/fdLsf] :jf:Yodf gsf/fTds c;/ kg'{sf ;fy} Hofg} hfg ;Sg] vt/f klg cfpg ;S5 .

@= cf}iflw ljt/0f ug]{ jftfj/0fcf}iflw ljt/0f ug]{ jftfj/0f ;kmf / :jR5 x'g'kb{5 .

w]/}h;f] cf}iflwx? d'vaf6 lng'kg]{ vfnsf x'G5g\ h;sf/0f ljt/0f ug]{ jftfj/0f xfOlhlgs / b'if0f/lxt x'g'kb{5 . jftfj/0f o:tf] klg x'g'kb{5 ls cf}iflw ljt/0f ubf{ ;lhnf] / l56f]sf] ;fy–;fy} ljt/0f sfo{ ;xL / Jojl:yt klg xf];\ . cf}iflw ljt/0f ug]{ jftfj/0f cGtu{t lgDg pNn]lvt s'/fx? klg kb{5g\ M

– cf}iflw ljt/0f ug]{ Joltm -ljt/s_– ljt/0f ug]{ 7fp“ j/–k/sf] jftfj/0f – cf}iflw /flvPsf b/fh÷¥ofs clg 6]an– pks/0f / Kofs]lhªsf ;fdu|Lx?

cf}iflw ljt/0f ug]{ :6fkmx?n] cfkm"\gf] ;/;kmfOsf] ljz]if Wofg lbg'kb{5 / ljt/0f ubf{ ;“w} ;kmf sk8f nufpg'kb{5 h;n] ubf{ la/fdLn] k|of]u ug]{ cf}iflwdf s'g} k|b'if0f gxf];\ / cfkm"" klg ljleGg cf}iflwsf] uGwaf6 6f9} /xg ;lsof]; .

ljt/0f ug]{ 7fp“ j/–k/sf] :yfgdf ;s];Dd w'nf]–d}nf] a:g lbg' x'“b}g . cf}iflw k;n ;a} la/fdLsf nflu plrt 7fp“df x'g'kg]{ x'G5, / ;fy–;fy} w'nf]–w'“jf, kmf]x/, k|b'if0f cflbn] ge]6\g] 7fp“df klg x'g'kb{5 . ;a} dflg;x? cyjf la/fdLx?nfO{ cf}iflw k;n÷kmfd]{;L leq k:gaf6 /f]s nufO{ ;DalGwt kmfd]{;Lsf clws[tx?nfO{ dfq leq k:g] cg'dlt lbg'kb{5 .

ljt/0f ug]{ 7fp“ leq–aflx/ lgoldt ?kdf ;/;kmfO ug'{sf ;fy} s'g} klg k|sf/sf] vfg]s'/f ;s];Dd ljt/0f ug]{ 7fp“ leq nUg'x'“b}g .

vfg]s'/f, k]o kbfy{ cyjf emf]n cf}iflwx? e'“Odf kf]lvof] eg] lem+uf, sldnfx? nfU5g\ h;n] ubf{ cf;–kf;sf 7fp“x? b'lift x'g hfG5 . cf}iflw /flvPsf] lk|mhsf] lgoldt lgu/fgL ug'{kb{5 h;n] ubf{ To; leq kl/dflh{t tfkqmdsf] cj:yf tn–dfly eP–gePsf] yfxf x'G5 . k|foM h;f] lk|mhsf] tfkqmd -@°C b]lv *°C ;Dd /fVg] ul/G5_ ljt/0f ug]{ 7fp“df k|of]u x'g] pks/0fx? /fd|f];“u ;kmf u/]/ /fVg'kb{5 h;n] ubf{ csf]{ la/fdLn] k|of]u ubf{ s'g} xflg gxf];\ .

? ljz]if kf08] (Pharmacist)



cf}iflw /fVg] b/fh tyf ¥ofsx? kof{Kt x'g'kb{5 h;n] ubf{ ;a} cf}iflwx? Jojl:yt xf];\ . cf}iflwx? /fVbf ldnfP/ /fVg'kb{5 h:t}, 6\ofan]6÷SofK;'n Ps lt/, emf]n cf}iflwx? Ps lt/, OGh]S;g\x? csf]{lt/ . Pp6} sfd ug]{ cf}iflwx? Ps} 7fp“df klg /fVg ;lsG5 . A, B, C sf cfwf/df klg /fVg ;lsG5 / cf}iflwx? /fVbfv]/L s'g cf}iflw eg]/ lrlgg] u/L /fVg'k5{ tf ls cf}iflw lgsfNg ;lhnf] xf];\ / unt cf}iflw kg]{ ;Defjgf sd xf];\ .

b/fhaf6 cf}iflw lgsfn]/ ljt/0f ug]{ a]nf cToGt} Wofg k'¥ofpg'kg]{ s'/f eg]sf] To; cf}iflwsf] Dofb ;dfKt -Expire_ x'g] ldlt xf] . Dofb ;dfKt ePsf cf}iflwx? ljt/0f ug'{ x'Fb}g / l56} ¥ofsaf6 lgsfln ;DalGwt 7fpFdf k'¥ofpg' kb{5 .

s'g cf}iflwnfO{ ;'?df ljt/0f ug]{ / s'gnfO{ kl5 ug]{ eGg] s'/fsf] Wofg k'¥ofpg klg h?/L 5 . yf]/} Dofb af“sL ePsf] cf}iflwnfO{ cufl8 /fVg'kb{5 clg w]/} Dofb af“sL ePsf] cf}iflwnfO{ k5f8L /fVg'kb{5 / cf}iflw ljt/0f ug]{ a]nf Dofb ;lsg] ldltsf] /fd|f] ;“u Vofn /fVg'kb{5 . / Dofb ;ls;s]sf] cf}iflwnfO{ ;DalGwt 7fp“df lkmtf{ u/L To; cf}iflwsf] cfkm";“u :6s (Stock) eP–gePsf] klg Vofn ug'{kb{5 . olb :6s ;lsg nfu]sf] 5 eg] t'?Gt dufpg' kb{5 .

#_ cf}iflw ljt/0f ug]{ JolQmem§ x]bf{ cf}iflw ljt/0f k9\g–n]Vg hfGg] hf]—sf]lxn]

klg ;lhn};“u ug{;Sg] sfd h:tf] b]lvg ;S5 . To;}n] xf]nf cfhef]ln cf}iflw ljt/0f If]qx?df bIf hgzlQm sd} b]lvG5 .

cf}iflw jf cf}iflw;“u ;DalGwt ;fdu|L / cGo

;fdu|Lsf] ljt/0fdf Pp6f k|d'v leGgtf s] 5 eg] cf}iflw tyf cf}iflwhGo ;fdu|Lx? lng] cyjf kfpg] JolQmnfO{ -la/fdLnfO{_ To; ;fdu|L -cf}iflw_ sf] k|of]usf] af/]df Go"g cyjf hfgsf/Lg} gx'g] klg x'g ;S5 . g t p;nfO{ Tof] cf}iflwsf] u'0f:t/sf] af/]df 1fg x'G5 . t;y{, la/fdLnfO{ cf}iflwsf] af/]df eGg], ;]jg ug]{ ljlw l;sfpg] b]lv lnP/ s'g cf}iflw slQsf] u'0f:t/sf] 5 eg]/ a'emfpg] lhDd]jf/L To; ljt/s dfly x'G5, / p;n] h;/L l;sfp“5 To;/L g} l;Sg afx]s c? pkfo la/fdL;“u /x“b}g . w]/} h;f] ljsl;t /fi6«x?df cf}iflw ljt/0fsf] nflu bIf kmdf{l;:6 g} x'g'kg]{ lgod 5 eg], xfd|f] h:tf] ljsf;f]Gd'v /fi6«x?df bIf kmdf{l;:6sf] cefjn] egf}+ jf xfdL;“u :jf:Yo ;Fu ;DalGwt s8f sfg'g Joj:yf geP/ egf}+ cf}iflw;Fu ;DalGwt s'g} lzIff jf k|lzIf0f xfl;n gu/]sf JolQmx?n] klg cf}iflwsf] lalqm–ljt/0f ug]{ u/]sf] kfOG5 . n]Vg–k9\g hfGg] dfq} geP/ ljt/0f ug]{ JolQm jf 6f]nLnfO{ cltl/Qm 1fg, ;Lk / dgf]j[ltsf] klg h?/t kg{ hfG5 h;sf af/]df tn pNn]v ul/Psf] 5 M

l ljt/0f ug{ nfluPsf] cf}iflwsf] af/]df 1fg -s] sf nflu k|of]u ul/Psf], ;xL dfqf, k|of]u ug]{ tl/sf, To;sf gsf/fTds c;/x? (Side Effect), Tof] cf}iflw ;]jg ubf{ Wofg k'¥ofpg'kg]{ s'/fx?, cGo cf}iflw ;“u} vf“bf kg{ ;Sg] cg's"n÷k|lts"n c;/x?, To; cf}iflwnfO{ s:tf] 7fp“df /fVg] ;DalGw cflb_

l lx;fa–lstfa ug{ hfGg]l plrt 9+un] la/fdLnfO{ cf}iflw lbg hfGg]l plrt ;/;kmfO ug{ hfGg]l la/fdL;“u ;xL 9+un] cf}iflwsf af/]df lj:t[t hfgsf/L

lbg ;Sg]

cf}iflw ljt/0f ;“u–;“u} hf]l8g] s'/f xf] k/fdz{ . cf}iflwsf af/]df ;xL k/fdz{ lbg] lhDd]jf/L klg cf}iflw ljt/ss} x'G5 . xfd|f] b]z h:tf cGo b]zx?df o;sf] cEof; Tolt u/]sf] kf“Ob}g t/, ljsl;t b]zx?df la/fdLn] cf}iflw lnPkl5 kmdf{l;:6s“xf uO{ cf}iflwsf] ;]jg ug]{ ljlwb]lv To;n] k'¥ofpg ;Sg] k|lts'n c;/;Dd ;a} s'/fsf] hfgsf/L lnP/ dfq} c:ktfn jf lSnlgsaf6 lg:sg kfOG5 .

xfn;fn} cf}iflw Joj:yf ljefuåf/f hfl/ ul/Psf] lgodfg';f/ cf}iflw k;ndf sfo{/t Joj;foL jf kmdf{l;:6



jf kmfd]{;L ;xfosn] cf}iflw ljt/0f ubf{ Pk|f]g / kl/ro kq clgjfo{ ?kdf nufpg' kb{5 .

$_ cf}iflw ljt/0fsf] k|lqmof Mcf}iflw ljt/0fsf] x/]s r/0fdf x'g ;Sg] q'l6x?af6

aRgsf] lgldQ lgoldt ?kdf plrt cf}iflw ljt/0fsf] k|lqmof ckgfpg cToGt h?/L 5 . o; k|lqmofdf k'hf{ k|fKt ePb]lv la/fdLnfO{ cf}iflw lbP/ k7fpg] ;Ddsf ;a} s'/fx? kb{5g\ . o; k|lqmofsf] 9f“rf ^ j6f k|d'v efudf ljeflht ul/Psf] kfOG5 M–

s_ k'hf{ k|fKt ug]{ / la/fdLsf] gfd;“u k'li6 ug]{v_ k'hf{df n]lvPsf] s'/f a'lem ;xL ?kdf cg'kft ug]{u_ la/fdLnfO{ lbg'kg]{ cf}iflwx? tof/ ul/ To;df n]an

ug]{ 3_ k'hf{df n]lvP cg'?k cf}iflwx? 5g\ ls 5}gg\ kmfOgn

r]s ug]{ª_ ljt/0f ul/g] cf}iflwx?sf] /]s8{ /fVg]r_ la/fdLnfO{ cf}iflwsf] ;fy} To;;“u ;DalGwt hfgsf/L

/ lgb]{zg lbg]

s_ k'hf{ k|fKt ug]{ / la/fdLsf] gfd;“u k'li6 ug]{k'hf{ k|fKt ul/;s]kl5 ljt/s :6fkmn] To; k'hf{;“u

la/fdLsf] gfd k'li6 ug'{kb{5 . ljz]iful/ w]/} la/fdLsf] rfk x'g] c:ktfnx?df la/fdLsf] gfd;“u k'hf{ km/s kg{;Sg] ;Defjgf x'G5 . / slxn]sf“xL Pp6} gfdy/ ePsf la/fdLx?df klg o:tf] x]/km]/ x'g ;S5 . t;y{, cf}iflw ljt/0f ug'{ cufj} oL s'/fx?sf] Wofg k'¥ofpg' kb{5 .

v_ k'hf{df n]lvPsf s'/f a'lem ;xL ?kdf cg'jfb ug{] ;fwf/0ftof M k'hf{ lnlvt ?kdf g} k|fKt x'g] ub{5 .

To; k'hf{df n]lvPsf] s'/fx? /fd|f];“u a'em]/ ;xL cf}iflw

k|bfg ug]{ sfd cf}iflw ljt/ssf] /xG5 . s'g /f]u pNn]v ul/Psf] 5 / s'g–s'g cf}iflw n]lvPsf] 5 klxnf cfkm"n] a'em]/ dfq} la/fdLnfO{ lbg'kb{5 . slxn]sf“xL lrlsT;ssf] n]vfO{ ga'em]/ unt cf}iflw lbg;Sg] ;Defjgf klg /xG5 . To:tf] cj:yfdf ;DalGwt lrlsT;s;“u k'li6 u/fP/ dfq} la/fdLnfO{ ljt/0f ug'{kb{5 .

k|foM p:t} gfd ePsf] cf}iflwx?df em'lSsg] ;Defjgf x'G5 t;y{, klxnf cfkm"n] /f]u / cf}iflwsf] k'li6 u/]/ unt cf}iflw unt la/fdLnfO{ kg{ ;Sg] ;Dejtfaf6 aRg ;lsG5 .

u_ la/fdLnfO{ lbg'kg]{ cf}iflwx? tof/ u/L To;df n]an ug]{la/fdLnfO{ lbg'kg]{ cf}iflw

/ slt kl/df0f lbg'kg]{ eGg] s'/f ;a}eGbf cxd dflgG5 . o; sfo{df cf}iflw ljt/sn] k'hf{nfO{ xftdf lnO{ s'g–s'g cf}iflw pNn]v ul/Psf] 5 Tolx cg'?k b/fhaf6 lgsfNg' kb{5 . cf}iflw lgsfNbf To;sf] Dofbsf] Vofn /fVg'kb{5 . ;s];Dd yf]/} Dofb ePsf] cf}iflwnfO{ ;'?df lgsfNg] aflg a;fNg'kb{5 /, Dofb ;lsP–g;lsPsf] klg Vofn ug'{kb{5 . o;}ul/ k'hf{df pNn]v ul/Psf] ;a} cf}iflwx?sf] kl/df0f cg';f/ lgsfn]/ Ps 7f“p /fVg'k5{ . Pp6} cf}iflwsf] w]/} a§f vf]n]/ /fVgfn] cf}iflw lgsfNg] a]nf em'lSsg] x'“bf ;s];Dd Pp6f a§f ;lsPkl5 dfq} csf]{ vf]Ng'k5{ .

cf}iflwx? lgsfln;s]kl5 To;df lrlsT;sn] pNn]v u/]adf]lhd n]an ug'{k5{ . n]an ubf{ tL cf}iflwx? s'g a]nf, s;/L / slt dfqf ;]jg ug]{ eGg] s'/f la/fdLn] a'‰g] z}nLdf ug'{kb{5 .

3_ k'hf{df n]lvP :j?k cf}iflwx? 5g\ ls 5}gg\ kmfOgn r]s ug]{k'hf{df n]lvP cg';f/ ;a} cf}iflwx? b/fhaf6

lgsfn]kl5 Psrf]l6 km]l/ r]s u/]/ dfq la/fdLnfO{ lbg'kb{5 . r]s ubf{ k'hf{df pNn]v ePcg'?k ;a} cf}iflw 5g\ ls 5}gg\, lrlsT;sn] n]v]s} cf}iflw x'g\ ls xf]Ogg\ / n]v]cg';f/s} dfqf 5 ls 5}g eGg] s'/fx?df ljz]if Wofg



lbg'kb{5 . To;afx]s, cf}iflwx?df cfkm"n] u/]sf] n]an l7s 5 ls 5}g eGg] s'/fsf] klg k'li6 ug'{kb{5 .

ª_ ljt/0f ul/g] cf}iflwx?sf] /]s8{ /fVg]ljt/0f ul/g] cf}iflw k;n÷kmfd]{;LnfO{ s'zntfk"j{s

rnfpgsf nflu Tolt g} h?/L s'/f xf] la/fdLnfO{ lbOg] cf}iflwsf] /]s8{ /fVg] . Tof] /]s8{n] cfkm";“u ePsf cf}iflwx?sf] :6s sf] hfgsf/L u/fp“5 eg] csf]{lt/ cf}iflw ljt/0fsf k|lqmofdf ;Defljt sld–sdhf]/Lsf] 5fgljgsf] nflu klg pkof]uL x'G5 . /]s8{ /fVbf la/fdLsf] gfdy/ / pd]/, cf}iflwsf] gfd -h]g]l/s / a|f08_, k|bfg ul/g] dfqf, ljt/0f ug]{ :6fkmsf] gfd, k'hf{ n]Vg] lrlsT;ssf] gfd / ldlt h:tf s'/fx? /fVg'k5{ . of] /]s8{ s'g} kmfOn jf /lhi6/ cyjf sDKo'6/df ;a} :6fkmn] a'lemg] tl/sfn] /fVg'kb{5 .

r_ la/fdLnfO{ cf}iflwsf] ;fy} To;;“u ;DalGwt hfgsf/L / lgb]z{g lbg]cf}iflwsf] /]s8{ /flv;s]kl5 ;DalGwt la/fdL jf

la/fdLsf] k|ltlglwnfO{ cf}iflw / cf}iflw;“u hf]l8Psf hfgsf/Lx? a'lemg] u/L k|bfg ug'{kb{5 . ;a} la/fdLx?sf] k9fO{sf] :t/ Ps}gf; gx'g] x'“bf df}lvs ?kdf k|i6 x'g] u/L atfOlbg' kb{5 . cf}iflw;“u hf]l8Psf] hfgsf/Lx? eGgfn] lgDg lnlvt a'“bfx?nfO{ a'lemG5 M

– cf}iflw s'g a]nf ;]jg ug]{ -laxfg÷a]n'sf÷lbp;f]_– vfgf cl3÷vfgf kl5÷vfgf ;“u}– lbgdf slt k6s ;]jg ug]{– s;/L ;jg ug]{ -kfgL;“u lgNg]÷rkfP/ vfg]÷r';]/

vfg]÷lasf]{df /fv]/ vfg]÷slt ld=ln= vfg] cflb_

– slt lbg;Dd vfg]– cf}iflwnfO{ s;/L /fVg] -lr;f] 7f“pdf÷lk|mhleq ÷aRrfn]

ge]6\g] 7f“pdf cflb_– tL cf}iflwx? vf“bf z/L/df kg{ ;Sg] k|lts"n c;/x? – b'O{–tLg j6f cf}iflwx? vfg'kg]{ cj:yfdf s;/L ;]jg

ug]{ cflb

;fdfGo k|lts"n c;/ h:t} jfsjfs nfUg], emf8fkvfnf nfUg], 6fpsf] b'Vg], lk;fasf] /ª km]l/g] cflb la/fdLnfO{ klxn] g} atfpg' kb{5 h;n] ubf{ la/fdLnfO{ c;/x?sf af/] 1fg xf]; / cf}iflw lard} g5'6fcf];\ . oL tdfd lgb{zgx? la/fdLnfO{ lbO;s]kl5 PskN6 la/fdLnfO{{ a'em]–ga'em]sf] ;f]Wg'k5{ . sltko la/fdLx?n] ;fdfGo c;/x? b]lvPklg cf}iflwsf] ;]jg lard} 5f]8\g] ub{5g\ . ;a} la/fdLx?nfO{ cfb/sf ;fy Jojxf/ ug'{kb{5 . sltko s'/fx? la/fdLsf] nflu uf]Ko x'g;S5 . uf]Kotfsf] sb/ ub}{ la/fdLnfO{ lbg'kg]{ cf}iflw / hfgsf/Lx? ;s];Dd p;n] dfq ;'Gg] / a'em\g]ul/ lbg'kb{5 . cf}iflw k|fKt ug]{ la/fdLsf] :jf:Yosf] cj:yf uDeL/ klg x'g ;S5 . To:tf] cj:yfdf la/fdL;“u eb| ?kn] k|:t't x'g'kb{5 . t;y{, s'g}klg la/fdLsf] pkrf/sf] ;kmntf cf}iflw ljt/ssf] lgb]{zgdf klg lge{/ x'g] ub{5 . l56f]–5l/tf] eGbf ;6Ls x'g] sf]lzif ug'{kb{5 . plrt cf}iflw ljt/0f cEof; c:ktfn jf lSnlgssf] la/fdLsf] rfkdf klg lge{/ ub{5 . la/fdLsf] cfjt–hfjt w]/} x'“bf cf}iflw k;ndf la/fdLnfO{ ;]jf k|bfg ug{ sl7gfO{ kg{ ;S5 .

o:tf] cj:yfdf Pp6f la/fdLnfO{ lbg'kg]{ cf}iflw csf]{ la/fdLnfO{ kg{ ;S5 jf s'g} cf}iflw lbg 5'6\g klg ;S5 . ;fy– ;fy} cf}iflw ;]jg ug]{ ljlw a'‰g]–a'emfpg] sfo{df jfwf k'Ug ;S5 . lx;fa–lstfadf klg u8\a8\ x'g ;S5 . To;}n], h:tf];'s} le8ef8sf] cj:yfdf klg l56f] eGbf k[ys ;]jfdf Wofg k'¥ofpg'kb{5 . cf}iflw–pkrf/ la/fdLsf] :jf:Yo;“u hf]l8g] x'“bf s'g}klg clk|o 36gfaf6 aRgsf] nflu Pp6f la/fdL;“usf] sfd ;s]kl5 dfq csf]{ la/fdLsf] ;]jfdf nfUg' a'l4dfgL x'G5 . la/fdL;“usf] ;do / ;]jfnfO{ cem ;'lb|9Ls/0f ug{ k'hf{ k|fKt ug]{, cf}iflw lbg] / k};fsf] lx;fasf] nflu s'g} k|0ffnLsf] Joj:yf ug{ ;lsG5 h;n] ;]jfnfO{ ;xhsf ;fy} k|efjsf/L agfpg d2t ub{5 .

Source : The WHO Essential Medicines and Health Products Information Portal n] k|sflzt u/]sf] Ensuring Good Dispensing Practices nfO{ g]kfnLdf ?kfGt/0f ul/Psf] . w



;f+lu|nf k|ltof]lutf g+ $% sf] ;xL hjfkm7f8f]!_ pmts (Tissue) sf] ;Fu|xnfO{ s]

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]{ xfdf]{g

#_ :tgkfg / aRrf hGdfpgdf cTofjZos e"ldsf lgefpg] xfdf]{g

$_ Lapen-Diabetes Care n] ahf/df NofPsf] Linagliptin

%_ cf“vfsf] /ËnfO{ lgwf{/0f ug]{ efu

;f+lu|nf k|ltof]lutf g+ $$ sf k'/:sf/ ljh]tf zld{nf zfSo, zfSo d]l8sn xn, latf{df]8, emfkfnfO{ k'/:sf/ k|bfg ub}{ Pg= kL= Pnsf Pd= cf/= ;'dg a/fn -afof“_

;f+lu|nf k|ltof]lutf g+ $% sf] ljhoL

dxfg'efjx?

k|yd k'/:sf/

z'eb|f >]i7;Demgf d]l8sn xn

led;]g:yfg, sf7df8f}+

;fGTjgf k'/:sf/

of]uLtf >]i7P;= P;= d]l8sn

u¶f3/

;'jf; e'iffndgf]an kmfd]{;L

w'Daf/fxL

xflb{s awfO{ ÛÛÛ



;f+lu|nf k|ltof]lutf g+ $^ o; k6s oxf“x?sf] pT;fxhgs ;xeflutfn] xfdLnfO{ cem a9L k|f]T;fxg k|bfg u/]sf] 5 ;fy} eljiodf o:t} lg/Gt/tfsf] xfdL cfzf /fVb5f}+ . pQ/ cfO{k'Ug' kg]{ clGtd ldlt M k'; !%, @)&^

;'emfj k]l6sfg]kfn kmdf{:o"l6sN;åf/f k|sflzt …;f+lu|nf hg–:jf:YoÚ k|lt cfkm"\gf] ljrf/ Pjd\ ;'emfj JoQm ul/lbg' x'g xflb{s cg'/f]w ub{5f}+ . ;jf]{Qd ;'emfjsf] sb/ u/L k'/:s[t ul/g]5 .;+flu|nf hg :jf:Yok|lt oxf“sf] ;'emfj M ===============================================================================================================================================================================================================================================================================================================================================================================================================================================================================================================================================================================================================================

gfd M=========================================================================================================================== 7]ufgf M ============================================================================ ;xL M =====================================

s[kof tn cfkm"\gf] gfd, k"/f 7]ufgf, ;Dks{ g+= / ;xL /fv]/ o; kfgfnfO{ vfdleq /fvL k7fOlbg'xf]nf . uf]nfk|yfåf/f ;xL pQ/ k7fpg' x'g] tLg dxfg'efjx?sf] gfd k|sflzt tyf k'/:s[t ul/g]5 .gfd M=============================================================== 7]ufgf M====================================================z}lIfs of]Uotf M===========================================;Dks{ g+============================== ;xL M========================

7f8f]! LAPEN n] ahf/df NofPsf]

Rosuvastatin@ cToflws 5fnf lrnfpg] /f]u # 8]+u' /f]u u/fpg] nfdv'§]sf] k|hflt$ rSs/ nfu]sf] cg'e"lt x'g'% Typhoid u/fpg] AofS6]l/ofsf] gfd^ OlGb|o c+ux? dWo] Ps& NPL- ESTHETICA n] ahf/df NofPsf]

Butenafine

t];f]{! LAPEN n] ahf/df NofPsf]

Levetiracetam@ LAPEN n] ahf/df NofPsf] Nevibolol# NPL DIV I n] ahf/df NofPsf] Sodium

Carboxymethyl Cellulose$ slAhotdf lb;f lgsf;df k|of]u ul/g]

k|ljlw% cf}iflwsf] Metabolism x'g] c+u^ NPL DIV II n] ahf/df NofPsf]

Fexofenadine& /utdf Glucose sf] dfqf ;Gt'lnt /fVg]

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7

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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]

AMX-CVAmoxicillin 200mg + Clavulanic Acid 28.5mg DRY SYRUP 60ml

for your little patients

Biologically synthesized Amoxicillinwith no added

reagents/solvents

Manufacturedin separate

penicillin unit

DMF graderaw material

for better purity& stability

Vanilla Flavor

Now available in combi pack withsterile water for reconstitution

Documents

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