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usef;rma&;*sme,f trSwf - 22? ar? 2010 - ckESpf vGwfajrmufe,fajrrS usef;rma&;vkyfom;rsm; pkpnf;xkwfa0onf/ iSufzsm;udkawmh vlwdkif; od Muygw,f/ ]csDcGef*ef,m;}qdk wm bmvJ[k ar;Muygvdrfh r,f/ jcifaMumifhjzpfwJh a&m*g wrsdK;yg/ 'gayr,fh vlawGudk xd cd k uf apEd k if wJ h a&m*gwrs d K;yg/ 'Da&m*g[m bmjcifaMumifh jzpf wmvJ? b,fvdka0'emawG jzpf apEdkifvJ? aemufqufwGJ bm awGjzpfEdkifvJ? ar;olrsm;yg w,f/ jcifqdkwm bmvJ[k wul; wu ar;olawG &Sm;ygw,f/ jcif qd k wm awmif yH wpH k omygwJ h ysHoef;EdkifwJh tif;qufydk;wrsdK; yg/ vl? wd&dpämefawG&JU ta& jym;udk xdk;azmufaoG;pkyfEdkifwJh yg;pyfydkif&Sif owå0gi,fav; awG yg/ 'gaMumif h (jcif awG [m) vlawGqD a&m*gydk;awG jzefYjzL; ay;Edkifjcif;jzpfygw,f/ jciftrsdK;tpm;aygif;rsm;pGm &Sdygw,f/ taemhzvd? usL; vufpf ESifh at;'D;pfjcifawGu awmh emrnfBuD; xif&Sm;vSyg w,f/ olwdkY[m yHko@mefeJY aexdkifyHkawG uGJjym;Muayr,fh vlawGudk 'ku©ay;wJhae&mawG rS mawmh wl Muygw,f / jyif ;xef qdk;½Gm;wmeJY rjyif;xefwmom uG mygw,f / ,ck vd k uG ef jyLwm tif wmeuf ? urÇ mh rD 'D ,m? urÇ mh ½G macwf BuD ;wG if ]iS uf zsm;a&m*g} qkdwm jcifaMumifhjzpfw,fqdk wm r,HkMuolrsm;&Sdygw,fqdk &if pmzwfolrsm; tHhMoMuyg vdrfhr,f/ csDcGef*ef,m; vmjyef NyDvm; .... jcifaMumifhqdkNyD; yGpd yGpd ajymaeMuawmhr,f/ jciftrsdK;tpm;ay:rlwnf NyD ; (wenf ;) bmjcif ud k uf ovJ qdkwm tay:rlwnfNyD; vlawG cHpm;&wJha&m*gawG uGJjym;Mu ygw,f/ taemhzvdjcifaMumifh emrnfBuD; iSufzsm;a&m*gudk jzpfapygw,f/ iSufzsm;a&m*g jcifaMumifhjzpfw,fvdkY t vG,fwulajymMuayr,fh w u,fwrf;rSm jcifrSwqifh a&m *gyd k ;rsm; cE¨ mud k ,f xJ 0if a&muf NyD; vlawGudk a&m*gjzpfapjcif; jzpfygw,f/ iSufzsm;a&m*gydk; awGuawmh zvmhprdk'D,rf zufqDy&rf? zvmhprdk'D,rf Ad k if ;Auf pf ? zvmh prd k 'D ,rf td k aA; vD eJY yvmhprdk;'D,rf rvm;&D; a&;wd k Y jzpf ygw,f / 'D yd k ;awG [m vlYcE¨mudk,feJY aoG;xJwGif ae Ed k if wJ h uyf yg;yd k ;awG jzpf ygw,f / 'Dydk;awGudk o,faqmifjzefYjzL; ay;wmuawmh ]taemhzvdjcif} awGaygh/ 'DjcifawG[m tylydkif; ZHk? ylaEG;pGwfpdkwJh ae&mawGrSm &SifoefaygufyGm;Muygw,f/ ay (5000)ausmfxuf jrifhrm; wJ h ae&mawG rS m r&S if oef Ed k if bl ; vdkY qdkMuygw,f/ (rSwfcsuf - vufawGUt& ay (5000- 6000) ausmf jrifhrm;wJh csif; awmifwef;awGrSm iSufzsm;a&m *gawGudk awGUae&ygNyD/ urÇm BuD; ylaEG;vmvdkYrsm;vm; rod) iSufzsm;a&m*gaMumifh ESpf pOf vl oef ;aygif ; (250)avmuf a&m*gcHpm;ae&NyD; vl (1)oef; aoqHk;avh&Sdygw,f/ aoqHk; olawGxJrSm uav;oli,fawG u trsm;pkyg/ umuG,fa&; uk oa&;awGrSm atmifjrifrI&vm Muw,f xifayr,fh ,cktcsdef rSm aq;rwdk;? aq;,Ofyg;wJh iS uf zsm;a&m*gawG &S d vmNyD jzpf wJ h twG uf pd ef ac:rI topf awG wd k ; vmaeygw,f/ iSufzsm;uyfyg;ydk;awG[m vludk a&m*gb,fvdk jzpfap ygovJ/ yxrqHk; taemhzvd jcifr [m iSufzsm;uyfyg;ydk;&SdwJh vl qDu aoG;udk pkyf,lrdNyD; a&m*g ydk; 0ifcH&ygw,f/ 'Duyfyg;ydk; awG[m jcif&JU cE¨mudk,fxJrSm (1)ywf rS (3)ywf twG if ; t½G ,f a&muf vmMuygw,f / jcif &J U t pmtdrfrS uyfyg;ydk;awG[m aemufqHk;wGif (jcif&JU) wHawG; *vif ;qD a&muf &S d oG m;Muw,f / 'D tcs d ef rS m vl ud k ud k uf vk d uf ygu uyfyg;ydk;awG vlY&JUaoG;xJ a&muf&SdoGm;Muygw,f/ iSuf zsm;uyfyg;ydk;awGrSm aoG;xJ wGif em&D0ufavmufom&Sdae NyD; tonf;xJ 0ifoGm;Muyg w,f/ &uftenf;i,fMumwJh tcg (toGifajymif;vJjcif;rsm; jzpfNyD;) pmrsufESm (4) od k Y

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Page 1: usef;rma&*sme, f - Mae Tao Clinicmaetaoclinic.org/wp-content/uploads/2011/10/may10.pdf · ygw,f/ taemhzvdjcifaMumifh emrnfBuD; iSufzsm; ... 'va&jywvyf frI q dk;& Gm;]t&ifESpfawGu

usef;rma&;*sme,ftrSwf - 22? ar? 2010 - ckESpf vGwfajrmufe,fajrrS usef;rma&;vkyfom;rsm; pkpnf;xkwfa0onf/

iSufzsm;udkawmh vlwdkif; odMuygw,f/ ]csDcGef*ef,m;}qdkwm bmvJ[k ar;Muygvdrfhr,f/ jcifaMumifhjzpfwJh a&m*gwrsdK;yg/ 'gayr,fh vlawGudkxdcdkufapEdkifwJh a&m*gwrsdK;yg/'Da&m*g[m bmjcifaMumifh jzpfwmvJ? b,fvdka0'emawG jzpfapEdkifvJ? aemufqufwGJ bmawGjzpfEd kifvJ? ar;olrsm;ygw,f/

jcifqdkwm bmvJ[k wul;wu ar;olawG &Sm;ygw,f/jcifqdkwm awmifyHwpHkomygwJhysHoef;EdkifwJh tif;qufydk;wrsdK;yg/ vl? wd&dpämefawG&JU ta&jym;udk xdk;azmufaoG;pkyfEdkifwJhyg;pyfydkif&Sif owå0gi,fav;

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awGuawmh zvmhprd k' D,rfzufqDy&rf? zvmhprd k'D,rfAdkif;Aufpf? zvmhprdk'D,rf tdkaA;vD eJY yvmhprdk;'D,rf rvm;&D;a&;wdkY jzpfygw,f/ 'Dydk;awG[mvlYcE¨mudk,feJY aoG;xJwGif aeEdkifwJh uyfyg;ydk;awGjzpfygw,f/'Dydk;awGudk o,faqmifjzefYjzL;ay;wmuawmh ]taemhzvdjcif}awGaygh/ 'DjcifawG[m tylydkif;ZHk? ylaEG;pGwfpdkwJh ae&mawGrSm&SifoefaygufyGm;Muygw,f/ay (5000)ausmfxuf jrifhrm;wJh ae&mawGrSm r&SifoefEdkifbl;vdkY qdkMuygw,f/ (rSwfcsuf -vufawGUt& ay (5000-6000) ausmf jrifhrm;wJh csif;awmifwef;awGrSm iSufzsm;a&m

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Page 2: usef;rma&*sme, f - Mae Tao Clinicmaetaoclinic.org/wp-content/uploads/2011/10/may10.pdf · ygw,f/ taemhzvdjcifaMumifh emrnfBuD; iSufzsm; ... 'va&jywvyf frI q dk;& Gm;]t&ifESpfawGu

usef;rma&;*sme,f trSwf-22? ar? 2010-ckESpf2 NIGHTINGALEt,f'DwmcsKyf - a'gufwmpifoD,mar mifwm0efcHt,f'Dwm -a'gufwmvGPf;aqGt,f'DwmtzGJU0if - a'gufwmcifapm0if;

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Narinjara - 14-5-2010

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IMNA - 11-5-2010

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usef;rma&;*sme,fodkY pmrlay;ydkYvdkvQif ...

t,f'DwmtzGJUEdkufwifa*;vfusef;rma&;*sme,fpmMunfhwdkuf? r,fawmfaq;cef;rJaqmufNrdKU/

P.O.Box (156), Mae Sot, 63110Tak Province, ThailandE-mail : [email protected]

[email protected]@yahoo.com

Ph : BMA Office - 055544495Dr Lun Swe - 0812841418Nai Aye Lwin - 0895626248

Edkufwifa*;vf usef;rma&;*sme,fudk tifwmeuf wGif

zwf½IvdkygvQif ...

www.maetaoclinic.org/publication-Journal.html ESifhwww.ntg.zwekabin.org wGif zwf½IEdkifygonf/

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Mizzima - 14-5-2010

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VOA - 18-5-2010

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Mizzima - 15-5-2010

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KIC - 10-5-2010

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by Sukhumapornlaiyok

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atmfypfvd kufw,f/ jynfya&muf q.t.w.z (vGwfajrmufe,fajr) tzGJUcsKyfwae&mwGif jzpfonf/

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usef;rma&;*sme,ftrSwf-22? ar? 2010-ckESpf NIGHTINGALE 13

r,fawmfaq;cef; uav;use f;rma&;jyi fyvlemXme(ausmif;om;aq;cef;)odkY aeYpOf touf (5)ESpfatmuf uav;rsm; vma&mufjyo&mrSm0ufoufa&m*gjzpfaomuav;rsm;OD;a&rSmvnf; trsm;qHk;awGU&ygw,f/

' Da&m*g[m A d ki f ;&y fp f(Virus) ydk;aMumifhjzpfwJhtwGufaysmufatmifukwJh wdkuf½dkufukoaq;r&Sdao;yg/ 'gayr,fhaemufqufwGJqdk;usdK;awG? touftEÅ&m,fawGudk ay;EdkifwJhtwGuf 2006-ckESpf WHO pm&if;ppfwrf;t& touf(5)ESpfatmufuav;rsm; taotaysmuftrsm;qHk;teuf tqifh(4) (pwkw¬ajrmuf) pdk;&drf&wJha&m*gwrsdK;jzpfcJhygw,f/ yxra&m*gwckuawmh erdk;eD;,m;(Pneumonia) ac: tqkwfa&mifa&m*g? 'kwd,a&m*guawmh0rf;ysuf0rf;avQma&m*g (Diarr-hoea)?wwd,a&m*g iSufzsm;a&m*g (Malaria)? yOörajrmufa&m*guawmh HIV/AIDS ac:wJhaMumufp&ma&m*gawGyJjzpfygw,f/

'D 0ufoufa&m*gjzpfwJhAdkif;&yfpfydk;[m tvGeful;puf

wwfNyD; ESmacgif;? vnfacsmif;?yg;pyfrSxGufaom trIefuav;rsm;rSwqifh ul;pufwwfygw,f/

tu,fí uyfa&m*gtoGifjzifh (Epidemic Outbreak) jzpfaomtcgüvnf;aumif;? tm[m&csdKUwJhaevQifvnf;aumif;?'Da&m*g tvGeftEÅ&m,f&SdEdkifygw,f/

a&m*gvu©Pmrsm;a&m*gvu©Pmrsm;a&m*gvu©Pmrsm;a&m*gvu©Pmrsm;a&m*gvu©Pmrsm;a&m*gysdK;csdef-ul;pufa&m

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t"duusaom a&m*g vu©Pmrsm;rSm (Major Signs+Symptoms)

(1) tzsm;tenf;i,f (odkY)tzsm;BuD;rnf/

(2) acsmif;qdk;rnf/(Cough)(3) rsufpdeD&JNyD;-rsufpdem

rnf/(Conjuntivitis)(4) ESm&nf,dkjcif; (running

nose)(5) rsufESmESifh wudk,fvHk;

wGif teDpuf (odkY) teDuGufrsm;xGufay:vmrnf/ (multiple

rashes)(6) aumhyvpf tpufrsm;

(Koplick's spots)yg;pyf\twGif;buftajr§;

yg; (Oral mucosa) Munfhyg/yxrESifh 'kwd, tay:,HtHoGm; (upper molar) ae&mü tjzLa&mif tpuftcsdKU awGU&ygw,f/

3-4 &ufaemufydkif;ü ta&

touf(5)ESpfatmuf uav;rsm; 0ufoufa&m*g tjzpfrsm;rif;ol&def

aeum emusifrI&Sdonf/(2) qifhyGm;ul;pufa&m*g

rsm;(Secondary Infection)-toHtdk;a&mifjcif;-emjynf,dkjcif; (Otitis)-av>yefa&mifjcif; (bronch-

itis)-0rf;avQmjcif; (Diarrhoea)-rsufMunfvTma&mifjcif;

(Keratitis)-OD;aESmufa&mifjcif; (Ence-

phalitis)(3) ADwmrifat csdKYwJhjcif;?

rsufMunfvTma&mifjcif;? rsufpdemjcif;/

(4) tm[m&csdKUwJhjcif;uav;onf yg;pyfemí

zsm;aeaomaMumifh tpmrpm;Edkifyg/ 0rf;avQmjcif;aMumifh t&nf"mwfqHk;½IH;jcif; (Dehydra-tion) ESifh rMumcP ,SOfwGJíawGU&wwfygw,f/ 'gaMumifhrdkYrlvuyif tm[m& csdKUwJhjcif;&Sdaeygu 0ufoufa&m*g[m txl;yif tEÅ&m,f&Sdygw,f/ tb,faMumifhqdkaomf uav;rsm;[m vG,fulpGmyif tjcm;a&m*g

jym;ay:ü tydefYrsm; tpufrsm;(Macules) odkYr[kwf tzkuav;rsm; (papules) ay:vmygw,f/ em;½Guf\aemufydkif;ü pwifay:NyD; vnfyif;ESifhrsufESmxdkrSwqifh 1-2 &uftwGif;cE¨mudk,ftay:ydkif;rS atmufydkif;txd wudk,fvHk; vQifjrefpGm ysHUESHYoGm;ygw,f/

xdktydefYrsm;[m (7)&ufcefYxd &SdaewwfNyD;aemuf tydefYrsm;aysmufoGm;NyD;aemuf ta&jym;uGmus (scaling off the skin)oGm;ygw,f/

a&m*gul;pufEdkifaomtcsdefrSm yxrOD;vu©Pmrsm;ray:rSD (1-2)&uftwGif;rS tydefYrsm;pwifay:vmNyD; (1-2)&uf tMumtxd jzpfygw,f/

aemufqufwGJ qdk;usdK;rsm; (Com-plications)

(1) yg;pyfa&mifjcif; (Stom-atitis)

yg;pyftwGif; a&mifí eD&J

rsm; 0ifa&mufEdkifjcif;? ADwmrifat csdKUwJhjcif;wdkYjzpfNyD; aoqHk;oGm;Edkifygw,f/

ukorIukorIukorIukorIukorIuav;[m 0ufoufa&m*g

jzpfaeygu rdbrsm;[m rdrdoabmjzifh rukobJ aq;½Hk? aq;cef;rsm;odkY tjrefqHk;ac:aqmifvmNyD; ukooifhygw,f/

umuG,fjcif; (Prevention)umuG,faq;xdk;jcif; (Immuni-zation)

txl;umuG,faq;&S dygw,f/ wBudrfxd k; jcif; jzif haumif;pGmumuG,frIay;Edkifygw,f/ taumif;qHk;umuG,faq;xdk;ay;&r,fh touft½G,frSm (9)v jzpfygw,f/ 0ufoufaygufNyD;aomuav;[m'Da&m*gydk;udk cHEdkif&nf&SdNyD; 0ufoufa&m*gxyfrH rjzpfEdkifawmhyg/

rif;ol&defrif;ol&defrif;ol&defrif;ol&defrif;ol&def

0ufoufa&m*gonf rsufpd uG,f&jcif;\ jzpfavhjzpfx&Sdaom taMumif;&if; wckjzpfonf/

touf(5)ESpfatmuf uav;rsm; emrusef;rIESifh aoqHk;EIef;rsm; usqif;yg ap/

jrefrmEdkifiHrSm tylcsdeftqrwef jrifhrm;rIaMumifh aomufa&jywfvyfrItjyif tck tyl&dSefaMumifh aoqHk;wmawGvnf;wdk;vmw,fvdkY a'ocHawGuajymygw,f/ touft&G,fBuD;olawGeJY tvkyfMurf;vkyfolawGtaotaysmufrsm;w,fvd k YajymMuygw,f/ udkom;nGefYOD;u qufoG,f ar;jref;NyD; wifjyxm;ygw,f/

rdk;r&GmyJ veJYcsDMum tylcsdeftqrwefjrif hrm;r IaMumif husef;rma&;t& owday;csufawG xkwfjyefxm;wJhMum;u tylaMumifh toufqHk;½IH;rIawG &dSaewmyg/ trsm;pkuawmh tylcsdef'PfrcHEkdifwJh oufBuD;ydkif;awG jzpfayr,fh vlvwfydkif;awGvli,fydkif;awGvnf; OD;aESmufaoG;aMumaygufNyD; ½kwfw&ufaoqHk;rIawG&dSw,fvdkY od&ygw,f/ &efukefrSm ema&; tultnDawGay;aewJh ema&;ulnDrItoif;u udkausmfolu tck&ufydkif;twGif; olwdkYulnD&wJhema&;awG ydkrsm;vmw,fvdkYajymygw,f/

]tajctaeu awmfawmfrsm;w,f? rsm;w,fqdkwm t&ifwkef;uqdk&if usaemfwdkY yHkrSefcgwdkif; 'DhjyifESpfawG? 'Dhjyif&moDawGqdk&if 40 eJY 45 avmuf&Sdw,f/ tckusawmh 50 ausmfNyD;awmh tck 70 avmuf usaemfwdkY tultnDay;ae&w,f/waeYwaeY aoqHk;wJhol ta,muf 70 ausmf vkyfay;ae&w,f/ usaemfwdkY ,mOfarmif;awG? ,mOfaemufvkdufawG wcsKdUqdk&if n 8 em&D avmufrStdrfjyef&wmawGjzpfaew,f}/

tylaMumifh aoqHk;wJhvlrsm;w,fqdkwm b,fvdka&m*grsKd;? b,fvdkykHpHrsKd;awGeJY aoqHk;wmrsm;vJ cifAs? tpfudkwdkYawGY&oavmuf/

]usaemfwdkYjrifwmuawmh&moDOwkylw,f? ylawmh usaemfwdkYawmif ae&xdkif&wm awmfawmfav; 'ku©a&mufw,f/ txl;ojzihf rD;rvmawmh ydkNyD;qdk;wmaygh/ yefumwdkY tJuGef;wdkYvnf; zGihfr&? wuúpDarmif;

um;q&mawGqkd&if um;armif;&if;eJY qHk;oGm;wmawG&Sdw,f/wcsKdU qdkufum;q&mawGvJ 'Dwdkif;yJ/ 'D tylxJrSm oGm;&if;eJYaeylawmh rsufESmokwfyk0gudka&qGwfNyD;awmh vnfyif;rSmtkyfNyD; armif;w,f? tJ'geJYwifOD;aESmufaMum jywfwmwdkY bmwdkY csufjcif; qHk;ukefwmawG&Sdw,f/ aemuf vlBuD;ydkif;awGqHk;wmawG rsm;w,f/ rsm;wmawmh tm;vHk; rQaewmygyJ/ vlBuD;ydkif;vnf; qHk;w,f? vli,fykdif;vnf; qHk;wmrsm;w,f}/

]yef;csDoef;jrihfatmifqdk&ifNyD;cJhwJhvu armfvNrdKifbufuvdkPf*lawGrSm oGm;NyD;awmh Fieldqif;NyD;awmh yef;csDawG qGJvmw,f? qGJvmNyD;awmh jyefvmwmeJY tJ'DrSm zsm;wmyJ/zsm;NyD; tyl&SdefwufNyD;awmhtoufyg ygoGm;wJh oabmrsKd;awG}/

&moDOwka&m tajctae?b,fvdk&SdvJ? enf;enf;oufomvm;? 'DaeY/

]roufombl; awmfawmfav;udk ylw,f/ reufuqkd usaemfwdkY yJcl;bufoGm;wm/ yJcl;bufu a&ab;'ku©onfawGu aomufa& oHk;a&r&SdvdkY tJ'gvnf; oGm;vkyf&ao;w,f}/

jrefrmEdkifiH tv,fydkif; rEÅav;wdkif;eJY rauG;wdkif;wdkYtwGif;rSm tylcsdef vGefuJrIaMumifhzsm;em rl;a0 armyef;NyD; aq;½Hka&mufvmwJh vlemawG &dSovdk?tylcsdefvGefuJrIaMumifh tJ'DvlemawGxJu 7 OD;aoqHk;cJhw,fvdkY usef;rma&;0efBuD;Xmeuawmh 'DuaeY aMunmcJhygw,f/'ghtjyif tyl'Pf umuG,fa&;EdI;aqmfcsufawGudkvnf; tpdk;&rD'D,mawGrSm owday; azmfjyxm;ygw,f/

&efukefNrdKUrSm tylaMumihftoufqHk;½HI;wmawG&Sdovdk &efukefeJY rvSrf;rurf;rSm&SdwJh yJcl;wdkif;twGif;rSmvnf; 0rf;ysuf0rf;avQma&m*g tygt0if emrusef;jzpfNyD; toufqHk;½HI;rIawG &SdcJhw,fvkdY yJcl;NrdKYcH q&m0ef wa,mufuvnf; ajymygw,f/ VOA - 14-5-2010

tylvIdif;'PfaMumifh vltaotaysmufrsm;

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usef;rma&;*sme,f trSwf-22? ar? 2010-ckESpf14 NIGHTINGALE

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