kyaa aapake @ibai (xaya) raega ka inadana huaa he? · • sauinaiocata kre>gae ik aapa apanai hr...

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ihndI Anauvaad Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? Aapa AaEr Aapa ke pairvaar ke ilayae jaanakarI TB Information Booklet (Hindi/English) - CDS-0333 13/04

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Page 1: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

ihndI Anauvaad

Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?Aapa AaEr Aapa ke pairvaar ke ilayae jaanakarI

TB Information Booklet (Hindi/English) - CDS-0333 13/04

Page 2: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?

paIla paiblak helYa (@`yaubarKyaulaaeisasa) @IbaI paRaegaRama (PEEL PUBLIC HEALTH TUBERCULOSIS (TB) PROGRAM)

@elaIf<aena 905-791-7800 (905-791-7800)]Ksa@enoana 2539 yaa 2458

(2539 or 2458)

fEKsa 905-565-8428 (905-565-8428)

kayaa|laya ka samaya saubah 8:30 sae daepahr 4:30 taksaaemavaar sae oau+vaar tak

@IbaI jaanakarI va sa>saaZana peel-stoptb ca

paIla xaeLa kaya|+ma ]va> saevaayae> - Region of Peel Programs and Services(rIjana Aaâf paIla paRaegaRamsa ]nD saiva|saej<a) peelregion ca

paiblak helYa nasa| (PHN)

@elaIf<aena: 905-791-7800 (905-791-7800)]Ksa@enoana: __________

Kyaa Aapa kae paRtyaxa inarIxaNa icaiktsaa (Daâ@) dI jaa rhI hE? q nahI> q ha>

helYa Aaq@rIca vak|r (svaasYya-sa>ba>iZata ivasta\ta saevaa kma|caarI) (HOW)

@elaIf<aena (kayaa|laya): 905-791-7800 (905-791-7800)]Ksa@enoana: __________

saela faena:

Agar Aapa kae @IbaI ke raega AaEr icaiktsaa ke baare mae> savaala yaa icantaa hae, yaa Agar Apanae @IbaI DaâK@r sae Aapa ka sampak| nahI> hae paa rha hE AaEr Aapa kae AaEr dvaayae> caaihyae, yaa Aapa kae dvaaAae> ke ga>BaIr sahgaamaI duPpaRBaava (saa}|D }feK@) ka AnauBava hae rha hae taae Apanae paiblak helYa nasa| yaa helYa Aaq@rIca vak|r (svaasYya-sa>ba>iZata ivasta\ta saevaa kma|caarI) sae sampak| kre>

@IbaI ivaoaePaXa: @elaIf<aena _________________________________________________________________________________________________ sYala ___________________________________________________

feimalaI DaâK@r: @elaIf<aena _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

• Agar Aapa kae dvaaAae> ke ga>BaIr sahgaamaI duPpaRBaava ka AnauBava hae rha hae, yaa Apanae @IbaI ke raega taYaa qpacaar ke baare mae> icantaa hae taae Apanae @IbaI DaâK@r sae sampak| kre>_

• saamaanya svaasYya saba>iZata icantaaAae> taYaa dUsare DaâK@rI paR¸ae> ke ilayae Apanae feimalaI DaâK@r sae sampak| kre>_

mahtvapaUNa| @elaIf<aena nambar

mahtvapaUNa|: Agar Aapa kae oaama ke

samaya, saptaah ke Anta

(vaIk]nD) mae> yaa

Cu£IAae> mae> dvaaAae> ke

ga>BaIr sahgaamaI duPpaRBaava

(saa}D }feK@) ka

AnauBava hae taae

1-866-797-0000

(1-866-797-0000)

nambar par @elaIhelYa kae

salaah ke ilayae faena kre>

yaa naja<dIkI }marjaE>saI

iDpaa@|maen@ mae> jaayae>_

Page 3: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

Aapa AaEr Aapake pairvaar ke ilayae jaanakarI

ivah>gavaavalaaekna

pairBaaPaa 1

paiblak helYa kI BaUimaka 3

xaya raega (@IbaI) kI saamaanya jaanakarI 4

ApaRk@ @IbaI sa>+maNa (lae@n@ @`yaubarKyaulaaeisasa }nfeKoana) 7

ApaRk@ @IbaI sa>+maNa sae lae kr @IbaI raega kI Aaer paRgaita 8

@I baI raega taYaa qpacaar

@`yaubarKyaulaaeisasa - @IbaI (xaya raega) 9

@`yaubarKyaulaaeisasa raega ka qpacaar 12

baccaae> mae> @IbaI raega kI raekYaama ]va> qpacaar 13

sa>+amak @IbaI ke raegaIAae> kae Alaga sae rSa<naa (Aa}saaelaeoana) 15

paRtyaxa inarIxaNa icaiktsaa (DayareK@ Aaebj<ava|D YaerapaI) 16

@IbaI kI dvaayae>

@IbaI ke qpacaar ]va> raega sae mauiKta kI dvaayae> 17

@IbaI kaen@eK@ (@IbaI ke marIj<a ke sampak| mae> rhnae vaalae vyiKta) kI jaaãca 23

AitairKta jaanakarI

@IbaI AaEr ]caAa}vaI/]D`sa (HIV/AIDS) 25

gaBaa|vasYaa, gaBa|-inaraeZa taYaa stanapaana 26

baeisala kemae@-gaerIna ka @Ika 27

@IbaI ke qpacaar ke daErana safr krnaa 28

paaePak Aahar taYaa @IbaI 29

Agar maere paasa helYa kaD| na hae taae? 31

@IbaI ke baare mae> j<yaada jaanakarI mauJae kha> sae imala saktaI hE? 32

sandBa| 32

ivaPaya-saUcaI

Page 4: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

1 Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?

]D`sa - AIDS (]KvaayaD| }myaunaae-DeifioayansaI saInD¼aema) - ]k ]esaa raega jaae hmaare paRitarxaa tanLa (}myauna isas@ma) kae kmaja<aer banaa detaa hE ijasa kI vajah sae hma par kae}| BaI raegasa>+maNa AasaanaI sae hae saktaa hE_ yah Humana }myaunaae-DeifioayansaI vaayarsa (]caAa}vaI - HIV) kI vajah sae haetaa hE_

]n@Ibaayaae@Ik - ]k ]esaI dvaa jaae baeK@erIyaa (jaIvaaNau)Aae> kae maar DalataI hE yaa qnhe> ba$nae sae raektaI hE_ baeK@erIyaa (jaIvaaNau) sae haenae vaalae raegaae> taYaa sa>+maNaae> kI raekYaama mae> yaa }laaja mae> }sa ka }staemaala ikyaa jaataa hE_

baeK@erIyaa (jaIvaaNau) - bahuta hI Cae@e sapaRaNa jaIva jaae raega paEda kr saktae hE>; qnhe> jamsa| BaI khtae hE>_

baIsaIjaI - BCG (baeisalasa kemae@-gaerIna) - @IbaI ka ]k ]esaa @Ika jaae, Saasa kr baalakae> taYaa ioaoauAae> mae>, @IbaI ke ga>BaIr svarupaae> kI raekYaama krtaa hE_

baayaaepsaI - ]k ]esaa parIxaNa ijasa mae> raega ke Aistatva kae jaananae ke hetau Qtak ke Cae@e sae @ukD<e kae inakalaa jaataa hE_

baRaenkaeskaepaI - ]k ]esaa parIxaNa ijasa mae> raega ke Aistatva kae jaananae ke hetau fefD<ae> ka Avalaaekna ikyaa jaataa hE AaEr vaha> sae Qtak yaa paRvaahI kae inakalaa jaataa hE; fefD<ae> kae Andr sae deSanae ke ilayae ]k patalaI saI nalaI kae galae mae> sae Andr qtaara jaataa hE_

CataI ka ]Ksa re - ]k ]esaa parIxaNa jaae @IbaI ke jaIvaaNauAae> nae fefD<ae> kae nauksaana pahu>caayaa hE yaa nahI> yah deSanae ke ilayae Aapa kI CataI ke Andr ke ihssae kI tasvaIr laetaa hE_

kaen@eK@ - ]esaa }nsaana ijasa nae iksaI ]esae vyaiKta ke saaYa bahuta saara samaya ibataayaa hae ijasae sa>+amak @IbaI raega huAa hae (jaEsae ik pairvaarmae> sae kae}|, zar ke sadsyaae> mae> sae kae}|, naja<dIkI daestaae> mae> sae, saaYa mae> rhnae vaalaae> mae> sae, sahaZyaayaIAae> mae> sae yaa sahkma|caarIAae> mae> sae kae}|)

k>@ejaIyasa - sa>+amak; jaae @IbaI ke jaIvaaNauAae> kae dUsarae> mae> fElaa sake_

Daâ@ - paRtyaxa inarIxaNa icaiktsaa (DIRECTLY OBSERVED THERAPY) - ]k ]esaa kaya|+ma jaae sauinaiocata krtaa hE ik @IbaIgaRsta laaega @IbaI ke qpacaar va raegamauiKta ke ilayae ja<wrI dvaayae> laetae hE>_ gaeis@¼k vaaeioa>gsa - ]k ]esaa parIxaNa ijasa mae> raega ke Aistatva kae jaananae ke hetau pae@ mae> sae paRvaahI inakalaa jaataa hE;]k patalaI saI nalaI kae galae mae> sae pae@ mae> qtaara jaataa hE_

]caAa}vaI (Humana }myaunaae-DeifioayansaI vaayarsa) - vae vaayarsa jaae ]}D`sa haenae ka karNa hE_

}myauna isas@ma (paRitarxaa tanLa) - hmaare oarIr ke vae kaePaaNau, Qtak ]va> Avayava jaae hmae> baImaar kr denae vaalae baeK@erIyaa, vaayarsa, parjaIvaIAae> taYaa Abau|d ke kaePaaNauAae> sae laDtae hE> yaa qnhe> maar Dalatae hE>; raegaae> ]va> sa>+maNaae> sae hmae> bacaanae ke ilayae oarIr kI yah paRitarxaatmak vyavsYaa hE_

ivavarNa

Page 5: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

Aapa AaEr Aapake pairvaar ke ilayae jaanakarI 2

]la@IbaIAa}| (lae@n@ @IbaI }nfeKoana - ApaRk@ @IbaI sa>+maNa) - ijasae }na]iK@va (sauPaupta) @IbaI BaI khtae hE>; ]esaI AvasYaa ijasa mae> vyaiKta kae @IbaI ke jaIvaaNauAae> ka sa>+maNa taae huAa hE, magar vah ABaI @IbaI raega ka ioakar nahI> huAa hE_ qsa mae> @IbaI ka kae}| laxaNa nahI> haetaa, vah Apanae Aapa kae baImaar mahsaUsa nahI> krtaa AaEr vah qna jaIvaaNauAae> kae dUsarae> mae> fElaa nahI> saktaa, parntau @IbaI ke tvacaa-parIxaNa mae> vah Aama taaEr par paaej<aI@Iva haetaa hE_

}nD`yaureoana - oarIr mae> ijasa jagah par @IbaI ka tvacaa-parIxaNa huAa hae qsa jagah par (hae saknae vaalaI) saUjana AaEr kD<apana

}nfeiKoayasa - sa>+amak; jaae @IbaI ke jaIvaaNauAae> kae dUsarae> mae> fElaa saktae hE>_

}gaRa - IGRA (}n@rferaena-gaamaa rIilaja< ]sae) - lahu ka ]k ]esaa parIxaNa jaae vyaiKta kae @IbaI huAa Yaa yaa nahI> yah jaananae ke ilayae kBaI kBaI paRyaaega mae> laayaa jaataa hE_

maeDIisana - iksaI BaI raega yaa sa>+maNa ke qpacaar ke ilayae paRyaaega mae> laa}| jaanae vaalaI dvaa

maayakaebaeK@eiryama @`yaubarkyaUlaaeisasa - vae baeK@erIyaa (jaIvaaNau - jamsa|) jaae lae@n@ @IbaI }nfeKoana (ApaRk@ @IbaI sa>+maNa) ]va> sai+ya (]iK@va) @IbaI haenae ka karNa hE_

plaura - fupfusaavarNa, ]k iJallaI yaa AavarNa jaae hr fefD<e kae zaere hu] rhtaa hE_

rIsk feK@r - kuC ]esaa tatva, kark jaae vyaiKta ke raega yaa sa>+maNa ka ioakar haenae ka Sa<tara ba$<a detaa hE_

saa}D }feK@ (sahgaamaI duPpaRBaava) - iksaI dvaa yaa iciktsaa ka Anacaaha pairNaama

spau@ma - fefD<ae> ke Andr sae, SaaãsaI ke ja<iryae, inakalaa gayaa kf; ijasae balaga<ma BaI khtae hE>_

spau@ma }nDKoana - ]k ivaiZa jaae kae}| vyaiKta, jaae Apanae Aapa balaga<ma nahI> inakala saktaa, qsa sae balagama inaklavaataI hE_ ]k nak<aba ke ja<iryae vah saaãsa mae> kuhasaanaumaa hvaa laetaa hE jaae SaaãsaI ke ja<iryae qsa ke fefD<ae> ke Andr sae kf inaklavaataa hE_

isamp@ma (laxaNa) - @IbaIgaRsta vyaiKta kae Apanae oarIr mae> yaa oarIr ke kaya| mae> jaae badlaava mahsaUsa haetaa hE_

@IbaI raega - ]k raega ijasa mae> @IbaI ke baeK@erIyaa (jaIvaaNau -jamsa|) paEda haetae hE> AaEr oarIr ke k}| ihssaae> kae nauksaana pahuãcaatae hE> taYaa vyaiKta kae baImaar kr detae hE>; qsae ]iK@va (sai+ya) @IbaI BaI khtae hE>_

@IbaI ka tvacaa-parIxaNa - }sae @`yaubarkyaUilana skIna @es@ yaa maen@U @es@ BaI khtae hE>; vyaiKta kae @IbaI ke baeK@erIyaa kI CUta lagaI hE yaa nahI> yah jaananae ka ]k parIxaNa _ @`yaubarkyaUilana yaa paIpaIDI naama ka parIxaNa krnae vaalaa paRvaahI haYa ke inacalae ihssae kI camaDI ke Andr Dalaa jaataa hE_ ifr 48 sae 72 za>@ae> ke baad iciktsak yaa nasa| haYa kae deSatae hE> AaEr Agar vaae jagah saS<ta hae ga}| hae taae qsa ka kD<apana naapatae hE_

ivah

>gavaaval

aaekna

Page 6: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

3 Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?

paiblak helYa ke kma|caarI:

• sauinaiocata kre>gae ik Aapa Apanae @IbaI kI icaiktsaa ke ilayae DaâK@r sae imalatae hE>• sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae

jaatae hE>• sauinaiocata kre>gae ik saBaI ja<wrI parIxaNa ikyae jaatae hE>• ibanaa paEsaae> ke @IbaI kI dvaayae> qpalabZa krvaayae>gae• jaba tak Aapa ka }laaja paUra nahI> hae jaataa, vae Aapa kae ApanaI dvaayae> #Ik

wpa sae laenae mae> madd kre>gae • Aapa kI @IbaI kI dvaaAae> ke sahgaamaI duPpaRBaava par naja<r rSae>gae• @IbaI AaEr @IbaI kI dvaaAae> ke baare mae> Aapa kae taYaa Aapa ke pairvaar kae

isaSaayae>gae• Aapa kI @IbaI icaiktsaa ke baare mae> Aapa ke DaâK@r sae inayaimata wpa sae irpaae@|

laa de>gae• (Agar Aapa ka sa>+amak @IbaI huAa taae) sauinaiocata kre>gae ik dUsarae> kae Apanae

@IbaI ke jaIvaaNauAae> sae bacaanae ke ilayae Aapa Apanae Aapa kae Alaga rSatae hE>• jaba Aapa @IbaI sae baImaar Yae taba ijanhae> nae kaf<I samaya Aapa ke saaYa gauja<ara Yaa

qna ke parIxaNa kI vyavasYaa kre>gae_ (qsae @IbaI ‘kaen@eK@ }nvaes@Igaeoana’ khtae hE)

Aapa ke DaâK@r yaa nasa| kae paiblak helYa iDpaa@|maen@ ke maeiDkla AaefIsar kae saUicata krnaa haegaa yaid Aapa:

• ApanaI @IbaI kI dvaayae> #Ik sae laenae sae }nkar kre>• iksaI qicata karNa ke ibanaa ApanaI DaâK@rI maulaakata par na jaayae>• iksaI qicata karNa ke ibanaa DaâK@rI parIxaNa na krvaayae>• sa>+amak @IbaI haenae par BaI Aapa Apanae Aapa kae dUsarae> sae Alaga na kre>• jaba Aapa sa>+amak AvasYaa mae> Yae taba Aapa ke saaYa ijanhae> nae samaya ibataayaa Yaa

qna ke baare mae> jaanakarI na de>

Agar ]esaa huAa, taae Aapa dusarae> kI saehta kae Sa<tare mae> Dala saktae hE>_ Aapa kae Aadeoa idyaa jaayaegaa ik Aapa ApanaI @IbaI kI dvaayae> #Ik sae lae> AaEr DaâK@r ]va> paiblak helYa ke kma|caarI kI saUcanaaAae> par Amala kre>_ }sa mae> yaid ja<wrta lagae taae janataa kae bacaanae ke ilayae Aapa kae Aspataala mae> BaI jaanaa paD< saktaa hE_

Public Health - paiblak helYa kI BaUimaka

Page 7: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

Aapa AaEr Aapake pairvaar ke ilayae jaanakarI 4

@`yaubarKyaulaaeisasa kI saamaanya jaanakarI@`yaubarKyaulaaeisasa (@IbaI) Kyaa hE?

@`yaubarKyaulaaeisasa maayakaebaeK@eiryama @`yaubarkyaUlaaeisasa naamak Cae@e sae jaIvaaNauAae> (baeK@erIyaa - jamsa|) kI vajah sae haetaa huAa ]k raega hE qsa ke AaEr naama hE> “@IbaI”, “k>Jampaoana”, “safEd plaega”, AaEr “kaeSa`sa raega”, yaa “xaya raega”, “tapaeidk” yaa “yaxmaa”

@IbaI ]k ga>BaIr raega hE jaae Aama taaEr par taae fefD<ae> par Asar krtaa hE, parntau vah oarIr ke dUsare Baagaae> mae> BaI paayaa jaataa hE, jaEsae ik laisaka gaRinYa, gaude|, hi¥yaa>, rI$< yaa idmaaga saamaanyata: ijanhe> sai+ya @IbaI hae, vae AsvasYataa ka AnauBava krtae hE>, qnhe> laxaNa idSaa}| detae hE>, AaEr vae dUsarae> kae CUta BaI lagaa saktae hE> @IbaI ka }laaja yaid #Ik sae nahI> huAa taae vah zaatak hae saktaa hE @IbaI ke baeK@eiryaa kae maar Dalanae vaalaI dvaa sae @IbaI kae haenae sae raeka jaa saktaa hE, qsa ka }laaja ikyaa jaa saktaa hE AaEr qsa sae mauiKta BaI imala saktaI hE_

@IbaI kEsae fElataa hE?

@IbaI ke jaIvaaNau hvaa mae> sae fElatae hE>_ jaba iksaI }nsaana ke fefD<ae> mae>, fupfusaavarNa yaa galae mae> @IbaI ke jaIvaaNau haetae hE>, taba vah ApanaI SaaãsaI, CI>k, baaelanae, h>sanae, gaanae sae yaa sauiPar vaa^ kae bajaanae sae qna jaIvaaNauAae> kae hvaa mae> fElaataa hE_

@IbaI ke jaIvaaNau hvaa mae> za>@ae> tak rh saktae hE>_ ijasa kae sai+ya @IbaI hE ]esae vyaiKta ke saaYa jaae laaega hr raeja< kaf<I samaya ibataatae hE>, vae ApanaI saaãsa ke saaYa saaYa qna jaIvaaNauAae> kae BaI Apanae fefD<ae> mae> qtaartae hE> AaEr Saud baImaar hae jaatae hE>_ yae laaega Aapa ke zar mae> rhnae vaalaae> mae> sae hae saktae hE> yaa Aapa ke pairvaar mae> sae, naja<dIkI daestaae> mae> sae, sahaZyaayaI yaa sahkma|caarI mae> sae hae saktae hE>_

• hr sai+ya @IbaI ka raegaI sa>+amak nahI> haetaa_ fefD<ae> AaEr galae ke @IbaI ke Alaavaa dUsare A>gaae> ke @IbaI kae dUsarae> mae> nahI> fElaayaa jaa saktaa_

• haYa imalaanae sae, bartana baaã@nae sae, @aeyalae@ kI saI@ par baE#nae sae, qna ka taaEilayaa }staemaala krnae sae yaa yaaEna sambanZa sae @IbaI kae dUsarae> mae> nahI> fElaayaa jaa saktaa_

• @IbaI ke jaIvaaNauAae> ke sa>saga| mae> Aayae hu] j<yaaadatar laaegaae> kae @IbaI kI CUta nahI> lagataI yaa raega nahI> haetaa_

@IbaI kI baImaarI laganae ka Dr ikna kae hae saktaa hE?

@IbaI iksaI kae BaI laga saktaa hE_ kuC laaega kae j<yaada Sa<tara rhtaa hE AaEr qnhe> parIxaNa krvaanaa caaihyae_ vae laaega hE>:

• jaae sa>+amak @IbaI ke raegaI ke naja<dIkI sampak| mae> hae>• qna deoaae> ke AapaRvaasaI hae> jaha> @IbaI ka Sa<tara BaarI rhtaa hae• ijanhe> dUsarI baImaarIyaa> hae> yaa jaae laaega }myauna isas@ma (paRitarxaa tanLa) kae inaba|la banaa denae vaalaI

dvaayae> laetae hae> (jaEsae ik maZaumaeh - DayaabaI@Isa, kensar yaa ]caAa}vaI /]D`sa) • jaae kupaaeiPata hae>, inaraiOta hae>, yaa oaraba yaa D¼gsa ka ga<lata paRyaaega krtae hae>

ivah

>gavaaval

aaekna

Page 8: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

5 Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?

• jaae dIza|kailana Aaraegya-deSaBaala sa>sYaa yaa sauZaaratmak sa>sYaaAae> ke inavaasaI hae>• @IbaI ke BaarI Sa<tare vaalae AaidvaasaI yaa }nyau}@ jaaita ke janasamaudaya mae> rhtae hae>

]la@IbaIAa}| (lae@n@ @IbaI }nfeKoana - ApaRk@ @IbaI sa>+maNa) AaEr @IbaI raega mae> Kyaa fk| hE?

ijanhe> ApaRk@ @IbaI sa>+maNa hae qna ke oarIr mae> jaIvaaNau saaeyae hu] (sauPaupta yaa inaiP+ya) haetae hE>_ vae baImaar nahI> haetae AaEr vae dUsarae> mae> @IbaI fElaa BaI nahI> saktae_ magar BaivaPya mae> vae @IbaI raega sae baImaar hae saktae hE>_ @IbaI ke raega kae haenae sae raeknae ke ilayae ApaRk@ @IbaI sa>+maNa ka }laaja ikyaa jaa saktaa hE_

ijanhe> sai+ya @IbaI raega hae qna ke oarIr mae> jaIvaaNau ba$<tae hE> AaEr fElatae hE>_ vae baImaar hE> AaEr Agar sai+ya raega qna ke fefD<ae> mae> yaa galae mae> hae taae vae dUsarae> mae> @IbaI fElaa saktae hE>_ @IbaI ke jaIvaaNauAae> kae maar Dalanae vaalaI dvaa sae @IbaI raega ka }laaja ikyaa jaa saktaa hE_ @IbaI ke saBaI jaIvaaNauAae> kae maar Dalanae ke ilayae taYaa raega sae mauiKta paanae ke ilayae dvaa k}| mahInaae> tak laenaI paDtaI hE_

@`yaubarKyaulaaeisasa kI saamaanya jaanakarI jaarI

Page 9: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

Aapa AaEr Aapake pairvaar ke ilayae jaanakarI 6

@`yaubarKyaulaaeisasa: fk| jaainayae

lae@n@ @IbaI }nfeKoana - ApaRk@ @IbaI sa>+maNa (]la@IbaIAa}|)

Aapa ke oarIr mae> jaIvaaNau taae hE>, parntau Aapa ke oarIr nae qna kae raek rSaa hE taaik vae kae}| nauksaana na kr sake>_

Aapa ka tvacaa-parIxaNa spaP@ (paaeija<i@va) inaklaa hE, parntau Aapa kI CataI ka ]Ksa re bataataa hE ik Aapa kae @IbaI raega nahI> hE_ Aapa kae BaivaPya mae> @IbaI raega hae saktaa hE_

Aapa sa>+amak nahI> hE> AaEr Aapa baImaar BaI nahI> hE>_

}laaja hE

@IbaI raega kI raekYaama@IbaI kI CUta ka }laaja 6 sae lae kr 12 mahInae tak dvaa laenae sae hae saktaa hE_ yah qpacaar @IbaI raega kae ba$nae sae raekegaa_

@IbaI raega

@IbaI ke jaIvaaNau bahuta j<yaada ba$ rhe hE> AaEr nauksaana kr rhe hE>_ vaEsae @IbaI raega fefD<ae> mae> haetaa hE, par vah dUsare A>gaae> ke qpar BaI Asar kr saktaa hE_

Aapa baImaar hE> laxaNaae> mae>:•kmaja<aerI, bauSaar, vajana ka kma haenaa•SaaãsaI, CataI mae> dd|•SaaãsaI mae> SaUna ka inaklanaa (yaid @IbaI fefD<ae> mae> hae taae)•dd| (yaid @IbaI oarIr ke Anya A>gaae> mae> hae taaee)

yaid @IbaI ke jaIvaaNau Aapa ke fefD<ae> mae> hae> taae Aapa sa>+amak hE>_

}laaja hE

fElaava kI raekYaama AaEr mauiKta@IbaI raega ka qpacaar hE AaEr qsa sae mauiKta BaI imala saktaI hE yaid Aapa ApanaI saBaI dvaayae> lae>_ oauw sae hI qpacaar jaarI kr denae sae @IbaI kae dUsarae> mae> fElanae sae raeka jaa saktaa hE_

@IbaI ke jaIvaaNau saaeyae hu] (sauPaupta) hE>

@IbaI ke jaIvaaNau nauksaana kr rhe hE>

sakaratmak (paaeija<i@va) tvacaa-parIxaNa

laxaNa

sa>+amak?nahI ha>

ivah

>gavaaval

aaekna

Aalba@a| helYa kI

rja<amandI sae ]gaheD

Aa@|vak| ka qpayaaega

ikyaa gayaa_

Page 10: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

@IbaI ke tvacaa-parIxaNa sae

@IbaI nahI> hae saktaa_

7 Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?

lae@n@ @IbaI }nfeKoana - ApaRk@ @IbaI sa>+maNa (]la@IbaIAa}|) Kyaa hE?

ApaRk@ @IbaI sa>+maNa (]la@IbaIAa}|) vaalae vyaiKta nae @IbaI ke jaIvaaNauAae> kae saaãsa mae> taae lae ilayaa hE, magar vah baImaar nahI> hE Kyaae> ik qsa ke paRitarxaa tanLa (}myauna isas@ma) nae @IbaI ke jaIvaaNauAae> kae ba$nae sae AaEr fElanae sae raek rSaa hE_ @IbaI ke jaIvaaNau oarIr mae> jaIivata taae hE>, parntau saae rhe hE> (sauPaupta hE>)_ valD| helYa Aaegae|naa}j<aeoana (WHO) ke Anaumaana ke mautaaibak ivaova kI ]k itaha}| janasa>Syaa @IbaI ke jaIvaaNauAae> sae sa>dUiPata hE AaEr qnhe> ]la@IbaIAa}| hE_

ijanhe> ]la@IbaIAa}| hE, vae:• baImaar nahI> hE>• qnhe> kae}| laxaNa nahI> hE• vae dUsarae> mae> @IbaI ke jaIvaaNauAae> kae nahI> fElaa saktae• vae kama par yaa oaalaa mae> jaa saktae hE> AaEr Apanaa paRitaidna ka saamaanya kaya|

kr saktae hE>• Saasa kr ke yaid qna ka paRitarxaa tanLa kmaja<aer huAa taae qnhe> BaivaPya mae>

sai+ya @IbaI raega hae saktaa hE_

ijanhe> ]la@IbaIAa}| hae vaEsae 10 vyaiKtaAae> mae> sae ]k kae BaivaPya mae> kBaI BaI sai+ya @IbaI haegaa_ }na jaIvaaNauAae> sae sa>dUiPata haenae ke 2 saala ke Andr Andr yah S<atara BaarI rhtaa hE_

Aapa ka ]la@IbaIAa}| ka parIxaNa kEsae haetaa hE?

Aapa ke oarIr mae> @IbaI ke jaIvaaNau hE> yaa nahI> yah jaananae ke ilayae ]k DaâK@r yaa nasa| @IbaI ka tvacaa-parIxaNa krtae hE>_ @IbaI paRae@Insa vaalaa parIxaNa-paRvaahI ]k Cae@I saI saU}| ke ja<iryae camaDI ke naIcae Dalaa jaataa hE_ Agar Aapa @IbaI ke jaIvaaNau sae sa>dUiPata hE> taae jaha> paRvaahI Dalaa gayaa Yaa qsa jagah par 48 sae 72 za>@ae> ke Andr saUjana hae saktaI hE AaEr vah saS<ta mahsaUsa haetaI hE (}nD`yaureoana)_ ifr yah sauinaiocata krnae ke ilayae ik Aapa kae sai+ya @IbaI raega taae nahI> hE, AaEr j<yaada parIxaNa ikyae jaatae hE>, jaEsae ik CataI ka ]Ksa re AaEr oaarIirk jaaãca_ kuC S<aasa pairisYaitaAae> mae>, ]la@IbaIAa}| kae parSanae ke ilayae, DaâK@r }n@rferaena-gaamaa rIilaja< ]sae (Aa}jaIAar]) naamak SaUna ke parIxaNa kI salaah detae hE>_

@IbaI ke tvacaa-parIxaNa sae @IbaI nahI> hae jaataa_ yaid iksaI nae baIsaIjaI ka @Ika lagavaayaa hae yaa gaBa|vataI hae, taae vae BaI @IbaI ka tvacaa-parIxaNa krvaa saktae hE>_ ]esae laaega ijanhae> nae sai+ya @IbaI vaalae }nsaana ke sampak| mae> kaf<I samaya ibataayaa hae qna ka @IbaI ka tvacaa-parIxaNa mauÝ<ta mae> ikyaa jaataa hE_

Kyaa ]la@IbaIAa}| ke ilayae icaiktsaa hE?

]la@IbaIAa}| kae @IbaI raega mae> badlanae sae raeknae ke ilayae DaâK@r @IbaI kI dvaa ilaSa de saktaa hE_ yae dvaayae> Apanae marIj<aae> kae denae ke ilayae DaâK@rae> kae ina:oaulk dI jaataI hE_

lae@n@ @IbaI }nfeKoana - ApaRk@ @IbaI sa>+maNa (]la@IbaIAa}|)

Page 11: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

Aapa AaEr Aapake pairvaar ke ilayae jaanakarI 8

@IbaI kae raeka jaa

saktaa hE, qsa kI

icaiktsaa kI jaa

saktaI hE AaEr qsa

sae mauiKta BaI imala

saktaI hE_ @IbaI kI

raekYaama AaEr qsa ke

qpacaar mae> qpayaaegaI

]n@Ibaayaae@Ik`sa

Apanae marIj<aae> kae denae

ke ilayae DaâK@rae> kae

ina: oaulk idyaee jaatae

hE>_

ApaRk@ @IbaI sa>+maNa kba @IbaI raega bana jaa saktaa hE?

jaba kuC ]la@IbaIAa}|gaRsta laaegaae> ka paRitarxaa tanLa @IbaI ke jaIvaaNauAae> kae ba$nae AaEr fElanae sae raeknae ke ilayae AoaF hae jaayaegaa taba qnhe> sai+ya @IbaI raega haegaa_

iksae @IbaI raega haenae kI sa>Baavanaa j<yaada hE?

ijanhe< ]la@IbaIAa}| hae AaEr Agar qpar sae inaba|la }myauna isas@ma (paRitarxaa tanLa) BaI hae taae qnhe> sai+ya @IbaI haenae kI sa>Baavanaa j<yaada rhtaI hE_ paRaE$<, vayaaeva\&, ioaoau, taYaa 5 saala sae Cae@e baccaae> ka }myauna isas@ma (paRitarxaa tanLa) kmaj<aaer hae saktaa hE_

inamna isYaitayaa> BaI }myauna isas@ma (paRitarxaa tanLa) kae inaba|la banaa detaI hE yaa badla detaI hE:• ]caAa}vaI sa>+maNa AaEr ]D`sa • DayabaI@Isa - maZaumaeh• gaude| kI ga>BaIr baImaarI• saIilakaeisasa• kensar• Aaega|na @¼ansaplaan@• }myauna isas@ma (paRitarxaa tanLa) kae badla denae vaalaI dvaayae> va qpacaar (jaEsae ik

glaukaekae@I|saae}D`sa, AaYa|ra}@Isa-gai#yaa kI kuC ]esaI icaiktsaayae>, kRaensa raega ]va> saaerayaisasa)

• oarIr ka kma vaj<ana

inamna vyaiKtaAae> kae BaI sai+ya @IbaI haenae kI sa>Baavanaa j<yaada hE:• ijana ke CataI ka ]Ksa re pauranaa @IbaI bataataa hae magar qsa kI na taae icaiktsaa

hu}| YaI, naa hI raega sae mauiKta imalaI YaI• jaae ipaClae 2 saalaae> ke Andr @IbaI ke jaIvaaNauAae> sae sa>duiPata hu] Yae• jaae isagare@ paItae hE>

ApaRk@ @IbaI sa>+maNa sae lae kr @IbaI raega kI Aaer paRgaita

ivah

>gavaaval

aaekna

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9 Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?

@IbaI raega Kyaa hE?

jaba paRitarxaa ta>La kmaja<aer hae jaataa hE taba @IbaI ke jaIvaaNau sai+ya hae saktae hE>_ vae ba$<tae hE>, fElatae hE> AaEr oarIr ke Qtak ka naaoa kr detae hE>_ kuC laaega @IbaI ke jaIvaaNau ka sa>dUPaNa laganae ke YaaeDe hI samaya mae> baImaar hae jaatae hE> taae k}| laaega kaf<I saalaae> tak baImaar nahI> haetae_

@IbaI oarIr mae> khI> BaI hae saktaa hE, jaEsae ik fefD<e, fupfusaavarNa, galaa, laisaka gaR>iYa, gaude|, h¥Iyaa>, idmaaga, rI$< taYaa pae@_ saamaanyata: ijanhe> sai+ya @IbaI haetaa hEe, vae paRaya: AsvasYataa ka AnauBava krtae hE>, qnhe> laxaNa idSaa} detae hE>_ qnhe> @IbaI ke qpacaar va raega sae mauiKta idlaanae ke ilayae dvaa dI jaataI hE_ vae 6 sae 12 maihnaae> tak yaa qsa sae BaI AiZak la>bae samaya tak dvaa laetae hE>

sai+ya @IbaI raega ke Kyaa laxaNa hE>?

sai+ya @IbaI raega ke saba sae Aama laxaNaae> mae> oaaimala hE:• bauSaar, #>D laganaa• vaja<na ka kma haenaa, Saanae mae> Awica• kmaja<aerI, Yakana• rata mae> pasaInaa Aanaa

ijanhe> fefD<ae> ka, fupfusaavarNa yaa galae ka @IbaI haetaa hE, qnhe> yae AnauBava BaI haetaa hE:• SaaãsaI haenaa yaa Agar pahlae sae SaaãsaI hae taae qsa ka badtar haenaa AaEr 3

saptaah yaa qsa sae BaI AiZak la>bae samaya tak jaarI rhnaa• SaaãsaI mae> balagama yaa SaUna ka inaklanaa• CataI mae> dd| haenaa

ijanhe> fefD<ae> sae baahrI ihssae ka @IbaI haetaa hE, qnhe> yae mahsaUsa haetaa hE:• h¥IAae> mae>, jaaeD<ae> mae>, pae@ mae>, paI# mae> baevajah dd| jaae band hI nahI> haetaa• saUjana, Aksar gardna kI ]k tarf<• h¥IAae> mae> yaa jaaeD<ae> mae> saUjana• sardd|, gardna mae> tanaava/kD<apana, caKkr Aanaa

ijanhe> fefD<ae> ka, fupfusaavarNa ka yaa galae ka @IbaI haetaa hE, vae sa>+amak haetae hE> AaEr ApanaI Saa>saI, CI>k, baaelanae, h>sanae, gaanae va sauiPar vaa^ bajaanae sae vae @IbaI ke jaIvaaNauAae> kae dUsarae> mae> fElaa saktae hE>_ dUsarae> mae> @IbaI ke jaIvaaNauAae> kae fElatae hu] raeknae ke ilayae Saasa ]hitayaata bartanaI ja<wrI hE_ paiblak helYa nasa| Aapa kae Kyaa saavaZaanaI AaEr kba tak qsae bartanaI caaihyae }sa ke baare mae> isaSaayaegaI

fefD<ae> sae baahrI ihssae ka @IbaI saamaanyata: sa>+amak nahI> haetaa hE AaEr vah dUsarae> mae> fEla BaI nahI> saktaa Kyaae> ik @IbaI ke jaIvaaNau hvaa mae> jaa hI nahI> saktae ik dUsarae> kI saaãsa mae> vae samaa paayae>_ Aama taaEr par qsa ke ilayae kae}| Saasa saavaZaanaI bartanae kI Aavaoyaktaa nahI> hE_

@`yaubarKyaulaaeisasa (xaya) raega

sai+ya @IbaI ka raega

oarIr mae> khI> BaI hae

saktaa hE, jaEsae ik fefD<e,

fupfusaavarNa, galaa,

laisaka gaR>iYa, gaude|, h¥Iyaa>,

idmaaga, rI$< taYaa pae@_

Page 13: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

Aapa AaEr Aapake pairvaar ke ilayae jaanakarI 10

@IbaI raega ka inadana kEsae haetaa hE?

DaâK@r Aapa sae savaala pauC kr, Aapa kI ica>taaAae> kae sauna kr AaEr DaâK@rI parIxaNa ]va> oaarIirk jaaãca krnae ke baad @IbaI raega ka inadana krtaa hE_

• maeiDkla hIs@¼I - BaUta kala mae> @IbaI sa>+maNa yaa raega haenae ke hadsae, iksaI @IbaIgaRsta vyaiKta sae AtaIta mae> sa>ba>Za rha hae, sa>+maNa yaa raega ka Sa<tara (rIsk feK@r), dUsarI svaasYya sa>ba>iZata samasyaayae> taYaa laI ga}| dvaayae>

• laxaNa- Apanae badna mae> pairvata|na Aanaa• CataI ka ]Ksa re, saI@I skena, ]maAarAa}| skena - fefD<ae> mae> yaa oarIr

ke Anya ihssae mae> @IbaI ke inaoaana $U>$nae ke ilayae• fefD<ae> mae> sae balagama (kf) - raega kI sa>Baavanaa kae parSanae ke ilayae laeba

mae> Baejanaa• baRaenkaeskaepaI - ]k parIxaNa ijasa mae> fefD<ae> ka Avalaaekna ikyaa jaataa

hE AaEr raega kI sa>Baavanaa kae parSanae ke ilayae vaha> sae Qtak yaa tarla padaYa| kae inakalaa jaataa hE

• gaeis@¼k vaaâioa>ga - ]k parIxaNa ijasa mae> raega kI sa>Baavanaa kae parSanae ke ilayae pae@ mae> sae tarla padaYa| inakalaa jaataa hE

• baayaaepsaI - ]k parIxaNa ijasa mae> raega kI sa>Baavanaa kae parSanae ke ilayae Qtak ka ]k Cae@a saa @ukD<a inakalaa jaataa hE

iKlainakla @IbaI Kyaa haetaa hE?

kBaI kBaI balagama, Qtak yaa oarIr ke tarla padaYaae|> ke laeba parIxaNa @IbaI ke jaIvaaNauAae> kae nahI> bataatae, magar ifr BaI marIja< sae sa>ba>iZata qsa kI maeiDkla hIs@¼I, qsa ke laxaNa, ]Ksa re ]va> dUsare parIxaNaae> par sae DaâK@r kae lagataa hE ik vyaiKta kae sai+ya @IbaI hE_ }sae ‘iKlainakla @IbaI’ khtae hE>

jaba balagama, Qtak yaa oarIr ke tarla padaYaae|> ke laeba parIxaNa @IbaI ke jaIvaaNauAae> kae bataatae hE>, taba vah ‘klcar-knfma`|D @IbaI’ yaa ‘laeba-knfma`|D @IbaI’ hE_

AaEPaZa-paRitaraeZak @IbaI Kyaa hE?

jaae jaIvaaNau iksaI Saasa AaEPaZa sae maare jaa saktae hE> qnhe> qsa dvaa sae “sa>vaedI - saeinsa@Iva” kha jaataa hE_ jaae jaIvaaNau iksaI Saasa AaEPaZa sae nahI> maare jaa saktae, qnhe> qsa dvaa ke “paRitaraeZak - reija<s@>@” kha jaataa hE_

@IbaI ka qpacaar k}| dvaaAae> sae ]k saaYa ikyaa jaataa hE, jaae @IbaI ke jaIvaaNauAae kae maar Dalataa hE yaa qnhe> ba$<nae sae raektaa hE_ jaba @IbaI ke jaIvaaNau @IbaI ke qpacaar mae> saamaanyata: paRyaaega mae> laa}| jaanae vaalaI ]k yaa j<yaada dvaaAae> ka paRitaraeZa krtae hE> taae vah @IbaI paRitaraeZak maanaa jaataa hE_ }sa ka matalaba yae hE ik vae dvaayae> qna @IbaI ke jaIvaaNauAae> kae maar nahI> saktaI naa hI qnhe> ba$<nae sae raek saktaI hE>_ Aama taaEr par ]esae AaEPaZa-paRitaraeZak @IbaI ka qpacaar krnaa j<yaada mauiokla haetaa hE_ AaEPaZa-paRitaraeZak @IbaI sae mauiKta taae imala saktaI hE, magar qsae j<yaada samaya lagataa hE AaEr dvaayae> j<yaada sahgaamaI duPpaRBaava (saa}|D }feK@`sa) kr saktaI hE_

@`yaubarKyaulaaeisasa (xaya) raega jaarI

@IbaI raega ]

va> q

sa

kI ic

aikts

aa

Page 14: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

11 Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?

@IbaI ke qpacaar mae> dae saba sae AcCI dvaayae> hE>, Aa}saaenaayaja<ID AaEr irf<empaIna_ jaba @IbaI ke jaIvaaNau Aa}saaeij<ayaanaID AaEr irf<ampaIna, daenaae> ke paRitaraeZak bana jaatae hE> taba vah “bahuivaZa AaEPaZa-paRitaraeZak - mail@-D¼ga reija<s@>@” (MDR-TB) @IbaI haetaa hE_ jaba @IbaI ke jaIvaaNau Aa}saaeinayaaja<ID AaEr irf<empaIna ke saaYa saaYa dUsare Saasa ]n@Ibaayaae@IKsa ke BaI paRitaraeZak haetae hE> taba vah “vyaapak wpa sae AaEPaZa-paRitaraeZak - ]Ks@einsavalaI D¼ga reija<s@>@” (XDR-TB) haetaa hE_

mauJae AaEPaZa-paRitaraeZak @IbaI iksa tarh hae saktaa hE?

Aapa kae AaEPaZa-paRitaraeZak @IbaI taba hae saktaa hE jaba:• Agar Aapa nae iksaI AaEPaZa-paRitaraeZak @IbaI raega vaalae vyaiKta sae @IbaI ke

jaIvaaNau ApanaI saaãsa mae> ilayae hae>• Aapa nae ApanaI @IbaI kI dvaayae> #Ik sae nahI> laI hE ijasa sae @IbaI ke jaIvaaNau

badla gayae hE> AaEr dvaa ka paRitaraeZa kr rhe hE>• Aapa kae ga<lata dvaa dI ga}| hE yaa qsa kI ga<lata maaLaa dI ga}| hE• BaUta kala mae> @IbaI ka qpacaar ikyae jaanae ke baad Aba Aapa kae ifr sae sai+ya

@IbaI huAa hae

AaEPaZa-paRitaraeZak @IbaI kae maE> kEsae raek saktaa / saktaI hU>?

AaEPaZa-paRitaraeZak @IbaI kI raekYaama ke ilayae Aapa kae:• @IbaI kI dvaaAae> kI hr ]k Saurak (Daeja<) kae laenaI haegaI• jaba tak Aapa ka DaâK@r yaa nasa| Aapa kae dvaa band krnae ke ilayae na khe>,

Aapa kae @IbaI kI dvaayae> laetae rhnaa hE• Apanae Aapa kae baehtar mahsaUsa krnae ke baavaja<ud BaI Aapa kae dvaayae> laetae rhnaa

hE_ saBaI jaIvaaNauAae> kae maarnae ke ilayae AaEr raega sae mauiKta paanae ke ilayae k}| mahInaae> lagatae hE>_

• @IbaI AaEr AaEPaZa-paRitaraeZak @IbaI ke qpacaar ke ivaoaePaXa DaâK@r sae imalae>

@`yaubarKyaulaaeisasa (xaya) raega jaarI

Page 15: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

Aapa AaEr Aapake pairvaar ke ilayae jaanakarI 12

k}| dvaaAae> kae saaYa mae> 6 yaa qsa sae j<yaada mahInaae> tak laenae sae @IbaI ka qpacaar ]va> qsa sae mauiKta imala saktaIe hE>_ Aapa ka qpacaar iktanaa lambaa calaegaa yah @IbaI Aapa ke oarIr ke kaEna sae ihssae mae> hE, Aapa iktanae baImaar hE>, AaEr vae @IbaI ke jaIvaaNau iksaI BaI @IbaI kI dvaa ke paRitaraeZak hE> yaa nahI>, qsa ke qpar AaZaairta hE_ Aapa kI Apanae @IbaI DaâK@r yaa nasa| sae inayaimata maulaakata haetaI rhe>gaI AaEr vae Aapa kae SaUna ke pairxaNaae>, ]Ksa re taYaa dUsare pairxaNaae> ke ilayae Baejae>gae taaik @IbaI kI dvaa kEsae kama kr rhI hE AaEr Agar kae}| ga>BaIr sahgaamaI duPpaRBaava (saa}|D }feK@`sa) hae taae qsa par Zyaana rSaa jaa sake_

yaid @IbaI ke jaIvaaNau Aapa ke fefD<ae> mae>, fupfusaavarNa mae> yaa galae mae> hae>gae taae dUsarae> kae bacaanae ke ilayae Aapa kae Alaga ikyaa jaayaegaa_ Aama taaEr par Aapa kae Apanae zar mae> Alaga sae rSaa jaa saktaa hE , par kBaI-kBaI Aapa kae Aspataala mae> jaanae kI ja<wrta paD< saktaI hE_

paiblak helYa nasa| Aapa sae imalanae ke ilayae AayaegaI AaEr Aapa kae taYaa Aapa ke pairvaar kae @IbaI, @IbaI kI dvaayae> AaEr qsa ke sahgaamaI duPpaRBaavaae> ke baare mae> samaJaayaegaI_ Aapa kI iciktsaa Satama haenae tak paiblak helYa nasa| Aapa ke kesa kI deSaBaala kregaI_ Aapa kae ApanaI dvaayae> sahI taaEr par laenae mae>, sahgaamaI duPpaRBaavaae ka Syaala rSanae mae> taYaa Aapa kI saBaI DaâK@rI maulaakataae> AaEr pairxaNaae> mae> Aapa haija<r rhe> yah deSanae mae> madd ke ilayae paRtyaxa inarIxaNa icaiktsaa (Daâ@) kI vyavasYaa ka }ntaja<ama hae saktaa hE_

mahtvapaUNa|:

• Apanae DaâK@r sae bataayae>:– ik Aapa kaEna saI dvaayae>, saplaImaen@`sa AaEr jaD<I-baU@I vaalaI dvaayae> lae rhe

hE>– Agar Aapa kae kae}| BaI dvaa yaa Aahar kI ]lajaI| hae– Aapa kI svaasYya sa>ba>ZaIta hr samasyaayae>, jaEsae ik maZaumaeh (DayaabaI@Isa),

gaude| kI Sa<rabaI, yak<ta (ilavar) ka raega, hepae@a}@Isa, YaayaraeD kI baImaarI, AaãSaae> kI baImaarI, gaaQ@, gai#yaa, ]caAa}|vaI / ]D`sa, vagaErh

– Agar dUsare rajya mae> yaa dUsare deoa mae> Aapa ke @IbaI kI icaiktsaa kI ga}| YaI, yaa Agar Aapa kae kaf<I la>bae Arsae tak ]n@Ibaayaae@Ik`sa idyae gayae Yae

– Agar Aapa gaBa|vataI hae> yaa stanapaana kra rhI hae>, yaa ifr Aapa gaBa| sae haenae ke ilayae kaeioaoa kr rhI hae>

• jaba tak @IbaI kI dvaa lae rhe hae> taba tak gaBaa|vasYaa kae @ailayae • hr ]k DaâK@rI maulaakataae> mae> haij<ar rhe> - @IbaI kI dvaa laenae ke samaya ke

daErana Apanae DaâK@r sae inayaimata jaaãca krvaatae rhnaa ja<wrI hE• jaba kha jaayae taba hr DaâK@rI pairxaNa krvaayae> - }sa mae> Aapa ka yak<ta

(ilavar) tanduwsta hE yah sauinaiocata krnae ke ilayae SaUna ka pairxaNa taYaa yaid @IbaI Aapa ke fefD<ae> mae> hE taae qsa ke ilayae ]Ksa re oaaimala hE

• iksaI BaI Anya dvaa, saplaImaen@`sa yaa jaD<I-baU@I vaalaI dvaayae> oauw krnae sae pahlae, Kyaa @IbaI kI dvaa ke saaYa saaYa qnhe> laenaa salaamata rhegaa, yah sauinaiocata krnae ke ilayae Apanae DaâK@r yaa keimas@ sae pauCe>

@IbaI raega ka qpacaar

@IbaI raega ]

va> q

sa

kI ic

aikts

aa

Page 16: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

baccaae> kae @IbaI haenae sae raeknaa

ijana ka inadana nahI> ikyaa gayaa hE yaa qpacaar nahI> ikyaa gayaa hE ]esae baccaae> mae> @IbaI ka Asar ga>BaIr haetaa hE_ vayaskae> ke mauk<abalae mae> @IbaI ke sa>+maNa ke baad baccaae> kae @IbaI raega oaIzaRhI hae jaataa hE AaEr qnhe> ga>BaIr svawpa ke @IbaI haenae kI BaI j<yaadatar sa>Baavanaa hE_

qna baccaae> ke ilayae jaae inaiocata wpa sae sa>+amak @IbaIgaRsta vyaiF ke sa>pak| mae> Aayae hae> qna ke ilayae:

• Aama taaEr par dae @IbaI tvacaa-pairxaNa kI salaah dI jaataI hE - ]k pairxaNa faErna krvaanaa hE AaEr dUsara pairxaNa @IbaIgaRsta ke sa>pak| mae> Aanae ke 8 sae 12 saptaahae> ke baad mae> krvaanaa hE_ paiblak helYa nasa| Aapa kae bataayaegaI ik kba dUsara tvacaa-pairxaNa krvaanaa hE_– yaid pahlaa yaa dUsara tvacaa-pairxaNa paaeija<@Iva inaklataa hE AaEr CataIka ]

Ksa re naaema|la hE taae Aapa ke baccae kae “ApaRk@ @IbaI sa>+maNa (]la@IbaIAa}|)” hE AaEr qsae 9 maihnaae> tak, yaa DaâK@r ke khnae tak dvaa laenaI caaihyae_

– yaid pahlaa AaEr dUsara, daenaae> tvacaa-pairxaNa naegae@Iva inaklatae hE>, taae Aapa ke baccae kae @IbaI ka sa>dUPaNa nahI> huAa hE_

• 4 saala yaa qsa sae kma qmaR vaalae baccaae> ka:– qna ka pahlaa tvacaa-pairxaNa Agar naegae@Iva BaI inaklataa hE taba BaI qna kI

CataI ka ]Ksa re inaklavaanaa caaihyae taYaa baccaae> ke @IbaI spaeoaâilas@ sae DaâK@rI jaaãca krvaanaI caaihyae_

– qna ka pahlaa tvacaa-pairxaNa Agar naegae@Iva BaI inaklataa hE AaEr CataI ka ]Ksa re BaI naaema|la inaklataa hE, taba BaI @IbaI raega haenae sae bacaanae ke ilayae qnakI dvaa faErna oauw kr denaI caaihyae_ Cae@e baccaae> kae }sa dvaa kI ja<wrta hE Kyaae> ik baD<e baccaae> ]va> vayaskae> ke mauk<abalae mae> qna ka paRitarxaa ta>La (}mmyauina@I) kmaja<aer haetaa hE AaEr dUsare pairxaNa ka }ntaja<ar krnae mae> vae bahuta baImaar hae jaa saktae hE>_

– jaba tak dUsara tvacaa-pairxaNa nahI> hae jaataa, yae dvaa jaarI rSae>_ jaba tak dUsare tvacaa-pairxaNa ka pairNaama (ik qnhe> sa>duPaNa lagaa hE yaa nahI>) pataa nahI> calataa, Aapa ke baccae kae dvaa par rSanaa ja<wrI hE_ Agar dUsara tvacaa-pairxaNa naegae@Iva inaklataa hE, taae dvaa ba>d kI jaa saktaI hE_

baccaae> mae> @IbaI raega

sa>+amak @IbaIgaRsta vayaskae> ke sa>pak| mae> Aanae sae baccaae> mae> @IbaI haetaa hE_ 4 saala yaa qsa sae kma qmaR vaalae baccaae> mae> @IbaI ke laxaNa yaa icaÈ paRaya: nahI> idSaa}| detae Aaer vae Aama taaEr par sa>+amak nahI> haetae_ sai+ya @IbaI raega ka inadana saamaanyata: CataI ke ]Ksa re mae> paa}| jaanae vaalaI AsaamaanyataaAae> ke AaZaar par ikyaa jaataa hE_

baD<e baccaae>e taYaa ikoaaeravasYaa ke baccaae> mae> laxaNa paayae jaa saktae hE>, jaEsae ik bauSaar, SaaãsaI, rata kae pasaInaa haenaa, dd| AaEr / yaa saUjana, vaj<ana ka kma haenaa AaEr taakta va Aahar-wicamae> badlaava Aanaa

baccaae> mae> @IbaI raega kI raekYaama ]va> qpacaar

13 Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?

sa>+amak @IbaIgaRsta

vayaskae> ke sa>pak| mae> Aanae

sae baccaae> mae> @IbaI haetaa hE_

Page 17: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

Aapa AaEr Aapake pairvaar ke ilayae jaanakarI 14

baccaae> ke AaEr vayaskae> ke

@IbaI raega ke qpacaar mae>

laIyae jaanae vaalaI dvaayae> ]

k samaana hE_

baccaae> ke sai+ya @IbaI raega ka qpacaar

baccaae> ke AaEr vayaskae> ke sai+ya @IbaI raega ke qpacaar ke kama mae> laayae jaanae vaalaI dvaayae> ]k samaana hE_ baccae ke vaja<na ke ihsaaba sae Cae@e baccaae> kI dvaa paRvaahI wpa mae> ilaSa dI jaa saktaI hE_ yaid Aapa ke baccae ka vaja<na ba$<taa hE yaa kma haetaa hE taae Apanae DaâK@r sae bataayae>_

svaasYya-sa>ba>iZata ivasta\ta saevaa kma|caarI (helYa Aaq@rIca vak|r) (HOW) Aapa kae paRtyaxa inarIxaNa icaiktsaa (DOT) de>gae_ vaee Aapa kI taYaa Aapa ke baccae kI maulaak<ata kre>gae AaEr yah sauinaiocata kre>gae ik Aapa ka baccaa:

• jaEsae ilaSa kr idyaa gayaa hE #Ik qsaI tarh sae dvaa lae rha hE• dvaa bardaota kr paa rha hE• qsa ke paasa payaa|pta maaLaa mae> dvaa hE

sahgaamaI duPpaRBaavaae> kae inaya>iLata krnaa

saamaanyata: @IbaI kI dvaa salaamata haetaI hE, parntau kuC baccaae> kae sahgaamaI duPpaRBaava ka saamanaa krnaa paD< saktaa hE_ taba dvaa denaa band kr de> AaEr Agar Aapa ke baccae kae:

• matalaI• Ql@I• ddaeD<a• pae@ mae> dd|• AaãSaae> mae> yaa camaDI mae> paIlaapana• kmaja<aerI

ka AnauBava hae rha hae taae Apanae DaâK@r kae f<aErna faena kre>

Apanae baccae kae dvaa denaa yaad rSanae ke ilayae sauJaava• dvaa kae ]esaI jagah par riSayae jaha> sae vah Aapa kae idSaa}| de, magar baccaa qsa

tak pahU>ca na paayae• hr idna ]khI samaya par baccae kae dvaa de>• gaaelaI yaa kEpsyaula ke ilayae ipala Aaegae|naa}ja<r (gaaelaIAae> kae Aayaaeijata wpa sae

rSanae kI iDibayaa) ka }staemaala kre>• jaba BaI paRvaahI dvaa dI jaayae taba qsae ]k kElae>Dr par A>ikta krnaa caaihyae

Apanae baccae kae dvaa inagalavaanae mae> madd ke ilayae sauJaava• YaaeD<e sae narma Aahar, jaEsae ik ]pala saaesa, kucalae hu] kelae, dhI, pauiD>ga yaa

baebaI fUD ke saaYa ]k Cae@I saI k@aerI mae> dvaa kae kucala Dailayae• paRvaahI dvaa kI maaLaa naapanae ke ilayae maeD<Iisana kpa yaa ibanaa saU}| kI isair>ja ka

qpayaaega kre>• jaba baccaa dvaa inagala lae taba qsa kI paRoa>saa kre>• Cae@a saa }naama de>, jaEsae ik s@Ikr

baccaae> mae> @IbaI raega kI raekYaama ]va> qpacaar jaarI

@IbaI raega ]

va> q

sa

kI ic

aikts

aa

Page 18: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

15 Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?

yaid Aapa kae fefD<ae> ka, fupfusaavarNa ka yaa galae ka @IbaI hE taae Aapa Apanae Saaãsanae, CI>knae, baaelanae, h>sanae yaa gaanae ke baad, yaa sauiPar vaa^ bajaanae ke baad Aapa ke }d|igad| mae dUsare laaega jaae qsa hvaa mae> saaãsa laetae hE> qna mae> jaIvaaNau fElaa saktae hE>_ Apanae @IbaI ke jaIvaaNauAae> sae dUsarae> kI rxaa krnae ke ilayae Aapa kae Apanae Aapa kae dUsarae> sae Alaga krnaa haegaa_ oarIr ke dUsare ihssaae> ka @IbaI Aama taaEr par sa>+amak nahI> haetaa AaEr qnhe> Alaga rhnae kI Aavaoyaktaa nahI> hE_ bartana, YaalaI, kpa, kpaD<e, ibaCaEnae kI caadr yaa f<naI|car baaã@nae sae, ]k hI @aeyalae@ }staemaala krnae sae yaa haYa imalaanae sae @IbaI nahI> fElataa_

ga\h-Alagaava (haema Aa}|saaelaeoana) Kyaa hE?

Aapa kae Apanae zar hI mae> rhnaa hE AaEr @IbaI ke jaIvaaNauAae> kae fElanae sae raeknae ke ilayae taYaa Aapa ke Aasapaasa mae> rhnaevaalae laaegaae> ke rxaNa ke ilayae Aapa kae dUsarae> sae dUr rhnaa hE_ Aapa kae:

• kama par, oaalaa mae>, Zaaima|k sYalaae> par, restara> mae>, mauvaI YaI]@r mae>, gaRaesarI s@aer mae>, oaaepaI>ga maaâla mae> yaa iksaI BaI dUsare saava|jainak sYalaae> par nahI> jaanaa hE

• daestaae> yaa irotaedarae> sae nahI> imalanaa hE• basa, sabavae, @¼ena yaa plaena mae> safr nahI> krnaa hE• daestaae>, irotaedarae> yaa iksaI BaI maulaak<ataI kae zar par nahI> baulaanaa hE

mauJae kba tak Alaga rhnaa haegaa?

ga\h-Alagaava taba tak calaegaa jaba tak Aapa sa>+amak hae>gae AaEr @IbaI ke jaIvaaNauAae> kae dUsare laaegaae> mae> fElaa saktae hae_ yah 2 saptaah jaEsae YaaeDe samaya sae lae kr kuC maihnaae> tak ka la>baa samaya BaI hae saktaa hE_ Aapa sa>+amak kba tak rhe>gae yah Aapa ke fefD<ae> mae> @IbaI ke iktanae jaIvaaNau hE>, Aapa kI AsvasYataa iktanaI hE AaEr Aapa ka oarIr @IbaI kI dvaa kae iksa tarh bardaota krtaa hE qsa ke par AaZaairta hE_ balagama ka pairxaNa, CataI ka ]Ksa-re, ]va> laxaNaae> mae> Aanae vaalaa sauZaar hmae> bataayaegaa ik Aapa kba sa>+amak nahI> rhe_ Alagaava mae> sae ja<ldI baahr Aanaa hE taae ApanaI @IbaI kI dvaa kI hr maaLaa kae #Ik sae lae>_ paiblak helYa nasa| Aapa kae bataayaegaI kba dUsare laaegaae> sae maela-jaaela salaamata hE AaEr kba Apanae kama par yaa skUla mae> ifr sae jaa saktae hE>_

Apanae pairvaar ka rxaNa maE> kEsae kr saktaa / saktaI hU>?• jaba tak Aapa ka @IbaI ka DaâK@r dvaa ba>d krnae ke ilayae na khe, Aapa ApanaI dvaa laetae rihyae • kmare mae> Aapa Akelae saaeyae>• Cae@e baccaae> taYaa kmaja<aer paRitarxaa ta>La vaalae laaegaae> sae dUr rhe> Kyaae>ik vae @IbaI ke ioakar ja<ldI hae jaa saktae hE>• jaba jaba Aapa kae SaaãsaI yaa CI>k Aayae, Apanaa mauãh AaEr naak kae wmaala (@IoyaUpaepar) sae yaa ApanaI AastaIna sae $k

lae> baad mae> faErna qpayaaega mae> laayaa gayaa @IoyaUpaepar kUD<e mae> fE>k de>• jaba zar mae> dUsare laaegaae> ke saaYa hae> taae Aaâpareoana mae> }staemaala kIyae jaanae vaalaa nak<aba (saija|kla maask) pahnae>

dUsare laaega, jaEsae ik daestaae> AaEr paD<aEsaIAae> ka rxaNa maE> kEsae kr saktaa / saktaI hU>?• zar par rhe> • maulaak<ataIAae> kae imalanae ke ilayae na Aanae de>• saava|jainak sYalaae> sae dUr rhe>• jaba Apanae DaâK@r sae imalanae jaayae> AaEr pairxaNaae> va ]Ksa re ke ilayae laeba mae> jaayae> taba

Aaâpareoana mae> }staemaala ikyae jaanae vaalaa nak<aba (saija|kla maask) pahnae>• yaid Aapa kae laenae ke ilayae ]mbyaulansa AataI hE taae paâramaeiDKsa sae AaEr Aspataala ke

}marjae>saI ivaBaaga mae> bataa de> ik Aapa kae @IbaI hE taaik vae ja<wrI ]hitayaata barta sake>

Aapa vaEsae YaaeDa baahr @hlanae ke ilayae }d|igad| mae> ibanaa nak<aba ke jaa saktae hE>, magar dUsare laaegaae> sae dUr rhe>_

sa>+amak @IbaI ke ilayae Alagaava (Aa}saaelaeoana)

Kyaa mauJae Alaga krnae kI Aavaoyaktaa hE? ha> ( ) nahI> ( )

yah saija|kla yaa saamaanya maask (naka<ba) hE_

Page 19: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

Information For You and Your Family 16

What is Directly Observed Therapy?

Directly Observed Therapy (DOT) is a program that is used to ensure people with TB take the medicine needed to treat and cure their TB

DOT means a Health Outreach Worker (HOW) watches you take your TB medicines, checks for side-effects and helps you complete your TB treatment The HOW will visit you in person, telephone you or contact you using a video-phone (V-DOT), which is set up in your home

How will DOT help me?

People on DOT have a higher chance of being cured of TB than those who are not on DOT If TB medicine is not taken correctly or if it is stopped too early, the TB will come back The TB medicine may not work the next time

DOT also:• watches for side-effects and recommends when to call the doctor • helps you remember to take your pills • helps you keep your appointments with your doctor or nurse, and for tests • helps you improve your health by giving you health information • gives you and your family the chance to ask questions, which reduces fears and worries about TB • encourages and supports you until your treatment is complete• refers you to appropriate community agencies that can help with other social issues

Directly Observed Therapy

Do I Have Directly Observed Therapy? Yes ( ) No ( )

Video-Phone used with Video-Directly Observed Therapy (V-DOT) TB D

isea

se a

nd

Trea

tmen

t

Page 20: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

17 Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?

@IbaI ke qpacaar ]va> qsa sae mauiF kI dvaayae>

dvaayae> iktanaI baar laI maaLaa

Aa}saaenaayaja<ID (Aa}saae@emaa}na, Aa}]na]ca – INH)

• yah dvaa @IbaI kI raekYaama va qsa ke qpacaarmae> }staemaala kI jaataI hE_

• yah dvaa Aapa ke yak\ta (laIvar) par Asar kr saktaI hE_

irf<empaIna (raefeK@, irfeDIna, Aar]mapaI - RMP)

• yah dvaa @IbaI kI raekYaama va qsa ke qpacaarmae> }staemaala kI jaataI hE_

• yae AaãsaU, pasaInaa taYaa paeoaaba ka r>ga naar>gaI kr degaI_ yaid Aapa kaen@eK@ leansa pahnatae hE> taae qna par dag<a laga saktae hE>_

• yah gaBa|-inaraeZak gaaelaIAae> ka Asar kma kr detaI hE_ gaBa|-inaraeZak @aepaI ka qpayaaega krnaa caaihyae_

paayaraja<Inaamaa}|D (@ebaRaj<aID, paIja<eD`] - PZA)

• yah dvaa @IbaI ke qpacaarmae> }staemaala kI jaataI hE_

• }sa sae Aapa kae jaaeD<ae> mae> dd| hae saktaa hE_

}Yaembyau@la ( }@IbaI, }]mabaI - ETIBI, EMB)

• yah dvaa @IbaI ke qpacaarmae> }staemaala kI jaataI hE_

• }sa ka Asar Aapa kI AaãSaae> par hae saktaa hE_ yaid Aapa yah dvaa la>bae Arsae sae lae rhe hae> yaid vah j<yaada xamataa vaalaI hae taae Aapa kae DaâK@r sae ApanaI AaãSaae> kI jaaãca krvaanaI caaihyae_

vaI@aimana

paayarIDaeiKsana (iva@aimana B6)

•Aa}saaenaayaja<ID dvaa sae ta>iLakaAae> kae haenae vaalae nauksaana sae bacaanae ke ilayae }sa dvaa ka paRyaaega ikyaa jaataa hE_

yae dvaayae @IbaI ke qpacaar mae> Aama taaEr par }staemaala kI jaataI hE_ kuC ikssaae> mae> Aapa kae ]esaI dvaayae> dI jaa saktaI hE jaae yaha> inadioa|ta nahI> kI ga}|>_ ja<wrta paD<nae par paiblak helYa nasa| qna dvaaAae> ke baare mae> Aapa kae jaanakarI degaI_ ApanaI dvaaAae> taYaa qna ke sahgaamaI duPpaRBaava ke baare mae> paUrI jaanakarI ]va> saUcanaaAae> ke ilayae Apanae DaâK@r yaa keimas@ sae baata kre>_

@IppaNaI: __________________________ _____________________________________________________ _________________________________________________________

_____________________________________________________ ______________ ______________ _______________________________________________________

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Page 21: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

Aapa AaEr Aapake pairvaar ke ilayae jaanakarI 18

mauJae @IbaI kI dvaa Kyaae> laenaI caaihyae?

@IbaI raega taBaI #Ik hae saktaa hE Agar Aapa ApanaI @IbaI kI dvaa jaEsae kha jaaya #Ik vaEsae lae>_ Aapa kae ApanaI @IbaI kI dvaa 6 maihnaae> sae lae kr 2 saala tak laenaI paD< saktaI hE_ yah mahTvapauNa| hE ik Aapa ApanaI @IbaI kI saarI dvaayae> jaba tak Aapa ka @IbaI ka DaâK@r yaa nasa| dvaa ba>d krnae ke ilayae na khe taba tak laetae rhe>_ yaid Aapa Apanae Aapa kae kafI AcCa mahsaUsa kr rhe hae> taba BaI Aapa kae @IbaI kI dvaa laenaa caalaU rSanaa hE_ Agar Aapa ApanaI @IbaI kI dvaa bahuta jaldI ba>d kr de>gae taae Aapa svasYa nahI> hae paayae>gae_ AaEr @IbaI ke jaIvaaNau kafI taak<tavar AaEr dvaa ke paRitaraeZak bana saktae hE>_

maE> ApanaI @IbaI kI dvaa iksa tarh laU>?

• hr raeja< ApanaI dvaa laenaa yaad rSanae AaEr ga<lataI haenae sae bacanae ke ilayae dvaaAae> kI iDibayaa (ijasae ipala Aaegae|naa}ja<r yaa Daeja<e@ khtae hE>) kae qpayaaega mae> laayae>_ “svaasYya-sa>ba>iZata ivasta\ta saevaa kma|caarI (helYa Aaq@rIca vak|r) (HOW)” yaa paiblak helYa nasa| (PHN) Aapa kae ipala Aaegae|naa}ja<r degaI AaEr qsae #Ik sae Barnae mae> madd kregaI_

• paRvaahI dvaa kae isair>ja , dvaa ke Saasa cammaca yaa dvaa ke Saasa kpa sae naapae>_ rsaae}|-zar ke Aama cammaca ka qpayaaega na kre> Kyaae> ik vae sahI nahI> haetae_

• jaba tak Aapa ke DaâK@r yaa nasa| nae kuC AaEr saUcanaa na dI hae> taba tak @IbaI kI saba dvaayae> ]k saaYa lae>_• @IbaI kI dvaayae> raeja< ]k hI samaya par lae> taaik Aapa laenaa BaUla na jaayae>_ ijasa idna Aapa Apanae HOW sae imalanae

jaayae>, ApanaI dvaayae> maulaaka<ta ke daErana lae lae>_• @IbaI kI dvaa laenae sae Agar Aapa kae kae}| laxaNa idSaa}| de> yaa taibayata #Ik na lagae taae Apanae @IbaI DaâK@r, PHN

yaa HOW sae bataayae>_• hr raeja< ApanaI dvaa laenaa yaad rSanae mae> madd ke ilayae Aapa:

– Apanae pairvaar ke sadsya sae yaa imaLa sae Aapa kae vah yaad idlaanae ke ilayae kh saktae hE>– kelaEnDr par ijasa idnaae> Aapa nae dvaa laI hae qnhe> naae@ kr lae>– jaba Aapa kae dvaa laenaI hE qsa samaya ke ilayae ApanaI zaD<I mae> yaa saela faena mae> ]laama| lagaa de>– kagaja< kI parcaI mae> ilaSa kr baaYawma ke oaIoae par lagaa de>

• ApanaI dvaayae> iksaI ke saaYa baaã@e> nahI>_• laebala par ilaSae hu] samaaiptakala ke baad qsa dvaa kae qpayaaega mae> na laayae>_• @IbaI kI dvaa laenae ke daErana oaraba mata paI]> Kyaae> ik oaraba Aapa ke yak\ta (ilavar) kae haina pahuãcaa saktaI hE_• ApanaI dvaa Satama haenae ke 2 sae 3 saptaah pahlae Apanae @IbaI DaâK@r, PHN yaa HOW sae bataa de> taaik Aapa kI dvaa

kI AapaUita| hae sake_• ApanaI hr maulaakataae> mae> Aapa kI HOW hmaeoaa Aapa kI dvaa kI iDibayaa deSaegaI AaEr Aapa kI dvaa kI baaetalae> BaI

deSaegaI_

maE> @IbaI kI dvaa kae kEsae rS>aU?

• saBaI dvaaAae> kae baccaae> kI pahUãca sae baahr rSae>_• Agar qpar ka laebala kuC AaEr nahI> khtaa, @IbaI kI dvaaAae> kae saUSaI jagah mae> AaEr kmare ke taapamaana mae> rSae>_• jaba safr kre> taba ApanaI dvaa pasa| mae> yaa saaYa mae> lae jaanae vaalae saamaana mae> rSae>_

@IbaI ke qpacaar ]va> raega sae mauiKta kI dvaayae> jaarI

@IbaI k

I dv

aayae>

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19 Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?

Agar maE> ApanaI dvaa laenaa BaUla jaaq> taae?

yid Aapa ApanaI dvaa ka Daeja< laenaa BaUla jaatae hE> taae ijatanaa ja<ldI hae sake qsae lae lae>_ par>tau kBaI BaI dae Daeja< ]k saaYa mae>, yaa ]k ke YaaeD<I der baad dusara na lae>_ yaid kae}| Daeja< BaUla sae rh gayaa hae taae Apanae @IbaI DaâK@r sae, PHN yaa HOW kae qsa ke baare mae> bataa de>_

yaid Aapa ]k sae j<yaada Daej<a BaUla gayae hE> taae salaah ke ilayae Apanae DaâK@r sae faena kre> taYaa Apanae PHN yaa HOW kae bataayae>_ vae Aapa kae ApanaI dvaa yaad rSa< kr laenae ke rastae bataayae>gae_

Kyaa @IbaI kI dvaa sahgaamaI duPpaRBaava ka karNa bana saktaI hE?

dvaa kBaI kBaI Anacaaha sahgaamaI duPpaRBaava paEda kr saktaI hE_ j<yaadatar pairisYaitaAae> mae> vae ga>BaIr nahI> haetae, par>tau kuC sahgaamaI duPpaRBaava mae> DaâK@rI deSaBaala kI j<awrta paD<taI hE_ yaid Aapa kae iksaI BaI sahgaamaI duPpaRBaava ka AnauBava haetaa hae taae Apanae DaâK@r, PHN yaa HOW kae bataayae>_ }na ke qpar Zyaana de>:

• Saujalana, camaDI par laala danae yaa cakTae, saaãsa laenae mae> idK<k<ta, caehre yaa galae par saUjana, mauãh ke Aasapaasa saunnataa yaa JaunaJaunaI ka AnauBava

• haYapaErae> kI q>galaIyaae> mae> saunnataa yaa JaunaJaunaI• taIna idna sae j<yaada calanae vaalaa bauSaar• Ý<laU jaEsae laxaNa (bauS<aar, #>D laganaa, caKkr Aanaa, kmaja<aerI)• hala hI mae> hu} SaaãsaI• spaoa| ka pataa na calanaa yaa maa>sapaeoaIAae> par Apanaa inaya>LaNa na rhnaa• dd|, jaaeD<ae> mae> dd| yaa saUjana• Baaejana mae> Awica• Yakana, kmaja<aerI• pae@ mae> gaD<baD, matalaI, qla@I• pae@ mae> maraeD< yaa dd|• Aitasaar (patalaI dsta)• AaãSaae> mae> yaa camaDI mae> paIlaapana (paIilayaa); bahuta hI gaa$<e r>ga ka paeoaaba• naIlae-BaUre inaoaana yaa k@nae sae hu] zaava mae> sae SaUna ka AasaanaI sae irsanaa• [iP@ mae> ZauãZalaapana, laala AaEr hre r>gaae> mae> Baed nahI> kr paanaa (r>gaae> ka A>Zaapana), AaãSaae> mae> dd| yaa AaãSaae> kI Anya

baImaarIyaa>• caKkr Aanaa, Yakana

saUica mae> bataayae gayae sahgaamaI duPpaRBaavaae> (saa}|D }feK@`sa) ke Alaavaa dUsare sahgaamaI duPpaRBaava BaI hae saktae hE>

mahTvapauNa|: Agar Aapa iksaI BaI laxaNa ka AnauBava kre> yaa Agar Aapa kae lagae ik Aapa kae ApanaI @IbaI dvaa ke kuC sahgaamaI duPpairNaama ka AnauBava hae rha hE, taae Apanae DaâK@r, nasa| sae sa>pak| kre> yaa salaah ke ilayae @elaIhelYa mae> 1-866-797-0000 (1-866-797-0000) par faena kre>_ yaid Aapa kae oaama kae, saptaah ke A>ta (vaIk]nD) mae> yaa Cu£IAae> mae> dvaaAae> ke ga>BaIr sahgaamaI duPpairNaama ka AnauBava haetaa hE taae Apanae naja<dIkI }marjae>saI iDpaa@|maen@ mae> calae jaayae>_

@IbaI ke qpacaar ]va> raega sae mauiKta kI dvaayae> jaarI

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Aapa AaEr Aapake pairvaar ke ilayae jaanakarI 20

Aa}saaenaayaja<ID (Aa}saae@emaa}na)

Aa}saaenaayaja<ID ]k ]esaI ]n@Ibaayaae@Ik hE jaae @IbaI ke jaIvaaNauAae> kae maar DalataI hE_ }sa kae:• sai+ya @IbaI raega ke qpacaar mae> @IbaI kI dUsarI dvaaAae> ke saaYa • lae@n@ @IbaI }nfeKoana - ApaRk@ @IbaI sa>+maNa (]la@IbaIAa}|) ke qpacaar mae>paRyaaega mae> laayaa jaataa hE

}sa dvaa kae laenae ke baare mae> mauJae Kyaa jaananaa caaihyae?

• }sa dvaa kae SaalaI pae@ ]k paura igalaasa Bar ke paanaI ke saaYa lae> (Baaejana ke ]k za>@e pahlae yaa Baaejana ke dae za>@e baad)_ Agar }sa sae Aapa kae pae@ mae> taklaIf< haetaI hE taae YaaeDe sae Saanae ke saaYa }sae lae>_

• yaid Aapa kae ipala kae inagalanae mae> idK<k<ta haetaI hae taae yah dvaa paRvaahI svawpa mae> BaI paa}| jaataI hE_• ]n@asaID laenae ke kma sae kma 2 za>@ae> pahlae yah dvaa lae_• haYapaErae> kI q>galaIyaae> mae> saunnataa yaa JaunaJaunaI kae raeknae ke ilayae iva@aimana baI 6 dI jaa saktaI hE_• Aa}saaenaayaja<ID laenae ke daErana imargaI kI kuC dvaayae> (jaEsae ik Dayalaen@Ina) }tanaI AcCI tarh sae kama nahI> krtaI_• reD vaa}|na, la>bae Arsae tak rSaI jaataI kuC caIj<a (jaEsae ik svaIsa, caeoar) AaEr maClaIyaa> (@yaUnaa, skIpajaâk, saaiD|na)

camaDI par laalapana yaa Saujalana, garmaI ka AnauBava, idla kI taeja< yaa Q>caI Aavaaj<a vaalaI ZaDkna, pasaInaa, #>DI yaa icapaicapaapana, sardd| yaa caKkr Aanaa jaEsae laxaNa paEda kr saktae hE>_

• pae@ mae> hlakI saI gaD<baD< saamaanya hE_

}na ke qpar inagaranaI rSae>:• matalaI, qla@I, Baaejana mae> Awica, pae@ mae> dd|• Yakana, kmaja<aerI• taIna idna sae jy<aada calanae vaalaa bauS<aar• haYapaErae> kI q>galaIyaae> mae> saunnataa yaa JaunaJaunaI• SaujalaI, camaDI par laala danae yaa cakTae• gaa$<a paeoaaba, AaãSaae> mae> yaa camaDI mae> paIlaapana (paIilayaa)• kuC laaegaae> mae> saUicata sahagaamaI duPpairNaamaae> ke Alaavaa AaEr duPpairNaama BaI hae saktae hE>_ Agar Aapa ke Zyaana mae> AaEr

kae}| BaI dUsare laxaNa yaa duPpairNaama Aayae> taae salaah ke ilayae Apanae DaâK@r sae sa>pak| kre>_

irf<empaIna (raefeK@, irfeDIna)

irf<empaIna ]k ]esaI ]n@Ibaayaae@Ik hE jaae @IbaI ke jaIvaaNauAae> kae maar DalataI hE_ }sa kae:• sai+ya @IbaI raega ke qpacaar mae> @IbaI kI dUsarI dvaaAae> ke saaYa • lae@n@ @IbaI }nfeKoana - ApaRk@ @IbaI sa>+maNa (]la@IbaIAa}|) ke qpacaar mae>paRyaaega mae> laayaa jaataa hE

}sa dvaa kae laenae ke baare mae> mauJae Kyaa jaananaa caaihyae?

• }sa dvaa kae SaalaI pae@ ]k paura igalaasa Bar ke paanaI ke saaYa lae> (Baaejana ke ]k za>@e pahlae yaa Baaejana ke dae za>@e baad)_ Agar }sa sae Aapa kae pae@ mae> taklaIf< haetaI hE taae YaaeDe sae Saanae ke saaYa }sae lae>_

• Agar hae sake taae paurI kepasyaUla kae inagala jaayae>_ yaid kepasyaUla kae inagalanae mae> idK<k<ta haetaI hae taae qsae Saaela kr Andr kI dvaa kae YaaeD<e sae Saanae, jaEsae ik ]palasaaesa, pauiD>ga yaa dhI ke saaYa lae>_

@IbaI ke qpacaar ]va> raega sae mauiKta kI dvaayae> jaarI

@IbaI k

I dv

aayae>

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21 Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?

• yaid Aapa kae kepasyaUla kae inagalanae mae> idK<k<ta haetaI hae taae yah dvaa paRvaahI svawpa mae> BaI paa}| jaataI hE_• irf<empaIna laetae samaya gaBa|-inaraeZak gaaelaIyaa> #Ik sae kama nahI> detaI gaBaa|vasYaa @alanae ke ilayae gaBa|-inaraeZa ke dUsare

rastae Apanaa}yae_• }sa sae oarIr ke paRvaahI (paeoaaba, pasaInaa, AaãsaU, laar AaEr mala) gaa$<e paIlae yaa laala-naar>gaI r>ga ke hae jaa saktae hE>_

yah hainakark nahI> hE AaEr Aapa kI icaiktsaa paurI haetae Apanae Aapa calae jaayae>gae_ parntau kpaD<ae> va saaeÝ@ kaen@eK@ leansa par paDe hu] daga< hmaeoaa ke ilayae rh jaa saktae hE>_

• pae@ mae> hlakI saI gaD<baD< saamaanya hE_

}na ke qpar inagaranaI rSae>:• matalaI, qla@I, Baaejana mae> Awica, pae@ mae> dd|• Yakana, kmaja<aerI• taIna idna sae jy<aada calanae vaalaa bauS<aar• Ý<laU jaEsae laxaNa (bauS<aar, #>D laganaa, caKkr Aanaa, kmaja<aerI)• SaujalaI, camaDI par laala danae yaa cakTae• gaa$<a paeoaaba, AaãSaae> mae> yaa camaDI mae> paIlaapana (paIilayaa)• h¥IAae> mae> yaa jaaeD<ae> mae> dd|• maaisak Zama| mae> badlaava• kuC laaegaae> mae> saUicata sahagaamaI duPpairNaamaae> ke Alaavaa AaEr duPpairNaama BaI hae saktae hE>_ Agar Aapa ke Zyaana mae> AaEr

kae}| BaI dUsare laxaNa yaa duPpairNaama Aayae> taae salaah ke ilayae Apanae DaâK@r sae sa>pak| kre>_

}Yaembyau@la ( }@IbaI)

]Yaembyau@la ]k ]esaI ]n@Ibaayaae@Ik hE jaae @IbaI ke jaIvaaNauAae> kae ba$<nae sae raektaI hE_ }sa kae:• sai+ya @IbaI raega ke qpacaar mae> @IbaI kI dUsarI dvaaAae> ke saaYa qpayaaega mae> laayaa jaataa hE_

}sa dvaa kae laenae ke baare mae> mauJae Kyaa jaananaa caaihyae?

• Agar hae sake taae paanaI yaa jyausa ke saaYa paurI gaaelaI kae inagala jaayae>_ yah qTama haegaa yaid gaaelaIyaae> kae paIsaa yaa cabaayaa na jaaya_

• }sae Baaejana ke saaYa yaa ibanaa Saanae ke ilayaa jaa saktaa hE_• }sa dvaa kae laenae ke 4 za>@e ke Andr Andr ]n@asaID na lae>_• yaid Aapa }sa dvaa kae la>bae Arsae sae lae rhe hae>gae taae Aapa ka DaâK@r Aapa kI AaãSaae> ke pairxaNa ka }ntaj<aama

kregaa_• yaid [iP@ ke sa>ba>Za mae> kae}| BaI badlaava Aayae taae f<aErna Apanae DaâK@r kae saUicata kre>_

}na ke qpar inagaranaI rSae>:• [iP@ mae> ZauãZalaapana, laala AaEr hre r>gaae> mae> Baed nahI> kr paanaa (r>gaae> ka A>Zaapana), AaãSaae> mae> dd| yaa AaãSaae> kI Anya

baImaarIyaa>• Acaanak ik>kta|vyaivamaU$<taa• caKkr Aanaa, Yakana• bauSa<ar• matalaI, qla@I, Baaejana mae> Awica, pae@ mae> dd|• SaujalaI, camaDI par laala danae yaa cakTae• jaaeD<ae> mae> dd| yaa saUjana• kuC laaegaae> mae> saUicata sahgaamaI duPpairNaamaae> ke Alaavaa AaEr duPpairNaama BaI hae saktae hE>_ Agar Aapa ke Zyaana mae> AaEr

kae}| BaI dUsare laxaNa yaa duPpairNaama Aayae> taae salaah ke ilayae Apanae DaâK@r sae sa>pak| kre>_

@IbaI ke qpacaar ]va> raega sae mauiKta kI dvaayae> jaarI

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Aapa AaEr Aapake pairvaar ke ilayae jaanakarI 22

paayaraja<Inaamaa}|D (@ebaRaj<aID)

paayaraja<Inaamaa}|D ]k ]esaI ]n@Ibaayaae@Ik hE jaae @IbaI ke jaIvaaNauAae> kae maar DalataI hE_ }sa kae:• sai+ya @IbaI raega ke qpacaar mae> @IbaI kI dUsarI dvaaAae> ke saaYa qpayaaega mae> laayaa jaataa hE

}sa dvaa kae laenae ke baare mae> mauJae Kyaa jaananaa caaihyae?

• Agar hae sake taae paanaI yaa jyausa ke saaYa paurI gaaelaI kae inagala jaayae>_ yah qTama haegaa yaid gaaelaIyaae> kae paIsaa yaa cabaayaa na jaaya_

• }sae Baaejana ke saaYa yaa ibanaa Saanae ke ilayaa jaa saktaa hE_• }sa sae camaDI saUya|paRkaoa ke paRita Aitasa>vaednaoaIla bana jaa saktaI hE AaEr qsa ke qpar danae yaa cakTae hae saktae

hE>_ }sa ilayae ZaUpa mae> jaanaa @ailayae, oarIr kae rxaNa ke ilayae kpaD<ae> sae $ikyae taYaa camaDI ]va> hae#ae> par AcCa saa sanas+Ina laaeoana lagaayae>_

• }sa sae maZaumaeh ka inaya>LaNa krnae mae> taklaIf< hae saktaI hE_• Aapa }sa dvaa kae dae maihnaa yaa qsa sae j<yaada der tak lae>gae_

}na ke qpar inagaranaI rSae>:• jaaeD<ae> mae> saUjana, laalapana yaa dd| - Saasa kr paEr ka A>gaU#a, @Sanaa AaEr zau@naa• matalaI, qla@I, Baaejana mae> Awica, pae@ mae> dd|• gaa$<a paeoaaba, AaãSaae> mae> yaa camaDI mae> paIlaapana (paIilayaa)• saUya|paRkaoa ke paRita Aitasa>vaednaoaIlataa mae> ba$<ava - ijasa sae camaDI mae> fIkapana yaa qsa ke qpar gaulaabaI yaa laala-BaUre

danae yaa cakTae haetae hE>• kuC laaegaae> mae> saUicata sahagaamaI duPpairNaamaae> ke Alaavaa AaEr duPpairNaama BaI hae saktae hE>_ Agar Aapa ke Zyaana mae> AaEr

kae}| BaI dUsare laxaNa yaa duPpairNaama Aayae> taae salaah ke ilayae Apanae DaâK@r sae sa>pak| kre>_

paayarIDaeiKsana (iva@aimana B6)

paayarIDaeiKsana ]k iva@aimana B6 hE jaae kBaI-kBaI Aa}saaenaayaja<ID sae paEda haetaI vaI@aimana B6 kI kmaI (vaI@aimana B6 ka inamna star) kae raeknae ke ilayae yaa qsa kI iciktsaa ke ilayae qpayaaega mae> laayaa jaataa hE_ vaI@aimana B6 kI kmaI ta>iLakaAae> ke Caerae> mae> saUjana paEda kr saktaI hE ijasa kI vajah sae Aapa kae haYapaEr kI qãgalaIAae> mae> saunnataa AaEr JaunaJaunaI ka AnauBava haetaa hE_

}sa dvaa kae laenae ke baare mae> mauJae Kyaa jaananaa caaihyae?

• yaid Aapa Apanae svasYa Aahar mae> sae payaa|pta maaLaa mae> yah iva@aimana paa saktae hE> taae Aapa kae }sae laenae kI Aavaoyaktaa nahI> hE_

• vaI@aimana B6 kI ijatanaI maaLaa ilaSa dI ga}| hae qsa sae j<yaada mata lae>_• mal@I- vaI@aimana laenae sae pahlae Apanae DaâK@r sae pauC lae> Kyaae> ik qsa mae> paayarIDaeiKsana hae saktaI hE_• Agar Aapa kae haYaae> yaa paErae> kI qãgalaIAae> mae> saunnataa yaa JaunaJaunaI ka AnauBava haetaa hI rhtaa hae yaa ba$<taa jaataa hae

taae Aapa ke DaâK@r kae saUicata kre>_

}na ke qpar inagaranaI rSae>:• matalaI, sardd|, qnaI>dapana• bae$>gaapana• kuC laaegaae> mae> saUicata sahagaamaI duPpairNaamaae> ke Alaavaa AaEr duPpairNaama BaI hae saktae hE>_ Agar Aapa ke Zyaana mae> AaEr

kae}| BaI dUsare laxaNa yaa duPpairNaama Aayae> taae salaah ke ilayae Apanae DaâK@r sae sa>pak| kre>_

@IbaI ke qpacaar ]va> raega sae mauiKta kI dvaayae> jaarI

@IbaI k

I dv

aayae>

Page 26: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

23 Diagnosed with TB Disease?

TB germs are most likely to be spread to people who spend a lot of time every day with someone who has contagious TB, such as:

• householdorfamilymembers• closefriends• co-workers• classmatesatschool

These people are called “contacts” and may breathe in TB germs and get latent TB infection (LTBI) Not everyone with close contact will become infected

The Public Health Nurse (PHN) will help you to identify who may have had close contact with you You must tell the PHN the names of the people you spend time with and the places you go It is helpful to make a list and give it to the PHN The PHN will decide who on your list should be tested and will notify them to get a TB skin test The PHN may speak with them or send them a letter The PHN will not tell the “contacts” your name

The PHN may have to speak to your school principal or employer to get the names of contacts at your school or work To do this, the PHN might have to tell the school principal or employer your name The school principal or employer is told that they cannot give your name to anyone else and that all information is confidential

You may be worried or embarrassed about people learning you have TB If your family, friends, classmates or co-workers find out that you have TB disease, you can tell them:

• AnyonecangetTB.Youdidnotdoanythingwrongtogetthisdisease.• YouaretakingyourTBtreatmentsoyoucanbecured.• YourdoctorandPHNwilltellyouwhenyouarenolongercontagiousand

can return to your social activities, work or school • APHNwillnotifythemiftheyneedtobetestedforTB.• TheycancallthePeelPublicHealthTBProgramiftheyhavequestionsor

concerns at 905-799-7700

What should contacts of contagious TB do?

Close contacts of contagious TB disease should have a TB skin test and a medical examination by a doctor or nurse The PHN will arrange to do the TB skin test or provide letters and medical forms to take to the doctor

The closest contacts (e g , family, household members) should have a medical check-up and TB skin test immediately:

• Iftheskintestisnegative,itshouldberepeatedeightto12weekslater.Itcan take up to three months for the body to show signs of exposure to the TB germ

TB Contact Investigation

Page 27: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

Aapa AaEr Aapake pairvaar ke ilayae jaanakarI 24

ijasa kae sa>+amak @IbaI huAa hae ]esae vyaiF ke saaYa kaf<I samaya ibataanae vaalae laaegaae> mae> @IbaI ke jaIvaaNauAae> ke fElanae kI sa>Baavanaa bahuta j<yaada hE_ vae laaega, jaEsae ik:

• zar mae> rhnae vaalae yaa pairvaar ke sadsya• naj<adIkI imaLa• sahkaya|ktaa|• oaalaa ka sahaZyaayaI

}na laaegaae> kae kaen@eK@ khtae hE>_ vae @IbaI ke jaIvaaNauAae> kae ApanaI saaãsa mae> lae saktae hE> AaEr qnhe> lae@n@ @IbaI ka sa>+maNa (LTBI) hae saktaa hE_ vaEsae naj<adIk ke sa>pak| mae> Aanae vaalae saBaI laaega sa>duiPata nahI> haetae_

Aapa ke naj<adIk ke sa>pak| mae> Aanae vaalae kaEna hae saktae hE> yah pahcaananae mae> Aapa kae paiblak helYa nasa| (PHN) madd kregaI_ Aapa kae qsae qna saba laaegaae> ke naama ijana ke saaYa Aapa nae samaya ibataayaa hE, AaEr qna jagahae> ke naama jahaã Aapa jaatae hE>, bataanae hae>gae_ ]k saUica banaa kr PHN kae de denaa AcCa rhegaa_ ifr PHN taya kregaI ik qsa saUica mae> sae ikna ka parIxaNa ikyaa jaanaa caaihyae_ vah qnhe> @IbaI ka tvacaa-parIxaNa krvaanae ke ilayae saUicata kregaI_ vah qna sae saaYa baata kregaI yaa qnhe> Sa<ta BaejaegaI_ magar PHN qna kaen@eK@`sa kae Aapa ka naama nahI> bataayaegaI_

Aapa ke kama par yaa oaalaa mae> jaae kaen@eK@`sa hae> qna ke naama ke ilayae PHN kae Aapa ke skUla ke ipaR>isapala sae yaa naaEkrI denae vaalae maailak sae baata krnaI paD< saktaI hE_ yah krnae ke ilayae PHN kae skUla ke ipaR>isapala kae yaa naaEkrI denae vaalae maailak kae Aapa ka naama bataanaa paD<egaa_ parntau qnhe> yah kha jaataa hE ik yah jaanakarI gaaepanaIya hE AaEr vae Aapa ka naama AaEr iksaI kae nahI> de saktae_

laaegaae> kae pataa cala jaayae ik Aapa kae @IbaI hE, }sa baata sae Aapa kae ica>taa yaa lajjaa hae saktaI hE_ yaid Aapa ke pairvaar, imaLa, sahaZyaayaI yaa sahkaya|ktaa| kae pataa cala jaayae ik Aapa kae @IbaI raega hE, taae Aapa qna sae yah kh saktae hE>:

• @IbaI iksaI kae BaI hae saktaa hE_ Aapa nae ]esaa kae}| ga<lata kama nahI> ikyaa ijasa kI vajah sae Aapa kae yah raega huAa hE_

• Aapa kae raega sae mauiF imalae }sa ilayae Aapa @IbaI kI icaiktsaa krvaa rhe hE>_• Aapa ka DaâK@r AaEr PHN Aapa kae bataayae>gae ik kba Aapa ka raega sa>+amak nahI>

rha hE taaik Aapa Apanae kama par yaa oaalaa mae> vaapasa jaa sake>, yaa Anya saamaaijak gaitivaiZaAae> mae> paRva\Ta hae sake>_

• Agar qna kae @IbaI ka parIxaNa krvaanae kI Aavaoyaktaa hae taae PHN qnhe> saUicata kregaI_

• yaid qnhe> ica>taa yaa savaala hae taae vae paIla paiblak helYa @IbaI kaya|+ma (Peel Public Health TB Program) kae 905-799-7700 (905-799-7700) par faena kr saktae hE>_

sa>+amak @IbaIgaRstaae> ke kaen@eK@ kae Kyaa krnaa caaihyae?

sa>+amak @IbaI huAa hae ]esae vyaiF ke saaYa naj<adIk ke sa>pak| mae> Aanae vaalae naj<adIkI kaen@eK@ kae @IbaI ka tvacaa-parIxaNa krvaanaa caaihyae AaEr iksaI DaâK@r yaa nasa| ke paasa maeiDkla parIxaNa krvaanaa caaihyae_ PHN @IbaI ke tvacaa-parIxaNa ka }ntaj<aama kregaI yaa DaâK@r ke paasa lae jaanae ke ilayae Sa<ta yaa maeiDkla faema| degaI_

@IbaI ke kaen@eK@ kI jaaãca jaarI

@IbaI k

aen@eK

@ (@

IbaI

ke

marI

j<a k

e sampak

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nae

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I ja

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Page 28: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

25 Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?

]caAa}vaI /]D`sa (HIV/AIDS) Kyaa hE?

]caAa}vaI ]k ]esaa sa>+maNa hE jaae Aapa ke oarIr ke paRitarxaa tanLa (}myauna isas@ma ) kae kmaja<aer banaa detaa hE_ bahuta j<yaada ba$< jaanae par ]caAa}vaI (HIV) kae ]KvaayaD| }myaunaae-DeifioayansaI saInD¼aema (]}D`sa -AIDS) khtae hE>_

]caAa}vaI (HIV) }na sae fEla saktaa hE:• gaBa|-inaraeZak @aepaI ke ibanaa sa>Baaega krnae sae (yaaeina, maaEiSak yaa gauda«ar ka

sa>Baaega)• isair>ja AaEr / yaa saU}| baaã@naa, yaa gaaednaa banaatae samaya, }laek@¼aeilaisasa mae>, ]

KyaUpa>Kcar yaa camaDI mae> Ced krtae samaya qpakrNa kae jaIvaaNauhIna (steril) na krnae sae

• ijasa ke sa>+maNa kI icaiktsaa na kI ga}| hae ]esaI maaã ke «ara Apanae Anajanmae yaa navajaata ioaoau kae, yaa ijasae vah Apanaa dUZa ipalaa rhI hae qsa ioaoau kae

@IbaI / ]caAa}vaI ka sah-sa>+maNa (kae}nfeKoana) Kyaa hE?

jaba iksaI vyaiF par @IbaI AaEr ]caAa}vaI, daenaae> ka sa>+maNa huAa hae taae qsae @IbaI / ]caAa}vaI ka sah-sa>+maNa (kae}nfeKoana) khtae hE>_ }na daenaae> raegaae> ka yah bahuta hI ga>BaIr maela hE Kyaae>ik qna mae> sae hr ]k Akelaa raega jaae nauksaana kr saktaa hE qsa sae bahuta hI j<yaada nauksaana daenaae> imala kr krtae hE>_

]caAa}vaI ka sa>+maNa @IbaI par kEsae Asar krtaa hE?

]caAa}vaI }nsaana ka paRitarxaa ta>La kmaja<aer kr detaa hE AaEr qsae @IbaI ke jaIvaaNauAae> sae sa>+imata krnae mae>, yaa ifr qsae sai+ya @IbaI raega mae> pairvaita|ta krnae mae> AasaanaI kr detaa hE_ ApaRk@ @IbaI sa>+maNa (LTBI) ke @IbaI raega mae> pala@nae mae> ]caAa}vaI sa>dUPaNa saba sae ga>BaIr Satarnaak taTva (rIsk feK@r) hE_

@IbaI / ]caAa}vaI ke sah-sa>+maNa vaalae laaegaae> kI icaiktsaa krnaI Kyaae> mahTvapauNa| hE?

ijanhe> ]caAa}vaI na hae qna kI taulanaa mae> ijana par @IbaI AaEr ]caAa}vaI, daenaae> ka sa>+maNa huAa hae qnhe> Apanae jaIvana mae> kBaI BaI sai+ya @IbaI raega haenae kI sa>Baavanaa 50 gaunaa j<yaada haetaI hE_ @IbaI ke jaIvaaNau ]D`sa kI paRgaita kae taej<aI sae ba$<a detae hE>_ duinayaa mae> ]D`sa sae hae rhI maaEtaae> mae> sae hr saala lagaBaga ]k itaha}| maaEta ]caAa}vaI AaEr @IbaI vaalae laaegaae> mae> haetaI hE AaEr qsa ka saba sae Aama karNa @IbaI hE_ kuC ]caAa}vaIgaRsta laaegaae> ke ilayae qnhe> saba sae pahlaa ga>BaIr raega @IbaI ka hae saktaa hE_

Kyaa mauJae @IbaI AaEr ]caAa}vaI kI icaiktsaa ]k saaYa imala saktaI hE?

]caAa}vaI AaEr @IbaI vaalae laaegaae> ke daenaae> raegaae> kI icaiktsaa ]k saaYa hae saktaI hE_ }sa ke ilayae ]esae DaâK@r ke sazana Anauvata|na kI Aavaoyaktaa hE jaae sa>+amak raegaae> ka ivaoaePaXa hae_

@IbaI AaEr ]caAa}vaI / ]D`sa (HIV/AIDS)

mahTvapauNa|: Agar Aapa kae

]la@IbaIAa}| yaa

@IbaI raega huAa hae taae

]caAa}|vaI ka parIxaNa BaI

krvaa lae>_ AaEr yaid Aapa

kae ]caAa}vaI hae taae @IbaI

ka parIxaNa krvaa lae>_

Page 29: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

Aapa AaEr Aapake pairvaar ke ilayae jaanakarI 26

@IbaI kI dvaayae> laenae ke daErana gaBaa|vasYaa kae @ailayae_ Agar Aapa gaBa|vataI hae> yaa stanapaana krvaa rhI hae> yaa ifr gaBa|vataI haenae kI kaeioaoa kr rhI hae>, taae Apanae DaâK@r kae bataayae>_

@IbaI kI kuC dvaayae> gaBa|inaraeZak gaaelaIyaae> kae #Ik sae kama nahI> krnae detaI_ gaBaa|vasYaa kae @alanae ke ilayae Aapa kae sa>taita-inagaRh ke AaEr tarIke Apanaanae caaihyae_ j<yaada jaanakarI yaa sa>taita-inagaRh ke saaZana ke ilayae Apanae DaâK@r yaa nasa| sae baata kre> yaa svasYa yaaEnasa>ba>iZata dvaaSaanaa (Healthy Sexuality Clinic) mae> jaaya>e_ Agar Aapa kae gaBa|inaraeZa ke baare mae> jaanakarI yaa Healthy Sexuality Clinic ke patae kI j<awrta hae taae 905-799-7700 (905-799-7700) par faena kre>_

sai+ya @IbaI raegagaRsta mihlaayae> jaae gaBa|vataI hae> yaa stanapaana krvaa rhI hae>, qna par @IbaI kI icaiktsaa ke ivaoaePaXa DaâK@r kI deSaBaala haenaI caaihyae_ DaâK@r salaah degaa ik @IbaI kI kaEna saI ]n@Ibaayaae@Ik ka qpayaaega gaBaa|vasYaa mae> taYaa stanapaana kratae samaya saurixata hE_

Agar maataa kae ApanaI gaBaa|vasYaa ke daErana yaa janama denae ke taur>ta baad mae> sai+ya @IbaI huAa hae taae navajaata ioaoau ka @IbaI ka parIxaNa krvaanaa caaihyae_ @IbaI kI dvaa lae rhI maataa ke dUZa mae> paayaa jaanae vaalaa @IbaI kI dvaa ka Cae@a saa A>oa, qsa ka dUZa paInae vaalae ioaoau kae naa taae @IbaI haenae sae bacaa saktaa hE, naa hI qsa ka qpacaar kr saktaa hE_

gaBaa|vasYaa, gaBa|-inaraeZa taYaa stanapaana

Aitair

Kta j

aanak

arI

Page 30: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

baIsaIjaI - BCG Kyaa hE?

vata|maana mae> @IbaI ke ilayae baIsaIjaI ]k maaLa @Ika hE, parntau vah BaI @IbaI ke saamanae sYaayaI yaa sa>paUNa| wpa sae rxaNa nahI> detaa qsae duinayaa ke qna deoaae> mae> qpayaaega mae> laayaa jaataa hE jaha> @IbaI saamaanya hE AaEr sa>+amak @IbaI ke sa>pak| mae> Aanae kI sa>Baavanaa paRbala hE baccaae> va ioaoauAae> mae> @IbaI raega kI qgaRtaa kae kma krnae mae> baIsaIjaI madd krtaa hE

baIsaIjaI - BCG iksa kae idyaa jaataa hE?

@IbaI ke kaf<I Q>cae star vaalae deoaae> mae> @IbaI maeina>jaa}|@Isa yaa imailayarI @IbaI (jaae k}| baar maaEta kI Aaer lae jaa saktaa hE) jaEsae @IbaI ke ga>BaIr svawpaae> sae ioaoauAae> kae taYaa baccaae> kae bacaanae ke ilayae qnhe> baIsaIjaI dI jaataI hE_ kuC deoaae> mae> @IbaI ke saamanae YaaeDa rxaNa denae ke paRyaasa mae> bacapana va ikoaaeravasYaa ke daErana k}| baar baIsaIjaI dI jaataI hE_

kenaeDa mae> baIsaIjaI ka paRyaaega Atya>ta kma hE Kyaae>ik yahaã @IbaI }tanaa fElaa huAa nahI> hE AaEr Cae@e baccaae> va ioaoauAae> kae qsa ka saamanaa krnaa paD< jaa] ]esaI sa>Baavanaa bahuta kma hE_ }sa mae> Apavaad hE> fs@| naeoana yaa }|nyau}@ samaaja ( jahaã @IbaI ka kaf<I Q>caa star hE) ke ioaoau_ kenaeDa mae> baIsaIjaI ka paRyaaega Atya>ta kma haenae kI dUsarI vajah yae hE ik qsa kI vajah sae @IbaI ka tvacaa-pairxaNa paaeija<@Iva hae saktaa hE_ }sa ilayae @IbaI ke tvacaa-parIxaNa ka sahI AYa| inakalanaa mauiokla haetaa hE Kyaae>ik yah spaP@ nahI> haetaa ik tvacaa-parIxaNa @IbaI sa>+maNa kI vajah sae paaeija<@Iva inaklaa hE yaa baIsaIjaI ke @Ike kI vajah sae_

Kyaa baIsaIjaI - BCG #Ik krtaa hE?

@IbaI ke ga>BaIr svawpaae> kI raekYaama ke ilayae baIsaIjaI Asarkark hE_ duBaa|gya sae baIsaIjaI ioaoauAae> ]va> Cae@e baccaae> kae jaae rxaNa paRdana krtaa hE vah vayask haenae tak nahI> calataa hE_ }sa ilayae Apanae bacapana mae> baIsaIjaI paanae ke baavajaud k}| laaegaae> kae sai+ya @IbaI haetaa hE_

halaaãik kaf<I la>bae Arsae sae baIsaIjaI kae paRyaaega mae> laayaa jaa rha hE, ifr BaI duinayaa kI janasa>Syaa ke ]k itaha}| ihssae kae @IbaI ka sa>+maNa hE AaEr hr saala }sa raega sae baIsa laaSa laaegaae> kI maaEta haetaI hE_ ijana deoaae> mae> baIsaIjaI ka paRyaaega ikyaa jaataa hE, vahaã ke @IbaI ke starae> mae> kae}| badlaava nahI> Aayaa_ @IbaI ke fElaava kae raeknae mae> Akelaa baIsaIjaI payaa|pta nahI> hE_

Kyaa baIsaIjaI - BCG sae tvacaa-pairxaNa paaeja<I@Iva Aa saktaa hE? baIsaIjaI - BCG sae tvacaa-parIxaNa paaeja<I@Iva Aa saktaa hE_ par>tau samaya ke saaYa baIsaIjaI laenae vaalae hr vyaiF ka tvacaa-parIxaNa paaeja<I@Iva Aanaa jaarI nahI> rhtaa_ yaid Aapa ka tvacaa-parIxaNa paaeja<I@Iva Aayaa hae AaEr Aapa duinayaa ke ]esae paRdeoa sae Aayae hae> jahaã @IbaI Aama hE, taae Aapa ka paaeja<I@Iva tvacaa-parIxaNa haenae ka karNa baIsaIjaI @Ike ke bajaaya @IbaI sa>+maNa haenae kI sa>Baavanaa j<yaada hE_

baeisala kemae@-gaerIna (BCG) ka @Ika

27 Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?

Page 31: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

Aapa AaEr Aapake pairvaar ke ilayae jaanakarI 28

jaba tak vae sa>+amak haetae hE> taba tak sai+ya @IbaIgaRsta laaegaae> kae khI> BaI safr krnae kI Anaumaita nahI> dI jaataI

hma Aapa sae salaah detae hE> ik Aapa ke @IbaI kI icaiktsaa paurI haenae tak Aapa safr na kre>_ Aapa kae dvaa ke sahgaamaI duPpaRBaava hae saktae hE>, ApanaI dvaa #Ik sae nahI> lae>gae yaa ifr safr ke daErana Aapa kae DaâK@rI deSaBaala imalanae mae> yaa @IbaI kI AaEr dvaa imalanae mae> ki#naa}| hae saktaI hE_

yaid Aapa Cu£IAae> mae>, Apanae karaebaar ke ilayae, sYaanaa>tar yaa dUsare deoa mae> Apanae zar jaanae ke ilayae kenaeDa CaeDnae kI saaeca rhe hE>, taae:

• Aapa ka sa>+amak na haenaa ja<wrI hE• Aapa ke parIxaNaae> mae>, ]Ksa-re mae>, taYaa laxaNaae> mae> sauZaar haenaa ja<wrI hE• Aapa ke paasa Apanae DaâK@r yaa paiblak helYa nasa| (PHN) kI rja<ama>dI haenaI

ja<wrI hE• PHN kae Aapa ijasa deoa mae> jaa rhe hE> vahaã ka pataa va @elaIfaena nambar, iksa idna

Aapa kenaeDa CaeDe>gae AaEr iksa idna Aapa vaapasa kenaeDa laaE@e>gae yae bataanaa hE• Aapa ijasa deoa mae> jaa rhe hE> vahaã, ja<wrta paD<nae par DaâK@rI deSaBaala taYaa

@IbaI kI j<yaada dvaayae> laenae ke ilayae vahaã ke, @IbaI ke DaâK@r kae denae ke ilayae Apanae DaâK@r yaa paiblak helYa nasa| (PHN) sae Apanae @IbaI raega ]va> icaiktsaa ke baare mae> Sa<ta laenaa hE

• Apanae DaâK@r yaa PHN sae payaa|pta maaLaa mae> dvaayae> lae laenaI hE_ saamaanyata: safr ke ilayae isaf| ]k maihnae kI @IbaI kI dvaayae> dI jaataI hE, par>tau qsa mae> kuC Apavaad hE> - ApanaI PHN sae baata kre>_

jaba Aapa khI> jaatae hE> taae:

• ApanaI @IbaI kI dvaa laenaa jaarI riSayae• yaid Aapa kae baImaarI ke AaEr laxaNa yaa dvaa ke sahgaamaI duPpairNaama ka

AnauBava haetaa hE taae yaa @IbaI kI AaEr j<yaada dvaayae> caaihyae yaa SaUna ka parIxaNa krvaanaa hae taae DaâK@r ke paasa jaayae>_

• Agar Aapa nae kenaeDa hmaeoaa ke ilayae na CaeDa hae taae Apanae @IbaI DaâK@r yaa nasa| ke saaYa kI ApanaI dUsarI maulaakata ke samaya vaapasa kenaeDa Aa jaa}yae_

jaba Aapa khI> AaEr gayae hE> AaEr Agar Aapa kI dvaayae> Satama hae jaataI hE taae Aapa kae }sa ka sabaUta denaa haegaa ik:

• Aapa nae vahaã par AaEr dvaayae> laI YaI> AaEr Aapa nae ibanaa iksaI wkava@ ke Apanaa }laaja jaarI rSaa Yaa

• Aapa nae ApanaI @IbaI kI dvaayae> jaEsae bataayaa gayaa Yaa #Ik vaEsae hI jaarI rSaI YaI

• Aapa sa>+amak nahI> hE>

@IbaI ke qpacaar ke daErana safr krnaa

Aitair

Kta j

aanak

arI

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jaldI AcCa haenae ke ilayae AcCI tarh sae Saa}yae_

halaa>ik Aapa kI taibayata ABaI AcCI nahI> hE, ifr BaI ih>mata na hairyae_ @IbaI #Ik hae saktaa hE_ safla icaiktsaa mae> inamnailaiSata taIna caIj>ae> mahTvapauNa| hE>:

1 ApanaI dvaa laenaa - Aapa ke raega ke }laaja ke ilayae Aapa ke DaâK@r nae saba sae qTama dvaa ilaSa ke dI hE_ qsa kI saUcanaaAae> ka paalana AcaUk kre>_ ApanaI dvaa hr raeja< lae>_ Agar Aapa Apanae Aapa kae AcCa mahsaUsa krnae lagae>, taba BaI jaba tak Aapa ka DaâK@r dvaa ba>d krnae kae na khe, ApanaI dvaa laetae rihyae_ dvaa @IbaI ke jaIvaaNauAae> kae maar Dalanae mae> taYaa raega kae ifr sae na haenae mae> madd krtaI hE_

2 Aarama - ijatanaa hae sake Aarama lae> Kyaae>ik qsa sae Aapa ke oarIr kae svasYa haenae mae> madd imalaegaI_

3 AcCI tarh sae Saanae kI kaeioaoa kre> - Aapa kI @IbaI kI icaiktsaa mae> AcCI tarh sae Saanaa mahTvapauNa| hE_ qsa sae Aapa ke oarIr kae j<aldI svasYa haenae mae> madd imalaegaI_ Baaejana mae> Awica, matalaI AaEr Yakana Aapa kae payaa|pta AaEr sahI tarh ka Saanaa Saanae sae raek saktae hE>_ yah Aapa ke oarIr kae sa>+maNa sae laD<nae mae> ki#naa}| paEda kregaa_ svasYa Baaejana Aapa kae ApanaI maa>sapaeoaIAae> ke Qtak ke paunaina|maaNa mae> taYaa Aapa kI taakta kae ba$<anae mae> madd kregaa_

svasYa Aahar caunanae ke ilayae kenaeDa fUD gaa}|D ka hr raeja< qpayaaega kre>_ Aapa ke svasYa haenae mae> ja<wrI saBaI paaePak taTvaae> ke ilayae hr Aahar vagaae|> mae> sae ivaivaZa paRkar ke Aahar caunae>_ ApanaI paiblak helYa nasa| sae kenaeDa fUD gaa}|D kI kaepaI maa>ga lae>_ Aapa ke Aahar ke baare mae> yaid Aapa kae j<yaada jaanakarI caaihyae taae 905-799-7700 (905-799-7700) par faena kr ke rjaIs@D| Dayae@Iioayana sae baata kre>_

magar yaid mauJae BaUSa na hae, maera pae@ Saraba hae yaa mauJae bahuta Yakana lagataI hae taae? Agar Aapa kae BaUSa na hae yaa bahuta Yakana lagataI hae taae:

• Saanae sae pahlae YaaeD<a baahr hae Aayae>_ taaja<I hvaa Aapa kI BaUSa ba$<ayaegaI_• jaba BaI Aapa kae BaUSa lagae taba Saayae>_ paure idna ke daErana Cae@I Cae@I maaLaaAae> mae> baaã@ ilayaa gayaa

Baaejana Aapa kI Yakana kae kma kregaa_• Aapa kae ijasa Aahar ka svaad, sauga>Za, wpa-r>ga AcCa lagae vaae Saayae>_• Apanaa manapasa>d Saanaa Saayae> AaEr vaae Saayae> jaae Aapa kae Apanae Aana>dmaya samaya kI yaad idlaayae_• talaa huAa ]va> cabaI|laa Aahar @ailayae_• ZaIre ZaIre Saayae>; Baaejana ja<ldI mae> na Saayae>_ Saatae samaya Apanaa manapasa>d sa>gaIta sauinayae_ dUsare

laaegaae> ke saaYa baE# kr Saayae>_

Agar Aapa kI taibayata #Ik na hae taae:

• Baaejana Cae@I Cae@I maaLaaAae> mae>, j<yaada baar AaEr ZaIre ZaIre Saayae>_• kmare ke taapamaana vaalaa yaa #>Da Aahar Saayae>_• talaa huAa, cabaI|laa ]va> masaalaedar Aahar @ailayae_• @aes@, +ekr, fla, saibj<ayaa>, jaelae@Ina vaalaI ima#a}|yaa> ]va> saeva ka rsa, +enabaerI ka rsa, saUpa yaa

oaaerbaa yaa jaEsae saaf< paRvaahI ka naaotaa kre>_• Saanae ke baad lagaBaga AaZae za>@e tak saaeyae> nahI>_• $<Ilae AaEr Aaramadeh kpaD<e pahnae>_• Aapa nae Kyaa Saayaa, idna mae> kba Saayaa, qsa samaya Aapa Kyaa kr rhe Yae AaEr Agar Aapa kae

matalaI hu}| YaI, qna saba ka ihsaaba ilaSae>_ Apanae DaâK@r yaa nasa| kae qsa ke baare mae> bataayae>_ matalaI kae raeknae ke ilayae Aapa ka DaâK@r kuC dvaa ilaSa de saktaa hE_

paaePak Aahar taYaa @IbaI

29 Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?

jaba Aapa kae @IbaI

hae taba paaePak Aahar

mahTvapauNa| haetaa hE

jaba Aapa baImaar hae>

taae sauinaiocata kre> ik

Aapa svasYa Aahar

laetae hE>

Page 33: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

Aapa AaEr Aapake pairvaar ke ilayae jaanakarI 30

vaja<na ba$<anae ke ilayae maE> Kyaa kr saktaa / saktaI hU>?• Baaejana mae> Awica ke baare mae> ipaClae pannae par bataa}| ga}|

saUcanaaAae> kI kaeioaoa kr ke deSae>_ • oaiFpaRd Baaejana Saayae>, jaEsae ik paIna@ ba@r, maevaa, baIja,

]vaaekeDae, haemaaejaenaa}j<D dUZa, imalkoaek, pauiD>ga, Aa}sa kRIma yaa kRIma saUpa

• inayaimata wpa sae naaotaa kre>, Saasa kr rata kae saaenae sae pahlae_ naaotaa dUsare Baaejana ke kma sae kma 2 za>@e pahlae kre> taaik ifr sae BaUSa laga sake_

mauJae iktanaa paRvaahI paInaa caaihyae?raega AaEr dvaaAae> kI vajah sae qtpanna oarIr ke kUD<e kae baahr inakalanae mae> gaudae|> kae madd krnae ke ilayae Aapa kae bahuta saara paRvaahI paInaa caaihyae_ Aapa kI laar (kf<) kae bahuta j<yaada gaa$<a haenae sae raeknae ke ilayae BaI Aapa kae bahuta saara paRvaahI paInaa caaihyae_ Aapa kae pataa calaegaa ik Aapa payaa|pta maaLaa mae> paRvaahI paI rhe hE> jaba Aapa ka paeoaaba hlke r>ga ka haegaa (laemaaenaED jaEsaa)_ paanaI ke saaYa saaYa flaae> ]va> sabj<aIAae> ka rsa, dUZa, saUpa,caaya, hba|la caaya, yaa kaefI laekr deSae>_ saBaI tarh ke paRvaahI calae>gae_ paUre idna ke daErana paItae rhe>_

Kyaa maE> oaraba paI saktaa hU>?oaraba sae baca kr rhnaa saba sae baehtar hE_ Aapa jaae dvaayae> lae rhe hE> vae yak\ta ke ilayae vaEsae BaI kaf<I mauioklae> paEda kr saktaI hE>, AaEr qpar sae oaraba }sa mahaTvapauNa| A>ga ke qpar AaEr dbaava DalaegaI_ Aapa jaae dvaayae> lae rhe hE> qna ke qpar laala vaa}|na jaEsaI kuC oaraba ka Asar paD< saktaa hE_

Kyaa ]esaa kuC hE jaae maE> nahI> Saa saktaa / saktaI?@IbaI kI dvaa Aahar ke saaYa imala kr sardd|, pasaInaa, caKkr taYaa matalaI paEda kr saktaI hE_ Kae}| Saa<sa dvaa laetae samaya Apanae keimas@ yaa nasa|sae sa>Baaivata Aahar, jaae Aapa kae @alanaa caaihyae, qsa ke baare mae> pauC lae>_

mauJae iksa tarh ka Aahar Saanaa caaihyae?kenaeDa fUD gaa}|D mae> bataayae gayae Aahar vagaae>| mae> sae ivaivaZa paRkar ke Aahar raeja< Saayae>_ Aapa kae j<yaada paRae@Ina, vaI@aimana B6, vaI@aimana C, Aayarna taYaa keilsayama laenae kI ja<wrta paD< saktaI hE_

paaePak Aahar taYaa @IbaI jaarI

kenaeDa fUD gaa}|D kI madd sae yaaegya Saanae (}|@I>ga vaela ivaYa kenaeDaja< fUD gaa}|D -Eating Well With Canada’s Food Guide) ke baare mae> j<yaada jaanakarI ke ilayae healthcanada gc ca/foodguide par jaayae>_

inamna taailaka qna Aahar par ivaioaP# wpa sae ja<aer detaI hE ijana mae> yae paaePak taTva paRcaur maaLaa mae> hE>:

Aapa kae ijanhe> saamaanya sae AiZak maaLaa mae> laenae kI ja<wrta paD< saktaI hE:

oarIr ke Qtak va SaUna kae banaanae kae ilayae paRae@Ina

ta>iLakaAae> kae svasYa rSanae kae ilayae taYaa oarIr kae taakta ka #<Ik }staemaala krnae mae> madd ke ilayae vaI@aimana B6_ Aapa kae ApanaI dvaaAae> ke saaYa saaYa vaI@aimana B6 BaI ilaSa dI jaa saktaI hE_

masaUD<ae> AaEr fefD<ae> kae svasYa rSanae ke ilayae taYaa zaava kae Barnae ke ilayae iva@aimana C_

fefD<ae> mae> sae AaeiKsajana kae oarIr ke baakI ke ihssaae> mae> lae jaanae ke ilayae Aayarna_

h¥IAae> kae maja<bauta banaanae ke ilayae taYaa maa>sapaeoaIAae> kae Apanaa kama krnae mae> sahayataa ke ilayae keilsayama_

vae Aapa kae }sa tarh ke Aahar mae> sae imala saktae hE>:

saba tarh ka maa>sa, maurgaa-maurgaI, maClaI, saUSaI yaa kâna mae> flaIyaaã (ma@r, baInsa, dala), A>De, dUZa, dhI, caIj<a taYaa malaa}| qtaar ilayaa gayaa dUZa ka paaqDr (saUpa AaEr haãDI mae> banaayae gayae vya>jana mae> Dailayae)

saba tarh ka maa>sa (Saasa kr klaejaa), maurgaa-maurgaI, maClaI, maevaa (Saasa kr heja<la na@, AS<area@, maU>gaflaI), canae, saaeyabaInsa, baRaeKlaI, baRsaela spaRaq@`sa, fUlagaaeBaI, ma@r, kelae, ken@elaUpa, A>gaur, saUSaayae gayae f<la (SajaUr, ikoaimaoa, A>jaIr), saabauta danae vaalaI saIrIyalsa va baReD, vhI@ jama|_

kIvaI, sa>tare, gaRepafRU@, naImbaU, laa}|ma, kEn@elaUpa, s@¼aebaerIja<, baRaeKlaI, ba>dgaaeBaI, fUlagaaeBaI, kâla, svaI@ paepar, @maa@r, AalaU_

gaaya ka maa>sa, baCD<e ka maa>sa, saUAr ka maa>sa, hEma, klaejaa, maClaI, maugaI| (gaa$<e r>ga vaalae maa>sa mae> j<yaada Aayarna haetaa hE), saUSaI yaa kâna mae> flaIyaa> (ma@r, baInsa, ]ipaRkae@), saUSaayae gayae f<la (paRunsa, paRuna ka rsa, SajaUr, ikoaimaoa, ]ipaRkae@), saabauta danae vaalaI saIrIyalsa, gaehUãka +Ima, AiZak pauP@ ikyaa gayaa paastaa va baReD, gahre hre r>ga kI paTaIAae> vaalaI sabj<aIyaa>, A>De, maevaa AaEr baIja_

Aayarna kI paRcaUr maaLaa vaalae Aahar ke saaYa saaYa AiZak iva@aimana C vaalaa Aahar BaI Saayae> taaik Aapa ke oarIr kae qsa Aayarna ka qpayaaega krnae mae> sahayataa hae_

dUZa ]va> dugZa-padaYa|, jaEsae ik kae@eja caIja<, dhI (yaaega@|), caIja<, saaeyabaInsa, AiZak pauP@ ikyaa gayaa saaeya ka paeya, @aefU (ijasae keilsayama salfe@ mae> jamaayaa gayaa hae), baRaeKlaI, kâla, h¥IAae> ke saaYa saaiD|na ]va> saamana maClaIyaa>, pakayae hu] baInsa (kâna mae>), baadama, keilsayama vaalaa sa>tare ka rsa_

AaZaar/aeta ka svaIkar krnae kI oata| par rja<ama>dIke ibanaa nakla banaa saktae hE>_ jaanakarI ke ilayae paIla-piblak helYa (peel–public health) kae 905-799-7700 (905-799-7700) par faena kre>_ ]ipaRla 2010 (paunarIxaNa maaca| 11, 2011)

Aitair

Kta j

aanak

arI

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31 Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?

AbaImaak<ta vyaiKtaAae> ke ilayae @IbaI naEdainak va qpacaar saevaaAae> ka kaya|+maTB Diagnostic and Treatment Services for uninsured persons (TB-UP) program

TB-UP Aaen@erIAae imainas@¼I Aaef helYa ]va> dIza|kailana deSaBaala Vara inaiZaba© ikyaa jaa rha ]k ]esaa kaya|+ma hE jaae, sai+ya @IbaIgaRsta laaega ijana ka Aaen@erIAae mae> dUsara kae}| svaasYya baImaa nahI> hE vaEsae laaegaae> kI DaâK@rI maulaak<ataae>, pairxaNaae>, ]Ksa re taYaa qpacaar ke Sacae| kae bardaota krtaa hE_ kaya|+ma sai+ya @IbaIgaRsta laaegaae> ke kaen@eK@`sa kae BaI oaaimala kr laetaa hE_ }sa kaya|+ma kI jawrta qna laaegaae> kae hE jaae yaa taae kenaeDa zaUmanae ke ilayae Aayae hae> yaa Apanae Aaen@erIAae helYa kaD| ke 90 idna ke paRitaxaa samaya ke daErana rah deSa rhe nayae AapaRvaasaI hae>_ }sa kaya|+ma mae> BartaI haenae ke ilayae Aapa kae yaa Aapa ke DaâK@r kae paiblak helYa kI nasa| sae baata krnaI caaihyae_

• yah kaya|+ma @IbaI ke ilayae Aspataala mae> rhnae ka Sacaa| nahI> degaa_

• yah kaya|+ma Anya svaasYya sa>ba>iZata samasyaaAae> ka DaâK@rI Sacaa| nahI> degaa_

• TB-UP kaya|+ma mae> pa>jaIk<ta haenae sae pahlae jaae kuC BaI Sacaa| huAa haegaa qsa kI AdayagaI nahI>

hae sakegaI_

Agar maere paasa helYa kaD| na hae taae?

Kyaa maE> @IbaI-Apa kaya|+ma mae> rjaIs@D| hU>? ha> ( ) nahI> ( )

Page 35: Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE? · • sauinaiocata kre>gae ik Aapa ApanaI hr DaâK@rI maulaakataae> ]v>a parIxaNa ke ilayae jaatae hE> • sauinaiocata

Aapa AaEr Aapake pairvaar ke ilayae jaanakarI 32

j<yaada jaanakarI ke ilayae paIla-piblak helYa (peel–public health) kae 905-799-7700 (905-799-7700) par faena kre>

vaeba saa}|@`sa:

• Region of Peel–Public Health: peel-stoptb ca • Public Health Agency of Canada (PHAC) – Tuberculosis: publichealth gc ca/tuberculosis • Lung Association – Tuberculosis: lung ca/tb/main html • Stop TB Canada: stoptb ca • Health Canada – Eating Well with Canada’s Food Guide (available in several languages):

healthcanada gc ca/foodguide• Centers for Disease Control (CDC) – Tuberculosis: cdc gov/tb • Curry International Tuberculosis Center: currytbcenter ucsf edu • Mayo Clinic: mayoclinic com • New Jersey Medical School National Tuberculosis Center: umdnj edu/ntbcweb • World Health Organization (WHO) – Tuberculosis: who int/gtb

sa>dBa|:

Canadian Tuberculosis Standards 6th Edition, Public Health Agency of Canada and the Canadian Lung Association/Canadian Thoracic Society 2007

Compendium of Pharmaceuticals and Specialties (CPS) Canadian Pharmacists Association 2010

Dorland’s Illustrated Medical Dictionary, 29th Edition, W B Saunder Company 2000

Health Canada, Eating Well with Canada’s Food Guide hc-sc gc ca/fn-an/food-guide-aliment/index-eng php

Mayo Clinic mayoclinic com/health/drug-information

Public Health Agency of Canada, Tuberculosis Prevention and Control publichealth gc ca/tuberculosis

Questions and Answers about Tuberculosis Centers for Disease Control and Prevention (CDC), US Department of Health and Human Services 2009

Treatment of Tuberculosis American Thoracic Society, CDC, and Infectious Diseases Society of America MMWR June 20, 2003

Tuberculosis Drug Information Guide Curry International Tuberculosis Center and the California Department of Public Health 2009

}sa pauistaka banaanae mae> hmanae ijana inamnailaiSata sa>sYaaAae> ke @IbaI sa>saaZanaae> ka savae|xaNa ikyaa, qna ka AaBaar:

@IbaI ke baare mae> j<yaada jaanakarI mauJae kha> sae imala saktaI hE?

• Halton Region Public Health Department

• Hospital for Sick Children• Region of Peel–Public Health

• Toronto Public Health • University Health Network• West Park Healthcare Centre• York Region Public Health

Aitair

Kta j

aanak

arI

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@IppaNaI:

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33 Kyaa Aapake @IbaI (xaya) raega ka inadana huAa hE?