Reporting Manual on HIV/AIDS: India (Hindi Language)
Reporting Manual on HIV/AIDS: India (Hindi Language) Reporting Manual on HIV/AIDS: India (Hindi Language)
Li"Vhdj.k dks"k A 1- ,chlh ABC , & czáp;Z vFkok igyh ;kSu fØ;k ds vuqHko dks fdlh mez rd Vkyuk ch & ,d lkFkh ds izfr Hkjkslk j[kuk lh & daMkse dk mi;ksx 2- nq?kZVuko'k gksusokyk laØe.k (Accidental Exposure or Accidental Transmission) LokLF; laj{k.k esaa yxs ,pvkbZoh laØfer O;fDr ls gksus okyk laØe.k vFkok fpfdRlkxr izfØ;k ds nkSjku fdlh LoLFk O;fDr dks gksus okyk ,pvkbZoh laØe.kA 3- ,D;wV ,pvkbZoh laØe.k (Acute HIV Infection) ,pvkbZoh laØe.k dh igyh voLFkkA bls izkFkfed laØe.k Hkh dgk tkrk gSA bldh vof/k dqN fnu ls dbZ lIrkg rd gks ldrh gSA bl nkSjku laØfer O;fDr ds jDr esa ,pvkbZoh fo"kk.kq rsth ls la[;k o‘f) djrk gSA bl nkSjku laØfer O;fDr vU; LoLFk O;fDr;ksa esa Hkh bl fo"kk.kq dk lapj.k djus esa leFkZ gksrk gSA 4- izHkkfor lekt (Affected Community) ,pvkbZoh laØfer O;fDr vkSj muds ifjokjtu ,oa fe=k oxSjgA ;s yksx laØfer O;fDr dks gksus okys 'kkjhfjd] lkekftd ;k HkkoukRed izHkkoksa ls tqM+s jgrs gSaA 5- ,M~l (AIDS) ,M~l&,Dok;MZ bE;qU;ksMsfQf'k,Ulh flUMªkse dh voLFkk] fdlh Hkh O;fDr dh jksxizfrjks/kd iz.kkyh ds nqcZy gksus dh otg ls vusd izdkj ds jksxksa rFkk dSalj ds vkØe.k ds ckn vkrh gSA ftl O;fDr dks dksbZ jksx rFkk dSalj ugha gS] ysfdu ml O;fDr dks jksx izfrjks/kd iz.kkyh {kfrxzLr gks x;h gS mls ,M~~l dh voLFkk rd igqpk gqvk ekuk tkrk gSA 6- ,M~l n'kZd fcekfj;k¡ (AIDS- defining illness) jksx izfrjks/kd {kerk detksj gksus ds dkj.k cgqr ls y{k.k izdV gksrs gSaA ;w,u,M~l ds vuqlkj bl voLFkk ds ckn dbZ yksxksa dks bl fcekjh ls laØfer gksus dk irk pyrk gSA 7- ,M~l fMesaf'k;k dkWEiysDl (AIDS- Dementia Complex) bl fLFkfr esa dke djrs oDr leUo; dk vkHkko] vxy cxy dh ifjfLFkfr;ksa esa #fp u fn[kkuk] ekufld larqyu esa ckj&ckj cnyko vkuk] ;g y{k.k fn[kkbZ nsrs gSA ;g fLFkfr laØfer O;fDr dks 'kq#vkrh nkSj esa gqbZ voljoknh chekfj;ksa ds dkj.k vkrh gSA fo"kk.kwjks/kd mipkjksa dh enn ls ADC ij bykt fd;k tk ldrk gSA 8 - izlwfriwoZ (Antenatal) cPpk iSnk gksus ls igys dh fLFkfr ,pvkbZoh@,M~l fjiksfVZax iqfLrdk 3 dStj QSfeyh QkÅaMs'ku
9 - ,UVhckWMh (Antibodies) fdlh Hkh ckgjh d.k] fo"kk.kq ;k cSDVhfj;k dks u"V djus ds fy, 'kjhj dh j{kk iz.kkyh ,d fo'ks"k izdkj dh ,UVhckWMh dk fuekZ.k djrh gSA [kwu esa ,pvkbZoh ds ,UVhckWMh ekStwn gS ;k ugh bldk irk ,pvkbZoh dh tk¡p ls gksrk gSA vxj tkWp ikWf>fVo vkrh gS rc O;fDr esa ,pvkbZoh dh ,UVhokWMh ekStwn gksrh gSA 10- fo"kk.wkjks/kd mipkj iz.kkyh (Antiretroviral Therapy-ART) ,pvkbZoh ok;jl ds fy, fo'ks"k izdkj dh nokb;ksa dh vko';drk gksrh gSA ,pvkbZoh ds ok;jl dh la[;k esa rsth ls gksus okyh o‘f) dks /khek djus ds fy, ART dh vko'drk gksrh gSA 11- lwIrkoLFkk (Asymptomatic) ,pvkbZoh laØfer O;fDr;ksa esa tc chekjh ds y{k.k fn[kkbZ ugh nsrs gS rc ml O;fDr dks lwIrkoLFkk esa ekuk tkrk gSA ,pvkbZoh ds laØe.k ds ckn ;g nwljh voLFkk dkQh lky rd cuh jgrh gSA bl voLFkk esa ,pvkbZoh ds ok;jl dk izlkj gks ldrk gSA C 12- ns[kHkky vkSj mipkj (Care and Treatment) ,pvkbZoh laØfer O;fDr;ksa dh ns[kHkky ,oa mUgsa mfpr iks"k.k] ekufld lEcy vkSj lkeqnkf;d lg;ksx nsukA blds mipkj ds fy, ,UVhjsVªksok;jy Fksjsih nh tkrh gSA 13- lh Mh 4 vFkok T&4 dksf'kdk CD4 (T4) Cell/count 'kjhj dh j{k.k iz.kkyh esa ;s dksf'kdk,a fo|eku gksrh gSa tks fdlh Hkh laØe.k ls yM+us dk dke djrh gSA ,pvkbZoh ok;jl lcls igys bUgha dksf'kdkvksa ij vkØe.k djrk gSA lh Mh 4 dksf'kdkvksa dh la[;k ftruh de gksxh] ,pvkbZoh laØe.k mruk gh c
- Page 2 and 3: vDVwcj&2005 ,pvkbZoh@,M~l ij rS;kj
- Page 4 and 5: laf{kIr 'kCn ACRONYM 3 3 x x 5 5 AB
- Page 8 and 9: lh ,u ,u bu rhuksa fLFkfr;ksa dks O
- Page 10 and 11: I 32-vkbZMh;w (IDU) batsD'ku Mªx ;
- Page 12 and 13: 48-Iyslhcks (Placebo) ,d ,slk inkFk
- Page 14 and 15: 62-okbjy yksM (Viral load) ,pvkbZoh
- Page 16 and 17: o`Ùkfo'ks"k o`Ùkfo'ks"k 504 izLrq
- Page 18 and 19: 506 Hkkjr esa ,pvkbZoh@,M~l lksukxk
- Page 20 and 21: nh us'kuy ,M~l fjlpZ baLVhV~;wV ¼N
- Page 22 and 23: Hkkjr esa ,pvkbZoh@,M~l dk ?kVukØe
- Page 24 and 25: � ,pvkbZoh@,M~l dk VªsaM vxj blh
- Page 26 and 27: fdlh Hkh izdkj dh i=kdkfjrk ds leku
- Page 28 and 29: ;gka rd fd cM+s esVªks 'kgjksa esa
- Page 30 and 31: laØfer O;fDr;ksa dks dpjs ds wBk H
- Page 32 and 33: ,pvkbZoh ,pvkbZoh vkSj vkSj vkSj V~
- Page 34 and 35: ,pvkbZoh@,M~l ,pvkbZoh@,M~l fjiksfV
- Page 36 and 37: ,pvkbZoh@,M~l ,pvkbZoh@,M~l ds ds l
- Page 38 and 39: laosnu'khy laosnu'khy Hkk"kk Hkk"kk
- Page 40 and 41: REFERENCES Beamish, J. Repo
- Page 42 and 43: � ;g uhfr Hkkjr esa ,d ,sls fxjks
- Page 44 and 45: ,pvkbZoh ,pvkbZoh ds ds lEcUèk lEc
- Page 46 and 47: Hkkjr esa ohlhVhlh ds fy, ,d ,sls l
- Page 48 and 49: isVsUV isVsUV laca/kh laca/kh iwNs
- Page 50 and 51: ,aVhjsVªksok;jy ,aVhjsVªksok;jy F
- Page 52 and 53: tsufjd tsufjd tsufjd uke% uke% Dida
- Page 54 and 55: REFERENCES American Foundation for
Li"Vhdj.k dks"k<br />
A<br />
1- ,chlh ABC<br />
, & czáp;Z vFkok igyh ;kSu fØ;k ds vuqHko dks fdlh mez rd Vkyuk<br />
ch & ,d lkFkh ds izfr Hkjkslk j[kuk<br />
lh & daMkse dk mi;ksx<br />
2- nq?kZVuko'k gksusokyk laØe.k (Accidental Exposure or Accidental Transmissi<strong>on</strong>)<br />
LokLF; laj{k.k esaa yxs ,pvkbZoh laØfer O;fDr ls gksus okyk laØe.k vFkok fpfdRlkxr izfØ;k ds nkSjku fdlh<br />
LoLFk O;fDr dks gksus okyk ,pvkbZoh laØe.kA<br />
3- ,D;wV ,pvkbZoh laØe.k (Acute <strong>HIV</strong> Infecti<strong>on</strong>)<br />
,pvkbZoh laØe.k dh igyh voLFkkA bls izkFkfed laØe.k Hkh dgk tkrk gSA bldh vof/k dqN fnu ls dbZ<br />
lIrkg rd gks ldrh gSA bl nkSjku laØfer O;fDr ds jDr esa ,pvkbZoh fo"kk.kq rsth ls la[;k o‘f) djrk gSA<br />
bl nkSjku laØfer O;fDr vU; LoLFk O;fDr;ksa esa Hkh bl fo"kk.kq dk lapj.k djus esa leFkZ gksrk gSA<br />
4- izHkkfor lekt (Affected Community)<br />
,pvkbZoh laØfer O;fDr vkSj muds ifjokjtu ,oa fe=k oxSjgA ;s yksx laØfer O;fDr dks gksus okys 'kkjhfjd]<br />
lkekftd ;k HkkoukRed izHkkoksa ls tqM+s jgrs gSaA<br />
5- ,M~l (<strong>AIDS</strong>)<br />
,M~l&,Dok;MZ bE;qU;ksMsfQf'k,Ulh flUMªkse dh voLFkk] fdlh Hkh O;fDr dh jksxizfrjks/kd iz.kkyh ds nqcZy gksus<br />
dh otg ls vusd izdkj ds jksxksa rFkk dSalj ds vkØe.k ds ckn vkrh gSA ftl O;fDr dks dksbZ jksx rFkk dSalj<br />
ugha gS] ysfdu ml O;fDr dks jksx izfrjks/kd iz.kkyh {kfrxzLr gks x;h gS mls ,M~~l dh voLFkk rd igqpk gqvk<br />
ekuk tkrk gSA<br />
6- ,M~l n'kZd fcekfj;k¡ (<strong>AIDS</strong>- defining illness)<br />
jksx izfrjks/kd {kerk detksj gksus ds dkj.k cgqr ls y{k.k izdV gksrs gSaA ;w,u,M~l ds vuqlkj bl voLFkk ds<br />
ckn dbZ yksxksa dks bl fcekjh ls laØfer gksus dk irk pyrk gSA<br />
7- ,M~l fMesaf'k;k dkWEiysDl (<strong>AIDS</strong>- Dementia Complex)<br />
bl fLFkfr esa dke djrs oDr leUo; dk vkHkko] vxy cxy dh ifjfLFkfr;ksa esa #fp u fn[kkuk] ekufld<br />
larqyu esa ckj&ckj cnyko vkuk] ;g y{k.k fn[kkbZ nsrs gSA ;g fLFkfr laØfer O;fDr dks 'kq#vkrh nkSj esa gqbZ<br />
voljoknh chekfj;ksa ds dkj.k vkrh gSA fo"kk.kwjks/kd mipkjksa dh enn ls ADC ij bykt fd;k tk ldrk gSA<br />
8 - izlwfriwoZ (Antenatal)<br />
cPpk iSnk gksus ls igys dh fLFkfr<br />
,pvkbZoh@,M~l fjiksfVZax iqfLrdk 3<br />
dStj QSfeyh QkÅaMs'ku
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