mgqk mßÉfþoh
01' jk mßÉfþoh reêrh wfma Ôjkd,shhs' reêrfha ld¾hNdrh' reêrfha ixhq;sh' reêrh ^iïmq¾K&' reêr j¾.h $ >Kh' reêrh iïnkaê; frda.' uyd ;e,isñhdj'
msgq wxl
^01-08&
2' jk mrssÑfþoh ^09-22& cdK úoHdj yd ;e,iSñhdj' cdk' uyd ;e,isñhdj iE§ug fya;=jk r;= reêrdkqfõ úlD;sh' ysfuda.af,dìka yd hlv' ;e,iSñhdfõ pathophysiology-ìgd oï je,a ke;slu yd we,a*d oïje,a jeä ùu' ;e,iSñhdj frda. ^úksYaph yÿkd .eksu& uyd ;e,iSñhdj frda. úksYaph ioyd ks;r Ndú;d lrk reêr mßËK' uyd îgd ;e,iSñhdj ioyd m%;sldr' 3' jk mrssÑfþoh ^23-39& reêr mdrú,hk m%;sldrh' reêr mdrú,hkh mgka .; hq;af;a l=uk wjia:dfõ§o? wdrlaId iys; reêr mdrú,hkhla ia:dms; lsÍu' reêr .Kh iïnkaO cdk úoHdj' mdrú,hkh l, hq;af;a fudkjdo? reêr mdrú,hk l%ufõo ilia lsßu' reêr mdrú,hkh id¾:l;ajh we.hSu' reêr mdrú,hk m%;sls%hd j,g m%;sldr lsßu'
4' jk mßÉfþoh ^40-71& hlv w;sßla;hka tl;=ùu yd hlv Yßrfhka bj;a lsßu' ksfrda.S mqoa.,hl=f.a YÍrfha we;s hlv' ;e,iSñhd frda.shl=f.a Yßrfha hlv' jeämqr tl;=jk hlv Yßrhg ydks lrk whqre' fviaf*rsTlaióka ^bxfclaIka& DFO' hlv bj;alsßfï m%;sldr mgka .kafka fldhs ld,fhao? fviaf*rsTlaióka §fï ;j;a l%u' fviaf*rsTlaióka m%;sldrfha id¾:l;ajh we.hSu' fviaf*rsTlaieóka ud;%dj fjkialsßug reêrfha f*ßàka uÜgu Ndú;d lsßu' uQ;%d j, we;s hlv uÜgu' fviaf*rsTlaieóka j, we;s ixl=,;d yd tajd n,d.kakd l%u$.eì .ekSsu' fviaf*rsTlaieóka m%;sldrhg wkql+,;djh' hlv bj;a lsÍug we;s wfkl=;a T!IO' fvf*ßfm%dkaj, ^fm;s& L1 j, l%shdldÍ;ajh' fvf*ßfm%dkaj, ^fm;s& j, w;=re m%ÓM,' fvf*ßfm%dkaj, ld¾HlaIu;djh' hlv bj;a lsÍug we;s w¿;a T!IO' 5' jk mßÉfþoh ^72-88& ;e,iSñhd frda.h iïnkaO ffjoHuh' .eg¿ yd tajdg m%;sldr' ma,Sydfõ wêl%shdldÍ;ajh' ma,Sydj bj;a lsÍu yd wdidok' yDoh jia;=j yd wka;rdi¾. .%kaÝj, ixl=,;d' yDoh jia;=fõ ixl=,;d' wka;rdi¾. .%kaÝkaays ixl=,;d' 6' jk mßÉfþoh ^89-103& ;e,iSñhd frda.SkAf.a wdidok' reêr mdrú,hkh iïnkaO wdidok' fymghsáia î wdidokh' wfkl=;a jhsrihka' w`t;a frda. ldrlhka mrk frda. ldrl ms<sno w`t;a lkiai,a,' reêrfha wdrlaIdldß nj' wdrlaIdldß nj yd reêr m%udkd;aul nj' m%;sldr fkdl, ;e,isñhd frda.sfhl=g isÿjk foa ms,sno idrxYhla'
7' jk mßÉfþoh ^104-109& uOHu ;e,iSñhdj yd wfkl=;a ;e,iSñhd frda.' frda. úksYaph' uOHu ;e,isñhdjg m%;sldr lsßu' hlv bj;a lsßfï m%;sldr' uOHu ;e,iSñhdfõ ffjoHuh .eg`t' widudkH ysfuda.af,daîka fyda jHqyd;aul fjkila we;s ysfuda.af,dìka ksid we;sjk ;e,isñhdj' îgd ;e,iSñhdj yd widudkH ysfud.af,dìka ixhqla; úu' we,a*d ;e,isñhdj' 8' jk mßÉfþoh ^110-116& ia:dms; yd wkd.;fha n,dfmdfrd;a;= ;eìh yels m%;sldr l%u' 9' jk mßÉfþoh fjk;a m%;sldr l%u'
^117-1168&
10' jk mßÉfþoh udkisl yd iudÔh .eg`M'
^119-124&
11' jk mßÉfþoh w;sf¾l f;dr;=re'
^125-129&
12' jk mßÉfþoh ;e,isñhd frda. jHdma;sh yd th je,elaùu'
^130-146&
13' jk mßÉfþoh wdydr yd ;e,isñhdj' 14' jk mßÉfþoh MRT T2* u.ska yDofha we;s hlv uekSu'
^147-152& ^153-154&
15' jk mßÉfþoh ^155-161& hlv wêNdrh yd thg m%;sldr ms<sno idrdxYh' uyd ;e,isñhd frd.skag m%;sldr lsßu ms<snoj .e,Sï igyk' fviaf*ßTlaióka' fv*ßfm%dka' fv*ßisfrdlaia'
16' jk mßÉfþoh fma%fya,sldj'
^162-164&
17' jk mßÉfþoh jeo.;a fjí msgq yd ,smskhka'
^165-166&
18' jk mßÉfþoh Useful Correspondence and Information
^167-171&
1a
1b
1
1c
1d
1e
2
1g
1f
3
1h
1f
4
1i
1j
1k
1l
5
1m
6
1w
7
8
2a
9
2b
2c
10
2d
11
2e 12
2f
13
15
jhi
uyd ;e,iSñhdj
uOHu ;e,iSñhdj
wjqreoaog wvq
62-75%
4-11%
wjqreÿ 1 - 2 w;r
29-35%
11-30%
wjqreÿ 2 g jeä
9-11%
22-59%
uOHia: w.h
mrdih
ysfud.af,daîka (Hb) .%Eï /ñ',s 100 g
6.8
3.9 - 9.3
tï iS tÉ msfld.%Eï
20.9
15 - 26
tï iS ù *e,eïfgd ,Sg¾
65.8
57 - 75
tï iS tÉ iS .%Eï /ñ',S 100 g
30.9
26 - 34
20
22
23
24
25
26
27
28
29
30
odhl reêrfha ysufgdls%Ü yd ,nd Èh hq;= mßudj ls'.%E'$ó',S'j,ska'
80% 2.6 5.2 7.8 10.4
32
38
39
41
2
3+
2
2+ 2 2
2+
" -
"
-
3+
45
46
47
48
49
50
51
53
55
56
4g
57
58
59
60
4h
61
62
63.
4j
64
65
66
67
4k
68
69
70
71
72
5b
73
74
75
1'yDowlrksh ^oaúfldaIsl&
yDo jia;=j
5c
77
78
79
80
j¾Okh yd mßjD;a;sh ls%hdj, fõ.h md,kh f,a j, le,aishï m%udkh md,kh
f,a j, fidaähï yd laf,drhsâ md,kh YÍrh wd;;sl wjia;d i`oyd iqodkï lrhs msßñkaf.a oaú;shsl ,sx.sl ,CIK we;s lrhs .eyekq whf.a oaú;shsl ,sx.sl ,CIK we;s lrhs l,,h ;ekam;a úug .¾NdYh iqodkï lrhs wfkl=;a wka;rdi¾. .%kaÓ md,kh lrhs
82
83
84
85
5e
5f
86
87
88
89
90
91
92
6a
93
6b
94
6c
6d
95
6e
6f 96
97
6g
98
99
100
101
102
;e,isóhd frda.Skag m%;sldr fkdlsßfuka we;sjk ixl=,;d ms<sno idrdxYh
msáhqgß .%kaÓh ^j¾Okh" ,sx.sl wjhj weâä%k,a .%ksÓh yd ;hsfrdhsvhg n,mEu&
uqyqfka úlD;s ùu ^Wvq ykqj uy;afõ&
;hsfrdahsâ .%kaÓh ^l,d;=rlska muks& merd ;hsfrdahsâ .%kaÓ ^l,d;=rlska muk& yDoh ^yDo wlrKsh" jeo.;au ixl=,;djh & wlaudj ^uy;aùu&
ma,sydj ^mÜáld wvq fõ&
w.akHdih ^Èhjeähdj& reêrh ^rla;ysk;djh& yu ^ÿ¾j¾K ùu& ,sx.sl wjhj ^j¾Okh"ls%hdldß;ajh wvd, fõ& wiaÓ ^fõokdj yd TiaáfhdafmdfrdaiSia &
wiaÓ N.akh fõ j¾Ol w.% ^l,ska jeisu&
103
104
105
107
108
109
8a
8b
110
111
8c 112
fmidfrdaf.a w;aoelï jhi 16g wvq ,uqka
ixLHdj
Ôj;ajk m%;sY;h 95]
ixl=,;d rys; m%;sY;h
Ldkavh 1 Ldkavh 2 Ldkavh 3
121 272 125
85] 78]
90] 81] 59]
jhi 16g jeä
70
70]
66]
113
114
115
116
117
118
119
120
121
122
123
124
125
128
129
12a
12b
130
12c
131
133
134
135
136
137
138
139
12e
12f
141
142
143
144
145
146
147
148
149
150
151
152
153
154
156
160
161
163