Page 31 - Jaya Nandini December 2023

wm‡bgv, bvUK, g‡Wwjs, B‡qvMv -‡Kvb ‡¶Î wU ‡ewk
Dc‡fvM K‡ib ?

B‡qvMv K¬vm wbw”Q, ÔB‡qvwMmÔ bv‡g A‡bK c«Wv±m&
AvbwQ, ‡m‡¶‡Î B‡qvMv Avgvi K¨vwiqvi Ges e¨emvi
Ask n‡q `vwo‡q‡Q| wKš‘ g~jZ Avwg wm‡bgvq Awfbq
Ki‡Z me‡P‡q ‡ewk fv‡jvevwm| wm‡bgvi PgrKvi me
Pwi‡Î Awfbq Ki‡Z Avgvi Lye fv‡jvjv‡M| ‡hgb
ÔAvqbvÕ , Ô‡LjvNiÕ , ÔP›`«M«nYÕ BZ¨vw` wm‡bgvq Avwg
‡¯úkvj G‡KKwU Pwi‡Î Awfbq K‡iwQ| ‡Zv Avgvi
়
GKwU PwiÎ ‡_‡K evB‡i ‡eWw‡q Av‡iKwU Pwi‡Î
Awfbq Kiv Avwg fxlY Dc‡fvM Kwi|

mewKQy wKfv‡e ‡gBb‡UBb K‡ib ?

Avwg gvwëUvw¯‹s GK`gB Ki‡Z cvwibv| mewKQy
‡gBb‡UBb Kiv Avgvi Rb¨ LyeB KwVb| c«_gZ, Avwg
LyeB fvM¨eZx ‡h GKUv cwievi ‡c‡qwQ| Avgvi ‡Q‡ji
়
`vwqZ¡ Avgiv my›`i K‡i fvMvfvwM K‡i wb‡qwQ| ZvQvWv
GLb Avgvi ‡Q‡jI Zvi wb‡Ri `vwqZ¡ wb‡RB wb‡Z
cv‡i| ‡m LyeB AvÛvi÷¨vwÛs| Gfv‡eB GKUy msM«vg
K‡i mewKQy ‡gBb‡UBb K‡i ‡bB| Rxe‡b Av‡MI
A‡bK msM«vg K‡i AvR GB ch©v‡q G‡m my›`ifv‡e KvR
KiwQ , me wgwj‡q Avwg Lye n¨vwc|
nv‡U©i bvbvwea Ab¨vb¨‡ivM
nv‡U©i 4 wU fvj&f A_©vr gvBUªvj fvj&f, GIwU©K B‡qvMv Avgvi Rxebhvc‡bi GKwU Ask gvÎ| GLb Avwg
fvj&f, cvj‡gvbvwi Ges UªvBKvw¯úW fv‡j&fi †¶‡Î
memgq GB cv_©K¨ †`Lv wM‡q‡Q| †g‡q‡`i kix‡ii
AvKvi, IRb, ewW mvi‡dm Gwiqv BZ¨vw` Kg
_vKvi Kvi‡b mvaviYZ †QvU AvKv‡ii fvj&f jvMv‡bv
nq Zvid‡j cybivq Zv‡`i fv‡j&fi †iv‡M AvµvšÍ
nv‡U©i †iv‡Mi cÖ‡Z¨KUv K¨v‡UMix‡ZB bvixiv AvµvšÍ nevi m¤¢vebv †ekx _v‡K| GQvovI Acv‡ikb cieZ©x
nb, Gig‡a¨ †hgb i‡q‡Q fvj&‡fi †ivM, Rb¥MZ RwUjZvI G‡`i †ekx _v‡K|
nv‡U©i †ivM, K‡ivbvix nv‡U©i †ivM, nv‡U©i wUDgvi,
Q›`cZb RwbZ mgm¨v BZ¨vw` eûwea †iv‡Mi nv‡U©i K‡ivbvix †ivM
mgm¨v| wewfbœ ai‡bi wPwKrmv‡¶‡ÎI i‡q‡Q †g‡q‡`i G‡÷ªv‡Rb ni‡gvb GKRvZxq cÖ‡UKkb
djvd‡ji wewfbœZv, ZvQvov GB wPwKrmv c×wZ †`q GB †ivM †_‡K| wKš‘ †Kvb Kvi‡b †hgb mvR©vix
MÖn‡bi †¶‡ÎI bvbvai‡bi cÖwZK‚jZv i‡q †M‡Q RwbZ Kvi‡b A_ev gvwmK eÜ n‡q hvIqv
bvix‡`i †¶‡Î| Avgiv GB cÖe‡Ü K¨v‡UMixK¨vwj (†g‡bvcR) BZ¨vw`i Kvi‡b bvix‡`i ni‡gv‡bi
GB welq¸‡jv wb‡q ms‡¶‡c Av‡jvPbv Kie| ¯^íZv nq ZLb K‡ivbvix nvU© wWwRR cyiæl‡`i gZB
n‡Z _v‡K| Avevi ni‡gvb w`‡q †g‡bvc‡Ri wPwKrmv
nv‡U©i fvj&‡fi mgm¨v Ki‡jI K‡ivbvix nvU© wWwR‡mi m¤¢vebv ev‡o|
evZR¡i RwbZ nv‡U©i mgm¨vq AvµvšÍ nb †g‡qiv ZvQvov Wvqv‡ewUm, nvBcvi‡Ubkb, wewfbœ
me‡P‡q †ekx| Gwkqv Ges Avwd«Kvi wewfbœ †`‡k wecvKRwbZ mgm¨v †g‡q‡`i †ekx _vKvq Zviv GB nv‡U©i wewfbœ ai‡bi wUDgvi, Q‡›`i mgm¨v, nvU©
ch©‡e¶b Ges cix¶vwbix¶v K‡i GB wel‡q cÖgvb †iv‡M AvµvšÍ n‡”Qb †ekx| bvix‡`i g‡a¨ a~gcvb †dBwjqi, nv‡U©i c`©vi †ivM we‡kl K‡i
cvIqv wM‡q‡Q| G‡¶‡Î bvix‡`i AvµvšÍ nIqvi †e‡o hvIqv, Gj‡Kvnj cv‡bi gvÎv †e‡o hvIqv, †cwiKviwWqv‡gi wUwe †ivM †g‡q‡`i †ekx| †g‡q‡`i
m¤¢vebv cyiæl‡`i Zzjbvq cÖvq `yB¸b| LvUzbx bv Kivi cÖebZv BZ¨vw`I Ab¨Zg Kvib|
Zzjbvg~jKfv‡e Acywó, emev‡mi Rb¨ Lvivc †¶‡Î †iv‡Mi j¶Ymg~nI wKQzUv wfbœ nq| †ivMx‡`i
cwi‡ek, evievi mšÍvbaviY, wPwKrmvi e¨vcv‡i Rb¥MZ nv‡U©i ÎæwU ey‡K e¨v_vi aib Avjv`v, eyK aodo Kiv, ewg,
ˆelg¨ BZ¨vw` bvbvwea KviY mgyn‡K wPwýZ Kiv me ai‡bi Rb¥MZ nv‡U©i ÎæwU mvavibZ †g‡q‡`i ÿzavg›`v, K¬vwšÍ Abyfe Kiv, †c‡U e¨v_v nIqv, †Kvb
†ekx nq| mv¤cÖwZK Kv‡ji GKUv cwimsL¨vb †Kvb mgq gvbwmK †ivMxi gZ AvPib Kiv BZ¨vw`
GiKgUvq cÖgvb K‡i| 4 GQvovI nv‡U©i †QvU †QvU bvbv ai‡bi j¶b cÖKvk †c‡Z cv‡i| †ivMxi j¶b
i³bvjxi †ivM we‡kl K‡i gvB‡µvfv¯‹zjvi †ivM
†g‡q‡`i †ekx nq| ev mgm¨v‡K Ae‡njv bv K‡i ¸iæZ¡ w`‡q fvev DwPr|
Sex distribution per defect. Dcmsnvi
Dbœqbkxj †`k mgy‡n bvbvwea mvgvwRK
N
cÖwZeÜKZvq †g‡q‡`i nv‡U©i †iv‡Mi cÖK…Z
Females (%) Males cwimsL¨vb cvIqv hvq bv| ZvQvov GBme †`‡k
Atrial septal defect 589 (67) 293
Ventricular septal defect 332 (53) 296 j¶bmg~n‡K ¸iæZ¡ bv †`Iqv, ev †Mvcb Kiv Ab¨Zg
Tetralogy of Fallot 388 (48) 423 Kvib wnmv‡e wewfbœ cwimsL¨v‡b †ei n‡q‡Q| A‡bK
Aortic coarctation 211 (38) 340 mgq Aí Aí j¶b cÖKvk †c‡jI Zv‡K A‡fjv Kiv

n‡q‡Q Gi Rb¨| ïay ZvB bq, miæ n‡q hvIqv Transposition of the great arteries 141 (39) 222 nq, d‡j Mf©Kvjxb mg‡q, A_ev †ewk eq‡m wM‡q
fvj&f‡K cÖmvwiZ Kivi †ejyb WvB‡j‡Ukb Marfan syndrome 143 (50) 144 †ivMUv aiv c‡o| wPwKrmvi RwUjZv ev‡o,
cÖwµqv‡ZI bvix‡`i AskMÖnb Ges djvdj Fontan circulation 89 (45) 109 A‡bKmgq h_vh_ djvdjI cvIqv hvqbv| ZvB
cyiæl‡`i Zzjbvq Kg| fvj&f cwieZ©‡bi †¶‡ÎI Cyanotic defect 241 (62) 149 bvix‡`i ü`‡ivM‡K ¸iæZ¡ w`‡q we‡ePbv Kiv DwPr|
GKB ai‡bi djvdj cvIqv wM‡q‡Q| Overall 2134 (52) 1976

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