lathouh dks"k

ch-ih-,y- ,oa eq[;ea=h [kk|ku lgk;rk ;kstuk esa 'kkfey ifjokj ds lnL;ksa ds
chekj gksus ij mipkj gsrq 'kkldh; lgk;rk ls lacaf/kr tkudkjh
vkosnu i= lfgr

&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&
LokLF; ,oa ifjokj dY;k.k foHkkx] NRRkhlx<+ 'kklu
&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&

lathouh dks"k
NRrhlx<+ 'kklu
yksd LokLF; ,oa ifjokj dY;k.k rFkk fpfdRlk fk{kk
ea=ky; jk;iqj
1-

laf{kIr uke&

bu fu;eksa dk laf{kIr uke NRrhlx<+ lathouh lgk;rk dks"k fu;e]

2001 gSA

2 ;s fu;e ,slh rkjh[k ls izo`Rr gksaxs] ftls jkT; ljdkj NRrhlx<+ jkT;i= esa
vf/klwpuk }kjk fu;r djsaA
2-

ifjHkk"kk;s&
a

bu fu;eksa esa tc rd lanHkZ ls vU;Fkk u

gks%&
d
[k
x

fuf/k vfHkizsr gS] NRRkhlx<+ lathouh lgk;rk dks"k]

jk"Vh; fuf/k ls vfHkizsr gS] Hkkjr ljdkj dh jk"Vh; lathouh lgk;rk]
izca/k lfefr ls vfHkizsr gS] jkT; 'kklu }kjk lathouh lgk;rk dks"k ds izca/ku

ds fy, xfBr lfefr]

?k

fpfdRlk laLFkku & fpfdRlk laLFkku ls vfHkizsr gS] yksd LokLF; ,oa ifjokj

dY;k.k foHkkx ,oa fpfdRlk fk{kk] foHkkx ds }kjk ekU;rk izkIr iathd`r
fpfdRlky;@vkS"k/kky;@fpfdRlk laLFkku gS] tks fofHkUu izdkj ds jksxksa ds bykt
djus ds fy, izkf/kd`r gSA
p nkunkrk ls vfHkizsr] bl fuf/k ls nku nsus okys O;fDr@laLFkkvksa ls gSA
N

jksxh ls vfHkizsr mu jksfx;ksa ls gS] tks thou ?kkrd cM+s jksxksa ls ihfM+r gks

rFkk xjhch dh js[kk ds uhps thou ;kiu djus okys ifjokj ds lnL; gksAa
t xjhch js[kk ls uhps thou ;kiu djus ls vfHkizsr gS] jkT; 'kklu }kjk bl
iz;kstu ds fy, ifjokj dh fu/kkZfjr okf"kZd vk; ls de vk; gksukA

3-

4-

5-

jkT; Lrjh; lfefr dk xBu&

jkT; Lrjh; lfefr esa fuEukuqlkj lnL; gS%&
dzinuke
1 eku- LokLF; ea=h
LokLF; ,oa ifjokj dY;k.k
2 nks fo/kkulHkk lnL;]
'kklu }kjk ukfer
3 izeq[k lfpo @lfpo
LokLF; ,oa ifjokj dY;k.k
4 izeq[k lfpo@lfpo
NRrhlx<+ 'kklu foRr foHkkx
5 vk;qDr] LokLF;
6 lapkyd LokLF; lsok;sa
7 lapkyd fpfdRlk fk{kk
8 nks [;kfr izkIr fpfdRld
'kklu }kjk ukfer
9 jkT;uksMy vf/kdkjh
lathouh dks"k

in
v/;{k
lnL;
lnL;
lnL;
lnL;
lnL;
lnL;
lnL;
lnL;@lfpo

fuf/k dk xBu%&
fuf/k dh LFkkiuk jkT; 'kklu }kjk LOkhd`r vuqnku ls dh tk;sxhA bl
fuf/k esa Hkkjr ls izkIr vaknku] tek jkfk ij vftZr C;kt] nkunkrkvksa }kjk nh
xbZ nku dh jkfk Hkh lfEefyr jgsxhA fuf/k dk izca/k bl iz;kstu ds fy, xfBr
izca/k lfefr }kjk fd;k tk;sxkA bl fuf/k ds ys[kksa dk vads{k.k fd;k tkosxkA
fuf/k dh jkfk jk"Vh;d`r cSad esa LokLF; vk;qDr ,oa lapkyd] LokLF; lsok;sa ds
la;qDr [kkrs esa tek dh tk;sxhA
fuf/k ls lgk;rk%&
xjhch js[kk ds uhps thou ;kiu djus okys ifjokj dh lwph esa 'kkfey
O;fDr;ksa eq[;ea=h [kk|kUu lgk;rk ;kstuk ds varxZr /kkfjr dkMZ/kkfj;ksa rFkk
foks"k ifjfLFkfr;ksa esa bl fu;e dks fkfFky djus dk vf/kdkj ekuuh;
eq[;ea=hth dks gksxk dks thou ?kkrd xaHkhj chekfj;ksa ds foks"kK bykt]
vkS|ksfxd nq?kZVuk ,oa d`f"k midjk.kksa ds lapkyu ls gqbZ nq?kZVuk ds ifj.kke
Lo:i gq, vk?kkr@pksV ds mipkj] ce foLQksV rFkk izkd`frd vkinkvksa ls igaqps
vk?kkr ds bykt ds fy;s ftlds bykt ij :i;s 25000@&iPphl gtkj ls
vf/kd O;; vuqekfur gks] dsoy ,d ckj lgk;rk nh tk;sxhA ;g lgk;rk dsoy
3

jkT; 'kklu }kjk ekU;rk izkIr iathd`r vkS"k/kky;ksa@fpfdRlky;ks@

a fpfdRlk
laLFkkuksa vkfn esa bykt djkus ij gh nh tk;sxhA mDr lgk;rk bl iz;kstu ds
fy, xfBr izca/k lfefr }kjk Lohd`r djk;h tk;sxhA lgk;rk jksxh dks u nh
tkdj mDr jksxh ds bykt gsrq lacaf/kr fpfdRlk laLFkku dks nh tk;sxhA
lathouh dks"k dh vf/kdre jkfk :- 1-50 yk[k dh Lohd`r dh tk ldsxh foks"k
ifjfLFkfr;ksa esa eku- eq[;ea=h th dks bl fu;e dks Hkh fkfFky djus dk vf/kdkj
gksxkA vf/kd O;; laHkkfor gksus ij vfrfjDr jkfk ds fy;s Hkkjr ljdkj ls
lgk;rk izkIr dh tk;sxhA lathouh dks"k esa ik= fgrxzkfg;ksa dks xqnkZ izR;kjksi.k
gsrq 3 yk[k o gsM bUtwjh efLr"d esa pksV gsrq :i;s 2 yk[k dh Lohd`r fd;s
tk,saxsA
6-

lgk;rk ds fy, vkosnu i= bl gsrq fu/kkZfjr izi= ifjfk"B d ij

lapkyd] fpfdRlk lsok,a NRrhlx<+ 'kklu dks vkosnu djuk gksxk rFkk vkosnu
i= ds lkFk fuEukafdr izek.k i=@vfHkys[k layXu djuk vfuok;Z gksxk%&

NRrhlx<+ ds ewy fuoklh izek.k i=A

[k xjhch js[kk ;kstuk ds uhps thou ;kiu djus okys vFkok eq[;ea=h [kk|ku lgk;rk
;kstuk ds fgrxzkgh ifjokj dk lnL; gksus dk dysDVj dk izek.k i=A
x iathd`r vkS"k/kky;@fpfdRlk laLFkku ls fpfdRlk ij laHkkfor O;; dk izkDdyuA
?k lfefr jkT; ds Hkhrj rFkk jkT; ds ckgj ,slh fpfdRlk laLFkkvksa dk p;u djsxh]
rFkk mUgsa lwphc) djsxh] tks lLrh nj ij vPNh ls vPNh LokLF; lsok miyC/k
djk;sxhA lfefr vius fy, mDr fpfdRlk laLFkkvksa esa lfefr }kjk ekax fd;s x;s izdj.kksa
dh vuqefr iznku djsxh rFkk lacfa /kr laLFkkuksa dks fu/kkZfjr nj ds vk/kkj ij Hkqxrku
djsxhA
p lfefr bl izdkj ds lwphc) fpfdRlk laLFkku ,oa fofHkUu xaHkhj jksxksa ds fy,
fu/kkZfjr mipkj O;; dh tkudkjh leLr ftyksa ds flfoy ltZuksa dks miyC/k djk;sxh ,oa
jkT; 'kklu dh bl ;kstuk dk lai.w kZ turk dks izpkj&izlkj ds ek/;e ls voxr djk;k
tk;sxkA
N vkikr fLFkfr o nq?kZVuk gksus ij izkIr izdj.k lathouh dks"k esa
ukekafdr@xSjukekafdr vLirkyksa esa HkrhZ gksus ij lkr fnol ds vanj vkosnu izLrqr djsx
a s]
ftl ij fuEukafdr lfefr fu.kZ; dj fu/kkZfjr jkfk dk Hkqxrku lacaf/kr laLFkku dks fd;k
tk ldsxkA
4

lfefr ds inkf/kdkjh
lapkyd LokLF; lsok;sa
lapkyd fpfdRlk fk{kk
vf/k"Bkrk fpfdRlk egkfo|ky; jk;iqj
,p-vks-Mh- esfMflu foHkkx
fpfdRlk egkfo|ky; jk;iqj
,p-vks-Mh- ltZjh foHkkx
fpfdRlk egkfo|ky; jk;iqj
uksMy vf/kdkjh lathouh dks"k

&
&
&

v/;{k
mik/;{k
lnL;

&

lnL;

&
lnL;
& lnL;@lfpo

LFkkfir fd;k tkrk gSA

fofo/k&
d bl fuf/k ls izkIr lHkh nku@vaknku vk;dj f}rh; lakks/ku] v/;knsk] 1996
1996 dk 32oka fnuakd 31@12@96 ds v/khu vk;dj vf/kfu;e] 1961 dh /kkjk
80 ds rgr vk;dj ds Hkqxrku ls NwV jgsxhA
[k izca/k lfefr dh cSBd vko;drkuqlkj dh tk,xh] ftlesa leLr yafcr izdj.kksa ij
fopkj fd;k tk,xkA
x izca/k lfefr }kjk Lohd`r fd, x, izdj.kksa dk C;kSjk iznsk ds izeq[k lekpkj i=ksa esa
izR;sd rSaekl izdkfkr fd;k tkuk gksxkA
?k bu fu;eksa esa lakks/ku ,oa fu.kZ; ds vf/kdkj jkT; 'kklu yksd LokLF; ,oa ifjokj
dY;k.k foHkkx dks jgsaxsA
p cSBd ds fy, x.kiwfrZ&lfefr ds vf/kd`r lnL;ksa esa vk/ks 1@2 lnL;ksa dh
mikfLFkfr esa vfuok;Z gksxh] lHkh fu.kZ; loZ lEefr ls fy, tk,axsA
N lfefr dk dk;Zdkjh] dk;kZy; lapkyuky;] LokLF; lsok;sa ds v/khu LFkkfir fd;k
x;k gS] ftlesa vko;drkuqlkj lsok fuo`Rr vf/kdkjh lafonk vk/kkj ij j[ks tk
ldsx
a sA

vkosnu &i= Hkjus ds funsZk

1.

vkosnu&i= ftyk ftyk/;{k dk;kZy;@flfoy ltZu dk;kZy; vFkok

ftyk vLirky ls miyC/k QkeZ esa vFkok fu/kkZfjr izk:i esa iBuh;
gLrfyfi@VkbZi djkdj fd;k tkuk pkfg;sA

2.

vkosnu&i= ds fcUnq dza- 1 ls 11 rd dk fooj.k ,oa vkosnd dk

?kks"k.kk &i= iBuh; gLrfyfi esa vFkok VkbZi djkdj Hkjk tk ldrk gSA vkosnu
i= visf{kr tkudkjh lkQ&lkQ vkSj iw.kZ :i ls djh tkuh pkfg;sA

3.

vkosnu ds fcUnq dzekad 11 rd dh izfof"V;ka djus vkSj ?kks"k.kk&i=

gLrk{kj ds ckn byukt dj jgs fpfdRld dk lq&Li"V izek.k&i= vafdr djus ds
ckn bls ftys ds ftyk/;{k dks izLrqr fd;k tkuk pkfg;sA ftys ds dysDVj
vkosnd ds ewy&fuoklh ,oa xjhch js[kk ds uhps thou ;kiu djus okys izek.k i=
dks vafdr djds vkosnu&i= dks lacfa /kr vkosnd dks okil djsxk ftlds ckn
vkosnd dks ftys ds flfoy ltZu dk;kZY;@ftyk vLirky esa mifLFkr gksdj
flfoy ltZu ls viuh tkap djkuh pkfg;s vkSj flfoy ltZu dk izek.k&i= vafdr
djuk pkfg;sA
flfoy ltZu }kjk gLrk{kfjr izek.k&i= vafdr djkus ds ckn vkosnu dks vkosnd
Lo;a] fdlh i=&okgd ds ek/;e ls Mkd }kjk LokLF; vk;qDr lg lfpo lathouh
lgk;rk dks"k lapkyuky; LokLF; lsok;sa N-x-] iqjkuk ulsZl gkWLVy Mh-ds-,lifjlj ea=ky; jk;iqj dks Hkstk tk;sA

%&lathouh dks"k ls lgk;rk ds fy;s vkosnu i= dk izk:Ik&%

Hkkx&1
vf/klwpuk dzekad ,Q- 18&01@2000@ukS@17] NRrhlx<+ 'kklu LokLF; ,oa ifjokj
dY;k.k foHkkx] fnuakd 08@03@13 ds ipkr~ lakks/s ku mijkar
izfr]
jkT;uksMy vf/kdkjh lathouh dks"k
}kjk%& lapkyd LokLF;
Lakpkyuky; LokLF; lsok;sa
iqjkuk ulsZl Nk=kokl izFkery &
Mh-ds-,l-ifjlj Nx- jk;iqj
VsyhQksu@QSDl& 0771&2235616

izs"kd%& ftyk/khk@flfoy ltZu@Lo;a @ftyk------------------------------------------- N-xfoks"k Vhi%&

1-

;g lsok xjhch js[kk ds uhps thou ;kiu djus okys ifjokj ,oa eq[;ea=h [kk|ku
lgk;rk ;kstuk ds dkMZ/kkjh ihfM+rks ds fy;s gS] fdUrq tks ihfM+r bl Js.kh esa ugha
vkrs gS muds fy;s foks"k ifjfLFkfr;ksa esa fu;eksa dks fkfFky djus dk vf/kdkj ekueq[;ea=h N-x- 'kklu dks gSA vr% ,sls izdj.k eku- eq[;ea=h lfpoky; ds ek/;e
ls izsf"kr fd;s tkosa rkfd vxj izdj.k ij Lohd`fr izkIr gksrh gS] rks fu;ekuqlkj
Lohd`fr Ikpkr~ lgk;rk miyC/k djkbZ tk ldrh gSA

2-

Lakthouh lgk;rk dks"k ls lathouh dh 30 lwphxr chekfj;ks@izfdz;kvksa ij ,d ckj

gh lgk;rk fn;s tkus dk izko/kku gSA Lohd`r lwph ls vU; chekfj;ksa ls ihfM+r
vkosnu ugha djsA os viuk mipkj xjhch js[kk vFkok eq[;ea=h [kk|kUu lgk;rk
;kstuk dk jkku dkMZ izLrqr dj iznsk ds lHkh 'kkldh; fpfdRlky;ksa esa miyC/k
lsokvksa ds vk/kkj ij fu;fer mipkj ys ldrs gSA
7

3-

Lkathouh lgk;rk dks"k ls ihfM+r ds mipkj gsrq Lohd`r jkfk lacaf/kr laLFkku dks
Hksth tkrh gSA ihfM+r dks uxn lgk;rk jkfk fn;s tkus dk dksbZ izko/kku ugha gSA
Lakthouh lgk;rk dks"k ls dk;ksZRrj Lohd`fr dk Hkh dksbZ izko/kku ugha gSA vr,o
,sls izdj.k ugha Hksts tkos] ijarq nq?kZVuk ,oa vkikr fLFkfr esa fgrxzkgh
Ikathd`r@viathd`r fpfdRlky; esa HkrhZ gksdj viuk mipkj izkjaHk dj ldsxkA
lathouh dks"k ls lgk;rk gsrq vkosnu i= fu/kkZfjr izi= esa iw.kZ dj 7 fnol ds
vanj jkT;uksMy vf/kdkjh lathouh dks"k esa tek djsxkA izLrqr vkosnu ij lapkyd
LokLF; lsok;sa ds v/;{krk esa xfBr lfefr fopkj dj fujkdj.k djsxhA lacaf/kr
fpfdRlky; dks izpfyr C.G.H.S. nj vFkok 'kklu }kjk vuqeksfnr nj tks Hkh de
gks ij lR;kiu mijkar Hkqxrku fd;k tkosxkA nksuks nj miyC/k u gksus ij izpfyr
cktkj nj Hkqxrku fd;k tkosxk] tks fd xqnkZ izR;kjksi.k o efLr"d esa pksV dks
NksMd
+ j 1-50 yk[k ls vf/kd ugha gksxkA xqnkZ izR;kjksi.k esa 3 yk[k o efLr"d esa
pksV gsrq vf/kdre lgk;rk jkfk 2 yk[k :i;s gksxhA fgrxzkgh dks fdlh Hkh izdkj
dh uxn lgk;rk jkfk fn;s tkus dk izko/kku ugha gSA

4-

lathouh dh 30 lwfpxr chekfj;ksa esa ls ljy dzekad 2]3]7]10]12] dks NksMdj 'ks"k
lHkh lwfpxr chekfj;ks dk mipkj MkW- ch-vkj-vEcsMdj vLirky jk;iqj flEl
fcykliqj] esfMdy dkWyst txnyiqj esa miyC/k gSA ogh ljy dzekad 3 esa
xqnkZizR;kjksi.k ds fy;s lgk;rk miyC/k djkbZ tkosxh fdUrq xqnZs dh 'kY;fdz;k
fdz;k lac/a kh lsok MkW-ch-vkj- vEcsMdj vLirky esa miyC/k gSA ,oa 'ks"k lwfpxr
chekfj;ksa ds izdj.k MkW-ch-vkj- vEcsMdj vLirky] flEl fcykliqj] esfMdy dkWyst
txnyiqj ls mipkj gsrq vuqkalk fd;s tkus ij jkT; ds vanj ekU;rk izkIr
fpfdRlky;ksa esa fjQj fd;s tkosx
a sA rFkk jkT; ds ckgj fjQj fd;s tkus okys
izdj.k MkW-ch-vkj-vEcsMdj esfMdy dkWyst jk;iqj ds vuqkalk ds ipkr~ gh Hksts
tkosx
a sA

@@vkosnd }kjk Hkjk tkos@@

jksxh dk uke------------------------------------------- firk@ifr Jh ------------------------------------------- vk;q -----------------okMZ dz ----------edku ua- ------------------ xzk@kgj -------------------------------- iks------------------------------------------- fo[ka- -------------------------rg-----------------ftyk -------------------------------------- d`i;k viuk irk i=kpkj gsrq
Li"V 'kCnksa esa fy[ksa

vHkh rd fdl laLFkku esa mipkj fy;k x;k gS ijh{k.k lac/a kh tkudkjh ds lkFk
laf{kIr fooj.k nsoAsa

'kklu }kjk iwoZ esa jksx ds mipkj gsrq fdlh rjg dh foRrh; lgk;rk djkbZ xbZ gS
;fn gka rks izkIr lgk;rk dk fooj.k nsoasA

lgk;rk L=ksr dk uke------------------------------------ lgk;rk fdruh ckj miyC/k djkbZ xbZ--------------------------- Lohd`r jkfk------------------------------------------ dc ,oa fdruh ckj nh xbZaA
@@lR;kiu@@
eSa@ge lR; fu"Bk ls ?kks"k.kk djrk gwWa@djrs gS fd vkosnu i= esa mijksDr
lHkh fooj.k esjh@gekjh tkudkjh ds vuqlkj iw.kZr% lR; gS vkSj dqN Hkh fNik;k ugha x;k
gSA
LFkku--------------------fnukad-----------------vkosnd ds gLrk{kj
vaxwBk fukkuh ;fn vui<+ gks
foyEc ls cpus ds fy;s vkosnu i= iw.kZ gksus ij gh izLrqr djsa rkfd Rofjr dk;Zokgh
dj lsok fu;ekuqlkj miyC/k djkbZ tk lds
xokg ds uke
----------------------------------------irk ,oa gLrk{kj ----------------------------------------vui<+ vkosnd ds ekeys esa
9

%& bykt djus okys fpfdRld dk izek.ki= &%

izekf.kr fd;k tkrk gS fd Jh@dq-@Jherh------------------------------------------- firk@ifr---------------------------------fuoklh--------------------------------- edku ua- ---------------- okMZ ------------ xzk-@uxj --------------------------------------------------------------------------

iksLV vkfQl----------------------fo-[ak------------------------------- rg-------------

------------------ ftyk------------------------------------ NRrhlx<+ dk esjs }kjk -------------------------------------- chekjh

dk uke dk bykt -----------------------------------fnu@ekl@o"kZ ls fd;k tk jgk gSA
LFkku ---------------------fnukad -------------------fpfdRld dk uke iath;u dzekad
,oa iw.kZ irk

10

Hkkx - 2
ftyk dk;kZy; }kjk dh tkus okyh dk;Zokgh
vkosnd ds ewyfuoklh ,ao xjhch js[kk ds uhps thou ;kiu vFkok eq[;ea=h [kk|kUu
lgk;rk ;kstuk ds fgrxzkgh ifjokj dk izek.k i=
izek.k i=
1- izekf.kr fd;k tkrk gS fd Jh@dq-@Jhefr --------------------------------------------------------------------------firk@ifr

Jh----------------------------------------------------------

fuoklh------------------------------------------------

eaua- -----------okMZ ------------- xzke@uxj--------------------------------------------- iks-vk- -------------------------------fo-[ka- ----------------------------- rg- ----------------------------------------------- ftyk --------------------------------------NRrhlx<+ jkT; dk ewy fuoklh gSA rFkk vkosnd ihfM+r dk uke xzk iapk;r@uxj
iapk;r@uxj ikfydk fuxe esa xjhch js[kk ds uhps thou ;kiu djus okys ifjokjksa
ds jftLVj esa ljy dzekad ------------------------- ij ntZ gSA
vFkok
eq[;ea=h [kk|kUu lgk;rk ;kstuk ds varxZr dkMZ/kkjh gSA jkku dkMZ dzekad ----------------gS] O;fDRk dk uke ikfjokfjd fooj.k esa dzekad ----------------------- ij of.kZr gSA

ftyk/khk ds gLrk{kj
ftyk -------------------------------- N0x0
mi;qZDr izek.k i= ij ftyk/khk }kjk Lo;a gLrk{kj fd;k tkosxkA viw.kZ
gksus ij vkosnu ekU; ugha fd;k tk ldsxkA
g`n; jksx] xqnkZ izR;kjksi.k ,oa us=jksx gsrq 'kklu ls vuqcaf/kr laLFkkvksa esa gh izdj.k
mipkj gsrq Hksts tkrs gSA ljy dzekad 4 ,oa 5 ds mipkj gsrq MkW-ch-vkj- vEcsMdj
vLirky jk;iqj ds vfLFk jksx foHkkx ls izkDdyu izkIr dj layXu djsAa blh rjg ljy
dzekad 2]3]7]10]12 dks NksMd
+ j lHkh izdj.k ftyk vLirkyksa ds ek/;e ls MkW-ch-vkjvEcsMdj vLirky jk;iqj ] flEl fcykliqj] esfMdy dkWyst txnyiqj Hksts tkosaxsaA ogha
ljy dzekad 3 esa xqnkZ izR;kjksi.k NksMd
+ j xqnsZ dh vU; 'kY;fdz;k gsrq izdj.k dks MkW -ch11

vkj- vEcsMdj vLirky jk;iqj gh izsf"kr fd;s tkosaxsA jk;iqj laHkkx ds izdj.k esfMdy
dkWyst jk;iqj] fcykliqj ,oa vfEcdkiqj laHkkx ds izdj.k flEl fcykliqj] txnyiqj
laHkkx ds izdj.k esfMdy dkWyst txnyiqj }kjk vuqkaflr fd;s tkosaxsA
Hkkx 3
flfoy ltZu dk izek.k i=
dysDVj ftyk --------------------- N0x0 ds i= dzekad ------------------- ds lanHkZ esa izkIr
vkosnu i= esa ntZ jksxh Jh@dq-@Jhefr -------------------------------- firk@ifr --------------------------------fuoklh@xzk@kgj---------------- edku ua- ----------------- okMZ ----------- iks-vk- ---------------------- fo-[ak------------------------------rg- ------------------------------------- ftyk ------------------------- N0x0 dk ijh{k.k esjs }kjk MkW0 ---------------------------------------------- foks"kK dh lgk;rk ls fd;k x;k gS] eSa larq"V gWaw fd jksxh
Jh@dq@Jhefr ------------------------------------- jksx ls ihfM+r gS rFkk blds leqfpr bykt gsrq--------------------------------------------- fpfdRlky; Hkstuk izLrkfor gS jksxh dh nkk ,oa bykt dk C;kSjk
fuEufyf[kr gS ----------------------------------------------------------------------------------------------------------------------------------------------Vhi& flfoy ltZu dk;kZy;ksa ls izdj.k futh laLFkkvksa dks lh/ks u Hksts tkdj jk;iqj
laHkkx ds izdj.k MkW-ch-vkj-vEcsMdj esfMdy dkWyst jk;iqj] fcykliqj ,oa vfEcdkiqj
laHkkx ds izdj.k flEl fcykliqj] rFkk txnyiqj laHkkx ds izdj.k esfMdy dkWyst
txnyiqj ds fy;s gh izsf"kr fd;s tkosaA
LFkku----------------------fnukad---------------------flfoy ltZu ds gLrk{kj
foks"kK ds gLrk{kj
lkQ 'kCnksa esa lhy lfgr

12

Hkkx 4
*psd fyLV*
1- NRrhlx<+ jkT; dk ewy fuoklh izek.k i= ,oa xjhch js[kk ds uhps thou ;kiu djus
dk izdj.k gS@ugha gSA
2- flfoy ltZu }kjk jksx dk izek.k i= layXu gS @ugha gSA
3- ejht dh chekjh ls lacfa /kr funku
Investigation

,oa bykt

Treatment

Diagnosis

vc rd djk;s x;s tkap

ls lacfa /kr lHkh dkxtkr dh izfr;k ewy

vkosnu ds lkFk vo; layXu djsAa rkfd lathouh dks"k }kjk izdj.k dk leqfpr
ijh{k.k dj Lohd`fr ds lanHkZ esa mfpr fu.kZ; fy;k tk ldsAa tSls flj dh lka?kkfrd
pksV

(Head Injury)

cszu V~;wej ds ejhtksa esa lh-Vh- Ldsu] g`n; jksx ejhtksa gsrq bZdks

dkfMZ;ksxzkQh ,oa xqnkZ izR;kjksi.k esa ekuuh; loksZPp U;k;ky; ds fnkk funsZkksa ds
ifjikyu esa xqnkZ nsus okys ] ,oa xqnkZ izkIr djus okys }kjk uksVjh ls rS;kj fd;k x;k
'kiFk i= ds lkFk lkFk xqnkZ dzkl eSp fjiksVZ Hkh vo; layXu djsaA mijksDr
izek.khdj.k rhu izfr;ksa esa rS;kj fd;k tkos ftlesa ,d izfr dysDVj dks nwljk izfr
vkosnd ds ikl rhljh izfr tks fd ewy vkosnu gksxkA lathouh dks"k lapkyuky; ds
fjdkMZ esa j[kk tkosxkA
4- lathouh dks"k ds fu/kkZfjr vkosnu i= izk:Ik iw.kZ gksus ij Lo;a@i= okgd ds
lkFk@Mkd }kjk lathouh lgk;rk dks"k lapkyd LokLF; lsok;sa iqjkuk ulsZl
Nk=kokl Mh-ds-,l-ifjlj jk;iqj dks izLrqr fd;k tkosA

Hkkx 5
lathouh dks"k ds varxZr ftu chekfj;ksa ds fy;s lgk;rk jkfk nh tkrh gS muds uke
fuEukuqlkj gS%&
1-

All Cancer Surgery Chemotherapy & Radiotherapy

lHkh izdkj ds dSalj jksx dk

iw.kZ mipkj ,oa vkijsku & xjhch js[kk ds uhps thou ;kiu djus okys dSalj ihfM+r
13

lh/ks MkW-ch-vkj- vEcsMdj vLirky jk;iqj dh dSalj 'kk[kk esa mifLFkr gks ijh{k.k
djkdj mipkj ysaosA lathouh 'kk[kk esa vkosnu izLrqr djus dh vko;drk ugha gSA
2-

Thoracic Surgery

o{kh; 'kY;fdz;k;sa Fkksjsfld ltZjh & 'kklu ls ,LdkVZ gkVZ lsaVj

ekU;rk izkIr laLFkku gS tgka xjhch js[kk ds uhps thou ;kiu djus okys

izdj.k

lathouh 'kk[kk ls mipkj gsrq Hksts tkosx

a sA
3-

Reneal Surgery & Renal

Transplantation

xqnZs dh 'kY;fdz;k;sa ,oa xqnkZ

izR;kjksi.k & xqnZs dh kY;fdz;k;sa & MkW-ch-vkj- vEcsMdj vLirky jk;iqj] xqnkZ
izR;kjksi.k yhykorh vLirky eqacbZ 'kklu ls ,e-vks-;w- ds vuqlkj Hksts tkrs gSA
4-

Total Hip Joint Replacement

dwYgs dh gM~Mh cnyuk

& xjhch js[kk ds uhps

thou ;kiu djus okys ihfM+r MkW-ch-vkj- vEcsMdj vLIkrky jk;iqj ds vfLFkjksx
foHkkx esa mipkj ysos rFkk lathouh ds fu/kkZfjr izi= ij

izkDdyu lfgr vkosnu

izLrqr djsA
5-

Knee Joint Replacement

?kqVuk cnyuk xjhch js[kk ds uhps thou ;kiu djus

okys ihfM+r MkW-ch-vkj- vEcsMdj vLIrky jk;iqj ds vfLFkjksx foHkkx esa mipkj ysos
rFkk lathouh ds fu/kkZfjr izi= ij izkDdyu lfgr vkosnu izLrqr djsA
6-

Head Injury Requiring Operative Intervention

flj esa vkbZ van:uh pksV gsM

bUT;wjh ftldh kY;fdz;k vko;d gks& MkW-ch-vkj-vEcsMdj vLirky ds U;wjksltZjh

foHkkx ls mipkj ysoAsa vf/kdre 2 yk[k :- rd lgk;rk jkfk nh tkosxhA
7-

Organ Transplantation

vax izR;kjksi.k MkW-ch-vkj- vEcsMdj vLIrky jk;iqj esa

izkjafHkd ijh{k.k djkos]a rFkk mudh vuqkalk ij izdj.k 'kklu ls ekU;rk izkIr futh
laLFkkuksa esa Hksts tk ldsx
a sA lathouh ls lgk;rk dh vf/kdre lhek 1]50]000@& ,d
yk[k ipkl gtkj gSA
8-

Comatose Conditions

uhe csgkskh dh fLFkfr;ka & MkW- ch-vkj- vEcsMdj vLirky

ds U;wjksykth ,oa esfMflu foHkkx esa ch-ih-,y- dkMZ ds lkFk mifLFkr gks ijh{k.k
djkdj mipkj ysaosA
14

9-

Spinal Surgery

jh<+ dh gM~Mh dh 'kY;fdz;k;sa & MkW-ch-vkj- vEcsMdj vLirky ds

U;wjksykWth foHkkx esa ch-ih-,y- dkMZ ds lkFk mifLFkr gks ijh{k.k djkdj mipkj ysaoAs
10-

Retinal Detachment

vka[k ds ijns dh vyx gksus dh 'kY;fdz;k;sa & MkW- ch-vkj-

vEcsMdj jk;iqj ds us= jksx foHkkx esa mipkj ysaos] rFkk mudh vuqkalk ij izdj.k ,eth-,e- vLirky fo/kku lHkk jksM jk;iqj 'kklu ls fd;s x;s vuqc/a k vuq:Ik Hkstk
tkosxkA
11-

Post Puerperial Complications

izloksRrj tfVyrk;sa & MkW- ch-vkj-vEcsMdj

vLirky jk;iqj ds L=hjksx foHkkx esa ch-ih-,y-dkMZ ds lkFk mifLFkr gks ijh{k.k
djkdj mipkj fy;k tk ldrk gSA
12-

Cardiac Surgery

g`n; dh 'kY;fdz;k;sa & 'kklu ls ,LdkVZl gkVZ lsaVj jk;iqj

ls fd;s x;s vuqca/k vuq:Ik dafMdk 9 ds rgr g`n; jksx ls ihfMr lHkh izdj.k fdlh
vU; laLFkku esa u Hksts tkdj dsoy ,LdkVZl gkVZ lsaVj jk;iqj gh Hksts tkosaxsA
13-

Injuries caused by industrial Accidents, Handling Agricultural Machines,

Bomb Blast and Natural calamities-

izkd`frd foinkvks]a vk|ksfxd nq?kZVukvks]a d`f"k

midj.kksa ,oa ce foLQksV ls gqbZ nq?kZVuk ds mipkj ,oa 'kY;fdz;k;sa & MkW- ch-vkjvEcsMdj vLirky esa nq?kZVuk ls lacfa /kr 'kk[kk esa mifLFkr gks mipkj ysao s] rFkk
lacfa /kr laLFkku dh vuqkalk ij gh izdj.k vU; ekU;rk izkIr laLFkkuksa esa mipkj gsrq
Hksts tk ldsaxsAa
14-

Haemodialysis

15-

Peritoneal Dialysis

16-

Hepatitis B.C.(inj)

17-

Stricture Urethra

18-

Burn Cases

19-

Portal Hypertension

20-

Diabetes Melltus

21-

Juvenile Diabetes

22-

Shunt Surgery for Portal Hypertension (Spleno renal )

(inj) Insulin

15

23-

Lobectomy for Lungs

24-

Paediatric Renal Transplant

25-

Multi Organ Failure-Falciparam Malaria

26-

Acute Renal Failure

27-

Prostate Surgery (BPH Turp)

28-

ERCP (Pancreatic Duct & Bileduct Shunt)

29-

Shunt for Lithotripsy

30-

Portal Hypertension Shunt Surgery (Portocaval)

ljy dzekad 14 ls 30 rd MkW-ch-vkj-vEcsMdj vLirky jk;iqj] flEl vLirky

fcykliqj] esfMdy dkWyst txnyiqj esa mipkj miyC/k gksus mijksDr laLFkkuksa esa mipkj
fd;k tkosxkA mijksDr laLFkkuksa }kjk vuqkaflr fd;s tkus ij jkT; ds vanj ekU;rk izkIr
fpfdRlky;ksa esa mipkj gsrq Hkstk tkosxkA jkT; ds ckgj mipkj gsrq vuqkaflr fd;s tkus
ij MkW-ch-vkj-vEcsMdj vLirky jk;iqj }kjk vuqkaflr izdj.k gh Hksts tkosaxsA
&&&&&&&&&&&&

16