Avgvkq
(Dysentery) eÅvKGUwiqv
ev ciRxex cÉGUvGRvqvNwUZ ‰KwU Avw¯¨K ˆivM| eÅvKGUwiqvNwUZ AvgvkGqi Drm
‰KwU eÅvwmjvm (bacillus)|
‰ RbÅ ‰GK eÅvwmjvwi AvgvkqI ejv nq| Avgvkq Drcv`K eÅvKGUwiqv shigella MYfzî×, ZvB eÅvwmjvwi AvgvkqGK
wkGMGjvwmmI ejv nGq ^vGK| ciRxex «¼viv m†Ó¡ Avgvkq Entamoeba histolytica bvgK AÅvwgevi KviGY NUvq
‰GK AÅvwgweqvwmm eGj|
Avgvkq
ZxeË (acute)
‰es `xNÆÕ©vqx DfqB nGZ cvGi| eÅvwmjvwi AvgvkGqi msò×gY NGU `ƒwlZ cvwb
ev LvG`Åi mGã Shigella
eÅvwmjvm MjvatKiGYi dGj| eÅwî×MZ AcwiœQ®²Zv I gjwbÓ•vkGbi AeÅeÕ©v ‰B
ˆivMweÕ¦vGii mnvqK| AG¯¨i wfZi Shigella eÅvwmjvm `Ë‚Z e†w«¬ cvq ‰es
ˆKvlKjvi ÞwZmvaGbi dGj cÉ`vn, iî×cvZ I R¾Gii mƒPbv NGU ‰es ZxeË ˆcUeÅ^v
Abyf„Z nq| gGj wbMÆZ ˆkÏÓÃv I iî× eÅvwmjvwi AvgvkGqi cÉavb jÞY| Nb Nb
gjZÅvM ‰es ZvGZ eÅ^v ^vGK| cÞv¯¦Gi AÅvwgweK AvgvkGq mvaviYZ gGj iî×
^vGK bv ‰es ˆivMI ZZUv gvivñK bq| ˆkÏÓÃvwgwkÉZ Nb Nb gjZÅvM I ˆcUeÅ^v
AÅvwgevNwUZ AvgvkGqi cÉavb jÞY| ˆKvb ˆKvb ˆivMxi ˆÞGò ‰ Avgvkq gvGmi
ci gvm Õ©vqx nGZ cvGi ‰es mÁ¿eZ AÕ¼vÕ©ÅKi cwiGeGki msÕ·GkÆ cybtmsò×gGYi
dGjB ‰gbwU NGU|
evsjvG`Gk
eÅvwmjvwi I ciRxex Dfq cÉKvi AvgvkqB h^v^Æ AvçwjK ˆivM eGj MYÅ ‰es eÅvwmjvwi
AvgvkGq weGklZ wk÷G`i i‚™²Zv I g†ZzÅ nvi hG^Ó¡ eÅvcK| cÉGZÅK eQi ˆKvb
‰KwU ˆK±`Ê ˆ^GK eÅvwmjvwi AvgvkGqi eÅvcK Avò×gY I `Ë‚Z weÕ¦vi NGU, cÞv¯¦Gi
ciRxex Avgvkq Qovq AGbKUv g¯©ifvGe| evsjvG`Gk mvaviYZ eQGi ˆhLvGb eÅvwmjvwi
AvgvkGqi NUbv 2-3 jÞ ˆmLvGb AÅvwgweK AvgvkGqi Avò×gY ZzjbvgƒjKfvGe Kg|
AÅvwgexq
Avgvkq (Amoebiasis)
Entamoeba histolytica
bvgK
‰KGKvlx ciRxexNwUZ ‰K cÉKvi D`ivgq| ‰B ‰KGKvlx RxevYy wbaÆvwiZ ˆKvlKjv
I AG¯¨i ŠkÏwÓÃK wSwÍÏ Avò×gY KGi ‰es ˆivM ÷i‚ nGj ŠkÏwÓÃK wSwÍÏi Õ©vGb
Õ©vGb ÞZ m†wÓ¡ nq ‰es ˆmàwj ˆ^GK ˆkÏÓÃv, cPv ˆ`nGKvl, AÅvwgev-ˆKvl wbMÆZ
nq| ˆivM jÞGY ^vGK ˆcUeÅ^v, Nb Nb ˆkÏÓÃv mnKvGi gjZÅvM (w`Gb 30 evi
ev ZGZvwaK), gjZÅvGM h¯¨bv, ewg I mvaviY ˆ`ŒeÆjÅ| RxevYyNwUZ iî× AvgvkGq
ˆhLvGb gGji mGã UvUKv iî×cvZ NGU, ˆmLvGb AÅvwgexq AvgvkGq gvivñK cwiwÕ©wZ
eÅZxZ mvaviYZ gGj ˆKvb iî× ^vGK bv|
AÅvwgev
ciRxex RxebPGò×i ‰K chÆvGq gvbyGli kixGi Þz`Ë Þz`Ë àwUKv ev wmÕ¡ ŠZwi
KGi| ‰àwji cyi‚ cÉvPxi ^vGK ‰es Avò×v¯¦ eÅwî×i gGji mGã wbMÆZ nq| wbMÆZ
wmÕ¡àwj gvwUGZ `xNÆw`b ˆeuGP ^vKGZ cvGi ‰es msò×gY Qovq| ZvB ‰B ˆivMweÕ¦vGii
mGã gjZÅvGMi ‰KUv NwbÓ¤ mÁ·KÆ ^vGK| gj-wbKvGki myeÅeÕ©v ˆbB ‰gb Õ©vGb,
weGklZ D®²qbkxj ˆ`Gki MÉvgvçGj ˆhLvGb ˆLvjv RvqMvq ˆjvGK gjZÅvM KGi
ˆmLvGb ‰B ˆivM AZÅwaK| wmÕ¡àwj mvaviYZ KuvPv mewR ev mvjv` ˆ^GK A^ev
fvjfvGe wm«¬ bq ‰gb ZwiZiKvwii gvaÅGg gvbyGli AG¯¨ cÉGek KGi|
AbMÉmi
Av^Æ-mvgvwRK AeÕ©v, AwbfÆiGhvMÅ gj-wbKvk eÅeÕ©v ‰es MÉvgvçGj D¯Ãyî×
Õ©vGb gjZÅvM BZÅvw` KviGY evsjvG`Gk mviv eQiB ‰B AvgvkGqi cÉej SuywK
^vGK| ‰wU ˆ`Gki ‰KwU cÉavb RbÕ¼vÕ©Å mgmÅv| AÅvwgexq AvgvkGqi cÉGKvc
mÁ·GKÆ mwVK Z^Åvw` cvIqv hvq wb| XvKvq AewÕ©Z evsjvG`k Av¯¦RÆvwZK D`ivgq
ˆivM MGelYv ˆKG±`Ê ‰KwU mxwgZ cwimi MGelYv PvjvGbv nGqwQj| ‰B msÕ©vi
Puv`cyi ˆRjvi gZjGe AewÕ©Z gvV ˆKG±`Ê ˆhLvGb cÉvq 2 jÞvwaK ˆjvK RbmsLÅvZvwî½K
I Õ¼vÕ©ÅMZ bRi`vwiGZ AvGQ, ˆmLvGb AÅvwgexq AvgvkGqi NUbvàwjI wnmve ivLv
nq| ‰me MGelYv ˆ^GK ‰B ˆivGMi cÉGKvc mÁ·GKÆ wKQy aviYv cvIqv hvq| MÉvgvçGji
wk÷G`i Zzjbvq knivçGji wk÷G`i gGaÅ DcmMÆnxb ˆivMRxevYy msò×gGYi cÉGKvc
AGcÞvK‡Z ˆewk| wk÷KvGji cÉ^g w`GKB ˆivMRxevYy msò×gY NGU ‰es 15 eQi
eqmx wKGkviG`i wZb-PZz^ÆvsGk BGZvgGaÅB ˆKvb ‰K mgq ˆivM msò×gY NGUGQ
ˆmB jÞY ˆ`Lv hvq, ˆKbbv 15 eQGii ˆewk eqmxG`i iGî× ˆivMRxevYyi AÅvw´ŸGRGbi
DcwÕ©wZ cvIqv hvq| ‰me DcmMÆnxb evnK cÉvqkB AcywÓ¡ ev gvbwmK PvGci dGj
cyGivcywi ˆivMvò×v¯¦ nGq cGo| cixÞvq ˆ`Lv ˆMGQ ˆh, AwaK kKÆiv I ռ͸
Avwglhyî× Lv`ÅeÕ§ wbfÆiZv ‰B ˆivGMi mnvqK| evsjvG`kmn AGbK D®²qbkxj
ˆ`GkB kKÆiv I Avwgl DfGqiB NvUwZRwbZ AcywÓ¡ LyeB eÅvcK| dGj ‰K weivU
msLÅK AcyÓ¡ gvbyGli AÅvwgexq AvgvkGq Avò×v¯¦ nIqvi SuywK ^vGK| AG¯¨i
evBGi AÅvwgexq AvgvkGqi mvaviY cÉKvk nGjv AÅvwgexq ˆncvUvBwUm ev hK‡GZi
cÉ`vn| ˆivMwU evsjvG`Gki Avgvkq ˆivMxG`i gGaÅI mnR`†Ó¡|
eÅvwmjvwi
Avgvkq (bacillary
dysentery) AG¯¨
ˆivM Drcv`K eÅvKGUwiqv Shigella
KZ‡ÆK m†Ó¡ D`ivgwqK AmyÕ©Zv hv wkGMGjvwmm (Shigellosis) bvGg cwiwPZ| [wRqv Dwób AvnGg`]
AviI
ˆ`Lyb AvBwmwWwWAvi,we|