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RCFP_ Injectables FAQ Hindi |
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1 Pages 1-10 |
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1.1 Page 1 |
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xHkZfujks/kd batsD'ku
vDlj iwNs tkus okys ç'u
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1.2 Page 2 |
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1.3 Page 3 |
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,esuksfj;k
;g ,d cM+h fpark dk fo"k; gS
dSls ns[kHkky djuh gS
dsoy çkstsLVª‚u okys xHkZfujks/kdksa ds lsou ls ,esuksfj;k ¼ekfld lzko u gksuk½
gks ldrk gS vkSj blds bykt ds fy, dksbZ nok ysus dh t:jr ugha gSA
LokLF; dfeZ;ksa dh ;s ftEesnkjh gS fd ,slh fLFkfr vkus ij efgykvksa dks
lg;ksxkRed ijke'kZ nsa vkSj mUgsa vk'oLr djsaA xHkZfujks/k ds fy, batsD'ku dk
p;u djus ls igys gjsd efgyk dks mfpr ijke'kZ nsuk pkfg, vkSj mUgsa crkuk
pkfg, fd blds bLrseky ls ,esuksfj;k gks ldrk gSA
Mh,eih, bLrseky ds nwljs o"kZ ds var rd yxHkx 80% efgykvksa dks
,esuksfj;k gks tkrk gSA
LokLF; dfeZ;ksa dks efgykvksa dks vk'oLr djuk pkfg;s fd ;g xHkZ/kkj.k dk
y{k.k ugha gS cfYd bl ckr dk ladsr gS fd Mh,eih, batsD'ku çHkkoh <ax ls
dke dj jgk gSA ;g oSlk gh gS tSls xHkkZoLFkk/Lruiku djkus ds nkSjku ekfld
jälzko ugha gksrkA blls efgykvksa ds LokLF; ij dksbZ cqjk çHkko ugha iM+rk]
cfYd ftu efgykvksa dks ,uhfe;k dk [krjk gks] muds fy;s ;g cgqr vPNk gks
ldrk gSA ,sls esa dqN efgyk,a vlgt eglwl dj ldrh gSa D;ksafd ekfld
lzko u gksus ij mUgsa iDdk Hkjkslk ugha gks ikrk fd os xHkZorh gSa ;k ughaA
*,esuksfj;k dk vFkZ gS ekgokjh u gksukA ekgokjh efgykvksa dks çfrekg gksus okys jälzko dks dgrs
gSaA
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1.4 Page 4 |
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bl fLFkfr esa dsoy mfpr vkSj fof'k"V ijke'kZ gh ennxkj gks ldrk gS vkSj
;g ijke'kZ efgykvksa }kjk Mh,eih, dk p;u djrs od~r fn;k tkuk pkfg,A
,esuksfj;k gksus ls igys gh mUgsa blds ckjs esa vkSj bldh otg ls ekfld /keZ
esa vkus okys cnykoksa ds ckjs tkudkjh nh tkuh pkfg,A ,esuksfj;k gks tkus ds
ckn mUgsa fQj ls vk'oLr djus ds fy, lg;ksxkRed ijke'kZ nsuk pkfg,A fQj
Hkh ;fn fdlh efgyk dks ,esuksfj;k vLohdk;Z yxs rks Mh,eih, dk ç;ksx can
djok nsa vkSj dksbZ vkSj xHkZfujks/kd pquus esa mldh enn djsaA
D;k Mh,eih, yxokus ds ckn
otu c<+rk gS\\
Mh,eih, lsou ds igys lky esa efgykvksa dk otu vkSlru 1&2 fdyksxzke rd
c<+ ldrk gSA
dqN efgykvksa dk otu fcydqy ugha c<+rk
vkSj dqN dk otu 2 fdyksxzke ls T;knk Hkh
c<+ ldrk gSA otu c<+us ds dkj.k T;knkrj
dqN vkSj gksrs gSa tSls [kku&iku vkSj 'kkjhfjd
Je dh dehA mUgsa lgh [kku& iku vkSj
O;k;ke ds tfj;s otu ij fu;a=.k ds ckjs esa
ijke'kZ fn;k tkuk pkfg,A
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1.5 Page 5 |
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Mh,eih, ds foQy gksus dh nj
D;k gS\\
Mh,eih, xHkZfujks/k dk csgn dkjxj rjhdk gSA fcydqy lgh <ax ls
bLrseky fd, tkus ij ¼vxj efgyk,a gj ckj lgh le; ij nksckjk
batsD'ku yxok ysa½] blds foQy gksus dh nj ek= 0-3% gSA ysfdu
lkekU; gkykr esa ¼tc efgyk,a dHkh&dHkkj nksckjk batsD'ku nsj ls
yxokus vkrh gSa½ bldh foQyrk dh nj 3% rd gks ldrh gSA
Mh,eih, ds vafre batsD'ku ds fdrus le; ckn
ekfld /keZ fQj ls 'kq: gks tkrk gS\\
Mh,eih, ds bLrseky ls ekfld /keZ /çtuu {kerk dh okilh esa nsjh gksrh gSA
vafre batsD'ku ds ckn vkSlru 7 ls 10 eghus rd dk le; yx ldrk gSA
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1.6 Page 6 |
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Mh,eih, dc 'kq: fd;k
tkuk pkfg,\\
vxj ;g iDdk gks fd efgyk xHkZorh ugha gS rks Mh,eih, dHkh Hkh 'kq: fd;k
tk ldrk gSA gkykafd efgyk dh fLFkfr ds vuqlkj Mh,eih, dh igyh [kqjkd
fuEufyf[kr le; ij nh tk ldrh gS:
çlo ds ckn: vxj efgyk Lruiku djk jgh gks rks cPps ds tUe ds 6 g¶rs
ckn Mh,eih, dk igyk batsD'ku yxk,a] vxj og Lruiku u djk jgh gks rks
Mh,eih, dk igyk batsD'ku 6 g¶rs ls igys Hkh yxk;k tk ldrk gSA
xHkZikr ds rqjar ckn: xHkZikr ds fnu gh ;k xHkZikr ds 7 fnu ds Hkhrj igyk
batsD'ku yxk;k tk ldrk gSA vU;Fkk ;g tk¡pus ds ckn fd xHkZ rks ugha gS]
dHkh Hkh Mh,eih, yxok;k tk ldrk gSA vxj xHkZikr ds 7 fnu ds ckn
batsD'ku yxok;k tkrk gS rks igys 7 fnu rd lkFk esa fdlh vkSj xHkZfujks/kd
dk Hkh bLrseky djuk pkfg,A
ekgokjh ds ckn: ekfld pØ ds igys lkr fnuksa esa fdlh Hkh fnu igyk batsD'ku
fn;s tkus ij fdlh vkSj xHkZfujks/kd dh t:jr ugha gksrhA vxj ;g iDdk gks
fd efgyk xHkZorh ugha gS ¼vafre ekgokjh ds ckn dHkh vlqjf{kr laHkksx u fd;k
gks½ rks ckn esa ¼ekfld pØ ds igys 7 fnuksa ds ckn½ Hkh igyk batsD'ku yxok;k
tk ldrk gSA ysfdu rc batsD'ku yxokus ds ckn igys 7 fnu rd dksbZ vkSj
xHkZfujks/kd Hkh ¼tSls daMkse½ bLrseky djuk gksxkA
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1.7 Page 7 |
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le; ls Mh,eih, yxokus
dk D;k vFkZ gS\\
Mh,eih, bLrseky djus okyh efgykvksa dks gj rhu eghus esa batsD'ku yxokuk
gksrk gSA
fo'o LokLF; laxBu ¼McY;w,pvks½ ds fn'kkfunsZ'kksa ds eqrkfcd fdlh efgyk
dks Þxzsl vof/kß ;kfu rhu eghus iwjs gksus ls nks g¶rs igys ;k nks g¶rs ckn
rd Hkh Mh,eih, ;k usV&bZ,u batsD'ku dh vxyh [kqjkd nh tk ldrh gSA
ysfdu Hkkjr ljdkj ds fn'kkfunsZ'k gSa fd vxyk batsD'ku fu/kkZfjr rkjh[k ls
nks g¶rs igys ;k pkj g¶rs ckn Hkh yxok;k tk ldrk gSA vxj pkj g¶rs ls
T;knk le; gks tk, rks nqckjk batsD'ku yxkus ls igys ;g lqfuf'pr djuk
gksxk fd efgyk xHkZorh u gksA vxj efgyk dks ekgokjh u gks jgh gks rks
xHkkZoLFkk tkap ;k isMw dh tkap djuh pkfg,A efgykvksa dks vxyk batsD'ku
yxokus ds fy, le; ij vkus ds egRo ds ckjs esa ijke'kZ nsuk t:jh gSA
D;k os efgyk,a Hkh Mh,eih, yxok ldrh gSa
tks dHkh ek¡ u cuh gksa\\
os efgyk,a Hkh xHkZfujks/k ds fy, Mh,eih, yxok ldrh gSa tks dHkh ek¡ u cuh
gksaA
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1.8 Page 8 |
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ysfdu ,sls naifÙk;ksa dks ;g crk;k tkuk t:jh gS fd Mh,eih, batsD'ku
yxokuk can djus ds ckn efgyk dh çtuu {kerk okil vkus esa yxHkx 4 ls
6 eghus ;k dbZ ckj blls Hkh T;knk le; yx ldrk gSA mUgsa blh ds eqrkfcd
xHkZ/kkj.k dh ;kstuk cukuh pkfg,A çtuu {kerk okil vkus esa yxHkx 12
eghus dk le; yxrk gS vkSj ,slh efgykvksa dks xHkZ/kkj.k esa ,d o"kZ vkSj Hkh
yx ldrk gSA
çtuu {kerk dh okilh esa nsjh
ls tqM+h fpark,¡ D;k gSa\\
tks efgyk,a fu/kkZfjr le; ij xHkZorh gksuk pkgrh gSa] muds fy, çtuu {kerk
dh okilh egRoiw.kZ gSA Mh,eih, ds dkj.k çtuu {kerk dh okilh nsj ls gksrh
gSA blfy, naifr;ksa dks blds bLrseky dh vof/k bl vk/kkj ij r; djuh
pkfg, fd os cPpk dc pkgrs gSA v/;;uksa ls irk pyk gS fd nks o"kZ1 rd
Mh,eih, ;k vkbZ;wlhMh ç;ksx djus ds ckn çtuu {kerk dh okilh esa yxHkx
leku le; yxrk gSA
1 Return of fertility after discontinuation of depot medroxyprogesterone acetate and intra-uter-
ine devices in Northern Thailand. Pardthaisong T, Gray RH, McDaniel EB. 1980 Mar 8. Lancet. ,
1980 Mar 8, Lancet, pp. 1(8167):509-12.
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1.9 Page 9 |
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usV&bZ,u
¼,d vU; xHkZfujks/kd batsD'ku½
;k Mh,eih, esa T;knk Hkjkslsean dkSu gS\\
usV&bZ,u vkSj Mh,eih, esa T;knk varj ugha gSA nksuksa gh ,d leku dkjxj gSaA
usV&bZ,u vkSj Mh,eih, esa çeq[k varj ;gh gS fd usV&bZ,u gj 2 eghus esa yxkokuk
gksrk gS vkSj Mh,eih, gj 3 eghus esaA usV&,u ls ekfld lzko laca/kh cnyko
dqN de gksrs gSa vkSj çtuu {kerk dh okilh Hkh vis{kk—r FkksM+k igys gksrh
gSA blfy, dqN efgyk,a usV&bZ,u T;knk ilan djrh gSaA ysfdu dqN efgyk,a
Mh,eih, t~;knk ilan djrh gSa D;ksafd mUgsa batsD'ku yxokus ds fy, ckj&ckj
Dyhfud ugha tkuk iM+rkA
Mh,eih, dks fu;fer yxokuk
fdruk t:jh gS\\
çHkkoh xHkZfujks/k ds fy, fu;fer varjky ij Mh,eih, yxok;k tkuk cgqr
t:jh gSA vxj fdlh efgyk dks Mh,eih, dk vxyk batsD'ku yxokus esa 4
g¶rs ls T;knk dh nsjh gks tk, rks batsD'ku yxkus ls igys ;g tkapuk eqf'dy
gks tkrk gS fd dgha og xHkZorh rks ugha ¼D;ksafd Mh,eih, ysus okyh dbZ
efgykvksa dks ekgokjh ugha gksrh ½A lkFk gh] dqN efgyk,a ,slh Hkh gks ldrh gSa
tks vxys batsD'ku dh xzsl vof/k lekIr gksus ds ckn tYnh gh xHkZorh gks tk,¡
¼gkykafd vf/kdrj efgykvksa dh çtuu {kerk nsj esa okil vkrh gS½A
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1.10 Page 10 |
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fdrus le; rd Mh,eih,
dk bLrseky fd;k tk ldrk gS\\
tc rd xHkZ/kkj.k u djuk gks rc rd bldk bLrseky fd;k tk ldrk gSA
jtksfuo`fÙk dh mez lehi vkus ij blds bLrseky esa lko/kkuh cjrh tkuh pkfg,
¼McY;w,pvks ,ebZlh Js.kh 2½A D;ksafd jtksfuo`fÙk ds dkj.k v‚fLV;ksiksjksfll*
dk [krjk c<+ tkrk gS vkSj rc Mh,eih, ds bLrseky ls 'kjhj esa tks vfLFk {k;
gksrk gS mldh HkjikbZ gks ldrk gS fd u gks ik,A ,sls esa dqN efgyk,a Mh,eih,
dk bLrseky can dj dksbZ vkSj xHkZfujks/kd viukuk pkg ldrh gSaA bl rjg
iw.kZ jtksfuo`fÙk gksus rd muds 'kjhj dks cksu ekl ¼vfLFk æO;eku½ dh çfriwfrZ
ds fy, i;kZIr le; fey tkrk gSA
D;k Mh,eih, ls
vfLFk{k; gksrk gS\\
Mh,eih, bLrseky djus okyh efgykvksa esa vfLFk ?kuRo ;kfu cksu feujy
MsuflVh de gks ldrh gSA ekuk tkrk gS fd bldh otg ,LVªkstsu mRiknu
çfØ;k esa Mh,eih, dk ck/kk cuuk gSA ,LVªkstsu vfLFk ?kuRo ds fodkl ds fy,
t:jh gkjeksu gSA v/;;uksa ls bl ckr dh iqf"V gqbZ gS fd Mh,eih, ds
bLrseky ls gksus okys vfLFk {k; dh HkjikbZ gks ldrh gS vkSj ;g vf/kd mez
dh efgykvksa esa vfLFk ?kuRo dh deh vkSj gìh VwVus dh cM+h otg ugha gSaA
* v‚fLV;ksiksjksfll ,d jksx gS ftlesa gfì;k¡ detksj gks tkrh gSa vkSj muds VwVus dk [krjk c<+ tkrk
gSA ;g jksx fdlh dks Hkh gks ldrk gS] ysfdu vf/kd mez dh efgykvksa esa ;g vke gSA
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2 Pages 11-20 |
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2.1 Page 11 |
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ysfdu Mh,eih, ls gfì;ksa dks gks ldus okys uqdlku ls tqM+h fparkvksa ds eqdkcys
blds xHkZfujks/k laca/kh Qk;ns dgha vf/kd gSaA
v/;;uksa dk fu"d"kZ gS fd vfLFk LokLF; ls
tqM+h fparkvksa ds dkj.k fd'kksfj;ksa ;k vf/kd
çtuu vk;q dh ¼45 o"kZ dh½ efgykvksa dks
Mh,eih, 'kq: djus ;k tkjh j[kus ls jksdk
ugha tkuk pkfg,A
blls gìh VwVus ds ekeyksa esa dksbZ o`f) ugha
gksrhA Mh,eih, dk bLrseky djus okys fdlh
Hkh oxZ ds fy, fu;fer rkSj ij vfLFk
?kuRo¼ch,eMh½ dh fuxjkuh dh flQkfj'k ugha
dh x;h gSA
blds vfrfjä] miyC/k lk{;ksa ds vuqlkj
fd'kksfj;ksa dks Hkh Mh,eih, bLrseky dh vof/k
lhfer djus dh t:jr ugha gSA
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2.2 Page 12 |
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D;k eq>s vius cPps dks Lruiku
djkus esa dksbZ leL;k gksxh\\
tc ,d ckj Lruksa esa nw/k cuus dh çfØ;k 'kq:
gks tk, vkSj ek¡ cPps dks nw/k fiykus yxs] rks
fQj Mh,eih, ls ek¡ ds nw/k dh xq.koÙkk] ek=k
vkSj la?kVu ;k nqX/klzko dh vof/k ij dksbZ
çfrdwy çHkko ugha iM+rkA lkFk gh ek¡ ds nw/k
ls f'k'kq ds 'kjhj esa tks FkksM+k cgqr çkstsLVhu
tkrk gS] mlls f'k'kq ds fodkl] mlds
euksLuk;q fodkl] LokLF;] yackbZ vkSj ckdh
fodkl ekudksa ij dksbZ vlj ugha iM+rkA
D;k Mh,eih, ls jksxfujks/kd {kerk
de gksrh gS\\
,d v/;;u esa irk pyk fd Mh,eih, ls lhMh3+Vh dksf'kdkvksa vkSj
,p,y,&Mhvkj + dksf'kdkvksa dh la[;k esa o`f) gqbZA ;s fu"d"kZ ,d vkSj yach
vof/k ds v/;;u fu"d"kksaZ ls esy [kkrs gSa ftlesa ik;k x;k fd gkjeksu;qä
xHkZfujks/kdksa dk bLrseky djus okyh efgykvksa ds lhoh,y æo esa 'osr jäd.kksa
vkSj i‚yheksjQksU;wDyh;j eksukslkbV ¼ih,e,u½ c<+ x,A
blls irk pyrk gS fd Mh,eih, ls jksxfujks/kd {kerk de ugha gksrhA
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2.3 Page 13 |
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D;k Mh,eih, ls euksn'kk
esa cnyko gksrs gSa\\
bl ckr ds dksbZ fuf'pr çek.k ugha gSa fd Mh,eih, ls efgykvksa dh eu:fLFkfr
vkSj O;ogkj ij dksbZ vlj iM+rk gSA
,d çs{k.k v/;;u esa ¼vejhdk esa½ gkjeksu;qä xHkZfujks/kd bLrseky u djus
okyh fd'kksfj;ksa dh rqyuk esa ,d o"kZ ls Mh,eih, bLrseky dj jgha fd'kksfj;ksa
¼16 ls 21 o"kZ½ dh eu:fLFkfr vkSj volkn ds Lrj esa dksbZ varj ugha ik;k x;kA
fd'kksfj;ksa ¼199½ ij gq, ,d vU; çs{k.k v/;;u esa ¼vejhdk esa½ 6 eghus ls
Mh,eih, bLrseky dj jgh yM+fd;ksa vkSj fefJr xHkZfujks/kd xksfy;ksa dk lsou
djus okyh yM+fd;ksa ds volkn Lrj esa dksbZ [kkl varj ¼53 çfr'kr cuke 57
çfr'kr½ ugha ik;k x;kA
D;k Mh,eih, ls ;kSusPNk
esa deh vkrh gS\\
bl ckr ds dksbZ fuf'pr çek.k ugha gSa fd Mh,eih, dh otg ls ;kSusPNk de
gks tkrh gSA bl laca/k esa vc rd fd, x, v/;;u fdlh fu"d"kZ ij ugha igq¡ps
gSaA
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2.4 Page 14 |
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D;k Mh,eih, ls dSalj
gksrk gS\\
Mh,eih, ls dSalj ugha gksrkA
okLro esa] Mh,eih, ds bLrseky ls xHkkZ'k; dh ijr ¼,aMksehfVª;e½ vkSj vaMk'k;
ds dSalj ls cpko esa enn feyrh gSA
fo'o LokLF; laxBu ds lg;ksx ls fd, x, ,d v/;;u esa irk pyk gS fd
LVsjksbM xHkZfujks/kdksa dh otg ls Lru dSalj] lokZbdy dSalj vkSj vaMk'k; ;k
;—r dSalj ds [krjs esa dksbZ c<+ksÙkjh ugha gksrhA
D;k Mh,eih, ls ,pvkbZoh laØe.k lfgr ;kSu
laØked jksxksa dk [krjk c<+ tkrk gS\\
Mh,eih, ls ;kSu laØe.k dk [krjk u rks c<+rk gS
vkSj u ?kVrk gSA Mh,eih, u rks efgykvksa dks ;kSu
laØe.k/,pvkbZoh ls lqj{kk çnku djrk gS vkSj u
gh blds bLrseky ls bu jksxksa ds gksus dk [krjk
c<+rk gSA ysfdu Mh,eih, bLrseky djus okyh
ftu efgykvksa dks ;kSu laØe.k ;k ,pvkbZoh
laØe.k dk [krjk gks] mUgsa çR;sd laHkksx ds nkSjku
daMkse dk bLrseky lqfuf'pr djuk pkfg,A
“Reference Manual for Injectable Contraceptive (DMPA),Family Planning Division, MoHFW,
Government of India.”
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2.5 Page 15 |
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ih ,Q vkbZ & ,d ifjp;
ikiqys'ku QkmaMs'ku v‚Q bafM;k ¼ih-,Q-vkbZ½ ,d jk"Vªh; xSj ljdkjh laLFkk
¼,u-th-vks-½ gS tks tula[;k vkSj fodkl ds eqíksa ij ySafxd :i ls laosnu'khy
j.kuhfr;ksa vkSj uhfr;ksa ds fuekZ.k vkSj dkjxj dk;kZUo;u dks çksRlkgu nsrh gSA
ih-,Q-vkbZ dk xBu 1970 esa] LoxhZ; Jh ts-vkj-Mh-VkVk vkSj Mk- Hkjr jke ds usr`Ro
esa lkekftd :i ls çfrc) m|ksxifr;ksa ds ,d lewg }kjk fd;k x;k FkkA
ih-,Q-vkbZ] efgykvksa vkSj iq#"kksa ds l'kfädj.k ds O;kid ifjçs{; esa tula[;k laca/kh
elyksa ds lek/kku dh fn'kk esa dke djrh gS rkfd efgyk& iq#"k vius thou] LokLF;
vkSj dY;k.k ds ckjs esa lksp&le>dj fu.kZ; ys ldsaA ;g laLFkk ljdkj vkSj leku
fopkjksa okys xSj ljdkjh laxBuksa ds lkFk feydj ifjokj fu;kstu vkSj çtuu
vf/kdkjksa ds fy, dk;Z djrh gS rkfd fofHkUu oxksaZ ds yksxksa dks visf{kr tkudkjh
eqgS;k djkbZ tk ldsA ih-,Q-vkbZ dk ekxZfunsZ'ku çfrf"Br lapkyd eaMy vkSj
lykgdkj ifj"kn }kjk fd;k tkrk gS ftlesa xSj ljdkjh laLFkk] ljdkj vkSj futh
{ks= ds fo[;kr yksx 'kkfey tgSaA
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2.6 Page 16 |
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