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1 International University Module: Leadership and Management The Health Information System in Cambodia Long Leng, MD, MPH 11 March 2012
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2 RbvtþiRbB½n§B½t’mansuxaPi)al RksYgsuxaPi)alcab;epþImBinitüeLIgv ijcab;taMgBIqñaM1992 dMeNIrkarGPivDÆn_RbB½n§B½t’m ansuxaPi)alcb;sBVRKb;cugqñaM199 3 cab;Gnuvtþn_CabeNþIr²enAqñaM199 4 niglatsn§wgRKb;extþnaExkumÖ³ qñaM1995
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3 )aneFVIkareEklMGcMnYn 4 elIk³ o elIkTI1 enAqñaM1996 dak;eGayGnuvtþ qñaM1997-1999 o elIkTI2 enAqñaM1999 dak;eGayGnuvtþ qñaM2000-2004 o elIkTI3 enAqñaM 2005 dak;eGayGnuvtþ qñaM2006 mkTl;sBVéf¶ o elIkTI4 qñaM 2008 dak;eGayGnuvtþqñaM 2009.
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4 lkçN³Biessrbs;RbB½n§B½t’mansux aPi)alfµI smahrNkmµ sþg;dar sam½BaØ Cak;lak;ykCakar)an RbB½n§kMuBüÚT½r
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5 smasPaKrbs;RbB½n§B½t’mansux aPi)al bBa¢Ikt;RtaRbcaMéf¶ r)aykarN_B½t’manRbcaMExsMrab;f ñak;nimYy²énRbB½n§suxaPi)al B½t’manRbkasGasnñ ¬r)aykarN_sUnü¦ r)aykarN_RbcaMRtImassþIBICMg Wrebg nigCMgWhg;sin r)aykarN_bBa¢IsareBIP½NÐRbcaM qñaM r)aykarN_sßitisuxaPi)alRbcaMqñaM taragtamdanskmµPaBsuxaPi)al
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6 bBa¢Ikt;RtaRbcaMéf¶ bBa¢Ikt;RtasMrab;BinitüBieRKaHC MgWeRkA bBa¢Ikt;RtaEpñkBinitüépÞeBaH bBa¢Ikt;RtasMrab;EpñksMralkUn bBa¢Ikt;RtasMrab;mnÞIrBiesaFn_ bBa¢Ikt;RtasMrab;CMgWsMrakeBT ü bBa¢Ikt;Rtakarcak;fñaMbgáar bBa¢Ikt;RtaEpñkBnüakMeNIt>>>>>.l.
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7 r)aykarN_B½t’manRbcaMExsMrab; fñak;nimYy²énRbB½n§suxaPi)al r)aykarN_sMrab;mNÐlsuxPaB KMrU HC1 r)aykarN_sMrab;mnÞIreBTübEg¥k KMrU HO2 r)aykarN_sMrab;kariyal½yRsukRbti btþi KMrU DO3 r)aykarN_sMrab;mnÞIrsuxaPi)alext þ KMrU PRO4
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8 B½t’manRbkasGasnñ ¬r)aykarN_sUnü¦ Car)aykarN_B½t’manRbcaMs)þah_ Rsg;B½t’manGMBIcMnYnkrNI TIkEnøg nigPaBF¶n;én krNIsgS½y GasnñeraK RKunQam CMgWxVinTn;Gv³yv³ kRBa¢il edIm,Icat;viFankarN_ eqøIytbCabnÞan;.
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9 r)aykarN_RbcaMRtImassþIBICMg Wrebg nigCMgWhg;sin cMeBaHr)aykarN_RbePTenH kmµviFICatiTTYlbnÞúk CaGñkbBa¢Úl nigviPaKB½t’man. enAqñaM2000 r)aykarN_énCMgWhg;sin RtUv)anrYmbBa¢ÚleTAkñúgKMrUr) aykarN_ RbcaMEx rbs;mNÐlsuxPaB nigmnÞIreBTübEg¥k.
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10 r)aykarN_bBa¢IsareBIP½NÐRbca MqñaM pþl;B½t’manCUnmRnþIRKb;RKgfñ ak;Cati fñak;extþ fñak;Rsuk nigmNÐlsuxPaB edIm,IeGaymRnþITaMgenaH eFVIkarEbgEck FnFanedaysmFm’. manKMrUr)aykarN_bBa¢IsareBIP½ NÐ 4RbePT sMrab;mNÐlsuxPaB mnÞIreBTübEg¥k kariyal½y RsukRbtibtþi nigmnÞIrsuxaPi)alextþ. r)aykarN_enHRsg;Tinñn½yB½t’ma nGMBI FnFanmnusS sMPar³brikçar RbCaraRsþ nigehdæarcnasm<½n§.
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11 r)aykarN_sßitisuxaPi)alRbcaMqña M erobcMcgRkgedaynaykdæanEpnka rnigB½t’mansuxaPi)al enAdMNac;qñaMnimYy² edayEp¥kelITinñn½yB½t’manénr)a ykarN_RbcaMEx EdlepJIBImUldæansuxaPi)al TUTaMgRbeTs nigB½t’manBIRbPBmYycMnYnepS geTot.
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12 r)aykarN_sßitisuxaPi)alRbcaMqña M r)aykarN_enHbgðajnUvB½t’man TUeTAkñúgqñaMknøgmkdUcCa ³ GaMgDIkarT½rsMxan;² EpñksuxaPi)al nigTisedABak;B½n§ skmµPaBsuxaPi)al nigGRtaRKbdNþb;énesvaenAtamm UldæansuxaPi)al RbePTCMgWsMxan;² EdlCYbRbTH GaMgDIkarT½resvaEfTaMénesvas uxaPi)alcMbg² FnFansuxaPi)al ³ buKÁlik hirBaØvtßú >>>.l.
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13 taragtamdanskmµPaBsuxaPi)al CameFüa)aysMrab;mRnþIRKb;RKg suxaPi)al RKb;lMdab;fñak; eFVIkartamdan edayRsg; nigBinitüeLIgvijnUvB½t’mansuxaPi) al RbcaMEx RtImas nigqñaM. taragtamdanskmµPabsuxaPi)al RtUveRbIR)as;enAmNÐlsuxPaB mnÞIreBTübEg¥k kariyal½yRsukRbtibtþi nigmnÞIrsuxaPi)alextþ.
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14 cracrr)aykarN_B½t’mansuxaPi)al mNÐlsuxPaB nigmnÞIreBTübEg¥k RtUvbBa¢Únr)aykarN_RbcaMEx ¬erogral;Ex¦ eTAkariyal½yRsukRbtibtþitamkalkM Nt;. kariyal½ysuxaPi)alRsukRbtibtþibUk srubepJImkmnÞIrsuxaPi)alextþ nigpþl; B½t’man RtLb;dl;mUldæansuxaPi)alvij.
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15 mnÞIrsuxaPi)alextþbUksrubTUTaM gextþ rYcbBa¢ÚnbnþeTAnaykdæanEpnk ar nig B½t’mansuxaPi)al RksYgsuxaPi)al nigpþl;B½t’manRtLb; dl;RsukRbtibtþi. Tinñn½yB½t’manTaMgGs;RtUv)an bBa¢ÚlkñúgRbB½n§kMuBüÚT½r nigviPaK edaynayk dæanEpnkar nigB½t’mansuxaPi)al rYcpþl;Tinñn½ysrub eTAkmµviFICatinimYy² RBmTaMgpþl;B½t’manRtLb;eTAka n;mnÞIrsuxaPi)al extþ-Rkugvij.
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17 RbPBB½t’mandéTeTot eRkABIRbPBB½t’manxagelIenAm anRbPBB½t’mandéTeTot rYmman ³ r)aykarN_cuHGPi)al nigkarGegátrbs;mRnþIRKb;RKgsu xaPi)al extþ-Rsuk. r)aykarN_GgÁkareRkArdæaPi)al karGegátepSg² dUcCakarGegáttMrUvkarEpñksuxa Pi)al karGegát b¤r)aykarN_BIesvaÉkCnCaedIm.
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18 ]bs½KÁ kgVHTinñn½y kareRbIR)as;Tinñn½yenAfñak;extþ nig fñak;RsukRbtibtiþmankMNt; r)aykarN_minTan;eBlevla smtßPaBbuKÁlikenAmankMNt; kñúgkarviPaK nig bkRsayTinñn½y Tinñn½yminGacykCakar)an karpþl;Bt’manRtLb;mineTogTat; KµanBt’manBIEpñkÉkCn nig GgÁkareRkArdæaPi)al
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19 kareFVIeGayRbesIreLIgénkareRbI R)as;Tinñn½y etIeyIgRtUvelIkTwkcitþbuKÁliksuxa Pi)aly:agdUcemþc? etImanGVIpþl;sMrab;karelIkTwkcitþ ? etIeFVIdUcemþc edIm,IeGayTinñn½yGacykCakar)an ? etImanskmµPaBNaxøH EdlGacGnuvtþenAfñak;mUldæan edIm,IelIkkMBs;Tinñn½y eGayRtwmRtUv? etICakarcaM)ac;b¤eT edIm,IeFVIeGayTinñn½yTak;Tg?
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20 karedaHRsay]bsKÁénkareRbITinñn ½y edayEp¥kelI³ o Random spot-check: RksYgsuxaPi)al/ mnÞIrsuxaPi)al/ RsukRbtibtþi o karRbCMupþl;B’tmanRtLb; GMBI spot-check o karpþl;B’tmanRtLb; CaeTogTat; o karbNþúHbNþal
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21 niymn½yénCMgWEdl)anbgðajkñúg r)aykarN_ RbcaMExrbs;mNÐlsuxPaB (HC1) krNIfµI: (New Case)³ RKb;buKÁlmkBieRKaHelIkTI1edaysarb BaðasuxPaBmYy krNIcas; (Old Case)³ RKb;buKÁlmkBieRKaHelIkeRkayenAkñ úg épisode énCMgWmYy ¬elIkTI 1/2>>>>>> ¦ edaybBaðasuxPaBEtmYy dUckrNIelIkTImYy. tMbn; k (Zone A): CaPUmiEdlmNÐlsuxPaBtaMgenA. tMbn; x (Zone B): enAeRkAPUmiEdlmNÐlsuxPaBtaMgen A EtenAkñúgtMbn; TTYlxusRtÚv EtmYyrbs; mNÐlsuxPaBenH. tMbn; K (Zone C): mkBItMbn;TTYlxusRtÚvepSg²eTot.
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22 1- RKuncaj; (Malaria) GñkCMgWjak; rYcekþA 38>5 GgSaes ehIyEbkejIs. eraKsBaØaTaMgenHEtgmanCamYy nUvkarQWk,al QWsac;duM QWsnøak; nigesøk saMg. 2- Cm¶Wrak (Diarrhea) enAkñúgCm¶Wrak lamkmanTwkeRcInCageBlFmµta/ benÞarbg;3dg b¤eRcInCag kñúgry³eBl 24em:ag. ry³eBlrak ticCag 2GaTitüehAfarakRsYc/ eRcInCag 2GaTitüeT,IgeTAehAfa rakCab;bnþ b¤raMér{.
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23 2>1 rakRsal (Simple Diarrhea) raknigmansBaØaBIrkñúgbNþasBaØaxa geRkam³ sPaBTUeTA mYrem:A b¤eLHLH EPñkxUg eRskTwkedayRbwgpwkTwkya:gxøaM g pñt;Es,kRkrlaeTAvij ¬ticCag 2vinaTI¦ 2>2 rakF¶n;F¶r (Sever Diarrhea) rak nigmansBaØaBIrkñúgbNþasBaØaxage Rkam³ sPaBTUeTA snøwmb¤Bi)akdas;[PJak; EPñkxUg minGacpwkTwk)anb¤pwkTwk)antic²e daylM)ak pñt;Es,kritEtRkrlaeTAvij ¬eRcInCag 2vinaTI¦
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24 3- rakmYl (Dysentery) GñkCMgWrak lamkmanlaysMe)ar nigQam. 4- CMgWrlakpøÚvdegðImelI (URI) GñkCMgWrlakpøÚvdegðImEpñkxagelI ¬RcmuH suInus RtecokeRkA bMBg;k hVaraMg¦. 5- CMgWrlakpøÚvdegðImeRkam (LRI) GñkCMgWrlakpøÚvdegðImEpñkxageRk am ¬eGBIKøút LaraMg bMBg;Rtaes TgsYt sYt¦ 6- CMgWRKunQam (Dengue Hemorrhagic Fever) RKb;GñkCMgWGayueRkam 15qañM mankMedAcab;epþImeLIgPaøm² elIs 38 GgSares manry³eBl 2-7 éf¶ rYmpSMCamYyeraKsBaØaecjQam ¬tamEs,k muykW b¤RkBH¦ nigsBaØa lacet (+)
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25 cMNaM sBaØa lacet (+) mann½yfa eRkayeBl)anraMgsÞHrnæQamGaET eday cMNgeKeXIjry³eBl 5naTIeRkay mancMNucRkhmelIEs,kcMnYnelIsBI 10 kñúgmYyGIugkaer EdlmanRCug 2>5elIEs,kEdl)ancg. GacmanGmedaysBaØaeføImrIkFMeh IyQW manb¤KµansañmCaM manb¤Kµansma<F QamcuH nigedayman b¤Kµansuk. tammnÞIrBiesaFn_KWman Hemoconcentration 20 BItMélFmµtanig Thrombopenia 100,000/mm3. 7- CMgWelIsQam (High Blood Pressure) Pression systolique > 140 mm Hg Pression diastolique > 90 mm Hg.
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26 8- k¥kelIsBI 21éf¶ (Cough more than 21 days) GñkCMgWk¥kerogral;éf¶ Cag 21éf¶mkehIy. cMNaM GñkCMgWTaMgLayEdlk¥kelIsBI21éf¶ caM)ac;;RtÚveFVIkarBinitükMhakrk ebka. 9- kRBa¢il (Measles) GñkCMgWekþAxøÜnecjknþÜlRkhm enAelIEs,k RBmCamYy sBaØamYykñúgcMeNameraKsBØaamY yeTot k¥k ehorsMe)ar EPñkRkhm. 10- krNIxVinTn;Gv³yv³ (Acute Flaccid Paralysis) ral;krNIEdlman GayueRkam 15 qaMñ segáteXIjmanPaBxVinGv³yv³ enaHEdlmanlkçNH Tn;ehIyPaB xVinTn;Gv³yv³ enaH ekIteLIgPaøm ². xVVinTn;Gv³yv³minEmnCaCMgWeT b:uEnþvaCaeraKsBaØaEdlGacmkBI mUlehtueRcIny:ag. dUecñHedIm,IR)akdfaCakrNIRKunsVité deCIgenaH luHRtaEteK)aneFVIGegát RsavRCav.
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27 11- ettaNUsp©it (Neonatal Tetanus) TarkekItmkPøam²Fmµta/ 2 b¤ 3 éf¶eRkayekItTarkElge)A/ bnÞab;mkq¥wgxñgnigsac;duMédeCIgTa rk eLIgrwg b¤ Rbkac; ehIyTarknwgsaøb;kñúgcenøaHéf¶TI 3 dl;éf¶TI 28 énkMeNIt. 12- xan;saøk; (Diphtheria) segáteXIjmanrlakRcmuH bMBg;kRsYcRsav b¤ rlakbMBg;xül; edaymanPañsbeBa¢at b¤segáteXIjman rlakbMBg;keday mansañmPañsRbepHmYyb¤eRcInenAb MBgk. 13> ettaNUsepSg²eTot (Other Tetanus) buKÁlmñak;rwgfaÁm ¬Bi)akhamat;¦ sac;duMrwg q¥wwgxñgRbwgrwgehIyQW bnÞab;BImanrbYsb¤manRbvtþirbYskñú gExmun. kñúgkrNIF¶n;F¶r GñkCMgWeLIgekagdUcs<an (Epistothornos) xñg nig k ekag édbt;eLIg Rmamédkþab;Cab;BIelIedImRTUg ehIyeCIgsnæwgecj. CYnkalemIleXIjdUcesIc. semøgb¤BnWø karb:HBal; eFVI[mankarkRnþak;eLIg.
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28 14- k¥kman; (Pertussis) kumark¥kCab;²Kañya:gyUr esÞIrputdegðImmþg² EdlmansMelgk¥k dUcCaman;ERsk. 15- CMgWenAelIEs,k (Cutaneous Infections) KWkarkøayeraKenAelIEs,k EdlbNþal mkBI Bacteria, Virus b¤pSit. cMNaM eKminrab;bBa¢ÚlBIkarkøayeraK EdlmanRbPBBIkñúgeRCAeT ¬rlakq¥wg xYrq¥wg b¤karkxÞúHeday karcak;faMñ¦ eraKEs,kEdlsgS½yfaXøg; b¤karkøayeraKbNþalmkBIeraKBiessmYyc MnYn dUcCa TwkenamEp¥m BisFüÚg nigkareLIgkUnkNþr EdlbNþalmkBICMgWEdldwgfac,as;las; ¬rebg¦ minRtÚvKitCaCMgW enAelIEs,keLIy EtRtÚvcat;cUlkñúgepSg²eTot. ]³ kmrmas;cat;cUlkñúgCMgWenAelIEs,k
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29 16- hUrxÞúHBIbgðÜrenam (Urethral Discharge) karhUrvtßúravføa² b¤xÞúH hUrecjBIbgðÜrenam rbs;burs EdlGacmanb¤KµaneraKsBaØaBi)akena m b¤enamjwkjab;. 17- Føak;s b¤hUrxÞúHtamTVarmas (Vaginal Discharge) CakarhUrvtßúravminRbRktI ¬Esþgecjeday brimaN B’N nigkøinminFmµta¦ b¤ xÞúH EdlGacman b¤KµankarQWcuk cab;EpñkxageRkaméneBaH eraKsBØaCak;lak;NamYy ¬dUcCakarmas;TVarmas ehImTVar mas¦ b¤manvtþmanktþaRbQmmuxCak;lak;nw gkarekItCMgWkameraK. 18 - karQwcukcab;EpñkxageRkaméneBaH (Lower Abdominal Pain) CakarQWcukcab; EpñkxageRkaméneBaH cMeBaHRsþIrYmCamYykarQWcukcab; eBlrYmePT. eBlBinitüCMgW man vtþmanénkarFøak;s karQWcab;eBlsÞabeBaHfñm² b¤sItuNðPaBxøÜneLIgelIsBI 38 GgSares.
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30 19- dMe)AenAelIRbdab;bnþBUC (Genital Ulcer) CakarkdMe)AenAelIligÁ Es,keRsabBg sVas b¤tMbn;TVarlamkcMeBaHburs nigelIbbUr TVarmas b¤tMbn;TVarlamk cMeBaH RsþIedaymanb¤Kµan karehImkUn kNþrRkelon. 20- CMgWsirman;elIRbdab;bnþBUC (Genital Warts) CakarduHduMsac; mansNæandUcCa bnøaenAelIRbdab;bnþBUC. 21- eRKaHfñak;cracr (Road Accident) GñkCMgWTaMgLayEdlmkBinitü eRkayeBlman rbYsbNþalmkBIeRKaHfñak;cracr. 22- sñammut/ rbYs (Wounds/Injuries) GñkCMgWcUlmkBinitüedaysarmutrbs;G VImYy b¤manrbYsenAelIEs,k.
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31 23- CMgWEPñkRkhm (Red Eyes) EPñkRkhmKWCaeraKsBØarbs;Cm¶WC aeRcIn Edlb:HBal;dl; épÞxagmuxénEPñk. ]> Rtbk EPñk PñasesþþþIgEPñk nigEpñkxagmuxénEPñk. EpñkxagmuxénEPñkKWman kBa¢k;EPñk EpñksénEPñk bnÞb;mux nig RbRsIEPñk. mUlehtuxageRkamenHGacbNþal[EPñk Rkhm ³ Cm¶WRtakUm:a CatiKImI emeraK karRbtikmµ Cm¶WenAkñúgsarBagÁkay
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32 24- bBaðasuxPaBpøÚvcitþ ral;vibtþisuxPaBpøÚvcitþEdlmkBinitüen AmNÐlsuxPaB. 25- >CYrTMenr Tukdak;CMgWBiessEdlmanEtkñúgextþ NamYy b¤caM)ac;mankartamdanBiessrbs; CMgWNamYy eyIgrab;bBa¢ÚlkñúgCYrenH. 26- epSg²eTot (Others) CMgWTaMgLayEdlmin)anrab;bBa¢Úlkñ úgbNþaCYrxagelI RtUv bBa¢ÚlkñúgepSg²eTot. 27- CMgWkgVHGaharrUbtßm< (Malnutrition) kumarGayueRkam 1qañM EdlmanpleFobTMgn; / GayuenAeRkamKMnUsxageRkaménb½ NÑsuxPaBkumar ¬b½NÑelOg¦RtUvcat;TukfaCMgWkgVH GaharrUbbtßm<.
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33 -BinitüeRkaysMral (Postnatal Consultation) KWkarBinitüeRkayBIkarsMral)an 42 éf¶mk. -karsRmalkUnlM)ak dMeNIrkarminFmµtaénkarsRmalkUn edaymUlehtuemkanik b¤ clnaminFmµta. -karFøak;Qam (Hemorrhage) KWCakarsMralkUnEdlmankarecjQamCa k;Esþg nig minGacRKb;RKg)anenAxagkñúg b¤xageRkAxøÜnrbs;RsþI. -mrN³PaBmata (Maternal Mortality) mrN³PaBRsIþedaysarvibtþiénkarman épÞeBaH kñúgeBlsMralkUn b¤kñúgcenaøHeBl 42éf¶ eRkaykarsMral.
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34 -Tak;TgeTAnigesvaBnüakMeNIt GñkTTYlesvaBnüakMeNItelIkdMbUg (New acceptor = New User) GñkEdl eRbImeFüa)aybg¥ak;kMeNItelIkdMbUg. GtifiCnfµI (New Client) GñkTTYlesvaBIGñkpþl;esvaBnüakMeNI tEdlminFøab;)anTTYl esvaBIKøInIk b¤mNÐlsuxPaBmYyenHBImunmk. GñkkMBugeRbIR)as; (Current User ) GtifiCnEdlkMBugeRbImeFüa)ayBnüakM eNIt Gñkbg;e)aHesva (Discontinuer = Dropout) GñkEdlQb;mkKøInIkedIm,ITTYlesva BnüakMeNIteRkayeBlEdlKat; ¬burs- RsIþ¦ RtÚvmkkan;KøInIkeTot. GñkeRbIfañMRKab;mañk;RtUv)ancat;T ukfaCaGñkQb;eRbImeFüa)ayBnüakMe NIt RbsinebI hYsryH eBlbIEx rab;taMgBIeBlEdlKat; RtÚvmkKøInIkykfañMRKab;bEnßmeTot.
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35 GñkeRbIfañMcak;mañk;RtUv)ancat;Tukf aCaGñkQb;eRbImeFüa)ayBnüakMeNIt RbsinebI hYs ryHeBlbIEx rab;taMgBIeBlEdlKat;RtÚvmkKøInIkcak; fañMmþgeTot. GñkeRbIkgmañk;RtUv)ancat;TukfaCaG ñkQb;eRbImeFüa)ayBnüakMeNIt RbsinebIhYs ryHeBl 12 Exrab; taMgBIeBlEdlKat; RtÚvmkkan;KøInIk. -eraKsBØaaénCMgWs¶ÜtEPñk (Xerophthalmia) xVak;man; b¤ggwtEPñk (Night-blindness): karEdlminGacemIleXIjenAeBll¶ac éf¶lic EdlBuMsUvmanBnøWRKb;RKan;. kumarBuMcg;elgenAeBlyb;eLIy eRBaHCaerOy²vaEtg edIrb:HenH b:HenaHCanic©. vamansPaBes¶oms¶at;ehIyeRcInegIye mIlemXenAevlayb;. sañmb‘ItUt (Bito's spot): Capñt;s² dUcBBuHsab‘UpþúMenAelIEpñksénkBa ©k;EPñk. vaGacekIt elIEPñk mçagb¤ TaMgsgxag.
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36 s¶ÜtkBa¢k;EPñk (Corneal xerosis): kBa¢k;EPñkeLIgs¶Üt. kumarBuMcg;ebIkEPñk EPñkva eLIgRkhm kBa¢k;EPñkeLIgRsGab;. RtUvBinitünwgePøIgBiledIm,IemIlPaBR sGab;én kBa¢k; EPñk edIm,IkuM[RcLM nwgCMgWRkhmEPñk (Conjonctivitis). dMe)AkBa¢k;EPñk (Corneal ulceration): ekasikaénkBa¢k;EPñkRtUvxUcehIyeLIg B’Ns b¤RbepH EdlemIlBIcMgay dUcCaxÞúH. dMe)ARKab;EPñk (keratomalacia): enAdMNak;karenHkBa¢k;EPñk)anrebH ecjBIRKab;Epñk
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37 -eb: eb 1 (PB1) = Single Lesion Paucibacillary) CMgWhg;sin Edlman )asIutic sañmmanEt 1 )at;bg;viBaØaNCYnc,as;CYnminc,as; KaµnsrésRbsaTeRkArIkFMeT mnÞIrBiesaFn_emIlmineXIj)ak;sIuhg;sin eT. -eb: eb 2-5 ( PB 2-5 = Paucibacillary) CMgWhg;sinEdlman)asIutic sañmmanBI 2 dl; 5 )at;bg;viBaØaNc,as;las; b:HBal;srésRbsaTeRkAmYy mnÞIrBiesaFn_emIlmineXIj)ak;sIuhg;sin eT.
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38 -GWum eb (MB = Multi-bacillary) CMgWhg;sinEdlman)asIueRcIn sañmmanelIsBI 5 )at;bg;viBaØaN srésRbsaTeRkArIkFMelIsBI 1 mnÞIrBiesaFn_emIleXIj)ak;sIuhg;sin. -Dis.Gr2 : Disability Grade 2 : BikarkMrit 2 ³ s<wkRbGb;éd÷ eCIg xUcRTg;RTay ¬Rkjg; kMbutb¤dMe)A¦ ÷ EPñk ¬Rkhm Qr 6m rab;RmabédminRtUveT ¦
39
39 -CMgWeFµj (Dental) eFµjTwkedaH (Primary Teeth): eFµjelIkTI1énCIvitrbs;mnusSeyIg EdlCYy[ kumarGacTMBarGahar bEnßmelIkare)ATwkedaHmþay. GacehAfa eFµjéRB b¤ eFµj beNþaHGasnñ. eFµjGciéRnþy_ (Permanent Teeth): CakarduHeFµjelIkTI2 CMnYseFµjTwkedaHEdl RCuHecj ehIyKWCaeFµjEdlenACab;kñúgmat;eyI gGs;mYyCIvit. GacehAfamü:ageTotfa eFµjRsuk. dkeFµj (Extractions): Cabec©keTsBüa)al edaysarkarykecjnUveFµj EdlBuMman lTæPaBnwgrkSaTukteTAeTot)an.
40
40 bitb:HeFµj (Restoration): Cabec©keTsBüa)al edayeRbIfañMsMrab;biTbMeBjRbehag reNþAeFµj EdlbgáeLIgedayCMgWBukeFµj enAkñúgdMNak;kald_smRsb ¬CMgWBukeFµjBuMTan; manlkçN³F¶n;F¶r ¦. bitb:HbeNþaHGasnñ (Temporary Restoration): CakarbitbMeBjreNþAeFµj eday CatifañMmüa:g ehAfa Eugenate (ZOE = zin+oxide + Eugenol) EdlBuMGac Cab;)ansßitesßryUreLIy KW)anRbmaNBI 3 eTA 6 Exb:uneNÑaH. bitb:HGciéRnþy_ (Permanent Restoration): CakarbitbMeBjreNþAeFµj edayfañMbit b:HEdlmanKuNPaB manPaBrwgCab;)anyUrqañM. ekassMGateFµj (Scaling ): Cabec©keTsBüa)alCMgWGBa©j edayeFVIkarekassMGat ecjnUvpÞaMgkMe)ar EdlmanenACuMvij keFµj nigeRkamGB©aj.
41
41 epSg²eTot (Others): CakrNIEdlTTYlkarBinitünigEfTaMBüa)al CabnÞan; b¤Cakar bnÞab;bnSM EdlBuMmanrab; bJ bBa©ÚleTAkñúgkarBüa)alTaMgLay Edl)anelIkeLIgdUcCa³ dk b ¤biT b:H b¤ ekassMGateLIy. ]> karBüa)alrlakreNþAeFµjs¶ÜtedayTwk Eugenol, karEfTaMrbYselIépÞmux b ¤q¥wgfÁam EdlbNþþalmkBIeRKaHfañk;epSg²CaedI m. Büa)alrnæb¤s (Root Canal Therapy): Cabec©keTsBüa)alCMgWBukeFµj Edl manlkçN³F¶n;F¶r edayt,aryksrésrecjBIrnæb¤seFµj rYceTIbbitbMeBjedayfañMCa eRkay. vHkat;epSg² (Minor Oral Surgery): sMedAelIkarvHkat;tUckñúgmat; dUcCakarvHyk ecjnUveFµjEdlkb;kñúgq¥wg CaedIm. dak;eFµj (Denture): Cabec©keTseFVIeFµjsib,nimitþedIm,IC MnYs[eFµjmYyb¤eRcIn Edl )at;bg;eTA.
42
42 dak;eFµjCab; (Fixed): Cabec©keTs eFVIeFµjsb,nimitþCYs [eFµjEdl)at;bg;eTAeday P¢ab;rwgmaM minGacedaHecj)an. dak;eFµjedaH)an (Removable): Cabec©keTseFVIeFµjsib,nimitþCaRkas eFµj EdlGñk CMgW GacedaHecjedayxøÜnÉg)an.
43
43 niymn½yénCMgWEdl)anbgðajkñúg r)aykarN_ RbcaMExrbs;mnÞIreBTü (HO2) 1 - RKuncaj;Rsal (Simple Malaria) sBaØasMxan;²man³ kñúgeBlCYb b¤b:unµanéf¶knøgmkputeTA kMedAxøÜnx<s; jak;EbkejIs sBaØadéTeTotEdlEtgCYbRbTHKW: QWk,al/ QWsac;duM/ QWsnøak;/ esøksøaMg/ elOg/ Føak;GeNþIk/ eføImrIkFM. CMruHecalCMgWdéTeTotdUcCa³kRBa ¢il rlakeRsamxYr rlakbMBg;k RKunQam rlakRbehagRtecok pþassay ehImsYt- rebg. cUrcgcaMfa GñkCMgWGacmanCMgWeRcIn RbePTrYmpSMKña.
44
44 2- CMgWRKuncaj;F¶n;F¶r (Severe Malaria) eraKsBaØaF¶n;F¶rénCMgWRKuncaj; b¤manplvi)ak bBaðasµartI: snøb; revIrvay eLHLH snøwm Rbkac; kMedAeLIgxøaMg 39 c, esøksøaMgxøaMg Ht <15% -20%, k¥ÜteRcIn/ )at;bg;CatiTwk/ TwkenamticB’NRkem:A (Oliguria), xVHCatisárkñúgQam Glucose < 0,5 g/L, TwkenamB’NEtcas; (Hemoglobinuria), )a:ra:sitkñúgQamx<s; (P.F. ++++) 3 - Cm¶Wrak (Diarrhea) enAkñúgCm¶Wrak lamkmanTwkeRcInCageBlFmµta/ benÞarbg;3dg b¤eRcInCag kñúgry³eBl 24 em:ag. ry³eBl rak ticCag 2GaTitüehAfarakRsYc/ eRcInCag 2GaTitüeT,IgeTAehA farakCab;bnþ b¤raMér{.
45
45 4 - CMgWGasnñeraK (Cholera) GñkCMgWGayuelIsBI5qñaM mankarraKrUsya:gxøaMg lamkhUrdUcTwkrYmCamYy nwgkar)at;bg; CatiTwkxøaMgkaø. segát³ raK)ancab;epþImya:gTan;hn; ya:gxøaMg ehIyKYbpSMnwgkarkÜ¥tmin)at;. bnÞab;BI)at;CatiTwkxøaMg GñkCMgWFaøk;kñúgPaBsuk CaTUeTAeKeRskTwkxøaMg Kµanenam nwgcuH exSaykMlaMg ya:gelOn kñúgkrNIF¶n;F¶r mankarcukrmYlRkBH éd- eCIg. kumareRkam5qñaM EdlmaneraKsBaØadUcKña minGaccuHCaGasnñeraKeT enAeBlEdlKµankar GHGagBI bnÞb;BiesaFn_. ebImindUecñaHcuHRtg;raK.
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46 5- CMgWrakmUl (Dysentery) ³ GñkCMgWrakEdllamkmanlaysMe)ar nigQam. 6 - CMgWrlakpøÚvdegðIm (ARIs) GñkCMgWrlakpøÚvdegðImelI b¤pøÚvdegðImEpñkxageRkam³ GñkCMgWrlakpøÚvdegðImEpñkxagelI ¬RcmuH suInus RtecokeRkA bMBg;k hVaraMg¦ GñkCMgWrlakpøÚvdegðImEpñkxageRk am ¬eGBIKøut LaraMg bMBg; Rtaes TgsYt sYt¦ 7- CMgWRKunQam (Dengue ) 7>1 RKunQamRsal (Simple Dengue) RKb;GñkCMgWGayueRkam 15qñaM mankMedA cab;epþImeLIgPaøm² 38 c rYmpSMCamYyeraKsBaØaecjQamtam Es,k muykI b¤RkBH nigsBaØa lacet (+). 7>2 RKunQamF¶n;F¶r (Severe Dengue) RKb;GñkCMgWGayueRkam 15qñaM mankMedAcab; epþImeLIgPaøm² 38 c rYmpSMCamYyeraKsBaØa ecjQam tamEs,k muykI b¤RkBH nigsBaØa lacet (+). tammnÞIrBiesaFn_KWman Hemoconcetration 20 BItMélFmµta nig Thrombopenie 100,000 / mm3.
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47 8- CMgWRKuneBaHeron (Typhoide Fever) CMgWbgáeLIgedayemeraKqøgmüa:g eFVIeGay rlakenAelIeBaHeron. segát³ GñkCMgWmanRKunekþAxøaMg QWk,al raKrUs ¬GacKµan¦ cukeBaHenAEpñkxagsaþM edkminlk;. GacbBa¢ak;c,as;enAeBleFVI Sero diagnostique de widal (+) (>1/320 ) enAéf¶TI8-10 b¤ eXIjc,as;manemeraK Eslm:UENLa enAkñuúglamknigkñuúgQam ¬GaTitüTI1nigTI2¦. 9- CMgWrlakeRsamxYrminEmnrebg (Non-tuberculosis-Meningitis) ³ GñkCMgWrwgk edaymanya:gticeraKsBaØaBIreTot éneraKsBaØa³k¥Üt – QWk,al – RKunekþA segát³ eraKvinicä½yénrlakeRsamxUrRtUvGHG agedaybUmTwkq¥wgxñgebIGaceFVI)an. kñúgkrNIrlakeRsamxYr bNþalmkBI)at;etrI TwkeRsamxYrmanlkçN³l¥k;.
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48 10- k®Ba¢il (Measles) ³ GñkCMgWekþAxøÜnecjknþÜlRkhmenA elIEs,k RBmCamYysBaØamYy kñúgcMeNameraKsBaØa 3eTot k¥k ehorsMe)ar EPñkRkhm. 11- krNIxVinTn;Gv³yv³ (Acute Flaccid Paralysis) ral;krNIEdlman GayueRkam 15 qaMñ segáteXIjmanPaBxVinGv³yv³ enaHEdlmanlkçNH Tn;ehIyPaB xVinTn;Gv³yv³ enaH ekIteLIgPaøm². xVVinTn;Gv³yv³minEmnCaCMgWeT b:uEnþvaCaeraKsBaØaEdlGacmkBI mUlehtueRcIny:ag. dUecñHedIm,IR)akdfaCakrNIRKunsVité deCIgenaH luHRtaEteK)aneFVIGegát RsavRCav. 12- ettaNUsp©it (Neonatal Tetanus) TarkekItmkPøam²Fmµta/ 2 b¤ 3 éf¶eRkayekItTarkElge)A/ bnÞab;mkq¥wgxñgnigsac;duMédeCIgTa rk eLIgrwg b¤ Rbkac; ehIyTarknwgsaøb;kñúgcenøaHéf¶TI 3 dl;éf¶TI 28 énkMeNIt.
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49 13- xan;saøk; (Diphtheria) segáteXIjmanrlakRcmuH bMBg;kRsYcRsav b¤ rlakbMBg;xül; edaymanPañsbeBa¢at b¤segáteXIjman rlakbMBg;keday mansañmPañsRbepHmYyb¤eRcInenAb MBgk. 14> ettaNUsepSg²eTot (Other Tetanus) buKÁlmñak;rwgfaÁm ¬Bi)akhamat;¦ sac;duMrwg q¥wwgxñgRbwgrwgehIyQW bnÞab;BImanrbYsb¤manRbvtþirbYskñú gExmun. kñúgkrNIF¶n;F¶r GñkCMgWeLIgekagdUcs<an (Epistothornos) xñg nig k ekag édbt;eLIg Rmamédkþab;Cab;BIelIedImRTUg ehIyeCIgsnæwgecj. CYnkalemIleXIjdUcesIc. semøgb¤BnWø karb:HBal; eFVI[mankarkRnþak;eLIg. 15- rebgBüa)alenAmnÞIreBTü (Tuberculosis) ³ GñkCMgWrebgsMrakBüa)al enAkñúg mnÞIreBTü. EdlehAfaCMgWrebgKWGñkCMgWman eraKsBaØa k¥kelIs 21éf¶ sÁmsÁaMg RKuneBlyb;.
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50 rebgsYt ebkaviC¢man mann½yfacMeBaHbuKÁlmñak;Edl)anBi nitükMhak 2dg eXIjviC¢manebka. b¤Binitü kMhakmþg ebkarviC¢man RBmTaMgmaneraKsBaØamYycMnYnB ak;B½n§ nwgCMgWrebg. rebgsYt ebkaGviC¢man mann½yfacMeBaHbuKÁlmñak;Edl)anBi nitükMhak 3dg Cab;eXIj GviC¢man. karBüa)al tameraKsBaØa EdlmincMeBaHCMgWrebg min)aneFVI[mankar FUrRsal b¤eLIg TMgn;eLIy. nigebIGaceFVI)anftsYt Edlbgðaj nUvrUbPaB eFVI[Kitdl;rebg (Image Evocatrice) rebg eRkAsYt³ mann½yfacMeBaHbuKÁlmñak;Edlmane raKsBaØaKøInIk Gac b¤ mankarGHGag)ak;etrIsaRsþ manb¤Kµan CasBaØa[Kitdl;rebg Rtg;kEnøgNamYyeRkABIsYt³ kUnkNþúr eRsamsYt q¥wgsnøak; Rbdab;bnþBUC Rbdab;enam tMrgenam eRsamxYr b¤epSg²eTot.
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51 16- eGsd_maneraKsBaØaKøInIk (AIDS clinic) GñkCMgWmaneraKsBaØacMbg³ RKunekþA nigEbkejIsenAeBlyb;Cajwkjab; edayKµanmUlehtuelIsBImYyEx. RskTMgn; 10 b¤eRcInCagenHeFobeTA nigTMgn;xøÜn. raKrUsrauMér:elIsBImYyEx. GñkCMgWmaneraKsBaØabnÞab;bnSM. 17- CMgWkameraKcMeBaHburs (STD on Men) ³ CaCMgWEdlqøgtamry³rYmrkSapøÚveP T. segát³ mankarehorxÞúHtambgðÜrenam enARtg;Rbdab;bnþBUCmandMu b¤duHsirman;. eraKRbem³ Gac)anGHGagedaykarBinitüénmnÞIrBie saFn_ bMBak;B’N rkeXIjR)akdnUv emeraK (Diplococcus Negative Gram)
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52 17- CMgWkameraKcMeBaHburs (STD on Men) ³ CaCMgWEdlqøgtamry³rYmrkSapøÚveP T. segát³ mankarehorxÞúHtambgðÜrenam enARtg;Rbdab;bnþBUCmandMu b¤duHsirman;. eraKRbem³ Gac)anGHGagedaykarBinitüénmnÞIrBie saFn_ bMBak;B’N rkeXIjR)akdnUv emeraK (Diplococcus Negative Gram) 18- CMgWkameraKcMeBaHRsþI (STD on Women) ³ CaCMgWEdlqøgtamry³karrYmrkSpøÚve PT dUcCa sVay Rbem³ køaMDIya: sðg;mU TamLa EGreb³ sirRbdab; ;bnþBUC. segát³ GñkCMgW ekþARkhayRkhl; rmas;xøaMg enATVarmas; manFøak;sxab; ehIymandMe)A CYnkalman eLIgkUnkNþúrenARkelon. emeraKEdleFVI[manCMgWenaH³ mansVay TamLa Rbem³Twk)ay RTIkUmINas; kg;DIda.l.
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53 19- CMgWeraKRsþI (Gynecological Pathology) ³ RKb;RsþIEdlsMrakeBTüedaysarbBaða eraKRsþI nigsmÖBelIkElgCMgWkameraKcMeBa³ RsþI. segát³ CMgWeraKRsþI³ karkøayeraKpøÚvbnþBUC Føak;QampøÚvbnþBUC/ cukeBaHEpñkxageRkam CMgWEpñksmÖB³ karrlUtkUn/ rMlUtkUn/ kUneRkAs,Ún/ plvi)alénkarmanKt’ b¤karsMralkUn 20- ma:ra:sµ kVasürK½r (Marasmus/Kwashiorkor) ma:ra:sµ³ sac;dMusVit nig)at;Catixøaj;eRkamEs,k minXøan min[lUtlas;ekItqab;xwgeqvqav kVasürK½r³ RskTMgn;ehIycugédeCIgnigmuxmat; minXøanxUcEs,k q¥wgRcGUs bMEbbMrYlsk; nigRkck.
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54 21- sMralkUnsrub (Total Delivery) ³ cMnYnsMralkUnTaMgGs; ¬cMnYnecjBImnÞIreBTü bnÞab;BIsMralkUn¦ 22- eRKaHfñak;cracr (Road Accidents) ³ GñkCMgWTaMgLayEdlmkBinitü eRkayeBlman rbYsbNþalmkBIeRKaHfñak;cracr. 23- eRKaHfñak;edaysarmIn (Land Mine Accidents) ³ GñkCMgWTaMgLayEdl)anRtUv sMrakeBTü eRkayeBlmanrbUsbNþalmkBIkarpÞúHm In. 24- rbYsedaysarRKab;kaMePøIgnigeRKO gpÞúH (Munition Injuries) ³ GñkCMgWTaMgLay Edl)anRtUvsMrakeBTü eRkayeBlmanrbUsbNþalmkBIRtUv RKab;kaMePøIg b¤eRKOgpÞúH epSg² eRkABImIn.
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55 25- rbYsepSg²eTot (Other Injuries) ³ GñkCMgWTaMgLayEdl)anRtUvsMrakeB Tü eRkay eBlmanrbUsepSg²eTot ¬eRkABIrbYsnig eRKaHfñak;xag elIxagelI¦. 26- mharIkedaH (Breast KC) karhUrecjénQamtamk,aledaH b¤Gt;hUr. karQWcukcab;énedaHCaRbcaM b¤eTAtamcgVak; énrdUvCaBiesseBlmunmkrdUv. duMBkCYnkalGacemIleXIj s¥itCab;CamYytMbn;Citxag Es,kmanTidæPaBdUcsMbkRkUc maneLIgkUnkNþúrenAekøok
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56 27- mharIkmat;s,Ún (Cervix KC) Føak;s ticb¤eRcIn FMukøins¥úy Cajwkjab;manlayQam. Føak;QamtictYc bNþalmkBIkarlagCMrHkaynigeBlrYmsg Vas. dMurag puy b:HeTAecjQam)aténdMueT,Igrwg dMe)AEdlmanEKmvareqjrquj karlUkmat;TVar eT,IgrwgenAeBlb:HecjQam. 28 - mharIkeføIm (Liver Cancer) KøInik³ minXøan)ay cuHsÁm Gs;kMlaMg CYnkalekþAxøÜn CYnQWenAEpñkxagelInigsþaMéneBaH eføImeT,Igrwgman duMkMBIkkMBk CYnkalekItxan;elOg TacTwkCamYy. GtItkal CMgWrlakeføImedaysar virus rauMér: CMgWrlakeføImraMuér:edaysarpwkRsa.
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57 29- mharIkepSg²eTot (Other KC) GñkCMgWmanmharIkepSg²eTot RkABImharIkxagelI 30- CMgWelIsQam (HBP) Pression systolique > 140 mm de Hg. Pression diastolique > 90 mm de Hg. 31 - CMgWTwkenamEp¥m (Diabetis) Diabete insulino-dependant b¤TwkenamEp¥msÁm - Gayu³ Cajwkjab; 30 qñaM - karvivtþn_ ³ RsYc
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58 - sÁm - enameRcIn - hUbeRcIn Diabete non-insulino dependant bJuTwkenamEp¥mFat; - Gayu³ Cajwkjab; 30qñaM - karvivtþn_ es¶oms¶at; - Cajwkjab;Fat; - enameRcIn ticdg eRcIndg - hUbeRcIn
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59 32- CMgWebHdUg (Cardiopathy) CaCMgWekIteLIgedaysarkgVHsmtßPaB énsac;duMebHdUg kñúgkarFanamuxgarQamrt;rbs;va [manPaBRbRktI. 33- bBðaasuxPaBpñÚvcitþ (Mental Health Problems) ral;GñkCMgWEdlmksMrakeBTü eday vibtþibBaðasuxPaBpøÚvcitþ. 34- CMgWEPñk (Eye Diseases) PaBminFmµta b¤CaCm¶WEdlb:HBal;dl;EpñkNamYyén EPñk ¬EpñkxageRkA b¤Epñkxagkñúgén EPñk¦ nigenACuMvij EPñkEdlP¢ab;CamYyrcnasm<½n§énEP ñkdUcCa ³ bBaðaelIRtbkEPñk ehorTwkEPñkCaedIm.
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60 35- CYrTMenr Tukdak;CMgWBiessNamYy Edlmankñúgextþ b¤caM)ac;mankartamdanBiessrbs; CMgWNamYy eyIgrab;bBa©Úl kñúgCYrenH. 36- epSgeTot (Others) CMgWTaMgLayEdlmin)anrab;bBa©Úlkñ úgbNþaCYrxagelI RtUvbBa©Úl kñúgepSg²eTot karrlUtkUn-rMlUtkUn (Abortion) karbBa©b;K’PmuneBlvamanGayu 28 s)þah_ Edl)an ekItmanb¤eFVIeLIgenAkñúgmnÞIreBTü karvHykkUn (Cesarean Section) KWCakarvHkat;EpñksmÖB edayvHeBaHEdleFVIkar edIm,ITajykTarkBIkñúgs,Ún eRkayeBlEdlK’Pman GayuelIsBI28s)aþh_.
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61 RBay®kLaePøIg (Eclampsia) KWCasßanPaBF¶n;F¶rmYy EdlTak;TgnwgkarmanK’Peday rYmman³ karmanGal;b‘uymIn kñúgTwkenam karekInsMBaaFQam karRbkac;karb:HBal; xYrk,al nig tMrgenam. RsþIeRcInEt søab;ebIminman karseRgÁaHTan;eBl. karFøak;Qam (Haemorrhage) KWCakarecjQamCak;Esþg nigminGacRKb;RKg)aneTA xagkñúg b¤xageRkAxøÜnrbs;RsþI. sMrallM)ak (Dystocia) CakarsMraledayeRbI Forcep, Ventouse b¤bec©keTs epSg² b¤edayeRbIfñaMepSg².
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62 karsMralkUnEdlmankarqøgeraK (Infection) KWCakarqøgeraKEdlbNþalmkGMBIkgV HGnam½yrMgab;emeraKkñúgeBlmanK’ P eBlrlUtkUn b¤rMlUtkUn eBlsRmalkUn nigeRkayeBlsRmalkUn EdleRcInbNþalmkBI ³ -karrlUtkUn / rMlUtkUnedaykgVHsuvtßiPaB -karEbkTWkePøaHyUr -karsMralkUnenATIkEnøgmins)at b¤edaykgVHkarrMgab;emeraKelI]bkrN_ eRbIR)as; -karsl;kMeTcsukeRkaysMral - kardak;vtßúepSg²kñúgTVarmaseRkays MralkUn srubekItrs; (Live Birth) ykEtcMnYnekItrs;EdlføwgRtwmRtUv. søab;ekIt (Still Birth): TarkekItmkKµansgVak;degðIm KµanERskyM KµansgVak;ebHdUg Gab;haÁsUnü.
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63 Blood Bank - ISD-Internal Spontaneous Donor Gñkpþl;QamsµRK½citþ - IRD-Internal Replacement Donor Gñkpþl;QamEdlCaRKYsarGñkCMgW - ED-External Donor : Gñkpþl;QamsµRK½citþtamRkumcl½t - HCV-Hepatic C Virus rlakeføImRbePT C
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64 HC1 form
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77 sMNYr nig cMelIy¡
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