Page 41 - cover

;sia y;a jk l,dmh 39

uq,a <udúfha§u lsß o;a osrd hdfï frda.h (early lsß o;a u;= ùug fmr isgu f.daia frÈ lene,a,la
childhood caries) idudkHfhkA orejdf.a jhi udi wdOdrfhka orejdf.a ykq msßisÿ lrñka jßkajr fl<
yfha § muK tkï o;a taug mgka .;a miq mgka .eiSug orejd yqre l< hq;=h¡ uq,skau meñfkk bossßmi
f.k iS>%fhka j¾Okh ù o;a ÿ¾j¾K lr l=yr lsß o;a u;= ùu;a iu.u nqreiqjlska o;a ueoSu wdrïN
we;=`: oka; frdA. rdYshlA iE§ug uq,a fjhs¡ fï frda. l< hq;=h¡ fï i`oyd l=vd o;a nqreiqjla (super junior brush)
fha§o o;a osrd hdug m%Odk jYfhka fya;= jkafka iSks Ndú;d l< yels w;r" *af,darhsâ iyss; oka;df,amhlska
iys; wdydr iy wys;lr nelaàßhd jqj;a frda.hg b;du ;=kS f,ahrhla (smear layar) nqreiqjg oud uj fyda
iïnkaO wfkl=;a oaú;Sh ldrKd (risk factors) rdYshla mshd úiskau Èklg fojrla o;a ueÈh hq;= w;r uq,ska
úúOdldrfhka iïnkaOjk nj y÷kd f.k ;sfí¡ yqre l< mrsos ue§fu§ tl;= jk fl, .s,Su fkdlr
jydu bj; oeñh hq;=h¡ fuu wdldrfhka fl< .eiSu
uqL fi!LH mqreÿ fkdue;slu fyda wkjfndaOh¡ fkdlrkafka kï oka;df,am Ndú;d fkdlr nqreiqfjka
w' iSks iys; wdydr" îu j¾. ks;r .ek’u¡ muKla msrsisÿ lsÍu wdrïNfha§ l< hq;=h¡ orejdf.a m<uq
wd' iSk‘ iy‘; ieliQ lsß fnda;,fhka ks;r Wmka Èkfha§ oka; ffjoHjrfhl=g fmkaùu f,dalh mqrd
fmùu¡ isÿjk fyd| m%jK;djhls¡
we' rd;%sfha § fnda;,fhka l‘ß fmùu¡
wE' úfYaI wjYH;d iys; orejl= ùu¡ wdydr .ek’u iïnkaOfhka ie,lsh hq;= lreKq
b' oka; m%;sldr f,i úl,dx.
WmlrK me,| isàu¡ w' uõlsß orejdg ,nd oSu w;HjYHfhkau l< hq;=
B' ujf.a fyda /l n,d.kakdf.A whym;a uqL w;r uõlsß o;a osrd hdu we;s fkdlrhs¡
fi!LHh¡ wd' kuq;a ieliQ lsß wdydr iu. iïnkaO jQ úg
W' wvq iudchSh iy wd¾Ól uÜgu (low uõlsß Èrdhdug fya;= úh yelsh¡
socioeconomic level) we' wu;r lsß wdydr fnda;,hlska ,nd fokafka kï
W!' wvq *af,darhsâ uÜgu Ndú;h¡ iSks Ndú;d fkdlsÍu b;d jeo.;ah¡
t' wvq fi!LHh myiqlï fyda wod, wdh;k ÿßka wE' fnda;,fhka lsß ,nd fokafka kï lsß §fuka
msysàu¡ miq o;a ueoSu fyda tfia l< fkdyels kï f.daia
lene,a,lska fyd`oska msi oeóuj;a isÿ l< hq;=h¡
lsß o;a /l .ekSfï jev ms<sfj,¡¡¡¡¡ b' kskafoa§ os.= ld,hla lsß § thg orejd yqre
fkdlsÍu b;d jeo.;a fõ¡
B' rd;S% ld,hg (night feeding) lsß §u fkdl, hq;=h¡
W kskafoa§ fnda;,fhka lsß §u úYd, jYfhka o;a
osrd hdug n,mdhs¡
W!' i’ks iys; wdydr iy Èhr o’u wju l< hq;=h¡

iSks iys; ri leú,s" wef,k iq¿ ri leú,s
^fpdl,Ü" ìialÜ" fgd*s& iy meKss îu j¾. ks;r
Ndú;h wju l< hq;=h¡ fïjd m%Odk wdydr fõ,a w;r
ks;r ks;r .ekSu l=vd orejkaf.a fukau jeäysáhkAf.a
o o;a osrd hdug n,mdk m%Odku idOlhhs¡ úfYaIfhkau
ìialÜ j¾.j, we;s meKs rinj iy ñ, wvq lu ksid
jf.au tla me;A;lska ld¾h nyq, nj ksid tajd wdydrhg
lsß o;a /l .ekSfï j.lSu iïmQ¾Kfhkau .ekSug <uqka yqreù ;sîu wfma rgg úYd, m%YaKhla ù
jdf.a foudmssshka i;=h¡ orejkaf.a ish`: foa fidhdn,d ;sfí¡ tu.ska fmdaIKhg iy j¾Okhg lrk n,mEu o;a
wjYH;d imqrkakd fiau Tjqkaf.a ukd fi!LH j¾Okh osrd hdu u.ska ;j;a W.% w;g yrjhss¡
iy fm!reI;ajh f.dv kexùu i`oyd fnfyúkau
wä;d,ula jk lsß o;a fm< /l §u foudmshkaf.a w' iSks iys; wdydr iy ri leú,s m%Odk wdydr
j.lSuls¡ ta i`oyd ujla .¾NkS wjia:dfõ isgu fõ,g miq .ekSu ;rula wdrlaId iys;h¡
lemúh hq;= w;r" fi!LH yd fmdaIK wud;HxYh wd' Öia" ng¾" lcq" lv," rg lcq iy fhda.Ü jeks
u.ska .¾NkS ldka;djka i`oyd oekqj;a lsÍfï wdydr .ekSfuka o;a osrd hdu isÿ fkdfõ¡
jevigyka iy oka; ffjoH idhk mj;ajkafka thg we' m<;=re j¾. wdydrhg .ekSug orejka yqre lsÍu
iyh ,nd§u i`oydh¡ Mys§" foudmshka oekqj;a jk l< yelsh¡
w;r ujf.a o;a /flkakd fiau oka; frda. ksid we;s
úh yels wvq jhia ore Wm;a" wvq nr ore Wm;a (pre- o;A ue§fï§ oek .;hq;= lreKq"
term birth, low birth weight) jeks ixl+,;d o u.yef¾¡
uq,A ld,fha§u ujf.a weiqfrkaa orejdf.a uqLh ;=< w' o;a uÈk wdldrh (brushing technique) bf.k.;
wys;lr nelaàßhd j¾Okh ùu o fuu.ska je,lShhss¡ hq;=h¡
wd' jhig .e,fmk mßÈ iqÿiq nqreiqjla f;dard§u¡