சீரற்ற மருந்துப் பாவனையும் சீரழியும் சுகவாழ்வும் -டாக்டர் எம்.ஐ.எம் ஜெமீல்

         

      சீரற்ற மருந்துப் பாவனையும்

சீரழியும் சுகவாழ்வும்

tpQ;Qhdj;jpd; mjPj tsHr;rpapd; gadhf ,d;;W cyfpy; gy etPd itj;jpa KiwfSk; Gjpa kUe;J tiffSk; fz;Lgpbf;fg;gl;L tUfpd;wd. ,tw;iwj; jkf;F rhjfkhfg; gad;gLj;Jk; gy;Njrpa kUe;Jf; fk;gdpfs; gy Af;jpfisf; ifahz;L kf;fs; kj;jpapy; kUe;Jg; ghtidia ,d;wpaikahjjhf;fptpl;ldH. ,jd; jhf;fkhf kf;fs; tpUk;gpNah tpUk;ghkNyh mw;g Neha;f;Fk;  cldbahf kUe;J ghtpj;jiy toikahf;fpf; nfhz;Ls;sdH. rpwe;j Rfhjhug; gof;f tof;fq;fisg; Ngzy;> nghWik> ek;gpf;if Nghd;w ey; tpOkpaq;fSld; thOjy; vd;gdtw;wpw;F khw;wPlhf ,d;W kUe;Jg; ghtidNa Kf;fpakhfTs;sJ.

vdNt ,yq;ifapy; kUe;J cw;gj;jp>,wf;Fkjp> tpepNahfk;>ghtid njhlh;ghd Njrpa nfhs;iffs; ruptu mKy; elhj;jg;gl Ntz;Lk;. mjd; %yk; kUe;Jg; ghtidapy; cs;s FiwghLfs;; ePf;fg;gl Ntz;Lk;.

1960 fspy; ,yq;ifapy; kUe;Jg;ghtidia rPuhf;Ftjw;fhd Muk;g Kaw;rpfis Nkwnfhz;ltH NguhrpupaH Nrdf gpgpNy mtHfshFk;. ,tupd; Kaw;rpahy; Kjypy; 630 kUe;Jfspd; gl;bay;fSld; “,yq;if itj;jparhiy kUe;Jg; gl;bay;fspd; njhFg;G”(Ceylon Hospital Formulary) ntspaplg;gl;lJ. mijj; njhlHe;J “Njrpa kUe;Jg; gl;bay; FO” (National Formulary Committee) ];jhgpf;fg;gl;L “PPPrescriber” vDk; kUe;Jfs; njhlh;ghd jfty;fs; mlq;fpa fhyhz;Lf; ifEhy; ntspaPLk; Muk;gpf;fg;gl;lJ.         

!970 fspy; Ml;rp nra;j If;fpa Kd;dzp murhy; kUe;Jg;ghtidfspy; nghUj;jkhd rPh;jpUj;jq;fisf nfhz;L; tUtjw;fhf Dr.S.A.tpf;ukrpq;f Dr.Nrdf gpgpNy MfpNahH mlq;fpa FOnthd;W epakpf;fg;gl;lJ. ,f;FOtpd; rpgupRfis KOikahf mKy; elhj;j Kd; Ml;rp khw;wk; Vw;gl;ljhYk; Dr.Nrdf gpgpNy mtHfspd; mfhy kuzj;jpdhYk; NtW gy rf;jpfspd; epHg;ge;jq;fshYk; ,k;Kaw;rpfs; jilg;gl;ld. vjpHfhyj;jpy; kUe;Jg;  ghtid njhlh;ghd Njrpa nfhs;iffis ruptu mKy; elhj;j Ntz;ba Njit kpf mtrukhf Nehf;f Ntz;bas;sJ.

cyf Rfhjhu ];jhgdj;jpd; (WHO) fzpg;gpd; gb itj;jparhiyfspy; gupe;Jiuf;fg;gLfpd;wJk; tpepNahfpf;fg;gLfpd;wJk; kUe;Jf; filfspy; tpw;fg;gLfpd;wJkhd kUe;Jtiffspy; miuthrpf;F Nkw;gl;lit mtrpakw;wjhfNth my;yJ nghUj;jkw;wjhfNth fhzg;gLfpd;wd. ,tw;iwg; ngw;Wf;nfhs;Sk; Nehahspfs;py; miuthrpg;NgH jkJ kUe;Jfisr; ruptug;ghtpg;gJkpy;iy. ruptug; ghtpg;gjpy;iy vd;gJ msTf;F mjpfkhfg; ghtpj;jy;>Fiwthfg; ghtpj;jy; my;yJ jg;ghd NjitfSf;Fg; ghtpj;jy; vd;gdthFk;.

tsHKf ehLfspy; Muk;g Rfhjhu ftdpg;G epiyaq;fspy; kUj;Jt rpfpr;ir xOq;FfSf;fikthf kUe;Jfs; gupe;Jiuf;fg;gLk; tpfpjhrhuk; mur Jiwapy; 40%f;Fk; mur rhHgw;w epiyaq;fspy; 30%f;Fk; FiwthfNt fhzg;gLfpd;wd. cjhuzkhf: tapw;Nwhl;lj;jhy; ghjpf;fg;gl;l gps;isfspy; 60%f;F FiwthdtHfSf;F kl;Lk; ORS fpilf;fpd;wJ MapDk; 40%  f;;F Nkw;gl;lth;fSf;F mtrpakw;w Neha;f; fpUkpfisf;

fl;Lg;gLj;Jk; kUe;Jfs; (Anti biotic)  nfhLgLfpd;wJ. mNj Nghy; kNyupah Neha; cs;stHfspy; 50% f;F kl;Lk; gupe;Jiuf;fg;gl;l Kd;dpiy kUe;Jfs; fpilf;fpd;wd. NkYk;> epANkhdpah Nehapdhy; ghjpf;fg; gl;ltHfspy; 50-70% f;F kl;LNk nghUj;jkhd  Neha;f; fpUkpfisf; fl;Lg;gLj;Jk; kUe;Jfs; nfhLgLfpd;wJ. MapDk; 60% f;F Nkw;gl;l itu]; Neha;f; fpUkpfshy; Vw;gLk; Rthrf;Foha; Neha;fSf;F mtrpakw;w Neha;f; fpUkpfisf; fl;Lg;gLj;Jk; (Anti biotic)  kUe;Jfs; fpilf;fpd;wJ.

jtwhd kUe;Jg; ghtidapd; gpd; tpisTfs;;

·         Neha;f; fpUkpfisf; fl;Lg;gLj;Jk; kUe;JfSf;F (Anti biotic) vjpHg;Gr;rf;jpfs; mjpfupg;gjdhy; ,k; kUe;Jfs; tpiutpy; nrayhw;wy; ,y;yhky; Nghfpd;wd. ,jd; fhuzkhf gy rj;jpu rpfpr;irfSk; Gw;W Neha; rpfpr;irfSk; jilg;gLfpd;wd. Neha; RfkhFk; fhyk; ePz;L nry;tjhy; itj;jparhiyfspy; jq;Fk; fhyk; mjpfupj;J nryT $Lfpd;wJ. mfhy kuzq;fs; rk;gtpf;fpd;wd.

·         .gpujp$ykhd tpisTfshy; Vw;gLk; xt;thik(Allergy) ghupa Nehahf khwp kuzk; rk;gtpf;fyhk;

·         tPz; gz tpuak; (mur kw;Wk; jdp egH)

·         kUe;Jfspd; tPz; tpuak; fhuzkhf kUe;Jj;jl;Lg;ghLk; tpiy mjpfupg;Gk;.

jtwhd kUe;Jg; ghtidf;fhd fhuzpfs;

·         ehl;;by; rPuhd kUe;Jf; nfhs;if mKy; elhj;jg;glhik

·         kUe;Jfs; njhlh;ghd cz;ikf;Fg; Gwk;ghd tpsk;guq;fs; %yk; ghtidahsH kdjpy; Vw;gLk; jhf;fqfs;

·         kUe;Jfs; gl;Nlhiy ,y;yhky; jhuhskhf tpw;fg;gLjy; %yk; mtrpakw;wJk; nghUj;jkw;wJkhd kUe;Jfspd; ghtid mjpfk;.

·         kUe;Jf; fk;gdp gpujpepjpfs; itj;jpah;fSf;Fk; kUe;J ifahs;gtHfSf;Fk; nfhLf;Fk; xU gf;f rhHghd jfty;fs;>Nkyjpf mD$yq;fs; kw;Wk; epHg;ge;jpf;Fk; nraw;ghLfs;;

·         nghUshjhuf; fhuzpfshy; gupe;Jiuf;fg;gl;l kUe;JfSf;Fg; gjpyhf NtW  tpiy Fiwe;j kUe;Jfs; ghtpj;jy;

·         kUe;Jfs; njhlHghf Rje;jpukhd jfty;fs; ngWtjpy; rpf;fy;fs;

·         kUj;Jt rpfpr;ir njhlHghd rl;l xOq;Ffs; gw;wpa jfty;fs; ,y;yhik.

·         itj;jpaHfs; kj;jpapy; fhzg;gLk; gpd;tUk; FiwghLfs;

o   Nehiaj; jPHkhdpg;gjpy; epr;rakw;w jd;ik

o   Nehiaf; fz;Lgpbg;gjpy cs;s khw;W Kiwfs; gw;wpa Nghjpa jfty;fs; ,y;yhik

o   Nehahspiaj; njhlHr;rpahf fz;fhzpf;Fk; tha;g;G ,y;yhik

o   Nehahspfspdhy; rl;l eltbf;if vLf;fg;gLtJ njhlHghd mr;rk;.

o   itj;jpaHfs; Nehash;fSld; mtrukpy;yhJ fye;Jiuahb MNyhridfs; toq;Ftjw;Nfh kUj;Jtj; jfty;fis ehshe;jk; mwpe;J nfhs;tjw;Nfh jq;fspd; tho;nthOq;if jpl;lkplhik.

jPHTfs;

1.   kUe;J ghtid njhlHghd nfhs;iffis mKy; elhj;Jtjw;Fk; mjd; tpisTfisf; fz;fhzpf;Tk; xU Njrpa rig ];jhgpj;jy;/Gduikj;jy;

2.   kUe;J njhlh;ghd jPHkhdq;fs; vLg;gjw;Fk; Nkw;ghHit nra;tjw;Fk; gapw;rpfs; mspg;gjw;Fk; rhd;WfSld; $ba rpfpr;ir topfhl;bfisj; jahupj;J ntspaply;.

3.   mj;jpahtrpa kUe;Jg;gl;bay; jahupf;fg;gl;L fhyj;jpw;F fhyk; GJg;gpj;jy;.

4.   khtl;lk; NjhWk; kUe;Jg; ghtidia fz;fhzpf;Tk; Kd;Ndw;wTk; rpfpr;irf; FOf;fs Vw;gLj;jy;;.

5.   itj;jpag; gl;ljhupg; gapw;rpapy; kUe;Jfs; gupe;Jiu nra;jy; kw;Wk; kUe;Jfs; njhlHghd gpur;rpidfSf;F Kf;fpaj;Jtk; nfhLj;jy; (WHO)

6.   itj;jpaj; njhopy; nra;tjw;fhd mDkjpiag; GJg;gpg;gjw;F njhlHr;rpahd kUj;Jtf; fy;tpapy; (CME) NjHr;rp ngWtij epge;jidahf;fy; (WHO)

7.   kUj;Jtg; gzpahsUk; EfHNthUk; ghHitaplf; $bathW kUe;Jfs; njhlh;ghd Rje;jpukhdJk; gf;frhHgw;wJkhd jfty;fs; gfpuqfkhf fpilj;jy.;

8.   kUe;Jfs; njhlh;ghf kUj;Jtg; gzpahsUf;Fk; nghJ kf;fSf;Fk; Rje;jpukhdJk; gf;frhHgw;wJkhd mwpT+l;ly;fs; nra;jy;.

9.   KiwNflhf kUe;Jfs; gupe;Jiu nra;tijj; Jhz;Lk; nghUshjhu my;yJ NtW mD$yq;fis toq;Fk; nraw;ghLfis ,y;yhnjhopf;f rl;l xOq;Ffs; Vw;gLj;jy;

10.  juk; tha;e;j kUe;JfspdJk; gapw;wg;gl;l Rfhjhu CopaHfspdJk;; jl;Lg;ghl;ilj; jtpHf;f muR NghJkhd epjp xJf;fPL nra;jy;.

11.  ntspNehasH rpfpr;irf;F tUgth;fspd; jfty;fs; fzdpfspy; gjpag;gl;L; mtHfSf;fhd rpfpr;iria njhlHr;rpahff; fz;fzpf;Fk; Kiw eilKiwg;gLj;jy;

12.  ngUk;ghyhd ntsp NehahsH rpfpr;ir epiyaq;fspy; itj;jpaupd; fl;lzq;fs; Nehahspf;F toq;fg;gLk; kUe;JfSld; gpizf;fg;gl;Ls;sJ. vjpHfhyj;jpy; itj;jpaupd; fl;lzq;fis NtW tifapy; nrYj;JtJ %yk; mtrpakw;w kUe;Jfs; gupe;Jiu nra;ag;gLtijf; Fiwj;jy;

13.  .Nehahspf;Fj jug;gLk; kUe;Jtiffisf; Fiwe;jJ 03 jpdq;fshtJ ghtpj;j gpd;Ng kPs; gupNrhjidf;F nry;yy;.(MapDk; Gjpa rpf;fy;fs; Vw;gl;lhy; cldbahfj; njhlHG nfhs;syhk;).

14.  xUtUf;F nfhLf;fg;gl;l kUe;ij kw;wtHfs; ghtpj;jiyj; jtpHj;jy;

15.  kUj;Jt MNyhridapd;wp jd;dpr;irahf kUe;Jfis cl;nfhs;tijNah Ma;T$l itj;jpa gupNrhjidfisr; nra;tijNah jtpHj;jy;.

Nkw; $wg;gl;l jPhTfis mKy; elj;jJtw;F muRk; mjpfhupfSk;> nghJ kf;fSk; Mtd nra;a Ntz;Lk;. mjd; %yk; vjpHfhyj;jpy; kf;fs; jq;fSf;Fj; Njitahd rupahd kUe;ij rupahd mstpy; Njitahd fhyj;jpw;F mjp Fiwe;j tpiyf;Fg; ngw;Wf; nfhs;tjw;fhd Vw;ghLfs; cWjp nra;ag;gl Ntz;Lk;.

mj;Jld; kf;fs; jq;fSf;F Neha; Vw;gl;lTld; kUe;J clnfhs;tij ehlhky; nghWikAlDk; ek;gpf;ifalDk; Xa;T vLj;J ey;y Rfhjhu>czT gof;f tof;fq;fisf; filg;gpbf;fTk; itj;jpa MNyhridapd;wp kUe;J ghtpj;jiyj;jLf;fTk; mwpT+l;ly;fs; elhj;jg;gl Ntz;Lk;.-

;டாக்டர் எம்.ஐ.எம் ஜெமீல்

jiytH>khjhdj;jpw;fhd rkaq;fspd; ,yq;ifg; Nguit (mk;ghiu khtl;lk;)

jiytH>rpNu\;l gpui[fs; xd;wpak;> rha;e;jkUJ