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e/kqesg esa vkgkj. e/kqesg esa lkekU; vkgkj. Mk;cVht D;k gS. Mk;fcVht+ “kjhj dh og voLFkk gS] ftlesa jDr esa Xywdkst+ dh ek=k c<+ tkrh gSA ;g rc gksrk gS tc gekjk “kjhj [kkus dk iwjk mi;ksx ugh dj ikrk gS] D;ksafd bUlqfyu uked gkjeksu ;k rks de ek=k esa gksrk gS ;k fcYdqy ugh gksrk gSA.

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slide3

Mk;cVht D;k gS

  • Mk;fcVht+ “kjhj dh og voLFkk gS] ftlesa jDr esa Xywdkst+ dh ek=k c<+ tkrh gSA ;g rc gksrk gS tc gekjk “kjhj [kkus dk iwjk mi;ksx ugh dj ikrk gS] D;ksafd bUlqfyu uked gkjeksu ;k rks de ek=k esa gksrk gS ;k fcYdqy ugh gksrk gSA
slide4

Hkkjr esa Mk;fcVht

  • vf/kd ik;h tkrh gS
  • jgu lgu esas ifjorZu ,oa ifjokj ls
  • de tkudkjh dh otg ls ekywe u pyuk
  • irk yxus ls ,d n”kd iwoZ gksrh gS
  • nqcys iryksa esa Hkh ik;h tkrh gS
  • bykt dks xaHkhjrk ls ugha fy;k tkrk
slide5

Mk;fcVht+

ns[ku esa gYdk ykxs ?kko djs xaHkhj

slide6

Vkbi 1 Mk;fcVht dk bykt

Insulin

Exercise

Monitoring

Education

Diet

slide7

Vkbi 2 Mk;fcVht dk bykt

Insulin

Exercise

Monitoring

Education

Diet

Oral Agents

slide8

Mk;fcVht dk fu;a=.k

,d LoLFk Hkkstu ;kstuk

dk ikyu djsa

fu;fer O;k;ke djsa

nokbZ;ka

le; ls ysa

fu;fer CyM

“kqxj dh tkap

slide9

Mk;fcVht dks vki fu;af=r djsa

  • CyM “kqxj dks lkekU; j[ksa
  • CyM “kqxj esa ifjorZu gks ldrk gS
    • Hkkstu ls
    • nokbZ;ka ;k balqfyu ls
    • O;k;ke ls
    • chekjh ls
    • ruko ls
slide10

Lofu;a=.k lh[kuk

  • dqN ifjJe ,oa le; dh vko”;drk gS
  • bykt esa iw.kZ :i ls lg;ksx nsuk
  • Lofu;a=.k dks fu;fer thou esa yk,a
  • blesa MkDVj ,oa Mk;fcVht ds;j Vhe ds chp esa lg;ksx dh vko”;drk gksrh gS
slide11

Lofu;a=.k dSls djsa

  • fu;fer CyM “kqxj tkapsa
  • CyM “kqxj dks fu;fer :Ik ls Mk;jh esa fy[ksa
  • CyM “kqxj esa mrkj ;k p<+ko dks ns[ksa
  • CyM “kqxj ds vuqlkj viuh Hkkstu ,oa nokbZ;ka vuqdwy cuk,a
  • MkDVj ,oa Mk;fcVht ds;j Vhe dh lgk;rk ysa
slide12

lkekU; CyM “kqxj y{;

vuqdwy CyM “kqxj Lrj gSa

CyM “kqxj lkekU; Lrj ij j[kus ls Mk;fcVht ls gksus okyh tfVyrkvksa ls cpk tk ldrk gS

mk fcvht fu a k ds vkstkj
Mk;fcVht fu;a=.k ds vkStkj
  • LoLFk Hkkstu ;kstuk
  • Ektsnkj O;k;ke dk;Zdze
  • nokb;ka
  • CyM “kqxj dk fjdkMZ
  • Hkkstu ,oa O;k;ke dk fjdkMZ
  • Mk;fcVht ds;j Vhe
  • Rkuko de djus ds rjhds
vkgkj kstuk
vkgkj ;kstuk
  • vkSj yksxksa ls vyx ugha gS
  • lHkh rjg ds Hkkstu inkFkZ gksus pkfg;s

vukt ]Qy ]lCth] v.Mk] ekaal] eNyh] ,oa nqX/k mRikn

  • rhu rjhds Hkkstu ;kstuk ds

vkgkj fijkfeM

Hkkstu dh vnyk cnyh

dkcksZgkbMsz~V dkmafVax

slide15

Hkkstu lykg ds Qk;ns

  • Hkkstu ds ckjs esa lykg nsuk Mk;fcVht fu;a=.k dk vfHkUu vax gS
  • Mk;fcVht esa dkcksaZgkbM~zszV ,oa izksVhu dk bLrseky “kjhj esa fcxM+ tkrk gS
  • ,d dkjxj vkStkj O;k;ke rFkk nokb;ksa ds lkFk esa [kkl rkSj ij Mk;fcVht ds “kq:vkrh nkSj esa
  • ,d vfu;ksftr vkgkj ,d csgrj fu;ksftr nokb;ksa ds dk;Zdze dks fcxkM+ ldrh gS
vkgkj fijkfem funsz k
vkgkj fijkfeM funsZ”k
  • ge ns[k ldrs gSa D;k vkSj fdruk Hkkstu [kkuk pkfg;s
  • fijkfeM ds uhps Lrj okys Hkkstuksa dks T;knk ysuk pkfg;s ,oa mij okys Hkkstuksa dks de ysuk pkfg;s
  • LoLFk uhao chUl ]vukt ,oa lfCt;ksa ls curh gS
  • FkksMk v.Mk] ekal] eNyh ,oaa nqX/k inkFkZ e/; Hkkx esa j[kus pkfg;s
  • Oklk ,oa ehBh phtsa cgqr de ek=k esa ysuh pkfg;s
slide17

Mk;fcVht vkgkj fijkfeM

olk] rsy] cknke ]

v[kjksV ]dktw ,oa ewaxQyh

2&3 Hkkx

v.Mk ekal ,oa eNyh

1&2 Hkkx

nqX/k ,oa nqX/k mRikn

2&3 Hkkx

Qy 2&3 Hkkx

lfCt;ka 3&4 Hkkx

vukt ,oa nkysa

8&12 Hkkx

slide18

Hkkstu lewg % Hkkstu vnyk cnyh

  • vukt
  • nkysa
  • nqX/k ,oa nqX/k mRikn
  • lfCt;ka
  • Qy
  • olk] rsy] v[kjksV] ewaxQyh] dktw
  • v.Mk] ekal] eNyh
slide20

vukt

  • vukt Hkkstu dk ,d eq[; lzksr gS A blesa dkcksZgkbMzsV] [kfut ,oa

foVkfeu ch lewg vf/kd ek=k esa feyrk gS

  • vkVk ] pkoy] eDdk] cktjk] Tokj bR;kfn
  • jksVh] ijkBk] iwMh] bMyh] Mkslk] fcfLdV] czsM] eSdjksuh] uwMYl bR;kfn
slide21

nkysa

  • buls “kkdkgkjh Hkkstu esa izksVhu vf/kd feyrk gS
  • vjgj] ewax] puk] mM+n] elwj] jktek
slide22

nqX/k ,oa nqX/k mRikn

  • nw/k lHkh mez ds O;fDr;ksa ds fy, Qk;nsean gS A nw/k esa mRre izksVhu feyrh gSA HkSal ds nw/k esa xk; ds nw/k ls vf/kd olk feyrh gSA
  • nw/k vyx vyx rjhdksa ls fy;k tk ldrk gS tSls ngh] iuhj] pht] nw/kikmMj
slide23

lfCt;ka

  • lfCt;ka [kfut foVkfeu ,oa js”kksa ds fy, t:jh gSA lfCt;ksa dks rhu lewg esa

foHkkftr fd;k tk ldrk gS

    • gjh iRrsnkj lfCt;ka % ikyd] iRrk] xksHkh] lks;k] esFkhA
    • dUn ewy % vkyw] I;kt] xktj ]ewyh] pqdUnj] “kyte A
    • vU; lfCt;ka % eVj ]cSaxu] iRrkxksHkh] fHk.Mh] yksSdh] rjksbZ] ijoy
slide24

Qy

  • Qyksa ls foVkfeu lh vf/kd feyrk gS A dbZ Qyksa esa dkcksZgkbMsZz~V vPNh ek=k esa jgrk gSA ihys Qy tSls vke rFkk iihrk esa dSjksVhu vf/kd feyrk gS
    • lsc] dsyk] vaxwj] larjk] ve:n vkfn
slide25

Oklk ]rsy] esos vkfn

  • buesa olk mtkZ foVkfeu ,oa [kfut vf/akd feyrk gS A lkFk esa buls izksVhu Hkh feyrk gS A cknke] dktw] fpyxkstk] ewxQyh] v[kjksV vkfn
      • Hkkjr esas ns”kh ?kh eD[ku ,oa fofHkUu izdkj ds rsy vf/kd iz;ksx gksrs gSA olk ,d mtkZ dk HkaMkj gSA blls 9 fdyksdSyksjh izfr xzke feyrh gS
slide26

v.Mk ekal eNyh

  • izksVhu foVkfeu vk;ju ,oa QkLQksjl vf/kd feyrk gSA v.Mk vfrmRre izksVhu lzksr gSA blesa gj izdkj ds t:jh vehuks ,flM lgh ek=k esa miyC/k gSa A ekalkgkjh Hkkstu esa foVkfeu ch 12 vf/kd feyrk gS
    • eVu] fpdu] eNyh] v.Mk A
slide27

Hkkstu dh vnyk cnyh

FoodExchanges

  • Hkkstu dh vnyk cnyh cjkcj ek=k esa dh tkuh pkfg;s
  • Hkkstu vnyk cnyh ;kstuk fo”ks’kK ls vius [kkuiku dh vknrksa dsa fglkc ls cuokuh pkfg;s
  • fdlh lewg ds ,d Hkkxesas cjkcj dSyksjh dh ek=k gksrh gS vr% vnyk cnyh dh tk ldrh gS
  • tSls ,d lkekU; jksVh rhu pkSFkkbZ dVksjh pkoy vFkok ,d bMyh vFkok nks lkekU; czsM ls vnyk cnyh dh tk ldrh gS A
  • ,d jksVh nks pEep ?kh ls vnyk cnyh ugha dh tk ldrh tcfd nksuksa dh dSyksjh ek=k cjkcj gS
vukt lewg essa vnyk cnyh
vukt lewg essa vnyk cnyh

izfr vnyk cnyh lkS dSyksjh ds cjkcj gS

nky lewg essa vnyk cnyh
nky lewg essa vnyk cnyh

izfr vnyk cnyh lkS dSyksjh ds cjkcj gS

nqx k lewg essa vnyk cnyh
nqX/k lewg essa vnyk cnyh

izfr vnyk cnyh lkS dSyksjh ds cjkcj gS

ekkal lewg essa vnyk cnyh
Ekkal lewg essa vnyk cnyh

izfr vnyk cnyh lkS dSyksjh ds cjkcj gS

buesa dkcksZgkbMzs~V ughs gksrk gSA

lcth lewg essa vnyk cnyh
lCth lewg essa vnyk cnyh

izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS

lcth lewg essa vnyk cnyh1
lCth lewg essa vnyk cnyh

izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS

lcth lewg essa vnyk cnyh2
lCth lewg essa vnyk cnyh

izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS

qy lewg essa vnyk cnyh
Qy lewg essa vnyk cnyh

izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS

olk lewg essa vnyk cnyh
olk lewg essa vnyk cnyh

izfr vnyk cnyh ipkl dSyksjh ds cjkcj gS

fxuks
fxuks
  • Hkkstu esa dkcksZgkbM~zs~V CyM “kqxj c<+krk gS
  • feBkbZ] ikidkuZ] vky]w czsM] pkoy] Qy] nw/k ,oa lfCt;ka lHkh esa dkcksZgkbMzs~V gksrk gS A
  • fdlh Hkh rjg ds Hkkstu ;k feBkbZ dh eukgh ugha gSA
  • gesa le> cw> ds vius Hkkstu dh ;kstuk cukuh pkfg;s

vf/kd lfCt;ka feBkbZ;ksa dh vis{kk

Rkktk Hkkstu lajf{kr Hkkstu dh vis{kk

slide40

dSyksjh eqDr Hkkstu

  • dPph lfCt;ka tSls VekVj] iRrkxksHkh] ikyd ,oa [khjk bR;kfn
  • Pkk;] dkQh fcuk nw/k ;k phuh ds] uhacw ikuh fcuk phuh ds] lkQ osthVscy lwi] eV~Bk
de kkus ds uql ks
de [kkus ds uqL[ks
  • Vscy ij IysV ds vykok Hkkstu u j[ksa
  • NksVh IysVsa ,oa dVksjh bLrseky djsa
  • [kkrs le; dkQh ikuh fi;sa
  • gj dkSj dks /khjs /khjs chl ckj pck;saA chl feuV esa yxHkx isV Hkjk eglwl gksxk
slide42

mi;ksxh funsZ”k

  • Hkkstu dh vnyk cnyh iz;ksx djsa] u;kiu ykus ds fy,
  • ?kjsyw rjhds iz;ksx djsa
  • u;s rjhds ykus ds ctk;orZeku Hkkstu ;kstuk ds rkSj rjhds esas

ifjorZu djsa

  • Hkkstu dk le; ckj ckj [kkuk ,oa Hkkstu dh ek=k dks nokb;ka ,oa

balqfyu ds fglkc ls vuqdwy cuk,aA

slide43

Hkkstu tks de vFkok ugha [kkuk pkfg;s

  • Pkhuh ,oa muls cus gq, inkFkZ
    • xqM] “kgn] Xtwdkst] tSe] tSyh] ehBh pVuh] dsd] isLVz~h] feBkb]Z tysch] vkbldzhe] xqykctkequ] cQh]Z pkdysV] VkQh] isIlh] “kjcr] ,oa vU; ehBs is; inkFkZZ
  • Rkys gq, Hkkstu
    • idkSM+h] dpkSM+h] lekslk] Hkqft;k] fpoM+k] rys gq, eso]s feDlpj vkfn
slide44

Lkkjka”k

  • Mk;fcfVd O;fDr viuk ilanhnk Hkkstu [kk ldrk gS ysfdu mls
    • vf/kd O;k;ke djuk gksxk
    • CyM “kqxj dh fu;fer tkap djuh gksxh
    • “kqxj T;knk ;k de gks rks D;k djuk pkfg;s
    • vius MkDVj dks lgh le; ij fn[kkuk pkfg;s
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