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rHf;fiu Neha; gw;wpa cz;ikfs;

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Presentation on theme: "rHf;fiu Neha; gw;wpa cz;ikfs;"— Presentation transcript:

1 rHf;fiu Neha; gw;wpa cz;ikfs;

2 rHf;fiu Neha; vd;why; vd;d ?
nghJthf ek; clk;gpy; cs;s midj;J jpRf;fSk; ed;whf ,aq;f rf;jpahdJ rHf;fiu tbtpy; nry;fpwJ. me;j rHf;fiu cztpypUe;J ,uj;jj;jpw;F tUfpwJ. ,uj;jj;jpy; rHf;fiu ,Uf;f Ntz;ba msT rhg;ghl;bw;F Kd; : 70 Kjy; 110 mg / dl rhg;ghl;bw;F gpd; : 100 Kjy; 140 mg / dl ,e;j msTf;F mjpfkhf rHf;fiu ,uj;jj;jpy; fhzg;gl;lhy;> mJNt rHf;fiu Neha; vdg;gLfpwJ.

3 rHf;fiu Neha;f;F fhuzk; vd;d ?
rh;f;fiu Neha; cs;s egUf;F ,d;Rypd; cw;gj;jpahtjpy;iy my;yJ ,d;Rypd; gw;whf;Fiw Vw;gLfpwJ. ,d;Rypd; vd;Dk; jputk; tapw;wpYs;s cWg;ghfpa fizaj;jpypUe;J Ruf;fpwJ. ,e;j ,d;Rypd; clypy; cs;s jpRf;fspDs; rh;f;fiu Eiotjw;F cjtp nra;fpwJ. ,d;Rypd; ,y;yhJ Nghdhy; rh;f;fiu jpRf;fspy; EioahJ> mJ ,uj;jj;jpy; mjpfhpj;J tpLk;.

4 ,uj;jj;jpy; rHf;fiuapd; msT rHf;fiu Neha; cs;stHfs; & ,y;yhjtHfs;

5 rHf;fiu Nehapd; mwpFwpfs;
mjpf jhfk; vil FiwT kpFe;j fisg;G Mwhj Gz; mbf;fb rpWePH fopj;jy; vy;yh rHf;fiu NehahspfSf;Fk; ,e;j mwpFwpfs; ,Ug;gjpy;iy. tof;fkhd ,uj;j ghpNrhjidapd; %yNk rHf;fiu Nehahspfs; fz;lwpag;gLthHfs;.

6 rHf;fiu Nehapd; tiffs;
Kjy; tif : nghJthf gpwe;j Foe;ij Kjy; 15 taJ tiu Vw;gLk; rHf;fiu Neha; ,e;j tifiar; rhHe;jJ. ,tHfSf;F ,d;Rypd; JspasT $l Ruf;f tha;g;gpy;iy. vdNt tho;ehs; KOtJk; ,d;Rypd; Crpia gad;gLj;j Ntz;Lk;. ,jd; %yk; kw;wtHfisg; Nghy tho;f;ifia rPuhf itj;jpUf;fyhk;. ,uz;lhk; tif : ngUk;ghYk; 40 tajpw;F Nky; cs;stHfSf;F Vw;gLk;. rpW tajpdUf;Fk; Vw;glyhk;. ,tHfSf;F khj;jpiuapd; %yk; ,d;Rypd; Ruf;f nra;J rHf;fiuapd; msit rPuhf;f KbAk;. rpy Mz;LfSf;Fg;gpd; ,d;Rypd; Crp Njitg;gLfpwJ.

7 kw;w tiffs; : fiza Nehapd; fhuzkhf Vw;gLk; rHf;fiu Neha;.
Foe;ij fUg;igapy; tsUk;NghJ kl;Lk; Vw;gLk; - rHf;fiu Neha;. ehskpy;yh Rug;gpfspd; Fiwghl;bdhy; Vw;gLk; - rHf;fiu Neha;. Fwpg;G : xU Kiw ,d;Rypd; gad;gLj;jpdhy; njhlHe;J mNj gof;fkhfptpLk; vd;w kf;fs; fUj;J jtW. Njitg;gLk; NghJ ,d;Rypd; Vw;Wf; nfhs;s Ntz;Lk;.

8 rHf;fiu Nehia Vd; fl;Lg;gLj;j Ntz;Lk; ?
rHf;fiu Nehia Fzg;gLj;j KbahJ. Mdhy; mij fl;Lg;gLj;j KbAk;. mijf; fl;Lg;gLj;jhtpl;lhy; mJ jPtpukhd cldb (m) ePbj;j cghijfspy; nfhz;L tpLk;. ,e;j ePbj;j cghijfs; ehsiltpy; Kf;fpa cly; cWg;Gfis ghjpf;f Jtq;FfpwJ. fz; fz; ghHitf;F CW tpistpf;Fk; ,Ujak; mjpf ,uj;j mOj;jk; (m) khuilg;G. rpWePufk; rpWePuf NfhshW. euk;Gfs; czHr;rp ,oj;jy;. fhy; fhy; Gz; (m) cWg;G ePf;fk;.

9 rHf;fiu Nehia vg;gb fl;Lg;gLj;JtJ ?
czTf; fl;Lg;ghL khj;jpiufs; (m) ,d;Rypd; clw;gapw;rp rh;f;fiu Neha; fy;tp (Diabetes Education) rPuhd tho;f;if Kiw rHf;fiu NehAk;> %is kw;Wk; euk;G kz;lyKk; %isapd; Nkw;gug;gpypUe;J Edpf;fhy; tiuapYs;s ve;j euk;G Ntz;LkhdhYk; ghjpf;f tha;g;Gz;L. %isapy; ,uj;j Foha; milg;G (gf;fthjk;) rh;f;fiu Neha; cs;stHfSf;F mjpfkhf fhzg;gLfpwJ.

10 fhuzk; :- jLf;f topKiwfs; :-
euk;Gfspy; Vw;gLk; Ntjpapay; khw;wKk; ,uj;jf; Foha;fspy; nfhOg;Gg; gbjYk;. jLf;f topKiwfs; :- Kiwahd rpfpr;ir kw;Wk; czTf; fl;Lg;ghL. tUlk; xU Kiw ,uj;jj;jpy; nfhOg;gpd; msit ghpNrhjid nra;J mjw;fhd rpfpr;ir ngWjy;. clw;gapw;rp nra;jy;.

11 rHf;fiu NehAk; fz; ghjpg;Gk; :-
fz; ghHit ,og;G - 20%. rHf;fiu Neha; cs;stHfSf;F Vw;gLfpwJ.. Vd; ? ePz;l ehs; rHf;fiu Neha; cs;stHfSf;F fz; ,uj;jf;Foha; kw;Wk; euk;G ghjpg;gpdhy; fz;fs; ghjpf;fg;gLfpwJ. jLf;f top Kiwfs; Kiwahd rpfpr;ir kw;Wk; czTf; fl;Lg;ghl;bd; %yk; ,uj;jj;jpy; rHf;fiuapd; msit rPuhf itj;jpUj;jy;. tUlk; xU Kiw fz; ghpNrhjid nra;jy;. Muk;g epiyapy; fz;ghjpg;G fz;L gpbf;fg;gl;lhy; cldb NyrH rpfpr;irapd; %yk; ghHit ,og;ig jLf;f ,aYk;.

12 rHf;fiu NehAk; ,Uja NehAk;
khuilg;G (Heart Attack) khuilg;G rHf;fiu Neha; cs;s Mz;fSf;F ,uz;L klq;Fk;> rHf;fiu Neha; cs;s ngz;fSf;F ehd;F klq;Fk; mjpfkhf fhzg;gLfpwJ. khuilg;G> rHf;fiu Neha; cs;stHfSf;F rpW tajpNyNa fhzg;gLfpwJ. khuilg;G> rHf;fiu Neha; cs;stHfSf;F clypy; cs;s Kf;fpa ,uj;j Foha;fis jPtpukhf ghjpf;fpwJ. ,uj;jf;nfhjpg;G> rHf;fiu NehahspfSf;F ,uz;L klq;F mjpfkhf fhzg;gLfpwJ. rHf;fiu Neha; cs;stHfSf;F> ,uj;jj;jpy; nfhOg;Gr;rj;J mjpfkhf cs;sjhy;> ,Uja RtHfs; tPf;fk; milfpwJ.

13 jLf;f top Kiwfs; Kiwahd rpfpr;ir kw;Wk; czT fl;Lg;ghL ,tw;wpd; %yk; rHf;fiu Nehapd; msit rPuhf itj;jpUj;jy;. ,uj;jj;jpy; cs;s 5 tifahd nfhOg;G rj;jpd; msit tUlk; xUKiw ghpNrhjid nra;J mjw;fhd rpfpr;ir ngWjy;. clw;gapw;rp.

14 LIPID PROFILE ,uj;jj;jpy; cs;s ehd;F tifahd nfhOg;gpd; msT (mg)

15 rHf;fiu NehAk; rpWePuf ghjpg;Gk;
rpWePuf NfhshW gy fhuzq;fshy; Vw;gLfpwJ. mjpy; 33 % rHf;fiu Nehapdhy; “Mgj;jhd rpWePuf Neha;” (End Stage Kidney Disease) Vw;gLfpwJ. rpWePuf ghjpg;Gfs; Vd; ? ePz;l ehs; rHf;fiu fl;Lg;ghl;by; ,y;yhj NghJ rpWePuf jpRf;fspy; mjpf mOj;jk; Vw;gLtjhy; rpWepuf NfhshW Vw;gLfpd;wJ.

16 rHf;fiu Nehapdhy; Vw;gLk; fhy; ghjpg;G (Diabetic Foot)
,ij jLf;Fk; topKiwfs; Kiwahd rpfpr;ir kw;Wk; czT fl;Lg;ghl;bdhy; ,uj;jj;jpy; rh;f;fiuapd; msit rPuhf itj;jpUj;jy;. tUlk; xU Kiw rpWePhpy; my;GkpDhpah (Micro Albuminuria Test) ghpNrhjid nra;J mjw;fhd rpfpr;ir ngWjy;. rHf;fiu Nehapdhy; Vw;gLk; fhy; ghjpg;G (Diabetic Foot) fhuzq;fs; ePz;l ehs; rHf;fiu Neha; cs;stHfs; Gz;fspd; typia czUk; jd;ik Fiwe;J tpLtjhy;. ePz;l ehs; rHf;fiu fl;Lg;ghl;by; ,y;yhj NghJ fhYf;F ,uj;j Xl;lk; Fiwtjhy;;. rpWGz; vd;W ftdpf;fhky; ,Ug;gjhy;.

17 ,e;Nehia jLf;Fk; topKiwfs; :-
fhy;fis ntJntJg;ghd ePhpy; kpUJthf Nrhg;Gld; fOt Ntz;Lk;. jpdKk; fhy;fis Rj;jkhf itj;jpUf;f Ntz;Lk;. RUf;fkhf $wpdhy; (Kfj;ij ghJfhg;gJ Nghy fhy;fis ghJfhf;f Ntz;Lk;). fhYf;F Vw;w fhyzpfis gad;gLj;jTk;. fhyzpfs; ,y;yhky; ntspapy; nry;yf;$lhJ. rpWGz;fisAk; rHf;fiu Neha; cs;stHfs; kUj;Jthplk; fhz;gpj;J rpfpr;ir ngw Ntz;Lk;.

18 rHf;fiu NehAk; - fpUkp jhf;fKk; (INFECTION)
fpUkp jhf;fk; rHf;fiu Neha; cs;stHfSf;F mjpfkhf fhzg;gLfpwJ. rpWePufk;> fy;yPuy;> gpj;jg;ig> vYk;G> Njhy;> EiuaPuy;> if kw;Wk; fhy;fspy; fpUkpj; jhf;fk; Vw;gLfpwJ. fhuzk; rh;f;fiu Neha; fl;Lg;ghl;by; ,y;yhjtHfSf;F fpUkpia vjpHj;J NghuhLk; rf;;jp Fiwtjdhy;.

19 rHf;fiu NehAk; - gps;isg;NgWk;
rpy ngz;fSf;F Foe;ij fUg;igapy; tsUk; NghJ kl;Lk; rHf;fiu Neha; (Gestational Diabetes) ,Uf;Fk;. Foe;ij gpwe;jTld; ,e;j rHf;fiu Neha; jhdhfNt rhpahfptpLk;. ,t;tifahd rHf;fiu NehAs;s ngz;fs; ,uj;jj;jpy; rHf;fiuapd; msit Foe;ij gpwf;Fk; tiu kpf rPuhf itj;jpUf;f Ntz;Lk;. ,y;iy vdpy; fPo;fz;l Neha;fs; Foe;ijia ghjpf;Fk;.

20 rHf;fiu NehAk; - gps;isg;NgWk;
Foe;ij vil mjpfkhfNth (my;yJ) kpff; Fiwe;Njh fhzg;gLk;. %r;Rj; jpzwy;. fhkhiy. fUg;igapy; Foe;ij ,wj;jy;. %is> jz;Ltlk; kw;Wk; ,jaj;jpy; gpwtp FiwghL. rpfpr;ir czTf; fl;Lg;ghL ,d;Rypd; Crp fHg;gpzpg; ngz;fs; rHf;fiu Neha; khj;jpiufis cz;zf; $lhJ.

21 rHf;fiu NehAk; - gazKk;
rHf;fiu Neha; cs;stHfs; vq;F nrd;whYk; jd;Dld; rHf;fiu Neha;f;fhd ml;ilia vLj;Jr; nry;y Ntz;Lk;. mjpy; rhg;gpLk; khj;jpiu (m) ,d;Rypd; Crp tptuk;> tPl;L tpyhrk;> njhiyNgrp vz; Fwpj;jpUf;f Ntz;Lk;. Njitahd khj;jpiufs; (m) ,d;Rypd; Crp nfhz;L nry;y Ntz;Lk; fw;fz;L (m) rHf;fiu (m) rhf;nyl; cld; vLj;Jr; nry;y Ntz;Lk;. ePz;l Neuk; thfdk; xl;l Neh;e;jhy; ,uz;L (m) %d;W kzp Neuj;jpw;F xU Kiw rpW czT rhg;gpl Ntz;Lk;. (gp];fl;> ghy; Nghd;wit).

22 rHf;fiuapd; msT Fiwjy; (i`NghfpisrPkpah)
rHf;fiu NehahspfSf;F grp Neuj;jpy; rHf;fiuapd; msT FiwAk; NghJ glglg;G> eLf;fk;> mjpf tpaHit> gaczHr;rp> gyfPdk;> jiytyp Vw;gLk;. ,ij cldbahf rhp nra;a fw;fz;L (m) rHf;fiu (m) rhf;nyl; cz;z Ntz;Lk;. fhuzk; Neuk; jtwp rhg;gpLjy; khj;jpiu (m) ,d;Rypd; Crp rhpahf vLj;Jf; nfhz;l gpwF #o;epiy fhuzkhf czT rhg;gpl jtWjy; (m) Fiwthd czT cz;Zjy;.

23 rHf;fiuapd; msT Fiwjy; (i`NghfpisrPkpah)
jLf;f topKiwfs; rhpahd Neuj;jpy; czT cz;Zjy;. rhpahd msT rhg;ghL ,y;iy vd;why; md;W rHf;fiu khj;jpiuia Fiwj;J rhg;gplyhk; (m) me;j Ntiy khj;jpiuia jtpHf;fTk;.

24 ,jdhy; fPo;fz;l mwpFwpfs; njd;gLk;
rHf;fiu Neha; Nfhkh ,e;epiyapy; ,d;Rypd; Kw;wpYk; Fiwe;J tpLfpwJ. clk;gpy; ePH FiwtpdhYk; ,uj;jj;jpy; mkpy kpFjpahYk; kaf;fk; cz;lhfpwJ. ,jdhy; fPo;fz;l mwpFwpfs; njd;gLk; Rthrk; tpl rpukk;> Fkl;ly;> the;jp> mjpf fisg;G> rpWePH mbf;fb fop;j;jy;> tapw;Wtyp> Gspg;G ehw;wj;Jld; ,Uf;Fk; Rthrk;. ,e;j mgha khWjy;fspd; gOJ gy tifapy; Neuyhk;.

25 rHf;fiu Neha; Nfhkh rpfpr;ir
,d;Rypd; (m) khj;jpiu rpfpr;iria kUj;Jthpd; MNyhrid ,y;yhky; jhq;fshfNt tpLjy;. czT fl;Lg;ghl;il mDrhpf;fhjpUj;jy;. fpUkp jhf;fk;. rpfpr;ir Nfhkh epiyapy; cs;stHfis cldbahf kUj;Jtkidapy; NrHj;J jPtpu rpfpr;ir nfhLf;f Ntz;Lk;.

26 rHf;fiu Neha; cs;stHfSf;F czT fl;Lg;ghL mtrpak; - Vd; ?
nghJthf ehk; czT mjpfkhf cz;lhYk; mjw;Nfw;wthW ,d;Rypd; fizaj;jpypUe;J Rue;J> rHf;fiuapd; msit ,uj;jj;jpy; rPuhf;Fk;. rHf;fiu NehahspfSf;F ,d;Rypd; Nghjpa mstpy; Rug;gjpy;iy. ,d;Rypd; Fiwe;J fhzg;gLtjhy; mjw;Nfw;wgb czit Fiwj;J %d;W Ntisf;F gjpy; Ie;J Ntisahf gphpj;J cz;lhy; ,d;Rypd; jd; Ntiyia nra;a VJthf ,Uf;Fk;.

27 rHf;fiu Neha; cs;stHfs; vt;tsT czT (fNyhhp) cz;z Ntz;Lk;
cztpypUe;J tUk; rf;jpapd; msTNfhy; jhd; “fNyhhp” vd;gjhFk;. xU fpuhk; fhHNghi`l;Njl; cz;lhy; 4 fNyhhp rf;jpAk;> xU fpuhk; nfhOg;G cz;lhy; 4 fNyhhp rf;jpAk; fpilf;Fk;.

28 cztpd; msTk; cly; vilAk;
ehk; cz;Zk; cztpd; msT ekJ ciog;G kw;Wk; cly; vilia nghWj;jJ. xUtupd; rhpahd vil (IDEAL BODY WEIGHT) cauk; kw;Wk; cly; mikg;ig itj;J epHzapf;fg;gLfpwJ.

29 rhpahd vil cztpd; msT xU ehisf;F
rupahd viliatpl 20 % mjpfkhf ,Ue;jhy; mjpf vil cs;stHfs;. rupahd viliatpl 20 % Fiwthf ,Ue;jhy; Fiwe;j vil cs;stHfs;. cztpd; msT xU ehisf;F mjpf vil cs;stHfs;  20 Calories / Kg vil Fiwthd vil cs;stHfs;  40 Calories / Kg vil rhpahd vil cs;stHfs; ;  30 Calories / Kg vil.

30 cztpd; mq;fq;fs; fhHNghi`l;Nul; Gujk;
ehk; rhg;gpLk; cztpy; fhHNghi`l;Nul;> Gujk;> nfhOg;G> itl;lkpd;fs;> jhJg;nghUl;fs;> ehHnghUl;fs; kw;Wk; ePH rj;J Mfpait cs;sd. fhHNghi`l;Nul; clYf;F Njitahd vhpnghUis nfhLf;fpwJ. ,it jhdpaq;fs; (mhprp> NfhJik> Nfo;tpuF> fk;G> Nrhsk;)> rHf;fiu> Njd;> [hk;> nuhl;b.> E}Ly;]; Mfpatw;wpy; cs;sJ. Gujk; mit cly; tsHr;rpf;Fk;> cly; rPuhf;Ftjw;Fk; Njitg;gLfpwJ. ,it ghy; kw;Wk; ghy; nghUl;fs;> khkprk;> Kl;il nts;is fU> gUg;G tiffs;> jhdpaq;fs; Mfpatw;wpy; cs;sJ.

31 cztpd; mq;fq;fs; :- nfhOg;G
clypy; Nrkpj;J itj;jpUf;Fk; vhpnghUs; jhd; nfhOg;G mit vz;nza; tiffs;> Kl;il kQ;rs; fU> khkprk;> nea;> ntz;nza;> fphPk; Mfpatw;wpy; cs;sJ. nfhOg;gpy; cs;s Ngl;b Mrpl; (Fatty Acid) tpjj;jpd; msitg; nghWj;J nfhOg;ig %d;W tifahf gphpf;fyhk;. rhl;rNul;ll;/Ngl;b Mrpl; epiwe;j nfhOg;G (khkprk;> nea;> ntz;nza;> fphPk;). NkhNd md; rhl;rNul;ll;/Ngl;b Mrpl; epiwe;j nfhOg;G (flnyz;iz> ghkhapy;> Mypt; vz;nza;). ghyp md; rhl;rNul;ll;/Ngl;b Mrpl; epiwe;j nfhOg;G (Nrhah gPd;]; vz;nza;  60%> #hpafhe;jp vz;nza;  58%> kPd; vz;nza;  50%> ey;nyz;nza;  43%> flnyz;nza;  31%).

32 cztpd; mq;fq;fs; :- ehHnghUl;fs;
cztpy; [Puzpf;f Kbahj jhtu capuZtpd; gFjpia ehHnghUs; vd;W $WfpNwhk;. Njitahd ehH nghUs; rhg;gpl;lhy; cz;lhFk; ed;ikfs;. ,uj;jj;jpy; rh;f;fiuapd; msit rPuhf itf;fpwJ. nfhy];l;uhy; msit Fiwj;J ,Uja Nehia Fiwf;fpwJ. jz;zPH <Hg;G jd;ikahy; ehHnghUs; tphptile;J tapW epug;gpa czHit cz;lhf;Fk;. ,J cly; gUkid Fiwf;f cjTfpwJ. kyr;rpf;fiy jtpHf;Fk;. ehH nghUs; mjpfk; cz;gtHfSf;F ngUq;Fly; Gw;WNeha; kpfTk; FiwT.

33 cztpd; mq;fq;fs; :- ,uj;jj;jp;y; nfhy];l;uhiy Fiwg;gjw;F ghyp md;rhl;rNul;ll; nfhOg;G mjpfkhf cs;s vz;nza;ia gad;gLj;JtJ kpfTk; rpwe;jJ. rhl;rNul;ll; nfhOg;G ,uj;jj;jp;y; nfhy];l;uhiy mjpfg;gLj;Jtjhy;> ,ij Fiwthf gad;gLj;j Ntz;Lk;. jz;zPH :- cztpd; kpf Kf;fpa mq;fk;.

34 czT khw;Wg; gl;bay; xNu khjphpahd czT rhg;gpLtjhy;; Vw;gLk; rypg;ig jtpHf;f jpdrhp cztpw;F khw;Wg;gl;bay; nfhLf;fg;gl;L cs;sJ. ,jpy; xNu msthd fhHNghi`l;Nul;> Gujk; kw;Wk; nfhOg;G cs;s czT tiffs; jdpj;jdpahf gphpf;fg;gl;Ls;sJ. cjhuzkhf jpdrhp NkhH gUfp ntWg;G mile;jhy; mjw;F khw;whf Ntnwhd;W Ntz;Lnkdpy; ghy; khw;Wg; gl;baypUe;J cs;s NtW czit cz;zyhk;.

35 fha;fwp khw;Wg; gl;bay;
jz;Lf;fPiu Riuf;fha; Kl;ilNfh]; ntz;ilf;fha; fhypgpstH khq;fha; gg;ghspf;fha; nte;jaf;fPiu nts;shpf;fha; thiog;g+ griyf;fPiu Nfhitf;fha; Ks;sq;fp g+rzpf;fha; KUq;iff;fha; gPHf;fq;fha; ghfw;fha; E}y;Nfhy; Glyq;fha; jf;fhsp fj;jhpf;fha;

36 fha;fwp khw;Wg; gl;bay;
,e;j fha;fwpfspy; fhHNghi`l;Nul; kw;Wk; fNyhhp msT kpfTk; FiwT. vdNt ,jid mstpd;wp tpUg;gg;gb cz;zyhk;. gPl;&l; 75 fp Nful; 105 fp ntq;fhak; (ng) 90 fp mtiuf;fha; ntq;fhak; (rp) 60 fp

37 fha;fwp khw;Wg; gl;bay;
,e;j fha;fwpfspy; fhHNghi`l;Nul; kw;Wk; fNyhhp rw;W mjpfkhf cs;sjhy; msthf rhg;gpLtJ ey;yJ. nfhj;jtuq;fha; 90 fp gl;lhzp 45 fp thiof;fha; 75 fp cUisfpoq;F rHf;fiuts;spf; fpoq;F 30 fp

38 nfhOg;G khw;Wg; gl;bay;
jhdpa khw;Wg; gl;bay; 30 fpuhk; fk;G> ghHyp> Nrhsk;> kf;fhNrhsk;> Nfo;tuF> NfhJik> uit> mty; Nghd;w jhdpaq;fs; cz;gjhy; 100 fNyhhpfs; fpilf;Fk;;;. ,jpy; 20 fpuhk; fhHNghi`l;Nul;Lk; 2 fpuhk; GujKk; cs;sJ. nfhOg;G khw;Wg; gl;bay; ghjk; gUg;G 15 fpuhk; ntz;nza; Ke;jphpg;gUg;G 20 fpuhk; Njq;fha; 30 fpuhk; nea;> td];gjp 11 fpuhk; NtHf;fliy (tWj;jJ) flnyz;nza; gp];jh

39 khkpr czT khw;Wg; gl;bay;
Ml;biwr;rp 67 fpuhk; khl;biwr;rp 70 fpuhk; gd;wp Nfhopf;fwp 73 fpuhk; Kl;il 45 fpuhk; Nfhopf;fwp cz;Zk; NghJ Njhy; ePf;fk; nra;tJ ey;yJ. (,jpy; mjpf nfhOg;G cs;sjhy;).

40 ghy; tif ghy; khw;Wg; gl;bay; msT ,jpy; 5 fpuhk; Gujk; cs;sJ.
100 fNyhhp rf;jp nfhLf;Fk;. ghy; tif msT NkhH 750 kp.yp. japH 210 fpuhk; rP]; 30 fpuhk; Nfhth vUikg;ghy; 90 fpuhk; gRk;ghy; 180 fpuhk; Mil vLf;fg;glhj ghy; 260 fpuhk; Mil vLf;fg;gl;l ghy;

41 gok; khw;Wg; gl;bay; gok; ney;ypf;fha; Mg;gps; thiog;gok;
,jpy; 10 fpuhk; fhHNghi`l;Nul; cs;sJ. ,jpy; 50 fNyhhp rf;jp nfhLf;Fk;. gok; msT fpuhk; vz;zpf;if ney;ypf;fha; 90 20 (e) Mg;gps; 75 1 (rp) thiog;gok; 30 ¼ (e) Nghpr;rk;gok; 3 (e) rPjhg;gok; 50 jpuhl;ir 105 nfha;ahgok; 100 1 (e)

42 gok; khw;Wg; gl;bay; gok; gyhg;gok; ehty;gok; vYkpr;rk;gok; MuQ;R
msT fpuhk; vz;zpf;if gyhg;gok; 60 3 Jz;Lfs; (e) ehty;gok; 50 10 (ng) vYkpr;rk;gok; 90 1 (e) MuQ;R Kyhk;gok; 270 ¼ (e) khk;gok; 70 ½ (e) gg;ghsp 120 2 Jz;Lfs; (e) khJsk;gok; 75 1 (rp) rhj;Jf;Fb 150

43 gok; khw;Wg; gl;bay; gok; jf;fhspg;gok; rg;Nghl;lh jHg+rzp msT fpuhk;
vz;zpf;if jf;fhspg;gok; 240 4 (e) rg;Nghl;lh 50 1 (e) jHg+rzp 175 ¼ (e) ng - nghpaJ e - eLj;juk; rp - rpwpaJ

44 ,dpg;Gk; rHf;fiu NehAk;
,dpg;G tpUk;GNthH fhgp> B> ghy; Mfpatw;wpy; nraw;if rHf;fiu tiffs; gad;gLj;jyhk;. M];gHNlk; ( Equal ) rhf;fhpd; ( Sweetex ) ghahrk; Ntz;Lk; vd;why; nraw;if rHf;fiu tif NrHj;J rikf;fyhk;. ghrpg;gUg;G = 25 fpuhk; ghy; = 60 kpy;yp ypl;lH Vyf;fha; = 2 nraw;if rHf;fiu = 5 ghrpg;gUg;ig ePhpy; Njitahd Neuk; Cw itj;J gpd; Ntfitj;J> ghy;> Vyf;fha; Ntfitj;J gpwF nraw;if rHf;fiu khj;jpiuia fyf;fTk;. ,g;NghJ rHf;fiuapd; msT ,uj;jj;jpy; mjpfkhfhj ghahrk; jahH.

45 NfhJikapy; jahhpj;j czT rHf;fiuapd; msit Fiwf;fpwJ vd;gJ jtwhd fUj;J.
jhdpa msT jhdpak; rf;jp (fNyhhp) 100 fpuhk; fk;G 361 Nrhsk; 355 Nfo;tuF 328 mhprp 345 [t;thprp 351 uit 348 NfhJik 341 ,it midj;JNk Vwf;Fiwa xNu msthd fNyhhp (rf;jpia) jhd; nfhLf;fpwJ. vdNt NfhJikia kl;Lk; rhg;gpl Ntz;Lk; vd;w fl;lhak; ,y;iy. ve;j tifahd jhdpakhf ,Ue;jhYk; msthf cz;z Ntz;Lk;.


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