डेंगू  हिन्दी देवनागरी में पढ़ें।

dengoo
edij machchhar
vivaran 'dengoo' ek janaleva snkramak gambhir rog hai. yah rog ek vayaras dvara hota hai, ise "den vayaras" kahate hain.
any nam 'dengi', 'dengoo bukhar', 'dengoo phivar', 'dengoo jvar' tatha 'haddi tod bukhar'
dengoo vayaras ke prakar 'den-1', 'den-2', 'den-3' aur 'den-4'[1]
mukhy lakshan mukhy tin lakshan hain-
  • tivr bukhar
  • jodon, mansapeshiyon aur sharir men dard
  • chidachidapan tatha sir dard
vahak is rog ke vahak 'edij machchhar' ki do prajatiyan hain- 'edij ejipataee'[2] tatha 'edij elbopektas'
vishesh dengoo ki janch hetu rakt ke namoone 'rashtriy snchari rog snsthan', dilli tatha 'rashtriy vishanu rog snsthan' pune bheje jate hain, vahin unaki janch hoti hai. ajakal janch hetu 'repid daignostik kit' bhi upalabdh hain.
any janakari maleriya ki tarah dengoo bukhar bhi machchharon ke katane se phailata hai. dengoo sabhi machchhar se nahin phailata. yah keval kuchh jati ke machchhar se hi phailata hai.

dengoo (angrezi: Dengue) athava 'dengi' / 'dengoo bukhar' / 'dengoo phivar' / 'dengoo jvar' ek khataranak snkramak rog hai. am bhasha men is bimari ko "haddi tod bukhar" kaha jata hai, kyonki isake karan sharir v jodon men bahut dard hota hai. dengoo ke prati logon men jagarukata phailane tatha isake prati sachet rahane ke lie hi prativarsh '10 agast' ko 'dengoo nirodhak divas' manaya jata hai.

dengoo ke lakshan

dengoo ke mukhy lakshan hain- tivr bukhar, jodon men mansapeshiyon men aur sharir dard, chidachidapan tatha sir dard. yah edij machchhar ke katane se hone vala ek tivr vayaral inphekshan hai. isase sharir ki samany klaauting (thakka jamana) ki prakriya avyavasthit ho jati hai. aisi avastha pletalet ke bahutayat men nasht hone ke karan hoti hai. isase kabhi-kabhi ghatak roop men sare sharir men raktasrav hone lagata hai. yah ek aisi bimari hai jise mahamari ke roop men dekha jata hai. vayaskon ke muqabale, bachchon men is bimari ki tivrata adhik hoti hai. yah bimari yoorop mahadvip ko chhodakar poore vishv men hoti hai tatha kafi logon ko prabhavit karati hai. dengoo ki sthiti men mrityudar lagabhag ek pratishat hai. yah barasat ke mausam men tezi se phailata hai. apako ya apake padosi ko agar dengoo bukhar ho jata hai, to isase bachane ke upay apanayen. sabase pahale raktajanch karayen aur apane asapas machchharon se suraksha ke upay apanayen. sadharanatah garmi ke mausam men yah rog mahamari ka roop le leta hai jab machchharon ki janasnkhya apane charam sima par hoti hai. dengoo eshiya, afrika, dakshin tatha madhy amerika ke kee ushn tatha uposhn kshetron men hota hai.[3]

karan

yah "dengoo" vayaras dvara hota hai ise "den vayaras" bhi kahate hain. dengoo vayaras char mukhy prakar ke hote hain, jaise ki den-1, den-2, den-3 aur den-4 (DEN-1, DEN-2, DEN-3, DEN-4). ye phlaivi vayaras gan tatha phleviviraid parivar ke hote hain, bahudha unhin kshetron men phailata hai jinamen maleriya phailata hai, kintu maleriya se prithakata yah hai ki yah shahari kshetr men phailata hai jinamen singapur, taivan, indoneshiya, philipins, bharat tatha brazil bhi shamil hai, pratyek vishanu itana bhinn hota hai kisi ek se snkraman ke bad bhi any ke viruddh suraksha nahin milati hai, tatha jahan yah mahamari roop men phailata hai vahan ek samay men anek prakar ke vishanu sakriy ho sakate hain, ye ushn katibndhiy kshetr men tatha afrika men milate hain, ye char prakar ke nikatata se jude [vishanu]] se hote hain. dengoo bukhar se pidit rogi ke rakt men dengoo vayaras kafi matra men hota hai. dengoo bukhar se pidit rogi ke rakt men dengoo vishanu pravesh kar pletalet par akraman karata hai. pletalet sharir men raktasrav rokane men pramukh bhoomika nibhate hain. sharir men pletalet ki snkhya chintajanak star tak gir jati hai. isase asamany raktasrav ho sakata hai, jo ki chamadi, amashay, antron aur sharir ke any randhron se hota hai. ek chhoti chot lagane par bhi bahut tez raktasrav hone lagata hai, kyonki rakt klaaut (jamane) nahin ho pata.[4]

dengoo ka vahak 'edij ejipataee'

prasar

maleriya ki tarah dengoo bukhar bhi machchharon ke katane se phailata hai. dengoo sabhi machchhar se nahin phailata hai. yah keval kuchh jati ke machchhar se phailata hai. is rog ka vahak edij machchhar ki do prajatiyan hain- edij ejipataee (Aedes aegypti) tatha edij elbopektas ke nam se jane jate hain. jo kafi dhith v aur dussahasi machchhar hain aur din men bhi katate hain. machchhar ke sharir men ek bar vayaras ke pahunchane ke pashchath yah poori zindagi bimari phailane men samaksh hota hai. dengoo bukhar us machchhar ke katane se hota hai jisane pahale se hi kisi dengoo ke mariz ko kata hai. yah machchhar barasat ke mausam men zyada phailate hain aur yah un jagahon par tezi se phailate hain jahan pani jama ho. dengoo ka vayaras svain phloo ki tarah snkramit vyakti ke snpark men ane se nahin phailata. yah machchhar ke madhyam se hi phailata hai. yah vayaras ek vyakti se doosare men nahin phailata, agar kisi ko dengoo ki bimari hai, aur edij machchhar us mariz se khoon pita hai, to machchhar men dengoo vayaras yukt khoon chala jata hai. phir jab ek saptah men kisi svasth vyakti ko yah machchhar katata hai, to dengoo ka vayaras usamen chala jata hai. machchhar ko vektar (vector) kahate hain aur is prakar se phailane vale bimari ko vektar born diseez (vector borne disease) kahate hain. dengoo un logon ko jaldi prabhavit karata hai jinaki rog pratirodhak kshamata kam hoti hai. yah bhi ho sakata hai ki dengoo bukhar ek hi vyakti ko kee bar ho jaye. lekin aisi sh‍thiti men bukhar ke prakar bhinn honge.

edij machchhar

edij machchhar

edij mada machchhar saf pani men ande deti hai, ande se ek kida nikalata hai, jise larva kahate hain, larva se pyoopa banata hai evn phir machchhar ban jata hai. larva v pyoopa avastha pani men rahate hain aur machchhar pani ke bahar rahata hain. ande se machchhar banane men qarib ek saptah ka samay lagata hain. machchhar ka jivanakal qarib tin saptah ka hota hai. edij machchhar kale rng ka hota hai, jis par safed dhabbe bane hote hain, ise taigar machchhar bhi kaha jata hain. khas bat yah hai ki dengoo phailane vala edij machchhar gnde pani ki bajay saf pani men panapata hai. ye machchhar aise svachchh pani men jahan kee dinon se halachal n ho, us sthan par brid karate hain. pani ke purane tainkon men pani ki satah par badi snkhya men larva dekhe ja sakate hain. jal snkay, machhali ke khule taink, saf jhil adi, barasat aur badh men mahamari ke bade srot hote hain tatha barasat men gamalon, koolaron, pani ke dram, purane tyoob ya tayar, phoote matake janavaron ke pine ki haud adi men ekatrit hue pani men yah machchhar zyada paya jata hai.[5]

snkramak kal

jis din dengoo vayaras se snkramit koee machchhar kisi vyakti ko katata hai to usake lagabhag 3-5 dinon bad aise vyakti men dengoo bukhar ke lakshan prakat ho sakate hain. yah snkramak kal 3-10 dinon tak bhi ho sakata hai.

prakar

ek vyakti apane jivanakal men sirf ek bar hi kisi khas prakar ke dengoo se snkramit hota hai. dengoo bukhar tin prakar ke hote hain tatha lakshan is bat par nirbhar karenge ki dengoo bukhar kis prakar hai-

  • klasikal (sadharan) dengoo bukhar
  • dengoo hamarejik bukhar (diecheph)
  • dengoo shaauk sindrom (dieses)

klasikal dengoo sadharan prakar ka dengoo hai, yah ek svayn thik hone vali bimari hai tatha isase mrityu nahin hoti hai agar isaka sahi upachar nahin hua to yah bukhar (1) dengoo hemorejik phivar, (2) dengoo shaauk sindrom men badal jata hai, jisase mariz ki jan bhi ja sakati hai. isalie yah pahachanana atynt mahattvapoorn hai ki bimari ka star ka kya hai. jab yah bimari gnbhir ho jata hai, to mariz men vibhinn jagahon se khoon bahane lagata hai isaka ilaj, aspatal men turnt hona chahiye.

lakshan

dengoo bukhar ke lakshan is bat par nirbhar karate hain ki bukhar kis prakar hai. dengoo ka ek se adhik lakshan hota hai. agar apako niche likhe huye lakshan men se kuchh bhi hai, jo sadharan dava se thik nahin ho raha hai, to daauktar se dikhane avashy jayen. samanyat: dengoo bukhar ke lakshan kuchh aise hote hain-

  • dengoo bukhar hone par rogi ko achanak bina khansi v jukam ke tatha thnd v kapaknpi ke sath achanak tez bukhar chadhana. rogi ko har samay bukhar 103 se 105 digri tak bana rahata hai. dengoo bukhar do se char dinon tak rahata hai. dava upachar par bhi kam n hona.
dengoo bukhar ke lakshan
  • rogi ke sir ke agale hisse men tez dard hota hai, ankh ke pichhale bhag men dard hota hai, kamar, mansapeshiyon tatha jodon men dard hona.
  • atyadhik kamazori lagana, bhookh men behad kami tatha ji mitalana.
  • munh ka svad kharab hona, pet kharab ho jana, usamen dard hona, ulti-dast ki shikayat hona.
  • gale men halka sa dard hona, halki khansi v gale men kharash hona.
  • blad preshar ka samany se bahut kam ho jana. nirntar chakkar ana.
  • rogi behad duahkhi v bimar mahasoos karata hai. roshani se chidachidahat hona.
  • sharir par lal-gulabi chakate (raish / raishez) ban jate hain jo sabase pahale pairon par, phir chhati par tatha kabhi-kabhi sare sharir par phail jate hain. chehare, gardan tatha chhati par visarit danon ki tarah ke dadore ho sakate hain. bad men ye dadore aur bhi spasht ho jate hain. hath pair men chakatte hona, visheshakar dabe bhagon men, khoon bahana ya khoon ke chakatte hona, sharir ke ubhare chakatton se khoon risata hai. sharir par dane is bukhar men do bar bhi dikhaee de sakate hain. pahali bar shuroo ke do-tin dinon men aur doosari bar chhathe ya sataven din. is bukhar ka mariz qarib 15 dinon men poori tarah thik hota hai. yah bukhar bachchon v badi ayu ke logon men zyada khataranak hota hai.
  • ek saptah tak rogi ko pasina, dast, nakasir (nak se khoon ana) ane lagati hai. agar yah bukhar zyada badh jata hai to rogi ke kan men dard aur soojan tatha phephadon men soojan a jati hai.
  • gnbhir rogiyon men pahale keval vaman phir taja rakt ya kaauphi ke rng ka vaman hota hai. mal bhi gahara bhoora ya kala hota hai. sath-sath masoodon se athava anton se raktastrav ka hona athava khoon men pletalets ka kam hona lakshan paye jayen to yah gnbhir prakar ka dengoo bukhar ho sakata hai jo ghatak ho sakata hai. isamen tatkal ilaj lena chahie.
  • himoraijik raktasrav ke samay ke lakshan kuchh is prakar hain- jvar bahut tez ho jata hai, lagatar pet men tez dard rahana, tvacha thndi, pili v chipachipi hona, rogi ke chehare aur hath-pairon par lal dane ho jate hain. himoraijik dengoo hone par sharir ke andarooni angon se khoon ane lagata hai. nak, munh v mal ke raste khoon ata hai jisase kee bar rogi behosh ho jata hai. khoon ke bina ya khoon ke sath bar-bar ulti, nind ke sath vyakulata, lagatar chillana, adhik pyas ka lagana ya munh ka bar-bar sookhana adi lakshan paida ho jate hain. himoraijik dengoo adhik khataranak hota hai aur dengoo bukhar sadharan bukhar se kafi milata-julata hota hai. rakt ki kami ho jati hai, thrombosatopeniya ho jata hai, kuchh mamalon dengoo praghat ki dasha [dengoo shok sindrom] a jati hai jisamen mrityu dar bahut oonchi hoti hai.
    dengoo vayaras
  • kuchh mamalon men lakshan halke hote hain jaise- chakate na padana, jisake chalate ise inphlooenja ka prakop man liya jata hai ya koee any vishanu snkraman, yadi koee vyakti prabhavit kshetr se aya ho aur ise navin kshetr men le gaya ho to bimari ki pahachan hi nahin ho pati hai rogi yah rog keval machchhar ya rakt ke dvara doosare ko de sakata hai vah bhi keval tab jab vah rog grast ho.

pahachan

dengoo ki pahachan pray in lakshanon ke adhar par daktar karate hain, bahut ooncha jvar jisaka koee any sthaniy karan samajh nahin aye, sare sharir pe chakate pad jana, rakt men pletaletas ki snkhya kam ho jana.

1. jvar, bledar ki samasya, lagatar sir dard, chakkar ana, bhookh na lagana
2. raktastrav ki pravritti [tornakvit parikshan sakaratmak ana, khud b khud chhil jana, nak, kan se, tika lagane ke sthan se khoon risana, khooni dast lagana aur khoon ki ulti ana]
3. khoon men pletaletas ki snkhya kam hona (pratighan semi rakt men <100,000 se kam hona)
4. plajma risav hone ke sakshy milana (hemotrokrit men 20% se zyada vriddhi ya himatrokrit men 20% se zyada giravat)

  • dengoo shaauk sindrom ko paribhashit kiya gaya hai-

1. kamazor nabj chalana
2. nabj ka dabav kam hona (20 mimi ech.ji dabav se kam)
3. thand, vyagrata
siroloji tatha polimar chen rikshan ke adhyayan upalabdh hai jinake adhar par dengoo ki pushti ki ja sakati hai yadi chikitsak lakshan pakar isaka sndeh vyakt kare.

upachar

vishv men dengoo

upachar ka mukhy tarika sahayak chikitsa dena hi hai, yadi rogi ko sadharan dengoo bukhar hai to usaka upachar v dekhabhal ghar par bhi ki ja sakati hai tatha yah bimari svayn hi ek se do haphton men thik ho jati hai. choonki yah svayn thik hone vala rog hai isalie keval lakshanik upachar hi chahie. dengoo ki shnka hone par, apane daktar ko dikhalayen. kuchh dava is prakar se hai-

  • khoob sara aram karen.
  • mukh se taral dete rahana kyonki anyatha jal ki kami ho sakati hai, nason se bhi taral diya ja sakata hai.
  • bukhar ke liye perasitamol (paracetamol) ya esitaaminophen (acetaminophen) le sakate hain.
  • rogi ko selisilet, disprin, esprin (aspirin) ya gairasteraid davaen kabhi na den. yah apako nuqasan pahuncha sakata hai, jaise- khoon ki bimari.
  • yadi bukhar 102 digri pharenahait se adhik hai to bukhar ko kam karane ke lie haidrotherepi (jal chikitsa) karen.
  • samany roop se bhojan dena jari rakhen. bukhar ki sthiti men sharir ko adhik bhojan ki avashyakata hoti hai.
  • sndehaspad rogiyon ki rakt pariksha karane par pletalet ki kam sakhya payi jati hai. himoglobin samany ho sakata hai. rakt ka bliding aur klaauting samay lnba ho sakata hai.
  • dengoo ka sahi nidan rakt pariksha men vayaral entijan ki upasthiti se hota hai. dengoo ki sahayatmak chikitsa ki jati hai. is vayaras ka koee eelaj nahin hai. nasht hue pletalet ki poorti ke lie pletalet ka transaphyoojan, rakt aur badi matra men antashira dvara drav diya jata hai. maleriya aur any inphekshan ki rokatham ke lie atirikt entibayotik diya jata hai. yah nivaranopachar hota hai aur hamesha isaki avashyakata nahin hoti.
  • dengoo ki janch hetu rakt ke namoone rashtriy snchari rog snsthan, dilli tatha rashtriy vishanu rog snsthan pune bheje jate hain, vahin unaki janch hoti hain. ajakal janch hetu repid daignostik kit bhi upalabdh ho rahe hain.
  • bukhar hone par tatkal chikitsak se sampark kiya jana chahiye. dengoo bukhar ek vayaras ki vajah se hota hai evn vayaras ka vartaman men koee ilaj nahin nikalata hai, n hi is bimari ke abhi tak tike ijad hue hain, isalie mariz men bimari ke jo-jo lakshan dikhaee dete hain, usi ke anusar mariz ko upachar kiya jata hai. samanyat: 80 se 90 pratishat mariz 5 se 7 dinon men svasth ho jate hain. yadi hemorejik dengoo phivar hota hai to vah ghatak ho sakata hai. isake ek bar se zyada hone ki snbhavana rahati hai at: savadhani baraten.

bachav

dengoo se bachav

dengoo se bachav ka sabase prabhavi tarika machchharon ki abadi par kaboo karana hai. isake lie ya larva par niyntran karen ya vayask machchharon ki abadi par. machchhar ek chhota-sa jiv hai parantu yah maleriya, dengoo aur chikanaguniya jaisi gnbhir bimariyan phaila sakata hai. maleriya ka machchhar gnde pani men panapata hai isake viparit dengoo ke machchhar saph, ikatthe pani men panapate hain, dengoo se bachane ke lie sabase zaroori hai machchharon se bachana jinase ki dengoo ka vayaras phailata hai. machchhar pani men anda dekar aur machchhar phailate hain. yah jivanachakr qarib 1 haphte men poora hota hai. isaka matalab hai ki, agar koee rokane ka upay n kiya gaya to har haphta, machchhar ki tadad dauguna hoti jaegi. isase machchharon se phailane vale bimariyan bhi adhik hongi. dengoo ko rokane ke liye apako apane ghar aur mohalle men machchhar ko kam karana hoga. ye machchhar apake ghar ke andar aur as-pas jama huye pani men paida hote hain. machchharon ke paida hone se rokane ke liye aise kshetr jahan dengoo phail raha hai, vahan pani ko jama na hone den. apane ghar ke andar aur as-pas kahin pani ko jama n hone den. as-pas ke gaddhon, sadakon ko jahan pani jama ho sakata hai, bhar den. kachare, anupayogi samanon ko hata den athava nasht kar den. eyar koolar, dram, phooladan, paudhon ke gamalon, pakshiyon ke nahane ke sthan har saptah khali karake sukhaen. kuen, talabon, pani ke bade pool men machchharon ka larva khane vale gamabooshiya machhali chhoden. barasat men ya aise kshetron men jahan machchhar hon vahan machchharon se bachane ka har snbhav prayas karen. ap jis kshetr men rah rahe hain vahan machchhar adhik hain to maskito ripelent ka prayog zaroor karen. apane ghar, bachchon ke skool aur aaauphis ki saf saphaee par bhi nazar rakhen. nali ko bahata rahana chahiye. dengoo ka machchhar din ke samay hi katata hai isalie din men apane apako machchharon se bachaen. barasat ke samay phul bahon vali shart aur joote zaroor pahanen. machchharon ke katane se bachane ke lie kee upay kiye ja sakate hain, jaise safed ya halke rnga ka poore banh vale kapade़ pahane, jisase ki ap apane sharir ko poore tarah se dhak saken, sote samay jahan adhik machchhar hain, vahan rat ko kitanashak upacharit machchharadani ka upayog karen. kabhi-kabhar machchhar marane vale dava un jagahon par machchhar par asar nahin karata hai, nim ki patti ka dhuna ghar men kar sakate hain, khidaki aur daravaze men jali laga kar rakhana chahiye. dopahar ke bad, khidaki aur daravaze ko bnd rakhen, ki machchhar ka ana-jana kam ho. koee bhi baratan men khule men pani n jamane den. bataran ko khali karake rakhen ya ulat kar rakhen. agar ap kisi baratan, balti, dram, ityadi men pani jama karake rakhate hain, to use dhak kar rakhen. agar kisi chiz men pani rakhate hain, to use sabun aur pani se dho liya karen, ki us men se machchhar ka anda ko hataya ja sake. apane mohalle ke logon ko bhi machchhar ko phailane se rokane ke liye protsahit karen. apane nagar nigam dvara machchhar marane vala dava chhidakayen. barasat ke mausam men aur chaukasi baraten. ek naya tarika mesosaklopas namak jaliy kit jo larva bhakshi hai ko ruke jal men dal dena hai, yah behad prabhavi, sasta tatha paryavaran mitr vidhi hai isake viruddh machchhar kabhi pratirodhak kshamata hasil nahin kar sakate hai kintu is hetu samudayik bhagidari sakriy roop se chahie.

shahari evn gramin kshetr ke gharon men ajakal pani ka snchay karane ki pravritti hone se akasar sabhi vyakti gharon men pani kntenar men 5-7 din se zyada rakhane lage hain. ye kntenar hain- siment ki tnki, plastik ki tnki, pani ka haud, nand mataka, gharon men rakhe huai phooladan, jisamen akasar pani plant lagate hain, pashuon ke pani pine ke sthan, tayar, toote, phoote saman, jinamen barish ka pani jama hota rahata hai, aisi jagahon par edij machchhar paida hote hain. akasar yah dekhate hain ki ye kntenar dhnke hue nahin rahate hain, jisase inamen machchhar paida hote rahate hain, yadi ham in kntenar men bhare hue pani ko gaur se dekhen to inamen kuchh kide larva oopar niche chalate hue dikhaee dete hain, ye hi kide machchhar banate hain. ab hamen gyat hain ki kidon se machchhar banate hain aur machchhar se dengoo bimari phailati hai to in kidon ka nash karana bahut zaroori hai. larva pani men rahate hain, isaliye in sabhi kntenar men se pratyek saptah men ek bar pani nikal dena chahie aur saf karake phir se pani bharana chahie. in sabhi kntenar ko is prakar se dhakakar rakhana chahie ki inamen machchhar pravesh nahin kar saken aur ande nahin de saken. ye kide spasht dikhaee dete hain, isalie inhen chay ki chhanni se bhi nikala ja sakata hai. ye kide pani se bahar nikalane ke bad svat: mar jate hain. is prakar ka abhiyan apane ghar men chalakar machchharon ki utpatti rokata hai. kerosin men milakar chhidakane se machchhar nasht hote hain, jo svasthy karyakartaon ke pas upalabdh hai.

snbhavit vishanu rodhi upay
pit jvar ki vaiksin ek snbandhit phlaivi vayaras ke viruddh hai use dengoo ke viruddh parivartit roop men prayog karane ki salah di jati hai kintu is sambandh men koee vistrit adhyayan nahin kiya gaya hai. arjentina ke ek vaigyanik samooh ne 2006 men vishanu ke prajanan tarike ko khoj nikala hai jisake chalate asha ki jati hai ki usake viruddh prabhavi aushadhi khoj nikali jayegi.

dengoo mahamari

dengoo ka pratham mahamari roopen hamala ek sath eshiya, aphrika, uttari amerika men ek sath 1780 ke lagabhag hua tha, is rog ko 1779 men pahachana tatha nam diya gaya tha, 1950 ke dashak men yah dakshin poorv eshiya yah nirntar mahamari roop men phailana shuroo hua tatha 1975 tak dengoo hemarej jvar in deshon men bal mrityu ka pradhan karan ban gaya hai. 1990 ke dashak tak dengoo maleriya ke pashchath machchharon dvara phailane vala doosara sabase bada rog ban gaya jisase sal bhar men 40 miliyan log snkramit hote hain vahin dengoo haimarej jvar ke bhi hazaron mamale samane ate hain. faravari, 2002 men hi jab riyo-di-jenero men dengoo ke prasar hua to 10 lakh log isaki chapet men a gaye the jisase 16 log mar gaye. march, 2008 tak bhi is shahar men dasha bahut achchhi nahin thi keval 3 mah men 23,555 mamale aur 30 mauten huee thin, lagabhag har panch se chhah sal men dengoo ka bada prakop hota hai aisa isaliye hota hai ki varshik chakr jo is rog ke ate hain vo rogiyon ko kuchh samay hetu pratirodh kshamata de deta hai jaise ki chikanaguniya ke mamalon men hota hai, jab yah pratirodh kshamata samapt ho jati hai to log rog ke prati phir se snvedanashil ho jate hain, phir dengoo ke char prakar ke vayaras hote hain, isake alava naye log janasnkhya men janm ya pravas ke jarie jud jate hain. 1970 ke bad se es.bi. helsatid ne ek adhyayan dvara siddh kar diya hai ki dengoo haimarej jvar un rogiyon ko zyada hota hai jo dvitiyak snkraman se grast hue ho jo ki prathamik snkraman se bhinn prakar ke vayaras se hota hai. yadyapi is dharana ko thik se samajha nahin ja saka hai keval kuchh maaudal hai jo isake bare men mat vyakt karate hain, is dasha ko paramasnkraman ki dasha kahate hain. singapur men prativarsh is rog ke 4000-5000 mamale samane ate hain yadyapi am dharana yah hai ki bahut se mamale chhupe rah jate hain.


panne ki pragati avastha
adhar
prarambhik
madhyamik
poornata
shodh

tika tippani aur sndarbh

  1. DEN-1, DEN-2, DEN-3, DEN-4
  2. Aedes aegypti
  3. dengoo bukhar : ek snkramak rog (bachav) (hindi) (e.es.pi) narad samachar. abhigaman tithi: 9 march, 2011.
  4. dengoo ya dengi (hindi) (pi.ech.pi) nirog. abhigaman tithi: 9 march, 2011.
  5. ye machchhar janaleva hai (hindi) (pi.ech.pi) deshabandhu. abhigaman tithi: 9 march, 2011.

snbndhit lekh

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