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করোনা ও ল্যাকটেটিং মা করোনাকালে স্তন্যদান কতটুকু নিরাপদ?

ডাঃ শায়লা আজিজ ১১:২৮ মিঃ, ফেব্রুয়ারি ৮, ২০২২ Views : 1089

eZ©gvb mg‡q GK g~wZ©gvb AvZs‡Ki bvg K‡ivbv| 2019 mv‡ji 31 wW‡m¤^i K‡ivbv cÖg kbv³ nIqvi ci †_‡K GLb ch©šÍ wek¦e¨vcx 25 †KvwUiI †ewk gvbyl K‡ivbvq আক্রান্ত nqQ| Kivbvi cÖfve coRxe‡bi me©Î| we‡klZ hviv wewfboe RwUj ¯^v¯’¨ mgm¨vq fyM‡Qb Zv‡`i‡K ÒHigh Risk IndividualsÓ wn‡m‡e we‡ePbv Kiv n‡”Q| GgbB GK D”P SywK m¤úর্ণ Mªyc n‡”Q ¯Íb¨`vbKvix bvix| hw`I GLbI ¯Íb¨`v‡bi Dci K‡ivbvi cÖfve wb‡q we¯Íi M‡elbv Pj‡Q ZeyI ¯^v¯’¨ †mev`vbKvixiv †h mg¯Í cÖ‡UvKj †g‡b Pj‡Qb Ges B‡Zvg‡a¨ M‡elbvj× †h mg¯Í Z_¨ cvIqv †M‡Q Zv m¤ú‡K© mg¨K Ávb _vKv Riæix| 


K‡ivbv GK ai‡bi AviGbG fvBivm| fvBiv‡mi we¯Ív‡ii e¨vcv‡i Avgv‡`i Ávb GLbI A‡bK mxwgZ| WHO ey‡Ki `ya‡K wkïi Av`k© Lv`¨ wn‡m‡e D‡jøL K‡i‡Q| gv‡qi `ya wkïi Rb¨ me‡P‡q wbivc` hv‡Z Av‡Q wewfন্ন †ivM cÖwZ‡ivaK Gw›UewW, †e‡o IVvi Rb¨ cÖ‡qvRbxq cywó I kw³| 2020 mv‡ji 18 gvP© †_‡K WHO e‡j Avm‡Q †h, hw` †Kvb K‡ivbv আক্রান্ত gv wkï‡K ey‡Ki `ya w`‡Z Pvq Z‡e cÖ‡qvRbxq mZK©Zv Aej¤^bc~e©K Zv Kiv hv‡e| Z‡e G wb‡q †ek wKQy weZK© Av‡Q| †hgb Pxb cÖ‡g K‡ivbv আক্রান্ত gvqi †¶‡Î wkïi mv‡_ kvixwiK ms¯úk© ev ¯Íb¨`vb †KvbwUi AbyK~‡jB civgk© †`qwb| GK`j M‡elK m‡›`nRbK †ivMx, K‡ivbvq আক্রান্ত ev Kivbvi wPwKrmv cv‡”Ggb gv‡q‡`i †¶‡Î beRvZ wkï‡K gv †_‡K Avjv`v ivLvi e¨vcv‡i civgk© w`‡q‡Q| Z‡e WHO Gi gZ UNICEF I mivmwi ¯Íb¨`vb‡K DrmvwnZ K‡i‡Q| Z‡e gv A_ev ev”Pv hw` LyeB Amy¯’ _v‡K ev ¯Íb¨`vb m¤¢e bv nq Z‡e weKí e¨e¯’v MÖn‡bi K_v ejv n‡q‡Q|


R‡b¥i ci K‡ivbv Qwo‡q covi AvksKv Kgv‡bvi D‡Ï‡k¨ gv †_‡K ev”Pv‡K mvgwqKfv‡e `~‡i ivLv ev”Pv Ges gv `yR‡bi ¯^v¯’¨ I g‡bi Dci †bwZevPK cÖfve

†dj‡Z cv‡i| gvZ…`y» wK K‡ivbvi evnb wn‡m‡e KvR K‡i wKbv †m e¨vcv‡i GLbI cy‡ivcywi wbwðZ nIqv m¤¢e nqwb| Z‡e GUv †gvUvgywU wbwðZfv‡eB ejv hvq

†h, gv‡qi `y‡a K‡ivbv cÖwZ‡ivaK Gw›UewW _vK‡Z cv‡i| ev”Pvi Rb¨ gvZ…`y‡»i †h ¯^í I `xN©‡gqv`x cywó, †ivM cÖwZ‡ivax I †e‡o IVvi ¸b i‡q‡Q Zv †Kvb wKQyi mv‡_B Zyjbxq bq| ev”Pv‡K ey‡Ki `ya †`qvi wm×všÍ Aek¨B gv I wPwKrm‡Ki cvi¯úwiK mg‡SvZvi gva¨‡g wb‡Z n‡e| G e¨vcv‡i gv I ev”Pvi kvixwiK Ae¯’v me©v‡MÖ we‡ePbv Ki‡Z n‡e| 


gv‡qi ey‡Ki `ya, Mf©dyj ev GgwbIwUK d¬yB‡W K‡ivbv fvBiv‡mi Aw¯ÍZ¡ cvIqv hvqwb| ZviciI we‡kl K‡i R‡b¥i ci gv‡qi ms¯ú‡k© beRvZ‡Ki K‡ivbv n‡Z cv‡i| ev”Pv‡K ey‡Ki `ya †`qvi mgq †ek K‡qKwU e¨vcv‡i mZK© _vK‡Z n‡e-


gv Aek¨B ¯Íb¨`v‡bi mgq gv¯‹ c‡o _vK‡eb| cÖ‡Z¨K evi ¯Íb¨`v‡bi mgq gv¯‹ cwieZ©b Ki‡Z n‡e|


ev”Pv‡K nvZ w`‡q ¯úk© Kivi Av‡M I c‡i Ges Pvc w`‡q ey‡Ki `ya †ei Kivi Av‡M AšÍZc‡¶ 20 †m‡KÛ a‡i nvZ fv‡jvfv‡e mvevb w`‡q cwi®‹vi Ki‡Z n‡e|


wbqwgZ Av‡kcv‡ki cwi‡ek Ges AvmevecÎ, †g‡S BZ¨vw` cwi®‹vi I Rxevbygy³ Ki‡Z n‡e|


ev”Pvi Rb¨ e¨eüZ †evZj, PvgP, Kvc ev †eª÷ cv¤ú e¨env‡ii Av‡M I c‡i Rxevbygy³ Ki‡Z n‡e|


ev”Pv‡K †evZ‡j `ya bv w`‡q Kvc ev PvgP e¨envi Ki‡Z n‡e|


¯Íb¨`v‡bi mgq Nywg‡q cov hv‡e bv|


¯Íb¨`v‡bi mgq K_v ejv ev Kvwk †`qv cwinvi Ki‡Z n‡e| Kvwk ev nvuwP w`‡j ms‡M ms‡M gv¯‹ cwieZ©b K‡i wb‡Z n‡e|


ev”Pv Rb¥`v‡bi mgq †Wwjfvix iæ‡g Ges R‡b¥i ci Gb.AvB.wm.BD †Z Dcw¯’Z mKj ¯^v¯’¨Kg©x‡K Rxevbygy³ _vKvi e¨vcv‡i mZK© `„wó ivL‡Z n‡e| K‡ivbv আক্রান্ত gvq`i e¨vcvi wKQy welq Lqvj ivL‡Z n‡e| 


cÖgZt evev gv `yRb‡KB Rvwb‡q ivL‡Z n‡e †h, K‡ivbvi wPwKrmvq e¨eüZ Jla LyeB mvgvb¨ cwigv‡b ey‡Ki `y‡a wbtm„Z nq| hw`I K‡ivbvi wPwKrmvq mvavibfv‡e e¨eüZ Jla LyeB wbivc` Ges Zv ¯Íb¨`vbKv‡j e¨env‡i †Kvb wb‡la †bB| 


wØZxqZt †h‡¶‡Î gv‡qi DcmM© Zxeª nq Ges gv‡qi i‡³ fvBiv‡mi cwigvb A‡bK †ewk _v‡K †m‡¶‡Î ev”Pvi fvBivm w`‡q msক্রwgZ nIqvi m¤¢vebv ewk _v‡K| G‡¶‡Î Dc‡`k †`Iqv nq mivmwi `y»`vb bv K‡i gv‡qi `ya PvgP, †evZj ev Kv‡c K‡i ev”Pv‡K LvIqv‡bvi| Z‡e †h‡¶‡Î Gfv‡e `y»`vb KivI gv‡qi Rb¨ KóKi nq †m‡¶‡Î weKí Dcvq (‡hgb, weiwZ w`‡q cybivq ¯Íb¨`vb ïiæ Kiv ev Ab¨ bvixi ey‡Ki `ya LvIqv‡bv) wPšÍv Ki‡Z n‡e| Ab¨ bvixi ey‡Ki `ya †`qvi Av‡M Aek¨B Zv cv¯‘wiZ K‡i wb‡Z n‡e hw`I cv¯‘wiZ Kivi d‡j `y‡ai cywó¸b cÖvq 30-40% K‡g hvq| Pxbv‡`i GK M‡elbvq †`Lv †M‡Q gvZ…`y» w`‡q K‡ivbv Qov‡bvi 

m¤¢vebv Av‡Q| Zviv ïaygvΠPCR †b‡MwUf gv‡q‡`i ev”Pv‡K ey‡Ki `ya †`qvi AbygwZ †`q| Avi PCR cwRwUf Avm‡j Zviv dg©yjv wgé ev Ab¨ Kv‡iv ey‡Ki `ya LvIqv‡bv‡K DrmvwnZ K‡i _v‡K|


Z…ZxqZt †h‡¶‡Î ev”Pvi kvixwiK mgm¨vi Kvi‡Y Zv‡K wbI‡bUvj AvBwmBD †Z ivLvi cÖ‡qvRb nq, †m‡¶‡Î gv‡K Aek¨B beRvZ‡Ki †_‡K Avjv`v ivL‡Z n‡e

Ges wPwKrmK hw` wbivc` g‡b bv K‡i Z‡e ev”Pv‡K ey‡Ki `ya †bqv †_‡K weiZI ivL‡Z cvi‡e| Z‡e Gme †¶‡Î gv‡K Aek¨B gvbwmK mnvqZv w`‡Z n‡e|


PZy©Zt R‡b¥i ci AšÍZ 1 N›Uv ev”Pv‡K gv‡qi ms¯ú‡k© ivLv hv‡e bv| ïaygvÎ ev”Pv I gv Kv‡iv †Kvb DcmM© bv _vK‡j Zv‡`i‡K GK N‡i ivLv hv‡e, Z‡e j¶¨ ivL‡Z n‡e hv‡Z ev”Pv I gv‡qi weQvbvi g‡a¨ Kgc‡¶ 2 wgUvi `~iZ¡ _v‡K| 


K‡ivbv আক্রান্ত gvq`i gvbwmK ¯^v‡¯’¨i w`K mRvM `…wó ivL‡Z n‡e| GUv g‡b ivL‡Z n‡e †h cÖ‡Z¨K gv Zvi ev”Pvi g½j Kvgbv K‡i| GKRb gv‡qi wm×všÍ hvB †nvK bv †Kb Zv me©vwaK ¸iæ‡Z¡i mv‡_ we‡ePbv Ki‡Z n‡e| GKRb gv‡qi m‡½ mve©¶wbKfv‡e GKRb my¯’ e¨w³i Dcw¯’wZ Riæix| gv‡K Rvbv‡Z n‡e †h, ev”Pv‡K ey‡Ki `ya †`qv ev”Pvi cvkvcvwk Zvi wb‡Ri Rb¨I wewfboefv‡e DcKvix, ‡hgb- ¯’‚jZv, GjvR©x Ges wewfboe `xN©¯’vqx AmyL Kgv‡bv, `vu‡Zi ¯^v¯’¨ eRvq ivLv, cÖme cieZ©x i³cvZ Kgv‡bv, Wvqv‡ewUm, ¯Íb I Ifvwii K¨vÝv‡ii m¤¢vebv Kgv‡bv, welন্নZv Kgv‡bv, cÖvK…wZK Rb¥wbqš¿Y BZ¨vw`| GKRb bvixi gv nIqv Zvi Rxe‡bi GKUv eo cwieZ©b| cÖvq 10-20% Mf©eZx bvix cÖm‡ei ci welন্নZvmn wewfboe gvbwmK mgm¨vq fy‡M| jKWvD‡bi g‡a¨ GB welন্নZv I `ywðšÍvi nvi wQj 50%| K‡ivbv Avক্রাšÍ gvq`i gvbwmK mgm¨vq fvMvi m¤¢vebv ewk _v‡K| ZvB Zv‡`i wbqwgZ gvbwmK ¯^v¯’¨ †PK Avc Kiv Riæix| 


¯Íb¨`vbKvix gv‡q‡`i †¶‡Î K‡ivbvi f¨vKwm‡bi wbivcËvi e¨vcv‡i GLbI †Kvb mywbw`©ó Z_¨ bvB| Z‡e †hme gv B‡Zvg‡a¨ K‡ivbvi f¨vKwmb wb‡q‡Qb Zviv f¨vKwmb †bevi ciI ¯Íb¨`vb Pvwj‡q †h‡Z cvi‡eb| f¨vKwmb †bevi e¨vcviwU we‡klfv‡e we‡ePbv Ki‡Z n‡e hLb H gv‡qi K‡ivbv fvBiv‡m আক্রান্ত nevi m¤¢vebv A‡bK †ewk _v‡K A_ev H gv‡qi Ggb †Kvb RwUj kvixwiK Amy¯’Zv (‡hgb, D”P i³Pvc, Wvqv‡ewUm, wjfvi ev wKWbx wWwRm) Av‡Q hvi Kvi‡b wZwb K‡ivbv fvBiv‡m আক্রান্ত nfxlbfv‡e Amy¯’ n‡q co‡Z cv‡ib| g‡b ivL‡Z n‡e, f¨vKwmb †bIqv ev bv †bIqv cy‡ivUvB GKRb gv‡qi e¨w³MZ cQ›`| AvšÍR©vwZK cÖwZwU ms¯’vB ¯Íb¨`vb‡K DrmvwnZ K‡i Avm‡Q| cÖwZUv †ivMB Avgv‡`i kixi‡K †Kvb bv †Kvbfv‡e ¶wZMÖ¯Í K‡i| ¯Íb¨`vbKvix gv‡qiv ¯^vfvweKfv‡eB ms‡e`bkxj| K‡ivbv আক্রান্ত gvq`i †¶‡Î †h †Kvb wm×všÍ †bqvi Av‡M ev”Pvi wbivcËvi welqwU Aek¨B we‡ePbv Ki‡Z n‡e| wek¦e¨vcx K‡ivbv wb‡q M‡elYv I Rixc Pj‡Q| mg‡qi mv‡_ M‡elYvj× Z‡_¨i wfwˇZ K‡ivbv আক্রান্ত gvq`i e¨e¯’vcbv Av‡iv mnR n‡e e‡j ¯^v¯’¨Kg©xiv Avkv Ki‡Qb|


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