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rjrt g#n @m| wrm| kw` krn~nt sQqE vR@y~ aq @m| vQ@X~;`Agy wOLQn~ eLQqkQn aqhst ey ewrm| m v#qgw~ b#vQnQ. psRgQy vsr 10k pmN k`ly wOL asn~nt l#bRNR @qyk~ nm| rjrt pY@q~X@yn~ vQX`l vkOgdR @r`~gWn~ sAK&`vk~ hmR vR bvyQ. vsrQn~ vsr em @r`~gWn~ sAK&`v ihL yn bv q p#v@s~. @mm @r`~g ww~w~vy vkOgdR @r`~gy @ls h[En~vn~@n~ bthQr @@vqy vQq&`w~mk q^;~tQ @k`~N@ynQ. @mkW @r`~g ww~w~v@yn~ @p@Ln @r`~gWn~ @g~ vkOgdRvlQn~ lb`gw~ ptk s`m|pl prWk;`@vn~ @pnW @g`s~ a#wQ kr#Nk~ nm| e@s~ prWk;`vt lk~ kL ptk awOrQn~ 80%ktw~ vd` v#dQ @k`tsk v^k~k @@sl a`XYQwv as`m`n&w`vk~ vr\{ny vW a#wQ bv y. (Tubulointestitial Disease) s`m`n&@yn~ bthQr @@vq& vQq&`@v| @r`~g ww~w~vyk~ vQs~wr krn vQt e~ s[h` @h~wO vn kr#N (~Actionology)- q p#h#qQlQ @k@r\. av`sn`vkt rjrt vkOgdR @r`~gy @ls h[En~vn @m| @r`~g ww~w~vy u@qs` ev#nQ s`r\}k p#h#qQlQ kQrWmk~ iqQrQpw~ kQrWmt bthQr @@vq& vQq&`vt h#kQ vW n#w. e@hyQn~ aqtw~ @m| @r`~g ww~w~vy @s`y`gw @n`h#kQ vR @h~wOvkQn~ (Unknown/uncertain actionology)- a#wQ vn~nk~ @ls vQs~wr @k@r\.

@k@s~ @vww~ @mv#nQ @r`~g ww~w~vyk~ ht g#nWmt @h~wOp`qk vQy h#kQ @h~wO k`rN` kQhQpyk~ @m| vn vQt iqQrQpw~ v a#w. in~ pY{`n aqhsk~ vn~@n~ rjrt pY@q~X@y~ jl@y~ ihL f~@l`~ryQd| s`n~qYNy @r`~gyt @h~wOv vQy h#kQ bvyQ. ILt aqhs vn~@n~ ww~w~v@yn~ b`l a#lEmQnQym| x`jn x`vQw@yn~ a#lEmQnQym| ayn f~@l`~ryQd| smM ek~ v vQ; sA@y`~g nQp#qvW e~v` vkOgdR @@sl mw kQYy` kr @r`~g ww~w~vy a#wQ krn bvyQ. iqQrQpw~ v a#wQ wvw~ aqhsk~ vn~@n~ pY@q~X@y~ k^;Qk`r\mQk ktyRwO s[h` bhRl @ls @y`q` gn~n` k^;Q rs`yn @r`~gy a#wQ vWmt @h~wOv bvyQ. It amwrv rs`ynQk @p`@h`r, k^mQn`Xk, vl~n`Xkvl adAgO k#dQmQym| v#nQ b#r @l`~h a`h`r q`m os~@s~ gmn~ kr ihL anRp`wvlQn~ mQnQs~ sQr#rt a#wOU vW @r`~gy a#wQ krvn bvt aqhsk~ q iqQrQpw~ v a#w. @m| pY@q~X@y~ jnw`v a{Qk @ls mw~p#n~ x`vQw krn bvw~, nWwQ vQ@r`~{W @ls nQpqvn ww~w~v@yn~ b`l mw~p#n~ @r`~gyt @h~wOv vQy h#kQ bvtw~ vR aqhsk~ q a#w. 2007 @n`v#m|br\ 21 qQn vQqEsr a@p~ pQtRvt lQpQyk~ s#pyR mhw~mykO pvs` wQbR@N~ ww~w~v@yn~ b`l uNRvwOr @b`~wl~ x`vQwy q @r`~gyt htg#nWmt @h~wOvk~ vQy h#kQ bv y.

ihw s[hn~ kL @h~wOv @h`~ @h~wO @vn~ @vn~ vX@yn~ @gn qWr\G @ls s`kc|j` kQrWmt @mhQ qW bl`@p`@r`w~wO @n` vn awr e~ pQLQb[ @ktQ p#h#qQlQ kQrWmk~ pmNk~ @mhQ q$k~@v|. rjrt pY@q~X@y~ jl@y~ f~@l`~ryQd| ayn s`n~qYNy a{Qk bvt vR aqhs s#lkW@m| qW 1991 vs@r\ qW @p~r`@qNQ srsvQ@y~ xS vQq&` aAX@y~ mh`c`r\y sW. bW. qQs`n`yk sQqE kL @s`y`b#lWm v#qgw~ @k`t q$k~vQy h#kQ y. e~ mhw`t anRv lAk`@v| vr\;`pwny v#dQ kl`pyt s`@p~k;v r@tQ a@nkOw~ pY@q~Xvl xSgw jl@y~ f~@l`~ryQd| s`n~qYNy ihL y. (sQwQym 1 bln~n). e@s~ vRvw~ p#h#qQlQ v @p@nn kr#Nk~ nm| e@s~ f~@l`~ryQd s`n~qYNy a{Qk vn~@n~ rjrt pY@q~X@y~ pmNk~ @n` vn bvyQ. r@tQ n#@gnhQr sh qkONR pY@q~Xvl (r#hRNR rt) xSgw jl@y~ q ev#nQ m a{Qk f~@l`~ryQd sh qkONR pY@q~Xvl (r#hRNR rt) xSgw jl@y~ q ev#nQ m a{Qk f~@l`~ryQd s`n~qYNyk~ a#w. e@s~ vRvw~ rjrt vkOgdR @r`~gy nmQn~ h[En~vn @r`~g ww~w~vy em pY@q~Xvl e~ ayRrQn~ qk~nt @n`m#w. Itw~ vd` @m| vkOgdR @r`~gy rjrt pY@q~Xy wOL ek h` sm`n v&`p~wQyk~ @n` qk~vyQ. vQ@X~;@yn~ rjrt q ek~ sRvQ@X~;W xSmQx`gyk @v@sn jnw`v pmNk~ pYbl @ls @m| @r`~g ww~w~vyt @g`qEr# vW a#wQ bv iqQrQ@y~ qW q$k~@vn kr#NRvlQn~ p#h#qQlQ vnR a#w. @m| sQwQy@m| r@tQ uwOr# pY@q~X@y~ xSgw jl@y~ f~@l`~ryQd s`n~qYNy ihL s~}`n sthn~ @n` vn~@n~ pY@q~X@y~ p#v#wQ ww~w~vy @h~wO@vn~ prWk;N ktyRwO sQqE kQrWmt aphsR vR b#vQn~ vQy h#kQ y.

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vd` v#qgw~ vn~@n~ "rjrt vkOgdR @r`~gy" @ls h#[Qn~vRv q rjrt ynR@vn~ h#M@vn xSmQ pY@q~X@y~ smj`wWy v&`p~wQyk~ h[En`gw @n`h#kQ vWm y. @m| pQLQb[v v#dQqEr av{`ny @y`mR kQrW@m| qW iw` v#qgw~ nQrQk;Nyk~ sQqE kQrWmt apt h#kQ vQy. qBRl~l, k#kQr`v, anRr`{pRr ngry v#nQ pY@q~Xvl i[hQt @r`~gQykO @q@qnkO v`r\w` vRv q awQ bhRwr @r`~gWn~ pQrQs hmR vn~@n~ mhvQlc|cQy, wn~wQrQm@l~, m#qvc|cQy, k#bQwQ@g`l~l$v, pqvQy, XYW pRr, m#qQrQgQrQy, v#lQkn~q, arlgAvQl, gQr`[Er#@k`~tQ@tQ v#nQ pY@q~XvlQn~ y. vQ@X~;@yn~ m#qvc|cQy, pqvQ XYQpRr, gQr`[Er#@k`~tQ@tQ v#nQ pY@q~Xvl vkOgdR @r`~gy vsAgwyk~ bvt pw~ @vmQn~ a#w. vQ@tk ek m pvR@l~ kQhQp @qnkO @m| @r`~g@yn~ mQy @g`s~ a#w. wvw~ vQ@tk wr#N vQy @n` ik~mvR@v`~ q vkOgdR nrk~ vW as`{& ww~w~v@yn~ mrNy h` @p`rbqQmQn~ sQtQwQ. enm| @m| pY@q~X kYm@yn~ jWvw~ vWmt aphsR pY@q~X bvt pw~ @vmQn~ a#w. sRqEsR pQLQymk~ @s`y`gw @n`h#kQ vRv @h`w~ @vnw~ pYX~n @k@s~ @vww~ vkOgdR @r`~gy nQs` wvw~ qXk @qkkQn~ @h`~ wOnkQn~ @h`~ @m| pY@q~X jnXSn& vnR a#w.

@r`~gy pYbl @ls v&`p~w v a#wQ pY@q~X s#lkW@m| qW @pnW yn v#qgw~ kr#N nm| @m| sQylE pY@q~X sRvQ@X~;W pY@q~Xykt y`bq v pQhQt` a#wQ bvyQ. e~ pY@q~Xy an~ kvrk~ vw~ @n` v @qmL nQjbQm ynR@vn~ @qmL j`wWv`qWn~ h[En~vn pY@q~XyyQ. (sQwQym 2). @qmL jnw`v @g~ p`rm|prQk nQjbQm| ynR@vn~ h[En~vmQn~, iAgYQsQn~ nQr\m`Ny kL r@tQ uwOr# h` n#@gnhQr pL`w~, "ILm" @ls lb`g#nWmt pQBRr#pw~ s#ksR@N~ aq I@y~ @n` v vsr @q sQyyktw~ epQt qW y. em k`ly pRr`vt m wm v&`j iwQh`sy sn`} kQrQmtw~, @m| xSmQx`gy wmn~ nwO kr g#nWmtw~ @qmL j`wQv`qy @n` kL @qyk~ n#w. vsr vQs~sktw~ v#dQ klk~ @k`tQ wYs~wv`qy @ls qQyw~ vR@y~ q em j`wQv`qW v&`p~wQ@y~ m ek~ aAgykQ. ovRnt wmn~ @g~ axQl`;y i;~t krg#nWmt wQbR pY{`n m b`{kyk~ nm| @m| InQy` @qmL nQjbQm wOL h` e~ a`sn~n@y~ vQsR sQAhl h` mRs~lQm| jnw`v y. mRU y`pny ar\{q~vWpy m iw` @ktQ klk~ a#wOLw v`r\gQk XOq~{ kQrWmkt lk~ vQy. n#@gnhQr pL`@w~ sQAhl gm|m`nvlt sh uwOr# h` n#@gnhQr pL`w~vlt y`bq v pQhQtQ sQAhl gm|m`nvlt kd` v#qENR mQ@lc|j wYs~wv`qWhR sQy qhs~ gNnk~ ahQAsk gm|v#sQyn~ amRamR@v| G`wny kL h. @m| sQylE axQ@y`~g hmR@v| @m| axWw mQnQs~sR wm ur#my rFkgnQmQn~ @k`tQ wYs~wv`qyt mRhRN qEn~ h.

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e@s~ vRvw~ @m| @r`~gW ww~w~vy @qmL j`wQv`q@y~ anRgYhy mw a#wQ krn lq~qk~ y#yQ q$n~m m apt p#vsQy @n`h#kQ y. e@hw~ ev#nQ h#kQy`vk~ apt @l@hsQ@yn~ b#h#r kL @n`h#kQ y. @l`~k@y~ @vnw~ pY@q~X s#lkOv q @m| a`k`ryt vsAgwyk~ @ls vkOgdR @r`~gy p#wQr gQy avs~}` sRlb n#w. ev#nQ ek~ pYkt s~}`nyk~ nm| n#@gnhQr yR@r`~p@y~ d#nQyRb| gAg`v avt gY`mWy pY@q~XyyQ. p#rNQ yR@g`~s~@l`~vQy`vt ayw~ v wQbR @b`s~nQy`v, @kY`@y~;Qy`v, sr\bQy`v v#nQ rtvl~ kQhQpyk gY`mWy pY@q~Xvlt @m| ww~w~vy sWm` vW a#w. lAk`@v| qW @mn~ m @r`~g ww~w~vy a#wQ vn~@n~ a#yQ q yn~n p#h#qQlQ kQrWmt aqhs~ kQhQpyk~ m e~ rtvl qW q iqQrQpw~ v a#wQ nmRw~ e~ ekk~ pQLQb[ @h`~ pRr\N ekgw`vkt eL#BWmt e~ rtvl vQq~vwOn~t h#kQ vW n#w. @mm @b`~l~kn~ kl`py q q$dQ @ls bthQr m#qQhw~ vWm| sQqE vn @bqEm|v`qW v&`p`r qQyw~ vn pY@q~XykQ.

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