
jolisthalathe aarogya nireekshanam

jolisthalathe aarogya nireekshanam allengil thozhil aarogya nireekshanam (yuu.ezz.) thozhilaallikalude grouppukalil exposurinteyum aarogya daattayudeyum chittayaya shekharanam, vishakalanam, vitharanam ennivayaanu. 1995-ll joyint ailo/huu kammitti ooppareshanal health athinte panthrandaam sessionil oru professional health survilance systethe nirvachichathu "professional health prograamukalumaayi bandhapetta daatta shekharanam, vishakalanam, vitharanam ennivaykkulla pravartthana sheshi ulkkollunna oru samvidaanamaanu" ennaanu.
thozhilparamaaya aarogyathinu eee ashayam puthiyathaanu, ithu palappozhum medical screeningumaayi aashayakkuzhappathilaakunnu. aarogya parisodhana ennathu prathyeka thozhilukalumaayi bandhapetta rogangal neratthe kandethukayum chikilsikkukayum cheiyunnathine soochippikkunnu, athesamayam jolisthalathe aarogya nireekshanam ennathu kaaranaghadakangal neekkam cheiyunnathine soochippikkunnu.
vashangal.
medical nireekshanam.
thozhilaallikale aarogyathode nilanirthukayum thozhiludamakal aarogyathilum surakshayilum ooshaa maanadandangal paalikkunnundennu urappakkukayum cheyyuka ennathaanu medical nireekshana paripaadiyude dauthyam. medical nireekshanatthinu prathirodhatthinu oonnal nalkunnu maattaanaavaatha aarogya prathyaaghaathangal undaakunnathin munbu jolisthalathe apakadangal kandethunnathinaan ithu roopakalppana cheythirikkunnathu. thozhil aarogyam, vyaavasaayika exposureukal, shaareerika parisodhanakal, rakthaparisodhana, spirometry (shwaasakoshathinte pravartthanam alakkuka), audiometry ennivayil vaidagdhyamulla klinikkukal. palappozhum varshamtorum nischitha edavelakalil screening nadathunnu. medical nireekshana sevanangal nalkunna klinikkanmaaril board saakshyappeduthiya thozhil, paristhithi vaidyashaasthra doctormar, idatharam pariseelakar, nazhsumaar, niyosh saakshyappeduthiya spirometry technicianmaar ennivar ulppedunnu.
medical nireekshanam yadhaartha aarogya sambhavangaleyo allengil oru thuranna vyakthiyudeyo vyakthikaludeyo jaiva pravartthanatthile maattatheyo lakshyamidunnu. enchiniyaring niyanthranangal, administrative niyanthranangal, vyakthigatha samrakshana upakaranangal thudangiya nerittulla apakada niyanthranangal nadappaakkunnathinu pinnile randaamathe prathirodhamaan medical nireekshanam. apakadakaramaaya vasthukkalkk vidheyaraakumbol thozhilaallikale vaidyaparisodhanaykku vidheyaraakkanamennu niyosh shupaarsha cheiyunnu. oru medical nireekshana paripaadiyude gadakangalil saadhaaranayaayi inipparayunnava ulppedunnu
oru medical nireekshana paripaadiyude uddeshyam joliyumaayi bandhapetta rogathinteyum rogathinteyum aadyakaala lakshanagal kandethuka ennathaanu, oru vyakthi saadhaaranayaayi vaidyasahaayam thedunnathinu munbu avayava pravartthanatthile preclinical maattangalo maattangalo kandethunnathinum edapedal prayojanakaramaakumbol oru medical screening prograam sthaapikkunnathu sthaapitha maanadandangal palikkukayum thiranjeduttha parishodhanayiloode nirddishta roga avasana pooyintukal nirnnayikkaan kazhiyukayum cheiyunna oru tharam medical screening aayi ithu kanakkaakkappedunnu.
oru jeevanakkaaran joliyude avashya pravartthanangal nirvahikkaan kazhiyumo ennu nirnnayikkaan pala jolisthalangalilum medical parishodhanakalum parishodhanakalum upayogikkunnu. oru prathyeka jolisthalathe apakadasaadhyatha neridumbol amerikkayil thozhilaallikalude medical nireekshanavum niyamaprakaaram aavasyamaanu, koodaathe oshaykku niravadhi maanadandangalundu, avaykku padaartha-nirddishta maanadandangalkku purame thozhilaallikalude medical nireekshanam aavasyamaanu, vishalamaaya prayogakshamathayulla maanadandangalundu. udaaharanathinu, thozhilaallikalude aarogyam samrakshikkaan respiratorukal aavashyamullappol thozhiludamakal ooshayude respiratory protection staanderdinte () medical moolyanirnnaya aavasyakathakal paalikkanam. athupole, laborattarikalile apakadakaramaaya rasavasthukkalumaayi thozhilparamaaya sanbarkkathinulla ooshaa maanadandatthinu apakadakaramaaya rasavasthukkal aakasmikamaayi purathuvarunnathinetthudnar vaidyopadesham aavasyamaanu. chila thozhilparamaaya apakadangal undaakumbol thozhilaallikale parishodhikkunnath ulppedeyulla medical nireekshanavum niyosh shupaarsha cheiyunnu.
apakada nireekshanam.
apakadasaadyathayulla nireekshanatthil jolisthalathe apakadakaramaaya reethikalo exposureukaloo thirichariyunnathum avaye thozhilaalikalumaayi ethratholam bandhippikkaamenn vilayiruthunnathum niyanthranangalude falaprapti, exposure nadapadikalude vishwaasyatha enniva ulppedunnu. jolisthalathe apakadangal raasa, jaiva, shaareerika, erganomic, psychosocial allengil surakshayumaayi bandhapetta swabhaavamullavayaakaam. apakada nireekshanam eathoru thozhil aarogya nireekshana shramathinteyum oru pradhana gadakamaanu, ithu risk maanejment prograaminte gadakangal nirvachikkaan upayogikkunnu. apakadasaadhyathayude saadhyatha thirichariyukayum avaa kuraykkunnathinu uchithamaaya nadapadikal kaikkollukayum cheyyuka (udaaharanathinu, enchiniyaring niyanthranangal nadappilaakkuka, nalla thozhil reethikal upayogikkuka, vyakthigatha samrakshana upakaranangal upayogikkuka) enniva risk maanejment prograaminte nirnaayaka gadakangalil ulppedunnu. apakadasaadyathayulla vasthukkalude uthppaadanavum upayogavum ulppedunna jolikalum prakriyakalum thirichariyunnathum apakadasaadyathayulla nireekshanatthil ulppedanam, koodaathe eathu apakadasaadhyatha maanejment prograaminteyum ettavum nirnaayaka gadakangalilonnaayi ithu kaanam.
apakada nireekshanatthil apakadasaadhyatha, exposure vilayiruthal ennivayude gadakangal ulppedunnu. apakadasaadhyatha vilayiruthalil vasthukkalude vishaamsham sambandhicha labhyamaya ettavum mikacha vivarangal avalokanam cheiyunnathu ulppedunnu. atharam vilayiruthal daattabesukal, paadangal, prasidheekaricha saahityam allengil labhyamaya niyanthranangal allengil maargganirddeshangal ennivayil ninnu vannekkaam. epidemiological anweshanangal, cases seerees allengil reportukal, mruga padanangal thudangiya manushya padanangalum vilapetta vivarangal nalkiyekkaam. exposure moolyanirnnayathil prasakthamaaya exposure roottukal (shwasikkal, kazhikkal, dermal koodaathe/allengil kuthivayppu), alavu, dairkhyam, aavruthi (athaayath.iii., doses), athupole thanne exposure niyanthranangal nilavilundo ennum avaa ethratholam samrakshanaathmakamaanennum. daatta labhyamallaathappol, ithu oru gunaparamaaya prakriyayirikkum.
thozhilparamaaya aarogya soochakangal (ohis).
1998-ll kaunsil oof stettu aandu territorial epidemiologistukal (sii. ezz. tii. iii) sii. dii. siyude naashanal instittyoott phoor okyupeshanal sephtti aandu healthil (niyosh) chernnu nireekshanatthilulla thozhiladhishtitha aarogya saahacharyangalkk munganana nalkunnathinaayi oru thozhilparamaaya aarogya nireekshana pravartthaka samgham roopeekarichu. samsthaanavyaapakamaayi eluppathil labhyamaakunna vivarangalude labhyatha, thozhilparamaaya aarogyaparamaya prathyaaghaathatthinteyo exposurinteo pothujanarogyaparamaaya praadhaanyam, edapedal pravartthanangalude saadhyatha ennivayude adisthaanathil 19 thozhilparamaaya aarogya soochakangal upayogikkanamennu varkk group shupaarsha cheythu.
nilavilulla nayangalum prathirodha nadapadikalum vilayiruthunnathin eee soochakangal upayogapradamaanengilum avaykku chila parimithikalumundu. thozhilparamaaya aarogya vaikalyangalude kuravu report cheyyuka, aarogya pravartthakarude thozhilparamaaya bandham thirichariyaanulla kazhivillaayma, deerghakaala latensi allengil onniladhikam karanangalulla rogangal (shwaasakosha arbudam polullava) thozhil exposureukalkku kaaranamaakunnu, prathyeka janasamkhyaye (svayam thozhil cheiyunna allengil sainika udyogasthar polullava) ozhivaakkuka, samsthaana-nirddishta daattabesukal thammilulla vyathyaasangal ennivayaanu pradhana parimithikal.
daatta uravidangal.
inipparayunnava ulppede onniladhikam srothassukalil ninnaan ohisinulla daatta varunnathu
upakaranangal.
oru nireekshana upakaranathinte prayojanam jolisthalathu enthokke apakadangalundu ennathine ashrayichirikkum, aaa apakadangal undaakkunna aarogyaparamaya prathyaaghaathangale ashrayichirikkum. udaaharanathinu, shabda exposureukal undaakumbol shravana parisodhanakal sahayakamaakum, athesamayam shwaasakoshathinte pravartthanam vilayiruthunna parishodhanakalo vaayuviloodeyulla ejantukal undaakumbol biomonitoring upayogapradamaakum. medical nireekshanam (aarogya prathyaaghaathangal alakkunnathu), apakada nireekshanam/exposure vilayiruthal (apakadatthinte tharatthinteyum theevrathayudeyum bhauthika alavukal) enniva upayogikkunna upakaranangal thammil verthirichariyunathum pradhaanamaan. oru jeevanakkaarane niyamikkumbol adisthaana parisodhana ulppedeyulla aanukaalika parisodhana, muun phalangal thaarathamyam cheythukondu pravartthanatthile idivu kandethaan palappozhum sahayikkum. medical nireekshana upakaranangal
vivarangalude rahasyathmakatha.
mikka rajyangalkkum vyakthigatha aarogya daattaykkaayi prathyeka niyanthranangalund, eee vivarangal eppozhengilum eathenkilum moonnaam kakshiyumaayi pankittittundenkil thozhilaalliye ariyikkendathundu. thozhiladhishtitha aarogya rekhakalkku (oo. echu. aarr) rahasya aarogya vivarangalulla eathoru medical rekhaykkum samanamaaya samrakshanamundu. anadhikritha axus, upayogam allengil velippeduthal ennivayil ninnu swathanthramaayi thozhiludamakal oru surakshita pradeshathu oo. echu. aarr sambharikkanam. thozhilaallikalkk avarkk eppol venamenkilum eee vivarangal axus cheyyaan avakaashamundaayirikkanam.