,e;jg; gupNrhjidahdJ jpR kzpf;foiyepiy kw;Wk; nfsr;rH Neha; (nfhOg;G tsHrpij khw;wf; FiwghL) kw;Wk; F\;lNuhfk; Mfpa Neha;fisf; nfhz;bUg;gjhfr; re;Njrpf;fg;gLk; Nehahspfis kjpg;gpLtjw;fhfg; gad;gLj;jg;gLfpd;wJ.
njspthd ciwe;j FUjp/%is Ks;se;jz;Lg; ghak; (CSF). Ntwhf;fg;gl;l CdPupid cldbahf ciwaitf;fTk;
KO ,uTk; cz;zhky; ,Ug;gJ tpUk;gj;jf;fJ (11-12 kzpj;jpahyq;fs;). ePH jtpHe;j NtW czT my;yJ ghdq;fis gupNrhjidf;F Kd;du; cz;zhkYk; mUe;jhkYk; ,Uj;jNy cz;zhky; ,Uj;jy; vd tiuaiw nra;ag;gLfpd;wJ.
,J Fly; Gw;WNeha; rhHe;j FiwghLfisf; fz;lwpe;J fz;fhzpg;gjw;fhd capupay;; ,urhad Neha; mwpjYf;Fg; gad;kpf;fjhFk;. ,J nrunlhdpid cw;gj;jp nra;Ak; fl;bf;fhd mwpFwpahFk;
24 kzpj;jpahy rpWePH
Nehahsp gpd;tUk; czTfisAk; fLikahd clw;gapw;rpapidAk; khjpupr; Nrfupg;gpw;F 72 kzpj;jpahyq;fSf;F Kd;dUk; khjpupr; Nrfupg;gpd; gpd;dUk; jtpHf;f Ntz;Lk;. thiog;gok;> fptp> Nthy;el;> Midf;nfha;ah> fj;jupf;fha;> md;dhrp> gpsk;> jf;fhsp kw;Wk; gpukjpird;> my;fN`hy; ghdq;fs;> NjePH> Nfhg;gp> Gifapiy. jtpHf;f Ntz;ba kUe;Jfspy; cs;slq;Fgit>
Kjy;epiy mz;zPuff; Fiwghl;Lf;Fk; ,uz;lhk; epiy mz;zPuff; Fiwghl;bw;Fk; ,ilapyhd tpj;jpahrj;jpidf; fz;lwptjw;Fk; frpd;q;;; Nehapid fz;lwptjw;Fk; cjTfpd;wJ.
EDTA FUjp (FspHtpf;fg;gl;l Foha;) khjpupapidf; fhtpr;nry;tjw;fhf FUjpapidg; ngwKd;dH I]pidg; ngw;Wf;nfhs;sTk;.
FUjpapid K.g. 6 Kjy; 10 kzpf;Fs; vLf;f Ntz;Lk;. gupNrhjidf;F 10-12 kzpj;jpahyq;fSf;F Kd;dH cq;fsJ cly; nraw;ghLfisf; Fiwf;f Ntz;Lk;. gupNrhjidf;F ,uz;L ehl;fSf;F Kd;dH Gujr; nrwpT Fiwe;j cztpid ePq;fs; cz;zNtz;Lk;. my;fN`hy; mUe;JtJ gupNrhjid KbTfspy; ghjpg;Gfis Vw;gLj;jyhk; (vjNdhy;> tp];fp> itd; my;yJ gpaH).
,e;jg; gupNrhjidahdJ ePupoptpidf; fl;Lg;gLj;Jtjpy; gad;kpf;fjhf ,Uf;fpd;wJ. ,J ,d;Rypd; vjpu;g;G epiyapidf; fz;lwptjw;Fk; gad;gLj;jg;gLfpd;wJ. ,J fidaf; fyq;fspd; mrhjhuz mjpfupg;G> FSf;NfhNfhl;bnfha;l; (glucocorticoid) FiwghL my;yJ ghuJ}ukhd <uy; Neha; Mfpatw;wpdhy; Vw;gLfpd;w FiwrHf;fiuj; jd;ikapid cWjpg;gLj;Jtjw;Fk; cjTfpd;wJ.
njspthd ciwe;j FUjp
czT cz;zhky; ,Uj;jy;. FUjpapidr; Nrfupg;gjw;F 8-12 kzpj;jpahyq;fSf;F Kd;du; ePH jtpHe;j NtW czT my;yJ ghdq;fis cz;zhkypUg;gJk; mUe;jhkypUg;gJk; czT cz;zhky; ,Uj;jy; vd tiuaiw nra;ag;gLfpd;wJ.
Kjy;epiy kpif mz;zPufr; Rug;gpidg; guprPypj;jy; (mz;zPufr; Rug;gp tbt Gw;Wf;fl;b/Gw;W kw;Wk; mz;zPufg; Gudpf; FiwjpR tsHr;rp) kw;Wk; ,uz;lhk; epiy kpif mz;zPufr; Rug;G (rpWePuff; FUjpehs Neha;> cg;Gf;Fiwtiljy;> nghl;lhrpak; mjpfupj;jy;> ,ja Neha; mj;Jld; tapw;W ePHf;Nfhit kw;Wk; fHg;gk;)
njspthd ciwe;j FUjp (Fsp&l;lg;gl;l Foha;)
FUjp Nrfupg;Gf;F Kd;dH 30 epkplk; G+uz Xa;T. gupNrhjidf;F Fiwe;jjJ ,uz;L thuq;fSf;F Kd;dH rhjhuz cg;Gld; (ehnshd;Wf;F 3 fpuhk;) Fiwthd Guj cztpid cl;nfhs;Sjy;. rhj;jpankdpd; ,e;j cztpidg; gupNrhjidf;F 30 ehl;fSf;F Kd;gpUe;Nj cz;zNtz;Lk;. gupNrhjidf;Ff; Fiwe;jJ 2 thuq;fSf;F Kd;dH mjpkJuj;jpid cz;z Ntz;lhk;.
gupNrhjidahdJ ,jaj;jkdp Neha;fs; (Coronary Heart Disease (CHD) gw;wpa Nkyjpf jfty;fis toq;Ffpd;wJ.
njspthd ciwe;j FUjp
FUjp Nrfupg;Gf;F Kd;dH 10 -12 kzpj;jpahyq;fs; cz;zhkypUj;jy;. ePH jtpHe;j NtW czT my;yJ ghdq;fis gupNrhjidf;F Kd;du; cz;zhkYk; mUe;jhkYk; ,Uj;jNy cz;zhky; ,Uj;jy; vd tiuaiw nra;ag;gLfpd;wJ. gupNrhjidf;F Kd;dH 2 thuq;fSf;F rhjhuz cztpid cz;zTk;.
nfhOg;Gf; FiwghLfs;. ,ja Neha;fSf;fhd mghaNeHtpidj; jPHkhdpf;f cjTfpd;wJ> tpNrlkhf ,jaj;jkdp Nehapidf; fz;Lgpbf;f cjTfpd;wJ. nfhOg;G tsHrpij khw;wj;jpid kjpg;gpl;L rpWePufr; rpijT Neha;> fida Neha;> <uy; Neha;> kpifNflar; Rug;G Neha; Mfpatw;wpidf; fz;Lgpbf;f cjTfpd;wJ.)
njspthd ciwe;j FUjp
,uT KOtJk; cz;zhjpUj;jy;. Mff;Fiwe;jJ 12 kzpj;jpahyq;fs; cz;zhky; ,Uj;jy; fl;lhakhdjhFk;.
tsHe;NjhH : 12-14 kzpj;jpahyq;fs;
Foe;ijfs; 6 tajpidtpl rpwpatHfs; : ghY}l;Ltjw;F Kd;dH
6 tajpid tplg; ngupatHfs; : czT+l;Ltjw;F Kd;dH
rpwe;j ngWNgw;wpidg; ngw;Wf;nfhs;tjw;F Nehahsp gupNrhjidf;F Kd;dH 2-3 thuq;fSf;F jplkhd cztpid cz;z Ntz;Lk;. khjpupapidr; Nrfupg;gjw;F Kd;dH 12 kzpj;jpahyq;fs; cztUe;jhjpUj;jy;. ePH jtpHe;j NtW czT my;yJ ghdq;fis gupNrhjidf;F Kd;du; cz;zhkYk; mUe;jhkYk; ,Uj;jNy cz;zhky; ,Uj;jy; vd tiuaiw nra;ag;gLfpd;wJ.
,e;jg; gupNrhjidahdJ ,uj;jf; fy;rpakpif gw;wpa ntt;NtW Neha;f;Fwpfis milahsk; fhz cjTfpd;wJ. ,J Kjyhk; epiy> ,uz;lhk; epiy kw;Wk; %d;whk; epiy ,izf;Nflar; Rug;G kpifapidf; fz;Lgpbg;gjw;Fk; ,izj;njhz;il ,af;FePH epiyapidf; fz;Lgpbg;gjw;Fk; cjTfpd;wJ.
njspthd ciwe;j FUjp (Fsp&l;lg;gl;l Foha;). khjpupapid vLj;Jr; nry;y Kd;dH I]pidg; ngw;Wf;nfhs;sTk;.
khjpupapidr; Nrfupg;gjw;F Kd;dH 12 kzpj;jpahyq;fs; cztUe;jhjpUj;jy;. ePH jtpHe;j NtW czT my;yJ ghdq;fis gupNrhjidf;F Kd;du; cz;zhkYk; mUe;jhkYk; ,Uj;jNy cz;zhky; ,Uj;jy; vd tiuaiw nra;ag;gLfpd;wJ.
mz;zPufg; Gwzp rhu;e;j nraw;ghlhdJ frpd; Neha; kw;Wk; mbrd; Neha;f;fhd Neha;f;Fwpfis cWjpg;gLj;Jtjw;F cjTfpd;wJ. ,uz;lhk; epiy mz;zPuff; Fiwghl;bid milahsk; fhz cjTfpd;wJ.
njspthd ciwe;j FUjp
mz;zPufg; Guzpg; gupNrhjidf;fhd FUjpahdJ fhiy 9 kzpf;F my;yJ es;sputpy; my;yJ NtW tpNrl Ntz;LNfhspd; Ngupy; vLf;fg;glyhk;. gupNrhjidf;F Kd;dH 10-12 kzpj;jpahyq;fSf;F cq;fsJ clw;nraw;ghLfisf; Fiwj;Jf;nfhs;sTk;. gupNrhjidf;F 3 ehl;fSf;F Kd;Ng rhjhuz cg;G cztpid cl;nfhs;sTk; (ehnshd;Wf;F 3 fpuhk;).
mz;zPufg; Guzp> ACTH J mz;zPufg; Guzp SUSPRESSION gupNrhjidapdhy;; J}z;lg;gly;.
kpifg;gUkd; kw;Wk; kpif <];l;u[d; Nghd;W SHBGy; ,ilA+Wfs; Vw;gLtjhf re;Njfpf;fg;gLifapy; nl];nlh];bNuhd gupNrhjidahdJ gad;kpf;fjhFk;.
njspthd ciwe;j FUjp
khjpupapidr; Nrfupg;gjw;F Kd;dH 12 kzpj;jpahyq;fs; cztUe;jhjpUj;jy;. ePH jtpHe;j NtW czT my;yJ ghdq;fis gupNrhjidf;F Kd;du; cz;zhkYk; mUe;jhkYk; ,Uj;jNy cz;zhky; ,Uj;jy; vd tiuaiw nra;ag;gLfpd;wJ.
ntspg;gf;fj;jhy; Vw;wg;gLk; ,d;RypdpypUe;J fizaj;jpYs;s fl;bapdhy;; kpifahfr; Ruf;Fk; ,d;Rypidg; gpupj;jwptjpy; ,J gad;gLj;jg;gLfpd;wJ. ,jd; nrwpthdJ Kjyhk; tif ePupopT tpahjpapy; Nkhrkhd msT Fiwthff; fhzg;gLfpd;wJ my;yJ ,y;yhky; ,Uf;fpd;wJ. fida khw;wpidg; ngw;Wf;nfhz;l Nehahspfs; my;yJ fizaj;jpy; gutpAs;s fyj;njhFjpapidg; (islet) ngw;Wf;nfhz;l Nehahspfspy; fz;fhzpg;gpid Nkw;nfhs;tjw;F ,J gad;gLj;jg;gLfpd;wJ.
njspthd ciwe;j FUjp
khjpupapidr; Nrfupg;gjw;F Kd;dH 12 kzpj;jpahyq;fs; cztUe;jhjpUj;jy;. ePH jtpHe;j NtW czT my;yJ ghdq;fis gupNrhjidf;F Kd;du; cz;zhkYk; mUe;jhkYk; ,Uj;jNy cz;zhky; ,Uj;jy; vd tiuaiw nra;ag;gLfpd;wJ.
re;Njfpf;fg;gLk; Fly; Gw;WNeha;> rt;Tf; foiy> ,iug;igf; FUjpg;ngUf;F.
RkhH 5 - 10 fpuhk;
khjtplha;f; fhyg;gFjpnadpd; vOkhwhd khjpup> 3 ehl;fSf;F khjpupr; Nrfupg;gpidj; jhkjg;gLj;jTk;. khjpupapidr; Nrfupg;gjw;F Kd;dUs;s 48 kzpj;jpahyq;fSs; FUjpg;ngUf;fpid Cf;Ftpf;ff;$ba my;fN`hy;> m];gpupd; my;yJ Vida Fly; vuptpid Vw;gLj;jf;$ba kUe;Jfisj; jtpHf;fTk;. kyj;jpidr; Nrfupg;gjw;F 3 ehl;fSf;F Kd;dUk; kyj;jpid Nrfupf;ifapYk; ed;F rkepiyg;gLj;jg;gl;l ehHg;nghUl;fs; cs;slq;fpa mjhtJ jtpl;L czTfs;> goq;fs;> kuf;fwpfs; Mfpa czTfis cl;nfhs;s Ntz;Lk;. khl;biwr;rp> Ml;biwr;rp kw;Wk; <uy; Nghd;w rptg;G ,iwr;rpfisj; jtpHf;fTk;.
Nghypf; mkpyg; gw;whf;Fiw kw;Wk; tpl;lkpd; gp12 gw;whf;Fiw Mfpatw;Wf;fpilapy; tpj;jpahrj;jpidf; fz;Lgpbf;f cjTfpd;wJ.
njspthd ciwe;j FUjp
cztUe;jhky; ,Ug;gJ tpUk;gj;jf;fJ. khjpupapidr; Nrfupg;gjw;F Kd;dH 12 kzpj;jpahyq;fs; cztUe;jhjpUj;jy;. ePH jtpHe;j NtW czT my;yJ ghdq;fis gupNrhjidf;F Kd;du; cz;zhkYk; mUe;jhkYk; ,Uj;jNy cz;zhky; ,Uj;jy; vd tiuaiw nra;ag;gLfpd;wJ. vt;thwhapDk; ePq;fs; cz;zhkypUf;fhjNghJ FUjpapid vLg;gjw;Fk; Ntz;LNfhs; tpLf;fyhk;. gupNrhjidf;F 24 kzpj;jpahyq;fSf;F Kd;dH kJghdk; mUe;j Ntz;lhk;.
Mz; fUts epiyapidj; jPHkhdpg;gjw;F ,e;jg; gupNrhjid cjTfpd;wJ.
Nrfupg;Gf;F Kd;dH Nehahsp 2-7 ehl;fs; tiu tpe;jpid ntspNaw;WtjpypUe;Jk; jtpHe;jpUf;fNtz;Lk;. ePq;fs; VjhtJ kUe;Jfisg; ghtpj;jpUe;jhy; itj;jpauplk; mJgw;wpf; fye;JiuahlTk;.
ntspaplq;fspy; ,Ue;J nfhz;Ltug;gLk; khjpupfs; Vw;Wf;nfhs;sg;glj;jf;fitay;y.
Nghypf; mkpyk; kw;Wk; ,Uk;Gf; FiwghL
EDTA FUjp
czT cz;zhky; ,Uj;jy; tpUk;gj;jf;fJ. khjpupapidr; Nrfupg;gjw;F Kd;dH 12 kzpj;jpahyq;fs; cztUe;jhjpUj;jy;. ePH jtpHe;j NtW czT my;yJ ghdq;fis gupNrhjidf;F Kd;du; cz;zhkYk; mUe;jhkYk; ,Uj;jNy cz;zhky; ,Uj;jy; vd tiuaiw nra;ag;gLfpd;wJ. vt;thwhapDk; ePq;fs; cz;zhkypUf;fhjNghJ FUjpapid vLg;gjw;Fk; Ntz;LNfhs; tpLf;fyhk;. gupNrhjidf;F 24 kzpj;jpahyq;fSf;F Kd;dH kJghdk; mUe;j Ntz;lhk;.
,e;jg; gupNrhjidahdJ N`hNkh ntdpypf; (Homo vanillic) mkpyj;Jld; NrHj;J n`l;lFNyhikd; Ruf;Fk; fl;bfisr; rpWtHfspy; fz;lwptjw;F cjTfpd;wJ. ,J gpNahFNuhifNlhkh fl;bfisf; fz;lwptjw;Fk; NtW jd;dpaf;f euk;Gj;njhFjpapy; cs;s FiwghLfisf; fz;lwptjw;Fk; gad;gLfpd;wJ. ,J GwzPu; mfzpapd; nraw;ghl;bid kjpg;gpLfpd;wJ.
24 kzpj;jpahy rpWePH Nrfupg;G
,e;j Nehahspfs; fl;lhak; jpNahigiyd;> nrhf;Nyl;;> ntdpyh> thiog;gok;> kJghdk;> NjePH> Nfhg;gp> Gifapiy kw;Wk; fLikahd clw;gapw;rp Mfpatw;wpid Nrfupg;Gf;F 72 kzpj;jpahyq;fSf;F Kd;dH jtpHf;f Ntz;Lk;.
gpd;tUk; kUe;Jfs; gupNrhjid Kbtpd;NghJ ghjpg;gpid Vw;gLj;jyhk;. gupNrhjidf;F Kd;dH gpd;tUk; kUe;Jfis ePq;fs; vLf;ff;$lhJ vd mwpTWj;jg;glyhk;.
,e;j gupNrhjidahdJ ,iug;igg; Gw;WNehapidf; fz;Lgpbg;gjw;F kpfTk; gad;kpf;fjhFk;. Fly; my;yJ rpWFlypy; Nkhrkhd Flw;Gz;zpw;fhd fhuzj;jpid jPHkhdpf;f ,J cjTfpd;wJ. NkYk; ,uj;j Nrhifapidf; fz;lwptjw;Fk; ,J cjTfpd;wJ.
njspthd ciwe;j FUjp
czT cz;zhky; ,Uj;jy; tpUk;gj;jf;fJ. khjpupapidr; Nrfupg;gjw;F Kd;dH 12 kzpj;jpahyq;fs; cztUe;jhjpUj;jy;. ePH jtpHe;j NtW czT my;yJ ghdq;fis gupNrhjidf;F Kd;du; cz;zhkYk; mUe;jhkYk; ,Uj;jNy cz;zhky; ,Uj;jy; vd tiuaiw nra;ag;gLfpd;wJ. gupNrhjidf;F 24 kzpj;jpahyq;fSf;F Kd;dH kJghdk; mUe;j Ntz;lhk;.
FUjp cupa Kiwapy; ciwfpd;wjh vd;gijj; jPHkhdpj;jy;. gpwg;gpy; ,Ue;J tUfpd;w kw;Wk; ngw;Wf;nfhz;l FUjpr; rpWjl;Lf; FUjpg;ngUf;Ff; FiwghLfisf; fz;lwpa cjTfpd;wJ.
Nrhbak; irl;Nul; FUjp kw;Wk; EDTA Sodium Citrate blood & EDTA blood
gpd;tUk; kUe;Jfisg; gupNrhjidf;F 10 ehl;fSf;F Kd;dH jtpHf;fTk;.
8-10 kzpj;jpahyq;fSf;F czT cz;zhjpUj;jy;. khjpupapidr; Nrfupg;gjw;F Kd;dH 12 kzpj;jpahyq;fs; cztUe;jhjpUj;jy;. ePH jtpHe;j NtW czT my;yJ ghdq;fis gupNrhjidf;F Kd;du; cz;zhkYk; mUe;jhkYk; ,Uj;jNy cz;zhky; ,Uj;jy; vd tiuaiw nra;ag;gLfpd;wJ.
Kd; fgr;Rug;gpr; nraw;ghL. ,e;jg; gupNrhjidahdJ cly; KidtPf;fk; / NgUUtj;jpidf; (Gigantism) fz;lwptjw;Fk; rpfpr;irapd; tpidj;jpwid kjpg;gpLtjw;Fk; gad;gLj;jg;gLfpd;wJ. rpwpa Njhw;wj;jpid cila rpWtHfspy; tsHr;rpf;Fupa N`hHNkhd; Fiwghl;bidf; fz;Lgpbf;f ,J gad;gLj;jg;gLfpd;wJ. NkYk; Fs;skhFjy; Fiwghl;bidf; fz;lwptij cWjpg;gLj;Jtjw;Fk; re;Njfj;Jf;Fupa fgr;Rug;gpf; fl;bapidf; fz;Lgpbg;gjw;Fk; cjTfpd;wJ.
njspthd ciwe;j FUjp
12 kzpj;jpahyq;fs; cz;zhjpUj;jYk; FUjp Nrfupg;gpw;F 30 epkplq;fSf;F Kd;dH Xa;Tk;. khjpupapidr; Nrfupg;gjw;F Kd;dH ePH jtpHe;j NtW czT my;yJ ghdq;fis cz;zhkYk; mUe;jhkYk; ,Uj;jNy cz;zhky; ,Uj;jy; vd tiuaiw nra;ag;gLfpd;wJ.
,e;jg; gupNrhjidahdJ fl;lnfhyikidr; Ruf;fpd;w gpNahFNuhNkirl;Nlhkh kw;Wk; Gw;wy;yhj euk;G Kbr;Rf;fl;b Mfpait cs;sdth vd;gijg; guprPypg;gjw;fhdjhFk;.
24 kzpj;jpahy rpWePH Nrfupg;G
Nehahspfs; gpd;tUtdtw;wpidg; gupNrhjidf;Ff; Fiwe;jJ 72 kzpj;jpahyq;fSf;F Kd;dH fl;lhak; jtpHf;fNtz;Lk;. my;ghnkijy;Nlhgh (alpha-methyldopa)> g];gpNuhd; (buspirone)> Nfhbd; (codeine)> INrhGNuhnluNdhy; nklnghiyl; (isoproterenol metabolite)> nkd;lyikd; (mandelamine)> vy; Nlhgh (L dopa)> gurpl;lNkhy; (paracetamol)> nkNlFNshgpuikl; (metoclopramide)> kpsF> kJghdk;> NjePH/Nfhg;gp Gifapiy kw;Wk; fLikahd clw;gapw;rp.
.ePupoptpidf; fz;lwpjy;
Nrhbak; F kw;Wk; nghw;whrpak; xf;]iyl; 1:3 vDk; tpfpjhrhuk;
XH ,uT KOtJk; tsHe;NjhH 9-12 kzpj;jpahyq;fs; cz;zhjpUf;f Ntz;Lk;.
rpWtHfs; 6 tajpw;F Fiwe;NjhH ghY}l;lg;gLtjw;F Kd;dUk; 6 tajpw;F Nkw;gl;NlhH cztUe;j Kd;dUk;.
ePH jtpHe;j NtW czT my;yJ ghdq;fis gupNrhjidf;F 12-14 kzpj;jpahyq;fSf;F Kd;du; cz;zhkYk; mUe;jhkYk; ,Uj;jNy cz;zhky; ,Uj;jy; vd tiuaiw nra;ag;gLfpd;wJ. gupNrhjidf;F Kd;du; fLikahd clw;gapw;rpapidj; jtpu;f;fTk;.
rfy khjpupfSk; jhkjkpd;wp Ma;T$lj;jpw;F vLj;Jr; nry;yg;gly;Ntz;Lk;. Vnddpy;> ePz;lfhyj;jpw;F itj;jpUf;fg;gLk; khjpupfs; njhw;wpid mwptjw;fhf Nkw;nfhs;sg;gLk; Ez;ZapH tsHg;Gg; gupNrhjid (culture test) KbTfspy; Jy;ypakhd ngWNgWfisj; juhJ.
vOkhwhf vLf;fg;gl;l my;yJ czT cz;zhky; ,Ue;J vLf;fg;gl;l Cd;kePu; (plasma) FSNfh]; nrwptpd; KbTfs; Nehapidf; fz;lwptjw;F G+uzkw;wjhf ,Uf;ifapy; ePupopT Nehapidf; fz;lwptjw;F OGTT gupNrhjid Nkw;nfhs;sg;gLfpd;wJ. mjpcaH mghaNeHtpidf; nfhz;l ngz;fs; FOf;fspy; fHg;gfhy ePupoptpidf; fz;lwptjw;Fk; ,e;jg; gupNrhjid fHg;gj;jpd;NghJ Nkw;nfhs;sg;gLfpd;wJ.
OGTT
ntspg;gilahd rpWePHg;Gujk; cUthFtjw;F Kd;dH rpWePuf Neha; Muk;gj;jpNy Vw;gLtjw;Fupa tha;g;gpid kjpg;gpLtjw;F ,e;jg; gupNrhjid ePupopT Nehahspfs; kj;jpapy; Nkw;nfhs;sg;gLfpd;wJ.
fhiyg;nghOjpy; ,uz;lhtJ Kiw fopf;Fk; rpWePufj;jpidr; Nrfupj;jy;
khjpupapidr; Nrfupg;gjw;F Kd;du; Nehahsp Xa;ntLf;f Ntz;Lk;.