PñMeBj: hak;dUcCaRKb;»sfsuT§EtRtÚv)anbMEbøgenAeføIm dUecñHehIy
RbsineføImmanbBaðaGVIenaH dac;xatk¾nwgRtÚvrg\T§iBledaysarfñaM.
»sfmYycMnYnenAman kRmitbgákarrlakF¶n;F¶reTAeTot . eføImgay
RtÚvrg\T§iBl eføImCaEpñkkm©at;CatiBul nigRbqaMgCatiBulBiess
rbs;srIragÁ. \T§iBlRbqaMgBulrbs;eføImEsþgecjenAkEnøgnwg

bMEbøgfñaM nigsarCatiBulTaMgLayeTACasarCatiminBul rYckm©at;ecjBIsrIragÁ . edaysarlkçN³
BiessmanEbbPaBCa{TVarecjcUl} dUecñH EdleføImgayRtÚvvayRbharnig]sSah_RtÚvrlakbMput
edaysarlkçN³Bulrbs;fñaM . fVIt,itGRtaRtÚvrgCatiBuledaysarfñaMrbs;eføImmineRcIn Etva
EbrCabgánUvplvi)akF¶n;F¶r . kñúgbNþakarsegátsßitiGRtaekItCMgWrbs;eføImedaysarfñaM KW
RbmaN1/4PaKry nigmanEt20 PaKrykñúgcMeNamGñkCMgWTaMgenHGacrYcputBIkþIsøab; . cMENkmYy
PaK FMeTotenaH RtÚvqøgBulF¶n;F¶r nig)at;bg;CIvit . fñaMepSg²Kñaman lkçN³BulcMeBaHeføIm
xus²Kña ehIyGRtabgáCMgW[eføImk¾xusKñaEdr. GRtabgáBuleføImrbs;fñaMcMNuHeTAelIlkçN³
Bulrs;va nigGRtaénkar eRbIR)as; . lkçN³Bulkan;EtFM kRmiteRbIR)as;kan;EtRbcaM enaHCMgW
eføImbNþalBIfñaMkan;EteRcIn . fñaMbgá[rlakeføImrYmman³ fñaMbnßykarQWcab; bBa©úHkemþA
RbqaMgrlak non-Steroid tMNagrbs;RkúmenHmandUc Ca acetaminophen/ diclofena, ibuprofen
 naproxen, nimesulide, Piroxicam, Sulindac . fñaMTaMgenH fVIt,it manrcnasm<½n§KImIepSgKña
EtsuT§EtrYm\T§iBlmYy KWbBa©úHkemþA RbqaMgrlak nigbnßykarQWcab; . b:uEnþeRkABI\T§iBl
sMxan; enaH\T§iBl bnÞab;bnSMrbs;vak¾KYr[)armÖbMput. \T§iBlbnÞab;bnSMmYyrbs;RkúmenH
KWbgá[rlakeføImelOgEs,k Biess KWenATarktUc² . BiessKWeBleyIg eRbIR)as;RbePTfñaM
 acetaminophen CamYynwgeQµaHfñaMFmµta KW paracetamol . Paracetamol CafñaMbBa©úHkemþA
EdleKniymeRbI . RbsineRbIR)as; 1-2dUsenaHminCabBaðaGVIeLIy EtRbsineRbIR)as;kRmit
x<s; nigGUsbnøay enaHnwgbgákarrlakeføIm BiessKWeføImkumar . GRtabgáCMgWGMBI eføImERbRb
ÜlBI30-40PaKryEdlCaGRtamYymintUceLIykñúgCMgW rlakeføImedaysarfñaM . fñaMGg;TI-TIr:UG
uId Thiouracil CaRbePTfñaMKMrUrbs;RkúmenH . fñaMman\T§iBlraraMgkarRsÚbykGuIy:UdeTAkñúg
RkeBjTIr:UGuId ehtuenHvaeFVI[fycuHsMeyaK G½rm:Un Thyroxin/ eRbIBüa)alsRmab;krNIman
CatiBulTIr:UGuId dUcCaCMgW Basedow . b:uEnþfñaMk¾bgá[rlakeføIm . Pøam²enAkñúgs)aþh_dMbUg
eRbIR)as;fñaM Rtg;hSamINa eføIm)ancab;epþImekInx<s; . RbsinebImuxsBaØaeRbIR)as;fñaM manCMgWRkeBjTIr:UGuIdF¶n;enaHeKnwgRtÚv)anENnaM[eRbIR)as;kRmitx<s; CYnkaleLIgdl;8
RKab;kñúgmYyéf¶ . kRmitx<s;dUecñHBuMcaM)ac;dl;mYys)aþh_eLIy KWkñúgry³eBlRbmaNEt3éf¶
b:ueNÑaHGacnaMdl;karvivtþn_ ERbRbÜlelIeføIm . mü:ageTot/ fñaMRtÚveRbIR)as;yUréf¶eTIbRKb;
kRmitBüa)al ehtuenHeRKaHfñak;bgá[rlakeføImrbs;vaKWFMNas; . GaRs½yehtuenH/ kñúgyuT§
sa®sþeRbIR)as;fñaM k¾dUckarRbtibtþitamkarBüa)al/ TaMgRKÚeBTü nigGñkCMgWRtÚvRby½tñRbEyg
Rkúm»sfenH . GRtabgákarrlakeføImrbs;va KW10PaKry . fñaMBüa)alrebg fñaMBüa)alrebgma
neRcInRbePT ehIyRkahVikKMrUénkar Büa)alrebgEtgEtKYbpSMfñaM4 RbePT. kñúgcMeNamfñaMBüa
)alrebgenaH isoniazid/ pyrazinamide, rifampicin CaBBYk»sfbgá[rlakeføImF¶n;F¶rbMput/
BiessKW isoniazid . plGaRkk;elIeføImrbs;fñaMenH BuMGn;CagfñaMGg;TI-TIr:UGuIdcRmúHeLIy
. Pøam²enAkñúgry³eBldMbUgeRbIR)as;fñaM va)aneFVI[Gg;hSamINaeføImeLIgx<s; . fVIt,it
BuMTan;bgá[elOgEs,kPøam EtvaGacbMpøajeføImGñkCMgWTaMgRsúg . k¾dUcCafñaMBüa)al Basedo
w Edr/ fñaMBüa)alrebg k¾RtÚveRbIR)as; Cab;kñúgry³eBlEvg . GaRs½yehtuenHEdleRKaHfñak;
elIeføImkan; EtF¶n;F¶reTA² . RbsinminRtÚv)ankarBareBjeljenaH eRkayeBlBüa)alrebgCa Ga
ceyIgRtÚvRtLb;eTABüa)albEnßmCMgWeføImeTot . fñaMBüa)alRbkac; rhUtmkTl;sBVéf¶ manfñaM
RbqaMgRbkac; KitTaMgCMnan;cas; nigCMnan;fµIRbmaN20 . fñaMnImYy²manynþkar\T§iBlxusKña
EtBinitüCarYm vasuT§EtnaMmkRbsiT§PaB KWbegáInlkçN³raraMgelIekasikasrésRbsaTCuMvijsm,
úkRbkac; . ehIyedayehtuenH fñaMman\T§iBlTb;sáat; nigraraMgkarRbkac;/ bnßykRmitraldal
ehIynigRKb;RKgva . b:uEnþ KYr[sþay KWeTaHbIfñaMfµI b¤fñaMcas;enaH vasuT§EtmannUvsar
CatiKImIcRmúH GaceFVI[b:HBal;eføIm . fñaM2RbePT KW valproat nig phenytoin bgákarbMpø
ajeføImy:agc,as;las; . kRmitbMpøajeføImGaRs½yeTAtambrimaNeRbIR)as; nigcMNuHeTAelIsßa
nPaBeføImrbs;GñkCMgW . RbsinkñúgeBleRbIfñaM eføImGñkCMgWmanbBaðaCaeRscenaH eyIgRtÚv
Büa)alCMgWTaMg2RBmKña KWRbkac; nigrlakeføIm . GRtabgá[rlakeføImedaysarfñaMRbkac;KW7
PaKry . fñaMRbqaMgmharIk manfñaMRbqaMgmharIkCaeRcIn EdlvaEtgRtÚv)anehAfa sarCatiKImI
RbqaMgmharIk . fñaMTaMgenHCaRbePTfñaMmhaBul ehIyerOgrlak eføImedaysarfñaMenHCaerOgBu
MmanGVIRtÚvBiPakSaEvkEjk . fñaMRbqaMgmharIk RtÚv)ancat;TukdUcCafñaMBul BisBulbMputcM
eBaHEpñkbeBa©jTwkRbmat; . eføImGacnwgRtÚvrlakPøam eRkayéf¶bBa©ÚlfñaMdMbUg ehIyEt2-3é
f¶eRkayb:ueNÑaH KWmanEsþgecjc,as;las; . CaKMrUKWfñaM cisplatin/ cyclophosphamide/ doxorub
cin . GaRs½yehtuenH kñúgkarBüa)almharIk eyIgRtÚvføwgEføgnigKitKUry:agNa[BuMsUv\
T§iBldl;suxPaBGñkCMgWbMput . RbsinmindUecñHeT nwgminseRmc)ankmµviFIBüa)al eRBaHsuxPa
BGñkCMgWRTúDeRTam minGacRTaMRTbnþeTot)an . RbkarEdlGñkCMgWminRtÚvemIlrMlg dUecñH/ cM
eBaHfñaMbgáBul[eføImenH/ evC¢bNÐitRtÚvmanyuT§sa®sþ Büa)alsmRsb/ cMENkGñkCMgWenaHRtÚvs
V½ytamdansuxPaBrbs;xøÜn BiessKWbBaðaeføIm/ Rbmat; . ecosvagTsSn³pwkfñaMKWRtÚv "EtdUecñH"
edayGectna minR)ab;[evC¢bNÐitdwg/ eFVIdUecñHBuMxusGVIBIeyIgectnaeFVI[CMgWrbs;xøÜ
nbEnßmPaBsµúK sµaj .