sUmcgcaMfa ³ eføImrbs;elakGñkKWCasrIragÁmYyEdlminecHrG‘Ur
TaMt¥ÚjEt¥eLIy
srIragÁFMbMputenAkñúgragkayKWeføIm EdlCakarbgðajfa  vamantYnaTIsMxan;
bMputsMrab;suxPaB. vacUlrYmpþl;esÞIrEtRKb;sarFatuKImICIvsa®sþTaMgGs;
EdleFVI[mankarlUtlas;FMFat; karRbqaMgnwgCMgW  karpþl; sarFatuciBa©wm
karpþl;famBl nigCYydl;karbnþBUC.
ekasikaeføIm EdlehAfa  hepatocytes  q øgkat;RbtikmµKImICIvsa®sþy:ag
sµúKsµajrab;Ban;kñúgerogral;vinaTI edIm,I bMeBjmuxgard¾eRcInsn§wksn§ab;
                                         enH.

edaysareføImcUlrYmenAkñúgRbtikmµKImICIvsa®sþesÞIrEtTaMgGs;  vaBMumanGVIKYr[q¶l;eTEdlfa  manCMgW
epSg²Ca eRcInEdlnwgb:HBal;eTAdl;eføIm.
etICMgWGVIxøHEdlCaTUeTAeFVI[mankarb:HBal;dl;eføIm ?
CMgWrlakeføImedayRbB½n§PaBs‘aM ¬ Autoimmune Hepatitis ¦  ³ karrlakeføImbnþicmþg²  Tak;Tin
eTAnwg PaBminRbRktIénRbB½n§PaBs‘aMrbs;ragkay  ¬ Immune System ¦ EdlbegáItGgÁbdibkç ¬ Antibody ¦
eFIVeGayekasikaefIømrlak . eraKsBaØaTUeTArYmmanGs;kMlaMglðitélðminRsYlkñúgeBaH QWsnøak; rmas;
xan;elOg eføImrIk(Faøk;GeNþIk ) nigeraKsBaØaesIrEs,k.
CMgWrlakeføImruaMér: ¬ Chronic Hepatitis ¦ ³ karbMpøajekasikaeføImbnþicmþg²edaykarrlakEdlman
ry³eBl elIsBIR)aMmYyEx. Gakar ³ nigeraKsBaØaGacman dUcCa ³ Gs;kMlaMglðitélð q¥l;eBaHEpñkxagelI
Gt;XøanGahar nigxan;elOg.
CMgWmharIkeføIm ¬Liver Cancer ¦ ³ dMusac;duHkñúgeføImRbePTkac bMputEdlekItman  CaTUeTAenaHKWCMgW
mharIk ekasikaeføIm (  Hpatocellular Carcinoma- HCC ¦ . karpÞúky:agruaMér:nUvvIrusrlakeføImRbePT eb
CaBiessGñkEdl manCMgWrlakeføImruaMér: b¤  CMgWRkineføIm KW RbQmkan;EtxøaMgkñúgkarvivtþeTArkmharIk
 ekasikaeføIm ¬HCC ¦. karRsavRCavfµI² k¾)anbgðajpgEdrfa  GñkCMgWEdlmanqøgvIrusCMgWrlakeføImruaMér:
RbePT es k¾sßitkñúgeRKaHfñak;x<s;kñúg karvivtþeTAekItmanCMgWmharIkekasikaeføImEdr (HCC).
CMgWRkineføIm ¬Liver Cirrhosis ¦ ³ RkumCMgWeføImruaMér:mYy  EdlkñúgenaHekasikaeføIm FmµtaRtUv)anxUc
nigCMnYseday ekasikaRkin EdleFVI[cMnYnCalikaeføIm FmµtafycuH. sßanPaBenHnwgnaMeTArkbBaðaCMgW
ruaMér: nigCMgWmharIkeføIm EdleFVI[GñkCMgWmanGayukan;EtxøI.
CMgWxøaj;ruMeføIm ¬Fatty Liver ¦ ³ karkkpþúMnUvekasikaxøaj;enAkñúgeføIm EdlCaTUeTAekItmancMeBaHGñk
CMgWEdlFat;elIsTMgn; b¤manCMgWTwkenamEp¥m. karRsavRCavfµI²bgðajfaGñkCMgWTaMgenHmYycMnYnGac
vivtþeTAekIt manCMgW RkineføImRbsinebIminBüa)alva.
CMgWrlakeføImRbePT Ga ³ karrlakeføImRsYcRsavenH CaTUeTAbNþalmk BIkarTTYlTanGahar  b¤
TwkEdlman PaBRkxVk;eTAedaykaksMNl;beBa©jecalrbs;mnusS. eraKsBaØaRsedogKñaeTAnwgCMgW
pþasay nigmanPaB lðitélðGacekItmaneLIg . b:uEnþ eTaHbICay:agNak¾eday   CMgWenHkMrnwgKMramkM
Ehgdl;CIvitNas;.
CMgWrlakeføImRbePT eb ³ CMgWrlakeføImmYyRbePTkñúgcMeNamCMgWrlakeføImEdlmanlkçN³F¶n;F¶r
bMput CMgWenHKW ekItmaneRcInCagCMgWeGds_ ¬ AIDS  ¦  niggayqøgCagCMgWeGds_ ¬ AIDS ¦. CMgWrlakeføIm
ruaMér:RbePT eb GacnaM [ekasikaeføImxUcxat)at;bg;tYnaTI EdlehAfa CMgWRkineføIm nigGacbNþal[
manCMgWmharIkeføIm. buKÁlmñak;² GackarBarxøÜnBICMgWrlakeføImRbePT eb   tamry³karcak;v:ak;saMg
karBarCMgWrlakeføImRbePT eb enHRbkbedayRbsiT§PaB nigsuvtßiPaB. sMrab;GñkEdl)anqøgCMgW
enHehIyenaH enAeBlenHKWmankarBüa)alEbbfµI.
 CMgWrlakeføImRbePT es ³ {ktþaeRKaHfñak; } Edl)ansÁal;CaTUeTAbMputsMrab;karqøgvIrusCMgWrlak
eføImRbePT es rYmman kareRbIR)as;fñaMcak;tamsrés RbvtþiénkarbBa©ÚlQam karlagQam nigkar
garEfTaMsuxPaB. karqøgk¾ GacekItmantamry³karrYmePTpgEdr. karBüa)alfµIedayeRbIR)as;»sf  
interferon )anbgðajnUvRbsiT§PaB kñúgkarBüa)alCMgWrlakeføImruaMér:RbePT es.
sUmcgcaMfa ³ eføImrbs;elakGñkKWCa  srIragÁEdlBMuecHrG‘Ur TaMt¥ÚjEt¥eLIy. karTTYlTan»sf sura
nig Gahar  minl¥elIscMNuH GacbMpøajva)an. eTaHbICamnusSCaeRcInkMBugmanCMgWeføIm b¤ eføImman
PaBminRbRktIk¾eday k¾Cajwkjab;BMumaneraKsBaØaGVIenaHeT Gakar³CasBaØa[dwgxøH² enaHGacman ³
  -  Es,k nigEPñkERbBN’eTACaelOg 
  -  ehImeBaH b¤QWeBaHxøaMg 
  - rmas;Es,kCab;minQb; 
  - TwkenammanBN’Etcas; b¤lamkmanBN’esøk ³ b¤benÞabg;lamkmanQam b¤sesøk 
  - lðitélðCaRbcaM vilmux b¤Gt;XøanGahar
RKUeBTüÉkeTsrbs;eyIg´
enAmnÞIreBTü Raffles eyIg´pþl;nUvesvaEfTaMevC¢sa®sþy:agTUlMTUlayenAkñúgEpñkCMgWRkBHeBaH
evon nigCMgWeføIm CUndl;buKÁlRKb;rUb. RKUeBTüÉkeTsrbs;eyIg´kñúgEpñkCMgWRkBHeBaHevon nigCMgW
eføImBüa)alnUvCMgWeføImCaeRcIn RbePT. Kat;nwgBiPakSa  CamYynwgelakGñk RBmTaMgecjevC¢bBa¢a
sMrab;karBüa)aly:agl¥bMputCUnelakGñk.
















sMrab;B½t’manbEnßmsþIBIesvakmµrbs;eyIg´ b¤sMrab;karNat;CYb sUmTak;Tg ³