pRostyt dI ishqpRostyt dI ishq

nwn-mYtwstYitk kwstRySn pRostyt kYNsr (AY~n.AY~m.sI.Awr.pI.sI.) mrIz gweIf

2

ivSw-sUcI

jwx-pCwx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

q`QW nUM jwxo

pRostyt ikvyN kMm krdw hY? . . . . . . . . . . . . . . . . . . . . 3

pRostyt kYNsr kI hY? . . . . . . . . . . . . . . . . . . . . . . . 3

kwstRySn irizstYNt pRostyt kYNsr kI hY (sI .Awr .pI .sI .) . . . . 3

nwn-mYtwstYitk kwstRySn-irizstYNt pRostyt kYNsr kI hY (AY~n .AY~m .sI .Awr .pI .sI .) kI hY? . . . . . . . . . . . . . . . . 4

AY~n .AY~m .sI .Awr .pI .sI . dy l`Cx kI hn? . . . . . . . . . . . 4

mYnUM hor ikhVy l`Cxwˆ qy ivcwr krnw cwhIdw hY? . . . . . . . . 4

indwn krvwE

KUn dy tY~st . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

ifjItl rYktl AYgzwm (fI .Awr .eI .) . . . . . . . . . . . . . 5

iemyijMg Aqy skYn . . . . . . . . . . . . . . . . . . . . . . . . 5

pRostyt kYNsr dy crx Aqy gRyifMg . . . . . . . . . . . . . . . . 5

ielwj krvwE

hwrmon QYrypI (ielwj-ivDI) . . . . . . . . . . . . . . . . . . 5

ikirAwSIl ingrwnI . . . . . . . . . . . . . . . . . . . . . . 6

klIinkl prIKx . . . . . . . . . . . . . . . . . . . . . . . . . 6

hor ivcwrXog g`lwˆ

Pwlo-A`p dyKBwl . . . . . . . . . . . . . . . . . . . . . . . . . 7

ilMg AkVwA dw ivkwr (ierYktweIl ifsPMkSn) . . . . . . . 7

AsMjmqw (ienkONtInYNs) . . . . . . . . . . . . . . . . . . . . . 7

jIvnSYlI iv`c qbdIlI . . . . . . . . . . . . . . . . . . . . . 8

Bwvnwqmk smr`Qn . . . . . . . . . . . . . . . . . . . . . . . . 8

Awpxy fwktr qoN pu`Cy jwx vwly pRSn . . . . . . . . . . . . . . . .9

SbdwvlI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

pRostyt ishq kmytI

cyArmYnpwl AY~P . skYlhYmr, AY~m .fI .

kmytI dy mYNbrAYnI eI . klvwrysI, AY~m .AY~s .AY~n ., sI .Awr .AY~n .pI ., Awr .AY~n .AY~P .ey .

AlYgzYNfr kutIkov, AY~m .fI ., AY~P .ey .sI .AY~s .

kyivn tI . mYkvYrI, AY~m .fI ., AY~m .ey .sI .AY~s .

mweIkl ivilAmz, AY~m .fI .

fYnIAlw ey . ivtmYn, pI .AY~c .fI ., AY~l .AY~m .AY~s .fbilaU .

jwx-pCwx

ieh pqw l`gxw ik quhwnUM nwn-mYtwstYitk kwstRySn-irizstYNt pRostyt kYNsr (AY~n .AY~m .sI .Awr .pI .sI .) hY, icMqwjnk ho skdw hY[ iesdw mqlb hY ik stYNfrf hwrmon QYrypI quhwfy kYNsr nUM vDx qoN rokx leI kMm nhIN kr rhI hY[ jo vwpr irhw hY aus nUM mMn lYx leI Awpxy Awp nUM smwˆ Aqy sQwn idE[ jy quhwnUM d`isAw igAw hY ik quhwnUM AY~n .AY~m .sI .Awr .pI .sI .hY, qwˆ cMgI ^br ieh hY ik quhwfI ibmwrI PYlI nhIN hY - ieh mYtwstYitk nhIN hY[ quhwfy Agly kdmwˆ rwhIN quhwfI shwieqw krn leI bhuq swrI mddgwr jwxkwrI Aqy bhuq swry lok hn[

ie`Qy AY~n .AY~m .sI .Awr .pI .sI .vwly mrdwˆ dy leI ielwj aupl`bD hn[

BwvyN AY~n .AY~m .sI .Awr .pI .sI . ie`k gMBIr ibmwrI hY Aqy ies dw iDAwn nwl pRbMDn krnw lwzmI hY, ielwj ibmwrI dy ivkws iv`c dyrI krn iv`c shwieqw kr skdw hY[

AY~n .AY~m .sI .Awr .pI .sI .dy iKlwP lVn leI ieh quhwfw smwˆ hY[ quhwfI pRostyt kYNsr dI pUrI Xwqrw dOrwn bhuq swry PYsly ley jwxy huMdy hn pr qusIN iek`ly nhIN ho[ quhwfI lVweI iv`c ie`k XUrolOijst, ENkolOijst Aqy hor ishq dyKBwl pRdwqwvwˆ dy nwl-nwl quhwfy pirvwr Aqy dosqwˆ dI ie`k tIm Swml hovygI[ quhwfIAwˆ ielwj coxwˆ quhwfI in`jI ishq Aqy aumr dy ADwr qy hoxIAwˆ cwhIdIAwˆ hn, Aqy ienHwˆ bwry quhwfI tIm nwl pUrI qrHwˆ crcw kIqI geI hoxI cwhIdI hY[

pRostyt ikvyN kMm krdw hY?

pRostyt* glYNf mrd pRjxn pRxwlI dw ih`sw hY[ pRostyt dw mu`K kMm vIrj leI qrl pdwrQ bxwauxw hY[ ieh lgBg ie`k AKrot dy Awkwr dw huMdw hY Aqy ie`k AwaUNs jwˆ iesdy Awspws ijMny Bwr dw huMdw hY[ ieh blYfr dy hyTW Aqy gudw dy swhmxy siQq huMdw hY[ ieh XUryQrw nwm dI itaUb dy Awly- duAwly siQq huMdw hY[ XUryQrw blYfr qoN ipSwb lY jwˆdI hY Aqy ilMg rwhIN bwhr k`F idMdI hY[

vIrjpwq dy dOrwn, AMfkoSwˆ iv`c bxy SukrwxU XUryQrw v`l nUM cly jwˆdy hn[ jdoN SukrwxU XUryQrw rwhIN A`gy vDdy hn, pRostyt Aqy sYmInl vyiskls iv`coN qrl pdwrQ Aw ky aus iv`c iml jwˆdw hY[ ieh imSrx-vIrj-XUryQrw rwhIN A`gy vDdw hoieAw ilMg qoN bwhr ho jwˆdw hY[

pRostyt kYNsr kI hY?

pRostyt kYNsr audoN huMdw hY jdoN AsDwrn sY~l bxdy hn Aqy pRostyt glYNf ivc ivksq huMdy hn[ swry AsDwrn vwDy, ijnHw nUM itaUmr vI kihMdy hn, kYNsrjnk (Gwqk) nhIN huMdy[ kuJ kYNsrjnk (mwmUlI) nhIN huMdy[• mwmUlI (ibnweIn) ivkws, ijvyN ik ibnweIn pRostYitk

hweIprplwsIAw (bI .pI .AY~c .), Swied hI kdy izMdgI leI ^qrw huMdw hY[ auh nyVy dy itSUAwˆ jwˆ srIr dy hor ih`isAwˆ iv`c nhIN PYldy[

• kYNsrjnk vwDw, ijvyN ik pRostyt kYNsr, nyVy dy AMgwˆ Aqy itSUAW ijvyN ik blYfr jwˆ gudw jwˆ srIr dy hor ih`isAwˆ iv`c PYl skdw hY (mYtwstYsweIz)[ jy AsDwrn vwDw htwieAw jwˆdw hY, qwˆ ieh Pyr vI vwps vD skdw hY[ pRostyt kYNsr jIvn leI ^qrnwk ho skdw hY jy ieh pRostyt qoN dUr PYl jwˆdw hY (mYtwsYtyitk ho jwˆdw hY)[

nwn-mYtwstYitk kwstRySn irizstYNt pRostyt kYNsr (sI.Awr.pI.sI.) kI hY ?

kwstRySn irizstYNt pRostyt kYNsr (sI .Awr .pI .sI .) au~nq pRostyt kYNsr dw ie`k rUp hY[ sI .Awr .pI .sI . dw mqlb hY ik pRostyt kYNsr v`D irhw hY jwˆ PYl irhw hY, hwlwˆik hwrmon QYrypI dy nwl tYstostIron dy p`Dr G`t hn[ hwrmon QYrypI nUM AYNfrojyn fYprIvySn tRItmYNt (ey .fI .tI .) vI ikhw jwˆdw hY Aqy ieh quhwfy kudrqI tYstostIron dy p`Dr nUM GtwauNdI hY[ ieh pRostyt kYNsr vwly bhuqy mrdwˆ nUM dvweI jwˆ srjrI rwhIN tYstostIron “iPaUl” nUM rokx leI id`qI jwˆdI hY, jo ies kYNsr nUM vDwauNdw hY[ ies iPaUl iv`c mrd hwrmonz jwˆ AYNfrojynz (tYstostIron vrgy) Swml huMdy hn[ Awm qOr 'qy, pRostyt kYNsr hwrmon QYrypI nwl G`to-G`t kuJ smyN leI vDxw bMd ho jwˆdw hY[ jy kYNsr dy sY~l hwrmon dy ielwj nUM *mwq* dyxw SurU kr idMdy hn, qwˆ auh tYstostIron qoN ibnwˆ vI vD skdy hn[ jy Aijhw huMdw hY, qwˆ pRostyt kYNsr nUM sI .Awr .pI .sI . mMinAw jwˆdw hY[

q`QW nUM jwxoq`QW nUM jwxo

*swry Sbd jo nIly rMg iv`c pRkt ho rhy hn auh SbdwvlI iv`c smJwey gey hn[

4

nwn-mYtwstYitk kwstRySn pRostyt kYNsr (AY~n.AY~m.sI.Awr.pI.sI.) kI hY?

sI .Awr .pI .sI . nUM hyT id`qIAwˆ SRyxIAwˆ iv`c vMifAw jw skdw hY:• nwn-mYtwstYitk kwstRySn pRostyt kYNsr (AY~n.AY~m.sI.Awr.pI.sI.)

ie`k pRostyt kYNsr hY jo hux hwrmon ielwj dy pRqI pRqIikirAw nhIN krdw hY pr ieh isrP pRostyt iv`c pwieAw jwˆdw hY[

• mYtwstYitk sI.Awr.pI.sI. (AY~m.sI.Awr.pI.sI.) ie`k pRostyt kYNsr hY jo hux aus ielwj pRqI pRqIikirAw nhIN idMdw hY jo tYstostIron nUM G`t krdw hY Aqy srIr dy hor AMgwˆ iv`c PYl igAw hY, ijvyN ik ilMP nofz jwˆ h`fIAwˆ[

AY~n.AY~m.sI.Awr.pI.sI.dy ikhVy l`Cx hn?

AY~n .AY~m .sI .Awr .pI .sI .dy nwl, kYNsr nhIˆ PYilAw hY Aqy Aksr koeI l`Cx nhIˆ huMdy hn[

AY~n .AY~m .sI .Awr .pI .sI . vwly mrdwˆ leI, qusIN ieh nhIN kih skdy ik kYNsr vD irhw hY jdoN q`k ik qusIN inXmq qOr 'qy Pwlo-A`p tY~stwˆ leI Awpxy XUrolOijst kol nhIˆ jwˆdy[ KUn dy tY~st, srIrk pRIiKAwvwˆ Aqy skYn qbdIlIAWˆ pqw lgwaux leI vrqy jwˆdy hn[ quhwfI ishq dyKBwl tIm srvoqm Pwlo-Ap smwˆ-swrxI qYA krn leI quhwfy nwl kMm krygI[

mYnUM hor ikhVy l`Cxwˆ qy ivcwr krnw cwhIdw hY?

jdoˆ quhwnUM AY~n .AY~m .sI .Awr .pI .sI . huMdI hY qwˆ kYNsr vDx dI SurUAwq hox dI siQqI iv`c mYtwstYitk sI .Awr .pI .sI . dy l`Cxwˆ nUM jwxnw mh`qvpUrn huMdw hY[ jdoN iksy mrd nUM Aijhy l`Cx huMdy hn, qwˆ ieh sMkyq ho skdw hY ik kYNsr pRostyt qoN bwhr PYl igAw hY[ l`Cx iPr itaUmr(rwˆ) dy Akwr Aqy pRBwivq AMgwˆ 'qy inrBr krdy hn[ mYtwstYitk sI .Awr .pI .sI . nyVly ilMP nofz iv`c PYl skdw hY, iPr blYfr, gudw, ijgr, PyPiVAwˆ, Aqy Swied idmwg iv`c PYl skdw hY[ AY~m .sI .Awr .pI .sI . dy sMkyq ipSwb krn iv`c sm`isAw, drd jwˆ ipSwb iv`c KUn nwl SurU ho skdy hn[ Awm nwloN vDyry Q`ky hoey jwˆ kmzor mihsUs hoxw, Bwr Gtxw, swh dI kmI jwˆ h`fIAwˆ dw drd hoxw vI sMkyq hn[

mrdwˆ leI Awpxy l`Cxwˆ bwry g`l krnw jwˆ Awpxy fwktr nUM d`sxw Aksr muSkl huMdw hY[ bhuqy mrd nhIN jwxdy ik kI kuJ ivSyS drd jwˆ sm`isAw kYNsr nwl sbMiDq hY[ ikrpw krky l`Cx Awpxy Awp q`k nw r`Ko[ Awpxy fwktr nUM AijhI iksy vI cIz bwry d`sxw bhuq mh`qvpUrn hY jo sDwrn mihsUs nhIN huMdI hY[

BwvyN quhwfw pihlw hI pRostyt kYNsr nwl indwn ho cukw hY, qw vI quhwfw ishq dyKBwl pRdwqw smyN dy nwl ies ivc hox vwlIAw qbdIlIAw dyKxw cwhygw[ ieh jwxkwrI quhwfy ielwj dy ivklpw nUM inrdyiSq krn ivc shwieqw krygI[

pRostyt kYNsr dw indwn krn Aqy pqw rKx leI hyT ilKy tY~stw dI vrqoN kIqI jwdI hY:

KUn dy tY~st

pRostyt-spYsIiPk AYNtIjyn (pI .AY~s .ey .) KUn dw tY~st quhwfy KUn iv`c pRostyt-spYsIiPk AYNtIjyn (pI .AY~s .ey .) nwmk pRotIn nUM mwpdw hY[ pI .AY~s .ey . nUM isrP pRostyt Aqy pRostyt kYNsrwˆ duAwrw bxwieAw jwˆdw hY[ ies tY~st dy nqIjy Awm qOr qy KUn dy pRqI imlIlItr (AY~n .jI ./ im .lI .) iv`c nYnogRwmz dI mOjUdgI dy qOr qy swˆJy kIqy jwˆdy hn[

pI .AY~s .ey . tY~st dI vrqoN quhwfy pRostyt duAwrw pI .AY~s .ey . pYdw krn dy qrIky iv`c qbdIlI dyKx leI kIqI jwˆdI hY[ ieh kYNsr dy crx dw pqw lgwaux, ielwj dI Xojnw bxwaux, Aqy ieh pqw lgwaux leI vriqAw jwˆdw hY ik ielwz ikMnw vDIAw c`l irhw hY[ pI .AY~s .ey . iv`c qyzI nwl vwDw ieh sMkyq ho skdw hY ik kuJ glq hY[ jdoN qusIN AYNfRojyn fYprIvySn tRItmYNt (ey .fI .tI .) qy huMdy ho Aqy quhwfw pI .AY~s .ey . v`D jwˆdw hY, qwˆ ieh sI .Awr .pI .sI . dw pihlw sMkyq ho skdw hY[ quhwfw fwktr vwDy dI puStI krn leI pI .AY~s .ey . tY~st duhrwauxw cwh skdw hY[

ies qoN ielwvw, quhwfw fwktr quhwfy KUn iv`c tYstostIron dy p`Dr dI jwˆc kr skdw hY[ kwstryt tYstostIron dy (50 AY~n .jI ./fI .AY~l . qoN G`t) p`Drwˆ dy bwvjUd ie`k v`Ddw hoieAw pI .AY~s .ey . sI .Awr .pI .sI . dy indwn dI puStI kr skdw hY[ jy quhwfy fwktr nUM ieh ivSvws hY ik quhwnUM sI .Awr .pI .sI . hY, qwˆ auh ieh XkInI bxwaux leI iemyijMg tY~st kr skdy hn ik ieh mYtwstYitk nhIN hY[

indwn krvwEindwn krvwE

5

ifjItl rYktm AYgzwm (fI.Awr.eI)

ifjItl rYktl AYgzwm (fI.Awr.eI.) ie`k srIrk pRIiKAw hY jo quhwfy fwktr nUM quhwfy pRostyt iv`c qbdIlIAwˆ mihsUs krn iv`c mdd krdI hY[ ieh tY~st kYNsr dI jwˆc Aqy crx dw pqw lgwaux, jwˆ ieh pqw lgwaux leI ik ielwj ikMnw vDIAw c`l irhw hY, leI vI vriqAw jwˆdw hY[ ies tY~st dy dOrwn, fwktr glYNf dy AsDwrn Awkwr jwˆ motweI nUM mihsUs krdw hY[ fI .Awr .eI . nUM Aksr pI .AY~s .ey . nwl iml ky kIqw jwˆdw hY[ ies pRIiKAw leI, ishq dyKBwl pRdwqw gudw (rYktm) iv`c ie`k icknweIXukq dsqwny vwlI auNglI pwauNdw hY[

iemyijMg Aqy skYn

iemyijMg fwktrwˆ nUM quhwfy kYNsr bwry hor jwxn iv`c mdd krdI hY[ kuJ iksmwˆ hn:• mYgnYitk rYzonWs iemyijMg (AY~m.Awr.AweI.): AY~m .Awr .AweI .

skYn pRostyt dI bhuq hI sp`St qsvIr dy skdy hn Aqy drsw skdy hn ik kI kYNsr sYmInl vyiskls jwˆ nyVly itSUAW iv`c PYl igAw hY[ vyrivAwˆ nUM vyKx leI skYn qoN pihlwˆ ie`k kMtRwst rMg nUM Aksr n`s iv`c tIky rwhIN pwieAw jwˆdw hY[ AY~m .Awr .AweI . skYn AYks-ryz dI bjwey ryfIE qrMgwˆ Aqy mzbUq cuMbk dI vrqoN krdI hY[

• kMipaUitf tomogRwPI (sI.tI.) skYn: sI .tI . skYn dI vrqoN itSU Aqy AMgwˆ dy kRws-sYkSnl tukVy vyKx leI kIqI jwˆdI hY[ ieh v`K-v`K koxwˆ dy ivsiqRq ic`qrwˆ leI AYks-ry Aqy kMipaUtr gxnw nUM joVdI hY[ ieh Tos bnwm qrl bxqr drsw skdI hY, ies leI ies nUM ipSwb mwrg dy mwss dI jwˆc krn leI vriqAw jwˆdw hY[ ivpRostyt glYNf nUM Awpxy-Awp iv`c dyKx leI sI .tI . skYn mYgnYitk rYzonWs iemyijMg (AYm .Awr .AweI .) ijMny PwiedymMd nhIN hn[

• pozItRon AYmISn tomogRwPI (pI.eI.tI.) skYn: pI .eI .tI . skYn quhwfy fwktr nUM ieh ibhqr qrIky nwl vyKx iv`c shwieqw krdy hn

ik kYNsr ik`Qy Aqy ikMnw v`D irhw hY[ quhwfI n`s rwhIN iek ivSyS dvweI id`qI jwˆdI hY, jwˆ qusIN dvweI nUM swh duAwrw AMdr lYNdy ho jwˆ ingl skdy ho[ ijvyN-ijvyN ieh quhwfy srIr iv`coNˆ inkldI hY auvyN-auvyN quhwfy sY~l tRysr nUM cu`k lYxgyˆ[ skYnr quhwfy fwktr nUM ieh ibhqr qrIky nwl vyKx dI AwigAw idMdw hY ik kYNsr ik`Qy Aqy ikMnw v`D irhw hY[

• h`fI dw skYn: ie`k h`fI skYn ieh drswaux iv`c shwieqw kr skdw hY ik kI kYNsr h`fIAwˆ q`k phuMc igAw hY[ jy pRostyt kYNsr dUr dIAwˆ Qwˆvwˆ qy PYldw hY, qwˆ ieh Aksr pihlwˆ h`fIAwˆ iv`c jwˆdw hY[ ienHwˆ AiDAYnwˆ iv`c, ie`k ryfIEinaUklweIf rMg srIr iv`c tIky rwhIN ByijAw jwˆdw hY[ kuJ GMitAwˆ iv`c, h`fIAwˆ dIAwˆ qsvIrwˆ leIAW jwˆdIAwˆ hn[ rMg kYNsr dIAwˆ qsvIrwˆ nUM vDyry sp`St qOr qy pRdriSq krn iv`c shwieqw krdw hY[

pRostyt kYNsr dy crx Aqy gRyifMg

pRostyt kYNsr nUM cwr crxwˆ iv`c vMifAw jwˆdw hY[ crx nUM ies AwDwr qy pirBwiSq kIqw jwˆdw hY ik kYNsr sY~l ikMny Aqy ikMnI qyzI nwl v`D rhy hn[ crx glIsn skor Aqy tI . AY~n . AY~m . skor duAwrw pirBwiSq kIqy gey hn[• glIsn skor ies g`l dw mwp hY ik kYNsr sY~l ikMnI jldI v`D

skdy hn Aqy hor itSUAW nUM pRBwivq kr skdy hn[ bwieEpsI dy nmUny pRostyt qoN ley jwˆdy hn Aqy pYQolOijst duAwrw aunHwˆ nUM glIsn gRyf id`qw jwˆdw hY[ Coty, nyVy ie`k-dUjy nwl ismty sY~lW vwly nmUinAwˆ nUM hyTly gRyf id`qy jwˆdy hn[ vDyry PYlx vwly sY~lW vwly nmUinAwˆ nUM vDyry gRyf id`qy jwˆdy hn[ glIsn skor nUM ie`k bwieEpsI dy nmUny iv`c pwey gey do sB qoN Awm gRyf joV ky sY~t kIqw igAw hY[

• tI. AY~n. AY~m. skor ies g`l dw mwp hY ik pRostyt kYNsr srIr iv`c ikMnI dUr PYilAw hY[ tI (itaUmr) skor Asl itaUmr dy Awkwr Aqy sImw nUM drswauNdw hY[ AY~n (nofz) ieh skor drswauNdy hn ik kI kYNsr nyVly ilMP nofz iv`c PYl igAw hY[ AY~m (mYtwstYiss) skor drswauNdw hY ik kI kYNsr dUr dy sQwnwˆ qy PYl igAw hY[

pRostyt kYNsr dw ielwj krnw muSkl ho skdw hY[ ielwj dw tIcw ibmwrI dI pRgqI nUM hOlI krn iv`c shwieqw krnw hY[

pRostyt kYNsr dy ielwj iv`c muhwrq r`Kx vwly ie`k qoN v`D XUrolOijst jwˆ ENkolOijst nwl g`lbwq krnw mh`qvpUrn hY[ ielwj dI ie`k qoN v`D rwey lYx nwl qusIN Awpxy duAwrw cuxy gey ielwj mwrg bwry vDyry Awqm ivSvws mihsUs kr skdy ho[

ie`Qy AY~n .AY~m .sI .Awr .pI .sI . leI ielwj aupl`bD hn[ ies gweIf iv`c, AsIN mrdwˆ leI ielwj dIAW coxwˆ bwry jwxkwrI swˆJI krdy hwˆ[

hwrmon QYrypI

hwrmon QYrypI auh koeI vI ielwj hY jo AwdmI dy AYNfrojyn dy p`Drwˆ nUM GtwauNdw hY, jo mrd dy sYks hwrmon huMdy hn[ ies nUM ey .fI .tI . vI ikhw jwˆdw hY: AYNfrojyn fYprIvySn QYrypI[ tYstostIron pRostyt kYNsr sY~lW dw mu`K eINDx hY, ies leI iesnUM rokx duAwrw auhnwˆ sY~lW dy vwDy nUM hOlI kIqw jw skdw hY[ ies pRikirAw nUM mYfIkl kwstRySn vI ikhw jwˆdw hY[ hwrmon QYrypI kYNsr dw ielwj nhIN krdI[ ieh auhnwˆ mrdwˆ iv`c kYNsr dy vwDy nUM hOlI kr skdI hY ijnHwˆ dy pRostyt kYNsr mYtwstYsweIzf (PYl igAw) ho igAw hY jwˆ hor ielwjW qoN bwAd vwps Aw igAw hY[ ieh sQwnk itaUmr nUM suMgVwaux leI vI vrqI jw skdI hY[

pRostyt kYNsr dy ielwj leI keI iksm dIAW hwrmon QYrypIAwˆ hn[

ielwj krvwEielwj krvwE

6

quhwfw fwktr ieh vyKx leI ik ikhVI QYrypI sB qoN vDIAw kMm krdI hY, smyN dy nwl v`K-v`K ey .fI .tI . QYrypIAwˆ ilK skdw hY[

hwrmon QYrypI leI srjrIie`k mrd dy AMfkoS hwrmon tYstostIron bxwauNdy hn[ AMfkoSwˆ nUM htwaux leI kIqI jwx vwlI srjrI nUM ErikAYktomI jwˆ kwstRySn ikhw jwˆdw hY[ jdoN AMfkoS htwey jwˆdy hn, ieh srIr nUM auh hwrmon bxwaux qoN rok idMdy hn hY jo pRostyt kYNsr nUM vDwauNdy hn[

ErikAYktomI ie`k kw&I Awswn srjrI hY[ ieh Awm qOr qy bwhrI mrIzwˆ (AwaUtpySYNt) ivDI dy rUp iv`c kIqI jwˆdI hY[ srjn skrotm (AMfkoSwˆ nUM r`Kx vwlI QYlI) iv`c ie`k Cotw ijhw cIrw lgwauNdy hn[ Pyr AMfkoSwˆ nUM KUn dIAwˆ nwVIAwˆ qoN v`K krky k`F id`qw jwˆdw hY[ vws fYPyrYNs (itaUb jo vIrjpwq qoN pihlwˆ SukrwxUAW nUM pRostyt q`k iljWdI hY) nUM htw id`qw jwˆdw hY Aqy QYlI nUM isauN id`qw jwˆdw hY[

ErikAYktomI ielwj ey .fI .tI . dw srjIkl rUp hY Aqy auhI krdI hY jo iesdw audyS qurMq krnw huMdw hY- tYstostIron dy p`Drwˆ nUM Gtwauxw[ mrd jo ies QYrypI dI cox krdy hn auh ie`k smyN dw srjIkl ielwj cwhuMdy hn[ aunHwˆ nUM srjrI krvwaux leI kw&I qMdrusq hoxw cwhIdw hY, Aqy Awpxy AMfkoSwˆ nUM sQweI rUp iv`c kFvwaux leI iqAwr rihxw cwhIdw hY[

ies srjrI qoN mu`K joKm lwg l`gxw Aqy KUn vgxw hn[ bhuq swry AwdmI ErikAYktomI qoˆ Asihj mihsUs krdy hn ikauNik ies nUM prqwieAw nhIN jw skdw hY[ AMfkoS dI QYlI (skrotm) KwlI jwpdI hY[ srIr dI CvI jwˆ svY-CvI bwry icMqwvwˆ mrdwˆ nUM dUjw ielwj cuxn leI pRyirq kr skdIAwˆ hn[

hor hwrmon QYrypIAwˆAY~n .AY~m .sI .Awr .pI .sI . leI hor ielwj aupl`bD hn[ v`K-v`K iksmwˆ tIky dy qOr qy aupl`bD hn jwˆ mUMh duAwrw ie`k golI dy rUp iv`c leIAwˆ jwˆdIAwˆ hn[ kuJ dvweIAwˆ pRostyt sY~lwˆ iv`c rIsYptrwˆ nUM rok ky pRostyt kYNsr dy PYlx iv`c dyrI kr skdIAwˆ hn jo auhnwˆ dy vDx dw kwrn bxdIAwˆ hn[

v`K-v`K iksmwˆ dIAwˆ dvweIAwˆ v`K-v`K qrIikAwˆ nwl shwieqw kr skdIAwˆ hn, ies leI AwpxIAwˆ coxwˆ bwry Awpxy fwktr nwl

g`l krnw bhuq mh`qvpUrn hY[ iksy vI iksm dI hwrmon QYrypI SurU krn qoN pihlwˆ, mwVy pRBwvwˆ bwry pu`Co[ ies bwry is`Ko ik quhwfw srIr ikvyN tYstostIron dy nukswn pRqI pRqIikirAw dy skdw hY, Aqy qusIN ibhqr mihsUs krn leI kI kr skdy ho[ G`t Kurwk jwˆ ru`k-ru`k ky (inrMqr nhIN) hwrmon QYrypI kuJ mwVy pRBwvwˆ nUM Gtw skdI hY[

ikauNik pRostyt kYNsr ies ielwj nUM *mwq* dy skdw hY, ieh isrP kuJ swlwˆ leI kMm krdw hY[ smyN dy nwl, hwrmon dy G`t p`Drwˆ dy bwvjUd kYNsr v`D skdw hY[ Aksr, sI .Awr .pI .sI . dy pRbMDn leI hwrmon QYrypI dy nwl-nwl hor ielwjwˆ dI vrqoN kIqI jwˆdI hY[

ikirAwSIl ingrwnI

kuJ AwdmI AY~n .AY~m .sI .Awr .pI .sI . leI ingrwnI cuxdy hn[ jy quhwfy ie`k Cotw, hOlI v`D irhw kYNsr hY qwˆ ikirAwSIl ingrwnI Aksr vrqI jwˆdI hY[ ieh auhnwˆ mrdwˆ leI cMgI ho skdI hY ijnHwˆ dy l`Cx nhIN huMdy jwˆ jo ijMnw sMBv ho sky ijnsI, ipSwb jwˆ AWdrWˆ (bwaUl) dy mwVy pRBwvwˆ qoN bcxw cwhuMdy hn[ dUsry AwpxI aumr jwˆ smu~cI ishq dy kwrn ingrwnI cux skdy hn[ ikirAwSIl ingrwnI mu`K qOr qy hmlwvr QYrypI iv`c dyrI krn jwˆ twlx leI vrqI jwˆdI hY[ ikirAwSIl ingrwnI leI cMgy aumIdvwr auh mrd huMdy hn ijnHwˆ nUM mYtwstYitk kYNsr hox dw G`t joKm huMdw hY[

ies ivDI iv`c quhwnUM smyN dy nwl kYNsr dy vwDy dw pqw lgwaux leI bhuq swry tY~st krvwaux dI loV pY skdI hY[ ieh ivDI quhwfy fwktr nUM ieh jwxn idMdI hY ik cIzwˆ ikvyN c`l rhIAwˆ hn, Aqy ieh ielwj nwl juVy mwVy pRBwvwˆ nUM rokdI hY[ ieh quhwfI Aqy quhwfI ishq dyKBwl tIm dI kYNsr nwl juVy l`Cxwˆ dy pRbMDn 'qy iDAwn kyNdirq krn iv`c vI shwieqw krygI[ AwpxI dyKBwl tIm nwl g`l kro ik kI ieh quhwfy leI cMgI cox hY[

klIinkl prIKx

klIinkl prIKx auh Koj AiDAYn hn jo nvyN ielwjwˆ dI jwˆc krdy hn jwˆ ieh is`Kdy hn ik mOjUdw ielwjwˆ nUM ibhqr FMg nwl ikvyN vrqxw hY[ klIinkl AiDAYn dw audyS ielwj dIAwˆ rxnIqIAwˆ nUM l`Bxw hY jo kuJ ibmwrIAwˆ jwˆ lokwˆ dy smUhwˆ leI sB qoN vDIAw kMm krdIAwˆ hn[ kuJ mrIzwˆ leI, klIinkl prIKx iv`c ih`sw lYxw sB qoN vDIAw ielwj ho skdw hY[

qusIN ies leI Xogqw pUrI kr skdy ho, Aqy ieh quhwnUM aumId pyS kr skdw hY[ Awpxy fwktr nwl gl kro ik kI qusIN iksy klIinkl prIKx dy Xog ho[ AiDAYn kIqy jw rhy ielwj dy joKmw Aqy lwBw bwry jwxo[

klIinkl prIKx s^q ivigAwnk mwpdMfw dI pwlxw krdy hn[ ieh mwpdMf mrIzw dI riKAw krdy hn Aqy AiDAYn dy BrosymMd nqIjy pYdw krn ivc shwieqw krdy hn[ quhwnUM jw qw iek mwnk ielwj idqw jwvygw jw tY~st kIqw jw irhw ielwj idqw jwvygw[kYNsr dy ielwj jw ielwj leI vrqy jwdy swry pRvwinq ielwj klIinkl prIKx ivc SurU hoey hn[

pRostyt kYNsr dy ielwj leI vrqmwn jw hwl hI dIAW klIinkl AzmwieSw bwry jwxkwrI leI, UrologyHealth.org/ ClinicalTrials ‘qy jwE[

7

Pwlo-A`p dyKBwl

qusIN Aqy quhwfw fwktr smyN dy nwl tY~stwˆ Aqy Pwlo-Ap leI dPqrwˆ iv`c mulwkwqwˆ dI ie`k auicq smwˆ-swrxI qYA krogy[ kuJ Aijhy l`Cx hn ijnHwˆ bwry quhwfy fwktr nUM qurMq pqw hoxw cwhIdw hY, ijvyN ik quhwfy ipSwb iv`c KUn Awauxw jwˆ h`fIAwˆ iv`c drd hoxw[ quhwnUM AwpxI ishq dyKBwl tIm nUM ikhVy l`Cxwˆ bwry d`sxw cwhIdw hY, bwry pu`Cxw cwhIdw hY[ qusIN ikvyN mihsUs kr rhy ho bwry ie`k fwierI r`Kxw cwhogy, qwˆ jo qusIN Xwd r`K sko[

AwpxI dyKBwl bwry jwxU rihx leI ies Bwg dy AMq iv`c sUcIb`D *Awpxy fwktr nUM pu`Cx leI pRSn* dy nmUny nUM vyKo[

ilMg AkVwA ivkwr (ierYktweIl ifsPMkSn)

mrdw nUM kYNsr dy indwn jw ielwj qoN bwAd ijnsI ishq sbMDI smisAwvw ho skdIAw hn[ ierYktweIl ifsPMkSn (eI .fI .) audoN huMdw hY jdoN koeI mrd ijnsI sbMD bxwaux leI ilMg AkVwA (ierYkSn) nUM mzbUq bxwaux jw aus nUM kwiem rKx ivc muSklw dw swhmxw krdw hY[ eI .fI . audoN vwprdw hY jdoN ilMg ivc KUn dw kw&I vhwA nhIN huMdw hY, jw jdoN ilMg dIAw nsw nUM nukswn phuMcdw hY[

pRostyt, vfI Awdr, gudw (rYktm) Aqy blYfr ivc kYNsr sB qoN Awm kYNsr hn jo iksy vI mrd dI ijnsI ishq nUM pRBwivq kr skdy hn[ Bwvnwqmk qxwA dy nwl kYNsr dy ielwj kwrn eI .fI . ho skdI hY[

pRostyt kYNsr dy ielwj qoN bwAd eI .fI . hox dI sMBwvnw bhuq swrIAw cIzw' qy inrBr krdI hY:• aumr• smu~cI ishq• dvweIAwˆ jo qusIN lYNdy ho• ielwj qoN pihlwˆ ijnsI kwrj• kYNsr dw crx• srjrI jwˆ ryfIeySn qoN quhwfIAwˆ nswˆ jwˆ KUn dIAwˆ nwVIAwˆ nUM

nukswn

Aijhy ielwj hn jo eI .fI . iv`c mdd kr skdy hn[ aunHwˆ iv`c golIAwˆ, vYikaUm pMp, XUryQrl spoiztrIz, pynweIl ieMjYkSn Aqy ieMplwˆts Swml hn[ ielwj bhuq hI ivAkqIgq hY[ kuJ ielwj quhwfy leI dUijAwˆ nwloN vDIAw kMm kr skdy hn[ aunHwˆ dy Awpxy mwVy pRBwv hn[ ie`k ishq dyKBwl pRdwqw quhwfy nwl hryk ivDI dy lwBwˆ Aqy nukswnwˆ bwry g`l kr skdw hY[ auh ieh PYslw krn iv`c quhwfI mdd kr skdy hn ik ikhVw iek`lw jwˆ ielwj dw sumyl quhwfy leI shI hY[

AsMjmqw (ienkONtInYNs)

AsMjmqw keI vwr pRostyt kYNsr dy nqIjy vjoN huMdI hY[ ieh ipSwb dy jwrI krn qy inXMqrx dI AXogqw hY[ keI qrHwˆ dIAW AsMjmqwvW (ienkONtInYNs) hn:• stRY~s ienkONtInYNs (AY~s .XU .AweI .)- ipSwb audoN lIk huMdw hY jdoN

qusIN KMGdy, iC`kdy jwˆ ksrq krdy ho[ ieh sB qoN Awm iksm hY[

• Arj ienkONtInYNs-bwQrUm jwx dI Acwnk ie`Cw jwˆ zrUrq, BwvyN jdoN blYfr pUrI qrHwˆ BirAw nw hovy, ikauNik blYfr izAwdw sMvydnSIl hY[ ies nUM EvrAYkitv blYfr (E .ey .bI .) vI ikhw

jwˆdw hY[• imSirq AsMjmqw (im`ksf ienkONtInYNs)-dovyN iksm dy l`Cxwˆ

nwl stRY~s Aqy Arz ienkONtInYNs dw sumyl[

ikauNik AsMjmqw quhwfI srIrk Aqy Bwvnwqmk irkvrI nUM pRBwivq kr skdI hY, ies leI ieh smJxw mh`qvpUrn hY ik ies sm`isAw dw pRbMDn ikvyN kIqw jwvy[

AsMjmqw leI ielwj sm`isAw dI iksm Aqy qIbrqw qy inrBr krdw hY:• kygl ksrqwˆ- quhwfy blYfr dIAW inXMqrx mwspySIAwˆ nUM

qwkqvr bxw skdw hY[• jIvnSYlI dIAW qbdIlIAW- quhwfy ipSwb krn dy kwrjwˆ iv`c

suDwr kr skdy hn[ ishqmMd Bojn Kwx, isgrytnoSI sIimq krn, Bwr Gtwaux, bwQrUm iv`c im`Qy smyN iv`c jwx dI koiSS kro[

• dvweIAwˆ- blYfr dy inXMqrx iv`c suDwr ilAwaux iv`c mdd kr skdIAwˆ hn[ auh blYfr dy Awly-duAwly dIAwˆ nswˆ Aqy mwspySIAwˆ nUM pRBwivq kr skdIAwˆ hn[

• inauromskUlr ielYktRIkl sitmUlySn- blYfr dIAwˆ mwspySIAwˆ nUM qwkqvr bxwauNdI hY

• srjrI- ipSwb nUM inXMqirq krn leI[ ies iv`c blYfr dy siPMktr nUM k`sx leI kolwjyn ieMjYkt krnw, blYfr dy nY~k nUM ksx leI XUryQrl silMg, jwˆ nklI siPMktr aupkrx ieMplwˆt krnw Swml ho skdw hY[

• auqpwd- keI pYf Aqy auqpwd aupl`bD hn jo AsMjmqw dw ielwj nhIN krdy pr quhwnUM su`kw bxy rihx iv`c mdd krdy hn[

“ swnUM aus cIz dw fr huMdw hY jo AsIN nhIN jwxdy hwˆ[ jwxo ikhVy mwVy pRBwv ho skdy hn[ XkInI bxwE ik quhwfy iptwry iv`c sB pRSn hn[ koeI vI Aqy swry svwl pu`Co[ ieh mdd krdw hY[”

-iP`l, AY~n.AY~m.sI.Awr.pI.sI. mrIz

hor ivcwrXog g`lwˆhor ivcwrXog g`lwˆ

8

jIvnSYlI iv`c qbdIlIAW

KurwkishqmMd Bojn quhwfy aUrjw dy pDr nUM vDw skdw hY Aqy pRqIriKAw pRxwlI nUM vI vDw skdw hY[

quhwfy duAwrw KwDy jwx vwly Bojnw bwry ivcwr krnw mhqvpUrn hY, Aqy ishqmMd Bwr bxw ky rKo[ Kwx dIAw ishqmMd Awdqw quhwfI ishq Aqy joKmw ivc suDwr kr skdIAw hn[ ishqmMd Bojn dIAw coxw ivc hyT idqw Swml ho skdw hY:

o bhuq swry Pl Aqy sbjIAwˆ o v`D rySy vwly Bojn o G`t PYt vwly Bojn o sDwrn KMfwˆ dIAwˆ sIimq mwqrwvwˆ o sMswiDq (pRosY~sf) Bojnwˆ dIAwˆ sIimq mwqrwvwˆ (Kwskr ky pRosY~sf mIt, ijvyN ik fylI Bojn Aqy bYkon)

ikauNik pRostyt kYNsr dw ielwj quhwfI Bu`K, Kwx-pIx dIAwˆ Awdqwˆ Aqy Bwr nUM pRBwivq kr skdw hY, ieh mh`qvpUrn hY ik ishqmMd rihx leI Awpxw Awhwr sB qoN vDIAw r`Kx koiSS kro[ jy quhwnUM cMgI qrHwˆ Kwx iv`c AOiKAweI dw swhmxw krnw pYNdw hY, qwˆ rijstrf fweItISIAn/inaUtRISin`st (Awr .fI .AY~n .) nwl mulwkwq kro[ quhwfI zrUrq dy fweItISIAn nwl mulwkwq krn leI quhwfI mdd krn dy keI qrIky hn[

ksrqksrq quhwfI srIrk Aqy Bwvnwqmk ishq iv`c suDwr kr skdI hY[ ieh quhwnUM quhwfy Bwr dw pRbMDn krn, mwspySIAwˆ Aqy h`fIAwˆ dI mzbUqI bxweI r`Kx, Aqy mwVy pRBwvwˆ dy pRbMDn iv`c vI mdd kr skdI hY[

jy quhwfy fwktr duAwrw mnzUr kIqI jwˆdI hY, qwˆ mrd h&qy iv`c lgBg ie`k qoN iqMn GMty ksrq krn dI koiSS kr skdy hn[ ies iv`c pYdl c`lxw jwˆ hor qIbr ksrq Swml ho skdI hY[ srIrk ksrq quhwfI ienHwˆ cIjwˆ iv`c mdd kr skdI hY:

o icMqw G`t krn iv`c o aUrjw vDwaux iv`c o Awqm-snmwn iv`c suDwr ilAwaux leI o izAwdw aumId mihsUs krn iv`c o idl dI ishq iv`c suDwr ilAwaux leI o ishqmMd Bwr bxwaux iv`c o mwspySIAwˆ dI qwkq vDwaux iv`c

pyfU sqHw ksrq pRostyt kYNsr dw ielwj kIqy jw rhy mrdwˆ dI mdd kr skdI hY[ pyfU sqHw quhwfIAwˆ l`qwˆ dy ivckwr quhwfy pyfU Kyqr (pYlivs) iv`c mwspySIAwˆ Aqy bxqrwˆ dw smUh huMdw hY[ pyfU sqHw Awˆdr, blYfr Aqy ijnsI AMgwˆ dw smr`Qn krdI hY[ auh ipSwb Aqy ml iqAwg dy kwrj dy nwl-nwl ijnsI pRdrSn iv`c vI shwieqw krdI hY[ mwspySIAwˆ suMgVdIAwˆ Aqy Awrwm krdIAwˆ hn, ijvyN ik quhwfy srIr iv`c koeI hor mwspySI[ pyfU sqHw ksrqwˆ ilMg AkVwA dy ivkwr (ierYktweIl ifsPMkSn) vrgy mwVy pRBwvwˆ Aqy ipSwb AsMjmqw iv`c mdd kr skdI hY[ ies bwry vDyry jwxkwrI *ielwj qoN bwAd* Bwg iv`c hY[

Bwvnwqmk smrQn

aunHwˆ fwktrwˆ dI ie`k tIm nwl SurUAwq kro ijs bwry qusIN cMgw mihsUs krdy ho, ijs nUM qusIN smJdy ho, Aqy jo quhwnUM suxn leI Awpxw auicq smwˆ idMdy hn[ qusIN kuJ fwktrwˆ dI ieMtrivaU lY skdy ho jdoN q`k ik quhwnUM AwpxI psMd dI tIm nw iml jwey[ Awpxy fwktrwˆ nwl Ku`lH ky g`l krnw Aqy Awpxy pRSnwˆ dy jvwb pRwpq krnw mh`qvpUrn hY[ quhwnUM AwpxIAwˆ icMqwvwˆ bwry g`l krn dI pUrI koiSS krnI cwhIdI hY[

ie`k hor mhwn sroq pRostyt kYNsr shwieqw smUh hY[ ie`k shwieqw smUh iv`c Swml mYNbr iksy qoN v`D ibhqr smJdy hn ik qusIN iks hwlwq iv`coN guzr rhy ho[ dUjy lokwˆ nwl g`l krn nwl mdd imldI hY, jo aus iv`c Swml hn Aqy iesy qrHwˆ dIAwˆ icMqwvwˆ dw pRbMDn krdy hn[ ieh lok drd dI siQqI iv`c hox dy bwvjUd jwxkwrI, aumId Aqy ie`QoN q`k ik hwsy dI vI pySkS kr skdy hn[

qusIN rUhwnIAq dy nwl Bwvnwqmk qOr qy mzbUq vI mihsUs kr skdy ho[ rUhwnIAq iv`c iDAwn-smwDI, kudrq, pRwrQnw jwˆ hor Dwrimk AiBAwswˆ nwl juVnw Swml ho skdw hY[ Awpxy Awp iv`c Aqy ie`k v`fI SkqI dy ivckwr sbMD kwiem krnw swfI izMdgI iv`c pirpyK nUM joVn iv`c mdd krdw hY[ ieh pRostyt kYNsr nwl lVweI lVx dOrwn izMdgI leI SlwGw nUM vDwauNdw hY[

ies qoN ielwvw, kuJ iesnUM quhwfy kwnUMnI kwgzwqwˆ dI kwrvweI dy inXMqrx iv`c mddgwr smJdy hn[ ivcwrn vwlIAwˆ sB qoN mh`qvpUrn cIzwˆ hn: AtwrnI dI itkwaU qwkq, ie`k ijaUx dI ie`CwSkqI Aqy ie`k rvwieqI ie`CwSkqI[ jy ieh quhwfy kol pihlwˆ qoN nhIN hn, qwˆ ienHwˆ cIjwˆ nUM Awpxy leI Aqy aunHwˆ lokwˆ leI pRwpq krn dw tIcw r`Ko ijnHwˆ nUM qusIN ipAwr krdy ho[

kYNsr dw swhmxw krdy hoey aumId bxweI r`Kxw hmySw Awswn jwˆ sMBv nhIN huMdw hY[ aumId socx, mihsUs krn Aqy kwrj krn dI ivDI hY[ ieh kYNsr ijMnI gMBIr ibmwrI nUM sMBwlx Aqy ivvsiQq krn leI ie`k zrUrI swDn hY[ aumId nUM hr roz v`Ko-v`Kry qrIikAwˆ nwl ivcwro[ jy qusIN inrwS mihsUs krdy ho, qwˆ lwiesMsSudw QYryipst nwl g`l krn 'qy ivcwr kro jo kYNsr vwly mrIzwˆ nwl kMm krn bwry jwxdw hY[

9

pRostyt kYNsr bwry Awpxy fwktr nUM pu`Cy jwx vwly svwl❑ mYnUM iks iksm dw pRostyt kYNsr hY - Aqy ieh ikMnI qyzI nwl v`D irhw hY?❑ smyN dy nwl myry pI .AY~s .ey . dy p`Dr iv`c qbdIlIAwˆ dw kI ArQ hY?❑ kI mYnUM ieh &Yslw krn leI ik myry leI ikhVI dyKBwl sB qoN vDIAw hY, iksy hor tY~stwˆ dI loV hY?❑ kI quhwnUM XkIn hY ik myrw kYNsr myry pRostyt dy bwhr nhIN PYilAw hY?❑ ieh XkInI bxwaux leI ik myrw kYNsr PYilAw nhIN hY, swnUM ikhVy tY~st krny cwhIdy hn?❑ mYnUM hor ikhVy srIrk mu`idAwˆ bwry quhwnUM d`sxw cwhIdw hY?❑ “kMkwl sbMiDq Gtnwvwˆ” ikhVIAwˆ hn?❑ mYnUM Pwlo-Ap leI quhwfy kol ikMnI vwr Awauxw cwhIdw hY?

dyKBwl bwry pu`Cy jwx vwly pRSn❑ myry Agly kdm ikhVy hn?❑ kI mYnUM auhI hwrmon dw ielwj krvwauNdy rihxw cwhIdw hY?❑ ikhVI srgrm ingrwnI myry leI vDIAw rhygI?❑ kI koeI klIink prIKx hn ijnHwˆ bwry mYnUM pqw hoxw cwhIdw hY?❑ hryk ielwj ivklp dy ikhVy lwB Aqy nukswn hn?❑ mYN AwpxIAwˆ h`fIAwˆ dI sur`iKAw leI kI kr skdw(dI) hwˆ?❑ kI ivtwimn fI myrI mdd krygw, jwˆ mYnUM hor Bojn bdlwA krny pYxgy?❑ kI qusIN mYnUM iksy fweItISIAn kol rYPr kr skdy ho?❑ mYN kYNsr dw ivkws rokx leI hor kI kr skdw(dI) hwˆ?❑ kI qusIN dUjI rwey leI iksy hor fwktr dw nwm dy skdy ho[?❑ kI qusIN iksy smrQn smUh dy sMprk iv`c mYnUM pw skdy ho?

Awpxy fwktr nUM pu`Cy jwx vwly pRSnAwpxy fwktr nUM pu`Cy jwx vwly pRSn

SbdwvlISbdwvlI

mwmUlI ivkws (ibnweIn gRoQs)ie`k itSU jo kYNsr vwlw nhIN hY[

bweIEpsIpRostyt dy itSU dy nmUny k`Fy jwˆdy hn Aqy ie`k mweIkRoskop dy hyTW dyKy jwˆdy hn[ sY~lW qoN ieh pqw lgwaux leI iDAwnpUrvk dyiKAw jwˆdw hY ik kI aunHwˆ iv`c kYNsr vwly jW AsDwrn sY~l Swml hn[

blYfrie`k KwlHI- gubwry dy Awkwr dw AMg ijs iv`c ipSwb dw XUryQrw rwhIN inklx qoN pihlwˆ BMfwrn huMdw hY[

kwstRySnAMfkoSwˆ jwˆ AMfkoS duAwrw bxwey gey hwrmonz nUM htwauxw[

sI.tI. skYnkMipaUtrweIzf AYkisAl tomogRwPI (sI .ey .tI .) skYn[ pRikirAw srIr dIAwˆ ivsiqRq qsvIrwˆ bxwaux leI AYks-ryz Aqy kMipaUtr qknIk donW dI vrqoN krdw hY[

vIrjpwq (iejYkUlySn)ijnsI crmAwnMd (iejYkUlyt) smyN qy ilMg duAwrw vIrj jwrI krnw[

ilMg AkVwA ivkwr (ierYktweIl ifsPMkSn (eI.fI.)ilMg AkVwA bxwaux jwˆ kwiem r`Kx iv`c sm`isAwvwˆ[

glIsn skorpRostyt kYNsr leI sB qoN Awm gRyf pRxwlI[ sY~lW nUM do (sB qoN G`t hmlwvr) qoN 10 (sB qoN v`D hmlwvr) dy gRyf id`qy jwxgy[

hwrmon QYrypItYstostIron jwˆ hor mrd hwrmonwˆ nUM Gtwaux jwˆ rokx leI dvweIAwˆ dw iesqymwl krn dI vrqoN krdI hY[ hwrmon QYrypI dw audyS pRostyt dw ivkws bMd krnw jwˆ hOlI krnw hY[

ilMP nofzitSUAW dy gol ipMf jo hmlwvr kItwxUAwˆ jwˆ kYNsr nwl lVx leI sY~l bxwauNdy hn[

mYgnYitk rYzonWs iemyijMg (AY~m.Awr.AweI.)pRikirAw jo srIr dy AMgwˆ Aqy sY~lW dIAwˆ ivsiqRq qsvIrwˆ bxwaux leI mYgnYitk Kyqr Aqy ryifE vyvz dI vrqoN krdI hY[

mYtwstYitkkYNsr jo Awpxy pYdw hox dy sQwn qoN pry PYldw hY[ audwhrx leI, pRostyt qoN blYfr q`k PYldw hY[

ENkolOijstie`k fwktr jo kYNsr dy ielwj dw mwihr hY[

ErikAYktomIAMfkoSwˆ nUM htwaux leI srjrI

10

pYQolOijst ie`k fwktr jo mweIkRoskop dy hyTW sY~lW dw AiDAYn krky ibmwrI dI pCwx krdw hY[

ilMg (pIins)mrd dw AMg jo ijnsI sbMD bxwaux jwˆ bwQrUm jwx leI vriqAw jwˆdw hY[

pI.eI.tI. skYnie`k ivSyS dvweI (ie`k tRysr) jo quhwfI ns rwhIˆN id`qI jwˆdI hY , jwˆ qusIN dvweI nUM swh nwl AMdr lY jw skdy jwˆ ingl skdy ho[ tRysr ijvyN-ijvyN quhwfy srIr qoN guzrygI auvyN-auvyN quhwfy sY~l aus nUM cu`k lYxgy[ jdoN skYnr inklygw, qwˆ tRysr quhwfy fwktr nUM ieh ibhqr dyKx dI iejwzq dyvygw ik ik`Qy Aqy ikMnw kYNsr ivkisq ho irhw hY[

pRostytmrdwˆ iv`c ieh AKrot dy Awkwr dw glYNf blYfr dy hyTW ipSwb mwrg (XUryQrw) dy Awly-duAwly huMdw hY[ pRostyt aus qrl nUM bxwauNdw hY, jo vIrj iv`c jwˆdw hY[

pI.AY~s.ey. (pRostyt-ivSyS AYNtIjn)pRostyt duAwrw bxwieAw jwx vwlw ie`k pRotIn[ KUn iv`c pI .AY~s .ey . dy au~c p`Dr kYNsr jwˆ hor ishq mu`idAwˆ dw sMkyq ho skdIAwˆ hn[

gudw (rYktm)Awˆdr dw hyTlw ih`sw jo gudw dy mUMh qy Kqm huMdw hY[

vIrjqrl jo SukrwxU nUM sur`iKAq Aqy aUrjwvwn krdw hY; ies nUM sYmInl qrl jwˆ vIrjpwq qrl dy qOr qy vI jwixAw jwˆdw hY[

sYmInl vYsIklsie`k glYNf jo vIrj pYdw krn iv`c mdd krdw hY[

AMfkoSglYNf jo skrotm, ilMg dy hyTlI QYlI dy AMdr huMdy hn[ auh SukrwxU Aqy nr hwrmon tYstostIron pYdw krdy hn[

itSUiksy jIvwxU iv`c itSUAWˆ dw smUh jo rUp Aqy kwrj iv`c smwn hY[

itaUmritSUAW dw AsDwrn puMj jwˆ sY~lW dw smUh[

ipSwb mwrg (XUryQrw)ie`k qMg itaUb ijs rwhIN ipSwb srIr iv`coN inkldw hY[ mrdwˆ iv`c, vIrj vIrjpwq dOrwn ies itaUb rwhIN inkldw hY[ ieh blYfr qoN SurU ho ky ilMg dy isry q`k jwˆdI hY[

ipSwbie`k qrl, jo AwmqOr qy rMg iv`c pIlw huMdw hY, guridAwˆ duAwrw bxwieAw jwˆdw hY[ ies iv`c rihMd Aqy pwxI huMdw hY[

XUrolOijstie`k mYfIkl fwktr jo ipSwb mwrg dy ivkwrwˆ dy ielwj dw mwihr huMdw hY[ XUrolOijst mrdwˆ Aqy AOrqwˆ dy ijnsI ivkwrwˆ Aqy mu`idAwˆ dw vI mwihr huMdw hY[

nots

ijAwdw jwxkwrI leI, sMprk kro:

hor CpI sm`grI Aqy hornW XUrolOijk siQqIAwˆ dIAwˆ pRqIAWˆ leI, UrologyHealth.org/Order ‘qy jwE

1000 kwrporyt bulyvwrf,ilnQIkm, AY~m .fI .1-800-828-7866UrologyHealth.org

©2018 Urology Care FoundationProstateCancer-nmCRPC-PG-2018-Punjabi

XUrolOjI kyAr PwaUNfySn bwry

XUrolOjI kyAr PwaUNfySn bwry XUrolOjI kyAr PwaUNfySn dunIAW dI au~GI XUrolOijk PwaUNfySn - Aqy AmrIkI XUrolOjIkl AYsosIeySn dI AiDkwirk PwaUNfySn hY[ AsIN auhnW lokW ƒ jwxkwrI pRdwn krdy hW jo AwpxI XUrolOjIkl ishq dw ikirAwSIl qrIky nwl iDAwn r~K rhy hn Aqy jo ishq iv~c bdlwA krn leI iqAwr hn[ swfI jwxkwrI AmrIkI XUrolOjIkl AYsosIeySn dy swDnW 'qy ADwirq hY Aqy ies dw mulWkx mYfIkl mwihrW duAwrw kIqw jWdw hY[

v~K-v~K XUrolOijk sm~isAwvW bwry hor jwxn leI UrologyHealth.org/UrologicConditions 'qy jwE jW Awpxy nyVy fwktr pqw krn leI UrologyHealth.org/FindAUrologist 'qy jwE[

bydwvw:ieh jwxkwrI svY-indwn leI tUl nhIN hY jW pySyvr mYfIkl slwh leI ivklp nhIN hY[ ieh ies leI nhIN vrqI jwxI hY jW ies audyS leI ies 'qy inrBr nhIN rihxw cwhIdw hY[ AwpxI ishq nwl juVIAW icµqwvW bwry ikrpw krky Awpxy XUrolOijst jW ishq dyKBwl pRdwqw nwl g~l kro[ dvweIAW smyq, koeI vI ielwj SurU jW bµd krn qoN pihlW hmySw ishq dyKBwl pRdwqw nwl slwh kro[

ierYktwiel ifsPMkSn Aqy hornW XUrolOjIkl hwlqW leI CpI hoeI sm`grI dIAW pRqIAW leI UrologyHealth.org/Order qy jwE jW 800-828-7866 qy kwl kro[

duAwrw PMf Aqy smr`Qn muh`eIAw kIqw igAw