π'æπ∏åµ âπ

(1)

°“√µ√«® ÿ¢¿“æª√–™“™π ¿“¬„µâ‚§√ß°“√À≈—°ª√–°—π ÿ¢¿“æ∂â«πÀπâ“ Õ”‡¿Õµ“≈ ÿ¡ ®—ßÀ«—¥Õÿ∫≈√“™∏“π’

ª√–®—°…å ∑Õßß“¡

*

* ”π—°ß“π “∏“√≥ ÿ¢Õ”‡¿Õµ“≈ ÿ¡ ®—ßÀ«—¥Õÿ∫≈√“™∏“π’

∫∑§—¥¬àÕ °“√»÷°…“º≈°“√µ√«® ÿ¢¿“æ·≈–æƒµ‘°√√¡‡ ’Ë¬ß¢Õßª√–™“™πÕ“¬ÿ Òı ªï¢÷Èπ‰ª ∑’ËÕ“»—¬„π‡¢µæ◊Èπ∑’ËÕ”‡¿Õµ“≈ ÿ¡

®—ßÀ«—¥Õÿ∫≈√“™∏“π’ ®”π«π ÚÙ,˜Ò˜ §π, ¥”‡π‘π°“√»÷°…“‚¥¬°“√´—°ª√–«—µ‘°“√‡®Á∫ªÉ«¬ ·≈–æƒµ‘°√√¡ ÿ¢¿“æ, µ√«®√à“ß°“¬ ·≈–µ√«®∑“ßÀâÕßªØ‘∫—µ‘°“√ „π™à«ß‡¥◊Õπµÿ≈“§¡ ÚıÙ˘ ∂÷ß‡¥◊Õπ°—π¬“¬π Úıı, ª√–¡«≈º≈‚¥¬„™â

‚ª√·°√¡µ√«® ÿ¢¿“æ, æ∫§à“¥—™π’¡«≈°“¬Õ¬Ÿà„π¿“«–πÈ”Àπ—°‡°‘π√âÕ¬≈– ÒÒ.˘˘ ·≈–¿“«–Õâ«π√âÕ¬≈– Ú.Ú˘, ‡ âπ

√Õ∫‡Õ«‡°‘π‡°≥±å√âÕ¬≈–Ò¯.¯˜ ‚¥¬æ∫„π‡æ»À≠‘ß¡“°°«à“‡æ»™“¬; ·√ß¥—π‡≈◊Õ¥„π°≈ÿà¡‡ ’Ë¬ß√âÕ¬≈– ˜.ı ¡’·√ß¥—π

‡≈◊Õ¥ Ÿß√âÕ¬≈– Ù.˘Ù ·≈–Õ¬Ÿà„π√–¥—∫Õ—πµ√“¬√âÕ¬≈– .ÒÙ; ¶Õ‡≈ ‡µÕ√Õ≈„π‡≈◊Õ¥„π°≈ÿà¡‡ ’Ë¬ß (Õ“¬ÿ Ù ªï¢÷Èπ‰ª) Ÿß√âÕ¬≈– .Ò ·≈–Õ¬Ÿà„π√–¥—∫°≈ÿà¡‡ ’Ë¬ß√âÕ¬≈– Û.˘˘; ºŸâ∑’Ë‡ ’Ë¬ß‡ªìπ‡∫“À«“π√âÕ¬≈– Òˆ.ÚÙ ¡’√–¥—∫πÈ”µ“≈„π‡≈◊Õ¥

Õ¬Ÿà„π‡°≥±å‚√§‡∫“À«“π√âÕ¬≈– Ù.Òı æ∫„π‡æ»À≠‘ß¡“°°«à“™“¬; §«“¡‡¢â¡¢âπ¢Õß‡≈◊Õ¥µË”°«à“‡°≥±å√âÕ¬≈– ıÒ.Ù˜;

Õÿ®®“√–¡’æ¬“∏‘√âÕ¬≈– ˆ.Ú˘ à«π„À≠à‡ªìπæ¬“∏‘„∫‰¡âµ—∫; øíπ¡’À‘πªŸπ√âÕ¬≈– ÚÒ.¯ı, øíπºÿ√âÕ¬≈– Ú.Ú˜, ¡’∑—Èß À‘πªŸπ·≈–øíπºÿ√âÕ¬≈– ı.Ù˘; ‚√§µâÕ°√–®°√âÕ¬≈– .˜Ù; µ√’«—¬‡®√‘≠æ—π∏ÿå¡“√—∫°“√µ√«®¡–‡√Áß§Õ¡¥≈Ÿ°√âÕ¬≈– Û¯.Úˆ æ∫º‘¥ª√°µ‘√âÕ¬≈– .Û˜, ·≈–°“√µ√«®‡µâ“π¡ µ√’√âÕ¬≈– ˆÛ.˘ æ∫º‘¥ª√°µ‘√âÕ¬≈– .Ú.

º≈°“√ª√–‡¡‘πæƒµ‘°√√¡ ÿ¢¿“æ: ¥◊Ë¡ ÿ√“∑ÿ°«—π√âÕ¬≈– .ˆ, Ÿ∫∫ÿÀ√’Ë‡ªìπª√–®”√âÕ¬≈– Û.ı˘, ¡’ª√–«—µ‘‡§¬‰¥â

√—∫Õÿ∫—µ‘‡Àµÿ√âÕ¬≈– Û.ı ¡’‡æ» —¡æ—π∏å°—∫ºŸâ∑’Ë‰¡à„™à “¡’¿√√¬“·≈–‰¡à «¡∂ÿß¬“ßÕπ“¡—¬√âÕ¬≈– .ÒÒ; ∑—ÈßÀ≠‘ß·≈–™“¬

¥◊Ë¡‡§√◊ËÕß¥◊Ë¡™Ÿ°”≈—ß√âÕ¬≈– .ˆı, ÕÕ°°”≈—ß°“¬ —ª¥“Àå≈– Û - ı «—π√âÕ¬≈– ÛÙ.˜ı ·≈–¡“°°«à“ ı «—π√âÕ¬≈– Û.˘Ù;

°“√¢—∫¢’Ë√∂®—°√¬“π¬πµå·≈–√∂¬πµå‰¡à «¡À¡«°°—π°√–·∑°√âÕ¬≈– Ò.¯˘ ·≈–‰¡à§“¥‡¢Á¡¢—¥π‘√¿—¬√âÕ¬≈– Ú.ÙÒ; ºŸâ À≠‘ß„™â¬“™ÿ¥¡“°°«à“ºŸâ™“¬; ºŸâÀ≠‘ß¡’§«“¡‡§√’¬¥¡“°°«à“ºŸâ™“¬; °‘πÕ“À“√ ÿ° Ê ¥‘∫ Ê ‡ªìπª√–®”√âÕ¬≈– .˘˜.

§” ”§—≠: °“√µ√«® ÿ¢¿“æª√–™“™π, ‚§√ß°“√À≈—°ª√–°—π ÿ¢¿“æ∂â«πÀπâ“

Abstract Health Checks for the People under Health Insurance Project Amphur Tan Sum, Ubonratchathani Province

Prachak Tong-ngam*

*Tan Sum Public Health District Office, Ubonratchathani Province

The objectives of the research were to study the health risks and risk-related behaviors of 24,717 people aged 15 years or older who resided in Tan Sum district, Ubonratchathani Province. Information related to illnesses was collected by asking about their health history, behaviors that made them prone to health risks, and laboratory check-ups. The work was conducted in the period from October 2006 to Sep- tember 2007, and the data were analyzed using the Health Check program. The results showed the follow- ing: that from the body mass index in 11 percent of the sample were overweight, and 2.29 percent were obese; waist circumference was above normal in 18.87 percent, and was more prevalent in women than men; blood pressure in 7.5 percent was in the risky category, among which 4.94 percent suffered high

(2)

438

¿Ÿ¡‘À≈—ß·≈–‡Àµÿº≈

π—°ß“π “∏“√≥ ÿ¢®—ßÀ«—¥Õÿ∫≈√“™∏“π’‰¥â„Àâ§«“¡

”§—≠°—∫°“√ √â“ß‡ √‘¡ ÿ¢¿“æª√–™“™π ¿“¬„µâ

·π«§‘¥ ç √â“ßπ”´àÕ¡é ®÷ß‰¥â°”Àπ¥π‚¬∫“¬°“√µ√«® ÿ¢¿“æ ª√–™“™πÕ“¬ÿ Òı ªï¢÷Èπ‰ª^(Ò) ´÷Ëß‡ªìπÀπ÷Ëß„π°‘®°√√¡µ“¡™ÿ¥

‘∑∏‘ª√–‚¬™πåÀ≈—°¿“¬„µâ‚§√ß°“√À≈—°ª√–°—π ÿ¢¿“æ∂â«πÀπâ“

∂◊Õ‡ªìπ ç ‘∑∏‘é ¢—Èπæ◊Èπ∞“π¢Õßª√–™“™π, ‡ªìπ∫√‘°“√∑’Ë√—∞®—¥

„Àâµ“¡¡“µ√∞“π∑’Ë°”Àπ¥·≈–ª√–™“™πæ÷ßæÕ„® ‰¡à‡ ’¬§à“„™â

®à“¬^(Ú), ‡πâπ∫√‘°“√¥â“π°“√·æ∑¬å·≈– “∏“√≥ ÿ¢∑’Ë„Àâ‚¥¬µ√ß

·°à∫ÿ§§≈‡æ◊ËÕ°“√ √â“ß‡ √‘¡ ÿ¢¿“æ·≈–ªÑÕß°—π‚√§ ´÷Ëß‰¥â

√—∫°“√æ‘ Ÿ®πå∑“ß«‘™“°“√·≈â««à“ ¡’Õ√√∂ª√–‚¬™πå·≈–

ª√– ‘∑∏‘º≈§ÿâ¡§à“ §◊Õ àßº≈„Àâª√–™“™π‰∑¬¡’Õ“¬ÿ¢—¬‡©≈’Ë¬

¬◊π¬“«¢÷Èπ √â“ß‡ √‘¡§ÿ≥¿“æ™’«‘µ ·≈–≈¥Õ—µ√“°“√‡®Á∫ªÉ«¬

‚¥¬°“√µ√«® ÿ¢¿“æª√–™“™π∑—Ë«‰ª·≈–°≈ÿà¡‡ ’Ë¬ß‡æ◊ËÕÀ“‚√§

À√◊Õ¿“«–º‘¥ª√°µ‘¢Õßª√–™“™π∑’Ë¡“√—∫∫√‘°“√ ∑’Ë‰¡à¡’Õ“°“√

À√◊ÕÕ“°“√· ¥ß À√◊Õ¿“«–º‘¥ª√°µ‘^(Û) µ≈Õ¥∑—Èß°“√„Àâ∫√‘°“√

àß‡ √‘¡ ÿ¢¿“æªÑÕß°—π‚√§ ·≈–§”·π–π”„π°“√ªØ‘∫—µ‘µπ∑’Ë

∂Ÿ°µâÕßµà“ß Ê. ”π—°ß“π “∏“√≥ ÿ¢Õ”‡¿Õµ“≈ ÿ¡ °”Àπ¥

„Àâ°“√µ√«® ÿ¢¿“æª√–™“™π∑—Ë«‰ª ‡ªìππ‚¬∫“¬√–¥—∫Õ”‡¿Õ

¿“¬„µâ‚§√ß°“√À≈—°ª√–°—π ÿ¢¿“æ∂â«πÀπâ“ æ.». Úıı

‡æ◊ËÕ»÷°…“º≈°“√µ√«® ÿ¢¿“æª√–™“™π∑’Ë¡’Õ“¬ÿµ—Èß·µà Òı ªï

¢÷Èπ‰ª ·≈–‡æ◊ËÕ„Àâª√–™“™π‡¢â“∂÷ß∫√‘°“√∑’Ë®”‡ªìπ¥â“π ÿ¢¿“æ

‡°‘¥§«“¡µ◊Ëπµ—« „Àâ§«“¡ ”§—≠·≈–„ à„® ÿ¢¿“æ¢Õßµπ‡Õß

·≈–∫ÿ§§≈„π§√Õ∫§√—«, π”¢âÕ¡Ÿ≈®“°°“√»÷°…“¡“‡ªìπ ª√–‚¬™πå„π°“√«“ß·ºπ°“√ àß‡ √‘¡ ÿ¢¿“æª√–™“™π ·≈–

·°â‰¢À√◊Õª√—∫‡ª≈’Ë¬πæƒµ‘°√√¡ ÿ¢¿“æ∑’Ë‰¡à‡À¡“– ¡µàÕ‰ª.

√–‡∫’¬∫«‘∏’«‘®—¬

°“√«‘®—¬‡™‘ßæ√√≥π“‡æ◊ËÕ»÷°…“°“√µ√«® ÿ¢¿“æª√–™“™π

¿“¬„µâ‚§√ß°“√À≈—°ª√–°—π ÿ¢¿“æ∂â«πÀπâ“ Õ”‡¿Õµ“≈ ÿ¡

®—ßÀ«—¥Õÿ∫≈√“™∏“π’ æ.». Úıı.

ª√–™“°√∑’Ë»÷°…“§◊Õª√–™“™πÕ“¬ÿ Òı ªï¢÷Èπ‰ª ∑’ËÕ“»—¬

„π‡¢µæ◊Èπ∑’ËÕ”‡¿Õµ“≈ ÿ¡ ®—ßÀ«—¥Õÿ∫≈√“™∏“π’, ¡“√—∫°“√µ√«®

ÿ¢¿“æ„π™à«ß‡¥◊Õπµÿ≈“§¡ ÚıÙ˘ ∂÷ß‡¥◊Õπ°—π¬“¬π Úıı.

‡§√◊ËÕß¡◊Õ∑’Ë„™â„π°“√‡°Á∫√«∫√«¡¢âÕ¡Ÿ≈

Ò. ·∫∫øÕ√å¡°“√µ√«® ÿ¢¿“æ.

Ú. ‚ª√·°√¡∫—π∑÷°·≈–ª√–¡«≈º≈°“√µ√«® ÿ¢¿“æ ”À√—∫∫—π∑÷°°“√µ√«® ÿ¢¿“æ ·≈–æ‘¡æå√“¬ß“πº≈°“√µ√«®

ÿ¢¿“æ√“¬∫ÿ§§≈ ´÷Ëß “¡“√∂‡™◊ËÕ¡‚¬ß°—∫∞“π¢âÕ¡Ÿ≈„π√–∫∫

√“¬ß“πª√°µ‘‰¥â.

blood pressure, and 0.14 percent suffered severe high blood pressure; blood cholesterol levels in persons aged 40 years and over showed high levels in 0.10 percent among the risk group (3.99 percent); blood sugar levels were 16.24 percent in the pre-diabetic stage, and 4.15 percent had diabetes, which was most prevalent in women; the hematocrit was 51.47 percent in the anemia stage; 6.29 percent of stool samples contained worms, the majority of which were liver flukes; 21.85 percent had calcium deposits on their teeth, 2.27 percent had caries and 5.49 had both conditions; 0.74 percent had cataracts; among 38.26 percent of women aged 35-60 who came for cervical cancer checks, 0.37 percent had positive results, and 0.02 percent were positive for breast cancer.

With regard to behavior assessment for health risks, it was found that 0.06 percent consumed alco- holic beverages daily, 3.59 percent smoked cigarettes habitually; 3.50 percent had previous accidents; 0.11 percent had extra-marital sex without using condoms; 0.65 percent of both men and women drank en- ergy-boosting beverages; 34.75 percent exercised 3-5 days a week while 3.94 percent exercised more than 5 days per week; with respect to riding motorcycles and driving cars, 1.89 percent of motorcycle riders did not wear helmets, and 2.41 percent of car drivers did not wear safety belts; women took steroid-mixed drugs more than men, and women suffered stress more than men; 0.97 percent consumed raw meat fre- quently.

Key words: health check, health insurance project

”

(3)

¢Õ∫‡¢µ°“√¥”‡π‘πß“π Ò. °“√µ√«® ÿ¢¿“æ

Ò.Ò ¥—™π’¡«≈°“¬

Ò.Ú ‡ âπ√Õ∫‡Õ«

Ò.Û ·√ß¥—π‡≈◊Õ¥

Ò.Ù √–¥—∫¶Õ‡≈ ‡µÕ√Õ≈ „π°≈ÿà¡Õ“¬ÿ Ù ªï¢÷Èπ‰ª / °≈ÿà¡‡ ’Ë¬ß

Ò.ı √–¥—∫πÈ”µ“≈„π‡≈◊Õ¥ „π°≈ÿà¡Õ“¬ÿ Ù ªï¢÷Èπ‰ª / °≈ÿà¡‡ ’Ë¬ß

Ò.ˆ √–¥—∫§«“¡‡¢â¡¢âπ¢Õß‡≈◊Õ¥

Ò.˜ ÿ¢¿“æøíπ

Ò.¯ ¡–‡√Áßª“°¡¥≈Ÿ° µ√«®«‘∏’ Pap smear „π À≠‘ßÕ“¬ÿ Ûı, Ù, Ùı, ı, ıı, ˆ ªï ·≈–ºŸâ¡’§«“¡‡ ’Ë¬ß.

Ò.˘ ¡–‡√Áß‡µâ“π¡ „πÀ≠‘ßÕ“¬ÿ Ú ªï¢÷Èπ‰ª Ò.Ò µ√«® “¬µ“

Ò.ÒÒ µ√«®æ¬“∏‘„πÕÿ®®“√–

Ò.ÒÚ µ√«®º‘«Àπ—ß

Ú. °“√ª√–‡¡‘πæƒµ‘°√√¡ ÿ¢¿“æ Ú.Ò °“√¥◊Ë¡ ÿ√“

Ú.Ú °“√ Ÿ∫∫ÿÀ√’Ë Ú.Û °“√„™â “√‡ æµ‘¥

Ú.Ù °“√¥◊Ë¡‡§√◊ËÕß¥◊Ë¡™Ÿ°”≈—ß Ú.ı °“√ÕÕ°°”≈—ß°“¬

Ú.ˆ §«“¡‡ ’Ë¬ßµàÕ°“√‡°‘¥Õÿ∫—µ‘‡Àµÿ®√“®√

Ú.˜ °“√„™â¬“™ÿ¥

Ú.¯ ÿ¢¿“æ®‘µ Ú.˘ °“√‡ ’Ë¬ß∑“ß‡æ»

Ú.Ò °“√∫√‘‚¿§Õ“À“√

°“√√“¬ß“πº≈°“√µ√«® ÿ¢¿“æ„™â‚ª√·°√¡µ√«® ÿ¢¿“æ

°“√ª√–¡«≈º≈ «‘‡§√“–Àå ∂“π– ÿ¢¿“æ√“¬∫ÿ§§≈ §√Õ∫§√—«

™ÿ¡™π ·≈–¡’°“√·®âßº≈¬âÕπ°≈—∫„ÀâºŸâ‡°’Ë¬«¢âÕß∑√“∫‡æ◊ËÕ°“√

¥Ÿ·≈Õ¬à“ßµàÕ‡π◊ËÕß·≈–‡À¡“– ¡.

°“√‡°Á∫√«∫√«¡¢âÕ¡Ÿ≈

ºŸâ«‘®—¬‡°Á∫√«∫√«¡¢âÕ¡Ÿ≈®“°°“√µ√«® ÿ¢¿“æª√–™“™π

‚¥¬„™â·∫∫øÕ√å¡°“√µ√«® ÿ¢¿“æ ·≈–∫—π∑÷°≈ß„π‚ª√·°√¡

µ√«® ÿ¢¿“æ. ™à«ß‡«≈“∑’Ë„™â„π°“√‡°Á∫√«∫√«¡¢âÕ¡Ÿ≈§◊Õ‡¥◊Õπ µÿ≈“§¡ ÚıÙ˘ ∂÷ß‡¥◊Õπ°—π¬“¬π Úıı.

°“√«‘‡§√“–Àå¢âÕ¡Ÿ≈·≈– ∂‘µ‘

Ò. ¢âÕ¡Ÿ≈∑’Ë‰¥â®“°°“√´—°ª√–«—µ‘ ·≈–°“√µ√«® ÿ¢¿“æ

«‘‡§√“–Àå‚¥¬„™â‚ª√·°√¡ Health check æ‘¡æåº≈°“√µ√«®

ÿ¢¿“æ‡æ◊ËÕ·®âßº≈µ√«® ÿ¢¿“æ„ÀâºŸâ√—∫∫√‘°“√∑√“∫∑—π∑’ ‚¥¬

‡ªìπ·∫∫√“¬ß“πº≈°“√µ√«®‡ªìπ√“¬∫ÿ§§≈ ª√–°Õ∫¥â«¬

Ò.Ò ¢âÕ¡Ÿ≈∑—Ë«‰ª ™◊ËÕ Õ“¬ÿ ∑’ËÕ¬Ÿà Àπà«¬∑’Ëµ√«® «—π∑’Ë µ√«®

Ò.Ú º≈°“√µ√«® ÿ¢¿“æ ‚¥¬·ª≈º≈µ“¡√“¬°“√

∑’Ëµ√«® ®”·π°‡ªìπº≈ª√°µ‘ ·≈–¿“«–‡ ’Ë¬ß.

Ò.Û æƒµ‘°√√¡ ÿ¢¿“æ ·ª≈º≈µ“¡æƒµ‘°√√¡

ÿ¢¿“æ¥â“πµà“ßÊ ®”·π°‡ªìπ ¡’/‰¡à¡’§«“¡‡ ’Ë¬ß ·≈–√–∫ÿ

≈—°…≥–¢Õßæƒµ‘°√√¡π—ÈπÊ ‡™àπ ‡§¬/‰¡à‡§¬.

Ú. «‘‡§√“–Àå‚¥¬„™â‚ª√·°√¡ Health check À“§à“

·®°·®ß§«“¡∂’Ë ·≈–§à“√âÕ¬≈– ®”·π°µ“¡°≈ÿà¡Õ“¬ÿ ‡æ»

°‘®°√√¡°“√µ√«® ·≈–æƒµ‘°√√¡ ÿ¢¿“æ¥â“πµà“ß Ê.

º≈°“√»÷°…“

ª√–™“™πÕ“¬ÿ Òı ªï¢÷Èπ‰ª¡“√—∫°“√µ√«® ÿ¢¿“æ„π™à«ß

‡¥◊Õπµÿ≈“§¡ ÚıÙ˘ ∂÷ß‡¥◊Õπ°—π¬“¬π Úıı ®”π«π ÚÙ,˜Ò˜ §π §‘¥‡ªìπ√âÕ¬≈– ˘¯.ÙÚ ¢Õßª√–™“°√Õ“¬ÿ Òı ªï¢÷Èπ‰ª∑—ÈßÀ¡¥ (µ“√“ß∑’Ë Ò).

°“√µ√«®§à“¥—™π’¡«≈°“¬æ∫§à“¥—™π’¡«≈°“¬Õ¬Ÿà„π

√–¥—∫πÈ”Àπ—°‡°‘π (∑â«¡) √âÕ¬≈– ÒÒ.˘˘, Õâ«π√âÕ¬≈– Ú.Ú˘

·≈–æ∫§à“¥—™π’¡«≈°“¬µË”°«à“‡°≥±å (ºÕ¡) √âÕ¬≈– ˜.ˆ

(µ“√“ß∑’Ë Ú).

°“√«—¥‡ âπ√Õ∫‡Õ«æ∫‡ âπ√Õ∫‡Õ«Õ¬Ÿà„π‡°≥±å¡’§«“¡

‡ ’Ë¬ß (‡∑à“°—∫·≈–¡“°°«à“ Ûˆ π‘È«„π™“¬ ·≈– ÛÚ π‘È«„πÀ≠‘ß)

√âÕ¬≈– Ò¯.¯˜, æ∫„πÀ≠‘ß¡“°°«à“™“¬ (µ“√“ß∑’Ë Û).

√–¥—∫·√ß¥—π‡≈◊Õ¥Õ¬Ÿà„π‡°≥±å∑’ËµâÕß‡ΩÑ“√–«—ß (‡ ’Ë¬ß), ·√ß

¥—π‡≈◊Õ¥ Ÿß ·≈–·√ß¥—π‡≈◊Õ¥ Ÿß√–¥—∫Õ—πµ√“¬ §‘¥‡ªìπ√âÕ¬≈–

˜.ı, Ù.˘Ù ·≈– .ÒÙ µ“¡≈”¥—∫, æ∫„πÀ≠‘ß¡“°°«à“™“¬

(4)

440 (µ“√“ß∑’Ë Ù).

°“√µ√«®¶Õ‡≈ ‡∑Õ√Õ≈„π°≈ÿà¡‡ ’Ë¬ßÀ√◊Õª√–™“™π∑’Ë¡’

Ù ªï¢÷Èπ‰ª æ∫«à“√âÕ¬≈– Û.˘˘ ¡’√–¥—∫¶Õ‡≈ ‡∑Õ√Õ≈Õ¬Ÿà„π

°≈ÿà¡‡ ’Ë¬ß ·≈–√âÕ¬≈– .Ò √–¥—∫¶Õ‡≈ ‡∑Õ√Õ≈ Ÿß¡“°°«à“

Ûı ¡°./¥≈. (µ“√“ß∑’Ë ı).

°“√µ√«®πÈ”µ“≈„π‡≈◊Õ¥¢≥–ß¥Õ“À“√„πª√–™“™πÕ“¬ÿ Ù ªï¢÷Èπ‰ª À√◊Õ°≈ÿà¡‡ ’Ë¬ß æ∫√–¥—∫πÈ”µ“≈„π‡≈◊Õ¥Õ¬Ÿà„π

¿“«–‡ ’Ë¬ß√âÕ¬≈– Òˆ.ÚÙ ·≈–æ∫ºŸâ∑’Ë¡’πÈ”µ“≈„π‡≈◊Õ¥Õ¬Ÿà„π

‡°≥±å°“√«‘π‘®©—¬«à“‡ªìπ‚√§‡∫“À«“π√âÕ¬≈– Ù.Òı (µ“√“ß∑’Ë ˆ).

°“√µ√«®§«“¡‡¢â¡¢âπ¢Õß‡≈◊Õ¥ (Hct) æ∫ºŸâ¡’¿“«–´’¥

µ“√“ß∑’Ë Û º≈°“√µ√«®‡ âπ√Õ∫‡Õ«

™“¬ À≠‘ß √«¡

‡ âπ√Õ∫‡Õ« (‡¡µ√)

√“¬ √âÕ¬≈– √“¬ √âÕ¬≈– √“¬ √âÕ¬≈–

ª√°µ‘ (™“¬ <Ûˆ, À≠‘ß <ÛÚ) ¯,¯ ˘˜. ˜,ÚÒ ˆ˜.ÛÛ Òı,¯ÚÒ ¯Ò.ÒÛ

¡’§«“¡‡ ’Ë¬ß (™“¬ ≥ Ûˆ, À≠‘ß ≥ ÛÚ) Ú˜Ú Û. Û,Ù˜ ÛÚ.ˆ˜ Û,ˆ˜˘ Ò¯.¯˜

√«¡ ˘,˜Ú Ò. Ò,ÙÚ¯ Ò. Ò˘,ı Ò.

µ“√“ß∑’Ë Ú º≈°“√µ√«®¥—™π’¡«≈°“¬

™“¬ À≠‘ß √«¡

¥—™π’¡«≈°“¬** °°./µ√.¡.

√“¬ √âÕ¬≈– √“¬ √âÕ¬≈– √“¬ √âÕ¬≈–

ºÕ¡ (Ò¯.ı) ˆÛı ˆ.Ú˜ Ò,ıˆ ¯.˜Ú Ò,ˆ˘Ò ˜.ˆ

ª√°µ‘ (Ò¯.ı- ÚÙ.˘˘) ¯,ˆˆ¯ ¯ı.ıÛ ¯,˜˘ ˜Ò.˘Û Ò˜,Û˜˜ ˜¯.ÒÚ

∑â«¡ (Úı.-Ú˘.˘˘) ˜Ú˘ ˜.Ò˘ Ò,˘Û˜ Òˆ. Ú,ˆˆˆ ÒÒ.˘˘

Õâ«π (≥ Û) ÒÛ Ò.Ú Ùˆ Û.Ûı ı˘ Ú.Ú˘

√«¡ Ò,ÒÛı Ò. ÒÚ,Ò¯ Ò. ÚÚ,ÚÙÛ Ò.

**Õâ“ßÕ‘ßÕß§å°“√Õπ“¡—¬‚≈° (æ.». ÚıÛ¯)

µ“√“ß∑’Ë Ò ¢âÕ¡Ÿ≈√“¬≈–‡Õ’¬¥¢Õßª√–™“™π∑’Ë¡“√—∫°“√µ√«® ÿ¢¿“æ

™“¬ À≠‘ß √«¡

°≈ÿà¡Õ“¬ÿ (ªï)

√“¬ √âÕ¬≈– √“¬ √âÕ¬≈– √“¬ √âÕ¬≈–

πâÕ¬°«à“ Ú Ò,Ú¯Ú ı.Ò˘ Ò,ÚÛ Ù.¯˜ Ú,Ù¯ı Ò.ı

Ú.Ú - Ú˘ Ú,ÙˆÒ ˘.˘ˆ Ú,ˆÛ Ò.ˆÙ ı,˘Ò Ú.ˆ

Û.Û - Û˘ Ú,˜˜Û ÒÒ.ÚÚ Û,ÚÙ˜ ÒÛ.ÒÙ ˆ,Ú ÚÙ.Ûˆ

Ù.Ù - Ù˘ Ò,˘˘ı ¯.˜ Ú,ı˜Ò Ò.Ù Ù,ıˆˆ Ò¯.Ù˜

ı.ı - ı˘ Ò,ÙÙ ı.ˆ¯ Ò,¯ÚÚ ˜.Û˜ Û,ÚÚˆ ÒÛ.ı

ˆ ªï ¢÷Èπ‰ª Ò,Û˘ˆ ı.ˆı Ò,˘ÛÛ ˜.¯Ú Û,ÛÚ˘ ÒÛ.Ù˜

√«¡* ÒÒ,ÛÒÒ Ùı.˜ˆ ÒÛ,Ùˆ ıÙ.ÚÙ ÚÙ,˜Ò˜ Ò.

*ª√–™“°√Õ“¬ÿ Òı ªï¢÷Èπ‰ª∑—ÈßÀ¡¥ ®”π«π Úı,ÒÒı §π

(5)

(™“¬ <Ûˆ% À≠‘ß ÛÛ%) √âÕ¬≈– ıÒ.Ù˜.

ºŸâ∑’Ë¡’ªí≠À“ ÿ¢¿“æøíπ §◊Õøíπ¡’À‘πªŸπ √âÕ¬≈– ÚÒ.¯ı, øíπºÿ √âÕ¬≈– Ú.Ú˜ ·≈–¡’ªí≠À“∑—ÈßÀ‘πªŸπ·≈–øíπºÿ √âÕ¬≈–

ı.Ù˘.

µ√’°≈ÿà¡‡ªÑ“À¡“¬Õ“¬ÿ Ûı, Ù, Ùı, ı, ıı ·≈– ˆ

ªï ‰¥â√—∫°“√µ√«®¡–‡√Áßª“°¡¥≈Ÿ°√âÕ¬≈– Û¯.Úˆ ¢Õß°≈ÿà¡

‡ªÑ“À¡“¬ æ∫º‘¥ª√°µ‘√âÕ¬≈– .Û˜. à«π°“√µ√«®‡µâ“π¡ µ√’

‰¥â√—∫°“√µ√«®√âÕ¬≈– ˆÛ.˘ æ∫º‘¥ª√°µ‘ Ò √“¬‡∑à“π—Èπ.

°“√µ√«®«—¥ “¬µ“æ∫ “¬µ“ —Èπ√âÕ¬≈– Û.Òˆ, “¬µ“

¬“«√âÕ¬≈– Ú.Ù˜, ·≈–æ∫ºŸâ‡ªìπ‚√§µâÕ°√–®°√âÕ¬≈– .˜Ù.

°“√µ√«®Õÿ®®“√–æ∫æ¬“∏‘√âÕ¬≈– ˆ.Ú˘ à«π„À≠à‡ªìπ æ¬“∏‘„∫‰¡âµ—∫ √âÕ¬≈– Ù¯.Ù, √Õß≈ß¡“§◊Õµ—«µ◊¥À¡Ÿ - «—«

·≈–æ¬“∏‘‡¢Á¡À¡ÿ¥√âÕ¬≈– Ò¯.ˆÛ ·≈– Ò.˜¯ µ“¡≈”¥—∫.

” À √— ∫ ° “ √ ´— ° ª √ – «— µ‘ ‡ æ◊Ë Õ ª √ – ‡ ¡‘ π æ ƒ µ‘ ° √ √ ¡ æ ∫ ª√–™“™π∑’Ë¡’æƒµ‘°√√¡¥◊Ë¡ ÿ√“∑ÿ°«—π√âÕ¬≈– .ˆ, Ÿ∫∫ÿÀ√’Ë

‡ªìπª√–®”√âÕ¬≈– Û.ı˘ ·≈–¥◊Ë¡‡§√◊ËÕß¥◊Ë¡™Ÿ°”≈—ß∑ÿ°«—π√âÕ¬≈–

µ“√“ß∑’Ë Ù º≈°“√µ√«®·√ß¥—π‡≈◊Õ¥

™“¬ À≠‘ß √«¡

·√ß¥—π‡≈◊Õ¥ (¡¡.ª√Õ∑)

√“¬ √âÕ¬≈– √“¬ √âÕ¬≈– √“¬ √âÕ¬≈–

‘¬å ‚∑≈‘§ < ÒÛ (ª√°µ‘) ˘,ÚÛÛ ¯˘.Ù Ò,˘ÙÚ ¯ˆ.¯ Ú,Ò˜ı ¯˜.ÙÒ

ÒÛ-ÒÛ˘/¯-¯˘ (‡ ’Ë¬ß) ˜Ù ˆ.˜˘ Ò,Ú¯ ¯.˘ Ò,˜ÛÚ ˜.ı

ÒÙ-Ò˜˘/˘-Ò˘ ( Ÿß) ÙÚÙ Ù.˘ ˜Òˆ ı.ˆÛ Ò,ÒÙ Ù.˘Ù

≥ Ò¯/ _≥ ÒÒ ( ŸßÕ—πµ√“¬) ¯ .¯ Úı .Ú ÛÛ .ÒÙ

√«¡ Ò,Ûˆ˘ Ò. ÒÚ,˜ÒÒ Ò. ÚÛ,¯ Ò.

µ“√“ß∑’Ë ı º≈°“√µ√«®¶Õ‡≈ ‡µÕ√Õ≈

™“¬ À≠‘ß √«¡

¶Õ‡≈ ‡∑Õ√Õ≈ (¡°./¥≈.)

√“¬ √âÕ¬≈– √“¬ √âÕ¬≈– √“¬ √âÕ¬≈–

ª√°µ‘ (<Ú) Ú,˘ıÙ ˘˜.˜Ú Û,ıÒˆ ˘Ù.ÙÙ ˆ,Ù˜ ˘ı.˘Ò

‡ ’Ë¬ß (Ú- Ûı) ˆˆ Ú.Ò¯ ÚÛ ı.Ùı Úˆ˘ Û.˘˘

Ÿß (>Ûı) Û .Ò Ù .ÒÒ ˜ .Ò

√«¡ Û,ÚÛ Ò. Û,˜ÚÛ Ò. ˆ,˜Ùˆ Ò.

µ“√“ß∑’Ë ˆ º≈°“√µ√«®πÈ”µ“≈„π‡≈◊Õ¥

™“¬ À≠‘ß √«¡

πÈ”µ“≈„π‡≈◊Õ¥ (¡°./¥≈.)

√“¬ √âÕ¬≈– √“¬ √âÕ¬≈– √“¬ √âÕ¬≈–

ª√°µ‘ (< Ò) Û,Ò¯ ¯Ú.˜ Û,˘ÚÒ ˜˜.Ú¯ ˜,ÒÒ ˜˘.ˆÚ

‡ ’Ë¬ß (Ò-ÒÚı) ıˆˆ ÒÙ.˜Ú ¯¯Ú Ò˜.Û¯ Ò,ÙÙ¯ Òˆ.ÚÙ

‡ªìπ‚√§‡∫“À«“π (_≥ ÒÚˆ) ˘˘ Ú.ı˜ Ú˜Ò ı.ÛÙ Û˜ Ù.Òı

√«¡ Û,¯Ùı Ò. ı,˜Ù Ò. ¯,˘Ò˘ Ò.

(6)

442

.ˆı, ¡’ª√–«—µ‘°“√‡°‘¥Õÿ∫—µ‘‡Àµÿ√âÕ¬≈– Û.ı, ¡’æƒµ‘°√√¡

‡ ’Ë¬ß∑“ß‡æ» —¡æ—π∏å√âÕ¬≈– .ÒÒ ‚¥¬æ∫æƒµ‘°√√¡‡ ’Ë¬ß¥—ß

°≈à“«„π™“¬¡“°°«à“À≠‘ß.

ª√–™“™πÕÕ°°”≈—ß°“¬ —ª¥“Àå Û - ı «—π√âÕ¬≈– ÛÙ.˜ı

·≈–¡“°°«à“ ı «—π√âÕ¬≈– Û.˘Ù, ·≈–¡’ºŸâ∑’Ë‰¡àÕÕ°°”≈—ß°“¬

‡≈¬√âÕ¬≈– Ò˘.ÒÚ.

æƒµ‘°√√¡°“√¢—∫¢’Ë√∂®—°√¬“π¬πµå ·≈–√∂¬πµå æ∫«à“

°≈ÿà¡∑’Ë¢—∫¢’Ë√∂®—°√¬“π¬πµå ‰¡à‡§¬ «¡À¡«°°—π°√–·∑°

√âÕ¬≈– Ò.¯˘, ·≈–°≈ÿà¡∑’Ë¢—∫¢’Ë√∂¬πµå‰¡à‡§¬§“¥‡¢Á¡¢—¥

π‘√¿—¬‡≈¬√âÕ¬≈– Ú.ÙÒ.

°“√„™â¬“™ÿ¥¢Õßª√–™“™πæ∫«à“„™â¬“™ÿ¥√âÕ¬≈– Ú.¯Ú à«π„À≠à‡ªìπÀ≠‘ß ‡™àπ‡¥’¬«°—∫º≈°“√ª√–‡¡‘π√–¥—∫§«“¡

‡§√’¬¥∑’Ëæ∫«à“ºŸâÀ≠‘ß¡’§–·ππ§«“¡‡§√’¬¥ Ÿß°«à“ºŸâ™“¬ ‚¥¬

¡’√–¥—∫§«“¡‡§√’¬¥ª“π°≈“ß√âÕ¬≈– Ú.¯ ·≈–¡’§«“¡‡§√’¬¥

Ÿß√âÕ¬≈– .ÛÚ.

”À√—∫°“√ª√–‡¡‘πæƒµ‘°√√¡°“√∫√‘‚¿§Õ“À“√ æ∫«à“

°‘πÕ“À“√ ÿ° Ê ¥‘∫ Ê ‡ªìπª√–®”√âÕ¬≈– .˘˜, °‘πÕ“À“√√

‡§Á¡®—¥√âÕ¬≈– .¯ˆ ·≈–°‘πÕ“À“√√ À«“π®—¥√âÕ¬≈– .ı˜.

√ÿª·≈–¢âÕ‡ πÕ·π–

°“√µ√«® ÿ¢¿“æª√–™“™π‡ªìπ°‘®°√√¡Àπ÷Ëß„π™ÿ¥ ‘∑∏‘

ª√–‚¬™πåÀ≈—°¢Õß‚§√ß°“√À≈—°ª√–°—π ÿ¢¿“æ∂â«πÀπâ“ ´÷Ëß

∂◊Õ‡ªìπ ‘∑∏‘¢—Èπæ◊Èπ∞“π¢Õßª√–™“™π„π°“√‰¥â√—∫∫√‘°“√‚¥¬‰¡à µâÕß‡ ’¬§à“„™â®à“¬^(Ú). °“√µ√«® ÿ¢¿“æª√–®”ªïª√–™“™π∑—Ë«‰ª ª√–°Õ∫¥â«¬°“√´—°ª√–«—µ‘°“√‡®Á∫ªÉ«¬/ æƒµ‘°√√¡ ÿ¢¿“æ,

°“√µ√«®√à“ß°“¬ ·≈–°“√µ√«®∑“ßÀâÕßªØ‘∫—µ‘°“√^(Û). ®“°°“√

»÷°…“„π§√—Èßπ’È∑”„Àâ∑√“∫∂÷ß¿“«– ÿ¢¿“æ¢Õßª√–™“™π à«π Àπ÷Ëß¡’ªí≠À“À√◊Õ¡’¿“«–‡ ’Ë¬ßµàÕ°“√‡°‘¥‚√§À—«„®·≈–À≈Õ¥

‡≈◊Õ¥ ‰¥â·°à §«“¡º‘¥ª√°µ‘¢Õß‰¢¡—π„π‡≈◊Õ¥, ·√ß¥—π‡≈◊Õ¥, πÈ”µ“≈„π‡≈◊Õ¥. πÕ°®“°π’È¬—ßæ∫ªí®®—¬‡ ’Ë¬ß/°“√¡’æƒµ‘°√√¡

ÿ¢¿“æ∑’Ë‰¡à‡À¡“– ¡ ‡™àπ °“√ÕÕ°°”≈—ß°“¬πâÕ¬ À√◊Õ‰¡à ÕÕ°°”≈—ß°“¬‡≈¬, °‘πÕ“À“√ ÿ° Ê ¥‘∫ Ê, Õ“À“√√ À«“π®—¥

‡§Á¡®—¥. ¥—ßπ—Èπ °“√ª√—∫‡ª≈’Ë¬πæƒµ‘°√√¡°“√∫√‘‚¿§„Àâ∂Ÿ°µâÕß

·≈–°“√ÕÕ°°”≈—ß°“¬Õ¬à“ß ¡Ë”‡ ¡Õ ®– “¡“√∂≈¥‚Õ°“

¢Õß°“√‡°‘¥‚√§‡∫“À«“π, ·√ß¥—π‡≈◊Õ¥ Ÿß ·≈–‚√§À—«„®·≈–

À≈Õ¥‡≈◊Õ¥‰¥â.

Õ¬à“ß‰√°Áµ“¡ à«πª√–°Õ∫∑’Ë ”§—≠∑’Ë ÿ¥¢Õß°“√µ√«®

ÿ¢¿“æ„πª√–™“™π∑—Ë«‰ª §◊Õ°“√´—°ª√–«—µ‘·≈–µ√«®√à“ß°“¬.

∂â“º≈°“√ —¡¿“…≥åª√–«—µ‘·≈–°“√µ√«®√à“ß°“¬ª√“°Ø«à“

ºŸâ√—∫°“√µ√«®¡’ªí®®—¬‡ ’Ë¬ß À√◊Õ§«“¡º‘¥ª√°µ‘∑“ß ÿ¢¿“æÕ◊ËπÊ,

°“√®—¥√–∫∫∫√‘°“√À√◊Õ°“√ àßµàÕºŸâªÉ«¬‰ªæ∫·æ∑¬å‡æ◊ËÕ Ÿà°“√

∫√‘°“√·µà≈–√“¬®÷ß‡ªìπ‡√◊ËÕß®”‡ªìπÕ¬à“ß¬‘Ëß. πÕ°®“°π’È Àπà«¬

∫√‘°“√∑ÿ°·Ààß§«√º ¡º “π°‘®°√√¡ àß‡ √‘¡ ÿ¢¿“æ ·≈–

ÿ¢¿“æ‡∑à“π—Èπ.

°‘µµ‘°√√¡ª√–°“»

∑’¡µ√«® ÿ¢¿“æ ·≈–∫ÿ§≈“°√ “∏“√≥ ÿ¢∑ÿ°∑à“π‰¥â„Àâ

§«“¡√à«¡¡◊Õ„π°“√®—¥∫√‘°“√µ√«® ÿ¢¿“æ„Àâ°—∫ª√–™“™π.

Õ“ “ ¡—§√ “∏“√≥ ÿ¢ ºŸâπ”™ÿ¡™π Õß§å°√ª°§√Õß à«π∑âÕß∂‘Ëπ Àπà«¬ß“π·≈–Õß§å°√∑’Ë‡°’Ë¬«¢âÕß ¡’ à«π√à«¡ π—∫ πÿπ„π°“√

®—¥∫√‘°“√„π§√—Èßπ’È. ºŸâ√—∫∫√‘°“√µ√«® ÿ¢¿“æ∑ÿ°∑à“π„Àâ§«“¡

π„®·≈–µ◊Ëπµ—«„π°“√¥Ÿ·≈ ÿ¢¿“æ¢Õßµπ‡Õß ‚¥¬°“√‡¢â“√—∫

∫√‘°“√µ√«® ÿ¢¿“æÕ¬à“ßæ√âÕ¡‡æ√’¬ß.

‡Õ° “√Õâ“ßÕ‘ß

Ò. ”π—°ß“π “∏“√≥ ÿ¢®—ßÀ«—¥Õÿ∫≈√“™∏“π’. ·π«∑“ß°“√¥”‡π‘πß“π µ√«® ÿ¢¿“æª√–™“™π ®—ßÀ«—¥Õÿ∫≈√“™∏“π’. æ‘¡æå§√—Èß∑’Ë Ú.

Õÿ∫≈√“™∏“π’: ‚√ßæ‘¡æå»‘√‘∏√√¡ÕÕø‡´Á∑; Úıı.

Ú. ”π—°ß“πÀ≈—°ª√–°—π ÿ¢¿“æ·Ààß™“µ‘. æ√–√“™∫—≠≠—µ‘À≈—°ª√–°—π ÿ¢¿“æ·Ààß™“µ‘ æ.». ÚıÙı; ÚıÙı.

Û. »ÿ¿™—¬ §ÿ≥“√—µπæƒ°…å, «‘∑¬“ »√’¥“¡“, «’√–æ≈ ®—π∑√å¥’¬‘Ëß,

»√’»ÿ¿≈—°…≥å ‘ß§“≈«≥‘™ (∫√√≥“∏‘°“√). ·π«∑“ß°“√µ√«® ÿ¢¿“æ

¢Õßª√–™“™π‰∑¬. æ‘¡æå§√—Èß∑’Ë Ú. °√ÿß‡∑æœ: Àâ“ßÀÿâπ à«π®”°—¥‡ÕÁ¡

‡Õ ‡Õ ‡´Õ√å«‘ ; ÚıÙı.