hriday rog: karan aur nivaran dae. ved prakash garg, pure vishva men hriday ke daure se marne vale logon ki sankhya anya rogon se marne valon ki sankhya se adhik hai. akele amerika jaise viksit desh men hi panch lakh log hriday rog se prativarsh mar jate hain. ye ankre to tab hain jab 1963 se ab tak hriday rog se hone vali mauten 50 pratishat tak kam ho gai hain...
mare ek mitra ke mitra jo ki svayan ek chikitsak the, vajan men thore bhari the. unka raktachap jyada rahta tha. ek din samosa aur chay lene ke bad kuch bechaini mahsus karne lage. sabhi kahne lage ki tala hua khaya hai, tejab ban gaya hoga aur gais ban gai hogi. unhen daijin ;kpahamadamaddh ki goli di gai par bechaini bani rahi. dae. sahab bina samay ganvae, apne mitra ko pas ke bare sarkari aspatal men le gae aur i. si. ji karva dala. i. si. ji ka kagaj mashin men se nikal bhi nahin pae the ki dekha ki unke mitra pasine se lathapath ho gae, sans ukhrne lagi aur kuch hi minton men unhonne dam tor diya. emrjensi men sabhi chikitsakon evan davaon ke rahne ke bavjud unhen bachaya nahin ja saka.
aisi ghatnaen kai bar apne suni aur sunai hongi. is hadse ka mukhya karan hriday ka daura tha. hriday rog athva ai. ech. di. ;pnbhnknddh hriday ki manspeshi ko rakt kam ya n milne se utpann hota hai. ismen keval aeksijan ka kam milna hi nahin balki anya poshak tatvon ka n milna, hriday ki manspeshi ki kriyaon ke uprant utpann karban dai aeksaid ka rakt men se nishkasan n hona bhi shamil hai. 90 pratishat se bhi jyada logon men ka¬eronri dhamniyon ;bvatvdantal .tajmtpmeddh men rakt ke bahav ki kami ka karan aitheroskalerosi ;.jimtvebsmtvepeddh hota hai.
kai varshon se dhire-dhire etherosklori¬sis ke thakke dhire-dhire sharir ki choti, bari sabhi dhamniyon ko grast karte rahte hain. jab ye thakke koronri dhamniyon ko bhi apni giraft men le lete hain, tab hriday rog ke lakshan dhire-dhire ya fir achanak bhi mahsus hote hain. yah janna atyant avashyak hai ki pure sharir men, hriday manspeshi ko dayastol ;kpanejavasamaddh ke dauran hi rakt pravah hota hai jabki sharir ke baki sabhi hisson ko sistol ;ailejavasamaddh ke samay. hriday ek minat men 72 bar sistol aur dayastol ki kriya karta hai jismen sistol ka samay adhik aur dayastol ka kam rahta hai.
kuch halat men hriday ko aeksijan kam milti hai. aisa tab hota hai jab ya to hriday ki urja jarurat barh jae (jaise hriday manspeshi ka ayatan barh jaeddh ya fir aitherosklerosis se rakt dhamniyon ka rasta avruddh hone se rakt pravah kam ho jae. hriday gati ke barhne se pahle to hriday manspeshi ;dalbvtkpnauddh ki rakt ki mang barh jati hai kyonki use prati minat jyada bar dharkna parta hai, dusre dayarastol ka samay kam ho jane se rakt pravah ke samay men bhi kami a jati hai. hriday rog ka hona is bat par nirbhar karta hai ki aitherosklerosis kis kadar faila hua hai aur dhamniyon ka rasta kitne pratishat tak avruddh hai.
dil ka daura parna: yah achanak hi bina kisi purva suchna ke bhi par sakta hai. iska karan sthayi thak¬kane ka visthapan hota hai, jisse ghav ban jata hai ya thakke ke upar jhilli ka chilna, darar parna, alag hona ya fir usmen rakt srav hona. in sabhi kriyaon ke uprant thakke ki map barh jati hai ya fir thakke ke sthan par thrombas ;jitvauineddh banakar jam jata hai. upar likhit kriyaon ko do shreniyon men bant sakte hain.
ek, thakke ;.ji¬mtvaunjvne chsanunamaddh ka visthapit hona ya fir thakke men achanak badlav hona. jab koronri dhamniyon men charbi ke itne thakke jama ho jate hain ki unmen se rakt pravah 75 pratishat tak kam ho jata hai, tabhi vyayam ya bhagne-daurne ke uprant chati men dard ho jaya karta hain, kyonki vyayam karte samay jyada rakt pravah ki jarurat puri nahin ho pati. vyakti ko aise hi kasht anya karnon se jaise dhumrapan karne par ya gussa karne par bhi mahsus hote hain. jab rakt pravah 90 pratishat tak kam ho jata hai, tab bayin taraf chati men, bayen kandhe men ya fir bayen hath ki anamika evan choti ungli men dard hota hai.
yah dard aram ki avastha men bhi hota rahta hai. koroneri dhamniyon men avrodh ;bvatv¬dantal thasvbanhmeddh ek, do ya fir tinon hi sthitiyon men ho sakta hai. charbi ke thakkon men samy-samay par parivartan hote hi rahte hain. inhin ke chalte, achche khase thik thak vyakti men bhi chati men dard hona, thand men bhi pasina ana ya fir sans fulna jaise lakshan pae ja sakte hain.
kya apne kabhi socha hai ki jin logon ka raktachap barha rahta hai unhen ya madhumeh ke rogiyon ko subah hi dil ka daura kyon parta hai?
pata chala hai ki jagne aur uthne se aye parivartanon se subah 6 se 12 baje ke bich raktachap apni charam sima par pahunch jata hai aur charbi ke thakke ko visthapit kar kuch kriyaon ko janm deta hai. in kriyaon ke falasvarup pahle se hi avruddh dhamniyan adhik avruddh hoti-hoti anttah band ho jati hain. anyatha karnon men dardanak ya bhayavah khabar ya kisi hadse ka ghatna ya mahsus karna ho sakta hai. inhin do karnon se achanak hriday gati ruk jane jaise ghatak parinam bhi ho sakte hain. isilie bhukanp/sunami/barh bam fatne jaisi khabren ane par hriday ke dauron ke ankre barh jate hain.
sau baton ki ek bat yah ki itne sare vaigyanik anusandhanon evan tathyon ke janne ke bad bhi ham yah nahin bata sakte ki kis vyakti ko kyon, kab aur kitna bara dil ka daura parega aur uska hashra kya hoga, kyonki thakke to visthapit hote rahte hain, aur uske uprant utpann ghav bhi dhire-dhire bharte rahte hain- vyakti ko dard ho ya n ho.
aitherosklerosis kaise utpann hota hai?
pahle dhamni ki antaratam divar ;mda¬kavajimspnauddh par shvet rakt kan, ti sel ;j bmasasaddh aur maikrofej ;danb¬tvchinhamaddh jama hokar ek basti bana lete hain. yah sab islie hota hai ki endothiliyal sel dvara aise protin banae jate hain, jinhen chipakan protin kahte hain. aise padarth bhi us sthan par chore jate hain jo maikrofej ko kriyashil banate hain. ye maikrofej a¬ksikrit charbi ;vgapakapemak sksddh ko hajam kar fulte chale jate hain. bas inhin petu maikrofej ke sath kolajen ;bvassanhamadaddh bhi samy-samay par jama hota jata hai.
kuch varshon bad maikrofej se kuch aise enjaim niklte hain jo kolajen ke reshon ko ghol dete hain. reshon ke ghulne se, rakt chap ke barhne se ya sadme se aitherometas thakke visthapit ho jate hain aur dhamniyon men rakt pravah ko avruddh karte hain. inflemeshan ko mapne ki si.riektiv protin ;bntnchnddh ke star se bhi mahatvapurn jankari milti hai. khasakar enjaina ;.dahpdanddh ke rogiyon, aur un logon men jinhen ek bar dil ka daura par chuka ho. dhamniyon ka sikurna: dhamniyon ke sikurne se rakt pravah men avrodh utpann ho jata hai, jisse charbi ke thakkon (chsanunamaddh ke visthapan ki sanbhavna barh jati hai.
is prakar ki sikuran rakt mane edrinarjik ;.katamadamatahapabaddh harmons utpann karte hain. ye harmons sadma hone par ya gussa karne par, rakt men barh jate hain, ya fir pletlet men se niklte hain. endothiliyal sel se endothelin ;mdakavajimasapadaddh kam ane se bhi dhamniyon ki sikuran barh jati hai, kyonki charbi ke thakke endotheliyam ki samanya karyapranali ko badhit karte hain. aitherosklerosis, jin karnon se hoti hai, ve is prakar hain: umra, 40-60 varsh ke bich ya jyada hoti hai. purushon ko striyon ki apeksha jyada aitherosklerosis, hoti hai. kuch parivaron men aise kai jins rahte hain, jinse aitheros¬klerosis adhik hoti hai. in parivaron men laifastail bimariyan adhik hoti hain.
udaharan ke taur par uchch raktachap, madhumeh, rakt men charbi ka adhik rahna ityadi. aise karan, jo manushya ki kharab khane evan vyayam ki kami jaisi adton se rogon ko janm dete hain, is prakar hain: rakt men adhik charbi ka hona. mans, machli, ande ya makkhan, panir tatha dudh se bane anya padarthon ka sevan bhi ek karan hai. inke sevan se bhojan men santript vasa ;ainjntanjamak thnjeddh ki matra adhik ho jati hai. uchch raktachap ;bhlachmtjmdepavadaddh dhumrapan kuch varshon tak lagatar karne se hriday ke daure ate hain jisse maut ki sanbhavna 200 pratishat se bhi adhik barh jati hai. madhumeh rogiyon men rakt charbi barhne se aitherosklerosis rog adhik hota hai. homosistin ;bhvauvblejamapadamaddh namak rasayan ka rakt star barhne se bhi hriday rog jyada ho sakte hain. iska karan bhojan men faelik amla aur vitamin bi-6 ki kami hona hai. rakt men laipoprotin el.pi. (e) ;spachavachatavajamapad scha;nddh ke star aur hriday rog men sidha sanbandh hai. nitya vyayam ki kami, taip e vyaktitva ;jlacham . chmata¬evdansapajaladdh aur motapa bhi iske karan hain. araktata ;pebinmaupanddh ke karan rog ko char shreniyon men banta gaya hai. mayokardiyal infakarshan ;dalbvtkpans pdanitbjpvdae dan pddharu yah ek janleva rog hai.
is rog men hriday ko rakt pravah itne kam aur jyada samay tak rahta hai ki ismane hriday ki manspeshi purnataya mrit ho jati hai. ainjaina pektoris ;.dahpdan chmabajavatapeddh ru is rog men avrodh ke karan rakt pravah men kami alp samay tak rahne se manspeshi ki maut nahin hoti. lanbe samay tak rakt pravah kam rahne ya hriday rog rahne se hriday fel ;bhmantaj thnpasanatamaddh ho jata hai. achanak hriday gati rukna ;ainaka¬kamad bntkpanb .tatmejaddh hriday daure ke lakshana- nari gati barh jati hai, bayin taraf chati men ya fir bayen kandhe men dard hota hai. atyadhik pasina ana aur sans fulna donon iske pramukh lakshan hain.
10-15 pratishat logon men upar batae gae lakshan nahin hote. keval i. si.ji ;mnbnlanddh karne par pata chalta hai ki hriday ka daura para hai. inhen sailent daura ;aipasamadaj d pddh bhi kaha jata hai. yah daura jyadatar budhon evan madhumeh ke rogiyon ko parta hai. rakt men kardiyek traeponin ;bntkpanb jtavachavadapadaddh tatha em. bi krietin kainej ;bgya.dathaddh ki matra barh jati hai. b gya. dath ki matra hriday daure ke 2-4 ghante men barhni shuru hokar, 24 ghante men apni sima par pahunch jati hai aur fir 72 ghante ke andar samanya ho jati hai.
agar do din tak rakt men si ke, ;bgyaddh tatha si. ke. em. bi. aur traeponin ke star samanya rahen to hriday daura nahin ho sakta. rakt men si ar pi ;bntnchddh ki matra agar 1-3 ho to hriday rog ki sanbhavna adhik aur 3 se adhik ho to atyadhik ho jati hai. anjam kabhi-kabhi dukhad hota hai jinhen madhumeh rog ho ya kabhi hriday ka daura para ho ya fir umra jyada ho, unhen jab hriday ka daura padta hai to unmen se shayad hi 50 pratishat log aspatal tak pahunch pate hain.
ilaj: sidha hai, aur vah hai kisi hriday chikitsa kendra ya fir kisi aspatal men bharti hona aur apne ap ko chikitsakon ki marji par chor dena. bachav: ek bar hriday ka daura par jae to shayad apke grah achche hon athva koi chamatkar ho ki ap bach jaen, anyatha bachna asanbhav hai.
hriday rog se bachne ke lie kya-kya karen: bhojan aisa karen jo purnatah shakahari ho. jahan tak ho sake, ankurit padarth kachcha hi ya bhap dvara pakakar khaen. soyabin ya isse bane padarthon jaise, dudh, dahi, panir adi ka nitya sevan karen. ya fir dal ke sthan par soyabin ki bari istemal karen. pratyek samay bhojan ke sath ek-ek fal avashya len.
pratidin kam se kam do se tin prakar ki hari sabjiyan len. ratri ke bhojan men pattedar sabji ya sag jarur len. pratidin 500 se 600 gram tak salad avashya len. pratidin 20 se 25 gram tak meva avashya len. ankurit kar 5 gram methi agar anukul ho to khaen. 20 gram tak alsi ke bij avashya khaen. gehun ki ghas ya jvare niyam se pratidin khaen. shakrkand ;aiumamaj chvajanjavaddh ka sevan karen.
pratidin unt ki tarah pani pien. har hal men khush rahen. saptah men kam se kam ek din upvas rakhen. bajar men upalabdh tel se bana koi bhi padarth n khaen. unke khane se kharab charbi barh jati hai aur achchi charbi kam ho jati hai, kyonki unhen banane men transfaiti esid ka ;jtande thnjeddh uyog kiya jata hai.
chini, biskut, maida, nudals, bargar, pijja adi n khaen. yad rakhen, in sabhi aprakritik padarthon ko ghar ke andar bhi n ane den. bred aur bekri padarth ;thanamatal chtanakanabajeddh n khaen aur n khilaen. aprakritik pey padarth, pepsi, kainpa kola, koka kola ityadi n pien.
dibba band padarth, adhik namak yukt padarth n khaen. mans, machli, anda adi n khaen aur n kisi ko khane den. dhumrapan tatha sharab ka sevan n karen. gussail vyaktitva ko hansmukh vyaktitva men badlne ka prayas karen. samay samay par madhumeh rog ka pata lagane hetu ji. ti. ti. ;lanjnjnddh namak rakt janch karate rahen. khali n baithen, kyonki khali dimag gusse, shaitan, chinta tatha hriday rog ka ghar hota hai.
janm kundli ke vishleshan ke lie bat karen desh ke prasiddh jyotishiyon se keval fyuchar point par