sansar men jaise-jaise pragti hoti ja rahi hai vaise-vaise har desh men gurda rog se pirit logon ki sankhya men bhi vriddhi hoti ja rahi hai. akele amerika men, jahan ke ankre upalabdh hain, 2 karor se bhi jyada log gurde ke sthai rogon (bitavadapab gyapakadamal kpemaneme) se pirit hain. vahin hamare desh men kitne log is rog se pirit honge iska andaja sahaj hi lagaya ja sakta hai. hamare gurde rajma jaisi banavat lie ;thamand einchamakaddh manushya ki mutthi ke barabar map ke hote hanai. inka kam rakt ko saf rakhna aur rasaynik santulan kayam rakhna hai. sath hi inse harmon bhi niklte hain.
lagabhag 110 litar rakt pratidin gurdon se hokar gujrta hai. ye gurde is rakt ka shodhan kar aur usmen se bekar padarth (enejam chatvknbje), yuriya, kriyetinin, jahrile padarth (jvagpde), potaishiyam ;chvajaneepnauddh aur avashyakta se adhik pani ko bahar kar dete hain. in sabhi ke milne se banta hai pratidin 1.2 litar tak peshab. jin bekar padarthon (enejam chtavakanabaje) ki rakt dvara janch ki jati hai, ve hain kriyetinin (btamanjpdpdm) aur yuriya (thasavavak ntaman chapjtvhmdae thancha). jab gurde adhik pani ko bahar nahin nikal pate, to rakt men pani jyada ho jata hai. natijatan raktachap barh jata hai tatha hriday ko adhikatam parishram karna parta hai. faltah pairane men sujan a jati hai.
rakt men prayukt rasaynon jaise lavan (msamabajatavasalajamate), amla (.bapke) tatha kshar (thaneme) ka santulan gurde hi banakar rakhte hain. gurde men bana peshab (ntapadama) choti-choti naliyon, jinhen yuretar (ntamajamata) kahte hain, ke raste masane (ntapadantal thasankkmt) men ikattha hota hai. yah jab pura bhar jata hai, tab masane ki maspeshiyon ke sikurne se mutramarg (ntamajitan) se hokar peshab sharir se bahar ata hai. yuretar, masana evan mutra marg ko yurinri taiªkt (ntapadantal jtanbj) kahte hain.
gurde se tin avashyak harmon renin (tmadapada), airithropoytin (mtalajitvchvpmjpd) tatha kailsitriyael (bnsbpjtpvs) bhi niklte hain. jab bhi raktachap kam ho jata hai, tab renin ka srav hota hai. isse rakt naliyan sikur jati hain, jisse raktachap samanya ho jata hai. airithropoytin rakt majja (thavadam danttvu) ko prerit ;aijpaunsanjamaddh karta hai, yah rakt banane ke lie ati avashyak hai. kailstriyael haddiyon men kailsiyam tatha rasaynik santulan banae rakhta hai. gurde men choti avdhi ke rog, jinmen sthayi kharabi gurde men nahin rahti, jaise gurde ya peshab nali men sankraman hona, gurde men pathri ka banna, dast ho jane ke falasvarup sharir men pani ki kami hona (kmilktanjpvd), chot lagna adi ho sakte hain. sath hi kuch davaon ke sevan se bhi gurde ki karyapranali par asthayi prabhav parta hai.
ekyut rinal felyar ;.banajam tmadans thnpasanatamaddh men gurde ki karyapranali par achanak dabav par jata hai. samay rahte ilaj kara lene se adhikatar log puri tarah thik ho jate hain. bahut kam hi sthayi gurde ki kharabi ka shikar hote hain. parantu gurde ke adhikansh rogon ka karan sthayi bimariyan hain. ye rog tab hona shuru ho jate hain, jab gurde lagatar 3 mahine tak sharir se avanchniya padarthon ko peshab ke raste bahar karne men asarmath rahte hain. mukhya karn: gurde ke rog hone ke do mukhya karan hain
- aniyantrit madhumeh aur aniyamit raktachap. anya karn:
- glomerulonefraitis (lasvaumtnsvdmchitpjpe) - paelisistik gurda (chvaslbpejapab gyapakadamala) - gurde men pathri - gurde men sankraman ;chlamsvdmchitpjpeddh - gurde men dard nivarak davaon se hone vali kharabi (.danshmepab chamchitvchanjil). gurde men kharabi ke shuru men koi lakshan najar nahin ate ya mahsus nahin hote, aur jab hone shuru hote hain, tab tak bahut der ho chuki hoti hai, kyonki tab gurde apni kshamata ke matra 10 pratishat hi kam karne layak rah jate hain. aise men do hi vikalp bache rahte hain
- daylisis ;kpanslepeddh ya fir gurde ka pratyaropan (gyapakadamal jtandechsandj). gurdon ke sthayi rog men sharir men pani, tatha bekar evan dushit padarthon ki matra ka barhna shuru ho jata hai aur ejotimiya (.ravjmaupan) evan yuremiya (ntamaupan) ho jata hai.
shuru ke lakshana: thakan rahna, akaran vajan kam hona, mitli/ ulti ana, sharir bimar ya kamjor jaisa mahsus hona, sir dard, nind n ana, hichki bar bar ana, pure badan men sukhi khujli hona, pairon men sujan (dabal roti jaise ho jana) adi. bad ke lakshana: peshab kam ya jyada hona, rat men bar bar peshab ana, mamuli dabav se tvacha men nil parna, khun ki ulti ya kali tatti ana, besudh, gafalat ya behoshi ki halat hona, manspeshiyon ka farfdana, pairon men bayte ana, hath pairon ka sunn par jana, bhukh khatm hona, vyavhar akramak hona, sharir se ajib mahak ana adi. gurdon ke rog ka pata kaise chalta haiah
agar apko madhumeh ya aniyamit raktachap ya fir donon hi rog hain, aur ye niyamit nahin hanai, to apke chikitsak kuch rakt tatha anya janchen karakar is bat ka pata lagate hain. peshab janch: peshab janch men protin ka ana shuru ho jata hai. peshab men sukshm charbi (dapbtvansainaupdntpan) gurdon men sthayi rog hone ke 6 mah ya 10 varsh pahle se hi ani shuru ho jati hai. agar is avastha men janch kar pata laga liya jae aur bachav ke upay kie jaen, to gurdon ke sthayi rog se bacha ja sakta hai. rakt men kriyetinin (aimtnau btamanjpdpdm) ki matra barhne lagti hai. rakt yuriya naitrojan ki matra dhire-dhire barhti rahti hai.
altrasaund men gurde sikude hue tatha samanya se chote najar ate hain. dard nivarak davaen tatha gurdon par unka asr: dard kam karne vali enailjesik davaon jaise aispirin, aispro, perasitamael, aibuprofen, neproksen adi ke istemal ka prabhav bhi gurdon par parta hai. yadyapi in davaon ke nirdharit matra evan simit samay tak istemal se khas hani nahin hoti, parantu kuch logon men to keval do ya tin khuraken hi khasi pareshani ka sabab ban jati hain
- khasakar burhe logon, gurde ke rogiyon aur sharab ka atyadhik sevan karne valon men. in logon men gurde kam karna achanak hi band kar dete hain. iska karan hota hai gurdon ka atishay nishkriya ho jana. .banajam tmadans thnpasanatam ka mukhya lakshan hai peshab ka achanak banna aur band hona (0saphntpan). in rogiyon ko fauran daylisis kar gurdon ko sthayi rup se kharab hone se bachaya jata hai. iske atirikt ukt davaon ko hamesha ke lie band kar diya jata hai.
gurdon ki ek aur bimari hoti hai, jise enailjesik nefropaithi ;.danshmepab damchitvchanjiladdh kahte hain. yah bimari davaon ke nirantar sevan ke falasvarup hoti hai. inse gurdon men dhire-dhire sthayi kharabi a jati hai aur ilaj ke lie ya to daylisis ya fir gurda pratyaropan ;gyapakadamal jatanutchsanjapavadaddh tak karna par sakta hai. gurdon ki karyapranali ke lie char ati avashyak janch:
- raktachap ka map ;thanchn umanentmaumadajaddh - peshab men elabyumin ki janch ;dapbtvansainaupdntpan ndak chtavajamapadanatapanddh - kriyetinin ka star ;aimtnau btamanjapadapadamaddh - rakt yuriya naitrojan ;thasavavak natman chapajatavahamadaddh raktachap: raktachap ki niyamit janch aur iska kisi bhi umra men 130/80 ke star ya isse niche rahna gurdon ki samanya karyapranali ke lie ati avashyak hai.
agar raktachap isse jyada rahta hai to pratidin vyayam, pranayam adi karne chahie, keval shakahari bhojan karna chahie aur adhik se adhik matra men hari sabjiyane, salad, falon, mevane ityadi ka sevan karna chahie. yadi fir bhi raktachap samanya n ho pae, to davaen niyat matra men niyamit rup se avashya lete rahen. maikro elbyuminuriya: gurde samanyatah keval avanchit padarthon ko rakt se bahar karte hain, protin ko nahin. parantu madhumeh tatha adhik bekabu raktachap ke rogiyon ke gurdon se elabyumin namak protin jab ati sukshm matra se peshab men ane lagta hai,
to ise maikroelbuminuriya kahte hain. gurde rog ka shuruati sanket maikroelbyuminuriya: maikroelbyuminuriya ka ho jana yah sabak deta hai ki bhai abhi bhi samay hai, sanbhal jao, kisi yogya chikitsak ki sharan men jao, aur apne sharir men pal rahe madhumeh, raktachap jaise rogon ke bare men purn jankari pakar unse mukabla kar unhen dur bhagao ya kabu men rakho taki gurdon ka rog n ho. rakt ke kriyetinin ka star ;aimtnau btamanjapadapadamaddha: iska samanya star 0.6 se 1.2 mi. gra. ya 100 mili. rahta hai. yadi purushon men yah star 1.7 mi. graaur mahilaon men 1.4 mi. gram ya isse adhik ho, to samjhen ki gurde apni 50 pratishat kshamata se hi karya kar rahe hain. rakt men yuriya ;thasavavak ntaman chapajatavahamadaddh ru sharir ki har koshika protin istemal men lati hai.
is prakriya men ant men jo bekar padarth banta hai, use yuriya kaha jata hai. kyonki ismen naitrojan rahti hai, islie ise rakt yuriya naitrojan ;thanchaddh kahte hain. gurde isi ko rakt se nikalakar peshab men bhej dete hain. iska star samanyatah 7-20 mi. grarhta hai. gurdon ke rogi ke sharir men pani ki kami ;kamilktanjapavadaddh ya fir hart fel ;bhmantaj thnpasanatamaddh hone ki sthiti men yah barh jata hai. kuch anya janchen, jo kabhi-kabhi ki jati hain, is prakar hain.
altrasaund, si ti skain ya emar. ai.: inki jarurat gurdon ke pechida rog, kainsar ya fir peshab ke raste men avrodh ka pata lagane men parti hai. bayopsi ;tmadans thapvcheladdha: janch men gurde ka sukshm tukra lekar use sukshmadarshi men dekha jata hai. is janch se glomerulonefraitis ;lasvaumtnsvdmchitpjeddh jaise rog ke nidan mane sahayta milti hai. gurdon ke rog se kaise bachen: jaisa ki upar bataya gaya hai, gurdon ke rog ke lakshan gurde men 50 pratishat tak kharabi ke bad hi mahsus hote hain. atah yah janna jaruri hai ki manushya kya-kya kar sakta hai ki gurdon ke rog se purnatah bacha rahe.
is sansar men jaise-jaise mashini pragti hoti ja rahi hai vaise-vaise khane-pine ki vastuon ka shodhan barhta ja raha hai. ek sarvekshan ke anusar shahron men log khane pine ke lie adhik se adhik shodhit khadya padarth istemal men la rahe hain. faltah mahamari ka rup le rahi laif stail bimariyan ;snainke spami aijalasam kpemanemeddh utpann hoti hain. madhumeh, hriday rog, uchch raktachap, gurdon ke rog, motapa adi aisi hi bimariyan hain.
snain kn hi nahin, anya rogon se bhi manushya bach sakta hai, basharte vah prakriti se sabak le aur prakriti jo bhi surya ki bhatthi men pakakar deti hai use prempurvak svikar kare. bajar men milne vale aprakritik tatha shodhit padarthon se n keval svayan hi bachen apitu apne bachchon, mitron tatha samaj ko bhi bachaen. to kya ho niyam: - subah suryoday hone se pahle uthen. - pranayam aur vyayam karen. pratidin 30 minat tak tej-tej chalen. - pratidin 8-10 gilas shital jal avashya pien.
- bhojan men ankurit anaj, ankurit dalen, ankurit methi, mungfli adi len. - pratidin kam se kam ek bar paÿodar sag ya hari sabji avashya khaen.
- kam se kam 300-450 gram tak salad ka sevan nitya karen.
- do se tin tarah ke fal avashya len.
- nitya 30-40 gram tak sukhe fal ya meve khaen.
- 5 gram tak alsi ke bij ;thsang emamakaddh bhunakar len.
- 30 mi. li. tak gehun ki ghas ka ras pien.
- yadi mitha khana ho, to shakrkandi ;aiumamaj chvajanjavaddh , kishmish, khajur, chuhara, sabhi prakar ke mithe fal ityadi ya inse bane hue padarth khaen.
- saptah men 24 ghante ka upvas karen.
- hamesha khush rahen.
- madhumeh ke rogi har 15 se 30 dina par apne rakt men shugar ki janch karte rahen aur jo bhi dava chikitsak ne nirdharit ki ho, use avashya khaen.
- raktachap ke rogi bhi raktachap ki dava nirantar khate rahane
- khasakar rat ki khurak ko kabhi bhi n bhulen.
- jinhen gurdon ka rog ho gaya ho ve bhi nirdharit davaen khate rahen.
- rakt men adhik charbi ke rogi tatha hriday ke rogi bhi apni davaen khate rahen.
- madhumeh aur raktachap ke rogi har varsh peshab men maikroelbyuminuriya ;dapbtvansainaupdntpanddh ki janch karate rahen taki samay rahte gurdon ke rog ki shuruat ka pata chal jae.
- striyan, purush, bachche, burhe sab 15 din men ek din sharir se dushit padarthon ko bahar nikalne ke lie ditoks ;kmajavagaddh karen. is din keval fal v salad khaen aur keval hari sabjiyon ka sup pien. kisi bhi prakar k ann ya dal ka sevan n karen. kya n karen
- mans, machli ya kisi bhi prakar ka mansahari bhojan n karen. - anda n khaen.
- madira pan n karen. - dhumrapan n karen. - aprakritik pey padarth n pien. - maida aur maide se bani vastuen baragar, ;thanthantaddh nudals, ;chavvksmeddh bhathure, pijja ;chprranddh ityadi n khaen.
- biskut, chips tatha anya shodhit padarthon ka sevan n karen.
- chini ke sevan se bachen.
- dard nivarak davaen kam se kam khaen. - gussa n karen.
- gurdon ka rog ho gaya ho, to ghar baithe n rahen, kisi yogya chikitsak se is rog ka ilaj karaen.