ghutne ka dard ghutne ka dard purush ya stri ko alg-alag umra men kai karnon se hota hai. iski khas vajah khan-pan men kami tatha vyayam ki aniyamitta hai. ghutne ka dard kyon ha¬eta hai, usse kaise bachen tatha iska prathmik upchar kaise karen, parhie is alekh men...
aj ke mashini yug men jab naye-naye ane-jane ke sadhan, motar gariyan, havai jahaj adi ne jivan ki raftar barha di hai, vahin barhti umra ke logon ke chalne ki raftar kam hoti ja rahi hai. karan hai desh men vayaskon evan praurhon ki barhti jansankhya aur unmen chalne se mohtaj log. ji han, ap ne thik samjha. hamara ashay ghutne ke dard se hai jisse shahron men bahut log pirit hain. shahron tatha kasbo men kam hi ghar honge jahan kam se kam ek vyakti ghutne ke dard se pirit n ho. ghutne ka dard purush ya stri ko kisi bhi umra men ho sakta hai jaise kaelej ke chatra, khilari, udyogon men kam karne vale majdur, daftar men karyarat lo g, mali, khe ta e nm e nmjdu ra/kisan, kam karne vali bai ya fir ghar ke malik, malkin, burhe log.
karn: ghutne men dard alg-alag umra tatha alg-alag vyavsayon men karyarat vyaktiyon ko bhinna-bhinn karnon se hota hai, jaise bachchon evan khilariyon men yah dard ghutne ke idar¬gird manspeshiyo nmen atyadhik khinchva ya chot lagne, moch se hota hi rahta hai. kam samay men ghutne ka atyadhik istemal ghutne ke dard ka mukhya karan hai, khasakar jab rojana vyayam ka koi niyam n ho. sans fulane vale vyayam (erobiksa) karna, sakht farsha/dharati/ sarak par vyayam karna, ubr-khabar jamin par daurna, sirhiyon par upr-niche bhagna is dard ke javano evan khilariyon men hone ke mukhya karan hain. jab sirhiyon par charhte hain to ghutne parta hai aur agar sirhi par daurte jaen to ghutne par sharir bhar ka ath guna dabav parta hai. in sabhi se manspeshi khniach jana, tendenaitis ;jmadakapadapajapeddh aur barsaitis ;thant¬epjpeddh namak vyadhiyan ho jati hain. gathiya ;vejmvantjitpjpeddh vayaskon evan burhon men ghutne ke dard ka sabse mahatvapurn karan hai. is rog men ghutne ki kartilej (upasthi) ka kshay ho jata hai. kabhi kabhi to kartilej ghis-ghis kar lagabhag khatm ho jati hai aur fimar ;thmaunataddh haddi tibiya ;jpaipanddh haddi se takrati rahti hai.
ligament (asthi tantuon) ki chotah khilariyon ke ligament ke kshatigrast hone par ghutne ka dard aksar ho jata hai. in choton men e. si. el. chot ;.nbnsn pdaranataladdhae pi. si. el. chot ;chnbnsn pdaranataladdhae midiyal kletral chot ;damkpans bvassanjmtans pdaranatal ddhae kartilej ki chot, meniskas ka fat jana, paitela ke tenden ki sujan ya fir infekshan pramukh hain. rumetaid artharaitis ;timnaun¬javapak .
tajitpjpeddha: is rog men ghutne ke atirikt anya joron men bhi darda-sujan hoti rahti hai. isse parivar ke anya log bhi pirit ho sakte hain. is rog men subah -subah joron men sujan aur dard rahta hai. madhumeh rogi jyadatar ghutne ke dard se bhi pirit rahte hain. barsaitis ;thantepjpeddh rog un logon men adhik rahta hai jo ghutne ke bal baithakar kam karte hain jaise gharon men pocha lagane vale log, mali ya galicha bichane vale majdur ityadi. janpars ni ;shranauchamatashe gyadamamaddh un logon men hota hain jo ki jyada uchl-kud karte hain.
udaharan ke lie basketbal, vaelibal ke khilari ya fir mairathan daur jaise khelon ke khilari. ye log jab kudte hain tabhi sabse adhik dard hota hai.
gaut: yah rog yurik esid ke kristal (khe) joron men a jane se hota hai. rakt men yurik esid janch dvara is rog ka asani se pata lagaya ja sakta hai. is rog ka pata lagne par iski dava jivanaparyant khaen anyatha is rog men utpann yurik esid ke kristal gurde ko kshatigrast kar sakte hain.
sankramn: gonoriya ;lavdvttivmanddh namak roganu ke infekshan se bhi ghutne men dard ho sakta hai. is rog men dard ke sath-sath sujan bhi ho jati hai. is rog ki khas pahchan yah hai ki bukhar sardi ke sath ata hai.
nidan: khun ki janch: madhumeh, gaut, rume¬taid artharaitis ya infekshan ke lie rakt janch dvara rogon ka nidan ho jata hai.
ghutnon ka eksare: isse joron ki haddiyon ke bich ki duri aur anya baton ka pata lagaya jata hai. kabhi-kabhi durbin dvara jor ke andar dekhakar bhi bimari ka nidan kiya jata hai jise arthoskopi kahte hain. kabhi-kabhi si. ti. sken ;bnjn aibandaddh ya fir em. ar. ai. sken ;dantnpn aibandaddh bhi karvana par sakta hai. em. ar. ai se keval kuch hi rogon ki sthiti ka pata lagta hai jabki eksare se jyada bimariyon ka pata lagana asan hota hai.
kab milen haddi visheshagya se :
1. jab aram se chalna dubhar ho jae.
2.jab chot se pair men/ghutne mane terhapan a jae.
3. jab ghutne ka dard aram karte hue bhi rahe ya fir rat ko dard ho.
4. jab dard kafi dinon se rahta ho.
5. ghutna laek ho jae.
6. ghutne men sujan a jae ya pindliyon men sujan a jae.
chot lagne ke uprant hone vali kriyaen: jab kisi khilari ko daur ke uprant manspeshi khinch jane se dard hota hai to karan hota hai us sthan ki manspeshiyane evan utkon ka kshatigrast hona. is dauran tanedan ya ligament ke reshe bhi prabhavit ho jate hain. natijatan choti-choti rakt shiraen tut jane se raktasrav shuru ho jata hai aur chot ke sthan par sujan ho jati hai. fir yahi sujan pahle se lagi chot ke dard ko aur barha deti hai. haddi men chot lagne ke pashchat bhi thik isi prakar ka kram rahta hai. aksar log is chot vale sthan ko garm senk lagane lagte hain. is karan dard aur sujan barhte jate hain aur fir log daur parte hain kisi malish karne vale ke pas ya samjhdar log chikitsak ke pas jate hain.
prathmik upchar: aram: isse visth a pit manshpeshiyon ko aram milne se raktasrav kam hoga jisse dard aur sujan men kami aegi. ghutne ko aram dene ke lie agar baisakhi ki jarurat pade to jarur istemal kar leni chahie.
thanda senk karen: barfa ko torakar kisi thaili men dalakar ya rabar ki botal men dalakar chot ke sthan par gila tauliya rakhne ke bad upar barf ki thaili rakhen. isse kshatigrast rakt ki shiraen ;bnchpssantpmeddh band ho jaengi aur sujan tatha dard donon men aram milega. yad rahe, keval 20 minat tak ek bar senk karen evan fir 20-40 minat bad dobara sanek karen jisse ki chot grast bhag ke upar ki tvacha ka raktasanchar kam n ho jae. jitna bhi rakt ya siram ;aimtnauddh chot vali jagah men ikattha ho jaega, yah utna hi inflemeshan (jaln) ko janm dega aur iske thik hone men utna hi adhik samay lagega. kampres karna ;bvauchtmeeddha: halke dabav deti hui patti bandhe jisse rakt shiraen band ki ja saken aur sujan bhi kam rahe. rogi ko ghutne ko uncha karke rakhna char panch dinon ke pashchat chot ke sthan ki garm sinkai shuru kar sakte hain. isse sujan tatha dard ko jaldi thik karne men sahayta prapt hoti hai. isi prakar jinhen joron se adhik kam lena hota hai ve pratidin subah garm sinkai karen to unki manspeshiyan khul jaengi aur joron ki karyakshamata barh jaegi. sham ko pure din ki bhagdaur evan thakan ke pashchat joron men halki chotane ke karan jo sujan ane ka khatra barh jata hai use thanda senk khatm kar dega. in sabke atirikt jo anyatra upay kiye jate hain ve nimnalikhit hain:
fiziyotherepi ;chilepvjimtanchaladdha: fiziyotherepi ke tahat kai prakar ke vyayam evan upkrnon dvara rogi ki manspeshiyon men takat barhane ke upay kie jate hain taki ghutnon ko bar-bar lagne vali choton se bachaya ja sake aur unhen puri tarah svasth banaya ja sake. kvadrieseps manspeshi ;fananktpbmche unebasamaddh ki takat badhane vali kasarat kabhi n bhulen. keval do vyayam, pahla kamar ke bal letakar ghutne more bina pairon ko uthana aur dusra lete-lete hi pairon ko sidha karna, inke dvara ghutne ke dard ko kam kiya ja sakta hai. davaen: enti inflemetri davaen ;.da¬jap padsinuunjavatal katnheddh en. es. e. ai. di ;chai.pkddh namak dard nivarak davaen sabse adhik istemal ki jati hain, dard chahe kisi bhi karan se hota ho. kaertison injekshana: yah ati prabhavshali entiinaflemetri dava hai.
parantu yah nirnay ki kaertison injekshan ghutne men lagaya jae, haddi rog visheshagya kare to ati uttam hoga. kaise bachen ghutne ki chota/dard se vajan ko kam aur kabu men rakhane. isse artharaitis, tendan ;jmadakavadaddh evan ligament ;spahanumadajaddh ki choton se bahut had tak bacha ja sakta hai. nirantar chalte rahen ;gyamamach spauimataddh . kai ghutne ke rog manspeshiyon men khinchav ya tait rahne se hi utpann hote hain. isilie streching vyayam karte rahen. vyayam niyamit evan soch samajhakar karen. tairna ya pani men vyayam karna ati labhdayak rahta hai. ho sake to basketbal, valibal aur daurne jaise khel kam khelen ya fir saptah men do din se jyada kisi kimat par n khelen. kvadrieseps manspeshi ;fananktpbmche danebasamaddh ki takat barhane vali kasarat kabhi n bhulen. ghutne ko ni paid ;gyadamam chnkeddh dvara bacha kar rakhna labhkari hai, khasakar gharon men pocha lagane vali aurat aur kalin bichane vale majduron ke lie.
bhojan men ankurit anaj evan dalen, ankurit methi, kam se kam tin prakar ke fal, do prakar ki meva (sukhe fal), tin prakar ki hari sabjiyan, salad (pratidin kam se kam 600 gram) aur 10 se 12 gilas shital jal len. dhumrapan, madira, mans-machli, anda kabhi n khaen. tale hue maidayukt bhojan se parhej karen. saptah men ek se do din upvas avashya rakhen. jin logon ko davaon ke karan amashay men amla ;.bapakaddh utpann ho jata hai ya fir peptik alsar rog se grast hain ve vijysar ki lakri ka burada tatha arjun ki chal ki chay ka sevan sadharan chay ke sthan par karen. aisa karne par dard nivarak davaon ki jarurat kam hogi ya paregi hi nahin. jau ke javare/gehun ke javare pratidin 3 se 4 auns (100 gram) avashya len.
jin logon ko gathiya ;vejmvantjitp¬jpeddh ki vajah se itna dard rahta hai ki rojamarra ka kam dubhar ho gaya ho aur haddi rog visheshagya ne ghutne ke jor ko hi badlne ;jvajans adamam tmachasanbmaumadajaddh ki salah de di ho tab shalya chikitsa ;vchamatanjapavadaddh karvane se pahle nimn ajmakar dekhen. bhojan men bakri ka dudh, mausam ke anusar fal, hari sabji men lauki, taurai, tinda tatha ramdana/chailai ka sag, sukhe mevon men akhrot ki giri pratidin 30 gram tak tatha 10 gram tak alsi ke bij khaen. jau/gehun ke javare chaba kar khaen. agar dant thik n hon to inka ras nikalakar pien.
savdhani barten: alu, tamatar, baingan, hari mirch, lal mirch, shimla mirch ;bnchepbnauddhae rasbhri kabhi n khaen. agar mumkin ho sake to ann ka sevan n karen. agar karen bhi to ankurit anaj ka sevan karen vah bhi kam matra men. kisi fiziyothairepist ki nigrani men manspeshi ki takat barhane vali kasarat pratidin karte rahen.
janm kundli ke vishleshan ke lie bat karen desh ke prasiddh jyotishiyon se keval fyuchar point par