aj ke adhunik evan mashini yug men vyakti ko n to khane-pine ki vastuon ki sudh hai aur n hi vyayam ka koi niyam. parinamasvarup peptik alsar rog ka prasar ho raha hai. peptik alsar arthat pet dard aur afara.
peptik alsar kya hai
peptik alsar men amashay, dyudinam ya fir grasnli ki jhilli men ghav ho jata hai.
is bimari se vishva bhar men anumantah 15 karor log grasit hanai aur unke ilaj par arbon rupye prativarsh kharch ho rahe hanai.
karn: pichle 100 varshon se is rog ka karan amla ka adhik banna mana jata raha hai. is karan se is bat par adhik dhyan rakha jata tha ki amla ka utpadan kis prakar se kam kiya jae.
parantu ab nai khojon se yah pata laga hai ki amashay men e k parjivi kitanu helikobektar paylori helicobacter pylori ke amliya vatavaran men panpne se yah rog hota hai.
is rog ka dusra karan jor dard, kamar dard evan sir dard ityadi ke nivaran hetu, niyamit istemal ki jane vali davaen hain jaise ki espirin, brufen evan anya samakaksh davaen.
is rog ke anya karan dhumrapan aur pradushan hain.
holikobektar paylori jivanu ka sankraman am bat hai. lagabhag 100 karor log isse sankramit hain. yah sankraman kai varshon tak bina lakshanon ke bana rahta hai. is sankraman se keval 15 pratishat logon men peptik alsar rog hota hai.
yah jivanu spring ke akar ka hota hai. yah kis prakar rog ko janm deta hai abhi tak gyat nahin ho saka hai.
joro ke dard, kamar dard adi ke nivaran hetu khayi jane vali davaiyan, sharir men paye jane vale prostagledinn ;chtavejanhsandakapadaddh ka pratirodh karti hain jisse alsar rog ho jata hai.
biri, sigret ke dhumrapan se n keval alsar hota hai apitu isse anya jatil rog bhi utpann hote hain. jaise alsar se raktasrav, bleeding from ulcer amashay men rukavat hona obstruction ya amashay men ched perforation of ulcer ho sakte hain.
lakshana: is rog ke karan la¬egon men vibhinn prakar ke lakshan hote hain.
- kuch ko sine men jalan hoti hai.
- jaldi-jaldi bhukh lagti hai.
- bhojan karne ke 1-3 ghanton men hi ya fir madhyaratri men dard hota hai.
- daijin ya aisi hi amla kam karne vali goliyon ya fir pine ki davaon se aram ho jata hai.
- kuch logon ke lakshan davaon ke sevan se bhi nahin jate hain.
nidan: yan to upar batae gaye lakshan hi rog ka sanket dete hain parantu rangin eksare aur agar jarurat pare to aindoskopi dvara alsar ko dekha ja sakta hai.
endoskopi dvara jan chak e lie tukar alena asan rahta hai aur uski janch se ech paylori sankraman ka pata lagane men asani hoti hai. aindoskopi men ek lachili nali munh ke raste gras nali men dalakar amashay aur grahni ko dekha jata hai. amashay ke alsar ki janch islie bhi ki jati hai ki kahin kainsar n ban gaya ho.
kuch logon ko alsar se raktasrav hane se kali tatti ;thasanba bvasavanatamak aijvvseddh ane lagti hai. kuch rogi kamjori mahsus karte hain. kuch ko khun ki ulti ;bhmaumjmaumepeddh aur kisi ko adhik der khare rahne se chakkar a jata hai.
khatre ki ghanti
jin logon men upar bataye gaye lakshanon ke karan, kisi din achanak bahut adhik dard ke sath pet par afara a jae aur pet sakht ho jae to yah samjhna chahie ki alsar fut ;nsabamat chmatavitanjapavadaddh gaya hai aur amashay ka amla pure pet men fail gaya hai.
kuch logon men ant ka band ;viejatanab.japavadaddh bhi lag sakta hai parantu yah rog kam hi hota hai.
upchar: sabse pahle agar dard nivarak davaen kha rahe hain, unhen band karna chahie.
jo log biri, sigret ya sigar adi pite hain, use band karna avashyak hai.
sharab pine vale aur anda, mans-machli khane vale log inhen lena band kar den to is rog ke sthayi upchar men adhik sahayta milti hai.
jo log choti-choti baton se adhik uttejit ho jate hain aur pareshani men rahte hain, unhen apni in adton ke hanikarak parinamon ko samjhna chahie aur unse chutne ke upay karne chahie.
davaen: entesid arthat amlanirodhak davaen lakshanon ki tivrata ko madhyam karne men ati karagar hain.
inke alava dusre prakar ki davaen jinhen ech-2 blaekars ke samuh ke nam se jana jata hai, alsar ke ilaj men prayog men layi jati hanai.
in davaon men renitidin ;tndapajap.kapadamaddhae simetidan ;bpaumajapakapadamaddh adi pramukh hain. in davaon ke sevan se kuch dushprabhav ho sakte hain jaise chakkar ana, siradard, sust ho jana adi.
in davaon ke sevan ke sath sharab ka sevan karne se rakt men sharab ki matra barh jati hai.
dusri kuch davaen hain jinhen pi. pi. ai ;chtavajavad chnauch pdipaipjvteddh samuh ke nam se jana jata hai. ye upar batai gai davaon se adhik karagar siddh hui hain. in davaon ko lanbe samay tak istemal men laya ja sakta hai. inke dushprabhav bhi kam hain.
keval pi. pi. ai davaon se hi rog ka nivaran nahie ho jata. purn ilaj ke lie ek entibaytik aur entiamibik ka ek kors pi. pi.ai ke sath dene se hi helikobektar sankraman ko mitaya ja sakta hai.
inke alava sukrelfet ;ainbtansanijamaddh namak dava dvara bhi rog ke ghav ko bharne men sahayta milti hai.
jin rogiyon ko upar batayi gai davaon se aram n ho to ve kam.raj buti 2 gram prati din 40 se 50 din tak khane se sthayi aram pa sakte hain.