क़ब्ज़

thumb|qabz qabz (aangrezi: Constipation) amashay ki svabhavik parivartan ki vah avastha hai, jisamean mal nishkasan ki matra kam ho jati hai ya malakriya mean kathinaee hoti hai, mal k da ho jata hai, usaki avriti ghat jati hai ya mal nishkasan ke samay atyadhik bal ka prayog karana p data hai aur pet mean gais banati hai. mal visarjan karm ya riphleks 24 ghante ya 48 ghantoan mean niyamit rup se ek bar n ho to use malavarodh kaha jata hai. samany avriti aur amashay ki gati vyakti vishesh par nirbhar karati hai. ek saptah mean 3 se 12 bar mal nishkasan ki prakriya samany mani jati hai.

khan-pan mean asavadhani rakhane ka parinam

qabz aj ke samay ka ek sadharan rog hai. aj bahut se log qabz rog se pareshan rahate haian. qabz rog vyakti ke svayan ke khan-pan mean asavadhani rakhane ka hi parinam hai. qabz utpann hone ka mukhy karan adhik mirch-masale vala bhojan karana, qabz banane vale padarthoan ka sevan karana, bhojan karane ke bad adhik der tak baithana, tel v chikanaee vale padarthoan ka adhik sevan karana adi hai. sharirik shram n karane se mal ka tyag alp matra mean tatha aniyamit hota hai. kabhi-kabhi atyadhik kuanthan karane athava ghantoan shauch ke lie baithane par tho da bahut bahar ata hai. kisi-kisi ko to kee-kee dinoan tak mal visarjan hi nahian hota hai.

qabz rog hone ki asali j d bhojan ka thik prakar se n pachana hota hai. yadi pet rogoan ka ghar hota hai to aant vishaile tatvoan ki utpati ka sthan hota hai. yah bahut se rogoan ko janm deta hai jinamean qabz pramukh rog hota hai. qabz mean adhik matra mean mal ka b di aant mean jama ho jata hai. qabz ke karan avarohi aantoan mean taral padartho ke avashoshan mean adhik samay lagane ke karan uname shushk (thanda) v kathor mal adhik ekatrit hone lagata hai. qabz utpann hone ka ek am karan hai jivan mean mal tyag ki sadharan kriya ka rukana.

qabz ek prakar ka aisa rog hai jo pachan shakti ke kary mean kisi badha utpann hone ke karan hota hai. is rog ke hone par sharirik vyavastha big d jati hai jisake karan pet ke kee rog utpann ho jate haian. is rog ke karan sharir mean kary karane ki kshamata kam ho jati hai. is rog ke karan sharir ke andar zahar bhi ban jata hai jisake karan sharir mean anek bimari paida ho sakati hai jaise- muanh mean ghav, chhale, aphara, thakan, udarashool ya pet me dard, gais banana, sir mean dard, hath-pairoan mean dard, apach tatha bavasir adi. qabz banane par shauch khulakar nahian ati, jisase pet mean dard hota rahata hai.

yadi qabz ka ilaj jaldi se n karaya jae to yah phailakar any rog utpann karane ka karan ban sakata hai. jab qabz ka rog kafi big d jata hai to manushy ke maladvar par dararean tak p d jati hai aur ghav ban jate hai. yadi is rog ka ilaj jaldi nahian karaya gaya to yah rog age chal kar bavasir, madhumeh tatha mirgi jaise rog ko janm de sakata hai.

kabhi-kabhi chhote bachche ko hone vale mal mean geand jaise gol-gol tatha chhote-chhote dhele hote hai. is avastha ko sansthambhi qabz kahate hai tatha bachchoan ko is avastha mean bahut tez dard hota hai jisake karan vah apane mal ko rok lete haian aur unhean qabz ki shikayat ho jati hai. kisi navajat shishu ko shayad hi kabhi qabz hoti hai parantu usake vikas ke pahale varsh mean use malatyag kriya sikhaee jati hai, jisase vah malatyag kriya ko pratidin hone vali kriya ke roop mean manane lagata hai.

qabz rog ka lakshan

• rogi ko shauch saf nahian hota hai, mal sookha aur kam matra mean nikalata hai. mal kuanthan karane ya ghantoan baithe rahane par nikalata hai.
• qabz rog se pi dit rogi ko rozana malatyag nahian hota hai. qabz rog se pi dit rogi jab mal ka tyag karata hai to use bahut adhik pareshani hoti hai. kabhi-kabhi mal mean gaanthean banane lagati hai. jab rogi malatyag kar leta hai to use tho da halkapan mahasoos hota hai.
• qabz rog se pi dit rogi ke pet mean gais adhik banati hai. pi dit rogi jab gais chho data hai to usamean bahut tez badaboo ati hai.
• qabz rog se pi dit rogi ki jibh saphed tatha matamaili ho jati hai. jibh malavrit rahati hai tatha muanh ka svad kharab ho jata hai. kabhi kabhi muanh se durgandh ati hai.
• rogi vyakti ke aankhoan ke niche kalapan ho jata hai tatha rogi ka ji michalata rahata hai. rogi ki bhookh mar jati hai, pet bhari rahata hai evan mitha mitha dard bana rahata hai, sharir tatha sir bhari rahata hai.
• sir tatha kamar mean dard rahata hai, sharir mean alasy evan susti, chi dachi dapan tatha manasik tanav sambandhi lakshan bhi milate haian. bahut dinoan tak malavarodh ki shikayat rahane se rogi ko bavasir ityadi rog bhi ho jata hai.
• qabz rog se pi dit rogi ko kee prakar ke aur bhi rog ho jate haian jaise - pet mean soojan ho jana, muanhase nikalana, muanh ke chhale, amlata, gathiya, aankhoan ka motiyabind tatha uchch raktachap adi.
• in lakshanoan ke atirikt malavarodh ke sambandh mean kuchh prachin batean bhi prachalan mean hai. jaise mastishk tatha na di mandal mean avasad rahata hai, manasik tatha sharirik kary shakti ghat jati hai arthat usamean svabhavik sphoorti nahian rahati hai. rakt par isaka dushprabhav hone se rakt dab badh jata hai. panduta namak rog hone se sharir ka rang phika p d jata hai. aantoan mean gais banane se rogi ko anidra ki bhi shikayat ho jati hai. aantoan mean adhik samay tak mal ruka rahane se arsh rog ho jata hai.
• yadi koshthabaddhata kisi any rog vishesh ke karan nahian hai to jivan shaili mean tho da sa parivartan karake bachav ki paddhati apanaee ja sakati hai. isake viparit yadi malavarodh ka karan koee any bimari hai to sarvapratham us mool bimari ka upachar karana chahie.

qabz hone ke karan

khan-pine mean asavadhani-

qabz vyaktiyoan mean galat khan-pan ke karan utpann hota hai. bhojan mean aise padarthoan ka prayog karana jinhean pachan tantr asani se nahian pacha pata, jisase aant se mal poorn roop se saf nahian ho pata aur andar hi s dane lagata hai. adhik mirch-masaledar tatha garishth bhojan karane se bhi qabz banata hai. adhikatar vyaktiyoan mean qabz ke aise lakshan hote haian jisamean aantoan ki apane-ap kriyashilata tatha qabz ke rachanatmak asamanyataoan ki kamiyoan ko nazaraandaj nahian kiya ja sakata. vaijnanikoan dvara pratidin bhojan mean prayog kiye jane vale padartho ki jaanch se pata chala hai ki vyakti apane bhojan mean reshedar v taral padartho ka prayog nahian karate, jisase milane vali protin v vitamin logoan ko nahian mil pata aur jisase qabz utpann hota hai. vaijnanikoan ke anusar sabhi vyaktiyoan ko pratidin 10 se 12 gram reshedar shak-sabjiyaan tatha 1 se 2 gilas taral padarthoan ka sevan karana chahie. sath hi khane ke bad ya kisi bhi samay mal tyag karane ka anubhav ho to alasy ke karan use talana nahian chahie, balki malatyag ki ichchha hone par mal tyag zaroor karean.

sanrachanatmak asamanyataean-

aantoan mean utpann ghav adi ke karan mal tyag ke marg mean rookavat utpann hoti hai, jisase mal tyagate samay zor lagane se dard utpann hota hai. dard ke karan mal ka tyag n karane se mal aantoan mean s dakar qabz paida karata hai.

vyavasthagrast bimari-

aantrik nali ki tantrikaoan ki kupranali, peshiyoan ki kharabi, iandokrain visangatiyoan tatha vidyut apaghaty ki asamanyatayean adi utpann hokar aantoan mean qabz banate haian.

• manushy ki pachan kriya mand p dana, kam matra mean mal ana, subah ke samay mean mal karane mean alasy karana, kam matra mean bhojan karane se mal n banana, bhookh n lagana adi karanoan se yah rog manushy ko ho jata hai.
• mal tatha peshab ke veg ko rokane, vyayam tatha sharirik shram n karane ke karan, ghar mean baithe rahana, shaiyya par bahut samay tak vishram karana, sharir mean khoon ki kami tatha adhik sone ke karan bhi qabz rog ho jata hai.
• mal tyag ki prerana ki avahelana karane se malashay mean mal ke a jane par bhi mal tyag ke lie nahian jana. isase dhire dhire malashay mean mal ke pravesh se utpann hone vali sanvedana ya bechaini ki pratit uttarottar halki p dati hai jisase malashay mean mal jama hokar khushk ho jata hai.
• mahilaoan mean garbhavastha ke karan. chinta, bhay, shok ityadi uddipanoan ke karan. yakrit ke rog, malashay ki vatik nirbalata.
• kam reshayukt bhojan ka sevan karana, basi bhojan ka sevan karane aur samay par bhojan n karane ke karan bhi qabz rog ho sakata hai.
• tali huee chijoan ka adhik sevan karane, galat tarike se khan-pan ke karan aur maida tatha chokar ke bina bhojan khane ke karan qabz ka rog ho sakata hai. uchch prakar ki riphaind athava nimn koti ke phaivar yukt bhojan tatha drav padarthoan ke adhik sevan se.
• thandi chije jaise- aisakrim, pestri, chakalet tatha thande pey padarth khane, kam pani pine ke karan aur taral padarthoan ka sevan adhik karane ke karan bhi qabz rog ho sakata hai.
• dard nashak davaiyoan ka adhik sevan aur adhik dhoomrapan tatha nashili davaiyoan ka prayog karane ke karan bhi qabz rog ho sakata hai. ratri jagaran, tez k aaufi, chay aur vibhinn nashile padarthoan ka sevan karane se.
• vitamin bi ki nyoonata se aant ki prerak shakti mand p d jati hai jisase mal bandh ho jata hai.
• th aauyarayad ka kam banana, kailsiyam aur potaishiyam ki kam matra hona, kanpavad (parkiansan bimari) hona.
• sharir mean med vriddhi ho jane par athava pandu rog hone par ya kisi tej jvar ke bad athava kshay rog mean ya madhumeh mean tatha vridghavastha ke karan bhi aantoan ka nirbal ho jana svabhavik hai jisase rogi ko mal bandh rahata hai. ise etanik ya kolonik kansatipeshan kahate haian.
• pittashay, ependriks, guda tatha garbhashay mean shoth hone par b di aant mean stambh hokar malabandh ho jata hai. bavasir ke massoan ke sooj jane tatha prostet granthi mean shoth hone par bhi b di aant mean stambh hokar mal bandh ho jata hai. b di aant mean ghav ya chot ke karan yani b di aant mean kaiansar hona par bar-bar shauch jane ki adat p d jati hai parantu mal tyag adhoora hi rahata hai.
• patharili chattanoan athava patharili maidani bhoomi ka jisamean choone ka pani rahata hai, jal pine se aanto mean kailshiyam kabornet adhik matra mean pahuanch jata hai, jisake shoshak hone se bhi mal bandh ho jata hai. isake atirikt jis sthan ka pani bhari hota hai, vahaan bhi logoan mean adhikaanshatah malabandh ki shikayat bani rahati hai.

qabz rog ka prakritik chikitsa se upachar

qabz rog ka upachar karane ke lie kabhi bhi dast lane vali aushadhi ka sevan nahian karana chahie balki qabz rog hone ke karanoan ko door karana chahie aur phir prakritik chikitsa se isaka upachar karana chahie. qabz rog se bachane ke lie jab vyakti ko bhookh lage tabhi khana khana chahie. qabz ke rog ko thik karane ke lie chokar sahit ate ki roti tatha hari pattedar sabjiyaan chaba-chabakar khani chahie. reshe vali (uchch selooloj) jaise bhoosi, phal, shak ityadi ka niyamit prayog karean. pratidin kam se kam ath das gilas pani piyean. adhik se adhik bina paka hua bhojan karana chahie. aankurit ann ka adhik sevan karane se rogi vyakti ko bahut labh milata hai. gehooan ka ras adhik matra mean pine se qabz se pi dit rogi ka rog bahut jaldi thik ho jata hai. qabz n banane dene ke lie bhojan ko achchhi tarah se chabakar khaean tatha aisa bhojan kare, jise pachane mean asani ho. rogi vyakti ko maida, besan, tali-bhuni tatha mirch masaledar chizoan adi ka sevan nahian karana chahie. koshthabaddhata ke rogi ko kam chikanaee vale ahar jaise gay ka doodh, panir aur halka-phulka lena chahie.

phaloan ka adhik sevan karean

rogi vyakti ko adhik se adhik phaloan ka sevan karana chahie ye phal is prakar hai- papita, santara, mosammi, khajoor, nariyal, amarood, aangoor, seb, khira, gajar, chukandar, bel, akharot, aanjir adi. nianboo pani, nariyal pani, phal tatha sabjiyoan ka ras pine se qabz se pi dit rogi ko bahut fayada milata hai. kachche palak ka ras pratidin subah tatha sham pine se qabz rog kuchh hi dinoan mean thik ho jata hai. nianboo ka ras garm pani mean milakar rat ke samay pine se shauch saf ati hai. bhojan mean dal ki apeksha sabji, bathua, palak adi shak ka adhik se adhik sevan karana chahie. ubali huee gajar tatha pake hue amarud ka sevan sarvottam hota hai. rogi vyakti ko rat ke samay mean 25 gram kishamish ko pani mean bhigone ke lie rakh dena chahie. rojana subah ke samay is kishamish ko khane se purane se purana qabz rog thik ho jata hai. qabz se pi dit rogi ko subah tatha sham 10-12 munakka khane se bahut labh hota hai. shauch lagane par shauch n jane athava shauch ke veg ko rokane se bhi qabz banati hai. adhik kam karane tatha manasik thakan ke karan bhi qabz banata hai.

any ghareloo upay

• aise rogi jinaka meda bahut sakht hota hai, unhean shauch bahut kathinaee se ata hai. unhean ratri mean ek b da gilas garm doodh mean 50-60 gram deshi gu d milakar pi lene se chamatkari labh hota hai. yah koshthabaddh rogi ke lie likvid therepi ka kary karata hai.
• qabz ka upachar karane ke lie rogi vyakti ko apane pet par 20 se 25 minat tak mitti ki ya kap de ki patti karani chahie. yah kriya pratidin karane se yah rog kuchh hi dinoan mean thik ho jata hai. isake bad rogi vyakti ko katisnan karana chahie tatha enima kriya karake apane pet ko saf karana chahie.
• qabz door karane ke lie subah soory nikalane se pahale uthakar khuli hava mean pratidin tahalana chahie. isase sharir sphoortidayak aur tarotaja rahata hai aur qabz adi se bhi bachata hai. qabz ko door karane ke lie rat ko sote samay ek bartan mean pani rakh dean aur subah soory nikalane se pahale uthakar us pani ko 2-4 gilas pi lean. phir tahalane ke bad shauch jane se shauch khulakar ati hai aur qabz door hota hai.
• qabz rog se pi dit rogi ko rat ke samay mean taanbe ke bartan mean pani ko rakhakar subah ke samay mean pine se shauch khulakar ati hai aur qabz nahian banati hai. aantoan mean khushki n ho isake lie rogi ko ahar ke atirikt 3–4 litar jal pratidin lena chahie.
• qabz rog se pi dit rogi ko sham ke samay mean hare rang ki botal ka sooryatapt pani pina chahie. isake bad eesabagol ki bhoosi li ja sakati hai. lekin isamean koee khady padarth nahian hona chahie. koshthabaddhata ke rogi ko donoan samay niyamit roop se mal tyag ke lie jana chahie.
• mal tyag ke poorv ek pyala chay ya doodh lene se suvidha hogi. mal tyag ka samay kabhi badalana nahian chahie.
• shirshasan ya sarvagasan karane se pelvik kolan mean harakat hokar mal tyag ki sanvedana hoti hai. pratahkal pet tatha mooladhar ki maans peshiyoan ka gati pradan karane vali vyayam karane chahie.
• qabz rog se pi dit rogi ko bhojan karane ke bad lagabhag 5 minat tak vrajasan karana chahie. yadi subah ke samay mean uthate hi vrajasan kare to shauch jaldi a jati hai.
• qabz rog ko thik karane ke lie pani pikar kee prakar ke asan karane se qabz rog thik ho jata haian- sarpasan, kati-chakrasan, urdhvahastottonasan, udarakarshasan tatha padahastasan adi.
• yadi kisi vyakti ko bahut samay se qabz ho to use subah tatha sham ko katisnan karana chahie aur sote samay pet par garm siankaee karani chahie aur pratidin kam se kam 6 gilas pani pina chahie. qabz rog se pi dit rogi ko 1 chammach aanvale ki chatani gunagune doodh mean milakar lene tatha rat ko sote samay ek gilas gunaguna pani pine se bahut adhik labh milata hai.
• qabz rog se pi dit rogi ko pratidin subah ke samay mean 2 seb daantoan se katakar chhilake samet chaba-chabakar khana chahie. isase rogi ka rog jaldi hi thik ho jata hai.
• saptah mean 1 bar garm doodh mean 1 chammach erandi ka tel milakar pine se qabz ka rog kuchh hi dinoan mean thik ho jata hai.

qabz door karane ki chikitsa

qabz ko door karane ke lie vibhinn niyamoan ka palan karana chahie tatha qabz ko door karane ke lie prakritik chikitsa dvara chikitsa karani chahie. qabz ko door karane ke lie vyakti ko sabase pahale brahmachary ka palan karana chahie. isake lie prakritik chikitsa ka prayog karana chahie. isase sharirik shakti bani rahata hai aur qabz jaldi door hota hai. sath hi prakritik chikitsa ka sharir par koee hanikarak prabhav nahian p data.
shastroan mean kaha gaya hai- maranan bindupatenajivanan bindu dharanath. arthat adhik viryaskhalan se sharir ki oorja shakti, tej, ojas dhire-dhire samapt ho jate haian. isase sabhi snayuoan mean kamazori aur chi dachi dapan utpann hota hai. viryaskhalan se pachanakriya kharab hoti hai aur jatharagni mand p d jati hai, jisase bhojan thik se pach nahian pata aur apacha hua padarth mal ke roop mean atoan mean hi s data rahata hai. atoan mean mal s dane se pet mean gais paida hoti hai aur khoon dooshit hota hai. at: apane ap par sanyam rakhe bina upachar se koee labh nahian ho sakata.

enima (doos) kriya

vibhinn karanoan se jab mal aantoan mean jam jata hai, to vah dhire-dhire sookhakar qabz ko paida karata hai. at: qabz ko door karane ke lie aantoan ko saf karana avashyak hota hai. aantoan ko saf karane ke lie jal chikitsa mean batayi gee vidhi se thande pani ka enima le. yadi qabz adhik ban gee ho to rogi ko halke garm pani ka enima diya ja sakata hai. yadi enima garm pani ka diya ja raha ho to garm pani ka enima dene ke bad thande pani ka bhi enima dean. isase qabz mean jald labh milata hai.

pe doo par thande pani ki patti

enima kriya karane ke bad rogi ko apane pedoo par thande pani mean bhigoya tauliya kam se kam 8 minat tak rakhana chahie jisake phalasvaroop qabz mean labh milata hai aur aantoan ko shakti milati hai.

gili mitti ki pultish

rogi ke pe doo par nabhi ke 4 aanguli niche mitti ki 1 ianch moti lep karane se qabz door hota hai. isase aantean shaktishali hoti hai aur qabz ke karan utpann hone vale any rog apane ap samapt ho jate haian.

vyayam dvara chikitsa

qabz door karane ke lie vyayam karana bhi labhakari hota hai. vyayam se pet ki kriya sudharati hai aur qabz door hota hai. vyayam ke lie pahale pith ke bal let jaean aur donoan pairoan ko uthakar sharir ke samakon tak lakar dhire-dhire pun: niche laean. is tarah pratidin vyayam karane se aant aur pet ki snayukriya thik hoti hai aur qabz adi rog door hote haian.

yaugik kriya ke dvara rog ki chikitsa

qabz ko khatm karane ke lie pratidin yogakriya ka abhyas karana chahie. isase kisi bhi karan se utpann hone vali qabz samapt ho jata hai. shatkriya (hathayog kriya) agnisar kriya ya nauli v bastikriya ka abhyas karean. pet se sambandhit sabhi karanoan tatha pet ki maansapeshiyoan ko shaktishali banane ke lie yaugik kriya-

1. asan- soory namaskar, pavan muktasan, trikonasan, halasan, ta dasan, kati chakrasan, matsyasan aur ardh matsyasan ka abhyas karean.
2. pranayam- bhastrika pranayam ke sath kuanbhak karean arthat saans ko rokane ka abhyas karean.
3. bandh- is rog mean udihdaya bandh v mahabandh ka abhyas karean.
4. samay- is yogik kriyaoan ka abhyas pratidin 20 minat tak karean.
5. preksha- pranayam v bandh ke bad dirgh shvas preksha ka abhyas karean.
6. anupreksha (man ki bhavana)- saans kriya karate hue man mean vichar karean- "mere andar ka qabz rog door ho gaya hai aur maian svasth ho raha hooan. mera man aur mastishk shuddh ho gaya hai." man mean aisi bhavana karani chahie.
7. bhojan- is rog mean halka tatha asani se pachane vala bhojan karean. salad v sabjiyaan rojana khayean. paryapt matra mean pani v phaloan ka ras pina chahie. adhe se zyada chokar milakar gehooan tatha jau ki roti khaean.
8. parahej - starch yukt padartho ka sevan n karean tatha namak kam matra mean upayog karean. aise padarth ka sevan n karean, jo qabz paida karean.

vishesh- sabhi yogakriyaoan ka abhyas savadhanipoorvak karean. shatkriya ka abhyas yog chikitsak ke kahe anusar jaroorat p dane par karean. any yogakriyaoan ka abhyas pratidin karean. abhyas hamesha khali pet hi karean.

panne ki pragati avastha

adhar

prarambhik

madhyamik

poornata

shodh