तपेदिक

[[chitr:Tuberculosis-X-Ray.jpg|thumb|200px|pheph doan mean tapedik ka sankraman]] tapedik (aangrezi: Tuberculosis) ko 'rajayakshma' ya 'ti.bi.' ya 'kshay rog' ke nam se bhi jana jata hai. yah b di khataranak bimari hai. am janata isake nam se hi darati hai. tapedik ek ghatak sankramak bimari hai, jo 'maikrobaiktiriya', amataur par 'maikobaiktiriyam tapedik' ke vibhinn prakaroan ki vajah se hoti hai. jis parivar mean yah rog ho jata hai, usaki halat b di dayaniy ho jati hai. kisi samay yah rog raja-maharajaoan ko hota tha, kyoanki ve vilasitapoorn jivan bitaya karate the. yah bimari vilasita ki sabase b di dushman hai, lekin ajakal yah rog am janata mean bhi phail raha hai. paushtik bhojan ki kami, pradooshit vatavaran tatha atyadhik viry nasht karane se is rog ke kitanu sharir ko dimak ki tarah chat jate haian.

sankraman

yah rog saans ki vayu, khan-pan tatha gahare mel-jol se bhi ek se doosare vyakti ko lag jata hai. doosare shabdoan mean yah bhi kah sakate haian ki yah ek sankramak vyadhi hai. isake jivanu charoan or vayu mean mandarate rahate haian aur ek vyakti se doosare vyakti ke sharir mean pahuanch jate haian. yah rog dhatuoan ki kami se hota hai. jab sharir ki svabhavik kriyaoan mean koee khami utpann ho jati hai to yah rog lag jata hai. kshay rog amataur par pheph doan par hamala karata hai, lekin yah sharir ke any bhagoan ko bhi prabhavit kar sakata hai. yah hava ke madhyam se tab phailata hai, jab ve log jo sakriy ti.bi. sankraman se grasit haian, khaansi, chhiank, ya kisi any prakar se hava ke madhyam se apana lar sancharit kar dete haian. jyadatar sankraman sparshonmukh aur bhitari hote haian, lekin das mean se ek bhitari sankraman, aantatah sakriy rog mean badal jate haian, jinako agar bina upachar kiye chho d diya jaye to aise sankramit logoan mean se 50% se adhik ki mrityu ho jati hai.

karan

manushy ki pachan kriya ke mand ho jane par bhojan ka ras thik prakar se nahian ban pata ya jo ras banata hai, vah tho di matra mean hota hai. phir vah kaph ke roop mean badalakar rasavahini na diyoan mean ruk kar pheph doan ki kriyashilata rok deta hai, jis karan vyakti ko tapedik ya kshay rog ki shikayat ho jati hai. adhik maithun karane se viry nasht ho jata hai. at: khali sthan mean vayu kruddh hokar viry ko sukha deti hai aur kshay rog mean badal deti hai.

rog ki pahachan

thumb|200px|'maikobaiktiriyam tapedik' jivanu ka skainiang ilektr aaun maikrograph is rog mean pahale shvas phoolata hai, khaansi hoti hai aur dhire-dhire agni mand p d jati hai. rogi ki aankhoan se niand gayab ho jati hai. yah rog vansh paramparagat bhi hota hai. jahaan dhool adhik hoti hai tatha vayu aur prakash ki kami hoti hai, vahaan yah rog bahut jaldi akraman karata hai. isake alava adhik matra mean sharab tatha madak padarthoan ka sevan karane se sharir durbal hokar tapedik ka shikar ho jata hai.

1. is rog mean rogi ki pasaliyoan tatha kandhe mean dard hota hai.
2. hath, pairoan mean jalan evan sharir mean dhima bukhar-sa bana rahata hai.
3. bhojan karane ki ichchha nahian hoti. khaansi har samay ati rahati hai.
4. khaansi ke sath rakt bhi ata hai. shvas tatha gale ki avaj phat jati hai.
5. kuchh rogiyoan ko patale dast, sir mean bharipan aur sharir tootane ki bhi shikayat hoti hai. isase sharir din-pratidin kamazor hota chala jata hai.
6. sharirik durbalata, asahishnuta, bechaini, manasik asthirata, pachan-sansthan ke vikar, vajan ghatate jana, na di ka adhik tej chalana, rat mean adhik pasina ana tatha sadaiv bukhar rahana isake samany lakshan haian.

nuskhe

1. bel ki sookhi giri 100 gram ki matra mean lekar adha kilo pani mean pakaean. jab pani 25 gram rah jae to usamean mishri dalakar khaean. isaka kuchh dinoan tak lagatar sevan karean.
2. bakari ke doodh mean lahasun ki do kaliyaan nity autakar piean.
3. pratidin do ande, 10 gram makkhan, shahad tatha paushtik phal khane se rog ke kitanu nasht hone lagate haian. dhire-dhire tapedik chali jati hai.
4. do kaliyaan lahasun tatha char badam- donoan ki chatani banakar 10 gram shuddh shahad ke sath pratidin sevan karana chahie.
5. pipal ke pattoan ko jalakar choorn bana lean. pratidin rat ko sote samay 10 gram choorn phaankakar 250 gram doodh pina chahie.
6. pipal ke pe d ki gul diyoan ko sukha-pisakar choorn bana lean. isamean se 10 gram choorn doodh ke sath nity sevan karean. dinabhar mean ek kilo bakari ka doodh tho da-tho da karake piean. kuchh dinoan mean kshay rog chhoomantar ho jaega.
7. do pake keloan ke bich mean jara-sa khane vala choona rakhakar char mah tak nity sevan karean.
8. anaradana, pipal, piparamool, dhaniya, kali mirch, bansalochan, dalachini tatha tejapat, sabako 10-10 gram ki matra mean lekar koot-pisakar choorn bana lean. 4 gram choorn din mean bhojan ke bad shahad ke sath kuchh mahinoan tak sevan karean.
9. pratidin ek seb ka murabba dopahar ko bhojan ke bad khana chahie.
10. pratidin 100 gram aangoor ka ras gunaguna karake sevan karean.
11. char dane munakka (bij nikalakar), 2 gram pipal tatha 10 gram khaan d-tinoan ki chatani pisakar subah-sham khane se dama, khaansi, shvas tatha rajayakshma nasht ho jata hai.
12. kele ke saphed tane ka ras 20 gram ki matra mean pratidin do bar pine se tapedik poori tarah chali jati hai.
13. 25 gram kachcha nariyal pisakar shahad ke sath khaean. yah yakshma ke kitanuoan ko marata hai.
14. kachchi lauki ka saphed gooda 100 gram lekar usamean pisi huee mishri milakar sevan karean.
15. gay ke doodh mean 10 gram ghi tatha do pipal dalakar doodh ko autakar nity kuchh mah sevan karana chahie.
16. makkhan mean char kali mirch tatha ek lal ilayachi ka choorn milakar nity khaean.
17. yakshma ke kitanuoan ko nasht karane ke lie kachche pyaj ka ras char chammach ki matra mean pratidin sevan karana chahie.
18. papite ka ras 50 gram, mausami ka ras 20 gram tatha aangoor ka ras 20 gram-tinoan ko garam karake piean.

kya khaean kya nahian

tapedik rog mean halke, taje tatha saralata se pachane vale padarth rogi ko khilae jane chahie. yadi maansahari haian to bakare ki kaleji ya photoan ka ras banakar sevan karana chahie. anda bhi is rog mean vishesh labhadayak hai. kachcha aanda doodh mean ubalakar rogi ko khilaya ja sakata hai. bakari ka doodh, ghi, makkhan, roti, dal adi is rog ke mukhy padarth haian. sabjiyoan mean lahasun ka chhauank zaroor lagana chahie. phaloan mean seb, mausami, anar, aangoor, papita, amarood aur kela bahut labhakari siddh hoti hai. isake atirikt basi tatha alabhakari padarth n khaean. s de-gale aur basi phal, bahut garam padarth, bhaang, gaanja, sharab, dhoomrapan adi tyag dena chahie. barph tatha garishth mithaeeyaan khane se bachana chahie. sabjiyoan mean baiangan, karela, ghuiyaan, methi, bhindi adi ka sevan nahian karana chahie. til, sarasoan ka tel tatha pan-supari bhi ti.bi. ke rogi ke lie hanikarak haian.

bisiji tika

bisiji tika amataur par bachchoan ko diya jata hai, kyoanki ise tibi meniangajaitis (TB meningitis) sahit bachchoan mean tibi (Tuberculosis/yakshma/kshay) ke prasarit roopoan ke khilaph bahut achchhi suraksha pradan karane ke lie jana jata hai.

janm ke turant bad navajat shishuoan ko tika diya ja sakata hai. yah bachche ke baean oopari baanh mean diya jata hai. isake lagane ke ek saptah bad, ek chhoti-si phuansi si banati hai, jo kuchh dinoan bad ek putika mean vikasit ho sakati hai. yah kabhi-kabhi lal ho sakati hai aur kuchh nirvahan bhi ho sakati hai. kisi eantibayotik krim ko lagoo karane ki avashyakata nahian hai. kuchh haphtoan ke bad tika lagae gaye sthan par ek nishan banata hai. agar ianjekshan ki jagah par soojan dekhi jati hai aur yadi bachcha bukhar se grast hai, to d aauktar ko dikhana chahie.

har desh bachchoan ko bisiji tika nahian deta hai. amataur par desh jahaan tibi ka uchch star hota hai, vahaan sabhi bachchoan ko bisiji tika diya jata hai. amerika aur ianglaiand jaise desh mean sabhi bachchoan ko tika nahian dete haian, lekin un logoan ko vishesh jokhim par dekha gaya hai. jin logoan ko bisiji tika diya jata hai, ve aksar tibi tvacha parikshan ke lie sakaratmak parinam prapt karate hai.

panne ki pragati avastha

adhar

prarambhik

madhyamik

poornata

shodh

bahari k diyaan

• tapedik (tibi) ab ek soochaniy rog

sanbandhit lekh

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