मिर्गी

mirgi rog se grasit ek bachcha|thumb|250px mirgi (aangrezi: Epilepsy) jise 'apasmar' bhi kaha jata hai, lanbe samay se chalane vala tantrika sanbandhi vikar hai, jisaki pahachan 'mirgi ke daure' se ki jati hai. ye daure ve ghatanaean haian, jo ki lagatar kanpan ki sankshipt aur lagabhag pata n lag pane vali ghatanaoan se kafi lanbi avadhi tak ho sakati haian. jyadatar mamaloan mean karan ajnat haian, tathapi kuchh logoan mean mastishk ki chot, strok, mastishk kaiansar aur nashili davaoan aur sharab ke durupayog aur any karanoan ke parinamasvaroop mirgi vikasit hoti hai. mirgi mean daure bar-bar p date haian aur unaka koee tatkal aantarnihit karan nahian hota, jabaki aise daure jo kisi ek vishesh karan se hote haian, unhean mirgi ka pratik hona nahian mana jata hai. mirgi ki pushti aksar ek 'ilaiktroenasphailogram' ke sath ki ja sakati hai.

parichay

duniyabhar ke paanch karo d log aur bharat ke qarib ek karo d log mirgi ke shikar haian. vishv ki kul janasankhya ke 8 se 10 pratishat tak ko apane jivan kal mean ek bar isaka daura p d sakata hai. adhunik kal ke bahut-se vaijnanikoan ne yah jnat kiya hai ki mirgi rog koee rog nahian hai, balki yah kisi ganbhir rog ka lakshan hai. darasal yah koee manasik rog nahian apitu mastishkiy vikriti hai. yah rog dimag mean rakt ke sancharan athava tantuoan mean kisi prakar ki g dab di a jane ke karan hota hai. kee d aauktaroan ke anusar yah rog pachan kriya mean g dab di ke karan hota hai tatha isake aur bhi kee karan ho sakate haian, jaise- atyadhik sharab ka sevan karana, kisi prakar se sir mean chot lag jana, koee bahut b da sadama ho jana, manasik tanav adi tatha man mean kisi prakar ka dar baith jana.

hamara mastishk kharaboan tantrika koshikaoan se nirmit hai. in koshikaoan ki kriyashilata hi hamare karyoan ko niyantrit karati hai. mastishk ke samast koshoan mean ek vidyutiy pravah hota hai. ye sare kosh vidyutiy na diyoan ke zarie apas mean sampark qayam rakhate haian, lekin jab kabhi mastishk mean asamany roop se vidyut ka sanchar hone lagata hai, to mariz ko vishesh prakar ke jhatake lagate haian aur vah behosh ho jata hai. behoshi ki avadhi chand sekeand, minat ya ghantoan tak ho sakati hai. daura samapt hote hi mariz samany ho jata hai.

behoshi ke daure

mirgi rog mean rogi ko bar-bar behoshi ke daure p dane lagate haian. yah rog kee prakar ka hota haian, lekin in sabhi rogo mean rogi ko daure hi p date haian. is rog se pi dit rogi ko apane sharir mean aianthan tatha akshep hone lagata hai ya sharir mean kabhi-kabhi aianthan bhi nahian hoti. rogi ke mastishk ke ek bhag mean tivr aur avyavasthit vidyut kriya hone lagati hai, jise 'daura' kahate hai. daure p dane ke sath hi rogi ke mastishk ki kriya big d jati hai, jisake karan rogi ke kam karane ki kshamata nasht ho jati hai tatha rogi chhatapatane lagata hai. mirgi ka daura p dana is bat par nirbhar karata hai ki manushy ke sharir ke kaun se bhag mean g dab di paida huee hai. yah rog yuva logoan ke mukabale bachchoan ko adhik hota hai. is rog se pi dit rogi bhay tatha aandhavishvasoan ke chakkar mean p d jata hai. vaise mirgi ke rogiyoan ka jivan zyadatar samany hota hai.

chitr:Blockquote-open.gif mirgi ka daura p dane ke samay mariz ke hathoan mean lohe ki koee chiz ya chabiyoan ka guchchha pak da dene ya purana joota suanghane ki dharana galat hai. chooanki mirgi ka daura do-tin minat tak rahata hai, isalie logoan ko lagata hai ki unake nuskhe ki vajah se sab thik ho gaya hai. jabaki daure ki avadhi samapt ho chuki hoti hai. kisi-kisi mariz ko yah daure kuchh ghantoan ke lie bhi p d sakate haian. chitr:Blockquote-close.gif

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bachchoan ko mirgi

mirgi ki shikayat kabhi bhi kisi ko bhi kisi bhi umr mean aur kee karanoan se ho sakati hai. phir bhi yah rog bachchoan mean adhikaanshat: dikhaee deta hai-

1. yadi bachcha janm ke samay 3 minat tak n roe. isase bachche ko kisi prakar ka manasik rog ya mirgi ho sakati hai.
2. yadi bachche ke sharir ka tapaman 101 se adhik ho jae.
3. sir mean gahari chot lag jae.
4. sir ka tyoomar ho ya phir any sir se ju di bimariyoan ke karan bachchoan ko mirgi ho sakati hai.

garbhavastha ke dauran

mirgi ki sthiti mean garbh dharan karane mean koee pareshani nahian hai. is dauran garbhavati mahilaean d aauktar ki salah ke anusar davaiyaan lean. maan ke rog se hone vale bachche par koee asar nahian p data. garbhavati mahila samay-samay par d aauktar se jaanch karati rahean, poori niand lean, tanav mean n rahean aur niyamanusar davaiyaan leti rahean. isase unhean mirgi ki pareshani nahian hogi. garbhavati mahila ke sath rahane vale sadasyoan ko bhi is rog ki tho di janakari hona avashyak hai.

prakar

mirgi rog do tarah ka ho sakata hai- 'aanshik' tatha 'poorn'. aanshik mirgi se mastishk ka ek bhag zyada prabhavit hota hai, vahian poorn mirgi mean mastishk ke donoan bhag prabhavit hote haian. isi prakar alag-alag rogiyoan mean isake lakshan bhi alag-alag hote haian. daura p dane ke samay, amataur par mariz kuchh der ke lie behosh ho sakata hai. mirgi ke daure do tarah ki hote haian, jaise-

• graand mal
• petit mal

rog ke lakshan

samany bhasha mean mirgi ko 'moorchchha' ya 'daura' kahate haian. mirgi rog se pi dit vyakti ko daura p dane se pahale usake rang mean parivartan hone lagata hai tatha use kanoan mean ajib-ajib-si avajean sunaee dene lagati haian aur rogi ko lagata hai ki usaki tvacha par ya usake niche bahut se ki de reang rahe haian.left|mirgi rog mean mastishk|thumb|250px is avastha ko 'poorvabhas' kahate haian. graand mal daure ki avastha mean rogi zor se chikhata hai aur sharir mean khianchav hone lagata hai tatha rogi ke hath-pair ak dane lagate haian aur phir rogi behosh hokar zamin par gir p data hai tatha apane hath-pair idhar-udhar pheankane lagata hai. rogi vyakti apane sharir ko dhanush ke akar mean tan leta hai aur apane sir ko ek taraph lataka leta hai. isake sath-sath vah apane hath-pairoan mean jor-jor se jhatake marata hai tatha hath tatha pair mu d jate haian, gardan tedhi ho jati hai, aankhean phati-phati ho jati hai, palakean sthir ho jati haian tatha usake muanh se jhag nikalane lagata hai.

mirgi ka daura p dane par kabhi-kabhi to rogi ki jibh bhi bahar nikal jati hai, jisake karan rogi ke daantoan se usaki jibh ke katane ka dar bhi laga rahata hai. mirgi ke daure ke samay mean rogi ka peshab aur mal bhi nikal jata hai. is kriya ke bad usaka sharir dhila p d jata hai tatha kuchh samay bad rogi ko phir se vaise hi agala daura p dane lagata hai. isake bad mean rogi hosh mean a jata hai. jab rogi ka daura samapt ho jata hai to use apane sharir mean bahut kamazori mahasoos hoti hai tatha usaka chehara nila p d jata hai aur usake bad rogi ko bahut gahari niand a jati hai. daura p dane ke bad rogi behosh ho jata hai tatha isake kuchh ghante bad rogi ko behatar anubhav hone lagata hai, lekin daure ka asar ek haphte tak rah sakata hai.

karan

mirgi rog ke nimnalikhit pramukh karan haian-

1. mirgi rog hone ka vaise to koee pratyaksh karan nahian dikhaee p data hai, lekin bahut sare vaijnanikoan ka manana hai ki yah rog hone ka pramukh karan mastishk ka kaee bhag kshatigrast ho jana hai, jisaki vajah se yah rog ho jata hai.
2. amataur par mirgi ka rog adhikatar paitrik (vanshanugat/anuvaanshik) hota hai. isaka karan rogi ke mata-pita ka phirang rog ya upadansh rog se pi dit hona ya adhik matra mean sharab pine jaise karanoan se bachchoan ko ho jata hai.
3. is rog ke hone ke aur bhi kee karan haian, jaise- liangamund ki kathorata, apach ki ugr avastha, kabj ki samasya hone, pet ya aantoan mean ki de hone, nak mean kisi prakar ki kharabi, aankhoan ke rog ya manasik uttejana, striyoan ke masikadharm sambandhit rogoan ke karan adi.
4. mirgi rog hone ke aur bhi kee karan ho sakate haian, jaise- bijali ka jhataka lagana, nashili davaoan ka adhik sevan karana, kisi prakar se sir mean tej chot lagana, tej bukhar tatha esphiksiya jaise rog ka hona adi. is rog ke hone ka ek any karan snayu sambandhi rog, bren tyoomar, sankramak jvar bhi hai. vaise yah karan bahut kam hi dekhane ko milata hai.
5. bhagadau d bhari ziandagi mean is bimari ke kee karan ho sakate haian. zaroorat se zyada tanav, niand poori n hona aur sharirik kshamata se adhik manasik v sharirik kam karane ke karan kisi ko bhi mirgi ki pareshani ho sakati hai.
6. mirgi rog kee prakar ke galat tarah ke khan-pan ke karan bhi hota hai, jisake karan rogi ke sharir mean vishaile padarth jama hone lagate haian, mastishk ke koshoan par dabab banana shuroo ho jata hai aur rogi ko mirgi ka rog ho jata hai.
7. atyadhik nashile padarthoan, jaise- tambakoo, sharab ka sevan ya any nashili chijoan ka sevan karane ke karan mastishk par dabav p data hai aur vyakti ko mirgi ka rog ho jata hai.
8. visheshajnoan ke anusar sooaroan ki aantoan mean pae jane vale phitakrimi (tepavarm) ke sankraman ki vajah se bhi mirgi ka rog ho sakata hai. sooar khuli jagah mean mal tyag karate haian, jisaki vajah se ye ki de sag-sabjiyoan ke dvara gharoan mean pahuanch jate haian. tepavarm ka 'sist' yadi mastishk mean pahuanch jae to usake kriyakalapoan ko prabhavit kar sakata hai, jisase mirgi ki ashanka badh jati hai.

rog ka upachar

mirgi rog mean upachar|thumb|250px mirgi rog sadhy hai, basharte isaka upachar sahi dhang se karaya jae. rog ke lakshan dikhate hi nyoorol aaujist ki ray lean. isake ilaj mean dhairy bahut zaroori hota hai. mirgi rogi ka ilaj 3 se 5 varsh tak chal sakata hai. samany taur par is rog ke lie 15-20 davaiyaan maujood haian. d aauktar mariz ki zarooratoan ke anusar in davaiyoan ka prayog karate haian. yadi ek davaee ka mariz par asar nahian hota, to d aauktar baki davaiyoan se upachar karate haian. mariz par ye davaiyaan asar karani shuroo kar dean, to rog par kaboo paya ja sakata hai. kisi bhi davaee ke karagar n hone par d aauktar sarjari ki salah de sakate haian.

ekyoopreshar dvara upachar

'ekyoopreshar paddhati' mean mirgi ka upachar karane ke lie sthayi roop se snayu sansthan, mastishk, hriday tatha amashay ke pas paye jane vale ekyoopreshar binduoan par dabab dekar is rog ka upachar kiya ja sakata hai. is upachar mean gardan, ridh ki haddi, takhanoan par bhi lagatar dabab diya jana chahie. daure p dane ki avastha mean nak aur pairoan ke niche ke bhag par dabav dene se bahut hi aram milata hai. yadi niyamit roop se in kendroan par preshar die jae to rogi ko is rog ke thik hone mean bahut labh mil sakata hai. uchit ekyoopreshar daktar ki salah dvara kafi had tak is rog par niyantran kiya ja sakata hai.

chumbak se upachar

is rog se pi dit rogi ki kanapatiyoan par roj subah seramik chumbakoan ko lagabhag 10 se 15 minat tak lagana chahie tatha isake sath-sath roj subah 10 minat tak sharir ke soochivedhan bindu ji.bi.- 20 par dakshini dhruv seramik chumbak ko lagana chahie. rogi ko din mean tin bar davaee ki matra ke barabar chumbakit jal ko pilana chahie.

any upachar

1. yadi apake asapas ke kisi vyakti ko mirgi ka daura p da hai to turant bajay ki unhean gher lene ke khula mahaul dean. jab mirgi ke rogi ko daura padane lage to usaki jibh ko daantoan se hone vale nukasan/katane se bachana chahie.
2. rogi ke daantoan ke bich mean kisi mulayam tauliye ya kap de ko rakh lena chahie tatha rogi ne jo kap de pahan rakhe hoan unhean dhila kar dena chahie aur pet ke bal lita dena chahie. isase daure mean yadi mariz ko ulti ya muanh se jhag nikalata hai to vah saans ki nali mean nahian ja paega.
3. agar mariz ko kamare mean pareshani ho to pankha chala dean. isase unhean achchha mehasoos hoga.
4. mirgi ke jhatakoan ke dauran vyakti ko joroan se pak d kar rakhana bhi thik nahian hota. isi tarah behoshi ki avastha mean muanh mean pani ya any koee taral padarth dalana bhi khataranak ho sakata hai.
5. mirgi rog se pi dit vyakti ko kabhi bhi bhari tatha shvetasarik padartho ka sevan nahian karana chahie. rogi ko bhojan mean adhikatar shakahari padarthoan ka prayog karana chahie aur roj niyamit roop se doodh ka sevan karana chahie, jitana zaroorat ho utana hi bhojan karana chahie tatha khane mean kek, pestri jaise n pachane vale padarthoan ka sevan nahian karana chahie.
6. mirgi ke rogi ko paravartan dosh ya apach ki samasya ho to usaka turant ilaj karana chahie, rogi ko taji hava leni chahie, khuli hava mean vyayam karana chahie.
7. rogi ko apane ahar par vishesh dhyan dena chahie, rogi ko kabhi bhi tale ya bhune padarthoan ka sevan nahian karana chahie.
8. is rog se pi dit vyakti ko akele ga di nahian chalani chahie.

prakritik chikitsa

1. mirgi ke rog ka upachar karane ke lie rogi vyakti ko kam se kam do mahine tak phaloan, sabjiyoan aur aankurit ann ka sevan karana chahie. isake alava rogi ko phaloan evan sabjiyoan ke ras ka sevan karake saptah mean ek bar upavas rakhana chahie.
2. pi dit rogi ko subah ke samay gunagune pani ke sath 'triphala' ke choorn ka sevan karana chahie tatha phir soyabin ko doodh ke sath khana chahie. isake bad kachchi hare pattedar sabjiyaan khani chahie. is prakar se pratidin upachar karane se yah rog kuchh hi dinoan mean thik ho jata hai.
3. rogi vyakti ko apane pet ko saf karane ke lie enima kriya karani chahie tatha isake bad apane pet tatha mathe par mitti ki patti lagani chahie. rogi ko katisnan karana chahie tatha isake bad use mehanasnan, thande pani se ridh snan aur jalaneti kriya karani chahie.
4. mirgi rog se pi dit rogi ka rog thik karane ke lie sooryatapt jal ko din mean kam se kam 6 bar pina chahie aur phir mathe par bhigi patti lagani chahie. jab patti sookh jae to us patti ko hata lena chahie. phir isake bad rogi ko sir par asamani rang ka sooryatapt tel lagana chahie. is rog se pi dit rogi ko gahari niand leni chahie.
5. jab rogi vyakti ko mirgi rog ka daura p de to daure ke samay rogi ke muanh mean rumal laga dena chahie taki usaki jibh n kate. daure ke samay mean rogi vyakti ke aangoothe ke nakhoon ko dabana chahie, taki rogi vyakti ki behoshi door ho sake. phir rogi ke chehare par pani ki chhiante marani chahie. isase bhi usaki behoshi door ho jati hai. isake bad rogi ka ilaj prakritik chikitsa se karana chahie, taki mirgi ka rog thik ho sake.

smaraniy tathy

mirgi ke rogi ko ghar se bahar nikalane par apana parichay kard sath rakhana chahie. jisamean usaka nam, pata, bimari ka nam v dava ka vivaran adi ka ullekh ho. rogi ko vahan chalane v svimiang karane jaise kamoan se bachana chahie, kyoanki mirgi ka daura kabhi bhi a sakata hai. khataranak mashinoan ke sanchalan se bhi use bachana chahie.

mithya dharana

daura p dane ke samay mariz ke hathoan mean lohe ki koee chiz ya chabiyoan ka guchchha pak da dene ya purana joota suanghane ki dharana galat hai. chooanki mirgi ka daura do-tin minat tak rahata hai, isalie logoan ko lagata hai ki unake nuskhe ki vajah se sab thik ho gaya hai. jabaki daure ki avadhi samapt ho chuki hoti hai. kisi-kisi mariz ko yah daure kuchh ghantoan ke lie bhi p d sakate haian.

panne ki pragati avastha

adhar

prarambhik

madhyamik

poornata

shodh