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210. यसरी उच्च-रक्तचाप नियन्त्रण गरौ !!! BY डा. हेमराज कोइराला

8f= x]d/fh sf]O/fnf
d]l8sn 8fO/]S6/, 
s'G8nLlg xl:k6n emlD;v]n, nlntk'/
O{d]nM hemraj.koirala@gmail.com
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/Qmrfk s] xf] ?
/QmgnLdf /ut aUbf /utåf/f /QmgnLx¿sf] leQfdf lbOPsf] bjfa -rfk_ nfO{ /Qmrfk elgG5 . of] rfk d'6' v'lDrP/ /QmgnLdf /ut kDk ubf{ w]/} / d'6' km}lnP/ lj>fd ubf{ sd x'g] ub{5 h;nfO{ qmdzM l;:6f]lns / 8fP:6f]lns /Qmrfk elGg5 . lqmofTds ¿kn] :jf:Yy JolQmdf l;:6f]ns !)) – !#) Pd\=Pd\=Pr\=hL=;Dd x'G5 eg] 8fP:6f]lns ^) – *% Pd\=Pd\=Pr\=hL= ;Dd /xG5 . obL /Qmrfkn] oL dfgljGb'x¿ gf3]df /Qmrfksf] ;d:of ePsf] dflgG5 . ;fdfGotof l;:6f]lns !@) / 8fP:6f]lns *) nfO{ cfb{z /Qmrfk dflgG5 .


pRr /Qmrfk
d'6' tyf sf]/f]g/L wdLgL h:tf /f]usf] d'Vo sf/s, dl:tis3ft, lduf}{nf km]lnP/ / b[li6gfz h:tf ;d:ofx¿sf] d"nh/f]sf gfdn] ;Daf]wg ul/Psf] of] /f]u k|To]s jif{ gAa] nfv dflg;x¿sf] d[To'sf] sf/0f klg xf] . cfh ;+;f/e/ tLg dWo] Ps hgf dflg;df pRr /Qmrfksf] ;d:of 5 eg] s/f]8f} dflg; oxL /f]usf] sf/0fn] pTkfbs d"ns hLjg hLpg alGrt 5g\ .

pRr /Qmrfksf k|sf/
pRr /QmrfknfO{ k|fylds÷k|fOd/L -($Ü df_ / låtLPs÷;]s]G8/L -^ df Ü_ u/]/ b'O{ ;d'xdf afl8Psf] 5 . /f]usf] sf/s tTjx¿sf] Plsg gePsf x'Fgfn] k|fOd/L /QmrfknfO{ sf/0f /lxt -O{8Lcf]k]lys_ pRr /Qmrfk klg elgG5 . /f]usf vf; sf/0fx¿ geP klg of] /f]u cfg'jf+lzstf, jftfj/0fLo cGt/;DaGw, hLjg z}nL / JolQmsf] zf/l/s tyf dfgl;s k|s[ltsf] pkh xf] . vf; u/L Hofbf tf}n ePsf, g'g Hofbf vfg], >d tyf Jofod gug]{, ;"tL{ hGo tyf cGo gzfn' kbfy{x¿sf] ;]jg ug]{, hfF8–/S;L h:tf dfbs kbfy{x?sf] ;]jg ug]{ Snf]/]:6]/f]nsf ;d:of ePsfx¿, vfgfdf /];f / rf]Ss/ glng]x?,  6fok P JolQmTj ePsfx?, tgfj, lrGtf, eo / pbfl;gtf ePsfx¿df Hofbf b]lvPsf] 5 . w]/} sd k|ltzt -^Ü_ df kfOg] ;]s]G8/L pRr /Qmrfksf] eg] lglZrt sf/0fx? x'G5g\ . ^ k|ltzt dWo] $ k|ltzt lduf}{nf tyf /QmgnLx?sf] v/fjLsf sf/0fn], ! k|ltzt cGt>fjL u|GyL tyf x/df]gx?sf] u8a9Lsf] sf/0fn] / afFsL ! k|ltzt cf}ifwLx?sf] ;fO8 Okm]S6sf sf/0fn] x'g] ub{5.

nIf0fx?M
pRr /Qmrfk ePsfx?nfO{ nuftf/ 6fFpsf] b'Vg] -vf; u/L k5f8Lsf] efudf_ l/ª\u6f rNg], rfF8} l/; p7\g], 5fQL b'Vg] – kf]Ng], rSs/ nfUg], sfgaHg], b[io wldlng], Zjf; a9\g], lgGb|f gnfUg], gfy|L km'6\g], ;fdfGo sfd ubf{ klg bd a9\g] / lj>fdsf] cj:yfdf klg d'6' 9's9's u/]sf] yfxf kfOg] h:tf nIf0fx? b]lvG5 .

hf]lvdx?M
pRr /Qmrfk cfkm}df s'g} /f]u xf]Og t/ ;of} /f]ux?sf] hggL xf] . o;sf sf/0fn] x[bo3ft, dlit:s3ft, lduf}{nf km]lno/, g]q3ft -b[li6 u'Dg'_ d'6' ;'lGgg], /QmgnLx? tlGsg], km'Ng] tyf km'6\g] / dfgl;s tyf efjgfTds c:j:Yytf h:tf ;d:ofx? cfpg ;S5 .

pkrf/M
;]s]G8/L pRr /Qmrfk lgoGq0f ug{sf] nflu o;sf sf/0fx? kQf nufP/ cfjZos d]l8sn jf ;lh{sn ljlw ckgfpg' kg]{ x'G5 . k|fOd/L pRr /Qmrfk ePsfx?n] hLjg z}nL kl/j{tg ug]{ tyf d'6'/f]u ljz]if1sf] k/fdz{df /Qmrfk lgoGqs cf}ifwLx? vfg' kg]{ x'G5 . hLjg z}nL kl/jt{g gu/L cf}ifwLdfq lnFbf klg /QmrfknfO{ bL3{sflng?kdf lgoGq0f ug{ ;lsPsf] 5}g . t;y{ pRr /Qmrfksf /f]uLx?n] hLjg z}nLdf kl/jt{g ug{ lgtfGt cfjZos 5 .

hLjgz}nL kl/jt{gM
hLjgz}nL kl/jt{g eg]sf] ef]hg, Jofod, lj>fd, ljrf/ / Jojxf/sf] :jf:Yod}qL x'g]u/L 7Ls–7Ls ;dfof]hg ug'{ xf] .

ef]hg Jofj:yfkgM
pRr /Qmrfk tyf x[bo3ftjf6 jRgsf nflu ef]hg Joj:yfkgsf] 7"nf] dxŒj 5 . ef]hgsf]dfqf ef]Hokbfy{x?sf] 5gf}6 JolQmsf] k|s[lt, ljs[lt -/f]u_, an, jo -pd]/_, ;Tj -dfgl;stf_ cflbsf] cfw/df x'g clt cfjZos 5 . sfjf]{xfO8]8, k|f]l6g, le6fldg, lnlk8 / vlgh tyf nj0fx?sf] plrt dfqfn] o"Qm If]lqo / df};dL vfBGgx? pRr /Qmrfk tyf d'6'/f]usf nflu /fd|f] dflgG5 . rfdn, ux', ds}, cfn', lk8fn' ;'7"gL, lrgL, cf6f cflbjf6 sfjf]{xfO8]8 k|fKt x'G5 . l3p, t]n / t]lno vfBjf6 lnlk8 k|fKt x'G5 . df5fdf;' / u]8fu'8L k|f]l6gsf] >f]t x'g eg] kmnkm"n, df};dL t/sf/L, xl/of ;fu;JhL, sn]hf], c08f / /ftf] df;' le6fldgsf] >f]t x'g\ .

l3p, t]n, gf}gL, 5fnL, j6/ / jf];f] h:tf h+ud >f]tjf6 kfOg] lrNnf] kbfy{x?sf] ;]jg ug'{ x'b}g. vfgf ksfpg cTofGt sd jg:ktL t]nx?sf] pkof]u ug'{k5{ . z'4tf]/L jf ;"o{d'vLsf] t]n cGo eGbf pQd 5g\ .

pRr /Qmrfk ePsfx?n] k"0f{ zfsfxf/L x'g h?/L 5 . df5fdf;'df kfOg] jf];f]n]] sf]n]:6]/f]n j9fpg d2t u5{ . df5fdf;' 5f8\g g;Sg]n] v;L, /fFuf, j+u'/ h:tf 7"nf hgfjf/sf df;' 5f8]/ df5f jf nf]sn s'v'/fsf] df;' t]n gxfnL pl;g]/ !% lbgdf PskN6, yf]/} dfqfdf vfg ;S5g\ .

gb]lvg] lrNnf] kbfy{sf >f]tx?, abfd, sfh', d'ª\kmnL, gl/jn h:tf tf}lno kmnx? vfg' x'b}न .

tf}n Hofbf ePsfx?n] sd Sofnf]/L ePsf vfgfx? vfg' kb{5 . rfprfp, la:s'6, g'8N;\, sfaf{]lgsk]o / cNsf]xlnsk]o h:tf vfnLSofnf]/L lbg] kbfy pRr /Qmrfksf] nflu /fd|f] xf]Og.

k]6e/L 7';L—7';L vfg] afgL Tofu]/ k]6sf] cfwfefu 7f]; /  rf}yfO efu t/n kbfy{n] eg{' k5{ eg] rf}yfO efu jfo' ;+r/0fsf nflu vfnL 5f]l8lbg' k5{ . 7f]; ef]hg lbgsf] b'O k6s dfq xf];\ . /fqLsflng ef]hgdf cGgsf] dfqf hlt ;Sbf] sd xf];\ . cGgsf] ;6\6f bfn, t/sfl/sf];'k, pl;g]sf] ;fu;AhL / t/sf/L h:tf rf8} kRg] vfgf vfg] u/f} .

vfgfdf g'gsf] dfqf b'O{—tLg u|fd dfq xf];\ . clhgfdf]6f], ;f]l8of]jfOsfjf]{gfO8 / ;f]l8odj]Ghf]P6 h:tf j]lsª kfp8/sf] k|of]u d'6' tyf /Qmrfk d}qL xf]Og . crf/, cfn'lrK;, s'/s'/], kfFp h:tf cltl/Q nj0f /flvPsf vfBokbfy{n] d'6' tyf /Qmrfk /f]usf] hf]lvd a9fpF5.

vfgfdf /];f / rf]s/ o'Qm vfBfGgx?sf] ;dfof]hg x'g h?/L 5 . ;nfb, x/Lof ;fu;lAh, rf]s/o"QmkL7f], /ftf]rfdn, ;Unf cGgx?df /];fsf] dfqf Hofbf x'G5 . x/Lof slnnf df};ld ;fu, c+s'/Lt u]8fu'l8 jf hd/fdf PlG6clS;8]G6sf] dfqf Hofbf x'G5 . PlG6clS;8]G6n] y'lgPsf g;f vf]Ng / x[bo3ft kl5sf] 3fp lgsf] kfg{ d'Vo e'ldsf v]N5 .

Jofofd Ao:yfkg
d'6' tyf /Qmrfksf /f]uLn] Aofofd ug{ eg]/ slxn] klg sl7g Aofofd jf >d ug{' x'b}g . c+u Aofofd, l/9 Aofofd, l;lylns/0f Aofofd, k|ftM u|d0f h:tf xNsf Aofofd lgoldt ug{' k5{ .

bIf of]u u'?af6 d'6' tyf /Qmrfksf /f]uLn] ug{] of]u l;s]/ lgoldt of]u cf;g / k|0ffofd ugf{n] /Qmrfksf] hf]lvd sd ug{'sf ;fy} d'6'/f]u pN6\ofpg klg d2t u5{ .

AofofdnfO{ lbg rof{sf] d'Vo c+u agfpg' k5{ . Aofofd ug{] eg]/ Ps} lbg w]/} ug{], slxn] ug{] slxn] gug{] jf d'9] an nufP/ Aofofd ug{' x'GGf .

la>fd Joa:yfkg
d'6' tyf /Qmrfksf/f]uLsf nflu la>fd, ef]hg / Jofofd eGbf klg dxQ\jk'0f{ 5, /flt rf9} vfgf vfg] / vfPsf] tLg 306f -k]6 vfnL ePkl5_ dfq ;'Tg] ug{' k5{ . lgb|f gcfpg]x?n] lrlsT;ssf] ;Nnfx cg';f/ cf}iflw vfP/ ePklg ;'Tg] k|of; u/f}+ . lbp;f] ;'Tg], ljxfg ca]/;Dd ;'Tg], /flt rf9} g;'Tg], / vfgfvfg] lalQs} ;'Tg] afgL d'6' tyf /Qmrfk /f]udf vt/gfs dflgG5 

zf/Ll/s tyf dfgl;s?kn] lj>fd lngsf nflu of]u cf;g, of]u lgb|f, dfOG8 ;fpG8 /];f]g]G6 6]lSgs -MSRT_, k|fl0fs Og/hfO{hLË 6]lSgs -PET_, ;]Nkm d]g]hd]G6 ckm PS;]l;e 6]G;g -SMET_, h]sA;g k|f]u|]l;e d;N;\ l/NofS;];g 6]lSgs -JPMRT_ l8k l/NofS;];g\ 6]lSgs -DRT_, lSjs l/NofS;];g 6]lSgs -QRT_, O{G:6]G6 l/NofS;];g\ 6]lSgs -IRT_ h:tf la>fdsf ljlwx? l;s]/ cEof; ug{] u/f}+ .

;Dk"0f{ zl//sf] dfln;, t}n cEoË, jfik:gfg, ;pgf :gfg, kmf]xf]/f :gfg, kf}l8g', t}/Lg' h:tf pkrf/ k4ltn] la>fdnfO{ a9fpF5 t/ oL pkrf/ k2ltx? lrlsT;lso k/fdif{df dfq ug'{k5{.

ljrf/ Jofj:yfkg
d'6' tyf /Qmrfksf  /f]ujf6 aRg cJojxfl/s / k'/f gx'g] dxTjsf+Iffjf6 jRg'k5{ . cfkm\gf] dgsf] efjgfx? ;Djwf]g ug{, c?sf] efjgfx?sf] ;Ddfg ug{, ;dfh / kl/jf/sf] dfGotfx?;u ;dGh:o ug{ l;Sg'k5{ . w]/} ;DklQ / gfd sdfpg] jf pGgtL ug]{ rfxgfdf cfkm'nfO{ lt/f]lxt ug{' x'b}g .

;sf/fTds lrGtg d'6' tyf /Qmrfksf h:tf /f]usf] nflu 7"nf] cf]vtL xf] . /fd|f / g/fd|f kIf x/]s 36gfx?sf] b'O{ cleGg kf6f x'g . x/]s 36gf jf JolQmsf] /fd|f] kIfnfO{ s]nfpg] jfgL d'6'/f]u tyf /Qmrfk lgoGq0fsf nflu /fd|f] xf] .

ljxfg j]n'sL slDtdf @) ldg]6 lglj{rf/ x'g] sf]l;; u/f}+ . lglj{rf/ ;fwfgfn] x[bonfO{ zflGt lbG5 . of]u lgb|f, hk, Kf|fyf{gf, jf PsfGtaf; h:tf ;fwgf lgod k"j{s bIf u'?af6 l;s]/ lg/Gt/ ug{] u/f}+ o;n] tgfa sd ug{ ;xof]u u5{ .

tgfa Joj:yfkgsf] gfddf r'/f]6, ;'lt{, hf8 /lS;, jf cGo g;fn' kbfy{sf] ;]jg u/]/ cfkm'nfO{ e'nfpg gvf]hf}

Aoaxf/ Aoa:yfkg
laxfg a|Dx d'xt{df -3fd em'lNsg'eGbf (^ dL= cufl8 b]lv 3fd em'lNsbf;Ddsf] ;do_ pl7;Sg], p7\g]lalQs} b'O{ lunf; dgtftf] kfgL lkpg], tt\ kZrft dnd'q ljzh{g u/L ;'rLlgrL eO{ bfFt dflem Jofofdsf] nflu tof/ x'g'k5{ .

Aofofd kZrft xNsf vfhf vfP/ b}lgs ug{'kg{] sfdx?nfO{ Joal:yt ug{ sfo{tflnsf agfpg h?/L 5 . o;f] ubf{ sfo{ Aoa:yfkg ;'rf?eO{ cltl/Qm tgfaaf6 aRg ;lsG5 .

a]n'sf ;f9] 5 b]lv ;ft ah] leq vfgf vfO{ ;Sg] . To;sf] tLg 306f kl5 dfq ;'Tg hfg] ug{' k5{ .

gfd / bfdsf] k5fl8 d/LxQ] ug{]afgL d'6' tyf /Qmrfksf  nflu /fd|f] xf]Og . O{dfg, hdfg g}ltstf / wd{nfO{ cfTd;fy ub{} hlt h] x'G5 To];}df ;Gtf]if ug]{ u/f}+ .

cfkm\gf] AolQmTjnfO{ nrsbf/ / ;j{lk|o agfpF . cx+sf/, 3d08 / dkfO{TjnfO{ k|>o glbpF . ;fgfnfO{ dfof / 7'nfnfO{ cfbf/ u/f}+ . b'Mlvx?;Fu s?0ff, cfglGbtx?;Fu ldqtf, ;Hhgx?;Fu d'lbtf /fvf}+ eg] b'h{gx?sf] jf:t} gu/f}+ .

cfkm\gf ulNt tyf e'nx?nfO{ km]/L gug{] ;+sNksf ;fy e'nf} . ljutdf ePsf s'/fx?nfO{ lnP/ tgfju|:t x'g] gu/f}+ . O{vlng], a}/Tj/fVg], dgdf nfu]sf s'/f geGg] / efjfgfsf] bdg ug{] AolQm pRr /Qmrfksf]] l;sf/ x'g ;S5 .


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