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51. WHAT IS Piles _पाईल्स किन हुन्छ , उपचार कसरी गरिन्छ, के यो बल्झिन्छ त ? BY DR. SURYA B. PARAJULI, NEPAL


kl/ro
tkfO{+–xfdLn] af/Daf/ ;'g]sf] clg sltn] t ef]u]sf] ;d:of kfON; xf] . kfON;, h;nfO{ lrlsT;sLo efiffdf …x]df]/f]O8Ú elgG5 . 

dflg;sf] lbzf ug{] 7fpFjl/kl/ /x]sf /Qmgzfx? ljljw sf/0faf6 ;'lGgPsf] cj:yfnfO{ …x]df]/f]O8Ú elgG5 . 

;fwf/0ftof tL /Qmgzfx?n] lbzf ug{] k|lqmofnfO{ ;3fp k'¥ofO/x]sf x'G5g\ . sl/a Ps s/f]8 cd]l/sLx? x]df]/f]O8af6 kLl8t 5g\ .

sf/0fx?
x]df]/f]O8 ljleGg sf/0faf6 x'g] u/]sf] kfOG5 . k|fozMlgoldt lb;f ug{] k|lqmofdf afwf ePdf h:tf]M slxn] slAhot t slxn] kvfnf nfUg] cj:yf, vfgfdf /];fbf/ vfgfsf] sdL, a9L dfqfdf df;', /S;L, r'/f]6sf] ;]jg, ljleGg sf/0faf6 k]6sf] rfk a9\g] cj:Yff, ank"j{s dn Tofu ug{] afgL,a'9\of}nL, ue{jtL tyf j+zf0f'ut sf/0fx? d'Vo e]l6G5g\ . nfdf] ;do;Dd ple/xg'kg{] k]zf ePsf JolQmx?df x]df]/f]O8sf] cj:yf cln a9L b]lvPsf] 5 . slxn]sfxLF /]NKdsf] SofG;/ klg x]df]/f]O8sf] nflu lhDd]jf/ dflgG5 .

k|sf/x?
!= sf/0fx? yfxf gePsf x]df]/f]O8 
@= c? sf/0fsf c;/sf] ?kdf b]vf kg{] x]df]/f]O8 
#= x]df]/f]O8 b]lvg] 7fpFsf cfwf/df
s= aflx/L x]df]/f]O8
v= leqL x]df]/f]O8

nIf0f÷lrx\gx?
lb;f ug{] 7fpFaf6 /ut cfpg] ljleGg sf/0fdWo] x]df]/f]O8 klg Ps xf] t/ o;sf] ljz]iftf eg]sf] lb;f ul/;s]kl5 dfq /ut cfpF5 eg] b'vfOsf] cg'ej x'Fb}g . lb;f ug{] efu lrnfpg] ub{5 .

leqL x]df]/f]O8nfO{ xfdLn] rf/j6f cj:yfdf j0f{g ug{ ;Sb5f}+ . cj:Yff ! df /Qmgzfx? -ufF7f] aflx/ cfpFb}g . cj:yf @ df ufF7f] lg:sG5, h'g k]ml/ cfk}+m leq hfG5 . cj:yf # df ufF7f lg:sG5, h;nfO{ xftn] 7]n]/ leq l5/fpg'kb{5 . cj:yf $ hl6n cj:yf xf] . o;df lgl:sPsf] ufF7f]nfO{ xftn] 7]n]/ klg leq l5/fpg ;lsFb}g . aflx/L x]df]/f]O8df d'VotM lrnfO / b'vfO a9L dx;'; x'G5, ufF7f] klg x'g ;S5 . leqL x]df]/f]O8df b'vfO/lxt /ut cfpg] ub{5 .

pkrf/ k4lt
xfdL ;a}nfO{ yfxf ePs} xf], /f]u nfu]kl5 pkrf/ ug'{eGbf /f]u g} nfUg glbg] pkfox? ckgfpg' a'l4dfgL xf] . x]df]/f]O8sf]xsdf of] cem a9L nfu" x'G5 . To;}n], x]df]/f]O8af6 hf]lug lb;fnfO{ g/d agfpg] pkfox? cjnDag ug}{k5{ . h;df ;fu;AhL / kfgLsf] k|z:t ;]jg ug'{k5{ eg] df5fdf;' / /S;Lsf] ;]jg aGb ug'{k5{ . xfdL w]/}sf] lb;f /f]s]/ /fVg]nafgL x'G5 . o:tf] sbflk ug'{ x'Fb}g . To;y{, cfhaf6 of] afgLnfO{ Toflulbg'k5{ . b'vfO sd ug{] cf}iflw ;]jg, cf/fd, ;kmf;'U3/ tyf l;hafy pko'Qm b]lvG5 t/ k|fozM clGtd ljsNk zNolqmof g} x'g] ub{5 . k'gZrM uef{j:yfdf b]lvPsf x]df]/f]O8x? aRrf kfPkl5 cfk}+m 7Ls x'g] u5{ . cGo pkrf/ k4ltx?df :s]n]/f]y]/fkL, /a/ Aof08 nfOu];g kmf]6f]sf] u'n];g cflb kb{5g\ .

hl6ntfx?
/QmcNktf x]df]/f]O8df lb;f u/]kl5 /ut hfg] k|lqmof nfdf] ;do;Dd sfod /x]df /utsf] sdL eO{ /QmcNktf x'g] ;Defjgf /xG5 . To;}n], z+sf nfu]df /utdf /x]sf] x]df]Unf]lagsf] k/LIf0f u/fO{ /QmcNktf eP jf gePsf] olsg u/L vfgf tyf pkrf/tk{m nfUg' h?/L 5 . sL6f0f' ;+qmd0fM sL6f0f'sf] ;+qmd0fsf sf/0f 3fp x'g ;S5 . o:tf] cj:yfdf k|lth}ljs -P06Lafof]l6s_ cf}iflwx?sf] ;]jg ug'{kg{] x'g ;S5 . /]l8of] :jf:Yo sfo{qmddf ljut b'O{ jif{df w]/} ;|f]tfx?n] Pp6} k|Zg ;f]Wg'ePsf] 5, Tof] xf]–zNolqmofkZrft\ klg lsg kfON; alNemof] < o;sf] sf/0f s] xf] eg] zNolqmof ubf{ ;a} /QmgzfnfO{ dfq zNolqmof ul/G5 . la/fdLn] dfly elgPsf ;fjwfgL vfgfkfg, Jofofd / Jojxf/ kl/jt{g gug{] xf] eg] k'gM kfON; b]vf kg{ ;S5 t/ ToxL 7fpFdf x'g] ;Defjgf eg] /xGg .

l;h afy
kfON;sf] pkrf/ k4ltdf l;h afy k|f/lDes / pkof]uL pkrf/ k|lqmof xf] . o;df Pp6f af6fdf dgtftf] kfgL /fv]/ To;df s]xL ldg]6;Dd a:g'kb{5 . l;h afyn] x]df]/f]O8nfO{ l56f] lgsf] kfg{ d2t ub{5 . dgtftf] kfgLn] /Qm ;~rfng k|lqmofnfO{ k|efjsf/L agfP/ b'vfO, ;'lGgPsf] cj:yf / lrnfpg' aGb xF'b} hfG5 . o;n] /f]unfO{ rf8f] lgsf] kfb{5 . leqL x]df]/f]O8eGbf aflx/L x]df]/f]O8sf] nflu l;h afy a9L pko'Qm b]lvG5 . k|To]s lbg ug{' /fd|f] dflgG5 . l;h afy ;s]kl5 ;kmf / ;'lsnf] tf}lnofn] k'5]/ ;'Vvf agfpg'kb{5 .

;f/f+z
x]df]/f]O8sf] ;d:of xfd|f] ;dfhdf a9\bf] qmddf 5 . xfd|f] kl/jlt{t hLjgz}nL o;sf] Ps sf/0f xf] . lxhf]cfh xfdL klZrdL /]i6'/]G6 z}nLsf] vfgkfgtk{m nfu]sf 5f}+ . df;'sf] ;]jg a9fpFb} ;fydf cNsf]xn / r'/f]6 t cleGg cª\u aGb}5g\ . To;y{, ca dflysf ;a} s'/f a'e]m/ x]df]/f]O8af6 tkfO{+–xfdL ;a} afFRg] / aFrfpg]tk{m nfUg' h?/L eO;s]sf] 5 .