211. Parkinson's disease (पार्किन्सन्स रोग) थाहा पाउन अब जरुरि छ By Dr Hemraj Koirala

डा= हेमराज कोइराला 

hemraj.koirala@gmail.com

n]vs “Go'/n :6]d ;]n” lj1fgsf cg';Gwfgstf{ x'g 

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पार्किन्सन्स रोग के हो  ?

ljZj ljVoft aS;/ df]xdb cnL, Kofn]:6fO{g /fhgLlt1 of;]/ cf/fkmft, hd{g tfgfzfx P8f]Nkm lx6n/, rfOgLh zf;s df]cf]T;]t'Ë / kf]k hf]gkfn låtLo h:tf ljZj ljVoft JolQmTjx¿sf] ;lqmo hLjgdf k"0f{ lj/fd nufpg ;kmn ækf/lsG;g /f]uÆ :gfo'x¿sf] Ifosf] sf/0fn] x'g] /f]u xf] .
a]nfotL lrlsT;s h]D; kf/lsG;g åf/f ;g\ !*!& df ul/Psf] vf]hnfO{ ;Ddfg ub}{ o;/f]unfO{ ækf/lsG;g /f]u\Æ elgPsf] xf] . kf/lsG;g /f]uåf/f ljZje/ nueu ^) nfv dflg;x? k|efljt ePsfn] /f]unfO{ ljz]if dxTjsf ;fy ;Daf]wg ug{ x/]s aif{ !! clk|nsf lbg ljZj kf/lsG;g /f]u lbjz klg dgfOG5 . æo"/f]kLo kf/lsG;g /f]u ;+u7gsf]Æ cfAxfgdf of] /f]usf af/]df hgr]tgf hufpg / j[xt hfu?stf lgdf{0f ug]{ clek|fon] k|To]s jif{ h:t} of] aif{ klg !! clk|n @)!# sf lbg of] lbjz dgfOof] . dWo dl:t:sdf l:yt j];n–Uofª\lnofsf] ;A;6\ofgl;of gLu|f elgg] :gfo" s]Gb|sf 8f]kfdfO{g pTkfbs sf]ifx¿sf] d[To' kZrft of] /f]usf nIf0fx? b]vf kg]{ ub{5 . s]Gb|Lo :gfo' k|0ffnLsf] w]/} sfo{x¿df k|ToIf e"ldsf v]Ng] 8f]kfdfO{g cfkm}df :gfo"–/;fog -Go"/f]–6«fG;dL6/_ tyf x/df]g xf] . of] /;fogn] df+zk]zLx¿sf] rfn tyf lvrfj lgoGq0f ug,]{ kf]Zr/ lgoGq0f ug]{, cg'e"tL, k]|/0ff, b08, k'/:sf/, d"8, Psfu|tf, no, Wofg, :d[lt, l;sfO{, lgb|f / af]ln h:tf dfgl;s sfo{x¿nfO{ ;'rf? / ;Gt'nLt /fVg] sfo{ ub{5 . 8f]kfdfOg pTkfbg ug]{ sf]ifx?sf] d[To' kZrft, of] /;fogsf] sldn] ljleGg lsl;dsf ;d:ofx¿ cfpg5g\ . c7f/f}F ztfAbL d} vf]h ul/Psf] /f]u eP klg cfh;Dd gt 8f]kfdfO{g pTkfbs sf]ifx¿sf] d[To'sf] sf/0f kQf nufpg ;lsPsf] 5 g of] /f]usf] /f]uyfd tyf lgjf/0fsf] e/kbf]{ ljlw g} . of] /f]u cS;/ krf; jif{ eGbf dflysf pd]/ ;d"xdf b]vf k5{ . cf}Bf]lus b]zx¿df x/]s xhf/ JolQmx¿ dWo] tLg hgfdf of] /f]u b]vf k/]sf] 5 eg] ;f7L jif{ gf3]sf dWo] k|lt xhf/ !) hgf / c;L jif{ gf3]sfdf k|lt xhf/ $) hgf JolQmx? of] /f]u åf/f lkl8t 5g\ . ljZj :jf:Yo ;+u7gsf] tYofÍ cg';f/ cfh ;+;f/e/ nueu ^) nfv dflg;? of] /f]u 4f/f lkl8t 5g\ .

रोगका लक्षण तथा चिन्हहरु के के हुन सक्दछन ?

of] /f]u nfu]sf JolQmx¿df ljz]ift xftsf] s+kg, df+z]k]zLx¿df s8stf, lxF8fO{ tyf rfn ;Gt'ng gx'g], z/L/ s'lk|g], lx8\g cK7\of/f] x'g], cg'xf/sf] d'vfs[tL, efj / d'b|fx¿ c;fdfGo x'g], ¥ofn r'lxg], lgb|f gnfUg], uGw yfxf kfpg uf¥xf] x'g], pbfzL tyf lvGgtf a9\g], b[li6 ljs[t x'g], s'g} s'/fdf Psfu|tf no tyf Wofg lbg uf¥xf] x'g], cfjfh dl;gf] x'g} hfg] h:tf ;d:ofx¿ b]vf kb{5g\ . tf}n 36\g], sAhLot x'g], Zjf; a9\g], sfd zlQmsf] Ifo h:tf nIf0fx? Kflg b]vf kb{5g\ . of] /f]u nfu]sf] /f]uLx? l;wf pleg g;Sg] x'G5g\ eg], /f]uLsf 3"8f / s'lxgfx¿ klg df]l8Psf x'G5g\ . xftsf cf}nfx? skf;af6 alQ sfTbf cf}nf rnfP h:t} lg/Gt/ rln/xG5g\ . lx8\bf /f]uL nfdf] km8\sf lnP/ lx8\g ;Sb}g . rKkn h"Qf l3;|Lg ;S5 . p7\g a:g uf¥xf] x'G5 . lx8\bf v'§fx? ;Fu;Fu} xft rNb}gg\ eg] cfFvf lemlDsg] qmdsf] cfj[QL sd x'g hfG5 . vfgf vfg, rkfpg / ef]hg lgNgdf ;d:of b]vf kg{ hfG5 . lx8\g rNg /f]8 qm; ug{df klg d'l:sn x'g hfG5 . of] /f]usf] lgwfgsf nflu ljz]iftM s]; lxi6«L / zf//Ls kl/If0f d} lge{/ x'g' kg]{ x'G5 . dfly jl0f{t nIf0fx? dx;'; ePsf] v08df hlt ;Sbf] rfF8f] lrlsT;lso k/fdz{ lng' kg]{ x'G5 .

यो रोगको जोखिममा को को छन् ?

kf/lsG;g /f]usf] hf]lvddf sf] sf] 5g\ eg]/ lgwf{/0f ug{ ;lsPsf] 5}g tyflk /f]uåf/f lkl8t dWo] !)Ü /f]uLsf] kl/jf/sf ;b:odf klg of] /f]u kfOPsf] 5 . To;}u/L 6«fO{–Snf]/f]–OyfO{nLg -6L;LO{_ gfds kbfy{sf] k|of]u ug]{ JolQmx¿df klg of] /f]u Hofbf kfOPsf] 5 . To;}u/L of] /f]u nfu]sf dWo] w]/} JolQmx¿sf] JolQmTj s8f, pu| / w]/} ;fjwflg lng] vfnsf] kfOPsfn] o;nfO{ w]/} ;fjwfgL lng]sf] /f]u dflgPsf] 5 . laz]ift /Iff laefudf ;+nUg JolQmx?, 7"nf o'4 n8]sf ;}lgs x?, laiffSt /;fog;+u sfd ug]{x?, Hofbf lrGtf / tgfau|:t hLjg lhpg]x?, Snf]:6]/f]nsf ;d:of ePsfx?, clgGb|fsf /f]uLx? dl:tis ;+qmd0f tyf dl:tis 3ftsf /f]uLx?, le6fldg 8L / O{ sf] sdL ePsfx? nfdf] ;do ;Dd /f;folgs cf}ifwL vfg]x? of] /f]usf hf]lvd ju{df kb{5g . sf/0f yfxf geP klg 8f]kfdfO{g pTkfbg ug]{ sf]ifx?sf] d[To' clS;8]l6e :6«];sf sf/0fn] x'g] ub{5 .

कसरि उपचार गरिन्छ ?

cfhsf ldlt;Dd of] /f]usf] pkrf/ kQf nflu;s]sf] 5}g . of] /f]u nfu]sfx?n] ljz]iftM JolQmut x]/rfxdf  Wofg k'/\ofpg' kg]{ x'G5 . vf; u/L lx8\bf 8'Nbf z//Ls ;Gt'ng lau|g uO{ n8\g] tyf rf]6k6s nfUgsf ;fy} cGo b'3{6gf x'g ;Sg] vt/f /xG5 . /f]unfu]sf JolQmx?n] slxNo} klg x/]; vfg' x'Fb}g . pRr dgf]jnsf ;fy /f]usf] k|ltsf/ ug{ ;s] ;xh hLjg hLpg d2t ldNb5 . /f]usf] lgbfg rfF8} x'g ;s] /f]uLnfO{ ljleGg d]l8sn, ;lh{sn tyf k'g{:yfkgLo -l/XoflAn6]zg_ h:tf pkrf/ ljlwx?åf/f s]xL /fxt k'/\ofpg ;lsG5 . ljz]iftM /f]usf nIf0fx?nfO{ ;dg ug{sf nflu n]ef]8f]kf, sflj{8f]kf / cGo nIf0f ;fds cf}ifwLx? tyf Kofln8f]S6f]dL, y}nfd]S6f]gL / l8k–a]|g–l:6d'n];g h:tf ;hL{sn ljlwx?sf] k|of]u k|rnLt 5g . “:6]d–;]n” ;DalGw vf]h tyf cg';Gwfg x? klg of] /f]usf nfuL cfzfsf ls/0f eP/ pbfosf 5g\ . k/Gt' oL ljlwx?sf] k|of]u u/]sfx?df klg /f]u k"0f{?kdf lgsf] x'g g;s]sfn] /f]uLnfO{ k"g{:yfklgo tyf k|fs[lts pkrf/ ljlwx? ljz]if dxTjsf ;fy lbg] ul/Psf] 5 . of] /f]u nfu]sf JolQmx?n] lgoldt ?kdf c+u Jofod l/9 Jofod l;lylns/0f Jofod, k|fte|d0f h:tf Jofod ljlwx?sf] k|of]u lgoldt ?kdf ug'{ kb{5 . df+zk];Lsf] s8stf sd ug{sf nflu :6«]lrË, ;Dk"0f{ z/L/sf] dfln; l8nS; xfO8«f] dfln;, kmf]xf]/f :gfg, :kfOgn :k|] h:tf ljlwx?;d]t nfesf/L 5 . To;} u/L l;/f]wf/f, pi0fkfb:gfg, dft[sf:gfg, -d8 jfy_ Plgdf, j}6 lz6 Kofs, h:tf ljlwx?n] klg 7"nf] kmfObf k'/\ofp5 . tgfj sd ug{sf nfuL 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? pkof]uL 5g\ . of] /f]ussf /f]uLx?n] vfgkLgdf klg ljz]if Wofg lbg' kg]{ x'G5 . vfgfdf le6fldg 8L, O{, aL, / ;L kfO{g] tTjx?sf] ljz]if ;dfof]hg xf]; . sfutL kfgL jf gl/jnsf] kfgLn] klg of] /f]udf kmfO{bf k'/\ofpF5 . of] /f]u ePsfx?n] lbdfunfO{ n7\ofpg] vfB tyf k]ox?sf] ;]jg ug'{ x'b}g .