leprosy

Leprosy (कुष्ठ रोग)

 

आइए हम आज बात करते हैं कुष्ठरोग पर।

मेडिकल साइंस में लेप्रोसी को हवा जनित संक्रमण रोग माना गया है। आंकड़ों के हिसाब से दुनिया भर में संक्रमण बीमारियों से होने वाले अपंगता का एक बड़ा कारण लेप्रोसी है या कुष्ठरोग है?यह माइक्रोबैक्टेरियम लेप्रे बैक्टीरिया के फैलने से होता है।लेप्रोसी पीड़ित व्यक्ति के खांसने या छींकने पर सांस तंत्र से निकलने वाले बूंदों में होता है और हवा के साथ मिलकर दूसरे व्यक्ति के शरीर में पहुंच जाता है। स्वस्थ व्यक्ति के शरीर में पहुंचकर इन बैक्टीरिया को पनपने में तकरीबन 4 से 5 साल लग जाते हैं। प्रारंभिक अवस्था में लेप्रोसी के लक्षणों की अनदेखी करने से व्यक्ति अपंगता का शिकार हो सकता है।

 

प्रारंभिक अवस्था में लेप्रे बैक्टीरिया हाथ पैर मुंह जैसे खुले रहने वाले अंगों और पेरीफेरल नर्व्स को प्रभावित करता है।ब्लड या ऑक्सीजन की सप्लाई कम होने से प्रभावित अंग सुन्न होने लगता है त्वचा पर पैच पड़ने लगते हैं। बाद में वहां की त्वचा रूखी और सख्त होने लगती है।सुन्नपन के कारण चोट लगने या घाव होने का पता नहीं चलता है। लेप्रे बैक्टीरिया का प्रकोप बढ़ने से सेंट्रल नर्वस सिस्टम भी प्रभावित होता है।मरीज की स्थिति गंभीर हो जाती है। पेरीफेरल नर्व्स मोटी हो जाती है। मांसपेशियां काम करना बंद कर देती है। इससे हाथ पैर टेढ़े होने लगते हैं ध्यान ना देने या एक्सरसाइज ना करने से हड्डियां अकड़ जाती है। हाथ से काम करना और चलना-फिरना मुश्किल हो जाता है।

 

लेप्रे बैक्टीरिया से मरीज की आंखों की पुतलियां भी प्रभावित हो जाती है। आंख झपक नहीं पाते हमेशा खुली रहती है। हवा के संपर्क में आने से आग ड्राई हो जाती है। संक्रमण और कॉर्निया पर चोट लगने का खतरा रहता है।बैक्टीरिया के आंख के अंदर पहुंचने पर अल्सर हो सकता है। कार्निया सफेद हो सकती है। यहां तक कि देखना भी बंद हो सकता है।

 

उपचार

 

प्रारंभिक अवस्था में ही समुचित जांच व उपचार होने जरूरी सावधानियां बरतने और दवाइयां का कोर्स पूरा करने से मरीज 6 से 12 महीने में ठीक हो जाता है।उम्र के हिसाब से मरीज को मल्टी ड्रग थेरेपी(MDT) दी जाती है। जो भारत सरकारी अस्पतालों व स्वास्थ्य केंद्रों में बिल्कुल मुफ्त दी जाती है।प्रारंभिक अवस्था में राइफैम्पिसिन जब कि अग्रिम अवस्था में राइफैम्पिसिन,क्लोफाजीन और डैपसोन भी दी जाती है। जरूरत पड़ने पर रीफापिसिन ऑक्लोक्सासिन और मीनासाइक्लीन मेडिसिन भी दी जाती है। स्थिति गंभीर हो यानी कम करने में दिक्कत होने पर सर्जरी व फिजियोथेरेपी की मदद ली जाती है।

 

     इन बातों का ख्याल रखें

 

1:— मरीज सुबह उठकर आईने के सामने बैठकर शरीर के पेज छाले और सि्कन में आए बदलाव की जांच करें। महसूस करें कि हाथ पैर सुन्न तो नहीं हो रहा

 

2:— हाथ पैर की मोटी और खुद ही त्वचा उसको नहाने के बाद गुनगुने पानी में थोड़े देर तक भी रोए तेल से मालिश करें ताकि वे नरम और मोशराइज हो।

 

3:— अगर कहीं छाला हो तो उसे साफ कपड़े से बांधे परेशानी ज्यादा हो तो तुरंत डॉक्टर से मिलें।

 

4:— काम करते हुए कोई गर्म चीज पकड़नी हो तो चिमटा, रुमाल या तोलिया से पकड़े यथासंभव हाथों में ग्लब्स पहन कर काम करें।

 

5:— कुछ पकाते समय आग से दूरी बनाकर रखें।

 

6:— ज्यादा दूर तक चलना हो तो रुक रुक कर आराम करने के बाद दोबारा चलें।

 

7:— आंखों पर चश्मा पहने। रात को सोते समय आंख पर साफ कपड़ा गीला बांधकर सोए। जिससे वह खुली ना रहे।

 

8:— साफ सफाई या हाइजीन का ध्यान रखें।

 

9:— लेप्रोसी से बचने के लिए मरीज के परिवार के अन्य सदस्य भी समय-समय पर चेकअप कराते रहे।

 

नोट:— बीमारी कैसी भी हो हमें उसे नजरअंदाज नहीं करना चाहिए। और पहला इलाज हमेशा सावधानी ही होता है।

 

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