Malaria

g¨v‡jwiqv

¯Gx G‡bvwdwjm gkvi Kvg‡o †h R¡i nq ZvB nj g¨v‡jwiqv|

Kvib t cøvR‡gvwWqvg bvgK GK cÖKvi  ciRxex Øviv GB †ivM n‡q _v‡K | GB cøvR‡gvwWqvg‡K  Avevi  PviwU fv‡M fvM Kiv n‡q‡Q | 

 h_v:

        (1) plasmodium Falciparum

  (2) plasmodium Vivax

 (3) plasmodium ovale

                    (4) plasmodium maleri Vital Organ 

‡hfv‡e Qovq t ¯Gx G‡bvwdwjm bvgK GK cÖKvi gkvi gva¨‡g GB †ivM Qovq|

jÿb t gvsk‡ckx‡Z e¨v_v nq i³¯^íZv n‡q _v‡K GQvov Liver I Spleen eo n‡e Ges g„`y RwÛm n‡q _v‡K | plasmodium Falciparum Øviv R¡i  Qvov Ab¨vb¨ g¨v‡jwiqv R¡‡ii mvavibZ wZbwU ¯Íi †`Lv hvq | †hgb :- VvÛv ¯Íi, Mig ¯Íi, Ng©v³ ¯Íi |

VvÛv ¯Íi t GB ¯Íi 20 wgwbU †_‡K 1 N›Uv ¯’vqx nq | GB Ae¯’vq iæMxi kxZ Abyfe nq Ges mv‡_ Kuvcybx ZvcgvÎv `ªæZ e„w× cvq 104 wWMÖx ch©šÍ | GQvovI iæMxi cÖPÛ gv_v e¨v_v I bvoxi MwZ †e‡o hvq|

Mig ¯Íi t VvÛv ¯Í‡ii c‡i GB ¯Íi ïiæ nq | GB ¯Íi 1 †_‡K 4 N›Uv  ch©šÍ ¯’vqx nq | Kuvcybx K‡g hvq Ges iæMx cÖPÛ Mig Abyfe K‡i | ZvcgvÎv Av‡Mi g‡Zv _vK‡e k¦vm `ªƒZ n‡e Ges iæMx wccvm³ _v‡K Pvgov Mig I ïKbv _v‡K |

Ng©v³ ¯Íi t Mig ¯Í‡ii c‡i GB ¯Íi ïiæ nq | GB ¯Íi 2 †_‡K 3 N›Uv ¯’vqx _v‡K | GB ¸‡jv Ae¯’vq iæMx cÖPÛ Nvg‡Z _v‡K ZvcgvÎv K‡g hvq Ges iæMx Avivg †eva K‡i |

RwUjZv t cÖPÛ i³¯^íZv n‡e Ges i‡³ AwKª‡R‡bi Afv‡ei d‡j Vital Organ ¸‡jv bó n‡q hv‡e | GQvovI i‡³ †MøvKz‡Ri cwigvb K‡g hv‡e | Mf©avibK…Z Ae¯’vq gvZ…g„Zz¨ n‡e, Mf©cvZ n‡e, g„Z ev”Pvi cÖme n‡e |

mvavib  civgk© t G Ae¯’vq wekÖv‡g _vK‡Z n‡e | ch©vß Zij I Ab¨vb¨ Lvevi †L‡Z n‡e | †fRv Kvco w`‡q mg¯Í kixi gy‡Q w`‡Z n‡e |

cÖwZ‡iva t gkvix e¨envi Ki‡Z n‡e Ggb Kvco cwiavb Ki‡Z n‡e hv‡Z K‡i gkv Kvgov‡Z bv cv‡i | ZvQvov gkvi K‡qj ,‡¯úª A_ev µxg e¨envi Ki‡Z n‡e | gkvi we¯Ívi †iva Kivi Rb¨ evoxi Av‡kcv‡k †Wªb BZ¨vw` cwi¯‹vi ivL‡Z n‡e | wKQzw`b ci ci gkv gvivi Jla wQUv‡Z n‡e | †QvU †QvU wQ`ªwewkó †bU ev Rvj eviv›`v ev Rvbvjvq e¨envi Ki‡Z n‡e |

Jaundice

 RwÛm

i‡³ hw` ¯^vfvwe‡Ki †P‡q Bilirubin Gi gvÎv †ewk nq Zvn‡j kix‡ii  Pvgov ‡Pv‡Li mv`v Ask wgDKvm †gg‡eªb nvZ I cv‡qi Zvjy Ges cÖ¯ªve njy` eb© avib করে Avi †mB †ÿ‡Î জন্ডিসের cwibZ nq | i‡³ m¦vfvweK Bilirubin Gi gvÎv 0.2-0.8 mg/dl.

Kvib t wkï‡`i R‡b¥i ci ci RwÛm _vK‡j Ges Rb¥MZ RwÛm _vK‡j | gwnjv‡`i †ÿ‡Î wc³_wj‡Z Zxeª cÖ`vn n‡j wc³_wj‡Z cv_i Ges Mf©e¯’vq RwÛm n‡Z cv‡i | GQvov mK‡ji †ÿ‡Î wjfvi K¨vÝvi ,অগ্ন্যাশয়ে K¨vÝvi Ges wewfbœ ai‡bi Jla †L‡j †hgb :- hÿv †iv‡Mi Jla, g„wM© †iv‡Mi Jla, QÎvKbvkK Jla Ges  AwZwi³ g`¨cv‡bi Kvi‡b n‡q _v‡K | 

লক্ষণ t RwÛm AvµvšÍ iæMx‡`i Lvev‡ii AiæwP n‡q _v‡K ewg ewg fve nq ,kixi ïwK‡q hvq, gvivZœK `~e©jZv jÿb †`Lv ‡`q | GQvovI GB ‡iv‡M AvµvšÍ iæMx‡`i kixi d¨vKv‡k n‡q hvq Ges cÖ¯ªve njy` n‡q hvq | 

kvixwiK cixÿv t RwÛm n‡j GB Ae¯’vq pulse evo‡e B.p  K‡g hvq †Pv‡Li is, Z¡K, wRnŸvi bxP nvZ I cv‡qi Zvjy BZ¨vw` njy` eb© avib Ki‡e Ges cÖ¯ªv‡ei is Mvp njy` e‡b©i n‡e|

RwUjZv t RwÛm Avm‡j †Kvb †ivM bq | e¯‘Zc‡ÿ Bnv n‡”Q †ek K‡qKwU †iv‡Mi jÿb gvÎ | ZvB RwÛ‡mi RwUjZv wbf©i K‡i Bnvi Kvi‡bi Dci |  

 

mvavib civgk© t AvµvšÍ iæMx‡K c~b© wekÖv‡g _vK‡Z n‡e, ‡ekx K‡i Zij Lvevi †hgb:- cvwb, Wv‡ei cvwb, Av‡Li im, গ্লুকোজ, kieZ,  ORS ‡ekx K‡i †L‡Z n‡e | †Zj I Pwe© RvZxq Lvevi Ges gmjv RvZxq Lvevi Kg †L‡Z n‡e | wPwKrm‡Ki civgk© Qvov †Kv‡bv †Kv‡bv cÖKvi Jla LvIqv hv‡e bv | RwÛ‡mi †Kv‡bv mywbw`ó wPwKrmv †bB Z‡e iæMx hw` `ye©jZvi Rb¨ Ges Nb Nb ewgi Rb¨ iæMx‡K wPwKrmv Kiv‡Z n‡e | 

Dcmsnvi t Avgv‡`i †`‡ki †jv‡Kiv wewfbœ fv‡e RwÛm AvµvšÍ n‡q _v‡K Z‡e Bnv †Kv‡bv gvivZ¦K †ivM bq wbqwgZ wPwKrmv Ki‡j †ivMwU wbiæcb n‡q hvq | Z‡e wPwKrm‡Ki civgk© Qvov †Kv‡bv Jla LvIqv wVK bq  |

Peptic ulcer

পাকস্থলীর ক্ষত

Lv`¨bvjxi bx‡Pi Ask †_‡K ïiæ K‡i Bnv ÿz`ªv‡šÍi †kl cÖvšÍ ch©šÍ †h‡Kvb As‡k Nv ev ÿZ †`Lv hvq |

cÖKvi‡f` t Bnv‡K 2 fv‡M fvM Kiv n‡q‡Q | 

            h_v t- (1) Gastic ulcer

                             (2) Deudenal ulcer

Kvib t eskMZ Kvi‡b Ges wewfbœ ai‡bi Jla †hgb :- e¨v_vi Jla ,ev‡Zi Jla , aygcvb  g`¨cv‡bi Kvi‡b GB †ivM n‡Z cv‡i | GQvov Lv`¨ MÖn‡b Awbqg Ges AwZwi³ `ywðšÍv BZ¨vw` Kvib¸‡jvi ফলে wewfbœ ai‡bi mgm¨v †`Lv w`‡Z cv‡i | hv Avgv‡`i †`‡k Gastric bv‡g cwiwPZ|

jÿbmg~n t e¨v_v hv †c‡Ui Dc‡ii w`‡K wVK gvSLv‡b n‡q _v‡K | A‡bK †ÿ‡Î Bnv Lvev‡ii mv‡_ m¤úK©hy³ nq| wKQz wKQz †ÿ‡Î ewg eyKR¡vjv †XKzi IVv Ges ÿz`vg›`v jÿb¸‡jv †`Lv hvq | jÿb¸‡jv †`Lv gvÎ Gi wKQz test Av‡Q hv cixÿv K‡i †`Lv DwPZ †hgb :- Barium meal X- ray  Ges  Endoscopy Kivi gva¨‡g †evSv hvq M¨vmwUª‡Ki mgm¨v Av‡Q wK bv | 

RwUjZv t M¨vmwUª‡Ki mgm¨v †`Lv w`‡j mg¯’ †c‡U cÖ`vn n‡e, i³míZv n‡e ZvQvov cvK¯’jx‡Z  Cancer n‡q _v‡K | mvavibZ  A(+ve) †jv‡Ki GB †ivM †ekx n‡q _v‡K |

সাধারণ civgk© t   ulcer hy³ iæMx‡K mgqgZ Lvevi LvIqvi civgk© w`‡Z n‡e |

‡hme Lvevi Lv‡e t dzUv‡bv `ya, LB, ‡Zj Qvov iæwU, wm× wWg, wm× Avjy BZ¨vw` Lvevi ¸‡jv  LvIqvi Rb¨ †ivMx‡K civgk© w`‡Z n‡e |

‡hme Lvevi Lv‡e bv t ulcer  Øviv AvµvšÍ e¨vw³ wb‡¤œv³ Lvevi ¸‡jv LvIqv DwPZ bq | Lvevi ¸‡jv  wmMv‡iU ,wewo ,¸j ,mv`v cvZv ,R`©v ,‡mvWv hy³ cvwb †hgb:- ( †ccwm †KvK ) Kov Pv, gmjv, ¸j gwiP Ges AwZwi³ †Zj hy³ Lvevi LvIqv DwPZ bq | GB ai‡bi Lvevi LvIqvi d‡j wewfbœ ai‡bi mgm¨v †`Lv †`q | Ggb GKwU †ivM hv wewfbœ ai‡bi Lvev‡ii gva¨‡g n‡q _v‡K | 

Dcmsnvi t Ggb GKwU †ivM hv wewfbœ ai‡bi Lvev‡ii gva¨‡g n‡q _v‡K | ZvB †hme Lvevi †L‡j GB ai‡bi †iv†Mi m„w÷ nq ‡m mKj Lvevi cwinvi Kiv DwPZ |