PohnXssieotcmK§Ä C¶v Hcp hnjbaÃmXmbncn¡p¶p. ImcWw, FÃmhcpsSbpw t]m¡än Ahbv¡pÅ Sm_veävkpWvSv. AXn\v ASnabmbncn¡p¶p tIcfP\X. bphm¡Ät]mepw Cu amcImhØbnte¡p amdns¡mWvSncn¡p¶p. CXn\v Hcp ]cnlmcw thtWvS?
F´mWv PohnXssieotcmK§Ä?
{]IrXnhncp²amb PohnX{IaamWv H¶mas¯ hnó. AXn {][m\w AanXmlmcw, hncp²mlmcw, IqSpX sImgp¸S§nb ^mÌv^pUvkv, t_¡dn ^pUvkv, sIan¡Âkv AS§nb P¦v^pUvkv, Sn³^pUvkv FÃmwXs¶.
aZyw, ab¡pacp¶pIÄ, sIm¡t¡mf t]mepÅ ]m\ob§Ä, ]pIhen F¶nhbpw hn÷mÀXs¶.
Bhiy¯n\v hymbmaanÃmbvabmWv aq¶mas¯ hnó. AanXmlmchpw hymbmaanÃmbvabpamIpt¼mÄ icocw XSnhbv¡p¶p. tcmK§Ä¡p hn¯nSp¶p.
FÃmw sh«n¸nSn¡m\pÅ X{X¸mSnÂ, AXym{Kl¯nsâ Bthi¯n h¶ps]Sp¶ sS³j\pw tcmK¯n\p hfanSp¶p.
Nn«bnÃmsX Ip¯gnª PohnXw, kZmNmcclnXamb PohnXw, kmaqlnI{]Xn_²XbnÃm¯ PohnXw FÃmw tcmK§sf t]mjn¸n¡p¶p.
""\ap¡p \mta ]WnhXp \mIw
\cIhpaXpt]mse''
F¶v B]vXhmIyw.
{][m\
PohnXssieotcmK§Ä
1. {]talw (Diabetes melitus)
AanXmlmcw, hymbma¡pdhv, ÌmÀ¨v IqSpXemb Blmc§fpsS AantXm]tbmKw, tImÀ«ntkm¬ KpfnIIfpsS hnItem]tbmKw, ]Iepd¡w F¶nh {]tal¯nte¡p hgnsXfn¡pw. tIcfobcpsS AanXamb ÌmÀ¨v D]tbmKw aqew {]talw {IamXoXambn ImWp¶p. D¯tc´y¡mÀ tNmdns\m¸w [mcmfw shPnä_nÄ kmeUv Ign¡p¶p. XmcXtay\ AhnsS {]talw IpdhmWv.
{][m\ e£W§Ä
[mcmfw aq{Xw t]mhpI, A[nIhni¸v, Zmlw, Xq¡wIpdbpI, £oWn¡pI, {]Xntcm[w IpdbpI F¶nhbmWv BZye£W§Ä.
{]talw \nb{´n¨nsænÂ
càmXnk½À±w, lrt{ZmKw, ]£mLmXw, t\{XtcmKw, hr¡tcmKw, Rc¼ptcmKw FÃmw hcmw. PohnXw Xs¶ _p²nap«mhpw.
{]Xntcm[w
{]talw ]nSnIqSmsX PohnXssien {Ias¸Sp¯pIbmWv {][m\w. AXn \nXyhymbmaw {][m\w. Hcn¡epw s]m®¯Sn Iq«cpXv. \S¯amWp \ÃXv. Znhkw 45 an\ns«¦nepw icocw Deªp\S¡Ww, Irjn¸Wn, ssk¢nwKv, \o´Â FÃmamhmw. tbmKmk\§fpw AXnhninjvSamWv.
Blmcw {IaoIcn¡Ww. kaoIrXmlmcw ioen¡Ww. ]¨¡dnIÄ, Ce¡dnIÄ, ]bdphÀ¤§Ä, [mcmfw \mcS§nb `£W§Ä F¶nh DÄs¸Sp¯Ww. Im¸n, Nmb, t_¡dn, a[pc]elmc§Ä \nb{´n¡Ww.
at\m\nb{´Ww thWw. im´amb PohnX¯n\p {ian¡Ww. {]mWmbmaw, [ym\w,P]w FÃmw CXn\p \ÃXmWv.
NnInÕ
eLphmb BbpÀthZNnInÕbneqsS {]talw \nb{´n¡phm³ km[n¡psa¶mWv A\p`h§Ä sXfnbn¡p¶Xv. ^e{]Zamb Ijmb§Ä, KpfnIIÄ, NqÀ®§Ä FÃmw KpW{]ZamWv. sIan¡Â KpfnIIfpsS ]mÀizZqjy§Ä CÃmsb¶Xpw {][m\amWv.
Blmcw
ÌmÀ¨v þ Itemdn Ipdª Blmcw anXambn Ign¡mw. F¶mÂ, t]mjWw thWwXm\pw. sNdp]bÀ, dmKn, Xn\, tNmfw F¶nh \ÃXmWv. [mcmfw ss^_À DÅ dmKn Hcp acp¶pXs¶bmWv. tImhbv¡ [mcmfw Ign¡mw. hmg¸nWvSn, hmg¨pWvSv FÃmw KpW{]ZamWv.
hymbmaw
\nXyhymbmaw {][m\w. {]taltcmKwsImWvSv hnjan¡p¶hÀ Hcp InWÀ X¶¯m³ Ipgn¡s« F¶mWv AjvSmwKlrZbw A\pimkn¡p¶Xv. hymbma¯nsâ {]m[m\yamWv ChnsS Dt±in¡p¶Xv.
tbmKmk\§Ä hfsc KpW{]Zambn ImWp¶p. AXp \ap¡v ho«n\pÅn¯s¶ sN¿m³ km[n¡pw F¶Xv henb Imcyat{X.
2. càmXnk½À±w (Hypertension)
lrZbw hnIkn¡pt¼mgpw Npcp§pt¼mgpw cà[a\nIfnepWvSm¡p¶ k½À±amWv càk½À±w. km[mcW BhtdPv tdäv 120/80 BWv. 150/90 apIfnÂt¸mIpt¼mgmWv càmXnk½À±w F¶p ]dbp¶Xv.
amen\y§Ä ASnªpIqSn [a\nIÄ¡p ImTn\yw hcpIbmWv sN¿p¶Xv (Arterio schlerosis).
ChnsSbpw {][m\ hnó sImgp¸pw hymbmaanÃmbvabpamWv. càmXnaÀ±w hfsc¡qSnbm ]£mLmXw hcmw, lrt{ZmKw hcmw. CsXmgnhm¡phm³ \nb{´nXmlmchpw hymbmahpw Xs¶bmWv {][m\w.
apcn§bne, shÅpÅn, apXnc F¶nh Blmc¯n DÄs¸Sp¯p¶Xv càmXnaÀ±w Ipdbphm³ klmbn¡p¶p. [a\nbnse Hcp ¢o\nwKmbn Ch {]tbmP\w sN¿pw. {]mWmbmaw hfsc KpW{]ZamsW¶p sXfnªn«pWvSv. lrZbmtcmKyw Im¯pkq£n¡pI F¶XmWv {][m\w. BbpÀtÆZhn[nb\pkcn¨v aq¶p amk¯nsemcn¡Â hntcN\w (hbdnf¡Â) sN¿p¶Xpw hfsc \ÃXmWv.
lrt{ZmKw
lrt{ZmK¯nsebpw {][m\ hnó sImgp¸pXs¶. sImgp¸v ASnªpIqSn lrZb[a\nIfn t»m¡pWvSmIp¶XmWv {][m\ ImcWw.
Cu sImgp¸v Aenbn¡phm³ ctkm\mZn Ijmbw KpW{]ZamWv. \nch[n t]À¡v {]tbmP\w In«nbncn¡p¶p. ZiaqelcoXIntelyw tkhn¡p¶Xv lrt{ZmKw hcmXncn¡phm\pw h¶m ian¡phm\pw D]Imcs¸Sp¶p.
{]mWmbmaw, izk\hymbma§Ä, Nne tbmKmk\§Ä FÃmw {]tbmP\IcamsW¶p ]T\§Ä sXfnbn¨n«pWvSv.
ssl¸À sImfkvt{SmÄ
sNdp¸¡mcS¡w \nch[n t]cn ImWp¶ Cu {]Xn`mk¯nsâbpw hnó sImgp¸pXs¶. \à sImfkvt{Smfpw No¯ sImfkvt{SmfpapWvSv. BbpÀtÆZ¯nse [mXzánamµyw CXn\p {][m\ ImcWamWv. ck[mXp icn¡p ]cnWmaw \S¡msX, càamImsX sImgp¸pIfmbn amdp¶p. hymbma¡pdhmWv {][m\ ImcWw. AanXamb amwkw, hds]mcn¡Â, ^mÌv^pUv F¶nhbpw ImcWw Xs¶.
ssl¸À sImfkvt{SmÄ \nb{´n¨nsæn {]talw, càmXnk½À±w, lrt{ZmKw, hr¡tcmKw XpS§nb almtcmK§Ä ]nSnapdp¡p¶p. hcmsX t\m¡pI, h¶m \nb{´n¡pI.
taZkv ian¸n¡p¶ Ijmb§Ä, KpfnIIÄ FÃmw ^e{]ZamWv. hymbmaw ]ca{][m\w. IpSw]pfn, shÅpÅn, apcn§bne, apXnc F¶nh [mcmfw Blmc¯n DÄs¸Sp¯mw. \½psS "ckw' F¶ Idn CsXms¡¯s¶bmWtÃm.
C©n¨½´n, C©n¸pfn, s\¿v \o¡nb tamcv, Idnth¸ne FÃmw \ÃXmWv. Hcp t\cs¯ `£Ww ]g§fm¡pI (anXambn). amk¯nsemcn¡Â D]hmkw hfsc {]tbmP\w sN¿pw. A¶v FIvkkv Bb ^mäv Zln¨pt]mIpw.
Aev]w a\Êph¨m PohnXssieotcmK§Ä AIän \nÀ¯mw. CXp Ip«n¡mew apX XpS§Ww. AXp ho«n \n¶pXs¶ XpS§Ww. `£Ww Ignbp¶Xpw ho«nÂ\n¶v. APnt\mtamt«mbpsS cpNn¡Snabmbm \mw tlm«entet¡mSpw. h³XpI \ÂIn tcmKw hnebv¡phm§pw.
{]IrXnZ¯amb ]g§fpsS kzmZv Ip«nIÄ ioeam¡Ww. amcIhnjamb sFkv{Iow Hgnhm¡q. PohnXw BkzZn¨p Pohn¡q. {]IrXnsb kwc£n¡q. `qan amXmhmsW¶v HmÀ¡pI.

(sFs¦m¼v {ioIrjvW BbpÀthZ tI{µ¯nse No^v ^nknjy\mWv teJI³)