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गाइनेकोमैस्टिया क्या है – कारण, लक्षण और उपचार (Gynecomastia in Hindi)
May 26, 2022|Dr Saroj Kumari

गाइनेकोमैस्टिया क्या है – कारण, लक्षण और उपचार (Gynecomastia in Hindi)

हार्मोनल असंतुलन के कारण पुरुष में कई तरह की समस्याएं पैदा होती हैं। गाइनेकोमैस्टिया भी उन्हीं में से एक है। यह एक सामान्य बीमारी है जो पुरुषों को यौवन के दौरान और बुढ़ापें में प्रभावित करती है।

गाइनेकोमैस्टिया क्या है (What is Gynecomastia in Hindi)

गाइनेकोमैस्टिया को मैन बूब्स के नाम से भी जाना जाता है। यह पुरुषों में होने वाली एक आम समस्या है जिससे पीड़ित पुरुष के स्तनों का आकार सामान्य से अधिक बढ़ जाता है। स्तनों का आकार बढ़ने के कारण वे महिलाओं के स्तनों की तरह दिखाई पड़ते हैं।

गाइनेकोमैस्टिया बिलकुल महिलाओं के स्तनों की तरह नहीं होता है, लेकिन कुछ मामलों में उनसे मिलता-जुलता होता है। गाइनेकोमैस्टिया पुरुष के पर्सनल और प्रोफेशनल दोनों जीवन को बुरी तरह से प्रभावित करता है।

शोध के मुताबिक, इस समस्या से पीड़ित लड़के अक्सर अपने ग्रुप में मजाक का पात्र बन जाते हैं। गाइनेकोमैस्टिया के कारण एक लड़के का आत्मविश्वास बहुत कम हो सकता है। यह कोई जानलेवा समस्या नहीं है, लेकिन जीवन की गुणवत्ता को कई तरह से प्रभावित कर सकता है।

यही कारण है कि यह समस्या होने पर तुरंत डॉक्टर से परामर्श करना चाहिए। उचित जांच और इलाज की मदद से उसको आसानी से दूर किया जा सकता है।

ये भी पढ़े: हार्ट अटैक के स्टेज और उनका इलाज

गाइनेकोमैस्टिया के कारण (Causes of Gynecomastia in Hindi)

गाइनेकोमैस्टिया कई कारणों से होता है जिसमें सबसे पहला हार्मोन में असंतुलन होना है। हार्मोन में असंतुलन होने पर एस्ट्रोजन की तुलना में टेस्टोस्टेरोन हार्मोन का स्तर काफी कम हो जाता है।

आमतौर पर पुरुष बहुत कम मात्रा में एस्ट्रोजन हार्मोन का उत्पादन करते हैं, लेकिन जब एस्ट्रोजन हार्मोन का स्तर बहुत अधिक होता है तो गाइनेकोमैस्टिया की समस्या पैदा हो सकती है।

गाइनेकोमैस्टिया के कारणों में यौवन यानी 15-18 की उम्र और बुढ़ापा यानी 50-80 की उम्र शामिल हैं। इसके अलावा, ऐसी बहुत सी दवाएं हैं जो गाइनेकोमैस्टिया का कारण बन सकती हैं। इसमें शामिल हैं:-

  • एंटी-एंड्रोजन दवाएं
  • एनाबोलिक स्टेरॉयड और एण्ड्रोजन
  • एड्स की दवाएं
  • चिंता विरोधी दवाएं
  • एंटीबायोटिक्स
  • एडीएचडी दवाएं
  • कीमोथेरेपी दवाएं
  • अल्सर की दवाएं
  • दिल की दवाएं

निम्नलिखित पदार्थों का सेवन गाइनेकोमैस्टिया का कारण बन सकता है:-

  • गांजा
  • शराब
  • हेरोइन
  • मेथाडोन

कुछ ऐसी भी स्वास्थ्य स्थितियां है जिनके कारण गाइनेकोमैस्टिया की शिकायत हो सकती है। इसमें निम्न शामिल हो सकते हैं:-

  • ट्यूमर
  • हाइपोगोनाडिज्म
  • हाइपोथायरायडिज्म
  • लिवर सिरोसिस या फेल होना
  • किडनी फेल होना
  • कुपोषण

ये भी पढ़े: जानिए काला पीलिया क्यों होता है ? इसके कारण, लक्षण, उपचार

गाइनेकोमास्टिया के लक्षण (Symptoms of Gynecomastia in Hindi)

गाइनेकोमैस्टिया के लक्षणों में शामिल हैं:-

  • स्तनों का आकार बढ़ना
  • स्तनों में गांठ जैसा महसूस होना
  • स्तनों के आसपास सूजन होना
  • कुछ मामलों में संक्रमण होना
  • स्तनों में कोमलता महसूस होना
  • स्तनों में हल्का-फुल्का दर्द होना
  • निप्पल का संवेदनशील होना

ये भी पढ़े: उच्च रक्तचाप का कारण, लक्षण और इलाज

गाइनेकोमैस्टिया का उपचार (Gynecomastia Treatment in Hindi)

गाइनेकोमैस्टिया का उपचार इसके ग्रेड पर निर्भर करता है। कुछ मामलों में उपचार की आवश्यकता नहीं पड़ती है। अगर गाइनेकोमैस्टिया अपनी शुरुआती स्टेज में है तो डॉक्टर मरीज को जीवनशैली और डाइट में कुछ सकारात्मक बदलाव लाने का सुझाव देते हैं।

इसमें समय पर नींद सोना और जागना, अपनी डाइट में हरी पत्तेदार सब्जियों और ताजे फलों को शामिल करना, रोजाना सुबह और शाम हल्का-फुल्का व्यायाम करना, शराब, सिगरेट या दूसरी नशीली चीजों के सेवन से बचना शामिल है।

इसके अलावा, डॉक्टर फास्ट फूड और कोल्ड ड्रिंक के अत्याधिक सेवन से बचने का भी सुझाव देते हैं। डाइट और लाइफस्टाइल में बदलाव लाने के बाद फायदा नहीं होने या गाइनेकोमैस्टिया का ग्रेड-3 होने पर डॉक्टर दवाएं और सर्जरी का उपयोग करते हैं।

गाइनेकोमैस्टिया की सर्जरी को दो तरह से किया जाता है जिसमें पहला लिपोसक्शन और दूसरा मेसाटेक्टोमी है। लिपोसक्शन के दौरान, सर्जन एक्स्ट्रा फैट को बाहर निकाल देते हैं। इस सर्जरी के दौरान स्तन की ग्रंथियों को नहीं हटाया जाता है।

हालांकि, मास्टेक्टोमी के दौरान स्तनों की ग्रंथियों को निकाल दिया जाता है। आमतौर पर इस सर्जरी को एंडोस्कोपी की मदद से किया जाता है।

गाइनेकोमैस्टिया से बचाव (Prevention of Gynecomastia in Hindi)

निम्न बातों का पालन करके गायनेकोमैस्टिया को रोका जा सकते है:-

  • शराब का सेवन सीमित या बंद करें
  • स्वस्थ वजन बनाए रखें
  • नियमित रूप से व्यायाम करें
  • संतुलित आहार का सेवन करें
  • अपनी डाइट में फलों और सब्जियों को शामिल करें
  • बिना डॉक्टर की सलाह के किसी भी दवा का सेवन न करें
  • डॉक्टर द्वारा निर्धारित दवाओं का ही सेवन करें

ये भी पढ़े: पुरुषो में किडनी स्टोन (गुर्दे की पथरी): लक्षण, कारण, और उपचार


अक्सर पूछे जाने वाले प्रश्न

प्रश्न 1. क्या गायनेकोमैस्टिया को ठीक किया जा सकता है?

हां, गायनेकोमैस्टिया को ठीक किया जा सकता है। इसके उपचार के अनेक तरीके मौजूद हैं जिसमें एक्सरसाइज, डाइट, दवाएं और सर्जरी शामिल हैं।

प्रश्न 2. क्या मैन बूब्स का कारण जेनेटिक हो सकता है?

हां, शोध के मुताबिक कुछ लोगों में जेनेटिक कारणों से गायनेकोमैस्टिया हो सकता है। 

प्रश्न 3. गाइनेकोमैस्टिया सर्जरी कैसे होती है?

आमतौर पर गायनेकोमैस्टिया की सर्जरी को दो तरह से किया जाता है जिसमें पहला लिपोसक्शन और दूसरा मास्टेक्टोमी है। इस सर्जरी के दौरान , स्तन के आसपास एक छोटा सा चीरा लगाकर वहां मौजूद एक्स्ट्रा फैट को बाहर निकाल दिया जाता है।

Rare Laparoscopic Surgery for Chronic Pancreatitis & Bile Duct Stricture
May 26, 2022|Dr. Vikas Jindal

Rare Laparoscopic Surgery for Chronic Pancreatitis & Bile Duct Stricture

Overview

A seven-year-old boy visited the Department of GI, Minimal Access & Laparoscopic Surgery at the CK Birla Hospital, Delhi. 

Medical staff with the 7 Year Old Boy Suffering From Chronic Pancreatitis & Bile Duct Stricture after surgery

He had complaints of severe abdominal pain that had been affecting him for the last 3 years. The patient was also reported to be hospitalised several times for pain management.

Consultation

Dr Amit Javed, a leading laparoscopic G.I.surgeon attended to the patient and evaluated his condition. Dr Amit suggested a few tests and screenings to precisely diagnose the condition.

The Problem

The findings revealed that the patient had multiple strictures in the pancreatic duct along with the presence of multiple stones in the pancreas. He was also suffering from bile duct obstruction. After analysing the findings of the tests, Dr Amit went ahead with the laparoscopic surgery as this was the best treatment for the patient. 

The patient had visited various other hospitals earlier seeking relief. However, he was denied surgical intervention due to his age and low weight (17 kgs). Moreover, Dr Amit decided to perform laparoscopic surgery to treat the patient.

Treatment

The surgical team at the CK Birla Hospital, led by Dr Amit, successfully performed a complex laparoscopic surgery to treat the patient. Using the laparoscopic technique, the team of surgeons opened the entire pancreatic duct and removed the stones surgically. After that, the team created a new passage for the uninterrupted flow of pancreatic juice and bile juice.

After performing the surgery, Dr Amit stated “Only a handful of cases of laparoscopic surgery in small children have ever been reported and this is probably the first in India.” A minimally invasive surgical procedure such as laparoscopy is rarely used to treat chronic pancreatitis and associated bile duct stricture. 

Dr Amit is an expert Gastrointestinal, Gastrointestinal Cancer, Laparoscopic & Bariatric/ Weight Loss Surgeon with over 20 years of experience. He is skilled in minimally invasive/laparoscopic surgeries and has been a mentor to many budding surgeons. He was also the first in India to perform Whipple’s Surgery to cure pancreatic cancer in a 6-month pregnant lady.

Recovery

The surgical procedure was completed without any complications and the child recovered quickly. He was closely monitored by the surgical team and discharged from the hospital after 4 days of the surgery.

The patient greatly benefitted from laparoscopic surgery that offered him quick and long-term relief, allowing him to lead a normal, healthy and happy life.

Benefits of laparoscopic surgery include:-

  • Less pain
  • Smaller scars
  • Less blood loss
  • Shorter hospital stay
  • Reduced risk of infections
  • Quick and comfortable recovery

What is Pancreatitis?

Pancreatitis is the inflammation of the pancreas, which is a long, flat gland that sits tucked behind the stomach in the upper abdomen. The pancreas produces enzymes that help digestion and hormones, helping regulate the way the body processes sugar. Pancreatitis can occur as acute pancreatitis that appears suddenly and last for days. 

However, some people may develop chronic pancreatitis that occurs for many years. Mild pancreatitis improves with treatment. However, severe cases can cause life-threatening complications. The most common symptoms of chronic pancreatitis may include:-

  • Upper abdominal pain
  • Losing weight without trying
  • Oily, smelly tools (steatorrhea)
  • Abdominal pain that feels worse after eating

Why Immediate & Proper Treatment Is Needed

Chronic pancreatitis can impair the flow of pancreatic juice leading to severe abdominal pain. Bile duct stricture impairs the flow of bile leading to jaundice. Pancreatitis is a life-threatening condition if left untreated.

Recurrent pancreatitis may cause blood and fluid loss causing life-threatening conditions such as multi-organ failure. Therefore, timely medical intervention and proper treatment are needed.

Why Choose The CK Birla Hospital?

At the Department of GI, Minimal Access & Bariatric Surgery, CK Birla Hospital, we offer a comprehensive range of surgical treatments including surgeries for cancer, general and gastrointestinal, and breast and obesity for both women and men.

Our doctors are trained in the latest minimally invasive laparoscopic procedures to treat a wide spectrum of conditions, ensuring that recovery time is considerably minimized. Precision in diagnosis and treatment is of paramount importance to us.

Our team of surgeons, anesthetists, intensivists and nurses use the latest equipment and innovative procedures to ensure accuracy, safety and the best clinical outcomes.

We offer:-

  • World-class laparoscopic equipment – ICG, RFA, MWA
  • State-of-the-art endoscopy suites
  • Painless LASER treatment
  • Cashless insurance tie-ups
  • 24×7 ICU and Critical Care back-up
  • Multidisciplinary team-based approach
  • Safe hospital with strict protocols in place
  • 100% safe and precision-driven procedure
  • Comfortable and spacious patient rooms and amenities
  • Experienced team specializing in GI, bariatric and anorectal surgeries

If you experience the symptoms of pancreatitis or suffering from any gastrointestinal diseases or disorders, and seeking the most effective and personalized treatment, you can book an appointment and consult our doctors now.

हाइड्रोसील के प्रकार, कारण, लक्षण और इलाज (Hydrocele in Hindi)
May 25, 2022|Dr. Rishi Raj Vohra

हाइड्रोसील के प्रकार, कारण, लक्षण और इलाज (Hydrocele in Hindi)

हाइड्रोसील (Hydrocele in Hindi) पुरुषों को प्रभावित करने वाली एक सामान्य समस्या है। इससे पीड़ित पुरुष के अंडकोषों में पानी भर जाता है, जिसके कारण अंडकोष में सूजन आ जाती है।

हाइड्रोसील किसी भी पुरुष को हो सकता है, लेकिन अधिकतर मामलों में यह 40 से अधिक उम्र के पुरुषों में देखा जाता है।

ये भी पढ़े: पेशाब में जलन क्या है – कारण, निदान और उपचार

हाइड्रोसील क्या है (Hydrocele in Hindi)

हाइड्रोसील पुरुष के अंडकोष में होने वाली एक आम समस्या है जिसमें अंडकोष में द्रव यानी पानी जमा हो जाता है। हाइड्रोसील के कारण अंडकोष का आकार बढ़ जाता है और उसमें दर्द भी हो सकता है।

डॉक्टर के मुताबिक, छोटे बच्चों को हाइड्रोसील हो सकता है, लेकिन यह कुछ समय के अंदर अपने आप ठीक हो जाता है। हालांकि, वयस्कों में उपचार की आवश्यकता होती है। हाइड्रोसील का उपचार करने के लिए अंडकोष में जमा पानी को बाहर निकाला जाता है।

हाइड्रोसील अंडकोष में चोट लगने, नसों में सूजन आने या स्वास्थ्य से संबंधित किसी प्रकार की समस्या, ज्यादा शारीरिक संबंध बनाने, हेवी एक्सरसाइज करने, भारी वजन उठाने या दूसरे अन्य कारणों से हो सकता है।

ये भी पढ़े: 

हाइड्रोसील के प्रकार (Types of Hydrocele in Hindi)

हाइड्रोसील दो प्रकार के होते हैं जिसमें पहला कम्युनिकेटिंग हाइड्रोसील और दूसरा नॉन कम्युनिकेटिंग हाइड्रोसील है।

  • कम्युनिकेटिंग हाइड्रोसील

इस तरह का हाइड्रोसील होने पर अंडकोष की थैली पूर्ण रूप से बंद नहीं होती है और इसमें सूजन एवं दर्द होता है। हर्निया से पीड़ित मरीज में कम्युनिकेटिंग हाइड्रोसील का खतरा अधिक होता है।

  • नॉन कम्युनिकेटिंग हाइड्रोसील 

इस स्थिति में अंडकोष की थैली बंद होती है और बचा हुआ द्रव शरीर में जमा हो जाता है। इस प्रकार का हाइड्रोसील नवजात शिशुओं में अधिक देखने को मिलता है और कुछ समय के अंदर यह अपने आप ही ठीक हो जाता है।

हाइड्रोसील क्यों होता है (Causes of Hydrocele in Hindi)

हाइड्रोसील कई कारणों से होता है। हम आपको नीचे हाइड्रोसील के कुछ मुख्य कारणों के बारे में बता रहे हैं।

हाइड्रोसील के कारण:-

अधिकतर बच्चों में हाइड्रोसील की समस्या जन्म के समय से होती है। समय से पहले जन्मे बच्चों में इसका खतरा अधिक होता है। इसके अलावा, हाइड्रोसील के अन्य कारणों में निम्न शामिल हो सकते हैं:-

  • अंडकोष में चोट लगना या सूजन आना
  • यौन संचारित संक्रमण या इससे जुड़े अन्य संक्रमण होना
  • हर्निया से पीड़ित पुरुष में हाइड्रोसील होने का खतरा होता है
  • कुछ मामलों में हाइड्रोसील आनुवंशिक कारणों से भी हो सकता है
  • प्रोस्टेट कैंसर से पीड़ित पुरुष में हाइड्रोसील की संभावना अधिक होती है

हाइड्रोसील के लक्षण (Symptoms of Hydrocele in Hindi)

हाइड्रोसील के अनेक लक्षण (Hydrocele Symptoms) होते हैं जिनकी मदद से आप या आपके डॉक्टर इस बात की पुष्टि कर सकते हैं कि आपको हाइड्रोसील है। हाइड्रोसील के निम्न लक्षण हो सकते हैं:-

  • अंडकोष का आकार बढ़ना
  • हाइड्रोसील में तेज दर्द होना
  • हाइड्रोसील में सूजन होना
  • शरीर का अस्वस्थ होना
  • चलने फिरने में दर्द और असहजता होना
  • उल्टी, कब्ज, दस्त और बुखार आना
  • ज्ञानेन्द्रियों की नसें ढीली और कमजोर होना
  • कम्युनिकेटिंग हाइड्रोसील के आकार में बदलाव आते रहना

अगर आप ऊपर दिए गए लक्षणों को खुद में अनुभव करते हैं या हाइड्रोसील से पीड़ित हैं तो आपको डॉक्टर से परामर्श करना चाहिए।

हाइड्रोसील का निदान कैसे होता है (Diagnosis of Hydrocele in Hindi)

हाइड्रोसील का निदान करने के लिए डॉक्टर मरीज का शारीरिक परीक्षण करते हैं और साथ ही कुछ जांच करने का सुझाव देते हैं। 

शारीरिक परीक्षण में निम्न शामिल हैं:-

  • बढे हुए अंडकोष की जांच करना
  • जांच के दौरान, अंडकोष में दर्द की पुष्टि करना
  • इनगुइनल हर्निया की पुष्टि करने के लिए पेट और अंडकोष पर दबाव डालना
  • अंडकोष को तेज रोशनी में देखना, हाइड्रोसील होने पर वृषण यानी टेस्टिस के चारों तरफ तरल पदार्थ दिखाई देता है

हाइड्रोसील की जांच करने के लिए डॉक्टर खून और मूत्र परीक्षण एवं अल्ट्रासाउंड करने का सुझाव देते हैं।

  • खून और मूत्र परीक्षण

इन जांचों की मदद से डॉक्टर यह निर्धारित करते हैं कि मरीज को एपिडिडीमाइटिस जैसा संक्रमण तो नहीं है।

  • अल्ट्रासाउंड

अंडकोष में ट्यूमर और सूजन एवं हर्निया का पता लगाने के लिए डॉक्टर अल्ट्रासाउंड करने का सुझाव देते हैं। 

हाइड्रोसील का इलाज (Treatment of Hydrocele in Hindi)

हाइड्रोसील का इलाज (Hydrocele Ka Ilaj) कई तरह से किया जाता है। इसमें मुख्य रूप से एस्पिरेशन और सर्जरी शामिल हैं। हाइड्रोसील की सर्जरी को हाइड्रोसिलोक्टोमी के नाम से भी जाना जाता है।

एस्पिरेशन के दौरान, डॉक्टर इंजेक्शन की मदद से अंडकोष में जमे द्रव को बाहर निकाल देते हैं। यह प्रक्रिया खत्म होने के बाद, डॉक्टर छेद को बंद करने के लिए स्क्लिरोजिंग नामक दवा को इंजेक्ट करते हैं।

ऐसा करने से दोबारा हाइड्रोसील होने का खतरा कम हो जाता है। हाइड्रोसील की सर्जरी के दौरान, डॉक्टर स्क्रोटम में छोटा सा कट लगाकर अंदर जमा हुए द्रव को बाहर निकाल देते हैं।

हाइड्रोसील की सर्जरी को पूरा होने में लगभर 20-30 मिनट का समय लगता है। सर्जरी ख़त्म होने के कुछ ही घंटों के बाद मरीज को हॉस्पिटल से डिस्चार्ज कर दिया जाता है।

हाइड्रोसील की सर्जरी के बाद मरीज को पूर्ण रूप से ठीक होने में लगभग 3-6 दिनों का समय लगता है।

हाइड्रोसील से बचाव (Prevention of Hydrocele in Hindi)

अधिकतर मामलों में हाइड्रोसील को रोका नहीं जा सकता है। लेकिन कुछ बातें हैं जिन पर ध्यान देकर इसके खतरे को कम किया जा सकते हैं, जैसे कि क्रिकेट या दूसरे खेल के दौरान सुरक्षात्मक गियर पहनना ताकि अंडकोष पर चोट न लगे।

Black Fungus Symptoms
May 25, 2022|Dr. Ravindra Gupta

Black Fungus Symptoms

Since 2019, when the pandemic hit our lives, there hasn’t been one day when we did not hear about some of the other variants being released into our environment as if the Coronavirus wasn’t enough. One such injection called the Black Fungus, has not just spread like an infection but there have been so many assumptions that have spread regarding what exactly are the black fungus symptoms and how can one diagnose or get themselves treated for black fungus (also called Mucormycosis). 

In this article, with the help of expert insights from Dr. Ravindra Gupta, a leading internal medicine specialist at The CK Birla Hospital, we will understand what is a black fungus, its symptoms and why COVID patients are being affected by it.

What is Black Fungus?

Black fungus is a non-contagious yet serious and rare fungal infection that if not treated can be fatal. It is mostly found and detected in people who have earlier been infected with coronavirus, viral infectious diseases, immunodeficiency diseases, cancer and other medical conditions. Mucormycosis, or black fungus, is caused by fungi called mucormycetes, which are found in the environment, especially in soil and in conjunction with decaying organic substrates, compost piles, animal faeces, rotting wood, and plant material. This can be seen on rotting fruits and aged bread as a black-coloured growth.

Researchers believe that this type of fungus could have a significant impact on the immune system, it affects the body’s immune system so much that the body becomes more susceptible to fungal infections. This infection, mucormycosis is considered an effect of covid-19, meaning it affects people who have recovered from coronavirus. In recent times, the number of cases of black fungus and the deaths associated with it has increased. Therefore, it is absolutely essential for recovered patients of coronavirus and other immunodeficiency disease patients to learn and understand more about black fungal infection so that they are able to recognise its signs and symptoms.

Signs & Symptoms of Black Fungus

There are several types of black fungus that can affect parts of the body and lead to black fungal infection. Mucormycosis of the skin (Cutaneous), gastrointestinal mucormycosis, pulmonary (lung) mucormycosis, and rhino cerebral (brain and sinus) mucormycosis are all examples of Black Fungus. As a result, Mucormycosis symptoms vary depending on where the fungus is germinating in your body.

(Infographics to be made for each mucormycosis symptom)

Symptoms of Cutaneous (skin) mucormycosis

  • Blisters
  • Ulcers
  • Blackness around the infected area
  • Excessive redness
  • Swelling around the wound
  • Warmth & pain around the infection

Symptoms of gastrointestinal mucormycosis

  • Nausea and vomiting
  • Abdominal pain
  • Blood in stool
  • Stomach pain
  • Gastrointestinal bleeding

Symptoms of pulmonary (lung) mucormycosis

  • Difficulty breathing/shortness of breath
  • Warm body/fever
  • Cough
  • Chest pain

Symptoms of rhino cerebral (sinus and brain) mucormycosis

  • Facial swelling
  • Fever
  • Nasal or sinus congestion
  • Headache
  • Black lesions on the nasal bridge

Cause of black fungus (mucormycosis)

Mucormycosis is a rare yet fatal fungal infection which attacks the blood vessels and damages the body leading to severe complications like causing tissue necrosis and even death. As per research, it has been found that this fungus starts emerging in the body after the usage of steroids given to coronavirus patients. The drugs given for treating coronavirus patients contain elements which trigger the onset of this fungus. There is no doubt that these medications help relieve the inflammation and manage the effect of covid-19 infection but it comes with severe repercussions, like affecting the body’s ability to fight other infections like mucormycosis. 

There are several types of fungi that can cause mucormycosis. The most common types that cause mucormycosis are Rhizopus species and Mucor species. Other examples include Rhizomucor species, Syncephalastrum species, Cunninghamella bertholletiae, Apophysomyces, Lichtheimia (formerly Absidia), Saksenaea, and Rhizomucor.

Diagnosis & testing of black fungus

To diagnose and test if the patient is infected with black fungus below are some vital steps that should be abided by the patient and the doctor.

  • For diagnosis of any infection, disease or condition the first step is to submit all your medical history, explain your current symptoms without leaving anything out,  get your physical examination done and also submit all laboratory tests (if any) to the healthcare expert. 
  • Once the reports and medical history have been submitted and examined by the healthcare expert he may collect a sample of fluid from your respiratory system to further assess the severity of the infection
  • Depending on the result of the sample collected, you might have to undergo a tissue biopsy in which the doctor will collect a sample of the infected tissue to analyse in the lab for evidence of mucormycosis
  • After the lab reports are received the patient might also have to undergo imaging tests such as a CT scan of the lungs, sinuses and other parts of the body depending on the site of the suspected infection
  • In the end, after collecting all relevant information the doctor will provide a customised treatment plan as per the diagnosis

Treatment of black fungus

After diagnosis, the black fungus needs to be treated with prescribed antifungal medicines. The doctors with the right medication can help stop the growth of the fungus and control the infection until it is completely destroyed. In severe cases, surgery might be recommended as it can help remove dead and infected tissues. Before moving ahead with surgery, the patient needs to be strong mentally and physically as the surgery involves removing parts of the body that are infected.

Why Covid-19 patients affected by it?

Mucormycosis infection occurs in people who have already been infected with some or the immunodeficiency diseases. Patients who take medicines that have potential to lower the ability of the immune system making it difficult to fight infection back with the fungus. When infected with COVID-19 the body becomes weak and more vulnerable to infection thereby leaving the immune system at risk. So, people recovering from Covid-19 are at a higher risk due to a weak immune system.


FAQs

Ques 1. How black fungus spread?

It does not spread from person to person, even though it is a rare infection but a dangerous fungal infection.

Ques 2. How black fungus is caused for COVID patients?

COVID patients become more prone to infection because their immune system becomes weak and also there are times when the medicines given to the patients cause side effects. Therefore, there are chances of black fungus infecting patients recovered from COVID.

Ques 3. Is black fungus contagious?

No, black fungus is not contagious but is a dangerous infection which may even cause death or permanent damage to the body.

First aid for heart attack: What to do & what to avoid

First aid for heart attack: What to do & what to avoid

A health emergency never knocks on the door. A medical trauma or critical situation may present in the most unexpected way. During that time, experienced clinical intervention can be inaccessible for the time being. It is, thus, important for ordinary citizens to learn how to manage emergency situations, for instance, heart attacks. Knowing first aid in a heart attack can be a life-saving measure.

This article, written with insights from Dr. Rashi Khare, leading critical care specialist at the CK Birla Hospital, offers key information about first aid in heart attack.

Heart attack first aid: SOS

  • Call 112 instantly in case you suspect someone is having a heart attack
  • Keep your local emergency contact on speed dial 
  • Do not feed any medicine to the patient in an attempt to treat them 
  • Begin CPR if the patient is losing consciousness

About heart attack

Heart attack, also known as myocardial infarction, is a condition that occurs when blood flow to the heart gets blocked. This blockage can be a result of long-term or gradual damage to the organ. Primarily, the accumulation of fat and cholesterol along with other substances may lead to the formation of plague in the arteries of the heart. The formation of a plague can rupture an artery and lead to the development of a blood clot. Furthermore, blood clotting and blockage can damage or destroy the heart muscles.

Symptoms of heart attack 

A medical emergency can look like and create a lot of panic. Before you deliver first aid in heart attack, you should at least know that the emergency situation is most likely the said disease. Therefore, it is important to learn about the common signs and symptoms of heart attack, which include:

warning signs of heart attack

  • Sensation of pressure, tightness or squeezing in the chest or arms that radiates to the neck, jaw or back (for more than 15 minutes)
  • Pain in the chest or arm that spreads to the neck, jaw or back 
  • Breathlessness
  • Nausea, indigestion, heartburn or abdominal pain 
  • Cold sweating 
  • Tiredness
  • Lightheadedness or dizziness

It is to be noted that not everybody have similar symptoms of heart attack. Additionally, the intensity of the above-given symptoms also vary. It is also possible that some one may have only one symptom. 

Steps to take: First aid in heart attack 

First aid for heart attack includes several precautionary steps. The following guide will help you cope with a stressful situation like this.

First Aid during heart attack CPR Guide step by step

Step 1 – The first step you need to take when you suspect that somebody is having a heart attack is to call for help. You should instantly dial 112 and ask for an ambulance or connect with nearby healthcare institutions

Step 2 – Analyze the affected person’s health condition and check if he/she is breathing. Additionally, check if the person has a pulse by examining the same on their wrist. 

Step 3 (a) – In case the person is not breathing, you should immediately start CPR.

About CPR

CPR stands for Cardiopulmonary resuscitation. It is a life-saving measure that is provided to someone who is possibly having a heart attack or drowning.

CPR for heart attack can be performed by anyone – bystanders or first responders. Hands-only CPR includes giving repeated and rapid chest compressions in a rhythm of about 100-120 per minute until medical helpers arrive.

Step 3 (b) – If the person is not experiencing unconsciousness but has other obvious signs of heart attack, you should do the following:

  • Ask the person to sit down and try to relax
  • You should ask them to loosen if they are wearing tight clothing 
  • Ask them if they are taking any medications for chest pain. If yes, arrange the medication and help them take it

What not to do if someone is having a heart attack 

If you are not a healthcare provider, the care and support you offer during the heart attack will be limited. While it is important to know which steps to take, it is essentially significant to know what not to do.

The following list provides an insight on what should be avoided while providing first aid in heart attack:

  • Do not leave the person alone until medical help arrives
  • Do not ignore the symptoms of heart attack and delay calling the ambulance 
  • Do not give the person any unprescribed or over-the-counter medication

Prevention of heart attack 

While in some people, heart attacks can occur suddenly, others may begin to notice their symptoms at least 2-3 days in advance. 

Heart attack is a fatal condition, however, it can be effectively prevented with certain lifestyle recommendations and measures.

Here’s what you should do to reduce your chances of having a heart attack:

  • Avoid smoking or quit smoking completely as it doubles your possibility of having a cardiac arrest
  • Manage your blood sugar, blood pressure and cholesterol levels 
  • Maintain a healthy body weight or lose weight if obese
  • Eat heart-healthy foods 
  • Exercise regularly 
  • Restrict your alcohol intake 

The Takeaway 

Timing is the key while providing first aid in a heart attack. You should act wisely and rapidly to help manage the person’s symptoms while professional medical health arrives.

The next steps for heart attack first aid are:

  • Memorising the above-mentioned first aid steps 
  • Keeping access to emergency contacts handy 
  • Knowing your risk factors 
  • Practising a healthy lifestyle 
  • Learn how to do hands-only CPR

For more information and personalised guidance on first aid and critical care, visit the CK Birla Hospital.

Causes of heart attack: What is the reason behind the fatal ailment?

Causes of heart attack: What is the reason behind the fatal ailment?

Heart attack is one of the most known, common and fatal health concerns. Presently, it affects millions of people all over the world. This ailment also has a great mortality rate. Despite its high incidence, awareness and information about the fundamentals of this disease are lagging. In order to seek timely treatment and management, it is important to know about the symptoms and causes of heart attack. 

In this article, with insights from our cardiologists, we will explore the most common reasons for heart attack. But before we dwell on the reasons, let us first study what this condition is all about?

Heart attack: What is it?

Heart attack is also known as myocardial infarction. It is a serious medical emergency that occurs when the blood flow to the heart gets blocked. 

warning signs of heart attack

There is usually a formation of blood clots due to this blockage leading to complete disruption of blood supply. The blockage can not only disrupt the blood flow but also damage or destroy the organ due to an inadequate supply of oxygen. 

A heart attack is characterised by a pressure, tightness, squeezing sensation or pain in the chest or arms, pain that radiates to the neck, jaw or back, nausea, indigestion, heartburn, abdominal pain, shortness of breath, cold sweating, fatigue, and sudden dizziness. 

Cardiovascular diseases are highly common all across the globe. It is responsible for the deatlh of close to 17.9 million people worldwide. Out of these stark figures, 85% of the deaths are attributed to heart attack. 

Also Read: Heart Valve Disease: Causes, Symptoms, and Treatment

Heart attack Causes

Primarily, the reason for heart attack is the formation of plague caused by a build-up of fat, cholesterol and various other substances. The said plague forms in the arteries of the heart which is responsible for supplying oxygen-rich blood to the heart and causes the arteries to narrow. 

Heart attack usually occurs as an effect of overtime damage to the organ. Overtime, due to sedentary lifestyle and other factors, one or more of the coronary arteries of the heart can get blocked due to the accumulation of fatty deposits (including cholesterol). This build-up leads to the development of a condition known as coronary artery disease which causes heart attack. 

  • When a person has a heart attack, the plague (formed by deposition of fatty substances) ruptures and lets the flow of cholesterol into the bloodstream. This can cause blood clotting to form at the site of rupture.
  • Blood clot in one or more of the coronary arteries can completely restrict the flow of blood in the heart, making it deficient in oxygen and other nutrients. 
  • Depending on the size of the blood clot, there are two types of heart blockages that can occur – complete and partial blockage. 
  • A complete blockage can cause an ST elevation myocardial infarction (STEMI). STEMI is a serious medical emergency and has higher levels of risk of complications. 
  • A partial blockage, on the other hand, can lead to a non-ST elevation myocardial infarction (NSTEMI). NSTEMI is a comparatively less serious situation and is considered an acute coronary syndrome spectrum. 
  • One of the other common causes of heart attack is the spasm of one or more of the coronary arteries. A spasm is defined as a constriction or tightening of a coronary artery that occurs temporarily. This spasm occurs in the muscular wall of the coronary artery. 

Risk factors of heart attack 

Heart attack is one such medically critical situation that can occur in anyone irrespective of their age or gender. However, some individuals or groups are at a greater risk of developing a complete or partial heart attack.

A range of factors – biological, lifestyle and others – can increase your chances of getting a heart attack some time. Common risk factors of heart attack are:

  • Age – As you grow old, your chances of developing heart attack increase. 
  • Tobacco consumption – Smoking or consumption of tobacco in any other form including intake of secondhand smoke can increase your chances of heart attack. 
  • High blood pressureHigh blood pressure or hypertension is a condition in which the pressure of flow of blood against the wall of the coronary artery is too high. Hypertension can cause long-term damage to the arteries.
  • High cholesterolHigh cholesterol or high triglyceride levels (fat deposits) can cause the narrowing of coronary arteries and thus increase your risk of heart attack. 
  • DiabetesDiabetes is a condition characterised by high levels of sugar in your blood due to insulin resistance. Diabetes is known to increase your risk of heart attack. 
  • Obesity – The above-mentioned health concerns – high blood pressure, high cholesterol and diabetes – are linked to obesity which can further increase your likelihood of getting a heart attack. 
  • Family history of heart attack – An individual’s risk of heart attack increases significantly if your siblings, grandparents, or parents have had a medical emergency. 
  • Inadequate physical movement – A sedentary lifestyle including lack of physical activity increases your chances of developing high blood pressure, diabetes or high cholesterol levels. These concerns, further, increase your risk of heart attack. 
  • Stress – High levels of stress are known to be linked with greater chances of heart attack. 
  • Autoimmune conditions – An autoimmune condition is the one in which your immune system (which is meant to protect you against external substances) mistakenly attacks your own healthy cells. 

Also Read: Healthy Diet Chart for High Blood Pressure Patients

Complications of heart attack 

Heart attack, whether complete or partial, is a serious medical emergency. An episode of heart attack requires urgent and immediate critical care intervention. If not heeded timely, heart attack can lead to the following complications:

  • Abnormal heart rhythms
  • Heart failure 
  • Sudden cardiac arrest 

Points to note:

  • If you suspect that somebody is having a heart attack, you should immediately call 112 or your local emergency contact. 
  • If the person loses consciousness, you should start hands-only CPR 
  • Learn more about coping with a medical emergency by studying heart attack first aid here. 

For more information on intensive care for heart attacks, you can speak to our healthcare providers. Book an appointment today. 

How to dissolve kidney stones
May 23, 2022|Dr. Shalabh Agrawal

How to dissolve kidney stones

Kidney stones are like tiny stones in the kidney which may seem tiny in size but the pain it causes is surely not tiny. Kidney stones leave excruciating pain in the side and back, below the ribs. It causes discomfort in the lower abdomen and groin. Pain from kidney stones comes in waves but varies in frequency. In people with kidney stones, the lower abdomen hurts like when a pregnant lady is having contractions and is being asked by the doctor to breathe.. stay calm.. you can do this. 

Dr. Shalabh Agrawals, shares his views on how to dissolve kidney stones and what remedies can be followed to treat and prevent kidney stones.

How are kidney stones formed and where do they come from?

Image-showing-the-presence-of-stone-in-kidney-and-urethera

Before understanding how these kidney stones are formed it is important to know what kidney stones are. Kidney stones are hard deposits that form in the kidney and are often painful when passed through the ureters. They may be painful but they usually do not leave any permanent damage to the abdomen or the kidneys. 

Once the kidney stones are formed, they result in severe pain in the abdomen, it may also affect the flow of urine with blood in urine, feeling nauseated, and vomiting. The stones pass down the urethra and may result in frequent urination, constant pain, and pressure in the bladder. 

How to speed up the passage of a kidney stone

People who have kidney stones feel unbearable pain and all they want is to find an easy yet permanent solution for the kidney stones. Below are some of the things that can help relieve the pain caused due to kidney stones.

Drink loads of fluids 

Increase your fluids intake as it can aid you in a variety of ways. It detoxifies the body and helps in the passage of stones through the urethra. Many times, even doctors will advise that the best way to treat kidney stones is to drink enough water throughout the day. Increased liquid intake can help shift the stone and remove the grit from the kidney stone. Drink as much water as you can because water is usually considered the best cure for many ailments. Water in itself can do wonders to the body. Other beneficial liquids are lemon water, being citric it can help break stones into small pieces and thereby speeding up the passage process of stones. Apple cider vinegar, again being citric in nature, can surely act as a game-changer for many, it helps to relieve pain and can add to other benefits as well. It boosts the process of flushing the stones out of the system.

Limit the intake of sodium

Cut down on the intake of sodium and protein as it may boost uric acid in the body and further increase the chances of formation of kidney stones. Diet high in sodium can increase the risk of calcium in your urine, which can induce kidney stones. For those who are prone to stone formation, a low-sodium diet is recommended.

Signs and symptoms of kidney stones

Signs are symptoms of kidney stones should be well observed and not ignored or else it can lead to severe unbearable pain in the abdomen. Kidney stones are like they can be in your kidney for years and still not cause any discomfort but when it starts to move or enlarge you may develop symptoms. 

  • Pain in the lower back
  • Feeling the need to urinate but there isn’t any passage of urine
  • Fever 
  • Nausea
  • Vomiting with severe pain
  • Blood in your urine
  • Pain while urinating
  • Dull ache in the abdomen
  • Cloudy or smelly urine

Diagnosis of Kidney Stones

If your healthcare provider suspects that the pain around your abdomen or near ribs is due to kidney stones he/she will suggest a list of tests and procedures. Before proceeding with the tests the doctor will require your medical history in order to prescribe the tests

  • Blood tests: A blood test will help detect how the functioning of the kidney is and check for any infections that may have triggered kidney stones and if there is too much calcium or uric acid in the blood.
  • Imaging tests: X-ray, CT scan and ultrasound can help provide clarity on the size, shape, number, and location of the stones.
  • Urine test: It helps to examine if there are any substances in the urine like blood. The doctor may ask for more than one sample of the urine.

Home remedies for kidney stones

Basil Juice

Basil being high in acetic acid and rich in nutrients helps to break down the kidney stones and relieve the pain. Basil is known to help relieve the discomfort caused due to digestive and inflammatory disorders. Basil is filled with antioxidants and anti-inflammatory substances which can help maintain kidney health.

Barley Water

As mentioned above, water is a savior and is truly the world’s first and foremost medicine. Water is both a driving force of nature and our body. Barley water helps to lower cholesterol, is good for kidneys and helps to flush out toxins from the body.

Pomegranate juice

Pomegranate is known for being rich in antioxidants and has been used for years to improve the overall health of the kidney. Taking care of the kidney may eventually prevent the formation of stones in the kidney. It helps to flush out all the toxins from the system. Kidney stones are crystals made of calcium and uric acid, pomegranate juice helps to lower uric acid levels and thereby reducing the risk of further deterioration of stones.

Kidney beans soup

Kidney bean soup has been known to improve kidney health. It aids to dissolve and flush out any toxins of the stones. 

Treatment of Kidney Stones

Treatment of Kidney stones in various ways

The kidney stones that are small in size can be taken care of with home remedies or as per doctors’ suggestion. But the other stones, that are large in size and are in a difficult position may be taken out through surgical methods.

  • Surgically removing stones with a scope
  • Sound waves are used to break apart stones

FAQs

Ques 1. How do you dissolve hard kidney stones?

The doctor may give shock therapy to break hard stones into small pieces so that they can easily be flushed out of the system

Ques 2. How can I force a kidney stone to pass at home?

Drinking loads of fluids, like water or drinks rich in citric acid like orange, apple cider vinegar may help to encourage the stones to pass at home. 

Ques 3. How much apple cider vinegar should I drink to dissolve kidney stones?

Add 1-2 tablespoons of apple cider to water and drink. Being citric in nature can help dissolve kidney stones.

Ques 4. How do I know if my kidney stone is moving?

If your stones are moving towards your groin, you might start feeling a slight urgency to urinate.

Ques 5. How do you sleep with a kidney stone?

The right posture to sleep if you have a kidney stone is on the side where the stone is as this may help move the stone. Also, if the pain becomes unbearable, seek immediate medical help.

Diet Chart for Kidney Patients
May 19, 2022|Dr. Mohit Khirbat

Diet Chart for Kidney Patients

Kidneys are vital organs in your body. The bean-shaped organs are responsible for filtering waste and extra fluids from your body as well as maintaining a healthy balance of salts, minerals and water. Having kidney disease can affect your general health.

It is, thus, important to take extra care of your body if you are experiencing kidney disease. The top factor in maintaining your overall health is your dietary intake. A diet chart for kidney patients is an important tool that provides key details about what to eat and what to avoid. 

In this article, with insights from Dr. Mohit Khirbat, a leading nephrologist at the CK Birla Hospital, we will explore the chronic kidney disease diet food list. But first, let’s begin by understanding what kidney disease is?

Kidney diet chart: What is kidney disease?

Your kidneys are responsible for removing excess fluids and waste from your blood. This wastage is then converted into urine which is drained from the body.

Kidney disease is a condition that leads to the loss of kidney function and restricts your body to lose extra waste as it should. It can be an acute or chronic condition. Kidney disease is characterised by a range of varying symptoms. Common signs and symptoms of chronic kidney disease include:

  • Nausea and vomiting 
  • Loss of appetite 
  • Tiredness 
  • Difficulty in sleeping 
  • Changes in the frequency of urination 
  • Decreased mental sharpness
  • Cramping in the muscle 
  • Swollen feet and ankles 
  • Dryness and itching on the skin 
  • Uncontrolled high blood pressure 
  • Shortness of breath due to fluid-up in the lungs
  • Chest pain

Chronic kidney disease (CKD) is a highly prevalent condition. It is estimated that about 697.5 million individuals were recorded to have chronic kidney disease in 2017 alone, making up for a 9.1% global incidence.

Why is a dialysis patient’s diet important?

If you are suffering from chronic kidney disease, your body’s ability to filter waste is compromised. It means that your kidneys are unable to perform their function properly. Hence, you should ensure to eat included in the Indian diet chart for kidney patients so that your kidneys are able to function healthily despite kidney disease.

Modifying your kidney diet chart can help you avoid complications of kidney disease and improve your quality of life.

In addition, a proper diet chart for high creatinine patient provides:

  • More energy 
  • Reduced risk of infection 
  • Healthier body weight 
  • Decreased risk of disease progression

Also Read: Healthy Diet Chart for High Blood Pressure Patients

Dialysis patient diet chart: What is dialysis?

Before we jump into understanding food for dialysis patients, we should learn what dialysis is all about.

Since kidneys are unable to filter any waste while experiencing kidney disease, a novel treatment for kidney patients. Dialysis is a procedure in which a machine is used to filter and remove waste products. A dialysis machine also regulates minerals and salts in your blood and controls blood pressure.

There are two types of dialysis:

  • Hemodialysis 
  • Peritoneal dialysis

Dialysis does not cure kidney disease but only offers temporary relief and allows your body to get rid of waste and extra fluids.

Also Read: Kidney Dialysis: Types, Risks & Outlook

Indian diet chart for kidney patient 

A personalised dialysis patient diet chart can help someone with kidney disease relieve their symptoms and live a better quality of life. An ideal renal diet should be low in sodium, protein and phosphorus. In some patients, an additional restriction on the intake of calcium and potassium is also there.

Maintaining the balance of these nutrients is important in order to eat a healthy diet as well as keep the kidney disease from progressing further.

Listed below are the top components you should include in the diet chart for kidney patients:

Sodium 

Sodium is a mineral found in salt and is used as a common seasoning. A kidney patient should avoid consuming higher levels of sodium. Intaking higher levels of salt can increase your thirst, blood pressure levels, and further cause swelling in the legs, hands and face. Low levels of salt, on the other hand, can help regulate blood pressure levels, nerve function and muscle contraction.

How to monitor sodium intake: Read food labels, choose fresh fruits and vegetables, and avoid consumption of packaged meats.

Potassium 

Potassium is a mineral that occurs naturally in the body. It is also found in several food items. Potassium is important for muscle function and regulating heartbeat. It, additionally, improves fluid and electrolyte balance in the blood.

It is important for kidney patients to balance their potassium intake as high levels of this mineral in your blood can lead to muscle weakness, irregular heartbeat and slow pulse.

How to monitor potassium intake: Limit the consumption of foods high in potassium, choose fresh fruits and vegetables, and avoid salt substitutes.

Phosphorus 

Phosphorus is important for bone development and strength. It also helps in maintaining muscle function and the development of connective tissue. If you are a kidney patient, your ability to filter phosphorus decreases. When your kidneys are not functioning at their full potential and you consume high levels of phosphorus, your body can pull out extra calcium from your bones and cause calcium deposits in the blood vessels and various organs.

How to monitor phosphorus intake: Choose foods that are low in phosphorus, avoid packaged foods, and eat smaller portions of food high in protein.

Protein

Damaged kidneys are unable to filter protein from food, which in turn, gets collected in the blood. Protein, however, plays a significant role in tissue maintenance. Therefore, it is important to balance your protein intake. 

How to monitor protein intake: Check labels, avoid consumption of processed foods and maintain a food journal.

Fluids

Fluids are essential for your body’s hydration. However, if you are suffering from kidney disease, you are required to balance your fluid intake so that the dialysis can fully filter the waste from your body. High fluid intake can increase the pressure on your heart and lungs.

It is important to maintain your fluid intake based on your urine output as well as your dialysis setting.  

How to monitor fluid intake: Avoid drinking additional fluids and be aware of the amount of water you keep while cooking.

Foods good for kidneys Foods bad for kidneys 
Fruits (peaches, grapes, pears, apples, berries, pineapple, plums, tangerines, and watermelon) Oranges and orange juice, nectarines, kiwis, raisins or other dried fruit, bananas, cantaloupe, honeydew, and prunes
Grains, Dalia, & oatmeal  Nuts
Olive oil, canola oil and safflower oil Chocolate
Fish, poultry and eggs Dark-coloured soda, processed food, pickles, tomatoes, and ready-to-eat meals
Milk, yoghurt and cheese High-fat dairy products
Vegetables (broccoli, cabbage, carrots, cauliflower, celery, red pepper, cucumber, eggplant, green and wax beans, lettuce, onion, peppers, watercress, zucchini, and yellow squash) Asparagus, avocado, potatoes, tomatoes or tomato sauce, winter squash, pumpkin, and cooked spinach

The Concluding Note 

Diet chart for kidney patients is a significant and handy tool that can help kidney patients lead a life of good quality.

For more information or personalised guidance on kidney disease, you can book an appointment with Dr. Mohit Khirbat, a leading nephrologist at the CK Birla Hospital, Gurgaon. 

Also Read: Renal Failure (Kidney Failure): Causes, Symptoms, Diagnosis, and Treatment


FAQs

Ques 1. What are the 10 best foods for kidney disease?

The 10 best foods for kidney disease are broccoli, cabbage, carrots, cauliflower, celery, red pepper, cucumber, eggplant, green and lettuce.

Ques 2. Which food reduces creatinine level?

To reduce creatinine levels, reduce your consumption of red meat and fish. 

Ques 3. What fruit is good for the kidneys?

Peaches, grapes, pears, apples, berries, pineapple, plums, tangerines, and watermelon are good fruits for kidneys.

मिनिस्कस टियर का कारण, लक्षण और उपचार (Meniscus Tear in Hindi)
May 19, 2022|Dr. Anuj Chawla

मिनिस्कस टियर का कारण, लक्षण और उपचार (Meniscus Tear in Hindi)

मिनिस्कस टियर (Meniscus Tear in Hindi) एक गंभीर समस्या है जिसके कारण आपको तेज दर्द और अनेक परेशानियों का सामना करना पड़ सकता है।

घुटना शरीर के अहम् जोड़ों में से एक है जो दैनिक जीवन के उन सभी कामों को आसानी से पूरा करने में मदद करता है जिसमें घुटने की भूमिका शामिल है। चलते, दौड़ते, ऊंचाई से कूदते या दैनिक जीवन की दूसरी गतिविधियों को करते समय घुटने में चोट आ जाती है, मिनिस्कस टियर भी उन्हीं में से एक है।

मिनिस्कस टियर को मेनिस्कस टियर के नाम से भी जाना जाता है। आइए इस ब्लॉग में मेनिस्कस टियर के कारण, लक्षण और इलाज के बारे में विस्तार से जानने की कोशिश करते हैं।

मिनिस्कस टियर क्या है (Meniscus Tear in hindi)

घुटने की नरम उपास्थि यानी कार्टिलेज में लगी चोट को मेडिकल भाषा में मिनिस्कस टियर कहते हैं। मिनिस्कस घुटने की कार्टिलेज का एक हिस्सा है जो घुटने की जोड़ को स्थिर रखता है। यह हड्डियों को घिसने से बचाने का भी काम करता है।

वैसे तो मिनिस्कस टियर किसी को भी हो सकता है, लेकिन अधिकतर मामलों में यह खिलाड़ियों में देखने को मिलता है। क्रिकेट, फुटबॉल, हॉकी, वॉलीबॉल या दूसरे खेल के दौरान अक्सर चोट लगने पर मिनिस्कस टूट या फट जाता है।

कई बार चलते या दौड़ते समय अचानक से अपनी दिशा बदलने के कारण भी मिनिस्कस टियर हो सकता है। इतना ही है, उम्र बढ़ने पर घुटने का कार्टिलेज कमजोर हो जाता है जिसके कारण मिनिस्कस टियर का खतरा बढ़ जाता है।

मिनिस्कस का जांच करके इसकी चोट की गंभीरता की जांच की जाती है। जांच के बाद, डॉक्टर मिनिस्कस टियर के कारण और गंभीरता के आधार पर उपचार का चयन करते हैं। मिनिस्कस टियर का इलाज कई तरह से किया जा सकता है।

मिनिस्कस टियर के कारण (Meniscus Tear Causes) 

मिनिस्कस आमतौर पर अचानक मूवमेंट के कारण होता है। जब घुटने को उसकी क्षमता से अधिक अचानक से मोड़ दिया जाता है तो मिनिस्कट टूट जाता है।

साथ ही, लंबे समय तक घुटने पर भार देने या खेलकूद के दौरान अचानक से घुटने में चोट लगने के कारण भी मिनिस्कस टियर की समस्या हो सकती है।

उम्र बढ़ने पर उत्तक कमजोर हो जाता है जिसके कारण मिनिस्कस टियर हो सकता है। उम्र बढ़ने पर कार्टिलेज कमजोर हो जाती है जिसकी वजह से एक साधारण मूवमेंट भी मिनिस्कस टियर का कारण बन सकता है।

मिनिस्कस टियर के लक्षण (Meniscus Tear Symptoms)

मिनिस्कस में चोट लगने या उसके फटने पर कुछ लोगों को घुटने में चटक की आवाज आ सकती है। साथ ही, कुछ लक्षण भी दिखाई दे सकते हैं जैसे कि:-

  • घुटने में सूजन होना
  • घुटने के आसपास दर्द होना
  • घुटने की गतिशीलता में कमी आना
  • घुटने पर सहारा लेने में तकलीफ होना

इन सबके अलावा, सीढ़ी चढ़ने-उतरने, घुटने को मोड़ने या दैनिक जीवन के दूसरे उन सभी कामों को पूरा करने में परेशानी होना जिसमें घुटने का इस्तेमाल शामिल है।

अगर आप ऊपर दिए गर लक्षणों को खुद में अनुभव करते हैं तो जल्द से जल्द एक हड्डी रोग विशेषज्ञ से परामर्श करना चाहिए। 

मिनिस्कस टियर का निदान (Meniscus Tear Diagnosis)

मिनिस्कस टियर का निदान आवश्यक है, क्योंकि इसी से डॉक्टर मिनिस्कस टियर के कारण और गंभीरता एवं जटिलताओं की पुष्टि करते हैं।

मिनिस्कस टियर का निदान करने के लिए डॉक्टर अनेक जांच का सुझाव दे सकते हैं। सबसे पहले डॉक्टर मरीज का शारीरिक परीक्षण करते हैं। शारीरिक परीक्षण के दौरान डॉक्टर घुटने की गतिशीलता की जांच करते हैं। शारीरिक परीक्षण करने और लक्षणों से संबंधित कुछ प्रश्न पूछने के बाद डॉक्टर कुछ जांच करने के सुझाव दे सकते हैं जिसमें निम्न शामिल हैं:-

Diagnosis of Meniscus tear in hindi

  • एक्स-रे

एक्स-रे की मदद से डॉक्टर मिनिस्कस टियर की पुष्टि कर सकते हैं। एक्स-रे से डॉक्टर इस बात का पता भी लगाते हैं कि घुटने में दर्द का कारण ऑस्टियोअर्थराइटिस तो नहीं है।

  • एमआरआई

एमआरआई के दौरान डॉक्टर कार्टिलेज और लिगामेंट की तस्वीर लेकर इस बात की पुष्टि करते हैं कि मिनिस्कस में टियर है या नहीं।

  • अल्ट्रासाउंड

अल्ट्रासाउंड के दौरान डॉक्टर इस बात का पता लगाते हैं कि घुटने की कार्टिलेज में ढीलेपन तो नहीं है।

  • आर्थ्रोस्कोपी

अगर एक्स-रे, एमआरआई या अल्ट्रासाउंड के बाद भी घुटने के दर्द के कारण की पुष्टि नहीं होती है तो डॉक्टर आर्थ्रोस्कोपी का उपयोग करते हैं।

इन सभी जांच के परिणाम आने के बाद, डॉक्टर मिनिस्कस टियर के कारण और गंभीरता एवं मरीज की उम्र तथा समग्र स्वास्थ्य को ध्यान में रखते हुए उपचार के माध्यम का चयन कर इलाज शुरू करते हैं।

मिनिस्कस टियर का उपचार/इलाज (Meniscus Tear Treatment)

मिनिस्कस टियर का इलाज कई तरह से किया जाता है। इसके उपचार के माध्यमों में निम्न शामिल हो सकते हैं:-

मिनिस्कस में चोट लगने पर डॉक्टर सबसे पहले मरीज को आराम करने का सुझाव देते हैं। साथ ही, पैर का इस्तेमाल कम से कम या न के बराबर करने को कहते हैं।

Meniscus Tear Treatment in Hindi

  • बर्फ की सिकाई (Ice Pack For Meniscus Tear)

मेनिस्कस टियर के कारण उत्पन्न दर्द और सूजन को कम करने के लिए डॉक्टर बर्फ से घुटने की सिकाई करने का सुझाव दे सकते हैं।

  • दवाओं का सेवन (Medicines For Meniscus Tear)

घुटने के दर्द और सूजन को करने के लिए डॉक्टर कुछ खास दर्द निवारक दवाएं भी निर्धारित कर सकते हैं।

  • शारीरिक चिकित्सा (Physical Therapy For Meniscus Tear)

मिनिस्कस टियर के लक्षण को दूर और घुटने के आसपास की मांसपेशियों को मजबूत करने के लिए डॉक्टर शारीरिक चिकित्सा का भी सुझाव दे सकते हैं।

शारीरिक चिकित्सा घुटने के दर्द को कम करने के साथ-साथ घुटने की गतिशीलता एवं स्थिरता को बढ़ाने में मदद भी करता है।

घुटने के दर्द को दूर करने के लिए डॉक्टर घुटने की मालिश करने का भी सुझाव दे सकते हैं।

  • सर्जरी (Surgery For Meniscus Tear)

जब ऊपर बताए गए उपायों से कोई फायदा नहीं होता है या मिनिस्कस बुरी तरह से चोट आता है तो डॉक्टर सर्जरी का उपयोग करते हैं।

मिनिस्कस टियर का उपचार करने के लिए जिस सर्जरी का उपयोग किया जाता है उसे आर्थ्रोस्कॉपी सर्जरी कहते हैं।