Diabetes & Heart - Care (Hindi)

e/kqesg ,oa ân;  

   

ân;  ekuo 'kjhj dk og eq[; ,oa dksey vax gS tks 'kjhj ds fdlh vU; vo;o dh vis{kk fujUrj T;knk dke djrk gSA ekuo 'kjhj esa ;g ilfy;ks ds uhps dh vksj ls ck,a ufiy ds yxHkx uhps fLFkr jgrk gSA lkekU; O;fDr dh Hkkafr e/kqesg jksxh dk ân; 24 ?kaVsa esa yxHkx 1]15200 ckj /kM+drk gSA ân; ls 'kjhj ds lEiw.kZ vax izR;ax eas jDr igqapkus ds fy, ân; ls egk/keuh] /keuh vkSj jDr okgfu;ksa dk ,slk gtkjksa fdyksehVj yEck tky lk fcNk gSA ftleas cgus okys jDr ftlesa cgus okys jDr ds dkj.k ge thou ikrs gSA fpfdRlh; Hkk"kk esa ;g 'kjhj  dh jDr lapkj iz.kkyh dgykrh gSA

CyM&'kqxj ds izHkkoh daVªksy esa uk jg ikus ds dkj.k] vfu;fer vkgkj&fogkj ls e/kqesg jksxh ân;] ls jDr ys tkus okyh /kekfu;ksa] raf=dkvksaa ¼Nerves½ ] ân; dh ekal isf'k;ksa rFkk ân; fØ;k lHkh dqN izHkkfor gks tkrs gaSA ftlds dkj.k bu /kefu;ksa esa le; ls iwoZ dM+kiu vk tkrk gS] ftlds  ifj.kke Lo:i og viuk dk;Z iw.kZ :i ls djus esa /khjs&/khjs v{ke gksrh tkrh gaSA blds lkFk&lkFk vfu;fer Hkkstu ds :i esa yh xbZ olk rFkk CyM&'kqxj dh vfu;fer ek=k jDr ys tkus okyh /kekfu;ks esa /khjs&/khjs teus yxrh gSA ftlds dkj.k jDr /kefu;ksa esa jDr cgko esa vojks/k mRiUu gks tkrk gS]  ftls fpfdRlh; Hkk"kk esa ,FksjksLdyksjksfll dgrs gaSA ftlds dkj.k ân; dks viuk gh dk;Z djus ds fy, T;knk 'kfDr dk iz;ksx djuk iM+rk gSA ifj.kke Lo:i ân; dh ekalisf'k;kas eas lwtu vk tkrh gS] vkSj ân; dk vkgkj ¼fupyk fgLlk½ c<+ tkrk gSA ftls fpfdRlh; Hkk"kk esa dkfMZ;ksseSxssyh dgk tkrk gSA ftldk vfrae ifj.kke gkVZvVSd ds :i es vkrk gS] ftls izR;sd e/kqesg jksxh dks tukuk pkfg,A

e/kqesg jksfx;ksa esa vfu;f=ar CyM&'kqxj ds dkj.k ân; ls lEcfU/k raf=dkvksa dh fØ;kvksa esa Hkh vis{kkd`r f'kfFkyrk mRiUu gks tkrh gSA vr% e/kqesg jksxh dks ân; esa nnZ dk vuqHko lkekU; O;fDr dh vis{kkd`r de gks tkrk gSA ftlds dkj.k gkVZ&vVSd gksus dh voLFkk esa jksxh rFkk fpfdRld dks bl dk vuqeku lgtrk ls ugha gks ikrk] vkSj og lkekU; isV fodkj ¼xSl½ bR;kfn le>dj cgqewY; le; dks u"V dj nsrs gS] ftlds  ifj.kke Lo:i jksxh ds thou dh gkfu gks ldrh gSA vr% e/kqesg jksxh dks ijke'kZ fn;k tkrk gS] fd og fujarj fdlh e/kqesgK ls lEidZ cu;s j[ksA blds vfrfjDr ges'kk LoLFk ân; dh fØ;kvksa ds izfr tkx:d jgsA vr% ;fn jksxh dks dHkh

& Nkrh ¼lhus½ esa Hkkjhiu ;k nnZ ¼tks dHkh&dHkh mYVs gkFk ;k tcM+s rFkk isV ds Åijh  e/; Hkkx es tkrk ekywe iM+s ½ A

& BaMk ilhuk vk;sA

& lakl ysus eas dfBukbZ gksA

& xyk can gksrk ekywe nsA

& ?kcjkgV gksA

& mYVh ;k mcdkbZ vk;s

rks fpfdRld ls lEidZ djsa] vkidh tjk lh nsj ;k ykijokgh vkids         thou dks d"V esa Mky ldrh gSA

blds vfrfjDr e/kqesg jksxh esa mPp jDr pki dh leL;k cM+h gh lkekU; :i esa ikbZ tkrh gS] vkSj jksxh Hkh blds izfr cM+k ykijokg jgrk gSA tcfd mPp jDr pki e/kqesg jksxh n`f"V rFkk xqnsZ dks
lh/kk rFkk cgqr [krjukd <ax ls izHkkfor djrk gSA blds lkFk&lkFk CyM&'kqxj ds izHkkoh daVªksy cuk;s j[kus eas Hkh ijs'kkuh djrk gSA vr% e/kqesg jkssxh blds izfr ltx jgsA vr% izR;sd e/kqesg dks ijke'kZ fn;k tkrk gS fd &

& CyM&'kqxj ij izHkkoh daVªksy cuk, jD[ksA

& vius 'kkjhfjd otu dks uk c<us ns] vkSj rhu ekg esa ,d ckj otu t:j djk ys  rFkk mls Mk;jh esa uksV dj ysaA

& CyM&izs'kj 15 fnu esa ,d ckj vo'; djk;sA

& ân; dh lgh fLFkfr dk Kku j[kus ds fy;s 6 ekg esa ,d ckj fyfiM izksQkby rFkk  lky esa ,d ckj bZ-lh-th- vo'; djk;sA

& 'kjkc] flxjsV vkfn dk lsou uk djs] D;ksfd og lc ân; xr e/kqesg ds minzo dks  tYnh ykus esa mRizsjd dk dk;Z djrs gSA

& e/kqesg ân; jksxh dks izfrfnu fu;fer :i ls rst pyuk ,oa lqcg [kqyh gok esa cSB dj yEch&yEch lakl vanj [khpuk rFkk ckgj fudykuk lcls vPNk O;k;ke gSA

& fpark] vR;kf/kd ekufld ruko bl HkkSfrd thou dh nsu gS] ;g HkqykbZ rks ugh tk  ldrh ysfdu vius iz;Ru ls de vo'; dh tk ldrhA blds fy, lnSo iz;Ru 'khy   jgsA

& v/;kfRed /;ku] /khek e/kqj laxhr vkids eu rFkk efLr"d dks 'kkar j[kus esa fu'fpr :i ls lgk;rk iznku djsxkA

Mk-,e-,l fla?ky 

Ayurveda & Indian Scenario of Cardio Vascular Disease

Indian scenario of Cardiovascular disease

 Although the prevalence of  CVD in India was reported to be comparable to that in united states in 1969s when the US had the second highest CVD mortality in the world, with big geographic difference between different parts of India were present.

Ancient Indian physician Charak and Sushruta Some 2800 years earlier identified the Cardiac disorders as  disorders effecting the people of upper socio economic classes who were Obese,  Lethargic,  Consuming large quantities of fatty food and sweet drinks etc. But there have been limited studies on CVD in India, at Present India is also in a high risk group for the development of  CVD. Some subsets such as immigrants urban and upper socio-economic classes have an unusually high incidence of the disease and mortality. Indians frequently get the disease at a comparatively younger age in the absence of the accepted risk factors.

The prevalence of CVD varies between  4-6 % in rural Indian to 10-12 % in Urban North West India.  How ever in urban south Indians the prevalence is about 16%. The absolute risk of CVD differs from culture to Culture which empahsises the role of various factors responsible for CVD.

Since CVD are Multifactorial in origin therefore the increased
susceptibility of the disease usually associated with increased prevalence of these factors in India -  

      -     High Prevalence of Obesity Particularly Central Obesity with high Hip-Waist
            Ratio.

      -     High Prevalence of Non Insulin Dependent Diabetes Mellitus, Impaired Glucose                                    Tolerance Or Increased Concentration of fasting plasma  Insulin .

             Indians have     shown 2.0-3.0 high prevalence of NIDDM

      -     Presence of Dyslipaedimia -High Plasma Triglyceride, Low HDL & High
            Cholesterol Level.

      -     Prevalence of Small Dense LDL particles.

      -     Hyperinsulinaemia, Elevated Proinsulin And Insulin Ratio.

      -     Increased Consumption of Lipoproteins

Simultaneously the type of conventional diet pattern appears to have significant role in promoting the present epidemic of the disease amongst them. The typical Indian diet is cereal based with  increased consumption of total fat and its subtypes may have the pathogenic role in the development of the disease. The basic defect in the Indian diet is the virtual deficiency of highly  unsaturated n-3 fats. The traditional Indian cooking were replaced by n-6 enriched oils. This leads to impairment of  destruction of alpha lipoenic acid and blocks the only available source for obtaining the highly unsaturated n-3 essential fats. So the diets derived from refined cereals and high fat diet with an physiological concentration of n-6 fat elevated n-6/n-3 ratio is a major coronary risk factor in the epidemiology of Indians.

In rural India the prevalence of CVD is also increasing, the reasons are the food habits, Medium Physical activity, Low body weight, Hypercholesteremia etc. Most of the Indian rural population belongs to the poor socio-economic group and the habit of chewing tobacco and smoking are very common which is the major risk factor if  CVD. The unknown CVD cases are also common in rural India .

There are no reports of decline of CVD in India Where as there is marked reduction in the incidence of disease in several western countries.

So we must have to focus on the fact that CVD needs to be prevented and physicians should make every effort to modify reversible risk factors. Primary care physicians are in ideal position to play major role in Preventing the  progression of CVD in India  by Providing some basic Guidelines to the patients prone to the disease.

Ayurveda the holistic Science of India has lot to offer to Medical Science in prevention of  such type of disorders by its unique concepts of Life-style, Diet,  Seasonal regimens and line of treatment which are completely suitable and acceptable by Indians. Only the motivation is required to refresh the knowledge of this oldest Indian science, Which not only deals with the diseases but  deals with the Body, Mind & Disease simultaneously  and that can reverse the major risk factors of  such type of Progressing diseases in India.   

 Dr.M.S.Singhal                                                                                                       Dr.Alka Singhal