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কনজেস্টিভ হার্ট ফেইলিয়র ( Congestive Heart Failure-CHF )

নাজনীন নাহার, লেখক ও সাংবাদিক ১১:৩১ মিঃ, জানুয়ারি ৮, ২০২২ Views : 15

GwU evsjv‡`‡ki Ab¨Zg cÖavb ü`‡iv‡Mi g‡a¨ GKwU| Avi G †iv‡Mi cÖ‡Kvc I nvi eqte„w×i mv‡_ evo‡Z _v‡K|

Kb‡Rw÷f nvU© †dBwjqi Kx

hLb ü`wcÛ kix‡i chvß cwigv‡b i³ mÂvjb Ki‡Z cv‡i bv, ZLb Kb‡Rw÷f nvU© †dBwjqi nq| G‡¶‡Î, i³ Ges kix‡i Ab¨vb¨ Zij c`v_© dzmdz‡m P‡j †h‡Z cv‡i Ges k¦vm wb‡Z Amyweav n‡e, †Mvovwj Ges cv dz‡j †h‡Z cv‡i Ges e¨vqvg Kivi mgq Amy¯’‡eva Ki‡eb, k¦vm Kó n‡e| Kb‡Rw÷f nvU© †dBwjqi Gi †cQ‡b A‡bK KviY _vK‡Z cv‡i| wKš‘ cÖwZwU †¶‡Î ü`wc‡Ûi wKQz Ask mwVK fv‡e KvR Ki‡ebv| Kb‡Rw÷f nvU© †dBwjqi Gi me‡P‡q cÖavb KviY ü`‡ckxi `ye©j n‡q hvIqv| G ai‡bi cwiw¯’wZ mvavibZt nvU© G¨vUv‡Ki ci A_ev `xN©w`b ch©šÍ D”P i³ Pvc (nvB evW †cÖkvi) _vK‡j D™¢e n‡Z cv‡i| `xN©w`b a‡i g`cvb Av‡iKwU KviY n‡Z cv‡i, G‡Z ü`wcÛ `ye©j Ges AvKv‡i e„w× cvq| GQvovI ü`‡ckx `ye©j nIqvi †cQ‡b Bb‡dbk‡biI fzwgKv _v‡K| ïaz gvÎ wKQz †¶‡Î `ye©jZvi †cQ‡bi KviY †ei Kiv m¤¢ve nq bv| G mgm¨v‡K ejv nq KvwW©Igv‡qvc¨v_x| GQvovI Kb‡Rw÷f nvU© †dBwjqi Av‡iv GKwU KviY n‡Z cv‡i nv‡U©i fv‡j¦i †ivM †hgb †÷‡bvwmm ev wiMviwR‡Ukb| †÷‡bvwmm ev wiMviwR‡Ukb Gi Kvi‡b nvU© fvj¦ A¯^vfvweK fv‡e KvR K‡i|

jÿY ev DcmM©mg~n

Kb‡Rw÷f nvU© †dBwjqi Gi j¶Y I DcmM© mg~n †`Lv †M‡j, Zr¶bvr Wv³v‡ii mv‡_ civgk© Kiv `iKvi| KviY, Kb‡Rw÷f nvU© †dBwjqi j¶Y I DcmM©mg~n Ab¨ wKQy †iv‡Mi mv‡_ wg‡j †h‡Z cv‡i Ges Kb‡Rw÷f nvU© †dBwjqi Gi mgm¨v _vK‡j GK ev GKvwaK j¶Y I DcmM© Dcw¯’Z _vK‡Z cv‡i| GRb¨ Wv³v‡ii mv‡_ K_v ejvUv Riæix|

k¦vm wb‡Z mgm¨v Ges Kvwk

dymdy‡m kix‡ii Zij c`v_© Xy‡K †M‡j wbtk¦vm I cÖk¦v‡m mgm¨v nq| Aí‡ZB nvwc‡q hvIqv †hgb wmwo †e‡q Dc‡i DV‡j, GK`g evwjk Qvov ï‡jI k¦vm wb‡Z mgm¨v| e‡m †_‡K A_ev `yB †_‡K wZbwU evwjk e¨envi Ki‡j Avivg †eva n‡e| GQvovI Kvwki mgm¨v A‡bKw`b _v‡K, wKQy‡ZB Qv‡obv Ges iv‡Z Kvwki cÖ‡Kvc †ewk _v‡K| †Mvovwj, cv‡qi cvZv I cv dy‡j hvIqv| kix‡ii AwZwi³ wewfboe Zij †Mvovwj, cv‡qi cvZv Ges cv‡q Rgv n‡Z cv‡i| GKvi‡Y cv dy‡j hvq Ges RyZv I †gvRv AvUmvU jv‡M| cv †dvjvi cÖav‡c cv‡qi cvZv dy‡j Ges ch©vqক্রমে cv‡qi Dc‡ii w`‡K Zv ewa©Z n‡Z _v‡K Ges ক্রgk †Kvgo ch©šÍ Qwo‡q hvq| Kb‡Rw÷f nvU© †dBwjqi Gi Kvi‡Y cv dyj‡j `y‡Uv cv-B dy‡j, hw`I A‡bK‡¶‡Î mgvb fv‡e dz‡j bv|

IRb e„w×

AwZwi³ Zi‡ji Kvi‡b kix‡ii IRbI e„w× cvq| wKQy †¶‡Î Zv AZ¨šÍ `ªæZ N‡U, †hgb GKw`‡b cÖvq GK †KwRi g‡Zv, G †¶‡Î †gvUvgywUfv‡e cÖavb KviY kix‡i AwZwi³ jeb Rgv n‡q‡Q hvi Rb¨ kix‡i cvwbi cwigvbI †e‡o hvq| GQvovI ax‡i ax‡i Ges avivevwnKfv‡e IRb e„w× AvksKvi KviY | GwU wb‡`©k K‡i Kb‡Rw÷f nvU© †dBwjqi wbqš¿‡Yi evB‡i P‡j hv‡”Q| ü`wcÛ A‡bK‡ewk cwikÖg K‡i hLb kix‡i i³ mÂvjb K‡i gw¯Í®‹ I †cwk‡Z Aw·‡Rb mieivn K‡i| ZLb ¯^fveZB gvbyl A‡bK †ewk K¬všÍ †eva K‡i| w`‡bi ¯^vfvweK Kg©KvÛ m¤úv`b Ki‡Z kw³i Afve †eva nq| G ai‡bi K¬vwšÍi †cQ‡b A‡bK KviY _vK‡jI GwU Kb‡Rw÷f nvU© †dBwjqi ক্রgkAebwZ NU‡Q eySvq| Gai‡bi K¬vwšÍ Ges Ab¨vb¨ DcmM© †`Lv w`‡j AwZ mZ¡i Wv³v‡ii mv‡_ civgk© Kiv evÃbxq|

cwi¶v-wbix¶v

>> kvixwiK cwi¶v

>> BwmwR

>> ey‡Ki G·-‡i

>> B‡KvKvwWIMÖvwd

>> i‡³i weGbwc/‡cÖv weGbwc/wmAviwc cwi¶v

>> wmivg B‡jK‡U«vjvBUm

>> we‡kl‡¶‡Î KvwW©AvK K¨v‡_UvivB‡Rkb I

K‡ivbvix GbwRIMÖvg (wcGwR)

>> KvwW©AvK GgAviAvB

wPwKrmv

mvavib cwiPh©v

  • SywK `~i Kiv / †ivM wb©g~j Kiv / †ivM wbqš¿‡Y ivLv|
  • _vB‡i‡Wi †ivM Gi wPwKrmv Kiv|
  • D”P i³Pvc wbqš¿‡Y ivLv |
  • K‡ivbvix AvU©vwi‡Z eøK _vK‡j cÖ‡qvRbxq wPwKrmv Kiv |
  • ‡ivMx I †ivMxi AvZ¥xq-¯^Rb‡`i AewnZ Kviv|

cÖwZKvi

  • ü`K¤ú‡bi wPwKrmv|
  • Bb‡dKk‡bi wPwKrmv|
  • cvj‡gvbvwi GgewjRg Gi wPwKrmv|
  • i³¯^íZv Gi wPwKrmv|
  • AwZwi³ jeY LvIqv cwinvi Kiv|
  • kvixwiK I gvbwmK Pvc cwinvi Kiv|

g~j j¶¨

  • Dcm‡M©i Dckg Kiv |
  • KviY wbiæcb Kiv I h_vh_ wPwKrmv Kiv|
  • Z¡ivwš^Z ev cÖfvweZ KviY wbiæcb Kiv I h_vh_ Acmvib Kiv |
  • ‡Kvb RwUjZv _vK‡j Zv wbiæcb Kiv I h_vh_ wPwKrmv Kiv|

K) mvavib wPwKrmv (wbqg Kvbyb)

  • cÖ‡qvRbxq wekÖvg, `iKvi n‡j †ivMx‡K †njvb Ae¯’vq ïqv‡bv|
  • cv‡Z AwZwi³ jeY bv LvIqv-KviY kix‡i je‡Yi AvwaK¨ n‡j Zvnv cvwb a‡i †i‡L i‡³i cwigvb evwo‡q w`‡q Dcm†M©i ZxeªZv e„w× K‡i|
  • cwiwgZ cvwb ev Zij Lvevi (1-2 wjUvi cÖwZw`b) LvIqv|
  • DcmM© K‡g †M‡j/my¯’Zv wd‡i †c‡j nvUvi Af¨vm Kiv (ïiæ‡Z 10 wgwbU Ges cÖwZ mßv‡n 5 wgwbU K‡i evov‡bv ) |
  • eûg~Î, D”P i³Pvc wbqš¿‡Y ivLv |
  • kvixwiK I gvbwmK Pvc cwinvi Kiv BZ¨vw`|
  • IRb wbqwgZ cwigvc Kiv I wbqš¿‡Y ivLv|

L) dvg©v‡Kv‡_ivwc (Ila)t DcmM© wbf©i

  • nVvr nvU© †dBwjqi (Acute heart failure)

1) c~b© wekÖvg Ges gv_vi w`‡Ki weQvbv wcV DPuy K‡i †`qv (Propped up position)

2) gv¯‹/b¨vRvj K¨vbyjvi mvnv‡h¨ D”P gvÎvq Aw·‡Rb †`qv|

3) wkivq cÖ‡qvRb g‡Zv giwdb Ges g~Îea©K Ila (d«ywmgvBW RvZxq Ilya) e¨envi Kiv (†Kvb K›U«vBwÛ‡Kkb bv _vK‡j) †hgb d«y‡mgvBW †`qv| cieZ©x‡Z Ae¯’v‡f‡`/ক্রwbK nvU© †dBwjqi G wb¤oewjwLZ Ilya mg~n wewfboe gvÎvq e¨envi Kiv nq|

1) g~Î ea©K, †hgb- d«ywmgvBW ewo (40 wgwjMÖvg)/ Bb‡RKkb (20 wgwjMÖvg)|

2) WvB‡jUi GwmBb‡nweUi (1.5 2.5, 5, 10 wgwjMÖvg)

3) GAviwe ( 25 , 50, 150, 300 wgwjMÖvg)

4) weUv eøKvi- Kvwf©wWjj (3, 125, 6, 12.5 , 25, wgwjMÖvg) †gUv‡c«vjj|

5) we‡kl †¶‡Î wW‡Mvw·b (.25 wgwjMÖvg)|

6) Ab¨vb¨ Ilya-giwdb BZ¨vw` |


Aa¨vcK Wvt Gd. ingvb

Aa¨vcK (B›Uvi‡fbkbvj KvwW©IjwR)

BDwbfvwm©wU KvwW©qvK †m›Uvi

e½eÜz †kL gywRe †gwW‡Kj wek^we`¨vjq, XvKv