e¨_v I G¨vbvj wdkvi
gjØv‡i wdkv‡ii cÖavb jÿY n‡jvÐe¨_v I i³ÿiY| G ai‡bi e¨_v mvaviYZ gjZ¨v‡Mi Ae¨ewnZ c‡i nq Ges K‡qK wgwbU †_‡K eû N›Uv a‡i e¨_v Pj‡Z cv‡i|
gjØv‡ii e¨_vq A‡bK †jvK fz‡M _v‡Kb| wdkvi gv‡b gjØv‡i Nv A_ev †d‡U hvIqv| GwU `yB ai‡bi nq| Zxeª (GwKDU) wdkvi n‡j †ivMxi gjØv‡i Am¤¢e e¨_v nq| `xN©¯’vqx (µwbK) wdkv‡i e¨_vi ZviZg¨ nq| GwU †h †Kvb eq‡m n‡Z cv‡i| Z‡e ZiæY I hyeK‡`i †ewk nq| cyiæl A_ev bvix Df‡qB GwU mgvbfv‡e n‡q _v‡K|
KviY Ges wK K‡i N‡U?
GwU nIqvi Rb¨ mvaviYZ `vqx †KvôKvwVb¨ A_ev gjZ¨v‡Mi mgq †KvZ †`qv| GQvov k³ gj †ei nIqvi mgq gjØvi †d‡U hvi e‡j g‡b Kiv nq| hviv Auvkhy³ Lvevi Lvb Zv‡`i G mgm¨vwU Kg nq e‡j g‡b Kiv nq| Auvkhy³ Lvev‡ii g‡a¨ i‡q‡Q kvK-mewR, KuvPv djg~j, Avjyi †Qvjv, Bme¸‡ji f‚wm BZ¨vw`| Pv-Kwd ev g` LvIqvi mv‡_ G¸‡jvi †Kvb m¤úK© †bB| Nb Nb gjZ¨vM ev Wvqwiqv n‡j wdkvi nIqvi m¤¢vebv †e‡o hvq| weÁvbxiv gjØv‡ii †fZ‡ii Pvc †g‡c †`‡L‡Qb| wdkv‡i Pvc †Zgb GKUv ev‡o bv hw`I Av½yj w`‡q cixÿv Ki‡j gjØvi AwZwi³ msKzwPZ e‡j g‡b nq|
DcmM©t
gjØv‡i wdkv‡ii cÖavb jÿY n‡jvÐe¨_v I i³ÿiY| G ai‡bi e¨_v mvaviYZ gjZ¨v‡Mi Ae¨ewnZ c‡i nq Ges K‡qK wgwbU †_‡K eû N›Uv a‡i e¨_v Pj‡Z cv‡i| ÔcÖKUvjwRqv dzMv·¤^ bvgK GK ai‡bi †iv‡MI gjØv‡i e¨_v nq, wKš‘ †m e¨_v gjZ¨v‡Mi mv‡_ mswkøó _v‡K bv| i³RgvU evav cvBj‡mI e¨_v nq, wKš‘ ZLb †ivMx gjØv‡i PvKv Av‡Q e‡j Awf‡hvM K‡i|
GB †iv‡M i³ÿi‡Yi cwigvY mvaviYZ Kg| wKš‘ Kv‡iv Kv‡iv AwZwi³ i³ †h‡Z cv‡i| Avwg Aíeqmx GK Awdmvi‡K Giƒc DcmM©mn wPwKrmv K‡iwQ Zvi AwZwi³ i³ÿi‡Y Zxeª i³k~b¨Zv n‡qwQj|
`xN©¯’vqx (µwbK) Gbvj wdkv‡ii †ivMx GKUz wfbœ ai‡bi Dcm‡M©i K_v e‡j| Zviv KL‡bv KL‡bv Zv‡`i gjØv‡i AwZwi³ gvsmwcÊ, cuyR cov, PyjKvwb A_ev Gme GK‡Î n‡q‡Q e‡j Awf‡hvM K‡i| G †ÿ‡Î i³ÿiY _vK‡Z cv‡i A_ev bvI _vK‡Z cv‡i| e¨_v mvaviYZ Zxeª nq bv A_ev A‡bK mgq e¨_v _v‡KB bv|
wdkv‡ii †ivMxiv A‡bK mgq cÖmªv‡ei mgm¨vq †fv‡Mb Ges gwnjviv KL‡bv KL‡bv †hŠbwgj‡b †e`bv Abyfe K‡ib; hw`I †ivMxiv eyS‡Z cv‡ib †KvôKvwV‡b¨i Kvi‡YB Ggb n‡q‡Q ZeyI hLb e¨_v ïiæ nq ZLb †ivMx f‡q Uq‡j‡U †h‡Z Pvb bv Ges gjZ¨v‡Mi †eM n‡j Zv‡Z e¨_vi f‡q mvov w`‡Z Pvb bv|
Zxeª e¨_v m¤úbœ Nv (GwKDU wdkvi)
G mgq gjØvi cixÿv Ki‡j †`Lv hvq †mUv LyeB msKzwPZ Ae¯’vq Av‡Q| Zxeª e¨_vi Kvi‡Y gjØv‡ii †fZ‡ii Nv-wU †`Lv `ytmva¨| †Kvb hš¿I cÖ‡ek Kiv‡bv hvq bv| Aek¨ miæ hš¿ w`‡q cixÿv Kiv hvq|
`xN©¯’vqx e¨_vm¤úbœ Nv (µwbK wdkvi)
µwbK wdkvi ejv nq hLb GKwU mwVKfv‡e wPwýZ mxgvbvi g‡a¨ Nv †`Lv hvq| G‡ÿ‡Î GKwU gvsmwcÛ ev Ô†MR¤^ †`Lv hvq| gjØv‡ii †fZ‡iI GKwU gvsmwcÛ (Hypertrophied anal papilla) †`Lv †h‡Z cv‡i hv‡K A‡b‡K wUDgvi e‡j fzj K‡i| G †ÿ‡Î cvqyc‡_i †fZi hš¿ w`‡q cixÿv Kiv DwPZ hv‡Z wUDgvi ev cÖ`vnRwbZ KviY wPwýZ Kiv hvq| G wdkvi msµwgZ n‡q KL‡bv KL‡bv †duvov †`Lv w`‡Z cv‡i Ges Zv †_‡K wd÷zjv (fM›`i) n‡q cuyR co‡Z cv‡i|
cÖwZ‡iva
†KvôKvwVb¨ hv‡Z bv nq †m e¨e¯’v Kiv DwPZ Ges †ewk kw³ cÖ‡qvM K‡i gjZ¨vM Kiv DwPZ bq| ev‡i ev‡i gjZ¨v‡Mi Af¨vm Z¨vM Kiv Ges Wvqwiqvq `ªæZ wPwKrmv Kiv DwPZ|
wPwKrmv t
iÿYkxj wPwKrmv
GwKDU wdkvi ïiæi Aíw`‡bi g‡a¨B wPwKrmv ïiæ Kiv n‡j webv Acv‡ik‡b fvj nIqvi m¤¢vebv †ewk| gj big Kivi, g‡ji cwigvY e„w×i Rb¨ Auvkhy³ Lvevi †ewk LvIqv DwPZ Ges e¨_vbvkK Ilya e¨envi Kiv †h‡Z cv‡i| wmR ev_ wb‡j DcKvi nq| GwUi wbqg n‡”Q Ava Mvgjv jeY wgwkªZ nvjKv Mig cvwbi g‡a¨ wbZ¤^ 10 wgwbU Wzwe‡q ivL‡Z nq| ¯’vwbK AekKvix gjg e¨env‡i DcKvi cvIqv hvq| G‡Z hw` cy‡ivcywi bv mv‡i Ges †ivMwU hw` †ewk w`b Pj‡Z _v‡K Zvn‡j Acv‡ikb Qvov fvj nevi m¤¢vebv Kg‡Z _v‡K|
mvwR©Kvj wPwKrmvt
gjØv‡ii gvsm‡ckxi m¤úªmviY Kiv (Gbvj WvB‡j‡Ukb) G c×wZwUi cvk¦©cÖwZwµqvi Rb¨ †ewkifvM mvR©b GwUi wec‡ÿ| G c×wZi Rb¨ †Kvb †Kvb †ivMxi gj AvU‡K ivLvi ÿgZv e¨vnZ n‡Z cv‡i|
gjØv‡ii wùsUv‡i Acv‡ikbt
GB Acv‡ik‡b gjØv‡ii Af¨šÍixY wùsUvi gvsm‡ckx‡Z GKwU m~ÿè Acv‡ikb Ki‡Z nq| AÁvb Kivi cÖ‡qvRb †bB| `yB w`‡bi g‡a¨B †ivMx evwo wd‡i †h‡Z cv‡ib| Acv‡ik‡bi wZb w`b ci ¯^vfvweK KvRKg© Ki‡Z cv‡i| wKš‘ Avgv‡`i †`‡ki †ivMxiv A‡bK †`wi K‡i Acv‡ikb Kivb| hvi Kvi‡Y A‡bK †ewk KvUv‡Quov Kivi Kvi‡Y ZvovZvwo Kv‡R wd‡i †h‡Z cv‡ib bv|
gZvgZt
weMZ 9 eQ‡i gjØv‡ii mgm¨vq AvµvšÍ 29,635 Rb †ivMxi Ici M‡elYv K‡i †`‡LwQ †h, 35.0% †ivMx Gbvj wdkv‡i AvµvšÍ| Avgvi †`Lv Gbvj wdkvi †ivMx‡`i 76.57% webv Acv‡ik‡b wewfbœ Ilya I Dc‡`‡ki mvnv‡h¨ fvj n‡q‡Q Ges 23.43% †ivMx‡`i Acv‡ikb K‡iwQ| G †ivMx‡`i 97% m¤ú~Y©iƒ‡c Av‡ivM¨ jvf K‡i‡Qb| evwK 3% Kg-†ewk DcKvi †c‡q‡Qb wKš‘ Kv‡iv Kv‡iv mvgvb¨ Amyweav gv‡S-g‡a¨ †`Lv w`‡q‡Q| G Acv‡ik‡b Avgiv †ivMx‡K AÁvb bv K‡i kix‡ii wb‡Pi w`K Aek K‡i Acv‡ikb K‡iwQ| †ivMx m¤ú~Y© mRvM †_‡K‡Qb| hviv AÁvb n‡Z †P‡q‡Qb Zv‡`i AÁvb Kiv n‡q‡Q| G Acv‡ik‡bi Rb¨ †ivMx‡`i 2-3 w`b nvmcvZv‡j _vK‡Z n‡q‡Q| Acv‡ik‡bi ci †ivMx‡`i gjZ¨vM Ki‡Z mevB ¯^v”Q›`¨ †eva K‡i‡Qb| Acv‡ik‡bi wKQyw`b ci Nv ïKv‡bvi ci k³ cvqLvbv n‡jI †KD gjZ¨v‡Mi ci e¨_v Abyfe K‡ibwb| GB Acv‡ik‡bi ci Kv‡iv gj AvU‡K ivL‡Z Amyweav nqwb| Z‡e mwVK c×wZ‡Z Acv‡ikb Ki‡Z e¨_© n‡j gj a‡i ivL‡Z Amyweav n‡Z cv‡i| Gbvj WvB‡j‡Ukb Ki‡j cvqLvbv AvU‡K ivLvi ÿgZv e¨vnZ n‡Z cv‡i Ges †ivMwU Avevi †`Lv w`‡Z cv‡i| †m Kvi‡Y Avwg KL‡bvB Anal dilatation ev Stretching Kwi bv|
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