Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 150
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
$message = 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 150
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 150
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 97
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 151
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
$message = 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 151
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 151
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]
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    <h1 class="cat-box-title">मच्छर जनित रोगों से उलझन भरी लड़ाई-- अरविन्द जैन</h1>
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बरसात के बाद फैलने वाले डेंगू और चिकनगुनिया जैसे मच्छर जनित रोगों से देश को एक उलझन भरी लड़ाई लड़नी पड़ रही है। इन दोनों ही रोगों का इलाज उतना कठिन नहीं है, जितना कि इस पूरी समस्या से निपटना। डॉक्टर लक्षण के आधार पर इनके इलाज की सलाह देते हैं।
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विश्व स्वास्थ्य संगठन ( डब्ल्यूएचओ) के अनुसार, डेंगू का पता लगाने का शुरुआती तरीका है एनएस-1 एंटीजन टेस्ट, जो बुखार होने के लगभग पांच दिन बाद रक्त की जांच में पाया जाता है। फिर रैपिड डायग्नोस्टिक टेस्ट भी होता है, जो भरोसेमंद नहीं है और कई बार यह डेंगू का बेवजह डर पैदा करता है। लेकिन एलीसा व पीसीआर टैस्ट डेंगू का लगभग शत-प्रतिशत आकलन कर देते हैं। यह जांच सीमित बड़ी पैथोलॉजी पर उपलब्ध है, जिसका मूल्य लगभग तीन से चार हजार रुपये है। इससे कम खर्च में एक औसत सामान्य डेंगू मरीज का उपचार कर उसे रोग मुक्त किया जा सकता है।
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यही हाल चिकनगुनिया का है। इसके परीक्षण के लिए एलीसा टेस्ट लगभग ग्यारह सौ रुपये का होता है। पैथोलॉजी के आंकड़े बताते हैं कि लगभग 10 से 15 प्रतिशत रोगियों में यह पॉजिटिव पाया जाता है। चिकनगुनिया के शत-प्रतिशत आकलन के लिए आरएफ-पीसीआर टेस्ट है, जिसकी कीमत लगभग ढाई हजार रुपये है, जबकि इससे कम मूल्य में चिकनगुनिया के रोगी का पूर्ण इलाज किया जा सकता है। यानी इन दोनों ही रोगों का इलाज उनके परीक्षण के मुकाबले कहीं अधिक सस्ता है।
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अभी हाल ही में डब्ल्यूएचओ ने डेंगू उपचार के लिए नए निर्देश जारी किए हैं। इसके अनुसार, डेंगू रोगी का घर पर ही उपचार किया जा सकता है। यदि रोगी की दिल की धड़कन व ब्लड प्रेशर सामान्य है, शरीर में कोई रक्त स्राव (ब्लीडिंग) के लक्षण नहीं हैं व प्लेटलेट की संख्या एक लाख से ऊपर है, तो उसे अस्पताल में भर्ती कराने की कोई जरूरत नहीं। लेकिन हर 24 घंटे के बाद खून की जांच और चिकित्सक से परामर्श जरूरी है। चिकनगुनिया डेंगू जितना खतरनाक भले ही न हो, लेकिन यह रोगी को ज्यादा परेशान करता है। मेडिकल साइंस के अभिलेखों के अनुसार, यह प्राणघातक रोग नहीं है, लेकिन दिल्ली में कुछ मरीजों की इसकी वजह से जान जाने की खबर आई है। मुमकिन है कि यह चिकनगुनिया वायरस में किसी म्युटेशन की वजह से हो या फिर यह कोई और मिलता-जुलता वायरस हो सकता है।
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आजकल इंटरनेट व सोशल साइट्स पर इसके कई नुस्खों की काफी चर्चा है- पपीते के पत्ते, बकरी का दूध, कीवी खाने की सलाहें दी जाती हैं। ऐसे इलाज खतरनाक हो सकते हैं। इस रोग से लड़ने का सबसे अच्छा तरीका अपना बचाव करना ही है। यदि हम थोड़ी सावधानी बरतें, अपने घर व आसपास की स्वच्छता का ध्यान रखें, तो शायद इन रोगों से हमें निजात मिल सकती है। यह सरकार का ही काम नहीं है, हमारी भी जिम्मेदारी है।<br />
(ये लेखक के अपने विचार हैं
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value="https://im4change.in/hindi/%E0%A4%96%E0%A5%87%E0%A4%A4%E0%A4%BF%E0%A4%B9%E0%A4%B0-%E0%A4%B8%E0%A4%82%E0%A4%95%E0%A4%9F/%E0%A4%AC%E0%A5%87%E0%A4%B0%E0%A5%8B%E0%A4%9C%E0%A4%97%E0%A4%BE%E0%A4%B0%E0%A5%80-30.html">&nbsp;बेरोजगारी  </option><option value="https://im4change.in/hindi/%E0%A4%96%E0%A5%87%E0%A4%A4%E0%A4%BF%E0%A4%B9%E0%A4%B0-%E0%A4%B8%E0%A4%82%E0%A4%95%E0%A4%9F/%E0%A4%98%E0%A4%9F%E0%A4%A4%E0%A5%80-%E0%A4%86%E0%A4%AE%E0%A4%A6%E0%A4%A8%E0%A5%80-18.html">&nbsp;घटती आमदनी  </option><option value="https://im4change.in/hindi/%E0%A4%96%E0%A5%87%E0%A4%A4%E0%A4%BF%E0%A4%B9%E0%A4%B0-%E0%A4%B8%E0%A4%82%E0%A4%95%E0%A4%9F/%E0%A4%AA%E0%A4%B2%E0%A4%BE%E0%A4%AF%E0%A4%A8-%E0%A4%AE%E0%A4%BE%E0%A4%87%E0%A4%97%E0%A5%8D%E0%A4%B0%E0%A5%87%E0%A4%B6%E0%A4%A8-34.html">&nbsp;पलायन (माइग्रेशन)  </option><option 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बरसात के बाद फैलने वाले डेंगू और चिकनगुनिया जैसे मच्छर जनित रोगों से देश को एक उलझन भरी लड़ाई लड़नी पड़ रही है। इन दोनों ही रोगों का इलाज उतना कठिन नहीं है, जितना कि इस पूरी समस्या से निपटना। डॉक्टर लक्षण के आधार पर इनके इलाज की सलाह देते हैं।
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विश्व स्वास्थ्य संगठन ( डब्ल्यूएचओ) के अनुसार, डेंगू का पता लगाने का शुरुआती तरीका है एनएस-1 एंटीजन टेस्ट, जो बुखार होने के लगभग पांच दिन बाद रक्त की जांच में पाया जाता है। फिर रैपिड डायग्नोस्टिक टेस्ट भी होता है, जो भरोसेमंद नहीं है और कई बार यह डेंगू का बेवजह डर पैदा करता है। लेकिन एलीसा व पीसीआर टैस्ट डेंगू का लगभग शत-प्रतिशत आकलन कर देते हैं। यह जांच सीमित बड़ी पैथोलॉजी पर उपलब्ध है, जिसका मूल्य लगभग तीन से चार हजार रुपये है। इससे कम खर्च में एक औसत सामान्य डेंगू मरीज का उपचार कर उसे रोग मुक्त किया जा सकता है।
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यही हाल चिकनगुनिया का है। इसके परीक्षण के लिए एलीसा टेस्ट लगभग ग्यारह सौ रुपये का होता है। पैथोलॉजी के आंकड़े बताते हैं कि लगभग 10 से 15 प्रतिशत रोगियों में यह पॉजिटिव पाया जाता है। चिकनगुनिया के शत-प्रतिशत आकलन के लिए आरएफ-पीसीआर टेस्ट है, जिसकी कीमत लगभग ढाई हजार रुपये है, जबकि इससे कम मूल्य में चिकनगुनिया के रोगी का पूर्ण इलाज किया जा सकता है। यानी इन दोनों ही रोगों का इलाज उनके परीक्षण के मुकाबले कहीं अधिक सस्ता है।
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अभी हाल ही में डब्ल्यूएचओ ने डेंगू उपचार के लिए नए निर्देश जारी किए हैं। इसके अनुसार, डेंगू रोगी का घर पर ही उपचार किया जा सकता है। यदि रोगी की दिल की धड़कन व ब्लड प्रेशर सामान्य है, शरीर में कोई रक्त स्राव (ब्लीडिंग) के लक्षण नहीं हैं व प्लेटलेट की संख्या एक लाख से ऊपर है, तो उसे अस्पताल में भर्ती कराने की कोई जरूरत नहीं। लेकिन हर 24 घंटे के बाद खून की जांच और चिकित्सक से परामर्श जरूरी है। चिकनगुनिया डेंगू जितना खतरनाक भले ही न हो, लेकिन यह रोगी को ज्यादा परेशान करता है। मेडिकल साइंस के अभिलेखों के अनुसार, यह प्राणघातक रोग नहीं है, लेकिन दिल्ली में कुछ मरीजों की इसकी वजह से जान जाने की खबर आई है। मुमकिन है कि यह चिकनगुनिया वायरस में किसी म्युटेशन की वजह से हो या फिर यह कोई और मिलता-जुलता वायरस हो सकता है।
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आजकल इंटरनेट व सोशल साइट्स पर इसके कई नुस्खों की काफी चर्चा है- पपीते के पत्ते, बकरी का दूध, कीवी खाने की सलाहें दी जाती हैं। ऐसे इलाज खतरनाक हो सकते हैं। इस रोग से लड़ने का सबसे अच्छा तरीका अपना बचाव करना ही है। यदि हम थोड़ी सावधानी बरतें, अपने घर व आसपास की स्वच्छता का ध्यान रखें, तो शायद इन रोगों से हमें निजात मिल सकती है। यह सरकार का ही काम नहीं है, हमारी भी जिम्मेदारी है।<br />
(ये लेखक के अपने विचार हैं
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बरसात के बाद फैलने वाले डेंगू और चिकनगुनिया जैसे मच्छर जनित रोगों से देश को एक उलझन भरी लड़ाई लड़नी पड़ रही है। इन दोनों ही रोगों का इलाज उतना कठिन नहीं है, जितना कि इस पूरी समस्या से निपटना।..." />
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    </ul><select id="main-menu-mob"><option value="#">Go to...</option><option value="https://im4change.in/hindi/">&nbsp;Home</option><option value="https://im4change.in/hindi/links-64#">&nbsp;KNOWLEDGE GATEWAY    </option><option value="https://im4change.in/hindi/%E0%A4%96%E0%A5%87%E0%A4%A4%E0%A4%BF%E0%A4%B9%E0%A4%B0-%E0%A4%B8%E0%A4%82%E0%A4%95%E0%A4%9F/%E0%A4%86%E0%A4%82%E0%A4%95%E0%A4%A1%E0%A4%BC%E0%A5%8B%E0%A4%82-%E0%A4%AE%E0%A5%87%E0%A4%82-%E0%A4%97%E0%A4%BE%E0%A4%82%E0%A4%B5-72.html">&nbsp;आंकड़ों में गांव  </option><option value="https://im4change.in/hindi/%E0%A4%96%E0%A5%87%E0%A4%A4%E0%A4%BF%E0%A4%B9%E0%A4%B0-%E0%A4%B8%E0%A4%82%E0%A4%95%E0%A4%9F/%E0%A4%96%E0%A5%87%E0%A4%A4%E0%A4%BF%E0%A4%B9%E0%A4%B0-%E0%A4%B8%E0%A4%82%E0%A4%95%E0%A4%9F-70.html">&nbsp;खेतिहर संकट  </option><option value="https://im4change.in/hindi/%E0%A4%96%E0%A5%87%E0%A4%A4%E0%A4%BF%E0%A4%B9%E0%A4%B0-%E0%A4%B8%E0%A4%82%E0%A4%95%E0%A4%9F/%E0%A4%AC%E0%A5%87%E0%A4%B0%E0%A5%8B%E0%A4%9C%E0%A4%97%E0%A4%BE%E0%A4%B0%E0%A5%80-30.html">&nbsp;बेरोजगारी  </option><option value="https://im4change.in/hindi/%E0%A4%96%E0%A5%87%E0%A4%A4%E0%A4%BF%E0%A4%B9%E0%A4%B0-%E0%A4%B8%E0%A4%82%E0%A4%95%E0%A4%9F/%E0%A4%98%E0%A4%9F%E0%A4%A4%E0%A5%80-%E0%A4%86%E0%A4%AE%E0%A4%A6%E0%A4%A8%E0%A5%80-18.html">&nbsp;घटती आमदनी  </option><option value="https://im4change.in/hindi/%E0%A4%96%E0%A5%87%E0%A4%A4%E0%A4%BF%E0%A4%B9%E0%A4%B0-%E0%A4%B8%E0%A4%82%E0%A4%95%E0%A4%9F/%E0%A4%AA%E0%A4%B2%E0%A4%BE%E0%A4%AF%E0%A4%A8-%E0%A4%AE%E0%A4%BE%E0%A4%87%E0%A4%97%E0%A5%8D%E0%A4%B0%E0%A5%87%E0%A4%B6%E0%A4%A8-34.html">&nbsp;पलायन (माइग्रेशन)  </option><option value="https://im4change.in/hindi/%E0%A4%96%E0%A5%87%E0%A4%A4%E0%A4%BF%E0%A4%B9%E0%A4%B0-%E0%A4%B8%E0%A4%82%E0%A4%95%E0%A4%9F/%E0%A4%B6%E0%A5%8B%E0%A4%A7-%E0%A4%94%E0%A4%B0-%E0%A4%B5%E0%A4%BF%E0%A4%95%E0%A4%BE%E0%A4%B8-71.html">&nbsp;शोध और विकास  </option><option value="https://im4change.in/hindi/%E0%A4%B8%E0%A4%B6%E0%A4%95%E0%A5%8D%E0%A4%A4%E0%A5%80%E0%A4%95%E0%A4%B0%E0%A4%A3/%E0%A4%9C%E0%A5%87%E0%A4%82%E0%A4%A1%E0%A4%B0-2852.html">&nbsp;जेंडर  </option><option value="https://im4change.in/hindi/%E0%A4%B8%E0%A4%B6%E0%A4%95%E0%A5%8D%E0%A4%A4%E0%A5%80%E0%A4%95%E0%A4%B0%E0%A4%A3/%E0%A4%B5%E0%A4%BF%E0%A4%B8%E0%A5%8D%E0%A4%A5%E0%A4%BE%E0%A4%AA%E0%A4%A8-2851.html">&nbsp;विस्थापन  </option><option value="https://im4change.in/hindi/%E0%A4%B8%E0%A4%B6%E0%A4%95%E0%A5%8D%E0%A4%A4%E0%A5%80%E0%A4%95%E0%A4%B0%E0%A4%A3/%E0%A4%AD%E0%A5%8B%E0%A4%9C%E0%A4%A8-%E0%A4%95%E0%A4%BE-%E0%A4%85%E0%A4%A7%E0%A4%BF%E0%A4%95%E0%A4%BE%E0%A4%B0-59.html">&nbsp;भोजन का अधिकार  </option><option value="https://im4change.in/hindi/%E0%A4%B8%E0%A4%B6%E0%A4%95%E0%A5%8D%E0%A4%A4%E0%A5%80%E0%A4%95%E0%A4%B0%E0%A4%A3/%E0%A4%A8%E0%A4%B0%E0%A5%87%E0%A4%97%E0%A4%BE-39.html">&nbsp;नरेगा  </option><option value="https://im4change.in/hindi/%E0%A4%B8%E0%A4%B6%E0%A4%95%E0%A5%8D%E0%A4%A4%E0%A5%80%E0%A4%95%E0%A4%B0%E0%A4%A3/%E0%A4%B8%E0%A5%8B%E0%A4%B6%E0%A4%B2-%E0%A4%91%E0%A4%A1%E0%A4%BF%E0%A4%9F-48.html">&nbsp;सोशल ऑडिट  </option><option value="https://im4change.in/hindi/%E0%A4%B8%E0%A4%B6%E0%A4%95%E0%A5%8D%E0%A4%A4%E0%A5%80%E0%A4%95%E0%A4%B0%E0%A4%A3/%E0%A4%B8%E0%A5%82%E0%A4%9A%E0%A4%A8%E0%A4%BE-%E0%A4%95%E0%A4%BE-%E0%A4%85%E0%A4%A7%E0%A4%BF%E0%A4%95%E0%A4%BE%E0%A4%B0-58.html">&nbsp;सूचना का अधिकार  </option><option value="https://im4change.in/hindi/%E0%A4%B8%E0%A4%B6%E0%A4%95%E0%A5%8D%E0%A4%A4%E0%A5%80%E0%A4%95%E0%A4%B0%E0%A4%A3/%E0%A4%B6%E0%A4%BF%E0%A4%95%E0%A5%8D%E0%A4%B7%E0%A4%BE-%E0%A4%95%E0%A4%BE-%E0%A4%85%E0%A4%A7%E0%A4%BF%E0%A4%95%E0%A4%BE%E0%A4%B0-60.html">&nbsp;शिक्षा का अधिकार  </option><option value="https://im4change.in/hindi/%E0%A4%B8%E0%A4%B6%E0%A4%95%E0%A5%8D%E0%A4%A4%E0%A5%80%E0%A4%95%E0%A4%B0%E0%A4%A3/%E0%A4%B5%E0%A4%A8%E0%A4%BE%E0%A4%A7%E0%A4%BF%E0%A4%95%E0%A4%BE%E0%A4%B0-61.html">&nbsp;वनाधिकार  </option><option value="https://im4change.in/hindi/%E0%A4%B8%E0%A4%B6%E0%A4%95%E0%A5%8D%E0%A4%A4%E0%A5%80%E0%A4%95%E0%A4%B0%E0%A4%A3/%E0%A4%85%E0%A4%A8%E0%A5%8D%E0%A4%AF-%E0%A4%A8%E0%A5%80%E0%A4%A4%E0%A4%BF%E0%A4%97%E0%A4%A4-%E0%A4%AA%E0%A4%B9%E0%A4%B2-73.html">&nbsp;अन्य नीतिगत पहल  </option><option value="https://im4change.in/hindi/%E0%A4%AD%E0%A5%82%E0%A4%96/%E0%A4%AD%E0%A5%81%E0%A4%96%E0%A4%AE%E0%A4%B0%E0%A5%80-%E0%A4%8F%E0%A4%95-%E0%A4%86%E0%A4%95%E0%A4%B2%E0%A4%A8-40.html">&nbsp;भुखमरी-एक आकलन  </option><option value="https://im4change.in/hindi/%E0%A4%AD%E0%A5%82%E0%A4%96/%E0%A4%95%E0%A5%81%E0%A4%AA%E0%A5%8B%E0%A4%B7%E0%A4%A3-41.html">&nbsp;कुपोषण  </option><option value="https://im4change.in/hindi/%E0%A4%AD%E0%A5%82%E0%A4%96/%E0%A4%AE%E0%A4%BE%E0%A4%A8%E0%A4%B5-%E0%A4%B5%E0%A4%BF%E0%A4%95%E0%A4%BE%E0%A4%B8-%E0%A4%B8%E0%A5%82%E0%A4%9A%E0%A4%95%E0%A4%BE%E0%A4%82%E0%A4%95-45.html">&nbsp;मानव  विकास सूचकांक  </option><option value="https://im4change.in/hindi/%E0%A4%AD%E0%A5%82%E0%A4%96/%E0%A4%B6%E0%A4%BF%E0%A4%95%E0%A5%8D%E0%A4%B7%E0%A4%BE-50.html">&nbsp;शिक्षा  </option><option value="https://im4change.in/hindi/%E0%A4%AD%E0%A5%82%E0%A4%96/%E0%A4%B8%E0%A4%B5%E0%A4%BE%E0%A4%B2-%E0%A4%B8%E0%A5%87%E0%A4%B9%E0%A4%A4-%E0%A4%95%E0%A4%BE-51.html">&nbsp;सवाल सेहत का  </option><option value="https://im4change.in/hindi/%E0%A4%AD%E0%A5%82%E0%A4%96/%E0%A4%AE%E0%A4%BF%E0%A4%A1-%E0%A4%A1%E0%A5%87-%E0%A4%AE%E0%A5%80%E0%A4%B2-%E0%A4%8F%E0%A4%AE%E0%A4%A1%E0%A5%80%E0%A4%8F%E0%A4%AE%E0%A4%8F%E0%A4%B8-%E0%A4%AF%E0%A5%8B%E0%A4%9C%E0%A4%A8%E0%A4%BE-53.html">&nbsp;मिड डे मील (एमडीएमएस) योजना  </option><option 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    <h1 class="cat-box-title">मच्छर जनित रोगों से उलझन भरी लड़ाई-- अरविन्द जैन</h1>
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बरसात के बाद फैलने वाले डेंगू और चिकनगुनिया जैसे मच्छर जनित रोगों से देश को एक उलझन भरी लड़ाई लड़नी पड़ रही है। इन दोनों ही रोगों का इलाज उतना कठिन नहीं है, जितना कि इस पूरी समस्या से निपटना। डॉक्टर लक्षण के आधार पर इनके इलाज की सलाह देते हैं।
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विश्व स्वास्थ्य संगठन ( डब्ल्यूएचओ) के अनुसार, डेंगू का पता लगाने का शुरुआती तरीका है एनएस-1 एंटीजन टेस्ट, जो बुखार होने के लगभग पांच दिन बाद रक्त की जांच में पाया जाता है। फिर रैपिड डायग्नोस्टिक टेस्ट भी होता है, जो भरोसेमंद नहीं है और कई बार यह डेंगू का बेवजह डर पैदा करता है। लेकिन एलीसा व पीसीआर टैस्ट डेंगू का लगभग शत-प्रतिशत आकलन कर देते हैं। यह जांच सीमित बड़ी पैथोलॉजी पर उपलब्ध है, जिसका मूल्य लगभग तीन से चार हजार रुपये है। इससे कम खर्च में एक औसत सामान्य डेंगू मरीज का उपचार कर उसे रोग मुक्त किया जा सकता है।
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यही हाल चिकनगुनिया का है। इसके परीक्षण के लिए एलीसा टेस्ट लगभग ग्यारह सौ रुपये का होता है। पैथोलॉजी के आंकड़े बताते हैं कि लगभग 10 से 15 प्रतिशत रोगियों में यह पॉजिटिव पाया जाता है। चिकनगुनिया के शत-प्रतिशत आकलन के लिए आरएफ-पीसीआर टेस्ट है, जिसकी कीमत लगभग ढाई हजार रुपये है, जबकि इससे कम मूल्य में चिकनगुनिया के रोगी का पूर्ण इलाज किया जा सकता है। यानी इन दोनों ही रोगों का इलाज उनके परीक्षण के मुकाबले कहीं अधिक सस्ता है।
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अभी हाल ही में डब्ल्यूएचओ ने डेंगू उपचार के लिए नए निर्देश जारी किए हैं। इसके अनुसार, डेंगू रोगी का घर पर ही उपचार किया जा सकता है। यदि रोगी की दिल की धड़कन व ब्लड प्रेशर सामान्य है, शरीर में कोई रक्त स्राव (ब्लीडिंग) के लक्षण नहीं हैं व प्लेटलेट की संख्या एक लाख से ऊपर है, तो उसे अस्पताल में भर्ती कराने की कोई जरूरत नहीं। लेकिन हर 24 घंटे के बाद खून की जांच और चिकित्सक से परामर्श जरूरी है। चिकनगुनिया डेंगू जितना खतरनाक भले ही न हो, लेकिन यह रोगी को ज्यादा परेशान करता है। मेडिकल साइंस के अभिलेखों के अनुसार, यह प्राणघातक रोग नहीं है, लेकिन दिल्ली में कुछ मरीजों की इसकी वजह से जान जाने की खबर आई है। मुमकिन है कि यह चिकनगुनिया वायरस में किसी म्युटेशन की वजह से हो या फिर यह कोई और मिलता-जुलता वायरस हो सकता है।
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आजकल इंटरनेट व सोशल साइट्स पर इसके कई नुस्खों की काफी चर्चा है- पपीते के पत्ते, बकरी का दूध, कीवी खाने की सलाहें दी जाती हैं। ऐसे इलाज खतरनाक हो सकते हैं। इस रोग से लड़ने का सबसे अच्छा तरीका अपना बचाव करना ही है। यदि हम थोड़ी सावधानी बरतें, अपने घर व आसपास की स्वच्छता का ध्यान रखें, तो शायद इन रोगों से हमें निजात मिल सकती है। यह सरकार का ही काम नहीं है, हमारी भी जिम्मेदारी है।<br />
(ये लेखक के अपने विचार हैं
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मच्छर जनित रोगों से उलझन भरी लड़ाई-- अरविन्द जैन

Published on Oct 6, 2016   Modified on Oct 6, 2016

बरसात के बाद फैलने वाले डेंगू और चिकनगुनिया जैसे मच्छर जनित रोगों से देश को एक उलझन भरी लड़ाई लड़नी पड़ रही है। इन दोनों ही रोगों का इलाज उतना कठिन नहीं है, जितना कि इस पूरी समस्या से निपटना। डॉक्टर लक्षण के आधार पर इनके इलाज की सलाह देते हैं। विश्व स्वास्थ्य संगठन ( डब्ल्यूएचओ) के अनुसार, डेंगू का पता लगाने का शुरुआती तरीका है एनएस-1 एंटीजन टेस्ट, जो बुखार होने के लगभग पांच दिन बाद रक्त की जांच में पाया जाता है। फिर रैपिड डायग्नोस्टिक टेस्ट भी होता है, जो भरोसेमंद नहीं है और कई बार यह डेंगू का बेवजह डर पैदा करता है। लेकिन एलीसा व पीसीआर टैस्ट डेंगू का लगभग शत-प्रतिशत आकलन कर देते हैं। यह जांच सीमित बड़ी पैथोलॉजी पर उपलब्ध है, जिसका मूल्य लगभग तीन से चार हजार रुपये है। इससे कम खर्च में एक औसत सामान्य डेंगू मरीज का उपचार कर उसे रोग मुक्त किया जा सकता है। यही हाल चिकनगुनिया का है। इसके परीक्षण के लिए एलीसा टेस्ट लगभग ग्यारह सौ रुपये का होता है। पैथोलॉजी के आंकड़े बताते हैं कि लगभग 10 से 15 प्रतिशत रोगियों में यह पॉजिटिव पाया जाता है। चिकनगुनिया के शत-प्रतिशत आकलन के लिए आरएफ-पीसीआर टेस्ट है, जिसकी कीमत लगभग ढाई हजार रुपये है, जबकि इससे कम मूल्य में चिकनगुनिया के रोगी का पूर्ण इलाज किया जा सकता है। यानी इन दोनों ही रोगों का इलाज उनके परीक्षण के मुकाबले कहीं अधिक सस्ता है। अभी हाल ही में डब्ल्यूएचओ ने डेंगू उपचार के लिए नए निर्देश जारी किए हैं। इसके अनुसार, डेंगू रोगी का घर पर ही उपचार किया जा सकता है। यदि रोगी की दिल की धड़कन व ब्लड प्रेशर सामान्य है, शरीर में कोई रक्त स्राव (ब्लीडिंग) के लक्षण नहीं हैं व प्लेटलेट की संख्या एक लाख से ऊपर है, तो उसे अस्पताल में भर्ती कराने की कोई जरूरत नहीं। लेकिन हर 24 घंटे के बाद खून की जांच और चिकित्सक से परामर्श जरूरी है। चिकनगुनिया डेंगू जितना खतरनाक भले ही न हो, लेकिन यह रोगी को ज्यादा परेशान करता है। मेडिकल साइंस के अभिलेखों के अनुसार, यह प्राणघातक रोग नहीं है, लेकिन दिल्ली में कुछ मरीजों की इसकी वजह से जान जाने की खबर आई है। मुमकिन है कि यह चिकनगुनिया वायरस में किसी म्युटेशन की वजह से हो या फिर यह कोई और मिलता-जुलता वायरस हो सकता है। आजकल इंटरनेट व सोशल साइट्स पर इसके कई नुस्खों की काफी चर्चा है- पपीते के पत्ते, बकरी का दूध, कीवी खाने की सलाहें दी जाती हैं। ऐसे इलाज खतरनाक हो सकते हैं। इस रोग से लड़ने का सबसे अच्छा तरीका अपना बचाव करना ही है। यदि हम थोड़ी सावधानी बरतें, अपने घर व आसपास की स्वच्छता का ध्यान रखें, तो शायद इन रोगों से हमें निजात मिल सकती है। यह सरकार का ही काम नहीं है, हमारी भी जिम्मेदारी है। (ये लेखक के अपने विचार हैं

http://www.livehindustan.com/news/guestcolumn/article1-mosquito-borne-disease-dengue-and-chikungunya-571995.html

Tagged with: मलेरिया चिकनगुनिया डेंगू मच्छर जनित रोग मलेरिया चिकनगुनिया डेंगू मच्छर जनित रोग

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