शराब नहीं पिते है फिर भी लीवर ख़राब हो गया | Liver dammage ka karan

शराब नहीं पिते है फिर भी लीवर ख़राब हो गया | Liver dammage ka karan

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शराब नहीं पिते है फिर भी लीवर ख़राब हो गया | Liver dammage ka karan

Q . Liver ka kya kam hai ? Q . Liver Fatty kyon ho jata hai ?

Q . Liver ko bachane ke liye kya-kya karana chahiye ?

Q . Fatty liver walon ko kya khana chahiye kya nahi ?

Q . Liver transplant ki jarurat kab padati hai.?

शराब नहीं पिते है फिर भी लीवर ख़राब हो गया | अनदेखा से जान भी जाएगी | जानिए घरेलु इलाज ?

            Aaj ke dino me health problem me fatty liver hona aam problem ho gaya hai. Aaisa bhi nahi hai ki is par umr ka maar pada hai. Bachche se lekar budhe tak isse pareshan hai. Liver hamare sharir ke sabse important organ me se ek hai. Isse healthy rakhana kitana jaruri hai yah samajhane ke liye every year 19 april ko “world liver day” manaya jata hai. Fatty liver kabhi bhi kisi kobhi ho sakata hai.  Isliye isake bare me jaruri jankari hona bahut jaruri hai.

            Aaj hum apane liver ke bare me hi janege ki apane liver ko hum kaise kharab kar sakate hai and kaise healthy rakh sakate hai----

 Expert – Dr. Arvind singh soin, chairman & chief surgen, instuite of liver transplantation, medanta, Gurugram.

Q . Liver ka kya kam hai ?

            Liver pet ke upper side me hota hai. Isake bahut sare kam hai. Unme se kuchh hai- Dawai & toxic padarthon ko todana, bile banana taki fat ko burn kiya ja sake. Isake sath vitamin & glucose ko store karke aise protein banana jo blood clotting ke liye jaruri hai.

Liver par dhyan nahi dene se ye bimari ho sakti hai—

  • Hepatitis –A.
  • Hepatitis – B.
  • Liver serosis.
  •  Liver cancer.
  • Non alcoholic fatty liver(NAFLD).

Liver damage hone ke alag-alag satage hai-

·        Healthy live = fatty liver = Fybrosis = serosis = Cancer.

Ab one-by-one samajhate hai-

Fatty liver – Jab liver par jarurat se jyada fat yani charbi jama ho jati hai tab fatty liver kahate hai.

            Jab koi bhi khana khata hai to usake fats digest hone ke baad blood se liver me jakar process hota hai. Jab bhojan se jyada fat nikalata hai to wah extra fat liver ke charo taraf jama ho jata hai. Tab hamara liver fatty liver ho jata hai.

Fibrosis – Jab aapak liver damage hone lagata hai to first stage ko fibrosis kahate hai, isme liver ke healthy tissue par ghaw ho jate hai.

            Aise me liver sahi se kam nahi kar pate  hai. Unhealthy tissue, liver ke ander blood flow thik se nahi hone dete hai. Jisake karan liver dusare cells kharab hone lagate hai.

Liver serosis – frist stage “fibrosis” ke baad jo damage hoga t o us stithi ko “liver-serosis” kahate hai. Is situation me liver transplant ka time aa ja sakati hai.

Halanki fibrosis se serosis tak pahunchane se pahale, liver ko lifestyle me changes and treatment kar ke bachaya ja sakata hai.

Liver cancer – liver cancer ko “Hepatocelular carcinoma” ya “Hepatic cancer” bhi kaha jata hai. Jab kabhi bhi liver me cancer develop ho jata hai to waha ke cells ko khatm karane lagata hai. Jisse liver apana kam sahi tarah se nahi kar pata hai.

Q . Liver Fatty kyon ho jata hai ?

            Jab koi banda bahut jyada tel-masala and oily product khata hai ya jisaka weight jyada hai ya jyada sharab pita hai, usko fatty liver ki problem hoti hai. Is situation me liver ya to badh jata hai ya sikud jata hai, jisse liver sahi tarah se kam nahi karata hai

            Isake alawa ye 10 wajah hai jisake liver fatty ho jata hai-

  • Family history.
  • Motapa.
  • Oily-spicy food.
  • More fat in blood.
  • Diabetes.
  • Long term medicine uses.
  • Viral hepatitis.
  • More alcoholic.
  • Cholesterol problem.
  • Decrease metabolism.

Fatt liver normally two types ke hote hai-

  • Alcoholic fatty liver (AFLD).
  • Non-alcoholic fatty liver (NAFLD).

Non-alcoholic fatty liver – yah fatty liver sharab na pine walon ko yak am pine walon ko hota hai.

Alcoholic fatty liver- jo sharab pite hai, unke liver fatty hote, alcoholic fatty liver jahate hai.

            Sharab ko detoxify karane ke liye liver ki kuchh limit hai. Agar use jyada sharab pite hai to aapka liver kharab hone lagata hai. Isake alawa sharab ke sath sath log tala-bhuna khate hai, jisse fatty liver ki problem badhti jati hai.

            In dono situation me patient ki jaan ja sakti hai, isliye samay rahate sahi treatment karana bahut jaruri hai.

Q . Fatty liver ke symptoms ?

            Jab aapka liver non-alcoholic hoga to aapko jyadatar mamlon me koi symptoms dikhai nahi dega. Isliye isaki gambhirata ka ahsas logon me nahi hota hai.

            Jab problem dhire-dhire badhati jayegi to kuchh symptoms dikhai dene lagate hai, jaise-

  • Thakaan.
  • Bharipan.
  • Pet-dard ya pet fulana.
  • Pet/intestine problem.
  • Pet me gas ya badahjami.
  • Vometting / vometting ki ichchha.
  • Blood ki kami.
  • Dry skin.
  • Masudhon se blood aana/sujan/dard.

Q . Kya fatty liver ko lifestyle me changes karke thik kiya ja sakat hai ?

            Bilkul aap aisa jarur kar sakate hai, agar aapka liver satge 1 me hai tab, fibrosis tak. Lifestyle me changes lakar 30-40% tak control kiya ja sakata hai.

Diabetes – Agar kisi ko diabetes hai aur unko control karana jaruri haito aise logon ko Hba1c ka value 6 ke aas-paas hona chahiye.

            Aise hi agar kisi ka weight jyada hai, motapa hai, to unko pahale apana weight kam karana hoga. Isaka BMI yani Body mass index 28 se kam hona chahiye.

            Isitarah agar kisi ko lipid ya cholesterol ki gadbdi hai to unhe exercise, diet and medicine se thik karana hoga.

            Man lijiye kisi ki fatty liver fibrosis ya serosis tak pahunch gaya hai, sujan ya patch ho gaya hai tab ise medicine se hi thik karana sahi hoga.

            Baat aisa hai ki,  jo log apnai jindagi ki value janate hai, samjhate hai ya seriously lete hai, wahi log aisa kar sakte hai, isake liye pifestyle me changes lana bahut jaruri hai.

Q . Liver ko bachane ke liye kya-kya karana chahiye ?

  • Sharab ko aadat na banaye.
  • Mithe chijen kam khaye.
  • Processed food na khaye.
  • Oily food na khaye.
  • Fiber wali chijen khaye.
  • Baadi chije kam khaye – Baigan, Tamatar, Aalu, Phul-gobhi.
  • Non-veg me fish khaye.
  • Steroid creame & injection  use na kare.
  • Painkiller khane se bache jaise- combiflame, wawren.
  • Sabse jaruri moderate exercise daily kare.

Q . Moderate exercise kya hoti hai ?

            Exercise 3 tarah se ki jati hai-

            Mild – is tarah ke exercise karate samay aap baat-chit kar sakte hai.

            Moderate – is tarah ke exercise karate samay baat-chit kam karani chahiye.

            Sevior – Yah exercise karane me sans tej chalati hai, is wajah se isme bilkul bhi nahi bolana chahiye.

Liver ko healthy rakhane ke liye moderate exercise karan chahiye isame cardio exercise jaruri hai. Cardio karane ke liye aapke paas bahut option hai jaise-

  • Running / Fast walk.
  • Swimming.
  • Cycling .

Ya sab karane se aapka heart ki bhi exercise ho jati hai. Jisse liver ke metabolism me sudhar aata hai. Pura body ka metabolism sahi hota hai.

Q . Daily kam-se-kam kitana exercise karani chahiye ?

            Waise to Sabhi age group ke logon ko daily kam-se-kam 30 minute ka exercise karani chahiye. Isse body to fit rahega hi liver, kidney & heart bhi healthy rahega.

            Aagar aap young hai to kam-se-kam week me 240-300 minute exercise karani chahiye aur old age walon ko week me 150-200 minute exercise karani chahiye. Aisa nahi hona chahiye ki aap kisi din jyada exercise kar liye aur baki din thode-thode exercise kar rahe hai.

Q . Fatty liver walon ko kya khana chahiye kya nahi ?

            Pahale samajhate hai ki fatty liver walon ko kya-kya khana chahiye-

  • High fiber food

Bins, Mote anaj, Fruits, Vegetable, Sabut anaj,

  • Leen protein

Eggs, Soya, Green matar, Fish.

  • Healthy fat

Nuts, Jaitun oil, Seeds, Evokado.

  • Complex Carbohydrate

Sweet potato, Brown rice, Brown bread, Kwinoa.

  • Dairy product

Fat free milk, Paneer, Dahi.

 

            Fatty liver me kya nahi khana chahiye-

  • Saturated/ Trans fat

Red maas, Butter, Processed food, Oily food.

  • Sweets/Drinks

Kek-kukiz, Fruit juice, Soda packed drinks, Candy.

  • Sharab

Whisky, Vodaka, Rum, Bear

  • Salty food

Fast food, Packed food item, Chips/Namkeen, kisi chij par salt dalkar.


Fatty liver problem me yah diet plan help karega

Subah uthane ke baad

Sounf ke bij ka garm paani, piyen.

Breakfast se pahale

Raat ke bhige huye meve, on cup green tea/ Adark-haldi ki chay.

Breakfast

Ek katori Poha/ Upama/Boil ankurit anaj/Boil chana.

Lunch se 1 hrs pahale.

Guddedar fruits.

Lunch

Salad, Dahhi(bina – chni, malai), Sabji, 2Roti.

Sham ka nasta

On cup green tea, ek mutthi bhne huye makhane.

Dinner

Salad, Vegetable, chapatti(Gehu,jwar,bajra,raagi)

Sone se pahale

Sounf ke bij ka gunguna paani

              Dr. Anju 

vishwakarma, Nutrishnist.

Q . Liver transplant ki jarurat kab padati hai.?

            Jab liver ki problem control se bahr ho jati hai tabhi liver ki transplant ki jati hai. Jyada nahi hone par transplant ki jarurat nahi padhati hai.

            Fatty liver control karane ke liye sabse pahale apana weight control karana chahiye.

            Oily chije khana band kar dena chahiye. Phal-sabji, sabut anaj khana shuru kar dena chahiye. Exercise daily  karana chahiye, isse weight control rakhane me help milati hai.

             To dosto aaj humne apane liver ko healthy rakhane aur unhealthy rakhane ke bare me details me jaana hai. Waise to har koi swasth rahana chahta hi hai, lekin swasth wahi rahata hai jo sahi jankari ke sath apana haar kaam karata hai. Ummid karate hai aage se apana liver healthy rakhane ki koshis karenge, bataye gaye baton ko follow karenge…. Waise aapake ghar ki sabji se bhi apani Sambhog kshmata  badha sakate hai & Budhapa ko rok sakte hai.. continue kare......

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