हार्ट अटैक से बचने के लिए दिनचर्या में बदलाव ज़रूरी।
कोरोना महामारी के बाद पिछले कुछ वर्षों से स्कूल और कॉलेज के बच्चों, किशोरों और युवा वयस्कों की पैदल चलने, व्यायाम करने, त्योहार मनाने के दौरान बिना किसी पूर्व चेतावनी के दिल का दौरा पड़ने से अचानक हुई मौतों ने लोगों के दिल और दिमाग को झकझोर कर रख दिया है। यह काफी आश्चर्यजनक है और चिंताजनक भी है। 2 दिसंबर 2023 को हिंदुस्तान टाइम्स में प्रकाशित एक रिपोर्ट के अनुसार, पिछले छह महीनों के दौरान गुजरात में दिल के दौरे से होने वाली 80 प्रतिशत मौतें 11 से 25 वर्ष की आयु के युवाओं में हुई हैं। 20 मई, 2023 वर्ल्ड हार्ट फेडरेशन की एक रिपोर्ट के अनुसार, पिछले 30 वर्षों के दौरान वैश्विक स्तर पर हृदय रोगों से होने वाली मौतों में 60 प्रतिशत की वृद्धि हुई है।
क्यों आता है अटैक – हार्ट अटैक को आम भाषा में “दिल का दौरा” और मेडिकल साइंस की भाषा में “मायोकार्डियल इनफार्क्शन” कहा जाता है। इसमें हृदय की मांसपेशियों के एक या अधिक हिस्सों में ऑक्सीजन युक्त रक्त का प्रवाह अचानक बंद हो जाता है। जिसके कारण हृदय को पर्याप्त मात्रा में ऑक्सीजन नहीं मिल पाती है। परिणामस्वरूप, हृदय की कोशिकाएं और ऊतक नष्ट हो जाते हैं और अंततः व्यक्ति की मृत्यु हो जाती है। एक सर्वेक्षण के अनुसार, हृदय रोग से पीड़ित पांच में से चार से अधिक लोग दिल के दौरे से मौत का शिकार हो जाते हैं।
हृदय के लिए पर्याप्त ऑक्सीजन और रक्त प्रवाह में रुकावट, आमतौर से हृदय को आपूर्ति करने वाली रक्त वाहिकाओं में, विशेष रूप से कोरोनरी धमनी में रुकावट या अचानक ऐंठन या टूटना, या कोरोना वायरल जैसे संक्रमण या मैसेंजर राइबोन्यूक्लिक एसिड से बने टीकों के कारण होता है। हृदय की धमनियों में रुकावट ज्यादातर वसा, कोलेस्ट्रॉल और नमक के जमा होने के कारण होती है। वसा और कोलेस्ट्रॉल से भरपूर इस जमाव को “प्लाक” कहा जाता है और इसके बनने की प्रक्रिया को एथेरोस्क्लेरोसिस कहा जाता है। यह प्लाक हृदय की धमनियों को संकरा या पूरी तरह से अवरुद्ध कर देता है, जिसके कारण हृदय को आवश्यक ऑक्सीजन और रक्त उपलब्ध नहीं हो पाता है। कभी-कभी यह प्लाक अचानक फट जाता है और एक थक्का बन जाता है जो हृदय को आपूर्ति करने वाली रक्त वाहिकाओं को पूरी तरह से बन्द कर देता है।
किस उम्र में अटैक की संभावना – यूं तो 45 वर्ष से अधिक उम्र के पुरुषों और 50 वर्ष से अधिक उम्र की महिलाओं में युवा अवस्था की तुलना में दिल का दौरा पड़ने की संभावना अपेक्षाकृत अधिक होती है, लेकिन कोरोना वायरस फैलने के बाद से पिछले तीन वर्षों में कम उम्र के बच्चों और युवाओं में दिल का दौरा पड़ने से कई अचानक मौतें हो रही हैं। इसी कारणवश ज्यादातर शोधकर्ता इसे कोरोना वायरस के दुष्प्रभाव मानते हैं। दिल का दौरा उन लोगों में ज्यादा होता है जो तंबाकू खाते हैं, सिगरेट पीते हैं और शराब पीते हैं। उच्च रक्तचाप, उच्च कोलेस्ट्रॉल, मोटापा और मधुमेह के मरीजों को दिल का दौरा पड़ने का खतरा अधिक होता है। इसी तरह व्यायाम न करना, आराम और विलासितापूर्ण जीवन जीना, वसा और नमक से भरपूर आहार लेना, मानसिक तनाव और विशेषज्ञ की सलाह के बिना खुद ही दवाएं उपयोग करने से दिल का दौरा पड़ने का खतरा बढ़ जाता है।
दिल के दौरे के लक्षण विभिन्न प्रकार के होते हैं। कुछ लोगों में हल्के लक्षण होते हैं और कुछ लोगों में गंभीर लक्षण होते हैं। कुछ लोगों में कोई लक्षण नहीं होते और उन्हें अचानक दिल का दौरा पड़ जाता है। इसे साइलेंट अटैक कहा जाता है। दिल के दौरे के लक्षणों में सबसे पहला लक्षण सीने में भारीपन या दबाव का एहसास, जकड़न और निचोड़ने वाला दर्द होता है। यह विशेष प्रकार का दर्द कभी-कभी कंधे, बांह, पीठ, गर्दन, जबड़े, दांतों और पेट के ऊपरी हिस्से में महसूस की जा सकती है। रोगी को ठंडा पसीना आता है। अत्यधिक थकान और थकावट महसूस होती है। सीने में जलन या बदहजमी भी हो सकती है।
आंखों के सामने अंधेरा छा जाता है और चक्कर आता है। कभी जी मिचलाता है और कभी उल्टी भी हो जाती है। सांस लेने में दिक्कत होती है। बुखार भी हो जाता है। बेहोशी भी आ जाती है। रोगी के हाथ-पैर ठंडे हो जाते हैं।कभी-कभी दिल का दौरा पड़ने का पहला संकेत अचानक कार्डियक अरेस्ट (दिल का काम करना बंद कर देना) होता है। मधुमेह या कोरोनरी धमनी रोग के रोगियों में दिल का दौरा अचानक पड़ता है। लेकिन आमतौर से दिल के दौरे की चेतावनी और संकेत लोगों को घंटों, दिनों या हफ्तों पहले ही मिलना शुरू हो जाते हैं। जब दिल का दौरा पड़ता है, तो सीने में दर्द या दबाव जिसे “एनजाइना” या “हृदय का दर्द” कहा जाता है, लगातार बना रहता है और आराम करने पर भी दूर नहीं होता है, जबकि सामान्य परिस्थितियों में दिल का दर्द 5 मिनट तक रहता है, अधिक समय तक नहीं रहता है और आराम करने से दर्द कम हो जाता है। एनजाइना हृदय में ऑक्सीजन और रक्त के प्रवाह में अस्थायी कमी के कारण होता है। हृदय की धमनियों में सिकुड़न या रुकावट के कारण हृदय के लिए आवश्यक भोजन अर्थात रक्त और ऑक्सीजन नहीं पहुंचता है या बिल्कुल नहीं पहुंचता है। जिस से हृदय व्याकुल हो जाता है और ऐसे चीखता चिल्लाता है जैसे कोई शिशु भूख से चिल्लाता और रोता हो। हृदय की इस प्रकार की स्थिति को दर्द के रूप में महसूस की जाती है।
दिल के दौरे को रोकने के लिए सावधानी बरतने में कभी भी लापरवाही या देरी नहीं करनी चाहिए, भले ही किसी को पहले ही दिल का दौरा पड़ चुका हो।
कैसे बचे – यूनानी चिकित्सा के महत्वपूर्ण सिद्धांतों के अनुसार “असबाब-ए-सित्ता जरूरिया (छः आवश्यक कारक)” अर्थात् हवा, भोजन व पेय, शारीरिक गतिविधि व विश्राम, मानसिक गतिविधि व विश्राम, निद्रा व जागना, अवधारण व निष्क्रमण दिल के दौरे से बचाव के लिए अत्यंत लाभदायक व प्रभावी हो सकते हैं। इन सिद्धांतों का पालन करके एक स्वस्थ जीवनशैली अपनाई जा सकती है।
स्वच्छ, ताजी एवं प्राकृतिक वायु का प्रयोग करें। कृत्रिम एयर कंडीशनर में रहने की आदत न डालें।
रात को सोने और दिन में काम करने की आदत डालें। शारीरिक और मानसिक शांति के लिए रात में 6 से 8 घंटे सोना बेहतर और जरूरी है। अत्यधिक शारीरिक गतिविधि और विश्राम दोनों ही हृदय स्वास्थ्य के लिए हानिकारक हैं।
धूम्रपान ना करें। तम्बाकू एवं शराब का सेवन न करें।
संतुलित आहार लें और फास्ट फूड और उच्च मात्रा में मांस, वसा, और नमक खाने से बचें।
पत्तेदार हरी सब्जियां, साबूत अनाज, वसा युक्त मछली या मछली का तेल, अखरोट, बादाम, खजूर, अलसी, फलियां और दाल, टमाटर, एलो वेरा, लहसुन, दारचीनी, कलौंजी, जीरा सफेद, ग्रीन टी, और जैतून का तेल सहित खाद्य पदार्थ बढ़े हुए शारीरिक वज़न, शुगर और कोलेस्ट्रॉल को घटा कर या कम कर के और रक्तचाप को नियंत्रण में रख कर ह्रदय को स्वस्थ रख कर ह्रदय रोग तथा हार्ट अटैक के खतरे से बचाते हैं।
प्रतिदिन कम से कम 30 मिनट का शारीरिक व्यायाम या योगा करना अपनी नियमित दिनचर्या बना लें।
दिल और दिमाग की शांति के लिए खुद को शारीरिक, मानसिक और सामाजिक बुराइयों से दूर रखें। दुख, क्रोध, घृणा, द्वेष, ईर्ष्या और मानसिक तनाव से दूर रहें। इबादत व पूजा, प्रार्थना, ईमानदारी, नेक नियती, दयालुता, अच्छे आचरण, जन सेवा व समाज सेवा से व्याकुल व परेशान दिल और मन दोनों को शान्ति, खुशी और संतुष्टि मिलती है।
हाई ब्लड प्रेशर, हाई शुगर एवं अन्य बीमारियों का कारणों के अनुसार उचित इलाज कराएं। चिकित्सा विशेषज्ञों की सलाह के अनुसार ही उपचार कराएं स्वयं अपनी मर्जी से कोई भी दवा न लें ।
संक्षिप्त सारांश ये है कि दिनचर्या में आवश्यक बदलाव कर अचानक दिल के दौरे तथा ह्रदय रोगों से बचा जा सकता।
डॉ. मुहम्मद शमीम खान
एमडी (यूनानी मेडिसिन)
वरिष्ठ यूनानी चिकित्सा अधिकारी,
राजकीय यूनानी औषधालय, उत्तर कोटा, राजस्थान।
मोबाइल: 8619194750
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He runs the towel through his curl-filled hair, and down over his chest, where the early signs of his manhood sprout like an uneven crop of hairs across his chest that run down to his furry-pillowed crotch. Where the throbbing from his hard-on springs back as the damp towel whips his erection back and forth with each swipe of the now dampened towel. “Stoke your cock while you sniff that jock.”
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“That is your cock, son.” His father, says. “…but it does not make you a man. It only makes you a boy with a hard cock in his hand.” “Then show me, father. Show me what it means, TO BE A MAN?” He says with an excitement building in his voice.
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“You know what you have to do. Doncha. Son.” His dad says. “I managed to lift nearly two hundred today. I believe.” He explains. “But I strained a lot to do it. I was moaning. Groaning.”
“It was intense. Really intense. We ran so many drills. I am exhausted.” He explains. He gulps once as his dad mounts more pressure on his balls. Squeezing them.
All the blood rushes from his brain to his throbbing erection plus the heat of the shower, making the young lad, light-headed. “This is what a man looks like, son.” His father says as his pants fall to the floor. From his waist out pops his representation of a 40-year-old-man. And father of two teenage boys. His cock.
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“That is your cock, son.” His father, says. “…but it does not make you a man. It only makes you a boy with a hard cock in his hand.” “Back in the day, back before we turned into a modern society, a man would grab another man’s balls and swear an oath on them in his hand and state his words to be true. To be a friend” His father says. “Do you know what I mean, son?”
His father strokes his own cock in the shower, the dew from his cock mixes with the drops condensing on the glass. “Yeah.” He answers his dad. “…and I was ‘going commando’ too.”
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“Back in the day, back before we turned into a modern society, a man would grab another man’s balls and swear an oath on them in his hand and state his words to be true. To be a friend” His father says. “Do you know what I mean, son?” He is unfazed by the presence of his dad despite his nakedness inside the hot spray of the shower.
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I didn’t move and I didn’t want to move because the smell in there is so toxic. I can smell daddy’s unwashed ass in there. I was also so happy as daddy sat on the toilet to released his scent just for me to sniff. Just when The scent faded away I heard the daddy say, “Come here, boy.” I saw daddy sitting on my couch with nothing but a white brief on. The bulge was staring at me. I knew I was going to be having a wonderful night.
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