छारे रोग ज्यानै जन सक्छ (epilepsy in nepal)

5f/] /f]u Hofg} hfg ;S5

/df @$ jif{sL s]6L x'g . plg cfO=P:;Ldf k9\b} 5g . % lbg cl3 pgL  PSsf;L j]xf]; eO{g . Toltj]nf pgsf] xft v'§f xlNnPsf] tyf s8f ePsf] lyof] . cfFvf xlNnPsf] b]lvGYof], d've/L lkm+h cfPsf] lyP . hj p nl8g tj s/fO{g æP}ofÆ To;kl5 a]xf]; eOg !% ldg]6 ;Dd . kl5 x]bf{ pgsf] lhe|f] / 6fpsf]df 3fp ePsf] /x]5 clg pgsf] lkzfj klg 5'6]sf] /x]5 . !% ldg]5 kl5 cfkm} pl7g / b+u kl/g . cfkm" j]xf]; ePsf] s'/f aNn yfx kfOg . ut /ftL lgbfPsf] ;dodf klg pgnfO{ o:tf] eof] . clxn] ;Dd $ k6s bf]xf]l/of] . ;+emgfsf] /f]u 5f/]/f]u xf] . of] /f]u pkrf/ u/] lgsf] x'G5 , clGtd k6s ePsf] ldltn] % jif{ cf}iflw ;]jg ug'{ k5{ .

            Brain df Abnormal electrical discharge x'Fbf 5f/] /f]u nfU5 . of] /f]udf lj/fdL PSsf;L n8\g] xftv'§f s8f x'g] -Tonic Clonic rigidity_ / xNlng], lj/fdL j]xf]; eO{ lrRofpg], rf]6k6s nfUg], lhe|f] 6f]lsg] d'vdf lkm+h cfpg] cflb x'G5 . !%–@) ldg]6kl5 lj/fdLdf xf]; cfpF5 / cfkm} p7\5 . s;} s;}df zl//sf] s'g} efu xlNng] -Paralysis_ x'G5  .  s'g} jRrfdf PSsf;L 6f]nfO{ /xg] / !,@ ldg]6df km]/L cfˆgf] ls|ofsnfk ug]{ -absence Seizure_ b]lvG5 . 5f/] /f]u lgbfPsf] jvt klg x'G5 . PSn} /xbf klg x'G5 t/ lx:6]ls sDkg (Hysteric fit) lgbfPsf] jvt x'Fb}g . hlxn] klg c? dG5] ljr x'G5, lj/fdL k|fo n8\b}g n8\gnfu]+ elg ;xof]u dfU5 . xftv'§f s8f x'Fb}g d'vdf lkm+h cfpFb}g / lhe|f] klg 6f]lsb}+g .

Wf]/} h;] 5f/] /f]usf lj/fdL crfgs 9Ng], zl// s8f kfg{] d'vdf lkmh sf8\g] j]xf]; x'g] crfgs s/fpg] sl/j !% ldg]6 kl5 km]l/ p7]/ lx8\g yfN5g\ . nuft/ 5f/]/f]u eO/fv] lj/fdL dg{ klg ;s5 . lj/fdL clrt cj:ydf ePsf] j]nf sf]lx gf}nf] 7fFpdf k'u]sf] cg'ej u5{g . 5f/] /f]usf lj/fdL ?vjf6 n8\g] cfuf]n] kf]Ng] / ;8s b'3{6gf x'g] ub{5 . sltko 5f/] /f]u lgb|fsf] ;dodf dfq x'g] u5{ . t/ w]/} h;f] cGo ;dodf x'G5 . /S;L lkpg] dflg; klg 5f/] /f]u h:t} ul/ 9N5g\ . o:tf] cj:yfdf tTsfn /S;L 5'6fO{, cf}ifwLsf] k|of]u ug{' k5{ . sltko 5f/] /f]usf lj/fdL a]xf]; x'Fbf cgf}7f] a:t' b]V5g\ . sltko 5f/] /f]usf lj/fdL j]xf]; x'b}g}g\ t/ xft jf v'§f xNng], k]6 b'Vg], zl//df cgf}7f] cg'e'lt x'g], crfgfs s/fpg], cgf}7f] uGw dx;'; x'g] x'G5, xfd|f] zl//sf] lgoGq0f ug{] ;fFrf] dl:t:sdf ePsf] x'gfn] dl:t:ssf] h'g efudf ljB'lto k|jfx ePsf] 5, ;f]xL cg';f/sf] nIf0f lj/fdLdf b]vf k5{ . 5f/] /f]usf lj/fdLn] sDtLdf # jif{ cf}iflw ;]jg ug{'k5{ . w]/} h;f] 5f/] /f]usf lj/fdL l;=6L= :Sofg ubf{ s'g} v/fjL cfpb}g t/ !% k|ltzt lj/fdL h'sfsf] nf{ef, l6=aL sf] 3fFp, jf 6o"d/ cflb b]lvg] u5{ . sltko 5f/] /f]usf lj/fdLdf dg cfltg], lrGtf nfUg], z+sf nfUg] ;d:of klg b]lvg ;S5, To:tf] ePdf To;sf] klg pkrf/ ug{'k5{ . k6s k6s 5f/] /f]u eO/xbf xfd|f] lbdfusf] g;fdf klg c;/ k5{ . sltko nfdf] ;do ;Dd 5f/] /f]ujf6 lkl8t dl:t:sdf JolQmTjsf] ;d:of klg b]lvg] ;S5 . a9L l/;fpg], bofF, dfof gx'g] tyf c;xof]uL efjfgfdf klg b]lvg ;S5 .

        slxn] sflx 5f/] /f]usf lj/fdL cr]t cj:yfdf bf}8g], efUg] / ck/flws sfd klg ug{] ;Defjgf /xG5 . 5f/] /f]usf] cf}iflw ;]jg u/]sf dflg;n] cfkm} cf}iflw 5f8\g x'b}g h;jf6 lj/fdL km]/L 9Ng] lkm+h sf8\g] ug{ ;S5 / k'g cf{iflw vfg] cjlw nlDag hfG5 jf csf{] # jif{ cf}iflw ;]jg ug{' k5{ . hj lj/fdL crfgs 9N5 tj p;nfO{ ;'/lIft 7fpFdf /fVg' k5{ . d'vdf lkmh eP kf]l5 lbg' k5{, la/fdLnfO{ u'lD;nf] 7fpFdf /fVg' x'b}g, dflg;sf] le8 eP x6fpg' k5{ / c:ktfn nUg' k5{ . 5f/] /f]usf lj/fdLn] slxNo} klg hfF8 /S;L ;]jg ug{' x'b}g, clgbf] a:g' x'b}g, cfˆgf] kl/rokq ;fydf /fVg' k5{ / 8«Oleª k]zf ug{' x'b}g tyf d]l;gsf] vt/fgfs sfd ug{' x'b}g .

slt dflg;df 5f/] /f]u x'G5 <

       sl/j k|ltxhf/ % hgfnfO{ 5f/] /f]u nfU5 .

   5f/] /f]usf] sf/0f s] s] x'g\ <

• d"Voto sl/j *%Ü 5f/]/f]u s'g} sf/0f lagf g} x'G5 .
• 6fpsf]sf] rf]6k6sn] ubf{ .
• 6fpsf]sf] ;+qmd0f .
• 6fpsf]sf] 6\o'd/ .
• z/L/df On]S6«f]nfO{6 -Electrolite_ sf] balance -Jofn]G;_ gx'gfn] .
• nfu' kbfy{ ;]jg .
• h'sfsf] nfef{ dl:tsdf j:bf .

nIf0fx? M

·         lj/fdLsf] zl// crfgs sfDg yfN5 .

·         cr]t eO{ lj/fdL 9N5 .

·         xft v'§f s8f x'G5 .

·         d'vdf lkm+h cfp5 .

·         cfFvf xlNnG5g\ .

·         lhe|f] 6f]lsg ;S5 .

·         lb;f, lk;fj 36\g ;S5 .

·         lgbfPsf] ;dodf klg x'g ;S5 .

·         jRrfdf x'g] Ps k|sf/sf] 5f/]/f]u h;nfO{ cfA;]G; l;h/ (Absence seizure) elgG5 o;df jRrf crfgs 6Ss cl8G5, 6f]nfO{ a:5  !,@ ldg]6df km]/L cfkm} l7s x'G5 . jf/Djf/ bf]xf]l/g ;S5 .

·          kfl;{on l;h/ -Partial seizure_ df cf}nfdfq xNnLg] jf Ps xftdfq xlNng] klg x'G5 .

·         6]Dkf]/n nf]j l;h/ -Temporal lobe seizure_  df sfgdf dflg; jf]n]sf] cfjfh cfpg], s]lx j:t' b]lvg], 8/fpg] u5{ . s;}df cgf}7f] uGw cfPsf] dx;'; x'G5 .

5f/] /f]u / Conversion dissocative nfO{ 5'§fpg] tl/sf o; k|sf/ 5g\ M

5f/] /f]u (Epilepsy)	sGe{;g l8;]fl;]ol6e l8;cf]8{/ (Conversion dissociative disorder)
dflg;sf] pkl:yltdf dfq x'Fb}g hlt a]nf klg x'g ;S5 . lj/fdL crfgs 9N5 . rf]6k6s nfUg ;S5 / lhe|f] 6f]lsg ;S5 d'vdf lkmFh cfp5 . k|foM cfFvf xlNnG5g\ . lgGb|fdf klg b]lvG5 . k|fo M Stress factor x'Fb}g .	dflg;sf] pkl:yltdf dfq x'G5 . lj/fdL cfkm"nfO{ cK7\of/f] eof] elg c?nfO{ af]nfpF5 . k|foM rf]6k6s nfUb}g . d'vdf lkmFh cfpFb}g . k|foM cfFvf xlNnb}gg\ . cfFvf vf]Ng] aGb ug]{ x'g ;S5 . lgGb|fdf slxNo} b]lvb}g a? cf]5\ofgdf kN6]/ ;f]r]sf] a]nfdf x'g ;S5 . k|foM Stress factor x'G5 .

pkrf/ slt ;do ug{' k5{ <

5f/] /f]u xf] eGg] kSsf ePkl5 $ jif{ cf}iflw ;]jg ug'{ k5{ .

pkrf/ gu/] s] xG5 <

pkrf/ gu/] lj/fdL ;w} vt/fdf /x]sf] x'G5 . lj/fdL n8\g ;S5 ?vdf r9\bf n8]/ dg{ ;S5, uf8L rnfpFbf n8]/ b'3{gf x'G5 . w]/} k6s 5f/] /f]u x'Gbf dl:t:ssf gzf lju|G5g\ / dflg;df ;+emgf zlQm 36\g], 8/fpg], lbSsnfUg] tyf dflg;df kfnukg klg b]vf kg{ ;S5 .

8f l; kL ;]8fO{

gzf tyf  dgf]/f]u laz]if1