🚨 Dengue ke mareez mein ye alamaat hon to foran hospital jayein
- Pait mein musalsal ya shadeed dard
- Musalsal ulti, ya pani bhi na ruk pana
- Naak, masoodon ya munh se khoon, ya kaale rang ka pakhana
- Bohat zyada susti, be-chaini, ya behoshi
- Tez saans ya saans lene mein takleef
- Haath paon thande aur chipchipe, ya rang peela parna
- 6 ghante se zyada peshab na aana
⚠️ Ye khatre ki nishaniyan aksar bukhar utarne ke baad shuru hoti hain. Bukhar utar jaye to bhi mareez ko dekhte rahein.
📞 Emergency: 1122 (Punjab aur kai doosre ilaqon mein) par call karein ya qareebi hospital ki emergency mein jayein. Apne ilaqe ka emergency number pehle se phone mein save rakhein.
Mukhtasar jawab: Dengue machar ke kaatne se hone wala virus ka bukhar hai. Is ka koi khaas antiviral ilaaj nahi, lekin doctor ki nigrani, aaram aur maqool pani peena bohat zaroori hai. Tez bukhar ke saath jism mein shadeed dard ho to khud dawai na lein, doctor ko dikhayein. Dard aur bukhar ke liye aspirin, ibuprofen aur diclofenac doctor ke baghair na lein. Khatarnak halat aksar bukhar utarne ke baad shuru hoti hai, isliye bukhar utarne par bhi mareez ko dekhte rahein.
Dengue kya hai
Dengue ek virus se hone wali bimari hai jo Aedes qism ke machar ke kaatne se insaan mein phailti hai. Ye bimari seedha ek mareez se doosre ko nahi lagti, balke machar mareez ko kaat kar virus utha leta hai aur phir doosre insaan ko kaat kar phaila deta hai. Dengue ki kai qismein hoti hain, aur ek qism ke baad doosri qism se dengue hone par halat zyada bigar sakti hai.
Dengue ka machar: kaise pehchanein aur kab kaatta hai
- Ye machar aksar din ke waqt kaatta hai, khaas tor par subah aur sham se pehle ke waqt.
- Ye saaf, ruke hue pani mein ande deta hai, jaise coolers, purane tyre, gamle, bartan, chhat par jama pani aur toote hue plastic.
- Gande nalon ke bajaye saaf, ruke hue pani mein zyada paida hota hai.
- Ye machar aam tor par ghar ke andar aur aas paas rehta hai.
Pakistan mein dengue ke case aksar barish ke mausam aur uske baad ke mahino mein barhte hain, kyunke pani jama hone se machar zyada paida hota hai.
Dengue ki aam alamaat
- Achanak tez bukhar
- Shadeed sar dard aur aankhon ke peeche dard
- Jism, jodon aur pathon mein dard
- Matli aur ulti
- Jild par dhaddar (rash)
- Bohat kamzori aur thakawat
- Bhook na lagna
Ye alamaat zukam, malaria, typhoid aur doosre bukharon mein bhi ho sakti hain. Dengue ka faisla sirf doctor, mareez ko dekh kar aur zaroorat par test karwa kar karta hai. Tests ka waqt aur kitni baar karna hai, ye doctor tay karta hai.
Dengue ke teen marhale
a) Bukhar ka marhala (aam tor par 2 se 7 din)
Tez bukhar, sar dard aur jism mein dard. Kai logon ko is marhale mein bohat takleef hoti hai, lekin aksar bina masle ke theek ho jate hain.
b) Nazuk marhala (aam tor par bukhar utarne ke aas paas, bimari ke 3 se 7 din ke dauran)
Bukhar utar jata hai aur mareez ko lagta hai ke wo theek ho gaya hai, lekin isi waqt kuch mareezon mein khatarnak halat shuru ho sakti hai: khoon ki nalion se pani bahar nikalne lagta hai, platelets kam ho sakte hain, aur pani ki kami ya khoon behne ke masle shuru ho sakte hain. Isi liye is waqt mareez ko khaas nigrani chahiye, aur "bukhar utar gaya" ka matlab "khatra khatam" nahi.
c) Sehatyabi ka marhala
Jism wapas theek hone lagta hai, bhook wapas aati hai, aur kai mareezon ko khujli wala dhaddar aa sakta hai. Kamzori kai hafton tak reh sakti hai.
Khatre ki nishaniyan (WHO ki aam rehnumai ke mutabiq)
In mein se koi bhi nishani ho to foran hospital jayein:
- Pait mein shadeed ya musalsal dard
- Musalsal ulti, ya pani bhi na ruk pana
- Naak, masoodon ya munh se khoon, ya kaale rang ka pakhana
- Bohat zyada sust ya be-chain hona, behoshi
- Tez saans ya saans ki takleef
- Haath paon thande aur chipchipe hona, ya rang peela parna
- Peshab kam ya 6 ghante se zyada peshab na aana
- Pait ya jism mein pani jama hone ki alamat (sujan, pait phoolna)
Ghar par dekhbhal: kya karein
- Foran doctor ko dikhayein: tez bukhar ke saath jism mein shadeed dard ho to intezar na karein.
- Aaram karein: jism ko theek hone ka waqt dein.
- Maqool pani aur mashroobat: pani, ORS, soup, nariyal ka pani, lassi ya doosre mashroobat baar baar piyein. Pani ki kami dengue mein khatarnak ho sakti hai. ORS ka packet packet par likhe tareeqe se banayein. Dil ya gurde ke mareez pani ki miqdar apne doctor se pooch lein.
- Halki khuraak: jo aasani se hazam ho. Bhook na ho to chhote hisson mein khilate rahein.
- Bukhar ki dawai doctor se pooch kar hi: dengue mein bukhar ke liye aam tor par paracetamol di jati hai, jab ke aspirin, ibuprofen aur diclofenac se bachna hota hai. Lekin kitni miqdar mein aur kitni baar leni hai, ye doctor ya dawai ke packet ki hidayat ke mutabiq hi hona chahiye. Bachon ke liye khud se miqdar tay na karein, doctor se poochein. Paracetamol zyada miqdar mein lene se jigar ko nuqsan ho sakta hai, is liye packet par likhi rozana ki hadd se zyada na lein. Nazle zukam ki kai doosri dawaiyon mein bhi paracetamol hota hai, is liye doctor se pooche baghair do dawaiyan ek saath na lein.
- Doctor ke follow-up par amal karein: doctor aksar khoon ka test (CBC, jis mein platelets aur hematocrit dekhe jate hain) kai dafa karwata hai. Test kab aur kitni baar karwana hai, ye doctor tay karta hai. Bulaye jaane par zaroor jayein.
- Machar se bachayein: mareez ko machardani ke andar ya machar-mar lotion laga kar rakhein, taake wo doosron tak virus na phailaye.
Mareez ki dekhbhal karne walon ke liye hidayat
- Mareez ko akela na chhorein: khaas tor par nazuk marhale (bukhar utarne ke baad ke din) mein koi na koi mareez ke paas rahe.
- Pani ka hisaab rakhein: mareez kitna pi raha hai aur kitni baar peshab kar raha hai, ye note karte rahein.
- Thermometer istemal karein: bukhar ki reading tareekh aur waqt ke saath likhein.
- Doctor ka number saath rakhein: aur 1122 ka number phone mein save karein.
- Mareez ko aaram ki jagah dein: machardani ke andar, hawadar aur sukoon wali jagah.
- Apna bhi khayal rakhein: dekhbhal karne wale bhi machar se bachein aur apni neend aur khuraak ka dhyan rakhein.
Ye dawaiyan khud se na lein
- Aspirin, ibuprofen, diclofenac aur isi tarah ki dard ki dawaiyan dengue mein khoon behne ka khatra barha sakti hain. Doctor ke baghair na lein.
- Antibiotic: dengue virus se hota hai, antibiotic is par asar nahi karta. Doctor ke kehne ke baghair na lein.
- Dard ke injection ya ghar ke totke: doctor se pooch kar hi.
Platelets aur ghar ke totkon ke baare mein
Dengue mein platelets kam ho sakte hain. Is ka matlab kya hai aur kab hospital mein dakhil hona zaroori hai, ye doctor mareez ki poori halat dekh kar tay karta hai. Sirf ek number dekh kar ghar par intezar ya ilaaj tay na karein. Papite ke patte ke juice ya doosre totkon ko doctor ke ilaaj ki jagah na lein. Is ke baare mein tahqeeq mehdood hai aur ye platelets ka sabit shuda ilaaj nahi. Papita ek aam phal ke tor par khana theek hai, lekin is se platelets barhne ka daawa na karein.
Mareez ki nigrani ke liye diary (aasan table)
Ghar mein mareez ki dekhbhal karne wale is table ko bhar sakte hain aur doctor ko dikha sakte hain:
| Din / Waqt | Bukhar (thermometer) | Kitna pani/mashroob piya | Peshab kitni baar | Alamaat (dard, ulti, khoon, susti) |
|---|---|---|---|---|
| Din 1 subah | ||||
| Din 1 sham | ||||
| Din 2 subah |
Is se doctor ko pata chalta hai ke mareez ko kitna pani mil raha hai aur kya koi khatre ki nishani to nahi.
Kin logon ko zyada khatra hai
- Chhote bachay aur shir-khwar
- Hamila khawateen
- Buzurg
- Dil, gurde, sugar, dama ya doosri purani bimariyon wale
- Jin ko pehle dengue ho chuka ho (doosri baar dengue zyada shadeed ho sakta hai)
Aise logon ko bukhar hote hi foran doctor ko dikhayein aur bukhar utarne ke baad bhi nigrani jari rakhein.
Bachon aur hamila khawateen mein dengue
- Bachay: bachay bohat jaldi pani ki kami ka shikar ho sakte hain. Bukhar ke saath agar bachay ne khana peena band kar diya ho, bohat sust ho, ya peshab kam kiya ho to foran bachon ke doctor (paediatrician) ko dikhayein. Bachon ko bukhar ki dawai ya aspirin khud se na dein.
- Hamila khawateen: hamal mein dengue zyada ehtiyat chahta hai. Bukhar hote hi apni gynaecologist (lady doctor) se rabta karein, aur nigrani ka tareeqa unse pooch lein.
- Shir-khwar: bohat chhote bachon mein alamaat wazeh nahi hoti. Bukhar ho to foran doctor ko dikhayein.
Dengue se bachao ke tareeqe
- Ruka hua pani khatam karein: coolers, gamle, purane tyre, bartan aur chhat par jama pani har hafte khaali karein ya saaf karein. Pani ke bartan dhank kar rakhein.
- Coolers ka khayal: cooler ki tanki har hafte khaali kar ke saaf karein aur sukha dein.
- Machar se bachein: machar-mar lotion lagayein, lambi aasteenon ke kapre pehnein, aur khidkiyon aur darwazon par jaali lagwayein.
- Din ke waqt khayal rakhein: Aedes machar aksar din mein kaatta hai, isliye sirf raat ko hi nahi, din mein bhi bachao rakhein.
- Machardani: bachon aur bimaron ke liye din mein bhi machardani madadgar hoti hai.
- Mohalle ke saath: aas paas ke logon ko bhi pani jama na hone ki ahmiyat batayein. Fogging aur spray ka intezam hukumati idare karte hain.
- School aur office: jahan pani jama ho wahan safai ki ahmiyat batayein.
Haftawar safai ka aasan plan
| Din | Kaam |
|---|---|
| Pir | Coolers ki tanki khaali kar ke saaf karein aur sukha dein |
| Mangal | Chhat, balcony aur gamlon ka jama pani nikalein |
| Budh | Purane tyre, bartan aur plastic ka saaman ulta kar dein ya hata dein |
| Jumerat | Pani ke bartan dhakne ka muaaina karein |
| Jumma | Khidkiyon ki jaali aur machardani check karein |
| Itwar | Aas paas ke ghar ya mohalle mein ruke hue pani ki nishandahi karein |
Ye ek aasan namoona hai. Apne ghar ke mutabiq badal lein. Maqsad ye hai ke koi bhi saaf pani hafte bhar se zyada ek jagah ruka na rahe.
Aam ghalat fehmiyan
- "Bukhar utar gaya to khatra khatam": nahi, khatarnak halat aksar bukhar utarne ke baad shuru hoti hai.
- "Platelets barhane ke liye papite ke patte kaafi hain": is ka koi pakka saboot nahi, doctor ka ilaaj sab se ahem hai.
- "Dengue ke liye antibiotic chahiye": nahi, dengue virus se hota hai.
- "Dengue ek hi baar hota hai": dobara bhi ho sakta hai, aur doosri baar halat zyada shadeed ho sakti hai.
- "Dengue sirf gande pani se hota hai": Aedes machar aksar saaf ruke pani mein paida hota hai.
Sehatyabi ke baad
- Kamzori kai hafton tak reh sakti hai. Aahista aahista rozmarra ke kaam shuru karein.
- Shadeed warzish se kuch din parhez karein aur doctor se pooch lein.
- Khuraak mein mutawazin, halki khuraak aur pani ka khayal rakhein.
- Dobara bukhar, khoon ya khatre ki koi nishani ho to foran doctor ko dikhayein.
- Aap ke ghar mein aur kisi ko bukhar ho to usay bhi doctor ko dikhayein.
Kab doctor ko dikhana zaroori hai
- Dengue ke mausam mein tez bukhar, khaas tor par shadeed sar dard aur jism dard ke saath (intezar na karein)
- Bukhar 2 din se zyada rahe
- Khane peene mein dushwari ya baar baar ulti
- Bachay, hamila, buzurg ya purani bimari wale ko bukhar ho
- Dhaddar ya jild par nishan nazar aayen
Aksar pooche jane wale sawal
Kya dengue dobara ho sakta hai?
Haan. Dengue ki kai qismein hoti hain, aur ek baar ho jane ke baad doosri qism se dobara hone par halat zyada bigar sakti hai. Isliye bachao hamesha zaroori hai.
Dengue ka koi khaas ilaaj hai?
Dengue ke liye koi khaas antiviral dawai nahi. Ilaaj mein aaram, pani ki kami poori karna aur doctor ki nigrani shamil hai.
Bukhar mein kaunsi dawai leni chahiye?
Aam tor par dengue mein bukhar ke liye paracetamol di jati hai, lekin miqdar doctor ya packet ki hidayat ke mutabiq hi honi chahiye, khaas tor par bachon mein. Aspirin, ibuprofen aur diclofenac dengue mein na lein.
Kya papite ke patte platelets barhate hain?
Is par tahqeeq mehdood hai aur ye doctor ke ilaaj ki jagah nahi le sakte. Platelets ka masla doctor ko batayein aur uski hidayat par amal karein.
Bukhar utar gaya to kya khatra khatam ho gaya?
Nahi. Dengue mein khatarnak halat aksar bukhar utarne ke baad shuru hoti hai. Is dauran mareez ko dekhte rahein aur upar likhi alamaat mein se koi nazar aaye to foran hospital jayein.
Kya dengue ek mareez se doosre ko lag sakta hai?
Seedha nahi. Machar mareez ko kaat kar virus doosre ko phailata hai, isliye mareez ko machar se bacha kar rakhna zaroori hai.
Dengue ka test kab karwana chahiye?
Doctor tay karta hai ke kaunsa test aur kab karwana hai. Tez bukhar ke saath jism dard ho to bina der kiye doctor ko dikhayein.
Kya dengue mein khuraak ka koi khaas parhez hai?
Halki, aasani se hazam hone wali khuraak aur zyada mashroobat. Platelets barhane wali koi khaas khuraak sabit nahi. Doctor ya mahir-e-ghiza se pooch lein.
Mazeed parhein: Behoshi par pehli madad | Heat stroke: pehchan aur pehli madad | Garmi mein chakkar kyun aate hain
Tehreer: Dr Ali Shafiq (DHMS, NCH Reg. No. 171863).
Hawale (angrezi): WHO: Dengue and severe dengue | MedlinePlus: Dengue fever | CDC: Guidelines for Classifying Dengue. Ye idaray is article ko review ya endorse nahi karte; ye sirf maloomat ke zarie hain. Dengue ke ilaaj aur dawai ka faisla apne doctor se karwayein.
