ধূমপান ও দীর্ঘদিনের কাশি

Wv. G‡KGg †gv¯—dv †nv‡mb
cwiPvjK
RvZxq e¶e¨vwa BÝwUwUDU I nvmcvZvj, gnvLvjx, XvKv

eªsKvBwUm nj k¦vmbvjxi cÖ`vn, hvi d‡j k¦vmbvjxi †fZ‡i †`qvj jvj nq Ges dz‡j hvq| k¦vmbvjxi †fZ‡i evZvm PjvP‡ji RvqMv mi“ n‡q hvq Ges cÖPzi †k­®§v ˆZwi nq| k¦vmbvjxi †fZ‡i Aw·‡Rbmn evZvm PjvPj evavMÖ¯— nq Ges cÖPzi †k­®§v ˆZwii d‡j k¦vmbvjxi g‡a¨ msµgY nq| Gi d‡j Kvwk I k¦vm Kó nq|
eªsKvBwUm `yB cÖKvi : Acute ev ¶Y¯’vqx, Chronic ev `xN©¯’vqx|
µwbK (`xN©¯’vqx) eªsKvBwUm wK : GKbvMv‡o 3 gv‡mi †ewk mgq a‡i †k­®§vhy³ Kvwk Kgc‡¶ cici 2 eQ‡ii †ewk mgq a‡i _vK‡j, ZLb G Ae¯’v‡K µwbK eªsKvBwUm ejv nq|
†Kvb eq‡m †jvK‡`i g‡a¨ µwbK eªsKvBwUm nq?
mvaviYZ 40 †_‡K 45 eq‡mi ci GB †ivM †ewk nq| wKš‘ Aí eq‡mI GB †ivM n‡Z cv‡i hw` Rš§MZ †Kvb KviY _v‡K| D`vniY : Avjdv Iqvb Gw›U wUªcwm‡bi NvUwZi Kvi‡Y|
cyi“l bv gwnjv‡`i g‡a¨ GB †ivM †ewk nq : mvaviYZ cyi“‡liv GB †iv‡M †ewk †fv‡Mb|
Kx Kvi‡Y GB †ivM nq : mwVK KviY GLb ch©š— ARvbv| Z‡e GB †ivM nIqvi Rb¨ KZ¸‡jv wbqš¿K (Factor) `vqx | †m¸‡jv njÑ

• a~gcvb : µwbK eªsKvBwU‡mi cÖavb KviY a~gcvb| mvaviYZ kZKiv 95 fvM µwbK eªsKvBwUm a~gcv‡bi Kvi‡Y nq| GB a~gcvb cÖZ¨¶ ev c‡iv¶ Dfq cÖKviB n‡Z cv‡i| a~gcv‡bi cwigv‡Yi Ici GB †ivM nIqv wbf©i K‡i|
  
  
• cwi‡ek `~lY : h_v- Pzjvi †auvqv, Mvwoi †auvqv, †Mve‡ii †auvqv, iv¯—vi ayjvevwj BZ¨vw`|
  
  
• evqy`~lY : Avf¨š—ixY I evwn¨K|
  
  
•  evievi dzmdz‡m msµgY (Infection).
  
  
•  ¯^í I ga¨ Av‡qi cwievi : NbemwZc~Y©, KuvPvNi Ges Poor Ventilation.
  
  
•  †ckvMZ KviY : wewfbœ KjKviLvbvq KvR K‡i Ggb e¨w³ †hgb- †mv‡qUvi, cvU I cvURvZ cY¨, Zzjvi KviLvbv BZ¨vw`|
  
  
• Rš§MZ KviY : K. Avjdv Iqvb A¨vw›U wUªcwm‡bi NvUwZ| L. k¦vmbvjxi AwZ ms‡e`bkxjZv|
  †iv‡Mi cwimsL¨vb †Kgb : †hLv‡b hZ †ewk e¨w³ a~gcvb K‡i †mLv‡b GB †ivM ZZ †ewk nq| GQvov ¯^í I ga¨ Av‡qi †`‡k GB †iv‡Mi cÖeYZv †ewk| mv¤úÖÖwZK wnmv‡e †`Lv hvq, c„w_ex‡Z cÖvq 8 †KvwU †jvK GB †iv‡M fzM‡Qb| 2005 mv‡ji cwimsL¨vb †gvZv‡eK GB †iv‡M g„‡Zi msL¨v 30 jv‡LiI †ewk Ges 2020 mvj bvMv` GB †iv‡M g„Zz¨ Z…Zxq cÖavb KviY n‡q `uvov‡e e‡j aviYv Kiv nq| 1999 mv‡j GB †iv‡M g„Zz¨i lô KviY wQj|
  
  

wKfv‡e †ivM wbY©q Kiv hvq :

†iv‡Mi BwZnvm, †iv‡Mi DcmM© I kvixwiK cix¶v K‡i †ivM wbY©q Kiv hvq| eqm 40 eQ‡ii †ewk, a~gcvb †h‡nZz cÖavb wbqvgK (Factor) †m‡nZz a~gcvb KZ eQi eqm †_‡K ïi“ n‡q‡Q Zv †`L‡Z n‡e| cÖwZw`b KZUv wmMv‡iU Lvq, GLbI wmMv‡iU Lvq wKbv eÜ K‡i w`‡q‡Q| c‡iv¶ a~gcv‡bi BwZnvm Av‡Q wKbv| hw` ˆ`wbK †Kvb e¨w³ 20wU wmMv‡iU weivgnxbfv‡e 1 eQi Lvq, Zvn‡j Zv‡K GK c¨vK Bqvi e‡j| Gfv‡e hw` 10 eQi a~gcvb K‡i Zvn‡j IB e¨w³i GB †ivM nIqvi cÖeYZv †e‡o hvq| GQvov cwi‡ek `~lY, evqy`~lY, evievi dzmdz‡m msµgY, †ckvMZ Kvi‡Yi BwZnvm cvIqv hvq|

†iv‡Mi DcmM© Kx ?

GB †iv‡Mi DcmM© cÖavbZ `yBwUÑ

• †k­®§vhy³ `xN©w`‡bi Kvwk (mKv‡ji w`‡K †ewk)|
  
  
• µgea©gvb k¦vmKó, cÖ_g me KvR ¯^vfvweKfv‡e Ki‡Z cv‡i, Gici cwikÖg Ki‡jB k¦vmKó nq Ges ax‡i ax‡i k¦vmKó evo‡Z _v‡K| mvgvb¨ GKUv wmuwo †e‡q Ic‡i DV‡jB k¦vmKó ïi“ nq|
  
  
• R¡i _vK‡Z cv‡i|
  
  
•  euvwki g‡Zv kã| GQvov †iv‡Mi RwUjZvi wnmv‡e kix‡ii IRb K‡g hvIqv ev cv dz‡j hvIqv|
  †ivMxi kvixwiK cix¶v K‡i wK wK cvIqv hv‡e?
  †ivMxi kvixwiK cix¶v K‡i wbgœwjwLZ welq¸‡jv cvIqv hv‡e :
  
  
• gyL w`‡q k¦vm †bqv|
  
  
• Nb Nb k¦vm †bqv|
  
  
• k¦vm †bqvi mgq ey‡Ki gvsm‡ckx I Z¡K ey‡Ki LvPvi †fZ‡i Xz‡K hvIqv|
  
  
• †Kvb †Kvb mgq kixi h_v- wRnŸv I †VuvU bxj n‡q hvq|
  
  
• cv dz‡j †h‡Z cv‡i|
  
  

Kx Kx j¨ve‡iUwi cix¶v Kiv hvq?

• ey‡Ki G·‡i : KviY Ab¨ †ivM‡K Avjv`v Kivi Rb¨ Ges IB †iv‡Mi RwUjZv Av‡Q wKbv Zv †`Lvi Rb¨ |
  
  
• ¯úvB‡iv‡gwUª :
  Ñ AemUªvKwUf bv †iw÷ªKwUf †ivM|
  Ñnuvcvwb †_‡K Avjv`v Kivi Rb¨ wifviwmwewj cix¶v Kiv nq|
•  i‡³i cix¶v
  
  
• HRCT
  
  

Kx wPwKrmv †`qv nq?

• cÖ_g Ges cÖavbZ a~gcvb Z¨vM Kiv|
  
  
• ayjv, evwj, †auvqv, cwi‡ek `~lY †_‡K `~‡i _vKvi †Póv Kiv|
  wPwKrm‡Ki civgk© †bqv|
  
  
• eªsKWvqv‡jUi RvZxq Ilya e¨envi KivÑ Bb‡njvi
  e¨envi Kiv|
  
  
• †÷i‡qW RvZxq Ilya e¨envi KivÑ Bb‡njvi e¨envi Kiv DËg|
  
  
• †P÷ wdwRI‡_ivwc †bqv|
  
  
• †iv‡Mi ZxeªZv †`Lv w`‡j †beyjvB‡Rkb, eªsKWvqv‡jUi mjykb w`‡q e¨envi Kiv|
  
  
• †jv †d¬v Aw·‡Rb e¨envi Kiv cÖ‡qvRbg‡Zv|
  
  
• cÖ‡qvRbg‡Zv mwVK Gw›Uev‡qvwUK RvZxq Ilya e¨envi Kiv|
  
  
• wgD‡KvjvBwUK RvZxq Ilya e¨envi Kiv hvq hw` †k­®§v †ewk Nb nq|
  
  
• cÖwZ eQi Bbd¬y‡qÄv f¨vKwmb Ges cÖwZ cvuP eQi Aš—i wbD‡gvwbqv bv nIqvi Rb¨ cÖwZ‡kaK f¨vKwmb †bqv DËg, hw` eqm 65 eQ‡ii †ewk nq|
  mwVK wPwKrmv bv w`‡j wK wK mgm¨v n‡Z cv‡i?
  
  
• Ki&-cvj‡gv‡bBj (Cor Pulmonale).
  
  
• dzmdzm weKj (Respiratory Failure) n‡q hvq|
  
  
• dzmdz‡m Nb Nb msµgY n‡Z cv‡i|
  
  
• dzmdz‡m evZvm R‡g †h‡Z cv‡i|
  
  

GB †ivM †_‡K Kxfv‡e euvP‡Z cvwi?

GB †ivM GKevi n‡q †M‡j m¤ú~Y© fv‡jv nq bv| Z‡e wbqwgZ Ilya †L‡j †ivM m¤ú~Y© wbqš¿‡Y ivLv hvq| †ivM cÖwZ‡iv‡ai Rb¨ wb‡gœi e¨e¯’v wb‡Z n‡e :

• a~gcvb †_‡K weiZ _vK‡Z n‡e|
  
  
• wbqwgZ e¨vqvg Kiv fv‡jv|
  
  
• cwi‡ek `~lY †_‡K gy³ _vK‡Z n‡e|
  
  
• Nb Nb ey‡K Bb‡dKkb hv‡Z bv nq Zvi e¨e¯’v wb‡Z n‡e|

m~Z&ª: দৈনিক যুগান্তর (07/05/2011)