Kidney diseases - their real cause and cure

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(This article is written in Bengali language.)

wKWbx ‡iv‡Mi cÖK…Z KviY Ges wPwKrmv

m¤cÖwZ evsjv‡`‡k wKWbx bó nIqvmn Ab¨vb¨ gvivÃK wKWbx †ivM e„w×i †h wc‡j PgKv‡bv Lei †ewi‡q‡Q, Zv‡Z †h-†Kvb m‡PZb e¨w³gvÃŽ gg©vnZ n‡eb| wi‡cv‡U© ejv n‡q‡Q †h, Gme cÖvYbvkx wKWbx †iv‡Mi msL¨v KíbvZxZ nv‡i e„w×i gyj KviY n‡jv †fRvj Lvevi, Wvqv‡ewUm Ges Dâ€P i³Pvc| GB wZbwU KviY‡K G‡jvc¨vw_K wKWbx we‡klÃiv cÖK…Z KviY ej‡jI Avm‡j †nvwgIc¨vw_K wPwKrmv weÃv‡bi `„wó‡Z eis †ekx †ekx G‡jvc¨vw_K Jla LvIqv‡KB wKWbx bó nIqvi g~j KviY ej‡Z n‡e| †Kbbv Avgiv A‡b‡KB Rvwb bv †h, Avgiv h‡Zv Jla LvB Zvi AwaKvskB

i‡³ cÖ‡ek K‡i Zv‡`i KvR-Kg© cwiPvjbv K‡i _v‡K| cieZx©‡Z Zv‡`i‡K i³ †_‡K msMÖn K‡i †Q‡K †Q‡K kixi †_‡K †ei Kivi ØvwqZ¡ cvjb Ki‡Z nq GB wKWbx `ywU‡K| d‡j Avgiv h‡Zv †ekx Jla LvB, Avgv‡`i wKWbx‡K ZZ †ekx cwikÖg Ki‡Z nq Ges djmªywZ‡Z wKWbx `ywU ZZ †ekx `ye©j-K¬všZ-kÖvšZ-Amy¯’ n‡q c‡o| ZvQvov †ekx †ekx Jla †L‡j Zv‡`i‡K kixi †_‡K †ei K‡i †`Iqvi Rb¨ cÖPzi cwigv‡Y cvwb †L‡Z nq|

wKš‘ Avgv‡`i A‡b‡KB †ekx †ekx cvwb LvIqvi welqwU ‡g‡b Pwj bv| wKWbx W¨v‡gR nIqvi gyj KviY wn‡m‡e †h †ivM‡K we‡ePbv Kiv nq Zvi bvg †bd«vBwUm Ges †bd«vBwUm nIqvi gyj KviYI GB Jla| wKWbx hw`I wbqwgZ Avgv‡`i LvIqv mKj Jlamgyn wb®‹vkb K‡i wKš` Zvi gv‡SI Jl‡ai `y‡qKUv KYv wKWbxi ARv‡šZB wKWbxi Mv‡q †j‡M _v‡K| cieZx©‡Z †mB KYvwUi Ici bvbviK‡gi RxevYy, K¨vwg‡Kj, g„Z‡Kvl BZ¨vw` Rg‡Z Rg‡Z †mwUi MVb e`‡j hvq| d‡j wKWbx Avi †mB KYvwU‡K wPb‡Z cv‡i bv| GK mgq KYvwU wb‡R wKWbxi GKwU Ask nIqvi †Póv K‡i| wKš‘ wKWbx ‡mB KYvwU‡K MÖnb Ki‡Z ivRx nq bv| †kl ch©šZ wKWbxi wfZ‡i M„nhy× ïi“ nq hv‡K

Wv³vix fvlvq e‡j A‡UvBwgDb wi‡qKkvb (autoimmune reaction)| Gfv‡e wKWbxi GK Ask Ab¨ Ask‡K wPb‡Z bv †c‡i kΓ wn‡m‡e MY¨ K‡i Ges Zv‡K aŸsm Kivi Rb¨ D‡Vc‡o †j‡M hvq| d‡j wKWbx wb‡RB wb‡Ri aŸsm ‡W‡K Av‡b Ges Avgiv Ke‡ii evwm›`v n‡q hvB| mv‡_ mv‡_ mšZvb-mšZwZ‡`i

K‡i hvB c‡_i wfLvix| †Kbbv G‡jvc¨vw_K wPwKrmvq wKWbx †iv‡Mi †h wPwKrmv LiP, Zv‡Z †h-‡Kvb wKWbx †ivMxi cwievi‡K c‡_ bvg‡Z `y‡qK eQ‡ii †ekx jv‡M bv|

Kv‡RB ejv hvq †h, Dâ€Pi³Pvc Ges Wvqv‡ewUm Avgv‡`i wKWbxi hZUv ¶wZ bv K‡i, Zvi‡P‡q A‡bK †ekx ¶wZ K‡i Gme †ivM wPwKrmvi bv‡g hy‡Mi ci hyM LvIqv gvivÃK ¶wZKi G‡jvc¨vw_K †KwgK¨vj Jla¸wj| we‡kl K‡i †h-me G‡jvc¨vw_K Jla gvbyl ‡ekx †ekx Lvq (†hgb-Gw›Uev‡qvwUK, e¨_vi Jla, ev‡Zi Jla, Ny‡gi Jla, e­vW †cÖmv‡ii Jla, gvbwmK †iv‡Mi Jla BZ¨vw`), G¸‡jv wKWbxi GZB ¶wZ K‡i †h, G‡`i‡K wKWbxi hg ejvB DwPZ| GKwU ev¯—e mZ¨ K_v n‡jv, cÖPwjZ Ab¨vb¨ wPwKrmv c×wZ‡Z Wvqv‡ewUm Ges Dâ€P i³Pvc KLbI mv‡i bv ; ejv nq G¸‡jv Ã’wbqš¿‡Y _v‡KÓ| Avmj K_v n‡jv, †Kvb Jla hLb eQ‡ii

ci eQi, hy‡Mi ci hyM LvIqv nq, ZLb †mB Jla Avi †ivM‡K wbqš¿Y Ki‡Z cv‡i bv eis †ivMB †mB Jla‡K wbqš¿Y K‡i †d‡j| d‡j Gme KzwPwKrmvq Wvqv‡ewUm Ges Dâ€P i³Pvc †Zv mv‡iB bv eis w`b w`b Av‡iv wbqš¿‡Yi evB‡i P‡j hvq| gvSLv‡b gvivZÂ¥K gvivZÂ¥K Jl‡ai av°vq wKWbxi ev‡ivUv †e‡R hvq| A_P GKRb we‡klà †nvwgI Wv³v‡ii Aax‡b wPwKrmv wb‡j Wvqv‡ewUm, DP i³Pvc Ges †bd«vBwUm `y‡qK eQ‡ii g‡a¨B †Kej wbqÅ¡ÃŽY bq eis G‡Kev‡i wbgy©j n‡q hvq| GgbwK hw` Gme †ivM wbivg‡qi Rb¨ hy‡Mi ci hyMI †nvwgI Jla †L‡Z nq, Z_vwc †nvwgI wPwKrmv Kiv eyw×gËvi cwiPvqK n‡e| †Kbbv †nvwgI Jl‡a †h‡nZz Jl‡ai cwigvY _v‡K LyeB Kg, †m‡nZz G¸‡jv K‡qK hyM †L‡jI wKWbx‡Z R‡g wKWbx bó nIqvi m¤¢veYv bvB| n¨uv, Ab¨vb¨ †iv‡Mi

g‡Zv wKWbx †iv‡Mi wPwKrmv‡ZI †nvwgI Jla †kªó‡Z¡i `vex`vi| KviY cÖPwjZ Ab¨vb¨ wPwKrmv c×wZ‡Z wKWbx †iv‡Mi Kó¸‡jv wbqš¿Y Kiv †M‡jI wKWbx †iv‡Mi ‡cQ‡bi g~j KviYmg~n `~i Kiv hvq bv| GKgvÎ †nvwgIc¨vw_K wPwKrmvi gva¨‡gB †Kej wKWbx †iv‡Mi †cQ‡bi g~j KviYmg~n `~i Kiv m¤¢e nq Ges Gfv‡e GKB †ivM K‡qK eQi cici Ny‡i wd‡i evi evi wd‡i Avmv ‡VKv‡bv hvq|

wKWbx bó nIqvi Kvi‡Y hviv WvqvjvBwmm (dialysis) K‡i †eu‡P Av‡Qb, ZvivI WvjvBwm‡mi cvkvcvwk †nvwgI wPwKrmv MÖnb K‡i Zv‡`i weKj wKWbx‡K ax‡i ax‡i mPj K‡i Zzj‡Z cv‡ib| n¨vu, †nvwgIc¨vw_‡Z eskMZ †ivM cÖebZvi (Chronic miasm) BwZnvm Ges kvixwiK-gvbwmK MVbMZ (Constitution)

ˆewkó¨ Abyhvqx Jla cÖ‡qvM Ki‡j gvby‡li †ivM cÖwZ‡iva e¨e¯’v (immune system) D¾xweZ nq Ges djmª“wZ‡Z †`Lv hvq AwaKvsk †¶‡Î bó wKWbx Avevi fv‡jvfv‡e KvR Ki‡Z ïi“ K‡i| wKQz wKQz †¶‡Î wKWbx cy‡ivcywi fv‡jv bv n‡jI h‡_ó DbœwZ nIqvi d‡j WvqvjvBwm‡mi msL¨v Kgv‡bv hvq| †hgb- ‡`Lv hvq ‡hB †ivMxi cÖwZ mßv‡n GKevi WvqvjvBwmm Ki‡Z n‡Zv, Zvi nqZ GLb c‡bi w`‡b ev gv‡m GKevi WvqvjvBwmm Ki‡jB P‡j| Avi wKWbx cy‡ivcywi fv‡jv n‡q †M‡j WvqvjvBwmm cy‡ivcywi eÜ K‡i †`Iqv hvq| A_P cÖPwjZ Ab¨vb¨ wPwKrmvq GKevi WvqvjvBwmm ïi“ Ki‡j wKWbx bv cvëv‡bv (Kidney transplantation)

ch©šZ Avi †mwU eÜ Kiv hvq bv| eis hZ w`b hvq WvqvjvBwmm ZZ ‡ekx Nb Nb Ki‡Z nq| Avgv‡`i‡K eyS‡Z n‡e †h, WvqvjvBwm‡mi gva¨‡g bó wKWbx (CRF) KLbI fv‡jv Kiv hvq bv eis Bnvi gva¨‡g †Kej wKWbxi KvR weKí Dcv‡q m¤cbœ K‡i †ivMx‡K euvwP‡q ivLv nq| nu¨v, GK_v mZ¨ †h, kZKiv beŸBfvM †ivM webv wPwKrmv‡ZB fv‡jv n‡q hvq (Avgv‡`i kix‡ii wbR¯^ †ivM cÖwZ‡iva ¶gZvi e‡`Šj‡Z)| G‡Z mgq †ekx jv‡M wKš‘ Dchy³ wPwKrmv MÖnb Ki‡j A‡bK

Kg mg‡q †iv‡Mi nvZ †_‡K gyw³ cvIqv hvq| †m‡nZz A‡b‡Ki mvgwqKfv‡e bó wKWbxI webv wPwKrmvq fv‡jv n‡q †h‡Z cv‡i|

mvaviYZ wKWbx †iv‡Mi †nvwgIc¨vw_K wPwKrmv †iv‡Mi fqvenZvi gvÎv Ges †iv‡Mi †cQ‡bi AšZw©bwnZ KviY Abyhvqx `yB †_‡K cuvP eQ‡ii g‡a¨ †kl Kiv hvq| wKš‘ cÖPwjZ Ab¨vb¨ wPwKrmv c×wZ‡Z wKWbx †iv‡Mi wPwKrmv cÖvq mvivRxebB Pvwj‡q †h‡Z nq| bó wKWbx cÖPwjZ Ab¨vb¨ wPwKrmvq KLbI fv‡jv nq bv| KviY Zv‡`i Uv‡M©U n‡jv wKWbx‡K fv‡jv Kiv bq eis K…wÎg Dcv‡q wKWbxi KvR

Ab¨fv‡e Pvwj‡q †bIqv (†hgb- WvqvjvBwmm Kiv Ges wKWbx cvëv‡bv)| †nvwgIc¨vw_K wPwKrmv weÃv‡bi gvqvR‡gwUK `„wófw½i Kvi‡Y G‡Z A‡bK we¯§qKi NUbv NU‡Z †`Lv hvq, hv Ab¨vb¨ wPwKrmv c×wZ‡Z AKíbxq| †hgb- †nvwgI wPwKrmvq wKWbxi aŸsm nIqv †KvlZš‘i (tissue) RvqMvq fv‡jv wUmy¨ MRv‡Z †`Lv hvq| mvaviYZ wKWbx cvëv‡bvi c‡i A‡bK †¶‡Î wKWbx MÖnxZvi kixi GB bZzb wKWbx‡K MÖnb Ki‡Z Pvq bv (immune reaction), bZzb wKWbx‡K †m cÖZ¨vLvb K‡i (rejection of new

kidney)| bZzb wKWbx‡K cÖZ¨vL¨v‡bi GB nvi †ek Dâ€P| i³ m¤c‡K©i AvÃxq Qvov Ab¨‡`i wKWbx MÖnb Ki‡j Gme we‡`ªv‡ni NUbv N‡U _v‡K| cÖPwjZ wPwKrmv c×wZ‡Z bZzb wKWbxi wei“‡× kix‡ii GB we‡`ªvn‡K mvgvj w`‡Z j¶ j¶ UvKv e¨q Ki‡Z nq ; A_P Gme ‡¶‡Î Acv‡ik‡bi c~e© †_‡KB (A_ev Acv‡ik‡bi c‡iI) hw` †nvwgI wPwKrmv Aej¤^b Kiv nq Z‡e AÅ¡ZZ GKk¸Y Kg Li‡P we‡`ªvn mvgvj †`Iqv m¤¢e|

bZzb wKWbx ms‡hvR‡bi c‡i A‡bK mgq †`Lv hvq wKWbxi mv‡_ m¤úwK©Z †iv‡Mi (‡hgb-Wvqv‡ewUm, Dâ€P i³Pvc BZ¨vw`i) gvÃŽv †e‡o wM‡q Ggb ch©v‡q †cÅ u‡Q †h, Zv‡K Avi wbqš¿Y Kiv hvq bv| Wvqv‡ewUm Ges Dâ€P i³Pv‡ci g‡Zv wKWbxi mv‡_ m¤cwK©Z †ivMmgyn †nvwgIc¨vw_K wPwKrmvq †h KZ mn‡R `gb Kiv hvq, Zv cy‡e©B e‡jwQ| wKWbx †ivMx‡`i cvkvcvwk hv‡`i wKWbx †ivM bvB wKš‘ d¨vwgwj‡Z wKWbx †iv‡Mi BwZnvm Av‡Q, Zv‡`i DwPZ cÖwZ‡ivagyjK (Preventive) †nvwgIc¨vw_K wPwKrmv wb‡q wKWbx bó nIqvi SzuwK †_‡K gy³ _vKv| KviY GKRb `¶ †nvwgI

Wv³vi †h-†Kvb gvby‡li mvgwMÖK BwZnvm ïb‡j A`yi A_ev `yi fwel¨‡Z Zvi wK wK †ivM nIqvi m¤¢vebv Av‡Q, Zv eyS‡Z cv‡ib Ges †mB Abyhvqx Jla cÖ‡qvM K‡i Zv‡K †m †iv‡M AvµvÅ¡Z nIqvi SzuwK †_‡K i¶v Ki‡Z cv‡ib| Avevi †h-me Wvqv‡ewUm †ivMx GKB mv‡_ Dâ€P i³Pv‡cI †fvM‡Qb, Zv‡`i wKWbx bó nIqvi nvZ †_‡K euvPvi Rb¨ †nvwgI wPwKrmv MÖnb Kiv G‡Kev‡i diR| ‡h-me wKWbx †ivMxi †iv‡Mi KviY AÃvZ e‡j Wv³viiv gZvgZ †`b, Zv‡`i Rb¨I †nvwgI wPwKrmv Aej¤^b Kiv diR|

Avcbvi wKWbx †ivM nvjKv, gvSvwi, gvivÃK ev Pig gvivÃK †h chv©‡qB _vKzK bv †Kb, (wKWbx GKkfvM bó nIqvi cy‡eB) hZ ZvovZvwo m¤¢e Avcbvi †nvwgI wPwKrmv Aej¤^b Kiv DwPZ| KviY †nvwgIc¨vw_‡Z Ã’A‡bK †`wi n‡q‡Q †M‡QÓ e‡j †Kvb K_v bvB| †h-me wKWbx †ivMx Ri“wi wfwˇZ wKWbx cvëv‡bvi †Póv Ki‡Qb, ZvivI ‡nvwgI wPwKrmvi gva¨‡g wKWbx cvëv‡bvi Rb¨ †ekx mgq †c‡Z cv‡ib| Av‡iKwU K_v n‡jv, Ab¨ †h-†Kvb c×wZi wPwKrmvi cvkvcvwkI Avcwb †nvwgI wPwKrmv MÖnb Ki‡Z cv‡ib ; G‡Z †Kvb mgm¨v nq bv| cwi‡k‡l wKWbx‡ivM we‡klÃmn †mevi gvbwmKZv m¤cbÅ“ mKj †gavex Wv³vi‡`i cÖwZ Avgv‡`i

AvnŸvb, Avcbviv mvgvb¨ Kó wkKvi K‡i †nvwgIc¨vw_ AvqË K‡i wbb Ges †nvwgI Jla †cÖmµvBe Ki“b hv‡Z wKWbx †ivMxiv eû¸Y Kg Li‡P, Kg mg‡q Ges Kg †fvMvwšZi gva¨‡g †ivMgy³ n‡Z cv‡ib|

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