Sir Gangaram Hospital

Hi,

I am Dr. Praveen Sharma, Gastroenterologist. Aaj hum baat karenge liver cirrhosis ke baare mein. Ye liver ki ek serious bimari hai. Ismein liver ka size chota ho jaata hai and liver kam karna band kar deta hai. Iske 4 mukhaye karan hote hain. Sabse jyada common hai alcohol. Jo log jayada alcohol lete hain unka liver damage ho jaata hai. Dusra karan hai viral hepatitis-B & C. Tisra karan hai diabetes. Jinka sugar control nahi rehta unko bhi liver cirrhosis ho sakta hai. Chootha common karan hai motapa. Jinke liver mein fat jam jata hai unhein bhi liver cirrhosis hota hai. Ab iske mukhye lakshan kya hain? Jinhein liver cirrhosis hota hai unhein jaundice hota hai. Peat mein paani aa sakta hai. Pairon mein sujan aa sakti hai. Bhook lagni kam ho jaati hai. Kabhi kabhi khoon ki ulti ya fir laterine kaale rang ki aati hai.

Kya hum isko easily diagnose kar sakte hain? Isko diagnose karne ke easy methods hain. Dr aap ka liver function test karta hai. Viral hepatitis ka test kiya jata hai, ultrasound and fibroscan kiya jaata hai. In sab se hum liver cirrhosis ke baare mein jaan paate hain. Hum liver cirrhosis ko thik bhi kar sakte hain. Lekin agar koi alcohol na chore toh uska liver kabhi bhi thik nahi ho sakta hai. Isliye alcohol bilkul chora padta hai. Bahut sari medicines available hain jinse liver cirrhosis ka treatment bhi ho sakta hai. Hepatitis-B & C ka treatment karne se liver cirrhosis kafi thik ho jata hai. Aur bhi bahut sari techniques hain jinmein hum endoscopy karte hain, bleeding ke chances bhi kam ho jaate hain. Bahut sari medicines hain jinse peat ka pani and pairon ki swelling thik ho sakti hai. Agar kisi mein liver cirrhosis ke symptoms hain to patient ko Dr ke paas jaldi hi jana chahiyai. Kabhi kabhi liver cirrhosis medicines se treat nahi ho pata hai.

Agar kisi patient ke stomach mein water fill ho, blood vomiting ho, behoshi ho toh liver cirrhosis ka treatment lier transplant hi hai. So, liver cirrhosis ka ilaj sambhav hai. Agar hum apna khan-paan thik karein and gandi aadaton se dur rahein, alcohol na lein aur jo Dr suggest kare use regular follow karein toh liver cirrhosis kafi hadh tak thik ho jata hai. Acha khana liver cirrhosis ko thik karne mein bahut bada yogdan deta hai. Namak aap ko kam karna hai. Baaki aap jitna normal khana khayein aapke liya acha hota hai. Agar aap apne liver ko thik rakhenge toh aap sawasth jeevan vayetit karenge.

Thank You.

Hi,

I am Dr. Praveen Sharma, Gastroenterologist. Aaj hum baat karenge ki liver ki taklif mein kya khana chahiyai aur kya nahi. Liver ki kafi bimariyan hoti hain jismein piliya kafi common hota hai. Piliya ke bahut sare karan hote hain jinmein liver cirrhosis and hepatitis common hota hai. Pehle hum baat karenge ki kisi ko piliya ko toh use kya kya khana chahiyai aur kya nahi khana chahiyai. Common braham hai ki jisko piliya ho jaaye use ganne, muli ka juice peena chahiyai, pili chiz, talli hui chiz nahi khani chahiyai, toh main aap ko btana chahta hun ki ye sab ek branti hai aur humein ispe jyada dhayan nahi dena chahiyai. Yadi kisi vayakati ko acute hepatitis ho jiske common karan hai hepatitis-A, B, C & E, inmein se hepatitis-A & E gande khane ki vajaha se hi hota hai. Toh aap ko apne khane peene ka vishesh dhayan rakhana hai.

Aisa koi bhi khana nahi hota jo humare liver ko kharab kare. Agar kisi ko pilia hai vo bhi acute hepatitis ki vajaha se toh use ghar ka normal khana chahiyai. Kisi taraha ki koi khaas parhej ki Jarurat nahi hai. Kafi log ganne ka juice peete hain toh aisa na karein kyuki vo bahar ka hota hai and vo aap ke liya harmful hai. Humein sawasth khana khana chahiyai. Humein fruits khane chahiyai and bahara ka juic nahi peena chahiyai. Roti, sabzi, daal, makhana aap sab ghar ka bana kha sakte hain. Kuch logon ko lagta hai ki unhein liver cirrhosis hota hai. Kafi log aisi bimari mein proteins nahi lete hain. Toh mai aap ko btana chahunga ki agar liver cirrhosis bhi hai toh normal khanna khana chahiyai. Aap ko salt kam karna hai apni diet mein se taki peat mein paani jyada nahi bane. Ab question ye hai ki liver cirrhosis mein kya kya khayein? Toh normal patient jo pehle khata tha sab vaise hi khana hai but ghar ka healthy khanna khana hai.

Protein ki matra jyada rakhne se humara liver sawasth rehta hai. Ab hum jaaneinge ki protein kis kis mein jyada hota hai. Yadi patient non-vegetarian hai toh eggs kha sakte hain. Daal kha sakte hain. Fruits khayein, vegetables kha sakte hain, in sab ko khane se liver healthy rehta hai. Kafi logon ko myth hai ki jinko liver ki bimari hai unhein paani kam peena chahiyai. Lekin agar peat mein bahut jyada paani na bhara ho and pairon mein sujan na ho toh Dr kisi bhi patient ko paani ka parhez nahi btate. Agar bahut jyada motapa nahi hai toh bhi jyada ghee vali chizen nahi khani chahiyai. Lekin aap ghee, safed makhan kha sakte hain. Kuch log malayein pehente hain, jadi butiyan khate hain toh mai aap ko kehna chahta hun ki aisa koi bhi kaam naa kare. Agar aap aisa karte hain toh liver pe bahut jyada nuksan hota hai. Liver ki bimari mein jo hum kha sakte hain vo khana chahiyai. Bus aap ko namak ka parhez kana chahiyai. Baaki kisi bhi tarah ka koi parhez nahi hai.  

Thank You.

Hello!

Main Dr. Praveen Sharma, Gastroenterologist. Aaj hum baat krenge heartburn or gastroesophageal reflux disease (GERD) ke bare me. Heartburn bhut hi common problem hai. Iske symptoms hai chest burning, khatti burp, gas formation. Heartburn hmare peat ke acid ko foodpipe me reflux hone se rokti hai. Jinko diabetes, blood pressure or smoking jyada krte hain to unhe cardiologist se contact krna chaiye. Ye heartburn kisi ko bhi ho skta hai.

Iske causes hain sedentary lifestyle, smoking, alcohol consumption, khana kahne ke baad let jana and koi exercise na krna. Isko prevent krne ke lia hi apko healthy lifestyle jeena bhut jruri hai. Iska treatment bhut easy hai. Khane khane and sone ke bich me 2 hours ka interval hona chaiye. Raat ko heavy khana na khayein. Breakfast heavy kren and lunch breakfast se light kren. Aise aap heartburn prevent kar skte hain. Alcohol and smoking quit kren. Vegetables and fruits jyada consume kren.

Isko thik krne ke lia aap medicines ka bhi support le skte hain. Lekin uske lia pehle doctor se consult kren.

Thanks!

Hello!

Main Dr. Praveen Sharma, Gastroenterologist. Aaj hum hepatitis ke bare me baat krenge. Iska mtlb hai liver me inflammation. Is se liver me swelling hoti hai. Hmare India me 5/100 patients ko ye problem hai. Iske causes hai hepatitis - A, B, C, D & E. Overweight, drugs and alcohol consume krne valon ko ye disease hoti hai. Jo unnecessary medicines lete hain, unhe bhi ye problem hoti hai. Kya hepatitis and jaudice ek hain? Nhi, ye ek jaise nhi hain.

Jayatar logon ko iske symptoms nhi aate quki ye bimari dheere dheere chalti hai or achanak bade roop me samene aati hai. Isko diagnose krane pe is disease ka pta chalta hai. Other symptoms hai loss of appetite, stomach pain, weight loss and pillia. Isko diagnose krne ke lia hum liver functuin ka test bhi krate hain. Hepatitis - A, B, C & D ke tests bhi available hain. Inko kaise prevent kia ja skta hai? Isko prevent krne ka sabse easy way hai ki khana khane se pehle hand-wash kren. Boiled water peena chaiye.

Hepatitis - B & C ka vaccination available hai jo chote se bade bachon ko dia jata hai. Alcohol consumption bhi apko khtm krna chaiye. Aaj kal iska main cause hai motapa. Ultrasound krne me pta chalta hai ki fatty liver ka problem hai or jab aap liver test krayen to hepatitis hota hai. Isko prevent krne ke lia apko regular exercise krni chaiye. Fried foods and sweets avoid kren. Isko aap easily prevent kar skte hain.

Thank You.