तीन हप्तामा एकसय सापुका बिरामी


शरद् शर्मा
काठमाडौँ, १४ असोज विगत तीन हप्तामा सापु रोगबाट एकसय बिरामी परेका छन् । सेतो पुतलीको सङ्क्रमबाट आँखामा लाग्ने रोगलाई सापु भन्ने गरिन्छ । ४६ वर्षयता यति छोटो अवधि पहिलो पटक यति धेरै बिरामी देखिएको जनाइएको छ ।

त्रिवि शिक्षण अस्पतालका वरिष्ठ नेत्ररोग विशेषज्ञ डा रञ्जु खरेलले अझै तीन महिना सापु रोगको जोखिम बढ्नसक्ने भएकोले सचेतना अपनाउन आग्रह गर्नुभयो । भदौदेखि मङ्सिरसम्म सो रोग देखिने गर्दछ ।

उहाँका अनुसार सापुबाट आँखाको भित्री भागलाई असर गर्नुको साथै आँखाको सबै पत्र दु्रतगतिमा सुनिन्छ र भित्रि भागमा पिप जम्दै जान्छ ।

नेपालमा सापु रोग विसं २०३२ मा पहिला पटक पोखराको एउटा विद्यालयमा देखिएको हो । रोग सबैभन्दा बढी बालबालिकामा देखिने गर्दछ । ३८ दिनको शिशुदेखि ८० वर्षका ज्येष्ठ नागरिकलाई पनि असर गर्ने गर्दछ । सहप्राध्यापक डा खरेल अनुसार प्रदेश १ , वाग्मती र लुम्बिनी प्रदेशका मध्यपहाडी जिल्लामा सापुका बिरामी बढी देखिएका छन् ।

उहाँले सबै सेतो पुतली हानिकारक नभएको र कालो धर्सा तथा पुच्छरमा पहेँलो भएका सेतो पुतलीको काउसो वा झुस हुस हानिकारक हुने गरेको बताउनुभयो । अहिले पोखरामा प्रशस्त्र मात्रामा भित्ता, बत्तीमा सेता पुतली रहेका छन् । कतिपय अवस्थामा सेतो पुतलीको संसर्गमा नआएका मानिसमा पनि यो रोग देखा पर्न सक्ने जनाइएको छ ।

“पुतली बसेर उठिसकेको हुन्छ र त्यसले आफू बसेको ठाउँमा झुस, अण्डा र काउसो छाडेर गएको हुन्छ । हो त्यहीँबाट सापु रोग देखिने गर्दछ ।” उहाँले भन्नुभयो । अचानक एउटा आँखा रातो हुनु, रातो आँखाको कालो नानीको बीचमा सेतो देखिने, आँखाभित्र पिप जमेर नानी सेतो हुनु, आखाँको ज्योति घट्दै जाने यस रोगका लक्षण हुन् ।
एउटा आँखा रातो भएका अवस्थामा तुरुन्तै नजिकैको आँखा उपचार केन्द्रमा परीक्षण गराउनु पर्ने उहाँको भनाइ छ ।

यस्तै सापुबाट आँखा सुकेर र कुरुप समेत हुने जनाइएको छ । सापु सम्भावित ठाउँमा चिप्रा नलाग्ने गरी एउटा मात्रा आँखा रातो भएका अवस्थामा सापु रोग लागेको शङ्का गर्नुपर्दछ । अहिले गण्डकी प्रदेशको हिमालय आँखा अस्पताल र लुम्बिनी प्रदेशको लुम्बिनी आँखा केन्द्रमा सापुका बिरामीले श्यया भरिएका बताइएको छ ।

नेत्र रोग विशेषज्ञ डा खरेलका अनुसार सापु रोगका तीन अवस्था हुन्छन । पहिलो अवस्थामा आँखा रातो हुनु यसलाई सामान्य सापु भन्ने गरिन्छ र यस्तो अवस्थामा आँखालाई पहिल्यैकै अवस्थामा फर्काउन सकिन्छ । सामान्य अवस्थामा उपचार गर्न सकेनांै भने आँखामा पिप जम्न थाल्दछ । यसलाई मध्यम अवस्थाको सापु भनिन्छ । यस अवस्थाबाट पनि उपचार गरेनौं भने अति जटिल अवस्थामा सापुको बिरामी पुग्ने गर्दछन् ।

पहिलो अवस्थामा आँखाका थोपा दिएर उपचार सम्भव हुन्छ । मध्यम अवस्थामा आँखाभित्र सुई लगाउनुपर्ने अवस्था आउन सक्दछ । मध्यम अवस्थामा आँखाको दृष्टि फर्कने आश लागेको उहाँले जानकारीदिनुभयो । उहाँका अनुसार अति जटिल अवस्थामा आँखाको सबै पत्रमा पिप हुन्छ र जटिल शल्यक्रिया गरेर उपचार गर्नुपर्ने हुन्छ । उपचार पनि खर्चिलो र दृष्टि कति फर्कन्छ भन्नेमा निश्चित भने हुदैन । स्वास्थ्य तथा जनसङ्ख्या मन्त्रालयका प्रवक्ता डा कृष्णप्रसाद पौडेलले सापु रोग बढी बालबालिकालाई लाग्ने गरेको बताउनुभयो ।

रोकथाम

–सेतो पुतलीको संसर्गबाट टाढा रहने
–बालबालिकालाई झाडीको वरपर खेल्न नदिऔं पुतली समाप्ने निधारमा दल्ने कामबाट परै राखांै ।
–राति सुत्दा बत्ती निभाएर सुतौँ । बाल्नै परे मधुरो बालाँै । सकेसम्म झ्याल ढोका बन्द गरांै । झुल लगाएर सुत्ने गरांै । (रासस)

Khaptadkhabar the love
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