रक्तचाप / Blood Pressure (ब्लडप्रेशर)

हृदय खून को धमनियों में पहुंचाता है। धमनियों में लगातार रक्त पहुंचाने के लिए हृदय फेफड़ों में शुद्ध हुए खून को खींचता भी है। शरीर की क्रिया सामान्य रहने पर हृदय पंप की तरह खून को प्रतिमिनट 72 बार धमनियों में पहुंचाता है और फिर धमनियां उस खून को पूरे शरीर में पहुंचाती हैं। इस तरह हृदय के शुद्ध खून को जब धमनियां विभिन्न अंगों तक पहुंचाती है तो उसे नाड़ी का चलना कहते हैं।शुद्ध खून को शरीर के विभिन्न अंगों तक पहुंचाने के लिए हृदय को पंप की तरह लगातार फैलते-सिकुड़ते रहना पड़ता है। इस तरह हृदय के फैलने-सिकुड़ने के कारण खून धमनियों के द्वारा विभिन्न अंगों में पहुंचता है और फिर शिराओं के द्वारा उन अंगों से अशुद्ध खून फिर से फेफड़ों में एकत्रित हो जाता है  फेफड़े उस खून को साफ करके हृदय तक पहुंचा देते हैं। इस तरह लगातर चलने वाले कार्य के द्वारा ही शरीर के विभिन्न अंग अपने कार्यों को कर पाते हैं। इस तरह हृदय के फैलने-सिकुड़ने की क्रिया से धमनियों में जो खून का बहाव होता है उसे ब्लडप्रेशर कहते हैं। जब किसी कारण से दिल की धड़कन बढ़ जाती है और खून का बहाव धमनियों में तेज हो जाता है तो उसे हाई ब्लडप्रेशर कहते हैं।

ब्लडप्रेशर हमेशा एक प्रकार का नहीं रहता बल्कि परिस्थितियों के अनुसार बदलता रहता है। उदाहरण के लिए भोजन करने के बाद जब पेट को अधिक खून की आवश्यकता होती है तब ब्लडप्रेशर बढ़ जाता है। इसी प्रकार अगर कोई व्यक्ति अधिक शारीरिक मेहनत करता है तो उसका ब्लडप्रेशर बढ़ जाता है। मानसिक उत्तेजना के कारण भी ब्लडप्रेशर बढ़ जाता है, जो व्यक्ति अधिक गुस्सैल होता है, भयभीत रहता है, चिन्ता करता है या रोगग्रस्त होता है उसका ब्लडप्रेशर बढ़ जाता है। इसके अतिरिक्त गुर्दा रोगग्रस्त होने, शरीर का आवश्यक तत्व पेशाब के द्वारा बाहर निकलना, मोटापा, शराब पीने, संभोग करने, मांसाहारी भोजन करने, शिकार करने, सामान्य से अधिक खाने, कब्ज बनने तथा स्त्रियों में गर्भावस्था के दौरान ब्लडप्रेशर बढ़ जाता है। रोगी में हाई ब्लडप्रेशर होने पर रोगी को कष्ट होता है। लो ब्लडप्रेशर में भी रोगी को भारी कष्ट होता है। कमजोर आदमी, पतले-दुबले, जिन्हें पूरी खुराक नसीब नहीं होती है उसे लो ब्लडप्रेशर का कष्ट होता है। बुढ़ापे के कारण शरीर कमजोर होने पर खून को प्रवाहित करने वाली नाड़ी कमजोर हो जाती है, यूरिक ऐसिड, कैल्शियम आदि की परतें नाड़ियों में जम जाती हैं, तब भी रक्त का दबाव बढ़ जाता है। हर समय ब्लडप्रेशर एक सा नहीं रहता इसलिए कई बार ब्लडप्रेशर लेकर उसका मध्यमान निकालना पड़ता है

अब सवाल उठता है कि सामान्यत: शरीर में ब्लड प्रेशर कितना होना चाहिए ?

आमतौर पर युवा व्यक्ति में हृदय के सिकुड़ने का दबाव (सिस्टोलिक ब्लड प्रेशर) 100+ व्यक्ति की आयु का लगभग आधा होता है। उदाहरण के लिए यदि किसी व्यक्ति की आयु 50 साल है तो उसका ब्लडप्रेशर 100+50 का आधा अर्थात =125-135 होना चाहिए। यदि किसी 50 साल के व्यक्ति के हृदय का सिकुड़न दबाव 135 से अधिक हो तो उसे हाई ब्लडप्रेशर कहते हैं। लो ब्लडप्रेशर के लिए हृदय के प्रसारण के दबाव पर ध्यान देना होता है अर्थात खून के उस दबाव को देखना होता है जब हृदय खून को बाहर धमनियों में नहीं फेंक रहा होता है और फेफड़ों से खून को हृदय खींच रहा होता है। इस तरह फेफड़ों से खून को खींचने में भी खून का कुछ न कुछ वेग से (भले ही वह वेग थोड़ा हो गया हो) आगे धकेलकर जा ही रहा होता है। हृदय का प्रसारण का दबाव उतना नहीं हो सकता जितना हृदय संकोचन का होता है। इन दोनों में अन्तर होता है। हृदय का संकोचन तथा प्रसारण में 50 से 60 का अन्तर होना चाहिए तथा इससे अधिक अन्तर नहीं होना चाहिए। यदि संकोचन के दबाव तथा प्रसारण के दबाव का अन्तर इससे ज्यादा है तो इसे लो ब्लडप्रेशर कहते हैं।

हृदय की सिकुड़न का दबाव यदि 120 हो तो हृदय के प्रसारण का दबाव 80 होना चाहिए। यह 40 साल के युवा व्यक्तियों का ब्लडप्रेशर है। 40 साल की आयु वाले व्यक्तियों का ब्लडप्रेशर 120 और 80 से अधिक होगा तो उसे हाई ब्लड प्रेशर कहते हैं और यदि 120 और 80 से कम हो तो उसे लो ब्लडप्रेशर कहते हैं। हृदय के सिकुड़न का दबाव अधिक होने पर प्रसारण दबाव अधिक हो जाता है। हृदय की सिकुड़न का दबाव कम होता है तो हृदय के प्रसारण का दबाव भी नीचे चला जाता है। कभी-कभी ऐसा भी होता है जब हृदय के सिकुड़न दबाव और प्रसारण दबाव में कोई सम्बंध नहीं रह जाता है।

यदि किसी व्यक्ति का ब्लडप्रेशर जानना हो तो पहले उसकी आयु को देखें। यदि उसकी आयु 50 साल की है तो उसकी आयु से 20 साल कम कर दें। जब व्यक्ति की 50 साल की आयु से 20 साल कम किया जाता है तो बचता है 30। अब उस 30 साल को आधा करें। 30 का आधा 15 होता है अब इस 15 को 120 से जोड़ दें। जब 120 से 15 जोड़ा जाता है तो उसका योग 135 बन जाता है। अत: किसी 50 साल के व्यक्ति का ब्लड प्रेशर 135 हुआ।

इस प्रकार 50 साल के व्यक्ति के हृदय की सिकुड़न का ब्लडप्रेशर लगभग 135 होना चाहिए। ब्लडप्रेशर के नाप में 5-10 प्वाइंट का ऊपर-नीचे होने का कोई अन्तर नहीं होता। प्रसारण का ब्लडप्रेशर लगभग 60 से 64 प्वाइंट कम होना चाहिए अर्थात 135-65=75 होना चाहिए। इसमें भी 5-10 प्वाइंट ऊपर-नीचे के फर्क नहीं माना जाता है। 

50 साल से अधिक आयु वाले व्यक्ति को 150 सिस्टोलिक तथा 90 डायस्टोलिक को साधारण माना जाता है।

"Accurately Diagnosed and treated by a very experienced and renowned homoeopathy in Kanpur.

Homeopathy at its Best for You, Contact us : - Gumti No. 5 , Arya Nagar,  9839114138 "

 


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