বিনিদ্র রজনী , তন্দ্রাচ্ছন্ন দিবস

Pvicv‡k †Lqvj Ki‡j †`Lv hvq A‡b‡KB wSgy‡”Qb| ev‡m †h‡Z †h‡Z wes¤^v  K¬v‡m e‡m †jKPvi ïb‡Z ïb‡Z Z›`ªv”Qbœ n‡q c‡o‡Qb| G‡Z †Zgb AevK nIqvi wKQz †bB| KviY A‡b‡KB AwZwi³ Kv‡Ri Pv‡c h‡Zó Nygv‡bvi  dzimr  cvb bv Ges A‡b‡K Zv eyS‡ZI cv‡ib bv| wKš‘ hLb ZLb Nyg Nyg fve wKs¤^v  wb`ªv”QbœZv gvivZ¥K cwibwZ †W‡K Avb‡Z cv‡i|  D`vnib  ¯^iƒc iv¯—vNv‡U UªvwdK wmMbv‡j  jvj evwZi mvg‡b Nywg‡q co‡j wKs¤^v `ª“ZMvgx  evm  wes¤^v Uªv‡Ki PvjK Nywg‡q  co‡j wK n‡Z cv‡i , Zv mevB Rv‡bb| wb`ªvnxbZvi Kvi‡b bvbv iKg kvixwiK †ivM e¨vwa n‡Z cv‡i; †hgb- D”P i³Pvc, ü`‡ivM, Wvqv‡ewUm, ¯’~jKvqZ¡ BZ¨vw`|

AvaywbK Kg©e¨¯— Rxe‡b Avgv‡`i Ny‡gi mgq K‡g hv‡”Q| ˆ`bw›`b Rxe‡b ¯^”QjZv Avb‡Z AwZwi³ cwikªg Ki‡Z wM‡q Ny‡gi cwigvb NvUwZ c‡o hv‡”Q| evsjv‡`‡ki g‡Zv  Dbœqbkxj †`‡k G mgm¨v   GLb †Zgb cÖKU bv n‡jI, DbœZ †`‡k mg~‡n A‡b‡Ki  †Pv‡LB Nyy‡gi AvKvj †`Lv w`‡”Q| ejv nq G g~û‡Z©  Av‡gwiKvi RbMb me‡P‡q  ‡ewk wb`ªv  msK‡U fyM‡Qb| 2001 mv‡ji wb`ªv msµvš— GK Rix‡ci djvd‡j †`Lv hvq gvwK©b hy³iv‡óªi cÖwZ 5Rb bvMwiK Aš—Z 1Rb cÖwZw`b Nygv‡bvi Rb¨ 6 N›Uvi †P‡q Kg mgq cvb| 2001 mv‡ji Rix‡c G Ae¯’v wQj cÖwZ 10 R‡b GK Rb| A_©vr wb`ªv ewÂZ gvby‡li msL¨v  weMZ `k‡K wظb n‡q‡Q|

‡Kb GB wb`ªvnxbZv?

wb`ªv nxbZvi wKs¤^v wb`ªvmsK‡Ui bvbvwea Kvib  i‡q‡Q | AvR‡Ki Zxeª cÖwZ‡hvMxZvgyLi RM‡Z Kv‡Ri AZ¨vwaK Pv‡ci cvkvcvwk i‡q‡Q `vwqZ¡ cvj‡bi cwieZ©b kxj cvjvµg, wegvb åg‡bi AvwaK¨ wg¤^v Kv‡Ri m~Px wVK ivLvi Rb¨ Ny‡gi wbqwgZ mg‡qi KvU-QuvU BZ¨vw`| cÖvZ¨wnK Rxe‡b wb`ªv msK‡U †fvMv  gvbyl R‡bi cvkvcvwk cÖK„Z  wb`ªvnxb †ivMxi msL¨vI wKš‘ †e‡o P‡j‡Q| Gi g‡a¨ D‡j­¨L †hvM¨  n‡”Q - wb`ªv Kv‡j k¦vm eÜ nIqv (Sleep apnoea), AcÖwZ‡iva¨ wb`ªv‡eM (Narcolepsy), Ny‡gi g‡a¨ c` PvÂj¨ (Restless leg syndrome) BZ¨vw`|

Kvib hvB †nvK bv †Kb, w`‡b w`‡b  wb`ªv msKU wKs¤^v wb`ªvnxbZv  †h †e‡o Pj‡Q, G wel‡q †Kvb m‡›`n †bB|

G‡`i A‡b‡KB w`‡bi †ejvq Z›`ªv”Qbœfve KvUv‡bvi Rb¨ AwZwi³ Pv Ges Kwd cvb K‡i _v‡Kb| Gi d‡j iv‡Zi †ejv Zv‡`i Avi I Kg Nyg  n‡”Q| wKš‘ Avm‡j Zviv Kv‡Ri Pv‡c iv‡Z Nygv‡bvi mgq cv‡”Qb Kg| w`‡bi †ejvq wb`ªvPQbœZv  KvUv‡bvi Rb¨ AwZwi³ Pv  ev Kwd cvb Ki‡Z eva¨ n‡”Qb Ges Gi d‡j Avevi Awb`ªvi wkKvi n‡”Qb|

AwaKvsk  eq¯‹ gvby‡li cÖwZ iv‡Z mvZ †_‡K AvU N›Uv Ny‡gi cÖ‡qvRb| Aek¨ e¨w³ †f‡` Kv‡iv Kv‡iv Kg  wKs¤^v ‡ewk Ny‡gi cÖ‡qvRb n‡Z cv‡i| Ny‡gi cwigvb Kg n‡j wKs¤^v Ny‡gi gvb fvj bv n‡j A‡bK Lvivc cwibwZ n‡Z cv‡i|  h‡Zó cwigv‡b fvj Nyg bv nIqv m‡½ bvbv iKg kvixwiK I gvbwmK †ivM e¨vwa nIqvi m¤¢vebv  i‡q‡Q| †hgb- D”Pi³ Pvc, ü`‡ivM, gw¯—‡¯‹i c¶vNvZ, Wvqv‡ewUm, AwZwi³ †g` fywo, ¯§„wZ `ye©jZv, ¯§„wZ åskZv BZ¨vw`| w`‡bi †ejvq hv‡`i  †PvL Ny‡g XyjXyj _v‡K Zv‡`i mvavibZ †Kvb bv †Kvb ai‡bi wb`ªv  msµvš— RwUjZv  i‡q‡Q| wb`ªvi mgm¨v _vK‡j †Kvb e¨vw³ mn‡R Nyg Avm‡Z cv‡i bv  wKs¤^v Nywg‡q _vK‡Z cv‡ib bv wKs¤^v  Ny‡gi g‡a¨ A¯^vfvweK AvPib Ki‡Z cv‡ib| †hgb- Ny‡gi g‡a¨ †nu‡U †eov‡bv| A‡b‡K wb`ªvi mgm¨vi Rb¨ w`‡bi †ejv q  AcÖw Z†iva¨  Ny‡g Aµvš— n‡Z cv‡ib|

‡h‡Kvb †ivMxi Ny‡gi mgm¨v _vK‡j cÖ_gZ `ywU cÖkœ Rv‡M, - Zv‡`i wK Ny‡gi cwigvb Kg bvwK Ny‡gi gvb fvj bq? hv‡`i AvswkK wKs¤^v gv‡S gv‡S wKs¤^v `xN© †gqv`x Ny‡gi NvUwZ i‡q‡Q, Zviv hw` h‡_ó cwigv‡b Nywg‡q †bb Zvn‡jB w`‡bi †ejvB wb`ªv”Qbœ fve †K‡U hvq|

hv‡`i Ny‡gi cwigv‡b †Kvb NvUwZ †bB Zv‡`i mvavibZ Ny‡gi gvb fvj bq| Ny‡gi gvb fvj bv nIqvi wKQz j¶b ev DcmM© i‡q‡Q| †hgb-

·       memgqB Nyg Avm‡Z wÎk wgwb‡Ui †ewk mgq jv‡M|

·       Ny‡gi wfZ‡i gv‡S gv‡S †R‡M DVv Ges  Avevi Nygv‡Z †`ix nIqv|

·       w`‡bi †ejv Nb Nb Ny‡gi Szj Avmv Ges †hLv‡b †mLv‡b Nywg‡q cov|

·       bvK WvKv, k¦vm Kó nIqv, nVvr nVvr `g eÜ n‡q Avmv BZ¨vw` mgm¨v  _vK‡jI Ny‡gi gvb fvj nqbv| GB mgm¨v ¸wj mvavibZ †ivMxi cv‡k whwb Nygvb wZwb fvj ej‡Z cv‡ib|

·       Ny‡gi g‡a¨ nvZ wKs¤^v cv‡q wSbwSb Kiv, KuvUv –KvuUv Abyf~wZ nIqv|

·       Ny‡gi mgq nvZ wKs¤^v cv †Ku‡c DVv wKs¤^v  wLPzwb nIqv|

·       Ny‡gi †_‡K RvMvi c‡i gv_v e¨v_v nIqv|

·       Nyg Avmvi mgq ¯^cœ †`Lv wKs¤^v ¯^cœv”Qbœ nIqv|

·       Ny‡gi g‡a¨ A¯^vfvweK AvPib  Kiv| †hgb- Ny‡gi g‡a¨ †nu‡U †eov‡bv|

·       nvm‡j, Kuv`‡j wKs¤^v †i‡M †M‡j  nVvr K‡i †ckx  Aek n‡q hvIqv |

·       Nyg †_‡K RvMvi ci nvZ -cv  bovPov Ki‡Z bv cviv|

Nyg msµvš— RwUj e¨wai msL¨v  bMY¨| A‡b‡Ki ÕAwZ wb`ªvÕ n‡Z †`Lv hvq| AwZwb`ªv †iv‡M (Hypersomnia) Avµvš— e¨vw³ K‡qK w`b hveZ µgvMZ Nygvb Ges Zvici ¯^vfvweK Ae¯’vq wd‡i Av‡mb| AwZwb`ªvi mgq Avµvš— e¨w³ cÖwZw`b 16 †_‡K 18 N›Uv Nygv‡Z cv‡ib|

G Qvov  AviI KZK ¸wj wb`ªv msµvš—  ‡iv‡Mi bvg D‡j­L bv Ki‡jB  bq| †hgb- wb`ªvnxbZv(Insomnia) , wb`ªvKvjxb k¦vm Ave×Zv (Sleep apnoea), wb`ªvKvjxb c`  PvÂj¨ (Restless leg syndrome), wb`ªv Kvjxb A¯^vfvweK AvPib(Parasomnia), AcÖwZ‡iva¨ wb`ªv‡eM(Narcolepsy) BZ¨vw`|

Wb`ªvnxbZvi(Insomnia) GKwU AwZ cwiwPZ mgm¨v| Gi d‡j Avµvš— e¨w³ Nyg Av‡mbv wKs¤^v Nywg‡q _vK‡Z cv‡ibv | AwZwi³ Pv-Kwd cvb, D‡ØM-`ywðš—v  Qvov  bvbvwea kvixwiK †iv‡Mi Kvi‡YI wb`ªvnxbZv n‡Z cv‡i| G Qvov wb`ªv RwbZ RwUjZvi Rb¨I wb`ªvnxbZv †`Lv hvq| GRb¨ wb`ªvnxbZvi mgm¨v †K  Ae‡njv  bv  K‡i GKRb Dchy³ wPwKrm‡Ki civgk© MÖnb Kiv DwPZ|

Wb`ªvKvjxb k¦vm Ave×Zv (Sleep apnoea) : Gi d‡j †ivMxi AwZwi³ bvK Wv‡K, k¦vm Kô nq Ges GK ch©v‡q wKQz mg‡qi Rb¨ †ivMxi `g eÜ n‡q hvq| d‡j †ivMx  Nyg †_‡K †R‡M hvq Ges D‡V e‡m; A‡b†K AvZw¼Z †evaI K‡ib| Nygv‡bvi ci GB iKg NUbvi cybive„wË n‡Z cv‡i| Ny‡gi g‡a¨ gv‡S gv‡S k¦vm eÜ _vK‡j gw¯—‡®‹i Ges kix‡ii Ab¨vb¨ A‡½ AwKª‡Rb cÖevn wewNœZ nq| d‡j G ai‡bi †ivMxiv mvivw`b Aembœ †eva K‡ib Ges wb`ªvjy _v‡Kb| wb`ªvKvjxb k¦vm Ave×Zvi cwiYwZ ¸i“Zi n‡Z cv‡i| Gi d‡j †ivMxi D”P i³ Pvc , ü`‡ivM, wKs¤^v gw¯—‡®‹i c¶vNvZ nIqvi m¤¢vebv _v‡K|

wb`ªvKvjxb c`PvÂj¨ (Restless leg syndrome): Gi d‡j Avµvš— e¨w³ Nygv‡bvi mgq cv bov -Pov Kivi  GKwU A`g¨ B”Qv Abyfe K‡ib| A‡bK mgq cv‡q R¡vjv †cvov, wSbwSb Kiv wKs¤^v  e¨_vi Abyf~wZ nq| Gi d‡j Ny‡gi weNœ N‡U _v‡K|

wb`ªvKvjxb A¯^vfvweK APiY (Parasomnia): A‡b‡KB Ny‡gi wfZi A¯^vfvweK APib K‡ib| †KB Ny‡gi †Nv‡i †n‡U †eovb, K_v e‡jb, gv_v bv‡ob wKs¤^v  AvZ‡¼ Nyg †_‡K †R‡M  D‡V  wPrKvi  ˆn‰P K‡ib| `ª“Z Aw¶N~Y©b wb`ªvi  (Rapid eye movement sleep) †Kvb †Kvb chv©‡q Nygš— e¨w³ jvw_ wKs¤^v Nywl  gvi‡Z cv‡ib Ges G ¸wj  Nygš— e¨w³i  AÁZmv‡i Awb”QvK„Z fv‡e  N‡U _v‡K|

AcÖwZ‡iva¨ wb`ªv‡eM (Narcolepsy): Gi d‡j Avµvš— e¨w³ †R‡M _vKv Ae¯’vq nVvr cÖPÛ Ny‡gi †eM Abyfe K‡ib Ges †h †Kvb ¯’v‡b Ny‡g X‡j c‡ob| A‡b‡Ki nvZ cv mvgwqK fv‡e Aek n‡h hvq Ges Nyg †_‡K †R‡M DVvi ciI A‡bK¶Y bov-Pov Ki‡Z cv‡ib bv|

AZGe ej‡Z nq cÖvZ¨wnK Rxe‡b cvbvnv‡ii g‡Zv cwiwgZ ¯^w¯—`vqK Nyg AwZ cÖ‡qvRbxq| wbN©yg ivZ KvUv‡bv GKwU Awfkvc| Ny‡gi †h †Kvb  ai‡bi mgm¨v‡K Lv‡Uv K‡I †`Lvi AeKvk †bB| Kvib Gi d‡j A‡bK ¸i“Zi RwUjZv m„wó n‡Z cv‡i| G ai‡bi mgm¨v  m„wó nIqvi c~‡e©B  wPwKrm‡Ki civgk©  MÖnb Kiv DwPZ|