Bacchon Mein Dast Ya Loose Motion — Kaaran, ORS, Gharelu Ilaaj Aur Kab Hospital Jaayein
Dr. Sandip Gupta
Is video mein bataya gaya hai ki bacchon ko dast kyun lagta hai, diarrhoea kise kehte hain, iske complications, gharelu ilaaj, aur kab hospital le jaana chahiye. Aisa kyun hota hai: Sabse common kaaran hai gande khane ya paani mein contamination — germs, bacteria ya virus jo intestine mein infection karke use damage kar dete hain, jisse paani absorb hone ki jagah leak hone lagta hai aur baar-baar watery motion aata hai; baar-baar potty karne se bacche ka nichla hissa bhi chhil sakta hai. Chote bacchon mein, zameen se koi bhi cheez utha kar muh mein daalna bhi infection ka ek common raasta hai, isliye chote bacchon ke ghar mein surfaces saaf rakhein. Diarrhoea ki definition: 6 mahine se bade bacchon ke liye, diarrhoea ka matlab hai din mein 3 baar se zyada watery loose motion. 6 mahine se chote bacchon mein, khaaskar exclusively breastfed bacchon mein, din mein 7-8 baar patla, semi-solid motion normal hota hai — isliye is age group mein sirf frequency se andaza nahi lagaya ja sakta; motion ki consistency aur quality dekhni chahiye, aur khud judge karne ki jagah pediatrician se check karana behtar hai. Loose motion ke complications: Dehydration — fluid loss se, jo kidney par asar daal sakti hai aur urine output kam kar sakti hai — ek serious problem. Digestion aur absorption kharab hona, jisse weakness hoti hai. Diaper rash potty area mein baar-baar potty karne se, jisse dard aur pareshani hoti hai. Gharelu ilaaj: ORS WHO-recommended best treatment hai. ORS do sachet sizes mein aata hai, dono ki composition same standard hoti hai, brand names jaise Electral ke naam se milta hai. Bada sachet (kareeb 22 gram) 1 litre paani mein gholte hain; chota sachet (4.4 gram) 200 ml paani mein. Umar ke hisaab se dose, har loose motion ke baad: 2 mahine–2 saal: 50–100 ml; 2–10 saal: 100–200 ml; 10 saal se bade: 200 ml, ya baccha jitna maang raha ho aur pee sake utna. Agar pehle se dehydration ke lakshan hain to ise poori tarah ghar par manage na karein — sahi ORS quantity aur doosri dawaiyon ke liye apne pediatrician se consult karein. 6 mahine se chote bacche ko loose motion ho to jitna zyada ho sake breast milk pilayein aur doctor se consult karein, kyunki is umar mein immunity kamzor hoti hai. Agar bacche ko ORS ka taste pasand nahi: doosre oral rehydration options use kar sakte hain — nariyal paani mein ek chutki namak, dal ka paani, chawal ka paani, nimbu paani, ya namak wali lassi — sabme thoda namak, kyunki namak se body paani ko sahi tareeke se absorb karti hai. Sirf plain paani utni achhi tarah absorb nahi hota. Ghar par ORS banana, raat ke waqt jaise situations ke liye jab sachet kharid na sakein: 1 litre paani mein 6 chammach cheeni aur aadha chammach namak ghol lein — iski composition standard WHO ORS ke aas-paas hoti hai; standard ORS milne tak ise use kar sakte hain. Zinc. Zinc intestine ko heal karne mein madad karta hai, har loose motion ki quantity aur episodes ki number bhi kam karta hai. Ye WHO-recommended, effective medicine hai, generally 10 se 14 din ke liye pediatrician dwara prescribe ki jaati hai — loose motion pehle ruk jaaye tab bhi poori prescribed duration tak continue karein. Probiotics (good bacteria) bhi loose motion ke waqt use kar sakte hain intestine ko bad bacteria se bachane ke liye — ye sirf doctor ke prescription par lein. Antibiotics: Diarrhoea aksar viral infection se hota hai, aur antibiotics ki zaroorat aksar nahi hoti. Loose motion mein kabhi bhi khud se pharmacy se antibiotic laakar na dein — sirf doctor ke prescription par lein. Ghar par ilaaj ORS, zinc aur probiotics ke sahare kar sakte hain. Hospital / emergency kab jaayein: Dehydration ke lakshan — sookha muh, aankhon se aansu na aana, peshaab kam hona (6 ghante mein ek baar bhi peshaab na aana), skin par wrinkles, lethargy, ya baar-baar ulti — dikhein to turant hospital le jaakar check karayein. Diarrhoea ke saath tez bukhar bhi warning sign hai. Dehydration mein kabhi-kabhi IV fluids ki zaroorat padti hai. Agar baccha paani nahi pee raha, khana nahi kha raha, ya bahut sust ho gaya hai, to bhi turant hospital le jaana zaroori hai. Baar-baar loose motion se bachav: Bartan saaf rakhein, khane se pehle-baad aur washroom use karne ke baad haath dhoyein, aur agar bacche ko baar-baar loose motion ho raha ho to peene ka paani boil karke use karein. Diaper badalte ya potty saaf karte waqt saabun se haath dhona bahut zaroori hai. Kya loose motion mein doodh chalu rakh sakte hain? 6 mahine se chote bacchon ko breast milk hamesha chalu rakhein. 6 mahine se bade breast milk lene wale, ya 1 saal se bade gaay ka doodh lene wale bacchon mein, agar diarrhoea 14 din se kam ka hai to doodh band karne ki zaroorat nahi. Doodh sirf tab band karein, doctor ki salah se, jab diarrhoea 14 din se zyada ho ya lactose intolerance diagnose ho chuki ho. Doctor Indian Academy of Pediatrics ki diarrhoea guideline ka zikr karte hain, jiska link description mein diya gaya hai. Kinke liye relevant hai: wo parents jinke bacche ko loose motion ya diarrhoea hai aur jo kaaran jaanna chahte hain; jo poochhte hain ki din mein kitni baar motion hona diarrhoea maana jaata hai, khaaskar 6 mahine se chote bacchon mein; jo poochhte hain ki kitna ORS aur kitni baar dein; jinke bacche ko ORS ka taste pasand nahi aur alternatives chahiye; jo emergency mein ghar par ORS banana chahte hain; jo diarrhoea mein zinc aur probiotic use ke baare mein poochhte hain; jo poochhte hain ki loose motion mein antibiotic zaroori hai ya nahi; jo dehydration ke lakshan aur hospital jaane ke sahi time ko lekar chintit hain; jo poochhte hain ki diarrhoea mein doodh band karna chahiye ya nahi; aur jo hygiene se baar-baar diarrhoea rokna chahte hain. Disclaimer: Ye video sirf general information aur educational purpose ke liye hai. Ye kisi professional medical advice, diagnosis ya treatment ka vikalp nahi hai. Har baccha alag hota hai — ORS, zinc, probiotic ya kisi bhi dawai ki sahi dose ke liye apne pediatrician se zaroor consult karein, aur agar bacche mein dehydration ke lakshan, baar-baar ulti, tez bukhar dikhein ya diarrhoea 14 din se zyada chale to turant doctor se sampark karein.