Peeliya (jaundice) bimari nahi, ek nishani hai. Jab khoon mein bilirubin naam ka peela rang zyada ho jata hai, to aankhein, nakhun aur skin peeli dikhne lagti hain. Iska karan liver, pitta ki naali (bile duct) ya khoon ki koi problem ho sakti hai. Dr Raman Garg, Bombay Gastro & Cancer Institute, Bathinda, Punjab, India, bata rahe hain ki kab ghar par dhyan rakhna hai aur kab turant hospital jana hai.
Peeliya hota kyun hai
Bilirubin ek peela rang hai jo purane laal khoon ke kanon (red blood cells) tootne se banta hai. Liver ise saaf karta hai aur pitta ke saath aant mein bhej deta hai. Is raste mein kahin bhi rukawat aaye, to bilirubin khoon mein badhta hai aur peeliya dikhta hai.
Teen bade karan samajh lijiye:
| Kahan gadbad | Misaal |
|---|---|
| Liver se pehle (khoon ke kan zyada tootna) | Malaria, kuch khoon ki bimariyan |
| Liver ke andar | Hepatitis A ya E (gande paani se), hepatitis B ya C, sharab se liver kharab hona, fatty liver, cirrhosis, kuch dawaiyan |
| Liver ke baad (rukawat) | Pitte ki pathri jo naali mein atak jaye, naali ya pancreas ka tumour, naali ka sankoch |
Punjab mein barsaat ke baad hepatitis A aur E ke case badhte hain, khaaskar jahan peene ka paani saaf nahi hota. Gaon mein khule mein bikne wala gannay ka ras, barf wale sharbat aur bahar ke golgappe aam wajah hain.
Peeliya ke lakshan
- Aankhon ka safed hissa peela dikhna
- Skin aur nakhun peele hona
- Pishab ka gehra peela ya chai jaisa rang (pishab peela)
- Potty ka rang halka, mitti jaisa ya safed
- Bukhar, thakaan, bhookh na lagna
- Ulti jaisa lagna (nausea) aur pet mein dard
- Poore badan mein kharish
Ek misaal: Maur Mandi ke 38 saal ke ek kisan ko 4 din se halka bukhar tha. Phir pishab gehra peela hua aur aankhein peeli dikhne lagi. Yeh hepatitis ka classic pattern hai. Dawai se pehle jaanch zaroori thi.
Kab turant hospital jana hai
Doctor ko dikhane ka box (when to see a doctor): Agar peeliya ke saath tez bukhar ke saath kaanpna, pet ke upar daayi taraf tez dard, baar baar ulti, ulti mein khoon, kaali potty, behoshi ya ajeeb neend, ya pet ya pairon mein sujan ho, to aaj hi hospital jaiye. Yeh khatarnak sanket hain aur same-day care chahiye. BGCI ka emergency number: +91 82641-60001.
Bina bukhar ke, bina dard ke peeliya jo hafton tak rahe aur potty safed ho jaye, usme bhi der mat kijiye. Kabhi kabhi yeh naali mein pathri ya tumour ki wajah se hota hai, jiske liye operation ki soch zaroori hoti hai. Isiliye surgical gastroenterologist se milna fayda deta hai, kyunki ek hi doctor dawai aur operation dono ka faisla kar sakta hai.
Jaanch kaise hoti hai
- Doctor aapki history aur pet ki jaanch karte hain.
- Khoon ki jaanch: liver function test (LFT) mein bilirubin, SGOT, SGPT, ALP, saath mein hepatitis ki jaanch. Yeh BGCI ki in-house laboratory mein hoti hai.
- Ultrasound abdomen: liver, pitta ki thaili aur naali dekhne ke liye.
- Zaroorat padne par CT scan ya MRCP (pitta aur pancreas ki naali ka scan). Yeh trusted imaging partners ke saath Bathinda mein arrange hote hain, aur report Dr Raman Garg usi din dekhte hain.
Ilaj kya hota hai
Ilaj karan par depend karta hai.
- Hepatitis A ya E: zyadatar mareezon mein aaram, saaf paani, halka khana aur nigrani se theek hota hai. Dawai doctor ki salah se hi lein.
- Hepatitis B ya C: alag dawaiyan aur lambi nigrani chahiye.
- Sharab ya fatty liver: sharab bilkul band, diet aur wazan par kaam.
- Naali mein pathri: aksar keyhole (laparoscopic) procedure ya operation chahiye.
- Tumour ya sankoch: jaanch ke baad surgery ya anya ilaj ka plan banta hai.
Ghar ke nuskhe, jadi buti ya jhaad phoonk par samay na ganwayein. Isse liver ko nuksan aur der ho sakti hai.
Peeliya mein kya khana chahiye
Dal ka paani, khichdi, dalia, ubla hua khana, nariyal paani, fal, curd aur ghar ka saaf paani lein. Tala hua, masaledar, ghee, makkhan, bahar ka khana aur sharab band rakhein. Bina doctor ki salah ke koi tonic ya dawai na lein.
Peeliya ki jaanch ka kharcha
| Item | Starting (Rs) | Average (Rs) | Maximum (Rs) |
|---|---|---|---|
| OPD consultation | 500 | 700 | 1,000 |
| Liver function test (LFT) | 400 | 600 | 1,200 |
| Ultrasound abdomen | 600 | 1,000 | 1,800 |
| MRCP (bile duct and pancreas scan) | 4,000 | 7,000 | 12,000 |
Note: These are typical Punjab costs for 2026. The final cost may vary after Dr Raman Garg examines you, depending on the cause of jaundice, the number of tests needed and your health.
Agar aapke paas health policy hai, to Niva Bupa, Care Health Insurance, ICICI Lombard, Medi Assist TPA aur Aditya Birla Health Insurance jaise insurers ke saath cashless support milta hai. Cashless insurance ki jaankari yahan dekhein.
This page is general information; your plan is set after Dr Raman Garg examines you.