Mun, Dil, Kardia, Qalab, Herz tay heart

Mun Punjabi, Dil urdu/hindi tay farsi, kardia younani, qalab Arabic,

Herz german tay heart angreezi ch kehnday ah.  pawaan tuseen Punjabi

ao , Hindustani ao arabi ao , Irani ao younani ao tay pawaan English eh mun day naal sari poetry pehri hoi ah. Aidaan lagda mun jidaan buht

wadi koi cheej ah. Eh  taan sariyaan aiwain gallan aan tay ehna da audoon patta lagda ah jidoon aseen asli mun nu daikh day aan. Jidoon aseen mun nu daikh day aan tay aidaan lagdaa keh lok sari duniyan nu baywakoof  banauday rehay aiwain bay tukiyaan chud chud kay. Paranay zamanay ch tay keh lao lokaan nu aina patta nehn see tay ais wastay mun da raula pai jaanday see pehr hun tay lokaan nu chungi taran mun da patta lag ghia ah. Nawain ganay yaan poetry hajay tak vee mun da akhar wart rehy ah. Ohdi ik wajah eh aah kih poets nay

ainna choth bolya keh oh such lagan lug pia. Hun eh halat ho ghai ah

patta vee ah keh mun kih ah pahr mun nu piyar tay prem laiay wartia

jaa reha. Agar koi damage da lafaz wartay tay ho sakda koi atbar eeh

nah keray.

Jay tay tuwanu koi dil mun dee takleef ah yaan dard hundi ah tay main twanu eh kahwaan gha keh tuseen apnay hospital day cardiac unit naal mil kay apnay aap nu check kerwao. Homeopathic,  desi  dowaiyan yaan tawazeen ch dil da loi allaj nehn . Eh jidoon shroh hoyaan see aus waylay dil diyaan bamariyaan da lokaan nu patta nehn see. Ik masal dawaan gha jehri ho sakda tuseen vee sunni huway. Agar kissay da dil kahtna yaan dil dee dard honi tay wadhiyaan nay kehna jaldi jaldi liayawo saiab daraba (apple jam or maraba). Eh khalawo tay ehda dil theek ho jaway. Saday aithay garden ch do apple day darakh hunday see. Ik tay main cut ditta ainay chunga apple nehn lugday see. Buht apple khaday tay khai day ah. Menu eh gal dee samaj nehn aiay keh ik yaan do apple day marabay naal khanay naal dil da allaj nehn ho sakda. Aidaan day nuksay agar kum kerday ah tay ehna nu haftay tay meheenay chai day ah. Pahr agar thuwada Bp loose hu jaanda ah tay tuwaday kol du minutes (only 2 minutes) ah jehday ch tuseen ohday bp tay sah bahaal kerna. Agar tuseen 2 minute day ander nehn kerday tay tuwady dil fail ho sakda, yaan tuwda damage nu serious nuksaan ho sakda, yaay tuwaday jism diyaan kai chotiyaan machinaa fail ho sakdiyaan. Es wastay dil day maraz day baray ch kadeen vee risk naa lau tay hamesha hospital day cardiac unit ch jawo. Ehay ee tuwaday allaj dee behtareen jaggah ah. Ehda aam doctors kol vee allaj nehn ho sakda. Only specialised hospitals.

Allah nay saday jusay day jinay vee hisay banaiay aidaan lagda ah keh

her hissa ik pori apnay aap ch machine ah. Aina parts chon mun vee ah jehda kum khoon no saray jusay ch pumping day rehain circulate

kerna. Jusay day kai parts aisay ah jehna toon bina aseen jee sakday

aan perh mun ik aisa part ah jehday bina jeenay da soch vee nehn sakday. Audhi sub toon wadhi wajah eh ah keh qudrat nay mun her kissay kol iko ee ah. Es wastay apnay mun da chungi taran khiyal rakho. Mera eh khenay da matlab eh nehn keh tuseen apnay mun da bana sangaar tay malash shroh ker dao. Mera kehnay da matlab tuseen jo vee khanday peenday ao ohnu chungi tarran deekh kay khawo. Churbi jehnu fat kehnday ah eh mun dee buht wairy ah. Kai lok mottay ho jaanday ah tay dosray kahr day kehn ghay kiyoun apnay tay churbi chrai jaa rehyaan. Churbi jehri ah saday jusay wastay buht zarori ah pahr oh churbi jehri room temperature tay pighal dee nehn oh tay agar tuseen khanday au tay oh sidhi sadiyaan aandraan ch jaa kay jum jaandi ah. Oh ais lai keh roti khadi ah tay aseen thunda paani peenday aan jehday naal oh churbi jehri nehn vee jumni hundi oh vee jusay ch jum jaandi ah. Theek saday buht garmi hundi ah parh eh ziyada thunda paani peenay naal sada system  kharaab ho sak da ah. Eh aisay taran eh ah jes taran tuseen kisaay tutay taway tay paani paa dawo.  Mun nu chunga rakhnay wastay  exercise buht  chungi ah  tay ehday naal hor eh faida hunda saday jusay nu paseena ah kay khul jaanda. Exercise oh karo jehri tawanu apnay halaat day matabaq ah. Eh nehn keh tuseen bodhay hain tay tuseen wait lifting yaan niyanyaan wang dohr launa shroh ker dawo. Turna  phirna jehnu angreezi walk kehnday ah buht chungi exercise ah. Apnay wazan nu kaht karo tay jo kuch khanday ao daikh kay tay apni capacity day hasab naal khavo.

Saday Insaani mun da wazan 250-350 grams tay muthi jinna hunda ah

Sub toon pehlay Mun day  valves day barray ch hipocratean school waliyaan nu chauthi B.C. ch patta see pahr ehna day function da ptta nehn see. Aam tor tay  mun chaati day khabay passay hunda pehr kai lokaan day sajay passay vee ho sakda. Mun khabbay passay duddh day thallay hunda tay essay taran jehda da sajjay passay ah ohn da chatti ch dudh day thallay sajjay passay hunda. Mun dhori kahnd aaly gothli (double-walled sack) ch band hunda jehnu “pericardium” kehnday ah. Eh gothli dee bahrli kahnd nu “parietal pericardium” tay bahrli kahnd nu “visceral pericardium” kehnday ah. Eh donaan kahndaan day bachalay “pericardial fluid” pahrya hunda jehday naal bahrli tay andheri kahnd asani naal move ker suk dee ah. Parietal pericardium day bahroon fibrous hunda jehnu “fibrous pericardium” kehnday ah jehra “mediastinal fascia” naal juria hoya. Eh gothli saday mun dee daikh pahl ker dee ah.

Sadday mun dee bahrli wall tin tehmaan dee ah, bahrli tehh nu “Epicardium” yaan  “viscernal pericardium” kehnday ah kiyoun keh eh pericardium dee andherli kahnd vee ah.

Bachkarli tehh (middle layer) nu “myocardium” kehnday ah tay is composed of contractile cardiac muscle. Andherli tehh nu  “Endocardium” kehnday tay is in contact khoon jehra mun pump kerda. Also, it merges with the inner lining (endothelium) of blood vessels and covers heart valves.

Sadday mun day char khanay  (four chambers) ah jehray du “supeior artia” tay du “inferior ventricles”. Superior artia khoon nu lainday ah tay inferior ventricles khoon nu mun chon kahd day ah. Her cardiac cycle ch artia pehlon lainda tay jehra khon aa jaand ohnu zor naal ventricles ch phaij day ah. Ventricles khoon nu lai kay zor naal mun chon kahd day ah. Khoon da  rasta “Pulmonary circuit tay systemic circuit tay mushtmal jehray ik time ch kum kerday  (simultaneously) ah. Jusay chon deoxygenated khoon “vena cava”  day rastay sajay  atrium ch aunda, jehra pump kerdah through the “tricuspid valve” into the right ventricle, aithay aunay day naal eh zoor naal khoon nu  kahd da through the “pulmonary valve” into the

“pulmonary arteries” leading to the phephray (Lungs). Jidoon eh ho rehya hunda audoon eh oxygenated khoon wapas phephrian toon wapas hunda through “pulmonary vains” into the left atrium, jehra pump kerda through the “mitral valve” into the “khubi ventricle”, es day naal ehdi strong contraction zoor naal “aorta valve” to the “aorta” phaige da leading to the systemic circulation.

Average human heart beating 72 beats  per minute ah tay lago phag 2.5 billion wari  beat  ker da average omar 66 years tay lago phag 4.7 -5.7 litres per minutes blood pump kerda.  Eh budhiyaan ch 250 -300 grams (9-11 oz) tay adamiyaan ch 300-350 grams (11-12 oz) hunda ah.  Eh wazan day pharoon main pehlay hor likhya pher hor thaan tay likhya es wastay samjia keh main eh vee likh dawan. Oh es wastay keh ehday ch male tay female day mun daa wazan wakhra ah.

Mun kiddaan Achanak mar (sudden death) sakda

Mun day fail honay naal achanak marag honay nu Sudden death kehnday ah. Eh suuden death nu samjanay wastay sanu mun kiddan kum kerda  ah samajna pao. Ehday samajnay naal jo vee dil diyaan bamariyaan hundiyaan ohna nu saukha samajia jaa sakda.

Mun ik aisa mussle ah jehra lagatar tay tay baghair waqfay toon phul da (contracts) tay sukeher da rehnda. Ehday phulanay tay sukehr day naal khoon saday jusay ch pump hunda. Pumping action khoon ch electric charge paida honay dee waja naal hunda. Eh agar electric charge ch koi kharabi ho jaway tay ehday naal mun day kum ch kharabi ho jaandi ah  jehnu “arrhythmia” kehnday ah. Eh saday mun dee pump kernay dee khobi nu kharab ker sakdi ah.

Main pehlay likh chokiyan mun day char khannay hunday ah 2 autay (the atria)  tay 2 thalay (the ventricles). Mun day phulnay da normal trigger hunda mun day qudrati  pacemaker toon, the SA node jehra mun day autlay khanay ch ah. SA  node day regular electrical impulses paijnay naal atrium phul day (to contact) ah tay khoon nu mun day thalay allay khanay ch paijh dainday ah. Electriacl impulse phay cventricle section ch chala jaand through a form of “junction box” jehnu  “AV node” (atrio-ventcular node) kehnday ah. Aithon Electriclal impulse ventricles ch phail jaan naal causes muscle to contact jehday naal khoon pump ho kay saday phepheriyan nu tay jusay nu chala jaanda. Chemicals jehray khoon ch hunday ah jehray keh nerves chud diyaan eh heart nu regulate kerday ah. Pacemaker dee raftar nu badalna tay ventricles day pumping action dee quwat nu badalna, maslan  adrenaline naal heart ate wadh jaanda tay khoon volume ziyada pump hunda mun choon.

Mun day electrical kum nu Electrocardiogram  (ehno ECG bee kehday ah) day naal dakhia jaa sakda .

Oh marag jehri achanak ho javay jehdi koi ameed eh na howay . Eh aam tor tay darmai tariqay naal hundi ah tay baaz tay banday nu marda daikh sak day aan pehr kai wari aidaan hunda sutay hoay dee marag ho jaandi. Yaan thori jehi exercise day wachalay tay exercise  toon baad. Eh achanak margaan nu aam tor tay sudden cardiac death (SCD) kehnday ah.  SCD 100 margaan chon upto 95 margaan dil dee ik bamari “arrhythmia”naal hundiyan eh bamari mun day structure ch abnormality honay day naal hundi ah. Actual Marag mechanism da cause mun dee rhythm ch serious disturbance day naal hunda jehnu “Ventricular arrhythmia” (a disturbance in the heart rhythm in the ventricles) yaan “ ventricular tachycardia” (a rapid heart rate in the ventricles). Ehday naal ventricles dee khoon punp kernay dee ability nu nuksaan puchaun day ah tay blood pressure loss ho jaanda. Eh halat jehday day ch mun da blood pressure khatam ho jaanda ehnu “cardiac Arrest” kehnday ah. Agar eh problem jaldi (2 minute day lagay shagay ehda matlab ah jina vee jaldi toon jaldi) naa resolve kitta jaway  yaan authay “resuscitation” kernay wastay koi nehn tay damag tay mun buht kharab ho jaanda tay baad ch jaldi marag ho jaandi ah.

Eh aam dekhya ghia keh kahr ch kadeen koi dasay keh ohday dard hundi ah tay kahr day kehn ghay  tundi lassi pee tay theek ho jao ghi. Kai tay aithay tak vee keh dainday keh aiween mukar ker daa yaan apna dasan lug painday keh meray ainiyan dardan hundiyaan tay main rowla nehn paya. Agar tuwaday chatti ch dard hundi ah tay ohnu serious ho kay lawo oh es wastay keh mun dee thori jehi vee kharabi thawanu mintaan ch maar sack dee ah.

Main ik janaza parhn ghia Middlesbrough  ch. Patta lugga keh eh jehra mara see oh kum toon kahr aya tay kahway ohday seenay ch dard hundi ah. Ohdi buddi nay kehya toon autay jaa kay bed ch lie down tay main cha bana kay liayoun dee aa. Buddi cha bana kay autay bedroom ch lai kay ghai tay bed waihli waj ditti “ali tuseen kithay ao?” tay koi jawab naa milya. Agay jaa kay bed dee side dekhi tay Ali jee floor tay maray hoay see.

Main ik din dukaan ch apnay brother in law naal mil kay counter bana rehya see. Ik milnay walla aya jehra Pir mahal day lagay pind da rehnay wala see tay puchya meray kol a3 size day paper hai. Main kehya ais waqat tay nehn toon office depot toon jaa kay laila. do din baad sham nu meray koll hor ik miln aala aiya. Gallan bataan ch ohnay desya keh oh aithay afsoos kern aiya see. Main ohday kollon puchya kehda? Tay jidoon menu ohnay dasya tay eh meray wastay shock see kiyoun keh eh banda do din pehlay meray koll paper wastay aiya see tay chungi gupshup vee laa kay ghia see. Eh maranay wala banda jes din meray kol aiya aus din khana kha kay bahr walk wastay ghia. Jidoon buht dair tak wapas na aya tay lagay diyaan sarkan ty daikhya pehr kittay na labha. Police station phone kitta tay patta luggia ik aian ohna nu footpath tay ghirya hoya milya pehr hospital puhnchanay toon pehlay ee ohdi death ho chuki see.

Menu Heart Attack hoya tay bach ghia

Main dukaan wala hissa jehra see ohnu theek ker rehya see tay bahrla door lock kitta hoya. Main pouri tay khara cum kerda see. Meray achanak chatti ch bari jan kahd peedh hoi tay main pauri toon autar kay thalay ah ghia darwazay da talla khol ditta, pauri day pauday tay baith ghia. Main soach rehya see agar meri jaan nikal jaaway kehnu patta lagana. Meri tabiat zara sambli tay main tur kay kahr ah ghia. Tur kay ais wastay keh karh da rasta 5-10 minutes da ah tur kay. Main kahr aiya tay begum nay kehya bari jaldi ah ghaiay tay main dasya meray peedh hoi see tay main theek nehn hajay tak. Begum nay vee gul sunni tay eh ee samajia keh thori buht peedh hao ghi. Eh peedh tay muk ghai pehr meray sajay pasay dee bahn hallawan tay meray jor ch peedh howay. Hun main soch daan tay eh lag daa menu heart attack hoya see jehday naal mild stroke da vee attack hoya. Es wastay meray muday walay jor ch peedh hundi see bahn halaunay naal. Meri wadhi hoi see tay main bach ghia.

Agar tuwanu kadeen vee koi chatti day agay peechay sajjay khabay peedh hundi ah tay tuseen jaldi naal hospital day emergency ward ch jawo.Always take this type of pain seriously it could be your life saver.

References

1  Guyton, A. C.; Hall, J. E. (2006). Textbook of Medical  Physiology (11th ed.). Philadelphia: Elsevier Saunder. 

2  Campbell; Reece (2005). Biology (7th ed.). San Francisco: Pearson. pp. 873–874.

3  Maton, Anthea; Jean Hopkins, Charles William McLaughlin, Susan Johnson, Maryanna Quon Warner, David LaHart, Jill D. Wright (1993). Human Biology and Health. Englewood Cliffs, New Jersey: Prentice Hall. 

4  Marieb, Elaine Nicpon (2003). Human Anatomy & Physiology (6th ed.). Upper Saddle River: Pearson Education. 

5  Emergency Medical Responder: A Skills Approach (3rd Canadian ed.). Toronto: Pearson. 2010. p. 131

6  Cecie Starr; Christine Evers; Lisa Starr (2 January 2009). Biology: Today and Tomorrow With Physiology  Cengage Learning. pp. 422

7  Kumar; Abbas; Fausto (2005). Robbins and Cotran Pathologic Basis of Disease (7th ed.). Philadelphia: Elsevier Saunders. p. 556. 

8   Pratiyogita Darpan (April 2009). Competition Science Vision. Pratiyogita Darpan. pp. 55