১৩৮ অদ্ভুত ক্ষত
এbI-baibi er aije byai-pariksha-r phala-phal sam-bandhe khub sateark chhilen, ebong uni nijei byai-pariksha-agare fon kare paristhiti sasta-ke abahita karen. karan keu-i kono sambhabya chikitsa-bibad dekhte chaina, ebong ei rogi-r abastha spash-ta-bhabe-i sankat-purna chhila.
kintu aije baibi ekhano kichuta bismita chhilen je, ebar rogi kono nirdistha task ba abhiyan-ke keno prachodita karleni. sambhabata ekhon tar nije-r star onek uchu-te r ei rogi-ti ekti chhota kharata matra. athaba rogi-r chikitsa-grahan-er ichchha etoi prabal chhila je take kono asali rogi bola chale na.
jehetu sistim ba tantra-ti sarbada-i nirdoy o nirmam, tai eta tar paksha-e bujha sambhab chhila na.
kichu samay apekkha korar por, pariksha-r phala-phal chole ase. baai-pariksha-agar theke sojasoji aije baibi-ke fon kara hoy, jekhane gopon rakta ba okkult blood char ti plus chihna deoa chhila. ei phala-phal dekhe aije baibi ebong oang huan dujonei parasparer mukher dike takiye thaken. bhala holo je rogi-ke phire jete dewa hoyni.
"daktar babu, asole phala-phal ki? amake sudhu pariksha karanor jonyo apnara bhoy dekhachhen na toh?" apekkha korte thaka rogi-ti ekhon kichuta bhoy peye gechhe.
"bhoy dekhachchhi? satti-i kono bhoy dekhachchhi na. apnini andaj korun, jodi amara apnake chere ditam, tabe apnar ki phala-phal hote pare." aije baibi hese jiggesh korlen.
"pet byatha? abiram parti ba paykhana? kintu ekhon toh amar pete kichu nei-o bae," rogi-ti bollo.
"paykhana-r pariksha-r phal bolchhe je gopon rakta ba okkult blood char ti plus chihna rayeche, ya atyanta bipadjanak. gopon rakta-r mane holo apnar paykhanar sathe rakta jachhe. ekhon amara andaj korchhi je apnar pachandatantra ba digestive system-e raktapat hochhe, ya kono gha ba onnyo kono samasya-r karane hote pare," oang huan bollen.
"jodi apnake chere dewa hoto, tabe ei raktapater sthan-ti aro briddhi pete parto. tarpar bok theke rakta otha ba abhyantarín raktapat shuru hote parto. apni jodi tren-e thaka-kalin samaymoto chikitsa na peten, tabe apnar jibon-o sankatpurna hote parto."
"bhoy dekhabar kono dorkar nei, kintu ekhon jodi kono chhidra ba perforation hoto, tabe chinta korun koto ta bhayanak hoto? ja asole pachandatantra-r bhitore thakar katha, ta chole jachhe apnar udara-gahre ba abdominal cavity-te, tabe ki ta yathesto bipadjanak hoto na?"
"ebare apnar ja-i matal hok na keno, parikshata apnake koratei hobe. ami agei pharamti tayar kore rekhechi, age ekta endoskopi ba gastroskopi korie nin. karun apnar buke byatha chhila, ya uparer pachandatantra-r raktapat hote pare. raktapat-er sthan thik kore dile apnar ar kono samasya thakbe na."
jodi ei pariksha-r phala-phal na thakto, tabe rogi-ti hoyto byaparta keu gurutwa dito na. kintu ekhon jokhon bujte pereche je gopon rakta ba okkult blood rayeche, ebong ta char ti plus-er matra-te, tokhon tar mathay chinta neme elo.
"ah, aboseshe sabdhan-e samasya samadhan holo." rogi-r chole jabar por, oang huan ekti lamba shwas fellen.
"tatai toh, na hole aji amar ei mahan o sadhu din-ti emni-i britha jeto," aije baibi gambhir bhabe bollen.
"haha, tahole ekta chicken leg ba murgi-r mangsha ba-o paona hoy," oang huan hasmukh bhabe bollen.
liang xiao lin ekhon chintay pore gelen. tokhon tar mathay keno je emon buddhi ese chhila? tarpor tar mone holo ei byapar-er jonyo aije baibi-i dayi, keno uni murgi-r mangsha-r katha bolte gelen.
abhhyantarik chikitsa kak ba internal medicine room theke beriye asar por, tri-bibhag ba triage desk-er kachhe ekjon rogi-ke dekhe aije baibi manojoge takelen.
ki byapar, aj ki purono grahak-der bishesh din naki? keno je ei lokti-ke ektu chena chena mone hochhe.
"thik ache, ami o-r kachhei aji bandage badhate esechi, byatha kore na." ebar sei rogi-ti aije baibi-ke dekhte peye khushi-r sure katha-ta bollo.
"apni amake chenen?" rogi-ke dwitiy upachar kak ba treatment room two-te niye asar por aije baibi jiggesh korlen.
"chini toh, gata bar apnarai amar bandage bedhechhilen, ebong amake boledichhilen jeno nischit bhabe rabies-er tika niye nei, na hole amar je ki abastha hoto!" rogi-ti bollo.
"are, ekhon mone poreche. apnar ebar ki holo? amar mone hoy ahaa-r ghay ta dekhe abar kukur-er katar phol na toh? amra yodi-o rabies-er tika niye thaki, tabu toh bar bar kukur-er katar shikar hote pari na." aije baibi bollen.
"daktar babu, ami holo rogi, apni amake santwana dewar paribarte amar sathe makhra-makhri korchhen." rogi-ti ektu obhimani sure bollo.
"haha, ami dekhechi apnar swabhawti khub bhalo, tai na hole ami ki emon katha bolar shahos petam? pore yodi ekta shikayath ba complaint kore den, tabe amar ei mas-er puro pari-shrom britha jabe," aije baibi hese bollen.
"barite-o ki gha-er jatna niyechhen? amar mone hochhe ashe-pashe kichu rakter dag rayeche. ami apnake aro kichu rakta chepe ber kore di? ebar gha-ta ektu gabhir rayeche, kintu selayi korar o dorkar nei."
"gata bar apni ja bolechhilen ta amar mone chhilei, katar por ami baire rakta chepe ber kore diyechi," rogi-ti bollo.
"kintu oi rabies-er tika-gulo newar por khubi kastho hoyeche, ami ekhon-o jor-e bhugchi. ar gata barer gha-ti o onek deri-te shukiechhe, ami khub satark bhabe kono jal laigani."
"ekhono shukai ni? ami ektu dekhi." aije baibi bhuru kunchkalan.
rogi-ti hath tole, ebong dekha jay je gha-ti satti-i purno bhabe shukayni. eta toh swabhavik noy, etodin kete gechhe, tabe keno ekhon-o gha shukayni?
ting! abajanak gha
khola abhiyan ba open task: asray-data ba host dekhechhen je rogi-r gha-ti swabhavik noy, tar sandeha hayeche je etar pichhe kono gupta ba potent prabhavak karan rayeche, ebong abashyak bhabe agami nidana ba diagnosis dorkar. abhiyaner puraskar nidana-r phala-phaler upor nirbhar korbe.
"apnar ei gha-er sathe onnya kono lakshan rayeche ki? kono jwalamayi anubhut ba burning sensation rayeche? rabies-er tika newar por ki eta shuru hoyeche?" aije baibi jiggesh korlen.
"kono jwalamayi anubhut nei, sudhu ektu chur-chur ba chhul-chhul korchhe. hoyto rabies-er tika newar por-i hobe, ja-i hok sei din ami chole asar por-i niyechhi. sudhu ekta shesh tika baki rayeche, satti-i khub kastho, dwitiy tika newar por amar hat ek din tuleo rakhte parini," rogi-ti obhijog kore bollo.
"ar ami jani na eta rabies-er tika newar karane ki na, amar barir kuthrati-ti mone korchhe ami take bishwas kori na. samprati se ektu rege thake, take baire ghurate niye geleo se thik bhabe hate chay na. barite thakleo, tar sathe khelte gelei se birokto hoy."
aije baibi bhuru kunchkalan. yodi-o rabies-er tika ekti protein tika, ebong ta newar por keu keu kichu parshwaprati-kriya ba side effect anubhav koren, kintu gha shukate badha dey emon katha kakhono shonani. ar chhul-chhuni ba itching-er katha-o kakhono shonani.
punaruddhar ba healing-er samay gha-te chhul-chhuni bhab thaka swabhavik, kintu sekhane gha shukabar por khosha ba scab porar porer chhul-chhuni hoy. kintu ekhane rogi-r gata barer gha purno bhabe shukayni, ya atyanta aswabhavik.
"daktar babu, apnake ki ebar amar gha-ta thikthak korte hobe? ebar ki amake abar notun kore tika nite hobe na? khong khong" rogi-ti jiggesh kore, ebong ekbar halka kashi dilo.
"sardi-kashi legeche naki?" aije baibi jiggesh korlen.
rogi-ti matha nede bollo, "apni ki amar ei kashi-r katha bolchhen? majhe majhe gola ektu chhul-chhul kore. purono rog, sardi lagni. kuthrati ke niye baire ektu dauriye ele, gham berolei thik hoye jabe."
"muk khule ektu dekhi." aije baibi bollen.
rogi-ti tar dike takiye, sheshe muk khullo.
aije baibi jihba-nirodhini ba tongue depressor ber kore, rogi-r jibha chepe dhoren ebong chhoto torch diye golar bhitor ta dekhen. golar bhitti ba pharyngeal wall thik ache, tonsil-gulo te ektu rakta-sanchalan ba hyperemia-r lakshan rayeche.
stethoskop niye pariksha korlen. hrittapas ba heart sound swabhavik, phusphus ba lungs-e halka shash-e shash-e shabda ba moist rales rayeche. sharir-er tapmatra ebong rakta-chapa ba blood pressure mape dekhen, tapmatra ektu beshi, rakta-chapa swabhavik.
tabu nishchint hote perechilen na, aije baibi abar hat bariye rogi-r gala ba neck ebong chibuk-er nicher lasika-granthi ba lymph nodes gulo pariksha korlen.
"apni kintu byapar-ti niye khub ekta udasina thakben na, gribar lasika-granthi ba cervical lymph nodes gulo phule geche, tar sathe apnar kashi ebong jor, etai ingit kore je eta upari-shwasanali-r sankraman ba upper respiratory tract infection hote pare," aije baibi bollen.
"yodi sadharon abastha hoto tabe kono katha chhila na, kintu ekhon toh apnar rabies-er tika choleche. amar poramorsha hobe apni shighri ekta rakta-r sadharon pariksha ba blood routine korie nin, yodi eta sattii upari-shwasanali-r sankraman ba phusphus-er sankraman ba pneumonia hoy, tabe amara samaymoto hastakshep korte parbo."
rogi-ti ektu dvidha-grasto holo, abar take pariksha korar katha bola hochhe? gata bar chila rabies-er tika, ebong ebar rakta pariksha. satti-i ki etar kono dorkar rayeche?