🧩 PART 1: Dengue Bukhar Kya Hai? Asbab Aur Virus Ka Asar
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🦠 Dengue Bukhar Kya Hai?
Dengue bukhar aik viral infection hai jo Aedes aegypti naam ke machar ke kaatne se hota hai. Ye machar din ke waqt active hota hai aur zyada tar subah aur shaam ke waqt kaatta hai. Is machar ka kaatna dengue virus ko insan ke khoon mai daakhil kar deta hai. Virus immune system par asar karta hai
aur sharir mai tez bukhar, haddiyon ka dard, thakan aur kamzori paida karta hai.
Dengue ko aksar “breakbone fever” bhi kaha jata hai kyun ke ye haddiyon aur joints mai aisa dard paida karta hai ke insaan hilne se bhi ghabrata hai.
Pakistan, India aur Bangladesh jese tropical mulkon mai dengue aam bimari hai — khaaskar barsaat ke baad, jab pani ruk jata hai aur machar barh jaate hain.
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🌧️ Pakistan Mai Dengue Ka Phelao
Har saal monsoon ke baad Pakistan ke shehron jaise Lahore, Karachi, Islamabad, Rawalpindi aur Faisalabad mai dengue ke cases report hotay hain.
Ye machar gande pani, kachre, aur pani ke rukne wale ilakon mai paida hotay hain.
Government awareness campaigns karti hai, lekin awaam ka co-operation aur safai ka rujhan kam hone ki wajah se dengue tezi se phailta hai.
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🔍 Dengue Virus Ka Cycle
Dengue virus ke 4 types hain: DEN-1, DEN-2, DEN-3, DEN-4.
Jab aik machar kisi dengue patient ko kaat leta hai, to wo machar virus se infected ho jata hai. Baad mai jab wo machar kisi sehatmand insaan ko kaat ta hai, to virus uske khoon mai chala jata hai — aur is tarah dengue phailta hai.
Note: Ye machar mostly din mai active hota hai (subah 7–10 bajay aur shaam 4–6 bajay).
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⚠️ Dengue Bukhar Ki Waja
Aedes machar ka kaatna
Ganda pani jama rehna
Barsaat ke baad tanki ya pot mai pani ruk jana
Plastic bottles, tyres aur buckets saaf na karna
Khula kachra aur safai ki kami
Sabhi machar dengue nahi phailate, sirf dengue virus wale machar se ye bimari hoti hai.
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🤒 Dengue Bukhar Ki Pehli Alamat
Dengue bukhar ki pehli alamat viral fever jaisi lag sakti hai, lekin kuch nishaniyan isey pehchanne mai madad karti hain:
1. Tez bukhar (104°F tak)
2. Haddiyon aur joints ka dard
3. Aankhon ke peeche dard
4. Thakan aur kamzori
5. Skin par red rash
6. Qai, pait dard
7. Platelets ka kam hona
In alamat mai se ziada nazar aane par foran doctor se contact karna chahiye.
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🧬 Dengue Virus Ka Asar
Dengue virus immune system ko kamzor karta hai aur platelets ko destroy karta hai.
Platelets khoon jamne mai madad karte hain — jab ye kam ho jaate hain to bleeding hone lagti hai.
Severe cases mai Dengue Hemorrhagic Fever (DHF) ya Dengue Shock Syndrome (DSS) ho sakta hai, jo life-threatening hota hai.
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🏥 Diagnosis Ka Tareeqa
Doctors dengue ka test CBC aur NS1 Antigen Test se karte hain.
NS1 Test: Virus ko pehle dinon mai detect karta hai.
IgM/IgG Antibody Test: 5–7 din baad virus ki confirm diagnosis deta hai.
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🩸 Part 1 Ka Summary:
Dengue bukhar aik viral infection hai jo Aedes machar ke kaatne se hota hai. Virus immune system aur platelets ko nuksaan pohchata hai. Iski pehli alamat mai tez bukhar, haddiyon ka dard aur skin rashes shamil hain.
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🧩 PART 2: Dengue Bukhar Ki Alamat Aur Diagnosis Ka Tafseeli Bayan
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🧠 Dengue Ki Stages
Dengue ke symptoms 3 stages mai samajhe ja sakte hain:
1. Febrile Stage (Bukhar Ka Marhala):
Bukhar 2–7 din tak rehta hai
Patient ko chills, dard aur nausea hota hai
Skin par red dots (rashes) nazar aane lagte hain
Platelets kam hone shuru ho jaate hain
2. Critical Stage (Khatarnaak Marhala):
Bukhar kam ho jata hai lekin patient zyada kamzor mehsoos karta hai
Bleeding gums, nose bleeding ya stool mai khoon aasakta hai
Pait dard, ulti, aur restlessness barh jaati hai
Platelets rapid tareeke se girte hain
3. Recovery Stage (Sehatmandi Ka Marhala):
Patient ka bukhar kam hone lagta hai
Appetite (bhook) wapas aati hai
Platelets barh jaate hain
Body mai rash aur itching mehsoos hoti hai (naye cells ke banne ki wajah se)
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📋 Dengue Ki Common Alamat (Detailed)
1. High Fever: 102–104°F tak
2. Severe Headache: Aankhon ke peeche dard
3. Joint & Muscle Pain: Haddiyon mai toot-phoot jaisa dard
4. Nausea/Vomiting: Bukhar ke sath ulti lagna
5. Skin Rash: 3–4 din baad skin par laal daag
6. Bleeding: Gums ya nose se halka khoon
7. Low Platelet Count: CBC test mai confirm hota hai
8. Fatigue & Weakness: Bukhar ke baad lambi thakan
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🧾 Dengue Tests Aur Unki Importance
1. NS1 Antigen Test – Pehle 5 din mai positive hota hai
2. IgM/IgG Antibody Test – 6th day ke baad detect hota hai
3. CBC (Complete Blood Count) – Platelet aur WBC level batata hai
In tests ka combination doctor ko confirm diagnosis dene mai madad karta hai.
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⚕️ Kya Dengue Har Baar Dangerous Hota Hai?
Nahi. Aksar cases mild hotay hain jisme rest aur hydration se patient recover kar leta hai.
Lekin agar patient pehle kisi aur dengue virus strain se infect ho chuka ho, to doosri baar infection zyada severe ho sakta hai.
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💧 Hydration Ka Role
Dengue mai sabse zaruri cheez hydration hai.
Patient ko pani, ORS, juice, coconut water, soup jaise fluids barhawa dena chahiye.
Ye dehydration aur low blood pressure se bachata hai.
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🛑 Kab Hospital Jana Zaruri Hai?
Agar ye signs hon to foran hospital jayein:
Bukhar ke sath bleeding ho
Platelets 50,000 se kam ho jaayein
Patient behoshi ya confusion mehsoos kare
Vomiting band na ho
Pait ya lungs mai fluid jama ho
Hospital mai doctor IV fluids aur monitoring karta hai taake condition stable rahe.
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🩹 Part 2 Ka Summary:
Dengue bukhar teen marhalon mai guzarta hai — febrile, critical aur recovery stage.
Har marhale mai alag symptoms aur khatra hota hai.
Tests jaise NS1 aur CBC se diagnosis confirm hota hai.
Hydration aur timely treatment se patient recover kar sakta hai.
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