Author: Ishan

In Nepal, when people think of the “best hospital,” Ishan Hospital in Kathmandu often comes to mind. Renowned for its high-quality healthcare, it stands as a beacon of medical excellence in the country.

This article will explore the various reasons that make Ishan Hospital a top choice. From its advanced medical facilities to its dedicated team of healthcare professionals, we’ll delve into what sets this hospital apart in the realm of Nepalese healthcare.

Ishan Hospital’s commitment to patient care and community health is central to its reputation. Here, we’ll discover how it achieves and maintains its status as one of Nepal’s best hospitals.

Ishan Hospital: The best Hospital in Kathmandu 

Ishan Hospital, established in 1995, quickly became a pivotal healthcare institution in Kathmandu. Known for its comprehensive approach, the hospital has been serving the community for decades with a focus on excellence.

The hospital’s reputation is built on its high standard of medical services. It offers a wide range of specialties, particularly excelling in women’s and children’s health. This has positioned Ishan Hospital as a leading healthcare provider in Nepal.

What truly sets Ishan Hospital apart is its blend of compassionate care with advanced medical practices. Patients at Ishan Hospital are not just treated; they are cared for with a personal touch that underscores the hospital’s dedication to healthcare excellence.

What makes Ishan Hospital the best Hospital in Nepal? 

Advanced Medical Technology: Ishan Hospital utilizes state-of-the-art medical equipment and technology for accurate diagnoses and effective treatments.

Expert Medical Staff: The hospital is staffed with highly skilled and experienced medical professionals, ensuring top-level medical care.

High-Quality Patient Care: Ishan Hospital prioritizes exceptional patient care, focusing on individual patient needs and comfort.

Wide Range of Specialties: The hospital offers a broad spectrum of medical specialties, especially in women’s and children’s health.

Effective Treatment Outcomes: Ishan Hospital is known for its high success rates in various medical treatments and procedures.

Research and Innovation: The hospital engages in ongoing medical research and adopts innovative treatment methods.

Community Engagement: Ishan Hospital actively participates in community health initiatives and public health education.

Health Education Initiatives: The hospital conducts health education programs, raising awareness on various health issues.

Modern Facilities: Ishan Hospital’s facilities are modern and well-equipped, providing a conducive environment for treatment and recovery.

Patient Safety and Satisfaction: The hospital maintains high standards of patient safety and works continuously to enhance patient satisfaction.

Comprehensive Emergency Services: Ishan Hospital is equipped to handle all types of emergencies, ensuring rapid and effective response for critical care.

Accreditation and Certifications: The hospital is recognized with various accreditations, reflecting its adherence to high medical standards.

Patient Feedback and Improvement: Ishan Hospital actively seeks and incorporates patient feedback to continuously improve services.

Collaboration with Global Experts: The hospital collaborates with international medical experts to bring global healthcare standards to Nepal.

Hygiene and Cleanliness Standards: Ishan Hospital maintains stringent hygiene and cleanliness protocols, ensuring a safe environment for patients and staff.

Accessibility and Convenience: Located centrally in Kathmandu, the hospital is easily accessible and offers convenient facilities for patients and visitors.

Ethical Practices and Transparency: The hospital upholds strict ethical standards and transparency in all its operations and patient care.

Multidisciplinary Approach: Ishan Hospital adopts a holistic approach to treatment, involving various medical disciplines for comprehensive care.

Personalized Treatment Plans: Each patient receives a customized treatment plan tailored to their specific health needs.

Continuous Staff Training and Development: The hospital invests in ongoing training and professional development for its staff to ensure they are up-to-date with the latest medical knowledge and techniques.

More Reasons to Consider

Advanced Medical Facilities and Services

Ishan Hospital is equipped with cutting-edge medical facilities, ensuring the best possible care for patients. The hospital’s infrastructure is designed to support a wide range of medical procedures, from routine check-ups to complex surgeries.

The hospital takes pride in its modern diagnostic tools and therapeutic technologies. These advanced systems play a critical role in accurate diagnoses and effective treatments, contributing significantly to patient recovery and health outcomes.

Specializing in women’s and children’s health, Ishan Hospital provides specialized care that is tailored to the unique needs of these patients. The hospital’s dedicated departments for maternity and pediatric care are examples of its commitment to specialized treatment. 

Furthermore, the hospital’s emergency and trauma services are among the best in the region, ready to respond swiftly and efficiently to urgent medical situations. This readiness and capability are crucial in saving lives and providing immediate care.

Expert Medical Team and Patient Care

Ishan Hospital boasts a team of highly skilled medical professionals. These experts bring a wealth of experience and knowledge, ensuring top-level medical care for all patients. The hospital’s staff is not only technically proficient but also compassionate, providing a supportive and caring environment for patients during their treatment.

Additionally, Ishan Hospital places a strong emphasis on patient-centric care. This approach means that each patient’s treatment is tailored to their specific needs, ensuring they receive the most effective and personalized care possible.

The combination of expert medical staff and a focus on individualized care contributes significantly to the hospital’s reputation as a leading healthcare provider in Nepal.

Innovations in Healthcare at Ishan Hospital

Ishan Hospital is at the forefront of medical innovation in Nepal. It continuously adopts new technologies and treatment methods to enhance patient care. This commitment to innovation ensures that patients at Ishan Hospital have access to some of the most advanced medical treatments available.

The hospital’s research and development initiatives play a vital role in advancing healthcare standards, not just within its walls, but in the wider medical community of Nepal.

Community Engagement and Health Education

Ishan Hospital is deeply involved in community health initiatives, reflecting its commitment to public well-being beyond its medical services. The hospital actively participates in health education programs, aiming to raise awareness about various health issues in the community.

These initiatives not only enhance public health knowledge but also foster a strong relationship between the hospital and the community it serves. This engagement is a testament to Ishan Hospital’s dedication to holistic healthcare, emphasizing prevention and education alongside treatment.

Conclusion

In conclusion, Ishan Hospital in Kathmandu stands out as a leading healthcare facility in Nepal. With its advanced medical facilities, expert team, and commitment to patient care and community engagement, it exemplifies what it means to be one of the “best hospitals in Nepal.” Ishan Hospital’s dedication to healthcare excellence and innovation makes it a top choice for patients seeking quality medical care.

Introduction to ENT Care

Your health is your most precious asset, and ensuring the well-being of your Ear, Nose, and Throat (ENT) is a cornerstone of overall vitality. Often overlooked but profoundly influential, your ENT system plays a vital role in your daily life, from the way you communicate with loved ones to how you savor your favorite meals.

In this comprehensive guide, we embark on a journey into the intricate world of ENT health. We’ll navigate the complexities of common issues that affect millions of individuals worldwide, shedding light on the importance of prevention, timely intervention, and professional care.

From the melodies that make your heart sing to the whispers of your dearest friends, from the aroma of fresh-baked bread to the simple joy of a breath of fresh air – your senses and your health are intertwined. This guide aims to empower you with knowledge and insights for your Ear Nose And Throat well-being.

Join us as we explore the causes, symptoms, treatments, and prevention strategies for common ENT problems. Whether you seek answers for yourself or are a caregiver for a loved one, this comprehensive guide is your roadmap to understanding, maintaining, and cherishing your ENT health.

Let’s embark on this journey together, unlocking the secrets of a healthy and vibrant life through the lens of your Ear, Nose, and Throat.

Key Aspects of ENT Care

Ear, nose, and throat (ENT) health is crucial for several reasons, and ENT problems can significantly impact daily life. Here are some key points highlighting the importance of ENT health and how these issues can affect daily life:

Sensory Functions: Ears, nose, and throat are essential for sensory functions. Hearing, smelling, and tasting are vital for communication, safety, and overall quality of life. Any impairment in these functions can lead to reduced enjoyment of life and potential safety hazards.

Communication: The throat and vocal cords play a central role in speech and communication. Problems in this area, such as hoarseness or loss of voice due to laryngitis, can hinder effective communication, affecting personal and professional interactions.

Sleep and Breathing: Conditions like sleep apnea and chronic snoring, often related to ENT issues, can disrupt sleep patterns. This can lead to daytime fatigue, reduced productivity, and even long-term health consequences if left untreated.

Quality of Life: Chronic conditions like sinusitis, allergies, and tonsillitis can cause persistent discomfort and pain. This can impact a person’s overall quality of life, affecting their ability to work, socialize, and enjoy daily activities.

Children’s Development: Children frequently experience ENT issues such as ear infections and tonsillitis. These problems can interfere with their ability to hear, speak, and eat properly, potentially affecting their growth and development.

Mental Health: Chronic ENT problems can lead to stress, anxiety, and depression. Constant pain, discomfort, or impaired communication can take a toll on mental well-being.

Safety Concerns: Hearing loss, if left untreated, can compromise a person’s safety by reducing their awareness of their environment, including potential dangers such as approaching vehicles or alarms.

Productivity: For individuals in professions that require clear communication, such as teachers, customer service representatives, and public speakers, ENT issues can hinder job performance and career advancement.

Nutrition and Eating Habits: Throat and swallowing problems can make it challenging to eat and drink comfortably, potentially leading to nutritional deficiencies and weight loss.

In summary, ENT health is essential for overall well-being and quality of life. Even seemingly minor issues can have a significant impact on daily activities and long-term health. Regular check-ups with an ENT specialist, early detection, and appropriate treatment are crucial for maintaining good ear, nose, and throat health and preventing these issues from negatively affecting one’s life

Common ENT Problems and Their Management

The ENT (Ear, Nose, and Throat) system is a complex and interconnected network of organs and structures that play vital roles in various functions of the head and neck region. Issues in one area of the ENT system can indeed have cascading effects on other parts due to this interconnected nature. Here’s how problems in one area can affect others:

Hearing and Balance: The ear is a central component of the ENT system responsible for hearing and balance. Issues like ear infections, fluid buildup, or damage to the inner ear can not only lead to hearing loss but also affect a person’s sense of balance.

Nasal and Sinus Issues: Problems with the nose and sinuses can have a direct impact on the throat and vice versa. For example, chronic sinusitis can lead to postnasal drip, which can irritate the throat and cause a cough or sore throat.

Allergies and Respiratory Health: Allergies that affect the nose and throat, such as allergic rhinitis, can lead to congestion, throat irritation, and coughing. Additionally, untreated nasal allergies can contribute to ear infections.

Throat and Voice Disorders: Conditions like laryngitis or vocal cord nodules can affect a person’s voice quality and ability to speak clearly. Chronic throat irritation can also lead to coughing, further aggravating throat issues.

Swallowing Difficulties: Problems in the throat or esophagus can lead to difficulty swallowing, known as dysphagia. This can result from conditions like gastroesophageal reflux disease (GERD) or throat inflammation.

Oral Health: The mouth and throat are closely connected. Issues such as tonsillitis or oral infections can spread to the throat, causing discomfort and sometimes even difficulty breathing.

Sleep Apnea: Sleep apnea, a condition where breathing is repeatedly interrupted during sleep, often has its roots in the throat and can lead to various health problems, including cardiovascular issues.

Cancer: ENT cancers can affect multiple areas within the system. For example, throat cancer may require surgery that impacts the voice, swallowing, and respiratory functions.

In summary, the ENT system is highly interconnected, and issues in one area can have far-reaching effects on others. Therefore, it’s essential to seek medical attention promptly for ENT-related problems and to consider the holistic nature of the system when addressing health concerns. A comprehensive evaluation and treatment plan from an ENT specialist can help manage and address these interconnected issues effectively.

Sinusitis is a common medical condition characterized by the inflammation or infection of the sinuses, which are air-filled cavities in the facial bones. There are several types of sinusitis, including acute sinusitis, subacute sinusitis, chronic sinusitis, and recurrent sinusitis, each with varying symptoms and durations.

Common symptoms of sinusitis include:

• Facial pain or pressure: Often felt around the eyes, cheeks, and forehead.
• Nasal congestion: Difficulty in breathing through the nose due to inflamed sinus passages.
• Runny or stuffy nose: Discharge may be clear or thick and discolored.
• Loss of smell or taste: Inflammation can affect the olfactory nerves.
• Headache: Typically in the forehead area.
• Coughing: Especially at night, caused by postnasal drip.
• Sore throat: Due to the drainage of mucus down the throat.
• Fatigue: As the body fights the infection or inflammation.
• Fever: More common in acute sinusitis and may indicate an infection.

Sinusitis can be caused by various factors, including viral infections (often associated with the common cold), bacterial infections (less common but more severe), allergies, nasal polyps, or anatomical issues that block the sinus passages. Treatment options for sinusitis depend on the underlying cause and may include:

Rest and hydration: Staying well-hydrated and getting plenty of rest can help the body fight off infections.

Decongestants: Over-the-counter or prescription decongestant medications can relieve nasal congestion.

Nasal saline irrigation: Rinsing the nasal passages with a saline solution can help clear mucus and reduce symptoms.

Antibiotics: If the cause is bacterial, a healthcare provider may prescribe antibiotics.

Allergy management: Addressing underlying allergies can help prevent recurrent sinusitis.

Corticosteroids: These may be used to reduce inflammation in some cases.

Surgery: In cases of chronic or severe sinusitis, surgical intervention, such as sinus surgery, may be necessary to improve sinus drainage.

It’s important to consult a healthcare professional for an accurate diagnosis and appropriate treatment, especially if you suspect sinusitis, as mismanagement can lead to complications or chronic issues.

Surgical procedures for chronic sinusitis are considered when conservative treatments, such as medications and other non-invasive therapies, have not provided sufficient relief or when there are structural issues within the sinuses that need correction. These surgical options aim to improve sinus drainage, reduce inflammation, and alleviate chronic symptoms. Here are some common surgical procedures for chronic sinusitis:

Functional Endoscopic Sinus Surgery (FESS): FESS is the most common surgical approach for chronic sinusitis. It is minimally invasive and uses an endoscope, which is a thin, flexible tube with a camera, to visualize and treat the sinuses. During FESS, the surgeon removes obstructive tissue, polyps, and sometimes small bone spurs to open up the sinus passages, allowing for better drainage.

These surgical procedures are typically performed by an ear, nose, and throat (ENT) specialist and may be done in an outpatient setting. The choice of procedure depends on the severity and location of the sinus issues, as well as the patient’s overall health. Recovery times vary but are generally quicker than traditional open surgeries, and patients often experience significant relief from their chronic sinusitis symptoms following surgery. It’s important to discuss all treatment options and potential risks with your healthcare provider to determine the best course of action for your specific case.

Allergies can have a significant impact on the health of the Ear, Nose, and Throat (ENT) system. Allergic reactions, especially those affecting the respiratory system, can directly affect various components of the ENT system. Here’s how allergies can impact ENT health:

Nasal Allergies (Allergic Rhinitis):

• Congestion: Allergies can cause nasal congestion, making it difficult to breathe through the nose.
• Runny Nose: Excessive nasal discharge (rhinorrhea) is a common allergic symptom.
• Sneezing: Frequent sneezing is a common response to allergens.
• Postnasal Drip: Allergic reactions can lead to postnasal drip, which irritates the throat.
• Sinusitis: Allergic rhinitis can contribute to sinus infections or exacerbate chronic sinusitis.

Throat Irritation:

• Postnasal Drip: Dripping mucus from allergies can irritate the throat, causing a sore throat or cough.
• Sore Throat: Allergens in the environment can lead to throat discomfort.

Ear Infections:

• Eustachian Tube Dysfunction: Allergies can cause the Eustachian tubes (which equalize pressure in the ears) to become blocked or inflamed, leading to ear infections or discomfort.

Voice and Laryngeal Issues:

• Hoarseness: Allergies can lead to vocal cord inflammation, resulting in hoarseness or voice changes.
• Laryngitis: Irritation from post nasal drip or direct contact with allergens can cause laryngitis.

Sleep Apnea:

• Allergies can worsen obstructive sleep apnea (OSA) by contributing to airway obstruction and snoring.

Otitis Media with Effusion (OME):

• Allergies can lead to the accumulation of fluid in the middle ear, contributing to OME, a condition characterized by a sensation of fullness in the ear and hearing difficulties.

Nasal Polyps:

• Chronic inflammation from allergies may result in the development of nasal polyps, which can obstruct the nasal passages.

Exacerbation of Asthma:

• Allergic rhinitis can worsen asthma symptoms, as the upper and lower airways are interconnected. Allergens that trigger nasal symptoms can also impact the lower airways, worsening asthma.

Managing allergies is crucial for maintaining good ENT health. This may involve:

• Avoiding allergens when possible.
• Medications, such as antihistamines and nasal corticosteroids, to control symptoms.
• Allergy immunotherapy (allergy shots) to desensitize the immune system.
• Lifestyle modifications, like using air purifiers or keeping windows closed during high pollen seasons.
• Consultation with an allergist or ENT specialist for proper diagnosis and treatment.
• Untreated allergies can lead to chronic ENT issues, frequent infections, and a decreased quality of life. Addressing allergies can help alleviate symptoms and prevent complications in the ENT system.
• Tinnitus is a condition characterized by the perception of ringing, buzzing, humming, or other sounds in the ears when there is no external sound source. It can be a chronic and often distressing symptom that affects the auditory system. Here are some key points about tinnitus:

Types of Tinnitus: There are two main types of tinnitus

Subjective Tinnitus: This is the most common type and is only heard by the person experiencing it. It is often associated with various underlying causes, including exposure to loud noise, age-related hearing loss, earwax blockage, and certain medical conditions.

Objective Tinnitus: This is rare and occurs when a healthcare provider can hear the sounds during an examination. It is typically associated with vascular or muscular issues in the head and neck.

Causes: Tinnitus can result from a wide range of factors, including:

• Hearing loss (age-related or noise-induced)
• Earwax blockage
• Ear infections
• Head or neck injuries
• Medications (can cause or worsen tinnitus)
• High blood pressure
• Temporomandibular joint (TMJ) disorders
• Tumors or vascular abnormalities near the ear

Symptoms: The primary symptom of tinnitus is the perception of sound when there is no external source. The sound can vary in pitch, intensity, and duration. Some people describe it as ringing, while others may hear buzzing, hissing, or roaring noises.

Impact: Tinnitus can have a significant impact on a person’s quality of life. It may interfere with concentration, sleep, and emotional well-being. In severe cases, it can lead to anxiety, depression, and stress.

Treatment: There is no one-size-fits-all treatment for tinnitus because it can have various underlying causes. Treatment options may include:

• Addressing underlying medical conditions (e.g., ear infections, high blood pressure)
• Removing earwax blockage
• Medications to manage associated symptoms like anxiety or depression
• Sound therapy or white noise machines to mask the tinnitus sounds
• Cognitive behavioral therapy (CBT) to help individuals cope with tinnitus-related distress
• Hearing aids for individuals with hearing loss and tinnitus
• Tinnitus retraining therapy (TRT) to habituate to the sound and reduce its impact
• Prevention: Protecting your ears from loud noise and practicing good ear hygiene can help prevent tinnitus. Avoiding excessive noise exposure and using ear protection in noisy environments is essential.

If you experience persistent tinnitus, it’s important to seek evaluation and guidance from an ear, nose, and throat (ENT) specialist or audiologist. They can help determine the underlying cause and develop a personalized treatment plan to manage the condition and improve your quality of life.

Hearing loss is a common condition that can affect people of all ages and can have various causes. It is characterized by a partial or complete inability to hear sounds in one or both ears. Here are some key points about hearing loss:

Types of Hearing Loss:

• Conductive Hearing Loss: This type of hearing loss occurs when there are problems with the ear canal, eardrum, or middle ear. It often results from conditions like ear infections, earwax blockage, or issues with the ear bones (ossicles).
• Sensorineural Hearing Loss: Sensorineural hearing loss is related to damage or dysfunction in the inner ear (cochlea) or the auditory nerve. It is commonly caused by aging (presbycusis), exposure to loud noise (noise-induced hearing loss), genetic factors, certain medications, and some medical conditions.
• Mixed Hearing Loss: Mixed hearing loss is a combination of both conductive and sensorineural hearing loss. It involves problems in both the middle ear and the inner ear or auditory nerve.
• Symptoms: The symptoms of hearing loss can vary depending on the type and severity but often include:
• Difficulty understanding conversations, especially in noisy environments.
• Frequently asking others to repeat themselves.
• Turning up the volume on the TV or radio to a level that others find too loud.
• Feeling isolated or withdrawn from social situations due to communication difficulties.
• Impact: Hearing loss can have a significant impact on a person’s life. It can affect communication, relationships, and overall quality of life. It may lead to feelings of frustration, isolation, and even depression if left untreated.

Treatment: Treatment options for hearing loss depend on the type and severity of the condition:

• Hearing Aids: These are common solutions for sensorineural hearing loss. They amplify sounds and help individuals hear more clearly.
• Cochlear Implants: For severe to profound sensorineural hearing loss, cochlear implants can provide a sense of sound by directly stimulating the auditory nerve.
• Medical Intervention: Conductive hearing loss due to issues like ear infections or earwax blockage can often be treated medically or surgically.
• Assistive Listening Devices: These include devices like FM systems or captioned telephones to enhance hearing in specific situations.
• Communication Strategies: Learning effective communication techniques, including lip reading and sign language, can help individuals cope with hearing loss.
• Prevention: To prevent hearing loss, it’s essential to protect your ears from loud noise, whether in the workplace or during recreational activities. Use hearing protection, such as earplugs or earmuffs, and limit exposure to loud environments.

If you or someone you know is experiencing hearing loss, it’s crucial to seek evaluation and guidance from an audiologist or ear, nose, and throat (ENT) specialist. Early diagnosis and appropriate management can help minimize the impact of hearing loss and improve overall quality of life.

Ear infections, also known as otitis media (middle ear infection) or otitis externa (outer ear infection), are common medical conditions that can affect individuals of all ages, particularly children. Here’s an overview of ear infections:

Otitis Media (Middle Ear Infection):

Causes: Otitis media typically occurs when the Eustachian tube, which connects the middle ear to the back of the throat, becomes blocked or dysfunctional. This can be due to respiratory infections, allergies, or anatomical factors.

Symptoms: Common symptoms include ear pain or discomfort, hearing loss, fever, and sometimes drainage of pus or fluid from the ear.

Treatment: Antibiotics may be prescribed if the infection is bacterial. Pain relievers and warm compresses can help alleviate discomfort. In some cases of recurrent or chronic otitis media, surgical interventions such as ear tube placement may be recommended.

Otitis Externa (Outer Ear Infection or Swimmer’s Ear):

Causes: Otitis externa often results from the introduction of water or moisture into the ear canal, creating a suitable environment for bacterial or fungal growth. It can also be caused by skin conditions or irritants.

Symptoms: Symptoms include ear pain (often worsened by pulling on the ear), itching, redness, drainage, and hearing loss. Pain can be severe in some cases.

Treatment: Treatment may involve antibiotic or antifungal ear drops, along with keeping the ear dry. Pain relief measures can also be recommended.

Chronic Ear Infections:

Some individuals, particularly children, may experience recurrent or chronic ear infections. This can lead to hearing problems and may require further evaluation by an ear, nose, and throat (ENT) specialist.

Preventing ear infections involves maintaining good ear hygiene and avoiding exposure to moisture for extended periods, especially in the case of otitis externa. For children prone to recurrent otitis media, certain interventions, such as pneumococcal vaccination, can help reduce the risk.

If you or your child experiences symptoms of an ear infection, it’s essential to consult a healthcare professional for a proper diagnosis and treatment. Untreated ear infections can lead to complications such as hearing loss, so timely medical attention is crucial.

Tonsillitis is a medical condition characterized by the inflammation of the tonsils, which are two small, oval-shaped masses of tissue located at the back of the throat, one on each side.

Causes: Tonsillitis can be caused by both viral and bacterial infections. 

Symptoms:

• Sore Throat: Tonsillitis typically starts with a sore throat, which can range from mild discomfort to severe pain.
• Fever: Many individuals with tonsillitis develop a fever, often accompanied by chills.
• Difficulty Swallowing: Swallowing may become painful and difficult due to the inflamed tonsils.
• Enlarged Tonsils: The tonsils may appear red, swollen, and may have white or yellow spots or pus on their surface.
• Swollen Neck Glands: Swollen lymph nodes (glands) in the neck are common due to the infection.

Diagnosis: A healthcare professional may diagnose tonsillitis through a physical examination of the throat, checking for swollen and inflamed tonsils, as well as by taking a throat swab to identify the cause, especially in cases of bacterial tonsillitis.

Treatment:

Viral Tonsillitis: Viral tonsillitis is typically managed with rest, hydration, pain relievers to alleviate symptoms. It usually resolves on its own within a week or so.

Bacterial Tonsillitis: If a bacterial infection is confirmed antibiotics are prescribed to treat the infection. It’s essential to complete the full course of antibiotics even if symptoms improve to prevent complications.

Supportive Care: To relieve symptoms, patients are often advised to gargle with warm salt water, use throat lozenges, and maintain adequate hydration.

Tonsillectomy: In cases of recurrent/severe tonsillitis or tonsillar hypertrophy a  surgical procedure called tonsillectomy may be recommended, which involves the removal of the tonsils.

Complications: Untreated or recurrent tonsillitis can lead to various complications, such as abscess formation, rheumatic fever, or kidney inflammation (post-streptococcal glomerulonephritis).

Laryngitis:

Laryngitis is a condition characterized by the inflammation of the larynx, which is commonly referred to as the voice box.

Causes:

• Viral Infections: Most cases of laryngitis are caused by viral infections, such as the common cold or influenza.
• Bacterial Infections: While less common, bacterial infections can also lead to laryngitis.
• Irritants: Excessive use of the voice, exposure to irritants like cigarette smoke, and frequent clearing of the throat can contribute to laryngeal irritation.
• Reflux: Gastroesophageal reflux disease (GERD) can cause stomach acid to flow back into the throat, leading to chronic laryngitis.
• Allergies: Allergic reactions can result in laryngeal inflammation.

Symptoms:

• Hoarseness: Hoarseness or a change in voice is the hallmark symptom of laryngitis. Your voice may sound raspy or strained.
• Sore Throat: Laryngitis often includes a sore or scratchy throat.
• Dry Cough: A dry, irritating cough may be present.
• Throat Pain: You may experience discomfort or pain in the throat.
• Difficulty Swallowing: Swallowing might be painful or uncomfortable.
• Laryngeal Irritation: You may feel a constant need to clear your throat.

Diagnosis: A healthcare professional can diagnose laryngitis through a physical examination, which may involve examining the throat and asking about symptoms. In some cases, a throat culture or laryngoscopy (a visual examination of the larynx with a thin, flexible tube) may be necessary.

Treatment:

• Rest Your Voice: One of the most effective treatments for laryngitis is vocal rest. This means avoiding talking, whispering, or singing to allow the inflamed vocal cords to heal.
• Hydration: Drinking plenty of fluids helps keep the throat moist and can soothe irritation.
• Humidifiers: Using a humidifier in your home can add moisture to the air, which can relieve dryness in the throat.
• Avoid Irritants: Stay away from smoking, secondhand smoke, and other irritants that can worsen laryngitis.
• Throat Lozenges: Over-the-counter throat lozenges or sprays can provide temporary relief from throat discomfort.
• Treatment of Underlying Causes: If laryngitis is caused by reflux, allergies, or a bacterial infection, treating the underlying condition is essential.

Duration: Acute laryngitis caused by a viral infection typically improves within a week or two with rest and self-care. Chronic laryngitis, often due to irritants or underlying medical conditions, may persist longer and require more extensive treatment.

Complications: In severe or chronic cases, laryngitis can lead to the development of vocal cord nodules, polyps, or scarring, which may require specialized treatment or voice therapy.

Gastroesophageal Reflux Disease (GERD):

Gastroesophageal reflux disease (GERD) is a chronic digestive disorder that occurs when stomach acid or, occasionally, stomach contents flow back into the esophagus, the tube that carries food from the mouth to the stomach.

Causes:

Weak Lower Esophageal Sphincter (LES): The primary cause of GERD is a weak or dysfunctional lower esophageal sphincter, a ring of muscle at the junction of the esophagus and the stomach. This muscle is responsible for preventing the backward flow of stomach contents.

Hiatal Hernia:

A hiatal hernia, where part of the stomach protrudes into the chest through the diaphragm, can also contribute to GERD.

Symptoms:

• Heartburn: A burning sensation in the chest, often after eating, is a classic symptom of GERD. This is commonly referred to as acid reflux.
• Regurgitation: Sour or bitter-tasting fluid may back up into the mouth or throat.
• Dysphagia: Difficulty swallowing may occur when the esophagus becomes irritated or narrowed.
• Chronic Cough: GERD can trigger a persistent cough, often worse at night.
• Sore Throat: The backflow of stomach acid into the throat can lead to a sore throat or hoarseness.
• Chest Pain: Chest pain that can mimic heart-related pain, known as non-cardiac chest pain, may occur.

Diagnosis:

• A healthcare professional may diagnose GERD based on your symptoms and medical history.
• Tests such as an upper endoscopy, pH monitoring, or esophageal manometry may be performed to assess the severity and complications of GERD.
• GERD is a chronic condition that often requires long-term management. It’s essential to work closely with a healthcare provider to develop a personalized treatment plan that addresses your specific symptoms and risk factors, as well as to monitor for any complications over time.

Snoring and Sleep Apnea:

Snoring and sleep apnea are both sleep-related issues that can affect the quality of a person’s sleep and overall health:

Snoring:

Definition: Snoring is the noise produced when airflow causes the tissues in the throat to vibrate during sleep.

Causes: Snoring can occur due to various factors, including nasal congestion, obesity, alcohol consumption, and sleeping position. It’s more common in older individuals.

Impact: While snoring is often harmless, it can disrupt the sleep of both the person who snores and their sleeping partner. In some cases, it can be a sign of underlying sleep apnea.

Sleep Apnea:

Sleep apnea is a sleep disorder characterized by repeated interruptions in breathing during sleep. There are two main types: obstructive sleep apnea (OSA) and central sleep apnea (CSA).

Obstructive Sleep Apnea (OSA): OSA is the more common type and occurs when the muscles in the throat relax excessively, blocking the airway.

Central Sleep Apnea (CSA): CSA is less common and occurs when the brain fails to send the proper signals to the muscles responsible for controlling breathing.

Impact: Sleep apnea can have serious health consequences. It often leads to disrupted sleep, resulting in daytime fatigue, impaired concentration, and an increased risk of accidents. It’s also associated with cardiovascular problems, hypertension, and diabetes.

Symptoms:

• Snoring: Frequent, loud snoring is a common symptom of both snoring and sleep apnea.
• Sleep Apnea: In addition to snoring, individuals with sleep apnea may experience:
• Pauses in breathing during sleep, often followed by choking or gasping for air.
• Excessive daytime sleepiness.
• Morning headaches.
• Difficulty concentrating.
• Mood changes.
• Fatigue and irritability.

Diagnosis:

• Snoring: Diagnosis is typically based on the sound itself, often reported by a sleeping partner.
• Sleep Apnea: Diagnosis requires a sleep study, which may be conducted in a sleep clinic or through home sleep apnea testing. This study monitors various physiological factors during sleep to detect apnea events.

Treatment:

• Snoring: Treatment options for snoring include lifestyle changes (weight loss, avoiding alcohol before bed), positional therapy (changing sleep position), and sometimes, the use of oral devices or surgery to address anatomical issues.
• Sleep Apnea: Treatment for sleep apnea may include lifestyle modifications, continuous positive airway pressure (CPAP) therapy (a machine that delivers pressurized air to keep the airway open), dental appliances, surgery (to remove excess tissue or reposition the jaw), or adaptive servo-ventilation (ASV) for central sleep apnea.

Both snoring and sleep apnea can impact sleep quality and overall health, so it’s important to seek evaluation and treatment if you or your partner experience symptoms that suggest these conditions. Sleep apnea, in particular, should be addressed promptly due to its potential health risks.

Prevention and Lifestyle for ENT Health

Preventing common Ear, Nose, and Throat (ENT) problems involves adopting healthy habits and making lifestyle choices that minimize the risk of these issues. Here are some prevention and lifestyle tips to help maintain good ENT health:

Protect Your Ears:

• Use hearing protection in noisy environments, such as concerts, construction sites, or when operating loud machinery.
• Lower the volume when listening to music through headphones or earbuds.
• Avoid inserting objects like cotton swabs or other foreign objects into your ear canal, as this can push earwax deeper and potentially cause damage.

Practice Good Ear Hygiene:

• Clean your ears gently and only the outer ear with a washcloth.
• If you’re prone to earwax buildup, consider using over-the-counter earwax removal drops or seek professional ear cleaning from an audiologist or ear, nose, and throat specialist.

Maintain Proper Nasal Care:

• Use a humidifier to add moisture to dry indoor air, especially during the winter months.
• Avoid overuse of nasal decongestant sprays, as they can lead to rebound congestion.
• Perform nasal irrigation with a saline solution to keep nasal passages clear.

Manage Allergies:

• Identify and avoid allergens that trigger your allergy symptoms.
• Consult an allergy specialist for allergy testing and personalized treatment options.

Practice Good Oral Hygiene:

• Regularly brush and floss your teeth to maintain oral health.
• Visit your dentist for regular check-ups and cleanings to prevent dental and throat-related issues.

Prevent Infections:

• Practice good hand hygiene by washing your hands frequently with soap and water.
• Avoid close contact with individuals who have respiratory infections to reduce the risk of ear and throat infections.

Stay Hydrated:

• Drink an adequate amount of water to keep the mucous membranes in your throat and nasal passages moist, which can help prevent irritation and infections.
• Avoid Smoking and Secondhand Smoke:
• Refrain from smoking, as it can contribute to a variety of ENT problems, including throat and voice disorders.
• Stay away from environments with secondhand smoke exposure.

Maintain a Healthy Diet and Weight:

•  A balanced diet rich in vitamins and minerals can support overall immune health and help prevent ENT infections.
• Maintain a healthy weight to reduce the risk of sleep apnea and other related issues.

Get Regular Check-Ups:

• Schedule routine check-ups with an ear, nose, and throat specialist for preventive care and early detection of potential issues.
• Remember that everyone’s ENT health is unique, so it’s essential to consult with a healthcare professional or specialist for personalized guidance and recommendations tailored to your specific needs and risks. Following these lifestyle tips can go a long way in preventing common ENT problems and maintaining good overall health.

The Importance of Professional ENT Care

Seeking professional help for Ear, Nose, and Throat (ENT) problems is crucial for several reasons, emphasizing the importance of timely medical intervention and expert care:

Accurate Diagnosis: ENT specialists, also known as otolaryngologists, are highly trained medical professionals with expertise in diagnosing and treating a wide range of ENT conditions. They have specialized equipment and knowledge to accurately diagnose the underlying causes of your symptoms.

Specialized Treatment: ENT specialists can provide specialized treatments and interventions that general practitioners may not be equipped to offer. They can tailor treatment plans to your specific condition and needs.

Early Intervention: Many ENT conditions can worsen if left untreated. Seeking professional help early can prevent the progression of the condition and minimize potential complications.

Prevention: ENT specialists can provide guidance on preventive measures to reduce the risk of future ENT problems. This includes advice on hearing protection, allergy management, and lifestyle modifications.

Customized Treatment Plans: ENT specialists consider your individual health history, lifestyle, and preferences when developing treatment plans. This ensures that you receive personalized care that aligns with your unique circumstances.

Access to Advanced Technology: ENT specialists have access to advanced diagnostic tools and surgical techniques that can enhance the accuracy and effectiveness of treatments.

Comprehensive Care: An ENT specialist can address a wide range of ENT issues, including hearing loss, sinusitis, voice disorders, allergies, and more. They can provide comprehensive care that encompasses various aspects of ENT health.

Expertise in Surgery: If surgery is required for conditions like chronic sinusitis, ear tube placement, or tonsillectomy, ENT specialists have the expertise to perform these procedures safely and effectively.

Monitoring and Follow-Up: Many ENT conditions require ongoing monitoring and follow-up care. An ENT specialist can provide long-term management and adjustments to your treatment plan as needed.

Improved Quality of Life: Effective treatment of ENT problems can lead to a significant improvement in your quality of life. This includes better hearing, reduced discomfort, improved sleep, and enhanced overall well-being.

Preventing Complications: Some ENT conditions, if not properly managed, can lead to serious complications. For example, untreated hearing loss can result in social isolation and cognitive decline, while chronic sinusitis can lead to more severe infections.

In summary, seeking professional help for ENT problems ensures that you receive accurate diagnoses, appropriate treatment, and expert care tailored to your unique needs. It can improve your overall health, prevent complications, and enhance your quality of life. If you’re experiencing any ENT-related symptoms or concerns, it’s advisable to consult with an ear, nose, and throat specialist for evaluation and guidance.

Conclusion and Personal Care Tips

In conclusion, common Ear, Nose, and Throat (ENT) problems, such as hearing loss, sinusitis, and throat infections, can have a significant impact on our daily lives, affecting communication, sleep, and overall well-being. Timely treatment and seeking professional help from ear, nose, and throat specialists are of paramount importance.

The importance of professional intervention lies in accurate diagnosis, specialized treatment, and personalized care plans that address the root causes of these conditions. Early intervention can prevent complications, improve quality of life, and enhance overall health.

ENT specialists, equipped with advanced diagnostic tools and expertise, play a critical role in identifying and managing ENT issues effectively. Their guidance not only provides relief from symptoms but also promotes prevention, ensuring that individuals can enjoy a healthier and more fulfilling life by addressing and managing common ENT problems in a timely and professional manner.

Your Ear, Nose, and Throat (ENT) health may not always be top of mind, but it plays a pivotal role in your daily life. Think about how vital your hearing, breathing, and voice are to your communication, work, and overall well-being.

Taking proactive steps to maintain your ENT health is not just wise; it’s essential. Here’s why:

Preserve Your Senses: Your hearing and sense of taste and smell are intricately connected to your enjoyment of life. By safeguarding your ENT health, you can savor the sounds, flavors, and scents that make life beautiful.

Enhance Communication: Effective communication is at the core of human interaction. Healthy vocal cords and clear sinuses are fundamental to how you express yourself and connect with others.

Sleep Soundly: Proper nasal function is crucial for quality sleep. Addressing issues like snoring or sleep apnea can lead to more restful nights and increased daytime energy.

Prevent Chronic Conditions: Many ENT problems, if left untreated, can lead to chronic issues. By addressing concerns early, you can prevent complications and costly treatments down the road.

Improve Quality of Life: When you take care of your ENT health, you open the door to a higher quality of life. You can breathe easier, hear more clearly, and enjoy the world around you to the fullest.

So, what can you do to maintain your ENT health?

Stay Hydrated: Proper hydration keeps your throat and nasal passages moist, reducing irritation.

Practice Good Ear Hygiene: Avoid inserting objects into your ears and seek professional help for earwax management.

Protect Your Hearing: Use ear protection in loud environments to prevent noise-induced hearing loss.

Manage Allergies: Control allergens to reduce the risk of sinus and throat issues.

Quit Smoking: Smoking damages your ENT system; quitting can bring significant improvements.

Regular Check-Ups: Visit an ENT specialist for routine check-ups, especially if you have concerns.

Taking proactive steps to maintain your ENT health isn’t just about avoiding problems; it’s about embracing life fully. Don’t wait until issues arise; prioritize your ENT health today, and savor every beautiful moment life has to offer.

About the Author

Dr Sahara Adhikari 

ENT head and neck surgeon

Allergy Specialist

MBBS(CTGU) MS(HBMU)

Allergy training (Banglore)

sahara.rimal@gmail.com

https://hamroartha.com/insurance/37627/

लिम्फोमाका बारेमा अझै पनि धेरै मानिस अनविज्ञ रहेको पाइन्छ । पछिल्लो समय बच्चाहरुमा लिम्फोमा रोग बढी देखिन थालेको छ । लिम्फोमा गम्भीर प्रकृतिको रोग भएकाले पनि यसको बारेमा जानकार हुनु आवश्यक छ । के हो लिम्फोमा ? बच्चामा यो कसरी लाग्छ ? लक्षण के कस्ता देखापर्छन् ? र बच्न के कस्तो सावधानी अपनाउने ? अंकुरण खबरका लागि बाल रोग,बाल क्यान्सर तथा रक्त रोग विशेषज्ञ डा.प्रकाशनीधि तिवारीसंग गरिएको कुराकानीमा आधारित अंश…

लिम्फोमा भनेको के हो ?
लिम्फोमा भनेको एक प्रकारको क्यन्सर हो । विशेष गरेर Epstein Barr Virusको संक्रमणबाट ग्रन्थीमा हुने एक प्रकारको क्यान्सरलाई नै लिम्फोमा भनिन्छ ।
बच्चाहरुमा पनि लिम्फोमा देखिने गरेको पाइन्छ । रोगप्रतिरोधात्मक क्षमता कम भएका विशेषतः ४ वर्षदेखि १२ वर्षका बच्चाहरुमा लिम्फोमा बढी देखिने गरेको पाइन्छ ।
सामान्यतया हजकिन र नन्हजकिन गरि लिम्फोमा २ प्रकारको हुन्छ

लिम्फोमा हुने कारण :
लिम्फोमा यही कारणले हुन्छ भन्ने भन्दा पनि जसमा रोगप्रतिरोधात्मक क्षमता कम छ, उसमा यसको संक्रमण हुने संभावना बढी हुन्छ । त्यस पछि वंशाणुगत गुण, एचआइभी एडसको संक्रमण ,गर्भावस्थामा विभिन्न पोषण तत्वको कमी लगाएतका कारणले हुनसक्छ । यसको अलाबा कहिले काँहि कुनै कारण नै थाँहा नहुदै पनि यो देखा पर्न सक्छ ।

लिम्फोमाका लक्षणहरु  :

पटक पटक ज्वरो आउने ।
ज्वरो आए पछि औषधि सेवन गर्दा पनि छिट्टै निको नहुने ।
एक्कासी तौल घट्ने ।
खलखली पसिना आउने ।
शरीरका विभिन्न भागमा गिर्खाहरु आउने ।
खाना अरुची हुने ।
नशाहरु सुन्निने ।

ठुलो मानिसको तुलानामा बच्चामा क्यान्सर लाग्यो भने धेरै छोटो निको हुन्छ । समयमै या पहिलो चरणमै यसको सही उपचार भयो भने यो छोटो समय मै पूर्ण ठीक हुनसक्छ । चकित्सको सल्लाहा बमोजिम भनेको मान्यो साबधानी अप्नायो भने बच्चाले सहज जीवनयापन जीउन सक्छ ।

यसको बेलैमा उपचार गरिएन भने अन्य अंगमा के कस्तो असर गर्छ ?
यसको संक्रमण बढ्दै गयो भने कलेजो,फियो सुन्निने,कहिलेकाही बोन म्यारोमा फैलने,मस्तिष्क या ढाडमा समेत फैलन सक्छ र मृत्युसमेत हुने गर्दछ ।

यसको उपचार विधि के कस्तो हुन्छ ?
लिम्फोमा कुन अवस्थामा पुगेको छ सोही अनुसार यसको उपचार विधि निर्धारण हुन्छ ।पहिलो, दोस्रो चरणमा छ भने करिब तीन हप्ता औषधि चलायो भने पूर्ण ठीक हुन्छ । भने तेस्रो चरणमा छ भने कुनैमा ५ हप्तासम्म पनि चलाउनु पर्ने हुन सक्छ ।चौथो पाचौं चरणमा पुगेको छ भने कडा उपचार गर्नु पर्ने हुन सक्छ यो अवस्थामा पुगेका बिरामी ५० प्रतिशत मात्र बाच्ने संभावना रहन्छ तर जति पछि उपचार गर्यो उती ढीला, अप्ठ्यारो,महंगो पर्न सक्छ र दोहोरीने संभावना पनि बढी रहन्छ ।

यसबाट बच्न के गनुृपर्छ ?
यही कुरामा सावधानी अप्नायो भने यस्तो क्यान्सरबाट बच्न सकिन्छ भन्ने हैन तर यो बाट बच्न गर्भावस्थामा जथाभावी औषधिको सेवन नगर्ने ।
यदि आफ्ना अग्रज कसैलाई यस्तो समस्या छ भने या माथिका कुनै पनि लक्षण देखियो भने तुरुन्त विशेषज्ञकोमा स्वास्थ परीक्षण गर्नुपर्छ । यसको उपचार महंगो भएकाले पनि पहिलो सुरुवाती चरण वा पहिलो दोस्रो चरणमा हुँदै उपचार गरायो भने पूर्ण निको हुन्छ ।

चिसो बढेसँगै बालबालिका बिरामी हुने क्रम पनि बढ्छ । जाडो मौसममा बालबालिकालाई कसरी जोगाउने भन्ने विषयमा इशान बाल तथा महिला अस्पतालमा कार्यरत बालरोग विशेषज्ञ डा. सर्वेश कुमार दाससँग गरिएको कुराकानीको अंश:

मंसिर महिनाको उत्तरार्धतिर आइपुग्दा चिसो ह्वात्तै बढेको छ। अत्यधिक चिसो हुने पुस माघ त बाँकी नै छ। जाडोमा विशेषगरी नवजात शिशु र साना साना बालबालिकालाई जोगाउने चुनौती अभिभावकसामु हुन्छ। चिसोयाममा सानो हेलचेक्रयाइँका कारण बालबालिकाको स्वास्थ्यमा ठूलो समस्या आउनसक्छ। उनीहरूलाई न्यानो पार्ने प्रक्रिया नमिल्दा वा बेवास्ताका कारण उनीहरूको शरीरको तापक्रम न्यून हुन पुग्छ। चिसोका कारण उनीहरूलाई ‘हाइपोथर्मिया’ हुन सक्छ। हाइपोथर्मिया भयो भने बच्चाको शरीर छाम्दा चिसो महशुस हुन्छ।

शरीर अत्यधिक चिसो भएकै कारणले गर्दा बच्चाहरूमा इन्फेक्सनको समस्या देखिन्छ। रुघाखोकीदेखि निमोनिया, ब्रोन्काइटिसजस्ता जटिल समस्या आउन सक्छन्। यस्ता समस्याले बालबालिकालाई श्वास फेर्न गाह्रो हुन्छ। चिसोबाट जोगाउन नसक्दा उनीहरूको ओठ र हातगोडा निलो देखिन्छ। खाना खुवाउँदा खान नमान्ने र बान्ता गर्ने गर्छन्।

उपचार

सामान्यतया नवजात शिशुहरूको रोग पत्ता लगाउन कठिन हुन्छ, चिकित्सकहरूलाई। ठूला बच्चाहरूलाई अलि सहज हुन्छ। चिसोबाट उत्पन्न सामान्य समस्या भए ठूला बालबालिकालाई घरमै पनि औषधि दिएर उपचार गर्न सकिन्छ। शिशुमा त्यो सम्भव हुँदैन। अस्पताल नै लग्नुपर्छ। निमोनिया, सेप्सिस इन्फेक्सन र ब्रोन्काइटिसजस्ता समस्या देखिए उनीहरूलाई अस्पतालमा भर्ना गरेर उपचार गर्नुपर्छ।

जोगाउने उपाय

नवजात शिशु होस् या अलि ठूला बालबालिका उनीहरूलाई स्वास्थ्यसम्बन्धी समस्याबाट जोगाउने दायित्व र भूमिका आमाबुबाकै हुन्छ। चिसोको सन्दर्भमा पनि शिशुलाई समयमा दूध खुवाउने, सफा राख्ने, न्यानो कपडा लगाइदिने र कोठाको तापक्रम मिलाएर राख्ने जस्ता दायित्व अभिभावककै हुन्। तर न्यानो पार्ने नाममा शिशुलाई बढी कपडा लगाइदिँदा पसिना आउनसक्छ। पसिनाकै कारण चिसाे भएर निमोनिया हुने खतरातर्फ पनि ध्यान दिनुपर्छ।

अलि ठूला बच्चा भए समयमा पौष्टिक खानेकुरा खुवाउने, न्यानो कपडा लगाइदिने र बाहिर चिसोमा खेल्न नदिनेजस्ता काम गर्नुपर्छ।
विशेषगरी नवजात शिशुलाई हेर्न आफन्त र पाहुनाको लर्को लाग्छ। त्यो वेला उनीहरूमा भएको रुघाखोकी जस्ता संक्रमणले बालकलाई नभेटोस् भनेर सतर्कता अपनाउनुपर्छ। बच्चाहरूलाई बाहिर लिएर हिँड्दा विशेषगरी हावाको प्रत्यक्ष प्रभाव पर्नेगरी दुईपाङ्ग्रे सवारीसाधनमा जानुहुँदैन।

३० वर्षदेखि नर्सिङ पेशामा रहेकी दिलकुमारी गुरुङ हाल काठमाडौंको ईशान बाल तथा महिला अस्पतालमा मेट्रोन छिन्। उनै नर्स दिलकुमारीका कुरा यो पटकको नर्सका कुरामा–

मैले नर्सिङ पेशा शुरु गरेको ३० वर्षभन्दा बढी भइसकेको छ। नेपाल प्रहरीमा ३० वर्ष सेवा गरी ‘रिटायर्ड’ भएकी हुँ। केही महिनादेखि ईशान बाल तथा महिला अस्पतालमा मेट्रोन छु।

सानै उमेरदेखि अरुको सेवा गर्ने, बिरामी र अशक्तहरूको सेवा गर्ने इच्छा पलाउँथ्यो ममा। कोही दुःखमा परेको मानिस देखे कसरी सेवा गर्ने होला भन्ने कुरा मनमा खेलिरहन्थ्यो। तर कसरी सेवा गर्ने भन्ने कुनै ‘आइडिया’ थिएन।

सानैदेखि देखेको सपना पूरा गर्ने माध्यम मेरै बुबा बन्नुभयो। बुबा भारतीय सेनामा काम गर्नुहुन्थ्यो। म सानै छँदा लडाइँकै क्रममा एकपटक बुबालाई ठूलो चोट लाग्यो। शल्यक्रियापश्चात् पनि निकै महिना अस्पताल बस्नुपर्ने भयो। त्यसबेला अस्पतालमा बस्दा नर्सहरुले गरेको सेवा देखेर बुबालाई छोरीलाई पनि यस्तै बनाउँछु भन्ने सोच आएछ।

पछि उहाँले नै मलाई नर्स पढ्न प्रेरणा दिनुभयो। त्यसैले बुबाकै कारण म आज यो पेशामा छु। बुबाको रोजाइ भए पनि बिस्तारै यो पेशा मेरो पनि रोजाइ बन्दै गयो। यसमै रमाएँ।

पीसीएल लेभलको पढाइ सकेलगत्तै प्रहरी अस्पतालमा नर्स मागेको थियो निवेदन दिएँ। पास पनि भएँ। त्यसबेला अहिले जस्तो धेरै नर्स उत्पादन हुँदैनथे। जागिरका लागि अलि सजिलो नै थियो।

जागिरे त भएँ। प्रहरी अस्पतालमा काम गर्न निकै कठिन हुन्थ्यो। शुरु शुरुमा निकै गाह्रो भयो। संगठनको कडा नियम कानुनमा बाँधिन साह्रै गाह्राे । तर पछि बिस्तारै बानी पर्दै गयो।

अहिले त्यहाँबाट रिटायर्ड भएपछि मैले ईशान बाल अस्पताल रोजेँ। यसको पनि कारण छ। मलाई बच्चाहरूको सेवा गर्न निकै आनन्द लाग्छ। अबको समय बालबालिकाको सेवामा समर्पित गर्ने विचार छ।

यो अस्पताल प्रहरी अस्पतालभन्दा पक्कै धेरै हिसाबमा फरक छ। यहाँ स–साना बालबालिका विभिन्न प्रकारका रोग लिएर आउँछन्। कोही त आफ्नो समस्या समेत भन्न नसक्ने अवस्थाका हुन्छन्।

उनीहरूको लक्षण हेरेर उपचार गर्नुपर्छ। त्यसैले पनि काम एउटै भए पनि तरिका फरक छ। ईशान बच्चाहरुको लागि विशिष्टीकृत अस्पताल हो। यहाँ विशेष उपचार हुन्छ। म अब यी स–साना बालबालिकाको मुहारमा मुस्कान देखेर रमाउन थालेकी छु। यसको छुट्टै सन्तुष्टि छ।

अहिले नर्सिङ क्षेत्रमा धेरै चुनौती छन्। धेरै प्राइभेट अस्पतालले नर्सलाई कम तलब दिएर उनीहरूको श्रमशोषण गरिहेका छन्। बिरामी धेरै नर्स थोरै हुँदा समस्या हुन्छ। अनि गाली नर्सले खानुपर्छ।

यस्ता कुराहरूले अलिकति नरमाइलो त लाग्छ नै, तर समाजमा नर्सलाई हेर्ने दृष्टिकोण भनें बदलिँदै गएको छ। हामीले पढ्ने बेलासम्म धेरैले नर्स बनेकी भनेर कुरा काट्थे। तर अहिले यो सम्मानित पेशा मानिन्छ। यो देखेर मलाई खुशी लाग्छ।

प्रस्तुती:  अशिम सापकोटा