Know how bad lifestyle can affect your reproductive health.- जानिए कैसे खराब लाइफस्टाइल आपकी प्रजनन क्षमता को प्रभावित करता है।

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बांझपन दुनिया भर में रिप्रोडक्टिव आयु के लाखों लोगों को प्रभावित करता है। एक अनुमान के अनुसार, 48 मिलियन जोड़े और 186 मिलियन व्यक्ति विश्व स्तर पर बांझपन से निपटते हैं। एक अध्ययन के अनुसार, भारत में सक्रिय रूप से गर्भ धारण करने का प्रयास करने वाले लगभग 27.5 मिलियन जोड़े बांझपन से पीड़ित हैं।

खराब हो रही है दुनिया भर की सेहत

विश्व स्तर पर, 18 वर्ष से अधिक आयु के 39 प्रतिशत वयस्क अधिक वजन वाले हैं और 13 प्रतिशत मोटे हैं, और दुनिया भर में, मोटापा 1970 के दशक से तीन गुना हो गया है। मोटापा हाई ब्लड प्रेशर, डायबिटीज, हृदय रोग और बांझपन जैसी बीमारियों के लिए जीवन शैली से संबंधित सबसे बड़ा जोखिम कारक बन गया है। लेप्टिन, मुक्त फैटी एसिड (एफएफए), और साइटोकिन्स जैसे कई कारकों के उत्पादन के माध्यम से वसा ऊतक अच्छी प्रजनन क्षमता के लिए आवश्यक हार्मोनल संतुलन को प्रभावित कर सकते हैं।

fertility-problems.jpg
बेहतर प्रजनन क्षमता के लिए जीवनशैली में सुधार करें। चित्र शटरस्टॉक

उच्च बॉडी मास इंडेक्स (बीएमआई) वाली महिलाओं में अंडा उत्पादन, अनियमित मासिक धर्म चक्र, गर्भपात की घटनाओं में वृद्धि और गर्भावस्था की जटिलताओं में वृद्धि हुई है।

पॉलीसिस्टिक ओवेरियन डिजीज वजन बढ़ने के साथ जुड़ा हुआ है और महिलाओं में बांझपन का सबसे आम कारण है।

पुरुष प्रजनन प्रणाली में, उच्च बीएमआई वाले पुरुषों में वीर्य की अस्वीकृति, शुक्राणु की अनुपस्थिति या निम्न स्तर, या असामान्य आकार (आकृति विज्ञान) और शुक्राणु की गति (गतिशीलता) में समस्याएं पाई जाती हैं। बांझपन से पीड़ित लगभग 40 प्रतिशत जोड़ों में पुरुष कारकों की समस्या होती है।

देर से विवाह और अपने तीसवें और चालीसवें दशक में गर्भधारण की कोशिश करने वाले जोड़े प्रजनन क्षमता की कम दर में योगदान करते हैं। दोषपूर्ण आहार और गतिहीन जीवन शैली के नकारात्मक प्रभाव हार्मोनल असंतुलन का कारण बनते हैं जिससे बांझपन होता है।

जानिए कुछ और कारकों के बारे में

यह समझना महत्वपूर्ण है कि बांझपन पुरुषों और महिलाओं दोनों को समान रूप से प्रभावित करता है। गर्भवती होने की क्षमता पूरी तरह से विरासत में नहीं मिली है।

ek badi aabadi fertility me samasya ka samna kar rahi hai
शहरी क्षेत्रों की एक बड़ी आबादी प्रजनन क्षमता में समस्या का सामना कर रही है। चित्र: शटरस्टॉक

कई पर्यावरणीय, आनुवंशिक और अधिग्रहित कारक हैं जो वर्तमान प्रजनन आयु समूहों में प्रजनन क्षमता में गिरावट की तरफ ले जाते हैं जो कि 25 से 34 वर्ष के बीच है।

जीवनशैली से संबंधित कुछ बांझपन के कारण जिन्हें संशोधित किया जा सकता है वे हैं:

1. खराब जीवनशैली

विभिन्न कारक जैसे देर से काम करने के घंटे, कब्रिस्तान की शिफ्ट, अनियमित सोने का समय, नींद के पैटर्न में गड़बड़ी, साथ ही तनाव और चिंता हमारी दैनिक दिनचर्या को प्रभावित करते हैं। नियमित व्यायाम की कमी के साथ, जो मोटापा, हार्मोनल विकार और अनियमित अवधियों का कारण बनता है।

मोटापा शुक्राणुओं को नुकसान पहुंचाता है: पुरुष हार्मोन असंतुलित अनुपात, काम पर लंबे समय तक बैठने से उत्पन्न गर्मी शुक्राणुओं को प्रभावित करती है। लंबे समय तक तंग अंडरगारमेंट्स, जींस पहनने से निश्चित रूप से हानिकारक प्रभाव पड़ता है।

2. खराब आहार विकल्प

कार्बोहाइड्रेट के साथ अधिक जमे हुए, तत्काल और पैकेज्ड खाद्य पदार्थ, और फाइबर युक्त आहार, बाजरा, फल और सब्जियां कम खाना हानिकारक हो सकता है। उच्च शर्करा वाले खाद्य पदार्थ और बेकरी उत्पाद, और पैक और संरक्षित सामान में प्रोबायोटिक्स की कमी सामान्य योनि जीवाणु वनस्पतियों में संतुलन को बदल देती है जो योनि, गर्भाशय ग्रीवा और गर्भाशय के संक्रमण को रोकने में बहुत आवश्यक है।

emotional eating ke fayde
पैकेज्ड खाद्य पदार्थ खाना हानिकारक हो सकता है। चित्र शटरस्टॉक

शुक्राणु की गुणवत्ता सीधे आहार संबंधी आदतों से प्रभावित होती है। महिलाओं में, एक खराब आहार के परिणामस्वरूप ओव्यूलेशन डिसफंक्शन और पीरियड्स में देरी हो सकती है, जिससे बांझपन हो सकता है। अनियमित भोजन समय भी बीएमआई को प्रभावित करने में एक भूमिका निभाता है।

3. ज्ञान की कमी

किशोरावस्था के दौरान यौन और प्रजनन स्वास्थ्य में शिक्षा की कमी से यौन संचारित रोग हो सकते हैं, जिससे ट्यूबल समस्याओं (tubal problems) के कारण अपरिवर्तनीय बांझपन हो सकता है। इसके अलावा, फर्टाइल विंडो के बारे में ज्ञान की कमी बहुत आम बात है। काम की शिफ्ट के कारण या नौकरी से संबंधित अलग-अलग जगहों पर रहने के कारण जब वास्तव में इसकी आवश्यकता होती है तो लोग सेक्स नहीं करते हैं।

4. करियर को प्राथमिकता देने की प्रवृत्ति

लोगों में शादी और बच्चे के जन्म को स्थगित करके वित्तीय स्थिरता की तलाश करने की प्रवृत्ति होती है। यूरोपीय महिलाओं की तुलना में भारतीय महिलाएं रिप्रोडक्टिव उम्र बढ़ने में छह साल आगे हैं। भारतीय महिलाओं की मेनोपॉसल (menopausal) की औसत आयु 47 वर्ष है लेकिन यूरोपीय महिलाओं के लिए यह 51 वर्ष है।

इसलिए, प्रजनन जीवन छोटा है और हम अपने दैनिक अभ्यास में कई महिलाओं को कम एएमएच (एंटी मुलेरियन हार्मोन) के साथ देखते हैं। लड़कियों में शुरुआती मासिक धर्म ने समस्या को और बढ़ा दिया है क्योंकि उनका प्रजनन जीवन जल्दी शुरू होता है और जल्दी खत्म हो जाता है।

5. पर्यावरण प्रदूषण के लिए एक्सपोजर

इससे कई महिलाओं में पॉलीसिस्टिक ओवरी सिंड्रोम हो गया है और शुक्राणुओं की मात्रा और गुणवत्ता भी कम हो गई है। प्लास्टिक के अत्यधिक उपयोग से हमारे शरीर के विभिन्न अंगों को नुकसान होता है। लड़कियों में 10 साल से पहले शुरुआती माहवारी या असामयिक यौवन को वायु प्रदूषण और खाद्य पदार्थों में मिलावट का उपोत्पाद (By-product) कहा जाता है।

cannabis
धूम्रपान आपकी मेंटल हेल्थ को बुरी तरह प्रभावित करता है। चित्र:शटरस्टॉक

6. धूम्रपान और शराब पीना

धूम्रपान और शराब का सेवन, साथ ही गैजेट्स से विद्युत चुम्बकीय विकिरण शुक्राणुओं की संख्या को काफी कम कर सकते हैं और शुक्राणु के डीएनए को नुकसान पहुंचा सकते हैं।

महिला धूम्रपान करने वालों को अपने ओवेरियन रिजर्व (ovarian reserve) में तेजी से गिरावट का अनुभव होता है, यानी फॉलिकल्स (follicles) की संख्या कम हो जाती है, एएमएच का स्तर गिर जाता है और समय से पहले मेनोपॉसल (menopausal) हो सकता है।

इन कारणों के समाधान स्व-व्याख्यात्मक (self-explanatory) हैं। यौन जीवन शुरू करने से पहले परामर्श, सुरक्षित गर्भनिरोधक परामर्श, प्रसव पूर्व सलाह लेना इन मुद्दों को कम करने और कई जोड़ों में प्रजनन क्षमता को बहाल करने में एक लंबा रास्ता तय कर सकता है।

युवा पीढ़ी को इन कारकों से अवगत होना चाहिए जो उनकी प्रजनन क्षमता को खतरे में डालते हैं और गर्भावस्था की योजना बनाते समय उचित परामर्श लेना चाहिए। जल्द से जल्द डॉक्टर की सलाह लें।

यह भी पढ़े- इन 5 सुपरफूड्स के साथ आप बेहतर तरीके से मैनेज कर सकती हैं पीसीओएस 

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