आंत्रज्वर और परांत्रज्वर

aantrajvar aur paraantrajvar donoan 'salamonaila taeefosiya' namak jivanuoan ke karan utpann hote haian. rog ki avastha mean tatha rogamukt hone ke pashchath‌ bhi kuchh vyaktiyoan ke mal mean ye jivanu pae jate haian. ye vyakti rogavahak kahalate haian. manushyoan mean rog ka sankraman bhojan aur jal dvara hota hai, jinamean jivanu makkhiyoan ya rogavahakoan ke hathoan mean pahuanch jate haian. adhunik svasthyaprad paristhitiyoan dvara rog ka bahut kuchh niyantran kiya ja chuka hai. pichhale kee varsho mean is rog ki koee mahamari nahian phaili hai, kiantu ab bhi jahaan-tahaan, visheshakar ooshn pradeshoan mean, rog hota hai.

jivanu sharir mean pravesh karane ke pashchath‌ kshudraant mean 'payar ke kshetroan' mean bas jate haian aur vahaan atigalan utpann karate haian, jisake karan vahaan bran ban jata hai. kuchh jivanu rakt mean bhi pahuanch jate haian jahaan se unaka sanvardhan kiya ja sakata hai, visheshakar pahale saptah me. rudhir mean is prakar jivanuoan ke pahuanchane se any kshetroan mean gaun sankraman utpann ho jata hai, udaharanat: lasika granthiyoan, yakrit, pliha aur asthimajja mean. pittanalika mean sankraman atyant mahatvapoorn hai, kyoanki vahaan se jivanu adhikadhik sankhya mean aantr mean pahuanchate haian tatha ne-ne hvran utpann karate haian aur mal mean adhikadhik jivanu jate haian.

pratham sankraman se 10 se 14 din tak mean rog ubh data hai.

lakshan - is rog ka lakshan hai mand jvar jo dhire dhire badhata hai. aranbh mean bechaini ya pet mean mand pi da, siradard, tabiyat bhari jan p dana, bhookh n lagana,kaph aur koshthabaddhata. char paanch din bad jvar aantariya sa ho jata hai aur tap 102 se 104 digari pharanahait ke bich ghatata badhata hai. lagabhag satavean din sharir ke vibhinn bhagoan mean alapin ke sir ke barabar gulabi dane dikhaee p date haian. ye dane visheshakar vaksh ke samane aur pichhe ki or dikhaee dete haian. pliha aur yakrit bhi kuchh badh jate haian aur rogi kuchh behosh sa dikhaee deta hai. na di is avastha mean pray: mand rahati haian. kuchh manasaki lakshan, jaise bechaini, bichhaune ki chadar ko ya nak ko nochana or pralap bhi utpann ho jate haian. rog ki avadhi pray: chhah se ath saptah tak hua karati hai. rog ke lakshan usi prakar kam hote haian jis prakar praranbh mean ve dhire dhire badhate haian.

vishisht pratijivanuk chikitsa ke praranbh ke poorv is rog ke 30 pratishat rogiyoan ki mrityu ho jati thi, kiantu kloraianphenikol namak aushadhi ke prayog se ab ham, yadi upayukt samay par nidan ho jae aur uchit chikitsa praranbh kar di jae, pratyek rogi ko rogamukt kar sakate haian.

mrityu pray: aise upadravoan ke karan hoti hai jaise aantr mean chhidran (chhed ho jana), raktapravah, asadhy atisar tatha tivr karnapataharti. manasaki lakshanoan se koee bure parinam nahian hote, yadyapi rogi ke sanbandhi log usase bahut dar jate haian. mrityu ka vishisht karan charm ki raktavahini koshikaoan ka prasar hota hai, jo jivanu dvara utpann vishoan ka parinam hota hai. isake karan bhitari aangoan ko, visheshakar hriday ko, paryapt rakt nahian mil pata. ajakal is upadrav ki bhi santoshajanak chikitsa ki ja sakati hai.

nidan - rog ki vishisht praranbhavidhi se, jisaka oopar varnan kiya ja chuka he, rog ka sandeh karana saral haian, kiantu vaijnanik nidan ke lie jivanuoan ka sanvardhan karana ya pratipiandoan ki prachur sankhya mean dekha jana avashyak hai. pratham saptah mean rakt se jivanu sanbardhit kie ja sakate haian. vaijnanik nidan ka yahi achook adhar hai. rog ke 10 din ke pashchath‌ mal aur mootr se bhi jivanuoan ka sanvardhan kiya ja sakata hai. is avastha mean samoohak pratikriya (aglootineshan test), jisako vidal parikshan bhi kahate haian, pray: sakaratmak milati hai. jaanch ke nakaratmak hone ka koee mooly nahian, kyoanki 10 se 15 pratishat rogiyoan mean jaanch rog ke poorn kal bhar nakaratmak rahati hai.

rogarodhan - is rog ki vaiksin (ti.e.bi.) ke prayog se rog mean vishesh kami huee hai, visheshakar sainik vibhag mean, jahaan isaka prayog anivary hai aur pratyek sainik ko isake ianjekshan die jate haian. ab sabhi deshoan mean isaka prayog kiya jata hai aur isamean sandeh nahian ki isase rogadhamata utpann hoti hai, jo chhah mas se ek varsh tak rahati hai. 0.2 se 1 ghan seantimitar vaiksin ke, ek saptah ke aantar se, tin bar ianjekshan die jate haian.

chikitsa - aantrik jvar ki chikitsa ke lie kloraianphenikale aushadhi atyant vishisht pramanit huee hai. rog ka nidan hote hi, sharirabhar ke prati kilagram ke lie 25 se 30 miligram ke hisab se, rogi ko yah aushadhi khilana praranbh kar dena chahie. aur jvar utar jane ke bad rog ka punarakraman koee asadharan bat nahian hai. isalie kuchh vidvanh‌ jvar utarane ke 10 din pashchath‌ tak aushadhi dene ka paramarsh dete haian. kuchh vidvanh‌ is kal mean vaiksin dene ke pakshapati haian. yadi upadrav ke roop mean praantik (peripheral) raktavasad ho jae to usaki chikitsa glookoz tatha sailain ko rakt mean pahuanchakar saphalatapoorvak ki ja sakati hai. hatkochi (sistolik) rakt dab ke 80 milimitar se kam ho jane par naur-aidrinelin mila dena chahie. raktasrav hone par raktadhan (blad taisafyoozan) karana chahie. aantrachhidran hone par shalyakarm avashyak hai. atyant ugradashaoan mean stiraidoan ka prayog apekshit hai.

pairataifaid jvar - yah itana adhik nahian hota, jitana aantrajvar. pairataifaid-bi ki apeksha pairataifaid-e adhik hota hai. yah rog itana tivr nahian hota. kloraianphenikol se labh hota hai, kiantu taifaid ke saman nahian. bahut se rogi samany chikitsa aur uchit upacharya se hi arogyalabh kar lete haian.

panne ki pragati avastha

adhar

prarambhik

madhyamik

poornata

shodh