अस्थिचिकित्सा

asthichikitsa - shalyatantr ka vah vibhag haian, jisamean asthi tatha sandhiyoan ke rogoan aur vikritiyoan ya viroopataoan ki chikitsa ka vichar kiya jata hai. atev asthi ya sandhiyoan se sanbandhit avayav, peshi, kandara, snayu tatha na diyoan ke tadgat vikaroan ka bhi vichar isi mean hota hai.

yah vidya atyant prachin hai. asthichikitsa ka varnan sushrutasanhita tatha hippaanchakretij ke lekhoan mean milata hai. us samay bhagnasthioan tatha chyutasandhiyoan (dislokeshan) tatha unake karan utpann huee viroopataoan ko hastasadhan, aangoan ke sthirikaran or malish adi bhautik sadhanoan se thik karana hi is vidya ka dhyey tha. kiantu jab se eks-re, nishchetan vidya (ainesthiziya) or shastrakarm ki vishesh unnati huee hai tab se yah vidya shalyatantr ka ek vishisht vibhag ban gee haian aur ab asthi tatha aangoan ki viroopataoan ko b de athava chhote shastrakarm se thik kar diya jata hai. n keval yahi, apitu vikalaang shishuoan or un balakoan ke, jinake aang tedhe-medhe ho jate haian ya janm se hi poornataya vikasit nahian hote, aangoan ko thik karake upayogi banana, upayogi kamoan ko karane usaka pun:sthapan (rihaibiliteshan) karana, jisase vah samaj ka upayogi aang ban sake aur apana jivikoparjan kar sake, ye sab ayojan aur prayatn is vidya ke dhyey haian.

hastasadhan (mainipyuleshan) aur sthirikaran (ianmobilaizeshan)- in do kriyaoan se asthibhang, sandhichyuti tatha any viroopataoan ki chikitsa ki jati hai. hastasadhan ka arth hai toote hue ya apane sthan se hate hue bhagoan ko hathoan dvara hila dulakar unako svabhavik sthiti mean le ana. sthirikaran ka arth hai chyut bhagoan ko apane sthan par lakar achal kar dena jisase ve phir hat n sakean. pahale lak di ya khapachi (spliant) ya lohe ke kankal tatha any isi prakar ki vastuoan se sthirikaran kiya jata tha, kiantu ab plastar aauv peris ka upayog kiya jata hai, jo pani mean sanakar chhop dene par patthar ke saman k da ho jata hai. avashyak hone par shastrakarm karake dhatu ki patti aur peanchoan dvara ya asthi ki kil banakar toote asthibhagoan ko jo da jata hai aur tab aang par plastar chadha diya jata hai.

isi prakar avashyakata hone par sandhiyoan, na diyoan tatha kandaraoan ko shastrakarm karake thik kiya jata hai.

bhautiki chikitsa (phiziyotherapi) - aisi chikitsa asthichikitsa ka vishesh mahatvapoorn aang hai. shastrakarm tatha sthirikaran ke pashchath‌ aang ko upayogi banane ke lie yah anivary hai. bhautiki chikitsa ke vishesh sadhan tap, udvartan (malish) aur vyayam haian.

jahaan jaisa avashyak hota hai vahaan vaise hi roop mean in sadhanoan ka prayog kiya jata hai. shushk seank,ardr seank ya vidyatukiranoan dvara seank ka prayog ho sakata hai. udvartan hathoan se ya bijali se kiya ja sakata hai vyayam do prakar ke hote haian -jinako rogi svayan karata hai ve sakriy hote haian tatha jo doosare vyakti dvara balapoorvak karae jate haian. ve nishkriy kahalate haian. pahale prakar ke vyayam uttam samajhe jate haian. doosare prakar ke vyayamoan ke lie ek shikshit vyakti ki avashyakata hoti hai jo is vidya mean nipun ho.

pun:sthapan-yah bhi chikitsa ka vishesh aang hai. rogi ki viroopata ko yathasanbhav door karake usako koee aisa kam sikha dena. jisase vah jivikoparjan kar sake, isaka uddeshy hai. taipiang, chitr banana, sina, bunana adi aise hi karm haian. yah kam vishesh roop se samajasevakoan ka hai, jinhean asthichikitsa vibhag ka ek aang samajha ja sakata hai.

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