आमवातज्वर

amavatajvar (roomaitik jvar) ka karan ajakal staiphilokokas (ek prakar ke roganu) samooh ka vilambit sankraman samajha jata hai, parantu isamean pooyotpadan nahian hota (pib nahian banati). ab tak isaka bahut kuchh praman mil chuka hai ki raktadravak staiphilokokas jivanu ki upasthiti se rog prakat hota hai. pahale shvasamarg ke oopari bhag ka sankraman, phir ek se do saptah ka guptakal , tatpashchath‌ roomaitik jvar ka utpann hona, yah kram rog mean itani adhik bar paya jata hai ki usase in avasthaoan ke apas mean sanbandhit hone ki bahut adhik sanbhavana jan p dati hai. kiantu is sanbandh ki sabhi batoan ka abhi tak thik thik pata nahian chal saka hai. bahut se vidvanh‌ parivartit ootak pratikriya ko isaka karan manate haian.

roomaitik jvar mean sharir ke sautrik ootakoan mean vishesh parivartan hote haian; unamean chhoti gaanthean nikal ati haian, jinakoan 'aish aauf piand' kahate haian. yah rog sare sansar mean hota hai. shit pradeshoan mean, jahaan ardrata adhik hota hai, rog visheshakar hota hai aur asvachchh dashaoan mean rahanevale vyaktiyoan mean adhik paya jata hai. yah do se 15 varsh ke, arthat skool janevale balakoan ko vishesh kar hota hai.

pustakoan mean varnit lakshan, shit ke sath jvar ana, 100 se 102 digri tak jvar, ek ke pashchath‌ doosare jo d mean shoth hona tatha sandhiyoan mean pi da aur soojan, pasina adhik ana adi bahut kam rogiyoan mean pae jate haian. adhikatar aangoan tatha jo doan mean pi da, mandajvar, thakan aur durbalata, ye hi lakshan pae jate haian. isi prakar ke mand rogakram mean hriday tatha mastishk akraant ho jate haian.

yuvavastha mean hue ugr akramanoan mean rog shighrata se badhata hai. jvar 103 se 104 digri tak ho jata hai. sandhishoth bhi tivr hota hai, kiantu hriday aur mastishk apekshakrit bach jate haian. uchit chikitsa se jvar aur sandhishoth shighr hi kam ho jate haian aur rogi arogyalabh karata hai.

hridarti - balak ka akasmath‌ nilavarn ho jana, shvas lene mean kathinaee hona, hadaveg ka badh jana, navin sandhi ke akraant n hone par bhi jvar ka badhana, ye lakshan hriday ke akraant hone ke dyotak haian. is dasha mean vishisht chihn ye haian-parihrichchhadiy (perikardiyal) gharshan dhvani, hridagati mean kramahinata, visheshakar hridayarodh (hart bl aauk) hriday ki tvarit gati (gailap ridy), hriday ke shikhar par hatsankochi tivr marmar dhvani, hriday ke mahadhamani kshetr mean sankochi mridu marmar aur vistariyakal ke bich mean g dag dahat ki dhvani. in lakshanoan ki anupasthiti mean hriday ke akraant ho jane ka nishchay karana kathin ho jata hai. yadi pi.ar.aant:kal badha hua ho,ti tarangoan ka viparyay ho athava kyoo.ti.aant:kal parivartit ho, to aisi dasha mean ilektrokardiyogram se sahayata mil sakati hai.

koriya-yah roomaitik jvar ka doosara roop hai, jo visheshakar bachchoan mean paya jata hai. pashchimi shitapradhan deshoan mean 50 pratishat bachchoan ko yah rog hota hai, kiantu ushn pradeshoan mean itana adhik nahian hota. yah lakshan der se prakat hota hai tatha isaka aranbh aprakat roop se ho jata hai. isamean bechaini, manasik udvignata aur aangoan mean akaran, aniyamit tatha bina ichchha ke gati hoti rahati hai. halake rog mean isako pahachanane ke lie bahut savadhani ki avashyakata hai.

adhashcharm gumate (nodyool) - ye roomaitik jvar ke vishisht lakshan haian, kiantu ajnat karanoan se ushn deshoan mean nahian pae jate. ye gumate nap mean ek se do seantimitar tak hote haian aur kalaiyoan, kohaniyoan, ghutanoan tatha ridh ki haddi par aur sir ke pichhe ubh date haian.

prayogatmak jaanch ki anupasthiti mean keval lakshanoan se hi nidan karana p data hai aur isalie bahut savadhani se nirikshan karana avashyak hai.

isaki vishisht chikitsa sailisiletoan, aisitil sailisilik aisid aur steraidoan ki uanchi matraoan se hoti hai. hriday ke akraant hone par punarakramanoan ko rokane ke lie bahut dinoan tak vishram tatha savadhani se sushroosha avashyak hai tatha isi uddeshy se penisilin tatha salphonamaid mukh se dene ki pariksha ho rahi hai.

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