Tfí jl=.vq wdidokh fjkak n,mdk fya;= 22la fukak
wefußldfõ ú;rla fï fjkfldg jeäysáhka ñ,shk 26la ú;r jl=.vq frda.fhka fmf,k nj .Kka n,, ;sfhkjd' ta wkqj wjqreÿ 60g jvd jeä f.dvla wh Èhjeähdj" wê reêr mSvkh" yoj;a frda. jf.a frda.j,g f.dÿre ùu ksid jl=.vq frda. wjodku jeäfjkak fya;=jla njhs mejfikafka'
f.dvla whg l,a mek .shmq jl=.vq frda.h y÷kd .ekSug fkdyelsj wjqreÿ .dkla .syska wjidkfha§ l,amek .sh jl=.vq frda.hla njg m;afj,d jl=.vq krla ùfï frda.h njg W;aikak fjkjd' f.dvla wh fï l,amek .sh jl=.vq frda.h ksid jl=.vq wjidk wjia:dj olajd krla fkdù iqjlr.;a wjia:d;a f.dvla ;sfhkjd' l,a mek.sh jl=.vq frda.fha§ 3 jk wjia:dfõ bkak frda.Skag Wk;a widok ;;ajfhka ñfokak 80]l wjia:djla ;sfhkjd'
jl=.vq ydksùug n,mdk m%Odk fya;= 22
1 È.=ld,Skj mdúÉÑ lrk fnfy;a
§¾> ld,hla ;siafia Tn mdúÉÑ lrk" wê ud;%djla .kak fyda¾fudak yd úgñka wvx.= fnfy;a" Ibuprofen (Advil, Motrin) wvx.= kshñ; fõokd kdYl" Naproxen, Acetamino jf.a fnfy;aj, jl=.vq mgl iy jHQyhg jf.au jl=.vq reêr kd,sld yels,Sfï§ fjk l%shdj,shg f.dvla ydksodhlhs' ta jf.au jl=.vqj, mj;sk w;sf¾l c,h úh,Sfuka jl=.vqj, l%shdj,shgo ydks f.akjd'
2 is.rÜ
wksjd¾fhkau ÿïmdkh ksid hqßkaj, we;s fm%daàka Wrd.ekSu jeälrkjd' fïl jl=.vqj,g f.dvla krl úÈhg n,mdkjd' Èhjeähdj yd wê reêr mSvkh ksid jl=.vqj,g fjk ydksh" fï frda. ;sfhk wh is.rÜ îfuka fo.=K f;.=K fjkjd'
3 iSks
isks fl<skau jl=.vqj,g ydks fjkak n,mdkafka ke;s Wkdg jl=.vq j,g ydks isÿfjk Èhjeähdj jf.a frda. we;s fjkak iSks m%Odku fya;=jla' Èhjeähdj iy ;rndrelu jl=.vqj,g ydks fjkak m%Odku fya;= 2la'
4 vhs j¾.
frda. y÷kd.ekSug lrk CT Scan" X-ray jf.a f¾ähï l%shdldrlï lsÍfï§ fhdod .kak idhï vhs j¾. jl=.vq flfrys fndfydu krl úÈhg n,mdkjd' ta wkqj jl=.vqj, oreKq ;=jd, we;sfjkak jf.au laIKslj jl=.vq wl%sh fjkak;a fïjd fya;=fjkjd' úI rys; fyda c,h iu. ñY% lrk vhsj¾." úI rys; Èhruh vhsj¾. jf.au fnfy;a j,skq;a mq¿jka fï jf.a vhs j¾.j,ska fjk ydksfhka jl=.vq wdrlaId lr.kak'
5 fidaähï wêl lEu j¾.
fndfydu wvq fidaähï m%udKhlska wfma isref¾ ;r,uh iajNdjh iunr lr.kak mq¿jka' w;sf¾l ÆKq m%udKhka ksid isref¾ iunr nj wvqlrk w;r wê reêr mSvkh jeälrñka jl=.vq fmryka j,g ydks lrñka jl=.vq wl%sh fjkjd' isref¾ j;=r r|jd .kak jl=.vq wdOdr fjkjd' ta jf.au yojf;a ksis l%shdldß;ajhg;a wjYH fjkjd'
6 wê reêr mSvkh
isref¾ fm%daàka wvq lrñka jl=.vqj,g f,dl= mSvkhla f.fkk wê reêr mSvkh ksis mßÈ lEu md,kh" jHdhdu lsÍu" nr md,kh lr .ekSu jf.a foaj,ska md,kh lr.kak mq¿jka' b;ska Tfí reêr mSvkhg m%;sldr lsÍu Tfí jl=.vq wdrlaId lr.kak;a f,dl= Woõjla fjkjd'
7 uia
i;aj fm%daàka iys; uia j¾.j, b;sß jk wdï,sl o%jH ksid isref¾ le,aishï jeäfjkjd. jf.au wia:sj,ska ,efnk wfkl=;a Lksc j¾.;a jeäfjkjd' fï ksid isref¾ Alkalin jeäfj,d jl=.vq l%shdj,sh wia:djr lrkjd' uia" udÆ" uqyqÿ lEu jf.a hqßla wï,h kej; ksmojk mshqßla wêl wyr ksid isref¾ wê le,aishï m%udKhla we;sfj,d hqßkaj,g úYd, n,mEula we;sùfuka jl=.vq wl%sh fjkjd'
8 fnfy;a wdid;añl ùï
wid;añl;d ksid jl=.vq u; fmr fkdjqKq úÈfha nrla megfjkjd' Tn mq¿jka ;rï Tng wid;añl;d we;slrk fnfy;a .ekSfuka je<ls,d bkak' ta jf.au wÆ;a fnfy;la .kakfldg ´ksu fj,djl tajfhka jl=.vq j,g fjk n,mEu wykak' tfyu lf,d;a Tng mq¿jka fjhs jl=.vqj,g fjk ydksh wju lr.kak'
9 kùk f,i Wmojd.;a lEu j¾.
m,dj,g we;sjk jix.; frda. j,lajd .ekSug" m%;sYla;sh we;slsÍug fyda j.dj jeä lr.ekSug j.djkag kùk o%jH fhdokjd' m¾fhaIK u.ska fmkajkafka fujka jl=.vq j,g jf.au wlaudjg úI j¾. tl;= fjkjd lsh,hs' fldfydu Wk;a fï úÈfha foaj,a fhdod .ksñka l,a;shd wiqrk ,o lEu j¾. wdydrhg .ekSfuka j,lskak' jl=.vq wdrlaId lr.kak mq¿jka'
10 lD;%su rildrl
we;eï rildrl j¾.j, le,ß wêl ke;s nj i|yka l,;a wOHkj,ska lshkafka ojilg vhÜ fidavd 2la .;af;d;a jl=.vqj, l%shdj,shg whym;a úÈhg n,mdk njhs'
11 ld¾nfkaÜ wvx.= îu j¾.
ldnka iys; îu j¾. jf.a wdydr j¾. iy Yla;sckl mdkhka j, wêl f,i fmdiafmaÜ wvx.= jk ksid tajd u.ska jl=.vqj, reêr kd,sld j,g ydks isÿlrñka jl=.vq j,g ta u.ska whym;a n,mEula we;slrkjd' ta jf.au ta ksid jl=.vqj, .,a we;sfjkak;a mq¿jka'
12 lsß ksIamdok
i;aj fm%daàka iys; lsß ksIamdok jeämqr mßfNdackh ksid hqßkaj, le,aishï neyer lsÍu jeäfjkjd' fuh jl=.vqj, .,a we;sfjkak n,mdkjd'
13 lef*ka
fldams" f;a" fidavd jf.a lEuj, wvx.= lef*ka ksid jl=.vqj, reêr mSvkh yd wd;;sh jeä lrñka reêr .ukd.ukh W;af;ackh lrkjd' lef*ka mßfNdackh ksido hqßkaj, le,aishï neyer lsÍu jeälrk ksid ta u.skao jl=.vqj, .,a we;slrkjd'
14 Oxalate wêl wydr
Oxalate .,a u.ska hqßka .,dhdu wjysr lrk w;r fï ksid jl=.vqj,g ydks we;sfjkjd' Tng Oxalate .,a we;sùu j,lajd .kak ´ks kï wksjd¾fhkau Oxalate wvx.= fpdl,Ü" ksú;s jf.a lEuj,ska j,lskak'
15 .aÆfgka fmaß;
.aÆfgka fmaß; jl=.vq widokh fjkak f,dl= fya;=jla lsh, fï jk úg fydhdf.k ;sfhkjd' ta ksid ks;ru Tfí .aÆfgka uÜgu mßlaId lr.kak'
16 úgñka D wvqùu
úgñka D lshkafka úgñka j¾.hla ú;rlau fkfjhs' úgñka D jl=.vqj, yd isref¾ idudkH ksfrda.S nj mj;ajdf.k hkak wjYH fyda¾fudkhla' ta ksid fmdâvla t,shg neye, bfrka ,efnk úgñka D Tfí isrerg;a .kak'
17 jl=.vq j,g wjYH mq¾j ;;ajhka
jl=.vq yryd f,a .ukd.ukhg wjYH uq,sl ;;ajhka ksis mßÈ fkd,eîuo jl=.vq widok we;sfjkak fya;= fjkjd' ta wkqj f,a uÈlu ksid we;sjk wvq f,a Odß;djh" jukh Wk jf.a frda. ksid tk frda. ;;ajhka" Èhr j¾. .ekSu wvqlu" widudkHh f,a .ukd.ukh jf.a foaj,a jl=.vq j,g wjYH uq,sl wjYH;d fkd,efnk wjia:d f,i .kak mq¿jka'
18 f,a úIùu
iuyr fj,djg isÿjk fmdä fjkiaùula ksid uq¿ YÍrfhau l%shdj,sh wvmK fjkak mq¿jka' fï jf.a YÍrh wl%uj;a lrk idOlhla fjk f,a úI ùula ksid jl=.vq l%shd úrys; fjkak mq¿jka' fldfydu Wk;a tÈfkod isÿjk fï jf.a iq¿ iq¿ foaj,a .Kka fkdf.k bkak tmd' tajdfha uq,a wjêfha§u Bg wjYH m%;sldr ,nd.kak'
19 Rhabdomyolysis
isf;ys we;sjk lïmkhka" f;rmSï ksid isÿjk ;=jd, yd ms<siaiSï jf.a foaj,a ksid uiamsvq j,g jk ydks ksid jl=.vq j,g ydks isÿfjkjd' ta jf.au wê fldf,iagfrda,a i|yd .kak fnfy;a yd m%;sldr ksido fï ;;ajh we;sfjkak mq¿jka'
20 Multiple Myeloma
Multiple Myeloma lsh, lshkafka reêr ma,diaud ffi,j,ska wegñÿ¿ u; we;sfjk ms<sld úfYaIhla' fïl fydhd .kafka wegñÿÆ j,ska' fï ksid jl=.vqj,g ydksfjkjd' túg jl=.vqj, l%shdj,sh wvmK fjkak n,mdkjd'
21 frda.
jl=.vq j, fmÍfï l%shdj,sh wvmK lrk úúOdldrfha frda. ksid;a jl=.vq wdidok we;sfjkjd'
22 miq wjYH;d yß yeá imqrd .; fkdyels ùu
uq;%dYh wjysr ùu" uq;%Yh wdY%s;j jdhq f.ä we;sùu jf.a fya;= ksid jl=.vqj, ksis l%shdldß;ajhg ydksfjkjd' fï ksid isref¾ nysY%dù wjYH;d yß yeá imqrd .kak fkdyels ùu ksid;a jl=.vq wdidok we;s fjkak mq¿jka'
fldfydu Wk;a Tn ks;ru Tnf.ka jl=.vq widokj,g tk fmr ,l=Kq Tn ;=< ;sfhkjo lsh, ks;ru wjOdkfhka bkak' Tfí mjqf,a ldg yß jl=.vq wdidok ;snqk kï Tng jl=.vq frda.h iE§fï wjodkula ;sfhkjd' ta jf.au Tng wêl ;rndrelu jf.a fjk;a frda. ;sfhkjd kï Tng jl=.vq frda.h iE§fï wjodku jeähs' fldfydu Wk;a Tng jl=.vq wdidokhla we;sùfï f,dl= wjodkula ;sfhkjd kï yß tys frda. ,laIK mj;skjd kï yß Tfí ffjoHjrhd uqK .eys,d jl=.vq wdidokh ù we;aoehs ksYaÑ;ju oek.kak tl fldfydu;a fyd|hs'
