
engel vargeekaran

mirgi shalya chikitsa key liye shalya chikitsa key baad key parinamon koo vargeekrit karane key liye, jerom engel ney nimnalikhit yojana kaa prastaav rakhaa, angel mirgi shalya chikitsa parinam paimana, joe chikitsa saahitya mein parinamon kii report karate samay "vaastavik" maanak bunn gayaa haih
itihas.
mirgi key rogiyon key liye shalya chikitsa kaa upayog ack sadee seey adhik samay seey kiya jaa rhaa haye, lekin takniki pratibandhon aur mastishk shalya chikitsa key aparyaapt gyaan key kaaran, yeh upchaar drishtikon 1980 aur 90 key dashak taka apekshaakrit durlabh thaa. 1980 key dashak seey pahale, usa samay taka kiye gaye sanchaalan kii kamee key kaaran koee vargeekaran pranali maujood naheen thee. jaise-jaise ack upchaar key roop mein shalya chikitsa adhik prachalit hoti gaee, ack vargeekaran pranali ack aavashyakta bunn gaee. mirgi kii shalya chikitsa key baad rogiyon kaa uchit mulyankan behad mahatvapurna haye, kyonki chikitsa peshevaron koo rogiyon key liye daure kii swatantrata praapt karane key liye uchit kaarravaai kaa pataa honah chaahiye. tadnusar, engel vargeekaran dishanirdesh yuu. see. ell. aeye. tantrika vigyaani jerom engel junier dwara taiyar kiye gaye they. 1987 mein aur mirgi shalya chikitsa parr 1992 key taad registan sammelan mein saarvajanik kiya gayaa. angel vargeekaran pranali taba seey mirgi shalya chikitsa key baad key parinamon kii soochana dene mein maanak bunn gaee haye.
avalokan.
mirgi shalya chikitsa parr 1992 key taad registan sammelan key engel key 1993 key saransh mein, unhone adhik vistaar seey apani vargeekaran pranali kii vyakhya kii. annotation iss prakaar thaah
laabh.
engel pranali kii vyaktiparakta shalya chikitsa key baad kii varg assignment prakriya kaa adhikansh hissa rogiyon parr chhod detee haye. jabaki kaee logon ney ack vargeekaran pranali key nuksaanon koo nott kiya haye jahaan rogi mulyankan nirdhaarit karane mein shamil hain, anya logon ney isaki prashansa kii haye. engel vargeekaran dishaanirdeshon key samarthakon kaa tark haye kii rogi operation key moolya koo sabse achchi tarah seey samajhane mein saksham hain kyonki way hii hain joe upchaar seey pahale aur baad mein daure kaa anubhav karate hain.
nuksan.
jaisa kii mirgi shalya chikitsa key parinamon kii sameeksha karane key sabhi vartamaan tarikon key mamle mein haye, engel vargeekaran pranali mein vyaktiparak ghatak hotey hain. ack "aksham daura" vyaktiparak haye aur ack vyakti seey dusare vyakti mein alag-alag hoe sakata haye. jabaki ack mirgi koo kaar chalaate samay daure kaa anubhav hotaa haye, vaha daure koo "aksham" paa sakata haye, daure key samaan parimaan koo halke key roop mein vyakhya kii jaa sakati haye, aur iss prakaar bistar parr aaraam karane vaale mirgi dwara "gair-vighatit" kiya jaa sakata haye. kaksha I key alawa pratyek varg bhee vyaktiparak haye kyonki isaki koee matratmak paribhasha naheen haye kii kyaa ack durlabh ghatana yaa yogyata koo maapane kii vidhi nirdhaarit kartaa haye. ack doctor aur rogi ack varsh mein dou daure koo ack durlabh ghatana maan sakate hain jabaki doosara doctor ack varsh mein duss koo shayed hii kabhi honey vaalaa maan sakata haye. operation kii yogyata aspasht haye kyonki vibhinn rogiyon aur swaasthya peshevaron dwara moolya kii alag-alag vyakhya kii jaa sakati haye. una chetavaniyon koo dhyaan mein rakhate hue, adhikansh tantrika vigyaani aur tantrika shalya chikitsak joe mirgi mein visheshagya hain, way sambhavatah iss baat seey sahmat honge, jaisa kii mirgi vaale kaee vyakti aur yahaan taka kii aam loga bhee, kii koee bhee daura joe sthiti mirgi kii avadhi kii or leey jaataa haye (jabti gatividhi, vishesh roop seey tonic-clonic, yaa grand mail, prakaar, lagbhag paanch seey duss minut yaa usase adhik samay taka, kuchh abb kahate hain kii yeh dou key roop mein cumm honah chaahiye-samanya sthiti mein hastakshep key binaa, yaa chetna mein lautane key binaa koee bhee baar-baar daura) ack chikitsa apatkal haye, vastunishth roop seey ack badee samasya haye, aur ise ack santoshjanak parinam naheen maanaa jaa sakata haye (jaba taka kii shayed vyakti koo ack ghaatak yaa bahut gambhir roop mein ack neurodegenerative syndrome yaa anya bimari thee jahaan iss tarah key gambhir baar-baar daure asamanya naheen hain, aur kaee beemariyan bhee hain, taba bhee, ack bahut hii ghaatak sthiti haye, joe aamtaur parr ack bahut hii ghaatak sthiti haye. dinon, maheenon, yaa ack yaa dou saal kii avadhi key dauran badee sankhya mein tonic-clonic daure (grand mail daure) koo jaari rakhna, gaadi chalaana asambhav banaa dega aur bahut tanaav kii vajah seey ghar seey door naukari karna bahut kathin hoe jaayega, aur cumm seey cumm kuchh nigrani yaa sahaayata key binaa dainik jeevan kii gatividhiyon koo surakshit roop seey karane kii kshamataon parr seemaaen daal dega.
chikitsa peshevaron dwara engel vargeekaran pranali koo ack cross-sectional grading pranali key roop mein socha gayaa haye kyonki yeh rogiyon mein deerghakaalik parivartanon key liye jimmedaar naheen haye. yeh prastaav diyaa gayaa haye kii vaarshik aadhar parr rogiyon kaa punarmulyankan karna adhik fayademand hoga, aur mirgi key khilaf antarrashtriya leag (aaee. ell. aeye.) ney 2001 mein ack alag mulyankan paimana taiyar kiya joe rogiyon koo unaki sergery kii pratyek vaarshik varshgaanth parr punarmulyankan kartaa haye. iley ney engel pranali mein paae jaane vaale kaee vyaktiparak ghatakon seey bachane kii ummeed mein apani pranali bhee vikasit kii.

