
chikilsayude bhaarathinte vargeekaranam

oru rogiyude aarogya parirakshaa padhathiye thadassappeduthunna thadassangal nannayi manasilakkaan aarogya parirakshaa professionalukaayi srishticha oru drishyavalkkaranamaanu chikilsayude bhaaratthinte vargeekaranam. oru rogiye badhikkunna vyakthiparavum paaristhithikavum saambathikavumaaya thadassangal pattikappeduthaan vittumaaraatha avasthakalulla muthirnnavarodu aavasyappetta lokamembaadumulla gunanilavaaratthe adisthaanamaakkiyulla oru padanatthinte falamaayaanu ithu srishtichathu. oru aakhyaana maathrkayiloode rogikk pinthudaraan kazhiyunna vyakthigatha maanejment thanthrangal vikasippikkaan aarogya parirakshaa daathaakkale sahayikkuka ennathaanu eee drishyavalkkaranathinte uddeshyam. edapedalukal lakshyamiduka, oru paraspara doctor-rogi bandham kaivarikkuka, aarogya phalangal mechappeduthuka ennivayaanu lakshyam.
rogiyude vaadangal.
rogikalil vardhichuvarunna svayambharanaavakaasham avarude aarogya parirakshaa daathaakkalumaayi kooduthal rogi kendreekritha bandham aavasyappedaan avare prothsaahippichu. munkaalangalil, rogi-doctor bandhangal vyaapakamaayi pithrthvaparamaayirunnu. doctormar avarude arivinte peril valare bahumaanikkappedukayum palappozhum rogikalil ninnulla vivarangal chodyam cheyyappedaathe marachuvekkukayum cheythu. internettinte vikasanam ippol rogikalkku avarude aarogyasthithikal gaveshanam cheyyaanum kooduthal chodyangal chodikkaanum sambhaashanathinte bhagamaakaanum avasaram nalki. rogiyude vaadathilekkum paraspara sahakaranathilekkumulla maattam pankitta vishwaasam, bahumanam, aarogya samrakshana lakshyangal enniva anuvadikkunnu.
saamkramikethara rogangal (enn. sii. dii. ezz) aanu ippol lokamembaadumulla saamkramika rogangalude maranatthinte pradhana kaaranam. 2017-ll amerikkayil maranathinu kaaranamaaya 5 pradhana kaaranagal saamkramikethara rogangalaayirunnu ischemic hrudrogam, alsheimer rogam, shwaasakosha arbudam, strock, vittumaaraatha shwaasakosha sambandhamaaya thakaraarukal. enn. sii. deculk saadhaaranayaayi oru vyakthiyude jeevithakalam muzhuvan neendunilkkunna deerghakaala maanejment aavasyamaanu. mosham bhakshanakramam, vyaayaamathinte abhavam, laharivasthukkalude upayogam ennivayulppede enn. sii. dii. sikalude apakadasaadhyatha gadakangal sakthamaaya perumattamaanu. eee apakadasaadhyatha gadakangal ariyappedunnathum niyanthrikkaavunnathumaayil, enn. sii. dii. kalude ganyamaaya sathamaanam thadayaan kazhiyum. rogangalude eee vargeekaranathinu rogikal avarude deerghakaala rogathinu anusrithamaayi avarude jeevitashaili sheelangal maattendathundu. ekkaaranathaal, eee jeevitashaili mattangal nadappaakkunnathinum nadappilaakkunnathinum rogikal avarude daathaavinoppam avarude aarogya samrakshanathil sajeeva punk vahikkumennu prathekshikkunnu.
drishyavalkkaranam.
bhaarathinte vargeekaranam moonnu vibhagangalaayi thirichirikkunnu aarogya parirakshaa jolikal, chikilsayude bharam vardhippikkunna gadakangal, rogikalil chumathunna aarogya parirakshaa jolikalude anantharafalangal. oru rogiyude jeevithathinte vyakthiparavum gadanaaparavum saambathikavum vaikarikavumaaya vashangal ithil ulppedunnu.
vyakthiparavum vaikarikavumaaya gadakangal.
marunnu, chikitsa, appoyintment paalikkal.
aarogya saksharatha ennathu marunnukalum chikitsa palikkunnathinum aarogya lakshyangalilekkulla purogathikkum oru gadakamaanu. bhasha thadassangal, vaikalyangal, vidyaabhyaasa varshangal enniva aarogya saaksharathayil oru punk vahikkunnu. aarogya vivarangal vilayiruthaanum manasilakkaanum ashayavinimayam nadathaanumulla kazhivu oru vyakthiyude rogam prosess cheyyaanum athu vijayakaramaayi svayam niyantrikkaanumulla kazhivu roopappeduthunnu. marunnukal niraykkal, manassilakkal, samghadippikkal, edukkal, nireekshanam, nilanirtthal enniva ulppedunna aarogya prothsaahana pravarthanamaanu medisin selph maanejment. aaa jolikal cheyyaanulla oru vyakthiyude kazhivine thadassappeduthunna enthum avarude medical nirddeshangal paalikkunnathine prathikoolamaayi badhikkunnu. onniladhikam allengil nirantharam marunnukal maarunnath oro marunum enthinuvendiyaanennum oronnum engane nalkanamennum track cheiyunnathu sankeernamaakkum. marunnukalkkulla kurippadikalil ekadesham naalilonn orikkalum chelavukalo madhyasthathayude aavasyakatha manassilaakkaathatho kaaranam niraykkunnilla.
chikitsa thudarnadapadikalum paalikkunnathil phalapradamaaya oru padhathi, ekopithamaaya theerumaanamedukkal, adayaalangaleyum lakshanangaleyum kurichulla vyakthiparamaaya arivu, pravarthanakshamathayude maanejment, pinthunaa sevanangalilekkulla praveshanam enniva ulppedunnu. jolie, kudumbam thudangiya vyakthiparamaaya utharavaadithangal chikilsayilum niyamana palikkalilum edapedunnu. joliyum kudumbavum thammilulla ithinakam nilavilulla samgharsham kaalathaamasathinum hajar nilakkuravinum kaaranamaakunnu. medical appoyintmentukalum chikitsa polulla adhika prathibadhathakaliloode eee phalangal kooduthal vashalaakunnu. vazhakkamillaatha thozhil shedyoolukal ullathinaal, aalukalkk avarude swantham aarogyamo kudumbaamgatthinte aarogyamo sambandhicha appoyintmentukalkka jolie nashtappedunnathinaal mosham thozhil nilayilakaam. phalapradamaaya roganirnayam srishtikkunnathinu saamskaarikavum vyakthiparavum saahacharyaparavumaaya vashangalil shradha kendreekarikkendathundu. rogikalude jeevithanilavaram mechappeduthunnathinaayi eee chikilsakal samyojippikkunnathin avarkk manasilakkaan kazhiyunna vidhathil vivarangal nalkanam.
jeevithashailiyile thadassangal bhakshanakramam, vyayaamam, laharivasthukkalude upayogam, urakkam.
vittumaaraatha rogangalude purogathi thadayunnathinum kuraykkunnathinum jeevitashaili marunnu nirddeshikkappedunnu. parambaraagatha vaidyashaasthrathil ninnu vyathyasthamayi, jeevitashaili vaidyashaasthram perumatta parishkkaranatthil shradha kendreekarikkunnu, ithu praadhamika, dvitheeya, thritheeya prathirodhatthinulla phalapradamaaya margamakki maattunnu. poshakaahaaram, shaareerika pravartthanangal, urakkam, laharivasthukkalude upayogam enniva ithil ulppedunnu.
vishapp enna jaivaprerithamaaya pravartthanatthinte edapedal kaaranam bhakshanakramatthinte edapedalukal oraalude jeevithathil nadappakkaan prathyekichum budhimuttaanu. kuranja oorjjamulla bhakshanagal vardhippikkukayum uyarnna oorjjamulla bhakshanagal kuraykkukayum cheiyunnathu poshakaahaara mechappeduthalukalil ulppedunnu. bhakshya marubhoomikal, vilakuranjathum uyarnna oorjjamullathumaaya bhakshanangalude labhyatha, samayakkurav ennivayellaam mosham bhakshanasheelangalkk kaaranamaakunnu. chila veedukalil, kuttikalude paricharanam, jolie, mattu utharavaadithangal ennivaykku mukalil aarogyakaramaya bhakshanam thayyarakkan maathaapithaakkalkk samayamilla. koodaathe, poshakangal kuranja bhakshanagal vaangunnath avarude kuttikale santhoshippikkukayum bhakshanam paazhaakkunnath ozhivaakkukayum cheiyunnathinaal kuttikalulla aalukalkk eee mattangal nadappilakkaan budhimuttundaayekkam.
bhooribhaagam american muthirnnavarkkum poornnamaaya shaareerika pravartthana maargganirddeshangal palikkaan kazhiyaathathinal amerikkayil ponnathadiyude vyaapanam vardhichukondirikkanu. aerobic koodaathe/allengil prathirodha vyayaamam ulppedunna vyaayamathinulla kurippadikal nalkunnu. saadhaaranayaayi aazhchayil 150 minitt neriyatho mithamaayatho aaya vyaayaamamo aazhchayil 75 minitt sakthamaaya vyaayaamamo avayil ulppedunnu. aalukal vyayaamam cheyyaathathinu chila kaaranagal vyaayaamavumaayi bandhapetta negatteevu vikarangal, niyanthranatthinte abhavam, uddeshyathinte abhavam ennivayaanu.
laharivasthukkalude upayogavum laharivasthukkalude upayoga vaikalyangalum enn. sii. dii. ullavarude aayurdairkhyam kuraykkunnu, ithu maanasika vaikalyangalkkum adhika shaareerika rogangalkkum kaaranamaakunnu (athaayath.iii. sirosis), parikkukal, aathmahathya. laharivasthukkalude upayogam upekshikkunna prakriyayil prathyekichu sammarddakaramaaya samayangalil sahikkaan prayaasamulla asukhakaramaaya pinvalikkal lakshanagal ulppedunnu. chikitsa thanthrangalkk onniladhikam punaradhivaasangalode deerghakaala chikitsa aavashyamaayi vannekkaam.
aparyapthamaaya urakkavum urakka vaikalyangalum vittumaaraatha rogangalumaayum ponnathadiyumaayum bandhappettirikkunnu. urakka thakaraarukal vishapp, anarogyakaramaaya bhakshanangalodulla aagraham, samthrupthi badhikkunna hormon kramakkedukal enniva vardhippikkumennu chilar parayunnu. koodaathe, aparyapthamaaya urakkam alasathayilekku nayikkukayum shaareerika pravartthanangal kurayukayum cheiyunnu.
oru puthiya vyakthithvam.
oraalkk enn. sii. dii. undennu kandethumbol, rogathinte swabhaavamanusarichu oru vyakthikk kaaryamaaya maattangalum thyaagangalum undaayekkaam. roganirnayathinu sesham aalukalkk uddeshyakkuravu, ottappedal, vyakthithvamo samskaaramo nashtappedal enniva anubhavappedaan thudangaam. vittumaaraatha rogangalullavaril vishaadavum uthkandayum saadhaaranamaanu, ithu oru vyakthiyude svayam niyanthranathe prathikoolamaayi baadikkukayum avarude rogam vashalaakkukayum cheyyum. eee saahacharyangal saamoohikavum thozhilparavumaaya utharavaadithangale badhikkum. oru vyakthikk avarude avasthayude udamasthaavakaashavumaayi mallidukayum niyanthranam nashtappettathayi anubhavappedukayum cheythekkaam. chikitsa, shareeraghadana, lakshanagal ennivayude kaaryatthil vividha samskaarangalkk avasthakale vividha reethikalil vyaakhyaanikkaan kazhiyum. oru vyakthiyude enn. sii. dii. yilulla vishwaasangale avarude samskaarathe adisthaanamaakki vyathyastha reethikalil vyaakhyaanikkaam. oru vyakthi jeevikkunna jeevitashailiye avar jeevikkunna samskaaram shakthamayi swaadheenikkunnu, athu maattunnath oru vyakthikk avarude samskaarathinte ardhavathaaya sanbradaayangal upekshikkunnathayi thonnum. enn. sii. dii. ullavarude maanasikaarogyathe abhisambodhana cheiyunnathu enn. sii. dii. ullavarumayulla avarude jeevithathilekkulla parivartthanatthe ulkkollaan sahayikkunnu.
gadanaaparavum saambathikavumaaya gadakangal.
aarogyapravarthakarudeyum unitukaludeyum paripalanavum ekopanavum.
uyarnna nilavaaramullathum chelavu kuranjathumaaya paricharanam nadappilaakkunnathil anthar professional sahakarana reethikalude maanejmentum ekopanavum nirnaayakamaan. aarogya samrakshanam kaikaaryam cheiyunnathile oru velluvili prathyeka unitukaliludaneelam ekopippikkunnathinaayi vividha daathaakkalkkidayil paricharanatthe thadassamillaathe ekopippikkuka ennathaanu. ashayavinimayavum ekopanavum urappaakkunnathin kansaltteshan metingukal, utharavaaditha padavikal, protocolukal enniva pala vazhikalilum anivaaryamaan. rogikale sambandhichidatholam, mathiyaya maanejment ennaal hrasvamaaya ashupatri thamasam, opttimal cair, vibhavangalude labhyatha, vardhicha samthrupthi, chelavu kuraykkuka ennivayaanu.
shaareerika labhyatha.
aarogyasamrakshanathile labhyatha oru rogiye vegathilum phalapradavumaaya paricharanam labhikkunnathil ninnu thadayaan kazhiyum. bhoomishaasthraparamaaya thadassangal daathaakkaludeyum vibhavangaludeyum asamamaya vitharanathinu kaaranamaakunnu. ithil mosham doctor-tuu-poppuleshan anupaathangalo allengil daathaakkalilekku athicheraan kazhiyaatha shaareerika doorangalo ulppedunnu. pothugathaagathatthe aashrayikkenda vaahanangalillaathavarkk gathagatham prathyekichum velluviliyaanu. ithu appoyintmentukal nashtappedunnathilekkum, prathyekichu deerghakaala vaidyasahaayam aavashyamullappol paricharanam vaikunnathilekkum nayikkunnu. vaidyasahaayathinte edapazhakalum labhyathayum vardhippikkunnathinaayi paryavekshanam cheiyunna oru puthiya edapedalaanu mobail aarogyam.
saamoohika saambathika nila.
thaazhnna saamoohika saambathika nilayullavar anarogyakaramaaya perumattangalil earppedaanum aarogya prasnangal undakanum aarogya pariraksha labhikkaan paadupedaanum saadhyathayund. thaazhnna saamoohika saambathika kudumbangal tirakk, chalanasheshiyude abhavam, adisthaana soukaryangalude abhavam, kuranja aarogya saksharatha enniva neridaan saadhyathayund. thaazhnna saamoohika saambathika nilayullavar avarude ayalpakkathu akramathinu saakshyam vahikkanum avarude dinacharyakalil asthiratha undakanum vaikaarika budhimuttukal kaaranam maanasikaarogyavumaayi mallidaanum saadhyathayund. ekkaaranathaal, avar padaarthangal upayogikkaanulla saadhyatha kooduthalaanu, koodaathe veettil ninnu purathirangaanum shaareerika pravarthanangalil earppedaanum aarogyakaramaya bhakshanam kazhikkaanum pathivayi bhakshanakramam nadatthaanum saadhyatha kuravaanu. eee kudumbangalil chilath vellakkaarallaatha nyoonapakshangalaanu, avarkk adhika bhashaaparamaaya thadassavum medical sevanangalekkurichulla avabodhakkuravum anubhavikkan kazhiyum. vellakkaarallaatha nyoonapakshangalkk sthaapanaparavum vyakthiparavumaaya thalatthil aarogyasamrakshanathil manahpoorvamo upabodhamanassilo ulla vamseeyatha anubhavikkan kazhiyum. iva steeriyodaippukaleyum jeevithashailiyekkurichulla anumanangaleyum adisthaanamaakki vegathil roganirnayathilekku nayichekkaam (athaayath.iii. mayakkumarunnu upayogam, rahasyaanveshana nilavaaram muthalaayava). eee anumanangal avarkk nalkunna screening allengil prathirodha kuthivayppukal polulla prathirodhasheshi kuranja aarogya parirakshayumaayi bandhappettirikkunnu. tuskegi, gwatimala pareekshanangal polulla charitraparamaaya sambhavangal aarogyasamrakshanathilula vishwaasakkuravinu kaaranamaayi, nyoonapakshangale vaidyasahaayam thedunnathil ninnu niruthsaahappedutthi. enn. sii. dii chikitsa aavashyappedunna aarogyakaramaya jeevitashaili mattangal nadappaakkunnathil ninnu eee poraaymakal kudumbangale thadayunnu.
saankethikavidya vikasichathode aarogya samrakshanam kooduthal chelaveriyathaayi mariyirikkunnu, ithu kooduthal varumaanamullavarkk kooduthal aarogya samrakshanam nalkunnathinte aanukoolyam nalkunnu. america polulla saarvathrika aarogya pariraksha illaatha rajyangalil, insurance pariraksha illaathavaro insurance pariraksha illaathavaro aaya vyakthikalkk parisodhanakal, chikilsakal muthalaayava labhikkaan thalpparyamilla. muthirnnavaril pakuthiyiladhikam perkkum medical billukal adaykkaan kazhiyunnilla, chelavu kaaranam paricharanam vaikunnu, avarude jeevithathile eathenkilum ghattathil insurance kuranju, allengil nilavil insurance illa. thaazhnna saamoohika saambathika nilayilulla aalukal saambathika anishchithathvangalum onniladhikam sammarddangalum vardhippikkukayum aarogya pariraksha nedunnathinulla avarude bharam vardhippikkukayum cheythu.
bhaavi gaveshanam.
jeevithashailiyile mattangal nadappaakkumbol daathaakkal avarude rogikalkkaayi vyakthigatha edapedalukal srishtikkunnathil soukaryapradamaayirikkanam. enn. sii. dii jeevithashailiyile mattangal palikkaan oru rogiye sahaayikkunnathin prachodanaathmaka thanthrangal paryavekshanam cheythittundu, ennaal kooduthal edapedalukalum gaveshanavum aavasyamaanu. aarogya reethikalil bhaarathinte vargeekaranam avatharippikkunnathinte phalam vishakalanam cheiyunna padanangalonnum nilavil illa. aarogyasamrakshana edapedalukal "nallatho" "cheethayo" ennathinappuram tharamthirikkunnathinekkur parimithamaaya gaveshanathode doctormaarum rogikalum thammilulla edapedalukalude gunanilavaaram alakkunnathinu oru maanadandavumilla. oonlain aarogyasamrakshana samoohangalude falapraapthiyekkurichu parimithamaaya gaveshanangalumundu.

