
vinsent vaangoginte aarogyam

vinsent vaangoginte aarogyathekkurichu samavaayamilla. 1890-leeii addehathinte maranam aathmahathyayaanennu pothuve amgeekarikkappedunnu. addehathinu undaayekkaavunna aarogyaprashnangalekkur niravadhi malsaraadhishtitha sidhaanthangal munnott vannittundu. apasmaram, bipolar desorder, borderline pezhsanaalitti desorder, sanstrokku, acute intermittant porpheria, ledu vishabaadha, menier rogam, schisophrenia, schisoafective desorder, laharivasthukkalude upayoga takaraar, aathmahathya cheyyaatha svayam-parikk desorder ("svayam-dosham"), saadhyamaaya uthkanda desorder enniva ithil ulppedunnu.
lakshanangalum savisheshathakalum.
vaangoginte kathukalilum sent-remiyile abhaya rajisttar polulla mattu rekhakalilum vividha lakshanagal vivarichittundu. dahanakkuravum vayaruvedana, bhraanthinte anubavangal, pediswapnangal, unmaada sambhavangal, vishada sambhavangal, virayal, ashradha, vandhyatha, urakkamillaayma, uthkanda enniva lakshanangalil ulppedunnu.
wangog eathenkilum tharatthilulla apasmaarangalo prathisandhikalo anubhavichu, 1888 desember 23 nuu eee akramanangalilonnil addeham cheviyude oru bhagam allengil orupakshe ellaam murichumaatti. aaa aakramanathethudarnnu addehathe aarlessile ashupathriyil praveshippikkukayum avide addehathinte avastha "saamaanyavalkkaricha unmaadathodukoodiya theevramaaya unmaadam" aanennu kandethukayum cheythu. doow. maanasika" apasmaram ennu visheshippikkunna "orutharam apasmaram" undaayekkaamenn aashupathriyile yuva inten felix reyum abhiprayappettu. 1890 aayappozhekkum eee akramanangal kooduthal pathivaayitheernnu, ithu februvari muthal epril 1890 vare ekadesham onpathu aazhcha neenduninna ettavum dairkhyameriyathum kadinavumaaya akramanamaayirunnu. aashayakkuzhappathinteyum abodhaavasthayudeyum prarambha aakramanangale thudarnnu addehathinu saadhaaranayaayi peyint cheyyaano varaykkaano kathukal ezhuthaano polum kazhiyaatha mandatharathinteyum poruthakkedukaludeyum kaalaghattangal undaayi.
vaangoginte kathukalile ettavum saadhaaranamaaya paraathikalilonn vayaruvedana dahanakked moolamulla prasnangalumaanu. wangog chilappol bhraanthinteyum pediswapnangaludeyum pidiyilaayirunnu. thanikk panii undennu addeham palappozhum report cheythirunnu. pala samayathum addeham urakkamillaayma report cheythu. hegile gonorrhea (urakkamillaymayum paniyum orupakshe pakarchavyaadhi moolamaayirikkaam) roganirnayam nadathunnathinu munbu addehathinu moonnaazhcha urangaan kazhinjilla. chila avasarangalil addeham orutharam virayalil mungi. aarlasil athiyathinushesham venalkkaalath wangog thante sahodaranaaya theoyodu thante vandhyatha report cheythu, oru maasathinushesham addeham bernardinu kathezhuthumbol athu ippozhum addehathinte manassil valare kooduthalaanennu thonni. wangog thante jeevithaavasaanathil thante kathukalil niravadhi thavana aathmahathyayekkurich paraamarshichittundengilum wangog aathmahathya adisthaanaparamaayi athirthirunnuvennu naife smith rekhappeduthunnu.
perumaattam.
american cycatrist dietrich bloomer polulla pala vishakalana vidagtharum vinsent vangoginu undaayirunna oru kaaryam bipolar disorderanennu sammathikkunnu. eee maanasikarogam svayam valarukayum chikilsichillenkil kooduthal shakthamaavukayum cheyyum. bipolar disorderinte savisheshatha maanik, depression episodukalaanu; maanik episodukalil ashradhamaaya perumaattam, aahlaadam, avesham enniva ulppedunnu. vishaadam, kopam, anishchithathvam, saamoohika pinvalikkal, palappozhum maranathekkuricho aathmahathyayekkuricho ulla chinthakal ennivayude lakshanagal vishada episodukalil ulppedunnu. eee lakshanangalil palathum addehathinte jeevacharithrathiludaneelam kandethaanum addehathinte pala pravartthanangalum vishadeekarikkaanum kazhiyum.
cheruppam muthal thanne chitrakalayumaayum mathavumaayum sakthamaaya bandhathodeyaanu wangog valarnnathu. netherlandsile ammaavante art dealershippil jolie cheytha sesham addeham landanile mattoru dealership sthalathekku maari, avide thante bhoovudamayude makal yoojeni loyarumaayi pranayathilaayi. aval avante vivahalochana nirasichathinushesham, addehathinu aadyathe maanasika edavela labhichu, athu daivathinu samarppikkunnathinaayi thante jeevitam muzhuvan maattaan kaaranamaayi. 20-aamm vayassile eee thirichadi theerchayaayum addehathinte aarogyathe prathinidheekarikkunna thaazhekkulla sarppilathile aadya chuvaduveppaayi adayaalappeduthi, athu 1890-ll addehathinte aathmahathyayilekku nayichu. oru ezhuthukaaran choondikkaanikkunnathu "ivide maanasika rogathinte kudumbacharithramaayirunnu", koodaathe wangog bipolar disorderinte lakshanagal prakadippichu, athil paarambaryatthinu oru pradhana pankundu. ippol kristhuvinte sabhayude audyogika bhakthanaya wangog oru purohithanaakaan aagrahichu. ennirunnaalum, addehathinte kramarahithamaya jeevitashaili addehathinu anaadaravum nirasikalum allathe mattonnum varuthiyilla, 1878 oode europiludaneelamulla niravadhi daivashaasthra skoolukalil ninnulla nirasikkal. addehathinte ashradhavum theerumaanamedukkaathathum ennaal aavegabharithavumaaya perumaattathekkurichu reportukal ellaam bipolar disorderilekku viral choondunnu. eee moolyamillaatha kala vaangaruth" ennu upabhokthaakkalodu parayaan maathram oru art sailsmante jolie pinthudarunnathu polulla karyangal rogathaal nannayi vishadeekarikkaan kazhiyum. anishchithathvatheyum vyakthithva prasnangaleyum kurichulla daaranakal adutha varshangalil kaanaan kazhiyum. adutha 10 varshathinullil laingika tiraskaranam kaaranam wangog idaykkide sthalam maari. 1880ll addeham oru kalakaranakan brasselsilekku maari. thante cussin kettu addehathe nirasichathinaal addeham heginilekku maari. 1886ll thante koottaaliyaaya classina maria hoornik veshyaavrithiyum madyaasakthi punaraarambhichathinaal addeham paareesilekk thamasam maari. sahodaran theoyude cheria appaartmentil abhayam kandethiya wangog shanikkappedaathe thante vaathilppadiyil prathyakshappettu. paareesil, painting addehathinte vikaarangale samanilayaakkukayum shaanthamaakkukayum cheythathayi thonni.
nirantharamaaya pukavali, amithamaya madyapaanam, kaappi upabhogam, mosham bhakshanam kazhikkal, chilappol upavaasam poleyulla aarogyathe durbalappeduthunna vividha pravarthanangalil wangog earppettirunnu. ithinte swaabhaavika anantharafalam poshakaahaarakkuravaayirunnu. addeham orikkalum pipe illaathe marikkumbol polum athu pukavalikkukayum thaan valareyadhikam pukavalichirunnuvennu niravadhi thavana sammathikkukayum cheythu. addeham amithamaayi madyapikkukayum cheythu, prathyekichu absinthe.
wangog thante paintukal kadikkukayum paintukal kazhikkunnathum 1890-ll puthuvarshatthil addehathinundaaya pidivashiyumaayi bandhappettirikkam ennathinu chila thelivukalundu. 1890 januvariyil, vinsentinte mattoru pidivashikkushesham, theo addehathinu ezhuthi "ningalude aduthu nirangal undaakunnath apakadakaramaanennu ningalkkariyaamenkil, enthukondu ningal avaa kurachu samayathekku neekkam cheyth droingukal undakkunnilla?"vinsentil ninnu kettathinu sesham theoyude alaram kuranju, anchu divasathinu sesham addeham vishadeekarichu
roganirnayam.
apasmaram.
apasmaram oru janapriya roganirnayamaanu. wangog thanne apasmaram undaayekkaamenn karuthi, doctor doow. aarlessile pazhaya aashupathriyile felix reyum sent remiyile doow. peyron cheythathupole athe pothuvaaya roganirnayam nadatthi. 1928ll leroi doyittoyum chernnu temporal loob apasmaram kandethukayum athinu valareyadhikam pinthuna labikkukayum cheythu. vaangoginte apasmaarangalude reethi, avayude samayavum dairkhyavum, temporal loob apasmaravumaayi bandhapetta sankeernamaaya bhagika apasmarangalumaayi nannayi poruthappedunnillenna arnold parayunnu. koodaathe, vinsentinte avastha niyanthrikkunnath bromide upayogichaanu, ithu grand maal pidichedukkalukalkkum athupole thanne absinthe lahrikkum porpheriaykkum ethire falapradamaanu, pakshe temporal loob apasmaarathinu allah.
bipolar desorder.
1947-ll paipolar desorder allengil "maanik depression" enna roganirnayathinaayi gurutharamaaya oru cases aadyamaayi kootticherthathu periyaanu."ksheenathinteyum vishaadathinteyum kaalaghattangalumaayi edapazhakunna theevramaaya pravartthanatthinte nannayi rekhappeduthappetta kaalaghattangalumaayi ithu poruthappedunnu. wangog bipolar mathramaayirunnilla, marichu kazhinja rund varshathe prathisandhikalkk kaaranamaayath addeham absinthe kazhichathil ninnulla thujon vishabaadhayude adhika falamaanu. maanik depression sargaathmakathayum thammilulla bandham janapriyamaanennum vaangoginte kaaryatthil ithu vyaajamaayirikkaamennum arnold abhiprayappettu.
borderline pezhsanaalitti desorder.
vangoginu borderline pezhsanaalitti desorder undayirunnathaayi vishwasikkappedunnu; addeham "borderline (vyakthithva) disorderumaayi ettavum poruthappedunna lakshanagal prakadippichu avesham, variable maanasikavastha, svayam vinashakaramaaya perumaattam, upekshikkappedumenna bhayam, asanthulithamaaya svayam-chithram, adhikara samgharshangal, mattu sankeernamaaya bandhangal."dutch cycatrist ervin vaan meakrain thante pusthakamaaya" "staari staari naittu life aandu cycatric histtari oof vinsent wangog" "enna pusthakatthil, borderline pezhsanaalitti disorderaanu vaangoginte perumaattathinu ettavum saadhyathayulla vishadeekaranam ennu nirddeshichu". doow. joonn jii. borderline pezhsanaalitti disorderile vidagdhanaaya gunderson, vaangoginte "snehathinaayulla aagraham, pettennulla maanasikaavasthayile mattangal (prathyekichu pravachanatheethavum anaavasyavumaaya kopangal), mayakkumarunnu durupayogam ulppedeyulla addehathinte aavegaparamaaya pravartthanangalude reethi ennivayellaam borderline syndrominte thirichariyaan kazhiyunna gadakangalaanennu sammathichu...wangog athirthi rekhayaayirunno illayo ennathu addehathinte prasnakaramaaya jeevithathe veekshikkaan upayogapradamaaya oru prisamaanu."
sooryante asthamayam.
vangoginu eathenkilum tharatthilulla vittumaaraatha sanstrokku anubhavappettekkaamenna saadhyatha roach gray shakthamayi vaadichu. arles sooryante phalangal vinsent oru kathil vivarichu "ooo! aaa manoharamaaya madhyavarsha suuryan ivideyundu. athu oraalude thalayil adikkunnu, athu oraale bhranthanaakkunnu ennathil enikku cheria samshayavumilla. ennaal njaan thudakkathil thanne athu aaswadikkuka maathramaan cheythath."oru maasam munbu theoic ayacha kathil sooryante prathyaaghaathangalekkurich addeham paraamarshichirunnu
turpentine vishabadhayum nordic thalachoril valare theevramaaya sooryaprakaashathinte phalangalum" enna roganirnayathe vivarikkunna doow gaachettinekkurichulla oru paramarsham aaropikkappedunnu, ennaal eee attribution sthireekarikkaanulla sramangal parajayappettu.
menier rogam.
ookkaanam, chharddi, kelvikkuravu, vertigo ennivaykkoppam ulla aantharika cheviyude balance disorder menier rogam vinsentinu undaayekkaamenna sidhaantham 1979 ll yasuda aadyamaayi prasidheekarichu. eee ashayam 1990-ll "jenal oof dhii american medical association" (jaama)-ll veendum prathyakshappettu. meniyarinu oru kesum illennum jaama lekhanathinte yukthi thettaanennum athu apasmaarathe oru badal roganirnayamaayi maathram munnott vaykkunnuvennum prasthaavichu arnold eee sidhaanthathe nishedhikkunnu. meniyarinte roganirnayam vaangoginte dahananaalasambandhamaaya prashnangale meniyarumaayi bandhapetta ookkaanam, chharddi ennivayaayi vyaakhyaanikkunnathine aasrayichirikkunnu. vinsentinte chevi murikkunnath meniyarinte tinnittasinte lakshanathilninnu mochanam nedunnathinaayi svayam nadatthiya shasthrakriyaykkulla sramamaayirunnuvenna jaama lekhanathinte nirddesham vidooramaayi kanakkaakkappedunnu.
leed visham.
1991-leeii oru doctoral prabandham anusarichu, wangog thante impaasto saankethikavidyayil upayogicha ledu pigmentukal durupayogaparavum ashradhavumaaya reethiyil upayogichu, kurachu maasangalkk sesham addehathinu ledu vishabaadhayude (vilarcha, stomaattis, vayaruvedana, radial neuropathiyude lakshanagal muthalaayava) pradhana lakshanagal anubhavapettu.) oppam jeevithathil roganirnayam nadatthiya dilirium avasthayum apasmaram varaanulla saadhyathayulla prathisandhikalumulla aarlessile saattarnin encephalopathy mattu savisheshathakalum. vinsentinte (avegaparavum vaikarikavumaaya asthiratha) munkootty rogavasthayulla vyakthithvam pariganikkathe, bodham thadassappeduthunnatho maanasika lakshanangalullatho aaya eee prathisandhikal addehathinte vipulamaaya kalaparamaaya pravartthanavumaayi poruthappettu, vadakku orikkalum; dutch chithrakaaran oru kathil (kathu 607) parayunnu. visha nirangalkk vidheyamaaya mattu chithrakaaranmaarkku ledu vishabaadhayundaayi. ennirunnaalum, kaaravaagiyoyude avashishtangal pole vaangoginte asthikalude forencic parishodhanayiloode maathrame eee prabandham sthireekarikkaan kazhiyoo. wangog ashradhamaayi upayogicha visha ledu pigmentukalekkurichulla sameepakaala raasa gaveshanam saattarnisathinte roganirnayathe shakthippeduthunnu.
acute intermittant porpheria.
arnold lofttasum acute intermittant porpheria (palappozhum "aypu" ennu vilikkunnu) roganirnayam munnott vaykkunnu. poshakaahaarakkuravum absinta durupayogavum aypi kooduthal vashalakkiyathaayi arnold soochippikkunnu. 30-kalil praayamulla purushanmaarkk aypi undennu theliyikkappettathum oru kesil vishaadavum mathibhramavum ulppede vangoginu samanamaaya chila lakshanagal prakadippichathum, maruvashathu sankeernamaaya bhagika pidichedukkalukalum ulppede rund cases charithrangal addeham udharikkunnu.
ennirunnaalum, moothrathinte niram maarunnathinte pradhana lakshnam orikkalum shradhichittillennum vaangoginte "vayaruvedana" aypumaayi bandhapetta saadhaaranayaayi anubhavappedunna "kadutha vayaruvedana" yumayi poruthappedunnillenum vaadikkunna eee roganirnayathe erixon mattullavarum nishedhikkunnu.
kudumbacharitram nalkunna pinthunayekkurichum prathyekichu vinsentinte pithaavinte aarogyasthithiyekkurichu erixon arnold viyojikkunnu tralboutine adisthaanamaakki thante abhipraayathe adisthaanamaakki arnold thante jeevithathiludaneelam theodorus athra nalla aarogyathilayirunnille vishwasikkunnu, athesamayam 63-aamm vayassil thaarathamyena pettennulla maranam vare eriksan addehathe oru sajeeva manushyanaayi kaanaanaan theerumaanikkunnathu. theodorasinte shaanthavum santhulithavumaaya jeevitam ardhamaakkunnathu thante kuttikalil rogalakshanangalum purogathiyum undaakkunna niravadhi gadakangal addeham ozhivaakkukayennathaayirunnu.
enthaayaalum, eee apoorva rogathinte paarambarya vaikalyam theoyude pingaamikalil sthireekarichittilla. ennirunnaalum, ledu vishabaadha aii. pii. kku samanamaaya lakshanangalkk kaaranamakum, poshakaahaarakkuravo madyamo moolam prathisandhi vardhikkukayum cheyyum.
schisophrenia.
vaan goginte sravanaparamaaya bhrant moolamaanu chila ezhuthukaar schisophrenia baadhichathennu thaalkkaalikamaayi kandethiyittundu. ennirunnaalum, mattullavar ithu asaadhyamaanennu karuthunnu, kaaranam addehathinte maanasikavastha vittumaarathathalla, episodic aayirunnu.
schisoafective desorder.
psychosis, unmaadam, valia vishaadam enniva kaaranam vangoginu schisoafective desorder, bipolar tharam ennivayundennu yasmine couper maarkk agius abhipraayappettittund.
laharivasthukkalude upayogathil takaraar.
wangog amithamaayi madyapaanam cheythathinaal madyapaaniyaanennu abhipraayappedunnu. wangog kanatha pukayila upayogikkukayum cheythirunnu.
uthkandaarogam.
wangog "uthkandayum" prakopanavum anubhavichirunnu.
aathmahathya cheyyaatha svayam parikkukal.
1888ll swantham chevi vettunnathinu munbuthanne vangoginu svayam upadravicha charithramundaayirunnu.
diagnostic aandu stattistikkal maanuval oof mental disordezhs" 5 ll nirddeshichittulla oru maanasika vaikalyamaan noonn-suicidal selph-injuri desorder.
mattu roganirnayam.
vinsentinum theoik syphilis undennu anumaanikkappedunnu; vaasthavathil, 1882 ll vinsent gonoriaykku chikilsikkappettu. ennaal theoyude marana certificat anusarichu, maranakaaranam "vrukkayile kallukal" ennathinulla "vittumaaraatha vrukka rogamaayirunnu". maruvashathu, syphilis moolam vinsentinu maanasika vaikalyam anubhavappettathayi amgeekritha maanasika gaveshanangal thallikkalayunnu. koodaathe, rund sahodaranmaarkkum paareesile veshyalayangalil (march 1886-februvari 1888) syphilis baadhichuvennu karuthiyal, anubaadhaykk 10 muthal 20 varsham vare kazhinju sambhavikkunna neurosyphilis maanasika vaikalyam avarkk ithra vegathil vikasikkunnath asaadyamaanu. doow. cavenyli thante kochumakan parayunnathanusarichu kalakaran "syphilis" undennu kandethi, ennaal eee roganirnayam ashupathriyil vinsentine paripaalikkunna doctormar sthireekarichittilla (doow. urpar, doow. raay, doow. piyon) allengil doow. ovarukalil gaachett.
sankeernamaaya oru rogamaaya ithu, absinthe lahariyumaayi chernnu, addehathinte ellah lakshanangalkkum anuyojyamaanennu anumaanikkappedunnu. ennaal vinsentine chikilsicha doctormaarum, absinte madyapaanikale parichayamullavarum vinsentine oru "absindyur" aayi nirnnayichilla. vinsentinu absintheyodulla asakthiyum halskar nishedhikkunnu. koodaathe, madyathinte thujon madyathekkaal surakshithamaanennu sameepakaala gaveshanangal velippeduthunnu.
apasmaram chikilsikkaan upayogikkunna foxglove chedikalil ninnu wangog orutharam degoxin vishaamsham prakadippichirikkaamenna anumaanikkappedunnu. addehathinte manja kaalaghattam ("manja kazhcha"), chevi nashtappedal ("oottoo-vishaamsham"), prakrithidrishya vasthukkalkk chuttum halos varaykkaanulla abhinivesham ("haalo vision") enniva palappozhum medical vidyaarthikal degoxin vishaamshathinte thudarchaye oormmikkaan oru oormmappeduthalaayi upayogikkunnu. vaangoginte doktaraaya doow. pooll-ferdinand gaachett (1890), athil gaachett digitals purpuria kaivasham vaykkunnu. ennaal vaan gogine digitalis upayogichalla chikilsichathu, doow. santopsia (manja halos) yude kaaranamaayi arnold eee chediye thallikkalayunnu.