pathdukhi

pathdukhi, jyala vaksh vedna asehi mhanatat, heey pathdukhi aahe jeey vaksh kasherukanchya bhagat jaanavate, jeey manechya talashi aanee kambarechya mankyachya varchya bhagat asate. snayunmadhye taana yenyapasoon teey mankyache vighatan kinwa durmil gambhir aajaranparyant, yachee anek sambhavya karane aahet. sharirachya varchya bhagache vajan vadhavanyasathi tasech bargadyanchya pinjaryala aadhar denyasathi pathicha kanaa atishay majboot aanee sthir asato, jyamule hriday aanee fuffusanna karya karnyas aanee tyanche sanrakshn karnyas parvanagi denyasathi pokali upalabdh hote.
bahutek prakarananmadhye, vedna swayam-maryadit asanyachi shakyata asate; asha paristhitit konatyahi nidanatmak chachanyanchi aavashyakta nasate aanee sadhya vedna nivaran purese asate. adhik gambhir aanee dirghkal dirghkal prakarananmadhye adhik vishisht vedna vyavasthapan dhorananchi aanee adhunmadhun antarnihit vaidyakeey rogansathi tapasanichi aavashyakta asoo shakate.
chinhe aanee lakshane.
vakshasthalacha mankyacha kanaa manechya payathyapasun suru hoto aanee galachya madhparyant pasarato. yaa bhagatil konatyahi vedna 'madhya pathdukhi' manalya jaatat.
pathichya madhomadh vedaneshi sambandhit achook lakshane mool karanavar avalambun asateel. bahutek madhya pathdukhi gambhir swarupachi nasate. tathapi, maan kinwa pathichya khalchya bhagachya vedanepeksha tyachyashi sambandhit adhik gambhir rogvidnyan asato. lakshananmadhye ektar mankyachya jawal sthanik patalivar vedna kinwa sambandhit majjatantu tvacharog kshetrasah sandarbhit vedna samavisht asoo shakatat. jevha majjatantunmadhye jaljal kinwa sankochan hote tevha lakshananmadhye sunnapana kinwa piin aanee suya dekhil samavisht asoo shakatat. payanmadhye kamjori kinwa vakshasthalachya pathichya dukhanyachya upasthitit aatade kinwa mutrashayache niyantran qamee hone heey pathichya kanyachya sankochaneche sanket deu shakate aanee tyachi tapasani kelee pahije.
karane.
pathichya varchya bhagachya vedanechi sarvat samanya karane adnyat aahet parantu snayujanya jaljal, entervertebral disk, pathichya kanyatil sandhe, bargadya kinwa mauu ootee (udaa.jee. asthibandhan/facia) samasya. samanyatah antah-scapular vedna hii grivechya pathichya khalchya bhagatoon soochit kelee jaate. dukhapatimadhye yogdan yogdan ghatakanmadhye; shakticha abhav, kharab mudra, ativaparatil dukhapati (udaharanarth punaravruttichi gatee) kinwa aaghat (jase qee qaar apghat kinwa creeda dukhapat) yancha samavesh hoto. anekada vakshadukhi hii vadhaleli valane, bajoo vakane aanee pathichya kanyachya dirgh vakalelya mudransah asoo shakate.
mankyachya sampidan fracturemule pathichya varchya bhagat tivra aanee/kinwa junat vedna dekhil houu shakatat. aaghatamule asthibhang houu shakato, parantu 50 varshanpeksha jaast vayachya striyanmadhye lakshaniy aaghat naan hota kinwa austeoporosis asalyache dnyat asalelya ekhadya vyaktimadhye, utsfurt kasherukiche sankochan asthibhang shakya aahe.
vakshasthalachya pathichya dukhanyachya itar, qamee samanya karananmadhye pathichya kanyachya herniationcha samavesh hoto jyamadhye anekada moodvyadh vedna (sunnapana aanee jalatya vedaneshi sambandhit bargadyambhovati gundalane) asoo shakatat, pathichya kanyachya gathee aanee bargadyanche fracture heey vakshasthalachya vedna/moodvyadhanchya vedaneche anukaran karoo shakatat. vakshapradeshat referral vedanechya itar sambhavya strotanmadhye fuffuse, pittashay, pooat, yakrut duodenum, fuffus aanee hriday yasarkhya aatadyansambandhi avayavancha samavesh hoto.
aarogyaseva vyavsayikanna karkarogachya (metastasis kinwa mankyavar pasarane) shakyatebaddal satark karnyasathi pathichya madhala dukhane heey heey kalapasoon 'laal zenda' manale jaat aahe. hii eka sanvedanshil kinwa vishisht ghatana nahee aanee mhanoon ektepanane tyavar avalambun rahoo shakat nahee.
jokhim ghatak.
vakshasthalachya pathichya kanyachya vedanacha sambandh khaleel goshtinshi aaheh ekach velee snayu-asthipanjaratil vedna; vaadh aanee sharirik; jivanshaili aanee samajik; backpack; mudra; mansik; aanee paryavaraniy ghatak. paugandavasthetil vishisht jokhim ghatakanmadhye vay (vayane mothe asane) aanee kharab mansik aarogyacha samavesh hota.
yantrana.
vaksh' yaa shabdacha arth chhatishi sambandhit aahe aanee vaksh mankyamadhye pathichya kanyachya varchya bhagacha samavesh asato joou chhatichya kshetrashi sambandhit asato. varchya mankyachya varr baaraa mankyancha samavesh asato aanee yaa vibhagatil varchya nauu mankyanpaiki pratyek mankyachya donhi bajunchya bargadyanna jodalele asate. tyanantar pratyek bargadya sharirachya bajula valatat aanee samoril chhatichya hadala jodatat. heey eka majboot rachana (vaksh pinjara) tayar karate jee hriday, fuffuse aanee yakrut yaa antargat avyavanna aadhar dete aanee tyanche sanrakshn karate.
nidan.
chhatichya mankyatil vedna kitee takke disk, bajoo, bargadya kinwa snayunmule hotat heey siddha karnari tapshilvar sharirik chachani adyap purn jhaleli nahee, tyamule anekada vedna kashamule hott aahe yaa prashnache uttar anuttarit rahate.
jarr vakshadukhimule paay kamkuvat kinwa sunn hott asateel, tarr aatade kinwa mutrashay asanyam aanee/kinwa lagech emm. aar. aay. imaging soochit kele jaate.
vyavasthapan.
vishisht nasaleli vakshasthalachya mankyachya vedanevar sahasa khalilpaiki eka kinwa sanyojanadvare upchar kele jaatatah
kasheruka sampidan asthibhangavar vednadayak aushadhopachar aanee vishranti kinwa kasheruk pratyaropan kinwa kyphoplasty shastrakriyedvare upchar kele jaau shakatat. jarr kaaran austeoporosis asalyache manale jaat asel tarr pudhil asthibhang honyacha dhoka qamee karnyasathi tondawate kinwa antahshira bisphosphonets dile jaau shakatat.

