malmal

malmal hii aswasthata aanee asvasthatechi eka pasarleli sanvedana aahe, jee kadhikadhi ultyanchi ichcha mhanoon olakhali jaate. vednadayak nasatanahi, dirghkal rahilyas teey eka durbal karnare lakshan asoo shakate aanee chhati, pooat kinwa ghashachya mageel bhagavar aswasthata nirman karane asey varnan kele gele aahe.
yaa vishayavar 2011 chya pustakat malmal honyachya 30 hoon adhik vyakhya prastavit karnyat aalya hotya.
malmal heey eka vishisht nasalele lakshan aahe, jyacha arth assa aahe qee tyachi anek sambhavya karane aahet. malmal yenyache kahee samanya kaaran mhanje jatharantrashoth aanee itar jatharantra vikar, ann vishbadha, gatijanya aajaar, chakkar yene, ardhashishi, moorchha yene, qamee raktatil sakhar, chinta, atisthirata, nirjalikaran aanee zopecha abhav. malmal haah chemotherapy kinwa garodarpanachya suruvatichya kalat sakalcha aajaar yasah anek aushadhancha dushparinam aahe. malmal hii ghruna aanee nairashyamulehi houu shakate.
malmal aanee ulatya rokhanyasathi aanee tyavar upchar karnyasathi ghetalelya aushadhanna antimatics mhanatat. promethazine, metoclopramide aanee naveen ondancetron heey yuu. ess. madhye sarvat samanyatah vihit kelele antimatics aahet. malmal haah shabd lattin shabd 'malmal' pasoon aala aahe, greekmadhun-'nausia', 'ναytiα'-'nautia', 'gatee aajaar', aajari padane kinwa aswasth vatane.
karane.
jatharantriy sansarg (37 takke) aanee ann vishbadha hii tivra malmal aanee ultyanchi done sarvat samanya karane aahet. aushadhanche dushparinam (3 takke) aanee garbhadharana dekhil tulanene varanvar hotat. dirghakalin malmal honyachi anek karane aahet. 10 takke prakarananmadhye malmal aanee ulatya nidan naan jhalelya rahatat. sakalchya aajaravyatirikt, malmal yenyachya takrarinmadhye lingbhed nasato. balpananantar, vayanusar doctorancha sallah satatyane qamee hott jaato. 65 varshanvaril lock doctoranchya bhetit yetat tyapaiki keval eka takke malmalamule yetat.
jatharantriy.
jatharantriy sansarg heey tivra malmal aanee ultyanchya sarvat samanya karananpaiki eka aahe. dirghakalin malmal heey anek jatharantra vikaranche sadarikaran asoo shakate, adhunmadhun pramukh lakshan mhanoon, jase qee jatharantra-annanalika refluxes rog, karyatmak apasmruti, jatharshoth, pittashayatil refluxes, jathar-rog, peptic alsar, seliyak rog, naun-seliyak gluten sanvedansheelata, krohan rog, hipatities, varchya jatharantratil durbhavna aanee swadupindacha karkarog. eksandh 'helicobacter pilory' sansargamule junat malmal hott nahee.
ann vishbadha.
ann vishbadhemule samanyatah dooshit ann khallyanantar eka teey sahaa tasanantar malmal aanee ulatya achanak suru hotat aanee eka teey done divas tikatat. heey annatil jivanundware tayar pittashayshothamule vishari padarthanmule hote.
aushadhe.
anek aushadhanmule malmal honyachi shakyata asate. karkarog aanee itar rogansathi cytotoxic chemotherapy niyam aanee samanya bhooldayak ghatakancha samavesh sarvat varanvar sambandhit asalelya kahee ghatakanmadhye hoto. ardhashishivaracha eka juna upchar, ergotamine, kahee rugnanmadhye vinashkari malmal nirman karnyasathi prasiddha aahe; prathamach tee vaparat asalelya vyaktila garaj bhasalyas aaramasathi antimatic lihoon dile jaeel.
garbhadharana.
garodarpanachya suruvatichya kalat malmal kinwa 'morning sickness' samanya aahe parantu kadhikadhi kadhikadhi aanee aanee timahiparyant chaloo rahoo shakate. pahilya timahit sumare 80 takke mahilanna kahee pramanat malmal hote. tyamule garbhadharana heey balantpan honyachya vayachi konatyahi laingikdrushtya sakriy strimadhye malmal honyache sambhavya kaaran manale pahije. samanyatah heey saumya aanee swayam-maryadit asale taree, hypermasis gravidarum mhanoon olakhalya olakhalya gambhir prakarananmadhye upcharanchi aavashyakta asoo shakate.
asantulan.
gaticha aajaar aanee chakkar yasarkhya santulanashi sambandhit anek paristhitinmule malmal aanee ulatya houu shakatat.
strirogvidnyan.
dysmenoria mule malmal houu shakate.
mansik.
malmal nairashya, chinta vikar aanee khanyachya vikaranmule houu shakate.
sambhavya gambhir.
malmal honyachi bahutek karane gambhir nasali taree kahee gambhir paristhiti malmal honyashi sambandhit aahet. yamadhye swadupindacha daah, lahan aatadyatil adthala, aantrapuchchashoth, pittashayshoth, hipatities, edisonian sankat, madhumehi ketoacidosis, vadhiv intracranial daab, utsfurt intracranial hypotention, menduchi arbuda, menducha daah, hrudayavikaracha zatka, rabies carbon monoxide vishbadha aanee itar anekancha samavesh aahe.
sarvasamaveshak yadee.
potachya aat.
adthala aananare vikar
aantr sankraman
dahak rog
censorimotorchi karyapranali bighadaleli
itar
potachya baher.
hriday fuffusiy
aateel kanache rog
antah mastishk vikar
mansik aajaar
itar
aushadhe aanee chayapachay vikar.
aushadhe
antahsravi/chayapachay rog
vishari padarth
pathophysiology.
malmal aanee ultyanvaril sanshodhan manvi sharirachya shareer rachnashastra aanee neuropharmacologic vaishishtyanchi nakkal karnyasathi pranyanchya namunyancha vapar karnyavar avalambun aahe. malmal honyachi sharirik yantrana hii eka guntaguntichi prakriya aahe jee adyap purnapane spasht jhaleli nahee. manvi shariratil vishisht triggersdware sakriy honare chaar samanya marg aahet jeey malmal aanee ultyanchi sanvedana nirman karatat.
yapaiki konatyahi margatoon yenare sanket mug menduchya gatheet jaatat, jyamule ekaki margatil kendrak, vegasache prushthiy motor kendrak aanee madhyavarti namuna generator yasah anek sanrachana sakriy hotat. yaa sanrachana malmal aanee ultyanchya vividh khalchya prabhavanche sanket detat. sharirachya gatishil snayunchya pratisadanmadhye jatharantramargache snayu thambavane aanee kharey tarr otipotachya snayunche aakunchan vadhavat, tondakade jatharatil samagriche ulat prakshepan karane samavisht asate. swayatt parinamanmadhye laal vadhane aanee moorchha jaanavanyachi jaaniv, jee anekada malmal aanee ultyanmule hote, yancha samavesh hoto.
purv-malmal pathophysiology.
asey varnan kele gele aahe qee hrudayachya thokyat badal houu shakatat tasech pashch pityutarimadhun vasopressin sodale jaau shakate.
nidan.
rugnacha itihas.
rugnacha sakhol itihas ghetalyane malmal aanee ultyanchya karanache mahattvache sanket miloo shakatat. jarr rugnachi lakshane tivrapane suru jhaali, tarr aushadhe, vishari padarth aanee sansarg honyachi shakyata asate. yaulat, malmal honyacha dirghkalapasunacha itihas haah doshi mhanoon junat aajarakade nirdesh karel. jevananantar malmal aanee ulatya yenyachya velekade laksh dene haah eka mahattvacha ghatak aahe. khallyanantar eka tasachya aat udbhavnari lakshane, gastroperasis kinwa piloric stenosis yasarkhya lahan aatadyachya jawalil adthala darshavu shakatat. aatadyat kinwa bruhadantrat aanakhi khalee adthala aalyane vilambit ulatya hotil. malmal aanee ultyanche sansargjanya kaaran jase qee jatharantrashoth heey ann khallyanantar anek taas teey kahee divas disu shakate. kaaran nishchit karnyasathi, utpattitil aashay haah eka maulyavan sanket aahe. utsarjanat mull padarthache tukade heey distal intestine kinwa kolanmadhye adthala darshavtat. dwishir swarupache (hiravya rangache) emesis heey adthalyala potachya palikade eka binduparyant sthanbaddh karate. apchayit annache utsarg heey jatharmargapurvichya adthalyakade nirdesh karate, jase qee acalesia kinwa zenkarchya diverticulum. ultyannantar jarr rugnala otipotat vedna qamee hott asateel, tarr adthala haah sambhavya etiology aahe. tathapi, ulatya kelyane swadupindachya dahamule kinwa pittashayshothamule pittashayshothamule vedna qamee hott naheet.
sharirik tapasani.
orthostatic hypotention aanee tvachechi turger qamee hone yasarkhya nirjalikaranachya lakshanankade laksh dene mahatvache aahe. potacha shwas yene malmal aanee ultyanchya karanasathi anek sanket deu shakate. uchch-aavajatil zagmagat asalela aavaj aatadyat sambhavya adthala darshavito, tarr shimpadanara "galatee" aavaj haah jatharatun baher padnyachya adthalyache adhik soochak aahe. rugnachya otipotachya tapasanivar dabtana vedna hone hii dahak prakriya darshavu shakate. papiledema, drushya kshetrache nuksan kinwa kendrasthani majjasansthechi kamatarata yasarkhi chinhe hii vadhiv intracranial dabasathi laal chinhe aahet.
nidan chachani.
malmal aanee ultyanche kaaran tharvanyasathi itihas aanee sharirik tapasani pureshi nasel, tarr kahee nidan chachanya upayukt tharoo shakatat. electrolyte aanee chayapachayatil vikrutinsathi rasayanshastra puttle upayukt tharel. yakrutachya karya chachanya aanee lipejmule swadupindachya peshisambandhi roganchi olakh patel. vayoo-drav patali darshavinare potache ksh-kiran aatadyatil adthala darshavtat, tarr havene bharalele aatadyache loop darshavinare ksh-kiran iliusche adhik soochak asatat. seaty scan, varchya endoscopy, colonoscopy, berrium enema kinwa emm. aar. aay. yasarkhya adhik pragat imaging aanee prakriya aavashyak asoo shakatat. gastric skintigraphy, wireless mobility capsule aanee small-aantdyansambandhi manometry yasarkhya vishisht chachanyancha vapar karoon asamanya jee. aay. gatiche moolyankan kele jaau shakate.
upchar.
tivra ultyanmule dravpadarth qamee jhalyamule nirjalikaran asalyas, tondawate electrolyte dravan vaparoon punha paanee pinyala pradhanya dile jaate. jarr heey prabhavi kinwa shakya nasel tarr antahshira punarnirgamanachi aavashyakta asoo shakate. jarah ekhadi vyakti konatehi dravpadarth qamee thevu shakat nasel, 2 divasanpeksha jaast lakshane asateel, kamkuvat asel, taap asel, potdukhi asel, divasatoon donpeksha jaast vela ulatya hotil kinwa 8 tasanpeksha jaast vel laghvi karnar nasel tarr vaidyakeey kalji ghenyachi shifaras kelee jaate.
aushadhe.
malmal yenyachya upcharasathi anek aushadhopacharatmak aushadhe upalabdh aahet. malmal honyachya serve prakarananmadhye itar aushadhanpeksha spashtapane shreshth asey konatehi aushadh nahee. antimatic aushadhanchi nivad hii tyaa vyaktila malmal hott asalelya paristhitivar aadharit asoo shakate. gatijanya aajaar aanee chakkar asalelya lokansathi, antihistamines aanee meclizin aanee scopolamine sarkhya anticholinergic visheshtah prabhavi aahet. ardhashishichya dokedukhishi sambandhit malmal aanee ulatya heey metoclopramide, prochlorperazine aanee chlorpromazine sarkhya dopamine virodhi vyaktinna sarvottam pratisad detat. jatharantrashothachya prakarananmadhye, ondansetronsarkhe serotonin virodhi malmal aanee ulatya dadapatat tasech IV drav punarujjivanachi garaj qamee karatat. pyridoxin aanee doxylamine sanyojan haah garbhadharaneshi sambandhit malmal aanee ultyansathi pahila upchar aahe. operationantar malmal aanee ulatya talhanyasathi dimenhydrinut heey eka swast aanee prabhavi aushadh aahe. pratijanvirodhi aushadh nivadatana vicharat ghenyasarkhya itar ghatakanmadhye vyaktichi pradhanye, dushparinam profile aanee kharch yancha samavesh hoto.
yaa uddeshasathi nabylone dekhil soochit kele jaate.
paryayi aushadh.
kahee lokanmadhye, chemotherapyshy sambandhit malmal aanee ulatya qamee karnyasathi canabinoids prabhavi tharoo shakatat. karkarog aanee eds sarkhya aajaranchya pragat tappyat malmal aanee ultyansathi canabinoidsche upcharatmak parinam anek abhyasanni dakhavun dile aahet.
tyanchya parinamkaraktes samarthan samarthan sanshodhanachya abhavamule rugnalayatil sthanik malmal-virodhi jail soochit kele jaat naheet. lorazepam, defenhydramine aanee haloperidol asalele samyik jail kadhikadhi malmal yenyasathi vaparale jaatat parantu adhik sthapit upcharanchya samatulya nasatat.
anek prakarchya malmalinvar upchar karnyasathi aale sambhavya prabhavi asalyache dekhil disun aale aahe.
purvasoochana.
drushtikon karanavar avalambun asato. bahutek lock kahee tasanmadhye kinwa eka divasat barey hotat. alpakalin malmal aanee ulatya samanyatah nirupadravi asatat, parantu tyaa kadhikadhi adhik gambhir sthitee darshavu shakatat. dirghkal ulatya hott asatana, tyamule nirjalikaran kinwa dhokadayak electrolyte asantulan kinwa donhi houu shakatat. varanvar jaanunbujun ulatya hone, heey bulimiyache vaishishtya aahe, jyamule datanchya dantvalkat potache aaml qamee houu shakate.
mahamarishastra.
austreliyatil 1.6% kautumbik doctoranchya bhetit malmal aanee ulatya hone hii mukhya takrar aahe. matra, malmal asalelyanpaiki keval 25 takke lock tyanchya kautumbik doctorankade jaatat. austreliyamadhye ultyanchya ulat malmal hii 15-24 varshe vayogatatil vyaktinmadhye bahudha hote aanee itar vayogatanmadhye tee qamee samanya aahe.

