castic sevan

jevha konee chukun kinwa jaanunbujun castic kinwa sakshamikaran karnara padarth gheto tevha castic injeshan hote. padarthache swaroop, samparkacha kalavadhi aanee itar ghatkanvar avalambun yamule tondi shleshmalata, annanalika aanee potachya astarache vegvegalya pramanat nuksan houu shakate.
dukhapatichi tivrata varchya pachak margachya endoscopidware nirdharit kelee jaau shakate, jaree shastrakriyechi aavashyakta asoo shakate qee nahee heey nirdharit karnyasathi seaty scanning adhik upayukt tharoo shakate.
barey honyachya prakriyedarmyan, annanalikechi kadakata nirman houu shakate, jyasathi upcharatmak vistar aanee stent ghalane aavashyak asoo shakate.
chinhe aanee lakshane.
castic padarthanchya sevanachya tatkal prakatikarananmadhye jatharantra marg kinwa vayumargatil shleshmal prushthbhagachi dhoop (jyamule raktavahinyaparyant dhoop pasarlyas raktastrav houu shakato), tond aanee jeebh soojane, galane kinwa atisamlan, malmal, ulatya, dyspania, dolhe aanee tvachechi dysphonia/ephonia jaljal yancha samavesh hoto. annanalikechya chhidramule mediastinitis houu shakato kinwa pooat kinwa aatadyachya chhidramule vayumargala peritonitis sooj yeu shakate kinwa swarayantraspasma houu shakato jyamule shwas ghenyas adthala yeu shakato. shwasan pranalivar parinam parinam jakhmanmadhye aspiration pneumonia aanee swarayantratil phood yancha samavesh hoto. shvasanvishayak tadjodichya lakshananmadhye, taana aanee vyaktichya aavajatil badal yancha samavesh hoto.
nantarchya castic padarthanchya sevanachya prakatikarananmadhye annanaliketil kadakpana kinwa stenosischa samavesh hoto; jyamule junat vedna aanee kuposhan houu shakate. annanaliketil kadakpana samanyatah adhik gambhir shleshmal dukhapatinantar hoto, joou anukrame grade 2 bii aanee 3 shleshmal jakhamanchya 71 takke aanee 100% madhye hoto. castic sevanachya durastha abhivyaktinmadhye annanalikecha karkarog samavisht aahe. jyaa lokanna castic padarthanchya sevanacha itihas aahe tyanna annanalikecha karkarog honyachi shakyata 1000-3000 patinni jaast asate aanee bahutek prakarane sevan kelyanantar 10-30 varshanni udbhavtat.
pathophysiology.
2 peksha qamee ph asalele aaml kinwa 12 peksha jaast ph asalele kshar heey sevan kartana sarvat vyapak dukhapati honyas saksham asatat. kshar heey charbiche saponifying karoon uutinna haanee pohochavtat, jyamule dravikaran necrosis hoto jyamule kshar adhik khol uutinparyant pohochu shakatat. jamat nekrosisdware aaml prathinanche vikrutikaran karatat, yaa prakarche necrosis aamlala khol uutinparyant pohochanyapasun rokhate asey manale jaate. vaidyakiyadrushtya, ph, ekagrata, uutinchya samparkat asalelya velechya kalavadhivyatirikt sevan kelelya padarthache praman tasech tyat samavisht asalelya sharirachya prushthbhagachya kshetrachi takkewari dukhapatichi tivrata nirdharit karate.
nidan.
vargikaran.
jatharantramargachya shleshmal shleshmalas jhalelya dukhapatinchya tivrateche moolyankan samanyatah jargar nikash vaparoon kele jaate.
upchar.
vishari padarthanchya sevanasathi vaparale jaanare samanya upchar aprabhavi asatat kinwa castic padarthanchya sevanamadhye lagoo kele jaatat tevha teey hanikarak dekhil asatat. pooat rikame karnyachya vaidyakeey prayatnanmule aanakhi dukhapat houu shakate. sakriy kolasa casticsla nishprabhavi karat nahee aanee endoscopic visualization dekhil aspasht karoo shakato. castic padarthanchya tatasthikaranacha konatahi dnyat vaidyakeey fayda nahee; tatasthikaranamule ushnata sodali jaate tasech vayujanya prasar aanee ulatya hotat, yaa sarvanmule dukhapati aanakhi vadhu shakatat.
chetanechi patali qamee hone, margkraman, aavajatil badal, tondawate tondawate sravanvar niyantran thevanyas asamarthata yasah vayumargatil tadjodichi chinhe antardnyan aanee yantrik vayuvijan aavashyak karatat. 4. jalsanchayan rakhanyasathi aanee panyachya asanvedanshil hanichya jaagi anekada dravpadarthanchi aavashyakta asate.
endoscopy hii sevan kelyanantar pahilya 24-48 tasanchya aat kelee pahije kaaran tyanantarchi jakham mauu jhalyamule chhidra honyacha dhoka vadhato. endoscopic paddhatine samavisht kelelya nasogastric tube annanaliketil kadakpana rokhanyasathi tasech tube feedingla parvanagi denyasathi stent mhanoon kaam karoo shakatat. seaty scan, jeey anekada ulatya paddhatine vadhavale jaate, teey dukhapatinche moolyankan karnyasathi dekhil vaparale jaau shakate.
mulanmadhye upcharanchya sarvat samanya shastrakriyechya paddhatinmadhye annanalikeche vistar aanee annanalikechya punarsthapanecha samavesh hoto, kaaran annanalikechya stentche qamee samanyatah pratyaropan kele jaate.
mahamarishastra.
sarvasadharanpane, mulanmadhil bahutek sevananmadhye lahan pramanat castic padarthanche shodhatmak sevan samavisht asate, apavad mhanoon baal shoshan prakarane aahet jithe mothya pramanat anekada sevan kele jaate. praudhanmadhye castic sevanamadhye samanyatah swatahla haanee pohochavanyachya prayatnandarmyan mothya pramanat sevan kelele sahitya samavisht asate. samanyatah sevan kelelya samgrichya jaast pramanamule; mulanchya tulanet kishoravayin aanee praudhanchya jaanunbujun sevan kelyane dukhapati anekada adhik gambhir hotat. samanyatah sevan kelelya padarthanmadhye amonium hydroxide (samanyapane swachchh aanee teel kadhoon kadhoon, soodiyam hydroxide kinwa potassium hydroxide (drain opener kinwa oven cleanermadhye aadhalate), soodiyam hypochlorite (bleach), auxalic acid (metal polish) aanee hydrochloric acid (toilet baul cleaner) yancha samavesh hoto. paanee kinwa pey containermadhye castic padarthancha sanchay haah yaa padarthanchya, visheshtah mulanmadhye, apghati antargrahanasathi eka jokhim ghatak aahe. purvaskooli vayogatatil mulanna apghati castic sevanacha sarvat jaast dhoka asato.
pratibandh.
pratibandhatmak upayanchi shifaras kelee gelee aahe jyacha uddesh castic padarthanchya apghati sevanacha dhoka qamee karane aahe jyat khaleel goshtincha samavesh aaheh

