
sansarganantarcha rognirodh

sansarganantarcha rognirodh, jyala sansarganantarcha pratibandh (pii. eae. pii.) asehi mhanatat, haah sansarg houu naye yasathi rogjankachya samparkat aalyanantar suru kelela konatahi pratibandhatmak vaidyakeey upchar aahe.
covid-19.
2021 madhye, eff. dii. aii. neey covid-19 viruddha sansarganantarchya rogpratibandhanasathi bamlanivimab/attessavimabla manyata dilee aahe.
rabies.
sanshayaspad-kharkharit pranyane chavlyanantar rebijchi suruvat rokhanyasathi pepcha vapar samanyatah aanee atishay prabhavipane keela jaato, kaaran jawaljawal nehmich ghatak rog suru honyapurvi rebijcha sansarg shodhanyasathi nidan sadhane upalabdh naheet. yaa upcharanmadhye rebijchi lus aanee immunoglobulinchya injectionchya malikancha samavesh asato. rebijchi lus, rebijchya sambhavya samparkat aalelya manav aanee prani yaa doghannahi dilee jaate.
dhanurvat.
dhanurvatachya samparkat yenyachi shanka aalyas dhanurvatache vishari padarth dile jaau shakatat. asha paristhitit, heey tetanus immunoglobulins kinwa tyashivay dile jaau shakate (jyala "tetanus antibodies" kinwa "tetanus antitoxin" dekhil mhanatat). heey antahshira upchar mhanoon kinwa snayu-aatalya injectiondware dile jaau shakate.
11 varshe aanee tyahoon adhik vayachya garbhavati nasalelya lokansathi united statesmadhil asha karyakramansathi margdarshak tattve khalilpramane aaheth
etch. aay. vhee.
itihas.
1987 madhye aii. zed. tii. laa madat upchar mhanoon manyata denyat aalee. aarogyaseva karmchari kamachya velee adhunmadhun etch. aay. vhee. chya samparkat yet asat. kahee lokanni seroconversion talhanyasathi aarogya seva karmcharyanna aii. ess. tii. denyacha prayatna karnyacha vichar keela. yaa prathemule vishisht paristhitinmadhye aarogya karmchanyanmadhye seroconversion ghatana lakshaniyaritya qamee jhalya.
nantar dnyat samparkanantar etch. aay. vhee. upchar dyavet qee sampark honyacha uchch dhoka asava, asey prashna upasthit jhaale. purv-vaidyakeey abhyasatil prarambhik aakadevarine etch. aay. vhee. sansargacha prasar rokhanyasathi aii. zed. tii. chee parinamkarakta sthapit kelee. yadruchchik niyantrit chachanit aii. aay. vhee. chey matechya-arbhakache sankraman qamee karnyasathi dekhil aii. zed. tii. disun aale, jeey aii. zed. tii. chya poost-exposure prophylaxis (pii. eae. pii.) chaa vapar suchavate. tyanantarchya aakadevarivarun asey disun yete qee, prasutipoorv sankraman darr qamee karnyasathi antiretroviral upcharpaddhati aii. zed. tii. peksha lakshaniyaritya shreshth aahe. yavyatirikt, samanyatah qamee sahishnutemule rugnachya anupalanache praman jaast asalyamule aii. zed. tii. chee shifaras kelee jaat nahee.
etch. aay. vhee. asaleli vyakti etch. aay. vhee.-nakaratmak vyaktishi ekach ghatanet laingik sambandh thevate, kinwa anamik jodidarasobat asurakshit laingik sambandh thevate kinwa injectionchya aushadhanchya vaparasathi syringe samayik karnyachya gair-savayichya ghatanet kandom tutate tevha gair-vyavsayik samparkanmadhye samavisht aahe. purava asey suchavato qee pep yaa prakarananmadhye etch. aay. vhee. sansargacha dhoka dekhil qamee karato. 2005 madhye, yuu. ess. dii. etch. ess. neey sansarganantar etch. aay. vhee. sansargacha dhoka qamee karnyasathi bigger-vyavsayik pep (aine. pii. eae. pii.) vaparachya pahilya shifarasi jaaree kelya. 2016 madhye shifarshinchya jaagi adyayavat margdarshak tattve badalanyat aalee.
vyavsayik samparkamadhye etch. aay. vhee. sankramit strotatoon aarogya seva vyavsayikanchya suichya dukhapaticha samavesh hoto. 2012 madhye, yuu. ess. dii. etch. ess. madhye aarogya sevechya thikani etch. aay. vhee. sansarg jhalelya vyaktinsathi vyavsayik pep (oo. pii. eae. pii.) vaparavaril margdarshak tattve samavisht hotee.
etch. aay. vhee. chya samparkat aalyanantar lagechach etch. aay. vhee.-hallah karnari aushadhe ghetalyane etch. aay. vhee. chaa sansarg honyacha dhoka qamee hoto, tyamule etch. aay. vhee. chya sambhavya samparkat yenyapurvi aushadhe gheuun purv-sansarg rogpratibandhaktevar sanshodhan kele gele.
2013 chya suruvatichya eka ahavalat asey ughad jhaale aahe qee etch. aay. vhee. vishanusah janmalelya maadee balala tichya janmachya 30 tasanchya aat teen antiretroviral aushadhanche uchch doses dilyanantar done varshanni vishanuchi konatihi chinhe disali naheet. yaa prakaranache nishkarsh 2013 madhye atalanta, yuu. ess. madheel retrovirus aanee sandhisadhu sansarganvaril parishadet sadar karnyat aale hote.ess. aanee baal mississippy, yuu. chey aahe.ess. mississippy bebby' mhanoon olakhale jaanare baal heey etch. aay. vhee. chey 'karyatmakaritya barey' jhalele pahile mool manale jaat hote. tathapi, julai 2014 paryant mulamadhye etch. aay. vhee. punha disu lagla.
jokhamiche moolyankan.
antiretroviral aushadhanchya vaparane sansarganantarchya rogpratibandhanachi suruvat hii anek jokhamichya ghatkanvar avalambun asate, jaree upchar sahasa eka uchch-jokhamichya ghatanenantar suru kele jaatat. sansarganantarchya rogpratibandhak rogacha sanket deela jaato qee nahee heey nirdharit karnyasathi, etch. aay. vhee. vikasit honyashi sambandhit jokhim ghatakancha vichar karnyasathi moolyankan bhet ghetali jaeel. yaa bhetitil mulyankananmadhye, jokhim asaleli vyakti kinwa sambhavya srot-vyakti etch. aay. vhee. positive aahe qee nahee, etch. aay. vhee. chya sambhavya samparkat yenyachya ghatanecha tapasheel, vel aanee paristhiti, purvi itar uchch-jokhim asalelya ghatana ghadalya aahet qaa, laingik sankramit roganchi chachani, hipatities bii aanee see (aine. pii. eae. pii. heey hipatities bii viruddha dekhil prabhavi aahe) sathee chachani aanee balantpan kshamata asalelya mahilansathi garbhadharana chachanya yancha samavesh asel.
etch. aay. vhee. positive mhanoon olakhalya jaananya vyaktichya sharirik dravpadarthanchya (rakt, veerya, gudashayanche srav, yonimargatil srav, aaichya dudhatil srav) samparkat yenyachya etch. aay. vhee.-nakaratmak vyaktichya shleshmal padadyancha (yoni, gudashay, dolha, tond, tutaleli tvacha kinwa tvachekhalil) etch. aay. vhee. positive mhanoon olakhalya jaananya jokhamichya ghatakanmadhye samavesh hoto. udaharanarth, etch. aay. vhee. positive jodidarasobat asurakshit laingik sambandh thevane dhokadayak manale jaate, parantu laingik khelani samayik karane, thunkane aanee chavane heey sansarganantarchya rogpratibandhak rogachi suruvat karnyasathiche nagany dhoke manale jaatat. rakt sankraman haah sarvadhik gair-laingik dhoka aahe aanee grahansheel guddwar sambhog haah laingik samparkatil sarvadhik dhoka aahe. samparkat yenyachya velecha etch. aay. vhee. vikasit honyachya jokhamivar parinam hott nahee, parantu sansarganantarchya rogpratibandhanachi shifaras kelee jaeel qee nahee heey tyat badal hote. upchar suru honyachya 72 taas kinwa tyapeksha qamee kalapasoon jhalelya sansargamule, sansarganantarchya rogpratibandhanasathi patra asatat. jarr upchar suru honyachya 73 tasanpurvi sansarg jhaala asel tarr sansarganantar rogpratibandh soochit keela jaat nahee.
chachani.
prarambhik etch. aay. vhee. chachanih etch. aay. vhee. chya sambhavya samparkat aalyanantar pep suru karnyapurvi, jalad nidan chachanicha vapar karoon raktatil etch. aay. vhee. 1 aanee etch. aay. vhee. 2 pratijan aanee pratipinde yasathi vyaktinchi chachani kelee pahije. jalad nidan chachanimadhye etch. aay. vhee. chaa sansarg nasalyache disun aale kinwa chachanyanche parinam upalabdh nasalyasach pep suru kele pahije. tathapi, jarr etch. aay. vhee. sansarg aadhich astitvat asel tarr pep suru karoo naye. etch. aay. vhee. chachani chaar teey sahaa aathvade aanee sansarganantar teen mahinyanni punha kelee pahije.
pep ghetana lokanna taap, thakwa, myalgia aanee tvachevar pural yasah tivra etch. aay. vhee. sansargachi chinhe aanee lakshane jaanvu shakatat. hii chinhe aanee lakshane pepchya mahinyat kinwa nantar aadhalalyas mulyamapanasathi vaidyakeey madat ghenyachi shifaras see. dii. see. karate. prayogshaletil pudhil pratipinde chachanyanmadhye etch. aay. vhee. sansarg aadhalalyas, etch. aay. vhee. upchar tadnyancha shodh ghetala pahije aanee vyaktiche moolyankan aanee upchar yojana sthapit hoiparyant pep bund karoo naye.
ess. tii. aay. aanee etch. bii. vhee. chachanih etch. aay. vhee. chya sambhavya samparkat asalelya lokanna ess. tii. aay. aanee etch. bii. vhee. honyacha dhoka dekhil asato. rog niyantran aanee pratibandh kendre (see. dii. see.) gonorrhea aanee chlamydiasathi vishisht nucleic acid pravardhan chachani (enae. aii. tii.) aanee sifilisasathi rakt chachanyanchi shifaras karatat. pii. eae. pii. etch. bii. vhee. sansargaviruddha dekhil sakriy aahe, tyamule aushadhanche sevan bund kelyane etch. bii. vhee. punha sakriy houu shakate, jaree durmil asale taree. aarogya seva puravathadaranni etch. bii. vhee. chya sthitivar barkaine laksh thewale pahije.
pudhil chachanih sarvat yogya pep antiretroviral aahar nirdharit karnyasathi seeram creatinine aanee andaje creatinine clearance heey moolbhut patalivar mojale gele pahije. pepavar asatana, yakrutache karya, mutrapindache karya aanee raktaranjit ghatak yanche nirikshan kele pahije.
upchar.
etch. aay. vhee. chya samparkat aalyas, sansarganantarchya rogpratibandhak (pii. eae. pii.) haah antiretroviral aushadhancha eka abhyaskram aahe, joou etch. aay. vhee. chya samparkat yenyacha uchch dhoka asalelya ghatanannantar seroconversioncha dhoka qamee karato (udaa.jee.asurakshit guddwar kinwa yonimargatil sambhog, suyechya dukhapati kinwa suya samayik karane). see. dii. see. konatyahi etch. aay. vhee.-nakaratmak vyaktisathi, jee alikadech konatyahi karanastav etch. aay. vhee. chya samparkat aalee aahe, pii. pii. chee shifaras karate.
sarvat prabhavi honyasathi, sansarg jhalyapasun eka tasachya aat upchar suru viola havet. 72 tasannantar pep khoopach qamee prabhavi asate aanee kadachit ajibat prabhavi nasel. etch. aay. vhee. sathee rogpratibandhak upchar samanyatah chaar aathvade chalatat.
etch. aay. vhee. chya sansarganantar pep prabhavi aahe asey suchavanyasathi thos mahitee asali taree, tee ayashasvi jhalyachi prakarane aahet. upchar ghenyas honara vilamb (sansarganantar 72 tasanpeksha jaast), sansarg patali aanee/kinwa upcharacha kalavadhi (28 divasanchya aaharpaddhatiche palan naan karane) heey anekada apayashache kaaran manale jaate. yavyatirikt, gair-vyavsayik pradarshanachi vel aanee patali swayam-nondavali jaat asalyane, prashasakeey kalmaryadebaddal konatihi paripoorn mahitee nahee qee jyaparyant pep prabhavi tharel. pep upcharachya shevatchya divasanantar manak pratipinde vindo kalavadhi suru hoto. jyaa lokanna pii. eae. pii. prapt jhaale aahe tyanna samanyatah sansarganantar 6 mahinyanni pratipinde chachani tasech manak 3 mahinyanchi chachani ghenyacha sallah deela jaato.
pepmadhye vaparleli antiretroviral aaharpaddhati hii sahayyakanvar upchar karnyasathi vaparlya jaanarya pramanit atyant sakriy antiretroviral upcharpaddhatisarkhich aahe. eka vaishishtyapurn prescription mhanje 200 mii. gra. attricitabine aanee 245 mii. gra. tenofovir disoproxyl asalelya attricitabine/tenofovir golyancha 28 divasancha course jyamadhye divasatoon ekada ghetale jaave aanee 400 mii. gra. raletegravirchya golya divasatoon donada ghetalya javyat. aine. pii. eae. pii. upchar suru karananya lokanna samanyatah aushadhanche kadak palan sulabh karnyasathi, 3-7 divasanchya starter packchya ulat, 28 divasancha starter pack midato. aswasthata, thakwa, atisar, dokedukhi, malmal aanee ulatya yasah apriy dushparinamambabatahi tyanna sallah deela pahije.
asurakshit sambhog kinwa itar vartanukichya ghatakanmule punha samparkat yenyacha uchch dhoka asalelya lokanna tayari dilee pahije, jee aine. pii. eae. pii. upchar abhyaskram purn jhalyanantar lagechach suru hoil. ulatpakshi, jarr vaidyakiyadrushtya-palan karnara rugna vyavsayik nasalela asalyas aadhich tayareet asel, tarr aine. pii. eae. pii. upchar aavashyak naheet.
hipatities aaa.
hipatities aii, manvi samanya immunoglobulin (etch. aay. jee.) aanee/kinwa hipatitischya samparkat yenyasathi, vaidyakeey paristhitinusar lus pep mhanoon vaparali jaau shakate.
hipatities buub.
jarr sansarg jhalelya vyakticha etch. bii. ess. aii. jee. positive srot asel (etch. bii. vhee. lasisathi eka dnyat pratisadkarta) tarr jarr hipatities bii. chya samparkat aala tarr booster doses deela pahije. jarr teey lasikaran karnyachya prakriyet asateel kinwa pratisad naan denare asateel tarr tyanna hipatities bii emmune globulin (etch. bii. aay. jee.) aanee lus asane aavashyak aahe. dnyat pratisad naan denanyansathi etch. bii. bii. jee. aanee lus dilee jaavi, tarr lasikaran prakriyet asalelyanna etch. bii. vhee. lasicha vegwan abhyaskram asava.
hipatities see.
hipatities seechya samparkat aalelya vyaktinchi masik chachani pii. see. aar. neey kelee pahije aanee jarr seroconversion jhaale tarr interferon kinwa kadachit ribavirinane upchar kele pahijet.
anthrax.
jevha anthraxchya samparkat yenyachi shanka yete tevha maukhik ciprofloxacincha 60 divasancha course deela pahije.
lime rog.
jarr tick kiman 36 tasansathi jodali gelee asel tarr, jaast jokhim asalelya bhagat (udaharanarth nyu ingland) harananchya tick chavalyapasun 3 divasanchya aat doxycyclinecha eka 200 milligram tondavatecha doses vaparla jaau shakato.
monkeypox aanee sheetpitt.
shitpittachi lus, sansarganantarhi, monkeypox aanee shitpittachya sansargache praman aanee gambhir aajaracha dhoka qamee karate. see. dii. see. sallah dete qee "rogachi suruvat talhanyasathi sansarg jhalyachya tarkhepasun 4 divasanchya aat shitpittachi lus dilee jaavi parantu sansarganantar 14 divasanparyant dilee jaavi"; aine. etch. ess. yachyashi sahmat aahet parantu sansarganantar shakya titkya lavkar lasikaran karnyacha aagrah dekhil karatat.