baddhakoshthata

baddhakoshthata hii aatadyanchi eka nishkriyata aahe jyamule aatadyanchya halchali kvachitach hotat kinwa paar karane katheen hote. vishtha anekada kadak aanee koradi asate. itar lakshananmadhye otipotat dukhane, sooj yene aanee ekhadyane aatadyachi halchal purnapane paar keleli nahee ashee bhavna yancha samavesh asoo shakato. baddhakoshthatechya guntaguntinmadhye moodvyadh, guddwaratil vidrav kinwa mull prabhav yancha samavesh asoo shakato. praudhanmadhye aatadyanchya halchalinchi samanya varanvarta divasala teen teey aathvadyala teen darmyan asate. balanna sahasa divasala teen teey chaar vela aatadyanchya halchali hotat, tarr lahan mulanna samanyatah divasala done teey teen vela aatadyanchya halchali hotat.
baddhakoshthatechi anek karane aahet. samanya karananmadhye bruhadantramadhye mull mand gatine halane, irritable bowell syndrome aanee pelwick flore vikar yancha samavesh hoto. antarnihit sambandhit roganmadhye hypothyroidism, madhumeh, parkinson rog, seliyak rog, naun-seliyak gluten sanvedansheelata, jivansatva bii 12 chee kamatarata, bruhadantra karkarog, diverticulitis aanee dahak aatadyancha rog yancha samavesh hoto. baddhakoshthateshi sambandhit aushadhanmadhye opioids, kahee antacids, calcium channell blocker aanee anticholinergics yancha samavesh hoto. opioid opioid sumare 90 takke lokanna baddhakoshthata hote. jevha vajan qamee hote kinwa raktakshay hoto, malamadhye rakt asate, vyaktichya kutumbat dahak aatadyacha rog kinwa bruhadantra karkarogacha itihas asato kinwa vayane mothya asalelya ekhadya vyaktimadhye too naveen suruvat asato tevha baddhakoshthata adhik chintajanak asate.
baddhakoshthateche upchar heey mool kaaran aanee teey kitee kaal astitvat aahe yavar avalambun asatat. jyaa upayayojananmule madat houu shakate tyamadhye purese dravpadarth pine, adhik tantumay padarth khane, madh khane aanee vyayam yancha samavesh aahe. jarr heey prabhavi nasel, tarr mothya pramanat tayar honare ghatak, parasaran ghatak, mull softner kinwa vangan prakarache julabkarak suchavale jaau shakatat. uttejak julab samanyatah itar prakar prabhavi nastil tevha rakheev asatat. itar upcharanmadhye biofeedback kinwa durmil prakarananmadhye shastrakriyecha samavesh asoo shakato.
samanya loksankhyemadhye baddhakoshthateche praman 2-30 takke aahe. kaljigruhat kaljigruhat vruddha lokanmadhye baddhakoshthateche praman 50-75 takke aahe. americet lock varshala baddhakoshthatesathichya aushadhanpeksha jaast kharch karatat.
vyakhya.
baddhakoshthata heey eka lakshan aahe, rog nahee. samanyatah, baddhakoshthata hii viral aatadyanchya halchali, samanyatah darr aathvadyala 3 peksha qamee vela mull yene, asey manale jaate. tathapi, lokanna itar takrari dekhil asoo shakatat jyat khaleel goshtincha samavesh aaheh
rome III nikash haah lakshanancha eka sanch aahe joou vividh vayogatatil baddhakoshthateche nidan pramanit karnyas madat karato. heey nikash doctoranna baddhakoshthatechi pramanit paddhatine adhik changlya prakare vyakhya karnyas madat karatat.
karane.
baddhakoshthatechi karane janmajat, prathamik aanee duyyam asha done bhagat vibhagali jaau shakatat. sarvat samanya prakar prathamik aahe aanee jivghena nahee. prabhavit jhalelya vayogatanusar, jase qee mule aanee praudhannusar dekhil tyache vibhajan kele jaau shakate.
prathamik kinwa karyatmak baddhakoshthata hii sahaa mahinyanpeksha jaast kaal chaloo asalelya lakshanandvare paribhashit kelee jaate, aushadhanchya dushparinamansarkhya antarnihit karanamule kinwa antarnihit vaidyakeey sthitimule nahee. yacha udardahashi sambandh nahee, tyamule too irritable bowell syndrompasoon vegala hoto. haah baddhakoshthatecha sarvat samanya prakar aahe aanee anekada bahughatak asato. praudhanmadhye, asha prathamik karananmadhye khaleel goshtincha samavesh hotoh aaharatil nivad jase qee apuri aaharatil tantumay kinwa dravpadarthanche sevan kinwa sharirik halchalinmadhye ghat yasarkhi vartanukichi karane. vruddhanmadhye, samanya karanansathi aaharatil tantunche apoorata sevan, dravache apurti sevan, sharirik halchalinmadhye ghat, aushadhanche dushparinam, hypothyroidism aanee colorectal karkarogamule honara adthala hyancha samavesh aahe. matra, yaa ghatakanche samarthan karnare purave apure aahet.
duyyam karananmadhye opiates, antahsravi aanee hypothyroidismsarkhe chayapachay vikar aanee colorectal karkarog kinwa andashayachya karkarogasarkhya adthalyansarkhya aushadhanche dushparinam samavisht aahet. baddhakoshthatesah seliyak rog aanee naun-seliyak gluten sanvedansheelata dekhil asoo shakate. dirghakalin baddhakoshthatecha parinam mhanoon systocel vikasit houu shakate.
aahar.
qamee tantumay aahar, qamee drav sevan kinwa aaharamule baddhakoshthata houu shakate kinwa vadhu shakate. aaharatil tantunmule bruhadantra vahatukicha vel qamee honyas madat hote, mull mothya pramanat vadhato parantu tyach velee mull mauu hoto. tyamule, fiberche praman qamee asalelya aaharamule prathamik baddhakoshthata houu shakate.
aushadhe.
anek aushadhancha dushparinam mhanoon baddhakoshthata asate. kahimadhye opioids, mutravardhak, avasadarodhi, antihistamines, antisposmodics, anticonvalsant, tricyclic antidepressant, antiarythmic, beeta-adrenoceptor antagonist, anty-diarrheals, ondansetronsarkhe 5-etch. tii. 3 receptor antagonist aanee aluminium antacids yancha samavesh aahe (parantu itakech maryadit nahee). neiphedipine aanee verapamil sarkhya kahee calcium vahini avarodhkanmule rectosigmoid bruhadantratil halchalinchya nishkriyatemule gambhir baddhakoshthata houu shakate. calcium aanee loh purak yasarkhya purak padarthancha dekhil lakshaniy dushparinam mhanoon baddhakoshthata houu shakate.
vaidyakeey paristhiti.
chayapachay aanee antahsravi samasya jyamule baddhakoshthata houu shakate tyamadhye khaleel goshtincha samavesh hotoh pheochromocytoma, hypercalcemia, hypothyroidism, hyperparathyroidism, porpheria, junat mootrapind rog, panne-hypopeteurism, madhumeh mellitus aanee cystic fibrosis. snayu aanee myotonic dystrophy asalelya vyaktinmadhye baddhakoshthata dekhil samanya aahe.
baddhakoshthatesah upasthit houu udbhavu pranaligat roganmadhye seliyak rog aanee pranaligat sclerosis yancha samavesh hoto.
baddhakoshthatechi anek sanrachanatmak (yantrik, aakarshastriy, sharirik) karane aahet, mhanje bruhadantramadhye jaaga vyapalelya jakhama nirman karoon jyaa vishthecha marg thambavtat, jase qee colorectal karkarog, kadakpana, rectocoles, guddwar sphinktar nuksan kinwa vikrutee aanee shastrakriyenantarche badal. itar ghatak rogansarkhya aatdyambaheril vastumananmule bahya sankochanamule baddhakoshthata dekhil houu shakate.
baddhakoshthatechi majjasanstheshi nigadit karane dekhil aahet, jyat anismus, desending perinium syndrome aanee hirshasprang rog yancha samavesh aahe. arbhakanmadhye, hirshasprangcha rog haah baddhakoshthateshi sambandhit sarvat samanya vaidyakeey vikar aahe. dirghakalin baddhakoshthata kinwa shauchat adthala asalelya alpasankhyak vyaktinmadhye anismus hoto.
pathichya kanyachya jakhama aanee parkinson rog aanee pelwick flore disfunction yasarkhe majjasanstheche vikar dekhil baddhakoshthates karanibhoot tharoo shakatat.
chagas rogamule myenteric plexes nasht houn baddhakoshthata houu shakate.
mansik.
aichchhikpane shauch thambavane heey baddhakoshthateche eka samanya kaaran aahe. thambavanyacha paryay vedanechi bheeti, sarvajanik shauchalayanchi bheeti kinwa aalas yasarkhya ghatakanmule asoo shakato. jevha mool vishthet asate tevha protsahan, dravpadarth, tantumay aanee julabyukt padarthanche mishran samasyevar maat karnyasathi upayukt tharoo shakate. rokhanyabarobar lavkar hastakshep karane mahatvache aahe kaaran yamule guddwaratil vighatana houu shakatat.
janmajat.
janmachya velee upasthit asalelya anek aajaranmule mulanmadhye baddhakoshthata houu shakate. teey eka asamanya gut mhanoon aahet, jyamadhye hirshasprangcha rog (etch. dii.) sarvat samanya aahe. janmajat sanrachanatmak visangati dekhil aahet jyamule baddhakoshthata houu shakate, jyat guddwarache agravarti visthapan, chhidrahin guddwar, kadakpana aanee lahan davya bruhadantra syndrome yancha samavesh aahe.
nidanatmak drushtikon.
nidan samanyatah ekhadya vyaktichya lakshananche varnan karoon kele jaate. aatadyanchya halchali jyaa paar karane katheen, khoop ghatt kinwa lahan katheen golyanni (sase utsarjit karatat tashach) banalelya asatat, tyaa jaree darroj hott asalya taree baddhakoshthata mhanoon patra tharatat. baddhakoshthatechi vyakhya paramparikaritya darr aathvadyala teen kinwa tyapeksha qamee aatadyanchya halchali ashee kelee jaate. baddhakoshthateshi sambandhit itar lakshananmadhye sooj yene, vadhane, otipotat dukhane, dokedukhi, thakwa aanee majjasansthecha thakwa jaanavane kinwa apoorn rikami honyachi bhavna yancha samavesh asoo shakato. baddhakoshthata heey nidan asale taree, samanyatah teey eka lakshan mhanoon pahile jaate, jyache kaaran olakhanyasathi mulyamapanachi aavashyakta asate.
varnan.
baddhakoshthatechi tivra (divas teey aathvade) kinwa junat (mahine teey varshe) suruvat yamadhil farak qaraa kaaran hii mahitee vibhedak nidan badalate. heey sobatchya lakshananche kaaran shodhanyat doctoranna madat karate. lock anekada tyanchya baddhakoshthateche varnan, aatadyanchya halchali, jyaa paar karane katheen asate, gathidar kinwa kadak susangatatesah ghatt mall aanee aatadyanchya halchalinchya darmyan jaast taana yene asey karatat. sooj yene, otipotat vaadh hone aanee otipotat dukhane heey heey baddhakoshthatesobat asatat. otipotachya aswasthateshi sambandhit dirghakalin baddhakoshthata (teen mahinyanpeksha jaast kaal darmaha kiman teen divas lakshane) jevha konatehi spasht kaaran aadhalat nahee tevha anekada irritable bowell syndrome (aay. bii. ess.) mhanoon nidan kele jaate.
kharab aahar savayi, purvichya otipotachya shastrakriya aanee kahee vaidyakeey paristhiti baddhakoshthates karanibhoot tharoo shakatat. baddhakoshthateshi sambandhit roganmadhye hypothyroidism, vishisht prakarcha karkarog aanee irritable bowell syndrome yancha samavesh hoto. tantunche qamee sevan, dravpadarthache apurya pramanat sevan, kharab halchal kinwa asthirata kinwa aushadhe baddhakoshthates karanibhoot tharoo shakatat. varr varnan kelelya lakshananvar aadharit baddhakoshthatechi upasthiti ekada olakhali gelee qee, baddhakoshthateche kaaran shodhun kadhale pahije.
jivgheni nasaleli gambhir karane vegale karane heey anshatah lakshananvar aadharit asoo shakate. udaharanarth, ekhadya vyaktila collan karkarog, taap, vajan qamee hone aanee gudashayatoon raktastrav honyacha kautumbik itihas asalyas collan karkarogacha sanshay yeu shakato. itar dhokadayak chinhe aanee lakshananmadhye dahak aatadyachya rogacha kautumbik kinwa vaiyaktik itihas, 50 varshanpeksha jaast vayachi suruvat, vishthechya kshamatet badal, malmal, ulatya aanee ashaktapana, sunnapana aanee laghvi karnyat adchan yasarkhi majjasansthesambandhi lakshane yancha samavesh hoto.
tapasani.
sharirik tapasanimadhye kiman otipotachi tapasani aanee gudashayachi tapasani samavisht asavi. jarr vishthecha bhaar lakshaniy asel aanee otipotat aswasthata disun yeu shakate tarr potachya tapasanitun potache dravyaman ughad houu shakate. gudashayachya tapasanimule guddwar sphinktar tonechi aanee khalchya gudashayat mull aahe qee nahee yachee chhap padate. gudashayachya tapasanitun vishthechi susangatata, moodvyadhachi upasthiti, rakt aanee tvacheche thase, phood, guddwaratil chamkhil yasah konatyahi parighiy aniyamitata aahet qaa yachee mahitee dekhil milate. sharirik tapasani hii doctordware hatane kelee jaate aanee konatya nidanatmak chachanyanche aadesh dyave yasathi margadarshan karnyasathi vaparali jaate.
nidan chachanya.
karyatmak baddhakoshthata hii samanya aahe aanee nidan chachanichi hummy dett nahee. dhokyachi chinhe kinwa lakshane asalelyansathi samanyatah imaging aanee prayogshaletil chachanyanchi shifaras kelee jaate.
prayogshalet kelya dilya chachanya baddhakoshthatechya sanshayaspad mool karanavar avalambun asatat. chachanyanmadhye see. bii. see. (sampoorn rakt ganana), thyroid karya chachanya, seeram calcium, seeram potassium ii. samavisht asoo shakatat.
potache ksh-kiran samanyatah keval tevhach kele jaatat jevha aatadyat adthala yenyachi shanka asate, bruhadantrat mothya pramanat mull padarth prakat houu shakato aanee samaan lakshananchi itar karane pushti kinwa nakaru shakato.
jarr arbudasarkhi bruhadantratil vikrutee sanshayaspad asel tarr colonoscopy kelee jaau shakate. kvachitach aadeshit kelelya itar chachanyanmadhye anorectal manometry, guddwar sphinktar electromeography aanee defecography yancha samavesh hoto.
bruhadantra prasar karnare daab lahari anukram (pii. ess. ess.) heey aatadyanmadhil ghatakanchya swatantra halchalinsathi jababdar asatat aanee samanya shauchasathi mahatvache asatat. pii. ess. varanvarta, vistar aanee prasarachya vyaptitil kamatarata yaa serve gambhir shauchas pravrutti (ess. dii. dii.) madhye guntalelya aahet. yaa aniyamit motorchya namunyanna samanya karoo udbhavu yantrana samasya sudharnyas madat karoo shakatat. alikadech tivra baddhakoshthatechya upcharasathi trik cheta uttejana (ess. aine. ess.) yaa naveen upcharacha vapar keela gela aahe.
nikash.
karyatmak baddhakoshthatesathichya rome III nikashanmadhye khalilpaiki done kinwa adhik aanee nidan honyapurvi kiman 6 mahine lakshane suru asanyabarobarach gelya teen mahinyansathi upasthit asane aavashyak aahe.
pratibandh.
upchar karnyapeksha baddhakoshthata talhane sahasa sope asate. baddhakoshthatepasun aaram midalyanantar, puresa vyayam, dravpadarthanche sevan aanee uchch tantumay aaharasah dekhbhal karanyachi shifaras kelee jaate.
upchar.
maryadit sankhyene prakarananmadhye tatadichya vaidyakeey hastakshepachi aavashyakta asate kinwa tyache gambhir parinam hotil.
baddhakoshthatechya upcharat jarr maheet asel tarr mool karanavar laksh kendrit kele pahije. national institute auph health andd cair axlence (nayas) praudhanmadhil baddhakoshthateche done prakaranmadhye vibhajan karateh adnyat karanamule honara dirghakalin baddhakoshthata aanee afoomule honara baddhakoshthata.
adnyat karanamule dirghakalin baddhakoshthatemadhye, mukhya upcharanmadhye paanee aanee tantunche (ektar aahar kinwa purak mhanoon) sevan vadhavane samavisht asate. julab kinwa enimacha niyamit vapar karnyas nakar deela jaato, kaaran aatadyanchya halchali tyanchya vaparavar avalambun asoo shakatat.
fiber purak.
gavhachya kondyasarkhya aghulansheel tantuchya tulanet cyliumsarkhya vidravya tantu purakanna samanyatah dirghakalin baddhakoshthatesathi pratham-shreni upchar manale jaate. tantunchya purak padarthanchya dushparinamadhye sooj yene, fuffus yene, atisar aanee loh, calcium aanee kahee aushadhanche sambhavya shoshan yancha samavesh hoto. tathapi, afoo-prerit baddhakoshthata asalelya rugnanna tantumay purak padarthancha fayda honar nahee.
julab karnare.
jarr julabyukt padarth vaparale gele tarr magneshiyache dudh kinwa polyethylene glycolchi shifaras tyanchya qamee kimmatimule aanee surakshitatemule pratham-ola agent mhanoon kelee jaate. heey prabhavi nasel tarach uttejak padarthancha vapar keela pahije. dirghakalin baddhakoshthatechya prakarananmadhye, polyethylene glycol heey lactulogepeksha changle disate. jatharantratil gatishilata sudharanyasathi prokineticscha vapar keela jaau shakato. dirghakalin baddhakoshthatemadhye anek naveen ghatakanche sakaratmak parinam disun aale aahet; yamadhye prucallopride aanee lubiprestone yancha samavesh aahe. aahe jagatil deshanmadhye sisapride mothya pramanat upalabdh aahe, parantu bahutek pashchimekadil deshanmadhye too mage ghenyat aala aahe. sambhavyatah hriday sandhivat aanee mrutyu honyas karanibhoot tharat asatana baddhakoshthatevar tyacha fayda asalyache disun aalele nahee.
enema.
enimacha vapar yantrik uttejan denyasathi keela jaau shakato. mothya aatadyacha jastit jaast bhag vishthepasun swachchh karnyasathi mothya pramanat kinwa jaast pramanat enema deela jaau shakato aanee samanyatah dilya dilya dravanat castile saban asato jyamule aatadyachya astarala tras hoto jyamule shauch karanyachi tatadi vadhate. tathapi, qamee enema samanyatah keval gudashayatil vishthesathi upayukt asato, aatadyanchya margat nahee.
sharirik hastakshep.
vareel upayanna virodh virodh baddhakoshthatesathi sharirik hastakshepachi aavashyakta asoo shakate, jase qee hatane vichhedan (haat vaparoon prabhavit vishtha sharirikaritya kadhoon takane; mull prabhav pahaa).
niyamit vyayam qaraa.
niyamit vyayam dirghakalin baddhakoshthata sudharnyas madat karoo shakato.
shastrakriyecha hastakshep.
apavartak prakarananmadhye, baddhakoshthata door karnyasathi madat karnyasathi prakriya kelya jaau shakatat. trik cheta uttejana alpasankhyak prakarananmadhye prabhavi asalyache disun aale aahe. colorectal anastomosis collectomy haah aanakhi eka hastakshep aahe joou keval asha rugnanmadhye keela jaato jyanna bruhadantra sankraman vel mand aahe aanee jyanchyamadhye shauch vikaravar ektar upchar kele gele aahet kinwa too astitvat nahee. hii eka mothee shastrakriya asalyane, dushparinamadhye otipotat lakshaniy vedna, aatadyat lahan adthala aanee shastrakriyenantarche sankraman yancha samavesh asoo shakato. shivay, tyacha yashacha darr atishay badaloo shakato aanee too khoop prakarnavar avalambun asato.
purvasoochana.
baddhakoshthatemule udbhavu udbhavu guntaguntinmadhye moodvyadh, guddwaratil vighatana, gudashayatil prolapse aanee mull prabhav yancha samavesh hoto. vishthechya trasamule moodvyadh houu shakato. baddhakoshthatechya nantarchya tappyat, pooat vistarlele, kadak aanee pasarlele komal houu shakate. gambhir prakarananmadhye ("mull prabhav" kinwa "ghatak baddhakoshthata") aatadyatil adthala (malmal, ulatya, komat pooat) aanee encopressischi lakshane disun yeu shakatat, jethe lahan aatadyatil mauu mull bruhadantratil prabhavit mull padarthachya vastumanala vagalate.
mahamarishastra.
baddhakoshthata haah praudhanmadhye aadhalanara sarvat samanya dirghakalin jatharantra vikar aahe. vaparlelya vyakhyenusar, heey 2 teey 20 takke loksankhyemadhye aadhalate. mahila, vruddha aanee mulanmadhye heey adhik samanya aahe. visheshtah konatehi dnyat kaaran nasaleli baddhakoshthata purushanpeksha striyanna adhik vela prabhavit karate. vruddhanmadhye heey adhik varanvar ghadanyachi karane manavanchya vayanusar vadhatya aarogya samasyanmule aanee sharirik halchali qamee jhalyamule asalyache jaanavate.
itihas.
pracheen kalapasoon vegvegalya samajanni aarogya seva puravathadaranni rugnanmadhye baddhakoshthatela kassa pratisad dyava yabaddal vaidyakeey matey prakashit kelee aahet. vividh vela aanee thikani, doctoranni assa dawa keela aahe qee baddhakoshthatechi serve prakarchi vaidyakeey kinwa samajik karane aahet. itihasatil doctoranni baddhakoshthatevar vajvi aanee aviveki paddhatine upchar kele aahet, jyat spatula mundanicha vapar dekhil samavisht aahe.
rogachya rogjantu siddhantachya aagmananantar 'swayam-nassa' yaa kalpanene lokpriy pashchatya vicharanmadhye naveen paddhatine pravesh keela. enema haah eka vaidnyanik vaidyakeey upchar mhanoon aanee bruhadantranchi paryayi vaidyakeey upchar mhanoon swachchata hii vaidyakeey vyavharat adhik samanya jhaali.
pashchimatya deshanmadhye deshanmadhye dashakapasun, baddhakoshthata asalelya lokanna petki kinwa aalshipanachya babatit kahee naitik apayash yete assa kahee lokpriy vichar keela jaat aahe.
vishesh loksankhya.
mule.
andaje 3 takke mulanna baddhakoshthata aahe, mulee aanee mule samanaritya prabhavit hotat. balrogatadnyanchya sarvasadharan bhetinpaiki andaje 5 takke aanee balrogatadnyanchya gastroenterologistch bhetinpaiki 25 takke bhetee baddhakoshthatemule, yaa lakshanacha aarogyaseva pranalivar lakshaniy aarthik parinam hoto. jyaa vayat baddhakoshthata sarvat jaast udbhavate tyaa achook vayache moolyankan karane katheen asale taree, mulanna jeevan-badalanchya sanyogane varanvar baddhakoshthata anubhavayala milate. udaharananmadhye samavisht aaheh shauchalay prashikshan, naveen shaala suru karane kinwa tyat sthalantar karane aanee aaharatil badal. visheshtah arbhakanmadhye, formulamadhil badal kinwa aaichya dudhapasoon formulakade sankraman kelyane baddhakoshthata houu shakate. baddhakoshthatechi bahutansh prakarane vaidyakeey rogashi jodaleli nasatat aanee upchar heey keval lakshane qamee karnyavar kendrit kele jaau shakatat.
prasutinantarchya striya.
garbhadharanenantarchya sahaa aathvadyanchya kalavadhila prasavanantarcha tappa mhanatat. yaa kalat mahilanna baddhakoshthatecha dhoka vadhato. anek abhyasancha andaj aahe qee pahilya 3 mahinyant baddhakoshthatecha pradurbhav sumare 25 takke asato. baddhakoshthatemule mahilanna aswasthata houu shakate, kaaran teey ajunahi prasutichya prakriyetoon barey hott aahet, visheshtah jarr tyanna perineal ashru aale asateel kinwa epiciotomy jhaali asel. yaa loksankhyemadhye baddhakoshthatecha dhoka dhoka jokhamichya ghatakanmadhye khaleel goshtincha samavesh hotoh
garbhadharanedarmyan moodvyadh samanya asatat aanee baddhakoshthata jhalyavar teey vadhu shakatat. malvisarjanane vedna houu shakanari konatihi gosht (moodvyadh, perineal ashru, epiciotomy) baddhakoshthates karanibhoot tharoo shakate kaaran vedna talhanyasathi rugna aatadyanchi halchal karnyapasoon rokhu shakatat.
otipotache snayu aatadyachi halchal paar karnyat madat karnyat mahattvachi bhoomika bajavtat. vareel kahee jokhamichya ghatakanmule tyaa snayunna dukhapat (udaharanarth-mothe mool hone, prasuticha dirgh dusra tappa, sandushacha prasooti) baddhakoshthatet badaloo shakate. prasutidarmyan enema deela jaau shakato aanee heey balantpananantarchya divasant aatadyanchya halchalinmadhye dekhil badal karoo shakatat. tathapi, lokanchya yaa gatatil julabanchi parinamkarakta aanee surakshitatebaddal nishkarsh kadhanyasathi apure purave aahet.

