mansik itihas

mansik itihas haah vaidyakeey prakriyecha parinam aahe jithe mansik aarogyachya kshetrat kaam karnara chikitsak (samanyatah mansopacharatadnya) rugnachya mulakhatichi samagri paddhatshirpane nondavato. tyanantar heey mansik sthitee tapasanisah ekatra kele jaate aanee tapasani kelya kelya vyaktiche "mansik sootra" tayar kele jaate.
manasshastradnya ashach prakarcha itihas ghetat, jyala anekada manasshastriy itihas mhanoon sambodhale jaate.
yaa lekhat pramukhyane naveen takrar prathamach sadar sadar rugnacha prarambhik moolyankan itihas samavisht aahe.
parshvabhoomi.
vaidyakeey kshetrat rugnacha itihas haah rugnachya jivanatil mahattvachya ghatanancha ahwal aahe jyaa samasyeche nirakaran kele jaat aahe. itihas ghenara chikitsak yaa sambandhit tapashilancha sankshipt saransh prapt karnyachya prayatnat prakriyes margadarshan karato. itihasacha barachsa bhag prashna vicharoon prapt hoto. yapaiki kahee prashna agadi vishisht aahet, jase qee, "tumche vay kitee aahe?"aanee itar lock adhik khule aahet, jase qee," tumhala alikade kase vatat aahe?"jaree mulakhatichi rachana visangat disat asali, taree antim parinam sahasa jagbharatil samanata asalelya shirshakanchya sanchakhali asato.
rugnachi olakh.
rugna kona aahe yacha moolbhut tapasheel gola keela jaato. yamadhye tyanche vay, ling, shaikshanik sthitee, dharm, vyavasay, natesambandhanchi sthitee, patta aanee samparkacha tapasheel samavisht aahe. yamule anek uddishte sadhya hotat. pratham, prashasakeey karanansathi hii aavashyak mahitee aahe aanee yaa karanastav yapaiki kahee anekada lipic ghetat. dusare mhanje, heey prashna mothya pramanat dhokadayak naheet aanee rugna aanee doctoranchya bheticha saumya parichay detat. tisare mhanje, teey sanskratila yogya asalelya vaiyaktik parichayasathi eka swaroop pradan karate. asha prakare chikitsak swatachi olakh karoon deuun suruvat karoo shakato aanee nantar yaa prashnankade jaau shakato. hii prarambhik rachana, jeey kaay ghadat aahe tyabaddal tanavakhali aahe asha rugnala parichitatechi bhavna pradan karoo shakate.
prastuticha srot aanee paddhat.
rugna tithe qaa aahe heey tharvane hii pudhchi payari aahe. teey mulakhatit kase aale? tyanna konee (udaharanarth dusra chikitsak, natevaik kinwa mitra, kinwa polis kinwa nyayalay) soochit kele hote qee teey madat magnyasathi aale hote? jarr tyancha sandarbh konee deela asel tarr tyaa vyaktiche sandarbh denyache kaaran kaay hote. anekada ashee mahitee sandarbh patradvare kinwa purvichya durdhvanidware dilee jaate.
mukhya (pramukh) takrari.
tyanantar chikitsak rugnala tithe aanalelya mukhya samasya konatya aahet heey spasht karnyacha prayatna karato. yapaiki kahee purvichya vibhagat aadhich sadhya jhaale asateel. rugnala ekapeksha jaast samasya asoo shakatat aanee tyaa sambandhit asoo shakatat, jase qee postromatic strace disorder aanee alcoholcha gairavapar kinwa panic disorder aanee akali skhalan yasarkhya asambandhit asambandhit. rugna nidan sadar karanyachi shakyata qamee asate aanee tyachya samasyanche swaroop samanya bhashet varnan karanyachi shakyata jaast asate.
prastut takrarincha itihas (sadhyacha aajaar).
tyanantar chikitsak yaa samasyanche spasht varnan midvanyacha prayatna karato. tyanchi suruvat kadhee jhaali? teey achanak, haloohaloo kinwa tandurust houn kase suru jhaale? kalantarane tyat chadh-utaar hott gele aahet qaa? takrarinchi aavashyak vaishishtye mhanoon rugna kashache varnan karato? nidan kaay asoo shakate yache gruhitak vikasit kelyanantar, chikitsak pudhil lakshane pahato jee yaa gruhitkala pushti deu shakatat kinwa tyanna dusarya shakyatecha vichar karnyas pravrutt karoo shakatat. nidanatmak sutrikaranaparyant pohochanyasathi, jeey vyavasthapan yojanecha aadhar asel, yaa gruhitak chachanichya yaa prakriyet vaidyasathi bahutansh mansik prakriya guntaleli asate. pratyek takrarichya tivrateche moolyankan kele jaate aanee yamadhye aatmahatyeche vichar kinwa laingik adachani yasarkhya sanvedanshil muddyanvaril prashnancha tapas karane samavisht asoo shakate.
itihas.
heey 'mansopchar itihas' madhye vibhagale gele aahe, jeey sadar kelelya takrariche konatehi mageel bhag tasech itar konatyahi bhootkalatil kinwa chaloo asalelya manasopacharvishayak samasya pahate. padarth (aushadh) itihas" madhye daroo, tambakhu aanee avaidh aushadhanchya vaparachya namunyanvishayi (prashasanachi paddhat, prarambhache vay, varanvarta, rakkam, shevatcha vapar, vaidyakeey kinwa mansik guntagunt, sodanyacha prayatna karnyacha itihas) mahitee samavisht hotee. vaidyakeey itihas" madhye bhootkalatil aanee vartmankalatil mahattvapoorn aajaar aanee dokyala dukhapat, daure, mothya shastrakriya aanee mothe aajaar yasarkhya mahattvapoorn vaidyakeey ghatananche dastaivajikaran kele aahe. eka vegala 'laingik itihas' laingik abhimukhata aanee laingik kriyakalapanvishayi mahitee gola karato. shevati sharirik, bhavnik aanee laingik shoshanacha itihas rugna aanee taaran strotankadun (kutumbatil sadasya kinwa jawalchya kutumbatil mitra) prapt hoto kaaran rugnala kadachit aaghat thet lakshat nasel.
kautumbik itihas.
anek mansik vikaranmadhye anuvanshik ghatak asato aanee tyamule jaivik kautumbik itihas sambandhit asato. vaidyakeey anubhav asehi suchavato qee upcharanna pratisad detana anuvanshik ghatak dekhil asoo shakatat. asha prakare, jyaa rugnachya aaeela dekhil yach vikarane grassley aahe aanee fluoxetinla changla pratisad dett aahe, asha rugnala vaidyakeey nairashya yete, teey soochit karel qee heey aushadh rugnachya vikarat madat karanyachi shakyata jaast asate.
anuvanshik ghatakanvyatirikt, sanshodhanat asey disun aale aahe qee palkanmadhye nairashya aanee darucha durupyog yasarkhe aajaar tyaa vatavaranat vatavaranat mulanmadhil kahee paristhitinchya uchch darashi sambandhit aahet. pradirgh aajarane palakanchya mrutyuchehi asech parinam disun yetat.
vikasacha itihas.
heey rugnachya aayushyatil mahattvapoorn ghatananche dastaivajikaran karate. aadarshpane yachee suruvat prasutipoorv ghatakanpasun hote, jase qee mateche aajaar kinwa garbhadharanetil guntagunt, nantar prasooti aanee balpanatil aajaar kinwa samasyanche dastaivajikaran hote. tyanantar tee rugnachya aayushyatil palakanche vegale hone, gairvartan, shikshan, mansik laingik vikas, samvayask sambandh, vartanukiche pailu aanee konatihi kayadeshir guntagunt yasarkhya mahattvapoorn ghatanankade pahate. tyanantar teey natesambandh aanee vyavsayik itihasasah praudhavasthet vahate. rugna kona aahe aanee tyanni aayushyat changle aanee white asey donhi anubhav kaay anubhavale aahet yache vihangavalokan midvane haah yamagcha uddesh aahe. lagn, palakatva, nivrutti, mrutyu kinwa jodidaracha mrutyu aanee aarthik yash aanee apayash yasarkhe pramukh taana aanee sankraman heey serve mahatvache aahet, tasech rugnane tyanchyashi kase vagale aahe. laingik samayojan aanee samasya sambandhit asoo shakatat aanee anekada tyanchyavar prashnachinh upasthit kele jaate.
samajik itihas.
jarr mahitee aadhich prapt jhaleli nasel, tarr vaidyakeey adhikari nantar aarthik, gruhnirman, natesambandh, ammali padarth aanee darucha vapar aanee kayada kinwa itar itar sambandhit samasya yasarkhya ghatakankade ghatakankade rugnachya samajik paristhitichi nond karatat. sadar kelelya takrarishi sambandhit vanshik kinwa sanskrutik samasyanche dastaivajikaran karanyachi dekhil hii vel aahe.
pranalincha aadhava.
pranalinchya manasopacharvishayak punaravalokanat saha-rugna manasopacharvishayak aajaar kinwa samasya (udaa.jee.nairashyasathi sigecaps nemonic kinwa phq-9, chintesathi samanyikrut chinta vikar 7, unmadasathi diagfast nemonic kinwa manovikar kinwa itar mansik takrarimbaddal vishisht prashna vicharane. pranalicha sampoorn aadhava ghetalyas rugnachya karyavar aanee ekoon aarogyavar parinam karnare serve sambandhit tankendre olakhanyacha aanee tyanchi yadee karnyacha prayatna keela pahije.
saransh.
hii mahitee gola kelyanantar chikitsak sahasa vishisht rugnashi sambandhit asoo asoo itar konatyahi ghatakancha vichar karato aanee tyanchi chaukashi karato. jaree mahitee gola karane heey doctoranchya vicharanaivaji rugnachya vicharanchya pravahanusar asale, taree doctoransathi mansopchar itihasachi nond vareel shirshakankhali karane asamanya nahee, jenekarun nantar vachanaryanna teey sope hoil.
tyanantarchya punaravalokanancha itihas, sambhavya dushparinamansaha, lakshananchya patalitil badal aanee upcharanna upcharanna pratisadanvar laksh kendrit karato.

