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GKwRgv
n‡jv AmsµvgK I Pvgovi GjvwR© RvZxq cÖ`vn hv evwn¨K
ev Avf¨š—ixY Kvi‡Y N‡U _v‡K|
KviY t GKwRgv
Pvgovi GjvwR© RwbZ cÖ`v‡ni Kvi‡Y nq| eskMZ fv‡e
†Kvb wKQyi cÖwZ Kv‡iv GjvwR©K cÖwZwµqv
wbf©i K‡i| GjvwR© evB‡ii c`v‡_©i Kvi‡Y
(†hgb ivmvqwbK c`v_©, m~h©v‡jvK, cvwb, mvevb,
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(†hgbt hK…Z I cwicvK Z‡š¿i †ivM,
K…wg `xN©¯’vqx RxevY~ msµgb BZ¨vw`)
Gi Kvi‡Y n‡Z cv‡i| Z‡e Dfq †‡Îi
g~‡j welq n‡”Q Pvgovi AwZ ms‡e`bkxjZv A_©vr
AZ¨vwaK D‡ËRbv cÖeY Pgov|
Ae¯’vb t
GKwRgv mvaviYZ nv‡Z, cv‡q (KbyB‡qi mvg‡bi
fuv‡R, Kwâi †cQ‡b, nvUzi †cQ‡bi
fuv‡R, †Mvovjxi mvg‡bi fuv‡R) †ekx n‡q
_v‡K| ev”Pv‡`i gy‡L, nvZ I cv‡qi Zvjy‡Z
n‡Z cv‡i|
cÖKvi‡f`
t GKwRgv cÖavbZt `yÕai‡bi n‡q _v‡K|
* m`¨ GKwRgv Z¡‡K jvj Z nq, dz‡j hvq, dzmKzwo
†`Lv †`q, PzjKvq, Bb‡dKkb n‡j cyuR nq, mvaviYZ
†fRv _v‡K * cyivZb GKwRgv n‡j cyuR nq mvaviYZ †fRv
_v‡K Z¡K Mvp Gi wKsev Kv‡jv n‡q hvq PzjKvwb
wKQyUv Kg nq, Z¡K cyi“ n‡q hvq mvaviYZ ïKbv _v‡K|
j¨ve cix²v
t j²Y †`‡L †ivM m¤ú‡K©
aviYv cvIqv †M‡jI wKQy cixvi mvnv‡h¨ wbwðZ
nIqv hvq|
* Brow*
Blood for TC, DC, ESR – Esonophilia cvIqv hvq * Skin scraping
for fungus from margin of the lesion dvsMv‡mi
mswgkªb Av‡Q wKbv Rvbvi Rb¨|
e¨e¯’vcbv
t
* †ivMxi †h me Lvevi (†hgb-Bwjk gvP, wPswo, †evqvj
gvQ, cyuwU gvQ, wWg, `ya, Mi“i gvsm, †e¸b BZ¨vw`
†h †Kvb Lvevi) I `ªe¨vw`i (Dj, †UUªb
bvB‡jvb, cwj‡h÷vi, ivev‡ii Ry‡Zv BZ¨vw`
†h †Kvb `ªe¨vw`) cÖwZ GjvwR© i‡q‡Q
Zv eR©b Ki‡Z n‡e * m`¨ GKwRgvi GKwRgvi †‡Î
Z ¯’vb cUvwkqvg cvig¨vsMv‡bU †jvkb w`‡q
3/4 evi ay‡q †÷i‡qW µxg/A‡q›U‡g›U
(‡hgb weUv‡g_vmb, †n•v‡g_vmb BZ¨vw`
jvMv‡Z n‡e| cyivZb GKwRgvi †‡Î Z ¯’v‡b
kw³kvjx A‡q›U‡g›U/µxg w`‡b
2/3 evi jvMv‡bv †h‡Z cv‡i * Gw›Uwn÷vwgb
U¨ve‡jU - GjvwR©i Rb¨ * Bb‡dKkb _vK‡j
h_v_© Gw›Uev‡qvwUK wbw`©ó mgq ch©š—
†L‡Z n‡e * Nyg Kg n‡j ev `ywðš—v
†ekx _vK‡j Ñ
Diazepam/Clobazam wKQyw`‡bi
Rb¨ †`qv †h‡Z cv‡i * GKwRgv Lye †ekx
n‡j †÷i‡qW U¨ve‡jU (Prednisolone
10-40 mg) 5-7 w`‡bi
Rb¨ mZK©Zvi mv‡_ †`qv †h‡Z cv‡i|