Av‡_ª©vBwUm
Av‡_ª©vBwUm K_vi A_©
n‡”Q Aw¯’ mwÜi cÖ`vn| †`‡ni
wewfbœ Aw¯’i ev nv‡oi g‡a¨ †h
mwܸ‡jv i‡q‡Q G‡Z hw` †Kv‡bv
cÖKvi cÖ`vn nq Z‡e Zv‡K Av‡_ª©vBwUm
e‡j| Av_ª©vBwUm A‡bK iKg n‡Z cv‡i|
Z‡e mvaviY fv‡e Avgiv †h me Av_ª©vBwU‡mi
†ivMx †`L‡Z cvB Zv cÖavbZ `yÕai‡bi|
* Aw÷I Av_ª©vBwUm ev Aeqx mwÜcÖ`vn * wiDgvU‡qW
Av_©ªvBwUm ev mwÜevZ
Aw÷I Av_ª©vBwUm Aw÷I Av_©ªvBwUm ev
Aeqx mwÜ cÖ`vn g~jZ eq¯‹‡`i †ivM| G‡Z
†ivMxi GKUv wK `y‡Uv Aw¯’mwÜ Avµvš—
nq| Aw¯’¸‡jvi cÖv‡š— i‡q‡Q
Zi“bvw¯’i AveiY| GB Zi“bvw¯’i Aeq
NU‡j †`Lv †`q Aw÷I Av_©ªvBwUm| mvaviYZ
fv‡e Avgv‡`i †`‡ni Aw¯’mwܸ‡jv
†Zj †`qv †gwk‡bi g‡Zv ¯^”Q‡›`
P‡j| wKš‘ Zi“Yvw¯’ q n‡q †M‡j
Aw¯’mwܸ‡jvi ¯^vfvweK Pjb gZv bó
n‡q hvq, n‡q c‡o KK©k I Agm„Y| cÂv‡kva©
gvbyl G †iv‡M Avµvš— nq †ekx|
DcmM© I j²Y t
*KvR Ki‡j e¨_v ev‡o, wekªvg wb‡j K‡g
hvq
*Avµvš— Aw¯’mwÜi mPjZv K‡g hvq
*bovPov Ki‡Z Amyweav nq|
wPwKrmv t
*cwic~Y© wekªvg-Zxeª e¨_vi †²‡Î
*e¨_v Kgv‡bvi Rb¨ e¨_v bvkK Jla wb‡Z n‡e
*Avµvš— mw܇Z †muK w`‡j †ivMx
Avivg †eva Ki‡e
*e¨qvg-wdwRI‡_ivwc‡÷i wb‡`©k g‡Zv
e¨vqvg Ki‡Z n‡e
*e¨_v bv Kg‡j we‡klÁ wPwKrm‡Ki Kv‡Q
cvVv‡Z n‡e| KviY A‡bK mgq kj¨ wPwKrmv ev *Bb‡RKk‡bi
gva¨‡g wPwKrmv Ki‡Z nq|
Muv‡UevZ/mwÜevZ
t wiDgvU‡qW Av_ª©vBwUm mvaviYZ gwnjv‡`i
†ewk nq| Z‡e cyi“‡liI n‡Z cv‡i|
G ai‡bi mwÜ cÖ`v‡n nvZ I cv‡qi †QvU
†QvU Aw¯’mwܸ‡jv †ewk Avµvš—
nq| Z‡e eo eo mwܸ‡jvI Avµvš—
n‡Z cv‡i|
KviY t G †iv‡Mi
KviY m¤ú‡K© wbw`©ófv‡e wKQy
ejv hvq bv| Z‡e KZ¸‡jv NUbvi mv‡_ Gi ms‡hvM
†`Lv hvq| †hgbÑ Ubwm‡ji cÖ`vn, gy‡Li
Af¨š—‡i ˆkw®§K wSjxi cÖ`vn,
Bbdz‡qÄv, wbD‡gvwbqv, bv‡Ki MnŸ‡ii
cÖ`vn cÖf„wZ †iv‡Mi Ae¨ewnZ c‡i
wiDgvU‡qW Av_ª©vBwUm †aLv w`‡Z cv‡i|
†h me †jvK VvÊv mu¨vZmu¨v‡Z Ges A¯^v¯’¨Ki
cwi‡e‡k evm K‡i Zv‡`i g‡a¨ G †ivM
†ewk †`Lv hvq|
DcmM© I j²Y t
†iv‡Mi ïi“‡Z nv‡Zi ZR©bx I ga¨gv
G `y‡Uv AvOy‡ji †Mvovi w`‡Ki Aw¯’mw܇Z
cÖ`vn ïi“ nq| mv‡_ R¡i _v‡K| Avµvš—
Aw¯’mwܸ‡jv jvj nq Ges dz‡j I‡V|
†ivMx Kvš—, Aembœ n‡q c‡o| †ivMxiv
zav I IRb K‡g hvq| µ‡g µ‡g Aw¯’mwÜi
dzjv I e¨_v evo‡Z _v‡K Ges †`‡ni eo eo Aw¯’mwܸ‡jv
Avµvš— n‡Z _v‡K| nv‡Z †Kej
Kâv I KbyB Avµvš— nq| Gi Ab¨Zg ˆewkó¨
n‡jv GK‡Î `yÕnv‡ZiB GKB iKg Aw¯’mwܸ‡jv
†`Lv hvq| mKvj‡ejv mwܸ‡jv k³ n‡q
APj Ae¯’vq _v‡K| †ivM hLb GKUz cyi‡bv nq
ZLb e¨_vi ZxeªZv wKQyUv K‡g Av‡m| Aw¯’mwܸ‡jvi
AvKvi weK…wZ N‡U; `y‡Uv K‡o Av½y‡ji
w`‡K †eu‡K hvq| µ‡g Aw¯’mwܸ‡jvi
Kvh©gZv K‡g Av‡m| gvsm‡ckx¸‡jv ïwK‡q
hvq| cwiYv‡g †ivMx c½y n‡q †h‡Z
cv‡i|
j¨ve cix²v t
Blood
for Hb%, ESR, Rheumatoid Factor test, X-ray of the involved joints.
wPwKrmv t
*cwic~Y© wekªvg-hZw`b e¨_v I †dvjv _v‡K
*Avµvš— Aw¯’mwÜi e¨vqvg (wdwRI‡_ivwc÷-Gi
wb‡`©k g‡Zv)
*e¨_v Kgv‡bvi Rb¨ e¨_v bvkK Jla w`‡Z n‡e
*Avµvš— mw܇Z †muK w`‡j †ivMx
Avivg †eva Ki‡e
*mwVK †ivM wbY©q K‡i wPwKrmvi Rb¨ A_©‡cwW•
A_ev †gwWwmb we‡kl‡Ái Kv‡Q cvVv‡Z
n‡e|
g‡b ivLv `iKvi:
wiDgvU‡qW Av_ªv©vBwUm †ivM m¤ú~Y©
fv‡e mvwi‡q †Zvjv mnR bq| mvgwqKfv‡e e¨_v
ev Ab¨vb¨ DcmM© K‡g †M‡jI Avevi †`Lv
w`‡Z cv‡i| ZvB †m wel‡q †ivMx‡K
we¯—vwiZ eywS‡q ej‡eb| GB †ivM ïay
Jla †L‡jB fv‡jv nq bv| cvkvcvwk wdwRI‡_ivwc
ev e¨vqvg wPwKrmv wb‡Z n‡e| GRb¨ †ivMx‡K
we‡klÁ wPwKrm‡Ki Kv‡Q cvVv‡Z n‡e|
