Uchch raktchaap madhumeh motaape tathaa paachan kriyaa sambandhi vikaaron ki tarah arthraaetis bhi sachamuch ek saarvbhaumik bimaari hai, jo aadhunik vishv ki aashvast jivan shaili ki den hai. arthraaetis ki rokthaam karnaa eskaa upchaar karne se kahin behatar hai, haalaaki samast prkaar ke arthraaetis kaa upchaar kiyaa jaa saktaa hai.

Peshiya evam panjar pranali

arthraatis men jodon men sujan aa jaati hai। eski kayi kismen hai, jinmen se 96 parsent ki pahchaan ki jaa chuki hai arthraaetis kaa shikaar ho jaane par prbhaavit jod men sujan aa jaati hai aur uske niche maujud uttak kshatigrast ho jaate hain dard aur akadan marijon dvaaraa anubhav kia jaane vaale atyant saamaany lakshan hai.

jaise-jaise yah bimaari badhti hai jod adhikaadhik kadaa padhne lagtaa hai aur eski kriyaashiltaa dhire dhire khatm hone lagti hai। ek baar jod ke kadaa par jaane par aur eske aaspaas maans peshiyon kaa samuchit dhang se vyaayaam naa hone par yah jod sikud jaate hain aur es tarah paidaa hone vaali maanspeshiyon ki kamjori ko disyuj etraphi kahte hain.


 esmen jodon ke durghatnaagrast hone kaa khatraa badh jaataa hai aur arthraaetis ki bimaari ugr rup dhaaran kar leti hai. svasthy aur khush rahne ke lia kia jaane vaale abhyaas on ke kaaran aur kuchh ek peshiy panjar padhaai sambandhi vikaar paidaa ho jaate hain, jaise- daud lagaanaa, erobiks, jaging.


Jod kis tarah kaam kartaa hai  -

arthraaetas ki vistaar purvak charchaa karne se pahle hamen yah samajhnaa chaahia ki ek jod kis tarah kaam kartaa hai. sharir men kayi tarah ke jod hote hain kuchh atyant sakriy hote hain to kuchh sthir v sakriy donon, to any dusre puri tarah sthir.

  maanav sharir men asthiyon, maans peshiyon v jodon ki sanrachnaatmak vyavasthaa vismaykaari hai, jo eskaa bhaar uthaane men paryaapt saksham, eske naajuk andruni avayvon ki rakshaa karne ki driashti se paryaapt kathor, manushy ke astitv ko sunishchit karne vaali phurti upalabdh karaane ki driashti se paryaapt lachili hai.


 haalaaki jodon ki sanrachnaa jodon ki kism ke anusaar ek dusre se alag hoti hai, adhikatar jod en jaise tatvon se hi bane hua hote hain. jod sambandhi sanyoji uttak ki tantuon se bane kade kaipsul ke bhitar sthit hotaa hai. es uttak shleshmak sinoviyal (saainoviyal) taral nikaltaa hai, jo hilne dulne vaale angon kaa snehan (lubrikeshan) kartaa hai. es kaipsul ke baahar tantu daar sthirak jod ko ghere rahte hain. jinhen ham snaayu (ligaament) kahte hain kaipsul ki rakshaa karen vaali 2 haddiyon ko paraspar jodte hain। aur jod ke hilne jalne ko surakshit simaa ke bhitar rakhte hain. ek ameriki upanyaaskaar haraman mel mile ne kahaa thaa-

"maanav sharir kaa ek jahaaj hai jiski haddiyaan mul star, paal aadi jaisi chijen hain aur jiski nasen (tendan) upayukt chijon ki chhoti-chhoti phaili hui rassi jaisi hain, jo es jahaaj ki sanchaalan vyavasthaa karti hain."


Jod men kyaa kharaabi paidaa ho sakti hai? -

eskaa saralatam udaaharan moch hai. mud jaane se takhne men chot aa jaati hai. eskaa jod suj jaataa hai, esmen taral bhar jaataa hai es bhaag men khun ki saplaai badh jaati hai tathaa yah garm ho jaataa hai aur esmen dard hone lagtaa hai. sujan aur dard ki vajah se chalnaa phirnaa kam ho jaataa hai. haddi tut jaane par bhale hi jyaadaa dard naa ho, vyakti apne aap hi yah koshish karne lagtaa hai ki use tute hua hisse par adhik jor nahin daalnaa chaahia. moch kuchh samay baad thik ho jaati hai lekin phraikchar ko jodne men samay lagtaa hai. gaaut kaa dauraa padhne par jodon men sujan aa jaati hai. aur rumetaaed arthraaetis main aisaa koi spasht kaaran dikhaai nahin padtaa hai aur svayan yaa bimaari sujan kaa kaaran prtit hoti hai.


Arthraatis kayi prkaar kaa hotaa hai:

1. dijenretiv (vyapajanan)- jaise aastoyo arthraaetis, sarvaaekal v lambair sapondilaaetisaa.

2. enphlemetri (shothaj)- jaise rumetaaed arthraaetis, ankelosis, spondilaaetis tathaa soriatik arthraaetis.

3. emphektiv (sankrmi)- jaise baiktiriyal nyumo, gonon, meningo, stripto v staaephlo aur baaebal (rubelaa).

4. metaabolik (chayaapachyi)- jaise gaaut.


Aastiyoaarthraaetis -

aastiyoaarthraaetis arthraaetis ki aksar hi hone vaale aam kism hai, sharir ke jodon ki ghisne pitne ki bimaari jo aayu badhne ke saath-saath saamaany rup se ho jaati hai. yah jodon men upasthityon (kaartilej) ke ghis jaane ke kaaran hoti hai. haddiyon ke aakhir men upasthiti ke paid chikne aur sapaat hone ki bajaay tirchhi v khuraduraa ho jaate hain, jisse jodon ke saamaany kaamkaaj men rukaavat aane lagti hai. jod ek achchhi tel daali hui mashin ki tarah suchaaru rup se kaam karne ke bajaaa jang khaaa darvaaje ki tarah khadakhadaahat karne lagte hain.

aastiyoaarthraaetis se praayah vajan sambhaalne vaale bade-bade jodon (ghutne v nitamb) ke saath-saath rid bhi prbhaavit hoti hai.


gurutv manushy ke vajan sambhaalne vaale jodon kaa shatru hotaa hai. en par baarambaar padne vaale prbhaav se sukshm aaghaat pahunchtaa hai, jisse jod bigadne lagte hain arthaat jod men aastiyoaarthraaetik parivartan hone lagte hain. mote vyaktiyon ke ostiyoaarthraaetis kaa shikaar hone ki sambhaavnaa rahti hai.

ostiyoaarthraaetis kaa prkop chot lagne yaa khilaadiyon ke maamlon men kisi jod kaa baar-baar durupyog karne ke baad hotaa hai. abhi tak yah jyaat nahin ho paayaa hai ki apne jodon kaa lagaataa durupyog karne vaale vyakti esse kyon bachche rahte hain, jabaki any dusre eskaa shikaar ho jaate hain.

dard aur akadan eske atyant saamaany lakshan hai yah praay: mausam men badlaav aane ke saath dikhaai padte hain. kabhi-kabhi rog grast jod naajuk ho jaataa hai aur suj jaataa hai.


Upchaar -

upchaar ki baarambaartaa aur avadhibimaari ki gahantaa aur vaanchhit prbhaav par nirbhar karti hai.


Ghutne bhatakne ki jodon kaa ostiyoaarthraaetis -

ghutne v takhne ke jodon men dard v en ki sujan se chhutkaaraa paane ke lia nimnalikhit upchaar upyogi hain :


Jod ke gird maanspeshiyon ko majbut banaane ke lia jodon ki halki maalish.

Dard aur jakadan se aaraam paane ke lia garmi v thandi sikaai v aaphyujan.

upri sujan vardhaa se chhutkaaraa paane ke lia jodon kaa thandaa lapet.

ghar men rakhne vaale (paik) bhi dard jakadan aur sujan se raahat dilaane men sahaayak hain.

paani men epsam saalt milaakar 15 se 20 minat tak nyutral emarshan aur ardh nyutral snaan.

kantraast snaan bhi dard v jakadan ko dur karne men atyant sahaayak hote hain.

sidhe garm men mitti kaa lapet karne se dard kam hotaa hai.

jodon ko modne aur phailaane jaise niyamit vyaayaam se maans peshiyon ko majbut banaane men madad milti hai।

kisi kushal chikitsak ki dekhrekh men sanyamit bhojan ki dinacharyaa apnaa kar vajan ghataanaa bhi atyant mahatvpurn hai.

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