merurajju (spaaenal kalam) men chhoti-chhoti 33 haddiyaan hoti hain, jo atyant kushaltaapurvak khopadi ke nichle hisse se lekar niche nitamb kshetr tak puri tarah ek sidh men hoti hai. merurajju upar mastishk ko saadhti hai, sharir ke madhy men pashurkaa pinjar (rib kej) ko sahaaraa deti hai aur niche shreni (pelvik) ko milaati hai.
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| Ridh sambandhit Vikar |
Ridh ko maanav sharir ke dhaanche kaa bhaar sahne men saksham aur lachilaa honaa chaahia tathaa bhaari vajan padne ke baavjud sabhi dashaaon men jhukne v ghumne men samarth honaa chaahia। ese khokhlaa bhi honaa chaahia, jisse naajuk nashe v rakt vaahikaaan eske andar se hokar gujar saken aur eske parshvon se baahar nikal sake tathaa chalne phirne ang sanchaalan aadi ke dauraan kshatigrast naa hone paaa aur jivan bhar suchaaru rup se kaam karti rahe.
snaayu vyakti ki kasherukaa ko baandh kar rakhte hain merurajju khokhli kasheruki nalikaa se hokar niche ki or jaati hai। eski nase pratyek kasherukaa ke paarshv men maujud khuli jaghon se baahar nikalti hai. shiyaatikaa nas, jo laimbair rijan se nichle avayvon tak pahli hoti hai, kamar men praay: tej dard men shaamil hoti hai pratyek kasherukaa ke bich jiletinaj kendr se nirmit ek updhaani (kushan) hotaa hai, jise disk kahte hain. yah shak abjarbar ke rup men kaam kartaa hai aur do rephrijretar ke baraabar vajan bardaasht kar saktaa hai.
Sarvaaekal spondilosis -
yah vah dashaa hai jab gardan ki haddiyaan (grev kasherukaa) kis par jaati hai। sarvaaekal spondilosis badi umr vaalon men aamtaur par paayaa jaataa hai lekin eskaa arth yah nahin hai ki kam umr vaale es vikaar se mukt hain. vaastav men aajakal yah vikaar aayu sambandhi bhedbhaav ke bagair har kisi ko apni chapet men le rahaa hai jiskaa mukhy kaaran hai-asvaasthyakar jivan paddhati aur vah tarikaa jismen merurajju ko rojamarraa ki gatividhiyon ke lia prayukt kiyaa jaataa hai. galat dhang se baithnaa, vaahan chalaate samay nirantar aage ki or jhuke rahnaa, gardan jhukaa kar kaam karnaa, dabaav v tanaav, dard v tanaav aadi ke kaaran en sab kaa parinaam gardan ke saamne ke bhaag men dard aur akaram ke rup men miltaa hai। dard aur akadan ke alaavaa kandhe v haathon men chamakne vaale dard bhi es rog men hote hain tathaa aisaa lagtaa hai, maano koi suiyaa chubho ho rahaa hai. praayah chakkar bhi aa jaate hain (besilar dhamni ki kamjori hai mastishk ko rakt saplaai karne vaali besilar yaa aadhaari dhamni par dabaav padne ke kaaran).
kabhi-kabhi sarvaaekal spondilosis ke marijon ko kalar belt pahanne ki salaah di jaati hai, jo rog se prbhaavit kshetr ko sthir banaa detaa hai aur es tarah dard se aaraam miltaa hai. lekin sharir ke es bhaag ke es tarah sthir ho jaane se sthaai rup se kadaapan paidaa ho saktaa hai aur maanspeshiyaan kamjor pad sakti hain.
Upchaar -
lagaataar aage jhuk kar kaam karne se bachnaa aur es tarah gardan ko dabaav padne se bachaanaa.
gardan ridh vah kandhon par halki halki maalish aur eske baad garm v thandaa aphyushan yaa nyutral aphyushan snaan.
adhik jakadan aur dard hone par thandi yaa garm sikaai
haathon men pratibimbit hone vaale dard se chhutkaaraa paane ke lia kantraast baah snaan.
sir v gardan ki niyamit vyaayaam.
samast kaaryon ke dauraan sahi mudraaan apnaanaa.
Kamar ke niche vaale hisse men dard -
adhikaansh vyakti apne jivan men kabhi naa kabhi kisi naa kisi dard kaa shikaar ho hi jaate hain। yah galat mudraaon men uthne baithne kaa dhang hai sir dard ke baad yah kamar dard hi hai jo dard kaa ek mukhy kaaran hai। kamar dard kaa anubhav karne vaale adhikaansh marij anythaa saamaany jivan bitaate hain.
tej dard men aushadhiyon se aaraam to mil jaataa hai yaa maans peshiyaan shithil pad jaati hain, lekin ense daad kaa upchaar nahin ho paataa. adhik maatraa men estemaal karne se yah davaai lene ki aadat pad sakti hai aur es tarah vaastav men dard ki baarambaartaa men vriaddhi ho jaati hai.
aksar hi dard bane rahne se sharir ki shakti kam hone lagti hai, thakaan v avsaad badh jaataa hai. kamar dard kaa nidaan karne par paayaa gayaa hai ki marijon men yaa nikle hisse kaa dard saamaany taur par paayaa jaataa hai. manovaijyaanik dabaav bhi kamar ke dard ko badhaane ke lia uttardaai hai. esmen jakadan ke kaaran kamar men lahren uthne lagti hain, jinse kamar dard hone lagtaa hai.
rid kaa jarurat se jyaadaa estemaal karne, es par dabaav padhne v adhik samay tak baithe rahakar kaam karne ki aadat ke alaavaa kamal ki maans peshiyon kaa kamjor pad jaanaa, pet kaa baahar nikal aanaa (baahar niklaa huaa pet kamar ki maanspeshiyon ko aage ki or khinchtaa hai, jiske kaaran kamar par atirikt dabaav padne lagtaa hai), jarurat se jyaadaa vyaayaam karnaa (jaise joging erobiks etyaadi), umr badhne ki prakriyaa bhi kamar dard men apnaa yogdaan karti hai.
vaastav men kamar dard karib 80 se 85 pratishat maamlon men maanspeshiyon ki kamjori, en par padhne vaale dabaav etyaadi ke kaaran tathaa 15-20 pratishat maamlon men sharir ke dhaanche ki khaamiyon yaa any bimaariyon jaise ostiyoaarthraaetis, prolepsad uttak kasherukaa disk, lamber spondilosis, spaaenal kenaal stenosis, pheset jvaaent sindrom tathaa spondilosthisis ke kaaran hotaa hai.
khade rahne ki tulnaa men baithe rahne se 40 pratishat adhik dabaav padtaa hai, jabaki leti hui avasthaa men khadi avasthaa men padne vaale dabaav ke 25 pratishat ke baraabar kami ho jaati hai. chhinkne, hansne v khaansne se bhi disk par dabaav badh jaataa hai esalia kamar dard tej ho jaataa hai.
Upchaar -
kamar men bahut tej dard hone par pahle 24 -28 ghanton ke dauraan nimnalikhit baaton kaa sahaaraa denaa chaahia:
dard se prbhaavit hisson ko aaraam denaa chaahia.
thode antraal se baarambaar barph paik rakhnaa chaahia.
bich-bich men thande pet kaa estemaal karnaa chaahia.
dard se prbhaavit kshetr ko unchaa kar rakhnaa chaahia, jisse ki esmen jamaanat dusre bhaagon men jaa sake.
enke alaavaa nimnalikhit baaten bhi dhyaan men rakhni chaahia:-
kamar ke nichle hisse ki halke halke maalish aur eske baad garm v thande aaaphyushan yaa sikaai karni chaahia.
dard se prbhaavit bhaag kaa paraabaigni kirnon (emphraared) upchaar aur eske baad es par sidhe mitti ke lep yaa thande lapet kaa estemaal karnaa chaahia.
dard kam karne tathaa nichle bhaagon men sunntaa, jhanajhnaahat kam karne ke lia nyutral rid snaan karnaa chaahia.
paani men epsam namak milaakar 10 se 20 minat tak nyutral emarshan aur snaan karnaa chaahia.
10:12 minat tak garm kati snaan karnaa chaahia.
kamar ki maanspeshiyon ki jakadan dur karne ke lia nyutral jet maalish, varlpul (bhanvar) snaan tathaa paani ke niche maalish karni chaahia.
taap ushmaa se maanspeshiyon ko vishraam dene ki driashti se bhaap snaan bhi upyogi rahtaa hai.
kamar ko jhukaane vaale vyaayaam tathaa ese sahi rup men rakhne kaa abhyaas niyamit rup se karnaa chaahia. bhaari vajan nahin uthaanaa chaahia tathaa jhatko se bachnaa chaahia.
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