aoc, hbkv 21, \Kc¯nse Hcp {]apJ tImfPnse hnZymÀYn\n. ]T\¯nepw aäp Iem]cn]mSnIÄ¡pw anSp¡n. ]t£ Hcp ]co£mZnhkw cmhnse AhfpsS a\kn\v BsI Hcp XfÀ¨t]mse. Bßhnizmkw \jvSs¸Sp¶Xpt]mse. F¦nepw AXp Imcyam¡msX AhÄ tImfPnÂt]mIm³ Xbmdmbn. _knd§n tImfPnte¡p \S¡pt¼mÄ AhÄ¡v Ft´m ]´ntIS\p`hs¸«p. ]mZ§fn \n¶p sNcp¸qcnt¸mIp¶Xpt]mse. F¶m t\m¡nbt¸mÄ bmsXmcp {]iv\hpanÃ. Xsâ tXm¶embncn¡psa¶p IcpXn AhÄ ¢mkn Ibdn. ]ns¶bpw NnesNdnb {]iv\§Ä Ahsf Ae«ns¡mWvSncp¶p. t]\ ]nSn¡pt¼mÄ _e¡pdhv, A£c§Ä ImWm³ Ignbm¯Xpt]mse. F¦nepw AhÄ H¶pw Imcyam¡msX ]T\¯n {i²n¨p. \à amÀt¡msS ]mkmbn.

]n¶oSp hÀj§Ä¡p tijw hoWvSpw Ahsf {]iv\§Ä Ae«m³ XpS§n. ImgvN¡pdhv, kv]Ài\tijn¡pdhv F¶nh A\p`hs¸«t¸mÄ \yqtdmfPnÌns\ ImWm³ AhÄ Xocpam\n¨p. \oWvS ]cntim[\IÄ¡ptijw tUmIvSÀ AhfpsS tcmK¯nsâ t]cp ]dªp: aÄ«n¸nÄ kv¢otdmknkv.

aebmfnIÄ¡v Imcyambn ]cnNnXaÃms¯mcp tcmKw. tI{µ\mUohyqls¯ aµo`hn¸n¡p¶ Cu tcmKw buh\mcw`¯nemWp km [mcW ]nSnIqSmdv. kv{XoIfnemWv IqSpXembn IWvSphcp¶Xv. CXp ]nSns¸«m ]et¸mgpw hÀj§Ä ¡ptijambncn¡pw Xncn¨dnbpI. L«w L«ambn«mWv aÄ«n¸nÄ kv¢o tdmknkv icocs¯ _m[n¡mdv. H¶mwL«w (Attack) hfsc £WnIhpw iànIpdªXpambncn¡pw. aocbv¡v BZys¯ Aäm¡v cWvSpZnhkw am{XamWv \oWvSp\n¶Xv. cWvSpw aq¶pw Aäm¡n\ptijamWp tcmK\nÀWbw km[yamIp¶Xv.

Cu AkpJapWvSmIp¶Xnsâ ImcW§sf¸än ]e A`n{]mb§fpw \ne\n¡p¶pWvSv. `qa²ytcJbn \n¶p Zqsc¡nS¡p¶ cmPy§fnemWv CXp IqSpXembn ImWmdv. AXpsImWvSpXs¶ hnäman³ UnbpsS IpdhpsImWvSmWnXv DWvSmIp¶sX¶v Hcp Iq«À hmZn¡p¶p. Esptein Ban F¶ sshdkv BWv CXn\p ImcWambn `qcn`mKw sshZyimkv{XÚcpw hnizkn¡p¶Xv. F¶m Cu tcmK¯nsâ ImcWambn ]dbp¶Xv ISp¯ am\knI k½ÀZamWv. tcmKnIfn A¼XpiXam\w BfpIfpw ISp¯ am\knI k½ÀZw A\p`hn¡p¶hcmWv. ]mc¼cyambn hcp¶ HckpJaà CXv. aÄ«n¸nÄ kv¢otdmknkv tcmK\nÀWb¯n\mbn km[mcW aq¶p amÀK§fmWv Ahew_n¡mdv:

1. Xet¨mdnsâbpw \s«Ãnsâbpw MRI Dw MRS Dw FSp¡p¶Xp hgn tcmK\nÀWbw km[yamWv. ]t£, CXv sNethdnb amÀKamWv.

2. Cerebrospinal fluid (CSF) ]cntim[n¡p¶Xp hgnbpw tcmK\nÀWbw \S¯mw.

3. aÄ«n¸nÄ kv¢otdmknkv km[mcWbmbn ImgvNsb _m[n¡p¶Xn\m Visual evoked potential hgnbmbpw sensory evoked potential hgnbmbpw tcmK\nÀWbw \S¯mw.

aÄ«n¸nÄ kv¢otdmknkv {][m\ambpw C{µnb t_m[§fpsS {]hÀ¯\§sfbmWv _m[n¡mdv.

kv]Ài\tijn \jvSs¸«p t]inIÄ ZpÀ_eamIÂ, Akm[mcWambn t]inIfpsS tIm¨n¸nSn¯w, \S¡phm\pÅ _p²nap«v, ImgvNbv¡v XIcmdv, XethZ\, \ncmiX F¶nhbmWv aÄ«n¸nÄ kv¢otdmknknsâ {]ISamb e£W§Ä. Nnet¸mÄ GsX¦nepw Hcp _p²napt«m H¶n IqSpX e£W§tfm {]ISamImw. Nnet¸mÄ H¶pw Xs¶ ZriyamImXncn¡pIbpw sN¿mw.

{]tXyIn¨p ImcW§Ä H¶pw Xs¶bnÃmsX Cu AkpJw aqÀÑn¡mdpWvSv. aÄ«n¸nÄ kv¢otdmknkn\p ]qÀWamb Hcp NnInÕ CXphsc IWvSp]nSn¨n«nÃ. ]T\§Ä \S¶psImWvSncn¡p¶p. ]t£ tcmK¯nsâ Xo{hXIpdbv¡m³ Nne NnInÕm coXnIÄ¡p Ignbpw. Hmtcm Aäm¡n\p tijhpw tcmKnsb km[mcW PohnXcoXnbnte¡p aS¡ns¡mWvSphcm³ klmbn¡pI. hoWvSpsamcp Aäm¡v hcmsX t\m¡pI F¶nhbmWv NnInÕmcoXnsImWvSv Dt±in¡p¶Xv.

aÕy§fnepÅ HtaKm{Xo ^män BknUpIÄ Cu AkpJapÅhÀ¡p \ÃXmsW¶v kao]Ime¯p \S¶ ]T\¯n sXfnªn«pWvSv. aÄ«n¸nÄ kv¢otdmknkv tcmKnIÄ¡p sImSp¡p¶ H«p an¡ acp¶pIÄ¡pw Zqjyhi§Ä DÅXmbn ]T\§Ä sXfnbn¨n«pWvSv. km[mcWmbmbn tUmIvSÀamÀ \nÀtZin¡p¶ Corticosteroid sâ ^ew, ZoÀLImew \ne\n¡p¶XÃ. Ah tcmKnIfn HmÀa¡pdhpw Osteoporosis Dw {]talhpw DWvSmIphm\pÅ km[yX Iq«pw. Aäm¡ns\ XpSÀ¶mWv Cu acp¶p \ÂIpI.

AkpJw Iq«p¶ kmlNcy§fn \n¶p amdn\n¡pIbmWv Gähpw {][m\ambn thWvSXv. th\¡me§fn AkpJw IqSm\pÅ km²yX IqSpXemWv. NpSpshůnepÅ Ipfnt]mepw C¡q«À¡p \ÃXÃ. PetZmjw, ]\n, DZctcmK§Ä F¶nh tcmKnsb IqSpX AhiXbnemgv¯pw. am\knIhpw imcocnIhpamb k½ÀZ§fn \n¶v Hgnªv \n¡Ww. CXn\mbn tcmKnIfpsS Dähcpw DSbhcpamWv {i²nt¡WvSXv. tbmK, [ym\w F¶nh ]cnioen¡p¶Xpw a\kn\p kt´mjIcamb {]hÀ¯\§fn GÀs¸Sp¶Xpw hfsc \ÃXmWv.

buh\mcw`¯n ]nSns]Sp¶ AkpJambXn\m PohnXt¯mSp Xs¶bpÅ hncàn tcmKnIfn ImWmdpWvSv.

F¶m asäÃmhscbpwt]mse ChÀ¡pw km[mcW PohnXw \bn¡mhp¶tXbpÅq. Häs¸Sp¶p F¶ tXm¶Â Chcn DWvSmImsX {i²n¡Ww. AhcpsS Imcy§fn IqSpX {i² \evIWw. ]pXnb Hcp PohnX¯nte¡v ssI]nSn¨p Ibdm³ Chsc klmbn¡pI.

tdmkv tacn tPmÀPv

hnhc§Ä¡v IS¸mSv:

tUm. ]ctaizc³ K.MD.DM.

aÄ«n¸nÄ kv¢otdmknkv skmsskän Hm^v C´y 
(MSSI) bpsS {]hÀ¯\§Ä

1998þ tImgnt¡mSv BØm\ambn«mWv {]hÀ¯\w Bcw`n¨Xv. tIcfm Nm]vädn 37 tcmKnItf CXphsc cPnÌÀ sNbvXn«pÅqsh¦nepw tIcf¯n GItZiw 150 t]À¡v Cu AkpJapÅXmbn IW¡m¡p¶p. Bdp hbkp apX 70 hbkphscbpÅ tcmKnIÄ Cu skmsskänbn DWvSv. aÄ«n¸nÄ kv¢otdmknkv tcmKnIsf km[mcWPohnX¯nte¡p \bn¡m³ klmbn¡pI, AhcpsS _p²nap«pIÄ a\knem¡phm³ klmbn¡pI F¶nhbmWv MSSIbpsS {][m\ e£ysa¶v ap³ sk{I«dn en\oZm ]dªp. RmbdmgvN t]mepÅ Ah[n Znhk§fn tcmKnIfpsS hoSp kµÀin¡m\pw AhÀ¡p thWvS D]tZi§fpw \nÀtZi§fpw \ÂIm\pw MSSI AwK§Ä {i²n¡p¶p. km[mcW P\§Ä¡v Cu AkpJs¯¡pdn¨pÅ AÚXaqew tcmKnIÄ¡p icnbmb {i² In«mdnÃ. tcmKnIsf kz´w Imcy§Ä t\m¡m³ ]cym]vXcm¡p¶Xphgn Ahsc km[mcW PnhnX¯nte¡p aS¡ns¡mWvSphcm³ klmbn¡pIbmWv MSSIbpsS {][m\e£yw. aÄ«n¸nÄ kv¢otdmknkv NnInÕms¨ehv hfsc `mcn¨XmbXn\m MSSI hgnbmbn tcmKnIÄ¡p klmb[\w F¯n¡p¶Xn\mbn ]²XnIÄ Bkq{XWw sNbvXpsImWvSncn¡pIbmWv.