HYSTERECTOMY: THE MODULATING FACTOR
OF OSTEOARTHRITIS IN FEMALE
DR. PIYUSH N. SHAH
M.D.(Ayu.)
Medical Officer
( Cl-II)
...1...
PRELUDE
Osteoarthritis(OA), also erroneously called degenerative joint disease, represent failure of diarthodial (Movable, Synovial-lined) Joint. OA is the most common joint disease of humans. It Prevalence is estimated to be 2-3% worldwide. Among the elderly knee O.A. is the leading cause of chronic disability in developed countries.
A survey of precipitating or modulating factors associated with occurrence of Osteoarthritis carried out at Govt. Ayurved hospital, Anklav. Among 114 female patients, 43 patients (37%) having reported hysterectomy is the first most frequently factor. We marked that within 5 to 10 years after hysterectomy rise to develop OA in women.
...2...
SAMPRAPTI : (PATHOLOGY)
The series of Pathological changes taking place during production of a disease from Nidan seven to roga utpti is known as samprapti. For proper understanding of the results it is necessary to understanding the samprapti.
No specific samprapti has been explained for sandhigata vata (OA). It can be said that samprapti of Sandhigata vata is same as that of general Samprapti of Vatavyadhi. Charaka described that by following aetiological factors of Vatavyadhis, Bali Vayu gets aggravated and that Vayu fills up the emptied Channels of body and produce various generalized or localized disease.
Because of Hysterectomy (Marmagata) Vayu get aggravated and fills up the emptied channels of Musculo-Skeletal system Which leads to khavaigune in Sandhi and rise to disease Sandhi gata Vata(OA).
...3...
SAMPRATI ( PATHOGLOGY)
Nidan : Niga Agantuja
(Causative factor) ¬ Ahar Marmagata
¬ Vihar (Hysteractomy)
Vata Prkop
Vatavaha Srotas
(Disturbing Musculoskeletal System
+
Nervous System
+
Endocrine System
Vatavyadhi (Osteoarthritis)
...4...
ESTROGEN DEFICIENCY
Not only is the incidence of O.A. greater in older women than in older men, both hip and knee OA seen to occur at an accelerated rate in human after the age of 50, .i.e. roughly the time of menopause. Furthermore, Some women develop rapidly progressive OA at this time of life. This relationship is suggested that postmenopausal estrogen deficiently increase the risk of OA. Now we can understand that post hysterectomical estrogen deficiency leads greater risk of OA.
...5...
ANALYTICAL DATA
1. Causative Factors
Hysterectomy
Other Causative Factor
(Vatavardhak Ahar-Vihar)
2. Age Wise Distribution
AGE IN YEARS
...6...
3. Duration: Symptoms shows after Hysterectomy
YEARS AFTER OF HYSTERECTOMY.
...7...
CONCLUSSION
From the above study we can conclude that Hysterectomy is chief modulating factor which play major role Creating Osteoarthritis in women.
Thanking You.
Saturday, April 10, 2010
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Saturday, August 23, 2008
Epilepsy
Epilepsy(Apasmra)
Definition- According to the experts of science of medicine, the term ‘apasmara’ implies ‘loss of memory’(during the period of attack) ,characterized by loss of consciousness(entering in to darkness) and disgusting movements of limbs cause by derangement of the intellect and the mind.
Ref-carak chikitsa:10/3
Causative factor-
Attacks of epilepsy, in a person, are caused by the upward movement of the excessively accumulated doshas as a result of the following :
1. intake of unwholesome and unclean food.
2. suppression of the satttva(one of the attributes of mind representing purity and consciousness) by rajas(another attribute of the mind representing energy and dynamics) and tamas (the third attribute of the mind representing passivity and ignorance).
3. occlusion of the heart and brain by the aggravated doshas, and
4. affication of the mind by worry,passion,fear,anger,grief,anxiety etc.
Definition- According to the experts of science of medicine, the term ‘apasmara’ implies ‘loss of memory’(during the period of attack) ,characterized by loss of consciousness(entering in to darkness) and disgusting movements of limbs cause by derangement of the intellect and the mind.
Ref-carak chikitsa:10/3
Causative factor-
Attacks of epilepsy, in a person, are caused by the upward movement of the excessively accumulated doshas as a result of the following :
1. intake of unwholesome and unclean food.
2. suppression of the satttva(one of the attributes of mind representing purity and consciousness) by rajas(another attribute of the mind representing energy and dynamics) and tamas (the third attribute of the mind representing passivity and ignorance).
3. occlusion of the heart and brain by the aggravated doshas, and
4. affication of the mind by worry,passion,fear,anger,grief,anxiety etc.
Saturday, May 3, 2008
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