dr piyush shah M.D(AYU)

HYSTERECTOMY-MODULATING FACTOR OF OSTEOARTHRITIS IN WOMEN

2010-04-10T06:33:00.000-07:00

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.

dr piyush shah M.D(AYU): dr piyush shah M.D(AYU): stress

2009-12-13T01:08:00.000-08:00

dr piyush shah M.D(AYU): dr piyush shah M.D(AYU): stress

dr piyush shah M.D(AYU): Epilepsy

2009-05-14T22:32:00.000-07:00

dr piyush shah M.D(AYU): Epilepsy

dr piyush shah M.D(AYU): dr piyush shah M.D(AYU): stress

2009-05-14T22:31:00.000-07:00

dr piyush shah M.D(AYU): dr piyush shah M.D(AYU): stress

Epilepsy

2008-08-23T06:51:00.000-07:00

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.

dr piyush shah M.D(AYU): stress

2008-05-03T23:02:00.000-07:00

dr piyush shah M.D(AYU): stress

dr. piyush & dr. shahapurkar work Madhumeh(Diabetes),Ajirna(Dyspepsia)-year 2007

2008-03-10T22:10:00.000-07:00

dr piyush shah & dr.shahapurkar work: Madhumeh(Diabetes),Ajirna(Dyspepsia)-year 2007

Madhumeh(Diabetes),Ajirna(Dyspepsia)-year 2007

2008-03-10T22:00:00.001-07:00

DR.Piyush N Shah year-2007

Month

Madhumeh(Diabetes)

Ajirna(Dyspepsia?)

Total patients in month

January

85

245 1282

February

59

206

971

March

80

230 1129

Apr

il

86

116

894

May

78

160

927

June

63

143

847

July

83

189

926

August

94

220 1035

September

95

233 1325

October

102

222 1551

November

91

161 1300

December

71

190 1584

total

987 2315

13771

dr piyush shah M.D(AYU): Anapansati-Breathing meditation

2008-03-09T22:38:00.000-07:00

dr piyush shah M.D(AYU): Anapansati-Breathing meditation

Anapansati-Breathing meditation

2008-01-29T05:37:00.000-08:00

Lord Buddha was the first man in the whole history of humanity who made it absolutely clear that breathing and thinking are deeply related.
Buddha says: watch your breathing, let it be normal,as it is.Sitting silently,watch your breath.The sitting posture will also be helpful,the buddha posture, the lotus posture,is very helpful.
Watching your breath, slowly slowly you will be surprised that as your breath becomes calm and quiet, your mind also becomes calm and quiet. And watching the breath will make you capable of watching the mind.
That is just the begining the first part of meditation, the physical part. And the second part is the psycological part.Then you can watch more subtle things in your mind-thoughts,desires,memories.

વાતરક્ત(ગંભીર) Avascular Necrosis

2007-10-21T01:01:00.000-07:00

ડૉ.પિયુષ એન.શાહ એમ.ડી.(આયુ.)

AVASCULAR NECROSIS-ગંભીર્‍ વાતરકત અંતર્ગત સમાવેશ થાય તેવા અન્ય વ્યાધિઓ જેવા કે Gout,Raynaud’s disease,SLE(systemic lupus erythomatus),vasculitis ઉપરાંત Avascular Necrosis નો પણ વાતરક્ત માં સમાવેશ કરી શકાય.
મહર્ષિ ચરકે ચિકિ.અ.29 માં વાતરક્ત ના નિદાન-લક્ષણ-ચિકિત્સા દર્શાવેલ છે.

પ્રકાર:- 1.ઉતાન
2.ગંભીર

નિદાન :-વ્યહવાર માં અધિક જોવા મળતા નિદાન 1. કટુ-અમ્લ-લવણ રસ પ્રધાન ભોજન 2. વિરુધ્ધાશન 3. મિષ્ટાન્ન 4.અભિઘાત 5.અધિક પરિશ્રમ

ગંભીર વાતરક્તના લક્ષણો:- Common site-Neck of femur 1.સ્તબ્ધ-કઠિનશોથ-Stiff and hard odema 2.તીવ્ર શૂલ-Severe pain 3. દાહ- Burning sensation
4. તોદ-prikingpain 5. પાક-Suppuration of joint 6. અસ્થિ-સન્ધિ-મજ્જામાં છેદાતુ હોય તેવી વેદના
7. ખંજતા-એક પગે લંગડાવુ 8. પંગુતા-બંને પગે અપંગતા આવવી

ઉપદ્ર્વ-Complication
1. કોથ –Osteonecrosis
2. પાંગુલ્ય-Lameness

ચિકિત્સાસુત્ર:- સામાન્ય ચિકિત્સા (1) સ્નેહન
(2)સ્નેહ યુક્ત વિરેચન (3)બસ્તિકર્મ

વિશેષ ચિકિત્સા-
(1)સ્નેહપાન (2)વિરેચન
(3)આસ્થાપન બસ્તિ મહર્ષિ ચરકે ગંભીર વાતરકત ની ચિકિત્સા માટે શ્રેષ્ટતમ યોગો દર્શાવેલ છે.પર્ંતુ હાલ્ ની ફાર્મસીઓ આ યોગો બનાવતી ન હોઇ સરળ યોગ નુ અત્રે નિદર્શન કરેલ છે.સરકારી આયુર્વેદ હોસ્પિટલ આંકલાવ ખાતે જોવા મળેલ Avascular necrosis ના 4 દર્દીઓમાં આ ઔષધ યોગો ના પ્રયોગ તથા પથ્યપાલન થી લાભ મળેલ છે.avscular necrosis એક અસાધ્ય રોગ છે.આ ઔષધ પ્રયોગ થી શૂલ માં રાહત થાય છે.

(1) સ્નેહ્પાનાર્થ – ગુડુચી ઘ્રુત-20 મિલિ પ્રાતકાલે ક્ષીર સાથે જે શમન યોગ ઉપરાંત વિરેચન પૂર્વ સ્નેહ્ પાનાર્થ આપી શકાય છે.

(2) ક્ષીર પ્રયોગ- -ગુડુચી સિધ્ધ ક્ષીર -ક્ષીર-ઘ્રુત-સાકર-મધ નો પ્રયોગ
-પિપ્પલી-સૂઠી સાધિત ક્ષીર

(3) વિરેચનાર્થ યોગ- -દૂધ સાથે એરંડ તેલ નો પ્રયોગ શ્રેષ્ટ પ્રયોગ છે આ પ્રયોગ દરમ્યાન દર્દી ને દૂધ-ભાત પર રાખવો. -ત્રિફલા કવાથ પ્રાતઃકાલે

(4) વટી- -સંશમની વટી – 2 t.d.s
(5) ગૂગળ-
-કૈશોર ગૂગળ – 2 t.d.s
(6) બાહ્ય પ્રયોગ- -પિંડ તેલ થી અભ્યંગ

ડૉ.પિયુષ એન.શાહ
એમ.ડી.(આયુ.)

Avscular necrosis

2007-10-17T02:38:00.001-07:00

WHAT IS AVASCULAR NECROSIS (VATRAKTA - GAMBHIR TYPE)
Avascular necrosis (also referred to as aseptic necrosis or osteonecrosis) is a disease that results from poor blood supply to an area of bone causing bone death.
This is condition because the dead areas of bone do not function normally, are weakened and collapse.Common site-Neck of femur.
Pain associated with avascular necrosis is often severe and unrelenting.

What causes
(1) Avascular necrosis can be caused by trauma and damage to the blood vessels and that supply bone its oxygen.
(2) Poor blood circulation to the bone include an embolism of air or fat that blocks flow through the blood vessels, abnormally thick blood and vasculitis.

What conditions are associated with AV
(1) Alcoholism
(2) Steroid usage
(3) SLE-systemic lupus eythematosus
(4) Gaucher’s disease

Investigation
X-ray, CT scan,MRI
Treatment
Surgery

stress

2007-09-19T00:10:00.000-07:00

STRESS

What is stress?

S
tress is the mental,emotional,and/or physical strain which distrurbs your mind and body’s equilibrium. Anything that perverts or abuse our energy towards our desired functions is stress.It has several other names such as : tension,depression,frustration,anxiety,worry and gllom. Everyone is vulnerable to it.Age,gender,occupation or place,none of them makes a diffrence.

Stress is Subjective
In the sence that an irritating factor which may be stressful to one person,might be stimulating to another because he takes it as a challenge and turns it into a positve force. Many people thrive on challenges,others react with fear,anxiety and worry. If you react positively,there is little problem and you will live a happier life,but if you don’t handle it with care,you may suffer.

What Causes Stress?
1.Any desire which can not fulfil,create stress –Universal cause.e.g. u want more money but u can achieve.,a obese person wil try to reduce a weight but he/she cant sucess.
2.Achived a person or object which u unlike - Universal cause.e.g.a men or women u dont like but u marry with him/her.,a boss which is not co-operative that create stress at your office place.
3.Death of nearest person
4.Faluire in love
5.Unemployment
6.Economical crisis
7.Strained marital relations.
8.Work overload
9.Exam
Acute reaction:
.Shortness of breath
.Palpitation
Health problem:
. Headache
. Ashthma
. Epilepsy
. Hypertension
. Skin diseses
. CAD
. Peptic Ulcer
. Insomnia
. Depression
stress is causative factor of 80% psycho-somatic disorders.
Stress Management

Meditation
· Know yourself
· Proper diet
· Know difference between your desire and necessities.
. Face the situation
. Away from the situation
. Just sitting, doing nothing
Dr.Piyush N Shah
M.D(AYU)

2007-09-16T06:42:00.000-07:00

AYURVEDA

The terms ‘Ayurveda’ consists of two words,namely, ‘Ayus’ and ‘Veda’ meaning ‘the science of life’.It is traditionally considered as as a supplement to the Vedas.

The methods of treatment prescribed by Lord Punarvasu Atreya are meant both for the healthy person(for the maintenance of their health and prevantion of disease) and patients(for the cure of their ailments.( Ca.si. 12:53-54)

Branches :

Ayurveda have eight specialized branches.There are:-

I. Kayacikitsa or Internal medicine.
II. Shalya cikitsa or Surgery
III. Shalakya cikitsa or E.N.T or treatment of disease of the organs in the Head and Neck
IV. Vish cikitsa or Txicology
V. Graha cikitsa –Bhutavidhya or Psychiatry
VI. Bal cikitsa-Kaumara bhrtya or padiatrics
VII. Rasayana-Rejenuvation therapy
VIII. Vajikaran-Aphrodisiacs

2007-09-16T06:20:00.001-07:00

2007-09-16T06:15:00.001-07:00