Nammude Arogyam April 2018 | Page 13

\-s«Ãp s]m-«n Im-ep X-fÀ-¶bmÄ i-kv-{X -{Inb-¡v ti-jw DïmImdpïv. AXpt]mse kpjpav\bv¡v £Xw DïmIpt¼mÄ \mUoP\y tjm¡pw, lrZb¯nsâ XIcmdpaqew ImÀUntbm sP\nIv (Cardiogenic) tjm¡pw AWp_m[aqew sk]vänIv (Septic) tjm¡pw DïmImw. cà{kmhw aqeapÅ tjm¡n ]Äkv hfsc IqSpXem Ipw, icoc`mK§Ä XWp ¯ncn¡pw, aq{X¯nsâ Afhv Ipdªncn¡pw, _n.]nbpw Ipdªncn¡pw. F¶m \mUoP\y tjm¡n kn¼sXänIv \mUohyql¯nsâ (Sympathetic Nervous System) {]hÀ¯\w XIcmdnem Ip¶Xpaqew lrZbanSn¸n sâ tXmXv Ipdbp¶p) (Bradycardia). icoc`mK§fn se cà¡pgepIÄ hnIkn¡p¶Xn\m AhnsS càw sI«n¡nS ¡pIbpw càaÀ±w (_n.]n) IpdbpIbpw sN¿p¶p. IqSmsX icoc `mK§Ä NqSmbn¯s¶ bncn¡pw. aq{X¯nsâ Afhv IpdbpIbnÃ. C¡mcW§fm cà \ãw aqeapÅ tjm¡pw (Hypovolemic Shock) \yqtdm P\nIv tjm¡pw X½n Xncn¨dntbïXmWv. cà{kmhamWv ImcW sa¦n Rc¼neqsS ehW§Ä Asæn càw tcmKn¡p \evIWw. \yqtdmP\nIv tjm¡n ho\¡h F¶ tI{µ Aip²cà¡pgense {]jÀ (CVP/Cetnral Venous Pressure) t\m¡n thWw càhpw ehW§fpw \ÂIm³. kpjpav\bv¡v XIcmdpïmIpt¼mÄ, £Xapïmb `mK¯n\v Xmtg¡v \mUnIfneq sSbpÅ {]tNmZ\§fpsS ssIamäw (Impulse Conduction) Xmev¡menI ambn \nebv¡p¶p. CXn s\ kvss]\ tjm¡v (Spinal Shock) F¶p]dbp¶p. hyXykvXamb kab§fn  (24 aWn¡qÀ - 1 BgvN) Cu AhØ amdp¶p. At¸mÄ kpjpav\bpsS dn^vfIvkv- BÀIv (Reflex Arc) {]hÀ¯\kÖamIp ¶p. £Xapïmb `mK ¯n\p apIfn \n¶pÅ \nb{´Ww t]mIpsa¦n epw Xt±is¯ dn^vsfIv kpIÄ (Local Reflex) {]hÀ¯t\m·pJamIpw. A§s\ kpjpav\bpsS Gähpw XmsgbpÅ dn^vfIvkv- BÀIv BWv _Ät_m IhÀWkv dn^vfIvkv- (Bulbo cavernous Reflex). Cu dn^vsfIvkv h¶p IgnªXn\ptijw £Xw Dïmb `mK¯n\p Xmtg¡v A\¡tam kv]Ài\tam Csæn CXns\ ]qÀ® kpjpav\ £Xw (Complete Spinal Cord Injury) F¶p]dbp¶p. CXnsâ ]cnWnX^ew hfsc tamiamWv. £X apïmb `mKhpw AXn\p XmsgbpÅ kpjpav\bpsS `mKhpw X½n Fs´ ¦nepw _Ôw \ne\nev¡p ¶psï¦n A\¡tam, kv]Ài\tam Fs´¦nepw _m¡nbpïmIpw. CXns\ A]qÀ® kpjpav\ £Xw (Incomplete Spinal Cord Injury) F¶p]dbp¶p. Imense XÅhnc Xmgv¯m\pÅ Ignhv, \½p-sS B-tcm-Kyw | G{]n 2018 13