December, 05, 2013
 
Published from Palai
Issue : 40
Volume : 46
 
 
 
 
 
 
 
 

BbpcmtcmKyw
   
tUm. tPm¬ tPmÀPv Sn.
lrZbmLmXs¯ kq£n¡pI
   
A\p`h§fpsS shfn¨¯n EjnIÄ imcocnImtcmKy¯n\v tbmKmk\§fpw, ZoÀLmbpÊn\v izk\{InbIfpw ({]mWmbmaw) \ap¡v hcsa¶Xpt]mse \ÂInbncn¡p¶p. imkv{Xobamb ASnØm\apÅhbmWv ChsbÃmw. C¶p apX \mw ]cnioen¡p¶Xv tbmKmk\§fmWv. ZrVamb a\xiànsImWvSv Ch A`ykn¡Ww.
lrZbmLmXw (Myocardial Infarction) DWvSmIm\pÅ Gähpw {][m\ImcWw sImtdmWdn [a\n (lrZb¯n\v càsa¯n¡p¶ þ lrZbit]inIÄ¡v þcà¡pgÂ)bnepWvSmIp¶ t{Xmw_kv (Thrombuscà¯nsâ Hcp "I«') BWv. CXv lrZb¯nte¡pÅ cà{]hmlw XSÊs¸Sp¯p¶p. hfsc t\cw sImtdmWdn [a\n kzbw Npcp§nbncn¡p¶Xpaqehpw (Vasopasm) lrZbmLmXw DWvSmImw. càk½À±w AanXambn Ipdªp t]mIp¶Xpaqew lrZb¯nte¡pÅ cà{]hmlw Ipdbp¶Xpw lrZbmLmX¯n\p ImcWamWv.
e£W§Ä:
1. "ap³IqÀ' thZ\ (Premonitary pain)þlrZbmLmXw DWvSmIp¶Xn\p apt¶Xs¶ s\©pthZ\ tXm¶mw. icocw sNdpXmsbm¶v Bbmks¸Spt¼tgm NneÀ¡v hn{iamhØbn¯s¶tbm thZ\ tXm¶mw.
2. lrZbmLmXthZ\ (Pain of Infraction)þCSXp s\©nse thZ\ Igp¯ntet¡m tXmfntet¡m ]pdt¯t¡m CSXpIc¯ntet¡m hym]n¡mw.
3. aäp e£W§ÄþAanXamb hnbÀ¸v, £oWw, kw{`aw, AkzØX, izmkwap«v, Npa, OÀ±n, hbdpthZ\, s\s©cn¨n Chsbms¡bpWvSmImw.
]cntim[\IÄ cà]cntim[\bn lrZbmLmXapÅ ]£w lrt{ZmKkqNI§fmb (Cardiacspecific markers), CKMB, Troponin I, Troponin. T apXembh hÀ²n¨Xmbn ImWmw.
C.kn.Pn. (CeIvt{Sm ImÀUntbm{Km^v)bn A]mIXIÄ ImWs¸Sp¶p. CknPnbnse thhvkn {Iam\pKXamb amäw ImWmw.
s\©nsâ FIvkvtdbnepw lrZbw F¶ ]¼nsâ {]hÀ¯\w XIcmdnemIp¶Xnsâ e£W§Ä ImWmw (CHFConjestive Heart Failure).
lrZb¯nsâ hen¸s¯¡pdn¨pw anSn¸ns\¡pdn¨pw AdIfpsS hen¸w, `n¯nbpsS I«n, cà¯nsâ ]pdt¯¡pÅ Hgp¡v (Ejection Fraction) F¶nhsb¡pdn¨pw hyàamb [mcW \ÂIphm³ Ft¡mImÀUntbm{Km^n¡p Ignbp¶p.
FwBÀsF kvIm³; sSIv\ojyw 99 Fw ss]tdmt^mkvt^äv kvInân{Km^n; Xmenbw 201 kvInân{Km^n F¶nhbpw tcmK\nÀ®b¯n\v D]tbmKn¡p¶p.
dnkvIv ^mIvSdpIÄ (Risk Factors)þlrZbmLmX¯nte¡p \bn¡mhp¶ Nne Imcy§sfbmWv dnkvIv ^mIvSdpIÄ F¶p ]dbp¶Xv.
1. ]pIhen þ ]pIhen hfsc A]ISImcnbmWv. AXp sImtdmWdn [a\n Npcp§p¶Xn\nSbm¡pw. AXpsImWvSp ]pIhen Hgnhm¡Ww.
2. AanXh®wþAanXh®hpw A]ISImcnbmWv. AanXh®hpw Xq¡hpw Ipdbv¡Ww. BWp§fpsS Acs¡«nsâ Npäfhv 100 skâoaoädnepw s]®p§fptSXv 90 skâoaoädnepw Xmsg \n¡Ww.
3. sImfkvt{SmÄþ AanX sImfkvt{SmÄ lrZb¯n\p lm\nIcamWv. aäv AkpJ§Ä H¶panÃm¯bmÄ¡v 200 anÃn{Kmw % hscbmImw. {]talw t]msebpÅ aäv AkpJ§fpÅbmÄ¡v 150 anÃn{Kmw% IqSnbm¯s¶ A]ISamWv.
4. hymbmaanÃmbvaþCXv A]ISIcamWv. AXn\m \S¯w, ssk¡nÄ Nhn«Â, j«n _mUvanâ¬Ifn, shÅwtImcÂ, ]d¼nse ]Wn apXemb GsX¦nepw Hcp hymbmaw AXymhiyamWv.
5. `£W{Iaw þ Cd¨n, ap«, ao³ hdp¯Xv, F®¸elmc§Ä apXemb sImgp¸pw F®abhpw IqSpXepÅ `£Ww Hgnhm¡Ww. lmw_ÀKÀ, ]nÊ, tlm«vtUmKv, jhÀa apXembhbpw s]]vkn, sIm¡t¡mf apXemb ]m\ob§fpw A[nIw ]mSnÃ.
6. Dd¡w þ \à Dd¡w In«m\mbn {i²n¡Ww. Znhtk\ 6 aWn¡qsd¦nepw XpSÀ¨bmbn cm{Xnbn¯s¶ Dd§Ww.
7. im´amb a\Êv þ a\Êns\ im´am¡n hbv¡Ww. sS³j³ DÅhÀ BÂ{]mIvkv (ALPRAX), tkmw\nb (Zomnia), ¹mknU (PLACIDA) apXemb acp¶pIfn GsX¦nepw Ign¡Ww. sS³j³ AIäWw.
NnInÕþs\©pthZ\ DÅ tcmKnsb F{Xbpw s]s«¶v ASp¯pÅ Bip]{Xnbn F¯n¡Ww. {]mYanIip{iqjbv¡ptijw lrt{ZmKhnZKv[sâ ASps¯¯n¡Ww.
tcmKn¡v HmIvknP³ \ÂIp¶tXmsSm¸w Bkv]ncn\pw t¢m]ntUm{K (Clopidogrel), {]mkps{K (PRASUGREL) F¶nhbn Hcp acp¶pw \ÂtIWvSXv AXymhiyamWv.
dos]À^yqj³ NnInÕ (Reperfusion Therapy)þ CXnsâ Dt±iyw XSÊs¸«pt]mb sImtdmWdn càtbm«w ]p\xØm]n¡pIbmWv. CXv cWvSp hn[¯nepWvSv.
1. sImtdmWdn B³Pntbm{Km^n sNbvXn«p "_eq¬' D]tbmKn¨p sImtdmWdn [a\n hnIkn¸n¨v càtbm«w icnbm¡pI. CXn\v ANGIOPLASTY F¶p ]dbpw. hoWvSpw [a\n Npcp§mXncn¡m³ STENT Dw CSmw. PLAIN STENT Dw MEDICATED STENT Dw DWvSv.
2. t{Xmwt_mfnänIv NnInÕ (Thrombolytic Therapy)
ChnsS t{Xmw_kv([a\nbnse cà¡«) Aenbn¨p Ifbp¶ STREPTOKINASE, ALTEPLASE, RETEPLASE, TENECTEPLASE apXemb acp¶pItfsX¦nepw Ip¯nh¨v Aenbn¡p¶p. A§s\ càNw{IaWw ]p\xØm]n¡p¶p.
thZ\bIäm\pÅ SORBTRATE (\m¡nsâ ASnbn CSp¶Xv), _oäm t»m¡À, ss\t{SäpIÄ F¶nhbmWv aäp {][m\NnInÕIÄ.
lrZbmLmXw h¶hcn lrZbXmfw sXäp¶ amcIamb Ventricular Fibrillation hcm³ km[yXbpWvSv. AsXmgnhm¡m³ LIDOCAINE F¶ acp¶v {Un¸neqsS sImSp¡mw. saUn¡Â NnInÕ ^en¡m¯hÀ¡v Coronary bypass Surgery sN¿mw.
hnes¸« Bdp aWn¡qÀ!
s\©pthZ\ tXm¶n¡gnªm AXp \nÊmcambn¡mWmsX F{Xbpw s]s«¶p tUmIvSdpsS ASps¯¯pI. BZys¯ 6 aWn¡qÀ hfsc \nÀWmbIamWv. 6 aWn¡qdn\pÅn NnInÕ XpS§nbm tcmKn c£s¸Sm\pÅ km[yX GsdbmWv. 6 aWn¡qÀ Ignªm Xncn¨pw. ]ns¶ tcmKn ]cn{`an¡mXncnt¡WvSXpw AXy´mt]£nXamWv. F´ph¶mepw Ipg¸anà F¶ at\m`mhamIWw tcmKn¡v. tcmKnbpsS _Ôp¡fpw sh{]mfw ImWn¡msX im´ambn s]cpamdWw. AXp tcmKn¡v Bßhnizmkw \ÂIpw.

teJI³ hS¡³]dhqÀ tSm]vtamÌv saUn¡Â skâdnse I¬kÄ«âv ^nknjy\mWv.

BbpcmtcmKyw
tUm. kn. eX M.B.B.S., DND ]oUnbm{Sojy³
Ip«nIÄ¡v AXnkmcw h¶mÂ
tNmZyw : ]\nbpÅt¸mÄ k¶n DWvSmIp¶Xp tZmjIctam? ]n¶oSv A]kvamcapWvSmIm³ km²yXbptWvSm?  


D¯cw
: ]\nbpÅt¸mÄ DWvSmIp¶ k¶n 3þ5% Ip«nIfn ImWp¶ Hcp {]Xn`mkamWv.
6 amkw apXÂ 5 hbÊp hscbpÅ {]mb¯nemWv CXp km[mcWbmbn DWvSmIp¶Xv.
F{X Un{Kn ]\nbpsWvS¶Xns\ B{ibn¨Ã k¶n DWvSmIp¶Xv, ]ns¶tbm, F{X s]s«¶v ]\n Dbcp¶p F¶Xns\ B{ibn¨mWv.
C¯cw k¶n cWvSp Xc¯nepWvSv.
1. knw_nÄ
2. tImw¹Ivkv
knw]nÄ: ]\n XpS§n 24 aWn¡qdn\Iw k¶n DWvSmIp¶p. 10 an\nän Ipdª kabw am{Xw \oWvSp \nev¡p¶p. Hcp ]\n¡v, Hä {]mhiyw am{Xw k¶n hcp¶p. AXv, icocamkIew DÄs¸Sp¶ Xcw k¶nbmWv. C¯c¯nepÅ k¶n km[mcWbmbn tZmj^e§Ä Dfhm¡pIbnÃ.
tImw¹Ivkv: apIfn¸dª khntijXIÄ CÃm¯ Xcw k¶nbmWnXv. icoc¯nsâ GsX¦nepw Hcp `mKs¯tb CXp _m[n¡pIbpÅq.
A]kvamctam _p²namµytam DÅ Bsc¦nepw IpSpw_¯nepsWvS¦nÂ, tImw¹Ivkv þ Xc¯nepÅ k¶n, `mhnbn A]kvamcapWvSmIp¶Xn\pÅ km[yXIfpWvSv.
{]Xnhn[n: F{XbpwthKw ]\n Ipdbv¡phm³ ]\nbpsS acp¶p sImSp¡pIbpw, sNdp NqSpshÅw D]tbmKn¨v icocw XpSbv¡pIbpw sN¿pI. k¶n \nb{´n¡phm³ DÅ acp¶pIfpw sImSp¡pI.
ap³t]m«v, ]\n Ft¸mÄ DWvSmbmepw ]\nacp¶nt\msSm¸w, aq¶p Znhkt¯¡v, k¶n DWvSmIp¶Xp XSbp¶Xn\pÅ acp¶pw sImSp¡phm³ ad¡cpXv.


teJnI InS§qÀ FÂ.FÂ.Fw. tlmkv]näen ]oUnbm{Sojy\mWv


  tUmIvStdmSp tNmZn¡mw: hmb\¡mcpsS C.F³.Sn. kw_Ôamb kwib§Ä¡v {]ikvX C.F³.Sn. kvs]jenÌv tUm. _n\p tPm¬ sRmWvSnam¡Â adp]Sn ]dbp¶p. tNmZy§Ä Abbvt¡WvS hnemkw: FUnäÀ, BbpcmtcmKyw, Zo]\mfw hmcnI, ]memþ686575
 

Chief Editor : Fr. Augustine Peedikamalayil
Managing Editor : Fr. Joseph Thadathil
Palai, Kottayam, Kerala, . 686575.
Ph : 04822 . 212842, Fax : 04822 . 212842
Email :
editor@deepanalam.com

Ihtmdn
apJ{]kwKw
{]XnIcW§Ä
PohnXNnI
t\mh
hN\\mfw
{]mtZinIw
hmI
hmchntijw
ImgvN¸pdw
adphiw
kIpSpw_w
Ipªp\mf§Ä
Im«
 
 


Search Web
 
 
IMPORTANT WEBSITES
 
Diocese of Palai  
Blessed Alphonsa Bharananganam  
Kunjachan Ramapuram  
MarthaMariam1 Church Kuravilangad  
HolyCross Forane Church Cherpumkal  
St.Marys Forane Church Bharananganam  
St . Marys Church Kaduthuruthy  
Deva Matha College Kuravilangad  
Pala Social Welfare Socity w
Golden jubilee Museum Pala w
General Sites
Vatican
C.B.C.I
Catholiconline
IndianCatholic
Saints
 
     

Archdioceses

Chenganacherry
Eranakulam
Kottayam
Bangalore
Bombay
MadrasMylapore
Madurai
Nagpur
Ranchi
         
Dioceses
Baruipur
Bellary
Cochin
Irijalakuda
Jamshedpur
Kottapuram
Kanjirapally
Neyyatinkara
Ootacamund
Palayamkottai
Poona
Salem
         
   
     
 
     
 
Copyright © Team Deepanalam 2009 . All rights reserved.