Dr. Piyush Shah M.D(Ayu.): સ્કીઝોફ્રેનિયા -અતત્વાભિનીવેશ(schizophrenia-atatva...

Dr. Piyush Shah M.D(Ayu.): સ્કીઝોફ્રેનિયા -અતત્વાભિનીવેશ(schizophrenia-atatva...:                                            DaR .ipyu8 Aen.xah                                                   Aem.DI (આયુ.)         ...

સ્કીઝોફ્રેનિયા -અતત્વાભિનીવેશ(schizophrenia-atatvabhinivesh)

                                          DaR.ipyu8 Aen.xah

                                                  Aem.DI (આયુ.)

                                                                                   

AtTvaiwinvex-SkIzof/enIAa

       wgvan punvRsu Aa   Aek mhagd mhaVyai2 trIke AtTvainvex nI g`na krI 0e manisk rogoma> Aek Asa@y A4va k*3sa@y rog terIke AtTvaiwinvexne l[ xkay.AtTvaiwinvexne SkIzofenIya sa4e srqavI xkay Aa2uink mansxaSaIyo mans rogone be p/karma> vheCya 0e.[1] Neurosis [2] Phychosis. Sar5 wa8ama> khIAe to  Neurosis Ae3le sadI ga># Ane Phychosis Ae3le keNsrnI ga># . Anxiety, depression  vgereno Neurosis ma> t4a  Mania, Schizophfrenia,  Personality disorder  vgereno Psychosis  ma> smavex 4ay 0e sadI ga># Ane keNsrnI ga># nI 3/I3meN3ma> ke3lo frk pDe te to Aap ja`o 0o te ]pr4I AtTvaiwinvexne SkIzofenIya nI 3/I3meN3no A>daj lgavI xkxo.

         crk icikTsa A@yay-ÉÈ ma> AtTvaiwinvexne na indan-icikTsa rIte sU>aaTmk dxaRvel 0e.

indan:          É.   miln Aaharnu> sevn

                     Ê.   p/aPt vegone rokva

                     Ë.  xIt-]*`.iSnG2 –½9 Aaharnu> k/m ivprIt sevn vgere indan 4I v2ela> rj-tm-do8o hdy pase mnobui@2vha israAo Av½@2 kre 0e.mn t4a bui@2 rj tm4I Aav ddIR mU! T4a અલ્પ  cetnva5o bne 0e.ddIRnI in`aRyk xikt j s>pu`R qlas 4[ jay 0e.

         ]proKt suaaTmk s>p/aiPt smjva ma3e xBdna A4R ja`va qub j½rI 0e.jema> muQyTve mn,bui@2 mnobui@2vha-isra,rj tm t4a AaTma 0e.

        mnno s>b>2 hdy sa4e 0e.

Jyaree bui@2nu> s>b>2 miSt*k sa4e 0e je3lu> mn saiTvk xu@2 Ae3lu> j bui@@ iS4r hoy 0e manisk rogone smjva ma3e hdy t4a mist*k vCce setune smjvo pDxe mnobui@@ivha isra  Aek p/karno હ્રદય t4a miStk vCceno setu j 0e.je AnuwvjNy iv8y 0e.waEitk rIte smjavI n xkay.

rj : rj sdo8maQya>t roha>xTvat-ચરક શારીર સ્થાન .

  રજ Aek do8 0e.jema> ro8-ko2 no A>x rhel 0e.

  Aap`e rjgu` Ae3le maa p/erk trIke l[Ae 0IAe pr>tu Aevu> n4I rjogu`I k/o2I hoy 0e.k/o2ne dbavI raqvanI mansrog nI iS4ItI 4ay 0e.

tm: tm sdo8ma>Qya>t moha>xTvat c.xa

tm Aek do8 0e.jema> mohno A>x rhel 0e.moh Ae3le A)an t4a Aasikt jet e Vyikt-vStu p/Tyeno AAsikt t4a A)an4I mansrog 4ay 0e .

 AaTma.A4aRt cEtNy-AaiTmkb5 je3lu> Ao0u> te3lu> mansivkar 4vanI xKya v2are. SkIzofenIAa-SkIz Ae3le itraD f/enIAa Ae3le miStk A4aRt q>DIt VyiktTvno rog.SkIzofenIAa Vyiktna ivcaro vtRn t4a lag`IAo pr Asr krto Ane 2Ire 2Ire v2to j3Il manisk rog 0e.

       SkIzofenIAa kone 4ay ?

É.  અંતર્મુખી Ane xrma5 SvwavnI VyiktAoma> Aa rog ]dwvvanI t4a g>wIr bnvanI xKyataAo v2u rhetI hoy 0e.

Ê. samaNy rIte SkIzofenIAa ÉÍ 4I ÌÍ v8RnI ]>mre vCce 4to rog 0e.

Ë .pu½8oma> tenu> p/ma` Ane g>wIrta SaIAonI srqam`IAo v2u hoy 0e.

Ì. Kyarek ke3lIk VyiktAoma> skIzofenIAa manisk Aa2at4I 4ay 0e.

Í .skIzofenIAana ddIRna ku3u>bIjnone p` sI2I A4va AaDktrI rIte qub shn Krvu> pDtu hoy 0e.

Î.Aaje smg/ iv&vma> dr so Ae lgwg Aek Vyikt skIzofenIAa4I pIDatI Jova m5e 0e.

SkIzofenIya na l9`o

É.   hkarTmk l9`o                    Ê. nkaraTmk l9`o

Ë.   i0Nn mansna l9`o               Ì. Htaxana l9`o

   DeLyuzNs qo3I maNytaAo ke ivcarsr`I-

   skIzofenIyana ddIRna mnma> 2`I maNytaAo 2r krI g[ hoy 0e.je kemey krIne dur krI xkatI n4I Kyarek teAo potanI Aa maNytaAo pa05 AtaikRk Ane vaihyat kar`o p` Aapva hoy 0e.

É.   kayarek ddIR Aevu manto hoy 0e ke ANy loko tena mgjna ivcaro ja`I jay

       0e.

Ê.   tenI ivru@2ma> kavtraAo kre0e.

Ë.   ko[ tenI ]pr kabu 2rave 0e.

Ì.   Ko[ tene qorakma> zer ke ANy vStu we5vIne qvDavI dexe.

Í.   Potano +vnsa4I ANy Vyikt sa4e cairyhIn s>b>2o 2rave 0e.

Î.   Aa ]pra>t reAo hd bharnI x>kaxIlta 2ravta jova m5e 0e.

      heLyusIneNs-w/m`aAo.

É.   SkIzofenIya ddIRAone je 0e nhI tevI vStuAo s>wa5tI dewatI ke AnuwvatI 

     hoy 0e Ane tene sacI j manIne kyarek teAo Amuk p/karnu> vtRn ke brabr 

     krta rhe 0e qo3I maNytaAonI jem AA w/m`aAonI yadI p` qub la>bI

     bnavI xkay p` Aae ke3lak ]dahr` Aapel 0e.

Ê.   Ko[ ANy Vyikt ke VyiktAo marI sa4e vato kre 0e.mne Aadexo ke sucnaAo

     Aape 0e.

Ë.   kyarek temne ica ivica vStuAo cheraAo ½po vgere deqay 0e to kyare tIv/

     g>2 sug>2 Aave0e.

Ì.   Kyarek AavI w/m`aAone l[ne Aa ddIRAo ih>sk bnI jta hoy 0e to kyarek

     AaTmhTya krI best ahoy 0e,

          Aa3la ica-ivica l9`o hova 0ta> 2`a ddIRAo potane k>[ tklIf

     0e tem SvIkarva tEyar n4I 4ta>

SkIzofenIya-AtTvaiwinvexnI icikTsa

É.p>ckmR-s>xo2n icikTsa

SkIzofenIya na ddIRne p>ckmR kravva ma3e tEyar krvo Ae 2`Ij A2rI babt bne 0e kar`ke ddIR potano rog SvIkarva j tEyar hoto n4I Aava s>jogoma> ‘ku3u>bIjn’ ddIR t4a vE2 mhTvnI kDI bne 0e.

Ê.  AaE82 icikTsa.

     É.  p>cgVy 2

     Ê.  mE@y rsay` xtavrI,A&vg>2a [TyadI

Ë.  mansopcar.

ddIRAoma> Aelope4I sarvarnI sa4e sa4e AayuveRd xmn icikTsa Aapel Aa  ddIRAoma> rogoTpitna kar` t4a l9` p` ja`va jeva 0e.

.    ddIR-A ( pu½8)  Aa ddIRma> devu 4[ jvane prI`ame SkIzofenIya 4yel te`e ivica p/karnI tIv/ g>6 AavvanI frIyad krel.

.    ddIR-B ( SaI)   +vnsa4I sa4ena kaE3u>bIk ivqvad na prI`ame Aa ddIRne SkIzofenIya 4yel Aa ddIR ivica p/karma Avaj s>w5avvanI t4a ko[ tene marI naqxe tevI frIyad krel.

       Aelope4I icikTsama> muQyTve  Anti Psychotic drugs  t4a  E.C.T. ([lek3/o kNvlzIv 4erapI] no smavex 4ay 0e

   SkIzofenIya s>pu`R m3I gyo Aem Kyare khevay ?

      Aa Aek pecIdo p/&n 0e pr>tu Aem smjavI xkay ke jyare ddIRnI manisk halt Ane VyiktTv tene SkIzofenIya 4yo te phelanI piriS4ItI jevu 4[ jay te A>gt kaE3ubIk,sama+k Ane 6>6akIy 9eae samaNy 4[ jay Tyare s>pu`Rp`e kabuma> AavI gyelo g`ay.

                                              ડૉ.પિયુષ શાહ