20.5.07 OA 1

ygarmu© a'gufwmcspfpdk;aq;wuúodkvf(2)

ht½dk;usD;aygif;wufa&m*g

ht½dk;usD;aygif;wufa&m*g

t½dk;?tqpfa&m*gaygif; b,favmuf&dS/

t½kd;? tqpfa&m*gaygif;u wu,fwrf;qkd&if 300 ausmf

tjzpftrsm;qHk; (5)ck

1/ aoG;av;zufem (Rheumatoid arthritis)2/ t½kd;usD;aygif;wufa&m*g (Osteoarthritis) 3/ cg;ema&m*g (Low back pain) 4/ t½kd;yGa&m*g (Osteoporosis)5/ ajcvufxdcdkuf'Pf&m&rI (Limb trauma)

20.5.07 OA 3

aoG;av;zufema&m*gcHpm;&olu 1.3%

t½kd;usD;aygif;wufa&m*gcHpm;&olu 2.4%

(toufBuD;av a&m*gjzpfyGm;rI rsm;avygyJ/ touf(50)ausmf&if 50% avmuf tjzpfrsm; /)

t½kd;yGNyD;usdK;wmu 1.4%

cg;ema&m*g u 5.9%

ajcvufxdckduf'Pf&mrIu 2.8%

20.5.07 OA 4

20.5.07 OA 5

t½kd;usD;aygif;wufa&m*gu bmaMumihfjzpf&wmygvJ/t½kd;wpfckeJYwpfckMum; rSm t½dk;Ekjym;av;awG&Sdw,f/ toHk;rsm;vmwJh tcgrSmawmh tJ'Dt½kd;Ekjym;av;awGu yGef;pm; vmw,f/

20.5.07 OA 6

20.5.07 OA 7

20.5.07 OA 8

tJ'Dvkd yGef;pm;oGm;wJhtcgusawmh t½dk;(2)cku wkduf½dkufxdoGm;NyD; emvm&muae aemufydkif;rSm t½dk;av;awGu tufvmw,f/

MuufOudk rSefay:rSm wkduf½dkufacgufwJhtcg tufoGm;ovdkrsdK;? t½dk;awG wpfckeJYwpfck xdvdkufwJhtcgrSmvnf; tufoGm;w,f/

tJ'DvdktufoGm;wJhtcg cE©mudk,fu t½dk;udkjyefNyD; qufoGm;atmif vkyfzdkYtwGuf t½kd;topfudk xyfNyD;xkwfay;&ygw,f/

topfxkwf ay;vkdufwJh t½dk;aMumifh e*dku MuufOvdkvHk;aewJh t½dk;av;awGu rvHk;awmhbJ zkxpfav;awG jzpfvmw,f/

tJ'Dzkxpfav;awGaMumihf vIyf&Sm;wJhtcgrSm xpfxpf jzpfaew,f/ enf;enf;vrf;avQmufwmeJY emwmawG jzpfvmw,f/

20.5.07 OA 9

20.5.07 OA 10

toufBuD;vmwJhtcgrSm vlawG&JU cE¨mukd,fypönf;awG obm0u e*dkavmuf ckdifNrJrI r&SdEdkifwmhbl;/ yHkrSeft½dk;Ekuvnf; toufBuD;vmwJhtcgrSm yGef;pm;NyD; odyfrcdkifawmhbl;/ qwfNyD; usdK;vG,fvmw,f/ t½kd;EkawGrSm e*dk&Sd&r,fh Quality

u zdvdkuf&if usHKUoGm;NyD; vTwfvdkuf&if jyefazmif;vm&r,hftpm; zdvdkuf&if t½kd;Eku jym;uyfoGm;w,f/ jyefazmif;rvmawmhbJ t½kd;Ek&JU tpGrf;owådusoGm;wmaMumihf t½dk;usD;aygif;wufwmudk (degenerative

bone disease) toufBuD;vdkY ,dk,Gif;wJha&m*gvdkY ac:ygw,f/

20.5.07 OA 11

20.5.07 OA 12

t½kd;usD;aygif;wufa&m*gu toufBuD;vkdY ,dk,Gif;NyD; jzpfvm&wmtjyif wjcm;bm aMumihfrsm;jzpfEkdifygao;vJ/wjcm;uawmh tqpfay:oufa&mufwJh tm;yrmPyg/ cE¨mudk,fu rwfae&if ajrBuD;xJudk wkduf½kduf0ifoGm;w,f/ cE¨mudk,fu rrwfbJ auG;ae? ukef;ae? aumhaew,f qdk&ifawmh urÇmhajrBuD;&JU qGJiiftm; (Gravity) vrf;aMumif;u Centre rusvdkY vlutvdk vkdae&if; tm;ydkpdkuf&ygw,f/

20.5.07 OA 13

tm;ydkpdkuf&wJhvl

20.5.07 OA 14

t½dk;?tqpfawGrSm a&m*gjzpfwmaMumihf t½kd;? tqpfawGu yHkrSefvdk racsmarGU&muae t½kd;usD;aygif;wufa&m*g jzpfvm&wmfvnf; &Sdw,f/

'l;rSmxdcdkuf'Pf&m&zl;&if? acsmfvJNyD; ajcacgufvJzl;&if pwJh t½kd;tqpfawGrSm xdcdkuf'Pf&m &zl;w,f qkd&ifvnf;jzpfEkdifygw,f/

20.5.07 OA 15

av;zufema&m*geJY t½kd;usD;aygif;wufa&m*gudk b,fvdkrsm; cGJjcm;rvJ /

t½dk;usD;aygif;wufa&m*gu av;zufema&m*gvdk prf;oyfrI awG axGaxGjym;jym;vkyfp&m r&Sdygbl;/ 'Da&m*gu ppfvkduf&iftukefaumif;aew,f/ aoG;ppfMunfhvdkufawmh vnf;aumif;w,f/ av;zufema&m*gvu©PmawG r&Sdbl;/

ar;Munfhvkduf&iftqpfuemwmMumNyD/

naeydk emw,f/

20.5.07 OA 16

20.5.07 OA 17

'kwd,tqifhtaeeJY a&m*gtrnfwyfzkdYaocsmatmif "mwfrSef½kdufMunfhr,fqdk&if t½dk;?tqpfav;awG&JUaxmifh av;awGrSm twufuav;awG xGufaewmudk "mwfrSef xJrSm jrif&w,fqkd&if t½kd;usD;aygif;wufa&m*g jzpfwm aocsmygw,f/

20.5.07 OA 18

20.5.07 OA 19

20.5.07 OA 20

20.5.07 OA 21

20.5.07 OA 22

t½dk;usD;aygif;wufa&m*gudk

b,fvdkuko &ygrvJ?

20.5.07 OA 24

t½dk;usD;aygif;wufa&m*gudk b,fvdkuko &ygrvJ?

t&ifwkef;uawmh (Symptomatic Management ) a&m*gvu©PmawGudk ukowJhtaeeJY temoufomwJhaq;udk pm;cJhMuw,f/

tckaemufydkif;ESpfawGrSmawmh odyHÜynm wkd;wuf vmwJhtcgrSm 'Da&m*g taMumif;&if;udk ukozdkYenf;vrf;awG ay:vmygNyD/

jzpf&jcif;taMumif;u t½kd;Ekt&nftaoG; usoGm;vkdY jzpfwJhtwGufaMumihf t&nftaoG;jynfhatmif t½kd;EktwGuf ukefMurf;awG jyefjznfhay;zkdY vdktyf ygw,f/

20.5.07 OA 25

20.5.07 OA 26

Large hydrated proteoglycan molecules surround on all sides and

attached to collagen fibrils scabfold

Sticky gel like molecule ,shape a Test tube brush

Hyaluronan,

link,

Aggrecan (keratan(glucosamine),chondroitin)

PROTEOGLYCANS

20.5.07 OA 27

t½dk;EkxJrSmygwJh Glucosamine eJY Chondroitin wdkYyJjzpfygw,f/ t½dk;Ekudk Microscope eJY aocsmMunfhvdkufr,fqdk&if iSufarG;vdk? ig;½dk;vdktacsmif;av;awG&Sdw,f/ tv,frSm t½dk;acsmif;BuD;wpfacsmif;eJY ab;udkzGmaewJh t½dk;rQifav;awG&Sd w,f/ tJ'Dae&mav;awGudk Glucosamine eJY Chondroitin awGeJY zJGUpnf;xm;wmudk awGU&w,f/ tJ'D"mwfawGudk yHkrSefjyefpm;ay;r,fqdk&if t½dk;&JU usKHUEkdif? us,fEkdifwJhtpGrf;owådawG usroGm;atmif xdef;odrf;xm;EkdifrSm jzpfw,f/

20.5.07 OA 28

tpm;taomufrSmqdk&if t½kd;EkawG? ig;ao;ao;av;awG pm;ygvkdY qdkayrJh vHkavmufatmif pm;zdkYtwGufqdk&if wpfaeYudk (2)ydómavmufpm;&rSm jzpfygw,f/

tJ'Davmufpm;zkdYqkdwm odyfrvG,fwJh twGuf ig;ref;awmifwdkY? wd&pämefwdkY&JU t½kd;EkawGu ae (Glucosamine eJY Chondroitin) pwJh"mwfawGudk "mwfcGJcef;rSm ppfxkwfNyD;rSvkdtyfwJh yrmPudk aq;vHk; xJrSm xnfhNyD; aomufwJhtcgrSm ykdNyD;tpGrf;xufwm udk awGU&w,f/

20.5.07 OA 29

'Daq;u t½dk;Ekudkjyefwnfaqmufay;wJh aq;jzpfwmaMumifh MumMumpGJaomufzkdYvkdtyfygw,f/ aq;aomufwm (2)v avmuf MumvmwJhtcgrSm t½kd;Eku enf;enf;jyefxlvmNyD; t½dk;(2)ckMum;rSm 0g&Smav;vkd jyefjzpfvmwJhtwGuf emwmoufomr,f/ aq;qufaomufr,f qkd&ifawmh aemufESpfvavmuf MumwJhtcgrSm t½kd;u yHkrSefjyefjzpf oGm;Ekdifygw,f/

20.5.07 OA 30

(1)&uf? (2) &ufavmuf aomufMunfhvdkY roufombl;/ 'Daq;rpGrf;bl;qdkNyD; qufraomufawmhbJ &yfvkdufwm rsdK;awG rvkyfoifhygbl;/

20.5.07 OA 31

EkdifiHjcm;rSmqdkvnf; 'Daq;eJYywfoufNyD; okawoe vkyfxm;wmawG trsm;BuD; &Sdygw,f/ aq;uaomufEkdif&if tusdK;&Sdygw,f/ 'l;emrS aomuf&wm r[kwfygbl;/

20.5.07 OA 32

20.5.07 OA 33

aq;awGudk MumMumpJGaomuf&r,fqdkawmh aq;&JU ab;xGufqdk;usKd;awG &Sd? r&Sd/

ab;xGufqdk;usKd;r&Sdygbl;/ 'Daq;u obm0 tpm;taomuf xJrSmygwJh "mwfudk tESpfxkwfxm;wJhtwGuf vludk bmrS'ku© ay;wmr&Sdygbl;/

20.5.07 OA 34

aemufwpfcku cE¨mudk,f&JU tav;csdefu vdktyfwmxuf ydkNyD; 0aew,f qdk&ifawmh t½dk;awGu 'PfjzpfNyD; usD;aygif;wufwm jzpfvmEkdifygw,f/ udk,fh&JU cE¨mudk,fu t0vGefNyDvm;? rvGefbl;vm; qdkwmudk aygifcsdefpufawG bmawGrvdkbJ odEdkifwJh tvG,fqHk;enf;uawmh ayBudK;av;eJY cg;udk wdkif;MunfhwJhtcg cg;&JUvHk;ywfu rdef;uav;awGrSm 78 pifwD (32)xufausmfNyD; a,musfm;av;awGrSm 92 pifwD (36)xufausmf&ifawmh t0vGefaeNyDqdkwmodEkdifygw,f/

20.5.07 OA 35

20.5.07 OA 36

20.5.07 OA 37

20.5.07 OA 38

t0vGefaeNyDqdk&ifawmh cE¨mudk,ftav;csdefudk jyefNyD;xdef;zdkY vdktyfygw,f/ cg;vHk;ywfudk 90 pifwD atmufa&mufatmif xdef;xm;zdkY vdktyfygw,f/ wpfvwpfacgufavmuf wdkif;Munfhay;&ygr,f/ aemufwpfcku vlwpfa,muf&JU aeyHkxdkifyHkeJY rwfwyf&yfyHkawGudk owdxm;&ygr,f/

20.5.07 OA 39

'gaMumifh wDAGDMunhfwJhtcg? pmMunfhwJhtcg rSm acgif;u a&SUodyfrikdufoifhygbl;/ rwfwyf&yfwJhtcgrSmvnf; ajcaxmufESpfzuf ay:rSm udk,fudkrQNyD; &yfoihfygw,f/

20.5.07 OA 40

20.5.07 OA 41

i,fi,fwkef;uupm;yHkupm;enf;? pmusuf yHkusufenf;eJY xkdifcHkay:rSm xkdifwJhenf;awGay:rSm rlwnfNyD;awmh 'PfcHcJh&wJh tqpfawGu toufBuD; vmwJhtcgrSm pkNyD;jzpfwmyg/

tJ'Dawmh toufBuD;NyD; a&m*gjzpfvmrS umuG,fzdkYudk ajymr,fqkd&ifawmh rrDawmhygbl;/ 'gaMumihf i,fi,f&G,f&G,f uwnf;u taetxdkifudk qifjcifzkYd? tqpfay:rSmvkdwmxuf ydkNyD; 'PfawGrjzpfatmifaezdkYeJY

tpm;taomufpm;wJh tcgrSmvnf; vdktyfwJh ukefMurf;awGygatmif pm;MuygvdkY q&mhtaeeJY wkdufwGef;csifygw,f/

20.5.07 OA 42

20.5.07 OA 43

20.5.07 OA 44

f

20.5.07 OA 45

20.5.07 OA 46

20.5.07 OA 47

20.5.07 OA 48

20.5.07 OA 49