�ݺ�ߣ

20.5.07 OA 1
ygarmu©
a'gufwmcspfpdk;
aq;wuúodkvf(2)
h
t½dk;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)

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%

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 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

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

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

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/

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/

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

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

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

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 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 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 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

�ݺ�ߣ

Dr.chit soe (oa) public

More Related Content

Dr.chit soe (oa) public

Editor's Notes