Ayurvedic Management For Diabetic Nephropathy: Ib Qhov Kev Kawm
Mar 24, 2022
Hu rau: Audrey Hu Whatsapp / hp: 0086 13880143964 Email:audrey.hu@wecistanche.com
Rishu Sharma, Alok Km. Srivastava, Gyanendra D Shukla
1 Department of Panchkarma, Rishikul Campus, UAU, Haridwar;
2 Department of Panchkarma, Main Campus, UAU,
3 Haridwar; Department of Panchkarma, Gurukul Campus, UAU, Haridwar.
Nephropathyyog qhov teeb meem tseem ceeb ntawm cov ntshav qab zib mellitus uas cuam tshuam txog 40 feem pua ntawm cov neeg mob ntshav qab zib thiab yog qhov ua rau tuag thiab kev tsis taus ntawm cov neeg mob ntshav qab zib. Nws tau pom tias txawm tias cov neeg mob uas tswj tau cov ntshav qab zib kom zoo raug kev txom nyem los ntawm ntshav qab zib nephropathy. Nws xav tau kev tswj xyuas nruj, xws li kev lim ntshav, thiab cuam tshuam rau lub neej zoo. Ib tug txiv neej tus neeg mob ntawm 45 xyoo tau mus xyuas lub tsev kho mob sab nraud yws yws ntawm ob sab pedal edema, nquag micturition. xeev siab, tshwj xeeb tshaj yog thaum sawv ntxov, txo qis qab los noj mov, ua kom tsis muaj zog, thiab khaus khaus thoob plaws lub cev txij li 4 xyoos dhau los. Nws tau paub txog cov mob ntshav qab zib mellitus rau 4 xyoos. Kev tshawb nrhiav niaj hnub ntawm kev kuaj lub raum ua haujlwm thiab kev tshawb pom ntawm cov zis microscopic kuj pom muaj kev cuam tshuam. Tus neeg mob tau noj tshuaj hypoglycemic ntawm qhov ncauj (metformin 500 mg ob zaug ib hnub). Nws tau kuaj pom tias yog mob ntshav qab zib nephropathy raws li kev soj ntsuam cov tsos mob & cov tsos mob thiab nrog kuaj pom. Raws li Ayurveda, cov tsos mob zoo li Prameha duab tmpadraa (tom qab mob ntshav qab zib muaj teeb meem). Tus neeg mob tau muab tshuaj ayurvedic rau lub sijhawm 30 hnub thiab kev tshawb nrhiav tau ua tiav tom qab 30 hnub. Muaj cov cim kev nyem hauv cov tsos mob nrog rau kev txhim kho hauv lub raum kev tshawb nrhiav xws li ntshav urea, ntshav creatinine & uric acid profile. Qhov kev tswj xyuas no yuav ua rau muaj kev cia siab tshiab rau cov neeg mob ntshav qab zib nephropathy, uas feem ntau ua rau lub raum tsis ua haujlwm thiab thaum kawg tuag.
Cov ntsiab lus tseem ceeb: mob raum tsis ua haujlwm, mob ntshav qab zib nephropathy. Pedal edema.Prgmeha iamig upgdrang. Hloov lub raum
Keeb kwm
Nws tsuas yog siv sijhawm luv luv rau cov mob ntshav qab zib hauv lub raum los ua qhov ua rau mob raum kawg (ESRD) [1,2]. Qhov teeb meem microvascular no tshwm sim hauv kwv yees li 30 feem pua ntawm cov neeg mob uas muaj hom 1 mob ntshav qab zib mellitus (DM) thiab kwv yees li 40 feem pua ntawm cov neeg mob uas muaj hom 2 DM [2,3]. Mob ntshav qab zib nephropathy (DN) yog qhov ua rau ESRD thoob ntiaj teb, thiab nws kwv yees tias 20 feem pua ntawm cov neeg mob ntshav qab zib hom 2 ncav cuag ESRD thaum lawv lub neej 4. Qhov no kuj yog qhov ua rau mob raum tsis ua haujlwm raws li nws suav rau {{12} } feem pua cov neeg mob ntawm lub raum tsis ua haujlwm [5]. Thaum pib, nws yog manifested raws li ib tug biochemical abnormality. Nws thiaj li, poob ntawm excretory, metabolic, thiab endocrine muaj nuj nqi ntawm lub raum ua rau kev loj hlob ntawm cov tsos mob thiab cov tsos mob ntawm lub raum tsis ua hauj lwm, uas yog hu ua uremia [6].
Raws li cov ntawv classical ntawm Ayurveda, Upadrarvas ntawm Prameha yog Hrillas ( xeev siab ), Chhardi ( ntuav), Shotha (edema), Avipaka (indigestion), Hikka (hiccups). Cov tsos mob no tau pom los ntawm Upadravas vim Kapha thiab Pita (ob ntawm peb lub ntsiab lus ntawm kev lom zem ntawm tib neeg lub cev). Txawm hais tias cov teeb meem ntawm Prameha tau sau zoo nyob rau hauv tag nrho cov classical treatises tseem tsis tau hais meej txog cov kab mob uas tuaj yeem qhia meej Dosha-dushrya Samim Archana (pathophysiology) koom nrog hauv rooj plaub. Tsis tas li, kev kho mob ntawm Vrikka yoga tau hais hauv 'Bhaishajyaratnavali' sib phim zoo heev nrog cov cim thiab cov tsos mob ntawm DN. Acharyas tau qhia nyob rau hauv cov xwm txheej no kom siv cov tshuaj ntsuab ua ke uas muaj kev ua haujlwm zoo li Mutual (diuretics), Deepena (stimulant), Pachana (digestant), Raktaprasadak (cov ntshav purifiers), Virechaka (laxatives), thiab Rasayana (rejuvenators).
cistanche extract cov txiaj ntsig
Vim li cas thiaj xav tau Ayurveda hauv tus kab mob no?
Cov txiaj ntsig ntawm kev noj qab haus huv thiab kev lag luam ntawm theem siab ntawm DN yog qhov tseem ceeb thiab txoj hauv kev zoo ntawm kev tswj hwm suav nrog kev lim ntshav thiab hloov lub raum uas tsis tsim nyog thiab siv tau los ntawm cov pej xeem Indian. Yog li ntawd, kev tshawb fawb txog kev nyab xeeb thiab lwm txoj kev kho mob yog qhov xav tau, uas ua pov thawj tias yuav pab tau kom txo tau qhov xav tau ntawm kev lim ntshav lossis ncua lub raum hloov pauv.
Case piav qhia
Ib tug txiv neej tus neeg mob ntawm 45 xyoo tau nthuav tawm hauv chav kho mob sab nraud ntawm Panchkarma chav tsev, Rishikul Ayurvedic College thaum lub Cuaj Hlis 2019 nrog cov lus tsis txaus siab hauv qab no. nce zaus ntawm micturition los ntawm 4 xyoo dhau los; o ntawm ob sab ko taw txij li 3 xyoos dhau los; txo qab los noj mov & kev tsis muaj zog los ntawm yav dhau los 1- xyoo dhau los xeev siab thaum sawv ntxov txuam nrog mob taub hau los ntawm 6 lub hlis dhau los, thiab muaj qhov khaus thoob plaws lub cev los ntawm 4 lub hlis dhau los.
Tus kheej keeb kwm
Tus neeg mob tsis tau ua raws li kev siv tshuaj yeeb dej caw.
Kev kho mob keeb kwm
Tus neeg mob yog ib tus neeg paub txog DM rau 4 xyoo dhau los thiab tau noj cov tshuaj hypoglycemic ntawm qhov ncauj (metformin 500 mg ob zaug ib hnub) rau tib yam li cov kws kho mob allopathic tau muab rau 4 xyoo dhau los.
Kev ntsuam xyuas dav dav
Hauv kev kuaj xyuas dav dav, tus neeg mob noj zaub mov zoo li qub, mem tes yog 84 / min, tsis tu ncua; ntshav siab-120/80 mm Hg, kub -99.6 OF, ua pa tus nqi-18/min. Lwm qhov kev kuaj mob tau zoo li qub. Ob sab pedal edema (pitting hom) tau tshwm sim.
Lub Sharirika Prakriti ntawm tus neeg mob yog Kapha-vataja, muaj Madhyama kosha (zoo li lub plab zom mov), Madhyama Bala (lub zog zoo tshaj plaws) nrog Pravara satva (lub zog ntawm lub hlwb). Nws muaj Agnimandya (qis plab zom mov thiab qab los noj mov).
Kev tshawb nrhiav
Kev tshawb nrhiav ntshav qhia cov ntshav creatinine 6.95 milligram ib deciliter (mg / dL), ntshav urea 99.0 mg/dL, ntshav qab zib theem (fasting) nyob rau hauv ib txwm txwv, ntshav uric acid qib 7.6 mg/dL. Kev kuaj zis pom pom muaj protein ntau (albumin ntxiv rau 4) poob. Qhov kwv yees glomerular pom tus nqi yog 85.
Kev kuaj mob
Ayurveda symptomatology ntawm Prame ha apadravya qhia tau hais tias Chhardi ( ntuav), Hellas ( ntuav), Daurbalyg (tsis muaj zog). Raws li Ayurvedic classics, cov Upadrava no yog vim Kapha thiab Pitta. Los ntawm kev kuaj mob thiab kev tshawb nrhiav kev txhawb nqa, nws tau kuaj pom tias yog ib rooj plaub ntawm DN, uas tau ua pov thawj los ntawm ultrasound ntawm tag nrho lub plab (nrog rau lub raum thiab lub zais zis).
Txoj kev kho mob
Tus neeg mob tau txais cov tshuaj hauv qab no ntawm qhov ncauj (Table 1).
Kev kho mob tshwm sim
Tom qab 10 hnub ntawm kev kho mob, ob sab pitting pedal edema, xeev siab, thiab ntuav raug txo. Tom qab 30 hnub ntawm kev kho mob, muaj kev txo qis hauv cov ntshav creatinine qib (1.41 mg / dL) & qib uric acid (5.1 mg / dL) thiab cov kev hloov pauv tseem ceeb hauv cov ntshav urea (43.40 mg / dL). Tsis tas li ntawd, qhov kev pab cuam tseem ceeb tau pom hauv Chardi ( ntuav), Hellas ( xeev siab), Daurbalya (tsis muaj zog dav dav). Tus neeg mob tau raug qhia kom txuas ntxiv kev kho mob rau 1 lub hlis. Qib albumin hauv cov zis kuj raug txo mus rau (ntxiv rau 2). Cov kev ua ntej thiab tom qab kev kho mob (tom qab 1 lub hlis) tsis pom zoo raws li hauv Table 2.
cistanche siv rau dab tsi
Kev sib tham
Raws li Ayurveda, nephropathy yog kab mob ntawm Mutravaha srotas. Txawm hais tias tag nrho peb Doshas koom nrog tus kab mob, Kapha yog lub luag haujlwm rau thaiv cov hlab ntsha thiab txhim kho microangiopathy vim qhov tseeb tias cov tib neeg nrog Kapha Prakriti muaj kev rog, ntshav qab zib, thiab atherosclerosis. Kev puas tsuaj hauv cov ntaub so ntswg tuaj yeem kho thiab tiv thaiv los ntawm kev siv Rasayana thaum lawv txhim kho cov khoom noj khoom haus, tswj lub patency ntawm Srotas thiab txhim kho cov ntaub so ntswg tiv thaiv txhua yam kev phem. Txhua qhov thaiv tuaj yeem raug tshem tawm los ntawm kev npaj muaj Lekhana (scraping) cuam tshuam rau cov hlab ntsha uas thaiv cov microvessels nrog rau cov hlab ntsha macro. Txoj kev npaj khomob yog qhov tseeb thiab tag nrho cov tshuaj tau raug xaiv vim lawv qhov tseeb ntawm tus kabmob no:
Gokshuradi Guggulu muaj Gokshur, cov khoom tseem ceeb, paub zoo rau nws cov nyhuv Rasaryana, tshwj xeeb tshaj yog nyob rau hauv Mutravaha srotas. Guggulu (Commiphora Mukul), lwm cov khoom xyaw tseem ceeb, yog Rasangn [7-9], thiab nws muaj Lekhana (scraping) nyhuv thiab. Tsis tas li ntawd, Guggulu muaj Tridoshahara cov cuab yeej tseem, uas nws pacifies tag nrho peb Doshas.
Xaus
Yog li, nws tuaj yeem txiav txim siab tias txoj hauv kev ayurvedic yuav pab tau los tswj cov teeb meem xws li DN. Txoj kev tshawb no qhia txog qhov tseem ceeb ntawm kev sib koom ua ke hauv kev kho mob. Xav txog tej yam muaj txiaj ntsig zoo ntawm Ayurveda mus kom ze; yuav tsum muaj kev sib koom tes tshawb fawb los tsim cov ntaub ntawv pov thawj ntawm qhov loj dua hauv kev tswj hwm ntawm DN.
cistanche tubolosa cov txiaj ntsig kev noj qab haus huv
Cov ntaub ntawv
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cistanche extract: tiv thaiv kab mob
