ABSTRACT
Vandhyatva (infertility) is failure to conceive or give birth or experiencing Garbha Strava or Garbha pata (repeated abortion). Disturbed lifestyle, usage of contraceptives, stress, genetic problems, alcohol consumption and smoking addiction increases such cases day by day. Nowadays fallopian tube blockage has become one of the burning issues of female infertility. According to Ayurveda, successful conception depends upon Ritu, Kshetra, Ambu and Beeja. Beejagrahana is unable due to tubal blockage (Sanga Srotodusti of Arthavavaha) leads to failure of conception. Panchakarma plays an important role in treating female infertility and Uttara Basti is one of the best (Panchkarma therapy for the infertility treatment in Ayurveda). It detoxifies the uterine cavity and fallopian tubes, which clear the Srothoavarodha. Uttarbasti along with internal medication helps in Vata Dosha saman and remove the Sanga srotodusti. A diagnosed case of infertility due to bilateral tubal blockage, visited our clinic for treatment of tubal blockage and consequent infertility. Here is the case presentation of successful treatment with Ayurveda medicines and Uttara basti.
ABSTRACT
Introduction: The strength of the uterine scar and its capacityto withstand the stress of subsequent pregnancy and laborcannot be completely assessed or guaranteed in advance.Hence the present study was undertaken to analyse factorsstated by Flamm and Geiger admission scoring system andother plausible factors for successful TOLAC.Material and methods: A total of 265 cases of a previous CSwere selected. Booked cases were regularly followed up inthe antenatal clinic and the unbooked patients, who reporteddirectly for labor, were then assessed for a trial of vaginaldelivery.Result: A total of 265 cases were eligible for trial of scar usingFlamm and Geiger Admission scoring system. 135 had VBACwhereas in 130 cases trial was terminated and had ERCS.Out of 130 ERCS, 73.4% were because of scar tenderness,whereas 16.4% had non reassuring fetal heart rate. Remaininghad unsuccessful progress of labor.Conclusion: Flamm and Geiger admission scoring systemcan be used to successfully predict the likelihood of vaginaldelivery after a trial of scar, thereby reducing maternal andfetal morbidity and rate of caesarean section. Decisionregarding trial should also include factors like eventfulprevious pregnancy, interpregnancy interval, gestational ageand estimated fetal weight. Successful trial can be increasedby regular antenatal visits, general health promotion, earlydetection and management of high risk factors. Adequate interpregnancy interval should be encouraged by promoting andoffering contraception.
ABSTRACT
Hepatomegaly may be a presenting sign or symptom of the patient's illness or it may be an incidental finding in patients being examined for various other reasons At present, many patients are diagnosed with liver disease who are asymptomatic and who have been found to have hepatomegaly or abnormalities in biochemical liver tests These asymptomatic or undiagnosed liver diseases are of great concern so as to prevent various life threatening complications and better future outcome of patients. The present study was planned to explore of spectrum of causes of hepatomegaly from common to rare in a teaching hospital. In our cross-sectional study all consecutive patients >18 years old with hepatomegaly detected on clinical examination and/or in ultrasonographic assessment( liver span>15cm)attending as medical outpatient department were enrolled. Depending on the clinical diagnosis based on detailed history and clinical examination, patients were subjected to hematological and biochemical investigations as required.Both infective and non infective causes constituted two equal halves. Acute viral hepatitis and dengue fever (15% each) were the commonest infective causes of hepatomegaly. Among noninfective causes NAFLD was the most common (21%) followed by congestive heart failure (18%). Seasonal variation showed increased prevalence of infective causes during the rainy season while non-infective causes were more common in winter and autumn. Liver diseases are common in our population with diversified etiology,many are asymptomatic or may present only with liver enzyme abnormalities . There is almost equal prevalence of infective and non infective causes for hepatomegly and nonalcoholic fatty liver disease has emerged as an important cause of hepatomegaly.