RESUMO
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.
RESUMO
Introduction: The scapula (shoulder blade) is a triangular flat bone that lies on the posterolateral aspect of thethorax. The scapula bears various angles namely superior, inferior, lateral, medial, acromial and coracoidangle. The three borders meet strategically to form the referenced three angles (lateral, superior, and inferior. Itslateral angle, truncated and broad, bears the glenoid cavity which articulates with the head of the humerus at theglenohumeral joint. The morphology of the glenoid cavity is highly variable. The glenoid rim presents a notch inits upper and front partMaterials and Methods: This study included thorough observation of 120 dry human scapulae, 67 from left sideand 53 from right side, obtained from department of Anatomy, Sri Guru Ram Rai Institute of medical and healthsciences Dehradun following standard guidelines. All the metric and non metric parameters were observed andrecorded in tabulated form.Results: The mean length of scapula of left side was observed as 127.35±12.35 and right side was 128.10±11.21.Thetotal mean value for length of scapula was noted as 130.21±12.65 . The mean breadth of scapula was recordedas 96.98±7.62mm. The mean value of scapular index was listed as 68.47±3.98 . The mean of infraspinous lengthwas recorded as 99.14±9.54 and the infraspinous index was 99.65±8.32.The mean AP glenoid diameter 1 was24.54±2.65mm, the mean AP glenoid diameter 2 was 16.56±2.45mm and the mean AP glenoid diameter 3 was17.09±2.75 The shape of the glenoid cavity was recorded as type 1(oval) 17.50%, Type2 (pear) 48.14%,Type3(inverted coma) and Type4(other).Conclusion: To summarize, the present study provides a base line data of different scapular dimensions on theleft and right sides. Knowledge of the measurements and indices of various parameters of scapula such aslength, width and various parameters of glenoid cavity can be used for comparative anatomy and also fordefining the race.