Introduction of kaumarbhritya
- 1. Introduction of Kaumarbhritya By Vd.Miral Assistant Professor MRIAS, Gandhinagar
- 2. Kb in Samhita • Charak samhita- 6th place • Susrut samhita- 5th place • Astang hridaya-2nd place
- 3. • मूल उपदेष्टा- मरीची कश्यप • ग्रन्थकर्ाा- वृद्ध जीवक • प्रतर्संस्कर्ाा- अनायास यक्ष • संपुरन-वात्सस्य • पुनःसंस्करण- पण्डिर् हेमराज शमाा
- 4. Definition • कौमारभृत्सयं नाम क ु मारभरण धात्री क्षीरदोषसंशोधनाथं दुष्टस्र्न्यग्रहसमुत्सथानां च व्याधीनामुपशमनाथाम् | (सु.सू.1/7) गभोपक्रमववज्ञानं सुतर्कोपक्रमस्र्था | बालानां रोगशमनीक्रक्रया बाल चचक्रकण्त्ससर्म || (harita samhita)
- 5. • Antenatal period, abnormal fetal growth and hazards may results in complications at birth. • Antenatal- anemia, garbhopghatkar bhav, rh incomplibility, IUGR etc.
- 6. Importance of Kaumarbhritya कौमारभृत्सयमष्टानां र्न्त्राणां आध्यमुच्यर्े | आयुवेदस्य महर्ो देवानाममव हव्यपः || अनेन हह संवचधार्ं इर्रे चचक्रकत्ससण्न्र् (का.वव.)
- 7. 1. • Main branch among the 8 branches • Imp. Compared with the agni devta • Home, havan etc. offerings are carried to all other devta. • Agni is mediator • Similarly, all remaining other branches will getting pts if kb physician looks after the baby, treats disease and make them grow and survive up to 16 days.
- 8. 2. • 3 people in world who performs their duty (ka.chi.dhatri chikitsit)under stress. • Bhishak • Dhatri • Balak • Why? पररज्ञानं ववना वार्ाधौषध कल्पने मशशोः | शास्त्रानुसारचेष्टामभः मलङ्चगर्ै तनत्सय दशाने || दुष्करं चावप क ु रुर्े युज्जन साधारणा: क्रक्रया |
- 9. 3. • बालस्य हृधौषधमन्यर् ् प्रमाणमन्य उपक्रमोन्ये च ववशेषः | (का.वव.) • Medicines used in kb should be hradya, madhur and palatable. • Medicine administration is challenge • Specific calculated dose • Many procedures can not be administered for child which requires modification in comparison to adults.
- 10. 4. • र्त्र बाल अपररपक्व धार्ु अजार्व्यजनं सुक ु मार अक्लेशसह असंपूणाबलं श्लेष्मधार्ुप्राय आषोिशवषंम | (च.वव.8/१२२) • अपररपक्वधार्ु • That is tissues are not completely developed. Like bp is less, muscles, urinary system, GIT. • Lakshan are not manifested completely. i.e. secondary sexual characters are not developed. Vyanjan- smashru, stanaadi. • Sukumaar- delicate.
- 11. यथा अतनलः वपर्कफ़् असृक्श्च तनत्सयाः शरीरे तनहहर्ा नराणाम् | र्थैव बालेश्ववप सवामेर्द द्वयोस्र्ु रूपं र्ु र्दल्पमल्पम् || र्था अल्पदेहस्य र्दल्पमल्पं र्था अन्नपानौषधमल्पमल्पम् | (का.खि.भेषज्योपक्रमखणय)
- 12. Pediatric Pediatrics- Greek word Pedo pais- child iatros- healer • Branch of medicine that deals with the care of children and adolescents. • Covers the age group less than 18 yr of age. • Child survival, remain healthy, attain highest possible potential of growth, development and intellectual achievement.
- 13. • Gestational age- This is the total period of days fetus lies inside the uterus, which is calculated from first day of last menstrual period till date of birth in completed weeks.
- 14. Prenatal period • Ovum- 0-14 days • Embryo- 14 days to 9wks • Fetus- 9 wk to birth • Perinatal period- 22 wks to 7 days after birth
- 15. Post natal period • Newborn- first 4 wks after birth • Infancy- first year • Toddler- 1-3 year • preschool child- 3-6 yr • School age child- 6-12yr
- 16. • Adolescence • Early- 10-13 yr • Middle- 14-16 yr • Late- 17-20 yr
- 17. • Preterm- A neonate born before 37 weeks of gestation irrespective of the birth weight. • Term- refer to completed weeks of gestation, e.g. 36 weeks gestation, range- 36 wks 0-6 days • Post term- A neonate born at a gestation age of 42 weeks or more.
- 18. Live birth • A product of conception, irrespective of wt or gestational age, that after separation from mother, shows any evidence of life such as breathing, heart beat, pulsation, of umbilical cord or definite movement of voluntary muscles.
- 19. Birth wt. Wirth wt. – • the wt of the newborn measured immediately after delivery or as soon as possible. It expressed in grams or kilograms LBW- •A neonate weighing less than 2500 g at birth irrespective of the gestational age. Very low birth weight neonate- • A neonate weighing less than 1500 g at birth irrespective of the gestational age.
- 20. • Extremely low birth wt.- A neonate weighing less than 1000 g at birth irrespective of the gestational age
- 21. Age • AGA- appropriate for gestational age • An infant with a birth weight between the 10th and 90th percentiles fro that particular gestational age. • Those infants lie below 10th percentile are considered as small for gestational age • Those who fall above 90th percentile are considered as large for gestational age.
- 22. Death • Prenatal death- death of baby from the 28th week of gestational age of the fetus. • Neonatal death- death of a live born baby before completion of 28 days of age. • Infant death- death of alive born baby before completion of 1st year of age.