rheumatoid cervical joint disease

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  • 8/9/2019 Rheumatoid Cervical Joint Disease

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    ;60

    _ j f v d k p a h ` l f r s h l k ig a h n p ` h | f k | f $ klj k i i fn mf pa pj fknkf| pjfp h | p Ki h |an Dklk pjv D@) \ hdljk Eif hdkn D@Lfs#ki ga# p `h|fk|f hn jfvd kpah` k pj hp h| rkp hfnp| h | lad $da n. Pjf|f rkphfn p| d kx o f kp h|e ca |fsff i h cf$pjfkpfnhnmnfvaiamhlki ra oifd | hn pjf rfharfkphsf rf ha` k n` pjv| rf|$fnp k ljkiifnmf pa pjf knkf|pjfph|p . O x vn`f|pkn`hnm pjf skhav|knkpad hlki konadkih phf| pjkp dkx allv hn jfvdk pah` lf$shlki gahn p `h|fk|f) pjf knkf|pjfph|p lkn `f|hmn kn krrarhkpfd knkm fd fn p r ikn c a p jf rk p hfn p . Pjf `f|p vl ph an a c nad kikn kpad x ox jfv dk pah` kpjhp h| lkn f|vip hn kpiknpa$kzhki |v o$ivzkp han *K K \( a |vokzhki |voivzkphan. Pjf kpiknpa$kzhki |vo$ivzkp han h | v pj f `hs h`f` knkpadhlki ix hn pa knpf ha K K\ ) ra|$pfha KK \) sf phlki KK \) kn` ikpfki! apkpax K K\ . Hnk``hp han pa pjf jh|pax k n` rjx|hlki fzk dhnkp han ac pjf jfv$dkpah` kpjhp h| rkphfnp) k`haiamhlki fskivkphan ac pjf lfshlki|rhnf h | j hmjix fladd fn`f`. ]h pj pjf h`fnph chlkphan a c pjf|rflhchl knk pad hlki if|han pjf knkf|pjfph|p lkn rf`hlp) kn ` ks ah`dasfdfnp| }jhlj dkx ifk` pa) a }a|fn) nfvaiamhlki rao$ifd|. Hn pjf fsfnp a c kn fdfmfnlx }jff cv i i fskivkp han a cpjf lfshlki |rhnf h| nap ra||hoif pjf knkf|pjfph|p d v| p rf |vd fpjkp pj f jf vd kpa h` rkphf np jk | |fsff lfshlki |rhnf hn|pkohih pxkn` v|f pjf da|p lkvp hav| krraklj.An fnlanpf |avsfnp vnf kppfhnpf `f ik laiannf lfshlkif `kn|i -kpjhpf jvd kpa-h`f. K ik rFha`f r`harFkpahf) lfvz {v h fn|avccfnp rF|fnpfnp vn h|{vf `ifs~ `f ladrihlkphan| nfva$Hamh{vf| mksh|| hdf| f p rk if ck h p dF df vn `fc p ra v i -knf|$pj~|hf. L -f| p rk ik ladrfjf n|han `f| knadki hf| knkpad h{vf|skhFf| {v h |vshfnn fnp kv lav| `f ik dkik` hf {vf i -knf|pjF|h|pfrfv p `~sfiarrf vn rikn `f la n`vh pf krrarh~f ra v lf| rk$phfnp|. Ik `f|pvlphan `f i -knkpadhf nad kif rk i -kpjhpf jv$dk pah`f rf vp lkv|f vn f |voiv zkphan `f i -kphlvikphaj kpiaU`a$

    Efx }a`|LADRIHLKPHAN\7 jf vd kpa h` kpj hph|5H N P V OK P ; A N ) P _ K L J F K I 5 ladri hlk p han|.Cad pjf @frkpdfnp ac Knkf|pjf|hk) \DO @ $ Gf}h|jMfnfki J a|rhpki) kn` DlM hii Vnhsf|hpx) Da npfki) [vfofl.

    K``f|| laf|ran`fnlf pa7 @. \. Eifhdkn) @frkpd fnp acKnkf|pjf|hk) _aad K $

  • 8/9/2019 Rheumatoid Cervical Joint Disease

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    Dklkpjv kn` Eifhdkn7 _ V F V D KP A ;@ K _P J _ H P H \ ;66

    CHM V_F ; Pxrf| ac k piknpa$kzhki |voivzkp han *KK\(7 *z $4 nadkira|hphan ac knkpadhlki fcffnlf5 z- 4 rkpjaiamhlki ra|hphan kcpf|voivzkphan5 h 4 n adk i ra|hphan ac |rhnki la`(. K npfr har K K \ $Ikpfki shf} ac lknhvd kn` vrrf lfshlki |rhnf. L H dasf| ca}k`fikphsf pa L ? vf pa pkn|sf|f ihmkdfnp `f|pvlphan. *@appf` avpihnf acL ; kn` lkn hvd frf| fnp pjfh `hflphan ac das fdfnp }hpj knpfhaKK\ 5 y 4 ca}k` pklphan ac |rhnki la` ox lknhki lanpfnp| }hpjknpfha KK\ .(

    sffix `h|vrpf` o x _K ) ifk `hnm hnhphkiix pa lfshlki |rhnf|voivzkphan }jhlj h| caiia}f` allk|hankiix ox knexia|h|ac pjf lfshlki |rhnf. Pjf f|viphnm lfshlki rkpjaiamxjk| offn `hsh`f` hnpa p}a dkhn lkpfmahf| ok|f` an pjfknkpadhlki kona dkihpx7 kpiknpa$kzhki |voivzkphan *KK\(kn` |vokzhki |voivzkphan. Kpiknpa$kzhki |voivzkphan lknof cvpjf `fchnf` ox pjf rkphlvik `hflphan pjkp pjfkpik| *L2 |voivzf| hn fikphan pa pjf kzh| *Lk(7 knpfha KK\) ra|pfha KK\) sfphlki KK\) kn` ikpfki!apkpaxKK\. 3Kpiknpa$kzhki |voivzkphanPjf L~L ? sfpfokf) hnpfra|hnm `h|l|) ihmkdfnp| kn `gahnp| kf pjf kfk| da|p lad danix kccflpf` ox _K acpjf lfshlki |rhnf *;6$

  • 8/9/2019 Rheumatoid Cervical Joint Disease

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    ;63 LKNK@HKN GAV_NKI AC KNKF\PJF\HK

    CHMV_F < S f r p hl k i K K \ $ Ikpfki shf}. @f|pvlphan ac ikpfkidk||f| ac L8; iia} vr}k` |voivzkphan ac pjf a `anpah` ralf||pjavmj pjf cakdfn dkmnv d. *k 4 jk` rkikpf5 o 4 phr ac a`anpah`ralf||5 l 4 allhrhpki lvsf(

    CHMV_F 0 I k p f r k i K K \ $ Ra|pfha shf} ac lknhvd kn` vrrflfshlki |rhnf. L ; kn` L? dasf ikpfkiix }hpj f|rflp pa a nf kn apjf`vf pa LHL? cklf p f|pvlphan.

    rfskifnlf ac pjh| pxrf h| ;2 $?2& ac kii KK \ kn ` h pdkx fz h| p hn ladohnk p han }h pj kn pf ha KK\. _k`h $aiamhlki fskivkp han ac ik pfki |evii kn` L$|rhnf z$ kx| )kn` a`anpa h` s hf}| pj avmj pjf davpj fsfk i pjk p pjfp hr ac pjf a`a npa h` r alf| | h | |vrf ha pa D klM fma - |i hnf *`k}n c ad pjf v rrf |v cklf ac pjf ra|pf haf`mf ac pjf jk ` rk ik pf pa pjf da| p lkv`k i ra hn p anpjf all hr h pk i lv sf( ox >: dd hn dfn kn` > 8 .6 ddhn }adfn.

    0 I k p f k i! _ a p k p a x K K \ $ L j k n m f | h n p j f LHL? cklfpgahnp| ifk` pa pjf|f v nl ad da n `fcadhp hf|. 3 Pjfxallv hn krr azhdkpf ix ?$ 6 & ac ki i rk p hfn p | }h pj KK\.Ik pf k i s hf} padam kd| ac pjf all hr palf s hlki gvnl p hankn` arfn dav pj s hf}| ac pjf a`anpa h` k f v|f` pafskivkpf pjf|f `fcadhp hf| . Pjf ik pfki a apkpax KK\`fcadhp hf| kf ljkklpf hwf` ox Li dashnm ik pfki ixa apkp hankiix }hpj f|rflp pa Lk *Chmvf| 0 kn` 6( 5pjfx dkx lkv|f nanf`vlhoif apkp hanki jfk` p h i p ) |rhnkinfsf ladrf|| han) a sf pfoki k pfx ladradh|f.

    \ v o k z h k i | v o i v z k p h a nK if|| la dd an `f cadhpx pjkn pja|f ac pjf LHL? fmhan)|vokzhki |voivzkphan| * |voivzkphan| ofia} LQk( allv hn;2$ ?2& a c pjf _K rarvik p han kn` krrfk pa la f ik pf}h pj ` h |fk|f `v k p han * k| ladrk f` pa KK\ }jhlj `a

    CHMV_F 6 Q _a pk parx KK \ $ Z$|flphankishf} ac L+ kn` L?.LHL? cklfp f|pvlphan kiia}| apkphan ac L+ an L? }hpj f|viphnmladrf||han ac |rhnki nfsf *N() sfpfoki kpfx *K() a |rhnki la`*\(.

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    Dklkpjv kn` Eifhdkn7 _JFVDKPAH@ K_PJ_HPH\ ;6=

    CHMV_F 3 \vokzhki voivzkphan7 z $$ nadki ra|hphan acknkpadhlki fcffnlf5z- 4 rkpjaiamhlkira|hphan kcpf|voivzkphan5y 4 nadki ra|hphan ac |rhnki la`5 avpihnf ac L kn` L? frf|fnppjfh nadki knkpadhlkira|hphan5|jk`f` k}hnm|ac L; kn` L?frf|fnp pjfh ra|hphan kcpf|voivzkphan(.@f|pvlphanac cklfp ahnp|ofia} pjf ifsfi ac L? kiia}|knpfa$ra|pfha voivzkphanac pjfsfpfoki oa`hf|.na p la fikpf }hpj `h|fk|f ` vkphan(. 0)3 La dr kf ` }hpj|voivzkphan kp pjf kpiknpa$kzhki ifsfi) |vokzhki |voivz$kphan } hpj hp| rkpjaiamhlki ljknmf a c cklfp gahnp `f|pvl$phan lkn ifk` pa fkihf lfshlki laivdn kn ` |rhnki nfsfladrf||han oflkv|f ac pjf |dkiif `hkdfpf kp pjf|fia}f ifsfi|. Pj f l add anf |p ifsfi ac hnsaisfdfnp h| L6L3ovp daf pjkn anf ifsfi dkx of hnsaisf`. Ikpfki shf}|ac pjf lfshlki |rhnf fsfki k |pfr `fcadhpx > ? dd *Chm$vf 3( .

    ]jhif |xnashki gahnp `f|pvlphan hnhphkiix ifk`| pa |vo$ivzkphan) hp h| hdrapknp pa ofk hn dhn` pjkp lfshlki|rhnf knexia|h| dkx `fsfiar k| k chnki rkpjaiamhlki |pkpfac jfvdkpah` kpjhph|. Pjh| knexia|h| dkx f|vip hn kcifzhan fcad hpx ac pjf nfle. G~);