REVIEW ON SUTIKA MAKKALLA
Abstract
Woman is single one creation of the world which has potency of making new era.The caring of women is prior responsibility of society.Especially when woman creat a new generation.During pregnancy and after delivery some extra care is needed to prevent any miss happening. Ayurveda not only emphasized for extra care of a pregnant woman at this time but also advised medical treatment of Sutika Jwara,Makkalla Shoola, Yonibhramsha, Yonikshata etc.[1] Sutika makkalla, post delivery complication frequently occurring in woman, is associated with the accumulation of the the blood in the uterus due to various reasons.[3]
An uneventful Pregnancy, Delivery and Sutika Kala is the desire of every woman. When the lady does not follow the proper Sutika Paricharya, then it leads to various sutika vyadhis. Sutika Makkalla isone among them. It occurs due to aggravation of vata doshaand incomplete evacuation of theprajananashonita after Prasava. Makkalla is a shoolapradhana vyadhis occurring during Sutikavasta. Sutika Makkalla mentioned by ayurveda acharyas can be compared with after pain during puerperal period. Prevalance of disease is 4-10%. The incidence of this is less in Primigravida Compared to Multigravida. Primigravida has a better uterine muscle tone and uterus tends to contract and stay contracted rather than intermittently relaxing and then contracting again.Breast feeding can bring on these cramps more intense because the sucking act itself triggers the oxytocin hormone to cause contraction which leads to severe pain.Makkalla explained in ayurveda classics has a symptoms of Shoola in Nabhi, Basti, Shiras, Kostha.If left untreated it undergoes Paka and produces Rakta Vidhradhi.[4]
In our society most of time puerperal pain gets neglected as considering it is normal after expulsion of product of conception, so this study help in the management of sutika makkalla shoola.Drugs used by acharyas for management of sutika makkalla are ushnagunatmaka,vatashamaka, shoolahara,balya, garbhashaya shodhakaproperties, which helps to cure dhatukshaya, vatavriddhi, shoola,dourbalya etc.
Keywords: Sutika, Makkalla, Shoola, Ayurveda.
References
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