E-ISSN:2456-3110

Case Report

Diabetic Ulcer

Instrucciones Deshumidificador Orbegozo Dh 1200 Zip Hot !!better!! «2025-2027»

2022 Volume 7 Number 9 October
Publisherwww.maharshicharaka.in

To evaluate the role of Lakshadi Avachoornana in the management of Dushta Vrana with special reference to Diabetic Ulcer: A Case Study

C Nair S.1*, M Sweta K.2
DOI:

1* Swathi C Nair, Post Graduate Scholar, Dept. of Shalya Tantra, Sri Sri College of Ayurvedic Science and Research, Bangalore, Karnataka, India.

2 K M Sweta, Professor & HOD, Dept. of Shalya Tantra, Sri Sri College of Ayurvedic Science and Research, Bangalore, Karnataka, India. instrucciones deshumidificador orbegozo dh 1200 zip hot

The global prevalence of diabetics is estimated to increase from 4.0% in 1995 to 5.5% by the year 2025. The chances of secondary infection are more in diabetics as the immunity of the patients is compromised and needs prolonged hospitalization, psychological and social problem for the patients and family. In Madhumehi the vessels of lower limb become weak and is unable to expel the Doshas (along with other Dushyas) leading to Prameha Pidakas more in lower extremities, which eventually burst open precipitating an ulcer. Avachoornana is one among the Shashti Upakrama, explained by Acharya Sushrutha for management of Vrana. Numerous studies are done in the management of Dushta Vrana with the internal medication and external therapies. Here a preliminary attempt to study the effect of Avachoornana with Lakshadi Choorna in the management of the same was taken for the study. Si la temperatura de la habitación cae por

Keywords: Dushta Vrana, Avachoornana, Diabetic Ulcer, Lakshadi Choorna 3 litros con sistema de parada automática por llenado

Corresponding Author How to Cite this Article To Browse
Swathi C Nair, Post Graduate Scholar, Dept. of Shalya Tantra, Sri Sri College of Ayurvedic Science and Research, Bangalore, Karnataka, India.
Email: instrucciones deshumidificador orbegozo dh 1200 zip hot		 Swathi C Nair, K M Sweta, To evaluate the role of Lakshadi Avachoornana in the management of Dushta Vrana with special reference to Diabetic Ulcer: A Case Study. J Ayu Int Med Sci. 2022;7(9):196-205.
Available From
https://www.jaims.in/jaims/article/view/2093		 instrucciones deshumidificador orbegozo dh 1200 zip hot

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2022-08-29 2022-08-31 2022-09-07 2022-09-14 2022-09-21
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
Nil Nil Yes 16%

instrucciones deshumidificador orbegozo dh 1200 zip hotinstrucciones deshumidificador orbegozo dh 1200 zip hot © 2022by Swathi C Nair, K M Swetaand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

Journal of Ayurveda and Integrated Medical Sciences 2022;7(9)196

A continuación se detallan las instrucciones fundamentales para su uso y mantenimiento seguro:

Conducto frontal de admisión de aire y difusor superior para expulsar el aire seco. Puesta en Marcha y Configuración Correcta

Asegúrese de que el depósito de agua esté correctamente posicionado. Encendido: Enchufe el aparato a la toma de corriente.

Si la temperatura de la habitación cae por debajo de los 15°C - 18°C, las bobinas internas del evaporador pueden acumular escarcha. El sistema de desescarche automático se activará de forma periódica, pausando la deshumidificación momentáneamente y encendiendo este piloto hasta que el hielo se haya disuelto. 💧 Métodos de evacuación del agua

: Coloca el aparato sobre un suelo completamente plano y rígido para evitar vibraciones extrañas, ruidos o derrames de agua.

3 litros con sistema de parada automática por llenado.

Si la luz de "descongelado" se enciende, el dispositivo está eliminando hielo del evaporador automáticamente (frecuente por debajo de 18°C). 3. Vaciado del Depósito y Drenaje Continuo A. Vaciado Manual

Retire el filtro trasero y límpielo con agua tibia o aspiradora cada 2-3 semanas, dependiendo de la intensidad de uso. Un filtro sucio reduce drásticamente el rendimiento.

Coloque el equipo en una superficie plana y nivelada para evitar vibraciones o fugas de agua. Mantenga una distancia mínima de 20 cm respecto a las paredes y 50 cm libres por encima de la salida de aire.

El deshumidificador extraerá agua sin detenerse, ignorando el porcentaje de humedad ambiental. 💧 Gestión del Agua: Vaciado Manual y Drenaje Continuo Orbegozo DH 1200 Go to product viewer dialog for this item.

es uno de los dispositivos domésticos más eficientes para el control de la humedad y la prevención de moho en el hogar. Si estás buscando el manual completo en formato comprimido o una guía detallada de operación, este artículo reúne todas las para que configures tu equipo de forma segura y optimices su rendimiento al máximo.

| Feature | Description | |---------|-------------| | | Up to 12 liters/day (at 30°C, 80% RH) | | Water tank | 2.5 liters, with auto shut-off when full | | Continuous drainage | Hose connection available (standard garden hose size) | | Defrost system | Automatic hot gas defrost — prevents ice buildup in low ambient temperatures (approx. below 15°C). This might be what you heard as “zip hot” | | Humidistat | Adjustable desired humidity level (35–80%) | | Fan speeds | 2 speeds (High/Low) | | Timer | 24-hour programmable on/off timer | | Air filter | Washable mesh filter | | Display | LED screen showing current humidity and settings | | Noise level | ~48 dB max | | Power | 230V ~ 50Hz, 310W | | Operating temp range | 5°C – 35°C |

para que el equipo no deje de extraer agua independientemente del nivel ambiental. Depósito Lleno

Nair S et al: Lakshadi Avachoornana in management of Dushta Vrana Diabetic Ulcer

Case Study

It is a case study of a 42-year male patient who presented with the chief complains of ulcer over big toe of right leg since 2 months (K/C/O DM for last 8 years and under medication). He was being treated with oral medications and dressings. Study was done after obtaining an informed consent from the patient. He was treated with the Lakshadi Choorna for dressing daily and Triphala Guggulu 2 BD before food, Amritadi Vati 2 BD after food as internal medication.

Intervention: Lakshadi Choorna was prepared with all aseptic measures, as per the classical reference of Choorna Kalpana. After proper cleaning the drugs, it made into small pieces by chopping. Using pulveriser it was made into fine powder with mesh size of 80 to 120 range. Packing done under aseptic precaution and sterilization done under UV for 20 minutes.

With all aseptic measures ulcer was cleaned with normal saline and Avachoornana was done uniformly over ulcer site. Dressing was done with sterile gauze and pad. Avachoornana was done with the Lakshadi Choorna once daily and observations were done on 7th, 14th, 21st and 40th day of the treatment.

Figure 1: The method of Lakshadi Choorna preparation.

jaims_2093_01.JPGRaw drugs for Lakshadi Avachoornana


jaims_2093_02.JPG

jaims_2093_03.JPG

Final product

Figure 2: The method of Lakshadi Avachoornana

jaims_2093_04.JPG


Journal of Ayurveda and Integrated Medical Sciences 2022;7(9)198
Nair S et al: Lakshadi Avachoornana in management of Dushta Vrana Diabetic Ulcer

jaims_2093_05.JPG

jaims_2093_06.JPG

0th Day

jaims_2093_07.JPG

Avachoornanam

jaims_2093_08.JPG

7th Day

jaims_2093_09.JPG

14th Day

jaims_2093_10.JPG21st Day


Journal of Ayurveda and Integrated Medical Sciences 2022;7(9)199
Nair S et al: Lakshadi Avachoornana in management of Dushta Vrana Diabetic Ulcer

jaims_2093_11.JPG
40th Day

jaims_2093_12.JPG
Follow-up

Table 2: Subjective symptoms assessed on 0th, 7th, 14th, 21st, 40th day.

Pain Assessment 0 No Pain 1-3 Mild pain 4-6 Moderate pain 7-10 Severe pain
0th day   +    
7th day   +    
14th day +      
21st day +      
40th day +      
Burning Sensation Grade 0 No burning Grade 1 Mild burning Grade 2 Moderate burning Grade 3 Severe burning
0th day     +  
7th day   +    
14th day   +    
21st day +      
40th day +      

Table 3: Objective symptoms assessed on 0th, 7th, 14th, 21st, 40th day.

Item Assessment 0th day Score 7th day Score 14th day Score 21st day Score 40th day Score
1. Size  1 = Length x width <4 sq. cm 2 = Length x width 4--<16 sq. cm 3 = Length x width 16.1--<36 sq. cm 4 = Length x width 36.1--<80 sq. cm 5 = Length x width >80 sq. cm 3 3 3 3 2
2. Depth  1 = non-blanchable erythema on intact skin 2 = Partial thickness skin loss involving epidermis &/or dermis 3 = Full thickness skin loss involving damage or necrosis of subcutaneous tissue; may extend down to but not through underlying fascia; &/or mixed partial & full thickness &/or tissue layers obscured by granulation tissue 4 = Obscured by necrosis 5 = Full thickness skin loss with extensive destruction, tissue necrosis or damage to muscle, bone or supporting structures 3 3 3 3 3
3. Edges  1 = Indistinct, diffuse, none clearly visible 2 = Distinct, outline clearly visible, attached, even with wound base 3 = Well-defined, not attached to wound base 4 = Well-defined, not attached to base, rolled under, thickened 5= Well-defined, fibrotic, scarred or hyperkeratotic 2 2 2 1 1
4.Undermining   1 = None present 2 = Undermining < 2 cm in any area 3 = Undermining 2-4 cm involving < 50% wound margins 4 = Undermining 2-4 cm involving > 50% wound margins 5 = Undermining > 4 cm or Tunnelling in any area 1 1 1 1 1
5.Necrotic Tissue Type   1 = None visible 2 = White/grey non-viable tissue &/or non-adherent yellow slough 3 = Loosely adherent yellow slough 4 = Adherent, soft, black eschar 5 = Firmly adherent, hard, black eschar 3 3 2 2 1
6.Necrotic Tissue Amount   1 = None visible 2 = < 25% of wound bed covered 3 = 25% to 50% of wound covered 4 = > 50% and < 75% of wound covered 5 = 75% to 100% of wound covered 2 2 2 2 1
7.Exudate Type   1 = None 2 = Bloody 3 = Serosanguineous: thin, watery, pale red/pink 4 = Serous: thin, watery, clear 5 = Purulent: thin or thick, opaque, tan/yellow, with or without odour 3 3 1 1 1
8.Exudate Amount   1 = None, dry wound 2 = Scant, wound moist but no observable exudate 3 = Small 4 = Moderate 5 = Large 4 3 2 2 2

Journal of Ayurveda and Integrated Medical Sciences 2022;7(9)200

Instrucciones Deshumidificador Orbegozo Dh 1200 Zip Hot !!better!! «2025-2027»

A continuación se detallan las instrucciones fundamentales para su uso y mantenimiento seguro:

Conducto frontal de admisión de aire y difusor superior para expulsar el aire seco. Puesta en Marcha y Configuración Correcta

Asegúrese de que el depósito de agua esté correctamente posicionado. Encendido: Enchufe el aparato a la toma de corriente.

Si la temperatura de la habitación cae por debajo de los 15°C - 18°C, las bobinas internas del evaporador pueden acumular escarcha. El sistema de desescarche automático se activará de forma periódica, pausando la deshumidificación momentáneamente y encendiendo este piloto hasta que el hielo se haya disuelto. 💧 Métodos de evacuación del agua

: Coloca el aparato sobre un suelo completamente plano y rígido para evitar vibraciones extrañas, ruidos o derrames de agua.

3 litros con sistema de parada automática por llenado.

Si la luz de "descongelado" se enciende, el dispositivo está eliminando hielo del evaporador automáticamente (frecuente por debajo de 18°C). 3. Vaciado del Depósito y Drenaje Continuo A. Vaciado Manual

Retire el filtro trasero y límpielo con agua tibia o aspiradora cada 2-3 semanas, dependiendo de la intensidad de uso. Un filtro sucio reduce drásticamente el rendimiento.

Coloque el equipo en una superficie plana y nivelada para evitar vibraciones o fugas de agua. Mantenga una distancia mínima de 20 cm respecto a las paredes y 50 cm libres por encima de la salida de aire.

El deshumidificador extraerá agua sin detenerse, ignorando el porcentaje de humedad ambiental. 💧 Gestión del Agua: Vaciado Manual y Drenaje Continuo Orbegozo DH 1200 Go to product viewer dialog for this item.

es uno de los dispositivos domésticos más eficientes para el control de la humedad y la prevención de moho en el hogar. Si estás buscando el manual completo en formato comprimido o una guía detallada de operación, este artículo reúne todas las para que configures tu equipo de forma segura y optimices su rendimiento al máximo.

| Feature | Description | |---------|-------------| | | Up to 12 liters/day (at 30°C, 80% RH) | | Water tank | 2.5 liters, with auto shut-off when full | | Continuous drainage | Hose connection available (standard garden hose size) | | Defrost system | Automatic hot gas defrost — prevents ice buildup in low ambient temperatures (approx. below 15°C). This might be what you heard as “zip hot” | | Humidistat | Adjustable desired humidity level (35–80%) | | Fan speeds | 2 speeds (High/Low) | | Timer | 24-hour programmable on/off timer | | Air filter | Washable mesh filter | | Display | LED screen showing current humidity and settings | | Noise level | ~48 dB max | | Power | 230V ~ 50Hz, 310W | | Operating temp range | 5°C – 35°C |

para que el equipo no deje de extraer agua independientemente del nivel ambiental. Depósito Lleno

Nair S et al: Lakshadi Avachoornana in management of Dushta Vrana Diabetic Ulcer

9. Singh J. Laksha (Lac) - LacciferLacca [Internet]. Ayurtimes.com. 2015 [cited 2021 Jul 4]. Available from: https://www.ayurtimes.com/lac-laccifer-lacca-health-benefits-uses-side-effects.[accessed on 2021-7-1]

10. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.200-4.

11. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.328-33.

12. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.338-42.

13. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.958-9.

14. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.513-8.

15. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.54-6.

16. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.123-7.

17. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.325-7.

18. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.834-5.

19. Sastry, JLN. Dravyaguna Vijnana, Varanasi: Chaukamba orientalia; 2012.p.850-1


Journal of Ayurveda and Integrated Medical Sciences 2022;7(9)202