<h2 class="sub-title">à¨à© ਤà©à¨¸à©à¨ à¨à¨ªà¨£à© à¨à¨®à©à© &#8216;ਤ੠à¨à¨¾à¨²à©, ਮà¨à¨®à¨²à© ਧੱਬ੠ਦà©à¨à¨¦à© ਹà©, ਤਾਠਤà©à¨¹à¨¾à¨¡à¨¾ ਸਰà©à¨° ਤà©à¨¹à¨¾à¨¨à©à©° ਦੱਸ ਰਿਹਾ ਹ੠à¨à¨¿ à¨à¨¹ à¨à¨¨à¨¸à©à¨²à¨¿à¨¨ ਪà©à¨°à¨¤à©à¨°à©à¨§ ਦਾ ਠਨà©à¨à¨µ à¨à¨° ਰਿਹਾ ਹ੠ਠਤ੠à¨à¨¿à©°à¨¨à© à¨à¨²à¨¦à© ਹ੠ਸà¨à© ਡਾà¨à¨à¨° ਨà©à©° ਮਿਲਣਾ ਸਠਤà©à¨ ਵਧà©à¨ ਹà©à¥¤ </h2>
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<p>Acanthosis nigricans (AN) à¨à©±à¨ à¨à¨®à©à© ਦ੠ਸਥਿਤ੠ਹ੠à¨à¨¿à¨¸ ਵਿੱਠà¨à¨®à©à© ਦ੠ਤਹਿà¨à¨ &#8216;ਤ੠à¨à¨¾à¨²à©, ਮà¨à¨®à¨²à© ਪà©à¨ ਦਿà¨à¨¾à¨ ਦਿੰਦ੠ਹਨ। ਹਾਲਾà¨à¨à¨¿ à¨à¨¹ à¨à¨ à¨à¨¾à¨°à¨¨à¨¾à¨ à¨à¨°à¨à© ਹ੠ਸà¨à¨¦à¨¾ ਹà©, à¨à¨¹ à¨à¨¨à¨¸à©à¨²à¨¿à¨¨ ਪà©à¨°à¨¤à©à¨°à©à¨§ ਨਾਲ ਮà¨à¨¼à¨¬à©à¨¤à© ਨਾਲ à¨à©à©à¨¿à¨ ਹà©à¨à¨ ਹà©, à¨à¨¸ ਨà©à©° ਪà©à¨°à¨µ-ਸ਼à©à¨à¨° ਠਤ੠ਸ਼à©à¨à¨° ਲਠà¨à©±à¨ ਮਹੱਤਵਪà©à¨°à¨¨ ਸ਼à©à¨°à©à¨à¨¤à© à¨à©à¨¤à¨¾à¨µà¨¨à© ਸੰà¨à©à¨¤ ਬਣਾà¨à¨à¨¦à¨¾ ਹà©à¥¤ ਬਹà©à¨¤ ਸਾਰ੠ਵਿਠà¨à¨¤à©à¨à¨ ਲà¨, AN ਪਹਿਲਾ ਪà©à¨°à¨¤à©±à¨ ਸà©à¨°à¨¾à¨ ਹ੠à¨à¨¿ ਸਰà©à¨° ਬਲੱਡ ਸ਼à©à¨à¨° ਦ੠ਪੱਧਰਾਠਨà©à©° ਨਿਯੰਤਰਿਤ à¨à¨°à¨¨ ਲਠਸੰà¨à¨°à¨¸à¨¼ à¨à¨° ਰਿਹਾ ਹà©à¥¤</p>
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<p>										ਡਾà¨à¨¬à©à¨à©à¨à¨¼ ਵਾਲ੠ਲà©à¨à¨¾à¨ ਲਠà¨à©°à¨® ਦ੠ਸਥਾਨਾਠਨà©à©° ਸà©à¨°à©±à¨à¨¿à¨ ਤ ਠਤ੠ਵਧà©à¨°à© ਲਾà¨à¨à¨¾à¨°à© ਬਣਾà¨à¨£ ਲਠਰà©à¨à¨¼à¨à¨¾à¨°à¨¦à¨¾à¨¤à¨¾ à¨à© à¨à¨° ਸà¨à¨¦à© ਹਨ?</p></div>
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<h4 class="sub_head">AN ਨà©à©° ਸਮà¨à¨£à¨¾</h4>
<p>Acanthosis nigricans à¨à¨®à©à© ਦà©à¨à¨ ਤਹਿà¨à¨ ਠਤ੠ਤਹਿà¨à¨ ਵਿੱਠਦਿà¨à¨¾à¨ ਦ੠ਸà¨à¨¦à© ਹਨ à¨à¨¿à¨µà©à¨ à¨à¨¿ à¨à¨°à¨¦à¨¨ ਦ੠ਪਿà¨à¨²à© ਹਿੱਸà©, à¨à©±à¨à¨¾à¨, à¨à¨¾à¨¤à©à¨à¨ ਦ੠ਹà©à¨ ਾà¨, à¨à¨®à¨°, à¨à©±à¨¥à©à¨ ਤੱਠà¨à¨¿ à¨à©à¨¹à¨£à©à¨à¨ à¨à¨¾à¨ à¨à©à¨¡à¨¿à¨à¨ ਦ੠ਪਿੱà¨à© à¨à¨¾à¨²à©, ਮà©à¨à©, ਮà©à¨à© à¨à¨¾à¨ ਮà¨à¨®à¨²à© à¨à¨®à©à© ਦ੠ਧੱਬਿà¨à¨ ਦ੠ਰà©à¨ª ਵਿੱà¨à¥¤ AN ਮà©à¨à¨¾à¨ªà¨¾, à¨à¨¨à¨¸à©à¨²à¨¿à¨¨ ਪà©à¨°à¨¤à©à¨°à©à¨§, ਪਾà¨à¨ ਸਿੰਡਰà©à¨®, ਡਾà¨à¨¬à©à¨à©à¨à¨¼ ਮਲà©à¨à¨¸, ਠਤ੠ਬਹà©à¨¤ ਹ੠à¨à©±à¨ ਮà©à¨²à¨¾à¨¨à©à¨®à¨¾, ਪà©à¨ à¨à¨¾à¨ à¨à¨¿à¨à¨° ਦà©à¨à¨ à¨à¨¾à¨¤à¨ ਬਿਮਾਰà©à¨à¨ ਦਾ à¨à¨¾à¨°à¨¨ ਬਣ ਸà¨à¨¦à¨¾ ਹà©à¥¤ ਬੱà¨à¨¿à¨à¨ ਠਤ੠à¨à¨µà¨¾à¨¨ ਬਾਲà¨à¨¾à¨ ਵਿੱà¨, AN ਦ੠ਮà©à¨à©à¨¦à¨à© ਨà©à©° ਠà¨à¨¸à¨° ਸ਼à©à¨à¨° ਦ੠ਵਧ੠ਹà©à¨ à¨à©à¨à¨® ਦਾ à¨à©±à¨ à¨à¨²à©à¨¨à¨¿à¨à¨² ਮਾਰà¨à¨° ਮੰਨਿਠà¨à¨¾à¨à¨¦à¨¾ ਹà©à¥¤</p>
<p> AN ਨਾਲ à¨à©à©à©à¨à¨ à¨à¨®à©à© ਦà©à¨à¨ ਤਬਦà©à¨²à©à¨à¨ ਰਾਤà©-ਰਾਤ ਦਿà¨à¨¾à¨ ਨਹà©à¨ ਦਿੰਦà©à¨à¨, ਸà¨à©à¨ à¨à¨ ਮਹà©à¨¨à¨¿à¨à¨ ਦ੠ਦà©à¨°à¨¾à¨¨ ਹà©à¨²à©-ਹà©à¨²à© ਵਿà¨à¨¸à¨¤ ਹà©à©°à¨¦à©à¨à¨ ਹਨ। ਪà©à¨°à¨à¨¾à¨µà¨¿à¨¤ à¨à¨®à©à© ਨà©à©° à¨à¨ ਵਾਰ à¨à¨¾à¨°à¨¸à¨¼ ਹ੠ਸà¨à¨¦à© ਹ੠à¨à¨¾à¨ ਹਾà¨à¨ªà¨°à¨ªà©à¨à¨®à©à¨à¨à©à¨¸à¨¼à¨¨ ਦ੠ਨਾਲ-ਨਾਲ ਬਦਬ੠ਵ੠ਠਸà¨à¨¦à© ਹà©à¥¤ à¨à¨¦à©à¨ à¨à¨¨à¨¸à©à¨²à¨¿à¨¨ ਪà©à¨°à¨¤à©à¨°à©à¨§ ਨਾਲ à¨à©à©à¨¿à¨ ਹà©à©°à¨¦à¨¾ ਹà©, ਹਨà©à¨°à¨¾ ਠà¨à¨¸à¨° ਤà©à¨à¨¼à© ਨਾਲ ਵਧਦਾ ਹà©à¥¤ </p>
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<p>										ਸ਼à©à¨à¨° ਦ੠ਪà©à¨°à¨¾à¨ ਦà©à¨à¨ ਸਥਿਤà©à¨à¨ ਵਧ ਰਹà©à¨à¨ ਹਨ: ਡਾà¨à¨à¨° ਹà©à¨£ à¨à¨²à¨¦à© ਪਤਾ ਲà¨à¨¾à¨à¨£ ਲਠà¨à¨à¨ ਦ੠ਵਰਤà©à¨ à¨à¨°à¨¦à© ਹਨ</p></div>
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<h4 class="sub_head">ਨਿਦਾਨ ਠਤ੠à¨à¨²à¨¾à¨</h4>
<p>Acanthosis nigricans à¨à¨® ਤà©à¨° &#8216;ਤ੠ਡਾà¨à¨à¨¨à©à¨¸à¨à¨¿à¨ à¨à©à¨¸à¨à¨¿à©°à¨ ਦà©à¨°à¨¾à¨¨ à¨à©à¨à¨¿à¨ à¨à¨¾à¨à¨¦à¨¾ ਹà©à¥¤ ਪਾà¨à¨ ਵਿà¨à¨¾à¨° ਦ੠ਨਾਲ à¨à¨¸à¨¦à© ਮà¨à¨¼à¨¬à©à¨¤ ​​​​ਸਬੰਧ ਦ੠à¨à¨¾à¨°à¨¨, ਤà©à¨¹à¨¾à¨¡à¨¾ ਡਾà¨à¨à¨° ਮà©à¨² à¨à¨¾à¨°à¨¨ ਦਾ ਪਤਾ ਲà¨à¨¾à¨à¨£ ਠਤ੠ਪà©à¨¸à¨¼à¨à© à¨à¨°à¨¨ ਲਠਬਲੱਡ ਸ਼à©à¨à¨° ਦ੠ਪੱਧਰ, à¨à¨¨à¨¸à©à¨²à¨¿à¨¨ ਦ੠ਪੱਧਰ, à¨à©±à¨ ਲਿਪਿਡ ਪà©à¨°à©à¨«à¨¾à¨à¨², ਠਤ੠ਹà©à¨° ਪਾà¨à¨ ਮਾਪਦੰਡਾਠਦ੠à¨à¨¾à¨à¨ à¨à¨°à¨¨ ਲਠà¨à©à¨¨ ਦà©à¨à¨ à¨à¨¾à¨à¨à¨¾à¨ ਦ੠ਸਿਫਾਰਸ਼ à¨à¨° ਸà¨à¨¦à¨¾ ਹà©à¥¤ </p>
<p>à¨à¨²à¨¾à¨ ਠਤ੠ਨਤà©à¨à© AN ਦ੠ਮà©à¨² à¨à¨¾à¨°à¨¨ &#8216;ਤ੠ਨਿਰà¨à¨° à¨à¨°à¨¦à© ਹਨ। ਮà©à¨à¨¾à¨ªà© à¨à¨¾à¨ à¨à¨¨à¨¸à©à¨²à¨¿à¨¨ ਪà©à¨°à¨¤à©à¨°à©à¨§ ਨਾਲ ਸਬੰਧਤ à¨à¨¼à¨¿à¨à¨¦à¨¾à¨¤à¨° ਮਾਮਲਿà¨à¨ ਵਿੱà¨, ਪਾà¨à¨ ਸਿਹਤ ਵਿੱਠਸà©à¨§à¨¾à¨° à¨à¨°à¨¨ ਨਾਲ à¨à¨®à©à© ਦ੠ਰੰਠਨà©à©° ਹਲà¨à¨¾ à¨à¨°à¨¨ ਵਿੱਠਮਦਦ ਮਿਲ ਸà¨à¨¦à© ਹà©à¥¤ ਮà©à¨à¨¾à¨ªà© ਵਾਲ੠ਲà©à¨à¨¾à¨ ਨà©à©° à¨à©à¨°à¨¾à¨ ਵਿੱਠਤਬਦà©à¨²à©à¨à¨ ਠਤ੠à¨à©à¨µà¨¨ ਸ਼à©à¨²à© ਵਿੱਠਬਦਲਾਠà¨à¨°à¨à© à¨à¨¾à¨° à¨à¨à¨¾à¨à¨£ ਲਠà¨à¨¤à¨¸à¨¼à¨¾à¨¹à¨¿à¨¤ à¨à©à¨¤à¨¾ à¨à¨¾ ਸà¨à¨¦à¨¾ ਹà©à¥¤ à¨à¨¨à¨¸à©à¨²à¨¿à¨¨ ਪà©à¨°à¨¤à©à¨°à©à¨§ ਠਤà©/à¨à¨¾à¨ ਮà©à¨à¨¾à¨ªà© ਲਠਦਵਾà¨à¨à¨ ਦ੠ਵਰਤà©à¨ à¨à©à¨°à¨¾à¨ ਠਤ੠à¨à©à¨µà¨¨ ਸ਼à©à¨²à© ਵਿੱਠਤਬਦà©à¨²à©à¨à¨ ਦ੠ਨਾਲ à¨à©à¨¤à© à¨à¨¾ ਸà¨à¨¦à© ਹ੠à¨à©à¨à¨° à¨à©à¨¸ ਪà©à¨°à©à¨«à¨¾à¨à¨² à¨à¨¸à¨¦à© ਪà©à¨¸à¨¼à¨à© à¨à¨°à¨¦à¨¾ ਹà©à¥¤</p>
<p>ਪà©à¨°à¨à¨¾à¨µà¨¿à¨¤ à¨à©à¨¤à¨°à¨¾à¨ ਨà©à©° ਹਲà¨à¨¾ à¨à¨¾à¨ ਨਰਮ à¨à¨°à¨¨ ਲਠਨà©à¨¸à¨à¨¼à© ਵਾਲà©à¨à¨ à¨à¨°à©à¨®à¨¾à¨ ਦ੠ਵਰਤà©à¨, à¨à©à¨®à¨² ਸਫਾਠਲਠà¨à¨à¨à©à¨¬à©à¨à¨à©à¨°à©à¨ ਲ ਸਾਬਣ, ਸਤਹ੠à¨à¨à¨à©à¨¬à¨¾à¨à¨à¨à¨¿à¨ à¨à¨°à©à¨®à¨¾à¨, ਠਤ੠ਲà©à¨à¨¼à¨° ਥà©à¨°à©à¨ªà© ਵ੠ਪà©à¨°à¨¾à¨à¨®à¨°à© à¨à¨¾à¨°à¨¨ ਲੱà¨à© à¨à¨¾à¨£ &#8216;ਤ੠ਪਿà¨à¨®à©à¨à¨à©à¨¸à¨¼à¨¨ ਨà©à©° à¨à¨à¨¾à¨à¨£ ਵਿੱਠਮਦਦ à¨à¨° ਸà¨à¨¦à© ਹà©à¥¤</p>
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<p>										ਵਿਸ਼ਵ ਦ੠ਡਾà¨à¨¬à©à¨à©à¨à¨¼ ਦ੠ਰਾà¨à¨§à¨¾à¨¨à© ਵਿੱਠਨà¨à¨¼à¨° ਦ੠ਰੱà¨à¨¿à¨ à¨à¨°à¨¨à¨¾</p></div>
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<h4 class="sub_head">ਤà©à¨°à©°à¨¤ à¨à¨¾à¨°à¨µà¨¾à¨ à¨à¨°à©</h4>
<p>Acanthosis nigricans ਦਾ ਮਤਲਬ à¨à¨¹ ਨਹà©à¨ ਹ੠à¨à¨¿ ਤà©à¨¹à¨¾à¨¡à© à¨à¨®à©à© à¨à©°à¨¦à© à¨à¨¾à¨ à¨à©à©à©à¨¹à© ਹà©à¥¤ à¨à¨¹ à¨à¨¿à¨¸à© ਵ੠à¨à¨®à©à© ਦ੠à¨à¨¿à¨¸à¨® ਠਤ੠ਰੰਠਨà©à©° ਪà©à¨°à¨à¨¾à¨µà¨¿à¨¤ à¨à¨° ਸà¨à¨¦à¨¾ ਹà©à¥¤ ਤà©à¨¹à¨¾à¨¡à© à¨à¨®à©à© ਬਹà©à¨¤ ਸਾਰà©à¨à¨ ਠੰਤਰà©à¨µ ਡਾà¨à¨à¨°à© ਸਮੱਸਿà¨à¨µà¨¾à¨ ਲਠà¨à©±à¨ ਵਿੰਡ੠ਹà©, ਠਤ੠à¨à¨à©à¨à¨¥à©à¨¸à¨¿à¨¸ ਨਾà¨à¨à©à¨°à©à¨à¨¨à¨¸ à¨à¨¸ à¨à©±à¨² ਦਾ ਸੰà¨à©à¨¤ ਹ੠à¨à¨¿ ਤà©à¨¹à¨¾à¨¡à¨¾ ਸਰà©à¨° à¨à©±à¨ ਡਾà¨à¨à¨°à© ਸਮੱਸਿਠਦਾ ਸਾਹਮਣਾ à¨à¨° ਰਿਹਾ ਹ੠à¨à¨¿à¨¸à¨¨à©à©° à¨à¨²à¨¾à¨ ਦ੠ਲà©à© ਹà©à¥¤ à¨à©à¨à¨° ਤà©à¨¹à¨¾à¨¨à©à©° à¨à©°à¨à©à¨° ਬਿਮਾਰà©à¨à¨ ਹਨ, ਤਾਠਪà©à¨°à¨¯à©à¨à¨¸à¨¼à¨¾à¨²à¨¾ à¨à©à¨¸à¨à¨¿à©°à¨ ਠਤ੠ਸੰà¨à¨¾à¨µà¨¤ ਤà©à¨° &#8216;ਤ੠à¨à¨®à©à¨à¨¿à©°à¨ ਠਧਿà¨à¨¨à¨¾à¨ ਲਠà¨à¨ªà¨£à© ਡਾà¨à¨à¨° ਨਾਲ ਸਲਾਹ à¨à¨°à© ਤਾਠà¨à© ਪà©à¨°à¨µ-ਸ਼à©à¨à¨° ਨà©à©° ਰੱਦ à¨à©à¨¤à¨¾ à¨à¨¾ ਸà¨à© ਠਤ੠ਪà©à¨°à¨µ-ਸ਼à©à¨à¨° à¨à¨¾à¨ ਸ਼à©à¨à¨° ਦਾ ਮà©à¨²à¨¾à¨à¨à¨£ à¨à©à¨¤à¨¾ à¨à¨¾ ਸà¨à©, à¨à© à¨à¨¿ ਸਠਤà©à¨ à¨à¨® ਠੰਤਰà©à¨µ à¨à¨¾à¨°à¨¨ ਹਨ।</p>
<p>Acanthosis nigricans ਸਿਰਫ਼ à¨à¨®à©à© ਦ੠ਬਦਲਾਠਤà©à¨ ਵੱਧ ਹà©à¥¤ à¨à¨¹ ਠà¨à¨¸à¨° ਸਰà©à¨° ਦਾ ਸ਼à©à¨°à©à¨à¨¤à© ਸੰà¨à©à¨¤ ਹà©à©°à¨¦à¨¾ ਹ੠à¨à¨¿ à¨à©à¨ ਡà©à©°à¨à¨¾ à¨à¨²à¨¤ ਹ੠ਸà¨à¨¦à¨¾ ਹà©, à¨à¨¾à¨¸ à¨à¨°à¨à© à¨à¨¨à¨¸à©à¨²à¨¿à¨¨, ਬਲੱਡ ਸ਼à©à¨à¨° ਠਤ੠ਸਮà©à©±à¨à© ਪਾà¨à¨ ਸਿਹਤ ਦ੠ਨਾਲ। AN ਦਾ à¨à©à¨¤à© ਪਤਾ ਲà¨à¨¾à¨à¨£ ਨਾਲ ਬੱà¨à¨¿à¨à¨ ਠਤ੠ਬਾਲà¨à¨¾à¨ ਦà©à¨µà¨¾à¨ ਨà©à©° ਪà©à¨à©à¨¦à¨à©à¨à¨ ਪà©à¨¦à¨¾ ਹà©à¨£ ਤà©à¨ ਪਹਿਲਾਠਪà©à¨°à¨µ-ਸ਼à©à¨à¨° à¨à¨¾à¨ ਸ਼à©à¨à¨° ਦਾ ਪਤਾ ਲà¨à¨¾à¨à¨£ ਦਾ ਮà©à¨à¨¾ ਮਿਲਦਾ ਹà©à¥¤ ਸਮà©à¨ ਸਿਰ ਮà©à¨²à¨¾à¨à¨à¨£, à¨à©à¨µà¨¨ ਸ਼à©à¨²à© ਵਿੱਠਤਬਦà©à¨²à©à¨à¨, ਠਤ੠ਮà©à¨² à¨à¨¾à¨°à¨¨ ਦ੠à¨à¨²à¨¾à¨ ਨਾਲ, à¨à¨¼à¨¿à¨à¨¦à¨¾à¨¤à¨° ਲà©à¨ AN ਨà©à©° à¨à¨²à¨à¨¾ ਸà¨à¨¦à© ਹਨ à¨à¨¾à¨ ਮਹੱਤਵਪà©à¨°à¨¨ ਤà©à¨° &#8216;ਤ੠ਸà©à¨§à¨¾à¨° ਸà¨à¨¦à© ਹਨ। à¨à¨¸ ਲਠà¨à¨®à©à© ਵਿੱਠਸà©à¨à¨® ਤਬਦà©à¨²à©à¨à¨ ਵੱਲ ਧਿà¨à¨¨ ਦà©à¨£à¨¾ ਲੰਬ੠ਸਮà©à¨ ਦ੠ਸਿਹਤ ਦ੠ਰੱà¨à¨¿à¨ ਠਤ੠ਸ਼à©à¨à¨° ਠਤ੠ਪਾà¨à¨ ਰà©à¨à¨¾à¨ ਨà©à©° ਰà©à¨à¨£ ਵੱਲ à¨à©±à¨ ਮਹੱਤਵਪà©à¨°à¨¨ à¨à¨¦à¨® ਹà©à¥¤</p>
<p><i>(ਡਾ. ਠà¨à¨¿à¨¸à¨¼à©à¨ à¨à©à¨²à¨à¨°à¨¨à©, ਸਲਾਹà¨à¨¾à¨°, ਪà©à¨¡à©à¨à¨à©à¨°à¨¿à¨ à¨à¨à¨¡à©à¨à¨°à©à¨¨à©à¨²à©à¨à©, ਨਰਾà¨à¨£ ਹà©à¨²à¨¥, SRCC, à¨à¨¿à¨²à¨¡à¨°à¨¨ ਹਸਪਤਾਲ, ਮà©à©°à¨¬à¨ Info.Srcc@narayanahealth.org)</i></p>
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Acanthosis nigricans: ਇੱਕ ਚਮੜੀ ਦੀ ਤਬਦੀਲੀ ਜੋ ਡਾਇਬੀਟੀਜ਼ ਪ੍ਰੀਮੀਅਮ ਵੱਲ ਇਸ਼ਾਰਾ ਕਰ ਸਕਦੀ ਹੈ

