রোগ: সংশোধিত সংস্করণের মধ্যে পার্থক্য

বিষয়বস্তু বিয়োগ হয়েছে বিষয়বস্তু যোগ হয়েছে
Zaheen (আলোচনা | অবদান)
সম্প্রসারণ
৬ নং লাইন:
রোগজনিত মৃত্যুকে প্রাকৃতিক কারণ ঘটিত মৃত্যু বলা হয়।
 
== পরিভাষা ==
 
=== ধারণাসমূহ ===
বেশিরভাগ ক্ষেত্রে ''রোগ'', ''বিকার'', ''রুগ্নতা'', ''অসুস্থতা'', ইত্যাদি পরিভাষাগুলি সমার্থকভাবে ব্যবহার করা হয়। তবে কিছু কিছু বিশেষ বিশেষ পরিভাষা ব্যবহার করা বাঞ্ছনীয়।<ref>{{cite web |url = http://science.education.nih.gov/supplements/nih5/mental/other/glossary.htm |title = Mental Illness – Glossary |publisher = US [[National Institute of Mental Health]] |access-date = 18 April 2010 |url-status=dead |archive-url = https://web.archive.org/web/20100528085547/http://science.education.nih.gov/supplements/nih5/Mental/other/glossary.htm |archive-date = 28 May 2010 }}</ref>
 
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;রোগ
:''রোগ'' বলতে এমন কোনও অবস্থাকে বোঝায় যার ফলে দেহের স্বাভাবিক ক্রিয়াপদ্ধতিতে ব্যাঘাত ঘটে। এ কারণে রোগগুলিকে দেহের স্বাভাবিক [[স্থিতিশীলতা]]-রক্ষক প্রক্রিয়াসমূহের কর্মবিচ্যুতির সাথে সম্পর্কিত করা হয়।<ref>{{cite web |url = http://regentsprep.org/regents/biology/units/homeostasis/index.cfm |title = Regents Prep: Living Environment: Homeostasis |publisher = Oswego City School District Regents Exam Prep Center |access-date = 12 November 2012 |url-status=dead |archive-url = https://web.archive.org/web/20121025044155/http://regentsprep.org/Regents/biology/units/homeostasis/index.cfm |archive-date = 25 October 2012 }}</ref> সাধারণত এই পরিভাষাটি দিয়ে বিশেষ করে [[সংক্রামক রোগ]]গুলিকে নির্দেশ করা হয়, যেগুলি হল রোগীদের মধ্যে সুস্পষ্টভাবে পর্যবেক্ষণযোগ্য কিছু রোগ যেগুলি দেহে রোগসৃষ্টিকারী সংঘটক বা জীবাণুর (যেমন ভাইরাস, ব্যাকটেরিয়া, ছত্রাক, আদ্যপ্রাণী বা প্রোটোজোয়া, বহুকোষীয় জীব এবং প্রিয়ন নামক লক্ষ্যবিচ্যুত প্রোটিন) উপস্থিতির কারণে সৃষ্ট হয়। যদি কোনও অণুজীবের [[সংক্রমণ]] বা [[উপনিবেশ স্থাপন (জীববিজ্ঞান)|উপনিবেশ স্থাপনের]] ফলে সংক্রমিত ব্যক্তির মধ্যে সুস্পষ্টভাবে পর্যবেক্ষণযোগ্য স্বাভাবিক ক্রিয়াপদ্ধতিতে ব্যাঘাত না ঘটে বা না ঘটার সম্ভাবনা থাকে, যেমন অন্ত্রে উপস্থিত ব্যাকটেরিয়া ও ছত্রাকসমূহ, কিংবা কোনও যাত্রী ভাইরাস, তাহলে সেগুলিকে রোগ হিসেবে গণ্য করা হয় না। এর বিপরীতে কোনও সংক্রমণ যদি এর পরিস্ফোটন পর্বে উপসর্গহীন থাকে, কিন্তু পরবর্তীতে উপসর্গ প্রকাশ প্রত্যাশা করা হয়, তাহলে সেই সংক্রমণটিকে রোগ হিসেবে গণ্য করা হয়। অন্য সব ধরনের রোগকে অসংক্রামক রোগ বলা হয়, যেমন ক্যান্সার বা [[কর্কটরোগ]], [[হৃদরোগ]] ও [[বংশগত রোগ]]।
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;Acquired disease
:An acquired disease is one that began at some point during one's lifetime, as opposed to disease that was already present at birth, which is [[congenital disorder|congenital disease]]. ''Acquired'' sounds like it could mean "caught via contagion", but it simply means acquired sometime after birth. It also sounds like it could imply secondary disease, but acquired disease can be primary disease.
;Acute disease
:An acute disease is one of a short-term nature ([[acute (medicine)|acute]]); the term sometimes also [[connotation|connotes]] a [[fulminant]] nature
;Chronic condition or chronic disease
:A [[chronic condition|chronic disease]] is one that persists over time, often characterized as at least six months but may also include illnesses that are expected to last for the entirety of one's natural life.
;Congenital disorder or congenital disease
: A [[congenital disorder]] is one that is present at [[birth]]. It is often a [[genetic disorder|genetic disease or disorder]] and can be [[heredity|inherited]]. It can also be the result of a [[vertically transmitted infection]] from the mother, such as [[HIV/AIDS]].
;Genetic disease
:A [[Genetic disorder|genetic disorder or disease]] is caused by one or more genetic [[mutation]]s. It is often inherited, but some mutations are random and [[wikt:de novo|de novo]].
;Hereditary or inherited disease
:A hereditary disease is a type of genetic disease caused by genetic mutations that are [[heredity|hereditary]] (and can run in families)
;Iatrogenic disease
:An [[Iatrogenesis|iatrogenic disease]] or condition is one that is caused by medical intervention, whether as a side effect of a treatment or as an inadvertent outcome.
;Idiopathic disease
:An [[idiopathic disease]] has an unknown cause or source. As medical science has advanced, many diseases with entirely unknown causes have had some aspects of their sources explained and therefore shed their idiopathic status. For example, when germs were discovered, it became known that they were a cause of infection, but particular germs and diseases had not been linked. In another example, it is known that [[autoimmunity]] is the cause of some forms of [[diabetes mellitus type 1]], even though the particular molecular pathways by which it works are not yet understood. It is also common to know certain factors are [[association (statistics)|associated]] with certain diseases; however, association and causality are two very different phenomena, as a third cause might be producing the disease, as well as an associated phenomenon.
;Incurable disease
:A disease that cannot be [[cure]]d. Incurable diseases are not necessarily [[terminal disease]]s, and sometimes a disease's symptoms can be treated sufficiently for the disease to have little or no impact on [[quality of life]].
;Primary disease
:A primary disease is a disease that is due to a [[root cause]] of illness, as opposed to secondary disease, which is a [[sequela]], or [[complication (medicine)|complication]] that is caused by the primary disease. For example, a [[common cold]] is a primary disease, where [[rhinitis]] is a possible secondary disease, or [[sequela]]. A doctor must determine what primary disease, a cold or bacterial infection, is causing a patient's secondary [[rhinitis]] when deciding whether or not to prescribe antibiotics.
;Secondary disease
:A secondary disease is a disease that is a [[sequela]] or [[complication (medicine)|complication]] of a prior, causal disease, which is referred to as the primary disease or simply the underlying cause ([[root cause]]). For example, a bacterial infection can be primary, wherein a healthy person is exposed to bacteria and becomes infected, or it can be secondary to a primary cause, that predisposes the body to infection. For example, a primary [[viral infection]] that weakens the [[immune system]] could lead to a secondary bacterial infection. Similarly, a primary [[burn]] that creates an open wound could provide an entry point for bacteria, and lead to a secondary bacterial infection.
;Terminal disease
:A terminal disease is one that is expected to have the inevitable result of death. Previously, AIDS was a terminal disease; it is now incurable, but can be managed indefinitely using medications.
;Illness
:The terms ''illness'' and ''sickness'' are both generally used as synonyms for ''disease''; however, the term ''illness'' is occasionally used to refer specifically to the patient's personal experience of his or her disease.<ref>{{cite web |url = https://medical-dictionary.thefreedictionary.com/illness |title = illness |work = [[Dorland's Medical Dictionary]] for Health Consumers |year = 2007 |publisher = Elsevier |via = medical-dictionary.thefreedictionary.com |access-date = 6 November 2017 }}</ref><ref>{{DorlandsDict|seven/000096725|sickness}}</ref><ref name="pmid3567788">{{cite journal |author = Emson HE |title = Health, disease and illness: matters for definition |journal = [[CMAJ]] |volume = 136 |issue = 8 |pages = 811–13 |date = April 1987 |pmid = 3567788 |pmc = 1492114 }}</ref><ref name="pmid3567791">{{cite journal |author = McWhinney IR |title = Health and disease: problems of definition |journal = CMAJ |volume = 136 |issue = 8 |page = 815 |date = April 1987 |pmid = 3567791 |pmc = 1492121 }}</ref> In this model, it is possible for a person to have a disease without being ill (to have an objectively definable, but [[asymptomatic]], medical condition, such as a [[subclinical infection]], or to have a clinically apparent physical impairment but not feel sick or distressed by it), and to be ''ill'' without being ''diseased'' (such as when a person perceives a normal experience as a medical condition, or [[medicalization|medicalizes]] a non-disease situation in his or her life – for example, a person who feels unwell as a result of embarrassment, and who interprets those feelings as sickness rather than normal emotions). Symptoms of illness are often not directly the result of infection, but a collection of [[evolutionary medicine|evolved responses]] – [[sickness behavior]] by the body – that helps clear infection and promote recovery. Such aspects of illness can include [[lethargy]], [[depression (mood)|depression]], [[anorexia (symptom)|loss of appetite]], [[sleepiness]], [[hyperalgesia]], and inability to [[Attention|concentrate]].<ref name="Hart">{{cite journal |author = Hart BL |year = 1988 |title = Biological basis of the behavior of sick animals |journal = [[Neurosci Biobehav Rev]] |volume = 12 |issue = 2 |pages = 123–37 |pmid = 3050629 |doi = 10.1016/S0149-7634(88)80004-6 |s2cid = 17797005 }}</ref><ref>{{cite journal |author = Johnson R |year = 2002 |title = The concept of sickness behavior: a brief chronological account of four key discoveries |journal = [[Veterinary Immunology and Immunopathology]] |volume = 87 |issue = 3–4 |pages = 443–50 |pmid = 12072271 |doi = 10.1016/S0165-2427(02)00069-7 }}</ref><ref>{{cite journal |vauthors = Kelley KW, Bluthe RM, Dantzer R, Zhou JH, Shen WH, Johnson RW, Broussard SR |year = 2003 |title = Cytokine-induced sickness behavior |journal = [[Brain Behav Immun]] |volume = 17 |issue = Suppl 1 |pages = S112–18 |pmid = 12615196 |doi = 10.1016/S0889-1591(02)00077-6 |s2cid = 25400611 }}</ref>
;{{Visible anchor|Disorder}}
:A disorder is a functional abnormality or disturbance. Medical disorders can be categorized into [[mental disorder]]s, [[physical disorder]]s, [[genetic disorder]]s, [[emotional and behavioral disorders]], and [[functional disorder]]s. The term ''disorder'' is often considered more value-neutral and less stigmatizing than the terms ''disease'' or ''illness'', and therefore is preferred terminology in some circumstances.<ref>{{cite web |last1 = Sefton |first1 = Phil |title = Condition, Disease, Disorder |url = https://amastyleinsider.com/2011/11/21/condition-disease-disorder/ |website = AMA Style Insider |publisher = American Medical Association |access-date = 20 August 2019 |df = dmy-all |date = 2011-11-21 }}</ref> In mental health, the term ''mental disorder'' is used as a way of acknowledging the complex interaction of [[Biopsychosocial model|biological, social, and psychological factors]] in [[Psychiatry|psychiatric]] conditions; however, the term ''disorder'' is also used in many other areas of medicine, primarily to identify physical disorders that are not caused by infectious organisms, such as [[metabolic disorder]]s.
;Medical condition
:A '''medical condition''' is a broad term that includes all diseases, [[lesion]]s, disorders, or nonpathologic condition that normally receives medical treatment, such as [[pregnancy]] or [[childbirth]]. While the term ''medical condition'' generally includes mental illnesses, in some contexts the term is used specifically to denote any illness, injury, or disease except for mental illnesses. The [[Diagnostic and Statistical Manual of Mental Disorders]] (DSM), the widely used psychiatric manual that defines all [[mental disorder]]s, uses the term ''general medical condition'' to refer to all diseases, illnesses, and injuries except for [[mental disorder]]s.<ref>{{cite book |publisher = American Psychiatric Association |year = 2000 |title = Diagnostic and statistical manual of mental disorders |edition = 4th |location = Washington, DC |author = American Psychiatric Association Task Force on DSM-IV |isbn = 978-0-89042-025-6 }}</ref> This usage is also commonly seen in the psychiatric literature. Some [[health insurance]] policies also define a ''medical condition'' as any illness, injury, or disease except for psychiatric illnesses.<ref>{{cite web |url = http://www.theinsurancepage.co.uk/expat-insurance-glossary.html |title = Expat Insurance Glossary by The Insurance Page |access-date = 20 November 2008 |url-status=dead |archive-url = https://web.archive.org/web/20081027142342/http://www.theinsurancepage.co.uk/expat-insurance-glossary.html |archive-date = 27 October 2008 }}</ref>
:As it is more [[value-neutral]] than terms like ''disease'', the term ''medical condition'' is sometimes preferred by people with health issues that they do not consider deleterious. On the other hand, by emphasizing the medical nature of the condition, this term is sometimes rejected, such as by proponents of the [[autism rights movement]].
:The term ''medical condition'' is also a synonym for ''[[medical state]]'', in which case it describes an individual patient's current state from a medical standpoint. This usage appears in statements that describe a patient as being ''in critical condition'', for example.
;{{Visible anchor|Morbidity}}
:'''Morbidity''' ({{ety|la|morbidus|sick, unhealthy}}) is a diseased state, [[disability]], or poor health due to any cause.<ref>{{cite web |url = https://medical-dictionary.thefreedictionary.com/morbidity |title = morbidity |work = Dorland's Medical Dictionary for Health Consumers |year = 2007 |publisher = Elsevier |via = medical-dictionary.thefreedictionary.com |access-date = 6 November 2017 }}</ref> The term may refer to the existence of any form of disease, or to the degree that the health condition affects the patient. Among severely ill patients, the level of morbidity is often measured by [[ICU scoring systems]]. [[Comorbidity]] is the simultaneous presence of two or more medical conditions, such as [[schizophrenia]] and [[substance abuse]].
:In [[epidemiology]] and [[actuarial science]], the term "morbidity rate" can refer to either the [[incidence (epidemiology)|incidence]] rate, or the [[prevalence]] of a disease or medical condition. This measure of sickness is contrasted with the [[mortality rate]] of a condition, which is the proportion of people dying during a given time interval. Morbidity rates are used in actuarial professions, such as health insurance, life insurance, and long-term care insurance, to determine the correct premiums to charge to customers. Morbidity rates help insurers predict the likelihood that an insured will contract or develop any number of specified diseases.
; Pathosis or pathology
:''Pathosis'' (plural ''pathoses'') is synonymous with ''disease''. The word ''[[pathology]]'' also has this [[word sense|sense]], in which it is commonly used by physicians in the [[medical literature]], although [[wikt:pathology#Usage notes|some editors prefer to reserve ''pathology'' to its other senses]]. Sometimes a slight [[connotation|connotative]] shade causes preference for ''pathology'' or ''pathosis'' implying "some [as yet poorly analyzed] [[pathophysiology|pathophysiologic process]]" rather than ''disease'' implying "a specific disease entity as defined by diagnostic criteria being already met". This is hard to quantify [[denotation|denotatively]], but it explains why [[cognitive synonymy]] is not invariable.
;Syndrome
:A [[syndrome]] is the association of several [[signs and symptoms]], or other characteristics that often occur together, regardless of whether the cause is known. Some syndromes such as [[Down syndrome]] are known to have only one cause (an extra [[chromosome]] at birth). Others such as [[Parkinsonian syndrome]] are known to have multiple possible causes. [[Acute coronary syndrome]], for example, is not a single disease itself but is rather the manifestation of any of several diseases including [[myocardial infarction]] secondary to [[coronary artery disease]]. In yet other syndromes, however, the [[idiopathy|cause is unknown]]. A familiar syndrome name often remains in use even after an underlying cause has been found or when there are a number of different possible primary causes. Examples of the first-mentioned type are that [[Turner syndrome]] and [[DiGeorge syndrome]] are still often called by the "syndrome" name despite that they can also be viewed as disease entities and not solely as sets of signs and symptoms.
;Predisease
:'''Predisease''' is a [[subclinical]] or [[prodrome|prodromal]] vanguard of a disease. [[Prediabetes]] and [[prehypertension]] are common examples. The [[nosology]] or epistemology of predisease is contentious, though, because there is seldom a [[bright line]] differentiating a legitimate concern for subclinical/prodromal/premonitory status (on one hand) and [[conflict of interest]]–driven [[disease mongering]] or [[medicalization]] (on the other hand). Identifying legitimate predisease can result in useful preventive measures, such as motivating the person to get a healthy amount of physical exercise,<ref name="Lenzer">{{cite news |url = http://www.slate.com/articles/health_and_science/medical_examiner/2012/08/blood_pressure_drugs_for_mild_hypertension_not_proven_to_prevent_heart_attacks_strokes_or_early_death.single.html |title = Blood pressure drugs for mild hypertension: Not proven to prevent heart attacks, strokes, or early death |last = Lenzer |first = Jeanne |date = 14 August 2012 |work = [[Slate (magazine)|Slate]] |access-date = 16 August 2012 |url-status=live |archive-url = https://web.archive.org/web/20120815202802/http://www.slate.com/articles/health_and_science/medical_examiner/2012/08/blood_pressure_drugs_for_mild_hypertension_not_proven_to_prevent_heart_attacks_strokes_or_early_death.single.html |archive-date = 15 August 2012 |df = dmy-all }}</ref> but labeling a healthy person with an unfounded notion of predisease can result in [[overtreatment]], such as taking drugs that only help people with severe disease or paying for drug prescription instances whose [[benefit–cost ratio]] is minuscule (placing it in the waste category of [[Centers for Medicare and Medicaid Services|CMS]]' "waste, fraud, and abuse" classification). Three requirements for the legitimacy of calling a condition a predisease are:
:* a truly high risk for progression to disease – for example, a [[Precancerous condition|pre-cancer]] will almost certainly turn into cancer over time
:* actionability for risk reduction – for example, removal of the precancerous tissue prevents it from turning into a potentially deadly cancer
:* benefit that outweighs the harm of any interventions taken – removing the precancerous tissue prevents cancer, and thus prevents a potential death from cancer.<ref name="pmid_21624963">{{Citation |last=Viera |first=Anthony J. |year=2011 |title=Predisease: when does it make sense? |work={{w|Epidemiologic Reviews}} |volume=33 |issue=1 |pages=122–34 |pmid=21624963 |doi=10.1093/epirev/mxr002 |s2cid=12090327 |quote=When the goal of preventing adverse health outcomes is kept in mind, this review poses the idea that "predisease" as a category on which to act makes sense only if the following 3 conditions are met. First, the people designated as having predisease must be far more likely to develop the disease than those not so designated. Second, there must be a feasible intervention that, when targeted to people with predisease, effectively reduces the likelihood of developing the disease. Third, the benefits of intervening on predisease must outweigh the harms in the population.|url=http://pdfs.semanticscholar.org/d81d/c0495ab24979cf4b382702cc83ae5440cb72.pdf |archive-url=https://web.archive.org/web/20190307010145/http://pdfs.semanticscholar.org/d81d/c0495ab24979cf4b382702cc83ae5440cb72.pdf |url-status=dead |archive-date=2019-03-07 |doi-access=free }}</ref>
 
=== Types by body system ===
 
;Mental
:[[Mental disorder|Mental illness]] is a broad, generic label for a category of illnesses that may include affective or [[emotion]]al instability, behavioral dysregulation, cognitive dysfunction or impairment. Specific illnesses known as mental illnesses include [[major depressive disorder|major depression]], generalized [[anxiety disorder]]s, [[schizophrenia]], and [[attention deficit hyperactivity disorder]], to name a few. Mental illness can be of biological (e.g., anatomical, chemical, or genetic) or psychological (e.g., trauma or conflict) origin. It can impair the affected person's ability to work or study and can harm interpersonal relationships. The term [[insanity]] is used technically as a legal term.
;Organic
:An organic disease is one caused by a physical or physiological change to some tissue or organ of the body. The term sometimes excludes infections. It is commonly used in contrast with mental disorders. It includes emotional and behavioral disorders if they are due to changes to the physical structures or functioning of the body, such as after a stroke or a traumatic brain injury, but not if they are due to [[psychosocial]] issues.
 
=== Stages ===
{{redirect|Flareup|the Transformers character|Flareup (Transformers)}}
 
In an infectious disease, the [[incubation period]] is the time between infection and the appearance of symptoms. The [[latency period]] is the time between infection and the ability of the disease to spread to another person, which may precede, follow, or be simultaneous with the appearance of symptoms. Some viruses also exhibit a dormant phase, called [[viral latency]], in which the virus hides in the body in an inactive state. For example, [[varicella zoster virus]] causes [[chickenpox]] in the [[acute (medicine)|acute phase]]; after recovery from chickenpox, the virus may remain dormant in nerve cells for many years, and later cause [[herpes zoster]] (shingles).
;Acute disease
:An [[acute disease]] is a short-lived disease, like the [[common cold]].
;Chronic disease
:A [[chronic disease]] is one that lasts for a long time, usually at least six months. During that time, it may be constantly present, or it may go into [[remission (medicine)|remission]] and periodically [[relapse]]. A chronic disease may be stable (does not get any worse) or it may be progressive (gets worse over time). Some chronic diseases can be permanently cured. Most chronic diseases can be beneficially treated, even if they cannot be permanently cured.
;Clinical disease
:One that has clinical consequences; in other words, the stage of the disease that produces the characteristic signs and symptoms of that disease.<ref>{{cite web |url = http://medical-dictionary.thefreedictionary.com/clinical+disease |title = clinical disease |via = medical-dictionary.thefreedictionary.com |work = Mosby's Medical Dictionary |edition = 9th |year = 2009 |publisher = Elsevier |quote = a stage in the history of a pathological condition that begins with anatomical or physiological changes that are sufficient to produce recognizable signs and symptoms of a disease |access-date = 6 November 2017 }}</ref> [[AIDS]] is the clinical disease stage of [[HIV infection]].
;Cure
:A [[cure]] is the end of a medical condition or a treatment that is very likely to end it, while [[Remission (medicine)|remission]] refers to the disappearance, possibly temporarily, of symptoms. Complete remission is the best possible outcome for incurable diseases.
;Flare-up
:A flare-up can refer to either the recurrence of symptoms or an onset of more severe symptoms.<ref name="Shiel 2019">{{cite web | last=Shiel | first=William C. Jr. | title=Definition of Flare | website=MedicineNet | date=2019-06-20 | url=https://www.medicinenet.com/script/main/art.asp?articlekey=156154 | access-date=2019-12-21}}</ref>
 
{{see also|Exacerbation}}
 
;Progressive disease
:[[Progressive disease]] is a disease whose typical natural course is the worsening of the disease until death, serious debility, or organ failure occurs. Slowly progressive diseases are also [[chronic disease]]s; many are also [[degenerative disease]]s. The opposite of progressive disease is ''stable disease'' or ''static disease'': a medical condition that exists, but does not get better or worse.
;{{Visible anchor|Refractory disease}}
:A refractory disease is a disease that resists treatment, especially an individual case that resists treatment more than is normal for the specific disease in question.
;Subclinical disease
:Also called '''silent disease''', '''silent stage''', or '''asymptomatic disease'''. This is a stage in some diseases before the symptoms are first noted.<ref>{{cite web |url = http://medical-dictionary.thefreedictionary.com/subclinical |title = subclinical |via = medical-dictionary.thefreedictionary.com |access-date = 6 November 2017 }}</ref>
;Terminal phase
:If a person will die soon from a disease, regardless of whether that disease typically causes death, then the stage between the earlier disease process and active dying is the terminal phase.
 
=== Extent ===
[[File:Poison ivy rash.JPG|alt=skin rash on the leg|thumb|This rash only affects one part of the body, so it is a localized disease.]]
;Localized disease
:A [[localized disease]] is one that affects only one part of the body, such as [[athlete's foot]] or an [[eye infection]].
;Disseminated disease
:A [[disseminated disease]] has spread to other parts; with cancer, this is usually called [[metastatic disease]].
;Systemic disease
:A [[systemic disease]] is a disease that affects the entire body, such as [[influenza]] or [[hypertension|high blood pressure]].
 
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==প্রকারভেদ==
রোগ প্রধানত চারপ্রকার :
# [[সংক্রামক রোগ]] ,
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