Doctor Magazine February 2018 by Doctor Magazine

FEBRUARY 2018

Volume 24 • Issue 02

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EDITOR'S

NOTE

bosß wkd.;fhaoS idudkH ck;djg;a yosis m%;sldr Air Lift

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EDITOR'S NOTE EDITOR'S NOTE

Air Lift

jQ fia jdjla yosi;ss rmwk;= gfmka,la jQ mqrjeis hy<s ka ha;a lsÍfï jevigyka úúO oeKQ ;a lsuÍ" fï jevigyka j, fhoSu" ld¾h fha úl=iïair ÿmafm t<sm oeKQfj j,jfhoS ld¾h ;srfha úl=ï mdkafka ÿma ;a ñks qhmdka ' t<s y<s ha;a ñksiaiqh' úúO Bharata Gunathilaka Editor infia Chief .ks kaka i|yd fï rfÜ fi!LH jdj uKa v,ñi|yd mqyqKmj;a Q lsÍj ï"ka i|yd mj;a jk wka;¾cd;sl uqyfqK uKav, Tyq yqKQ lsÍï" udOHfõoS k udOHfõoS lrk orejdf.au<my qK lrk nUhlaorejdf.a ;rïh' Tyq .a nUhla ;rïh' fírdu<my .ekS fuys,.duqd yjefgk bgq lrKQ ,enQ jd' miq shi|ydfzziq.aumqjdKh iïukaf;dr;= ;%k" zziq ießhZZ fi!LH f;dr;=re fjí wvúh uqLfhka ß isß .d jefgk jla. w;l ;%k" m% ießhZZ fi!LH rejfjí wvúh wfOdauqLfhka isß isß wfOda mKqis fjla w;l m%udKh mKqfiïuka doctormagazine.lk@gmail.com ;,hg muq K Qjiad,S fa mKs uysúv,fia d jfï rfÜ fi!LH fuka úfYa ÿrl:k" lhsm dj wdoS fjhs ta bos ßm;a .ek'''ZZ lrkafka zzmKq wudre .ek'''ZZ fuka u úfYaI ÿrl:k" ial hsmu a mKs úvIfia jdj wdoS fjhs'''' ta bosßm;a lrka fka'''' zzmKq wudre ld,h ;= < tu fia j dj yryd frda y ,a . ; lrKQ bharata.gunathilaka@gmail.com jYfhka lD; wxY Tiafia fi!LH wOHdmk iq l<WKZZ iskud máhls' jYfhka zzle<e WKZZ úúOdx.S lD; wxY Tiafia úúOdx.S fi!LH wOHdmk jákd Wmfoia uqiq l<jákd iskudWmfoia máhls' uqzzle<e IA; %h fufyhjk foaYfj; md,k ld¾hdxYh j¾;udkfhysla fïfrfÜ ck;dj fj; fi!LH fjka ye|skajqKQ uef,a .ek" mdpkh ld¾hdxYh j¾;udkfhys fï rfÜ ck;dj fi!LHwêldßho" hkqßfhd jkajix.;h ye|s kajqK Q uef,a ßhd jix.;h .ek" mdpkh ,enQhkq frda .Ska ixLHdj 58"441 f,i jd¾;d oeKQ ul ,ndoS ug orK W;aoeKQ idyh YxikS h fõ' .ek'''tkak;a lsÍfï jeo.;a luk.ek''' s,shla lu .ek''' u m%,ndoS ug orK W;aidyh m%YxikSh fõ' .ek'''tka ;a lsÍjeis fï l jeo.;a jeis s,shla m% ; s m ;a ; s iïmdolhka o" Wiia ks,orejkao wjYH jkafka wehs @ hk ldrKh .ek fï@wdoS wjYH jkafka wehs hkjYfhka ldrKh .ek fï wdoS jYfhka fjkjd' ld¾hdxYhg ld¾hY+ " mßK;" ienE ld¾hY+r" mßK;" ienE tl, ck;djg hym;atl, iqj is ß;a yqre lrka kgiqj isß;a yqre fi!LH fi!LH wOHdmk ld¾hdxYhg ck;djg hym;a lrkakwOHdmk g j k roela lemùu fjkqfjka oefhau Wmydrh iqj ixfõoS oelaulska hq;ola a wNs jfhka wOHla zziekaáfndaâ uy;a;hdZZ yryd tl, fi!LH wêldßka iq jk ixfõoS ulsI kjßhl a hq;a wNskjfhka wOHlaIjßhl zzieka áfnda â uy;a ;hdZZ yryd tl, fi!LH wêldßka j isISSUE ák kjj udkhka Tiafudfydf;a fia ck;djkj udkhka Tiafia ck;dj ÿka mKsúv fõ.fhkaÿka ck;dj .%v yKh lr.;a f;ah' .% NEVER MISS AN m;a isák fï mKsú fõ.fhka ck;dj yKhm;a lr.;a f;afï h' fudfydf;ams o s h hq ; = h s ' fj; jvd;a ks¾udKYS,S f,i j iïmf;ys mKsú fld¿ l=rms eÜgka f,i fld¿ fuystl,fojk hjr jYfhka .s,ka fj;iqjvd;a ks¾udKYS ,vh S f,i iqj iïmf;ys mKsúvh tl, l=reÜgka zziq f,ijießhZZ Get DOCTORixks MAGAZINE delivered to your door every month or fõokh lsÍug yels fõjdh hkak wmf.a me;=uhs'

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ck;djf.a iqj iïm;g iqúfYaIS odhl;ajhla olajk

Bharata Gunathilaka - Editor in Chief

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DOCTOR MAGAZINE

April 2017

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April 2017

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April 2017

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Volume 24 ● Issue 02 ● February 2018

For Advertising Inquiries

077 815 02 70

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FEBRUARY 2018 | DOCTOR MAGAZINE

bka§h rcfha wdOdr u; wdrïN jQ —iqj ießh˜ .s,ka r: fiajdj rgu wdjrKh jk fia jHdma; lsÍug .súiqï w;aika lrhs fiajdj §m jHdma; lsßu ioyd .súiqï w;aika lsßu w.%dud;H rks,a úl%uisxy uy;df.a m%Odk;ajfhka wr,sh.y ukaÈrfha § miq.shod isÿ flreKd' niakdysr iy ol=K m<d;aj, l%shd;aul jQ fuu .s,ka r: fiajdj §m jHdma; lsßu ioyd ;j;a .s,ka r: 209 la bka§h rch úiska Y%S ,xldjg ,nd§ug kshñ;hs' fuu .s,ka r: fiajdj wdrïN lsÍug m%:u we;eï .ïj, yÈis wk;=rej,g ,lajQjka m%jdykh lf<a ;%sfrdao r:

j,ska' oekg fuys 489 la Y%S ,dxlslhska fiajh lrk w;r" th kj .súiqug wkqj 1600 olajd jeä fjkjd' th Y%S ,xldfõ /lshd fkdue;s ;reK ;re‚hkag / lshd ,nd§ug ,enqKq odhdohla o fjkjd' Tjqkag bkaÈhdfõ § úfYaI fi!LH mqyqKQjla o ,efnkjd' jd¾Islj yÈis wk;=rej,g ,lajk mqoa.,hskaf.ka nyq;rhla ñh hkafka laI‚lj frday,a lrd f.khdug fkdyels ùu ksihs' fuu .s,ka r: fiajdj úêu;aj l%shd;aul lsÍu ;=,ska tu ðú; fírd .ekSug wmg yelshdj ,efnKq we;s' •••

l¿;r je,smekafka T!IO ksIamdok l¾udka; l,dmhla bj;,k reêr ma,diaud;a T!IO ksIamdokhg Y%S ,xldfõ m%:u T!IO ksIamdok l¾udka; l,dmh bÈlsÍu i|yd .súiqï w;aika lsÍu fi!LH" fmdaIK yd foaYSh ffjoH wud;H fodia;r rdð; fiakdr;ak uy;df.a m%Odk;ajfhka miq.shod meje;aú‚' tu l¾udka; l,dmh l¿;r je,smekafka bÈ flfrk w;r" rdcH T!IO ksIamdok kS;s.; ixia:dj úiska ksIamdokh lrk T!IO ñ,§ .ekSug kshñ;h' uef,aishdkq iud.ula iy B.P.C. fy,a;a flhd wdh;kh fuu l¾udka; l,dmh ;=< T!IO ksIamdok lsÍug .súiqï 10

FEBRUARY 2018 | DOCTOR MAGAZINE

w;aika lrk ,§' B.P.C. fy,a;a flhd wdh;kh bj;,k reêr ma,diaud Ndú;d lrñka T!IO ksIamdokh lsÍug ie,iqï lr we;' rdcH T!IO ksIamdok kS;s.; ixia:dfõ ksIamdok Odß;djh fo.=Khla lsÍu ioyd kj l¾udka; Yd,djla o msysgqùug kshñ; w;r T!IO ksIAmdokh fjkqfjka ;j;a l¾udka;Yd,d bosßfhaoS l=reKE.," lgqkdhl" fydrK" uykqjr" jeks m%foaYj, o msysgqùug kshñ;hs'

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T!IO ñ< by< kexfjhs''' fvd,rhg idfmalaIj f,dal fjf<ofmd, ;=< T!IO ñ, by< hdu fya;=fjka T!IO wdkhklrejka mdvq ,eîu ;=< ishhg 5 lska T!IO ñ, jeä lsßug isÿ jQ nj fi!LH" fmdaIK yd foaYSh wdrxÑ ud¾. mjihs'

mjq,a fi!LH fiajd ks,Odßkshkaf.a iy uyck fi!LH mÍlaIljrekaf.a ks, we÷u fjkia fjhs''' @ mjq,a fi!LH fiajd ks,Odßkshkaf.a iy uyck fi!LH mÍlaIljrekaf.a ks, we÷u fjkia lsÍug fi!LH wud;HdxYh ;SrKh lrhs ta i|yd kj fhdackd fi!LH wud;HdxYhg ,ndfok f,i mjq,a fi!LH fiajd ks,Odßkshkaf.a iy uyck fi!LH mÍlaIljrekaf.a jD;a;Sh ix.ïj,g oekqï

T!IO wdkhklrejkaf.a iy T!IO wdkhklrejkaf.a jd‚c uKav,h l< b,a,Sula u; cd;sl T!IO kshduk wêldßh isÿ l< wOHhkhlska miq ishhg 5 lska ñ, jeä lsÍug mshjr .;a nj fi!LH wud;Hjrhd wjOdrKh lr isáhs' tu .eiÜ ksfõokhg wkqj fuu ñ, jeä lsßu jirl ld,hla n, meje;afjk w;r" tu ld,h ;=< § f,dal fjf<ofmdf,a T!IO ñ, by< .sh o Y%S ,xldj ;=< T!IO ñf,ys lsisÿ fjkila isÿ fkdjk nj fi!LH wud;Hjrhd mjihs' § we;s nj fi!LH" fmdaIK yd foaYSh ffjoH weue;s ffjoH rdð; fiakdr;ak uy;d mjihs' fï jkúg;a mjq,a fi!LH fiajd ks,Odßkshkaf.a ix.uh úiska ish fhdackd fi!LH wud;HdxYhg ndr § ;sfí' cd;Hka;rfha mjq,a fi!LH fiajd ks,Odßkshkaf.a we÷ug iudk f,i iqÿ È. l,siula iy iqÿ fldaÜ tlla fï jk úg fhdackd ù we;s nj;a ks,Odßkshkag f.!rjhla ,efnk f,i ks, we÷u fjkia lrk nj;a rcfha mjq,a fi!LH fiajd ks,Odßkshkaf.a ix.ufha iNdm;sks foaúld fldä;=jlal= uy;añh mejeiqjdh'

fyo fyoshkag fldßhdfõ bkafca iriúfhka Wmdë mdGud,d l%shd;aul lrkakg kj .súiqula Y%S ,xldfõ fyo fyÈhkag fldßhdfõ bkafÊ ^Inje& úYajúoHd,fha mqyqKqj ,nd§u we;=¿ lreKq lsysmhlg wod<j fuf;la meje;s .súiqu kj .súiqula f,i bÈßhg mj;ajdf.k hdu i|yd .súiqï w;aika lsÍu fi!LH" fmdaIK yd foaYSh ffjoH wud;H fodia;r rdð; fiakdr;ak uy;df.a m%Odk;ajfhka miq.shod fi!LH wud;HdxYfha § isÿ lrk ,§' fi!LH wud;HdxYh iy bkafÊ úYajúoHd,h

w;r" 2013 jif¾ w;aika l< .súiqu 2017 jif¾ § wjika úh' kj .súiqu wkqj fyo wOHdmkh" yÈis m%;sldr fiajd fyo fiajdj" fyo mYapd;a Wmdê mdGud,j l%shd;aul lsÍu jeks jevigyka l%shd;aul lsÍug kshñ;h' fld<U úYajúoHd,hg wkqnoaOj Y%S chj¾Okmqr uy frdayf,a ia:dms; l< fyo mSGhg wjYH ;dlaI‚l myiqlï ,nd§ugo bkafÊ úYajúoHd,h tlÕ;ajh m< lr we;'

*duis ,shdmÈxÑ .dia;= my<g

wud;H fodia;r rdð; fiakdr;ak uy;d mshjr f.k we;'

cd;sl T!IO kshduk wêldßh hgf;a T!IO ,shdmÈxÑ lsßfï .dia;=" iSudia: ksIamdok ,shdmÈxÑ lsÍu iy n,m;% ,nd.ekSfï .dia;= miq.shod isg l%shd;aul jk mßÈ wvq lsßug fi!LH" fmdaIK yd foaYSh ffjoH

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iuia; ,xld Tiqi,a ysñhkaf.a ix.uh l< b,a,Sulg wkqj fuf,i .dia;= wvq lsÍug mshjr f.k we;' 2017 cqks 14 jk Èk ksl=;a l< w;súfYaI .eiÜ m;%hg wkqj fuu .dia;= by< ouk ,È' FEBRUARY 2018 | DOCTOR MAGAZINE

PERFORMANCE ENHANCING SUBSTANCES

wfma l%Svlhka w;f¾

;ykï W;af;acl fyd,auka

l%Svd.dr wdY%s;j ;yku W;af;acl ú;rla fkdfjhs" tajd .;amiq mÍlaIK j,ska jix lrk øjHh;a wf,ú lrk njg meñKS,s'''

FEBRUARY 2018 | DOCTOR MAGAZINE

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ffjoH iSj,s chúl%u

;ykï W;af;acl ksfhdacs;dh;kfha iNdm;s" uydpd¾h w¾cqk o is,ajd uy;d ldhj¾Ok l%Svdj cd;sl l%Svd j,ska bj;a l< hq;= nj;a ta wh ;ykï W;af;acl Ndú;d lrk njg fmkS hk nj;a m%ldY l<d' miq.sh jif¾ l%Svd m%.;sh yd t<eUqKQ jif¾ b,lal iïnkaOfhka udOH fj; woyia m%ldY lrKq msKsi m%jD;a;s fomd¾;fïka;= Y%jKd.drfha l%Svd wud;H ohdisß chfialr uy;d m%Odk;ajfhka mej;S m%jD;a;s idlÉPdfõoS uydpd¾hjrhd fï nj m%ldY lrKQ ,enqjd'

zzldhj¾Ok l%Svlhka i|yd mj;ajkq ,nk ;ykï W;af;acl mÍlaIK j,g Tjqka lsis osfkl iyNd.s jkafka kE' ta wh ÿjkjd' tla wjia:djl ;yku W;af;acl mÍlaIKhla meje;ajqKd' iyNd.s jqfKA ;=ka fokhs' ffjoHjrhd yer wfkla fofokdu ;yku W;af;acl wrf.k ;snqKd' tfyu l%Svd lr, m,la ;sfhkjdo @ZZ doctormagazine.lk

zzW.% f,i f,a ysÕ;djhg m;a fjk ms<sld frda.Skag ;uhs kekav%f,daka fokafk' ta;a l%Svlhka fï fnfy;a ,nd .ekSfuka fldKafv hkj" mshhqre úYd, fjkj" ldka;djkaf. kï l=vd fjkj' msßñkaf. ,sx.slj wm%dKslNdjh we;s fjkj' ta yereKQ úg l=re<E msg odkjd' yDohg" jl=.vq j,g;a n,mEï we;s lrkak;a kekav%f,dka iu;a' uydpd¾hjrhd jeäÿrg;a fufia m%ldY lf<ah' zz;ykï W;af;acl .;a;u Tjqka j| fjkjd' orejka ,nkak nE' jl=.vq j, m%Yak we;s fjkak mq¿jka' fkdfhl=;a wdndO we;s fjkak mq¿jka'ZZ ;ykï W;af;acl uq¿ l%Svd f,dalhgu buy;a ;¾ckhla' wfma mqxÑ rgo fï wjodkfuka neyer ù kE' fï iïnkaOfhka fidhd n,k úg úYd, wjodkula fï jk úg meK kef.ñka ;sfnk nj meyeos,shs' l%Svd.dr wdY%s;j ;ykï W;af;acl jYfhka ie<flk úúO øjH wf,úhg ;sfnkjd' ta ú;rla fkdfjhs' fïjd;a iu. tu ;ykï W;af;acl mdúÉÑ l<;a tajd mÍlaIK j,g yiq fkdjk j¾.;a (Masking Agents) fï fjf<kaoka wf,ú lrk nj fmfkkakg ;sfnkjd' tlu mdßfNda.slhg ìiakia folhs' ta wkQj fï ;ykï W;af;acl ksid ;j;a úYd, wjodkula wkd.; l%Svdjg we;sfjk ,l=Kq my< ù ;sfnkjd' miq.sh jif¾ bkaoshdfõ mej;S wdishdkq u,, l%Svd Wf<,g iyNd.s jQ wfma l%Svlfhl=g ;ykï W;af;acl mÍlaIKfhka iu;a fjkak neß jqKd' FEBRUARY 2018 | DOCTOR MAGAZINE

zz;ykï W;af;acl .;a;u Tjqka j| fjkjd' orejka ,nkak nE' jl=.vq j, m%Yak we;s fjkak mq¿jka' fkdfhl=;a wdndO we;s fjkak mq¿jka'ZZ uydpd¾h w¾cqk o is,ajd tu l%Svlhd kej; le|jkakg wfma l%Svd n,Odßkag isÿ jqKd' ;ykï W;af;acl yd neªKQ b;sydihla wmg ;sfnkjd' tys idjoH f,i iel lsÍïo lsysm wjia:djlu fmfkkakg ;snqKd' wfma lS¾;su;a l%Svd Y+ßh iqika;sld chisxy uy;añh fj; Nandroline (Decadurobolin) kï ;ykï W;af;aclh ,nd.;a njg t,a, jQ fpdaokdj tjka wjia:djla' Nandroline, ;ju;a f,dalfha l%Svl l%Säldjka W;af;aclhla f,i fhdod .kakd ;ykï øjHhla' fï ;ykï W;af;aclh iïnkaOfhka wfma m%ùK l%Svd ffjoH úfYAI{fhl= jk ffjoH iSj,s chúl%u mjikafk fujekakla' zzW.% f,i f,a ysÕ;djhg m;a fjk ms<sld frda.Skag ;uhs kekav%f,daka fokafk' fuhg YÍrfha fïo fldgia mdúÉÑ lr, YÍrhg Yla;sh ,nd fokak mq¿jka' fï jdish ;uhs fláÿr Odjlhka" nr Tijkakka .kafk' ta;a fï l%Svlhka fkdokak Nhdkl fjkialï fï fnfy;a ,nd .ekSfuka isÿ fjkjd' msßñkag kï fldKafv hkj" mshhqre úYd, fjkj" ,sx.slj wm%dKslNdjh we;s fjkj' ta yereKQ úg l=re<E msg odkjd' yDohg" jl=.vq j,g;a n,mEï we;s lrkak kekav%f,dka iu;a'

ldka;djka Nandroline .ekSfuka wef.a lgy`v fjkia fjkj' fldkafv hkjd' 14

FEBRUARY 2018 | DOCTOR MAGAZINE

ldhslj jl=.vq yDohg jf.a jákd lshk bkaøshhkag n,mdkjd jf.au ;j;a fndfyda ydks iuia; YrSrhg isÿ fjkjd' fldákau YÍrhg lrkafk iq¿mgq ydkshla kï fkdfjhs' wfma l%slÜ lKavdhfï ysgmq Wmq,a ;rx.g;a u;aøjH fpdaokdjla wdjfk' Tyqf. uq;%d j, ;sî y÷kd.;a ;ykï W;af;aclh ;uhs fm%âksfidf,daka' fm%âksfidf,daka lshkafk weÿu frda. hg" ykaosm;a wudrelï j,g fok T!IOhla' th whs;s iafgfrdhsâ lshk T!IO ldKAvhg' reêrfha iSks ;sfhkfldg" wêreêr mSvk frda.Skag fï fm%âksfidf,daka t;rï fyd| kE' fldfydu;a fïj oS¾>ld,Skh .ekSu iqÿiq kE' iafgfrdhsv T!IO YÍrfha úúO fjkialï isÿ lrkjd' fïj;a we;euqka l%Svd W;af;acl úosyg fhdod .kakd nj fy<sorõ ù ;sfnkjd' fjkafgd,ska lshk weÿu frda.Ska yg ,nd fok fnfy;;a we;eful=g l%Svd ch .kak ;ykï W;af;aclhla fj,d' ta nj fy<sorõ ù ;sfnkjd' fï úosyg ;yku W;af;acl w÷re fijke,s wfma l%Svd lafIA;%fha nrm;, úosyg fyd,auka lrkjd' oeka oerkau mshjrla fkd.;af;d;a iuyr úg thska wfma rgg úYd, wmlS¾;shla we;s fjkak mq¿jka''' ta wfma cd;sl iïm;a jk jákd l%Svlhkaf.a cSú;;a fÄojdplhla njg m;a lrñkqhs'

••• doctormagazine.lk

URINARY TRACT STONES (UROLITHIASIS)

uq;%d ud¾.fha we;sjk

.,a

i|yd kùk m%;sldr'''

j;a;, fyaudia frdayf,a fu!;% frda. úfYaI{ ffjoH wreK kkaofiak úisks

Wattala 16

FEBRUARY 2018 | DOCTOR MAGAZINE

uq;%d ud¾.fha we;sjk .,a iïnkaO ,smsfha wjika fldgi fujr m< flfrkjd' uq;%d .,a we;sjk yeá" we;sjkafka ljr wdldr .,a j¾.o hkak fukau wkdosu;a ld,hl isg wfma ck;dj fï ksid ysßyerhg m;ajQ wdldrh ms<sn|j fukau ta i|yd isÿ lrk kùk m%;sldr iïnkaOfhka wjfndaOhla thska Tng ,efnkakg we;s' fujr tu oeKQu irKsfha iudma;sh igyka lrkafka kùk m%;sldr Tiafia uq;%d .,a b;dmyiqfjka iqj lr.; yelsh hk mKsúvho mdGl Tn fj; iïfm%aYKh lrñka'''' doctormagazine.lk

fyd|ska c,h mdkh lsÍu yd ksjerosj wdydr .ekSu ksid mia jirla ;=< kej; .,a we;sùfï wjodku ishhg 60lska wvq fjkjd'

Shock Wave Lithotripsy l%uhg .,a bj;a lsÍu

l=vd .,la kï uq,skau thg YÍrfhka neyer jkakg wjia:djla ,nd fokjd l=vd .,a kï bfíu neyer jkakg;a bvla ;sfnkjd' fõokdj bys,sh yels tlla kï i;s yhla muK olajd

uq;%d j, wêl le,aishï m%udKhla ;sîu le,aishï .,a we;sùug odhl jk fya;=jla' le,aishï jeä fjkakg fya;=j wdydr j, ;sfnk le,aishï Tfí mßjD;a;Sh l%shdj,sfhaoS l<uKdlrKh jk jerosiy.; wdldrhhs'

doctormagazine.lk

lïmk ;rx. j,ska l=vq lrk .,a msg jkafka uq;%d ud¾.h Tiafiah' ta osk lsysmhla ;=<oSh'

úuis<su;aj bkakg mq¿jka' yenehs fuysoS ffjoHjrhd úiska ., ksid uq;%d ud¾.fha wdidokhla ke;s nj;a jl=.vqj thska ie<lsh hq;= f,i mSvdjg m;aj fkd;sfnk nj;a iel yer oek.; hq;=hs'

T!IO m%;sldr l=vd uq;%d .,a uq;%d ud¾.h Tiafia msg;g meñKùfuys,d id¾:l;ajhla olajk T!Iëh m%;sldr ;sfí' ta iïnkaOfhka wm miqj l;d lrkjd' uq;%d jdyskS bys,a lrñka uq;%d u. isrj we;s .,g bosßhg tkakg ie,eiaùu we;eï T!IO u.ska isÿ lrKQ ,nkjd' fõokd kdYl yd Tlaldrh wdoS .;s iajNdjhka mj;S kï ta i|yd fok T!IOo fï frda.Ska i|yd iq,nj ks¾foaY flfrkjd' FEBRUARY 2018 | DOCTOR MAGAZINE

uq;%d .,a i|yd m%;sldr Y,Hl¾u my; wjia:djkaysoS frda.shdg Y,Hl¾uhg Ndckh ùug isÿfõ' • ., uq;%d ud¾.h Tiafia bj;a lsÍu wid¾:l ùu'

• ., bj;a jk f;la l,a ne,Su wiSre jk ;rfï fõokdjlska fm<Su' • .f,ys msysàu" l%shdldß;ajh jl=.vqfõ l%shdldß;ajhg wys;lr f,i n,mEu' jl=.vq j, we;s we;eï .,a wys;lr n,mEula we;s fkdlrkafka kï tfia ;sfnkakg yßkq ,efí' • uq;%d ud¾.fha .,a fya;=fjka uq;%d ud¾.h ks;r ks;r wdidokhg m;a jkafka kï" tu isrjQ .,$.,a ksid uq;%d mßjykhg ndOd we;s jkafka kï Y,Hl¾uhla lsÍug isÿfõ'

Ureteroscopy l%uhg .,a bj;a lsÍu

FEBRUARY 2018 | DOCTOR MAGAZINE

Extracorporeal shock wave lithotripsy (ESWL) is the most frequently used procedure for the treatment of kidney stones. In ESWL, shock waves that are created outside the body travel through the skin and body tissues until they hit the denser stones. doctormagazine.lk

uq;%d .,a bj;a lsÍug wo ojfia ckm%shj ;sfnk Y,Hl¾u Shock Wave Lithotripsy (SWL) jl=.vq yd uq;%d ud¾.fha we;sjk .,a bj;a lsÍu i|yd fhdod.kakd b;d ckm%sh Y,Hl¾uhls' tlaia lsrK fyda w,ag%d ijqkaâ ;dlaIKh weiqre lrf.k ., ;sfnk ia:dkh ksYaph lr.;a miq lïmk ;rx. j,ska cks; jk Yla;sh fhdodf.k ., l=vq lrhs' fuysoS ., l=vd fldgia j,g ì|S hk w;r tajd uq;%d iu. i;s .Kkdjla ;siafia msg fjhs' Yajikh md,s; ;;a;aj hg;g m;a l< hq;= ksid;a" lïmk ;rx. iïfm%aYkh lsÍfïoS lsishï wmyiq;djhla oeKQfkd;a thskq;a ñfokq msKsi f;dard.;a ir< ks¾úkaokhla fuysoS frda.shdg ,nd fohs' lïmk ;rx. m%;sldrh isiaáka .,a" we;eï wdldrfha Tlaif,ag .,a iy le,aishï fmdiafmaÜ .,a bj;a lrKQ msKsi iqÿiq fkdfõ' b;d úYd, .,a l=vq lr bj;a lsÍugo fuh iqÿiq l%uhla fkdfõ' fuu mÍlaIKh isÿ lrk oskfhaoSu frda.shdg ;u ksfji lrd msh ke.Sug yel' osk 2-3l wejEfuka idudkH rdcldß j, iqmqreÿ mßos ksr; úh yel' uq;%d iu. msgjk .,a tl;= lr .ekSug fmfkarhla fhdod .ekSu

idudkHfhka jevqKQ mqoa.,fhl= ojilg wju jYfhka ,Sg¾ fol yudrl j;a uq;%d mßudjla neyer l< hq;=hs' doctormagazine.lk

Percutaneous Nephrolithotomy l%uhg .,a bj;a lsÍu

iqÿiqh' tajd úYaf,aYKh i|yd miqj ridhkd.drhg Ndrosh yel' wdrlaIdldÍ yd mD:q,j fhdod .kakd .,a bj;a lrk Y,Huh l%shdud¾.hla f,i ie<l+jo tyso yªkd.;a we;eï ixl+,;d lsysmhla fõ' m%;sldrfhka osk lsysmhla hk;=re uq;%d iu. reêrh msgùu olakg ,efí' l=vd .,a uq;%d ud¾.h yryd myiqfjka msgjQj;a we;eï úg fõokdjla we;sjk wjia:do fõ' l,d;=rlska fï ìªKQ .,la uq;%d ud¾.h ;=< kej;;a isr jQfjd;a úl,am Y,H l%shdud¾. Tiafia ., bj;a lsrSug isÿjkq we;' FEBRUARY 2018 | DOCTOR MAGAZINE

Ureteroscopy (URS) fuho" jl=.vq yd uq;%djdyskS ;=< we;sjk .,a bj;a lsÍug fhdod.kS' Ureteroscope hkqfjka ye|skafjk l=vd ÿf¾laIhla uq,skau uq;%d ud¾.h Tiafia uq;%dYhg;a bkamiqj by<g uq;%d jdyskS Tiafia;a wk;=rej jl=. vq fj;g;a jvd;a iqug fia m%fõY ùug fï wkaùlaISh wegjqu iu;ah' uq;%dYh wdikakfha Ndú;dj i|yd oDV fg,iafldamhla fhdod.kakd w;r uq;%djdyskS j,isg jl=.vq olajd ÿria: wjhj ksÍlaIKhg jvd;a kuHYS,S fg,iafldamhla fhdod. efka' fuu.ska fPaokhla fkdue;sj jvd;a ksjerosj ., msysà ia:dkh yªkd .ekSug Y,H ffjoHjrhdg yelshdjla ,efí' frda.shdg lsisÿ fõokdjla we;s fkdjkq msKsi iqÿiq ir< ks¾úkaokhla ,ndfok w;r ;srfha olsk m%;sìïn wkqidrfhka hQrSfgfriafldamh kshñ; ia:dkfha ia:dk.; lrKQ ,efí' fï kd,h yrydu bj;a lrKQ ,nk .,a l=vd ndialÜ tllska msg;g .ekSu isÿfõ'

i;a;aj fm%daàk wdydrhg .ekSu iSud lsÍu u.skq;a uq;%d .,a we;sùu lsishï m%udKhlg md,kh lrkjd' i;a;aj fm%daàk u.ska we;s lrk fm%daàk ì|fy<Su;a" le,aishï iuiaÓ;sh;a fya;=fjka iq¿ jYfhka wdï,sl udOHhla ks¾udKh lrk w;r th uq;%d .,a we;s lsÍug lsishï W;afm%arlhla jkjd' 20

FEBRUARY 2018 | DOCTOR MAGAZINE

., mßjykhg kqiqÿiq ;rug úYd, kï f,ai¾ Odrdjlska fyda fjk;a Y,Huh l%shdj,shlska th fldgia j,g ì| t<shg .kakjd we;' .,a bj;a l< miq iafgkaghla uq;%djdyskS j, r|jd uq;%d ud¾.h újrh ;nd .ekSug WmldÍ fjhs' le;Sgrhla fhdod .ekSfïoS uq;%d fjku tl;= lr tajd neyer,kakg isÿjk uq;a iafgkaghla fhdod.ekSfïoS jl=.vq j, isg iajNdjfhkau uq;%d uq;%dYhg fmfrhs' fï l%shdj,shg Ndckh ùfïoSo tosku frda.shdg ksfjig hdug yels jk w;r osk 2-3lska iqmqreÿ mßos idudkH l%shdldrlï j, fhoSugo wjia:dj ie,fia' iafgkaghla / f|õfjd;a th osk oyhlska muK bj;a lr.ekSug Tng isÿfõ' fuh os.gu mej;Su iqÿiq fkdjk w;r tfia lf<d;a wdidok we;s ùugo" jl=.vq l%shdldß;ajh ÿ¾j, ùugo bvla ;sfí'

Percutaneous Nephrolithotomy (PCNL) EWSL yd URD hk Y,Hl¾u

folu .e,fmkafka idfmalaIj l=vd .,a bj;a lsÍu fjkqfjks' tfy;a úYd, .,a bj;a lsÍug fï folu fkdiu;a ksid tjka wjia:d j,oS PCNL Y,Hl¾uh fhdod .kakg isÿfõ' fï i|yd id¾j ks¾úkaokh fhdod.kakd w;r fuysoS msgfldkao me;af;ka wÕ,a nd.hl muK b;d l=vd lemqula muKla fhdod hkqfjka ye|skafjk (Nephroscope)

doctormagazine.lk

idudkHfhka jevqKQ mqoa.,fhl= wju jYfhka ,Sg¾ foll j;a uq;%d mßudjla neyer l< hq;=hs' ysre odyhg jeäfhka ksrdjrKh jk wh" weÕ fjfyid jev lrk Woúh jeäfhka j;=r mdkh l< hq;=hs' jl=.vq msßlaiSug fhdod .kakd Y,Huh ÿf¾laIhla ta Tiafia m%fõY lrKQ ,efí' ta Tiafia ., ì| fy<Sfï Y<Huh WmlrKo m%fõY lrk w;r ., ì| fy<Sfuka miq pQIK Wml%uhlska

le;Sgr ud¾.fhka t<shg .ekSu isÿfõ' Y,Hl¾ufhka miq uq;%d tl;= lsÍu msKsi jl=.vq j, isg nE.hla YÍrfha ndysßka iïnkaO flf¾' reêrjyk je<elaùugo fï Wmdhud¾.h fya;=jk w;r osk lsysmhlg miq frda.shdg ksfjig msh ke.sh yel' Y,Hl¾ufhka miq isÿ lrk tlaia lsrK mÍlaIKhlska fYaI jQ .,a ;sfío hkak fidhd nef,kq we;' i;s 2-3 lska Tng idudkH ffoksl rdcldß j, fhoSug yelshdj ,efnkq we;'

uq;%d ud¾.fha .,a we;s ùfuka je<lSug .; hq;= mshjr uq,skau l< hq;af;a Tng fï .,a we;sùug fya;= jQ ldrKd úuiSuhs' ffjoHjrhd júiska ta ms<sn|j fidhd ne,Sula isÿlr ta wkqj je<lSug .; hq;= l%shdud¾. iïnkaOfhka Tnj oeKQj;a lrKQ we;'

ffjoH b;sydih yd Tfí wdydr isß; fuysoS ffjoHjrhd úiska my; lreKQ flfryS wjOdkh fhduq lrKQ we;' • óg l,ska .,a we;s ù ;sfnkjdo hk j.@ • Tfí mjqf,a ióm {d;sfhl=g .,a we;sù ;sfnkjdo hk j.@ • ks;r ks;r we;sjk mdpkh" oshjeähdj" mdpkh wdoS .,a

doctormagazine.lk

we;sùug rel=,a fok frda.hlska Tn mSvdjg m;aj isákjdo@ hk ldrKh' Tfí wdydr isß; iïnkaOfhkao ffjoHjrhd iudf,dapkhl fhfokq we;' Tn .,a we;sùu m%j¾Okh lrk wdydr jeäfhka wkqNj lrkafklao@ .,a j,ska ñoSug rel=,a fok wdydr wvqfjka Ndú;hg .kakjdo@ m%udKj;a c, m%udKhla oskm;d mdkh lrkjdo@ wdoS ldrKd iïnkaOfhka ffjoHjrhd úuis<su;a jkq we;' fï ffjoHuh" fmdaIKfõoSh yd mjqf,a b;sydih iïnkaO ldrKd uekúka iudf,dapkh lsÍfuka .,a we;sùug mdol jQ ldrKd iïnkaOfhka ks.ukhlg meñKSug ffjoHjrhdg yels fõ'

FEBRUARY 2018 | DOCTOR MAGAZINE

reêr yd uq;%d mÍlaIK

.,a úYAf,aYKh

Tfí frda. b;sydih iudf,dapkh lsÍu yd YÍr mÍlaIdjlska miqj Tng reêr yd uq;%d mÍlaIKhla kshu lrhs' hïlsis ffjoHuh fya;=jla u; Tng .,a we;sfjkjdo hkak úuiSug reêr mÍlaIKh WmldÍ fjhs' we;eï wdldrfha .,a we;sùug n,mj;ajk iaMêlrEmS fYAI uq;%d.;j mj;So @ lsishï wdidokhla uq;%d ud¾.fha mj;So@ hkak úuiSug uq;%d mÍlaIKh msgqjy,la fõ' wkd.;fha uq;%d .,a we;sùfï wjodkula ms<sn|j iel lrk l,ayS meh 24la mqrd ,nd .kakd ,o uq;%d idïm,hla weiqf¾ ,nd .kakd f;dr;=re u; we;eï wdldr j, uq;%d .,a we;sùfï wjodkuo y÷kd.kq we;'

Tfnka bj;a lrk ,o .,a úYaf,aYKh lsÍfuka Tng .,a we;s lrk uq;%d .,a úfYAIh ljr wdldrfha tllao hkak ksYAph lr.ekSug WmldÍ fjhs' fï f;dr;=re Tfí frda.h md,khg fyd|u wjia:djla ,nd oSug WmldÍ jkq we;'

m%;sìïn mÍlaIK óg fmr .,a we;sjQ frda.Ska tlaia f¾ mÍlaIdjlg ,lalr w¿;ska .,a we;sù ;sfnkjdo@ hkak fidhd ne,Sula l< hq;=h' ld,fhka ld,hg fï mÍlaIKh isÿ lsÍug Tng isÿjkq we;' fõokdjla" uq;%d wdidokhla fyda uq;%d iu. reêrh msgùula ;sfí kï tjka wjia:d j,oSo tlaiaf¾ mÍlaIdjla kshu lrKQ we;' Kidney stones often do not cause any symptoms. Usually, the first symptom of a kidney stone is extreme pain, which begins suddenly when a stone moves in the urinary tract and blocks the flow of urine. 22

FEBRUARY 2018 | DOCTOR MAGAZINE

frda.fhka je<lSug .;hq;= mshjr''' Tng .,a we;sùug mdol jQ fya;=j y÷kd .ekSfuka miqj kej; th we;s ùu je<elaùug .; hq;= mshjr iïnkaOfhka ffjoHjrhd Wmfoia imhkq we;' ta i|yd T!IO kshu lsÍula fukau wdydr rgdfõ fjkialï lsÍugo Wmfoia ,ndfokq we;' iEu .,a j¾.hlskau fíÍug fhda.H jk zzwdydr jÜfgdarejlaZZ ke;' Tfí ms<Sfj, fjk;a wfhl=g fkd.e,fma' Tfí frda.hg Tng .e,fmk Wmfoia fjkuu ,nd.; hq;=h'

uq;%d we;sùu j<lajkakg Tng .;yels l%shdud¾. • oskm;d m%udKj;a j;=r mßudjla mdkh lrkak' oyäh ouk úg" WIAK m%foaY j, cSj;a jk úg Tfí YÍrhg wjYH lrk j;=r m%udKho by< hkjd' • wêl iSks" ¨KQ yd fm%daàk iys; wdydr wkqNjh wju lrkak' • ia:Q,;djh wju lr.kak doctormagazine.lk

Diet Tips to Prevent Stones iEu ojilu m%udKj;a c,h mßudjla mdkh lrkak uq;%d ud¾. fha kej; .,a we;s ùfuka je<lSug .; hq;= fyd|u l%shdud¾.h fuhhs' ojilg wvq ;rfï ,Sg¾ ;=kl muK j;a c,h mdkh lrkak' wõfõ bkak fj,djg" nr jev lrk fj,djg jeäfhka c,h mdkh lrkak' isiaáka .,a we;s frda.Ska kï óg;a jeä c, m%udKhla oskm;d mdkhg .; hq;=h' mßfNdackh lrk ¨KQ m%udKh iSud lrkak fï Wmfoi jeä jYfhka ¨Kq rihg reÑhla olajk wh yd úfYAIfhkau le,aishï yd isiaáka iïNjhla iys; .,a j,ska mSvd ú|sk wh fjkqfjks' ¨KQ j,g le,aishï yd isiaáka ixhq;sh by< kexúh yelsh' fï ksid thska je<lSu Tfí hym;gh' idudkHfhka fidaähï ñ,s .a?ï 2"300lg jvd wvqfjka mßfNdackh lsÍu jvd;a iqÿiq nj fmdaIKfõoSkaf.a ks¾foaYhhs' Öia" YS; l< ieliQ wdydr" áka l< wdydr" fílß ksIAmdok" fmdfÜfgda Ñmaia wdosh" wÉpdre" ¨KQfoys" wdosh úfYAIfhka kqiqÿiq wdydr f,i i|yka l< yelsh' jeäfhka t<j¿ yd m<;=re wdydrhg .kak osklg mia j;djla j;a t<j¿ yd m<;=re .ekSu jvd;a iqÿiq fõ' fïjdfha iq,nj we;s fmdgEishï" ue.akSishï" ;ka;=uh mod¾:" m%;sTlaisldrl" mhsfÜg yd isÜf¾g .,a we;sùu wffO¾h lrhs' Tlaif,aÜ wvqfjka ;sfnk wdydr ,nd.kak fï mshjrg hd hq;af;a uq;%d j, Tlaif,ag jeä ixhq;shla doctormagazine.lk

iys; Woúhhs' fuh myiq ld¾hhls' le,aishï j,ska fmdfydi;a wdydr jeäfhka wkqNj lsÍfuka Tlaif,ag ixhq;sh wvq lr.; yel' fuhska id¾:l m%;sM<hla w;am;a fkdjkafka kï muKla Tlaif,ag jeä jYfhka we;s wdydr wvq lsÍfï mshjrg hd hq;=h' idudkHfhka ish¿u YdL wdydr j, Tlaif,ag iq,nj ;sfí' ksú;s" rend wdosfha iq,nj mj;S' tajd j,ska j<lskak' m%dfhda.slj iïmQ¾Kfhkau Tlaif,ag idr wdydr j,ska je<lSu m%dfhda.slj l< fkdyelalls' tfia isÿ lsÍu wjYHo fkdfõ' uia wkqNjh iSud lrkak Tng we;af;a isiaáka fyda le,aishï iys; ixhq;shlska hqla; .,a kï yd uq;%d j, we;s HQrsla wï, by< w.hla .kafka kï uia" ud¿ wkqNjh iSud lsÍu iqÿiqh' ks¾foaYs; m%udK j,g le,aishï mej;sh hq;=h Tn le,aishï mod¾: jYfhka .kakg wjYH jkafka th wjYH kï muKs' wvqfjka le,aishï .ekSuo iqÿiq fkdfõ'le,aishï idr wdydr" mdk j¾." oskm;d .ekSu fyd| isß;ls' fï iïnkaOfhka Tng fmdaIKfõosfhl=f.ka ksYAÑ; Wmfoia ,nd .ekSfï wjldY mj;S'

jl=.vq .,a jl=.vq j, ljr ;efkl fyda we;s jkakg mq¿jk' we;eï .,a jl=. vq j, isg uq;%d jdyskshg .uka lrhs' jl=.vq j,ska ;,a¨ ù uq;%d jdyskshl isrfjk .,a y÷kajkafka uq;%djdyskS .,a hkqfjks' FEBRUARY 2018 | DOCTOR MAGAZINE

uq;%d .,a j<lajk T!IO fï i|yd fhdod.kakd T!IO rdYshla we;;a Tng fhda.H T!IOh ;SrKh lrkafka Tfí ;sfnk .,a j¾.h yd ;j;a idhksl mÍlaIK Tiafia Tfí ffjoHjrhd úisks' fï lafIA;%h ;=< ,nd .kakd M<odhS T!IO lsysmhl úia;r fuys oelafõ'

ALLOPURINOL .jqÜ frda. hg ks¾foaYs; Tiqjls' reêrfha;a uq;%d.;j;a ;sfnk hQßla wï,h ixhq;sh wvq lrhs' le,aishï yd hQßla wï, .,a we;sùu je<elaùug fhdod .kS'

THIAZIDE DIURETICS uq;%d.;j

iagDúÜ .,a yd wdidok iys; frda.Ska yg ks¾foaY flfrk T!IOhls' iagDúÜ .,a we;s jkakg ks;r ks;r we;sjk uq;%d wdidok m%Odk fya;=jls' fï T!IOh .ekSfuka iDgQúÜ .,a iEfok mßirh ke;s fjhs'

le,aishï jeä jYfhka ;sfnk wh yd le,aishï .,a iys; frda.Ska i|yd kshu lrk T!IOhls' POTASSIUM CITRATE fu!;% isfÜ%g wvq w.hla mej;Su" le,aishï .,a" isiaáka .,a we;s frda.Skag ,nd fok T!IOhls' fuu.ska uq;%d j, isfÜ%g uÜgu by< kxjk w;r uq;%d wdï,sl udOHhl ;nd .ekSug WmldÍ fjhs'

WoEik ysianv fldams fndkak tmd'''

ACETOHYDROXAMIC ACID (AHA)

CYSTINE-BINDING THIOL isiaáka .,a we;s frda.Skag ,nd fok T!IOh fuhhs' fuu.ska isiaáka .,a ••• iaMÁlrkh ùu j<lajhs'

ysia nv fldams ál nvg jefgk úg yhsfv%dlaf,daßla wï,h ksIamdokh fjkjd' fuh bka miafi jefgk lEulg wys;lr úosyg n,mdkjd' Bg miafi Wfoa wdydr .kak úg ta lEu kshñ; mßos cS¾Kh fkdù ;sfhkak mq¿jka' úfYaIfhkau yhsfv%dlaf,daßla wï,h msÍ.;a udOHhl fm%daàk cS¾Kh kshñ; mßos isÿ fkdù ;sfhkak mq¿jka' ta yereKQ úg ysia nv fldams .ekSfuka nv mqrj, od, ;sfhkak mq¿jka' Tlaldrh''' jukh we;s fjkak;a jeä bvla ;sfhkjd' ;j;a ldrKhla''' fï ksid fldaáfida,a lshk fydafudakfha úYd, jeäùula we;s fjkak mq¿jka' fïl isrerg wjYH fydafudakhla ;uhs''' ta;a w;sud;% jqKdu ksis l%shdldß;ajh wvd, fjkjd' th idudkH ;;a;ajhg m;a fjkakg ;rula jeä ld,hla .; fjkjd' ysia nv fldams fldamamhla b|, ysg, ìõj;a fï ika;Eish isÿ fjkjd' fï ksid lsß álla ìõjg lula kE''' fldams äx.la ñY% lr, leu;s mdkhla WoEik ysianv .;a;g lula kE''' ta;a fldams ú;rla fh¥ mdkhla kï ysianv iqÿiq kE'

https://humannhealth.com/drink-coffee-on-empty-stomach/3154/ 24

FEBRUARY 2018 | DOCTOR MAGAZINE

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Emotional Intelligence and Life Skills Training Team (Gte) Ltd

Essential Skills for healthy, Wealthy and Happy Life

i;=áka iy ksfrda.Su;aj cSj;ajkak Ñ;a;fõ.sl nqoaêh iy cSjk l=i,;d foaYk ud,dj wou l;dlrkak 0112 509 130 0777 263 956 Ñ;a;fõ.sl nqoaêh iy cSjk l=i,;d mqyqKq wdh;kh ffjoHjrhd i`.rdj iu. tlaj rg mqrd mj;ajk foaYk ud,dj Tfí wdh;kfha" ixúOdkfha meje;aug wou ,shdmosxÑ jkak' Powered By

EI Life Skills Team 26

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Watch

fuys we;af;a YouTube yryd ,ndfok jákd ùäfhda jd¾;djka lsysmhla' Tfí cx.u ÿrl:kfha QR Code tl il%Sh lrf.k fï ùäfhda krUkakg Tng yelshdj ;sfnkjd'

Watch this amazing short videos. It connects interesting medical facts, groundbreaking medical research and modern medical practices helping us to entertain healthy and happy life. https://www.facebook.com/brightside/videos/467428550271694/

wä Wi im;a;= krlhs" fkdafka''' wä Wi im;a;= odkak ldka;djka nyq;rhlg úYd, leue;a;la ;sfhkjd' wä Wi im;a;=j wef.a .uk fjkia lrkjd' wmQ¾j ,d,s;Hhla .ukg tla lrkjd' tal we;a;hs' ta;a Tn wm ljqre;a fkdolsk ydkshl wjodkulao tys ;sfnkjd' fï ùäfhdaj keröfuka Tngu ta nj mila lr.kak wudre fjk tlla kE''' www.facebook.com/brightside/videos/318530241828193/

Ñflahd''' lshkak tmd''' fï l;dj lshj, fkdfjhs" krU,du n,kak

wms Wmoskafk;a wefÕa kQ,a fmdgla ke;sjfka''' fï .ek isysm;a lrñka ksrej;aj ksod .kak mq¿jka kï thska tNG;A úYd, jdis lkaordjla ,efnkjd' wms lshkjgu fkdfjhs" úYajdihg .kak wudrehs kï fï ùäfhdaj n,kakflda' www.facebook.com/brightside/videos/310749402606277/

mrlal= kE''' oekau fï ÿisßf;ka w;a ñfokak is.rÜ fndk ÿisß; uyd úm;a;slr mqreoaola' thska isÿfjk ydks .ek yßhg okak lsis flfkla is.rÜ Wrkj ;shd tal osyd yeß, j;a n,k tlla kE' is.rÜ fndk wh thska ñfokjd kï Tjqka m%udo kE' ÿï mdkh k;r l<du isÿfjk hym;a fjkialï .ek y÷kdf.k thska ñfokak W;aiql jk whg osßh fokaks fï ùäfhdaj m< lrkafka''' www.facebook.com/brightside/videos/433256947022188/

fï jHdhdu lrk fj,djhs fïl fldhs ldg;a .e,fmk wmQre jHdhduhla' biafi,a, fï úäfhdaj n,uq' Bg miafi jHdhduh lr, n,uq'

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FEBRUARY 2018 | DOCTOR MAGAZINE

fud<h uereKQ mqoa.,hdf.a oE;a j,ska fid,aodÿjdg w¿;a cSú;hla'''

oE;a noaOfhka miq fid,a,dÿjd ñh.sh fcdaImaf.a ìß| yd oshKsh yuqjQ fudfyd;

bkaoshdj;a we*a. ksia:dkh;a tla l< fifkyfia md,u

wíÿ,a rySï we*a.ksia:dkfha yuqod lms;kajrfhla' hqo fufyhquloS Tyqg ;u w;a folu wysñ jqKd' ta fndaïnhla bj;a lsÍug hdfïoS th msmsÍfï m%;sM<hla jYfhka' bkaoshdfõ fldÑ kqjr úiq 52 yeúßos à cS fcdaIma fï wíÿ,a rySïf. wk;=r wdikakfhau osfkl oreKQ ßh wk;=rlg uqyqK ÿkakd' ;u fudag¾ ihsl,fhka .ukla hk w;r;=f¾ fjk;a wmÍlaIdldÍj Odjkh jQ jdykhl yemSfuka Tyq kej; mshú isysh fkd,nk tkï Brain Death frda.sfhla njg m;a jqKd'

FEBRUARY 2018 | DOCTOR MAGAZINE

ñh.sh fcdaImaf.a ìß| yd oshKsh doctormagazine.lk

ìysiqKQ wk;=ßka fud<h urKhg m;ajQ fcdaYma kj w; yqre lr .kakg fN!;Ñls;ail m%;sldr ,nñka

rgj,a foll isÿ jQ fï wk;=re folu tlsfklg tlla iïnkaO jkafka fï úosyghs' oE;a wysñ jQ wíÿ,a rySïg mrK mqreÿ úosyg lghq;= lrkak kï fjk;a flfklaf.a w;a folla noaO l< hq;=u jqKd' fcdaImag kej; mshú isyshg m;a fkdúh yels nj;a" uereKQ fud<hla iys; hka;% j,ska l%shd;aul jk b÷rka iys;j

isák fï frda.shdg kej; cSú;dfmalaIdjla fkdue;s nj;a'''' Ndrlrejka leu;s kï fï frda.shdf.a oE;a j,ska wirK frda.sfhl=g cSú;fha wfmalaIdjka kej; msìoúh yels nj;a ffjoHjreka fmkaajd ÿkakd' fcdaImaf.a wdor ìß|;a" oshKsh;a fk;= msß l÷,ska Bg wjir ÿkakd' flar,fha wïß;d frdayf,aoS ma,diaála Y,H ffjoH iqn%ukshï ,h¾f.a m%Odk;ajfhka iSrejg uia" kyr mqreoaoñka fid,aodÿjdf.a w;a fldg len,s folg jákdlula tla lrñka ksfrda.S w;a hqj,la noaO flreKd' meh myf<djla muK mqrd úYd, ffjoHjreka msßilf.a iyNd.s;ajfhka isÿ l< ie;alu id¾:l jqKd' ;u wdornr ysñhka" l=¿Kqnr mshdKka iod wu;l fkdjk cSjk igyka ;nñka ioygu kslau .sh;a ta ;uka wdorfhka /l n,d .kakg fjfyi jQ ;u ysñ i|" mshdKka oE;a j,ska ;j;a mqoa.,fhl= cSú;fha wfmalaId o,ajd .kakd wdldrh oel fcdaImaf.a wdornr Nd¾hdj fukau oshKsh;a l÷¿ ueoska i;=gq jqKd' •••

noaO lsÍï ffjoH lKavdhfï m%OdkS" ffjoH iqn%ukshï doctormagazine.lk

FEBRUARY 2018 | DOCTOR MAGAZINE

04 FEBRUARY

fmnrjdß 4 odg fhfok f,dal ms<sld Èkh ksñ;af;ks

f,a j;=r jk frda.h fyj;a

,shqflañhdj

ví,sõ ta yIsks ysuxYsld úisks 30

FEBRUARY 2018 | DOCTOR MAGAZINE

WmfoaYKh uyr.u <ud frdayf,a <ud yd fhdjqka úh ms<sld frda. úfYaI{ ffjoH ufyakaø fidau;s,l

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,shqflañhdj hkq f,a ms<sldjls' fuh w¿; Wmka l=vd <orejdf.a isg jeäysá mqoa.,hl= olajd ´kEu wjia:djl je<¢h yel' l=vd orejka w;r mj;sk ms<sld j¾. w;ßka nyq,;u ms<sld ;;a;ajh fõ' idudkHfhka ,shqflañhdj" ksis m%;sldr iu. ksÜgdjgu iqj l< yel' fuhska l=vd orejkaf.a we;sjk ,shqflañhdj iqjlsÍfï m%jK;djh b;d by<h' orejkag jef<|k ,shqflañhdj w;=ßka ALL ,shqflañhd frda.skaf.ka 80] muK ksÜgdjgu iqj jk w;r AML frda.skaf.ka 50] muK ksÜgdjg iqj fõ'

l=vd orejkag we;sjk ,shqflañhd /ila ksÜgdjg iqj lr.; yelshs mqoa.,hl=f.a reêrh .ek wjfndaOhla ,nd .ksuq wmf.a reêrh iE§ ;sfnkafka r;= reêrdKq" iqÿ reêrdKq" reêr mÜáld iy ma,diaudj hk fldgiaj,sks' • r;= reêrdKq u.ka wjYH bkaøshhka fj; Tlaiscka imhkq ,nhs' • iqÿ reêrdKq u.ska YÍrh úIîc j,ska wdrlaId lrkq ,nhs' • reêr mÜáld u.ska wkjYH f,a .e,Sï j,ska YÍrh wdrlaId lrhs' fuu reêr ffi, iy reêr mÜáld ksmoùu wiaÓ j, ueo fldgfia we;s wegñÿ¿ j, isÿfõ' fïjd l%u l%ufhka mßK; ffi, njg m;afõ' weg ñÿ¿j, m%:ufhkau fkdfïrE ffi, ^Blast Cells& ksIamdokh jk w;r fuu fkdfïrE ffi, l%u l%ufhka mßK; fi, njg j¾Okh fõ'

,shqflañhd frda.shl=f.a reêrh iuyr wjia:dj,§ fuu fkdfïrE ffi, ^Blast Cells& idudkH mßK; ffi, njg j¾Okh fkdfõ' túg tu

frda.h .ek úia;r oek.ekSug m%:u" idudkH reêrh ms<sn| iq¿ wjfndaOhla ,nd .ksuq' doctormagazine.lk

FEBRUARY 2018 | DOCTOR MAGAZINE

ffi, widudkH ffi, njg m;afõ' fuu widudkH ffi, reêrhg tlajQ úg ,shqflañhd frda.h u;=fõ'

,shqflañhd j¾. fudkjdo@ m%Odk jYfhka ,shqflañhd j¾. y;rla we;'

blauKska j¾Okh jk ,shqflañhdj 1. Acute Lymphoblastic Leukaemia - ALL 2. Acute Myeloid Leukaemia AML

fiñka j¾Okh jk ,shqflañhdj 3. Chronic Lymphoblastic Leukaemia - CLL 4. Chronic Myeloid Leukaemia CML l=vd orejkg je<fËk ,shqflañhd w;r jeä m%udKhla ^90] muK& olakg ,efnkafka b;d blauKska j¾Okh jk ,shqflañhdjh' ^Acute Leukaemia& thska Acute Lymphoblastic ,shqflañhdj nyq,j oelsh yelsh' 32

FEBRUARY 2018 | DOCTOR MAGAZINE

Acute Lymphoblastic Leukaemia (ALL) W.%$ oreKq ,shqflañhdj fuh iqÿ reêrdKq ffi, j, mj;sk ms<sldjls' wiïmQ¾K jid mgl wê ksIamdokh fuys§ isÿfõ' idudkH l%shdj,sh hgf;a iqÿ reêrdKq ffi, jeãu yd fn§u l%udkql+,j yd md,khla we;sj isÿ jqj;a fuys§ fuh md,khlska f;drj isÿfõ' YÍrh b;d úYd, ffi, m%uKhla iE§u keje;aùug ,nd fok idudkH ix{dj fuys§ fkdi,ld yeÍula isÿfõ' fï fya;=fjka ffi, wLKavj úNdckh jk w;r úfYaIKh ùula isÿfkdfõ' fuh

,shqflañhdj mjqf,a tla orejl=g je<£ ;snQ mu‚ka wfkla orejdgo je<£fï wjodkula ke;' tfiau" Tng ,shqflañhdj fkdue;s úh yel' tfy;a Tfí orejdg th je<£fï yelshdjla we;'

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l=vd orejka yd fhdjqka úfha miqjkakka w;r iq,n fõ'

kuq;a frda.h mj;sk ld,h ;=<

,shqflañhdj frda. ,laIK

• wêl uykaish ^rla;ySk;djh ksid&

b;d blauKska j¾Okh jk ,shqflañhd frda. ,laIK b;d blauKska j¾Okh jk ,shqflañhd Acute Leukaemia j¾. iys; frda.Skaf.a frda. ,laIK flá l,la we;=<; olakg ,efí'

• l=oafoá bÈóu • ykaÈm;a wudrej • nr wvqùu

Èk .Kkla mj;sk WK

l=oafoá bÈuqu

• ks;r ks;r wdidok j,g ,laùu wd§ frda. ,laIK u;=fõ'

weÕ iqÿue,sùu

wêl uykaishla oekSu fyda yqiau .ekSfï wmyiqj

,shqflañhdj mrïmrd.; frda. hlao@

ikaê j, fyda wiaÓj, fõokdj

ke;' fuh tla orejl=g je<£ ;snQ mu‚ka th wfkla orejdgo je<£fï wjodkula ke;' tfiau" Tng ,shqflañhdj

ks;r wikSm .;shla oekSu tl fm<g úúOdldr jq frda.dndO j,g f.dÿre ùu

uqLh jK ùu

b;d wju reêr mÜáld m%udKhla mej;Su ksid widudkH reêr jykh ^iSÍï" wefÕa f,a me,a,ï we;sùu" úÿreuiska f,a .e,Su yd ks;r kdifhka f,a .e,Su hk tajd we;=,;a fõ&

fiñka j¾Okh jk ,shqflañhd frda. ,laIK fiñka j¾Okh jk ,shqflañhd frda.j,§ ^Chronic Leukaemia& tu frda.Skaf.a frda. ,laIK jir fol ;=kla hk ;=re oel.; fkdyelsh' fujeks frda.Ska fndfyda úg y÷kd .kafka fjk;a frda.dndO i|yd mÍlaId lrkq ,nk wjia:dj,§h' fuh uy¨ mqoa.,hka w;r oelsh yels w;r l=vd orejka w;r oelsh yelafla l,d;=rlsks'

doctormagazine.lk

fiñka j¾Okh jk ,shqflañhd frda.j,§ ^Chronic Leukaemia& tu frda.Skaf.a frda. ,laIK jir fol ;=kla hk ;=re oel.; fkdyelsh'

FEBRUARY 2018 | DOCTOR MAGAZINE

idudkHfhka ,shqflañhdj" ksis m%;sldr iu. ksÜgdjgu iqj l< yel' fuhska l=vd orejkaf.a we;sjk ,shqflañhdj iqjlsÍfï m%jK;djh b;d by<h'

fkdue;s úh yel' tfy;a Tfí orejdg th je<£fï yelshdjla we;'

,shqflañhd frda.h y÷kd .ekSug we;s mÍlaIK fudkjdo@ • mQ¾K reêr mÍlaIdj ^Full Blood Count& • Blood picture • wegñÿ¨? mÍlaIdj ^Bone Marrow Biopsy& • l=oafoá bÈó we;s wjia:dj,§ ,nd .kakd fldgia mÍlaId lsÍfuka ^lymph node Biopsy&

,shqflañhdj i|yd we;s m%;sldr fudkjdo@ ,shqflañhdj i|yd ksYaÑ; m%;sldr ^Curative Therapy& iy wdOdrl m%;sldr ^Supportive Therapy& f,i m%;sldr l%u folla Ndú;d lrhs' blaukska we;sjk ms<sld ^Acute leukaemia& ksÜgdjgu iqj l< yel' yqÕla wh orejkag ,shqflañhdj je,e÷Kdu nh fjkjd' kuq;a tfyu nh fjkak wjYH keye' blauka m%;sldrj,g fhduq jqK úg frda.h iqj lr.; yel' ,shqflañhd frda.h i|yd rcfha frday,aj,ska mar;sldr .kak mq¿jka' fuys m%Odk m%;sldr l%uh ;uhs ms<sld kdYl T!IO Ndú; lsÍu' kùk m%;sldr hgf;a ,shqflañhdj je<÷kq 34

FEBRUARY 2018 | DOCTOR MAGAZINE

fndfyda mqoa.,hkag 100] idudkH Ôú;hla .; lsÍug yelshdj we;' ms<sld kdYl T!IO wid¾:l jQ mqoa.,hka yg wegñÿ¿ noaO lsÍu id¾:l m%;sldrhla' kuq;a oekg ,xldfõ rcfha frday,aj, wegñÿ¿ noaOh isÿjkafka keye' ta i|yd Tng úfoia.; ù m%;sldr .ekSug isÿfõ' fuu frda.h uq,a wjia:dj,§ y÷kd .ekSu u.ska ksÜgdjgu iqj lr.ekSu yd úYd, uqo,a úhoï lsÍu wju lr.; yel' tneúka oekgu;a Tfí orejdg by; lS frda. ,laIK ;sfí kï" blauKska ffjoH m%;sldr i|yd fhduq jkak'

••• doctormagazine.lk

LABORATORY TESTS EXPLAINED

;hsfrdhsâ .%kaÓfha we;sjk frda. iy ta i|yd isÿ lrk reêr mÍlaIK iudf,dapkh

wdisß ridhkd.dr fiajdfõ wOHlaI kS,a m%sh;a fcdaka úisks doctormagazine.lk

FEBRUARY 2018 | DOCTOR MAGAZINE

fuu f;dr;=re ;hsfrdhsâ .%kaÓh wdY%s; frda. j,g wod, reêr mÍlaIK iïnkaO úuiquls' Tfí reêr mÍlaIK iïnkaOfhka iudf,dapkh lrñka m%;sldr ,nd .ekSug Tfí ffjoHjrhd iïuqL ù Wmfoia ,nd .ekSu wjYH fhkau jeo.;a jk nj ie<l=j uekj'

flfia fj;;a fï jk úgo mÍlaIK m%;sM< j, ixfõoS;djh" úfYaIs;lrKh yd iïu;lrKh isÿ lrKQ ,nk mÍlaIK mdol lr.kakd fyhska úYaf,aIKd;aul jYfhka ta iïnkaOfhka ie<ls<su;a ùu ksjeros frda. úksYaphla i|yd w;sYhska bjy,a jk nj ie<l=jukdh' ;hsfrdhsâ .%kaÓh wdY%s; fjkialï j,g wod, jk fia reêr mÍlaIK m%;sM< .,md .ekSu iïnkaOfhka fuu ,smsh Tng ud¾f.damfoaYKhla jkq we;'

;hsfrdhsâ .%kaÓfha msysàu

;hsfrdhsâ .%kaÓh yd ine|S wdndO w;sYhska mD:Q,h' fjfiiskau ldka;djka w;f¾ ;hsfrdhsâ frda. jeä jYfhka olakg ,efí' kuq;a ;hsfrdhsâ .%ka:s wiu;=,s;;djhloS we;sjk frda. ,laIK t;rï m%n,j oefkkafka ke;' fï ksid lsishï ielhla u;=jQ l,ayS ffjoHjrhdg reêr mÍlaIK j,ska frda.h y÷kd .ekSug isÿfõ'

;hsfrdhsâ .%kaÓh we;af;a f.f,ys bosßmig jkakgh' fome;af;ys we;s w¾O fol tl;= jQ l< tys fmKQu iuk,fhl=f.a jeksh' Yajdikd,hg hdnoska msysgd ;sfnk w;r Isthmus hkqfjka ye|skafjk mgq mgl f.dKQjlska th jer .ekaù ;sfí' msg;ska olsk flfkl=g W.=re .eÜgg u|la my;ska fuu jákd .%kaÓh ;sfnk nj fmkajd osh yel'

;hsfrdhsâ mÍlaIK j, uq,a hq.h

;hsfrdhsâ .%kaÓfha ld¾hNdrh

1950 oYlh ;rï uE; w;S;hg hk úg tl, ;hsfrdhsâ frda. iïnkaOfhka mÍlaId lsÍug ;snqfKa tlu reêr mÍlaIKhls' Protein-bound

wm .kakd wdydr j, we;s whäka ix>glh weiqf¾ ;hsfrdlaiska (T4) yd ;hs whfvd;hsfrdkska (T3) hk

iodine estimate of the serum total thyroxine (T4) kue;s tu mÍlaIKho

t;rï ixfõoSj f;dr;=re iemhSug ffjoHjrekag wdOdrlhla jQfha ke;' tfy;a j¾;udkh jk úg ;hsfrdhsâ .%ka:sh wdY%s; wdndO ks¾Kfhys,d reêr mÍlaIK fl;rï jeä oshqKq ù we;af;ao h;a" ;hsfrdhsâ .%kaÓfhys frda. iïnkaO úúO biõ iïnkaO ksyaÑ; f;dr;=re ,nd .; yels jk fia úfYAIs; fjñkao kej; kej;;a m%;sM<h iudf,dapkh lrñkao" jvd;a ksrjoH frda. ks¾Khla isÿ lsÍfuys,d wk.s iydhla reêr mÍlaIK j,ska ,efí' 36

FEBRUARY 2018 | DOCTOR MAGAZINE

;hsfrdhsâ .%kaÓfha msysàu doctormagazine.lk

msáhqgß fydafudakh yd mj;ajk oeä iïnkaO;djhhs' th w;sYh iyfhda.d;aul iïnkaOhls' hï fyhlska ;hsfrdhsâ .%kaÓh iajlSh fydafudak ksIamdokh wvd, lr .;af;d;a msáhqgß .%kaÓh bosßm;aj tu fydafudak ksIamdokhg wjYH mshjr .kshs' fï wkqj msáhqgß .%kaÓh;a ;hsfrdhsâ .%kaÓh;a ;hsfrdhsâ fydafudak ksIamdokfhys,d tlsfkldg iyfhda.d;aul jQ ld¾hNdrhl ksr; jk nj meyeos,sh'

;hsfrdhsâ .%kaÓh yd msáhqgß .%kaÓh w_r we_s wmQ¾j iïnkaO_djh fydafudak ksIamdokh lsÍu ;hsfrdhsâ .%kaÓfha uQ,sl ld¾hhhs' wm wkqNjhg .kakd wdydr j,ska whäka ix>glh wjfYdaIKh l< yels YÍrfha tlu ffi, j¾.h ;hsfrdhsâ ffi, jkafkah' whäka yd ;hsfrdlaiska kñka y÷kajk weuhsfkda wï,h iyfhda. fhka l%shd;aul fjñka by;ska i|yka l< ;hsfrdlaiska (T4) yd g%hs whfvd;hsfrdkska (T3) hk fydafudak ksIamdokh isÿ lrhs' ;hsfrdhsâ .%kaÓfhka ksIAmdokh lrk fydafudak j, Odß;dj ie<l+ úg iuia;fhka ishhg 80lau wh;a jkafka ;hsfrdlaiska (T4) fydafudak jYfhks' b;sß ishhg 20 g%hs whfvd;hsfrdkska (T3) uq;a m%n,;djfhka g%hs whfvd;hsfrdkska (T3) ;hsfrdlaiska j,g jvd isõ .=Khla bosßfhks' YÍrfha ;sfnk iEu ffi,hlgu" tys hy l%shdldß;ajhg" fjfiiskau iajlSh mßjD;a;Sh l%shdj,ska iïmQ¾K lsÍug fï fydafudak oaú;ajh ksiel jYfhkau jqjuKdh' ;hsfrdhsâ .%kaÓh iïnkaOfhka l;d lrk úg ;j;a tla m%Odk ,laIKhla .ek isysm;a fkdlru neßh' ta ;hsfrdhsâ .%kaÓh fud<fha ;sfnk doctormagazine.lk

Thyroid-stimulating hormone (TSH) fud<fha ia:dk.; msáhqgß .%kaÓfha bosß md¾Yajfhka >%djh jk fydafudakhls' ;hsfrdhsâ .%kaÓfhka ksIamdokh lrk fydafudak hdukh lrkafka fï fydafudakhhs' msáhqgß .%kaÓh TSH jeäfhka >%djh lrkafka kï ;hsfrdhsâ .%kaÓho jeä fydafudak m%udKhla ksmjhs' fï .%kaÓ fol iudkqfhdackfhka ;hsfrdhsâ .%kaÓh u.ska ksjeros ;hsfrdhsâ fydafudak m%udKhla >%djh jk njg j. n,d .kshs' kuq;a fï iuia; l%shdj,sh ì| jegqKQ l,ayS tlaflda ;hsfrdhsâ .%kaÓh jeäfhka fydafudak >%djfhys ksr; fjhs' ke;fyd;a ksmojk fydafudak m%udKh wvq fjhs' TSH fydafudakh fndfyda úg lsishï

wdY%h ;hsfrdhsv widudkH;djhla fõ kï th ye|skSug bÕs imhhs'

;hsfrdhsv .%kaÓfha wjl%shdldß;ajh (Hypothyroidism) ;hsfrdhsv .%kaÓh u.ska wjYH m%udKhg jvd wvqfjka fydafudak ksmoùu Hypothyroidism hkqfjka ye|skafjhs' úvdnr nj" w,i .;sh" hula flfryS wjOdkh fhduq lsÍug fkdyels ùu fuys frda. ,laIK fjhs' FEBRUARY 2018 | DOCTOR MAGAZINE

Hypothyroidism

we;sùug my; ldrKd j,ska tlla fya;= úh yel'

l%shdj,ska fõ.j;a jk w;r wêl wdydr reÑh" úYdoh" kskao fkdhdu wdosh fuys frda. ,laIK fjhs' Hyperthyroidism we;sùug n,mdk fya;= iuyrla

yIsfudfgda frda.h ;hsfrdhsâ .%kaÓfha ffi, j,g m%ydr t,a, lrk iajhx m%;sYla;sl frda. hls' fï ksid ;hsfrdhsâ fydafudak ksmoùu wvd, fjhs' ksy`vj ld,hla ;siafia frda. ,laIK m%lg fkdlrñka j¾Okh jk frda.hls'

f.%Aõf.a frda.h ;hsfrdhsâ .%kaÓh idudkH m%udKhg jvd úYd, fjñka wjYH m%udKhg jvd fydafudak ksmoùu fuys iajNdjhhs' ;hsfrdhsv .%kaÓfha l%shd ldß;ajh wvq ùfïoS we;sjk frda. ,laIK j,g iudk frda. ,laIK fuysoSo we;súh yel' fjfiiskau fï ksid .%kaÓfha l%shdldß;ajh wvqùugo wjodkula we;'

;hsfrdhsv m%odyh ffjri wdidokhla fya;= lrf.k fukau yIsfudfgda frda.h jeks iajhx m%;sYla;sl frda. hla ksido we;s úh yel'

whäka ix>glh wêl ùu ksid we;eï úg fuh we;s úh yel' whäka wka;¾.; T!IO Ndú;h ksid fujka ;;a;aj meK ke.sh yel'

Postpartum thyroiditis we;eï ldka;djkag ore m%iQ;sfhka miqj ;djld,slj we;s úh yels ;;a;ajhls' ;hsfrdhsv .%kaÓhg fydafudak ksIamdokhg whäka wjYH fjhs' whäka ix>glh W!K ùuo ;hsfrdhsv fydafudak wjl%shdldß;ajhg fya;= úh yel'

TSH mÍlaIKhg Ndckh ùu yd úfYaI iQodkula wjYH ke;' tfy;a we;eï T!IO j¾. ksrjoH m%;sM<hla ,nd .ekSug ndOd we;s l< yel' tfia m%;sM<hg n,mdk T!IO f,i Amiodarone,

;hsfrdhsâ .%kaÓfha m%odyh Hyperthyroidism we;sùug n,mE yel' wêl f,i fydafudak ksIamdokh lrñka tajd tlajku uqod yeÍu fuhg fya;=jhs'

TSH mÍlaIKhg Ndckh ùu i|yd úfYaI iQodkula

wjYH fkdfõ'''

Dopamine, Lithium, Prednisone, Potassium Iodide wdosh oelaúh yel' fïjd Ndú;fhka je<lS

mÍlaIKhg Ndckh ùug ffjoHjrhdf.ka kshñ; Wmfoia ,nd .kak' reêr mÍlaIKhloS ish¿ fydafudk i|yd reêrh ,nd .kafka tlajrloSh'

•••

;hsfrdhsv .%kaÓfha wêl%shdldß;ajh Hyperthyroidism ;hsfrdhsv .%kaÓh u.ska wjYH m%udKhg jvd jeäfhka fydafudak ksmoùu Hyperthyroidism hkqfjka ye|skafjhs' fï ksid mßjD;a;Sh 38

FEBRUARY 2018 | DOCTOR MAGAZINE

;hsfrdhsâ .%kaÓfha bosßmi yd msgqmi - u;= iïnkaOhs doctormagazine.lk

CONTACT DETAILS OF ASIRI LABS & COLLECTION CENTRES Asiri Hospital Holdings PLC 181, Kirula Rd, Narahenpita,Col-5 011 - 4523355-57 prlab@asiri.lk The Central Hospital 114, Norris Canal Rd, Col-10 011 - 4665500 / 077 - 2092847 chllab@asiri.lk Asiri Surgical Hospital PLC 21, Kirimandala Mw,Col-5 011 - 4524400/48 microlab@asiri.lk Centres & Labs Address Telephone Akurana 91E, Mathale Rd., 081 7634009 Anurudhapura 280A, Maithreepala Senanayaka Mw, 025 7800850 - 52 Athurugiriya 1/1 E, Borella Rd., 0117 634312 Awissawella 29, Gemland, Kudagama Rd., 036 7637611 Awissawella 48, Seethagama A 036 7634 008 Badulla 13C, Bandarawela Rd. , 0557 634011 Badulla 18, Darmadootha Rd., 055 7634020 Bandarawela 276, Badulla Rd., 057 7634008 Bambalapitiya Skin Clinic, 32, Lauries Rd., Colombo 04 011 7634184 Battittcaloa 39/1, Central Rd., 065 7755400/ 7755401/02 Bogambara 46, Keppitipola Rd.,Kandy 081 7389011 / 13 Dehiwala 190 A, D.B.Jayathilake Mw (Hill Street) 011 7634096 Embilipitiya 29 / A, New Town Rd., 047 7634008 Gampaha 144, Queen Maryâ&#x20AC;&#x2122;s Rd., 033 7500598 Gampola 36C, T.B.Panabokke Mw., 081 7634013 Homagama 20, Katuwana Rd., 011 7519583 Horana 223B, Anguruwatota Rd., 034 7877200 IDH 34/4 D, Kollonnawa Rd., Gothatuwa New Town 0117 634310 Jaffna 546,Hospital Rd. , 021 7389389 / 7389392/93 Ja-Ela 67, Gamini Rd., 011 7634186 Kadawatha 134H, Jaya Mw., 011 7617180 Kada 50 1, Bandaranayake Mw., Anuradhapura 025 7800854 Kaduwela 475/1/D, Avissawella Rd., 011 7782710 Kalubowila 5, S De S Jayasinghe Mw 011 7389701 / 7389704 Kandy 67/7, William Gopallawa Mw 081 7389022 Katugastota 202/3,Katugastota Rd., 081 7634002 Kalutara 243/1 B, Galle Rd.,Kalutara South 034 7634005 Kegalle 325, Main Street, 035 7634014 Kiribathgoda 140/B, Kandy Rd.,Dalugama,Kelaniya 011 7782704 Kotahena 01, Pickerings Rd., Colombo 13 011 7782702 Kottawa 197/1,Horana Rd., 0117 634159 Kuliyapitiya 95, Hettipola Rd., 037 7634003 Kurunagala 199 / 1, Colombo Rd., 037 7220110 - 12 Malabe 877, Athurugiriya Rd., 011 7654039 Maharagama 152, Piliyandala Rd. , 011 7634182 Marawila Moodukotuwa 032 7634010 Matara 191, Anagarika Dharmapala Mw 041 4390900 Matale 87/A, Kandy Rd., 066 4501011 Nawalapitiya 119,Kothmale Rd., 054 7634012 Negambo 155, Colombo Rd 031 7388010 - 12 Nittambuwa 584, Kandy Rd. , 0337 634004 Nugegoda 584, Highlevel Rd., Gangodawila 011 7634098 Panadura 159, Galle Rd., 038 7634011 Pelawatta 730 B, Pannipitiya Rd. , 011 7634035 Peradeniya 208, Peradeniya Rd., Kandy 081 7634010 Pilimathalawa 197/1, Daulagala Rd., 081 7634015 Piliyandala 148A, Horana Rd., 0117 634188 Ragama 39 A, Kadawatha Rd, 011 7389753 - 55 Rathmalana 421G, Galle Rd., 011 7782708 Tangalle 187, Matara Rd., 047 7634007 Wellampitiya 100, Kumaradasa Pl., 011 7519581 Wattala 122, Negombo Rd., 011 7581598 Wellawatta 37, Manning Pl., Colombo 06 011 7782706 Warakapola 92, Main Street, Warakapola 035 7634011 Waththegama 45, Mathale Rd., 081 7634007 doctormagazine.lk

E-Mail akuranalab@asiri.lk anuradhapuralab@asiri.lk athurugiriyalab@asiri.lk avissawella.lab@asiri.lk avissawella.lab@asiri.lk badullacc@asiri.lk badullalab@asiri.lk bandarawelalab@asiri.lk skinclinic@asiri.lk batticaloalab@asiri.lk bogambaralab@asiri.lk dehiwalalab@asiri.lk embilipitiyalab@asiri.lk gampahalab@asiri.lk gampolalab@asiri.lk homagamalab@asiri.lk horanalab@asiri.lk idhlab@asiri.lk jaffnalab@asiri.lk Jaelalab@asiri.lk kadawathalab@asiri.lk kadapanahalab@asiri.lk kaduwela.lab@asiri.lk kalubowilalab@asiri.lk kandylab@asiri.lk katugasthotalab@asiri.lk Kalutharalab@asiri.lk kegallelab@asiri.lk kiribathgoda.lab@asiri.lk kotahena.lab@asiri.lk kottawalab@asiri.lk kuliyapitiyalab@asiri.lk kurunegalalab@asiri.lk malabelab@asiri.lk maharagamalab@asiri.lk marawilalab@asiri.lk infoasirimatara@asiri.lk matalelab@asiri.lk nawalapitiyalab@asiri.lk nglab@asiri.lk nittambuwalab@asiri.lk nugegodalab@asiri.lk panaduralab@asiri.lk pelawattalab@asiri.lk peradeniyalab@asiri.lk pilimathalawacc@asiri.lk piliyandalalab@asiri.lk ragamalab@asiri.lk ratmalana.lab@asiri.lk tangallelab@asiri.lk wellampitiyalab@asiri.lk wattalalab@asiri.lk wellawatte.lab@asiri.lk warakapolalab@asiri.lk wattegamalab@asiri.lk

FEBRUARY 2018 | DOCTOR MAGAZINE

oKysia ikaêfha wikSm jqKdu'''@ oKysia ikaêfha frda. j,g fok fnfy;a kjf,dal frdayf,a ikaê frda. úfYaI{ ffjoH yrsª úfcaisxy 40

FEBRUARY 2018 | DOCTOR MAGAZINE

doctormagazine.lk

oKysia ikaêh wdYs%;j we;sjk frda. ful, iudcfha ;rula nyq,hs' fï ksidu wm ta iïnkaOfhka mßiudma; ,smshla Tn fj; f.k tkakg woyia l<d' tys uq,a fldgi 2017 foieïn¾ udifha m< jq w;r tys wjika fldgi fufia Tn yuqjg f.k tkjd'

isrerg whs;s úYd,;u ikaêh jQj;a" lsishï .eg¿jla we;s jQfjd;a ñi fuh lsisfjl=f.a wjOdkhla oskd .kakd ia:dkhla fkdfjhs' wfma ;=<s;;djh iïnkaOfhka ;SrKd;aul ld¾hhl ksr; jk"'' oskm;d úYd, nr m%udKhla Tijk oksia ikaêh wdYss%; frda. j,g lrk m%;sldr .ek fujr ,smsfha úia;r lrkjd' oKysia fõokdjg ffjoHjrhd fok fnfy;a fndkak melsf,kak tmd''' ikaê m%odyhg ,ndfok we;eï T!IO Ndú;d lrk wh Bg lsishï mels,Sula ;sfnkjd' úfYaIfhkau tys ;sfhk w;=re wdndO iïnkaOfhka' fnfy;a fndk tl iïnkaOfhka wmQre Wodyrkhlska wmg th meyeos,s lrkak mq¿jka' Tng ÿr neyer .ukla hkak ´ks' ta i|yd Tn jdykhla f;dard .kakjd' jdykfh hk úg jdyfka lefvhso@ u.f;dgos wk;=rla fjhso@ tfyu fjkak bv ;sfhkjd' ta lshkafk jdykfhka .ukla hk tfla lsishï wjodkula ;sfhkjd' tfyu lsh, Tn .uk fkdhd bkakjdo@ kE' .uk

doctormagazine.lk

Tn hd hq;=uhs' wjodkula ;snqK;a lsishï mshjrla .kak fjkjd' th Tfí wjYH;djh bgq lr .ekSu lshk hym;a wruqK fjkqfjka l< hq;=hs' fjk úl,amhla kE fkdje' fnfy;a .kak tl;a ta jf.a ;uhs' fnfy;a .ekSfuka lsishï ixl+,;djhla we;s fjkak bv ;sfnkjd' ta;a fnfy; ke;akï ;;a;ajh Bg;a jvd nrm;, fjkjd' frda.h ksid Tn we|g jefgkjd' fï ksid fnfy;a .ekSu m%uqLhs' th w;HjYH fohla' Methotrixate Tiaáfhda wd;rhsáia ;sfhk frda.sfhl=g Methotrixate ÿkaku ;sfhk wjodku thska ,efnk iykh wNsnjd hkjd' ta ksid ta jf.a fnfy;la oSu kqiqÿiqhs' kuq;a reuefgdhsâ wd;rhsáia ;sfhk frda.sfhl=g Methotrixate jf.a fnfy;la oSfuka Tyqg úYd, jdishla w;am;a fjkjd' ikaê m%odyh md,kh fkdlf<d;a ldáf,ac úkdY fjkjd' tal tl ldrKhla' fojkqj fï ksid yDohdndO we;sùfï wjodkula meK k.skjd' wef.a wdidok we;s ùfï wjodku jeähs' fï ksid tjka

wd;rhsáia frda.fha m%fNao FEBRUARY 2018 | DOCTOR MAGAZINE

fnfy;a .ekSfuka lsishï ixl+,;djhla we;s fjkak bv ;sfnkjd' ta;a fnfy; ke;akï ;;a;ajh Bg;a jvd nrm;, fjkjd' frda.h ksid Tn we|g jefgkjd' fï ksid fnfy;a .ekSu m%uqLhs' th w;HjYH fohla' wjia:d j,oS kshñ; Prednisolone, Methotrixate jf.a fnfy;a osh hq;=hs' yenehs fï fnfy;a fok úg wm miq úmrï l< hq;=hs' wlaud tkaihsu jeä fjkjdo@ jl=.vq l%shdldß;ajh fldfyduo@ fï .ek fidhd n,kak ´ks' yßhg fnfy;a .ekSu;a jeo.;a' Methotrixate .; hq;af;a i;shlg j;djla muKhs' th oskm;d .;af;d;a fjkafk w.;shla' yß fnfy; .kak;a ´ks' wm okakjd ikaê m%odyhg fõokd kdYl .ekSfuka fõokdj wvq lr.; yelshs' kuq;a ikaêhg jk ydksh j<lskafk kE' ta jf.auhs os.= ld,hla wm .kakd fõokd kdYl ksid;a w;=re wdndO we;s fjkjd' jl=.vq wdndO" yDohdndO wdosh mjd fï ksid we;s fjkak mq¿jks'

fï ksid wm fï frda.Skag fõokd kdYl Ndú;d lrkakg Wmfoia fokafk udihl muK ld,hla' Bg miafi wms lshkjd" lelal=u wdju ú;rla fnfy;a .kak lsh,' Prednisolone, Methotrixate jf.a T!IOhla Ndú;hg wrf.k fõokdj tk wjia:dfõoS muKla fõokd kdYl ,nd.kakg Wmfoia fokjd'

ikaê.; lelal=ï ;sfhk frda.Ska le,aishï yd wdydruh mod¾: .ekSu iqÿiqo@ wo we;eï frda.Ska le,aishï" wdydruh mod¾: ñ,oS .kakjd' oKysfia wdndO j,g le,aishï j, kï iïnkaOhla kE' Tiaáfhdafmdfrdaisia lshk frda.h oKysig n,mdkafk kE' fï ksid oKysfia wdndO j,g le,aishï .ekSfï kï M,la kE' oKysfia lelal=ï we;s frda.Ska wdydruh mod¾: .ekSfï jeo.;alula ;sfnkjdo@ fïj uq,skau wdfj ldáf,ac jefjkjd lsh,' ta;a tjka fohla isÿ fkdjk nj miqj f;areï .;a;d' fldfydu jqK;a wdydruh mod¾: .ekSfuka w;=re wdndOhla we;s fjkafk kE' ta;a fïjd .ekSfuka úYd, jdishla we;s fjk njla fmfkkak;a kE' wjYH kï ál ld,hla wrf.k Tnu tajd os. gu l< hq;a;lao hkak ;SrKh lrkak'

l%Svd lf<d;a uf.a oKysi f.fjkak mq¿jkao@

ksfrda.S oKysila yd m%odyhg m;a oKysila 42

FEBRUARY 2018 | DOCTOR MAGAZINE

yßhg l%Svd lf<d;a ydkshla fjkak úosyla kE' l%Svd lsÍfuka jdis f.dvla ,efnkjd' tfia lsÍfuka udxYfmaYs Yla;su;a fjkjd' l%Svd lsÍu ksid ldáf,ac f.fjkafk kE' mqyqKQ lrefjla hgf;a ksjerosj l%Svd lsÍfï lsisu .eg¿jla kE' ••• doctormagazine.lk

fm%I¾

frda.Skag iqN wdrxÑhla''' ffjoH YdLH wurfialr m%;srpkhla

doctormagazine.lk

ngysr m¾fhaIlhka kej; fydhd .;af;a fmros. jeishka Y;j¾Idêl ld,hla m%.=K l< Ndjkdfõ wreuhuo@ FEBRUARY 2018 | DOCTOR MAGAZINE

.eUqre yqiau mqyqKq lsÍfuka reêr mSvkh my; jefgkjd''' yeu f,vlgu fnfy;a j,skau iqjh" ikSmh fydhk tl wo ld,fha mqreoaola fj,d' f,vla jqKdu fnfy;a .kak ´ks' zzf,vlg fnfy;aZZ lshk ldrKh wms wu;l lrkak fyd| kE' ta;a wms wu;l lrk jeo.;au foa ;uhs" f,v frda. j<lajkak fnfy;a j,ska fuydg wfmau wej;=ï''' mej;=ï j,g;a úYd, fufyhla lrkak mq¿jka lshk ldrKh' fnfy;a''' fnfy;a''' lsh, ta u;af;u hefmkak yokafk ke;sj cSú;fha lsishï p¾hd;aul fjkila we;s lr .ekSfuka wêreêr mSvkh my; fy<kak mq¿jkah lshk ldrKh ikd: lrk wmQ¾j iqj mqj;la wms Tng f.k tkjd' fïl ngysr úoHd;aul m¾fhaIKhl m%;sM<hla' Tjqka m%ldY lrk wdldrhg" wfma Yajikh md,kh lrk iakdhq ffi, - kshqfrdak j,ska wfma YÍrfha reêr mSvkh;a hdukh lrkjd' md,kh lrkjd' wêreêr mSvk ;;a;ajhla we;s jk úg fï iakdhql l%shdldß;ajh;a fjkia fjkjd' iakdhql l%shdldß;ajh lsishï wdldrhlska md,khlg ,la l< yels kï reêr mSvkh;a Bg iudkqmd;slj fjkia fjkjd'

FEBRUARY 2018 | DOCTOR MAGAZINE

fiñka yd .eUqßka yqiau .ekSfuka fulS reêr mSvkh my; fy<k wdldrfha iakdhql md,khla we;s lrkak mq¿jka nj fï m¾fhaIlhka fy<sorõ lrkjd' .eUqre yqiaug wï,lr jdhqj fõ.j;aj kyr osf.a ixirkh lrkak mq¿jka' tfiau thska reêr ixirkh uekúka l%shd;aul fjk wdldrhg rel=,a oSulao isoaO fjkjd' reêrh ixirkh ùfïoS reêr kd, u.ska we;sjk m%;sfrdaOh;a fï ksid wvq fjkjd' fï l%shdj,shhs" reêr mSvkh my; fy<kakg WmldÍ jkafka' wfma fmros. wd.ñl Ydia;Djreka" od¾Ykslhka fï .eUqre yqiau wNHdi m%.=K lrkjd' fn!oaOhka Ndjkdfjka isÿ lrkafk;a fï wNHdihuhs' fhda.d j,oS" m%dKhdu j,oS .eUqre yqiau .ekSu wdOHd;añl wNHdihla' fu,afnda¾ka yd uefldaß hk ´iafÜ%,shdkq iriú j, m¾fhaIl lKavdhula fufyhjñka fï jákd m¾fhaIKh fufyhjkq ,enQfha uydpd¾h wekavD we,ka' .eUqre yqiau uq,au ld,fha wêreêr mSvk frda.Skag m%;sldrhla fjkjd' <ud yd ;=reKQ úfha fï Yajik wNHdih m%.=K lsÍfuka miqld,Skj wêreêr

doctormagazine.lk

mSvkhg ,laùfï bvlv wju fjkjd' yDo frda." oshjeähdj jf.au wd>d;h jeks nrm;, úhjq,a j,g ,la fkdù isàug flfkla ;u fm%I¾ tl md,kh lrkakg W;aiql úh hq;=hs' wjros. m¾fhaIK fï jeo.;a i;Hh Thdldrfhka wkdjrKh l<;a fïjd fmros. wmg kï wreuhla fkdfjhs' ksfjfiaos" mkaif,aos wms orejkag Ndjkdkqfhda.S ùfï jeo.;alu

W.kajkjd' fndÿkQjkag kï Yajikh md,kh lsÍu wNHdihla fkdfjhs' th Tjqkaf.a cSjk l%ufha jeo.;a wx.hla' wdOHd;añl jYfhka Wiia ;, j,g m;aùug fï l%shdldrlï fya;=jla fjkjd' ngysr isß;a" wdydr rgd wkqlrKfhka frda. jQ fmros. jeishkag kej;;a ;ukaf.au wlauq,a fydhd.;af;d;a fï yeu m%Yafkgu úi÷ï fidhd.kak myiq fõú' •••

ffjoH úoHd;aulj ikd: jQ .eUQre yqiau .ekSfuys m%;sM<

Tfí reêr.; mSvkh my; fy<hs'

fud<fha ffi, mqk¾cSjkh lrhs'

fmKy¿ msßisÿ lrhs'

kskao W;af;ackh lrhs'

idxldj" úIdoh iukh lrhs'

-Daily Mail doctormagazine.lk

FEBRUARY 2018 | DOCTOR MAGAZINE

fmnrjdß 4 Èkg fhfok

f,dal ms<sld Èkh ksñ;af;ks

ms<sld iïnkaO uQ,sl f;dr;=re 46

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reêr wdY%s; ms<sld úfYaI{ ffjoH iuka fyajdudk úisks

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ms<sldjla hkq l=ulao@ ms<sldj hkq ;ks frda. hla fkdj" tlsfklg hï iudklï olajk frda. lSmhl tl;=jls' jvd;a lemS fmfkk iudklu jkafka YÍrfha wfkl=;a m%foAY wdl%uKh lsÍug fyda me;sÍ hdug yelshdj we;s widudkH ffi, ms<sldjloS yuq ùuhs' iEu ms<sld j¾.hlgu Bg úfYaIs; jQ frda.h yÕjk wdldrhla" yeisÍï rgd iy m%;sldr mj;sk ksid ms<sld j¾. tlsfklg olajk iudklï j,g jvd fndfyda fjkialï o olajhs' iuyr rgj, ms<sld j¾.h wkqj ta i|yd m%;sldr lSÍug úfYAIs; mßphla olajk úfYaI{ ffjoHjreka isà' WodyrKhla f,i" idhksl ms<sld fyda reêr wdYS%; ms<sld úfYaI{ ffjoHjreka" reêrh wdY%s; ms<sld i|yd m%;sldr lrk w;r mshhqre ms<sld úfYaI{ ffjoHjreka mshhqre ms<sld i|yd m%;sldr lrhs' doctormagazine.lk

wmf.a ffi, j, iajNdjh kï" ál ld,hlg miq fn§ug iy ñh hEug ie,iqïj ;sîuhs' ms<sldj hkQ md,kh lr.; fkdyels widukH f,i ffi, fn§hdu fyda iuyr úg ffi, ñh fkdhd mej;Suhs ^wdhq ld,h §¾> lsÍu" ffi, urKh wvq lsÍu&' fuu ffi, widukH tajd jk neúka tajdfha ffi, fn§hdfï md,kh ke;s ùu fyda urK wkqmd;h wvq ùu ;=<ska ms<sld we;s lrhs' tlai;a rdcOdksfha isák fofofkl=f.ka tla flfkla ms<sldj,g f.dÿ/fjhs' j;auka oshqKQ m%;sldr j,ska fndfyda fofkla iqjm;a lr .; yels ùug ,eîu i;=gg ldrKdjls'

ms<sldjla wdrïN jkafka flfiao@ cdk j, isÿ jk fjkia lï ksid we;sjk ms<sld''' iEu ffi,hlau È.= odu DNA ^äTlais rhsfnd kshqlaf,hsla wï,h& j,ska idod we;s j¾Kfoay j,ska iukaú; kHIaáhls' DNA j, cdk oyia .Kkla wvx.= jk w;r" tu.ska RNA f,i ye¢kafjk fjkia j¾.fha wKq u.ska yeisrúh hq;= wdldrh ffi,hg lshkq ,efí' cdk fjkia ùu zzúlD;sZZ f,i ye¢kafõ' ffi, fn§fï§ úlD;s isÿùu wyïfnka isÿ úh yel' fuh ffi, ;=< Ôj l%shdj,s u.ska isÿ úh yels fyda wm YÍrhg ndysßka we;=¨ jk ridhksl øjH" T!IO" úlsrK iy ÿïfld< ÿudr jeks foa fya;= úh yel' cdk Èfkka Èk ydks jk w;r idudkHfhka ffi, ms<silr lsÍu fyda ydks l< ffi, ueÍhdu isÿfõ' we,afidfidau ñksiqkag ms<sld j¾Okh ùug jeä bvla we;s w;r thg fya;=j ms<sld iE§ug fya;= jk cdk úfYaIhla Ujqka i;=j mej;Suhs' iuyr úlD;s ffi, ;jÿrg;a md,kh hgf;a fkdmj;S' fuu.ska ffi, .=Kkh ùu fyda urKhg m;a ùu ie,iqï l< wdldrhg isÿ fkdfõ' idudkH ffi, ms<sld ffi, njg m;aùug fujeks úlD;s lSmhla fya;=fõ' FEBRUARY 2018 | DOCTOR MAGAZINE

wmf.a ffi, j, iajNdjh kï" ál ld,hlg miq fn§ug iy ñh hEug ie,iqïj ;sîuhs' ms<sldj hkQ md,kh lr.; fkdyels widukH f,i ffi, fn§hdu fyda iuyr úg ffi, ñh fkdhd mej;Suhs' ffi, j, isÿ jk fjkia lï ksid we;sjk ms<sld ffi, fjkia ùu ksid ms<sld we;sfõ' wmf.a YÍrh ñ,shk ish .Kkla ^100"000"000"000 la& ffi, j,ska iukaú; fõ' idudkHfhka wmg tla tla j¾.fha ffi, ksjerÈ ixLHdjla ;sfí' ms<sldjla ffi, tll fyda lsysmhl cdkuh fjkialï ksid wdrïN úh yel' fuu cdk fjkialï u.ska jerÈ ix{d we;s lsÍu fyda ix{d wvq lsÍu isÿ lrhs' tu.ska ffi, j¾Okh ùug yd .=Kkh ùug mgka .kS' fndfyda úg th ms<sldjla fyda ffi, j¾Okhla úh yels w;r iEu wjia:djl§u th tfia isÿ fkdúh yel' reêr ffi, j,ska wdrïN jk ms<sld iuyrla ,shqflañhdj f,i y÷kajhs' tu.ska >k ms<sld iEfokafka ke;' ta fjkqjg" ms<sld ffi, wegñÿ¿ j, yd iuyr úg reêrfha we;s fõ'

fuu fjkialï iys; ffi, fj; l=ula isÿ fõo@ cdk fjkialï isÿùu ;=<ska ms<sld ffi, idudkH ffi, j,g jvd fjkia fõ' idudkHh ffi, m%;sksIamdokh jkqfha wjYH jQ úg mu‚' ;jo bkamiq tajd úfYaIs; ffi, njg m;a jkq we;' 48

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Tjqka tlsfklg ne£ isref¾ kshñ; ia:dkfha /£ isà' tfiau" Tjqka ydks jQ úg fyda mßK; ffi, jQ úg" urKhg m;aùfï l%shdj,shl ksr; fõ' kuq;a ms<sld ffi, ;=< fuu .=Kdx. olakg fkd,efí' Tjqka ffi, .=Kkh ùu k;r lrkafka ke;' fuf,i md,khlska f;drj isÿjk j¾Okh ms<sld iE§ug u. mdohs' f,a ms<sld j,§ fuu ffi, wegñÿ¿ ;=< yd reêrh ;=< f.dvke.Su isÿfõ' fuu ffi, úfYaIs; ffi, ^mßK; fyda fjkia& njg m;a fkdfõ' tneúka tu ffi, j, l%shdldÍ;ajh wlS%hj mj;S' Tjqka kshñ; ld¾hh isÿ fkdlrk w;r idudkH ffi, tu ld¾hh isÿ lrhs' tfiau" Tjqka ydks jQ úg fyda mßK; ffi, jQ úg" urKhg m;aùfï l%shdj,sfha ksr; fkdfõ' ms<sld ffi, tlsfklg ne£ ke;¦ wfkla whf.ka fjkaj fjk;a ia:dkhka fj; me;sr h;s' fuu fjkialï we;eï úg wkaùlaIhla hgf;a fmfka' idudkH ffi, j,ska Tjqka fjkia úh yelsh' tajd úúO m%udKj,ska iy yevj,ska úh yelsh' tfiau" ms<sld ffi, ;=< fuu fjkialï y÷kd.ekSu i|yd m%;sYla;slrK ridhkh" *af,da ihsfgdfug yd wKql cdkuh mÍlaIK jeks ;j;a ÈhqKq ;dlaI‚l l%u mj;S' ••• doctormagazine.lk

DIABETIC RETINOPATHY

Èhjeähdj yd ine¢ wlaIs wdndOh

rdc.sßh f.da,avka lS frdayf,a wlaIs Y,H úfYaI{ ffjoH id,sh m;srK úisks 50

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Èhjeähd frda.Ska jirlg jrla weia mÍlaId lsÍu u.ska fï frda.h l,a ;shd y÷kd.; yel' doctormagazine.lk

Èhjeähdj wo iudcfha nyq,j oelsh yels frda. ;;a;ajhla jk w;r fï fya;=fjka wlaIs wdndO by< hdfï m%jK;djhla o oelsh yel' Èhjeähd frda.fha oreKq ixl+,;djhla jkqfha wefia oDIaáú;dkhg ydks isÿù wefia fmkSu wysñ ù hduhs' fuys§ m%Odk jYfhkau isÿ jkqfha Èhjeähd frda.h wefia oDIaáú;dkfha reêr kd,sld j,g ydks isÿ lsÍuhs' reêrh iy wfkl=;a fïo fldgia wefia oDIaÀú;dkhg jykh ùug mgka .kS' fï fya;=fjka oDIaáú;dkfha mgl bÈóug mgka .kakd w;r tys m%Óm,hla jYfhka wefia fmkSu fnd| ùug mgka .kS' §¾>ld,Skj Èhjeähd frda.fhka fm<Su fya;=fjka fyda fkdi,ld yeÍu u.ska Tn wkaO Ndjhg jqjo m;aúh yel' doctormagazine.lk

frda.fha ,laIK • weig fmfkk rEmfha ,m jeks iajdNdjh u; rEm wmeyeÈ,s ùu' • fmkSu fnd| ùu' • wlaIs ldpfha iqo we;sùu ksid fmkSu wvq ùu' • rd;%sfha§ fmkSu ÿ¾j, ùu' È.= ld,skj Èhjeähd frda.h mej;Sfuka reêrfha we;s fïo yd reêrh oDIaÀú;dkhg we;=¿ ùfuka wefia fmkSu fnd| ù hd yel' l=vd reêr flaI kd,sld j¾Okh ù wei ;=,g wêl reêrh jykh ùfuka" yÈis fkdfmkS hdu ^wkaO Ndjh& isÿúh yel' flfia kuq;a reêr.; iSks uÜgu md,kh lsÍu u.ska wefia fmkSu fnd| ùu fyda wkaO Ndjhg m;aùu j<lajd .; yel' wefia ixl=,;d we;s ùu l,ska y÷kd .ekSu yd ksis m%;sldr ,nd .ekSfuka" weig jk ydks wju l< yel'

Èhjeähdj yd ne¢ wlaIs wdndO we;s ùu wju lr.kafka flfiao@ • Tng ffjoHjrhd ks¾foaY lr we;s T!IO Èkm;d .kak' • ffjoH Wmfoia wkqj wdydr md,kh lsÍu isÿ lrkak' • Èkm;d jHdhdu j, ksr; jkak' • wêl reêr mSvkh j<lajd .ekSug lghq;= lrkak' • uOHidr Ndú;h iy ÿïîfuka j<lskak'

ksfrda.S weil yd oshjeähd wlaIs wdndOh iys; weil fjki FEBRUARY 2018 | DOCTOR MAGAZINE

m%;sldr fuu frda.h i|yd jvd;au iqÿiq m%;sldr l%uh jkafka f,ai¾ m%;sldrhhs' fndfyda fokd f,ai¾ m%;sldr iïnkaOfhka wkjYH ìhla olajk kuq;a" tu.ska weig lsisÿ ydkshla isÿ jkafka ke;' wefia oDIaáú;dkfha widudkH f,i j¾Okh jk reêr kd,sld j,g f,ai¾ lsrK t,a, lsÍu u.ska tajd ;jÿrg;a j¾Okh ùu j<ld,k w;r fuh b;du id¾:l l%uhla fõ' fuu frda. ;;a;ajh W;aikak ù wei ;=<g reêrh .e,Su isÿ jqkq wjia:djl§" b;d m<mqreÿ wlaIs ffjoHjrhl= hgf;a frda.shd yg Y,H l¾uhla ^TPPV& u.ska reêrh bj;a lsÍug isÿfõ' ;jo Avastin yd Lucentis hk tkak;a u.ska widudkH f,i j¾Okh jk reêr kd,sld j, j¾Okh wvmK l< yel ' f,ai¾ m%;sldr iy tkak;a ud¾.fhka Èhjeähdj yd ne£ wlaIs frda. md,kh l< yels kuq;a iïmq¾Kfhka iqj l< fkdyel' tu ksid fuu ;;a;ajfhka fmf<k frda.Ska ks;ru 52

m%;sldr ,nd .; hq;= fõ' m%;sldr ,nd.ekSfï jdr .Kk frda.fha frda.S ;;a;ajfha wvq" jeä ùï u; ;SrKh lrkq ,efí' •••

Diabetic retinopathy, also known as diabetic eye disease, is a medical condition in which damage occurs to the retina due to diabetes and is a leading cause of blindness. It affects up to 80 percent of people who have had diabetes for 20 years or more. At least 90% of new cases could be reduced if there were proper treatment and monitoring of the eyesThe longer a person has diabetes, the higher his or her chances of developing diabetic retinopathy.

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BE A HEALTHY WOMEN TO MAKE YOUR FAMILY HEALTHER

SWEET HEART

FEMINA

,,kd iqjfi;

BEAUTY

,iaiK

ixialdÃ&#x;ld YHdu,S m;srf.a doctormagazine.lk

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WOMEN'S WORLD

SWEET HEART

orejkag je<f|k

uq;%d wdidok

orejkag je<f|k uq;%d wdidok j,g ksjerosj m%;sldr fkdlf<d;a miqld,Skj .eg¿ we;súh yelshs 54

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<ud frda. ms<sn| úfYaI{ ffjoH §md,a fmf¾rd

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zzmqxÑ ldf, orejkag we;sjk uq;%d wdidok j,g ksishdldrj m%;sldr fkd,enqfKd;a jeäysáhka jqKdu" jl=.vq wdndO j,g fï wh ,laùfï wjodkula ;sfnkjd' thhs Nhdkl' úfYaIfhkau uq;%d ud¾.h" uq;%d jdyskS wdidokh ùu oeä wjOdkhg fhduq úh hq;= ;;a;ajhla'

WOMEN'S WORLD

zzmqxÑ orejka uq;%d wdidok j,g ,laùu we;eï úg olakg ,efnkjd' mqxÑ orejka uq;%d wdidok j,g ,laùu uõmshkaf.a úfYAI wjOdkhg fhduq úh hq;= ;;a;ajhla'ZZ <ud frda. úfYaI{ ffjoH oSmd,a fmf¾rd mjikjd' fmdÿfõ ffjoHjreka w;f¾ ;sfnk fï u;fha jeo.;alu uõmshkq;a oek.; hq;=uhs' fï ksid wm ta ms<sn|j ffjoH oSmd,a fmf¾rd ue;s÷ka fj;ska jeäÿr úuiSula l<d'''

orefjl=f.a uq;%d wdidokhla we;s jqKdu ta nj m%lg lrk ,laIK fudkjdo@ • • • • •

uq;%d mylsÍfï wmyiqj WK uq;%d iuÕ reêrh msgùu ks;r ks;r uq;%d myúu há nfvys we;sjk fõokdj

uq;%d wdidok os.gu ;sfnk úg orejdf. nr jeä fjkafk kE''' uq;%d wdidokhla §¾>ld,hla mj;sk úg orejdf.a YÍr nr jeäùula isÿ fkdùug o bv ;sfnkjd' lsishï orefjl=f.a nr jeä fkdùug úfYaI fya;=jla meyeÈ,s jkafka ke;skï" thg fya;=j fndfydaúg orejd uqyqK § we;s uq;%d wdidokhlao hkak fidhd ne,sh hq;=hs'

uq;%d wdidok j,oS isÿ lrk ffjoH mÍlaIK f,vla ;sfhk njg iel my< lrdu ta nj ;yjqre lr.kak;a tmdhe' talg ffjoH mÍlaIK isoaO lrkak isoaO fjkjd' uq;%d wdidokhla we;s jqKdu orejkag lrk ffjoH mÍlaIK .ek ffjoH;=ud lsõfj fufyu''' zzmyiqfjka lrkak mq¿jka Urine Full Report (UFR) tl' thska lsishï uq;%d wdidokhla ;sfnk$ke;s njg lsishï bÕshla imhkjd' ta;a frda.hg fnfy;a fidhd .ekSu;a jeo.;a jk ksid uq;%d frdamk mÍlaIKhla

tfykï orejkag uq;%d wdidok we;s jqKdu th ksjerosj m%;sldr wrf.k iqj lr.; hq;=uhs'ZZ ffjoH oSmd,a fmf¾rd m%ldY lrkjd' doctormagazine.lk

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WOMEN'S WORLD

(Urine Culture) isoaO lsÍu b;d jeo.;a fjkjd' fuysoS uõmshka isys ;nd.; hq;= jeo.;a ldrKhla ;sfnkjd' m%;scSjl T!IO ,nd fokak fmr fï mÍlaIKh i|yd uq;%d ksheosh ,nd.; hq;=hs'

l=vd orejka uq;%d wdidok j,g ,la fjk fya;= mqxÑ orejkag uq;%d wdidok we;s fjkafk wehs@ Tng meK k.sk m%Yakhu wmg;a we;s jqKd' wms n,uq ffjoH oSmd,a fmf¾rd thg ms<s;=re fok wdldrh .ek''' zzwe;eï úg orejkag Wm;skau uq;%d ud¾.h wdY%s;j hï hï wvqmdvqlï we;s fjkjd' fY%da‚h úYd, ùu" uq;%d jdyskSj, we;sjk wjysr;d" uq;%dYfha fmaYsfha we;sjk widudkH;d" uq;%d ud¾.fha we;sjk wjysr;djhka wdÈh ta w;ßka úfYaIhs' Bg wu;rj orejd j¾Okh jkúg tkqfrisia ^Enuresis& iy jDlal m%odyh ^Nephritis& jeks uq;%d wdndO we;sjkak;a mq¿jka' l,d;=rlska orejkag jl=.vq j, ms<sld jeks ;;a;ajhka jqK;a we;s fjkak mq¿jks' .eyekq orejka ta whg wkkH uq;%d ud¾.fha msysàu ksid úIîc wdidok j,g jeäfhka ,la fjkjd' ta ksid ta wh jeäfhka uq;%d wdidok j,g k;= ùfï m%jK;djhla ;sfnkjd'

l=vd orejka uq;%d lrk jdr .Kk w¿; Wmka orefjla Wmka oskfha tla j;djla fyda uq;%d l< hq;=hs' osklg 6-7 j;djl isg 10-15 j;djla jqK;a Wmka w¿; orejka uq;%d lrkjd' udi folla muK jhi jk úg l%ufhka orejd uq;%d lrk jdr .Kk wvq lrkjd'

orejkaf.a uq;%d md,kh l%ufhka we;s jk yeá w; orejkag uq;%d md,khla kE''' jhi 56

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wjq' 2-3 muK jk f;la orejkaf.a uq;%d j, md,khla kE' uq;%d msgjkafka w; orejd;a fkdoekSuhs' jhi wjqreÿ 3la muK jk úg uq;%d lsÍfï wjYH;djh orejka uõmshkag okajkjd' tfy;a fï jhfiaoS rd;%sfhaoS kï bfíu jf.a uq;%d msg fjkjd' we| f;uk orejkag ;rjgq lsÍu fyd| kE''' we;eï fj,djg mdie,a jhfia orejka w;f¾ mjd bfí uq;%d msgùu" rd;%sfhaoS we| f;óu mj;skjd' uõmshka lrk jrola ;uhs" fujka wjia:d j,oS orejkag ,ecacd lsÍu' nekSu" ;rjgq lsÍu' th b;du krlhs' thska orejdf.a Ñ;a;fõ.Sh ixj¾Okhg nrm;, f,i ndOd meñfKkjd' thska ;;a;ajh jvd;a whym;a fjkjd' orejkag tys md,kh we;eï úg ke;a;gu ke;s fjkjd' jhiska uqyql=rd .sh Tfí orejd lsishï uq;%d wixhuhlg m;aj ;sfnkjd kï ffjoHjrfhl=g fmkaùu iqÿiqhs' ffjoH yuqfõoS fï m%Yakhg iaÓridr úi÷ula ,ndoSug ffjoHjrhdg yelshdj ;sfnkjd'

kskafoa we| f;uk orejkag th j<lajd .kakg uõmshka l< hq;= l%shdldrlula''' orejdg osjd l, jeäfhka j;=r mdkh lsÍug i,iajkak' túg orejdf.a uq;%dYh jeä uq;%d Odß;djla r|jd.; yels jk fia úia;drkh ùula isoaO fjkjd' fuhska uq;%d msg lsÍu isÿjk wjia:dj oS¾> ùula isÿ fjkjd' os.= ld,Sk jYfhka we| f;ófuka we;sjk ysßyerfhka orejd uqojd .ekSug fï wNHdih m%fhdackj;a fjkjd'

.eyekq orejka jeä jYfhka uq;%d wdidok j,g ,la jkafka wehs@ .eyekq orejkaf.a uq;%d ud¾.h fláhs' ta jf.au uq;%d ud¾.h;a" .=o ud¾.h;a wdikakfha msysàu ksid th myiqfjka doctormagazine.lk

m%;scSjlhs' frdamk mÍlaIdfjka iqÿiq hhs ksYaph lr.kakd m%;scSjl T!IO idudkHfhka osk y;la ,nd fokjd'

uq,a ldrKh tkï .eyekq orejkaf.a uq;%d ud¾.h fláùu iïnkaOfhka kï wmg l< yels lsisjla kE' ta;a orejd msßisÿ lsÍfïoS .=ofhka úIîc uq;%d ud¾.fha iam¾Y ùu je<elaùug uõmshkag wjia:dj ;sfnkjd' u<my l< miq orejd msßisÿ lsÍfïoS uq,skau msßisÿ l< hq;af;a uq;%d ud¾.hhs' túg iam¾Y jQ u< uq;%d wjhj j,g msúfikafka kE' u< ud¾.h msßisÿ lsÍfïoS iSrejg th lrñka lsis úfgl orejdf.a uq;%dY wjhj iam¾Y fkdjk fia fodajkh lsÍu;a jeo.;a'

w;ru.oS lsisu fya;=jla ksid fï m%;sldrh kj;ajkak nE' ffjoH Wmfoia wkql+,j kshñ; ud;%dj kshñ; ld,dka;r j,oS ,ndoSu uõmshkaf.a j.lSula' T!IO wdrïN lr flá ld,hlskau frda. ,laIK bj;aùu ksid zzorejdg oeka fyd| fj,dh lshkZZ jeros wjfndaOhlska fnfy;a k;r lf<d;a fkdfnda osklska kej;;a frda.h ysi Tijkjd' túg m%;scSjl m%;sfrdaë nelaàßhdjka we;sjk ksid m%;sldr l%shdj,sh;a ixlS¾K fjkjd' fï ksid ffjoHjreka Wmfoia fok wdldrhgu m%;sldr lsÍu yßu jeo.;a' frda.h kshudldrfhka lvd fkd.;a úg ;uhs miqld,Skj jl=.vq wdndO we;sùu olajd jqK;a ;;a;ajh ne?reï úh yelafla' •••

uq;%d wdidokhloS orejdg fok m%;sldr fuysoS m%;sldr f,i ,nd fokafka

jl=.vq ydkshg ,lafjhs' fuh ;Sj% jl=.vq wdmodjla f,i ye|skafjhs'

uq;%d m%Kd, yryd nelaàßhdjka by<g .uka lrhs'

jHdêldrlhka uq;%dYh fj; meñK .=Kkh fjhs'

úIîc uq;%d ud¾.fha l|jqre ne|.kS' th l%ufhka uq;%dYh lrd me;sÍug h;a; orhs'

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Stages of Renal Tract Infection uq;%d wdidokhla Tvq ÿjk mshjr

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WOMEN'S WORLD

wmsßisÿ ùug;a bv m%ia:djla ;sfnkjd' fï lreKQ ksid .eyekq orejka w;f¾ uq;%d wdidok we;sùfï wjia:d nyq,hs'

WOMEN'S WORLD

SWEET HEART Children with Special Needs

úfYAI wjYH;d we;s

orefjda orejkaf.a jeäÿr l;d nyg ,la fkdjk ldhsl ÿn,;djhka yd úfYaI wOHdmkh úfYaI wOHdmk Ñls;ail yd ufkda WmfoaYsld wdYd os,arelaIs fmf¾rd úisks

FEBRUARY 2018 | DOCTOR MAGAZINE

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fjfiia wjOdkh fhduq l< hq;= ldhsl ÿn,;djhka • udxY fmaYs mrsydksh • wmiaudrh • uia;sIal wd>d;h

udxY fmaYs mrsydksh udxY fmaYs l%u l%ufhka ÿ¾j, ùu' w;a j," mdo j, uQyQfKa" Wrysi" fmaYsj, fï ;;a;ajh we;s fõ' msrsñka w;r nyq, fõ' fï ksid fifuka uki jefvk nj meyeos<sh' fï orejkag ysgf.k isàu wmyiQh' ks;r ìu weo jefghs' mä ke.Su wmyiQh' yDo frda. yd Yajik wmyiQ;d we;sùfï bvlv jeäh' ieu fmaYshlau mdfya ÿ¾aj, ùu olakg ,efí'

fud<h ydkshg m;aùu

m%udKhlg we;s lrjk tla idOlhla f,i wmiaudr frda.h ie<lsh yel' fud<h ishqï iakdhQ j,ska iEÿKq .%ka:hls' fuys ffi, úúO ridhk øjH u.ska mKsúv ,nd f.k tla ffi,hlska ;j;a ffi,hlg mKsúv yQjudre fõ' fï l%shdj,sfhys wkQms<sj, ;djld,slj ì| jefÜ kï th wmiaudrhhs' wmiaudrfhys m%Odk ,laIKh .eiauh' th m%Odk fldgia ;=klg fnfoa' ;on, .eiau" iQ¿ .eiau" ufkdapd,l .eiau ^fuh pd,l moaO;sh flfryS muKla fkdj udkisl ls%hdj,sh flfrySo n,mdhs'& ufkdapd,l .eiau Wod' f;d, f,j lEu" we÷ï .e,ùu" we÷ï w,a,d .ekSu fuysoS my; Wmfoia ms<smeoSu b;d jeo.;a fõ' • l,n, fkdjkak • orejdg jd;dY%h ,efnk f,i we;ska isákak • n,d isákakka ikaiQka ùu • orejdf.a l%shd keje;aùug W;aidy fkdlrkak

ndysr f;rmSu ksid w¾O jYfhka fyda mQ¾K jYfhka ÿn,;djhlg m;afõ' wêl fõ.fhka yd ysi fi,ùu ksid fud<ho lsishï fi,ùulg ,la fjhs'

• wk;=reodhl øjH mßirfhka we;a lrkak

NdIK ÿIalr;d" iudfhdack ÿIalr;d" oDIaGsh jeks ixfõokhkag wod, bkaøsh ÿn,;d fï orejka flfrka oelsh yel'

• úkdä 10 lg jvd mj;S kï ffjoHjrfhl= fj; fhduQ jkak

os.= ld,Sk yd flá ld,Sk u;lh wvQ ùu isÿfõ' fndfyda .=rejrekag fud<hg ydks isÿjQ orejka .ek wjfndaOhla ke;'

• ñ:Hd u; ÿre lsÍug W;aidy .kak

wmiaudrh <uhskaf.a bf.kqï ÿn,;d tla;rd doctormagazine.lk

• wkjYH lsisjla uQLhg fkdoukak mysi me;a;g yrjd fiu" fl< fífrkak yrskak

• orejdg úfõl .kak yrskak

• wkdrlaIs; <sx" fmdl=KQ wdoshg hEu je<elaúh hQ;=h • wdYajdi m%dYajdihg iQÿiQ mrsirhla ,nd oSug W;aidy lrkak FEBRUARY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

we;eï orejka ;uka ;=< we;s ldhsl ÿn,;djhka ksid fiiq orejka muKg l%shdldß;ajhla oelaùug wfmdfydi;a fj;s' fï tu iqúfYaIS orejka /ln,d .ekSu yd iïnkaO ud¾f.damfoaYKhls'

WOMEN'S WORLD

• iïmQ¾K isysh ,efnk f;la lsisÿ mdkhla fkdfokak

• ks;r weo jefghs

j,smamq ;;a;ajh we;sjsug fmr my< jk ,l=KQ

• bkaøsh ÿn,;d j,ska fmf<hs

• orejd tl t,af,a n,d isà

• yqiau .ekSu wmyiQh

bf.kSug fï orejkaf.a frda. ;;a;ajhn,mdk whQre

• ysi yd uQyQK wiajdNdúl iajrEmhla .kS

• NdIK wmyiQ;d ksid wjfndAOh wvQùu

• ysi wm%dKslj lrljhs

• bf.kSug ue<sfjhs

• weia WvQl=re fjhs

• ixfõoS bkaøsh ÿn,;d ksid tl wruQKl isàu wmyiQh

• láka wiajdNdúl Yío msg fõ

frda. úksYaph yd m%;sldr • B iS cS mrSlaIKh fj; fhduQ jkak • oskh" fj,djg ud;%djg fnfy;a ,nd fokak • fnfy;a bjr fjkakg m%:u fnfy;a ,nd .kak • orejkag fnfy;a yiQjk f,i fkd;nkak • wêl flaka;sh" ksosu; .;sh fmkajhs kï kej; ffjoHjrhd fj; fhduQjkak

fud<h ydkshg m;aùu hï orefjl=f.a Wmf;aos fydaa Wm;g miQj fud<hg ndysr f;rmSu ksid w¾O jYfhka fyda m%Odk jYfhka wk;=reodhl ;;a;ajhg m;aùu ksid we;sjk ;;a;ajhka'

fud<fha ydks y÷kd .; yels ,laIK • l,n,ldrS iajrEmh • hï fohla tljr m%ldY l< fkdyel • tlu fohla kej; kej; m%ldY lsÍu • isgf.k isàug wmyiQh 60

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• u;lh wvQùu ksid bf.kqï lghQ;= miQniS • fudkhï fohlg fyda msúiSug fndfyda W;aidy .; hQ;=h by; olajd we;s ldhsl ÿn,;djhka ksid orejka úfYAI wjYH;d we;s orefjla njg m;ajk w;r fuu orejkag b.ekaúh hQ;= wdldrh ms<sn|j fyd|ska wjfndaO lr .; hQ;=h' fï orejkag wka orejkag jvd b.ekQï jdr .Kk jeä úh hq;=h' orejdf.ka orejdg l%shdldrlï lrk wdldrho" jdr .Kko fjkia úh yel' ;ks mQoa., wOHdmk ie,iQï wksjd¾h jk jk w;r foudmshka ieu úgu .=rejrhd yd iïm;a odhla mQoa.,hka yd ks;ru hym;a iïnkaO;djhka f.dvk.d .; hQ;=h' ks;ru orejkaf.a l%shdldrlï j, wruQKQ oekQj;a úh hQ;=h' tu wruQKQ wid oek.ekSu Tnf.a whs;shls' •••

fuu f,aÅldj úfYaI wOHdmk lafIa;%h ;=< yi, m<mqreoaola iys; Ñls;ailfhl= jk w;r Asha Special Education Support Centre yS wOHlaIsld jYfhka lghq;= lrhs' doctormagazine.lk

ysfiys yd ysiflia j, ksfrda.SNdjh yd oel=ïl¿ fmKqu iqrlskakg .;hq;= mshjr ysiflia .e,ù hdu k;r lsÍug wdhq¾fõoSh .=K idr f;,a j¾.hla .e,aùu losu úi÷uls'''

wdhq¾fõo ffjoH os,sma ixcSj ks,afldgf.a úisks doctormagazine.lk

FEBRUARY 2018 | DOCTOR MAGAZINE

ysiflia .e,ù hdu wo iudcfha fndfyda ldka;djkaf.a" msßñkaf.a fukau l=vd <uhskaf.ao iq,nj olakg ,efnk .eg¿jls' frda.S ;;a;ajhls' fuh frda.S ;;a;ajhla jkafka wdhq¾fõohg wkqj oirefjka by< ysi m%foaYh ^lm& fyj;a l¿ fyj;a fiu mj;sk ia:dkhla jk w;r lm fyj;a l¿ jDoaê ùu fyj;a fiu jeäùu fya;= fldgf.k ysfiys mj;sk bkaøshhkaf.a l%shdldß;ajfha hï hï .eg¿ meK ke.Sula isÿjk ksidh' tneúka ksfrda.S mqoa.,fhl=f.a YÍrfha wfkl=;a bkaøshhkaf.a l%shdldß;ajh fyd|ska isÿ fjkakdla fukau w,xldrj;a" oel=ïl¿ flia l<Ula ;sîu Tyqf.a ksfrda.Slfï jeo.;a ,laIKhlao jkafkajh' ysiflia .e,ù hdu .ek l:d lsÍug m<uqfjka ysiflia ieliS we;s wdldrh yd ysfiys iu ieliS we;s iqúfYAIS wdldrh iïnkaOfhka lsishï wjfndaOhla ,nd .ksuq' 62

ysifla iEoS we;af;a uereKQ ffi, j,sks ysiflia hkq flráka kue;s fm%daàkuh jHqyhlska hqla; øjHhls' ndysrg fmfkk ysiflia we;a; jYfhkau ñh.sh tfukau if;l=f.a wx jeks flrákuh øjHhlska ieÿKls' ysia lnf,a ifuys m;=, m%foaYfha isg by<g meñfKk kd,hla jeks f*d,sl,a kï jHqyhla ;=<ska ysiflia ifuka by<g u;= fjhs' fuu kd, ;=< we;s cSù ffi, iuQyhlska ysiflia .i ks¾udKh ù th by<g ;,a¨ lrhs' tu f*d,sl,a kue;s jHqyhgu iïnkaO iafkay>%dù .%kaÓhla Sebaceous Gland msysgd we;s w;r tu.ska >%djhlrk iajdNdúl ff;,uh mod¾: u.ska flia.i os,sfik iq¿,sysis njla yd flia.i leã fkdhk f,i

ksfrda.S nj m;k iEu flfklau ;u ksfrda.S nj wdrlaId lr.kakg ksjeros wdydr yd úyrK mj;ajd .; hq;=jd fukau .=Kd;aul jYfhka ms<s.ekSula we;s f;,a j¾.hla ysfiys .e,aùuo wjYHfhkau l< hq;a;ls'

FEBRUARY 2018 | DOCTOR MAGAZINE

doctormagazine.lk

isksÿ njlao iu.ska iqúfYaIS .=Kdx. tla lrñka fmdaIKh fjñka ksfrda.SNdjh i,id .kshs' flia .il ndysr (Cuticle)" ueo (Cortex) yd we;=<; (Medulla) f,i fldgia ;=klg fnod úia;r l< yel' fuys ndysr fldgi ;=kS" úksúo fmfkk fmd;= wdldr (Scales) tlsfkl wdjrKh lrk jHqyhkaf.ka iukaú; jk w;r th flia.fiys os,sfikiq¿ msg; wdjrKh ilihs' fuu fmd;= wdldr jHqyhka bj;a jQ úg flia. fiys iajdNdúl os,sfikiq¿ nj ke;s ù f.dfrdaiq wm%dKsl njla we;s fjhs' flia .fiys ueo we;s ia:rh j¾Kl iys; jk w;r tu.ska flia.ig j¾Kh ,nd fohs'

flia .i j¾Okfha wjia:d iEu flia .ilau j¾Okfha wjia:d ;=kla .uka lrhs' miq lrhs' • j¾Okh jk wjia:dj • fjkia jk wjia:dj yd

j, j¾Okfha úúO jQ wjia:d ;sfnk w;r ysiflia .e,ùu;a" kej; kej; tajd jeùu;a ksrka;rfhkau isÿjk iajdNdúl l%shdjla nj meyeos,sh' ye,S hdu kej; j¾Okh ùug jvd fõ.j;a jkafka kï th .eg¿jls' thska ysfiys flia .ykh wvq ù ;Ügh mEoSu isÿ fjhs' hï flfkl=f.a ysiflia ye,Sfï fõ.hg jvd j¾Okh ùfï fõ.h jeä kï Tyqg fyda wehg os.= ksfrda.S yd oel=ïl¿ flia l<Ula odhdo fjhs' ysiflia .e,ù hdu úúO fya;= ksid isÿúh yel' msßñkaf.a yd we;eï ldka;djkaf.a cdkuh fya;=ka ksido ysiflia .e,ù f.dia ;Ügh mEoSu isÿ fjhs' ld¾h nyq, cSjk rgdj" udkisl wd;;sh" fiï nyq, frda. ;;a;ajhka" ;hsfrdhsâ .%kaÓfha widudkH;d" wï, ms;a;h yd fvx.= frda.h jeks ffjri WK frda. je<|Sfuka miqj hï ld,hla .;jk ;=re''''tfiau we;eï T!IO .ekSfïoS Bg olajk m%;sl%shdfõ m%;sM<hla jYfhkao flia ye,Su isÿ úh yel'

• ia:dhs wjia:dj

flia ye,Sug fya;= jk wfmau jeros mqreÿ

fuys ia:dhS wjia:dj wjidkfha flia.i ye,S hk w;r kej; uq, isgu w¿;a flia.ila we;s fjhs' ysiflia

tfukau wm oskm;d we;s lrf.k ;sfnk jeros mqreÿ ksido fï ;;a;ajh we;s fjhs' fj,djg wdydr fkd.ekSu"

hï flfkl=f.a ysiflia ye,Sfï fõ.hg jvd j¾Okh ùfï fõ.h jeä kï Tyqg fyda wehg os.= ksfrda.S yd oel=ïl¿ flia l<Ula odhdo fjhs' doctormagazine.lk

FEBRUARY 2018 | DOCTOR MAGAZINE

iajdNdúl T!IO fhdod .ksñka uekúka ilia lrk ,o mdrïmßl jÜfgdarejla weiqf¾ ksmojQ wdhq¾fõoSh fnfy;a f;,a flia .e,ùu ksÜgdjgu iqj lsÍug ;rï ys;lrh' c,h wjYH muKg mdkh fkdlsÍu" m<d j¾." ;ka;=uh wdydr wkqNjh iSud lrñka lD;%Su wdydr j,g jeäfhka yqre ùu" iakdkfhka miqj uekúka ysi fõ,d fkd.ekSu ksid ysia lnf,ys nelaàßhd yd os,Sr wdidok ;;a;aj we;sùu" ysifla fudaia;r .ekaùfïoS flia weoSulg ,laùu" ysifla ;dmhg ksrdjrKh ùu" flia /<s lrk WmlrK Ndú;h" rd;%sfha ksos jEÍu" iakdkfhka miq WKQiqï iq<x u.ska fyda úÿ,s mxld u.ska isis,a iq<x Wmfhda.S lr .ekSu wdoS úúO jq fya;=ka fï i|yd odhl fõ' tfukau úúO jhia iSudjka weiqf¾ ldka;djka isref¾ we;sjk fydafudak fjkialï fya;= fldgf.ko" ore m%iQ;sfhka udi lsysmhlg miq yd wd¾;jdNdjh isÿ ùfïoSo ysiflia .e,ù hdu iq,nh'

flia .ia /l .ekSug;a fyd| wdydr yd úyrK isß;a wjYH fjkjd''' hï mqoa.,fhl=g oel=ïl¿" ksfrda.S flia l<Tla mj;ajd .ekSug kï m<uqj cSjk rgdj fi!LHiïmkak lr.; hq;=h' jeros úyrK yd wdydr j,ska w;añosh hq;=h' YdLidr wdhq¾fõoSh m%;sldr u.ska isÿ lrk 64

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úfYaI i;aldro oel=ïl¿ flia l<Ula i|yd ufydamldÍ jkafkah' úYajdiKSh f;,a j¾.hla .e,aùu ysifla .e,ùfuka ñoSug fyd|u uÕls' iajdNdúl T!IO fhdod .ksñka uekúka ilia lrk ,o mdrïmßl jÜfgdarejla weiqf¾ ksmojQ wdhq¾fõoSh fnfy;a f;,a flia .e,ùu ksÜgdjgu iqj lsÍug ;rï ys;lrh'

;,f;,a" fmd,af;,a" f.dgqfld<" uqlqKQjekak" ks,awjßh" iejekaord uq,a" wr¿" nq¿" fk,a,s" iqj| fldÜgx" W¿yd,a jeks T!IO ksjeros ud;%dj fhdod .ksñka ysfiys wdf,am lrKQ msKsi ksmojk wdhq¾fõoSh f;,a j¾. u.ska jd" ms;a yd fiï frda. iukh lrhs' ysig u;= fkdj ukigo isis,a njla i,ihs' ysifla ye<Su j<lajhs' ysiafydß" flia w. me<Su j<lajhs' ysifla uekúka j¾Okh lrhs' ysiflia uekúka fmdaIKh lrhs' fiï frda. iukh lrkakgo" oEiaj," ysfiys yd wfkl=;a bkaøsh.;j kSfrda.S l%shdldß;ajhla we;s lrhs' ••• doctormagazine.lk

WOMEN'S WORLD

SWEET HEART

foúhkaf.a f,v ;ju;a mj;sk mefmd," lïuq,a.dh yd irïm iïnkaO wdos ldf,a wdl,am yd kùk m%;sldr

f.or m%Odk fodrgqfõ fldfydU fld< w;a;la t,a,kafka frda.h iqjùug foúhkag jk Ndrhla f,i jqj;a ta u.ska ndysßka ksjig tk wuq;a;kag tu ksjfia fndajk frda.hla iys; frda.sfhla isák nj wÕjkjd' 66

FEBRUARY 2018 | DOCTOR MAGAZINE

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uykqjr uy frdayf,a ffjoH md,s; nKavdr iqnisxy úisks miq.sh i;sfha Èkl kjl fyo ks,Odßkshlf.a újdy ux.,H W;aijhla ;snqKd uykqjr fydag,hl' wehf.a ifydaor fyo ks,Odßkshka msßil=;a fï W;aijhg iyNd.s jqKd' tysÈ .;a Pdhdrem lsysmhla uqyqKq fmd;g;a tl;= lr,d ;snqKd' l<ska Èk iji ÿgq Tjqka miqod jk úg iïmQ¾Kfhkau fjkia fj,d' ku od,d ;snqfka ke;akï y÷kd. kak;a neßfjk ;rugu yev fj,d' yevh ú;rla fkdfjhs mdg;a iïmQ¾Kfhkau fjkia fj,d' yßu m%ikak njla ;snqKd' miqÈk Tjqkaf.ka ud ys;j;a tla ks,Odßkshla ÿrl;kfhka l;d lrk úg wehg WK .;shla oefkk nj lsjd' zzug ysf;kafka Bfha odmq fïlma ksid fjkak we;s fvdlag¾˜ weh lSjd' zzfïlma˜ oeïudu WK yefok nj uu;a oek.;af;a ta fõ,dfõ§hs' miqÈk WoEik kej; ÿrl;kfhka l;d doctormagazine.lk

fï jdf.a mqreÿ we;sfjkak fya;=j fï jhsri u.ska we;s lrk frda. zzfoúhkaf.a f,v˜ f,i ie<lSuhs' irïm" lïuq,a.dh iy mefmd, fï f,v w;=ßka m%Odk jkjd' fï w;=ßka mefmd, frda.h je<÷kdu frda.shd oreKq úÈhg frda.S jkjd' isrer mqrd .ia ,nq weg jdf.a Èhr msreKq ìì,s rdYshla isrer mqrdu we;s fjkjd' tajd msmsÍ hdfuka isrer mqrd l,la mj;sk le<e,a we;s jkjd'

foúhka fok o`vqjula'''@ fï frda.hg biair fnfy;a ;snqfKa keye' f.dvdla wudre fj,d bfígu ál ojilska fyd| fjkjd' b;ska fufyu fjkafka ta mqoa.,hdg foúhka úiska fok o`vqjula ksid lsh,hs w;S;fha úYajdi lf<a' fudlo ta ld,fha jhsria lshk frda. ldrlh .ek oekqula ;snqfka keye' fï ksid fkdfhla fokd fkdfhla fkdfhla foaj,a" j;dj;a lrkak mqreÿ

mefmd, msg oeófï woshr ;%s;ajh FEBRUARY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

l< weh zzwfka fvdlag¾ ug mefmd, yeÈ,d''' oeka fudlo lrkafka@˜ uf.ka úuiqjd' jydu m%;s jhsria T!IOh Èklg mia jrla fndk f,i uu wehg Wmfoia ÿkakd' Èklg mia jrla fndkafka meh y;rlg jrla ne.ska î,d uOHu rd;%sh wdikakfha fndkak fjk fnfy;a fõ, fkdî isàfuka nj;a u;la lr isáfha fndfyda fi!LH fiajlhka mjd ta .ek fkdokakd ksihs' ta;a tlalu ´kEu lEula lkak lsh,;a Wmfoia ÿkafka fujka jhsria frda. ioyd iudcfha fndfyda u;su;dka;r u; úúO wdydr ;yxÑ mekfjk ksihs' ta ;yxÑ l%shd;aul lrkafka wïud fyda kekaoïud ksid fmd,Sishg;a jvd fyd|ska tajd l%shd;aul fjkjd'

WOMEN'S WORLD

oeßhlf.a fjkia jQ brKu

jqKd' uia" ud¨ jf.a zzms<syqvq˜ lEu ;ykï jqfka foúhkag .re lsÍula f,ihs' lEug f;,a" ly jdf.a foaj,a tl;= lf<a keye' ñßia fydÈ jf.a fohla ;ud wdydrhg .kak bv ÿkafka' frda.shd muKla fkdfjhs ksjfia bkak ish¨ fokdu fï úÈhg lEu ;yxÑ wkq.ukh lrkjd'

fldfydU w;a; iudc.; lrk jeo.;a mKsúvh frda.shdg lkaKdäfhka uqyqK n,k tl;a ;ykï' lkaKdäh froaolska wdjrkh lrkjd' ta kï uqyqfKa we;sjk nqnq¨ oelSfuka we;sjk ìh" l<lsÍu" wm%ikak;dj j<lajd .ekSug fjkak;a mq¨jka' f.or m%Odk fodrgqfõ fldfydU fld< w;a;la t,a,kafka frda.h iqj ùug foúhkag jk ndrhla f,i jqj;a ta u.ska ndysßka ksjig tk wuq;a;kag tu ksjfia fndajk frda.hla iys; frda.sfhla isák nj wÕjkjd' wmf.a ys;jf;l= frda.S jQ njg wdrxÑ jqKdu idudkHfhka wms thdj n,kak hkjd jqk;a zzfoúhkaf.a f,v˜ yeÿKq frda.Ska n,kak kï hkafka keye' ta zzfoúhkaf.a fldamh˜ ;ukag;a t,a,fjkak mq¨jka njg úYajdi lrk ksihs' ta ksid ksjil fodrgqfõ fldfydU fld< w;a;la t,a,,d ;sfhkjd kï ta ksjig wuq;a;ka we;=,a fjkafka keye' ta jdf.au tfyu ;u iem ÿla n,kak wdfõ keye lsh,d ljqre;a wukdm fjkafk;a keye' 68

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óg jir .Kkdjlg l<ska ojil ud nKavdrfj, frdayf,a fiajh lrk ld,fha ud yuqùug meñKs mqoa.,fhla ;ukaf.a ÈhKsh zzfoúhkaf.a f,v˜ iE§ n,j;a f,i frda.d;=rj we;s nj;a ;uka Ôj;ajk ksfji ;sfhkafka f.dvdla ÿIalr ia:dkhl nj;a lsh,d wehg hï m%;sldrhla ,ndfok f,i b,a,d isáhd' uu lSjd uu wehj mÍlaId lsÍug tu ksjig hdug leu;s nj' l÷ uqÿkl msysá ndf.g yomq l=vd ksjig hEug ;snqfKa l=vd ÿIalr wämdrla' uu ta mdr Èf.a l÷ uqÿkg ke. Tjqkaf.a ksjig tkúg ;rula fjfyig m;afj,hs isáfha' ndf.g yo,d ;snqK l=vd ksjfia bÈßmi fodf¾ fldfydU fld< w;a;la t,a,,d ;snqKd' f.or cfka, ;snqfka keye' úÿ,sh;a wrka ;snqfKa keye' f.h we;=f<a ;snqfKa wkaOldr njla' th we;=,g .sh miqjhs uu oelafla jhi wjqreÿ oy;=kl ú;r oeßhla tys ;snq weola u; je;sÍ isá wkaou' l¿jf¾ wehj mÍlaId lsÍug fkdyels ksid wehj mqgqjl jdälrjd t<shg .;a;d' b;d lDY isrerla ;snQ weh n,j;a f,i frda.S njla fmkakqï l<d' wef.a uqyqK iy f., fmfofia iqÿ frÈ j,g odk ks,a .d,d ;snqkd' weh úc,khg m;a fj,hs isáfha' uu jydu wehg m%;sldr l<d' wehg lïuq,a.dh iE§ ;snqk ksid foudmshka idïm%ohsl l%ufõohla m%;sldr f,i wkq.ukh fldg ;snqKd'

jhsria frda. isref¾ m%;sYla;sfhkau Èk lsysmhlska iqjfjk kuq;a frda.shdg id;a;= lrk wh is;kafka ;uka wkq.ukh l< l%ufõohka iy w;a fnfy;a u.ska frda.h iqjm;a jQ njhs' doctormagazine.lk

kuq;a ud tÈk weh n,kak fkd.shd kï wef.a brKu óg jvd fjkia fjkak ;snqKd' fuu frda.hg zzks,a˜ jf.au w,shkaf.a ylalla ., .d uqyqfKa iy f.f,ys wdf,am lsÍu;a iuyreka úiska isÿ lrkjd' fïjdhska ,efnk .=Khla .ek kï lsisÿ úoHd;aul i;Hhla wkdjrkh ù ke;;a fndfyda fokd fujka w;a fnfy;a l%ufõo wog;a Ndú;d lrkjd'

ffjri frda. iqj jkafka fufyuhs jhsria frda. isref¾ m%;sYla;sfhkau Èk lsysmhlska iqjfjk kuq;a frda.shdg id;a;= lrk wh is;kafka ;uka wkq. ukh l< l%ufõohka iy w;a fnfy;a u.ska frda.h iqjm;a jQ njhs' bka miq ta frda.h je<ÿkq whg zzm%;sldr˜ lsÍug ;uka wkq.ukh l< l%ufõohka .ek Wmfoia fokjd' ta wh;a ta Wmfoia iy fjk;a wh lshk ;j;a Wmfoia ixl,kfhka kj zzm%;sldrhla˜ fidhdf.k th;a wfkla wh jf.au tu l%uh m%pdrh lrkjd' ta;a ieneúkau jkafka isref¾ iajNdúl m%;sYla;sfhka bfígu frda.h iqj úuhs'

lïuq,a.dh iEÿk msßñ orejka ie<lsh hq;= jeo.;a lreKla lïuq,a.dh iEÿk msßñ orejkag tu frda. ;;a;ajh iu.ska jDIKfldaI j, fõokdjla tkafka kï jydu ffjoH doctormagazine.lk

m%;sldr ,ndÈh hq;= jkjd' ke;fyd;a Tyq wkd.;fha § j| Ndjhg m;aùfï wjodkula mj;skjd'

mefmd, frda.hg ld¾hlaIu m%;sffjri m%;sldr mefmd, frda.hg j¾;udkfha jhsri kdYl T!IO fnfy;la ;sfhkjd' ifuys Èhr nqnq¨ u;=fjkjd;a iu.u tu T!IO ksis mßÈ Ndú;d lsÍu u.ska isrer mqrd úYd, jYfhka Èhr nqnq¨ we;sùu jf.au fud<h iy fmkye,a, ;=<g wdidokhùu ksid we;súh yels Nhdkl ixl+,;d;a j,lajd .kak mq¨jka jkjd' kuq;a fï wjêfha § m%;sYla;slrkh j¾Okh lr.ekSug fm%daàk iy úgñka fukau c,h;a jeämqr ,ndÈh hq;= jkjd' flfia fj;;a frda.h je<§ Èk 14 la muK .;jk ;=re frda.shdf.ka wfkla whg frda.h fndaùfï wjodkula ;sfhk ksid ta ld,h ksjfiau /|S isàu iqÿiq jkjd' frda.h je<§ Èk 7 lg miqj ;j Èk 7la iakdkh lsÍu;a iïm%odhla' fuys§;a bßodg iy 9 fjksodg kdkak iqÿiq keye lsh,;a u;hla ;sfhkjd' fï u;hka lsisjla úoHd;aul kï keye' uq,ska ud lshQ wfma fyo ks,OdÍ;=ñh ñg Èk lsysmhlg fmr kej; ÿrl;kfhka ud wu;d zzuu fvdlag¾ lSj fnfy;a wrka ìõjd ta ksid uqyqfKa ìì,s u;+jqfKa keye' ta;a wfka fvdlag¾ uf.a weÕg mK keye wïud f.or Whkafka ñßia fydÈ' uf.a nv;a okjd' kdkak;a ´kE ta;a T;af;a ojia j, kdkak fokafk;a kE fudlo uu lrkafka@˜ weiqjd' fyÈ ks,Odßkshlg;a fufyu fjkfldg b;ska wka wh .ek ljr l;d oehs is;ñka ud wehg Yla;sh tau ioyd oeka b;ska zz.aÆfldaia ˜ tlla j;a Èhlr,d mdkh lrkak hehs Wmfoia ÿkakd' ••• FEBRUARY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

lïuq,a.dh iEÿk msßñ orejkag jDIKfldaI j, fõokdjla tkafka kï jydu ffjoH m%;sldr ,ndÈh hq;= jkjd' ke;fyd;a Tyq wkd.;fha § j| Ndjhg m;aùfï wjodkula mj;skjd'

WOMEN'S WORLD

SWEET HEART ALLERGY RHINITIS

fidgq .,kjd'''' bjrhla kE'''' ;foag

fyïìßiaidj

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WOMEN'S WORLD

fiïm%;sYHdj yeÿKdu .; hq;= mshjr

1 kdifhka fidgq Èhr .,kjd 2 kdih likjd 3 weia likjd 4 weia j,ska lÿ¨ .,kjd 5 weia jgd bÈfukjd 6 kdih r;= fj,d bÈfukjd 7 lsúiqï hkjd 8 kdih isr fj,d jf.a oefkkjd 9 ysiroh 10 leiai iy W.=r likjd

ffjoH j¾Id .x.dks je,súg ojila WoEkelafl hd¿fjla ug l:d l,d' thdg kyfhka fidgq .,kjd' l:d lrkjg jvd lf,a fidgq iQrk tl' b;ska fï ;;a;ajh .ek ,shkak ys;=Kd' fï ;;a;ajhg lshkafka Allergy Rhinitis fyj;a Hay Fever lsh,d' fïl kdifha we;sjk wdid;añl;djhla' ta lshkafka wfma m%;sYla;slrK moaO;sh jd;h ;=< ;sfnk wdid;añl;djh we;s lrK foa ^Allergens&" tkï ¥ú,s" iuyr ridhkslhka" u,aj, mrd." iuyr i;=kaf.a nysia>%djH iu. l%shd lsÍfuka ^Over-React& miq YÍrh ta ioyd olajk m%;sl%shdj ;uhs fï Allergy Rhinitis lshkafka'

fukak wmg fjk foa''' wfma YÍrh fï wdid;añl;djhg m%;spdr olajk wdldr /ila ;sfhkjd' ta my; wdldrhg''' doctormagazine.lk

11 lrleú,a,

b;ska fujeks frda. ,laIK u;= fjkak fya;= fjkafk wfma YÍrfhka ysiageñka ^histamine& lshk ridhkhla ksoyia jk ksihs'

fyïìßiaidj md,kh lrkafka fufyuhs''' fï ;;a;ajh j<lajd .kak yd md,kh lrkak m%;sldr lSmhla ,shkakï' 1. Anti Histamine ldKavfha T!IO i. Fexofenadine ii. piriton iii. Cetrizine iv. Levocetrizine v. loratidine

vi. desloratidine FEBRUARY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

2. Decongestants ldKavfha T!IO fïjd È.=ld,Skj Ndú;d lsÍu kqiqÿiqhs' È.=ld,Skj Ndú;d lr,d k;r l< jydu ;snQ ;;a;ajhg jvd frda.h oreKq fjkjd' fïlg lshkafka Rebound Effect lsh,d' i. Oxymetazoline Afrin nasal spray

eye drops §¾>ld,Sj Ndú;d lrkak tmd' tu.ska by; uu ioyka l< ;;a;ajh''' tkï Rebound Effect we;s fjkak mq¿jka' kuq;a Steroid wvx.= Nasal Spray È.=ld,Skj Ndú;d lrkak mq¨jka' tu.ska Rebound Effect ;;a;ajh we;s jkafka keye' fï ydkshla fkdue;sj .; yels tjka T!IO lsysmhla' i. Metaspray

ii. Pseudoephidrine

ii. Budanse

iii. Phenylephrine 3. Eye drops and Steroid Nasal Sprays

iii. Rhinocort iv. Symbicort

ksfjfiaoS fï mshjr .ekSu;a jeo.;a''' fï fiïm%;sYhdj ;;a;ajh md,kh lrkak fyda j<lajkak wms tÈfkod fudkjo lrkak ´fka lsh, n,uq'

jd;fha ¥ú,s jeä wjia:dj, ksfjia j,gu fj,d bkak'

t,suyfka weúo wd ú.iu kd .kak

tjeks wjia:dj, ksjiska t<shg hdug wjYH kï uqL kdia wdjrKhla m<|skak'

Allergy season tfla§ ksjfia fodr cfk,a fyd|ska jid ;nkak'

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mdkaor t,suyfka jHdhdï lsÍfuka j<lskak'

iqr;,a i;=ka kEùfï§ Tjqka iqr;,a lsÍfï§ ie<ls,su;a fjkak'

doctormagazine.lk

FEBRUARY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

,,kd iqjfi;

FEMINA

wef.a Èú /l fok mema mÍlaIKh''' jhi wjqreÿ

blaujQ iEu ldka;djlau fï ,smsh lshjkjd

fyd|d

ldka;djkag yefok ms<sld w;ßka wfma rfÜ fofjkshg jeäfhkau olskak ,efnkafk .eí f., ms<sldj '''l,a .sfhd;a fyd| lrkak wudrehs' ta;a uq,a ldf, y÷k.;af;d;a lvd.kak yßu f,aishs' 74

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doctormagazine.lk

.eíf., ms<sld fõ,dikska y÷kd. kakd mÍlaIKhla ;sfnkjdo@ Tõ talg lshkafk zzmema mÍlaIKhZZ lsh,''' fldfyduo ta mema mÍlaIKh lrkafk@ wef|a Wvqne,s w;g ydkais jqKdu fhdaksu. Tiafia iq¿ mgl m%udKhla iQrd .kakjd' fõokdjla oefkkafk kE' .eíf., ms<sld mÍlaIKhg n÷ka úh hq;af;a ljqo@ jhi wjq' 35 bl=;a jQ újdyl ldka;djka fï mÍlaIKhg fhduq úh hq;=hs' wehs" újdyl ldka;djka ú;rla'''@ wújdyl ldka;djkag;a fï mÍlaIKhg ,la fjkak mq¿jka' ta;a újdyl ldka;djkag fï mÍlaIKh ksYaÑ; lr, ;sfhkjd' fï mÍlaIKfhaoS lkHdmg,h fkdì|S mgl iQrd .ekSu ffjoHjrekag doctormagazine.lk

FEBRUARY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

miq.shod fi!LH wOHdmk ld¾hdxYfhaos fï ms<sldj iïnkaOfhka ffjoHjreka udOH oeKQj;a l<d''' ta ldka;djka .eíf., ms<sld j,ska uqojd .ekSfï mru mú;% fÉ;kdj rgg ikaksfõokh lsÍfï uQ,sl mshjrla úosyg'' fï thska Wmqgd.;a b;du jeo.;a f;dr;=re iïmskavkhla'''

WOMEN'S WORLD

mema mÍlaIKh osú iqrlsk mÍlaIKhla' fï ksid oeka wfma rfÜ .eíf., ms<sld frda.Ska wvqfjka jd¾;d ùu wdrïN ù ;sfnkjd' iEu ldka;djlau mema mÍlaIKh .ek f;dr;=re oek.; hq;=uehs' fkdokak ;j;a fndfyda whg ta f;dr;=re oeek.kak fï mKsúvh yels;dla jHdma; lrkak''' lrkak mq¿jka' m%:u ,sx.sl tlaùfuka jir mylg miq mema mÍlaIKhg Ndckh ùug Wmfoia fokjd' mema mÍlaIKh lrkafk fldfyaoso@ rcfha frday,a j, iqj kdß idhk j,oS;a" fi!LH ffjoH ld¾hd, j,oS;a mema mÍlaIKh fkdñ,fhau lrkjd' mema mÍlaIKhg fmr iQodkula wjYHo@ Tõ''' fï mÍlaIKh i|yd udia Y=oaêh fkdue;s osfkl fhduq úh hq;=hs' fmr oskfha ,sx.sl iïnkaO;d fkdmeje;aúh hq;=hs' iq.kaOldrl ryiÕ fkdfhoSu;a jeo.;a'

• ,sx.slj fndajk frda. j,g k;=jQ ldka;djka • yshquka memsf,daud ffjrih wdidos; ldka;djka .eíf., ms<sldjl ,laIK .ek;a úia;rhla lrkak@ • fhdaks ud¾.fhka wl%uj;a reêr jykh • ,sx.sl ixi¾.hg miq reêr jykh • fhdaks ud¾.fhka wOsl ÿ¾.kaOfhka hqla; >%djhla msgùu • udia Y=oaêh kej;S we;s ldka;djkaf.a fhdaks ud¾.fhka reêrh msgùu

.eíf., ms<sld we;sùfï jeä wjodkula we;af;a ldgo@ • wvq jhiska ,sx.sl cSú;h wdrïN l< ldka;djka • nyq mqreI fiajkfha fhfok ldka;djka • nyq ia;%S fiajkfha fhfok mqreIhka iu. ,sx.sl iïnkaO;d mj;ajk ldka;djka' • ks;r ks;r is.rÜ ÿu wd>%dKh jk ldka;djka • úúO frda. i|yd m%;sYla;s wjysrl T!IO .kakd ldka;djka 76

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mgl iQrd .kakd úosy''' doctormagazine.lk

Y%S ,xldfõ .eíf., ms<sld je<elaùfï mshjrla f,iska yshquka memsf,daud ffjri ^HPV& tkak; cd;sl m%;sYla;slrK jevigykg tl;= lr ;sfnk nj Tn okakjdo@ ta wkqj fi!LH wud;HdxYfha jix.; frda. úoHd wxYh úiska fuu tkak; mdi,ayS 6 fYa‚fha bf.kqu ,nk jhi wjqreÿ 10 iïmQ¾K jQ .eyekq orejka i|yd ,ndfokjd' oekg jhi wjqreÿ 10 iïmQ¾K lr isák oeßhkag wjYH kï fm!oa.,sl

wxYfhka fuu tkak; ,nd.; yelshs' Y%S ,xldfõ jd¾Islj ueÈúfha ldka;djka oyilg wdikak ixLHdjla ixl+,;djhkag m;a jQ .eíf., ms<sld i|yd f.dÿre jk nj frday,a ixLHd f,aLk u.ska ;yjqre ù ;sfí' fuu ms<sldj je<elaùu i|yd f,dj mqrd l%ufõohka folla l%shd;aul fõ' .eíf., ms<sld uQ,sl wjia:dfõ§ y÷kd.ekSfï mema mrSlaIKh iy HPV tkak; ,nd §u tu l%u fõohka folh'

fï lreKQ fuf;la Tn oek isáhdo@ orejka iïnkaO fï rij;a f;dr;=re • w; orejkag jeäysáhkag jvd jeä wiaÓ m%udKhla mj;S' • fndfyda orejka Wmosk úg weia j, ks,a meyehla ;sfí' • Wmka ú.i orejkag fmfkkafka b;d wdikakfha we;s jia;=ka muKs' • udi myla muK jk úg orefjl=f.a Wm;a nr fo.=Khla fjhs' • iEu orejka ;sfofklaf.ka tla wfhl=gu tl Wmka ,mhla j;a ;sfí' • orefjl= jeäysáfhl=g jvd fõ.fhka yqiau .kshs' • w¿; Wmka orejkag l÷¿ ke;' • iEu ;;amrhlu f,dj ore Wm;a y;rla isÿ fjhs' doctormagazine.lk

• w¿; Wmka orejdg ;udf.a ujf.a lgy`v b;d myiqfjka y÷kd.ekSug yelshdj we;' • w¿; Wmka orefjl= iEu úkdä úiailgu muK ierhla uq;%d lrhs' udi yhla muK jk úg mehlg muK j;djla olajd ld,h jeä fjhs' • w¿; Wmka iEu orefjl=gu iajNdjfhkau wmQre msyskqï yelshdjla ,efí' fï orejkg yqiau w,a,d .ekSfï uú;hg m;ajk iq¿ yelshdjla ;sfí' tfy;a th blauKskau úhelS hk yelshdjls' • msßñkaf.a lgy`vg jvd ldka;djkaf.a lgy`vg orejka leu;sh'

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WOMEN'S WORLD

wfma rfÜ mdie,a orejkag wksjd¾h flreKQ .eíf., ms<sld j,lajk HPV tkak;

WOMEN'S WORLD

FEMINA

,,kd iqjfi;

ECTOPIC PREGNANCY

.¾NdIfhka msg; ore .en msysgk wjodkï ;;a;ajh .ek''' kd, .¾N ms<sis|Sï ujf.a cSú;h wjodkfï fy<k''' 78

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WOMEN'S WORLD rd.u YslaIK frdayf,a m%ij yd kdß úfYaI{ ffjoH pdñkao udf;dg úisks

kd,.¾N ^wk;=reodhl& ms<sis|Sula

kd,hl ;ekam;a jk l<,h j¾Okh ùug W;aidy .kakd úg thg mef,damSh kd,h ;=, m%udKj;a bvla fkdue;s ksid mef,damSh kd,h mqmqrd tu.ska reêr jykhla we;súh yelshs' b;d blauKska fï ;;a;ajh y÷kd f.k Y,Hl¾uhlg fkdjqk fyd;a wNHka;r reêr jykh ksid uj ñh hdug mjd yelshdjla ;sfnkjd' äïnhla Y=l%dKqjla iu. tl;= ùfuka ;uhs ore .enla yg .kafka' fuu l%shdj,sh idudkHfhka isÿ fjkafka ldka;djf.a mef,damSh kd,h ;=,' tu.ska we;sfjk l<,h mef,damSh kd,h Èf.a .uka lr .¾NdIh ;=< ;ekam;a fjkj' fuf,i orefjl= ms<sis| .;a miq m%iQ;sh olajd udi 10la j¾Okh fjkafka .¾NdIh ;=<hs'

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.¾NdIhg fuu l<,fha j¾Okhg iy wdrlaIdjg wjYH ish¨u myiqlï iemhSfï yelshdj ;sfnkj' kuq;a ore .en .¾NdIfhka msg; ;ekam;a fjk wjia:d ;sfnkj' iEu .eí .ekSï 100lg tlla muK fujeks .¾NdIfhka msg; msysgk w;r tajd Ectopic pregnancy f,i y÷kajkjd' fujeks .¾NdIfhka msg msysgk ore .enla fndfyda úg mef,damSh kd,hka ;=<hs ;ekam;a fjkafka' kuq;a äïn fldaI u;=msg" Wor l=yrfha ì;a;s u; fyda fjk;a wjhjhla u; fujeks ore .enla ;ekam;a fjk wjia:d olakg ,efnkjd' fuu ore .enlg idudkH orefjl= f,i jeãug yelshdjla ,efnkafka keye' tfukau m%;sldr l%u fyda Y,Hl¾u u.ska fuh kej; .¾NdIh ;=< ;ekam;a lsÍug yelshdjla keye' fuu l<,h j¾Okh ùug W;aidy .kakd úg thg mef,damSh kd,h ;=, m%udKj;a bvla fkdue;s ksid mef,damSh kd,h mqmqrd tu.ska reêr jykhla FEBRUARY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

äïn fldaI u;=msg" Wor l=yrfha ì;a;s u; fyda fjk;a wjhjhla u; ore .enla ;ekam;a fjk wjia:d olakg ,efnkjd' fuu ore .enlg idudkH orefjl= f,i jeãug yelshdjla ,efnkafka keye' we;súh yelshs' fuu reêrh Wor l=yrh we;=<;g tl;= fjk ksid msg;g fmfkkafka keye' b;d blauKska fï ;;a;ajh y÷kd f.k Y,Hl¾uhlg fkdjqk fyd;a wNHka;r reêr jykh ksid uj ñh hdug mjd yelshdjla ;sfnkjd' fujeks .eí .ekSula y÷kd .kak ;sfnk m%Odk frda. ,laIKh ;uhs uj .¾NŒ nj oek f.k uq,a i;s lsysmh ;=< fyda iuyr úg .¾NŒ nj oek .ekSug fmr§u we;s jk wêl fõokdj' Wor l=yrh ;=< reêr jykhla jk úg ujg wêl fõokdjla oefkkj' fuu fõokdj há nfâ fukau iuyr úg ol=Kq Wrysi u;o

ujf.a cSú;h fírd.kq msKsi bj;a lrk ,o kd, .¾Nhla oefkkakg mq¿jka' ta iu. iuyr úg fhdaks ud¾. fhka reêr jykhla we;sfjkak mq¿jka' wNHka;r reêr jykhla ksid yÈisfha la,dka; ù weo jeàu jeks frda. ,laIK we;s úh yelshs' fujeks frda. ,laIK we;s kï b;d blauKska myiqlï iys; frday,lg f.dia mÍlaId lrjd .; hq;=hs' tys § .¾NŒ nj l,ska ;yjqre lr ke;skï ta i|yd uq;%d mÍlaIdjla isÿ lrkj' bka miq ialEka mÍlaIKhlska ore .en msysá ia:dkh fidhd n,kj' fuys § .¾NdIh ;=< l<,hla ke;s nj" wNHka;r reêr jykh" mef,damSh kd, ;=, fyda fjk;a ia:dkhl msysgk l,,h jeks ,laIK y÷kd .kak mq¿jka fjkj' fujeks ore .enla ujf.a Ôú;hg mjd ydks lr fjk ksid fï i|yd blauKska m%;sldr l< hq;= fjkjd' reêrfha fydafudak uÜgu" ialEka mÍlaIK jd¾;d wdÈh i<ld n,d úfYaI{ ffjoHjrhd fuhg m%;sldr l< yels iqÿiqu wdldrh ms<sn|j Tng Wmfoia ,nd foaú' iuyr úg l<,h .íid ù we;s kï th bfíu l=vd jk ksid Y,Hl¾uhlska f;drj m%;sldr l< yelshs' iuyr úg l<,h b;d l=vd kï th yels<Sug Èh yels m%n, ms<sld kdYl T!IOhla ;sfnkj' fï iu. jßka jr reêr fydafudak uÜgï mÍlaId lr ne,sh hq;=hs' flfia fj;;a fuu m%;sldr l%uhka 100] lau id¾:l fkdjk wjia:d ;sfnkj' túg yÈis Y,Hl¾uhla wjYH fjkak mq¿jka'

FEBRUARY 2018 | DOCTOR MAGAZINE

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j;=r fndkak''' WoEik wjos jQ ú.i j;=r ùÿre folla fndkak thska Tfí YÍrfha ish¿ bkaøsh m%fndaOhg m;a fõ'

wdydr wkqNjhg meh nd.hlg fmr j;=r ùÿrejla fndkak' thska Tn .kakd wdydr uekúka YÍrhg Wrd .kshs'

kd,.¾N ms<sis|Sul wjia:d Y,Hl¾uhla u.ska .¾NdIfhka msg; msysá ore .en bj;a lsÍu ;uhs wksl m%;sldr l%uh' fndfyda úg fuh isÿ lrkq ,enqfõ isfiaßhka ie;alula lrk wdldrfha lemqula fhdod .ksñka' kuq;a oeka ,emfrdiafldms Y,Hl¾u l%uh u.ska b;d l=vd lemqï ;=kla muKla fhdod úYd, le<,la we;s fkd fjk wdldrhg fuu Y,Hl¾uh isÿ lsÍug yelshdj ;sfnkj' Tng fujeks ;;ajhla we;s nj y÷kd .;fyd;a blauKska m%;sldr l%uhlg fhduq ùfuka we;súh yels ydksh wju lr .ekSug yels fjkjd' •••

m%ij yd kdß úfYaI{ ffjoH pdñkao udf;dg rka iïudkfhka mqo ,enQ úysIaG;u Y%s ,dxflah fjí wvúh vog.lk ks¾ud;Djrhdhs' fujka m%fhdackj;a kdßfõo yd m%ij ,sms mßYS,kh lsÍug meñfKkak" www.vog.lk doctormagazine.lk

iakdkhg fmr meh nd.hlg fmr j;=r ùÿrejla fndkak' thska Tfí reOsr mSvkh ys;lr f,i my; jefghs'

rd;%S kskaog fmr j;=r ùÿrejla fndkak' thska Tfí yDohdndO yd wxYNd.h we;sùfï wjodku wvq fjhs'

FEBRUARY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

ksfrda.S YÍrhl mj;ajd .kak fï úÈyg

WOMEN'S WORLD

,,kd iqjfi;

FEMINA

jhi okafku ke;sj f.ú, .shd''' újdm;a fjk úg m%udohs''' ta;a ;efjkak tmd ore iïm;la ysñ lr.kak wms Tng iydh fjkjd WISH idM,H;d idhkfhka jhia.;ù

ore iïm;a

m;kakkag iykh''' wo ojfia ;reK mrïmrdj fmdÿfõ uqyqK mdk fÄojdplhla fõ' Ujqka wOHdmkh imqrd,Sug fndfyda ld,hla .; lr;s' tys jrola ke;' kuq;a jro we;af;a ukqIHfhl= jYfhka wOHdmkh yereKq úg cSú;fhao hï hï idOkSh fjkialï isÿùuo wjYH uq;a ta i|yd ld,hla ñvx.= lsÍug fï fndfyda fokd wiu;a ùuhs' uQ,sl wOHdmk b,lal imsreKq miq B<`.g kHdhm;%.; jkafka fyd| /lshdjls' /lshdfõ iajNdjh" wd¾Ól b,lal" mjqf,a idudcslhka flfryS we;s j.lSï''' fï wdldrfhka we;s úúO cSú; wNsfhda. u; újdyhla lr.kakg isÿjkafka iEfyk muK m%udo fj,dh' túg ore iAUm;a ,eîfï .eg¿ ksrdhdifhkau mE<fodßka we;=,a jkafkah' 82

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jhig hdu;a iu.u orejka ms<sis|Sfï .eg¿ u;= fjkjd ldka;djlf.a orefjl= m%iQ; lsÍfï iaj¾Kuh jhia mßÉfPaoh jhi wjqreÿ 35 muK olajdh' uQ,sl jYfhka orefjl= ms<sis|.ekSfï yelshdj jhi wjq' 35 muK blaujQ úg wvqfõ' weh jhig hk úg fï u|ire;djho Bg iudkqmd;slj jeäfõ' fï wdldrhgu mqreIhkaf.ao ckl yelshdj jhi wjq' 45ka muK miq ie<lsh hq;= uÜgulska wvqfõ' ta yereKQ úg jhia.;j ore iïm;a ,eîug hdfïoS we;sjk ore iïm;o ixlS¾K jkafkah' oshjeähdj" wêreêr mSvkh" ixl+,;d iys; ms<sis|Sï wdoS jYfhks' fï ksid kshñ; l, jhi imeñKs l< újdm;a ùu flfrySo wfma mrïmrdjka ys;kjd kï fyd|h'

jhig .sh;a ;dlaIKh ore iïm;a ,eîug msysgg tk nj Tn okakjdo@ u|ireNdjh ksid ore iïm;a isyskh ojfika oji l,a hk hqj;sm;Skaf.a wfmalaIdjka mqnqÿjd,Sug kQ;k idM,H;d ;dlaIKh iu;a ù ;sfí' fï ksid iuyr úg fï ffjoH úoHd;aul oshqKQj fkd;snqKd kï isyskhlau jkakg ;snQ orefjl=f.a WKQiqu ,nkakg wo fndfyda hqj, iu;a ù ;sîu Tjqkaf.a jdikdjls' jhi wjq' 50-55 bl=;a jQ ldka;djkgo" jhi wjq' 60 bl=;ajQ msßñkago fï ksid wdorKSh uõjreka ùfï" fifkfynr mshjreka doctormagazine.lk

ùfï wjia:dj wo ojfia ysñùu fudk ;rï ch.%yKhlao@ jdikdjlao@

ckl îc j, .=Kd;aulNdjh fidhk mÍlaIK jhia.;jQ ldka;djlf.a fukau mqreIfhl=f.a ckl îc j, m%udKh yd tajdfha .=Kd;aulNdjh .ek oek. ekSug ;sfnk mÍlaIK fudkjdo @ mÍlaIK lsysmhlau ;sfnkjd' wjYH;djh wkQj ffjoH ks¾foaY hgf;a isÿ lrk fï mÍlaIK my; wdldrhg olajkakg mq¿jka' • Sperm mucus penetration test • Post coital test • Hyaline binding assay • Cassa test • Acrosome reaction testing • Anti sperm antibody testing • Sperm viability testing • Tests of Zona binding • Assesment of ROS • Sperm proteomicsm mqreIhkaf.a jhi wjq' 40-45 bl=;ajQ úg Tjqkaf.a Y=l%dKQ j, we;s DNA j, fjkialï we;sùfuka (DNA fragmentation) orejka ,eîfï yelshdj ySk fõ' ke;fyd;a wx.úl, jQ orejka we;sùfï wjodkulao mj;S' fï wjodkï folu uekúka y÷kd. ekSfï mÍlaIK l%ufõohkao oeka oshqKQ ù ;sfí'

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WOMEN'S WORLD

wm úiska Tnj oeKqj;a lr we;s wdldrhg orejka ,eîfï yelshdj fõ.fhka jhi;a iu.u ySk fjhs' jeäu n,mEu we;af;a ldka;djkagh' msßñkao fï ffcj úoHd;aul kshduhg wkq.; fkdfjkjd fkdfõ'

WOMEN'S WORLD

mqreIhkaf.a jhi wjq' 40-45 bl=;ajQ úg Tjqkaf.a Y=l%dKQ j, we;s DNA j, fjkialï we;sùfuka orejka ,eîfï yelshdj ySk fõ' ke;fyd;a wx.úl, jQ orejka we;sùfï wjodkulao mj;S' fï wjodkï folu uekúka y÷kd.ekSfï mÍlaIK l%ufõohkao oeka oshqKQ ù ;sfí'

ldka;djkaf.a yd msßñkaf.a ckldKQ l%shdldÍ jkafka fjkia wdldrhlghs orejka ìys lsÍug fya;= jk ore îc iïnkaOfhka ldka;djkaf.a yd msßñka w;r iqúfYAIS fjkialula ;sfí' ldka;djkag ;ukaf.a ika;lfha we;s ckl îc fkdfyd;a äïn Wreu jkafka ;uka uõl=i bkakd iufha isguh' uõl=i ;=<oS ñ,shk 6-7la jYfhka mj;akd W!ihsg fkdfyd;a îc ffi, m%udKh Wmf;aoS ñ,shk 1-2la olajd wvq fjhs' fuh ;jÿrg;a laIh fjñka oeßúhl jeäúh m;ajk úg mj;akd îc ffi, m%udKh ,laI ;=kla muK olajd wvq fjhs' Tn okakd wdldrhg fï îc tl tlla osk 28lg jrla mßK;j ixfiapkh i|yd iqÿiqlï ,nñka äïnfldaIfhaoS msg fjhs' wm wd¾;jh f,i y÷kajkafka fï isoaêhhs' ;u m%ckl wjêh ;=< ldka;djl fï wdldrfhka äïn 400la muK ixfiapkhg iqÿiqlï ,nd foñka msg lrhs'

m%udo ù ckkh jk Y=l%dKQ mqreIfhl=f.a Y=l%dKq kñka ye|skafjk ckl îc j, l%shdldrs;ajh Bg imqrd fjkiah' l=i ;=< isák msßñ orefjl=g fyda Wmka miq jeä úh m;ajk f;la msßñ orefjl=g ckl îc mj;skafka 84

FEBRUARY 2018 | DOCTOR MAGAZINE

ke;' Tyq jeäúh m;aùfuka miqj ksrka;rfhkau Y=l%dKq ksmofjhs' Y=l%dKq ffi, ksmofjkafka jDIkfldaI ;=<oSh' Y=l%dKq ffi,hla mßK;shg m;a fjkafka fïÍfuks' wmsjDIKh kï ia:dkfhaoS isÿjk fï l%shdj,shg idudkHfhka i;s 2-3 l ld,hla .;fõ' wmsjDIKfha ia:dk.; jk Y=l%dKq ffi, Od;= fudapkhloS fudapkh ùug iQodkñka isà' iEu Od;= fudapkhloSu fï Y=l%dKq úúO fmdaIl yd ;r, iu. uqyqka ùula isÿfõ' fïjd uQ,sl jYfhka meñfKkafka mqriaÓ;s .%kaÓfhka iy Y=l% wdYhsYsld j,sks' fi!LH iïmkak mqreIfhla tla jrlg fudapkh lrk Y=l%dKq ;r,hl Y=l%dKq ffi, ñ,shk 40l isg ì,shk 1'2l m%udKhla mj;skafkah' idudkHfhka msßñfhl= iajlSh cSú; ld,h ;=< ì,shk 525l muK Y=l%dKq ksmojkafkah' tfiau udihlg ì,shkhl j;a Y=l%dKq msg lrkafkah' ljr idM,H;d .eg¿jlska fm¿K;a oeka Tng ore iïm;a ,nd .ekSu wreuhla fkdfõ' fjk hï ljr fodaIhla u; Tfí uõmsh isyskh fnd| ù ;snqK;a th h,s mqnqÿjd,Sfï yelshdj wmg ;sfí' Tfí .eg¿j l=ula jQj;a th .ek yDohx.uj l;dny lsÍug wm iQodkïh' Tng jvd;au .e,fmk úi÷u ,nd.ekSug fï flafIA;%fha m<mqreÿ wfma jD;a;Sh iydh ,nd oSug wm b;d leue;af;ka isáuq' •••

wmg l;d lrkak' fukak wfma wxlh 077 3273 866 wmf.a ,smskh WISH Fertility & IVF Clinic 393$6" li.yj;a;mdr mrK fldÜgdj mdr Wvyuq,a," kqf.af.dv

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fodafr .,k ore fifkyi

mqnqÿjd,kakg''' wjirhs''' ore iïm;a m%udo ùu ksid ;j;a ,; úh hq;= kE' wm fj; tkak' Tfí .eg¿jg úi÷u wm fidhd fokakï

wmf.a fiajdjka iuyrla • mqreI u|ire;d fodaI mßmQ¾K iudf,dapkh • ia;%S u|ire;d fodaI mßmQ¾K iudf,dapkh • .íid os.gu isÿùug m%;sldr • äïn ksIamdokfha fodaI • .¾NsKS;djfha ud¾f.damfoaYk

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ore iïm;a ,eîug wm wdh;kfhaoS isÿ lrk Wiia m%;sldr • Intrauterine insemination • IN-VITRO FERILIZATION (IVF) • Pre-implantation genetic diagnosis (PGD/PGS) • Intracytoplasmic sperm injection (ICSI) • Microepididymat and testicular sperm aspiration (MESA AND TESA) • Embryo/sperm freezing (vitrofication) • Egg freezing (vitrofication) • Social freezing • Assisted hatching • Blastocyst Transfer • FROZEN EMBRYO TRANSFER (FET) • Embryo donation program • Egg donation program • Becoming an egg donor • Fertility preservation .¾NsKS;djh iïnkaOfhka Tng we;sjk ´kEu .eg¿jloS wmf.a fiajh Tng ,nd.; yel'

´iafÜ%,shdfõ iqÿiqlï ,enQ idhksl úfYaI{ ffjoHjrfhl=f.a fiajh ,nd .ekSug 077 186 21 17 ÿrl:k wxlhg wu;kak' doctormagazine.lk

WISH Fertility & IVF Clinic No.393/6, Kasagahawaththa Road, Old Kottawa Road , Udahamulla, Nugegoda Tel: 077 9728 799 E mail: wishiuiivf@gmail.com | wishiuiivf.com April 2017

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WOMEN'S WORLD

Women’s World

FEMINA

.¾N‚ iufha we;sjk Èhjeähdj .¾N‚ iufha we;sjk Èhjeähdj .ek ie<lsh hq;=jkafka wehs@ miq.sh oYl lsysmh we;=,; Y%S ,xldfõ Èhjeähd frda.fhka fmf<k ldka;djka .Kk iS>%fhka by< f.dia we;s nj ffjoH iólaIK jd¾;d j,ska wkdjrKh fjhs' ol=Kq wdishd;sl ldka;djka Èhjeähd frda.hg f.dÿre ùu cdk j,u msysgd ;sîu ksid wjqreÿ 25g jeä ldka;djka" wjQreoaolg jrla j;a reêrfha iSks mßlaId lr .ekSfuka" Èhjeähd frda.h l,ska y÷kd.; yels fõ' .eí .kakd wjêfha reêrfha iSks m%udKh wêl ùfuka .¾Nhg we;sjk ixl=,;d jeäfõ' fï ksid Èhjeähd frda.h l,ska y÷kdf.k ksishdldr m%;sldr j,ska miq" ffjoH Wmfoia ms,smÈfuka" .¾NKS iuh jvd hym;a" fi!LHiïmkak ;;a;ajhlg m;a l< yel'

FEBRUARY 2018 | DOCTOR MAGAZINE

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ffjoH frdaukS m%kdkaÿ m%ij iy kdßfõo úfYaI{ fyaudia frday," ;,j;=f.dv

.¾NKS iufha we;sjk Èhjeähd frda.S ;;a;aj fudkjdo@ .¾N‚ iufha Èhjeähd ;;a;aj folla m%Odkj y÷kd.; yel' .eí .ekSug fmr je<ÿKq Èhjeähd frda.h iy .¾NKS ld,fha yg .kakd Èhjeähd frda.S ;;a;ajhhs' fuhska 10] muK .eí .ekSug fmr je<ÿKq Èhjeähd frda.Ska jk w;r nyq;rhla .¾NKS ld,fha ueo Nd.fha yg .kakd Èhjeähd frda.Ska fõ'

.¾NKS iufha Èhjeähd frda.h wfkl=;a oshjevshd ;;a;aj j,ska fjkia jkafka flfiao@ .¾N‚ iufha msIaGh mßjD;a;sh l%shdj,sfha fjkialï we;s fõ' l=i ;=< jefvk orejdg w;HjYH jk .a¨fldaia ujf.a reêrfhka ksrka;rfhka orejd fj; we§ hhs' fï ksid ujf.a reêrfhA iSks m%udKh by< uÜgulska ;nd .ekSug .eì‚ iufha isÿjk yev .eiSuls fuh' .¾Nfha jeoufyka ksmojk fydafudk u.ska fï mßjD;a;Sh l%shdj,sfha isÿjk fjkialï ksid reêrfha .a¨fldaia m%udKh by< uÜgñka ;nd .ekSug fya;=fõ'

m%udKho 50] muK jeä ùula" udi myla muK iïmq¾K ùu;a iu. isÿfõ' ksfrda.S ldka;djkaf.a reêrfha .a¨fldaia m%udKh md,kh" .¾NKS iufha§ by; fjkiaùï iu. ksishdldrj isÿjk w;r" w.akHdYfha l%shdldrs;ajh jeä ùu isÿfõ' kuq;a ,dxlSh ldka;djka iuyrlf.a w.akHdYh l%shdldrs;ajh ^bkaishq,ska ksIamdokh& fï wNsfhda. hg wjYH mßÈ jeäùug fkdyels ùu ksid .¾NKS iufha ueo Nd.fha fudjqka Èhjeähd frda.S ;;a;ajhg m;afõ'

fï ksid .¾Nhg we;sjk ixl=,;d

fudkjdo@ • .íid ùfï jeä m%jK;djh • orejdf.a yDo" wiaÓ" iakdhq j, we;sjk úlD;s ^3]& • orejdf.a YÍr j¾Okhg we;sjk ixl=,;d • ujf.a wlaIs" jl=.vq j, we;sjk ixl=,;d • ujg we;sjk wêl reêr mSvkh" ks;r we;sjk wdidok • fkdfïrE ore Wm;a

fï wNsfhda.h ksid .¾NKS iufha ujf.a w.akHdYfha ksmojk bkaishq,ska doctormagazine.lk

FEBRUARY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

.¾NKS iufha oshjeähdfjka fmf<kldka;djka m<uqj reêrfha iSks md,khg wdydr rgdj fjkia lsÍu l< hq;=hs' YÍrfha nr wkqj Èklg wjYH le,ß m%udKh uek ilia lr .kakd wdydr jÜfgdarejla ms<sme§u fuys,d wjYH fõ'

WOMEN'S WORLD

Èhjeähd frda.h .eí .ekSug fmr y÷kdf.k reêrfha iSks m%udKh md,kh lsÍfuka by; ioyka ixl+,;d wju l< yel' Èhjeähd frda.fhka fmf<k ldka;djka .eí .ekSug fmr ;u reêrfha iSks uÜgu" wlaIs iy jl=.vq j, l%shdldrs;ajh mßlaId lr ffjoH Wmfoia wkqj ore Wm; ie,iqï lsÍu b;d jeo.;a fõ' Èhjeähd frda.fhka fmf<k ldka;djka .eí .ekSug fmr HBA1C reêr mßlaIdj u.ska miq.sh udi ;=kl reêrfha iSks m%udKh ms<sn| meyeÈ,s wjfndaOhla ,nd.; yel'

ldka;djl .eí .ekakd ld,hg iqÿiqu reêrfha iSks m%udKh l=ulao@ • HBA1C 7] • FBS - 60mg/dl - 100mg/dl ^meh 10l ksrdydr reêrfha iSks m%udKh& Èhjeähd frda.fhka fmf<k ldka;djla udi yhla muK ld,hla reêrfha iSks m%udKh WÑ; f,i md,kh lsÍfuka miq .eí .ekSu iqÿiqfõ'

ud;D idhk j, Èhjeähd frda.h y÷kd .ekSug lrk mßlaIK fudkjdo@ m<uq idhkfha§u reêrfha iSks mßlaIdjla b,a¨ï lrhs'

.¾NKS iufha we;sjk Èhjeähd ;;a;ajh l,ska y÷kd .ekSfuka iy iqÿiq m%;sldr ksis l,g wdrïN lsÍfuka we;súh yels ixl+,;d j<lajd .; yel' 88

FEBRUARY 2018 | DOCTOR MAGAZINE

.eí .ekSfuka miq uq,a i;s 12 § meh 10la ksrdydrj isg fyda lEfuka meh 2g miq reêrfha iSks mßlaIdjla lsÍfuka l,ska y÷kd fkd.;a Èhjeähd frda.h yÿkd.; yel' .¾NKS iufha we;sjk Èhjeähd ;;a;ajh y÷kd .ekSug iqÿiqu reêr mßlaIKh f,i ie<flkafka .a¨fldaia .a?ï 75 wvx.= Èhrh mdkh lsÍu iu. lrk Oral Glucose Tolerance Test (OGTT) kï mÍlaIKhhs' .¾Nhg i;s 24la jQ l< OGTT mßlaIdj b,a¨ï lsÍu iqÿiq fõ'

Èhjeähd frda.h y÷kd .ekSfuka miQ isÿ lrk m%;sldr fudkjdo@ m<uqj reêrfha iSks md,khg wdydr rgdj fjkia lsÍu l< hq;=hs' fï i|yd fmdaIKfõ§ Wmfoia ,nd.ekSu uekú' YÍrfha nr wkqj Èklg wjYH le,ß m%udKh uek ilia lr .kakd wdydr jÜfgdarejla ms<sme§u wjYH fõ' fuf,i iqÿiq wdydr wkqNjfhka reêrfha iSks uÜgï wjYH muKg md,kh l< yel' i;s 2lg miq kej; reêrfha iSks mßlaIdjka lEug fmr iy miq lsÍfuka reêrfha iSks md,kh ms<sn| wjfndaOhla ffjoHjrhdg ,nd.; yel' wdydr rgdj fjkia l< miq;a reêrfha iSks uÜgu by< kï T!IO ,nd Èh hq;=h' fï wjia:dfõ§ fuÜf*dañka fyda bkaiq,ska hk T!IO j¾. .¾N‚ iufha§ Ndú;d l< yel' .¾N‚ iufha we;sjk Èhjeähd ;;ajh ksid we;sjk ixl=,;d( • orejdf.a Wm;a nr wêl$ia:q,Ndjh • u<ore Wm;a j, wjodku jeäùu doctormagazine.lk

• fkdfïrE ore Wm;a • <orejd Wmka miq YajYk wndO j,g ,laùfï jeä wjodku .¾NKS iufha we;sjk Èhjeähd ;;a;ajh l,ska y÷kd .ekSfuka iy iqÿiq m%;sldr ksis l,g wdrïN lsÍfuka by; i|yka ixl+,;d j<lajd .; yel' ;jo .¾NKS iufha m<uqjrg Èhjeähdj yÿkd.kakd uõjreka miqld,Skj Èhjeähd frda.h je<§fï jeä wjodkula we;'

ore Wmf;ka miq Èhjeähdj frda.S ujg iy <orejdg l< hq;= m%;sldr fudkjdo@ miq m%ij iufha .¾Nfha jeoEufyka ksmojk fydafudak ksfIaOkh ùu ksid ujf.a reêrfha iSks uÜgu is>%j my< neiSu isÿfõ'

.¾NKS iufha Èhjeähdj uq,ajrg y÷kd.;a ldka;djka ore Wmf;ka miq ish¨ T!IO" Èhjeähdj ioyd jQ m%;sldr keje;aúh hq;=h' orejd ,eî Èk follg miq reêrfha iSks mÍlaIdjla isÿlr Èhjeähdj fkdue;s nj ;yjqre lr .ekSu uekú' orejd ,eî i;s 6lg miq kej; reêrfha iSks mÍlaIdjla lr.ekSu w;HjYH fõ' .eì‚Ndjhg m;aùug fmr Èhjeähdfjka fm¨K ldka;djka Èhjeähdj ioydjQ mq¾j .eì‚ ld,fha .;a T!IO ud;%dj ore Wmf;ka miqo .; hq;= fõ' w¿; Wmka orejdf.a iSks uÜgu wvqùfï wjodku .ek wjfndaOfhka yels blauKg orejdg uõlsß fmùu wjyh fõ' m<uq meh 24-48 we;=<; <orejdf.a iSks uÜgu .ek oeKQj;a ùug wu;r mÍlaIK lsysmhlao isÿ lsÍu wjYH jk nj ie<l=j ukdh'

Fertility Facts

ore iïm;a ,eîug bjy,a jk ldrKd'''

doctormagazine.lk

•

.eyekq orefjl= ia;%S îc ñ,shk 1-2 w;r m%udKhla ika;lfha ;ndf.k Wmoshs'

•

kuq;a cSú; ld,h mqrd fudapkh jkafka 300-400 w;r m%udKhls'

•

äïn fudapkhg kshñ; oskhg osk 1-2 la fmr iyjdifha fhoSfuka .eí .ekSfï jeäu wjia:djla ,efí'

•

.eí .ekSfï wmyiq;d we;s ldka;djka YÍrh bys,a lsÍfï yd wd;;sfhka ñoSfï jevigyka j,g wkq.; ùfuka blauKska .eí .kakd nj m¾fhaIK j,ska fy<sorõ ù ;sfí' udkisl wd;;sh Tn ys;kjdg;a jvd idM<H;djhg ndOd lrhs'

•

äïnfldaIfhka ksoyia jQ miq ia;%S îchla icSùj mj;skafka meh 12-24 w;r ld,hla muKs' FEBRUARY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

• m%ijfha§ we;sjk ixl=,;d

WOMEN'S WORLD

BEAUTY

,iaiK

wl,g ysiflia iqÿùu

wdrlaIs;j ysiflia j¾K .ekaùfïoS ie<lsh hq;= lreKQ By Hashini Himanshika

ysiflia j,g mdg fldhskao@

jhig hkakg fmr" ;=reKQ úfhaoS''' Bg;a fmr ysiflia iqÿùu ljqre;a mdfya lK.dgqjg m;afjk ldrKhls' wo ojfia ysiflia iqÿùu ksid miq;eú,a,g ,lajk mdie,a orejka mjd isà

flia .fia icSù fldgi flaY l=yrh ;=< msysgd ;sfí' wfma weig fmfkk os.g jevqKQ fldgi flia.fia wcSù fldgi tfyu ke;akï uereK fldgihs' ysiflia ksIAmdokh ùu isÿ jkafka flaY l=yrh ;=<hs' ffi, fõ.j;aj úfNaokh ùu ;=<ska flia j¾Okh fõ' ysiflia jevqKQ úg tajd j¾Kl ffi, u.ska ksIamdokh lrk fu,kska wjfYdaIKh lsÍula isÿ fõ' flfia jQjo wl,g ysiflia meiSug fya;=jk ldrKd i<ld ne,Su jeo.;ah'

wl,g ysiflia meiSu j<lajd .ekSug kï''' by; oelajQ fya;= ish,a,u mdfya wmg md,kh l< fkdyels jQjo" hï;dla ÿrlg fyda md,kh l< yels idOl iïnkaOfhka fuysoS wjOdkh fhduq lruq'

Reviewed By Consultant Dermatologist Dr Nalika Liyanage 90

FEBRUARY 2018 | DOCTOR MAGAZINE

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WOMEN'S WORLD

iuyr whf.a ú;rla ysiflia wl,g mefikafka wehs@ fï i|yd mrïmrdkq.;j tk cdkuh fya;=ka wêl iS;, mßir ;;a;ajhka yd ksrka;rfhka .eàu" udkisl wd;;sh" fu,kska j¾Klh wvqùu" fmdaIK wvqmdvqlï" ksis m%ñ;shlska f;drj ksmojk f;,a" fc,a" fyhd l%Sï" vhs j¾. ksrka;rfhka Ndú;dj" wdid;añl;djhka" úúO fydafudak wiu;=<s;;d" wêl u;ameka Ndú;h fukau ÿï mdkho uQ,sl jYfhka oelaúh yel' /lshd lghq;=" wOHdmkh yd f.orfodr jev lghq;= ksid ld¾h nyq, cSú;hla .; lrkakg wo ojfia jeä fokdg isÿù ;sfí' fuhska buy;a udkisl wd;;shla j¾Okh fõ' iEu úgu fï mSvkh" fida ,;ejq,a wju lr.kakg W;aiql jkak' fï jev wêllu ;=< wfma wdydr flfryS we;s wjOdkho .s,syS hkjd' jvd;a wNsfhda.d;aul ldrKh jkafka orejkaf.a wdydrho .=Kd;aufhka ySk tlla ùuhs' l=i mqrjd .kakjd úkd" ta l=ihg ,efnk wdyr j, jákdlï .ek wo wfma ;elSu uos' iun, wdydrhla fkd. ekSfuka YÍrhg ysÕ mdvq jk fmdaIl fndfydah' fuh ysifla fi!LHhgo iDcqju n,mdhs' Tfí wdyr fõ,g m%udKj;a f,i kejqï t<j¿ yd m<;=re tl;= lr.kak' fyhd vhs wdosh w;HjYH wjia:d j,oS muKla wdf,am lrkak' u;ameka yd ÿï mdkfhka wE;a jkak'

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FEBRUARY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

ysiflia j¾Kl wdrlaIdldÍj Ndú;d lrk yeá

Tng PPD wdid;añl;djh we;aoehs y÷kd .kakd yeá Patch Test

ysifla iqÿ ùug ms<shula f,i fndfyda fokd ysiflia j¾Kl fhdod .ekSu isÿfõ' fïjd .eko wjfndaOhla ;sîu jeo.;ah'

fuh Tng ksfjfiaoSu lr.; yels ir< mÍlaIKhls' mdúÉÑ lsÍug n,dfmdfrd;a;= jk ysiflia j¾Klfha iaj,amhla lK msgqmi Y; 50 ldishl m%udKhg fyda je<ñfÜ we;=,a me;af;a wdf,am lr n,kak' tu ia:dkh r;= ùu" leiSu fyda ìì,s oeóu isÿù ke;akï Tng fndfyda úg PPD wdid;añl;djh ke;' Tng PPD wdid;añl;dj we;akï tu j¾Kl Ndú;h kj;d oeñh hq;=h'

fudkjo fï PPD (Paraphenylendiamine) fndfyda úg fyhd vhs j, wdid;añl;djhg fya;= jkafka l¿ meyeh ,nd fok PPD j¾Klh ksidh' ysiflia j¾Kl j,g wu;rj fïjd rEm ,djKH wdf,amk" mÉpd j¾Kl (Tatoo)" fros" f;,a" .%Sia yd ;Ska; j,o fhdod .kS'

ysiflia j¾Kl wdid;añl;djfha ,laIK iq¿ wdid;añl;djhloS lK" weys ms,a,u" ysia lnf,a iu r;= ùu" leiSu yd oshr .e,Su isÿ fõ' wdid;añl;djh wêl f,i mj;sk úg ;on, f,i uqyqfKa bosóu yd ysfia bosóuo olakg ,efí' b;d l,d;=rlska fuu wdid;añl;djh ksid isysiqka jQ frda.Skao ke;sjd fkdfõ' óg wu;rj jD;a;Sh ysifla yev.ia jkakkaf.a w;aj, fuu wdid;añl;djh we;s úh yel'

FEBRUARY 2018 | DOCTOR MAGAZINE

wdid;añl;dj wju lsÍug l< yels foa ysiflia jrKl .e,aùfïoS ysia ln,g fkdjefgk fia .e,aùu l< hq;=h' wmf.a ysiflia u< ffi, j,ska iEoS we;' wdid;añl;dj olajkafka ysia ln,h' tneúka j¾Kl .e,aùfïoS iug fkd.Efjk fia th m%fõYfuka l< hq;=h' hï j¾Klhla Ndú;d lsÍug fmr Patch Test isÿlr th ;udg wdid;añloehs mÍlaId lr.kak' tla ysiflia j¾Klhlg wdid;añl;d olajk wh wfkla j¾Kl j,go wdid;añl;djhla oelaùu nyq,j oelsh yel' •••

doctormagazine.lk

úhm;a ùfïoS ifuys we;sjk fjkialï úhm;a ùfïoS ifuys we;sjk fjkialï fndfydauhls' fuhska iuyrla iu u;= msg ia:rfha isÿjk fjkialïh' we;eï fjkialï isÿ jkafka iug háka we;s udxYfmaYs" fïo ia:rh yd wiaÓkaf.a we;sjk fjkialï weiqre lr .ksñks' 94 26

FEBRUARY DECEMBER2018 2017| |DOCTOR DOCTORMAGAZINE MAGAZINE

p¾u frda. úfYaI{ ffjoH ixcSjkS f*dkafiald

doctormagazine.lk

wm jhig hk úg uqyqfKa we;sjk fjkialï i<ld n,uq' uqyqfKA u;=msákau we;s ia:rfha ;sfnk fld,eck" b,iaála ;ka;= jeks oE úhm;a ùu;a iu.ska wvq fõ' tfiau oS¾>ld,Sk ysre t<shg ksrdjrKh ùu ksid ifuys we;s fu,kska j¾Klfha ;ekam;a ùu u.ska w÷re meye;s me,a,ï we;s ùuo (Pigmentation) jhi;a iu. isÿ fõ' iug háka we;af;a fïo ia:rhls' wmf.a ;=reKQ ld,fhaoS lïuq,a j," kslfÜ" weia jgd olakg ,efnk msßmqka nj we;s lrkafka fulS fïo ia:rfhks' fuh jhi;a iu.u wvq jk w;r by;ska i|yka l< ia:dk j, yereKq úg YÍrfha fjk;a ;eka j,o ;ekam;a ùu isÿ fjhs' fï ksid isÿjk fjkialï w;r kdih fomi .eUqre /<s we;sùu" lg fome;af;a /<s u;=ùu" weia .s,S hdu oelaúh yel' tfiau wkjYH fïoh yl= m%foaYfha ;ekam;a ùu ksid tu ia:dk t,a,d jeàug mgka .kshs' fïo ;Ügqjg háka we;af;a udxYfmaYs ia:rhls' wm l;d lrk úg" iskdfik úg wdoS jYfhka uqyqfKka yeÕSï m%ldY lsÍug bjy,a jkafka fuu udxYfmaYs j,sks' ;reK ld,fhaoS fuu udxYfmaYs fyd|ska l%shd;aul jQjo yeÕSï m%ldY fkdlrk úg tajd bys,a Ndjhlg m;a fõ' túg k<f,a yria w;g we;sjk bß iskdfik úg weia fomi we;sjk /<s wdosh we;s fõ' fïjd uqyqKg tl;= lrkafka úhm;a jq fmKquls' fï ish,a,gu háka we;s wiaÓkao jhi;a iu. úhm;a fõ' wiaÓ áflka ál oshjk ksid uqyqfKa yevh fjkia fõ' ksoiqkla jYfhka kslfÜ wvqùu isÿ jkafka tu wiaÓka wvqùu ksidfjks'

wm l;d lrk úg" iskdfik úg wdoS jYfhka uqyqfKka yeÕSï m%ldY lsÍug bjy,a jkafka fïo ;Ügqjg háka we;s udxYfmaYs j,sks' ;reK ld,fhaoS fuu udxYfmaYs fyd|ska l%shd;aul jQjo yeÕSï m%ldY fkdlrk úg tajd bys,a Ndjhlg m;a fõ' doctormagazine.lk

FEBRUARY JANUARY 2018 | DOCTOR MAGAZINE

95 27

jhig hdug n,mdk fya;=

mdßißl idOl

wm jhig hdug n,mdk m%Odk ldrKd folla fõ' 1. Intrinsic Aging 2. Extrinsic Aging

wêl mßir ¥IKhg ,lajQ m%foaY j, isák who fõ.fhka jhig hk nj fy<sorõ ù ;sfí'

Intrinsic Aging u.ska isÿ jkafka iajdNdúlj jhia.; ùuhs' flfuka ld,h .; jk úg ta wkQj jhig hdu iajNdj O¾ufha kshduhls' th wmf.a md,khg .ekSu myiq lreKla fkdfõ' Extrinsic Aging hkq wm cSj;ajk mßirfha n,mEu u; jhia.; ùuhs' wm Bg ksoiqka lsysmhla f.k n,uq'

ysre t<sfha n,mEu wm wêl ysre t<shg ksrdjrKh ùu blauKska jhig hdug fya;=jls' kuq;a wdishd;sl iïNjhla iys; wmg fuys,d iqúfYAIS jdishlao w;am;a fõ' wfma ifï fu,kska kue;s j¾Klhla l%shd;aul jk ksid iqÿ cd;slhka muKg fõ.fhka ysre t<sh ksid wm jhia.; jkafka ke;'

ÿï mdkh ÿï mdkh lrkakkaf.a ifï we;s wd;kH (Elastic) ;ka;= fõ.fhka leãug ,la fõ' tu ksid ÿï mdkh lrkakkaf.a iu wfkla mqoa.,hkg idfmalaIj fõ.fhka jhig hdu isÿ fõ'

wdydr

iun, wdydr isß;la wkq.ukh lrk wh jhig hdfï l%shdj,shg uqyqK mdkafka wvqfjks'

úhm;a ùu md,kh lrk wdldrh •

wõfjka wdrlaId ùu

•

iun, wdydr fõ,la .ekSu yd oskm;d jHdhdu j,g vyqreùu

•

ÿï mdkfhka ñoSu

úhm;a iug isÿ lrk m%;sldr •

ifï .,ajk wd,amk

•

Botox m%;sldrh

•

Dermal Filler m%;sldrh

•

Chemical Peeling

•

Platelet Rich Plasma

•

Thread Lifting

•

laser

•

Derma Roller

by; i|yka m%;sldr .ek úia;r ,nk l,dmfha isg n,dfmdfrd;a;= jkak' 96 28

FEBRUARY DECEMBER2018 2017| |DOCTOR DOCTORMAGAZINE MAGAZINE

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PROSTATE CANCER

Dilemma of the PSA test to

DETECT PROSTATIC CANCER

When you are over 40, the doctorsâ&#x20AC;&#x2122; advice you to have a PSA test to check and record the number as your base, for future comparisons. If there is a history of prostate cancer in the family, you are advised a test yearly. If you do not have a family history and your first PSA test is low, then your doctor will advise you to get a test done every three years. 98 56

FEBRUARY JULY 2017 |2018 DOCTOR | DOCTOR MAGAZINE MAGAZINE

doctormagazine.lk

Written by:

Dr. Harold Gunatillake

FRCS, FICS, FIACS, MB, BS, AM (Sing)Health writer If the first reading is high or subsequent readings reveal a progressive increase in the numbers, the problems arise. It is a dilemma for the patient, family doctor and the specialist to evaluate and manage such cases.

Normal & Abnormal Readings assumed in PSA The normal PSA levels on a single blood test giving less than 4 ng/ ml are considered normal, and you need to thank God or Karma for it. Recent studies, some recommend lowering the cut-off levels less than 2.5 or 3ng/ml. as normal. PSA values are low in younger people as their prostate glands are smaller. If the number is higher than 3ng/ml in a younger patient that would be a cause for concern. The doctors wouldnâ&#x20AC;&#x2122;t be concerned if the number is borderline or above on the first reading. But, on successive tests, if it is going up progressively over a period of years, then it would be a concern. Keep in mind that with age the prostate gland does get bigger and more Prostatic-Specific Antigen (PSA) is secreted under normal conditions. This also has to be considered in doctormagazine.lk

pinpointing prostatic cancer. The test is done on a sample of blood taken usually from the arm. This is called a screening test for cancer.

Clinical Dilemma Now there is a difference between statistical findings and treating individuals for prostatic cancer. Statistics seem to reveal that doing PSA screening tests and treating or when the test is not done and not been treated the death rates donâ&#x20AC;&#x2122;t differ very much, or the difference is marginal. So why should patients go through painful biopsies of the gland with needles through the anal canal, grading the cancers and further being treated with operation, radiotherapy, and chemotherapy respectively, if there is no difference as far as the statistics reveal without such procedures? There also have been unnecessary operations being done on PSA values alone when prostatic cancer was not found with lab results.

A US Example The United States Prevention Services Task Force (USPSTF), a non-governmental expert panel that produces guidelines for primary care providers proposed new recommendations advising doctors to perform the PSA test only for FEBRUARY JULY 2018 2017 | DOCTOR MAGAZINE

99 57

older men after discussing the pros and cons and further management and intervening through consent with the patients. It is considered important that the patient is warned in doing a PSA screening test on clinical suspicion.

A Cancer there is no Evidence in its Origin In the early stages, there are no symptoms to detect prostate cancer clinically from the history of symptoms and signs. Enlarged prostate which is normally detected clinically or otherwise on per rectal (PR) examination may also give symptoms common to both situations, but in cancer, it is more likely to get pain during ejaculation and blood in urine or semen, in addition to difficulties in passing urine. Pain behind the scrotum is a sure sign of inflammation or early cancer of the prostate gland.

Controversial Recommendation Against PSA In 2012 USPSTF released a controversial recommendation against PSA testing at any age. It was based on a large US study showing no decrease in prostatic cancer deaths among men screened using the PSA test. Many cases were diagnosed having cancer on the PSA test alone and unnecessarily treated with surgery or radiation 100 58 FEBRUARY JULY 2017 |2018 DOCTOR | DOCTOR MAGAZINE MAGAZINE

On the other hand, there was another large study in European men showed a small decrease in prostate cancer deaths after more than 10 years follow-up who were treated.

My Opinion My view is that PSA test should be done on every patient who asks for it, and those having a family history, yearly. The younger people less than 60 diagnosed on progressive PSA tests need further surgical intervention and surgery. Those elderly people diagnosed on PSA screening could wait without any further intervention other than observation regularly. They would live for a considerable period with or without surgery. You need to discuss with your doctor and you need to make a decision when it comes to prostate cancer diagnosis on the screening test. Very difficult decision for you to face.

What is the PSA test? The PSA test is a blood test that measures the amount of prostate specific antigen (PSA) in your blood. PSA is a protein produced by normal cells in the prostate and also by prostate cancer cells. Itâ&#x20AC;&#x2122;s normal to have a small amount of PSA in your blood, and the amount rises as you get older and your prostate gets bigger. A raised PSA level may suggest you have a problem with your prostate, but not necessarily cancer.

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Do You Think That You Are Ugly

BODY DYSMORPHIC DISORDER Most of us have something we don’t like about our appearance – our nose is too big, our legs are too short, our teeth aren’t straight, and so on. We don’t stress that much about it though, and it certainly doesn’t interfere with our daily life.

By W H Hashini Himanshika doctormagazine.lk

FEBRUARY 2018 | DOCTOR MAGAZINE 101

People who have Body Dysmorphic Disorder think about their flaws (either real or imaginary) for hours each day. When others tell them they look fine or that the flaw isn’t noticeable, people with BDD don’t hear or don’t take any notice. Body Dysmorphic Disorder “BDD is a body-image disorder characterized by persistent and intrusive preoccupations with an imagined or slight defect in one’s appearance.” People who have body dysmorphic disorder (BDD) think about their real or perceived flaws for hours each day. They can not control their negative thoughts and don’t believe people who tell them that they look fine. Their thoughts may cause severe emotional distress and interfere with their daily functioning. They may miss work or school, avoid social situations and isolate themselves even from family and friends, suffer from low self-esteem or may even have thoughts of suicide or make a suicide attempt. 102 FEBRUARY 2018 | DOCTOR MAGAZINE

Because they fear others will notice their flaws. In extreme cases, they may even undergo unnecessary plastic surgeries to correct perceived imperfections. But never find satisfaction with the results.

Am I suffering from BDD? People with BDD suffer from obsessions about their appearance that can last for hours or up to an entire day. These thoughts are hard to resist or control, these make it difficult for people with BDD to focus on anything but their imperfections. Therefore they may perform some type of compulsive or repetitive behavior to try to hide or improve their flaws although these behaviors which give them a temporary relief. They are •

camouflaging (with body position, clothing, makeup, hair, hats, etc.)

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comparing body part to others’ appearance

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seeking surgery

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checking in a mirror or avoiding mirror

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skin picking

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excessive exercise

•

changing clothes excessively

If you have any of these symptoms in an excessive manner, It is high time to discuss with your doctor. doctormagazine.lk

Who develops BDD?

Diagnosis and Treatment

BDD most often develops in adolescents and teens almost at the equal gender distribution according to research.

To get an accurate diagnosis and appropriate treatment, people must mention their concerns with their appearance when they talk to a doctor or a mental health professional. A trained clinician should diagnose BDD.

Why some people develop BDD ? The exact cause of BDD is still unclear, but certain biological and environmental factors may contribute to its development: genetic predisposition, some personality traits, and life experiences such as child maltreatment, sexual trauma or peer-abuse.

BDD share symptoms with other mental disorders. People with BDD also suffer from anxiety disorders such as social anxiety, and other disorders such as depression, obsessive-compulsive disorder (OCD) and eating disorders. There is a high chance for BDD to be misdiagnosed as the intrusive thoughts and repetitive behaviors exhibited in BDD are similar to the obsessions and compulsions of OCD. Avoiding social situations in BDD may be due to shame or embarrassment of one’s physical appearance and is similar to the behavior of some people with social anxiety disorder.

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If your child is preoccupied with appearance so that it interferes with a concentration in school or if behaviors listed above appear, talk to a mental health professional. Effective treatments are available to help people with BDD to live full, productive lives. •

Cognitive-behavioral therapy (CBT) teaches patients to recognize irrational thoughts and change negative thinking patterns.

•

Antidepressant medications can help relieve the obsessive and compulsive symptoms of BDD.

Sources https://adaa.org/understandinganxiety/related-illnesses/ other-related-conditions/bodydysmorphic-disorder-bdd https://www.psychologytoday. com/blog/in-excess/201508/bodydysmorphic-disorder •••

FEBRUARY 2018 | DOCTOR MAGAZINE 103

SEXUAL DISORDERS

,sx.sl wl%ñl;d we;eï ñksiqka w;f¾ mj;sk wiïu; ldu p¾hd

ffjoH ks¾ud,a odnf¾ c¾uksh

104 FEBRUARY 2018 | DOCTOR MAGAZINE

doctormagazine.lk

fï úosfya lduql yeisÍï ;sfnk Woúh Tng;a yuq ù ;sfnkjdo@ ukqIHhd ;=< mj;sk wiïu; yeisÍï lSmhla .ek ufkda úoHdfõ W.kajhs' tajd m%Odk jYfhka NS;sld ^Phobias& iy Wu;= ^wdidjka& ^Manias& jYfhka hgf;a fldgia follg fnfohs' fï w;ßka iudchg n,j;a fia n,mdk ydksodhl ms<sl=,a iy.; frda.S ;;a;ajhkao tod mgka wo olajdu ukqIHhka w;r mj;S' tajd y÷kajkafka wiïu; ldu p¾hd fyj;a ,sx.sl wl%ñl;d Sexual Disorders f,isks' ufkda úYaf,aIlhkag wkqj fujks wiïu; ,sx.sl p¾hdjka lSmhla fmkajd §ug mq¿jka'

m%o¾Yk lduql;ajh ^Exhibitional Sex&

md¿ mdrj,a whsfka" keje;ajQ jdyk ;=<" nd,sld fkajdisld.dr wi, ckY=kH ia:dk j, fudjqka ießirhs' fuh jeämqru msßñkag we;s jk ;;ajhla jqj;a fujeks ia;%Skao ke;=jdu fkdfõ' ,sx.sl m%foaY yd ta wjg YÍr fldgia úreoaO ,sx.slhkag fmkajñka ta whf.a wjOdkh ,nd .ekSu ;=<ska Tjqka ;Dma;su;a fjhs' frda.h W;aikak jQ l< Rcqju ,sxf.akaøsh fmkaùu l<o" n,y;aldrlula fyda ysxikhla i|yd fudjqka fkdfm<fUhs' wÕmiÕ fmfkkakg m%isoaêfha lrk rd.sl fudaia;r ksrEmkfha§ fukau wv ksrej;a we÷fuka ckdls¾K ia:dkj, yeisfrk ldka;djka ;=<;a fulS m%o¾Yk lduhg f,d,a njla mj;sk nj ufkda úoHd{jre mji;s'

ksÍlaIK lduql;ajh ^Voyeurism&

.Ekq kdk <sx wi, ieÕù isg Tjqkaf.a ksrej;a jk wÕ miÕ foi n,d i;=gq ùu fulS frda.fha tla ,laIKhls' uqyqÿ fjr<l .,la wiafia jdäù fyda md¿ ;eklg ù fmï iqj ú¢k hqj,la foi fydfrka n,d isg ;Dma;su;a ùuo fudjqkaf.a mqreoaols' zzys,auka,dZZ fyj;a zzweia wdisla ldrfhdaZZ lshd iudch wu;k fujeks wh w; fndfyda úg doctormagazine.lk

FEBRUARY 2018 | DOCTOR MAGAZINE 105

l=vd ys,la iok ,o m;a;r msgqjla l=vhla jeks fohla mj;S' ta jia;=j wdOdrfhka Tjqka fjk whf.a yeisÍu yd ksrdjrKh jk ryia wjhj foi n,d i;=gq fjhs' lduql ú;%mg keröu yd ksrej;a rEm iys; fmd;a ne,Sug m%shùu ^Blue Films& Pornography& fuu frda.fha m%d:ñl wjia:djls' wy, my, f.j,a j, kdk ldur ksok ldurj,g tî ne,Su h;=re isÿfrka ne,Suo lrkq ,nhs' ;u újdyl ìß|j ;j flfkl= iu. r;sfl<sfha fhdojd ta foi fydfrka n,d isg Wmßu úkaokhla ,nk who fuu fldgig wh;a fjhs'

merms,shdj (Pharaphilia)

fmdÿfõ msßñ yd .eyekq hk fomd¾Yjhu fuu ;;a;ajhg m;ajk w;r fuys úfYaI;ajh jkqfha ;u ,sx.sl leue;a; úreoaO ,sx.slhd fkdjk fjk;a foa i|yd fhduq lr ;Dma;shla ,eîfï keUqre;djhhs' ,sx.sl ld¾hhka f,i iu,sx.sl fiajkh" iajhx úkaokh" uqL fyda .=o ixi¾.h i|yd fudjqka oeä we,aula olajhs'

wm%d‚l jia;+ka úIfhys ,sx.sl wdidj ^Fetishism&

ldka;d hg we÷ï fidrd .ekSu óg fyd| ksoiqkls' ;jo msßñ wh úiska .eyekq hg we÷ï we£uo" .eyekq wh úiska msßñ hg we÷ï we£u fyda tajd iam¾Y lsÍu ta foi n,d isàu ;=<ska iajhx úkaokhla ,eîuo fuu frda.fha tla wjia:djls' fuu wiïu; p¾hdj we;s

106 FEBRUARY 2018 | DOCTOR MAGAZINE

ldka;djkaf.a ;j;a ,laIKhla? jkafka msßñkaf.a hg we÷ï fia§ug yd iam¾Y lsÍug we;s wdYdj yd t;=<ska ,sx.sl ;Dma;shla ,eîuhs'

iam¾Yfhka ,nk ;Dma;sh ^Frotteurism&

úreoaO ,sx.slhdf.a leue;af;ka fyda wjirhlska f;drj Tyqj fyda wehj ia?m¾Y lr f;rmd w,a,d .Eù isg fyda ;o lr ,nk ;Dma;sh fukñka ye¢kafjhs' mqreI mlaIhg fuh fnfyúka je<f|k frda.hla jk w;r l,d;=rlska fujeks ia;%Skao yuqfjhs' Wfoa yji ÿïßfha fyda niaßfha jevg hk ldka;djkag kï fulS wh .ek wreuhla fkdjkq we;'

l=ur lduql;ajh ^Pedophilia&

l=vd <uqkaj ,sx.sl lghq;= i|yd fhdod .ekSu fukñka y÷kajhs' fujeks frda.s ;;a;ajfhka fmf<kakka jhi wvq orejka iu. ixi¾. l%shdj,shg Rcqj fkdhk w;r wh:d l%u j,g fmd<Ujd .kS'

iajmSvd lduql;ajh ^Masochism&

;udg ßÿï fok wdldrfha l%shdjkays fh§ t;=<ska ,sx.slj ;Dma;su;a ùu iajmSvd lduql;ajhhs' fuys§ ,sx.sl ;Dma;shlau fkdjQj;a fjk ;Dma;shla ,eîuo isÿfjhs' iuyre ;u ,sxf.akaøfha mÉp fldgd .kS l=vd ue‚la .,a nhsisl,a fnda, jeks foa YsIaK uqkavfha Y,Hl¾u u.ska Tínjd .kS'

doctormagazine.lk

tfukau ia;%Ska ;u fhdaks ud¾. fha N.u‚h wdikakfha yd ;k mqvq w. l=vd uqÿ jeks foa fyda lrdnq wdÈh iúlr .ekSuo fulS iajmSvd lduql;ajfha ,laIKhls' ryia ia:dkj, muKla fkdj uqyqfKa w;a ndyqj, mmqfõ yd keyefha mÉp flàu lrdnq me<£uo fuys wx.hls'

mr mSvd lduql;ajh ^Sadomasochism&

;udf.a iyldrhdg fyda iyldßhg ßojñka jo foñka ;ud ,sx.sl ;Dma;shla ,nd .ekSu mr mSvd lduql;ajhhs' ia;%S ÿIlhd .efkkafkao fuu frda.S ;;a;ajhgh' fndfyda ldka;djka ryfia jid f.k isáho fuh wo nyq;rhla ksfjia j, wvq jeäfhka olakg we;'

mßj¾;l lduql;ajh ^Transvestic Fetishism&

;ud Wm;ska ,o ,sxf.akaøshhka ie;alula u.ska fyda T!IO j,ska udrelr úreoaO ,sx.hla ,nd .ekSug we;s oeä leue;a; ^WodyrK f,i msßñka fydafudak tkak;a lr mmq fmfoi f,dl= lr .ekSu;a mqreI ,sx.h bj;a fldg t;ek fhdaks újrhla f,i ie;alulska fjkia lsÍu ia;%Ska ;u ,eu nisk f,i yd frdau jefjk f,i fydafudak tkak;a lr .ekSu& ;dhs,ka;h" isx.mamQrej" bkaÈhdj jeks rgj, fuh iq,nj olskakg we;' ;udf.a ,sx.fha isáñka úreoaO ,sx.slfhla f,i fmkS isàuo fuys tla wx.hls' wo ,xldfõo fujeks wh iq,nj olakg isà'

uq;%d weiqßka ,nk 10 u< ;Dma;sh ^Coprophilia& weÕ u; u< uq;%d lrjd .ekSu" tfia lrkjd oelSu yd tys Yíoh weiSu ;=<ska ;Dma;shla ,nk mqoa.,hka fmf<kafka fulS frda.fhks'

u, ñkS iu. ,sx.sl ld¾h lsÍu ^Neckrophilia&

fujeks wjia:d wm rfÜÈ;a isÿjqK nj;a oekg;a isÿjk nj;a wmg jd¾;d fjhs' rEu;a ;re‚hka iajNdúl refjkau ñh f.dia wjika lghq;= i|yd uD;.drhg fyda u,a Yd,djg /f.k .sh úg fujeks foa isÿúh yel'

ÿrl:k weiqßka wiNH ixjdofhys fhoSu ^Telesexualogia&

ÿrl;k ixjdo j,ska wiNH yd rd.sl foa l;d lsÍuo ,sx.sl wl%ul;d >khg jefÜ' fndfyda úg rd;%S ld,j, iEu rglu jdf.a fujeks foa isÿfjhs' rd;%S uqrh lrk wdrlaIl ks,OdÍka ksfji j, jik ;kslv ldka;djka" ÿrl;k yqjudrej, Tmf¾g¾jßhka jeks wh fujeks foa i|yd mqreÿ ù isá;s' wo cx.u ÿrl;k iq,n ksid tajd yryd iy wka;¾cd,h yryd ;reK mrmqr;a fulS ldu rih msß ixjdo j, fhfo;s'

i;=ka iu. ,sx.sl ld¾hfha kshE,Su ^Zoophilia&

iqkLhka wYajhka jeks .DydY%s; i;=ka Wmfhda.s lr.kS'

•••

doctormagazine.lk

FEBRUARY 2018 | DOCTOR MAGAZINE 107

.eiag%hsáia fyd| lr.kak ;ju;a neß jqKdo@

tfykï fukak Bg fya;=''' 108 FEBRUARY 2018 | DOCTOR MAGAZINE

doctormagazine.lk

.eiag%hsáia we;s ùug mdka msá úYd, fya;=jla fjkjd''' .eiag%hsáia md,kh lrkak fy< wdydr úYd, iïudoula fjkjd''' kQ;k;ajhg f.dÿre jQ iudcfha jerÈ wdydr rgdjka ksid iEu fokdu fm<k frda.hla jkafka .eiag%hsáiah' fuu frda.h fld;rï nyq,oehs lsjfyd;a tu frda.fhka fkdfm<Su wvqjla fia olsk who iudcfha isá;s' zzug .Eia˜ zzug .eiaá%la˜ fuu frda.h jerÈhg jyrkafkdao iudcfha nyq,j fjfi;s' .eiag%hsáia j,g m%;sldr lsÍfï§ ksis wdydr ms<sfj;aj,g wkq.; fkdjqjfyd;a hym;a m%;sM, fkd,efí' doctormagazine.lk

ffjoH md,s; iuka chfldä

.eiag%hsáia we;s jkafka fufyuhs .eiag%hsáia frda.fha§ isÿjkafka wdudYfha we;=<; wdia;rKh ^Gastric Mucosa& m%odyuh ;;a;ajhlg Ndck ùuhs' fuh wdudYhg Y%djh jk yhsfv%%dlaf,daßla wï,fha ier jeäùfukao wdudYh thska wdrlaId lrk Yaf,aIau, Y%djhkaf.a ÿ¾j, ùfukao''' we;eï úg ta foflkauo isÿ úh yelsh' tfukau wdydrmdk j, we;s ñßia jeks ndysr ier ldrlhla ^Irritant& u.skao isÿ úh yelsh' .eiag%hsáia frda.h udrdka;sl fkdjQj;a th frda.shd buy;a ldhsl udkisl wmyiq;djlg iy ú|ùulg Ndck lrk frda.hls'

.eiag%hsáia frda. ,laIK fuys frda. ,laIK jkafka nfâ oeú,a," nv mqrjd oeóu" wdydr wreÑh" nfâ lelal=u" mmqj odf.k W.=rg tau" Tlaldrh wdÈhhs' fuu wmyiq;djka ksid we;eï úg wm%d‚l .;sh" la,dka;h" lerls,a, wd§ frda. ,laIKo we;súh yelsh' .eiag%hsáia frda.Ska uiams~q fõokdfjka iy wf;a mfha reodj,ska fmf<k wjia:do yuqùu iq,nh' .eiag%hsáia frda.h we;s lsÍug FEBRUARY 2018 | DOCTOR MAGAZINE 109

.eiag%hsáia frda.hg fya;=jk wï,h by<g meñKSu iy W;aikak lsÍug ukio ;SrKd;aul f,i n,mdhs' .eiag%hsáia frda.h i`oyd T!IO ldKav lsysmhla Ndú; l<o tajdhska m%Yia; m%;sM, ,nd.ekSug kï ksis wdydr ms<sfj;a ms<sme§u wksjd¾hfhkau isÿ úh hq;=h' .eiag%hsáia l=uk fya;=jla uQ,sl fldgf.k yg.;a;o thg m%;sldr lsÍfï§ ksis wdydr ms<sfj;aj,g wkq.; fkdjqjfyd;a hym;a m%;sM, fkd,efí'

mdkamsá lEu ksid .eiag%hsáia frda.Ska úYd, jYfhka jeä fj,d''' wo fndfyda fokd ;ukaf.a m%Odk wdydr njg m;alrf.k we;s mdkamsá lEu" lsßmsá" laI‚l lD;%su wdydr mdk" f;,a wêl lEu iy ñßia wêl lEu .eiag%hsáia we;s lsÍfï iy W;aikak lsÍfï m%Odk j.W;a;rlrejkah' iqÿlsß" .eiag%hsáia j,g fyd| hEhs lshd .eiag%hsáia frda.Ska jeä jeäfhka lsßmsá î ;j;a f,vfrda. idod.;a;o lsß î .eiag%hsáia fyd| lr.;a flfkla kï wmg yuqjkafka ke;' frda,aia jeks .eUqre f;f,ka neÈ" ñßia .ïñßiao wêl f,i fh¥ mdkamsá lEu wdydrhg .;fyd;a .eiag%hsáia we;sùu iy jeäùu ksh;h' kuq;a zzug .Eia" ug .Eia˜ lshñka ks;r ueissú,s kÕkakkaf.a m%Odk wdydr ù we;af;ao tjeks lEu j¾.hkah' wjÈ jQ ú.i lsßmsá Èhlr fndk" Wfoa wdydrh f,i mdka lk" flá wdydr f,i frda,aia lÜ,Ü jeks foaj,au lk" me‚ îu fndk ojfia b;=re yßho lsßmsá mdkamsá wdydr iy lD;%su wdydrj,ska f.jd ouk whg 110 FEBRUARY 2018 | DOCTOR MAGAZINE

.eiag%hsáia we;sùu .ek mqÿu úh hq;= ke;' mqÿu úh hq;af;a tjka úIu wdydr rgdjlg f.dÿre ù ;sfnoa§;a .eiag%hsáia we;s fkdjQfjd;ah' m%Odk wdydrh f,i ;=ka fõ,gu n;a wdydrhg .ekSu .eiag%hsáia j<lajd .ekSug we;s fyd|u l%uhhs Wfoag yS,a n;a wdydrhg .ekSu .eiag%hsáia j,g úfYaIfhkau .=Kodhlh' n;a wdydrhg .ekSfï§o f;,a wêl" ñßia wêl foaj,a iu. wdydrhg fkd.ekSug m%fõYï úh hq;=h' wêl f,i ñßia fh¥ fmd,a iïfnda," uia fydÈ wdÈho ñßia fh¥ neÿï wdÈho .eiag%hsáia frda.Ska n;a iu. fkd.; hq;= wdydr fjhs'

m%Odk wdydrh f,i ;=ka fõ,gu n;a wdydrhg .ekSu .eiag%hsáia j<lajd .ekSug we;s fyd|u l%uhhs Wfoag yS,a n;a wdydrhg .ekSu .eiag%hsáia j,g úfYaIfhkau .=Kodhlh' doctormagazine.lk

.eiag%hsáia frda.Skag .=K foaYSh wdydr y÷kd.kak m%Odk wdydr fõ,aj,g wu;rg flálEu f,i .eiag%hsáia frda.Skago m%Yakhlska f;drj Ndú; l< yels b;du .=Kodhl wdydr rdYshla wmg we;' fmdÿfõ i<lf;d;a yd,amsá" l=ryka msáj,ska idod.kakd yqud,fhka ;ïnd.kakd wdydr .eiag%hsáia j,g .=Kodhlh' ye,m" jKavqwdmam" je,s;,m" f.dgqmsÜgq" ,ejßh l=ryka msÜgq wdÈh tajdg ksoiqkah' yd,amsáj,ska idod.kakd ;dÉÑfha mqÉpd.kakd" jeämqr msmqï ldrl fkdfh¥ me‚wdmam iqÿwdmam wdÈho .eiag%hsáia j,g .=Kodhlh' yd,amsá iy W¿÷ msá ñY% lsÍfuka ilid .kakd f;dafi o tjeksu ñY%Khlska ilid .kakd bÜ,so .eiag%hsáia frda.Skag iqÿiqh' ye,m" me‚wdmam" jKavqwdmam" je,s;,m" f.dgqmsÜgq" ,ejßh wdÈfha we;s me‚ rifhka ,ndfok uDÿ .=Kh .eiag%hsáia frda.Skag ys;lrh' tfy;a nr jeä .eiag%hsáia frda.Skag iy Èhjeähdfjka fmf<k .eiag%hsáia frda.Skag me‚ri wêl jYfhka Ndú;

.eiag%hsáia frda.Ska jeä jeäfhka lsßmsá î ;j;a f,vfrda. idod.;a;o lsß î .eiag%hsáia fyd| lr.;a flfkla kï wmg yuqjkafka ke;' doctormagazine.lk

lsÍu iqÿiq ke;' iqÿ iSks fjkqjg tu wdydr j,g me‚ri ,nd§u i|yd ls;=,ame‚" fmd,ame‚" ó me‚" nUr me‚" wdÈh jvd ys;lrh'

nr wvq lr.; hq;af;a;a keKj;a wdldrhghs .eiag%hsáia frda.fhka fmf<k nr jeä iy ;rndre whg nr wvqlr .ekSug wdydr md,khla lrkakg fhdackd l< ú.iu Tjqka wfmka úuikafka zzfvdlag¾ lEu wvq l<yu .eiag%hsáia jeä fjkafka keoao˜ lshdh' kuq;a nr wvq lr .ekSug wm fhdackd lrk wdydr jevmss<sfj< ms<smÈk whg .eiag%hsáia iqj ùula ñi jeä ùula kï jkafka ke;s nj fmkajd Èh hq;=uh' wm nr wvq lr .ekSu i|yd fhdackd lrkafka f;,a iy fïoh wju ;ka;= wêl c,ho jeämqr mdkh lrk laI‚l lD;%su wdydrj,skao f;dr wdydr mdk rgdjls' th .eiag%hsáia frda.Skago tf,iu wod< jk w;r Tjqka wu;rj l< hq;af;a ñßia" .ïñßia wd§ ierldrl Ndú;h wju lsÍu mu‚' tfiau tjka wdydr rgdjla ;=<ska l%udkql+,j nr wvq lr .ekSfï§ nr wvqùu ksido .eiag%hsáia frda.h iqj fõ' .eiag%hsáia iqjlr.kakg hEhs lshd ks;r ks;r jeä jeäfhka wdydr .kakd ;rndre iy nr jeä whg isÿ jkafka .eiag%hsáia iqj lr.kakg fkdj W;aikak lr.kakgh' thg fya;=j tfia wdydr .ekSu ;=< YÍrfha tl;= jk le,ß m%udKfhka Tjqka ;jÿrg;a ;rndre ;;a;ajhg m;a ùuhs' ;rndre nj jeä ùu hkq wksjd¾hfhkau .eiag%hsáia jeä ùuhs' tmuKla fkdj Èhjeähdj we;=¿ ;j;a Nhdkl f,vfrda. rdYshlg mdr lmd .ekSuhs'

••• FEBRUARY 2018 | DOCTOR MAGAZINE 111

Tfí yoj; fldhs ;rï jákjdo@ fudk ;rï frda.S fjkjdo@

yDo frda. úfYaI{ kdu,a úfcaisxy 112 FEBRUARY 2018 | DOCTOR MAGAZINE

;ukaf.a yoj; .ek ldf.;a ie<ls,a, w;sYhska ;SrKd;aulhs''' doctormagazine.lk

wfma YÍrfha jákd lshk b÷rka fldmuK ;sfnkjdo@ ta;a wms yoj; y÷kajkafka zzyDoh jia;=jZZ lsh,' YÍrfha ;sfnk fjk;a f,dl= mqxÑ wjhj j,g uos mqxÑlula lrkj fkdfjhs' ta;a yDohg ,efnkafka tjka wkNsNjkSh ms<s. ekSula' cSú;h mj;ajd .kak yDoh jia;=fõ l%shdldß;ajh ;SrKd;aulhs lshk ldrKh .ek úia;r lrkak fjk;a wgqjd àld ámamkS wjYH kE' yDoh jia;=j uq,skau iamkaokh jkak ^.efykak& wdrïN jkafk orejd uõl=i ms<sis|f.k i;s lsysmhlska' t;eka mgka n,.ekafjk fï iamkao ùu <ore" <ud" jeäysá''' cSjk u. fï wjê miq lrñka hï fudfyd;l wfma cSú;h wysñ fjkjdo''' ta ;dla ld,hla lsisÿ úfõlhla ke;sj iamkao fjkjd' fufyu iamkao fjñka YÍrfha ;sfnk wfkl=;a iEu wjhjhlgu reêrh" Tlaiscka''' wdoS jYfhka fmdaIKh i,ikjd' lsisu wjia:djl fï bkaøsh úfõlhla .kafk kE' kskafoos mjd''' fjk;a ´kEu ld¾hhl wm fhfok fudfyd;loS mjd yDoh jia;=j iamkao fjkjd' fï wfkl=;a wjhj fmdaIKh lsÍfï ld¾hh isÿ lrkjd' idudkHfhka ojilg jdr tla ,laI úis oyia jdrhla muK ixfldapkh fjñka" bys,a fjñka yDoh jia;=j iamkaokh fjkjd' Tn okakjd yDoh jia;=fõ me;s folla ;sfhkjd' úfõlfhka bkak wjia:djloS úkdählg ,Sg¾ myl muK reêr Odß;djhla fmdïm lrkjd' wms mqxÑ .Kkhla isÿ lr, n,uq' ñks;a;=jlg ,Sg¾ myla lshkafka fome;af;kau ,Sg¾ oyhla' weúosk úg" hï l%shdjk ksr; jk úg fï Odß;dj ;j;a jeä fjkjd' doctormagazine.lk

yojf;a ksfrda.S nj fjkqfjka l< hq;= foa yDoh jia;=j w;sYh l%shdldÍ wjhjhla' fuh úúO fya;= u; hï frda.dndO j,g ,la jkakg mq¿jka' • f,dalfha ish¿u rgj, we;sjk urK .;af;d;a''' ÿmam;a rgj,a" fmdfydi;a rgj,a lshd fNaohla ke;sj .;af;d;a urK isÿ fjkak uQ,sl fya;=j yDoh wdY%s; wdndO' • wld,fha we;sjk urK .ek;a wms l;d l;d lrkjdfk' ta lshkafk wkfmalaIs;j ysá wäfha isÿjk urK' fï urK we;sjk fya;= ne¨j;a fï urK j,skq;a jeäu ixLHdjlg fya;= jkafka yDoh frda.' úfYAIfhka yDohdndO' fï ksid yDohdndO yd wfkl=;a yDoh wdY%s; frda. we;s ùfï wjodku wvq lr .kak wo ffjoHjreka úfYAIfhkau ie<ls<su;a fjkjd'

yDohdndO yd wfkl=;a yDoh.; frda. we;s fjkak n,mdk fya;= wmg uõmshkaf.a Wreuhla f,i ,efnk cdk j,;a we;eï fj,djg fï yDoh.; frda. we;s ùfï wjodku ieÕj ;sfnkjd' wvq nrlska bmoSu" fkdfïrE orejka jYfhka bmoSu wdoS ldrKd jqK;a miqld,Skj yDoh frda. we;s ùug n,mdkjd' wm l=vd ld,fha isg we;s lr.kakd mqreÿ;a miqld,Skj yDoh.; frda." yDohdndO wdosh we;s ùug n,mj;ajkjd' orejka ikaosfhaoS we;s lr.kakd whym;a wdydr mqreÿ" FEBRUARY 2018 | DOCTOR MAGAZINE 113

jHdhdu fkdue;slu wdosh;a fu wjodku by< kxjkjd' wo ;sfhkafka w;sYhska ;rÕldÍ wOHdmk l%uhla' fï ;;a;ajh ;=< orejka jeä jeäfhka fï ;rÕhg fhduq lsÍug uõmshka W;aiql fjkjd' orejd osfkl jeäysáfhl= jqKdu cSú;h ch .kak" fyd| riaidjla .kak kï jeäfhka bf.kf.k ;sfhkak ´ks lshk wruqK" wNs,dYh ;uhs fndfydauhla uõmshkaf. ;sfnkafka' kuq;a fuysoS uõmshka orejkaf.a fi!LH ;;a;ajh hym;aj mj;ajd .ekSfï jeo.;alu ,>q lrkjd' fldákau ta .ek uõmshkaf.a t;rï ;elSula kE' Tjqkaf.a fm!reIh j¾Okh lsÍug ;nk nrg t;rï jákdlula ,efnkafk kE' fi!LHiïmkak fkdjk p¾hd u;ska wOHdmkh hhs lshd ;rÕhlg orejd fhduq lrkjd' wjidkfha fjkafk orejd frda.sfhla fjk tl' orejka l=vd ld,fhaoS l%Svd j,g fhduq lsÍu" ks;sm;d jHdhdu isrerg ,efnk p¾hdjlg fhduq lsÍu yßu jeo.;a' l=vd ld,fhaoS fï foaj,a cSú;hg yqre lr fkd.kakd Woúh f,dl= uy;a jqKdu ta isß;a j,g k;= jk wjia:d b;du wjuhs' fufyu yefok orefjd fldfydu;a f,dl= jqKdu;a w,ihs' fï ksid orejka l%Svd j,g fhduq lsÍu iïnkaOfhka uõmshka úfYAI ie<ls,a,la oelaúh hq;=hs' l=vd ld,fha orejka ksfrda.S YÍr nrla mj;ajd .ekSu;a jeo.;a' l=vd ld,fha mgkau ia:q,;djh mej;Su miqld,Skj thska ñoSug uy;a wNsfhda.hla' l=vd ld,fha b|kau uy; fofy; orejkag m%dfhda.slj tjka b,lalhlg <Õd ùu myiq ldrKhla fkdfjhs' fï ksid l=vd ld,fha mgkau orejkaf.a ksis YÍr

114 FEBRUARY 2018 | DOCTOR MAGAZINE

nrla mj;ajd .ekSug uõmshka mshjr .; hq;=hs'

yDohdndOhloS we;sjk ,laIK .ek oeKQj;a ùu yßu jeo.;a''' yDohdndOhloSmmqfõ ueo fyda ju mig jkakg ;on, lelal=ula we;s fjkjd' yenehs fïjd mmqfõ fjk;a ;eka j,;a fï lelal=u we;s fjkak mq¿jka' ta;a" iq,nju we;s jk ia:dk ;uhs mmqfõ ueo yd jïmig jkakg' fï lelal=u fn,a,g" ylalg ta jf.au ndyq j,g;a hkak mq¿jka' ;on, mmqfj lelal=ula tlal" oyäh oeóula la,dka; .;shla jf.a oefkkjd" Tlaldrh jukh jf.a ,laIK we;s fjkjd' fï úosfya fjkialula Tng oefkkjd kï fyd|u foa ;uhs <Õu ;sfhk frday,g hk tl' yDohdndOhloS yels blauKska m%;sldr .ekSu u; ;uhs isÿúh yels ydksh wvq lr.kakg;a" cSú;drlaIdj ,eîug;a yels jkafka' fuysoS ielhla ;sfnkjd jqK;a tys jdish Tn jdishg .; hq;=hs' lsisjla fkdlr bkak tl fkdfjhs" frday,g hk tl ;uhs Tn l< hq;af;a' yeu mmqfj lelal=ulau yDohdndOhla fkdfjhs' ta jf.auhs mmqjg iïnkaOhla ke;s la,dka;h" lrleú,a,'' ta jf.au oyäh oeóu" yqiau .ekSu wmyiq ùu" jf.a ,laIK;a tlal;a yDohdndOhla we;s fjkak mq¿jks' jeäysáhka" fjfiiskau oshjeähdj ;sfhk whg fï úosyg nrm;, frda. ,laIKhla fkdfmkajñka jqK;a yDohdndOhla we;s fjkak mq¿jks' fï úosfya ;;a;aj wm Silent Attack tlla jYfhka ye|skafjkjd'

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.eiag%hsáia yd yDohdndO mg,jd .ekSu iq,nhs .eiag%hsáia we;s jqKdu fmkajk frda. ,laIK;a" yDohdndOhloS we;sjk frda. ,laIK;a fndfyda ÿrg iudkhs' wdudYfha ;sfnk wï,h .,kd,h osf.a Wvg tk tlg ;uhs .eiag%hsáia lshkafka' fuh Reflux Disease lsh, ;uhs y÷kajkafka' fuysoS we;s fjkafka zzmsÉfpkj jf.aZZ lelal=ula' yDohdndOhloS;a fï úosygu oeú,a,la we;s fjkjd' fï fj,dfjos ffjoHjrhdg;a we;eï úg yqfola mÍlaIdfjkau frda. ;;a;ajh ksrdlrKh lr.kak wudrehs' tfyu fj,djg frda.shd ECG jeks jeäÿr mÍlaIK j,g fhduq lrkak ffjoHjrhd fm<fUkjd'

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ld,hla ;siafi .eiag%hsáia lsh, m%;sldr .kak we;eï frda.Ska ug yuqfj,d ;sfhkjd' Tjqka tkafvdiafldms mÍlaIK j,g mjd Ndckh fj,d ;sfhkjd' fudlla yß wjia:djloS fï frda.Ska ECG mÍlaIKhloS iq¿ fjkila fmkajkjd' ke;akï fg%dmkska jf.a mÍlaIKhloS iq¿ yDohdndO ;;a;ajhla fmkajkjd' tfyu y÷kdf.k fï frda.shd wjidkfha fï frda.shd nhsmdia ie;alula jf.a ms<shulg fhduq l<dg miafi wr .eiag%hsáia lshmq ;;a;ajh fyd| fjkjd' tfykï fï frda.shdg ;sì, ;sfhkafk .eiag%hsáia fkdfjhs' mmqfj lelal=u''' wekachskd lshk ;;a;ajh' fï úosyg yDoh frda. yd .eiag%hsáia frda.h mg,jd .ekSu ks;ru fjk fohla' •••

FEBRUARY 2018 | DOCTOR MAGAZINE 115

o;a

kej; isgqùu

o;la ke;s jqKdu kej;;a ta úosygu

o;la ,ndfok l%uh

Dental Implant lshkafka fudkjdo@

oka; Y,H ffjoH wreK r;akiQßh úisks

Dental Implant lshkafka ghsfÜkshï f,dayfhka iE¥ úÿreuig háka yKQl wiaÓhg iújk bial=remamq weKhl yevh .;a Wmdx.hla idudkH o;l uq, fuka ñksia yKqj yd ne|S o;la fia l%shd lsÍuhs'

tla o;la muKla iú lsÍfïoS''' Dental Implant l%uh o;a isgqùu i|yd oekg mj;sk w;s kùk;u l%ufõohhs' tl o;la muKla wvq frda.sfhl=g yKqfõ wiaÓh fukau ta o; fomi we;s o;a j,g ydks fkdjk fia iajdNdúl o;la fiau l%shd lrk wkaoug o;la iú lsÍug fhdod .kakd l%ufõohls'

116 FEBRUARY 2018 | DOCTOR MAGAZINE

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o;a lsysmhla tljr iú lsÍfïoS''' Dental Implant l%ufõoh ;,a,la iys; o;a ne|Su (Dentures) i|yd ukd wdfoaYlhla' úÿreuia oshùfuka yd wiaÓh osh ùfuka idudkH o;a ne|Su mjd l< fkdyels jQ frda.Ska i|yd fyd| úl,amhls' fuu.ska fi!LHiïmkak" w,xldr iaÓr o;a fom<la ,nd .ekSug wjia:dj Wod fjhs'

tla o;la fyda fkdue;s úg idudkHfhka tla o;la fyda fkdue;s frd.Ska i|yd iïmQ¾Kfhka lD;%Su o;a we|s iúl< hq;= fõ' Implant lsysmhla yKqj ;=< we;s wiaÓhg iú lsÍu u.ska idudkH o;a wdldrfhkau fjkajQ o;a ,nd.; yel' th idudkH o;a muKgu iajdNdúl fmKqula yd iqkaor;ajhla uqyqKg ,nd fohs'

Implant isÿ lrkafka fufyuhs mshjr 1 oka; ffjoHjrfhl= u.ska Tfí o;a mÍlaId lsÍu' mshjr 2 X Ray PdhdrEm ,nd .ekSu (OPG/CT Scan) fuu.ska ffjoHjrhd frda.shdf.a uqL fi!LHh ;;a;ajh mÍlaId lr Implant lsÍug wjYH idOl ;sfíoehs fidhd n,hs' fuysoS yKQl wiaÓfha >klu" yKQfõ yevh wdoS lreKQ i<ld ne,Sula isÿ flfrhs' doctormagazine.lk

mshjr 3 iú lsÍu i|yd ks¾úkaokh lsÍug wjYH jkafka tu wod, m%foaYh muKs' miqj yKqj ;=<g Implant tl we;=,a lrKQ ,efí' mshjr 4 udi 3-6 ld,hla wiaÓh noaO ùug ld,h ,nd fohs' mshjr 5 Yla;su;aj yd iaÓrj yKqj ;=<g iú jQ Implant tl u;g lD;%Su o; iú flf¾'

Implant j, we;s m%fhdack • o; iú ù ;sfnk wiaÓh fukau tys wdikak o;a j,g ydkshla isÿ fkdlr iajdNdúl o;la fukau l%shd lsÍu' • jir 25lg jeä ld,hla ;siafia isÿ lrk ,o idhksl mÍlaIK j,ska os.=l,a meje;au" úYajdih yd iaÓridr nj ;yjqre lr ;sfí' • iajdNdúl o;lska fiau ´kEu wdydrhla iemSug yelshdj ,eîu' • yKQfõ wiaÓh oshùu je<elaùu yd úÿreufia yevh fjkia ùu wvq lsÍu' • úÿreuig ydks fkdùu' • ke;sjQ iqkaor iskyj" úYajdikSh l;dj yd ukd fmKQu Implant l%ufõoh u.ska kej; Tng ,nd.; yelsùu' ••• FEBRUARY 2018 | DOCTOR MAGAZINE 117

HOW TO GET THE

BEST SHAVE

Getting the perfect shave is actually pretty easy - provided you know what youâ&#x20AC;&#x2122;re doing 118 FEBRUARY 2018 | DOCTOR MAGAZINE

Proper wet shaving techniques, quality products, and post-shaving skin care can help you look and feel your best and help avoid razor burn, razor bumps, and irritation. A good, close shave followed by the right facial wash and aftershave moisturizer products go hand in hand to achieve optimum skin health. doctormagazine.lk

Make Sure Your Beard is Thoroughly Wet

razor bumps and also helps the skin look and feel smooth and healthy.

One of the keys to a great close shave without irritation or razor burn is to make sure your beard is thoroughly wet. Facial hair will absorb moisture up to 30% of its volume. Hair swollen with water becomes quite weak and therefore easier to cut.

Apply the shaving cream using the brush in a circular motion ending in an upward stroke to help lift the beard up and away from the face.

Use a Quality Shaving Cream The primary function of the shaving cream is to lubricate your face so that the razor will glide smoothly and effortlessly across the surface. Leave the shaving cream on your face for at least a minute before you begin cutting so that the beard is as soft and wet as possible. Use a shaving cream that has a high concentration of lubricants (eg silicones) and moisturizers. The best shaving creams create a rich creamy lather and do not foam up. The less "foaming" in the shave cream the better.

Use a Quality Razor and Change the Blades Always use a good quality sharp razor blade. Be sure the blade is sharp. You're not just cutting off hair, you're also scraping off up to two layers of surface skin when you shave. A dull razor is one of the contributing factors to razor burn and shaving rash. Depending on the toughness of your beard, change the blade somewhere between every three and every ten shaves, if you shave every day. Regardless of the number of shaves, if the blade becomes dull, ditch it.

A Shaving Brush is One of the Best Tools tip: use a shaving brush. One of the best tools you can use to achieve the optimum shave is a shaving brush. First, it helps raise the hair so that a closer cut is possible. Second, it helps create a rich creamy lather with the shaving cream that stays close to the skin. And, finally, it helps remove dead skin cells (exfoliation) which reduce the chance of blemishes, doctormagazine.lk

FEBRUARY 2018 | DOCTOR MAGAZINE 119

Rinse your blade under hot water before you begin to shave and after every few swipes. This removes the accumulated shaving cream, whiskers, and skin gunk.

Use the Razor Properly Ideally, shave in the direction of the beard growth. Start with the sides, then the mustache area and last the chin. The chin hairs are the toughest, so this allows them the most time to soften under the shave cream. Shaving against the direction of hair growth gives a closer shave but has two drawbacks. You run a high risk of cutting off a hair below skin level, causing an ingrown hair (razor bumps) - the whisker grows into the surrounding tissue instead of out of the pore, resulting in inflammation and possible infection. To avoid these shaving problems, again, shave "with the grain" (that is, in the direction your hair grows). Each person's facial hair has its own growth pattern. If you are unsure of the direction of your beard, let it grow for a day or two and you'll see it.

Cleanse and Soothe After Shaving After shaving, when the skin is most vulnerable, rinse the face with warm water and use a facial wash that has a high concentration of tea tree oil (a natural antiseptic that is ideal to help cleanse and protect from spots and shaving rash)

Finish off with an After Shave Lotion or Balm Shaving can remove up to two layers of skin. There is no other regular activity that does this, which is why it is so important to use a good quality moisturizer after shaving. An aftershave lotion, designed as an aftershave balm and moisturizer in one, is the ideal way to replace lost moisture and soothe the skin. Typically moisturizers made for women are too greasy as men tend to have not only thicker skin but also oiler skin than women due to men's larger sebaceous glands. The best after shave lotions not only replace lost moisture and soothe, but also have ingredients that will cool and refresh the skin.

Courtesy: men-u Ultra-concentrated Grooming Products for Men 120 FEBRUARY 2018 | DOCTOR MAGAZINE

••• doctormagazine.lk

Writing a

To-Do List

Before Bed Could Help You Sleep A new bedtime to-do list, courtesy of sleep researchers at Baylor University:

122 FEBRUARY 2018 | DOCTOR MAGAZINE

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1 Write a to-do list before bed.

2 Go to sleep.

3 Sleep better than all the non-listwriting people you meet tomorrow.

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It sounds simple, but there's evidence that it just might work. According to a small study published in the January issue of Journal of Experimental Psychology, participants who took 5 minutes to write out a to-do list before bed fell asleep more quickly than participants who wrote about tasks they had already completed. The key, according to researchers, is in mentally "offloading" responsibilities before bedtime, theoretically freeing the mind for sound sleeping. [How to Sleep Better]

"We live in a 24/7 culture in which our to-do lists seem to be constantly growing and causing us to worry about unfinished tasks at bedtime," lead author Michael Scullin, director of Baylor's Sleep Neuroscience and Cognition Laboratory, said in a statement. "Most people just cycle through their to-do lists in their heads, and so we wanted to explore whether the act of writing them down could counteract nighttime difficulties with falling asleep." FEBRUARY 2018 | DOCTOR MAGAZINE 123

To test this hypothesis, researchers invited 57 men and women between ages 18 and 30 to spend one weeknight in a controlled sleep lab. The rules were simple: lights out at 10:30 p.m., and no technology, homework or other distractions allowed. Five minutes before bedtime, each participant was instructed to complete a short writing exercise. Half of the participants wrote about anything they needed to remember to do in the upcoming days, while the other half wrote about tasks they had completed during the previous days. When the exercise was done, participants tucked in for bed. Researchers measured each participant's brain activity overnight using a technique called polysomnography, which records eye movement, muscle activity, and other biological changes. The researchers found that the participants who wrote to-do lists fell asleep an average of 9 minutes faster than those who wrote about already-accomplished tasks. In fact, "the more specifically participants wrote their to-do list, the faster they subsequently fell asleep," the study authors wrote. "The opposite trend was observed when participants wrote about completed activities."

124 FEBRUARY 2018 | DOCTOR MAGAZINE

While 9 minutes may not seem like a lot of extra shut-eye, it's comparable to the improvement seen in clinical trials for some sleep medications, Scullin told Time magazine. A 2006 study similarly found that napping for just 10 minutes sufficiently improved participants' cognitive function and energy. The authors acknowledged that the new study could be improved by a larger sample size and more data taking each participant's personality and propensity for anxiety into account. Still, the paper's findings are consistent with other published research on the therapeutic power of keeping a journal. Previous studies have observed that expressive writing â&#x20AC;&#x201D; writing about emotions and stress for 20 minutes a day â&#x20AC;&#x201D; was linked to a boosted immune function in patients with illnesses such as asthma, arthritis and HIV/ AIDS. Other studies have drawn a line between journaling in times of stress or emotional hardship and stress relief.

So, give writing before bed a try â&#x20AC;&#x201D; and hope it's boring enough to put you to sleep. Originally published on Live Science.

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FEBRUARY 2018 | DOCTOR MAGAZINE 125

Red Basmathi & Resistant Starch

m%;sfrdaë msIagh we;s ksid ndiau;S iy,a oshjeähd frda.Ska yg w;sYhska .=Kodhlhs

r;= ndiau;S iyf,a we;s m%;sfrdaë msIagh ksid th úYsIaG bkaishq,ska m%;sfrdaOhla iys; wdydr w;f<diafika tlla nj ;yjqre fjhs' 126 FEBRUARY 2018 | DOCTOR MAGAZINE

rd.u YslaIK frdayf,a ffjoH ckl fm%au;s,l úisks

doctormagazine.lk

wm jeä fofklaf.a m%Odk wdydrh - n;a''' iy,a - ñksia wm jeä fldÜGdYhlf.a m%Odk wdydrh fjhs' th f,dalfha jeäfhkau Ndú;d jk OdkH j¾.h f,io wújdos;h' ukqIH mßfNdackfha Ndú;d jk le,ß iuia;fhka ishhg 20lau ,efnkafka iy,a mßfNdackfhks' f,dalfha fï jk úg 40"000l muK iy,a m%fNAo Ndú;fha mj;sk w;r tajdfha fmdaIKSh w.hka úúO idOl u; r|d mj;shs' frâ ndiau;S jeks os.= weg iys; iy,a j, weuhsf,daia ldKavfha msIagh wêlh' ta ksidu msiskakg myiqh' ;dhs" cmka ydf,a wegh uOHu m%udKh' weïf,dfmlaáka msIagfhka idr fïjd ;rul wef,k iajNdjfhka hqla;h' wdishd;sl wfma Ndú;dfõ l=vd iy uOHu m%udKfha weg iys; iy,a Ndú;d fõ'

úúO iy,a m%fNao j.d lrk mi wkQjo" tajd fuda,a j, fldgk wdldrh wkQjo iy,a j, .=Kh fjkia fõ' lekvdj jeks rgj, iy,a j,g fmdaIH .=Kh miqj tl;= lrhs' oekg Ndú;fha mj;sk úúO iy,a m%fNao w;=ßka wm w;r jeä ckm%sh;ajhla we;af;a iqÿ iy,a j,gh' kuq;a fï yd,a iqÿ lsÍfïoS tys we;s jvd;au fmdaIHodhS fldgia wmf;a hhs' fm%daàk" fïoh" wdydruh ;ka;= yd LKsc ,jK rdYshla yd,a iqÿ lsÍfïoS úkdY fjhs' fï wkQj r;= yd,a" iqÿ yd,a j,g jvd fmdaIH .=Kfhka by<h' ue.akSishï" fmdiamria" úgñka B" ;hñka fukau úYd, ;ka;= m%udKhlskao fyì ksid r;= yd,a j,ska úYd, fi!LHuh /ljrKhla

doctormagazine.lk

ie,fik nj wm wjfndaO lr.; hq;=h' úfYaIfhkaufojk ldKavfha oshjeähdj" fldf,iagfrda,a" yDoh frda. wdosfhka /ljrKhla iemhSug r;= yd,a iu;a fjhs' reêr mSvkh wju lsÍu" m%odysl ;;a;ajhka wju lsÍu" m%;sTlaisldrl l%shdldß;ajh yd ms<sld kdYl .=Kh r;= yd,a j, ksiÕfhkau msysghs' iyf,a r;a meyehg fya;= jkafka wekaf;dihkska kue;s ridhkhhs' fï yereKQ úg l¿ yd oï meyeh orK iy,ao f.dùka úiska j.d lrhs' wekaf;dihkska" úgñka B m%fNaohla jk fgdfldfrda,a iy m%n, mhsfgdridhk j,ska idr ksid fïjdo fmdaIH .=Kfhka wkQkh' t;rï ckm%sh;ajhla ke;;a l¿ yd oï iy,a m%fNao fmdÿfõ by< frda. ksjdrK n,hlska hqla;h'

.a,hsisñla o¾Ylh reêrfha iSks m%udKh by< oeóug lsishï wdydrhla odhl jk m%udKh ukskafka .a,hsisñla o¾Ylfhks' Glycemic Index (GI) .a,hsisñla o¾Ylh jeähs kï bka woyia lrkafka tajd wkqNjfhka reêrfha iSks m%udKh fõ.fhka by< kexfjk njhs' tfiau tu wdydr fmdÿfõ ia:Q,;djh jeä lsÍug;a odhl fjhs' .a,hsisñla o¾Ylh jeä wdydr ffjoHjreka" fmdaIKfõoSka wffO¾h lrkafka ta ksidh' .a,hsisñla o¾Ylh wvq wdydr tfia fõ.fhka reêr.; bkaishq,ska m%udKh by< kxjkafka ke;' ta fjkqjg l%u l%ufhka" os.= ld,hla mqrd iaj,am jYfhka reêrfha bkaishq,ska m%udKh jeä lrk ksid ta wdydr oshjeähd frda.Skag úfYAIfhkau iqÿiqh'

FEBRUARY 2018 | DOCTOR MAGAZINE 127

zm%;sfrdaë msIaghZZ .ek kj f;dr;=re n;a iïnkaOfhka kï tys we;s zzmsIaghZZ fï .a,hsisñla o¾Ylh flfryS n,mj;ajk ;SrKd;aul idOlh fjhs' weñf,dfmlaáka msIagh jeä wef,kiq¿ n;a j¾. jeä .a,hsisñla o¾Ylhlska hqla;h' weuhsf,daia j,ska fyì fkdwef,k ldKavfha n;a j¾. oshjeähd frda.Skag b;d iqÿiqh' tajd myiqfjka YÍrh ;=< iSks w.hka by< fkdouhs' r;= ndiau;S iy,a wh;a jkafka fï fojkqj lS wvq .a,hsisñla w.h iys; ldKavhgh' úfYaI;ajhla jkafka ZZm%;sfrdaë msIAghZZ Resistant Starch hkqfjka ye|skafjk fi!LHiïmkak ;ka;= úfYAIhlao r;= ndiau;S iy,a j, ;sfnk ksid thska uyÕ= fi!LH / ljrKhla ,eîuhs' Resistant Starch fï oskj, fmdaIKfõoSkaf.a úfYaI we.hqug ,laj we;s fmdaIH wdydr ldKAvhla ksid ta .ek jeä hula oek isàu Tng m%fhdackj;a jkafka hhs is;uq' ldfndayhsfâ%g hkqfjka ye|skafjk wdydr j, msIagh ie<lsh hq;= m%udKhlska ;sfí' wm wdydrhg .kakd OdkH j," w, j¾. j, fukau ;j;a fndfyda wdydr j, fï ZZm%;sfrdaë msIAghzz mj;sk w;r fuys fjfiiskau wka;¾.;fha we;af;a os.= odu .aÆfldaiah' y÷kdf.k we;s wdldrhg we;eï ldfndayhsfVA%g wdydrhg .;a úg wm wdydrhg .kakd msIagh iïmQ¾Kfhkau cS¾Kh jkafka ke;' thska fldgila cS¾Khg m;a fkdù" fkdfjkiaj wdydr ud¾. moaO;sh yryd .uka lrhs' ;j;a úosylska lshkjd kï fï wdydr cS¾Khg m%;sfrdaë njla m%lg lrhs' fukak fï wdldrhg cS¾Khg m;a fkdjk ;ka;= wm zzm%;sfrdaë msIaghZZ 128 FEBRUARY 2018 | DOCTOR MAGAZINE

Resistant Starch hkqfjka y÷kajuq'

uE;ld,Skj isÿ lrk ,o úúO wOHhk j,g wkQj m%;sfrdaë msIAgh iys; wdydr j, m%n, fi!LHuh .=Kdx. rdYshla ;sfnk nj fy<sorõ ù ;sfí' jeä oshqKQ jQ bkaishq,ska ixfõoS;djh fï w;ßka uq,gu tkakls' fï ksid oshjeähdfjka fmf<k frda.Ska fï ldKAvfha wdydr isß;la jYfhka wkqNj lsÍu jvd;a iqÿiqh' m¾fhaIK j,ska fy<sorõ jQ wdldrhg fuys we;s ;j;a m%n, .=Kdx. hla jkafka wfma nvje,a j, fjfik ys;lr nelaàßhdjka fmdaIKhg m%%;sfrdaë msIagh l%shd;aul ùuhs' tu l%shdj,sh fya;=fjka ksmojk flá odu ìhqáf¾g ms<sn|jo m¾fhaIlhkaf.a oeä wjOdkh fhduqj ;sfí'

r;= ndiau;S iy,a r;= ndiau;S iy,a fï wkQj oshjeähd frda.Skago" ukd fi!LHhla wfmalaId lrk ish¿ fokdgo ks;s wdydrhg .; yels iy,a j¾.hls' m%n, m%;sTlaisldrl .=Kdx. j,ska mßmQ¾k ùug wu;rj r;= ndiau;S iy,a j, wdiksla" Bhï yd leâñhï wdoS ner f,day fYAI jYfhka fyda fkdmej;Suo úfYaI;ajhls' úfYaIfhkau mdrïmßl iy,a úIldrl j,ska f;dr nj m¾fhaIKd;aulj ;yjqre ù ;sfnk w;r bkaoshdfõ" mlsia;dkfha ishjia .Kkdjlg fmr isgu Ndú;fha ;sfnk fuho ie<flkafka bmerKs mdrïmßl iy,la jYfhks' uE;ld,Skj isÿ lrk ,o úúO wOHhk j,g wkQj m%;sfrdaë msIAgh iys; wdydr j, m%n, fi!LHuh .=Kdx. rdYshla ;sfnk nj fy<sorõ ù ;sfí' jeä oshqKQ jQ bkaishq,ska ixfõoS;djh fï w;ßka uq,gu tkakls' fï ksid oshjeähdfjka fmf<k frda.Ska fï ldKAvfha wdydr isß;la jYfhka wkqNj lsÍu jvd;a ••• iqÿiqh' doctormagazine.lk

ARE YOU STRUGGLING WITH AN EATING DISORDER?

cSú; ke;s lrjk ys;sú,a,la ksid Wmka frda.hla wefkdfrlaishd k¾fjdaid fliÕ isrerla ;sfhk whg

zz;uka uy;hsZZ lsh, ysf;kj kï mfriaiï fjkak''' ixch o is,ajd BN, Dip. in Psychology

^úfYaI ia;=;sh( ffjoH ÿ,añ‚ chiqkaor uy;añh&

130 FEBRUARY 2018 | DOCTOR MAGAZINE

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Anorexia lsh, jpkhla ;sfhkjd' fïl ffjoHjreka Ndú;fha ;sfhk

jpkhla' tafl ir< f;areu ;uhs wdydr wreÑh' "loss of appetite." Tn okakjdo fï f,fâ ksid ñksiaiq uefrk ú;a;sh' b;d isyska YÍr ;sfhk we;eï wh ys;df.k bkakjd ;uka b;du;a ia:q,hs lsh,''' ;rndrehs lsh,''' ienE cSú;fha tfyu ys;k wh Tng;a oeka isyshg kef.kjd we;s' fï is;sú,a, ksid cSú;h ke;s fjkak jqK;a mq¿jka' tfyu fjkafk fldfyduo lsh, fï ,smsh n,,u mila lr.kak'

YÍrfha nr wvq lrf.k isyska isrerla mj;ajd .ekSu wo ld,fha fndfyda fofkl=f.a isyskhla" oeä wfmalaIdjla njg m;aj ;sfnkjd' úfYaIfhka ;re‚hka fï ldrKh ms<sn|j b;du;a Wkkaÿhs' tu ksid ;ukaf.a isref¾ nr wvqlr .ekSug lEu md,kh lsÍu" jHdhdu lsÍu jeks úúO Wml%u Tjqka úiska fhdod .efkkjd' we;af;kau Wig iß,k nßka hq;= yeve;s isrerla mj;ajd .ekSu b;du fyd| fohla' kuq;a iuyfrla ;uka uy;a fõh hk wêl ìh ksid wdydr .ekSfuka je<lSug fyda wdydr .;a miqj jukh lsÍu jeks foa u.ska nr wvq lr.ekSug W;aidy orkjd' wjidkfha§ wegiels,a,la ;rugu flÜgq jqj;a Tjqka is;kafka ;uka ;ju;a uy; njhs' fun÷ wh Tng yuqù ;sfío@ ffjoH úoHdfõ§ fuu ;;a;ajh y÷kajkafka wefkdfrlaishd k¾fjdaid (Anorexia Nervosa) kñka' fuh NlaIKdndO (Eating Disorders) .Khg jefgk udkisl frda.hla' fï frda.h wfma rfÜ iq,n fkdjqk;a fun÷ frda.Ska olskakg ke;=jdu fkdfjhs' b;ska wms fï iQodkï jkafka zzwefkdfrlaishd k¾fjdaidZZ frda.h .ek Tnj oekqj;a lsÍughs' doctormagazine.lk

FEBRUARY 2018 | DOCTOR MAGAZINE 131

fïl udkisl wdndOhla''' jeäfhkau frda.hg f.dÿre jkafka .eyekq <uqka wms l<ska i|yka l<d jf.au wefkdfrlaishd k¾fjdaid lshkafka udkisl wdndOhla' fï frda.hg jeäfhkau f.dÿre jkafka .eyeKq <uqka iy ldka;djka' fndfyda úg frda.h uq,skau we;sjkafka wjqreÿ 16 - 17 jhfiaos' fuys§ isÿjkafka

ÿ¾j, fjkjd jf.au fmdgEishï" fidaähï" ue.akSishï jeks w;HjYH ix>gl fkdue;s ùu ksid nrm;, ;;a;ajhka we;s úh yelshs' yDofha l%shdldß;ajhgo n,mEï we;s ù urKh mjd isÿfjkak mq¨jka' tu ksid fuu frda.h fkdi,ld yeßh fkdyelshs'

frda.fha ,laIK y÷kd .ksuq wdydr .ekSu oeä f,i iSud lsÍu$ keje;aùu fyda wdydr .ekSfuka miqj jukh lsÍu" jHdhdu lsÍu fyda úf¾pl T!IO mdúÉÑ lsÍu • ks;ru YÍrfha nr uek ne,Su

mks;ru levm;ska ;u isrer foi ne,Su

• ;u YÍrfha yevh iy m%udKh úlD;s f,i oelSu • lEu j, nr uek ne,Su fyda le,ß m%udKh .Kkh lsÍu frda.shd ;udf.a nr iy YÍrfha yevh ms<sn|j wêlj ldxidjg m;aùuhs' fudjqka ;ukaj olskafka wêl ;rndre wh f,ihs' tu ksid nr wvqlr .ekSu ms‚i lEu .ekSfuka je<lS isàu" tfia ke;skï wdydr .ekSfuka miqj jukh lsÍu" jHdhdu lsÍu fyda úf¾pl T!IO mdúÉÑ lsÍu jeks oE È.ska È.gu isÿlrkjd' wjidkfha§ weúÈk wegiels,a,la ;rugu flÜgq jqj;a Tjqkag yefÕkafka ;uka ;ju;a uy; njhs' ta fya;=fjka by; i|yka l< p¾hdjka k;r lsÍu b;du wmyiqhs' lEu fkd. ekSu iy úf¾pkh ksid YÍrh 132 FEBRUARY 2018 | DOCTOR MAGAZINE

• fmdaIKh wvq ùfuka YÍrh lDY ùu • ldka;djla kï Tima k;r ùu ;uka uy;a fõh hk wêl ìh ksid wdydr .ekSfuka je<lSu fyda wdydr .;a miqj jukh lsÍu jeks foa u.ska nr wvq lr.ekSug we;euqka W;aidy orkjd' wjidkfha§ wegiels,a,la ;rugu flÜgq jqj;a Tjqka is;kafka ;uka ;ju;a uy; njhs' fun÷ wh b;d Nhdkl f,i fi!LH ;;a;ajh msßySfuka urKh wìuqjg mjd meñfKkjd''' doctormagazine.lk

wefkdfrlaishd k¾fjdaid frda.h je<£ug fya;=

wjYHhs' tys§ my; i|yka wxY Tiafia m%;sldr ,nd fokjd'

frda.h je<£u i|yd tla meyeÈ,s fya;=jla oelaúh fkdyels jqj;a idOl lsysmhl ixl,khla fuu frda.h biau;= ùug n,mE yels nj y÷kdf.k ;sfnkjd'

T!IO m%;sldr frda.shdf.a úYdo iy ldxid ;;a;ajhka md,kh lsÍug;a fmdaIK W!K;d ksjerÈ lsÍug;a T!IO ,ndfokjd' kuq;a T!IO .ekSu muKla m%udKj;a jkafka keye' T!IO iuÕu my; i|yka m%;sldro ,nd §u wjYHhs'

• cdkuh idOl mjqf,a flfkl=g NlaIKdndOhla je<£ ;snqfKa kï tu mjqf,a ;j;a idudðlfhl=g fuu frda.h je<£fï wjodku jeähs' • mdßißl iy idudchSh idOl isyska isrerla iys; wh jvd;a wdl¾IKSh jk njg we;s wdl,amh ^ngysrlrKh jk iudcfhys fuh jeä jYfhka oelsh yelshs& iy tu wdl,amh jeä jeäfhka yqjd olajk ckudOH Ndú;h • .eg¿ldÍ mjq,a iïnkaO;d' • ufkdaúoHd;aul idOl úYdoh iy wd;;shg keUqre jQ fm!reI;ajh • YdÍßlj fyda udkislj wmfhdackhg ,la ùu

wefkdfrlaishd k¾fjdaid frda.hg m%;sldr ;sfnkjd''' fuu frda.hg m%;sldr lsÍfï§ wxY lsysmhla wdjrKh jk whqßka m%;sldr l< hq;=hs' ta i|yd ffjoHjrhd" ufkdaúoHd{hd" fmdaIKfõÈhd" udkisl fi!LH fyÈh jeks lKavdhulf.a odhl;ajh

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YÍr nr kej; ,ndoSu wvqjQ YÍr nr kej; ksjerÈ m%udKhg .ekSu fuys§ isÿflfrkjd' kuq;a th isÿ l< hq;af;a b;d mfriaifuka" tfukau l%u l%ufhka' nr jeä lsÍfï woyiska wêl wdydr m%udKhla ,nd ÿkafkd;a th YÍrhg ksis f,i md,kh lr.ekSug fkdyelsj b;d nrm;, ;;a;ajhka we;sjkakg mq¨jka' tu ksid fuh l< hq;af;a fmdaIKfõÈhl=f.a Wmfoia u;hs’ tfukau fuu frda.Ska wdydr ms<sn| olajk wdl,amh wkqj YÍr nr m%;sIaGdmkh ;rul wiSre ld¾hhla njg m;afjkjd' ufkdaÑls;aidj yd WmfoaYkh wdydr .ekSu iy YÍr nr ms<sn|j frda.shdf.a isf;ys we;s ÿ¾u; bj;a lsÍu yd fi!LHu;a wdydr rgdjlg yqreùu i|yd frda.shdg iyfhda.h ,nd §u fuys§ isÿjkjd' frda.shdg muKla fkdj mjqf,a whg o WmfoaYkh ,nd fokjd' by; i|yka m%;sldr iuÕ mjq,a mßirfhka ,efnk iyfhda.h o tla jqjfyd;a fuu frda.fhka ñ§u jvd;a myiq jk nj fuys§ úfYaIfhka i|yka l< hq;=hs' FEBRUARY 2018 | DOCTOR MAGAZINE 133

YOUR BLOOD SUGAR CLOCK

wdydrhla wrf.k wv fydardjla hk úg Tfí reêrfha iSks uÜgu jeäu w.hlg m;a fjhs''' reêr.; iSks uÜgu by< kxjk fydafudak j¾. lsysmhla yªkdf.k ;sfí' Cortisol, Epinephrine, Growth Hormone yd Glucagon tajdhska m%Odkh' fï ish,a, zzwd;;s fydafudakZZ hkqfjkao ye|skafjhs' ksielfhkau fuu fydafudak jeäfhka >%djh ùfuka YÍrfha reêr iSks uÜgu by< kexfjk ksid fïjd “Gluco-Counter-Regulatory Hormones” hk kfukao yªkajkq ,nhs' fuhska Cortisol fydafudakh m%uqLh' wmf.a tosfkod osk p¾hdj wkQj Cortisol fydafudakfha isÿjk fjkialï yd th iuia;hla jYfhka reêrfha iSks w.hka by< my< kxjk yeá my; úia;r flfrKQ we;' 8.00 pm - 10.00 pm

Tfí YÍrh kskao weiqf¾ úfõlhla .kakg ms<sfh, jk fj,djhs' wdydr .ekSfuka miq Tfí reêr mSvkh u|la by< kexfjkq we;' th iq¿ fj,djlska kej;;a my; jefgk w;r tu wdikakfha tkï rd;%S 10'00 muK jk úg kskaog Tfí YÍrh iQodkïh' 11.00 pm

Tn rd;%S 11 jk úg;a ksos f,djg msúi ke;s kï fï wjia:dfõoS iaj,am jYfhka isÿjk reêr mSvkh my; jeàu ksid fldaáfida,a fydafudakfha jeämqr >%djh ùula isÿ fjhs' th ;jÿrg;a Tnj wjosfhka ;nkakg W;af;ackhla imhk nj Tn o; hq;=h' 12.00 am - 04.00 am

Tfí YÍrfha fldaáfida,a uÜgu wju w.hl mj;sk ld,h fuhhs' fï ld,fhaoS;a wjosj bkakg isÿùfï w;aoelSula Tng ;sfí kï thg fya;=j Tfí reêr iSks uÜgu ;rula jeä jYfhka wvq ùula jkakgo neß lula ke;' 08.00 am

fldaáfida,a uÜgu jeäu w.hlg m;ajk ld, mrdih fuhhs' fï Tn WoEik wdydrhg iQodkï jk fj,djhs' ALL DAY

Tn wdydr fõ,la .kakd iEu wjia:djloSu reêrfha iSks uÜgu by< hhs' wdydr .ekSfuka meh nd.hla hk úg th Wmßu w.hg m;a fjhs' meh folla muK jk úg wkql%ufhka th h:d ;;a;ajhg m;a fjhs' 134 FEBRUARY 2018 | DOCTOR MAGAZINE

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leiai yg .kakd fya;= yd thg fhdok ms<shï ffjoH wurisß fmdkakïfmreu

leiai fjo fmdf;a y|qkajkafka ldih kñks' leiai yg.kafka W.=f¾ we;sjk leiSula ksidh' leiSula we;sjkafka Yajdikd,fha m%oyhla ksid / iajk fiï fldgia wia lsÍu ksidh' leiaig we;sùug ndysr fuka u wNHka;r fya;= o we;' 1' wNHka;r fya;=" n fõ. ord isàu n lsúiqï fõ. je<elaùu n yoj;a frda. n fmky¨ j, øj fldgia tla/ia ùu n Yajdi kd, úh<Su n mKq wudre n wdu frda.

2' ndysr fya;=" n wêlj ÿï yd ¥ú,s je§u n wêlj jHdhdu lsÍu n wdydr-mdk ysrùu n r¿ wdydr mdk ks;r .ekSu n Wia yäka ks;r l;d lsÍu

fldia weg r¿ wdydrhls' th jeämqr lEug .ekSfuka jd;h lsmS leiai we;s lrhs' rUqgkao jeämqr lEfuka leiai we;s lrhs'

doctormagazine.lk

FEBRUARY 2018 | DOCTOR MAGAZINE 135

leiaig m%;sldr jYfhka .; yels w;a fnfy;a

;on, leiaig ms<shï je,aó" iQlsß"wifudao.ï" wuqb.=re l,x 3 ne.ska o l=reÿ" idÈlald" jidjdis" uoáh 3 ne.ska o iqÿÆKq ìla 10la o iu. foys f.ä 2ll me.sß iys; f,,s f.k ish,a, fyd|ka ;,d nÿfkl nyd j;=r fnda;,a 2-1 g isÿjd fmrd ksjqKq miq ó me‚ wjqkai 6la oud fïi yeÈ tl ne.ska jßka jr fndkak'

•

wdvf;davd mxpdx.h ;ïnd ó me‚ oud îu'

•

weUq,a fodvï hqI fïi yeÈ lmamrj,a,sh fld< hqI fïi ye|s 3 uola r;a lr ksjd ó me‚ fïi yeÈ 2la oud jßka jr fndkak'

•

weUq,a fodvï biaug iQlsß l=vq oud jßka jr fndkak'

wdvf;davd mxpdx.h fldgd jxvqfõ ;ïnd ñßld" Ôjl l,alh uoáh 1-2 olajd Èh lr ó me‚fhka fokak'

•

wdvf;davd uq,a l,x 1$2" l¿ uÿre;,d fld< 21" .ïñßia weg 5 la j;=r wjqkai 8-2 g iso fmrd ijig fndkak'

wdvf;davd fld<" je,aó" uqoaormam<ï ;eïnQ j;=rg iQlsß Èh lr Èklg 3 jrla fokak'^úh<s leiaig&

•

b.=re" .ïñßia" ;smams,s uq,a" b.=re msh<s" fk¿ï f¾Kq iu fia f.k pQ¾K lr ta nßka nd.hlg msá iSks oud ñY% lr jrlg f;a yekaola ne.ska Wfoa iji je,aó ;eïnQ j;=ßka .kak'

•

lgqje,a ngq uq,a" isßf;alal=" b.=re" fld;a;u,a,s l,x 3 ne.ska f.k m; 8-1 g isÿjd fmrd ó me‚ oud Wfoa iji fndkak'

•

je,aó" ;smams,s" rgbÈ iuj f.k ó me‚fhka wUrd ;ndf.k álska ál lkak'

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l=Uqre o¿" ksl o¿" wuqb.=re" iqÿÆKq iu muK f.k fldgd jxvqfõ ;ïnd ó me‚fhka fokak'

•

nqoaOrdc l,alh jrlg uoáh weg 2la muK Èklg 3 jrla weUq,a fodvï biau iSks yd ó me‚ oud fokak'

136 FEBRUARY 2018 | DOCTOR MAGAZINE

fiu úh<s úg (- jdidßIagh" msmam,HdoHdijh fiu nyq,j je.sfrk úg (- lkldijh idudkH wjia:djg (- ølaIdßIagh ud;%dj - Èklg 3 jrla lEug miq

iqÿiq lEu" t<ngq" fm;sf;dar" l¿leïfïßh" ks,a ;ïm,d" Wÿ" <má rdnq" udxi ri" fld,a¨?" t¿ lsß" ;,f;,a" Wla hqI" fmr<s Èh" WKq j;=r

kqiqÿiq lEu îu yd úyrK" ksú;s" nKavlald" uqojdmq lsß" we,aj;=r" whsia j;=r" ÿïmdkh" kEu" oyj,a ksod .ekSu yd ffu:Qk fiajkh

uQ,dY%h - wdhq¾fõofha Ôjk o¾Ykh ^ffjoH wurisß fmdkakïfmreu&

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AYURVEDIC

ngysr ffjoH úoHdjg iqj l< fkdyels fndfyda frda. uu ksÜgdjgu iqj lrkjd''''

ksjerÈ fjoluhs f,ka.;= fjoluhs

fydaud.u isoaOdoS fjo ueÿf¾ ffjoHdpdßkS pdkaokS úl%udrÉÑ 138 JANUARY 2018 | DOCTOR MAGAZINE

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wefia iqog ll=f,a uymg weÕs,a,g fnfy;a ne£fuka iqj lr.kak mq¿jka' Tn úiska m%;sldr lrkq ,nkafka ljr frda.Ska i|ydo@ taâia frda.hg yer wfkla iEu ;rd;srulu frda.Ska iqj lsÍug ud <Õ bmer‚ fnfy;a jÜfgdare ;sfnkjd' wd;rhsáia frda. j¾. tlish yeg yhla ;sfnkjd' tajd iqj lrkak ud <Õ fnfy;a ;shkjd' wd;rhsáia j, oreKqu ;;a;ajhka mjd uu iqj lr ;sfnkjd' úfYaIfhkau ms<sld frda.h .;af;d;a je<÷Kq nj oek.;a uq,a wjia:dfõu ud fj; meñ‚hfyd;a th iqjm;a lsÍfï id¾:l m%;sl¾u ;sfnkjd' ta jf.au nhsmdia lsÍug kshñ; yDo frda.Ska" fldf,iagfrda,a" ish¨ iakdhq frda." .eiag%hsáia" weÿu" mSki" weia fjolu" fmd;= lnr" isfrdaisia" wxYNd.h" wêl ;rndrej" Èhjeähdj" uq;%dYfha .,a we;=¿ fndfyda frda. iïmQ¾Kfhkau iqjl< yels m%;sldr fï fjolfï wm i;=j ;sfnkjd'

Tfí fjolfï Ndú;dfõ iqúfYaIS wxY lsysmhla .ek lshkak mq¿jkao@ fvx.= frda.hg id¾:l m%;sldr wm <Õ ;sfnkjd' yDo frda. j,§ frda.shdf.a kyr wjysr ùu wfma

ms<sldj" yDo frda." oreM, wysñùu wdoshg lrk m%;sldr b;d id¾:l njg wm idhkslj ,nd.;a f;dr;=re f;dr;=rej,ska ikd: lrkak mq¿jka'

JANUARY 2018 | DOCTOR MAGAZINE 139

AYURVEDIC

wdhq¾fõohg we;s úYAñ; frda. iqj lsÍfï yelshdj úoHdj wmuK oshqKQjg m;a wo ojfiao wújdofhka ms<s .efkkakla' bmerKs wdhq¾fõo iïm%odhl Wreuh ñáka f.k frda. iqjm;a lsÍfuys,d''' fjfiiskau ngysr ffjoH úoHdjg wNsfhda.d;aul jQ frda. iqj lsÍfuys,d ;u cSú;h lem l< fy< l=,jñhl jQ ffjoHjßhl weiqf¾ fu;eka mgka ,sms fm<la iïmdokh fjkjd' ta" fydaud.u" zzisoaOdoS fjo ueÿrZZ iajlSh cSjl wrK lr .ksñka frda.Ska mÍlaIdfjys fhfok wdhq¾fõo ffjoHdpd¾h pdkaokS úl%udrÉÑ uy;añhhs' úYañ; wdhq¾fõoSh Ndú;djl fhfok ffjoHdpd¾h pdkaokS úl%udrÉÑ uy;añh yd idlÉPdfjka f.k tk ,sms fmf<ys fï fm<.eiau tys iudrïNh iksgqyka lsÍughs'

AYURVEDIC

T!IO j,ska id¾:lj md,kh lrkak;a mq¿jka' ta jf.au YÍrfha ;sfnk ms<sld ffi, f;,a j¾.j,ska udi myla jeks ld,hlska uf.a m%;sldrj,ska bj;a lr .kak mq¿jka' wefia iqog ll=f,a uymg weÕs,a,g fnfy;a ne£fuka iqj lr.kak mq¿jka' m%;sldr .ekSfuka miqj ngysr ffjoH jd¾;d j,ska Tngu th ikd: lr.; yelshs' ngysr m%;sldr j,ska iqj lrkak wudre wlaudfõ yg.kakd f;,a bj;a lsÍug;a id¾:l m%;sldr ud i;=j mj;skjd' wlaudj noaO lrkak lshd kï lrmq frda.Ska mjd iqj lrkak ug yelshdj ,eî ;sfnkjd'

rchj;a bÈßm;a fj,d wfma mdrïmßl isxy, fjo mrïmrdjg msßisÿ T!IO iyk ñ,lg ,nd fok jevms<sfj,la Èh;a lrkjd kï th wysxil frda.Skag lrk úfYaI fiajhla fjkjd'

Tfí ri T!IO m%;sldr l%u .ek úia;rhla lf<d;a'''@ r;arka" ß§" ;U" ñksrka iy riÈh jeks f,day j, NIau ^w¿& j,ska idod .efkk zzri T!IOZZ fnfy;a jÜfgdare ud <Õ ;sfnkjd' fuu w;sYh ÿ¾,N fnfy;a u.ska ms<sldj" yDo frda." oreM, wysñùu wdoshg lrk m%;sldr b;d id¾:l njg wm idhkslj ,nd.;a f;dr;=re f;dr;=rej,ska ikd: lrkak mq¿jka' ta nj b;d j.lSfuka yd ksy;udkSj lsj yelshs' uu" lIdh" f;,a j¾. yd l,al m;a;= j¾. jf.a foaj,a j,ska muKhs wmf.a frda.Skg m%;sldr lrkafka' wßIaG j¾. lsisu frda.hlg wm Ndú;d lrkafka keye' ksjerÈ fnfy;a j¾. f;dard f.k ksjerÈ m%udKhg uf.a w;skauhs fï fnfy;a j¾. ilia lr.kafka' ta ksid ud úiska ,ndfok lIdh j¾." f;,a j¾. yd wfkl=;a ishÆu T!IO kshñ; m%ñ;shgu ;sfnk njg iShg iShlau ug úYajdihs'

Tn frda.fha .=Kd.=K úuiSug ngysr ffjoH úoHdfõ iydh ,nd .kakjd''' @ isxy, fjolug wkQj kdä w,a,d n,d frda.h iïnkaOfhka meyeos,s ks.uKhlg tkak mq¿jks' kuq;a fï iïnkaOfhka frda.shdg we;s wjfndaOh wvq ksid ud ngysr ffjoH jd¾;d /f.k tau ks¾foaY lrkjd' uf.a m%;sldr fld;rï ÿrg id¾:lo lsh,d ´kEu flfkl=g fidhd n,kak mq¿jka" m%;sldr ,nk w;r;=r ffjoH jd¾;d wrf.k mßlaId lsÍfuka' uu yeu frda.sfhl=gu m%;sldr lrkafka fï mÍlaIK

140 JANUARY 2018 | DOCTOR MAGAZINE

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jd¾;d ne,Sfuka miqjhs' m%;sldrfha id¾:l;ajh;a ta weiqf¾u iudf,dapkh lrkak mq¿jka'

ffjoH;=ñhks fï ,smsh lshjk whg hïlsis m‚jqvhla ,ndfokak Tn leu;so@ uu cd;shg" wd.ug fndfydau .re lrk flfkla' wfma iajdóka jykafia,dg;a" wfkl=;a ´kEu mQcljrekag;a m%;sldr lrkafk fkdñf,a' mQcl mlaIfha Tn jykafia,d ud fj; meñK fkdñf,a m%;sldr .kakd f,i b,a,d isákjd'

,smsh iudma; lsÍug" wjidk jYfhka ffjoH;=ñhg mjikak ;sfnkafka fudkjdo@ Tõ" ud úfYaIfhkau lsj hq;=hs' uu lsisu fnfy;la iu. ngysr T!IO l,jï lrkafka keye' wfkla ldrKh ;uhs" wo wfma rfÜ T!IO b;du;a ysÕhs' ug isoaO fj,d ;sfhkjd" wfma rfÜ wdhq¾fõo T!IO fkdue;s ksid úfoaYfhka wdkhkh lrk T!IO ñ,oS .kak' wo jk úg ìx fldfydU lsf,dajl ñ, remsh,a oyih odyla muK fjkjd' wfma fjolug fuh úYd, .eg¨jla' rchj;a bÈßm;a fj,d wfma mdrïmßl isxy, fjo mrïmrdjg msßisÿ T!IO iyk ñ,lg ,nd fok jevms<sfj,la Èh;a lrkjd kï th wysxil frda.Skag lrk úfYaI fiajhla fjkjd' ta jf.au uu frda.Skag lshkjd Tn,dg mÍlaId lr n,d frda.h iqjl< yels tllao tllao keoao lsh,d lshkak ug yelshdj ;sfnk nj' ta jf.au uu fnfy;a ,nd fokafka ta frda.h iqj jk Èkh;a fmdfrdkaÿ fj,d nj;a mjikjd'

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zzTn ieu ksfrda.S fõjd''' iqjm;a fõjd'''ZZ ffjoHjrhd iÕrdj ud¾;= l,dmfhka Y%S ,xldfõ j¾;udkfha § b;du;a fõ.fhka jHdma; jk zzjdhq f.äZZ frda.h ms<sn| ms<snoj ,sms ud,djla ,nd §ug ud n,dfmdfrd;a;= fjkjd' ••• isoaOdoS fjo ueÿrg tk .uka ud¾.h fydaud.u isg lvqfj, olajd meñfKk 697 nia r:fhka meñKzzWK m÷r ykaosfhkaZZ nei zzk.r iSud udjf;aZZ óg¾ 200la muK ÿr wd hq;=hs' ÿrl:k wxlh 0713464276 075906177' isl=rdod Èkj, yd m%;sldr fkdlrk nj ffjoH;=ñh okajd isà' igyk wñ; úl%uwdrÉÑ

JANUARY 2018 | DOCTOR MAGAZINE 141

AYURVEDIC

ngysr ffjoH jd¾;d j,ska Tngu ud lrk m%;sldr j, .=K w.=K ikd: lr.; yelshs'

AYURVEDIC

uQ;%d .,a" ms;a;dYfha .,a ksÜgdjgu

iqj l< yels

rkam; ffjoH l%uh''' wdhq¾fõo ffjoH rkam; rejka r;akdhl iu. l< idlÉPdjla weiqßKs'''

142 JANUARY 2018 | DOCTOR MAGAZINE

zzuq;%d msgùug ndOd muqKqjk yd fõokd iys;j uq;%d msg lrK frda. ;;a;ajhka ;=kla ms<snoj wdhq¾fõofha oelafõ' uq;%lDÉP%" uq;%d>d; iy wYauÍ tu frda. wjia:d ;=khs'ZZ doctormagazine.lk

ffjoH;=uks" fu!;% ,sx.sl moaO;sh wdY%s;j fujeks .,a we;s ùug n,mdk fya;= fudkjdo@ wêl jYfhka udxY wdydrhg .ekSu óg n,mdk m%Odk fya;=jla jYfhka y÷kajd osh yels w;r yrla uia tysoS m%Odk ;ekla .kq ,efí' ;jo WIaKdêl wdydr wêlj .ekSu" wêlj oyosh msgjk l%shdj, ksr; ùu iu. m%udKj;a mßos c,h mdkh fkdlsÍu óg n,mdk fya;+ka f,i i|yka l< yelsh' ;jo uQ;%d iy Y=l% fõ. OdrKh;a óg n,mdk ;k;a fya;=jls'

uQ;%d .,a we;s jQ úgoS frda.shd uqyqKmdk wmyiq;d fudkjdo uQ;%d .,a we;s jQ úg uQ;%d lsÍu b;d wmyiq úh yelsh' túg ;=káfhka mgka f.k l,jd iy bls,s m%foaYh olajd .uka lrk fõokdjla yg .; yelsh' úfYaIfhkau fuu .,a we;s ùfï jeä m%jK;djhla we;af;a msßñ md¾Yjfha whghs' ;jo Tjqkaf.a wKavfldaI t,a,d jeàu fukau ;=káh m%foaYfha tla me;a;lg jkakgo ;o lelal=ïo we;s fõ' ta jf.au nv oeú,a," W.=rg tk iajNdjh" l,jd j, isg mdofha my< m%foaYh olajd ysß jefgk iajNdjhlao fndfyda úg oel .; yels fõ' fujeks ,laIK fu!;% ,sx.sl moaO;sfhka msg;g úysfok fõokdj,a jYfhkao y÷kajd osh yelsh' óg wu;rj uQ;%d msg lsÍï wdY%s;jo frda. ,laIK ms,sn|j meyeos,s l, yelshs' tysoS ;o ly meyefhka

fï wdldrfhka uq;%d.;j we;sjk .,a iïnkaOfhka wm yd fodvu¿ jQfha ffjoH

rkam; talkdhl uy;dhs' uq;%d ud¾. fha we;sjk .,a i|yd m%;sldr lsÍfuys,d úYsIaG mßphla olajk ffjoH;=uka yd wm l< idlÉPdj u;= oelafõ''' doctormagazine.lk

JANUARY 2018 | DOCTOR MAGAZINE 143

AYURVEDIC

zzuq;%lDÉP% hkq buy;a fõokdjla we;s lrñka uq;% myùuhs' uQ;%d>d;fhaoS .eg¿j Woa.; jkafka uq;%d moaO;sfhah' uq;%djdyskS moaO;sfha we;sjk .eg¿ fya;=fjka uq;%d wjfrdaO jk wjia:d oy ;=kla ^;%fhdaoY& wdhq¾fõofha i|ykah' f;jekak kï wm fuysoS jeäfhka úia;r lrk wYuÍ kï ;;a;ajhhs' wdhq¾fõohg wkQj wYauÍ frda.fha m%fNao myla we;=<;ah' iEu wYauÍ ;;a;ajhlgu fiï fodaIfha n,mEu fya;=jk nj wdhq¾fõofha ms<s. ekSuhs' zzY=l% wYauÍZZ f,i Y=l%dKq >kùu ksid we;s jk frda.S ;;a;aj fukau ms;a;dYh wdY%s;j we;s jk .,ao ;sfnk w;r tajd zzms;a; wYauÍZZ f,iskao ye|sskafõ'ZZ

AYURVEDIC

uq;%d msgùu fyda uq;%d iu. reêrh msgùu oel .; yels fõ' fujeks frda.Skag lEu .ekSfï wmyiq;dj" YÍrh fjõ,k iajNdjhlao oel .; yels fõ' ;jo Y=l% kd, wjysr ùfuka úúO mSvdjka we;s lrKq ,efí' fuysoS Y=l%dKq >kùu ksid we;s jk iaMÀlrEmS nj Y=l% kd, j, isrù Y=l%dKq msg lsÍfï wmyiq;d we;s ùfuka fu!;% ,sx.sl moaO;sh mSvdjg m;a lrhs'

uq;%d ud¾.h yryd tjeks .,a msgùu ksid frda.shdg uqyqK oSug isÿ jk wmyiq;d fudkjdo@ fufia uq;%d ud¾. yryd msgjk .,a j, ;shqKq iajNdjh ksid uq;%d ud¾.h iSÍulg ,la úh yelsh' fuh b;d wêl fõokdjla we;s jk wjia:djls' fufia uQ;%d ud¾.h ;=jd, ùu ksid we;eï whg uq;%d iu. reêrh msgúh yelsh' we;eï msßilg uq;%d lsÍfuka wk;=rej reêr ì|ss;s lsysmhla o msgúh yelsh' uQ;%d lsÍfï wjYH;djla we;s jqj;a uq;%d msg fkdùu fukau iaj,am jYfhka msgùuo fndfyda ÿrg oel .; yels fõ'

ms;a;dYfha .,a we;s ùu ms<sn|j meyeos,s lf<d;a''' @ fuysoS Worfha ol=Kq me;af;a we;sjk fõokdjka msg fldkao m%foaYh olajd úysoS hhs' tjeks frda.Skag ;=káh wdY%s; lelal=ï we;s fkdfõ' fndfyda ÿrg fuu frda.S ;;a;ajh ldka;djkag iq,nj oel .; yels fõ' we;eï úg ms;a;dYh ;=< yg .kakd fuu ms;a .,a ms;a; kd,h Tiafia my, nvje, olajd .uka lrKq ,efí' we;eï úg tfia meñfKk .,a wjysr jqfKd;a frda.shdg úúOdldr mSvdldÍ ;;a;aj j,g uqyqK oSug isÿfõ' YÍrh iS; lsÍu" jukh" fjõ,Su" ms; W.=rg meñKSu" ta mSvdldÍ ;;a;ajhka w;r fõ' ;j;a msßilg ms;a;dYfha yg .kakd we;eï wdidok ksid fix.ud, ;;a;aj we;s ù YÍrh ly mdg ùu jeks frda. ,laIK we;s úh yelsh'

t;fldg" ffjoH ;=ukS" ms;a;dYfha .,a we;s ùug fya;= wdydr cS¾KfhaoS we;s jk úIu;djka yd jeros wdydr l%u ms;a;dYfha .,a we;s ùug fya;= fõ' úfYaIfhka úreoaO wdydr .ekSfuka fï ;;a;ajh W.% w;g m;a fõ' ;jo jeros wdydr .ekSfuka we;s jk ridhksl ixfhda.hkaf.a m%Óm,hla f,iska yg .kakd Tlaif,aÜ mod¾:o óg fya;= fõ' WodyrK f,i ;lald,s iu. yd,a ueiaika wdydrhg .ekSu ksid Tlaif,aÜ mod¾: we;s fõ'

fujeks frda. i|yd mj;sk ms<shï ms<sn|j Tn ;=uka olajk woyi l=ulao@ wdhq¾fõo ffjoH l%uh wkqj kej; tu .,a we;s ùug n,mdk ;j;a fya;=jla jkafka wdydr cSrKfha we;sjk hï hï ÿ¾j,;djkah' wdydr cS¾Kfha úIu;djka neyer lr b;d fyd|sska 144 JANUARY 2018 | DOCTOR MAGAZINE

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uq;%dYauÍ" ms;a;dYauÍ frda. hkag iu.dój mj;sk wfkl=;a frda. ;;a;ajhka yd tajdg Tn;=uka bosßm;a lrk kj m%;sldr .ek i|yka lrkak' fujeks frda. we;sjk fndfyda wjia:dj,oS tu frda. j,g iu.dój we;sjk úúO jQ fjk;a ldhsl frda.o yg.kS' weÿu" mSki" w¾Yia" nv mqrjd oeóu" u<noaOh" nv.skak we;sùu fyda wêl nv.skak wdY%s; cS¾Kl moaO;sfha frda. ^.eiag%hsáia& fï w;=ßka m%Odk ;ekla .kS' ysfia lelal=u" kskao fkdhdu" wêl ksosu;" wêl f,i flaka;s hdu" weia lka leiSu" W.=f¾ fiu meg,Su" fiïf.ä" ks;r fiu weúiaiSu" w;a md - weÕm; oeú,a," w;a ll=,a weÕs,s ysßjeàu wdoS fndfyda frda. ,laIK wjia:dkql+,j ta ta mqoa.,hkag wdfõKsl f,i m%uqL fõ' fï w;r fndfyda wh oshjeähd frda. fhkao fmf<a' úu¾YkYS,Sj wdhq¾fõo úoHd;aul Í;skag wkQj frda. iqjm;a lsÍfï kshef,kakkag tl úg tl frda. ;;a;ajhla fyda ,laIKhla ms<n|j

muKla i<ld ne,Sulska f;drj by; ish¿ ,laIKhka fyda frda. ;;a;ajhka ms<sn|j mq¿,aj fidhd n,d ie,iqï iy.;j m%;sldr lsÍfuka tjka jQ ish¿ frda. ksÜgdjgu iqj lr.; yelsh' j;auka iudcfha nqoaêu;a" úu¾YKYS,S ish,a,kau mdfya wdhq¾dfõo ffjoH l%uh ms<sn|j ;sridr úYajdihla f.dvk.df.k ;snqKo fuu ffjoH l¾uhkayS oS wuqøjH fidhd lmd fldgd ilia lrf.k lIdh ;eïîu iy fjk;a T!IO ms<sfh, lr.ekSu ksishdldrfhka isÿlr .ekSug wmyiq ùu ksid fuu úYsIaG jQ ffjoH l%uhg wj;S¾K fkdfõ' kuq;a bmerKs fm!V b;sydihlg Wreulï lshk wmf.a fy< fjolïyS iY%Sl uQ,dY%hkaf.ka fmdaIKh jQ rkam; fjomrmqfrys úYañ; fjolï ks¾udKYS,Sj hdj;ald,Sk lr we;af;a frda. ksÜgdjgu iqjm;a lr .ekSug kj u.la úúr lrñks'

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ffjoH rkam; rejka r;akdhl fjoeÿre;=uka ysiroh" .eiag%hsáia" w¾Yia" mSkia frda." fiï frda." jd;rla;" yDo frda. iy wêreêr mSvkh ^fm%I¾& brejdroh" m¿ oeóu"leiSï yd iu iïnkaO frda." ,sx.sl ÿn,;d" ldka;d frda. yd .¾NdI frda. /ilg Tng iykh i,ihs' wo iudcfha iq,nj olakg ,efnk oreM< m%udo ùu" mqreI Yla;sh ÿ¾j, ùu wdoshgo fu;=ud m%;sldr lrKQ ,nhs'

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AYURVEDIC

wdydr cS¾Kh myiq jk mßos cS¾K moaO;sh ieliSu wdhq¾fõo m%Óldr l%uh hgf;a isÿfõ' tjeks .,a we;s ùu fukau w;=re wdndO we;s ùu isÿ fkdfõ' jl=.vq u.ska b;d fyd|sska uQ;%d fmÍfï lghq;= fukau ms;a;dYfha mj;sk ish¨ wdid;añl;do ÿreù hhs'

144

April 2017

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