Doctor Magazine May 2018 by Doctor Magazine

MAY 2018

Volume 24 • Issue 05

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MAY 2018 Volume 24 • Issue 05

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EDITOR'S

ETON 'hguÍsl ;.cdui aliyow j|ns<sm alhk;hdw kjfaks|ey akjfqkh hYxdh¾dl kmdHOw HL!if ow HL!if Üfr ïf '''ahflYo 06-0591 hs.qim hk;hdw vúsKm HL!if ,n%m õfd:aijw a,qUqyqi ahfkmdHOw kmdHOw HL!if 'shhk;hdw Qj a,qu guÍsl ;.kc HL!if ahf,dl a,qu akhfjd;HlY k,dmßm a.fakßdO,sk alhllat dv=l ahfYxw HL!if kcyu õf=;akïf;¾dmof jdjaif kmdHOw HL!if amfw Qj lua;dhs%l akhfYj 'ífs; ja;m ghja;a;; s;ew ow aifaiT aljQKqhso lñ%l HL!if als%;aiso a;fgh =lhfrjlIalÍm HL!if kcyu =lhfrjIalHOw rdlyi "uù lua;dhs%l llat kmdHOw ahfkdOúxi HL!if lad,f "uùa;m hk;hdw g;gh akhfYj uùa;m gjn alhYxdh¾dl a;fgh rdOdw jd;kc jód.ui dy at Soa;jf ÿsi ïlaikjf lsk;hdw 'hú gkakj QKqhso äej oakygivej ïfÍsl a;jQKeo

NOTE

S'ROTIDE kmdHOw HL!if ahfYxdh¾dl hSKjr!.f rjyfuf ls;dc lYo gó glhmsysl amfw rmf g,jõko ï. IaYfú kUfe<t 'shjf alhkso âadnfáakeizz at gu. ZZdh;a;yu 'shhkso kKfñem âadnfáakei ïf. gdh;a;yu hjr!.f aKfqns; S;dmIalm hn qiqu qKm qyT 'sljn 'shof a;yfnf 'shof dn, a;kakt s;ek s,slsiej ke. ula;.oej ïfSke.dk; alhs,slsiej g,j a,j.f âadnfáakei kt Sirei akslhdnl ,sk sldl 'shof dhsl akfakrl ;. er=;kgfej ßs|ew ksot dh;a;yu akhsiejï. oaljdr.`i ZZ;meizz ahf,ñdkf 'hïf. aiofmW jqi dkáj adyfdnf syt r;w kßydonf r;w 'h;.¾;akw

wdh;khla ms<sn|j woyila iudc.; lsÍugh' fi!LH wOHdmk wo fi!LH wOHdmk ld¾hdxYh hkqfjka ye|skafjk ld¾hdxYfha wdh;kh miq.sh 1950-60 oYlfha''' fï rfÜ fi!LH f.!rjKSh HL!if hYxdh¾dl kmdHOw HL!if gú kj ow wOHdmkfha yalqU a dwjia :mdfõ mKsúv cd;sl fufyjr a;fgh =lhfriq jI HOq, wr p%m dy k dHOw ahm% fYn xH, ;dufi!LH w "akels rjÍ Houg jff "Huq oj, ffa l Y dc%m "Hojff lsh'dlfi!LH dc%m ck.; jQ,dwdh;khhs wOHdmk óg oYl j¿=;ew akßdO,sk kmdHOw HL!if "akerjHojff ;ako Soõfxifj.a qi jmßmd,k d;kc ;úakui ak slh,vaKu h¾dl K¾Qmuq,a ld,fha fi!LH ks,Odßka YlH;djfhka lsysmhlg gjn alhk;hdw kofrW glrjyfuf ,dYú ïfÍsl fomd¾;fïka l=vd tallhla fmr wfmaa .adrfdw; "H=f L!õ if uyck a,eidm "HL!ifi!LH f dc%m 'ífs;wxYfha ja;m qKqyqm "ïSh.ew dy KIahf¾m "kmdHOw HL!if d,dYH jYfhka l%shd;aul jQ wfma fi!LH wOHdmk fiajdj .ï okõj,g HL!if akua;j ;úakui aksljdkK. Yxw Sodw '''ïÍsl HLQj !ila f OúTia ú dyf ryiaHOwo du hY xdh¾dl;;a kmdH; Owajhg m;aj ;sfí' l%ñlvúossKhmqK we;s t<efUk úfYaI lua;dhs%l j|nsk akygivej SIAYfúqi d,syhfkoAkfskxi uyck fi!LH mÍlaIljrfhl= hgf;a osia;%sla fi!LH oskhla fjhs' 'shrl hs;amd%mg+l aifjo gjd,jf kt k.fàej ßs|ew ? wOHdmk taHl d;a,luakls,lùu" iyldr ta zziekaáfndaâ "kc¾; L!l if kl% jfsh =;u ".adrf k jdkf adnf wOHlaIjrfhl= 'shKfñem ni dy llat ;sIm;a aYfú u uf d; HYjw dl Oúú 'shjakmf alhám%;Ñ ;u alhrs; ÿqi k,a,w glhs;a;ì hg;gS|ewdh;kh ùaku" f,da lkS,fi!LH ixúOdkfha uy;a;hdZZ .ug h¾dl "uSohf ,j akygivej ïfÍsl a;jQKeo Oúú ahfs<yms<t 'hqiaiskñ a;mamÿ akfakdm ï=lú ahfrs; a;jm dy|ild¾hdxYhla akSoõfHOdu "ïÍsl QKqynjg qm dy|i , vaKuùu jYfhka a.fqyT 'hïr; alhUn Kqyqu a.fdjero krl ym<u wdOdrkjhgf;a m;a meñfKk oskhhs' húvw íjf er=;rd;f HL!if ZZhßeijqizz "k%;akuïi hKdu%m l;w aljfqKm kgfej d. ßsi ßsi akhfLquadOfw wdh;ksl fjkia ÿ"kfj;a oaYS ftaú uyd ck;dj iekaáfndaâ Sodw j djaif vúl sKmïamshis lai :lrÿ I akufiu.dój ZZ'''k e. erduw qKmzz akfakrl a;mßsob at ''''shjf dHO HL!ijevigyka f aifaiT Yxw ;Dlo S.xdjeä Oúú akh YjqKQ jkak ZZK <elzz 'slhám duksi <l qiqu aiofmW dkáj oeKQj ;akmls Íwfï osfh gW eúh' uy;a;hdg .fï HL!if ;jf jd;kc Üfr ïf syhfkdu;¾j hYxdh¾dl hkpdm "ke. h;.xij dhßa,feu QKqjaks|ey akjfqkh 'õf hSkixY%m hydia;W Kro guSodn, uQKeo alhs,slsiej '''ke. ula;.oej ïfÍsl a;kakt'''ke. ;snqfKa f.!rjh akhfYj Sodw ïf ke. hKrdl kh @ shew akfakj HYjw wo jk fi!LHgkakrl erqy a;ßsi jqi a;myh gjd;kc ,lt uqiq nh mlaImd;S Eneiúg ";Kßfi!LH m "r+Yh¾dlwOHdmk ghYxdh¾dl kld¾hdxYh mdHOw HL!if lhßjIalHOw akhfjksNw a;qh akslualeo Soõfxi jqi akßdlêw HL!if ,lt dyry ZZdh;a;yu âadnfáakeizz wud;HxYfha wOHdmk yd m%pdr wOHlaIjrfhl= hgf;a njls' Tyq mKq jd;kc aifaiT akhkdu jk a;fdyfduf ïf kási ja;m 'ha;fa;.rl hKy%. jd;kc akhf.õf vúsKm akÿ hvúsK ;fmïi jqi m% i,c f dS,SY Kdu¾sk a;ffjoH" dvj ;jf i,f akgÜer=l ¿dlf ,lt m%cd ldhs lm syffjoH" Yd,l ffjoHjreka" fnfy;a fohs' 'shu=;em a.fmw kakh hdjõf sley guÍsl hkoõfskxi jS,SYdhs%l g,j akygivej ïf k.f|ew ïªew s,ey/ej oka; ffjoHjreka" fi!LH wOHdmk ks,Odßka tkak;a ,nd fohs' gr amwe;= fw gú¿ kj h alh,dl a;j; jd;kc Qj s.dNyi ZZgr dka;jm lY¾o HL!if u;GAIsYú ahfmd,lzz mQ¾K ld¾h uKav,hlska iukaú; ck;djkhiq j ixfõoS jeisls,s ke;s 'hahfQj a,qu gkakof dn, gKrof al, hrodjr!.f Üfr ïf akfakrl a;mßsob mw jdlú¾Qm ïf Ísnfï Wrfok wdh;khla njg f.j,a j,g jeisls,shla ;kd.ekSfi!LH fï jeo.;a lu .ekwdh;khla ls ms< |júYd, woyilafufyjrlg iudc.; lsÍugh' wOHdmk kjalo alhja;lhdo SIaYfúqi g;mïi jqi a.fjd;kc hkqfjka ye|skafjk ld¾hdxYfha m;afjeih;sCld¾hdxYh fní' wdfrda. lshd fohs' ldls ks, lndhlska ieriS tk iekaáfndaâwo fi!LH wOHdmk i rom%tic ddE fi!LH" - akalihtamdie,a nuG atafi!LH" rahB wdh;kh miq .sh 1950-60 oYlfha ''' fï rfÜ fi!LH h fka HYd,d fi!LH wOHdmk" uy;a;hd tosk we|sß jefgk;=re f.!rjKS .; lrka moc.liamg@km¾fha l.enizagI amK rotcyd od we.hSï" mqyqKq qUq,a wjia:dfõmom%cn úg.v cd;sl fufyjr .lia,mfi!LH g@akalihmKs tana uiuka ataraú hb wdoS wxY .Kkdjls k ; j;auka fi!LH .fïh' fkdñ,fha zziem;ZZ i`.rdjla o .ïjeishka wOHdmkfhalsiqÍyï''' ck.; lsÍug uq,a jQ wdh;khhs' fi!LH wOHdmk óg oYl yryd úúO fi!LH mKsúv w;r fnodyßk w;r tys fndfydalsjákd iqj Wmfoiaks,Odßkaf.awOHdmk mßmd,k ld¾hdxYh YlH;djfhka uqudOH ,a ld,fha fi!LH ysmhlg ixks f kA o kfhys , d iq ú fYA I S jevigyka wka;¾.;h' fomd¾;fïka;=fõ uyck fi!LH wxYfha l=vd tallhla ksn|j l%shd;aul fmr wfmaa jYfhka l%shlrhs d;aul' jQ wfma fi!LH wOHdmk fiajdj EUSSI NA SSIM REVEN .ï okõj,g o hwo tnom yrev;;a e ro; odajru oy om;a t dej rev;s ilefdí' ENIZAGAM ROTCOD teG we;s hg t<efUk úfYa I;sh l%ñl oshqKQjla Tiafria ? we|sß jeàf.k tk fj,djg ojfia l+g m%dma noitpircsbus ot oG .telbat ro elibom ruoy ot ti daolnwod ot esoohc uyck fi!LH mÍla Iljrfhl= hgf;a osia;%sla fi!LH oskhla fjhs' fnda fkdjk frda." l,sk.rea ffl, meñfKhs' o noiu;= tpircsfbjk us tsefi!LH tal ruo ees;¾ck" ot egap wOHdmk tall l%shd;aul ùu" iyldr wOHlaIjrfhl= ta zziekaáfndaâ úúO ld,S k wjYH;d fuka u úfYa I ì;a;shlg w,a,k iqÿ ;srhla u;uy;a Ñ;%; mhdZZ áhla fmka j hs ' hg;g wdh;kh m;aùu" f,dal fi!LH ixúOdkfha s; tall yd ine|S .ug úúO oeKQj;anjg lsÍfï ;srfha úl=ï mdkafka ÿmam;a ñksiai qh' t<smosy<s f'ha wdOdr hgf;a ld¾hdxYhla m;aùjevigyka u jYfhka j, fhoSu" ld¾h meñfKk khhs l ï isotÿcodfj;amq oSy taqK ydQ ls iu.dój ck;dj ka i|yd mj;ajEk iekaá fndaâ Tyqf.a wdh;ksl fjkia uKa Íï" udOHfõoS u<my lrk orejdf.a uqyqK nUhla ;rïh' kl.enizv ag, amri|yd NIZAGAM ROTCOD 7102 lirpA oeKQj;a lsÍiïuka fï jevigyka o jeä oshqKQ jka kg úh' uy;af;jla hdg w;l .fï m%udKh ;%k" zziq jießhZZ fi!LH f;dr;=re fjí wvúh wfOdauqLfhka isß isß .d jefgk mKq nqfKa f.!rjh fukau úfYaI ÿrl:k" ialhsma mKsúv fiajdj wdoS fjhs'''' ta bosßm;a lrkafka zzmKq ;swudre .ek'''ZZ wo jk úg fi!LH wOHdmk ld¾hdxYh fi!LH uqiq nh mlaImd;S jYfhka D; I wxY Tiaf ia fi!LH wOHdmk jákd Wmfoia uqiq l< iskud máhls ' 'zzle<e wOHdmk úúOdx.S yd m%pdr l wOHla jrfhl= hgf;a njls Tyq mKqWKZZ wud;HxYfha j¾;udkfhys fï rfÜ" ck;dj fj; fi!LH hkqfjka ye|skajqKQ uef,aßhd jix.;h m%cd ldhsl ld¾hdxYh ffjoH" m%cd Yd,l ffjoH" ffjoHjreka fnfy;a .ek" fohs' mdpkh fi!LHuwOHdmk ,Odßka we;=m% ¿Y jxikSh fõ' tkak;a ,nd oeKQu" ,ndoS g orKksW;a idyh .ek'''tkak;a lsÍfï jeo.;alu .ek''' jeisfohs ls,'shla oka; ffjoHjreka mQ¾K ld¾h uKav,hlska iukaú; ck;dj iqj ixfõoS ls,fï s ke;s wjYH jkafka wehs @ hk ldrKh jeis .ek wdoS jYfhka lsÍfï úYd, fufyjrlg Wrfok wdh;khla njg f.j,a j,g jeisls,shla ;kd.ekSfï jeo.;alu .ek fi!LH wOHdmk ld¾hdxYhg ld¾hY+r" mßK;" ienE tl, ck;djg hym;a iqj isß;a yqre lrkakg m;aj ;sfí' m%cd fi!LH" mdie,a fi!LH" wdfrda. lshd fohs' ldls ks, lndhlska ieriS tk iekaáfndaâ iqjwOHdmk" ixfõoSm¾fha oelaIuK lsk ;a wNs jfhka wOHlaIjßhl zzieka fnda hdZZ yryd wêldßka HYd,d fi!LH yda hq we.hS ï" k mqy qKq uy;a;áhd tosâk uy;a we|sß ; jefgk;= re .;tl, lrkaffi!LH ka isák fï fudfydf;a udkhka Tiafia ck;dj ÿka mKs úv fõ.fhka Kh lr.;a f;ah' lsÍï''' wdoS m;a wxYj.Kkdjls ka iuka ú; j;aukj ka fi!LH .fïh' fkdñ,fha zziem;ZZck;dj i`.rdjla.% oy .ïjeis hka wOHdmk ld¾hdxYh udOH yryd úúO fi!LH mKs ú v w;r fnodyßk w;r tys fndfyda jákd iq j Wmfoia fj; jvd;a ks ¾ udKYS , S f,i iq j iïmf;ys mKsúvh tl, fld¿ l=reÜgka f,i iqúfYAIS ls jevigyka ksnfõjdh |j l%shd;a ulk wmf.a me;=uhs' wka;¾.;h' ixks,fd õokh Íug yels hka je/ye,s weªï we|f.k fï jevigyka j,g l%shdYSixks ,SjfkAokfhys lrhs' iyNd.s jQ ck;dj ;j;a ld,hla hk úg wfma rg ? we|sß jeàf.k tk fj,djg ojfia l+gm%dma;sh zzl,dmfha fnda fkdjk frda." l,ska l, u;=fjk fi!LH ;¾ck" meñfKhs' úYsIAG;u fi!LH o¾Yl mj;akd rgZZ hk f.!rjdorh ,la ,ndÑ;% foka kgfmka uq,ja jQ ì;a;shlg w,a, k iqforKg ÿ ;srhla u; máhla hsf ' hah' úúO ld,Sk wjYH;d fukau úfYaIs; tall yd ine|S úúO oeKQj;a lsÍfï jevigyka j, fhoSu" ld¾h ;srfha ï mdka fkabos ÿmaßmm;a ;a ñks iaiqhf' ka t<sfï my<srfÜ fha fï mQ¾úl= úldj wm lrka uKav, i|yd mqyqKQ lsÍï" udOHfõoSka i|yd mj;ajk u<my lrk iq orejdf.a uqyqKiqnUhla Tyqjfhla .a olajk ck;djf.a j iïm;g úfYaI;rïh' S odhl;a

wfma ld,fha ffjoH ikaksfõolfhl=f.a kslau hdu'''

ffjoH wdßhfiak hQ .uf.a

EDITOR'S

ffjoH úoHdj yd ine|S udOHfõosfhl= jYfhka oYl .Kkdjla ;siafia lghq;= lrk ud yoj; m%lïmkhg ,la l<NOTE mqj;la myqKQ ojil ud ijka jel=Ks' ta m%lg ffjoH ikaksfõolfhl= jq úfYaI{ ffjoH wdßhfiak hQ' .uf.a ue;s;=ukaf.a úfhdajhs' zzffjoHjrhdZZ iÕrdj wdrïN lr .; jQ úis;=ka jir mqrdjgu wm yd b;d <ne|sj lghq;= l< úh;a ffjoH ikaksfõolhd" udkqIjdoS lreKd .=Kfhka hq;a W;a;=x. .=fKdams; mrudo¾YS ffjoHjrhd urKh ud fk;Õ l÷¿ ì÷jla cks; lrjkakg jQfha ksrdhdifhks'

iïmdokh lf<ah' tysoS Tyq ;uka yªkajd.;af;a zzudm,.uhdZZ hk wkaj¾: kdufhks' .d,af,a udm,.u kï iqkaor .%dufha ckau,dNh ,nd noafoa.u l%sia;=foaj yd .d,af,a ßÉukaâ úoHd, j,ska oaú;Shsl wOHdmkh ksujQ wdßhfiak hQ' .uf.a YsIHhd fld<U úYaj úoHd,fha ffjoH mSGhg we;=<;aj ffjoH wOHdmkh ksu lsÍfuka miq rcfha frday,a /ilu fiajfha ksr; úh' m%cd ffjoH úoHdj iïnkaOfhka mYapd;a wOHhk iqÿiqlï imqrdÆ ffjoH wdßhfiak .uf.a ue;s÷ka miqld,fhaoS fmardfoksh úYaj úoHd,hgo iïnkaOj isiqkag ffjoH wOHdmkh ,nd oSug lghq;= lf<ah' lE.,af,a fi!LH fiajd wOHlaIOQrh t;=uka ffjoH lafIA;%h ;=< oerE mßmd,k ;k;=rls' 6

ks¾udKYS,S f,aLlfhl= jQ fu;=uka iajlSh f,aLK m%;sNdj kj wdrl m¾fhaIK j,g osYdNsuqL l< nj ud b÷rdu mjikafka fï rfÜ ljqre;a m%isoaêfha l;dny lsÍug wlue;s ,sx.sl ldrKd mjd b;d úh;a jyßka iudc.; lrñka fï rfÜ ;reK úY%du .sh uq,a ld,fha t;=uka ;uka ;reKshka Wfoid l< wmuK fiajh wdrïN l< uddjke,a, .uf.a wdfrda. fya;=fjks' tla;rd .=jkaúÿ,s kd,sldjl HYd,dj ;=<ska m%foaYjdiSkg Wiia fiajdjla fï WKQiqï úIh wrNhd l< jevigykl iemhS ugreW;a ql jQ w;r tys wNskjfhka iïuka;%k" zziqjießhZZ fi!LH f;dr;= fjí i wvúh wfOdauqLfhka isß isß .d jefgk mKqfjla w;l m%udKh uQ,dY% weiq f ¾ Tyq zzmq o a . ,s l hs " fukau úfYaBharata I ÿrl:k" ialGunathilaka hsma mKsúv fiajdj wdoS - Editor in Chief fjhs'''' ta bosßm;a lrkafka zzmKq wudre .ek'''ZZ id;a ;= ksjdihla wdrïN lsÍugo jYfhka úúOdx.SlD; jeäys wxY Tiafiaá fi!LH wOHdmk jákd Wmfoia uqiq l< iskud máhls' zzle<e WKZZ ryishkq.fjka ;hs '''ZZ hkqfjka wmQ¾j ffjoHld¾hdxYh doctormagazine.lk@gmail.com j¾;udkfhys fï rfÜ ck;dj fj; ye|skajqKQ uef,aßhd jix.;h .ek" mdpkh n,dfmdfrd;a ;fi!LH =j isáfhah' oeKQu ,ndoSbharata.gunathilaka@gmail.com ug orK W;aidyh m%YxikSh fõ' .ek'''tka ;a lsÍfï jeo.;al .ek''' ls,shlaug u;lh' .%ka: hla kiudchg ;su < sK jeis l<d wjYH jkafka wehs @ hk ldrKh .ek fï wdoS jYfhka fi!LH wOHdmk ld¾hdxYhg ld¾hY+r" mßK;" ienE tl, ck;djg hym;aTyq iqj isßweÿu ;a yqre lrkafrda kg .Ska fï wdldrhgu ffjoHjrfhl= jYfhka oyia ixLHd; iqj ixfõoS oelaulska hq;a wNskjfhka wOHlaIjßhl áfndaâ uy;a;hdZZ yryd tl, fi!LH wêldßka yg zzieka wjfnda Oh msck;dj Ksi.%yffjoH .%hk m;ao j isák fï fudfydf;a ÿka mKsúv fõ.fhka Kh lr.;af;a ' a:hla frdakj.udkhka Ska Tiafia ck;dj fj; jvd;a ks¾udKYS,S f,i iqj iïmf;ys mKsúvh tl, fld¿ l=reÜgka f,i rpkd lf<A hwe|f.k ' iqj m;ahkalksÍwmf.a fuys zzfrda.sfhla lsÍug yels fõjdh me;=ufhÿK;a hs' je/ye,s weªï fï jevigyka j,g l%shdYS,Sj NEVER MISS ixks ANfõokh ISSUE iyNd.s jQ ck;dj ;j;a ld,hla hk úg wfma rg ú|sk towirKluZZ .smonth ,ka jQor iufha Tyqgo Get DOCTOR MAGAZINE delivered your door every zzl,dmfha úYsIAG;u fi!LH o¾Yl mj;akd rgZZ hk ixpdrfha ' ' foa Y dgkfha buy;a leue;a ; la f.!rjdorh ,la forKg ,nd fokakg uq,choose a jQfhah' to download it to your mobile or tablet. Go to subscription fkdwvqju oeKQkQ nj Tyq ,shQ fï ¾úldj wm bosßu m;aka lrka fï rfÜ oelafï jQ mQffjoH;= tafkaweiq fpage ¾olawdl¾YKS h offer. meyeos,s fõ' zzuf.a isref¾ ck;djf.a iqj iïm;g iqúfYaIS odhl;ajhla jto k see our latest subscription igyfkka foaYdgk igyka we;=<;a lD;Ska mjdBharata Gunathilaka - Editor in Chief iq¿ fyda ie;alula flfrkjdg uu doctormagazine.lk@gmail.com wlue;af;ñ' ukao h;a ud ta fj,djg bharata.gunathilaka@gmail.com 6

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fnda fkdjk frda. ;srir ixj¾Ok b<lal ch.ekSu ioyd ndOdjla nj f,dal fi!LH ixúOdkh yÿkdf.k we;' Y%S ,xldfõ wdrïN lr we;s fnda fkdjk frda. je<elaùfï jevms<sfj, f,dal fi!LH ixúOdkh we.hSug ,la lr we;s w;r" th wfkla rgj,g o wdo¾Yhla njg fmkajd § we;' yDo frda." wêl reêr mSvkh we;=¨ frda. j,ska ñhhk ixLHdj jir 2025 jk úg ishhg 25 la olajd wju lsÍug ie<iqï ilia lr we;s nj fi!LH" fmdaIK yd foaYSh ffjoH wud;H fodia;r rdð; fiakdr;ak uy;d m%ldY lrhs'

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wu;kak 0777 865 027 fyaudia frday, j;a;, 369" ó.uqj - fld<U m%Odk ud¾.h" j;a;,'

iy fudìfg,a Y%S ,xld wdh;kh taldnoaOjhs' fuu app tl u.ska jvd;a l%shdldÍ f,i fvx.= frda.h iy iel lghq;= wdldrfhka mj;sk WK ;;a;ajhka jd¾;d lsÍfï yelshdj Ndú; lrkakkag ,nd § we;' ta Tiafia wdidÈ; m%foaYhka fvx.= frda.h me;sÍu je<elaùug fj; f.dia wod, l%shdud¾.hka Mobile app tlla .ekSug;a" uÿrejka ì;a;r ouk Y%S ,dxlsl mdi,a YsIH m%cdj w;r fvx.= iy uÿre lSghka jdih lrk ia:dk úkdY lsÍug;a yelshdj we;' fuu frda.h me;srhdu je<elaùu i|yd wjia:djg wOHdmk wud;HdxYfha igka lsßug ks¾udKYS,s Mobile app f,alï iqks,a fyÜáwdrÉÑ" Y%S ,xld tlla y÷kajd§u miq.shod isÿ flßks' fg,sfldï iNdm;s l=udrisß isßfiak" —fvx.= frda.fhka ñÿKq orefjla˜ fi!LH wud;HdxYfha ksfhdacH ^DengueFreeChild& kñka fuu app wOHlaI ckrd,a ir;a wuqKQ.u" cd;sl tl ks¾udKh lrk ,oafoa wOHdmk fvx.= frda. md,k tallfha cd;sl wud;HdxYh" fi!LH wud;HdxYh" iïnkaëlrK ks,OdÍ ffjoH yis; fld<U úYaj úoHd,h" isx.mamQrefõ ;sfiard uy;d we;=¨ msßila tlaj Nanvang ;dlaIK úYaj úoHd,h isáhy'

osjhsk mqrd frday,aj, kj yÈis wk;=re tall msysgqùfï jevms<sfj,la Èjhsk mqrd uy frday,a iy YslaIK frday,a" uq,sl frday,aj, yÈis wk;=re iy yÈis m%;sldr tall bÈlsÍfï jevms<sfj, hgf;a ;j;a frday,a 4 l tu tall bÈlsÍu i|yd uq,a.,a ;eîu fi!LH" fmdaIK yd foaYSh ffjoH wud;H fodia;r rdð; fiakdr;ak uy;df.a m%Odk;ajfhka miq.shod isÿ flßK' tfia uq,a.,a ;nk ,oafoa y,dj;" wkqrdOmqr" .ïfmd< yd lE.,a, frday,a

rdcldß lghq;= ioyd h;=re meÈ fkdue;s mjq,a fi!LH fiajd ks,Odßkshkag h;=remeÈ rcfha mjq,a fi!LH fiajd ks,Odßkshkaf.a ix.uh ixúOdkh l< l¨;r Èia;%slalfha mjq,a fi!LH fiajd ks,Odßkshka oekqj;a lsÍfï 12

MAY 2018 | DOCTOR MAGAZINE

yosis wk;=re tall i|ydh' fï i|yd ms<sfj,ska remsh,a ñ,shk 762" 528" 369 la yd 495 la fjkalr ;sfí' fï jk úg uykqjr" fmdf<dkakrej" l,auqfKa W;=r" hdmkh iy l¿;r hk uyd frday,aj, yÈis wk;=re iy yÈis m%;sldr tall bÈfjñka mj;shs' ;%sl=Kdu,h" kef.kysr fld<U uq,sl frday, hk frday,aj, o tu tall bÈlsÍu wdrïN lr we;' bÈß ld,fha § nÿ,a," wïmdr" ud;r hk frday,aj, tu tall bÈlsÍug kshñ;h'

jevigyklg tlafjñka rdcldß i|yd h;=remeos fkdue;s mjq,a fi!LH ks,Odßkg h;=re meos ,ndoSug lghq;= fhdok nj fi!LH wud;Hjrhd lghq;= lf<ah' l¨;r m,df;dg mdf¾ —f,alaúõ˜ fydag,fha § fuu oekqj;a lsÍfï jevigyk meje;aúks' doctormagazine.lk

WHY GO ALTERNATIVE WHEN YOU HAVE PROPER WAY AT YOUR FINGERTIPS

yÈis wk;=rla wdmodjla isÿ jQ úg yosis wk;=rloS wfmka flfrk iq,n jeros .ek újrKhls'

f.dv fjolï lrkjdo@

biamsß;df,g hkjdo@

<Õmd; bkak whf. Wmfoia wrf.k jefâ jroao .kakjdo@ doctormagazine.lk

MAY 2018 | DOCTOR MAGAZINE

cSú;fha ljr wjia:djloS fyda fï ffjoH Wmfoia Tng m%fhdackj;a úh yelshs

fld<U cd;sl frdayf,a úl,dx. Y,H úfYaI{ ffjoH ä,aYdka uqksodi

yosis wk;=rlg''' wdmodjlg ,lajQ l,ayS fndfydauhla frda.Ska ksis fj,djg" ksjeros m%;sldrhg fhduq fkdùu Y,H ffjoHjrfhla jYfhka ud iq,nj ,nk w;aoelSuls' tfia jkafka ksjeros m%;sldrh we;s ;ek .ek fkdokakd ksido fkdfõ' tfia kï we;eï frda.Ska ksjeros m%;sldr j,g fhduq fkdjkafka'''ir<j lsõfjd;a jev jroaod .kafka wehs@ yosis wk;=re m;a frda.Ska yd oS¾> ld,hla .ejfik ud Bg fya;=jk iq,n lreKQ lsysmhla .ek uekka oek isáñ' 14

yosis wk;=re j,g ,la jQ frda.Ska ksjeros m%;sldr j,g fhduq fkdùug n,mdk fya;= • Y,Hl¾uhlg Ndckh ùug we;s ìh • l,n,hg m;a ióm;uhka ys;=uf;ag fok jeros Wmfoia ms<smeoSu • ;ukag jehjk uqo, .ek is;Su • ;ukaf.a tosfkod rdcldß kej;;a isÿ l< yels jk fia blauKska m%;sldr .ekSug we;s jqjuKdj kuq;a fï ienE ldrKd Tyq fndfyda úg ;ukaf.a ffjoHjrhdg mjikafka ke;' yß m%;sldrhg yß fj,djg fhduq fkdjk fndfyda frda.Ska j. W;a;r n|skafka fï úosygh'

MAY 2018 | DOCTOR MAGAZINE

}ta fj,dfj biamsß;df,g f.kshkak ljqrej;a ysáfh kEfka''~ }ksjdvq ojila yskao fodia;r uy;a;=re kE lsh, ys;=K'''~ }úNdf.lg bkak isoaO jqKdfk'''~ }biamsß;df,g .shd''' ie<l=fj kE'''' j;=r fmdola j;a ÿkafkkE ´ka'''~ doctormagazine.lk

ie,iqï iy.; m%:udOdr$iydhl ffjoH fiajdjlska rgg úYd, wdrlaIdjla ,efnhs

ì÷KQ wiaÓ iqj lrk fnfy;a kE''' lEuîu kE''' wk;=rg ,lajk yeu frda.sfhl=gu Y,Hl¾uhla lrkakg jqjuKd fkdfõ' we;eful=g Splint tlla N.akh u;=msáka ;eîu ^m;=rla& muKla isÿlr kej; oskhl miqúmrula i|yd meñKSug ffjoHjrhd úiska kshu lrKQ we;' fndkakg lsisu fnfy;a fm;a;la fkdÿkak;a fï WmfoaYh Tng fokafka mqyqKQ ffjoHjrfhl= úisks' we;af;kau ì÷KQ wiaÓhla iqj lrkakg iu;a lsisÿ fnfy;a fm;a;la ;ju fidhdf.k ke;' ì÷K wiaÓhla iïnkaOfhka jk ienEj kï tajd iajNdjfhkau iqj ùuhs' wiaÓhla ìªKQ úg Y,H ffjoHjreka jYfhka wmf.a j.lSu jkafka ma,diagrhla oeófuka fyda Y,Hl¾uhla u.ska tu wiaÓh kej;;a ldhjHÉfPaod;aulj ksjeros msysgqulg m;a lsÍuhs' fuysoS wjYH jqjfyd;a lïìhla" m;=rla wdosh fhdodf.k thg wiaÓh wNHka;ßlj ne| ;nkakgo isÿ jkakg mq¿jk'

Tn ú|sk ÿla .eyeg .ek ffjoHjrhd ixfõoshs fï wdldrfhka l%shd lrñka we;sjQ úlD;s;djh jydu ms<silr lsÍfuka frda.shdg úYd, jdishla w;am;a fõ' tfiau ìªKQ ia:dkh fkdfi,aù ;nd doctormagazine.lk

.ekSug ma,diagrhla fhoSfuka frda.shd tf;la ú|s YdÍßl fõokdjkaf.kao uqojd.; yel' wia:shla ìªKQ úg oefkk fõokdj wiSñ;h' iakdhq wka; j,ska msßmqka wiaÓfha msg; wdjrkh ^fmßTiaáhu& ì|Sfuka ta ;=< we;sjk fõokdj úfgl bjish fkdyels ;rïh' wiaÓhla ìªKQ úg jvd;au iqÿiq jkafka yels blauKska ksjeros m%;sldrh ,nd oSuhs' thska ffjoHjrhd lreKQ folla wfmalaId lrhs' myiqfjka we;sjQ úlD;s;djh ms<silr lsÍug we;s fyd|u wjia:dj uq,au wjia:djhs' fojekak kï wiSñ; fõokdjla

fmdÿ jyf¾ zz.,a nekafâcaZZ hkqfjka ye|skafjk ma,diag¾ T*a meßia noduhla odkak .sh;a thg wuqøjH j,g ú;rla remsh,a 3000$ lg wêl uqo,la jeh jk nj Tn okakjdo@ MAY 2018 | DOCTOR MAGAZINE

ú|sk frda.shdg yels;dla blauKska iykhla ,ndoSuhs'

wk;=rla isÿ jQ úg úhyshoï .ek Tn jo úh hq;=o @ wfma rfÜ iEu flfkl=gu mdfya lsf,da óg¾ 50la muK we;=<; ÿr m%udKhloS wx.iïmQ¾K rcfha frday,l iqÿiqlï,dNS ffjoHjrekaf.ka hqla; úl,dx. fiajdjka ,nd .ekSug wjia:dj ;sfí' úfoaY.;jo fï yosis wk;=re m%;sldr .ek w;aoelSï iys; ffjoHjrfhl= jYfhka uf.a fm!oa.,sl ;lafiarej jkafka we;eï oshqKQ rgj,oS ,efnk m%;sldr j,g;a jvd oshqKq uÜgfï m%;sldr yd i;aldr wfma rfÜ frda.Skag ie,fik njh' wfma rfÜ ;sfnk jákd iïm;a wj;lafiare lsÍu iqÿiq ke;'

biamsß;df,os ug lsisu fohla lf<A kE''' wfma iEu frday,lu isákafka iqÿiqlï ,enQ ffjoHjrfhls' frda.shd mÍlaId lrk Tyq isÿ lrk uQ,sl ld¾hh frda.shdf.a wjodku ;lafiare lsÍuhs' tfiau frda.shdf.a ;;a;ajh jvd;a whym;a ùula isÿ fkdjkq msKsi uQ,sl ueosy;aùula" m%;sldrhla jydu isÿ lrhs' frdayf,aoS Y,Hl¾uhla isÿ lsÍu uekúka ie,iqï lr isÿ l< hq;a;ls' fuysoS Y,Hd.drh fjk;a ffjoHjreka iu. fnod .kakg isÿ fjhs' wjodkï

úfoaY.;jo fï yosis wk;=re m%;sldr .ek w;aoelSï iys; ffjoHjrfhl= jYfhka uf.a fm!oa.,sl ;lafiarej jkafka we;eï oshqKQ rgj,oS ,efnk m%;sldr j,g;a jvd oshqKq uÜgfï m%;sldr yd i;aldr wfma rfÜ frda.Skag ie,fik njh' iy.; wähl isák frda.Ska yg m%uqL;djh fokakg isÿ fjhs' frdayf,a isák tlu frda.shd Tn muKlau fkdfõ' Tfí ie;alu isÿ lrkafka fï m%uqL;d wjOdkhg ,la lrñks' fï ldrKh iïnkaOfhka Tnf.a wjfndaOh" bjiSu b;d jeo.;a fõ'

ys;=uf;a jev ksid isÿjk w.;sh''' úm;g m;a wfhl=f.a cSú;h iq/lSug iEu mqrjeisfhl=gu mdfya uQ,sl m%:udOdr oeKQula ;sfnkafka kï b;d jgfkah' 16

MAY 2018 | DOCTOR MAGAZINE

Tng lsishï wk;=rla isÿ jQ úg Tn fjkqfjka frday, isÿ lrk fufyh lsis doctormagazine.lk

iurkak ´ks b;d jákd wjia:djla' uu fya;= lshkakï'

úlD;s;djh ms<silr lsÍu;a h,s;a .;sl l%shdldß;ajh;a wruqKQ lrf.k úl,dx. Y,Hl¾u isÿ flfrhs úfgl;a ,>qlr ys;kak tmd' fmdÿ jyf¾ zz.,a nekafâcaZZ hkqfjka ye|skafjk ma,diag¾ T*a meßia noduhla odkak .sh;a thg wuqøjH j,g ú;rla remsh,a 3000$ lg wêl uqo,la jeh jk nj Tn okakjdo @ ys;=uf;ag th bj;a lr.kak we;efula Bg fndre j. W;a;r o n|shs' zzlerfmd;af;la ßx.=jd fvdlag¾'''ZZ Tfí ;=jd,h yereKQ úg ta lerfmd;a;dg ßx.kakg fldf;l=;a ;eka we;s nj wm fyd|dldrju oksuq' Tng fï .eg¿jla we;akï Tn l< hq;af;a ta nj ffjoHjrhdg" frday,g jd¾;d lsÍuhs'

biamsß;df,os lkak fndkak ÿkafk kE'''@ frday, lshkafk lEu" bªï ysgqï" iqjmyiq kskao''' .ek ys;k ;ekla ^fydag,hla & fkdfjhs' Y,Hl¾uhlg Tn Ndckh lrk úg ks¾úkaok fya;=ka u; ksielfhkau Tn meh yhla ksrdydrj ;nkaku fjkjd' fï w;fr fudkj yß lEfjd;a" ìõfjd;a ffjoHjrhd;a wirKhs' Y,Hl¾uh m%udo lrKjd yefrkakg fjk fudkjd lrkako\@ kej;;a Y,Hl¾uh isÿlrkak fjkafk B<Õg ljo yß ,efnk Y,H.dr bvmyiqlï wkQjhs'

Y,Hl¾uhg we;s ìh uu kï ys;kafk fïl wffO¾h fjkak ´ks ldrKhla fkdfjhs' m%S;shg m;a fjkak''' m%S;sfhka doctormagazine.lk

Y,Hl¾uhlg f,fvla f.kshkj lshkafk kslï ys;=Kg" Tfya lrk fohla fkdfjhsfk' uu lsõfj" úúO mÍlaIK lrkjd" úúO lafIa;% j, úfYaI{;djh ;sfhk ffjoHjrekao we;=¿j ffjoHjreka rdYshla Tfí fi!LH ;;a;ajh yd úúO ldrKd iïnkaOfhka b;d ie<ls,af,ka fidhd n,kjd' f,dl= ld,hla wrf.k" úúO lafIA;% j, jD;a;ShfõoS ffjoHjreka ;uhs fï ld¾hh isoaO lrkafk' ie;alu isÿ lrkak Y,Hd. drhg /f.k hdu fofjks mshjr' Y,Hd. drh md,s; ;;a;aj hgf;a l%shd;aul jk úfYAI mßY%hla' t;ek ld¾huKAv,h mqyqKQj yd m<mqreoao u.ska Y,Hl¾u l%shdj,shg wkq.;jQ lKAvdhula' Y,Hl¾uh isoaO lsÍu" Y,Hl¾ufhka miq uq,a ld,h Tnj / ln,d .ekSu fï whf.a uQ,sl wruqK''' t;ekos Tng ,efnkafka b;d by< wdrlaIdjla''' / ljrKhla' b;ska fï úosfya ixúOdkd;auhl ia:dkhl fï jf.a

MAY 2018 | DOCTOR MAGAZINE

ksmqK;djh yd mßphla ;sfhk jD;a;ShfõoS lKAvdhula Tng we;sj ;sfnk ysßyerfhka Tnj uqoj .kak ioaNdjfhka bosßm;a ùu i;=gg fya;=jla fkdjkafka fldfyduo@ m;a;r j, tl tl l;d ;shkj fkao @ fkdie<ls,a," jeros úosyg ueosy;aùu jf.a l;d''' l,d;=rlska fufyu fohla lsõjg fydhd n,k úg tal fjkak ;sfhk bvlv fldhs ;rï wjuo @ yenehs wjdikdjka; fohla jqfKd;a ta mqj;g ;gq ,efnkjd''' wms fufyu;a ys;uqfld' Tfí jeo.;a wjYH;djhla bIaG lr.kak ´ks ksid nia tfla .ukla hkj' nia tl yemafmkak mq¿jka" fí%la ke;sj wk;=rg ,la fjkak mq¿jka' mdfros fjkak neß fudkjo @ fï ish¿ wjodkï we;s fjkak mq¿jka lsh, Tn fyd|dldrju okakjd' ta;a Tn .uk fkdf.dyska bkakjo @ Tfí YÍrfha hï fldgila lsishï wdmodjlg ,la jqKdu;a ;sfhkafk fufyu ;;a;ajhlau ;uhs' tfyu lsh, wms jákd lshk cSú;h wjodkfï ;nk tl yßo @ tl ldrKhla kï ksielfhkau lshkak mq¿jka' wo mdfr .uka lrkjdg jvd Y,Hd.drh f.dvla wdrlaIdldßhs' kQ;k ffjoH ;dlaIKh jákd ñksia cSú; wdrlaId lrkak úma,ùh ch.%yK /ilau w;am;a lrf.k tys Ndú;dj Tfí cSú;hg ,nd oS ;sfnkjd'

ug ßfohso@ fï .ek kï Tn jo fjkak wjYH kE' fõokdj wvq lrkak wo fndfyda fuj<ï wmg ;sfnkjd' Tfí wdmodjg m;a YÍrdx.h fudk 18

MAY 2018 | DOCTOR MAGAZINE

m%;sldrhg nªka l<;a tal lrkafk ks¾úkaokh lr, oekSu" fõokdj hka;ñka j;a fkdoefkk wdldrhghs' Y,Hl¾ufhka miafi;a fõokdj mek k.skjd kï ojia fkdfjhs" i;s .Kkl jqK;a fõokdkdYl wdjrKhla frda.shdg ,nd fokak mq¿jks'

,; fjkak fj,djla kEfk''' blauKg jevg hkak;a ´kd''' blauKg jevg hkak ´ks kï lrkak ;sfhk fyd|u foa ;uhs w;sYh ksjeros" m%;sM<odhS m%;sldrhg l,a fkdhjdu fhduq ùu' ikSm fjkak fIdaÜlÜ kE' jeäysáfhl=g w;a j, kï ì|Sula ikSm fjkak i;s yhla j;a hkjd' mdo j, kï udi y;rla j;a hkjd' fnfy;a .;a;;a fmdaIKSh wdydr .;a;;a fï ld,h fjkia lrkak wudrehs' weK od," m;=re od,''' wiaÓ ì|Su iqj fjklï wiaÓ len,s w,a,f.k ksjeros msysàfu ;nd .kakjd' fï ksid levqKQ ;ek iqj fjkak;a l,ska ta wxf.damdx. l%shd;aul lrjkak Tng mq¿jka fjkjd' ,emafgdma tl mdúÉÑ lrk flkdg talg fndakia ld,hla ,efnkjd'

fõokdj wvq lrkak wo fndfyda fuj<ï wmg ;sfnkjd' Tfí wdmodjg m;a YÍrdx.h fudk m%;sldrhg nªka l<;a tal lrkafk ks¾úkaokh lr, oekSu" fõokdj hka;ñka j;a fkdoefkk wdldrhghs' doctormagazine.lk

wdfh;a uq, b|kau mgka .kak fjkak;a mq¿jka''' wiaÓhla ì÷ku iqj fjkak kshñ; ld,h hkjd' ffjoHjrekaf.a j.lSu ;uhs ta iqjh ,efnk f;la Bg iqÿiqu mßirh ,ndoSu' kshñ; m%;sldrh m%udo ùfuka" hï fya;=jla u; kej; ms<silr lsÍula lrkak isÿ jqKdu ta oaú;Shsl ueosy;aùfuka miq iqjhg .;fjk ld,h wdfh;a ljqkaÜ lrkak fjkj' fuhska iqjh ,eîu wdfh;a wdmiaig hkjd'

ue,a¨ï''' m;a;=''' wr fjolï''' fï fjolï''' wfma ck;dj w;r ;sfhk ;j;a jeros u;hla ksjeros lrkak ´ks' iuyre ys;kjd Th ue,a¨ï''' m;a;= lsh, úúO wdf,amk j¾. iu u;=msáka ;ejÍfuka iqjh ,eîu fõ.j;a fjkj lsh,' fuh jeros u;hla' úoHd;aulj tfyu fjkak bvl=;a kE' yenehs wmg fï ksid ksÍlaIKh jk foaj,a lshkak fjkjd' tlla fï ksid ifï meyeh fjkia fjkjd' ihsfgdlsk jf.a ridhk ;sfhk T!Iëh øjH ksid iu m%odyhg m;aùfuka miafi ;uhs fï úosyg iu fjkia mdgla .kafk' fï ksid ierj ìì,s" ;=jd, we;s fjkak ;sfhk wjia:d jeähs' ikaê iy wiaÓ oro`vq iajNdjhlg m;a fjkak;a fuh fya;=jla fjkjd' frda.shd mqkre;a:dmkhg m;aùu fï ksid ksielfhkau m%udo fjkjd' ta ú;rla fkdfjhs" Tn fufyu ys;kjd'''' zzoeka kï fï f.dv fjolï lr lr n,df.k ysáh we;s' oekaj;a ffjoHjrhd lshk fohla lrkak ´ks'''ZZ lsh,' yenehs Tn tfyu ;SrKhla .;a;;a ifuys ;;a;ajh doctormagazine.lk

fï úosyg ÿ¾j, jqKdu Y,H ffjoHjrhg;a Y,Hl¾uh lrkak ;j ld,hla n,d bkak fjkj' iMAGES

wk;=rla isÿ jqKdu fï úosyg l%shd;aul jkak • w;la" mdohla wdmodjg ,la jqKdu m;=rla ;sh, ta ia:dkh fj,kak' Wrudjla od, fkdfi,aù mj;ajd .kak' whsia ;síng lula kE' mdohla kï idudkH uÜgug jvd by<ska Tijd ;ndf.k jydu frda.shd frday,g f.k hkak' • frday,g hdu wksjd¾hhhs' frda.shd mÍlaId lsßu" Wmfoia yd m%;sldr frda.shdg wjYH fjkjd'

l,n, fjkak tmd' bjiSfuka hqla;j Tfí m%;sldr lrk f;la /|S bkak' • Tfí Wmfoia wka whg fokak tmd' fuh Nhdklhs' Tn jeros u.fmkaùula lf<d;a frda.shdg Bg Nhdkl f,i jkaos f.jkakg isÿ fjkjd' frda.shd frday,g hjk Wmfoi muKhs Tn osh hq;af;a' • wk;=rg m;a jqfKa Tn kï Tn l,n,hg m;a fj,d bkafk' ys;;a f;daka;=jdfjka' Tn l< hq;af;a tl fohhs' Tnj frday,g f.k hk f,i lshkak' frdayf,aoS Tfí ish¿ j.lSu ffjoHjrekag" ld¾huKav,hg mejfrkjd' Tng ys; ksoyia lr.; yelshs' • frdayf,aoS ouk nekafâca" m;a;= wdosh fjkia lrkak tmd' ••• MAY 2018 | DOCTOR MAGAZINE

cSú;fha yÈis wjia:d we;s fkdjkafka ldgo''' @ ySfkka j;a fkdis;+ fkdme;+ fudfyd;l we;sjQ yosis wk;=re úm;a;shloS f;daka;=jdfjka yo ii,j ysáh;a j;a;, fyaudia frday,g wdfjd;a'''@ Tng ksielfhkau th iekis,sodhl ;SrKhlau jkq we;s''' uyu." f.orfodr we;sjk yosis wdmodjloS j;a;, fyaudia frday, Tfí wdrlaId iys; wdfrda.HYd,dj lr.; hq;af;a wehs @ • meh 24 mqrd l%shd;aul Wiia cSú;drlaIl myiqlï iys; yosis m%;sldr tallh (ETU) • meh 24 mqrd l%shd;aul .s,ka r: fiajdj • fkajdisl úl,dx. úfYAI{ ffjoHjrfhl=f.a" fkajdisl ks¾úkaok úfYAI{ ffjoHjrfhl=f.a" lS¾;su;a úl,dx. ffjoHjrekaf.a yd m%ùK úfYAI{ ffjoH uvq,a,lf.a fiajdj • ksmqK;djfhka" mßpfhka fukau w;aoelSï nyq, ffjoH fyo" w;=re ffjoH jD;a;ShfõoS fiajdj • CT, MRI we;=¿j wjYH jk kjH frda. ksOdk mÍlaIK j,ska iukaú; úlsrK wxYh iy meh 24 l%shd;aul ridhkd.dr fiajdj • läkñka frda.shdg wjYH m%;sldr ie,iqï lsßu • w;s kùk Y,Hd.dr myiqlï yd ,emriafldmsla Y,Hl¾u • Y,Hl¾ufhka miqj isÿ lrk fN!;Ñls;ail" jD;a;Sh Ñls;ail frda.S mqkre;a:dmk fiajdj yd miqúmru 20

MAY 2018 | DOCTOR MAGAZINE

frda.S iqj fiajd yd wdrlaIkh iïnkaOfhka ,xldfõ m%:u cd;Hka;r m%ñ;slrKhlg ,lajQ frday,l c.;a ;,fha /ljrKho Tng ysñhs''' b;d myiq f.ùï l%u yd wd¾Ól ÿIalr;d j,g m%;sldrh .,md .ekSug fm!oa.,slj iydh ùug mqyqKQ m%ùK ld¾huKav,hl fiajdj''' Day Surgery ixl,amfhka wms Tfí ld,h" Okh b;sß lr fokjd''' fyaudia frday, osjhsfka m%:u jrg Day Surgery f;audj hgf;a läkñka yd wvq úhoulska Wiia fiajdjla ,nd.; yels Y,H wjia:djka y÷kajd oSfï mqfrda. dó ù ;sfí''' fï wkQj os.= ld,hla frday,a.;j m%;sldr ,nkjd fjkqjg frda.shd iïnkaO iudf,dapkhlska miqj läkñka m%;sldr$Y,Hl¾u isÿ lr.ekSug Tng wjia:dj we;'

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COMMON BLOOD TESTS IN DIABETES, DIAGNOSIS AND TESTING THE CONTROL

Èhjeähd frda.Ska i|yd isÿ lrk

reêr mÍlaIK ksrdydr reêr mÍlaIKh (Fasting Blood Sugar - FBS) 22

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oshjeähdj mÍlaIK m%fNao

úfYaI{ ffjoH .hd lgq,kao MBBS, Dip Path, MD (Chem Path), DipRCPPath (UK)

oshjeähdj i|yd lrk ridhkd.dr mÍlaIK fohdldrhls'

jHdêfõo úfYaI{ ffjoH ffjoH m¾fhaIKdh;kfha ffcj ridhk wxY m%Odk

ksrdydr reêr mÍlaIKh isÿ lsÍfïoS fjkodg jeä wdydr md,khla isÿlr mÍlaIKhg Ndckh ùfuka jdishla fjkqjg isÿ jkafka whym;ls' wfma rfÜ oshjeähd frda.Skaf.a ;;a;ajh ol=Kq wdishdfõ by< oshjeähd frda.Ska ixLHdjla isák rgla jYfhka Y%S ,xldj ie<fla' rfÜ jeäysá ck.yKfhka ishhg 20l muK m%udKhla mQ¾j oshjeähd yd oshjeähdfjka fmf<hs' oshjeähdj ksid yg.kakd wlaIs frda." jl=.vq frda." mdo ¨yqj;a lsÍu olajd ÿr os. hk oshjeähd ;=jd, jeä jYfhka jd¾;d fjhs' tfiau mQ¾j oshjeähd frda.Ska u;= oskhloS oshjeähd frda.Ska njg m;aùuo fkdje<elaúh yels lreKls' fï ksid mQ¾j oshjeähd ,laIK m%lg lrk who wdydr md,khlg k;= úh hq;af;ah' jHdhdu cSú;hg tl;= lr .; hq;af;ah' uekúka wëlaIKhg ,la úh hq;af;ah' tfiau oshjeähd frda.hg k;= jQjka ta ksid we;súh yels ixl+,;d j,ska ñfokq msKsi" mdo bj;a lsÍug isÿùu wdoS lK.dgqodhl ixl+,;d j,ska ñoSug fukau urKfhka ñoSug uekúka ixúê; Wmfoia ud,djlg wkQj cSú;h yev .id .; hq;af;ah'

ol=Kq wdishdfõ by< oshjeähd frda.Ska ixLHdjla isák rgla jYfhka Y%S ,xldj ie<fla' rfÜ jeäysá ck.yKfhka ishhg 20l muK m%udKhla mQ¾j oshjeähd yd oshjeähdfjka fmf<hs' doctormagazine.lk

oshjeähdj y÷kd .ekSug yd md,kh lsÍug isÿ lrk reêr mÍlaIK

oshjeähd ixl+,;d iïnkaOfhka úuik mÍlaIK fïjdhska iq,nj isÿ lrkafka oshjeähd y÷kd .ekSug yd md,kh lsÍug isÿ lrk reêr mÍlaIKhs' ksrdydr reêr mÍlaIdj (FBS) Oral Glucose Tolarance Test (OGTT) Post Prandial Blood Glucose (PPBS), Glucose Chellenge Test ((GCT), Random Blood Sugar (RBS), HbA1C ta

w;r fõ'

ksrdydr reêr mÍlaIKh ksrdydr reêr mÍlaIKh (Fasting Blood Sugar - FBS) hkq jvd;au iq,nj oshjeähd frda.Ska Ndckh jk reêr mÍlaIKhhs' oshjeähd frda.h yd Bg fmr wjia:dj jYfhka ie<flK mQ¾j oshjeähd wjia:dj MAY 2018 | DOCTOR MAGAZINE

y÷kd .ekSug uQ,sl jYfhka fuu mÍlaIKh fhdod .kS'

FBS mÍlaIKhg Ndckh ùfïoS Tn oek.; hq;= lreKQ fï mÍlaIKhg Ndckh ùug m%:ufhka Tn l,ska osk rd;%sfhaoS meh 8-10l ld,hla ksrdydrj .;l< hq;= jkafkah' rd;%sfhaoS ksrdydrj isákjd fjkqjg osjd ld,fhaoS meh 8-10l ld,hla ksrdydrj isg fuu mÍlaIKh isÿ lsÍu wkqu; l< fkdyel' Bg fya;= jkafka oj,a ld,fhaoS YÍrh úúO l%shdldrlï j, fhfok ksid ,efnk m%;sM<h fodaIiy.;j wvqfjka jd¾;d ùug we;s bvlvhs' ksrdydrj isák ld,h ;=< j;=r mdkh lrkakg Tng wjir we;' iSks fkdfhdokafka kï f;a yd fldams jQjo mdkh l<dg jrola ke;' fuysoS Tn úfYaIfhka wjOdkhg .; hq;= ldrKh jkafka mÍlaIKh lrk oskg mQ¾jfhka wdmiaig osk ;=kl muK ld,hla uq¿,af,a Tn idudkHfhka wkqNjhg .kakd wdydr mdkdoshu wkqNjhg .; hq;= njhs' ta idudkH YdÍßl l%shdldß;ajhu mj;ajd .; hq;= njhs' mÍlaIKhg fmr ys;du;du wdydr ms<sfj, lD;%Suj hym;a lr .ekSug Tn W;aidy fkdoeßh hq;=h' jeäfhka jHdhdu j, fkdfhosh hq;=h' tfia lsÍfuka Tng ,efnkafka lD;%Suj ilia lrk ,o m%;sM<hla ñi iajNdjfhka YÍrfha mj;akd .aÆfldaia l%shdldß;ajfha m%;sM<h fkdfjhs' we;eï T!IO oskm;d .kakd Woúh isá;s' Wm;a md,k fm;s" iafgfrdhsv 24

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T!IO wdosh fufia oskm;d .kakd Woúho fuu mÍlaIKhg Ndckh úh hq;af;a tu fm;s fjkod fukau .kakd w;r;=roSh' meh 12lau ksrdydrj isáñka ksrdydr reêr mÍlaIKhg Ndckh ùug we;efula l%shd lr;s' tfy;a thska mÍlaIK m%;sM< j, ie<lsh hq;= fjkila isÿ fkdjkafkah' wêl msmdidj" nr wvqùu" jeäffhka uq;%d msgùu jeks oshjeähd frda. ,laIK Tn flfrka m%lg jkafka kï tla mÍlaIKhla muKla frda. ksOdk wjYH;djh i|yd iEfya' tfy;a we;efula oshjeähdg wod, lsisÿ frda. ,laIKhla m%lg fkdlrk l,ayS fuu mÍlaIKh we;eï úg h,s h,s;a isÿ lssÍfï wjYH;djho meK k.skafkah'

Fasting Blood Sugar - FBS

m%;sM< iudf,dapkh 100g wvq idudkH ^ksfrda.S& reêr iSks mrdihls 100-125 mQ¾j oshjeähdj 126g jeä oshjeähdj ksrdydr reêr mÍlaIKh ie<flkafka oshjeähdj frda.Skaf.a o¾YSh reêr mÍlaIKh jYfhks' tu mÍlaIKhg Ndckh ùfïoS by; Wmfoia uekúka ms<smeoSfuka Tfí ffjoHjrhdg Tfí oshjeähd ;;a;ajh iïnkaOfhka ksjeros ;lafiarejla lsßug wjia:dj ie,fik w;r thska bosßfhaoS ukd frda. md,khlg wjYH mshjr .ekSug wjia:djla Wodfõ' th Tnf.a u;= hym; msKsiu jkafkah' ••• Post Prandial Blood Glucose (PPBS) ms<sn|j úia;r ,nk l,dmfhka n,dfmdfrd;a;= jkak doctormagazine.lk

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u;aøjH .ekSfuka myiqjla oefkk uq,dj fy<sorõ lr .ksuq u;aøjH ksjdrK ckdêm;s ld¾h idOk n,ldfha wOHlaI ffjoH iuka; l=udr ls;,jwdrÉÑ úisks

Drug Addiction hkq l=ulao@ md,khlska f;drj wêl f,i u;aøjH Ndú;h ksid we;sjk úkdYldÍ frda.hla f,i u;aøjH weíneysh y÷kajkak mq¿jka' th fud<fha frda. hla f,i y÷kajkak;a mq¿jks' ula ksido@ u;aøjH j,g fud<h fjkia lrkakg mq¿jka' tajd fud<fha ieleiau yd th l%shd lrk wdldrh wkQj fjkia fjkjd' fuu fjkiaùu os.=l,a mej;sh yel' tfukau fï fjkiaùï úkdYldÍ yeisÍï j,g uq,mqrkjd' weíneys ùu;a wfkla f,vfrda. jf.auhs' YÍrfha idudkH fi!LHiïmkak l%shdldß;ajhg th ndOd f.k tkjd' YÍrfha wjhj yd moaO;s fï ksid úkdY fjkjd' kuq;a weíneys ùug m%;sldr lf<d;a thska ñfokak mq¿jka' kuq;a thg mud jqfKd;a uy;a úkdYhla isÿùu j<lajkakg nE'

m<uqjrg u;aøjH Ndú;d l<dg miafi ñksiqkag oefkkafka Okd;aul m%;sM<' ta whg ysf;kjd ;ukag u;aøjH md,kh lr.; yelsh lshd' fldfydu jqK;a u;aøjH úiska th Ndú;d lrk mqoa.,hdf.a YÍrfha md,kh ish;g .kakjd' ld,hla hkúg u;aøjH ksid ,efnk i;=g m%S;sh ke;s fjkjd' idudkH úosyg bkak;a Bg miafi thd,g u;aøjH wjYH fjkjd' Tjqkag Bg miafi ;ukag yd ;ukaf. wdorKShhka mfil ,d wksjd¾hfhkau u;aøjH Ndú;hg fm<fUkjd' iuyr mqoa.,hka ;ukag Ndú;d lrk ud;%djg;a jvd wjYH fjkjd' fïj ;uhs weíneys ùfï uQ,sl ,laIK' u;aøjH Ndú;d lrkakka f,dl= wk;=rl bkafk' kslka ys;, n,kak' u;aøjH Ndú;d lrmq flfkla jdykhla mojf.k .syska wk;=rlg ,la jqKdu i;=gq fjkak lsh, ys;df.k wka;sïos th ÿlla njg fmrf<kjd'

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os.gu isÿjk u;aøjH weíneys ùï fkdys;d isÿfjk fohlao@

Risk Factors

uq,skau u;aøjH Ndú;d lsÍug ;SrKh lsÍu iaj leue;af;ka isÿjk fohlao@ kuq;a os.gu Ndú;d lrk úg tfia iaj leue;af;ka md,kh lsÍug we;s yelshdj wvq fjkjd'

• fouõmshkaf.a fkdie<ls,a,

ñksia fud<h .ek mÍlaIK j,ska wkdjrKh jk mßos weíneysùï j,g ,lajQ whf.a úksYaph lsÍu" ;SrK .ekSu" bf.kSu yd u;lh yeisÍï md,kh hk tajdg wod, fud<fha fldgi úkdYhg m;a fjkjd' úoHd{hka úYajdi lrk wdldrhg fuu fjkiaùï u.ska fud<fha idudkH l%shdldß;ajh úkdYldÍ l%shdldß;ajhla njg m;a fjkjd'

Protective Factors

• l=vd ld,fha m%pKavldÍ yeisÍu

• iudc l=i,;d u| nj • wjg mßirfha u;aøjH mßyrKh • iudcfha ÿ.S nj

• ukd iajhx md,kh • foudmsh ie<ls,a, • hym;a in|ld • nqoaêu;aNdjh • wjg mßirfha u;aøjH úfrdaë l%shdmámdáka • iudcfha ms<s.ekSu

wehs iuyr mqoa.,hka weíneys fjk úg iuyrla wh tfyu fjkafk ke;af;@ wfkl=;a f,vfrda. jf.au weíneys ùfïoS;a th n,mdk wkaou mqoa.,hdf.ka mqoa.,hdg fjkia' ta jf.au tfia ùug tla fya;=jla lsh, n,mdkafk;a kE' idudkHfhka .;a;u lsishï mqoa.,fhl=g Risk Factors f.dvla ;sfhkjd kï Tyq$weh weíneys ùug we;s bvlv jeähs' Protective Factors jeäjk ;rug weíneys ùu wvq fjkjd' f.orfodr jd;djrKh" mdif,a jev lrk ia:dkh jeks mdßißl idOl jf.au mqoa.,fhl=f.a cdk" cSj;ajk jhi" wjosh" ia;%S$mqreINdjh iy ck j¾.h wkQj mjd weíneys ùu fjkia fjkjd'

;ukag md,kh l< fkdyels YÍrfha iakdhq moaO;sfha l%shdldß;ajh fjkia lrk fujka øjH fndfydauhla wo f,dalh mqrd cdjdrïlrejka w;ßka ixirkh jk w;r Y%S ,xldfõo fujka u;aøjH 680lg jvd jeä m%udKhla ixirKh fõ' Tn" Tfí orejd" Tfí ifydaorhd fuu úkdYldÍ u;aøjH j,ska wE;alr .ekSu i|yd wou wjOdkh fhduq l< hq;=j ;sfí'

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jydu Èh;,dj uQ,sl frdayf,a oeä i;aldr tallh fj; tjk ,§'

ffjoH md,s; nKavdr iqnisxy

widOH frda.sfhla ta ud osh;,dj frdayf,a fiajh lrk ,o iuhhs' osfkl WoEik nÿ,a, uy frdayf,a isg Èh;,dj uQ,sl frday, fj; msïfï meñKS .s,ka r:hls' tys /f.k wdfõ b;d widOH ;;a;ajfha miqjQ wjqreÿ úiail muK jhfia ;reKfhls' uy frday,l isg uQ,sl frday,lg widOH frda.shl= fuf,i udrefldg tùu ;rula widudkH isÿùuls' kuq;a isÿj ;snqfKa frday,g we;=<;a lrk úgu isysiqka ;;a;ajfha isá tu frda.shdf.a yqiau .ekSu wvd,j mej;Su fya;=fjka Tyqf.a Ôú;h fírd .ekSug kï laI‚lju lD;%su Yajik hka;%hla iú fldg oeä i;aldr tallhg m%;sldr ,nd§u wjYHj ;sîuhs' ta jk úg nÿ,a, uy frdayf,a oeä i;aldr tallfha ish¨ we|ka widOH frda.Skaf.ka msÍ meje;Su fya;=fjka Tyq doctormagazine.lk

úfYaI{ ffjoHjreka we;=¿ frdayf,a ld¾h uKav,h jydu Tyqg m%;sldr ,nd §ug hqyqiq¨ úh' lD;%su iajik hka;%hg iïnkaO lr Tlaiscka ,nd §u jydu wdrïN l< w;r wjYH ish¨u ffjoH mÍlaIKhkao ú.i isÿ lrk ,§' tys§ l< tlaiaf¾ mÍlaIKfhka fidhd .kq ,enqfõ Tyqf.a fmky¨ fol ;=<g wdudY.; øjHhka we;=<;aj b;d widOH ;;a;ajhlg m;aj we;s njh' ffjoH ld¾h uKav,h oeä lem ùulska frda.S ;reKhdg m%;sldr l< w;r ish¨ ld¾h uKav, ish Wmßu lemùu fuu ;reKhdf.a Ôú;h fírd .ekSug fhduq lrk ,§' Èk folla iïmQ¾Kfhkau isys úi{j isá tu frda.shd Bg miq l%ufhka iqjm;a jQfha ieuf.a is;g iekiqula w;alr foñks'

fuu ;reKhdg isÿ jQfha l=ulao@ fuu isÿùug by; Èk rd;%S fudyq Tyqf.a ñ;=frl=f.a ksjfia k;rj isg we;" i÷od Wfoa Tyqj wjÈ l< úg" Tyq isys úi{ ;;a;ajhg m;aj we;s nj ñ;=rdg fmkS f.dia we;s neúka bka n,j;a l,n,hg m;a Tyq jydu ta nj ñ;=rdf.a ujg ÿrl;kfhka okajd we;' ñ;=rdf.a uj meñ‚ ú.i isys úi{j isá ish mq;d frday,g /f.k f.dia we;' tu ñ;=rdf.ka fï .ek m%Yak lsÍfï§ fy<sorõ jQfha Tjqka fmrod rd;%S hï lsis T!IO fm;s j¾.hla u;a ùu i|yd mdkh l< njhs' ;uka fuu fm;s folla fndk ,o nj;a ñ;=rd tu fm;s y;la mdkh lsÍfuka wk;=rej fofokdu kskaog .sh nj;a miqod Woeik jk úg ;u ñ;=rd isysiqkaj isá nj;a mjik ,§' fuu T!IOh .ek fidhd ne,Sfï§ th m%Odk jYfhka udkisl frda. i|yd Ndú; lrk T!IOhla f,i y÷kd .kakd ,§' fuu T!IOh u.ska isref¾ udxYfmaYs ,sys,a lsÍula isÿlrk w;r ksÈu; njlao tu.ska we;s lrkq ,nhs' T!IOh mdkh fldg ksod fkdf.k isák úg T¿j nr .;sh" lerlefjk .;sh" wjOdkh fkdue;s ùu" fnd|ù fmkSu" jeks ,laIK we;s fõ' fuu jHdc zzu;a ùfï ,laIK˜ u;aùula f,i f;areï .kakd ;reK jhfia orejka úúO mqoa.,hkaf.a fm<Uùu u; fuu T!IO mdkh lsÍug fhduqù we;s nj fmkS f.dia we;'

MAY 2018 | DOCTOR MAGAZINE

mdie,a orejka u;a fm;sj, f.dÿre njg m;a fjkjd''' fuh wm ieuf.a jyd wjOdkhg fhduq úh hq;= lreKla njg m;aj we;af;a fuu T!IO wj Ndú;h (Substance abuse& mdi,a orejka w;r iS>%fhka jHdma;j we;s njg fy<s jk f;dr;=re fya;=fjks' frda.s mqoa.,hkag ffjoH ks¾foaYhla u; muKla ksYaÑ; ud;%djlska ksYaÑ; ld,hla olajd muKla ,nd Èh hq;+ m%n, ridhksl øjHhka jk fuu T!IO ksfrda.s mqoa.,hka ys;=uf;a mdkh lsÍfuka isrerg isÿ jkafka úYd, ydkshls' frda.s whg b;d iq¿ ud;%djlska isref¾ nr wkqj .Kkh fldg ,nd fok fuu T!IO tlsfkldg ,nd Èh hq;= m%udKhka fjkia fõ' ksYaÑ; m%udKhg jvd wêlj isrerg fuu T!IO we;=¿ jQ úg tu.ska isref¾ jeo.;a bkaøshka jQ wlaudj" jl=.vq iy fud<h we;=¿ iakdhq moaO;shg iDcq f,i ydks isÿ lrhs' iuyr T!IO u.ska l=vd fud<h wdY%s;j we;s iajik hdka;%Kh l%shd;aul lrk uOHia:dkh wvmK lsÍu ksid iajikh wvd, fõ' fïjd iDcq úIùï ^Direct poisoning& f,i oelaúh yel' tfiau w;=re úmdl ^Indirect effect& f,i isÿúh yels m%;sM,o we;' udxYfmaYs oeä f,i ,sys,a ùu ksid tys l%shdjka wv mK lsÍu u.ska wdydr ud¾.fha l%udl=xpk l%shdj,shka wvmK l< yels w;r W.=r wdY%s; m%;Sl l%shdo wvd, lrhs' fï wkqj wd.ka;=l øjHhka iajik moaO;shg we;=¿ ùu j<lajk zzleiai˜ m%;Sl l%shdjo wvd, fõ' túg zzmsg W.=f¾ heu˜ je<elaùug fkdyels ùu fya;=fjka je;sr isák úg wdudY .; øjH by<g meñK fmky¿ j,g we;=¿ ù Ôú;laIhg mjd 32

MAY 2018 | DOCTOR MAGAZINE

m;aùug yel' tfiau yÈis wjia:d j,§ laI‚l m%;sl%shdjka oelaùug wmyiq ùu ksid fndfyda wk;=re j,g Ndckh ùfï oeä m%jK;djhla mj;S' kej; kej; Ndú;h ksid b;d myiqfjka fuu T!IOhka j,g weíneys ùu isÿfõ' jvd;a Nhdkl m%;sM, we;s jkafka fuu T!IO iq¿ ud;%djla f,i È.= ld,hla Ndú; lsÍu u.sks' udkisl frda.hla hkq fud<fha we;s iuyr ridhksl øjHhka ksis f,i l%shd;aul fkdùuhs' fï i|yd m%;sldr f,i fud<fha tu ridhksl øjHh ksis f,i l%shd;aul lsÍu i|yd ndysßka lD;%suj ridhksl øjHhka l=vd m%udKhka ne.ska ,nd foa' tu.ska kssis mßÈ l%shd;aul fkdjk ridhksl øjHhka m%Yia; uÜgug f.k taug yelsfõ' l%u l%ufhka fud<h tu ridhksl øjH ksis mßÈ >%djh lr .ekSug ál l,lska iu;a fõ' túg t;=jla ,nd ÿka T!IO l%ufhka bj;a lr frda.h iqjm;a lr .; yels fõ'

isÿjkafka u;aùula fkdj úmÍ; fjkia ùuls kuq;a kSfrda.s wfhl= fuu T!IO fï wkaoñka È.ska È.gu Ndú; l<fyd;a fud<h u.ska kj ;;a;ajhg .e,fmk mßÈ wksis m%udKhlska tu ridhksl øjHhka >%djh lr .ekSug mqreÿ fõ' túg ndysßka zzu;a ùu˜ ms‚i ,nd .kakd T!IO keje;ajqjo fud<h u.ska wksis f,i ridhk øjHhka >%djh lsÍu fkdkj;sk neúka Tjqka È.gu udkisl frda.Ska njg m;a fõ' fuu T!IO u;a ùu i|yd Ndú; lsÍu u.ska we;a; jYfhkau isÿ jkafka u;aùula fkdj fud<fha ridhksl øjH fjkia ùu u.ska hï hï ixfõokhka fud<hg .%yKh ùu úlD;s ùuls' fuh b;d Nhdkl ;;a;ajhls' tkï ;uka úiskau ;ukaj doctormagazine.lk

È.= ld,Sk udkisl frda.hl= njg m;alr .ekSuhs' fuh iqj lsÍu b;d wmyiq frda. ;;a;ajhla njg fndfyda úg m;afõ'

ysfia .dk fc,a w;s Nhdklhs T!IO muKla fkdj T!IO fkdjk fjk;a fmÜfg%da,shï øjH wvx.= ysfia .dk fc,a j¾. jeks øjHhkao fï whqßka u;a ùu i|yd mdi,a <uqka wkqNj lrk nj fmkS hhs' fïjd ndysr wdf,amk jk neúka tajd wkqNj l< úg isrer Bg olajk m%;spdr fukau tu ixfhda. u.ska isref¾ wjhj iy mgl j,g lrk n,mEï ms<sn| m¾fhaIK lr fkdue;' kuq;a tys m%Odkju wvx.= fmÜfg%da,shï ixfhda. j,g isref¾ jl=.vq úkdY lsÍug;a" fud<fha ffi, úkdY lsÍug;a fukau ms<sld iE§ug;a yelshdj we;' tfiau fidhd fkd.;a ;j;a fndfyda wys;lr ;;a;ajhka o we;s úh yel'

u;aøjH Ndú;dlrk wh fï p¾hd Tiafia y÷kd.; yelshs T!IO fuf,i zzu;aùu˜ i|yd Ndú;d lrk mqoa.,hka y÷kd.ekSfï ,laIK w;r" ks;r ksÈ u; .;sfhka fm<Su" wjOdkh fhduq lsÍfï wmyiqj" jpk f.d; .eiSu" u;lh ÿ¾j, ùu" ks;r j;=r msmdih' f;d, lg fõ,Su" l%shdYS,S .;sh wvq ùu" YÍr Yla;sh ÿ¾j, ùu jeks ,laIK o fõ' iuyr T!IO u.ska jeämqr nv.skak we;s lsÍu ksid tjeks T!IO .kakd whf.a isrere l%ufhka uy;a úh yel' wmf.a <ud mrmqr wkd.;fhaÈ udkisl frda.Ska njg m;a ùfï wjodkula fuu T!IO wj Ndú;h u.ska u;=j we;s neúka ta i|yd jeg ne£ug wm ish¨ fokd tlaj läkï mshjr .; hq;=j we;' foudmshka" doctormagazine.lk

.=rejreka we;=¿ jeäysáhka fï j.lSu f;areï f.k" tjka orejka ms<sn| fidhd n,d ffjoH m%;sldr yryd mqkre;a:dmkh lsÍu i|yd fhduq lsÍu;a" mdi,a orejka fï ms<sn| oekqj;a lr Tjqka bka uqod .ekSug;a lghq;= l< hq;=h' mdi,a <uqka hï frda.hla i|yd hï T!IOhla Ndú; lrhs kï ta ms<sn| foudmshka f.ka iy;slhla ,nd .ekSu" úÿy,am;s ;=ud iy wod< mka;s Ndr .=rejreka úiska isÿ lsÍu jvd WÑ;h'

wK mk;a j, fjkialï wjYHhs wka;rdhldÍ T!IO mk; hgf;a T!IO mÍlaIljrekag" ffjoH ks¾foaYj,ska f;drj fuu T!IO úl=Kk Tiqy,a ysñhkag úreoaOj kS;s u.ska l%shd;aul ù o~qjï ,nd Èh yels jqj;a" rfÜ me;sr hk Wjÿr ue~,Sug th m%udKj;a fkdjk nj fmkS hhs' ish¨ ia:dk jeg,Sug wjYH m%udKfha ks,OdÍka fkdue;s ùuo T!IO Yd,d fkdue;sj mqoa.,hka u.ska zzu;aøjH˜ f,i T!IO fnod yßk mqoa.,hka jeg,Sug we;s wmyiqjo fï w;r jkjd' tneúka ksis mßÈ kj mk;a iïu; lr ffjoH ks¾foaYhla fkdue;sj fujka T!IO ksl=;a lsÍu" u;a øjH fj<|dula f,i ie,lSug;a" ksis ffjoH Wmfoia j,ska f;drj fuu T!IO Ndú; lsÍu u;aøjH Ndú; lsÍula f,i;a tu T!IO <Õ ;nd .ekSu" u;aøjH <Õ ;nd .ekSula f,i;a ie,lSug yels jk f,i lghq;= lr tjka mqoa.,hka w;awvx.=jg f.k kvq mejÍfï n,h fmd,Sishg ,nd §u;a fuu wjia:dfõ§ w;HjYHj we;' ••• MAY 2018 | DOCTOR MAGAZINE

Infamous

“wanda pethi” controversy

No known STERILIZATION PILL has been developed say, medical experts 34

MAY 2018 | DOCTOR MAGAZINE

doctormagazine.lk

The Government Analyst had examined the substance that was found in the kottu roti, which created panic in the country, and determined that it was a particle of starch. Now there is no suspicion whatsoever that it was not a tablet but a mere particle of starch, which led to this unfortunate incident

Prof. Ravindra Fernando, Forensic pathologist, Toxicologist, Physician, Author and Academic. doctormagazine.lk

There is no contraceptive pill which is known to exist that can cause infertility or subfertility by simply being added to food, Consultant Physician Dr Upul Dissanayake said. Addressing a media briefing at the Sri Lanka Medical Association Auditorium in Colombo recently, a group of independent senior medical specialists said there are no known sterilisation pills in the pharmaceutical sector known to the medical profession that can cause permanent infertility. The group of senior medical professionals conducted the media briefing on the so-called subfertility pill, which had caused a major uproar in the country lately, leading to racial clashes in Kandy and Ampara. The media conference was convened by Prof. Chandrika Wijeyaratne, immediate past president of the Sri Lanka Medical Association and attended by a large number of senior consultants. â&#x20AC;&#x153;We are a group of medical professionals not affiliated to any professional organisation who have come out on our own accord to dispel

Media Briefing of the Sri Lanka Medical Association (SLMA) MAY 2018 | DOCTOR MAGAZINE

some myths on the current news which is causing much tension, the so-called infertility pill, said to be mixed with food served at eateries,” said Dr Upul Dissanayake.“The pharmaceutical industry has been searching for a medicinal drug which can cause temporary infertility so that it can be used as a male contraceptive agent, similar to contraceptive tablets taken by women to prevent pregnancies. However, such a medicine has not been developed yet,” added Consultant Physician and Clinical Pharmacologist Dr Chandani Wanigatunga. However, Consultant Obstetrician and Gynaecologist Dr Lakshman Senanayake said surveys have shown some decline in the country’s male fertility. “In the past, not many males were willing to come forward and have themselves tested. However, now males are coming forward to have their fertility tested and this enables us to have some idea of the numbers. One of the main causes of male infertility is the lifestyle changes. As men work in offices for longer hours, they wear tight clothing for long periods which can impede their fertility. Further, smoking and consuming alcohol could also have an effect on male fertility. But, there is nothing to suggest that male infertility is caused by any contraceptive pill,” he said. Meanwhile, an expert in Forensic Science, Toxicology, Pathology Prof. Ravindra Fernando said in instances of such complicated issues, it is the Government Analyst’s Department that makes the final decision.“The Government Analyst had examined the substance that was found in the kottu roti, which created panic in the country, and determined that it was a particle of starch. Now there is no suspicion whatsoever that it was not a tablet but a mere particle of starch, which led to this unfortunate incident,” he said.

MAY 2018 | DOCTOR MAGAZINE

Medical Experts Rubbish Sterilisation Pill Theory Over 100 physicians issued a media release recently on the question of the infertility pill said to be mixed with food at eateries. The text of the statement is as follows: Considering the current situation in the country, we the undersigned medical professionals of various specialities wish to clarify certain myths regarding the socalled “infertility pill” said to be mixed with food given at eateries. Fertility in males and females is influenced by many factors. Medicinal drugs are only one factor which can potentially affect fertility. Male fertility depends upon the presence

doctormagazine.lk

of adequate numbers of active spermatozoa which are normal in structure and function in seminal fluid. When either the number of spermatozoa are reduced or their function and mobility have impaired the ability to impregnate a woman is reduced and this results in sub-fertility (difficulty in conceiving a child) and extreme situations, infertility (the inability to conceive a child). Similar factors may affect the fertility of a woman. The pharmaceutical industry has been searching for a medicinal drug which can cause temporary infertility so that it can be used as a male contraceptive agent, similar to oral contraceptive tablets taken by women to prevent pregnancies. Such a medicine has not been developed yet. However, some medicines used for other purposes may reduce the sperm count in men or affect fertility in women as a side effect of their use. Such a reduction in fertility by these drugs can be reversed in most instances. All such drugs can only be obtained with a valid prescription from a registered doctor. Furthermore, a single dose or a few doses of these medications are not adequate to cause significant changes in sperm counts or sperm function.

â&#x20AC;&#x153;In the past, not many males were willing to come forward and have themselves tested. However, now males are coming forward to have their fertility tested and this enables us to have some idea of the numbers.

In essence, there are currently no easily available drugs or compounds, in western medical practice, which can significantly affect fertility if they are administered once or for a short period to an individual.Â There have also been no documented instances of the use of such drugs aimed at reducing fertility in the population anywhere in the world.

doctormagazine.lk

Dr. Lakshman Senanayake, Consultant Obstetrician and GynecologistÂ MAY 2018 | DOCTOR MAGAZINE

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.

wdßffiak hQ .uf.a ffjoH;=uka wNdjm%dma; ùug wdikakfha j|fm;s .ek ck;dj oeKQj;a l< yeá j|fm;s" miq.sh ld,h ;=< w;sYhska l;dnyg ,lajQ ud;Dldjla' ldka;djkaf.a hg we÷ï j," ;siremg j, j| fjk øjH ;jrkak yelso @ fndkak fok j| fm;s lshd fohla ;sfnkjdo @ miq.shod wm w;ßka úfhdajQ iqjyila ck;djf.a wdorKSh ffjoHjrhd úfYaI{ ffjoH wdßhfiak hQ .uf.a uy;d wNdjm%dma; ùug ál ld,hlg fmr fï .ek m<l< woyia''' https://youtu.be/Q11f-EEsAc0

https://www.facebook.com/sakalabujanofficial/videos/1158288367644563/

Tfí yoj;g wduka;%Kh lrk weisosis fm<yr''' zzwms yeÿjd fndre riaidjla' wka;¾cd,fhka ;uhs Bg uqyqK fokak ;sfhkafka''''ZZ b;du fõ.fhka Viral jqKQ wdorKSh ùäfhdajla ''' fuh wjidkh olajd fkdn,d bkak tmd''' th ta ;rï u jákd mKsúvhla Tng ,nd oS Tfí yoj;g" nqoaêhg wduka;%Kh lrkjd'''

MAY 2018 | DOCTOR MAGAZINE

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LABORATORY TESTS EXPLAINED

What we should know about lab tests – a glance

ridhkd.dr mÍlaIK .ek Tn oek.; hq;= uQ,sl lreKQ

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

iuia;hla jYfhka wm ld w;r;a we;s fmdÿ ms<s.ekSu wkQj;a" fjfiiskau ridhkd.dr wOHlaIjrfhl= jYfhka ud yg we;s m<mqreoao wkQj;a ridhkd.dr mÍlaIdjla hkq w;ssYhskau ksjeros jd¾;djlah hk fmdÿ ms<s.ekSu uyck;dj ;=< uq,a neif.k mj;akd nj ud oksñ' MAY 2018 | DOCTOR MAGAZINE

wjfYaI rgj,g wejeis mÍlaIK msßú;r yd ñKQïo`vq y÷kajd fok oshqKQjg m;a rgj, Wiia ridhkd.dr j, mjd ridhkd.dr fodaI u;= jkafkah' ienEj kï fudk ;rï ksrjoH Ndú;djla mej;sfha jQj;a fudk;rï m%Yia; ridhkd.drhloS jQj;a lsishï fodaIhla we;sùu fkdje<laúh yels njhs' úYAùh i;Hh kï lsisÿ ridhkd.drhla ishhg ishhlau ksrjoH ridhkd. dr jd¾;d ksl=;a lrkafka ke;' ieÕj.;a ljr fyda ishqï fyda fodaIhla iEuúgu ridhkd.dr jd¾;djl mej;sh yel' iq,nj jrosk ;eka''' ridhkd.dr.;j we;eï fodaI we;s jkakg ksjeros fj,dfõoS idïm, fkd. ekSuo fya;= fjhs' fvx.= wekaáck mÍlaIKh" yDohdndO y÷kd. kakd fg%dmkska mÍlaIKh i|yd ksjeros wjia:dfõoS reêr idïm,h fkd.;af;d;a thska ,efnkafka jeros jd¾;djls' úYsIAG;dj yd ixfõoS;djh (specificity and sensitivity)" .=Kd;aulNdjh yd ixLHd;aulNdjh (specificity and sensitivity) mriamr ùu we;eï jd¾;d fodaIiy.; jkakg fya;= fõ' mÍlaIdj lrk mqoa.,hd i;= m%d.=KH;djh yd ksmqK nj wkQjo jd¾;djla fodaIiy.; jkakg mq¿jk'

oeKQj;aNdjh fyd|u wdhqOhhs

frda.sfhl=''' fiajd,dNsfhl= jYfhka jvd;au ksjeros ridhkd.dr jd¾;djla ,nd .ekSug Tng l< yels fyd|u foa jkafka we;súh yels .eg¿ iïnkaOfhka oeKQj;a ùuhs'

ksjeros mÍlaIKhg ,laùu b;du jeo.;a ridhkd.dr mÍlaIKhla kshu lsÍug fyd|u mqoa.,hd ffjoHjrhdhs' we;eï úg Tfí ys;=ukdmhg ridhkd.dr mÍlaIKhla lsÍfï woyila Tng we;s jkakg mq¿jk' tfy;a ta ,efnk m%;sM< Tng m%fhdackj;a bosß mshjrla Wfoid m%fhdackj;a fjhso@ ienúkau Tng ta i|yd oeKQula ;sfío@ ridhkd.dr mÍlaIKhla i|yd hk Tng u;=jk ´kEu .eg¿jla úi|Sug fi!LH ld¾h uKav,h ieoS meyeoS isà' ms<s.ekSï ljq¿fõ ks,Odßksh" reêrh .kakd ks,Odßhd (phlebotomist)" ridhkd.dr úoHd{hd fï i|yd Tng Wmldr lrkjd we;' u;l ;nd.kak' fï ish¿ fokd w;f¾ Tng Wmldr lsÍug isák jvd;au iqÿiq mqoa.,hd Tfí ffjoHjrhdhs' ridhkd.dr mÍlaIK jeros f,i fhdod .ekSu ienúkau wo ojia wm uqyqKmdk úYd, .eg¿jls' fjfiiskau ixlS¾K cdk mÍlaIK wdosh isÿ lsÍfuysoS ksjeros mÍlaIKh fjkqjg fjk;a mÍlaIKhla isÿ lsÍfuka úYd, w,l,xÑ isÿ fõ' tfiau iEu ridhkd. dr mÍlaIKhlau tlu l%ufõohlg yeu ;eku isÿ lrkjd hhs is;Suo uq,djls' HBA1C, Creatinine, HDL Cholesterol wdoS mÍlaIK úúO l%ufõohka fhdod .ksñka m¾fhaIKd.dr j, isÿ lr;s'

miq.sh ld,h ;=< n,.ekajqKQ 40

MAY 2018 | DOCTOR MAGAZINE

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;;a;aj wdrlaIK l%shdj,s Tiafia ,enQ ch.%yK ridhkd.dr j, isÿ lrk ;;a;aj wdrlaIK jevigyka Tiafia miq.sh oYl lsysmh ;=< ridhkd.dr j, isÿ lrk m¾fhaIK j, isÿjk fodaI ishhg 75l muK úYd, m%udKhlska wvq lr.ekSug ,eîu úYd, ch.%yKhls' fuysoS uQ,sl jYfhka ridhkd.dr mÍlaIKd.dr l%shdj,sfhys úYaf,aIKd;aul mshjr (Analytical part) iïnkaOfhka jeä wjOdkhla fhduq flreKo mQ¾j úYaf,aYKd;aul (Pre-analytical part) yd mYapd;a úYaf,aYKd;aul ridhkd. dr l%shdj,sfhyso (Post-analytical part) we;af;a úYd, jeo.;aluls' wfma ridhkd.dr mÍlaIK fodaI j,o ishhg 80g jeä yßhla isÿ jkafka fï úYaf,aYKd;aul l%shdj,sfhaoSh'

ksjerosj idïm,h uQ,sl mshjrhs

,nd.ekSu

.kakd lsishï T!IOhla fõ kï Tfí ys;=u;hg th k;r lsÍu we;eï úg b;d Nhdkl m%;sM< w;am;a lrfohs' tu Wmfoi Tn ,nd.; hq;af;a ffjoHjrhdf.ks' kso¾Ylh ,nd .ekSug fmr Bg wod, Wmfoia ksjerosj ,nd. kak' tajd thdldrfhkau wkq.ukh lrkak' kso¾Yl ,nd .ekSu" tajd l<uKdlrKh lsÍu" .nvd lsÍu yd ridhkd.drhg NdroSu oS we;s Wmfoia m%ldrju isÿ lrkakg j. n,d.kak'

f;jeoEreï y÷kd.ekSula Tiafia idïm, udre fkdùug j. n,d. ekSu ksjeros l%ufõo wkq.ukh lrk ridhkd.drhl kï frda.shd wju jYfhka ;=ka wdldrhlg j;a yªkd. ekSug mshjr .kq we;' ta ku" Wmkaoskh" jhi" cd;sl ye÷KQïm;a wxlh" nd¾ fla;h wdosh Ndú;d lrñks'

kso¾Ylh ,nd.kakd wdldrh;a th mßyrkh lrk wdldrh;a ksjeros fkdùfuka fndfyda fodaI we;s fjhs' iuia; fodaI j,ska ishhg 70lau isÿ jkafka fï ksidh' frda.shdg kso¾Ylh ,nd .ekSug fmr l< hq;= foa iïnkaOfhka ksjeros ud¾f.damfoaYK ,nd fkdoSu" ksjeros /|jqulg kso¾Ylh ,nd.ekSu fukau kso¾Yl udre ùu fuysos isÿjk uQ,sl jeros f,i oelaúh yel'

fndfyda ridhkd.dr isÿúh yels fodaI l,afõ,d we;sj yªkdf.k tajdg ms<shï fhdokq jia b;d úuis<su;aj ridhkd.dr l%ufõohka ie,iqï lr;s' ksrjoH úYaf,aYkd;aul mshjr Ndú;hg .ks;s' fï ljr Wml%u wkq.ukh l<;a fodaI kï imqrd fï úYajfha bj;a ùula ke;' jeros jd¾;d ,nd oSug isÿjk fia jd¾;dj m%udo jk fia n,mEï we;s lsÍug fodaI uq,a fjhs'

m<uqfjkau l< hq;= foa ksjeros Wmfoia frda.shdg ,ndoSuhs' kso¾Ylh ,nd.; hq;= wjia:dj" ksrdydrjo@ fjk;a mQ¾j iQodkulskao hk j.''' lsishï T!IOhla ,nd .kakjd kï th k;r lr kso¾Ylh ,nd .ekSug iQodkï úh hq;=o@ wdoS lreKQ fuysoS fjfiiska ie<ls<su;a úh hq;=h' Tn

fuysoS wm l< hq;af;a l=ulao@ jvd;a ksrjoH Ndú;djka Wmfhda.S lr.kakd úYajdijka; ridhkd.drhla flfryS Tfí úYAjdih ;nd.kak' ridhkd. dr mÍlaIK Tfí frda. ksOdk fijqï l%shdj,sfhys tla jeo.;a woshrls' mÍlaIK m%;sM< idhksl f;dr;=re yd iSyqï fkdjk úg ridhkd.drfhka

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MAY 2018 | DOCTOR MAGAZINE

,efnk m%;sM<h h,s h,s;a úuish hq;af;ah' fjk;a frda.shd iïnkaO f;dr;=reo fuysoS úIh lr.; hq;af;ah' ridhkd.dr mÍlaIK m%;sM< fodaI iy.; jk mßos jd¾;d lsÍu fyda tajd fodaIiy.; f,i jHjydr lsÍu u.ska frda.h ksjerosj y÷kd.ekSu ksjerosj l< fkdyels jkafkah' fuysoS mj;akd wkkH ;;ajhg wkQj fï m%;sM< iudf,dapkh lsÍfï mßpho jeo.;a fõ'

jD;a;slhdf.a mßph" ksmqK;djh w;sYhska ;SrKd;aulhs fuys ;SrKd;aul fldgila jkafka ;;a mÍlaIdfõ idudkH w.hka Normal@ iïnkaOfhka mj;akd wjfndaOhhs' tu mÍlaIKh ksjerosj Ndú;hg .kakd wdldrh .ek;a thg wod, iSud .ek;a ukd wjfndaOhla mej;Su jD;a;slhd i;= .=Kdx.hls' Tyq iEu úgu ;u lafIa;%h ;=< kj Ndú;djka" kj udkhka iïnkaOfhka oeKQj;a úh hq;=h' fuu m¾fhaIK m%;sM< jvd;a fyd|ska frda. úksYaphla flfryS .,md .kakg fï mßph bjy,a jkafkah' fï w.hka Tyq flfryS fkdmej;Sfuka Tyq j¾;udkhg .e,fmk mßphla ,nd fkd.kakjd we;' ridhkd.dr ffjoH úoHdj iïnkaO m%udKsl jD;a;ShfõoSkaf.a weiqr ^Specialists in Laboratory Medicine)" jHdëfõoSka" ridhkd.dr wOHlaIjreka" mßmd,lhka" l<uKdlrejka weiqf¾ ,nd.kakd oeKQu fukau Lab Tests Online jeks mdßfNda.slhka wruqKQ lr.;a úYAjdiodhS fjí wvú j,skao iajoeKQu hdj;ald,Sk lr.ekSu jeo.;ah'

MAY 2018 | DOCTOR MAGAZINE

bj;,k øjH" li, l<uKdlrKh úYAùh ms<s.;a uQ,O¾u wkqhñka isÿ lsÍu w;HjYH ld¾hhla jk w;r th kshñ; ridhkd.dr msßú;r mj;ajd .ekSfuys,d olajkafka wkQmfïh iïudouls' mQ¾j úYaf,aYK woshfrys,d th ksjeros mÍlaIKhla isÿ lsÍug fnfyúka bjy,a jkafkah'

tod iy wo ojfia ;dlaIKfha fjkialï óg jir yeglg muK fmr wfma rfÜ kï jir 35l muK uE; w;S;hla olajd fndfyda iq,n ridhkd.dr mÍlaIK iïmQ¾Kfhkau mdfya isÿ flrefKa ta iïnkaO hka;% iQ;% Ndú;dfjka f;drj yqÿ w;ska l%shd lrk wdldrfhks' tajd úYaf,aYkd;aul fodaI j,g iq,nj úIh jQ w;r tksidu fodaI iy.; jd¾;d ,eîfï by< bvlvla ;snqKs' tfy;a wo ojfia fï l%ufõohka Automated and quality-focused environment weiqf¾ isÿ lrk mÍlaIK njg mßj¾;kh ù ;sfnk w;r fï ksidu w;sYhska ksrjoH jd¾;d ,nd .ekSug fï ;dlaIKh ukd msgqjy,la ù ;sfí'

reêrh ,nd .ekSu kï ;ju;a ÿ¾j, uÜgul''' tfia j;=ÿ fndfyda úg fï ridhkd. dr m¾fhaIK l%ufõofha wdrïNh jk reêr ,nd .ekSu (Phlebotomy) jQj wo ojfiao ÿ¾j, ;;a;ajhl ;sîu ;rul wNsfhda.hls' ^u;= iïnkaOhs& ••• jeäÿr meyeos,s lsÍï i|yd dl@asiri.lk yd neilpriyath@yahoo.co Tiafia fuu f,aLlhd wu;kak'

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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

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

If you have diabetes, proper foot care is a must. Learn how diabetes affects the feet so you can protect them from infection and injury.

;=jd, .ek l;d lrk úg mdo j, we;sjk ;=jd, .ek fndfyda úg ffjoHjreka b;d ie<ls,af,ka l;d lr;s' mdo j, we;s jk ;=jd, flfryS we;s ìh wksh; ìhlao@ fï ,smsh lshjkak' thska Tng m%Yakhg ms<s;=re ,efnkq we;s'

fomd iqjhg n,mdk

fomd iqjfi; mdo iq/lSfuka osú iq/lSugo yels fõ jdysksl frda. úfYAI{ Vascular Surgeon ffjoH kd,l .=KjxY úisks

MAY 2018 | DOCTOR MAGAZINE

mdo j, we;sjk ;=jd, we;af;kau wjfYAI ;=jd, j,g jvd fnfyúkau Nhdklh' oshjeähdj jeks''' tfia;a ke;skï kyr .eg .eiSu jeks wjodkï iy.; frda. b;sydihla orK úg we;eï úg ;=jd,h krla ù ll=, lemSug mjd isÿúh yel' we;eï úg cSú;fhka jkaos f.ùug mjd zzmdofha ;=jd,hZZ fya;= úh yelsh' fufia wjodkï iy.; úNjhla we;s mdo j, we;sjk ;=jd, j,g fya;= jkafka my; ldrKdjkah' doctormagazine.lk

iakdhq l%shdldß;ajh wvq ùu fuhg uQ,sl jYfhka fya;= jkafka oshjeähdjhs' oshjeähdj frda.h je<oS jir 10- 15 hk úg iakdhq ÿ¾j, ù tajd wl¾ukH ùug bv m%ia:djla ;sfnk w;r túg mdo j, oekSu''' ixfõoS;djh ke;s ù hhs' túg fmdf<dfõ r¨ ìu u; weúoao;a oefkkafka mq¨ka frdola u; weúoskjdla fiah' fuysoS we;sjk ydksh kï lgqjla" .,a leghla wekS ;=jd,hla isÿ jQj;a th ;ukag fkdoekSuhs' ;=jd,hla isÿjQj;a fï wdldrfhka th fkdoekSu b;d Nhdklh' fï ksid ;=jd,h md,kh lsÍu ÿIAlr ;rug úYd, tlla úh yelsh' th wdidokhg ,la ùfïo jeä bvla ;sfí' we;ï oshjeähd frda.sfhl=f.a je,s leghla wekqk;a th ;=jd,hla''' úYd, jkhla jk f;la j¾Okh ùugo yelshdj ;sfí'

kyr .eg .eiSu fkdfyd;a wmiaÓ; Ysrd ;;a;ajh kyr .eg .eiSu wo ojfia ie<lsh hq;= msßila mSvd úosk frda.hls' fï frda.Ska jir 10-15 l os.= ld,hla frda.h;a iu. .; jk úg j<¨lr m%foaYfha l=KQ f,a tl;= ù ;ekam;a fjhs' túg ta wjg mSvkho by< hhs' fï ksid myiqfjka mdoj, ;=jd, we;s úh yelsh'

f,a kyr j, wjysr;djh uq,skau lS kyr .eg .eiSu''' tkï wmiaÓ; Ysrd ;;a;ajh we;s jkafka Ysrd uQ,sl lrf.kh' tkï .d;%d j, isg wmsßisÿ reêrh yoj; lrd f.khk jdyskS wdY%h lrf.kh' kuq;a fuysoS isÿjkafka

ysrg mdjyka me<|Sfuka je<lsh hq;=uhs doctormagazine.lk

yojf;a isg reêrh .d;%d j,g f.k hk OukS wdY%h lr.;a wjysr;djhls' OukS wjysr;djhla we;s jQ úg .d;%d j,g msßisÿ reêrh ke;s fjhs' ta;a iu.u mßjykh jk fmdaIl iy wï,lr jd;h ^Tlaiscka& ke;s fjhs' fuysoS isÿ jkafka l=ulao@ hï fyhlska mdofha ;=jd,hla we;s jQjd hhs is;uq' túg m%;scSjl T!IO .;a;;a f,a .,kfhys wjysr;djh ksid tajd mdoj,g ksishdldrj ,efnkafka ke;' mdofha ;=jd,h wdY%h lr.;a m%foaYfha mgl ÿ¾j, cSj Ndjhlska hqla; ksid ndysßka fnfy;a wdf,am l<;a thska t;rï m,la jkafkao ke;' wdidok fya;=fldg f.ko wiaÓ.; frda. ksidfjkao mdo j, ;=jd, we;s úh yel' Ouks we;=,; fldf,iagfrda,a ;ekam;a ùu ksido" wêreêr mSvkh ksido OukS fuhdldrfhka wjysr ùug bv ;sfí' fuys úia;r lrk ,o ljr fyda fya;=jla ksid mdo wdY%s;j ;=jd,hla we;s jQ ú.i l< hq;= jkafka Y,H ffjoHjrfhl= yg ;=jd,h fmkajd th iqj lr.kakg ms<shï fhoSuhs'

MAY 2018 | DOCTOR MAGAZINE

mdo iqjfi; Wfoid Tn l< hq;= foa

weÕs,s lre yd weÕs,s iEu úgu msßisÿj ;nd.kak

m%;sldr fuhg fya;=j oshjeähdj kï oshjeähdj uekúka md,khg ,lalr.; hq;=hs' fuysoS mdo wdY%s; iakdhq wvmK ùug fya;=j Ñrd;a ld,hla ;siafia reêr iSks jeä w.hla f.k ;sîu ksidh' ke;fyd;a ta wjia:dfõ ;snqKq reêr iSks m%udKhu fkdfõ' frda.h md,kh lsÍug fï lreKQo is;ayS Odrkh lrf.k os.= ld, mßÉfPAohkayS os.gu oshjeähdj md,kh lrug mshjr .; hq;=hs' wmiaÓ; Ysrd ;;a;ajh fkdfyd;a kyr .eg .eiSuo nyq, jYfhka mdo wdY%s; ;=jd, we;s ùug fya;=jls' kyr .eg .eiSug ksis ms<shï fhoSu wiSre lreKla fkdfõ' uq,skau frda.h ksishdldrj y÷kd.; hq;=h' ta i|yd mdo ksÍlaIKh" Doppler Scanning wdoS mÍlaIK lsysmhla fjhs' bkamiqj m%;sldr Tfí ffjoHjrhd úiska ie,iqï lrKq we;' uQ,sl wjia:dfõ fnfy;a m%;sM< f.k ÿkak;a l,a.; jQ miq Baloon Angioplasty fkdfyd;a wjysr jQ ia:dkh msïîfï l%shdj,sh" fjk;a ;eklska kyrhla ¨yqj;a lrf.k th wmiaÓ; jQ ia:dkhg msßoaoSu (Bypass) wdoS ie;alï isÿ lsÍfuka fuu ;;a;ajh u.yrjd .; yel' 46

MAY 2018 | DOCTOR MAGAZINE

mdo hq., .ek Tnf.a wjOdkh t;rï fhduq fkdjqK;a" mdo wmf.a fi!LH ;;a;ajh uekúka mj;ajd .ekSug fl;rï n,mdkjdo hkak Tng jgyd .kakg kï fujka wjodkula Woa.; úh hq;=h' kuq;a túg ldßh t;rïu myiq fkdfõ' fï ksid mdo wk;=f¾ jefgk frda. ldrl j,ska ñoSug Tn bgd.; hq;=h' oshjeähdj" wmiaÓ; Ysrd fkdfyd;a kyr .eg .eiSu" fldf,iagfrda,a wdosfhka je<lsh hq;=h' ld,hla ;siafia ÿï mdkh lsÍu ksido .d;%d j, iakdhq l%shdldß;ajh wvmK jk ksid thskao ñoSu mdo iqjfi; flfrySo ;SrKd;aul idOlhls' yefokakg fmr frda.fhka j<lskakg fok ta Wmfoia iaj¾Kuh mshjr jkafkah' kuq;a iEu úgu ;;a;ajh tf,i fkdjkafkah' oshjeähd frda.Ska kyr .eg .eiSfuka mdo hï wjodkulg ,lajQ wh wdoSka wmg yuq fõ' Tjqkag osj hq;af;a Bg;a jvd m%fõYï iy.; Wmfoia ud,djls' fujka wjodkula we;s wh mdo ;nd .; hq;af;a lKakdähla fuks' b;d msßisÿj mdo ;nd.; hq;= w;r kshfmd;= w;r''' we`.s,s lre yd uq¨ mdohu oskm;d uekúka mÍlaId l< hq;=h' iq¨fjka fyda ìì,la" ;=jd,hla jQj;a th ffjoHjrfhl=g fmkajd jydu m%;sldr ,nd.; hq;=h' kshfmd;= lemSu m%fõYfuka kshu ms<sfj<g l< hq;=h' ksfjfia isáh;a mdjyka hq.,la me<osh hq;=h' fï wdldrfhka mdo .ek ie<ls<su;a jkafka kï Tng Tnf.a mdo uekúka /l.ekSug ta bjy,a jkq we;'

••• doctormagazine.lk

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DENTAL CARE

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ueo,d jeäo@ k a k È o;a u a wm .sysk jerÈ lrk 48

MAY 2018 | DOCTOR MAGAZINE

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SAKUKI DENTAL HOSPITAL

idlÉPdj l=reKE., il=ls oka; frdayf,a oka; Y,H ffjoH ldxpkd ixÔjkS ls;,jwdrÉÑ

oka; fi!LH mj;ajdf.k hdu b;du w;HjYH fohla nj yefudau okakjd' kuq;a Tn okakjdo jeämqr o;a ueoafod;a fudlo fjkafk lsh,' fï .ek l;d lrkafk il=ls oka; ffjoH frdayf,a ffjoH ldxpkd ixÔjkS ls;,jwdrÉÑ' wms yefudau wfma o;a iqÿjg" msßisÿjg" kshu yevhg ;shd. kak leu;shs' fï i|yd l< hq;= tl fohla ;uhs Èklg fojrla o;a ue§u' kuq;a wo fndfyda fofkla wmj yuqjkjd b;d wêl f,i o;a ue§u ksid o;a f.ú .sh wh' doctormagazine.lk

fuh isÿjkakg my; l%shdldrlï fya;= fjkjd

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fndfyda fõ,djla o;a ue§u we;af;kau ksjerÈ wdldrfhka o;a uÈk flfkla o;a ueÈh hq;af;a úkdä 2 - 3 w;r ld,hla muKhs ^úfYaI wdndO fyda fjk;a úfYaI uqLh iïnkaO frda. fkdue;s wh&' wkjfndaOfhka o;a ue§u fndfyda fofkla mqreÿ fj,d bkakjd o;a uÈk fj,djg fkdfhla fkdfhla jev lrkak' fï ksid nqreiqj lfÜ .yf.k fndfyda fj,djla weúo weúo o;a uÈk tl fldfydu;a iqÿiq keye' ta jf.au wkjYH úÈyg o;a f.ù hdulao fuhska isÿ fjkjd'

ksjerÈ wdldrfhka o;a fkdue§u fndfyda fofkla o;a uÈkak mqreÿ fj,d bkafka bÈßhg iy msgqmig' fuf,i fndfyda fõ,djla o;a ue§u o;aj, Brush tl jÈkafka tl fldgil muKhs túg l=vd ldkqjla ^Grove& f,i o;a úÿreuy ,Õska f.ù hdu olskak mq¨jka' ^Tooth Abrasion&

wkjYH f,i Desensitizing oka;df,am Ndú;h fndfyda fofkla o;a ysßjeàu ksid ffjoH Wmfoia ke;sj ysßjeàug wvqjg we;s Tooth Paste j¾. Ndú;d lrkjd' fï ksid of;a ixfõoS;djh (Sensitivity) ke;sj f.dia o;a uÈk úg È.ska È.gu ;Èka ue§u ksid o; f.ù hkjd' kuq;a o;a ysßjefgk jydu l< hq;af;a Desensitizing Tooth paste j,ska o;aue§u k;r lsÍu fkdfjhs' ta i|yd ffjoH Wmfoia wkqj l%shd lsÍuhs' ysßjeàug fya;= fkdoek Tooth Paste Ndú;d lsÍu iqÿiq keye' MAY 2018 | DOCTOR MAGAZINE

r¿ foaj,a fhdod o;a ue§u iuyr wh o;a iqÿ jkak lshd fkdfhla l=vqj¾. yd fjk;a øjH fhdod o;a ue§u ksid of;a tku,h ydks ù ysßjeàug mgka .kakjd' tjeks øjH fhdod o;a ue§u iqÿiq ke;'

b;du;a ;Èka o;a ue§u fndfyda wh fndfyda fj,djla b;du;a ;Èka ue§u isÿ lrkjd' th fldfyduj;a iÿiq ke; fndfydaúg th y÷k .kak mq¿jka Tfí o;a nqreiqj b;d blaukska flÈ fome;a;g weo fj,dkï ^i;s 2 - 3 jk úg& Tn ;Èka o;a uÈkafkla' ieu úgu o;a nqreiqj w;ska w,a,f.k th b;d ;Èka uq¿ w;af,kau w,a,d f,dl= n,hla fhdod o;a ue§u fkdlrkak'

ksjerÈ fkdjk o;a nqreiq Ndú;h fndfyda wh lrk fohla ;uhs o;a ál fyd|ska ;og jÈkak Hard Brush tlal Ndú;d lsÍu fujeks fndfyda whf.a o;a b;d blaukska f.ù hdug n÷ka fjkjd'

jeros iy.; f,i o;a ueoSu y÷kd .kafka flfiao@ th Tng iajhx mÍlaIKhlska l< yelshs' • Tfí o;a u;=msg ldKqjla jeks l=vd fldgila we;ao@ • th Tfí kshfmd;a;la jeks fohla we;=,a l< úg ysßjefgkjdo@ • of;a È<sfik kshu yevh fkdue;sùu of;a uq< fldgi fndr meye$l¿ meye ù we;ao@ • weUq,a fohla" riakhg" iS;,g Tfí o;a ysß jefgkjdo@

fujka lreKq we;akï Tn l< hq;af;a ysß jeàu i|yd we;s oka;df,amk j,ska o;a ue§u jydu kj;d ksjerÈ oka; ffjoHjrfhl= i|yd fhduq ùuhs' iuyr wh fuh o;a uq,a Èh ùu f,i y÷kd .kakjd kuq;a th o;a uq,a Èh ùu fkdfjhs' ta i|yd we;s Enamel msrjqulska tu ;;a;ajh b;d blaukska h:d ;;ajhg m;alr.; yelshs'

o;a iïnkaOfhka Tng we;sjk .eg¿ j,g fkdñ,fha Wmfoia Tfí uqL fi!LH .eg¿ i|yd il=ls oka; frdayf,ka fkdñf,a ffjoH Wmfoia ,nd.; yelshs' ta i|yd il=ls oka; frdayf,a FB msgqfõ Tfí m%YaKh i|yka lrkak' ke;fyd;a

ÿrl:k wxl( 0771317777 fyda 037 2232221 wu;kak' SAUKI DENTAL HOSPITAL Total Dental Care No.65, Circular Rd, South Kurunegala

MAY 2018 | DOCTOR MAGAZINE

•••

doctormagazine.lk

OdkH wdydr jeĂ¤fhkau fmdaIKh ;sfnk wdydrhhs

The world has a rich history of cooking with pulses. They are a key ingredient in traditional cooking around the world. Pulses are a versatile food that can be eaten for breakfast, lunch or dinner. They can be a main dish, a side dish or a ...It is estimated that humans have been growing and eating pulses for more than 11,000 years. 52

MAY 2018 | DOCTOR MAGAZINE

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uia''' ud¿ j, we;s fm%daàk m%udKh OdkH j,g jvd fnfyúka wvqhs'''

ffjoH md,s; iuka chfldä

fmdaIK úoHdj ;=< fm%daàk wdydr uekúka wjOdrKh ù ;snqKo fm%dàka nyq,ju we;s Ydl m%Njh fyj;a udxY fnda. fkdi,ld yeÍ we;' thg fya;=j úh hq;af;a ngysr fmdaIK úoHdj f.dv ke.S we;s ngysr rgj, fuu udxY fnda. jeo.;a wdydr m%Njhla fia fkdie<lSuh' ta wkqju ngysr rgj, we;s jQ uyd mßudK wdydr ksIamdok iud.ï fïjd ;u ksIamdok j,g fhdod fkd.;ay' tu ksid f,dal fm%dàka W!K;djh myiqfjkau j<lajd .; yels b;d wvq ñ,g ck;djg ,nd .; yels udxY fnda. j,g l=vïudf.a ie<ls,a,j;a ,eî ke;' wm rfÜ muKla fkdj iuia; f,dalfhau fm%daàka W!K;djh b;du fi!LHdrla?Is; ;;a;ajhla hgf;a je<elaùug ;rï by< úNjhla iys; weg msh,s j¾. fyj;a udxY fnda. .ek wm fyd|ska bf.k .; hq;=h' fïjdg ksoiqka jkafka uqx weg" lõms" lv," mßmamq j¾." fidahd" fld,a¨" W÷" uE weg" fndaxÑ weg" iy oU, weg wdÈhhs' uE" fndaxÑ iy oU, j, ,má lr,a wm rfÜ nyq,j Ndú;d lrkafka t<j¿jla f,isks' tfy;a tajdfha fudark ,o weg msh,s j¾. doctormagazine.lk

jvd fyd| m%;sM< ,nd .ekSug udxY, wdydr n;a iu. wkqNjh jvd;a iqÿiqhs f,i Ndú;d l< yelsh' by; i|yka mßÈ fm%dAàka wjYH;djho ;yjqre lr.ksñka ksjerÈ fmdaIKhg weg j¾. fyj;a msh,s j¾. j,ska wm rfÜ iEu fokdu is;df.k isákjdg jvd iqúi,a fufyhla ,nd.; yelsh' tfia iqúi,a fufyhla ,nd.; yelafla flfiao@ hkak wms oeka idlÉPd lruq

ixixokd;aulj fy<sorõ jk we;a; fukak''' fuu weg msh,s j¾.j, úYd, fm%dAàka m%;sY;hla wvx.=h' idudkH ck;dj muKla fkdj fmdaIK úoHd{hska mjd fm%dAàka nyq, wdydr f,i i<lkafka uia" ud¿" lsß" ì;a;r iy tajdfha ksIamdokhkah' kuq;a ta ish,a,gu jvd weg msh,s j¾.j, fm%dAàka nyq,j wvx.=h' fm%dAàka jeäfhkau we;ehs fndfyda fokd is;k uia iy ud¿j, fm%dàka we;af;a 18] la mu‚' kuq;a fuu udxY fNda.j, 20] - 42] olajd fm%dAàka wvx.=h' MAY 2018 | DOCTOR MAGAZINE

fuu weg msh,s j¾. n;a iu. tlg tlu fõ,g wdydrhg .kakd úg ish¨ weuhsfkda wï, wvx.= b;du Wiia ;;a;ajfha fm%daàkao myiqfjka ,nd.; yelsh' yd,a we;=¿ OdkH j¾. j, ,hsiSka keu;s w;HjYH weuhsfkda wï,fha idfmalaI wvqjla we;'

wm mjikafka fïjd ÿmam;df.a uia fkdj fmdfydi;au ñksidf.a uia ^Richest men meat& njh' ulaksido h;a fm%daáka m;df.k ñksiqka jeä jeäfhka uia lkakg hefuka yDohdndO" ms<sld we;=¿ fndfyda f,v frda. je<£ wld,fha§ ñh hk neú‚'

n;a yd udxY wdydr tlg wkqNjfhka w;ajk jdishla'''

wúysxidjdoS f;aÍuo fuhuehs'''

udxY fnda. j, isiaàka iy fu;fhdkSka hk i,a*¾ wvx.= weuhsfkda wï,j, idfmalaI wvqjla we;' kuq;a n;a iy udxY fNda. tlu wdydr fõ,g tlúg wdydrhg .kakd úg fuu idfmalaI wvqj wfkHdkH jYfhka wfydais ù iuia; wdydr fõ, ish¨u weuhsfkda wï,j,ska fmdfydi;a Wiia ;;a;ajfha fm%daáka ,ndfok ;;a;ajhg m;afjhs'

wvq úhoulska mßiudma; fmdaIKhla ,nd .ekSfï u.;a fuhhs wfkla jeo.;a ldrKh jkafka fm%daáka nyq, hEhs iïu; uia" ud¿" lsß" ì;a;r iy tajdfha ksIamdok fuka fkdj weg msh,s j¾. ldg;a ñ,§ .; yels idOdrK ñ<g ,nd .; yels ùuhs' ksoiqkla f,i jgdkd mßmamq wo;a lsf,da .a?uhla remsh,a 160 lg muK ñ,§ .; yelsh' tys ñ, idfmalaIj wvq ksidu fndfydafokd is;kafka tys .=Khla ke;ehs lshdh' f,dal uÜgfukau fuu fm%daàka nyq, udxYfnda. j, ñ< uia wdÈ fm%daàka nyq, hEhs iïu; wdydr j,g jvd wvq ksid fmdaIK úoHd{hka úiska fïjd ye|skajQfha ÿmam;df.a uia ^Poor men meat& lshdh' kuq;a ñksidf.a ksfrda.SNdjh keu;s by<u fmdfydi;alu ms<sn|j i<ld n,d 54

MAY 2018 | DOCTOR MAGAZINE

weg j¾. msh,s j¾. fyj;a udxYfNda. iïnkaO ó<Õ jeo.;a ldrKh jkafka tajd wdydrhg tla lr .ekSfï§ lsisÿ i;a;aj >d;khla fyda i;a;aj udxY ysxikhla isÿ fkdùuhs' fm%daàka nyq, hehs iïu; uia" ud¿" lsß" ì;a;r hk ish,a,u i;a;aj udxY wdydr fjhs' i;a;aj wdydr ,nd.kakg tlaflda i;=ka >d;kh lrkakg isÿfjhs' tlaflda i;=kag jO fokakg isÿfjhs' uia iy ud¿ .kakg wksjd¾fhkau i;a;= >d;kh l< hq;=h' lsß iy ì;a;r ,nd.kakg i;=kag jO Èh hq;=h' wm ljqre;a okakd mßÈ lsß jerE úg t<fok hkafka;a uia lfâ fldlalgh' ì;a;r jerE miq lsls,sh hkafka;a uialfâ fldlalgh'

YsIAG iïmkak iudchl wdydr Ndú;dj ks¾udxY wdydrhhs uia we;=¿ i;a;aj udxY wdydr wm ri lrñka ;¨ urñka Ydl wdydr úis lrñka lk nj we;a;h' kuq;a wm úia;r l< mßÈ i;a;aj udxY wdydr msgqmi we;af;a i;a;aj >d;kh iy

idudkH ck;dj muKla fkdj fmdaIK úoHd{hska mjd fm%dAàka nyq, wdydr f,i i<lkafka uia" ud¿" lsß" ì;a;r iy tajdfha ksIamdokhkah' kuq;a ta ish,a,gu jvd weg msh,s j¾.j, fm%dàka nyq,j wvx.=h' doctormagazine.lk

ysxikh ms<sn| fYdaldka;hls' th wfma wd.u O¾uh ms<sn`oj ie<l=j;a ixialD;sh ms<sn|j ie<l=j;a fi!LHfha udkisl iy wdOHd;añl me;s ie<l=j;a .e<fmk ;;a;ajhla jkafka ke;' i;a;aj >d;kh fyda i;a;aj ysxikh jeä rgla fyda iudchla YsIag iïmkak iudchla f,i YsIag f,dalhd ms<s.kafkao ke;' tneúka wmg i;a;aj >d;kfhka fyda ysxikfhka f;drj fm%daàka ,nd.ekSug l%uhla ;sfnkjd kï fm%daàka ,nd. ekSu i|yd iqÿiqu l%uh jkafka thhs' tu l%uh wka lsisjla fkdj weg msh,s j¾. jeä jeäfhka Ndú;hhs' túg iudch ;=< i;a;aj >d;kfha fyda ysxikfha jeäùula isÿjkafka ke;'

mi idrj;a lrñka udxYfNda. j.dj mßirhg wdYs¾jdohla fjhs wfkla fnda.j,ska ksire jk mi idrj;a lr.ekSug udxYfNda. j.dj wmg Woõ lrhs' idudkHfhka ´kEu fNda. j.djlska mdfya mi ksire ùu isÿfjhs' kuq;a weg j¾. ,ndfok rks, l=,fha Ydlj, we;s uQ,.eá;s nelaàßhd j,ska jdhqf.da,fha we;s khsg%cka ;sr lrñka mi idrj;a lr fohs'

iudf,dapkh weg j¾. msh,s j¾. fyj;a udxY fnda.j, we;s iqúfYaIS jeo.;alu doctormagazine.lk

fm%daàka nyq, udxYfnda. j, ñ< uia wdÈ fm%daàka nyq, hEhs iïu; wdydr j,g jvd wvq ksid fmdaIK úoHd{hka úiska fïjd ye|skajQfha ÿmam;df.a uia hkqfjks' ienEj kï wñ, jákdlula we;s ksfrda.S nj ,Õd lr.kakg fya;=jk ksid udxY, fNda. fmdfydi;au ñksidf.a uia f,i ye|skaùu jvd;au ksjeros jk njhs' ms<sn|j by; lS lreKq idrdxYhlg f.dkqlr olajkakg oeka wm iqodkïh' th fyd|ska u;l ;nd .ekSug;a ta wkqj lghq;= lr ksjerÈ f,i Tfí fm%daàka wjYH;djh iïmQ¾K lr.ekSug;a Tn wÈgka lr.kak' b;du by< fm%daàka m%;sY;hla" ish¨ weuhsfkda wï,o iu.ska by< .=Kfhka hqla;j" ldg;a ñ,§ .; yels idOdrK ñ<g" i;a;aj >d;kfhka iy ysxikfhka f;drj" j.d lrk mi;a idrj;a lrñka wmg ,ndfokafka uqx weg" lõms" lv," mßmamq" uE" fndaxÑ" fidahd we;=¿ weg j¾. fyj;a msh,s j¾. j,sks' tu b;du ys;lr ;;a;ajhka hgf;a wfma fm%daàka wjYH;djh ;yjqre lr.ekSug we;s wmg .e,fmk fyd|u l%uh jkafka n;a iu. tu weg j¾. fyj;a msh,s j¾. jeä jeäfhka wdydrhg .ekSuhs' tfia fkdue;sj ta fjkqfjka wm rfÜ iEu fokdu lrkakd fia úYd, úhoulao orñka uia" ud¿" lsß" ì;a;r ms<sn|j wkjYH úYajdihla ;nñka tajd miqmi heu ienúkau wkqjk luls' ••• MAY 2018 | DOCTOR MAGAZINE

CONTROLLING

CHOLESTEROL

ADULTS above the age of

and patients suffering from other noncommunicable diseases such as diabetes, high blood pressure and heart-related diseases are advised to get a lipid profile done in order to diagnose high cholesterol.â&#x20AC;? 56

MAY 2018 | DOCTOR MAGAZINE

doctormagazine.lk

maintain the smooth functioning of the body, when produced excessively, it could harm one’s health. Dr. Pradeep Kumarasinghe de Silva, the Consultant Physician of the Colombo National Hospital, speaks to the Health Capsule on cholesterol. Dr Pradeep Kumarasingha de Silva Consultant Physician Colombo National Hospital Cholesterol – high and low, good and bad – has become a lynchpin of health columns, with an array of foods, medicines and other measures linked with maintaining a healthy level of the stuff. Yet, despite the constant coverage, it remains an enigmatic topic. Micro-organisms are the modes of transmission in many diseases which bring down one’s health but it is not so where noninfectious diseases (non-communicable diseases) are concerned. Cholesterol is a lipid produced by the body. While cholesterol serves many purposes to doctormagazine.lk

WHAT IS CHOLESTEROL? Cholesterol is a type of a lipid produced by the liver. Cholesterol serves many purposes in the body. It is a component of many hormones and serves structural purposes in cell membranes amongst other functions. The majority of the cholesterol is produced by the liver. 15% is obtained from the diet.Your brain is primarily made up of cholesterol. It is essential for nerve cells to function. Cholesterol is the basis for the creation of all steroid hormones, including oestrogen, testosterone and corticosteroids. Cholesterol is classified as low-density lipoproteins (LDL) and high-density lipoproteins (HDL). While both types of cholesterol prove useful to the human body, an excess of LDL causes high cholesterol which takes an ill wind to health.

DANGERS OF HIGH CHOLESTEROL Dr. Kumarasinghe said excessive amounts of LDL gave rise to severe conditions such as heart disease and strokes. “Excessive amounts of LDL

WHAT IS

CHOLESTEROL? Cholesterol is mainly comprised of fat and lipoproteins. A lipoprotein is comprised of cholesterol, protein, and fat (triglycerides).

MAY 2018 | DOCTOR MAGAZINE

HOW TO PREVENT HIGH CHOLESTEROL

cholesterol get deposited in the blood vessels, especially in the coronary arteries that supply blood to the heart muscles, forming a plaque. Plaques hinder the blood flow by narrowing the pathway of blood through the blood vessel. Therefore, the heart does not receive sufficient amounts of oxygen.” The heart is an active organ with cardiac muscles that never fatigue, it requires a large supply of blood. “When the blood supply is compromised, the heart does not receive enough oxygen, resulting in a chest pain known as angina.” Sometimes when a plaque is formed by excess LDL, ruptured platelets form a clot in the area. When this clot is formed, it totally blocks the blood supply to the heart. It is more serious than previous instances, where the plaque only reduces the blood supply. This could lead to heart attacks and strokes. In the case of a stroke, a blood clot is formed in the heart, blocking the flow of blood to the brain. “Another lipid component that must be taken into consideration are triglycerides, which again cause health issues in excess but the threat is less than that of LDL. These could cause pancreas-related issues such as pancreatitis, the deformation of the pancreas. HDLs are healthfriendly.” 58

MAY 2018 | DOCTOR MAGAZINE

Since cholesterol is produced by the liver, control is the main key. “One’s daily diet plays a very important role in controlling cholesterol. Animalbased meals, especially beef and pork contribute to LDL levels in the body. Dairy products such as cheese, butter and egg yolk are other foods containing high cholesterol. Plant-based diets are good for the health as they do not contain cholesterol. Coconut oil is a plant-based product that does not contain cholesterol but it contains saturated fatty acids that stimulate the liver to produce more cholesterol.” Dr. Kumarasinghe further stressed that regular exercises help prevent the accumulation of cholesterol, so it is important to lead an active lifestyle. doctormagazine.lk

STAGES OF ATHEROSCLEROSIS

DIAGNOSIS AND TREATMENT OF HIGH CHOLESTEROL Similar to other non-communicable diseases, high cholesterol does not show any symptoms. Therefore, Dr. Kumarasinghe advises a checkup. Adults above the age of 40 and patients suffering from other non-communicable diseases such as diabetes, high blood pressure and other heart-related diseases are advised to get a lipid profile done in order to diagnose high cholesterol. A lipid profile identifies all lipid component levels in the blood separately. “A fasting period of 12 hours is required prior to a lipid profile test. The LDL level of a person who does not suffer from any other disease reaching

up to 160mg/ dl is considered acceptable but under the condition of a patient suffering from any other risk factors such as diabetes or hypertension, it is required to maintain one’s LDL level to below 100mg/dl. HDL levels are usually around 50mg/dl.” When LDL cholesterol rises to very high levels, physicians may prescribe the use of pharmaceutical drugs. According to Dr. Kumarasinghe, the new guidelines also recommend that diabetic patients above 40 years of age with normal levels of cholesterol should use an anti-cholesterol drug. As in all other cases, prevention is better than cure. A healthy diet and regular exercise can take you a long way. By courtesy of mirror MEDICINE Our Special Thanks goes to Thashani Gunasekara •••

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MAY 2018 | DOCTOR MAGAZINE

OCCUPATIONAL MEDICINE

Tennis Elbow hkqfjka ye|skafjk je<ñfÜ we;sjk fõokdj

fgksia l%Svdj fkdl<;a

Tng;a Tennis Elbow we;súh yel

MAY 2018 | DOCTOR MAGAZINE

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Tennis elbow is a painful elbow disorder. This term is misleading because most people who have it did not get it from playing tennis. In fact, tennis elbow seldom has any connection with fun and games. The technical name for tennis elbow is "lateral epicondylitis".

mÿu ã hdmd Dip OT, SROT(UK) rd.u mqkre;a:dmk frdayf,a ysgmq jD;a;Sh Ñls;ail wêldÍ iy idhksl wëlaIl" f,dal jD;a;Sh Ñls;ail ix.ufha Y%S ,xld ksfhdað;" YS% ,xld jD;a;ShfõoSkaf.a jD;a;Sh Ñls;ail ix.ufha f,alï doctormagazine.lk

fuhg m%Odk;u fya;=j jkafka wf;a udxY fmaYska (Arm, Forearm, Hand) wjYH m%udKhg jvd jeäfhka Ndú;d lsßuhs' fï ksid oeßh fkdyels fõokdjla wf;a je<ñg wdY%s; m%foaYfha yg.kS' fuu ;;a;ajh fgksia t,afnda kñka ye|skajqj;a fï l%Svdfõ fh§u muKlau wdndOh we;sùug m%Odk fya;=j fkdjk w;r fgksia lS%vlhka jeäfofkl= fï wdndOhg f.dÿre ùu ksid fukñka y÷kajd we;' je<ñg msg; m%foaYfha we;s udxYfmaYs yd LKavrd j,g laIKslj isÿjk ydks fï wdndOhg fya;=jk w;r wf;a (Forearm) udxYfmaYs yd LKavrd wia:shg iïnkaO jk ia:dkh myiqfjka fï wk;=rg f.dÿre fõ' fuu ia:dkh (Lateral Epicondyle) kï jk w;r wdndê; ia:dkh wdndê; ;;a;ajh Lateral Epicondylitis kï fõ' tfiau je<ñg we;=,a fldgfia fufia isÿùu Medial Epicondyitis kï jk w;r ndyqj jeämqr Ndú;h fya;=fjka je<ñg miqmi fldgfiao fï wk;=ru isÿúh yel'

MAY 2018 | DOCTOR MAGAZINE

frda. ,laIK • je<ñg msg; m%foaYfha fõokdj l%u l%ufhka we;s ù jeä ùug mgka .ekSu' • fõokdj tljr we;s ù jeä ùu' • hula w;ska .%yKh lsÍfï§ ñßlSfï§" ord.; fkdyels fõokdjla yg .ekSu' • ueKslalgqj ikaêhg hï n,hla we;sjk ls%hdldrlï j, fhÿkq úg" fõokdj yg .ekSu' ksoiqkla jYfhka f.orfodr WmlrK Ndú;fha§" uQä mshka újD; lsÍfï§" o;a nqreiqj" msysh" .Eremamqj jeks tl È.gu tlu wdldrhg w,a,d f.k isák l=vd WmlrK Ndú;d lrk úg fï fõokdj oeäj we;sfõ'

fuu wdndê; ;;a;ajhg f.dÿre jkafka ljqrekao@ jhi 30-50 w;r§ fï wdndOhg f,fyisfhkau f.dÿre úh yels w;r ta ta whf.a ffoksl ls%hdldrlï u; ´kEu jhil§ fï wdndOh we;s

úh yel' úfYaIfhka tlu úêfha ls%hdldlrï j, tl È.gu ksr; jk úg fuu ;;a;ajhg f.dÿre ùug we;s bvlv jeä fõ' ksoiqkla jYfhka úis le;s Ndú;d fldg bvï t<s fmfy<s lrkakka (Land Scapars) ksjdi ld¾hd, msßisÿ lrkakshka" jvq ld¾ñlhka" .ia iy or lemSfï fhfokakka" WmlrK tl,ia lsÍfï ls%hdj,sfha fhfokakka (Assembly type workers) fgksia ls%vlhka" f.d,a*a l%Svlhka" mkaÿ hjkakka fï frda.hg Ndckh jkjd jeäh'

Tennis Elbow wdndê; ;;a;ajh y÷kd.kafka flfiao@

je<ñg msg;g jkakg we;sjk oeßh fkdyels fõokdj yd m%odysl ;;a;ajh fgksia t,afnda kñka ye|skafjhs' fmaYska wiaÓ j,g iïnkaO lrk LKavrd w¾O jYfhka fyda imqrd ydkshg m;aùu fndfyda úg fuhg fya;= fjhs' 62

MAY 2018 | DOCTOR MAGAZINE

fuh f,a mÍlaIdjlska fyda X- lsrK mÍlaIdjlska fndfyda úg y÷kd.; fkdyels w;r Tn m%ldY lrk frda. ,laIK ;=<ska iy tu ia:dkh meyeÈ<sj YdÍßl mÍlaIdjg ,la lsÍu ;=<ska y÷kd.; yelsh' tfiau fuu Wmøjhg ksjerÈj m%;sldr lsÍu ;=<ska wndOh iïmQ¾Kfhkau iqjlr .; yelsh'

doctormagazine.lk

fï i|yd wjYHfhkau jD;a;Sh Ñls;ailjrfhl=f.a iydh wjYH fõ' • wkqj¾;s; WmlrK Ndú;d lsÍu' Using (Adaptive devices)

ksjerÈ Wmfoia wkqj ls%hdldrlï j, fh§u' • tfiau fgksia t,afnda Straps kï jQ wdOdrl m;=r (Splint) Ndú;d lsÍu

fgksia t,afnda frda.fhaoS ydkshg m;ajk LKavrdj fuhhs

• hula ;Èka .%yKh lrk ls%hdldrlï iy tl È.g ueKslalgqj ikaêh Ndú;d jk ls%hdldlrï j,ska je<lS wdfoaYl l%u Ndú;h

Tennis Elbow iqjlr .; yelafla flfiao@ • lelal=u iy m%odyh (Inflammation) j<lajd .ekSu u.ska" tkï fõokdj yg.kakd ´kEu ls%hdldrlula jydu keje;aùu iy m%;sm%ody (Anti Inflammatory) fnfy;a fm;s ,nd .ekSu' • tu m%foaYh u; whsia ;eîfuka

• tfiau fõokdj yg .kakd ls%hdldlrï .ek wjOdkfhka isàu'

• fõokdj l%ufhka wvqjk úg je<ñg m%foaYh ;=< we;s udxYfmaYska iy LKavrd we§ug ,la lsÍfï iy Yla;su;a lsÍfï jHdhdu ;=<ska fï i|yd fN!; iy jD;a;Sh Ñls;ail m%;sldr w;HjYH fõ'

Tennis Elbow iqj ùfï m%jK;djh

• tfiau fõokdj we;sfjk ls%hdldrlula fjf;d;a jyd keje;aùu u.ska • tfiau wdndOh iqjm;a lr .ekSug fukau iqjm;a ùfuka miqj kej; thg f.dÿre fkdù isàug my; i|yka ls%hdud¾. wkq.ukh l< hq;= fõ' hï ls%hdldrlul fhfok úg ta i|yd WÑ; fi!LHdkql+, WmlrK iy isoaOdka; ^tu ls%hdldrlfï fhfok ms<sfj, (Ergonomics) Ndú;d l< hq;= fõ' doctormagazine.lk

90]-95] w;r m%;sY;hla iqjùug mj;sk w;r b;=re fjk meyeÈ<s iqjhla ,nd.; fkdyels wh i|yd ie;alï j,g Ndckh úh hq;= fõ' fuhska ;=jd, ù we;s udxYfmaYs yd LKavrd w¿;ajeähd (Repair) lsÍï j,g Ndckh fõ' •••

MAY 2018 | DOCTOR MAGAZINE

doctormagazine.lk

fmd,alsß .=K okq ñ;=f¾

Y;j¾Idêl ld,hla uq¿,af,a isß,l ok fmdaIKhg''' ksfrda.S iqjhg''' odhl jQ fmd,alsß j, fmdaIKSh jákdlu oek.kak ffjoH YdLH wurfialr úisks

fmd,alsß ñ,s ,Sg¾ 100l wka;¾.; fmdaIKh Yla;sh

le,ß 169

fm%daàka

fïoh

.a?ï 16'9

ldfndayhsfâ%g .a?ï 3'3

doctormagazine.lk

.a?ï 1'1

fmd,a j, w;s úYd, fmdaIKSh ix>gl m%udKhla ;sfí' C, E, B1, B3, B5 yd B6 hk úgñk yereKQ úg hlv" fi,skshï" fidaähï" le,aishï" ue.akSishï yd fmdiamria hk LKsc ,jK j,skao fmd,a lsß fmdfydi;ah' fmdaIKSh fldgia iq,n ùu fukau fi!LHiïmkak Ndjhg t;rï ys;lr fkdjk wys;lr foa wju j msysàu ksido fmd,alsß ksfrda.SNdjh fidhk ck;djf.a iq,n f;aÍula njg m;aj ;sfí' iSks" cS¾Kl ldfndayhsfâ%g fukau Yla;sho fmd,alsß j, we;af;a wju m%udK j,sks' tfiau fmd,alsß j, .a,hsisñla o¾Ylho we;af;a wju w.hls' tfyhskau fmd,alsß fyd|ska reërfha iSks m%udKo md,kh lsßug rel=,la fjhs' Tno okakd wdldrhg ,elafgdaia kue;s ridhKslh ksishdldrj cS¾Kh fkdùfï .eg¿j ksid lsß fndkakg fkdyels whg fï fmd,alsß j,ska ieliQ wdydr wk.s fmdaIK úl,amhlao jkafkah'

MAY 2018 | DOCTOR MAGAZINE

fmd,alsß j, we;s ys;lr fïoh fmd,alsß j, we;af;a uOHu odu ix;Dma; fïo wï,hhs' Medium Chain Saturated Fatty Acids (MCFAs) ix;Dma; fïoh fi!LHhg wys;lrh hk ms<s.ekSu we;;a MCFAs wka;¾.; wdydr ys;lrh''' tneúka fi!LHiïmkak njg w; jkk njg fmdÿ ms<s.ekSula we;' fjfiiskau fmd,alsß j, we;s f,daßla wï,h YÍrh ;=<oS fudfkdf,daßka kï b;d m%n, wdrlaIl .=Kdx.hla we;s ixfhda.hla njg fmrf<k ksid th isrerg w.;shla lrkjd fjkqjg n,.;= wdrlaIl l%shdj,shlg mdol jk nj fy<sorõ ù ;sfí' m%;s ffjri yd m%;sos,Sr hdka;%Khlao fuys we;s nj jeäÿrg;a wkdjrKh ù ;sfí' MCFAs b;d iS>%fhka mßjD;a;Shg ,laù wlaudfõoS Yla;sh f,i ixÑ; jkafkah' tajd YÍrh úiska fõ.fhka Wmfhda.S ^Ndú;hg wr.kakjd& lr.kakd w;r ix;Dma; fïoh fujka l%shdldß;ajhla fkdoelaùuo fmd,af;,a yd fmd,alsß j, wdrlaIl hdka;%Kh .ek wjfndaOhla ,nd .ekSug m%udKj;a idlaIs fõ'

fmd,alsß i;= jákd .=Kdx. fmd,alsß j, we;s uOH odu fïo wï, u.ska myiqfjka Wmfhda.S Yla;sh ksmojhs' YÍrfha cS¾Kl l%shdj,shg buy;a odhl;ajhla i,ik w;r mßjD;a;Sh iqir lrhs' reêrfha iSks uÜgu hdukh lsÍugo fï iqúfYAIS fïo wï,h fya;= fjhs'

fmd,alsß m%n, ;ka;=uh wdydr m%Njhls fmd,alsß j, úYañ; m%udKhl''' tkï ishhg 61l ;ka;=uh fldgia ;sfí' Tn oekgu;a okakd wdldrhg wdydrfha we;s ;ka;=uh fldgia hkq cS¾Khg ,la fkdjk wka;¾.;hla jk w;r cS¾Kl u.''' wka;% Tiafia fïjd isreßka neyer 66

MAY 2018 | DOCTOR MAGAZINE

jkafka YÍrfha we;s úúO OQ,lo bj;a lrñks' nys>%dùh moaO;sfha wjhj iqir lrñks' ksfrda.S nys>%dùh l%shdj,shla i|yd ;ka;=uh wdydr j,ska ,efnk iyfhda.h wmuKh'

reêr.; iSks md,khgo iDcqju WmldÍ fjhs fmd,alsß j, wêl fmdaIK >k;ajhla (Nutrient Density) ;sfí' óg by;ska i|yka l< cS¾Kl myiqj yereKQ úg yoj;g ys;e;s wdydrhla f,iskao fmd,alsß j,g ms<s.ekSula ;sfí' fldf,iagfrda,a wêl f,i mj;sk whf.a LDL fkdfyd;a zzkrl fldf,iagfrda,aZZ fukau g%hs.a,sirhsâ uÜguo wvq uÜgulg f.k taug fmd,alsß wkqNjh fya;= fjhs' ødjH yd wødjH ;ka;=uh fldgia úYd, m%udKhla fmd,alsß j, mej;Su;a" uOH odu fïo wï, j,ska fmdfydi;a ùu;a hk lreKQ fï fi!LHiïmkakNdjhg fya;=j f,i m¾fhaIKd;aulj ikd: ù ;sfí'

;rndrej ke;s lrhs''' m%odysl ;;a;ajhka md,kh lrhs ia:Q,;djh md,kh lsÍug fjr jEhï lrk Woúhg fmd,alsß wk.s f;aÍuls' th YÍrfha m%odysl ;;a;ajhka md,kh lrk ksid úúO ykaosm;a reodjka" wd;rhsáia wdosh we;s Woúhgo w.fkah' ta yereKQ úg YÍrfha w,xldrh yd rej Tmh ms<sn|j ie<ls<su;a jk fldhs ldg;a tu wruqKQ iM, lr.ekSug wdydrhla jYfhka jHxck jg oeóug .kakd fmd,alsfrka lsishï fufyhla bgq jk njo o; hq;af;ah' fmd,alsß j, we;s f,daßla wï,h YÍrh ;=<oS fudfkdf,daßka kï b;d m%n, wdrlaIl .=Kdx.hla we;s ixfhda.hla njg fmrf<k ksid th isrerg w.;shla lrkjd fjkqjg n,.;= wdrlaIl l%shdj,shlg mdol jk nj fy<sorõ ù ;sfí'

•••

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MAY 2018 | DOCTOR MAGAZINE

Cooperate Health News

,xld fydiamsg,aia cd;Hka;r ldka;d oskfhaoS fi!LHu;a Èúhl we;s jeo.;alu myod fohs

foaYSh fi!LH fiajd iemhqï fCIa;%fha iïudkkSh fukau m%uqL fiajd iemhqï wdh;khla jk ,xld fydiamsg,aia" cd;Hka;r ldka;d Èk ieureu miq.shod tu frday,a Y%jKd.drfhaoS meje;aùh' ,xld fydiamsg,a yS ldka;d iqj;d uOHia:dkh u.ska ldka;djka 68

MAY 2018 | DOCTOR MAGAZINE

i|yd fi!LHiïmkak Èú fmfj;la .; lsÍu ms<sn|j oekqj;a lsÍfï wruqKska ixúOdkh lrkq fuu jevigyk i|yd m%Odk wdrdê; foaYljreka jYfhka Èjhsfka m%Odk ffjoHjreka lsysmfokl= iyNd.s úh' cd;Hka;r ldka;d Èkh ieuÍfï doctormagazine.lk

wruqKska ixúOdkh lrkq ,enQ fuu jevigyk i|yd m%Odk fmf<a ldka;d jHjidhsldjka" jD;a;ShfõÈkshka iy wOHdmk fCIa;%fha úúO ks,OdÍka /ilao iyNd.S úh' wdrdê; foaYlhka jYfhka fuu wjia:djg iyNd.s jQ ffjoH kfhdud,a fmf¾rd ^ms<sld Y,H úfYaI{ ffjoH&" ffjoH iuka;s fm%aur;ak ^m%ij yd kdßfõo& iy ffjoH i;sIa úfcaudkak ^rEm,djkH ms<sn`o úfYaI{ Y,H ffjoH& úiska úúO wxYhka Tiafia fi!LHu;a Èúhlg wjYH oekqu fukau hym;a Èú fmfj;l we;s jákdlu m<sn|j lreKq oelaùh' fuys§ m%Odk jYfhka foaYlhka úiska wjOdrKh l< lreKla jQfha fi!LHdrCIss; fkdjk Èú mej;=ï" wdydr rgd fya;=fjka ldka;djkaf.a ksfrda.S njg fukau Tjqkf.a hy Èú meje;aug m%n, n,mEula isÿ lrk njhs' ldka;djka iy ;reKshka w;r idl,H fi!LH fiajd úi`ÿï iemhSfï wruqKska ,xld fydiamsgia uÕska wdrïN l< wdh;khla f,i ldka;d iqj;d uOHia:dkh ^WWC& y÷kajd Èh yelsh' wka;¾cd;sl m%ñ;Skag wkqj mßmQ¾K frda. úksYaph" WmfoaYkh" m%;sldr" mYapd;a mámdàh frda. mÍCIK wdoS fiajd /ila tlu jy,la hg§ imqrd .ekSug yels ùu fuu tallfha we;s iqúfYaIS ,CIKhhs' ish¨u fi!LH fiajdjka tlu jy,la hg§ ,ndfok uOHia:dkhla f,i ldka;d frda.Skaf.a f,dj kùk ;dCIKfhka hq;a Fujifilm Amulet Innovality jeks kùk ;dCIKsl WmlrKhkaf. ka hq;a ldka;d iqj;d uOHia:dkh" wju úlsrK W;amdok iys; frda.S myiqj Wmßu whqßka i<ik Digital Mammography mshhqre ms<sld y÷kd. ekSfï ;dCIKsl l%ufõohkaf.ka hqla;h'

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^fhdjqka jhfia isg by<g& mqoa.,sl;ajh by< whqßka iq/lSu úfYaI;ajhls' f,dj kùk ;dCIKfhka hq;a Fujifilm Amulet Innovality jeks kùk ;dCIKsl WmlrKhkaf.ka hq;a ldka;d iqj;d uOHia:dkh" wju úlsrK W;amdok iys; frda.S myiqj Wmßu whqßka i<ik Digital Mammography ^mshhqre ms<sld y÷kd.ekSfï mrSCIK& ;dCIKsl l%ufõohkaf.ka hqla;h' w;s ixfõ§ fuu ;dCIKh Tiafia mshhqre ms<sld uq,a wjêfha§u y÷kd .ekSfï yelshdj we;s w;r" ms<sld mg, mrSCIdj fukau ms<sld yd iïnkaOj isref¾ úfYaI ia:dkhka jeä ÿrg;a mÍCId lsÍfï yelshdjo fuu.ska újr fõ' kdßfõo ffjoH m%;sldr wxYfha Èjhsfka lS¾;su;a fiajdjka / ila imhk ,xld fydaiamsg,aia ys ldka;d iqj fiajd uOHia:dkh tu fiajdjka i|ydu úfYaI mqyqKqj ,enQ fyo ld¾h uKav,hlska hqla; ùu frda.Ska i|yd by< fiajdjla ,nd §ug u. újr lr § we;' •••

MAY 2018 | DOCTOR MAGAZINE

doctormagazine.lk

w¿;a l=rE<E j,ska ñfokak yeÿKQ l=re<E j,ska fífrkak

,iaiK

Wmfoia

l=re<E j,g isÿ lrk m%;sldr

p¾u frda. úfYaI{ ffjoH ckqld .,ysáhdj

doctormagazine.lk

MAY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

BEAUTY

WOMEN'S WORLD

miq.sh l,dmfhka wm fh!jKfha iq,n .eg¿jla jk l=re<E iïnkaOfhka lreKq rdYshla idlÉPd l<d' fï ixjdoh bosßhg f.k hñka wo wm l=re<E j,g isÿ lrk m%;sldr .ek l;dnyl fhfokjd' miq.sh ld,h ;=< fï m%;sldrfõoh kùlrKhg ,laù ;sfnk w;r l=re<E j,g m%;sldr msKsi fhdod .kakd tu id¾:l m%;sldr .ek wm fuysoS l;dnyg ,la lrkjd'

le<,s njg m;a jkakg fmr l=re<E j,uq,a wjia:dfõoSu m%;sldr wdrïN lsÍu jeo.;a l=rE<E i|yd m%;sldr .kak tk fndfydauhla fokd wm fj; tkafk l=rE<E ksid we;sjk le<,s we;s jqKdg miafi' le<,s we;s jkafka l=rE<E j,g ksis m%;sldr fkd,enqKduhs' iuyrekag l=rE<E jf.au le<,s lshk fï wjia:d folu ;sfnkjd' le<,s j,;a wdldr folla ;sfnkjd' j, wdldrfhka we;sjk le<,s yd lSf,dhsâ wdldrfhka we;sjk le<,s wdoS jYfhka' lSf,dhsâ lshkafk lsishï bosuqKQ iajNdjhlska we;sjk l=re<E' lSf,dhsâ j, fmKqu ksid kj fhdjqka jhfia ;reKhka fnfyúka udkisl le<öulg''' mSvkhlg fya;= fjkak mq¿jka' flfkl=g ;u wOHdmkhg we;s wdYdj ke;s fjkjd' l,d;=rlska flfkl=g úYdoh jf.a udkisl wia:djr iajNdjhka mjd we;s fjkakg mq¿jka' fï ksid fïjdg m%;sldr l< hq;=uhs' yenehs''' le<,s j,g m%;sldr lrkjdg jvd jvd myiq l=rE<E j,g m%;sldr lsÍuhs' fï ksid le<,s''' lSf,dhsv njg m;a fjkakg fmr uq,a wjia:dfõoSu 72

MAY 2018 | DOCTOR MAGAZINE

l=rE<E j,g m%;sldr lsÍu ;uhs uQ,sl jYfhka isÿ úh hq;af;a'

f;,a iys; wdydr wkqNjh;a l=rE<E;a w;r iïnkaOhla kE fndfyda fokd w;r ;sfnk úYAjdihla ;uhs wêl f,i f;,a iys; wdydr wkqNjfhka l=rE<E jeä fjkjdh lshk ldrKh' ta;a m¾fhaIKd;aulj th ikd: lrkak miqìula kE;' yenehs m¾fhaIK j,ska y÷kd.;a l=rE<E j,g wys;lr''' l=rE<E jeä lrk fjk;a wdydr foj¾.hla ku y÷kdf.k ;sfnkjd' YrSrfha iSks uÜgu by< kxjk iSks" meKsri wdydr jf.au lsrs j,ska ksIamdokh lrk lsrs" ng¾" Öia wdosh' fïjd úYd, jYfhka wdydrhg .ekSfuka l=rE<E j, j¾Okhla we;s úh yels nj m¾fhaIK j,ska ikd: ù ;sfnkjd' l=re<E j,g m%;sldr lsÍfïoS Tng;a hïlsis j.lSula ;sfnkjd' fjfiiskau f.orfodf¾ Tfí msßisÿ ùfïoS l< hq;= yd fkdl< hq;= oE .ek Tng fyd| wjfndaOhla ;sìh hq;=hs' wm uq,skau f.orfodr Tfí i;aldr .ek l;dnyl fhfouq'

ks;r inka .,ajd uqyqK fidaokak tmd''' l=re<E j,g f.orfodf¾ lrk i;aldr j,oS uQ,slj ie<lsh hq;= ldrKd lsysmhla ;sfnkjd' idudkHfhka l=re<E jeä jYfhka we;s jkafka f;,a iys; iula we;súghs' fuysoS fkdfhla ier inka fhdod .ekSfuka" jeä jdr .Kkdjla uqyqK fiaoSfuka iu lsishï wdmodjlg ,la fjkjd' ta ksid úúO inka w;ayod n,ñka fiaoSug ld,h ñvx.= lrkak tmd' uqyqK fodajkh doctormagazine.lk

jeä jYfhka l=re<e ;sfhk whg fm;s" lr,a jYfhka YÍr.; lrk T!IO ,nd fokjd' fydafudak wdY%s; .eg¿ ;sfnk whg Anti Androgen T!IO kshu lrkjd' lsÍfïoS iEu úgu uDÿ inka j¾.hla mdúÉÑhg .kak'

l=re<E lsis úfgl ñßlkak tmd''' ;j;a jeä fofkla lrk fohla ;uhs" l=re<E yd í,elafyâia wdosh ñßld yeÍug W;aidy oeÍu' fuh;a ydks lrhs' fï ksid le<,s we;s jkakg jeä bvla ;sfnkjd'

rEm,djKH Ndú;dj m%fõYfuka''' fïlma j¾. Ndú;d lsÍfïoS b;du;a m%fõYfuka th isÿ l< hq;=hs' fï ksid ifuys f;,a iys; nj j¾Okh ùfuka l=rE<E j¾Okh ùfï jeä bvlvla ;sfnkjd' úfYaIfhka l=re<E we;sùfï keñhdjla jeäfhka ;sfnk wh rEm,djKH ksmehqï mdúÉÑ fkdlrkjd kï fyd|hs' ta;a lrk lshk /lshdj,a wdosh ksid tfia Ndú;d lsÍu w;afkdyeßh yels kï" yels blauKska tajd bj;a l< hq;=hs' Ndú;d lrkjd kï Ndú;d l< hq;af;a j;=f¾ osh lrk (Water Based) fïlma j¾.hs' fudkjd wdf,am l<;a kskaog hk úg kï tajd bj; l< hq;=uhs'

l=re<E j,g kshu lrk fnfy;a l=re<E i|yd wm T!IO" wdf,amk wdosh kshu lrkjd' tajd kshñ; fj,djg" kshñ; ud;%dfjkau .; doctormagazine.lk

úfYaIfhkau Oral Retinoid ldKavfha T!IO;a wm kshu lrkjd' fï T!IOh os.= ld,Sk jYfhka l=re<E u¾Okhg fhdod .kakjd' fï ksid f;,a >%djh lrk .%kaÓ l=vd m%udKhlg yl=¿jd l=re<E we;sùu wvq lrkak mq¿jka' fuhska we;eï úg ioygu jqK;a l=re<E ysßyerfhka ñfokakg wjia:dj ;sfnkjd' we;eï fj,djg fráfkdhsv wdf,amk jYfhka fokjd' fm;s jYfhkq;a ,nd fokjd' wdf,amks kï fokafk rd;%sfhaoS .ekSughs' Tn fuysoS oek. ekSu jeo.;a lreKla ;sfnkjd' ta ;uhs" fráfkdhsv T!IO .ekSfuka miq ysre t<shg ksrdjrKh ùu iqÿiq fkdjk nj' wdf,amk jYfhka fráfkdhsv ,nd .;a;;a ysre t<sfhka wdjrKh jk wdf,amk (Sun Block) iu. mdúÉÑ l< hq;=hs' fráfkdhsv m%fõYfuka mdúÉÑ l< hq;= fnfy;a j¾.hla' ñ,;a álla jeähs'

Chemical Peeling b;d ld¾hlaIu l=re<E m%;sldrhla ta yereKq úg fjk;a m%;sldr;a l=re<E j,g ;sfhkjd' úfYaIfhka Chemical Peeling m%;sldrh .ek;a lsj hq;=uhs' fuysoS ridhk øjHhla wdf,am lr kshñ; ld,hlg miq l=re<E WodiSk lrkjd' yßhg fõI,a tlla MAY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

hq;=hs' m%;scSjl wdosh ys;=u;fha Ndú;d lsÍfuka we;s jkafka w.;shla' we;efula we;eï m%;scSjl udi .Kka ys;=u;fha Ndú;d lrkjd'

WOMEN'S WORLD

fhdokjd jf.a ;uhs' fuhska l=re<E wvq ùug wu;rj iu ÿ¾j¾K ùu" le<,s we;sùu wdosh;a wvq lr.kak mq¿jka' l=rE<E j, iajNdjh" le<,s ;sfnkjdo@ me,a,ï ;sfhkjdo@ wdoS lreKQ u; Ndú;d lrk ix>glh fjkia lrkjd' jeä ld,hla .; jkafka;akE' meh ld,lska jf.a fï m%;sldrh wjika lrkak mq¿jks' fuh wo ojfia l=re<E uev,kakg b;d id¾:lj fhdod .kakd m%;sldr udos,shla nj;a lsj hq;=hs'

lSf,dhsâ le<,s bj;a lsÍfï m%;sldr l%u YÍrfha le<,s we;sù m%odysl ;;a;ajhka we;s jqKdu kslafIamk ud¾.fhka" wdf,amk j¾. fhdodf.k m%;sldr lrkjd' we;eï fj,djg fudk m%;sldrh l<;a id¾:l;ajhla ,nd .ekSug fkdyels jk wjia:do ke;sjd fkdfõ' fndfyda fj,djg msfÜ iy mmqj m%foaYfha we;sjk l=re<E (Trunkle Acne) ksid le<,s we;s fjkak bv ;sfnkjd jf.au tajd iqj lrkak ksishdldrfhka m%;sldr l< hq;=hs' Wrysia yd mmq m%foaYfhao lSf,dhsâ le<,s we;s ùug jvd;a m%jK;djhla olajkjd' kslfÜo fïjd we;súh yelshs' we;eï fj,djg ld,hla .; jk úg l=re<E bfíu iqjm;a jkjd' ta;a le<,s bfíu iqjm;a jk wjia:d wvqhs'

Needling m%;sldr l%uh Needling m%;sldr l%ufhaoS boslgq wdldrfhka ;sfnk fuj<ï ;uhs fuysoS Ndú;d lrkafka' fï ldKAvhg Dermer Roller yd Dermer Pen hk WmlrK fhdodf.k le<,s j,g m%;sldr lsÍu isÿ lrkjd' 74

MAY 2018 | DOCTOR MAGAZINE

t;rï úYd, fkdjk j,j,a id¾:lj bj;a lrk Dermer Roller Dermer Roller tfla jfÜg ;sfnkafka boslgq jeks ieleiaula' fï m%;sl¾ufhka t;rï úYd, fkdjk l=vd j,j,a id¾:lj bj;a lrkak mq¿jka' t;rï ñ,la jeh lsÍug fkdue;s ùu fuys we;s iqúfYaIS jdishla fjkjd'

f,ai¾ m%;sldrh jeä .eUqrla iys; j,j,a j,g ku m%;sldr msKsi f,ai¾ m%;sldr ,nd .kakg isÿ fjkjd' fuho b;d ld¾hlaIu oshqKQ m%;sldrhla f,i ye|skaúh yelshs'

PRP m%;sldrh frda.shdf.au reêr idïm,hla wrf.k tys we;s mÜáld úfYAI l%ufõohlg fjka lr.kq ,nkjd' tfia fjka lr.kakd reêr mÜáld fï lere<E le<,s wdY%s;j tkak;a lsÍfuka fï le<,s bj;alr.kak mq¿jka' l=re<E i|yd fndfyda m%;sl¾u rcfha frday,a j, kE' oeka Chemical Peeling kï l%ufhka rcfha frday,a j,g y÷kajd oSula isÿ fjkjd' ta;a f,ai¾ wdoS m%;sldr kï mj;skafka fm!oa.,sl wxYfha th;a yefudagu l=re<E i|yd m%;sldr ,nd .ekSug ndOdjlaj mj;skjd' ta flfia fj;;a l=re<E ksid lsisu hqj;shla''' lsisu ;reKfhla jo úh hq;= kE''' úlafIdam úh hq;= kE' tajd uev mj;ajd ksfrda.S iïmkak meyem;a YÍrhla mj;ajd .kakg Tn yeu flfklagu mq¿jka' ••• doctormagazine.lk

WOMEN'S WORLD

,,kd iqjfi;

FEMINA

wêl f,i

Tima fõokdj

;sfnk ldka;djkag isÿ lrk f,dl=''' mqxÑ''''

m%;sldr we;eï hqj;shkag fukau újdyl ldka;djkag mjd Tima ùu ms<sn|j isysm;a jk úg;a we;s jkafka ;o n, ìhls' thg fya;=j Tjqka Tima Èkj,§ w;aú¢k ;on, nfâ lelal=u iy fõokdjhs' iuyrekg fuh fld;rï ±äj ±fkkafka ±hs lsjfyd;a Tima Èkj, wêl Wor fõokdj iu. la,dka; ùu" jukh jeks ,CIK mjd we;s fõ' fufia iuyr ldka;djkag Tima Èkj, wêl fõokdjla yg .kafka wehs@

MAY 2018 | DOCTOR MAGAZINE

doctormagazine.lk

Wmfoia m%ij yd kdßfõo úfYaI{ ffjoH Oïñl is,ajd

;on, Tima fõokdjla we;sùug fya;=

reêrh leá f,i msg ùu Tima reêrh øj wdldrfhka msg jkafka kï th bfíu .,d hkq we;' tfia .,d hdfï§ fõokdjla fkd±fka' kuq;a iuyr whf.a reêrh øjj,g jvd

udia Y=oaêh mj;sk Èkj, iuyrekag ;on, fõokdjla ±fkk w;r ;j;a iuyrekag fõokdj ±fkkafka iq¿ jYfhks' fï i|yd fya;= lSmhla n,mdhs'

fydafudakj, fjkialï .¾NdIfhys fydafudak j¾. rdYshla ;sfí' tla fydafudak j¾.hlska isÿ flfrk ld¾hh jkafka .¾NdIfha reêr kd,sldj, reêrh .e,Su jeä lsÍuh' ;j;a fydafudak j¾.hla reêrh .e,Su wvq lrkq we;' flfia jqjo reêrh .,kafka ;=jd, yg .ekSu ksidh' tA wkqj .¾NdIfha f,a .e,Sï isÿ jk ia:dkj, we;s jk

doctormagazine.lk

Tima reêrh msg;g .uka lsÍfï l%shdj,sh isÿ jkafka fufyuhs idudkHfhka .¾NdIh ;=< we;s reêrh msg jkafka .¾NdIh yelsf,ñka È. yefrñka isÿlrk ls%hdj,shla f,isks' by; wdldrhg leá f,i reêrh msg ùfï§ jeämqr wdhdihla orkakg kï jeäfhka ixfldapkh ùfï§ lelal=ula yg .kq we;' tA wkqj Tima ùfï§ reêr leá f,i msg jk ldka;djkag;a ;on, nfâ lelal=ula yg .ekSu isÿfõ' MAY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

;=jd, h<s w¨;ajeähd lrk ridhksl j¾. o msysgd ;sfí' fm%diag.a,ekaäka (Prostaglandin) hkq fï wdldrhg ls%hdldÍ jk ridhksl øjHhls' fuhska iuyr fm%diag.a,ekaäka j¾. fõokdj lelal=u jeä lrk w;r" fï Èkj, tA ridhksl øjH jeä jqfKd;a wksjd¾hfhka tu ldka;djg Tima Èkj,g ;on, lelal=ula yg .kq we;' lelal=u wvq lrk fm%diag.a,ekaäka jeä jqfKd;a Tima Èkj, fõokdj we;s jkafka iq¿ jYfhks'

WOMEN'S WORLD

leá f,i msg fõ' fufia reêr leá msg jk úg tAjd msg;g ;,a¨ lsÍu i|yd .¾NdIhg wuq;= wdhdihla orkakg isÿ jkq we;' idudkHfhka .¾NdIh ;=< we;s reêrh msg jkafka .¾NdIh yelsf,ñka È. yefrñka isÿlrk ls%hdj,shla f,isks' by; wdldrhg leá f,i reêrh msg ùfï§ jeämqr wdhdihla orkakg kï jeäfhka ixfldapkh ùfï§ lelal=ula yg .kq we;' tA wkqj Tima ùfï§ reêr leá f,i msg jk ldka;djkag;a ;on, nfâ lelal=ula yg .ekSu isÿfõ'

Tima ùu tla tla ldka;djg ±fkk wdldrh fjkia fufia Tima Èkj, lelal=u yg .ekSu tla tla ldka;djg ±fkk wdldrho fjkiah' tfiau tlu lreKlg jqj;a ldka;djka fofokl= m%;spdr olajk wdldrhkq;a fjkiah' tA wkqj iuyrekag fï Èkj, Wiq,d .; fkdyels ;rfï wêl lelal=u ksid jukh hdu la,dka; ùu jeks ,CIK jqjo yg .ekSug mq¿jk' iuyr ldka;djkag iq¿ fõokdjla fyda lsis;a fõokdjla fkd±ksh yelsh'

orejl= ìys jQ miq Tima fõokdj fkd±kS hdu fyda wvq ùu isÿ úh yelso@ tu u;h iShg iShlau i;H fkdfõ' orejl= ìys jQ miq ldka;djlf.a .¾NdIh uq,ska ;snQ ;;a;ajhg m;a jkafka ke;' th .¾NKSNdjhla ;snQ .¾NdIhla ksidh' tA wkqj .¾NdIfha ia:rj, fjkialï we;s fõ' tu fjkialïj, iajNdjh wkqj Tima 78

MAY 2018 | DOCTOR MAGAZINE

Tima ùu fud<fha msáhqgß .%kaÓh iy f.f,ys bosßmig we;s ;hsfrdhsâ .%kaÓfha jEfyk fydafudak u.ska hdukh jk l%shdj,shls'

ùfï§ lelal=u wvq jkakg fyda jeä jkakg fyda fõokdj ;snQ mßoafokau mj;skakg;a fyda yelshdj we;'

lelal=u ke;s lrk m%;sldr úê fyd|u T!IO jkafka by; lS fm%diag.a,ekaäkaj, iu;=,s;Ndjh fjkia lrk T!IO j¾.hs' thska lelal=u wvq lrk fm%diag.a,ekaäka jeälr lelal=u jeä lrk fm%diag.a,ekaäka wvq lrkq we;' fuu T!IO ldKavh y÷kajkafka Non Steroidal Anti-inflammatory Drugs f,isks' fï ldKavh wh;a jk T!IO j¾. lsysmhla f,i bìhqfm%df*aka" bkafvdfu;hska" fu*kñla weisâ jeks oE olajkakg mq¿jka'

doctormagazine.lk

1 Èkh wd¾;j reêrh jEySu wdrïN fjhs Èk 12-16 äïnfldaIfhka mßK;shg m;a äïnhla mef,damSh kd,hg uqod yefrhs

Èk 16-21 äïnh mef,damSh kd,h Tiafia .¾NdIh fj; .uka lrhs 24 Èkh .¾NdI wdia;rkh ì| jeàu isÿfjhs' 28 Èkh ixfiapkhla fkdue;s l,ayS kej;;a reërh jEiaiSu wdrïN fjhs

B<Õ ldKavh jkafka f,aj, leá .efik m%udKh wvq lrk T!IO j¾.hs' fïjd Antifibrinolytic Drugs jYfhka ye¢kafjhs' fï ldKav foflau T!IOj,ska msgjk f,a m%udKh wvq lrk w;r tA wkqj f,a msgjk Èk .Kko wvqjkq we;' m%Odk jYfhka ,nd fokafka fï ldKav folg wh;a T!IO jk w;r fï yer merfigfuda,a jeks fõokd kdYl o fï i|yd fhdÞ .; yelsh' Tima ùfï§ yg .kakd fõokdj ;ukaf.a tÈfkÞ lghq;=j,g ndOdjla jkafka kï yd Tfí Ôú;hg ndOdjla kï by; lS T!IOhla ffjoH Wmfoia u; Tima jk ld,hg ,nd .ekSu iqÿiqh' fuys§ úfYaIfhka i|yka l< hq;a;la ;sfí' fuu T!IOj, fyd|u ld¾hlaIu;djh mj;skafka Tima ùug fmr .ekSfuks' túg T!IOj, idkaøkhla f,a j, mj;shs' f,a j, T!IO idkaøkh tla;rd uÜgulg meñŒu i|yd T!IO ud;%d lsysmhla

doctormagazine.lk

^jdr lsysmhl§& mdúÉÑ lr ;sìh hq;=h' T!IOfha m%;sM, ,efnkafka túgh' Tima ùug fmr tu ,CIK ;ukag ±fkkakg mgka .kakd úgu T!IO mdúÉÑh wdrïN lf<d;a kshu m%;sM, ,eìh yels fjhs' kuq;a Tima reêrh msgjk ;=re tys uq,a ,laIK my< fkdjk ldka;djlg fuys§ l< yels fohla ke;' tA wkqj wehg T!IO Ndú;d lrkakg jkafka Tima isÿùfuka miqjh' tys§ wr ;rïu id¾:l m%;sM, ,efnkafka ke;' fï yereKq úg Wm;a md,k fm;s .ekSu ;=<ska msg jk f,a m%udKh wvq l< yelsh' f,a m%udKh wvq kï lelal=u;a wvqh' vfmdafm%dfõrd Wm;a md,k tkak; u.ska o Tima ùu k;r lr .; yelsh'

udia Y=oaêh k;r lrk úfYaIs; l%u fuu.ska flfrkafka .¾NdIh we;=<; ia:rh ;=kS lsÍu fyda úkdY lsÍuh’

MAY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

Tima pl%fha wdj¾;Sh l%shdldß;ajh

WOMEN'S WORLD

widudkH Tima reêrjykhl ,laIK isÿjk ld,h yd isÿjk wdldrh • kshñ; ld,hg Tima ùu isÿ fkdùu • Tima ùu flá ld,dka;r j,oS isÿùu • widudkH ld,hla uq¿,af,a Tima ùu isÿùu

reêr >%djh • reOsrh leá f,i msgùu • reêr >%djfha fjkialula

Ievonogestrel releasing intra uterine system kñka y÷kajk m<uq l%uh .ek wms uq,skau l;d lruq' fuh tla;rd ma,diaála fldhs,a úfYaIhls' tys nf|ys isúhla ;sfí' th T!IO .,ajk ,o isúhls' levonogestrel hkq tu T!IOhhs' tu fldhs,a tl u.ska .¾NdIfha l=yrh ;=<g álska ál tlS T!IOh jir myla ;siafia uqÞ yeÍu isÿ flf¾' tu.ska isÿjkafka .¾NdIh we;=<; ia:rh ;=kS ùuh' túg Tima ùfï§ uqÞ yßk f,a m%udKh wvqfõ' tksid lelal=uo wvq jkq we;' fï l%uh isÿ lrkafka orejka ,enQ uõjrekagh' fuh Wm;a md,k l%uhla o fõ' fulS fldhs,a j¾.fhys ñ, wêlh' B<Õ l%uh kï .¾NdIh we;=<; ia:rh lmd bj;a lsÍuh' Trans Cervical Resection of Endometrium kï jQ fuh Y,H l¾uhls' wjYH ;rug orejka ,enQ ldka;djka i|yd muKla fuh isÿ flf¾' fuu Y,Hl¾ufhka miqj we;eï úg kej; orejl= fkd,efnkakg mq¿jk' kuq;a Wm;a md,k l%uhla f,i 100] lau id¾:l ke;' l,d;=rlska iq¿ jYfhka

MAY 2018 | DOCTOR MAGAZINE

Tima fõokdj • fõokdj b;d oeäh

Tima isÿùug o bv ;sfí' .¾NdIhg ne¨ula we;=¨ lsÍu ;j;a l%uhls' Thermal Ballon kñka y÷kajk fuu ne¨u r;a lsÍu ;=<ska .¾NdIh we;=<; ia:rh úkdY lsÍu isÿfõ' f,ai¾ lsrK" uhsfl%dalsrK wdÈfhka .¾NdIh we;=<; ia:rh ms<siaiSu o ;j;a l%uhla fõ' fï ish¨ l%u Ndú;d lrkafka wjYH muKg orejka ,nd mjq, iïmQ¾K l< ldka;djkagh' Tima ùfï§ wêl fõokdj we;s lrk ;j;a wjia:djla ;sfí' orejka ,eîu fyda l,d;=rlska fjk;a fya;=jla u; .¾NdIfha we;=<; ia:rh ^tkafvdfuá%hï& .¾NdIfha udxY fmaYs wiaig ld je§u u; Tima ùfï§ .¾NdIfha we;=<; jf.au udxY fmaYsj,g;a f,a .e,Su isÿfõ' fuys§ Tima jk úg wêl lelal=ula ±fkkq we;' tfiau fï whf.a .¾NdIh úYd, ùulao ±lsh yelsh' fï ;;a;ajh tla m%;sldrhla jkafka by; ±lajQ L.R.I.U.S. ^ma,diaála Ths,a& l%uhhs' th we;eï úg id¾:l úh yelsh' tfia fkdjqfKd;a ie;alulska .¾NdIh bj;a lsÍug isÿfõ' ••• doctormagazine.lk

WOMEN'S WORLD

FEMINA

,,kd iqjfi;

uq;%d mÍlaIKfhka .¾NsKSNdjh ikd: jqKd''' ta;a ialEka lrmq ffjoHjrh lSfj .eí .ekSula ke;s njhs'''

tfyu fjkafk fldfyduo@ Blighted Ovum What causes a blighted ovum? My sister was pregnant recently and when she went for the scan she was told that she has a blighted ovum and that she has no baby. Later she developed bleeding and had to have a womb wash.

jhi wjq' 35 g wvq ldka;djlg fuh jßka jr we;sjk ;;a;ajhla kï ta wdY%s; m%fõKsl reêr mÍCIdjla isÿlsÍu WÑ;hehs ffjoH u;hhs' Reviewed by a Gynaecologist 82

MAY 2018 | DOCTOR MAGAZINE

doctormagazine.lk

Blighted ovum lshkafka ljr wdldr ;;a;ajhlao@ Blighted ovum hkq .eí .ekSula m;k ldka;djlg kï iqN mKsúvhla fkdfjhs' l<,rEmhla fkdue;sj .eí.;a ,CIK my< ùula we;sùu Anembryonic Gestation fkdfyd;a Blighted ovum f,i olafjkjd' fujka wjia:djka úr, kE' idudkHfhka ishhg 20 la fkdfyd;a 1$5 la muK jk fuf,i wvq¨yq`vq;d iys; .eí .ekSï W;aidyhka f,i we;s ù uq,a ld,fha we;sjk reêr .e,Sï f,i wjika fjkjd' fï ;;a;ajh y÷kd.ekSug WmldÍ jkafka w;sèjks mÍCIdjhs' uq,skau .eí .ekSï ,CIK my< ù ialEka tlla lsÍug iqÿiq jhi t<eö l< isÿ lrk mÍCIdfõ§ mei ;=< .¾Nhla fkdue;s nj fy<s fjkjd' iuyr úg fï .ek t;rï wjOdkhla fkdue;s ldka;djl kï w;a olskafka Tima ùu ;rula m%udo ùu yd bkamiq we;sjk fjkodg jvd ;rñka jeä reêrjykhla muKhs'

fï wdldrfha m%;sM, rys; wjidkhla we;s ;;a;ajhla we;s jkafka wehs@ fï .ek úia;r lsÍug wm .eí .ekSfï m%drïNl ixisoaêh f,i ie<flk ixfiapk l%shdj,sh foi úuiuq' äïnhla yd Y=l%dKqjla uqK .eiqKq miq th ixfiapkhla we;sù l<,rEmhla njg m;aùug kï fï tl tflys we;s j¾Kfoay tl;= ù hq., iE§ m%;sj,s; úh hq;=hs' fï ixlS¾K l%shdj,sh iEu W;aidyhl§u tl f,i id¾:l jkafka ke;' y÷kdf.k ;sfnk f;dr;=re wkqj uq,a f;ui ;=< we;sjk .eí .ekSï ì|jeàï j,ska ishhg 60 la muK kshñ; mßÈ j¾Kfoay hq., .ekaùfï wvq¨yqvq;d (Improper pairing of chromosomes) ksid we;sjkafkah' MAY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

uu orejka n,dfmdfrd;a;= fjk ldka;djla' fï ksid uf.a Tima pl%h ms<sn|j w;sYhska ie<ls,su;a' jrla uf.a udisl Timaùu m%udo jqKd' fï ksid ud uQ;%d mÍCIKhla l<d' thska ud .eíf.k ;sfnk njg m%;sM,h ,enqKd' bka i;s follg miq ffjoHjrfhl= yuqù ialEka tlla lsÍfï§ ud l=i ;=< orefjl= fkdue;s nj m%ldY l<d' Tyq tu jd¾;dfõ m%ldY lf<a Blighted Ovum f,i' .eí .ekSula isÿù ke;akï uQ;%d jd¾;dj fmdisáõ jqfKa fldfyduo@

fï wm fj; mdGlfhl= tjQ ,smshls' fï ish¿ isÿùï ksid weh buy;a mYapd;a;dmhg m;aù isáhd' weh fukau fujka bÉPdNx. ;;a;ajhkag uqyqK ÿka ldka;djka ;j;a isáh yelshs' kuq;a fï Blighted Ovum kue;s ;;a;ajh ms<sn|j my; úia;rh n,kak' túg th idudkHfhka isÿjk isÿùula nj;a ;ejq,a m;a ùug fya;= ke;s nj;a f;areï hdú'

WOMEN'S WORLD

tfia kï .eí.ekSu ms<sn|j uQ;%d mÍCIdfõ§ weh .eí.;a njg jd¾;d ikd: lrkafka wehs@ ujf.ka yd mshdf.ka ,efnk j¾Kfoay hq., .ekaùu wid¾:l ù ì| jegqfKd;a fuys§ jeoEuy ye,Sug fya;=jk Trophoblastic kue;s ffi, jefvkakg .kS' fï ksid HCG fydafudak uÜgu by< hdula olakg ,efnhs' fï ksidu mshhqre wdY%s; ixfõ§ nj yd ;rul fõokdldÍ nj jeks .eí .ekSfï uQ,sl ,CIK mjd my< úh yel' kuq;a ienúkau fuys§ .eí .ekSula we;s fkdjk ksid Èfkl ta wdY%s; j¾Okh ùï ì| jeà Tima reêrh f,i tajd msg;g hhs' th Èk .Kkdjl isg i;s .Kkdjla olajd ld,hla ;=<§ we;súh yel'

fkd,eîu we;sjkafka kd,.¾N ms<sis¢ul§h' (Ectopic Pregnancy) th yÈis ffjoH wjOdkh ,eìh hq;= wk;=reodhl ;;a;ajhls' tfia ùfï bvlv .eí .ekSï 250 lg 1 ls'

HCG fydafudak mÍCIdfjka ,o yels b`.s'''

fï ;;a;ajh mqreoaola f,i iEu .eí .ekSulgu we;s fkdjk nj y÷kdf.k ;sfí' tys woyi kï jfrl fï wdldrfhka .eí .ekSfï W;aidyhla wid¾:l jQjo B<Õ .eí .ekSu tfia fkdùfï b;d by< bv m%ia:djla we;s njhs'

ialEka mÍCIdjl§ th isÿlsÍug kshñ; ld,h t<ôh;a .¾Nhl i<l=Kla fkdfmkaúh yel' uq,au wjia:dfõ§ fufia .eìKshlg olakg ,efnk i<l=K Fetal pole f,i ye¢kafõ' flfia fj;;a Blighted ovum kue;s ;;a;ajh y÷kd.ekSug ialEka mÍCIdjla isÿlsÍu wjYHfhkau l< hq;af;ao fkdfõ' idudkH id¾:l .eí .ekSul§ kï .eí .ekSï ikd: lrk HCG fydafudak mÍCIdfõ§ tu fydafudak uÜgu ms<sfj,ska jeä jkakg mgka .kS' kuq;a Blighted ovum kï ;;a;ajfha§ fufia jeäùula fkdù HCG fydafudak uÜgu ;jÿrg;a wvqfõ' th .eí .ekSu id¾:l fkdjQ njg ksoiqkls' l,d;=rlska wjia:djl§ ialEka mÍCIdjl§ mei (Sac) fmfkkakg fkd;sîu yd Foetal pole olakg 84

MAY 2018 | DOCTOR MAGAZINE

;rula jhia.; ldka;djka w;r fï ;;a;ajh ;rula by< nj y÷kdf.k ;sfí' thg fya;=jla f,i jhig hk úg we;sjk j¾Kfoay.; wdmodjka ±laúh yel' flfia fj;;a jhi wjq' 35 g wvq ldka;djlg fuh jßka jr we;sjk ;;a;ajhla kï ta wdY%s; m%fõKsl reêr mÍCIdjla isÿlsÍu WÑ;hehs ffjoH u;hhs' wjika jYfhka lsjhq;af;a Tn;a Blighted Ovum f,i ye¢kafjk fï ;;a;ajhg uqyqK mEfõ kï ta ksid wkd.; .eí .ekSu iïnJOfhka úlafIdam fkdúh hq;= njhs' kej;;a tjka wid¾:l ùula we;s fkdùfï b;d by< yelshdjla we;s fyhsks' ••• doctormagazine.lk

FEMINA

Fertility

WOMEN'S WORLD

Women’s World

ore iïm;a ,efnkak m%udo fjkjdo@ fkdmudj m%;sldr j,g fhduq fjkak''' doctormagazine.lk

MAY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

WISH Fertility & IVF Clinic yS idhksl l<,fõo úfYaI{ ffjoH fy<rejka mikal=udr uy;d iu. l< idlÉPdjla weiqßKs MBBS (Sri Lanka) MD (Gyn. & Obs.) Infertility - China, Pg. Dip. (Andrology) Monash, OUSL, Master of Clinical Embryology Monash, Australia, SLMC Reg. No. 20800

wo ;dlaIKh oshqKQhs''' Y=l%dKq ßfmdaÜ tl ìxÿj jqK;a jDIKfldaIh úo, Y=l%dKqjla fydhdf.k''' tfyu ke;akï Y=l%dKqfj T¨j lE,af,ka yß ksfrda.S ore iïm;la ,nd fokak wo idM<H;d ;dlaIKh iu;a''' 86

u|ireNdjh hkq l=ulao@ hqj,la újdy ùfuka miqj wUqieñhka iajNdúlj tl;=ùula isÿj ;sîhoS;a jirla hk;=re ore iïm;la fkd,eîu zzu|ireNdjhZZ jYfhka wm y÷kajkjd' kuq;a fï wre;a .ekaùu t;rï ksjeros kE' wm tfyu lshkafka wehs @

u|ireNdjh uQ,sl jYfhka fohdldrhs' m%d:ñl u|ireNdjh tla ore iïm;la j;aa fkd,eîu

oaú;Shsl u|ireNdjh uq,a orejd ,eîfuka mia fojk ore ms<sis|Sula isÿ fkdùu ore iïm;la m%udo jqKdu jirl ld,hla l,a ne,Su''' ;j;a úosylska lshkjd kï jirl ld,hlska miq ffjoHjrfhl= uqK .eiSu iEu fokdgu tlfia yßhkafka kE' jhi wjqreÿ 35g wvq ldka;djla kï yd fjk;a frda.hla ke;akï ta hqj, i|yd jirla n,d isàu jrola fkdfjhs' ta;a lsishï ldka;djlf.a jhi wjqreÿ 35 blaujd isákjd kï ta ldka;dj fï ;rï ld,hla l,a n,d isàu weh ore iïm;la ,nd .ekSug we;s bvlv wjqrk fya;=jla jkakg;a mq¿jka'

jhi 35 bl=;a jQ ldka;djka ffjoHjrfhl= yuq úh hq;= ld,h idudkHfhka ldka;djl Wm;ska f.fkk äïn jir 35ka miq l%shdldÍ fkdjk ;;a;ajhlg meñfKkakg mgka .kakjd' jhi wjqreÿ 35ka újdy jqfKd;a udi yhla we;=<; ore iïm;la fkd,enqKs kï

MAY 2018 | DOCTOR MAGAZINE

doctormagazine.lk

m%ckl moaO;sfha fodaI iys; wh;a fkdmudj ffjoHjrfhl= yuq úh hq;=hs ldka;djl ;ukaf.a m%ckl moaO;sfha lsishï .eg¿jla mj;akd nj y÷kdf.k isákjd kï" Tima ùfïoS wêl fõokdjla we;sùu" wl%uj;a Tima ùu" tkafvdfuá%fhdaisia" fmd,sisiaála ´jß iskafv%dï jeks frda. ;sfnk wh újdym%dma;j udi 2-3 lska ffjoHjrfhl= yuqùu iqÿiqhs' ta ú;rla fkdfjhs" ldka;djlg oshjeähdj" wêreêr mSvkh ;sfnkjd kï" udi ;=kl wejEfuka fï wh u|ireNdjhg we;=<;a fjkjd' Bg wu;rj mqreIfhla jqK;a fï frda. ;sfnkjd kï th idM<H;djhg lsishï n,mEula we;s lrjk nj lsj hq;=hs'

oeka ore iïm;a ySk nj f,dalh mqrdu mj;sk m%Yakhla u|ireNdjh .ek f,dal fi!LH ixúOdkh isÿ l< fidhd.ekSï j, yeáhg oeka ishhg 30lau hqj,j,a w;r u|ireNdjh olakg ,efnkjd' wUqieñhka oy fofkla .;af;d;a ;=ka fofklau orejka ms<sis|. ekSfï .eg¿ j,g uqyqK mdkjd' 2000 j¾Ihg fmr fï ;;a;ajhg md;% jqfKA wUqieñhka w;=ßka ishhg oyhla muKhs' jir 10-15la we;=<; u|ireNdjh úYd, jYfhka jeä fj,d ;sfhkjd' fï m%jK;djh ksid ;jÿrg;a jHdma; fjkjd' 2025 j¾Ih doctormagazine.lk

jk úg u|ireNdjh ishhg 40-50 muK úh yels njg mqfrdal:kh lr ;sfnkjd' fuh ;j úosylska Tng wjfndaO lrjkakg W;aidy lf<d;a bosß ld,fhaoS wUqieñhka fofokdf. ka tla flfkla lsishï .eg¿jlg ,laùfï wjodkula fuhska oel.; yels fjkjd'

ore iïm;a fkd,efnk jro ldf.o@ ore iïm;a ke;s jqKdu jeäfhka wj,do k.kafk ldka;djkag' óg ldf,lg biair kï we;af;kau fuh yqfola ldka;djf. wm,h ksidu isÿjk wjdikdjla f,ihs ie<l+fha' ta;a úoHd;aulj i<lk úg mqreI uQ,sl fya;= ksid;a u|ireNdjh we;s úh yelshs' 1980 oYlfha úoaj;a l;sldj;a j,g wkQj ore iïm;a wysñ ùug n,mE fya;= w;f¾ ishhg 70la muK wh;a jqfKA ldka;d iïNjhla iys; fya;= úosyg' ta;a oeka ldka;d fya;=;a mqreI fya;=;a yß yßhg fuhg n,mdk nj fmfkkakg ;sfnkjd' wo ojfia u|ireNdjhg n,mdk úúO fya;= w;f¾ ishhg 50la fya;= ldka;djf.a' b;sß ishhg 50 mqreIhdf.a lsishï wvqmdvqjla fjkak mq¿jka' ta ú;rla fkdfjhs wkd.;fhaoS mqreI mdol fya;= ldka;djf.a wvqmdvqlï wNsnjd hkakg;a bv ;sfnkjd'

ore iïm;a m%udo ùug n,mdk ldka;d fya;=;a mqreI fya;=;a oeka yß yßhg y÷kd .efkkjd' MAY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

fï wUqieñhka ffjoHjrfhl= yuqúh hq;=hs' wjqreÿ 40ka újdy jQ ldka;djl kï udi ;=kloS ore ms<sis|Sula isÿ fkdjqfKd;a ffjoHjrfhl= yuqùu iqÿiqhs'

WOMEN'S WORLD

u|ireNdjhg kùk m%;sldr ire ojia j, tl;= ùu hqj,la u|ireNdjhg m%;sldr msKsi wdju uq,skau n,kafk fï wh ire ld,fhaoS tl;= fjkjdo lshk ldrKhhs' Bg miafi ialEka mÍlaIKhla lr, äïn j, ;;a;ajh .ek ;lafiarejla lrkak mq¿jks' äïn W;af;ackhg ,la lrk tkak;la oS, äïn msgfjk ojfi iajNdúlj tl;= fjkak lsh, lshkj' fïl ir< Wmdh ud¾.hla' fï úosfya ir< Wmdhud¾. j,ska weh .eí .ekaùug W;aidy .ekSu uq,au mshjf¾os isÿ fjkjd' Time Intercourse Technique fuysoS wUqieñ iïnkaO;djhlg tlafjk fj,dj ;SrKh lrkafk ffjoHjrhd ;uhs'

IUI m%;sldrh IUI lsh, ir< m%;sldrhla ;sfhkjd' fuysoS mqreIhdf. Y=l%dKQ idïm,hla wrf.k fyd| Y=l%dKQ ál f;dar, äïn tk fj,dj ialEka tflka n,, ldka;djf.a .¾NdIfha ;ekam;a lrkjd' fïj ir< m%;sldr uq;a fïjd;a isÿ lrk iSudjla ;sfnkjd' wjia:d 3-4-5 g jvd lrk úg ia;%shf.a ;sfnk îc bjr fjkak mq¿jka' .¾NdIh we;=<g úIîc .syska mef,damSh kd,h wjysr fjkak;a we;eï úg mq¿jka'

u|ire;djfhkafmf<k wUqieñhkg ore iïm;a i,ikq jia isÿ lrk wê;dlaIKsl m%;sldr iïnkaOfhka ,nk l,dmfhka n,dfmdfrd;a;= jkak' 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 lafIA;%fha m<mqreÿ wfma jD;a;Sh iydh ,nd oSug wm b;d leue;af;ka isáuq' 88

MAY 2018 | DOCTOR MAGAZINE

jhi wjqreÿ 35ka újdy jqfKd;a udi yhla we;=<; ore iïm;la fkd,enqKs kï fï wUqieñhka ffjoHjrfhl= yuqúh hq;=hs' wjqreÿ 40ka újdy jQ ldka;djl kï udi ;=kloS ore ms<sis|Sula isÿ fkdjqfKd;a ffjoHjrfhl= yuqùu iqÿiqhs' kqf.af.dv" Wvyuq,a," mrK fldÜgdj mdf¾ WISH Fertility & IVF Clinic fï jákd ;dlaIKh weiqf¾ wUqieñhkaf.a ore iqr;,a isysk ienE lrk osjhsfka m%uqL idM<H;d wdh;khls' Tfí ore iïm;a ,eîfï m%udoh iïnkaOfhka we;sjk .eg¿ i|yd 0779728799 yd 0773273866 hk wxl wu;kak' doctormagazine.lk

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

AD-MIRE Creative

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 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 MAY 2018 | DOCTOR MAGAZINE April 2017 DOCTOR MAGAZINE 91

WOMEN'S WORLD

wef.a cSú;h fï jf.hs ldka;djka iïnkaO wmQ¾j f;dr;=re álla fï ldf, ke;sj ljo fuõj .ek l;d lrkako@ Tõ''' wms oeka lshkak hkafk ldka;djka iïnkaOfhka Tn fuf;la fkdweiQ wmQ¾j f;dr;=re álla''' iuyr ldrKd wef.a .eyekq iajNdjhg iïnkaOhs' we;efula wehg w;sYh fm!oa.,slhs''' ;j;a ldrKd''' wehf.a cSú;hg jeo.;a''' wms n,uq wehg iïnkaO weh;a fkdokakd fkdlshk fï jeo.;a lreKQ fudkjo lsh,'''@@@ 90

MAY 2018 | DOCTOR MAGAZINE

doctormagazine.lk

ldka;djka jeä fofklag wef.a fmKQu .ek fudlla yß jo fjk m%Yakhla ;sfhkjd' The Dove Global Beauty wdh;kh úiska rgj,a oy ;=kl ldka;djka 10"000la fhdodf.k iólaIKhla l<d' ishhg 85lau ;ukaf. fmKqu .ek fudkj yß m%Yakhla odf.k jo fjkjd' uyck;dj .ejfik ia:dk j,g hkak ;sfhk fldg fuh wehg udkisl .eg¿jla fjkjd' iuyre lkafk fndkafk;a kE''' M<lg ke;s fï foaj,a .eku jo fj,d''' ;ukaf. fmKqu .ek wkjYH ixldjla .ekSu udkisl fi!LHhg;a fyd| kE''' wms yefudagu ;ukag úfYaI wdl¾YKhla" ,iaiKla ;sfhk nj ys;g wrf.k fï ys;¿ j,ska ños, wr iólaIK m%;sY;h álla yß wvq lrkak odhl fjuq'

Tyq me< lrk îc wehg jdis f.dvla f.k tkjd''' fï lshkafk Y=l% Od;= .ek''' fndfyda fofkla fkdokak ldrKhla' wef.a ryiÕ ;=< ;ekam;a jk Y=l% Od;= j,ska wehf.a fida ,;ejq,a wju lrk nj Tn fudfyd;lg j;a is;=jdo@ Y=l% Od;= j, l%shdldß;ajh ksid idxldj" úIdoh wvq lrkjd' Y=l% Od;= j, ;sfhk Serotonin, Oxytonin yd endorphins lshk fydafudak ish,a,u yeÕ=ï iqir lrk l%shdj,shl (moodboosting) fhfokjd' ta jf.auhs tys ;sfnk Melatonin jvd;a fyd| doctormagazine.lk

ksødldrlhla' iyjdifha fhoSfuka miafi wehg we;sjk ksosnr njg fya;=j oeka weh f;areï .kSú'

oskm;du Tn we;s lr.kakd fi!LH wjodku .ek ys;kak tlai;a ckmofha mdßißl fi!LH iïnkaO l%shdldÍka lKavdhula lshk yeáhg ldka;djl ojila .; lrk úg úúO ridhk 168la wef.a isrerg úúOdldrfhka wjfYdaIKh fjkjd' jeä yßhla lk lEu j,ska" isref¾ .,ajk wdf,am j,ska' ñka iuyrla tfyu wjfYdaIKh jqKdg wjodkula f.k tkafk kE' ta;a we;eï ridhk YÍrhg w;sYh ydks lrhs' fï ksid ldka;djkag m%ckl fi!LH .eg¿ we;s fjkak mq¿jka' úúO frda. j,g''' we;eï úg ms<sld j,g mjd ksrdjrKh fjkak mq¿jka' wdydr .kakd úg fi!LHiïmkak iajdNdúl wdydru .kak' rEmh .ek ie<ls<su;a fjk tl wef.a whs;sh' ta;a wkjYH muKg úúO ksIamdok j,g isrer ì,s fokak tmd' th buy;a wjodkula wehg f.k tkjd'''

l÷,g újrjQ wef.a .;s iajNdjh''' ldka;dfjd y`vkak Wmka ymkakq lsh,hs msßñkaf. ms<s.ekSu' msßñ ÿlla we;s jqKdu th ysr lrf.k bkakjd' ldka;dfjd lrkafk y`vk tl' wef.a ÿl ú;rla fkdfjhs'''' fjk;a flfklaf. ÿlla jqK;a wehg y`v, myiqfjkau fnod .kak mq¿jka' fï .;s iajNdjhg fya;=j cSj úoHdj myokjd' wef.a ,sx.sl fydafydak ye`vqug rel=,a fokjd' ta;a msßñkag ,dlaIKsl fgiagiagfrdak tfyu kE' we;af;kau fgiagiagfrdak fï yeÕ=ïnr Ndjh wE;a lrkjd' ••• MAY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

uu le;hs lsh, ys;k ldka;dfjda'''

WOMEN'S WORLD

SWEET HEART

Tfí ì<s|d iqfjka''' i;=áka'''

.y .kakd iy ymd .kakd nnd,d

fifkyi mokfï wOHlaIsld" mjq,a fi!LH fiajd ks,OdßkS YHdu,s m;srf.a 92

MAY 2018 | DOCTOR MAGAZINE

Tfí orejd wka orejkag fyda jeäysáhkag mSvd f.k foñka ks;r ks;r imd lkafka kï túg orejd .ek jeä wjOdkhla wjYHh' doctormagazine.lk

orejdf.a m<uq Wmka oskfhka miq fuu ,laIK idudkHfhka u;=fõ' idudkH j¾Ok ,laIK j,§;a iuyr j¾Ok wjê ;=< orejd fujeks foa lsÍu idudkH neúka fuh .eg¿ jk wjia:d y÷kd.; hq;=h' ks;r ks;r ;Èka imkafka kï ^orejkaj fyda jeäysáhkaj ks;ru& wka whg myr fokafka kï" nvq lvd ì| oukafka kï fyda wkjYH f,i flaka;s hkafka kï orejd jD;a;Sh mqyqKqjla ,o WmfoaYlhl=f.a Wmfoia u; yeiSÍu ksje/È lsÍfï l%ufõoh wkq.ukh lr idudkH uÜgug f.k wd hq;=h' úfYaIfhkau wjqreÿ ;=fkka miq jQ miq;a" tkï Èjd iqrl=ï uOHia:dkj, fyda uq,a <udúh ixj¾Ok uOHia:dkhl isák úg fujka l,ydldÍ m%pkav .;s fmkajk orejka flfryS jeä ie<ls,a,la fhduq úh hq;=h' ukao h;a" wjqreÿ 3 ka miq wjêh ñ;=re in|;d j¾Okh lr .ekSug yels wjêhla jk ksidfjka tjeks ks;r we;sjk l,yldÍ yeisÍu idudkH fkdúh yels neúks' iuyr orejka wjqreÿ 3 g wvq ld, iSudfõ § tfia;a ke;akï wjqreÿ 1 yd 2 jhia iSudj,oS wka whj iemSug fm<fò' ;ud foig wka whf.a wjOdkh fhduqlr .ekSug" wukdmhla we;súg" is;a ;ejq,lska fmf<k úg fyda wi;=áka isák úg" tfia;a ke;akï fi,a,ula f,i fuh isÿúh yel' fïjd idudkH isÿùï fõ' lsß o;a u;=jk wjêfha;a fujeks imdlEï orejd isÿ lsÍu idudkH isÿùuls' fï wjia:dfõoS orejdg iemSug WÑ; úiaflda;= fyda u|la >k wdydrhla ke;akï rn¾ WmlrKhla ÿka úg tu .eg¿j u.yrjd .; yel' kuq;a iuyr orejka wka orejkag fyda jeäysáhkag mSvd f.k foñka ks;r ks;r imd lkafka kï túg orejd .ek jeä wjOdkhla wjYHh' doctormagazine.lk

MAY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

jeäysá wmg yeÕSï md,kh lsÍug m%udKj;a yelshdjla we;;a mqxÑ orejkag tu yelshdj ke;' f,dl= l=vd ld yg;a wvq jeä jYfhka m%pkavldÍ .;s ,laIK mj;S' m%pkavldÍ .;s mej;=ï jeämqr olajk orejka wka wh yemSug" (Biting) myr §ug (Fighting)" iSßug" myqre .Eug fm<fò'

WOMEN'S WORLD

iemSfï§ l, yels oE •

imk wjia:djla ÿgq úg thg iskdiSu fyda fjk;a wkqu; lrk fyda wjOdkh fhduqlr .ekSug th isÿ lsÍug orejd fmd<Ujk wdldrfha m%;spdr fkdolajd jydu —tmd˜ hhs lSu' th ;Èka ia:djrj lSu' kuq;a orejdg nksk wdldrfhka fkdfmkajd th wkqu; fkdlrk Ndjfhka lSu'

•

wjq' 2-3 orejl=g kï wka whg ßfok nj lshd §u' iemSu ßfok nj fmkaùug orejd imd ßojkak tmd' tu.ska orejd m%pkavldÍ nj jeälr .kS'

•

iemQ wjia:dj, ksfIaOd;aul Wmdh ud¾. Ndú; lrñka orejdg o~qjï §u' iemSula isÿl, úg úkdä 10-15 orejd jvd fkdf.k isàu' fi,a,ï lsÍug fkd.ekSu' l;d fkdlr isàu'

MAY 2018 | DOCTOR MAGAZINE

by; l%u j,ska orejdf.a iemSu kj;skafk ke;akï WmfoaYk iyh ,nkak'

rKavq lsÍfï§$myr §fï§ l< yels oE orejka hkq rKavq lsÍug yd tiekska hd¿ ùug ksiÕ yelshdjla we;s whhs' fï ksid rKavq lsÍu orejka w;f¾ idudkHhs' tys jrola kE' rKavqjla ;=<ska orejka fndfyda oE bf.k .kakjd' ;uka wdrlaId fjk yeá ^wd;audrlaIdj&" fmaYs jev lrk yeá" bjiSu" i;=g jf.a fndfyda oE" orejka rKavq lrk úg jeäysáhka rKavq fõ fldgialdrhka úh hq;= kE' foia fofjd,a ;shkak" lE .ykak" orefjd;a tlal tlafj,d Tn;a flaka;s .kak wjYH kE' fuysoS lsis úfgl me;a;la .kak tmd' ks¾udKYSs,Sj rKavqj iu:hg m;alr .kak Woõ lrkak' kuq;a ks;ru wfkla orejkag myr

doctormagazine.lk

fok$rKavqjg hk orejl= isà kï Tyq$weh .ek wjOdkfhka isg th widudkH ;;a;ajhla ±hs y÷kd.kak' tjeks orejl= WmfoaYk fiajdjlg f.k taug m%:u f.or§ l< yels foa fndfyda ;sfí' •

orejd bÉPd Nx.;ajhg" tfia;a ke;akï fkdikaiqka udkisll;ajhlska fyda ks;r wi;=áka isà±hs fidhd n,d ta ;;a;ajh we;sùug fya;= fidhd orejdg msysg fjkak'

•

l=vdu orejkag ^wjqreÿ 1-2& ;Èka lshkak' Wod - .ykafka kE' .eyqju ßfokjd wdoS jYfhka mjikak'

•

wjq' 2-5 orejkag fyd|ska l:d lr meyeoss,s lrkak' idlÉPd lrkak' —Thdg ;ryd .shdg wks;a whg .ykak nE' .eyqju ßfokjd˜ —Thdg ;ryd .syska nj ug f;afrkjd wms ;ryd ke;s lr.kak fudkjo lrkafka n,uq˜ tu.ska myrÈ ßfok flkd ms<sn| iylïmkhla we;s lrkak'

•

<ufhl= ;j;a <ufhl=g myr ÿka úg tu orejdg myr fkdfokak' tfia l< úg orejdf.a m%pKAvldÍ nj jeäfõ'

•

orejd ,sx.sl wmfhdackhlg ,laj we;s úg;a fujka l,yldÍ yeisÍï we;súh yels ksid ta ms<sn|jo wjOdkfhka isákak'

•

m%pKav yeisÍï iys; rEmjdySkS o¾Yk" ldgQka l;dkaor j,ska orejd wE;a lrkak' tjeks ldgQka' o¾Yk krUk orejka ;=< m%pKav;ajh jeähs'

•

wdorh lrk .=rejrfhl=g" jeäysáfhl=g fyda wd.ñl mQcljrfhl=g orejdg l;d lrkak bv i,id fokak'

•

È.ska È.gu m%pKavldÍ yeisÍï mj;Skï ufkda WmfoaYk i|yd ufkda WmfoaYljrfhl=g orejd fhduq lrkak'

rKavqjla ;=<ska orejka fndfyda oE bf.k .kakjd' ;uka wdrlaId fjk yeá" fmaYs jev lrk yeá" bjiSu" i;=g jf.a fndfyda oE" orejka rKavq lrk úg jeäysáhka rKavq fõ fldgialdrhka úh hq;= kE' •••

doctormagazine.lk

MAY 2018 | DOCTOR MAGAZINE

WOMEN'S WORLD

Wodldishla Wv od,d ljqo Èkkafka n,kak' fnod. kak fohla ;sfhakï iuj fnod fokak'

fï udifha odhl;ajh ,ndf.k merKs ñ, .Kka j,gu jirla iÕrdj ksfjigu f.kajd .kak

Cooperate Health News

Vision Care

The Visionary Eye Care Institute of the People

“Your eyes are the doorway to your heart. They reflect your emotions and your inner being. A lot can be concluded from the expression of your eyes. Thus, it is no wonder that eyes have been the source of

inspiration to poets, authors, and artists since time immemorial.” “The eye is the lamp of the body. So, if your eye is healthy, your whole body will be full of light.

Prevention is better than Cure “We believe in the age old adage that prevention is better than cure, which is the reason we insist on regular eye-check- ups prior to the appearance of any problem as many eye related conditions can be resolved at early detection,” stated Mr. Vidya Jayarathna, Optometrist and Principal of the Vision Care Academy. Research says that close to 80% of information is received through vision and out of the five senses, the most important is sight. A recent survey conducted by the World Health Organization (WHO) proves the staggering results prevalent in the world today as 39 million are shown to be legally blind and 285 million are visually impaired and 90% of the latter are from low income families. Children’s eye care plays a pivotal role in every

doctormagazine.lk

MAY 2018 | DOCTOR MAGAZINE

sphere of their lives especially their education and the future career. For instance if a little child’s eyesight is blurred he or she may deem it as normal or if it is in a school environment a teacher may notice the child lagging in his/her work due to the inability to read the writing on the board or parents may notice symptoms such as recurring headaches. This calls for immediate attention and these could be avoided if a child is subject to annual eye inspections by a reputed Optometrist. With reference to adults, South Asia and Sri Lanka have seen a growth in the aging population and many who hit 40 tend to opt for alternatives by using the spouse’s spectacles for reading purposes instead of seeking professional advice from an optometrist for a permanent solution. This would result in severe albeit permanent damage of the eye due to unnecessary strain and pressure. The four main types of noncommunicable diseases are cardiovascular diseases (like heart attacks and stroke), cancer, chronic respiratory diseases (such as chronic obstructed pulmonary disease and asthma) and diabetes. The condition in the eyes plays a key role in determining the onset or progression of such diseases. Therefore it is imperative to pay more attention to the health of one’s eyes. Most often than not chronic diabetes would result in myopia or blindness which could be identified and rectified at the initial stages. There are other external factors such as pollution, lifestyle, job and environmental conditions and UV rays which cause a majority of the vision related problems. Many eye diseases such as age-related macular 98

MAY 2018 | DOCTOR MAGAZINE

degeneration, glaucoma, cataract and diabetic retinopathy have no early symptoms and it may be painless until the disease has become quite advanced. But glaucoma may have a pain in some several stages. Customers’ are guaranteed the optimum range in eye-care solutions through Vision Care. Regular eyecheck-ups with the highly qualified Optometrists will provide the most accurate solution and care of each person’s best gift which is sight. The duration between eye check-ups could vary from three to six months or annually depending on the age and the individual’s condition.

The Value of Sight – Reaching a Broader Spectrum The Vision Care Academy was founded in April, 2008 by the visionary et al, Mr. Dasantha R. Fonseka, Chairman / Chief Executive Officer of Vision Care Optical Services (Private) Limited to train in- house staff. At present students can choose from the three courses which are; Certificate Course for Ophthalmic Assistants, Certificate Course in Dispensing Opticians and the Diploma in Optometry. The qualification required are passes in the Advance Level examinations, preferably in the Bio Science or Mathematics streams. English is a prerequisite as the course are conducted in English. While spearheading a generation who places a high value on the gift of sight Vision Care wishes to emphasize on the importance of regular visits to any of their branches situated across the island to obtain the best solution to all their eye related needs. ••• doctormagazine.lk

Illness Anxiety Disorder: Beyond Hypochondriasis

is;Su;a

f,vla

ke;;a we;;a

ks;ru fldfyaj;a ;sfhk f,vla .ek ys;ñka cSú;h l,lsfrk we;af;da''' 100 MAY 2018 | DOCTOR MAGAZINE

doctormagazine.lk

;=<g leurdjla hjd mÍlaId lrk tkafvdiafldms we;=¿ mÍlaIK lsysmhlau isÿl< w;r tajdhskao lshejqfKa Tyqf.a Worfha lsisÿ wdndOhla fkdue;s njhs'

ixch o is,ajd ,shhs BN (Malaysia) Dip. in Psychology (SL)

WordndOhlska mSvd ú|s frda.sfhla''' @ miq.sh Èfkl wfma ufkda ffjoH idhkhg frda.sfhla meñ‚hd' Tyq wm fj; fhduq lr ;snqfKa ldhsl frda. ms<sn| ffjoHjrfhla úiska' fï frda.shdg ;snqKq m%Yakh jqfKa jir lsysmhla ;siafia mj;sk nfâ wudrejla' uq,skau nv oeú,a,la f,i we;sjQ fï wdndOh miqj ;on, nfâ fõokdjla njg m;aj ;snqKd' uq,skau yuqjQ ffjoHjrhd úiska fuh .eiag%hsáia f,i i<ld m%;sldr l<;a frda. ,laIKj, wvqùula olskakg ;snqfKa keye' tu ksid Tyq fjk;a ffjoHjrfhl= fj; .shd' tu ffjoHjrhd wdudYh doctormagazine.lk

fojeks ffjoHjrhdg;a ;udf.a wikSmh fidhd.; fkdyels jQ nj is;+ wfma frda.shd ;j;a ffjoHjrhl= fj; fhduq jqKd' fï wdldrfhka wfma idhkhg tk úg Tyq ldhsl yd Y,H ffjoHjreka miafofkl= fj; f.dia ;snQ w;r remsh,a ,laI myl muK mÍlaIK lrjdf.k ;snqKd' tu mÍlaIKj, jd¾;d we;=<;a úYd, *hs,a ljr lsysmhlau Tyq /f.k ú;a ;snqKq w;r tkafvdiafldms jd¾;d myl=;a ta w;r ;snqKd' wjidkfha§ nfâ fõokdj ks;r ks;r we;sùu ksid /lshdj mjd lr.ekSug fkdyels ;;a;ajhg m;ajQ úghs Tyq wm idhkhg meñKsfha'

frda.ldxidj fuf,i lsisÿ YdÍßl wikSmhla ke;ehs ffjoHjreka úiska ;SrKh l< miq;a È.ska È.gu ;udg wikSmhla we;ehs is;Su udkisl frda.S ;;a;ajhla' fuh ffjoH úoHdfõ§ y÷kajkafka frda.ldxidj (Hypochondriasis) hk kñka' fuu frda. ;;a;ajh uE;l isg Illness Anxiety Disorder hkqfjkao ye|skafjkjd' fun÷ frda.Ska ks;ru YÍrhg oefkk fmdä fjkila jqj;a nrm;, frda.hl ,laIKhla f,i is;ñka ìhg m;afjkjd' tn÷ frda.hla ke;ehs ffjoHjrhl= mejiQ úg fudjqka is;kafka ffjoHjrhdg jer§ we;s njhs' ke;s wikSmhla .ek is;ñka ;udf.a iïmQ¾K ld,hu ta fjkqfjka jeh lsÍu ksid fuu frda.Skag mjqf,a j.lSï" /lshdj muKla fkdj ;u tÈfkod lghq;= mjd ksis mßÈ lr.ekSug fkdyels ùfuka m%Yak /ilg uqyqK §ug isÿfjkjd'

lsisÿ YdÍßl wikSmhla ke;ehs ffjoHjreka úiska ;SrKh l< miq;a È.ska È.gu ;udg wikSmhla we;ehs is;Su udkisl frda.S ;;a;ajhla' fuh ffjoH úoHdfõ§ y÷kajkafka frda.ldxidj hk kñka' MAY 2018 | DOCTOR MAGAZINE 101

Illness anxiety disorder is a recent term for what used to be diagnosed as hypochondriasis. People diagnosed with IAD strongly believe they have a serious or life-threatening illness despite few or no symptoms. Yet their concerns are very real to them.

frda.ldxidfõ ,laIK y÷kd. kak v;udg lsishï nrm;, frda. hla je<£ we;ehs ;Èkau úYajdi lsÍu$ke;fyd;a tn÷ frda.hla je<£ug wdikak hhs is;Su viq¿ ysi lelal=ula" WordndOhla fyda w;mh fõokdjla mjd ms<sldjla fyda yDohdndOhla jeks Nhdkl frda.hl ,laIK f,i is;Su • tu frda.h ms<sn|j i|yka jk fmd;m;" fjí wvú hkdÈh wêl f,i lsheùu ^iuyr frda.Ska frda.hg we;s ìh yd ldxidj ksid frda.h .ek i|yka fmd;m; lsheùfuka je<lS isákjd& • tn÷ frda.hla ke;ehs ffjoHjreka úiska iy;sl l< miq;a fuu úYajdih È.gu mej;Su • ;udg tn÷ frda.hla we;ehs ;yjqrelr .ekSug fkdfhl=;a ffjoHjreka fj; hdu$úúOdldr mÍlaIK lrjd .ekSu • by; úYajdih ksid frda.shdf.a tÈfkod Ôú;fha lghq;= j,g mjd ndOd we;súh yel

fuu frda.h we;sùug fya;= fudkjdo@ fï i|yd meyeÈ,s fya;=jla oelaúh fkdyels jqj;a my; i|yka lreKq j, 102 MAY 2018 | DOCTOR MAGAZINE

n,mEula we;ehs úYajdi flfrkjd( • udkisl wd;;sh • <ud ld,fha§ wmfhdackhg ,laj ;sîu • <ud ld,fha§ nrm;, frda.hla je<£fï w;aoelSula ,nd ;sîu • ckudOH uÕska nrm;, frda.dndO iq,n lr fmkaùu

m%;sldr frda. ldxidjg m%;sldr lsÍfï wruqK jkafka frda. ,laIK md,kh lr.ksñka tÈfkod lghq;= idudkH mßÈ lr.; yels ;;a;ajhg frda.shd f.k tauhs' YdÍßlj frda.hla fkdue;s njg ;yjqre lr.ekSfuka wk;=rej ufkda Ñls;ail m%;sldr wdrïN flfrkjd' tys§ frda.shdg frda. ;;a;ajh wjfndaO lr.ekSug fukau th md,kh lr.ekSug wjYH ufkdaúoHd;aul Wmldrh ,nd fokjd' ldxidj yd úYdo ;;a;ajhka md,kh lsÍug wjYH T!IO o ta iuÕu ,nd fokq we;s' tfukau mjqf,a whgo WmfoaYkh ,nd§u wjYH úh yelshs' wjidk jYfhka i|yka l<hq;af;a frda. ldxidj kue;s frda.hg ksis m%;sldr ,nd .;fyd;a th fyd¢ka md,kh lrf.k idudkH Ôú;hla .; lsÍug yelshdj we;s njhs' ••• doctormagazine.lk

ENT Procedures

kdifhka oshrla .e,Su iEu úgu

mSkiuo@

wj¾K oshr .e,Sï iïnkaOfhka r;= t<shla flfkl=f.a kdifhka hï wdldrhl oshrhla .,kjd kï th reêrh fyda iqÿ meye;s øjHhlao hkak fidhd ne,sh hq;=hs' wo wm wjOdkh fhduq lrkafka flfkl=f.a kdifhka meyeos,s oshrhla .,hs kï th l=uk wdldrfha ;;a;ajhla ùug wjia:dj ;sfío hkak úuiSughs' fndfyda fofkl= is;kafka kdifhka 104 MAY 2018 | DOCTOR MAGAZINE

oshrhla .e,Su iEu úgu mSki fyda fiïm%;sYHdj lshdh' kuq;a thska Tíng we;s úh yels wjia:d .ek wjOdkh fhduq fkdlsÍfuka kshu ;;a;ajh u. yeÍ hdug we;s wjia:d jeäh' kdih ;=< jHqyd;aul msysàu wkqj th tla mfilska udhsï jkafka ysialnf,a mdough' (Base of the Skull) hï doctormagazine.lk

W.=r lk kdih ms<sn|j úfYaI{ ffjoH iS;d l=udß wrfòfmd, úisks rdc.sßh f.da,avka lS frday, hï fya;= ksid fï udhsu m¿ÿ ùu ;=<ska fud<h ;=< wka;¾.; oshrhka (Cerebro Spinal Fluid or CSF) kdih yryd msg;g meñKsh yel' fud<h ;=< we;s mglhkaf.ka we;sjk fkrd taï" f.ä" ms<sld fuu udhsu ì| oud by; wdldrfha oshruh ldkaÿjla we;s lsÍug we;s bvlv neyer,sh fkdfya' tfiau yosis wk;=rla ksid we;sjk ì|Su ksid ysia lnf,a m;=f,a we;sjk újrhka ;=<ska fuf,i oshrhla .,d taug we;s bvlvo wm wu;l fkdl< hq;=h' kdih wdY%s;j lrk ixlS¾K Y,Hl¾uhkaf.a w;=re wdndOhla f,io fuf,i fud<fha ;r,h msg;g .,d tkakg mq¿jk' fuysoS .,d tkafka Yaf,aYu,o" fud<fha ;r,ho hkak ksYaph jYfhka y÷kd .ekSu ;SrKd;aul

doctormagazine.lk

jkafkah' ta i|yd úúO mÍlaIK ;sfnk w;r frda. ,laIKhla f,i m%Odk jkafka fuu oshrh kdih ;=<ska ìxÿ jYfhka meyeos,sj jefgk nj frda.shdg mjd meyeos,sj ta;a;= hduhs' fuu ;r,h meyeos,sj c,hg iudk jk w;r mSki ksid .,k oshrh wef,kiq¿ fõ' tfiau fuu oshrh / iafldg wjYH mÍlaIK j,g heùuo isÿ flf¾' tkaviafldms ^leurd& mÍlaIK u.ska kdih ;=< jHqyuh fjkialïo y÷kd.ekSug ffjoHjrhd iu;a jkq we;' fï .ek jeäÿrg;a ;yjqre lr.ekSu wjYH hhs is;k l,ayS CT/MRI mÍlaIK wdosh kshu lrKq we;' fuf,i os.ska os.gu fud<fha ;r,h ldkaÿ ùu ksid wêl ysirohla" lrleú,s iys; iajNdjhla we;s úh yel' tf,i ysialnf,a m;=f,ys hï jHqyuh újrhla we;sù ;sfíkï th yryd fud<hg úIîc .uka lsÍfuka wdidok ;;a;ajhla (Meningitis) we;sùugo jeä wjia:djla ;sfí' fujeks ;;a;ajhla y÷kd.;a úg thg T!IO m%;sl¾u" we| úfõlh yd wjYH kï Y,Hl¾uhla u.ska tu újrh jid oeóug mjd isÿjkq we;' fuysoS frda.sfhl= oeKQj;aúh hq;af;a Tfí kdifhka meyeos,s oshrhla .,d ths kï ta iu. wfkl=;a mßjdr frda. ,laIK jk lsúiqï hdu" W.=r-kdih leiSu" kdih wêl f,i wjysr ùu wdosh olakg fkd,efí kï fï ;;a;ajh mSki hhs ,>q fldg is;d .Kka fkdf.k fkdisáh hq;= njhs' frda.Ska muKla fkdj ffjoHjreka mjd fï .ek ksis wjOdkh fhduq fkdlf<d;a frda. úksYaph m%udo úh yel' ••• MAY 2018 | DOCTOR MAGAZINE 105

Velona Cuddles Innovative Products

wdishdfõ m%:u mßir ys;ldó

vhmr

VELONA CUDDLES BAMBOO

l,ska ,smsfha wms fmdfrdkaÿ jQ wdldrhg wmf.a kj ksIamdok ms<sn|j Tn oekqj;a lsÍug wms n,dfmdfrd;a;= fjuq'

jeä jk wmøjH m%Yakhg iq¿ m%udKfhka fyda ms<s;=rla fiùug wm wdh;khg wjYH jQ fyhska iNdm;s ;=udf.a woyila mßÈ mÍlaIK yd ixj¾Ok ^R&D& lKavdhug kj wNsfhda.hla Ndr fok ,§' fuys§ mßirhg ys;lr .=K;ajfhka jeä Diaper ksIamdokhla fj<ofmd<g bÈßm;a lsÍu wmf.a taldhk wruqK úh' w;ayod ne,Sï rdYshlska miqj wjidk m%;sM,h f,i Velona

Cuddles Bamboo

wo fj<ofmd<g bÈßm;a lr we;'

106 MAY 2018 | DOCTOR MAGAZINE

doctormagazine.lk

uOHidr yd fjk;a ridhksl øjH wvx.= ke;'

uOHidr fyda Bamboo l,a;nd .ekSug fhdod .kakd fjk;a ridhksl øjH lsisjla fï i|yd wvx.= fkdùu fuu Diaper tfla we;s ;j;a úfYaIdx.hla fõ'

100] laf,daÍka rys; fõ'

Bamboo Diaper tfla we;s úfYaI;ajh

laf,daÍka orejdg wys;lr neúka fuu ksIamdokh" ksIamdokh lsÍfï§ laf,daÍka Ndú;d lr fkdue;'

Bamboo Diaper hkq iajdNdúl Bamboo Ndú;d lr ksIamdokh lr we;s 100] la mßir ys;ldó ksIamdokhls' fï i|yd Ndú;d lr we;s wuqøjH 99'9] la Èrdm;a jk øjH ùu úfYaI ldrKhla fõ' wdishdfõ m%:u jrg fujeks iajdNdúl mßir ys;ldó ksIamdokhla fj<ofmd<g bÈßm;a lrkafka THREAD WORKS wdh;kh úisks'

oeka wm fulS iqúfYAIS ksIamdokfha úfYaIdx. tlska tl i,ld n,uq'

100] Bamboo frÈ ^Bamboo Fabrication& wvx.=j we;'

Wrd .ekSfï Layer 7la we;'

fuu ksIamdokh Bamboo j,ska lrk ,o ksIamdokhla neúka Wrd .ekSfï Yla;sh ms<sn| úfYaI wjOdkhla fhduq lsÍug wmg isÿ jq ksid Wrd .ekSfï Layer 7lska hq;=j fuu ksIamdokh bÈßm;a lr we;' oeka wm ;j;a ksIamdokhla ms<sn|j Tn oekqj;a lsÍug n,dfmdfrd;a;= fjuq'

VELONA CUDDLES LOONEY TUNES

Bamboo j,ska ksIamdokh lrk ,o u;=msg ^Top Sheet& yd msg; wdjrKhla ^Back Sheet& Ndú;d lr ;sîu'

doctormagazine.lk

MAY 2018 | DOCTOR MAGAZINE 107

ÈhqKq jk ;dlaIKh;a iu. Baby diapers ksIamdok lafIa;%fha iS.% ÈhqKqjla fï jk úg we;sj ;sfí' fï ;=<ska b;d wdrlaIs; yd .=K;ajfhka jeä ksIamdok kj;u udÈ,shlska yd wdl¾YKSh fmkqulska Tnf.a orejdg ,nd §ug wdh;khl .;a W;aidyhl m%;sM,hla jYfhka Looney Tunes Diapers wo fj<om,g bÈßm;a lr we;'

ksIamdokfha úfYaIdx. fj; wms fhduq fjuq'

1 Absorbent composite Care&

iqmsß Wrd .ekSfï yelshdj' (Super

kùk ;dlaIKh wkqidrfhka jeä Wrd .ekSfï yelshdjla hq;=j Looney Tunes Diaper ksIamdokh lr we;'

b;d uDÿ yd úfYaI yevhlska hq;= u;=msg wdjrKh' (Super Soft Pearl Embossed Top Sheet&

vhmrhl u;= msg wdjrKh vhmrfha u;= msg f;;ukh ke;s lsÍug yd Wrd .ekSfï yelshdj iS.% lsÍug fnfyúka odhl jk wx.hls' Looney tunes i|yd Pearl Embosed úfYaIs; u;=msg wdjrKhla Ndú;d lr we;af;a tfyhskah'

jd;h yqjudre jk msámi wdjrKh (Ultra breathable striped back-sheet)

fï i|yd o wm jd;h yqjudre jk miqmi wdjrKhla Ndú;d lr ;sfnk w;r ta u.ska orejdg iqj myiqjla f.fkk w;r úh<s ld,.=K ;;a;ajhl§ jqj;a orejdg lsisÿ wmyiqjla fkdoekSug th Wmldrj;a fõ'

úfYaI 3D yevh ^3D Form Fitting Design&

vhmrfha úfYaIs; yevh orejdg iqjmyiqj r|jd ;sîug ^Comfortable Fit& yd orejdf.a l%shdYS,s;ajhg ndOdjla fkdùug fya;=jla fõ' 108 MAY 2018 | DOCTOR MAGAZINE

wmf.a fuu kj;u ksIamdok ms<sno jeäÿr úia;r oek .ekSug Tn leue;a;la olajkjd kï wmf.a Facebook msgqj ;=<ska th oek .; yel' óg wu;rj 0712360050 úuiqï wxlh ;=<skao jeä úia;r ,nd .; yel' fï jk úg Èjhsk mqrd ish¿u n,h ,;a *duis yd <ore ksIamdok fjf<oie,a j,ska fuu ksIamdok ,nd .; yels nj i;=áka oekqï §ug leue;af;uq ' B,. ,smsfhka wm Tng <ore vhmrhla ksjerÈj orejdg wekaoùu" th udre lsÍug wjYH fj,dj oek .; yels wdldrh" <ore vhmrhla f;dard .; hq;= wdldrh ms<snoj Tnj oekqj;a lsÍug leue;af;ka isáuq' igyk ksrdÊ m%kdkaÿ úOdhl ks,OdÍ doctormagazine.lk

Health benefits of Red Rice

r;= ydf,a n;a fyd|u n;a lshkafka wehs

l=reKE., YslaIK frdayf,a ffjoH kd,l rKisxy úisks

110 MAY 2018 | DOCTOR MAGAZINE

r;= ydf,a n;a lEfuka Tng w;ajk úfYAI jdis fudkjdo doctormagazine.lk

wfma m%Odk wdydrh n;ah' n;g .kakd iy, wkQj tys fmdaIKh fjkia fõ' fmdaIKfõoSka i|yka lrk wdldrhg wmg wdydrhg .; yels fyd|u n; r;= ydf,a n;hs' fmdaIKSh jYfhka fukau YÍrfha fi!LHh uekúka mj;ajd .ekSu w;skao r;= ydf,a nf;ka wmg ,efnk m%fhdack rdYshls' r;= ydf,a n; iqÿyd,a n;a j,g jvd fmdaIKSh jkafka fldfyduo@ wm ta .ek u|la úuiuq' doctormagazine.lk

r;=ydf,a n;a ;ka;=uh fl|s j,ska fmdfydi;ah n;a mSßis fldamam ld,l ;ka;=uh fl|s .a?ï 2la ;sfí' th wmg osklg wjYH jk ;ka;= m%udKfhka ishhg 8ls' ;ka;=uh fl|s hkq ldfndayhsfâ%g úfYaIhls' fjkilg we;af;a th YÍrhg lsisÿ whqrlska wjfYdaIKh fkdùuhs' YÍrhg Wrd .kafka ke;s fohla fudk wekakEjlgoehs Tng isf;kakg mq¿jk' ;ka;=uh fl|s YÍrhg Wrd fkd.;a;;a" Wrdf.k YÍrhg uy;a úkakeyshla isÿ lrk wfkl=;a wdydr .ek i<l;aoS" wdydrj, we;s fl|s isrerg lrk fufyh w;suy;a nj lsj hq;=uh'

r;a ydf,a we;s ;ka;=uh fl|s wdydr cS¾Kl moaO;shg fnfyúka ys;e;sh' th nvje,a l%shdldß;ajh iqir lrk w;r u<noaOh we;sùug ;sfnk bvlv wyqrd,hs' wm .kakd wdydr cS¾Kh ùu" YÍrhg Wrd.ekSug ld,hla .;ùu fuys we;s ;j;a jdishls' ta ksid l=i.sks oekSug m%udo fõ' fuh wkshñka uq;a ia:q,;djh md,kh lsÍug uy;a rel=,la olajhs' YÍrfha fldf,iagfrda,a uÜgu wvq lrkakgo fï r;= yd,a WmldÍ fjhs' fï ksid fldf,iagfrda,a jeäùfï wjodkula we;s Woúh r;= ydf,a n;a lEu f.k fokafka T!Iëh .=Khls' ta yereKQ úg wêreêr mSvkh wvq lsÍug" YÍrfha m%odysl ;;a;ajhka md,kh lsÍug fukau reêrfha iSks md,kh lsÍugo r;= ydf,a n;a l%shd lrhs'

r;= ydf,a n;a cS¾Kh jkafka fiñks' tajd wkqNjfhka miq wmg f,fyisfhka l=i.sks fkdoefka' th wm .kakd wdydr mßudj wvq lsÍugo ia:q,;djh uev,Sugo WmldÍ jkafkah'

MAY 2018 | DOCTOR MAGAZINE 111

fldf,iagfrda,a jeäùfï wjodkula we;s Woúh r;= ydf,a n;a lEfuka f.k fokafka T!Iëh .=Khls' ta yereKQ úg wêreêr mSvkh wvq lsÍug" YÍrfha m%odysl ;;a;ajhka md,kh lsÍug fukau reêrfha iSks md,kh lsÍugo r;= ydf,a n;a l%shd lrhs'

wk.s;u hlv uQ,dY%hls r;= ydf,a n;a hlv - wmg w;HjYH LKscuh fmdaIlhls' th reêrh udOHhla lr.ksñka wï,lrh fkdfyd;a Tlaiscka isrer mqrd f.k hdug WmldÍ fjhs' Tng Tfí fndcqkamf;ka m%udKj;a hlv m%udKhla ,efnkafka ke;skï th Tfí cSú;hg fnfyúka n,mdkafkah' w,i njla" fjfyilr njla hlv W!K;djh ksid we;sjk w;r YÍrhg f,v frda. yd igka jeoS ksfrda.S;djh we;s lr.ekSug ;sfnk ux wyqrd,kafkah' f,dalfha ;sfnk úúO W!K;d frda. w;r uq,a ;ekg tkafka hlv W!K;d rla;ySk;djhhs' r;= ydf,a n;a m%Odk hlv m%Njhla jk w;r mqreoaola f,i r;= ydf,a n;a wkqNjfhka Tfí ffoksl hlv wjYH;djfhka iEfyk muK m%udKhla imqrd,kq yelsfõ'

m¾fhaIK j,ska ikd: ù we;s r;= ydf,a n;a j, .=Kh r;= ydf,a n;a m%;sTlaisldrl .nvdjls r;= ydf,a n;a j," hlv yd uex.kSia iq,nj ;sfí' YÍrhg wjYH Yla;sh W;amdokfhys;a" YÍrhg ydks lrñka n,.ekafjk uqla; LKav fmdaIl mod¾: j,ska isÿ flfrhs' fuys we;s ;=;a;kd.ï u.ska wd.ka;=l f,v frda. j,ska YÍrh wdrlaId lsÍug odhl fjhs' ;=jd, blauKska iqj lsÍugo

112 MAY 2018 | DOCTOR MAGAZINE

fï ;=;a;kd.iï j,g yelshdjla ;sfí' m%;sTlaisldrl .=Kdx.h ljr fyda wdydrhlska ,eìh yels jákdu .=Kdx. hla fjhs' th wka ljr Okd;aul fya;=jlg;a jvd jákdlfuka jeäh' r;= ydf,a fï m%;sTlaisldrl .=Kdx.h Wmßu jYfhka msysghs' r;a ydf,a we;s úgñka B6 isÿ lrk fufyh ffi,fha ;eKQï tallh jk DNA wKQ ksmoùug" r;= ffi, yd firfgdkska fud<fha ;SrKd;aul ld¾hNdrhla bgq lrk ridhkh ksIAmdokhg fï úgñka B6 l%shd lrhs' r;= ydf,a iy<ska msiQ n;a lgj,a fol ;=kla wkqNjfhka fï jákd úgñkfha ffoksl wjYH;djfhka y;frka mx.=jlau iïmQ¾K fjhs'

doctormagazine.lk

fldf,iagfrda,a wvq lsÍug WmldÍ fjhs r;= ydf,a n;a reêr.; fldf,iagfrda,a uÜgu wvq lrk nj uq,a j;djg y÷kd.;af;a 1970 oYlfhaoSh' th oYl .Kkdjla ;siafia isÿ lrk ,o úúO m¾fhaIK Tiafia idlaId;a ù ;sfí' r;= yd,g fï úl=ï mE yelsj ;sfnkafka tys ksjqâfâ we;s fudkefld,ska kï ridhkhl l%shdldß;ajh fya;=fjks' úoaj;=ka fuh iudk lrkafka fldf,iagfrda,a wvq lrk f,djeiagáka T!IOhgh' ta ;rugu r;= ydf,a n;a wkqNjh reêr.; fldf,iagfrda,a jeä Woúhg .=Kodhlh'

yDoh.; frda. je<elaùug r;= ydf,a n;a WmldÍ fjhs fuh kej;;a fldf,iagfrda,a j,g iïnkaOh' LDL fkdfyd;a fldf,iagfrda,a j, we;s krl ,hsfmdfm%daàkh by< hdfuka reêr kd, wjysr fjhs' th yDohdndO wjodku jeä lrhs' r;= ydf,a n;a wkqNjfhka reêr.; LDL fldf,iagfrda, uÜgu ;=kS fjhs' th yoj;g iykhla f.k tkafka fï whqßks'

reêrfha .aÆfldaia uÜguo ksielfhka wvq lrhs fuh kï mD:q,j Ndú;hg f.k we;s Wmfhda.S;djhls' oshjeähd frda.Skaf.a wyrjfgys idOKSh úfYAI;ajhla jkafka ksjqâv iys; r;a ydf,a n;hs' th reêr.; iSks uÜgu wvq lsÍug iu;a wk.s;u m%Odk wdydrhhs'

doctormagazine.lk

ia:q,;djh wvq lrhs r;= ydf,a n;a cS¾Kh jkafka fiñks' tajd wkqNjfhka miq wmg f,fyisfhka l=i.sks fkdoefka' th wm .kakd wdydr mßudj wvq lsÍugo ia:q,;djh uev,Sugo WmldÍ jkafkah' oskm;d r;= yd,a n;a wkqNjh Tfí nr wvq lr.ekSug we;s fyd|u Wml%uhls' ta yereKq úg r;= ydf,a n;a Tfí wdydr cS¾Kh uekúka isÿ lrKQ msKsi YÍrfha Yla;s wjYH;d imqrd,Sugo odhl fjhs'

weÿu" Yajik frda. md,kh lrhs r;= ydf,a hyñka we;s ue.akSishï ksid th Tfí Yajikh ksfrda.S lrhs' Tn weÿu frda.fhka mSvd ú|sk flfkla kï Tng jvd;a iqÿiq jkafka r;= ydf,a n;ah'

r;= ydf,a ksjqâv bj;a lr wdydrhg .kak tmd''' we;efula l=Uqfrka f.g .kakd iy,a fudaf,aoS w;sYhska mEiaiSug ,lalr mßfNdackhg .kakg''' ksjqâv bj;a lr wdydrhg .kakg W;aiql jkafkah' fuh fl;rï wufkda{ jQ l%shdjlao@ iy,a wegfha fyd|u fmdaIKh we;af;a ksjqâfâh' tys we;s fmdaIKh fukau f,v frda. keiSug odhl jk ixfhda. ,nd.; yels wka wdydrhla .ek is;Su mjd ÿIalr lreKls' fï ksid yels muK ksjqâv r|jdf.k msisk n;au wdydrhg .kak' th Tfí fi!LH fjkqfjka .; yels w.kd mshjrls' •••

MAY 2018 | DOCTOR MAGAZINE 113

AYURVEDIC

fydaud.u isoaOdoS fjo ueÿf¾ mdrïmßl wdhq¾fõo fjolu

w.akHdYh m%dKj;a lr

Èhjeähd frda.h iqj lsÍug yels T!IO uf.a fjo ueÿf¾ ;sfnkjd 114 MAY 2018 | DOCTOR MAGAZINE

doctormagazine.lk

fydaud.u isoaOdoS fjo ueÿf¾ ffjoHdpdßkS pdkaokS úl%udrÉÑ

bkaishq,ska fkdue;s úg reêrfha .aÆfldaia m%udKh by< .sho isrerg bka m%fhdackhla .; fkdyel' ta ukao h;a ffi,j,g thdldrfhkau .aÆfldaia Ndú;d l< fkdyels ùuhs' reêrfha iSks m%udKh w.akHdYh u.ska ksr;=reju .Kkh lrKQ ,efí' tu uÜgu by< .sh úg w.akHdYh u.ska bkaishq,ska reêrhg uqod yÍ' bkaishq,ska we;s úg ffi, u.ska .aÆfldaia ffi, ;=<g .kakd ksid reêrfha .aÆfldaia m%udKh by< hdula isÿ fkdfõ' bkaishq,ska u.ska reêrffha iSks doctormagazine.lk

m%udKh md,kh lrk wdldrh fuhska ukdj meyeos,s jkq we;' idudkH ck iudcfha oshjeähdj i<lkafka zzjeä jdr .Kkdjla uq;%d lsÍug isÿjk frda.hZZ hkqfjks' wdhq¾fõofha uOqfïyh f,i ye|skafjkafkao fulS frda. ;;a;ajh uehs' kQ;k ffjoH úoHdjg wkQj ksfrda.S mqoa.,fhl=f.a reêr.; iSks m%udKh 126 m/ dl g jvd jeä kï Tyq oshjeähd frda.sfhl= f,i ie<flhs'

MAY 2018 | DOCTOR MAGAZINE 115

AYURVEDIC

oshjeähdj fyj;a uOqfïyh hkq reêrfha iSks m%udKh idudkH w.h blaujd by< hduhs' Bg uQ,sl fya;=j jkafka w.akHdYfha ksmojk bkaishq,ska u| ùu yd bkaishq,ska j,g we;s m%;sfrdaOh hk ldrKd folu fyda bka tll n,.ekaùuhs'

AYURVEDIC

oshjeähdj wdldr

•

ksosu; .;sh

m<uq j¾.fha oshjeähdj

•

w;a md j, oeú,a,

idudkHfhka <ud yd fhdjqka úfha miqjkakka yg jeä jYfhka iEfok fuu j¾.hg m%;sldr f,i bkaishq,ska ,nd osh hq;= ksid zzbkaishq,ska u; hefmk oshjeähdjZZ f,i fï frda.h y÷kajhs'

•

ykaosm;a fõokdj

fojk j¾.fha oshjeähdj fuysoS bkaishq,ska ksmoùu wvqlu fyda tys l%shdldß;ajhg YÍrfha we;s m%;sfrdaOh fï frda.hg fya;= fõ' fojk ldKAvfha oshjeähdfjka fmf<kakka idudkHfhka jeäysáhkah' frda.hg m%;sldr lsÍug bkaishq,ska w;HjYH fkdjk ksid zzbkaishq,ska u; fkdhefmk oshjeähdjZ f,io fuh yªkajhs'

oshjeähdj frda. ,laIK •

ks;r ks;r uq;%d lsÍfï wjYH;djh we;sùu úfYaIfhka rd;%S kskaog .sh miq jßka jr jeisls,s hdfï wjYH;djh fï frda.Skag we;sfõ'

•

msmdidj iy f;d, lg úh<Su

•

isref¾ nr wvqùu fuh l,ska ;snQ we÷ï bys,a ùfuka ;udgu wjfndaO jkq we;'

•

iq¿ l%shdjloS mjd wêlj fjfyilr njla oekSu

•

YÍrfha we;s jk ;=jd, blauKska iqj fkdùu

•

weia fmkSu fnd| ùu

•

wêl f,i oyäh oeóu

116 MAY 2018 | DOCTOR MAGAZINE

frda. ,laIK fkdue;sj;a oshjeähdj ;sfhkak mq¿jka fuysoS isys;nd.; hq;= b;d jeo.;a lreKla jkafka fulS lsisÿ ,laIKhla fkdue;sj jQjo flfkl=f.a oshjeähdj we;súh yels njhs' fï ksid oshjeähdj we;s ke;s nj iel yer oek.ekSug reêr mÍlaIKhlg Ndckh ùu wjYHfhkau l< hq;a;ls'

oshjeähdj frda.h we;s ùug fya;= úh yels ldrKd úIu wdydr rgdj yd wúfõlS cSjk rgdj ksid ful, oshjeähdj frda.Ska id;sYh nyq,h' fmr mej;S wfma fi!LHiïmkak idïm%odhsl wdydr rgdj fjkqjg wo fndfyda fokd zzlaaIKsl wdydrZZ j,g mßj¾;kh ù ;sfnk w;r iSks" msIaGh yd wys;lr f;,a j¾. jeä jeäfhka Ndú;d lsÍu wo mrïmrdfõ úfYAI;ajhla jkafkah' wo fndfyda fofkla lh fjfyik" oyäh msgjk /lshd j, ksr; jkafka ke;' tl ;ek ys|f.k lrk / lshd fndfyda fokdf.a f;aÍuhs' osjd ld,fhaoS ksod .ekSu jeks wys;lr p¾hdo j¾Okh ù ;sfí' uOqr wï, fia ie<flK meKsri îu" ,jK wdydr jeäfhka mdßfNdackh lsÍu" oshjeähdjg w; jkhs' fujka isß;a ksid wo ia:Q,;djh iq,nj olakg ,efí' ÿïmdkh" u;ameka mdkh" udkisl wd;;sh oshjeähdjg

doctormagazine.lk

oshjeähdj frda.h iqj fkdlr .;af;d;a'''@ oshjeähdj frda.h iqj fkdlr.; fyd;a" oS¾> ld,hla th YÍrh ;=< mej;shfyd;a tys úmdl f,i jl=. vq ÿ¾j, ùu" fmKy¿ ÿ¾j, ùu" yDohdndO we;sùu" w;amd ysß jeàu yd fjk;a iakdhq frda. we;sùu wdoshg wjodkula we;s fõ'

oshjeähdj frda.hg m%;sldr lsÍu wdhq¾fõohg wkQj uOQfïy hkq tla;rd frda. wjia:djls' wdhq¾fõofha oelafjk wdldrhg uOqfïy frda.fha ksOdk frda.h yg.ekSu WmøjldÍ ;;a;ajhlao" tfia fkdue;s kï m%fõKs.; frda.hlao wdoS jYfhka lreKQ uekúka úuid ne,sh hq;= jkafkah' fuysoS frda.hg fmr we;sjk wfkl=;a m%fõKs frda. ms<sn|j fjfiia wjOdkhla fhofjhs' fï ksid uOQfïyh ^oshjeähdj& frda. hg m%;sldr lsÍu wm jeks mdrïmßl ffjoHjrekg myiq lreKls' wmf.a mdrïmßl ffjoH l%uh u.ska frda. Ñls;aidfõoS ia:Q,nj" lDY nj yd wdydr rgdj .ek fidhd n,hs' m%;sldr lsrSfïoS yqfola Bg mdol jHdê uQ, j,go m%;sldr flfrhs' mdrïmßl T!IO oshjeähdj frda.Ska yg m%;sldr lsrSfï mD:q, úNjhlska hqla;h' oshjeähdj frda.Ska T!IO j,g

wu;rj ;u wej;=ï mej;=ïo frda.h iqj lsßug Tìk fia .,md .; hq;=hs' frda.shdf.a lemùu frda. md,khg n,mdk m%Odk fya;=jls' YdL iïNjhlska hqla; b;d jákd T!IO wm fjoueÿf¾oS oshjeähdj frda.Ska yg m%;sldr msKsi iemfha' jir 15-20la fyda fl;rï merKs jQj;a oshjeähdj ksÜgdjg iqj l< yels wdhq¾fõoSh Ñls;aid l%uhla wm i;=h' ;ukaf.a lemùu ;snqfKd;a udi yhl jeks ld,hlska frda.h ksÜgdjg iqj lr .ekSug yelshdj ;sfí' wl¾ukH ù we;s w.akHdYh mqk¾cSjkh lsÍfï m%;sldr l%uhla ksid fuh iaÓr jYfhkau oshjeähdjg lrk id¾:l m%;sldr l%uhla nj fmkajd fokakg leu;shs' isoaOdoS fjo ueÿf¾oS ish¿u iakdhq frda." uq;%dYfha .,a" ms<sldj" wxYNd.h" weÿu yd mSki" isfrdaisia" wd;rhsáia" weia fjolu" fldf,iagfrda,a" .eiag%hsáia" fmd;=lnr" nhsmdia we;=¿ yDo frda. i|yd ishhg 100lau foaYSh m%;sldr lrKQ ,nkjd' fkdñf,a Wmfoia ,nd .ekSug ÿrl:k wxl 0713464276$075906177 wxlj,g l;d lrkak' 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' isl=rdod yd fmdah Èkj, m%;sldr fkdlrk nj ffjoH;=ñh okajd isà'

igyk wñ; úl%uwdrÉÑ •••

doctormagazine.lk

MAY 2018 | DOCTOR MAGAZINE 117

AYURVEDIC

w; jkhs' úIu jQ wdydr rgdj yd úIu jQ meje;au wo oshjeähdj frda.h iq,n ùug uqLH fya;=j ù ;sfí'

AYURVEDIC

fldkafo lelal=u ke;s flfkla fydhd.kak tl;a wudrehs'''

lÀ.%y frda.h fldkafo lelal=u yeÿfK ke;s wfhl= fidhd. ekSu;a wo ld,fha ÿ,n ldrKhla' ta ;rugu fldkafo lelal=u wm w;r iq,nhs' ñka jeämqr mSvd ú|skafka ueÈúfha iy jhia.; Woúhhs' fuu frda. ;;a;ajh wo ojfia ±fjk m%Yakhla njg m;aù yudrhs' wdhq¾fõo .%ka: j, olajd zzlÀ .%yZZ f,i olajd we;s fldkafoa lelal=u fkdfyd;a ;=káh m%foaYfha we;sjk fõokdj ^Constricting type of low back pain& .ek úia;rd;aulj úuiuq'

118 MAY 2018 | DOCTOR MAGAZINE

doctormagazine.lk

úfYaI{ ffjoH iqo¾ud whs' fldä;=jlal= BAMS (HONS), MD (Kaya) Kaya PG. Dip/Food & Nutrition Dip Yoga (India) SLAMC Reg. No. 11107

úfYaI{ ldhsl frda. idhkh wdhq¾fõo YslaIK frday, - fnd/,a,

lfYareld j, úúO ld¾hhka wfma fld÷ wegfm< lfYareld w;r ldáf,ac j,ska iEÿKq wka;r lfYarel ldáf,ac kï jQ fm;s jeks jHqyhla olakg ;sfí' fuu.ska fld÷weg fmf<ys kuHYS,Snj we;s lrhs' f.f,ys msysgd we;s lfYareld b;d kuHYS,S núka hqla; jk w;r ta ksid f., by<g" my<g yd me;a;g yerúh yel' Wrfha iy ;=káh m%foaYfha lfYareld j, tu kuHYS,S nj ;rula wvq jk w;r ;=káh m%foaYfha we;s lfYareld ieliS we;af;a YÍr nr ±ßh yels whqßks' tajd úYd,j yd Yla;su;aj ieliS we;' fld÷weg fma<sfha ueo msysá kd,h Èf.a iqIqïkdj kï jQ iakdhq j,ska iukaú; iakdhq rcacqj .uka lrhs' th fud<fha isg YÍrfha úúO bkaøshhka lrd .uka lrk iakdhq j,ska iukaú; fõ' iqIqïkdfõ isg yg.kakd iakdhq fld÷weg folla w;r we;s bvlska t<shg ú;a YÍrfha úúO bkaøshhka lrd .uka lrhs' doctormagazine.lk

• ñksid ll=,a foflka isg.;a úg ysi w;a" mdo yd Worfha nr;a ±Íug isÿjkafka fld÷weg fm<ghs' fï ksid fldkaog we;sjk n,mEu jeäùu;a iu.u fldkafo wudre we;s fjhs' ta jf.au wm isgf.k bkak úg yd b|f.k bkak úg ksis bßhõfjka fkdisàu ksid;a" nr Tijk úg ksis whqßka th fkdlsÍfukao fldkafo lelal=u we;s fjkjd' • óg wu;rj fkdfhl=;a frda. ;;a;aj ksid iy YÍrfha nr jeäùu ksid;a fldkafoa wudrej we;s fjkjd' • msg m%foaYfha we;s ´kEu mglhl" lfYareldj;a wka;¾ lfYareld ldáf,ach" wiaÓ nkaOkS" fmaYs iakdhq hk fïjdfha yg.kakd leã ì|S hdula fyda hï wdidok ;;a;ajhla ksid t;ek fõodkdjla yg.; yel' óg wu;rj bka mek kef.k iakdhq j,g hï wdndOhla we;s jqjfyd;a tu iakdhq iemhqu ,ndfok fldgfia fõokdj f.kfoa' • YÍrfha fjk;a frda. ;;a;ajhka ksido fldkafoa wudrej we;s fõ' WodyrKhla f,i jl=.vqj, wdidok yd .,a" uq;%dud¾.fha wdidok yd uq;%d.,a" .¾NdI.; frda." ms;a;dYfha wdidok yd .,a" ms<sld ;;a;ajhla yd ,shqflañhd jeks reêr.; frda. ksido fldkafo wudrej we;súh yel' óg;a wu;rj YÍrfha nr jeä uy; whgo (Overweight, Obesrty& wä Wi mdjyka m<|sk MAY 2018 | DOCTOR MAGAZINE 119

AYURVEDIC

wo ojfia fldkafo lelal=u fï ;rï nyq,j we;sùug fya;=

AYURVEDIC

ldka;djkago fldkafoa wudre we;sùu iq,nj olakg ,efí' ;jo jhig hdu ksid wiaÓ j, le,aishï ;ekam;a ùu wvqùu ksid wiaÓ ÿ¾j, ùu (Osteoporosis) ksido Wm;a wdndO ksido fldkafo wudrej we;súh yel' fï lreKq i<ld ne,Sfï§ fmkS hkafka fldkafoa wudrej iEÿKq frda. sfhl= meñKs úg Bg fya;= jQfha l=ulao hk j. úfYaIfhkau fidhd ne,sh hq;= lreKla njhs' th m%;sldrh i|yd b;d jeo.;a fõ' iuyr úg ksjeros frda. ksOdk y÷kd. ekSu i|yd X – ray (Digtal) lsrK jd¾;d CT Scan, MRI mÍlaIKo isÿ lsÍug wjYH jkq we;' fïjd u.ska fld÷ kdráfha lfYareld j,g isÿù we;s foa l=ulao hk j. iaÓr f,i fidhd.; yel' fldkafoa lelal=u yg.;a úg fmaYshlg ydkshla isÿù we;akï tu wudrej Èk 3 la muK hk úg myù hhs' tfia fkdue;sj §¾>j mj;S kï yd ta iu.u fldkao keùu" yerùu fõokd iys; kï th iakdhqjlg isÿjQ wdndOhla ksid úh yel' fujka ;;a;aj j,oS iqÿiqlï ,;a ffjoHjrfhl= yuqù m%;sldr .ekSu b;du;a jeo.;a fõ'

fldkafâ lelal=u yg.;a úg fmaYshlg ydkshla isÿù we;akï tu wudrej Èk 3 la muK hk úg myù hhs' tfia fkdue;sj §¾>j mj;S kï yd ta iu.u fldkao keùu" yerùu fõokd iys; kï th iakdhqjlg isÿjQ wdndOhla ksid úh yel'

120 MAY 2018 | DOCTOR MAGAZINE

fldkafo lelal=u iu. we;sjk wfkl=;a frda. ,laIK wkqj frda. ks¾Kh • Tn lysk úg lsúiqï hk úg fõokdj jeä jkafka kï iy ta iu.u msg" ;=káh" ks;U" l,jd" oKysi" flKavd yd mdo hk ia:dk j, we;sjk ;o .;sh yd fõokdjo tu ia:dkj, jßka jr we;sjk iamkaokh hk ,laIK we;akï th zz.Dv%iSZZ fyj;a Siatica hk frda. ;;a;ajh nj wkqudk l< yelsh' ll=f,a ixfõ§;djhg fya;=jk ihála iakdhqj fld÷weg fmf,a my; fldgfia§ f;rmqk úg ±fkk fõokdj ll=f,a msgqmi fldgi ú¨U olajd .uka lrhs' • Tn lysk úg weú§fï§ fldkafoa fõokdj jeäjkafka kï wka;¾ lfYarel ldáf,achla iqiqïkdj foig fkrd hdu ksid we;sjQ (Prolapsed disc) ;;a;ajh úh yel' fuúg wf;a fyda mdofha ysßjeàulao fldkafo lelal=u iu. we;s fõ'

fldkafoa wudrej iu. Tnf.a uq;% iu. u<my lsÍu md,kh lr.; fkdyels ;;a;ajhla we;s jkafka kï th iqiqïkdjg wk;=rla isÿùu ksid we;sjk ;;a;ajhls'

• óg wu;rj ldka;d mlaIhg msßñkag jvd fldkafoa wudrej we;s fjkjd hhs mejiqjfyd;a th ksjerÈh' .eyekq whg .¾NdIh yd äïnfldaI wdY%s; frda. ;;a;aj ksido (Endometriosis, Retroverted uterus, Leucorrhoea) wd¾;jh fyj;a Tima isÿjk ld,h ;=<o" doctormagazine.lk

wd¾;jNdjhg miqj ldka;djkag we;sjk Osteoporisis ;;a;ajh we;sjk úg;a fldkafoa wudrej we;s fõ' • tfukau udkisl fya;+ka ksido iuyrekag fldkafoa wudrej we;s fõ' udkisl wjmSvkh (Stress & Anxiety) ;;a;aj we;s fõ' fldkafoa wudrej iEÿk úg ffjoHjrfhl= yuqùug hd hq;af;a Èk 3 la muK .sh miq;a iqj fkdjqK fyd;a muKs' tfia jqj;a laIKslj we;sjk ;on, fldkafoa fõokdjl§ jydu ffjoH m%;sldr ,nd .; hq;=hs' fuys§ iqÿiqlï ,;a ffjoHjrhl= yuqùu b;d jeo.;a fõ'

fldkafoa wudrejg isÿ lrk m%;sldr • fya;= uekúka fidhd n,d Bg m%;sldr ,nd§u l< hq;=hs' • m%udKj;a f,i úfõlh ,nd Èh hq;=hs' • YÍrfha nr jeä kï nr wvqlr .ekSu i|ydo ffjoH Wmfoia wkqj jHhdu j, ksr; ùugo kshu flf¾' fhda. jHdhduo ys;hs' • ksis bßhõjg fldkao fl,ska ;ndf.k jdäùu l< hq;af;ah' doctormagazine.lk

• nr Tijk úg fldkao fl,ska ;ndf.k ll=,a oKysia j,ska kud tiùu l< hq;=hs' • wä Wi im;a;= m<|skafka kï tajd Ndú;fhka je<lsh hq;=h' ^fï ksid oKysfia iu;=,s;;djh ì|jeà nr ±Ífï wlaIh fjkia ù weÕ bÈßhg hdu ;=<ska ;=káh fõokdj we;s lrhs'& • ksod.kakd úg iu;,d ìul" ;=kS fïÜghla oud ksod .ekSu' fuys§ fõokdj wju jk mßÈ ;udf.a YÍrfha wjhj ;nd.; hq;=h' • udkisl mSvd j,ska wE;aúh hq;=h' • fmdaIHodhS wdydrfõ,la ,nd .ekSu jeo.;a fõ' le,aishï" fmdiamria yd úgñk m%udKj;a f,i wdydrhg tlalr .; hq;=hs' • u;ameka" ÿï mdkh lrkafka kï tajd w;ayeÍu l< hq;=hs' • óg wu;rj wdhq¾fõo m%;sldr j,§ fldkafoa wudrejg fya;=jQ ldrKd i<ld n,d wjia:dkql+,j m%;sldr ,nd fohs'

fldkafoa lelal=ug m%;sM<odhS wdhq¾fõo m%;sldr f;,a i;aldrh" yqud, m%;sldrh" là jia;s" wdoS id¾:l m%;sldr l%u mj;S' wNHka;r T!IO jYfhka ie<flK lIdh" .=,s yd l,al wdosh fõokfd iukhg"iakdhq fYaIKhg yd ÿ¾j, ù we;s wiaÓ" fmaYs" lKavrd j¾Okh i|yd fhdod .kS' wdhq¾fõofha Ñrd;a ld,hla ;siafia m%;HlaIfhka Tmamq jQ m%;sldr l%u Tiafia fï fõokdjka id¾:l f,i iukh lr.; yel'

igyk wñ; úl%uwdrÉÑ ••• MAY 2018 | DOCTOR MAGAZINE 121

AYURVEDIC

fldkafoa wudrej iEÿk úg ffjoHjrfhl= yuqùug hd hq;af;a Èk 3 la muK .sh miq;a iqj fkdjqK fyd;a muKs' tfia jqj;a laIKslj we;sjk ;on, fldkafoa fõokdjl§ jydu ffjoH m%;sldr ,nd .; hq;=hs'

AYURVEDIC

Èhjeähdfõ ixl+,;d ,sx.sl cSú;h wjq,a lrk yeá fi;aiqj wdhq¾fõo frdayf,a l<uKdldr wOHlaI ffjoH iqcSj ú;dkf.a

wdhq¾fõo ffjoH úoHdjg wkqj .;a l< óg wjqreÿ oyia .Kkl isg wmf.a mqrdK fmd;am;aj, zzm%fïy frda.ZZ .ek i|yka jk w;r ta w;ßka uOqfïyh hgf;a Èhjeähdj iïnkaOj wm wjOdkh fhduq lruq' bmerKs wdhq¾fõofha i|yka wdldrhg wdhq¾fõo ffjoHjrhdg m%fïyh uq,a wjia:dfõ§u y÷kdf.k frda.shdg m%Óldr ,nd§u u.ska th uOqfïyh ^Èhjeähdj& olajd j¾Okh ùu j<lajd .; yel' olaI wdhq¾fõo ffjoHjrfhl=g frda.Ska mÍlaId lsÍfï§ fuu m%fïy wjia:d wjfndaO lrf.k bÈßhg we;súh yels Èhjeähd frda. md,kh lsÍug yelsjk w;r ta i|yd wdhq¾fõo T!IO yd úyrK l%u Ndú;d lrkq ,efí'

bmerKs wdhq¾fõofha i|yka wdldrhg wdhq¾fõo ffjoHjrhdg m%fïyh uq,a wjia:dfõ§u y÷kdf.k frda.shdg m%Óldr ,nd§u u.ska th uOqfïyh ^Èhjeähdj& olajd j¾Okh ùu j<lajd .; yel' 122 MAY 2018 | DOCTOR MAGAZINE

doctormagazine.lk

Èhjeähdj YdÍßl" udkisl fukau ,sx.sl fi!LHhg;a n,mEï we;s lrk nj Tn okakjdo@ wm fj; meñfKk fndfyda frda.Ska Èhjeähdj ksid úúOdldr ixl+,;d we;sj meñfKk w;r ta w;ßka fndfyda msßñ frda.Ska i|yka lrkqfha fmr fukaa ;ukaf.a ,sx.sl m%dKj;a ùula fkdue;s njhs' ta i|yd fldf;la W;aiy .;a;;a m%;sM,hla fkd,efnk nj;a Tjqka jeä ÿrg;a i|yka lr;s' fndfyda ldka;djka olajk woyi jkqfha fuh fõokdlr ;;a;ajhla jk njhs' fï ksid fjkod fia lduiïfNda.S cSú;hg fjod fuka Wkkaÿjla fkdue;s njhs' fujeks ;;ajhka i|yd wdhq¾fõo ffjoH l%ufha i|yka wej;=ï mej;=ï j,ska" T!IO j,ska iykhla''' fï .eg¿jg id¾:l ms<s;=rla ,nd.; yels jkq we;' Èhjeähdj ksid ,sx.sl cSú;h wjq,a lrk ieá fidhd neÆ úg wmg fmkS hk m%Odk idOlh jkqfha fuu frda.h ksis f,i md,kh fkdlsÍuhs' j¾;udk cSjk rgdj b;d jHdl+, tlla jk neúka doctormagazine.lk

wo iudcfha fndfyda fokd cSú;h ú|skjdg jvd cSú;h ú|ùu olakg ,efnk w;r wê ;rÕldÍ cSjk rgdj yd ta yd miqìï jk wdydr úyrK" udkisl" idudcSh" mdßißl ldrKd fï i|yd n,md we;' msßñka fukau ldka;djka o iudkj fuu m%Yakhg uqyqK md we;s w;r fuys§ jvd l%shdldÍ idOlhla f,i msßñhd flfrys olakg ,efnk n,mEu b;d jeäh' ukao h;a" ,sx.sl l%shdldß;ajfha§ msßñhd il%sh idOlhla jk neúks'

ldka;djkg we;sjk n,mEu Èhjeähdj frda.h ksid ldka;djkaf.a iakdhq j,g n,mEula we;sù ,sx.sl W;af;ackh ,nd.ekSfï yelshdj myj hkjd' fï ;;a;ajh ksid ixi¾.fha§ wmyiq;d we;sjk w;r ta fya;=j ksid iqrdka;hg m;aùug we;s wjia:dj ÿre lrkjd' wd¾;jNdjh w;r;=r miqjk ldka;djkag Èhjeähdj we;s jqjfyd;a tu ldka;djf.a reêrfha iSks uÜgfï laIKsl fjkia lula isÿjkakg mq¿jka' fï ksid tu ldka;djf.a ,sx.sl fi!LHhg ±ä ydkshla isÿjkakg bv ;sfnkjd' tjka ldka;djka ,sx.slj tla ùug fmr reêr mÍlaIdjla isÿ lsßuhs jvd;a iqÿiq jkafka' fujka miqìul isák ldka;djl ,sx.slj tla ùfï§ reêrfha iSks uÜgu jvd wvq w.hla .kakd ksid ,sx.sl tlaùu u.ska i;=gg jvd fõokdjla ±fkk ksihs' tfiau fujka ldka;djlg ,sx.sl ixi¾.h u.ska ±ä wmyiqjla we;s lrjk È,Sr wdidok iy “Cystitis” .eá;s fukau uq;% ud¾.fha we;sjk wdidok jeks úúO wdidok we;sùfï jeä wjodkula ;sfnkjd'

MAY 2018 | DOCTOR MAGAZINE 123

AYURVEDIC

uE; ld,fha§ Y%S ,xldfõ Èhjeähd frda.S ;;a;ajh jix.;hla fuka b;d fõ.fhka ck;dj w;r me;sfrhs' tfukau l=vd orejka" ;reK" ueÈ jhfia mqoa.,hka nyq, f,i fuhg f.dÿre jkq ±lsh yelsh' fï ksid we;s ù ;sfnk iudc jHdl+,;ajh b;d wjdikdjka; ;;a;ajhla jk w;r rgl meje;aug tu rfÜ ck;djf.a YdÍßl yd udkisl ksfrda.Slu b;d jeo.;a idOlhla fõ' miq.sh ld,fha ud ffjoHjrfhl= f,i ,o w;a±lSï wkqj oshjeähdj ksid wm iudcfha mjq,a ixia:dj ;=< mqoa.,sl ,sx.sl cSú;fha§ Tjqka uqyqK fok .eg¿ ta ksid we;s ù ;sfnk .egqï mjq,a ì|jeàï" udkisl mSvdjka" mqoa.,sl fm!reIh lvd jeàï úYd, jYfhka olakg ,enqKq w;r tjeks ;;a;ajhka j<lajd ksfrda.S ck;djla ìys lsßu wmf.a hq;=luls'

AYURVEDIC

msßñkag we;sjk n,mEu Èhjeähdj we;s msßñkg ks;ru jdf.a we;s jkafka ;u ,sx.sl ld¾hh ksis f,i isÿ lsßug fkdyels jk mßÈ Testosterone fydafudak uÜgu my< jeàuhs' flfia fj;;a Èhjeähdj we;s msßñ mqoa.,hkag m%Odk jYfhka we;sjk ,sx.sl fi!LH .eg¿j jkafka YsIaKh ksis mßÈ m%dKj;a fkdùuhs' mqreIfhl=f.a YsIaKh ksis mßÈ m%dKj;a ùug kï YsIaKhg ksis mßÈ reêr iemhqula wjYH jkjd' Èhjeähdj u.ska reêr kd,sld j,g ydks isÿ lsÍu ksid YsIaKhg ,eìh hq;= ksis reêr m%udKh fkd,eî hdu;a iakdhq j,g ydks isÿùu ksid YsIaKh iy fud<h w;r we;s ikaksfõokh wjysr ùu;a isÿ fjkjd' fï ksid Èhjeähdj we;s wfhl=g YsIaKh m%dKj;a lr .ekSu ;rula wiSre l%shdjla fjkjd'

ldka;djkag iy msßñkag fmdÿfõ we;sjk n,mEu Èhjeähdfjka mSvd ú|sk mqoa.,hkag ks;r fjfyilr nj we;s fjkjd' Èhjeähdj we;s wh ffjoH Wmfoia u; reêrfha iSks uÜgu md,kh lrk T!IO ,nd .ekSu u.ska ,sx.sl fi!LH ;rula ÿrg j¾Okh lrkakg mq¿jks' óg wu;rj Èhjeähdj we;s mqoa.,hka yg ,sx.sl fi!LHh ì|jeàug fya;=jk úúO udkisl n,mEï we;s fjkjd' tjeks WodyrK lsysmhla( ;ud ms<sn| we;sjk wj;lafiarej" ldxidj" YÍrfha nr jeäùu" úYdoh" ys; yqol,d ùu" ;kslula ±kSu" wd;audNsudkh .s,sySu' Èhjeähdj frda.h we;sùu ksid we;sjk úúO udkisl wndO j,g iqjh ,nd .ekSu i|yd ffjoH Wmfoia u; T!IO ,nd.; hq;=hs' 124 MAY 2018 | DOCTOR MAGAZINE

Èhjeähd frda.Skaf.a ,sx.sl l%shdldß;ajh j¾Okh i|yd m%;sldr l%u fï i|yd m%Odk;u m%;sldr l%uh jkafka reêrfha iSks uÜgu md,kh lsrSu u.ska iakdhq wvmK ùu j<lajd .ekSuhs' ke;sù .sh ,sx.sl l%shdYS,s;ajh j¾Okhg cSjk rgdfõ isÿ lrkq ,nk fjkialï( Èhjeähdj we;s ldka;djka iy msßñka fi!LHh iïmkak cSjk rgdjlg yqreùu u.ska kej;;a ,sx.sl l%shdYS,S njj¾Okh lr .kakg mq¿jks' ÿïmdkh" u;ameka mdkh w;ayeßh hq;=hs' Èkm;d fi!LHhg ys;lr wdydr ,nd.kak' jHdhdu j, ksr; jkak' ;rndre mqoa.,hl= Èhjeähdj frda.fhka mSvd ú|skjd kï ;rndreNdjh wvqlr .ekSu u.skq;a ,sx.sl cSú;h j¾Okh lr .kakg mq¿jka' Èhjeähd frda.sfhl=f.a udkisl wd;;sh ÿrelr .ekSu i|yd Ndjkd isÿ lsÍu" fmd;am;a lshùu" fhda. wNHdij, fh§u jeks ld¾hhka isÿlr udkisl wd;;sh ÿre lr.ekSu jvd;a jeo.;a fjkjd' tfukau wdhq¾fõofha i|yka f,i ksfrda.S cSú;hla i|yd hymeje;au b;d jeo.;a fõ' ksfrda.S mqreIhl= ùug kï ldhsl fukau udkisl ksfrda.S Ndjh jeo.;a fõ' fuys§ wmf.a foaYSh yd wdhq¾fõo m%;sldr ;=<ska Èhjeähdfjka ,sx.sl cSú;hg jk ydksh j<lajd .ekSug yelshdj we;' úfYaIfhka wdhq¾fõo m%;sldr wkqj mxpl¾u yd fkdfhla T!IO fhda. Ndú;d b;d id¾:l f,i fï i|yd ms<shï fhÈh yels fõ' ••• doctormagazine.lk

AYURVEDIC 126 MAY 2018 | DOCTOR MAGAZINE

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u<noaOh iqj lr.; yelshs

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

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MAY 2018 | DOCTOR MAGAZINE 127

AYURVEDIC

yßhg frda. úksYaph isÿ lf<d;a''' yß m%;sldr ie,iqfkd;a

AYURVEDIC

wdhq¾fõohg wkQj u<noaOh we;s jkafka jd; fodaI uQ,sl lrf. khs' tfy;a thg ms; yd l¿ fodaIhlao iïnkaO úh yelshs' fufia yg.kakd u<noaOh wo fndfyda fofkla ks;r ks;r mSvd ú|sk frda.hla' ksishdldrj u< neyer fkdùu ksid YÍrhg úYd, wmyiqjla oefkkjd' thska we;sjk udkisl wiykho úYd,hs' lEula îula .kakg we;s msßh;a fï ksid ke;s fjkjd' wdhq¾fõo ffjoH rkam; rejka r;akdhl fujr wm yd fodvu¿ jQfha fï iq,n u<noaOh ms<sn|j yd Bg fhdod.; yels m%;sldr iïnkaOfhka wm mdGlhka oeKQj;a lsÍugh' uydnvje,a j, we;sjk p,kh fifuka isÿùu" .=ofhka u< neyer lsÍfï wmyiqj fyda fï folu fya;=fldg f.k wka;%j, wdydr bosßhg f.k hk p,k l%shdj,sfha ukao.dó iajNdjh fya;=fldg f.k u< ud¾.h wjysr ùula u<noaOfhaoS isÿ fjkjd'

u<noaOhg os.=ld,Skj m%;sldr fkd.ekSfuka fjk;a nrm;, frda. we;súh yelshs u<noaOfha frda. ,laIK fuh we;eful=g we;s jkafka flá ld,Sk u<noaOhla jYfhks' kuq;a fï fláld,Sk u<noaOhg jQj yqre jQ úg th oS¾> ld,Skjo" ia:sridrjo mj;akd frda. ;;a;ajhla njg m;a fjhs' u< wmjyk isß; l%udKQl+,j isÿ fkdùu fuys m%uqL ,laIKhhs' úYd, wdhdihla f.k b;d iq¿ u< m%udKhla msg lrkjd' tho u<noaOhhs' flfkla osk 2-3lg jrla u, msg lrk w;r ;j;a flfkla osk 5-6-7 olajd jeisls,s fkdhd isáhs' u< fldgia msg fkdlr isàu fldhs yeá fj;;a flfkl=g we;s lrkafka iq¿mgq wmyiq;djhla kï fkdfjhs'

fï frda.Ska m%lg lrk frda. ,laIK lsysmhla fufiahs' • nv mqrjd oeóu • ysfia lelal=u • uqLfhka ÿ¾.kaOhla jykh ùu • fkdßiaiqï iy.; nj • uqyqK w÷re meye ùu • iu ÿ¾j¾K ùu • ifï leiSu • ;=káfha yd ykaosm;a wdY%s; fõokdj

128 MAY 2018 | DOCTOR MAGAZINE

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fï fya;=fjka w¾Yia" w¾Yia N.kaord wdoS oreKQ frda. ;;a;ajhka mjd yg.ekSug bv ;sfí' tfiau mSki" jd;rla;h" l=IaG frda. iy uOqfïyh wdoS frda. we;sùug fuh uq,la fõ' .=o ud¾.h yd ldka;djkaf.a kï fhdaks ud¾.h my;a ùugo m%;sldr fkdl< u<noaOh fya;= úh yelshs'

u<noaOh we;sùug fya;= u<noaOh we;sùug n,mdk fya;= rdYshls' iuyrekag Wm;skau u<noaOh we;s fjkjd' .¾NsKS iufhaoS fndfyda ldka;djka u<noaOhg ,la fjkjd' jhia.; jk úgo u<noaOh we;s fjk bvlv jeähs' wvqfjka wdydr .;a úgo u<noaOh we;súh yelshs' oshjeähd T!IO yd fydafudak T!IO .kakd úgo u<noaOh we;s úh yelshs'

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.eiag%hsáia yd cS¾Kl moaO;sh wdY%s; widudkH;d ksid flfkl=g u<noaOh we;súh yelshs' <ud wjêfha mgka tk frda.o miqld,Skj u<noaOh we;sùug fya;= fjhs' uõmshka úiska mqxÑ ikaosfha ;rjgq lrñka lEu leùug W;aidy oeÍu fya;=fldgf.k" jeä wdydr m%udKhla .ekSfuka we;sjk mßjD;a;Sh .eg¿o u<noaOh we;s jSug fya;= fjhs' jeäfhka wdydr .ekSu jeäysáhka w;f¾o úúO .eg¿ we;s lrhs' u<noaOh tys ixl+,;djhla jYfhkao we;súh yel'

u<noaOh we;s lrk wdydr fldams" fpdla,Ü wdosh ks;r .ekSfuka u<noaOh we;súh yelshs' flá wdydr" lD;%Su wdydrj,g weíneys ùfukao u<noaOh welsúh yelshs' mdkamsá j,ska yd f;,a j,ska ;ekQ wdydro u<noaOh jeä lrhs' fl|s iys; wdydr" t<j¿" m<;=re yd OdkH j¾. jeäfhka wdydrhg tla lr .ekSu u<noaOfhka ñoSug u.ls'

u<noaOhg lrk m%;sldr m%udKj;a f,i c,h mdkh lsÍu' ;ka;= fldgia wêlj we;s t<j¿ yd m<;=re wdydrhg tla lr .ekSu m%Odkhs' m%;sldr f,i .;a úg u<noaOh ksid mSvd ú|sk frda.Skag jvd;a iqÿiq jkafka foaYsh m%;sldrhs' ngysr iïNjhla iys; m%;sldr ta wjia:djg .=K fok uq;a os.=ld,Skj frda.h iukh lrkafka ke;' tfy;a wdhq¾fõoSh m%;sldr ieliS we;af;a frda.h ksÜgdjgu iqj lsÍu wruqKQ lr.ksñks' uDÿ úf¾pk .=K iys; m%;sldr foaYSh wdhq¾fõofha u<noaOh frda.Ska i|yd ,ndfohs' fndfyda úg rd;%S wdydrfhka miq fïjd .; yelsh' fï T!IO Ndú;fhka WoEik u< nqre,a ùula isÿù u< wmjykh b;d myiq lrhs' uQ,sl jYfhka ta wjia:dfõ we;s wmyiq;djh bj;a lrkjd yereKQ úg os.=ld,Skj fyd| nys>%djhla we;s lsÍu foaYSh úf¾pl T!IO j, úfYAI;ajhls' MAY 2018 | DOCTOR MAGAZINE 129

AYURVEDIC

fujka frda. ,laIK u;ska we;sjk u<noaOh iïnkaOfhka m%udKj;a f,i wjOdkh fhduq fkdlsÍfuka miqj fïjd zzuyd frda.ZZ njgo m;aúh yel'

AYURVEDIC

u<noaOhg rkam; mrmqf¾ iqúfYAIS m%;sldr rkam; mrïmrdfõ wmf.a m%;sldr l%uh jvd;a iykYS,S iqjhla i|ydu fya;=jk w;r ld¾h nyq, cSú;hla .; lrk Tng b;d myiqfjka m%fhdackhg .; yels jk fia wmf.a T!IO ksmojd ;sfí' fld<U" kqjr mdf¾ mE,shf.dv wxl 663 orK ia:dkfha msysgd we;s zzrkam; fjo ueÿrZZ fj; meñfKk Tng ukd frda. úksYAphlska miq

Ndú;hg b;d myiq" kùk l%u u.ska ixialrKh lrk ,o ld¾hlaIu" m%;sM<odhS ishhg ishhla foaYSh T!IO weiqf¾ m%;sldr ie,fikq we;' úfYAI;ajh jkqfha rkam; fjo mrïmrdfõ ryia jÜfgdare weiqf¾ fï T!IO ixialrKh ùuhs' u<noaOh fukau" fjk;a ´kEu frda. hlska fmf<k Tng .e,fmk m%;sldr l%u wm i;=j mj;akd w;r meñK m%;sldr ,nd wdhq wdfrda.H iïm;a;sh úkaokh lrk f,i wm isysm;a lruq' •••

ilia lf<A wñ; úl%udrÉÑ

wdhq¾fõo ffjoH rkam; rejka r;akdhl rkam; fjo ueÿr, 663" kqjr mdr" mE,shf.dv wdhq',s'm'wxlh 13869" 071 300 9088 | 011 434 4599 mÜáh ykaosh fchrdca m%kdkaÿmq,af,a .=jka md,u wi, 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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