Doctor Magazine November 2018 by Doctor Magazine

NOVEMBER 2018

Volume 24 • Issue 11

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NOVEMBER 2018 | DOCTOR MAGAZINE

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ffjoHjrhd Volume 24 ● Issue 11 ● November 2018

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ETON

EDITOR'S

S'ROTIDE

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ZZdh;'a; u rfÜ fi!LH ''yfï f.!rjKS akhfYj uùa;m gjn alhYxdh¾dl a;fgh rdOdw 'shhkso kKfñem wOHdmkfha iq y q U q , a wjia : dfõ m% n , fi!LH mKsúv cd;s l fufyjr jd;kc jód.ui dy at Soa;jf ÿsi ïlaikjf lsk;hdw âadnfáakei uqj,QKa ejQo wdh;khhs wOHdmk óg oYl 'hú gkakj QKqhso äej ock.; akygivejlsïÍfug Ísl a; ïf. gdh';fi!LH a;yu hjr!.f aKfqns; ks,Odßkaf.a mßmd,k YlH;djfhka uq,a ld,fha fi!LH lsysmhlg HL!if hYxdh¾dl kmdHOw HL!if gú kj ow S;dmIalm hn qiqu fomd¾;fïka;=fõ uyck fi!LH wxYfha l=vd tallhla fmr wfmaa a;fgh =lhfrjIalHOw rdp%m dy kmdHOw ahfYxH;duw qKm qyT 'sljn fiajdj .ï"akokõj,g erjHojff "Hojff l,jYfhka dY dc%m "Hojl% fsh f d;a lshu dlldcjQ %m wfma fi!LH 'shof a;ywOHdmk fnf j¿=;ew akúfYa ßdO,sk HLñ!i jHQjola jffTia ;akfoia wo 'showe;s f dn,;;a a;k; akt lf os"akherqK ajhg m;aj ;sfí' t<efUk I kmdHOw l% Soõfxi jqi jd;kc ;úakui akslh,vaKu h¾dl K¾Qm s;ek s,slsiej uyck fi!LH mÍla I ljrfhl= hgf;a os i a ; %sla fi!LH osk hla fjhs ' gjn alhk;hdw kofrW glrjyfuf ,dYú ïfÍsl ke. ula;.oej ïfSke.dk; alhs,slsiej g,j a,j.f ta%ml'í lfs;l%jsha;d;a jrfhl= ta zzieka .adá rffnda dw "â HL!if a,eidwOHdmk m "HL!if dc m ul ùu" âadniyldr fáakei ktwOHla Sirei I aksl hdnl ,sk sldl 'shof dhsl q K q y q m " ï S h . e w d y K I a h f ¾ m " k m d H O w H L ! i f d , d Y H a k f a k r l ; . e r =;kgfej ßs|ew ksot dh;a;yu hg;g wdh;kh m;a ù u" f,da l fi!LH ixúOdkfha uy;a;hdZZ .ug HL!if akua;j ;úakui akwdOdr sljdkK.hgf;a Yxw Sodw '''ïÍsl akhsim;a ejï. oaljYfhka jdr.`i ZZ;meizz ahf,ñdkf 'hïf. ld¾hdxYhla njg ùu meñfKk oskhhs' vúsKm HL!if Oúú dyry HOdu hYxdh¾dl kmdHOw aiofmW jqi dkáj adyfdnf syt r;w kßydonf r;w ieka lua;á dhfnda s%l jâ |nsk akygivej wdh;ks SIAYfúqi dl ,syfjkia hfkoAkfl skï xi isÿ fj;aoS ta yd iu.dój ck;dj 'h;.¾;akw 'shrl oeKQj;a lsÍfï jevigyka o jeä oshqKQ jkakg úh' uy;a;hdg .fï hs;amd%mg+l aifjo gjd,jf kt k.fàej ßs|ew ? ;snqfKa f.!rjh "kc¾; HL!if kjf=;u ,l aks,l ".adrf kjdkf adnf 'shKfñem úg fi!LH fi!LH uqiS|q enh md;S ni dmla y lI lat ;sIaYfú uwo akufjk d;HY jw k S,dl OúwOHdmk ú 'shjld¾hdxYh akmf alhám%;Ñ ;u alhrs; ÿqi k,a,w glhs;a;ì wud;HxYfha wOHdmk jrfhl= njlsh' ¾Tyq dl "umKq Sohf ,j akygi vej ïfÍsl a;jQK eo Oúú yd m%pdr ahfwOHla s<yms<tI'h qiaiskñ a;mhgf;a amÿ akfakdm ï=lú ahfrs; kja;jm fohs dy|i' akSoõfHOdu m% "ïc Ídsl ldhs QKqyqmldyffjoH" |i ,vaKum%cd Yd,l a.fqyffjoH" T 'hïr; ffjoHjreka alhUn Kqyqu a."fdjero krl ym<u fnfy;a iudc.; fi!LH húvw íjf er =;rd;f wOHdmk HL!if ZZhßeijqiwdh;khla zz "k%;akuïims<sn|j hKdwoyila u%m l;w al jfqKm kglsfÍ ejugh' d. ßsi ßsi akhfLquadOfw oka; ffjoHjreka " fi!LH wOHdmk ks,duOdßka we;= ¿j a;mßsob at ''''shjf tkakSo;adw ,nd fohs ' jdjaifld¾hdxYfha vúsKm amshlai "k:lrÿ wo IaYffi!LH ú uakufwOHdmk ld¾hdxYh ZZ'''ke. erhkq wfjka qKmzzye|s akfak krafljk ka 1950-60 iuka ixfõoS jeisl s,dHs ke;s km Ow HL !if aifaih T mQ Yx¾wK ;Dld¾h lS.xdwdh;kh OúuKa ú akhvf,hls Ymiq j .sh ZZKúW; e<ck;dj elzz ''sl áiq mj duk sifi!LH <l qiqu aiofmW dkáj oYlfha ''hfï rfÜ f.!rjKS H L ! i f ; j f j d ; k c Ü f r ï f s y h f k d u ; ¾ j h Y x d h ¾ d l h k p d m " k e . h ; . x i j d h ß a , feuúv QKqjaks|ey akjfqkh lsÍfï úYd, fufyjrlg f.j,a j,g jeisls,shla ;kd.ekSfï jeo.;alu .ek wOHdmkfha iqyqUq,a Wrfok wjia:dfõwdh;khla m%n, fi!LHnjg mKs cd;sl fufyjr õf hSk ixY%m hydimsa;<Wsn|j Krowoyila guSodn,iudc.; QKeo lsÍugh' alhs,slsiej '''ke. ula;.oej ïfÍsl a;kakt'''ke. wdh;khla fi!LH í' m%cd uls fi!LH" fi!LH" wdfrda . lshd fohs' ldls ks, lndhlska ieriS tkwOHdmk iekaá'fnda âóg ck.; Íug uq,mdie,a a jQ wdh;khhs ' fi!LH wOHdmk oYl m;aj ;sf akhfYj Sodw ïf ke. hKrdl kh @ shew akfakj HYjw wo fi!LH wOHdmk ld¾hdxYh hkq f jka ye|s k a f jk ld¾hdxYfha ks , Odßka f .a mßmd,k YlH;djfhka uq , a ld,fha fi!LH ls y s m hlg fi!LH m¾fhaIK yd " mq yqK uy;a;hd tosk we|sß jefgk;=re .; lrka Enef ika ";Kßm "r+Yh¾dl ghHYd,d Yxdh¾dl kmdHOwwOHdmk" HL!if gkak rlwe.hS erqy a;ï ßsi jqi a;mq yh gjd;kc ,lt wdh;kh .sh ak1950-60 oYlfha ''' fï rfÜakßfi!LH f.!rjKSh wxYfha l=yvZdZdhta; la;lhla a miq lhßjIh alka HOwfmr akhfwfma jksN wlsa;Íqhï''' slu alfomd¾;fïka eo wxY Soõfxi.Kkdjls jqi ;=fõ uyck êwfi!LH Hú L!; ifj;a ,lu t ka dyrfi!LH yu âadnfáakeizz wdoS ka dl iuka .fïh' fkdñ,fha zziem;ZZ i`.rdjla o .ïjeis wOHdmkfha iq mKs úfva;fi!LH cd;sl fufyjr d;a ul jQ wOHdmk j jd;kc aifaiT.ï akhokõj,g kdu jkwOHdmk a;y fdqU yq, fda uwjia f ld¾hdxYh ïjYfhka f:dfõ kásim%jnl% a;,sh mfi!LH 'hwfma a; .úúO rl hK y%. jd;mKs kfia c ak udOH yryd fi!LH úhdj vf.õf vúsKm akÿ w;r fnodyßk w;r tys fndfydaóg jákd lsúfYa Í uqSY ,K a jQduwdh;khhs fi!LH wOHdmk oYl iqhjvúWmfoia sKm sy;t<efUk fck.; mïi jqi iug ,f I S, ¾l% sk ña;l dvj j fQjla Tia ,fjak;s gÜfeí' r=l ¿dlf ,lt osh;'qK fia wo we;s ;;a;ajhg im;a fkA oÍkfhys ,fdskiq úuqfYA I S jevigyka ks nv|j l% sh d;a uel wka;¾.;h' Odßka fõ.aixks mßmd,k YlH;djfhka , a ld,fha fi!LH lsysmhlg 'shu=;em a.fmwosksk k,ak h h d j f s l e y g u s l h k o õ x i j S , S Y d h s % l g , j a k y g i e j ï f k . f | w ïªew s,ey/ej uyck fi!LH mÍlaIljrfhl= hgf;a osia;%sla fi!LH hla fjhs' fomd¾;fïka ;=fõ' uyck fi!LH wxYfha l=vd gtarlam lhla fmr wfmaa fw gú kh alh,dl a;j; jd;kc Qj s.dNyi lrhs wOHdmk tall l%shd;aul ùu" iyldr wOHlaIjrfhl= ta zziekaáfnda â hjZZdj gr dka;jm lY¾o HL!if u;GAIsYú ahfmd,lzz jYfhka l%shd;aul jQ wfma fi!LH wOHdmk k fia .ï okõj,g ? we|sß jeàf.k tk fj,djg ojfia l+gm%dma;sh uy;a hg;g wdh;kh m;aù'u" f,da l fi!LH ixúOdkfha ;hdZZ .ug ahfQj a,qu gkakof dn, gKrof al, hrodjr!.f l%ñl oshqKQjla Tiafia wo we;s ;;a;ajhg m;ajh;s t<efUk úfYaI fkdjk frdahgf;a ." l,sld¾hdxYhla ka l, u;=ffí' jk ;¾ck" meñfKhs' wdOdr njg m;a ùfuakrjYfhka meñfKk osfnda khhs ' Iljrfhl= Üfr fi!LH ï f ak l a;mßsob mw jdlú¾Qm ïf uyck fi!LH mÍla hgf;a osia;%sla fi!LH oskhla fjhs' wdh;ks l fjkia lïukIis ÿ oa; S ta yd ck;dj k wjYH;d fuka ta ì;a;shlg w,a,k iqÿ ;srhla u;taÑ;% máhla hswOHdmk ' áfndataâlúúO júfYa alofj;a alI hs; j ll h dl o iu.dój SIyd aYfúine|S qi g; mïi jqi a.fjd;kc l l%shld,S d;aul ùu" iyldr wOHla jrfhl= zzieka áfndaâfmkajieka

NOTE

Èßfhka" wÈgkska

Èhjeähdj ch .ksuq oshjeähdj iïnkaOfhka i<lk l<" Tn wm ish¿ fokdu ldKav ;=klg wh;a fõ' oshjeähdj ke;s ldKAvh" oshjeähdj je<÷KQ ldKAvh iy oshjeähdj ;;a;ajh fj; meñfKñka ;sfnk ldKAvhhs'

EDITOR'S

whgo fojkqj lS Wmdhsl ie,iqï w;sYhska jeo.;ah' frda.h u;=ùu yels;dla l,a ouñka ukd reêr iSks md,khla we;s lr .ekS ug Tjqkago u. fmkaùula wjYH fjhs' NOTE

wm iEu fokdgu fndfyda mdvï lshd fokakg fï f,dal oshjeähd oskh NOTE m%fhdackj;a fõ'

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rEmh ldka;djg wdNrKhla' ksiÕfhkau wdl¾YKSh nj" m%shukdm nj Wreu lr.;a;S we" ta ksidu wka whf.a fjfiia wjOdkhg ,la fjkjd' ta;a fï ,iaik yeuod mj;ajd .kafka fldfyduo@ ldka;djlf.a wÕmiÕ Tmj;a fjñka tys w,xldrh jefvkafka jhi ;sia .Kka jk;=rehs' t;ekska Tíng j¾OkSh wjia:d fndfyda ÿrg w;aysgfjk kuq;a fmdaIKh" jHdhdu fukau ufkdaNdjhka weiqf¾ wdl¾Ykh ;j;a ld,hla fkdkeiS mj;ajd .kakg we;eï ldka;djka iu;a fjkjd' tfy;a jhi ;sia .Kka j,oS úhm;a ùu kue;s wjk;sfha ld,mrsÉfPaoh n,.ekaùu je<elaùu myiq ldrKhla fkdfjhs' doctormagazine.lk

cSj úoHd;aulj jhia.; jQj;a wfma ldka;djka nyq;rhla fmkqfuka jhig hkjdg leue;a;la kE' hï wdldrhlska ;=reKQ fmKQu /l.kakg wjia:djla ,efí kï wfma ldka;djka ta .ek fomdrla fkdys;kafk;a ta ksihs' jhia.; ùu je<elaùu flfia fj;;a th l,a oeóug kQ;k ffjoH úoHdj id¾:l f,i W;aidy ord ;sfnkjd' fï wosgka iy.; wruqfKys j¾OkSh ikaêia:dkhla fia ie<flk zzfndafgdlaia m%;sldrhZZ .ek wm wo l;dnyl fhfouq' D ;=kla úia;r lrk iod;k i;Hhla ifuys jhig hdu úoHd;aulj D ;=kla u.ska úia;r lrkjd'

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DEFLATION ifuys msreKQ nj wvqùu f,i ke;fyd;a mßudj wvQùu f,i fï ;;a;ajh yªkajd osh yelshs'

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Deflation and Dehydration DESCENT cSj úoHd;aulj jhia.; jk úg" ysre t<sfha n,mEu ksid" ÿï mdkh jeks ÿisß;a fukau weÕ flÜgq ùu wdoS lreKQ fya;=fldg doctormagazine.lk

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2 ke;sùu

ifï cSj .=Kh msreKq nj wdrlaId lsÍug iajNdjfhkau ifuys mj;sk yh¨frdksla wï,h (Hyaluronic acid) fya;= fjkjd' msßmqka iula mj;ajd .kakg fya;=jk fï iajdNdúl ridhkh wm úhm;a jk úg l%u l%ufhka ;=kS fjkjd' th;a iu jhia.; jkakg fya;=jla' jhia.; ùfï l%shdj,sfhaoS ifuys udxYfmaYs j, l%shdldß;ajh jeä fjkjd' tfiau iu /,s yd keùï wdldrfhka fmfkkakg .kakjd' fï wdldrfhka tla tla ldka;djg wkkH jQ idOl wkQj tla tla jhia j,oS iu úhm;a jk w;r thg ms<shula jYfhka zzfndafgdlaia tkak;ZZ wo id¾:l f,i wfma rfÜ;a f,dalh mqrd;a ldka;djkaf.a wdorh oskd .ksñka Ndú;fha mj;skjd' 10

fndafgdlaia tkak; yefokafk fufyuhs fndafgdlaia hkqfjka ckdorhg m;aj we;s fï ;=reKQ nj /l .ekSfï m%;sldrh i|yd fhdod .kafka nelaàßhdjla úiska ksmojkq ,nk fm%daàkhla' th Botulinum Toxin hkqfjka ye|skafjkjd' uq,skau ffjoH úoHdfõ fuh Ndú;d flrefKa wefia jmrhg isÿ lrk m%;sldrhla jYfhkqhs' tfy;a tys jákdlu rEm,djKHh yereKQ úg ;j;a fndfyda lafIa;% j,go me;sr f.dia ;sfnkjd' wêl oyäh oeóu md,khg" w;a-md uqyqfKA yd wefÕa we;sjk widudkH p,k j,g m%;sl¾uhla f,i fukau úlD;s udxYfmaYs ms<silr lsÍugo wo ffjoH úoHdõ fndgq,skï fhdod .kakjd' tfy;a fï ish¿ m%;sldr w;f¾ fndgq,skï yS b;d ckm%sh Ndú;dj jkafka ldka;djkaf.a uqyqK ;=reKQ nj /l.ekSuhs' fndgq,skï OQ,lh weiqf¾ ;u uqyqfKa fmKQu ;=reKq lr .ekSug ,laI ixLHd; ldka;djka fm<fUkjd' fndafgdlaia j, l%shdldß;ajh fndafgdlaia u.ska udxYfmaYs j, wêl%shdldß;ajh wvmk lrkjd' ifï /<s jeàu fï ksid wvq fjkjd' fndafgdlaia" ldka;djkaf.a /<s jeàï ms<silr lsßug fhdod.kafka tkak;la jYfhkqhs' fuhska jrlg ,nd fokafka b;d iq¿ ud;%djla' thska /<s .eiS" jeyeÍ .sh iug w,xldr ;=reKQ fmKQula ,efnkjd' ta fmKQu idudkHfhka udi yhl muK ld,hla r|jd .; yelshs' bkamiqj kej;;a ta wdl¾YKh ;jorg;a mj;ajd .kakg kï kej;;a fï tkak; ,nd.; hq;= fjkjd' fndafgdlaia b;d wdrlaIdldÍ tkak;la' tys lsishïu fyda wjodkula fõ kï th fkd.sksh yels ;rfï jkjd' fï tkak; ,nd fok ia:dkhgu ñi fjk;a

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fndafgdlaia m%;sldrh yd bkamiqj uqyqfKA ishqï fjkialï bj;a lrñka mßudj jeä lrk p¾u msrjqu m%;sldrh;a isÿ lsÍfuka miq weh ;jÿrg;a jeyeÍ .sh uqyqKl ysñlrefjla fkdfjhs' b;d wdl¾YKSh iqkaor ;=reKQ fmKQul ysñldßhla jkakg wlue;s ldka;djka fj;ao@

isref¾ mgl j,g wjfYdaIKh ùula kE' yenehs" fï fndgq,skï tkak; ,ndoSfuka wfmalaIs; m%;sM< kshudldrfhka ,eîug kï ta m%;sldrh ta úIh iïnkaOfhka iqÿiqlï imsrE ffjoHjrfhlaf. kau ,nd.; hq;= fjkjd' doctormagazine.lk

wo ldka;djka w;f¾ fï fndafgdlaia tkak; b;du ckm%shhs' ta tu tkak; u.ska ldka;djka w;r ,dlaIKsl úhm;a ùu wdY%s; fjkialï /ilgu id¾:l úi÷ï ,ndoSu ksihs' úhm;a ùu;a iu. uqyqfKa we;sjk ,l=Kq •

k<f,a yryg we;sjk bß - iskdfik úg fïjd fyd|ska fmfkkakg .kakjd

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iskdfik úg yd hï hï bßhõ m<lrk úg weiaj, fldK u;=jk ldl mdo ke;skï Tn ljqre;a okakd fl%da *SÜ

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wei hg we;sjk /<s fukau weis neu t,a,d jeàï

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kdih fomiska lïuq,a fíÍhk wdldrfhka u;=lrk /<s

fndafgdlaia m%;sldrfhka miq p¾u msrjqula isÿ lsÍfuka uqyqKg msreKQ ;=reKQ fmKQula ,efnkjd

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;=reKq fmKQu i,ik fï fndafgdlaia yd Dermal Filler m%;sldr Tng oeka fld<U 3" we,a*%â fmfofia v¾vkaia frdayf,ka

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kslg fomiska t,a,d jefgñka lg fome;af;ka u;=jk /<s kdih fome;af;ka /<s jeà lïuq,a fomi uia ms~q t,a,d jeàu weia hg u;=jk whsnE.a weis msh fl<jßka lvd jeàu weismshka t,a,d jefgk iajNdjh uqyqK yd f.< w;r /,a,la u;=ù t,a,d jeàu

mßiudma; ;=reKQ fmKQulg p¾u msrjqu ^Dermal Filler& m%;sldrh;a óg tl;= lr.; hq;=hs fndafgdlaia m%;sldrfhka uqyqfKA we;sjk ?<s" keùï b;d ksjerosj ielish yelsuq;a ifuys msreKQ nj thska h:d ;;a;ajhg m;a lrkak wudrehs' fï mßudj kej; ,nd fokakg kï ;j;a l%shdud¾.hla .; hq;= fjkjd' ta ;ud p¾u msrjqu ^Dermal Filler& kue;s ifuys mßudj m%;sks¾udKh lsÍfï m%;sldrh' j, .eiSï" weia hg wdoS ia:dk j, we;sjk .s,Sï ú;rla fkdfjhs ishqï j,j,a" úh<sNdjh ksid we;sjk ifuys ishqï fjkialï wdosh Dermal Filler m%;sldrfhka wmQrejg ilia lrkakg mq¿jka' p¾u msrjqu ^Dermal Filler& i|yd fhdod.kafka ødjH yh¨frdksla wï,hhs' fuysoS yh¨frdksla wï,h fhdod .kafka b;d iaj,am m%udKhla' kuq;a th ta yd iudk c, fldgia foish .=Khla muK wdOdr lrf.k úYañ; wdldrhg m%j¾ê; msrjqula isÿlr tu ia:dkfha wmg wjYH wdldrfha p¾u mßudjla ,nd fokjd' fï Dermal Filler m%;sldrh;a b;d wdrlaIdldÍ m%;sldrhla' thska Tfí jeyeÍ hk rE imqj kej; mqk¾cSjkhg ,la lrñka Tn úYauhg m;a lrjk ;=reKQ fmKQula ,nd fokjd' 12

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v¾vkaia frdayf,a fldiafuála fikag¾ fj;ska fndafgdlaia yd Dermal Filler m%;sldr ,nd.; yelshs' v¾vkaia frdayf,aoS Tng ie,fikafka fï lafIA;%h iïnkaOfhka m%udKsl w;aoelSï iys; úfYAI{ ffjoHjreka yd mqyqKQ ld¾h uKAv,hl fiajdjla' fiajd,dNSkaf.a ryiHNdjh fuysoS w;sYhska iq/flkjd' fldiafuála fikag¾ msúiqu mjd fiiq wxY j,ska fjkaj mj;ajd .kafka ta ksihs' v¾vkaia frdayf,a fldiafuála fikag¾ fj;ska Tng ,efnk fiajd wdrlaIdldßhs" iqúfYAIshs' th Tnf.a is;eÕs blaujd Tnj i;=gg m;a lrjk fiajdjla jkq we;s'

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Fertility

msßñ wm yefudau ÈkQ uyd ix.%duh wisßu;a cSú;h ,nd .kakg isÿ lrk ixfiapk ix.%duh .ek f;dr;=re

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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

idudkHfhka .eí .ekaùula lrkak fya;= jk Od;= mßudjl Y=l%dKQ fldaá tl yudrla ;sfhkjd' fuhska tlhs .eí .ekaùulg wjYH jkafka' ta;a f,dl= ix.%duhla isoaO fj,d ;uhs wr fldaá tl yudrla Y=l%dKQ j,ska tlu tla flfkla ch.%yKh ,nkafka' fuh iajNdjO¾uhd úiskau yªkajd ÿka l%uhla' thg fya;= úuik úg fï ldrKdj tfia isÿ jkak fya;=j uekúka meyeos,s fjkjd' fhdaks ud¾.h osf.a Y=l%dKQj .uka lrk úg Y=l%dKQ fndfydauhla úkdY fjkjd' fï äïnh yUd hk Wml%ñl ix.%duhl ksr; jk Y=l%dKQ .;af;d;a tajd tl tl m%udKfhka hqla;hs' flfkla ÿ¾j,hs' fyñysg msyskkafk' y;s jeá, uefrk wh;a bkakjd' doctormagazine.lk

udkj ia;%S yd mqreI ckldkq flfkla fõ.fhka msyskkjd' Yla;s iïmkakhs' fï ÿ¾j, yd Yla;su;a yeu Y=l%dKQjlau igkg wj;S¾K fjkjd' f¾ia tl hkfldg;a úúO weneoaos fjkjd' yosiaisldrfhd wk;=re;a we;s lr .kakjd' fõ.fhka .sh;a ì;a;rfh lgqj úo.kak neßj wiu;a jk wh;a bkakjd' fï Y=l%dKQj j, yevh .;a;;a tl tl úosyhs' T¿j rjQï Y=l%dKQ" T¿j fjkia Y=l%dKq" T¿ fol fol ;sfhk Y=l%dKq" j,a. lsysmhla ;sfhk Y=l%dKq''' fï úosyg tl tl úosfya Y=l%dKq ;rÕhg wj;S¾K fj,d wjidk ch.%yKh jvd;a Yla;sjka;hd

úúO .eg¿ iys; Y=l%dKQ y÷kd.kak NOVEMBER 2018 | DOCTOR MAGAZINE

w;am;a lr .kakjd' Y=l%dKQfj j,a.h yok fm%daàk j, .eg¿jla ksid we;efulaf. Y=l%dKqfj j,a.h jev lrkafk ke;s fjkjd' t;fldg mSkkak nE' t;fldg fïl wrf.k äïnh úo, we;=<g m%fõY lrjk ;dlaIKhlg wmg hkak fjkjd' iuyr whf. Y=l%dKQfj äïnh we;=<g úof.k hkak wjYH lrk fldgia ÿ¾j,hs' Y=l%dKq rsfmdaÜ tl ne,qju fï whf. Y=l%dKQ fyd|g ;sfhkjd' neÆ ne,aug tajdfha pd,l;djh yd l%shdldß;ajh;a fyd|hs' ta;a .eg¿j ;sfhkafk wr äïnh úof.k hkak wjYH lrk l%shdldrs;ajhg fya;=jk jk tkaihsuh fkd,eî hdu' fïl ir< mÍlaIK j,ska yiq lr.kak nE' úfYaI mÍlaIKhla ;sfhkjd' thska ;uhs ÿ¾j,;djh wkdjrKh fjkafka' wms thg lshkjd Hamstek Finding Test lsh, mÍlaIKhla lrkjd' Hamstek lshkafk ófhla' fï óhf. ì;a;r j,g Y=l%dKQ od, th úof.k hkak mq¿jkao lsh,' óhf. ì;a;rh ia;%s äïnhg fndfydu iómhs' tu ksid fï îch úof.k hkak mq¿jka ùu neßùu u; mqreI Y=l%dKQjg ia;%s äïnh midre lrkak mq¿jkao@ neßo@ lshk ldrKh ;lafiare lr.kak mq¿jka' neßkï ta úosfy flfkl=f.a ixfiapkh úo, odk l%uhlg ie,iqï l< hq;= fjkjd' Y=l%dKQ j, l%shdldß;ajh fidhd n,k mÍlaIK (Sperm Function Test) ;sfhkjd' tl Y=l%dKQ jd¾;djla n,, Y=l%dKQ ÿ¾j,o ke;so@ hk ldrKh .ek ;Skaÿjla .kak;a nE' thg fya;= meyeos,s lrkakï' Tn okakjd mqreIfhl=f.a YÍrh ;=< Y=l%dKQjla

úúO .eg¿ iys; Y=l%dKQ y÷kd.kak 16

NOVEMBER 2018 | DOCTOR MAGAZINE

ksIAmdokh fj,d t<shg tkak ojia 75-80la hkjd' wo flfkl=g lsishï frda. hla je<|s,d ;snqfKd;a wo b|ka udi ;=kla ú;r hklï Y=l%dKQ ksfrda.S fkdfjkak mq¿jka' fï ksid mqreIfhlaf.a Y=l%dKQ j, ksfrda.S;djh .ek ksjeros wjfndaOhla ,nd.kak kï udi ;=fka ld,dka;r j,oS ,nd .kakd jd¾;d ;=kla mßYS,kh lrkak ´ks' ta úosyg ;uhs Y=l%dKQ iïnkaOfhka ksjeros wjfndaOhla" ksjeros ;lafiarejla lr.kak yelshdj ,efnkafka' wms okakjd we;eï fj,djg flfklaf. Y=l%dKQ jd¾;dfj ìxÿj f,i oelafjkjd' tfyu fj,djg f,dalhu lvd jefgk tl wykak;a fohlao@ ug nfnla yokak nE'''' fudlgo ux .syska uosmqxÑlï ú|skafk ljqre;a oek.;af;d;a tal;a ug fyd| kE'ZZ tfyufk ysf;kafk' m%dfhda.slj wm olsk foa ;uhs fï úosyg fomdrla ;=ka mdrla ne¨ju thdg ke;s Y=l%dKQ yïn fjkjd' iuyr úg mÍlaIKfhaos Y=l%dKQ ke;s fjkafk wdikakfha ;snqKQ

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wikSmhla ksid fjkak mq¿jka' udkisl m%Yakhla ksid fjkak;a mq¿jka' wdmq Y=l%dKQ ál ìu jeá, fjkak mq¿jka' wdï,sl ;;a;ajhla u; ;snqKQ Y=l%dKQ úkdY jqKd fjkak;a mq¿jka' miafi n,kfldg Y=l%dKQ lsysmhla fyda ;sfhkjd' wmg lsishï ms<shula i,ikak mq¿jka wfmalaId iy.; ;;a;ajhla ta ;=< ;sfhkjd' fï ksid tl Y=l%dKQ jd¾;djla n,, l,n, fjkak j;a" wfmalaId Nx.;ajhg m;a fjkak j;a fm<ôh hq;= kE' fï ;dlaIKh ;=< fld;ekska yß fydhd.kak ;ks Y=l%dKQjlg;a ore iïm;la ,nd fokak mq¿jka' IMSI PICSI ;dlaIKh" PGD PÁ ;dlaIKh ksid cdkuh .eg¿ u.yrjd .kak mq¿jka'

Y=l%dKQ we;af;u kE lsõju biair kï lrkak isÿ jqfKA fjk;a flfklaf. Y=l%dKQjla fhdodf.k .eí .ekaùu' ta;a oeka wmg tfyu jqK;a ;j;a álla bosßhg hkak mq¿jka' reêr mÍlaIK lsysmhla iy ialEka mÍlaIK j,ska WorfldaIfhka Y=l%dKQ ksheoshla wrf.k mÍlaId lr, jDIKfldaI j, we;=f, isr fj,d ;sfhk Y=l%dKQ ;sfhkjdo lsh, mÍlaId lr, n,kjd' iuyr whf. m%Yafk ;sfhkafk jDIKfldaIfha Y=l%dKQ yokjd" ta;a kd,h osf.a t<shg tkafk kE' kd,fha wjysr;djhla fuhg fya;= fjkjd' tfyu jqKdu jDIKfldaIh úo, ir< l%shdj,shla Tiafia Y=l%dKQ t<shg .kak mq¿jka' tfyu t<shg .kak Y=l%dKQj Tfí mS;D;ajfha isyskh ienE lr.kak fyd|gu iEfykjd' ljr idM,H;d .eg¿jlska fm¿K;a oeka Tng ore iïm;a ,nd .ekSu wreuhla fkdfõ' fjk hï ljr fodaIhla u; Tfí uõmsh isyskh fnd| ù ;snqK;a th h,s mqnqÿjd,Sfï yelshdj wmg ;sfí' Tfí .eg¿j l=ula jQj;a th .ek yDohx.uj l;dny lsÍug wm iQodkïh' Tng jvd;au .e,fmk úi÷u ,nd.ekSug fï flafIA;%fha m<mqreÿ wfma jD;a;Sh iydh ,nd oSug wm b;d leue;af;ka isáuq'

wmg l;d lrkak' fukak wfma wxlh 077 3273 866 wmf.a ,smskh wisrsu;a m%;sikaêh äïnh yUd tñka ,laI ixLHd; Y=l%dKQ lrk hqoaOh tla Y=l%dKqjla muKla äïnh midre lrñka ixfiapkh fjñka ch.%ykh iksgqyka lrk yeá

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WISH Fertility & IVF Clinic 393$6" li.yj;a;mdr mrK fldÜgdj mdr Wvyuq,a,"kqf.af.dv

NOVEMBER 2018 | DOCTOR MAGAZINE

fodafr .,k ore fifkyi

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

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

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

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

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

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ÔjkS

Tn;a Tfí orejd úc,kfhka /l.kS

wo ojfia orejkag yd jeäysáhkag je<f|k frda.dndO ksid we;súh yels w;=re wka;rdhka fndfydah' tlS w;=re wka;rdhkag w;r jukh yd mdpkh wjodkï iy.; ;;ajhka we;s lr,Sug fya;= fõ wjia:dfõ§ Ôú;hg jqj o ;¾ckhla úh yels mdpkh we;s jkafka cSjdKq ffjri nelaàßhd yd laIqø Ôùka YÍr.; ùfuks'

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ixj¾Okh fjñka mj;sk rgj, <orejkaf.a yd orejkaf.a urK j,g m%Odk;u fya;=jla jkafka jukh yd mdpkh ksid we;sjk úc,khhs' jukh yd mdpkh we;s jQ úg isref¾ we;s c,h msg;g hdu" YÍrhg m%udKj;a c,h m%udKhla fkd,eî hdu fya;=fjka we;sjk úc,kh fuu wjodkï ;;a;ajhg uQ,sl fya;=jhs' hï orefjl=g fyda jeäysáfhl=g úc,kh we;sjQ úg osjhq;= fyd|u m%;sldrh jkafka uqL ic,k m%;sldrhhs' zzcSjkSZZ hkq ;;;aj iy;slhla we;s tjeks uqL ic,k m%;sldrlhla jk ,jK ñY%Khls' zzÔjkSZZ ñY%Kh ffjoH wkque;shlska f;drj ´kEu T!IO wf,ú ie,lska iqmsß fj<|ie,lska yd idudkH fj<|ie,lska jQj ,nd.; yelsh'

NOVEMBER 2018 | DOCTOR MAGAZINE

zzcSjksZZ .ek fï lreKq;A u;l ;nd.kak

ÔjkS meleÜgqj ñ,s ,Sg¾ 200 yd 1000 f,i m%udK follska yd idudkH yd fodvï rifhkao ,nd.; yelsh' zzÔjkSZZ hkq rdcH T!IO kS;s.; ixia:dj uÕska ksIamdokh lrkq ,nk ,jK j¾. lsysmhla wvx.= ñY%Khls' tys fidaähï laf,darhsâ" fmdgEishï laf,darhsâ" fidaähï isÜf¾Ü yd .aÆfldaia wka;¾.;h' .aÆfldaia u.ska fidaähï whk YÍrhg Wrd .ekSu myiq lrjk w;r fidaähï yd fmdgEishï whk YÍrhg Wrd.ekSfuka whk iu;=,s;;dj we;s lrhs' isÜfÜ%Ü u.ska wdï,sl;djh ksjerÈ lrk w;r fuu l%shdj,sh ksid YÍrfha úc,kh je<elaùu;a c, iu;=,s;;djh /l .ekSu;a isÿfõ' úc,kfhka je<lSug wu;rj isrerg oefkk wêl f;fyÜgqj u.yrjd .ekSugo" fvx.= jeks frda. je,÷Kq wjia:dj,§o Ôjk ,nd§u b;du;a .=Kodhlh'

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zzcSjksZZ hkq úc,kfhka wdrlaIdùug fokq ,nk m%;sldrlhla mu‚

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fuh wdydr i|yd fokq ,nk wdfoaYlhla fkdfõ fï ksid frda.shdg Ôjk ,ndfok w;r;=r § wdydr ,nd§u l< hq;=hs' lsß fndk orejl= kï uõ lsß §u ksis mßÈ l< hq;=h'

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lsisÿ wjia:djl zzcSjksZZ tl È.g mdkh lsÍu iqÿiq ke;

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zzcSjksZZ ms<sfh, lsÍfuka meh 24lg miqj Ndú;hg .ekSu iqÿiq fkdfõ

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weysneu j, bÈóula we;s jqjfyd;a zzcSjksZZ ,nd fokak tmd' kj;ajkak

zzcSjksZZ È.gu mdkh l<o blaukska ffjoH m%;sldr i|yd fhduq úh hq;= wjia:d •

jukh mdpkh mj;sk úg§

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frda.shd wdydr mdk m%;slafIam lrk úg§

•

u,dksl ksÈnr iajNdjhla fmkakqï lrk úg§

Ôjk rdcH T!IO kS;s.; ixia:dj úiska ksYamdokh lr Èjhsk mqrd fnod yßhs

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THE FAMILY AND DIABETES

Èhjeähdj iy mjq,

Èßfhka" wosgkska Èhjeähdj ch .ksuq Èhjeähdj ,sms irKsh The Family Right to a Healthy Future Every year, the World Diabetes Day (WDD) is dedicated to raising the public’s awareness of diabetes. In honor of Frederick G. Bantings, discoverer of insulin, it takes place on his birthday. This 14 November, the initiator IDF puts the focus on women. Awareness, knowledge, information 22

NOVEMBER 2018 | DOCTOR MAGAZINE

– however one might phrase it, the meaning is clear: The more a society and people affected by diabetes know about the disease, the better. This day is observed in over 160 different countries including Sri Lanka and by the more than 230 member associations of the International Diabetes Federation. doctormagazine.lk

Èhjeähdj wfma ld,fha wNsfhda.d;aul iqj .eg¿j f,dl=-fmdä" we;s-yels" ke;sneß yefudagu cSú;fha jákd mdvï lshd fok frda.h

oshjeähd frda.Skaf.a wdrlaIl mshjr

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oshjeähdj frda.h .ek l;d lrk úg tys wdldr foll frda.Ska .ek úuikakg isÿfõ' mqxÑ orejka oshjeähdjg k;= jQ úg ta jeä fofkl=g yefok" tkak;a f,i bkaishq,ska .; hq;= jk m<uq wdldrfha oshjeähdj yd bkaishq,ska fjkqjg fm;s wdldrfhka T!IO ,nd .ekSug isÿjk fojk wdldrfha oshjeähdjhs' fuhska jeä jYfhka olakg ,efnkafka jeäysáhka iq,nj k;=jk fojk wdldrfha oshjeähdj frda.hhs' wm fï .ek iúia;rd;aul l;dnyl fhfouq'

NOVEMBER 2018 | DOCTOR MAGAZINE

oshjeähdj wo md,kfhka .s,sfyñka mj;sk iqj ;¾ckhla 2010 j¾Ifha osjhsku wdjrKh jk fia isÿ lrk ,o wOHhkhlg wkQj wfma iuia; ck.ykfhka ishhg 10la oshjeähdj frda. Skah' uE; ld,Skj rgu wdjrKh jk fia wOHhkhla isÿ lrkakg wjia:dj fkd,o;a" ia:dkSh jYfhka isÿ lrk ,o iSñ; wOHhk /ilg wkQj wo jk úg iuia; ck.ykfhka ishhg 15la oshjeähdjg k;= ù we;ehs mqfrdal:kh lrkakg wmg isÿj ;sfí' kd.ßl ck.ykh iïnkaOfhka .;aúg fï ;;a;ajh jvd;a ne?reïh' kd.ßl ck.ykfhka mfyka tllau oshjeähdj frda.hg f.dÿre ù ;sfnk nj fï jk úg fmkS f.dia we;' tu;=o fkdfõ' ;j;a ishhg 15l m%udKhla zzmQ¾j oshjeähd ,laIKZZ m%lg lrk w;r Tjqkao oshjeähdj frda. hg lsishï oskl k;= ùug we;af;a ld,fha mryla muKs' 24

fld<U úYaj úoHd,hSh ffjoH mSGfha fcHaIaG l:sldpd¾h ks¾kd, frda. úfYaI{ ffjoH m%idoa lgq,kao ^idlÉPdjla weiqrsKs&

wfma cSjk rgdfõ wjr.sr wd.ukh YsIaGdpdrfha iïNjh yd úldYh úuik úg udkjhska hkq yqfola tla;ekaj isá i;a;aj fldÜGdYhla fkdfõ' ovhï hq.fhaoS f.dÿre fidhd .kakg yd f;fï wka kmqrkaf.a f.dÿre njg m;a ùfuka wdrlaId jkakg Tjqka ovhï cSú;hla .; l<y' bkamiqj f.dúhka" tfârkajo Tjqka .; lf<a iqjmyiq cSú;hla fkdfõ' hka;% iQ;% Ndú;hg .;a;o tajd yS,E lr .ksñka udkjhd hï muKlg fyda ;u oEf;a ùßfhka cSúldj isÿ lrkakg úh' kuq;a" oeka wm .; lrkafka tjka w;mh fjfyijk" oyäh uq.=re jmqrk cSú; fkdfõ'

weÕm; fkdfid,ajd /lshd lrkjd uosjdg wo ld,fha ksfjfiaoSo l=iS; cSú; .; lrkakg wm mqreÿ ù isáuq' lvuKaähg hkakg;a ;%Sù,rhla fyda fidhk wm nia fyda,aÜ fol ;=kl ÿr md .ukska hkakg ukafoda;aidyS fjuq' ta uosjdg rEm fmÜáh" cx.u ÿrl;kh wfma fi!LHiïmkak cSú; j,g ;j;a wNsfhda. /ila tl;= lr wjidkh'

NOVEMBER 2018 | DOCTOR MAGAZINE

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iïm%odhsl iqjiïmkak /lshd j,ska wE;a jk ;reK mrmqr

oshjeähdj u.ska we;s lrk lemS fmfkk ixl+,;d

wfkla w;g wo wfma rfÜ lDIs wd¾Ólh nrm;, f,i lvd jefgñka ;sfí' f.dúuy;auhdf. mq;d W;aidy .kafka ;%Sù,rhla mojd csúldj iß lr .kakgh' fmof¾rejka" jeoaÿïlrejka" ,S brkakka" .ia uoskakka''' fï mdrïmßl /lshd l< who wo ke;s ;rïh'

oshjeähdj wlaIs wdndOh (Retinopathy) weia j,g jk ydksh

wfma kQ;k wdydr rgdj .;af;d;a" wo fndfyda fofkla meKs rihg oeä f,i f,d,a ù we;' .eUqßka nosk ,o wdydr" *%hsâ rhsia" mdka msá wdoshg yqre jQ wh blauKskau ;u ia:Q, YÍr frda. j,g w; jkk cSjk l%uhlg fhduq ù isá;s' fï kj ;d,fha wdydr rgdj wfma fi!LHiïmkak cSú;hg we;s lr ;sfnk n,mEu iq¿mgq fkdjkafkah' me/kafkda .;af;a fmdaIHodhS wdydrh' lh fjfyid jev lsÍfuka tu wdydr j,ska ckkh jQ Yla;sh ta ta wjia:d j,oSu mdfya oeùulao isÿ jQfhah' wo lh fjfyik jevla fmd,la fkdlrk fndfyda fokd Yla;sh jeh lsÍulao fkdlrk ksid ta f;,a" ta iSks YÍrfhau ixÑ; ù YÍrh ;rndre fjhs' oshjeähdj" fldf,iagfrda,a" wosreosr mSvkh" ms<sld wdoS frda. j,g myiqfjka ,la fjhs' fojk wdldrfha oshjeähdj we;s ùug fï kj mkakfha cSjk rgdj m%n, fya;=jla ù ;sfí'

oshjeähdj we;s lrk w;=re wdndO reêrfha iSks m%udKh os.=ld,Sk jYfhka by< kexùu oshjeähdj jYfhka wre;a oelafjhs' "Diabetes is defined as the chronic elevation of blood glucose." fï md,kh fkdjQ oshjeähdj lsishï ld,hla uq¿,af,a mej;=Kq úg ta u.ska YÍrfha mgl j,g ydks isÿ jkafkah'

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oshjeähdj jl=.vq wdndOh (Nephropathy) jl=.vq j,g jk ydksh oshjeähdj iakdhq wdndOh (Neuropathy) iakdhq j,g jk ydksh fï yereKq úg oshjeähdj ksid mdo j,o .eg¿ we;s ùug bv ;ssfí' ;=jd,hla we;s jQ úg iqj ùu fuysoS b;d ÿIalrh' fï ;;a;ajh uqyql=rd hdfuka mdo wysñ ùfï wjodkulao we;s úh yel' tfiau jhia.; ùug u;af;ka yDohdndO j,g ,laùfï wjodkulao orhs' oshjeähdj we;s úg fndfyda wjia:d j,oS we;sjk yDohdndO mmqfõ wudrejla j;a we;s lrkafka ke;' ‘Silent Heart Attacks' frda. ,laIK m%lg fkdlsÍfuka fuu wjodku ksjerosj .%yKh lr .ekSug fkdyels ùuo wjodkula" wNsfhda.hla ue fõ'

frda.h md,kh lr.kak osßh yd lemùu wjYHhs oshjeähdj yeÿfkd;a thska cSú;h mqrdjgu ñoSula ke;' fï ksid fjk;a bkaøsh j,g we;s úh yels ixl+,;d j,ska ñoSug kï cSú;h .; lrk ms<sfjf,ys fjkialï we;s lr .kakg isÿfõ' wdydr .kakd rgdfjys we;slr .kakd fjkialï" jHdhduh fuysoS uQ,sl jeo.;alula orhs' frda.h wìuqLj we;s lr .kakd fjkialï cSjk rgdjla" isß;la njg m;a lr .ekSug iEu oshjeähd frda.sfhlau W;aidyj;a úh hq;=h'

NOVEMBER 2018 | DOCTOR MAGAZINE

oshjeähdj yd wdydr idOlh wdydr iïnkaOfhka ie<l+ úg t;rï lh fkdfjfyik mqoa.,fhl= kï jrlg .; hq;af;a n;a fldamamhl muK m%udKhls' b|swdmam 6-8l m%udKhla" mdka kï fm;s 2-3la fï yd iu fjhs' kuq;a fuysoS wdydr mßudj iSud lsÍu muKla m%udKj;a fkdjkafkah' we;eï wdydr j, Yla;sh wêl jYfhka wka;¾.; jk njo we;eul Yla;sh wvq m%udK j,ska iukaú; jk njo wm oksuq' fndaxÑ" f.dajd" nxvlald" oU, wdoS t<j¿ j¾. úYd, jYfhka fndcqkam;g tl;= lr .ekSu iqÿiqh' jÜglald" lerÜ wdoS iSksuh iajNdjh wêl t<j¿ .; hq;af;a iaj,am m%udK j,sks' fuhg ud¿ lene,a,la" ì;a;rhla fyda uia iaj,amhlao tl;= lr .; hq;=h' oshjeähd frda. sfhl=g jvd;au ydks lrkafka iSks yd meKs rihhs' iSks j,ska kï yels;dla je<lSug Tn W;aiql úh hq;=hs'

oshjeähdj yd jHdhdu idOlh oshjeähdj ;sfnk flfkla i;shlg úkdä 150l j;a jHdhdu j, ksr; úh hq;= w;r fï jHdhdu ld,h i;sh uq¿,af,au fnod.; hq;=h' osklg meh nd.hla ne.ska i;shlg osk myla hkak ms<s.;a jHdhdu isß;ls' weúoSu" nhsisl,a meoSu" k¾;kh" fjd,sfnda,a" neâñkagka jeks iajdhql jHdhdu fukau Yla;s j¾Ol jHdhdu >kfhys,d ie<flk jHdhdu hka;% wdY%s;j isÿ lrk jHdhdu" YrSrfha nr m%;sfrdaOhla jYfhka fhdod .ksñka lrk Push ups jeks jHdhduo fuhg tl;= lr.; hq;=h' orejka iïnkaOfhka i<lk l< kï jHdhdu ld,h i;shlg meh y;la j;a úh hq;af;ah' ljr wdldrfhka fyda wdndê; jQjkgo jHdhdu wjYHh' tfy;a Tyq lrk jHdhdu Tyqg wd;;shla we;s l< hq;= fkdjkafkah' jeo.;au ldrKh jkafka fuysoS jHdhdu isß;la mj;ajdf.k hk wdldrh ms<sn|j Wmfoia ffjoHjrfhlaf.ka ,nd .ekSuhs'

oshjeähdj yd mjq, mjq,l iqjfi; úIfhys ldka;djf.a odhl;ajh iq¿mgq fkdjkafkah' mjqf,a wdydr isß; yeviú lrkakS wehhs' orejkag" iajdñmqreIhdg ud¾f.damfoaYk imhkakS wehhs' rEmjdysksh" ÿrl:kh iSudj blaujd hk úg wehg thg n,mEula l< yel' tfiau mjq,g wdfõksl jHdhdu isß;l kshdul ld¾h Ndrho wehg 26

NOVEMBER 2018 | DOCTOR MAGAZINE

myiqfjkau yiqrejd,sh yelaflah' j<¨ ne|s oE; mjqf,a wdrlaIdj fjkqfjka fkdmels,j l%shd lrkakg W;aiql úh hq;=h' wfkla w;g weho oshjeähdfõ myiq f.dÿrls' fjfiiskau wm jeks wdishd;sl rgj, msßñkag;a jvd ldka;djka oshjeähdj we;sùfï wjodkulg ,laj ;sfí' fï ksid ksjeros l%shdud¾. Tiafia weh;a wehf.a mjq,;a wdrlaId lr.kakg wehg we;s j.lSu wiSñ;h' fï jif¾ f,dal oshjeähd oskfha f;audj jkafka zzmjq, iy oshjeähdjZZ hkakh' uqjúgg wd iqj ;¾ckh wìuqj wk;=frka ñfokakg kï wm werUqula ,nd.; hq;af;a ksfjfiks' ;uka fjfik mjq,a tallh ;=<sks' hy .=Ke;s wdydr isß;la" l%shdYS,S cSjk rgdjla fukau fida ,;ejq,a ÿla ixld ke;s m%S;su;a cSú;hla Tiafia oshjeähdj fukau wo ld,fha wmf.a úYd,;u wNsfhda.h jQ wf;darla ke;s fnda fkdjk frda. ish,af,kau mdfya ñoSug fï mjqf,ka" l=gqïnfhka werfUk iqrlaIdju uyd¾> wdrlaIl mjqrla jkq we;' http://www.dailymirror. lk/article/Living-withdiabetes-140865.html

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SUNSHINE HEALTH CARE LANKA LTD.,

27, 4/1, York Arcade Building , York Arcade Road, Colombo 1, Phone 011 470 25 00

Hotline 077 377 72 99

Èhjeähdj

úkdY lrkafk kEæ wdl,am fjkia lrf.k Ôú;hg

i;=áka uqyqK fokak

NOVEMBER 2018 | DOCTOR MAGAZINE

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ol=Kq fld<U YslaIK frdayf,a úfYAI{ ffjoH Wos; nq¿. ymsáh ^idlÉPdjla weiqßks&

oshjeähdj .ek uQ,sl ye|skaùula wm .kakd wdydr''' úfYaIfhkau ldfndayhsfâ%Ü YÍrhg Wrd .kafka .aÆfldaia jYfhka' fï .aÆfldaia ;uhs wfma YÍrfha l%shdldß;ajhg wjYH bkaOkh jkafka' fï .aÆfldaia reêrfha wvq;a ke;sj" jeä;a ke;sj ys;lr uÜgul mj;ajd .ekSug WmldÍ jk fydafudakhla ;sfhkjd' th bkaishq,ska hkqfjka ye|skafjkjd'

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bkaishq,ska yefokafk w.akHdYfha' bkaishq,ska fydafudakh idudkH f,iska mj;ajd .ekSu ksfrda.S flfklaf.a YÍrfha l%shdldß;ajhhs' ta;a we;eï úg fï bkaishq,ska fydafudakh wjYH m%udK j,g ksIAmdokhla isÿ fkdfjkak mq¿jka' ;j;a wjia:djla ;sfhkjd" fuysoS bkaishq,ska ksIamdokh fjkjd' ta;a taj ffi, j,g Wrd .kafk kE' fï wjia:d foflaoSu reêr.; .aÆfldaia ^iSks& idkaøKh by< kexfjkjd' th ;uhs wm oshjeähdj hkqfjka y÷kajkafka' fohdldrhlg we;s úh yels oshjeähdj'''

w.akHdYfha bkaishq,ska >%djh wvd, ùfuka we;sjk iSks uÜgu jeäùu m<uq wdldrfha oshjeähdj f,i yªkajkjd'

bkaishq,ska lsishï m%udKhla ksmojqK;a th ffi, j,g Wrd .ekSu iïnkaOfhka .eg¿ u;=ùu fojk wdldrfha oshjeähd f,i yªkajkjd' b;ska fï ljr oshjeähd wjia:djg jqK;a m%;sldr wjYHhs' tfia fkdjqfKd;a YÍrfha ish¿u bkaøsh j,g fuys wys;lr n,mEula we;s fjkak mq¿jka'

kuq;a wfma ¥ orejka" jeäysáhka ish¿ fokdu oek.; hq;=hs' oshjeähd lshkafk uekúka md,kh lrkak mq¿jka frda.hla' kshñ; wdldrhg Wmfoia ms<smeoSfuka Tng oshjeähd fyd|ska md,kh lrf.k m%S;su;a cSú;hla .; lsÍfï wjia:dj ;sfnkjd'

NOVEMBER 2018 | DOCTOR MAGAZINE

f,dalfha ck;djf.ka oshjeähd frda.Ska fumuk ixLHdjla bkakjd

fï ;rï ñksiqka m%udKhla oshjeähdj ksid urKhg m;a fjkjd

fï ;rï ñksiqka m%udKhla ;uka oshjeähdjg ,la fj,d lsh, okafk;a kE

ÿmam;a yd uOHu wdodhï ,nk rgj, fumuK oshjeähdj frda.Ska m%udKhla bkakjd

,xldj jf.au wm cSj;a jk wdishdkq uydoaùmho oshjeähdfjka jeäfhkau neg lkjd'''

• l=i.skak

fï jk úg oshjeähdj f,dalfha jix.;hla f,iska jHdma; fjñka ;sfnkjd' úfYaIfhkau wdishdj .;af;d;a ;;a;ajh b;du nrm;,hs' oshjeähdj jvd;au iq,n rgj,a oyhla kï lrkak lsõfjd;a bka mylau wh;a jkafka wdishdkq l,dmhg' wfma wi,ajeis bkaoshdfõ iy Ökfha ;uhs f,dafl jeäfhkau oshjeähdj ;sfhk frda.Ska bkafk'

• ;=jd, we;s ùu

ug;a" f,a tlla mÍlaId lrkak fjhso@ oshjeähdj ;sfnk njg iel l< yels frda. ,laIK y÷kdf.k ;sfnkjd' fï thska lsysmhla''' fï frda. ,laIK tlla fyda lsysmhla ;sfnkjd kï f,a tlla mÍlaId lrk tl fyd|hs • uq;%d msg lrk jdr .Kk jeä ùu • rd;%S ld,fhaoS mjd uq;%d msg lrkakg wjYH ùu • weiaj, fnd| ùula we;sùu • wêl msmdidj 30

NOVEMBER 2018 | DOCTOR MAGAZINE

• l=i.skak iu. we;s jk we;sjk weÕ flÜgq ùu • ryiÕ m%foaYfha lik iajNdjh • ks;r ks;r wdidok j,g ,laùu

frda.Skaf.ka foflka mx.=jlgu frda. ,laIK we;s jkafka kE''' oshjeähdj je<|S ;sfnk frda.Skaf.ka ishhg 50la muK thg wdfõKssl frda. ,laIK fmkajkafka ke;' ta ksid frda. ,laIK fkdfmkaùu u; flfkla ;ukag zzoshjeähdj keyeZZ hk wkqudkh we;s lr.kak tl fyd| kE' wjodkula ;sfnkjd kï ta .ek úuis<su;a fjkak ´ks' orejka hym;a wdydr rgdjlg yqre lrk tl uõmshkaf.a j.lSula'' l=vd ld,fha isgu orejd meKs rifhka wE;a lrkak' meKs îu fldfydu;a fyd| kE' orejdg wêl le,ß iys; wdydr msßkeóu;a fyd| kE' Wmkaosk ido wdosfhaoS fï krl wdydr yeu fohlau orejdg yqre lrjkjd' tjka ido jqK;a iSud l< hq;=hs' orejd jeros wdydr j,g yqre lrùfuka u;= osfkl oshjeähdj ú;rla fkdfjhs" ;j;a úYd, frda. ixLHdjla we;s ùfï wjodkulg ,la fjkjd'

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oshjeähdj ;sfnk úg we;súh yels frda. ,laIK yeu ;siafiu uykaishla oefkkjd weia fmkSu fnd| fjkjd

yeu ;siafiu ;sny oefkkjd

yeu ;siafiu nv.skshs ,sx.sl l%shdj,sfha fkdiu;alï we;s fjkjd w;a yd mdo j, ysßjeàula oefkkjd

tl mdru isref¾ nr jeä fjkjd

• ia:q,;djh

ks;r ks;r uq;%d lrkak fjkjd

• .eyekq orejka fmd,sisiaála ´jß frda.hg k;=ù ;sîu

yefok ;=jd, fyd| fjkak l,a w,a,kjd

oshjeähd frda.Ska yªkd .kafka fldfyduo@ frda. ,laIK ;sfhkjd kï reêr mÍlaIKhla lrkak wjia:dj ;sfhkjd' ta;a frda. ,laIK ke;s wh wkdjrKh lr.kafk fldfyduo@ fï iïnkaOfhka wmg lsishï wjia:djla ,ndfok ldrKd lsysmhla ;sfnkjd' my; oelafjk ldKAv j,g wh;a flfkla kï frda. ,laIK m%lg fkdl<;a reêr mÍlaIKhla isÿ lr, ;ukag oshjeähd je<|S ;sfnkjdo@ ke;ao@ hkak ksYaph lr.; hq;=hs'

fï lshk wh;a iSks mÍlaIKh lr.;af;d;a fyd|d''' frda. ,laIK m%lg fkdl<;a fï lshk ;;a;aj ;sfnkjd kï oshjeähd mÍlaIdjg fhduq jkak' • jhi wjq'35-40 iSudj bl=;a ù isàu wms idudkHfhka lrkafk f.dvla n;a fnod .kakjd' t<j¿" ud¿msks álhs' th oshjeähdjg ú;rla fkdfjhs" fi!LHiïmkak wdydr fõ,la m%d¾:kd lrk ldgj;a fyd| kE' wms lshkafk msÕdfkka nd.hlau t<j¿ fnod .kak' n;a y;frka mx.=jhs' uia" ud¿ álla ;snqKg lula kE' fudlo wdydrhg fm%daàk lshk ix>glh;a wjYHhs' wdydrfhka miafi m<;=rla folla .kak' f.oßka msi .;a;;a msáka .;a;;a n;a álla wvq lrkak ´ks' fiiq foaj,a jeä lrkak ´ks'

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• uj" mshd" ifydaorfhla" ifydaoßhla oshjeähdjg ,laù isàu • wêl reêr mSvkh" fldf,iagfrda,a ;sîu

• .¾NsKS wjia:dfõoS oshjeähdj ;sîu

oshjeähd ksÜgdjg iqj lrkak mq¿jkao@ oshjeähd frda.h iïnkaOfhka oekg f,dalfha úYd, jYfhka m¾fhaIK lr ;sfnkjd' b;du meyeos,shs" ;ju;a lsisu frda.sfhla lsisjla fkdlr b| oshjeähd ksÜgdjg iqj lrf.k kE' ienEj ;uhs oshjeähdj iqj l< fkdyels frda. hla jf.au l%ufhka j¾Okh jk frda.hla ùu' tfiau th fjk;a bkaøsh j,g n,mEï lsÍfï wjodkulao ;sfnkjd' fï ksid Tn tfia ksÜgdjg oshjeähd iqj lr.;a m<uq frda. shd ùfï wjia:dj b;d wvqhs' fï is;sú,a, we;a;gu oshjeähdj je<ªKQ flfkl=f.a u;= wdrlaIdjg úYd, ;¾ckhla'

NOVEMBER 2018 | DOCTOR MAGAZINE

ixúOdkd;aul cSjk rgdj oshjeähdj wE;a lrkjd ojilg meh nd.hla jHdhdu lruq

fi!LHiïmkak ÿï f,i wdydr mdkfhka wkqNj lruq w;a ñfouq

ksis YÍr nrla mj;ajd .ksuq

ojilg meh 6-9l kskaola ,nd .ksuq

ksÜgdjg iqjh flfia fj;;a b;d fyd|ska md,kh lrkak kï mq¿jks kshñ; m%;sldr .ekSfuka" kshñ; ffjoH Wmfoia wkQj wdydr" jHdhdu isÿ lsÍfuka" ys;lr fjkialï j,g cSú;h muqKQjd .ekSfuka oshjeähdj fyd|skau md,kh lr.; yelshs' zzoshjeähdj ksÜgdjg iqj lr.; yelshZZ hk uq,djg we;efula m;a fjkak n,mdk iqúfYaIS ;;a;ajhl=;a ;sfnkjd' we;eï fj,djg m%;sldr .ekSfuka miq jirla yudrla ú;r reêr iSks uekúka md,khg ,lajk wjia:d ;sfnkjd' tfyu ;djld,slj reêrfha iSks md,kh jk frda.Ska bkakjd' fuh iqjùula fkdfjhs' md,kh ùula ú;rhs' oshjeähdj ksidfjkau YÍrfha we;sjk fjkialï iu.ska we;sjk idudkH ;;a;ajhla' iSks j,g m%;sldr .;a;u thska oshjeähd ;;a;ajh md,kh fjkjd' ia:q, wh nr wvq lr .ekSfukq;a reêr iSks idudkH ;;a;ajhg m;a fjkjd' kuq;a fï lsisu wjia:djla oshjeähdj ksÜgdjg iqjh ,eîula f,i w¾: olajkak nE'

oshjeähdj frda.sfhl=f.a uq,au wjqreÿ my b;du ;SrKd;aulhs oshjeähdj frda.sfhla ;u uq,a wjqreÿ my ;=< frda.h uekúka md,kh lr .ekSfuka ;ukaf. bosß biair jf.a f,dl= tkak;a wo oshjeähdjg kE' mEkla jf.a WmlrKhlska ;ukagu iug háka kslafIamKh ,nd fokak mq¿jka' ´ks ;ekl wrka hkak mq¿jka' uÿrefjla lk ;rï j;a ßfokafk;a kE'

NOVEMBER 2018 | DOCTOR MAGAZINE

cSú; ld,hg b;du Yla;s iïmkak mokula imhkjd' fï ld,h ;=< jeros Wmfoia" jeros m%;sldr j,g fhduq jqfKd;a ta jf.auhs" ;;a;ajh jvd;a ne?reï fjkjd' wm olsk foa ;uhs" fndfyda fofkla fï oshjeähdj je<ªKQ uq,a ld,h''' m<uq wjqreÿ lsysmh jeros m%;sldr j,g fhduqù ukd frda. md,khla we;s lr .ekSug we;s wjia:dj wysñ lr .ekSu' fï ksid miqld,fha yDo frda." jl=.vq frda." wlaIs frda. wdoshg ,laùfuka fï ixl+,;d j,g;a úYd, jkaoshla f.jkakg isÿ fjkjd' fï ksihs wm fï u;h iudc.; lrkakg oeä fjfyila .kafka' Tn oshjeähdj ;sfnk nj yªkd.;af;d;a ta yªkd.;a iekskau ksjeros m%;sldr j,g fhduq ùfuka Tfí u;= wkd.;h wdrlaIdj we;s lr.kak wjia:djla ,efnkjd' ta jf.auhs" kshñ; m%;sldr j,g fhduq fkdjqfKd;a Tng b;d blauKska bkaishq,ska j,g hkakg isÿ fjkjd' wfkla w;g b;d blauKska ixl+,;d j,g Tn ,la fjkakg bv ;sfnkjd'

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oshjeähdj i|yd bkaishq,ska ,ndoSfuka w.;shla fjkjdo@ fuh b;d jeros woyila' uQ,sl jYfhka fï frda.h fm;s j,ska md,kh lrkak mq¿jka' ta;a frda.h fm;s m%;sldrfhka u¾Okh fkdjk fj,djg;a we;eï oshjeähd ;;a;aj j,oS;a tkak;a úosyg bkaishq,ska ,nd fokjd' fuh b;d wdrlaIs; m%;sldrhla' fï ljr fyda m%;sdldrhlska oshjeähdj md,kh l< fkdyels lsisu frda.sfhla bkak nE' fï fm;s úosyg .kakd T!IO fyda bkaishq,ska tkak; b;du wdrlaIdldÍ ksid tajd .kakg lsisu wdldrhlska ue<s jkakg tmd'

oshjeähdjg fnfy;a .ekSfuka jl=.vq krla fjkafka kE iudcfha me;sr hk u;hla ;sfhkjd" fï .kak we;eï fnfy;a j,ska jl=.vq krla fjkjd' we;eï fnfy;a j,ska yDoh krla fjkjd' we;a;gu isÿ jkafka tys m%;súreoaO foa' fï fok ish¿u T!IO j,ska lrkafk jl=.vq" yDoh fukau Tfí cSú;h;a wdrlaId lrk tl'

cSjk rgdfõ hym;a fjkialï we;s lr .ekSfuka frda.h Tng mroskjd oshjeähdj lshkafk os.ska os.g fnfy;a udre lrkak ´ks wikSmhla fkdfjhs' T!IO u; muKla hefmk frda.hl=;a fkdfjhs' wm lkfndk wdydr" wm lrk jHdhdu" wfma ukfia iajNdjh u;

oshjeähdj ;sfnk wh oshjeähdj ch.; hq;af;a fufyuhs

Tfí ffjoHjrhd kshu lrk wdldrhg T!IO ,nd .kak

ys;lr YÍr nrla mj;ajd .kak

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oskm;d ABC HbA1C, cSjk rgdjg reêr jHdhdu mSvkh yd ld,hla fldf,iagfrda,a we;=<;a lr ys;lr .kak w.hkayS mj;ajd .kak

ÿï mdkfhka ñfokak

fï frda.h wvq jeä fjkak mq¿jka ksid fï yeu fohla .eku wjfndaOfhka lghq;= lsÍuhs jeo.;a' cSjk rgdfõ'''' wm cSj;a fjk wdldrfha fjkialï we;s lr .kakjd lshkafka fïlghs' túg oshjeähdj b;du fyd|ska md,kh lrf.k b;du;a fi!LHiïmkak yd m%S;su;a cSú;hla .; lrkak mq¿jka'

orejka mjd jeäfhka oshjeähdjg k;= fjk ld,hla''' fukak Bg fya;= oeka oshjeähdj frda.Ska b;d iq,nhs' <ud ldf," ;reK ldf,;a oshjeähdj frda.Ska yªkd.kak fjkjd' óg ld,hlg biair fujka ;;a;ajhla ;snqfK kE' fïlg uQ,sl fya;=j jkafka wfma cSjk rgdfj isÿjqKQ fjkialï' biair wfma orefjd mdie,a .sfha mhska' yjig f.or weú;a fyd|g fi,a,ï lrkjd' fyd|g odäh od, bjr jqKdu weÕ fidao, rd;%shg t<j¿ hyñka ;sfhk rij;a wdydr fõ,la .kakjd' m<;=re;a j;af; ;sfhkjd'

NOVEMBER 2018 | DOCTOR MAGAZINE

Tng oshjeähdj ;sfnkjd kï fï Wmfoia wu;l lrkak tmd hk tk yeu ;ek Tfí oshjeähdj T!IO /f.k hkak wu;l lrkak tmd

ÿr .uka hk úg .aÆfldógrh yd mÍlaIK ;Sre /f.k hkak

Tn oshjeähdfjka fmf<k nj ióm ys;j;=kag okajd ;shkak

iEu úgu wd;;sfhka ñÿkq cSú;hla yqre lr .kak

tkak;a úosk flfkla kï ta wdïmkak iómfha ;nd .kak

wejeis wjia:d j,oS wka whf.ka Wmldr .kak melsf,kak tmd

Tfí fí;afya;a ffjoH wdïmkak j,g ksfjfia ksYaÑ; ;ekla ;nd .kak

Tfí yeªKQïm; ,Õ ;nd .kak

ielhla we;s iEu l,aySu .aÆfldógrfhka reêrfha iSks m%udKh mÍlaId lr .kak

wdydr fõ,a u. yßkak tmd

wo fudlo fj,d ;sfhkafk@ orej k. fr biafldaf,g hjkafk meie,a nia tfla' orejg lkak fokafk fIdaÜ BÜ' t<j¿ ;snqKg" m<;=re ;snqKg orefjd taj osyd n,kafk kE' yji f.or bkak fj,djla ke;sj fi,a,ï lrkafk fldfyduo@ mdie,a fj,dfjka miafi áhqIka hkjd' f.or bkak fj,djla we;skï rEmjdysksh"''' Bg;a tyd wïuf. ;d;a;f. cx.u ÿrl;kh''' orefjd lk foa fyd|;a kE''' jHdhduhl=;a kE''' hdkaa;%Slrkh fj,d''' fï ksid ;uhs jeäfhka frda. j,g w; jkk mßirhla ks¾udKh jkafk' wêl le,ß iys; wdydr ksid orejd ;rndre fjkjd' jHdhduhla''' YÍrh fjfyi ùula kE' fuh úfYAIfhkau oshjeähdjg w; jkk mßirhla' orejka jeä jeäfhka oshjeähdjg k;= jkafka fï ikao¾Nh ;=<oShs'

oshjeähd wdydr fõ,la Tng wjYH kE''' wms oshjeähd wdydr fõ,la .kak lshkafk kE' Tn oshjeähdjg .; hq;af;a idudkH wdydr fõ,la' fudkjo tys ;sìh hq;= foa' idudkH n;a yd t<j¿ iys; wdydr fõ,la' fuh wêl le,ß iys; wdydr fõ,la fkdfjhs' wêl f;,a rys; wdydr fõ,la ;uhs wfma idudkH wdydr fõ,' iSks yd meKs

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rifhkq;a wm wE;a úh hq;af;a th oshjeähdj ;snqK;a" ke;;a krl fohla ksihs'

jHdhdu isß; úfkdaockl l%shdldrlula lr.ksuq jHdhdu j, fhfokak ´ks wvq ;rfï i;shlg ojia ;=kla osklg meh nd.hla ne.ska j;a''' uy f,dl= jHdhdu fkdfjhs' weúoskak mq¿jka' ÿjkak mq¿jka' nhsisl,a moskak mq¿jka' jevg hk tl mhska hkak mq¿jka' <Õmd; wjYH;djhlg hk tl nia tfla" ù,a tll hkj fjkqjg mhska hkak mq¿jka' fï úosyg lhg jHdhduhla ,efnk" weÕg oyäh doctormagazine.lk

álla odk l%u tosfkod cSú;h ;=<skau wm fidhd .kak ´ks' weúoskak hk tl jeks ldrKd mjqf,a lghq;a;la lr.kak' túg th mjqf,a idudcslhka w;r ne|Sï jvjk úfkdaockl lghq;a;la njgo m;a jkq we;s' oeka w¿;au wkdjrKhkag wkQj wdydr md,kfhka" fyd| cSjk rgdjlg yqre ùfuka lsishï md,khla we;s fjkjd' ta;a fuh jeä ld,hla isÿ lrf.k hkak nE' wdydr md,kh" jHdhdu jf.au ffjoHjrhd ,ndfok fnfy;a ;sfhkjd kï th;a kshñ; wdldrhg ,nd .kak'

bkaishq,ska fokj lshkafk oshjeähdj wjidkh woshrg m;ajqKQ njg bÕshlao@ fldfy;au kE' bkaishq,ska ksIamdokhla fldfy;au fkdue;s whg fok wdrïNl m%;sldrh;a fï tkak;' fndfyda úg orefjla oshjeähdjg ,la jqKdu bkaishq,ska fokak fjkjd' fuh lsisfia;au wjika m%;sldrh fkdfjhs' YÍrfha l%shdldß;ajh kshñ; mßos we;s lr.kak bkaishq,ska wjYHhs' fm;s .kak yqre jQ flfkl=g;a taj M,odhS m%;sldrhla fkdjk l,ayS bkaishq,ska fokak fjkjd' th wjika m%;sldrhla fkdfjhs' oshjeähdfõ tla wjia:djloS fok m%;sldrhla muKhs' biair jf.a f,dl= tkak;a wo oshjeähdjg kE' mEkla jf.a WmlrKhlska ;ukagu iug háka kslafIamKh ,nd fokak mq¿jka' ´ks ;ekl wrka hkak mq¿jka' uÿrefjla lk ;rï j;a ßfokafk;a kE' wms idudkHfhka lrkafk f.dvla n;a fnod .kakjd' t<j¿" ud¿msks álhs' th oshjeähdjg ú;rla fkdfjhs"

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oshjeähdj wjodku jeä wh

mjqf,a ióm {d;sfhl=g oshjeähdj ;sîu

jhdhdu u|lu

ys;lr fkdjk wdydr j,g f,d,a ùu

ia:Q,;djh

fi!LHiïmkak wdydr fõ,la m%d¾:kd lrk ldgj;a fyd| kE' wms lshkafk msÕdfkka nd.hlau t<j¿ fnod .kak' n;a y;frka mx.=jhs' uia" ud¿ álla ;snqKg lula kE' fudlo wdydrhg fm%daàk lshk ix>glh;a wjYHhs' wdydrfhka miafi m<;=rla folla .kak' f.oßka msi .;a;;a msáka .;a;;a n;a álla wvq lrkak ´ks' fiiq foaj,a jeä lrkak ´ks' orejka hym;a wdydr rgdjlg yqre lrk tl uõmshkaf.a j.lSula'' l=vd ld,fha isgu orejd meKs rifhka wE;a lrkak' meKs îu fldfydu;a fyd| kE' orejdg wêl le,ß iys; wdydr msßkeóu;a fyd| kE' Wmkaosk ido wdosfhaoS fï krl wdydr yeu fohlau orejdg yqre lrjkjd' tjka ido jqK;a iSud l< hq;=hs' orejd jeros wdydr j,g yqre lrùfuka u;= osfkl oshjeähdj ú;rla fkdfjhs" ;j;a úYd, frda. ixLHdjla we;s ùfï wjodkulg ,la fjkjd'

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iSks ke;sj;a

iqñysß rihla ,nd fok

ue,snka Iq.¾ *%S ìialÜ ta yereKQ úg ;j;a fndfyda wjodkï iy.; fi!LHuh idOl n,.ekaùug iSks iDcq odhl;ajhla olajk nj m¾fhaIK j,ska yªkdf.k ;sfí' fï wkqj iSks wkqNjh iSud lsÍug ck;dj osßu;a lsÍu oeka wfma rfÜ cd;sl fi!LH m%;sm;a;s j,o iqúfYAIS wx.hla ù we;' ljo;a fi!LHiïmkak wdydr iemhSfuys mqfrda.dó jQ ue,snka ksji

iSks - u;la jk úg iqñysß yeÕ=ula oeKQk;a oeka oeka iSks .ek wikakg ,efnk f;dr;=re t;ru ñysß fkdfõ' reêrfha bkaishq,ska m%;sfrdaOh we;s lsÍug hyñka iSks wkqNjho fya;=jla jk w;r doctormagazine.lk

ljo;a ;u mdßfNda.slhkg fi!LHiïmkak wdydr ,ndoSfuys,d mrisÿ kula oskd we;s zzue,snka ksjiZZ iSks mßfNdackh iSud lsÍug W;aiql jk tjka iqj ixfõoS mdßfNda.slhkg tu mrud¾: Wiiau wdldrfhka uqÿka muqKqjd .; yels ìialÜ j¾.hla zzue,snka Iq.¾ *%S ìialÜZZ hk kñka fj<|fmd<g yªkajd oS ;sfí' fi!LHhg wys;lr hhs yªkd.;a iSks j,ska f;drj ksIAmdokh lsÍu ue,snka Iq.¾ *%S ìialÜ j, NOVEMBER 2018 | DOCTOR MAGAZINE

y÷kdf.k we;af;a iSks fjkqjg fhdod.; yels jvd;a fi!LHiïmkak iSks wdfoaYlhla jYfhks' fuys le,ß Yla;sh iSks j,g jvd wvlskau wvqh' reêr iSks by< keùu flfryS iSks j, we;s iDcq n,mEu fuda,aáfgda,a j, iEfyk muK ÿ¾j, lr we;' iSks fuka o;a osrd hdu j¾Okh fkdlrk njo m¾fhaIK j,ska fy<sorõ ù ;sfí' iSks úl,am iïnkaO m¾fhaIK j,g wkQj fuda,aáfgda,a jvd;a fyd| úfYaI;ajhhs' Tng yqre mqreÿ iSks fkdue;s jQjo" wreue;s rihla''' ñysßhdjla''' ,nd foñka Tng ienE úkaokSh fmdaIKhla we;s lrk ìialÜ j¾.hla f,i ckm%sh;djh wdrlaId lr.kakg ue,snka Iq.¾ *%S ìialÜ iu;a ù ;sfí'

ue,snka Iq.¾ *%S ìialÜ fi!LH iïmkakj Tn w;g m;a jkafka fufyuhs uQ,sl jYfhka fuys wk.s ;ka;=uh mod¾: ixhq;shla ;sfí' fuu ;ka;=uh wka;¾.; ksid blauKska reêr isks uÜgu by< hdfï wjodkulao we;s fkdfõ' tfiau myiqfjka l=i mqrjd,k .=Khlskao hqla; ksid úYd, wdydr m%udKhla fkd.;a;dg l=i .skak myiqfjka m<d hhs'

iSks fjkqjg fuda,aáfgda,a fjfiiskau oshjeähd frda.Skago fndfyda frda. j,ska mSvdjg m;a whgo iSks meKs rih iqÿiq fkdjk ;j;a fndfyda fokdgo iSks fjkqjg fuda,aáfgda,a kue;s iqúfYAIS meKsrildrlh ix>glhla fia fhdodf.k ilia lr we;s ksid jvd;a fi!LHiïmkakh' fuda,aáfgda,a

NOVEMBER 2018 | DOCTOR MAGAZINE

úl,amhla jYfhka y÷kdf.k ;sfí' fyd|ska yefmk" rij;a ue,snka Iq.¾ *%S ìialÜ wfma rfÜ muKla fkdj ´iafÜ%,shdj" wefußldj yd hqfrdamfhao mdßfNda.slhkaf.a úYajdih oskdf.k ;sfí'

ue,snka Iq.¾ *%S ìialÜ .ekSfuka Tng w;ajk jdis ¡ iSks Ndú;fhka wE;a úh hq;af;a oshjeähd frda.Ska muKla fkdfõ' wêl f,i iSks wdydrhg .ekSfuka we;sjk bkaishq,ska m%;sfrdaOh u;= osfkl oshjeähdj we;=¿j mßjD;a;Sh frda. /ilg fya;=jla úh yel' ue,snka Iq.¾ *%S ìialÜ wjodku neyer,ñka fmdaIKh i,ik ìialÜ úfYaIhls' ¡ iSks ke;;a ue,snka Iq.¾ *%S ìialÜ ìialÜ j, fi!LHiïmkak fuda,aáfgda,a we;s ksid tys rifhys ySk ùula fkdfõ' ienúkau th b;d rij;a wdydrhls' ¡ ue,snka Iq.¾ *%S ìialÜ j, we;s ;ka;=uh mod¾: iq,nh' fï ksid cS¾Kl moaO;sh iqir lsÍug WmldÍ fjhs'

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Èhjeähdjg

fyd|u r;= ndiau;S (Fragrant) iyf,a .=K ndiau;S iy,a wkqNjfhka reêr iSks hdukhg wu;rj uyÕ= .=Kdx. rdYshla'''

NOVEMBER 2018 | DOCTOR MAGAZINE

doctormagazine.lk

wfma m%Odk wdydrh n;ah' oshjeähd frda.sfhl= ;u uQ,sl wdydr ix>gl f;dard .ekSfïoS fï reêr iSks uÜgu tldldÍj mj;ajd .ekSug osß fok n;a j¾. f;dard .; hq;=h' l=reÜg bj;a lrk ,o mdysk ,o n;a j¾.;a wef,kiq¿ n;a j¾.;a fï i|yd iqÿiq fkdfõ' W;=re fld<U YslaIK frdayf,a ffjoH ckl fm%au;s,l

oshjeähdj we;s úg wm .; hq;af;a tajd cS¾Kh ùfuka miqj Yla;sh fyñka uqod yefrk wdydr j¾. fõ' tfia ùfuka reêr.; iSks uÜgu wjodkïiy.; wka; j,g fkdf.dia hï ys;lr mrdihl ;nd .ekSug yels jkafkah' .a,hsisñla o¾Ylh wkQj wm fidhd n,kafka fï wjYH;djhhs' doctormagazine.lk

oshjeähd frda.Ska úIfhys ndiau;S iy,a j,g we;af;a úYd, jákdluls' ndiau;S iy,a uOHu m%udKfha isg wvq m%udK olajd .a,hsisñla w.hka ork w;r fï ksidu reêr iSks uÜgu ksh; w.hl mj;ajd .ekSug tajd WmldÍ fjhs'

fN!;sl iajNdjh cS¾Khg w;sYhska ys;lrhs iy,a msiSfïoS we;eï n;a weg tlsfklg wef,kafka fc,ákSlrkh kï l%shdjla fya;=fjks' ndiau;S iy,a fc,ákSlrKh ùula isÿ fkdjk w;r fï ksid n;a weg tl tlla fjkaj msysghs' ndiau;S iy,a j, hyñka we;s weuhsf,daia kue;s fmd,sielrhsvh fï .=Kdx.hg fya;= fjhs' fuys úreoaO ld¾hh tkï n;a wegh msmsÍug ,laj ødjH fldgia wkqidrfhka n;a weg tlsfklg wef,kafka oshjeähdjg t;rï iqÿiq fkdjk wef,kiq¿ n;a j, we;s weuhsf,dfmlaáka kï jQ fmd,sielrhsvh fya;=fjks' OdkH wegfha jHqyhka ;oska ne|S ;sfnk úg ksiÕfhkau tys GI w.h wvqh' tu iy,a oshjeähd frda.Skag ys;lrh'

fl|s;s iq,nhs" cS¾Khg myiqhs ndiau;S iy,a j, wfkla m%uqL jákdlula jkafka tys we;s m%n, fl|s;suh iajNdjhhs' fl|s iys; wdydr wdka;s%l l%shdldß;ajh iqir lrk w;r oshjeähd ixl+,;d we;sùfï wjia:do wvq lrhs' fl|s iq,n ùfuka ms<sld wjodkuo ie<lsh hq;= m%udKhlska wvq fjhs' ia:q, YÍr ;sfnk whg YÍrfha nr wvq lr .ekSugo msgqjy,la jk fl|s;s mod¾: yDohdndO yd wxYNd. wjodkuo my; fy<hs'

m%;sfrdaë msIaGh ;sfnk ksid wdrlaIdjka /ila r;= ndiau;S iy,a j, we;af;a m%;sfrdaë msIaGh Resistant Starch ldKAvhg wh;a ldfndayhsfâ%gh' wka;% ;=< ys;lr nelaàßhdjka j.d lsÍug fï m%;sfrdaë msIAGh WmldÍ fjhs' (prebiotic

NOVEMBER 2018 | DOCTOR MAGAZINE

effect) wdydrhla .ekSfuka miqj kej; wdydrhla .ekSug we;sjk wjYH;djh ;rula oS¾> ld,hla .ekSu oshjeähd frda.sfhl=g n,j;a jdishls' m%;sfrdaë msIAGh u.ska fuu .=Kho by< kxjhs' YÍrfha m%;sYla;slrK .=Kho jeä lrhs'

.=K imsß fmdaIK ix>gl /ila fjk;a iy,a j¾. j,g jvd ndiau;S iyf,a fjk;a fmdaIl ix>glo jeäh' úgñka î" ue.akSishï yd fldm¾ hk ,jK iq,nj ;sfí' ue.akSishï ixhq;sh iDcqju reêr iSks hdukhg fya;= fjhs' fï wkQj oshjeähd frda.sfhl= ndiau;S iy,g yqre ùfuka" fjfiiskau r;= ndiau;S n;a wdydrhg .ekSfuka reêr iSks md,kh w;sYhska id¾:l lr .ekSug msgqjy,la ,efnk w;r Bg wu;rj fjk;a fi!Lhuh m%;s,dN / ila w;am;a jkq we;'

• oshjeähdj je<÷KQ frda.Skaf.a .aÆfldaia yd ,smsv uÜgu m%j¾Okh lsÍug wvq .a,hsisñla w.hla iys; wdydr WmldÍ fõ' • YÍrfha fyd| fldf,iagfrda,a uÜgu by< kxjhs' krl fldf,iagfrda,a uÜgu my; fy<hs' yoj;a frda. wjodku fï ksid wvq fjhs' • wvq .a,hsisñla w.hla iys; wdydr .ekSfuka wdydr reÑh wvqfjhs' bkaishq,ska m%;sfrdaOh we;sùfï wjodkuo neyer fjhs' fï ksid ia:q,;djh wvq fjhs' • wvq fõ.hlska YÍrhg Wrd.kakd ldfndayhsfâÜ u.ska fmaYs j,g ksh; Yla;s m%udK ,efnhs' l%Svd fl!Y,Hh yd ord.ekSfï yelshdj j¾Okhg fuh bjy,a fjhs' CIC r;= ndiau;S iy,a (Fragrant) j, fmdaIKSh .=Kdx.

wvq .a,hsisñla w.hla iys; r;= ndiau;S iy,a f;dard.ekSfuka w;ajk m%fhdack

• mQ¾K OdkHuh wdydrhls' .a,hsisñla ixÑ;h wvq w.hla .kS'

• reêr iSks iy bkaishq,ska ukdj md,kh lrhs' tu.ska YÍrfha bkaishq,ska wjYH;djh wvq fjhs'

• wdydruh ;ka;= j,ska b;d by< fmdaIH .=Khla we;'

• YÍrfha Yla;s uÜgï uekúka md,kh fjhs' YrSrh wvq GI w.hla iys; wdydr cS¾Kh lrkafka fyñks' fï ksid l%shdldÍ fmaYs j,g wkjr; Yla;s iemhqula iy;sl lrhs' • oshjeähdj" yDo frda." ms;a;dY frda. yd mshhqre ms<sld wdosh we;sùu j<lajhs' wvq .a,hsisñla w.hla iys; wdydr j, wdydruh ;ka;= m%udKho jeäh'

NOVEMBER 2018 | DOCTOR MAGAZINE

• *e,efjdkhsv" wekaf;dihkska" m%;sTlaisldrl wdoS mhsfgdridhk wvx.=h' • leâñhï" Bhï wdiksla wdoS jYfhka jQ ner f,day wvx.= ke;' • r;= ndiau;S iy,a iajNdjfhkau r;= mdg jk w;r tfia jkafka iyf,ys wvx.= mSfkda,sla ridhk yd wekaf;dihkska fya;=fjks'

doctormagazine.lk

frda.Ska fkdu. hjk Èhjeähdj

iïnkaO

ñ;Hd u; fmardfoksh YslaIK frdayf,a ffjoH mSGfha ffjoH úoHdj ms<sn|j fcHIaG" fmardfo‚h YslaIK frdayf,a ldhsl frda. úfYaI{ ffjoH" uydpd¾h ;s,la ch,;a

NOVEMBER 2018 | DOCTOR MAGAZINE

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Èhjeähd frda.h md,kh lsÍug uQ,sl ndOlhla ù we;af;a frda.Ska yd ksfrda.s ck;dj w;r Èhjeähdj ms<sn|j we;s ñ;Hd u;hs' fuu ñ;Hd u; frda.h jeros w¾:l:k imhk w;r fuys we;s wjodku kï oshjeähdjg oekgu;a k;=j isák frda.Ska fï ksid wjodkulg uqyqK mEuhs' iudcfha uq,a nei.;a tjka ñ;Hd u; lsysmhla Tfí wjOdkhg'''

doctormagazine.lk

fuh yqfola wêlj iSks wkqNjhg .ekSfuka we;sjk frda.hls fuu frda.h iEfokqfha iSks wêl wdydr jeämqr Ndú; lrk whg muKla njg u;hla ck;dj w;r ;sfí' fuh jerÈ u;hls' Èhjeähdj iE§ug wdydr j,g wu;rj fndfyda cdkuh ;;a;ajho n,mdkq ,nhs' tu ksid wêl f,i iSks Ndú; fkdlrk whg;a Èhjeähdj iEÈh yelsh'

DIABETES Diabetes is caused by Eating too much sugar

TYPE 01

Diabetes is caused by Genetics and unknown factors that trigger its onset

TYPE 03

Diabetes is caused by Genetics and lifestyle factors

NOVEMBER 2018 | DOCTOR MAGAZINE

oshjeähdj ksÜgdjg iqj l< yelshs Èhjeähdj iqjl< yels frda.hla f,i i<ld we;eï frda.Ska frda. fha lsishï md,khla we;s jQ úg T!IO kj;d ouhs' Èhjeähdj" wê reêr mSvkh jeks frda. lsis úfgl;a ksÜgdjg iqj l< fkdyels frda. jk w;r T!IO m%;sldr j,ska lrkq ,nkqfha frda.h md,kh lsÍu muKls' fï ksid lsis úfgl frda.Ska ;udg ßisfia T!IO Ndú;h kj;d oeóu fkdl< hq;=h' fnfy;a .;a;u we;s''' wdydr md,kh wjYH kE''' jHdhdu wjYH;a kE''' iuyr frda.Ska T!IO Ndú;h ksid wdydr md,khg iy jHdhduj, fh§ug jeä Wkkaÿjla fkdolajhs' fuho jerÈ u;hls' fï ksid Èhjeähd frda.s ;;a;ajh W;aikakj §¾>ld,Sk iy flá ld,Sk ixl=,;dj,g frda.shd f.dÿre fõ' fuÜf*dñka .;a;u jl=.vq krla fjkjd we;eï frda.ska w;r we;s ;j;a je/È u;hla jkqfha 46

fuu ñ;Hdjka j,ska neyerj frda. md,khg yd ixl+,;d wdfõlaIKfhka oshjeähd frda.ska ygo .=Kd;aul cSú;hla yd jeä wdhq wfmalaIdjla we;s lr.; yel' Èhjeähdjg Ndú;d lrk we;eï T!IO ksid jl=. vq ydks ùula isÿfõ hehs lshk u;hhs' úfYaIfhka fuÜf*dñka kue;s T!IOh ksid jl=.vq ydksùula isÿfõ hehs we;s u;h jerÈh' jl=.vq ydks isÿùu jkqfha Èhjeähd frda.fha §¾> ld,Sk ixl+,;djla f,ih' th isÿ jkqfha ksis f,i Èhjeähdj md,kh fkdlrkq ,nk frda.skaf.ks' tu ksid fuu je/È u;fha t,an f.k isg lsis úgl;a T!IO Ndú;h k;r fkdl< hq;=h' iuyr frda.Ska ffjoHjrhd kshu lrk ud;%djg fjkia wdldrfhka T!IO .ekSu ksid;a ixl=,;d Ndckh fõ' bkaishq,ska .;a;g miafi fm;s .ekSfuka M,la kE''' fndfyda frda.Ska w;r bkaishq,ska fydafudakh ms<sn|jo we;af;ao je/È u;hls' fndfyda wh is;kqfha bkaishq,ska fydafudakh ,nd .ekSfuka miq wksl=;a T!IOj,ska m,la ke;s njhs' fuho je/È u;hls' iq¿ ld,hla bkaishq,ska Ndú; fldg frda. ;;a;ajh md,kh lsÍfuka kej;;a wksl=;a T!IO j,ska Èhjeähdj md,kh l< yelsh' reêr iSks md,kh l<du Tlafldu yß reêrfha iSks uÜgu wvq f,i ;nd .ekSu m%udKj;a hhs flfkla is;hs' we;eï frda.Ska ffjoH Wmfoia fkdf.k ;ukag ßisfia T!IO f.k iSks uÜgu muKla wvq f,i ;nd .ekSug W;aidy orhs' fuys§ u;l ;nd .; hq;= lreKq jkqfha iSks uÜgu ksis f,i md,kh lrk w;ru reêrfha fldf,iagfrda,a uÜgu;a wvq l< .; hq;= njhs' tfiau reêr mSvkh;a ksis f,i mj;ajd .; hq;=h' jl=.vq wdYs%; uq;% iy reêr mÍlaIKo úáka úg l< hq;= fõ' tfiau wvqu ;rñka jirlg jrlaj;a wlaIsfrda. ffjoHjrhl= ,jd weia mÍlaId lr.; hq;=fõ' ;u mdoj, ixfõÈ;dj fjkila ù we;akï tho mÍlaId l< hq;=fõ'

NOVEMBER 2018 | DOCTOR MAGAZINE

doctormagazine.lk

Èhjeähdj ;snqK;a

yoj;a frda.

wE;a lr.kakg lghq;= lruq

yoj;a frda. wjodku fï úosyg wvq lr.kak

doctormagazine.lk

NOVEMBER 2018 | DOCTOR MAGAZINE

wjodku y÷kd.kak wdrlaIl Wml%u wkq.ukh lrkak

uydpd¾h Wmd,s b,x.fialr

urKh kï ldg;a fldhs fj,djl fyda meyer fkdtk kshdu O¾uhls' tf;l=ÿ jQj;a oshjeähdj kue;s frda.hg k;=jk fndfyda fofkl=g urKh le|jk ldrKhla f,i yDohdndO yd yDo.; frda. ye|skaúh yel' fuh fl;rï oshjeähdj yd ine|S idOlhlao h;a oshjeähd frda.Ska ishhg 70lau yDoh yd fud<h wdY%s; weK ysàï tkï yDohdndO yd wxYNd.fhka fuf,dúka iuq.kakd nj yªkdf.k ;sfí'

wmf.a fï úuiqu tu wjodku wvq lr .kakg .;hq;= Wmdh ud¾. iïnkaOfhks' fjfiiskau Tn úuis<su;a kï Tng yoj; wdY%s; ixl+,;d l,a oud .ekSug wk.s yelshdjla ;sfí'

uq,skau ryi wkdjrKh lr .ksuq miq.sh oYlhl muK idhksl wOHhk úuiSfïoS oshjeähd frda.sfhl= Glycated hemoglobin (HbA1c), Blood pressure (BP) yd LDL-cholesterol (LDL) hk mÍlaIK w.hka ys;lr uÜgul mj;ajd .kakg iu;a jkafka kï Tyqf.a wdhq ld,h fnfyúka by< kxjkakg thu WmldÍ jk nj wOHhk j,ska fy<sorõ ù ;sfí' fï Okd;aul ine|shdj ksidfjkau oshjeähdj yd ine|S yDo frda. .ek l:d lsÍu ldf,daÑ; fkdjkafkao@

lsÍgl Ouks wjysr ùu ksid we;sjk wjodku yªkd .ksuq oshjeähdfjka fmf<k ;eke;af;l=f.a yojf;ys uQ,sl jYfhka wjysr ùug bvla we;af;a yDohg reêrh imhk reêrjdyskSh' fïjd lsÍgl Ouks jYfhka yªkajuq' oshjeähdjg k;= jQ ;eke;a;l=f.a yD;a fmaYs j,g jk reêr iemhqu fukau yD;a iakdhq j,g jk reêr iemhquo fï lsÍgl OukS wjysr jk fõ.fhka wjysr jkafka ke;' fldákau lsjfyd;a oshjeähd frda.Skaf.ka

ld,h;a iu.u reêr kd, wjysr jk yeá

NOVEMBER 2018 | DOCTOR MAGAZINE

doctormagazine.lk

ishhg 95lf.au yDofha .eg¿ we;s jkafka lsÍgl ixirkfhah' fï ksid yDohdndO (Heart Attack), wekachskdj (Angina)" yDoh ßoauh wdY%s; .eg¿ (Palpitations) fukau yoj; wlrKsh (Heart Failure) hk frda. oshjeähd frda.sfhl=g we;sùfï jeä bvla mj;S'

yoj;a frda. j,ska je<lSug l< hq;= foa''' by;ska i|yka l< mßos yDohdndO, wekachskd" yDoh ßoauh wdY%s; .eg¿" yoj; wlrKsh wdoS yoj;a frda. we;s ùfuka je<lSug hfula wfmalaId lrkafka kï m<uqj fï frda. we;sùug n,mj;ajk idOl iïnkaOfhka wjfndaOhla ,nd.; hq;=h'

reêr mSvkh jeäùu

yDohdndO wjodku''' wêlj reêrfha iSks uÜgu jeä jqK;a flfklaf.a reêr mSvkh;a" fldf,iagfrda,a w.h;a ys;lr mrdihka ;=< fõ kï Tyqg yDohdndOhla we;s ùfuka .e,úh yels wjia:d we;' tfiau fm%I¾ tl" fldf,iagfrda,a w.hka jeä kï iSks wvq uÜgula mj;ajd .;a;;a yDohdndO wjodku il%Sh jkakg bv ;sfí' fï wkQj fuu i|yka l< wjodkï iy.; ldrKd ;=ku ys;lr mrdihl mj;ajd .ekSu flfryS Tfí b,lal ;nd.; hq;=h'

yoj;a frda. wjodku my; fya;= ksido jeä fjkjd''' ta yereKQ úg my; oelafjk wys;lr idOl lsishï flfkl=g ;sfí kï tajdo yoj;a frda. we;sùug lsishï m%udKhlg odhl fjhs'

ÿï mdkh lsÍu

yDo frda. iïnkaO mjq,a b;sydih

uq;%d iu. fm%daàk ldkaÿ ùu

mßoka;sl frda.

i;=re n,uq¿ fu,a, lf<d;a ch.%yKh j<lajkjd fndre fï wkQj oshjeähd frda.sfhl= yDoh wdY%s; ixl+,;d j,g ,la ùfuka je<lSug kï ksYaÑ;ju

fldf,iagfrda,a jeäùu

wê iSks mßfNdackh

oshjeähd frda.sfhla kï by;ska oelajQ wjodkï ldrKd j,ska ñoSu fuysoS w;sYh jeo.;ah'

doctormagazine.lk

oshjeähdj ;sfnk úg reêr kd, u; wjysrl we;sùu fõ.j;a fjhs' tfiau tajd wia:dhS njg m;aùfï bvlvo jeäh NOVEMBER 2018 | DOCTOR MAGAZINE

by; oelajQ wjodkï idOl ish,a,u mdfya md,kh lsÍu flfryS fjfiia wjOdkhlska hqla;j lghq;= l< hq;= jkafkah' fuh ye|skafjkafka oaú;Shsl md,kh ‘Secondary Prevention’ hkqfjks' ta yereKQ úg ta jk úg;a n,.ekaù we;s yDo frda. idOlh md,kh lsÍug ork m%h;ak ;D;Shsl md,kh 'Tertiary Prevention' jYfhka ffjoHjreka úiska y÷kajhs'

oshjeähd frda.Ska yg ksy`v yDohdndO we;s ùfï wjodku jeähs oshjeähd frda.Ska we;eï úg yDo frda. hlg ,la ùfïoS tfia fkdjk flfkla yDohdndOhlg ,laùfïoS m%lg lrk oyäh oeóu" w;a" Wrysia wdY%s; fõokdj" yKQ ;oùu wdoS ,dlaIKsl frda. ,laIK m%lg fkdlrk wjia:djkao we;s úh yel' th frda. ks¾Kh isÿ lsÍug we;s wjia:djka u. yrjk w;sf¾l wjodkula jk w;r Tjqka ksjerosj y÷kd .ekSu fuysoS jeo.;a jkafkah'

miq.sh oYlhl muK idhksl wOHhk úuiSfïoS oshjeähd frda.sfhl= HbA1c, Blood pressure yd LDL-cholesterol (LDL) hk mÍlaIK w.hka ys;lr uÜgul mj;ajd .kakg iu;a jkafka kï Tyqf.a wdhq ld,h fnfyúka by< kxjkakg thu WmldÍ jk nj wOHhk j,ska fy<sorõ ù ;sfí' lrkafka yqiau .ekSu wmyiq ùu jeks ;;a;ajhls' mmqfõ lelal=ula fukau tlajr úi{ ùula jQjo we;s ùug bv ;sfí' iuyr úg fï lsisÿ frda. ,laIKhla m%lg fkdlrñkao oshjeähd frda.Ska yDohdndO j,g ,lajk wjia:d ;sfí' ksYaÑ; frda. ,laIK m%lg fkdlrñka we;sjk yDohdndO zzksy`v yDohdndOZZ (Silent heart attack) f,i ye|skafjhs' yDohdndO j,g ,lajk oshjeähd frda.Skaf.ka ishhg 30la muK yDohdndO j,g ,la jkafka fï wdldrhg frda. ,laIK m%lg fkdlrñks'

l,afõ,d we;sj wjodku y÷kd .ekSu Risk Calculator l,afõ,d we;sj wjodku y÷kd.kafka flfiao@ fï iïnkaOfhka oshqKQ rgj, fhdod.kakd zzwjodkï .Kkh lsÍuZZ Risk Calculator ,dlaIKsl yDohdndO frda. ,laIK m%lg lrñka fyda tajd iÕjñka hk fï fohdldrfhkau we;s úh yels yDohdndO we;s frda.Ska l,afõ,d we;sj y÷kd.kafka flfiao@ fï iïnkaOfhka oshqKQ rgj, fhdod. kakd zzwjodkï .Kkh lsÍuZZ Risk Calculator kï we.hSula ;sfí' fuysoS isÿ lrkq ,nkafka f;dard.;a

wd¾;jwNdjhg m;a fkdjQ ldka;djka yoj;a frda. wjodkug ,laùug we;s wjodku idfmalaIj wvqh'

kuq;a oshjeähdj ;sfnk úg ta jdish ,efnkafka ke;' ´kEu wjia:djl yDoh wdndO we;sùfï bvla we;'

we;eï úg fujka frda.fhla úiska m%lg 50

NOVEMBER 2018 | DOCTOR MAGAZINE

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yoj;a frda. wdfõlaIKh

wekacsfhd.%Eï mÍlaIKh

tfldaldäfhd.%Eï mÍlaIKh

iafÜ%ia mÍlaIKh

frda.shd iïnkaO wjodku okjk o;a; lsysmhla ,ndoS thska miqj fï .Kkh lsÍfuka ,nd fok w.h ms<sn|j ie<ls<su;a ùuhs' cx.u ÿrl;kfha uDÿldx.hla f,i ir< l%shdj,shlska ffjoHjreka fuh isÿ lrhs'

yoj;a frda. wjodku fm/ hSu i|yd ;sfnk mÍlaIK fudkjdo@

fuysoS ,efnk w.h u.ska oelafjkafka B<Õ jir oyh ;=< fuu mqoa.,hd urKhg m;aùfï wjodkuhs' th ishhg oyhg jvd wvq w.hla .kafka kï fjk;a mÍlaIK lrñka ;jÿrg;a fjfyish hq;= ke;' th fkd.sKsh yels wjodkula jk fyhsks'

• tflda mÍlaIKh Echocardiography

fuu ,smsfhys l;=jrhd fuu wjodkï y÷kd. ekSfuys ,ndfok f;dr;=re iïnkaOfhka iïmQ¾Kfhkau tlÕ;djhla ke;' mqoa.,hdg wod, mjq,a frda. b;sydih" bfkys jg m%udKh wdoS yoj;a frda. j,g n,mdk jeo.;a lreKQ rdYshla fuu l%ufhaoS i<ld ne,Sula fkdjk neúks' yoj;a frda. b;sydihla we;s jir mylg jeä oshjeähd frda.Ska i|yd uu fuu o¾Ylh fhdod .ksñ' tfia fkdjqko mjqf,a frda. b;sydih" mßoka;sl frda. j,ska mSvd ú|Su" uq;%d iu. fm%daàk hdu" ia:q,;djh jeks fjk;a ldrKd wjodkïiy.; f,i n,.ekaù ;sfíkï túgo fuu we.hSu tu frda.shd Wfoid isÿ lrñ'

yDohdndO j,g ,lajk oshjeähd frda.Skaf.ka ishhg 30la muK yDohdndO j,g ,la jkafka frda. ,laIK m%lg fkdlrñks' doctormagazine.lk

• iafÜ%ia mÍlaIKh Stress test fï mÍlaIK folu yDo frda. iïnkaO ffjoHjreka isák frday,aj, mj;sk mÍlaIK fõ' fuu.ska wjodku fidhd ne,Sug fjk;a mÍlaIK isÿ lsÍu wjYHo hkak ms<sn|j;a bÕs imhhs'

wekacsfhd.%Eï mÍlaIKh reêr kd, wjysrùï iïnkaOfhka ksjerosj f;dr;=re imhk iaj¾Kuh mÍlaIKh jkafka wekacsfhd.%Eï mÍlaIKhhs' vhs j¾.hla Ysrdjlg

NOVEMBER 2018 | DOCTOR MAGAZINE

tkak;a lr th yoj; lsÍgl kyr j, ixirkh jk wdldrh mÍlaId lr l=uk kd," fldmuK m%udKhla wjysr ù ;sfío hkak .ek wekacsfhd.%Eï mÍlaIKfhka ksiel f;dr;=re ffjoHjrhdg imhhs'

t;rï ckm%sh fkdjk úl,am mrSlaId fuu mÍlaIKh isÿ lsÍfï lsishï wjodkula ;sfnk njg iel lrk we;eï frda. Ska fuu mÍlaIKhg ukdmh m< fkdlrhs' tfy;a Tjqka i|yd ;sfnk úl,am mÍlaIK fu;rï ksYaÑ; f,i

jir oyhla ;=< yoj;a wdndOhlg ,laùfï wjodku yªkd .kakd Risk Calculator wOHhkh cSú; wdrlaId lrfok mÍlaIdjls frda.h iïnkaOfhka f;dr;=re ,nd fkdfok njo lsj hq;=h' tu úl,am mÍlaIK kï CT Coronary Angiography yd Radioactive Scanning hkqfjka y÷kajk “Thallium Scanning’’ mÍlaIKhs' fojkqj lS mÍlaIdj Pharmacological Stress Test hk kñkao ye|skafjhs' oKysfiys wd;rhsáia frda.h" ia:Q,;djh yd fn%dkalsh,a weIAud ^weÿu& wdoS frda. mj;sk we;euqka fuu úl,am mÍlaIK Tiafia yojf;a kd, wjysr ùï fidhd n,k mÍlaIK j,g uqyqK fo;s'

l,afõ,d we;sj iQodku wjodku wvq lrkjd'''

ÿï mdkh lsÍu" yDo frda. iïnkaO mjq,a b;sydih" uq;%d iu. fm%daàk ldkaÿ ùu yd mßoka;sl frda. we;s úg yoj;a wdY%s; ixl+,;d we;sùfï wjodku by< hhs' 52

fuu mÍlaIK ish,a,u mdfya meñfKk Wjÿr iïnkaOfhka l,afõ,d we;sj m%;sl¾u fhdokakg u. mdok jákd mÍlaIKh' wjdikdjlg fï fndfydauhla mÍlaIK ;ju;a w.kqjrg muKla iSud ù ;sfnhs' tu ksid fïjdfha fiajdj fld<ôka neyer msgia;r ck;djg ,nd .ekSu ÿIAlr ù ;sfí' hula lula we;s wh fï fiajdjka ,nd .ekSug w.kqjrg meñK tajd isÿ lr .ks;s' tfy;a fï wjia:djka ,nd .ekSu W.yg ÿ.Ska''' oshjeähd ixl+,;d j,ska mSvd ú|sk rfÜ nyq;rhla jQ ck;djg ;ju;a fï cSú; wjodku wvq lrk mÍlaIK hkq yqÿ isyskhla muKs' The writer is a retired Professor in Medicine at University of Peradenya and Managing Director of Kandy Diabetes Centre.

NOVEMBER 2018 | DOCTOR MAGAZINE

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rdcH T!IO kS;s.; ixia:dj Wiia ;;a;ajh - wdrlaIdldÍ - m%;HlaI T!IO i`oyd rdcH Tiqi,a fj; fkdmudj mshk.kak fld<U fldgqj 63" i¾ ndfrdka ch;,sl udj; fld<U 01' ÿr( $*eli a a - 011-2328046 fldgqj ÿïßh fmd< mßY%h ÿïßh fmd< mßY%h" fldgqj' ÿr( $*elaia - 011-2336926 fnd/,a, ßÊfõ wd¾hd <ud frday,a mßY%h" fnd/,a,' ÿr( $*elaia - 011-2697660 fld<U 07 255" O¾umd, udj;" fld<U 07' ÿr( 011-2672293 $*eli a a - 011-2694716 fld<U 04 85" .d¨ mdr" fld<U 04' ÿr( 011-2587128 $*elaia - 011-2559531 kqjr 14$ta" <ud.dr udj;" kqjr' ÿr $*elaia( 081-2225175 kqjr ÿïßh fmd< ÿïßhfmd< mßY%h" kqjr' ÿr $ *elaia( 081-2225176 .d,a, 61$ta" jlaje,a, mdr" .d,a,' ÿr( $*elaia - 091-2234726 .ïmy 260" fld<U mdr" .ïmy' ÿr( $*elaia - 033-2234516 r;akmqrh 32" kkao t,a,dj, udj;" r;akmqr' ÿr( $*elaia - 045-2223014 nÿ,a, i' f;d' i' f.dvke.s,a," nKavdrfj, mdr" nÿ,a,' ÿr( $*elaia - 055-2229837 l=reKE., 28" úr;=x. f.dvke.s,a," fn!oaOdf,dal udj;" l=reKE.,' ÿr( $*elaia - 037-2230840 kqf.af.dv 151" tia o tia chisxy udj;" kqf.af.dv' ÿr( $*elaia - 011-2856641 ñkqjkaf.dv mrK k.r iNd f.dvke.s,a," fld<U mdr" ñkqjkaf.dv' ÿr( $*elaia - 011-2295120 mdkÿr 159" úúO fiajd iuQmldr f.dvke.s,a," .d¨ mdr" mdkÿr' ÿr( $*elaia - 038-2234767 wúiaidfõ,a, 40" nia kej;=ñfmd," wúiaidfõ,a,' ÿr( $*elaia - 036-2222501 wkQrdOmqr 414$4" f.dvf.a udj;" wkqrdOmqr' 025-2227488 wlalf¾m;a;=j 74" à'ã' 02" wlalf¾m;a;=j' ÿr$*elaia( 067-2057625 ms<shkao, 1tA$21" úµd, udj;" ms<shkao,' ÿr( $*elaia - 011-2613640 kdf.dv 313" u;=.u mdr" kdf.dv" l¿;r' ÿr( $*elaia - 034-2222818 fmardfoKsh 1156" .egfò fmardfoKsh' ÿr( 081 2386045

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zz Tfí iqjfi; - wfma me;=uhs ZZ

WHY?

Smoking Is Especially Bad If You Have Diabetes

Èhjeähdj ;sfhk flfkla ÿï mdkh lsÍu

urKhg fIdaÜlÜ tlla

NOVEMBER 2018 | DOCTOR MAGAZINE

doctormagazine.lk

u;aøjH ksjdrK ckdêm;s ld¾h idOk n,ldfha wOHlaI ffjoH iuka; l=udr ls;,jwdrÉÑ BDS (SL), MSC (Italy), MAAID (USA) úisks

ÿï mdkh lsÍu ÿisß;ls' th lsis flfkl=f.a fi!LHhg hym;la f.k fkdfohs' kuq;a oshjeähdj ;sfnk flfkla iïnkaOfhka kï th urejdg w; jekSula yd iudkh' ksfldáka reêr.; iSks idkaøKh by< kxjkjd oshjeähdj frda.fhka fmf<k ÿïmdkh lrkakka w;f¾ fmdÿ ,laIKhla jQfha md,kh l< fkdyels oshjeähdfjka ta jeä fofkla fm<Suhs' fï iïnkaOfhka miq.sh ld,h ;=< fndfyda wOHhk isÿ flrefKa Bg mdol fya;= yªkd.ekSfï wdOHdYfhks' le,sfmdakshd rdcH fmd,sfglaksla úYAj úoHd,fha uydpd¾h laisfhda pqwdka ,shq ksielfhkau thg uQ,sl pQos;hd is.rÜ j, we;s ksfldáka nj fmkajd fohs' tfy;a" ta yereKQ úg ÿïfld<fha we;s ;j;a oyila úI ridhko fï wjodku ;jÿrg;a ne?reï lsÍug fya;=jk nj Tyqf.a woyihs' udkj reêr idïm, j,g ksfldáka tl;= lsÍfuka tys Hemoglobin A1c (HbA1c) w.hka ishhg 34lska by< kexfjk nj Tyqf.a ksÍlaIKh úh' YÍrfha ixÑ;j mj;akd reêr iSks iïnkaOfhka woyila .ekSug jvd;au iqÿiq mÍlaIdj jkafka fï HbA1c mÍlaIKhhs' reêrfha A1c uÜgu by< hdfuka weia" yoj;" reêrjdyskS wdoS YÍrfha ia:dk j, fjk;a fm%daàk ixlS¾Ko ;ekam;a fjñka tajdg wjysr ùfï wjodkula we;s lrkakg jeä yelshdjla ;sfí'

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ke;s oshjeähd we;s fjkak jeä ld,hla hkafk kE''' ÿï mdkh lrk Tn ;ju;a" oshjeähdj frda.fhka mSvd fkdú|sk jdikdjka;fhla jkakg mq¿jk' kuq;a ta jdikdj fldmuK ld,hlgo@ ÿïmdkfhys wdYla; wh oshjeähdjg k;=ùfï bvlv fnfyúka by<h' m¾fhaIK j,g wkQj ÿï mdkh lsÍfuka Tyq fyda weh oshjeähd frda.sfhl= njg m;a ùfï wjodku ishhg 30-40 úYd, w.hlska by< hhs' we;efula ÿï mdkfhka ñfokakg ksfldáka meÉ" bf,lafg%dksla is.rÜ yd fjk;a fkdfhl=;a iudk Wml%u fhdod .ks;s' uydpd¾h laisfhda pqwdka ,shq mjik wkaoug oshjeähdj iïnkaOfhka kï fïjdo frda.h m%j¾Okh lsÍfï idudcslhka ue jkafkah'

oshjeähdj ;sfnk flfkla ÿï mdkh lsÍfuka yDohdndO" wxYNd." ms<sld yd ;j;a fndfyda ixl+,;d we;s ùfï wjodku fnfyúka by< kexfjhs'

NOVEMBER 2018 | DOCTOR MAGAZINE

ÿï mdkh lf<d;a oshjeähd frda.h md,kh lsÍu f,fyis kE oshjeähd frda.sfhl= ÿï mdkh lsÍfuka we;sjk úYd,;u w.;sh kï Tyqg ;u iSks frda.h ksishdldrfhka md,kh lsÍug fkdyels ùuhs' ljr wdldrfha oshjeähd frda.sfhla jQj;a ÿï mdkh lrkjd kï Tyqg oshjeähdj md,kh lsÍu myiq lreKla fkdfõ' fï ksidu oshjeähdfõ ixl+,;d j,g Tyq myiqfjkau yiqfjhs' yDohdndO we;=¿j yoj;a frda." wlaIs wdndO yereKQ úg mdo j,g jk reêr iemhqu fõ.fhka wvd, ùu ksid mdo lmkakg isÿ ùfï úYd, wjodkulg k;= fjhs' ÿï mdkh lrk whf.a m¾hka; reêr kd, wjysr ùfï wjodku w;sYhska jeäh'

oshjeähdj ;sfh;aoS ÿï mdkh lsÍfuka fmKy¿ ms<sld wjodku by< hkjd flú;d .dca tlai;a ckmofha úlsrKfõoh uydpd¾hjßhls' weh oshjeähdfjka fm¿KQ ÿï mdkh lrk mqoa.,hka 50000la 56

iïnkaOfhka oS¾>ld,Sk wOHhkhl ksr; jQ w;r fï whf.ka oyil muK m%udKhla fmKy¿ ms<sld ksid urKhg m;ajQ njo fiiq ms<sld ksid urKhg m;a ixLHdj 800la muK jQ njo i|yka lf<A' ÿïmdkh;a oshjeähdj;a tlsfkl iïnkaO ùfuka we;sjk wka;rdh iq¿mgq fkdjk nj isysm;a lrjñks' ldka;djkaf.a ÿïmdkh" fmKy¿ ms<sld yd oshjeähdj w;ro we;af;a b;d ìysiqKQ in|;djhls' oshjeähdj ;sfhk ÿï mdkh lrk ldka;djl fmKy¿ ms<sldjlg k;=ùfï wjodku ishhg 80lska muK jeä jk nj m¾fhaIKhlska ;yjqre ù ;sfí'

we;a; we;s ieáfhka lshf;d;a@ ÿï mdkh lsÍfuka ´kEu mqoa.,fhl= wkd.;fha osfkl oshjeähdjg ,laùfï m%n, wjodkula we;s fjhs' tfiau hï flfkla oshjeähdjg oekgu;a ,laj isà kï Tyq fyda wehf.a frda.h md,kh lsÍu fï ksid ÿIAlr ;;a;ajhg m;a fjhs' tu;=o fkdfõ''' fï reêr iSks md,kh fkdùfï wka;rdh fya;=fjka cSú;h wNsfhda.hg ,la lrjk ixl+,;d /ila we;s ùfï wjodkuo Tyqg ysñh' fï wkQj ÿï mdkh lsÍfuka oshjeähdj we;s ke;s ldg;a we;s lrk buy;a úkdYh iq¿mgq fkdjk nj meyeos,s fõ' u;aøjH ksjdrK ckdêm;s ld¾hidOk n,ldh ckdêm;s ld¾hd,h" fld<U 1 ÿrl:k( 011 4354614" *elaia( 011 4354561 úoahq;a ;emE,( psdp@presidentsoffice.lk fjíwvúh( www.drugfree.gov.lk

NOVEMBER 2018 | DOCTOR MAGAZINE

doctormagazine.lk

Èhjeähdj ;sfnkjd kï jeros,dj;a u;ameka j,g fhduq fjkak tmd'''

oshjeähdj yd u;ameka w;sYh Nhdkl tl;=jla''' 58

NOVEMBER 2018 | DOCTOR MAGAZINE

osh;,dj uQ,sl frdayf,a ffjoH pñkao úfcaisxy úisks doctormagazine.lk

we;euqka ;u cSú;hg wjodku <Õd lr.kafka fkdoeKqj;alu ksidh' ;uka fj; we;sjk wjodku .ek oeKqj;a ùfuka fndfyda fofkla tu wjodku u. yß;s' oshjeähdj frda.sfhla uoHidr .ekSfuka we;súh yels m%;sM< .ek l;dnyl fhoSu jvd;a ldf,daÑ; hhs wm l,amkd lrkafka fï ikao¾Nh yrydh' oshjeähdj ;sfnk flfkla hkq yqfola Tyqf.a reêr.; iSks jy jyd fjkia ùfï wjodkula we;s flfkls' uoHidr .ekSfuka fï w;sYh ixfõoS fjkiaùu blauKska wka;hka lrd meñKsh yel' tlaflda wys;lr f,ig reêr iSks uÜgu by< ke.sh yel' th wys;lr uÜgula olajd wvqùfï wjodkuo tf,iu we;' úfYaIfhkau Sulfonylurea yd Meglitinide ldKav j, T!IO .kakd wh uoHidr mdkh lsÍu ksid reêr iSks uÜgu wvq ùfï wjodkug ,laùfï bvlv jeäh' fuh zzbkaishq,ska fIdlaZZ hkqfjkao ye|skafjk cSú;h wjodkfï fy<k ukao uOqrla;shg m;aùfï wjodku by< kxjhs'

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u;ameka .ekSfuka wlaudjg we;sjk mSvdj wlaudfõ m%Odk ld¾hhla jkafka Tn .kakd wdydr cS¾Kh ùfuka ,efnk .a,hsfldcka ;ekam;a lr .ekSuhs' Tn ydu;a jQ úg YÍrfha mßjD;a;Sh l%shdj,ska i|yd Yla;sh ie,fikafka fï ixÑ; jk .a,hsfldcka m%fhdackhg .ekSfuks' u;ameka mdkh lsÍfuka miq th reêrhg tlajQ jydu th kqiqÿiq" ydkslr øjHhlehs wlaudj yªkd .kshs' túg wlaudj ;e;a lrkafka u;=j wd wk;=ßka ñoSfï u.la fidhd .ekSugh' Tn wrlal=" ìh¾''' wdoS jYfhka ljr fyda u;ameka j¾.hla mdkh l< úg wlaudfõ fï reêr iSks hdukhg n,.ekajqKQ l%shdj,sh k;r ù ta fjkqjg f,a j,g tl;= jQ u;ameka bj;a lsÍug uq¿ Yla;sh fhoùug wlaudjg isÿ jkafkah' túg reêr iSks md,kh ks;ekskau wlaudfjka .s,syS hkafkah' fï ksid wjodkï iy.; f,i reêrfha iSks uÜgu wvq ùfï wjia:djla Wod úh yel' túg weÕ .efykakg ùu" oyäh oeóu" l=i.skak" ysiroh''' fï wdoS ,laIK my< jQj;a fndfyda fokd th jgyd .kafka îu;ska we;sjQ fjkialula f,ih' ke;fyd;a zzfjß ùulaZZ f,ih' fï ksid Tyq flfryS

ksh; ÿlla njg fmrf,k ksfïIhl i;=g NOVEMBER 2018 | DOCTOR MAGAZINE

fiiaikaf.a wjOdkh fhduq fkdùfuka ksis wjia:dfõ ffjoH m%;sldr ie,iSu u. yeÍu ksid wjidkfha cSú;h wjodkfï fy,k wjia:djla njgo m;aùfï bvlv ;sfí'

oshjeähdj we;s flfkla u;ameka mdkh lsÍfïoS YÍrfha we;s úh yels fjkialï • iq¿ jYfhka u;ameka mdkh lsÍfïoS reêrfha iSks w.hka iaj,am m%udK j,ska by< kexùug bv we;' .kakd T!IO wkQj yd fjk;a fya;= u; we;eï úg wjodkï iy.; f,i reêrfha iSks w.hka my; jefgkakg jqj yelshdjla mj;S' • ìh¾ yd we;eï jhska úfYaI j, ldfndayhsfâ%g ;sfnk ksid reêrfha iSks by< kexùfï jeä bvla mj;S' • uoHidr .ekSfuka lEu reÑh jefâ' ta ksid l=i.sks jeä ùfuka jeä jYfhka .kakd wdydr j, m%;sM<hla f,io reêr.; iSks m%udK by< kexùfï wjodkula mj;S'

• uoHidr mdk j, le,ß w.hka b;d by<h' fïjd ks;r mdkfhka YÍrfha nr md,kh ÿIalr ;;a;ajhg m;aúh yel' • Tfí ;SrK .ekSfï yelshdjka blauKska fudg lsÍug fï tl;=j msgqjy,la fjhs' • Tn .kakd oshjeähd T!IO yd bkaishq,ska hk fnfy;a j,ska wfmalaIs; Okd;aul m%;sM<h u;ameka .ekSfuka ÿ¾j, fjhs' • uoHidr .ekSfuka reêr.; g%hs.a,sirhsv m%udK jeä fjhs' • u;ameka .ekSfuka reêr mSvkho jeä fjhs' • yDo iamkaokh by< hhs' f.d; .eiSu fõ.j;a fjhs' Tlaldrh we;s fjhs' • oshjeähd frda.sfhl=f.a iakdhq ÿ¾j, ùfï bvlv jeäh' u;ameka fï iakdhq j,g jk ydksh fõ.j;a lrhs' • YÍrh úc,khg ,la lrhs' kskao wE;a fjhs' • we;eï ms<sld yd yDo frda. j,g w; jkhs'

u;ameka fi!LHhg f.k tk ;¾ck

NOVEMBER 2018 | DOCTOR MAGAZINE

u;ameka mdkh lsÍu ÿisß;ls' tfiau thska úYd, fi!LH wjodkula we;s fjhs' fï ksid thska je<lSu wm ldf.a;a wosgk úh hq;=h' tfy;a hï flfkla oshjeähd frda.hg k;=j isà kï Tyq u;ameka mdkhgo yqre ùu ;ukaf.au cSú;h nrm;, wjodkulg ,la lr .ekSuls' tu ksid oshjeähdj ;sfnkjd kï u;ameka mdkfhka imqrd j<lskakg fyg jk f;la isáh hq;= ke;' th Tfíu iqNisoaêh fjkqfjka wo wou Tn l< hq;= yosis l¾;jHhla jkafkah' doctormagazine.lk

;=jd, fyd| lrk ;ek fo,af.dv

frdaksï k¾iska fydaï

oshjeähdj f,dj mqrd jHdma; fmdÿ fi!LH .eg¨jls' YÍrhg md,kh lr.; fkdyels reêrfha .aÆfldaia ;;a;ajh fuu frda.fha iajNdjhhs' reêrfha wêl iSks ;;a;ajh wLKavj mej;Su ksid weia" jl=.vq" iakdhq yd reêr kd, j,g oreKq n,mEï we;sfõ' m¾hka; reêrjdyskS j, f,a .ukd.ukh ÿ¾j, ùfuka mdo o fuys wys;lr n,mEug ,la fõ' Èhjeähdj frda.Ska Èkm;d mdo mÍlaIdlr .; hq;=hs úfYaIfhkau weÕs,slre" hám;=,a uekúka mÍlaId lr ne,sh hq;=hs' ;ukag ;ksju mÍlaId lr ne,sh fkdyels kï

doctormagazine.lk

{d;sfhl= fyda fi!LH fiajlfhl=f.a iydh ,nd.; hq;=hs' mdofha há m;=f,a hï fjkila" bÈuqula" me,a,ula" r;=ùula fyda iu ;=kS ùula ìì,la jeks úfYaI ,laIKhla ;sfí kï jydu ffjoH Wmfoia ,nd.; hq;= jkafka hhs frdaksï k¾isx wdh;kfha m%Odk ffjoH ks,OdÍ ffjoH ysrka; fld,a¨f¾ uy;d m%ldY lrhs' Èhjeähd frda.fhka fmf<k whg frda.h md,kh fkdùu ksid È.= ld,hla frday,a .; ù isàug isÿ jkafka mdoj, ;=jd, we;sùu ksihs' fï ;;a;ajh fndfyda úg we;sjkafka iakdhq wdndO ksid mdoj, oekSu wvq ù hdu ksid nj ysrka; fld,a¨f¾ ffjoH;=ud jeäÿrg;a mjihs' NOVEMBER 2018 | DOCTOR MAGAZINE

reêr kd, wjysrùu ksid ;=jd, we;s ia:dk j,g reêrh .uka lsÍula fkdùfuka tu ia:dkfha mgl ñh hkakg mq¿jk' túg mgl kej; jeãula isÿ jkafka ke;' Èhjeähd frda.Skaf.a ;=jd, fndfyda úg iqj fkdjkafka fï ksihs' fï nrm;< ;;a;ajhg m;ajQ mdo" weÕs,s lemSug mjd isÿfõ' fï wjodku ksid Èhjeähd frda.Ska ;ukaf.a mdo wdrlaId lsÍug úfYaI ie,ls,a,la oelaùu w;sYhska jeo.;ah' frdaksï k¾isx wdh;kh l,a.; jQ Èhjeähd ;=jd, i|yd úfYaIfhkau m%;sldr lrkq ,nk w;r Tn Èhjeähd frda.fhka fmf<kafka kï wm wdh;kfha meje;afjk úfYaI Èhjeähd idhkh i|yd meñfKk f,i werhqï lruq' l,a .;jQ ;=jd, i|yd kùk m%;sldr l%u Ndú;fhka m%;sldr lrkq ,efí' Èkhla iy fõ,dj fjka lrf.k meñŒfuka Tfí m%;sldrh m%udohlska f;drj ,nd .ekSug wjia:dj ie,fia' rcfha ,shdmÈxÑ fyo ks,OdÍkaf.a mQ¾K wêlaIKh hgf;a

ish¨u fyo ms,sfj;a kshudldrfhka wkq.ukh lrñka frda.Skag úYsIag fiajdjla frdaksï k¾isx wdh;kh u.ska ,nd.; yels nj wOHlaI ìu,a o is,ajd uy;d mjihs' frdaksï k¾isx wdh;kfhka msßkuk fjk;a fiajdjka meh 24 Èk 365 la fiajh • Èhjeähd frda.Ska i|yd úfYaIs; mdjyka ilia lr §u • Tiqi,a myiqlï • cx.u fyo fiajh

• ;=jd, m%;sldr • uq;%d ng oeóu • Tlaiscka fia,hska tkak;a ,nd§u • kdid ng oeóu yd wdydr ,nd§u

ish¨u fiajdjka ffjoH iNdfõ ,shdmÈxÑ w;s olaI m<mqreÿ fyÈhka úiska muKla ffjoH ks¾foaY u; isÿlrkq ,efí' úuiSï k¾iska fydaï 011 3055055$07 70778425$071 4500588 frdaksï k¾iska fydaï mqoa.,sl iud.u fkd' 609"605$5" orKd.u" fo,af.dv ÿrl:k 011 3055055 077 0778425$071 4500588 úoahq;a ;emE, roniminfo@gmail.com fjí wvúh www.lankahomenursing.com iqfLdamfNda.S .s,kar: myiqlï mqyqKq ld¾huKav,hla iu. iykodhS ñ, .Kka hgf;a meh 24 mqrd l%shd;aul iqrlaIs;" iqfLdamfNda.S .s,kar: myiqlï ÿrl:k 011305505$50770778425$071-4500588 fjí www.colomboambulance.com wxl 736 C, lvj; mdr rd.u meh 24 mqrd fyo id;a;=j iu. fkajdisl myiqlï - frdaksï frisvkaia ksixi, mßirhl mQ¾K myilï iys;j idOdrK ñ, .Kka hgf;a meh 24 mqrd fyo id;a;=j iu. fkajdisl myiqlï" jeäysá i;aldr uOHia:dk lvj; 0112928769 $ je,sfõßh 0332254400

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Two Important Diabetic related Laboratory Tests

Èhjeähd frda.Skaf.a frda. md,kh ms<sn|j ksiel bÕs imhk ridhkd.dr mÍlaIdj

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

NOVEMBER 2018 | DOCTOR MAGAZINE

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HbA1c mÍlaIdj Èhjeähdfjka fmf<k frda.sfhl=g miq.sh udi ;=kl ld,h ;=< flfkla ;u Èhjeähdj fl;rï m%udKhlska md,kh lrf.k ;sfío hkak .ek mÍlaId lsÍug jvd;a fhda.H mÍlaIdj f,i ffjoHjreka i<lkafka HbA1c mÍlaIdjhs' fï mÍlaIKfhka ,efnk m%;sM< iudf,dapkfhka tu ;eke;a;df.a fyda ;eke;a;shf.a T!IO m%udK ixfYdaOkh lsÍug ffjoHjreka W;aiql fj;s' doctormagazine.lk

fuu HbA1c mÍlaIKhg reêr kso¾Ylh ,nd .ekSfïoS frda.shd ksrdydrj isáh hq;= ke;' flfkl=f.a tla tla wjia:dfõ mj;akd reêr iSks m%udKh Tyq .kakd wdydr" Tyqf.a YÍr l%shdldrlï wdoS úúO idOl u; fjkia fõ' ojil ld,h ;=< ne¨j;a flfkl=f.a reêr.; iSks idkaøKh fudfyd;ska fudfyd; fjkia jkafkah' fï wkQj flfkl=f.a reêr iSks mÍlaIKfhka ta reêrh ,nd .kakd wjia:dfõ reêr iSks idkaøKh muKla olajk w;r th ksYAÑ; ld,hla ;=< flfkl=f.a reêr iSks md,kh iïnkaOfhka wjfndaOhla ,nd .ekSug tu f,a mÍlaIKh (Blood glucose Tests) lsisfia;a iqÿiq fkdfõ' ;=ka udihl muK ld,hl reêrfha iSks m%udKh iudf,dapkhg ,la lrjk ksid HbA1c mÍlaIKhg oshjeähd frda. mÍlaIK w;r ysñ jkafka iqúfYaIS jeo.;aaluls' ;j;a jeo.;a ldrKhla jkafka HbA1c mÍlaIKh oshjeähd frda.Ska yg we;sjk úúO ixl+,;d iïnkaOfhka wjfndaOhla ,nd .ekSugo we;s fyd|u mÍlaIKh ùuh'

mÍlaIK m%;sM< fodaI iy.; njg m;a lrjk f,vfrda. HbA1c mÍlaIKh ksrjoH mÍlaIdjls' kuq;a tys we;eï iSudldÍ idOl n,.ekafjk wjia:d iïnkaOfhka wm oeKQj;a úh hq;=h' • Type-1 yd Type-2 hk ljr wdldrhl fyda oshjeähdj ;sfnk flfkla ;u b,lalh lr.; hq;af;a ;u HbA1c mÍlaIKfha w.h 7%g jvd wvq lr .ekSugh' fuu w.h 8 fyda Bg jeä w.hla .ekSfuys wre; jkafka oeä frda. md,khla wjYH jk njhs' • oshjeähdj ke;s flfklaf.a fuu HbA1c w.h 4.0% to 6.0% mrdihl msysghs' oshjeähdj ;sfnk whf.a HbA1c w.hka wvqùu Hypoglycemia kue;s wjodkï ;;a;ajh .ek wk;=re yÕjhs' • orejkaf.a yd .egjrhkaf.a b,lal.; w.h 7.5g (< 7.5 %) ;rula jeäh' fï jhfiaoS wdydr md,khla ke;' jeäfhka iSks wkqNjhg .kshs' oeßúhkaf.a NOVEMBER 2018 | DOCTOR MAGAZINE

jeäúh m;aùu wdoS cSj úoHd;aul ldrKdo fï ksid we;sjk j¾Ol fjkialïo''' fï wdoS ldrKd ksid iaj,am jYfhka lvbu by< hdu iajdNdúlh' • Tfí HbA1c w.hka idudkH ys;lr mrdifha fkdfõ kï Bg Tn l,n, úh hq;= ke;' Tn l< ffjoHjreka fm<fUk w;r kej; kej; fuu mÍlaIK isÿ lsÍuo fuys,d iqúfYaIS jeo.;alula orhs'

fuu oshjeähd reêr mÍlaIK isÿ lsÍfuka úúO wjia:d j,oS úúO w.hka oelaùu oshjeähd frda.fha uQ,sl wjia:dfõoS o we;s úh yel' iEu mÍlaIKhlskau jeä w.hka fkdoelaùu frda.fha uq,a ld,fhaoS oelsh yels yeisÍuls' • HbA1c w.h 5.7 - 6.4 mrdifha ;sfnk wh oshjeähdj frda.h wkd.;fhaoS we;sùfï wjodkula iys; f,i y÷kd.kS'

oshjeähd frda.Skaf.a jl=.vq iqjfi; úuik uq;%d uhsfl%d we,aìhqñka mÍlaIdj URINE FOR MICROALBUMIN

uQ;%d j, b;d iq¿ m%udK j,ska reêr fm%daàka ^we,aìhqñka& mj;skafkao hkak fidhd ne,Sug isÿ lrk mÍlaIKh uq;%d uhsfl%dwe,aìhqñk mÍlaIdj (Urine Microalbumin Test) hkqfjka ye|skafõ' jl=.vq ydkshg m;aùfï jeä wjia:djla iys; Woúhf.a jl=. vq ydkshg m;aùula isÿ jkafkao hkak l,afõ,d we;sj fidhd oek .ekSug fuu uq;%d uhsfl%dwe,aìhqñka mÍlaIdj WmldÍ fjhs' ksfrda.S jl=.vq j,ska reêrh fmÍug ,la lr;aoS we,aìhqñk jeks fm%daàk reêrfhysu r|jd.ekSula isÿ lrk w;r wmøjH muKla uq;%d iu. neyer lrhs' jl=.vq krla fjk úg reêr.; fm%daàko uq;%d j,g ldkaÿ fjhs' jl=.vq thdldrfhka ydkshg m;ajk úg uq;%d j,g tl;= jk m%udKd;aulj uekSug yels fm%daàkhla jYfhka we,aìhqñka ie<lsh yel' ie<lsh hq;= iq¿ m%udK j,ska uq;%d j,g we,aìhqñka tla/ia ùu Microalbuminaria hkqfjka ye|skafõ' fuh .=ÉÑld fmÍï l%shdj,sfhys ;djld,sl wêOdß;djhla ksido 66

NOVEMBER 2018 | DOCTOR MAGAZINE

we;súh yel' muK blaujd l%Svd j, ksr; ùu" WK wdoS ;;a;aj ksido oshjeähdj wdoS frda. ksido fï wdldrfhka uq;%d j, we,aìhqñka mej;Sula isÿ ùug bv ;sfí' uq;%d j, wvx.= we,aìhqñk m%udKh uekSu jl=.vq j,g isÿj we;s ydksh .ek wjfndaOhla ,nd .ekSug m%fhdackj;a idOlhls' jl=.vq wdmodjg m;a ùfuka jl=. vq frda.h we;sù jl=.vq wl%Sh ùu olajd th j¾Okh ùug bv ;sfí' fï wdldrfhka jl=.vq l%shd fkdlrk úg tu ld¾hh lD;%Suj isoaO lsÍug frda.shdf.a reêrh lD;%Suj msßisÿ lsÍu fkdfyd;a ldkaÿlrkhla isÿ lsÍug (Dialysis) mshjr .ekSug isÿfõ' fï wdldrfhka jl=.vq úYd, jYfhka ydkshg m;aùug fmr frda.h wkdjrKh lr.;af;d;a jl=.vq j,g isÿjk ydksh wju lr .ekSug mshjr .ekSug (Slow the progression) wjia:djla b;sß fjhs' oshjeähdfjka fmf<k ishhg 2040 w;r frda.Ska ixLHdjla uqyqK mdk .eg¿jla jYfhka oshjeähdj doctormagazine.lk

wdY%s; jl=.vq frda.h (Diabetic nephropathy) ye|skaúh yel' Microalbuminaria hkq fuu frda. fha uq,au ix{djhs' tfiau fuh u;= we;súh yels yDoh.; frda. hl wjodkï fmrksñ;a;la jYfhkao Cardiovascular disease (CVD) ie<lSug isÿfõ' uq,skau we;s jkafka Microalbuminaria ;;a;ajhhs' miqj th Macroalbuminaria jYfhkao B<Õg jl=.vq wlrKsh Renal Failure yd wjidkfha wjidk woshf¾ jl=.vq wlrKsh (End stage of renal disease) hk wjia:djgo th j¾Okh fõ' Tn wêreêr mSvkfhka fmf<kafkla kï Tfí ffjoHjrhd úiska wdrlaIl mshjrla jYfhka fuu Urine microalbumin mÍlaIKh isÿ lsÍug Wmfoia ,nd fokjd we;'

24-hour urine test fuysoS meh 24la mqrd msg lrk uq;%d ish,a, fok ,o Ndckhl tl;= lr YS;lrkhl ;nd.; hq;= fõ'

mÍlaIKh i|yd ms<sfh, jk wkaou

uq;%d j, we,aìhqñka olakg ,eîu Albuminaria hkqfjka ye|skafõ' uq;%d j, fm%daàk ix>gl iaj,am jYfhka jeäfhka olakg ,eîu Microalbuminaria hkqfjka oelafõ' uq;%d j, úYd, jYfhka we,aìhqñka olakg ,eîu Macroalbuminaria hkqfjka ye|skafõ' Microalbuminaria mÍlaIKfhka ,efnk m%;sM<h oelafjkafka Milligrams (mg) hk tall j,sks' tys m%;sM< u; frda. iudf,dapkh my; wdldrfhks'

fuu mÍlaIKh idudkH uq;%d mÍlaIKhls' idudkH wdydr isß;la mÍlaIKhg fmr mj;ajd .ekSu jrola fkdfõ' idudkH uq;%d ksheoshla ,nd osh yel' we;eï fj,djg meh 24la uq¿,af,a tl;= lrk ,o uq;%d idïm,hlska uq;%d ,ndfok f,i b,a,d isáfhd;a muKla tfia isÿ lrkak'

Urine microalbumin mÍlaIKfha fojeoEreï wdldr Random urine test fuysoS ´kEu fj,djl wyUQ f,i ,nd .kakd uq;%d ksheoshla mÍlaId lsÍu i|yd ,ndosh yel' fuh frda.shdf.a l%sheákska mÍlaIdfjka ,efnk m%;sM< yd iudf,dapkh lrñka mÍlaIdjg ,la lrKq we;' WoEik uq;%d idïm,hla fyda flá úfõlhla ,nd .ekSfuka miqj ,nd .kakd uq;%d idïm,hla ,nd .ekSug Wmfoia fok l,ayS ta wdldrhg lghq;= lsÍu uekú'

Tn fldmuK ld, mrdihlg jrla mÍlaIKh isÿ l< hq;=o @ th ;SrKh jkafka Tng ljr wdldrfha frda. hla mj;skafkao@ Tfí jl=.vq ljr wdldrhlg wdmodjg m;aj ;sfío@ wdoS lreKQ u;hs' jl=.vq ydkshg m;aùfï uq,au wjia:dfõoS lsisÿ frda. ,laIKhla olakg fkd,efí' jl=.vq lsishï uÜgulg ydkshg ,lajQ úg Tfí uq;%d fmk iys; iajNdjhlska mshú weig osiafõ' ta yereKQ úg Tfí w;amd" Worh yd uqyqK boSóula olakg ,efí'

30 mg g wvq idudkH ys;lr mrdih 30-300 mg

Microalbuminaria

300 mg g jeä Macroalbuminaria Tfí fuu mÍlaIK m%;sM< iudf,dapkh lsÍfuka miqj lsishï widudkH m%;sM<hla oek.;a ú.i Tfí ffjoHjrhd kej; mÍlaIKhla isÿ lsÍug kshu lsÍu fyda jHdê.; ;;a;ajh ;yjqre lr.;a miq Bg iqÿiqu m%;sldr ie,iSug mshjr .kakjd we;'

CONTACT DETAILS OF ASIRI LABS & COLLECTION CENTRES Asiri Hospital Holdings PLC 181, Kirula Rd, Narahenpita, Col-5 011 - 4523355/356/357 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

Matara Kandy Kalubowila Negambo Ragama Kurunagala Jaffna Battittcaloa Anurudhapura Badulla Homagama Kalutara Gampaha Matale Pelawatta Wellampitiya Kadawatha Wattala Gampaha Horana Kiribathgoda Kotahena Wellawatta Awissawella Rathmalana Kaduwela Peradeniya Bogambara Katugastota Warakapola Avissawella Marawila Panadura Kada 50 Waththegama Nawalapitiya Dehiwala Kuliyapitiya Malabe Bandarawela Ja-Ela Embilipitiya Kegalle Nugegoda Tangalle Gampola Maharagama Akurana Kottawa Piliyandala Athurugiriya Nittambuwa Badulla IDH Pilimathalawa Mattakkuliya Moratuwa Beruwala Pitakotte Makola Pannipitiya Mawanella Kandana

Anagarika Dharmapala MW 67/7,William Gopallawa MW 5, S De S Jayasinghe MW 155,Colombo Road 39 A, Kadawatha Road 199 / 1, Colombo Road 546,Hospital Road 39/1, Central Road 280 A, Maithreepala Senanayaka Mw, 18,Darmadootha Road 20, Katuwana Road 21,Chamly Gunawardena Mawatha 06, Asoka Gardens,Colombo Road 87/A,Kandy Road 730 B , Pannipitiya Road 100,Kumaradasa Place 134 H, Jaya Mawatha 122, Negombo Road Queen Maryâ&#x20AC;&#x2122;s Road Anguruwatota Road Kandy Road,Dalugama Pickerings Road Manning Place Gemland,Kudagama Road Galle Road Avissawella Road Peradeniya Road Keppitipola Road Katugastota Road 92, Main Street 48, Seethagama A Moodukotuwa 159,Galle Road Bandaranayake MW,Anuradhapura 45,Mathale Road 119,Kothmale Road 190 A,D.B.Jayathilake Mw (Hill Street) 95, Hettipola Road 877, Athurugiriya Road 276,Badulla Road 67, Gamini Road 29 / A, New Town Road 325, Main Street 584, Highlevel Road, Gangodawilaa 187, Matara Road 36C,Â T.B.Panabokke Mawatha 152, Piliyandala Road 91E, Mathale Road, Akurana 197/1,Horana Road,Kottawa 148A, Horana Road,Piliyandala 1/1 E, Borella Road, Athurugiriya 584 , Kandy Road , Nittambuwa 13C, Bandarawela Road , Badulla 34/4 D, Kollonnawa Rd , Gothatuwa New Town 197/1,Daulagala Road,Pilimathalawa 77, Mattakkuliya Church Rd 56/D,Galle Road,Moratuwa City Arcade , 201B, Galle Road, Beruwala 155 B, Pagoda Road , Pita Kotte 96A/5,Makola Road,Makola South, Makola 92, Borella Road, Depanama , Pannipitiya No 209, Colombo Road , Mawanella No. 47 Ganeulla Road, Hapugoda,Kandana

Address

041 - 4390900 081 - 7389022 011 - 7389701 / 704 031 - 7388010/011/ 012 011 - 7389753/754/755 037 - 7220110/111/112 021 - 7389389 / 392/93 065 - 7755400/401/402 025 - 7800850/851/852 055 - 7634020 011 - 7519583/585/586 034 - 7634005/010/009 033 - 7634139/ 148/323 066 - 4501011 011 - 7634035 011 - 7519581 011 - 7617180 011 - 7581598 033 - 7500598 034 - 7877200 011 - 7782704 011 - 7782702 011 - 7782706 036 - 7637611 011 - 7782708 011 - 7782710 081 - 7634010 081 - 7389011 / 13 081 - 7634002 035 - 7634011 036 - 7634 008 032 - 7634010 038 - 7634011 025 - 7800854 081 - 7634008 054 - 7634012 011 - 7634096 037 - 7634003 011 - 7654039 057 - 7634008 011 - 7634186 047 - 7634008 035 - 7634014 011 - 7634098 047 - 7634007 081 - 7634013 011 - 7634182 081 - 7634009 011 - 7634159 011 - 7634188 011 - 7634312 033 - 7634004 055 - 7634011 011 - 7634310 081 - 7634015 011 - 7634314 011 - 7634198 034 - 7634007 011 - 7634318 011 - 7634226 011 - 7634217 035 - 7634000 011 - 7634344

Telephone

E-Mail

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

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orejka iqkaorh' Tjqka yqr;,h oelSfuka i;=gla wdkkaohla we;s jkafkah'

Èhjeähdj iEÿKq orejka iïnkaOfhkao tys fjkila ke;' Tjqka wksl=;a orejkaf.ka fjka lr y÷kd .ekSug wmyiqh' ienúkau tfia l< hq;= jkafkao ke;' oshjeähdj hkq ukd md,khla ;=<ska idudkH cSú;hlg ux i,ik frda. hla ñi wfklla fkdfõ'

m<uq j¾.fha ÈhjeähdfõoS .aÆfldaia uÜgu iïu; mrdihl mj;ajd .ekSug wjYH jk bkaishq,ska fydafudakh ksis mßÈ w.akHdYfhka ksmoùula isÿ fkdfõ' th iïmQ¾Kfhkau iqj l< yels frda.hla o fkdfõ' kuq;a th iïmQ¾Kfhkau md,kh l< yels frda. ;;a;ajhls' wêl ia:q,;djh yd ne£ mj;sk fojk j¾.fha Èhjeähdj fnfy;a fm;s u.ska muKla iqjl< fkdyels nj ujqmshka úiska wjfndaO lr.; hq;=h' ta i|yd fi!LH iïmkak Ôjk rgdjlg fhduqùu w;sYhska jeo.;ah' orejdg m%S;su;a cSú;hla Wreu lroSu Tfí wosgk lr .kak iuyr ujqmshka zzorejka uqrKavqhs" tau ksid Èhjeähdj md,kh l< fkdyelshsZZ hk u;fha isàu ksidu frda.h md,kh i|yd l%shdud¾. fkd. kakd neúka Ôú;fha i;=g wysñ jk wjia:d olakg ,efí' orejkaf.a wfkl=;a ish¨ j.lSï foujqmshka fj; mejfrkjd fiau orefjl=g Èhjeähdj iEÿKQ miq tu orejdf.a frda.h md,kh lsÍug ffjoHjrhd fok Wmfoia l%shd;aul lsÍfï j.lSuo we;af;a uõmshkagh' úfYaIfhkau uj fj; fuys§ úYd, j.lSula mejf¾' orejkaf.a i;=g fjkqfjka ish¨ ÿla .kakd fiau Èhjeähdj md,kh lsÍfï fufyjr o fouõmshka úiska i;=áka ndr .kq ,nhs kï tu mjqf,a i;=g iodld,slju /£ mj;skq we;' orejkaf.a Èhjeähdj ksis f,i md,kh lsÍfuka tu orejka i|ydo m%S;su;a Ôú;hla Wreu l< yels jkafkah' reêrh mÍlaId lsÍfï iqyqre nj Tn ,en.; hq;=hs orejdf.a reêrfha .aÆfldaia uÜgu mßlaId lrk wdldrh yd mßlaId l< hq;= wjia:d ms<sn|j ffjoHjrhd fj;ska Tn uekúka oek.; hq;af;ah' bkaishq,ska ,nd §fuka miq lEu;a fokak ´ks'''

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bkaishq,ska ,nd §fuka miq wdydr fkd§ isàfuka reêrfha iSks uÜgu wvqúh yelshs' tu ksid bkaishq,ska ,nd §fuka miq orejkag wdydr ,nd §ug fouõmshka lemùfuka lghq;= l< hq;=h' orejd wikSm jqK;a lkak fok tl w;sYh jeo.;a orejka wikSm jQ úg § o lEu ,nd §u ta wdldrfhkau isÿ l< hq;=h' fndfyda orejka wikSm jQ úg wdydr fkdf.k isàu fnfy;a ú§ug bv fkd§u ksid ksji ;=< b;d mSvdldÍ ;;a;ajhla we;súh yel' tjeks wjiaa:dj,§ orejka frday,a.; lsÍfuka fyda ffjoH Wmfoia ,nd .ekSfuka mjqf,a i;=g ;jÿrg;a r|jd .; yelsh' iqÿiq wdydr fokak''' jHdhdu;a orejdg wjYHhs orejdf.a reêr.; .aÆfldaia uÜgu ksishdldrfhka mj;ajd .ekSug bkaishq,ska j,g wu;rj orejdg osj hq;= wdydr iy jHdhdu .eko foudmshka oekqj;a ùu w;sYhska jeo.;a fjhs' wm .kakd wdydrj, we;s ldfndayhsfâ%g u.ska .aÆfldaia ksIamdokh isÿ jk w;r tu .aÆfldaia isrer ;=< ffi,j,g Wrd.ekSug bkaishq,ska w;HjYH fõ' Èhjeähdj iys; orejkaf.a isrer ;=< bkaishq,ska ksishdldr ksIamdokhla isÿ fkdjk neúka ks;r ks;r wdydr .ekSfuka isrer ;=< ksmofjk .aÆfldaia wjfYdaIKhg kshñ; fj,djkays§ fokq ,nk bkaishq,ska m%udKj;a fkdùfuka reêr.; .aÆfldaia uÜgu by, hdug yelshdjla mj;S' ks;r ks;r wdydr fokak fyd| kE tu ksid Èhjeähd frda.h iys; orejkag ks;r ks;r wdydr §fuka je<lsh hq;= w;r ffjoHjrhd iu. idlÉPd lsÍfuka miqj orejdf.a m%Odk wdydrfõ,a iy wu;r wdydr fõ,a .ek wjfndaOhla ,nd.; hq;=hs' fndfyda úg m%Odk wdydr fõ,a ;=kla iu. wu;r wdydr fõ,a folla Tnf.a orejd i|yd ,ndfok f,i ffjoHjrhd úiska meyeÈ,s lr fokq we;' hï fyhlska .aÆfldaia uÜgu wvq úgoS fouõmshka wkjYH f,i l,n,hg m;a fkdúh hq;= w;r fouõmshkaf.a wkjYH l,n,h Tfí orejdf.a iy wjg isákakkaf.a iduldó cSú; j,g wys;lr n,mEï lrkq we;' mjqf,a yefudau tlu wdydr isß;lg fhduq lrjuq fi!LHu;a wdydr rgdjlg mqreÿùu wm ish¨ fokdgu w;sYhska jeo.;a jk ldrKhls' wmf.a doctormagazine.lk

wdydr fõ,g t<j¿ yd m<d fld< tl;= lsÍu u.ska tu wdydrj, ;ka;=uh mod¾: m%%udKh by< kexfjk w;r tu.ska reêrfha .aÆfldaia uÜgu jeäùu wvq lr.; yel' iSks tl;= fldg ilik wdydrj,ska je<lSu mjqf,a ish¨ fokdgu isÿl< yels fohls' fu.ska mjqf,a orejka w;r wfkHdakH iqyo;djh j¾Okh fjhs' ksfrda.S orejdg iSks oud ilik ,o lsß ùÿrejl=;a frda.S orejdg iSks fkdouk lsß ùÿrejl msßkuk úg frda.S orejdf.a ì÷Kq ys; yeoSu b;d wmyiq fohls' fï nj ujqmshka uekúka wjfndaO lr.; hq;=h' orejdg l%Svd lrkak bv fokak orejka hkq yqfola tl ;ekl ksYap,j isáh fkdyels wh jk w;r Tjqka ks;ru fi,a,u m%sh lrhs' Èhjeähdj iEÿk orejdgo tu ;;a;ajfha fjkila ke;' Tjqkago ish¨u l%Svd i|yd ndOdjlska f;drj iyNd.s úh yel' fuys§ jeo.;a jk ldrKh jkafka l%Svd lsÍfï § orejdf.a reêrfha iSks uÜgu wvqúh yels neúka wu;r l=vd wdydr fõ,djla l%Svd lsÍfï§

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,nd§ug W;aiql ùuhs' tfiau wjYH jQ úg f,a mßlaId lsÍfï myiqlï o ;sìh hq;=h' la,dka; ùula isÿ jqjfyd;a orejdf.a reêrh mÍlaId lsÍug isÿjkq we;' Tnf.a orejd È.= fõ,djla YdÍßl jHdhduj, fhfok Èkl§ meh lsysmhlg miqj o reêrfha iSks uÜgu wvqúh yels neúka kskaog hk úg .kakd wu;r wdydr fõ, jeä l< yels w;r kskaog hdug fmr iy mdkaor 3g iSks mßlaIdj isÿ l< yelsh' orejd .ek mx;s Ndr .=re;=ñh oeKQj;a lrkak Tfí orejd fj; fjfiiskau ksis fõ,djka ys wdydr .ekSu iy kshñ; fj,djkays§ bkaishq,ska ,nd §u b;d jeo.;a nj Tn is;g .; hq;=h' fï ksid orejdf.a frda.S ;;a;ajh ms<sn|j mdif,a .=re;=ñh yd ióm hy¿jka fyda oek isàu b;d jeo.;a fõ' fouõmshka fm!oa.,slj mdif,a mx;sNdr .=re;=ñh yuqù iSks wvq ùul§ l< hq;= foa ms<sn|j yd frda.h ms<sn|j oekqj;a lsÍu ;=<ska we;sjk .eg¨ldÍ ;;ajhka wju lr .; yelsfõ' .eg¨ wju jQ úg

orejkaf.a Ôú; i;=áka .; fjhs' ido" m%sh iïNdIk yd cSú;fha i;=g Tfí orejdg;a jeo.;a orejdg bkaishq,ska úosk mEk YS;lrKfha ;eîu w;HjYH fkdjk neúka úfkdao pdßld j,g orejd iyNd.s lrùu" ido" m%sh iïNdIKj,g" odkudkdÈh j,g iyNd.s ùug orejdg wjia:dj ie,iSug orejdg ndOdjla ke;' fujka fkdfhl=;a iudc l%shdldrlï i|yd Èhjeähdj iys; orejkao wksl=;a orejka fuka iyNd.s lrjd .; yels jk w;r th orejdf.a udkisl m%fndaOh by< kexùugo fya;= jkq we;' fujka wjia:d j,g orejd iyNd.s lrùfuoS wjYH jkafka kshñ; fnfy;a ud;%dj kshñ; fõ,djg ,nd §u yd kshñ; fj,djg wdydr ,nd §u muKls' Èhjeähdj ;sfnk ksid iudc.; yd l%shdldrlï j,ska hï orefjla wE;a lr ;nkafka kï ta Tn ke;s lrkq ,nkafka Tfí orejdf.a m%S;su;au oji nj Tn wu;l fkdlrkak' ienEj kï kej; ta m%S;su;a oji lsisod tu orejdg fkd,eîuhs' ñksfil=f.a w;S;h fid÷re fkdfõ kï wkd.;h fid÷re jkafka flf,ilo@

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NOVEMBER 2018 | DOCTOR MAGAZINE

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NOVEMBER 2018 | DOCTOR MAGAZINE

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ENT Procedures

W.=r lk kdih wdidok ixlS¾K lrk Èhjeähdj

NOVEMBER 2018 | DOCTOR MAGAZINE

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os,sr iïNjhla iys;j fldagrl wdidokhg ,laùu oshjeähd frda.ska w;r iq,nh

W.=r lk kdih ms<sn|j úfYaI{ ffjoH iS;d l=udß wrfòfmd, úisks

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W.=r" lk" kdih hk ;=ka oajdrhu ks;ru wdidokhg ,lajk YÍr wx. jk w;r fuys we;sjk wdidok ir, m%;sl¾u u.ska fndfydaúg iukh lsÍug ffjoHjrhdg yels ùuo úfYaI;ajhls' kuq;a hï flfkl=g Èhjeähd frda.h md,kh lr.ekSu wmyiq wjia:djkays§ yd md,kfhka f;drj YÍrfha iSks uÜgu by< hk wjia:djkaj,§ fujeks wdidok j,g ,la ùu b;d myiq jk w;r tu ;;a;ajhka iqj lsÍu b;d ÿIalr fõ'

NOVEMBER 2018 | DOCTOR MAGAZINE

W.=f¾ we;sjk fiï f.ä" ierj f.ä njg njg m;aùu wm kdih iïnkaOfhka l;d lsÍfï§ fldagrl m%odyh fkdfyd;a Sinusitis ;;a;ajh we;sùu fukau th os,Sr iïNjhla ksid we;sùu" ukd md,khlska f;dr Èhjeähd frda.Ska w;r ks;r ks;r olakg ,efí' kdifha l=àr wdidokh ùuo" udxYfmaYs j,g wdidok we;sùuo ta wdldrfhka u Èhjeähd frda.Ska w;r olakg ,efí' tfiau fuu wdidok ixl+,;d olajd .uka lrñka fud<h wdY%s;j ierj f.ä we;s lsÍuo fuu frda.Skaf.a 80

olakg ,efí' ueo lfKa wdidok j,§o wêl ixl+,;d we;sùu Èhjeähd frda.Ska w;r nyq,j olakg ,efí' tjeks wdidok fud<h" wei yd wjg wiaÓ j,go iïfm%aIKh ùula isÿúh yel' tjeks wdidok fud<h" wei yd wjg wiaÓj,g iïfma%IKh ùuo fuys§ isÿ fõ' W.=f¾ we;sjk fiï f.ä wdidok jqjo fiïf.ä wdY%s; ierj f.ä njg (Peritonsillar Abscess) njg m;aùuo Èhjeähdj frda.Ska uqyqK fok .eg¨jls' fuys§ we;eï úg Y,Hl¾u mjd isÿ lsÍug wjYH fõ' fuys§ wm jgyd .; hq;af;a oshjeähd frda.h ksis wdldrfhka md,kh fkdlsÍu W.=r" lK wdY%s; wdidok j,g;a tys ixl+,;d j,g;a w;jekSula njhs'

NOVEMBER 2018 | DOCTOR MAGAZINE

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wjfndaOfhka" ie<ls,af,ka lghq;= lsÍfuka

Èkd.; yels cSú;h

we,a*d ,xld vhfnála fydiamsÜ,a ffjoH isisr chiQßh

mdo j, we;sjk fjkialï weiqf¾ Wf.k .; yels mdvï 82

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Èhjeähdj .ek Tn okakd foa''' uq;%d jeämqr msgùu wêl msmdih YÍrfha nr wvqùu Tn okakd fï lreKqj,g wu;rj b;d ixlS¾K frda. hla jk Èhjeähdj jhia fNaohlska f;drj iS.%fhka jeäfjñka ;sfí' fuhg úúO fya;= n,mdk w;r ia:q,;djh" wdydr .ekSfï wvqmdvqlï" jHdhdu wvqùu" ixlS¾K Ôjk rgdj" kskao fkdhdu wdÈh iq,n f,i n,mdk nj iuyr úg Tn oekgu;a okakjd úh yel' by; úia;r lrk ,o ish,a, we;=,;aj ;j;a lreKq fndfyda úg n,mdkafka Tn okakd iq,nj mj;akd Èhjeähdj fldgig jk w;r oshjeähdfõ fï m%fNaoh iudcfha iEu me;slvla ;=<u mdfya me;sr mj;S' Tn jeämqr fkdokakd Wm;skau Èhjeähd ;;a;ajhka /f.k tk who fõ' Tjqka Èhjeähdj m<uq fldgig .efka' Tjqkag wksjd¾hfhkau bkaishq,ska ,nd Èh hq;=h' doctormagazine.lk

fï frda.fha Nhdklu wjia:dj Wodjk úg Tn fndfyda úg m%udo ù yudrh' thg fya;=j Tng fï frda.h ms<sn|j yßyeá wjfndaOhla fkdue;s lu ksid ydksh isÿj wyjr ùuhs' Èhjeähdj iïnkaOfhka wo úúO udOH Tiafia fndfyda oeKQj;a lsÍï isÿjk w;r fï ,smsh ,shk udo tjka ,sms lshjk jdr .Kk wkka;h' jeä fofkla fuu frda.hg t;rï nh ke;s nj uf.a ffjoH Ôú;h ;=<§ uu oel ;sfnkjd' Èhjeähdj ld,hla ;=< mej;Sfuka we;sjk ixl+,;d .ek Tng iuyr úg wjfndaO ù ke;s jQj;a Tng tjeks mqoa.,hka idhkfhaoS" jdÜgqfõoS yuq jkafka Tno ta ;;a;ajhg m;aj m%;sldr ,nk wjia:djg m;ajQ miqjh' túg Tn m%udo jeäh' Tn túg oefkk foa" thska ;e;s .kakd wdldrh wm w;aolsuq' uf.a wruqK jkafka tjka wNd.Hiïmkak m%udohka je<elaùuhs' ixl+,;d wdrïN jk uq,a wjia:d j, § ysßh" ll=,aj, oeú,a," uiaf.dn fõokdj" oDIaáh uq,ska jeäù kej; wvqùu" ks;r uq;%d wdidok we;sùu" ,sxf.akaøsh fhdaks ud¾.h wjg we;sjk wdidok ;;a;aj bka iuyrls' fïjd we;s Èhjeähd frda.Ska ie,lsh hq;= lreKla jkafka ffjoHjrfhl=f.ka ksishdldrj m%;sldr /f.k iqjlr .ekSug W;aiql ùuhs' we;s jQ w;=reM<hg m%;sldr .kakd fndfyda fofkla oshjeähdj ksishdldrj md,kh lr .eksug Wkkaÿ jkafka ke;' kuq;a fujeks wjia:djka wm ie<lsh hq;af;a fmryerg fmr tk lildrhka jYfhks' fmryer <Õ tk nj fuhska lshk uq;a Tn th .Kka .kafka ke;' Tn w;ruxj fmryr hk ;=re n,d isà' fujeks wjia:dj,§ Tnf.a frda.h .ek wjfndaO lrf.k th md,kh lr .ekSu i|yd wm%udoj l%shdud¾. .; hq;=h' Èhjeähd ;=jd, iïnkaOfhka Tn fjfiia wjOdkhla fhduq lr ffjoHjrekaf.ka ksishdldrj m%;sldr ,nd.; hq;=h' th úúO idOl u; w;sYh wjodkï iy.; woshrlg m;a ùug jqj bv ;sfí' frda.shdf.a ;=jd,h ;sfnk ia:dkh" Tyqf.a jhi" ;=jd,hg reêrh iemfhk m%udKh" krla ù we;s m%udKh" úIîc we;=¿ ù we;so" keoao hk j." NOVEMBER 2018 | DOCTOR MAGAZINE

wd>%Kh u.ska ;=jd,h ;=< we;s úIîc l=ulao hkak fuysoS uQ,slj ffjoHjrhd úiska wkqudk flfrhs' ;=jd,h iqjlr .ekSu i|yd ud fj; meñfKk frda.Ska iïnkaOfhka ud lghq;= lrk l%ufõohla fõ' m<uqj ;=jd,hg m%;sldr lsÍug fmr Tyqf.a ;;a;ajh f;areï.; hq;=h' nyq;rhla fokd fndfydaúg lrkafka ;=jd,hg fnfy;a oud f.or hduhs' Èhjeähdj md,khg we;af;kau mdol fya;=jg ms<shï fhoSula isÿ jkafka ke;' fï ksid nyq;rhla fokdf.a oshjeähd ;=jd, b;d wjodkï woshr j,g m;a fj;s' yefudau fkdjqk;a fndfyda fokd ud fj; meñfKkafka b;d wirK ;;a;ajhg m;aj mdoh iqjm;a lsÍug neß úg§h' tfy;a tjka wvq bv m%ia;djloS jQj th iqjm;a lr §ug yelshdj we;' ud ffjoHjrfhl= f,i fndfyda l,la Èhjeähd frda.Ska iuÕ .ejfik w;r ta iïnkaOfhka ug fndfyda w;aoelSï ;sfí' jeämqr fnfy;a mdúÉÑ lr iSks md,kh lr.ekSu Èhjeähdj md,kh fkdjk nj ;rfha is;g .kak' Èhjeähdfõ ixl+,;d f,i yg.kakd iqj fkdjk ;=jd," úIîc ksid krla jQ ;=jd," ixl+,;djhka iy f,a .ukd.ukh ll=,aj,g wvqùu" ks;r we;sjk ;=jd, iy iakdhq l%shdldß;ajh wvqùu ksid iqj fkdjk ;=jd,''' fï wdoS Tnf.a l=uk wdldrfha iqj fkdjk ;=jd,hla jqj;a ud Tng fok Wmfoia mßÈ Tn lghq;= lrkafka kï muKla ud yg iqjm;a lr Èh yels nj okajd isáñ' iqj fkdjk ;=jd, Èhjeähdj iïnkaO ixl+,;djla jk nj we;eï úg Tn fkdokakjd we;' fï ;;a;ajh

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iïnkaOfhka Tnj uekúka oekqj;a lrKQ leue;af;ñ' mdo j, we;s jk fï ixfõoS fjkialï fndfyda oshjeähd ixl+,;d''' tkï jl=.vq wdndO" wefia we;sjk fjkialï" uia ms~q fõokd" ,sx.sl fn,ysk;djh" yDoh frda.''' wdoS ixl+,;d j, uQ,sl oekqï§ula nj Tn wjfndaO lr.; hq;=h' fï ;;a;ajh Bg miafia tk fjk;a ixl+,;d j,g jvd myiq jk w;r b;d ixlS¾K ;;a;aj j,ska ñoSug wjYH mshjr .ekSug fuh wjia:djla lr.; hq;=h' Èhjeähd ixl+,;d fndfyda m%udKhla ;sfnk w;r tajd ish,a, ú.%y lsÍug fï ,smsh muKla fkdfõ' Tn fï ish¨ foa .ek uekúka wjfndaOhla ,nd.; hq;=h' yDohdndO" fud<hg f,a jykh ùu" jl=.vq wl%Shùu" ,sx. sl wm%d‚lNdjh" uia Èh ù hdu ^weú§ug wmyiq ;;a;aj& mdo j,g f,a .ukd.ukh wvqùu fïjd .ek wjfndaOhla Tng fkd;sfí kï tu frda. ,laIK .ek yels muK wod< ffjoHjreka f.ka oek.kak' Èhjeähdj md,kh l, yels frda. hls' ksÜgdjg iqj lsÍu l< yels wjia:d l,d;=rlska ke;=jdu fkdfõ' tfy;a ta b;d iaj,amhla fokdgh' kshñ; cSjk u. fjkialï w;f¾ oshjeähdj uekúka md,kh lr.kak' thska Tng we;sjk fndfyda wjodkï ;;a;aj u.yrjd .; yel' doctormagazine.lk

New frontiers in diabetic management

úÿ m¾fhaIK Tiafia wfmalaId oe,afjk

Èhjeähdj

frda.Skaf.a fyg oji

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Èhjeähdj wo fndfyda ckS ckhd cSú; wk;=f¾ fy,;aoS" fjfiiskau l=vd orejka" ;reKhka mjd úYd, wjodkulg weo fy<;aoS fï Wjÿfrka ñoSug iqÿiq ms<s;=rla fidhd .ekSug fjfyik m¾fhaIlhka ixLHdjo iq¿ mgq fkdjkafkah' fï jk úg Èhjeähdj frda.Skaf.a fyg oji iïnkaOfhka jvd;au wfmalaId iy.; kj ksmehqï iïnkaOfhka fï ,smsfhka lreKQ oelafjkq we;'

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bkaishq,ska fydafudakh ksmojk fl%äÜ ldâ m%udKfha ffcj ;ekam;= Insulin producing implants made from stem cells l=U ffi, (Stem cells) hkqfjka ye|skafjkafka fjk;a úfYaIs; ffi, njg mßj¾;kh fkdjQ m%d:ñl ffi, úfYaIhls' fï l=U ffi, j,ska iukaú; fl%äÜ ldâm;la m%udKfha ;ekam;=jla iu u; ;ekam;a lsÍfuka miqj ta ;=< we;s ffi, u.ska isrerg wjYH m%udKhg bkaishq,ska fydafudakh ksIAmdokh lr.; yel' ViaCyte's PEC-Direct device hkqfjka ye|skafjk fï w¿;au ;ekam;=j ksIAmdokh lrKQ ,enQfha le,sf*dakshdfõ ViaCyte kï m¾fhaIKdh;khla úisks' fuu ;ekam;=fõ we;s m%d:ñl l=U ffi, bkaishq,ska

NOVEMBER 2018 | DOCTOR MAGAZINE

fydafudakh ksmojk w.akHdYhsl ffi, njg rEmdka;rkh ùula isÿjk w;r tu.ska m<uq ldKAvfha oshjeähd frda.Ska yg wjYH bkaishq,ska lsisÿ .eg¿jlska f;drj ,nd .ekSfï wjia:dj Wod ù ;sfí' 2017 cq,s udifhaoS fuu kj ksmehqu frda.Ska i|yd id¾:lj mÍlaId lr wjikaj ;sfí' bkaishq,ska fydafudak fldfy;au ksmoùula fkdue;s whg oekg we;s úl,amh jkafka bkaishq,ska fydafudakh oskm;d fok ,o ud;%d j,ska tkak;a lr .ekSuhs' lekvdfõ we,an¾gd iriúfha fcañia iemsfrda New Scientist iÕrdjg lreKQ olajñka bkaishq,ska wiSudka;slj ksIamdokh l< yels /|jqula yªkajd oSu oshjeähdj uq,sKQmqgd oeófï isyskfha ch.%dyS uxfm;la nj lshd isáfhah'

w.akHdYfha ieÕj.;a îgd ffi, ;ekam;=jla Brand new beta cells w.akHdYfha bkaishq,ska ksmojk îgd ffi, m%;sYla;slrK moaO;sfha n,mEfuka úkdY ùfuka bkaishq,ska ksIAmdokh wek ysáhs' m<uq wdldrfha oshjeähdj f,i ie<flkafka fuhhs' tfia kuq;a ;j;a ieÕj.;a fkdfïrE îgd ffi, ixÑ;hla w.akHdYfha mj;sk nj;a Vrgin Beta Cells hkqfjka ye|skafjk fulS îgd ffi, l%shd;aul ;;a;ajhg muqKQjd .;fyd;a th oshjeähdfjka ñoSfï u.lao jk nj;a fy<sorõ ù ;sfí'

https://www.sciencealert. com/we-re-one-stepcloser-to-curing-type1-diabetes-thanks-to-arevolutionary-stem-cellimplant

NOVEMBER 2018 | DOCTOR MAGAZINE

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fï iïnkaOfhka m¾fhaIK j, ksr; jk le,sf*dakshd iriúfha udla yqhsisx.a mjik wdldrhg fuu ffi, fuu kejqï îgd ffi, fyg ojfia oshjeähdjg tfrys igfka ;SrKd;aul wúhla jk njg ,l=Kq my< ù ;sfí' https://www.sciencealert. com/a-brand-new-typeof-insulin-producing-cellhas-been-discoveredhiding-in-plain-sight

oshjeähd frda.Skag úYañ; iykh f.k fok fm%I¾ Tiqj A common blood pressure medication f,dal fi!LH ixúOdkfha wksjd¾h T!IO ,ehsia;=fõ we;s .¾NsKS ud;djka yd orejka Wfoid wêreêr mSvkh iukh msKsi

,nd fok fu;s,afvdmd kï T!IOh oshjeähd frda.h u¾Okh úIfhys ;SrKd;aul ld¾hNdrhl ksr; jk nj kj;u m¾fhaIK j,ska fy<sorõ ù ;sfí' DQ8 Molecule kï m%;scklhla m<uq wdldrfha oshjeähdj je<f|k mqoa.,hkaf.ka ishhg 60lf.a muK l%shdldÍj mj;sk nj wOHhk j,ska fy<sù ;sfí' fï iqúfYaIS wKqj wjysr lsÍug fu;s,afvdmd j,g yelshdjla we;s j. fld,rdfvda wekaIqÜia ffjoH úoHd,fha m¾fhaIlhka msßila úiska wkdjrKh lrf.k ;sfí' fuh oshjeähdj frda.h we;s ùu mud lsÍug y÷kd.;a f,dj m<uq T!IOh fia Ndú;hg .ekSug we;s bvlv oeka fidhd n,ñka mj;S' https://www.sciencealert.com/commonmedication-can-prevent-type-1-diabetes

bkaishq,ska ksIAmdokh lrk ffcj ;ekam;= A unique transplant m<uq wdldrfha oshjeähfjka fm¿Kq tla;rd ldka;djla jirla .;ùfuka miq bkaishq,ska tkak;a ,nd .ekSfuka je<lS isáhdh' ta ;u Worfha we;s fïouh mgl j, ;ekam;a lrk ,o BioHub kï WmlrKhla u.ska bkaishq,ska fydafudakh ksmoùu fya;=fjks' fï w;ayod ne,Su isÿ lrk ,oafoa ñhdñ iriúfha m¾fhaIlhka lKavdhula úisks' bkaishq,ska ksmojk ffi, fï wdldrfhka ;ekam;= f,i fhdod .ekSfuka oshjeähdj u¾Okh lsÍug oerE m%h;akh id¾:l ùfuka miq úYd, lKavdhï fhdod .kakd mÍlaIK woshr oeka l%shd;aul ù ;sfí' https://www.sciencealert.com/ bioengineered-pancreas-ends-onediabetics-need-for-insulin

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NOVEMBER 2018 | DOCTOR MAGAZINE

wdydr md,kh ;=<ska oshjeähdj ch .ekSu This Extreme Diet Reversed Type 2 Diabetes in Up to 86% of Patients ì%;dkHfha m¾fhaIlhka lKavdhula úiska mqoa.,hka 298la fhdodf.k Tjqkaf.a nr wvq lsÍfuka oshjeähd frda.h md,kh lsÍug fh¥ m%h;akho oshjeähdj md,kfhys fhdod.;a id¾:l Wml%uhla f,i l;dnyg ,laù ;sfí' iqma" fy,a;afIala wdoshg m%uqL;djh foñka oeä wdydr md,k jevigyklg Tjqka fhduq lr udi 3-5loS lsf,da .a?ï 15l muK nrla wvq lsÍug wjia:dj ie,iSfuka miq wkfmalaIs; f,i frda.h md,khlg ,laúh' fuysoS ojilg le,ß 825-853 w;r m%udKhla wvq lsÍug Wmfoia ,ndÿka w;r bka miqj ys;lr YÍr nr uÜgulg fï wh <Õd ùfuka miq i;s wgl ld,hla ;=< l%ufhka ys;lr wdydr jÜfgdare ,nd fok ,oS' fuhska reêrfha ukd iSks md,khla ,nd.; yels jQ w;r fojk wdldrfha oshjeähd frda.Ska yg fuhska buy;a m%;sM< ,nd.; yels jkq we;ehs m¾fhaIlhka úYajdi lr;s' https://www.sciencealert.com/ extreme-diet-reverse-type-2-diabetesup-to-86-patients-remission-weight

úo, f,a .kafk ke;sj lrk reêr iSks mÍlaIK oshjeähdj ;sfnk úg lrk f,a mÍlaIdjkayS ksula ke;' we;eï úg osklg lsysm jrla reêrh mÍlaId lrkakg isÿ fjhs' f,a .ekSu ;rula lrorldÍ lghq;a;la jk w;r thska tk fõokdj l=vd jQj;a thskao ñfokakg we;akï fyd|h' fldßhdfõ csyqka mdla kue;s úoHd{fhla wefia ;sfnk l÷¿ 90

NOVEMBER 2018 | DOCTOR MAGAZINE

j,ska reêrfha ;sfnk .aÆfldaia uÜgu yªkd. ekSfï l%uhla y÷kajd oS ;sfnk w;r th b;d M<odhS yd ksjeros m%;sM, olajk nj yªkdf.k ;sfí' flfia kuq;a l÷¿ f,a j,g jvd oy .=Khlska muK ;Kql jk w;r fï ksid ksjeros mdGdxl ,nd .ekSug w;sYh ixfõoS Smart contact lens, fhdod .ekSug isÿfõ' https://www.sciencealert. com/smart-flexiblecontact-lens-monitorsglucose-real-timediabetes

fï wdldrhgu isref¾ oyäh ìª wkqidrfhka reêrfha .aÆfldaia uÜgu mÍlaId lrk l%uhla ydjâ ffjoH úoHd,h u.ska y÷kajd oS we;s w;r fï fuj<ï oaú;ajhu ;ju;a m¾fhaIK uÜgfï mj;sk njo lsj hq;a;ls' https://www.sciencealert. com/mit-is-working-oncolour-changing-tattooink-that-can-monitoryour-health-in-real-time

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mdrd j<,a,la 96

NOVEMBER 2018 | DOCTOR MAGAZINE

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nd," ;reK" uy¿ wm iefjdu okakd mßÈ Èhjeähdj Y%s ,dxlsl ck;dj muKla fkdj f,dal ck.ykfhka jeä fldgila je<|.;a m%Odk fnda fkdjk frda.hls'

.,akEj m%dfoaYSh frdayf,a oka; Y,H ffjoH uyskao m%shxlr jksiqkaor

Èhjeähdj oka; Y,H ffjoHjrekago uqyqKmEug isÿjk úYd, wNsfhda.hls' uqLfha m%Odk frda. folla jk jk o;a Èrdhdu ^Dental Caries& yd mßoka; frda. ^Periodontal Diseases& md,kh fkdjQ Èhjeähdj ksid jeä fjhs' tfiau oshjeähdj ixl+,;djhla fia ie<flk yoj;a wdndO yd oka; iqjfi; ÿ¾j, ùu w;ro lsÜgq in|;djhla mj;sk nj kQ;k wOHhk j,ska fy<sorõ ù ;sfí' tneúka fldhs ljqre;a ;ukaf.a oka; fi!LHh fhfylska mj;ajd .ekSug fjfiia wjOdkhla fhduq l< hq;= w;r oshjeähdj frda.Ska ta iïnkaOfhka jeä wjOdkhla oelaúh hq;= jkafkah' doctormagazine.lk

md,kh fkdl< reêr.; iSks fkdfyd;a oshjeähdj fndfyda wjodkï f.k ths' tfy;a fuu frda.S ;;a;ajh uq,ska y÷kdf.k ksishdldrfhka md,kh lr.; fyd;a ta ksid we;sjk ksoka.; ixl+,;d wju lr wfma ðú; ld,fha .=Kd;aul Ndjh m%j¾Okh lr .; yelaflah' wm fï frda.h uqL fi!LHhg;a ta Tiafia iuia; fi!LHhg;a we;s lrjk n,mEu úuiuq' fndfyda fokd mqj;am;a" remjdyskS jevigyka" iÕrd wdÈh mßyrKfhka oekqu ,ndf.k we;;a md,kh fkdjq Èhjeähdjg iq¿ jYfhka mj;sk úÿreuia wdidok by, oud wld,fha o;a wysñ lsÍug yelshdj we;s nj fndfyda fofkla fkdokS'

md,kfhka f;dr oshjeähdj úÿreuia frda. we;s lrkjd md,kfhka f;drjq Èhjeähdj ksid jvd úÿreuia frda. ^Periodontal Diseases& we;s úh yels w;r úÿreuia frda. mej;Suo reêrfha iSks uÜgu jeä lrk nj y÷kdf.k ;sfí' fukhska n,k l< mßoka;sl frda. yd oshjeähdj w;r we;af;a wúfhdackSh jQ in|;djhls' oshjeähdj frda.fha ixl+,;d f,i ie<flk yDoh frda." wxYNd.h" jl=.vq frda. f.dkakg mßoka; wdidoko tlaù we;af;a fï fya;=fjks'

uqLfha nelaàßhd l%shdldß;ajh úÿreufia meiùu yd f,a .e,Su Gingivitis hkqfjka

mßoka;sl frda.

NOVEMBER 2018 | DOCTOR MAGAZINE

oshjeähdj frda. fha ixl+,;d f,i ie<flk yDoh frda." wxYNd.h" jl=.vq frda. f.dkakg mßoka; wdidoko tlaù ;sfí' ye|skafjk w;r fuh mßoka; frda. j, wdrïNhhs' oshjeähd frda.Ska iq,nj fï wdldrfha uqL fi!LH Ldokfha msúiqulg ,la jk nj wOHhk j,ska yªkdf.k ;sfí' oshjeähdj we;s úg uqLfha nelaàßhdjka ckdjdi ùfï jeä bv m%ia:djlao we;' fï

wdldrfhka we;sfjk úÿreuia wdY%s; fjkialï ksis m%;sldr fkd,enqfKd;a ixlS¾K úÿreuia wdidok njg m;aùu lsis úfgl;a je<elaúh fkdyelsh' fï ksid oshjeähdj we;s wh wdrïNfha isgu oka; ffjoHjrfhl= ,jd Tfí o;a mÍlaId lr.; hq;=h' lsishï fya;=jla ksid úÿreuia frda. j,g oekgu;a k;= ù isák who fï mÍlaIdjg ,laùu l< hq;= jkafka óg fmr i|yka l<dla fuka fï whf.a reêr iSks uÜgu by< kexùug fï úÿreuia wdidok fya;=jla jk ksidh' tfiau oshjeähdj frda.hg k;=jQ ióm {d;Ska isák who mqreoaola jYfhka oka; ffjoHjrfhl= ,jd ;u o;aa mÍlaIdjg ,la lsÍu jvd;a keKj;a ;SrKhla jkafkah' Èhjeähdj jhi wjq 30-40 jhiaj, miqjkakkag je<|Sfuka" ta ksid we;sjk oka; fi!LH .eg¿ ksid Tjqkaf.a o;a wld,fha wysñùug fya;= jqjfyd;a Tjqkag ðú;fha .=Kd;aulNdjh ms<sn| .eg¿ u;=fõ' wld,fha jhig hdu jeks yeÕSï uki ;=< cks; úh yel' Tn Èhjeähdj frda.hg k;= ù isákafka kï <Õu msysá oka; Y,H.drhlg

hym;a uqL fi!LHhla mj;ajd .ekSu iEu fokdu l< hq;a;ls' tfy;a Tn oshjeähd frda.sfhla kuQ Tng th lsisfia;a meyer yeßh fkdyel' oshjeähd frda.Skaf.a oka; fi!LH .eg¿ fjk;a whg jvd iq,n nj wOHhk j,ska ikd: ù ;sfí' oshjeähdj ;sfnk úg úÿreuia j, nelaàßhd l%shdldß;ajh j¾Okh ù mßoka;sl frda. we;s fjhs' o;a osrdm;a ùu lekaävhisia yd Burning Mouth Syndrome hkqfjka ye|skafjk .af,disäkshd" úh<s uqLh yd lg .| .eiSu wdoS frda.o we;sùfï wjodku by< hhs'

oshjeähdfjka fmf<kjdo@ fï mqreÿ cSú;hg mqyqKQ lr.kak

fyd| uqL fi!LHhla mj;ajd .kak

ÿï mdkfhka ñfokak

NOVEMBER 2018 | DOCTOR MAGAZINE

iSks iys; mdk m%udKj;a ;rï j¾. .ekSfuka c,h mdkh lrkak j<lskak doctormagazine.lk

mßoka;sl frda. yd yoj;a frda. - nelaàßhdjka weiqf¾ n,.ekafjk krl iïnkaOh úÿreuia yryd uqLfha fjfik nelaàßhdjka reêrjdyskS j,g tl;= fjhs

tu nelaàßhdjka reêrjdyskS j, fïo ;ekam;= j,g wef,hs

fï nelaàßhdjka úiska we;s lrk m%odyd;aul wdprkh u.ska reêrjdyskS bosfuhs' reêrh .ukd.ukhg ndOd lrñka tu ia:dkfha wjysr ùula we;s lrhs'

f.dia uqLh mÍlaIdjg Ndckh lr úÿreuia wdidok j,g wjYH m%;sldr läkñka isÿ lr .ekSfuka iy ksis ffjoH Wmfoia ms<sme§fuka wld,fha

uqL fi!Lhh ÿ¾j, ùfuka yDohdndO we;=¿j yoj;a frda. rdYshla we;sùfï wjodkula n,.ekafjk nj m¾fhaIlhka úiska y÷kdf.k we;'

o;a wysñùu yels;rï ÿrlg j<lajd .ekSug wjia:dj ie,fia' ÿ¾j, uqL fi!LHh yDoh frda. j,g w; jkk nj yªkd.;a ;j;a i;Hhls' uqL fi!Lhh ÿ¾j, ùfuka yDohdndO we;=¿j yoj;a frda. rdYshla we;sùfï wjodkula n,.ekafjk nj m¾fhaIlhka úiska y÷kdf.k we;' ÿ¾j, uqL fi!LHh yd oshjeähdj kue;s fï wjodkï iy.; iïnkaOh ;j;a ixlS¾K lrkakg fï yoj;a frda. in|;djh fya;=jla fjhs' fï iïnkaOfhka úoHd;aul f,dalh ;=< l;dnyg ,lajk lreKQ lsysmhla fõ' •

nelaàßhdjka úiska úÿreuia wdY%s;j wdidok we;s lrk w;r ^.ekacsjhsáia& mßoka;sl frda. njg tajd uqyql=rd hdfïoS tu úIîc

oshjeähdfjka fmf<k wh fjfiiska we;s lr.; hq;= fi!LH mqreÿ Tfí reêr iSks uÜgu .ek wjOdkfhka isákak

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oka; ffjoHjrhd yuqùu isß;la lr.kak

suDÿ fl|s iys; o;a nqreiqjlska o;a uoskak

reêrjdyskS Tiafia YÍrfha fjk;a fldgia j,go .uka lrhs' tajd l=vd reêr leá fukau yDohdndO fukau wd>d; ;;a;ajhkag fmr<Sfï wjodkula ;sfí' YÍrfha fjk;a ia:dk j, we;sjQ reêr leá;s mÍlaIdfõoS uqL.; nelaàßhdjkao ta ;=< .ejiSfuka fuh ikd: fjhs'

fidhdf.k we;' fuu iqúfYAIS nelaàßhdju w.akHdYhsl ms<sld j,go n,mj;ajk nj 2016 j¾IfhaoS lrk m¾fhaIKhlska fy<sorõ ù ;sfí'

•

uqL fi!LHh hkq yqfola uqLfha fi!LHiïmkak nju fkdfõ th oshjeähdj yd fjk;a frda. /ila flfryS fkdisf|k in|;djhla olajhs' fï ksid uqL fi!LHh wdrlaId lr .ekSu iuia; fi!LHhu wdrlaId lr .ekSula fkdjkafkao@

fï iïnkaOfhka óg fjkia u;hlao bosßm;a ù ;sfí' uqLfha fjfik nelaàßhdjka yoj;a wdndO we;s lrkafkah hkak neyer lrk m¾fhaIlhka YÍrfha we;sjk m%;sYla;slrK m%;spdrhla u;ska we;sjk m%odysl ;;a;ajhla yoj;a yd fud<fha reêrjdyskS wjysr lsÍug n,mdkafka hk u;h bosßm;a lr;s' (Sets off a cascade of vascular damage throughout the body, including the heart and brain.)

uqL fi!LH ÿ¾j, ùu fjk;a fndfyda frda. j,g;a n,mdkjd flfia fj;;a yoj;a wdndO we;s lrkakg uqLfha fi!LHh ÿ¾j, ùu fya;=jla jkafkah hk u;h ikd: lrk m¾fhaIK fï jk úg;a fndfyda isÿj ;sfnk nj ryila fkdfõ' ta yereKQ úg fjk;a frda. rdYshla we;s lrkakgo ÿ¾j, uqL fi!LHh fya;=jla jk nj m¾fhaIK j,ska fy<sorõ ù ;sfí' uqLfha fjfik Porphyromonas gingivalis kï nelaàßhdjl l%shdldß;ajh reuefgdhsv wd;rhsáia frda.h we;s lrk nj oekgu;a

100 NOVEMBER 2018 | DOCTOR MAGAZINE

fuu ,smsh ilia lsßfï§ .,akEj m%dfoaYSh frdayf,a ixj¾Ok ks,OdÍ jk fla'tÉ tï wd¾ tka isisr nKavdr uy;d oelqjQ iyfhda.hg lD;{;djh mqo lrñ'

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fojk wdldrfha

Èhjeähdj oshjeähdj fojk wdldrfhaoS Tfí isrer lsishï bkaishq,ska m%udKhla ksmojhs' tkuqÿ th wjYH m%udKhg wvqfjks' ke;fyd;a bkaishq,ska ksmojQj;a tajd kshu ms<sfj,g YÍrhg Wrd .kafka ke;' oshjeähdj mˆuq wdldrfhaoS kï bkaishq,ska ksIAmdokh lrk .%kaÓ ksishdldrj l%shd;aul fkdjk ksid bkaishq,ska ksIAmdokhla isÿ jkafkau ke;' Tn wdydr f,i .kakd fndfyda ix>gl iSks j, lsishï wdldrhla njg wjidkfha m;a fjhs' fï iSks ffjoH úoHd;aulj yªkajkafka .aÆfldaia hkqfjks' reêrhg tla/ia jk fï .aÆfldaia YÍrfha ffi, j,g Wrd .kafka bkaishq,ska wdOdrfhks'

Tfí reêrfha we;s bkaishq,ska ridhkh Tfí isref¾ ffi, j,g .uka lrjkakg ;rï m%udKj;a bkaishq,ska m%udKhla fkd;snqfKd;a ksrdhdifhkau reêrfha tla/ ia jk bkaishq,ska m%udKh by< hkafkah' fuf,i reêr.;j bkaishq,ska idkaøKh by< hdu Ûoshjeähdj¶ f,i ye|skafjhs' fojk wdldrfha oshjeähdj jeäysáhka w;r jvd;au iq,n oshjeähdj wdldrhhs' tfy;a fojk wdldrfha oshjeähdjg k;=jk <uhska yd ;=reKQ whf.a m%udKho oeka oeka jeä fjñka mj;S' fi!LHiïmkak wdydr ys;lr m%udK j,ska wdydrhg .ekSu" YdÍßlj l%shdYS,S cSú;hla .; lsÍu" iqmika ufkdaNdjhlska hqla;j i;=áka cSj;a ùu reêrfha iSks uÜgu ie<lsh hq;= muKlska my; fy<kakg WmldÍ fjhs' fojk wdldrfha oshjeähdj we;s jeä fofkla fm;s wdldrfhka ,nd .kakd reêrfha iSks uÜgu my; fy,k T!IO oskm;d m%;sldr msKsi .kshs' ;j;a flfkla bkaishq,ska tkak;ao ,nd .kshs' oshjeähdj iqj l< yels frda.hla fkdfõ' kuQ;a Tn is;g .;af;d;a th iïmQ¾Kfhkau mdfya md,kh l< yels frda. hls' fï wdldrfhka oshjeähdj md,khg mshjrla .;a fndfyda wh b;d m%S;su;a yd fi!LHiïmkak cSú; .; lr;s' ta ksfrda.S wh yd iudkjuh' fujr oshjeähd w;sf¾lfhka wm Tng ,nd fokafka fï jákd mKsúvhhs'

ffjoH Wmfoia wkQj cSú;h yev .iajd .kak' Tng;a bosßfha we;af;a fi!LHiïmkak m%S;su;a wkd.;hls 102 NOVEMBER 2018 | DOCTOR MAGAZINE

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YÍrfha ysfia isg mdodka;h olajdu fkdfhla jQ frda. we;s lrkak fya;=jla''' ffjoH idhlaldr chj¾Ok uy;d mjihs

Èhjeähdjg wm ìh fjkjd' th tÈfkod Ôú;h wvmK lrkjd' wfma muKla fkdfjhs" wm wjg isákakkaf.a ck Ôú;ho wvd, lrkjd' Èhjeähdj wo jk úg YS>% f,i jHdma; fjñka mj;sk w;r Èhjeähdj ;ukag we;s nj okakd wh jf.au ;ukag Èhjeähdj je<£ we;s nj fkdokakd wh;a fndfyduhs' Èhjeähdj .ek we;s u;su;dka;r fndfydahs' iuyfrla fuu Èhjeähd ;;a;ajh ksÜgdjgu iqj l< yels nj mjik w;r oshjeähdj ksÜgdjgu iqj fkdjk nj úoHd;aul u;hhs' fï i|yd Ndú;d lrk T!IO .eko fndfyda woyia mj;skjd' b;ska fï Èhjeähdj iïnkaO lreKq ldrKd oek. kak ksrdlrKh lr.kak wm ffjoH idhlaldr chj¾Ok uy;d uqK .eiqKd'

ffjoH;=uKS" Tn oshjeähdj y÷kajkafka fldfyduo@ wfma me/kakka fuhg ku ÿkafka fndfydau ys;," u;,d' zzÈh-jeähdjZZ jeämqr j;=r îu" we;=,g Èh jeäfhka .ekSu" Èh jeämqr msgùu" uq;%d jeämqr msg ùu' fï Èhjeähdj m%Odk ,laIK folla' ta ksid me/kakka fuhg Èhjeähdj hkqfjka Ndú;d l<d' j¾;udkfha fuh y÷kajkafka Diabetes lsh,d' fuh wdhq¾fõofha y÷kajkafka zzuOqfïyhZZ lsh,d' uOq lshkafka me‚ ri Diabetes Mellitus f,i y÷kajk fï frda.h mßjD;a;sh l%shd iuQyhl isÿjk wdl¾ukH;djhla" ke;akï ÿn,;djhla (Group of Diseases) ksid yg.efkkjd' fï frda.h §¾>ld,Sk frda.hla' ffjoH;=uks Èhjeähdj we;s jk whqre ;jÿrg;a meyeÈ,s lf<d;a@ wfma YÍrfha fydafudakhla ;sfnkjd Insulin lsh,d' fuh >%djh fjkafka w.akHdYfhka' bkaishq,ska j,ska ;uhs reêr .aÆfldaia m%udKh md,kh lrkafka' flfklaf.a fï bkaishq,ska >%djh ùU u| ùu fyda >%djh fkdùu isÿúh yelshs' tfiau ;j flfkl=f.a bkaishq,ska >%djh ùu idudkHhs' kuq;a YÍrfha ;sfnk ffi, fï bkaishq,ska j,g olajk m%;spdrh wju fjkak mq¿jka' fï tl fya;=jla fyda fya;= folu tljr l%shd;aul ùu ksid reêrfha .aÆfldaia idkaøKh jeä fjkak mq¿jka' fufia

reêrfha .aÆfldaia idkaøKh jeäùu wm zzÈhjeähd frda.hZZ lsh,d y÷kajkjd' ffjoH;=uks Èhjeähdj we;s njg we;s wks;a bÕs$,laIK fudkjdo@ by; lS wêl msmdih" wêl uq;%d msgùug wu;rj wêl l=i.skak" n,df.k boaÈ YÍrfha nr wvqùu" ;=jd,hla we;s jqKdu iqj fkdùu fyda iqj jkakg l,a.; ùu" w;a md ysßjeàu" fmkSfï fjkialï we;sùu" ,sx.dY%s; wdidok yd ,sx.sl fn,ysk;djh" ks;ru oefkk uykaish Èhjeähdfõ frda. ,laIK' fujka ,laIK Tng my, fj,d kï Tng Èhjeähdj ;sfnkjdo lshd mÍlaIdjla lr.ekSu kqjKg yqrehs' ffjoH;=uks Èhjeähdj je<£u ksidfjka ;j;a fndfyda frda. j,g f.dÿrej ;sfnk bvlv jeähs fkao@ Èhjeähdj YÍrfha ysfia isg mdodka;h olajdu fkdfhla frda. we;s lrk fya;=jla' úfYaIfhkau Èhjeähdj frda.sfhla ksrka;rfhkau ;u reêr.; iSks uÜgu jf.au reêr mSvkh yd fldf,iagfrda,a m%udKh oek.; hq;=uhs' fudlo"

Èhjeähdj frda.h;a iu. tk YÍrhg úk lrk kEoEhka fokafkla ;uhs" fï wêl reêr mSvkh yd fldf,iagfrda,a' ffjoH;=uks Èhjeähdj i|yd fndfyda m%;sldr ;sfnkjd fkao@ Tõ" ngysr ffjoH l%u wdhq¾fõo yd fjk;a m%;sldr l%u ;sfnkjd' Y%S ,xldj ;=< y÷kajd ÿka zzðkafidñkaZZ ksIamdokfha wvx.= zzðkafikaZZ Èhjeähdj i|yd iqÿiq Ydlidr T!IOhla fkao@ ðkafidñka ksIamdokfha wvx.= jkafka kshu *ekelaia ðkafika th óg wjqreÿ mkaoyilg fmr fidhd.kafka Ökfha uexpQßhd lshk l÷jeáfhka' tod isg Ök" cmka" fldßhka we;=¿ f,dalh mqrd ñ,shk .Kkla fï Ydlh úúO wdldrfhka Ndú;d lrkjd' zzish¨ foa iqjm;a lrhsZZ "All heals" hk f;areu we;sj fuu zcskafikaZ *ekelaia hk úoHd;aul kdufhka y÷kajkjd' ñksia rejl yevh we;s fï ðkafika uq, ldhsl Yla;sh" udkisl Yla;sh" m%;sYla;slrKh j¾Okh lrkakg''' udkisl wd;;shg wk¾> Tiqjla f,i;a ie,flkjd' jir .Kkdjla mqrd l< mÍlaIKj,ska zzðkafikaZZ Èhjeähdjg .=K fok T!IOhla f,i m¾fhaIlhka úiska fmkajd § ;sfnkjd' ðkafidñka Èhjeähdjg tfrysj l%shdlrk wdldrh úoHd;aulj myod fokak ðkafidñka yS we;s cskafika j,g uQ,slju YÍrfha bkaishq,ska l%shdldß;ajh by< kexùfï yelshdjla ;sfnk nj fmkajd § ;sfnkjd' ta jf.au wm .kakd wdydr j,ska .aÆfldaia Wrd.ekSu cskafika u.ska wju lrk njg;a wlaudfõ .aÆfldaia ksmoùu wju lsÍfï yelshdjla ;sfnk njg;a" mglj, .aÆfldaia mßfNdackh by< oeóu isÿlrk njg;a m¾fhaIKj,ska ;yjqre ù ;sfnkjd' fujka jQ hdka;%k lsysmhla yryd cskafidñka j, we;s cskafika Èhjeähdj md,kh lsÍu;a úfYaIfhka Èhjeähdj idudkHlrkh lsÍug;a WmldÍ fjkjd' Èhjeähdj mrod iqmsß nj we;slr .kak uyÕ= Wmldrhla jk cskafidñka WoEik wdydrhg miq tla lr,la ne.ska Ndú;d l< hq;= w;r ne£ï oeka cskafidñka ish¨u mduis j,ska ,nd.; yels nj;a u;la lrk w;r Tng fudkhï fyda jeä úia;rhla oek.kak wjYH kï 077 3410 071 fyda 011 4366 909 wxlj,g l;d l< yelshs'

104 NOVEMBER 2018 | DOCTOR MAGAZINE

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reêr.; .aÆfldaia m%udKh fyd¢ka md,kh lrhs'

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jl=.vq wdY%s;j we;sjk w;=re wdndO wju lrhs'

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Èhjeähd frda.h ksid we;sjk ish¨u YdÍßl ÿn,;d wju lrhs'

106 NOVEMBER 2018 | DOCTOR MAGAZINE

T!Iëh Èhjeähd mdkh Èjhsk mqrd msysá ish¨u ld.s,aia *qâ isá *duis" lS,aia iqm¾ *duis" wd¾msflda iqm¾ fikag¾ *duis" ika wmaia iqm¾ fikag¾ *duis" hQkshka *duis" fy,a;a.dâ *duis iy m%Odk wdhq¾fõo mduis iy m%Odk is,a,r fj<|ie,a j,ska ñ,§ .; yel' úuiSï fi;aiqj wdhq¾fõo frday,"253$19 úydr udj;" ng,kao mdr" udfld< ol=K ÿrl:k 0112962008$0714406218 doctormagazine.lk

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Èhjeähdjg Tfí cSjk ßoauh fjkia lrkakg fokak tmd 108 NOVEMBER 2018 | DOCTOR MAGAZINE

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oshjeähdj wo iudcfha fldhs ldg;a u;=fjñka ;sfnk wk;=rls" wjodkuls' fjfiiskau fï .ek wjOdkfhka fkdisàfuka fndfyda fofkla fï w;sYh ixl+,;d nyq, frda. fha úkaos;hka njg m;a fj;s' fyaudia frday,a iuQyfha wm w.kqjr" jvd;au ks¾udKYS,S oshjeähdj md,k m%fõYhg ysñlï lshkafkuq' wdl¾YKSh jQ osúu. fjkialï j,g mdr lshd foñka wm oshjeähdfjka je<lSug;a" we;s jQ oshjeähdj uekúka md,kh lr.kakg;a" wjik" oshjeähdj fya;=fjka we;súh yels wf;darla ke;s ixl+,;d md,khg;a wk.s;u udj; Tn fj; lshd fokafkuq'

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j;a;, fyaudia frday, oshjeähdj idhkh Tfí f;arSu úh hq;af;a wehs@ •

oshjeähdj md,k l%shdj,sfhaoS Tng wjYH jk k.rfha úYsIaG;u ldhsl frda." ks¾Kd, frda." Y,H ffjoHjreka fukau wfkl=;a ish¿u wlaIs" jl=.vq" iakdhq wdoS ish¿u wxY ksfhdackh lrk úfYaI{ ffjoHjrekaf.a fiajdj tlu jy,la hgoS ,nd.; yelsùu'

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iqúfYaIS ie,eiaulg wkQj tla tla mqoa.,hdf.a wjYH;djhkag .e,fmk mßos oshjeähdj md,k jevigykla ie,iqï lsÍu'

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b,lal.;j reêr iSks md,khg ms<shï fhoSu - fmdaIK Wmfoia" ia:Q,;djh md,kh yd jHdhdu Wmfoia wdosh ks¾udKYS,S msúiqula Tiafia isÿ lsÍu'

NOVEMBER 2018 | DOCTOR MAGAZINE 109

úúOdx.SlD; jQ m%fõYhla Tiafia oshjeähd md,kh •

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fN!; úls;ailhska weiqf¾ n,.ekafjk YÍrfha Yla;sh" YdÍßl fhda.H;djh fukau jHdhdu ud¾f.damfoaYk we;=<;a iqúfYaIS Sugar Blaster jevigyk

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ia:Q,;djh ch .ekSfï ksiel b,lal ;nñka n,.ekafjk Mission Slim Possible YÍr nr wvq lsÍfï jevigyk

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wjYH jqjfyd;a nr wvq lsÍfï Y,Hl¾u l%shd;aul lrk bariatric Y,H ffjoHjrekaf.a wdrlaIdldÍ fiajdj' fiï i|yd furg iy úfoaYSh ffjoHjrekaf.ao fiajh ,nd .efka'

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iqjh ue wruqKQ lr.;a zziqj;d mshfiaZZ l%shdldß;ajh zziqj;d mshiZZ hkq wfma j;a;, fyaudia frdayf,a fiajd,dNSkaf.a 110 NOVEMBER 2018 | DOCTOR MAGAZINE

iuia; iqjfi; iïnkaOfhka mÍlaId lrk" Wmfoia yd ud¾f.damfoaYk i,ik wxYhhs' th ojfia meh 24 mqrdu iEu ojilu l%shd;aulj mj;sk frda. ksjdrKh yd frda. wfõlaIKh fukau wjYH l,ayS b;d ie<ls,af,ka úYsIAG;u m%;sldr fiajd imhk wdh;khls' ish¿ wdldr oshjeähd frda.Ska i|yd iEu wxYhlau wdjrKh jk fia iqúfYAIS fiajdjka iemhSuo zziqj;d mshiZZ weiqf¾u l%shd;aul flf¾' fiajd,dNshdf.a is;eÕs wkQj f;dard.; yels iykodhS meflac y÷kajd fok w;r fkdñ,fha isÿ lrk uQ,sl ffjoH yuqfjka miq Tng jvd;a wjYH jk meflachka iïnkaOfhka wjfndaOhla ,nd.; yels jkq we;' fjfiiskau fiajd ,dNshdg wdfõKSl ffjoH .eg¿ iïnkaOfhka mßiudma; úiªula ,efnk fia fuysoS meflac yd m%;sldr ie,iqï lr.ekSug wjYH iydh ffjoHjreka fj;ska ,efnk w;r úfYAIhla jkafka kjH mÍlaIK yd kjH m%;sldr weiqf¾ frda.Skag mßiudma; fiajdjla iemhSuhs' iqj;d mshfiaoS oshjeähd frda.Ska i|yd b;du iykodhS ñ, .Kka wh lsÍu wmf.a úfYaI;ajhhs' tfiau w.kqjroS muKla ,en.; yelsjk ish¿u fiajdjka iys; frday,a m%:u

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wï,lr jdhqj oykh lrk iajdhql jHdhdu fukau ;j;a fndfyda YÍrh iqjm;a lrk Ndú;djka fuysoS l=¿ .kajd ta weiqf¾ reêr.; iSks md,kh lsÍug kjH jQ m%fõYhla ,nd .kakjd we;' j;djg w.kqjr wdikakfha ia:dms; flrefKa j;a;, fyaudia frdayf,aoSh'

Beat Diabetes with Sugar Blaster iqj;d mshfia ffjoH yuqfjka miqj" ks¾kd,fõo ffjoHjrekaf.ao uQ,sl Wmfoia j,ska miqj fN!;Ñls;ailjreka úiska n,.kajk b;d id¾:l jevigykls' fuysoS reêr iSks hdukhg wjYH YdÍßl mßphka ,nd .ekSug fiajd,dNshd fmd<Ujhs' fuh b;du ks¾udKYS,S kj;djfha jevigykls' oshjeähdj frda.Ska wfma rfÜ jeä jYfhka lrkafka fnfy;a .ekSu muKs' b;d iaj,amhla fokd fmdaIKfõoSkaf.a Wmfoia ,nd .kakd w;r fN!;Ñls;ailfhl=g fuys,d we;s fiajh wfma rfÜ nyq;rhla fokd okafka ke;' j;a;, fyaudia frdayf,a jevigyk fndfyda frda.Skag ;u reêr iSks uÜgu wvq lrf.k oshjeähdj uekúka md,kh lr .kakg úYd, msgqjy,la ù ;sfí'

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udihla muK ixúOdkd;aulj isÿ lrk jevigyklska fk,d .kakd m%;sM< yuqfõ wjYh kï ;j;a udihla olajd fï jevigykg iyNd.s ùfuka miq hy .=Ke;s isß;a Tfí ffoksl oskp¾hdfõ wx.hla lr.; yels jkq we;'

ixl+,;d wdfõlaIKh yd wjYH jQjfyd;a m%;sldr i|yd fhduq lsÍu oshjeähdj fndfyda bkaøsh wl¾ukH lrk frda.hls' th weia" jl=.vq" yDoh" m¾hka;

NOVEMBER 2018 | DOCTOR MAGAZINE 111

reêrjdyskS" iakdhq wdndO wdosh we;s lrkakg yelshdj iys;hs' miqúmrï j,oS fï bkaøsh lsishï wjodkulg ,la jkafkao hkak .ek mÍlaIdldÍ jk w;r tajd iqrlaIs; lsÍug wjYH ms<shï kshñ; lafIA;%hkayS úfYAI{ ffjoHjrekaf.a u.fmkaùu hgf;a isÿ flf¾'

Mission Slim Possible jevigyk ;=ka udihla ;=< isref¾ nr wvq lr .ekSug WmldÍ jk fmdaIK Wmfoia yd YÍr nr md,k jevigykls' m<uq oskfha YÍrfha mgl fïo mÍlaIdjla" ia:q,;d md,k úfYaI{fhl= yd fmdaIKfõosfhl=f.a Wmfoia fkdñ,fha ,nd.; yel' bkamiqj fhda.d" iqïnd jevigykla foi;shla isÿ flf¾' fmdaIK yd ud;%d iïnkaO WmfoaYK" le,ß w.hka wvq lrk fia wdydr msiSu iïnkaO Wmfoia" fN!;Ñls;ailjrhd iu. mj;ajk yuq wdosho we;=<;a udi ;=kl jevigykls' iuia; YÍr nr ishhg 20la olajd wvq lsÍug .e,fmk ud¾f.damfoaYk ie,iSu úfYAI;ajhls'

iuia; miqúmru j;a;, fyaudia frdayf.a oshjeähd idhkh oshjeähdfjka fmf<k Tng wejeis wdrlaIdj" / ljrKh iemhSu flfryS j.lSfuka lemjQ w.kqjr ;odikakfha oshjeähd idhkhhs' m¾fhaIKd;aulj ;yjqre jQ kj;d,fha Wmdhsl m%fõYhka Tiafia idOdrK uqo,lg''' we;eï wjia:d j,oS fkdñ,fha iemfhk fiajdjkao iu.ska Tfí cSú; wdrlaIdj ;yjqre lsÍu j;a;, fyaudia frdayf,a oshjeähd idhkfha wruqKhs' ta i|yd wkjr;fhka lemù isák j;a;, fyaudia frdayf,a oshjeähd idhkfha ,shdmosxÑ ù Tfí cSú;fha i;=g <Õd lr.kak' 112 NOVEMBER 2018 | DOCTOR MAGAZINE

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Èhjeähdfõ ixl+,;d ,sx.sl cSú;h wjq,a lrk yeá

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'

fi;aiqj wdhq¾fõo frdayf,a l<uKdldr wOHlaI ffjoH iqcSj ú;dkf.a 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

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' 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'

114 NOVEMBER 2018 | DOCTOR MAGAZINE

doctormagazine.lk

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'

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'

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 uq;% ud¾.fha we;sjk wdidok jeks úúO wdidok we;sùfï jeä wjodkula ;sfnkjd'

Èhjeähd frda.Skaf.a ,sx.sl l%shdldß;ajh j¾Okh i|yd m%;sldr l%u

msßñkag we;sjk n,mEu Èhjeähdj we;s msßñkg 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'

doctormagazine.lk

Èhjeähdj frda.h we;sùu ksid we;sjk úúO udkisl wdndO j,g iqjh ,nd .ekSu i|yd ffjoH Wmfoia u; T!IO ,nd.; hq;=hs'

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'

NOVEMBER 2018 | DOCTOR MAGAZINE 115

uOqfïyh fyj;a Èhjeähdj frda.hg f,dal m%lg

hqkdks wdhq¾fõo

l%ufhka id¾:lj m%;sldr l< yelshs

fld<U úYaj úoHd,fha foaYSh ffjoH wxYfha ysgmq ndysr lÓldpd¾h hqkdks ,xld ffjoH uOHia:dkfha wêm;s hqkdks wdhq¾fõo ffjoH uydpd¾h ta wd¾ tï wIafrd*a

doctormagazine.lk

NOVEMBER 2018 | DOCTOR MAGAZINE 117

hqkdks ffjoH l%uh ms<sn|j u|la w;S;hg .sfhd;a fuh zzwrdìfha ffjoH l%uhZZ f,ihs m%p,s;j ye|skafjkafka' hqkdks ffjoH l%ufha mshd f,i i,lkafka Wiafnlsia:dkfha úoajf;l= jk wrdì cd;sl wnq w,s bnka iskd fyj;a wúfikakdh' fudyq úiska m%p,s; l< wdhq¾fõo ffjoH l%uh hqkdks ffjoH l%uh f,i wo jk úg f,dj mqrd ckdorhg m;aù ;sfnk w;r fuu ffjoH l%ufha T!IO ishhg ishhlau Ydl idrfhkau hqla; T!IO ùu úfYaI;ajhls' wdhq¾fõofha isoaO" hqkdks hk ffjoH l%ufha mrïmrd.; ryia T!IO l%u rdYshla we;' fuu ryia T!IO jÜfgdare iq/ lsj ;ndf.k frda.Ska iqjm;a lsÍfuys lghq;= lrk mrïmrd.; ffjoHjreka ,ndfok m%;sM, mqÿu iy.;h' hqkdks ffjoH l%ufhka iqj lsÍu wmyiq hhs n,dfmdfrd;a;= w;ay, frda.Ska ksÜgdjg iqj lr we;s nj b;sydih ukdjg Tmamq lr ;sfí' Y%S ,xldjg hqkdks ffjoH l%uh l%sia;= j¾I 710 § wrdì cd;sl fjf<kafol= fukau

hqkdks ffjoH l%ufha mqfrda.dó wúfikakd

oek W.;a ffjoHjrfhl=o jQ iqf,hsudka kue;a;d úiska y÷kajd § we;' nqoaOodi rc;=ud f.ka mjd fuu hqkdks ffjoHjreka lS¾;s m%Yxid ,nd we;s nj b;sydifha i|yka fõ' uqia,sï cd;slhka úiska hqkdks ffjoH l%uh Y%S ,xldfõ a È.ska È.gu m%p,s; lr ;sfí' th wog;a tfiauh' wdhq¾fõoh iïNjh lr.;a hqkdks ffjoH l%ufhaoS fiï" ms;a" jd yd f,a hk ixl,amh mokï lr.;a Ñls;aid l%uhla Ndú;d fõ' tfiau ffjoHjrhd" Wmia:dhlhd" frda.shd iy T!IO hk i;r jeoEreï uQ,sl mqoa.,hka u; msysgd m%;sldr isÿ flf¾' hqkdks ffjoH l%ufhaoS tu ffjoHjrekag Ydlidr ms<sn|j mD:q, wjfndaOhla ;sìh hq;=uh' tfukau mßirh yd wkqnoaO fjolula jk ksid mßirh we;=¿j foaY.=‚l ;;a;ajhka .ek;a ukd oekqula mej;Su wjYH ldrKhls' fï wkqj lghq;= lrk ffjoHjrekag f,v frda. iqj lsÍug §¾> ld,hla .; jkafka l,d;=rlsks' isrerg je<f|k frda. .ek i,lk úg th m%Odk jYfhka fldgia follg fnÈh yelsh' fnda jk frda. yd fnda fkdjk frda. jYfhks' fnda jk frda. w;rg uOqfïyh fyj;a Èhjeähdjo whs;s jkafkah' Èhjeähdj frda.Ska ks;ru mdfya f,dl= lkiai,a,lska miq fjhs' tu ;;a;ajh Wod jkafka ldhsl udkisl ÿn,;d m%n, ùu ksih' oshjeähd frda.Skaf.a jl=.vq yd weia j,go fuu frda.Ska w;=re wdndO we;sùfï wk;=rla ;sfí' yDoh ÿ¾j, ùuo isÿùug bv ;sfí' ,sx.sl ÿn,;djh fï frda.fha úfYaI ,laIKhls' fï úúO ixl+,;d u. yßkq jia uq,a wjia:dfõ isgu reêrfha iSks md,kh lsÍu flfryS Tn W;aiql úh hq;=h' fï i|yd hqkdks ffjoH l%ufhka ,nd.; yels M< m%fhdack /ils' hqkdks ffjoH l%uhg wkqj Èhjeähd frda.h iqj

118 NOVEMBER 2018 | DOCTOR MAGAZINE

doctormagazine.lk

lsÍu i|yd iajNdúl ridhksl T!IO Ndú; lrkq ,n;a' fïjd fndfydaúg fidhd.kafka Ydlj, ;sfnk hï hï fldgia j,skau nj fjfiiska u mejish hq;=hs' Ydl idr .ek l;d lrk úg wo ojfia fndfyduhla Ydl j¾. j| ù f.dia ;sfí' tfy;a tu j|ù we;s T!IO yd iudk ;j;a fndfydauhla jákd T!IO wfma mßirfha ;sfí' ffjoHjrekag tu oekqu ;sfí kï tajd y÷kd .ekSu wiSre lreKla o fkdfõ'

we;s frda.hls' T!IO mdúÉÑ lrk w;r;=ru f,a mÍlaId lsÍuo jeo.;ah' frda.Ska oi fofkl=f.a reêr mÍlaIK jd¾;d ne¨fjd;a tajd tlsfkflka fjkiah' T!IO jdrhla wjika jQ miq tys m%;sM<h reêr mÍlaIdfjka ,ndf.k B<Õ mshjr m%;sldr j,g fhduq úh hq;=h'

wfma rfÜ wdhq¾fõo ffjoHjreka NdIañl T!IO j¾. mdúÉÑ lrkafka l,d;=rlsks' flfia fj;;a hqkdks ffjoH l%uh wkqj wm úiska ksIamdokh lrkq ,nk T!IO" wï,fha yd NIaufha m%ñ;shg uq,a ;ekla foñka ilia lrkq ,nhs' tfia fkdue;sj YÍrh iu;=,s;;djh we;s lsÍu wmyiq ldrKhls'

fï wdldrfhka hqkdks ffjoH l%uhg wkQj Èhjeähd frda.h ksÜgdjgu iqj l< yelshs' Èhjeähdj iqj lsÍug iu;a jákd hqkdks ffjoH l%ufha T!IO wm i;=h' kshudldrfhka T!IO Ndú; lf<d;a frda.h iq¿ ld,hlska iïmQ¾Kfhkau iqj l< yelsh' ld,h fjkia jkafka frda.Skaf.a úúO me;s ms<sn|j ksÍlaIKh wjYH jk fyhsks' wm úiskau muKla ksmojk fuu T!IO mdúÉÑ l< oyia .Kka frda.Ska oeka

wmf.a mer‚ ryia jÜfgdarej,g wkqj ksIamdokh lrk fnfy;a frda.Skag ,nd fokafka lsishï m%ñ;slrKhlg wkqjh' úfYaIfhkau m%ñ;slrKh wjYH jkafka lreKq lsysmhla mokï lr.ksñks' YÍrfha iajNdjh" jhi" je<£ we;s fjk;a frda. wd§ lreKqj,g m%Odk ;ekla fuys§ fokq ,efí'

ksfrda.S Ôú; .; lrk nj ryila fkdfõ' Èhjeähdj ksid udkislj yd YdÍßlj ÿla úÈk frda.Skag fuh fyd| m‚úvhls'

hqkdks ffjoH l%ufhaoS Ydl idr fhdod.;a tlu jÜfgdarejl fnfy;a úúO m%ñ;s j,g ilia lsÍu isÿjkafkah' tfia lrkafka wdï,sl;djh yd NdIañl;dj úúO ixl,khkag wkqj fjkia lrñks' tjeks ixl,khla .ek wjfndaOhla fkdue;s kï frda. iqj lsÍug fkdyelsh'

wo ojfia ;dlaIKh b;d oshqKQh' frda.Skaf.a reêr mÍlaId u.ska m%;sldr j, id¾:l;ajh úuish yel' oshjeähdj ixl+,;d rdYshla we;sùfï yelshdjla doctormagazine.lk

igyk wñ; úl%uwdrÉÑ

NOVEMBER 2018 | DOCTOR MAGAZINE 119

w;S;fha wfma fm!V Wreuh wo ojfia iqj .eg¿ ksrdlrKhg úI kik" iqj iok

bÕsks doctormagazine.lk

NOVEMBER 2018 | DOCTOR MAGAZINE 121

mdrïmßl ffjoH úoHd m¾fhaIl pñkao fojka uq;=fyÜá

w;S;fha wfma fy<hka f,v frda.j,ska wdrlaId ùug Ndú;d l< wk.s Ydluh mdkhla jQ bÕsks iïnkaOfhka l;d lsÍug fuh wjia:djla lr .ksuq' j¾K .ekafjk M<h bÿKq úg r;= mdg ù wk;=rej ÿUqre meye .ekaù .fika .s,syS hhs' fuys wegh iqÿmdg f,dï iys; fjhs'

bÕsks YdLfha j;f.d; bÕsks Ydlh Y%S ,xldfõ úh<s l,dmfha nyq,j olakg ,efnk w;r Y%S ,xldj iy bkaÈhdkq w¾Ooaùmfha muKla oekg olakg ,efí' bÕsks Ydlh óg¾ fod<yla oy;=kla muK by,g jefjk w;r iqÿmdg l=vd u,a olakg ,efnhs' we;=f,a mj;sk fc,ssuh .;sh l=re,a,ka wdydrhg .kakd w;r tys lyg rihlao ;sfí' <uqka mjd tajd lEug m%sh lrhs' flfuka ;o

w;S;fha bÕsks bÕsks mdúÉÑ l< yeá weg .,.d lsjq,a uv c,hg oud tu c,h mdkh lr .; yels f,i ilia lr .kakd isß;la w;S;fha ñksiqka w;r jQfhah' wkqrdOmqr hq.fha c, fmrKfha bÕsks weg Ndú;d lr we;' w;S;fhaoS fuu b.sks weg lnf,a neo l=vq lr mdkhla f,i fhdod .;a njo i|yka fjhs' mdrïmßl fjolfï bÕsks Ndú;dj fuu Ydlh jeõ wdY%s;j" ,sx wdY%s;j iy l=Uqre woaor jeù ;snqKq ksid tu .iaj, weg c,hg jeà c,h lsjq,a iajNdjh my ùu fya;=fjka iajdNdúlju c,h úI wmøjH neyer lsÍug Wmfhda.s lr .kakg yels jk njg wjfndaOhla tod ckhd ;=< úh' rcrg wdos f.dùka tod frda. j,g wvqfjka ,laùug fuho fya;=jla jkakg we;' ojia 5 la jhie;s <orejdg mdrïmßl fjolfï ,nd fok mia mx.=fjys fldgila f,i bÕsks weg fhdod .;a nj b;sydifhys i|yka fõ' rdjKd rc;=ud úiska ,shk ,oehs ie,flk l=udr ;ka;%fhys i|ykah'

122 NOVEMBER 2018 | DOCTOR MAGAZINE

doctormagazine.lk

bÕsks weg fmdÜgksh mdrïmßl Ndú;fha § l<h ;=< bÕsks weg ;nd .ekSu" wjqreÿ .kqfokq j,§ ,s|g bÕsks weg fmdÜgkshla oeóu isÿ lr we;' bÕsks weg b;d ;o neúka fnfy;a i|yd tajd ilia lsÍfï§ .,d hk c,fha bÕsks weg Èk yhla fmdÜgks ne| ;nd bka miq l=vq lrf.k we;' i;=ka oIag l< úg Ndú;d lrk úI ., ilia lsÍug bÕsks weg fhdod .kshs' w;S;fhaoS weia j, wxck ;ejÍfïoS bÕsks weg wÕ=re l=vq ;jrd we;s w;r wefia wdidok meñ‚ úg bÕsks weg ;eïnQ c,fhka fiaoSu" bÕsks weg ;eïnQ mdkh" bÕsks weg ., .d .;a l=vq óme‚ iu. wdf,am lsÍu isÿ lr ;sfí' bÕsks Ydlfha uq,a ;ïnd .;a c,h l=IaG frda. i|yd;a we| jk ;=jd, fia§u i|yd Ndú; lr ;sfnk w;r bÕsks l=vq ó me‚ fhdod ;=jd,h jefikakg .,ajd we;'

bÕsks ridhksl .=K bÕsks l=vq YÍrh isis,a lrjk .=Kfhka hqla;hs' fiu jvk .=Khla ke;' fuu weg fmd,sielrhsv j,ska fmdfydi;a ksid YÍrfha oefjk iajNdjh wju lsÍug;a f,a fyd| pH w.hla mj;ajdf.k hdug;a fya;= fõ' bÕsks - ld,h idlaId;a l< M, m%fhdack wêl msmdidj" blald iy uq;%d wdndO i|yd fhda.H jk w;r jl=.vq wdY%s; m%Yak" jl=.vq j, .,a we;sùu" uq;%dYfha .,a we;sùu" uq;%d wviaish je<elaùug bÕsks weg WmldÍ fjhs' ;jo ks;r ks;r fõokdldÍ f,i uq;%d myùu j,lajd,Sug;a kskafoka uq;%d msgùu ÿre lsÍug;a bÕsks j,g yelshdj ;sfí' doctormagazine.lk

weia frda. j<lajd .ekSug;a wefia iqo ;;a;ajh iy lEu wreÑh" weíneys ùï" YÍrfha ly mdg ùu" kdifhys wdidok ;;a;ajhka" kdih f,a .e,Sï" udisl Tima pl%fha jeämqr f,a hdu" ysfia ;o .;sh" fldagrl m%odyh" f.dfkdaßhd frda.h i|yd bÕsks weg uq,a ;eïnQ c,fhka fia§u isÿ l< yel' lSfudf;rms m%;sldrh ,o ms<sld frda.Skag tu ksid YÍr.; jQ úI bj;a lsÍug iydh ùugo bÕsks weg ;eïnQ c,h WmldÍ fjhs' bÕsks weg j,g wlaudj wdrlaId lsÍfï m%n, Yla;shlao mj;S' wdhq¾fõofha i|yka jk wduh" YÍrfha ykaÈ wdY%s;j ;ekam;a ù ykaÈ bÈóu fõokdjg m;a úï ÿre lsÍug bÕsks weg mdkhla f,i Ndú;d lsÍfuka fõokdjka kid fyd| m%;sM, Wodlr.; yel' YÍrh wêl wdï,sl;djhg m;a ùu ksid reêrh ksIamdokhg ndOd meñŒu fya;=fjka we;sjk rla;ySk;djhg ms<shula fia bÕsks weg mdkh l< yel'

NOVEMBER 2018 | DOCTOR MAGAZINE 123

Telephone: 077 8150270

Èhjeähdj yd

foaYSh T!IO mdrïmßl" foaYSh ffjoH l%u weiqßka Èhjeähdjg iykhla ,nd .; yelso@

wdhq¾fõo ffjoH rkam; rejka r;akdhl

doctormagazine.lk

NOVEMBER 2018 | DOCTOR MAGAZINE 125

rkam; fjo mrmqr

rkam; mqxÑrd, fjouy;d

Èhjeähdj hkq l=ulao@ th wo ojfia ñksidg lr we;s n,mEu ljf¾o hk lreKq ish,a, fndfyda fokd okakd neúka ta ms<sn| fiùu mfil ,d th iqjlr .; yels uÕ l=ula±hs fiùug W;aiql úh hq;=h' w;S;fha isg mej; tk foaYSh mdrïmßl ffjoH l%u frda. iqjm;a lsÍfuy ,d olajk odhl;ajh fln÷ o hkak fidhd ne,Sfï wruqKska mdrïmßl iïNjhla iys; ffjoHjrfhl= yuqùug wfmaCId lf<a mdrïmßl ffjoH l%u Tiafia Èhjeähdj iqjlsÍug uÕla ;sfí ±hs fidhd ne,Sfï wruqKska hq;=jh'

rkam; O¾uodi fjouy;d

rkam; rejka r;akdhl fjouy;d

fï i|yd wm iïnkaO lr .;af;a wdhq¾fõo ffjoH rkam; rejka r;akdhl uy;dh' wm okakd ;rñka ffjoH rkam; rejka r;akdhl uy;df.a mshd iy iShd hk fofokd u rcfha ,shdmÈxÑh ,o wdhq¾fõo ffjoHjrekah' tneúka tjekakkaf.a wdNdIh ,o mdrïmßl wdhq¾fõo ffjoHjrfhl= Èhjeähdj iqjl< yels uÕ ms<sn|j Tyqf.a mrïmrdfõ w;a±lSï wm iuÕ fufia fnod yod .kakg úh'

ffjoH;=uks" Tn ksfhdackh lrk mdrïmßl foaYSh ffjoH l%u wkqj Èhjeähdj hkq iqjl< fkdyels frda.hla o@ ffjoH úoHdjg wkqj Èhjeähdj muKla fkdj" ´keu frda. ldKAvhl iqjl< yels iy fkdyels f,i j¾.SlrKhla we;' fudk ;rï ffjoHl¾u ÈhqKq jqK;a we;eï frda. iy frda.Ska iqj l< fkdyels wjia:d ;sfnkjd' Èhjeähd frda.fha§;a th tfiauhs' Èhejeähd frda.Skaf.kq;a we;eï wh iqjl< yels w;r we;eï wh iqjl< fkdyelshs'

126 NOVEMBER 2018 | DOCTOR MAGAZINE

ffjoH;=uks zzÈhjeähdj lsis úfgl;a iqjl< fkdyelshZZ lshk u;h Tn ksfhdackh lrk mdrïmßl ffjoHjreka ms<s.kafka ke;s njo@ Tõ" Èhjeähdj lsis úfgl;a iqjl< fkdyelshs hkak kï fldfyduj;a ms<s.kak neye' th tÈfkod wm w;aolsk w;a±lSï

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wkqj ks;ru ;yjqre jk fohla' tfy;a ish¨u Èhjeähd frda.Ska kï iqj lsÍfï yelshdjla keye' flfia fj;;a foaYSh m%;sldr .kakd iqjl< fkdyels ;;a;ajfha mj;sk frda.Skag jqk;a wkjYH mßÈ ÿla mSvdj,g m;a fkdùug$crdjg m;a fkdùug by< odhl;ajhla fï u.ska ,enk nj lsj hq;=uhs'

ffjoH;=uks" Èhjeähdj fyda fjkhï frda.hla lsis úfgl;a iqjl< fkdyelshs lshk úg mdrïmßl ffjoHjreka tjeks frda.j, iqjl< yels wjia:d ;sfnk nj fkdìhj mjikjd' tfia úYAjdifhka m%ldY lrkafka fldfyduo@ Tõ" th b;d jeo.;a m%Yakhla' ffjoH l¾ufha § muKla fkdfjhs" tod fuod ;=r l< fkdyelshs lshQ foaj,a l< yels foaj,a njg m;a lf<a fjkia úÈhg ys;mq m%fhda.sl ñksiqka' fï i|yd ´k ;rï WodyrK ;sfhkjd' lsis úfgl;a iqjl< fkdyelshs lshk by, fmf<a ffjoH l%u ;snqK;a wE; .ul fjfik mdrïmßl ffjoHjrfhla Èhjeähdj iqjl< yels nj lsõfjd;a th wmrdOhla fyda fndrejla$uq,djla nj tl fy<d u is;Su jerÈhs' mdrïmßl ffjoHjreka ks;ru fy<s lrkafka ;ukaf.a w;a±lSï jk ksid tajdhska hï woyila f.k thg ÈhqKq úoHdj" ;dCIKh tla lf<d;a wmg j¾;udkhg .e,fmk wfma u iqmsß ffjoH m%;sldr iy Ys,aml%u ks¾udKh l< yelshs' frda. iqj lsÍu iïnkaOfhka mdrïmßl ffjoHjreka olajk woyiaj,g úreoaO jk whg isysm;a

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l< hq;= jkafka wfma rfÜ w;S;h ms<sn| fidhd n,k f,ihs'

tfia kï fjoH;=uks" foaYSh mdrïmßl ffjoH l%u ;=<ska Èhjeähdjg m%;sldr lrkafka fldfyduo lsh,d meyeÈ,s lrkak mq¿jka o@ fuys§;a wm uq,ska u ie,ls,su;a jkafka wdhq¾fõo$foaYSh ffjoH úoHd uQ,O¾u j,g wkqj frda. ksodkh ms<sn|juhs' Èhjeähdj f,i y÷kd. kakd wjêfha § reêrfha iSks uÜgu jeäjkafka reêrfha iSks md,kh isÿ lsÍu i|yd u ;snk w.akHdYh ÿ¾j, ùu ksid' tfia kï fidhd ne,sh hq;af;a w.akHdYh ÿ¾j, jk fya;= ljf¾o hkakhs' fndfyda wh is;d isákafka w.akHdYh ÿ¾j, jkafka iSksj,g iïnkaO wdydr jeämqr .ekSfuka muKla njhs' kuq;a wmg we;s w;a±lSï wkqj kï iSks iys; wdydr hkq Èhjeähdj we;sl< yels tla m%Njhla muKhs'

iSksj,g wu;rj Èhjeähdj we;s ùug n,mdk Tn bosßm;a lrk wfkla idOl fudkjdo ffjoH;=uks" 1' j¾;udkfha fndfyda fokd fmf<k udkisl mSvkh 2' wêl wdï,sl wdydr .ekSu 3' WIaKdêl wdydr .ekSu 4' ksÈ jeÍu 5' ffjr fl%daO lsÍu 6' we;eï frda.S wjia:dj,§ .kakd wê l%shdldÍ T!IO

NOVEMBER 2018 | DOCTOR MAGAZINE 127

7' wdydr Ô¾Kfha we;s ÿ¾j,;d ksid we;sjk úI 8' j¾;udkfha § Ndú;hg .kakd úI ñY% wdydr

ffjoH;=uks" Tn i|yka l< tu fya;+ka ksid fldfyduo w.akHdYh ÿ¾j, fjkafka@ tu ldrKd ksid YÍrfha ´keu bkaøshla ÿ¾j, ù frda.hlg ,la úh yelshs' fuys§ isÿjkafka wdhq¾fõofha i|yka jk mßÈ rla; ¥Is; ;;a;ajhla' rla;h ^reêrh& ¥Is; jQ úg tu.ska YÍrfha ´keu bkaøshla ÿ¾j, lsÍug n,mEï we;sl< yelshs' w.akHdYh hkq jeä l¾hNdrhla isÿ lrk fjfyig m;a lrk bkaøshla ksid ¥Is; rla;fhka w.akHdYhg by< n,mEula we;sl< yelshs' tu.ska w.akHdYh ÿ¾j, jk w;r thg reêrfha we;s iSks md,kh lsÍfï mßjD;a;Sh l%shdjka ksis mßÈ isÿl< fkdyels fõ' tneúka iSks uÜgu widudkH f,i by< fyda my< hhs'

fuu ;;a;ajh uevmeje;aùug isÿ lrk mdrïmßl ffjoH ms<shï fudkjdo@

bkaøshka frda.hlg ,lajQ úg isÿlrk wdldrhg iudka;r m%;sldr l%uhla u ;uhs' wdrïNfha § rla; fYdaOk ^f,a msßisÿ lrk& T!IO fh§u ksid YÍrhg b;d myiqjla ,nd .; yelshs' tu T!IO u.ska we;eï Èhjeähd frda.Skag ta iu.u mj;sk yfï frda." mskia frda. w¾Yia jeks frda. ;;a;ajfhkq;a u<noaOh flaka;s hdu" u;l Yla;sh ÿ¾j, ùu" w;a md ysßjeàu jeks frda. ,CIKfhkq;a blaukska u myj hk nj lsj yelshs' tfuka u by; wys;lr ;;a;ajhka j<lajd Ô¾K moaO;sfha ÿ¾j,;djhkag o m%;sld l< úg wdydr Ô¾K l%shdj hym;a w;g m;ajk úg frda.S ;;a;ajfhka fmf<k mqoa.,hka b;d blaukska iqjm;a Ndjhg m;a fõ' fujeks jákd úoHd;aul foaYSh mdrïmßl ffjoH l¾uhka u.ska frda. iqjlsÍu iïnkaOfhka úYd, ck fufyjrla isÿl< yels ksid fuu bmerKs ffjoH l%u iy fjoHjreka /l.ekSu ldf.a;a hq;=lu jkafkah'

wdhq¾fõo ffjoH rkam; rejka r;akdhl iu. idlÉPd fldg ilia lf<A wñ; úl%uwdrÉÑ

uQ,sl jYfhka fuys§ isÿlrkafka rla; ¥IKh ksid YÍrfha fjk;a 128 NOVEMBER 2018 | DOCTOR MAGAZINE

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