Page 1

Viofspd; fz;zPiuj; Jilf;f xU iff;Fl;ilahtJ thq;fpf; nfhs;s trajpaw;w FLk;gq;fs; vj;jid vd;gij vz;zpg;ghh;g;gJz;lh? “]`h;” rhg;ghL mjpfhpj;Jtpl;lJ vd tapw;wpy; ifapdhy; giw mbj;J mwpKfg;gLj;Jk; vk;kpy;> Viofspd; tapW cztpd;wp vhpAk; ,iur;ry; Nfl;fhky; NghfpwNj... vkJ “,g;jhh;” $l ,d;W Mlk;gukakhfp tpl;lJ… vj;jid Mapuk; &gha;fs;… xU ,g;jhhpdhy; Nehd;G KOtJk; xU FLk;gj;jpw;Nf tho;e;J tplyhk;. *** ah my;yh`;… tpOe;j kdpjhpd; ,iuQ;rpa Fuy; Nfl;L rpe;jid fiye;jhh; mkPh; ehdh. tw;wp> tbtk; ,oe;J> xl;ba clk;ig nkJthfj; J}f;fp vOe;jhh; me;j kdpjh;. 20 taJf;F Nkw;gl;l ,U FkUg; gps;isfslq;fshf ehd;F ngz; gps; i sfs; . ,th; g Lk; f\; l q; f is ngUk; kiyfshfNt tpghpj;jhh;. xd;Wf;F Nky; gy `[;[_fis nra;gth;fSk; ,J gw;wp rpe;jpf;f Ntz;Lk;… ehk; jq;ff;Fil gpbf;f

epidf;fpd;Nwhk;> vk;kpy; vj;jid Ngh; jhio kuk; $l ,y;yhky; cs;sdh;. kaq;fp tpOe;j kdpjhpd; fz;fspypUe;J tpOk; fz;zPhpy; kiy $l fiue;J tpLk; Nghy; ,Ue;jJ… jdJ Ra rhpijiaj; njhlh;e;jhh;. mtuJ ngU%r;rpy; gy rpfuq;fs; efh;e;jd… $b ,Ue;jth;fs; gyh; nkJthf efu Muk;gpj;jhh;fs;. ,d;Dk; rpyh; gj;J> ,UgJ> Ik;gJ vd;W tpOe;jthpd; rl;ilg; igapy; jpzpj;J kiyia Gul;ba jpUg;jpapy; jpUk;gpdh;. ej;ij Rke;J tUk; ePiuf; nfhz;L ngUk; jPia mizf;f kbAkh? xU KbTld; mkPh; ehdh tpOe;jtiu mioj;J> mizj;Jf; nfhz;L mq;fpUe;J efh;e;jhh;. mkPh; ehdhtpd; KbT vd;dNth! ek; r%fj;jpy; ,d;Dk; ,d;Dk; tpOe;j nfhz;Nl ,Ug;ghh;fs;... tpo Kd;Ng mth;fspd; mbg;gilg; gpur;rpidfis ,dq;fz;L J}f;fp epWj;jhtpl;lhy; r%fNk tpOe;J tpLk;... Vnddpy;> ehKk; r%fj;jpd; xU mq;fk;jhd;.■

Waragashinna (Thelumbugahawatta Junction) Akurana

Published by EMEX Publications, 190/2/1, Second Floor, Market Complex, Akurana. Printed @ Wings Graphics, 262 A, Kandy Road, Galhinna.

Mf];l; 2009

,ytr ntspaPL

xU Gjpa ghh;it...


Emex Publications 190/2/1, Market Complex, Akurana, Sri Lanka. Tel: 081-7201234 Fax: 081-2300055 e-mail: editor.nv@gmail.com

xU rpwpa ,ilNtisf;Fg; gpwF> Nehd;G fhy eilKiwfs; Fwpj;j vkJ ,ytr ntspaPl;by; cq;fis re;jpg;gjpy; kpf;f kfpo;r;rp. cq;fs; “ept;]; tPt;”; gj;jphpifia GJ nkUFld;> ntF tpiutpy; eilngwTs;s Xuhz;L epiwT tpoh Kjy;> cq;fs; iffspy; jtotpl cioj;Jf; nfhz;bUf;fpNwhk;. Gdpj ukohd; vk;ik te;jile;jpUf;fpwJ. ,k;khjj;ij tuNtw;fTk;> nfsutpf;fTk; gw;gy Vw; g hLfis nra; J tpl; N lhk; . nra; J

nfhz;LkpUf;fpNwhk;. mfKk; GwKk; vk;ik J}a;ikg; gLj;jp> vk;kpy; xl;L nkhj;jkhd gz;ghl;L khw;wj;ij Vw;gLj;j te;j ,e;j ukohdpy; ehk; mjpfkhf Gw Vw;ghLfspy; ftdj;ij Ftpg;gJ ftiyf;FhpaJ. Fwpg;ghf czT tplaj;jpy; gy;NtW tPz; tpuaq;fis ehk; nra;J nfhz;bUf;fpNwhk;. trjpAs;sth;fs; ukohid ,t;thW nfhz;lhLfpd;w Neuk; vk;NkhbUf;fpd;w vkJ Vior; rNfhjuh;fs; Nehd;Gr; nryTfis <L nra;J nfhs;s Kbahky; jpz;lhLfpd;wdh;. ,J ukohd; vjph;ghh;f;Fk; gz;ghly;y. vdNt ,J Fwpj;Jr; rpe;jpg;Nghk;. tPz; tpuaq;fisj; jtph;j;J ViofSf;F cjtpLNthk;.. jpdKk; grpapUg;gth;fs; ,iwtDf;fhf vd;W tpUg;gj;NjhL grpapUf;f tha;g;gspg;Nghk;. Vnddpy; kioapy; eidahjth;fs;jhd; kioia urpf;f KbtJ Nghy grp jPh;j;jth;fs;jhd; grpia nfhz;lhl KbAk;. midtUf;Fk; ukohd; fhPk;. (rq;if kpFe;j> jhuhsj; jd;ik kpifj;j Gdpj ukohd; midtUf;Fk; fpilf;fl;Lk;.)■

Dr. fkhy; V. eh]u;

msthf NrhW rhg;gpLq;fs;. miug; gPq;fhd; msT mj;NjhL fha;fwpfisr; $Ljyhf rhg;gpLq;fs;. nghhpf;fhj ,iwr;rpfis rhg;gplyhk;. ,iwr;rpapy; nfhOg; i g mfw; W tjw; F mjid mtpj; J jz;zPiu mfw;wp tpl;L rikf;fyhk;. kPd; rikg;gjhapDk; nghhpf;f Ntz;lhk;. gotiffs;: vy;yh tifahd goq;fSk; ey;yJ. nghpa mstpy; my;yhJ XusT rhg;gplyhk;.

vt;tpjkhd ePhpopT Nehahspfs; Nehd;G gpbf;ff; $lhJ? l mbf;fb rPdp Fiwaf;$bath;fs; l rpWePuf tpahjp cs;sth;fs; l mbf;fb neQ;R typ Vw;glf;$bath;fs; l fl;Lg;ghlw;w Heart Failure cs;sth;fs; Neuk;

ePhpopT Nehahspfs; Nehd;G gpbj;Jf; nfhz;L ,uj;jk; Fj;jp vLj;J Nrhjpg;gjhy; Nehd;G KwpAkh?

1. ]`h; Neuk; (Fasting)

Neha;f;F kUe;J nra;Ak; Nehf;fpy; nra;ag;gl;lhy; Nehd;G Kwpa khl;lhJ.

clw;gUkd; $Ljyhf ,Ug;gij ehafk; (]y;) mth;fs; tpUk;gtpy;iy vd;gij ,e;j `jP]; njspthf tpsf;Ffpd;wJ. ]<j; (uyp) mth;fs; $wpdhh;fs;> my;yh`;tpw;fhf Kjy; mk;ig va;j mwgp ehdhNtd;. cznthd;Wk; ,y;yhj epiyapy; ehk; my;yh`;tpd; ghijapy; Nghhpl;Nlhk;. vkf;F czthf fpilj;jJ `_g;yh> FKf; kuq;fspd; ,iyfNs. ,jd; fhuzkhf vq;fs; kyk; nrk;kwp Ml;bd; fopit xj;jjhf ,Ue;jJ. (G`hhp gf;-460) NkYk; egp (]y;) mth;fs; $wpajhf ]`P`; Gfhhpapy; (5120k; gf; f j; j py; ) gpd; t UkhW $wg;gl;Ls;sJ. “<khd; cs;sth; xU FlysNt Fbg;ghh;. Mdhy; fhgph;fspy; xUth; VO FlysT Fbg;ghh;” ,tw;iw mtjhdpf;Fk; NghJ ,];yhk mjpf czT cl;nfhs;tij tpUk;gtpy;iy vd;gJ njspthfpwJ. mf; f hy kf; f s; tho; t jw; f hf rhg;gpl;lhh;fNs jtpu rhg;gpLtjw;fhf thotpy;iy. mth;fs; grpNahL Aj;jk; nra;jhh;fs;. Mdhy; ahUk; rhg;gplhky; ,Ue;J vdf;F “Nf];l;hpf;” Vw;gl;L tpl;lJ vd;W nrhy;ytpy;iy. cz;ikapy; ,d;W vkf;F “GASTRITIS” vdg;gLk; tapw;W vhpT Vw;glf;fhuzk; ehk; tpjk; tpjkhd nghhpay;fisAk;> krhyh J}s;fisAk;> vz;nza; tiffisAk; rhg;gpLtNj MFk;. jw;fhyj;jpy; ehk; Nehd;G Nehw;fpd;Nwhk; vd;W

Nehd;G fhyj;jpy; ,uj;jj;jpy; rPdpapd; msT vt;thW ,Uf;f Ntz;Lk;?

Xt;nthU NehahspAk; FOf;Nfh kPl;lh; xd;iw itj;jpUg;gJ ey;yJ. ,Uf;f Ntz;ba rPdpapd; msT Nehahspapd; taijAk; Neuj;ijak; nghUj;J khWgLk;.

-02-

- FWq;fij ●

v]; vr; vk; ek;]PH

rpW J}f;fk; fiye;J> Nrhk;gy; Kwpj;j mkPh; ehdh Rth;f;fbfhuj;ij tpiuj;Jg; ghh;f;fpd;whh;. kzp %d;wiu jhz;bapUe;jJ… VNjh rpe;jidapy; [d;dy; Nfh;bid tpyf;fp ghijia Nehf;Ffpwhh;… me;j xw;iwabg; ghijapy; kdpjf; Fk; g nyhd; W nkha; j ; j pUf; f pd; w J … vl; b g; ghh;g;gJk;> tpyfpr; nry;tJk; rw;W tpj;jpahrkhd xU fhl;rp... Mapuk; epidtiyfs; Nkhj $l;lj;jpy; jhDk; xU mq;fj;jtdhf ,ize;J nfhs;tjw;F Ntfkhfr; nrd;whh; mkPh; ehdh. nfhQ;rk; top tpLq;f… fhj;J mbq;f… jz;zp njspq;f… $l;lj;jpid newpg;gLj;jpa xUthpd; topfhl;ly; ,J! $l;lj;jpw;Fy; M[uhd mkPh; ehdh fz;l fhl;rp… rhTf;Fk;> tho;Tf;Fk; ,ilapyhd Nghuhl;lj;jpy; xU kdpjd;. ghtk;… cly; tuz;L> tpop jpuz;L euk;Gfs; Njhypd; NkNy gbe;J tWikapd; milahsj;ij mq;Fyk; mq;Fykhf ,dq;fhl;baJ… kaf;fk; njspe;j me;j kdpjH mire;J vOe;J cl;fhu xU Nghuhl;lNk elj;jpdhH. Mkhk;> mth; tpahghu epkpj;jkhf CUf;Fs; te;jtH. mtUf;F mUfpy; ,U igfs; epiwa Jzpfs; . .. mitfisj; J}f;fp J}f;fpNa mthpd; iffspd;

90mg-126mg 100mg-140mg

2. Nehd;G jpwe;J 2kzp Neuk; 90mg-140mg 110mg-180mg fopj;J

3. Y`h; Neuk;

90mg-140mg 110mg-180mg

4. m]h; Neuk;

90mg-140mg 110mg-180mg

ePhpopT Nehahspfs; Nehd;G fhyj;jpy; ,uj;jk; Nrhjpf;f Ntz;ba Neuq;fSk;> me;Neuq;fspy; ,Uf;f Ntz;ba msTfSk; ,t;tl;ltidapy; jug;gl;Ls;sJ.

MBBS, MD, PGA (UK), MRCP(UK), MRCPS (Glasg) rh;thq;f itj;jpa epGzh;> Nghjdh itj;jparhiy - Nguhnjdpa

Nehd;G vd;gJ ,U gf;fq;fisf; nfhz;lJ. Xd;W Md;kPfk; kw;iwaJ clyhNuhf;fpak;. Nehd;G njhlq;Fk; NghJ ehk; njhOif> Fh;Md; XJjy; Nghd;w mky;fspy; jPtpukhf <LgLfpd;Nwhk;. ,t; t hwhd Md; k P f MNuhf; f pak; Nghd; N w clyhNuhf;fpak; Fwpj;Jk; ,];yhk; ftdk; nrYj;Jfpd;wJ. mjdhy;jhd; my;Fh;MdpYk;> `jP]pYk; Fiwthf rhg;gpLtJ gw;wpAk;> msthfj; J}q;FtJ gw;wpAk; gy ,lq;fspy; $wg;gl;Ls;sJ. vdpDk;> ,d;iwa K];ypk; rKjhak; ve;jf; fl;Lg;ghLkpd;wp rhg;gpl;L tpl;L> Ntiy nra;ahJ epj;jpiu nfhz;L vOe;J Nehd;G jpwe;J tpl;L mky; nra;J tpl;ljhf fUJfpd;wJ. ,d;W cyfpNyNa kpfTk; cly; gUkd; $ba rKjhakhf ehk; fhzg;gLfpd;Nwhk;. rhg;ghl;ilNa vjph;ghh;j;J tho;e;J nfhz;bUf;fpNwhk;. Nehd;G Muk;gpg;gjw;F Kd;dNu xU khjj;jpw;Fj; Njitahd czTg; nghUl; f is Nrfhpf; f j; njhlq; F fpd; N whk; . gpd;tUk; `jP];fis mtjhdpj;jhy; ,it Kw;wpYk; ,];yhj;jpw;F mg;ghw;gl;lit vd tpsq;fpf; nfhs;syhk;. “cq;fSf;Fg; gpd; tuf;$bath;fs; Neh;ikaw;wth;fshfTk;> ek;gfj;jd;ik mw;wth;fshfTk;> rhl;rpakspf;ff; Nfl;Lf;nfhs;shj NghjpYk; rhl;rpak; mspg;gth;fshfTk; ,Ug;ghh;fs;. mth;fSf;fpilapy; nfhOg;Gk; clw;gUkDk; $bath;fs; mjpfkhf ,Ug;ghh;fs;” (]`P`{y; G`hhp -gf;fk; 819)

60 taJf;F 60 taJf;F fPo; Nky;

Nuiffs; rpwpJ mope;jpUe;jd… ghtk;… fhiy Kjy; khiy tiu Ch; KOtJk; mioe;J jphpe;Jk; xU nghUNsDk; tpw;ftpy;iy. fLk; grpAk; > tP l ; b Ys; s Foe; i jfspd; grpNghf;FtJ vt;thW? vd;w rpe;jidANk mth; kaq;fp tpof;fhuzkhapd… mse;J mse;J Ngrpa me;j kdpjhpd; thh;j;ijfs; ,Wfpg;NghdJ… X ,iwth … cs; s j; j pd; Moj; j pypUe; J ntspg;gl;l ngU%r;R mkPh; ehdhtplkpUe;J tpilngw;wJ. *** ek;kpy; rpyhpd; tPLfs; tpz;zpNy CQ;ryhLfpd;wd… tho;tjw;Fj; Njitahd mstpid fl;bf;nfhz;L kPjKs;sijf; nfhz;L Vio vspath;fSf;Fj; njhopy; tha;g;Gf;fis Vw;gLj;jpf; nfhLf;fyhky;yth? njhg;ig tsh;j;Jf;nfhz;L “Rfh; Ng\d;l;” vDk; nfhypgpNf\d; Njbf; n fhz; l ijj; jtpu jpl;lkpl;L nra;j fhhpak; FiwT. xU fpuhkj;jpd; miuthrpf; F Mfhuk; nfhLf; f KbAkhd gzj; i jf; nfhz; L ehk; xU thfdk; khw;wpf;nfhs;fpNwhk;> Mil khw;wpf;nfhs;tJ Nghy;. Mfhaj;ij njhl;Lg; gpbf;Fk; Mirapy; miu tapW md; d jhdk; ,y; y hjth; f is kwe; j tpLgth;fs; ek;kpy; mjpfk; Ngh;. Nehd;Gg; ngUehs;… tUlj;Jf;F tUlk; GJg;GJ ehkk; #b vj;jid vj;jid Mil Mguzq;fs;> ,itfis thq;Ftjw;F nfhl;Lk; gdp $l vkf;F FspHtjpy;iy…

-07-


Ntz; L khapd; ehk; vkJ kUe; J fspy; rpy khw;wq;fisr; nra;a Ntz;Lk;. ,jw;F> itj;jpahpd; MNyhrid kpf Kf;fpak; vd;gij ftdj;jpy; nfhs;s Ntz;Lk;. 1. ]y;gida+hpah vdg;gLk; ladpy;> fpspgpi]l;> fpspf; y i]l; > (DIAMICRON, GLYZ MR, GLICLAZIDE) fpspkpg;gpiul; (GLIMIPRIDE) Nghd;w kUe;Jfis ghtpg;gjhapd; ,it fhiyapNyNa ghtpf;fg;gly; Ntz;Lk;. ,jw;fhd fhuzk;> Nehd;G my;yhj fhyq;fspy; ehk; fhiyapy; vOe;jTld; B Fbj;J tpl;L> fhiyr; rhg;ghl;il rhg;gpl;L tpl;L kUe;ijf; Fbg;Nghk;. gpd;dh; grpNaw;gl;lhy; ,d;Dk; VjhtJ rhg;gpLNthk;. mjd; gpd;dh; gfy; rhg; g hL> njhlh; e ; J khiy B> ,t; t hW ,ilf;fpil clk;Gf;F VjhtJ fpilj;Jf; nfhz;bUg;gjhy; rPdp Fiwe;J> mjdhy; ghjpg;G Vw;gl khl;lhJ. Mdhy; Nehd;G fhyj;jpy; ,t;thW nra;a KbahJ. vdNt ,t;thwhd kUe;Jfisg; ghtpg;Nghh; ,k;kUe;Jfis Nehd;G jpwf;Fk; Neuj;Jf;F khw;w Ntz;Lk;. mj;Jld; kUe;jpd; msit Fiwf;f Ntz;b Vw;glyhk;. r`h; NeuKk; rpwpa msT kUe; J Njitg; g lyhk; . rP d p Fiwtilayhk; vd;gjpy; vg;NghJNk ftdkhf ,Uf;f Ntz;Lk;. mt;thW FiwtilAk; mwpFwp Vw;gl;lhy; Nehd;ig tpl;L tpl;L rhg;gpl Ntz;Lk;. Kjy; 2, 3tJ Nehd;Gfspy; mbf;fb rPdpiar; Nrhjpj;J ehk; kUe;Jfis xOq;F gLj;jpf; nfhs;tJ kpf Kf;fpak;. cjhuzkhf gpd;tUk; tifapy; rPdpiag; ghpNrhjpf;fyhk;. Nehd;G jpwe;J 2 kzpj;jpahyj;jpy;> r`h Neuk;> Y`h; Neuk;> m]h; Neuk;. Y`h; my;yJ m]h; Neuk; rPdp FiwAkhapd;> r`h; Neu kUe;ijf; Fiwf;f Ntz;Lk; my;yJ r`h; Neu rhg;ghl;ilf; $l;l Ntz;Lk;. 2. nkl;Nghkpd; 3 Neuk; ghtpg;Nghh; rhjhuz nkl;NghkpDf;Fg; gjpyhf nkJthfj; njhopw;glf;$ba (24 kzp Neuk; njhopw;glf;$ba) nkl;Nghkpid xU Neuk; my;yJ 2 Neuk; ghtpf;fyhk;. xU Neuk; ghtpg;gjhapd; ,g;jhh; Neuk; kl;Lk; ghtpf;fyhk;. 2 Neuk; ghtpg;gjhapd; ,g;jhh; NeuKk; r`h; NeuKk; ghtpf;fyhk;. 3. gNahfpypl;lN]hd;: nghJthf ,k;kUe;J fhiyapNyNa ghtpf;fg;gLfpd;wJ. ,jid ,g;jhh; Neuj;Jf;F khw;wpf; nfhs;tJ ey;yJ.

,d;Rypd; vLg;gth;fs; vd;d nra;a Ntz;Lk;

1.

,d;Rypd; vLf;Fk; Nehahspfs; fl;lhak; Nehd;G gpbf;fj; njhlq;f Kd;dh; itj;jpaiur; re;jpj;J. ,d;Rypdpd; msitAk;> mjd; jd;ikiaAk; khw;wpf; nfhs;s Ntz;Lk;. ,y;yhtpl;lhy; jpBnud rPdp Fiwayhk;

2. rhjhuzkhf ehk; ghtpf;Fk; ,d;Rypd; msTfis

r`h; Neuj;jpy; Fiwf;f Ntz;Lk;. ,g;jhh; Neuj;jpy; $l;l Ntz;Lk;. 3. vdpDk; jw;NghJ kpfTk; Kd;Ndw;wfukhd Gjpa tifahd ,d;Rypd; tiffs; cs;sd. (cjhuzk;: LEVAMIR, LENTUS, NOVORAPID) ,tw;iwg; ghtpg;gjd; %yk; Nehd;G fhyj;jpy; rPdpiaf; fl;Lg;gLj;JtJ ,yFthf ,Uf;Fk;. vdpDk; ,it murhq;f itj;jparhiyfspy; fpilg;gjpy;iy. ,it kpfTk; tpiy $bait. ,tw;wpd; xU khjg; ghtidf;F Rkhh; 7500 &gh Kjy; 10,000 &gh tiu nrythFk;.

ePhpopT Nehahspfs; Nehd;G fhyj;jpy; vt;thW rhg;gpl Ntz;Lk;?

ehd; Vw;fdNt gyKiw “ept;]; tPt;” gj;jphpifapy; ePhpopT Neha;f;Fhpa rhg;ghl;L Kiwfisg; gw;wp vOjpapUe;Njd;. mf;fUj;Jf;fs; ,q;Fk; nghUe;Jk;. mjhtJ: 1. rPdpia ed;whf Fiwj;Jf; nfhs;Sq;fs;. Mdhy; xU rpwpa Njf;fuz;b rPdp my;yJ xU <r;rk;gok; my;yJ xU Jz;L fUg;gl;b guthapy;iy. 2. ehk; ghtpf;Fk; khg;nghUspd; msit Fiwj;Jf; nfhs;s Ntz;Lk;. khg;nghUs; vd;gJ mhprp> kh> Fuf;fd;> gaW> nfsg;gp> fpoq;F. gp];fl; tiffs; vy;yhk; (fphPk; fpNuf;fh;> Fuf;fd; fpNuf; f h; cl; g l). MfNt ehk; xU ehisf;Fr; rhg;gpLk; khg;nghUspd; msT vt;tsT vd;gJ jhd; kpfTk; Kf;fpak;. cjhuzkhf xUth; 100g rptg; g hprp rhg;gpLfpd;whh. ,d;ndhUth; 25g ed;F jPl;ba rk;gh rhg;gpLfpd;whh;. epr;rakhf ,e;j 25g rk; g h rhg; g pLfpd; w thpd; rP d p Fiwthf ,Uf;Fk;. 3. Nehd; G jpwf; F k; NghJ 1-2 <r; r k; g ok; rhg; g plyhk; . nfhQ; r k; gotiffisr; rhg;gplyhk;. mj;NjhL fQ;rp Fbf;fyhk;. Mdhy; Fiwthd Njq;fha;g; ghiy ghtpg;gJ ey;yJ. ,iwr;rpf;fQ;rpiaj; jtph;g;gJ kpfr; rpwe;jJ. SHORT EATS Kw;whf jtph;f;fg;gl Ntz;Lk;. 4. , b a g ; g k ; > n u h l ; b > N r h W N g h d ; w khg;gz;lq;fis cldbahf vLf;fhJ nfhQ;r Neuk; nrd;W rhg;gplyhk;. mjhtJ juhtP`; njhOifapd; gpd;dh; nfhQ;rk; rhg;gplyhk;. khg;nghUspd; msT kpfTk; Fiwthf ,Ug;gJ ey;yJ. (Rkhh; 50g khtpd; msT) 5. r`h; Neur;rhg;ghL: japiuj; jtph;j;Jf; nfhs;tJ ey;yJ. fhuzk;> ,J mjpfsT nfhOg;igAk;> nfhy];l;NuhiyAk; nfhz;lJ.

-06-

kw;iwa ehl;fis tplTk; $Ljyhf rhg;gpLfpd;Nwhk; Mdhy; ,uz;L Ntis khj;jpuk; jhd; rhg;gpLfpd;Nwhk; vd;W Vida r%fj;jpdhplk; nrhy;ypf; nfhs;fpd;Nwhk;. cz;ikahf Nehd;G fhyj;jpy; ehk; %d;W Neur; rhg;ghl;ilAk; tplf; $Ljyhf rhg;gpLfpd;Nwhk;. mNj Neuk; ePq;fs; xt;nthU tPl;bYk; nryit vLj;Jg; ghUq;fs;. rhjhuz xU khjr; nryit tplTk; gy klq;F mjpfkhf Nehd;G fhyj;jpy; nryT nra;fpd;Nwhk;. ,g;jhh; vd;w Rd;dj;ij ,d;W nghpanjhU tPz;tpuakhfTk;> Nehia cz;lhf;Fk; fhuzpahfTk; > gzf; f huh; f spd; Nghl; l h Nghl;bahfTk; khw;wpf; nfhz;Ls;Nshk;. ukohd; khjk; vd;gJ tPz; nryT nra;Ak; khjk; my;y. ,J ed;ik nra;Ak; khjk;. ed;nfhil nra;Ak; khjk;. cliyAk; cs;sj;ijAk; Rj;jk; nra;Ak; khjk;. Mdhy; ehk; rhg;ghLfisAk;> tPz;tpuaq;fisAk; $l;bf;nfhz;Nl Nghfpd;Nwhk;. ehk; ,];yhk; $wpa rhpahd jhj;ghpaq;fis filgpbf;fhikapdhy; ,d;W vkJ K];ypk; Ch;fspy; Neha;fspd; mjpfhpg;ig njspthf mtjhdpf;fyhk;. K];ypk; Ch;fspy; jhd; ePhpopT> cah;FUjpaKf;fk;> kdNeha;> khuilg;G> %l;L tpahjpfs;> clw;gUkd; Nghd;w Neha;fs; $Ljyhf fhzg;gLfpd;wd. K];ypk; NehahspfSf;F Nehd;G fhyj;jpy; jhd; $Ljyhf khuilg; G ( H E A RT ATTA C K ) Vw;gLfpd;wJ. vdNt ehk; kPyhj; tpohf;fspYk;> fl;Liug; Nghl;bfspYk; [_k;Mf;fspYk; $WtJ Nghy Nehd;G Nehw;gjhy; vkf;F kUj;Jt gyd; Vw;gLtjhfj; njhpatpy;iy. khwhf ghjpg;Gf;fs; Vw;gLfpd;wd? vd;w re;Njfk; vOfpd;wJ. vdNt ekJ Nehd;G fhy rhg;ghl;L KiwapYk; ghhpa gpio cs;sJ. ,t;thwhd xU gpioahd Kd;khjphpia ehk; mLj;j r%fj;jth;fSf;Ff; fhl;LtJ ey;yjy;y.

Nehd;G fhyj;jpy; czT vg;gb ,Uf;f Ntz;Lk;?

rhjhuz fhyj;jpy; vd;d rhg;gpLfpd;NwhNkh mijNa Nehd;G fhyj;jpYk; rhg;gpl Ntz;Lk;. Fiwthd nfhOg;G> Fiwthd ,iwr;rpfisAk;> $Ljyhd fha;fwp> gotiffisAk; rhg;gpl Ntz;Lk;. cg;G> nghhpay;> rPdp> Njq;fha;g;ghy; Nghd;wtw;iw Kbe;jsT Fiwj;Jf; nfhs;s Ntz;Lk;. mhprp tiffs; jPl;lhjjhf (mjhtJ ehl;lhprp) ,Ug;gJ kpfTk; ey;yJ. Mdhy; vkJ gof;fk; vd;dntdpy; Nehd;G fhyj;jpy; mjpfkhd nfhOg;G> vz;nza;> nghpay;> rPdp> jPl;ba mhprp vd;W clYf;Fg; ghjpg;ghd czTfisNa cz;Zfpd;Nwhk;. ,JNt Neha;fs; mjpfhpf;ff; fhuzkhFk;.

,g;jhh; (Nehd;G jpwj;jy;)

1. fQ;rp: Kbe;jsT Njq;fha;g;ghiy Fiwf;f Kaw;rp nra;Aq;fs;. 2. <r;rk; gok;: msNthL rhg;gpl;lhy; ey;yJ> msTf;fjpfkhf rhg;gplhjPh;fs;. 3. SHORT EATS: fl;yl;];> Nuhy;];> ngl;B];> til> r%rh ,it Ml;nfhy;ypfs;. Vnddpy;> SHORT EATS nghhpf;Fk; NghJ vz;nza; xU tpj er;Rj;jd;ikf;F cs;shfpd;wJ. ,ij ehk; TRANSFATTY ACID vd;W $WNthk;. ,J ,Ujak;> %is Nghd;w gFjpfspy FUjpf;Foha;fis milf;fr; nra;J khuilg;G (HEART ATTACK), ghhprthjk; (STROKE) Nghd;wtw;iw Vw;gLj;Jk;. mJkl;Lky;y Nuhy;];> r%rh rhg;gpLtjd; %yk; fpilf;Fk; rf;jp miug;gPq;fhd; Nrhw;Wf;Fr; rkdhdJ. xU r%rh %yk; fpilf;Fk; rf;jpia nrytopf; f ( 2 0 0 K I LO C A LO R I E S ) 2 0 uf;fmj;Jf;fs; juhtP`; njho Ntz;Lk; my;yJ 45 epkplk; elf;f Ntz;Lk;. ePq;fs; Nehd;G jpwe;J tpl;L 2-3 SHORT EATS rhg;gpl;lhy; ukohd; KbAk; NghJ cq;fs; clk;G $bapUf;Fk;. mNjNeuk;> cq;fspd; FLk;gj;jpy; xUtUf;fhtJ khuilg;G tUtjw;F re;jh;g;gk; cz;lhfpapUf;Fk;. 4. nkd; ghdq;fs;: njk;gpsp> gor;rhW> Nghd;witNa kpfr; rpwe;jit. ,tw;iwAk; rPdpapd;wpNa ghtpf;f Ntz;Lk;. ghOlh> I]; fphPk;> nraw;ifahd [_];fs;> nkd;ghdq;fs; (Soft Drinks) Nghd;wtw;iw jaT nra;J ghtpf;fhjPh;fs;. 5. gotiffs; : gotiffis jhuhskhf rhg;gpl;L tpl;L> khg;nghUl;fis Fiwthf rhg;gpLq;fs;. tapw;iw epiwg;gjw;F gotiffis ghtpAq;fs;. ,jdhy; Nehia Fiwf;fyhk;. vdpDk; vkJ Ch;fspy; Njitapy;yhj %l ek;gpf;iffs; fhzg;gLfpd;wd. R+L> Fsph;> tapw;iwf; fha;r;Rk; vd;W gy;NtWgl;l nra;jpfs; cyhTk;. xU Chpy; Fsph; vd;W nrhy;Yk; goj;ij kw;nwhU Chpy; R+L vd;W $Wth;. ,itnay;yhk; kdjpy; khj;jpuNk cs;sit. xU rpyUf;F xt;thik ,Uf;fyhk;. jha;f;F xt;thik ,Ug;gpd; kfSf;Fk; mNj xt;thik ,Uf;Fk; vd;W $w KbahJ. rpyh; gotiffis rhg;gpl Neu fhyk; ghh;g;gh;. mt;thW Neu fhyk; ghh;f;f Ntz;ba mtrpakpy;iy. 6. ,g;jhh; fspahl;lq;fs; - (IFTHAR EXTRAVAGANZA): ,g;jhh; vd;gJ egp (]y;) mth;fs; nfhQ;rk; <r;rk; gok;> jz;zPh; my;yJ nuhl;b %yk; Nehd;G jpwf;f itj;j xU Rd;dj;jhd fhhpak;. ,d;W ,g;jhh; nghpa tPz;tpuakhfTk;> murpay; thjpfspd; nfhz;lhl;lkhfTk; khwp> mLj;j r%fj;jth;fspd; tpohf;fisg; Nghy; khwp tUfpd;wJ. vdNt> ,g;jhhpd; NghJ ehk; tPz; tpuak;

-03-


nra;ahjpUf;f Ntz;Lk;. mj;NjhL Vd; ,g;jhh; nra;fpNwhk; vd;gij kwe;J tplhjpUf;fTk; Ntz;Lk;. Nuhy;];> ngl;B]; Nghd;w Ml; n fhy; y pfis thq; f p itj; J kf; f is cgrhpf;fhjpUg;gJ ey;yJ. ,J Rd;dj;jhf mikAkh? vd;gJ re;NjfNk. Vnddpy;> ePq;fs; cq;fsJ tpUe;jhspfis Nehahspfshf;FfpwPh;fs;.

,g;jhUf;F ehk; ghtpf;ff; $ba czT tiffs;

nfhy];l;Nuhiy $l;LtNjhL> gfy; Neuj;jpy; tapw;nwhpr;ry;> Fkl;ly; Nghd;w gpur;rpidfis Vw;gLj;Jk;. mj;NjhL japhpy; nfhOg;G $Ljyhf ,Ug;gjhy; cly; gUkd; $b Neha;fSk; mjpfhpf;Fk;. ,jdhy; Nehd;gpd; gad; mw;Wg; NghFk;. r`h; Neuj;jpy; B> Nfhg;gp Nghd;wtw;iwAk; Fiwf;f Ntz;Lk;. Vnddpy;> ,jdhy; fhiy Neuj;jpy; rpWePh; fopf;Fk; tPjk; $Lk;.

Nehd;G jpwe;j gpd; my;yJ m]h; Neuk; Vw;gLk; jiytyp (MIGRAINE)

1. <r;rk;gok; 2-3 2. fQ;rp - 1 Nfhg;ig 3. njk;gpsp my;yJ gor;rhW- 1 Nfhg;ig 4. FRUIT SALAD- 1 Nfhg;ig

Nkyjpfkhfj; Njitg;gbd;: ,bag;gk;> NrhW my;yJ ghz; (rhjhuz msT rhg;gplyhk;)

juhtP`; njhOifapd; gpd; rhg;gpl Ntz;Lkh?

grp Vw;gbd; ,bag;gk;> NrhW my;yJ ghz; Nghd;wtw;iw rhg;gplyhk;. Mdhy; ,t;thW rhg;gpl;lhy; Nehd;Gf;Fk; kw;iwa ehl;fSf;Fk; tpj; j pahrkpy; i y. mt; t hW rhg; g pLtjhapd; nghhpay;fisj; jtph;j;Jf; nfhs;tJ kpfTk; rpwe;jJ. k];[pj;fspy; nfhLf;fg;gLk; rhg;ghLfs; (Kf;fpakhf 27k; ,uT) l gp]; f l; L fs; > S H O RT E ATS > Nff; Nghd;wtw;iwf; nfhLf;fhJ gotiffisf; nfhLg;gJ rpwe;jJ. l B my; y hky; gor; r hWfisf; nfhLf; f KbAkhapd; kpf ey;yJ. l NrhW nfhLf;Fk; NghJ gphpahzp> FRIED RICE Nghd;wtw;iwf; nfhLf;fhJ rhjhuz NrhW> fwp vd;gtw;iwf; nfhLf;fyhk;. ,ijj;jhd; vkf;F ,];yhk; nrhy;ypj; jUfpd;wJ. mjhtJ vspikahd tho;f;if thOq;fs; vd;Wk;> tapw;wpy; ⅓ gFjpf;F rhg;gpLkhWk;> ⅓ gFjpf;F jz;zPh; Fbf;fkhWk; ⅓ gFjpia ntWikahf itf;FkhWk; egp (]y;) mth;fs; $wpAs;shh;fs;.

r`h; rhg;ghL

r`h; rhg;ghL Rd;dj;jhFk;. Mdhy; nfhq;fphPl; NghLtJ Nghy gy;NtW tiffis Nrh;j;Jr; Nrh;j;J Fioj;J msTf;fjpfkhf rhg;gpLtJ ,];yhkpa Kiway;y. r`h; vd;gJ Fiwe;jsT rhg;gpLtjhFk;. vdNt r`h; Neuj;jpy; Fiwe;jsT rhg;gpl;L tpl;L> KbAkhd msT gotiffisAk;> jz;zPh; my;yJ gor;rhW Nghd;wtw;iwAk; mUe;j Kaw;rpf;f Ntz;Lk;. ehk; r`h; nra;ak; NghJ $Ljyhf nghhpay;fis cz;fpd;Nwhk;. ,J clYf;F ey;yjy;y. mj;NjhL $Ljyhf japh; rhg;gpLfpd;Nwhk;. ,J

rpyUf;F Nehd;G jpwe;jTld; my;yJ Nehd;G jpwf;f rpy kzpj;jpahyq;fSf;F Kd;dh; fLikahd jiytyp Vw;gl;L> the;jp Vw;gLk;. ,j;jiytyp rhjhuz kUe;Jfs; ghtpg;gjhy; Fiwa khl;lhJ. ,t;thwhdth;fs; nrhf;fNyl;> rP];> epyf;fliy Nghd;wtw;iw jtph;j;Jf; nfhs;s Ntz;Lk;. mj;NjhL ,j;jiytypia jtph;g;gjw;fhd kUe;J tiffis njhlh;r;rpahf ghtpg;gjd; %yk;> jiytypapd; jhf;fj;ij ngUksT Fiwf;fyhk;. jiytyp Vw; g l; l Tld; my; y J Nehd; G jpwe; j tld; khj;jpiufis vLg;gjd; %yk;> jiytypapd; jhf;fj;ij ngUksT Fiwf;fyhk;. vdpDk; ,t;thwhd jiytyp cs;sth;fs; fl;lhak; itj;jpanuhUthpd; MNyhridiag; ngw Ntz;Lk;. jiytypia mwNt fl;Lg;gLj;j Kbahjth;fSf;F Nehd;G gpbf;fhjpUf;f mDkjp cz;L.

fh;g;gpzpg; ngz;fs;

fh;g;gpzpg; ngz;fs; Nehd;G gpbf;f Ntz;Lnkd;w fl;lhak; ,y;iy. xt;nthU fh;g;gpzpg; ngz;Zk; ,t;tplaj;jpy; jdpj;jdpahf KbntLf;fyhk;. Kf;fpakhf Kjy; 3 khjq;fspy; Nehd;G gpbg;gJ f\;lkhf ,Uf;fyhk;. the;jp Nghjy;> rhg;gpl Kbahik> clypy; ePh; Fiwthf ,Uj;jy; Nghd;wtw;why; tsUk; Foe;ijf;F ghjpg;G Vw;glyhk; vd;w fhuzj;jhy; Kjy; 3 khjq;fspy; Nehd;G gpbf;fhjpUg;gJ rpwe;jJ. vdpDk; rpyUf;F ,t;thwhd fhyq;fspy; ve;jg; gpur;rpidAk; ,Uf;fhJ. mt;thwhdth;fs; Nehd;G gpbf;fyhk;. 3 khjq;fs; fope;j gpd;dh; xt;nthU jhAk; jdJ cly; epiy> tsUk; Foe;ijapd; epiy vd;gtw;iwg; nghWj;J Nehd;igj; jPh;khdpf;fyhk;. xU kfg;Ngw;W epGzhpd; MNyhrid ,q;F kpf Kf;fpak;. vdpDk; ,J gw;wp> khh;f;fg;gw;Ws;s K];ypk; kfg;Ngw;W itj;jpa epGzhplNk mwpTiu Nfl;f Ntz;Lk;. Foe;ij gpwf;f rpy fpoikfNs ,Uf;Fk; NghJk; Nehd;G gpbf;fhky; ,Ug;gJ rpwe;jJ.

cah; FUjpaKf;fk; kw;Wk; ,Uja Nehahspfs;

Nehd; G gpbg; g jpy; nghJthfg; gpur; r pid

-04-

Vw;gLtjpy;iy. kUe;J tiffis epWj;jf; $lhJ. ,uz;L Neuk; kUe;J ghtpg;gjhapd; r`h; NeuKk;> Nehd;G jpwe;J tpl;Lk; ghtpf;fyhk;. Mdhy; jw;NghJ $Ljyhd kUe; J tiffs; xNu Neuk; ghtpf; f f; $ ba tifapy; fpilf; f pd; w d. mt;thwhd kUe;JfSf;F khwpf;nfhz;lhy; Nehd;G Nehw;gJ kpfTk; ,yFthdJ. rpWePh; $Ljyhf fopf;ff;$ba LASIX (nyrpf;];) my;yJ HCT vdg;gLk; khj;jpiufisg; ghtpg;gjhapd; mtw;iw ]`h; Neuk; jhd; ghtpf;f Ntz;Lk;. vdpDk; $Ljyhf rpWeP h ; fopf; f Ntz; b a Njit Vw;gLtjhy; clypy; ePh; Fiwtilayhk;. vdNt itj;jpanuhUthpd; MNyhridg;gb kUe;Jfis rpwpJ khw;wp mikf;f Ntz;Lk;. ,Uja Nehahspfs; kUj;Jth;fsplk; fye;jhNyhrpj;j gpd;dNu Nehd;G gpbg;gjh? ,y;iyah? vd jPh;khdpf;f Ntz;Lk;. nghJthf xU rpyiuj; jtpu VidNahUf;F Nehd;G gpbf;fyhk;. Mdhy; khuilg;G Vw;gl;L my;yJ HEART FAILURE Vw;gl;L xU khjj;jpy; Nehd;G gpbf;fhky; ,Ug;gJ ey;yJ. mbf;fb neQ;R typ Vw;gLgth;fSk; Nehd;G gpbf;fhky; ,Ug;gJ ey;yJ.

M];Jkh> ,Og;G Neha;> ,isg;G Neha; (ASTHMA)

,e;Nehahspfs; rhpahd Kiwapy; kUe;Jfis ghtpg; g hh; f shapd; Nehia rpwe; j Kiwapy; fl;Lg;gLj;jyhk;. INHALERS fisr; rhpahd Kiwapy; ,uz;L Neuk; (r`h; NeuKk;> Nehd;G jpwf;Fk; NeuKk;) ghtpg;gjd; %yk; Nehd;igg; Ngzyhk; . vdpDk; Neha; fl; L g; g hl; b y; ,y;yhjth;fSf;F tpjptpyf;F cz;L.

fhf;if typg;G

KiwNa ,jw; F fhuzk; . rpy khw; W kj itj;jpah;fs; rpy Ntisfspy; Nehd;gpd; kfpikia tpsq;fhikapdhy; grpj;jpUg;gjhy;jhd; ,t;thW Vw;gLfpd;wJ. Nehd;G gpbf;fhjPh;fs; vdf;$Wfpd;whh;fs;. cz;ikapy; ehk; rhg;gpLk; krhyh> ciug;G> nghwpay;> nfhOg;G> rPdp tiffs; Nghd;witNa GASTRITIS Vw;gl Kf;fpa fhuzk;. ,t;thwhd Nehahspfs; rhpahd kUe;J tiffis ghtpj;Jf; nfhz;L Nehd;G gpbf;fyhk;.

thj Nehahspfs;

thj Nehahspfs; njhOk; NghJ Koq;fhiy kbj;J cl;fhh;tjpy; gpur;rpidfs; Vw;gLk;. mjpfk; ghjpf; f g; g l; l th; f s; fjpiuapy; cl; f hh; e ; J njhoyhk;. ,th;fs; Nehd;G gpbg;gjpy; vt;tpj gpur;rpidAkpy;iy.

Nehd;G fhyj;jpy; ePhpopT Neha;

nghJthf ePhpopT Nehahspfs; Nehd;G gpbf;fyhk;. vdpDk; xU rpyUf;F Nehd;G gpbf;Fk; NghJ rPdp kpfTk; Fiwtiljy; my;yJ jpBnudf; $Ljy; Nghd;w gpur;rpidfs; Vw;glyhk;. rfy ePhpopT NehahspfSk; Nehd;G njhlq;f Kd;dh; kUe;Jfs; vLf;Fk; Kiwapy; nfhQ;rk; khw;wq;fisr; nra;a Ntz;Lk;. mNj Nghy; Y`h; Neuk;> m]h; Neuk; Nghd;w Neuq;fspy; rPdpiar; Nrhjpj;Jg;ghh;j;J> mjw;Nfw;wthW r`h; Neuj;jpw;Fhpa kUe;Jfis khw;wpaikf;f Ntz;Lk;. mbf;fb rPdp Fiwe;J $lf;$ba Nehahspfs;> neQ;R typ Vw;glf;$bath;fs;> rpWePuf Neha; cs;sth;fs; Nghd;Nwhh; Nehd;G gpbf;fhJ ,Uf;fyhk;. vdpDk;> ,t;thwhd KbTfs; itj;jpaUld; kpfTk; njspthf fye;jhNyhrpj;j gpd;dh; vLf;fg;gl Ntz;bait.

Neha; rhpahd Kiwapy; fl;Lg;ghl;by; ,Ug;gpd; Nehd;G Nehw;fyhk;.

Nehd;G fhyj;jpy; vt;thW ele;J nfhs;s Ntz;Lk;?

Nf];l;hpf; vd;W ehk; ghtpg;gJ xU gpioahd trd eilahFk;. ,J Mq;fpyj;jpy; xU KO trdky;y. ,jd; mh;j;jk; “tapW rk;ge;jkhf” vd;gjhFk;. “nf];l;iub];” vd;gijNa ehk; “Nf];l;hpf;” vd $Wfpd;Nwhk;. vdpDk; vy;yh tapw;W vhpTk; nf];l;iub]; my;y. mj;Jld; ,e;Neha;f;F if> fhy; typNah> neQ;R typNah> jiy typNah> cly; vhpNth Vw;gl khl;lhJ. mg;gb Vw;gbd; mJ NtW Nehahf ,Uf;f Ntz;Lk;. gyh; neQ;nrhpT> tapw;nwhpT vd fhuzk; fhl;b> nf];l;hpf; vd;W $wp Nehd;G gpbf;f khl;lhh;fs;. ,J Nehd;ig tpLtjw;F ve;j tpjj;jpYk; xU fhuzkhf mika khl;lhJ. ehk; rhg;gplhky; ,Ug;gij tpl> vkJ rhg;ghl;L

gy ePhpopT NehahspfSf;F itj;jpah;fs; Nehd;G gpbf;f Ntz;lhk; vd;W $WtJz;L. Mdhy;> ePhpopT vd;gJ Nehd;G gpbf;fhky; ,Ug;gjw;fhd fhuzky;y. xU rpy Nehahspfisj; jtpu> nghJthf vy;yh ePhpopT NehahspfSk; Nehd;G gpbf;fyhk;. vdpDk; ePhpopT Nehahspfs; Nehd;G fhyj;jpy; jkJ kUe;JfisAk;> czT cz;Zk; KiwfisAk; khw;wpf;nfhs;s Ntz;Lk;. Nehd;G fhyj;jpy; rhjhuz ephpopT NehahspfSf;F Vw;glf;$ba gpur;rpidfs; vd;d? ,th;fsJ rPdp kUe;Jfshy; ed;whff; fl; L g; g Lj; j g; g l; b Ue; j hy; > Nehd; G gpbf; F k; fhyj;jpy;> gfy; my;yJ khiy NeukhFk; NghJ rPdp jpBnudf; Fiwtilayhk;. ,tw;iwr; rkhspf;f

“Nf];l;hpf;”

-05-


nra;ahjpUf;f Ntz;Lk;. mj;NjhL Vd; ,g;jhh; nra;fpNwhk; vd;gij kwe;J tplhjpUf;fTk; Ntz;Lk;. Nuhy;];> ngl;B]; Nghd;w Ml; n fhy; y pfis thq; f p itj; J kf; f is cgrhpf;fhjpUg;gJ ey;yJ. ,J Rd;dj;jhf mikAkh? vd;gJ re;NjfNk. Vnddpy;> ePq;fs; cq;fsJ tpUe;jhspfis Nehahspfshf;FfpwPh;fs;.

,g;jhUf;F ehk; ghtpf;ff; $ba czT tiffs;

nfhy];l;Nuhiy $l;LtNjhL> gfy; Neuj;jpy; tapw;nwhpr;ry;> Fkl;ly; Nghd;w gpur;rpidfis Vw;gLj;Jk;. mj;NjhL japhpy; nfhOg;G $Ljyhf ,Ug;gjhy; cly; gUkd; $b Neha;fSk; mjpfhpf;Fk;. ,jdhy; Nehd;gpd; gad; mw;Wg; NghFk;. r`h; Neuj;jpy; B> Nfhg;gp Nghd;wtw;iwAk; Fiwf;f Ntz;Lk;. Vnddpy;> ,jdhy; fhiy Neuj;jpy; rpWePh; fopf;Fk; tPjk; $Lk;.

Nehd;G jpwe;j gpd; my;yJ m]h; Neuk; Vw;gLk; jiytyp (MIGRAINE)

1. <r;rk;gok; 2-3 2. fQ;rp - 1 Nfhg;ig 3. njk;gpsp my;yJ gor;rhW- 1 Nfhg;ig 4. FRUIT SALAD- 1 Nfhg;ig

Nkyjpfkhfj; Njitg;gbd;: ,bag;gk;> NrhW my;yJ ghz; (rhjhuz msT rhg;gplyhk;)

juhtP`; njhOifapd; gpd; rhg;gpl Ntz;Lkh?

grp Vw;gbd; ,bag;gk;> NrhW my;yJ ghz; Nghd;wtw;iw rhg;gplyhk;. Mdhy; ,t;thW rhg;gpl;lhy; Nehd;Gf;Fk; kw;iwa ehl;fSf;Fk; tpj; j pahrkpy; i y. mt; t hW rhg; g pLtjhapd; nghhpay;fisj; jtph;j;Jf; nfhs;tJ kpfTk; rpwe;jJ. k];[pj;fspy; nfhLf;fg;gLk; rhg;ghLfs; (Kf;fpakhf 27k; ,uT) l gp]; f l; L fs; > S H O RT E ATS > Nff; Nghd;wtw;iwf; nfhLf;fhJ gotiffisf; nfhLg;gJ rpwe;jJ. l B my; y hky; gor; r hWfisf; nfhLf; f KbAkhapd; kpf ey;yJ. l NrhW nfhLf;Fk; NghJ gphpahzp> FRIED RICE Nghd;wtw;iwf; nfhLf;fhJ rhjhuz NrhW> fwp vd;gtw;iwf; nfhLf;fyhk;. ,ijj;jhd; vkf;F ,];yhk; nrhy;ypj; jUfpd;wJ. mjhtJ vspikahd tho;f;if thOq;fs; vd;Wk;> tapw;wpy; ⅓ gFjpf;F rhg;gpLkhWk;> ⅓ gFjpf;F jz;zPh; Fbf;fkhWk; ⅓ gFjpia ntWikahf itf;FkhWk; egp (]y;) mth;fs; $wpAs;shh;fs;.

r`h; rhg;ghL

r`h; rhg;ghL Rd;dj;jhFk;. Mdhy; nfhq;fphPl; NghLtJ Nghy gy;NtW tiffis Nrh;j;Jr; Nrh;j;J Fioj;J msTf;fjpfkhf rhg;gpLtJ ,];yhkpa Kiway;y. r`h; vd;gJ Fiwe;jsT rhg;gpLtjhFk;. vdNt r`h; Neuj;jpy; Fiwe;jsT rhg;gpl;L tpl;L> KbAkhd msT gotiffisAk;> jz;zPh; my;yJ gor;rhW Nghd;wtw;iwAk; mUe;j Kaw;rpf;f Ntz;Lk;. ehk; r`h; nra;ak; NghJ $Ljyhf nghhpay;fis cz;fpd;Nwhk;. ,J clYf;F ey;yjy;y. mj;NjhL $Ljyhf japh; rhg;gpLfpd;Nwhk;. ,J

rpyUf;F Nehd;G jpwe;jTld; my;yJ Nehd;G jpwf;f rpy kzpj;jpahyq;fSf;F Kd;dh; fLikahd jiytyp Vw;gl;L> the;jp Vw;gLk;. ,j;jiytyp rhjhuz kUe;Jfs; ghtpg;gjhy; Fiwa khl;lhJ. ,t;thwhdth;fs; nrhf;fNyl;> rP];> epyf;fliy Nghd;wtw;iw jtph;j;Jf; nfhs;s Ntz;Lk;. mj;NjhL ,j;jiytypia jtph;g;gjw;fhd kUe;J tiffis njhlh;r;rpahf ghtpg;gjd; %yk;> jiytypapd; jhf;fj;ij ngUksT Fiwf;fyhk;. jiytyp Vw; g l; l Tld; my; y J Nehd; G jpwe; j tld; khj;jpiufis vLg;gjd; %yk;> jiytypapd; jhf;fj;ij ngUksT Fiwf;fyhk;. vdpDk; ,t;thwhd jiytyp cs;sth;fs; fl;lhak; itj;jpanuhUthpd; MNyhridiag; ngw Ntz;Lk;. jiytypia mwNt fl;Lg;gLj;j Kbahjth;fSf;F Nehd;G gpbf;fhjpUf;f mDkjp cz;L.

fh;g;gpzpg; ngz;fs;

fh;g;gpzpg; ngz;fs; Nehd;G gpbf;f Ntz;Lnkd;w fl;lhak; ,y;iy. xt;nthU fh;g;gpzpg; ngz;Zk; ,t;tplaj;jpy; jdpj;jdpahf KbntLf;fyhk;. Kf;fpakhf Kjy; 3 khjq;fspy; Nehd;G gpbg;gJ f\;lkhf ,Uf;fyhk;. the;jp Nghjy;> rhg;gpl Kbahik> clypy; ePh; Fiwthf ,Uj;jy; Nghd;wtw;why; tsUk; Foe;ijf;F ghjpg;G Vw;glyhk; vd;w fhuzj;jhy; Kjy; 3 khjq;fspy; Nehd;G gpbf;fhjpUg;gJ rpwe;jJ. vdpDk; rpyUf;F ,t;thwhd fhyq;fspy; ve;jg; gpur;rpidAk; ,Uf;fhJ. mt;thwhdth;fs; Nehd;G gpbf;fyhk;. 3 khjq;fs; fope;j gpd;dh; xt;nthU jhAk; jdJ cly; epiy> tsUk; Foe;ijapd; epiy vd;gtw;iwg; nghWj;J Nehd;igj; jPh;khdpf;fyhk;. xU kfg;Ngw;W epGzhpd; MNyhrid ,q;F kpf Kf;fpak;. vdpDk; ,J gw;wp> khh;f;fg;gw;Ws;s K];ypk; kfg;Ngw;W itj;jpa epGzhplNk mwpTiu Nfl;f Ntz;Lk;. Foe;ij gpwf;f rpy fpoikfNs ,Uf;Fk; NghJk; Nehd;G gpbf;fhky; ,Ug;gJ rpwe;jJ.

cah; FUjpaKf;fk; kw;Wk; ,Uja Nehahspfs;

Nehd; G gpbg; g jpy; nghJthfg; gpur; r pid

-04-

Vw;gLtjpy;iy. kUe;J tiffis epWj;jf; $lhJ. ,uz;L Neuk; kUe;J ghtpg;gjhapd; r`h; NeuKk;> Nehd;G jpwe;J tpl;Lk; ghtpf;fyhk;. Mdhy; jw;NghJ $Ljyhd kUe; J tiffs; xNu Neuk; ghtpf; f f; $ ba tifapy; fpilf; f pd; w d. mt;thwhd kUe;JfSf;F khwpf;nfhz;lhy; Nehd;G Nehw;gJ kpfTk; ,yFthdJ. rpWePh; $Ljyhf fopf;ff;$ba LASIX (nyrpf;];) my;yJ HCT vdg;gLk; khj;jpiufisg; ghtpg;gjhapd; mtw;iw ]`h; Neuk; jhd; ghtpf;f Ntz;Lk;. vdpDk; $Ljyhf rpWeP h ; fopf; f Ntz; b a Njit Vw;gLtjhy; clypy; ePh; Fiwtilayhk;. vdNt itj;jpanuhUthpd; MNyhridg;gb kUe;Jfis rpwpJ khw;wp mikf;f Ntz;Lk;. ,Uja Nehahspfs; kUj;Jth;fsplk; fye;jhNyhrpj;j gpd;dNu Nehd;G gpbg;gjh? ,y;iyah? vd jPh;khdpf;f Ntz;Lk;. nghJthf xU rpyiuj; jtpu VidNahUf;F Nehd;G gpbf;fyhk;. Mdhy; khuilg;G Vw;gl;L my;yJ HEART FAILURE Vw;gl;L xU khjj;jpy; Nehd;G gpbf;fhky; ,Ug;gJ ey;yJ. mbf;fb neQ;R typ Vw;gLgth;fSk; Nehd;G gpbf;fhky; ,Ug;gJ ey;yJ.

M];Jkh> ,Og;G Neha;> ,isg;G Neha; (ASTHMA)

,e;Nehahspfs; rhpahd Kiwapy; kUe;Jfis ghtpg; g hh; f shapd; Nehia rpwe; j Kiwapy; fl;Lg;gLj;jyhk;. INHALERS fisr; rhpahd Kiwapy; ,uz;L Neuk; (r`h; NeuKk;> Nehd;G jpwf;Fk; NeuKk;) ghtpg;gjd; %yk; Nehd;igg; Ngzyhk; . vdpDk; Neha; fl; L g; g hl; b y; ,y;yhjth;fSf;F tpjptpyf;F cz;L.

fhf;if typg;G

KiwNa ,jw; F fhuzk; . rpy khw; W kj itj;jpah;fs; rpy Ntisfspy; Nehd;gpd; kfpikia tpsq;fhikapdhy; grpj;jpUg;gjhy;jhd; ,t;thW Vw;gLfpd;wJ. Nehd;G gpbf;fhjPh;fs; vdf;$Wfpd;whh;fs;. cz;ikapy; ehk; rhg;gpLk; krhyh> ciug;G> nghwpay;> nfhOg;G> rPdp tiffs; Nghd;witNa GASTRITIS Vw;gl Kf;fpa fhuzk;. ,t;thwhd Nehahspfs; rhpahd kUe;J tiffis ghtpj;Jf; nfhz;L Nehd;G gpbf;fyhk;.

thj Nehahspfs;

thj Nehahspfs; njhOk; NghJ Koq;fhiy kbj;J cl;fhh;tjpy; gpur;rpidfs; Vw;gLk;. mjpfk; ghjpf; f g; g l; l th; f s; fjpiuapy; cl; f hh; e ; J njhoyhk;. ,th;fs; Nehd;G gpbg;gjpy; vt;tpj gpur;rpidAkpy;iy.

Nehd;G fhyj;jpy; ePhpopT Neha;

nghJthf ePhpopT Nehahspfs; Nehd;G gpbf;fyhk;. vdpDk; xU rpyUf;F Nehd;G gpbf;Fk; NghJ rPdp kpfTk; Fiwtiljy; my;yJ jpBnudf; $Ljy; Nghd;w gpur;rpidfs; Vw;glyhk;. rfy ePhpopT NehahspfSk; Nehd;G njhlq;f Kd;dh; kUe;Jfs; vLf;Fk; Kiwapy; nfhQ;rk; khw;wq;fisr; nra;a Ntz;Lk;. mNj Nghy; Y`h; Neuk;> m]h; Neuk; Nghd;w Neuq;fspy; rPdpiar; Nrhjpj;Jg;ghh;j;J> mjw;Nfw;wthW r`h; Neuj;jpw;Fhpa kUe;Jfis khw;wpaikf;f Ntz;Lk;. mbf;fb rPdp Fiwe;J $lf;$ba Nehahspfs;> neQ;R typ Vw;glf;$bath;fs;> rpWePuf Neha; cs;sth;fs; Nghd;Nwhh; Nehd;G gpbf;fhJ ,Uf;fyhk;. vdpDk;> ,t;thwhd KbTfs; itj;jpaUld; kpfTk; njspthf fye;jhNyhrpj;j gpd;dh; vLf;fg;gl Ntz;bait.

Neha; rhpahd Kiwapy; fl;Lg;ghl;by; ,Ug;gpd; Nehd;G Nehw;fyhk;.

Nehd;G fhyj;jpy; vt;thW ele;J nfhs;s Ntz;Lk;?

Nf];l;hpf; vd;W ehk; ghtpg;gJ xU gpioahd trd eilahFk;. ,J Mq;fpyj;jpy; xU KO trdky;y. ,jd; mh;j;jk; “tapW rk;ge;jkhf” vd;gjhFk;. “nf];l;iub];” vd;gijNa ehk; “Nf];l;hpf;” vd $Wfpd;Nwhk;. vdpDk; vy;yh tapw;W vhpTk; nf];l;iub]; my;y. mj;Jld; ,e;Neha;f;F if> fhy; typNah> neQ;R typNah> jiy typNah> cly; vhpNth Vw;gl khl;lhJ. mg;gb Vw;gbd; mJ NtW Nehahf ,Uf;f Ntz;Lk;. gyh; neQ;nrhpT> tapw;nwhpT vd fhuzk; fhl;b> nf];l;hpf; vd;W $wp Nehd;G gpbf;f khl;lhh;fs;. ,J Nehd;ig tpLtjw;F ve;j tpjj;jpYk; xU fhuzkhf mika khl;lhJ. ehk; rhg;gplhky; ,Ug;gij tpl> vkJ rhg;ghl;L

gy ePhpopT NehahspfSf;F itj;jpah;fs; Nehd;G gpbf;f Ntz;lhk; vd;W $WtJz;L. Mdhy;> ePhpopT vd;gJ Nehd;G gpbf;fhky; ,Ug;gjw;fhd fhuzky;y. xU rpy Nehahspfisj; jtpu> nghJthf vy;yh ePhpopT NehahspfSk; Nehd;G gpbf;fyhk;. vdpDk; ePhpopT Nehahspfs; Nehd;G fhyj;jpy; jkJ kUe;JfisAk;> czT cz;Zk; KiwfisAk; khw;wpf;nfhs;s Ntz;Lk;. Nehd;G fhyj;jpy; rhjhuz ephpopT NehahspfSf;F Vw;glf;$ba gpur;rpidfs; vd;d? ,th;fsJ rPdp kUe;Jfshy; ed;whff; fl; L g; g Lj; j g; g l; b Ue; j hy; > Nehd; G gpbf; F k; fhyj;jpy;> gfy; my;yJ khiy NeukhFk; NghJ rPdp jpBnudf; Fiwtilayhk;. ,tw;iwr; rkhspf;f

“Nf];l;hpf;”

-05-


Ntz; L khapd; ehk; vkJ kUe; J fspy; rpy khw;wq;fisr; nra;a Ntz;Lk;. ,jw;F> itj;jpahpd; MNyhrid kpf Kf;fpak; vd;gij ftdj;jpy; nfhs;s Ntz;Lk;. 1. ]y;gida+hpah vdg;gLk; ladpy;> fpspgpi]l;> fpspf; y i]l; > (DIAMICRON, GLYZ MR, GLICLAZIDE) fpspkpg;gpiul; (GLIMIPRIDE) Nghd;w kUe;Jfis ghtpg;gjhapd; ,it fhiyapNyNa ghtpf;fg;gly; Ntz;Lk;. ,jw;fhd fhuzk;> Nehd;G my;yhj fhyq;fspy; ehk; fhiyapy; vOe;jTld; B Fbj;J tpl;L> fhiyr; rhg;ghl;il rhg;gpl;L tpl;L kUe;ijf; Fbg;Nghk;. gpd;dh; grpNaw;gl;lhy; ,d;Dk; VjhtJ rhg;gpLNthk;. mjd; gpd;dh; gfy; rhg; g hL> njhlh; e ; J khiy B> ,t; t hW ,ilf;fpil clk;Gf;F VjhtJ fpilj;Jf; nfhz;bUg;gjhy; rPdp Fiwe;J> mjdhy; ghjpg;G Vw;gl khl;lhJ. Mdhy; Nehd;G fhyj;jpy; ,t;thW nra;a KbahJ. vdNt ,t;thwhd kUe;Jfisg; ghtpg;Nghh; ,k;kUe;Jfis Nehd;G jpwf;Fk; Neuj;Jf;F khw;w Ntz;Lk;. mj;Jld; kUe;jpd; msit Fiwf;f Ntz;b Vw;glyhk;. r`h; NeuKk; rpwpa msT kUe; J Njitg; g lyhk; . rP d p Fiwtilayhk; vd;gjpy; vg;NghJNk ftdkhf ,Uf;f Ntz;Lk;. mt;thW FiwtilAk; mwpFwp Vw;gl;lhy; Nehd;ig tpl;L tpl;L rhg;gpl Ntz;Lk;. Kjy; 2, 3tJ Nehd;Gfspy; mbf;fb rPdpiar; Nrhjpj;J ehk; kUe;Jfis xOq;F gLj;jpf; nfhs;tJ kpf Kf;fpak;. cjhuzkhf gpd;tUk; tifapy; rPdpiag; ghpNrhjpf;fyhk;. Nehd;G jpwe;J 2 kzpj;jpahyj;jpy;> r`h Neuk;> Y`h; Neuk;> m]h; Neuk;. Y`h; my;yJ m]h; Neuk; rPdp FiwAkhapd;> r`h; Neu kUe;ijf; Fiwf;f Ntz;Lk; my;yJ r`h; Neu rhg;ghl;ilf; $l;l Ntz;Lk;. 2. nkl;Nghkpd; 3 Neuk; ghtpg;Nghh; rhjhuz nkl;NghkpDf;Fg; gjpyhf nkJthfj; njhopw;glf;$ba (24 kzp Neuk; njhopw;glf;$ba) nkl;Nghkpid xU Neuk; my;yJ 2 Neuk; ghtpf;fyhk;. xU Neuk; ghtpg;gjhapd; ,g;jhh; Neuk; kl;Lk; ghtpf;fyhk;. 2 Neuk; ghtpg;gjhapd; ,g;jhh; NeuKk; r`h; NeuKk; ghtpf;fyhk;. 3. gNahfpypl;lN]hd;: nghJthf ,k;kUe;J fhiyapNyNa ghtpf;fg;gLfpd;wJ. ,jid ,g;jhh; Neuj;Jf;F khw;wpf; nfhs;tJ ey;yJ.

,d;Rypd; vLg;gth;fs; vd;d nra;a Ntz;Lk;

1.

,d;Rypd; vLf;Fk; Nehahspfs; fl;lhak; Nehd;G gpbf;fj; njhlq;f Kd;dh; itj;jpaiur; re;jpj;J. ,d;Rypdpd; msitAk;> mjd; jd;ikiaAk; khw;wpf; nfhs;s Ntz;Lk;. ,y;yhtpl;lhy; jpBnud rPdp Fiwayhk;

2. rhjhuzkhf ehk; ghtpf;Fk; ,d;Rypd; msTfis

r`h; Neuj;jpy; Fiwf;f Ntz;Lk;. ,g;jhh; Neuj;jpy; $l;l Ntz;Lk;. 3. vdpDk; jw;NghJ kpfTk; Kd;Ndw;wfukhd Gjpa tifahd ,d;Rypd; tiffs; cs;sd. (cjhuzk;: LEVAMIR, LENTUS, NOVORAPID) ,tw;iwg; ghtpg;gjd; %yk; Nehd;G fhyj;jpy; rPdpiaf; fl;Lg;gLj;JtJ ,yFthf ,Uf;Fk;. vdpDk; ,it murhq;f itj;jparhiyfspy; fpilg;gjpy;iy. ,it kpfTk; tpiy $bait. ,tw;wpd; xU khjg; ghtidf;F Rkhh; 7500 &gh Kjy; 10,000 &gh tiu nrythFk;.

ePhpopT Nehahspfs; Nehd;G fhyj;jpy; vt;thW rhg;gpl Ntz;Lk;?

ehd; Vw;fdNt gyKiw “ept;]; tPt;” gj;jphpifapy; ePhpopT Neha;f;Fhpa rhg;ghl;L Kiwfisg; gw;wp vOjpapUe;Njd;. mf;fUj;Jf;fs; ,q;Fk; nghUe;Jk;. mjhtJ: 1. rPdpia ed;whf Fiwj;Jf; nfhs;Sq;fs;. Mdhy; xU rpwpa Njf;fuz;b rPdp my;yJ xU <r;rk;gok; my;yJ xU Jz;L fUg;gl;b guthapy;iy. 2. ehk; ghtpf;Fk; khg;nghUspd; msit Fiwj;Jf; nfhs;s Ntz;Lk;. khg;nghUs; vd;gJ mhprp> kh> Fuf;fd;> gaW> nfsg;gp> fpoq;F. gp];fl; tiffs; vy;yhk; (fphPk; fpNuf;fh;> Fuf;fd; fpNuf; f h; cl; g l). MfNt ehk; xU ehisf;Fr; rhg;gpLk; khg;nghUspd; msT vt;tsT vd;gJ jhd; kpfTk; Kf;fpak;. cjhuzkhf xUth; 100g rptg; g hprp rhg;gpLfpd;whh. ,d;ndhUth; 25g ed;F jPl;ba rk;gh rhg;gpLfpd;whh;. epr;rakhf ,e;j 25g rk; g h rhg; g pLfpd; w thpd; rP d p Fiwthf ,Uf;Fk;. 3. Nehd; G jpwf; F k; NghJ 1-2 <r; r k; g ok; rhg; g plyhk; . nfhQ; r k; gotiffisr; rhg;gplyhk;. mj;NjhL fQ;rp Fbf;fyhk;. Mdhy; Fiwthd Njq;fha;g; ghiy ghtpg;gJ ey;yJ. ,iwr;rpf;fQ;rpiaj; jtph;g;gJ kpfr; rpwe;jJ. SHORT EATS Kw;whf jtph;f;fg;gl Ntz;Lk;. 4. , b a g ; g k ; > n u h l ; b > N r h W N g h d ; w khg;gz;lq;fis cldbahf vLf;fhJ nfhQ;r Neuk; nrd;W rhg;gplyhk;. mjhtJ juhtP`; njhOifapd; gpd;dh; nfhQ;rk; rhg;gplyhk;. khg;nghUspd; msT kpfTk; Fiwthf ,Ug;gJ ey;yJ. (Rkhh; 50g khtpd; msT) 5. r`h; Neur;rhg;ghL: japiuj; jtph;j;Jf; nfhs;tJ ey;yJ. fhuzk;> ,J mjpfsT nfhOg;igAk;> nfhy];l;NuhiyAk; nfhz;lJ.

-06-

kw;iwa ehl;fis tplTk; $Ljyhf rhg;gpLfpd;Nwhk; Mdhy; ,uz;L Ntis khj;jpuk; jhd; rhg;gpLfpd;Nwhk; vd;W Vida r%fj;jpdhplk; nrhy;ypf; nfhs;fpd;Nwhk;. cz;ikahf Nehd;G fhyj;jpy; ehk; %d;W Neur; rhg;ghl;ilAk; tplf; $Ljyhf rhg;gpLfpd;Nwhk;. mNj Neuk; ePq;fs; xt;nthU tPl;bYk; nryit vLj;Jg; ghUq;fs;. rhjhuz xU khjr; nryit tplTk; gy klq;F mjpfkhf Nehd;G fhyj;jpy; nryT nra;fpd;Nwhk;. ,g;jhh; vd;w Rd;dj;ij ,d;W nghpanjhU tPz;tpuakhfTk;> Nehia cz;lhf;Fk; fhuzpahfTk; > gzf; f huh; f spd; Nghl; l h Nghl;bahfTk; khw;wpf; nfhz;Ls;Nshk;. ukohd; khjk; vd;gJ tPz; nryT nra;Ak; khjk; my;y. ,J ed;ik nra;Ak; khjk;. ed;nfhil nra;Ak; khjk;. cliyAk; cs;sj;ijAk; Rj;jk; nra;Ak; khjk;. Mdhy; ehk; rhg;ghLfisAk;> tPz;tpuaq;fisAk; $l;bf;nfhz;Nl Nghfpd;Nwhk;. ehk; ,];yhk; $wpa rhpahd jhj;ghpaq;fis filgpbf;fhikapdhy; ,d;W vkJ K];ypk; Ch;fspy; Neha;fspd; mjpfhpg;ig njspthf mtjhdpf;fyhk;. K];ypk; Ch;fspy; jhd; ePhpopT> cah;FUjpaKf;fk;> kdNeha;> khuilg;G> %l;L tpahjpfs;> clw;gUkd; Nghd;w Neha;fs; $Ljyhf fhzg;gLfpd;wd. K];ypk; NehahspfSf;F Nehd;G fhyj;jpy; jhd; $Ljyhf khuilg; G ( H E A RT ATTA C K ) Vw;gLfpd;wJ. vdNt ehk; kPyhj; tpohf;fspYk;> fl;Liug; Nghl;bfspYk; [_k;Mf;fspYk; $WtJ Nghy Nehd;G Nehw;gjhy; vkf;F kUj;Jt gyd; Vw;gLtjhfj; njhpatpy;iy. khwhf ghjpg;Gf;fs; Vw;gLfpd;wd? vd;w re;Njfk; vOfpd;wJ. vdNt ekJ Nehd;G fhy rhg;ghl;L KiwapYk; ghhpa gpio cs;sJ. ,t;thwhd xU gpioahd Kd;khjphpia ehk; mLj;j r%fj;jth;fSf;Ff; fhl;LtJ ey;yjy;y.

Nehd;G fhyj;jpy; czT vg;gb ,Uf;f Ntz;Lk;?

rhjhuz fhyj;jpy; vd;d rhg;gpLfpd;NwhNkh mijNa Nehd;G fhyj;jpYk; rhg;gpl Ntz;Lk;. Fiwthd nfhOg;G> Fiwthd ,iwr;rpfisAk;> $Ljyhd fha;fwp> gotiffisAk; rhg;gpl Ntz;Lk;. cg;G> nghhpay;> rPdp> Njq;fha;g;ghy; Nghd;wtw;iw Kbe;jsT Fiwj;Jf; nfhs;s Ntz;Lk;. mhprp tiffs; jPl;lhjjhf (mjhtJ ehl;lhprp) ,Ug;gJ kpfTk; ey;yJ. Mdhy; vkJ gof;fk; vd;dntdpy; Nehd;G fhyj;jpy; mjpfkhd nfhOg;G> vz;nza;> nghpay;> rPdp> jPl;ba mhprp vd;W clYf;Fg; ghjpg;ghd czTfisNa cz;Zfpd;Nwhk;. ,JNt Neha;fs; mjpfhpf;ff; fhuzkhFk;.

,g;jhh; (Nehd;G jpwj;jy;)

1. fQ;rp: Kbe;jsT Njq;fha;g;ghiy Fiwf;f Kaw;rp nra;Aq;fs;. 2. <r;rk; gok;: msNthL rhg;gpl;lhy; ey;yJ> msTf;fjpfkhf rhg;gplhjPh;fs;. 3. SHORT EATS: fl;yl;];> Nuhy;];> ngl;B];> til> r%rh ,it Ml;nfhy;ypfs;. Vnddpy;> SHORT EATS nghhpf;Fk; NghJ vz;nza; xU tpj er;Rj;jd;ikf;F cs;shfpd;wJ. ,ij ehk; TRANSFATTY ACID vd;W $WNthk;. ,J ,Ujak;> %is Nghd;w gFjpfspy FUjpf;Foha;fis milf;fr; nra;J khuilg;G (HEART ATTACK), ghhprthjk; (STROKE) Nghd;wtw;iw Vw;gLj;Jk;. mJkl;Lky;y Nuhy;];> r%rh rhg;gpLtjd; %yk; fpilf;Fk; rf;jp miug;gPq;fhd; Nrhw;Wf;Fr; rkdhdJ. xU r%rh %yk; fpilf;Fk; rf;jpia nrytopf; f ( 2 0 0 K I LO C A LO R I E S ) 2 0 uf;fmj;Jf;fs; juhtP`; njho Ntz;Lk; my;yJ 45 epkplk; elf;f Ntz;Lk;. ePq;fs; Nehd;G jpwe;J tpl;L 2-3 SHORT EATS rhg;gpl;lhy; ukohd; KbAk; NghJ cq;fs; clk;G $bapUf;Fk;. mNjNeuk;> cq;fspd; FLk;gj;jpy; xUtUf;fhtJ khuilg;G tUtjw;F re;jh;g;gk; cz;lhfpapUf;Fk;. 4. nkd; ghdq;fs;: njk;gpsp> gor;rhW> Nghd;witNa kpfr; rpwe;jit. ,tw;iwAk; rPdpapd;wpNa ghtpf;f Ntz;Lk;. ghOlh> I]; fphPk;> nraw;ifahd [_];fs;> nkd;ghdq;fs; (Soft Drinks) Nghd;wtw;iw jaT nra;J ghtpf;fhjPh;fs;. 5. gotiffs; : gotiffis jhuhskhf rhg;gpl;L tpl;L> khg;nghUl;fis Fiwthf rhg;gpLq;fs;. tapw;iw epiwg;gjw;F gotiffis ghtpAq;fs;. ,jdhy; Nehia Fiwf;fyhk;. vdpDk; vkJ Ch;fspy; Njitapy;yhj %l ek;gpf;iffs; fhzg;gLfpd;wd. R+L> Fsph;> tapw;iwf; fha;r;Rk; vd;W gy;NtWgl;l nra;jpfs; cyhTk;. xU Chpy; Fsph; vd;W nrhy;Yk; goj;ij kw;nwhU Chpy; R+L vd;W $Wth;. ,itnay;yhk; kdjpy; khj;jpuNk cs;sit. xU rpyUf;F xt;thik ,Uf;fyhk;. jha;f;F xt;thik ,Ug;gpd; kfSf;Fk; mNj xt;thik ,Uf;Fk; vd;W $w KbahJ. rpyh; gotiffis rhg;gpl Neu fhyk; ghh;g;gh;. mt;thW Neu fhyk; ghh;f;f Ntz;ba mtrpakpy;iy. 6. ,g;jhh; fspahl;lq;fs; - (IFTHAR EXTRAVAGANZA): ,g;jhh; vd;gJ egp (]y;) mth;fs; nfhQ;rk; <r;rk; gok;> jz;zPh; my;yJ nuhl;b %yk; Nehd;G jpwf;f itj;j xU Rd;dj;jhd fhhpak;. ,d;W ,g;jhh; nghpa tPz;tpuakhfTk;> murpay; thjpfspd; nfhz;lhl;lkhfTk; khwp> mLj;j r%fj;jth;fspd; tpohf;fisg; Nghy; khwp tUfpd;wJ. vdNt> ,g;jhhpd; NghJ ehk; tPz; tpuak;

-03-


Emex Publications 190/2/1, Market Complex, Akurana, Sri Lanka. Tel: 081-7201234 Fax: 081-2300055 e-mail: editor.nv@gmail.com

xU rpwpa ,ilNtisf;Fg; gpwF> Nehd;G fhy eilKiwfs; Fwpj;j vkJ ,ytr ntspaPl;by; cq;fis re;jpg;gjpy; kpf;f kfpo;r;rp. cq;fs; “ept;]; tPt;”; gj;jphpifia GJ nkUFld;> ntF tpiutpy; eilngwTs;s Xuhz;L epiwT tpoh Kjy;> cq;fs; iffspy; jtotpl cioj;Jf; nfhz;bUf;fpNwhk;. Gdpj ukohd; vk;ik te;jile;jpUf;fpwJ. ,k;khjj;ij tuNtw;fTk;> nfsutpf;fTk; gw;gy Vw; g hLfis nra; J tpl; N lhk; . nra; J

nfhz;LkpUf;fpNwhk;. mfKk; GwKk; vk;ik J}a;ikg; gLj;jp> vk;kpy; xl;L nkhj;jkhd gz;ghl;L khw;wj;ij Vw;gLj;j te;j ,e;j ukohdpy; ehk; mjpfkhf Gw Vw;ghLfspy; ftdj;ij Ftpg;gJ ftiyf;FhpaJ. Fwpg;ghf czT tplaj;jpy; gy;NtW tPz; tpuaq;fis ehk; nra;J nfhz;bUf;fpNwhk;. trjpAs;sth;fs; ukohid ,t;thW nfhz;lhLfpd;w Neuk; vk;NkhbUf;fpd;w vkJ Vior; rNfhjuh;fs; Nehd;Gr; nryTfis <L nra;J nfhs;s Kbahky; jpz;lhLfpd;wdh;. ,J ukohd; vjph;ghh;f;Fk; gz;ghly;y. vdNt ,J Fwpj;Jr; rpe;jpg;Nghk;. tPz; tpuaq;fisj; jtph;j;J ViofSf;F cjtpLNthk;.. jpdKk; grpapUg;gth;fs; ,iwtDf;fhf vd;W tpUg;gj;NjhL grpapUf;f tha;g;gspg;Nghk;. Vnddpy; kioapy; eidahjth;fs;jhd; kioia urpf;f KbtJ Nghy grp jPh;j;jth;fs;jhd; grpia nfhz;lhl KbAk;. midtUf;Fk; ukohd; fhPk;. (rq;if kpFe;j> jhuhsj; jd;ik kpifj;j Gdpj ukohd; midtUf;Fk; fpilf;fl;Lk;.)■

Dr. fkhy; V. eh]u;

msthf NrhW rhg;gpLq;fs;. miug; gPq;fhd; msT mj;NjhL fha;fwpfisr; $Ljyhf rhg;gpLq;fs;. nghhpf;fhj ,iwr;rpfis rhg;gplyhk;. ,iwr;rpapy; nfhOg; i g mfw; W tjw; F mjid mtpj; J jz;zPiu mfw;wp tpl;L rikf;fyhk;. kPd; rikg;gjhapDk; nghhpf;f Ntz;lhk;. gotiffs;: vy;yh tifahd goq;fSk; ey;yJ. nghpa mstpy; my;yhJ XusT rhg;gplyhk;.

vt;tpjkhd ePhpopT Nehahspfs; Nehd;G gpbf;ff; $lhJ? l mbf;fb rPdp Fiwaf;$bath;fs; l rpWePuf tpahjp cs;sth;fs; l mbf;fb neQ;R typ Vw;glf;$bath;fs; l fl;Lg;ghlw;w Heart Failure cs;sth;fs; Neuk;

ePhpopT Nehahspfs; Nehd;G gpbj;Jf; nfhz;L ,uj;jk; Fj;jp vLj;J Nrhjpg;gjhy; Nehd;G KwpAkh?

1. ]`h; Neuk; (Fasting)

Neha;f;F kUe;J nra;Ak; Nehf;fpy; nra;ag;gl;lhy; Nehd;G Kwpa khl;lhJ.

clw;gUkd; $Ljyhf ,Ug;gij ehafk; (]y;) mth;fs; tpUk;gtpy;iy vd;gij ,e;j `jP]; njspthf tpsf;Ffpd;wJ. ]<j; (uyp) mth;fs; $wpdhh;fs;> my;yh`;tpw;fhf Kjy; mk;ig va;j mwgp ehdhNtd;. cznthd;Wk; ,y;yhj epiyapy; ehk; my;yh`;tpd; ghijapy; Nghhpl;Nlhk;. vkf;F czthf fpilj;jJ `_g;yh> FKf; kuq;fspd; ,iyfNs. ,jd; fhuzkhf vq;fs; kyk; nrk;kwp Ml;bd; fopit xj;jjhf ,Ue;jJ. (G`hhp gf;-460) NkYk; egp (]y;) mth;fs; $wpajhf ]`P`; Gfhhpapy; (5120k; gf; f j; j py; ) gpd; t UkhW $wg;gl;Ls;sJ. “<khd; cs;sth; xU FlysNt Fbg;ghh;. Mdhy; fhgph;fspy; xUth; VO FlysT Fbg;ghh;” ,tw;iw mtjhdpf;Fk; NghJ ,];yhk mjpf czT cl;nfhs;tij tpUk;gtpy;iy vd;gJ njspthfpwJ. mf; f hy kf; f s; tho; t jw; f hf rhg;gpl;lhh;fNs jtpu rhg;gpLtjw;fhf thotpy;iy. mth;fs; grpNahL Aj;jk; nra;jhh;fs;. Mdhy; ahUk; rhg;gplhky; ,Ue;J vdf;F “Nf];l;hpf;” Vw;gl;L tpl;lJ vd;W nrhy;ytpy;iy. cz;ikapy; ,d;W vkf;F “GASTRITIS” vdg;gLk; tapw;W vhpT Vw;glf;fhuzk; ehk; tpjk; tpjkhd nghhpay;fisAk;> krhyh J}s;fisAk;> vz;nza; tiffisAk; rhg;gpLtNj MFk;. jw;fhyj;jpy; ehk; Nehd;G Nehw;fpd;Nwhk; vd;W

Nehd;G fhyj;jpy; ,uj;jj;jpy; rPdpapd; msT vt;thW ,Uf;f Ntz;Lk;?

Xt;nthU NehahspAk; FOf;Nfh kPl;lh; xd;iw itj;jpUg;gJ ey;yJ. ,Uf;f Ntz;ba rPdpapd; msT Nehahspapd; taijAk; Neuj;ijak; nghUj;J khWgLk;.

-02-

- FWq;fij ●

v]; vr; vk; ek;]PH

rpW J}f;fk; fiye;J> Nrhk;gy; Kwpj;j mkPh; ehdh Rth;f;fbfhuj;ij tpiuj;Jg; ghh;f;fpd;whh;. kzp %d;wiu jhz;bapUe;jJ… VNjh rpe;jidapy; [d;dy; Nfh;bid tpyf;fp ghijia Nehf;Ffpwhh;… me;j xw;iwabg; ghijapy; kdpjf; Fk; g nyhd; W nkha; j ; j pUf; f pd; w J … vl; b g; ghh;g;gJk;> tpyfpr; nry;tJk; rw;W tpj;jpahrkhd xU fhl;rp... Mapuk; epidtiyfs; Nkhj $l;lj;jpy; jhDk; xU mq;fj;jtdhf ,ize;J nfhs;tjw;F Ntfkhfr; nrd;whh; mkPh; ehdh. nfhQ;rk; top tpLq;f… fhj;J mbq;f… jz;zp njspq;f… $l;lj;jpid newpg;gLj;jpa xUthpd; topfhl;ly; ,J! $l;lj;jpw;Fy; M[uhd mkPh; ehdh fz;l fhl;rp… rhTf;Fk;> tho;Tf;Fk; ,ilapyhd Nghuhl;lj;jpy; xU kdpjd;. ghtk;… cly; tuz;L> tpop jpuz;L euk;Gfs; Njhypd; NkNy gbe;J tWikapd; milahsj;ij mq;Fyk; mq;Fykhf ,dq;fhl;baJ… kaf;fk; njspe;j me;j kdpjH mire;J vOe;J cl;fhu xU Nghuhl;lNk elj;jpdhH. Mkhk;> mth; tpahghu epkpj;jkhf CUf;Fs; te;jtH. mtUf;F mUfpy; ,U igfs; epiwa Jzpfs; . .. mitfisj; J}f;fp J}f;fpNa mthpd; iffspd;

90mg-126mg 100mg-140mg

2. Nehd;G jpwe;J 2kzp Neuk; 90mg-140mg 110mg-180mg fopj;J

3. Y`h; Neuk;

90mg-140mg 110mg-180mg

4. m]h; Neuk;

90mg-140mg 110mg-180mg

ePhpopT Nehahspfs; Nehd;G fhyj;jpy; ,uj;jk; Nrhjpf;f Ntz;ba Neuq;fSk;> me;Neuq;fspy; ,Uf;f Ntz;ba msTfSk; ,t;tl;ltidapy; jug;gl;Ls;sJ.

MBBS, MD, PGA (UK), MRCP(UK), MRCPS (Glasg) rh;thq;f itj;jpa epGzh;> Nghjdh itj;jparhiy - Nguhnjdpa

Nehd;G vd;gJ ,U gf;fq;fisf; nfhz;lJ. Xd;W Md;kPfk; kw;iwaJ clyhNuhf;fpak;. Nehd;G njhlq;Fk; NghJ ehk; njhOif> Fh;Md; XJjy; Nghd;w mky;fspy; jPtpukhf <LgLfpd;Nwhk;. ,t; t hwhd Md; k P f MNuhf; f pak; Nghd; N w clyhNuhf;fpak; Fwpj;Jk; ,];yhk; ftdk; nrYj;Jfpd;wJ. mjdhy;jhd; my;Fh;MdpYk;> `jP]pYk; Fiwthf rhg;gpLtJ gw;wpAk;> msthfj; J}q;FtJ gw;wpAk; gy ,lq;fspy; $wg;gl;Ls;sJ. vdpDk;> ,d;iwa K];ypk; rKjhak; ve;jf; fl;Lg;ghLkpd;wp rhg;gpl;L tpl;L> Ntiy nra;ahJ epj;jpiu nfhz;L vOe;J Nehd;G jpwe;J tpl;L mky; nra;J tpl;ljhf fUJfpd;wJ. ,d;W cyfpNyNa kpfTk; cly; gUkd; $ba rKjhakhf ehk; fhzg;gLfpd;Nwhk;. rhg;ghl;ilNa vjph;ghh;j;J tho;e;J nfhz;bUf;fpNwhk;. Nehd;G Muk;gpg;gjw;F Kd;dNu xU khjj;jpw;Fj; Njitahd czTg; nghUl; f is Nrfhpf; f j; njhlq; F fpd; N whk; . gpd;tUk; `jP];fis mtjhdpj;jhy; ,it Kw;wpYk; ,];yhj;jpw;F mg;ghw;gl;lit vd tpsq;fpf; nfhs;syhk;. “cq;fSf;Fg; gpd; tuf;$bath;fs; Neh;ikaw;wth;fshfTk;> ek;gfj;jd;ik mw;wth;fshfTk;> rhl;rpakspf;ff; Nfl;Lf;nfhs;shj NghjpYk; rhl;rpak; mspg;gth;fshfTk; ,Ug;ghh;fs;. mth;fSf;fpilapy; nfhOg;Gk; clw;gUkDk; $bath;fs; mjpfkhf ,Ug;ghh;fs;” (]`P`{y; G`hhp -gf;fk; 819)

60 taJf;F 60 taJf;F fPo; Nky;

Nuiffs; rpwpJ mope;jpUe;jd… ghtk;… fhiy Kjy; khiy tiu Ch; KOtJk; mioe;J jphpe;Jk; xU nghUNsDk; tpw;ftpy;iy. fLk; grpAk; > tP l ; b Ys; s Foe; i jfspd; grpNghf;FtJ vt;thW? vd;w rpe;jidANk mth; kaq;fp tpof;fhuzkhapd… mse;J mse;J Ngrpa me;j kdpjhpd; thh;j;ijfs; ,Wfpg;NghdJ… X ,iwth … cs; s j; j pd; Moj; j pypUe; J ntspg;gl;l ngU%r;R mkPh; ehdhtplkpUe;J tpilngw;wJ. *** ek;kpy; rpyhpd; tPLfs; tpz;zpNy CQ;ryhLfpd;wd… tho;tjw;Fj; Njitahd mstpid fl;bf;nfhz;L kPjKs;sijf; nfhz;L Vio vspath;fSf;Fj; njhopy; tha;g;Gf;fis Vw;gLj;jpf; nfhLf;fyhky;yth? njhg;ig tsh;j;Jf;nfhz;L “Rfh; Ng\d;l;” vDk; nfhypgpNf\d; Njbf; n fhz; l ijj; jtpu jpl;lkpl;L nra;j fhhpak; FiwT. xU fpuhkj;jpd; miuthrpf; F Mfhuk; nfhLf; f KbAkhd gzj; i jf; nfhz; L ehk; xU thfdk; khw;wpf;nfhs;fpNwhk;> Mil khw;wpf;nfhs;tJ Nghy;. Mfhaj;ij njhl;Lg; gpbf;Fk; Mirapy; miu tapW md; d jhdk; ,y; y hjth; f is kwe; j tpLgth;fs; ek;kpy; mjpfk; Ngh;. Nehd;Gg; ngUehs;… tUlj;Jf;F tUlk; GJg;GJ ehkk; #b vj;jid vj;jid Mil Mguzq;fs;> ,itfis thq;Ftjw;F nfhl;Lk; gdp $l vkf;F FspHtjpy;iy…

-07-


Viofspd; fz;zPiuj; Jilf;f xU iff;Fl;ilahtJ thq;fpf; nfhs;s trajpaw;w FLk;gq;fs; vj;jid vd;gij vz;zpg;ghh;g;gJz;lh? “]`h;” rhg;ghL mjpfhpj;Jtpl;lJ vd tapw;wpy; ifapdhy; giw mbj;J mwpKfg;gLj;Jk; vk;kpy;> Viofspd; tapW cztpd;wp vhpAk; ,iur;ry; Nfl;fhky; NghfpwNj... vkJ “,g;jhh;” $l ,d;W Mlk;gukakhfp tpl;lJ… vj;jid Mapuk; &gha;fs;… xU ,g;jhhpdhy; Nehd;G KOtJk; xU FLk;gj;jpw;Nf tho;e;J tplyhk;. *** ah my;yh`;… tpOe;j kdpjhpd; ,iuQ;rpa Fuy; Nfl;L rpe;jid fiye;jhh; mkPh; ehdh. tw;wp> tbtk; ,oe;J> xl;ba clk;ig nkJthfj; J}f;fp vOe;jhh; me;j kdpjh;. 20 taJf;F Nkw;gl;l ,U FkUg; gps;isfslq;fshf ehd;F ngz; gps; i sfs; . ,th; g Lk; f\; l q; f is ngUk; kiyfshfNt tpghpj;jhh;. xd;Wf;F Nky; gy `[;[_fis nra;gth;fSk; ,J gw;wp rpe;jpf;f Ntz;Lk;… ehk; jq;ff;Fil gpbf;f

epidf;fpd;Nwhk;> vk;kpy; vj;jid Ngh; jhio kuk; $l ,y;yhky; cs;sdh;. kaq;fp tpOe;j kdpjhpd; fz;fspypUe;J tpOk; fz;zPhpy; kiy $l fiue;J tpLk; Nghy; ,Ue;jJ… jdJ Ra rhpijiaj; njhlh;e;jhh;. mtuJ ngU%r;rpy; gy rpfuq;fs; efh;e;jd… $b ,Ue;jth;fs; gyh; nkJthf efu Muk;gpj;jhh;fs;. ,d;Dk; rpyh; gj;J> ,UgJ> Ik;gJ vd;W tpOe;jthpd; rl;ilg; igapy; jpzpj;J kiyia Gul;ba jpUg;jpapy; jpUk;gpdh;. ej;ij Rke;J tUk; ePiuf; nfhz;L ngUk; jPia mizf;f kbAkh? xU KbTld; mkPh; ehdh tpOe;jtiu mioj;J> mizj;Jf; nfhz;L mq;fpUe;J efh;e;jhh;. mkPh; ehdhtpd; KbT vd;dNth! ek; r%fj;jpy; ,d;Dk; ,d;Dk; tpOe;j nfhz;Nl ,Ug;ghh;fs;... tpo Kd;Ng mth;fspd; mbg;gilg; gpur;rpidfis ,dq;fz;L J}f;fp epWj;jhtpl;lhy; r%fNk tpOe;J tpLk;... Vnddpy;> ehKk; r%fj;jpd; xU mq;fk;jhd;.■

Waragashinna (Thelumbugahawatta Junction) Akurana

Published by EMEX Publications, 190/2/1, Second Floor, Market Complex, Akurana. Printed @ Wings Graphics, 262 A, Kandy Road, Galhinna.

Mf];l; 2009

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Ramazan_Free_Issue(நோன்பு காலத்தில் அதிகம் உண்ணாதீர்கள்! வீண்விரயம் செய்யாதீர்கள்!!)  

நோன்பு காலத்தில் அதிகம் உண்ணாதீர்கள்! வீண்விரயம் செய்யாதீர்கள்!! Dr. Kamal A. Naser MBBS, MD, PGA (UK), MRCP(UK), MRCPS (Glasg)