Doctor Magazine April 2017

magazine Doctor The Premier Bilingual Health Magazine in Sri Lanka Volume 23 • April 2017

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Women's World

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w¿;a nndf.a u<my fld< mdghs hy.=K we;s WoEik wdydrh orejdf.a ksfrda.S nfõ mokuhs

Let’s talk about MSG What you need to know about your child with asthma ISBN-1391 1341

9 7 7 13 91 13 400 1

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Executive Health Screening

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• mQ¾K reêr mÍlaIKh Full Blood Count • reêr wjidok fõ. mÍlaIKh ESR • ksrdydr reêr mÍlaIKh Fasting Blood Sugar • wdydr .ekSfuka miq mÍlaIKh Postprandial Blood Sugar • iïmQ¾K fïo mÍlaIKh Lipid Profile • wlaud mÍlaIKh SGOT • wlaud mÍlaIKh SGPT • we,al,hska fmdiamfÜia w.hka jeäùfï fya;= fiùu Gamma GT • reêr.; mQ¾K fm%daàka mÍlaIKh T. Protein • we,al,hska fmdiamfÜia mÍlaIKh Alkaline Phosphatase • jl=.vq mÍlaIKh S. Creatinine • uq;%d hQßhd mÍlaIKh Blood Urea • hQßla wï, mÍlaIKh Uric Acid • ;hsfrdhsâ mÍlaIKhTSH • uq;%d mQ¾K mÍlaIKh Urine Full Report • BiScS mÍlaIKh ECG • YÍr ialkaO o¾Ylh uek ne,Su Body Mass Index • ÿr fmkSu - oDIAÀ mÍlaIKh Distant Vision • mQ¾j frda. iïnkaO f;dr;=re ,nd.ekSu" frda. mÍlaId yd ffjoH m%;sM< iudf,dapkh ffjoH mrSlaIK i|yd úuiSï Asiri Surigcial Hospital PLC – Wellness Center General Line : 4524400 Ext: 2603 Direct Lines : 4524431 & 4524433 Asiri Central Hospital - Wellness Center General Line : 4665500 Ext: 5150 & 5151 Direct Lines : 4524431 & 4524433

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wdisß fikag%,a fydiamsÜ,a 14" fkdßia lek,a mdr" fld<U 10 Fax No. 0114 665544 www.asirihealth.com April 2017

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CONTENTS

APR' 2017 Volume 23 • Issue 04

fi!LH" fmdaIK yd foaYSh ffjoH wud;HxYfha mqj;a irKsh 8

bmerKs fy< wdydr rgdj fj; kej; fhduq fjkak 40

Tng;a .|" iqj| oefkkafka ke;skï l< hq;af;a fï Wmfoia ms<smeoSuh 10

Tfí mjqf,a idudcslhkag;a wmg;a Tn rgla jákjd''' úOdhl ks,Odßka i|yd ffjoH mÍlaIK 46

ldg;a l< yels''' ljqre;a leu;s''' f,dalfha fyd|u jHdhduh weúoSuhs 14

nqlsfha frday,a l;d''' 45

New Trends in Cardio Drugs in Sri Lanka 20

orejd ffjoHjrfhl= fj; /f.k hk úg''''' 63

rd.u n%jqkaia frday, iqúfYaIS jl=.vq m%;sldr tallhla ia:dms; lrhs 24

isref¾ wk;=re yÕjk k,dj - jid 66 w¿;a nndf.a u<my fld< mdghs 68

2017 wfm%, a a7 f,dal fi!LH oskh wms úIdoh .ek l;dnyl fhfouq''' 28

World Hearing Day 03 March 2017 52

m%;f s rdaë msIg a hfmdaIKfõoSkf a .a wjOdkhg ,lafõ 32

hy.=K we;s WoEik wdydrh orejdf.a ksfrda.S nfõ mokuhs 54

Let’s talk about MSG 36

fnda fkdjk frda. j,ska ñfokakg jev wdrïN lrkak ´ks orejd Wmoskak;a l,ska''' 58

uõlsß oSu id¾:l lr.ekSug .; hq;= mshjr 70 ì<sª fmlKshg lrk id;a;= imamdhï 72 wdndê; orejl= isák ujqmshjreka uqyqK fok wNsfhda. 74 What you need to know about your child with asthma 80 ore iïm;a j,g ndOd f.k fok mqreI fodaI 84

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April 2017

DOCTOR MAGAZINE

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orejl= y~kúg foujqmshka yskefyk tlu fudfyd; ore Wm;hs' ta iskyj Tng ,.dlr fokakg khskafj,aia *¾á,sá fikag¾ iQodkï' w;sYh kùk ffjoH l%u j, wkqyi yd uqiqjqKq wmf.a w;s olaI fjo" fyo uvq,af,a w;aoelSï ksidfjka W;=ï jQ ujq msh moúhg m;a oyia .Kklf.a iskyj wmg wdvïnrhla'

m<uq mßlaIdj fkdñf,a

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CONTENTS

APR' 2017 Volume 23 • Issue 04

orefjla .íid jqfkd;a wdfh;a orefjla .ek ys;kak fldhs;rï ld,hla ´kso'''@ 92

,iaik fjkak ndysr w,xldrh .ek ú;rla ie<ls<su;aùu m%udKj;a kE''' 114

bisjr .=K fok w;a fnfy;a 127 kS,ïuyr mdrïmßl udkisl frda. fjolu ufkda frda. iqj lrk wfma fjolu 128 Wor uÜgq .%Ska y¾n,a fïo yrK pQ¾Kh 132 Pka:d.dr yd pxluk fyj;a iamd iy iaàï nd;a Ndú;fha b;sydih 134 úI kdIKfha ksoka jÿ,''' lrmsxpd 138

mshhqre bj;a l<;a ta jf.au w¿;a mshhqre oeka ilia lrkak mq¿jka 94

How to Prevent Premature Ageing 118

yefudagu ysirohla jQ ysiroh 141

ksfrda.S ore Wm;lg fmr iQodku 96 ,sx.slj ;Dma;su;a Ndjhg m;aùug wehg ksi`.fhkau Wreu ldhsl ieleiaula 100 flaY l<HdKsh j¾Okh jk yeá iy flia l<Ug we;s jk ;¾ck 104

iqmsß nj ;yjqre lr .kak oshjeähdj mrojkak 122

iquqÿ iqisksÿ iul wreuh''' fhdjqka oshKshf.a" os.eishf.a iu iqkaor;ajh Tma kxjd .ekSug Wmfoia 108

Aging with Hope jhi ye;a;Efjka miqj f.fjk l,oji''' 124

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April 2017

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EDITOR'S fi!LH wOHdmk ld¾hdxYfha f.!rjKSh cd;sl fufyjr óg oYl lsysmhlg fmr wfmaa .ï okõj,g t<efUk úfYaI oskhla fjhs' ta zziekaáfndaâ uy;a;hdZZ .ug meñfKk oskhhs' iekaáfndaâ uy;a;hdg .fï ;snqfKa f.!rjh uqiq nh mlaImd;S njls' Tyq mKq fnfy;a fohs' tkak;a ,nd fohs' jeisls,s ke;s f.j,a j,g jeisls,shla ;kd.ekSfï jeo.;alu .ek lshd fohs' ldls ks, lndhlska ieriS tk iekaáfndaâ uy;a;hd tosk we|sß jefgk;=re .; lrkafka .fïh' fkdñ,fha zziem;ZZ i`.rdjlao .ïjeishka w;r fnodyßk w;r tys fndfyda jákd iqj Wmfoia wka;¾.;h' ? we|sß jeàf.k tk fj,djg ojfia l+gm%dma;sh meñfKhs' ì;a;shlg w,a,k iqÿ ;srhla u; Ñ;%máhla fmkajhs' ;srfha úl=ï mdkafka ÿmam;a ñksiaiqh' t<smy<sfha u<my lrk orejdf.a uqyqK nUhla ;rïh' Tyqf.a wfOdauqLfhka isß isß .d jefgk mKqfjla w;l m%udKh fjhs'''' ta bosßm;a lrkafka zzmKq wudre .ek'''ZZ jákd Wmfoia uqiq l< iskud máhls' zzle<e WKZZ hkqfjka ye|skajqKQ uef,aßhd jix.;h .ek" mdpkh .ek'''tkak;a lsÍfï jeo.;alu .ek''' jeisls,shla wjYH jkafka wehs @ hk ldrKh .ek fï wdoS jYfhka tl, ck;djg hym;a iqj isß;a yqre lrkakg zziekaáfndaâ uy;a;hdZZ yryd tl, fi!LH wêldßka ÿka mKsúv fõ.fhka ck;dj .%yKh lr.;af;ah' tl, fld¿ l=reÜgka f,i je/ye,s weªï we|f.k fï jevigyka j,g l%shdYS,Sj iyNd.s jQ ck;dj ;j;a ld,hla hk úg wfma rg zzl,dmfha úYsIAG;u fi!LH o¾Yl mj;akd rgZZ hk f.!rjdorh ,la forKg ,nd fokakg uq,a jQfhah' fï mQ¾úldj wm bosßm;a lrkafka fï rfÜ ck;djf.a iqj iïm;g iqúfYaIS odhl;ajhla olajk

NOTE wdh;khla ms<sn|j woyila iudc.; lsÍugh' wo fi!LH wOHdmk ld¾hdxYh hkqfjka ye|skafjk wdh;kh miq.sh 1950-60 oYlfha''' fï rfÜ fi!LH wOHdmkfha iqyqUq,a wjia:dfõ m%n, fi!LH mKsúv ck.; lsÍug uq,a jQ wdh;khhs' fi!LH wOHdmk ks,Odßkaf.a mßmd,k YlH;djfhka uq,a ld,fha fi!LH fomd¾;fïka;=fõ uyck fi!LH wxYfha l=vd tallhla jYfhka l%shd;aul jQ wfma fi!LH wOHdmk fiajdj l%ñl oshqKQjla Tiafia wo we;s ;;a;ajhg m;aj ;sfí' uyck fi!LH mÍlaIljrfhl= hgf;a osia;%sla fi!LH wOHdmk tall l%shd;aul ùu" iyldr wOHlaIjrfhl= hg;g wdh;kh m;aùu" f,dal fi!LH ixúOdkfha wdOdr hgf;a ld¾hdxYhla njg m;aùu jYfhka wdh;ksl fjkialï isÿ fj;aoS ta yd iu.dój ck;dj oeKQj;a lsÍfï jevigykao jeä oshqKQ jkakg úh' wo jk úg fi!LH wOHdmk ld¾hdxYh fi!LH wud;HxYfha wOHdmk yd m%pdr wOHlaIjrfhl= hgf;a m%cd ldhsl ffjoH" m%cd Yd,l ffjoH" ffjoHjreka" oka; ffjoHjreka" fi!LH wOHdmk ks,Odßka we;=¿j mQ¾K ld¾h uKav,hlska iukaú; ck;dj iqj ixfõoS lsÍfï úYd, fufyjrlg Wrfok wdh;khla njg m;aj ;sfí' m%cd fi!LH" mdie,a fi!LH" wdfrda.

HYd,d fi!LH wOHdmk" m¾fhaIK yd we.hSï" mqyqKq lsÍï''' wdoS wxY .Kkdjlska iukaú; j;auka fi!LH wOHdmk ld¾hdxYh udOH yryd úúO fi!LH mKsúv ixksfkAokfhys,d iqúfYAIS jevigyka ksn|j l%shd;aul lrhs' fnda fkdjk frda." l,ska l, u;=fjk fi!LH ;¾ck" úúO ld,Sk wjYH;d fukau úfYaIs; tall yd ine|S úúO oeKQj;a lsÍfï jevigyka j, fhoSu" ld¾h uKav, i|yd mqyqKQ lsÍï" udOHfõoSka i|yd mj;ajk iïuka;%k" zziqjießhZZ fi!LH f;dr;=re fjí wvúh fukau úfYaI ÿrl:k" ialhsma mKsúv fiajdj wdoS jYfhka úúOdx.SlD; wxY Tiafia fi!LH wOHdmk ld¾hdxYh j¾;udkfhys fï rfÜ ck;dj fj; fi!LH oeKQu ,ndoSug orK W;aidyh m%YxikSh fõ' fi!LH wOHdmk ld¾hdxYhg ld¾hY+r" mßK;" ienE iqj ixfõoS oelaulska hq;a wNskjfhka wOHlaIjßhl m;aj isák fï fudfydf;a kj udkhka Tiafia ck;dj fj; jvd;a ks¾udKYS,S f,i iqj iïmf;ys mKsúvh ixksfõokh lsÍug yels fõjdh hkak wmf.a me;=uhs'

Bharata Gunathilaka - Editor in Chief doctormagazine.lk@gmail.com bharata.gunathilaka@gmail.com

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The Premier Health Magazine in Sri Lanka Volume 23 â&#x20AC;˘ Issue 04, April 2017

EDITOR IN - CHIEF Bharata Gunathilaka FOUNDER EDITORIAL CONSULTANT Late. K.M. Gunathilaka MANAGING EDITOR Amitha Wickramarachchi FEATURE ASSOCIATES Dr. Roshan Zerideen Zaid Consultant Obstetrician Gynaecologist

Dr Chandana Sri Kanakaratna Geriatrician, Physician

Dr. Asanga Wijayaratne Specialist in Human Kinetics and Sports Medical Science

Dr Palitha Bandara Subasingha Dr Nalaka Ranasingha Dr Janaka Premathilaka Dr Devinda Dayarathna Mr Sanjaya De Silva Mr S M D Senevirathna CREATIVE PRODUCTION AD-MIRE Creative WEB ADMINISTRATOR Dumindu Dissanayake PRINTING/CIRCULATION Imashi Printers, #96A, Wanatha Road, Gangodawila, Nugegoda.

WAIDYAWARAYA Doctor Magazine is a intellectual property of Healthwatch Publications Viharakele, Diyatalawa.

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Akkaraipaththu Akurana Aluthgama Ambalangoda2 Ambalanthota Ampara Anuradhapura Attidiya Avissawella Badulla Balangoda Battaramulla Batticaloa Batticaloa 02 Beruwela Bk Majestic City Bokundara Boralesgamuwa Chilaw Chillaw2 Chunnakam Colpetty Cota Road Dalugama Dambulla Dankotuwa Deans Road Dehiwala Delgoda Delkanda Dematagoda Dharga Town Dickmans Road Duplication Ekala Elakanda Embilipitiya Eravur Ethulkotte Galewela Galle Galle 02 Gampaha Gampola Gatambe Grandpass Hambantota Hanwella Hatton Homagama Horana Jaela Jaela 02

Jawatta Kadawatha Kadawatha 2 Kaduruwella Kaduwela Kalapaluwawa Kalmunei Kalutara Kalutara North Kandana Kandy Kannaththidi Karagampitiya Karapitiya Katugastota Katugastota2 Katukurunda Kegalle Kelaniya Kesbewa Keselwatte Kilinochchi Kiribathgoda Kochchikade Kohuwala Kohuwala 2 Kolonnawa Koswatte Kotahena Kotikawatta Kottawa Kottawa 02 Kuliyapitiya Kundasale Kurunegala Kurunegala 2 Madulla Maharagama 2 Malabe Malabe 2 Manchanthoduwai Manippay Maradana Marawila Marine Drive Matale Matale2 Matara Mathugama Mattegoda Mawanella Minuwangoda Mirihana

April 2017

Moneragala Moratuwa Moratuwa Old Rd Mount Lavinia Mount Lavinia Stc Mutuwal Narammala Nawala Nawalapitiya Negombo 2 Nelliyadi Nittambuwa Norris Canal Nugegoda Nugegoda 2 Nuwara Eliya Pallekele Panadura Panadura 2 Park Road Pelawatta 02 Peliyagoda Pepiliyana Pilimatalawa Piliyandala Pitakotte Pothuvil Puttalum Ragama Rajagiriya Ratmalana Ratmalana 02 Ratnapura Seeduwa Stanly Tmw Staples Street Tangalle Thihariya Thissamaharama Trincomalee Udahamulla Vavuniya Wadduwa Warakapola Ward Place Wariyapola Weliweriya Wellawatte Wellawaya Wennappuwa Werahera Wijerama Yakkala

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News iqmqj;

fi!LH" fmdaIK yd foaYSh ffjoH wud;HxYfha mqj;a irKsh Y%S ,xldfõ ìysjQ úYsIaG;u fi!LH wud;Hjrhd fukak''' zzY%S ,xldfõ fuf;la ìysjQ úYsIaG;u yd jvd;a ld¾hlaIu fi!LH wud;Hjrhd j;auka fi!LH wud;Hjrhdhs' fodia;r rdcs; fiakdr;ak uy;dhs' wfkl=;a rgj, fi!LH wud;Hjreka Y%S ,xldfõ fi!LH lafIa;%fha oshqKqj ms<sn|j lreKQ oek.ekSug oeä Wkkaÿjla olajkjd' úfYaIfhkau f,dalhg uy;a jHikhlaj mj;sk ÿïfld< Ndú;dj wffO¾h lsÍug Tfí fi!LH wud;Hjrhd f.k we;s W;aidyh m%YxikShhs' ishhg 90 olajd ÿïfld< nÿ by< kexjQ fï rfÜ wdishdkq l,dmfha m%:u jrg is.rÜgqj maf,aka is.rÜgqjla njg m;a lsÍugo mshjr f.k ;sfnkjd'ZZ f,dal fi!LH ixúOdkfha ol=Kq yd kef. kysr l,dmSh wOHlaIsld ffjoH mQkï fLg%md,a isx uy;añh tfia m%ldY lf<A fld<U älauka mdf¾oS f,dal fi!LH ixúOdkfha Y%S ,xld ld¾hd,h újD; l< wjia:dfõoSh'

frda. ksjdrKh w;ska Y%S ,xldj l,dmfha fiiq rgj,g wdo¾Yhla jk w;r fnda fkdjk frda. md,khg Y%S ,xldj oeä m%h;akhl ksr; jkafkah'

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T!IO ñ, ie<lsh hq;= m%udKhlska wvq lsÍu" wlaIs ldp" iafgkaÜ wdosh fkdñ,fha frda.Skag ,ndfok l%uhla y÷kajd oSu jeks wNS; ;SrK /ila m<uq jrg l%shd;aul jQfha j;auka fi!LH wud;Hjrhdf.a md,k iufhaoSh' msßmqka osúhlg iqmika uqjla f,dal uqL fi!LH oskh ieuÍfï cd;sl jevigyk miq.shod fi!LH wud;H rdcs; fiakdr;ak uy;df.a m%Odk;ajfhka me,auvq,a," .kalkao uOH uyd úoHd,fhaoS meje;aúK' Y%S ,xld oka; ffjoH ix.uh yd fi!LH wud;HxYh taldnoaOj fï yd iu.dó jevigyka fufyhjkq ,eîh' fm!oa.,sl wxYfha frday,a kshdukhg úêu;a jevms<sfj,la osjhsfka fm!oa.,sl wxYfha frday,a kshdukhg úêu;a jevms<sfj,la l%shd;aul lsÍug fi!LH wud;H rdcs; fiakdr;ak uy;df.a wjOdkh fhduQ ù ;sfí' fï i|yd fhdacs; ie,iqï iïnkaO jd¾;dj fouila ;=< bosßm;a lrk f,i wud;Hjrhd úiska fm!oa.,sl frday,a iïnkaO wOHlaIsld ffjoH ldka;s wdßhr;ak uy;añh fj; Wmfoia oS ;sfí'

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iji y;frka miq rcfha frday,a j, uqo,a f.jd ffjoH myiqlï ie,iSfï W;aidyhla rcfha frday,a j, WmlrK ijia ld,fhka miq Ndú;d lsÍfï ie,iqula jYfhka iji y;frka miq Y,Hd.dr myiqlï we;s rcfha frday,aj, úfYaI{ ffjoH fiajdjka wvq uqo,la whlr frda.Ska fj; ,ndoSfï l%uhla wrUk nj fi!LH wud;H rdcs; fiakdr;ak uy;d fld<U cd;sl frdayf,a W;aijhlg iyNd.s fjñka mejiSh' fi!LH fiajdj fm!oa.,SlrKh lrk njg fï ksid jD;a;Sh iñ;a j,ska úfrdaOhla u;=úh yels uq;a" ¥m;a udkisl;ajfhka ñoS wkd.;h fioi n,d jD;a;Sh igka j, fhoSfï ld,h meñK we;ehs jD;a;Sh iñ;a kdhlhkag ;ud isysm;a lrk nj wud;Hjrhd m%ldY lf<ah' udkisl fi!LH fiajd j¾Okhg msUqrem;a ielfia''' udkisl fi!LH fiajdj j¾Okh lsÍu iïnkaOfhka úfYaI idlÉPdjla fi!LH wud;H rdcs; fiakdr;ak iy ysgmq ckdêm;sks pkaøsld nKavdrkdhl l=udrK;=x. w;r úfYaI idlÉPdjla miq.shod fi!LH wud;HxYfhaoS meje;aúK'

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udkisl fi!LH úfYaI{ ffjoHjrekag wjYH myiqlï ie,iSu yd udkisl fi!LH fiajdj .%dóh m%foaY j,g jHdma; lsÍu flfryS fuysoS iqúfYAIS wjOdkhla fhduq lrk ,o w;r udkisl frda. ms<sn|j ffjoHjrekag yd fyoshkag úfYAI mqyqKQ jevigyka iïmdokh lsÍu flfrySo wjOdkh fhduq flßK' fhdacs; fyo úYaj úoHd,hg n|jd .kakd YsIHhkag udkisl fi!LH ms<sn|j úfYAI jevigyka iïmdokh lsÍu yd m<uq woshr hgf;a fyoshka 100lg udkisl fi!LH ms<sn|j úfYAI mqyqKqjla ,nd oSugo mshjr .ekSug tlÕ;djhla we;s lr.kq ,eìK' ;%sfmdaI w;sßla;h zziqfmdaIZZ kñka fj<|fmd<g''' oYl .Kkdjl isg fï rfÜ .eìKs ud;djkaf.a" orejkaf.a fmdaIKhg buy;a odhl;ajhla oelajQ ;%sfmdaI w;sßla;h fj<|fmd< i|yd m%:u jrg ksIAmdok y÷kajd oSu iksgqyka lrk W;aijhla miq.shod n;a;ruq,a, fjdag¾iatca ysoS meje;aúK' l|dk ;%sfmdaI iud.fï l¾udka;Yd,dj kùlrKh lsÍfuka miq ksIamdos; w;sßla;h zziqfmdaIZZ kñka fj<|fmd<g yªkajd oSu fuysoS isÿ úK' thg iu.dój zziqfmdaI fjí wvúhZZ o uqoe yereKQ fuu wjia:djg fi!LH wud;H rdcs; fiakdr;ak" ffjoH iqcd;d fiakdr;ak iy ;%sfmdaI iud.fï iNdm;s tï ã nkaÿfiak we;=¿ msßila iyNd.s úh' DM

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Anosmia Smell Sensation

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zzryZZ lshkafk úkaokd;aul w;aoelSula' ryla oefkkak biair ta .ek m%sh;djhla we;s lrkak ksl=;a fjk ix{djla ;sfnkjd' ta ix{dj ,nd fokafk kdifhka' ,efnk ixfõokh zziqj|laZZ kï wm thg leu;shs' ,efnk ixfõokh zz.|laZZ kï wm Bg fkdleue;s uq;a th;a wmg iqj| fiau oefkkjd' fmkSu" weiSu" .| iqj| oekSu" rih oekSu" iam¾Yh''' fïjg fmdÿfõ kula ;sfhkjd' mis÷rka''' ta kñka ;uhs idudkHfhka wd.ñl miqìula ;=< fï

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.| iqj|g g wod, fud<fha uOHia:dkh

.|la oefkk yeá wd>%dk n,anh

wd>%dk iakdhqj ri ix{dj iqj|la oefkk yeá osfjys wmsÉPo

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mlaIau

wd.%k m%;s.%dyl

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ixfõok y÷kajkafka' fïjd l%shd;aul lrñka ,nk ixfõok zzmis÷rka mskùuZZ lsh,;a lshkjd' wfma idlÉPdj fhduq jkafka ta wd.ñl ikao¾Nh;a tlal fm<. eiafjk ixlS¾K Ñka;dj ms<sn|j fkdfjhs' ta;a

doctormagazine.lk

wd.%%k wmsÉPoh

fï mis÷rkaf.ka zz.| iqj| oekSuZZ kue;s ixfõokh .ek wm fï ,smsfhka úia;rd;aulj l;dnyl fhfokjd' .| iqj| oekSu lshk ixfõokh wmg fnfyúka wjYH fohla' tys jákdlu jvd;a

ridxl=r

iakdhq ;ka;=

oefkkafka" ta mßph''' yelshdj wfmka wE;a jqKduhs' wmg .| iqj| oefkkafka fufyuhs lsishï fohla .|la fyda iqj|la f,iska wmg oefkkafka th kdihg wd>%dkh ùfukqhs' tu

April 2017

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11

DM

Anosmia Smell Sensation

.| iqj| oefkk iakdhql iudfhdackh isÿ jkafka fufyuhs

.| iqj| oekSu wvq lrkjd'  kdihg isÿjk wk;=re yosis wk;=rla ksid kdifha ;e,Sula fyda wiaÓ ì|Sula isÿ jQ úg .| iqj| oefkk iakdhqjg isÿjk wd;;sh ksid yosisfha .| iqj| oekSu wvq fjkjd'

wd>%dKh kdifha we;=,a ì;a;shg m%fõY jQ miq kdifha we;=<; by< ì;a;sh wdY%s;j msysà iakdhq ffi, tu wxY= u.ska W;af;ackhg ,la fjkjd' bkamiqj tu ix{dj Olfactory nerve hkqfjka ye|skafjk iakdhqjla Tiafia fud<h lrd .uka lrkjd' fud<hg tfia ,efnk ix{dj ljrlao hkak ksrdlrkh lr.kakg" tkï .|la fyda iqj|la jYfhka fjka fjkaj ta jf.au Bg wkkH ixfõok ,nd.kakg yelshdjla ;sfnkjd' fï ud¾.h ;=< we;sjk ljr ndOdjla jQjo wmg .| iqj| oekSug we;s

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April 2017

DOCTOR MAGAZINE

yelshdj wvq lrkjd' .| iqj| fkdoefkk úg th rihgo n,mdkjd' rih oekSuo b;d wvq ;;a;ajhlg m;afjkjd' th wjidkfha wfma wdydr reÑhgo n,mdk lreKla ksid .| iqj| ksishdldrj oekSfï ixfõokh wmf.a wdydr isß; flfryS olajkafka fjfiia jeo.;aluls' .| iqj| fkdoekSug n,mdk fya;=  kdih ;=< we;sjk wdidok' idudkH fiïm%;sYHdj fukau wêl f,i we;sjk úúO wdidok fldaGrl j,go me;sÍu ksid we;sjk fldaGrl m%odyho (Sinusitis)

 kdifha uiao¿" kdifha ì;a;s weoùï wdoS úúO j¾Ok fjkialï ksid .| iqj| oekSu l%ufhka ySk ùug bv ;sfí'  kdih ;=< wjysr;djh jeä jk úg iqj| oekSug fya;=jk l=vd wxY= iakdhqj msysà ia:dkhg <Õd fkdùu ksid .| iqj| oekSu wvq fjhs'  .| iqj| fkdoekSug jhig hduo fya;=jls' idudkHfhka jhi wjqreÿ 60 blaujQ úg .| iqj| oekSu wvq fjhs'  we,aIhsu¾ia" mdlskaika jeks frda. ksido .| iqj| fkdoekSu we;sfjhs'  jeros f,i hï hï øj j¾. kdihg we;=,a lsÍu ksid kdifha ishqï Yaf,aIu, ydkshg doctormagazine.lk

meñKsh yel' fldflaka l=vq yd u;aøjH Ndú;h fuhg ksoiqka f,i oelaúh yel'  we;eï T!IOj, wksis m%;sM<hla f,i .| iqj| fkdoeksh yel' ksoiqkla f,i m%;scSjl T!IO u.skao .| iqj| oekSu wvqúh yel'  ms<sld frda.Skag ,ndfok úlsrK m%;sldr j,oS we;sjk ixl+,;djhla f,i .| iqj| ixfõokh ÿ¾j, jkq fmfka' .| iqj| fkdoefkk úg thg n,mE fya;=j y÷kd.ekSu jeo.;a kdih ;=< we;sjQ jHqyuh .eg¿jla ksid .| iqj| wvq jQjdo@ ke;fyd;a lsishï l%shdldÍ iajNdjfha fjkila Bg mdol jQjdo @ fï iïnkaOfhka ksYaÑ; fya;=jla yªkd.ekSu m%;sldrhg jeo.;a jkafkah' idhksl b;sydih fidhd ne,Sfuka fuysoS ffjoHjrhd b;d jeo.;a lreKQ rdYshla f.dKQ lr.kakd w;r fuysoS W.=r" lk" kdih ms<Sn|j ffjoHjrfhl=f.a mÍlaIdj''' tkafvdiafldms doctormagazine.lk

mÍlaIKh frda. úksYaph flfryS WmldÍ fjhs' fï Tiafia kdih ;=< we;sjk ishqï fjkialï yªkd. ekSug wjia:dj ie,fik w;r wjYH jQjfyd;a CT, MRI hk m%;sìïn.; mÍlaIKo isÿ lsÍug wjYH jkq we;' ta yereKQ úg úúO .| iqj| øjH kdihg ,x lr frda.shdf.a wd>%K yelshdj ishqï f,i úuik mÍlaIKhla Smell Test Kit kï mÍlaIK lÜg,hla weiqf¾ isÿ lsÍuo fuysoS jeä ÿrg;a isÿ l< yel' wjYH;djh wkQj fuu mÍlaIKhgo frda.shd Ndckh lrkafka frda. ksOdkh uekúka yªkd. ekSfï l%shdj,sh wjYH lrk m%;sldr isÿ lsÍug w;sYh jeo.;a jk ksidfjks' .| iqj| fkdoekSu iqj lrk yeá fï wdldrfhka frda.h uekúka yªkd.ekSfuka miqj thg kshñ; m%;sl¾u fhoSug mshjr .efka'  kdifha we;sjk wdidok ;;a;aj T!IO m%;sldr u.ska iqj l< yel' tfiau iakdhq wdY%s;j we;sjk bosuqï

;;a;ajhkago T!IO m%;sldr ;sfí'  kdifha uiao¿ yd fjk;a j¾Olhla we;akï tajdg úiªu Y,Hl¾uhhs'  jhia.; ùu;a iu.u we;sjk .| iqj| oekSfï wmyiq;djhka fukau iakdhq wdYs%;j we;sjk ÿn,;do ms<silr lsÍu t;rï id¾:l ke;' flfia fj;;a .| iqj| oekSu wdY%s; ÿ¾j,;djhla we;sjQ úg th W.=r" lK" kdih ffjoHjrfhl=g fmkajd Wmfoia ,nd. ekSu l< hq;af;auh' ukao @ Tn t;rï wjOdkhg fkd.;a;;a .| iqj| fkdoekSu wmj wjodkfï fy<k wk;=re j,g w; jkk ;;a;ajhla we;s l< yels neúks' .| iqj| fkdoekSfuka wdydr ms<SiaiS .sks .ekSu" .Eia ldkaÿ ùu" kqiqÿiq wdydr Ndú;hg .ekSug isÿùu ksoiqka lsysmhls' tfiau .| iqj| fndfyda wjia:d j,oS ms<shï fhosh yels frda.hla ksid thg wjYH m%;sldr .ekSfuka Tnf.a cSú;fha .=Kd;aulNdjho oshqKQ l< yelaflah' DM

April 2017

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Exercise

ldg;a l< yels''' ljqre;a leu;s''' f,dalfha fyd|u jHdhduh weúoSuhs

osh;,dj uQ,sl frdayf,a ffjoH foaúkao ohdr;ak úisks

14

April 2017

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GENTLE, LOWIMPACT EXERCISE THAT’S EASY, FREE AND AVAILABLE TO EVERYONE – HERE’S WHY WALKING ROCKS doctormagazine.lk

ldg;a l< yels''' ljqre;a leu;s''' f,dalfha fyd|u jHdhduh weúoSuhs weúoSfuka YÍrhg ,efnk uy`.= m%;sM<

j

Hdhdu YÍr fi!LHhg wjYHhs' wm ljqre;a ta .ek fyd|dldrju f;areï wrf.khs bkafka''' ta;a m%Yakh ;sfhkafka ks;sm;d ysßyerhla ke;sj lrkak" jHdhduhla úosyg wm f;dard.; hq;af;a l=ulao @ lshk ldrKhhs' wmg jvd;au .e,fmk jHdhduh l=ulao lshk ldrKhhs' we;efula fcd.ska lrkjd''' iuyre iaúñka lrkjd''' iqïnd la,dia j,g hk wh;a bkakjd''' jHdhdu ueIska j,ska jHdhdu lrk wh" t<suyfka jHdhdu lrk wh" ldhj¾Ok wNHdi j, fhfok wh'''' fï úosyg kdkd m%ldr f;aÍï Tng ;sfhkak mq¿jka''' ta;a Tfí YÍr fi!LH /l.kak zzfyd|u jHdhduhZZ l=ulao @ fï .ek úuik úg uq,a ;ekg meñK

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weúoSu wm wdhdifhka lrf.k hk lghq;a;la fkdfjhs' th iajNdjfhkau wmg Wreu l%shdldrlula' ixprkh idOKSh udkj wjYH;djhla'

"

;sfnkafka b;du ir< jHdhduhla''' ldgj;a lrkak neß tlla fkdfjhs''' wm ldg;a fndfydau myiqfjka lrkak mq¿jka jHdhduhla''' ta ;uhs weúosk tl''' jHdhduhla f,i fkdys;du wm ljqre;a yeuodu lrk l%shdldrlu''' weúoSfuka iekiSu ,efí''' weúosk tl ;uhs f,dalfha ;sfhk fyd|u jHdhduh úosyg wo ojfia lsre< me<| ;sfnkafka' weúoSu wo wm jeä fofkla wu;l lr, ;sfhk l%shdldrlula' <`.md; ;sfhk lvukaähg hkafk ;%Sù,a tfla'''' weúof.k hkak mq¿jka ÿr hkak jdyk fydhkjd''' álla ÿr weúof.k hkak fhdackd

April 2017

DOCTOR MAGAZINE

15

D•Magazine /

ldg;a l< yels''' ljqre;a leu;s''' f,dalfha fyd|u jHdhduh weúoSuhs

Exercise

jqfKd;a iShla foaj,a lshefjkjd Bg úreoaOj''' fï úosyg wm ke;s lr.kafk wfma YÍrhg ;sfnk fyd|u wdrlaIdj''' /ljrKh'''' weúoSfuka frda. /ilska ñfokak wjia:d;sfhk f,v frda. iqjm;a lrkjd' ke;s f,vfrda. cSú;fhka ÿ/ia fjkjd' fufyu n,k úg weúoSu lshkafk wmg cSúf;a ,efnk úYd, /ljrKhla' ojilg mehla jHdhdu lr, b;sß uq¿ ld,hu zzTfya bkakjdZZ kï tafl jevla kE''' fndfyda jHdhdu j, ord.ekSfï yelshdj;a" fïoh oykh lsÍu;a ,dlaIKslhs' ta;a m%Yakh ;sfhkafka fïflka lsishï fi!LHuh jákdlula ,efnkjd kï jHdhduhg fmr;a" jHdhduhg miafi;a kej;;a wr lïue,sldr cSúf;agu jefgkjd kï m%;sM<h ìxÿjhs' ,nd.;a m%;sM<h;a j;=fr hkjd' f,dafl w¿f;kau y÷kd.;a cSjk rgdj Actively Sedentary oeka f,dalfha w¿;a udkj p¾hdjla .ek l%Svd ffjoHjreka l;d lrkjd' Actively Sedentary People wmQ¾j kula''' wr uq,ska lshmq úosyg ojilg iq¿ fj,djla odäh odkak jHdhduhl fhos, kej;;a fmr mqreÿ lïue,s cSúf;agu yqre jqKQ wh' fglaidia iriúfha m¾fhaIlhka lKavdhula y÷kdf.k ;sfnk wdldrhg ful, Active hkqfjka ys;df.k bkak jeä fofkla fï ojfi jeä yßhla lïue,s lfuka oji f.jk ldKAvhg wh;a whhs' Tjqka ys; iki .kak fmdä fj,djla jHdhdu lrkjd' ojfi jeä ld,hla zzTfyaZZ .; lrkjd' ta yefrkak rEmjdysksh" riuijq¿" iaudÜ fmdaka jf.a .ecueála cSú;fha w;ayßkak neß ñ;=rka lrf.k' fï wh jHdhdufha ienE m%;sM< N=la;s ú|skafka kE' le,sf*dakshfõ l%Svd yd ine|S ffcj l%shdldß;ajh iïnkaOfhka m¾fhaIK lrk flà fndauka c.;a ;,fha lS¾;shla oskQ l%Svd m¾fhaIsldjla' weh uE;loS m%ldYhg m;al< Move Your DNA: Restore Your Health Through Natural Movement kï lD;sh buy;a m%isoaêhg m;a jqfKA tajdfha we;s ;d¾lsl úoHdKQl+, miqìu ksihs' 16

April 2017

DOCTOR MAGAZINE

isrerg jHdhdu fok jdish yereKQ úg weúoSfuka YÍrfha mgl j,g" bkaøsh j,g jf.au fud<hg;a m%udKj;aj wï,lr jdhqj ixirkh jk njg iy;sl fjkjd' ks;s weúoSfuka kshqfrdak j¾Okh jk nj;a fjfiiskau OdrK Yla;sh iqir jk nj;a y÷kdf.k ;sfnkjd' ks¾udKd;aul Ndjh yd l%shdYS,S nj iqir lrk fyd|u jHdhduhla Tn fidhkjd kï thg;a Tfí f;aÍu úh hq;af;a weúoSu hk b;d ir< jHdhduhhs'

"

fyd|u jHdhdu iajdNdúlj isÿ l< yels jHdhdu weh ;u lD;sfhka úma,jldÍ ixl,amhla iudc.; lrkjd'jHdhduhlska Wmßu m%;s,dN w;am;a jkafka th iajNdjfhkau isÿjk úghs' wmf.a iajdNdúl p¾hdjka weiqf¾u YÍrhg jHdhdu ,efnk úghs' weúoSu wm wdhdifhka lrf.k hk lghq;a;la fkdfjhs' th

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iajNdjfhkau wmg Wreu l%shdldrlula' ixprkh idOKSh udkj wjYH;djhla' weúoSfuka wr lshmq Actively Sedentary People ìys jkafka kE' tl ;ek riaidjla lrk flfkla fldhs ;rï ld,hla jHdhdu .;hq;=oehs bkaoshdkd iriúfha m¾fhaIlhka msßila m¾fhaIKd;aulj fidhd ne¨jd' mehla tl ;ek bkak flfkl=g úkdä myla Tnfudn weúoSfuka úYd, jdishla" /ljrKhla w;am;a lr.; yels njhs fï m¾fhaIKfhka wkdjrKh jqfKa' isrerg jHdhdu fok jdish yereKQ úg weúoSfuka YÍrfha mgl j,g" bkaøsh j,g jf.au fud<hg;a m%udKj;aj wï,lr jdhqj ixirkh jk njg iy;sl fjkjd' ks;s weúoSfuka kshqfrdak j¾Okh jk nj;a fjfiiskau OdrK Yla;sh iqir jk nj;a y÷kdf.k ;sfnkjd' ks¾udKd;aul Ndjh yd l%shdYS,S nj iqir lrk fyd|u jHdhduhla Tn fidhkjd kï thg;a Tfí f;aÍu úh hq;af;a weúoSu hk b;d ir< jHdhduhhs' weúoSfuka ,efnk m%fhdack yoj; Yla;su;a fjkjd'''' yDohdndO" wxYNd.h wE;a fjkjd ks;s weúoSu ksid yDohdndO yd wxYNd.h we;sùfï wjodku wvqjk nj Tn okakjdo @weúoSu yoj; Yla;su;a lrk úYsIAG jHdhduhhs' fldf,iagfrda,a j, jeäfhka ;sìh hq;= HDL ix>glh jeä lrk w;f¾ krl fldf,iagfrda,a f,i i<lk LDL j, w.h wvq lrñka yoj; ksfrda.S lsÍug fï ir< jHdhduh WmldÍ fjhs' ojilg meh nd.hla weúoSfuka wxYNd.h we;s ùfï wjodku we;s lrk fm%I¾ jeäùu j<lajk w;r iuia;hla jYfhka .;a l< th wd>d; wjodku ishhg 27lska wvq ùuls' frda. /ila we;sùfï wjodku wvq lrhs reêrfha iSks m%udKh md,kh lrkakg weúoSu fya;= jk w;r fï ksid oskm;d weúosk mqoa.,hka w;f¾

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oshjeähdj we;sùfï wjodku ishhg 60la ;rï úYd, ixLHdjlska wvq fjhs' wdka;%sl" mshhqre yd .¾NdI.; ms<sld we;sùfï wjodkuo ishhg úiailska muK wvq fjhs' nr wvq lrk uecsla fnfy; weúoSuhs mehlg ie;mqï foll fõ.fhka úkdä 30la weúoafod;a Tn isref¾ ojd,k le,ß ixLHdj 75la muKh' tu fõ.h mehg ie;mqï ;=kla olajd jeä lf<d;a ojd,k le,ß ixLHdj 99la muK fjhs' mehg ie;mqï y;rl fõ.fhka tl meh nd.hla weúoafod;a le,ß 150la ojkakg Tng yelshdj ,efnkjd we;' th yßhg fyd| msá wdydrhla .ekSfuka tl;= jk le,ß m%udKhg iu lrkakg yels m%udKhls' ojilg fo;=ka j;djla k.rhg" lvuKaähg mhska hkjd kï''' ;%Sù,rfhka hk ñks;a;= lsysmfha .uk weúof.k hkjd kï Tn;a fkdoeku Tn ojila ;=< úYd, fïo ixhq;shla wef`.ka oykh lrf.kh'

April 2017

DOCTOR MAGAZINE

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D•Magazine /

ldg;a l< yels''' ljqre;a leu;s''' f,dalfha fyd|u jHdhduh weúoSuhs

Exercise

úhm;aùfïoS we;sjk wjdikdj;a frda.h äfukaIshdjg úi÷ula jhi wjqreÿ 65 blaujQ wh 14lf.ka tla wfhl=;a" wjqreÿ 80 blaujQ iEu yh fofklaf.ka tla wfhl=;a äfukaIshdjg ,lajk m%jK;djhla wo ;sfí' ñksia wdhq ld,h oS¾> ùu;a iu.u jeäjk fï wjodku mqoa.,fhl=f.a .=Kd;aul cSú;hg we;s lrk ydksh iq¿mgq fkdjkafkah' äfukaIshdj we;sùfï wjodkfuka ñfokakg wk.s úiªula f,i weúoSu yªkdf.k ;sfí' i;shlg meh yhla weúoSfuka äfukaIshd wjodku úYd, jYfhka wvqjk nj fy<sorõ ù ;sfí' isref¾ yevh wdrlaId lrk jHdhduhls weúoSu isref¾ fmKQu wdl¾YKSh lr.kakg" fmaYs;dkh" kuH;djh wdrlaId lr.kakg jHdhdu j,ska ,efnk iydh iq¿mgq fkdfõ' Worfha fmaYs" l,jd fmaYs" uiaf.dn j¾Okh lr.kakg ,dlaIKsl jHdhdu mx;s ;sfí' f;dard fírdf.k úúO fmaYs mx;s j,g jHdhdu mqreÿ úh hq;= ke;' oskm;d weúoskjd kò wdhdihlska f;drju Tn fï yeu fmaYshlgu idOdrKhla bgq lrkafkah' úgñka D fkdñ,fhau ,nd fohs úgñka D wiaÓ iqjfi;g yd m%;sYla;slrK moaO;sh Yla;su;a lsÍug bgq lrk fufyh úYd,h' kuq;a wm w;r isák fndfyda fokd úgñka D W!K;djfhka fmf<k nj Tn okakjdo @ ieuod isß;la f,i weúosk mqoa.,hka úgñka D W!K;d j,g ,la jkafka b;d l,d;=rlsks' ukao @ Tjqkg ksrdhdifhkau úgñka D ,efnk neúks' weúoSfuka Tn m%fndaOu;a fjhs" Yla;siïmkakj lghq;= lrkakg cjh ,efnhs weúoSfuka reêr ixirkh hym;a fjhs' isref¾ iEu mglhlgu wï,lr jdhqj ys`. mdvqjla fkdue;sj iemfhhs' jvd;a cjiïmkakj" Yla;su;aj lghq;= lrkakg fuhska yelshdj ,efnhs'

18

April 2017

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weúoSfuka iekiSu ,efnhs fida ,;ejq,a ;sfnk whg tajd iukh lr.kakg T!IO fokafka jvd hym;a ufkda Ndjhla we;s lr.kq msKsih' weúoSfuka Bg;a jvd m%n, ufkdaNdjhla we;s lr.; yel' weúoSfuka Tng i;=g ksrdhdifhkau <`.d lr.; yelsfõ' Okd;aulj cSú;hg uqyqK folkakg fukau wd;au úYajdifhka hq;=j wNsfhda. ch.kakg fï ksid Tng yelshdjla ,efnhs'

weúoSu Tn wdhdifhka l<hq;= Ndr¥r lghq;a;la fkdfõ' tosfkod cSú;fhaoS Tng weúoSfï zzuyd m%;s,dNhAA ,nd.ekSfï wjia:dj úáka úg ,efí''' Tn l< hq;af;a yels;dla ta wjia:d m%fhdackhg .ekSuhs' ojfia f;dard.;a fj,djla weúoSu msKsi fjka lsÍfuka Tng ,efnk fi!LHdrlaIdj ienúkau cSú;dfhdackhls' u;l ;nd.kak''' iekiSu ,efnkafka bjiSfuka muKlau fkdfõ''' weúoSfukao iekiSu ,efí' th fyg mdhk ysre fuka úYajdih''' DM

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19

DM

New Trends in Cardio Drugs in Sri Lanka

NEW TRENDS IN CARDIO DRUGS IN SRI LANKA Streptokinase fjkqjg yDo frda.Ska i|yd Tenecteplace ,nd fokakg hhs''' mqj;la fnfy;a fjki frda.Skag flfia n,mdhso @ Tenecteplace ,ndÿkaku f,a leáh osh fj,d Ouksfh újD;Ndjhla we;s fj,d yDohdndOhla we;s fjk tl j<lajd .kak mq¿jka

yDo frda. úfYaI{ fjoH rejka talkdhl uy;d Wmqgd .ekSu fyauud,d l=udß rdclreKd http://mini. gossiplankahotnews.com/2017/02/blog-post_88. html yDohdndOhla lshkafka lsÍgl Ouksh ;=< f,a leáhla we;sùuls' wms idudkHfhka meh yhla ;=< Th f,a leáh osh lf<d;a yDohdndOh ksid we;sfjk ;=jd,h fndfyda ÿrg wju lrkak mq¿jks' Ouksh wjysr jqKQ .ukau mglh ueÍ hkafk;a kE' wjia:d lsysmhlska ;uhs mglh urKhg m;a jkafka' ta ksid f,a leáh osh lsÍu b;d jeo.;a' 20

April 2017

DOCTOR MAGAZINE

f,a leáh osh lrkak wm Ndú;d lrk l%u folla ;sfnkjd' tlla ;uhs T!IO m%;sldr u.ska mglh osh lsÍu' fojekak neÆkhla we;=,a lr, tu.ska f,a leáh l=vq lr, f;rmd oeóula isÿ lsÍu' fuh y÷kajkafka Angioplasty lsh,hs' fï m%;sldr foflka oekg nyq,j isÿ flfrkafka f,a leáh osh lr yßk tlhs' fuysoS ,ndfok T!IOfhka isÿ lrkafka *hsì%ka j,ska iukaú; f,a leáh osh lsÍuhs' 1981 j¾Ifhaos ;uhs fï f,a leá osh lrkak uq,skau T!IO y÷kajd ÿkafk' fï i|yd wms Ndú;d lf<a Streptokinase lshk T!IOhhs' Streptokinase T!IOh yq`.dla ÿrg id¾:lhs' ta;a" tu.ska reêr leáh osh fj,d Ouksh újD; ùu isÿ jkafka ishhg 38la jeks m%udKhlghs' kuq;a fï újr ùu m%udKj;a jkafka kE' wms Bg jeä id¾:l;ajhlg hkak ´ks' Tenecteplace lshkafk Streptokinase j,g jvd m%n, T!IOhla' fïl w¿;a T!IOhl=;a fkdfjhs'

doctormagazine.lk

oekg wjqreÿ 25l ú;r b|, Tenecteplace f,dalfha Ndú;d fjkjd' Tenecteplace ,ndÿkaku f,a leáh osh fj,d Ouksfh újD;Ndjhla we;s fj,d yDohdndOhla we;s fjk tl j<lajd .kak mq¿jka' idudkHfhka fuh meh yhla jf.a fj,djla we;=<; ,nd fokak mq¿jka' kuq;a jvd;a m%;sM<odhS fjkak blauKska ,nd fok tl n,mdkjd' mehla jf.a ld,hla we;=<; fokak mq¿jka kï f.dvla fyd|hs' Tenecteplace Ysrd.; lrk T!IOhla' oshqKQ rgj, kï fï T!IOh

doctormagazine.lk

,nd fokafk frda.shd ksfjfia isg frday,g f.k tk w;rjdrfha .s,ka r:fha isguhs' th ffjoH wkque;sh hgf;a l< hq;a;la' fï i|yd wjYH ;dlaIKsl myiqlï ta .s,ka r:fhau ;sfnkjd' weïìhq,kaia tflAoSu ECG tlla .kak mq¿jka' th iefklska úfYAI{ ffjoHjrhdg fhduq lrkjd' úfYAI{ ffjoHjrhd fï T!IOh jydu ,ndosh hq;=hs lsh, ;SrKh lf<d;a fyoshg tu m%;sldrh .s,ka rsfhaoSu ,nd fokak mq¿jks' uu;a fï T!IOh yDo frda.Skag ,nd oS, ;sfhkjd' wmg tal mq¿,aj jHdma; lrkak neß jqfKA T!IOfha wêl ñ, ksihs' Streptokinase T!IOh i|yd jeh jk uqo, remsh,a 6000 hs' Tenecteplace fokj ku remsh,a 1"20"000la jeh fjkjd' Streptokinase T!IOfha id¾:l;ajh ishhg 33hs lsh, uu lsõjfk' ta;a Tenecteplace T!IOfha id¾:l;ajh ishhg 60-70 w;r fjkjd' fï ksid ,ndoSfuka frda.shdg w;afjk fi; w;s úYd,hs' yDo l%shdldß;ajh ksÍlaIKh lrk hka;% ;sfnk ´kEu frday,loS ,nd fokak mq¿jka' ,nd fkdosh hq;= wjia:d lsysmhl=;a ;sfnkjd' wxYNd.h" jl=.vq frda." wlaud frda. yd fudf<ag reêrh .e,Su ;sfnk frda.Skag ,nd fokafka kE' ^Wmqgd .ekSu wjika& April 2017

DOCTOR MAGAZINE

21

DM

New Trends in Cardio Drugs in Sri Lanka

yDohdndO frda.Ska fjkqfjka lrk fyd|u wdfhdackh ;uhs fï Primary PCI myiqlï rgmqrd jHdma; lsÍu'

yDo frda. úfYaI{ fjoH mKavq, w;djqowdrÉÑ uy;d

yDohdndOhloS f,a leáh oshlr yßkak ;uhs iafg%mafgdlhsfkaia fokafk' yDohdndOhla we;s fj,d m<uq meh lsysmh we;=<; fï m%;sldrh ,ndosh hq;=hs' ta;a yefudaf.u f,a leáh osh fjkafk kE' wjysr;djh bj;a jkafk kE'

22

April 2017

DOCTOR MAGAZINE

Early and late presentations of ST Elevation (major) MI (heart attack) lshk yDoh iïnkaO yosis wjia:djkaysoS fyd|u m%;sldrh ;uhs Primary PCI lshkafk' ´kEu reêrh oshlrk T!IOhlg jvd fo.=Khlska Primary PCI m%;sldrfhka frda.shd urKhg m;aùfï bvlv wvq lrkjd' yDohdndOhg n,mE fya;=j os.=ld,Skj" ;sridrj ms<silr lrkjd' tu.ska kej;

doctormagazine.lk

reêrh iemhqfï ySk ùula we;sùfï bvlv (re-infarction) wjqrkjd' ta ú;rla fkdfjhs nrm;, úosyg reêrh .e,Sï yd wd>d; wdoS ;;a;ajhkag frda.shd m;aùfï wjodku;a fï m%;sldrfhka id¾:lj uev mj;ajkjd' fï wkQj f,dalfha jvd;au ms<s.;a yDohdndO m%;sldrh wjysr;djh oshlrk T!IO fkdfjhs" (Thrombolytic Drugs) fï Primary PCI m%;sldrhhs' Primary PCI still carries Class I recommendation with highest amount of evidence (A) in all the world guidelines (ESC,AHA etc) for treatment of acute heart attacks, not thrombolytics. wjysr;djh oshlrk T!IO m%;sldrfhka f,a leáh osh l<;a ;ju;a Tng mq¿jka ;rï blauKg''' iuyr úg meh 24la we;=<; j;a wekacsfhda.%Eï tlla lr.kak tl fyd|hs' tal Ouksh we;=f< f,a leáh yefokak fya;= jqKQ wvq¨yq`vq;djhg ms<shula fhdokak .kak fya;= fjk ;SrKhla' kej; f,a leáhla ysrfjkak ;sfhk

doctormagazine.lk

bvlv wjqrkak .kak ;SrKhla' fï ksid Primary PCI m%;sldrfhka ;uhs yßu wdrlaIdj ie,fikafk' tfyu /ljrKhla fkdoS frda.shd frdayf,ka ksfjig heùu wjodkï' oshqKQ rgj,;a fï úosyg ;uhs isoaO fjkafk' Tenecteplace, iafg%mafgdlhsfkaia j,g jvd ld¾hlaIuhs' kuq;a uq,a meh fol we;=<; oS, fyd|u lshk m%;sM< ,nd.;a wjia:d j,oS;a yDohdndOhg ,lajQ Ouksh iïmQ¾fhkau msßisÿ fj,d kej; reêr. ukd.ukh h:d ;;a;ajhg m;aùfï bvlv ;sfhkafk ishhg 50hs' reêrh .e,Sfï wjodkula ;sfnk ksid fï thrombolytic T!IO fokak neß fjk whg fudlo fjkafk @ fjk;a ixl+,;d wdosh ksid (blocked bypasses or stents, cardiogenic shock) fï fnfy;a fokak neß fjk whg ;sfhk úl,amh l=ulao @ Tenecteplase lshkafk yDohdndO j,g fok zzuecsla fnfy;laZZ fkdfjhs' wekacsfhd.%Eï tlla lr, wekacsfhdma,diaá l%fïg m%;sl¾uhla fhoSu T!IO ,ndÿkakg miafi;a úkdä 90l ú;r ld,hlska isÿ lsÍu wjYHhs' f,a leáh osh jqKdg miafi jqK;a t;ek zzTfya ;sfhkakgZZ yeßhu tal ;jÿrg;a ydkshla fjkak w; jekSula fjkak bv ;sfnkjd' fï ksid yDohdndOhla yeÿk frda.shdg lrkak ;sfhk fyd|u m%;sldrh ;uhs meh 24la we;=<; f,a leáh osh lrk T!IOhla ,nd ÿkak;a angiogram/PCI m%;sldrhg frda.shd Ndckh lsÍu' rgla úosyg .;a;u" yDohdndO frda.Skaf. l<uKdlrKh me;af;ka .;a;u" yDohdndO j,g ,lajk frda.Skaf.a wdrlaIdjg .kak ;sfhk fyd|u mshjr ;uhs Primary PCI myiqlï rgmqrd jHdma; lsÍu' taflka ;uhs yDohdndO frda.shdg ksiel wdrlaIdjla" /ljrKhla ,efnkafk' meh foll ld,hla we;=<; j;a frda.shdj Primary PCI myiqlï ;sfnk ffjoH uOHia:dkhlg /f.k tkak neß kï fyd|u foa ;uhs bkafclaIka tl ,ndoSfuka miafi mqxÑ frday,a j," ffjoH uOHia:dk j, /|S jákd ld,h ñvx.= lrkafk ke;sj fï frda.Ska tu Primary PCI myiqlï ;sfnk frday,lg /f.k tk tl' DM

April 2017

DOCTOR MAGAZINE

23

DM

Advertorial rd.u n%jqkaia frday, - iqúfYaIS jl=.vq m%;sldr tallhla ia:dms; lrhs

jl=.vq frda.Skag w¿;a n,dfmdfrd;a;=jla

rd.u n%jqkaia frday, iqúfYaIS jl=.vq m%;sldr tallhla ia:dms; lrhs

fi!LH wdrlaIK fiajdj fjkqfjka Y%S ,xld m%ñ;s wdh;kh ,ndfok ISO 9001:2015 ;;a;aj iy;slh ,nd.;a Y%S ,xldfõ m<uq frday,rd.u n%jqkaia frday, úiska úfYaI jl=.vq m%;sldr tallhla miq.shod újD; lrk ,oS' m%Odk úOdhl ks,Odß ffjoH fla à brhsjka

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April 2017

,dxflah fm!oa.,sl frday,a fiajdfõ fï iqúfYaIS iksgqyk iïnkaOfhka jeäÿrg;a lreKQ oek.kq msKsi rd.u n%jqkaia frdayf,a m%Odk úOdhl ks,OdÍ ffjoH fla à brhsjka uy;d yuqùug wm mshjr .;a;d' fï ,smsh ta iqyo ms<si|f¾ m%;sM,hla' DOCTOR MAGAZINE

doctormagazine.lk

jl=.vq frda. fï rg uqyqK mdk m%n, fi!LH ;¾ckhla jl=.vq frda.h fï jk úg wfma rgg n,mdk úfYaI fi!LH ;¾ckhla njg m;aj ;sfí' wfma rfÜ jl=.vq frda.Ska jirlg 5"000la muK jd¾;d jk w;r fï jk úg W;=re ueo m<d; we;=¿j osjhsfka m<d;a lsysmhlskau jl=. vq frda.Ska jd¾;d fjhs' w.kqjrskao fï jk úg úYd, jYfhka jl=.vq frda. j,g m%;sldr msKSi frda.Ska meñfKhs' jl=. vq frda.Skag mßiudma; myiqlï j,ska iukaú; m%;sldr i,ikq msKsi úfYaIfhkau úksúo fmfkk idOdrK whlsÍï u; Wmßu fiajd i,ik jl=.vq m%;sldr uOHia:dkhla ia:dms; lsÍu fjkqfjka n%jqkaia frday, fuu m%;sldr uOHia:dkh msysgqjkq ,eîh' n%jqkaia frday, jl=.vq m%;sldr tallh" Wiia fiajdjla i,ik w;f¾ oeßh yels wju ñ, .Kka j,g ;u fiajd iemhSu úfYaI;ajhls' fï .ek wjfndaOhla ,nd. ekSug jl=.vq

doctormagazine.lk

frda.Skaf.a reêrldkaÿlrk ñ< .Kka ne¨fjd;a ta i|yd n%jqkaia frdayf,a whlrkafka remsh,a 6500'00l uqo,ls' lS¾;su;a jDlalfõoSkaf.a u`.fmkaùu hgf;a l%shd;aul jk n%jqkaia frday, jl=.vq tallh ;=< ksmqK ld¾h uKav,hl ld¾hlaIu fiajdj frda.Ska Wfoid iemhSug fï wdh;kh lemù isà' úúO fya;= u; jl=.vq ÿ¾j, ùfï yelshdjla we;s iefjdu fj; fuys fiajh jeo.;a wm rgla jYfhka fï flfuka j¾Okh jk jl=.vq frda. flfryS fjfiia wjOdkhla fhduq l< hq;=h' wmg ;¾ckhla jkafka fya;=jla fidhd.; fkdyels rcrg wdoS m<d;a j, me;sr hk jl=.vq frda.h Chronic Kidney Disease of Unknown etiology (CKDu) muKlau fkdfõ' wêreêr mSvkh" oshjeähdj wdoS fnda fkdjk frda. ksido jl=.vq ydkshg m;aúh yelsh' fï ksid tjka wjodkïiy.; frda. we;s Woúh iómj iqmÍlaIKh l< hq;= w;r uq,a wjia:dfõoSu frda.h yªkd.ekSfuka frda.h W;aikak ùu uekúk md,khg ,la lr.; yel' rd.u n%jqkaia frday, wNskjfhka ia:dms; lrk ,o jl==.vq

April 2017

DOCTOR MAGAZINE

25

DM

Advertorial rd.u n%jqkaia frday, - iqúfYaIS jl=.vq m%;sldr tallhla ia:dms; lrhs

tallh fï wjodku we;s mqoa.,hskag ta iïnkaOfhka mÍlaIK lsÍug" m%;sldr ,nd .ekSug jl=.vq tallh fj; meñfKk f,i iudrdOkh lrhs' jl=.vq frda.fha ljr wjia:dfõoS jqjo frda.h iïnkaOfhka we;s lr.kakd oeKqj;aNdjh frda. hg kshñ; ms<shï fhoSug w;sYhska jeo.;a jk nj ffjoH fla à brhsjka wjOdrKh lrhs' jl=. vq frda.Skag Wmßu wdrlaIdjla" Wmßu m%;sldr ie,iSfuka úYsIaG >kfha jl=.vq frda. l<uKdlrk uOHia:dkhla njg m;aùu rd.u n%jqkaia frday, jl=. vq tallfha uqLHd¾:h nj wm yd l< ms<si|f¾oS úOdhl ks,Odß ffjoH brhsjka uy;d m%ldY lf<ah' osjhsfka ´kEu m<d;l isg ÿïßfhka rd.u n%jqkaia frday, fj; meñKSug Tng yelshdj ;sfí' frday, msysgqjd we;af;a rd.u" ÿïßh ia:dkh wdikakfhauh'

26

April 2017

DOCTOR MAGAZINE

rd.u n%jqkaia frday, i,ik wfkl=;a fiajdjka  úfYaI| ffjoH fiajh  ndysr m%;sldr wxYh  24 meh yosis m%;sldr tallh  24 meh Tiqi,  24 meh ridhkd.dr mÍlaIK  tlaia f¾ yd w,ag%dijqkaã ialEka mÍlaIK  CT yd MRI mÍlaIK  tfldaldäfhd.%ms mÍlaIK  jHdhdu ECG mÍlaIK  fN!;Ñls;aid fiajdj  m%;sYla;slrK tkak;a  mjq,a ie,iqï fiajh  fkajdisl m%;sldr  oeä i;aldr fiajd  Y,Hd.dr mÍlaIK  ,emriafldms Y,Hl¾u  iQ;sld.dr fiajd  <ore oeä i;aldr tallh  fi!LH ffjoH mÍlaIK  oka; ffjoH fiajd n%jqkaia fydiamsÜ,a - Tn wmg ndrhs n%jqkaia fydiamsÜ,a " 43" uyndf. mdrÿïßhm< wi," rd.u ÿrl:k 0115009165" 0115100000 DM

doctormagazine.lk

doctormagazine.lk

April 2017

DOCTOR MAGAZINE

27

D•Magazine /

World Health Day

wms úIdoh .ek l;dnyl fhfouq''' ñksiqka jeä fofklau fmf<k udkisl frda.h

World Health Day 7th April Depression: let’s talk.

2017 wfm%a,a 7 f,dal fi!LH oskh wms úIdoh .ek l;dnyl fhfouq''' ñksiqka jeä fofklau fmf<k udkisl frda.h wfm%a,a 7 f,dal fi!LH oskhhs' f,dal fi!LH ixúOdkfha u. fmkaùu u; iEu jirlu úfYAI jeo.;alula orK ud;Dldjla Tiafia f,dalh mqrd ta iïnkaOfhka wjOdkh fhduq lsÍu f,dal fi!LH oskh yd iu.dój isÿjkakls' Y%S ,xldjo fi!LH wud;HxYfha uQ,sl;ajfhka f,dal fi!LH oskh W;al¾Yj;a f,i iurk w;r fujr f,dal fi!LH oskfha f;audj jkafka úYdohhs' ÿlanr is;sú<s we;sùu ñksia is;g wreuhla fkdfõ' fkdoeKQj;aju we;sjk ÿla" fõokdiy.; is;sú<s isf;ka yer hkafkao wm fkdoeKQj;ajuh' tfy;a flfkla ks;ru fï ÿla iy.; is;sú<s j,ska mSvd ú|shs kï" iEu úgu mdfya fodïkia iy.;j yeisfrhs kï th zzúIdohZZ fkdfyd;a zzudkisl wjmSvkhZZ ksid jkakg mq¿jk' msßñkaf.ka kï wg fofklaf.ka tla flfkla ;u cSú; ld,h ;=< ljr fyda jljdkqjloS úIdofhka mSvd ú|sk nj y÷kdf.k ;sfnkjd' iuia;hla jYfhka .;af;d;a ck.ykfhka ishhg ;=kla fokd úIdofhka fmf<k nj;a wkdjrKh ù ;sfnkjd'

28

April 2017

DOCTOR MAGAZINE

doctormagazine.lk

úIdoh os. m<, úuiuq úIdoh - wm jeä fofkla fmf<k udkisl frda.h f,i ye|skafjkjd' ´kEu jhil flfkl=g fï ;;a;ajh we;s fjkak mq¿jks' ´kEu /lshdjl" ´kEu ;rd;srul" ´kEu wd¾Ól uÜgul isák flfkla udkisl wjmSvkfha f.dÿrla jkakg bv ;sfnkjd' ÿmam;alu" ú/lshdj" ióm;ufhl=f.a úfhdaj" ióm iïnkaO;djhla ì| jeàu" frda. ;;a;ajhlg uqyqK mEu" u;ameka yd u;aøjH wdoS lreKQ u; flfkla fï ;;a;ajhg m;a jkakg mq¿jka' úIdoh we;súg ysf;a i;=g fukau jevm< lsÍfï yelshdj ke;s fjkjd' wka wh iu. mj;ajk iïnkaO;d ÿ¾j, fjkjd' ksis m%;sldr fkd.;af;d;a fï ksid úIdohhg mlqjQjka mjqf,ka fukau iudcfhka jQj fldka fjkakg bv ;sfhkjd' krlu foa ;uhs úIdoh ;sfnk whg cSú;h f;dr lr .ekSfï is;sú<s my< fjkjd fï ksid fï whg cSú; wjodkulao ;sfnkjd' doctormagazine.lk

úIdoh fkdfyd;a udkisl mSvkh lshkafka ú|sñka ÿla ú|sh hq;= frda.hla fkdfjhs' Bg id¾:lj m%;sldr lrkak mq¿jka' kshñ; m%;sldr .ekSfuka idudkH cSú;hlg m;a fjkjd' jeo.;au ldrKh ;uhs" i;=áka cSú;h .; lrkakg wjia:djla ,efnkjd' fujr f,dal fi!LH oskhg iu.dój wm w;f¾u bkak ÿlg m;a jQjka''' iuyr úg wm wmgu ;sfnk wjodkï .ek úuiqula isÿlr wkaOldrfhka wdf,dalh ,nd.kakg Tjqkg mdr fmkakd fouq''' DM April 2017

DOCTOR MAGAZINE

29

D•Magazine /

wms úIdoh .ek l;dnyl fhfouq'''

World Health Day

úIdoh .ek úoaj;a woyia ffjoHjreka úIdoh .ek olajk woyia idudkH ÿla yd lkiai¿iy.; iajNdjhka udkqISh ú|Sï''' úIdofhka fjkia fjkafka fufyuhs cd;sl udkisl fi!LH ms<sn|j wdh;kfha fcHaIaG f,aLldêldrs ffjoH ksmqk rKùr ÿla" lkiai¿iy.; Ndjhka idudkHfhka ukqIHhka jk wm w;a ú|sk yeÕSï' fuhg úIdoh lshkak mq¿jkao @ meyeos,sju kE''' ÿlg''' lkiai,a,g fnfy;a .kak ´ks kE' taj idudkH udkqISh yeÕSï' yenehs" fuh zzúIdohZZ iu. mg,jd .kak tmd' úIdoh frda.hla' wêl ÿl yd lkiai,a, úIdofha uQ,sl ,laIK' idudkHfhka wmg m%Yak tkfldg wmg ÿl ysf;kak''' lkiai¿ fjkak mq¿jka' m%Yakh úif|k fldg lkiai¿ iajNdjh;a ke;s fjkjd' úYdoh mgka. kafk yenEjgu m%Yakhlska fjkak;a mq¿jka' ta;a .eg¿j ksrdlrKh jqK;a fï úIdoh yg.;a miq ÿlanr Ndjh" lkiai¿ Ndjh ke;s fjkafk kE' fuysoS fud<fha zzfirfgdkskaZZ lshk ridhkfha wvq ùula isÿ fjkjd' ÿl" lkiai,a," YÍrh wm%dKsl ùu" kskao fkdhdu" l,ska úfkdaohla f.kÿka wjia:d jqK;a oeka ta i;=g" úfkdaoh f.k fkdoSu" l;dny-iudc wdY%h wvqùu úIdofha ,laIK iuyrla'

úIdoh we;súg cSúf;a fï jf.hs úfYAI{ ufkda ffjoH rks,a wfíisxy uQ,slj .;af;d;a úIdoh kue;s frda.fhaoS uki b;d ukao.dó fjkjd' l,ska ;snqKq m%fndaOh" Wkkaÿj ke;s fjkjd' u;lh ySk fjkjd' wjOdkh ke;s fjkjd' ;SrK .ekSfï yelshdj;a ÿ¾j, fjkjd' jHdmdßlfhla .;af;d;a ta jHdmdrhg ;sfhk Wkkaÿj ke;s fjkjd' túg jHdmdrfha .eg¿ u;= fjkjd' jHdmdrh lvd jefgkjd' bf.k.kak <ufhl=g .;af;d;a bf.kSug we;s leue;a; ke;s fjkjd' u;lh ke;s fjkjd' nqoaêh fudg fjkjd' wjidkfha úNd. wiu;a fjkjd' bf.kSu k;r fjkjd' fï whg wka;sfïos cSú;h;a tmd fjkak mq¿jka' iq¿ wd;;shla jqK;a úIdofhka fmf<k whg ord .ekSu l< fkdyelshs' ta whg ks;r ;ry;a we;s fjkjd' úIdoh" ldka;djka w;f¾ jeäfhka iq,n

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April 2017

DOCTOR MAGAZINE

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nj olakg ,efnkjd' talg fya;=j wehg ,dlaIKsl Biag%cka fydafudakh' Biag%cka ;sfhk ;ek udkisl wjmSvkh yefokak ;sfhk bvlv jeähs' orejka ,enqKg miafi we;eï ldka;djkag zzmiq m%ij ihsfldaishdjZZ lshk udkisl ;;a;ajh we;s fjkjd' wd¾;jyrk ld,fhaos;a fï fydafudak fjkialï ksid úIdoh we;sùfï bvlv jeähs'

úIdoh we;s fjkak n,mdk fya;= fld<U úYAj úoHd,hSh ffjoH mSGfha fcHaIaG l:sldpd¾h ufkda frda. úfYaI{ ffjoH ufyaIa rdciQßh úIdoh we;s fjkak n,mdk m%Odk fya;= iuyrla fufyuhs ● mdrïmßl keUqrej ● úfYaIs; jQ wiykldÍ isÿùï ● l,a mj;sk mSvdldÍ ;;a;aj' ksoiqkla f,i îu;a ieñhdf.a l%shd l,dmh ● mqoa.,hd f,dj olsk wdldrh' ksoiqkla f,i yeu fohlau i¾j iïmQ¾K f,i isÿ úh hq;=h hk u;h úIdoh we;s úg flfkl=f.a is;sú<s yd yeisÍï j,

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we;sjk fjkialï lsysmhla ● ;ud wirK" wkd.;hla ke;s " jeo.ekaula fkdue;s flfkl= fia is;Su" oekSu' ● jeäfhka fyda wvqfjka ksod .ekSu ● ;SrK .ekSfï" wjOdkh fhduq lsÍfï ÿ¾j,;d we;sùu ● tosfkod jev lghq;= i|yd we;s Wkkaÿj wvq ùu' ● ,sx.sl cSú;h .ek Wkkaÿj wvqùu ● wka whf.ka wE;aj isàug ;e;a lsÍu' ● b;d ;oska mj;sk l,a mj;akd ÿlauqiqNdjh' ● fya;=jla ke;sj fyda b;d iq¿ ldrKd u; ;uka zzjrolrefjl=hZZ hk is;sú,a, we;sùu ● b;d ;oska uykaish oekSu fyda ;ukaf.a weÕ Yla;sh ke;s fia yeÕS hdu' ● urKh .ek ks;r ks;r is;Su' úIdohg lrk m%;sldr iy th iqj ùug .; jk ld,h úIdoh fndfyda ÿrg iqj l< yels frda.hls' T!IO yd ufkda m%;sldr hk m%;sldr fuysoS fhdod.efka' kuq;a úIdoh we;s fndfyda fofkla m%;sldr j,g fhduq fkdjk nj fmfka' fï ksid jeä fofkla fï frda.fha iajNdjh ksid fndfyda ydks isÿ lr.kafka m%;sldr .ekSfuka iqjhla ,nd.; yels wjia:dj u.yrjd .ksñks' udi yhla yd wjqreoaol ld,hla m%;sldr .ekSfuka úIdofhka ñoSug wjia:dj frda.Skag ;sfí' frda.h iqj jQ whf.ka ishhg 30lg muK th kej; we;sùfï wjodkulao ;sfnk ksid ffjoH ks¾foaYh u;u ñi ys;=u;hg fnfy;a k;r fkdl< hq;=h'

cdkuh fya;=ka jf.au mdßißl fya;=kao úIdohg fya;= fjkjd''' wdhq¾fõo ffjoH iuka tia fyÜáf.a" kS,ïuyr fjo mrïmrdj foaYSh fjolug wkQj fuh zzis;a fmr¿ï frda.hZZ hkqfjka oelafjhs' mqrd;k j¾.Slrkhg wkQj fuhu zzfYdalc udkisl frda.hZZ f,io oelafõ' ;uka n,dfmdfrd;a;= jk foh ;ukag fkd,eîfuka we;sjk udkisl jHdl+,;djh fuhg uQ,sl fya;=jls' cdkuh fya;= ksid fukau mdßißl fya;=kao fuhg n,mdk nj fmfka' osú kid .ekSfï is;a my< ùu fuys we;s Nhdkl ;;a;ajhhs' fyd|ska cSj;a jQ wh ysá wäfha osú kid.kakg fï úIdoh fya;=jla jk nj fmfka' DM April 2017

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Advertorial m%;sfrdaë msIagh fmdaIKfõoSkaf.a wjOdkhg ,lafõ

Red Basmathi & Resistant Starch

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

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úúO iy,a m%fNao j.d lrk mi wkQjo" tajd fuda,a j, fldgk wdldrh wkQjo iy,a j, .=Kh fjkia fõ' lekvdj jeks rgj, iy,a j,g fmdaIH .=Kh miqj tl;= lrhs'

uE;ld,Skj isÿ lrk ,o úúO wOHhk j,g wkQj m%;f s rdaë msIg A h iys; wdydr j, m%n, fi!LHuh .=Kdx. rdYshla ;sfnk nj fy<sorõ ù ;sfí' jeä oshK q Q jQ bkaih s , q k s a ixfõoS;djh fï w;ßka uq,gu tkakls' fï ksid oshjeähdfjka fmf<k frda.k S a fï ldKAvfha wdydr isß;la jYfhka wkqNj lsÍu jvd;a iqÿiqh'

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fï yereKQ úg l¿ yd oï meyeh orK iy,ao f.dùka úiska j.d lrhs' wekaf;dihkska" úgñka B m%fNaohla jk fgdfldfrda,a iy m%n, mhsfgdridhk j,ska idr ksid fïjdo fmdaIH .=Kfhka wkQkh' t;rï ckm%sh;ajhla ke;;a l¿ yd oï iy,a m%fNao fmdÿfõ by< frda. ksjdrK n,hlska hqla;h'

oekg Ndú;fha mj;sk úúO iy,a m%fNao w;=ßka wm w;r jeä ckm%sh;ajhla we;af;a iqÿ iy,a j,gh' kuq;a fï yd,a iqÿ lsÍfïoS tys we;s jvd;au fmdaIHodhS fldgia wmf;a hhs' fm%daàk" fïoh" wdydruh ;ka;= yd LKsc ,jK rdYshla yd,a iqÿ lsÍfïoS úkdY fjhs' fï wkQj r;= yd,a" iqÿ yd,a j,g jvd fmdaIH .=Kfhka by<h' ue.akSishï" fmdiamria" úgñka B" ;hñka fukau úYd, ;ka;= m%udKhlskao fyì ksid r;= yd,a j,ska úYd, fi!LHuh /ljrKhla ie,fik nj wm wjfndaO lr.; hq;=h' úfYaIfhkau fojk ldKavfha oshjeähdj" fldf,iagfrda,a" yDoh frda. wdosfhka /ljrKhla iemhSug r;= yd,a iu;a fjhs' reêr mSvkh wju lsÍu" m%odysl ;;a;ajhka wju lsÍu" m%;sTlaisldrl l%shdldß;ajh yd ms<sld kdYl .=Kh r;= yd,a j, ksiÕfhkau msysghs'iyf,a r;a meyehg fya;= jkafka wekaf;dihkska kue;s ridhkhhs' doctormagazine.lk

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

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m%;sfrdaë msIagh - fmdaIKfõoSkaf.a wjOdkhg ,lafõ

Advertorial

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

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.=Kdx. rdYshla ;sfnk nj fy<sorõ ù ;sfí' jeä oshqKQ jQ bkaishq,ska ixfõoS;djh fï w;ßka uq,gu tkakls' fï ksid oshjeähdfjka fmf<k frda.Ska fï ldKAvfha wdydr isß;la jYfhka wkqNj lsÍu jvd;a iqÿiqh' m¾fhaIK j,ska fy<sorõ jQ wdldrhg fuys we;s ;j;a m%n, .=Kdx.hla jkafka wfma nvje,a j, fjfik ys;lr nelaàßhdjka fmdaIKhg m%%;sfrdaë msIagh l%shd;aul ùuhs' tu l%shdj,sh fya;=fjka ksmojk flá odu ìhqáf¾g ms<sn|jo m¾fhaIlhkaf.a oeä wjOdkh fhduqj ;sfí' r;= ndiau;S iy,a r;= ndiau;S iy,a fï wkQj oshjeähd frda.Skago" ukd fi!LHhla wfmalaId lrk ish¿ fokdgo ks;s wdydrhg .; yels iy,a j¾.hls' m%n, m%;sTlaisldrl .=Kdx. j,ska mßmQ¾k ùug wu;rj r;= ndiau;S iy,a j, wdiksla" Bhï yd leâñhï wdoS ner f,day fYAI jYfhka fyda fkdmej;Suo úfYaI;ajhls' DM

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Foods

Let’s talk about MSG

LET’S TALK ABOUT MSG This Silent Killer Lurking in Your Kitchen Cabinets We used to consume a lot of MSG flavoured foods from Chinese Restaurants during the bye gone days, without knowing the toxicity of this additive. In Sri Lanka, people are not aware even today the toxic effects of this chemical and seems to enjoy the tasty foods in restaurants, including Chinese outlets.

What is MSG ?

MSG is a chemical additive made of salt of the amino acidGlutamic Acid (glutamate). Amino acids consumed in our food as proteins are absorbed as amino acids. Many of them together create a protein the real building blocks. Glutamate is also just one of many amino acids used by the body and linked into chains of protein in the body. Most essential amino acids are floating in your blood stream and taken into organs and tissues for building and repairing.

Dr Harold Gunatillake FRCS, FICS, FIACS, AM(Sing) MBBS

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Glutamate is a neurotransmitter-meaning they transmit impulses between nerve cells like messengers. Glutamate seems to trigger nerve cells to fire and there are other amino acids telling those firing nerve cells to cease firing. There seems to be a fine balance between firing and cease firing

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mechanism working in the nerve cells all the time for the smooth conduction of nerve impulses. So the natural glutamate in our body serves a useful purpose and good and the glutamate in MSG added foods are bad, the opponents say.

Natural Glutamate is good, But ?

MSG has processed contaminants, too which could be harmful.

Any fluctuation of the smooth mechanism can drastically disrupt this fine balance at the transmitting sites

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(synapses) of the nerve cells, and that is what processed glutamate does in the body when it’s taken in food as an additive to provide better taste.

MSG is now everywhere, Be cautious MSG is found in most packaged foods. Two minute noodles so tasty when mixed in hot water is due to the added spices and the additive MSG. Even reading the labels of the packages may not reveal the presence of MSG as it sometimes is hidden: may call hydrolysed vegetable protein, or hydrolysed plant protein, and so on.

Japanese use lot of MSG to flavour their foods. They call it ‘Umami’ Common complications with MSG Some people are allergic or sensitive to MSG. The toxicity affects the nervous system, including the brain cells within hours. The effects could be headaches, pain in the back of the neck, rashes, flushing, sweating, runny noses, insomnia, nausea,

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LET’S TALK ABOUT MSG

Foods

irregular heart-beats, mood changes, and asthma attacks and so on. There have been deaths reported after enjoying Chinese Food.

Other side effects of consuming food with the added enhancer regularly include obesity, depression, fatigue and tingling and numbness in the extremities. These symptoms have been collectively called the ‘Chinese Restaurant Syndrome’ It has not been proved unto now that MSG causes this syndrome In 1968, reports of a series of serious reactions to Chinese food were first described and MSG was felt to be the cause of these symptoms, but not definitely pin pointed to MSG. For this reason, MSG continues to be used in some meals in most countries.

The worst scenario In the brain we have a natural protection called the blood-brain barrier- meaning that toxic chemicals in the blood stream may be prevented from affecting the brain cells and disrupting the functions. There is a category of toxins called excitotoxins powerful enough to enter the brain cells through the defensive barrier. MSG is considered as an exototoxins that even can kill normally functioning brain cells. In some areas of the brain stem there is no such protective barrier and any toxin can be injurious to the nerve cells in the brain stem.

The high levels of MSG in the brain remain for 24 hours after the initial ingesting of the contaminated food.

It is not worth taking a risk just for taste.

Patronise those restaurants that display a board stating-“No added MSG” Though there have been many allergic and toxic reactions with MSG the U.S.Food and Drug Administration labelled MSG as “Generally Recognized as Safe” Today the FDA identifies the effects as “short-term reactions” to MSG Most symptoms after consuming the additive added food comes on within hours and may subside within a short period. But if you experience any symptoms such as shortness of breath, heart palpitations, chest pain, go to the nearest emergency department immediately.

So, remember when you patronise Chinese restaurants, be aware of the syndrome when you enjoy those tasty sweet

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and soft ‘Mongolian lamb’ brought firing on a tray.

Story at-a-glance Monosodium glutamate (MSG) is a flavor enhancer added to thousands of foods you and your family regularly eat. It's also one of the worst food additives on the market MSG is an excitotoxin, which means it overexcites your cells to the point of damage or death, causing

brain damage to varying degrees, and potentially even triggering or worsening learning disabilities Common adverse effects linked to regular consumption of MSG, include: obesity, eye damage, headaches, fatigue and disorientation, depression, rapid heartbeat, tingling and numbness Early studies suggested 25 percent to 30 percent of the US population was intolerant of MSG at levels then found in food. Today, an estimated 40 percent of the population may be impacted In general, if a food is processed you can assume it contains MSG (or one of its pseudo-ingredients).

Eating a whole, fresh food diet is your best, if not only, guaranteed way to avoid this toxin. DM

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Advertorial bmerKs fy< wdydr rgdj fj; kej; fhduq fjkak

fy<fha wjqreÿ ux.,Hh wdhq wdfrda.H i,ik cSjk rgdjlg uq, mqrkak'''

bmerKs fy< wdydr rgdj fj; kej; fhduq fjkak l=reKE., YslaIK frdayf,a ffjoH kd,l rKisxy úisks

xy, w¿;a wjqreoao fy<fha uyd ixialD;sl ux.,Hhhs' wjqreÿ fooyia mkaishhla wúÉÑkak b;sydih ;=< wfmalu /l.kakg" wjqre tlish úiaig foish úiaila os>dhq fõjd hk m%d¾:kfhka jákd kele;a Ydia;%ho Wmfhda.S lr.ksñka cSú;h w¿;a lr.kakg fhdod.;af;a isxy, w¿;a wjqreoaohs'

is

¥ore" udmsh in|;d w¿;a lr.kakg" iudc in|;d kej; biau;= lr.kakg fhdod.;a isxy, w¿;a wjqreoafoa wd.ñl j;dj;a" fy< wdydrmdk j,ska ieliqkq lEu fïih" ck l%Svd fukau ;j;a fndfyda jákd ixialD;sldx. j, wvqjla tod iyf,a w¿;a wjqreoafoa fkdúk' tfy;a wo ojfia fndfyda fokdg w¿;a wjqreoao lshkafka ngysr mkafkg ldî" fcd,s lrkakg t<UqKQ ksjdvq ojia lsysmhls' y;r j¾.fha j¾. mrïmrdjka flfia fj;;a uõmshka fyda neye olskakg hkafka 40

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zzksoyfia ojia lsysmhla .; lrkakgZZ ñi wka Wiia wruqKlska fkdfõ' ´kEjg;a jvd ngysrlrKh jQ wfma cd;sh oeka jeäfhka wkqNj lrkafka uia j¾.h''' yeï fílka" fidfiacia tx.,kaf;g;a jvd wmg wjYHh' u;ameka fkdîu uosmqxÑluls' biair wmg ;snqKQ .fï wdydr wkqNjh uosmqxÑlula fj,dh''' ta fjkqjg ngysr mkafka wdydr j,g osj yqre fj,dh' ta w¿;a ;df,a wdydr isß;g wmg Wreu jkafka .dïNSr f,v lsysmhls' fm%I¾" fldf,iagfrda,a" oshjeähdj" wlaud frda.''' fï tl f,vla j;a ksÜgdjg iqj lrkakg neßh' f,fâ iu. we;s lr.kakd idu .súiqulska fnfy;a iu. cSú;fha b;sß ld,h .; lrkakg wmg isÿù ;sfí'

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wjqreoaog wmg wdfõKsl wdydr ;sfí' lejqï" fldlsia" w;sri" w¿jd" meKs j<¨" w.a.,d" je,s ;,m" uqx.=,s fï wdoS jYfhks' ish,a,u .=Kodhl wdydr fõ' fmd,alsfrka" ls;=,a meKsfhka ri lrk fï wdydr j, ji úi ke;' zzfldkav lejqul fldkavh .kak neß <ñiais oS. fokafk fldfyduo @ZZ fï l;dj wfma we;a;ka lSfõ lg lykjg fkdfõ' ixhufhka bjiSfuka lejqfï fldkavh .ekSfuka mkakrh ,nkafka oS. ;, f.dia ysñ iu. ne;sfhka i;=áka ;u mjq,a cSú;h .; lrkakgh' ld,h uejq fjkil wreuh''' wo wf,a ,,kdjkag uosmqxÑlula oefkkafka fldkav lejqfï fldkavh yßyeá fkdmeñKSu fkdfõ' flala" mqäx yokak neß kï" *%hsâ rhsia' uelfrdaks" nqßhdkq yokak neßkï kQ;k ldka;djg fndfyda ,ecacd oefkkjdh' wo ld,fha flfi,a" mefmd,a" wU" fjr¿" f,dú" udox j,g w;=remfiys t;rï ;ekla ke;' w;=re mi f,i wmg ´ks lrkafka whsial%Sïh" mqäxh' jg,mamka yd iakela j¾. j,go oeä b,a¨ula u;=ù ;sfí' f,dalhgu l=¿nvq iemhQ wmg wo wfma rïfma" lrmsxpd" l=reªfmd;=" .ïñßia" f.drld" tkid,a" iQÿre" udÿre ál wu;l fj,dh' ta fjkqjg iqmaleg" doctormagazine.lk

fidaia" iSikska ke;sju neßh' flala" ìialÜ" frda,aia" fidfiacia" óÜfnda,a" flala" mqäx ke;sju neß wfma j;auka iudch kej; Wvq.x n,d yerúh hq;=fõ' th wka ljrodg;a jvd ful, jeo.;a jkafka úúO frda. ;¾ck j,ska cd;shla f,i wm ;oskau neg lk ksidh' jl=. vq frda." yoj;a frda." ms<sld wvqjla ke;s wfma rfÜ ta uosjdg msgráka tk jix.; ish,a,o me<moshï jkafka wfma ñksiqkaf.a YÍr j, m%;sYla;slrK Yla;sh ÿ¾j ùu ksidh'

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bmerKs fy< wdydr rgdj fj; kej; fhduq fjkak

Advertorial

wfma orejkaf.a wkd.;h fï wkQj jvd;a wNsfhda.d;aulh' fï ksid wm fkdj,yd''' fkdjrojd .; hq;= mshjr lsysmhla ;sfí' uq,a ;ekg tkafka kej;;a wfma zzwdos wdydr isß;ZZ n,.ekaùuh'

f.or f;,a ys|skfldg wäfh b;sß fjk zzlsßcAcZZ j,ska le| yo, fndkj' f;,a ys|, bjr jqKdu Ndckh wäfh f;,a zzlvqlalkaZZ b;sß fjkj' taj;a m%KS; wdydrhla'

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biair ldf, ñksiaiq foúosylg ;ukag wjYH lrk fmd,af;,a ál yskaojd .;ay' fmd,a .d," lsß ñßl, f,dl= Ndckhlg od, r;a lr, f;,a ys| .kak tl ;uhs ir<u l%uh' th ye|skajQfha zzw;a f;,aZZ hkqfjka' fldmamrd j,ska is|.kakd f;,a j,g jvd zzw;a f;,aZZ .=Kfhka Wiia njg wm w;f¾ ms<s. ekSula ;snqKd' ^th yenEjla' wo j¾cska fldlkÜ Ths,aZZ lshkafk;a fï zzw;af;,aZZu ;uhs' ta;a fï l%fïg f;,a ys|skjdg jvd filal=fj ys|sk tl ;uhs myiq' f.or f;,a ys|skfldg wäfh b;sß fjk zzlsßcAcZZ j,ska le| yo, fndkj' f;,a ys|, bjr jqKdu Ndckh wäfh f;,a zzlvqlalkaZZ b;sß fjkj' taj;a m%KS; wdydrhla' filal=fjka f;,a ys|sk f.org lshkAfk filal= f.or lsh,' fmd,a lE,s j,g lm, ud.,a j, fõ,, filal= f.org f.ksyska f;,a ál ys|.kakjd' .jfhd fokafkla úh,g ne|, filal=jg fmd,a lE,s od, lrljk fldg ñßls, filal=fjka f;,a tkj' fï úosyg filal=j lrlefjk fldg fld,af,d l=reÜfgd filal=fj úh.fya k.skj' filal=fjka mqkaklal= t<shg tkfldg iqjf|a nerej''' b;ska Tkak Th úosyg wfma wdos uq;=ka ñ;af;d

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yskaoj.;af; fndfydau .=Kiïmkak fmd,af;,a' taj fhdo, yok lEuîu yßu m%KS;hs' jila úila kE' YÍrhg wys;lr;a kE' fydoaog" ud¿jg" neÿug" kshU,djg" ue,a¨ug" iïfnda,hg''' fï fldhs wdydrhg;a fmd,a fyda fmd,af;,a uQ,sl wdkqmdkhla jqKd' ;e,aulg" if;la .Eú,d bosuqKdu" likak .;a;u mdúÉÑ lf<A fmd,af;,a' ysfika nysk frda.hla ke;s fndfyda fokdf.a oskm;d isß;la jqfKA fmd,af;,a álla T¿fõ wdf,am lsÍu' wdhq¾fõofha uy`.= .=Kiïmkak fndfyda f;,a j¾. ys|skak;a fmd,af;,a fhdod.;a;d' fï wdldrfhka wfma wdos mrïmrdjkaf.a Ñr cSjkhg" wdhq wdfrda.

Hhg buy;a msgqjy,la jQ fmd,af;,a j,g wNsfhda. t,a, jQfha 5060 oYlfhaoSh' fmd,af;,a ksid fldf,iagfrda,a reêr kd, ;=< ;ekam;a jk nj" ix;Dma; fïoh ksid yoj;a frda. we;sjk nj''' úúO l%u Tiafia m%pdrh lrñka wfma cSú; wdrlaId lsÍug mrïmrdkq.;j odhl;ajhla oelajQ

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wfma YÍrfha wka;¾.; fïofhka ishhg 97lau ix;Dma; fïoh yd talSh wix;Dma; fïoh u.ska ksfhdackh lrjhs' b;sß m%udKh wix;Dma; fïohhs' thskq;a wvlau Tfï.d -3 hk ys;lr fïo wï,hhs' wm YÍrhg f;,a j¾. .ekSfïoS l< hq;af;a iajdNdúl YÍr fïo ixhq;shg iudk jk f;,a m%udKhla wdydr Tiafia ,nd .ekSuhs' jeämqr ix;Dma; fïoh wka;¾.; fmd,af;,a fuysoS jvd;a isrerg .=Kodhl nj wo m¾fhaIKd;aulj ikd: ù ;sfí' uõlsß j, we;s uyÕ= f,daßla wï,h we;s tlu f;,a j¾.h fmd,af;,ah'

doctormagazine.lk

"

fmd,af;,a wfmka wE;a lsÍug .;a W;aidyh ;=< ta wvqj jid .;af;a úfoaYfhka wdkhkh l< ñf,ka wêl lefkda,d" fidahd" T,sõ wdoS f;,a j¾.h' t<j¿ f;,a hkqfjka ye|skafjk fuu g%dkaia fïoh wvx.= f;,a j¾. wkqNjfhka isÿjQ tlu fjki jQfha cd;shla jYfhka wm wka ljrodg;a jvd .s,ka Ndjhg m;a ùuhs'

wfma wdos uq;=ka ñ;af;d yskaoj.;af; fndfydau .=Kiïmkak fmd,af;,a' taj fhdo, yok lEuîu yßu m%KS;hs' jila úila kE' YÍrhg wys;lr;a kE' fydoaog" ud¿jg" neÿug" kshU,djg" ue,a¨ug" iïfnda,hg''' fï fldhs wdydrhg;a fmd,a fyda fmd,af;,a uQ,sl wdkqmdkhla jqKd'

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fjk;a f;,a j¾. wdydrhg .ekSfïoS wix;Dma; fïo wï, jeä jYfhka YÍrhg Wrd .kshs' tajd reêr kd, ì;a;s m%odyhg ,la lsÍug fya;= fjhs' yDo frda. j,g fuh m%Odk fya;=jla fjhs' fï w¿;a wjqreÿ iufha fy< pdß;% jdß;% j,g uq,a ;ek foñka zzisxyf,a wjqreÿ WodjZZg ierfik Tng osh hq;= jeo.;a mKsúvhla ;sfí' biair ldf,a filal=fjka fyda w;a f;,a wdldrfhka msßisÿ .=Kj;a fmd,af;,a yskaojd .;a;dg ful, tjka Ndú;djla we;af;a l,d;=rlsks' úfYaIfhkau ,dNhu mokï lr.;a iudchl Æia fmd,af;,a j, .=Kd;aulNdjh úYd, jYfhka wk;=f¾ jeà ;sfnk nj m¾fhaIKd;auljo y÷kdf.k ;sfí' fï ksid ishhg ishhla msßisÿ fi!LHiïmkak fmd,af;,a úYajdijka; kulska ñ,oS .ekSug mshjr .kak' fmd,af;,a j, ienE hy.=Kh Tfí isrerg ,efnkakg kï remsh,a myl oyhl jdishg Tfí jákd hy.=K we;s m%ñ;s.; fmd,af;,au ñ,oS .kak' iq¿ ,dNhlg Tfí fi!LHiïmkak cSú;h ì,s fokafka ke;sj Wiia ;;a;ajfha ksIamdokhl rih" .=Kh fukau jákd fi!LHuh m%;s,dNh i,id .ekSu kj jif¾ jákd fi!LHdfhdackhlao jkafkauh' DM

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DM

Humour page nqlsfha frday,a l;d'''

nq ls fha frda y,a l;d

ks¾udKd;aul bosßm;a lsÍu ;x.,a, uQ,sl frdayf,a ffjoH tÉ fla ta j¾Kl=udr

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DM

Executive Health Screening úOdhl ks,Odßka i|yd ffjoH mÍlaIK

Tfí mjqf,a idudcslhkag;a wmg;a Tn rgla jákjd''' úOdhl ks,Odßka i|yd ffjoH mÍlaIK

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doctormagazine.lk

jD;a;ShNdjh Tng wdNrKhla' .re lghq;= jD;a;Shl fhfok Tn thska iudchgo buy;a fiajhla i,ikjd' ta;a''' oyila rdcldß''' jHdmdßl lghq;= w;f¾ cSú;h f.jk Tng Tn .ek''' Tfí <ne|shka .ek úmrï lrkakg wjia:djla ,enqKdo @

iudchg jákd fufyhla lrk Tn jvd;au jákafka Tfí mjqf,a Woúhghs' wyi Wig wfmalaId o,ajd isák Tfí wdorKShhka fjkqfjka''' Tn fjkqfjka fi!LHiïmkakj isáh hq;=hs fkdfjo @ l,ska l,g u;=j tk f,v frda. we;eï úg Tfí cSú;hg ;¾ck f.k tkjd' ta;a Tn fjkqfjka Tfí YÍR fi!LH iq/lSu wmg Ndr fokjd kï wms Tnj Tfí mjqf,a wh ;rïu wdorfhka /l.kakjd' hka;ï wjodkula we;s jk úgu Tng wjYh wdrlaIdj wms ,nd fokjd''' Executive Health Screening Tfí wdrlaIdj fjkqfjkauhs' th Tfí cSú;h iq/lsj ;nd .ksñka Tfí mjqf,a idudcslhkaf.a i;=gg fmrjokla fjkjd' yDo frda. msßñkag we;s nrm;,u fi!LH ;¾ckh jkafka reêr kd, >k ùfuka we;sjk wef;frdialaf,frdisia kue;s frda.hhs' f,dalh mqrd msßñ-.eyekq fomd¾YAjfhau urK isÿjk m<uq yd fojk fya;= fol fï uq,a lr.;a yDohdndO iy wxYNd.hhs' fuysoS fldf,iagfrda,a ;ekam;= yDofha iy fud<fha kyr wjysr lrhs' fï leá;a; wjidkfha reêr leá;a;la njg m;aù reêr .ukd.ukh wjysr lr yoj; fyda fud<h wdoS jákd bkaøsh fldgilg jk reêr iemhqu wvd, lrhs' th yDohdndOhla fyda wd>d;h we;sùug mQ¾jfhka jk yev .eiSuhs' Tfí fldf,iagfrda,a mÍlaId lsÍu jir 25 isg wdrïN lrkak' fldf,iagfrda,a yd reêr mSvkh by< w.hla .kS kï th md,kh lsÍug W;aiql jkak' ÿïmdkfhka w;añfokak' ojilg úkdä 30la jla jk fia i;sfha jeä osk .Kkdjla jHdhdu lrkak' fndcqkam;g jeäfhka t<j¿ yd m<;=re tl;= lr.kak' ix;Dma; yd g%dkaia fïofhka yels;dla j<lskak'

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DM

Executive Health Screening úOdhl ks,Odßka i|yd ffjoH mÍlaIK

ms<sld fmKy¿ ms<sldj fmKy¿ ms<sldj Nhdkl iajrEmhla .kakd ms<sldjls' th m%pKavldÍh' myiqfjka me;sr hhs' frda. ,laIK m%lg lsÍug fmr" úlsrK mÍlaIKhlg fyda yiqjk ld,hg fudaÿ ùug fmr th wjfYAI bkaøsh j,g me;sr hkafkah' fï ksid fmKy¿ ms<sldjla idudkHfhka y÷kd.kakd wjia:dj jk úg th me;sr f.disks' m%;sldr Tfrd;a;= fok woshr bl=;a fj,dh' Tn ;ju;a ÿï fndkafklao @ Tfí jhi ljrla jQj;a ÿï mdkfhka ñoSfuka fmKy¿ ms<sld wjodku fndfyda fihska wvq lr.; yel' ;hsfrdhsâ l%shdldß;aj mÍlaIKh Tfí f.f,ys bosßmig jkakg iuk,fhl=f.a fmKqfuka hq;a úYd,;ajfhka w`.,a follg fkdjeä" tfy;a l%shdldß;ajfhka buy;a jeo.;alula orK .%kaÓhla ;hsfrdhsâ .%ka:sh kñka y÷kajkafkah' mßjD;a;Sh l%shdj,sh flfryS iDcqju n,mj;ajk ;hsfrdhsâ .%kaÓh Yajikh" yDo .eiau" YÍr WIaK;ajh" YÍrfha fldf,iagfrda,a uÜgu yd ;j;a fndfyda

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l%shdldrs;ajhka md,kh lsÍsug bjy,a fõ' ;hsfrdhsâ .%ka:sfha l%shdldrs;ajh wvqùu fukau jeäùuo by; lD;Hhka flfryS wys;lr fia n,mdk fyhska tajd ksjeros uÜgul mj;ajd .; hq;= jkafkah' ;hsfrdhsâ .%kaÓh fydafudak folla reêr oyrdjg >%djh lrhs' whäka mrudKq y;rla iys; ksid T4 hkqfjkao y÷kajk ;hsfrdlaiska fukau whäka mrudKq ;=kla ;sfnk ksid T3 hkqfjkao y÷kajk g%hswhfvd;hsfrdkska wdoS jYfhks' fï fydafudak foflau m%udKd;aul w.h hdukh lrkafka fud<fha ;sfnk msáhqgß .%kaÓh u.sks' ;hsfrdhsâ .%kaÓfhka >%djh lrk fydafudak j, m%udKfha wvqùula jQjfyd;a msáhqgß .%kaÓfha we;s thyroid-stimulating hormone (TSH) >%djh lr tu ys`.mdvqj iukh lsÍug W;aidyhl ksr; fjhs' fï wkQj ;hsfrdhsâ .%kaÓfha hïlsis wvq¨yq`vq;djhla fõ kï ta nj y÷kd.kakd mÍlaIK jYfhka TSH, T4 yd T3 hk mÍlaIK isÿ flf¾' fuu mÍlaIK j,oS T4 yd T3 hk fydafudakfha zzksoyiaZZ fyda l%shdldÍ fldgi we.hSug ,lajk fyhska fï mÍlaIK FT4 yd FT3 jYfhkao oelafõ' ;hsfrdhsâ mÍlaIKhloS ,efnk m%;sM< j, idudkH mrdih fufiah' Test

From

To

TSH

0.4

4.0 mU/L (milliunits per litre)

FT4 9.0

FT3 3.5

25.0 7.8

Units

pmol/L (picomoles per litre) pmol/L (picomoles per litre)

TSH w.h jeäùula iy T4 w.h by; mrdihg jvd wvqùula fmkajkafka kï ;hsfrdhsâ .%kaÓh wjl%shdldß;ajhlska hqla; hhs ie<fla'

doctormagazine.lk

TSH w.h wvqùula iy T4 w.h by; mrdihg jvd jeäùula fmkajkafka kï ;hsfrdhsâ .%kaÓh wêl%shdldß;ajhlska hqla; hhs ie<fla' uq;%d mÍlaIKh Urine Analysis uq;%d mÍlaId lsÍfuka fndfyda frda. ksOdkd;aul idlaIs ,nd.; yelsh' uQ,sl jYfhka isÿ lrk mÍlaIK yereKq úg frdamk mÍlaIKo ;j;a fndfyda mÍlaIKo uq;%d kso¾Ylhla jYfhka ,ndf.k isÿ lrKq ,efí' kuq;a wjfYaI mÍlaIK isÿ lsÍug fmr Urine Analysis hkqfjka ye|skafjk uQ,sl mrSlaIKh m%uqLj isÿ flf¾' fuu.ska Protein, Sugar, Bile Pigment fukau wkaùlaISh mÍlaIKhla Tiafia ierj ffi," r;= ffi," wmsÉPo ffi," iaMÀl" cSjdKq wdosh mÍlaIKhg ,la flf¾' uq;%d wdidok" reêr iSks" uq;%d u. we;sjk .,a yereKq úg ;j;a fndfyda frda. iïnkaO uQ,sl b`.s ,nd.ekSug fuu mÍlaIK bjy,a fõ oshjeähdj fuh ksy`v wjodkuls' fndfyda úg ld,hla ;siafia reêrfhys jeä iSks w.hka jd¾;d ù wjidkfha oshjeähd reêr iSks uÜgug <`.d jkafkah' wêl msmdidj" rd;%S lsysm jrla uq;%d msgùu wdoS ,laIK flfrka isÿ lrk reêr mÍlaIKhlska uq,a jrg oshjeähdj y÷kd .kS' reêrfha mj;akd jeäuk;a iSks reêrjdyskS j,g" iakdhq j,g wdmod we;s lrkafkah' fldákau jeä reêr iSks fïjdg;a weia" jl=.vq wdoshgla ydks isÿ lrhs' yDohdndO" wd>d;h" wkaONdjh" jl=.vq wl%Sh ùu" mdo lmkakg isÿùu oshjeähd frda.Ska w;r iq,nh' ia:q,;djh" wd;;sh iy fi!LHiïmkak fkdjk cSjk rgdj oshjeähdjg w; jkhs' ia:q, ;;a;ajhg m;a wh fjfiiskau oshjeähd wjodkfuka ñfokq msKsi ;u nr md,kh lsÍug W;aiql úh hq;=h' iqN mKsúvh jkafka ojilg ñks;a;= 30 l jHdhduhl fhoSfuka oshjeähdj we;sùfï wjodku ishhg 50 lska muK my; fy<sh yels njhs'

ÿïmdkh wdoS fndfyda lreKQ fïjdg fya;= mdol úh' fï ;;a;ajfha f.dÿrla njg m;a fkdjkq msKSi kss;s úuis,a, jeo.;a fõ'

fjfiiskau jd¾Islj isÿ lrk ffjoH mÍlaIK hï wjodkula fõ kï ta l,a fõ,d we;sj y÷kdf.k wjYH ms<shï fhoSug WmldÍ jkafkah' ffjoH mÍlaIK ksielfhkau Tfí cSú;hg iqrlaIdjla jk nj wm Tng fok mKsúvhhs' DM

wdisß Y,H frday, mSt,aiS 21" lsßuKav, udj;" fld<U 5 0114524400 os.=j 2603 iDcq ÿrl:k 0114524431 yd 0114524433 wdisß fikag%,a fydiamsÜ,a 14" fkdßia lek,a mdr" fld<U 10 0114665500 os.=j 5150 yd 5151 iDcq ÿrl:k 0114524431 yd 0114524433

miq.sh ld,h uq¿,af,a wfma rfÜ oshjeähdjo we;=¿j wêreêr mSvkh" wxYNd.h" ms<sld wdoS fnda fkdjk frda. j, úYd, W;aikak ùula olakg ,enqKs' jHdhdu u|lu" jeros wdydr isß;a" wêl udkisl wd;;sh" uoHidr"

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Thyroid Medication ;hsfrdhsâ fnfy;a .; hq;= ksjeros l%fï fukak'''

DO’S AND DON’TS FOR TAKING THYROID MEDICINE

;hsfrdhsâ fnfy;a .; hq;= ksjeros l%fï fukak''' Hypothyrodism fkdfyd;a Myxedema hkqfjka y÷kajk ;hsfrdhsâ .%kaÓfha wjl%shdldß;ajh ;sfnk njg Tng frda. ks¾Khla isÿ flrefKa kï fndfyda úg Tng ;hsfrdlaiska fm;s jYfhka .kakg Tfí ffjoHjrhd kshu lrKq we;' fndfydauhla fokdg fufia lD;%suj ;hsfrdlaiska fm;s .ekSfuka frda.h iïmQ¾Kfhkau md,kh jkq we;' kuq;a ;hsfrdlaiska fm;s .ekSfuka frda. ,laIK md,kh lsÍu jvd;a w¾:j;a lsÍug''' jvd;a ld¾hlaIu lsÍug kï ta T!IO ksjerosj ,nd.; hq;=hs' fï ta i|yd u¾f.damfoaYKhls' 1' Tn ;hsfrdlaiska fm;s ,nd .kakd úg Tng kshñ; ud;%dj tlajku ksrjoHj ;SrKh l< fkdyel' ta i|yd iSyqï lsysmhla we;eï úg isÿ lrkakg isÿfõ' tfiau ;hsfrdlaiska fm;s YÍrfha l%shd;aul ùugo hï ld,hla .; fjhs' fï neõ is;ayS OdrKh lrf.k hï ld,hla th

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l%shd;aul ùug bv osh hq;= fõ' 2' Tfí frda. ,laIK my ùug kï" fnfy;a ud;%dj yeu osklu fkdjrojd .ekSu jeo.;a fõ' fnfy;a .ekSu w;miq lf<d;a YÍrfha l%shdldß;ajh ÿ¾j, ù kej;;a frda. ,laIK u;= jkq we;' 3' fnfy;a fm;s îfïoS m%udKj;a j;=r ùÿrejla ta iu. mdkh l< hq;=h' Tn .kakd fm;a; uqLfhaoS fyda W.=f¾oS osh jqfKd;a reêr Odrdjg Wrd .ekSug m%udKj;a fnfy;a fYAI fkdjkq we;' 4' oskm;du fnfy;a .; hq;af;a tlu fj,djloSh' fï fnfy;a WoEik ysianv .ekSfuka jvd;a id¾:l m%;sM< w;ajkq fmfka' 5' fï fnfy;a fm;a; iu. úgñka .ekSfuka m%;sM<h wvq úh yel' fjfiiskau le,aishï yd hlv

fm;s .ekSfïoS ;hsfrdlaiska reêrhg Wrd .ekSu ÿ¾j, jk nj y÷kdf.k ;sfí' úgñka .kakjd kï meh y;rl j;a ld, wka;rhla mj;ajd .ekSu iqÿiqh' 6' Tng ffjoHjrhd úiska kshu lrk ,o fnfy;a ud;%dj tf,iskau ,efnk nj ;yjqre lr.kak' 7' kshu ud;%dj .ekSfïoS nr wvq ùula jkafka fiñks' nr wvq lr .ekSu b,lal lrf.k fyda ys;=uf;ag jeä ud;%djka .ekSfuka j<lskak' ta ksid yoj; wdoS jákd bkaøsh ydkshg m;aùug bv ie,fia' 8' ldka;d Tn .¾NsKshla jQfha kï fï fnfy; os.gu mj;ajd .; hq;= jkjdla fukau jeäjk b,a,qug wkQj ud;%dj jeä lsÍugo isÿ fõ' ;hsfrdlaiska fm;s l=i ;=< Tfí orejdg ydkshla lrkafka ke;' 9' ;hsfrdhsâ .%ka:sfha hyl%shdldrs;ajhg whäka iys; wdydr úi,a fufyhla lrk nj ienEjls' tfy;a" whäka ridhk f,iska .ekSu fyda whäka idr wdydr muK blaujd ta fjkqfjkau .ekSu hk foflkau fjkafka frda.h jvd;a l%shdldÍ ùuhs' DM

osh;,dj uQ,sl frdayf,a ldhsl frda. úfYAI{ ffjoH ksfrdaO o is,ajd úisks

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April 2017

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DM

World Hearing Day

WORLD HEARING DAY 03 MARCH 2017 “Action for hearing loss: make a sound investment” According to recent statistics, 360 million of the global population is suffering from hearing defects.

Developing countries account for more than half of this number. According to WHO, nine per cent of the population of Sri Lanka is suffering with disabling hearing loss….

We learn to talk by listening. Development of the speech area of the brain depends on the listening ability. If someone is suffering from a severe congenital hearing loss, this will affect the development of the speech area of the brain, and ultimately the person becomes mute. Therefore, it is very important to check the hearing of new born babies, so that necessary actions can be taken immediately.

In our country, hearing aids and cochlear implant surgery for the children with hearing defects are provided free of charge by the government.

Therefore, it is parents’ responsibility to take the child to a doctor, if a hearing defect is identified. If the child does not pay attention

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to what the parents or teachers say, this child might be suffering from a hearing defect. Hence, school children who are week or hyperactive, should undergo a hearing test. Otherwise, they will not be able to continue their studies successfully. Therefore, it is very important to start treatment for hearing defects as early as possible.

There are two types of hearing loss:  Conductive hearing loss This is due to the problems of the ear canal and middle ear.

Causes are impacted ear wax, malformation of the ear structures, ear infections, perforated ear drum, mucus in the middle ear, and foreign body  Sensorineural hearing loss This hearing loss can be due to the problems of the inner ear, auditory nerve, or brain. It is also doctormagazine.lk

known as nerve related hearing loss. Causes are auditory nerve damage due to viral diseases such as mumps and measles, exposure to loud noise, aging, and obstruction of the blood vessels due to diabetes or cholesterol.

When to suspect a hearing defect in a baby???  Consanguineous marriages (eg: if the parents are cousins)  If the mother has a history of abortion  Complicated pregnancy  Complications such as cyanosis / jaundice at birth  Family history of hearing defects  If the parents / teachers suspect any hearing defect in the child How to protect your ears???  If you are working in a noisy environment, use ear plugs  Don’t listen to your music player at very high volume  Never use cotton buds or any other material to clean your ears ( ear is designed to remove its own earwax)  Keep your diabetes and cholesterol under control  Never slap or pull the ear of your child, as a punishment DM

Dr. Chandra Jayasuriya.

Consultant ENT Surgeon National Hospital, Colombo

By Sanjaya de Silva

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Breakfast

hy.=K we;s WoEik wdydrh orejdf.a ksfrda.S nfõ mokuhs

BREAKFAST IS THE IMPORTANT MEAL OF THE DAY

hy.=K we;s WoEik wdydrh orejdf.a ksfrda.S nfõ mokuhs

<ud frda. úfYaI{ ffjoH oSmd,a fmf¾rd

orejka wfma rfÜ wkd.;h' ksfrda.S ore mrmqrla wms iEu fokdf.au m%d¾:kh' ta;a we;s yels iEu fokdf.au orejkag m%Yak' ke;s neß whg;a fmdaIK .eg¿ ;sfhkjd' wfma rfÜ wkd.;h fï khska n,k úg wNsfhda. hg ,laù ;sfnk nj meyeos,shs' wfma orejka wk;=f¾ fy<k fi!LH ;¾ck fyd| iqj isß;a ms<sn|j fïid ck;dj oeKQj;a lrk hq.hl''' fïid ffjoH myiqlï mq¿,aj we;s hq.hl wfma rfÜ jákdu wdfhdackh jk orejka fï wdldrfhka frda.S jkafka wehs @

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fkdmsg fmr¿KQ wdydr isß;" iqjh iok cSjk rgdj orejkaf.ka wE;aùu fï .eg¿jg m%Odk fya;=jhs' úfYAIfhkau jeros wdydr isß;lg orejka wkq.; lrk w;f¾ orejdg m%udKj;a jHdhduhla" oyäh oukak fi,a,ï lrkak wjia:djla fkdoSu;a" ta fjkqjg rEmjdysksh" cx.u ÿrl:k weiqf¾ b;d wka;rdhldÍ cSjk rgdjlg yqre lsÍu;a ksid wfma orejka wo úYd, fi!LH ;¾ckhlg ,laù ;sfnkjd' WoEik wdydrh yßu m%fhdackj;a wdydr - orejkaf.a j¾Okhg ;oskau n,mdk ldrKhla' fï ksid wm iEu úgu orejkag .e,fmk fyd|u wdydr ,nd osh hq;=hs' fuhskq;a WoEik wdydr fõ, yßu úfYaIhs' WoEik wdydrh ;uhs" ojfia wdydr isßf;a moku' orejdf.a oji ;=< ldhsl yd udkisl l%shdldß;ajfha moku i,ikafka;a WoEik wdydrfhka ,efnk Yla;sfhkqhs' ta;a wjdikdjlg wo wfma uõmshka WoEik wdydrhu jroaodf.k ;sfnkjd' ojfia wdrïNfhaoSu orejd wk;=f¾ fy<d ;sfnkjd' orejkaf.a ojfia wdydr isßf;a moku i,ik Wo#ik wdydrh orejdg ksjerosj ,ndfok wdldrh wm u|la úuiuq' fndfyda ksfjia j, orejkag ke.sák úg fokafka lsß ùÿrejla' th fyd| wdrïNhla' lsß jf.au lsß ksIamdok;a orejdg wjYHhs' ta;a fï fok lsß ùÿrejg f.dvla iSks odkak tmd' lv lEu j,g orejd yqre lrkak tmd''' Wfoa lsß tl ìõjg miafi f.or hqoafo wdrïN fjkjd' orejd mdi,g hkak iQodkï lrk tl" f.or bjqï msyqï" jevg hkak;a ;sfhkjd' Wfoag Whk n;a lgla lkak orejdf.a t;rï ukdmhla kE''' iEkaâúÉ álla ms<sfh, lrkafk ta ksihs' ì;a;rhla" ng¾ álla od, msá lEula ms<sfh, lrkjd' tfyu;a ke;akï ffjjdrkak lEu lfâ úl=Kkak ;sfhkjd' ud¿mdka" phsksia frda,a" fmaiaá%" nksia" meáia" ìialÜia ''' orej;a fïj lkak wdihs' wïug;a myiqhs''' b;ska fudlo wïu''';d;a; lrkafk lfvka .kak Th fudlla yß wdydrhla wrka fokj' nnla i;=gqhs" wïu;a i;=gqhs' ta;a fï wdydr isß; orejkaf.a u;= fi!LH nrm;, f,i wka;rdfha fy<kjd' lv lEu j, wêlj iSks ;sfhkjd" w;sYhska msßmyÿ l< msá j,ska ksIamdokh lrk msá

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;sfhkjd" f;,a ;sfhkjd' fïjd f,v frda. j,g w; jkk idOl' ál ld,hla" wjqreoaola folla lEj;a bka orejdf.a mßjD;a;Sh l%shdj,sh krl w;g yefrkjd' fï ksid ld,hg" ;d,hg bv fokafk ke;sj orejdf.a cSú;h wdrlaId lr.kak uõmshka fjkia u.la .; hq;=hs' f.oroS n;a lgla folla fyda ljd orejd mdie, fj; hjkak fyd|u foa ;uhs Whk n;aj,ska lgla folla fyda f.oroSu ljk tl' f.or yok lEu tl orejdg osh yels b;du fyd| wdydrhla' f.oroS msßisÿj yok wdydrfhkau fldgila mdif,aoS lkakg i,iajkak' orejkag m%sh Wmojk f,i wdydrh ms<sfh, lsÍfuka úúO iQm l%u wkq.uh lrñka fmKQu rih wdrlaId jk f,i tajd ieliSfuka orejka ta wdydrhg yqre fjkjd' uq,skau yqre lr.kak tl ;uhs wudre' ta;a f.or lEu j,g yqre jqKdu orejg f.or lEu ke;sj neß fjkjd' ta;a orej f.or wdydr j,g yqre lr.kak ;sfhk ldf, lv lEu ÿkaku orejd ksjeros wdydr j,g yqre fjkafk kE'

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hy.=K we;s WoEik wdydrh orejdf.a ksfrda.S nfõ mokuhs

Breakfast

wdmkYd,d wdydr wffO¾h lrkak''' meKS îu fjkqjg c,h fndkak mqreÿ lrkak yels ;rï wdmkYd,d j,ska .kakd wdydr orejkag oSfuka j<lskak' meKs îu .ek;a wk;=re yeÕúh hq;=uhs' b;d wêl f,i iSks" j¾Kl yd úúO wdl,k fhdod we;s ksid fï meKsîu j,ska yels muK orejd wE;a lrkak' orejdg fokak iqÿiqu mdkh msßisÿ c,hhs' W;=rd ksjd.;a c,h yd f.oroS ilia lrk mdk j¾. muKla iSKs wvqfjka oud orejdg ,nd fokak' idudkHfhka iïmQ¾K wdydr fõ,la''' iun, fndcqkl wdydr fldgia yhla ;sfnkjd' fï tl tlla isÿ lrkafka Bg wdfõKsl ld¾hhla' ta ksid fï j¾. yhu fmdaIKh i|yd wjYHhs' orejkag kï fï fmdaIl ish,a,u wdydr fõ,g tla l< hq;=hs' Tn;a Tfí orejdg w;HjYH my; fmdaIl ix>gl ,nd fokjdo @  OdkH iy w, j¾.  m<;=re  t<j¿  lsß yd lsß ksIamdok  uia" ud¿ yd ì;a;r  weg j¾.

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merKs wdydr wog;a fyd|u wdydrhs biair wfma uq;=kañ;a;ka wmg jvd fndfyda ksfrd.S cSú; .; l<d' tod oeka ldf, jf.a úmÍ; jQ wdydr isß;la ;snqfK kE' ta ksihs zzksfrda.S njZZ Tjqkaf.a Wreuhla jqfKA' fï ksid wfma w;S; wdydr isß;g kej; hkak mq¿jka kï th jvd;a m%{df.daprhs' úfYaIfhkau wfma ore mrmqf¾ hym;g th fya;=jla fjkjd' le| j¾. j, úYd, .=Khla ;sfhkjd' tajd fndfydauhla fnda fkdjk frda. j,ska wmj wdrlaId lrk ksid orejkag;a mjqf,a ish¿ fokdgu;a i;shlg jrla fojrla fyda le| j¾. ,nd fokak' mdka msá wdydr fjkqjg ljqms" uE" uqxweg" lv, jf.a OdkH j¾. orejdg ,nd fokak' tlu wdydrh fjkqjg wdydr úúOdx.Slrkhg OdkH j¾. j,ska ,efnkafka úYd, iïudoula' msßmyÿ l< yd,a fjkqjg ksjqâv iys; yd,a wkqNjhg .kak' lSß iïnd" w¿;a yd,a fjkqjg mdrïmßl yd,a wkqNjhg yqre jqfKd;a thska Tng lshd ksu l< fkdyels fi!LHuh m%;s,dNhla w;am;a fjkjd' meKsîu" mdkamsá lEu yd phsksia lEuo wêl f,i f;,a oeuQ wdydro orejdf.ka wE;a lrkak' fï wdldrfhka f.or ms<sfh, lrk fmdaIHodhS wdydr Tfí wdorKSh orejdg wdorh iu. ,ndoSfuka Tfí wdorKShhd;a u;= ojiloS fï rfÜ ksfrda.S mqrjeisfhla f,i cSj;a jkakg Yla;su;a mokula i,id .kakjd' DM

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Tn l< hq;af;a my; l+mkh fyda ta wdldrhg ilia l< f,aLKhl l+mkfha wvx.= úia;r mqrjd ta iu. wod, uqo,a f.jQ nexl= ,ÿm;" uqo,a weKjqu fyda fplam; my; ,smskhg tùu muKhs'

SUBSCRIPTION NOT READ BUT FOLLOW lshjk i`.rd w;r tlu ms<smosk i`.rdj Tfí mjq f ,a is h ¿ fokdf.a u hym; fjkqfjka oeka jvd;a yrnr lreKq iu.ska ixialrKh jk ffjoHjrhd DOCTOR magazine odhl;ajh fkdmudj ,nd.kak'

ku'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' ,smskh''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' ÿrl;k wxlh'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' úoahq;a ,smskh'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' jd¾Isl odhl;ajh re' 2200'00

ih uil odhl;ajh re'1100'00

uqo,a weKjqu l<uKdlre" fy,a;afjdÉ ,xld ^mqoa'& iud.u hkqfjka olajd f.jk ld¾hd,h osh;,dj f,i i|yka lrkak' fplam;a fy,a;afjdÉ ,xld ^mqoa'& iud.u hkqfjka ,shd f¾LKh lr tjkak' ,xld nexl=fõ osh;,dj YdLdfõ fy,a;afjdÉ ,xld mqoa.,sl iud.u wxl 9324332 .sKQug ´kEu nexl= YdLdjlska fyda wka;¾cd,h Tiafiao uqo,a ;ekam;a l< yel' uqo,a ;ekam;a l< l=ú;dkaish" uqo,a weKjqu fyda fplam; iu.ska Tfí ,smskh tùfïoS ,shdmosxÑ ;emE, fhdod.ekSu jvd;a iqÿiqh' jeä úia;r i|yd 0773149084 wxlfhka úuikak' doctormagazine.lk AprilMail: 2017doctormagazine.lk@gmail.com DOCTOR MAGAZINE 57 Healthwatch Lanka Private Limited 132/4, Viharakele, Diyatalawa Hot Line 0773149084E

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Tfí ì<s|d iqqfjka i;=áka'''

fnda fkdjk frda. j,ska ñfokakg jev wdrïN lrkak ´ks orejd Wmoskak;a l,ska''' ;ukaf. orejka fnda fkdjk frda. j,ska wdrlaId lr.kak kï .eìKS ujl wjêfha mgkau Bg wjYH mshjr .; hq;=hs

Tlaia*â iriúfha m¾fhaIl wdpd¾h fl%ï,ska úl%uisxy oeka wfma rfg;a''' f,dalfha;a" fnda fkdjk frda. iUAnkaOfhka oeKQj;aNdjfha jeäùula fj,d''' uq,skau lshkak ´ks miq.sh jir myl muK ld,h ;siafia fï fnda fkdjk frda. iïnkaOfhka jeä jYfhka l;dny isÿ fjkjd' wfma idudkH ck;dj

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;=< jqK;a fnda fkdjk frda. iïnkaOfhka oeKQj;alu jeä fj,d ;sfhkjd' fnda fkdjk frda. we;s jkafka fldfyduo @ bka j<lskakg l< hq;af;a fudkjdo @ wdoS ldrKd iïnkaOfhka wo rgf;dfÜ oeKQj;aNdjh ;rula jeähs' 2011 j¾IfhaoS tlai;a cd;Skaf.a ixúOdkh fï flfuka f,dalh .s, .kakd fnda fkdjk frda. iïnkaOfhka f,dal iuq¿jla meje;ajQjd' Y%S ,xldjo we;=¿j rgj,a fndfydauhla ta iuq¿j ksfhdackh l<d' ta iuq¿fjka miafi yeu rglu mdfya fnda fkdjk frda. iïnkaOfhka nrm;, ixjdohla wdrïN jqKd' thhs fï oeKQj;aNdjfha mqkreofha wdrïNh' ngysr rgj, ;;a;ajh b;d oreKQhs''' wms;a ta wjodkug flfuka <`.d fjkjd''' @ miq.sh oYl lsysmh ;=< fnda fkdjk frda. f,dalfha i;r os.aNd. fhau iS>%fhka jeäjqKd' wfma rfÜ jf.auhs" f,dalfha wfkl=;a rgj,;a fï m%jK;djh

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ngysr rgj, fï fnda fkdjk frda. iS>% j¾Okhla we;s jqfKa óg wjqreÿ 30-40lg l,ska' 1970-80 oYlfhaos' doctormagazine.lk

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ta rgj, wd¾Ól j¾Okh" idudcSh fjkialï tlal fï ;;a;ajh;a we;s jqKd' fnda fjk frda. wvq ùu" <ore yd <ud urK wvqùu'' iu.u md,kh l< fkdyels iudOlh jqfKa fï fnda fkdjk frda.hs' fï ;;a;ajh oeka wfma rg;a w;a ú|skjd' fnda fkdjk frda. j<lajkak mgka .kak ´ks fld;ekskao @ b;du jeo.;a ldrKhla' fndfyda fokd ys;kjd wjqreÿ 30-40 fjkfldgu mßiaiï fjkak ´ks lsh,' wdydr j,ska" jHdhdu isÿ lsÍfuka''' wdoS fndfyda ldrKd Tiafia wkd.;hg uqyqK fokak Tn ie,iqï ilia lrkak mq¿jks' tal fyd|hs''' fudkhïu fyda fjkila fudkhïu fudfyd;loS fyda we;s lr .ekSu fyd|hs'

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olakg ,enqKd' ngysr rgj, fï ;;a;ajh wmg;a jvd ne?reï' wfma rfÜ fnda fkdjk frda. j,ska ñh hk ixLHdjg;a jeä m%udKhla wefußldj" ì%;dkH" ´iafÜ%,shdj wdoS rgj, ñh hkjd' ixLHd;aulj .;af;d;a ngysr rgj, ishhg 88"90"92 jf.a úYd, m%;sY;hla urKhg m;a jkafka fnda fkdjk frda. ksihs' wfma rfÜ ishhg ye;a;e .kkla muKhs ;ju;a fnda fkdjk frda. j,ska ñhefokafka'

ta;a fnda fkdjk frda. j,ska Tnj uqojd.kak uq,skau W;aidy .kak ´ks' Tfí ujqmshka''' ta lshkafk fï W;aidyh isÿ lrkak fyd|u wjia:dj t<efUkafk Tn Wmoskakg;a fmrhs' yßhgu lshkjd kï mrïmrdjla l,skqhs'

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ffjoH fl%ï,ska úl%uisxy fld<U úYaj úoHd,hSh ffjoH mSGfha WmdêOrfhl= jQ ffjoH fl%ï,ska úl%uisxy ì%;dkHfha Tlaia*â iriúfhka f.da,Sh fi!LH úoHdj iïnkaO úoHdm;s Wmdêho tu lS¾;su;a iriúfhkau ;sridr iqjiïmkak wdydr iïnkaO m%udKd;aul wOHhkhl ksr; fjñka o¾YKm;s Wmdêho ,nd .;af;ah'

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2009 j¾IfhaoS ì%;dkHfha Tlaia*â úYaj úoHd,fha ì%;dkH yDo mokug iïnkaO fnda fkdjk frda. m¾fhaIK lKavdhug iïnkaO úh' British Heart Foundation Non-communicable Disease Prevention Research Group hkqfjka ye|skafjk fuu wdh;kh f,dal fi!LH ixúOdkfha iyfhda.s;d wdh;khla jYfhka ms<s.ekSug ,laj ;sfí' ffjoH úl%uisxy fuys iu wOHlaIOQrho fydnjhs' miq.shod flá ksjdvqjlg osjhskg meñKS ta uy;d ;u flá úfõl ld,h ;=< Tyqf.a oeKQu ,dxflah ck;dj fjkqfjka zzffjoHjrhdZZ i`.rdj yd fnod yod.ekSug W;aiql úh' .¾NsKS ujg ;ukaf.a orejd fi!LHiïmkak lsÍfï uq,a mshjr .kak mq¿jka uq,skau ujf.a l=fia orejd ms<sis|.kakd wjia:dfõ ujf.a fmdaIKh;a n,mdkjd" ta orejd ;j;a wjqreÿ 30-40lska ksfrda.Sj ;nd. kak' úfYAIfhkau orejka ìys lrk ldka;djkaf.a fmdaIK ;;a;ajh oshqKQ lrkak ´ks' wehg .=Kiòmkak wdydr fokak ´ks jf.au kqiqÿiq wdydr fkdoSu bkak tl;a jeo.;a' ta jf.auhs fï ldf, ta ;reK ldka;djka hym;a fi!LH mqreÿ m%.=K lr.kak ´ks'

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April 2017

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;ukaf. orejdf. <ore" <ud ldf, ,ndfok fmdaIKh;a fndfydu jeo.;a' fï fmdaIKhg mq¿jka ;j;a wjqreÿ .Kkdjlska fï orejkag yDofrda." oshjeähdj" wêreêr mSvkh jf.au ms<sld jf.a frda. <x lrkjdo @ tajd Tjqkaf.a cSú; j,ska wE;a lrkjdo @ lshk ldrKh flfryS ;SrKd;aul n,mEula we;s lrkak' cSú; ld,h mqrdu wm lrk lshk foaj,a wfma f,v frda. j,g fya;= fjkjd' wyj,a ldf,os mßiaiï fjkak ´ks lsh,;a kE' mrïmrdjla l,ska wdrïN fj,d bka miafi .;fjk yeu fudfyd;lu fyd| fi!LH mqreÿ we;s lr.kak ´ks' yeu fudfyd;lau fi!LHiïmkakj .; lrkak ´ks' orejka lk iSks m%udKh iSud l< hq;=hs orejka lk iSks m%udKh iSud l< hq;=hs' wo wfma mdßfNdack rgdj ;=< osj mskjk wdydr fndfyda jeähs' m<;=re îu" ìialÜ úfYAIfhkau orejka wdYla; lrjk jgdmsgdjla ;sfnkjd' ta;a fï meKsri orejdf.a fi!LHiïmkakNdjhg b;d m%n, wNsfhda. hla'

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oeka ms<s.;a ks¾foaYh ;uhs ojilg .kakd uq¿ le,ß m%udKfhka iSks j,ska ,nd.kakd le,ß m%udKh m%;sY;hla úosyg .;a;u 5 fkdblauúh hq;=hs' WodyrKhla úosyg .;af;d;a wdydr j,ska ojila ;=<oS ,nk le,ß m%udKh 2000la kï iSks j,ska ,efnk le,ß m%udKh 100g jvd jeä fjkak fyd| kE' f;a tlg iSks f;a ye|s folla odkfldg Th lshk m%udKh ,efnkjd' fï wkQj Tngu meyeos,s fjkj we;s wms fldhs ;rï wvq iSks m%udKhlgo yev .eish hq;= lsh,' mdie,a wdmkYd,d .ek uõmshkq;a fidhd ne,sh hq;=hs mdie,aj, wdmkYd,dj,oS orejkag fok wdydr iïnkaOfhka uE;loS lsishï ksshdukhla wfma rfÜoos;a wdrïN jqKd' th we;af;kau w;HjYH ldrKhla' fndfyda rgj, fï kshdukh ;sfnkjd' iSks jeä wdydr" f;,a jeä wdydr" .eUqre f;f,a nosk ,o wdydr orejkag fyd| kE' ujQjreka ks;ru orejkaf.a ,l=KQ .ek ie<ls<su;a fjkjd' uQ,sl ldrKh fï lkfndk wdydr .ek;a uõmshka" .=rejreka w;f¾ ixjdohla we;s fjkjd kï fyd|hs' 2011 j¾Ifhaos f,dal fi!LH ixúOdkh;a tys idudcsl rgj¨;a orejkaf.a iSks mdßfNdackh iSud lsÍu iïnkaOfhka lsishï tl`.;djhlg m;a jqKd' iSks wka;¾.; wdydr m%pdrKh iSud lsÍfï kS;s f.k tau fuys uQ,sldx.hla' wm fldhs ;rï l;d l<;a rEmjdysksh jf.a udOHj,g orejka flfryS úYd, n,mEula isÿ l< yelshs' fï ksid kS;sÍ;s u.ska fyda lsishï md,khla f.ktau b;du jeo.;a' úfoaYhkayS w;aoelSï iSks iys; wdydr md,kh lsÍu iïnkaOfhka oekg f,dalfha oshqKQ rgj,a .kakd mshjr folla ;sfnkjd' tu meKsri wdydr j,g tla mshjrla' fï wkQj tx.,ka;fha miq.sh ld,fha fï meKsri wdydr j,g nÿ meKùula isÿ jqKd' fulaisfldafõ" ;dhs,ka;fha;a

April 2017

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61

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wm y÷kdf.k ;sfnk ldrKd folla .ek fuysoS isysm;a l< hq;=hs' tlla ;uhs wvq nr orejka' wfkla ldrKh ia:Q, jeäysáhka' nr wvq orejka úosyg fï f,dalfha Wmosk orejka jeäysáhka jqKdu ;rndre YÍr j,g ysñlï lshkjd' fïl iajdNdúl ;;a;ajhla fkdfjhs' mqxÑ ldf, kshñ; nr mj;ajd .ekSu;a jeäysáhka jqKdu ia:q, fkdù bkak tl;a fndfydau jeo.;a' fï úosfya widudkH j¾Ok rgdjla we;s fjkak n,mj;ajk fya;= w;f¾ fï meKs ri wdydr jeäfhka wkqNj

lsÍu m%n, fya;=jla' iSks j,ska nv msfrkafk kE' ta;a le,ß ^Yla;sh& f.dvla tl;= fjkjd'

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fnda fkdjk frda. j,ska Tnj uqojd. kak uq,skau W;aidy .kak ´ks' Tfí ujqmshka''' ujf.a l=fia orejd ms<sis|. kakd wjia:dfõ ujf.a fmdaIKh;a n,mdkjd" ta orejd ;j;a wjqreÿ 3040lska ksfrda.Sj ;nd.kak'

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oekgu;a fï orejka fjkqfjka ksIAmdokh lrk ,o iSks iys; wdydr j,g nÿ tl;= ùu isÿ jqKd' fulaisfldaj Okj;a rdcHhla fkdfjhs' ta;a tys oshjeähd frda.Ska w;sYhska jeähs' fulaisfldafõ fï orejka Wfoid ilia l< wdydr j,g nÿ tl;= lsÍfuka tu wdydr mßfNdackh iEfyk m%udKhlska wvq jQ nj jd¾;d fjkjd' ¨KQ yd f;,a wdydr j,skq;a orejka wE;a lrkak ¨KQ iy ix;Dma; fïoh Ndú;fhkq;a orejka wE;a lrkak ´ks' wdydrfha ¨KQ jeäùu ksid wêreêr mSvkh jf.a wikSm osß .ekaùula isÿ fjkjd' wfma rfÜ we;eï .DyKshka n;a uqÜáhg ¨KQ oukjd' fïjd fyd| mqreÿ fkdfjhs' thska fkdoeKQj;aju wfma ¨Kq mdßfNdackh jeä fjkjd' lEu fïifhka ¨KQ l=vq ál''' ¨KQ j;=r fnda;,h bj;a lr.ekSu fyd|hs' ta yereKQ úg wvq ¨KQ m%udKhlg wfma ridxl=r yqre lr.;af;d;a wju ¨KQ m%udKhla ks;ekskau wmg yqre lr.kak mq¿jks' ix;Dma; fïoh reêr kd, j, ;ekam;a ùfuka reêr.ukd.ukh wjysr fjkjd' ld,hla ;siafia fï ;;a;ajh uqyql=rd hdfuka yDohdndO" wxYNd.h jeks nrm;, ;;a;ajhka we;sùfï wjodkula ;sfnkjd'

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April 2017

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t<j¿ yd m<;=re wdydrhg jeä jeäfhka tl;= lr.kak Bg wu;rj Tfí wdydr fõ,g jeäfhka t<j¿ yd m<;=re tl;= lr.; hq;=hs' t<j¿ yd m<;=re ldKAv myla j;a .; hq;=hs' ldKavhla lshkafk orefjla ku w;g ñg fud<jd .kak .;yels m%udKhla' jeäysáfhla kï .a?ï 80la ú;r' fïjdfha úúO;ajhl=;a ;sfhkak ´ks' flfy,a f.äu myla fkdfjhs' mefmd,a ú;rlau fkdfjhs' úúO m<;=re j, iïñY%Khla fjkjd kï fyd|hs' DM ffjoH fl%ï,ska úl%uisxy cd;sl rEmjdysksfhka fnda fkdjk frda. ms<sn|j l< úfYaI meyeos,s lsÍu

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lsß iqj| Tfí ì<s|d iqqfjka i;=áka'''

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f,fâ uekúka úia;r lrkak''' ffjoH jd¾;d /f.k hkak orejd Tn ffjoHjrhd yuqjg hdug mdol jQ lreK fyd|ska isysfha ;nd.kak' wu;l fõ hhs isf;a kï fld<

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April 2017

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frda.S ;;a;ajhlska fmf<k orefjl= ffjoHjrfhl= fj; /f.k .sh miq ffjoHjrhdg orejdf.a frda.h iïnkaOfhka ksjeros frda. úksYaphla ,ndoSug yels jkafka orejdf.a uj" mshd fyda fjk;a jeäysáfhl= imhk f;dr;=reo i<ld ne,Sfuka miqjh' fï ksid orejd iu. ffjoHjrfhl= fj; hk úg my; lreKq flfryS uõmshkaf.a wjOdkh fhduqúh hq;af;ah'

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orejd ffjoHjrfhl= fj; /f.k hk úg'''

rscafõ wd¾hd <ud frdayf,a <ud frda. úfYaI{ ffjoH oSmd,a fmf¾rd

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WOMAN'S WORLD | SWEETHEART

lene,a,l tu lreKq igyka lr.kak' orejdf.a fi!LH ;;a;ajh ks.ukh lsÍu i|yd m%fhdackj;a úh yels <ud fi!LH j¾Ok m;" fmr frda. úksYaph m;a" ffjoH jd¾;d" m%;sldr igyka yd fnfy;a iSÜgq /f.k hkak' fnfy;a iSÜgqj fkdue;s kï Tn ika;lfha we;s fnfy;a ál fyda wrf.k hkak' orejdg óg fmr ,ndÿka m%;sldr ^ngysr fyda wdhq¾fõo" fjk;a m%;sldr& fukau ,nd.;a T!IO ms<sn|jo ffjoHjrhd oeKqj;a lrkak' orejd .;a wdydrmdk" orejd ;=< ÿgq yeisÍï" fjkialï" ,ndÿka w;afnfy;a hkdosho ffjoHjrhdg fmkajkak'

ffjoHjrhd iu. l;d lsÍug" m%Yk a weiSug ìh fkdjkak' ffjoHjrhd fj;ska kslu a hdug fmr Tn ;=< we;s ish¿ iel ixld ÿre lr.kak'

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64

April 2017

DOCTOR MAGAZINE

ffjoHjrhd iònkaOfhka Okd;aul ye`.Sï orejdg we;s lrkak ffjoHjrhd yd fyosh iïnkaOfhka hym;a is;sú<s orejd ;=< we;s lsÍuo jeo.;a fõ' zzfodia;r udu Thdg yß wdofrhs'''k¾ia kekao;a tfyuu ;uhs'''ZZ orejd ;=< Tjqka iïnkaOfhka wiqNjdoS wdl,am we;s fkdlrkak' zztaf.d,a, Thdg ;s;a; fnfy;a foaú''' bkafclaIka .ydú'''ZZ fujeks foa lsis úfgl orejdg lshkak tmd''' y`vk" o`.,k''' lE.ik orefjl= mÍlaId lrkjdg jvd iyfhda.S orefjl= mÍlaId lsÍu ffjoHjrhdg uy;a myiqjls'

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orejd leu;s fi,a,ï nvqjla ffjoH yuqjg /f.k hkak' orejd ixiqxj ;nd .ekSug th WmldÍ fõ' ffjoHjrhd iu. l;d lsÍug" m%Yak weiSug ìh fkdjkak' ffjoHjrhd fj;ska kslau hdug fmr Tn ;=< we;s ish¿ iel ixld ÿre lr.kak'

zzfodia;r udu Thdg yß wdofrhs'''k¾ia kekao;a tfyuu ;uhs'''ZZ orejd ;=< Tjqka iïnkaOfhka wiqNjdoS wdl,am we;s fkdlrkak' zztaf.d,a, Thdg ;s;; a fnfy;a foaú''' bkafclaIka .ydú'''ZZ fujeks foa lsis úfgl orejdg lshkak tmd'''

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kshñ; ld,dka;rhgu T!IO ,nd fokak meh wfgka wgg ,ndosh hq;= T!IOhla WoEik 6;a yji 6;a w;r ;=ka jrla ,ndÿkfyd;a rd;%S ld,fhaoS meh 12lau T!IO fkdue;sj .; lrkakg isÿfõ' túg bka wfmalaIs; m%;sM<h kshudldrfhka fkd,eî hkakgo mq¿jk' tfiau ,nd fokafka m%;scSjlhla kï th isrerg kshñ; mßos l%shd fkdlsÍugo ^m%;sfrdaë nj& bv ;sfí' kshu l< uq¿ osk .Kku T!IOh ,ndoSfï jeo.;alu wjfndaO lr.kak' osk 3$5 wdoS jYfhka kshu lrk T!IO oskla folla ,ndoSfuka frda.h kej; u;=ùug fukau T!IOhg m%;sfrdaë ùug;a fya;= úh yel' wdid;añl;djhla" w;=re wdndOhla we;s jQ úg ta T!IO ,ndoSu k;r lr Wmfoia ,nd.kak' kej; ffjoHjrhdg fmkaùug wjYH jQjfyd;a ta i|yd fnfy;a iSÜgqj iq/lsj ;nd.kak' DM April 2017

DOCTOR MAGAZINE

65

DOCTOR MAGAZINE

T!IO .ekSug kshu l< fj,dj iy .; hq;= ud;%dj .ek fnfyúka ie<ls<su;a fjkak' ● ojilg ;=ka jrla hkq meh 8lg jrls' ● ojilg y;r jrla hkq meh 6lg jrls' ● ojilg fojrla hkq meh 12lg jrls'

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T!IO .ek ffjoHjrhdf.ka oeKqj;a fjkak ,ndfok T!IO ms<sn|j ffjoHjrhdf.ka fyda T!IOfõoshdf.ka úuikak' tysoS T!IOh .eK" ,nd fok ud;%dj .ek" we;súh yels w;=re wdndO ixl+,;d hkdosh ms<sn|j" oekg .kakd wfkla T!IO yd kj T!IOh .e,mSu$fkd.e,mSu .ek" ms<smeosh hq;= j;a ms<sfj;a wdoS lreKQ .ek uekúka oeKqj;a úh hq;=h'

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Tfí ì<s|d iqqfjka i;=áka'''

isref¾ wk;=re yÕjk k,dj - jid ;u orejkg wiSñ; f,i wdorh lrk iEu ujlau" msfhl=u ;u lsß leáhdf.a iq¿ fjkialula jqj jyd ffjoHjrfhl= fj; f.k f.dia úuid n,;s' orejdf.a isref¾ fkdfhla ;ekaj, jid .%kaÓ bÈuqu tfia orejka ffjoHjrhd fj; f.k hk wjia:djls' úfYaIfhkau fujka wdidok j,g iq,n ia:dkh jkqfha fn,af,a fomihs' jid bÈuqu hkqfjka y÷kajkafka l=ulao@ th ljr wdldr wk;=rla wjodkula orejdf.a iqjfi; flfryS we;s lrhso@ fï ,smsfha wruqK ta ms<sn|j újrKhl fh§uhs' l=vd orejkaf.a fn,a, fomi msgqmi l=vd .eá;s u;= jkafka tu m%foaYfha we;sjk jid .%kaÓ bÈófuks' ysiafydß yd Wl=Kka we;sùu fuu bÈóu jeä lrhs' Wl=Kka yd ysiafydß we;s úg ks;r ks;r ysi lihs' tfia ysi ;=jd, jk w;r fï ksid jid .%kaÓ bÈuqulg wjia:d we;' È.= ld,hla jid .%kaÓ bÈuqulg ,laùu fuhg fya;=jls'

66

April 2017

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isref¾ ndysßka we;sjk lemSï" iSÍï jeks iq¿ ;=jd,hl§ orejkaf.a jid .%kaÓ bÈfï' nrjd frda.h u;= jk úgo jid .%kaÓ bÈófuka th lshd mdhs' nelaàßhd fyda ffjri wdidokhl§ jid .%kaÓ bÈuqulg ,la úh yel' Bg wu;rj l=vd orejkg je<f|k <ore ms<sld fya;=fjkao" ,shqflañhdj yd CIh frda.fha§o jid .%kaÓ bÈuqug ,lafõ' ,shqflañhdj yd CIh frda.fha§ uq¿ isref¾u jid .%kaÓ bÈfï'

we;eï wjia:d j,§ fufia ;=jd, iqj jQj;a bÈuqug ,laj we;s jid .%kaÓ Èfkka Èk úYd, ùug ,laúh yel' m%udKfhka fi(ó( 2l lg jvd úYd, úh yel' tys§ ffjoH m%;sldr i|yd jyd orejd fhduq l< hq;=h' th we;eï úg ms<sldjla ksido úh yels neúks'

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we;eï wjia:d j,§ fufia ;=jd, iqj jQj;a bÈuqug ,laj we;s jid .%kaÓ Èfkka Èk úYd, ùug ,laúh yel' m%udKfhka fi(ó( 2l lg jvd úYd, úh yel' tys§ ffjoH m%;sldr i|yd jyd orejd fhduq l< hq;=h' th we;eï úg ms<sldjla ksido úh yels neúks'

jid .%kaÓ meiùu iq¿ ;=jd,hla ksid we;sjk jid .%kaÓ bÈuqu ;=jd, iqj ùï iu.u nei hhs' tfy;a we;eï wjia:djl§ ;=jd,h iqj jQjo bÈuqug ,la jQ jid .%kaÓ tf,iu mj;S' fõokdj wvq fkdfõ' bÈuqKq jid .%kaÓ w,a,k úg ;Èka fõokdjla oefka' WK u;=fõ' fuh jid .%kaÓ meiùug ,la jQ úg Woa.;jk ;;a;ajhls' túg jydu ffjoH m%;sldr ,nd iq¿ ie;alulska meiùu ksid jid .%kaÓ ;=< we;sjQ ierj bj;a l< hq;=h'

fï wjia:dfõ§ ffjoHjrhd úiska ie;alula u.ska jid .%kaÓ bj;a lr th mÍlaIdjlg ,la lrhs' th ms<sldjla fkdfõ hehs ;SrKh jqjfyd;a ìh úh hq;= ke;' kuq;a we;eï úg mÍlaIdjlska miqj jqjo jid .%kaÓ fuf,iskau bÈuqulg ,la úh yel'

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jid .%kaÓ bÈuqug ,la jkafka isrerg úIîchla we;=¿ jQ úg§h' úIîc j,g tfrysj jid moaO;sh ls%hd lsÍu ksid jid .%kaÒ bÈuqug ,la fõ' jid .%kaÓ bÈuqu hkq orejdf.a jid .%kaÓ ksis f,i ls%hd;aul jk njg ,l=Kls' fï ksid wksh; f,i ìh m;a jkjd fjkqjg Bg mdol jQ fya;= j,g m%;sldr lsÍfuka jid .%kaÓ bÈuquo bfíu iqj ù hkq we;'

tjka wjia:djl§ ffjoH m%;sldr i|yd jyd orejd fhduq l< hq;=h' ukao h;a" uq,a wjia:dfõ§ yuq fkdjQ ms<sld ;;a;ajhka kej; u;=úh yels neúks' DM

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ore megjqkaf.a mqxÑ mqxÑ .eg¿

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Tfí ì<s|d iqqfjka i;=áka'''

w¿; Wmka orejka meh 24la 48 l muK ld,hla mqrd fld< meyehg yqre >k wef,k iq¿ u, msg lrhs' fuh Lialih fyj;a Miconium f,i y÷kajhs' uõlsß îu;a iu. l=i ;=< we;s fuu l¿" fld< meye Miconium wdydr ud¾.fhka bj;aùug mgka .kS'

w¿;a nndf.a u<my fld< mdghs fifkyi mokfï wOHlaIsld" mjq,a fi!LH fiajd ks,Odßks YHdu,s m;srf.a

úfYaIfhka uq,au lsß ^fldf,iag%ï& j, we;s úf¾pk .=Kh ksid fuu wef,k iq¿ ;o meye øjH YÍrfhka neyer lsÍug myiq fjhs' Miconium YÍrfhka bj;a

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April 2017

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jQ miq ly - iqÿ meyehg yqre lsß u< msgfjhs' fyd|ska uõlsß fkdfmùu ksid fuu Miconium wjYH ld, iSudj ;=< iïmQ¾Kj msgj fkdhhs' tkï Èk 2 lgo jvd l¿ - fld< meye u, msgúh yel’ fïksid uq,a lsß fyj;a fldf,iag%ï fyd|ska fmùu wjYH fjhs' orejd l=i ;=< isák ld,fha § mjd m%iQ;shg wdikak jljdkqj ;=< hï hï fya;= ksidfjka ^ fmflKsje, fn,af,a t;Su" N%EKhdg ksisf,i Tlaiscka fkd,eîu yd N%EKhdg we;sjk wêl wmyiq;d ;;a;aj wdÈ& .¾NdIh ;=<§ fuu l¿ meye u< msgùu ±lsh yel' fuu wjia:dj fndfyda úg ore m%iQ;sh wdikakfha isÿjk wjia:d nyq, fõ' fuúg fuh N%EKhd iïnkaOj b;d yÈis wjia:djla f,i i,ld lghq;= l< hq;=fõ' ^Wod- idudkH m%iQ;shl isák ujla kï jyd iSi¾ Y,Hl¾uhla u.ska orejd ìys lsÍu&

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lsßfndk jdrhla mdid u< msglsÍu wcSrK ;;a;j a hla fyda fjk;a frda. ;;a;j a hla fkdfjhs' th idudkH ;;a;j a hls' óg fya;j = jkafka l=vdu orejkaf.a .=o ud¾. fha u<my lsÍu md,kh lsÍu i|yd jk .=o udxY fmaYs Yla;u s ;aj fkdjeã ;sîuhs'

fuf,i lsßfndk jdrhla mdid u< msglsÍu wcSrK ;;a;ajhla fyda fjk;a frda. ;;a;ajhla fkdfjhs' th idudkH

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;;a;ajhls' óg fya;=j jkafka l=vdu orejkaf.a .=o ud¾.fha u<my lsÍu md,kh lsÍu i|yd jk .=o udxY fmaYs Yla;su;aj fkdjeã ;sîuhs' fuúg .=o ud¾.h lrd ;,a¨ jk u< .=o ud¾.fha fkd/|S msg;g tau isÿfõ' l<hq;= foa - fujka orejkaf.a .=o ud¾.h wjg ks;r ks;r ;Èka msi ouñka msßisÿ lsÍu fkdlrkak' f;ud.;a mq¿ka lene,a,la ^Wet tissues& fyda msrsisÿ f;ud.;a kemshlska b;du uDÿj f;; ud;a;= lr ;j;a úh<s kemshlska f;; ud;a;=lr ;j kemshla wkaod msßisÿj ;nkak' mjqv¾ fyda l%Sï j¾. wdf,amfhka j<lskak'

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lsßfndk jdrhla mdid u<my lsÍu w¿; Wmka orejka iïnkaOj uõjreka lkiai,a,g m;a lrk ;j;a ldrKhla jkafka lsß fndk fndk jdrhla mdid ore meáhd l=vd m%udKfhka u,my lsÍuhs' fuh idudkH m%udKhla u< msglsßfï isg kemsfha /f|k me,a,ul iajrEmhl l=vd m%udKhlao úh yel'

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msálsß fndk orejka msálsß fndk orejkaf.a ÿ¾.kaOhla iys;j fuf,i ks;r ks;r u,my ùu Wor wdidOk ;;ajhla yÕjkakla úh yels neúka m%;sldr lrd f.khdu wjYH fõ' DM

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lsß iqj| Tfí ì<s|d iqqfjka i;=áka'''

BREAST MILK IS THE BEST uõlsß oSu id¾:l lr.ekSug .; hq;= mshjr

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uõlsß oSu id¾:l ùug kï ksjeros ia:dk.; lsÍu iy iïnkaO;djh b;d wjYHhs' uõlsß fok ujl úiska wkq.ukh l< hq;= Wmfoia fufiah' ● ì<s|df.a ysi iy isrer tlu iDcq f¾Ldjl isák ia:dms;hl bkak' ì<s|d mshhqrg uqyqK,d isák njg j.n,d .kak'

● ì<s|df.a f.a uqj mq¿,a f,i újr jk;=re isàu

● ì<s|df.a kdih ujf.a ;kmqvq j,g bosßfhka isák fia ;nkak'

● ì<s|df.a kslg mshhqre u; iam¾Y ùu'

● ì<s|df.a isrer uõ isrerg yels ;rï ióm jkfia ;nkak' ● ì<s|df.a f., fmfoiska muKla fkdj Wrysia j,skao wdOdr lr orejd ióm f,i ;nd.kak' uj yd orejd w;r ksjeros iïnkaO;djhla mj;ajkak ● ì<s|df.a f;d,afm;s uõ mshhqfrys ;kmqvq iam¾Y lsÍu'

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● mshhqfrys ;kmqvqjg ;rula my<g ì<s|df.a f.a há f;d,a fm;a; b,lal lr ì<s|df.a blauKska mshhqr fj; f.k tau' hym;a iïnkaO;djhla we;s nj y`.jk ,laIK ● ì<s|df.a uqjg by<ska ;k uv, oelsh yels ùu' ● ì<s|df.a háf;d, msg;g yeÍ ;sîu'

ì<s|df.a fmlKsh i|yd i;aldr ● fmlKshg i;aldr lsÍug m<uqj iy bka miqj inka oud fyd|ska oE;a fidaod.kak' ● fmlKsh u; ^levqKq fldgi u;& lsisjla wdf,am fkdlrkak' ● ì<s|df.a kemsh fmlKshg my<ska kjkak' ● fmlKs fldgi f;;aj we;akï inka .d msßisÿ c,fhka fidaod msßisÿ fros lvlska úh<Sug bv yßkak' ● fmlKs fldgi r;= meyehla f.k we;akï fyda bka ierj jykh fõ kï jydu ffjoH Wmfoia m;kak' fld<U ßcafõ wd¾hd <ud frdayf,a <ud frda. úfYaI{ ffjoH risl .=Kmd, DM

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ì<sª fmlKshg lrk id;a;= imamdhï

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orejd fuf<dj Wm; ,o ú.iu fmlKsje< jeoEufyka fjka lrkjd' fYaIh flá jkakg lmd laa,sma lr ;nkjd' Wmka ú.i ;rula f;; iajNdjhla olakg ,enqK;a i;shla muK .;jk úg fï fmlKsje< lvd jefgkjd' ujl jYfhka orejdf.a fï fmlKsje, iïnkaOfhka Tn l< hq;= úfYAI id;a;=jla kE' ta fmfoi yels ;rï úh<sj ;nd .ekSu;a orejdf.a u< uq;%d fmlKsje, wdY%s;j iam¾Y ùug bv fkdie<iSu;a Tfí j.lSula' orejd keùfuka miq iam%S;= oud msi oeófï jrola ke;' kuq;a ta u;g mjqv¾ j¾." f;,a j¾. lsis úfgl;a oukak tmd' fmlKshg iïnkaO mgl fldgia jeà .sh miq iuyr orejkaf.a fmlKsh wi, r;= meyehg yqre fpß f.ähla fuka meijk wjia:djla olakg ,efí' fuh fmlKs .%ekqf,daudjla f,i ye|skafjkjd' fï .eá;a; wdydr ud¾.h fyda uq;%d ud¾.hg iïnkaO jk wjia:do olakg ,efnkjd' fuu frda.fhaoS ffjoHjrhdf.a uq,au ldßh jkqfha tu .%ekqf,daudj wdydr ud¾.hg" uq;%d ud¾.hg wdoS jYfhka fjk;a YÍr moaO;shlg iïnkaO mj;S oehs úuiSuhs' bka miqj .eá;a; u; fldm¾ i,af*AÜ iaMÀl .,ajkq ,efí' fï ridhksl øjH tla lsÍfuka tlS .eá;a; ms<siaiS f.dia iqÿ meyehla we;s fõ' fkdfnda osklska .eá;a; úh<S hkq we;' l,d;=rlska wjia:djloS kdNsh wdY%s;j we;s jk ;j;a widudkH;djhla jkafka thska fiu jeks

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Tfí ì<s|d iqqfjka i;=áka'''

>%djhla .e,Suhs' fï ;;a;ajhg fya;=j fmlKsh l=vd wka;%h yd iïnkaOhla we;s lr .ekSuhs' fmlKsje, l=vd wka;%hg iïnkaO jQ fldgi Meckel's Diverticulum f,i ye|skafjkjd' fuh ie;alula uÕska ms<silr lr.; yelshs'

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kej;;a wjidk jYfhka uõjrekag osjhq;= wjjdoh fmlKsh wdY%s;j msßisÿj ;nd .ekSfuka yd th úh<sj ;nd .ekSu;a ;=<ska b;d blauKska fï fmfoi idudkH kdNshla njg m;alr.; yels njhs' DM

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lsß iqj|

fmlKsh fmfoi yels ;rï úh<sj ;nd .ekSu;a orejdf.a u< uq;d% fmlKsje, wdY%; s j iam¾Y ùug bv fkdie<iSu;a ujf.a j.lSula'

73

wdndê; orejl= isák ujqmshjreka uqyqK fok wNsfhda.

lsß iqj| Tfí ì<s|d iqqfjka i;=áka'''

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Wmfoia úfYaI{ ufkda ffjoH .sydka wfíj¾Ok ;ukaf.a orejd f,äka''' wdndê; ;;a;ajfhka miqùu lsisÿ foudmshl=g jdjkak mq¿jka fohla fkdfjhs' kuq;a wNd.Hhg tjeks orejkq;a l,d;=rlska fyda fuf,djg ìys fjkjd' fuys§ wdndê; lshkafk Y%jHdndê;" oDYHdndê;" wx.úl, orejka muKla fkdfjhs' fud<fha j;=r msÍu (Hydrocephalus) kï ;;a;ajh we;=¿ ;j;a úúO fya;= ksid Wm;skau we;s úh yels fißn%,a fmda,ais (Cerebral Palsy) kï frda. ;;a;ajh ksid nqoaê uÜgu wvqùu" úfYaI wjYH;d iys; orejka ùu (Children With Special Needs) ukaoudkisl ùu" Táiï (Autism) frda.h meje;Su

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fudjqkq;a iu;a fohla''' fndfyda olaI jk fohla we;s nj y÷kd.kak fuys§ fißn%,a fmda,ais frda.h fï orejd widudkH ùu iys; orejka" úfYaI wjYH;d yd úfYaIs; flfkla iys; orejka iy ukaoudkisl orejka" nqoaê uÜgñka wvq jk ùu fukau tjeks uq;a fuys ±lajQ wfkl=;a ish¨u orejl= ,eîu .ek wdndê; orejka idudkH iy foudmshka fnfyúka idudkH orejkag;a jvd Wiia nqoaê uÜgulska (High I.Q. Level) lkiai,a,g m;aj isák hq;= wh úh yelshs' WÞyrKhla nj orejdg ±k .kakg úÈyg Táiï frda.h we;s yeÍu tu orejdf.a orejkaf.a NdId j¾Okhla kE' Tjqka l;d lrkafk;a kE' wfkla fm!reI j¾Okhg b;d whf.a lsisÿ ls%hdjla yuqfõ wys;lrhs' l=uk wdldrhlgj;a m%;spdr olajkafk;a kE' kuq;a fndfyda úg l=ula fyda tl fohla w;ska b;d by< nqoaê uÜgulska hq;= ùug fndfyda wjldY ;sfnkjd' l=i,;djhlaj;a" bf.kSu i|yd lsisÿ oCI;djhlaj;a fkd;snQ w;r tA ksid .=rejreka Tjqka Táiï frda. ldKavhgu wh;a l=vd l, mdif,ka fkrmd yer weiam¾c¾ frda.h (Asperger’s ;sfnkjd' Syndrome) we;s orejkaf.a;a kuq;a Tjqka miqj w¨;a l=vd l, NdId l=i,;djh b;d fidhd .ekSï lr f,dal mQð; wvqhs' wfkla wh iu. iudc ;;a;ajhg m;ajqKd' Táiï iïnkaO;d meje;aùula kE' iy weiam¾c¾ frda.S orejka kuq;a Tjqkaf.a nqoaê uÜgu wdndê; .Khg wh;a jqj;a tla fohla flfryS b;d by< l=ula fyda oCI;djhla Tjqka ;;a;ajhlska ;sìh yelshs' ;=< ;sfnkjd' th f;areï f.k weiam¾c¾ frda.h;a wdndê; tA wxYh Tiafia Tjqka by<g ;;a;ajhla f,i i<lkak mq¿jka' heùu ;=<ska fkdis;k ;rfï

ÿrlg Tjqkg hkak mq¿jka' f,dal mQcs;fhda

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we,anÜ whskaiaghska" whsfila ksõgka" ìf;dajka jeks wh mjd weiam¾c¾ frda.Ska nj ikd: ù ;sfnkjd' fï ;=kafokdgu l=vd l, iyc

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hk fï yeu fohlau wdndê; ;;a;ajhka f,i y÷kajkak mq¿jka'

Tfí orejd fï úosyg osß.kajkak flfia jqj;a fï l=uk wdldrfha wdndê; orejl= ,enqK;a" ujqmshkag th úYd, fõokdjla'

orejd fjkqfjka fouõmshka l< hq;= foa kuq;a wfma rfÜ ÿr neyer m<d;aj, jeishka fukau iuyr kd.ßlhkq;a

kuq;a fïl b;du jerÈ iy.; ;;a;ajhla''' wdo¾Yhla' orejdg ms<s.ekSu fokak fndfyda úg foudmshka wdndê; orejl= ,enqKq úg ±ä udkisl wd;;shlg" ÿllg m;ajk nj we;a;'

2010 jir olajdu f,dalfha f,dl=u Okj;d njg msg msg ih j;djlau f;areKq wefußldfj uhsfl%dfid*aÜ iud.fï ysñlre ì,a f.aÜia weiam¾c¾ frda.fhka fmf<k flfkla' Tyq lsisjl= iu. j;a l;d lrkafk kE' wvqu ;rñka ;ukaf.a fiajlhka fjkqfjka idlÉPdjlg iyNd.s jkafkj;a kE' Tyqf.a uqo,a md,kh" fiajlhka md,kh" fiajlhkag jegqma f.ùu fï wd§ tu iud.fï iEu fohlau fiiq ks,OdÍka úiska bgqlrkq ,nk w;r" Tyq lrkafka uq¿ ojiu ;ukaf.a ldurhg je§ mß.Kl uDÿldx. ks¾udKh lsÍu muKhs'

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kuq;a fï <uhd jevla kE''' thd idudkH mqrjeisfhla lrkak nE lsh,d me;a;lg lsÍu kï lsisfia;au fkdl< hq;=hs' fya;=j wdndê; orejka ±ka idudkH mqrjeishka f,i iudc.; lsÍug yelshdjla ;sîuhs' fï ;;a;ajh ±ka wfma rfÜ;a fndfyda ÿrg mj;skjd'

fujeks wdndê; orejl= ,eîu wm,hla úÈyg i<lkjd' tA jf.au tn÷ orejka mjqf,a lsisu foalg iïnkaO lr fkdf.k f.hs uq,a,g lr fiiq whf.ka jika lr Ôj;a jk ujqmshjrekq;a bkakjd' fï orejkaf. ka jevla kE lsh,d Tjqka ys;kafka' tA orejkag lsisjl= weiqre lrkak bvla fokafkj;a" mdi,a hjkafk j;a ke;s ujqmshjrekq;a ÿ¾,N kE'

weiam¾c¾ frda.fhka fm¿K;a f,dalhu ch.;a ì,a f.aÜia

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tu.ska orejd ;=< wd;au úYajdihla we;sjk w;r fm!reI j¾Okhg th b;d hym;a f,i n,mdkjd' tA orejd lsisjla lrlshd .kakg neß orejl= f,i tAa;a;= .ekaùu ;=<ska isÿjkafk orejd ;j;a miq.dó ù udkisl" doctormagazine.lk

l=vd ld,h wñysß uq;a f,dalh ch.;a;d

whskaiaghska

ìf;dajka

<ud frda. ffjoHjrhdg orejd fmkajkak ;ukaf.a orejd wdndê; nj uq,skau wjfndaO lr.;a miq l< hq;af;a <ud frda. úfYaI{ ffjoHjrhl=g orejd fmkaùuhs' túg tA ;;a;ajh ffjoHjrhd y÷kdf.k th ;udg wh;a fkdjk fohla nj jgyd .;af;d;a ufkda ffjoHjrhl= fj; fyda rla;fõo yd mqkre;a:dmk úfYaI{ ffjoHjrhl= (Rheumatologist and Rehabilitation Specialist) fj; fhduq lrk f,i Wmfoia foaú' tfyu;a ke;akï úl,dx. úfYaI{ Y,H ffjoHjrhl= (Orthopaedic Surgeon) fj; fhduq l< hq;= kï tA .ek Tng okajdù' fï wdldrhg iqÿiq ffjoHjrhl= yuqùfuka orejdf.a ÿn,;djh y÷kdf.k m%;sldr u.ska th wju lr .ekSfï yelshdj ,efnkjd'

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wdndê; orejl=f.a fm!reI j¾Okhg b;d jeo.;a fohla ;uhs tA orejdf.a iq¿ fyda l=i,;djhla" j¾Ok yelshdjla olsk úg yeu fokdu bÈßfha orejdj w.h lsÍu' ksoiqkla f,i wdndê; orejl= tA wdndê; nj wNsnjd hñka ;udg l< fkdyels jk úÈfya iq¿ fohla l<;a m%Yxid lsÍu" ;E.a.la msßkeóu jeks fohla ±laúh yelshs'

ldhsl yd fm!reI j¾Okh ;j ;j;a wdmiaig hEuhs'

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kuq;a fiiq orejkag idfmaCIj fï orejd widudkH ùu yd úfYaIs; flfkla ùu fukau tjeks orejl= ,eîu .ek foudmshka fnfyúka lkiai,a,g m;aj isák nj orejdg ±k .kakg yeÍu tu orejdf.a fm!reI j¾Okhg b;d wys;lrhs' fï ksid tA orejd wlSlre" m%pKav whl= njg m;aùu fyda fiiq yeufokdf.kau fldka ù uq¿.ekajqKq whl= njg m;aùu fukau ;ukaf.a jhfia m%udKhg fkdiß,k wvq yeisÍï rgdjla ^tkï wjqreÿ oyhl orejl= wjqreÿ ;=k y;rl orejl= fuka yeisÍu jeks (Regressive Behaviour) m<lsÍu isÿúh yelshs' tA ksid yeuúgu ;u wdndê; orejd idudkH yd iïmQ¾K orejl= f,iska ujqmshka fukau mjqf,a yeufokdu ms<s.kakd nj orejdg tA;a;= .ekaúh hq;=hs'

fN!;Ñls;ail m%;sldr j, jeo.;alu fuys§ ufkda ffjoHjreka T!IO m%%;sldrj,g wu;rj orejdf.a yeisÍj, fjkialï we;s lsÍu i|yd úfYaIs; p¾hd;aul m%;sldro ,nd fokjd' úfYaIs; wjYH;d we;s orejka i|yd úfYaIs; b.ekaùï l%u <ud ufkda úoHdj hgf;a ±ka .=rejreka mqyqKq lrk úoHd mSGj,o fndfyda úgu W.kajkq ,nkjd' tA jf.au tA'tï'whs' fudkaáfidaß mdGud,djg;a fï úIh we;=<;a'

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wdndê; orejka T!IOj,ska f;drj p¾hdjka yd jHdhdu u.ska tu orejdf.a ÿn,;djh wju lsÍfï úfYaIs; mqyqKqjla jD;a;Sh Ñls;ailjreka ,nd ;sfnkjd' tA wkqj wdndê; orejd ;=< we;s yelshdjka y÷kdf.k tA Tiafia orejd yqre lsÍu ;=<ska wkd.;fha orejdg tA iïnkaO jD;a;Shl kshe,Sfï yelshdj we;s lrkakg mq¿jka'

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tA ksid tl me;a;lska orejd ÿ¾j, jqKdg ;j;a fndfyda me;sj,ska úfYaIs; yelshdjka ´kEu orejl=g ;sfhkafk mq¿jka' tA yelshdj ;uka y÷kd.kak neß kï by; lS mßÈ úfYaIs; mqyqKqjla we;s whl= u.ska fyda y÷kdf.k th jeä ÈhqKq lsÍug doctormagazine.lk

tfia ke;sj Táiï jeks frda. ;;a;aj ksid ,shkak" lshjkak ÿ¾j, orejl=g fgdl= wksñka orejdf.a ke;s yelshdjka we;s lrkak W;aidy lsÍfuka jkafk orejdf.a ;sfnk l=i,;djhka mjd msg;g tkakg l%uhla ke;sj ;j ;j;a fudg ù hduhs' wka;sug orejdg wuq;=fjka fohla bf.k .kakg yelshdjla fkd,efnk fiau ;sfhk yelshdfjkq;a jevla .kakg neß ù orejd ;j;a wirK ùuhs isoaO fjkafka' orejd iudc.; lrkak u.la we; fï wdldrhg wdndê; orejd kshu whqßka yev.eiaùu ;=<ska tjeks orejl=g idudkH orejl=g jvd by<g hdfï yelshdj ;sfnkjd' tA jf.au idudkH orejl=g jvd wdndê; orejl=g foudmshkaf.a jeä wjOdkhla fhduq jk ksid l=vd l< isgu tu orejka ;=< foudmshka iu. f,dl= ne£ula we;sfjkjd' fï wkqj foudmshka jhia.; jQ miq idudkH orejkag jvd wdndê; orejl=f. foudmshkag i<lkakg jeäfhka fhduqjk njo ikd: ù ;sfnkjd' tA wkqj wdndê; orejdg hd hq;= mdr fmkajd §u Tfí j.lSuhs' DM

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orejdf.a m%n,;d ;sfnkjd' tajd;a y÷kd.kak wx.úl, fukau Táiï iy úfYaI wjYH;d iys; orejka hk fï ´kEu wdldrhl wdndO iys; orejka fjkqfjka jD;a;Sh Ñls;ailjrhl=f.a fiajh ,nd.kak mq¿jka' tA Tiafia tu orejdg ;ukaf.a wdndOh uevf.k hym;a wkd.;hla ilia lr.kakg udj;la újr lr.; yelshs'

lghq;= ie,iSu ujqmshka jYfhka Tfí hq;=luhs'

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wfma rfÜ uy frday,aj, fukau iuyr uQ,sl frday,aj,;a jD;a;Sh Ñls;ailjreka (Occupational Therapist) isák nj fndfyda foudmshka okafk kE' ±kf.k ysáh;a tjeks wh lrkafka fudkjdo lsh,d fkdokak wh;a iq,nhs' wdndê; orejka T!IOj,ska f;drj p¾hdjka yd jHdhdu u.ska tu orejdf.a ÿn,;djh wju lsÍfï úfYaIs; mqyqKqjla jD;a;Sh Ñls;ailjreka ,nd ;sfnkjd' tA wkqj wdndê; orejd ;=< we;s yelshdjka y÷kdf.k tA Tiafia orejd yqre lsÍu ;=<ska wkd.;fha orejdg tA iïnkaO jD;a;Shl kshe,Sfï yelshdj we;s lrkakg mq¿jka' <ud frda. úfYaI{ ffjoHjrhl= fyda ufkda ffjoHjrhl= yryd jD;a;Sh Ñls;ailjrhl= fj; fhduq úh yelshs'

lsß iqj| Tfí ì<s|d iqqfjka i;=áka'''

What you need to know about your child with asthma

Not all young children who have wheezing episodes (mmqfõ rdx rEx Yíoh) when they get colds or respiratory infections develop asthma (we¥u).

The wheezing may

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Child care- Respiratory Diseases

By Dr Guwani Liyanage Senior Lecturer/ Consultant Paediatrician Faculty of Medical Sciences, University of Sri Jayewardenepura Professorial Paediatric Unit, Colombo South Teaching Hospital

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happen when a child's already small airways get inflamed and narrowed.

Because airways grow as a child ages, wheezing may no longer occur when an older child gets a cold.

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Most children who have asthma develop their first symptoms before 5 years of age. However, asthma in young children can be hard to diagnose.

A young child who frequently wheezes with colds or respiratory infections is more likely to have asthma if a parent has asthma or the child has signs of allergies, including the allergic skin conditions eg. Eczema or the child wheezes even when he or she doesn't have a cold or other infection.

To help your doctor to make a correct diagnosis, be prepared to provide information about family history of asthma or allergies, your child's overall behavior, breathing patterns and responses to foods or possible allergy triggers. Understanding the experiences or exposures that make your childâ&#x20AC;&#x2122;s asthma flare-up is a key step to better symptom control. Lung function tests often used to make a definitive asthma diagnosis are very hard to do with young children. Therefore, the doctor may use a four- to six-week trial of asthma medicines to see if they make a difference in your child's symptoms. Other tests that your doctor may discuss with you include some blood tests and a chest x-ray.

Children less than 1 year may need extra attention during the diagnostic process because cough and wheezing can be caused by many things in this age group, some of which need very different therapies.

If left untreated, asthmatic children often avoid physical activities to prevent coughing or wheezing. Sometimes they will complain that their chest hurts or that they cannot catch their breath. Colds may go straight to their chest. Or, they may cough when sick, particularly at night.

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Asthma is a condition where the child gets wheezing episodes even without colds or respiratory infections.

Many children with asthma may have less frequent symptoms as they grow older. Some may even outgrow the condition completely.

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The two most common triggers of asthma in children are colds and allergens. After infancy, allergies become particularly important, and therefore asthmatic children should have an allergy evaluation to help diagnose and manage their asthma. Avoiding the allergens to which your child is allergic may help to improve his or her asthma.

Management The most important part of managing asthma is for you and your child to be very knowledgeable about how and when asthma causes problems, how some of the triggers can be avoided and how to use medications. The causes of asthma and best treatment for your child may be quite different than for another child.

management plan puts you in control for detection and early treatment of symptoms.

Inhaled medications come as metered-dose inhalers (sometimes called pumps and dry powder inhalers. It is important to learn how to use the type of medications prescribed for your child, or they might not work well.

Asthma medications include inhaled rescue medications (quick-relievers) to treat symptoms as they come and long-term controller medicines (inhaled as well as oral) to prevent further episodes. If your child's asthma episodes are frequent, a controller medication will probably be prescribed.

Our knowledge about asthma and its therapy is constantly changing. An ongoing relationship with your child's physician is key to determining what will work best for your child, now and throughout childhood.

Your doctor will develop an asthma management plan, and it is wise to share it with other caregivers. This plan outlines what medications to take, and when and how to increase the doses or add more medication if needed. An asthma 82

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Will my child outgrow his/her asthma?

Many babies who wheeze with viral respiratory illnesses will stop wheezing as they grow older. If your child has atopic dermatitis (eczema), allergies or a strong family history of allergies or asthma, there is a chance that asthma symptoms may persist longer. Still some children with asthma outgrow their symptoms when they grow older.

Should my child exercise?

Children benefit just as much as adults from exercise and need to spend at least one hour a day doing some kind of physical activity. It could give them more confidence about their asthma and what theyâ&#x20AC;&#x2122;re able to do. In fact, many world-class athletes have asthma, including runners Paula Radcliffe and Jo Pavey, cyclists Laura Trott and Bradley Wiggins and footballers David Beckham and Paul Scholes.

How do I reduce my asthma triggers?

An asthma trigger is a thing, activity or condition that makes asthma worse.

When you encounter a trigger, it can cause a sudden worsening of symptoms, often called an asthma attack, episode or flare-up. Your doctor can help you recognize what makes your asthma worse, and help find simple solutions to reduce and avoid asthma triggers.

What other changes can I make to improve my asthma?

Keep your lungs healthy by staying up to date on vaccinations and avoiding irritants like cigarette smoke, mosquito coils etc. or air pollution. DM

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Questions to ask your doctor about asthma

Is my child using medication correctly?

In order to get the most out of the prescribed medications and prevent an asthma flare-up, take them just as it was prescribed.

Some inhalers and nebulizers can be tricky to use. Show your doctor how your child is using inhalers at least in the initial visits, so you can be sure you are doing it correctly.

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Our knowledge about asthma and its therapy is constantly changing. An ongoing relationship with your child's physician is key to determining what will work best for your child, now and throughout childhood.

lsß iqj| Tfí ì<s|d iqqfjka i;=áka'''

ore iïm;a j,g ndOd f.k fok mqreI fodaI mqreIhkaf.a fodaI tkak tkaku jeä fjkjd''' ;j;a ld,hlska .eyekqka wNsnjd mqreIhkaf.a fodaI ksid ore iïm;a j,g ndOd we;s fjkak mq¿jka

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kùk ;dlaIKhg msx isÿ jkakg wo mqreIhkaf.a fodaI ish,a,u mdfya ksrdlrKh lr.; yelshs wkdosu;a ld,hl isg wUqieñ hqj,lg ore iïm;a ke;s jqKdu weÕs,a, osla lrkak mqreÿ jqfKa ldka;djkag' tal wmg Wreuhlaj mej;S krl mqreoaola' fï ksid weh fndfyda úg fodaI o¾YKhg ,la jqKd' iudcfhka .¾ydjg ,la jqKd' zzorefjla ,nkak neß kï je/oao fkdakf.''' uy;a;h yeu úgu yß''' Tyqg fodaIhla ;sfhkak nE'''ZZ ldka;djkaf.a u|ireNdjh .ek ;uhs" wm jeä jYfhka l;d lrkafk' biair mej;S wdldrfhkau fkdjqK;a wo;a ore iïm;la ke;s mjq,l fpdaokdjg''' we;eï úg .¾ydjg ,la jkafka ldka;dj'''

l<,fõo úfYaI{ ffjoH fy<rejka mikal=udr iu. l< idlÉPdjla weiqßKs

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mqreIhkaf.a wvq¨yq`vq;d u|ireNdjhg fya;= jkafk ke;so @ u|ireNdjh iïnkaOfhka wo mj;sk ;;a;ajh .;af;d;a mkyg mky fodaI mqreIhkaf.kq;a jd¾;d fjkjd' wms ys;uq" orejka ke;s wUqieñhka 100la .;a; lsh, mÍlaId lrkak' fya;=jla lsj fkdyels fodaI (Unexplained infertility) fuysoS u|la wu;l lruq' tfyu ne¨ju ishhg 50la fodaI ldka;djkaf.a' msßñkaf.a fodaI ksid ore iïm;a ,nd.;

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2030 jf.a ld,h jk úg u|ireNdjh we;sjk fya;= j,ska ishhg 70lau mqreI fya;= ksid we;súh yels nj Tjqka mqfrdal:kh lrkjd'

ta;a wo ;;a;ajh fjkia fj,d' ore iïm;a wysñ fjkak uQ,sl fya;=jla njg zzmsßñkaf.a fodaIZZ m;afj,d ;sfhkjd' wehs mqreI u|ireNdjh ldka;d u|ireNdjh blaujd we;s jkafk lshk ldrKh wm .eUqßka ixjdohg Ndckh l< hq;= jkafka fï ksihs' ysrg hg weªï we|Sfuka Y=l%dKQ j, .=Kd;aulNdjh fnfyúka wvq fjkjd oeka wms msßñka fndfydu ysrg hg weªï w|skjd' fuhska mqreIhkaf. orejka ,eîfï yelshdj fnfyúka wvq fjkjd' fI*s,aâ iriúfha uydpd¾h we,ka mefia fï ms<sn|j mq¿,a m¾fhaIKhl

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óg udi ;=klg fmr Tlaia*â úYaj úoHd,fhka flreKQ wkdjrKhla wkQj mqreI u|ireNdjh" ldka;d u|ireNdjh blaujd hk miqìulao ks¾udKh fj,d ;sfhkjd' ta wh lshk úosyg 2030 jf.a ld,h jk úg u|ireNdjh we;sjk fya;= j,ska ishhg 70lau mqreI

fya;= ksid we;súh yels nj Tjqka mqfrdal:kh lrkjd' óg wjqreÿ mkylg muK fmr ;;a;ajh .;af;d;a mqreI u|ireNdjh ishhg 30hs' ldka;d u|ireNdjh ishhg 50hs'

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fkdyels wh;a mkylau bkakjd'

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ksr; jqKq úoajf;la' uyd ì%;dkHfha msßñka 2"500la fhdodf.k isÿ lrk ,o m¾fhaIKhlska Tyq y÷kdf.k ;sfhk wdldrhg ysrg w|sk hg weªï mqreIhkaf.a ksire;djhg n,mdk zzm%Odk flaj, fya;=jZZhs' Close-fitting undergarments ;uhs wo ke.S tk fudaia;rh' ta;a wu;l lrkak fyd| kE fuh wfma wdos uq;=ka ñ;a;ka YÍrh wdjrKh lr.;a zz,sys,a weªugZZ iïmQ¾Kfhkau mgyekshs' úfYAIfhkau msßñ orejka ysrg hg weªï w|skak tmd' thska Y=l%dKQ j, .=Kd;aulNdjh fnfyúka wvq fjkjd' l=vd orejkag ks;ru meïm¾ wkaokak;a fyd| kE''' wo bmÿk ojfi b|kau orejkag meïm¾ wkaokjd' orej yeu fudfyd;lu meïmrhlska wdjrKh lr, ;sfhk tl we;eï uõjrekaf. oeä wjYH;djhla njg m;a fj,d' fï meïm¾ orejdg ks;r ks;r wkaok tflka isÿ fjk ydksh l=ulao @ Tn okakjd" orejdf. jDIKfldaI ;sfnkafk 86

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uq,skau oelafjkafka .eí .ekSug iqÿiq ksfrda.S Y=l%dKQ yev folls' miqj oelafjk Y=l%dKQ úúO úmÍ; yev j,ska hqla; ksid iajdNdúlj .eí .ekSfï bvlv wvqh'

bfkka my<g fjkak' tajd Worfha fkdfjhsfk ;sfhkafk' mdo fome;af; fjkuu' t,af,kak' fuh kslïu isoaO jqKq fohla fkdfjhs' Y=l%dKQ yefokafk jDIKfldaIfha' jDIKfldaI j, Y=l%dKQ yefokak wjYH lrk m%Yia; WIAK;ajhla ;sfhkjd' th idudkH YÍr WIaK;ajhg jvd wvq tlla' mqxÑ orefjlaf. jDIKfldaI j, Y=l%dKQ kE' ta;a taj yefokak wjYH flfrk wxl=r ffi, fï jDIKfldaI j, ;sfnkjd' meïm¾ wekaoùfuka jDIKfldaI j, WIaK;ajh jeä fjkjd' thska fkdfïre ffi, ydkshg m;a fjkak mq¿jka' miq ld,hl Y=l%dKQ ksIamdokhg th wys;lr f,i n,mdkak mq¿jka' .ukla hkfldg w;HjYH wjia:djl Tfí orejdg meïmrhla wekaÿjdg lula kE' ta isß;la úosyg wïu,df. myiqj .ek ys;, mEïm¾ wkaok tl kj;ajkak' msßñkaf.a cdkuh fodaI oeka ;rula iq,nhs orejka ,eîu m%udo fjkfldg" biair jf.a ldka;djka .ek ú;rla l;d lr, yrshkafk kE' we;a;gu uu kï mqreIhd iïnkaOfhka ;uhs uq,skau n,kafk' we;a;gu" tal ;rula myiq m%fõYhla' tl

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mqreIhkag mS;D;ajh wysñ lrk m%Odk fya;= msáhqgß .%kaÓh" jDIKfldaI hq.,h" Y=l%djdyskS''' ta jf.au fjk;a YÍrfha fydafudak fï yeu tllau mqreIhkaf.a ckl Yla;sh uekúka mj;ajd f.k hdug wjYHhs' fï fld;ekl fyda ;sfnk iq¿ hhs is;k fodaIhla ksid ore iïm;a wysñ fjkak mq¿jks' wm l,amkdldÍ jqfKd;a uq, b|kau Bg ms<shï fhosh yelshs' Wodyrkhla úosyg .;af;d;a msáhqgß .%kaÓfha we;sjk fodaI orejd fmdä ldf,u y÷k.kak mq¿jks' orejdf.a Wi hdu wvqjla fjkj kï" ksis ld,hg / jq, tkafk ke;akï'''' uõmshka ta .ek fidhd ne,Su iqÿiqhs' ● ldhj¾Okhg wo we;efula úúO fydafudak .kakjd' iafgfrdhsv .kakjd' ys;=u;fha fïj .ekSu fldfy;au iqÿiq kE' fï iafgfrdhsv .ekSfuka Y=l%dKQ w.hka fyd|gu my; jefgkak''' ìxÿjg nyskak fndfyda ÿrg bv ;sfhkjd' zzhd¿fjd lsõj'''ZZ lsh,''' zzcsï tlg .shd'''ZZ lsh, ldh j¾Okhg .kak T!IO .ekSu fyd| kE' ● we;euqkaf. jDIKfldaI j, cdkuh wvqmdvqlï we;s fjkak mq¿jka' ;j;a flfklaf. úIîchla .shdu thskq;a Y=l%dKQ ksIamdokhg n,mEula fjkak mq¿jka' wïu, okakjd fmdä ldf, orejkaf.

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● iuyr úg yosisfha wk;=re j,g Ndckh fjkak mq¿jka''' wkfmalaIs; fj,djl''' l%slÜ .ykfldg ryiÕ wdY%s; m%foaYhg fndaf, joskjd' jeos," bosfukj''' tal .Kka .kafk kE' iuyr úg fï myr iodld,slj úYd, ydkshla isoaO lrk ksy`v myrla fjkak;a mq¿jka' fï úosfya foaj,a .ek''' we;eï úg iq¿ iq¿ hhs ysf;k foaj,a .ek mjd wm fnfyúka úuis<su;a fjkak ´ks' ● we;eï fj,djg Y=l%dKQ f.k hk jdysksfh;a (Vas Deferens) wdY%s;j we;sfjk fodaI ksid;a Y=l%dKQ kshñ; mßos ksIamdokh fkdfjkak mq¿jka' mqxÑ ldf, we;=,a jqKq úIîchla ksid miqld,Skj fï

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oeka wUqieñhka orejka ,nd.kak fkdyelsj ffjoHjreka yuqjg .shdu ffjoHjreka mÍlaIK mj;aj, lshkjd''' zzTn fofokdf.au y÷k. kak lsisu .eg¿jla kE'''ZZ lsh,' (Unexplained infertility) m¾fhaIKhla lr, ;sfhkjd" fukak fï zzlsisu .eg¿jla kEZZ lshk hqj,j,a .ek' fï wh jeä ÿrg;a w;s kùk fuj<ï weiqf¾ mÍlaIK j,g ,lal<du wjidkfha lsishï fodaIhla fydhd .kakjdfk' fï m¾fhaIKfhka fy<s jQ úosyg fï úosyg lsisu fodaIhla kE lsh, lshk hqj,j,a oyhla .;af;d;a fodaIh yenEjgu ;sfhk kjhlau msßñka'

zzjDIKfldaI lerflkjd'''ZZ lshkafk''' jDIKfldaI lerls,d f,a hk tl wvq fjkj lshkjd' iuyr úg jDIKfldaI Worh we;=f, ;sfhkak mq¿jka' taj my<g jefgkafk ke;s jqKdu Y=l%dKQ kshñ; mßos yefokafk kE '

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mrSlaIKhla" folla lrmq .uka fodaIhla ;sfhkjd kï th wkdjrKh lr.kak wjia:dj ,efnkjd'

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Y=l% wdYhsYsldj wjysr fjkak mq¿jka' mqxÑ ldf, úIîch we;=¿ jqKdu yßhg fnfy;a l<d kï fï úosfya nrm;, fodaIhla we;s fjkafk kE'

oeka w¿;a ;dlaIKsl l%u /ila ia:dms; fj,d ;sfhkjd' IUI lshkafk mqreI Od;= wrf.k .¾NdIfha ;ekam;a lsÍu' idudkHfhka Y=l%dKq mSkk fõ.h fyd|hs kï Count tl álla wvq jqKdu wm ta lghq;a; id¾:lj isoaO lrkjd' t;ekska tydg .shdu IUTPI lshk l%fïos Y=l%dKQ mef,damSh kd,h we;=<g m%fõY lrkjd'

● iuyrekag ,sx.sl;ajh iïnkaO m%Yak;a ;sfhkak bv ;sfnkjd' ,sx.sl wm%dKsl;ajh" Y=l%dKQ kshñ; mßos msg fkdùu" iuyreka bkakjd Y=l%dKQ t<shg msg fjkafk kE' uq;%dYhg ;uhs taj msg fjkafk' udkislj we;s nh''' fï úosyg úúO f,v ;sfnkjd ú;rla fkdfjhs" fï yeu frda.hlgu mdfya m%;sldr;a ;sfhkjd'

ldka;djla .¾NsKS;djhg m;a lrkak kï fyd| Y=l%dKQ ñ,s ,Sgrhl Y=l%dKQ ñ,shk 15la j;a ;sfhkak ´ks' Y=l%dKq ;j;a álla wvq fjk whg ñ,shk 5-15 w;r ;sfhk wjia:dj,oS Y=l%dKQ fyd|hs kï IUI ;dlaIKh fhdod.kak mq¿jka' ñ,shk 3-5 w;r Y=l%dKQ m%udKhla kï ;sfhkafk IUTPI ;dlaIKh weiqf¾ .eí .ekaùu ;uhs jvd;a iqÿiq'

mqreIhkaf.a ckl fodaI ksrdlrKh lr.; yels tajdo @ fï iïnkaOfhka kï ;sfnkafka b;d n,dfmdfrd;a;= iy.; ;;a;ajhla' fodaI ksrdlrKh l< yels wdldrh w;ska .;a;u mqreI fodaI ldka;d fodaI j,g jvd id¾:lj úi|sh yelshs' wms .;af;d;a ishhg 95la ú;r mqreI uQ,sl fodaI úi|kakg m%;sldr úê ;sfhkjd'

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ld,hla ;siafia mqreI ckl Yla;sh ySk jQ yeá

wo ICSI, IMSI, PICSI wdoS jYfhka oshqKQ ;dlaIKhka ;sfnkjd' fïj mqreIhkaf.a wfmalaId o,ajk mÍlaIK' wms ys;uq Y=l%dKq ßfmdaÜ tl ,efnkjd Y=l%dKq ìxÿjhs lsh,''' Y=l%dKq we;af;u kE lsh,' tfyu whg;a jDIKfldaIh úo, fldfydu yß Y=l%dKqjla fidhdf.k tah weiqf¾ .eí .kajkak mq¿jka' fuys id¾:l;ajh ksid wo fjk;a flfklaf.ka Y=l%dKq ,ndf.k ;ukaf. Nd¾hdjf. äïnhg we;=,a lr, .eí .ekaùfï l%uh wo Ndú;d jkafka kE' ta fjkqjg iEu mqreIfhl=gu ;ukaf.au cSj úoHd;aul Wreuhla ;sfnk orefjla iqcd; lsÍfï wjia:dj''' jrh úoHdj

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oeka w¿;a ;dlaIKsl l%u fhdodf.k Y=l%dKqjla 6"600 .=Khlska úYd,kh lr, Y=l%dKqj we;=f, m%Yak ;sfnkjdo lsh, fydhkak mq¿jka l%u Ndú;hg weú,a, ;sfhkjd' tfyu kùk WmlrK fhdodf.k n,k úg wmsg fmfkkjd fï Y=l%dKqj we;=f< ta .eí .ekaùulg wjYH idOl fkdue;s nj' iuyr úg f.dvla Y=l%dKq ;sfnkjd' wjYH m%udKhgu''' ta;a Y=l%dKqj we;=f, fodaI ;sfnk nj fuysoS we;eï úg fy<sorõ fjkjd' we;eï fj,djg Y=l%dKq j, l%shdldß;ajhg ndOd lrk m%;sfoay (Antisperm Antibodies) yefokak mq¿jka' fïj reêr mÍlaIK j,ska mÍlaId lr, y÷kd.kak mq¿jka' cdkuh fodaI yªkd .kakg fjku mÍlaIK ;sfnkjd' fï úosyg mÍlaIK lr, y÷kd .ekSula lrkafk ke;sj zzuf.a fyd|hs'''' fkdakf. ;uhs je/ oaoZZ lshk tl ksjeros m%ldYhla kï fkdfjhs' óg by; lsõj jf.a lsisu fya;=jla lsj fkdyels idM<H;d fodaI ;jÿrg;a úuiSfïoS ldka;d fodaIhla yuqjkafka oyfhka tlla muKhs' b;sß Tlafldu mqreI uQ,sl .eg¿' uE;la jk;=re mqreIhkaf.a idM<H;d fodaI uekúka mÍlaId lrkakg oshqKQ lrmq mÍlaIK ;snqfK kE' Bg idfmalaIj ldka;djka fndfydau

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l%l s Ü .ykfldg ryiÕ wdY%; s m%foaYhg fndaf, joskjd' jeos," bosfukj''' tal .Kka .kafk kE' iuyr úg fï myr iodld,slj úYd, ydkshla isoO a lrk ksy`v myrla fjkak;a mq¿jka' fï úosfya foaj,a .ek''' we;eï úg iq¿ iq¿ hhs ysf;k foaj,a .ek mjd wm fnfyúka úuis<u s ;a fjkak ´ks'

ixlS¾K mÍlaIK j,g Ndckh l<d' ta;a oeka mqreIhkaf.a fodaI yªkd.ekSfï mÍlaIK;a ta ;rugu jeä oshqKQ fj,d ;sfhk ksid Unexplained Fertility f,i ksire;djh ;sfhk wUqieñhka kï lsÍu iEfykak wvq fj,d' yß yßhg msßñkaf.a fodaI;a y÷kd.kak ,efnk nj fy<sorõ fj,d'

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l,n, fj,d" ;ukaf. jdishg ;Skaÿ fokak tmd''' tal jeroshs flfkla Y=l%dKq fpla lr,''' m%udKh yßhg ;sfhk fldg lshkak mq¿jka' zzwd''' uf.a me;a; kï fyd|hs''' fkdakf. ;uhs m%Yafk ;sfhkafk'''ZZ lsh,' ta;a tfyu lshkak nE' ta;a Odß;dfjka ú;rla fkdfjhs" yevfhka yd mSkk fõ.fhka fyd| jqK;a" tfyu Y=l%dKQ fyd|hs lshkak nE' fudlo @ fï Y=l%dKqj we;=f< cdkuh jYfhka f,dl= .eg¿ ;sfhkak;a mq¿jka' we;a;gu cdkuh .eg¿ wo fndfydauhla msßñkaf. ckl Yla;sh ÿ¾j, lr, ;sfhkjd' ore iïm;a mjqf,ka wE;a lr, ;sfhkjd'

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úiska fï msßñkag ,ndoS, ;sfnkjd' TISA yd PISA ;dlaIKhka f,i fïj yªkajkjd'

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mqreIhka ;ukaf.a idM<H;dj''' Y=l%dKq j, .=Kd;aulNdjh wdrlaId lr.kakg .; hq;= mshjr ● fyd| wdydr mdk f;dard.; hq;=hs' biair wfma wdydr fõ, .=Kd;aulj b;d fyd|hs' ta;a laIKsl lEu" msá lEu" f;,a lEu wdosh ksid oeka ldf, .kak wdydr úIuhs' fïjdhska we;s fjk f,v jeähs' .eyekq msßñ fof.d,a,kaf.u wdydr rgdj ;ukaf.a ire ksire njg fya;=jla fjkjd' ● hgg w|sk weªï ysrg w|skak fyd| kE' úlsrKfhka wdrlaId fjkak ´ks' fmdä ldf, b|kau orefjd yok fldg fï úosyg wjodkï iy.; idOl j,ska orejd wE;a lrkak ´ks' ● ta jf.auhs hï flfkl=g''' mqreIfhl=g ;ukaf. Y=l%dKq j, .=Kd;aulNdjh iïnkaOfhka ielhla ;sfnkjd kï ffjoHjrfhl= yuq fj,d ir< Y=l%dKq

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mÍlaIdjlska Tn bkak ;;a;ajh .ek wjfndaOhla ,nd.kak mq¿jka'

;rula úYd, jQ Ysrd rdYshla jDIKfldaI j, rEmfha oelafjk wdldrfhka isrùu Varicocoele hkqfjka ye|skafjhs' fï ksid weh fndfyda úg fodaI o¾YKhg ,la jqKd' iu hkqfjka ye|skafjhs'fï fya;=j ksido jDIKfldaI j, WIaK;ajh jeäjk w;r ta ksid Y=l%dKQ ksIamdokhg ndOd meñKsh yel'

ta;a jeo.;a ldrKhla ;sfnkjd''' ld,hlg biair mÍlaId l<du fyd|g Y=l%dKq ;sfnk nj jd¾;d jqKdg miqjg;a th j,x.= fjkafk kE' Y=l%dKq j, .=Kd;aulNdjh jhi;a iu. wvq fjkjd' Sperm Dysgenesis Syndrome hkqfjka ye|skafjk frda. hla ;sfnkjd' fuysoS isÿ jkafka Y=l%dKq j, .=Kd;aulNdjh wvq ùuhs' ● ir< Y=l%dKq mÍlaId lsÍfï mÍlaIKh yereKQ úg fjk;a Wiia mÍlaIK ;sfnkjd' reêr mÍlaIK yd cdk mÍlaIK' fïjhska yrshgu fodaIh y÷k. kak mq¿jka' Y=l%dKQ we;=< uekúka mrSlaId l< yels Computer-assisted sperm analysis (CASA) systems Tiafia fndfydau mrsiudma; wjfndaOhla Y=l%dKQ ms<sn|j ,nd.; yelshs' wm ta mrSlaIK hka;% oekg ,xldfj Ndú;d lrkjd' DM

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fodafr .,k ore fifkyi

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

wmf.a fiajdjka iuyrla • mqreI u|ire;d fodaI mßmQ¾K iudf,dapkh • ia;%S u|ire;d fodaI mßmQ¾K iudf,dapkh • .íid os.gu isÿùug m%;sldr • äïn ksIamdokfha fodaI • .¾NsKS;djfha ud¾f.damfoaYk 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 011 2836 788 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, 077 3273 866 E mail: wishiuiivf@gmail.com | wishiuiivf.com April 2017

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91

ore .enla .íid ùfuka miqj kej;;a ;=ka udihla muK jk ;=re .eí .eksulska j<lsk f,i ffjoH jreka Wmfoia fokjd' fï Wmfoia wfma ldka;djka úúO wdldrfhka w¾: ksrEmkh lrkjd' zz.eí .ekSula we;s jqKfyd;a tho kej; .íid jkakg mq¿jks''''ZZ zzwfmda''''orefjla yeÿfKd;a tal Nhdklhs'''''''Z fï úÈyg'''''''''

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orefjla .íid jqfkd;a wdfh;a orefjla .ek ys;kak fldhs;rï ld,hla ´kso'''@

92

April 2017

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we;af;kau ore iïm;la .ek is;kakg udi ;=kl muK ld,hla m%udo lrk f,i ffjoH jreka Wmfoia fokafka wehs'

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woyia oelaùu kdß yd m%ijfõo úfYaI{ ffjoH wd¾ tka cS rdcmlaI

April 2017

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93

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,,kd iqjfi;

.íid jQ .en bj;a l<dg fï fodaIh u`.yefrkak ;j;a ld,hla .; fjkak mq¿jks' b;ska fï .ek;a ys;, we;sjQ udkisl ;ejq,;a h:d ;;a;ajhg m;a lr.kakhs fï úÈfya ld,hla ms<sn|j ffjoHjreka Wmfoia fokafka" wfkla ldrKh ;uhs wef.a fmdaIKh' weh .;jQ ld,h ;=< fmdaIKfhkq;a msßyS bkak mq¿jka' fufia fndfyda ldrKdldrK ms<silr lr.kak hï ld,hla .; fjkjd' fndfyda úg th ;=ka uila lSjg th kshuhla fkfjhs' ta;a ore .enla .íid jqKdu kej;a orefjl= .ek is;kakg hï YdÍßl" udkisl" iQodkula ,nd .ekSu jeo.;a' DM

WOMAN'S WORLD | FEMINA

ore .enla .íid fjkj kï Bg fudkj yß fya;=jla ;sfhkak ´ks' fydafudak ys`. mdvqjla" uQ;%d wudrejla" fï úÈhg Bg fkdfhl=;a fya;= n,mdkjd'

,,kd iqjfi; mshhqre bj;a l<;a ta jf.au w¿;a mshhqre oeka ilia lrkak mq¿jka woyia oelaùu rd.u YslaIK frdayf,a úfYAI{ l,amH ffjoH flda,s; lreKdodi

WOMAN'S WORLD | FEMINA

ldka;djka w;r ful, ;rula iq,n mshhqre ms<sld ksid we;eï ldka;djkag ;ukaf.a iqkaor mshhqre bj;a lr.kak fjk wjia:d ;sfnkjd' fï tjka ldka;djkag ta wvqj jid. kak .e,fmk lD;%Su mshhqre msysg jk wdldrh .ek f;dr;=re ì|la'''

wehf.au isref¾ uiska''' fmaYs j,ska'''

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wo jeä jYfhkau fï i|yd fhdod.kafka wehf.au YÍrfha fldgia fhdodf.k tu ia:dkfha lD;%Su mshhqrla ilia lr Bg reêr iemhqula ,ndoSfï l%uhhs' fuysoS Worfha fmlKshg háka we;s jeämqr f;,a ;Ügqj fhdodf.k mshhqr ilia lrkjd' msfÜ ;sfhk fïo fldgiao Bg ,nd.kak mq¿jks' fïo mgl ú;rla fkdfjhs" udxY fmaYshlao fuysoS ,nd .kakjd' Worh t,a,d

94

April 2017

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jeàu ;r ùu fuys wu;r jdishla' tfiau ;kmqvqj;a ta jgd we;s l¿ meye fldgi;a ielish yelshs'

is,sfldka mshhqre;a ;sfnkjd wfkla l%uh ;uhs frdamkh lrk (Implant) wdldrh fuysoS is,slka kue;s øjHfhka ieliQ lD;%Su mshhqrla iug iú lsÍu ;uhs lrkafk' th iajNdúl idudkH mshhqrla fkdjk ksid ixfõoS kE' ta;a iam¾YfhaoS idudkH mshhqrla jf.auhs'

uq,skau m%;sldr iïmQ¾k lr.kak fï mshhqre lD;%Suj ilia lrkak fjkafk mshhqre ms<sld j,ska iqjh ,enQ ldka;djkagfk' tal ksid uq,skau n,kak ´ks frda. ;;a;ajh .ek' mshhqrla ilia lsÍug iqÿiq ;;a;ajhl bkakjdo @ m%;sldr iïmQ¾k lr, o lshk ldrKd i<ld n,lkak ´ks'

;=ka mehl ie;alula

lD;%Su mshhqrla frda. ;;a;ajhg n,mEula lrkafk kE' th iú lsÍfuka wu;r ms<sld wjodkula we;s fjkafk;a kE' ;snqKQ ms<sldj kej; ysi Tijkj kï thgo fuhska wdrlaIdjla kE' fldákau lD;%Su mshhqr frda. ;;a;ajh u; yeisfrkafk kE'

tfyu o @ fufyu o@ mshhqrla bj;a lsÍfuka miq fï fudkj;a fkdlr fj<|fmdf<ka ñ,oS .kakd /|jqul=;a Ndú;d lrkak mq¿jks' th ;sirmg hg ;nk WmlrKhla ksid tyd fuyd hdfï bvlv jeähs' ta ksidu id¾:l l%uhla f,i ie<flkafka ke;;a wjYH;djh kï ieflúka msßuid. kak mq¿jks' DM

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April 2017

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95

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ie;alug osk kshu lsÍfuka miqj meh ;=kl muK ld,hla ie;alug Ndckh fjkak isÿ fjkjd' yod wjika l< mshhqrl yevh kej; fjkia lrkak nE'

,,kd iqjfi;

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ksfrda.S ore Wm;lg fmr iQodku ;Uq;af;a.u uQ,sl frdayf,a kdrs yd m%ij úfYaI{ ffjoH yrskaø rKùr

ú

jdm;a iEu hqj,lgu we;s jákdu m%d¾:kh jkafka ore iqr;,a ne,Suhs' th hqj;sm;ska fofokdf.au cSú;fha w;sYh jeo.;a wjia:djla jk w;r th Tjqkaf.a cSú; j, mßj¾;k wjêhlao jkafkah' orefjl= m;k wUq ieñhka Bg iQodkï úh hq;af;a ljr wjia:dfõ isgo @ Tn ta i|yd iQodkï úh hq;af;a Tn fofokd újdy jkakg;a fmr isg lsõfjd;a@ Tn th úYajdihg .kakjdo @ wUqieñhka jdikdjka; ore Wm;lg iQodkï úh hq;= wdldrh .ek fu;eka mgka wm wjOdkh fhduq lruq' ujla ùug iqÿiqu ld,h l=ulao @ ldka;djk ujla ùug .e,fmk jhila ;sfí' b;d ,dnd, ldka;djl fukau jhia.; ù ore iïm;a ,nk ldka;djlo ;u .¾NsKS;djfhaoS ixl+,;d j,g uqyqK mdhs' fï ldKav folu ore iïm;a

96

April 2017

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,eîfïoS úúO wjodkï j,g uqyqK mdhs' jhi uqyql=rd f.dia újdm;a jk úg Wmosk orejka cdk úlD;s;d j,g ,la ùfuka úúO m%fõKsl wvq¨yq`vq;djhkag ,laùu tla ksoiqkla muKs' újdyfhaoS" ore iïm;a ,eîfïoS iuia;hla f,i mshdf.a jhi ndOdjla fkdjk uq;a b;d wvq jhfiaoS yd jhia.;j msh moúh ,eîfïoS fkdfhl=;a udkisl yd idudcSh .eg¿ j,g uqyqK mdkakg isÿùu olakg ,efnkakls' orefjl= m;kakg fmr ms<smeosh hq;= lreKQ ore Wm;la hkq oS¾>ld,Sk ldhsl yd udkisl lem lsÍul m%;sM<hls' orefjl= m;k uõmshka ta iïnkaOfhka os.=ld,Sk ie,iqul msysgd lghq;= l< hq;= jkafkao ta ksihs' ore ms<sis|Sug fmr isgu f*da,sla wï, fm;s .kak orefjl= m;k ldka;djl fmda,sla wï,h .ekSu b;d jeo.;ah' fmda,sla wï,h .ekSfuka orejkaf.a fld÷ kdráfha úlD;s;d we;sùu j<lajd .;yels uq;a ldka;dj fï

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ffjoHjrhd uqK.eiS Tn ore .enla oeÍug iqÿiqo hk ldrKh Tfí ffjoHjrhd iu. idlÉPd l< hq;=h' fuysoS idudkHfhka flfrkafka tu frda. uekúka md,khg ,lalr wehg wdrlaIs; .eí .ekSulg wjldY ie,iSuhs'

oS¾>ld,Sk frda.hlska mSvd ú|skafka kï ffjoH Wmfoia ,nd.; hq;=hs .eìKshl ùug wfmalaId lrk uj we;eï úg oshjeähdj" j,smamqj jeks os.=ld,Sk frda. ;;a;ajhlska fmf<kjd úh yelsh' túg Tfí

fnfy;a .kakjd kï tajd ore .eng wdrlaIdldÍo hkak ffjoHjrhdf.ka úuid oek.kak we;eï úg Tn oskm;d ,nd .kakd T!IO ;sìh yel' yeu T!IOhlau .¾NsKS ld,fhaoS iqÿiq fkdjk ksid Tn .kakd T!IO ore .eng wdrlaIdldÍo hk ldrKh Tn ffjoHjrhdf.ka oeKQj;a úh hq;=h' lsishï T!IOhla ujf.a l=ifyd;a ore .eng kqiqÿiq kï ta fjkqjg fjk;a wdrlaIdldÍ fnfy;la ,ndoSug Tfí ffjoHjrhd mshjr .kakjd we;'

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97

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f*da,sla wï,h .;hq;= jkafka ore iïm;la wfmalaId lrk ld,hg udi folla j;a fmr isgh'

m%ckl moaO;sh wdY%s; f,v frda.''' @ tfiau Tn m%ckl moaO;sh wdY%s;j lsishï frda.hlska fmf<kafka kï" .¾NdIh we;=¿j ta wdY%s; wjhj Y,Hl¾uhlg Ndckh lr we;akï ore iïm;la ,eîug fmr m%ijfõo ffjoHjrhdf.ka kshñ; Wmfoia ,nd .ekSu l< hq;a;ls'

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fmr .eí .ekSï j,oS we;sjQ ixl+,;d .ek ffjoHjrhdg mjikak tfiau Tn óg m%:u .eí.;a wjia:djloS lsishï ixl+,;djhlg uqyqK mE ldka;djl kï ta ms<sn|j ffjoHjrhdg okajd jeäÿr Wmfoia me;sh hq;=hs' tjka úfYaIfhka i|yka l< hq;= ldrKd lsysmhla''' .íid ùu' úfYAIfhka .íid ;=klg jvd isÿù kï ta .ek úfYaIfhka wjOdkh fhduq l< hq;=h'  .eìKs iufha wêreêr mSvkh  oshjeähdj  wvqnr ore Wm;a  l=i ;=< orejd ñh hdu yd u< ore Wm;a  ore Wm;ska miq we;sjk wêl reêr jykh ùu  ore Wm;ska miqj we;sjk udkisl jHdl+,;d Tnf.a ó<`. .eí .ekSu kshñ; mßos ie,iqï lsÍu u.ska by; ixl+,;d kej; we;sùu wju lr.ekSug fyda j<lajd .ekSug Tnf.a kdß yd m%ij ffjoHjrhd lghq;= lrKq we;' ire ld,h hkq l=ulao @ äïnfldaIfhka mßK; äïnhla mef,damSh kd,hg uqod yefrk ld,h zzire ld,hZZhs' orefjl= m;k wUQ ieñ hqj,la ldhslj tlaúh hq;af;a fï ire ld,fhaoshs' osk 28l Tima pl%hla ;sfnk ldka;djlg kï ore ms<Si|Sula we;s ùfï bvlv we;s osk jkafka Tima pl%fha 10 jk oskfha isg i;shla olajd ld,hls' tfy;a wl%uj;a Tima pl%hla mj;sk ldka;djlf.a kï fuu äïn fudapkh isÿjk oskh .Kkh lsÍulska ,nd.; hq;=h'

98

April 2017

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fuysoS osK .Kka ;eîu isÿ jkafka Timaùu werfUk oskh m<uqjk oskh yeáhg .ksñks' tfiau orefjl= n,fmdfrd;a;=fjka isák úg wju jYfhka udi lsysmhl isgj;a Tnf.a Tima pl%h ms<sn|j wjOdkfhka isàu yd wod, osK .Kka .Kkh lr.ekSu w;sYh jeo.;a fjhs' .¾NsKSNdjh oek.kakd mÍlaIK .¾NsKS;djh ikd: lsÍu uq;%d fyda reêr mÍlaIK j,ska isÿfõ' .eí .ekSu;a iu.u isÿjk hCG fydafudakfha jeäùu fuu.ska mÍlaId flf¾' myiqj i|yd fuysoS nyq;rhla úiska fhdod. kafka uq;%d idïm,hla mÍlaId lsÍuhs' l=vd fnda;,hlg uq;%d tl;= lrf.k .¾NsKS;djh mÍlaId lrk máhla tys .s,ajd j¾K fjkiaùu wkQj .¾NsKS;djhg m;aj we;s$ke;s nj ksYaph flf¾' fï i|yd fhdod. kakd mÍlaIK má b;d wvq uqo,lg Tiqi,a j,ska ,nd.; yel' mÍlaId lrk ms<sfj<" m%;sM<

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.¾NsKS;djh mÍlaId lrk reêr mÍlaIKfhka isÿ lrKqfhao fï hCG fydafudakh mÍlaId lsÍuu fõ' .¾NKSNdjfhaoS we;sjk YdÍßl fjkialï óg wu;rj .¾NsKS;djfhaoS wehg

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 WoEik we;sjk Tlaldrh yd jukh  we;eï wdydr j,g olajk wdYdj Wod weUq,a wdydr j¾.  ks;r ks;r uq;%d lsÍug wjYH ùu  ysiroh  ye`.Sï j, yd udkisl ;;a;ajfha we;sjk fjkialï Tn .eíf.k we;snj oek.;a miq l< hq;af;a l=ulao@ fuu mKsúvh Tng fukau Tfí wdorKSh iylrego m%S;sh okjk wdrxÑhla jkq we;' fï i;=gg ord .ksñka Tn fom<f.a {d;s ys; ñ;=rkaf.a wdorKSh i;aldr ueo Tfí;a" Tfí l=ifyd;a wdorKSh orejdf.a;a fi!LHh mj;ajd .ksñka ksfrda.S iïmkak ore Wm;lg Tn iQodkï úh hq;= hs' .¾NsKS iufhaoS .;hq;= wdydr" úgñka j¾. yd T!IO .ek;a Tn oeKqj;a úh hq;=hs' tfiau fï ld,fha Tfí udkisl fi!LHh fln÷ úh hq;=o @ Tfí ,sx.sl cSú;h" udkisl fi!LH .ek;a Tng wjfndaOhla ;sìh hq;=o @ tmuKlao @ orejd l=i ;=< flfuka j¾Okh j;aoS Tn ;=<;a" orejd f.a;a we;sjk fjkialï ms<sn|j fukau wisßu;a ore Wm; .eko Tn wjYHfhkau oek.; hq;= jákd f;dr;=re wm bosßfhaoS idlÉPd lrkakg n,dfmdfrd;a;= fjkjd' DM April 2017

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99

WOMAN'S WORLD | FEMINA

idudkHfhka Tfí B<`.g Tima ùug kshñ; oskh ;=<oS fï wdldrfhka ;Sre mÍlaIdjlska Tng ;uka .¾NsKS ù isák $ke;s nj ksYaph lr.; yel'

we;sjk YdÍßl fjkialï iïnkaOfhkao úuis<su;a ùu jeo.;ah'

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,nd.kakd wdldrh tys Wmfoia jYfhka olajd ;sfí' ta wkQj Tng myiqfjkau ;uka .¾NsKS;djhg m;aj we;s$ke;s nj ksYaph lr.; yel'

SEX Surprising Facts You Didn't Know About Your Orgasm Woman, Clitoris and Orgasm

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,sx.slj ;Dma;su;a Ndjhg m;aùug wehg ksi`.fhkau Wreu ldhsl ieleiaula ,sx.sl ld¾hfhaoS wef.a ryi`. jvd;a ks¾udKYS,S m%fõYhlg wj;S¾k jk nj m¾fhaIKd;aulj mila fjhs ffjoH YdLH wurfialr úisks udkjhd jQl,S m%n, ,sx.sl i;a;ajfhlss' WoaoSmkhka" W;af;ackhka weiqf¾ wiSñ; ,sx.sl ix;¾mkhla udkj j¾.hd ,nkafka iajlSh ks¾udKYS,S;ajho ,sx.sl l%shdj,shg tl;= lr.ksñks' úúOdldrfha wjj¾;khka ;=<skao iq¿;rhla iajlSh ,sx.sl jqjuKd tmdlï imqrd.;a;;a ñksia wm iajNdjfhkau yqreù we;af;a wUq ieñhka jYfhka (heterosexual) ,nk ,sx.sl w;aoelSï j,gh' ,sx.sl l%shdj,shl WÉp;u wjia:djla .ek udkj wmg w;aoelSï ;sfí' ,sx.sl jYfhka WoaoSmkhg ,la ùfïoS tys Wmßu ridiajdoh ,nk wjia:dfõ we;sjk fmaYsuh ixfldapk yd bys,a ùï l%shdj,shla

100

April 2017

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isÿjk fï wjia:dfõoS flfkla ksrdhdifhka Wmßu udkisl yd ldhsl ix;=IaGshla ,nd.kS' fï wjia:dj yªkajkafka sexual climax hkqfjks' uq,a .%Sl niska ì|S wd fï jpkhg merKs .%Slhka ÿkafka (excitement), le<öu (swelling)" bosóu wdoS jYfhka m¾hdh lrk wre;ls' isy< niska fï m%uqos;Ndjhg m;ajk wjia:dj zziqr;dka;hZZ hkqfjka ye|skafjhs' iqr;dka;h iajhxidOl iakdhq moaO;sh úiska we;slrk l%shdj,shls' isref¾ ia:dk lsysmhl we;sjk fmaYsuh .eiaula doctormagazine.lk

iqr;dka;h .ek l;d lrk úg tys ldka;d w;aoelSï .ek oelafjk wjia:d úr,h' m¾fhaIKd;aulj ne¨j;a tys iq,n m¾fhaIK j,g n÷ka jkafkda msßñkauh' tfy;a kùk m¾fhaIK j,g wkQj zzzwef.a iqr;dka;hZZ msßñka wNsnjd hk ks¾udKYS,s;ajhla" úkaokhla we;s l%shdj,shla neõ fy<sorõ ù ;sfí'

,sx.sl tlaùuloS wUq ieñhka úiska ,nk jvd;a iqkaoru w;aoelSu jkafka fï iqr;dka;h fofokdgu tljr ,`.d ùuhs' thska Tjqkg we;s

iqr;dka;h .ek l;d lrk úg tys ldka;d w;aoelSï .ek oelafjk wjia:d úr,h' m¾fhaIKd;aulj ne¨j;a tys iq,n m¾fhaIK j,g n÷ka jkafkda msßñkauh' tfy;a kùk m¾fhaIK j,g wkQj zzzwef.a iqr;dka;hZZ msßñka wNsnjd hk ks¾udKYS,s;ajhla"

"

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lrk ldhsl" udkisl m%uqos;Ndjh wmuKh' ,sx.sl tlaùuloS th fofokdu Wmßu ;Dma;su;aNdjhg m;ajQ njg i<l=Kls' tfy;a fndfyda úg th t;rï myiq ldrKhla fkdfõ' isÿjkafka fofokdf.ka tla wfhla biair ùuhs' fndfyda úg isÿjkafka msßñhd ldßh fõ,dikskau wjika lsÍuh'

April 2017

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101

DOCTOR MAGAZINE

(spasm) weiqre lr.;a lsishï iqjodhS ye`.Sula iqr;dka;fhaoS flfkl=g we;s fjhs' fï wjia:dfjka miqj we;sjkafka ksy`v nj" wl%ShNdjh fukau úfõlh wejeis wjia:djls' Tlaisfgdiska" fm%da,elaáka iy tkafvdmska hk fydafudak j, >%djh ùu we;s ùfuka fï úfõlh wjYH lrk miqìu ksrdhdifhkau ielfihs'

WOMAN'S WORLD | FEMINA

,,kd iqjfi;

tlu ldu iïfNda. hloS wehg ,nd .kak mq¿jks' fuh wehg cSj úoHd;aulj ysñj we;s wmQre ;Hd.hla' th mdúÉÑ lrkak' Tfí wdorKShhd yd wd;añlj we;s lr.kakd nkaOkh Bg ia:djr mokula i,ikjd'

,sx.sl;ajh uq,a jrg m¾fhaIKd;aulj yeoEÍug uq,a jQ we,a*%â lsxis

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WOMAN'S WORLD | FEMINA

úkaokhla we;s l%shdj,shla neõ fy<sorõ ù ;sfí' udkisl úoHdj iïnkaO uydpd¾hjrfhl= jk Jim Pfaus, Ph.D úiska my;ska olajk woyi thg fyd| mQ¾úldjla imhhs' zziqr;dka;h ldka;djka weiqf¾ jvd;a ks¾udKd;aulhs' th mqreIhdg we;sjk iqr;dka;h ;rï taldldß;a kE' Tn okakjdo @ wehg iqr;dka;h l=¿.ekaùfï úfYAI yelshdjla ;sfnkjd'' ta jf.auhs úúO l%u j,ska fjkia fjkia l%u j,g wehg iqr;dka;hg m;a fjkak;a mq¿jka' úfYaIfhkau wef.a isreru fhdodf.k wehg fï úkaokSh w;aoelSu W;aidyfhka <`.d lr.; yelshs' iqr;dka;h wehg <`.d jkafka myiqfjka fkdfjhs' ta;a ksjeros ;dlaIKh weiqre lf<d;a weh ;uhs iqr;dka;hg m;aùfïoS bosßfhkau bkafka;aZZ uydpd¾hjrhd fï úkaoKSh w;aoelSu jvd;a myiqfjka <`.d lr.; yels ;dlaIKsl Wmfoia /ila imhkjd' • iqr;dka;hg fnfyúka n,mdk ia:dk ;=kla ;sfnkjd' ta ;k mqvq" lfkys msg me;a; iy N.uksh hkqfjka ye|skafjk fhdaksuf.ys iqúfYAIS ia:dkhhs' • ldka;djkag ;j;a wmQre yelshdjla ;sfnkjd' tla iqr;dka;hlska miq flá ld,hlskau ;j;a iqr;dka;hla wdoS jYfhka iqr;dka; fY%aKshla''' 102

April 2017

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• iqr;dka;h Tnj i;=áka ;nkjd' fodïkia iy.; is;sú<s" iDKd;aul ufkdaNdj wfma cSú;fha mx.=lrejka jf.hs' iqr;dka;h fya;=fldg f.k jEfyk ridhk Tfí ufkdaNdj iqir lrkjd' fï úkaoKSh w;aoelSfuka miq ;j;a fndfyda fj,djlg Tfí is; m%uqos;j mj;skq we;' • Tfí wd¾;j pl%h wkQj ,sx.sl iqr;dka;h fjkia fjkjd' jvd;a blauKska iqr;dka;hg t<eöug myiq jkafka äïn fudapkh jk ld,fhaoSh' tkï Tima reêrh msgùfuka o< jYfhka foi;shl muK wejEfuks' bka miqj t<efUk ld,fha iqr;dka;h ,nd .ekSug idfmalaIj jeä fjfyila oeÍug isÿ

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nj Tn okakjdo @ Sex Flush hkqfjka ffjoHjreka y÷kajk fï fjkialu we;s jkafka f,a .ukd.ukh wêl ùu ksidfjks' fï ksid fïlma ke;sju osÿ,k iqkaor;ajhla Tfí uqyqKg ,efí'

• Tn ys;kafka ,sx.sl W;af;ackfhaoS iDcq Ndjhg m;a jkafka (Erection) Tyqf.a ,s`.=j muKla lshdo@ th jerosh' ,sx.sl msìoSuloS N.uksh wdY%s;j f,a msÍfuka tho iDcqlrKhg m;afõ' fjki we;af;a ndysßka fkdmsysgk ksid lsisfjla ta fjki fkdoelSuhs'

jQj;a thskao i;=gla ñi fodïkia i.;; njla <x jkafka ke;'

msßñka yefokafk;a ldka;djkaf.a uq,a ieleiafuka''' mqreI ,sx.h lshkafka N.uksfha wjj¾;khla''' fï l;dj Tn uú;hg m;a lrjkakla úh yelshs' ta;a l;dj fndrejla fkdfjhs' wo mßKdu cSj úoHd{hka m¾fhaIK j,ska yªkdf.k ;sfnk yeáhg l<,hl uq,au Blueprint tl''' ke;fyd;a zzm%drïNl rEmldhZZ ldka;d iajrEmhla .kakjd' th úlikd;aulj fjkilg Ndckh ùfuka ;uhs msßñfhla l=i ;=< ks¾udKh jkafka' iQlaIauj .;af;d;a N.uksfh;a mdoula ;sfhkjd" wka;hla jf.au mDIAÁh iakdhq ;sfnkjd' yenehs fjkil=;a ;sfnkjd' ta ;uhs''' fï ish,a, ;sfhkafk wNHka;rfhka' YsIAKfha jf.a u;=msáka fkdfjhs' ta ksid th l=¿ .ekaùug úúO Wml%u jqjukdhs' r;sfhaos Ndú;d fjkafk ta l=¿. ekaùuhs' yenehs YsIAKfha ;sfnkjd jf.a fo.=Khla iakdhq wka; N.uksfha ;sfnkjd' thska ,efnk m%y¾Yh" m%uqos; nj fndfydau jeähs' mßKdóh jYfhka fï wdldrfhka YsIAKh yd N.uksh w;f¾ fndfyda iïnkaO;d ;sfnk nj m¾fhaIKd;aulj fy<sorõ ù ;sfnkjd' DM

• iqr;dka;fhaoS we;sjk ßoauhdkql+, ixfldapk fya;=fldgf.k Tfí Tima oskj, we;sjk wiSre;d iukh jk nj y÷kdf.k we;' úfYAIfhkau Timaùu yd ine|S fõokd j, wvqùula fï ksid olakg ,efí' • ,sx.sl iqr;dka;fhaoS we;sjk isref¾ we;sjk fjkialï j,ska miq Tfí isrer jvd;a meyem;a jk

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April 2017

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103

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idrd ldfuka ldufèkqjla fkdfõ''' ffofjdam.; frda.hla ksid cSú;h wNssfhda.hla lr.;a wirK ldka;djla

WOMAN'S WORLD | FEMINA

• iqr;dka;h - N.uksh (Clitoris) hkqfjka ye|skafjk w;s ixfõoS ia;%S wjhjh ksid we;sjk m%yd¾Id;aul w;aoelSuls' m¾fhaIlhka mjik wdldrhg N.uksfha Tng oefkk u;=msg uqyqfoa ie``.j.;a úYd, wisian¾.hl u;=msg jeksh' tys fndfyda ryia fkdfmkS ie`.j we;' th l=¿.ekaùfuka wmuK m%S;s m%fudaohka wehg ,nd.; yels nj muKla f;areï .kak'

,iaik flia l<fò jreK flaY l<HdKsh j¾Okh jk yeá iy flia l<Ug we;s jk ;¾ck

;Uq;af;a.u uQ,sl frdayf,a jevn,k p¾u frda. úfYaI| ffjoH ,laud,s m;srdc úisks

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WOMAN'S WORLD | BEAUTY

;ukaf.a flia l<U n,kakkag m%sh Wmojk wdldrhg iqkaorj ;nd .kakg ljqre;a wdihs' úfYaIfhkau ldka;djka ;u flia l<U .ek olajkafka fkduo ie<ls,a,la' flia l<Ul jákdlu .ek;a ;ukaf.a flia wdY%s;j we;sjk .eg¿ ms<sn|j;a ffjoH úoHd;aul oDIaÀ fldaKfhka úuiSu fï ,smsfha wruqKhs' ffjoH úoHd;aulj .;af;d;a ysiflia lshkafka uereKQ wjhjhla' flráka hkqfjka ye|skafjk uereKQ ffi, j,ska flia .i iukaú; fjkjd' wmg fmfKk flia ál

104

April 2017

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wm ñh hk ;=reu fï f;jeoEreï pl%h l%shd;aul jk w;r pl%fha m<uq wjosh os.= jQ ;rug flia.i j¾Okh ù os.=jk w;r fojk wjêh m%uqL jQ úg isÿ jkqfha ysiflia j¾Okh ù wvqù ye,S hdu jeä ùuhs'

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fuu pl%fha meje;au flfryS cdkuh idOl n,mdkjd' mdßißl idOl;a n,mdkjd' wêl f,i ysiflia ye,Su wêl f,i ysiflia ye,Su wm fndfyda fofkl=g we;s m%Odk .eg¿jla' th fndfyda fokd w;f¾ iq,nhs' thg we;eï frda. ;;a;ajo fya;=jk nj fmfkkakag ;sfnkjd' Androgenetic Alopecia ,sx.sl fydafudak j, we;sjk fjkialula ksid fï ;;a;ajh we;sfõ' .eyekq" msßñ fldhs ldg;a tlfia n,mE yels frda.hla jQj;a msßñka w;f¾ ;rula jeähs' Telogen effluvium b;du;a iq,n ;;a;ajhls' fuh frda.hla fkdjk w;r fkdfhl=;a ldhsl yd udkisl mSvd ksid ysiflia j,g we;sjk n,mEula f,i ye|skaúh yelsh' ysiflia j, j¾Okh jk wjia:dj úYd, jYfhka fojk wjia:djg m;aùuhs' jdikdjg fuh ;djld,sl ;;a;ajhls' udi lsysmhlska kej;;a h:d ;;a;ajhg m;a fõ' Alopecia areata fuh idudkH jHjydrfhaoS zzWªf.dõjd lEuZZ hkqfjka yªkajk uq;a we;a; jYfhkau fuh if;l=f.a l%shdldß;ajhl n,mEula ksid we;sjk ;;a;ajhla kï fkdfõ' fuysoS ysifla hdu ;ekska ;ek rjqula wdldrhg we;sfõ' we;eï úg iïmQ¾K fldKavhu yiq ùugo bv ;sfí'

April 2017

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105

WOMAN'S WORLD | BEAUTY

flia.i j¾Okh jk yeá  flia.fia j¾Okh isÿjk wjêh Anagen phase  flia.i j¾Okh ùu kj;sk wjêh Telogen Phase  flia.i .e,ù hk wjêh Catagen Phase

ysiflia iïnkaO uQ,sl lreKQ lsysmhla fufia idlÉPdjg nªka lrk ,o w;r ;j;a lreKQ / ila iúia;rd;aulj bosß l,dm j,ska idlÉPd lsÍug wm woyia lr isáuq'

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wfma ysifla j, j¾Okh isÿ jkafka pl%hl wdldrfhka nj;a lshkak ´ks ldrKhla' ysiflia .fia j¾Okh woshr ;=kla Tiafia isÿ fjkjd'

"

tfyu jqKdg flia .i uq, ;sfhk ysig flia iïnkaO jk ia:dkfha ;sfhk ffi, kï b;d l%shdldÍ uÜgulska ;sfhk nj;a lsj hq;=uhs' tu ffi, u.ska ;uhs ysiflia j, j¾Okh isÿ jkafka'

fuhg wu;rj YÍrfha yg.kakd we;eï frda. ;;a;aj yd .kakd T!IO j¾. ksido ysiflia .e,ù hdu W;aikak úh yel' ysiflia .e,ùu jeä lrk frda.  ;hsfrdhsâ .%kaÓfha wdndO  hlv W!K;djh  SLE frda.h  ms<sld j,g lrk m%;sldr  úlsrK Ñls;aidj frda. ;;a;ajhka kï ksishdldrj md,kh lsÍfuka wk;=rej yd ms<sld m%;sldr wjika lr ál ld,hlska miqj ysiflia kej; j¾Okh jkafkah'

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WOMAN'S WORLD | BEAUTY

ysia lnf,a ifuys yg.kakd fkdfhl=;a frda.o ysiflia ye,Sug fya;= úh yel' wêl f,i ysiafidß mej;Su yd fmd;=lnr frda.h Bg ksoiqka fõ' ysiflia .e,ù hdu fukau flia.i leã hduo iq,nj olakg ,efnk ;;a;ajhls' l=vd orejka w;r fï wdldrfhka flia leã hdu iq,nj olakg ,efí kï th cdkuh iïNjhla iys; ;;a;ajhlao hkak úuid ne,Su jeo.;a fõ' fuysoS ysiflia wkaùlaIhla u.ska mÍlaIdjg ,la lr frda. ks¾Kh isÿ lrKQ ,efí' ;reK ;reKshka w;f¾ fï wdldrhg flia leã hkjd kï th Tjqka isÿ lrk ffjjdrkak ú,dis;d jkakgo f,dl= yelshdjla ;sfí' ful, ysiflia j,g ydks lrk ú,dis;d lsysmhla u;= oelafõ'  ysiflia lD;%Su f,i /<s lsÍu' (Curling & Perming)  ysiflia j, /<s bj;a lsÍu'  ysiflia j¾K .ekaùu'  (Hair Strengthning & Rebonding) fujeks m%;sldr j,ska miqj ysiflia wdmodjg ,lajQ ysiflia >khg jefgk w;r (Damaged Hair) tajd

106

April 2017

DOCTOR MAGAZINE

;jÿrg;a /l.ekSug iqÿiq Ieïmq j¾." lkaäIk¾ j¾. yd f;,a i;aldr fhdod ysiflia ksis mßos wdrlaId lr.ekSug mshjr .; hq;=h' wo fndfyda fokdf.a ysiflia wvq jhfika iqÿ jk w;r cSú;fha fojk oYlfhaoS ysiflia iqÿ jkafka kï th widudkH ;;a;ajhla f,i ie<flhs' fï wdldrfhka ,dnd, jhfiaoS ysiflia iqÿ ùug n,mdk fya;= lsysmhla fufia olajuq' cdkuh idOl we;eï mjq,a j, Wreuhla f,i wvq jhfika ysiflia iqÿùu olakg ,efí' fuh ujf.a fyda mshdf.a md¾Yajfhka cdkuh jYfhka Wreu jk .;s ,laIKhla ksid isÿjk wjia:d ;sfí'  ;hsfrdhsâ .%kaÓh wdY%s; wdndO  fmdaIK W!K;d  ÿï mdkh  wd;;sh  b;d l,d;=rlska l,ska jhig hdfï frda. ;;a;ajh we;eï T!IO j¾. ksid DM

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107

,iaik iquqÿ iqisksÿ iul wreuh''' fhdjqka oshKshf.a" os.eishf.a iu iqkaor;ajh Tma kxjd .ekSug Wmfoia

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WOMAN'S WORLD | BEAUTY

;drld" kj fhdjqka úfha mdie,a YsIHdjla' isksÿ iqisksÿ iul ysñldßhl jqj;a wehg;a zz;jÿrg;a iu meyem;a lr .ekSfïZZ wjYH;djh fkdoeKqkd fkdfõ' wehg wyïfnka jf.a ckm%sh udos,shl f,daIka - j¾.hla ,enqKd' wE ;u j; luf,ys tajd .e,ajqjd' t;ekska miq isÿjQfha weh isysfkkqÿ fkdis;+ wlr;eínhla' tf;la lsisÿ le<,la fkd;snQ wef.a ifuys ìì,s u;= ù tajd l=re,E njg m;ajqKd'

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April 2017

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iEu iï i;aldrhlau iEu iulgu iqÿiq kE' kqiqÿiq wjia:dfõoS kqiqÿiq i;aldrhla ifuys .e,ajqfjd;a hym;la fjkqjg isÿjkafka whym;la' ;ukaf.a ifuys .;s fidndj .ek;a" thg l< hq;= i;aldr .ek;a isÿ fkdl< hq;= i;aldr .ek;a fjfiiskau isÿ fkdl< hq;= oE ms<sn|j;a ,,kdjkS" Tn oeKqj;aj isáh hq;=hs' ta i`oyd .kakd jQyDohdx.u W;aidyhls fï'''

cleanser) fhdo.;a;dg jrola kE'

Tfí iu l=uk iajrEmhla orhso@ 1' idudkH iu 2' úh,s iu 3' f;,a iys; iu 4' fïjdfhys tl;=jla

Tng úh<s iula ;sfí kï uqj fodajkhg uDÿ fYdaOlhla (Mild Cleanser)mdúÉÑ l< hq;=hs' iu ;jÿrg;a úh,Su fï u.ska j<lajd.; yelshs' uqj fodajkfhka miq iu Moisturize l< hq;=hs' f;;uk ldrlhla wdf,am l< hq;=hs' ta

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ioyd Tfí f;aÍu úh hq;af;a NonPerfumed ^iqj| ke;s& Non-Alconolic ^uOHidr wvx.= fkdjk& f;;uk ldrlhla' tfiau fnfyúka WKqiqï WKq j;=r iakdkh ksido" ifuys f;;ukh bj;aúh yels ksid

April 2017

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109

WOMAN'S WORLD | BEAUTY

idudkH iug lrk i;aldr idudkH ifuys iEu fldgilau taldldßhs' ifuys ;dkh ^tone& uDÿhs' u;=msg iquqÿhs' uDÿhs' ,m le<e,a fmfkkakg kE' iula fï wdldr jkafka thg ,efnk c,fha;a" f;,a j,;a ;=,s;;djh ksihs' tfiau fyd| reêr .ukd.ukhl=;a mej;Su ksihs' Tng ;sfnkafka fujka idudkH iula kï l=Kq iy oyäh bj;a lsÍug osklg 2-3 jrla fiaoSu m%udKj;a' thg inka fyda uDÿ fYdaOlhla (Mild

l=re,E ;sfnkjd kï tajd lsisÿ úfgl ñßlkak tmd' th ;;a;ajh nrm;, lr m%odysl ;;a;ajhka uqyqK u; we;s lsÍug m%uqL;u fya;=jhs'

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iul mej;sh yels wdldr Th úosyghs' Tfí iu ñka l=uk ldKavhg wh;a o@ iug i;aldrhla lrkakg fmr" iu fi!LH iïmkak lsÍfï ndysr mshjr .kakg fmr Tfí iu ljr wdldroehs uq,skau y÷kd.kak'

úh,s iug i;aldr oSma;shla ke;s" ;rula l¾lY" iu .e,ù hk tfukau we;eï úg lik iq¿ iajNdjhla úh,s iul mej;sh yelshs' ndysr wdia;rkfha iu .e,ù hdu fya;= fldgf.k fujka iula we;s fjkjd' YÍrfha ksiÕfhka mj;sk iajdNdúl ff;,uh iajNdjh ksid idudkHfhka fï iu flfrka we;sjk c,h CIh ùu j<lajkjd'

fnfyúka WKqiqï WKq j;=r t;rï fyd| kE' inka mdúÉÑh ksid;a" jeämqr uqyqKq we;s,a,Su ksid;a úh,s ifuys uqyqKg isÿjkafka ydkshla' uo WKqiqï j;=ßka iakdkfha jrola kE' ta;a inka mdúÉÑh w;a yßkak' f;,a iys; iug lrk id;a;=j l=re,E we;s ùug ys;lr jkafka fï f;,a iys; iuhs' fï iu ;=< l=vd l+m ^Pores& olakg ,efnkjd' meyefhka iu os,sfik iajrEmhla orkjd'

iu u; f;,a .;sh we;sùug fydafudak n,mdkjd' Tfí isrer u; fydafudakuh m%udK jeä lsÍug n,mj;ajk ljr fyda ldrKhla fï iu u;go n,mEï l< yelshs' úNd. wdikakfha" úúO ;rÕj,g fmkS isàfïoS ys;g oefkk wd;;sho l=re,E j,g fya;= jkjd' Tfí f;,a iys; iug lrk id;a;= w;f¾ osklg f;j;djla inka .d uqyqK fiaoSu m%udKj;a' mdif,aoS" msg;oS Tng uqyqK msßisÿ lr.ekSu wjYH kï Cleansing - pads Ndú;d lsÍfï jrola kE'

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WOMAN'S WORLD | BEAUTY

l=re,E ;sfnkjd kï tajd lsisÿ úfgl ñßlkak tmd' th ;;a;ajh nrm;, lr m%odysl ;;a;ajhka uqyqK u; we;s lsÍug m%uqL;u fya;=jhs' Tn uqyqfKa .,ajk ljr fohla jqj;a uqyqfKa ishqï l+m wjysr fkdjk tajd úh hq;=hs' tksid zzNon comedogenicZZ hkqfjka i|yka wdf,amk muKla .e,aùu wu;l lrkak tmd' idudkH $ Combination iug lrk id;a;=j Normal / Combination iu ;=< f;,a .;shla$ úh<s .;shla hk wjia:d folu oelsh yelshs' fuysoS f;,a .;sh olakg ,efnkafka k<," kdih yd kslg we;=<;a fmfoi u;hs' th me;sfrk wdldrh T wdldr ksid T. Zone f,i ye|skafjkjd' wfkl=;a ish¿ ia:dk j, iu úh<s iajNdjhla .kakjd' fï ifuys;a l+m idfmaCIj ;rula úYd,hs' iu u; blackheads we;s ùu bvlv jeähs'

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April 2017

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1. Cleanse l=KQ" f;,a iy uereKQ p¾u ffi, bj;a lsÍug laf,kaia lsÍu jeo.;a fjhs' Tng we;af;a f;,a iys; iula fyda Normal/ combination f,i oelafjk f;,a iys;$ úh<s uqyqka iula kï ie,sis,sla wï,h wvx.= laf,kai¾ tlla oskm;d mdúÉÑhg .ekSu iqÿiqhs' ckm%sh Acne wash / ilg we;af;a fï ie,sis,sla wï,hhs' ie,sis,sla wï,h f;,a W;amdokh md,kh lrk w;r th iu c, .ekaùugo ^Hydration& bjy,a fjhs' ;j;a laf,kai¾ j¾.hla jkafka .a,hsfld,sla wï,hhs' p¾u ffi, bj;a lsÍug .a,hsfld,sla wï,fhka ukd msgqjy,la ,efnhs' Eye make -up bj;a lsÍug fjkuu ksIamdok we;' kuq;a we;eï Facial Cleaners fï Water-proof Mascara jeks Eye make-up o bj;a lsÍfï yelshdfjka hqla;h' hï ksmehqula mdúÉÑfhaoS weia wi, flfjk njla oefka kï Bg úl,amhla f,i Fragrance-free Cleanser tlla mdúÉÑ lrkak'

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Tfí iu ic,kh lsÍug kï uqj fodajkh" iakdkh m%udKj;ah' kuq;a uqfjys f;;ukh /|ùug ^Moisturize& wdf,am lsÍfuka p¾ufha wj l%shdldß;ajhla we;s fkdfõ' ixfõoS iulg nr wdf,amk Ndú;d fkdl< hq;=h' f;,a iys; iulg fhdok Moisturizer tl f;,a j,ska úhqla; ^Oil - free& úh hq;=h' kuq;a th ic,k .=Kdx.j,ska msßmqka tlla úh hq;=h' Moisturizer iEu úgu wdf,am l< hq;af;a iu Cleansing lsÍfuka yd Hydrating l<dg miqjh'

3. Treat fndfyda ;=reKq ldka;djka l=re,E fyda fjkhï p¾u.; .eg¿jla we;sjQ úg m%;sldr .kakg hkafka ifuys l=m wjysr jQ wjia:dfõoSh' f;,a jeä jYfhka ksIamdokh ùu yereKq úg l=Kq nelaàßhd wdosh l+mfhys isrjQ úg fuu wjysr ùu isÿfõ' we;eï úg Moisturizer fukau ysfiys .,ajk vhs j¾.o ;;a;ajh ;jÿrg;a nrm;, l< yelsh'

Tn uqyqfKa .,ajk ljr fohla jqj;a uqyqfKa ishqï l+m wjysr fkdjk tajd úh hq;=hs' tksid zzNon comedogenicZZ hkqfjka i|yka wdf,amk muKla .e,aùu wu;l lrkak tmd'

April 2017

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WOMAN'S WORLD | BEAUTY

Tfí ;=reKQ iu fi!LH iïmkakj yd meyem;aj ;nd .ekSug ir< Wmfoia

2. Moisturize/ Hydrate

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ld,.=Khg wkqj fujka ifuys we;s jk fjkialï ,dCIKslhs' YS; foaY.=K ;;a;ajhkays oS iu jvd;a úh<s iajNdjhla olskjd' fujka iula ;sfnk úg osklg 2-3 jrla inka .d uqj fodajkh m%udKj;a' fuysoS Moisturize l< hq;af;a uqyqfKA úh<s iajNdjhla ork l,dm muKhs'

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inka j,g" Astringents j,g u;=j we;s f;,a bj;a l< yels jqj;a f;,a ksmehqu wvq lsÍug hula l< fkdyelsh' wm Scrubbing lrkafka fyd| m%;sM,hka wfmaCIdfjks' kuq;a fuysoS we;sjk iSÍu fl<jr jkafka l=re,E u;= ùfuks' Benzoyl Peroxide l=re,E u;=jk wjêfha fyd| m%;sldrhls' fï ødjKh .e,aúh hq;af;a l=re,E u; fkdfõ' k<,;" kdih yd kslg jeks ff;,uh iajNdjh jeä ia:dkj,h'

WOMAN'S WORLD | BEAUTY

kuq;a fïjdfhys o wvqmdvq ke;=jd fkdfõ' iq,nj fuu fnfy;a .e,aùfuka ifuys úh,s iajNdjhla we;s úh yel' Benzoyl Peroxide wdf,am l< hq;af;a osklg tla j;djls' ijig kï jvd;a fyd`oh' tys tys m%;sM,hla ,eîug kï uila j;a fkdlvjd wdf,am lsÍu l< hq;=h'

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fnfyúka WKqiqï WKq j;=r iakdkh ksid" ifuys f;;ukh bj;aúh yels ksid fnfyúka WKqiqï WKq j;=r t;rï fyd| kE' inka mdúÉÑh ksid;a" jeämqr uqyqKq we;s,a,Su ksid;a úh,s ifuys uqyqKg isÿjkafka ydkshla'

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iu laf,kaiska lsÍfuka miq ysre rYañfhka yd wfkl=;a mdßißl wj idOl j,ska iu wdrCIdlr .ekSuo jeo.;ah' fï i|yd SPF w.h 15 fyda Bg jeä Sun Screen tlla Moisturizer fyda Foundation Cream f,i .,ajd .ekSu l< hq;=h' SPF w.h ;SrKh l< hq;af;a Tfí ifï meyeh wkqjh' oskm;d Sun screen tlla wdf,am lsÍu iy oeä ysre odyfhka ñoSu wl,g iu /,s jeàu fukau ;j;a fndfyda p¾u.; .eg¿j,ska wdrCIdjla i,ihs'

ifuys u;=msg wdia;rKh ic,kh lsÍug - f;;a iys; mDIaGhla njg m;a lsÍug Moisturizers WmldÍ fjhs' Tn Moisturizer tlla ñ,oS .ekSfoS Tfí f;aÍu úh hq;af;a Broad Spectrum Sun Screen wvx.= Moisturizer h' fuu .=Kdx.h iys; wdf,amk Tfí iu ysre odyfha wys;lr n,mEï j,skao wdrCId lrhs' tfiau Tfí iu fnfyúka ixfõoS tlla kï ^Sensitive skin& iqjo lejQ (Added Fragrance) Moistrizer tlla .ekSfuka je<lsh hq;=h'

Tfí f;,a iys; iug lrk id;a;= w;f¾ osklg f;j;djla inka .d uqyqK fiaoSu m%udKj;a'

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WOMAN'S WORLD | BEAUTY

Tfí iu Moisturize l< hq;af;a wehs@ ksfrda.S iulg ic,kh b;d wjYH wx.hls' idudkHfhka iul fmdaIKh fukau ic,kho iïfm%aIKh jkafka wNHka;rfha isg u;= msggh' iug m%udKj;a c, fmdaIKhla ke;s úg iu úhef<hs' iu u; olakg ,efnkafkao ksfrda.S fmkqula fkdfõ' iul ic,kh Tng md,kh lsÍuo ;rula W.ygh' kuq;a fï iïnkaOfhka Tng l< yelallao ;sfí' ta iug f;;ukh ndysßka i,id oSuhs' Moisturizer u.ska isÿ lrkafka o fuu ld¾hhhs' iu ms<sn|j .eg¿j,g ffjoHjrfhl= yuqúh hq;= fj,dj'''@ Tng we;af;a ljr wdldrhl iula jqj;a" Tfí iu flfryS wys;lr f,i n,mdk ljr ldrKhla jqj;a l=re,E fõjd fjk ´kEu .eg¿jla fõjd'' Tfí mjqf,a ffjoHjrhd yuq ù ta nj mjikak' wjYH kï Tyq Tnj p¾u frda. ffjoHjrfhl= fj; fhduq lrkq we;' DM April 2017

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4. Protect - wdrCIdj

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wdhq¾fõoh ,iaik fjkak ndysr w,xldrh .ek ú;rla ie<ls<su;aùu m%udKj;a kE'''

,iaik fjkak ndysr w,xldrh .ek ú;rla ie<ls<su;aùu m%udKj;a kE'''

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WOMAN'S WORLD | BEAUTY

wdhq¾fõoSh rEm,djKHfha tk uQ,sl lreKQ Tfí rEmd,xlrK isrs;g tl;= lr.kak msá., .%dóh wdhq¾fõo frdayf,a ffjoH bIxld u,als úisks

rE

iq/l=ï i;aldr j,oS iu" ysiflia" ksh i|yd ysñjkafka iqúfYaIS ia:dkhls' iu" ysiflia" ksh wdl¾YKShj" msßisÿj ;nd .ekSu flfkl=g jeo.;a wjYH;djhls' úfYaIfhka fhdjqka hqj;shka fï ms<sn|j olajkafka by< Wkkaÿjls' tneúka fuu ,smsh tjka hqj;shkag jákd f;dr;=re /ila imhk ,smshlau jkq we;' wdhq¾fõo ffjoH l%uh ;=< ndysr rEm,djkH ^external aspect of beauty& biau;= ùug kï ndysr fukau wNHka;r rEmh ^Internal aspect of beauty& yd ryiH rEmh ^secret aspect of beauty& hk wxY ;=fkau iy iïnkaOh" iu;=,s; nj b;d jeo.;a fõ' wo ld,fha isÿ jkafka fndfyda ;reK ;reKshka ndysr rEm,djkHhg" u;=msg fmKqu iq/lSug muKla wêlj ñ, uqo,a" ld,h" Y%uh jeh lsÍuhs' fndfyda

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,iaik fokd wNHka;rj yd ryiH rEmh ms<snoj t;rï ie<ls,a,la fkdolajk nj ilaiqola fia fmkS hhs' ndysr rEm,djkH jeä oshqKq lr f.k iqkaor rE imqjla ysñ lr .ekSug kï wNHka;rslj Tn úiska ilia lr.ekSug wjOdkh fhduq l< hq;= lreKq jeo.;a ldrKd lSmhla we;' ksjeros wdydr rgdj ,iaik isrerl mokuhs fuysoS uQ,sl jYfhka ffoksl osk p¾hdfõoS Tn Tnf.a wdydr rgdj ksjerosj ,nd .; hq;=hs' fï ioyd kejqï m<;=re nyq,j wdydrhg tla lr .ekSug wu;l fkdl< hq;=h' fk,a,s" fjr¿" iem;s,a,d" fo¿ï" w,s. egfmar wdosh ks;r wdydrhg tla lr .ekSu fuys,d jvd;a iqÿiqh' WoEik msßisÿ c,h mdkh lsÍu" kejqï t<lsß" fmd,a j;=r jeks fohla mdkh lsÍu ;=<ska ifï m%ikak nj" f;;ukh fyd|ska /f|k iula Tng ysñ jkq we;'

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isrer ic,khg fndk j;=r m%udKh jeä lr.kak m%udKj;a fia oskm;d c,h mdkh lsÍug mqreÿ ùfuka yfï úh<s nj fukau yfï fndfyda .eg¨ rdYshlg ms<shï ksrdhdifhkau ,efí' fmd,a" ;eô,s j;=r''' hkq hqj;shlg b;d jákd mdk j¾. jk nj wu;l fkdlrkak'

wju i;shg f;jrla j;a bruqiq" yd;jdßh" je,afmfk, fhdod foaYSh iy,a j¾. fh¥ le| j¾. ilid îug mqreÿ jkak' bka Tn fkdis;k whqßka iu meyem;a ùula isÿjkq we;'

"

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"

WOMAN'S WORLD | BEAUTY

WoEik wjos jkak' ^WoEik 4'20 g miqj t<fUk fydardjl muK ld,h n%yau uQ¾;sh WodjQ ld,h fia oelafjk w;r fï ld,h ;=< wjos ùu ojfia id¾:l;ajhg uy;a msgqjy<la nj merKs iDIsNdú;fha i|yka fõ' fï wjia:dfõ wjos jk mqoa.,hka oji April 2017

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wju i;shg f;jrla j;a bruqiq" yd;jdßh" je,afmfk, fhdod foaYSh iy,a j¾. fh¥ le| j¾. ilid îug mqreÿ jkak' bka Tn fkdis;k whqßka iu meyem;a ùula isÿjkq we;' Tnu w;a yod n,kak' yels iEu fj,djloSu bruqiq" fn,su,a" rKjrd" iejekaord" wdosfhka Tiq meka mdkh lsÍug mqreÿ jkak'

n%yau uqyq¾;fhka wjos jkak flfkla oji .; lrk wdldrh Tyqf.a fyda wehf.a cSú;fha hy meje;aug we;s lrkafka úYd, n,mEuls' hqj;shkag" ldka;djkag ;u rej iïm; wdrlaId lr .ekSugo fï oskp¾hdj ixúOdkd;aulj .; lsÍfuka iqúi,a M< m%fhdack ,nd.; yels jkq we;'

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wdhq¾fõoSh rEm,djKHfha tk uQ,sl lreKQ Tfí rEmd,xlrK isrs;g tl;= lr.kak

wdhq¾fõoh

b;d m%fndaOu;aj" ld¾hCIuj .; lsÍug;rï ldhsl" udkisl m%fndaOfhka" Yla;sfhka hqla;h'

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WOMAN'S WORLD | BEAUTY

hy is;sú<s f.fkhs iqj osú uki ms<snoj by< wjOdkhla fhduq lsÍu wm ldg;a jeo.;a jkakls' m%ikak jQ;a hym;a jQ;a is;=ú,s fmrgq lr .;a ufkdaNdjhlska oji .; lrkak' hym;a is;=ú,s j,ska uki fmdaIKh lr .ekSu ksid Tn ksrdhdifhkau wka wh oelaug ms%h" oel=ïl¨ whl= jkq we;' is; oeyeñ jQ úg" fidïkia iy.; jQ úg jhig hdu md,kh fõ' ks;r ffjÍ" fl%daO yd oafõYiy.; is;sú<s" whym;a .;s.=K we;s ldka;djka hym;a is;=ú,s we;s ldka;djkag jvd blauKska úhm;a jk nj m¾fhaIKd;auljo fy<sorõ ù ;sfí' b;d blauKska yu /<s jeàu" yfï f;;ukh bj;a ùu" ksis l,g fmr ysiflia boS hdu" ysiflia blauKska .e,ù hdu jeks fndfyda .eg¨ j,g blauKskau uqyqK oSug fudjqkg isÿ fõ' fï ksid hym;a is;sú<s" Wiia lreKd iy.; ufkdaNdjhka Tfí cSú;fha ksn| Wreuhla lrf.k cSj;a jkakg bgd .kak' ufkdaNdjh hym;a lr.ekSug fN!;sl W;af;acko jeo.;a fjhs' fhda.d jHdhdu" msß;a j,g ijka oSu" ix.S;hg ijka oSu jeks mqreÿ Tiafia Wmldrhla ,efí' Tnf.a uqúka msgjk jpk ms<sn|j iEu úgu úuis,su;a jkak' úkS;" ixjrYS,S l;djlg ysñlï lshk hqj;sh ks;;skau iqkaorh' nqoaO ld,fha mxp l,HdKsfhka w.;eka m;a úYdLd isgq oshKsh b;d Od¾ñl osúfmj;lg Wreu lS msxj;a l=, l=ußhl jQjd fkdfjo @ kskao m%udKj;a f,i ,eîuo w;sYh jeo.;a''' flfkl= ,nk kskaoo" ksos úfõlho flfkl=f.a cSú;fha .=Kd;aul Ndjhg w;sYhska n,mdk ldrKhls' tla tla mqoa.,hdg jhi" úúO idOl u; wjYH jk kskao fjkialï we;súh yels kuqÿ meh 6-7l kskaola iEun mqoa.,fhl=gu mdfya wjYH jk nj fmdÿ

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u;hhs' ndysr rE imqj ms<sno úuis<su;ajk ldka;djkao m%udKj;a rd;%S kskaola ,nd .ekSu w;HjYH wjYH;djhla jk w;r ksos kshñ; msos fkd,eîfuka l,la .; jk úg Tfí iqkaor;ajh yd wdl¾YKho ÿ¾j, ùug bv ;sfí' wo iqkaor rE imqjla ysñ lr .ekSug W;aiql jk fndfyda fokd ;u YÍrfha ndysr w,xldrh .ek jqjuKdjg;a jvd ie<ls<su;a jk kuqÿ by; lS ldrKd fndfydauhla wu;l lrk njlao fmkS hhs'

ffjoHjßhla f,i ud Tng fuu ,smsfhka ,nd oSug wjYH lrk mKsúvho thu fõ' ndysr w,xlrKh ms<sn|j muKla ie<ls<su;a jk hqj;shg ysñ jkafka os.=ld,Sk ,iaikla fkdfõ' os.= l,a mj;sk iqkaor fmkqula ,nd .ekSug wjYH kï ta i|yd jvd;a mßiudma; m%fõYhla .; hq;=h' úfYaIfhkau wdydr rgdj" Ñka;k rgdj" wd;;sh wvq lr .ekSu yd i;=áka isàu hk ldrKd flfryS Tfí wjOdkh fhduq úh hq;u = h' túg Tng os.l = ,a /fok rE imqjla" fmkqula ysñ lr .ekSu wiSre lreKla fkdfõ' DM doctormagazine.lk

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How to Prevent Premature Ageing

HOW TO PREVENT PREMATURE AGEING

By Dr. N. Kumaranayake Clinical Psychiatrist at Kiribathgoda Base Hospital

W

hat’s ageing? Most of us think that ageing is either someone being disabled or fallen ill. Ageing in fact is an unavoidable stage in one’s life. It has evolved over the years and made one’s life healthy and active. Elders follow a most potent advice, “have a healthy diet and engage in regular exercises.” Yet, has anybody ever thought that how even the young could age?

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‘Chronological age’ means a number of years a person can live.

However, according to the scientists, chronological age is not accurate. On the other hand, ‘Psychological age’ refers to how an old a person feels, acts and behaves.

Surprisingly, one can have a psychological age that may exceed his chronological age.

One may also feel he is either mature or younger than he or she really is. When a person has grown psychologically, he is more vulnerable to fall ill. Hence, these two factors aren’t necessarily equal.

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According to the modern inventions, two significant theories can be discussed based on ageing are as follows: 1. Radical Theory This theory explains how free radical influences a person to fall ill. Oxygen is necessary for survival of a man. However, a simple act of breathing oxygen results in the formation of highly reactive molecule called free radicals.

Hence, oxygen can be both a blessing and a curse.

As free radicals interact with other molecules in the body, it causes oxidative damage. This damages the organs and results in a wide range of illnesses and diseases.

Free radical formation is high in people who are exposed to the polluted environment, and indulge in smoking and eating unhealthy food. Some people

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take anti-oxidants to prevent free radical damages.

2. Telomeres Theory This theory is a bi-product of a latest theory.

‘Telomeres’ are found at the end of chromosomes similar to a cap in a shoe lace in the similar manner that a cap prevents the lace from loosening, telomeres protect each chromosome. Genes conceal whether a person is a diabetic, a heart patient or a rheumatoid arthritis according to the genetic materials hidden in our chromosomes.

This genetic material doesn’t come out because telomeres keep them within the chromosome.

However, when they are damaged, the genetic material inside the chromosome is released. This causes illnesses like heart diseases and diabetes.

This is premature ageing. For example, when one’s genetics inflicts a particular disease when he is 60 years. But if his telomeres are damaged he can contract it at the age of 30. Extensive studies have been done on telomeres by the Nobel Laureate Prof. Elizabeth Blackburn. When telomeres could be loosened, they get shorter naturally. But the environmental factors can also damage it in the similar manner when a person is in stressed.

Once, a 45 year old Manager of a company complained that he was suffering from constant headaches, backaches, feelings of irritability and anger. Being a hard worker and pursuing a degree, he found that his diabetic level was in the level of impairment, even though there weren’t any record of his family history of cardiovascular diseases or diabetes. According to the concept of telomeres, he was suffering from premature ageing. Scientists have found that chronic stress increases the

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How to Prevent Premature Ageing

risk of contracting cardiovascular disease and even the shortening of oneâ&#x20AC;&#x2122;s lifespan. Furthermore, psychological ageing has been linked with higher oxidative stress and shorter telomere length. Studies have also revealed that a stressful life can make one 10 years older than he really is.

How to prevent premature ageing?

Exercising daily neutralizes stress induced rapid ageing.

One should know that vitamin D affects telomeres? Studies have shown that restoring low vitamin D levels normally slows down genetic related ageing.

High serum vitamin D concentration is linked with longer telomeres which is equal to years of additional lifespan.

Whereas low levels of vitamin D are associated with many age related diseases such as cancer, diabetes, high blood 120

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pressure, osteoporosis, and strokes. Under this condition, how one can obtain vitamin D ? Vitamin D can easily be obtained through a nutritional supplement with the advice of a doctor.

Prof. Blackburnâ&#x20AC;&#x2122;s research revealed how an individual with abundant Omega 3 in his blood had a 20% of reduction in the rate of telomere loss compared to those with low levels of Omega 3 in their blood which means Omega 3 delays genetic ageing. Furthermore, her study reveals that a daily Omega 3 supplement lengthens telomeres. An intake of 1000-2500 mg a day of Omega 3 fats is sufficient to prevent one from premature ageing, improves longevity and prevents age related diseases like Alzheimer as well. Moreover, this discovery coincides with the findings of the American Heart Association (AHA) which recommends that 100mg of Omega fatty acids a day prevents heart attack and strokes.

As far is life expectancy is concerned Sri Lanka has been ranked 67th in the world. According to the Department of Census & Statistics, there has been an increase in life expectancy of both males and females in Sri Lanka. According to the report of the World Health Organization (published in 2015, the life expectancy of males was at 71.6 while the average life expectancy of females was 78.3.

How to prevent premature ageing? Exercising daily neutralizes stress induced rapid ageing. One should know that vitamin D affects telomeres?

Studies have shown that restoring low vitamin D levels normally slows down genetic related ageing. DM doctormagazine.lk

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Advertorial iqmsß nj ;yjqre lr .kak' oshjeähdj mrojkak

STAY SUPER, BEAT DIABETES iqmsß nj ;yjqre lr .kak oshjeähdj mrojkak 2016 jif¾ f,dal fi!LH oskh ''Stay super, beat diabetes.'' ^iqmsß nj ;yjqre lr.kak" oshjeähdj mrojkak'& hkak tla oskhlg muKla iSud lsÍu iqÿiq ke;' fi!LHu;a osú fmfj;la Wfoid jif¾ iEu ojilau fi!LHj;a f,i .; lsÍug wms ish,a,kau j. n,d .; hq;=h' ta ksidu f,dal fi!LH oskfha fï f;audj mokï lrf.k wjqreoao mqrdjgu fi!LHu;a osú fmfj;lg w;aje,a imhñka cskafidñka wms ksrka;rfhkau Tn iómfha isáfhuq' fujeks f;audjla f,dal fi!LH ixúOdkh ^WHO& uÕska f;dard.ekSug fya;=j úmrï lr n,uq' j¾I 2012 oS f,dal ck.ykfhka ñ,shk 347la oshjeähd frda.hg f.dÿre ù we;s w;r" th osfkka osk by< hdfï m%jK;djh o by< uÜgul mj;S' úfYaIfhka wvq yd uOHu wdodhï ,nk rgj,a w;r fï ;;a;ajh jeä jYfhka oelsh yelsh' ta ;;a;ajh 2012 ;j;a j¾Okh ù oshjeähdj ksidu f,dal ck.ykfhka ñ,shk 1'5 m%udKhla ñh f.dia we;s w;r fï ;;a;ajh m%Odk jYfhka n,md we;af;a Y%S ,xldj jeks wvq wodhï yd uOHu wdodhï ,nk rgj,gh'

w.hla .kS' fufia isÿ jkafka reêrfha iSks m%udKh md,kh lrk bkaishq,ska fydafudakh ksIamdokh m%udKj;a fkdùu fyda YÍrfha we;s ffi, tu bkaishq,skaj,g ksis mßos m%;spdr fkdoelaùu fyda fï ldrKd folu ksid úh yelsh' oshjeähdj os.=ld,Sk frda. ;;a;ajhla fjk w;r thska reêrfha iSks m%udKh by< hhs' oshjeähdj Type1 yd Type2 jYfhka fohdldrfhka oelsh yelsh' oshjeähd frda.Skaf.ka 10]la muK Type1 oshjeähdfjka fmf<k w;r Tjqkaf.a bkaishq,ska i%djh ùula ksis mßos isÿ fkdfõ' Insulin dependent diabetes f,i fuh y÷kajkq ,nk w;r fï .Kfha oshjeähd frda.Ska bkaishq,ska msg;ska Yßrhg tkak;a lr.; hq;=j we;'

f,dal fi!LH ixúOdkhg wkqj j¾I 2030 oS f,dal ck.ykh urKj,g n,mdk m%Odk;u fya;= w;=frka m%Odk fya;=jla jkafka zzoshjeähdjhszz oshjeähdj fnda fkdjk frda.hla fkdjk w;r YÍr mßjD;a;Sh ls%hd iuqyhl we;s fjk ÿ¾j,;djhla (Group at metabolic diseases) jYfhka ffjoH úoHdfõ y`ÿkajkq ,efnhs' fuysoS wod< mqoa.,hdf.a reêr .a¨fldaia idkaøK" w.h m%Yia; uÜgulg jvd jeä

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oshjeähdj frda.Skaf.ka 90]lau fmf<kafka Type2 >Kfha oshjeähdfjks' fï whf.a wjYH muKg YÍrfha bkaishq,ska fydafudakh ksmofjk yd i%djh fjk w;r iuyr úg tu bkaishq,ska m%udKj;a fkdùu yd kshu l%shdldß;ajhla fkd;sîu ksid fï >Kfha oshjeähdjg f.dÿre fõ' oshjeähdj fndfyda úg yDofha fyda reêr ixirK moaO;sfha frda. we;s ùug;a" úfYAIfhka yDohdndO iakdhq wdndO" jl=.vq wl¾ukH;djh" wkaO nj jeks Nhdkl ;;a;aj we;s ùug fya;=jla fõ' f,dal fi!LH ixúOdkhg ^WHO& wkqj YS% ,xldj jeks wvq wdodhï yd uOHu wdodhï ,nk rgj, oshjeähdj j¾Okh ùfï jeä m%jK;djhla olskakg ,efnk w;r ksis Wkkaÿjla" oekqj;a ùula yd wjOdkhla fhduq lsÍfuka oshjeähdfjka ñoSug o yelshdj we;' idudkH YÍr nr mj;ajd.ekSu" ffoksl Ydßßl jHdhdïj, fhoSu" ksis fi!LHu;a wdydr Ndú;h" wdoS foaj,ska oshjeähdfjka wE;a ùug yelsh' ;j ÿrg;a fï .ek úia;r lrk f,dal fi!LH ixúOdkh" 2016 f,dal fi!LH oskh f;aud lr.;a" oshjeähdj mrokak fu.d ,hs*a ihkaiia ^TiafÜ%,shdkq& iud.u y÷kajd oS we;s cskafidñka ^Ginsomin& Wmldß fjk nj Tn oekgu;a okakjd we;' cskafidñkays wvx.= kshu fldßhka mekelaia cskafika kï jQ Ydl idrhg YÍrfha ksmofjk bkaishq,ska fydafudakfha l%shdldß;ajh j¾Okh lsÍug ukd yd by< yelshdjla we;s nj mÍËKj,ska ikd: lr we;' fï ksid by;ska oelajQ mßos bkaishq,ska ksmojQj;a tys l%shdldÍ;ajfha we;s ÿ¾j,;dj ksid yg .kakd TYPE2 .Kfha oshjeähdj i`oyd fuu cskafidñka wk¾> Tiqjla" m%;sl¾uhla jkafkah' f,dj jgd ñ,shk .Kklf.a úYajdih oskq kshu fldßhka *ekelaia cskafika wvx.= YS% ,xld fjf<ofmdf<a we;s tlu" m%:u yd m%uqL ksIamdokh cskafidñka ^Ginsomin&u muKla jk w;r" cskafidñka oshjeähd frda.Ska uqyqK fok ykaosm;a reodj" úvd nr .;sh" w,i nj" ksosu; .;sh" l,amkdj ySka ùu wdoS frda. ,ËK uev mj;ajkak;a m%;HË nj fndfyda

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m%fhda.sl ridhksl mÍËKj,ska Tmamq ù we;'

cskafidñka osklg tl lemaishq,hla Wfoa lEug miqj oskm;d .ekSu oshjeähdj md,khg uy`.= Wmldrhla jk w;r Bg wu;rj cskafidñka Ndú;h Tfí ldhsl udkisl Yla;sh" m%;sYla;slrKh j¾Okh lsÍug Woõ fõ' cskafidñka udkisl wd;;sh md,kh lsÍug;a" udkisl wd;;sh ksid yg.; yels fndfyda fnda fkdjk frda. j,lajd. ekSug;a bjy,a fõ' f,dal fi!LH oskfha;a" f,dal fi!LH ixúOdkh f;aud lr.;a mßos iqmsß nj ;yjqre lr .kak' oshjeähdj mrokak ish¨ fokd wosgka lr.ksuq' ta i`oyd cskafidñka Wmßu fufyhla lsÍug wo;a fyg;a Tn iu.skau /`oS isákq we;' jeä úia;r - 075 9011967 $ 0757711975 $ 011 4375364 iqmsß nj ;yjqre lr .kak' oshjeähdj mrojkak' DM Web - www. megawecare.com FaceBook - Ginsomin SriLanka

April 2017

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Aging with Hope

jhi ye;a;Efjka miqj f.fjk l,oji'''

Aging with Hope cSú;fha ie|E iuh wm ish¿ fokdu floskl fyda m;a fjk jhils' fudkhïu fya;=jlska fyda wld,fha ñh .sfhd;a'''' ke;fyd;a yosis urKhlg m;Q jQfjd;a ñi wm iEu fokdu wfmalaId lrk fï ie|E iuh .ek igykls fï''' uOHu m<df;a wOHdmk wOHlaIjrekaf.a ix.uh bosßfha uykqjr YslaIK frdayf,a kdß yd m%ij úfYaI{ ffjoH kjdia cs*aß uy;d meje;ajQ foaYKh weiqßKs'

jhi ye;a;Efjka miqj f.fjk l,oji''' j;af;a.u ysgmq l,dm wOHdmk wOHlaI tia fla chj¾Ok úisks 1990-2000 ld,h ;=< uOHu m<df;a m<d;a wOHdmk wOHlaI ld¾hd,h" l,dm wOHdmk ld¾hd,h hk ld¾hd, j, fiajh lr úY%dñl jQ wOHdmk wOHlaIjreka miqld,fhaoS ix.uhla msysgqjd .;af;ah' zz90 oYlfha wfma wOHdmk mjq,ZZ hkqfjka kej;;a ;u ldrahd, ñ;%hka yd mhqre mdidkï mj;ajd. kakg wdrïN l< fï ñ;=re tl;=fõ iNdm;sOQrh orkafka uOHu m<df;a ysgmq wOHdmk f,alï md,s; we,alvqj ue;s÷kah' lf,l fï rfÜ rdcH fiajfha l%shdYS,S ks,orejkaj isá fuys ish¿u idudcslfhda wo jfhdajDoaO uq;a Tjqka ish¿ fokdu mdfya fkdkefik cSj .=Kfhka hqla;j ;u cSú;fha ikaOHdNd.h .; lsÍu úfYaI;ajhls' fï yjq, Tjqkag w;S; u;lhka ydrd wjqiaik ri .=,djlao jQjd iel ke;'

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uykqjr YslaIK frdayf,a kdß yd m%ij úfYaI{ ffjoH kjdia cs*aß

uykqjr u,nd¾ ùosfha zzlekaä la,íZZ iudc Yd,dfõ miq.shod mej;S /iaùfï wdrdê; foaYKh meje;ajQfha uykqjr YslaIK frdayf,a kdß yd m%ij úfYaI{ ffjoH kjdia cs*aß uy;dh' wjqreÿ ye;a;Efjka miq Tfí cSú;h flfia úh hq;=o @ hk uefhka t;=uka meje;ajQ foaYKfha fndfyda jeo.;a lreKQ /ila m%ldYhg m;ajQ w;r fldhs ldg;a jeo.;a ta idr.¾N foaYKfha f;dard.;a fldgia lsysmhla fuys m< lruq' jD;a;Sfhka kdß yd m%ij úfYaI{ ffjoHjrfhl= jk cs*aß uy;d osjhsfka lS¾;su;a iudcfiajd wdh;k /il doctormagazine.lk

l%shdldßlfhls' t;=uka kjuq oDIaÀfldaKhlska .eg¿ iïmsKavkhg fukau ksrdlrKhgo iqre úrelula olajk nj fmfka' Wm;ska uqia,sï Nla;slfhl= jQj;a mgq cd;sl;aj" wd.ñl ye`.Sï j,ska f;dr wfhls' ;ukaf.a /lshdj wl=rgu bgq lrk Tyq mq¿,a iudc oDIAÀhlska hqla; nqoaêuf;ls' rdcldßh Tyqg foaj ldßhls' Tyqf.a fiajd ia:dkh njg m;ajkafka myiqlï wvq" os<s÷ ck;dj jeäfhka fjfik m%foaYhs' oUq,a," .ïfmd< yd ßls,a,.ialv wdoS ia:dk j, fiajhg Tyq iafõÉPdfjkau bosßm;a jQfha fï hym;a is;sú<s isf;ys OdrKh lrf.k úh hq;=h' ;uka wkqo;a úIh - ffjoH úoHdjg wu;rj Tyq jdkscH" l,d iy iudcfiajd wdoS úúO lafIA;% j, úYAj úoHd, ämaf,daudjka yodrñka Tyq iajlSh oeKQu doctormagazine.lk

jmißh mq¿,a lrf.k ;sfí' úfoaYhkaySo jevuq¿ yd úúO l%shdldrlï i|yd Tyq ksrka;rfhka iyNd.s fjhs' zzwe,anÜ whskaiaghskaf.ka miqj osh; my< jQ úYsIAG;u úoHd{hdZZ hk f.!rjdorh ,;a úoaj;d iu. f.jQ ie|Ejl u;l igyka Tyq Ñ;a; ika;dkh m%uqos; lrhs' fï nqoaêu;d uy¿ úh;a iu.ska ;kshg meñK ;sfnk frda.dndO ksid ;u ld,h frdao

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jhi ye;a;Efjka miqj f.fjk l,oji'''

Aging with Hope

mqgqjl .; lrk nj ffjoHjrhd ksielfhka mila lr.;af;ah' fï ffjoH kjdia cs*aßf.a cSú;fha iaj¾Kuh jákdlïh' Tn;a fï wdldrfha jákdlï j,ska fmdfydi;a wfhlao @ ie|E úfha wm ;=< jQj;a ;s.eiaula we;sl< fï Okd;aul pß; ,laIK Tno m%.=K lr.kak' ,smsfha ó<`. wv jeh lrkafka uy¿ úfha wm fnodyod.; hq;= ffjoH kjdia cs*aß m%ldY l< ldrKd lsysmhla kej;;a isysm;a lrKQ ßisfhks' wjqreÿ 70ka miq cSj;ajk wmgo wdhq b,lalhla ;nd.; hq;=h' iuyr úg th 80la" 90la Bg;a tydg;a úh yels b,lalhls' w¿;ska Wodjk iEu ckau oskhlau w¿;ska is;k m;k wjqreoaola lr.; hq;=h' jhi wjqreÿ 70 bl=;a jQ miq t<efUk B<`. ckau oskh fkdfõ' b;sß wdhq ld,fhka tlls' bkamiq b;sßfhka folh' B<`.g t<fUkafka b;sßfhka ;=kh' yeu úgu w¿;a úosyg ys;kak mqreÿ fjkak'

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April 2017

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mq¿,a iudc oDIaÀhlska cSj;a fjkak' u;ameka" ÿïjeá j,ska imqrd bj;a fjkak' Tn fï iudcfha jvd;a f.!rjKSh;ajhla" ms<s.ekSula ks;ekskau ysñfjk iudc ;;a;ajhla Wreu flfkls' meyenr is;sú<s joka Tiafia ta jákdlï Tm uÜgï lr.kak' wdishdkq wfma mdrïmßl cSjk rgdfõ orejka fouõmshka kEoEhka tlaj cSj;a ùu wkkH ,laIKhls' yels iEu úgu Tfí wvq jhia idudcslhka iu. m%ikak iïnkaO;d we;s lr.kak' fmd;am;a lshjkak' mqj;am;a j,ska oeKQu w¿;a lr.kak' Tn m%sh lrk rEmjdysks jevigyka j,ska wdYAjdohla cSú;hg tla lr.kak' ieye,a¨ wdydrmdk wkqNjhg f;dard.kak' u;ameka" is.rÜ wdosfhka wE;a fjkak' bjiSfuka l;d lrkak' ueosy;a .;s mej;=ï cSú;hg <x lr.kak' wkqkaf.a woyia úuikak' tajdg .re lrkak' lsis úfgl wdfõ.YS,S fkdjkak' ixiqka is;lska oji .; lrkak' f,dl= b,lal ;nd.kak tmd' .;jQ ld,h i;=áka isysm;a lrkak' Tfnka mjq,g" iudchg bgqjQ hq;=lï fufkys lrkak' Wmfoia m;k whg Wmfoia fkdmels,j fokak' Tng fjkuu ia:dkhl jHdhdu lrkakg ÿIalr;djhla ;sfí kï ysi" fow;a wdOdr lrf.k WoEik wjos jQ wjia:dfõ ir< jHdhduhl ksr; jkak' Tn jhi wjqreÿ 90 bl=;aj f,dalh olskakg jdikdjka; jQ flfkla kï b;sß yeu wjqreoaolau w¿f;ka b;sßhlaj ,enqKQ wjqreoaola f,i is;kak' ta fndakia wdhqI i;=áka .; lrkakg bgd.kak' DM

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wdhq¾fõoh bisjr .=K fok w;a fnfy;a

bisjr .=K fok w;a fnfy;a i¾jdx. frda. wdhq¾fõo ffjoH Okisß j¾Kl=,iQßh

W.=r ne/kaä ùug''' b`.=re" .ïñßia" ;smams,s fïjd l<x 4 ne.ska f.k j;=r m; wg tlg is| fmrd iSks" ómeKs oud Wfoa" yji fndkak' je,aó" lgqje,angq" isßf;alal=" m;amdv.ï fïjd l<x 3 ne.ska f.k j;=r m; wg tlg is| fmrd ;,aiQlsß yd ómeKs oud Wfoa" iji fndkak' lgqje,angq" úh<sños" msgjlald uq,a fïjd l<x 4 ne.ska f.k j;=r m; wg tlg is| fmrd iSks" ómeKs iu. Wfoa" yji fndkak'

fmreïldhï iaj,amhla f.k r;alr lelal=u we;s ia:dkfha ;nkak' wn weg" lrdnq keá" .ïñßia ;,d lelal=u we;s ia:dkfha ;nkak' l=re÷fmd;=" úh<s b`.=re .ïñßia" fmreïldhï tlg f.k wUrd t<`.sf;,a oud ñY% lr lelal=u we;s ia:dkfha wdf,am lrkak' wefia we;sjk k.k j,g ;=;a;sß .i lvd bka jEfyk oshrh k.kfha wdf,am lrkak' wlalrmÜgd" r;ay÷ka" je,auog iuj f.k wUrd wei hg wdf,am lrkak' iqÿ yªka" r;a y÷ka" je,auog iuj f.k wUrd wei hg wdf,am lrkak'

wlalrmÜgd" úh<s b`.=re" lgqje,angq" b`.=re msh<s fïjd l<x 3 ne.ska f.k j;=r m; wg tlg is| fmrd iSks" ómeKS oud Wfoa yji fndkak'

iqÿ y÷ka" r;a y÷ka" b`.sks weg" fïjd l<x y;r ne.ska f.k j;=r m; wg tlg is| fmrd Wfoa" yji fndkak'

;smams,s" ;smams,s uq,a" lgqje,qangq" isßf;alal=" m;amdv.ï" fld;a;u,a,s fïjd l<x fol ne.ska f.k j;=r m; wg tlg is| fmrd iSks" ómeKS oud Wfoa yjy fndkak'

iqÿ y÷ka we,a osfhka WrÉÑ wdf,am lrkak'

o;a lelal=ug lrdnqkeá" .ïñßia" l=reªfmd;= ;eïnQ j;=frka lg fidaokak' lrdnqkeá" idoslald" jidjdis ;eïnQ j;=rg iSklaldrï l=vq oud lg fidaokak' iSklaldrï fmdä lr lnf,a neo l=vq lr t<`.sf;,a iu. ñY% lr lelal=u we;s ia:dkfha wdf,am lrkak'

doctormagazine.lk

lSlsß|sh" f.dgq o`vq" fïjd l<x yh ne.ska f.k j;=r m; wg tlg is| fmrd iSks" ómeKS oud Wfoa yji mdkh lrkak' lr,aiefnda iy uQ," ¨KQjrK fmd;= fïjd l<x yh ne.ska f.k j;=r m; wg tlg is| fmrd iSks" ómeKs oud Wfoa yji mdkh lrkak' DM April 2017

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wdhq¾fõoh kS,ïuyr mdrïmßl udkisl frda. fjolu

kS,ïuyr mdrïmßl udkisl frda. fjolu

Tng msiaiqo @

ufkda frda. iqj lrk wfma fjolu lgqjdj," kS,ïuyr mkai, mdf¾ uki wdhq¾fõo frdayf,a wdhq¾fõo ffjoH iuka tia fyÜáf.a úisks

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;S; iudc rx. mSÀldj ;=< wksjd¾h N+ñldjla ksrEmkh l< wfma zz.fï fjouy;a;hdZZ iy zzfy< fjoluZZ lshkafka wfma cd;sl fi!LH ixrlaIKfhys,d uyÕ= fiajdjla bgql< mqoa.,fhla iy fiajdjla' zzfy< fjoluZZ lshkafka Y%S ,dxflah wmgu wdfõKsl jQ wmu Wreu lshk" wmgu wdfõKsl .yfld<" ;=re,;d j,ska wfma uq;=kañ;a;ka f.a oeKQQfuka" {dKfhka fmdaIKh jQ wfmau fjolula' jir 9"000lg tmsg wE; w;S;hlg hk fy< fjolfuys jxYl;dj wdrïN jkafka wfma rfÜ cSj;a jqKQ" tl, fï l,dmfha buy;a f,i m%isoaêhg m;ajQ mq,ia;s iDIsjrhdf.ka' mq,ia;s iDIsjrhdf. uqKQmqrd ;uhs rdjKd' rdjKd rcq .ek l;d lrk úg zzo`vqfudkrhZZ wu;l lrkaku nE' tl, wfma rfÜ m%d:ñl fi!LH ixrlaIKhg fy< fjolfuka uyÕ= msgqjy,la ,enqKd' wjdikdjlg wo jk úg fï fy< fjolu wNdjhg .syska ;j;a b;sßj we;af;a w;f,diaila muKhs'

128

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w;S;fha isg mrïmrdkq.;j wd fjolula zzkS,ïuyr mdrïmßl udkisl frda. fjoluZZ tf,i fYAI jQ wñ, fjo Ndú;djla' f,dalfha jeäfhkau ñksiqka mSvd ú|sk .eg¿j l=ulao lsh, flfkla uf.ka úuiqfjd;a uu W;a;r fokafk ;j;a m%Yakhlska' ta m%Yakh ;uhs zzñksiqka jk wmsg uki uq,a lr fkd.;a .eg¿jla fyu ;sfnkjdo @ZZ lshk ldrKh' uki uq,ajQ .eg¿ ta ;rugu iq,nhs' mD:q,hs' udkisl frda. fl;rï jHdma; fj,d ;sfhkjdo lsõfjd;a wo f,dalfha zzudkisl frda.SkaZZ ñ,shk 450la isák njg f,dal fi!LH ixúOdkh m%ldY lrkjd' wfma rfÜ .;af;d;a ck.ykfhka ishhg 12la udkisl frda. j,ska fmf<kjd lsh, y÷kdf.k ;sfnkjd' oshjeähdj" wêreêr mSvkh" yDo frda.''' fï wdoS frda.hlska lsishïu flfkla fmf<kjd kï Tyqg zzudkisl wd;shZZ wvq lr.kak lsh, Wmfoia fokjd' wo fjk

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kS,ïuyr fjo mrïmrdfõ uki wdhq¾fõo frday,

úg m%;HlaI jQ ldrKhla ;uhs fndfyda ldhsl frda. j,g fya;=j uki nj' fï ldrKd úoHdfjka fï úosyg ikd: fj;aoS wfma nqÿyduqÿrefjd óg wjqreÿ 2500lg biair jod, nqÿ jokla isysm;a fjkjd' wx.=;a;r ksldfh ÿl ksmdf; zzfrda. iQ;%fhaZZ wm ;sf,da.=re iïud iïnqÿrcdkka jykafia fufyu foaYKd lrkjd' zz uyfkKS" ñksiqkag je<f|k frda. foj¾. hla ;sfhkjd' ta ldhsl frda. yd udkisl frda. hkqfjka' ukqIHfhl= Wmka od isg mehla" ojila" i;shla" udihla doctormagazine.lk

yd wjqreoaola''' iuyr úg uq¿ cSú; ld,hu ldhsl frda.hlska fíÍ isàug yelshdj ,enqK;a Wmf;a isg tl fudfyd;la j;a mqyqÿka jk ñksiqka jk wmg udkisl frda.hlska fíÍug lsisfia;au yelshdjla fkdue;s nj'''ZZ miqld,skj ufkda Ñls;ailfhl= jyfhka c.;a f.!rjdorhg md;% jq is.aukaâ fm%dhsâ i|yka lr ;sfnkjd' fï f,dalfha isák ´kEu ukqIHfhl=g ljrhïu''' iq¿ >kfha fyda udkisl frda.hla ;sfnk nj''' wmg msiaiq yefokafka wehs @ m<uqfjkau fï zzmsiaiqZZ hk jpkfhka wre;a .ekafjk jpkfha mrdih ms<sn|j hula mejiSu wjYHhs' zzmsiaiqZZ lsh, lshkafk''' tfyu;a ke;akï zzWu;= frda.ZZ lshkafk udkisl frda. j,oS frda.shd m;ajk tla wjia:djla muKhs' yßhg WKloS we;sjk idudkH WK" ikaksmd; WK wdoS úúO wjia:djka jf.hs' fmdÿfõ .;a;u mqyqÿka ´kEu ukqIHfhl=g Wu;= frda. yfokak mq¿jks' kdkd fya;= ksid flfkl=g udkisl frda. we;s fjkak mq¿jka' April 2017

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kS,ïuyr mdrïmßl udkisl frda. fjolu

ufkda frda. we;sùfï mrïmrdkq.; idOlh thskq;a tla mqoa.,fhl=g ;j;a flfkl=g jvd udkisl frda. we;sùfï wjodku jeä fjkak mq¿jka' ksoiqkla yeáhg .;af;d;a cdkuh idOl''' mrïmrdfjka tk wfkl=;a f,vfrda. jf.au ufkda frda. b;sydihl=;a mrïmrdfj ;sfhkj kï ta mrïmrdfj flfkl=g ufkda frda.hla we;s fjkak ;sfnk wjodku jeähs lshk ldrKh wfma mdrïmßl udkisl Ñls;aidfj i|yka fjkj' flfkl=f. mrïmrdfj flfkl=g udkisl frda. ;snQ muKskau B<Õ mrïmrdfj whg;a udkisl frda. je<f|kafk kE' ta nj;a wfma merKs ufkda Ñls;aidfj oelafjkjd' th WodyrKhlska fufyu olajkak mq¿jka' wms ys;uq wks,af. wïug''' tfyu;a ke;akï wdÉÑg udkisl frda.hla ;snqK lsh,' tfia ;snqK ksid wks,ag jf.au wks,af. ifydaorhkag;a udkisl frda.hla we;sùfï bvlv jeähs' tfykï fï wks,a we;=¿j fï ish¿ fokdgu udkisl frda.hla we;sùug n,mdk fya;=j l=ulao @ th ;uhs mdßißl idOlh' cdk j,ska f.kdmq frda.h je<|Sfï wjodku mßirhg mq¿jka biau;= lrka fyda hgm;a lrkak;a' wks,ag mrïmrd.; idOl ;sfhk ksid wks,a u;ameka mdkh lrkjd kï ÿïfndkjd kï" ÿïfld<" .xcd" fyfrdhska jeks wfkl=;a u;aøjH j,g weíneys fjkjd kï Tyqg frda.h je<|Sfï wjodku b;d by<hs' tfiau Tyq ks;ru wd;;sh f.kfok mßirhlg ksrdjrKh fjkjd kï th;a Tyqg udkisl frda. j,g t;rï ys;lr idOlhla fkdfjhs' kskao" wdydrmdk" ,sx.sl cSú;h flfkl=f.a ldhsl fukau udkisl fi!LHhg;a m,mj;ajk w;s m%n, idOl yeáhg ;uhs wdhq¾fõofha i|yka jkafka' fujeks mdßißl idOl j<lajd .ekSfuka wmg udkisl frda. je<|Su hï;dla mUklg md,kh lrkak mq¿jks' udkisl frda. je<|Sug fya;=jk cdkuh idOlh wm ldgj;a md,kh lrkakg nE' kuq;a mdßißl idOlh fjkia l< yelshs' ta ;=<ska udkisl frda. j<lajd .; yels nj i|yka fjkjd' orefjl=g udkisl frda.hla we;s fjkak mjqf,a N+ñldj fl;rï ÿrg n,mdkjdo @ wms uq,skq;a i|yka l<d" flfkl=f.a udkisl ;;a;ajh

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udkisl frda. fl;rï jHdma; fj,d ;sfhkjdo lsõfjd;a wo f,dalfha zzudkisl frda.SkaZZ ñ,shk 450la isák njg f,dal fi!LH ixúOdkh m%ldY lrkjd' wfma rfÜ .;af;d;a ck.ykfhka ishhg 12la udkisl frda. j,ska fmf<kjd lsh, y÷kdf.k ;sfnkjd' fjkia fjkak udkisl fi!LHh msßfykak udkisl frda.hla u;= fjkak mßirfhka we;sjk n,mEu .ek' uõmsh ¥ore in|;djh mjqf,a iEu fokdf. au udkisl fi!LHh mj;ajd f.k hkak w;sYh ;SrKd;aulhs' fuh orejkaf.a udkisl iqjfi; wNsfhda.hg ,la fjkak;a" jeäysáhkaf.a udkisl fi!LH msßfykak;a" udkisl frda. hla je<÷KQ miq th iqj fjkak;a" iqj jqKQ miq tu ;;a;ajh os.gu mj;ajd f.k hkakg;a n,mdk m%Odk idOlhla'

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Pka:d.dr yd pxluk fyj;a iamd iy iaàï nd;a Ndú;fha b;sydih uKg jvd wdydr nqosñka isrerg yß yeá fkdue;sj l,a f.jk fndfyda m jHdhduhla fokdf.a isrere neÆ ne,aug mqIaÀu;ah' we;eful=g wkQj kï fï ;rndre isrer oel=ug;a m%shh' we;eï wh is;kafka tfyka fufyka msïî uia jeo,s lvd yef,k fï isrer iemj;a cSú;hl ndysr i<l=Kq f,ih' wê fmdaIKh;a" ksis jHdhdu fkd,eîu;a ksid wêl f,i ;rjQ isrere we;a;ka ksfrda.S f,i fmkqk;a idudkH isrere we;a;jqkag jvd Tjqkaf.a isrere fi!LHiïmkak núka ySkh' fujekakka i|yd wdhq¾fõofha tk m%;sldr w;r yqud, iakdkh" fnfy;a f;,a" wdf,amk wdosh we`. .,ajd Tiq ;eïnQ WKqiqï c, Tre j, ys÷jd ;eîu" isrer iïndykh lsÍu wdoS m%;sldr /ila mj;S' fï m%;sldr w;ßka we;eï tajd nqÿrcdkka jykafia úiskao wkqoek jod, nj fmd;mf;a tk we;eï lreKQ wkQj ikd: fõ' cSjl fl!udrNÉP NslaIqka jykafia fjkqfjka bos l< Pka:d.dr wfma merKs ffjoH idys;Hfha tk we;eï úia;r wkQj nqÿrcdkkajykafia osjukaj jev jdih l< hq.fha Wkajykafiag fjolï lr we;af;a cSjl fl!udrNÉP kïjQ úYsIaG ffjoHjrfhls' fuu ffjoHjrhd nqÿrcdkka jykafiag muKla fkdj fiiq NslaIQka jykafia,df.a o frda. iqjm;a lsÍu ;u rdcldßhla fldg i<ld lghq;= l< wfhls' tl, úYd,d uykqjr iuDosu;a k.rhla úh' tys úiQfjda jeäfokd biqrenr iqjmyiq cSú; .; l< we;a;ka úh' miqlf,loS fï 134

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ymq;f,a tia tï ã fifkúr;ak úisks

biqreu;a mqrjrh ;=ka ìhlska we,S hkakg úh' ;ekska ;ek frda.Skao" u< isrereo oel=u iq,n úh' hlaI" N+;" msYdpdoS wukqIHfhda fodßka fodr ießirkakg úh' ta fya;=fjka úYd,d uykqjr jeishka ÿlg m;ajkq ÿgq nqÿka jykafia úYd,d uykqjrg jevu lrjd NslaIqka jykafia,d iu. ùos ixpdrh lrñka fi;a msß;a foaYKd lsÍu ksid fï ish¿ wdmodjka u. yereks' ñka m%fudaohg m;a kqjr jeisfhda úYd,d kqjr jevisá NslaIqka jykafia,dg w;s m%KS; wdydr mdkdosfhka ix.%y lrkakg úh' úYd,d uykqjr úiQ NslaIQkajykafiao k.r jeishka uy;a Y%oaOdfjka

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Pka:d.drhl iqúfYaIS wx.

Pka:d.drh hkq yqud, iakdkh i|yd fjkajQ f.dvke.s,a,ls' fuhg .sksy,af.h" w.aksYd,d jeks jokao Ndú;d flf¾' wo fuh y÷kajkafka zzijdkdZZ fyda zziaàïZZ nd;a hkqfjks' wêfmdaIKfhka hq;a wdydr f.k ksis jHdhduhlska f;drj fjfik ldf.;a isrer ;rfõ' ta iu.u f,v frda.o nyq, fõ' jd" ms;a" fiï l=ms; fõ' fjfyik muKg jvd wdydr nqoSfuka isrefrys /iajk fïo m%udKh by< hhs' bka yg.kakd frda. /ils' cSjl ffjoHdpd¾hhkaf.a Wmfoiska bosjQ Pka:d.dr fiajkfhka fuf;la frda.Sj jqka úYd,d kqjr jdiS NslaIQka jykafia,d iqjm;a jkakg úh' Pka:d.drfha fmr ld,fha isÿ l< wej;=ï''' fï Pka:d.drfhka isÿ flfrkqfha l=ulao @ fuys i|yka jk oE úia;r f,i i|ykaj we;af;a pq,a, j.a.fhah' tys zzPka:d.drj;a:ZZ LdKav kï fldgfiys fufia úia;r lr ;sfí' ta fufiah'''zzidufkar NslaIQka jykafia,d úiska Pka:d.drhla ;=<

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bgqlr,sh hq;= foa w;r Pka:d.drhg wejeis c,h f.kejq;a Wol fødaKsh msrúh hq;=h' WmoHdhka jykafia,d jevu lsÍug fmr Tiq wdosfhys pQ¾K wUrd ksis ;ekayS ;eìh hq;=h' we`. .,ajk ueá f;;alr ;eìh hq;=h' WmdoHdhhka jykafia,d Pka:d. drhg jevu l< úg Wkajykafia,dg wiqka meKúh hq;=h' Pka:d.drfha we;s meka fmdl=Kg Wkajykafia,d nisk úgo bka f.dv jk úgo bv osh hq;=h' Wkajykafia,df.a wef`.a fkd.eáh hq;=h' wjidkfhaoS Pka:d.drfhka msgj hk wka;suhd Pka:d.dr uvù we;akï th fidaod msßisÿ l< hq;=h' ,sfmys w¿" w`.=re wdosh we;akï tajd bj;a lr W÷k msßisÿ l< hq;=h' ;j;a flfkl=g fyda msßilg th kej; Ndú;hg .ekSfuoS wmyiqjla fkdjkq msKsi iqÿiq mßoafoka ilud msgj hd hq;=h''''ZZ

nqÿka jykafiaf.a ffjoHjrhd jQ cSjl fl!udrNÉPhka NslaIQka frda. mÍlaIdfõoS oek.; yels jQfha ksis jHdhdu fkdue;sj wêfmdaIKfhka hqla;j wdydr .ekSfuka NslaIqka jykafia,d .s,ka Ndjhg m;ajk njh' fuhg iqÿiqu ms<shu Pka;d.dr yd pxluk fiajkh nj oek fmr<d f.dia nqÿka jykafia fj; meñK úYd,d kqjrjdiS NslaIQka fjfik wdrdufha Pka:d.dr msysgqùug wjir b,a,d isáfhah'

fulS úia;r wkQj zzPka:d.drhlaZZ;=< isÿjk foa is;d. ekSu wmyiq fkdfõ' Pka:d.drhla hkq fodrla iy cfka,hla iys; jQ yqud,h /ial< yels wdldrfha ldurhls' tys ueo fmdl=Kla ;sfí' fuu ldurhg ndysßka W÷ka ,sm we;s w;r tys we;s W÷fka ;sfnk Tiq uqiq c,h WKQ jQ úg ta c,h fmdl=Kg msrúh hq;=h' fodr cfk,a jid we;súg fmdl=Kg Æ WKQ osfhka kef.k yqud,fhka ldurh msfrhs' fmdl=fKA iqÿiq wiakl isg we`. mqrd oyäh ouk f;la yqud,h kd

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miqj Tiq" l,al" pQ¾K wdosh fyda Tiq f;,a ueá wdosh wdf,am wdf,am lr Tiq ;eïnQ lidfhka c, iakdkh lsÍu fuu.ska isÿ fõ' nqÿka oji cSjl fjoeÿrdkkaf.a Wmfoiska msysgjkq ,enQ fï Pka:d.dr tl, oUosj ckiudcfhys Ndú;d jQ iq,n c, m%;sldrl úfYaIhls' uyd úydrfha;a Pka:d.dr f.dvke.s,a,la bos jqKd ls%'mQ' f;jk ishjfiaoS muK ñysÿ uy ry;ka jykafia ,xldjg jevu lsÍfuka miqj Wkajykafia fjkqfjka bosjQ m%:u NslaIq wdrduh jQ wkqrdOmqr ;siai uydrduh fyj;a zzuydúydrhZZ bos lsÍug fojk mE;sia rcq úiska uyfujqkd Whk mQcd lf<Ah' ñysÿ ysñhka úiska tys msysgúh hq;= f.dvke.s,s w;r Pka:d.dr f.dvke.s,a,lao úh' th ,xldfõ NslaIQka i|yd mQcd lrk wdrduhl bosjQ m%:u Pka:d.drhhs' rEm,djKH lghq;= i|yd fukau ifuys we;sjk l=IaG" fydß" oo" jk wdosh iqjm;a lsÍu i|yd wE; w;S;fha isgu uy fmdf<dfjka ,nd.kakd úúO ueá j¾." ñksrka" ,jK j¾. fukau Ydlidr Tiqo Ndú;d lr ;sfí' mxp ,jK uqiq rEm ,djKH m%;sldr l%uhla .ek oUfoks hq.fha isá rdclSh wka;xmqr ffjoHjrfhl= ,shQ fjo fmd;lo i|yka fõ' fndfyda úg jkjdiS NslaIQka jykafia,d w;r T!Iëh ueá m%;sldrh iq,n f,i Ndú;d jQ nj fmfka' fï i|yd iq,nj fhdod .kafka le,uhska j¾.fha ueáh' ful, jQjo le,uhska ueÜfgka ksIAmdokh l< rEm,djKH ksIAmdok ñ,oS .; yel' wdhq¾fõohg wo we;s buy;a b,a¨ug mdol ù we;af;a fï m%;sldr úêhs wêl ia:q,;djfhka hqla;j" frda. modihlao Wreu lr.ksñka furgg tk Okj;a hqfrdamShhka wfma wdhq¾fõo yqud, yd T!Iëh m%;sldr j,g buy;a leue;a;la olajkafka tajdfha m%;HlaI .=Kfhka frda. ksjdrKh lr.; yels nj fyd|yeá okakd ksidh' wfma rfÜ le,uhska ueá m%;sldrhla fia fhdod.;a;o u< uqyqo wdikakfha ueofmros. rgj, ckhdu< uyqqfoa ,jK uqiq ueá we`. .,ajd p¾u frda.dosh iqjm;a lr.ekSug yqreù isà'

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ueá j¾. yd LKscuh øjH we`. .e,aùu ÿrd;S;fha isg mej; tkakls' fuh jkpdÍ isß;la f,i flfkl=g isf;kakg mq¿jk' wm wêl uqo,la f.jd ñ,oS .kakd zge,alï mqhrZZ Wlyd .kafkao fmdf<dfjka ,nd. kakd Oj, j¾K ueá úfYAIhlsks' jir ish oyia .Kkla bmerKs wdhq¾fõoSh yqud, iakdkh iy iïndyk l%u fuf;la wfma rfÜ t;rï m%p,s;j fkdmej;=Ks' tfy;a ixpdrl jHdmdrh ksid h,s;a fï m%;sldr j,g jákdlula wdfrdamkh jkq fmfka' wfma mdrïmßl fjoeÿrka iuyr fofkl=g fï m%;sldr iïnkaO mßph ;snqK;a th mj;ajdf.k hkakg iqÿiq b,a¨ula fkdmej;Su tajd Ndú;hg ;snqKQ úYd,;u ndOdj úh' fï jk úg merKs Pka:d.dr m%;sldr úê úúO fjkialï j,g ,laù ;sfí' uqo, ish,a, wNsnjd uq,g wd iudchl Pka:d.dr fmkajd fjk;a wmpdrhkag fhduqjk msßia fj;ska fï bmerKs m%;sldr úêh iqrlaIs; lr .; hq;af;ah' DM

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wdhq¾fõoh úI kdIKfha ksoka jÿ,''' lrmsxpd

lrmsxpd weig''' yoj;g .=Khs''' ms<sld kid,hs'''

úI kdIKfha ksoka jÿ,''' lrmsxpd WoaNso kduh Murraya koenigii fou< kduh lsrsfjïmq lrjeñ,af,hs ixialD; kduh lDIK ksïn ud;r ys;a;áfha wdhq¾fõo ffjoH tÉ tÉ rxckS mshodi úisks

138

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w.aksos. wdishdlrfha fndfyda rgj, jefjk lrmsxpd ,xldfõ fkdfhla m%foaYj,o idrj;aj jefõ' úh<s l,dmfha iq,nj oelsh yel' wdydr rij;a lsÍu fuys iq,n Ndú;dj jQj;a lrmsxpd uy`.= T!Iëh .=Khla we;s ksid th iEu f.j;a;lu jeúh hq;= me<Eáhls' wdfõKsl jQ iq.kaOh lrmsxpd i;= uy`.= jákdluls' lrmsxpd fld<hla ke;s uq¿;ekaf.h wfma .DyKshkag kï uy;a wvqjls'

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cïîr l=,hg wh;a lrmsxpd .i idudkHfhka óg¾ myla muK Wig jefõ' iqj|j;a ySka fld< iys; lrmsxpd iy úYd, m;% iys; j,a lrmsxpd hkqfjka fïjd olakg ,efí' fuhska jeä b,a¨ula we;af;a ySkafld< iys; iqj|j;a lrmsxpd j,gh' <má" w;= fld<meye nQj iys; lrmsxpd j¾.hg we;s b,a¨u jeäh' u,a iqÿmeye mqIAm fmdl=rla fia jefõ' iajNdjfhka jefjk Ydlhla ksid ;ju;a t;rï j.d lsßula olakg ke;;a wo ojfia wd¾Ól fNda.hla jYfhkao lrmsxpd jeùug we;euqka fm<ö we;af;a tys we;s flfuka jeäjk b,a¨u fya;=fjks' f.ä wdydrhg .kakd mlaIska u.ska m%pdrKh fjhs' lrmsxpd" fiu yd jd;h iukh lrhs' l=i.skak jvjhs' wdydr cS¾Khg WmldÍhs' wcS¾KdndO" juk iukh" mKQ wudre fukau u< leá lsÍugo lrmsxpd i;= ;j;a ,laIKhls' lrmsxpd m%;sldrd;aul .=K  wlaud.; frda. j,g .=Khs  wdydr cS¾Kl moaO;sh yd iïnkaO frda. iukh lrhs  uOqfïyhg .=Kodhlhs  YÍrfha úI yrkh lrhs  wl,g ysiflia meiSu j<lajhs lrmsxpd Tiq jYfhka fhdod .kakd wjia:d wlaud.; frda.dndO j,g iqjh úI kik .=Kh ksid lrmsxpd wlaud.; frda.dndO j,ska fmf<k whg úfYaIfhka .=Kodhlh' ffix. ud,h" wlaud.; ms<sld frda.Ska úfYAIfhka .ekSu iqÿiqh' wlaudfõ fïoh ;ekam;a ùfuka tys mg, bosóu ^Fatty Liver& isÿjk wjia:dfõoS lrmsxpd isyskaj wUrd wdydrhg .ekSu fyda le| f,i idod mdkh lsßfuka buy;a .=Khla ,nd.; yel' fuu.ska wlaud mg, kej;;a ksfrda.S l< yels nj m%;HlaIfhka ikd: ù ;sfí'

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reêr mSvkh wvq lrhs reêr mSvkfhka mSvd ú|sk frda.Skago lrmsxpd .=Kj;a Tiqjls' lrmsxpd o¿ m%KS;j iïfnda, fia ilia lr wkqNjfhka fm%I¾ tl wvq lr.kakg yels fõ' wdydr cS¾Kh myiq lrhs nv.skak jeãu" wdydr meiùug WmldÍ ùu" wcS¾KdndO yd jukh iqj lsÍu" u< leá lsÍu lrmsxpd i;= fiiq .=Khkaf.ka lsysmhls' wdydr wreÑh" Wor fõokdj" nv mqrjd oeóu" nv.sKs u|nj hk wmyiq;djhkag iykh msKsi lrmsxpd fld< úh,d ilia lr.;a pQ¾Kh fldams fuka mdkh lsÍu iqÿiqh' lrmsxpd le| .=K lrmsxpd WordndO iqj lrhs' lrmsxpd fld< fldgd.;a biafuka idod. kakd le| j,g jvd lrmsxpd fld< úh,d pQ¾K lr" Bgu iqÿ¿Kq;a pQ¾K lr ud;%djlg ñY% lr.;a l=v iu.ska idod.;a lrmsxpd le|j,ska fï .=Kh by<skau ,nd.; yel' WoEik wdydrhla f,io fï le| fhdod .ekSu fhda.Hh'

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úI kdIKfha ksoka jÿ,''' lrmsxpd

wdhq¾fõoh

kï tys we;s úI hï m%udKhlg fyda bj;a lr lsishï wdrlaIdjla ,nd .ekSug yels jkq we;' oshjeähd frda.Ska i|yd lrmsxpd uOqfïy fkdfyd;a oshjeähd frda.Ska i|yd lrmsxpd fld< wUrd wdydrhg .ekSfuka reêr.; .aÆfldaia uÜgu md,kh lr.ekSug wjia:dj Wodfõ' fldf,iagfrda,a ;sfnkjd kï lrmsxpd fyd|hs lrmsxpd u.ska reêr.; fïoh wju lrhs' reêr kd,j, ;ekam;a jk fïoh osh lrhs' fï wkQj fldf,iagfrda,a wvq lrkakgo w;aÿgq Tiqjla fjhs' lrmsxpd" iqÿ¿KQ yd .ïñßia tlg wUrd ilia lr.kakd m,amh wdydr fõ,a iu. .ekSu ;j;a w;aÿgq m%;sldrhls' wdydr cS¾Kfhka miq fïo wï, YÍrhg Wrd.ekSu lrmsxpd u.ska wju lrhs' tfiau ld¾hlaIu f>%da;ia fYdaOkhla isÿ lrk neúka reêr kd,j, wNHka;rfha fïoh ;ekam;a ùu wju fjhs' fuu.ska yDo frda. ksjdrKhgo rel=,la ,efnhs' m%n, úI kdYk .=Kh ksid i¾m úIg mjd lrmsxpd ,nd fokjd''' lrmsxpd i;= úI kdYl .=Kh ksid i¾m úI YÍr.; jQ wjia:d j,oS lrmsxpd fld< le| msi ,ndoSu w;S;fha mgka mej; tk m%;sldrhls' i¾m úI i|yd lrmsxpd fld< hqI ySká yd,a iu. le| ilia lr .sf;,a iaj,amhlao Bg uqiq lr mdkh lsÍug ie,eiaùu ;=<ska i¾m úI neiaiùug lghq;= lsÍu w;S;fha isg fhdod.;a cSú; iqrlsk n,.;= m%;sldrhls' wlaudj i;= úI kdYl .=Kh W;af;ackhgo lrmsxpd l%shd lrhs' rEm fmÜáfha fmkajk wreue;s jiúi msß laIKsl wdydr mßfNdackhg mqreÿ ù isák Woúh i;shlg jrlaj;a lrmsxpd le| fldamamhla fndkjd 140

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wl,g flia meiSu j<lhs lrmsxpd fld< jeä m%udKhla wdydrhg .ekSfuka ,efnk ;j;a jdishla fjhs' ta wl,g flia meiSu je<elaùuhs' lrmsxpd fld< iu. lldrjk ,o fmd,af;,a ysiflia uQ,hka fmdaIKh lr ysiflia j¾Okh lrhs' wo fj<|fmdf<a lrmsxpd l=vq ñY%Kh le| meleÜ wf,úhg ;sfí' ld¾hnyq, .DyKshg ;u mjqf,a idudcslhkag wjYH / ljrKh iemhSug th losu wjia:djls' iq¿ ld,hla ;=< wlaudfõ úIyrk l%shdj,sh iqir lrk" n,.;= T!Iëh .=Khla ,ndfok le| mdkhla wdydrhg .ekSug wjia:djla ie,iSu w.fkah' DM

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wdhq¾fõoh yefudagu ysirohla jQ ysiroh

yefudagu ysirohla jQ ysiroh zzfya;=jg m%;sldr lf<d;a ksÜgdjgu iqj lr.kak mq¿jkaZZ

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

wms okak ldf,a b|,du iudchg úYd, ysirohla ;uhs zzysirohZZ frda.S ;;a;ajh' álla T¿j ßfokjd jf.a lshd ysi ;ndf.k isák oiqk wms ldg;a yqre mqreÿ fohla njg m;afj,d ;sfhkafka' ta ;rugu ysiroh fmdÿ nyq, frda. ;;a;ajhla' we;a;gu fudlla o fï ysiroh lshkafka @ fï ms<sn|j lreKq iúia;rj ±k .kakg mdGl Tn ieu fjkqfjka wms mE,shf.dv iqm%isoaO rkam; fjo ueÿrg f.dia tys wêm;s ffjoH rkam; rejka r;akdhl uy;d yuqjqKd'

ffjoH ;=uks" fudlla o fï yeá yefudagu jO fok ysiroh@ roh hkq fõokdjhs' ñksidf.a YÍrfha m%Odk;u bkaøsh jkafka fud<hhs' fud<h iakdhq moaO;sfha uQ,ia:dkhhs' thska ksl=;a jk uQ, iakdhqj l=vd fud<h Tiafia m%Odk lfYAreld mka;shg we;=,a ù lfYAreld ikaêia:dk j,ska msg;g ksl=;a ù YÍrfha ish¨u bkaøshhka yd wjhjhka lrd f.dia tajdfha l%shdldß;ajhg odhl fjkjd' tu ksid YÍrfha l=uk wjhjhl bkaøshl fodaIhla we;s jqj;a th fud<hg n,mEï lrkjd' tu n,mEï j, WÉp;u wjia:dfõ § ysig ±fkk wmyiqlu y÷kd.kafka fõokdjla f,ihs' th idudkH jHjydrfha

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yefudagu ysirohla jQ ysiroh

wdhq¾fõoh

§ zzysirohZZ lsh,hs y÷kajkafka' fuu frda. ;;a;ajhg fya;= jk lreKq fudkjdo@ úfYaIfhka u j¾;udkfha m%;sldr m;d tk jeä fofkl=f.a ysfia lelal=ï ;;a;ajhkag fya;=j fiu l=ms; ùuhs' fï whqßka ysi wdYs%; l,dmfha fiï nyq, jkafka l=ula ksid±hs fidhd ne,sh hq;=hs' Bg fya;=j fndfyda fofkl= fkdis;k lreKla' fiï nyq, hhs lSj o tjeks whf.a YÍr WIAKdêl njla fmkajkjd' tu WIAKdêl nj YÍrfha ish¨u bkaøshhka yd wjhj j,g n,mEu we;s l< o fud<h wdYs%;j mj;skafka w;s ishqï iakdhq ffi, jk neúka tajd fuu WIaKdêl nj ksid úkdY úh yelsh' fuu ;;a;ajh j<lajd .kakg YÍrh úiska YS¾I l,dmhg ^ysi fmfoig& fiu f.kajd iajhxl%Sh YS;rlK jev ms<sfj,la ^Auto Cooling System& we;s lrhs' ish¨ .eg¨ u;=jkafka bka wk;=rejhs' fufia jeä jeäfhka ysia ln, ;=< tla /ia fjk fiu

142

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kdia l=yrfhka ndysr jd;h iu. tl;=jk CIqø Ôùka f.a n,mEfuka krla ùu ^fiï l=ms; ùu$fiï meiùu& g ,la fjkjd' tfia ¥IKh jk fiu ksid ysfia nr .;sh we;s jk w;r tu krla jQ fiu fud< l=yrfhka bj;a jk ;=re ysfia frda.dndO we;s lrkq ,nkjd' úfYAIfhka ysfia frda. w;ßka mSvdldÍ núka jeäu wjia:dj brejdrohhs' fuu ;;a;ajh je<÷Kq úg fuys we;s mSvdldÍ nj ksid frda.Skaf.a ish¿ ffoksl lgqhq;= mjd wvmK fjkjd' fï yereKq úg u<noaOh" .eiag%hsàia we;=¿ wdydr Ô¾K moaO;sfha ÿ¾j,;d m%uqL fjkjd' Bg wu;rj Èhjeähdj" w¾Yia" mSki" rla;ySk;djh" wêl ksÈ u; fyda kskao fkdhdu" nv mqrjd ±óu" uq;%d frda." jl=.vq wdY%s; ÿ¾j,;d" ms;a;dYfha .,a jßka jr u;= ù ke;sù hk jd;rla; jeks ifï frda." ldka;djkaf.a .¾NdI.; frda. iy wd¾;j fodaI jeks fya;+ka o we;eï T!IOhka §¾>ld,Skj Ndú;ho"

ysiroh we;s ùug úúO whqßka n,mdkjd' Bg wu;rj úúO udkisl mSvkhka ksid o ysiroh we;s fjkjd' ffjoH;=uks fuu ;;a;ajh u.yeÍug fhÈh hq;= ms,shï flfia úh hq;=o@ mj;sk fiu bj;a lsÍu yd fiu úh,Sug m%;sldr lsÍfï§ kej;;a WIAKdêl nj m%uqL ùfuka fud<h wdY%s;j mj;sk ishqï iakdhq ffY, úkdY úh yelshs' kuq;a fud<h wdY%s; l,dmh isis,kh lsÍug kï uq¿ YÍrfhau WIAKdêl nj wvq lsÍu fuys§ wm isÿ lrk m%Odk m%;sldr l%uhla' Bg wu;rj frda.shdf.a YÍrfha mj;sk wksl=;a wys;lr ;;a;ajhka fidhd n,d Bg wjia:dkql+,j ksis ms<shï fhÈh hq;=hs' yqÕdla fofkla is;kafka ysiroh ksÜgdjgu iqjl< fkdyels jßka jr u;=jk ta fj,djg fõokd kdYlhlska hgm;a l< hq;= frda.hla f,ihs @ we;a;gu wm lrd tk frda.Ska f.ka jeä msßila mjik lreKla ;uhs Tn th u;=

doctormagazine.lk

lf<a" fndfyda frda.Ska ysi lelal=ug m%;sldr ,nd .;a;;a ksis f,i iqj fkdjQ wh' fïlg fya;=j ta whf.a frda. ;;a;ajhkag m%;sldr lsÍfï § ksis f,i frda.h ms<sn| fidhd n,d frda. ksodkhkag m%;sldr fkdfh§uhs' we;a;gu ffjoHjrhd i;= ksjerÈ frda. mÍCIdj" tu.ska frda. ksYAph lsÍfï yelshdj iy tu y÷kd.;a ;;a;ajhg wjia:dkql+,j ksis m%;sldr lsÍu hk lreKq wkqj fuu frda.hka ksÜgdjgu iqjlr .; yelshs' kuq;a ;djld,slj fõokd kdYl j,g fhduq ùu fjk;a wk;=re wdndO iys; miq ld,Skj nrm;, .eg¿ we;s lrk ;;a;ajhla úh yelshs' ysi lelal=u yeÿKq úg mßiaiï úh hq;= wdldrh ms<sn|j WmfoaYkhla fokjd kï@ úfYaIfhka fuu frda.Ska ijia ld,fha we,a Èh kEfuka je<lsh hq;=hs' ;jo wêl WIAK wdydr" u;aøjH iy ÿï mdkfhka je<lsh hq;=hs' f;,a iys; lD;%su wdydr j,ska je<lSuo hym;a nj fmdÿfõ lshkak mq¿jka'

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jeä ÿr WmfoaYhla ,nd fokjd kï Èh hq;af;a ta ta frda.Ska ms<sn|j mQ¾K mÍCIKhlska wk;=rej mj;sk ;;a;ajhg iy mqoa.,hdg wkqrEm jk f,ihs' ffjoH;=uks" wdhq¾fõo m%;sldrhka j,g fndfyda wh ue,s jkafka lIdh j¾. j,g fnfy;a nvq fiùu lIdh ;eïîu jeks l%shdjka isÿ l< hq;= ksihs' thg Tn;=udg Èh yels úi÷u@ talg úi÷ula yeáhg ;uhs uu mQ¾K jYfhka ksIAmdÈ; T!IO frda.Skag ,nd fokafka' tajd j¾;udk ld¾hnyq, Ôjk rgdjg .e,fmk f,ig ld¾hd,fha§" jev ìul§" uÕ f;dfܧ jqj;a myiqfjka Ndú;d l< yels mßÈ m¾fhaIKd;aulj ÈhqKq l< T!IOhs' tu ksid myiq T!IO Ndú;h jeä fofkl= w;r w;sYhska ckm%sh fj,d ;sfhk nj ldg;a ják mKsúvhla fõú'

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April 2017

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