Doctor Magazine July 2019

magazine Doctor The Premier Bilingual Health Magazine in Sri Lanka Volume 25 • July 2019

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ISBN-1391 1341

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JULY 2019

VOLUME 25 • ISSUE 07

Regular

Editors Note 6 Health News iqmqj; 8 u;g tfrys igk f,dj w;sNhdklu u;aøjHhla ICE ffjoH iuka; l=udr ls;,jwdrÉÑ 10

Leukemia <uhskag yefok ,shqflañhdj ms<sld frda. úfYaI{ ffjoH ouhka;s mSßia 22

IVF & IVU Techniques mqreI u|ire njg fhdok ms<shï l<, úoHd ffjoH uodr /<mkdj 28

Fertility jhi okafku ke;sj f.ú, .shd' újdm;a fjk úg m%udohs' ta;a ;efjkak tmd

Features

Ovarian Cysts äïnfldaI j, we;sjk f.ä m%ij yd kdß frda. úfYaI{ ffjoH pdñkao udf;dg 42

Asthma weÿu - weÿu jeks ksoka.; frda. i|yd ms<shï Yajik frda. úfYAI{ ffjoH wñ; m%kdkaÿ 46

The cutest deformity ever lïuq,a j, .eiSu 54

idhksl l<,fõo úfYAI{ ffjoH fy<rejka mikal=udr 34

Palliative care experiances in Sri Lanka iqjl< fkdyels ;;a;ajfha ms<sldjlska mSvd ú¢ frda.sfhl=f.ka W.;a mdvï ms<sld frda. úfYaI{ ffjoH Idu .=K;s,l 15

Laboratory Tests Explained msßñka i|yd isÿ lrk PSA mÍlaIKh kS,a m%sh;a fcdaka 76 Homeopathy Medicine ysirohg - brejdrohg ksiel iqjh f.k fok fydañfhdam;s fjolu fydañfhdam;s ffjoH wkqId fyaul=udr 108

Liposuction isrefrys jeämqr fïoh bj;a lrk ie;alu ma,diaála yd m%;sks¾udK úfYaI{ Y,H ffjoH wñ, isßj¾Ok 57

Cataract Surgery wefia iqog lrk ie;alï 66 Glaucoma mßmQ¾K wkaO;djh j,lajd .ekSug .aÆfldaud mÍlaIK 68 2

July 2019

DOCTOR MAGAZINE

doctormagazine.lk

Reproductive Endocrinology *Female hormone profiling *Male hormone profiling *Ovarian reserve testing Andrology Services *Seminal fluid analysis *Automated sperm analysis *Sperm DNA fragmentation *Sperm freezing Reproductive diagnostics *Pelvic ultrasound*3D ultrasound *HSG *Diagnostic laparoscopy*Diagnostic hysteroscopy

Intra-Uterine Insemination *Frozen sample IUI *Donor sample IUI *Sperm processing to be taken Assisted reproductive surgery *Hysteroscopic resection of fibroids *Laparoscopic Polypectomy *Laparoscopic Myomectomy *Laparoscopic Adhesiolysis *Laparoscopic Adenomyomectomy Others *Fertility Counselling *Nutritional Advices *Periconceptual Care

JULY 2019

VOLUME 25 • ISSUE 07

Homosexuality Y%S ,xld fi!LH fiajfha fydafudafmdìhdj 79 Psychosomatic Diseases uereKq ñksiaiq fmf¾;hkaj cSj;aj bkak whg jefykjdo@ ufkda Ñls;ail mS tka úoHdl=,m;s 82

Grief Reaction ÿla lror fldhs fjf,a ldg kï we;s úh yelso@ úkdYhlska miq ÿl fnod.ekSu ufkda frda. ffjoH tka l=udrkdhl 96

flf<ys .=K fkdj fï zfl< j,Z .=K .ekhs ffjoH rEmsld .=Kr;ak 100 Baby Health

Child Care orejd ffjoHjrfhl= fj; /f.k hk úg <ud frda. úfYaI{ ffjoH fiakl .=K;s,l 62

Heart attack yDohdndOhla we;s jQ úg isÿ l< yels fyd|u m%;sldrh PCI m%;sldrhhs

DOCTOR MAGAZINE

Health Benefits of Turmeric f,v frda. /ila u¾Okh lrk ly l=vq 107 wdhq¾fõoh flÜgqjg ;s; ffjoH uydkdu ymqf.dvf.a 112

uyú, uyre fjolï iqjh ,enQjka mqok ;=;s l=iqï Tongue tie orejka ny f;dark úfha we;sjk .eg¨jla ne|s osj 65

Health benefits of Red rice oshjeähdjg fyd|u r;= ndiau;S iyf,a .=K ffjoH ckl fm%au;s,l 72 July 2019

Health Benefits of Coffee fldams isref¾ nr wvq lrkjd ffjoH YdLH wurfialr 104

foaYSh mdrïmßl ffjoH u' ly|j, wdrÉÑf.a 114

Nutrition

4

,xldfj wms .a?ï 83la lkjd''' 102

fld÷weg fm< frda. ksÜgdjg iqj lrk foaYSh mdrïmßl isxy, fjolu

yDo frda. úfYAI{ ffjoH mKavq, w;djqowdrÉÑ 87

Sports Health jHdhdu lsÍfï§ jeämqr c,h mdkh lsÍu wys;lr wehs @ ffjoH risl chmd, 94

iSks osklg lkak ;sfhkafk .a?ï 50hs'''

uydpd¾h fya uQ fikr;a chiQßh nKavdr 119

.=rej;a; j,õfõ .%Ska y¾n,a iud.fuka ;Ügh uÜgq lrk wfmau fidhd .ekSula''' flaI uQ, ;r,h 122 uq;%dYfha .,a ms;a;dYfha .,a iqjm;a lsÍug mdrïmßl ms<shï ;sfío@ wdhq¾fõo ffjoH rejka r;akdhl 125 doctormagazine.lk

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EDITOR'S NOTE UNICEF Sri Lanka sends strong message by temporarily removing parent from logo UNICEF f,daf.dafjka bj;ajQ uõmshNdjfha ixfla;h

m<uq wjqreÿ my ;=< orefjlaf.a cSú;hg jvd;au wjYH jk yjq,alrejka jkqfha uj yd mshdhs' fï ld,h ;=< orejdf.a fud<fha ;;amrhg iakdhq in|;d ,laI oyhla muK we;s fjhs' j¾Okhg" bf.Kqug" ish¿ l%shdldrlï j,g moku imhkafka fï iqkaor <ud wjêhuhs' uq,au ikaosfha uõlsß oSu" orejdg wjYH ksjeros fmdaIKh ie,iSu fukau wdorh yd lemùu yd ine|S ujf.a yd mshdf.a m%;spdrd;aul ixfõok w;sYhska jeo.;a jk fï ld, mßÉfPaofha wfma uõjreka" mshjreka we;af;kau ;u wdorKShhka fjkqfjka wem lemùfuka lghq;= lrkjdo@ /lshdj ksid fjk;a j.lSï yd hq;=lï ksid uõmshkaf.ka .s,SyS hk orejka fjkqfjka lem l< hq;= jákd ld,h kej; jy jyd orejdg <Õd lr osh hq;= nj UNICEF wdh;kh fmkajd fohs' tfiau rdcH m%;sm;a;s j,o fuhska Tíng .sh ore ñ;=re fiajdjka ;jÿrg;a y÷kajd oSfï jeo.;alu fmkajd fohs'

f,dalfha mshjrekaf.a oskh fhoS we;af;a cqks 16 jkodgh' tlai;a cd;Skaf.a <ud wruqof,a Y%S ,xld ld¾hd,h fï oskh yd iu.dój wmQQ¾j Ndú;djl fhÿfkah' orefjla jvd yqka ujlf.a fyda mshl=f.a Pdhdj iys; 70 jila bmerKs f,daf.dafõ tu ujf.a fyda mshdf.a fiahdrej ;djld,slj bj;a lf<ah' ,xldfõ orejkaf.a fjfiia wjYH;djhka Wfoid jvd;a jeä lemùula" fjkiaùula wjYH nj ,dxflah uõmshkag wjfndaO lrùu yd orejkaf.a wjYH;d flfryS m%;sm;a;s iïmdolhkaf.a jeä wjOdkh fhduqùu wjYH nj fmkajd oSu fï fid÷re úfrdaOfha wruqK úh'

6

July 2019

DOCTOR MAGAZINE

zzuõmshNdjh f,dalfha W;=ïu /lshdjhs' tfy;a wjdikdjg fï ld¾hh ksjerosj bgq lsÍug wo ojfia fndfyda uõmshka wiu;a fjhs' fï ysÕmdvqj orejdf.a fi!LHhg" wOHdmkhg fukau M<odhS;djhg ;SrKd;aul n,mEula lrk nj Tn okakjdo@ wdh;kfha ksfhdacs; áï iÜka m%Yak lrhs' wo ojfia orejka úYd, jYfhka wNsfhda.hka /ilg uqyqK md isà' fïjd yqfola fkdmsg fmr¿Kq wfma cSjk rgdfõ ;j;a tla m%;sM<hla muKla uq;a orejka wfma rfÜ wkd.;h fukau wfma jákdu iïm; jYfhka i<lk l< fï wjodku" fï wNsfhda.hg uqyqK oSu wmf.a uqLH m%uqL;djhla ysñúh hq;= lreKla fkdfõo@ wfma rfÜ <ud mrmqrg jvd;a hym;a wkd.;hl iqrlaIs;;djh iu.ska UNICEF f,daf.dafõ uq,a yevrej kej;;a wfma foijka mskjñka f,,fokq oelau wmf.a wNsm%dhhs' DM

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

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Volume 25 â&#x20AC;˘ Issue 07, July 2019

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EDITOR IN - CHIEF Bharata Gunathilaka FOUNDER EDITORIAL CONSULTANT Late. K.M. Gunathilaka MANAGING EDITOR Amitha Wickramarachchi FEATURES EDITOR Shyamalee Pathirage 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. Samantha kumara Kitalawaarachchi Dr Palitha Bandara Subasingha Dr Nalaka Ranasingha Dr Janaka Premathilaka Dr Devinda Dayarathna Mr Sanjaya De Silva Mr S M D Senevirathna Ms Hashini Himanshika CREATIVE PRODUCTION Thisakya Design Studio 0714674448 WEB ADMINISTRATOR Dumindu Dissanayake PRINTING/CIRCULATION Imashi Printers, #96A, Wanatha Road, Gangodawila, Nugegoda.

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July 2019

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

DOCTOR MAGAZINE

7

D•Magazine /

Health News

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HEALTH NEWS iqmqj; HIV yd is*s,Sia ujf.ka orejdg fndaùu ;=rka l< rgla njg ,xldj m;afjhs tÉ'whs'ù' iy is*s,Sia ujf. ka orejdg fndaùu ;=rka l< rgla njg Y%S ,xldj m;aj ;sfí' 2019 j¾Ifha§ th YS% ,xldfjka ;=rka l< njg wod, ;;a;aj iy;slh msßkeóug f,dal fi!LH ixúOdkh iQodkñka isák nj fi!LH m%j¾Ok ld¾hdxYh i|yka lf<ah' ol=Kq kef.kysr wdishd l,dmfha fuu iy;slh ,nd.kakd f;jeks rg njg m;ajkafka Y%S ,xldjhs' YS% ,xldj ;=, bmfok iEu ì,sf|l=u ujf.ka orejdg wdidokh jk tÉ'whs'ù' iy is*s,Sia hk frda. j,ska f;drj bm§u wruqKq lr .ksñka ud;D yd <ud fi!LH fiajdjka YS% ,xldj ;=< ls%hd;aul fõ'

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July 2019

DOCTOR MAGAZINE

ta wkqj iEu .¾NKS ujlgu ;u .ï m%foaYfha idhkhg iyNd.S ùfuka tÉ'whs'ù' iy is*s,Sia i|yd ish¿ uQ,sl fiajdjka iy mÍlaIK fkdñf,a isÿlr .ekSug wjia:dj i,id we;s nj fi!LH wud;HxYh i|yka lf<ah' —osklg ms<sld frda.Ska 76la w¨f;ka ,shdmÈxÑ fjkjd˜ ms<sld frda. úfYaI{ ffjoHjrekaf.a ix.ufha f,alï - wñ;a uOqrx.

YS% ,xldj ;=< Èklg ms<sld frda.Ska 76 fofkl= w¨f;ka ,shdmÈxÑ jk nj ms<sld frda. úfYaI{ ffjoHjrekaf.a ix.ufha f,alï" úfYaI{ ffjoH cd,sh chfialr uy;d mejiSh' ta wldrhg 2018 jif¾§ kj ms<sld frda.Ska 28"000la rcfha ms<sldh;k 24ys ,shdmÈxÑ ù ;sfnk njo f,alïjrhd i|yka lf<ah'

fï w;ßka ldka;djka ms<sfj,ska mshhqre ms<sldj" ;hsfrdhsâ .%kaÓh wdYs%; ms<sldj,g yd .eíf., wdYs%; ms<sld j,g uqyqK § isák njo chfialr uy;d m%ldY lf<ah' fuu ms<sld uq,a wjia:dfõ§ y÷kd .ekSfuka ksÜgdjg iqjlr .; yels nj;a" ta i|yd ck;dj ±kqj;a lsÍfï jevigyka meje;aúh hq;= nj;a fyf;u mjid isáfhah' fi!LH m%j¾Ok ld¾hdxYfha mej;s idlÉPdjl§ jeäÿrg;a woyia ±lajQ ffjoH cd,sh chfialr uy;d" —±ka jeä jeäfhka ms<sld y÷kd .ekSu isÿfjkjd' ldka;djkaf.a .eíf., yd äïnfldaI wdYs%;j ms<sld j¾. rdYshla ;sfnkjd' fïjd uq,a wjia:dfõ y÷kd .ekSfuka

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ksÜgdjg iqjlrkak mq¿jka' ta i|yd tkak;a m%;sldr ;sfnkjd' úfYaIfhka .eíf., ms<sldj uq,a wjia:dfõ frda. ,laIK y÷kdf.k meñKshfyd;a iudcfhka whska lrkak mq¿jka' ol=Kq wdishdkq iudcfha ÿ¾u;hla ;sfnkjd ms<sldjla wdfjd;a urKh ;uhs tal fyd| lrkak neye lsh,d' m%:ufhka fuh ck;djf.a T¿fjka whska l< hq;=hs' ÿ¾u; ksid ck;dj m%;sldr i|yd fkdmeñfKk wjia:d ;sfnkjd' we;eï mqoa.,hkag ffjoHjre frda. ksYaphla ÿkakdg miq ndysr mqoa.,hkaf.a Wmfoia wkqj m%;sldr j,g fhduq fkdjk ;;a;ajhla olskakg ,efnkjd' ÿ¾u; ksid kshñ; m%;sldr j,g fhduqùfï wvqjla ;sfnkjd' fuu ;;A;ajh j<lajd .kak ´k˜ hkqfjka mjid isáfhah' fvx.= WK ;sfhkjd kï jydu ffjoH Wmfoia .kak' cd;sl fvx.= u¾Ok tallh ck;djf.ka b,a,hs meh 48 lg jeä ld,hla WK mj;skjd kï iqÿiqlï ,;a ffjoHjrfhl= fj; fyda frday,la fj; f.dia m%;sldr ,nd.kakd f,i cd;sl fvx.= u¾Ok tallh ck;djf.ka b,a,d isà' óg wu;rj <orejkag yd .¾NKS uõjrekag WK ;;a;ajhla we;sjQ jydu

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ffjoH Wmfoia yd m%;sldr ,nd.; hq;= njo tu tallfha úfYaI{ ffjoH m%Ys,d iurùr uy;añh i|yka l<dh' meh 48lg jeä ld,hla WK" ysiroh" uiams~q iy ykaÈ fõokdj" Tlaldrh" jukh" iu r;= meye ,m yg.ekSu" reêr jyk ;;a;ajhka we;akï jydu frday,lg fyda iqÿiqlï ,;a ffjoHjrfhl= <Õg f.dia m%;sldr ,nd.; hq;= njo ta uy;añh mjid isáhdh' fvx.= uÿrejka Wfoa 6'00 isg 11'00 olajd;a iji 3'00 isg 7'00 olajd jvd;a il%Shj mj;sk ksid uÿre oIaG lsÍu wju lr .ekSug uÿre úl¾Il ifï wdf,am lsÍu m%fhdackj;a njo lshd isáfhah' fvx.= frda.Skaf.ka ;j;a flfkl=g fvx.= fndaùu j<lajd .ekSug fvx.= frda.Ska Èjd ld,fha§;a uÿre ±,lska wdjrKh ù isáh hq;= njo ffjoH m%Ys,d iurùr uy;añh i|yka lf<ah' udi 05l ld,fha§ fvx.= frda.Ska 18"760la ó WK frda.Ska 1"834la fuu jif¾ ^2019& ckjdß 01 jeksod isg uehs 31 jeksod olajd ld,h ;=, fvx.= frda.Ska oywgoyia y;aish yegla yd ó WK frda.Ska tlaoyiawgish úisy;rla jd¾;d ù ;sfnk nj jix.;

frda. úoHd wxYh i|yka lrhs' fï jif¾ ckjdß udifha§ fvx.= frda.Ska 5"578la yd ó WK frda.Ska 403lao" fmnrjdß udifha§ ó WK frda.Ska 300la yd fvx.= frda.Ska 3"732lao" ud¾;= udifha§ fvx.= frda.Ska 3"808la yd ó WK frda.Ska 469lao" wfm%a,a udifha§ ó WK frda.Ska 310la yd fvx.= frda.Ska 2"849la iy uehs udifha§ fvx.= frda.Ska 2"795la yd ó WK frda.Ska 342la jd¾;d ù ;sfí' miq.sh jif¾ m<uq udi 05l ld,h ;=,§ ó WK frda.Ska 1"612la jd¾;d ù we;s w;r" tu ld,h ;=,§ fvx.= frda.Ska 21"326la jd¾;d ù we;' fï jif¾ f.ù .sh udi 03l ld,h ;=,§ jeäu fvx.= frda.Ska jd¾;d ù ;sfnkafka fld<U Èia;%slalfhka jk w;r"tu Èia;%slalfhka fvx.=frda.Ska 4"066la jd¾;d ù ;sfnk nj;a jeäu ó WK frda.Ska m%udKhla r;akmqr Èia;%slalfhka jd¾;d ù we;s w;r" tu m%udKh 327la nj;a jix.; frda. úoHd wxYh i|yka lrhs' tfiau fmdÿfõ .;a l, iEu Èia;%slalhlskau fvx.= frda.Ska yd ó WK frda.Ska jd¾;d ù ;sfnk njo jix.; frda. úoHd wxYh mjihs' DM

July 2019

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A drug free country f,dj w;sNhdklu u;aøjHhla ICE

fï u;aøjH .;af;d;a Tnf.a cSú;h jir ;=klska wyjr fjkjd f,dj w;sNhdklu u;aøjHhla ICE ke;akï weúosk ms,a,shla f,i uefrk ;=rd cSú;h .; lrkak isoaO fjkjd'''

fu

ffjoH iuka; l=udr ls;,jwdrÉÑ úisks

10

July 2019

f;la l,a Tn wid we;s oel we;s .xcd" ìh¾" we,afldfyd,a" ÿïjeá hk fï ish,a, ksYamdokh lrkq ,nkafka Ydl m%Njhkaf.ka nj Tn oekgu;a okakd lreKla ù we;' kuq;a Tn floskl fyda wid ;sfnkjdo" ±kqj;a ù ;sfnkjdo@ f,dAlfha ;reK mrmqr .s,.kakd lD;%suj idok u;aøjHhla ms<sn|j' w;f,diaila fï lreK ms<sn|j ±Kqj;a jqj;a ;ju;a wfma nyq;rhla fokd fï .ek fkd±k isáh yel' ,xldjg ;ju;a wd.ka;=l uq;a ,xldfõ “whsia” kñka y÷kajk fuu w;s Nhdkl u;aøjHfha úoHd;aul kduh Methamphetamine fõ'

DOCTOR MAGAZINE

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f,dalfha Nhdklu u;aøjHhla jk Crystal Meth tfia;a fkdue;s kï ICE Crystal, Meth, TINA, CHRISSY, S PEED wdÈ fndfydauhla kï j,ska jHjydr jk u;aøjHhls' ICE leg fyda fm;s f,i mj;sk w;r ÿUqre" ly ÿUqre" ;eô,s" ks,a fyda frdai jeks meyehkaf.ka we;' f,dalfha we;s lD;su % j ksmojk u;aøjHhla jk fuh ridhkd.dr ;=< ksmojkq ,nhs' fuh b;d Nhdkl øjHhla jk w;r fuh ksIamdokfha§ msmsÍ hdulg mjd ,laù úYd, úkdYhlao isÿùug bv we;' ICE rd;a;,la ksmoùfï§ ta yd iudkju 5 .=Khl úI mßirhg uqod yefrkq we;' úkdYh we;s lr .kakd l%u weÕg tkak;a lsÍu" ÿï f,i wd>%dkh lsÍu" íf,aâ tllska YÍrh ;=jd, lr Bg ICE l=vq oud jeiSu fyda ;=jd,h jgd ,hsgrhlska r;a lsÍu wd§ l%u uÕska fuh u;af,da,Ska Ndú; lrkakg fm<ö we;' ICE Ndú;hg ±ä f,i weíneys jqjfyd;a wjqreÿ 3la we;=<; lk;a;g fkdñf,au álÜ tlla ,efnk nj kï ilaiqola fia meyeÈ,sh' tfia;a fkdue;s kï

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fkduereK;a Ôj;a jkafka ms,a,shla f,ih' ICE l=m%lg meálsßh 1893 § ICE m%:ufhkau ksIamdokh lr we;s nj i|yka fõ' miqj fïjd fojeks f,dal hqO iufha fid,aodÿjkaf.a l%shdYS,s;ajh kxjk W;af;aclhla jYfhka Ndú; lr we;' fuu u;aøjH YÍr .; ùfuka wêl l%shdYS,S;ajhla we;s jk njo isrer Yla;su;a cjiïmkak njlska msfrk njo ±ä wd;au úYAjdihla we;s jk njo lsh;s' ICE YÍr .;jQjkaf.a yeisÍu muK blaujQ l,n,ldÍ

July 2019

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f,dj w;sNhdklu u;aøjHhla ICE

A drug free country

.;shla fmkakqï lrhs' fï ish¿ iem iy u;anj ;djld,slh' fiiq u;aøjH j,g jvd fnfyúkau ydksodhlhs fiiq u;aøjH j,g jvd whsia j,g weíneys ùfï m%jK;dj ±ka ±ka by< hñka mj;skafka ICE tla wxY= ud;%fhka úYd, n,mEula YÍrhg isÿlrk neúks' flfia fj;;a fufia ;djld,sl úkaokhla ,ndfok úkdYldÍ nfjka w;s ìysiqKQ u;aøjHhls' fjk;a u;aøjHhkag jvd ñksia isrerg oreKq ydks muqKqjhs' wfkla u;aøjHhkag jvd

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July 2019

DOCTOR MAGAZINE

yd;amiskau fjkia iajrEmhla .kakd ICE u;aøjH Èk folla fyda ;=kla Ndú; l, úg weíneys ùu isÿfõ' ICE u;aøjH flá ld,Sk úmdl ² Tlaldrh ² kqreiaik nj ² wdl%uKYS,S;ajh ² wdydr wreÑh yd nv.skakla fkd±kSu ² idxldj ICE u;aøjH §¾> ld,Sk úmdl ² yDofrda. ² ms<sld ;;a;aj ² jl=.vq" wlaudj jeks bkaøshhka ydks ùu fyda wlS%h ùu" fud<fha ffi, úkdY ùu ² u;lh ke;s ùu ² iakdhq moaO;sh ÿ¾j, ùu fya;=fjka isrer lDIùu ² o;a fm< lE,s lE,s f,i leã hdu

doctormagazine.lk

fiiq u;aøjH j,g jvd whsia j,g weíneys ùfï m%jK;dj ±ka ±ka by< hñka mj;skafka ICE tla wxY= ud;%fhka úYd, n,mEula YÍrhg isÿlrk neúks' flfia fj;;a fufia ;djld,sl úkaokhla ,ndfok úkdYldÍ nfjka w;s ìysiqKQ u;aøjHhls'

doctormagazine.lk

ICE Ndú;hg wêl f,i weíneys ùu fya;=fjka fi!LH b;d fõ.fhka msßfyk w;ru uqyqfKao l¿ ,m ;ekska ;ek ±l .kakg;a" úhm;a Ndjhla u;=jkakg;a wjia:dj we;' tlai;a cd;Skaf.a ixúOdkfha u;aøjH yd wmrdO ms<sn| wxYhg wkQj" f,dalfha fï jk úg fuá%la fgdka 500la muK ICE hk ridhk øjH kS;s úfrdaë f,i ksmojk nj y÷kdf.k ;sfnk w;r f,dalh mqrdu ñ,shk 24la-25la muK msßila weíneys ù isák u;aøjHla njg ICE m;aù we;' urKh wìuqj olsk úmÍ; f,dalh ICE Ndú;d lrkakkag uqyqK §ug isÿj we;af;a ldhsl fyda udkisl jYfhka kej; f.dv taug fkdyels ;;a;ajhlgh' Tjqkag isrer mdfjk nj ±kSu" ;udg wêl ldh n,hla we;ehs ±kSu wd§ úldrrEmS woyia Ndú;fhaoS we;sjk uq;a fï ish,a, Tiafia b;d fõ.fhka ;ukaf.a urKfha udj;o ilia jk nj Tjqka fkdokakd lreKhs' tfukau u,noaOh" YÍrh fjõ,Su" o;a yd weglgq Èrd hdu iy wjhj úlD;s ùu ldhsl jYfhka we;sjk nrm;< ydks w;r fõ' ICE j,g weíneys jQjka úuik l< we;eï Okj;a ;reK ;reKshka w;r ckm%shj we;s nj fmfka' tfiau iudc cd,d îÉ mdá iy rd;S% ido j,o we;eï cd;Hka;r mdi,a b,lal lr f.ko fuh wf,ú fõ' yDohg ±ä wjodkï iys; fuu u;aøjH Ndú; lrk furg ;reK ;reKshka meh .Kkla tl È.g k¾;kfha fhfo;s' udrl u;aøjHhla f,i m%isoaO METH fiiq u;aøjHj,g jvd isÿlrk iudc n,mEu b;d nrm;,h' thg Tfí ióm;ufhla lsishï weíneysùula ;sfnkjd kï Tyq jy jydu mqkre;a;dmkh l< hq;af;ah' jvd;a jeo.;a lreK jkqfha fï udrdka;sl u;aøjHfhka yd wjfYaI u;aøjH j,ska Tfí orejka fírd .ekSug fkdj,yd lghq;= lsÍuhs' DM

July 2019

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Palliative care

ms<sld frda.Ska weiqf¾ ,o w;aoelSï

Palliative care experiances in Sri Lanka

ms<sld frda.Ska weiqf¾ ,o w;aoelSï

wdisß Y,H frdayf,a ms<sld frda. úfYaI{ ffjoH Idu .=K;s,l

iqjl< fkdyels ;;a;ajfha ms<sldjlska mSvd ú¢ frda.sfhl=f.ka W.;a mdvï ud fiajh lrkq ,nk mqoa.,sl frdayf,a pek,ska ldurfha fodfrka we;=<g wd fyf;u jhi wjqreÿ 65l muK jQ flfkls' Tyq iuÕ meñ‚ tu jhfiau fmkque;s ldka;dj Tyqf.a ìß| jQ w;r wfkla ;reK ldka;djka fofokd jeäuy¨" orejka fofokd úh' pek,ska ldurh ;=<g we;=¿ fkdù msg;ska isá ;reKfhl=o ug ksÍlaIKh jQ w;r mjqf,a nd, orejd jQ Tyqo ud ldurh ;=<g le|jd .;sñ' frda.shd iu. m<uq jpkh l;d lrkakg;a m%:u jeäuy¨ Èh‚h hehs iel is;sh yels ldka;dj uf.a lkg fld÷rd zzfvdlag¾" ;d;a;d f,fâ okafka kE' thdg f,fâ .ek fudl=;a lshkak tmd'''ZZ hehs uf.ka ne.Em;aj b,a,Sula l<dh' wehf.a b,a,Sug wjk; jQ njla fmkajñka uu" fïih u; ;enQ frda. jd¾;d ,sms f.dkq tlska tl lshjd n,kakg ùñ' bka wk;=rej frda.shdf.a wirK fofk;a foi n,ñka zzThdg oeka fldfyduo@'''ZZ lshd weiqfjñ'

Ôúf;a tmd fj,d bkafkaZZ zzwehs tfyu lsõfõ'''ZZ uu fmr<d weiqfjñ' zztkak tkaku wudre jeä fjkjd' lsisu fyd|la lshkak kE'''ZZ zzThdg ;sfhk wudre ug lshkak mq¨jkao@ZZ

zzlshkak ;rï fyd|la kE fvdlag¾''' ug kï oeka

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ms<sld frda.Ska weiqf¾ ,o w;aoelSï

Palliative care

zznv mef,kak jf.a lelal=uhs' tfyka fld÷kdráh mqmqrkak jf.a' T¨j fyd|gu nrhs''' ;Èkau' i;s .dklska yßyuka kskaol=;a kE'''ZZ fufia lshdf.k hk Tyqf.a fofk;a ;=,ska l÷¿ fífrkakg úh' zz;d;a;d nh fjkak tmd" wms fvdlag¾ .djg wdfõ f,fâ ikSm lr .kakfk'''ZZ fufia lshñka nd, Èh‚h mshdf.a ysi w;.dñka Tyqj ikikakg jQjdh' jir follg muK fmr Tyqf.a mqriaÓ .%kaÓfha ms<sldjla we;s nj fidhdf.k ;snq‚' fndfyda m%;sldrhkag ,lajQ uq;a Tyq ;udg we;s frda.h .ek jeä hula oek isáfhao ke;' miq.sh udi fol ;=k ;=<§ tu frda.S ;;a;ajh kej; W;aikak ù ;snQ w;r isrer mqrdjgu''' wiaÓj,g;a wlaudjg ^fuh widudkH me;sÍuls'& ms<sldj me;sÍ ;snq‚' fï f;dr;=re ud fidhd .;af;a frda.h ms<sn|j Tyq i;=j ;snQ jd¾;d

16

July 2019

DOCTOR MAGAZINE

j,sks' flfia fj;;a ysfia lelal=ug fya;=j fidhd ne,Sug fkdfhl=;a mÍlaIK lr ;snqKo" ta lsisjlg Bg fya;=j fidhd .ekSug fkdyels ù ;snqfKa uf.a Wml,amkhg wkqj kï wfkal úO mSvdjkaf.ka fõokd ú¢ Tyqg ksis m%;sldrhla fkd,eî ;snQ ksid we;sjQ oeä Ñ;a; mSvdj fuf,i oeä ysfia lelal=ula f,i ndysrg ksrEmkh jkakg we;s njhs' zzThdf.a fõokdj uu wvq lr,d fokakï' wmsg fmdâvla yÈis m%;sldr tll hkak fjkjd'''ZZ uf.a m%ldYh .ek oeä úYajdihla Tyq ;=< olakg fkdùh' tfia kuq;a yÈis m%;sldr tallh ;=< § fuda*ska T!IOh iug háka fok tkak;la f,ig Tyqg ,nd ÿksñ' .;jQfha ;;amr lsysmhls' frda.shd mqÿufhka fuka ud foi;a Tyqf.a isrer foi;a udrefjka udrejg n,kakg úh' oeka lelal=u fldfyduo@ uu Tyqf. ka weiSñ' zzfvdlag¾" ug fïl woy.kakj;a nE' uf. fõokdfjka iShg wiQjla ú;r fldfyka .shdo lsh,d ys;d .kakj;a nE'ZZ fufia mejiQ Tyqf.a uqfjys oeka kï hï i;=gl fiahdjla /£ ;sfnkq ug Èia úh' zzyß Thd fmdâvla fu;kg fj,d bkak uu Thdf.a f.or whg fmdâvla l;d lr,d tkakïZZ fufia mejiQ uu Tyqf.a ìß| iy orejka ;sfokd mfil ys÷jd Tjqka iu. l;d lrkakg jQfhñ' zzThf.d,af,d''' ;d;a;dg frda.h .ek lshkak wlue;s wehsZZ uu weiSñ' ish,af,dau u|lg ksy~j isá w;r ksyeçhdj ì¢ñka jeäuy,a Èh‚h fufia mjikakg úh' zz;d;a;d oeka f.dvla jhihs' thdg fï jf.a fohla lsõfjd;a f.dvla ÿl ysf;hs' ord.kak neßfjhs' talhs wms lshkak wleu;s'ZZ Thf.d,a, ;d;a;g f.dvla wdof¾ nj fmakjd' ta ksid ;uhs fuÉpr uykais fj,d thdf.a fõokdj wvq lr, fokak yokafka' yenehs we;a; oek.kak neßj ;d;a;g f,dl= mdvqjla widOdrKhla fjkjd lsh,d Thd,g

doctormagazine.lk

ysf;kafk keoao@ZZ zzta fldfyduo fvdlag¾''' ZZ

ZZThf.d,af,da yß" thdg f.dvla ÿl ysf;kak mq¿jka' óg l,ska thdg fï jf.a ÿlla we;sfj,d keoao@ZZ

zz´kEu ukqiaifhla ;udg fuf;la jqfka fudllao@ oeka fudloao fjkafk@ bÈßfha§ fudkjo fjkak ;sfhkafka@ lsh,d oek. kak leu;shs' úfYaIfhkau Thd,f.a ;d;a;d oeka bkak ;;a;ajh jf.a bkak flfkla' kslug ys;kak" wmsg fufyu fohla jqfKd;a''' wks;a wh wmsg we;a; iÕjkak yokfldg wmsg fudk ;rï mSvdjla we;s fjkjdo lsh,d'ZZ

zzthdf.a f,dl= mq;d welaisvkaÜ tllska ke;s jqKdu thdg wdmq ÿl ;=kS lr.kak udi lSmhlau .shdZZ

zzta;a fvdlag¾" ;d;a;d fïl oek.;a; lsh, thdg fjk jdish fudllao@ Ôú; ld,h wvqhs lsh,d oek.;a;u ÿlla ú;rhsfka we;sfjkafka'''ZZ

doctormagazine.lk

zzyd" ta fj,dfj ta ÿl wvq lr.;af; fldfyduo@ZZ zzwms Tlafldu thdg ÿl wvqlr .kak Woõ l<d' <Õskau ysáhd' thdg tal f,dl= yhshla jqkdZZ zzyßhgu yß" wkak ta jf.a f,dl= Woõjla thdg oeka Thd,f.ka ´ks lrkjd' iuyr úg todg;a jvd jeäfhka' iuyr úg wfmkq;a f.dvla Woõ ´ks fjkak mq¿jka' wms Tlafldu tl;= fj,d thdg Woõ lruq" ÿl ;=kS lr.kakZZ zzfvdlag¾" f,fâ we;a; ;;a;ajh oek .;a; lsh, thdg fudllao ;sfhk jdish@ZZ zzneßfj,dj;a Thf.d,a,kag fï jf.a ;;a;ajhla ;sífnd;a@ ta .ek oek.;a;u" Thf.d,af,da fudk jf.a fohla lrhso@ZZ u| fj,djla l,amkd lrñka isá Tjqka fufia mjikakg Wkd' zzwmsg kï lrkak f.dvla foaj,a ;sfhkjd' bjr

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ms<sld frda.Ska weiqf¾ ,o w;aoelSï

lr.kak neß Wk jev fldÉpr ;shkjo@ZZ zz;d;a;g;a tfyu ;uhs' thdg b;=re fj,d ;sfhk ld,h fldfyduo .; lrkafka lsh,d ie,iqï lr.kak mq¿jka' bjr lrkak neß fj,d ;snqKq jev bjr lr.kak thdg wjia:djla ,efnkjd' yeu ukqiaifhl=gu j.lSï lsh, fohla ;sfhkjfka' wms yefudagu mq¿jka bkak ldf, thdf.a wruqKQ bIaG isoaO lr.kak thdg Woõ lrkak'ZZ ZZwfma ;d;a;d ta j.lSï yeu tllskau ksoyia' wms Tlafldu nkao,d §, ;sfhkafka' u,a,s ú;rhs ;j b;=re fj,d bkafka' th;A .eKQ <ufhla tlal hd¿fj,d bkafk' wfkl" foafmd<;a Tlafldu fno, §,d ;sfhkafkaZZ zzukqiaifhlaf.a cSúf;a j.lSï lsh, lshkafk <uhska lido nkaok tlhs" foafmd< fno,d fok tlhs ú;rlauo@ wmg f,dl=jg fmfkkafk ke;s jqKdg yeu flfkl=gu bjr lrkak ;j jev f.dvla ;sfhkak mq¿jka' ;uka wdi lrk ;eka n,kak hkak' ys;j;=ka iu. wjika iuq.ekSu lrkak''' fï úÈyg wms fkdys;k f.dvla foaj,a ;sfhkak mq¿jka'ZZ

"

Palliative care

zzfvdlag¾" ug we;a; lshkak" ug f.dvla ld,hla kE fkao@ lula kE fvdlag¾" ug we;a;u lshkak'ZZ Tyqf.a fofk;ska l÷¿ je.sfrkakg úh' wi, isá ìß| yd orejkao l÷¿ j.=rejkakg úh' ieuf.a fYdalh m%ldY lsÍfï whs;sh iy wdldrh uekúka wjfndaO lrf.k ;snQ ud wjYH ;rï ld,h Tjqkag ta i|yd ,nd ÿkafkñ'

zzwfka ukaod'''ZZ fufia lshñka orejka iy ìß| tlsfkld foi n,d .;a;d' zzyß fvdlag¾" tfykï fyñysg lsh,d n,kakflda' yenehs thdg ord. kak mq¿jka úÈyg" ál ál lshkak'ZZ ZZfndfydu ia;+;shs' Thd,f.a ;SrfKag' f,vdg krlla fjk lsisu fohla uu lshkafka kE'''ZZ fufia mjiñka frda.shdf.a mjqf,a wh iu.u frda.shd isáh ;ekg .sfhñ'

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zzoeka Thdg fldfyduo@ZZ zzmqÿu iekiSula ;sfhkafk" fvdlag Thdg f.dvla msx'''ZZ azzThdf. f,fâ .ek Thdg fudlla yß uf.ka oek.kak ´kso@ZZ zzwfka fvdlag¾" msx isoaO fjhs' ug lshkak' lsisu flfkla uf.ka l,ska fufyu wy, kE'ZZ

ta;a talg ta whf.ka fj,djla .kak ug neß jqKd' yenehs oekakï ug f,dl= ielhla ;sfhkjd" fïl kslï f.ähla kï fjkak nE' ug ;sfhkafk ms<sldjla fkao@ lula kE" nh ke;=j lshkak uu nh fjkafka kE' ú¢kak ´k ÿla lkaord Tlafldu uu ú|,d bjrhs' fvdlag¾g mskaisoao fjkak uu oeka iekis,af,ka bkakjfk'ZZ zzThd ys;mq foa yß' Thdg ;sfhkafk mqriaÓ .%kaÓfha ms<sldjla'ZZ zyefudau ksyeçhdjlska isáhd' B<Õ fudfydf;a isÿ fjkafka l=ulaoehs iEu iEu fokdu ;=< ;snqfKa oeä ielhls'

zzThdg ysf;kafka" Thdg fudk jf.a f,vla ;sfhkjd lsh,o@ZZ

zzfvdlag¾" ug we;a; lshkak" ug f.dvla ld,hla kE fkao@ lula kE fvdlag¾" ug we;a;u lshkak'ZZ

zzl,ska fvdlag¾, kï lsõfj uq;%d fndlalg háka f.ähla ;sfhkj lsh," m%;sldr l<du fyd| fjhs lsh,;a lsõj' nh fjkak tmd lsh,;a lsõjd'ZZ

Tyqf.a fofk;ska l÷¿ je.sfrkakg úh' wi, isá ìß| yd orejkao l÷¿ j.=rejkakg úh' ieuf.a fYdalh m%ldY lsÍfï whs;sh iy wdldrh uekúka wjfndaO lrf.k ;snQ ud wjYH ;rï ld,h Tjqkag ta i|yd ,nd ÿkafkñ' frda.shd ;u l÷¿ Wrysiska msi ouñka ;u fYdalh m%ldY lsÍug ;ud ,o ld,h m%udKj;a nj ;u bßhõj,ska ud yg wjfndaO lrùh'

zzThdg ysf;k úÈhg ;sín f.äh fudk jf.a tlla lsh,o ysf;kafk@ ZZ zzwfka fvdlag¾" uu fï we;a;uhs lshkafk' ug uq, b|,u f,dl= ielhla ;sín' fïl kslïu f.ähla fjkak nE' wksl ug fnfy;a lrmq jdÜgqfõ ysá Tlafldu ms<sld f,âvq' wksl uu fïl fldfyduo uf.a f.or whf.ka wykafka' ta wh nh fjhs lsh,d ys;=kd' fvdlag¾ia,f. ka wykak lsh,d lSm j;djlau W;aidy lrd'

zzThd ys;kafk fldÉpr ld,hla ;sfhkjd lsh,o@ZZ uu fmr<d frda.shdf.ka weiqfjñ' u| fõ,djla ksy`vj isá Tyq ksye`ähdj ì|,ñka uDÿ niska fufia mejiSh' zzjeä ld,hla kï fjkak nE' ug oeka mgka .;a; ldf, jf.a fkfjhs f.dvla wudrehsfkZZ zzTõ" ug;a tal yßhgu lshkak nE' ld,h f.dvla wvqhs' f.dvla fj,djlg tal flá udi .Kkla fjkak mq¿jka' yenehs wjqreoaola jf.a ld,hla miqlrk tl ug ys;d.kak f.dvla wudre fohla' fïl oek.;a;u Thdg fudllao ysf;kafk@ZZ zzfudkj ys;kako fvdlag¾" fj,dj wdju ´fku flfkla hkak ´ksfk' tal j<lajkak ldgj;au nE' ta;a uu oeka talg nh kE' uf.a Ôúf;a f.dvla jev uu bjr lr,d ;sfhkafka'ZZ zz;j;a fudkjd yß úfYaI fohla" wdi lrk fohla

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19

D•Magazine /

ms<sld frda.Ska weiqf¾ ,o w;aoelSï

Palliative care

lrkak b;=refj,d ;sfhkjdo@ZZ uo fõ,djla l,amkd l< Tyq fufia mejiSh' zzo<od ud,s.dj je| .kak ;snqfkd;a fyd|hs lsh, ysf;kjd'''ZZ tu b,a,Su m%dfhda.slj bgqlr Èh yels whqre f.or wh iuÕ idlÉPd lr ie,iqï lsÍfuka wk;=rej Tyqg ksfjfi § .ekSug wjYH fuda*ska fõokd kdYl fm;s o wfkl=;a T!IO iy Wmfoiao imhd Tjqka msg;alr yeÍñ' fï l;dfjka úia;r lrkafka ,xldfõ mqoa.,sl frday,la ;=< m%Yia; uÜgfï iyk i;aldrl fiajdjla (Palliative care service) ,ndÿka wdldrhlah' by; l;dj lshùfuka wmg W.; yels foaj,a fudkjdo@ 1' cSú; ld,h iSud lrñka Ôú;hg ;¾ckhla f.k fok ms<sld jeks frda.j,ska mSvd ú¢k frda.Ska fukau Tjqkaf.a mjq,aj, whgo ;u frda.S ;;a;ajh iy ta ms<sn|j i;H f;dr;=re wjxl ikaksfõokh ;=<ska oek .ekSfï oeä wjYH;djhla we;' fï i|yd Tjqka fjkqfjka m%udKj;a ld,hla ,nd §u b;d jeo.;ah' 2' ms<sldjla jeks frda.hla je,£ iqj l< fkdyels ;;a;ajhg m;ajQ frda.sfhl=f.ka tu i;H f;dr;=re jika lrk fuka kEoE ys;ñ;=rka b,a,Sï lrkafka tu frda.shd flfrys we;s oeä wkqlïmdj ksidh' tjka wjia:djl f;dr;=re oek.ekSug frda.shd oeä leue;a;lska isà kï Tyqg ta i|yd we;s whs;sh b;d ixfõ§ f,i mjqf,a whg wjfndaO lr§u m%;sldr lrk ffjoHjrhdf.a hq;=lula fukau j.lSulao jk w;r ta i|yd oeä bjiSula ;¾lkfha ukd ksmqk;djhla" .eg¨ ksrdlrKh lsÍfï m%Yia; yelshdjla iy ikaksfõokfha msßmqka njla Tyq i;= úh hq;=h' 3' ,xldfõ .=Kd;aul urK o¾Ylh (Quality of Death Index) b;d my< w.hl mj;S' j¾I 2015 Economic Intelligence Unit jd¾;djg wkqj ,xldjg ta i|yd ,eî we;s w.h ishhlska 27'1ls' f,dalfha by<u .=Kd;aul urK o¾Ylh uyd ì%;dkH i;= jk w;r th 2015 j¾Ifha§ 93' 9 ls' frda.Skag ;u frda.S ;;a;ajhka ms<sn|j Tjqkaf.a b,a,Su u; ksjerÈ f;dr;=re imhd iqjl< fkdyels frda.Ska f.a Ôú;fha ;ukag b;sßj we;s ld,h ukdj ie,iqï lsÍug Wmldr lr ukd iyk i;aldr fiajdjla ;=,ska frda.Skaf.a fõokdj we;=¿ ldhsl mSvdjkago udkisl wdOHd;añl iy iudchSh mSvdjkag m%dfhda.sl úi÷ï ,nd§ Tjqka iykhg m;alsÍu ;=,ska Tjqyq fuu ;;a;ajh Wodlrf.k ;sfí' 4' iqjl< fkdyels frda.S ;;a;ajhkaf.ka oeä mSvdjka ú¢k frda.Ska f.a oeä ldhsl fõokdjkag ÈjHuh T!IOh jkafka fuda*skah' ;;amr lsysmhlska ldhsl fõokdj uev,Sug Bg yels jQ whqre fï l:dfjka meyeÈ,s úh' wjdikdjlg ,xldfõ fujeks frda.Ska fndfydauhlg fuda*ska T!IOh ;u fõokdjka uev,Sug ,nd.ekSfï yelshdj b;d wvqh' tneúka fndfydauhla fujeks frda.Ska ;u Ôú;fha wjidk ld,h .; lrkqfha b;d oeä fõokdjkaf.ka wiSñ; f,i mSvd ú¢ñks' fujeks frda.Ska i|yd fõokd kdYkh Wfoid fldmuK fuda*ska m%udKhla Ndú;d lr we;ao hkak tu rfÜ fi!LH ;;a;ajh uek n,k m%Odk ñkqï oKavla f,i Ndú;d lrkq ,efí' ta w;ska ,xldj b;d my;a uÜgul isák w;r tu ;;a;ajh fjkia lr m%Yia; fõokd kdYlhla Wfoid lghq;= lsÍu ish¨u fi!LH ld¾huKav, rfÜ foaYmd,k kdhlhska fukau m%cdj i;= j.lSula' DM

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July 2019

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Asiri Hospital Holdings PLC The Central Hospital Asiri Surgical Hospital PLC Centres & Labs

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

181, Kirula Rd, Narahenpita, Col-5 011 - 4523355/356/357 prlab@asiri.lk 114, Norris Canal Rd, Col-10 011 - 4665500 / 077 - 2092847 chllab@asiri.lk 21, Kirimandala Mw,Col-5 011 - 4524400 / 48 microlab@asiri.lk

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

Address

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

Telephone

E-Mail

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

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Leukemia

<uhskag yefok ,shqflañhdj

orejka ;=<ska fujeks ,CIK u;=jqfKd;a muKla Tfí ie<ls,su;aNdjh jeo.;a

<uhskag yefok ,shqflañhdj lsishï wjia:djl ;on, ìhla" ;e;s .ekaula we;sjqKq úg Tn miqj tA ms<sn|j i|yka lrkafka —wïfuda uf.a wefÕa f,a j;=r jqKd˜ lsh,hs' óg wu;rj tla;rd frda.hla fjkqfjka iuyr jeäysáhka —wefÕa f,a j;=r fjk f,f☠hkqfjka Ndú;d lrkjd' fudllao fï wefÕa f,a j;=r fjk frda.h @ fï frda.h y÷kajkafka ,shqlSñhd f,iska' iuyre fuh ,shqflañhd f,i o olajkjd' <ud ms<sld frda. w;r ishhg 40]la olakg ;sfnkafka fuu frda.hhs' ,shqlSñhd frda.fha§ wfma reêrfha r;= ffi,j,g jvd iqÿ ffi, ye§u jeä fjkjd' fuu frda.h zzwefÕa f,a j;=r lrjk frda.hZZ f,i fmdÿ ck;dj y÷kajkafkA tksid úh yelshs' ,shqlSñhdfõoS oelsh yels fmdÿ frda. ,laIK fudkjdo @ fufia reêrfha iqÿ ffi, jeäùu ksid f;d,a" Èj" w,a, jeks r;= meye ia:dk iqÿue,s ùu fï frda.fha§ ±lsh yels ,CIKhla' ms<sld frda. úfYaI{ ffjoH ouhka;s mSßia

22

July 2019

<ud ms<sld w;r nyq,ju ;sfnk frda.h lSj;a fuh iq,n frda.hl=;a fkdfjhs' ms<sld frdayf,a <ud jdÜgqjg hk Tng ,shqlSñhd frda.Ska jeä ixLHdjla olakg ,enqfKd;a ±ka fï

DOCTOR MAGAZINE

doctormagazine.lk

,shqlSñhdj we;s ùug fya;=j l=ulao @ ,shqlSñhd je<£ug n,mdk tlu fya;=j jYfhka ±kg fidhd f.k ;sfnkafk cdkuh n,mEuhs' cdkuh n,mEï lsõjg uj fyda mshdg" ke;akï mjqf,a ifydaorhl=g ,shqlSñhd ;sîu u; tA mjqf,a ;j orejl=g ,shqlSñhd yg.ekSu isÿjkafk kE' orejl=f.a cdk yefokafk ujf.a iy mshdf.a j¾Kfoayhla tl;=ùu ;=<ska' fuu ls%hdj,sh b;du ixlS¾K jQjla' tys§ isÿjk lsishï fjkiaùula u; hï orejl=g ,shqlSñhd yg.; yelshs' cdkj, n,mEu hkqfjka woyia lf<a thhs' ,shqlSñhd úfYAI fudkjdo @ ,shqlSñhd m%Odk j¾. folla ;sfnkjd' tA Acute Lymphoblastic Leukemia iy Acute myloblastic doctormagazine.lk

"

frda.h b;d iq,nhs hkqfjka yefÕkak mq¿jka' kuq;a ms<sld jdÜgqjla foi n,d ms<sld fyda ,shqlSñhd jeähs hkqfjka ks.ukh lsÍu jerÈ w¾:l:khla'

,shqlSñhdjl m%Odk jYfhkau ±lsh yels ,CIKhla jkafka WKhs' fuu WfKys ;sfnk úfYaI;ajh jkafka fiïm%;Y s Hdj" leiai jeks fjk lsisÿ fya;=jla ke;sj WK .ekSuhs'

July 2019

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23

D•Magazine /

<uhskag yefok ,shqflañhdj

Leukemia

Leukeamia f,iska' fï yereKq úg Chronic myeloid leukeamia jeks ;j;a t;rï nyq, fkdjk ,shqlSñhd j¾.;a ;sfnkjd' fïjd <uhska ;=< olskakg ;sfnk ,shqlSñhd úfYaIhkqhs' fmdÿfõ fï fldhs tl;a ,shqlSñhd jYfhkauhs ye¢kafjkafka' fï ´kEu ,shqlSñhdjl§ ndysßka we;sjk frda. ,CIK;a tlu wdldrhhs' ,shqlSñhd wdldrh y÷kd.kafka flfiao @ hï flfkl=g ,shqlSñhd je<£ we;s nj ikd: jqfKd;a ffjoHjrhd th wÞ< mÍCIK u.ska ksjerÈj y÷kd .kakjd' ksoiqkla f,i by; i|yka l< ALL (Acute Lymphoblastic Leukeamia) kï ,shqlSñhd úfYaIh tu ffi,j, yd cdkj, iajNdjh wkqj m%Odk fldgia ;=klg fnfokjd' ffjoHjrhd úiska frda.shdg je<£ ;sfnk ,shqlSñhd j¾.h yßhgu ksjerÈj mÍCIK u.ska y÷kdf. khs m%;sldr isÿlrkafka' fmdÿfõ ´kEu ,shqlSñhd j¾.hlg ;sfnk m%;sldr fndfyda w;=re wdndO iys;hs' tA ksid yßhgu ksjerÈj frda.h 24

July 2019

DOCTOR MAGAZINE

y÷kdf.k Bg wÞ< m%;sldru lrk úg tA wkqj yg.kakd w;=re wdndOj,g muKhs frda.shdg uqyqK fokakg isÿjkafka' ,shqlSñhd jvd wk;=reÞhl iy tmuK wk;=reÞhl fkdjk tAjd jYfhkao j¾. lrkak mq¿jka' kuq;a fujeks fohl=;a ;sfnkjd' tkï jvd wk;=reÞhl fkdjk

,shqlSñhd j¾.hlskq;a we;eï úg frda.shd ñhhEug yelsùuhs' ,shqlSñhd frda.Ska orejkag lrk m%;sldr j, id¾:l;ajh l=ulao @ ,shqlSñhd fldfydu;a udrdka;sl frda.hla' kuq;a wfma rfÜ ,shqlSñhd je<÷Kq orejkaf.ka 80] la muKu iqjh ,nkjd' tf,i iqjh ,eîu

doctormagazine.lk

,shqflañhdfõoS we;sjk reêr.; fjkialï

i|yd m%;sldr muKlau m%udKj;a jkafka;a kE' ,shqlSñhdj,g jir folla muK tl È.g fkdkj;ajd fkdjrojd ksis ms<sfj<gu m%;sldr ,ndÈh hq;=hs' fufia frda.hg m%;sldr lrk úg orejdf.a m%;sYla;sh wvqfjkjd' jir ;=k wjika jQ miqj;a ;j;a jirla muK hk ;=re orejdf.a m%;sYla;sh my< uÜgulhs mj;skafka' ,shqlSñhd je<÷Kq miq urK isÿjkafk tu frda.h ksidu fkdfjhs' fuf,i m%;sYla;sh wvqùu u; YÍrh ;=<g fjk;a úIîcj,g myiqfjkau we;=¿ùug wjldY ,efnk ksihs'

doctormagazine.lk

tA ksid ,shqlSñhdjg m%;sldr ,nñka isák orejl= jf.au ,shqlSñhd iqj ù ;j;a jirla muK .; jk ;=re;a fndfyda fihska m%fõYï l< hq;=hs' orejka fjfiiskau wdrlaId lr.kafka fldfyduo @ ² fï orejka úIîc jeämqr meje;sh yels ia:dk" úfYaIfhka fikÕ .ejfik ia:dkj,g /f.k hdfuka je<lSu b;d jeo.;a' ² ksjiska msg;g hk úg kdih iy uqjg úIîc we;=,aùu j<lsk mßÈ udiala tlla me<|ùu l< hq;=hs'

"

wfma rfÜ ,shqlSñhd je<÷Kq orejkaf.ka ishhg 80 muK iqjh ,nkjd

,shqlSñhdj,g jir folla muK tl È.g fkdkj;ajd fkdjrojd ksis ms<sfj<gu m%;sldr ,ndÈh hq;=hs' fufia frda. hg m%;sldr lrk úg orejdf.a m%;sYla;sh wvqfjkjd' ,shqlSñhd je<÷Kq miq urK isÿjkafk tu frda.h ksidu fkdfjhs' fuf,i m%;sYla;sh wvqùu u; YÍrh ;=<g fjk;a úIîcj,g myiqfjkau we;=¿ùug wjldY ,efnk ksihs'

July 2019

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<uhskag yefok ,shqflañhdj

Leukemia

² wdydr f,i Èh hq;af;a msisk ,o wdydr muKhs' tAjdo ;ukaf.a fyda okakd lshk wfhl=f.a ksjil msiQ tAjd úh hq;=hs' fydag,aj,ska lEu fkdÈh hq;af;a tAjdfha ;;a;ajh .ek wmg iy;sl úh fkdyels ksihs' ² m<;=re fok úg fyd¢ka fidaÞ f,,s bj;alr Èh hq;=hs' i,do j¾." iïfnda, j¾. jeks fkdmsiQ wdydr §fukao je<lSu wjYHhs' ,shqlSñhd frda.Skaf.a m%;sYla;sh ySkùu ksid kshqfudakshdj iy mdpk frda.h myiqfjkau je<¢h yelshs' by; lS wdldrhg m%fõYï lsÍu ;=<ska tA frda.j,ska

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fndfyda ÿrg j<lajd .kak mq¿jka' ,shqlSñhd j¾. lSmhla ;snqK;a fï yeu tllu ndysßka ±lsh yels ,laIK fmdÿhs' m%;sldrj, muKhs fjkila ;sfnkafka' uq,ska lS tA't,a't,a' kï ,shqlSñhd úfYaIh <uhskaf.a ms<sld frda. w;r ishhg 30]la ú;ru mj;skjd' tA'tï't,a' j¾.h ishhg 10]lg;a wvqhs' ,shqlSñhd frda.h y÷kd.; yels ,CIK fudkjdo @ ´kEu ,shqlSñhdjl m%Odk jYfhkau ±lsh yels ,CIKhla jkafka WKhs' fuu WfKys ;sfnk úfYaI;ajh jkafka

fiïm%;sYHdj" leiai jeks fjk lsisÿ fya;=jla ke;sj WK .ekSuhs' tfiaau w;a md j, fõokdj" weúÈk úg fomd lelal=u" weÕ iqÿue,sùu" wlaudj úYd,ùu ksid Worh uy;aùu jeks ,CIK;a we;súh yelshs' kuq;a yeu ,shqlSñhd frda.shl=gu fï yeu ,laIKhlau my< jkafka;a kE' iuyr frda.Skag fjk lsisÿ ,laIKhla ke;sj WK muKla ;sfhkak;a mq¿jka' tA ksid orefjl=g fjk lsisu frda. ,laIKhla ke;sj wvq ;rñka fiïm%;sYHdjla j;a

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"

fkdfyd;a Yafõ;dKQ j,sks' ta wkQj Tyq úiska w¿;ska y÷kd.;a reêr wdndOh Leukemia kñka ye|skaúk' Leukemia hkafkys .%Sl wre; jkafka zziqÿ meye reêrhZZ hkakhs'

,shqlSñhd frda.Skaf.a m%;sYla;sh ySkùu ksid kshqfudakshdj iy mdpk frda.h myiqfjkau je<¢h yelshs' ke;sj WK yg.;af;d;a <ud frda. úfYaI{ ffjoHjrhl=g fmkaùu jeo.;a' túg tu ffjoHjrhd fuh ,shqlSñhd o hkak fidhd ne,Sug wÞ< mÍCIK isÿlrkakg Tng Wmfoia foaú' <uhska yd jeäysáhka w;r ;sfnk ,shqlSñhdj, fjki kï <uhskaf.a ,shqlSñhd fndfyda úgu iqjl< yels ùuhs' tA wkqj jeäysá whf.a ,shqlSñhd iqjùfï m%jK;djh ishhg 40] fjkfldg <uhskaf.a th 80] la muK fjkjd' kuq;a tfia iqjùu i|yd by; lS wdldrhg foudmshka úYd, j.lSulska" lemùulska yd Wkkaÿjlska lghq;= lsÍu w;HjYHhs' doctormagazine.lk

,shqlSñhd frda.h y÷kd.;a yeá 1845 j¾IfhaoS c¾uksfha n¾,ska kqjr wdfrda.

HYd,djlg ldka;d wrlaleñfhl= frda.sfhl= jYfhka we;=,;a úh' wêl úvdj" kdifhka f,a .e,Su" Worh yd mdo bosóu hk frda. ,laIK Tyq flfrka my< úh' isõ uila ;siafia wfkal m%;sldr flreK;a wjidkfha weh ure ji`.hg m;aúh' urKfhka miqj wef.a YÍrh fPAokh fldg mÍlaId lrk ,oafoa Rudolph Virchow kï ffjoHjrfhls' wef.a reêrh wkaùlaIfhka mÍlaId lsÍfïoS Virchow uú;hg m;a úh' tys r;= ffi, fkdmej;s ;rïh' uq¿ idïm,hu jid me;sr .;af;a iqÿ reêrdKQ

iqÿ reêrdKq hkq YÍrfha m%;sYla;slrK l%shdj,sfhys,d uQ,sl ld¾hNdrhla isÿ lrk reêr ix>glhla jYfhka miqld,Skj fidhd .kq ,eìK' flfia fj;;a ,shqflañhd frda. fhaoS ckkh jk tu ffi, tys kshñ; ld¾h Ndrhg lsisÿ iïudoula fkdùu úfYAI;ajhls' Leukemia f.a fidhd.ekSfuka oi jirlg miq Ernst Nuemann kï jHdêfõo{fhla wegñÿ¿" reêr ix>gl ckkfhys,d fya;= jk ia:dkh jYfhka y÷kd. ekSu;a iu.u fuu frda.h iïnkaO fndfyda m¾fhaIK isÿ lsÍug wjia:dj ie,isk' wo ,shqflañhdj hkq iqjm;a lsÍfï wk.s m%fõYhla iys; frda.hla f,i ie<flkafka wog;a isÿ flfrk ffjoH m¾fhaIK j, wdkqNdjfhks' DM

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IUI & IVF Technique mqreI u|ire njg fhdok ms<shï

mqreI u|ire njg fhdok ms<shï whs'hQ'hs' ^IUI& iy k, ore ^IVF& ;dlaIKfhka ore iïm;a újdm;a hqj, w;ßka ishhg 15 la u|ire núka fmf<k w;r bka ishhg 5 la m%udKhg Bg m%Odk fya;=j jkqfha mqreI u|ire njhs'

,xld fydiamsg,aiays l<, úoHd ffjoH uodr /<mkdj

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July 2019

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mqreI u|ire nj hkqfjka woyia lrkafka l=ulao@ mqreIfhl=f.a ire nj Tyqf.a Y=l% ;r,fha we;s uq¿ Y=l%dKq m%udKh yd tajdfha .=Kd;aul nj u; r|d mj;S' fudapkhl§ msgjk Y=ldKqj, uq¿ m%udKh iïu; w.hkag jvd wvqùu fya;=fjka fyda Y=l%dKqj, .=Kd;aul tkï" ip,;djh yd rEmdldrh wvqùu fyda Y=l% ;r,fha Y=ld%Kq Y+kH ùu fya;=fjka iajdNdúlj .eí .ekSug wfmdfydi;a ùu mqreI u|ire nj f,i ir,j úia;r l< yelsh'

fudapkh ùu" fmriu msgqmig fkdhEu wd§ ldrKdo fjhs' ;jo hï wys;lr lsrK j,g ksrdjrKh ùu yd Y,Hl¾u j,g Ndckh ùu" ÿïmdkh yd u;aøjH Ndú;h" cdkuh idOl ie<lsh yelsh'

;jo" mqreI u|ire nj f,dj mqrd jHdma; we;s fmdÿ .eg¿jla jk w;r iEu mqreIhska úisfokfkl=f. ka tla wfhl= u|ire núka fmf<k njo tfukau mqreIfhl=f.a jhi wjqreÿ 45 miqjk úg iM,;djh ;SrKd;aulj wvq njo fidhdf.k we;'

mqreIfhl= u|ire hehs y÷kd.ekSu i|yd we;s ir, mÍlaIK l%u fudkjdo@ mqreIfhl=f.a Y=l% ;r, mßlaIKhla uÕska fuh ;yjqre lr.; yelsh' f,dal fi!LH ixúOdkfha kj;u o;a;hkag wkqj idudkH iM,;djh we;s mqreIfhl=f.a Y=l% fudapkhl§ msgjk Y=l% ;r, Odß;dj ñ,s ,Sgrhlg ñ,shk 39 jk w;r tu ;r,fha Y=l%dkq idkaøKh ñ,s,Sgrhl Y=l%dKq ñ,shk 15la fõ' ;jo" Y=l%dKqj, iM,;djh 32]la úh hq;= jk w;r idudkH rEmdldrh 4]la fõ' tys iðú Y=l%dKq m%udKh 58] la fyda Bg jeä úh hq;=h'

mqreI u|ire nj uQ,slj y÷kd.; yels ,laIK ;sfnkjdo@ u|ire núka fm<k mqreIhska nyq;rhla Tjqka u|ire;djh fmkakqï lrk meyeÈ,s fyda ksYaÑ; ,laIKhla fmkakqï fkdlrhs' Tjqkaf.a ,sx.sl ixi¾.h ^Intercourse&" W;af;ackh ^Erecion) yd Y=l% fudapkh ^Ejaculation& hk idOl idudkH iM,;djh we;s mqreIfhl= yd iudkju isÿjk w;r Y=l% fudapkfhka we;sjk Y=l% ;r, Odß;dj ^Volume) idudkH f,i mj;S' fï ksid ieneúkau hïlsis mqreIfhl= u|ire njg fya;=jk .eg¿jlska fmf<k njg ;yjqre lr .eksug Y=l% ;r, mÍlaIKhla w;HjYH fõ' mqreI u|ire njg n,mdk fya;= fudkjdo@ mqreI u|ire nj Y=l%dKq ckkfha fyda Y=ld%K mßjykfha ÿn,;d ksidfjka we;súh yelsh' uQ,sl fya;+ka jYfhka Y=l% ;r,fha uq¿ m%udKh wju ùu" Y=l%dKq j, iM,;djh wju ùu yd idudkH rEmdldrh iys; Y=l%dKq wju ùu f,i ie,lsh yelsh' Bg wu;rj y÷kd.;a wfk;=;a idOl w;r mqreI fn,ySk;djh" W;af;ackfha ÿn,;d" Y=l% fudapkfha ÿn,;d" laIKsl Y=l% fudapkh" Y=l%dKq uq;%dYhg

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mqreI u|ire nj i|yd ms<shï$ m%;sldr ;sfnkjdo@ Y=l% ;r, mÍlaIdjlska y÷kd.;a hï hï .eg¿ldÍ ;;a;ajhka

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mqreI u|ire njg fhdok ms<shï

IUI & IVF Technique

ksidfjka fyda ;u ìß| iuÕ ,sx.slj tl;=ùug fkdyels mqreI fn,ySk;djfhka fmf<k fyda W;af;ackfha Y=l% fudapkfha ÿn,;djfhka fmf<k mqreIfhl=g iajhx fudapkfhka Y=l% ;r, ,nd Èh yels kï whs'hQ'whs' ^IUI& m%;sl¾uho" Y=l% ;r, ,ndÈh fkdyels mqreIfhl=g fyda uq¨ Y=l%dKq m%udKh wju m%udKhlg ;sfí kï k, ore ^IVF/ICSI& ;dlaIKho" uq¿ Y=l%dKq m%udKh Y=kH mqreIfhl=g ^Azoospermia& jDIK fldaI ;=,ska Y=l%dKq pQIKfhka ^Testicular Sperm& miq k, ore ;dlaIKfhka ore M, Wod lr.; yel' whs'hQ'whs'^IUI& m%;sl¾ufha§ ldka;djf.a Tima pl%fha 12 jeks Èkfha§ ialEka mÍlaIKhla uÕska mßK; jQ äïnhla we;s±hs ksÍlaIKh flf¾' tu wjêfha§ mßK; äïn iHqksldjla ^Follicle& ñ,s ,Sg¾ 18la úYalïNhg j¾Okh ù ;sìh hq;= w;r tu m%udKhg j¾Okh jQ iHqksldjla ;=, mßK; äïnhla we;ehs wkqudk flf¾' tfia äïnhla mj;S kï HCG tkak; ,nd§u u.ska äïn fudapkh myiq flf¾' tu tkak; ,ndoS Tima pl%fha 14 jeks Èkfha§ äïn fudapkh

isÿù kï ieñhdf.aka ,nd.;a Y=l%dKq idïm,hlska f;dard.;a iM, Y=l%dKq ^fï i|yd Density Gradient keue;ss l%ufõoh Ndú;d flf¾'& whs'hq'whs ^IUI& le;Sgrhla Ndú;fhka .¾NdYfha ;ekam;a lrkq ,efí' fuys we;s úfYaI;ajh jkafka wvq Y=l%dKq idkaøKh;a iys; mqreIfhl= kï Y=l% ;r, idïm, 2la tlalr ^Pool sampling& whs'hq'whs' m%;sl¾uh isÿ lsßfuka .eí .ekSfï m%jK;djh jeä l< yels ùuhs'

mqreI u|ireNdjh fi!LHiïmkak Y=l%dKQjl yevrej

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fodaI iys; Y=l%dKQjl yevrej

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ksfrda.S Y=l%dKQ wvq ixLd Y=l%dKQ Odß;dj Odß;dj

ksfrda.S ÿ¾j, pd,l;djh pd,l;djh

Y=l%dKQ w.h

Y=l%dKQ pd,l;djh

fuys§ Y=l%dKq ldka;djlf.a mef,damSh kd, yryd msyskd f.dia äïnhla jgd tla /ia fõ' fuys§ Y=l%dKq 80"000- 100"000 w;r m%udKhla äïnh jgd tla /iaúh hq;=h' túg bka Y=l%dKqjla äïnh ;=,g we;=¿ ù ixfiapkh ù fuu l%shdj,sh iajNdúl ixi¾.fhka ixfiapkh ù isÿjk .eí .ekSfï l%shdj,sh yd iudk fõ' whs'hQ'whs'^IUI& m%;sl¾ufhka m%;sm, fkd,efnk bv wjia:d we;s mqreIhka i|yd k, ore ^IVF/ICSI& ;dlaIKhg fhduqùu uÕska hym;a m%;sm, ,nd.; yelsh' blais ^ICSI& ;dlaIKfha§ tla Y=l%dKqjla f;dardf.k ghsfl%daueksmHqf,agrhla Ndú;fhka äïnh ;=,gu we;=¿ lsÍfï yelshdj we;s ksid wju ip,;djhlska fyda wju iM,;djhla iys; Y=l%dKq mej;Su .eg¿jla fkdjkq we;' ir, mÍlaIKhla uÕska y÷kd.ekSug fkdyels .eg¿ we;s wjia:djl§ ta ioyd we;s úfYaI mÍlaIK fudkjdo@ hïlsis mqreIfhl=f.a Y=l% ;r, mÍlaIK jd¾;djla idudkH uÜgfï mej;sho Y=l%dKq j, DNA LKavkShlrKh ksidfjka ^cdkuh úlD;s;d& whs'hQ'whs' m%;sl¾ufhka id¾:l m%;sm, fkd,eîug fya;= úh yel' DNA LKavkShlrKh ksid Y=l%dKq j, ip,;djh ^motility& wvqfõ' fuh y÷kd.ekSug

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ksfrda.S yevh

widudkH yevh

Y=l%dKQ rEmdldrh

mqreIfhl=f.ka ,nd.;a Y=l%dKqq idïn,hla wê YS;fldg ;nd .ekSfï myiqlï mj;S' fufia wêYS; l< idïm,hla wjqreÿ 5;a 10;a w;r ld, iSudjla tfia .nvdfldg ;nd .ekSfï yelshdj mj;S' fuys we;s jeo.;alu jkqfha ieñhd úfoia rgl /lshdjl ksr; jkafka kï Bg m%:u Y=l%dKqq wêYS; lsÍï u.ska ìß|g ;ksju idhkhlg meñK m%;sldr i|yd fhduqúh yels ùu'

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mqreI u|ire njg fhdok ms<shï

IUI & IVF Technique

DNA LKavkShlrKh úYaf,aIKh lsÍfï mÍlaIdjla ^Sperm Fragmentation Analysis& WmldÍ fõ' fujeks .eg¿ iys; mqreIhka i|yd blais ^ICSI& ;dlaIKh jvd;a fhda.H jkqfha tuÕska wvq iM,;djfhka ^low motility& f;dr Y=l%dKq f;dard.ekSug we;s yelshdj ksidh' ;jo Y=l%dKq j, idudkH l%shdldÍ;ajh i|yd ksoyia Tlaiscka ldrl ^free oxygen rsdicals& WmldÍ fõ' Y=l%dKq j, m%;sl%Shl Tlaiscka uÜgu iu;=,s;j mj;ajd .ekSu tys l%shdldÍ;ajhg jeo.;a jk w;r ROS ksÍlaIKh lsÍfï mÍlaIdjla ^Reactive Oxygen in Human Semen& uÕska fuh y÷kdf.k m%;sldr ,nd§fuka fyda blais ^ICSI& ;dlaIKhg fhduqùfuka .eí .ekSï m%jK;djh jeä lr.; yelsh' Y=l%dKq wêYS; lsÍu ^Sperm Cryopreservation Freezing& hkq l=ulao@ mqreIfhl=f.ka ,nd.;a Y=l%dKqq idïn,hla wê YS;fldg ;nd .ekSfï myiqlï mj;S' fufia wêYS; l< idïm,hla wjqreÿ 5;a 10;a w;r ld, iSudjla tfia .nvdfldg ;nd .ekSfï yelshdj mj;S' fuys we;s jeo.;alu jkqfha ieñhd úfoia rgl /lshdjl ksr; jkafka kï Bg m%:u Y=l%dKqq wêYS; lsÍï u.ska ìß|g ;ksju idhkhlg meñK m%;sldr i|yd

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July 2019

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fhduqúh yels ùu' IUI/ IVF m%;sl¾uh isÿlrk Èkfha§ tksid we;sjk wd;;sh fya;=fjka idïm,hla ,nd§ug fkdyels mqreIhka i|yd tu m%;sl¾u j,g m%:uj Y=l%dKq wêYS; lr ;nd .ekSug yelsùu" yd Y=l%dKqq ckkhg ydks f.k fok Y,Hl¾u i|yd uqyqK §ug iQodkñka isák yd ms<sld frda.S ;;a;ajhlska fmf,k mqreIhskag fufia Y=l%dKqq wêYS; lsÍu uÕska wkd.;fha§ Ndú;hg .ekSug we;s yelshdjhs' DM úuiSï - 0115 433063$ 0115 433064 ,xld fydiamsg,aia" idM,H;d idhkh

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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'

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WISH idM,H;d idhkfhka jhia.; ù ore iïm;a m;kakkag iykh'''

jhi okafku ke;sj f.ú, .shd''' újdm;a fjk úg m%udohs''' ta;a ;efjkak tmd ore iïm;la ysñ lr.kak wms Tng iydh fjkjd WISH idM,H;d idhkfhka jhia.; ù ore iïm;a m;kakkag iykh''' WISH Fertility & IVF Clinic yS idhksl l<,fõo úfYaI{ ffjoH fy<rejka mikal=udr uy;d iu. l< idlÉPdjla weiqßKs MBBS (Sri Lanka) MD (Gyn. & Obs.) Infertility - China Pg.Dip. (Andrology) Monash,OUSL Master of Clinical Embryology Monash, Australia SLMC Reg. No. 20800

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July 2019

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

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jhig .sh;a ;dlaIKh ore iïm;a ,eîug msysgg tk nj Tn okakjdo @ u|ireNdjh ksid ore iïm;a isyskh ojfika oji l,a hk hqj;sm;Skaf.a wfmalaIdjka mqnqÿjd,Sug kQ;k idM,H;d ;dlaIKh iu;a ù ;sfí' fï ksid iuyr úg fï ffjoH úoHd;aul oshqKQj fkd;snqKd kï isyskhlau jkakg ;snQ orefjl=f.a WKQiqu ,nkakg wo fndfyda hqj, iu;a ù ;sîu

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Tjqkaf.a jdikdjls' jhi wjq' 50-55 bl=;a jQ ldka;djkgo" jhi wjq' 60 bl=;ajQ msßñkago fï ksid wdorKSh uõjreka ùfï" fifkfynr mshjreka ùfï wjia:dj wo ojfia ysñùu fudk ;rï ch.%yKhlao @ jdikdjlao @ ckl îc j, .=Kd;aulNdjh fidhk mÍlaIK jhia.;jQ ldka;djlf.a fukau mqreIfhl=f.a ckl îc j, m%udKh yd tajdfha .=Kd;aulNdjh .ek oek.ekSug ;sfnk mÍlaIK fudkjdo @ mÍlaIK lsysmhlau ;sfnkjd' wjYH;djh wkQj ffjoH ks¾foaY hgf;a isÿ lrk fï mÍlaIK my; wdldrhg olajkakg mq¿jka' • Sperm mucus penetration test • Post coital test • Hyaline binding assay • Cassa test • Acrosome reaction testing • Anti sperm antibody testing • Sperm viability testing • Tests of Zona binding • Assesment of ROS • Sperm proteomicsm

July 2019

DOCTOR MAGAZINE

35

D•Magazine /

WISH idM,H;d idhkfhka jhia.; ù ore iïm;a m;kakkag iykh'''

Fertility

foayh ;=<oS ñi ndysr mßirhg ksrdjrkh jQ iekska Y=l%dKq j, cSj ld,h úkdY fõ' idudkHfhka YÍrfhka msg;g meñKS Y=l%dKq j,g úkdä 20-30 lg jvd mej;sh fkdyel'

mqreIhkaf.a jhi wjq' 40-45 bl=;ajQ úg Tjqkaf.a Y=l%dKQ j, we;s DNA j, fjkialï we;sùfuka (DNA fragmentation) orejka ,eîfï yelshdj ySk fõ' ke;fyd;a wx.úl, jQ orejka we;sùfï wjodkulao mj;S' fï wjodkï folu uekúka y÷kd.ekSfï mÍlaIK l%ufõohkao oeka oshqKQ ù ;sfí' ldka;djkaf.a yd msßñkaf.a ckldKQ l%shdldÍ jkafka fjkia wdldrhlghs orejka ìys lsÍug fya;= jk ore îc iïnkaOfhka

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July 2019

DOCTOR MAGAZINE

jhi;a iu.u idM<H;djh ySk jk yeá

ldka;djkaf.a yd msßñka w;r iqúfYAIS fjkialula ;sfí' ldka;djkag ;ukaf.a ika;lfha we;s ckl îc fkdfyd;a äïn Wreu jkafka ;uka uõl=i bkakd iufha isguh' uõl=i ;=<oS ñ,shk 6-7la jYfhka mj;akd W!ihsg fkdfyd;a îc ffi, m%udKh Wmf;aoS ñ,shk 1-2la olajd wvq fjhs' fuh ;jÿrg;a laIh fjñka oeßúhl jeäúh m;ajk úg mj;akd îc ffi, m%udKh ,laI ;=kla muK olajd wvq fjhs' Tn okakd wdldrhg fï îc tl tlla osk 28lg jrla mßK;j ixfiapkh i|yd iqÿiqlï ,nñka äïnfldaIfhaoS msg fjhs' wm wd¾;jh f,i y÷kajkafka fï isoaêhhs' ;u m%cKl wjêh ;=< ldka;djl fï wdldrfhka äïn 400la muK ixfiapkhg iqÿiqlï ,nd foñka msg lrhs' m%udo ù ckkh jk Y=l%dKQ mqreIfhl=f.a Y=l%dKq kñka ye|skafjk ckl îc j, l%shdldrs;ajh Bg imqrd fjkiah' l=i ;=< isák msßñ orefjl=g fyda Wmka miq jeä úh m;ajk f;la msßñ orefjl=g ckl îc mj;skafka ke;' Tyq jeäúh m;aùfuka miqj ksrka;rfhkau Y=l%dKq ksmofjhs' Y=l%dKq ffi, ksmofjkafka jDIKfldaI ;=<oSh' Y=l%dKq ffi,hla mßK;shg m;a fjkafka fïÍfuks' wmsjDIKh kï ia:dkfhaoS isÿjk fï l%shdj,shg

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ldka;djlf.a ore iïm;g ndOd we;s lrjk fya;= mef,damSh kd, wjysr ùu

weâfykaia

.¾NdIfha Nskak ùï

tkafvdfuá%fhdaisia

fmd,sisiaála ´jß fmd,sma

*hsfn%dhsâ

wdidok

idudkHfhka i;s 2-3 l ld,hla .;fõ' wmsjDIKfha ia:dk.; jk Y=l%dKq ffi, Od;= fudapkhloS fudapkh ùug iQodkñka isà' iEu Od;= fudapkhloSu fï Y=l%dKq úúO fmdaIl yd ;r, iu. uqyqka ùula isÿfõ' fïjd uQ,sl jYfhka meñfKkafka mqriaÓ;s .%kaÓfhka iy Y=l% wdYhsYsld j,sks' fi!LH iïmkak mqreIfhla tla jrlg fudapkh lrk Y=l%dKq ;r,hl Y=l%dKq ffi, ñ,shk 40l isg ì,shk 1'2l m%udKhla mj;skafkah' idudkHfhka msßñfhl= iajlSh cSú; ld,h ;=< ì,shk 525l muK Y=l%dKq ksmojkafkah' tfiau udihlg ì,shkhl j;a Y=l%dKq msg lrkafkah' ldka;djlf.a îc m%udKh ySk jk yeá ldka;djlf.a jhi;a iu. wvqjk îc m%udKh uekSu i|yd úfYAI jQ l%u mj;S' ldka;djlf.a jhi wef.a Wreu îc m%udKh iïnkaOfhka wk.s;u o¾Ylhhs' kuq;a weh l=vd ikaosfhaoS ,nd.kakd fmdaIKh" weh ,nd.;a úúO T!IO yd ;j;a úúO idOl u; wehg fYAI jk ia;%S îc m%udKh ;SrKh jkafkah'

doctormagazine.lk

jhi wjqreÿ 40 bl=;a jQ ldka;djl iajdNdúlj .eí .ekSfï yelshdj udihloS ishhg myla fyda Bg;a wvq w.hla orK nj jd¾;d fõ'

July 2019

DOCTOR MAGAZINE

37

D•Magazine /

WISH idM,H;d idhkfhka jhia.; ù ore iïm;a m;kakkag iykh'''

Fertility

foayh ;=<oS ñi ndysr mßirhg ksrdjrkh jQ iekska Y=l%dKq j, cSj ld,h úkdY fõ' idudkHfhka YÍrfhka msg;g meñKS Y=l%dKq j,g úkdä 20-30 lg jvd mej;sh fkdyel'

fyd|ska fmdaIKh ,eîu .eyekq orefjl=g w;sYhskau jeo.;a jkafkao fï ksidh' äïn fïÍug ,nd.kakd T!IO Clomiphene citrate ld,dka;rhla .ekSfukao îc ixLHdjg n,mEula fõ' ialEka mÍlaIK u.ska äïnfldaIj, m%udKh ;SrKh lsÍu;a (Ovarian Diameter) äïnfldaI ;=< reêr Odjkh .Kkh lsÍu;a fukau äïnfldaI ;=< we;s îc m%udKh .Kkh lsÍu;a (Antral follicle count) u.ska ldka;djlg ;ukaf.a îc u.ska orefjl= yod .ekSug ;sfnk yelshdj ;lafiare lr.;a yel' îc m%udKfha iM,;djh úuik fjfiia mÍlaIK úfYaIs; jQ reêr mÍlaIK lsysmhla u.ska fï yelshdj ;jÿrg;a we.hSug ,la lrk w;r ta úia;D; reêr mÍlaIK my; mßosh' • D3 FSH • E2 Levels • Anti mullerian hormone (AMH) • Inhibin A/B levels • Clomiphene changine levels (CCH)

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July 2019

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kùk úoHdj u.ska y÷kdf.k ;sfnk DHEA kue;s T!IOh ldka;djkaf.a îc m%udKh yd tys .=Kd;aul;djh flfryS w;sYh jeo.;a fufyjrla bgq lrk nj wkdjrKh ù ;sfí' IVF ;dlaIKfhaoS Ndú;d jk PGD (Peri implantation Genetic Diagnose) kue;s l%uh u.ska cdk fjkia jQ îc j,ska iEfok úlD;s jQ l<, y÷kd. ekSfï yelshdj ksid ksfrda.S orefjlau yod.ekSfï wjia:dj Tng Wreuh'

doctormagazine.lk

fjk;a ldka;djlf.a l=fia orefjl= ms<sis|Su mshjr tkafvdfuá%hdkq ms<sfh, ùu

wdodhlhd

.¾NKS;djh ikd: lsÍfï mÍlaIKh

l<,h ;ekam;a lsÍu

odhlhd

äïnh W;af;ackh lsÍu

jhia.; wUq ieñhka i|yd IVF ;dlaIKfha iqúfYAIS Ndú; Donor Embryo Method jhia.;ùu ksid fyda ;ukaf.a ckl îc wvqùu ksid fyda fudkhï fya;=jla ksid fyda îc we;s fkdùu ksid we;sjk .eg¿jgo ms<shula ;sfí' fjk;a flfkl=f.a äïn ,nd.ekSfï (Donor egg) fï l%uho w;sYhska ckm%shh'

kshñ; l, jhi imeñKs l< újdm;a ùu flfrySo wfma mrïmrdjka ys;kjd kï fyd|h'

doctormagazine.lk

m<uq w,ag%diõkqâ mÍlaIKh

äïnh Wlyd .ekSu

fuysoS äïnh ,nd.kafka jhi wjq' 35g wvq orejka isák ldka;djlf.ks' th iffiapkh lrkafka ridhkd.drfhah' ta wdldrfhka idod /l n,d.kakd hqla;dkqj iSrefjka orejka ke;s ldka;djf.a l=i ;=< ;ekam;a lrKQ ,nhs' fuh y÷kajkafka odhl l<, l%uh fkdfyd;a Donor Embryo Method hkqfjks' fuysoS ksjqka fyda nyq ore Wm;a we;sùfïo yelshdjla ;sîu fï wUq ieñhkg m%S;sckl ldrKhls' fjk;a ldka;djlf.a l=ifha ;ukaf.au orefjla" Surrogate Pregnancy we;eï ldka;djllg we;sjk .eg¿j jkqfha orefjl= yod .ekSug fkdyels jHqyd;aul fodaI j,ska .¾NdIh hqla; ùuhs' kùK idM,H;d ;dlaIKh kï úYAuhcklh' fujka wirK ldka;djka ;j;a ldreKsl ldka;djf.a l=ifha ;u orejd úlikh lrñka ore Wm;la ,nd oSugo fï ;dlaIKh ;=< wjldY we;' orejd Wmka miq ks;HdKQl+,j ;ukaf.a orefjl= jYfhka yod .ekSug .súi .ksñka ;j;a ldka;djlf.a l=ifha ;ukf.a orejd ìys lsÍu Surrogate Pregnancy hkqfjka ye|skafjhs' fjk;a flfkl=f.a Y=l%dKQ j,ska ;ukaf.au orefjla fï wdldrfhkau ;ukaf.a Y=l%dKQ ffi,j, fodaI we;s úg ;j;a f;dard.kakd msßñfhl=f.a Y=l%dKQ

July 2019

DOCTOR MAGAZINE

39

D•Magazine /

WISH idM,H;d idhkfhka jhia.; ù ore iïm;a m;kakkag iykh'''

Fertility

Surrogacy wdldr

fhdodf.k mS;D;ajfha jrm%idoh ysñ lr .ekSfï Wodyrko wm iudcfhau ;sfí' l=i ;=< jefvkafka ksfrda.S orefjlao fidhk mÍlaIK fï wdldrfhka úoHdfõ wkqyiska Wmosk orejkaf.a kSfrda.SNdjh ms<sn|j wUq ieñhka ks;r ;efjhs' jo fjhs' ta;a ksfrda.S orefjl=f.a m%iQ;sh fõ,dikskau idlaId;a lsÍugo fï kjH idM<H;d ;dlaIKhka iu;a nj Tn okakjdo @ l<,h l=i ;=< ;ekam;a lsÍug fmr tys ksfrda.S nj úuik úÿyqre ;dlaIKhka fukau ;ekam;a l<,hla i;s 10l muK wejEfuka fhfylska jefvkjdo hkak úuik ;dlaIKhkao wo ojfia wm fj; mj;S' DM

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July 2019

DOCTOR MAGAZINE

ljr idM,H;d .eg¿jlska fm¿K;a oeka Tng ore iïm;a ,nd .ekSu wreuhla fkdfõ' fjk hï ljr fodaIhla u; Tfí uõmsh isyskh fnd| ù ;snqK;a th h,s mqnqÿjd,Sfï yelshdj wmg ;sfí' Tfí .eg¿j l=ula jQj;a th .ek yDohx.uj l;dny lsÍug wm iQodkïh' Tng jvd;au .e,fmk úi÷u ,nd.ekSug fï lafIA;%fha m<mqreÿ wfma jD;a;Sh iydh ,nd oSug wm b;d leue;af;ka isáuq' wmg l;d lrkak' fukak wfma wxlh 077 3273 866 wmf.a ,smskh WISH Fertility & IVF Clinic 393$6" li.yj;a; mdr mrK fldÜgdj mdr Wvyuq,a, kqf.af.dv

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Thisakya Design Studio

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Ovarian cysts

äïnfldaI j, we;sjk f.ä

OVARIAN CYSTS äïnfldaI j, we;sjk f.ä

ks

m%ij yd kdß frda. úfYaI{ ffjoH pdñkao udf;dg

frda.S ;reK ldka;djlf.a äïn fldaI j,ska uilg jrla äïnhla msgùu idudkHfhka isÿjkakla' fuu äïnh msgùug fmr th j¾Okh fjkafka äïn fldaIhla we;=f< f*d,sl,a ^follicle& kñka y÷kajk ;r,fhka msreKq j;=r nqnq,la jeks nqnq,la ;=<' äïnh j¾Okh jk wjia:djfõ§ fuu nqnq, fikaá ógr 2-3 la muK úYalïNhla olajd úYd, fjkjd' l,d;=rlska óg jvd úYd, jk wjia:d jqj;a olakg mq¿jka' th idudkH ;;a;ajhla'

MBBS [Colombo], MD [Obstetrics] Gynaecology [Colombo], MRCOG [UK], DRCOG [UK], DOWH RCPI [Ireland], MRCPI [Ireland]

tfy;a we;eï wjia:djl fuu äïn fldaI ;=< f.ä yg .kakd wjia:d ;sfnkjd' tajd fndfyda fj,djg ;r,hlska msreKq j;=r nqnq,la jeks f.ä úÈhghs olskak ,efnkafka' ;reK ldka;djkaf. äïn fldaI ;=< we;s jk f.ä m%Odk j¾. ;=kla yÿkd .kak mq¿jka'

ffi, .¾NdIfhka msg; iy äïn fldaIh u; msysgkjd' fuu ffi, j,ska we;s jk äïn fldaIfha f.ä tkafvdfuá%fhdaud ke;fyd;a fpdl,Ü isiaÜ f,ihs y÷kajkafka'

1' m<uq j¾.h Simple cyst fuh idudkH m%udKhg jvd úYd, jQ äïnh wvx.= f*d,sl,a tlla' fujeks wdldrfha f.ä b;du;a iq,nhs' kuq;a udi lsysmhla we;=<; fuu f.ä bfíu yels<S hk ksid m%;sldrhla wjYH jkafka keye' 2' fojk j¾.h Endometrioma & Chocolate cyst tkafvdfuá%fhdaud f,i y÷kajk f.ä' fïjd iEfokafk tkafvdfuá%fhdisia lshk frda.S ;;a;ajh ksid' fuys§ .¾NdIfha we;=<; ì;a;sfha we;s ffi, j,g iudk

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July 2019

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3' ;=kajk j¾.h Dermoid cyst ldka;djlf.a äïnfldaI j¾Okh jk iufha äïn we;s jk uQ,sl ffi, j,ska yg .kakd f.ä v¾fudhsä isiaÜ f,i y÷kajkjd' fïjd we;=<; iuyr úg ysi flia" o;a" fïo mgl jeks foa olakg ,efnkj' doctormagazine.lk

óg wu;rj iEfok wksl=;a f.ä j¾. t;rï iq,n keye' ldka;djkag wd¾:jyrkhg fmr we;s jk äïnfldaI j, f.ä fndfyduhla ms<l s d fkfuhs' iEu ldka;djka 10 fofkl=f. ka tla wfhl=g ^10] lg& Ôú; ld,h ;=<§ fujeks f.ähla ksid Y,Hl¾uhlg ,la ùfï wjodkula ;sfnk nj;a y÷kd.kak mq¿jka' my; frda. ,laIK tlla fyda lsysmhla we;akï Tng äïn fldaIhl f.ähla we;a oehs iel l< yelshs' kuq;a fuh ksjerÈj oek .ekSug ffjoH mÍlaIKhla iy ialEka mÍlaIKhla isÿl< hq;=jkjd'

fujeks wjia:djl ffjoH Wmfoia u; ialEka mÍlaIKhlg fhduq ùu b;du;a jeo.;a' fuys § ffjoHjrhd Tnj mÍlaId lr n,d w,ag%d ijqkaâ ialEka mÍlaIKhlg fhduq lrkq we;s' fuu.ska äïnfldaIfha f.ähla we;s oehs iel yer oek .; yelshs' Tng tjeks f.ähla we;akï tu f.äfha ,laIK wkqj ffjoHjrhd jeäÿr mÍlaIK kshu lrkq we;s' fuu f.äh simple cyst f,i y÷kajk f.ähla kï tys m%udKh wkqj m%;sldr fjkia jkjd' f.äfha úYalïNh 5 cm j,g jvd wvq kï fndfyda úg fuh m%;sldrhlska f;drju yels<S hk ksid ìhúh hq;= jkafka keye' udi lsysmhlska kej; ialEka mÍlaIKhlg ,la ùfuka fuh iel yer oek .; yelshs' kuq;a f.äh 5 cm j,g jvd úYd, kï o.ska È.gu mj;S kï jeäÿr mÍlaIK lsÍu wjYH fjkjd' iuyr úg fï i|yd ,emfrdiafldms Y,Hl¾uhla wjYH jkak mq¿jka' f.äh b;d úYd, kï idudkH újD; Y,Hl¾uhla wjYH fjkak mq¿jka' fndfyda úg ms<sld fkdjk f.ähla bj;a lsÍfï§ äïnfldaIh bj;a lrkafka keye' tu ksid Y,H l¾ufhka miq Tfí idM,H;djhg fyda udisl Tima ùug n,mEula we;s jkafka keye'

² hánv fõokdj ² udia Y=oaêh iu. fõokdjla we;sùu ² ,sx.sl tlaùfï § fõokdjla we;sùu ² nfâ msreKq iajNdjhla oekSu iy wdydr reÑh fjkia ùu ² há nv úYd, ùu ^bÈóu& ² ore M, mud ùu ² uq;%d msg lsÍfï § fyda u<my lsÍfï § wmyiq;djla fyda fõokdjla we;sùu

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D•Magazine /

äïnfldaI j, we;sjk f.ä

Ovarian cysts

jhi wjqreÿ 50g jeä ldka;djlg äïnfldaIhl f.ähla we;s nj y÷kd.; fyd;a fuu jhfia § we;s jk f.ä ms<sldjla ùug wjodku jeä ksid ta i|yd b;d blauKska jeäÿr m%;sldr lsÍu wjYH fjkjd' Laparoscopic surgery for ovarian cysts äïnfldaI j, we;sjk f.ä i|yd isÿ lrk ,emfrdiafldms Y,Hl¾u oekg ldka;d frda. j,g isÿ lrk ie;alï j,ska fndfyduhlau ,emfrdiafldms l%uhg b;du;a wdrlaIsj isÿlrkak mq¿jka' tys§ isrerg isÿjk ydksh iy w;=re wdndO wvq ksid ie;alfuka miq b;d blau‚ka mQ¾K iqjh ,efnkjd' fndfyda fofkl=g ;sfnk .eg¿jla ;uhs äïnfldaI j, f.ä we;sùu' fuf,i y÷kd .kq ,nk f.ä j,ska nyq;rhlau lsisu m%;sldrhlska f;drj bfíu yels,S hkj' ta ksid ialEka mÍlaIKhl§ äïnfldaIhl f.ähla we;s nj y÷kd.;a mu‚ka thg ie;alula

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July 2019

DOCTOR MAGAZINE

isÿ lsÍu fyda yels,Sug m%;sldr ,nd .ekSu wjYH keye' kuq;a äïnfldaI j, we;s fjk iuyr f.ä fuf,i bfí yels,S hkafk keye' tajd l%ufhka úYd, ùug" ixl+,;d we;s ùug fyda ms<sld njg m;aùug wjodkula we;soehs Tfí ffjoHjrhdg ks.ukh lrkak mq¿jka' tjeks wjodkula we;s úg Bg ie;alula isÿ lsÍu wjYH fjkjd' äïnfldaI j, ms<sld i|yd lrk ixlS¾K ie;alï yer wksl=;a ish¿u ie;alï oeka ,emfrdiafldms l%uhg isÿlrkak mq¿jka' tjeks ie;alul§ isrerg isÿfjk ydksh wjuhs' ta jf.au äïnfldaIfha idudkH ffi, bj;a lsÍulska f;drj f.äh muKla bj;a l< yels ksid kej; ore ms<sis| .ekSug ndOdjla we;s fjkafk keye' ta jf.au ie;alu isÿ lrk Èkfhau fyda miq Èk frdayf,ka neyer ùug;a Èk lsysmhla we;=,; idudkH jevlghq;= kej; wdrïN lsÍug;a yelshdj ,efnkjd' ,emfrdiafldms ie;alul§ Worfha fikaáógrhlg jvd l=vd lemqï ;=kla muKla isÿ lr Worh we;=,; iÔù ùäfhda o¾YK ,nd .kakd w;r ta wdOdrfhka b;d ishqï Y,H WmlrK Ndú;d lrñka ie;alu isÿ lrkafk' äïnfldaI j, we;s fjk b;d úYd, f.ähla jqj;a fuu l%uhg wdrlaIs;j isrefrka bj;a lsÍug wjYH ;dlaIKh oeka ;sfnkjd' DM

www.vog.lk .¾NsKS;djh yd fjk;a ldka;d frda. iïnkaOfhka jeäÿrg;a f;dr;=re oek.ekSug Tng m%ij yd kdß frda. úfYaI{ ffjoH pdñkao udf;dg ixialrkh lrk www.vog.lk fjí wvúhg msúish yel'

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D•Magazine /

Asthma

weÿu jeks ksoka.; frda. i|yd ffjoH Wmfoia wkqj È.= ld,Skj m%;sldr .ekSu b;d jeo.;a'''

weÿu jeks ksoka.; frda. i|yd ffjoH Wmfoia wkqj È.= ld,Skj m%;sldr .ekSu b;d jeo.;a''' Asthma- Chronic disease of the airways that transport air to and from the lungs. No full cure is available, but management methods can help a person with asthma lead a full and active life

w

o iudcfha mj;sk frda. w;ßka iq,n frda.hla f,ig zzweÿu frda.hZZ ye|skaùu w;sYfhdala;shla fkdfõ' ta ;rugu th iudcfha iq<nj olakg ,efnk frda.hls' fï frda.h yd thg fhdok m%;sldr l%u iïnkaOj iudcfha uq,a nei.;a ñ;Hd u; o /ila mj;sk ksid fuys ienE ;;a;ajh yd ksis mrsÈs m%;sldr ,nd .kafka flfiao hkak ±k .ekSu;a ieugu tlfia m%fhdackj;a jkq ksielh'

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July 2019

DOCTOR MAGAZINE

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idOl y÷kd.ekSu ;=<ska bÈßfha§ frda.Skaf.a m%;sY;h wvqlr .ekSug yelsjkq ksielh' weÿu frda.Skaf.a m%;sY;h tjka uÜgula ;snqKo" fï i|yd b;d Wiia m%ñ;sfha T!IO wm rfÜo Ndú;d jk ksid frda.Skag ;u frda. ;;a;ajh ukdj md,kh lr .ekSfï yelshdj mj;S" Yajik frda. úfYAI{ ffjoH wñ; m%kdkaÿ MBBS, MD(Col), MRCP(UK)

weÿu frda.hg Tn ìh úh hq;= ke;' weÿu kej;" kej; we;s úh yels kuqÿ ta .ek ksis wjfndaOhla isàfuka idudkH Èú fmfj;la .; l< yel' iq,n iudc .eg¿jla wo f,dj mqrd weÿu frda.Ska ñ,shk 300 lg jeä ixLHdjla we;s nj ie<flk w;r" wfma rfÜu ñ,shkhlg jeä m%udKhla frda.Ska we;s njg y`ÿkdf.k ;sfí' idudkHfhka <uqkaf.ka 25] la" jeäysáhka.ka 10] la muKo weÿu frda. fhka mSvd ú|sk njg fi!LH wxY wkdjrKh lrk w;r miq.sh jir 10l muK ld, iSudj ;=< f,dj mqrd fuu frda.h 50] lska muK jeä ù we;' fï i|yd úúO fya;= n,md we;s w;r" ta fya;=

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weÿu lshkafka l=ulao@ weÿu frda.h yqiau .ekSfï wmyiqj we;s lrk" Yajik moaO;sh wdY%s; frda.hls' wm yqiau .kakd úg ndysr mßirfha we;s jd;h wmf.a fmky¨ ;=<g f.k tau i|yd Wmldr jk .il w;= ßls,s fuka fn§ hk ishqï jQ kd, moaO;shlsks' ksSfrda.S mqoa.,fhl=f.a fuu kd,j, we;=,; l=yrh lsis÷ wjysrhlska f;drj mj;S' kuq;a weÿu frda.hg f.dÿre jQfjl=f.a ta frda.Skag úfYaIs; jQ fya;= ksid fuu kd, moaO;sh mßirfha we;s fkdfhl=;a idOl j,g b;du;a ixfõ§ njla fmkajhs' fï fya;=fjka fuu kd,j, ì;a;sh bÈóu" fiu ^Yaf,aIau,& ksmoùu isÿfõ' fï ksid fulS kd,j, we;=<; l=yrh mgq ùu isÿfõ' fujeks mgqkd, ;=<ska jdhq yqjudrej wmyiq fõ' fï ksid weÿfï frda. ,CIK j,g fya;=fõ' ta wkqj m%Odk jYfhka weÿu frda.fhaÈS ² Yajdi kd,j, wNHka;rfha mgqùu ² Yaf,aIau,fha bÈóu ² Yajdikd,j, wê l%shdldß;ajh hk l%shdj,skaf.a tl;=jla ksid §¾> ld,hla mqrdjg mj;sk yqiau .ekSfï wmyiq;djh $ y;sh we;sùu isÿfõ' weÿu frda. ,CIK m%Odk jYfhka my; frda. ,CIK ±l.; yel' fï ,CIK fndfyda úg WoEik yd rd;%S ld,hkays§ frda.Skaf.a olakg ,efí' • yqiau .ekSfï wmyiq;djh $ y;sh • mmqfõ ;o .;sh • ldhsl l%shdldrlï iSud ùu • fiu iys; leiai fyda úh<s leiai • yqiau .ekSfï§" msg lsÍfï§ ksl=;a jk rdx rEx Yíoh

July 2019

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weÿu jeks ksoka.; frda. i|yd ffjoH Wmfoia wkqj È.= ld,Skj m%;sldr .ekSu b;d jeo.;a'''

Asthma

idudkH fn%dkalsfhda,

weÿu frda.sfhl=f.a wdidos; fn%dkalsfhda,

uDÿ mgl bys,a ù we; bosóu

we,aúfhda,

mlaIau Yaf,aIau,

fu frda. ,CIK jeä lrjk idOl /ila mj;S' fnfyda úg ta ta ;;a;ajhka frda.Ska w;a ±lSfukau ±k .kS' iuyr frda.Skag frda. ,CIK ks;r ke;s w;r" wjqreoafoa hï ld,hlg fyda frda.h W;aikak lrjk idOlhkag ksrdjrKh jQ úg muKla frda. ,CIK fmkaùu olakg ,efí' we;eï úg fuu frda. ,CIK weÿu frda.hgu úfYaIs; jQ tajdo fkdfõ' yDo frda." ÿïmdkh yd wdidok ksido fï ,CIK we;súh ye;'

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July 2019

DOCTOR MAGAZINE

weÿu frda.h W;aikak ùug bjy,a úh yels idOl w;r" nelaàßhd yd ffjria wdidok" is.rÜ" r:jdyk ÿu" wêl ÿú,a, fyda iS;, " udkisl wd;;sh" i;=ka yd we;eï T!IO j¾. wdosh fmkajd Èh yel' fuu frda.h W;aikak lrk idOl m%Odk jYfhka fldgia follg fnod ±laúh yel' • úi¾ck (Allergens) • úi¾ck fkdjk idOl (Non Allergense) uq,ska ±lajQ ¥ú,s j, csj;a jk l=vd wkaùlaISh lDñfhl= jk ÿú,s uelald" lerfmd;a;ka jeks lDñhka" u,aj, mrd." f;;ukh iys; ;ekaj, jefjk È,Sr" n,a,ka" n<¨ka wd§ i;=kaf.a f,dï" fl< wdÈh;a " we;eï wdydr rildrl øjH" j¾Kl jeks foaj,a úi¾ck idOl fldgig wh;a jk w;r" fN!;sl idOl jk foaY.=Ksl fjkia ùï" is.rÜ" jdyk ÿï wdÈh úi¾ck fkdjk idOl .Khg wh;a fõ' fuys§ jeo.;a jkqfha fuu ;;a;ajhka ;udf.a cSús;hg n,mdk wdldrh ms<sn|j ffjoHjreka iu. idlÉPd lsßuhs' doctormagazine.lk

jdhq wxY= isrjQ we,aúfhda, bys,a jQ fmaYs

idudkH jdhqu.

y;sh" uykaish" fiu ;;a;ajhkao weÿu frda.huo@ fuu ;;a;ajhka fndfyda fjk;a frda. fya;=fjkao we;s úh yel' frda.shd mjik f;dr;=re wkqj" frda.S ,CIK W;aikak lrk idOl wkqj frda. ks.ukhlg taug ffjoHjrekag mq¿jks' fï ksid ta i|yd fndfyda úg úfYaI mÍCIKo wjYH fkdfõ' weÿu frda.Ska m%Odk jYfhka fldgia follg fnosh yel' 01' <ud ld,fha§ we;sjk weÿu frda.S ;;a;ajh fï ;;a;ajh i|yd mdrïmßl fya;=o n,mdkq ,efí' fndfyda úg l=vd <orejka nyq, jYfhka fï ;;a;ajhg f.dÿre jk nj fi!LH ld¾h doctormagazine.lk

isrjQ uDÿ fmaYs

ì;a;s m%odyhg m;aù >k ù we;

weÿu frda.sfhl=f.a jdhq u.

weÿu frda.sfhl=f.a frda.h w;r;=r jdhqu.

uKAv, ixLHd f,aLK wkqj meyeos,sj m%lY l< yel' ujg fyda mshdg weÿu fyda ta yd iïnkaO wdid;añl;d jk mSki" oo" jeks frda. we;akï orejdgo fndfyda úg weÿu frda.h iE§fï wjodkula ;sfí' mdrïmßl fya;= j,g wu;rj" .¾NkS ld,h ;=<§ yd <ore ld,h ;=<§;a orejd jefvk mßirfha we;s fkdfhl=;a idOlo frda.S ;;ajh we;sùu flfryS n,mdkq ,efí' ^Wod ( is.rÜ ÿu" jdyk ÿu& 02' jeäysá úfhaÈ we;sjk weÿu frda.S ;;a;ajh <ud ld,fha§ we;sjk weÿu ;;a;ajh" fndfyda úg jhi;a iuÕ ^wjq' 12-14 muK jk úg& iqj ùu olakg ,efí' tfy;a ixLHd f,aLk wkqj fuf,i ksÜgdjg iqjjkafka 50] l muK m%;sY;hls' kuq;a lsis÷ fmr b;sydihla fkdue;sjo jeäysáfhl=g ;u cSú;fha ´kEu wjêhl§ frda.h we;súh yel' ta i|yd ksYaÑ; fya;=jla fuf;la y÷kdf.k ke;' weÿu frda.ho wêl reêr mSvkh" Èhjeähdj jeks ksoka.; frda.hls' fï ksid frda. ;;a;ajh ukd md,khla i`oyd ffjoH Wmfoia wkqj È.=ld,Sk m%;sldr ,nd.ekSu b;d jeo.;a fõ' mSki (Allergic rhinitis)" oo (Ecz ema) nv" mmqfõ ±ú,a, (Gastritis) jeks frda. weÿu frda.Skag je<|Sug jeä m%jK;djhla mj;S' weÿu frda.Skag we;sjk mSki ;;a;ajfha§ lsúiqï hdu" weia" W.=r leiSu" July 2019

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Asthma

weÿu jeks ksoka.; frda. i|yd ffjoH Wmfoia wkqj È.= ld,Skj m%;sldr .ekSu b;d jeo.;a'''

fiu meg,Su jeks frda. ,CIK u;=fõ' kuq;a fï ;;a;ajhka T!IO u.ska fyd|ska md,kh l< yel' weÿu i|yd we;s m%;sldr l%u fudkjdo@ fï i|yd Ndú;d lrk T!IO j¾. m%Odk jYfhka fohdldr fõ' 01' weÿu j<lajk T!IO ^ksjdrk T!IO& Preventers fï T!IO u.ska Yajdikd, j, we;s bÈuqu" wê ixfõ§;djh wvq lrhs' fuu.ska weÿu frda. ,CIK md,kh lrk w;r cSú;hg weÿu W;aikak ùu ksid we;sjk wjodku wvq lrhs' fuu T!IO iafgfrdhsv T!IO ldKavhg wh;a jk w;r" tajd frda.shdf.a fmky¨ ;=<g we;=,a lsÍug fyd|u l%uh bkafya,¾ Ndú;hhs' fuu T!IO ÿula ke;fyd;a jdIamhla f,io bkafya,hrla u.ska ,ndÈh yel' fuys§ wjOdrKh l< hq;= b;d jeo.;a lreKla we;' tkï we;eï frda.Ska fï T!IO mdúÉÑh flá l,lska k;r lr oukq ,efí' th b;d wys;lr lreKls' frda.shd frda. ,CIK ke;sjqjo" ksjdrK j¾.fha T!IO ks;sm;d ,nd.; hq;=h' fuhg fya;=j T!IO

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July 2019

DOCTOR MAGAZINE

ksid frda. ,CIK fyd|ska md,kh ù ;snqKo" iajdYkd, j, we;s wê ixfõ§ nj ;j;a ld,hla tfia mj;sk ksidh' fï ;;a;ajh ksid ;djld,slj frda. ,CIK md,kh jQjo ^kd,j, ixfõ§ nj ksid& ndysr iOl u; kej; frda. ,CIK my< úh yel' ta ksid ffjoH Wmfoia u; ks;sm;d m%;sldr .; hq;=h' ;jo fuu T!IO u.ska CIKsl iykhla fkd,efí' fï ;;a;ajh fkdokakd ksido fndfyda úg frda.Ska w;ru. m%;sldr k;r lrkq olakg ,efí' fï

doctormagazine.lk

T!IO " bkafya,¾ m<uq jrg .ekSfï§ frda. ,CIK md,kh ùu i`oydo i;s 1-2 la w;r ldf,hla .kakd ksid fnfy;a j,ska .=Khla ke;ehs is;d frda.Ska wffO¾hu;a fkdúh hq;=h' 02' weÿu i|yd iykh i,iajk T!IO ^iykodhS T!IO& Relievers fuu.ska frda. ,CIK my< jQ úg Yajik ud¾.fha we;s jQ mgqùu ksjerÈ .ekSu myiq lrkq ,efí' fm;s" isrma fyda bkafya,¾ f,i fï T!IO .; yels w;r" bkafya,¾ Ndú;fhka .kakd ,o kï úkdä 02-03 lska muK frda. ,CIK wvq ù hkq ,efí' kuq;a fuu T!IO .;a miq;a frda. ,CIK ;sfí kï jydu ffjoH Wmfoia .; hq;=h' fndfyda úg frda.Ska CIKsl m%;sM, ,nd .ekSu i|yd fuu iykodhS T!IO muKla .ekSug fm<fò' kuq;a frda. je<elaùfï l%shdj i|yd fuu iykodhS T!IO j,ska m%;sM,hla fkdue;s w;r" È.=ld,Skj .ekSuo ydksodhl úh yel' fuu T!IO .s,sk fm;s fyda bkafya,¾ f,i ,nd.; yel' kuq;a bkafya,¾ Ndú;fha§ T!IO fl<skau Yajik moaO;shg ,nfok ksid we;sjk w;=re wdndO wju fõ' bkafya,¾ Ndú;d lrk wdldrh tys j¾.h wkqj fjkiajk w;r" th ,nd e.kSfï§ Ndú;h i|yd Wmfoia ffjoHjrekaf.ka yd T!IOfõ§kaf.ka ,nd.; yel' bkafya,¾ Ndú;h .s,sk fm;s Ndú;hg jvd iqÿiq jvd;a ld¾hCIu m%;sldr l%uhhs' frda.shdg wjYH ksjdrK .Kfha T!IO ud;%dj yd .; hq;= jdr .Kk ffjoHjrhd ta ta frda.shdf.a frda. ,CIK wkqj ;SrKh lrkq ,efí' tu ksid wl%uj;aj ksjdrK T!IO .ekSfuka frda. ,CIK md,kh lr .ekSug .;jk ld,h yd uqo,a jeäúh yel' tu ksidu iEu frda.sfhlau ksis ud;%dfjka" i|yka lrk ,o jdr .Kkg ksjdrK T!IO .ekSu w;HjYH lreKla fõ' weÿu frda. ;;a;ajh md,kh ù we;a±hs ;SrKh lrkafka flfiao@ Tfí frda. ;;a;ajh ;Sj%;djhg iß,k mrsÈ ffjoHjrhd ksjdrK T!IO kshu lr we;akï" Tn tu T!IO Wmfoia mßÈ .kafka kï" my; i|yka

doctormagazine.lk

;;a;ajfha Tn isáh hq;=h' 1' WoEik wjÈ jk úg weÿfï frda. ,CIK jk y;sh" uykaish leiai" mmqfõ ;o .;sh wdÈh fkd;sìh hq;=h' 2' rd;%S ld,fha fyda WoEik kskaog weÿfï frda. ,CIK ksid ndOd fkdúh hq;=h' 3' tÈfkod lghq;=" /lshdj ndOdjlska f;drj lr.; yels úh hq;=h' 4' iykodhS T!IO i;shlg foj;djlg jvd wvqfjka wjYH úh hq;=h' 5' yÈis m%;sldr i|yd ffjoHjreka yuq ù frday,a.; ùu isÿ fkdúh hq;=h' Tn fï ;;a;ajfha isáho ksjdrK .Kfha T!IO ;jÿrg;a .ekSu w;HjYH fõ' weÿu frda.h yd m%;sldr iïnkaO jerÈ úYajdi yd u; fudkjdo@ 1' lsßmsá j¾. j,ska fiu u;= fõ hehs fndfyda fokd úYajdi lr;s' fï i|yd úoHd;aul mokula ke;' lsßmsá j, we;s fN!;sl iajNdjhla jk Wl=

July 2019

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Asthma

weÿu jeks ksoka.; frda. i|yd ffjoH Wmfoia wkqj È.= ld,Skj m%;sldr .ekSu b;d jeo.;a'''

.;sh ksid fuh W.=f¾ ;ekam;a jQ úg fndfyda weÿu frda.Ska fuh fiu ne|Sula f,ig jrojd f;areï .kS' lsßmsá j¾. udre lsÍu fyda t¿ lsß mdkh lsÍfuka úfYaI jdishla fkd,efí' 2' uõ lsß §fuka <orejka weÿu frda.fhka wdrCId fõ' 3' wdydr ksid frda. ,CIK u;=jkafka 2] la muK b;d iq¿ msßilgh' kuq;a weÿu frda.Ska 60] lg jvd jeä m%udKhla wdydr ksid weÿu we;sjkjd hehs jerÈ u;hl isà'

52

July 2019

DOCTOR MAGAZINE

weÿu md,kh ù we;s úg hï wdydrhla f.k meh lSmhlska weÿu frda. ,CIK u;=jkafka kï tu wdydr .ekSfuka je<lsh hq;=h' 4' úÿ,s mxld Ndú;d lsßu jrola ke;' kuq;a úÿ,s mxldj ldurh yels ;dla ¥ú,af,ka f;drj ;nd.; hq;=h' 5' YdÍßlj fjfyiSfï§ weÿu frda. ,CIK u;=úh yel' kuq;a fuh fya;=fjka lsis úfgl YdÍßl l%shdldrlï iSud fkdl< hq;=h' ksis mßÈ ksjdrK T!IO yd wjYH mßos iykodhS T!IO .ekSfuka fuu ;;a;ajhka uÕyrjd .; yel' jHdhdu lsÍug fmr weÕ WKqiqï lsÍfï jHdhdu l< hq;=h' wjYH kï jHdhdu lsÍug fmr iykodhS T!IO .; yel' bkafya,rhg fyda thg fhdok T!IO j,g weíneys ùula lsis úfgl isÿ fkdfõ' ta ksid ffjoHjrhd kshu lrk bkafya,rh Ndú;hg lsis÷ wdldrhl ìhla we;slr.; hq;= ke;' .¾NKS ujlg jQjo Ndú;d l< yel'

doctormagazine.lk

weÿu i|yd ksis ffjoH Wmfoia u; T!IO .ekSfuka frda.Skag we;s jdis 1' frda. ,CIK md,kh ùu fya;=fjka tÈfkod ksjfia lghq;=" /lshdj" mdi,a wOHdmk lghq;= jeks oE ndOdjlska f;drj lr.; yel' 2' frda.h ksishdldrj md,kh fkdùu fya;=fjka cSú;hg t,a,úh yels ;¾ck" yÈis m%;sldr i|yd frday,a.; úh hq;= wjia:d wju fõ' 3' frda.S ;;a;ajh ukdj md,kh ù we;s ksid" frday,a j, ndysr frda.S wxY fm!oa.,sl m%;sldr i|yd jehjk uqo,a b;sß lr .; yel' 4' frda.h md,kh ù we;s úg YdÍßl l%shdldrlï lsÍfï we;s yelshdj ksid Tnf.a cSú;h jvd;a M,odhSlj yd ;Dma;su;aj .; l< yelsh' 5' frda.h md,khla fkdue;s jQ úg Tn .kakd wdydr" iakdkh lsÍu jeks oE flfrys we;s iSudjka fndfyda ÿrg wvqlr.; yel' fï ksid ksis m%;sldr ks;sm;d .ekSu w;HjYH lreK th fm!oa.,sl fukau iudc wjYH;djhls' fi!LH wxY Y%S ,dxlSh ck;djf.a fi!LH uÜgu by< kexùfuys,d f.k hk ±jeka; ioald¾hhg yels muKska lrkq ,nk uyÕ= Wmldrlhls' w;aje,ls' tf,i ksis mßÈ T!IO .ekSu" weÿu ukdj md,kh lr.; yels frda.hls' weÿu ch.; yels frda.hls' ta i|yd m%n,j wjYH jkafka frda.shdf.a lemùu yd wêIaGdkh muKs' weÿu ksid cSú;hg ;¾ckhla úh yels wjia:d 1' weÿu W;aikak jQ wjia:djkays§ Tn" iykodhS .Kfha T!IO .;a úg frda. ,CIK meh lsysmhlaj;a md,kh ù ;sìh hq;=h' fuh isÿ fkdù meh lsysmhlg j;djla j;a iykodhS T!IO wjYH fõ kï th wjodkï ;;a;ajhls' 2' l:d lsßfï wmyiq;djhla we;sfõ kï jpk WÉpdrKh lsÍu" jdlH iïmQ¾K lsÍu wmyiq kï fuho wjodkï ;;a;ajhls' 3' rd;%sfha kskaog weÿu frda.h ksid ndOd we;s fõ kï" WoEik frda. ,CIK W;aikak ú Tn wjÈ fõ kï fuho wjodkï ;;a;ajhls'

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fujeks úfglÈ jydu ffjoH Wmfoia ,nd .; hq;=h' weÿu frda.hg Tn ìh úh hq;= ke;' weÿu kej;" kej; we;s úh yels kuqÿ ta .ek ksis wjfndaOhla isàfuka idudkH Èú fmfj;la .; l< yel' <ud ld,fha§ we;sjk weÿu ;;a;ajh" fndfyda úg jhi;a iu. iqj ùu olakg ,efí' mSki" oo" nv" mmqfõ ±ú,a, jeks frda. weÿu frda.Skag je<|Sug jeä m%jK;djhla mj;S' lsßmsá j¾. j,ska fiu u;= fõ hehs fndfyda fokd úYajdi lr;s' fï i|yd úoHd;aul mokula ke;' DM idlÉPdjlsks

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Dimple

ldka;djkag wmQ¾j iqkaor;ajhla tla l< m%fõKsl fodaIh'''

DIMPLE

The Cutest Deformity Ever ldka;djkag wmQ¾j iqkaor;ajhla tla l< m%fõKsl fodaIh''' 54

July 2019

DOCTOR MAGAZINE

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lïuq,a j, .eiSu m%fõKsl fodaIhla we;s jqKdu l,n, fkdfjkafk ljqo @ th kej; ilia lrkakg neß ksid;a" thska wjevlau ñi isÿjk fyd|la .ek ys;d.kakg j;a neß ksid;a m%fõKsl fodaI j,g wm ljqre;a nhhs' ta;a l,d;=rlska wjia:djloS m%fõKsl fodaI;a fyd|g isÿ fjkjd lSfjd;a we;eï úg Tn uú;hg m;a fõú' ta;a l;dj we;a;hs' lïuq,a j, .efyk tl (Dimples) ldka;djkag w,xldrhla tla lrkjd' ta ksid weh yskefyk úg wmQre iqkaor;ajhlao we;s fjkjd' fï ksid j< .eiqKq lïuq,a fndfyda ldka;djka i<lkafka wdNrKhla f,ihs' ta;a ienEj kï j< .eiqKQ lïuq,a Wreu jkafka m%fõKsl fodaIhla úosyghs' wkak ta ksihs l,d;=rlska jQj;a we;eï m%fõKsl fodaI;a fyd|g isÿjk nj lshkafka''' YÍrhg w,xldrhla f.k fok j< .eiSï (Dimples) m%Odk jYfhka ;=kla ;sfnkjd' lïuq,a iy kslfÜ j< .eiSï flfkl=g ;sfnkjd kï ldg;a th oelsh yelshs' msfÜ mdoug jkakg fY%daKs fïL,djg Wäka j< .eiSulao we;s fjkjd' fuh;a iq,nj olakg ,efnk w,xldrj;a j< .eiSula' ta;a msfÜ we;sjk Dimple tl ;j;a flfkla olskafka l,d;=rlska' m%fõKsh wkQj fï w,xldrj;a j< .eiSï meyeos,s lrkakg mq¿jka' ta wkQj n,k úg fï w,xldrj;a j, .eiSï w.%ia: .;s ,laIKhla (Dominant Trait) tlla úosyg ;uhs ujf.ka fyda mshdf.ka orefjl=g Wreu jkafka' fuys wre; jkafka uj fyda mshd hk tla wfhl=f.a ;sfnk cdkhla uq,a ùfuka fï .;s ,laIKh orefjl=g Wreu úh yels njhs' uj fyda mshd hk fofokdf.ka tla wfhl=g fï fodaIiy.; cdkh ;sfnkjd kï Wmosk orejdg;a fï j< .eiSu

doctormagazine.lk

we;súfï ishhg 2550l bvla ;sfnkjd' uj mshd hk fofokdgu tlS cdkh ;sfnkjd kï orejdg;a th Wreu ùfï yelshdj ishhg 50-100la'

YÍrhg w,xldrhla f.k fok j< .eiSï (Dimples) m%Odk jYfhka ;=kla ;sfnkjd' lïuq,a iy kslfÜ j< .eiSï flfkl=g ;sfnkjd kï ldg;a th oelsh yelshs' msfÜ mdoug jkakg fY%daKs fïL,djg Wäka j< .eiSulao we;s fjkjd' fuh;a iq,nj olakg ,efnk w,xldrj;a j< .eiSula'

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ldka;djkag wmQ¾j iqkaor;ajhla tla l< m%fõKsl fodaIh'''

Dimple

lshkafk cdk úlD;sh we;s jkafka ,sx.sl j¾Kfoayfhahs' úoHd;aulj fï úlD;sh .ek myod ÿkafkd;a fuh we;s jkafka l=ifha bkakd iufha tu ia:dkj, iug háka we;s iïnkaOl mgl j, úliKd;aul ixj¾Okfha wvq¨yq`vq;djhla we;sùu ksihs'

The loveliest Genetic Trait Dimples are considered mark of beauty and loveliness. The truth is that dimples are actually genetic defects that are caused by shortened facial muscles.

Dimples are caused by a fault in the subcutaneous connective tissue that develops in course of the embryonic development.

A variation in the structure of the facial muscle may also cause dimples.

When a person smiles, the shorter muscle on the face pulls up the facial skin. This, in turn, creates a slight depression in the skin, which is called dimple.

uj mshd fofokdgu fï cdkh ke;akï orejdg Tjqkaf.ka tu .;s ,laIKh Wreu ùfï bvla kE' ta;a l,d;=rlska wjia:djloS uj fyda mshd hk fofokdgu Dimple fkd;sìhoS;a Spontaneous mutation kue;s l%shdj,sh ksid orejd j< .eiqKQ lïuq,la" ks;Ula we;sj Wm; ,eîfï hï yelshdjla ;sfnkjd' lïuqf,a j< .eiSï .ek fidhd ne¨fjd;a fïjd we;s jkafka lïuqf,a fome;af;auhs' tla lïuq,l ú;rla j< .eiSu ;rula úr, isÿ ùula' y÷kdf.k ;sfnk wdldrhg fï Dimple yeoSug fya;=jk cdkh - ta

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mqxÑ ldf,u fï j< .eiSu we;eï úg olakg ,efnkafka;a kE' ta;a f,dl= uy;a jqKdu''' uqyqfKa fiiq wjhj msÍ hk úg wr lS m%fõKsl wvq¨yq`vq;djh ksid fmrlS lïuq,a j, kslfÜ jeks ia:dk j, muKla j< .eiSu;a we;s fjkak mq¿jka' ks;U m%foaYhg by<ska we;sjk j<j,a uqyqfKA we;sjk j< .eiSï j,g;a jvd iq,nhs' w,xldrfha''' iqkaor;ajfha foj`. k f,i i<lk ùkia foj`.k msgqmi j< .eiSï weiqf¾o fï Dimple úia;r flfrkjd' Dimples of Venus, sacral dimples, or Pilonidal dimples wdoS jYfhkao fï msgqmi j< .eiSï yªkajd ÿka wjia:d oelafjkjd' DM

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Liposuction rEmfhys wdl¾YKh jvjkakg isÿ lrk ,hsfmdilaIka ie;alu

rEmfhys wdl¾YKh jvjkakg isÿ lrk

,hsfmdilaIka ie;alu isrefrys jeämqr fïoh bj;a lrk ie;alu

By Dr Amila Siriwardana Consultant Plastic & Reconstructive Surgeon NINEWELLS HOSPITAL

,hsfmdilaIka lshkafka l=ulao@ wfma iug háka ;sfhk fïoh wvq lsÍfï id¾:l m%;sldrhla jYfhka fuu ,hsfmdilaIka ie;alu b;d ir<j y÷kajd osh yelshs' wfma YÍrfha we;eï ia:dk j, jeä jYfhka fïoh ;ekam;a jk m%jK;djhla ;sfnkjd' Worh" msfÜ há m%foaYh" l,jd" YÍrfha fome;a; (Flank) mdofha l<jd" ;Ügï" ndyqfõ Wv fldgi wdoS ia:dk iqúfYaIShs' fï jeä jYfhka jeämqr fïoh ;ekam;a ùug jHdhdu u|lu" jeros wdydr jf.au we;eï frda.;a fya;= fjkjd' cdkuh fya;=ka" fydafudakuh fjkialï wdoS idOl fï f,vfrda. j,g fya;= fjkjd' jeä jYfhka fïoh ;ekam;a ùu ksis wdydr mqreÿ weiqf¾''' ke;akï jHdhdu j,ska lsishï m%udKhlg wvq lr.; yelshs' yenehs iïmQ¾Kfhkau wvq lr.kak kï nE' fï fya;=j ksidfjkau YÍrfha yevh mj;ajd .ekSu wmyiqhs' fuh ia;%S

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rEmfhys wdl¾YKh jvjkakg isÿ lrk ,hsfmdilaIka ie;alu

Liposuction

mqreI fomd¾Yajhgu ;sfhk .eg¿jla' ta;a fmKqu .ek jeä wjOdkhla fhduq lrk ksid ldka;djka jeä jYfhka fuhska lsishï jeä mSvdjlg m;a fjkjd' ,hsfmdilaIka m%;sldrfhka lrkafka fï úosyg wkjYH f,i tl;= ù ;sfnk fïoh oshrhla njg m;alr YÍrfhka bj;a lsruhs'

fkdfjhs' fuhska flfrkafka wkjYH f,i YÍrfha ;ekam;aj we;s fïoh ir< ie;alula u.ska t<shg weo, .kak tlhs'

,hsfmdilaIka j,ska isref¾ nr wvq lrkak nE''' ia:q,;djhg úi÷ul=;a fkdfjhs ,hsfmdilaIka ;rndrejg ms<shï fidhk m%;sldrhla fkdfjhs' wefÕa nr wvq lrk ie;alul=;a

isys ke;s lr isÿ lrk ie;alï ta yereKQ úg f,dl= m%foaYhla wdY%s;j fïoh bj;a lrkjd kï''' ksoiqkla úosyg nv" msg fyda ;ggï j, fïoh bj;a lrkjd kï id¾j ks¾úkaokhla tkï isys ke;s lsÍula isÿ lr, fï ie;alu isÿ lrkak fjkjd'

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isys ke;s fkdlr lrk ie;alï ,hsfmdilaIka lrk l%u lsysmhla ;sfnkjd' wf;a ú;rhs" mdofha uiaf.dn ú;rhs" l,jfha ú;rhs''' ta úosyg tla fldgil ú;rla fïoh wvq lrkjd kï isys ke;s lsÍula fkdue;sj ta ia:dkh ú;rla ks¾úkaokh lsÍu iEfykjd' fuysoS ksødYS,S nj we;s lr, (local anesthesia with sedation) fï ie;alu isÿ lrkak mq¿jka' fuysoS kskao hkak fnfy;la oSu yd ta ia:dkfha fõokdj fkdoefkkak ysß jeÜàula isÿ lrkak mq¿jka'

ie;alu lrkafka fufyuhs wmg jeä jYfhkau frda.Ska tkafka nv" l,jd jeks ia:dk j, fïoh bj;a lr.kakhs' fï ie;alï j,oS isys ke;s lr, tu fïoh bj;a lsÍu myiqhs' fuysoS

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wod, ia:dkfha isÿre folla ;=kla úo, jeäu .;af;d;a mEka nghl muK m%udKfha ishqï WmlrKhla ^fuh wm lekshq,djla f,i y÷kajkjd'& iu yryd f;,a ;Ügqjg m%fõY lrjkjd' fï lekshq,dj iïnkaO lrkjd úfYAI lïmk W;amdokh lrk WmlrKhlg (Vibrating Device) fuhska isÿ jkafka fïo ;Ügq lvd .kakg" ì| fy<kakg n,hla iemhSuhs' fï wdldrfhka ;ekam;= ì| .ekSfuka miq fïoh oshrhla jYfhka pQIKh lr bj;a lr.; yelshs' lmkafk fldgkafk ke;s ksid;a" wvq ;rfï YÍrfha le<,la j;a we;s fkdjk ksid;a fuh yßu myiqhs' doctormagazine.lk

lïmkh yereKq úg fïo ;Ügq bj;a lrkak f,ai¾ loïn;a ffjoHjreka fhdod .kakjd' w,ag%d ijqkaâ Yla;s ;rx.;a fhdod .kakjd' hdka;%sl Yla;sh weiqf¾ fïo ;Ügqj ì| fy<k lïmk hdka;%sl Yla;sh;a fhdod .kak mq¿jka' wfma rfÜ fï i|yd Ndú;d jkafka fuys wjidkhg i|yka l< lïmkh weiqf¾ f;,a ;Ügq ì| fy<Sfï ;dlaIKhhs' msßñka i|yd ,hsfmdilaIka Ndú; fï m%;sldrh ldka;djkag ú;rla fkdfjhs" msßñkag;a iqÿiqhs' fjfiiskau msßñkaf.a mmq m%foaYfha we;s wkjYH fïoh bj;a lrkakg ,hsfmdilaIka m%;sldrh fhdod .kakd wjia:d ;sfnkjd' msßñkaf.a ;kmqvq wdY%s;j msïîula" jeäfhka fïoh ;ekam;a ùula we;s jqKdu we;euqka fï l%uhg iajdNdúl fmKQug m;a jkakg ,hsfmdilaIka m%;sldrfha msysg ,nd .kakd wjia:d ;sfnkjd' we;eï mqreIhkag fï mshhqre jeäfhka j¾Okh jk f,vla ;sfhkjd Gynaecomastia hkqfjka' fï jeä mgl;a lm, whska lrkafk ke;sj fï ,hsfmdilaIka l%uhg lemqula fkdue;sj isÿ lr.kak mq¿jka' Day Surgery ,hsfmdilaIka ,hsfmdilaIka ie;alu lrkakg frday,a.;j bkak wjYH;djhla kE' fuh Day Surgery tlla f,i myiqfjka lr.kak mq¿jka' Wfoa weú;a ie;alu July 2019

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rEmfhys wdl¾YKh jvjkakg isÿ lrk ,hsfmdilaIka ie;alu

Liposuction

lrf.k bjr jqKdu yjig f.or hkak;a mq¿jka' ie;alfuka miqj úYd, ixl+,;d tkak ;sfhk wjia:d b;du wvqhs' ixl+,;d wjuhs" myiqfjka ms<silr l< yelshs iq¿ uÜgfuka r;ameye .ekaùula" ;o .;shla" ;e,aul iajNdjhla" ta m%foaYh wdY%s;j we;s fjkak mq¿jka' ta;a fuh ;djld,slhs' th;a blauKskau u. yeß, ie;alfuys wruqK bIaG fjkjd' Garment for Body Contouring fï m%;sldrhg tkak l,ska Tyq fjkqfjka iqúfYAIS we÷ula wms yokjd' th fj<|fmdf<ka .kak mq¿jka' th ta fïoh bj;a lrk m%foaYhg Tìk wdldrhghs ielfikafka' túg wefÕa yevh ;jÿrg;a Contour fjkjd' fï ie;alu fõokdjla we;sjk ie;alula fkdfjhs' b;d by< id¾:l;ajhla w;am;a lrf.k ;sfnkjd'

,hsfmdilaIka l%uhg jrlg ,Sg¾ y;rl muK fïoh m%udKhla bj;a lrkjd' bka tydg hdfuka we;sjk wjdish ;uhs ;rula ixl+,;d we;sùfï wjia:d jeä ùu' wvq ;efkka jeä ;ekg msrùug;a ,hsfmdilaIka fhdod.kak mq¿jka ,hsfmdilaIka j, ;j;a Ndú;djla ;sfnkjd' wms lshuqfld" flfklaf. Worfha f,dl= f;,a m%udKhla ;sfhkjd' kuq;a ;Ügï tfyu kE' taj neye, ;sfhkafka' túg jeä ;efkka wrf.k ,hsfmd Inject lrkak mq¿jks' tfyu ke;akï mshhqre j, wvqmdvq ;sfhkjd kï taj mqrjkak mq¿jka' fuh;a ,hsfmdilaIka j, iqúfYaIS Ndú;djla' ma,diaála Y,H ffjoHjreka ñi fjk;a whf.ka ,hsfmdilaIka lr.kak hkak tmd'''' wjjdohla fï ie;alu ma,diaála Y,H ffjoHjreka úiska lrk Y,Huh l%shdj,shla' tys wdrlaIdj" id¾:l;ajh /f|kafka iqyqre ma,diaála Y,H ffjoHjrhdf.a mßph u;hs' miq.sh ld,fha fï iïnkaOfhka úfYaI" oekSula ke;s wh;a lafIa;%hg wj;S¾K jqKd' ta wh fï ie;alï lrkak .syska fiajd,dNSka úúO wf;darhkag uqyqK mEjd' fï ksid fï ie;alu kshñ; iqÿiqlï iemsrE jD;a;slfhlaf.ka - ma,diaála Y,H ffjoHjrfhlaf.ka lr.kak tl wjYHfhkau úh hq;a;la' khskaiafj,aia frdayf,a wNskjfhka wdrïN lsÍug kshñ; Aesthetic & Cosmetic Centre ldka;djkaf.a yd mqreIhkaf.a ,hsfmdilaIka ie;alu iïnkaOfhka fõ.j;a mshjr rdYshlau f.k ;sfnkjd' m%ùK lS¾;su;a ma,diaála Y,H ffjoHjreka yd wjfYaI jD;a;slhkaf.a fiajh" kjH Ndú;djka" kùk WmlrK weiqf¾ jvd;a id¾:l rEmd,xlrk ie;alul úkaokSh w;aoelSu ,nd .kakg Aesthetic & Cosmetic Centre by Ninewells Tn fj; wjia:dj i,id ;sfnk nj;a lsj hq;=hs' DM

jeä úia;r ioyd wu;kak 0710 350 228 60

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Child Care

orejd ffjoHjrfhl= fj; /f.k hk úg''''

orejd ffjoHjrfhl= fj; /f.k hk úg'''' Wmfoia <ud frda. jsfYaI{ ffjoH fiakl .=K;s,l

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' 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< 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' orejd .;a wdydrmdk" orejd ;=< ÿgq yeisÍï" fjkialï" ,ndÿka w;afnfy;a hkdosho ffjoHjrhdg fmkajkak'

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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'

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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' orejd leu;s fi,a,ï nvqjla ffjoH yuqjg /f.k hkak' orejd ixiqxj ;nd .ekSug th WmldÍ fõ'

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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'

zztaf.d,a, Thdg ;s;; a fnfy;a foaú''' bkafclaIka .ydú'''ZZ fujeks foa lsis úfgl orejdg lshkak tmd'''

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orejd ffjoHjrfhl= fj; /f.k hk úg''''

Child Care

T!IO .ekSug kshu l< fj,dj iy .; hq;= ud;%dj .ek fnfyúka ie<ls<u s ;a fjkak'

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' 64

July 2019

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T!IO .ekSug kshu l< fj,dj iy .; hq;= ud;%dj .ek fnfyúka ie<ls<su;a fjkak' ² ojilg ;=ka jrla hkq meh 8lg jrls' ² ojilg y;r jrla hkq meh 6lg jrls' ² ojilg fojrla hkq meh 12lg jrls' 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 doctormagazine.lk

DM

Child Care Tongue tie

TONGUE TIE orejka ny f;dark úfha we;sjk .eg¨jla ne|s osj

orejka ny f;dark úh w;sYhskau iqkaorhs' ;;kñka lshk we;eï joka uõmshkag kï f.k fokafka iq`Mmgq wdYajdohla fkdfjhs' úfYaIfhkau m%d:ñl f,i Yío Wiqrejñka ;d,hg lshjk uq,a ikaÈfha l;d j,ska i;=gla ñysßhdjla fkd,nkafka ljqrekao@ ny f;dark mqxÑ ikaêfha fldhs orejdf.a;a WÉPdrKh ksjerÈ kE' nr jpk tk ;ekaj,§ ta wh uqúka msg jkafka ir, Yíohs' thhs mqxÑ ikaÈfha fjki' ny f;darkjd lshkafka tAlfka' kuq;a fï ny f;dark úfha§u úuis,su;a úh hq;= frda. ;;a;ajhlao ;sfnkjd' ta ksjerÈ jpk WÉPdrKh lsrSfï wvq ¨yq`vq;djhla' y÷kajkafka tongue tie fkdfyd;a zne|s ÈjZ hkqfjka' fldhs orej;a ny f;dark úfha ksjerosj WÉPdrKh fkdlrk ksidfjkau zne|s osjZ y÷kd.ekSu ;rula

doctormagazine.lk

wudrehs' kuq;a fï zne|s ÈjgZ m%;sldr l< hq;af;a mqxÑ ikaÈfhaÈuhs' ta i|yd Y,Hl¾uhla ;sfnkjd' tys id¾:l;ajh r|d mj;skafka uq,a ld,fha§ th isÿlsÍfï§hs' l;djg;a lshkjdfka ''' zfldhs me;a;g;a kefuk Èj'''' Z lsh,d' th mrsKdóh ch.%yKhla' fï widudkH yeisrùfï yelshdj m<uq fldg Èjg wdrlaIdjla ,nd fokjd' úYd, mrdihl jpk lsis÷ wjysrhlska f;drj WÉPdrKh lsÍug wmg yelshdj ,efnkafka fï kefjk Èj ksihs' ne|s Èj hkq fï yerfjk$kefjk yelshdj iSud úuhs' fï keùï wjysr jk fia mdou isúhlska jeiS hkjd' ne|s Èj W;am;a;sfhkau we;sjk fodaIhla' y÷kd.ekSu wmyiqhs' ta;a" y÷kd.; yels mqxÑ T;a;=jla ;sfnkjd - we;eï úg' Èj msg;g ouk úg my<g kefjk iq`M iajNdjhla fyda Èj w. folg fn§ .sh iajNdjhla ;sfnkjd kï ke;fyd;a Èj fl<jr Wvqf;df,a iam¾Y lsÍfï ÿIalr;djhla ;sfnkjd kï th zne`È ÈjZ wdndOh olajk b`.shla úh yelshs' bÈka ielhla ;sfnkjd kï ffjoHjrfhl=g fmkajk tl fyd|hs' ta;a" uq,a ld,fha§ fï ;;a;ajh ;sfnkjdo lshd y÷kd.ekSu ;rula ÿIalr ldrKhla' ys;`M tlal cSj;a fj,d fouõmshka wksh; ìhla we;s lr.; hq;= kE ukao" ne|s Èj úr, wdndOhla' DM

July 2019

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65

D•Magazine /

Eye Surgery

wefia iqog lrk ie;alï

CATARACT SURGERY wefia iqog lrk ie;alï wefia iqo hkq l=ula o@ csú;fha ie|E iufha iq,nj oelsh yels wlaIs.; frda.hls' idudkHfhka jhia.; ck.yKfhka 1$5lg muK fuu frda.h we;s fjhs' wjqreÿ 74 muK blau jQ miq iEu fofofkl=f.ka tla wfhl=g fï ;;a;ajhg uqyqKfohs' idudkHfhka ksfrda.S wlaIs ldphla ;=<ska meyeos,sj wdf,dalh .uka lsÍfï yelshdj mj;S' tfy;a úhm;a jkúg fm%daàkaj,ska iEoS we;s fï ldph ridhksl

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fjkilg Ndckh ùfuka ta u; ly ÿUqre meye;s øjHhla ;ekam;a ù ta ;=<ska wdf,dalh .uka lsÍug ndOd meñfKhs' fï ;;a;ajh u; wefia fmkSug o úúO ndOd we;s fõ' ld,h;a iuÕ fï ;;a;ajh j¾Okh fjhs' iqo we;sùug fya;= fudkjd o@ ² jeäysá whf.a YÍrfha isÿjk ridhksl úm¾hdi ² oshjeähdj ² udxYfmaIS ÿ¾j,;d ² fldaáfldaiaáfrdahsâ j¾.hg wh;a T!IO Ndú;h

doctormagazine.lk

1'frda.S iajdNdúl ldph bj;a lrhs

iqo iys; wei

l=Ks;h

lemqu

fuysoS ñ,sóg¾ 2'6 - 3 la muK isÿrlska we;=¿ lrk WmlrKhla uÕska wefia iqo oshlr bj;g woskq ,nhs'

fh¥ lemqu ldph 2' ldph we;=<;a lrhs ldph

3'ldph kshñ; mßos ia:dms; lrhs kj ldph

² ;reK ld,fha isÿjk wk;=rej,ska wei fi,ùu ksid ² {d;s újdy ksid jk cdkuh n,mEï ² .eìKs iufha c¾uka irïm iEoSfuka miqj m%iQ;sh ,enQ orejkag ² l=vd orejkag .e,elafgdiSñhd tkaihsuh wvqùu ² mdrcïnq, lsrK ksid

zzcsú;fha ie|E iufha iq,nj oelsh yels wlaIs.; frda.hls' idudkHfhka jhia.; ck.yKfhka 1$5lg muK fuu frda.h we;s fjhs' wjqreÿ 74 muK blau jQ miq iEu fofofkl=f.ka tla wfhl=g fï ;;a;ajhg uqyqKfohs'ZZ

wefia iqog m%;sldr ;sfí o@ fï i|yd T!IO fkdue;s w;r ie;alula l< hq;=h' ie;alï j¾. folls'

1' ;rula úYd, lemqula fhdod ldph ie,lsh hq;= m%udKhlska msg;g f.k isÿ lrk ie;alu (ECCE)

doctormagazine.lk

2' l=vd isÿrla ;=<ska we;=¿ lrk úfYaIs; WmlrKhla wdOdrfhka isÿ lrk f*flda ie;alu

fuu l%u fofla oSu frda.shdf.a wei ;=< ldp ;ekam;a lrkq ,nhs' ie;alï fol w;r fjki l=ula o@ f*flda ² l=vd lemqula muKla fhdok ksid wefia ia:dhs;djhg n,mEula fkdfõ' ² osk 3-4 lska miq nr jevj, fhosh yelsh' ² i;shlska muK .e<fmk lKaKdähla me<|sh yelshs' ECCE ie;alu ² ueyqï oeñh hq;=h' ² frda.shdg <Õ ne,Sfï .eg¨ u;= úh yelshs' ² udi 3 la muK m%fõiï úh hq;=h' ² udi 3 la hk;=re lKaKdähla me<|sh fkdyelsh' DM

July 2019

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67

D•Magazine /

Eye Care

mßmQ¾K oDIaá wkaO;djh j<lajd .ekSu Wfoid úIka flhd úiska Glaucoma oDIaá mÍlaIK isÿlrhs

mßmQ¾K oDIaá wkaO;djh j<lajd .ekSu Wfoid

úIka flhd úiska

Glaucoma oDIaá mÍlaIK isÿlrhs oDIaál iakdhq moaO;sfha we;s iakdhq ;ka;= j, isÿjk wl%ñl;djhla ksid kej; oDIaáh h:d;;a;ajhg m;alr.ekSug fkdyels Glaucoma oDIaá wdndO we;sfõ' flfiajqj;a" fuu oDIaál W!k;djh l,ska y`ÿkd.ekSfuka Tfí weia fmkSu wdrlaId lr.; yel' fuys uQ,sl wjia:dfõ§ lsisÿ frda. ,laIKhla y`ÿkd.ekSug fkdyelsùu úfYaI;ajhls' Y%S ,xldfõ wlaIs wdrlaIK úi`ÿï ,nd§fï mqfrda.dñhd f,i fld<U 07" fjdaâ fmfofia msysá úIka flhd wdh;kh ;u m%Odk ld¾hd,h fj; meñK Glaucoma oDIaá mÍlaIKhla isÿlr.kakd f,i ieug wdrdOkd lrhs' kùk ;dlaIKfhka iukaú; hka;% u`.ska fuu frda.dndO l,ska y`ÿkd.ekSug ,eîfuka Tfí oDIaáh ksis fõ,djg wdrlaId lr.ekSfï yelshdj ,efí'

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doctormagazine.lk

wlaIs úfYaI{hka úiska wkqu; lrk oDIaá mÍlaIK w;r úfõl ld,h tlsfkldg idfmalaIj fjkia fõ' tu mÍlaIK ld,h ;SrKh lsÍfï yelshdj we;af;a o Tfí wlaIs úfYaI{hdg muKs'

"

"

fuys uQ,sl oDIaál ,laIK f,i (noticed as foggy/ cloudy vision) iy mQ¾K wkaO;djh we;sùfï wjOdkula mj;S'

wefika .%yKh lr.kakd oDIaál ix{d fud<hg f.khk oDIaál iakdhq moaO;sfha we;sjk frda. dndOhla f,i Glaucoma frda.h y`ÿkajd Èh yel' fuys m%Odk;u wjOdkï ;;a;ajh jkafka oDIaál iakdhq u; we;s jk m%udKj;a wNHka;ßl mSvkh fya;=fjka tys wdlD;shg n,mEu iy tu ksid oDIaál iakdhq ydks isÿùuhs' m%;sldrhla fkdlru fuu ;;a;ajh È.gu mj;ajdf.k hdu u`.ska iakdhq moaO;shg ;jÿrg;a ydks isÿfjñka idudkH oDIaáh ke;sù hdfï bvlvla mj;S'

doctormagazine.lk

ksy`vju oDIaáh fidrd.kakl= f,i ye`Èkafjk fuu`.ska Tng mQ¾K wkaO;djhla we;sùfï bvlvla mj;S' kS,ldp frda.fha wjOdku ms<sn`o uyck;dj ±kqj;a lsÍu u`.ska úIka flhd wdh;kh ;u wlaIs fi!LH ms<sn`o jeä wjOdkhla fhduqfkdlrk ish¨ fokdgu ksis l,g fõ,djg m%udohlska f;drj ;u wlaIs mÍlaId lr.ekSfï jákdlu ms<sn`oj lshdfohs' jhi wjqreÿ 40 blaujQ ´kEu flfkl=g m%dfõKsl frda.hla f,i mjqf,a whg kS,ldp frda.h ;sfíkï" wúÿr oDIaál;ajh we;sflfkl=kï fyda weig wk;=rla isÿj we;s flfkl=kï fyda w;S;fha§ úgñka yd fydafudak ix>gl ks;r Ndú;dlrkakl= kï" wefia reêr mSvkh 20 mg Hg blaujd hkafkl= kï fjk;a wlaIs wdndO we;sjQjl= kï fyda Èhjeähdj je<`§ we;s whl= kï m%udo fkdù ±kau úIka flhd wdh;kh fj; f.dia Glaucoma mÍlaIdj isÿlr.ekSu Tfí oDIaá fi!LHhg ys;lr fõ' m%;sldr u`.ska bÈßfha jeäÿrg;a isÿúh yels oDIaáfha ydksh ke;slr.ekSug yelsjk w;r wei kej; h:d;;a;ajhg m;alr.ekSug yelshdjla fkdue;' oDIaá frda. uq,ska y`ÿkd.ekSfï mÍlaIK" wefia oDIaá frda. l,ska y`ÿkd.ekSfï mÍlaIK" wefia reêr mSvk mÍlaIK" idudkH oDIaál lafIa;% mÍlaIK" mQ¾K oDIaá frda. úfYaI{ yryd Wiia oDIaá WmlrK u`.ska isÿlr.ekSfï wjia:dj ieug ysñfõ' fuu

July 2019

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D•Magazine / Eye Care

mßmQ¾K oDIaá wkaO;djh j<lajd .ekSu Wfoid úIka flhd úiska Glaucoma oDIaá mÍlaIK isÿlrhs

ish¨ mÍlaIK b;du;a ir, lsisÿ fõokdjla ke;s mÍlaIK fõ' Tn Glaucoma frda.hg ±kgu;a T!IO ,nd.kafka kï l,ska l,g wei mÍlaId lr.ekSu isÿlr.; hq;=h' tfukau tjeks wfhl=f.a mjqf,a idudcslhkag Glaucoma oDIaá frda.h je<`oSfï jeäwjOdkula ;sfnk w;r Tjqka wlaIsmÍlaIK úfYaI{hl= ,jd l,ska l,g Glaucoma oDIaá mÍlaIdjka isÿlr.ekSu jvd;a hym;a fõ' Tng Glaucoma frda.h we;s njg y`ÿkdf.k we;akï udi 3 isg 12 olajd È.ska È.gu ta ms<sn`o w;HjYH mÍlaIK isÿlr.; hq;=h' Tng isÿù we;s wdndOfha iajNdjh mokï lr.ksñka m%;sldr fj; fhduqùfï IOP uÜgu iy wfkla wjOdkï frda. ;;a;ajhka ie,ls,a,g .ksñka fuu ld,h ;=< fkdlvjd wlaIs fi!LH ms<sn`o wjOdkh fhduql< hq;=h' Glaucoma frda.fhka isÿù we;s wdndOh jeäjk ;rug Tn ks;sm;d isÿl< hq;= mÍlaIK iajNdjhka o jeäfõ' tfukau fuu frda.S ;;a;ajh y`ÿkdf.k th md,kh lr.ekSug yelsjQfha kï iy frda.h jeäùfï ,laIK fmkakqï fkdlrhskï oDIaá mÍlaIK isÿlr.ekSfï jdr .Kk l%udkql+,j wvq lr.; yel' wlaIs úfYaI{hka úiska wkqu; lrk oDIaá mÍlaIK w;r úfõl ld,h tlsfkldg idfmalaIj fjkia fõ' tu mÍlaIK ld,h ;SrKh lsÍfï yelshdj we;af;a o Tfí wlaIs úfYaI{hdg muKs' wjidk jYfhka ±k.; hq;= ldrKdj kï Glaucoma frda.h je<§ ;sfnk frda.sfhl= l,ska l,g ;ukaf.a weia mÍlaId lr.ekSu isÿlr.; hq;= njhs' wlaIs wdndOh iqjlr.ekSug fkdyels iajNdjh i,ldne,Sfï§ Glaucoma frda.h we;sùug fmr th j<lajd .ekSu jvd;a fhda.H fõ' tf,fiu Tn frda. dndOh ms<sn`o fkdie,ls,su;a jkafka kï th b;d blauKska l%shd;aul ù Tng mQ¾K oDIaá wysñùula isÿùu fuys we;s lK.dgqodhl lreKhs' fï ms<sn`o jeäÿr f;dr;=re ±k.ekSug leu;s wfhla isàkï 0117575100 wxlh wu;d úIka flhd wdh;kh úiska Tn fjkqfjkau myiqlï i,id we;s kS,ldp mÍlaIKh ms<sn`o f;dr;=re ±k.ekSfï yelshdj mj;S' 70

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úIka flhd wlaIs wdrlaIK iy Y%jK wdrlaIK WmlrK iy fiajd ,ndfok ,xldfõ m%uqL;u wdh;khhs' kùk ;dlaIKsl WmlrK iy úfYaI{ ±kqu we;s ld¾h uKav,hlska iukaú; fuys Wiia ;;a;ajfha wlaIs mÍlaIK" weia lKaKdä" wõ lKaKaä" wlaIs ldp" Y%jKdOdrl iy Y%jK mÍlaIK isÿlr.ekSfï myiqlï ck;djg imhd we;' Wiiau ;;a;ajfha ksjerÈ wlaIs ;dlaIKh Ndú;d lrk úIka flhd wdh;kh rgmqrd úys§ ish YdLd cd,h u`.ska rYañ jl%SlrKh" j¾K ±lau" plaIqÍlaI iy wefia reêr mSvk mÍlaIK wdÈh tieKska isÿlr .ekSfï myiqlï imhd we;' ´kEu wlaIs wdndO ;;a;ajhla y`ÿkd.ekSu fyda tajdg wjYH ksjerÈ m%;sldr ,nd§ug wjYH úYd, mrdihl me;sreKq mÍlaIK iy m%;sldr l%u wdh;kh úiska ,ndfok w;r wlaIs frda. ;;a;ajhka l,ska y`ÿkd.ekSu u`.ska tajdg blauKska m%;sldr ,nd§u i`oyd Tjqka Woõ fõ' DM

doctormagazine.lk

D•Magazine /

Health benefits of Red rice oshjeähdjg fyd|u r;= ndiau;S iyf,a .=K'''

oshjeähdjg fyd|u r;= ndiau;S iyf,a .=K''' ndiau;S iy,a wkqNjfhka reêr iSks hdukhg wu;rj uyÕ= .=Kdx. rdYshla''' W;=re fld<U YslaIK frdayf,a ffjoH ckl fm%au;s,l

È

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

wfma m%Odk wdydrh n;ah' oshjeähd frda.sfhl= ;u uQ,sl wdydr ix>gl f;dard .ekSfïoS fï reêr iSks uÜgu tldldÍj mj;ajd .ekSug osß fok n;a j¾. f;dard .; hq;=h' l=reÜg bj;a lrk ,o mdysk ,o n;a j¾.;a wef,kiq¿ n;a j¾.;a fï i|yd iqÿiq fkdfõ' oshjeähd frda.Ska úIfhys ndiau;S iy,a j,g we;af;a úYd, jákdluls' ndiau;S iy,a uOHu m%udKfha isg wvq m%udK olajd .a,hsisñla w.hka ork w;r fï ksidu reêr iSks uÜgu ksh; w.hl mj;ajd .ekSug tajd WmldÍ fjhs'

fN!;sl iajNdjh cS¾Khg w;sYhska ys;lrhs iy,a msiSfïoS we;eï n;a weg tlsfklg wef,kafka fc,ákSlrkh kï l%shdjla fya;=fjks' ndiau;S iy,a fc,ákSlrKh ùula isÿ fkdjk w;r fï ksid n;a weg tl tlla fjkaj msysghs' ndiau;S iy,a j, hyñka we;s weuhsf,daia kue;s fmd,sielrhsvh fï .=Kdx.hg fya;= fjhs' fuys úreoaO ld¾hh tkï n;a wegh msmsÍug ,laj ødjH fldgia wkqidrfhka n;a weg tlsfklg wef,kafka

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doctormagazine.lk

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

doctormagazine.lk

"

oshjeähdjg t;rï iqÿiq fkdjk wef,kiq¿ n;a j, we;s weuhsf,dfmlaáka kï jQ fmd,sielrhsvh fya;=fjks' OdkH wegfha jHqyhka ;oska ne|S ;sfnk úg ksiÕfhkau tys GI w.h wvqh' tu iy,a oshjeähd frda.Skag ys;lrh'

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

July 2019

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oshjeähdjg fyd|u r;= ndiau;S iyf,a .=K'''

Health benefits of Red rice

m%;sfrdaë msIaGh ;sfnk ksid wdrlaIdjka /ila

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

r;= ndiau;S iy,a j, we;af;a m%;sfrdaë msIaGh Resistant Starch ldKAvhg wh;a ldfndayhsfâ%gh' wka;% ;=< ys;lr nelaàßhdjka j.d lsÍug fï m%;sfrdaë msIAGh WmldÍ fjhs' (prebiotic effect) wdydrhla .ekSfuka miqj kej; wdydrhla .ekSug we;sjk wjYH;djh ;rula oS¾> ld,hla .ekSu oshjeähd frda.sfhl=g n,j;a jdishls' m%;sfrdaë msIAGh u.ska fuu .=Kho by< kxjhs' YÍrfha m%;sYla;slrK .=Kho jeä lrhs'

² reêr iSks iy bkaishq,ska ukdj md,kh lrhs' tu.ska YÍrfha bkaishq,ska wjYH;djh wvq fjhs'

.=K imsß fmdaIK ix>gl /ila fjk;a iy,a j¾. j,g jvd ndiau;S iyf,a fjk;a fmdaIl ix>glo jeäh' úgñka î" ue.akSishï yd fldm¾ hk ,jK iq,nj ;sfí' ue.akSishï ixhq;sh iDcqju reêr iSks hdukhg fya;= fjhs' fï wkQj oshjeähd frda.sfhl= ndiau;S iy,g yqre ùfuka" fjfiiskau r;= ndiau;S n;a wdydrhg .ekSfuka reêr iSks md,kh w;sYhska id¾:l lr .ekSug msgqjy,la ,efnk w;r Bg wu;rj fjk;a fi!Lhuh m%;s,dN /ila w;am;a jkq we;' 74

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DOCTOR MAGAZINE

² YÍrfha Yla;s uÜgï uekúka md,kh fjhs' YrSrh wvq GI w.hla iys; wdydr cS¾Kh lrkafka fyñks' fï ksid l%shdldÍ fmaYs j,g wkjr; Yla;s iemhqula iy;sl lrhs' ² oshjeähdj" yDo frda." ms;a;dY frda. yd mshhqre ms<sld wdosh we;sùu j<lajhs' wvq .a,hsisñla w.hla iys; wdydr j, wdydruh ;ka;= m%udKho jeäh' ² oshjeähdj je<÷KQ frda.Skaf.a .aÆfldaia yd ,smsv uÜgu m%j¾Okh lsÍug wvq .a,hsisñla w.hla iys; wdydr WmldÍ fõ' ² YÍrfha fyd| fldf,iagfrda,a uÜgu by< kxjhs' krl fldf,iagfrda,a uÜgu my; fy<hs' yoj;a frda. wjodku fï ksid wvq fjhs' ² wvq .a,hsisñla w.hla iys; wdydr .ekSfuka wdydr reÑh wvqfjhs' bkaishq,ska m%;sfrdaOh we;sùfï wjodkuo neyer fjhs' fï ksid ia:q,;djh wvq fjhs' ² wvq fõ.hlska YÍrhg Wrd.kakd ldfndayhsfâÜ u.ska fmaYs j,g ksh; Yla;s m%udK ,efnhs' l%Svd fl!Y,Hh yd ord.ekSfï yelshdj j¾Okhg fuh bjy,a fjhs'

CIC r;= ndiau;S iy,a j, fmdaIKSh .=Kdx. ² mßmQ¾K OdkHuh wdydrhls' .a,hsisñla ixÑ;h wvq w.hla .kS' ² wdydruh ;ka;= j,ska b;d by< fmdaIH .=Khla we;' ² *e,efjdkhsv" wekaf;dihkska" m%;sTlaisldrl wdoS mhsfgdridhk wvx.=h' ² leâñhï" Bhï wdiksla wdoS jYfhka jQ ner f,day wvx.= ke;' ² r;= ndiau;S iy,a iajNdjfhkau r;= mdg jk w;r tfia jkafka iyf,ys wvx.= mSfkda,sla ridhk yd wekaf;dihkska fya;=fjks' DM

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Laboratory Tests Explained msßñka i|yd isÿ lrk PSA mÍlaIKh

msßñka i|yd isÿ lrk PSA mÍlaIKh mqriaÓ;s ms<sld j,ska cSú;h iqrlskakg PSA mÍlaIKh bjy,a fjkjdo@ wdisß ridhkd.dr fiajdfõ wOHlaI kS,a m%sh;a fcdaka úisks

76

July 2019

DOCTOR MAGAZINE

PSA mÍlaIKh hkq l=ulao@ PSA hkqfjka flálr ye|skafjkafka mqriaÓ;s .%kaÓfhys ksmofjk Prostate-specific Antigen kue;s fm%daàkhls' mqreIhkaf.a mqriaÓ;s .%ka:sfha ksmofjk fuu fm%daàkh uekSfï reêr mÍlaIKh mqriaÓ;s ms<sld y÷kd.ekSfï o¾Ylhla f,i fhdod .kS' ridhkd.dr mÍlaIdjloS PSA w.hka oelafjkafka reêrh ñ,s ,Sgrhlg we;s kefkda .a?ï ixLHdjla nanograms of PSA per milliliter (ng/mL) jYfhks'

doctormagazine.lk

mqriaÓ;s ms<sld we;s úg PSA w.hka by< hkjd mqriaÓ;s ms<sldjla we;s úg msßñkaf.a PSA w.hka idudkH uÜgu blaujd by< hhs' wefußldfõ wdydr yd T!IO wêldßh (FDA) 1986 j¾IfhaoS fuu mÍlaIdj mqriaÓ;s ms<sldjl j¾Okh y÷kd.ekSfï mÍlaIdjla f,i wkque;sh ,ndÿka w;r tys ;j;a mshjrla bosßhg ;nñka 1994 j¾IfhaoS frda. ,laIK m%lg fkdlrk mqriaÓ;s ms<sld FDA iïnkaOfhka iel lrk frda.Skaf.a Digital Rectal Exam (DRE) mÍlaIKh iu. fuu PSA mÍlaIKh isÿ lsÍug wkque;sh ,nd fok ,oS' tfukau mqriaÓ;s ms<sldjl ,laIK m%lg lrk msßñkao Digital Rectal Exam (DRE) mÍlaIdj iu.ska fï PSA mÍlaIKh isÿ lsÍug fjoHjrekaf.ka Wmfoia ,n;s' PSA uÜgu by< kexfjk fjk;a fya;= mqriaÓ;s ms<sld yereKQ úg fjk;a fya;=ka ksido PSA uÜgu by< kexfjhs' thska mqriaÓ;s .%kaÓh .%kaÓh m%odyhg m;aùu Prostatitis uQ,sl fjhs' wfkla ldrKh jkafka Benign prostatic hyperplasia (BPH) ;;a;ajhhs' fï wjia:d foflaoSu tu ;;a;aj ms<sld j,g mßj¾;kh jk njg idlaIs ke;' tfia jQjo fï ms<sld fkdjk ;;a;aj j,g

doctormagazine.lk

uqyqK mdk msßñka mqriaÓ;s ms<sld j,go ,lajk bvlv neyer,sh fkdyel' PSA mÍlaIKh mqriaÓ;s ms<sld frda.Ska i|yd ks¾foaYs;o@ 2008 j¾Ih jk ;=re we;eï ffjoHjreka úiska jhi wjq' 50 blaujQ msßñka i|yd fuu PSA mÍlaIKh iEu j¾IhloSu isÿ lr.; hq;= mÍlaIKhla f,i ks¾foaY lr ;snqKs' idudkH w.h f,i ie<l+fha 4.0 ng/mLg wvq w.hla .ekSuhs' fï wkQj hï flfkla w.h blaujQ l,ayS Tyq fm!reI .%kaÓfha nfhdmais mÍlaIKhla isÿ lr .ksñka mqriaÓ;s ms<sldjla we;s ke;s nj jeä ÿr mÍlaIK j,ska ;yjqre lr.; hq;=j ;snqKs' we;eï ffjoHjreka úiska wjodku jeä jYfhka orK msßñka''' tkï ;u mshd fyda ifydaorfhla mqriaÓ;s ms<sldjlg ,lajQ úg fyda fjfiiskau wm%sldkq wefußld iïNjhla iys; mqrjeishka fuu mÍlaIK j,g ks;r Ndckh ùfï jeo.;alu wjOdrkh lr ;snqKs' flfia kuq;a fuu mÍlaIdjg ,laùfuka we;sjk jdis wjdis i<lñka ck.ykhla jYfhka fuu mÍlaIdjg ,la lsÍu iïnkaOfhka orkafka fjkia u;hls' fï ikao¾Nh ;=< ;uka fuu mÍlaIKhg Ndckh úh hq;=o hkak ;ukaf.a iqúfYaIS ;;a;ajhka ie<ls,a,g f.k ;SrKhla .ekSu jvd;a iqÿiqh hk u;ho we;sù ;sfí' PSA mÍlaIKhl idudkH m%;sM<hla hkafkka woyia lrkafka l=ulao@ we;af;kau fnod fjka l< yels ksfrda.S hhs iïu; w.hla lSu t;rï m%dfhda.sl fkdfõ' PSA w.h tlu mqoa.,hdf.ao úáka úg fjkia fjhs' tfiau fjk;a fya;= u;o fï w.hka by< my< hd yel' 4.0 ng/mLg jvd my< w.hla .ekSu iïu; idudkH w.h fia fndfyda ffjoHjreka w;r ms<s.ekSula we;' fï wkQj tu w.h blaujd .sh msßñka mqria:s;s nfhdmais mÍlaIdjlg fhduq lrjkafka Tyqf.a wdrlaIdj .ek i<lñks' kuq;a uE;ld,Sk wOHk j,g wkQj fuu w.hg fkdmeñKs we;eï mqreIhkao mqriaÓ;s ms<sld j,g ,laj ;sfnk w;r ;j;a we;efula fuu w.hka blaujQ jd¾;d i;= jQjo ksremøs;j isák nj ksÍlaIKh úh' BPH frda.h i|yd fhdod .kakd T!IO ksido fuu PSA uÜgfuys fjkialï we;sjk nj ksÍlaIKh ù ;sfí' fuysoS kej;;a isysm;a l< hq;= ldrKhla jkafka ksYaÑ;j y÷kd.;a ksfrda.S PSA uÜgula fyda wjodkï uÜgula .ek m¾fhaIlhkag fmrhSï l< fkdyels ùuhs'

July 2019

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msßñka i|yd isÿ lrk PSA mÍlaIKh

Laboratory Tests Explained

flfia fj;;a PSA uÜgu by< kexùu mqriaÓ;s ms<sld wjodku by< kxjk fya;=jla nj;a tu w.hka ld,hla uq¿,af,au by< kexù ;sîu fï ms<sld wjodku jeä lrjk fya;=jla njo wdrlaIdj fmroeß lrf.k oek isàu fhfyls' PSA w.hka by< kexù we;akï l< hq;af;a l=ulao@ mqriaÓ;s ms<sldjl ,laIK fkdue;s flfkla mqriaÓ;s ms<sld iïnkaO Screening mÍlaIdjloS PSA w.fha widudkH by< njla olakg ,enqKs kï l< hq;af;a l=ulao@ m<uqfjkau l< hq;af;a PSA mÍlaIKh kej;;a j;djla isÿ lsÍuhs' tys w.ho tu m%;sM<hu olajhs kï DRE u.ska ksYaÑ; ld,dka;r j,oS mqriaÓ;sfha jHqyd;aul fjkialï isÿ fjkafkao hkak ffjoHjrhd úiska úuish hq;=hs' PSA w.hka ;jÿrg;a flfuka by< kexfjkafka kï fyda DRE u.ska iel l< hq;= ia:dkhla y÷kd.kakg ,efí kï .eg¿fõ iajNdjh y÷kd.ekSug fjk;a mÍlaIK j,go fhduq jkakg isÿjkq we;' uq;%d wdidokhla ;sfío hkak y÷kd .ekSug isÿ lrk uq;%d mÍlaIKh yereKQ úg Transrectal ultrasound, X-rays, fyda Cystoscopy hk mÍlaIKo fuysoS lrkakg isÿ úh yel' fuu mÍlaIK Tiafia mqriaÓ;s ms<sldjla iïnkaOfhka ielhla my< jqjfyd;a túg nfhdmais mÍlaIKhlg tu frda.shdg uqyK fokakg isÿjkq we;' fuysoS ffcfõlaId idïm,h mqriaÓ;s .%kaÓfha ia:dk lsysmhlskau .ekSu jeo.;a jk w;r isyska kd,hla .=oh Tiafia m%fõY lrñka fï ie;alu isÿ lsÍug ffjoHjrhd j. n,d.kS' mÍlaIKh w,ag%d ijqkaâ m%;sìïn iydfhka ,nd .ekSu isÿ lrk w;r (transrectal biopsy) ridhkd.drfhaoS tu mgl fldgia jHdêfõo{hd úiska mÍlaId lr ta wkQj mqriaÓ;s ms<sldjla ;sfío hkak ksYAph lr .kakg wjia:dj ie,fia' fuu PSA mÍlaIKfha iSud yd isÿ lsÍfuka we;sjk wjodkï ;;a;aj fudkjdo@ we;eï úg fuu mÍlaIKfhka ms<sld njg m;aúh yels b;d l=vd mgl y÷kd .ekSula isÿfõ' fï we;eï mgl

78

July 2019

DOCTOR MAGAZINE

fldgia fl;rï os.= ld,hla ;siafia j¾OkSh ;;a;ajhkag m;ajkafkao h;a thska cSú;hg lsisÿ n,mEula we;s fkdjkakgo mq¿jk' ffjoH jyf¾oS fujka cSú;hg n,mEula fkdlrk wjia:djka yªkd.kSu Overdiagnosis hkqfjka oelafjk w;r tajdg m%;sldr lsÍuo Overtreatment hkqfjka ye|skafjhs' Overtreatment isÿ lsÍfïoS frda.shd wkjYH m%;sldr j,g ,lajk w;r fjfiiskau rYañ m%;sldr yd Y,Hl¾u j,g ,la ùug isÿ ùfuka th cSú;fha .=Kd;aul ;;a;ajhgo n,mEula we;s lrhs' uq;%d lÍfï ixhuh wysñ ùu" nvje,a wdY%s; m%Yak" ,sx.sl iDcqlrK .eg¿ yd wdidoko ta w;r fõ' wfkla w;g mqriaÓ;s ms<sld we;eï úg l,a fõ,d we;sj y÷kd.;a;;a th cSú;h iqrlsk m%h;akhla fkdjkakgo bvla we;' b;d fõ.fhka me;sfrk we;eï wdl%uKYS,S mqriaÓ;s ms<sld ldKAvhlao we;s fyhsks' DM

^u;= iïnkaOhs&

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Homosexuality

Y%S ,xld fi!LH fiajfha fydafudaf*daìhdj

Y%S ,xld fi!LH fiajfha fydafudaf*daìhdj

Y%S

,xld fi!LH fiajfha§ iußishka mSvdjg m;a jk nj fkdryils' fï ksid fi!LH fiajfha fh§ isák iußis m%cdjo" fiajd,dNSkao ksrka;rfhkau fjkialï j,g Ndckh fj;s' 1994 jif¾§ ud ol=Kq fld<U YslaIK frday, fyj;a l¿fndaú, frdayf,a fiajh l< ld,fha§ tu frdayf,a lïlrefjl= f,i fiajh l< iußis mqoa.,fhl=f.a p¾hdj ksÍlaIKh lf<ñ' Tyq iuyr úg frda.Skaf.a msßñ {d;Skag hï n,mEï l< w;r frdayf,a wfkl=;a lïlrejka Tyq ljgfhl=f.a ;;a;ajhg m;afldg ;snqKs' 1999 jif¾§ uu W;=re fld<U YslaIK frday, fyj;a rd.u frdayf,a fiajh l< ld,fha§ iußis ffjoHjßhla wfkl=;a ffjoHjrekaf.a wjuka iy.; l;dnyg ,la jk whqre w;aÿgqfjñ' weh ;ukaf.a {d;S fidhqßhla nj mjid ;u iyldßh frday,a ks, ksjdihl kj;d f.k isá w;r fndfyda ffjoHjre fukau ffjoHjßhkao ta ms<sn|j Wmydifhka l;d lf<dah'

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D•Magazine / Homosexuality

Y%S ,xld fi!LH fiajfha fydafudaf*daìhdj

ksÍlaIKh lf<ñ' Tyq ld¾hd,hg tk fndfyda ;reK ks,OdÍka n,mEï lf<ah' tfiau Tyq ;reK .s,kar: rshÿrkag ,sx.sl tia'tï'tia' mKsjqv heùï lf<ah' ;u ,sx.sl ÈYdk;sh ;=, Tyq w;ruxj isá njla fmfkkakg ;snqKs' rejka ch;=x.

iußishl= jqjo ta nj m%isoaêfha fy<s fkdfldg Ôj;a jk ufkda ffjoH uydpd¾hjrfhl= iuÕ uu ld,hla jev lf<ñ' Tyq by< ±kqulska hq;= mqoa.,fhls' tfy;a iuyr jHdmD;s j,§ uu Tyqf.a ku fhdackd l< úg iuyr úoaj;=ka Tyq fy<d ÿgqfõ Tyq iußisfhl= nj lshñks' ;j;a fou< ufkda ffjoHjrfhl= ;u iylrejd iudcfhka iÕjdf.k isáfha Tyq ;udf.a ßhÿrd nj mjiñks' fudjqka fofokdu ms<s.;a W.;=ka jqjo Tjqka ;u ,sx.sl wkkH;dj iÕjñka Y%S ,xld fi!LH fiajh ;=, fiajh lf,a iudc wmjdo j,ska fíÍu i|ydh' uu mq;a;,ï Èia;%sla udkisl fi!LH Èia;%sla iïnkaëlrK ffjoH ks,OdÍ f,i fiajh l, ld,fha§ iußisfhl= jQ tla fi!LH ,smslrefjl=f.a p¾hdj 80

July 2019

DOCTOR MAGAZINE

ud iuÕ fï ud;Dldj ms,sn|j idlÉPdfõ fhÿKq ffjoHjrfhl= ;uka iu,sx.slfhl= f,i ms<s.kafkls' Tyq ;u wkkH;dj iÕjñka Y%S ,xld fi!LH ;=,§ iußishka mSvdjg m;a jk wdldrh fuf,i úia;r lrhs' ud iußisfhl= nj uu jgyd .;af;a jhi 10 § muKh' ud wuq;= wfhl= f,i ug ±kqfKah' tfy;a uu wiajdNdúl mqoa.,fhl= fkdjk nj udf.a is; ug lSfõh' uu Ôj úoHdj iy ufkda úoHdj fmd; m; lshjñka iußis ;;ajh ms<sn|j lshjñka ±kqu ,nd.;af;ñ' fï ±kqu miqld,Skj Ôjk w¾nqoh ch.ekSug fndfyda fihska n,mEfõh' ud wOHdmkh ,enqfõ fld<U m%Odk fmf<a fn!oaO mdi,lh' ud ;=< mqreI rEmS ,laIK fkdue;s nj jgyd .;a wfkla isiqka udf.a mdi,a ld,h mqrd ud jdÑl ysxikhg ,la lf<dah' fï ksid mdi,a ld,h ms<sn|j fid÷re u;lhka ud i;=j fkdue;' uf.a foudmshka ud iußisfhl= nj jgyd .;ay' uf.a uj ug Ndjd;aulj wk.s iyhla ÿka kuq;a uf.a mshd ud ms<sn|j ksYaYío úh' Tyq Tyqf.a urKh jk f;la fï ms<sn|j ud iuÕ l;d fkdlf<ah' hï wdldrhlg ud Tyqf.a n,dfmdfrd;a;= lv l, mqoa.,fhl= jkakg we;' uf.a fidfydhqßhka ug Yla;shla jQ kuq;a uf.a tlu fidfydhqrdo ud ms<sn|j uqksj; /laflah' ffjoHjrfhl= f,i rcfha frday,aj, fiajh lrk úg fi!LH fiajh ;=< iußis m%cdjo" fiajd,dNSkao oreKq fjkialï j,g Ndckh jk whqre uu w;aÿgqfjñ' uf.a woyi wkqj Y%S ,xldfõ frday,a j, fiajh lrk fyÈfhda fndfyda fofkl= fydafudaf*daìhd ;;a;ajfhka fmf<;s' fndfyda ffjoHjre fukau ffjoHjßhka ;=<o fuu fydafudaf*daìhdj ;sfnk nj uu w;aÿgqfjñ' frday,a ld¾h uKav,hg uf.a doctormagazine.lk

,sx.sl ÈYdk;sh .eg¿jla úh' Tjqka ta ms<sn|j uf.a miqmi isg l=iq l=iq .Ey' ud ms,sn| ´md¥m mejiQy' iuyrla udf.a frda.Skag ud ms<sn|j wk;=re wÕjQy' fï ksid iuyr frda.Ska ud foi ieflka neÆy' fi!LH wud;HxYfha isá n,OdÍkago udf.a ,sx.sl ÈYdk;sh .eg¿jla úh' tla frday,a wOHlaIljrfhl= ug is,a .kakd f,igo" ldka;djla lido n¢k f,ig kshu lf<ah' Tyqg wkqj ud ;=< ;snqfKa wOHd;añl .eg¿jls' fï ksid uu frday,a ;=,§ fndfyda fihska mSvdjg m;a jQfhñ' tfy;a iu,sx.sl;dj widudkH frda.S ;;a;ajhla fkdj th idudkH ffcj

doctormagazine.lk

úoHd;aul ;;a;ajhla f,i jgyd .ekSug nqoaêhla ;snQ mqoa.,hka iq¿ m%udKhla Y%S ,xld fi!LH fiajh ;=< isá njo lshñ' iußis whs;Ska ms<sn|j i,ld n,k úg bkaÈhdj YS% ,xldjg jvd wdl,amhu w;ska bÈßfhka isà' Y%S ,dxlsl iudch ;=< fydafudAf*daìhdj fndfyda fihska me;sÍ ;sfí' th idudkH Ôú;hla muKla fkdj idudðl Ôú;h foaYmd,k Ôú;h wd§ jYfhka úys§ mj;shs' fuys§ iu,sx.sl whs;sjdislï ms,sn|j igka lrk wdh;k iy mqoa.,hka .eko hula lsj hq;=h' fï wdh;k iy mqoa.,hkag fndfyda úg ;ukaf.a wd;aud¾:h jvd .ekSfï fm!oa.,sl wefckavdjka ;sfí' fï ksid ioaNdjfhka hq;=j iu,sx.sl whs;ajdislï ms<sn|j lghq;= lrkafkda w,amhls' ÿmam;alñka iy kQ.;alñka ñßlS .%dóh m%foaY j, Ôj;a jk iußishka ms<sn|j fndfyda fofkl= okafka ke;' Y%S ,dxlsl iudch ;=, Tjqka fndfyda mSvdjkag m;afj;s' iu,sx.sl;djh hkq ,sx.sl ÈYdk;sh muKla fkdfõ' th Ôjk l%uhls' ÈhKqq rgj, iu,sx.sl;dj ms<s.kakd kuq;a Y%S ,xldj ;ju;a tu uÜgug m;aù fkdue;' lgql i;H kï Y%S ,dxlsl iudchg;a jvd YS% ,xld fi!LH fiajh fydafudaf*daìhdfjka fm<k njhs' DM

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Psycho somatic Diseases uefrk ñksiaiq fmf¾;hkaj cSj;aj bkak whg jefykjdo@

ufkda ldhsl frda.

uefrk ñksiaiq fmf¾;hkaj cSj;aj bkak whg jefykjdo@ zzfmf¾; wd;auhla fï <uhf.a weÕg weú;a ;sfhkjd' talhs fï <uhj f,v lrkafka' ljqreyß f.or ke;s jqkdo@ZZ

iq

mqka ;u uj yd mshd iuÕ b;d fl<sfof<ka Ôj;a jQ úis;=ka yeúßÈ ;reKfhls' foudmsh fifkyi ksid ksrka;rfhkau ;u ke.Ksh yd .egqï we;s lr.kakd iqmqka ujf.a;a mshdf.a;a wdorh Èkd.;af;ah' iqmqkaf.a iShd jk idÈßiao iqmqkag ±lajQfha buy;a fifkyils' ;reK úfha miq jQj;a ujf.a;a mshdf.a;a iShdf.a;a wdorh Èkd.;a iqmqka jeämqru ld,h .; lf<a iShd iuÕh' Wiia fm< ksu jQ miq iqmqka lf<a ksjig ù ld,h .; lsÍuh' ke.Ksh Wiia fm<g iQodkñka wOHdmk lghq;=j, kshef,a' iqmqka,g lsis÷ wvqmdvqjla fkdjQ w;r" mshd yÈisfhau úfoaY.; úh' iqmqkaf.a uj yd iShd iuÕ iqmqka ksjigu ù ld,h .; l< w;r" ñ;=rka weiqrg hdug Tyq leue;a;la ±lajQ wfhl= fkdùh' fufia ld,h f.ù hoa§ yÈisfhau idÈßiag wikSm úh' jhi ye;a;E folla jqjo b;du;a ksfrda.S 82

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Y%S ,xld iajdmkfõoSkaff.a ix.ufha iNdm;s ufkda Ñls;ail ffjoH mS tka úoHdl=,m;s

wfhl= jQ idÈßia WKlg fyïìßiaidjlg j;a fnfy;la .;af;a ke;' tlajru iShd wikSm ùu ksid iqmqka l,n,hg m;aúh' ke.sg .ekSugj;a neßj we|g jegqKq iShdg fldmuK fnfy;a-fya;a l<;a iqjhla fkdùh' iqmqka n,d.;ajku n,df.k l,amkd lrkakg úh' yßhg uq¿ f,daflu iqmqkag ke;s jQjd fiah' ;ukag b;d f,x.;= jQ iShd iqmqkaf.a fyd|u ñ;=rd úh' ±ka úys¿jla ;y¿jla lsÍug ljqrej;a fkdue;s ksid iqmqka isáfha ÿlskah'

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zziShdg blaukg ikSm fjhs mqf;a' ux ;d;a;dg;a l;d lr, lsõjd' ;d;a;d mq¿jka blaukg ths' mq;d ÿla fkdù bkakZZ iqmqkaf.a uj Tyqj fld;rï wiajeiqjo bka m,la fkdùh' fï w;r;=r tla Èkla rd;%sfha iShdg fyd|gu wikSm jQ w;r" ksjigu ffjoHjrfhl= f.kajd fmkajQjo miqod w¨hu jkúg iShd fuf,dúka iuq.;af;ah' iqmqka lE .id ye~qfõ yßhg ,o fnd<| orefjl= fiah' Èk i;s udi f.fjñka ;snqKs' Èkla yekaoEfõ iqmqkag ;on, ysfia lelal=ula we;súh' Tyq ysi nodf.k fnßyka fokakg mgka .;af;ah' l,n,fhka ÿjf.k wd iqmqkaf.a uj zzfudlo mq;d wehs fï fudlo jqfkaZZ lshñka iqmqkaf.ka weiqjdh' zzwfka wïfï uf.a T¨j mef,kak lelal=uhs' uf.a weia fol;a fudllafoda fjkjdZZ iqmqka ujg lSh' zzwfka wms blaukg fvdlag flfkl=gj;a fmkakuq mqf;aZZ lshñka iqmqkaf.a uj läuqäfha ,eyeia;s ù iqmqkajo legqj ffjoHjrfhl= fj; f.dia fnfy;a /f.k ksjig meñKsfhah'

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Èk fol ;=kla .;jk úg ysiroh iqj úh' kuq;a iqmqka n,d.;ajku n,df.k l,amkd lrkakg úh' iShdf.a ldurh fj; f.dia iShdf.a we|g ù w~kakg .;af;ah' fm/;a; lr ljk n;a lgla fyda folgla lk iqmqka lEugo msßhla ±lajQfha ke;' fl<sfof<ka .; l, iqmqka tkak tkaku jeyefrkakg mgka .;af;ah' ks;ru ysirohlska mSvd ú¢ iqmqka i;shlg Èk y;r mylau lf<a ysi nodf.k fnßyka foñks' zzyeuodu;a fvdlag¾ia,g fmkak,d yßhkafka keye fïl' wms Thdg kQ,la

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uefrk ñksiaiq fmf¾;hkaj cSj;aj bkak whg jefykjdo@

yß oduq lmq uy;a;fhlag fmkak,d't;fldgj;a iykhla ,efnhso n,uq mqf;aZZ iqmqkaf.a ujg iqmqkaf.a fõokdj Wyq,d.; fkdyels úh' weh ;u ieñhdg o ÿrl;kfhka l;d fldg ks;ru iqmqkaf.a ;;a;ajh meyeÈ,s l<dh' ke.Kshgo ;u ifydaorhdf.a fï fjki ord.ekSug fkdyels úh' fmdä <ufhl= jdf.a yeisreKq whshd tlajru fkdld fkdî jeyefrkakg mgka .;af;a wehs±Zhs wehg o .eg¿jls' ta;a l=ula l, hq;=o hkak wehgo fkdf;areKs' ujf.a is;=ú,a, jQfha fuh l=uk fyda wukqiai n,mEula njhs' zzlula kE fyg Wfoau mq;dj lmq uy;d ,Õg tlal hkjdZZ uj is; ikid .;af;a tf,ih' ksrka;rfhkau ;on, ysirohlska mSvd ú¢ iqmqka legqj uj lmquy;d yuqùug .shdh' lmq uy;d foys lmk úg zzuf.a T¨j lerflkjdZZ lshñka iqmqka weiafol mshdf.k T¨j ta fï w; moaokakg mgka .;af;ah' flfia fyda lmq uy;d foys lmd" f;,a u;=rd kQ,la iqmqkaf.a lrg ±óh' tfjf,a iqmqkaf.a ysiro ;;a;ajh myj f.dia Tyq iqjh ,eîh' Èk folla muK lsisjla isÿ fkdjQ whqßka isá iqmqkag kej;;a ojil yekaoEfõ ysiroh yg.;af;ah' zzwfka wïfï uf.a T¨jZZ iqmqka fnßyka fokakg úh' zzÿfõ ,eyeia;s fjkak whshdj lmq uy;a;hd ,Õg tlal huqZZ iqmqkaf.a uj ;u nd, ÈhKshg lSh' kej;;a iqmqkaj legqj uj;a ke.Ksh;a lmq uy;d yuqjg .shy' zzfudllao ta mdr fj,d ;sfhkafkaZZ lmq uy;d úuiSh' zzwfka lmq uy;a;hd fyd|g ysáfha ojia folhs' wdfh;a T¨j nodf.k lE .ykak mgka .;a;d' talhs ±ka tlal wdfõZZ iqmqkaf.a uj iqmqka flfrys fidúka mjikakg úh'

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"

Psycho somatic Diseases

zzuyd n,.;= fmf¾; wd;auhla' talhs l;d fkdlrkafka' fï <uhg jo ȧ bkakjdZZ Ydka;sl¾uh lrk w;r;=r§ iqmqkaf.a l%shdl,dmh idudkH ;;a;ajhg m;aúh'

zzfyd|hs fyd|hs wms n,uqZZ lmq uy;d foajdrEVfhka kQ,la u;=rd iqmqkaf.a lrg ±óh'zz±ka wdfh;a yefok tlla kEZZ lmq uy;d mejiSh' fufia udi folla .; jQ w;r" ta ld,h ;=< iqmqka ysirofhka mSvd úkafoa ke;' kuq;a Tyqf.a oÕldrlï ish,a, lsisjl=gj;a olakg ,enqfka ke;' ksjig ù Tfya ld,h .; lrk iqmqkag zzmqf;a f.oru bkafk ke;sj hy¿fjda tlalj;a l;d ny lr,d tkakfldZZ hhs uj mejiQj;a iqmqkaf.a l%shdl,dmfha fjkila fkdùh'

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zzmkai, me;af;j;a .syska tuq mqf;aZZ hehs iqmqkaf.a uj fldf;la Tyqj ksjiska msg;g /f.k hdug W;aidy l<o m,la fkdùh' tÈk rd;%sfha tlajru iqmqka zzwïfï uf.a T¨j ßfokjdZZ lshñka lE .ikakg úh'zzwfka mqf;a wms fudllao ±ka lrkafka' Wfoa fjklïj;a buqZZ iqmqkaf.a uj ta fudfydf;au ;u ieñhdg ÿrl;kfhka l;d fldg iqmqkaf.a ;;a;ajh iqjw;g yefrkafka ke;s nj;a fuh n,d isákakg fkdyels nj;a mejiSh' tÈk iqmqka wi,u /h myka l< iqmqkaf.a uj miqod iqmqka legqj kej;;a lmq uy;d uqKq.eiSug .shdh'zzwfka lmq uy;a;hd" mq;dg wdfh;a ysiroh wdjd''' Bfha ?' wms fïlg fudlo lrkafka@ wehs fufyu fjkafka mq;dg@ZZ iqmqkaf.a uj lmq uy;df.ka m%Yak je<la úuiSh' zzfmf¾; wd;auhla fï <uhf.a weÕg weú;a ;sfhkjd' talhs fï <uhj f,v lrkafka' ljqreyß f.or ke;s jqkdo@ZZ lmq uy;d weiQ m%Yafkg iqmqkaf.a uj zzTõ uf.a ;d;a;d fï udi lSmhlg Wv§ ke;s jqKd' ;d;a;d mq;dg f.dvla wdofrka ysáfhZZ iqmqkaf.a uj lshdf.k lshdf.k .shdh' zzyaï' talfk ux lsõfõ' fmf¾; wd;auhla lsh,d' fïl hjkak kQ,la od,d yßhkafka keye' Ydka;sl¾uhla lrkak fjhs' yenehs b;ska álla f,dl= uqo,la úhoï fjhsZZ lmq uy;d lSh' zzwfka lula kE' wfma uy;a;hd wo ? tkjd' wms ;j ojia follska ú;r Ydka;sl¾uh lruqZZ iqmqkaf.a uj mejiSh' zzfyd|hs tfykï ux nvq ,ehsia;=jla ,sh,d fokakï' taj wrf.k ojia follska ú;r yji yhg l,ska tkak' Ydka;sl¾uhghs uu odk nvqj,ghs y;,sia mkaoyla ú;r hhsZZ lmq uy;d kej; mejiSh' zztalg lula kE'mq;d ikSm lr.kakhs ´fka wmgZZ iqmqkaf.a uj ne.Em;a úh' iqmqkaf.a mshd tÈk rd;%sfha úfoaY.;j isg meñKqks' iqmqkaf.a uj ish¨ úia;r fkdj,yd ;u ieñhdg mejiSh'

,eyeia;s lr.eKqks' iqmqka iqmqreÿ mßÈ lsisjl= iuÕj;a l;d nyla fkdlr isáfhah' Èkh Wodúh' iji myyudr jk úg iqmqkaf.a uj;a mshd;a iqmqka legqj lmq uy;d yuqjg .shy'zzwdjo@ fyd|hs t<sfhka jdä.;a; kï' uu l;d lrk fldg we;=<g tkakZZ lmq uy;df.a ksfhda.h úh' Ydka;sl¾uh mgka .kakd úg fõ,dj rd;%S tfld<y muK úh' Ydka;sl¾uh w;r;=r§ iqmqka ysi lrljkakg;a T¨j nod. kakg;a úh' lmq uy;d iqmqkaf.ka m%Yak lrkakg úh'zzljqo WU' wehs fï YÍfrg wdfõ' l;d lrmshZZ kuq;a iqmqka T¨fõ flia weo. kakg mgka .;a w;r" lsisjl=;a fkdmejiSh' zzuyd n,.;= fmf¾; wd;auhla' talhs l;d fkdlrkafka' fï <uhg jo ȧ bkakjdZZ Ydka;sl¾uh lrk w;r;=r§ iqmqkaf.a l%shdl,dmh idudkH ;;a;ajhg m;aúh' mdkaor ;=k muK jkúg Ydka;sl¾uh wjika flreKs'zz±ka fï <uhf.a weÕg fmf¾; wd;auh tkafka keye' Th iShd ;uhs fï <uhj f,v lf,a' ±ka yßZZ

zzfyd|hs wms fyg Wfoau wjYH nvq ál .syska f.auqZZ iqmqkaf.a mshd mejiSh' fufia miqod Wofhau nvq ál doctormagazine.lk

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uefrk ñksiaiq fmf¾;hkaj cSj;aj bkak whg jefykjdo@

Psycho somatic Diseases

iqmqkaf.a uj yd mshdg úYd, iekis,a,la ±kqks'zz;d;a;d bkakfldg;a yhs y;a;shg ysáhfka' wms lshk fohla wyk flfkl=;a fkfuhsfka' talhs ux ys;kafka jpkhlaj;a fkdlsõfõ' ±ka b;ska yßZZ iqmqkaf.a uj ;u ieñhdg mejiSh' iqmqreÿ mßÈ ld,h .;úh' fufia udi ;=kla muK blau jk úg kej; iqmqkaf.a ysiroh we;s úh' tÈk iqmqkaf.a udud flfkl= ksjig meñK isá Èkhla úh' zzwïfï uf.a T¨j ßfokjdZZ iqmqkaf.a lE .eiSug ududo l,n, ù ldurh fj; meñKqks' zzfudflda fï orejgZZ iqmqkaf.a udud úuikakg úh' zzwfka whsfha n,kakfld mq;dg ;d;a;d ke;s fj,d udi follska miafia tl È.g T¨fj lelal=ula yefokjd' lkafk;a ke' n,d.;a w; n,df.k bkakjd' lmq uy;a;fhla ,Õg tlal .syska Ydka;sl¾uhl=;a l,d' wms ys;=fj wyjrhs lsh,dZZ iqmqkaf.a uj mejiSh' zzTh úldr w;yer,d fld,a,j ufkda ffjoHjrfhlag fmkakqfjd;a fyd|hs' fldalg;a ux fyg tkakï ,eyeia;s fj,d bkakZZ udud mejiSh' miqÈk oyj,a jk úg iqmqkaf.a udud meñK iqmqka j;a ;u ifydaoßh yd wef.a ieñhdj;a legqj Y%S ,xld iajdmk úoHdfõ§kaf.a ix.ufha j;auka iNdm;s" ufkda Ñls;ail" ffjoH mS'tka'úoHdl=,m;s uy;d yuqùug .sfhah' isÿjQ ish¨ úia;r ffjoH mS'tka'úoHdl=,m;s uy;d úiska wid ±k.;af;ah' lmq uy;d fj; f.dia Ydka;sl¾uh isÿ l<dg miq udi ;=kla muK mq;dg ysiroh we;sjQfha ke;s nj foudmshka mjikakg úh' úoHdl=,m;s uy;d úiska iqmqkag ufkda m%;sldr ,ndÿka w;r" i;s lsysmhla ufkda m%;sldr ,nd§fuka wk;=rej iqmqkag ysiro ;;a;ajh we;sjQfha ke;' tfiau iqmqkaf.a isf;a ;snqKq l,lsÍu" ÿl wdÈh bj;a ù is; ;=<g i;=g ieye,a¨j <xúh' fmr ;snqKq u,dksl iajNdjh flfufka flfuka ÿreù .sfhah'

zzwe;a;gu iqmqkag ;snqfka úYd, udkisl wd;;shla' Tyqf.a mshdo úfoaY.; ù isàu' iShdf.a wNdjh' yefudaf.au wdorh fifkyi Èkdf.k isá iqmqkag l%ufhka ish,a, wysñùu ord.; fkdyels ;;a;ajhla jQjd' ta mSvkh;a iuÕ ord.; fkdyels ysfia lelal=ula we;s ù ;sfnkjd' kuq;a th udkisl mSvkh u; we;sjqKq ufkda ldhsl frda.hla ^psycho somatic& muKhs' ta ksid ;uhs ldhsl ffjoH m%;sldrj,ska kshu iqjhla fkd,enqfka' tu m%;sldrj,ska iqjhla fkd,enqk úg l, hq;=j ;snqfka ufkda Ñls;ailhl= fyda ufkda ffjoHjrhl= lrd hduhs' kuq;a Tn,d ta fjkqjg lf<a ñ;Hd úYajdi miqmi Èùuhs' wm úiska fuys§ lf<a fudyqf.a udkisl wd;;shg ufkda m%;sldr ,nd§u muKhs'ZZ jir lSmhla .;ùo iqmqkag we;sjqKq oreKq ysiroh bka lsisÈfkl yg.;af;a ke;' ^idlÉPdjlsks& DM

jeä úia;r i|yd úuiSï ffjoH;=ud fuu frda.S ;;a;ajh meyeÈ,s lrfokakg úh'

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0718303030 doctormagazine.lk

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Heart attack yDohdndOhla we;s jQ úg isÿ l< yels fyd|u m%;sldrh PCI m%;sldrhhs

yDohdndOhla we;s jQ úg isÿ l< yels fyd|u m%;sldrh PCI m%;sldrhhs yDohdndOhla we;sjQ ú.i jf.au Bg fmr;a ms<shï fhosh yelshs' th ;uhs jvd;a wdrlaIdldÍ m%;sldr l%uh''' doctormagazine.lk

v¾vkaia frdayf,a yDo frda. úfYAI{ ffjoH mKavq, w;djqowdrÉÑ uy;d Dr Pandula Athauda-arachchi MBBS MRCP(UK) PhD(Cambridge) FRCP(Glasg) FRCP Edin FESC Consultant Interventional Cardiologist

July 2019

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yDohdndOhla we;s jQ úg isÿ l< yels fyd|u m%;sldrh PCI m%;sldrhhs

Heart attack

yDohdndOhla we;s jQ úg yDofha isÿjk fjkialï .ek wmg lsishï meyeos,s lsÍula lrkak mq¿jkao @ yDohg reêrh imhk lsÍgl Oukshla reêr leáhlska wjysr jqfKd;a tys m%;sM<hla jYfhka yDofha udxYfmaYs j,g wï,lr jdhqj fkdfyd;a Tlaiscka ,efnkafk kE' fuh b;d ;SrKd;aul wjia:djla' fuysoS udxYfmaYsh ydu;a fjkjd' tys m%;sM<hla jYfhka reêrh" Tlaiscka fkd,eî hk fldgi ñh hkakg mgka .kakjd' th kej; ms<silr l< fkdyels ydkshla f,i y÷kajkak mq¿jks' fu;ekoS we;sjk wNsfhda.h ;uhs yDoh iamkaokfha we;sjk widudkH;d" yDoh udxYfmaYs wdmodjg ,laùï ksid" thska we;sjk reêr mSvkh wvqùu wdoS ldrKd ksid cSú;hg uy;a wjodkula f.k tk ixl+,;d rdYshla we;s jkakg bv ;sfnkjd' yDohdndOhla isÿfjk wjia:dj b;du;a ;SrKd;aulhs' fï wjia:dfõoS jydu frday,a.; lr,

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frda.shdg thska we;sjk ydksh wju lsÍfï m%;sldr n,.kajkak wjYHhs' thska cSú;h fírd.; yelshs' we;eï fj,djg yDohdndO ksid urKh mjd isÿ fjkjd' tfyu ;;a;ajhla we;s jkafka fldfyduo @ tl ldrKhla ;uhs" yDofha iamkaokh wekysàu ksid urKh we;s fjkak mq¿jka' jï fldaIsldfjka we;sjk ßoaufha widudkH;djhla ksid yDoh k;r fjkak mq¿jka' (Cardiac Arrest) kshñ; mßos reêrh jákd wjhj j,g fmdïm lsÍug fkdyels ùu ksid fï ;SrKd;aul wjhj j,g ydks isÿ ùfukq;a cSú;h ke;s fjkak mq¿jka' fud<h" jl=. vq j,g jk reêrh iemhSu weKysàu fuhg WodyrKhla' fï frda.Skag isÿ lrk m%;sldr fudkjdo @ fojeoEreïj frda.shdg m%;sldr ie,iSula fuysoS isÿ fjkjd' ta yDohdndOh we;sjqKq wjia:dfõ ,nd.; yels myiqlï wkQjhs'

uQ,sl jYfhka isÿ lrkafka wjysr jQ reêr leáh bj;a lsÍfï m%;sldrhhs' iafg%mafgdlhsfkaia j¾.fha reêr leáh bj;a lrk fnfy;la fuysoS frda.shdg ,nd fokjd' rcfha frday,a j,oS iy l=vd wdfrda.

HYd,dj,oS fuh ;uhs fhdod.kakd m%;sldrh' kuq;a jvd;a myiqlï iys; ffjoH wdh;k j,oS reêr leáh bj;a lr ta reêr leáh we;s ùug fya;= jQ fjkialug m%;sldr lsÍula isÿ lrkjd' Percutaneous Coronary Intervention (PCI) yDohdndOh we;sjk wjia:dfõoSu isyska jQ wjysr jQ kyrh neÆk Wml%uhla weiqre lrf.k wjysr;djh bj;a lrf.k iafgkaÜ tlla fhdod kyrfha meje;au idlaId;a lsÍu fuysoS isÿ fjkjd' fuh ;uhs wo oshqKQ m%;sldrh jYfhka ie<flkafka' fï m%;sldr j, id¾:l;ajh fldfyduo @ iafg%mafgdlhsfkaia fnfy; m<uq meh lsysmh ;=<oS ,nd oSfuka ta f,a leáh osh lr.; yelshs' t;a meh lsysmhla .; jqKdu tu f,a

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yDoh

leáh kshñ; mßos osh fkdfjkakg;a bvlvla ;sfnkjd' iuia;hla jYfhka .;a;u fnfy;a j,ska f,a leáh osh lr.ekSfï bvla ;sfnkafka ishhg 30lg jf.a ;uhs' t;fldg b;sß ishhg 70g fudlo fjkafk @ yDoh jia;=fõ reêr.,kh ì| jegqfKd;a ta ì|jefgk fldgfia mgl ksielfhkau ñh hkjd' b;ska wms n,df.k ysáfhd;a wmg miqld,Skj" uOHld,Skj ixl+,;d we;sjk wjia:d jeähs' doctormagazine.lk

yDohdndO frda.sfhl=g iafgkaÜ oeóu

PCI m%;sldrh Bg jvd mßiudma; l%shdj,shla' fuh ;uhs yDohdndO frda.Skag jvd;au iqÿiq hhs oshqKQ rgj, ms<s. ekSug ,laù ;sfnkafka' th yDohdndOhg ,la jQ frda.shdg ta wdikakfha we;s cSú; wjodku;a" miqld,Skj we;súh yels cSú; wjodku;a hk folu ie<lsh hq;= uÜgulska wvq lrkjd' PCI m%;sldrh Tiafia frda.shd jirla ;=< lsishï ixl+,;djhlg ,laj ñh hdfï bvlv ishhg mkylska muK wvq lr.; yelshs'

neÆkh$iafgkagh ia:dk.; lsÍu

Percutaneous coronary intervention (PCI), commonly known as coronary angioplasty or simply angioplasty, is a non-surgical procedure used to treat the stenotic (narrowed) coronary arteries of the heart found in coronary heart disease. ... Stents or scaffolds may be placed at the site of the blockage to hold the artery open.

July 2019

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yDohdndOhla we;s jQ úg isÿ l< yels fyd|u m%;sldrh PCI m%;sldrhhs

Heart attack

iafg%mafgdlhsfkaia ,ndoSfuka miq wxYNd.h we;sùfï wjodkuo fï PCI m%;sldrh ksid wju lr.; yelshs' ta jf.auhs kej; kej;;a yDohdndOhla we;sùfï wjodku;a iEfyk muK wju lr.; yelshs'

meje;au i|yd iafgkaÜ tlla ^oe,la& odkjd' ms<shï fhdokjd' fï wdldrhg wjysr jQ kd,h úia;drkh lr m,xÑhla jeks Wml%uhla Tiafia tu ia:dkfha f,a .ukd. ukh kej; ms<silr lrkjd'

fï iafg%mafgdlhsfkaia m%;sldrh yd PCI m%;sldrh ;=<ska yDohdndO h:dj;a ùfï hdka;%Kh ;j álla meyeos,s l< yelso @ uq,ska lS wdldrhg iafg%mafgdlhsfkaia j, l%shdldß;ajh meyeos,shs' fï T!IOh ixirkh u.ska reêr leáh oshlr yßkak fyda tfia fkdfjkak;a mq¿jka'

ksmqK ffjoHjrfhl=g kï fï l%shdj,sh i|yd .; jkafka úkdä 10-20 w;r ld,hla' fuu.ska wjysr;djh ishhg ishhlau u. yrjd,Sug yelsùu úfYaI;ajhla' fï ld¾hh uq¿uKskau idhï fhdod kslafIamKh lrk tkak;la u.ska kshdukh l< yelshs' tu mÍlaIKh tkacsfhda.%ms hkqfjka ye|skafjkjd'

wekacsfhdma,diaá m%;sldrh wekacsfhdma,diaá m%;sldrfhaoS kd,h Oukshla Tiafia yDohg f.keú;a lsÍgl Ouksfha wjYH ;ek th ia:dk.; lrkjd' bkamiq jh¾ tllska wjysr jQ fldgi Y=oaO lrkjd' fuysoS wjysr;djh h:d ;;a;ajhg m;a lsÍug neÆkhla msïnùfï ishqï ;dlaIKhla fhdod.kakjd' ilia l< ia:dkfha os.=ld,Sk

90

July 2019

DOCTOR MAGAZINE

fuysoS wjodkï iy.; wjia:d we;s fjkjdo @ tysoS .kakd l%shdud¾. ljf¾o @ iuyr wjia:dj,oS ixlS¾K ldh jHÉfPaod;aul fjkialï iys; wjia:d yDo ffjoHjrekag w;a olskak ,efnkjd' we;eï ixlS¾K fjkialï yDoh wdY%s;j we;s fjkak mq¿jka' reêr kd,hla wkfmalaIs;j fnoSulg ,laùu tla wjia:djla'

(Bifurcation) ia:dk lsysmhlu wjysr;d olakg ,eîu;a tjka ;j;a wjia:djla' jl=. vq frda. j,ska mSvd ú|sk whf.a reêr kd, j, le,aishï ;ekam;a ùfuka reêrjdyskS wêl >klu iajNdjhlg m;a fjkjd' tfyu jqKdu kd, j, ne÷KQ fï le,aishï ishqïj bj;a lrkakg;a isÿfjkjd' b;ska fï úosyg wkfmalaIs; ndOdjka fï ie;alu isÿ lrk w;f¾ we;s fjkak mq¿jka' ndOl ljrdldrfhka wdj;a tajd úi|df.k frda.shdg id¾:l f,i Y,Huh ueosy;aùu isÿlsÍu ffjoHjrhdf.a ld¾hNdrhla' tfiauhs ksremøs;j frda.shdf.a cSú;h fírd.ekSu ksmqK ffjoHjrhd w;ska isÿ fjkakla' fl;rï ndOl wdj;a cSú;h iqrlaIs; lsÍu ;uhs ffjoHjrhdf.a b,lalh' wiSre wNsfhda. ueo fï b,lalh fndfyda úg ffjoHjreka ch .kakjd' wfma rfÜ fndfyda frday,a j, fï frda.Skag m%;sldr lsÍug iqúfYAIS myiqlï ;sfnkjd' fï frda.Skag m%;sldr msKsi y÷kajd ÿka" oekg wfma rfÜ Ndú;d fkdjk ;dlaIKhka ;sfnkjdo @ doctormagazine.lk

f,ai¾ ;dlaIKh oekg ,xldfj kE' fndfyda hqfrdamSh rgj, fï m%;sldrh oeka fhdod .kakjd' tu.ska kd, wNHka;rfha ;ekam;aj we;s le,aishï myiqfjka bj;a lrkjd' bkamiq wekacsfhdma,diaá m%;sldrh isÿ lrkjd' yDohdndOhla we;s fjkafka reêr kd,hla wjysr ùfukau muKlao @ f,a leáhla Ouksfha wjysr ùfuka muKlau fkdfjhs" fjk;a fya;= ksido yDohdndOhla we;s úh yelshs' reêr wdia;rkh ì| jeàfuka" f,a kyrh bÍfukao yDohdndO we;súh yelshs' wekacsfhdama,diaá m%;sldrh lrk wjia:dfõoS ta wvqmdvqj ksielfhka y÷kd.; hq;=hs' fkdtfia ku ksYaÑ; ms<shula fhoSu ÿIalr fjkjd' fï PCI m%;sldrfha wdrlaIdj ,nd .ekSug flfkla yDohdndOhla we;sjk ;=reu isáh hq;=o @ kE' tfia l< hq;= kE' tfia oeKQj;aju l,a ueÍu

doctormagazine.lk

wjodkï ;;a;ajhlawe;s lrkak;a bvla ;sfnkjd' wmg we;sjk wmyiq;djhka" frda. ,laIK wkQj ffjoHjrfhl= yuqù ta wjodku fidhd ne,sh yelshs' ta wkQj wdrlaIdldÍ ms<shï fhdod.; yelshs' m%Odk kd,hl wjysr;djhla ;sfnkjd kï mmqfj lelal=u" yqiau .ekSfï wmyiq;djh wdoS ,laIK frda.shd fmkakqï lrkjd kï ffjoHjrfhl= fj; hk tl jvd;a iqÿiqhs' yDoh l%shdldß;ajh wvmK ùula ;sfnkjd kï th

July 2019

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yDohdndOhla we;s jQ úg isÿ l< yels fyd|u m%;sldrh PCI m%;sldrhhs

Heart attack

y÷kdf.k m%;sl¾u fhosh yelshs' thska yDohdndOhla we;sjk ;=re fkdisg wdrlaIdldÍ l%shdud¾. .ekSug wjia:djla Wod fjkjd' PCI m%;sldrfhka we;sjk m%;s,dN fï ksid frda.shdf.a u;=jg;a yDohdndOhla we;s ùfï wjodku fnfyúka wvq fjkjd' flá ld,Skj yDo iamkaokh fjkia ùfuka yDoh wvd, ùfï wjodku;a ke;s fjkjd' fï wdldrfhka cSú;fha Clot-Busting Medicines Thrombolytic medicines, also called clot busters, are used to dissolve blood clots that are blocking the coronary arteries.

To work best, these medicines must be given within several hours of the start of heart attack symptoms. Ideally, the medicine should be given as soon as possible.

92

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wjodku fnfyúka wvq lr.kakg fï m%;sldrh fya;= fjkjd' fuh t;rï nrm;, mÍlaIK lghq;a;la fkdfjhs' tosfkod lghq;= j,g blauKskau kej; tl;= úh yelshs' /lshdjg jqK;a blauKska hkak wjia:dj Tng ;sfnkjd' fldákau fï ms<shï fhdod .ekSfuka kej;;a blauKskau idudkH yqre mqreÿ cSú;h .; lrkak Tng fyd| wjia:djla ;sfnkjd'

fuys lsishï wjodkula ;sfnkak mq¿jkafk'''@ ta .ek;a wmg wjfndaOhla ,nd fokak' Tõ''' fudk foa l<;a tys hym;a m%;sM< jf.au we;eï wNsfhda.;a we;s fjkak mq¿jkafk' merisgfuda,a fm;a;la ìõj;a ixl+,;djhla we;s fjkak mq¿jka' th ;uhs iajNdjh' fï l%shdj,sh ;=<;a wjodkula ke;sjd fkdfjhs'

yDohdndOhla we;sjQ ia:dkhla oelafjk fiahdrejla

doctormagazine.lk

mmqfõ ueog jkakg tk f;rmk" ;olrk iajNdjfha fõokdj' fuh úkdä lsysmhla ;siafia mj;shs' f.," yKqj" Wrm;= fyda Worfha we;sjk fõokdj Wrysia yd ndyqj, fõokdj' fuh tla ndyqjl fyda fome;af;au we;sfõ' yqiau .ekSfï wmyiqj lrleú,a," Tlaldrh" jukh oyäh oeóu

Percutaneous Coronary Intervention Percutaneous coronary intervention is a nonsurgical procedure that opens blocked or narrowed coronary arteries. A thin, flexible tube (catheter) with a balloon or other device on the end is threaded through a blood vessel, usually in the groin (upper thigh), to the narrowed or blocked coronary artery.

Once in place, the balloon located at the tip of the catheter is inflated to compress the plaque and related clot against the wall of the artery. This restores blood flow through the artery. During the procedure, the doctor may put a small mesh tube called a stent in the artery. The stent helps to keep the blood vessel open to prevent blockages in the artery in the months or years after the procedure.

ta;a jeo.;a mKsúvhla ;sfnkjd' yDohdndOhlg ,lajQ fyda ta wjodku uqj úg isák flfkla wkdrlaIs;j n,d isákjdg jvd fuu úêu;a m%;sldrhg fhduq ùfuka ,efnk m%;s,dNh fnfyúka jeähs' tfia fkdlr isàfuka we;sjk wjodku Bg jvd fndfyda fihska jeähs' myiqlï ;sfnk ia:dkhloS iqÿiqlï ffjoHjrfhl= fj;ska Tn fï yDohdndOhg m%;sldrh ,nd .kakjd kï Tn Bg miq.dó úh hq;= kE' Tjqka ljr wNsfhda.hla wdj;a Bg uqyqK fokak fyd| Yla;shla ksmqK;djhla ;sfnk ksid jeä wjodku .kakjdg jvd wdrlaIdldÍ hhs wm ms<s.kakd l%shdj,shg fhduq ùu jvd WÑ;hs fkao @ doctormagazine.lk

;j;a ldrKhla lsj hq;=uhs' wm PCI m%;sldrh iqÿiqu hhs lSfõ th jvd;au wdrlaIdldÍ ksihs' ta;a fï myiqlu ,xldfj ;sfhkafk frday,a lSfhka lShlo@ wfma fndfydauhla YslaIK frday,a j, jqK;a fï myiqlu ke;sùu frda.shdg fyd|u m%;sldrh ,ndoSfuys,d ndOdjla' ixlS¾K lsÍgl wdndO j,g fhdod. kakd Rotablation jf.a ;dlaIKhka mjd wfma fndfyda frday,a j, kE' Laser Angioplasty jf.a oshqKQ yDo m%;sldr l%u wfma rfÜ we;af;au kE' wfma rfÜ yDo frda.Skag mßiudma; fiajdjla ,nd fokak kï fï m%;sldr l%u jvd;a oshqKQ úh hq;=hs' iuia;hla f,i kjH ;dlaIKfha m%;sldr wfma rfÜ ;j ;j;a jHdma; úh hq;=hs' DM July 2019

DOCTOR MAGAZINE

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D•Magazine /

Sports Health

jHdhdu lsÍfï§ jeämqr c,h mdkh lsÍu wys;lr wehs @

jHdhdu lsÍfï§ jeämqr c,h mdkh lsÍu wys;lr wehs @ msßisÿ c,h wfma YÍrhg ys;lru mdkhhs' ffjoH u;h ù ;sfnkafka jevqKq mqoa.,hl= Èklg c,h ,Sg¾ y;rla fyda Bg jeäfhka mdkh lsÍu YÍrfha wka;¾ l%shdj,shg iy jl=.vqj, l%shdldß;ajhg b;d ys;lr njh' c,h mdkh lsÍu fl;rï ys;lr jqjo c,h mdkh iSud l< hq;= wjia:djka ms<sn|jo ffjoHjre Wmfoia fo;s' bka tlla jkafka jHdhdu lrk w;r;=r c,h mdkh lsÍuhs' fï iïnkaOfhka la,sksl,a c¾k,a T*a iafmda¾Üia i`.rdj úiska m< lr ;snQ ,smshlg wkqj jHdhdufhys fhfok w;r ;=r muKg jvd c,h mdkh lsÍu we;eï úg Ôú;hg mjd wk;=reodhl úh yelsh' jHdhdu lrk úg isreßka wêl f,i oyäh msgùu isÿfõ' túg wêl msmdihla oekSu iajNdúl ;;a;ajhls' kuq;a jHdhdu lrk w;r;=r§ msmdih ksidu jeä jeäfhka c,h mdkh lrk úg tu c,h oyäh f,i jeä jeäfhka msgjkakg mgka .kq we;' fuh fkdlvjd isÿjqj fyd;a isref¾ ffi, úc,kh ùfï yelshdj ;sfí'

ffjoH risl chmd,

94

July 2019

´kEu mqoa.,hl=f.a isref¾ l%shdldß;ajhg wjYH m%udKhg fidaähï isrer ;=< .vnd ù mj;s' oyäh iu. fidaähï msg jk w;r jeämqr oyäh ouk úg fidaähï o jeäfhka msgù hhs' ta wkqj jHdhdï lrk úg jeäfhka c,h mdkh lsÍfï§ oyäh o jeäfhka msg ùu hkq ta iu. fidaähï o jeä jeäfhka msg ùuhs'

DOCTOR MAGAZINE

doctormagazine.lk

fufia jHdhdï lsÍfï§ c,h jeäfhka mdkh lrk úg oyäh o ;j ;j;a msg ùfï§ isÿ jkafka isrer ;=< .vnd ù we;s fidaähï m%udKh l%u l%ufhka wvq ùuhs' hï fyhlska isref¾ mej;s hq;= m%udKhg jvd fidaähï wvq jqj fyd;a tu mqo. a ,hd isys úi{ ùfï wjodkula mj;S' fujeks mqo. a ,hl=g l< yels fyd|u m%;l s drh f,i la,k s l s ,a c¾k,a T*a iafmda¾Üia fuäiska i`.rdj olajkafka idudkH m%udKhg jvd ;=ka .=Khla muK fia,hska ,nd §uh '

fï yereKq úg jHdhdu .kakd w;r ;=r wêl f,i c,h mdkh lsÍu ksid jl=.vqj,ska c,h fmÍfï fõ.h iSud fjhs' fï ksid tu l%h s dj,sh wek ysàfuka isÿjkafka isref¾ wNHka;r bkaøh s hkaj,g c,h Wrd .ekSug mgka .ekSuh' fufia bkaøh s hkaj,g c,h jeä jeäfhka Wrd .;a miq tys wjika m%;M s ,h jkafka tu bkaøh s hka bÈóug ,la ùuhs' fï whqßka fud<h mjd bÈóug bv we;s w;r fud<h bÈóu fldaud ;;a;j a h olajd j¾Okh jkq we;' 2002 jif¾ weußldfõ fjdIsxgkfha mej;s ueßka fldami a a uer;ka ;r`.dj,sfhys§ ;r`.lrejka ody;r fokl= ñh .sh w;r fuys§ lrk ,o mÍlaIKj,§

doctormagazine.lk

wkdjrKh jQfha Tjqka ;r.dj,sh w;r;=r § we;sjQ wêl msmdih fya;f = jka wêlj c,h mdkh lrk ,o njhs' fï fya;f = jka isref¾ fidaähï m%udKh b;d iS>f % hka my< neiSu" wNHka;r bkaøh s hka bÈuqug ,laùu jeks ;;a;j a hka fï yÈis urK i|yd n,md ;sìKs' ffjoH m¾fhaIlhkaf.a u;h jkafka jHdhdu lrk w;r;=r oyäh f,i isreßka msg jk c,h h<s isrerg ,eìh hq;= ksid mehlg jrla c,h ñ,s ,Sg¾ 500lg wvq m%udKhla muKla mdkh lsÍu iqÿiq njhs' DM

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Grief Reaction

úkdYhlska miq ÿl fnod.ekSu

GRIEF REACTION ÿla lror fldhs fjf,a ldg kï we;s úh yelso@ úkdYhlska miq ÿl fnod.ekSu

ÿ

l" i;=g" nh" B¾IHdj" fld%aOh fï ish,a,u wfma is;g oefkk yeÕSï' ÿl lshkafk fï yeÕSï iuqodfhka tla yeÕSula muKhs' m%shhkaf.ka fjkaùu" Tjqka urKhg m;aùu" Èlalidoh" wE;aùu" yÈis wk;=rlg m;aù YÍrfha hï fldgila wysñ ùu" fndaïnhlg jeks fohlg wiqù Tfí wdorKShka" mjqf,a ys;j;=ka" <Õu {d;Ska" ys; ñ;=rka urKhg m;aùu wd§ ish,a,u wmg ÿl we;s lrk udkisl ;;a;ajhka f,i y÷kd. kak mq¿jka' úYd, ÿlla fyda lïmkhla we;s jQ úg wmf.a uki jev lrkafka flfiao@ fï .ek úoHd{hka yqÕla iólaIK mj;aj,d ;sfhkjd' fcdaka fndaõ,s iy l+n¾^John Bowlby, Kublerross& hk ufkdaúoHd{hka fuhg úYd, m%isoaêhla Wiq,kjd' wms n,uq fcdaka fndõ,s fï .ek fidhd.;a lreKq fudkjo lsh,d'''

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DOCTOR MAGAZINE

ufkda frda. ffjoH tka l=udrkdhl

wmsg úYd, ÿlla fyda lïmkhla we;sjQ úg th udkislj iy YdÍßlj n,mdkjd' kuq;a fuu udkisl fyda YdÍßl m%;sl%shdj isÿjkafka Tn fkd±kqj;ajuhs' wms fufyu ys;uq' fndaïnhlska fyda yÈis wk;=rlska Tfí wdorKSh wjqreÿ 10la jhie;s mqxÑ mq;d ke;sjqKd lsh,d'

01

m<uq m%;sl%shdj

fuu wjia:dj fï isoaêh uki ms<sfkd.kakd wjia:dj f,i y÷kdf.k ;sfnkjd' ^Denial Phase& Tfí mqxÑ orejd ke;sjqKd lsh, uki ms<s.kafk kE' iuyr úg Tn úYd, lïmkhlska

doctormagazine.lk

fyda ÿllska bkak njla fmakafk;a keye' fudlo Tfí ys; lshkjd ;ju;a Tfí mqxÑ mq;d uerefKa kE Ôj;a fjkjd lsh,d' fuu ld, mßÉfþoh iuyr úg i;s fol ;=kla ;sfhkak;a mq¿jka'

02

fojk m%;sl%shdj

fcdaka fndõ,s úoHd{hd lSjd fï m%;sl%shdjg ks;ru Tfí ke;sjQ fyda ñh.sh wdorKSh mqoa.,hd fiùfï wjia:dj lsh,d' ^Searching Phase& áflka ál Tng Tfí orejd ñhf.dia fyda ke;sù we;ehs hk is;=ú,a,la tkjd' Tn

doctormagazine.lk

yeu ;eku Tyq fyda wehj fidhkjd' Tn lrk iEu l%shdjlg" hk iEu ;ekl§u Tyq fyda wehj Pdhdjla f,i fyda u;lhg kef.kjd' Tnf.a is; Tyq fyda weh È.ska È.gu iEu ;eku fidhkjd' ú,dm §,d w~kjd' ysá yeáfhau wêl f,i ;ry hkak mgka .kakjd' iuyr úg fï ;ry md,kh lr .kak nerej <Õ ;shk nvquqÜgq mjd fmd,fõ .ykjd' ñh.sh orejd Tn ,. bkakjd jf.a ±fkkjd' Tng l;d l;dlrkjd jf.a lg y~j,a wefykjd' fu;k§ ;uhs yqÕla wh ñ;Hd úYajdi miqmi

hkafka' fï lgy~j,a weiSu fyda fmkSu uki ;=, we;sjk ±ä udkisl m%;sl%shdjla' th udkisl frda.hla fkfuhs' th ÿl keue;s m%;sl%shdfõ fldgila' Wod(wef.a ku ;sudks' jhi wjq( 35hs' wehg ysáfh tlu orejhs' orejf.a jhi wjq( 4hs' ojila ;sudKs iqm¾ ud¾lÜ tlg .shd' orej;a wrf.khs weh .sfha' mdr mksk fldg fõ.fhka wdj fudag¾ ihsl,hl fofoku jeÿkd' ;sudks ;=jd, fj,d fíreKd' mqxÑ orejd ñh.shd' wehg fï lïmkh ord .kak

July 2019

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úkdYhlska miq ÿl fnod.ekSu

Grief Reaction

neß jqKd' i;s follaj;a hkak l,ska wehg fï ñh.sh orejf.a lgy~j,a wefykak .;a;d' ,Õska bkakjd jf.a ±kqkd' ñh .sh fï orejd —wïfï˜ lsh,d weh ,Õg tkj¨' weh wdofrka no, jvd .kakj¨' ta;a állska n,k úg tfyu orefjla ke;s,q' wef.a hd¿fjda" kEoEfhda ljqre;a lSfõ orej ueß,d N+; wd;auhla fj,d f.org wdYdfjka weú;a lsh,d' f.or wh re( 75000la úhoï lr úYd, hd.hlao iQodkï lrd' jdikdjlg hd.h iQodkï lsÍug m%:uj ;sudks wmg yuqjqKd' wehg WmfoaYk mgka .;a;d' ^Grief Counselling&

03

;=kajk m%;sl%shdj

wikaúOd;aul nj fyda ish¿u foa wjq,a fia ±kSu^Disorganization Phase& ±ka isoaêh ù udihla fyda folla .syska' Tfí orejd ñhf.dia we;s nj Tng ±ka ±fkkjd' ta;a hk hk ;ek Tyq fyda wehj ueú, fmakjd' u;la fjkjd' Tn .eku Tng ;ryla we;s fjkjd' ^Guilt Fealing& iuyr úg

98

July 2019

DOCTOR MAGAZINE

Tyq fyda wehf.a urKhg Tn j.lsj hq;= hehs hk yeÕSu Tng ks;ru tkjd' fuh j<lajd .ekSug yelshdj ;snqfKa hehs hk is;=ú,a, Tng ks;ru tkjd' Tnf.a ms<sfj, ke;s fj,d hkjd' ks;ru wefÕa mf;a wudrej ±fkkjd' kskao hdu wvqfjkjd' ms<sfj,g w¢kak lshkak isÿfjkjd' ish¿u jev lghq;= áflka ál w;miq jk nj Tng ±fkkjd' ta;a Ôúf;a f.kshkak ´k lshk Yla;sh Tng lshkjd' wms fuh WodyrKhlska n,uq'

lsõjd wo fmd<g hkak ´ks kE' wms fokaku fjk ojil huq˜' lsh,d wïug lsõjd' —kE kE uu .syska tkakï' Thd bkak lsh,d' wïud .shd .shduhs todhska miafi ljodj;a uf.a wïu uu ±lafl keye' wehs wïu hk tl uu keje;a;=fõ ke;af; uu fudk ;rï mõldro@ uf.a ;uhs iïmQ¾K jro" ±ka yeu fohlau wjq,a fj,d' hk hk ;ek ug wïu ueú,d fmakjd' fufyu lshñka weh fõ.fhka w~kak mgka .;a;d'

weh iqud,s' jhi wjqreÿ 30hs' újdy ù wehg orejka fofofkla isáhd' wef.a ieñhd msgrg /lshdjlg f.dia ;snqKd' iqud,s wmg yuqjqfKa iqkdñfhka udi 02lg muK miqjhs' weh fufyu lshkjd' ug ;du u;lhs ta oji' wms mÈxÑ fj,d bkafk .d,af, fldgqfõ' uuhs wïuhs fokaku fmd<g hkak ,Eia;s jqKd' uf.a fofjks orejg nfâ lelal=ula yeÈ, ;snqKd' wïu lsõjd —Thd tkak tmd' wo uu fmd<g hkakï' nndg;a ikSm kEfka˜ lsh,d' uu wïug

04

y;rjk m%;sl%shdj

idudkHfhka udi 6la muK hk úg Tfí Ôú;h áflka ál h:d ;;ajhg m;a fjkjd' Tn Ôú;h f.khkak wruqKq fidhd .kakjd' ñh.sh mqoa.,hdf.a fyd| wdl¾YKSh .;s.=K" Tyqf.a n,dfmdfrd;a;= bgqlsÍug Tn Ôj;a úh hq;= nj Tng ±fkkjd' ^fuu wjia:dj fcdaka fndõ,s kï ufkda úoHd{hdg wkqj ÿl keue;s m%;sl%shdfõ ixúOdkd;aul wjia:dj f,i y÷kajkjd'& ^Organization Phase&

doctormagazine.lk

fuh wms ;jÿrg;a WodyrKhlska meyeÈ,s lr .ksuq' kej;;a iqud,s wmg yuqjqfKa udi 6lg miqjhs' weh .=rejßhla' weh ±ka Yla;su;a' ta;a ÿl kï ;ju ;shkjd' weh fufyu lshkjd'— —ug wïu ks;ru u;la fjkjd'ta;a uu wïug yqÕla wdof¾ ksid Ôj;a fjkak ´k' wïu Ôj;a fj,d boaÈ lshk fohla ;uhs" orefjd fokakg fyd|g W.kakkak lsh,d' wïuf. ta isyskh bgq lrkak uu ±ka Ôj;a fjkjd lsh,d ug ysf;kjd˜ ÿl lshkafk udkisl frda.hla fkfuhs' ±ä udkisl lïmkhlg miq we;sjk udkisl m%;sl%shdjla' fujeks wjia:djl§ Tn tjeks ÿlg m;ajQ whl=g msysg jk wdldrh Tn úoHd;aulj ±kf.k isáh hq;=h' tfia fkdjqkfyd;a tu ÿlg m;a jQ ;eke;a;df.a Ôú;h ;j;a wjq,a ù udkisl wjmSvk jeks ;;a;ajhkag f.dÿre úh yel'

doctormagazine.lk

ÿlg m;ajQ flfkl=g Woõ jkafka flfiao@ 1' Tyq fyda wehf.a yeÕSï y÷kd.kak' Tyq fyda wehf.a ÿl Tng ±fkk nj bßhõ iy jpk j,ska m%ldY lrkak' 2' ke;sjQ mqoa.,hdf.a iure igyka fmd;la iokak' f.org we;=¿ jk ;ek ldurfha biaf;damamqfõ ia:dk j, Tyq fyda wehf.a PdhdrEmhla t,a,kak' 3' ñh.sh mqoa.,hdf.a .;s.=K" olaI;d lKavdhula f,i tl;= ù idlÉPd lrkak' fuhg mjqf,a who iïnkaO lr.kak' 4' Tyqg Wmfoia fokak hkak tmd' Tyq jpk 10la l:d lrk úg Tn jpk 2la l:d lrkak' Tyq w~k úg w~kak bv fokak' Tyqg ;ry hk úg Tn l,n,hg m;a fkdjkak' th idudkH fohla nj Tn wÕjkak' 5' Tyqf.a Ôú;h f.dvkÕd .kak Woõ fjkak' Tyqf.a Ôú;fha wruqKq" n,dfmdfrd;a;= áflka ál u;la lr fokak' hïlsis úgl Ôú;h ke;s lr .ekSfï is;=ú,s l%u iy úê ks;r l:d lrhs kï ufkda ffjoHjrhl= fj; fhduq lrkak' DM

July 2019

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99

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Saliva

flf<ys .=K fkdj fï zfl< j,Z .=K .ekhs

flf<ys .=K fkdj fï zfl< j,Z .=K .ekhs ffjoH rEmsld .=Kr;ak fkdjeo.;a hhs is;kd foa wm bj; ,kafka w¿hu Æ fl< ms`vla fiahs' fl<;a jevlg ke;s foa;a w;r in|;djh fldf;lao lshkjd kï ñksia wm we;eï z;ekaj, fl< .eiSu ;ykïZ njg oekaùï mqjreo iúlrkjd' yenehs b;ska ;eme,a lkaf;darefõoS kï fl< fkdjeo.;a fohla fkdfjhs' uqoaorhla" ,shqula w,j.kak ´ks jqkdu fofkda odyla ueo jqK;a fl< álla .d .kak ,ecac fkdjk mqreoao b;sydifha ljr kï hq.hloS ñksia ika;dkhg my< jQ jia;= îchl kIaGdjfYaIhlao lshkak nE' wo wms fl< .ek l;d lrkjd''' ;rula jeämqr' Yßrfha ;sfnk fndfyda ;r, w;f¾ wvqu ,xiqj ;efnk fï ;r,h we;af;kau fudk ;rï jeo.;a fohlao lshd túg Tng f;areï hdú' ² fl< j, ishhg 99 lau ;sfnkafka c,h' ta;a b;sß ishhg 1 le,aishï yd fm%daák /ilska hqla;hs' ² fÄg .%JÓ uqfjys ia:dk ;=kl msysgd ;sfnkjd' mrdfYda; .%kaÓh lkafol bosßmi Bg háka msysgkjd' wfOdacsyajd .%kaÓh we;af;a osfõ hg me;af;a' yKqj wNHka;rfha we;s Wm W!¾èj yKQl .%JÓh f;jekakhs' fï ;=ka jeoEreï .%JÓ tlaj osklg fl< ,Sgrhla muK ksmojkjd' ² o;a wdrCId lsÍug fl< wk.s fufyhla bgq lrkjd' tfiau uqLfha f;;a nj iq/lSu fl< u.ska bgq flfrk ;j;a w.kd fufyhla'

100

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doctormagazine.lk

² úu;shg m;ajkak tmd' fl< m%;sYla;slrK fufyhla bgq lrkjd' fl< i;=j úIîc yd igka lr fu,a, lrk n,.;= m%;sfoay i;=hs' cS¾Kl l%shdj,sfha wdrïNhg odhl jkafka fÄghhs' msIaGh yd fïoh ì| fy,Sfï m<uq ld¾hh;a ta u.ska isÿ lrkjd' wm .kakd wdydr .s,Sug myiq ;;a;ajhg f.k taug;a wdydr j, rih ,ndoSug;a WmldÍ jkafka fÄghhs' ² fÄGh i;= m%Odk iafkaylldrlh Mucin f,i ye|skafjkjd' fm%daàkhla jk mucin o;a j,g ne|S tajd wdrCId lrkjd' mucin j, wdrCIdj fkdjkakg o;a u; l|jqre n|sk úúO wï," nelaàßhd tla j;djg oyia j;djla o;a ym lr wjika' ² fÄGfhys hï T!Iëh .=Khlao we;sjd fiahs' weÕs,a,g ßoSula we;s jqKdu wm weÕs,a, lfÜ rejd .;a úg thska hï fõokd kdYkhla isÿ fjkjd' iqkLhska ;u isref¾ ;=jd, we;sjQ ;eka bÍfuka iqjm;a lr.kakjd' yenehs

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tl lreKla lsj hq;=hs' ukqIH o;a yßu ierhs' úfYaIfhkau újD; ;=jd, j,g fl< iam¾Y ùï fyd| kE' ² úúO fya;= ksid lfÜ fl< úhef,kjd' th exrostomia f,i ye|skafjkjd' Tn l,n,hg" ;e;s .ekSug fyda ìhg m;a jqKdu" ind ueo l;d lrkakg isÿjqKdu f;d, lg úhe,Su iq,n ,CIKhla' th inflda,fhys .;s fidndjla' ² weÕ fnfyúka fjfyig m;a jk jHdhdu j, ksr; ùu" ÿïmdkh" uqfjka yqiau .ekSu ksid uqLfha fÄg mßudj wvq fjkjd' wêreêr mSvkhg .kakd Tiq yd ;j;a Tiq j¾. ksido" oshjeähdj yd md¾lskaika frda.h ksido uqj úh,Sug ,laúh yelsh' ² lfÜ fl< úhf,k ;j;a frda.hla' sjogren's disease f,i oelafjkjd' ysig yd f.,g fok úlsrK m%;sldr fya;= fldgf.ko uqLfha fÄG mßudj wvqj hd yelshs'

² Tng lsishï mdol frda.hla fkdue;s kï ;djld,slj we;sjk fÄGh úh,Sug myiqfjka m%;sldr l< yelshs' mdkhla .ekSu" o;a ueoSu" meKs rila wkqNjh ta w;r fjkjd' je<lsh hq;= foa ;uhs ÿïmdkh yd uoHidr mdkh' uoHidr.; uqL fYdaOl j,skao je<lsh hq;=hs' fï ;djld,sl m%;sldr iykhla ,en fkdfoa kï ffjoHjrfhl= yuqùu iqÿiqhs' ² we;eï frda. fiùug;a fl< ufydamldÍ fjkjd' isrere.; jQ uoHidrhla fõ kï th úuiSug fl< ksheoshla iEfykjd' ÿïmdkh yd udol T!IO Ndú;h úuiSug fÄG mßlaId ;sfnkjd' HIV frda.h y÷kd .ekSfï fÄG.; mßCId oekgu;a y÷kajd oS ;sfnkjd' wfkl ;uhs CIh frda.h' fkdjákd ,xiqjla oS ;snqK;a fl< ke;sod cSú;h fudk ;rï wiSreo lshd Tn g oeka jegfykjdo@ DM

July 2019

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101

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Sugar

iSks osklg lkak ;sfhkafk .a?ï 50hs''' ,xldfj wms .a?ï 83la lkjd'''

iSks osklg lkak ;sfhkafk .a?ï 50hs'''

,xldfj wms .a?ï 83la lkjd''' iSks ksid wms f,v fjk yeá meKs rihg wm fndfyda fofkla leue;s uq;a iSks kï ÿßka ÿria l< hq;= wdydrhla lSfjd;a ksjerosh' iSks wfmka ÿ/ia lr.; hq;= wdydrhla jkafka wehs @ iSks j, lsisÿ fmdaIKhla ke; fm%daàk ke;" úgñk ke;" LKsc ,jK" úgñk fï fudkj;a iSks j, ke;' iSks wkqNjh wfma ffoksl le,ß wjYH;djfhka ishhg 10-20 blaujd .sh úg fmdaIK W!K;d we;s úh yelshs' fuh orejka frda.S lrjk fya;=jls' iSks wlaudfõ ;ekam;a ù n,mEï lrhs wm .kakd iSks .aÆfldaia yd mDlafgdaia f,i ir< iSks njg ì| fy,hs' mDlafgdaia jeä jYfhka reêr Odrdjg tlaùfïoS tajd wlaudfõ ;ekam;a fõ' fïfia l,la .; ùfuka wlaudfõ fïoh ;ekam;a ùug bv ie,fia' u;ameka fkdîj;a isfrdaisia wdoS frda. yefokakg fulS fïo ;ekam;= fya;= fõ' ia:q,;djh" yD;a frda." iy mßD;a;Sh frda. j,g u. i,ihs bkaishq,ska hkq YÍrfha b;d jeo.;a ld¾h Ndrhla bgq lrk fydafudakhls' reêrfha we;s iSks j,g mgl fj; .uka lsÍug fï bkaishq,ska fydafudakh WmldÍ fjhs' reêrfha wêl idkaøKfhka iSks meje;Su t;rï ys;lr ;;a;ajhla fkdfõ' thska bkaishq,ska fydafudakhg yrsyeá l%shd lsÍug ndOd meñfKhs' 102

July 2019

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doctormagazine.lk

yD;a frda." fugfnd,sla iskafv%dï" ia:Q,;djh wdoS frda. /ila we;sùug hdka;%Kh n,.ekafjkafka fufiah'

oshjeähdj we;s ùug m%n, fya;=jla iSks u.ska we;s lrk w;sYh n,mEu fya;= fldg f.k fojk wdldrfha oshjeähdj we;s úh yelshs' w.akHdYfha yefok bkaishq,ska m%udKh m%udKj;a fkdùu fyda yefok bkaishq,ska Wmfhda.S;djfha ÿ¾j,;djhla fuysoS we;sjk w;r fojk wdldrfha oshjeähdj jeäysáhkg iq,nj je<f|k oshjeähdj wdldrh f,i ffjoHjreka y÷kajhs' ms<sld we;sùfï bvlv jeähs bkaishq,ska fydafudakh ffi,Sh uÜgfï l%ñl j¾Okhkag fya;= jk w;r tys we;sjk úp,H;djhka fï ffi,Sh hy meje;aug ydks lrhs' fï ksid ms<sld we;s ùfï wjodku by< hhs' iSks weíneysldrlhla nj okakjdo @ fud<fhka jeä jYfhka fvdmñka kï ridhkslh jEiaiSug iSks fya;= fjhs' fuys m%;sM<h jkafka Tn fkdoeKQj;au Tn iSks j,g weíneyshla we;s lr .ekSuhs' yD;a frda. j,g fya;= jk nj wkdjrKh fjhs oYl .Kkdjla ;siafia yDohdndO we;slrk pQos;hd njg m;aj isáfha ix;Dma; fïohhs' kuq;a wo ojfia kj pQos;fhla wkdjrKh fjñka ;sfí' ta iSks ì|fy<SfïoS we;sjk mDlafgdaiah'wOHhk j,g wkQj mDlafgdaia u.ska LDL yd g%hs.a,sirhsâ uÜgu jeä lrhs' reêrfha iSks w.hka by< kxjhs' Worfha ia:q,;djh we;s lrhs' fï wkQj wm ish¿ fokdu iSks wkqNjh yels muK iSud l< hq;=h' f,dal fi!LH ixúOdkh Wmfoia fok wdldrhg jevqKQ mqoa.,fhl= osklg .; hq;= iSks m%udKh .a?ï 50g wvq úh hq;=h' wfma cd;sl iSks m¾fhaIK wdh;kh olajk wdldrhg j¾Ihlg wfma rgjeisfhla iSks lsf,da 30la muK wkqNj lrhs' th .Kkh lr neÆ úg osklg .a?ï 83 ls' f,dal fi!LH ixúOdkh ks¾foaY lrk m%udKh w;sl%uKh lrñka wm iSks mdßfNdackh lrñka wfmau fi!LH wk;=f¾ fy<k njg fu losu idlaIshla fkdfõo@ DM

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103

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Health Benefits of Coffee fldams fld;rï jákd mdkhlao@

fldams fld;rï jákd mdkhlao@ fldams isref¾ nr wvq lrkjd''' ksosu;la we;s jQ úg" lsishï m%fndaOhla wjYH jQ úg wm mdkh lrk fldams j,g ;j;a fndfyda fi!LH m%;s,dN w;am;a lr osh yels nj Tn fuf;la oek isáhdo@ ffjoH YdLH wurfialr úisks

104

July 2019

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doctormagazine.lk

Ñrd;a ld,hl isg wfma mji ksjk fldams i;= m%n,u .=Khla jkafka W;af;aclhla jYfhka thska ,efnk l%shdldß;ajhhs' ksosu;la tk úg" w,i njla''' Woafhda.fha miqnEula tk úg wm fldams fldamamhla fndkafka tneúks' fï W;af;acl .=Kh we;s lsÍug m%Odk jYfhka odhl jkafka fldams i;= lef*aka ridhkhhs' lef*aka uOH iakdhq moaO;sh W;af;ackhg ,la lrk w;r wfma mßjD;a;Sh l%shdj,sho jeä oshqKq lrhs' mßjD;a;Sh oshqKq jQ úg wmg ,efnk ,dNh wm úfõlSj bkakd úg wfma YÍrfha we;s le,ß fl;rï m%udKhla oykh l< hq;af;ao hkak ;SrKh lrkafka fï tla tla flkdg ,dlaIKsl mßjD;a;Sh iS>%;djh wkQjh' lef*aka mßjD;a;Sh l%shdj,sh fõ.j;a lrk neúka wm jHdhduhla fkdue;sj isáho wfma isref¾ jeäuk;a fïoh oykh lrkakg fï fldams fya;= jkafkah'

doctormagazine.lk

m%n, W;af;ack .=Ke;s lef*aka lef*aka j,g ksfIAOl iakdhq iïfm%aIlhla jk weäfkdiska wjysr lrkakg úYAñ; yelshdjla ;sfnkjd' fï wmg wj.=K we;s lrk weäfkdiska ridhkh wjysr lrk ksid wm wjosu;aj" cSj .=Kfhka hqla;j bkakg WmldÍ jk fvdmñka yd fkdtmsfkm%ska hk iakdhq iïfm%aIl >%djh jeä lrkakg fya;= fjkjd' The benefits of coffee have been the topic of a lot of news reports lately. It’s not just black water with caffeine. A growing body of research has shown coffee has many incredible health benefits beyond the morning caffeine pick me up.

fldams j, we;s ;j;a jákd ixfhda. fldams i;= fjk;a jákd ridhk lsysmhla .ek;a oek .ksuq laf,dafrdfcksla wï,h wfma YÍrh úiska tla/ia lr.kakd ldfndayhsfâ%g m%udK lsishï fõ.hlska bj;a lsÍug fldams fldamamfha we;s laf,dafrdfcksla wï,h l%shd lrk nj Tn fuf;la oek isáhdo@ ;sfhdfn%dañka fldfldajd j, iq,nju yuqjk fï W;af;aclldrlh fldams j,o wvq jeä jYfhka mj;skjd' ;sfhdams,ska weÿug fok fnfy;la fkao@ ta;a fldams j, fukau fldfldajd j,;a iajdNdúlju ;sfnk fï ;sfhdams,ska wu;r W;af;acl .=Kdx.hla tu mdk j,g ,nd fokjd' lef*aka mdkh lsÍfuka jHdhduhg ,efnk msgqjy, lef*aka wfma jHdhdu Odß;dj jeä lrkjd''' wm jHdhdu lsÍfïoS tu jHdhduh mj;ajd .ekSug yelsjk ld,h by< kexùug fldams fya;=jla July 2019

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D•Magazine /

fldams fld;rï jákd mdkhlao@

Health Benefits of Coffee

nr wvq lrkakg fya;=jk fldams fldaamamh Tfí YÍrfha iqjfi; m%j¾Okhg fya;= jk fndfyda ixfhda. j,ska fldams fmdfydi;a

fjkjd' jeä jYfhka jHdhdu lsÍfuka ,efnk hy m%;sM<''' fïoh oykh wdoS m%;sM< by< kexùug fldams fï wkQj fohdldrhlska lghq;= lrkjd' fldams fldamamhlg idudkHfhka jHdhdu fõ.h ishhg 11-12 w;r m%udKhlska by< kxjkakg yelshdj ;sfnk nj m¾fhaIK j,ska fy<sorõ jQ ldrKhla' DM

fldams j, we;s m%Odk ridhkh jkafka lef*akah' isref¾ nr wvq lrkakg by< ñ, .Kka j,g wf,ú jk fndfyda ixfhda. j, we;s uqLH ixfhda.hla jkafka lef*akah' fï wkQj isrerg wys;lr fia n,mdk f;,a yd fïo fldgia oykh lrkakg fukau YÍrfha mßjD;a;Sh by< kxjñka ;j;a fndfyda Okd;aul m%;sM< ,nd fokakg fldams fldamamh fya;= fjkjd'

106

July 2019

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doctormagazine.lk

DM

Health Benefits of Turmeric f,v frda. /ila u¾Okh lrk ly l=vq ál jHxckhla ms<sfh, lsÍfïoS odkakg wu;l lrkak tmd'''

f,v frda. /ila u¾Okh lrk ly l=vq ál jHxckhla ms<sfh, lsÍfïoS odkakg wu;l lrkak tmd''' ly wfma jHxck rij;a lrk rildrlhla' w, fydoaog" mßmamq jHxckhg ú;rla fkdfjhs" wm msisk fldhs t<j¿jg;a" jHxckhg;a ly álla tl;= fjkafk ksrdhdifhka'

ly úIîc kik njg w;s m%n, úYAjdihla ;sfnkjd' kuq;a úoHdj wo t;kska tyd .sh úYd, jákdlula ly j,g fokjd' ly j, ;sfnk zl¾lshqñkaZ lshk ridhkh ksid ;uhs fï jákdlï ish,a, ly j,g ,eî ;sfhkafka' • YÍrh jeyefrkafk" wms jhig hkafk YÍrh ;=< ;sfnk uqla; LKavl l%shdj,sh n,.ekaùu ksid' ly th u¾Okh lrkjd' úgñka C úgñka E fï jhig hdfï l%shdj,sh wdmiaig yrjk uy;a jQ .=Khlska hqla;hs' oeka fidhdf.k ;sfnk wdldrhg fï úgñk jf.a wg .=Khl m%n,;djfhka ly by; úia;r l< ffi,Sh ydksh wju lrkjd'

• YÍrfha m%odysl l%shdj,shla n,.ekaùfuka we;sjk f,v rdYshla ;sfnkjd' .eiag%hsáia" wd;rhsáia" uq;%d wdidok Bg ksoiqka' fï m%odysl l%shdj,sh wvmK lsÍug ly j, ;sfnk zl¾lshqñkaZ j,g mq¿jka' • ly wdidok j,g tfrysj l%shd;aul fjkjD' we;af;kau ly iajdNdúl úIîc kdYlhla' • fud<fha wjl%shdldÍ ;ekam;= ksid we;sjk fjkiaùula we,aIhsu¾ frda.hg fya;= fjkjd' fï wkQj ly m%;s îgd weuhsf,daâldrlhla jYfhkao l%shd lrkjd' ly iqj lrk f,v iuyrla • .eiag%hsáia • wd;rhsáia • YÍrh úhm;a ùu • iu /<s jeàu • nelaàßhdkq wdidok • we,aIhsu¾ frda.h • wdka;%sl .=o ms<sld DM

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107

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Homeopathy Medicine ysirohg - brejdrohg ksiel iqjh f.k fok fydañfhdam;s fjolu

iufm; weiqf¾ iqjfi; ysirohg - brejdrohg ksiel iqjh f.k fok

fydañfhdam;s fjolu fydañfhdam;s ffjoH wkqId fyaul=udr iu. l< idlÉPdjla weiqßKs

108

July 2019

wo iudcfha nd," ;reK" uy¿ fndfyda msßila mSvd ú¢k frda.S ;;a;ajhla f,i ysiroh lsj yelsh' fuh úúOdlr fya;= u; we;súh yelshs' ta .ek wm úuiuq' Bg ksiel ksjdrK m%;sldrfõohla .ek úuiuq' 01' ñf.%aka fyj;a brejdroh f,io y÷kajk ysiroh wdldrh l=uk frda.S ;;a;ajhlao@

DOCTOR MAGAZINE

doctormagazine.lk

02' ñf.%k a a fyj;a brejdrohg n,mj;ajk fya;= idOl fudkjdo@ brejdroh we;sùug fya;= idOl ks;r ridhksl øjH wêlj wdydrhg .ekSu" f;,a wêl msIG a h wdydrhg .ekSu" ;o ysre t<shg ksrdjrKh ùu" udkisl wd;;sh wdÈh oelaúh yelsh's 03' ñf.%k a a keue;s ysiroh y÷kd.; yelafla fudk wdldrfhkao@ ysfia me;a;l fyda fomig we;sjk fõokdj we;=,;ska wkskk a dla f,i ±fkk wêl fõokdj" wdf,dalh ±ßh fkdyels nj wkaOldrhg leu;s nj" Yío .kaOhla ±fkk úg fõokdj jeäùu" jukh hdu fyda Tlaldr .;sh" fkdikaik q a nj" lerleú,a," fmkSfï ÿ¾j,;d wdÈhhs' doctormagazine.lk

"

È.= ld,hla ú|jk ysirohla f,i brejdroh ye¢kaúh yelsh' ysre Wodj;au iEfok brejdroh ysref.a rYañh jeä fjkjd;a iuÕu m%n, fõ' ysre neih;au ixis£ hEu iQ¾hdj¾:kh hk kñka ye¢kaùug fya;= mdol ù we;' fuh fud<fha reêr kd,j, fjkiaùula yd wksis W;af;ackhla ksid we;sjkakla f,i oelaúh yelsh's

ysre Wodj;au iEfok brejdroh ysref.a rYañh jeä fjkjd;a iuÕu m%n, fõ' ysre neih;au ixis£ hEu iQ¾hdj¾:kh hk kñka ye¢kaùug fya;= mdol ù we;'

"

fujka ,laIK fndfydaúg ;reK wjêfha§ yd ueÈúfha we;súh yelshs' fuu ysiroh ojia 4la uq¿,af,a mej;sh yel' iuyrekag muKla fuh meyeÈ,sj ksÍlaIKh lr.; yels fjhs'

frda.fha uQ,sl wjêh fuys§ ysiroh Èk fol ;=klg fmr u<noaOh" udkisl fkdikaiqka;djh" f.f,a we;sjk ;o nj" msmdih jeks ,laIK we;sfõ' ;jo iakdhq wksis f,i W;af;ackh ùu ksid weia j, t<shkakdla fuka fmkSu" ne,Sfï wmyiq;d we;sùu" weia keàu" Yío weiSu we;s fjhs' mQ¾j wjêh meh 72 muK mj;sk kuq;a tla tla mqoa.,hdf.a YÍr m%;sYla;slrKh wkQj fuh fjkia fjkjd' miq wjêhg meñKqfyd;a fõokdj È.= ld,Skj mj;sk w;r fï wjia:djkays§ m%n,j udkisl fkdikaiqka nj" lerls,a," YÍrfha ÿ¾j, nj" t<sh ne,Sug fkdyels ùu m%Odk f,i mej;sh yel' brejdroh úfYaIfhkau ldka;djka ;=< nyq,j olakg we;s njo lsj hq;=h' ysirohg tlu fya;=j brejdrohu fkdfõ ñf.%aka ;;a;ajh muKlau ysirohg bjy,a jk nj lsj fkdyel' ;j fndfyda fya;= idOl fï i|yd we;súh yel' 04' ysirohg n,mdk fjk;a fya;= idOl fudkjdo@ wo ld,fha mdi,a <uqkag" ld¾hd, jev lrk Woúhg j;auka iudcfha fndfyda fofklag ysirohg ;j fya;=jla jkafka f., ckl ysiroh fyj;a ^Cervicogenic headache) keue;s frda.h úh yelshs' July 2019

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ysirohg - brejdrohg ksiel iqjh f.k fok fydañfhdam;s fjolu

Homeopathy Medicine

ysiroh úúO wdldr

fn,af,a fld÷weg fmf,ka wdrïN jk iqIqïkd iakdhq" úfYaIfhka C1,C2,C3 hk iqIqïkd iakdhq lmd, iakdhq jk kHIaáhlg ^Trigeminal nerve) iïnkaOj mj;sk fï iïnkaO;djh f.f,ys we;sjk ixl+,;dj ksid ysig n,mEula f.kfokjd'

óg wu;rj ysfiys fldaGr odyh fyj;a ihskia fiu wdY%s; we;sjk m%odyl ;;a;aj ksido fmdl=re ysiroho" udkisl wd;;sh ksid we;sjk wd;;s ysiroho ±laúh yel'

"

"

fuys§ f.f,ys lfYareld j, fyda lfYareld uÜgï j, ;oùula ke;fyd;a lfYareld w;r f;rmSula ^cervical disc bulge& fyda Èrdhdu ksid ^cervical spondylosis& we;sjk ;;a;aj ±lsh yelshs' tu ksid fn,af,a fõokj iuÕ ysiroh jeäùu" fn,a, fi,úh yels m%udKh iSud ùu" f., wjg udxY fmaYs w;ska ;o lrk úg ysiroh wvq jeä ùu jeks ,laIK we;súh yelsh' ;jo th j¾Okh jqjfyd;a reêrh wvmK ùu ksido iakdhq f;rmSu ksid la,dka; .;sh" iu;=,s;djh ì| jefgkak hdu isÿúh yelsh' óg wu;rj ysfiys fldaGr odyh fyj;a ihskia fiu 110

July 2019

DOCTOR MAGAZINE

wdY%s; we;sjk m%odyl ;;a;aj^sinusitis& ksido fmdl=re ysiroh ^cluster headache&o" udkisl wd;;sh ksid we;sjk ^Tension headache& o ±laúh yel' weiaj, mj;sk ÿ¾j,;djh ksido ysiroh we;súh yelsh' tla tla flkdg we;sjk wmyiqj fjkia ysi lelal=u l=uk wdlrhl fya;= idOl we;sj we;sjqko ysia lelal=ula je,÷k úg tys we;s ;Sj%;dj iy lelal=fuys ±ä nj frda.shdf.ka frda.shdg fjkiah' ksoiqkla f,i ysiroh yg.;a úg uq¿ ysialn,u fõokd fokag mq¿jk' ke;fyd;a ysfiys tl me;a;l lelal=u" weia fol jfÜg lelal=u" fyda ysia ln, msgqmi

doctormagazine.lk

lelal=u jYfhka fõokdj yg.ekSug" mqmqrkakdla fuka fõokdj" úÿ,s fldgkakdla fuka fõokdj" ñáhlska .ikakdla fuka fõokdj" i;shlg jrla tk ysiroh" udi lsysmhlg jrla ieu jirlu tl ld,hl§ fyda Èkm;du jqjo iEfok frda. ,laIKhka wmg ±lsh yelshs' ksÜgdjg iqjhg fydañfhdam;s m%;sldr mqoa.,hdf.ka mqo.,hdg ysirohl§ fjkiaj ±lsh yels frda. ,laIK fydañfhdam;s fjolfï b;d jeo.;a jk w;r tu frda. ,laIKhg fydañfhdam;s uQ,O¾uhg wkqj frda.hg iudk m%;sldr ;=,ska frda. fha iqjh tkï —iudk fohska iudk foa iqjm;a fõ˜ hk uQ,O¾uh wkqj iudk T!IO .ekSu ;=<ska l%u l%ufhka frda. ,laIKh myj hkafka frda. ,laIKfha tkï fõokdjg fya;= jQ fya;=j ke;s lrñks' fï wkqj ysiroh fya;= jQ lreKq ysfiys we;=,dka;fhkauo fn,af,ys jHqyd;aul fjkia ùuo h:d ;;a;ajhg m;aùu ysiroh ksid mSvdjg doctormagazine.lk

m;ajQ frda.shd l%u l%ufhka iqjh ,eîu mQ¾Kj w;aolskq we;' fõokdj iïmQ¾Kfhkau ke;sù hkafka lsisu fõokdYlhka fkdue;sjh' fï w;ßka mdúÉÑhg myiq w;=re wdndO fkdue;s fydañfhdam;s m%;sldr uÕska Tn;a iqjh w;aolskak' DM

ffjoH .eg¨ ioyd úuiSï' 0112 731695 0718250716$17

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wdhq¾fõoh udihlska Tng w,xldr mDIaÀu;a YÍrhla

flÜgqjg ;s;''' udihlska Tng w,xldr mDIaÀu;a YÍrhla

iEis isxyf,a Tiq fjo ueÿf¾ wêm;s fy< fjo uydkdu ta' ymqf.dvf.a úisks

fu

f,dj Wm; ,nk iEu mqo. a ,fhl=u ;udg hula jegfyk wjêfha isg urK uxplh olajd ;u rEmh b;d w,xldrj mj;ajd f.k hdug W;ail q fj;s' ia;S% mqreI fNaohlska f;drj fndfyda fofkla fkdfhl=;a T!IO j¾. yd wdf,amk ta i|yd Ndú;d lrhs' fï i|yd fldmuK úhoï l<;a ;u YÍrh Wig iß,k msßmqka fmkqula fkdue;sj fliÕ YÍrhla we;akï Tyq fyda weh iudcfha lemS fkdfmfkk w;r Tjqkf a .a fm!reIhg th fnfyúka n,mdhs'

112

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doctormagazine.lk

kuq;a fliÕ YÍrhla fkdue;s yevldr msßmqka YÍrhla we;akï Tyq fyda weh foi iudcfha ñksiqka jrla fkdj fo;=ka j;djla n,kq fkdwkqudkh' tjeks fliÕ YÍr we;s whg ;udf.a oekqu" w;aoelSï yd ks¾udKYS,S;ajh Wmfhda.S lr.ksñka ieuod uyck;dj fjkqfjka b;d jákd T!IO ksmojk fy< fjoÿre uydkdu ta ymqf.dvf.a uy;d ksmojd we;s kj;u T!IOh ms<sn| t;=ud iuÕ l< ms<sior fufia È.yer olajuq' lDI nfjka uqojk Tn;=udf.a kj;u T!IOh ms<sn| i|yka l<fyd;a wo iudcfha Ôj;ajk fndfyda fokd ,iaikg bkak leu;shs' tksid Tjqka wêl uqo,la rEmd,xldrh i|yd jeh lrhs' kuq;a Tjqkaf.a YÍrh foi neÆ l, iuyr wh wêl f,i ia:q,Ndjhg m;a ù we;s w;r ;j;a iuyr fokdf.a YÍr b;d fliÕh' fï fof.d,a,kau b;d jákd we÷ï me<ªj;a thska lsisÿ yevhla yd w,xldrhla fkdue;s ksid udkislj mSvd ú¢;s' tksid uu b;d fliÕ YÍr we;s wh i|yd T!IOhla ilia lr we;' fuh udihla Ndú;d lsÍfuka fliÕlu myù f.dia b;d yevldr meyem;a msßmqka YÍrhla Tjqkag ,efnkjd' fuu T!IOh Ndú;d lsÍfuka ,efnk jdis yd Ndú;d lrk ms<sfj, i|yka l<fyd;a@ uu fuu T!IOh ksmojd we;af;a l=vd orejdf.a isg jeäysá mqoa.,hd olajd Ndú;d l<yels wdldrhghs' mqoa.,hkaf.a YÍrhka ;=< fkdfhl=;a f,v frda. mej;Sug mq¿jk' tys§ uu uq,skau lrkqfha iEu flfkl=gu uu ksIamdokh l< —ksfrda.Sùug fnfy;˜ f,i ilia lr we;s fnfy; ,ndfokjd' tys§ Tjqkaf.a YÍrh ;=< we;s f,v frda. tu T!IOhg iqj jk w;r fuu T!IOh Èkla Wfoa f.k kej; i;shlska fyda follska fojrla ó meKs iuÕ wkqNjfhka YÍrfha fliÕ nj myù f.dia yevldr mshlre YÍrhla ,efnkjd' ta jf.au lsj hq;=hs nv bÈßhg fkrd we;s who fuu T!IOh Ndú;h ;=<ska

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nv wvqlr .; yelsjk w;r fuu T!IOh Ndú;h ;=<ska nvje,a wdY%s; frda.o iqj fjkjd' ;jo úfYaI;ajhla jkafka myiq ñ, .Kka hgf;a fuu T!IOh ,nd.ekSug yelsùuhs' Tn;=ud ksmojk ,o fuu T!IOh Ndú;d lsÍu ;=<ska m%;sM, w;alr.;a wh isào@ Tõ" fï jk úg fuu T!IOh Ndú;d lsÍu ;=<ska iEfyk msßilf.a lDY YÍr msßmqka YÍr njg m;a ù Tjqka w,xldr kSfrda.S rEm iajNdjhla ,en b;d i;=áka l,af.jkjd'

iEis isxyf,a Tiq fjo ueÿf¾ wêm;s fy< fjo uydkdu ta' ymqf.dvf.a uy;d m%;sldr lrk Èkhka yd fõ,djka n%yiam;skaod yd fikiqrdod fm'j' 8'00 isg m'j' 3'00 olajd iEiS isxyf,a Tiq fjo ueÿr 100$5" lu; mdr" udú,auv" uykqjr ^o<od ud<s.dj <Õ isg ls'ó' 4 la muK ÿßks& úuiSï 075 5559229 $ 071 2495752 DM

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wdhq¾fõoh fld÷ weg fm< frda. ksÜgdjgu iqj lrk foaYSh mdrïmßl isxy, fjolu

fld÷ weg fm< frda. ksÜgdjgu iqj lrk foaYSh mdrïmßl isxy, fjolu

u

kqn,s rdcH md,k ld,fha isg mej; tkakdjQ mq,ia;s wd§ iDIsjreka jeä ÈhqKq l<d jQ rdjKd rcq úiska rdcH wkq.%yh olajñka jeä ÈhqKq l<d jQo ,xlSh iajfoaYSh ffjoH l%uh foaYSh mdrïmßl ffjoH Ydia;%hhs' mdrïmßl ffjoHjreka tÞ isg wo olajd ;u l=, mrïmrdj,ska ;u ÿjd orejkaf.ka" YsIHhkaf. ka mj;ajdf.k tk fuu úiañ; ffjoH Ydia;%h' ;u mrïmrdj,g wfõKsl frda.dndO iqj lsÍfï úYañ; jQ ryia T!IO l%u" pdß;% ±l mqreÿ iy l< mqreÿ iys;j mej; tkafkah' tfia mej; tkakdjQ tla wx.hls wgykaÈ fjolu' fld÷weg wdY%s;j we;s fjkialu' Èrd hdu' weoùu ksid fkdfhla udÈ,sfha frda. ;;a;ajhka yg.kS' tu.ska tA wjia:d ksjerÈ fkdlf<a kï jd; frda. wjia:djg m;afjhs' kuq;a wm jd; frda. wjia:djg m%;sldr lrñka fõokdj iukh lsÍug W;aidy ±rejfyd;a th ksIaM, ld¾hhla fõ' foaYSh fjolfï W.kajkqfha frda. uQ,hg wjYH m%;sldr lsÍuhs'

114

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foaYSh mdrïmßl ffjoH u' lyoj, wdrÉÑf.a ^r',s'w' 9629& ^rïuf,a uoaÿu nKavdr ks, fjo mrmqr" w;a;k.,a, ls;a;ïuyr fjo mrïmrdj&

fldkafoa fõokdj yg .kakd úúO frda. ;;a;ajhka we;af;ah' wiaÓj, fjkia ùulska f;drj jl=.vq wdndO' wdudY.; frda." wka;%.; frda." wlaudfrda." ms<sld ;;a;ajhka" wï,ms;a; ;;a;ajhka hk ldrKd ksido fld÷ weg fm< fõokdj we;s fõ' olaI foaYSh ffjoHjrhd ;ud mdrïmßl mqyqKq l< kdä Ydia;%h ±kqu Wmfhda.S lrf.k l=uk wdldrfha frda.dndOhla ±hs y÷kd.kS' Tyq tA iïnkaOj Ydia;%h m%.=K l, olaIfhls'

doctormagazine.lk

ud fuu ,smsfhka úia;r lsÍug n,dfmdfrd;a;= jkafka fld÷weg j, fjkiaùul isÿjk fõokdldÍ ;;a;ajhka ms<sn|j mu‚' wiaÓj, fjkiaùu wjia:d lSmhlg úia;r l< yelsh' 1' lfYareld wiaÓ wdYs%; w;sf¾l jeäu Osteophytes 2' lfYareld wiaÓ Èrd hdu Vertibra Degeneration 3' lfYareld wiaÓ mfilg ;,a¨ ùu Slip of Vertibra 4' lfYareld wiaÓ w;r wka;¾ lfYareld ìïn fldgi Èrdm;a ùu Intervertibral Disk

Degeneration 5' lfYareld wiaÓ w;r wka;¾ lfYareld ìïn fldgi mfilg ;,a¨ ùu Slip of Intervertibral Disk 6' wka;r lfYareld ìïn fldgi Èrdm;a ùu fyda ;,a¨ ùu ksid we;sjk lfYareld wiaÓ w;r mr;rh <x ùu fyda ÿria ùu fld÷ weg fm<g isÿúh yelafla by; ldrKd tlla fyda jeä .Kkla ksid isÿjk wdndO ;;a;ajhls' fuh fld÷ weg fmf<a ff.%ù lfYareld l,dmfhao mDIaG lfYareld l,dmfha§ là lfYareld l,dmfhao ;%sl yd wkq;sl l,dmfhao by; ihdwdlrfhka tla fyda Bg jeä ;;a;ajhka .Kklska úh yelsh' fuu wdndO ;;a;ajhka meñK l< lfYareld wiaÓ wdY%s;j mj;sk iakdhq f;rmqu iy we§u fya;=fjka iakdhq l%shdldrs;ajh wvmK ùu isÿ fjhs' wiaÒ fmf<ys wdndOh iys; wiaÓh msysgk ;ek wkqj msysá iakdhqfjka ksfhdackh jk YÍr l,dmh fï wkqj mSvdjg m;afõ' f.f,ys ff.%ù lfYareld wdndO jQ l< wka w;a foflys Wrysia' je,ñg' weÕs,s wÈfhys ysrh fõokdj wm%‚l;ajh mjd we;súh yelsh' ksoiqkla f,i ff.%ù y;r iy yhjeks wiaÓ ^C4/C6& mSvd jQ l< w;amdo iy doctormagazine.lk

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fld÷ weg fm< frda. ksÜgdjgu iqj lrk foaYSh mdrïmßl isxy, fjolu

wdhq¾fõoh

YÍrfha fndfyda ;ekaj, by; frda. ;;a;ajhka we;s úh yelsh' mDIaG lfYareld yh yd kjh wd§ wiaÓ ^T6/T9& mSvd jQ l< mSvdjk iakdhq u.ska mmqfjka my< fndfyda YdÍßl moaO;sj, l%shdfõ úlD;s;d we;s úh yelsh' tfiau là lfYareld 3-4-5 ^L3/L/4/L5& wiaÓ fjkia ùï jQ l< ;=káfhka my<g f.k hk iakdhq l%shdldß;ajh ì| jeàfuka ll=,a j, wm%d‚l;ajh ysßh fõokdj flKavd fmr¿u' oKysia ikaêfha' j<¨lr ikaêfha weÕs,sj,' ú¨fò wdndO /ilgo uq,a fõ' flfia kuq;a wm úiska frda.shdf.a frda. ;;a;ajhg j.lsj hq;= frda. uQ,h f;dardf.k m<uqj th ksjerÈ l< hq;=h' tfia fkdue;sj frda. ,laIKj,g muKla m%;sldr lsÍug hEfuka isÿjkafka frda. uQ,fha wdndO ;j ;j;a W.% w;g m;a ùfuka frda.shd jHdê ;;a;ajhlg m;a ùuhs' tfia kï m<uq mshjr úh hq;af;a wiaÓ j, wE;a ùula fyda wksis <x ùula isÿ ù we;s kï tAjd ksjerÈj ia:dk.; lsÍuhs' fkdfjkia jk f,i fnfy;a neÈh hq;=h' wiaÓ Èrdm; ù ;sfí kï wiaÓ j¾Ol T!IO neÈh hq;=h' lfYareld uv, ,siaid hEula we;akï wiaÒ ksjerÈj ia:dk.; lr lfYareld ìïn wNHka;rhg kej; wjfYdaIKh lsÍug iu;a T!IO ne| ksjerÈj ia:dk.; lsÍuhs' tfia fkdue;sj tu ksid mSvdjg m;ajQ iakdhq m%lD;s l%shdldß;ajhg m;a l< fkdyels jkq we;' wiaÓj, ksjerÈ;dj i,ik ;dla îug fok fnfy;lska muKla iajhxl%Shj wiaÓ ksjerÈ fkdfõ' foaYSh mdrïmßl Ñls;aid l%u j, tk T!IO wdf,amK u.ska fmaYs" wiaÓ nqre,a lr yia;% l%u Wmfhda.s lr .ksñka wiaÒ ia:dk.; lsÍfï l%u Wmfhda.S lr .ksñka ksjerÈj ia:dk.; l< hq;=h' bka miq ksjerÈj ia:dk.; jQ wiaÓ tA wdldrfhkau ia:djr ùug T!IO fhÈh hq;=h' bkamiqo ld¾hh ksu fkdfõ' frda.shd fmr§ l< /lshd lghq;= idudkH

116

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Ôú;fha l%shdlrlï bgq lsÍug wjYH mßÈ wiaÓ fm< kuHYS,S ùug wjYH jHdhdï lrúh hq;=h' ksjerÈ ffjoHjrhdf.a ksjerÈ u.fmkaùu;a" frda.shdf.a iy Tyqf.a wdjf;ajlref.a hq;=lï iy lemùu;a" ffjoH wjjdo ksis f,i ms<sme§fukq;a frda.shdg ks;H iqjh ,nd .; yelsh' fld÷ weg fm< wiaÓ ksjerÈ lsÍu iy m%;sldr lsÍfïÈ wiaÓ ilia lsÍu fndfyda j.lSula iys; W;a;=x. l¾;jHhls' ngysr ffjoH l%ufha§ mjd meh .Kkla f.k Y,H.drhl isÿlrk lghq;a;la iajNdúlj mßirfha§ isÿ lrk úg th fld;rï wiSre±hs yefÕkq ksh;h' kuqÿ úYauh thhs' foaYSh mdrïmßl ffjoHjrhd mej; tk bmer‚ mrïmrdj fy< wx.ï Ydia;%ho" Ñls;aidjg WmldÍ jk f,i W.kajñka mej; wdfõ fujeks ldrKd ksidh' tA ;=<ska ffjoHjrhdf.a bjiSu" ixjrh w;amd j, iu;=,s; nj kuHYS,S;ajh ;yjqre

doctormagazine.lk

lf<ah' tjeks ffjoHjre wog;a fndfyda isá;s' Tjqkag wiaÓ" ikaê" ksh" ure ks< iïnkaO ±kSuo'''ikaê lsÍï" wjikaê lsÍï" weg tyd fuyd lsÍï iïnkaOfhkao ukd ±kqula iy tAjd laI‚lj jvd;a ksjerÈj lsÍug fukau frda.shdgo fkdfokefkk" fkdisf;k ksfïIfhka bgq lr §ug Tjqka olaIfhdah' fuh foaYSh mdrïmßl ffjoHjrekag f,dj uú; lrjkakg ;sfnk wúhls' Tjqkag fld÷weg fm< iïnkaOj ;sfnk ±kqï iïNdrh b;du;a úYsIagh' Tjqka i;=j iEu wiaÓhla" wiaÓhla mdidu ksjerÈ lrk mdrïmßl yia: l%u we;' tAjd Ndú;fhka frda.shd mSvdjg m;a fkdlr laIKfhka ksjerÈ msysàï lsÍug;a" wjYH m%;sldr lsÍug;a mdrïmßl ffjoHjrhd iu;a fjhs' j¾;udkfha fldkafoa fõokdfjka fmf<k frda.Skaf.ka w;f<diaila yereKq úg wka ish¿ fokd wiaÓ iïnkaO by; ±lajQ m%Yak ksid we;s jQ fldkafoa fõokd ksid mSvd úÈkafkdah' Tno ;j ÿrg;a" fldkafoa wiaÓ fjkia ùulska" Èrd hdulska" wka;¾ lfYareld ìïn fjkia ùulska fmf<kafka kï tu frda. iïnkaOj f;dr;=re fkdñf,au ,nd §ug foaYSh mdrïmßl ffjoH u' ly|j, wdrÉÑf.a fj±ÿre;=uka fkdmels,sj bÈßm;a ùug yeu úgu iQÞkñka isà' DM i;sfha ´kEu Èkhl rd;%S yf;ka miq

071-7666488 ÿrl;k wxlhg l;d lr úia;r ±k .ekSug Tng myiqj mj;s' uyfika fjof.or fkd' 531$3î we,afoksh" lvj;

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A4

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wdhq¾fõoh uyú, uyre fjolï iqjh ,enQjka mqok ;=;s l=iqï

uyú, uyre fjolï iqjh ,enQjka mqok ;=;s l=iqï —fy< Tiqfjka Èhjeähdj kik háhkaf;dg uyú, fjo uy;d mdrïmßl foaYSh Ñls;aidfõ bisjrfhls'˜ - ol=Kq m<d;a ysgmq f.dúck fiajd iyldr flduidßiajßh ruHd iQßhwdrÉÑ zzrdcH fiajfha jir 40l muK w;a±lSï ,nd we;s ud úúO wud;HxY" fomd¾;fïka;= .Kkdjl ;k;=re fydnjd úY%du .sho Èhjeähd frda.fhka ;on, f,i mSvdjg m;aj ta fya;=fjka yg.;a w;=re wdndO rdYshlgo f.dÿre úh' tjlg ud .d,af,a f.dúck fiajd iyldr flduidßiajßh f,i ld¾hnyq,j rdcldßfha ksr;j isá ld,fha§ ud yg Èhjeähd frda.h je,£ we;s nj ffjoH mÍlaIK Wmfhda.S lrf.k ud mÍlaId l< ffjoHjrhd mejiSh' tu ksid b;du;a lK.dgqjg;a ±ä NS;shg;a ud m;ajqfKñ' ud fj; mejÍ ;snQ Ndr¥r j.lSï bgqlsÍfï§ udf.a frda.S ;;a;ajh yd blauKg ±fkk úvdj wvqlsÍug lsisfia;au fkdyels úh' b;d wiSrefjka jqjo udf.a rdcldÍ ld,iSudj ksulr úY%du .sfhao Èhjeähd frda.sfhl= f,ih' úY%du .sho fkdfhl=;a m%;sldr uOHia:dk fj; f.dia m%;sldr ,nd.;a;;a udf.a frda.S ;;a;ajh iqj fkdùh'ZZ zzfm!oa.,sl rEmjdyskS kd,sldjlska háhkaf;dg uyú, fjo uy;d .ek ±k .ekSfuka miq ud t;=ud yuqùug .sfha;a" l,ska j;dj, ffjoH uOHia:dk j,g .shdfiau lsis÷ úYajdihla fyda n,dfmdfrd;a;=jla ;ndf.k fkdfõ' ffjoH;=ud ud mÍlaId lr n,d ud yg mejiQ foa ms<sn|j ud ;=< hï n,dfmdfrd;a;=jla we;súh' ud iqjm;a l< yels nj mejiQ t;=ud lem ùfuka T!IO mdúÉÑ doctormagazine.lk

foaYSh ffjoHY+Í" foaYudkH" uydpd¾h fya' uQ' fikr;a chiQßh nKavdr

háhkaf;dg uyú, fjouy;d lsÍug yels±hs uf.ka úuiSh' tu m%ldYhg ud tlÕ ùñ' ukao fuf;la ud ú¢ fõokd flfia fyda ksulr .ekSug ;snQ ±ä jqjukdj ksiduh'

wms fï fjolu lrkafka fmr mqreoao;a tlal' ta lshkafka ixidf¾ wms fjolï lrmq ksid fï wd;aufha§;a fjolï lrkjd' tal ldgj;a keyehs lshkak mq¿jka lula keye'

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uyú, uyre fjolï iqjh ,enQjka mqok ;=;s l=iqï

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uyú, fjo uy;d mejiQ wdldrhg uy;a lemùfuka t;=ud ,ndÿka fnfy;a mdkh l< ud udi 3la muK .; jk úg ud yg ;snQ fõokd yd YÍrfha .aÆfldaia uÜgu l%ufhka wvqjk nj f,a mÍlaIK jd¾;d j,ska Tmamq úh' ud l%ufhka iqjh ,nñka isák nj wjfndaO úh' ;j;a flá ld,hla t;=udf.a T!IO ´kElñka mdúÉÑ lf<ñ' wo jk úg ud Èhjeähd frda.fhka iïmQ¾Kfhkau iqj jQ flfkls' háhkaf;dg uyú, fjo uy;d ud yg yuq fkdjqkd kï ud ;ju;a Èhjeähd frda.S ldka;djls' kSfrda.Sj isàu ms<sn|j j¾;udkfha ud yg we;af;a ±ä i;=gls' udf.a úY%du ld,h ud i;=áka .; lrñ' Èhjeähd frda.fha lgql w;a±lSï rdYshla ord isá ud j¾;udkfha Èhjeähd frda.fhka mSvd ú¢k ,laI ixLHd; frda.Ska fjkqfjka fuu igyk zzffjoHjrhdZZ iÕrdjg i;=áka ,ndÿkafka wirK frda.Skag uyú, fjo uy;d fj; f.dia fnfy;a ,ndf.k ud

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fuka iqj ù i;=áka Ôú;h .; lsÍug wjia:dj ±ka we;s nj okajd isàughs' we;af;kau háhkaf;dg uyú, fjo uy;d Èhjeähd frda.Skag m%;sldr lrkafka frda.S Ôú; fï Nhdkl frda.fhka uqojd .ekSfï taldhk n,dfmdfrd;a;=fjkqhs' .ïmy fjowdrÉÑ mrmqr f;oj;a lrk foaYSh ffjoH iQÍ" foaYudkH uydpd¾h fya'uq'fikr;a chiQßh ffjoHpd¾h;=ud ug kï bisjrfhls' úY%dñl fi!LH fiajd ksfhdacH wOHlaIl;=ñh mejiQ foa ms<sn|j háhkaf;dg uyú, fjo uy;df.ka wm yuqù

úuiqjd' t;=ud mejiQfha ±kg uf.ka Èhjeähd frda.hg m%;sldr .;a frda.Ska 145"000la muK bkakjd' fï yefudaf. kau ,sÅ; kduf,aLKhla Tjqka m%;sldr ,n.ekSug meñfkk úg ;snQ frda.S ;;A;ajfha igyka iy iqjùfuka miqj ;enQ igyka f,aLKhla ud i;=j ;sfnkjd' fufia iqj jk frda.Ska w;f¾ wdpd¾hjreka" uydpd¾hjreka" fmd,Sisfha by< ks<OdÍka" úksYaphldr;=uka,d" kdhl yduqÿrejre" fi!LH flaIa;%fha wh;a ´k ;rï m%;sldr wrf.k iqj fj,d bkakjd' ´kEu wfhl=g ta whf.a úiA;r

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nqÿjre mjd m%ldY lr,d ;sfhkjd fï frda.h iqjl< yels nj' wm yeuúgu m%;sldr .kak tk frda.Skag kSfrda.S iqjh m%d¾:kd lrkjd' flfia fj;;a uf.ka fnfy;a .kakd Èhjeähd frda.hg f.dÿre jQ ish¿u frda.Ska iqjm;a lrkjdh lshk u;fha ud isákafka keye' fmr l¾u j,go fldgila jefgkjd' ta whg kï m%;sldr lr iqjm;a l< fkdyels nj úfYaIfhkau mjikak fjkjd' tfy;a 75% la muK frda.Skaj udf.a m%;sldr j,ska iqjh ,nk nj iaÓrju m%ldY lrkak ´fka' yenehs udf.ka fldÉpr fnfy;a wrka ìõj;a frda.Skag —uu ,ndfok Wmfoia ksis mßÈ l%shdjg kxjkafka ke;akï Tfí frda.h iqjm;a lr .ekSug fkdyels fjhs'˜ fï háhkaf;dg uyú, fjo uy;d zzffjoHjrhdZZ iÕrdjg wjika jrg mejiQ jokhs'

wjYH kï imhkak;a mq¿jka' udf.a frda. m%;sldr l%ufha ;sfnk ryi ;uhs Èhjeähd frda. hg fya;=jk frda. uQ,hg m%;sldr lsÍu' uyú, mdrïmßl ffjoH m%;sldr l%ufha úfYaI;ajh thhs' wms fï fjolu lrkafka fmr mqreoao;a tlal' ta lshkafka ixidf¾ wms fjolï lrmq ksid fï wd;aufha§;a fjolï lrkjd' tal ldgj;a keyehs lshkak mq¿jka lula keye' b;ska tfyu ixidßl mqreoafoka fjolï lrk wfma m%;sldr jrÈkak mq¨jka lula keye'

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uyú, fjo ueÿf¾ m%d¾:kdj fnda fkdjk frda. Y%S ,xldfjka ;=rka lsÍuhs' Tng;a mq¿jka YS% ,xldfõ fnda fkdjk frda. iqj lsÍfï ffjoH uOHia:dkh jk háhkaf;dg uyú, fjo ueÿrg meñK Tfí frda.hg ksis m%;sldr ,nd.kakg' fy< Tiqfjka oshjeähdj kik háhkaf;dg uyú, fjo uy;d yuqùug i÷od" wÕyrejod" nodod" n%yiam;skaod" fikiqrdod oskj,oS fmrjre 8'00 isg miajre 4'00 olajd háhkaf;dg uyú, fjo ueÿf¾oS wxl 15" uyú," háhkaf;dg ÿrl:k 036 5710 810 $ 0711631 724 iEu bßod osklu" mif<diajl fmdfyda osklu fydaud.u fi;a mdrïmßl frday, 64$20" iq.;md, kdysñ udj;" fydaud.u ÿrl:k 011 7024 222 $ 076 7828 647

uyú, fjo uy;df.a ;j;a yrnr ,smshla ,nk l,dmfhka n,dfmdfrd;a;= jkak DM igyk - wñ; úl%udrÉÑ

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wdhq¾fõoh .=rej;a; j,õfõ .%Ska y¾n,a iud.fuka ;Ügh uÜgq lrk wfmau fidhd .ekSula''' flaI uQ, ;r,h

.=rej;a; j,õfõ .%Ska y¾n,a iud.fuka ;Ügh uÜgq lrk wfmau fidhd .ekSula'''

flaI uQ, ;r,h ksfrda.slu W;=ïu iem; hehs wms ksrka;r mjid isákafka kslugu fkdfõ' frda.s wjia:djl oS wmg ú|skakg isÿjk ÿla .eyeg" lror ndOl fndfydah' úúO ffjoH l%u yryd ksrka;r frda. iqjlr .ekSfï m%h;akhl kshef<k wm ;rÕldÍ cSjk rgdjlg yqre ù isákafkuq' ta ksidfjkau

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idïm%odhsl wdhq¾fõo ffjoH l%uh u.ska frda. iqjlr .ekSug fm<fUkafka b;du iSñ; msßils' wmg Wreu jQ wdhq¾fõo l%uh ;jÿrg;a bosßhg f.k hñka f,djg hym;lau isÿ lsÍu wNsfhda.hla njg m;aù we;' fï fya;=fjkau wfma rfÜ ,laI ixLHd; msßila uqyqK md isgk wNd.H iïmkak frda.s ;;a;ajhlg iaÓridr úiªï fidhd .sh bisjrfhl= nª ñksfil= fidhd hdughs wmf.a fï W;aidyh'

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rfÜ iqm;, kula we;s iS' ta' ch;s,l Tyqf.a uq;a;dh' yslalvqfõ Y%s iqux., ysñmdKka uq;a;df.a udud flfkls' fmardfoKsh úYAjúoHd,fha mqia;ld,h ;=< ngysr ffjoH úoHdj ms<sn| ,shejqKQ fmd;a mßYS,kh lrk w;r;=r ;u j,õfõ mrïmrd .Kkla ;siafia wdrCId lrkakg ;ekam;a lr ;snQ mqia;lo Tyq uekúka mßYS,kh lrñka oeä wêIAGdkfhka ;u b,lalh fj; mshk. kakg úh' Tyq iaÒr jYfhkau wfma rgg lS¾;shla f.akjd' úYAj úoHd, wOHdmkho l%ufhka w;miq l< Tyq fõ.fhka ;u mÍCIK fcHda;sIHo Wmfhda.S lr .ksñka oshqKQ l<ehs wm iuÕ mjid isáfha' tu mÍCIK j,go Ndckh jQfha Tyquh' w;s úYd, uqo,la jeh lsÍug isÿ jQ wjia:d j, hï hï miq.dó isÿùï isÿjqKo ffojfha ydialulska fuka 2005 jif¾ f,d;/hs oskqï weoSfï ,xldfõ m%:u

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fldaám;shd ùfï Nd.Hho ;u mjq,g Wreu ùu ksid b;du;a id¾:l f,i Tyqg ;u b,lal lrd <Õd jkakg yels úh' Tyqf.a fidhd .ekSu wkqju fïoh iy ms; jeäjqjfyd;a flaI kd,sld isÿre jeiS hk neúka flia j,g iemfhk reêrh k;r ù ;Ügh mEfohs' Bg ms<shï o ;u T!IOh ;=<ska imhd f,a .ukd. ukh h:d ;;a;ajhg m;a lrùugo ;u mÍCIK j,g wkqj ta i|yd T!IO 21 fhdod .ekSu ;=< fï T!IO wo id¾:l m%;sM, ,ndwe;' tu ksid Tyqf.a fï fidhd .ekSu flaI uQ, ;r,h kñka kï lr we;' Worh wvq lrkakg" l=re,E iqj lrkakg yd ;j;a wk.s wdhq¾fõoSh ksIAmdok /ila''' .%Ska y¾n,a iud.fï wfkl=;a ksIamdok ;=,ais iq| OQmh j¾Kl" lD;%Su iqj| fkdue;s wdkqmdk 18 l iqj| OQmh uqyqKu,a oka;df,amh o;a j, lyg bj;a lrhs" uqL ms<sld j<lajhs' Wor uÜgq Worh wvq lr jeä nr wvq lrhs' 100] la iajNdúlhs' Gold Skin l=re<E fyd|lr meyem;a nj ,ndfohs' Herbal Black Hair .E ieKska iqÿ flia l¿ jk ^;djld,slj& fiaoSug wjYH ke;s 100] la jk iajNdúl flia l¿ lrkhls' wmf.a jákd T!IO 20la muK ksmojk w;r ñ,§ .; yels ia:dk www.hairlanka.com fjí wvúfhka ±k.; yel' úia;r ioyd wu;kak Dr. ;s,sk úl%uisxy 0775507381$091 3900314 .%Ska y¾n,a m%vlaÜia iud.fï m%Odk wOHlaIsld ufkdaß ch;s,l DM

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wdhq¾fõoh uq;%d .,a ms;a;dYfha .,a iqj lsÍug mdrïmßl wdhq¾fõo ms<shï ;sfío@

uq;%d .,a ms;a;dYfha .,a iqj lsÍug mdrïmßl wdhq¾fõo ms<shï ;sfío@ wêl jYfhka udxY wdydrhg .ekSu óg n,mdk m%Odk fya;=jla ;%d.,a yg .ekSu wo iudcfha wmg iq,nj wefikakg ,efnk lreKla' fkd±kSu frda. ldrl ., myù bfíu iqjúh yels ;rfï frda. ,laIKj, isg orkakg fkdyels ;rfï jk wêl lelal=ï f.k fok wjia:d olajd fuys frda. mrdih úysfokjd'

uq

uQ;%d .,a frda.h ms<sn|j wdhq¾fõo ffjoH rkam; rejka r;akdhl uy;df.ka woyia úuiSug ;SrKh lf<a t;=uka fï iïnkaOfhka fndfyda w;aoelSï ,o mrïmrdkq.;j fï frda.Ska yd iïnkaOjo lghq;= lrk ffjoHjrfhl= jk neúks' ffjoH;=uks fudkjo fï uq;%d.,a$ms;a;dYfha .,a lshkafka@ ñksidf.a fu!;%,sx.sl moaO;sh wdYs%; frda.S ;;a;aj .Kkdjla j¾;udkh jk úg ±l .ekSug yels w;r uq;%d±ú,a," uq;%d ud¾.fhka reêrh msgùu" uq;%dYh wdYs%; l,dm j, we;sjk fõokdj fukau uq;%d .,ao

doctormagazine.lk

wdhq¾fõo ffjoH rkam; rejka r;akdhl úisks

ta w;r m%Odk ;ekla ysñ lr.kq ,efí' wdhq¾fõo ffjoH úoHdkql+,j fufia we;sjk .,a zwYauÍZ f,iska ye¢kaùu jvd;a ksjerÈ fõ' óg wu;rj Y=l% wYauÍ f,i Y=l%dKq .K ùu ksid we;sjk frda.S ;;a;aj fukau ms;a;dYh wdY%s;j we;sjk .,ao ;sfnk w;r tajd ms;a; wYauÍ f,iskao ye¢kafõ' ffjoH;=uks" fu!;%,sx.sl moaO;sh wdYs%; fujeks .,a we;sùug n,mdk fya;= fudkjdo@ wêl jYfhka udxY wdydrhg .ekSu óg n,mdk m%Odk fya;=jla jYfhka y÷kajdÈh

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uq;%d .,a ms;a;dYfha .,a iqj lsÍug mdrïmßl wdhq¾fõo ms<shï ;sfío@

wdhq¾fõoh

yels w;r yrla uia tys§ m%Odk ;ekla .kq ,efí' ;jo WIaKdêl wdydr wêlj .ekSu" wêlj oyÈh msgjk l%shdj, ksr;ùu iuÕu m%udKj;a mßÈ c,h mdkh fkdlsÍu óg n,mdk fya;+ka f,i l:dny l< yelsh' ;jo uq;%d iy Y=l% fõ.

OdrKh;a óg n,mdk ;j;a fya;=jls' uq;%d.,a we;sjQ úg § frda.shd uqyqK fok wmyiq;d fudkjdo@ uq;%d.,a we;sjQ úg uq;%d lsÍu b;du wmyiq úh yelsh' túg ;=káfhka mgkaf.k l,jd iy bls,s m%foaYh olajd .uka lrk fõokdjla yg.; yelsh' úfYaIfhkau fuu .,a we;sùfï jeä m%jK;djhla ;sfnkafka msßñ md¾Yjfha whghs' Tjqkf a .a wKavfldaI t,a,d jeàu fukau ;=káh m%foaYfha tla me;a;lg jkakgo ;o lelalï = o we;s fõ' tfiau nv ±ú,a," W.=rg tk iajNdjh" l<jd j, isg mdofha my, m%foaYh olajd ysßjefgk iajNdjhlao fndfydaúg ±l.; yels fõ' fujeks ,laIK fu!;%,xs .sl moaO;sfhka msg;g úysfok fõokdj,a 126

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ms;a;dYfha .,a we;sùu ms<sn| meyeÈ,s lf<d;a fuys§ Worfha ol=Kq me;af;a we;sjk fõokdjka msgfldkao m%foaYh olajd úys§ hhs' tjeks frda.Skag ;=káh wdY%s; lelal=ï we;s fkdfõ' fndfydaÿrg fuu frda.S ;;a;ajh ldka;djkag iq,nj we;súh yelsfõ' jYfhka o y÷kajd Èh yelsh' tys§ ;o ly meyefhka uq;%d msgùu fyda uq;%d iuÕ reêrh msgùu ±l.; yels fõ' fujeks frda.Skag lEu .ekSfï wmyiq;dj" YÍrh fjõ,k iajNdjhlao ±l .; yels fõ' ms;a;dYfha .,a we;sùu ms<sn| meyeÈ,s lf<d;a fuys§ Worfha ol=Kq me;af;a we;sjk fõokdjka msgfldkao m%foaYh olajd úys§ hhs' tjeks frda.Skag ;=káh wdY%s; lelal=ï we;s fkdfõ' fndfydaÿrg fuu frda.S ;;a;ajh ldka;djkag iq,nj we;súh yelsfõ' we;eï úg ms;a;dYh ;=< yg.kakd fuu ms;a.,a ms;a;kd,h Tiafia my, nvje, olajd .uka lrkq ,nhs' we;eï úg tfia meñfKk .,a wjysr jqfKd;a frda.shdg úúOdldr mSvdldÍ ;;a;ajhkag uqyqK §ug isÿfõ' doctormagazine.lk

YÍrh iS; lsÍu" jukh fjõ,Su" ms;a;h W.=rg meñKSu tjeks mSvdldÍ ;;a;ajhkah' ;j;a msßilg ms;a;dYfha yg .kakd wdidok ksid fix.,ud, ;;aj we;sù YÍrh lymdg ùu jeks frda. ,laIK we;súh yelsh' t;fldg ffjoH;=uks ms;a;dYfha .,a we;sùug fya;=@ wdydr Ô¾Kfha § we;sjk úIu;djhka yd jerÈ wdydr l%u ms;a;dYfha .,a we;s ùug fya;= fõ' úfYaIfhka úreoaO wdydr .ekSfuka fï ;;a;ajh W.% w;g m;a fõ' ;jo jerÈ wdydr .ekSfuka we;sjk ridhksl ixfhda.hkaf.a m%;sM,hla f,iska yg.kakd Tlaif,aÜ mod¾:o óg fya;= fõ' WodyrK f,i ;lald,s iuÕ yd,a ueiaika wdydrhg .ekSu ksid le,aishï Tlaif,aÜ jeks mod¾: we;s fõ'

uq;%dYauÍ" ms;a;dYauÍ frda.hkag iu.dój mj;sk wfkl=;a frda. ;;a;ajhka iy tajdg Tn;=uka bÈßm;a lrk kj m%;sldr .ek i|yka lf<d;a@ fujeks frda. we;sjk fndfyda wjia:dj,§ tu frda.j,g iu.dój we;sjk úúO jQ fjk;a ldhsl frda. o yg.kS' weÿu" mSki" w¾Yia" nv mqrjd ±óu" u<noaOh" nv.sks we;s ùu fyda wêl nv.skak wdYs%; Ô¾K moaO;sfha fodaI ^.eiag%hsáia fï w;=ßka m%Odk ;ekla .kS'& ysia lelal=u" kskao fkdhdu" wêl ksÈu;" wêl f,i flaka;s hdu" weia lka leiSu" W.=f¾ fiu meg,Su" fiïf.ä" ks;r fiu weúiaiSu" w;a md weÕm; ±ú,a," w;a ll=,a weÕs,s ysßjeàï wd§ fndfyda frda. ,laIK wjia:dkql+,j ta ta mqoa.,hkag wdfõKsl f,i m%uqL fõ' fï w;r fndfyda wh Èhjeähd frda.fhkao fmf<a' kuq;a ffjoH;=uks" fndfyda whg wdhq¾fõo ffjoH l%uh .ek ±ä úYajdihla lsnqK;a tu m%;sldrhkag fhduq fkdjkafka óg wod<

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uq;%d .,a ms;a;dYfha .,a iqj lsÍug mdrïmßl wdhq¾fõo ms<shï ;sfío@

wdhq¾fõoh

T!IO j¾. fiùu" laIdh ;eïîu jeks .eg¿ mj;sk ksidhs' ta i|yd lsishï ms<shula ;sfnkjdo@ Tõ' tal b;du ldf,daÑ; m%Yakhla' yeufokdu jf.a ld¾h nyq, ksid fujeks wjia:dj,§ fhdok m%;sldr l%u myiq úh hq;= nj ug jegyqfka ud ffjoH YsIHhl= f,i bkakd ld,fha§uhs' ta ksidu ug .=reyrelï ÿkak uf.a iShd;a uf.a mshdKkq;a wfkl=;a .=re ffjoHjrhkaf. kq;a bf.k .kakg ,enqKq T!IO ms,silr lsÍfï l%u j,g kùk ;dlaIKh yels muKska fhdod.kakg fm,Uqkd' wm j¾;udkfha mQ¾K jYfhka ksIamdÈ; T!IO ilikafka tys m%;sM,hla yeáhghs' tu T!IO w;r wm úiskau j.lSfuka ilia lr fok lidh j¾."fm;s njg$ lemaiQhs,a njg m;a l< b;d .=Kd;aul ;;a;ajfhka hq;= T!IO j¾. myiqfjka Ndú;d l< yels .=,s" pQ¾K" l,al jeks T!IO j¾. fndfyda fofkl= w;r b;d blauKska ckms%h jqKq nj lsj hq;=uhs'

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DOCTOR MAGAZINE

Bg fya;=j fuu T!IO jevm,j, fh§fukau ld¾hd,hlg" jev ìul" wOHdmkh ,nk w;r;=r" úfoaYhl jeks ´kEu wjia:djl isák flfkl=g jqj;a myiqfjka Ndú;d l< yels ùuhs' fï id W;=ï jQ frda. kid,k mdrïmßl ffjoHl¾uhka j,m,a,g hkakg bv fkd§ tajd j¾;udkhg .e,fmk f,i Ndú;hg .; yels ffjoHjreka iy ffjoH l%u /l .ekSu ldf.;a j.lSu jkafkah' uq;%d.,a we;sjQ úg uq;%d lsÍu b;du wmyiq úh yelsh' túg ;=káfhka mgkaf.k l,jd iy bls,s m%foaYh olajd .uka lrk fõokdjla yg.; yelsh' fujeks frda. we;sjk fndfyda wjia:dj,§ tu frda.j,g iu.dój we;sjk úúO jQ fjk;a ldhsl frda. o yg.kS' weÿu" mSki" w¾Yia" nv mqrjd ±óu" u<noaOh" nv.sks we;s ùu fyda wêl nv.skak fï frda.Ska flfrka oelsh yel'

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