Doctor Magazine March 2021

The Premier Bilingual Health Magazine in Sri Lanka Volume 27 • March 2021

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ISBN-1391 1341

9 7 7 13 91 13 400 1

RS 180 (VAT INCL) doctormagazine.lk

Regular

Features

Editors Note 3

uq;%d ud¾.fha yd jl=.vq j, we;sjk .,a bj;a lrk kùk;u l%u

Ongoing Health Threats 6 Around the World 8 Coronavirus (COVID-19 ) vaccine initiative COVID 19 frda.h i|yd fok tkak;a ffjri frda. úfYaI{ ffjoH .S;dks .,f.dv 41

COVID-19 Vaccine fldúâ jix.;hg tkak;a úosk ldf,A we;sjk kj .eg¿ wdisß frday,a iuQyfha ridhkd.dr wOHlaI kS,a m%sh;a fcdaka úisks 50

fyaudia frdayf,a fkajdisl fu!;% frda. úfYAI{ ffjoH wreK kkaofiak 10

Theme jl=.vq iqrlsk u. jl=.vq frda. úfYaI{ ffjoH kd,l fyar;a ldhsl frda. úfYaI{ ffjoH ixoSmk fyar;a bkaøsh noaO lsÍu úfYaI{ ffjoH lxpql Wfíisß fi!LH wud;HdxYfha jl=.vq frda. ksjdrK wxYfha úfYaI{ ffjoH nqoaê f,dl=legf.dv 17

Cycling wms nhsisl,a mosuqo@ nishslf,ka cSú;h fjkia lr .ekSfï hiia fyajf.a iQ;%h 34

The Impact of Medical Challenges of IVF Success ore iïm;a ,nkakg ndOl jk f,v-frda.

Y%S ,xld iajdmkfõ§kaf.a ix.ufha iNdm;s ufkda Ñls;ail ffjoH mS'tka'úoHdl=,m;s 100

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;,j;=f.dv fyaudia frdayf,a fkajdisl <ud frda. ms<sn| úfYaI{ ffjoH ÈÆId w;=fldar, ldhsl frda. úfYaI{ 60

Troublesome foot conditions explained mdo uekúka ke;s rfÕA" mdo we;s ;ek fkdoefka''' wd;rhsáia yer''' mdo j, we;sjk wjfYaI fõokd j,g fya;= ikaê frda. rla;jd; iy mqkre;a:dmkh úfYaI{ ffjoH ysuka; w;=fldar, 64

idhksl l<,fõo úfYAI{ ffjoH fy<rejka mikal=udr 56

uy /fha § msßñ fidhd tk i|j;sh fudayskS

Does your child need vitamins? orejdg úgñka ,ndÈh hq;=uo@

Herd Immunity wms tlu ?fka l=re,af,da'''' m%cd m%;sYla;sh iy wfma fyg oji ffjoH úoHdj mYapd;a Wmdê wdh;kfha fjoH ,ysre fldä;=jlal= 45

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The Interesting World of Epigenetics Dr. Gayani Galhena BSc (Hons), MSc (by Research), PhD 70

Physical Therapy bjikak neßfhda''' fldkafoa wudrej''' jeäfhda''' fN!;Ñls;ail liqka niakdhl úisks 86

yojf;a igyk idßh ffjoH Wodrd mqkakñ wurisxy 93

reêr ms<sld frda.Skaf.a wdrlaIdfõ''' /ljrKfha yd n,dfmdfrd;a;=fõ kjd;ekafmd< ,xld fydiamsÜ,a reêr ms<sld uOHia:dkh idhksl rla;fõo úfYAI{ ffjoH iuka fyajdudk 75

Grief Reaction oreKq f,i frda.S ù we;s mjqf,a idudðlfhl= ne,Sug <uqka /f.k hdu iqÿiqo@ <ud yd fhdjqka ufkda frda. úfYaI{ ffjoH ñhqre pkaøodi 96

wdhq¾fõoh Homeopathy The Natural Medicine mqreIhka mSvd úÈk mqriaÓ .%kaÓ wdY%s; frda. iqjlrk fydañfhdam;s m%;sldr

lsß f;a l,dfõ fmr<sldrhd msfhdafâ,a 82

foysj, rcfha fydañfhdam;s ffjoH uOHia:dkfha ia:dkNdr ffjoH ks,Odßks" fydañfhdam;s ffjoH wkqId fyaul=udr 105

wxYNd.h iajNdjO¾uh wmg ,nd§ we;s Ydlidr Wmfhda.S lr.ksñka iakdhq /yeka mK.kajk T!IO wfmka''' uydpd¾h wdhq¾fõo ffjoH iqukr;ak wur;=x. 110

jl=.vq frda.Skag uyÕ= m%;sM< ,ndfok foaYSh T!IOhla ud ixialrKh lr ;sfnkjd''' m%fïy úoajxYkS ff;,h .,s.uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;s mdrïmßl foaYSh ms<sld ffjoH ta ta iqu;smd, 115

nqÿoyuhs wdhq¾fõohhs frda.j,ska wdrlaId ùug wdhq¾fõofhka fok Wmfoia niakdysr m<d;a wdhq¾fõo fomd¾;fïka;=fõ mdÿlal m%cd fi!LH ffjoH ks,Odß úkaOHd nKavdr 120

uOqksud uyú, ,sms irKsh uyú, iïm%odfha m¾fhaIK oshjeähdj ksÜgdjg iqj lrkjd''' ffjoHY+Í foaYudkH uydpd¾h fya uQ fikr;a chiQßh nKavdr 124

ksjerÈ lsÍuhs Doctor Magazine fmnrjdß l<dmfha 46 msgqj" ,xld fydiamsÜ,aia ,smsfhys ffjoHjßhf.a ku iy f;dr;=re my; mßÈ ksjerÈ úh hq;=h'

idhksl laIqøcSù úfYaI{ ffjoH frdaysŒ jvkïì MBBS, Diploma in Medical Microbiology, MD in Medical Microbiology wxY m%OdkS" laIqøÔj úoHd wxYh ,xld fydiamsÜ,aia

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EDITOR'S NOTE bkaoshdfõ mQka j, msysgqjd we;s iSrï wdh;kh wfma rgg wjYH fndfydauhla tkak;a ld,hla ;siafia imhk wdh;kh jk w;r bkaoshdfõ iyfhda.s;djfhka wmg uq,skau fldúâ tkak;a ,laI myl f;d.h ,enqfKAo bkaoshdfjks'

tkak;a j. M,''' wfma rfÜ fldúâ tkak;a jevigyk fï jk úg l%ufhka bosßhg hhs' fldjelaia ikaOdkh úiska wfma rfÜ ck.ykfhka ishhg 20lg fkdñ,fha tkak;a imhk nj l,ska m%ldY lr ;snqK;a fï jk úg mj;akd ;;a;ajh wkQj iuia; ck.ykfhka ishhg 27-30lg wjYH tkak;a fldjelaia ixOdkfhka ,efnKQ we;ehs cd;sl T!IO md,k wêldßfha iNdm;sjrhd jk uydpd¾h wis; o is,ajd uy;d m%ldY lf<Ah' fï myiqlu hgf;a m<uq f;d.h jYfhka ñ,shk wgl tkak;a ,eîug kshñ;j ;snqKs' fï wkQj jhi wjq' 30-60 w;r Y%u n,ldh tkak;a lsÍu fï udifha n,.ekafjk w;r ;j;a tkak;a ud;%d ñ,shk 18la rch úiska ñ,oS .ekSugo kshñ;h' wmg wjYH lrk fldúâ tkak;a iuia; m%udKhu fkdñ,fha ,ndoSug wfma rch lghq;= lsÍu meiiqï l< hq;a;ls' th ksoyia fi!LH fiajdfõ ienE wre;a .ekaùul u jkq we;' wmg uq,skau tkak;a f;d.hla ,enqfKA bkaoshdfjks'

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fï fldúâ 19" tkak;alrK jevigyk f,dalfha úYd,;u tkak;alrK jevigyk jkjd fukau th wfma rfÜo fuf;la isÿlrk úYd,;u tkak;alrK jevigyk jkkafkah' fï tkak;alrk jevigyk ;=<u f,dal foaYmd,kfha fndfyda úp,H;d m%lg jk w;r we;s yels wh wmg fnok yekafoa zzm%udKhZZ .eko wjfndaOhla ,nd .ekSug wjia:dj ie,fikq we;' wmg tkak;a ud;%d ñ,shk myla fkdñf,a ÿka bkaoshdj nx.a,dfoaYhg tkak;a ,laI 20lao" ñhkaudrhg ,laI 10lao" fkamd,hg tkak;a ,laI 10la yd N+;dkhg ;j;a ,laI 15l tkak;ao ,nd ÿkafkah' fuh l,dmfha uyn,j;d wmg olajk ie<ls,a, m%lg lrk ksoiqkla fkdfõjd hhs m;uq' wfma cd;sl tkak;alrKfhaoS wju jYfhka tkak;a 18"000la wyl .sh njo udOH j,ska wikakg ,enqKs' fï l;dj fudllao@ weiag%dfifkld tkak; tla mqoa.,fhl=g fokafka ñ,s ,Sg¾ 0'5ls' tkak; jh,hla oy fofkl=g ,nd fok f,i ksIAmdolhka okajd we;s w;r túg ;j;a oiu myl tkak;a m%udKhla b;sß fõ' l,n.Eksh we;af;a fuhgh' fï iïnkaOfhka u;su;dka;r we;af;a wmg ú;rla fkdfõ' Tlaia*â weiag%dfifkld tkak; n,m;% u; fldßhdfõo ksmojhs' uõiud.u uydì%;dkHfhao ksmojhs' Tjqkago fï wjika ìxÿj .ek .eg¿ we;' ksIAmdolhkau fï .eg¿j úi|kjd kï fyd|h' miq.shod tlai;a cd;Skaf.a ieisjdrhloS Ök úfoaY wud;Hjrhd ;ukaf.a rg tkak;a ñ,shkhla fldjelaia ixOdkhg mß;Hd. lrk nj .dïNSrj m%ldY lf<A yßhg fldúâ tkak; ;cslsia;dkfhka" u,dú j,ska fyda ;j;a fldfyafoda rglska wd tlla .dkgh' wefußldfõ fldúâ tkak; osklg uq,skau tkak;a lf<A úis oyilg muKh' oeka osklg ñ,shk oyhlg tkak;a ,nd fok ;rug tkak;alrk jevigyk jHdma; ù ;sfí' idudkHfhka rgla fï jix.;h yuqfõ wdrlaId jkakg kï ishhg 70la muK fokd tkak;a ,ndf.k isáh hq;af;ah' rxpq m%;sYla;sh lshkafka fuhhs' fï jix.;fhka jeäfhkau neg lEfõ wefußldjh' fï .%SIAu iD;=j jk úg tu ishhg 70l b,lalh imqrdf.k frda.h u¾Okhg idOkSh mshjrla .ekSug wefußldj n,dfmdfrd;a;= fjhs' ysgmq wefußldkq ckdêm;sjrhd kï Ökhg ú;rla fkdj" f,dal fi!LH ixúOdkhg mjd ;rjgq lf<Ah' idudcsl uqo,a f.ùuo

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w;aysgqfõh' fcda nhsâka kj ckdêm;sjrhd n,hg wd iekska ta zzft;sydisl jroZZ kej;;a ksjeros lf<Ah' miq.shod f,dalfha n,j;=kaf.a G7 /iaùfïoS jix.;h yuqfõ n,j;=kaf.a j.lSu yd j.ùu .ek f,dal kdhlhkaf.a wjOdkh fhduq l< wefußldfõ fcda nhsâka ckdêm;sjrhd ÿmam;a rgj,g tkak;a iemhSu i|yd wefußldkq fvd,¾ ì,shk foll m%Odkhlao ,nd ÿkafkah' ;ukaf.a wjYH;djh fuka lsysm .=Khla tkak;a tla/ia lr .ekSfï ;rÕhl fhoS isák rgj,a ;ukaf.a fldagdfõ uyck wjYH;djh muKla fï fudfydf;a ,ndf.k b;sßh wfkla rgj,g ,nd .ekSug wjia:dj i,fik f,i f,dal u;hlao fï jljdkqfõ ixirkh fjñka mj;S' wo fldúâ jix.;fha wmg we;s úYd,;u wNsfhda.h jkafka ffjrifha fjkia jQ wdldr (variant) ckkh ùuhs' fï fojkqj tk variant jvd;a m%pKav iajNdjhla .kakd w;r tajd oekg Ndú;fha mj;akd tkak;a j,g Tfrd;a;= fkdfok wjia:do mek k.S' fï frda.h i|yd mj;akd md,k l%u yd m%;sldr .,md.ekSu wm wo ojfia uqyqK mdk úfYAI wNsfhda.hls' wfma md¾,sfïka;= uka;%Sjreka ál wdrlaId fkdlrf.k fldfyduo@ fmda,su mekak;a wms b;ska Tjqkaf.a hgy;a my;a uyck;dj fkdje''' bkaoshdj;a" reishdj;a wfma wdrlaIl yuqod j,g wjYH tkak;a j,ska fldgila ne.ska msßkeóug iQodkï jk nj ta w;r jd¾;d fjhs' oeka b;ska wmg we;s n,dfmdfrd;a;=j zzrxpq m%;sYla;shZZ Tiafia iuia; foaYh wdrlaId lr .ekSuhs' fldúâ jix.;h yd ine|S f,dal foaYmd,kfha fjkiaùï" ye,yemams,s w;f¾ wfma ck;djf.ka nyq;rhla yg tkak;a ,ndoS rg;a" rfÜ ck;dj;a wdrlaId lr .ekSu rg lrjk we;a;kaf.a hq;=luhs'

The Premier Health Magazine in Sri Lanka

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

Dr Chandana Sri Kanakaratna Geriatrician, Physician

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

Dr. 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 Maheshani Bandara CREATIVE PRODUCTION Manjula Kumara Gamage 077 1 2424 08 WEB ADMINISTRATOR Dumindu Dissanayake PRINTING/CIRCULATION Imashi Printers, #96A, Wanatha Road, Gangodawila, Nugegoda.

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

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www.doctormagazine.lk For Advertising Inquiries Bharata Gunathilaka - Editor in Chief doctormagazine.lk@gmail.com bharata.gunathilaka@gmail.com

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Ongoing Health Threats

Ongoing Health Threats w¨‍;a rgg-w¨‍;a fnfy;a

óg fmr Y%S ,xldfõ ksIamdokh fkdl< T!IO rdcH T!IO ksIamdok ixia:dj u.ska ksIamdokh lr t,soelaùfï jevigyk hgf;a tu iud.u úiska wNskjfhka t<s olajk 30 jk T!IOh f,i ksfudvmSka ^Nimodipine& T!IOh t<soelaùu r;au,dk SPMC mßY%fha§ isÿ flß‚' SPMC iNdm;s ffjoH W;am, bkaøjxY uy;d w;ska T!IO ksIamdok iemhSu yd kshduk .re rdcH wud;H uydpd¾h ffjoH pkak chiquk uy;dg;a bka wk;=rej wud;H;=ud úiska iakdhq Y,H frda. úfYaI{ ffjoH iqks,a fmf¾rd ue;s;=udg T!IOh ms<s.ekaú‚' ffjoH iemhqï wxYh fuu T!IOh ñ,§ .ekSfï§ tla fm;a;lg óg fmr remsh,a 130 la jeh lr ;snQ w;r SPMC fuu T!IOh imhkafka remsh,a 67l ñ,lg h'

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March 2021

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Ökfha ñ;%;ajfhka ,dxflah ck;djg msßkeuqKQ fmdf<dkakrefõ wx.iïmQ¾K jl=.vq frday,

Ökh úiska mß;Hd.hla jYfhka furgg m%odkh lrk ,o we|ka 200lska hq;a fmdf<dkakrefõ wx. iïmQ¾K jl=.vq frday, ;j fkdfnda osklska uyck;djf.a whs;shg mejfrkq we;' 2015 j¾IfhaoS tjlg ckdêm;s ffu;%Smd, isßfiak uy;d úiska Ökfha isÿlrk ,o ixpdrfhaoS ñ;%;ajfha ixfla;hla jYfhka fuu m%odkh Ök rch úiska isÿ lrk ,oS' we|ka 100l ldkaÿlrk tallhla" noaO lsÍfï myiqlïo iys; kùk Y,Hd. dr myla" oeä i;aldr tall folla ish¿ myiqlï iys; ndysr frda.S wxYh" 200 fofkl=g wdik myiqlï iys; Y%jKd.drh yd jdyk 300la kj;d,sh yels jdyk wx.khlskao fuu frday, doctormagazine.lk

iukaú; jk w;r th furg jl=.vq frda.Ska yg wfmalaIdiy.; wdfrda.HYd,djla jkq we;ehs ysgmq ckdêm;s ffu;%Smd, isßfiak uy;d m%ldY lf<Ah'

úYsIAGfhl=f.a kslau hdu uef,aßhd úfYAI{fhl= jQ ffjoH ksyd,a wfíiqkaor c.;a ;,fha f.!rjdorhg md;% jQ m%cd frda. úfYAI{fhl= fukau uef,aßhd frda. úfYAI{fhl= jQ ffjoH ksyd,a wfíiqkaor miq.shod wNdjm%dma; úh' óg oYl lsysmhlg fmr wfma rfÜ uef,aßhd frda.h md,kh lsÍfuys,d mqfrda.dó ld¾hNdrhl ksr; jQ ffjoH wfíiqkaor 1976-84 jljdkqfõ uef,aßhd u¾Ok jHdmdrfha wOHlaIjrhd jYfhka wkQmfïh ld¾h Ndrhla bgq lf<Ah' miqj f,dal fi!LH ixúOdkfha fiajhg tl;= jQ Tyq nx.a,dfoaYfha uef,aßhd u¾Ok lghq;= i|yd l%shdldÍ fufyhla bgq lf<Ah' Tyq f,dal fi!LH ixúOdkh" tlai;a cd;Skaf.a ixúOdkh yd USAID hk wka;¾cd;sl wdh;k j,o WmfoaYljrfhl= jYfhka l%shd lrk ,o w;r zz2000oS ieug iqjfi;ZZ b,lal Y%s ,xldfõ imqrd .ekSfuys,d uQ,slj lghq;= l< ffjoH mßmd,lfhl=o úh'

Y%S ,xld fmdaIK ix.ufha wNskj ks,Odßka Y%S ,xld fmdaIK ix.ufha jd¾Isl ieisjdrh miq.shod meje;ajqKQ w;r tysoS wNskjfhka m;ajQ ks,Odß uKAv,h fufiah' ^bosßmi jfï isg& tï wd¾ fla O¾um%sh ^NdKAvd.dßl&" wdpd¾h osiakd l=udß ^ixialdrl&" wdpd¾h wdkkao pkaøfialr ^iu f,alï&" uydpd¾h pkaosud úl%u;s,l ^iNdm;s&" wdpd¾h Oïñl fiakdkdhl ^Wm iNdm;s&" wd¾ mS tï i|ud,s ^iu f,alï&" uydpd¾h fgrkaia uOqcs;a ^miq fm< jfï isg& à tia tï ;s,lr;ak" yika.d r;akdhl" fcdaimal=udr ;ñ,sks" ud,sld .hd;%s m%kdkaÿ" trx.d y¾IkS is,ajd" wdpd¾h pïmd ch,laIañ úfcaisxy PdhdrEmfha ke;s fla wd¾ frdIdka fifkúr;ak uydpd¾h wfkdaud pkaøfialr

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Around the World

fldfrdakd uev,k BY%dh,a bkafya,rh kj fldfrdakd ffjrih osk 3-5 w;r ld,hloS iqjm;a lrjk bkafya,rhla ksmoùug BY%dh, m¾fhaIlhka msßila iu;a jQ nj m%xY mqj;a fiajh m%ldY lrhs' fg,awúúyS fidõfrdõials ffjoH wdh;kfha uydpd¾h koS¾ w¾nd¾ fufyhjQ m¾fhaIlhka lKavdhula fï ch.%yKh w;am;a lrf.k isák w;r Bg iqúfYAIS T!IOhla fhdod .kakd nj m¾fhaIlhka m%ldY lr isà' fldfrdakd kj m‍%fNaoh jir 10 la olajd ls‍%hd;aul jkjd''' ì‍%;dkH úoHd{

Ierka msfldla

fldfrdakd ffjrifha kj m‍%fNaoh f,dj mqrd me;sfrk nj;a th ;j;a jir .Kkdjlau mj;sk nj;a ì‍%;dkHfha m‍%lg úoHd{jßhla jQ Ierka msfldla fy<s lr we;' fï kj m‍%fNaoh ;j;a jir 10la muK ls‍%hd;aul jk nj;a weh ;jÿrg;a m< l<dh' fï w;r fldfrdakd jix.;h u¾okh lsÍfï wruq‚ka ì‍%;dkH kj kS;sÍ;s t<solajd we;' tu kj kS;sÍ;s wkqj ksfrdaOdhk kS;sÍ;s lvlrñka foaYiSud Tiafia meñfKk mqoa.,hkag iag¾,ska mjqï 10"000l ovhla iy jir 10l isro~qjula kshu fõ' fuu kS;sÍ;s hgf;a Èk 10l ksfrdaOdhkhlg wu;rj mS' iS' wd¾' mÍlaIK follgo uqyqKÈh hq;= hehs ixpdrlhkag okajd we;'

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f,dalh mqrd we;s fldúâ ffjri tl;= l<;a mqrjkak mq¿jka îr lEkhla muKhs -nd;a úYajúoHd,fha .‚;{ lsÜ fhaÜia uq¿ f,dalh mqrdu fï fudfydf;a ixirKh jk iuia; fldúâ-19 jhsri m%udKh w;a,l r|jd.; yels l=vd m%udKfha ñ,s,Sg¾ 330 m%udKfha isis,a îu fyda îr lEka tll r|jd ;eìh yels nj ì%;dkHfha .‚;{hl= fmkajd § we;' nd;a úYajúoHd,fha .‚;{hl= jk lsÜ fhaÜia fuu wkdjrKh isÿlr we;' .‚;{hd fmkajd § we;af;a ish¨‍u m%fNaoj,g wh;a fldúâ-19 jhsri ^ SARS-Cov-2& wxY= ^Particles& ì,shk .Kkla tla fudfyd;l§ f,dj mqrd jHdma;j mj;sk njhs' .Kkh lsÍï wkqj tjeks w;s úYd, ixLHdjla jk kuq;a jhsrifha w;sYh l=vd nj i,ld th m%udKh ks.ukh lsÍfï§ fuf,i zlEka tllZ úYd,;ajh fkdblaujk nj Tyq meyeÈ,s lr ;sfí' zzmiq.sh jir ;=< we;sjQ ish¨‍u úfhdaùï" lror iy ÿIalr;d ish,a,u isÿlr we;af;a fu;rï l=vd wxY=jla úiska hehs is;Su w;sYh mqÿu iy.;hZZ hehs ish .Kkh lsÍfuka úiauhg m;a .‚;{ fhaÜia jeäÿrg;a m%ldY lr ;sfí' ish .Kkh lsÍï i|yd kefkdaóg¾ 100la fyda ógrhlska ì,shk 100l fldgila muK úYd,;ajfhka hq;a SARS-Cov-2 wxY=jl úIalïNh Ndú; l< nj;a ta wkqj f.da,dldr yevh .kakd fuu jhsrifha mßudj fidhd.;a nj;a .‚;{hd jeäÿrg;a i|yka lr ;sfí'

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háhkaf;dg uyú, fjouy;d f.ka fnd/,a, wdhq¾fõo YslaIK frday,g we|ka mß;Hd.hla fnd/,a, wdhq¾fõo YslaIK frdayf,a frda.Skaf.a mßyrkh i|yd we|ka ,nd§u foaYSh fjolï m%j¾Ok .%dóh yd wdhq¾fõo frday,a ixj¾Ok yd m%cd fi!LH rdcH wud;H .re kS;s{ isisr chfldä ue;s;=ukaf.a ixl,amhla wkqj háhkaf;dg uyú, fjouy;d úiska yd wúiaidfõ,a," uqkaä., wdrkH fiakdikfha w;s mQcH ñ,a,Efõ uyskao kdysñmdKka jykafiaf.a odhl;ajfhka .re weue;s;=udf.a iqr;ska miq.sh ksoyia Èkfha§ frday, fj; msßkuk ,oS' DM

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Ureteroscopy uq;%d ud¾.fha yd jl=.vq j, we;sjk .,a bj;a lrk kùk;u l%u

uq;%d ud¾.fha yd jl=.vq j, we;sjk .,a bj;a lrk kùk;u l%u

Uretero RenoScopy fyaudia frdayf,a fkajdisl fu!;% frda. úfYAI{ ffjoH wreK kkaofiak úisks

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March 2021

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uq;%d ud¾.fha yd jl=.vq j, we;sjk .,a bj;a lsÍu iïnkaOfhka miq.sh oYlhl muK ld,h ;=< we;sjQfha iq¿mgq oshqKQjla fkdfõ' uq;%d ud¾.h Tiafiau m%fõY lrk b;d ishqï WmlrKhlaa weiqf¾ ., msysà ia:dkh ksjerosj yªkd.ekSu" th bj;a lsÍu isÿ lrñka fï ysßyerfhka Tnj uqojd.kakd w;s kùk Y,H ;dlaIKh ;uhs Uretero Reno Scopy hkqfjka ye|skafjkafka'

jl=.vqfõ ldßh oek.ksuq wm yefudagu jl=.vq folla fkdfyd;a jï jl=.vqj yd ol=Kq jl=.vqj jYfhka jl=.vq hq.,hla ;sfnkjd' fuhska jïmi jl=.vqjg jvd iaj,amhla by<ska ol=KQ jl=.vqj msysgd ;sfnkjd' fï jl=.vq j,ska fmfrk uQ;%" uq;%d m%Kd, Tiafia uq;%dYhg tla /ia fjkjd' uq;%dYh hï uÜgulg msreKQ úg wmg uq;%d lsÍfï wjYH;djh u;= fjkjd' uq;%d m%Kd,hl úYAlïNh ñ,s óg¾ 4-5lg jeä kE' os.ska th fikaá óg¾ 25la ú;r fjkjd' jl=.vq wfma cSú;fha meje;aug wjYHfhkau l%shd;aul úh hq;= bkaøshhla' reêrfha wmøjH bj;a lsÍug jl=.vq uQ,slj l%shd;aul fjkjd' ta yereKQ úg YÍrfha ;r, hdukhg" reêr mSvkh ksjerosj mj;ajd .ekSug" r;= reêr ffi, ksIAmdokhg fukau l%shdldÍ ã úgñk ksIAmdokhgo jl=.vq lghq;= lrkjd' fï jl=.vq j, we;sjk .,a .ek wo wm úia;rd;aulj l;d lrkjd' jl=.vqj, yefok .,a j,ska fndfydauhla wm;a fkdoekSu uq;%d iu. msg fjkjd' ta;a iuyr .,a tfia bj;a jkafka kE' we;eï .,a jl=.vq j,o" ;j;a doctormagazine.lk

fldgila uq;%dm%Kd, j,o b;sßh uq;%dYfhao k;r fjkjd' uq;%d ud¾.fha we;sjk .,a uq;%d m%Kd, j, we;s úYAlïNh ñ,s óg¾ 4-5 muK jk nj wm mejiQjd' fï úYAlïNhg jvd wvq .,a uq;%d m%Kd,hg jegqfKd;a tajd l%ul%ufhka rEgd my<g jefgkakg mq¿jka' tfy;a m%udKfhka jeä .,a uq;%dYfha /f|kakg bv ;sfnkjd' .,la uq;%d m%Kd,fha wjysr ùu ksid uq;%d .,d hdug lsishï ndOdjla we;s fjkakg;a mq¿jka' thska we;sjk mSvkh ksid jl=.vq j,go th wys;lr fia n,mdkakg mq¿jka'tfiau fï wjysrh ld,hla mej;=fKd;a thska jl=.vq wlrKShg ^wl%Sh ùug& mjd wjodkula ;sfnkjd' fï wdldrhg uq;%d m%Kd, j," jl=.vq j, ;sfnk iajdNdúlj bj;a fkdjk isrfjk .,a bj;a l< hq;=hs' fï .,a ksid úúO .eg¿ u;= fjkjd' fõokdj" uq;%d wviais ùu yd jl=.vq j,g n,mEfuka jl=.vq wjodkug ,laùu bka m%Odkhs'

March 2021

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Ureteroscopy uq;%d ud¾.fha yd jl=.vq j, we;sjk .,a bj;a lrk kùk;u l%u

ñksia wdlD;shla ;=<ska u%d;%d m%Kd,h fj; Íkiafldamh m%fõY lsÍu' uq;%d m%Kd, yryd jl=.vqj fj; m%fõY jk Íkiafldamfha úYAlïNh ñ,s óg¾ ;=kls

uq;%d ud¾.fha we;sjk .,a bj;a lrk id¾:lu ie;alu uq;%d ud¾.fha isrj we;s .,a bj;a lsÍfï ckm%shu l%uh Ureteroscopy jl=. vq j, isrj we;s .,a bj;a lsrSug wo ojfia úúO l%u we;;a ta w;ßka wo fmruqfKAu ;sfnk" jvd;au id¾:lu yd frda.shdg jvd;au iqj myiqj i,ik l%uhla jYfhka Uretero Reno Scopy (URS) yªkajd fokakg mq¿jka' fï ;dlaIKfhoSa fhdod.kakd fuj<ï j, we;s úfYaI;ajh ;uhs tajd b;d kuHYS,Sj yiqrejd .ekSug we;s úYAñ; yelshdj' fï ksid wka ;dlaIKhka Tiafia <Õd úh fkdyels ia:dk j,g;a fï Uretero Reno Scopy ksid <.d jkakg yelshdj ;sfnkjd' fikaáóg¾ 1-1'5 olajd m%udKfha .,a fï l%uhg bj;a lrkakg mq¿jka'

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Ureteroscopy/ Uretero Reno Scopy l%uhg lrk ie;alul mshjr

01

rSkiafldamh uq;%d m%Kd,h yryd jl=.vqjg we;=,a ùu

02

jl=.vqfõ ., msysà ia:dkhg rSkiafldamh <Õdùu

04

., oeka len,s ù we;

06

03

Íkiafldamh yryd f,ai¾ ;ka;=j ., fj; kdNs.; ùu yd f,ai¾ u.ska ., len,s lsÍu

05

Domia Basket kï ishqï oe,la iys; WmlrKh ., r|jd .ekSug Ndú;d flfrhs

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yiq lr.;a .,a lene,a, uq;%d m%Kd,h Tiafia kej;;a .,la bj;a lsÍug Íkiafldamh uq;%d msg;g .ekSu m%Kd, Tiafia we;=,a flfrhs doctormagazine.lk

March 2021

DOCTOR MAGAZINE

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Ureteroscopy uq;%d ud¾.fha yd jl=.vq j, we;sjk .,a bj;a lrk kùk;u l%u

ie;alu lrkak ysßjÜgkjdo@ Tõ" id¾j ks¾úkaokh (General Anaesthesia) fyda fldkao ysßjeÜgùu (Spinal Anaesthesia/ Spinal block) hk foflka tla l%uhlg frda.shd ks¾úkaokh lrkjd' fï ksid Tng lsishïu fyda fõokdjla ie;alu w;r;=r oefkkafkA kE'

.,la uq;%dYh Tiafia bj;a lr .ekSu ióm rEmhla' ndialgfha rejd.;a ., msg;g .kakd whqre ksÍlaIKh lrkak

ñksia wdlD;shla ;=<ska u%d;%d m%Kd,h fj; Íkiafldamh m%fõY lsÍu' uq;%d m%Kd, yryd jl=.vqj fj; m%fõY jk Íkiafldamfha úYAlïNh ñ,s óg¾ ;=kls jl=.vq j, yefok .,a bj;a lrkakg Uretero Reno Scopy kï w;s kùk Y,H l%uh b;d id¾:l f,i fhdod.; yels nj fu!;% ffjoHjrekaf.a u;hhs' th jl=.vq j, fukau uq;%d ud¾.fha we;sjk .,a myiqfjkau bj;a lrkjd' Uretero Reno Scopy ie;alula i|yd frda.shd ms<sfh, lsÍu meh yhla ksrdydrj isg ie;alug meñKSu yereKQ úg wka úfYAI ms<sfh, ùula wjYH jkafka kE' flfia fj;;a Tng fjk;a ksoka.; frda. yd úfYAIs; frda. ;;a;aj we;akï th ffjoHjrhdg okajd isàu jeo.;a fjkjd' jhi wjq' 40 blaujQ iEu flfklau ECG mÍlaIKhla" kshu lrk reêr mÍlaIK lsysmhlao l< hq;= jkjd'

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March 2021

DOCTOR MAGAZINE

ie;alu lrkafka fufyuhs Scope tl od, ., msysà ia:dkh .ek uq,skau wjfndaOhla .kakjd' fufia bj;a lrkakg isÿ jkafka fndfydauhla wjia:d j,oS isrfj,d ;sfhk .,la' ta ksid len,s j,g leãula fndfyda wjia:d j,oS lrkakg isoaO fjkjd' len,s úosyg lvkafka f,ai¾ ;dlaIKh Wmfhda.S lrf.k' fuhg fhdod .kakd f,ai¾ ;ka;=j fl;rï ishqï tllao lsõfjd;a th m%udKfhka ñ,s óg¾ nd.hlg jeä kE' ta;a fï f,ai¾ tlg lvkak neß .,l=;a kE' ta ;rïu m%n,hs' ta;a uú;h kï ., ñi ta wjg we;s mgl j,g iaj,am jYfhka fyda ydkshla isÿ jkafka kE' len,s jQ .,a bj;a lrkakg b;d ishqï ndialÜ tlla fhdod .kakjd' doctormagazine.lk

iafgkaghl l%shdldß;ajh jl=.vqj wNHka;rh

uq;%dYh wNHka;rh uq;%d m%Kd,.; iafgkagh

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fuh meh yhl ld,hla ksrdydrj isàu yereKQ úg fjk;a mQ¾j iQodkula t;rï wjYH fkdjk ie;alula' WoEik ie;alug Ndckh jQjfyd;a ks¾úkaokfha n,mEu wyjr jqKdu yji f.or hkak;a mq¿jka ;rï ir< ie;alula njg m;a jkafka fï kjH ;dlaIKhg msx isÿ jkakghs' ie;alug miqj isÿlrk i;aldr Wfoa frday,g we;=,a jqKdu yji f.or hkak mq¿jka' ie;alu i|yd Tng fok ks¾úkaok l%shdldß;ajh wyjr ù Tn idudkH ;;a;ajhg m;aùu f;la muKla Tnj frdayf,a r|jd .kakjd'

f,ai¾ loïnhla u.ska uq;%d m%Kd, Tiafia .,a bj;a lsÍu

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ie;alfuka miq Tfí isref¾ we;sjk ;;a;ajh ie;alulg miq fndfyda wmyiq;d we;sùu iajNdjhla uq;a fï ie;alfïoS tfia nrm;, ixl+,;d lsisjla we;s jkafka kE' iq¿ jYfhka we;súh yels ixl+,;d lsysmhla muKla ;sfnkjd' ² ie;alu l< ia:dkfha ;on, fkdjk fõokdjla tkak mq¿jka' fuh fõokdkdYl j,ska iukh jk fõokdjla' ² uq;%d lrk úg oeú,a,la tkak mq¿jka ² uq;%d iu. f,a álla" oskla folla fyda osk lsysmhla hkjd ² hánfâ wmyiq;djhla" lsishï fõokdjla we;s fjkjd ² wdidokhla we;s fjkak lsishï bvla ;sfnkjd' tfia wdfjd;a wdfjd;a m%;scSjl T!IO ,nd oSfuka tu ;;a;ajh iukh l< yelshs' March 2021

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Ureteroscopy uq;%d ud¾.fha yd jl=.vq j, we;sjk .,a bj;a lrk kùk;u l%u

uq,a oskj, uq;%d oyr iqir lrkakg iafgkaÜ tlla ie;alu wjidkfha iuyr wjia:d j,oS muKla" frda.shdf.a u%;%d ud¾.hg iafgkaÜ tlla odkjd' iafgkaÜ tlla lshkafka b;d isyska" ñ,s ,Sg¾ foll ú;r úYAlïNhla ;sfhk áhqí tlla' fikaáóg¾ 26l os.la ;sfhk fï áhqnh jl=.vqfjka mgkaf.k uq;%d m%Kd, yryd uq;%dYh f;la uq;%d ndOdjlska f;drj .,d hdug rel=,la fjkjd' iuyrekag kï t;rï .eg¿jla fkdue;s nj oek .;af;d;a fuh odkafk;a kE' fldfydu jqK;a iafgkaÜ tlla odkj kï th odkafk;a ;djld,slj' fuh i;sfhka foflka bj;a lrkjd' iafgkaÜ tl bj;a lrkak wdfh;a f,dl= ie;alula lrkak fõúo@ Tng tfyu;a ysf;kak mq¿jka' fï iafgkaÜ tl bj;a lsÍu b;d ir< lghq;a;la Flexible Cystoscopy hkqfjka yªkajk WmlrKhlska th myiqfjkau l< yelshs' fuhg isys ke;s l< hq;= kE m%dfoaYSh ks¾úkaokh fkdfyd;a tu ia:dkh ysrs jeÜgùu muKla m%udKj;a' úkdä nd.hl ú;r iq¿ ld,hla ;uhs .; fjkafka' iafgkaÜ tl ksid;a mqxÑ mqxÑ wmyiq;djhka we;s fjk wjia:d ;sfnkjd' f;dr;=re j, mßmQ¾K;ajh m;d ta .ek;a i|ykla lrkakï' iafgkaÜ tl oeóu ksid mqxÑ fõokdjla" oeú,a,la" ks;r uq;%d lsÍfï wjYH;djhla we;s fjkakg mq¿jka' lsishï frda.sfhl=g fuh ffokslj ysßyerhla f.k fokj kï th bj;a lr Tyqj ysßyerfhka ksoyia lrkakg;a mq¿jka' we;súh yels ixl+,;d fuys ixl+,;d we;s jkafka b;d wvqfjks' nyq;rhla frda.Ska lsisÿ ixl+,;djhlska f;drj .eg¿fjka ñfo;s' tfy;a iEu ffjoHuh ueosy;aùuloSu l;dnyg ,lajk ixl+,;d iïnkaOfhka fuys olajkafka th Tfí oek. ekSfï whs;shg lrk .re lsÍula jYfhks' ² Ureteric Injury WmlrKh uq;%d m%Kd, Tiafia iSreudre lsrSfïoS we;sjk ishqï iSÍï' fïj b;d iq¿ ;;a;aj nrm;, ;;a;aj we;s fjkakg bvla kE' ;djld,slj we;sjk fï ysßyerh ;djld,slj fhdok Stent tlla u.ska iïmQ¾Kfhkau ksjeros l< yel' i;shlska fyda ta wdikak ld,hloS tho bj;a flfrKQ we;'

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² Stone fragments: we;eï úg bj;a lrk ,o .f,ys fldgia b;sß jkakg mq¿jk' ., msysà ia:dkh yd .f,ys m%udKh u; tfia jkakg wjldY ;sfí' ² uq;%d iu. f,a msgùu yd wdidok we;sùu' fuh kï ;rula iq,nh' ld,h;a iu.u úhelS hk ixl+,;djhls' Ureteroscopy/Uretero Reno Scopy ;dlaIKfhka jl=.vq .,a bj;a lsrSfuka Tng ie,fik jdis ² ojfika f.or hkak mq¿jka (Day Surgery Option) ² ie;alug jeh l< hq;= uqo, wvqhs ² blauKska frda.shd iqj fjkjd ² blauKska /lshd yd idudkH lgh;= j,g wkq.; fjkak wjia:dj ,efnkjd ² újD; lemSï kE' fï ksid lemqï mgl ÿ¾j, ùfuka y¾kshd we;s fjkak bvla kE' újD; l< iu kej; jeiQ miq we;sjk ueyqï j, i<l=KQ .ek ys;kak fjkafk kE ² blauKska idudkH cSú;hg m;a fjkak mq¿jka' DM

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D•Magazine /

Theme jl=.vq iqrlsk u.

iyNd.s;ajh

f,dal jl=.vq oskh - ud¾;= 12

jl=.vq frda. úfYaI{ ffjoH kd,l fyar;a ldhsl frda. úfYaI{ ffjoH ixoSmk fyar;a bkaøsh noaO lsÍu úfYaI{ ffjoH lxpql Wfíisß

jl=.vq iqrlsk u.

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D•Magazine /

Theme jl=.vq iqrlsk u.

jl=.vq krla fjkjd lshkafka l=ulao@ jl=.vqjla tys jHqyd;aul ÿ¾j,lula ksid krla fjkakg mq¿jka' ta jf.au fjk;a frda. ksid;a jl=. vq krla fjkak mq¿jka' fndfyda fokd ys;df.k bkak wdldrhg jl=. vq krla fjkjd lshkafka tla frda.hla fkfuhs' fya;= rdYshl n,mEfuka ;uhs jl=.vqjla krla fjkafka' jl=.vq krla ùu wdldr folla ;sfnkjd' 1' ;djld,slj jl=.vq krla ùu 2' iaÓr jYfhka isÿjk jl=.vq wl¾uKH ùu

;djld,sl j isÿjk jl=.vq j, wl¾uKH;djh jdikdjg" fuh fndfyda fj,djg kej;;a m%lD;su;a lrkakg mq¿jka' fuysoS jl=.vq wl¾uKH ùug n,mdk fya;=j y÷kdf.k Bg lrk m%;sldr j,ska kej;;a jl=.vq h:d ;;a;ajhg m;a lrkakg mshjr .kakjd' tfy;a we;eï wjia:dj,§ fï frda.Skag;a f,a msßisÿ lrkakg isÿjk wjia:do ;sfnkjd' i¾mhka oIaG lsÍu" we;eï úI YÍr.; ùu''' ta jf.au we;eï fnfy;a j¾. wêl ud;%d j,ska YÍr.; ùu" ó WK wd§ ldrKd ksid ;djld,slj jl=.vq wl¾uKH jkakg mq¿jka' l,d;=rlska wjia:djl§ fï ;djld,slj we;sjk jl=.vq wl¾uKH ùu §¾>ld,Sk jl=.vq wdndOhla olajd ;;a;ajhlg meñfKkakg;a mq¿jka' frda. l<ukdlrKfha§ fï ;djld,slj jl=.vq wl¾uKH jk whf.a jqK;a jl=.vq l%shd;aul jk m%udKh mÍlaIKd;aulj uek ne,Sula isÿ lrkjd' fï frda.Ska iqjm;a jk ;=re idhk j,§ miq úmrula isÿ lrkjd'

ksoka.; jl=.vq wdndOhg fya;=

jhi wjq' 60g jeäùu

oshjeähdj

wêreêr mSvkh

ÿïmdkh yoj;a frda.$wxYNd.h

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ia:Q,;djh

mjq,a b;sydih

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yªkd fkd.;a jl=.vq frda.hg k;=jQ frda.Ska fï jk úg osjhsfka fndfyda osia;%slal j,ska jd¾;d fjhs

§¾>ld,Sk jl=.vq wl¾uKH ùu Chronic Kidney Disease idudkHfhka ck.ykfhka ishhg 7-10 ;a w;r m%udKhlf.a jl=.vq wdY%s; frda. we;sfjkak bv ;sfnkjd' wfmalaIdj jeä fjk úg jl=.vq frda.Ska jeä ùu iajdNdúlhs' jl=.vq ÿ¾j, ùug n,mdk uQ,sl frda. lsysmhla .ek wmg l;d lrkakg isoaO fjkjd' thska Èhjeähdj m%Odkhs' wfma w;aoelSï j,g wkqj wfma rfÜ ck.ykfhka ishhg úiailg jeä ixLHdjlg Èhjeähdj ;sfnkjd' fï whf.a reêr.; iSks m%udKh md,khlg ,la jqfKa ke;akï jir oyhla muK wejEfuka jl=.vq j, ÿ¾j,;d we;sùfï lsishï ie<lsh hq;= wjodkula ;sfnkjd' Èhjeähdj" wêreêr mSvkh jl=.vq frda. j,g w; jkkjd' óg ld,hlg fmr ck;djg .eg¿jla fj,d ;snqfKa fndafjk frda.' miq.sh oYl lsysmh ;=< wfma rfÜ fndajk frda. j, úYd, jeäùula olakg ,enqKd' ta;a oeka jeä jYfhka olakg ,efnkafka Èhjeähdj" wêl reêr mSvkh" ms<sld wd§ fnda fkdjk frda. >Khg wh;a wikSmhs' doctormagazine.lk

jl=.vq j,ska flfrk ld¾hh ² jl=.vq lshkafka wfma YÍrfha ;sfnk nysia>%dùh bkaøshhla' jl=.vq folla wms yeu flfkl=gu ;sfhkjd' wdydr Ô¾Kh ùfuka tl;= fjk fm%daàk ta jf.au nys>%dùh wmøjH bj;a lsÍu ;uhs uQ,sl jYfhka jl=.vqfjka isoaO flfrkafka' ² reêrh ;=< mj;akd hlv m%udKhka" whk idkaøKhka iu;=,s;j mj;ajd .ekSu;a jl=.vq j, ;j;a ld¾hhla' ² wfma YÍrfha úúO mßjD;a;Sh l%shdj,ska fya;=fjka ie,lsh hq;= wï, m%udKhla YÍrfha ksIamdokh fjkjd' fï ksIamdokh jk wï, m%udKh WodiSk lsÍu isoaO fjkafk;a jl=.vq j,ska' ² jl=.vqj,ska fydafudakuh ld¾hhl=;a isÿfjkjd' úfYaIfhkau r;= reêrdKq ksIamdokhg fya;=fjk Erythropoitin hkqfjka ye¢kafjk øjH ksIamdokh lsÍug;a jl=.vq odhl;ajh imhkjd' jl=.vq frda. fha wjidk woshf¾oS fï fydafudakh ksIamdokh fkdjk úg f,a fokak isÿ fjkjd' kslafIamK tkak;a lrkak;a isoaO fjkjd'

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Theme jl=.vq iqrlsk u.

ksoka.; jl=.vq wdndOh ksoka.; jl=.vq wdndOh fiñka" jir .Kkdjla ;siafia" tfiau woshr lsysmhlska we;sjk frda.hls' jl=.vq wdndOfha woshr myls' m%;sldr yd cSjku. we;s lr.kakd fjkialï Tiafia fï frda.h je<elaùu fyda W;aikak ùu m%udo l< yel'

Stage 1 idudkH jl=.vq l%shdldß;ajh iu. jl=.vq ydkshg m;aùu Stage 2

ksfrda.S jl=.vq

frda.S jl=.vq

jl=.vq iq¿ jYfhka ydksùu iu. jl=.vq ydkshg m;aùu Stage 3A jl=.vq iq¿ jYfhka isg uOHia: m%udKh olajd ydksùu iu. jl=.vq ydkshg m;aùu Stage 3B jl=.vq uOHia: m%udKh isg ;on, f,i l%shdldß;ajhg ydksùu iu. jl=.vq ydkshg m;aùu Stage4 ;on, f,i l%shdldß;ajhg ydksùu iu. jl=.vq ydkshg m;aùu Stage 5 jl=.vq l%shdldß;ajh wvmK ùu

fi!LHiïmkak jl=.vq wNHka;rh

frda.S jl=.vqj wNHka;rh

Èhjeähdj - jl=.vq frda.j,g uQ,sl fya;=jla fï Èkj, jeäfhka l;d nyg ,la jkafka W;=re kef.kysr wd§ m%foaYj, mj;akd fya;=jla y÷kdfkd.;a jl=.vq frda.h Chronic kidney disease of unknown etiology (CKDu) .ek' ta;a fuhg;a jvd" b;d jeä jYfhka ^ishhg yegla muK& frda.Ska jd¾;d fjkafka fï Èhjeähdj" wêl reêr mSvkh wd§ weiqre lr.;a jl=.vq krla ùuhs'

fuu fnda fkdjk frda. ixl+,;d mdol lr.;a jl=.vq frda.Ska ,xldfõ iEu m<d;lu olskak ,efnkjd' we;af;kau fï ;;a;ajh jix.;hla jYfhka me;sr hduo olskakg ,efnkjd'

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ksoka.; jl=.vq frda.fha woshr

idudkH jl=.vq

wêl wjodku

jl=.vq ydkshg m;aùu

jhi jl=.vq frda. jeäùug fya;=jlao@ ksielfhkau Tõ''' jhia.; jk úg jl=.vqj, l%shdldß;ajh wvq ùu olakg ,efnk fohla' jl=. vq ú;rla fkdfjhs" ;j;a fndfyda bkaøshj,g fïl idOdrKhs' kuq;a Èhjeähdj iy wêreêr mSvkh ;sfnk frda.sfhla kï Tnf.a frda. uekúka md,kh lr.;af;a ke;akï ta fya;=fjka jl=.vq j,g n,mEula we;sùug úYd, bvla ;sfhkjd' fojeks wÈhf¾ Èhjeähdj ;sfnk frda.sfhla iuyr fj,djg wms wms .djg tk wjia:dj jk úg;a jl=.vq krla ùfï wÈhrg meñK ;sfnkakg;a mq¿jka' Èhjeähdj" wêreêr mSvkh jf.a frda.j,ska fmf<kjd kï jl=.vq frda. we;sùfï wjodku Tng iEfyk m%udKhlska ;sfnkjd' jhia.; ùu;a jl=.vq frda. we;s fjkakg fya;=jla' jl=.vq frda.hl ;shk úfYaI;ajh ;uhs uQ,sl wjia:dfõ§ lsisÿ frda. ,laIKhla fmkajkafk kE' frda. ,laIK fmkakqï lrkafka iEfyk muK ydkshla isÿ jqKdu' fuh ;uhs jl=.vq frda.hl ;sfhk Nhdkl lu;a' wfma rfÜ jl=.vq frda.Skaf.a ;;a;ajh fi!LH wud;HdxYh wfma rfÜ jl=.vq frda.Ska iu. iïnkaO ixLHd f,aLk mj;ajdf.k hkjd' jl=. vq frda.Ska iïnkaOj f,aLkhla mj;ajdf.k hkjd' (National Renal Registry) fï i|yd o;a; ,nd .kafka Èjhsk mqrd frday,a 51l weiqre lrf.k'

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jl=.vq j, l%shdldß;ajh wvqùu

jl=.vq l%shdldß;ajh wvd, ùu

tu f,aLkhg wkqj jirlg frda.Ska y;a odylg jvd y÷kdf.k ;sfnkjd' fïl iïmQ¾K jd¾;djla fkdfjhs' ienE jl=.vq frda.Ska m%udKh óg jvd jeähs' ish¿u frda.Skaf.a ksjeros o;a; fuhska ksrEmkh fkdjkak lreKQ lsysmhla n,md ;sfnkjd' uE; ld,fha § jeä jYfhka wjOdkhg ,lajqfka fya;=j y÷kd .;a fkd.;a jl=. vq frda.Ska' wfma rfÜ Èia;%slal tfld<yl fï frda. ksOdkh fya;= y÷kdfkd.;a jl=.vq frda.Ska bkakjd' 20152016 j¾I j,§ wms fï frda.Ska iïnkaOfhka iólaIKhla meje;ajQjd' fï iólaIK jd¾;d j,g wkqj tu Èia;%slalj, muKla jl=.vq frda.Ska 24"800 y÷kdf.k ;sfnkjd'

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Theme jl=.vq iqrlsk u.

ldkaÿlrk ixfhda.h wvx.= nE.h

wNHka;r wjhj

mß;dk le;Sgrh

mß;dk l=yrh

¨yqj;a ia:dkh msg lsÍu

mß;dk ldkaÿlrKh

jl=.vqjla wl¾uKH ùu wfma YÍrhg n,mdkafka fldfyduo@ l=vd wjhjhla jqkdg jl=.vqjl ñ,shk folla muK jDlaldKQ (Nephrone) hkqfjka ye|skafjk reêrh fmÍug WmldÍ jk uQ,sl ;eKQï tall ;sfnkjd' jl=.vqjla wl¾uKH fjkjd lshkafka fï jDlaldkq ál ál ueß,d hk tlhs' fuysoS fldgila uefrkak mq¿jka' tfyu ke;akï iïmQ¾Kfhkau

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uefrkak;a mq¿jka' fuysoS uq,skau lshkafka uq;%d iuÕ fm%daàka hkjd lsh,d' fm%daàka hkjd lshkafka tl fldgilg ydks ùula isÿùu' frda. ,laIK lsisjla uq,a wjia:dfõ m%lg fkdlrñla flfuka cSú;hg úk lrk frda.h jl=.vqjla krla fjk wjia:dfõ § uQ,slju lsisu frda. ,laIKhla fmkakkafk kE' iuyr fj,djg mÍlaIK j,ska fmkajkafk;a kE' lsishï iSudjla olajd fï frda. ,laIK my< fkdlsÍu wmsg fndfydau meyeos,sj olskakg mq¿jka' jDlaldKq j,ska ishhg mkyla ú;r krla jqKdg miafi ;uhs frda. ,laIK my< lrk wjia:dj wdrïN jkafka' we;eï fj,djg Stage 5 jf.a wjidk wÈhrlg tk;=re;a frda. ,laIK lsisjla m< fkdlrk frda.Ska wmg yuq fjkjd' wm fuysoS m%dfhda.slj uqyqK fok

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reêr ldkaÿlrKhg fmr vh,hsisia hka;%hg reër kd, iïnkaO lrKQ msKsi fhdod .kakd AV Graft tl

nrm;< wNsfhda.hla ;uhs fï whg frda.hla ;sfnk nj ta;a;= .ekaùu' we;a;gu fï wh tkafka f,a j, ;sfhk lsishï widudkH;djhla ksÍlaIKh ùfuka' l%sheákska w.h by< uÜgulg .shdu' "Doctor, ug lsisu f,vla kE' fï reêr mÍlaIKh lrdu ;uhs ffjoHjrhd uqK .efykak lsh, Wmfoia ÿkafk'ZZ Tjqka tfyu lshkjd' zzTfí jl=.vq fyd|gu krla fj,d'''ZZ lsõfjd;a fï wh tal ms<s.kak leu;s keye' jl=.vq frda.hla ;sfnk nj oek .kak;a idudkHfhka jDlaldKq j,ska ishhg 50 la muK krla fjkak ´fka' frda. ,laIK my< fjkak fï w.h ;j;a jeäfjkak ´ks' idudkHfhka jl=.vq frda.h wÈhr 5lg fnod fjka lr olajkjd' fïflÈ idudkH frda. ,laIK my< fjkafka iv wÈhf¾§' ta lshkafka ishhg ye;a;Ejla ú;r jl=.vq krla jqKdg miafia' frda. ,laIK ke;s ksid jl=.vq f,v l,a;shd oek.ekSug wmg mÍlaIK lrkakg isÿ fjkjd'

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jl=.vq krla ùu wdrïNl wjia:dfõ§ y÷kd .kakd mÍlaIK fudkjdo@ uQ,sl jYfhka fuys§ mÍlaIK wdldr folla fhdod .kakjd' tlla ;uhs f,a mg,hla mÍlaIdlr ne,Su' l%shgkska mÍlaIKh yd uq;%d mÍlaIKhla isÿlr protine ;sfnkjdo lshk ldrKh;a mßlaId lr, n,kjd' fï wjia:d fofla§ lsis hï widudkH;djhla ksÍlaIKh jqfKd;a wms ialEka mÍlaIKhla isÿ lrkjd' yefudagu fï ialEka mÍlaIKh isÿ lrkafka keye' uQ,sl jYfhka wjodkï ix{djla we;s fjkak ´ks' ialEka mÍlaIKh wjYH flfrk úfYaI wjia:d ;sfhkjd' uq;%d ud¾.fha .,la ;sfnkjd kï ialEka tlla lrkak ´fk' Tn okakjd wmg jl=. vq folla ;sfnkjd' l,d;=rlska wjia:djl tl jl=.vqjla ú;rla krla fjk fya;= ;sfnkjd' tajd úuiSug;a ialEka mÍlaIK fhdod .kakjd

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Theme jl=.vq iqrlsk u.

jl=.vq krla fjkkg n,mdk úúO fya;= Èhjeähdj iy wêl reêr mSvkh ;uhs m%Odk fya;=' ta yereKq úg ;j;a fya;= ;sfhkjd' jl=.vq wNHka;rfha we;sjk m%ody ;;a;ajh laIqø Ôù wdidok (Glomerular Nephritis) ;ukaf.a YÍrfha m%;sYla;slrK moaO;sfha we;sjk ÿ¾j,;d ksid;a fujka ;;a;aj we;s fjkak mq¿jka' SLE, Æmia kue;s frda.S ;;a;aj;a jl=.vq krla lrk wfkl=;a frda.' c,fha mj;sk nerf,day lDIs ridhksl øjH Èh ksid;a jl=.vq frda. we;sfjkak mq¿jka' fï iïnkaOfhka ksYaÑ; ks.uk ke;s ksid ;jÿrg;a m¾fhaIKd;aulj meyeÈ,s lr .ekSu wjYHhs' T!IO ksid;a jl=.vq j,g ydks isÿfjkjd' fldkafoa lelal=ug" fõokdj,g .kak NSAID ldKavfha T!IO ksid jl=.vqj,g ydks isÿ fjkjd' Ibuprofen, Diclofenec sodium wdÈh óg WodyrK' §¾> ld,hla uq¿,af,a lidh

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j¾.hla Wk;a mdúÉÑ lrkjd kï thska lsishï ydkshla YÍrhg úh yelso hkak .ek fidhd ne,sh hq;=hs' T!IO .;af;d;a iEu tllu fyd| m%;sM, jf.au krl m%;sM, ;sfnkjd' fï ksid tajd È.=ld,Skj mdúÉÑ lrkjd Bg ffjoHjrekaf.a Wmfoia wjYH fjkjd' jeäysá msßñkaf.a mqriaÓ;s .%kaÓh bÈófuka we;sfjk mSvkh ksid;a jl=.vq frda. we;s jkakg wjia:dj ;sfnkjd' uq;%d lsÍfï§ th wLKavj oyrdjla fia msg fkdjkafka kï uqq;%d lsÍfï lsishï wmyiq;djhla we;s jkafka kï" Tn fkdmudj thg ms<shï fhdod .; hq;=hs' fï ;;a;ajfha uQ,sl wjia:dfõ§u ffjoHjrhl= uqK .eyqfkd;a Bg kshñ; ms<shï fhdod .ekSu myiqfjka l< yelshs' m%udo ùfuka mqria:s;s .%ka:sh bÈóug m%;sldr lr.kakg mq¿jka fjkak mq¿jka' ta;a m%;sldr m%udo ùfï jkaÈh jl=.vq j,g f.jkakg isoaO fjkjd' jl=.vq frda. iq,n iq,n" wê wjodkula iys; Èia;%slal 11la y÷kd fkd.;a jl=.vq frda.h iq,n" wê wjodkula iys; Èia;%slal 11la y÷kdf.k ;sfnkjd' fï Èia;%slalj, jeämqr bkafka fya;=j y÷kd fkd.;a frda.Ska' ta yereKq úg Èhjeähdj" wêreêr mSvkh jeks fya;=j y÷kd.;a frda.Skao isákjd' fï Èia;%slal j, isák wjqreÿ 20g jeä ish¨u fokd m%dfoaYSh f,alï ld¾hd, uÜgñka mÍlaIK reêr mÍlaIKj,g Ndckh lrkjd' fï whg Serum creatinin mÍlaIKh isÿ lrkjd' uq;%dj, fm%daàka mÍlaIKh;a isÿ lrkjd' tu Èia;%slalj, jdih lrk ck;djg wm b,a,d ysákjd fï mÍlaIK j,g wjYHfhkau Ndckh jk f,i'

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2040 j¾Ih jk úg oshjeähd frda.Ska ixLHdj ñ,shk 642la muK olajd jeäjk njg mqfrdal:kh lr ;sfí' jeäysáhkaf.ka tfld<ylska tlla oshjeähd frda.Ska fõ

iEu jeäysá oshjeähd frda.Ska ;=ka fofklaf.ka tla wfhlau ksoka.; jl=.vq wdndOhg k;= jkq we; jl=.vq frda.h oshjeähdfõ tla wjodkïiy.; ixl+,;djhl

f,djmqrd ñ,shk 415la oshjeähd frda.Ska isáhs

tu ixLHdj ñ,shk 138la jkq we;

jl=.vq frda.h iqjl, yelso@ jl=.vq frda.h lsõju fndfyda fofkl=g fïl tl frda.hla' ta;a ffjoHjrekag jl=.vq frda.h lsõju frda. rdYshla .ek ys;kakg fjkjd' fïl frda. .Kkdjl iïñY%Khla jkakg mq¿jka' we;eï úg Èhjeähdj jeks ksoka.; frda.hl ixl+,;djla jkakg mq¿jka' tfyu ke;akï jl=.vqfjka we;sfjk wdid;añl;djhla jkakg;a mq¿jka' iuyr jl=.vq frda. iqj lrkak mq¿jka' ta;a iqj lrkak neß jl=.vq frda. ;sfhkjd' jl=.vq krla fjk fldg tys ;sfhk ffi, uefrkjd' uefrk ffi, kej; mk .kajkak nE' ta fjkqjg w¨;a ffi, yokak;a nE' ffi,hla uereKu tflka flfrk ldßh tu nys>%dùh moaO;shg wysñ fjkjd' jl=.vq krla fjkjd kï wmg lrkak mq¿jka ta krla fjk fõ.h md,kh lsßug W;aidy .ekSu muKhs' jl=.vq frda.fha wÈhr jl=.vqj krla fjk m%udKh ie,ls,, a g .ksñka jl=.vq frda.h wÈhr 5lg fnod fjka lr ;sfnkjd' fuhska m<fjks" fojk wÈhr foflau jl=.vq frda. iqjl< yels uÜgul mj;skjd' kuq;a y;rfjks miafjks ldKavhg wdjyu jl=.vq frda.h iqj lsÍu ;rula

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wudrehs' kuq;a md,khla we;s lr .kak mq¿jka' Tng .eg¿jla we;s fjkakg mq¿jka" fldfyduo fï md,kh we;s lr.kak lsh,d' Èhjeähdfjka fmf<k flfkla kï reêrfha iSks m%udKh uekúka md,kh lr.; hq;=hs' jl=.vq krla ùu ksid we;sjk ixl+,;d ;sfnkjdfk' f,a ysÕlu" wêreêr mSvkh" wdï,sl;djh iy isref¾ jeämqr c,h /£u''' fï ixl+,;d md,kh lsÍu iy jl=.vq frda.S ùug n,mdk m%Odk ldrKd md,kh lsÍu fyda iqj lsÍu u.ska jl=.vq krla ùu iEfyk muKlg md,kh lr.kakg wjia:dj ;sfnkjd'

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Theme jl=.vq iqrlsk u.

y÷kdfkd.;a jl=.vq frda.h y÷kdfkd.;a jl=. vq frda.h iïnkaOfhka we;a;gu ksYaÑ; fya;=jla y÷kd .kak ;ju iu;a fj,d kEfka' kuq;a fï ;;a;aj fï wdldrfhka isÿ jkakg n,mE fya;= ms<sn|j mq¿,a úoaj;a l;sldj;la ;sfhkjd' m¾fhaIK úYd, uÜgulska isoaO fjkjd' kuq;a ksYaÑ;ju fuhg n,mdk fya;= iïnkaOfhka ;SrKhla kE' wm fï iïnkaOfhka mj;sk idlaIs wkqj f;areï .; hq;= ldrKh ;uhs tla fya;=jla fkfuhs fya;= /il m%;sM,hla úÈhg ;uhs y÷kdfkd.;a jl=.vq frda.h fï wdldrfhka jHdma; fj,d ;sfnkafka' jl=.vqjla wl¾uKH jk frda.sfhl=g ,nd fok T!IO jl=.vqjla wl¾uKH jk frda.sfhl=g ,nd fok §¾> jl=.vq T!IO jÜfgdarejla ;sfnkjd' wêreêr mSvkh" ksrla;sh" wdï,sl;djh''' fï ldrKd j,g úi÷ï fidhd .ekSu ;uhs T!IO j,ska flfrkafka' jl=. vq frda.sfhl=g fok T!IO iEu úgu ;SrKh

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March 2021

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vh,hsia hka;%hg frda.sfhl= iïnkaO lr we;s wdldrh' idudkHfhka tla f,a msßisÿ lsÍulg meh y;rl muK ld,hla jeh fjhs

fjkafka Tyqg ;sfnk frda.fha iajNdjh u;' jl=.vq frda.hg fya;=jk ldrKd fuys§ úIh fjkjd' ² Èhjeähd frda.sfhla .;af;d;a Èhjeähdj md,khg T!IO fokak fjkjd' Bg wu;rj jl=.vq frda.fha we;sjk ixl+,;d j,g;a fjkuu m%;sldr lrkakg isoaO fjkjd' ² jl=.vq frda.fha wjidk wÈhf¾§ frda.sfhl=g wefÕa f,a wvq fjkjd' túg Erythropoitin fydafudakh wmg bkafclaIka tlla úÈyg ,nd fokak isÿ fjkjd' ² ,jKj, we;sjk fjkialï ksid wiaÓ ÿ¾j, fjkak mq¨jka' túg le,aishï úgñka î jf.a foaj,a ,nd fokak isoaO fjkjd' jl=.vq frda.sfhl=f.a ,jK j, md,kh we;s lrkakg m%;sl¾u fhdokak isoaOfjkjd' ² reêr mSvkh jeä kï th md,kh lrkakg T!IO fokak isoaO fjkjd' fï úÈyg tla tla mqoa.,hdg wdfõ‚l frda. iajNdjh u; ;uhs ,ndfok T!IO ;SrKh jkafka

doctormagazine.lk

kj jl=.vqj noaO lrkafka fï wdldrhghs

jl=.vq frda.sfhl=g fok wdydr j, ;r,j, iSud lsÍï úYd, jYfhka isÿ lrkakg isoaO fjkjd' thg fya;= fudkjdo@ fï iSud lsÍï j,g;a n,mdkafka frda.shdf.a jl=.vq ydkshg m;a ùfï wjia:dj' fuh tla tla frda.shdg n,mdk wdfõKsl ldrKd wkqj ;SrKh l< hq;a;la' ² jl=.vq frda.sfhla jQ mu‚kau m,;=re ,nd§u iSud lsÍu wjYH jkafka kE' wjidk woshf¾ jl=.vq frda.shl= kï wms fmdgeishï iq,nj ;sfhk flfi,a f.ä jeks wdydr j¾. .ekSu iSud lrkjd ;uhs' yenehs thska wms woyia lrkafka kE''' flfy,a f.ähla j;a lkak tmd lshk tl' ² jl=.vq frda.Skag wêl fm%daàka ;sfhk wdydr .kak tmd lshkjd' idudkH jYfhka fm%daàka ;sfhk wdydr lEjg lula kE' ² c,h iSud lsÍu .ek;a jl=.vq frda.Skag Wmfoia fokjd' wfma YÍrfha c,h bj;a jkafka jl=.vq j,ska' wjidk woshf¾ jl=.vq frda.sfhla m%udKh blaujd c,h mdkh lf<d;a tal wefÕa tl;= fjkak mq¿jka' ta ksihs c,h mdkh lsÍu iSud lrkak isoaO fjkafka'

doctormagazine.lk

jl=.vq frda.sfhl=g wdydr kshu lsÍfï§ fndfydaúg fmdaIKfõÈhl=f.a Wmfoia ,nd fokjd' ta wdydr Wmfoia ksishdldrj ms<sme§fuka frda.shl=g ;ukaf.a wdydr fõ, ksjerosj ilid .kak mq¿jka' jl=.vq krla jQ frda.Ska yg isÿ lrk m%;sldr jl=.vq lsishï nrm;, m%udKhlg krla Wkdu t;kska tydg jl=.vq j,ska flfrk ld¾hh ì| jefgkjd' túg ;jÿrg;a Ôú;h mj;ajd .kakg l< hq;= m%;sldr lsysmhla u ;sfnkjd' yeu m%;sldrhlau yeu flfkl=gu iqÿiq jkafka;a

March 2021

DOCTOR MAGAZINE

27

D•Magazine /

Theme jl=.vq iqrlsk u.

kE' ta ta m%;sldrhg iqÿiq mqoa.,hka y÷kd .ekSu l< hq;= fjkjd' flfia fj;;a m%;sldr udÈ,s ;=klska jl=.vq b;du;a ÿ¾j, jQ frda.Skag m%;sldr lrkjd 1' reêr ldkaÿlrKh 2' nv iqoao lsÍu (Peritoneal Dialysis) mß;dk ldkaÿlrKh 3' jl=.vq noaO lsÍu ² jl=.vq krla fjk frda.sfhlaf.a tla;rd wjia:djl§ iajNdjfhka f,a msßisÿ lsÍfï yelshdj fkdue;s ù hkjd' tfyu wjia:dj,§ lD;%suj reêrh msßiqÿ lsÍu lrkakg isoaO fjkjd' reêrh msßisÿ lrk wdldr folla ;sfhkjd' reêr ldkaÿlrKh iy mß;dk ldkaÿlrKh hkqfjka' fuys,d jvd;au m%p,s; jkafka reêr ldkaÿlrKh''' reêr ldkaÿlrKfhao vh,sisia hka;%hla yryd frda.shdf.a reêrh .uka lrkakg i,iajd tu.ska frda.shdf.a reêrh msßisÿ lrkjd' mß;dk

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March 2021

DOCTOR MAGAZINE

ldkaÿlrKh Bg fjkia' tys§ Èhrhla reêr Wor l=yrhg tkak;a lr wmøjH Bg uqiq jQ miq h<s th bj;g weo .kakjd' ² jl=.vq wl¾uKH jQ frda.shl=g l< yels fyd|u m%;sldrh jkafka jl=.vqjla noaO lsÍu kej;;a lsj hq;=hs" fï yeu m%;sldrhlau yeu flfkl=gu iqÿiqjkafka kE' ;Skaÿ .; hq;af;a frda.shdf.a iajNdjh wkqjhs' frda.Ska w;r jerÈ woyila ;sfhkjd" jl=.vq krla jqKq .ukau f,a msßisÿ lrkakg ´ks lsh,d' tfyu;a keye''' ta wjia:djg" woshrg <Õd jqKdu ;uhs f,a msßisÿ lsÍula wjYH jkafka' f,a msßisÿ lsÍu fï m%;sl¾uh fndfydauhla ld,h" Y%uh yd iïm;a jeh l< hq;= jk m%;sldrhla' fuysoS frda.shd;a lsishï wmyiq;djhkag uqyqK mdkjd' jl=.vq j, l%shdld¾;ajh w;sYhska ÿ¾j, jQ úg we;sjk ,laIK jukh" weÕ leiSu" bosóu" wdydr wreÑh" mdo bÈóu fuysoS" frda.shdf.a reêr mg,hla mßlaId lr l%sheákska uÜgu n,kjd' frda.shd fmkakqï lrk frda. ,laIK n,kjd' wfkl=;a idOl;a úuid n,kjd' ta wkqj ;uhs frda.shdg reêr ldkaÿlrKh isÿlrk wjia:dj ;SrKh lrkak fjkafka' reêr ldkaÿlrKh i|yd frda.Ska ms<sfh, lsÍfï ms<sfj, Vascular Access tlla yokak ´ks' ta lshkafka Ouks iy Ysrd tlg tl;= lr,d reêrh msßisÿ lsÍfï hka;%hg YÍrfha f,a kyr iïnkaO lrkak lsishï m%fõYhla ,nd.kak ´ks'

doctormagazine.lk

kQ;k Y,H ffjoH l%u wo fnfyúka ÈhqKqhs' ixl+,;d wju lrf.k fï lghq;a; b;du id¾:lj lr.kak wo yelshdj ;sfnkjd'

jl=.vqjla noaO lrk ie;alu

fuys§ uq,skau isoaOfjkafka wf;a Oukshla yd Ysrdjla tlg tl;= lsÍu' fïl ;uhs wms f,a msßisÿ lrk hka;%hg frda.shdf.a isref¾ reêrh iïnkaO lrk ia:dkh' fï úÈy úfYaI ia:dkhla ks¾udKh lrkakg fya;=jla ;sfnkjd' idudkHfhka reêrh .uka lrk fõ.h reêr ldkaÿlrK hka;%hlg m%udKj;a jkafka kE' idudkH kyr Bg m%udKj;a jkafka;a kE' tkak;a lgq fhdodf.k hka;%hg kyr iïnkaO lrkak;a nE' Oukshla" Ysrdjg iïnkaO l<du ta kyr folu úYd, fjkjd' thska vh,hsisia hka;%hg frda.shdf. f,a msßisÿ lrkak wjYH lrk reêr mßjyK fõ.h we;s fjkjd' fï Vascular Access yok tl reêr ldkaÿlrKhg i;s 6 lg ú;r fmr isoaO fjkak ´fk' wfma ,dxlslhkaf.a kyr idudkHfhka fmdähs' fï iïnkaO lrk ia:dkh ilia lsÍfïoS tu ia:dkh muKla ks¾úkaokhg ,la lr,d kyr fol u;= lrf.k ishqï Y,Huh kQ,a j,ska ;uhs ta fol iïnkaO lrkafka' tal fmdä Y,Hl¾uhla' fmdä lemqulska lrk tlla jqKdg fndfydu m%fõYfuka l< hq;=hs' fïl jerÈ úÈhg isoaO Wfkd;a w;g reêrh f.k tk kyr j, fodaI we;s fj,d we;eï fj,djg tal oS¾>ld,Skj n,mdkak jqK;a mq¿jks' yenehs" fï .ek nhla we;s lr .kak;a wjYH kE''' ukao@

doctormagazine.lk

kyr m%fõYh ilia l< frda.Skag ,ndfok Wmfoia ² m<fjks meh 24§ w; kjkak fokafk kE' talg fya;=j ;uhs" f,a .uka lsÍu wjysr ùfuka f,a leá .eiSï we;s jqfKd;a wm l< foa <, rys; fjkjd' ² uDÿ fnda,hla w,af,ys ;ndf.k th ñßlñka lsishï jHdhduhl fhfokakg wm fuys§ Wmfoia fokjd' thska reêrjdysksh m%idrKh ù wm fh¥ m%h;akh id¾:l ùug msgqjy,la ,efnkjd' ² ;o we÷ï w¢kak iqÿiq kE' Vascular Access tl ieliQ w;ska reêr mSvkh uekSu;a iqÿiq keye' w; hg fjk úÈyg ksod. kak tflkq;a j<lskak ´fka' ojia lsysmhla hklï tu w; f;ukak;a fyd| kE'

March 2021

DOCTOR MAGAZINE

29

D•Magazine /

Theme jl=.vq iqrlsk u.

² ta fj¿u .,jkafka i;shlg ú;r miafia bka wk;=rej Tyqg idudkH úÈyg tosfkod lghq;= lrf.k hkak mq¿jka' Permanant Catheter (Permcath) wfma uq,sl wjYH;djh ;uhs noaO lsßug frda.shd f,a msßisÿ lsÍfï hka;%hg iïnkaO lsÍu' we;eï fj,djg f., wdY%h lr.;a lemqul=;a reêrh msßisÿ lrk hka;%hg iïnkaO lrkak fhdokjd' fïflÈ isoaofjkafk" kyr noaO lsÍu fjkqjg ma,diaála nghla iïnkaO lsÍu' kyr noaO lsÍul§ l,a mj;sk iïnkaOhla we;s fjk w;r fï ma,diaála ngh ta ;rï ld,hla Tfrd;a;= fkdfok nj;a lshkak ´fk' f,a leá.eiSu" úIîc we;=,a ùu jeks ixl+,;d;a fuys§ jeä jYfhka we;s fjkak mq¿jka' fï ksid jl=.vq frda.Skag f,a msßisÿ lr.kak jvd;a iqÿiq l%uh jkafka l,a;shd weú,a,d fï lshk wf;a Vascular Access iïnkaOhla we;s lr.kak tl'

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March 2021

DOCTOR MAGAZINE

ld,hla ;siafia jl=.vq frda. j,g m%;sldr lrk ,o we;eï frda.Skaf.a kyr y÷kd .kak wudrehs' fï whf.a kyr j,g tkak;a lsÍï ks;ru isoaO fjkjd' kyr úh<Sul=;a isoaO fjkjd' fï ksid kyr yels,Sula isÿfjkak bv ;sfhkjd' ldkaÿlrK m%;sldr ,nd.; yels frday,a wfma rfÜ jl=.vq frda. oeka jix.;hla wdldrfhka me;sr hk ksid rch fï iïnkaOfhka úfYaI wjOdkhla fhduq lr,d fï myiqlï Èjhsk mqrd frday,aj,g ,nd fokak mshjr f.k ;sîu we;af;kau ck;djf.a me;af;ka úYd, iykhla' wfma rfÜ ;sfnk ish¨u m%Odk frday,aj,§ fï myiqlï ,nd .ekSfï wjia:dj oeka wfma frda.Skag ,eî ;sfnkjd' fï yereKq úg jl=.vq frda.Skag úfYaIs; fiajd imhk frday,a wfma rfÜ msysgqj,d ;sfhkjd' uykqjr uy frdayf,a úfYaIs; jl=.vq frda.h l%shd;aul fjkjd' ud,s.dj;a; jl=.vq frda.ska fjkqfjka fjkuu frday,la mj;skjd' wkqrdOmqr" l=reKE., YslaIK frday,aj,;a úfYaIs; jl=.vq m%;sldr tall l%shd;aul fjkjd' jl=.vqjla noaO lsÍu Tng we;sjk .eg¿ j,g ms<s;=re frda.sfhl=g jl=.vqjla noaO lsÍug ;SrKh lrk wjia:dj l=ulao@ jl=.vqjla noaO lsÍfï§ iqqÿiq jl=.vqjla y÷kd .ekSu ;rula ixlS¾K l%shdj,shla' ta i|yd mÍlaIK rdYshla isÿ l< hq;=hs' m%;s.%dylhdg ^jl=.vqjla wjYH lrk ;eke;a;d& .e,fmk odhlfhla ^jl=.vqjla mß;Hd. lrk ;eke;a;d& y÷kd.ekSu t;rï ir, lghq;a;la fkdfjhs' leue;a; ;snqK;a yefudaf.u jl=.vq .,m.kak nE' m%;s.%dylhdg .e,fmk odhlfhla y÷kd.ekSfuka miqj wjhj noaO lsÍfï Y,Hl¾uh iQodkï lrkak mq¿jka'

doctormagazine.lk

fï lghq;a; isÿ lrkak wfma rfÜ kS;sh wkqj ffk;sl m%;smdok ;sfnkjd' iEu wjhj noaO lsÍula i|ydu fi!LH wud;HxYfha wkque;sh fjk fjku ,nd.; hq;=hs' ta tlalu jl=.vqj fok mqoa.,hd Bg iqÿiq ;;a;ajhl isákjdo hkak ms<sn|j;a wm fidhd n,kjd' uQ,slj Tyq ksfrda.S mqoa.,fhla úh hq;=hs ú;rla fkfjhs wfkl=;a bkaøshhkao fyd| ;;a;ajfhka l%shd;aulj ;sfnk ksfrda.S flfkla úh hq;=hs' reêr mgl mÍlaIKhla jf.au Angiogram mÍlaIKhla isoaO lr,d kyr j, msysàu;a fidhd n,kjd' odhlhdf.a kyr uq;%jdysks Ouks yd Ysrd yd jl=.vq hk fï ish¨ foa l%shdldß;ajh mÍlaId lr n,, ljr me;af;ka o jl=.vq bj;a lrkafka''' tajdfha l%shdldß;ajh fldhs wdldrfhkao@ idudkHfhka wjqreÿ 50g wvq wh ;uhs jl=.vq ,ndoSu iqÿiq wh fia ks¾foaY lrkafka' kuq;a we;eï fj,djg ldhslj ksfrda.S odhlfhla kï jhi wjqreÿ 50 g jeä jqK;a Tyq odhlfhla jYfhka i<ld ne,Sula lrkak mq¿jka' ;d;a;df.a jl=.vqjla mq;dg fokjd jf.a wjia:d ;uhs fuys§ úfYaIfhkau i,ld nef,kafka' jl=.vqjla ;j;a flfkl=g ,ndoSfuka ÿka ;eke;a;dg ydkshla isÿ jkafka kE fuys§ úfYaIfhka hula lsj hq;=hs' jl=.vqjla ;j;a flfkl=g ,nd§u yskaod ta ,nd fok ;eke;a;df.a wdhq ld,h wvq ùula isoaO fjkafka kE' wo ffjoH úoHdj b;d ÈhqKqhs' fï ksid we;eï úg iq¨ ixl+,;d we;s fjkak mq¨jka' kuq;a jl=.vqjla ;j;a flfkl=g ,nd §fuka ta odhlhdg nrm;, .eg¿ u;= jkafka kE' fï jl=.vq okaoSu .ek wm ;j;a u|la l;d lruq' ukqIHfhl=g Ôj;ajkak ;ks jl=.vqjla m%udKj;a' fï iïnkaOfhka f,dalfha fndfyda wOHhk isÿ flÍ ;sfnkjd' fï wOHhk Tiafia y÷kdf.k ;sfnk jeo.;a ldrKhla ;uhs" wdhqI wvqùula fkdfjhs" idudkH ck;djg jvd jeä Ôú; ld,hla fï whg ,efnkjd' tlg fya;=j ;uhs" fï odhlhka ks;ru

doctormagazine.lk

idhkj,g meñfKkjd ffjoH mÍlaIK isÿlr .kakjd' hïlsis frda. wjodkula ;sfnkjd kï ta nj fï wh l,ska oek .kakjd' jl=.vqjla noaO lsÍfï Y,Hl¾uh ye|skaùu we;af;kau fï Y,Hl¾u folla' tlla jl=.vqj ,ndfok ;eke;a;df.ka m%fõYfuka jl=.vq bj;a lsÍfï ie;alu' wfkl jl=.vq folu krla jqKq ;eke;a;df.a YÍrh ;=<g kj jl=.vqj ia:dms; lsÍfï ie;alu' fï jl=.vqj ,nd.kak ie;alu;a fndfydu m%fõYfuka lrkak ´ks' Tyq frda.sfhla fkfjhs' odhlhd iEu úgu fi!LH iïmkak mqoa.,fhla' ;j;a mqoa.,fhla Ôj;a lsÍfï wruqfKka" Tyq ioaNdjfhka jl=.vqjla ;ukaf.a jl=.vqj ,nd fokjd Tyqg lsisu ysßyerhla ixl+,;djla we;s fkdjk úÈyghs Tyq f.a fï jl=.vqj bj;a lr.; hq;= jkafka' ie;alu isÿ lrkafka fufyuhs uq,skau jl=.vqj mß;Hd. lrk mqoa.,hd jl=.vq wjYH lrk mqoa.,hka

March 2021

DOCTOR MAGAZINE

31

D•Magazine /

Theme jl=.vq iqrlsk u.

fofokdu fome;af;a Y,Hd.dr foll r|jkjd' jl=.vqj ia:dms; lsÍug frda.shdf.a yoj; Wor l=yrh újr lsÍu jf.au odhlhdf.a jl=.vqj bj;a lsÍfï ie;alu isÿ jkafka tlu wjia:dfõ§' mß;Hd.YS,h s df.ka jl=.vqj ,nd.kakd Y,Hl¾ufha§ kyr fjku wfkla mglj,ska fjka lr,d uQ;%djdyskS yd jl=.vqj wfkla mgl j,ska fjka lsÍfï lghqla; ksu jqKdg miafia jl=.vq noaO lsÍug wjYH lrk frda.shdf.a w¨;a jl=. vqj ia:dms; lsÍfï ishqï iSreudre isÿlr .kakjd' bka miafi kej;;a jl=.vqj, mß;Hd. lrk mqoa.,hdf.a kyr uq;%jdysks fjkalr" b;du;a iSrefjka jl=. vqj bj;g .kakjd' jl=.vqj bj;a l< miq th kslka ;shdf.k bkak nE' tys ffi, uefrkak fkdoS icSùj mj;ajd .kak YS; l, Èhrhla jl=.vqj yryd hjkak ´ks' f,a kyrj,ska reêrh jykh fkdjk fia kyr msßoaoSï lsÍfuka miq odhlhdf.a

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March 2021

DOCTOR MAGAZINE

jl=.vqjla noaO lrk ie;alu

ie;alu iudma; fjkjd' bkamiqj ;sfhkafka w¨;a jl=.vqj frda.shdg ;ekam;a lsÍfï ld¾hhs' t;ek§ kyr noaO lsÍula lrkak fjkjd' uq;%d jdysksh uq;%dYhg iïnkaO lrkak fjkjd' jl=.vqfõ ;sfhk m%Odk Ouksh iy Ysrdj Worfha ;sfhk Ouks iy Ysrd j,g iïnkaO lrkjd' bka miqj t<fUkafka wjysr lr, Ouks yd Ysrd iïnkaO lr, jl=.vqjg reêrh ,nd§u' hï ld,hla ;siafia ue,ú,d ;snqKq ta w¨;a jl=.vqj reêrh ,eîu;a iu.u mK .y,d tk wjia:dj ffjoHjreka fndfydu i;=gg m;a fjk wjia:djla' ta fudfydf;au uq;%d yefokak;a mgka .kakjd' jl=.vq noaO lsÍï lshkafka úis tla fjks Y; j¾Ifha wdYap¾h lsh,hs lshkafka' fï noaO lsÍï ksid frda.shdg w¨;ska Ôú;hla ,efnkjd' jl=.vqjla oka fok mqoa.,hd b;d W;=ï ukqiaifhla' Tyq ;j;a flfklaf.a Ôú;h fír.kak úYd, mskalula lrk flfkla' wms wfma idhk j,È;a iEu úgu Tyqg m%uqL;ajh fokjd' we;a; jYfhkau Tyqg lsisu wdldrhl ydkshla" w;=re wdka;rdhla we;s fkdjkakg j. n,d .kakg ffjoHjreka ie§ meye§ isákjd' doctormagazine.lk

Tyq ñh.sh;a jl=.vqfõ we;s jk ixl+,;d ksid ñh hkakg bvla kE'

m%;sYla;sh fnfyúka wvmK lrk Y,Hl¾uhla jl=.vqjla noaO lsÍfï Y,Hl¾uh yqfola idudkHfhka isÿlrk Y,Hl¾uhlg jvd fjkia' fïflÈ fjk;a flfklaf. wjhjhla ;ukaf.a YÍrhg ,ndfokjd' YÍrh ksrka;rfhka fuh m%;slafIam lsÍfï W;aidyhl fhfokjd' w¿;a jl=. vqj fhfylska ia:dms; lrkak kï" fï m%;slafIam lsÍfï iajdNdúl W;aidyh uev mj;ajkak wmsg isoaO fjkjd' ta i|yd ;uhs wms YÍrfha iajdNdúl m%;sYla;sh ÿ¾j, lrkak W;aidy .kafk' ta i|yd wms m%;sYla;s wjysrl T!IO frda.shdg ,ndfokjd' YÍrfha ;sfhk m%;sYla;slrKh ÿ¾j, lrk W;aidyfhaoS wmg fjk;a wjodkula we;s fjkjd' wmg f,v frda. we;sùfï bvlv u¾okh lrkak ;sfhk iajdNdúl m%;sYla;slrK yelshdj ke;s fjkjd' fïl jl=.vq noaO lsÍfuka miqj frda.sfhl=g uqyqK mdkakg isÿ fjk wNsfhda.hla' oeä fia wjOdrKh lr.; hq;= ldrKh ;uhs jl=. vq noaO lsÍfuka miafia Ôú; ld,h mqrdjgu fï jl=. vq wdrlaId lr.kak m%;sYla;slrK wjysrl fnfy;a fndkak isoaO fjkjd' Tng wjqreÿ úiailg tyd .sh Ôú; ld,hla ,nd§u ;uhs ffjoHjrekaf.a wruqK' fï wdldrfhka m%fõYï jqfKd;a th fl;rï id¾:l W;aidyhlao lsh;fyd;a" fjk;a fjk;a frda.hla ksid

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jl=.vq noaO l< frda.sfhla mßiaiï fjkak ´ks fufyuhs m%;sYla;slrK moaO;sh wvd, lrkakg T!IO ,nd§u ksid fï frda.Ska ksrka;rfhka fjk;a frda. j,g ,laùfï wjodku jeähs' fï ksid úIîcj,ska wdrlaId jkakg Tjqka úfYaI mßY%uhla fhdod .kak ´ks' ta jf.au fudlla yß fjkialula ÿ¾j,lula weÕg oekqfKd;a ta nj ffjoHjrhdg oekqï §,d m%;sldr ,nd.kak ´fka' wms frda.Skag fm%âksisf,daka lsh,d T!IOhla ,nd fokjd' tfl;a wruqK m%;sYla;slrK moaO;sh hgm;a lsÍu' fïl ,nd§u ksid iuyr úg Èhjeähdj fkdue;s frda.sfhl=g Wk;a reêrfha iSks m%udKh jeä fjkak mq¿jka' fï frda.Skaf.a iSks uÜgu" fldf,iagfrda,a uÜgu fukau reêr mSvkh;a ksrka;rfhka mÍlaIdjg ,la lrkakg isoaO fjkjd' DM

March 2021

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Fitness wms nhsisl,a mosuqo@

Cycling Sunday

Cycling wms nhsisl,a mosuqo@ nishslf,ka cSú;h fjkia lr .ekSfï hiia fyajf.a iQ;%h hiia fyajf.a wmQre oelaula iys; wdl¾YkSh prs;hla' Tyq oeka ;reKfhlau;a fkdfjhs" ta;a jhia.;ùfï iajdNdúl l%shdj,shg tfrysj Tyq is;skq;a" .;skq;a hqoaO m%ldY lr<d' fldákau Tyq fkdoeKQj;aju ;srsyka fjkjd' ljqo fï hiia fyajf.a@

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wo wfma rfÜ fndfyda fofkla hiia fyajf.a okakjd' fkdokakd flfkla bkakjd kï Tyq yenEjgu oek.kak ´ksu mrudo¾YS pß;hla' frdao fofla jdyfka''' ÿmam;a nhsisl,h weiqf¾" wfma rfÜ ck;djf.a cSú;h fjkia lrjkakg wmQ¾j jQ W;aidyhl ksr; jqKq hiia fyajf.a wo ta Tiafia lsishï iudc úma,jhlgo wj;S¾K ù ;sfnkjd lsõfjd;a th ksjeroshs' hiia fyajf.a f. w¿;au Motivtion tl ;uhs Cycling Sunday.

Y%S chj¾Okmqr md¾,sfïka;=j wdikakfha b|ka" fnd/,a,"

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f¾iafldaia tl" ksoyia p;=rY%h myq lrf.k kej; ta ud¾.h Tiafiau fjdag¾iatca yryd lsUQ,dj,g ;sfhk lsf,da óg¾ 22l ú;r ÿr nhsislf,ka hkak Tyq jHdhduhla ke;s fld<U cSj;a fjk ck;djg wdrdOkd l<d' zzkslïu fkdfjhs" mjq,a msáka tkak''' weú;a n,kak fï nhsislf,ka hk .uk Tng fudk ;rï m%;s,dN w;am;a lr fokjo lsh,'''ZZ hiia fyajf.a tfyu lshkjd'

nhsisl,a moskafkda iEu úg oskkafkdah isref¾ iu;=<s;;djh YÍrfha wNHka;r ;=<s;;djhg wjYHfhkau jeo.;a jk ixfldapkh;a" bys,a ùu;a w;r ;=<s;;djh mj;ajd .kshs

yoj; iqjfi; yoj;g wys;lr f,i n,mj;ajk ish¿u idOl ie<lsh hq;= f,i wvq fjhs' ksrka;rfhka nhsisl,a meoSu ksid yDohdndO iEoSfï wjodku yß wvlskau wvq fjhs

ifudaOdkh oE;a j,ska ye`v,h yiqrej;aoS ihsl,a meoSfïoS mdo j, we;sjk jD;a;dldr p,s;h isref¾ tlsfkl wjhj j, fN!;sl l%shdld¾;ajhg wmQ¾j wNHdihla imhhs

fmaYs i;shl ld,hla m%fhdackhg fkd.;fyd;a fmaYs j, iúh ishhg 50lska wvq fjhs' th ;jÿrg;a mej;=fKd;a isÿ jkafka uyd kmqrls' nhsisl,a meoSfïoS isref¾ iEu udxYfmaYshlgu mdfya jHdhdu ,efnkafkah

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udkisl fi!LHh tlajru we;sjk ifudaOdks; wNHdih ukig wmQ¾j fjkila tla lrhs' wd;;sh" mSvkh bys,a jk w;r fud<fhka ix;=IaÀhg n,mdk fydafudak >%djh jeä lrhs

fldkafoa wudrej nhsisl,a meofïoS mj;ajd .kakd bßhõj;a" mdo j, p,k;a fldkao Yla;su;a lrhs' fldkafoa wudrelï ke;s lrhs

fïo oykh nhsisl,a meoSu ksid YÍrh lsishï n,.ekaùulg ,la fjhs' YdÍßl fhda.H;djh fuï ksid úYd, jYfhka jeä jk w;r fïo oykh yd mßjD;a;Sh fõ.j;a fjhs

ikaê iqjfi; j,hdldr p,k ksid ldáf,ac j,g myiqfjka fmdaIKh ,efnhs' fï ksid frda. we;sùfï wjia:d wE;a fjhs

March 2021

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Fitness wms nhsisl,a mosuqo@

Cycling Sunday tlg l%Svd wud;HxYfha;a" wdrlaIl wud;HxYfha;a fndfyda fm!oa.,sl wdh;k j,;a iydh fkdwvqju ,enqfKA fuys id¾:l;ajh u; wjfYAI m<d;a j,;a ck;djf.a iqj iïm; fjkqfjka fï lghq;a; wdrïN lrkakg W;af;ackhla fjñka' ta Tiafia Tyq kj;djfhka mjqf, Woúh;a tlal nhsisl,a moskak jevigykla wdrïN l<d' rg mqrdu ld¾ nd¾ fjkqjg nhsisl,a mosk ixf;dafika cSú;h ú|sk ñksiqka jeä lr.kak tl ;uhs Tyqf.a wysxil W;aidyh' hiia fyajf.a uq,skau nexl= lafIA;%fha /lshdjla ;u cSúldj fjkqfjka f;dard .;a;d' fldákau lsõfjd;a fmdä ;eklska' nexl= foll jD;a;Sh cSú;h ;=< b;du;au flá ld,hlska by<u ;dkdka;r iam¾Y l<d' fyd| jegqmla" jákd jdykhla" iudc ms<s. ekSu Tyq iïmQ¾K ñksfil= l<d''' ta Tyqf.a lemùfï m%;sM<hla jYfhka' i,a,s" hdkjdyk" f.j,a fodrj,a''' fï foaj,a we;a;gu" ñksfila iïmQ¾K lrkjdo@ Tyq ;ukaf.kau úuiqjd''' cSj;a fjkak wmsg wdl¾YKSh fm<Uùula ;sfhkak ´ks' tal Passion tlla fjkak ´ks' uu fï f.jk cSúf;a we;a;gu ;sfhkafk wm wfmalaId lrk fm<Uùuo@ Passion tlo@ wms .; lrk fï taldldÍ fï cSjk rgdj wjidk fjkafk fldfyduo@ ysñosßfh ke.sg, cekaähg we| me<| .kakjd' jdyfkalska ^g%e*sla tfla& jevg hkjd" nridr lEu ri lr lr lkjd''' fmdaka tlg fldgkjd" fmdaka tl tlal fodvu¿ fjkjd" fmdaka tl ksid ;ukaf.a {d;s ysff;ISka mjd wE;a lr .kakjd''' fï úosyg cSúf;a f.fjkjd''' fï lk lEu ksid" fï .; lrk cSjk rgdj ksid ál ldf,lska wmsg f,v yefokjd''' Bg miafi wms leu;s foa tlska tl wvq lrkak fjkjd'''' wjidkfha taldldÍ cSú;hl ysr fjkjd'''' wfka okafku ke;sj wfma wjidkh;a <x fjkjd'''

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uf.a wefÕ le,ß oykh lrkak ug wuq;=fjka l%u fydhkak ´ks;a kE' ug ´ks fohla lkak mq¿jka' lEu f;darkak wjYH fjkafk kE' fpdla,Ü mqäx tlla lkak uu fldhs fj,dfj j;a nh fjkafk;a kE'ZZ

zzzuu;a fï pl%hg bv oS, n,df.k bkakjdo'''@ZZ hiia tfyu ys;kak we;s' fï hk úosfya fudlla fyda nrm;, je/ oaola ;sfhkjdfoda lsh, ielhl=;a Tyqg oefkkak we;s' nhsisl,a mosk tl hiiaf. mqxÑ ikaosfh wdidjla jqKd' Tyqg mqxÑldf, .=re yrelï ÿka Tyqf. mshd nhsisl,h ú;rla fkdfjhs" cSú;h;a fydhd .kak mdr lshd ÿkak' miafika myq ldf, /lshdj" .Dyia: cSú;fha wúfõlS nj jYfhka úúO ye, yemamSï ueoafo jqK;a nhsisl,hg ;snqKQ wdidj bjrhlaa jqfKA kE''' ;ukaf.

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cSú;fha tla ;SrKd;aul ikaêia:dkhlos Tyq ;SrKhla .;a;d' isÿy;a l=udrhd .sys f.h w;a yer, .sfha Tyq jeäfhkau iqL úyrK ,enQ wjia:dfj' hiia fyajf.a ;uka tf;la Wmhd.;a jD;a;Sh cSú;h" jrm%ido Tlafldu w;a yeßfh;a Tyqf. biqreu;a cSú;fh l+gm%dma;sfhaos' nexl=fjka t<shg neiai fï ydoh wdofrka ;=re¿ lr.;af; frdao fofla nhsisl,h' Tyqf. .ejfik ia:dk jqfK úkal,h" uyu.''' ta w;aoelSu .ek Tyq fufyu;a lshkjd' zzbiair ld¾ tfla hkfldg ljodj;a wdY%h fkdlrk ñksiaiq uf.a cSúf;ag <x jqKd' uy u. cSúldj .; lrkakka" g%emsla rd,ydñ,d''' wdoS jYfhka' ta wh yd icSù ixksfõokh yßu pu;aldrhs' tal ld¾ tfla ysrfj,d ljodj;a Feel fjkafk kE''' Tyq ,xldfj lª mdrj,a yeu tllau jf.a lsysm j;djla ;rKh lr, ;sfhkjd' lvq.kakdj" roe,a," rd.," rïfndv" ymq;f,a''' iuyr úg fld<U b|ka nhsislf,ka fydard lsysmhlska doctormagazine.lk

Cycling Sunday - ksfrda.S iïmkak ck;djla Wfoid hym;a wdrïNhla fkdfjo@

kqjrt<sfh' úfoaY nhsisl,a ijdß Tyqg kejqï w;aoelSï tla l<d' jrla Tyq wefußldfj úYd,;u lkao" ujqkaÜ tjkaia" nhsislf,ka .shd' bkaoshdfj Tyq nhsisl,a meoao isysk mdrj,a ;snqK'''' wfma rfÜ ú;rla fkdfjhs" fndfyda rgj, ckdorhg ,lajqK nhsisl,a Icon tl hiia fyajf.a' fï j¾Ih wdrïNfhaoSu Tyq Kimbla Race lsh, nhsisl,a meoSfï isß; iudc.; lsÍfï wruqKska f,dl= event tll=;a l<d' Softlogic fï rgg wuq;= f,v lsysmhla yªkajd ÿka wdh;khla' fmd;a lshjk March 2021

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Fitness wms nhsisl,a mosuqo@

f,v" lª k.sk f,v" mslaksla hk f,v'''' fï f,v yeÿku wefÕa ;sfhk f,v wvq fjkjd' ke;s fjkjd' tu lS¾;su;a iud.u nhsisl,a mosk wuq;= f,fâg Role Model tl lr.;af; hiia' hiia kslïu kslï nhsisl,a moskafkla u;a fkdfjhs' Tyqf. idvïnr nexl= jD;a;Sh cSú;hg ksudjla ÿka Tyq kj ;d,fha jHdmdr /ila miq ld,fha ks¾udKh l<d' jákd ;rÕldÍ wOHdmksl wjia:djka fï rfÜ ;=reKQ mrïmrdjg ,nd fokak Tyq miq.sh ld,h ;=< fndfyda foa lr ;sfnkjd' ;uka wkqo;a jákd foa iudchg odhl lsÍug;a hiia ksryxldr ù ;sfnkjd' Tyq wfma ldf, mrïmrdjg cSú;h ch .kag Okd;aul Ñka;dj,s bosßm;a lrk foaYlfhl= jYfhka ,nd fok odhl;ajh wdYAjdokShhs' nhsisl,a moskak .syska Tyq cSú;fha lsisu fohla ke;s lrf.k;a kE' yßu mqÿuhs' zznhsisl,a meo, Tfí cSú;hg w¿f;ka tl;= jQ foaj,a ;sfhkjdo@ZZ fï hiia fyajf.a Bg fok ms<s;=r''' zzuu Wfoa y;rhs mkia kjhg ke.sákjd' talg ug t,dï tlla wjYH kE'''' fudlo uf.a cSú;h f.fjkafk uf.a Passion tl lrf.k' ´f.d,af,d ke.sg,d jdyk mdrg odkak biafi,a, uf.a nhsisl,a .uk uu wjika lrkak;a ´ksfk''''ZZ zzuu ysñosßfh meh tl yudrla ú;r nhsisl,a moskjd' tfyu l<du ug wdfh jHdhdu ´ks kE' ta Energy tl uq¿ ojigu ud iqmikaj ;nkjd'ZZ zzuf.a wefÕ le,ß oykh lrkak ug wuq;=fjka l%u fydhkak ´ks;a kE' uf.a mßjD;a;Sh ^wdydr cS¾Kh ù isrerg wjfYdaiKh fjk l%shdj,sh& fõ.j;aj isoaO fjkjd' ug ´ks fohla lkak mq¿jka' Th lshk lEu ug f;darkak wjYH fjkafk kE' fpdla,Ü mqäx tlla lkak uu fldhs fj,dfj j;a nh fjkafk kE'ZZ

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zzug ihsl,a moskfldg óg fmr ljodj;a yuq fkdjqKQ iqkaor ñksiqka yuqfjkjd' Tjqka uf.a cSú;fha fldgialdrhka njg m;a fjkjd' uu yßu i;=áka Woafhda.fhka bkakg wjYH miqìu fï nhsislf,ka ug ,efnkjd'ZZ zzuyd úoHd{fhl= jk we,an¾Ü whskaiaghska fufyu lsõj' When you cycling, You get ideas iy;sl we;a;' ug fï ldf, wka ljrodg;a jvd idrj;a woyia ;sfnkjd' tajhska uu iudchg jevodhS hula lrkak ksrka;rfhka W;aidy lrkjd'ZZ hiia ;u úNjhka wmQrejg l<uKdlrKh lr.ksñka cSú;h ch.;a ;reKfhla' Tyq f,vÿla" úúO wikSm j,ska msÍ.;a iudchg wmQ¾j ksfrda.Slfï udj;la yªkajd oS ;sfnkjd''' th ;s;a; lIdh" ÿIalr jD;hka yryd .uka l< hq;= ÿIAlr udj;la fkdfjhs' cSú;hg wdf,dalhla" wdkkaohla ,nd fok m%;s,dN /ila imsß iqkaor yd pu;aldrckl jQ udj;la' jHdhdu .ek jeä jeäfhka l;dny flfrk fï ld,fha hiia fmkajd fok ux;Srej Tfí;a ux ;Srej lr .;af;d;a@ DM

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COVID-19 Vaccine initiative COVID 19 frda.h i|yd fok tkak;a

CORONAVIRUS (COVID-19) VACCINE INITIATIVE

COVID 19 frda.h i|yd fok tkak;a wfma rg iEuúgu tkak;alrKfhaoS l,dmfha fiiq rgj,g jvd bosßfhka isákjd'''' ffjri frda. úfYaI{ ffjoH .S;dks .,f.dv MBBS, Dip.(Med.Micro), MD ridhkd.dr m%Odks" ,xld fydiamsÜ,a vh.afkdiaálaia

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COVID-19 Vaccine initiative COVID 19 frda.h i|yd fok tkak;a

COVID 19 frda.h l=ÿ uy;a f,dalfha;a" miq.sh jir w.Nd.fha isg wfma rg Y%S ,xldfõ;a" fõ.fhka me;sfrñka mj;skjd' COVID 19 frda.h i|yd tkak;a ksmoùu wdrïN jqfKa frda.h y÷kd.ekSu;a iu.uhs' fuu frda.fhka ck;dj wdrlaId lr .ekSug oekgu;a tkak;a j¾. lsysmhlau ksmojd wjika' tfiau f,dalfha rgj,a fndfyduhla fuu tkak; ,nd§u fï jk úg;a wdrïN lr ;sfnkjd' Y%S ,xldj;a thg we;=<;a' COVID 19 tkak;a .ek Tfí oekqu mq¿,a lr .ekSug fuh wjia:djla lr .ksuq' wm uq,skau tkak;a hkq l=ulao@ úuiuq

imqrd ;=rka lr.ekSug fkdyels jqK;a wfma rfÜ <ud tkak;a u.ska b;d oreKq frda. rdYshla md,kh lr ;sfnkjd nd,l mlaI.d; frda.h" llal,aleiai" msg.eiau" irïm" refn,a,d" lïuq,a.dh ñka lsysmhla'

tkak;la fokafka ljr wdrlaIdjlao@ tkak;la hkq frda.hla iE§u j<lajd .ekSug fhdok Wml%uhla' th lsisfia;au frda.hlg m%;sldrhla fkdfjhs' b;ska frda.hla iEÿKq flfkl=g tkak;la ,ndoSfuka m%fhdackhla we;s jkafka keye'

tkak;a w¿f;ka yªkajd oSu ixlS¾K l%shdj,shla idudkHfhka w¨‍;a frda. hlg tkak;la ksmojd th ck.; lsÍug jir 5-8l muK ld,hla .; fjkjd' w¨‍;au tkak;la ksIAmdokh l< úg uq,skau i;a;aj mÍlaIK weiqf¾" thska id¾:l f,i frda.h je<elaúh yelso@ tys úIùï ,laIK ;sfnkjdo@ ke;akï YÍrhg wys;lr oE wvx.=o@ hkd§ jYfhka m¾fhaIK mj;ajkjd' fï i|yd wjqreÿ fofla isg y;r olajd ld,hla .; fjkjd'

,dxflah wmg tkak;a b;d fyd¢ka m<mqreÿ fohla' wms l=vd ld,fhaoS fndajk frda. kuhlg tkak;a ,nd .kakjd' wmg wdvïnr úh yels ol=Kq wdishdfõ b;du fyd¢ka tkak;a ,nd fok m%;sYla;slrK jevigykla we;s rgla f,i Y%S ,xldj lS¾;shla Èkdf.k ;sfnkjd' tkak;a j,ska lrkafka wod, frda.h fjk;a úÈylska isrerg we;=¿ lsÍuhs' fuh m<uqj y÷kajd ÿkafka 1796§ tâj¾â fck¾ kï ì%;dkH cd;sl ffjoHjrfhls' jiQßhg iudk" kuq;a t;rïu Nhdkl ke;s t<fokqka" .jhkag iEfok Cowpox kï frda.h tu i;=ka n,d .kakd ldka;djkag je,e£ ;snqKd' jiQßh frda.h fldhsldg iEÿk;a fuu i;=ka n,d.kakd ldka;djka jiQßh frda. fhka wdrlaId jqKd' b;ska Tyq l,amkd l<d Cowpox frda.h ñksiaiqkaf.a weÕg we;=,a lf<d;a Tjqkag bkamiq jiQßh yefokafka ke;s fjhs lsh,d' f,dalfha m<uq tkak; ksmojqfKA fï isÿùu mdol lrf.khs' oekg tkak;a j,g msx isÿ õkkg jiQßh uq¿ f,dalfhkau ;=rka lr ;sfnkjd'

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läuqäfha ck.; jQ fldúâ tkak;a kuq;a COVID 19 i|yd udi .Kklska fï m¾fhaIK ish,a, isÿ l<d'

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fjkjd' ;j;a j¾.hla jkafk" Ôù kuq;a n, rys; ^Live attenuated& tkak;a wm fyd¢ka okakd uqLfhka .kakd fmda,sfhda tkak;" irïm" refn,a,d" lïuq,a.dh i|yd ,nd fok tkak;a fï w;r fjkjd'

uE; ld,Skj ñksia j. uqyqK mE nrm;,u fi!LH wNsfhda.h jQ fldúâ jix.;h yuqfõ Bg .e,fmk tkak;la fidhd .ekSug m¾fhaIlhka hqyqiq¿ jQ w;r tys m%;sM<hla jYfhka wo ojfia jix.;fhka wdrlaId ùfï n,.;=u wúh njg zztkak;aZZ m;aj ;sfí

tkak;la mdúÉÑhg fmr Phase I, II, III f,i wÈhr ;=klska m¾fhaIK l< hq;= jkjd' m<uq wÈhf¾§ tkak; ksfrda.S mqoa.,hka ishhlg muK ,nd fokjd' Tjqkg thska hïlsis wys;lr ;;a;ajhla we;s fõ oehs fidhd n,kjd' fojk wÈhf¾§ thg jvd jeä lKavdhulg tkak; ,nd§ Tjqkg frda.h je<elaúh yels oehs mÍlaId lr n,kjd' by; wÈhr folu id¾:l kï f;jk wÈhf¾ § oyia .Kkla fhdodf.k tys iM<;djh wOHhkh lrkjd' idudkHfhka fuu ;=kajeks wÈhr i|yd jir 5lg ld,hla .; fjkjd kuq;a COVID 19 tkak; i|yd fuu wÈhr ;=k tlajr mj;ajd b;d blauKska udi .dkla ;=< t<soelaùug úoHd{hkag yels jqKd' Ndú;fha we;s tkak;a j¾. oekg f,dalfha we;s ffjria frda. i|yd we;s tkak;a j¾. iy tajdfha úoHd;aul moku .ek wms oeka l;d lruq' bka m%Odk j¾.hla kï ffjrih wl%Sh lrk ,o Inactivated Vaccines llal,a leiai" bka*a¨fjkaid" c,NS;sldj i|yd Ndú;hg .kakd tkak;a fï w;r doctormagazine.lk

ffjrifha fm%daàk mdúÉÑ lrk tkak;a j¾. subunit vaccines fyj;a iqúfYaIS tkak;a j¾.hla' fymghsáia B tkak;" .eíf., ms<sld j<lajk memsf,daud ffjria tkak; fuhg WodyrKhs' COVID 19 tkak;a i|yd fï iEu j¾.hlau Ndú;d lrk w;ru ;j;a w¨‍;a l%u u.skao tkak;a ksmojd ;sfnkjd' f,dalfha uq,a jrg fldúâ frda.h i|yd tkak;la yªkajd ÿka Moderna iy Pfizer BioNTech hk iud.ï ;u tkak;a ksmojQfha MessengerRNA (mRNA) kï ;dlaIKhlg' Messenger RNA (mRNA) úfYAI jkafka frda. j,ska wdrlaId ùug fm%daàk ksmojk f,i wK lrk l%shdj,shl fï mRNA ksr; ùu ksihs' ;j;a j¾.hla March 2021

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COVID-19 Vaccine initiative COVID 19 frda.h i|yd fok tkak;a

fldúâ jix.;fhka f,da jeishka uqojd.kakg Ndú;hg meñKS úúO tkak;a wdldr

jkafka fjk;a jdylfhl= u.ska COVID 19 ffjrifha f.fkdau isrerg we;=,a lsÍuhs' Oxford-AstraZeneca tkak; l%shd;aul fjkafka fï l%uhghs' ,xldjg fï Oxford-AstraZeneca tkak; b;d jeo.;a jkafka oekg ,xldfõ Ndú;d lrk Covishield tkak; OxfordAstraZeneca ;dlaIKh u; bkaÈhdfõ ksmojk tkak; ùuhs' reishdfõ Gamaleya wdh;kh ksmojk Sputnik V Vaccine tkak;o fï j¾.hgu wh;a jkjd' Ökfha ksmojk Sinovac Vaccine yd Sinopharm vaccine tkak;a wh;a jkafkao wm óg l,ska i|yka l< wl%sh l< tkak;a j¾.hghs' wl%Sh l< tkak;a oekg m¾fhaIK isÿ lr iudc.; lr ;sfnkjd' tka;;a j, iM<;djh B<Õg b;d jeo.;a m%Yakhla jkafka fï tkak;a fl;rï n, iys;o hkakhs fïjdhska Pfizer yd Moderna tkak;a fol ishhg 95 l id¾:l;ajhla fmkajkjd' fuys f;areu jkafka ish fokl=g tkak; ,nd ÿkafkd;a wkq miafokl= tkak; ksid 42

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wdrlaId fjk njhs' Oxford-AstraZeneca tkak; ishhg 70l id¾:l;ajhla fmkajkjd' oekg wkqu; lr we;s tkak;a ish,a, ud;%d folla ,nd Èh hq;=hs' i;s fofla isg y;r olajd ld,h ;=< tkak;aj, fofjks ud;%dj ,nd .; hq;= jkjd' w¨‍;au m¾fhaIK u.ska Covishield fojeks tkak;a ud;%dj i;s 12lska ,nd §fuka Wmßu m, ,nd .; yels nj fmkajd§ ;sfnkjd'

doctormagazine.lk

tkak;a .nvd lrk WIAK;ajh fndfyda fokd l;d lrk ;j;a .eg¨‍jla jkafka tkak;a .nvdlr ;nd.; yels WIaK;ajh l=ulao hkakhs idudkHfhka ,xldfõ ;sfnk <ud tkak;a j¾. ish,a,u idudkH YS;lrKhl .nvd l< yelshs' oekg f,dalfha Ndú;d lrk fldúâ tkak;a w;ßka Oxford-AstraZeneca, Sinovac yd Sinopharm tkak;a fï wdldrhg .nvdlr ;nd.; yelshs' kuq;a Moderna iy Pfizer tkak;a fikaá%f.aÜ -20 iy -80 ys .nvd l, hq;=hs' ,xldj jeks ksj¾;k l,dmSh rgl fuh m%Yakhla úh yels kuq;a wfma rfÜ tlajr ,laI myl muK tkak;a m%udKhla .nvd lr .ekSfï yelshdj ;sfnkjd' COVAX ixOdkfhka fkdñf,a tkak;a COVAX kï we;s f,dal fi!LH ixúOdkhg iïnkaO wdh;khla iEu rglu ck.ykfhka ishhg 20l m%udKhlg tkak;a fkdñf,a ,nd §ug lghq;= lr ;sfnkjd' fuu ishhg 20g wh;a jkafka fi!LH fiajlhska" wdrlaIl wxY" Èhjeähd" yDo frda. jeks frda.Ska" jhia.; ldKavh jk w;r fï tkak;a ,nd .ekSu i|yd oekg wfma rg;a lghq;= lrf.k hkjd' bkaÈhdfõ ksmojk Oxford-AstraZeneca tkak;a f;d. hla miq.shod ,xldjg mß;Hd.hla f,i ,enqKd' tu tkak;a oekg fi!LH fiajlhska w;r iy f;dard.;a m%uqL;d ,ndÈh hq;= ldKav w;r ,ndfokjd' fuu tkak;a ,nd.; fkdyelafla ldgo@ <uqka" lsßfok iy .¾N‚ uõjrekag fuu tkak; ,nd fokafka kE' ta wh iïnkaOfhka fuu tkakf;ys l%shdldß;ajh iïnkaOfhka ;ju;a f;dr;=re ,eî ke;s ksid fï ;SrKh f.k ;sfnkjd' ta iïnkaOfhka oeka m¾fhaIK meje;afjkjd' tu m¾fhaIK m%;sM, wkqj ‍bosßfha fï wh iïnkaOfhkq;a ;Skaÿjla .kakg yels fõú' tkak;a lsÍu kqiqÿiq wh wka tkak;a j¾. j,oS fuka oekg WK jeks frda. doctormagazine.lk

tkak;alrKh Tiafia frda. jHdma;sh je<elaùu m<uq wdo¾Yh Y%Su;a tâjâ fck¾

hlska fmf<k wfhl=g tkak;a ,nd§u m%udo lrkjd' tkakf;ys wka;¾.; øjHhkag wêl wdid;añl;djh we;s flfkl=go fï tkak; ks¾foaY lrkafka keye' oekg ,xldfõ ,nd fok ldKav i|yd jd¾;d.;a wdid;añl;djhka we;s kï ta who tkak; ,nd fkd.ekSu fyd|hs' tkak; ,nd .ekSfïoS we;súh yels wmyiq;d fudkjdo@ uQ,sl jYfhka iq¿ fõokdjla we;sfõ' tkak;a lrk ,o ia:dkh r;a meye .ekSu' iuyr whg uo WK" iS;," fjõ,Su we;súh yelshs' ysfia fõokdj" isref¾ wmyiq .;sh" ykaÈ fõokdj" lrleú,a, iy jukh we;s jkakg

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COVID-19 Vaccine initiative COVID 19 frda.h i|yd fok tkak;a

fldúâ frda.fhka ck;dj wdrlaId lsrSug fï tkak;a l%shd lrkafka fldfyduo@ wjika woshf¾ wOHhk j,g wkQj oekg Ndú;fha mj;akd tkak;a fldúâ 19 frda.fhka ck;dj uqojd .ekSug we;s iM<;djh

mq¿jka' osklska follska tu ,laIK ke;s ù hkjd' l,d;=rlska isref¾ m¨‍ oeóu" isysh ke;sùu jd¾;d ù ;sfnkjd'

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oekg f,dalfha lsisu ;eklska COVID-19 Variant tfia ke;akï ffjrifha miqj fjkia jQ wdldr jd¾;d ù ;sfnkjd' iuyr tkak;a j¾. fjkia jQ ffjrij,g wdrlaIdj wvq ù we;s nj jd¾;d fjkjd' oekgu;a tu Variant ffjria j¾. i|yd tkak;a ksmoùu wdrïN ù ;sfnkjd' Tng osh yels jeo.;au m‚úvh jkafka ffjrih wdidokh ùu;a" frda.h je<£u;a hkak fjkia ldrKd folla jk njhs' tkak;ska j<lajkafka frda.h je<£uhs' ffjrih isrerg we;=¿ùu fkdfõ' tkak;a ud;%d folu ,nd.;a miq;a uqL wdjrKhla me<£u" w;a fia§u" ógrhl ÿrla mj;ajd .ekSfï hym;a fi!LH mqreÿ wm È.gu mj;ajd .; hq;=hs' DM

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Community Immunity m%cd m%;sYla;sh iy wfma fyg oji

Herd Immunity

wms tlu ?fka l=re,af,da'''' m%cd m%;sYla;sh iy wfma fyg oji fï jix.;h wfma rfgka m<jd y, yels ud¾.h fuhhs wmsg fok tkak;a wms ,nd .ksuq' th Tn wdrlaId fjk w;r" rgg lrk fiajhlao fjkjd''' ffjoH úoHdj mYapd;a Wmdê wdh;kfha fjoH ,ysre fldä;=jlal=

w

fma b;sydih mqrdjgu wms yqÕla igka j,ska ch .;af;a ;ksju fkfuhs" wfma ifydaor ck;dj tlu wruqKla fjkqfjka rgla úosyg lghq;= lsÍu ksihs'''

fï tluq;=j nfõ jákdlu wo fjkodg;a jvd fyd|ska oefkkjd' ta ful, wfma fmdÿ i;=rd jQ fldúâ jix.;hg tfrys igfka§''' wo fjkfldg furg ck;dj fldúâ tkak;ska ikakoaO lrk njg rch fmdfrdkaÿ ù yudrhs' fï iudch fldúâ jix.;hg tfrysj tkak;a lrk igfkaoS ;uhs" fï zzm%cd m%;sYla;shZZ lshk jpkh lr<shg tkafka'' doctormagazine.lk

m%cd m%;sYla;sh$rxpq m%;sYla;sh lshkafka fudllao@ f;dard.;a m%foaYhl fyda rgl ck.ykfhka úYd, ixLHdjla ^fuu ixLHdj tla tla frda. hg wdfõKslhs& lsishï frda.hlg tfrysj m%;sYla;sh ,nd we;akï" tlS frda.h ;jÿrg;a tu m%foaYh$rg ;=< me;sÍ hdu je<flkjd' fuysoS ;ks ;ks jYfhka tla tla mqoa.,hd m%;sYla;sh ,nd.ekSu wjYH fkdjqK;a" lKavdhula jYfhka ,nd we;s m%;sYla;slrKfhka id;sYh nyq;rhla fokd frda.fhka wdrlaId flfrkjd' fuysoS isÿ jkafka ck.ykfhka jeä msßila m%;sYla;sh ,nd.ekSfuka" Tjqka m,syla f,i l%shdlrñka frda.hg ksrdjrKh ùfï jeä wjodkula we;s msßia frda.fhka wdrlaId lsÍuhs' úYd, lKavdhula" msßila f,i wm ,nd we;s m%;sYla;sh ksid frda.hg ;jÿrg;a wms w;r me;sfrkak" f.dÿre fidhkak mj;akd wjldY u.yeÍ hkjd" tal ;ud frda.fha u<.u''' fï iuia; l%shdj,shg ;ud zzm%cd m%;sYla;shZZZ fyj;a zzrxpq m%;sYla;shZZ lshkafka' March 2021

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Community Immunity m%cd m%;sYla;sh iy wfma fyg oji

m%cd m%;sYla;sh we;sfjk l%u fudkjdo@ ² frda.h úiska iajdNdúlju ck.ykfhka iEfyk msßila f.dÿre lrf.k wjidkfha ck;dj frda.h iEÈu ksid ,nd.;a m%;sYla;sh fya;=fjka" m%cd m%;sYla;sh we;s fjkjd' ² tkak;la ud¾.fhka ck;djf.ka jeä fldgila m%;sYla;slrKh lsÍu ;=<ska m%cd m%;sYla;sh ,nd. kakjd' fldúâ j,g tfrysj l%shd lrkafka Th fojk l%fïg' wms oekgu;a iuia; rgu wdjrKh jk m%;sYla;slrK jevigyklg lghq;= lrkjd' Basic Reproduction Number úoaj;=ka mjik úÈhg fldúâ j,g tfrysj m%cd m%;sYla;sh ,nd.kak kï ck.ykfhka ishhg 50-67;a w;r m%udKhla fldúâ j,g m%;sfrdaOhla ,nd.; hq;=hs' fï w.h rodmj;skafka frda.h fnda lrk fjrifha R0 (Basic Reproduction Number& lshk w.h u;hs' tla wdidÈ; mqoa.,fhlag" ñka fmr fjrihg ksrdjrkh fkdjQ$ m%;sYla;slrKh fkdue;s mqoa.,hska lS fofkla wdidokh l< yelso hkak fï w.fhka lshfjk w;r fldúâ j, fuu w.h 2-3 olajd mrdihl úysfokjd'

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fldúâ j,g tfrysj m%cd m%;sYla;sh ,nd.ekSug we;s ndOl fudkjdo@ ² fldúâ w¨‍;au fjrihla ksid wfma YÍr ;=< Bg tfrys igkalrejka$ m%;sYla;slrKhla fkdue;s ;rï' ² fldúâ je<|Sfuka Bg tfrysj wfma YÍrfha m%;sYla;slrK moaO;sh l%shd;aul jqK;a" ta m%;sYla;slrKh fldmuk ld,hla /|s,d ;shkjo lshk ldrKh glaflgu lshkak wmsg ;ju idOl keye' wfma fï fudfydf;a j.lSu tkak;a ,nd .ekSuhs' ta ksid ;uhs

doctormagazine.lk

rxpq m%;sYla;slrKfhaoS fjk foa lsysm fofkla muKla tkak;a ,nd.;af;d;a'''

jeä fofkla tkak; ,nd.;af;d;a'''

tla wfhl=g je<÷k;a frda.h fõ.fhka jHdma; fjhs

frda.hg jHdma; jkakg bvla ke;' iuia; iudchu fï ksid wdrlaId fjhs' rxpq m%;sYla;slrKh lshkafka fï ch.%yKhhs"

Tn;a fï tkak; .ek oekqj;aj" inqoaêlj th ,ndf.k Tfí fmdÿ j.lSu bgql< hq;af;a' m%;sYla;slrKhla fkdue;s tfy;a ;ju;a ksfrda.S

m%;sYla;slrKh ,o" ksfrda.S

lsisu flfkla yg m%;sYla;slrKhla ke;

fnda jk frda.h ck.ykh yryd jHdma; fjhs ck.ykfhka we;efula m%;sYla;slrKh ysñ lrf.k we; fnda jk frda.h ck.ykfhka we;euqka yryd jHdma; fjhs ck.ykfhka jeä yßhla m%;sYla;slrKh ,nd we; frda.h jHdma; ùu md,khg ,lafõ

doctormagazine.lk

m%;sYla;slrKhla fkdue;s" frda.h iy wka whg fnda lrk

Tn rch u.ska Tng ,ndfok tkak; ,nd.ekSfuka fuf;la l=uk fyda fya;=jla ksid tkak; ,nd .ekSug fkdyels jQ Tfí ifydaor ck;dj" m%;sYla;slrK moaO;sh ;ju yßyeá f.dvke.s ke;s yhla y;rla fkdf;afrk fmdä Wka jf.au ck.ykfhka jeä wjodkula orñka isák úhm;a yd ksoka.; wdndO j,ska fmf<k fldgi;a fldúâ j,ska wdrlaId fjkjd' b;ska oeka ;ud Tfí fmdÿ j.lSu ys;g .kak fyd|u ld,hæ tkak;ska ikakoaOj wfma fmdÿ i;=rdg tfrysj igka l< hq;= ld,h''' æ Tfí m%;sYla;sh m<syla lrf.k Tfí uõmshka" ifydaorifydaoßhka" <neÈhka" ñ;=re ñ;=ßhka /l.; hq;= fyd|u ld,hæ wms wfmau fyg oji iqrlsuq" wdrlaId lr .ksuq''' DM

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COVID-19 Vaccine fldúâ jix.;hg tkak;a úosk ldf,A we;sjk kj .eg¿

What we know about COVID-19 Vaccine ?

General view fldúâ jix.;hg tkak;a úosk ldf,A we;sjk kj .eg¿ tkak; Tng úYd, /ljrKhla ,nd fokjd''' ta;a Tn ;jÿrg;a uqj wdjrK me<|sh hq;=hs" iudc ÿria:Ndjh mj;ajd .; hq;=hs fldúâ tkak; .ek wm okakd lshk lreKQ wdisß frday,a iuQyfha ridhkd.dr wOHlaI kS,a m%sh;a fcdaka úisks

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doctormagazine.lk

fldúâ 19g tfrysj hqoaO lrk úúO ldKAvfha tkak;a j, l%shdldß;ajh

fldúâ 19 ffjrifha m%fõKsl fla;h fldgia wka;¾.; fjkia lrk ,o ffjri

fuh lD;%Suj ksmojk ,o fldúâ 19 ffjrifha m%fõKsl fla; fldgia iumd; ffjrihls

ÿ¾j, lrk ,o fyda wl%Sh lrk ,o fldúâ ffjrifhka ksmojqKls

fuysoS iamhsla fm%daàk ksmoùug wkqn, iemfhk w;r thska m%;sYla;slrK moaO;sh l=¿ .ekaùula isÿ fjhs'

tkak;la lshkafka l=ulao@ tkak;la lshkafka m%;sfoay ksIAmdokh msKsi wfma m%;sYla;slrK moaO;sh W;af;ackh lrk øjHhls' th ndysßka YrSrhg ,ndfok lsishï øjHhla jk w;r tys m%;sM<hla jYfhka frda.h ienE f,iu wdidos; jQ úg isÿjk wdldrhg reêr fm%daàk ksIAmdokhg odhl fjhs' fï ksid miqj lsishï fya;=jla u; Tng tu frda.ldrlh YrSr.; jQj;a thska Tn frda.S Ndjhg m;a jkafka ke;'

doctormagazine.lk

ffjrifha fldgia''' we;eï úg iamhsla fm%daàk iys; tkak;ls

fuhska m%;sYla;slrK m%;spdr W;af;ackh ùula isÿ fjhs

tkak;la l%shd lrkafka fldfyduo@ Pfizer yd Moderna hk tkak;a fol mRNA fkdfyd;a messenger RNA hkqfjka ye|skafjk ;dlaIKhg wkQj l%shd;aul fjhs' wod, tkakf;a Wmfoia wka;¾.;h fkdfyd;a mRNA tkak;a l< úg

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COVID-19 Vaccine fldúâ jix.;hg tkak;a úosk ldf,A we;sjk kj .eg¿

úúO fldúâ tkak;a-ixixokd;aul meyeos,s lsrSula fhdod.kakd ;dlaIKh$ksIamdolhkaf.a ku

ÿ¾j, m%;sYla;shla iys; frda.Skg iqÿiqo hk j.

fhdod .kakd ud;%d m%udKh

.nvd lrk WIAK;ajh

isref¾ ffi, úiska spike protein ksmoùug tajd Ndú;hg .kshs' bkamiqj tu Wmfoia wka;¾.;h ì| fy<ñka bj;a jk w;r ffi, u;=msg mDIAGfha tlS fm%daàk mj;S' tys m%;sM<hla jYfhka yenEjgu fldfrdakd ffjrihg ksrdjrKh jQ wdldrhloS fukau m%;sYla;slrK moaO;sh u.ska m%;sfoay ksmoùula isÿ fjhs' AstraZeneca tkakf;ys we;af;a Ñïmkaiskaf.ka ,nd.;a weäfkd ffjri ldKAvhg wh;a fiïm%;sYHdj ffjrifhau ÿ¾j, lrk ,o wdldrhls' úfYAI;ajhla jkafka fï weäfkdffjrih kej; kej;;a ckkh ùug yels jkfia tys m%fõKsl .;s ,laIK fjkia lsÍuhs' fuh iamhsla fm%daàk cdk yd iïnkaOj m%;sfoay ksIamdokh l=¿.kajk w;r tys m%;sM<hla

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fï ;dlaIKh fhdod .kakd fjk;a tkak;a

jYfhka fldúâ 19 ffjrih YÍrhg we;=,a jqjfyd;a th uev,kakg fuhska ksmojk m%;sfoay iu;a fjhs' fldúâ tkakf;ys Tng ud;%d lShla wjYHo@ Moderna, AstraZeneca, yd Pfizer hk m%Odk tkak;a j, mQ¾K wdrlaIdj ,nd .ekSug ud;%d folla .ekSug isÿfjhs'

doctormagazine.lk

ud;%d fol w;r ld, mr;rh l=ulao@ Moderna yd AstraZeneca tkak;a ,nd.; hq;af;a i;s 4-6l ld, wka;rhla ;=<oSh' fuu tkak;a ksIAmdolhka tajd ksIAmdokh lrkafka ksielfhkau tla mqoa.,fhl=g ud;%d folla wdjrKh jk ms<sfj Tn hï fyhlska fuu tkakf;ys fojk ud;%dj ,nd fkd.;af;d;a isÿ jkafka l=ulao@ túg Tng ,efnk wdrlaIdj .s,syS hkq we;' Anods CocoaModerna ksIamdolhka wefußldfõ wdydr yd T!IO wêldßfhka iajlSh tkak; yosis Ndú;hg bv fok f,i b,a,d foieïn¾ udifha bosßm;a lrk ,o o;a; iudf,dapkfhaoS m<uq tkakf;ka lsishï wdrlaIdjla ,efnk uq;a th ;sr lrKQ msKsi fojekakl wjYH;djho wjOdrKh lr ;sfí' Pfizer yd Moderna hk tkak;a folu yqÿ tla ud;%djlska muKla ie,fikafka wfmalaIs; wdrlaIdfjka ishhg 50l muK m%udKhls' ud;%d folu ,nd.;a miq fldmuK ld,hloS mQ¾K /ljrKh ie,fikjdo@ fojeks ud;%dj;a ,ndf.k i;shl wejEfuka Tyq fyda weh tkakf;ys mQ¾K /ljrKh ,nkakg iqÿiqfila fjkjd'

doctormagazine.lk

Tn tkakf;ys wdrlaIdj ,enQj;a iuia;hla jYfhka fuh rfÜ m%YAkhla' f.da,Sh m%YAkhla' fuh uq,sKQmqgd ouk f;la wdrlaIdj mj;ajd .; hq;=hs' uqj wdjrK me<|Su" w;a fiaoSu yd iudc ÿria:Ndjh Tn ;jÿrg;a mj;ajd .; hq;=hs'

fï tkak;a j, id¾:l;ajh fldmuKo@ Pfizer yd Moderna hk tkak;a j, ishhg 95l id¾:l;ajhla we;ehs fy<sorõ ù ;sfí' March 2021

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COVID-19 Vaccine fldúâ jix.;hg tkak;a úosk ldf,A we;sjk kj .eg¿

AstraZeneca tkakf;ys kï id¾:l;ajh ishhg 75lehs mejfia' tfy;a fïjd we;eï ck ldKAv weiqf¾ Bg;a jeä id¾:l;ajhla w;am;a lr.kakd njo fï jk úg fmfkkakg ;sfí' fï tkak;a ,nd .ekSfuka ljr ksYAÑ; ld,hlg /ljrKh ,nd.; yelso@ fuh w¿f;ka yªkajd ÿka tkak;la ksid ksYAph jYfhka ta .ek ;yjqrejla fkdue;' tfy;a fldúâ 19g iudk fiiq fldfrdakd ffjri j,g tfrysj tkak;a l%shd;aul jk wdldrh ie<lSfïoS" idudkHfhka fï tkak;a j,skao jir lsysmhl /ljrKhla wfmalId flfrhs' fï tkak;a j,ska meK ke.sh yels ixl+,;d fudkjdo@ wjfYAI tkak;alrKhkaySoS fukau fuysoSo lsishï ffcj m%;spdrhka tkak; ,ndoSfuka miqj wfmalaId lrkakg isÿfõ' tkak; ,ndÿka wf;ys osk lsysmhla hk ;=re fõokdjla mek ke.sh yel' WK" weÕm; fõokdj osk lsysmhla mj;skakg mq¿jk' yosis wjirh (Emergency authorization) ,nd ÿkak;a fï tkak;a iïnkaOfhka wOHhk ;jÿrg;a l%shd;aul jkafkao@ mj;akd ìysiqKQ jix.;ldÍ ;;a;ajh u; fï ,nd ÿkafka ;djld,sl wjirhls' tfy;a ia:dms; tkak;alrKhla i|yd os.= ld,Sk f;dr;=re wjYHh' tajd ke;sj fï ;djld,sl wjirh iaÓrj n,d;aul jkafka ke;' fï tkak;a ksIAmdolhka iEu flfklau mdfya ksrka;rfhka idhksl wëlaIk j, ksr; jk w;r tkakf;ys l%shdldß;ajh iïnkaOfhka b;d l%shdldÍj f;dr;=re ,nd .kshs' ksrka;rfhka m¾fhaIK l%shd;aul fjhs' fï tkak; ,nd.;a flfkla ;uka wdrlaId ùug wu;rj ffjrih fjk;a whg fnda lsrSfukq;a j<lskjdo@ fï iïnkaOfhka kï ksYAÑ;j lshkakg nE' ta .ek mÍlaIK isÿ fjkjd' ta fjk ;=re fi!LH isß;a

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mj;ajd f.k hk tl kqjKg yqrehs' tkak;a ud;%d folla .; hq;= kï fojeks tkak;a ud;%dj fjk;a tkak;lska .;af;d;a@ tfyu lrkak nE' th ixlS¾K ;;a;ajhla ks¾udKh lrkjd' fï iEu tkak;lu wkkH;d yd fjkialï ;sfhkjd' Tn ud;%d folu .; hq;af;a tlu tkak;lska' uu tkak;a ,nd.;a;g miafi;a uqj wdjrK m<|skak ´kso@ fi!LHrlaIl mqreÿ tf,iskau mj;ajd .kak ´kso@ ksielfhkau''' Tn tkakf;ys wdrlaIdj ,enQj;a iuia;hla jYfhka fuh rfÜ m%YAkhla' f.da,Sh m%YAkhla' fuh uq,sKQmqgd ouk f;la wdrlaIdj mj;ajd .; hq;=hs' uqj wdjrK me<|Su" w;a fiaoSu yd iudc ÿria:Ndjh Tn ;jÿrg;a mj;ajd .; hq;=hs' DM

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Centres & Labs Asiri Hospital The Central Hospital Asiri Surgical Asiri Hospital Matara Asiri Hospital - Galle Asiri Hospital - Kandy Kandy Kalubowila Negambo Ragama Kurunagala Jaffna Batticaloa Anuradhapura Badulla Homagama Kalutara Gampaha Matale Kalmunai Akuressa Tangalle Amabalangoda Pelawatta Wellampitiya Kadawatha Wattala Gampaha Horana Kiribathgoda Kotahena Wellawatta Awissawella Rathmalana Kaduwela Peradeniya Bogambara Katugastota Marawila Panadura Anuradhapura Waththegama Nawalapitiya Dehiwala Kuliyapitiya Malabe Bandarawela Ja-Ela Embilipitiya Kegalle Nugegoda Gampola Maharagama Akurana Kottawa Piliyandala Athurugiriya Nittambuwa Badulla IDH Pilimathalawa Mattakkuliya Moratuwa Beruwala Pitakotte Makola Pannipitiya Mawanella Kandana Kolonnawa Boralasgamuwa Embuldeniya Dharga Town Wennappuwa Kochchikade Mattegoda Battaramulla Jaffna Kesbewa Maharagama II Karapitiya Thannekumbura Ganemulla Kirillawala Thalawathugoda

Address No 181,Kirula Road, Narahenpita,Colombo 5 No 114,Norris Canal Road,Colombo 10 No 21,Kirimandala Mawatha,Colombo 5 No 191 , Anagarika Dharmapala Mawatha No 10, Wakwella Road , Galle No 907, Peradeniya Road, Kandy No 67/7, William Gopallawa Mawatha No 5, S De S Jayasinghe Mawatha No 155, Colombo Road No 39 A, Kadawatha Road No 199 / 1, Colombo Road No 546, Hospital Road No 39/1, Central Road No 1, Bandaranayake Mawatha, Kada 50 No 18, Darmadootha Road, Badulla No 20, Katuwana Road No 21, Chamly Gunawardena Mawatha No 06, Asoka Gardens, Colombo Road No 91/A, Kandy Road No 303, Main Street No 56 , Matara Road No 201 D, Matara Road No 291, New Galle Road No 730 B , Pannipitiya Road No 100,Kumaradasa Place No 134 H, Jaya Mawatha No 122, Negombo Road No 144, Queen Mary’s Road No 223 B ,Anguruwatota Road No 140/A, Kandy Road,Dalugama No 01, Pickerings Road, Colombo 13 No 37, Manning Place, Colombo 06 No 29, Gemland, Kudagama Road No 421 G, Galle Road No 475/1/D, Avissawella Road No 116,Peradeniya Road No 46,Keppitipola Road No 202/3,Katugastota Road 375/1,South Muhudu Katuwa No 159,Galle Road No 280, Bank Place , Main Street No 45,Mathale Road No 119,Kothmale Road No 190 A,D.B.Jayathilake Mw (Hill Street) No 95, Hettipola Road, No 877, Athurugiriya Road No 276,Badulla Road No 67, Gamini Road No 29 / A, New Town Road No 325, Main Street No 491, Highlevel Road, Delkanda No 36C, T.B.Panabokke Mawatha No 152, Piliyandala Road No 91E, Mathale Road No 203/2 Horana Road No 148A, Horana Road No 1/1 E, Borella Road No 584 , Kandy Road No 13C, Bandarawela Road No 34/4 D, Kollonnawa Rd, Gothatuwa NT No 197/1,Daulagala Road No 77, Mattakkuliya Church Rd, Colombo 15 No 56/D,Galle Road City Arcade , No 201B, Galle Road No 155 B, Pagoda Road No 96A/5,Makola Road,Makola South No 92, Borella Road, Depanama No 209, Colombo Road No 41 A, Ganemulla Road No 62 Kolonnawa Road No 138/1 , Kesbewa Road No 325, Old Kottawa Road Dhargatown No 29, Chilaw Road , Wennappuwa No 18 , Poruthota Road, Kochchikade No 102/177 , Mattegoda Watta , Mattegoda No 56/3A Main Street, Battaramulla No 232, Pallali Road , Thirunelveli No 215/82B Bandaragama Road No 225 Highlevel Road Maharagama No 325, Maitipe 1st Lane , Karapitiya No 124 , Thannekumbura , Kandy No 188D, Kirindiwita Road 574/1, Ranmuthugala , Kadawatha 773-779, Borella Road, Thalawathugoda

Telephone 011 - 4523355/356/357 011 - 4665500 / 077-2092847 011 - 4524400 / 011-4524448 041 - 4390900 091 - 4640625 081 - 7850404 / 05 081 - 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 - 7800850/53/54 055 - 7634020 011 - 7519583/585/586 034 - 7634005/010/009 033 - 7634139/ 148/323 066 - 4501011/ 0667434001 067 - 7388001/3 041 - 4937607 047 - 4937557 091 - 4946449 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 032 - 7634010 038 - 7634011 025 - 7596620 081 - 7634008 054 - 7634012 011 - 7634096 037 - 7634003 011 - 7654039 057 - 7634008 011 - 7634186 047 - 7634008 035 - 7634014 011 - 7634098 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 011 - 7709977 011- 7709975 011 -7634330 034 - 7634015 032 - 7434044 033 - 7434024 011 - 7654344 011 - 7654346 021 - 7637618 011 - 7726077 011 - 7654301 077 - 7846160 081 - 7596623 033 -7501800 011 - 7580800 011 - 7580880

E-Mail prlab@asiri.lk chllab@asiri.lk microlab@asiri.lk infoasirimatara@asiri.lk labgalle@asiri.lk ahklab@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 gampahalab@asiri.lk matalelab@asiri.lk kalmunelab@asiri.lk labakuressa@asiri.lk labtangalle@asiri.lk labambalangoda@asiri.lk pelawattalab@asiri.lk wellampitiyalab@asiri.lk kadawathalab@asiri.lk wattalalab@asiri.lk gampahacc@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 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 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 kolonnawacc@asiri.lk boralasgamuwacc@asiri.lk embuldeniyacc@asiri.lk dhargatowncc@asiri.lk wennappuwacc@asiri.lk kochchikadecc@asiri.lk mattegodacc@asiri.lk battaramullacc@asiri.lk jaffnacc@asiri.lk Kesbewacc@asiri.lk maharagamaIIcc@asiri.lk labkarapitiya@asiri.lk thannekumburacc@asiri.lk ganemullacc@asiri.lk kirillawalacc@asiri.lk thalawathugodacc@asiri.lk

D•Magazine /

Fertility ore iïm;a ,nkakg ndOl jk f,v-frda.

The Impact of Medical Challenges of IVF Success While IVF itself is a complex and time-taking procedure, the process becomes more challenging for women with pre-existing medical conditions.

ore iïm;a ,nkakg ndOl jk f,v-frda. k< ore ;dlaIKfhaoS fï frda. l<uKdlrKh lr Tjqkaf.a wfmalaIdjka id¾:lj bgq lr fokjd''' 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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March 2021

k

j idM<H;d l%ufõohka ful, b;d ckm%sh;ajhg m;aj ;sfí' ore iïm;a fkdue;s wUQieñhka fï ;dlaIKhka Wmfhda.S lrf.k ;ukaf.a ore mjq,a iïmQ¾K lr.kafkah' IVF hkq ;rula ixlS¾K idM<H;d m%;sldr lafIA;%hls' ore iïm;a m;k ldka;djka yd msßñka wo ojfia uqyqKmdk úúO .eg¿ j,g id¾:lj uqyqK osh yels jk fia Ovarian stimulation, Oocyte retrieval fukau ridhkd. dr.;j isÿ lrk Embryo development and embryo transfer (ET) wdoS ;dlaIKhkao fuu ;dlaIKhg iïnkaOj fjfiiska ue oshqKQ ù ;sfí'

wo ld,fha ldka;djka újdm;a jk jhi flfuka jeäù ;sfnk w;r ;ukag we;s ksoka.; wdndO j,g m%;sldr

DOCTOR MAGAZINE

doctormagazine.lk

.ekSugo we;euqkag isÿfõ' fï f,vfrda.o we;eï úg idM<H;djh ÿ¾j, ùug wys;lr fia n,mj;ajhs' idM<H;djh m%;sldr j,g fï f,vfrda. n,mdkafka fldfyduo@ ta wNsfhda. chf.k ore iïm;l isyskh ienE lr.kafka fldfyduo@ fï ta .ek úuiquls' wêreêr mSvkh jeoEuy ixl+,;d j,g wêreêr mSvkh fndfyda fia n,mdhs' IVF m%;sldr lsÍfïoS fhdod .kakd äïnfldaI W;af;ackhg fhdod.kakd fydafudak YÍrfha reêr mSvkh kshdukfhys,d idOkSh ld¾hNdrhl ksr; jk wekacsfhdfgkaiska we,afvdiafgfrdka (Angiotensin aldosterone) moaO;shg wys;lr f,i n,mdkakg mq¿jk' wêl reêr mSvkfhka fmf<k IVF m%;sldr j,g Ndckh jk ldka;djkag fuys n,mEu jeäh' wêreêr mSvkfhka fmf<k frda.sfhl=g fok T!IO tys id¾:l;ajh" we;súh yels w;=re wdndO wdosh tla tlaflkdg we;s wkkH;djhka yd .,md ;SrKh flfrk w;r IVF m%;sldrfhaoS reêr mSvkh md,kh lsÍug Methyldopa yd Labetalol jeks T!IO iq,nj Ndú;hg .efka' oshjeähdj oshjeähdj ldka;djlf.a idM<H;djh ySk lrhs' th tfia jkafka yhsfmd;e,uifhka >%djh jk Gonadotropin releasing hormone yd luteinizing hormone hk fydafudak j, >%djh reêr.; iSks u.ska doctormagazine.lk

ie<lsh hq;= muKlska wvqlsÍu ksidh' fojk wdldrfha oshjeähdj frda.Ska w;r Polycystic ovarian syndrome (PCOS) frda.h we;sùfï wjia:d jeäh' ia:Q,;djh" fgiagiagfrdak fydafudak >%djh jeäùu fukau ksire;djhg mdol fjhs' l<,fha ixcdkh wdndO we;sùfï bvlv oshjeähdj we;s úg jeäh' wehg oshjeähdj ;sfnk úg reër iSks j, ukd md,khla we;s lr.; hq;= jk w;r wdydr mdúÉÑho b;d ie<ls,af,ka we;s lr.; hq;a;ls' fï ldka;djkg yßhdldrfhka jHdhdu isß;la mj;ajd .ekSugo Wmfoia iemfha' yDofrda. ore iïm;a fkdue;s ldka;djka w;r we;sùfï March 2021

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D•Magazine /

Fertility ore iïm;a ,nkakg ndOl jk f,v-frda.

wjodku jeä iq,n frda. lsysmhla fõ' lsÍgl Ouks frda." ia:q,;djh" fldf,iagfrd,a wêl ùu" .aÆfldaia ixfõoS;djh ÿ¾j, ùu fukau wêl reêr mSvkh fõ' ia:Q,;djh" fgiagiagfrdak uÜgu by< hdu yd ksire;djh iq,nj fmkajk Polycystic ovarian syndrome (PCOS) frda.h we;s whg fïjd we;sùfï wjodku ;j;a jeäh' fuu frda.Skag äïnl+m W;af;ackfhaoS fjfiia ie<ls,a,la oelaúh hq;=h' th isÿ l< hq;af;a md,s; ;;a;aj hgf;ah' cSú;hgo wjodkula f.k tk Ovarian hyperstimulation syndrome ;;a;ajh we;sùfï wjodkula we;s ksid fujka l%shdud¾.hla wkq.ukh lrhs' .¾äKS;djh fï wdldrfhka lD;%Suj l=¿ .ekaùulg ,la lsÍfïoS fï ldka;djjkaf.a fN!;fõoSh l%shdldrlï iïnkaOfhkao fjfiia ie<ls,a,la oelaúh hq;= jk w;r thg yDo frda. ffjoHjrfhl=f.a iyNd.s;ajho w;sYhska jeo.;a fjhs' flfia fj;;a wjodku jeä ldka;djka fjf;d;a orefjla fjk;a ldka;djlf.a l=ifhys idod .ekSug (Surrogacy) Wmfoia iemfhhs'

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j,smamqj fuho idM<H;djhg n,mEï l< yels iakdhql frda.hls' ta yereKQ úg thg isÿ lrk m%;sldro m%ckl l%shdldß;ajh wvd, lsÍug bjy,a úh yel' yhsfmd;e,uifha yd msáhqgß .%kaÓfhys jEiafik fydafudako fï ksid wvd, jk w;r fm%dfciagfrdaka uÜgu wvQ lrñka wekav%ck fkdfyd;a fm!reI fydafudak ixhq;sfhys jeäùulg wjldY we;' fï frda.h ,sx.sl wdYdjka wvq lsÍugo fya;= úh yel' fï ksid wmiaudr frda.sfhla idM<H;d

doctormagazine.lk

m%;sldr j,g ,laùug u;af;ka ;u iakdhq frda. ffjoHjrhdf.ka tys fhda.H;djh idlaId;a lr.; hq;=h' fuysoSo Ovarian hyperstimulation syndrome kue;s ;;a;ajh we;sùfï wjodkula we;' flfia fj;;a .eí oeÍfï YlH;dj wiu;a jk ldka;djka orefjla fjk;a ldka;djlf.a l=ifhys idod .ekSug surrogacy jeks úl,am l%u j,g fhduqùu jvd;a iqÿiqh' Thromboembolic ;;a;aj fuh IVF ;dlaIKhg Ndckh ùfïoS b;du;a l,d;=rlska we;sjk" tfy;a cSú;h wjodkug ,la lrjk wjia:djls' Deep vein thromboembolism frda.h yd jir y;,sylg muK jeä ld,h;a f;%dïìms,shd jeks frda.hlg ksrdjrKh ù we;akï frda.h we;s ùug fmr T!IO m%;sl¾u lsÍfuka (prophylaxis) fï l,d;=rlska we;súh yels wjodkuo ie<lsh hq;= muKlska wvq lr.; yel' low molecular weight heparin, aspirin mdohg iafgdlskaiaA oeóu fuysoS wjodkfuka ñoSug fhdok mQ¾j ms<shï jYfhka ie<fla' Systemic Lupus Erythematosus (SLE) SLE kue;s iajhx m%;sYla;sldrl frda.h idM<H;djhg n,mj;ajkjd fukau fï frda.h we;s úg iEfok m%;sfoay fya;=fjka m%udKj;a äïn ixÑ;hla fkdmej;Su fya;=fjkao .eg¿ u;= fjhs' fï frda.h we;s whg fhdod .kakd cyclophosphamide jeks T!IO ksidfjkao wld,fha äïn úkdY ùula isÿjkakgo mq¿jk' fï wh .eí .;a;;a .¾NKS wêreêr mSvkh" fkdfïrE orejka ìysùu" u< ore Wm;a" jl=.vq ydkshg m;aùu" .en ;=< orejd m%udKj;aj fkdjeãu" kj ckau ore urK wdosh we;sùfïo wjodkula we;s ksid frda.fhka fmf<k ldka;djka ore iïm;a i|yd idM<H;d ;dlaIKhla f;dard .ekSug m%:ufhka fï ;;a;ajhka iïnkaOfhka WmfoaYK ,nd .ekSu jvd;a iqÿiqh' fï wh ;u Rheumatologist ffjoHjrhd yuQù jir follg j;a frda. ;;a;ajh yels wdldrfhka uev meje;aùug (Complete remission) W;aidy l< hq;=h'

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ia:q,;djh YÍr ialkaO o¾Ylh 30kg/m2g jvd jeäùu ia:q,;djh fia wre;a .ekafjhs' Hypothalamus-pituitaryovarian axis fj; we;sjk ndOdjka jeäh' th fydafudak >%djhg ndOd f.k fohs' ia:Q,;djh ore iïm;a wE;a lrkafka tf,ih' PCOS, wêreêr mSvkh" fldf,iagfrd,a yd oshjeähdj hk frda. w;ro wka;¾iïnkaO;djhla fjhs' fï ldka;djka ms;a;dY.; frda." weÿu" Tiaáfhdawd;rhsáia frda. j,g k;=ùfï wjodkuo jeäh' iuia;hla f,i IVF m%;sldr j,g olajk m%;spdro wvq jkakg mq¿jk' fï ksid nr wvq lr .ekSug orejka m;k ldka;djka W;aiql úh hq;af;ah' ;hsfrdhsv widudkH;d ;hsfrdhsâ fydafudak yd m%ckl fydafudak w;r we;af;a wúfhdackSh jQ iïnkaO;djhls' jdikdjlg ;hsfrdhsâ fydafudak wvqfjka >%djh ùu yd jeäfhka >%djh ùu hk lreKQ folu fndfyda úg j<lajd .; yels fyda m%;sldr l< yels frda.

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Fertility ore iïm;a ,nkakg ndOl jk f,v-frda.

jkafkah' ;hsfrdhsâ fydafudak wvqfjka >%djh jk Hypothyroidism frda.fhaoS Biag%ck yd wekav%ck j, ma,iaud ixhq;sh wvq jk w;r ¨ákhsiska luteinizing hormone (LH) fydafudakfhao W!K;djhka we;s jkakg mq¿jk' äïn fudapkh isÿ fkdùug fukau ldu iïfNda.hg we;s wdYdj fï ksid ySk jkakgo fï ksid mq¿jk' ;hsfrdhsâ fydafudak jeäfhka >%djh ùula isÿjk Hyperthyroidism frda.fhaoS wd¾;j pl%fha uOHfha we;súh hq;= LH fydafudak >%djh ùu uekúka isÿ fkdùu ksid äïn fudapkhg ndOd meñKsh yel' M<odhS m%ckl m%;sM< fk,d .kakg kï fï wkQj ;hsfrdhsâ fydafudak j, ukd md,khla we;súh hq;=h' ;hsfrdhsâ fydafudak >%djfha wvqjla we;s ldka;djkg Levothyroxine o th jeäfhka >%djh jk ldka;djkg propylthiouracil T!IOho kshu flf¾' h,s h,s;a IVF l%shdj,sh wid¾:l jk úg ;hsfrdhsâ fydafudak j, widudkH;djhla ridhkd.dr mÍlaIK j,ska fkdfmkajk l,ayS Thyroid antibodies screening mÍlaIKhla isÿ l< hq;= jk w;r tys positive wjia:d j,oS bñhqfkd.af,dìhq,sk wka;¾ Ysrd kslafIAmK jYfhka ,ndoSu l< hq;a;ls' Hyperprolactinemia fuh ksire;djhg fya;=jk iq,n ks¾Kd, frda. hls' 5α-reductase l%shdldß;ajh ksfIaOkh lrñka yd weâßk,ska wekav%ck ixhq;sh jeä lrñka ldka;djkf.a idM<H;djh ySk lrhs' fuúg isÿùï folla n,.ekafõ' äïn fudapkh kshñ; mßos isÿ ùug ndOd meñfKA' reêr.; bkaishq,ska ixhq;sh ;sìh hq;= m%udKhg jvd jeä fjhs' Cabergoline fyâ Bromocriptine wdoS T!IO fï ;;a;ajh ms<silr lrñka idM<H;d bvlv jeä lrkakg Wmldr fjhs' by; oelajQfha idM<H;djhg wNsfhda. lrk frda. ;;;ajhka uq;a iydhl m%ckl ;dlaIKhka fï ish¿ wNsfhda. we;s ldka;djkgo id¾:l f,i isÿ lrhs' fïjd ;sfnk úg mQ¾j frda. md,k l%shdud¾. .ksñka ie,iqïiy.;j m%;sldr j,g uqyqK oSug wjia:dj ie,fik w;r Tfí isyskh ienE lr.kakg th wjia:djla jkq we;' DM 58

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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;f % ha m<mqreÿ wfma jD;a;h S iydh ,nd oSug wm b;d leue;af;ka isáuq' wmg l;d lrkak' fukak wfma wxlh

077 291 4526 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 doctormagazine.lk

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Child Care orejdg úgñka ,ndÈh hq;=uo@

Does your child need vitamins?

Multivitamins aren't necessary for most healthy children who are growing normally. Foods are the best source of nutrients. Regular meals and snacks can provide all the nutrients most preschoolers need.

Let your Child care specialist get the decision whether your child needs Vitamin & Supplements.

;,j;=f.dv fyaudia frdayf,a fkajdisl <ud frda. ms<sn| úfYaI{ ffjoH ÈÆId w;=fldar, MBBS (Colombo) MD (Paediatrics) Diploma in Child Health

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March 2021

orejdg úgñka ,ndÈh hq;=uo@ yels iEu úgu orejdg fmdaIKSh iun, wdydr fõ,la ,nd fokak úgñka ,nd fok ;SrKh ffjoHjrhdg ndr lrkak'''

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<ud úfha miqjk orejka iïnkaOfhka fouõmshka ksr;=rej k.k meKhlg ms<s;=re ,nd§ug fuu ,smsh Wmfhda.S lr.ksñ' úgñka fm;s$Èhr j¾. iy úgñka wka;¾.; úúO wdydr j¾. wm fj<| fmdf<a iq,nju we;' fïjdfha .=Kd;aul Ndjh .ek fkdfhl=;a u; iudcfha nyq, jYfhka me;sfrhs' we;a; jYfhkau jefvk orefjl=g úgñka j, we;s jeo.;alu l=ulao@ fïjd iEu orefjl=gu ,nd§u wksjd¾hfhkau isÿl< hq;a;lao@ hlv W!K;djh .ek i|ykla'''' iólaIK u.ska fy<sjk wdldrhg hlv W!K;djh jhi udi 6-12 w;r ,dxflah <uqkaf.ka ishhg 34la iy wjqreÿ 1-2 ;a w;r <uqkaf.ka ishhg 24l w;r m%udKhlg ;sfnkjd' fuh wm wfmalaId lrkjdg jvd b;d by< w.hla f,i lSfjd;a ksjerÈhs' hlv W!K;djh iys; orejkaf.a YÍrfha Tlaiscka /f.k hk ysfud.af,dìka keue;s wKqj fudjqkaf.a wvq uÜgul mj;skjd' fï ksid fï hlv W!K;d iys; orejkaf.a YdÍßl iy udkisl fi!LHh fiiq orejka iu. iei£fï§ my< uÜgul mj;skjd' ysfud.af,dìka wvq jk úg orejkaf.a YdÍßl l%shdldrlï isÿlsÍug we;s yelshdj muKla fkdj udkisl wjOdkh jeks foa mjd wvq fjkjd' hlv W!K ùug fya;= wfma ,dxlSh iudcfha iq,nhs' uõlsß j, hlv m%udKh wvq uÜgul mej;Su" orejdg wo ld,fha úgñk yd úgñk wvx.= fmdaIK mod¾: orejkag ,nd fokakg uõjrekag we;af;a jeä we,aula' ta;a" we;a;gu th iqÿiqo@ úgñk yd úgñk we;=<;a fmdaIK mod¾: ,ndoSfïoS <ud frda. ffjoHjrfhl=f.a u.fmkaùu wjYHuhs

,efnk wdydr j, hlv ySk;djh iy mKqjka wka;% ;=, j¾Okh ùu ñka iuyrla' hlv úgñk f,i ,nd§u muKla iEfykafka kE' hlv W!K;djhg ksis ms<shï fhosh hq;=hs' fuh <ud frda. úfYaI{ ffjoHjßhla f,i ud b;d jeo.;a ldrKhla fia i,lkjd' udi yhlg jeä iEu <ufhl=gu hlv úgñk f,i ,nd§u fi!LH wud;HdxYh u.ska Èh;a l, jevigykla Tiafia l%shd;aul fjkjd' hlv W!K;d kSrla;sfhka fmf<k orejd fmkajk ,laIK ² ks;r ksÈu; .;sfhka fm<Su ² w,i nj ² oaù;shsl ,sx.sl ,laIK my< ù m%udo ùu ² wdydr .ekSfï úIu;d we;s ùu ² u;l Yla;sh ÿ¾j, ùu iy .‚;uh yelshdj u| ùu fukau ² bf.kSfï l=i,;dj wvq ùu ² mka;s ldurh ;=< l%shdldß;ajh wvq ù orejdg mdi, m%sh fkdùu ² úIh ndysr l%shdldrlïj, fkdfh§u úgñka A "C iy D ,nd§u fuu úgñka j¾. ;=k ,nd§u uyd ì%;dkH jeks

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Child Care orejdg úgñka ,ndÈh hq;=uo@

rgj, kï jhi udi 6 isg wjqreÿ 5 olajd orejkag isÿ lrkjd' úgñka A j,ska m%;sYla;sh fyj;a wdidok j,g Tfrd;a;= §fï yelshdj jeä lrkjd' úgñka A j,ska iu kSfrda.Sj mej;Su iy weiaj, fmkqu mj;ajdf.k hdug jeo.;a jk ld¾hhka lsysmhla isÿ lrkjd' úgñka A lsß we;=¨‍ i;aj wdydr j, nyq,j olakg ,efnkjd' úgñka C m<;=re iy t<j¿ j, iq,nj we;s ix>glhla' fuys oeä W!K;djh ial¾ú keue;s frda.hg uq, mqrkjd' hlv Wrd. ekSug úgñka C Wmldr jk w;r orejdf.a m%;sYla;shg;a w;sYhska jeo.;a' úgñka D u.ska wiaÓ j¾Okhg WmldÍ jk le,aishï YÍrhg Wrd.ekSu md,kh lrkjd' fuho i;a;aj wdydr" lsß j,ska ksmojQ wdydr j, ;sfnk w;r we;eï lD;%su wdydr j,g tl;= lr fj<|fmdf,a úlsKSug ;sfnkjd' 62

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.kakjd kï fïj ;uhs fyd|u úgñk'''

orejka ksis mßÈ mÍlaIdjkag ,la lsÍu iy WÑ; f,i fuu úgñka wvq <uqkag tajd ,nd§u <ud frda. úfYaI{ ffjoHjrhd úiska l< hq;= ld¾hhla' le,aishï iy Tfí orejd le,aishï jefvk orejkag ,nd§u ;rul wdkafoda,d;aul ud;Dldjla jkjd' wêl le,aishï m%udKhla <uqkag ,nd§u ngysr rgj, t;rï wkqu; jkafka keye' uõlsß j, le,aishï iy hlv hk folu uq,a udi lsysmh ;=< ;sfnk w;r kSfrda.S iy fmdaIHodhS wdydr .kakd uõjreka u.ska orejkag fuu úgñka ,efnkjd' orejka jeäúhg t<fUk wjia:djkayS§ le,aishï iy úgñka ã Tjqkag jeäfhka wjYH fjkjd' le,aishï i;a;aj iy we;eï YdL wdydr j,;a nyq,hs' úgñka fm;s jYfhka ,nd§fï§ le,aishï ldnfkaÜ keue;s j¾.h ñf,ka wvq kuqÿ .=Kd;aul Ndjfhka jeänj ffjoHjrekaf.a u;hhs' iajdNdúl f,i úgñka orejdg ,nd§u úgñka we;af;a lD;s%u fm;s wdldrfhka muKla fkdfõ' iun, wdydr fõ,la yryd by; i|yka úgñka ish,a,u mdfya Tn orejdg ,ndÈh yels nj ud wjOdrKh lrkakg leu;shs' fuhg úYd, uqo,la jeh fkdjk njo" jvd;au .e,fmk wdldrh th njo doctormagazine.lk

iajdNdúlj ,nd.; yels iS úgñk i;a;aj uQ,dY%

Tn wjfndaO lr.; hq;=hs' ,dxlSh iudcfha nyq, jYfhka m%p,s; fyd| wdydr ;=,ska fndfyduhla úgñka Tn orejdg ,ndÈh yel' úgñka kï fm;s" lr,a jYfhka ,ndosh hq;a;la nj fouõmshka ;=< ;sfnk úYd, ÿ¾u;hla' lsß j, mj;akd fmdaIK .=K fudkjdo@ lsß j, úgñka yd fjk;a fmdaIl j¾. rdYshla ;sfnkjd' le,aishï" f*diamria" fmdgEishï jeks ,jK fukau úgñka ã" ta" î 12" rhsfnd*af,aúka" ksheiska wd§ jákd fmdaIlo fuys wka;¾.;h' miaf.dari j,g wh;a fkdjk ngysr rgj,a yryd m%p,s; lsß wdydr f,i Öia iy fhda.Ü ye¢kaúh yel' yels;dla iajNdúl lsß wdydr Tn orejdg ,ndfokak' lsß j,ska doctormagazine.lk

Ydl uQ,dY%

wdid;añl;d we;sfõh hk ÿ¾u;h ksid fouõmshka we;eï úg fuhg ue<slula olajk kuqÿ lsß j, we;s .=Kd;aul nj b;d by< nj Tn wjfndaO lr.; hq;=hs' ì%;dkHfha kï" oshr lsß mdkh mdie,a ;=< uekúka m%p,s; lr we;' uqojk ,o lsß$ó lsß jeksfoa ksr;=rej orejdg §u wêl iSks we;s rileú,s" meKSîu §ug jvd jeo.;ah' msálsß .ek úúOdldr u;su;dka;r mej;Su ksid;a" fuh f,dj rgj,a lsysmhl muKla wf,ú jk mdßfNda.sl NdKAvhla ksid;a yels iEu fudfyd;lu iajNdúl lsß m%Njhka j,g fhduqùu iqÿiqh' úgñka fm;s iEu orefjl=gu wksjd¾hfhka ,ndosh hq;=o@ orejd hlv fyda fjk;a fmdaIK W!K;djhlska fmf<kafka kï wjYH mßÈ Tjqkag m%;sldr lsÍu isÿl< hq;=hs' tfy;a fm;s jYfhka úgñka Tfí orejdg ,ndoSu Tn úiska .;hq;= ;SrKhla fkdfjhs' th orejd mÍlaId lsÍfuka miq úúO wxY iudf,dapkh lsÍfuka wk;=rej Tfí <ud frda. ffjoHjrhd úiska .; hq;= ;SrKhla' <ud frda. ffjoHjrhd úgñka lD;%Suj .; hq;=hhs ks¾foaY lf<d;a th ,nd fokakg Tn melsf,kakg wjYH kE' th ,nd fokak' ta;a ;ukaf.a leue;a;g" wNsu;hg úgñka Tfí wdorKSh orejdg fok tl iqÿiq kE' Tn Tfí ukdmhg lrkjd kï l< hq;af;a fmdaIKSh" iun, wdydr fõ,la ksrka;rfhka ,ndoSug W;aiql ùuhs' DM

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Foot care mdo uekúka ke;s rfÕA" mdo we;s ;ek fkdoefka'''

Troublesome foot conditions explained mdo uekúka ke;s rfÕA" mdo we;s ;ek fkdoefka'''

wd;rhsáia yer''' mdo j, we;sjk wjfYaI fõokd j,g fya;=

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wd

;rhsáia ;;a;ajhka''' fndfydauhla mdo j, .eg¿ j,g n,mdk kuq;a fuu ,smsh u.ska wd;rhsáia j,g wu;rj fomd j, .eg¨‍ we;s lrk fjk;a frda. /ila úia;rd;aulj úYaf,aIKh lrkq we;' zzmdohZZ hkq hka;ï Tfí jhi" oi udifha isg Tnf.a YÍrfha nr orK m¾hka; jHqyhhs' wêl nr yd mSvkh Ôú; ld,hla mqrdjg fuu l=vd mdo yryd fmdf<djg iïfm%aYKh ùfï§" lsishï jrola" weneoaoshla u; weglgq j,g ydksùfï jeä wjodkula we;sfõ' ikaê iy wiaÓ yereKq úg fndfyda uDÿ mgl /ila mdo Yla;su;a f,i mj;ajd .ekSug WmldÍ fõ' kï jYfhka nkaOkS má" udxY fmaYs" LKavrdjka" fïomEâ iy n¾id fuu jHqyhka w;=ßka lsysmhls' iajdNdúl we§ï$bÍu fyda yÈis lïmkhka fya;=fjka fuu ishqï fldgia j,g ydks isÿúh yelsh' lef,daisá" nkshka" me;,s mdo ;;a;ajh" tka;Sihsáia" bka.afrdúka ^In grown toe nail& kshfmd;= ;;a;ajh iy È,Sr wdidok wdoS jYfhka mdo j, iqjfi;g wNsfhda. t,a, lrk wjia:djka iïnkaOfhka wm oeka ;rula yodruq' Callosities lef,daisá Tfí mdoj, hám;=,a ;=< wê mSvk m%foaY yryd lef,daisá olakg ,efí' fïjd Tfí mdoj, m;=f,a we;s ifï >k fldgia jk w;r fõokdj ksid fnfyúka lrorldÍ njla we;s lrk nj fï ksid ysßyerhg m;a wh mjihs' we;eï frda.Ska widudkH f,i mdofha fldgia yryd nr fhfok mdo jHqyfhys úIu;d j,ska fmf<;s' jeä mSvkhla t,a, fjk mdofha tu fldgia >k iula we;s jQ úg lef,daisá kñka ye¢kafõ'

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ikaè frda. rla;jd; iy mqkre;a:dmkh úfYaI{ ffjoH ysuka; w;=fldar, MBBS(Colombo), MD Fellow of American College of Rheumatology

m%;sldrh$m%;sl¾uh lef,daisá m%;sldr i|yd úfYaI ma,diag¾ Ndú;d lsÍu iy iuyr úg ks¾úkaokh hgf;a ir, ie;alï isÿ lsÍu we;=<;a fõ' tjeks frda. j<lajd .ekSu i|yd iqjmyiq Odjk im;a;=" bkafida,a jeks ksis mdjyka fldgia Ndú;d lrk f,i wms frda.Skag Wmfoia fouq' fïjdhska Tfí mdofha ksYaÑ; m%foaYhla nr ord.ekSfuka j<lsk w;r tu.ska m%ia;=; m%foaYfha .;sl l%shdldß;ajh wl%Sh jk w;r lef,daisá we;sùu j<lS ' Bunion nkshka u|la me;a;lg keó we;s ll=f,a ;rula úYd, uymgweÕs,a,la Tng

March 2021

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Foot care mdo uekúka ke;s rfÕA" mdo we;s ;ek fkdoefka'''

m;=f,a we;s ish¨‍u fldgia weú§u;a iu. ìu iam¾Y ùu isÿjkafka ke;' weú§fï§" ú¨‍U uq,skau ìu je§ miqj nr mdofha msg; me;a; yryd .uka lr uymgweÕs,a,g fhduqùu idudkHfhka isÿjkq we;'

lr.eg- mdofha mSvkh jeäfhka orK ia:dk wdY%s;j we;sùfï wjia:dj jeäh

;sfío@ fuu weÕs,af,a mdou bj;g mekSu;a iuÕ nkshka iEfok w;r" fufu uymgweÕs,af,a úrEmKh yeÆlaia je,a.ia ^Hallux valgus& f,i y÷kajhs' fuu nkshka ^Bunion& iy uymgweÕs,s úrEmKhka we;sùug fya;= rdYshla we;' wd;rhsáia iy weÕs,s yryd widudkH f,i nr oeÍu Bg fya;= úh yelsh' m%;sldrh$m%;sl¾uh fuu uymgweÕs,s fodaIh ksjerÈ lsÍu i|yd Y,Hl¾uhla wjYH úh yelsh' ;jÿrg;a krl w;g fuu ;;a;ajh je<elaùu i|yd im;a;= ;=<g oeóug bkafida,a Ndú;d lrkq ,efí' nkshka we;s frda.Ska i|yd ;o mdjyka kqiqÿiq fõ' Flat feet me;,s mdo ;;a;ajh hkq l=ulao@ mdoj,g ÿkq jeks keóï$wdrelal= ;=kla we;' fuu keóï lïmk wjfYdaIl f,i l%shd lrhs' Tfí mdofha

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zzme;,s mdo frda.hZZ hkqfjka ye¢kafjkafka hful=f.a mdofha ÿkq jeks keóï fkdue;s úg we;sjk .eg¨‍ iy.; ;;a;ajhghs' iuyreka me;,s mdo iys;j W;am;a;sfhaoSu Wreuj Wm; ,nk w;r wfkla whg fuh we;eï f.ùï iy.; ;;a;ajhkag miqjo we;sfõ' fuys§ mdoj, ish¨‍u fldgia ìu iam¾Y jk w;r fuh È.=ld,Skj fõokdldÍ fõ' ÿkq jeks keóï lïmk wjfYdaIl f,i idudkHfhka l%shd lrk úg me;,s mdohla we;s mqoa.,hkaf.a uq¿ isreru .uk;a iu. lïmkh fõ' m%;sldrh$m%;sl¾uh úfYaIfhka ks¾udKh lrk ,o bkafida,a iy ksis mdjyka me;,s mdo we;s mqoa.,hska i|yd fhda.H fjhs'

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nkshka-mdofha uymgÕs,a, u|la úYd,ùu yd me;a;g hdu ,dlaIKsl lr.;a úrEmk ;;a;ajhla we;s lrk frda. ;;a;ajhls'

Enthesitis mdoj, we;sjk tka;Sihsáia tka;Sihsáia hkq mdofha LKavrdjla ^tendon&" nkaOkS máhla ^ligament& wiaÓhlg iïnkaO jk ia:dkhla wdikakj we;sjk bÈóuhs' mdoj, tka;Sihsáia j¾. folla we;s w;r tuÕska frda.Ska oeä wmyiq;djhg m;afõ' fuu ;;a;ajhka kï ma,dkagd¾ *eisghsáia ^plantar fasciitis& iy wlS,sia fgkaäkhsáia ^achilles tendinitis&'

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ma,dkagd¾ j,oS *eisghsáia isÿjkafka Tfí mdofha m;=f,a ú¨‍fò f.da,dldr fldgi ìu jefok úgh' wlS,sia fgkaäkhsáia hkq mdofha j<¨‍lr msgqmi bÈóuhs' tka;Sihsáia we;sùug ksYaÑ; fya;=jla fkdue;'

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Foot care mdo uekúka ke;s rfÕA" mdo we;s ;ek fkdoefka'''

f¾Ldjla f,i yryd lmd .ekSu tla;rd m%;sldr l%uhls' iuyrla wjia:djka j,§ óg iq¿ ie;alï wjYH fõ'

me;,s mdo- mdofha iajNdjfhkau mj;akd jl% fkdfyd;a wdrelal= iajNdjfhka fkdmsysgñka iuia; mdoh fmdf<dfõ iam¾AY jk ;;a;ajhls' ksrka;rfhka iuia; mdo mDIAGhu ìfuys iam¾Y ùu fuysoS fõokdjla f.k fohs'

tka;Sihsáia - fuh mdofha we;sjk bosóuls' Bg fya;=jk LKavrd oaú;ajh fojeks rE igyfkys oelafjhs

m%;sldrh$m%;sl¾uh m%;sldr i|yd iaÜfrÑka.a jHdhdu isÿlsÍu" fnfy;a .ekSu" iqj myiq mdjyka Ndú;h iy fN!; Ñls;aidj Wmldß fõ' mdo kshfmd;= iu ;=<g ldjÈk frda.h ^In grown toe nail& iuyr kshfmd;= úfYaIfhka uymgweÕs,s kshfmd;= iug ldjÈk wjia:djka Woa.; fõ' kshfmd;= weÕs,s iu ;=<g fifuka j¾Okh jk w;r fuu ksid fõokdj yd iuyr úg wdidok we;s fõ' w¾O jD;a;dldr wdldrhlska kshfmd;= lmk mqoa.,hskag fuh w;aú¢h yelsh' m%;sldrh$m%;sl¾uh tjeks ;;a;ajhla j<lajd .ekSu i|yd kshfmd;= ir, 68

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weÕs,s j, È,Sr wdidokh f;;ukh iys; ;;a;ajhka we;s úg mdofha weÕs,s ;=vqj, kshfmd;= j, È,Sr wdidok we;s fõ' fï ksid úrEmS kshfmd;= we;sfõ' m%;sldrh$m%;sl¾uh È,Sr wdidok myiqfjka È,Sr kdYl wdf,amk u.ska m%;sldr lr iqjl< yel' mdoj, we;sjk ljr fyda frda.S ;;a;ajhla fõ kï th Tnf.a fjfiia wjOdkhg ,laúh hq;af;ah' ukao@ Tnf.a fomd Tn uq¿ Ôú; ld,h mqrdjgu ord.kakd wjhjh ùuhs' wmf.a wjOdkh t;rï oskd fkd.kakd we;eï fldgia wmg fl;rï jeo.;a jkafkaoehs is;kakg kï tajdfha fiajdj wvmK úh hq;af;auh' mdo .eko lshkakg we;af;a thuh' msßisÿ iajia:;d mqreÿ yd ksjerosj f;dard.kakd mdjyka ;=<ska mdo ksfrda.Sj ;nd .ekSug moku ie,fik nj Tn uekúka wjfndaOhg .; hq;af;ah' DM doctormagazine.lk

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Are we destined?

The Interesting World of Epigenetics

The Interesting World of Epigenetics

Are we destined?

Dr. Gayani Galhena BSc (Hons), MSc (by Research), PhD

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G

enetics or inheritance of characters is a field of science, which has expanded enormously over the past few decades.

Since the time of cracking the human genome, scientist assured that nitrogenous base the sequence of DNA (the genetic material) determines all that is heritable within us, pronouncing that identical twins who share the same genetic makeup should be physically similar. It puzzled the scientists, however, to witness that they are not so alike as expected in many instances. When Copy Cat- the first cloned cat (cloning is generating an animal who is genetically identical to another animal using artificial means) - had entirely different fur coat pattern from her mother, scientists could no longer overlook the gap in our knowledge.

Now, several years after this surprising encounter, it has become clear that the inheritance of traits is not solely controlled by the DNA sequences that we have inherited from our parents. There is an additional layer of control known as epigenetics.

Interestingly, epigenetics can override what we have inherited from our parents, making both our external and internal (biochemical) characters quite different from what they ought to be based on our genetic material. Moreover, it can also make presumably alike identical twins significantly different from each other.

Unlike the classical (genetic) inheritance that we generally talk about, epigenetic inheritance works by switching genes on and off. As we all know, genes carry the blueprint of our heritable characters.

They provide the instructions to produce proteins that make structural and functional elements of our body. The process of producing proteins based on instructions written in genes is known as gene expression. We inherit genes from our parents whether we like those or not, but epigenetics can modulate the gene expression by switching them on and off. Think of the electric wiring system of your

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Are we destined?

The Interesting World of Epigenetics

Mother (donor of genetic material)

Copy Cat

house. Once a house is built, the supply is there. It is a permanent structure. But you can switch on different bulbs at different times and switch off others as you want.

When the main is switched off, your house will be completely dark. Likewise, if you have three-phase electricity you can switch on and off different phases providing illumination to a part of your house while the other part is still dark. Epigenetics work in the same manner. There are main control centers, sub-control centers, and individual control elements for gene expression. Switching on and off can happen at any level making either a small localized change in your body or widespread drastic alterations, which could be probably life-threatening.

How does epigenetics do this?

It happens through two mechanisms, histone protein changes, and DNA methylation. These are known as epigenetic changes in our genes. For example, adding a couple of methyl groups (chemicals) into a gene can shut it off completely changing your physique drastically, be it only a shift in your appearance or developing a disease like cancer or diabetes. What triggers these epigenetic changes?

Several environmental factors such as diet, obesity, smoking, alcohol, sun exposure, medicine, physical activity, stress, and microorganisms that are naturally found in our body can elicit epigenetic changes. These factors link our lifestyle to our health and appearance. The epigenetic changes made through these factors will accumulate over time, altering the expression of genes while we age. Not surprising that we tend to change completely, over the years! And what’s more, these changes get inherited too, we pass it not only to the new body cells we produce but also to our children.

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This environmental influence over genes through epigenetics can explain why one identical twin develops cancer, diabetes, or a mental disorder, while the other twin is perfectly alright. Since epigenetic changes accumulate over time, the identical twins tend to change more and more over time. They may look quite alike when they were just toddlers, but not so much when they reach the latter part of their lives.

As demonstrated with the experiment of a cloned cat, epigenetics provides an explanation as to why cloning an individual would not produce a carbon copy of its original owner as expected. For example, can you expect the same Mathematician Einstein, if you make a clone of him? Very unlikely. For, the diet, physical activity, and environmental stressors would change the epigenetic material of the cloned Einstein from that of the original Einstein.

Although epigenetic changes can occur at any time period in our life, many studies have shown that the fetal period is particularly susceptible. For example, several

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Are we destined?

The Interesting World of Epigenetics

human and animal studies have demonstrated that mothers who were exposed to a high-fat diet during their pregnancy, had children with increased weight and fat mass. As adults, they had an increased risk of diabetes, hypertension, and cardiovascular damage due to the epigenetic changes made during their fetal life. Likewise, when expectant mothers are exposed to higher levels of stressors over a couple of generations, members of that family line tend to become more vulnerable to diseases.

On the other hand, are all these changes we accumulate over the years encompass epigenetic changes?

Not so. Many are not epigenetic in fact, though it is not easy to figure out which are due to epigenetic changes and which are not, without doing a proper scientific experiment. Thus, in our day to day lives, we cannot identify the epigenetic effects that we undergo, but we can relate experimentally proven epigenetic effects to our lifestyles to ensure healthy longevity.

One of the most important features of epigenetics is its reversibility. While changes to genetic code (DNA sequence changes) are permanent, the epigenetic changes are largely reversible. Interestingly this provides us with a key to alter our biological characters and health to some extent. For example, prolonged smoking can result in epigenetic changes in a gene called AHRR, increasing the lung cancer risk. However, these changes to the gene can be reversed following cessation of smoking. Likewise, bioactive compounds present in some food items can counteract the damage caused by environmental pollutions. For example, folate in spinach, choline in eggs & broccoli, vitamin B12 in milk, and isoflavone in legumes can reverse epigenetic changes induced by environmental pollutants.

Epigenetic changes play a key role in health being the cause for many common diseases. The list includes cancer, diabetics, obesity, cardiovascular diseases as well as addiction, depression, schizophrenia (severe mental abnormality), and many more. Though it is disappointing to see how liable we are to environmental factors, the good news is that with careful attention we can either control, modify or alter these epigenetic effects. After all, we are not destined as we once thought, rather destiny can be created, when the keys to the yet unknown mysteries are revealed through scientific advancements. DM

The writer is a Senior Lecturer in Department of Zoology and Environmental Science, Faculty of Science, University of Colombo.

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Lanka Hospitals Haemato-Oncology Centre reêr ms<sld frda.Skaf.a wdrlaIdfõ''' /ljrKfha yd n,dfmdfrd;a;=fõ kjd;ekafmd<

Lanka Hospitals Haemato-Oncology Centre reêr ms<sld frda.Skaf.a wdrlaIdfõ''' /ljrKfha yd n,dfmdfrd;a;=fõ kjd;ekafmd<

,xld fydiamsÜ,a reêr ms<sld uOHia:dkh idhksl rla;fõo úfYAI{ ffjoH iuka fyajdudk MBBS(Colombo), MD(Medicine, Colombo) MRCP(UK), FRCP(London), FRCPath(UK), PhD(UK), CCT (Haematology, UK) Consultant in Clinical Haematology/Haemato-Oncology (UK), Member British Society of Haematology, Member American Society & Haematology

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Lanka Hospitals Haemato-Oncology Centre reêr ms<sld frda.Skaf.a wdrlaIdfõ''' /ljrKfha yd n,dfmdfrd;a;=fõ kjd;ekafmd<

reêr.; ms<sld frda. iïnkaOfhka fï ld,fha fjfiia wjOdkhla fhduqù ;sfnkjd' ksrka;rfhka fï reêr.; ms<sld ldKAvfha frda.Ska jd¾;d ùu;a we;eï úg kjH ;dlaIKh fhdod .ekSu wjYH ùu;a ksid fï frda.Ska iïnkaOfhka fï rfÜ m%;sldr l%u úêu;aj mj;ajd .ekSfï wjYH;djh mek k.skjd' fï miqìu ;=< b;d id¾:l wdldrfhka reêr.; ms<sld j,g m%;sldr i,ik wdfrda.

HYd,djla mej;Su fï rfÜ ck;dj ,o Nd.Hhla' zz,xld fydiamsÜ,a reêr.; ms<sld frda. uOHia:dkhZZ c.;a msßú;r j,g wkQj mj;ajd .ksñka" kjH l%ufõohkao ksrka;rfhka Ndú;hg .ksñka ngysr rgj, reêr.; ms<sld frda.Ska ,nk id¾:l;ajhg wdikak jQ id¾:l;ajhla fï jk úg;a w;am;a lrf.k ;sfnkjd' reêr.; ms<sld iïnkaOfhka yd id¾:l;ajfha ch.%yK w;am;a lrf.k isák

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frda.sfhl=g m%;sldr lsÍfïoS jvd m%;sM<odhS frda.S l<uKdlrKhla i|yd úúO lafIA;%hkayS m%ùK ffjoHjrekaf.a m%udKsl oeKQu wjYH fõ' ,xld fydiamsÜ,aia reêr uOHia:dkfhaoS iEu frda.sfhla iïnkaOfhkau fujka Multidisciplinary Team (MDT) Approach yuq u.ska bosß m%;sldr l<uKdlrkh isÿ fjhs'

,xld fydiamsÜ,a reêr m%;sldr uOHia:dkfha m%Odks rla;fõo frda. úfYAI{" ffjoH iuka fyajdudk iu. flfrk ms<si|rl ;;= iu.ska fufia wm Tn yuqjg tkafkuq' wmg uq,skau fï reêr.; ms<sld iïnkaOfhka uQ,sl ye|skaùula lrkak' reër.; ms<sld uQ,slj fldgia ;=klg fnfokjd' ,shqflañhd" ,sïfmdaud yd uhsf,daud wdoS jYfhka' fï reêr.; iïNjhla iys; ms<sldjla we;sjQ úg YÍrfha reêrh ksIamdokhg;a" reêrh u.ska flfrk l%shdldrlï j,g;a ndOd meñfKkjd' fndfydauhla reêr.; ms<sld we;s fjkafka reêrh ksIAmdokhg uQ,slj lghq;= lrk wegñÿ¿ j,uhs' fï wegñÿ¿ j, mj;akd l=U ffi, ( Stem cells) r;= reêrdKQ" iqÿ reêrdKQ yd mÜáld hk reêr ffi, njg mßK; fjkjd' reêr.; ms<sldjloS fï reêr ffi, W;amdokh ùfï l%shdj,shg ndOd meñfKkjd ú;rla fkdfjhs" widudkH ffi, j, ys;=jlaldr ckkh ùul=;a isÿ fjkjd'

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lSfudf;rms m%;sldr reêr ms<sld frda.Skaf.a m<uq fm< m%;sldrhla fjhs' jvd;a wdrlaIs; mßirhla ;=<" b;d ixúê; md,s; ;;a;aj hgf;a lSfudf;rms m%;sldrh frda.Ska fj; isÿ flf¾

fï reêr ffi, j,g YÍrfha hy l%shdldß;ajh fjkqfjka bgql< h;= ld¾hhka /ila ;sfnkjd' lsishï wd.ka;=l úIîchla YÍr.; jqKdu th wvmK lrk m%;sYla;sl l%shdj,sh" reêrh .e,SuloS th k;r lsÍug isÿ lrk reêrh leá .eiSfï l%shdj,sh''' wdoS jYfhka' reêr.; ms<sldjla ;sfnk úg fu l%shdj,s j,g;a fmdÿfõ ndOd meñfKkjd'

yd YÍrfha fjk;a mgl wdY%h lrf.k ys;=jlaldr f,i ckkh fjkjd' fï fya;=fjka l,la hk úg YÍrfha m%;sYla;slrK moaO;sh wl¾ukH fjkjd'

kej;;a wms fï uQ,sl reêr.; ms<sld j¾. .ek flá meyeos,s lsÍula lruq@ ,shqflañhdj lshkafka wegñÿ¿ mdol lrf.k we;sjk ms<sldjla' fuysoS widudkH iqÿ reêrdKq úYd, jYfhka ksIamdokh jk w;r tajdg ms<su¨ka yd igka lr YÍrh f,vfrda. j,ska wdrlaId lr.kakg yelshdjla kE' ta ú;rla fkdfjhs wegñÿ¿ j,oS r;= reêrdKQ yd mÜáld ksIAmdok l%shdj,sh;a ,shqflañhdj ksid wvmK fjkjd'

uhsf,daud lshkafka ;j;a reêr.; ms<sldjla' fuh we;s jkafka wmg we;s úh yels frda. yd wdidok j,ska wmj wdrlaId lrk zzm%;sfoayZZ ksmoùug fya;= jk ma,iaud ffi, j, we;sjk ms<sldjla jYfhka' uhsf,daudjla we;sjqKdu m%;sfoay ksIAmdokfha idudkH hdka;%Kh wvmK fjkjd' tys m%;sM<h

,sïfmdaudj lshkafka YÍrfha jid moaO;shg n,mj;ajk reêr.; ms<sld úfYaIhla' fuysoS ,sïfmdihsg lshk iqÿ reêrdKQ wdldrh widudkH ,sïfmdaud ffi, njg fmrf<kjd' tajd jid .eá;s

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Lanka Hospitals Haemato-Oncology Centre reêr ms<sld frda.Skaf.a wdrlaIdfõ''' /ljrKfha yd n,dfmdfrd;a;=fõ kjd;ekafmd<

jkafka ksrdhdifhkau YÍrh wkdrlaIs; ùuhs' mqxÑ f,vla jQj;a úkdYldÍ m%;sM<hla we;s lrkakg fï ksid wjia:dj ie,fikjd' reêr.; ms<sld frda.Ska uqyqKmdk úYd,;u wNsfhda.h l=ulao@ b;du fyd| m%Yakhla' fï reêr.; ms<sld frda.Skag we;s úYd,;u .eg¿j ;uhs ndysrj we;sjk fjk;a frda. yd wdidok fï frda.Ska úIfhys b;d nrm;, frda. ;;a;aj njg m;aùu' mqxÑ wdidokhla jQj;a óg l,ska lsõj jf.a f,dl= ydkshla isrerg we;s lrkak fï ksid mq¿jka' mqxÑ Yajik wdidokhla fmKy¿.; kshqfudakshdjla olajd j¾Okh fjkak fï frda.Skag ;sfnk wjia:dj jeähs' iuyr fj,djg reêr .e,Sï kj;a; .kak neß fjkjd' fldákau fï frda.Ska nyq;rhla wkdrlaIs; mßirhla ;=< jeä jYfhka ñhefokafk ms<sldj ksid fkdfjhs' fï ksid we;sjk wdidok yd

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rfÜ fjk;a ms<sld m%;sldr lrk ffjoHjreka" fyoshka yd wjfYAI ld¾huKAv, i|yd kj oeKQu" w;aoelSï fnodfok jevuq¿ fuu m%;sldr uOHia:dkfhka ksrka;rfhka meje;afjhs'

úúO ixl+,;d ksihs' fï ksid reêr.; ms<sld fï frda.Ska ksjerosj /l n,d.ekSu w;sYhska jeo.;a' fï reêr.; ms<sld frda.Ska iqj lrkakg mq¿jkao@ fndfydauhla frda.Ska i|yd m%;sldr yd m%;sl¾u ;sfhkjd' frda.shd iqjh ,nkakg we;s wjia:dj lreKQ lsysmhla u; ;SrKh fjkjd' ms<sld j¾.h" tys l=uk woshrl frda.shd isákafkao hk j. yd frda.shdf.a idudkH fi!Lh ;;a;ajh wdoS ldrKd u; frda.shdf.a iqjh ,eîfï wjia:dj ;SrKh fjkjd' reêr.; ms<sld frda.Skag lrk m%;sldr fudkjdo@ uQ,sl jYfhka m%;sldr lsysmhla ;sfnkjd' thska jvd;a iqÿiq m%;sldr ;SrKh lrkafka ffjoHjrhd úiska" ffjoHjreka lKavdhula úiska frda.shdf.a ;;a;ajh iudf,dapkh lsÍfuka miqjhs' we;eï úg m%;sldr lsysmhlau tljr ke;fyd;a tla m%;sldrhlg miq B<Õ m%;sldrh jYfhka l%shd;aul lrkjd' reêr.; ms<sld frda.Skag lrk uQ,sl m%;sldrhla lSfudf;rms' úfYAI ms<sld T!IO kslafIAmkh lsrSu' ta yereKQ úg úlsrK Ñls;aidj" wegñÿ¿ noaO lsÍu" Targeted therapy, Immunotherapy wdoS m%;sldr fï frda.Ska Wfoid isÿ lrkjd'

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fï frda.Ska úúO wdidok j,g ,laùfï wjia:d jeä nj Tn m%ldY l<d tfiau frda.Ska jeä jYfhka ñh hkakg fï frda.Ska /ln,d .ekSfï wvqmdvqlïo fya;= jk nj Tn mejiQjd' fï ;;a;ajh ;=< ,xld fydiamsÜ,a reêr frda. uOHia:dkh fï frda.Ska wdrlaId lr.kakg f.k we;s úfYaI mshjr fudkjdo@ wm fï frda.Ska i|yd ta fjkqfjkau mqyqKQjla yd mßphla ,enQ ld¾huKAv,hla fhdod .kakjd' ta wh ksrka;rfhka kj oeKQfuka ikakoaO lrkjd' fï frda.Skag úIîchla YÍr.; fjkakg b;d l=vd fyda wjodkula we;s fjkakg wm bv ;nkafka kE' ld¾h uKAv,h ksrka;rfhka ksis fi!LHdrlaIl l%u wkq. ukh lrkjd' ffjoHjrfhl= j;a w;aos. lïi" ghsmá m<|skafk kE' tajd Tiafia iq¿ fyda úIîc iïfm%aYKh ùfï wjodkula ;sfhkak mq¿jka ksid Bare below elbow mqreoao wm frda.Skaf.a wdrlaIdj Wfoid mj;ajd f.k hkjd' wuq;a;ka ne,Su wm fnfyúka iSud lr ;sfnkjd' fï wdldrfhka wm b;d ksjerosj frda.S i;aldr l%shd ms<sfj;la wkq.ukh lrkjd' Tfí wdh;kh ksrka;rfhka Wiia ;dlaIKh Ndú;hg .kakjd' wegñÿ¿ noaOh b;d id¾:lj isÿ lrk reêr frda. uOHia:dkhla f,i fu jk úg Tn wdh;kh m%p,s;j ;sfnkjd' fï jk;=re wegñÿ¿ noaO id¾:l;ajh ishhg iShhs' ishhu frda.Skag cSú;h ,nd fokak iu;aj ;sfnkjd' fï ngysr mkakfha ;rugu wdrlaId lr.kakd id¾:l;ajfha ryi l=ulao@ wm fï wdh;kh wdrïN lf<A 2013 j¾Ifhaos' uyd ì%;dkHh" reêr.; ms<sld frda.Ska b;d id¾:lj m%;sldr lrk rgla' uu reêr frda. úfYaI{ ffjoHjrfhl= jYfhka uyd ì%;dkHfha oS¾> ld,hla lghq;= lr ;sfnkjd' uf.a jD;a;Sh iqÿiqlï ,nd.;af;;a uyd ì%;dkHfha úoHdh;k j,ska' wm uq, b|kau uyd ì%;dkHfha msßú;r wkq.ukh l<d' ksrka;rfhkau uu tu úoHdh;k" m¾fhaIlhka iu. hdj;ald,Sk ùï isÿ lrkjd' fï ksid ta oeKQu" ta mßph wm ksrka;rfhkau ,dxflah frda.Skaf.a wdrlaIdj msKsi fhdod.kakjd'

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,xld fydiamsÜ,a reêr ms<sld uOHia:dkh fï rfÜ reêr.; ms<sld frda.S i;aldr fiajd iïnkaOfhka mqyqKq uOHia:dkhla jYfhka lrk fiajh .ek mjikak@ Haemato-Oncology wfma rfÜ uq,a nei.;a úfYaI{ ffjoH YdLdjla fkdfjhs' Haematologist frda.h úksYAph lsÍfuys yjq,a jqKd' Oncologist frda. m%;sldr lsÍfuys odhl;ajh oelajQjd' kuq;a reêr.; ms<sld iïnkaOfhka m%;sldr lsÍfïoS fï folu taldnoaOj Haemato-Oncology Sub Speciality tlla mej;Su ;=< frda.Skag jvd;a idOdrKhla bgq fjkjd' fï rfÜ fcHIAG ms<sld ffjoHjrekaf.a b,a,Su u; fuu fï lafIA;%h iïnkaOfhka uyr.u wfmalaId frday, we;=¿j ffjoHjreka mqyqKQ lsÍula l<d' thg ,xld fydiamsÜ,a frday, wk,iaj wkq.%yh oelajQjd'

March 2021

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79

D•Magazine /

Lanka Hospitals Haemato-Oncology Centre reêr ms<sld frda.Skaf.a wdrlaIdfõ''' /ljrKfha yd n,dfmdfrd;a;=fõ kjd;ekafmd<

reêr.; ms<sld frda.Skag ksjerosj lSfudf;rms T!IO ,ndoSu;a" bka miqj Tjqka b;d ie<ls,af,ka /ln,d .ekSu;a b;du jeo.;a' wfma wdh;kh ta iïnkaOfhka ukd mßphla iys; ld¾huKav,hlska mßmQ¾Khs' wmg fï rfÜ ish¿u reêr.; ms<sld frda.Ska wdrlaId lr .ekSfï iudc hq;=lula ;sfnkjd' ta .ek wjfndaOfhka wms rdcH wxYfha fukau fm!oa.,sl wxYfhao frday,aj, fyoshka" T!IOfõoSka i|yd lSfudf;rms mqyqKQ myiqlï iEu j¾Ihlu mj;ajkjd' reêr.; ms<sld frda.S i;aldrfhaoS jeo.;a jk fiiq wxY fudkjdo@ frda.S m%;sldr ;Skaÿ lsÍu i|yd ta iïnkaO úúO lafIA;% j, úfYaI{hka iyNd.s jk Multidisciplinary Team (MDT) Approach m%fõYhla wm wkq. ukh lrkjd' úlsrK úfYAI{hka" jHdêfõoSka" rla; ms<sld ffjoHjreka tl fïihl idlÉPd

80

March 2021

DOCTOR MAGAZINE

lr frda.Ska iïnkaO ksjeros ;SrK .; hq;=hs' wm th isÿ lrkjd' tfiau ksrka;rfhka kj oeKQu hdj;ald,Sk lr.ekSu fjkqfjkao wm iEu úgu msmdidfjka miq fjkjd' frda.S m%;sldr j, .=Kd;aul ;;a;ajh m%j¾Okhg wm ne?rï f,i lghq;= lrk nj lsj hq;=hs' reêr.; ms<sld yerKQ úg Tn wdh;kh fjk;a reêr.; fodaI iys; frda.Ska Wfoido m%;sldr lrkjdo@ Tõ' wm reêr.; ms<sld frda.Ska muKlau fkdfjhs" fjk;a reêr.; fodaI iys; frda.Skago m%;sldr lrkjd' ksrla;sh" reêrh leá .eiSfiï widudkH;d" r;= reêr ffi, ydks ùu ksid we;sjk Haemolysis ;;a;ajhka" reêrh leá .eiSu ksishdldrfhka isÿ fkdjk Idiopathic thrombocytopenic purpura ;;a;ajh" .¾NKS wjêfhaoS we;sjk reêr.; fodaI fukau fjk;a reêr.; widudkH;d j,go fuysoS id¾:lj m%;sldr lrkjd' fï wNsfhda.d;aul ld,hla' f,dalhu fldúâ 19 jix.;h wìuqj wirKNdjhg m;aj bkak iuhla' fï wjia:dfõ reêr.; frda. j,ska fmf<k frda.Ska fldúâ frda.fhka wdrlaId lr.kakg fhdok wdrlaIl Wml%u fudkjdo@ fï fldúâ je<|Sfuka idudkH ksfrda.S flfklaf.a cSú;h wysñ ùfï wjia:dj ishhg 1-2g jeä kE' ta;a" reêr.; ms<sldjla ;sfhk flfkl=g fldúâ yeÿfKd;a we;sjk wjodku fnfyúka jeähs' Tyqf.a cSú; wjodku ishhg 30-40 muK fjkjd' fï ksid wm wfma frda.Ska yg fï frda.h je<ªKQ úg m%;sldr lrkjdg jvd frda.Ska yels iEu W;aidyhlau fhdod fldúâ frda.hg k;= ùfuka j<lajd .ekSuhs l< hq;af;a' wm reêr.; ms<sld frda.Ska flfryS fldfydu;a wkq.ukh lrk oeä wdrlaIK ms<sfj; fï wjia:dfjoS ;j;a oeä l< hq;=hs' ,xld fydiamsÜ,a reêr ms<sld uOHia:dkfha wm fï ksidfjkau wdidok md,k l%shdud¾. b;d oeä f,i wkq.ukh lrkjd' DM

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D•Magazine /

Puredale Kirithé lsß f;a l,dfõ fmr<sldrhd msfhdafâ,a

lsß f;a l,dfõ fmr<sldrhd

msfhdafâ,a

zzuf.a f.or uf.a f;a tl yod .kafk uu''' f;a tl yokak úkdä oyhla ú;r hkfldg f;a fndk tfla wdidjla ke;s fjkjd''' b;ska uu ne¨‍jd ;;amr .Kklska f;a tlla yod .kafk fldfyduo lsh,d' tys m%;sM,h ;uhs ;;amr ;sfyka yok lsß f;a tl" msfhdafâ,a'ZZ -Anods Cocoa wdh;k m%Odks ,laIauka ùriQßh uy;d''' iajdNdúl t<lsß idrh yd iajdNdúl Wla j,ska ksIamdÈ; iSks iy Wiia .=kd;aufha f;a fld< uqyqka lrñka cd;Hka;r fjf<|fmd<g;a wNsfhda.hla jk fia zzmsfhdafâ,aZZ lsß f;a ksIamdokh lsÍfï uQ,slhd jQ ,laIauka ùriQßh uy;d zzmsfhdafâ,aZZ lsß f;a u.ska mdßfNda.slhdg we;sjk jdis yd myiqj .ek fï úÈyg woyia olajkjd' ;;amr 30ka lsß folla idod .; yels wÆ;au f;a l,dj miq.shod zzmsfhdafâ,aZZ lsß f;a kñka y÷kajd fokq ,enqjd' uq,skau zzmsfhdafâ,aZZ lsß f;a fjf<| fmd<g ksl=;a lsÍfuka miq ,enqKq by< b,a¨‍u ksid iSks rys; lsß y÷kajd§uo isÿflreKd' úfYaIfhkau Èhjeähd frda.Skag wfma zzmsfhdafâ,aZZ iSks rys; lsß f;a tl úYd, myiqjla fjkjd ksielhs' 82

March 2021

DOCTOR MAGAZINE

doctormagazine.lk

ishhg ishhla msßisÿ t<lsß j,ska ksIamdokh lrk iïmQ¾K fhdoh iys; zzmsfhdafâ,aZZ lsß f;a Y%S ,xldfõ Wiiau f;a idrho leá lrf.k Tn fj; tkafka Wmßu úYajdih i,iñks' óg wu;rj zzmsfhdafâ,aZZ lsß f;a mdkh u.ska fndfyda jdis Tng ,efnkq we;' f;a fld< ;ïnd f.k iSks tl;= lr iïm%odhsl l%uhg lsß f;a tlla idod .ekSug úkdä 6l muK ld,hla .; fjkjd' kuq;a zzmsfhdafâ,aZZ lsß f;a tlla idod .ekSug .; jkafka ;;amr ;syla jeks b;d iq¿ ld,hla' ta ksid oeka Tng úYd, ld,hla b;sß .ekSug yels fjkjd' idudkHfhka lsß f;a tlla idod .ekSfuka miq Ndck lSmhlao fidaod msßisÿ lr.; hq;= jk w;r zzmsfhdafâ,aZZ lsß f;a tlla idod .ekSug wjYH jkafka Tnf.a f;a fndk fldamamh muKhs' fï ksid ld,hg wu;rj Y%uh" c,h b;sß lr .; yels mßir ys;ldó ksIamdokhla jk zzmsfhdafâ,aZZ lsß f;a Ndú;h u.ska Tng lsishï uqo,la ksielfhkau b;sß lr .ekSugo wjia:dj ie,fikjd' fï myiqlï ksid Tfí ksjig" wdh;khg" f;a lvhg" wdmkYd,djg" l%Svdmsáhg" fkajdisld.dr j,g wu;rj ´kEu ia:dkhlg zzmsfhdafâ,aZZ lsß f;a .ekSu u.ska fndfyda jdis ,efnkjd' úfkdao .ukla hk úg;a zzmsfhdafâ,aZZ lsß f;a melÜgqjla /f.k hdfuka Tfí .ukg myiqjla w;afjkjd'

doctormagazine.lk

lsß f;a l,dj myiq zzmsfhdafâ,aZZ Y%S ,dxlslhkaf.a f;a l,dfõ wreuh njg m;aj we;af;a fuu ksIamdokh ishhg iShlau Y%S ,dxflah yd iajdNdúl wuqøjHj,ska ksIamdÈ; lsß f;a mdkhla ksidfjks' mrK mqreÿ wu;l lr" wou lsß f;a l,dj w¨‍;a l< zzmsfhdafâ,aZZ lsß f;dar.kak' frday,a.; jk whgo iSks rys; fyda iys; zzmsfhdafâ,aZZ lsß f;a melÜgqjla /f.k hdfuka fudk ;rï myiqjla ,efnkjdo@

March 2021

DOCTOR MAGAZINE

83

D•Magazine /

Puredale Kirithé lsß f;a l,dfõ fmr<sldrhd msfhdafâ,a

úfYaIfhkau iSks iys; iy iSks rys; wdldrhg zzmsfhdafâ,aZZ lsß fj<| fmd<g meñK ;sfnk ksid Tfí fi!LH uÜgug .e,fmk lsß f;a tlla myiqfjka f;dard .ekSfï yelshdjo ;sfnkjd' lsÍ f;a ueiska i|ydo zzmsfhdafâ,aZZ lsß b;d fhda.H jk w;r f;a fldamamhlg jeh jk uqo, remsh,a úiailg jvd wvq uqo,la ùu úfYaI jdishla' ´kEu flkl=g wjYH ´kEu fõ,djl§ WKqj;=r álla muKla Ndú;d lr b;d blauKska ;;amr ;syla jeks iq¿ ld,hl§ ilid .; yelshs' .%Eï 25" 200" 400 fukau lsf,da tfla melÜ jYfhkao oeka ,xldfõ ish¨‍u iqmsß fj<|ie,a we;=¿ ´kEu fj<|ie,lska o ,nd.; yelshs' .%Eï 25 melÜgqjla remsh,a 25la" .%Eï foiSh meleÜgqjla remsh,a 200la" .%Eï 400 melÜgqjla remsh,a 380la" lsf,da tfla melÜgqjla remsh,a 920la o fjhs' iSks rys; zzmsfhdafâ,aZZ .%Eï 200 meleÜgqjla re'330la muKla fjhs' 84

March 2021

DOCTOR MAGAZINE

lsß f;a l,dj myiq zzmsfhdafâ,aZZ Y%S ,dxlslhkaf.a f;a l,dfõ wreuh njg m;aj we;af;a fuu ksIamdokh ishhg iShlau Y%S ,dxflah yd iajdNdúl wuqøjHj,ska ksIamdÈ; lsß f;a mdkhla ksidfjks' mrK mqreÿ wu;l lr" wou lsß f;a l,dj w¨‍;a l< zzmsfhdafâ,aZZ lsß f;dar.kak' DM

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D•Magazine /

Physical Therapy bjikak neßfhda''' fldkafoa wudrej''' jeäfhda'''

Physical Therapy bjikak neßfhda''' fldkafoa wudrej''' jeäfhda''' ishhg 90la fldkafo wudrelï j,g ie;alï wjYH kE''' fN!;Ñls;aidj jeäfofkl=g úmq, M< ,nd fokjd''' fN!;Ñls;ail liqka niakdhl úisks

86

March 2021

DOCTOR MAGAZINE

doctormagazine.lk

jhia‌fNaohlska f;drj wo jk úg fndfyda fokd fldkafoa wudrefjka mSvd ú¢kjd' jeäysáhkag muKla fkdj mdi,a úfha miqjk orejkag mjd fldkafoa fõokdjla we;súh yelshs' fndfydaúg fldkafoa fõokdj nr fohla Tijd .ekSug W;aidy lsÍfï§ yd yÈis wk;=rl m%;sm,hla f,i we;s úh yelsh' ke;fyd;a th jhig wkqj ld,h;a iuÕ j¾Okh jk fldkafoa wudrejla úh yelsh' fldkafoa fõokdj fld÷weg fmf<ys ´kEu ;ekl we;súh yelsh ^Tfí fldkafoa my< isg isg fn,af,a mdou olajd&' fldkafoa fõokdj È.=ld,Sk ^ksoka.;& fyda flá ld,Sk wudrejla úh yels w;r fndfydaúg Èk lsysmhlg miq myj hhs' fldkafoa fõokdj m%Odk jYfhka we;sjk wdldr ² fhduq lrk ,o fõokdj Reffered pain fuh ;o" fõokdldÍ ;;a;ajhla jk w;r úúO ;Sj%;djhka .kS' YÍrfha msgqmi úúO m%foaY lrd .uka l< yelsh' th fld÷ weg fmf<a ;eáj,g jHqyd;aul ydkshla fyda jhig hdu;a iu.u we;sjk fjkialï (Degenerative disease) u; we;súh yel'

fldªweg fmf<ys iajdNdúl jl% y;rla we; ff.%ù lfYAreldj Wria lfYAreldj

là lfYAreldj ;%sldiaÓl jl%h

fldkafoa wudrejl ,laIK idudkHfhka fuys msgfldkafoa fõokdjla we;s fjhs' fõokdfjys iajNdjh wkQj th mj;akd ld,h ;SrKh fjhs' WK" fõokdj mdo osf.a my<go oekSu" bosuqu" jeäfjk fõokdj yd uq;%d ixhuh .s,sySu wdoS ,laIK iu.ska fldkafoa wudrej we;sjk úg wm%udoSj ffjoHjrfhl= yuqjkak'

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March 2021

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87

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Physical Therapy bjikak neßfhda''' fldkafoa wudrej''' jeäfhda'''

fldkafoa wudrejg m%;sl¾u

fmaYs j,g lrk m%;sldr

fmays W;af;ackh lsÍu" jHdhdu iy fN!;Ñls;ail Ñls;aidjka m%odysl ;;a;ajhka iukh lsÍug bjy,a jk w;r msgfldkao u; Yla;sh kej; ,ndoSug yd u;=jQ wd;;sh iukh lsÍugo th bjy,a fjhs

² wlaISh fõokdj Axial pain wlaISh fõokdj tla ia:dkhlg fyda l,dmhlg iSud fõ' fuh msgqmi udxY fmaYsj, we;s jk úl%shd fya;=fjka we;súh yels fõokdjls' wlaISh fõokdjo ;on, fõokdjla úh yels w;r" th ojfia úúO fõ,djkays§ meñ‚h yelsh' ² /älshq,¾ fõokdj Radicular pain fld÷ wegfm, w;r msysgk ;eá iïmSvkh" m%odyh fyda fjk;a .eg¿ ksid fld÷weg fmf<a iakdhq uQ,hla ;o ùfuka iakdhq uQ, Èf.au fõokdjla we;s lrhs" th Tfí ll=,a olajd úysfoa' iháld$ Sciatica iEu úgu /älshq,¾ fõokdjla f,i ie<fla' fldkafoa fõokd j,g mdol jk iq,n fya;= iuyrla ² msgfldkao m%foaYfha we;s ´kEu mglhl ^Wod - lfYareldjka" wka;¾ lfYarel ldáf,ach" wiaÓ nkaOks" fmaYSka" iakdhq" wiaÓ& yg .kakd leãula ì£ula fyda wdidokhla ksid t;ek fõokdjla yg .; yel' ² fldkaog wdrlaIdj imhk udYfmaIsj, ;oùula ksid lelal=ula f,iska u;=úh yels fõ' fuh ;reK jhfiaoS iq,nj oel.; yels fõ' nrla bis,Su i|yd kqyqre bßhõ Ndú;h óg fya;=úh yels fõ'

88

March 2021

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doctormagazine.lk

iháld mdo osf.a my<g we;sjk ysßh" fõokdj ihála iakdhqj

msg;g fkrd tau fõokdj we;sjk m%foaY r;= meyefhka olajd we; msg;g ;,a¨ ùu fuh fndfyda úg wka;¾ lfYArel uv, msg;g mekSfuka we;súh yel

² wm tÈfkod Ôú;fha Ndú;d jk jerÈ bßhõ wkq.ukfhka fld÷weg fmf<a iajNdúl jl%;djka wdrlaId lr.; fkdyels fõ' tu jl%;djkag n,mEï we;s jQfjd;a th fldkafoa lelal=ï i|yd fya;=úh yels fõ' ² ;j;a iuyr úg fld÷ weg fmf<a fõokdjg fya;=j isref¾ fjk;a ia:dkhl ^Wod-wdudYfha ;=jd," ms;a;dYfha wdidok iy .,a" jl=.vqj, wdidok iy .,a" uq;%d ud¾.fha wdidok iy .,a" .¾NdIfha frda.& yg.kakd frda.hls' l,d;=rlska uq;a" fldkafoa fõokdjg fya;=j ms<sldjla fyda ,shqflañhd jeks reêr.; frda.hla ùuogo mq¿jk'

doctormagazine.lk

² óg wu;rj ÿïmdkh" wä Wi mdjyka me<£uo fld÷weg fm<g wys;lr n,mEï we;s lrúh yelshs' nE.a /f.k hdu" ÿïmdkh" jdäùu yd wä Wi mdjyka Ndú;h wdÈh ;reK jhfia whg fld÷weg fmf<a fõokdjg fya;= fõ' fldkafoa fõokdj iu.dój wikakg ,efnk iháld ;;a;ajh iqIqïkdfjka mgka.kakd iakdhq tl;=ù ;efkk iakdhqjla f,i ihála iakdhqj yeÈkafjk w;r th YÍrfha we;s úYd,;u iakdhqjo fjhs' fuu iakdhqj È.= iakdhq follg fn§ mdoj,g iakdhq iemhSu lrkq ,nhs'

fldkafoa wudrejl§ iakdhq yd b;d l=vd ikaê mÍlaId lsÍu jeo.;a ksid MRI mÍlaIKh jvd;a iqÿiq fõ' kuq;a we;eï wjia:dj,§ CT ialEka mÍlaIKho bjy,aa fõ' tu CT mÍlaIKfha§ úuid n,kafka wiaÓ j, mj;sk jHqyh ms<sn|jhs'

March 2021

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89

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Physical Therapy bjikak neßfhda''' fldkafoa wudrej''' jeäfhda'''

ksjeros ia:dms;hlska we;sjk jdis u;lh yd bf.Kqu yelshdjka j¾Okh ùu jvd;a fm!reIhlska hq;a ndysr fmKQu f.f,ys" msgfldkafoys fõokd tkafka ke;

hym;a udkisl Ndjhla Wreu fjhs Yajikh iqir fjhs fgiagiagfrdka fydafudak >%djh jeä fjhs

jvd flÜgqjg yd Wig ndysßka fmfkhs

fuu iakdhqj u; we;sjk f;rmSula fyda ydkshla jQ úg th ll=,a j, we;sjk fõokdjla fyda ysßjeàula fyda mK ke;sj hdula f,i frda.shdg oefkkq we;'fuu ;;ajh iháld ;;ajhla f,i yeÈkafõ' iháld i|yd iq,nj n,mdk fya;= ta w;r fldkao ks¾udKh ù we;s lfYareld w;r we;s" wka;¾ lfIarel uKav,fha we;sjk m%odyhka fukau jhi;a iuÕ we;sjk fjkiaùï ksid fldkafoa wudre we;súh yelshs' fuh iháld ;;a;ajhg uQ,sl fya;=jla úh yelsh' flfia kuq;a iháld j,g ishhg 85la fya;=j lfYareldj, levqula" ì÷ula fyda wdidokhls'

90

March 2021

DOCTOR MAGAZINE

doctormagazine.lk

ishhg 10lg fya;=j wka;¾ lfYarel ldáf,ac fm;a; iakdhq rÊcqj foig ,siaidhduh' th bx.%Sisfhka y÷kajkafka Slip disc fyj;a PID ^Prolapsed Intevertebral Disc& hkqfjks' fuu ;;a;ajh fndfyda úg yg.kafka jerÈ l%uhg nr bis,Su ksidh' iháld frda. ,laIK fuu iakdhqj uq,slju iakdhq iemhqu isÿlrkafka ll=f,a msgqmi fldgig fõ'tneúka ish¨‍u wdldrfha frda. ,laIK fndfydaúg tu m%foaY j, olskakg ,efí' ² ysßjeàu fyda k,shk iajNdjh ² u| lelal=ula fyda ll=, fi,ùug mjd fkdyels ;rfï ;o lelal=ula we;s ùu ² ll=,a mK ke;sj hdu ^ll=,a j, há m;=,aj,o fuu ;;a;ajh we;súh yel'& ² lelal=u we;akï th lsúiqï hk úg§ fukau yhsfhka isky jk úg§ mjd jeäùula oelsh yels w;r ál ÿrla weúof.k hkúg§ mjd lelal=u jeäúh yel' ² iuyr mqoa.,hkaf.a ál fõ,djla bof.k isák úg§ fyda ysgf.k isák úg§ lelal=u jeäùula oelsh yel' fldkafoa fõokdj fyda iháld frda.h ksYAph lr .ekSug wod, mÍlaIK ² X-ray tlaia lsrK ² CT ialEka ² MRI ialeka X-ray u.ska fldkafoa ì§ulg ,lajQ wiaÓhla fyda lfYareld w;r ;sfnk mr;rh ms,sn| o< wjfndaOhla ,nd.; yelsh' kuq;a MRI ialEka mÍlaIKfha§ uDÿ mgl mjd oeln,d .ekSfï yelshdj ;sfí' tfiau b;d l=vd ikaê j, lfYareld w;r ;sfnk ikaê j, isÿjk fjkiaùïo fuu mÍlaIK l%uh yryd isÿ l< yels fõ' fndfyda fõ,djg fldkafoa wudrejl§ m%Odk jYfhka oel n,d.; hq;af;a ikaêj, we;sjk fjkialïh'

doctormagazine.lk

ta ksid fldkafoa wudrejl§ iakdhq yd b;d l=vd ikaê mÍlaId lsÍu jeo.;a ksid MRI mÍlaIKh jvd;a iqÿiq fõ' kuq;a we;eï wjia:dj,§ CT ialEka mÍlaIKho bjy,aa fõ' tu CT mÍlaIKfha§ úuid n,kafka wiaÓ j, mj;sk jHqyh ms<sn|jhs' flfia fj;;a fï ish,a, r|d mj;skafka frda. shdf.a frda. ,laIK" ffjoHjrhd fidhd .kakd úúO lreKq yd frda. b;sydih wkqjhs' tfiau MRI jeks mßlaIKhl m%;sM, l=uk wdldr jqj;a ffjoH Wmfoia j,ska f;drj frda.Ska úúOdldr ks.uk lrd fkdhd hq;= fõ' ta ksid frda.shdg iakdhq f;rmqï rdYshla ;snQ mu‚ka Y,Hl¾uhla fkdl< hq;= nj Tn fyd¢ka wjfndaO lr.; hq;= lreKls' fldkafoa wudrej ie§u j<lajd .ekSug ksjfia§ Tng l< yels foa ² ks;ru jHdhdu lrkak jdäù .; lrk w,i Ôú;fhka ñ§" March 2021

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91

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Physical Therapy bjikak neßfhda''' fldkafoa wudrej''' jeäfhda'''

ks;r l%shdYS,Sj isákak' §¾> fõ,djla tl È.g jdäù isàfuka j<lskak' wju ;rñka Èklg mehla j;a jHdhdï lr fldkafoa fmaYSka Yla;su;a lr.kak' ² ksod.kakd bßhõj .ek ie<ls,su;a jkak ksod.kakd fuÜgh ueÈka jl fkd.eiqKq" fyd¢ka iu;,d tlla úh hq;= w;r fldÜgho Wjukdjg jvd .eUqrg tfrk tlla fkdúh hq;=h' Wvqne,s w;g ksod.kakd úg oKysia j,g háka fldÜghla ;nd.kak' me;a;g yeÍ ksod.kakd úg l,jd folg ueÈka fldÜghla ;nd.kak' ke;skï bÕáhg háka >klï froaola ;nd .kak' ² bßhõ .ek ie,ls,su;a jkak mqgqjl jdä isák úg tl we,hlg nrù isàfuka j<lskak' isgf.k isák úg tl ll=,lg nr§ isgf.k isàfuka j<lskak' ² wjYH ;rug úfõl .kak Tn l%Svdjl ksr; jkafka kï fyda ðï tllg hkafka kï isref¾ udxY fmaYSka j,g wjYH ;rï úfõlh §uo jeo.;a fõ' wêl f,i jHdhdï lsÍfuka fyda mqyqKq ùfuka j<lskak ^over exercising or over training&' nr foaj,a tiùfï§ fldkao fkdkud" fooK kud tfia lrkak' fldkao kudf.k tl È.g jev lsÍu fjkqjg l=vd mqgqjla fyda nxl=jla u; jdäù jev lrkak mqreÿ jkak' fldkafoa fõokdj iqjlr.; yels m%;sldr ² fõokdkdYl T!IO - iafgfrdhsv fkdjk m%;s-m%ody T!IO ^Non-steroidal Anti-inflammatory Drugs/ NSAIDs& ² tkak;a- by; m%;sl¾u u.ska m%;sM,hla fkd,enqKs kï" Tfí ffjoHjrhd úiska fldÿ wegfmf<ys m%odyh wvq lsÍu i|yd iafgfrdhsâ T!IO wvx.= kslafIamk ^Steroid injections& ,ndfokq we;' ² Y,Hl¾u -by; i|yka l, m%;sl¾u udi 6-12la lsÍfuka iqjhla fkd,efí kï" fldkaog Y,Hl¾uhla lsÍu wjYH úh yel'

fldkafoa fõokdj Y,Hl¾uhlg fkdhd fN!; Ñls;aidfjka md,kh lr.kafka flfiao @ frda.Skaf.ka ishhg 90lg jvd Y,H fkdjk l%u u.ska id¾:lj m%;sldr l< yelsh' fldkafoa fõokdj ksoka.; wjêhlg meñŒug fmr m%;sldr j,g fhduqùu iqÿiq fõ' fN!; Ñls;aidfjys m%;sldr l%u jk lgq Ñls;aidj" úohq;a Ñls;aidj" lmamsx Ñls;aidj" udxY fmaYs Yla;su;a lsÍfï jHdhdu" bßhõ ksje/È lsÍu yd wfkl=;a m%;sldr u.ska fuu ;;a;ajhkag id¾:lj m%;sldr l< yelsh' fN!; Ñls;ailjrhd úiska bßhõ ksje/È lsÍu" udxYfmaYs j, ;o iajNdjh yd fõokdj iukh lr" lfYareld j, ksje/È msysàug wod, jQ m%;sldr /ila yd kej; fldkafoa fõokdj we;s fkdùug wod, jHdhdu yd Wmfoia Tng ,nd fokq we;' DM

² fN!; Ñls;aidj 92

March 2021

DOCTOR MAGAZINE

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yojf;a igyk idßh

yojf;a igyk idßh ffjoH Wodrd mqkakñ wurisxy

ySk'''' wm yefudagu ;sfhk ySk'''' weh ySk olskakshla ú;rla fkdfjhs''' olsk ySk ienE lr.kakg W;aiql jk iqkaor hqj;shla'''' rfÜ wka ÿjd orejka fia ue iqkaor <ud ld,hl weh ÿgq zzfodia;rZZ isyskh wo wehg yenEjla fj,d''' oeka wE wef.a msysg m;dk .s,kqka f,i tk uõjreka" mshjreka" iu jhia ;=reKQ iuQyhd" wef.a <ud ld,h isys .kajk ÿj," mq;d,d fukau cSú;fha ie|E iufha wmQ¾j w;aoelSï idr úhm;a wdÉÑ,d" iSh,d yuqfõ wmQre w;aoelSï ,nkjd'

doctormagazine.lk

ta ,nk w;aoelSï wmQrejg wl=re lrkjd' ta igyka j, fudllafoda iqkaor ks¾udKd;aul njla ;sfnkjd' wuq wuqfõ isÿ lrk wd;aóh m%ldYKh" wef.a mrïmrdfõ iqyqrelrkh jQ joka" fmf<ys iqúfYaIS jQ Ndú;dj fukau wef.a úh;a ks¾udKd;aul wd;au m%ldYKh weh fjfiia jákdlue;s ,shkakshla njg m;a lr<d' wE mkaysf|a ks¾udKhka yßu pu;aldr cklhs' cSú;fha úúO biõ iam¾Y lrñka ÿl" iem" yelshdjka fkdyelshdjka" w;S;h wkd.;h weiqf¾ foda,kh jk ñksi;a pß; iudc i;a;d h:d¾:jdoS Í;sfhka újrKh lrñka Wodrd mqkakñ wurisxy ;=reKQ ffjoHjrsh ;nk uqyqKQfmdf;a igyka f;dard.;a ks¾udK fm<la fu;eka mgka Tfí wd;aóh iam¾Yhg'''

March 2021

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yojf;a igyk idßh

fuäl,a ial+,a ,hs*a tfla uq,g f.dia n,k úg uq,skau idßh wekafoa zz*iaÜ bh¾ fidaI,aZZ tlgh' idßh ojgd.k úÿ,s mxldjla j;a ke;sj .; l, ta meh y;r my u;la jk úg ;ju;a ug odäh ouhs'

l=vd ld,fha§ nyq;rhla mdi,a isiqka fukau uuo blau‚ka <udúh miqfldg j.lSï lrg .kakd jeäysáfhla ùug" /lshdjla ls‍Íug isysk ueõjo ta isysk lshk ;rï iqkaor ke;s nj jhi;a iu. ud jgyd .;af;ñ' jeäysáhl= f,i wkd.;fha uqyqK Èh hq;= khsÜ Is*aÜ" ia:dk udre" yjqisx f,dakaia j,g tyd .sh zidßhz kï jQ Nhxlr i;=frl= ug isà' uf.a jD;a;sfha yeáhg zzfriafmdkaisn,a wev,aÜZZ flfkla jkakg" jkakg idß we|sh hq;= jdr .Kko jeäjk nj f;areï hk úg ug uf.a wkd.;h .ek uyd ìhla we;s fõ'

94

March 2021

DOCTOR MAGAZINE

óg¾ yhla È. y;/ia frÈ lE,a,lg zNhxldrz hk úfYaIK moh ier jeä hehs flfkl=g isf;kakg mq¨‍jk' ta" Tjqka idßh yd ud w;r zmeg,Suz fkdokakd ksid nj ug iy;sl fldg lsj yelsh' l=vd l," kx.S wïudf.a mrK idß weo zzàp¾ frda,a tlZZ r.mdoa§ uu idß Ndú; lf,a nd,alfha TxÑ,a,d ne|Sug iy ksjfia tla fldkl isg wfkla fldkg Tre me§ugh' Tm oeuQ isfuka;s fmdf<fõ tÆ is,ala idßh u; ke. bÈßhg n,hla fhdod rEgd .sh l, Trej zziauQ;a tflaZZ bÈßhg wefoa' Tre me§fï l,dfõ mrf;rg meñK B<. mshjr f,i ysgf.k Tre me§u fyj;a zzwhsia iaflaákaZZ lrkakg f.dia idßh ,siaid jeà ysi ìu wekS ta fõokdj u;g wïudf.kao fyd|jdhska folla wid .;a;d u;lh' tod isg wo olajd Th wä tfla yfha frÈ lE,s j,ska ug jqK ;rula jQfha wm,uh' fuäl,a ial+,a ,hs*a tfla uq,g f.dia n,k úg uq,skau idßh wekafoa zz*iaÜ bh¾ fidaI,aZZ tlgh' idßh ojgd.k úÿ,s mxldjla j;a ke;sj .; l, ta meh y;r my u;la jk úg ;ju;a ug odäh ouhs' Bg miq tk f,dl= zzidß TflaYkaZZ tlls Community Medicine Field Visits' wjqreoaola mqrd" udifha uq,au Èk *el,aá nifhka oxfldgq f.dia wmg ndrÿka .ïudkfha ksjdi tlska tl fj; weúo Tjqka yd wka;¾ iïnkaO;d mj;ajk fï .ukg wm ish¨‍ fokd wdidfjka u.n,d isákafka jD;a;suh jYfhka msg; iudch yd wmg .Kqfokq lsÍug ,efnk m%:u wjia:dj fuh jQ neúks' fï mq,mq,d n,d isá Èkh udifhau "Bloody Tortourous" oji njg m;a lsÍug wr frÈ lE,a,g .; jqfKa ojia folls' w;a foflkau idßh w,a,d" nodf.k .,auq,a .yk mdf¾ f.hska f.g weúo .sh ieá''' f.hlg we;=,a jk úg .,jk im;a;= j, nl,a od.kakg kefukakg fkdyelsj idßh iu. fmdr ne¥ yeá''' oeka fid÷re u;l jqjo tl,

doctormagazine.lk

zzfjksje,a.egZZ fuka ;s;a; úh'

tlgu wer,jd;a fldaÉÑh w,a,d.; fkdyels ùfï iïmQ¾K j.lSu uf.a zidm,;a idßhgz ndr lrñ'

wjqreoao uq," Wfoa mdkaor ,Eia;s ù ydyd mqrd *S,aâ úisÜ tl hkakg fmr iskd uqyqfKka fi,a*s" f*dfgda .kakd ;¾â bh¾ kx.s,d olsk úg ug Tjqkag;a ryfia ì§ hdug b w,a,k Tjqkaf.a wysxil n,dfmdfrd;a;= .ek we;a;gu ÿl isf;a' jir lsysmhla ;siafia idß w|sk uq;a ug wog;a idßfha fmdg oeñh hq;= me;a; megf,a' jrla idß fmdg ju fjkqjg ol=Kg odf.k f.dia iudcfhka fldka jQ w÷re u;lhla ug we;' todhska miq wykakg ljqre;a <.md; ke;akï bkag¾fkÜ tfla idß fudâ,a flfklaf.a photo tlla n,d fyda me;a; ksYaph lr.ekSug uu mßiaiï fjñ'

v%hsúka wjodkï iy.;h' we,afldfyd,a fldfy;au Nhdklh' kuq;a zzv%hsúka bkafgdlaisflagâ Bia fuda¾g,aZZh'

idßh;a iu. uf.a we;s wfrdaj yÈisfha w¨‍;a lr.kakg fya;=j ie,lsh hq;= ld,hlg miq ug wo idßhla w|skakg isÿùuh' fjkod hkakg meh nd.hla l,ska ke.sg iQodkï ù n;=;a ld nia tfla hk ug wïud meh folla l,ska weyerjd" Wfoa lEu tl;a fkdld" ;d;a;d nhsisl,fha iafÜIka

doctormagazine.lk

idß iy yhs im;a;=fõ yS,a iïñY%Kho fufiauh' tlsfkl fjkaj .;a l, fuka oy myf,dia .=Khl Ôú; wjodkula fï iïñY%Kfha we;' fjkod fuka iqmqreÿ *a,eÜ im;a;= fol odf.k tkakg yeÿj;a zzidßhg yS,a tlla ke;=j le;hsZZ hk wïudf.a lSug wä Wi im;A;= oudf.k ú;a ;j oYfuka uu urd.kafka uf.a jD;a;sh wkd.;hhs' Ôú; wdidj ksid ll=, meg,Su je<elaùug idßh j,¨‍lr f;la Tijd.k fldaÉÑhg f.dvjqK;a" zzãka uevïf.kaZZ iy;slh .kakg iafÜÊ tlg tfia f.dvúh fkdyels ksid yels ;rï fyñka ixjrj mä fm< kexf.ñ' wjidk mäfha§ Tiß m,a¨‍j yS,a tfla meg,S ud ìu fy,Sug .;a W;aidyh id¾:l jQjd kï uf.a ys;dor ñ;% fiakdjg mska isÿjkakg fï jk úg ud Top ten youtube trending videos in Sri Lanka w;r isákq ksh;h' fï lreKq ish,a, idrdxY.; l< úg uf.a ks.ukh jkafka ld,h wmf;a hjk" Ôú; wk;=f¾ ouk fï fidank frÈ ógr yhg úY%du §ug ld,h t<U we;s njh' iuyr rgj,a j, we;s" lkai,agkaÜf.a isg cQksh¾ fvdlag¾ olajd jevlrk fõ,dj ;=, ial%íia w|sk Èk wo fygu tkf;la uu fmreï mqrñka isák nj Tng mjiñ' DM

miqigyk: by; igyk idßfha fkdmk;a lï j,ska fyïn;a jQ hqj;shlf.a fYdald,dmh ñil foaYSh Wreuhg wkkH jQ fï idvïnr jia;%hg wf.!rj fldg Y%S ,dxlsl ixialD;shg .erySfï ;e;la fkdjk nj lreKdfjka i<lkak'

March 2021

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Grief Reaction oreKq f,i frda.S ù we;s mjqf,a idudðlfhl= ne,Sug <uqka /f.k hdu iqÿiqo@

Grief Reaction oreKq f,i frda.S ù we;s mjqf,a idudðlfhl= ne,Sug <uqka /f.k hdu iqÿiqo@ woyia oelaùu <ud yd fhdjqka ufkda frda. úfYaI{ ffjoH ñhqre pkaøodi

96

March 2021

DOCTOR MAGAZINE

doctormagazine.lk

rks;=f. w;a;ïud thdg yßu wdofrhs' wïud ;d;a;d jevg .shdu" rks;=j n,d.;af;a thd ;uhs' w;a;ïud ld,hla ;siafia Èhjeähdjg fnfy;a .kakjd' thdg <ÕÈ fyd|gu fm%I¾ jeä fj,d isys ke;sj .shd' biamsß;df,g we;=,a l<du wudre ksid oeä i;aldr tallhg we;=<;a l<d' rks;= fldÉpr lsõj;a thdj w;a;ïudj n,kak tlal .sfha kE' wïud lsõfõ zzw;a;ïudg l;d lrkak nE mqf;a" ng f.dvla od,d" mq;d oelalu nh fjhs˜‍ lsh,hs' wka;sfïos rks;= wdorh l< w;a;ïud frdayf,aosu ke;sjqKd' rks;=g thd wdorh lrmq w;a;ïudg iuqfokak;a neßjqKd' u<f.or fj,dfj;a thdg ljqrej;a úia;r lsõfõ kE' yefudau ys;=fõ úia;r lsõfjd;a ;j thdg ÿl ysf;hs lsh,d' N+uodkh fj,dfõ ;d;a;d l,skau lsõfõ zzTkak fl,a, jf.a w~kak tmd˜‍ lsh,hs'

doctormagazine.lk

oeka udi yhla .sys,a,d" ;du;a rks;= ySfkka nh fjkjd" mdie,a jev lrkak;a Wkkaÿjla kE" ks;ru T¨‍j ßfokjd lsh,d lshkjd' ykaÈfha fodia;r udud n,,d lsõfj;a lsis f,vla kE lsh,d ;ud' m%shhkaf.ka fjkaùu ÿllaæ talg wms .;ska jf.au is;ska <uqkaj iQodkï lrkak ´fka' m%shhkaf.ka fjkaùu ksid we;sjk ufkda úm¾hdihg lshkafka Grief Reaction lsh,d' tal ys;g f,dl= n,mEula ke;sj fjkak kï wms wdof¾ flkdf.a wjidk wjia:dj ,x jqKdu wmsg thdj n,kak ;sfhk tl fyd|hs' t;fldg ke;sùu" úfhdaùu ms<sf.k tal f;areï .kak mq¿jka ^Acceptance of loss&' ta fj,dfõ ÿlla we;sjqk;a" §¾> ld,Skj fjkafka fyd| udkisl Tfrd;a;= §fï yelshdjla we;sfjk tl' oeka wjqreÿ .dkla .sys,a,d" rks;= oeka jeäysáfhla' ;du;a thd fjkaùï j,g nhhs' thdf.a fmïj;sh thdg kqiqÿiqhs" kmqrehs lsh,d f;areK;a" thdg fmïj;shf.ka fjka fjkak nhhs' b;ska oreKq f,i frda.S ù we;s mjqf,a idudðlfhl= ne,Sug <uqka /f.k hdu iqÿiq o@ 1& we;a; úia;r lshkak 2& ys; Bg iQodkï lrkak 3& w~kak tmd lshkak tmd 4& yeÕSï .ek l;dlrkak 5& f,v jqK flkdf.a ðúf;a .ek" wms;a tlal f.jmq ld,h .ek l;d lrkak 6& f*dfgda tlla fmak ;ekl .y,d ;shkak DM

March 2021

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ufkdaÑls;aid uy /fha § msßñ fidhd tk i|j;sh fudayskS

uy /fha § msßñ fidhd tk i|j;sh

fudayskS

i

|mdhd we;' i|lsrK .ia u; m;s; ù ;sfí' ta i|leka w;ßka fyd,auka ujkd .ia w;=-b;s w;r uy fmd<fõ rgd ujd we;' fï f ​ ijke,s w;ßka iqÿ je,s udj; Èf.a tk ;eke;a;sh ienúkau rEu;a jQjdh' weh tkafka ;ksmx.,fï /fhys fkdksod isák ;reKhka fidhñks' th iqkaorh' kuq;a isÿjkafka wiqkaor isÿùul fmrksñ;a;la nj lsisÿ ;reK msßñfhla oek isáfha ke;' .ia w;ßka ueÈhï /fha reje;s l;la .uka lrkakg jQjdh' weh i;a;lskau msßñka rjgk reje;a;shl jQjdh' wehf.a rEm iajNdjh ksidu tla jrla fkdj" fojrla fkdj" yels fõ,djla weh foi n,d isákakg ;rï ;reK weia m%sh l<dh' weh hlskaklehs weh oelal lsisÿ msßñhl= fkdis;=fõh' tfy;a wE hlskakls' wújdyl msßñkag muKla fmfkk wE fudays‚ kï jQjdh' fudays‚h hkq ljqrekao@ ngysr ufkda úoHdjg wkqj fuh udkisl fmr<shls' ñksia há ysf;a we;s wdYdj biau;= ù wjq;a kskafoa§ ldka;djla fyda msßñfhla njg m;aù o¾Ykh fõ' msßñhdg fudaysŒh;a" ia;%shg l¿l=udrh;a fmkSu .ek ck idys;Hfha wmQre l;d ;sfí' .eyekshl ;=< wka;¾.; mqreI ,eÈhdj weksuia‌ ^Animous& f,i;a" mqreIhl= ;=< mj;skakd jQ 100

March 2021

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

ia‌;%S ia‌jrEmh ke;skï ,eÈhdj weksud ^Anima& f,i;a ye¢kafõ' mqreIhd flfryS we;s jkakd jQ oeä we,au yd wjfrdaOkh jQ ,sx.sluh wdYdj .eñ wújdyl hqj;shkag l¿ l=udr ÈIaáfhka bÈßm;a fõ' fï wdldrfhkau fudaysksh f,i t<shg tkafka hgm;a jQ rd.sl yeÕSïo@ w,õfõ wdikak .ul fjfik isßu,a úis wg yeúßÈ wújdyl ;reKfhls' iudcYS,S ;reKfhl= jQ isßu,ag udmsh Wreufhka ,o ksji yd úYd, bvuo tys j.djkaf.ka ,efnk m,odfjkao fyd| wdodhula ,efí' mjqf,a tlu orejd jQ isßu,ag mshdf.a;a ujf.a;a wdorh fkdwvqj ,enqK w;r" Tyq .fï iEu wfhl=

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iuÕu ys;j;aj Ôj; fjhs' isßu,a ienúkakau lvjiï yd m%shukdm jQ ;reKfhls' mdi,a wjÈfha§ j;a lsisÿ fmï in|;djhla fkdmeje;ajQ fyf;u fï jk;=re;a ;re‚hl yd fma%u m<ys,õjla we;s lr .;af;a ke;' .fï Y%uodk lghq;= j,g fiau wfkla iEu lghq;=j,§;a ;u Y%uh yd Okfhka Woõ Wmldr lrk isßu,a ks;ru ksjfia /f|k mqoa.,hl= fkdùh' isßu,af.a mshd óg jir lSmhlg fmr mmqfõ wudrejlska ñh.sh w;r" isßu,a yd Tyqf.a uj;a ksjfia fufyldßhka fofokd;a muKla fuu ksjfia Ôj;a fõ' j;a;-msáfha jev lsÍug lsysm fofkl=o isák w;r" Tjqka ijia jk úg jev ksuù msg;a fõ' .fï ld iuÕ fyda iqyo l;dnyl ksr;jk isßu,a ksjig meñfKkafka fndfyda ? fnda ùh' yjia hdufha b|ysg u;aj;=r álla f;d,.Eug isßu,a wu;l fkdl<;a th mqreoaola lr .;af;a ke;' isßu,a meñfKk ;=re isßu,af.a uj kskaog hkafka ke;' ? fnda ù meñfKk mq;dg rd;%S wdydrh ,nd§ Tyq kskaog .sh miq ksod.ekSug hdu ujf.a isß; úh'

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isßu,ag iqÿiq lghq;a;la lr§ug isßu,af.a uj fld;rï Tyq Wkkaÿ lrùug W;aidy l<o isßu,a thg t;rï leue;a;la oelajQfha ke;' —ug oekau u.=,la ´k kE wïfï˜ lshd tu m%Yafkka u.yer hdu isßu,af.a isß;h' —yeuodu;a uu Ôj;a fjkafk kE mqf;a' uu;a wmamÉÑ jf.a ueß,d .sfhd;a uf.a mq;d ;ks fjkjd' Bg l,ska mq;d lidohla lr .kak ´kE'˜ uj ks;ru weúá,s lf<a isßu,af.au hym;gh' Èkla isßu,a ? fnda ù ksjig meñK kskaog .sfha rd;%S wdydrho fkdf.kh' uj fld;rï

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ufkdaÑls;aid uy /fha § msßñ fidhd tk i|j;sh fudayskS

weúá,s l<;a Tyq kskaog .sfha —lkak nE˜ lshñks' uyd mdkaor tlajru isßu,a uyd yhsfhka fnßyka ÿkafka —fudaysŒ fudaysŒ˜ hkqfjka lE .iñks' —fudlo fï fnßyka fokafka' mqf;a mqf;a˜ lshd isßu,af.a uj Tyq mshú isyshg .;a;dh' —wïfï fudaysŒ wdjd''' fudaysŒ wdjd˜ isßu,a lSfõ f.d; .iñks' miqod WoEik isßu,af.a uj isßu,a ksjiska msg;g hdug fmr lSfõ ? ùug fmr ksjig tk f,i;a óg miq ? .uka ìuka kj;k f,i;a wjjdod;auljh' tÈko isßu,a ksjig wdfõ ? fnda ùh' —tmd ux <.g tkak' wfka wïfï'''' fudaysŒ weú;a wïfï˜ lshñka tÈko isßu,a fnßyka § lE .id oyäh fmrdf.k wjÈ úh' isßu,af.a uj miqÈk isßu,a legqj .fï lÜgç uy;d fj; f.k f.dia lrg kQ,la oeïuùh'

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isßu,af.a fjki Tyqf.a hy¿jkag;a wi,ajeishkag;a wjfndaO úh' —fudlo isßu,a fï' biair jf.a fkfuhs isßu,a' yßu fjkia˜ Tjqka lSfõ tf,ih' —ug ySfkka fudaysŒj fmakjd' uf.a <Õg weú;a udj we​f|ka ìug weo,d odkjd' fudaysŒ yßu ,iaikhs' iqÿ idßhla we|,d fldKafv yßu È.hs˜ isßu,a mejiSh' isßu,a fjkog l,ska ksjig hdug msg;a jQj;a rd;%S tfld<yg muK we;' Tyqf.a msgqmiska weiqKq Yíohg yeÍ n,k úg fudaysŒ isßu,af.a msgqmi isgf.k isáñka o;a ú,siaid iskdiq‚' isßu,a ú.yg mh blauka lr ksjig f.dvje§ fodrj,a jidf.k kskaog .sfhah' ySfkka isßu,ag fudaysŒ l;d l<dh' isßu,a yQ lshñka ,f;daks §f.k wjÈ úh' .fï mkai,g f.kf.dia isßu,ag msß;a kQ,la .eg .id yduqÿrejkag lshd fi;amsß;a lshd wdrlaIdj ,nd.;a isßu,af.a uj isßu,aj ksjig legqj .shdh' Èk i;s udi f.fjñka isßu,af.a läir nj" iqyoYS,S njo flfuka flfuka Tyqf.ka ÿria úh' yßyeá lEula îula fkd.;a isßu,a l,amkd id.rhl .s¨‍fKah' t<s my<shg .sh;a lsisjl= iuÕj;a yßhg l;d nyd fkdlf<ah' isßu,af.a fjki lsisjl=gj;a ord.ekSug fkdyels úh' Èkla isßu,a uyoj,a .fï weúÈñka tk w;r;=r§ wä Yíohla weiS msgqmi yeÍ n,k úg fudaysŒ ;uka foig tk fihla fmkq‚' —whsfhda udj fír.kak' fudaysŒ udj ì,s.kak tkjd˜ lshñka ÿjkakg úh' rd;%S kskaog .sh miqo fudaysŒ isßu,ag lror l<dh' Tyqg ksod.ekSug bv ÿkafka ke;' isßu,ag weyerjd fudaysŒ Tyq wefoka ìug weo ouhs' fudaysŒ isßu,a fj;g iEu rd;%shlu meñ‚hdh' isßu,a tkak tkaku ÿ¾j, úh' ksjiguù isá Tyq t<shg neiafiau ke;' lEula ÿkako fndfyda fm/;a; lsÍfuka miq muKla lgla folla lE isßu,a we| uq,a,g ù ieÕù isáfha —fudaysŒ udj urhs" fudaysŒ udj urhs˜ u;=rñks' doctormagazine.lk

isßu,af.a uj;a ñ;=frda;a .fï Woúh;a isßu,ag isÿù we;s .eg¨‍jg úi÷ula fidhd hleÿrl= le|jd n,s f;dú,hla iQodkï lf<dah' mkaoï t<sfhka uq¿ fmfoiu wdf,daluj;a úh' ú,lal= iuÕ fnr yçka uq¿ m<d;u fojk;a úh' isßu,af.a miqmi tk fudaysŒ w,a,d wehg o~qjï lsÍug hleÿre lghq;= lf<dah' isßu,af.a fldKafvka w,a,d hleÿrd flda fudaysŒ hkqfjka weiSh' —wr bkafka wr bkafka .,a ;,dj Wv jdäfj,d ug l;d lrkjd wïfuda ux bjrhs ˜ lshñka isßu,a ÿjkakg mgka .;af;ah' ish,af,da isßu,a hleÿrd fj;g f.k weú;a Tyq w,a,df.k isáfhdah' hleÿfrda isßu,a jg lrf.k mkaoï .iñka kgñka lE .iñka fudaysŒf.a ne,afuka isßu,a uqojd .;ay' Èk i;s f.ù .sfhah' isßu,a fidh kej;;a fudays‚ wef.a orejd /f.k meñKqks' fudaysŒ kï" isßu,a w;ayßk mdgla ke;' weh isßu,a ;u jiÕhg .ekSug udk n,hs' doctormagazine.lk

fudays‚h jeiqKq msßñka yels blauKska újdy lr osh hq;=h' túg iajmak fodaI ksudfõ' kuq;a fudaysŒ l¿l=udrhd ;Èka ne,au we;s whf.a újdyh b;d wiSreh' ukao fï fofokdgu újdy ùug isref¾ ,e.=ï.;a jQjka bv fkdfo;s' újdy jQj;a rd;%S isysfkka o¾Ykh ùu wksjd¾hfhkau isÿfõ'

;u mq;d Èfkka Èku msßfyk nj ÿgq isßu,af.a uj ks;ru miqjQfha w~ñks' ;u mq;dg l=ula isÿùo@ fldmuK lSjo lidohla lr .kak hehs Tyq th u.yeß ksid oeka Tyq fj;g fudaysŒ meñfKa' wehf. ka ;u mq;d .,jd .kafka flfiao@ isßu,af.a uj l,amkd lrkakg úh' isßu,a fj;g fudaysŒ meñfKk ksid .fï fndfyda ;reKhskaf.a ksfjiaj, fodrj,a ijia jkúg jeiqfKa ;u msßñ orejka fudaysŒf.ka wdrlaId lr .ekSugh' isßu,ag lidohla lr ÿkafkd;a Tyqf.a is;ska fudaysŒf.a u;lh hkq we;ehs {d;Ska mejiQ ksid isßu,af.a uj isßu,ag fyd| ;eklska blaukska lidohla ,Eia;s l<dh' isßu,a lido nekafoah' lidoh flÍ i;s ;=kla blau hkúg isßu,a —fudaysŒ ug l;d lrkjd˜ lshd fj< me;a;g .uka lrkakg úh' yeuodu ljqreka fyda isßu,a w,a,df.k ksjig meñ‚fhah' n,sf;dú,a" idia;r" hka;% uka;%" .=relï fldf;la l< o isßu,aj fudaysŒf.ka .,jd .; fkdyels úh' March 2021

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ufkdaÑls;aid uy /fha § msßñ fidhd tk i|j;sh fudayskS

fuhg ms<shula fijQ {d;Skag Y%S ,xld iajdmk úoHdfõ§kaf.a ix.ufha iNdm;s ufkda Ñls;ail" ffjoH mS'tka' úoHdl=,m;s uy;d .ek oek.ekSug ,enq‚' N+;fhda" fma%;fhda" l=ïNdKavfhda" hlaIfhda w,a,d uÜgq lrk ffjoH úoHdl=,m;s uy;d fj;g isßu,a fhduq flß‚' ffjoH úoHdl=,m;s uy;d isßu,af.ka ish¨‍ úia;r wid oek.;af;ah' l=vd wjÈfha mgkau isßu,a hlaIhskag" N+;hskag ìhla oelajQ pß;hls' fudaysŒ kï ixl,amh isßu,af.a is;a.;a fohla úh' wújdyl ;reKhska fj;g fudays‚ ne,au odkjd Tjqka fidhd tkjd hk ixl,amh isßu,a úYajdi lf<ah' ta wkqj ;reK úfha miqjk wújdyl isßu,af.a is;g l,la hkúg fudaysŒ ;ukaf.a miqmi tkjd hk oDIaá udhdj we;=¿ úh' fld;rï f;dú,a-mú,a l<o fudaysŒ Tyqf.a is;ska fkd.sfha th oDIaá udhdjla jQ ksidh'

104

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ffjoH úoHdl=,m;s uy;d isßu,aj ufkda úYaf,aIKhg Ndckh lr fudayk ksødjg m;a lf<ah' ta wkQj há isf;a jQ fudaysŒ ms<sn| oDIaá udhdj isßu,af.a is;ska bj;a lsÍug ffjoHjrhdg yelsúh' isßu,af.a jdikdjg t;eka mgka isßu,a fidhd fudaysŒ wdfõ ke;' ffjoH úoHdl=,m;s uy;d mjikafka hlaI" fma%;" l=ïNdKav" msidp" foaj" n%yau pß; ñksia isrerg we;=¿ jkafka ke;' tfia jQjd hehs ñksiqka is;d .kakjd mu‚' ÿ¾j, is;a we;af;da fuu ixl,am j, isg is;kakg mgka .;a úg tys .%yKhg wiqfõ' fuu ixl,amfhda oDIaá udhdfjda" o¾Yk ú,iska oDIaá udhd f,iska meñK W.% udkisl frda.hla we;s jkakg fya;= fõ' fuh frda.S ;;a;ajhla jYfhka y÷kd.; yelsh' Bßhld" fudaysŒ" ld,s" uyfidakd" lvjr jYfhka ixl,amhka iudch ;=< we;s ixl,amhkah' tjeks ixl,am ;=<g iÔù wd;au .,md ÿ¾j, is;a ;=< oDIaá udhdjla f,iska by; pß; hlaI" fma%;" N+; f,i is;ays ;ekam;aùu u; udkisl .eg¨‍ we;sjkafkah' th ixl,amhla mu‚' tajd bj;a lsÍug ffjoH úoHdfõ l%u /ila we;s nj ffjoH úoHdl=,m;s uy;d mejiSh' DM

ia;+;sh ksu,a w,af.j;a; ^fuys§ kï .ï muKla frda.shdf.a wdrla‍Idj yd fm!oa.,sl;ajh fjkqfjka fjkia lr we;s w;r" i;H isÿùuls'& Y%S ,xld iajdmkfõ§kaf.a ix.ufha iNdm;s ufkda Ñls;ail ffjoH mS'tka'úoHdl=,m;s

ÿrl:k wxlh 0718 30 30 30

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foysj, rcfha fydañfhdam;s ffjoH uOHia:dkfha ia:dkNdr ffjoH ks,Odßks" fydañfhdam;s ffjoH wkqId fyaul=udr úisks

Homeopathy The Natural Medicine mqreIhka mSvd úÈk mqriaÓ .%kaÓ wdY%s; frda. iqjlrk fydañfhdam;s m%;sldr

Homeopathy The Natural Medicine mqreIhka mSvd úÈk mqriaÓ .%kaÓ wdY%s; frda. iqjlrk fydañfhdam;s m%;sldr iqúi,a jeo.;alula we;s ld¾hhl ksr; l=vd bkaøshlg ksoiqkls' mqriaÓ .%kaÓh' th ksjerosj l%shd fkdlf<d;a mqreIfhl= uq;a Tng lsisod ore iïm;l yjq,alrefjla jkakg ,efnkafka ke;' tkhska n,k l< mqria: .%kaÓh udkj ix;;sfha mßKduhg odhl jk w;sYh jeo.;a bkaøshhla fkdfõo@ mqriaÓ;s .%kaÓh o wka ljr wjhjhlg" bkaøshlg fyda uqyqKmdkakg isÿjk .eg¿ rdYshlg úIh fjhs' wm fï ,smsfhka idlÉPd lrkafka mqriaÒ;sh ksid we;sjk f,vfrda. .ekhs'

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Homeopathy The Natural Medicine mqreIhka mSvd úÈk mqriaÓ .%kaÓ wdY%s; frda. iqjlrk fydañfhdam;s m%;sldr

mqria: .%kaÓh .ek Tn fkdo;a lreKQ mqreIhkaf.a ,sx.sl l%shdj,shg mqria: .%kaÓfhka ,efnkafka fkduo fufyhls' fm!reI fydafudakh f,i ie<flK fgiagiagfrdak ridhkh u; tys l%shdldß;ajh /f|k w;r Y=l% ;r,h ksIAmdokhgo l%shd lrkafka fï .%kaÓhhs' mqria: .%kaÓfha udxYuh l%shdldß;ajhlao we;s w;r ,sx.sl l%shdj,shl m%;sM<hla jYfhka we;sjk Od;= fudapkfhoS fuu fmaYs uekúka l%shd;aul fjhs'

" 106

mqriaÓ .%kaÓ bÈóu;a iu. we;euqkag tys ms<slduh ;;a;ajhla f,i j¾Okh fõ' frda. ,laIK j,ska ms<slduh ;;a;ajhkao ms<slduh fkdjk ;;a;ajhkao hkak jgyd .; fkdyels fõ' tu ksid mÍlaIK u.ska th ikd: lr.; hq;=j we;' fuhg cdkuh iïnkaOhlao we;eï úg we;' wjqreÿ 65-85 jhil wh fï ioyd f.dÿre ùfï jeä bvla ;sfí' March 2021

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mqriaÓ .%kaÓ hkq l=ulao@ mqreIhkaf.a fu!;% ,sx.sl moaO;sh wdY%s;j msysgd we;s fuu mqriaÓ .%kaÓh f.ähl m%udKfhka iy yevfhka hqla;h' uq;%dYhg háka uq;%d kd,h wdrïN jk ia:dkfha .=o ud¾. hg bÈßfhka msysgd we;s tu .%ka:sh uq;%d kd,h jglrf.k we;' mqreIhkag Od;= j, Yla;sh md,kh lsÍug wjYH >%djhka fuhska >%djh lrhs' mqriaÓ .%kaÓ ksjerÈ f,i l%shd;aul ùug fyda¾fudak wjYHhs' mqreIhl= úiska ksmojk m%Odk fyda¾fudakhla jk fgiagiagfrdaka ksmojkafka mqriaÓ .%kaÓh u.skqhs' frda. ,laIK ² mqriaÓ .%kaÓfha we;s jk m%odyl ;;a;ajhka ksid yg.kakd frda. ;;a;aj f,i mqriaÓ .%kaÓ wdidokhg ,laùu' bÈóu" ms<slduh ;;a;ajhka oelaúh yelshs' ² läka lv uq;%d msglsßug Wjukd ùu" uq;%d wvq m%udKhla msgùu' doctormagazine.lk

Research on Prevention mqria: ms<Sld wo ld,fha nrm;, .eg¿jlaj ;sfnk w;r thska je<lSfï ux iïnkaOfhka m¾fhaIK m%cdj ksn| ie<ls<su;a fjhs' ;lald,s j, we;s ,hsfldfmka yd fidahd wdydr j, we;s whsfid*a,efjdkaia mqria: ms<sld wjodku wvq lrk njg u;hla fõ' úgñka ã wêlj ixhq;s.;j we;s mqreIhkag mqria: ms<sld j, Nhdkl wdldr we;sùfï wvqjla we;ehs fidhdf.k ;sfí' ta yereKQ úg weiamsßka yd fldf,iagfrd,a wvq lsÍug Ndú;hg .kakd iageák oS¾>ld,Skj .ekSfukao fï ms<sldfjka ñoSfï lsishï /ljrKhla ,efnk njg u;hla m<j ;sfí'

² uq;%dYfha we;s uq;%d ish,a, msg fkdùu ksid ks;ru uq;%d lsÍfï wjYH;djh oekSu" uq;%d wdidok we;sùfï m%jK;djh jeä ùu' ² rd;%s ld,hg lsysm j;djla uq;%d lsÍug isÿ ùu' fuh kskaog ndOdjls' ² uq;%d lrk fõ.h wvqùu' ² uq;%d msglsÍug fndfyda fõ,djla .;ùu' ² uq;%d msg lsßug oeä wdhdihla oeÍug isÿ ùu' ² uq;%d msg lsÍfï§ we;sjk fõokdj" wmyiq;djh" ÿ.|la oekSu" msÉfpkjd jf.a oekSu' ² YsIaKh m%dKj;a ùfï wmyiq;dj' fujeks frda. ,laIK f.k fok fya;= fudkjdo@ mqreIhkag uq;%d lsßfï wmyiqlu mqriaÓ .%kaÓ ;=, we;sjk fjkialï ksid fukau uq;%dYh yd jl=.vq wdY%s; fya;=o n,mdhs'

doctormagazine.lk

mqriaÓ .%kaÓ wdidokh ùu ^Prostatitis& jhi wjqreÿ 3555 § we;sjk uq;%d wdidok ;;a;ajhla m%;sYla;slrK moaO;sh ÿ¾j, ùug n,mdkq we;' úfYaIfhkau fuh yg.kafka úIîchla YÍr.; ùfuks' fï ksid uq;%d oeú,a, we;sùu fõ.fhka uq;%d lsÍfï wmyiq;dj" uq;%d .|" uq;%d iu. f,a hdu" ierj hdu" uq;%d lsßfï wmyiq;djh jeks ,laIK we;súug fya;= fjkjd' March 2021

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Homeopathy The Natural Medicine mqreIhka mSvd úÈk mqriaÓ .%kaÓ wdY%s; frda. iqjlrk fydañfhdam;s m%;sldr

BPH fkdfyd;a Benign Prostatic Hyperplasiaa kï ;;a;ajhhs'

fydañfhdam;s ffjoH l%ufha wka;¾.;h jkqfha fydañfhdam;s uq,O¾u wkqj m%lg lrk frda. ,laIK j,g wkqj ksjerÈj fokq ,nk T!IOh u.ska frda. uq,h ke;slr frda.shd h:d ;;a;ajhg m;a lsÍuhs' ÿ¾j, m%;sYla;slrKh W;af;ackh fldg h<s h:dm%lD;su;a lsÍuhs' túg uq;%d úIîchg tfrysj T!IO l%shdj,sh igka joS' m%odyl ;;a;ajh ke;s lrhs' mqriaÓ .%kaÓ bÈuqu l%u l%ufhka ke;s ù hhs'

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mqriaÓ .%kaÓ bÈóu ^Prostate Gland Enlarged& mqriaÓ .%kaÓ wdY%s;j yg.kakd frda.hls' fuh nyq,j oelsh yels jkafka wjqreÿ 45-65 hk jhfiaÈh' jhia.; ùu;a iu. fï ;;a;ajhg f.dÿre jk w;r mqriaÓ .%kaÓh bÈóu fuys§ isÿfõ' tys uoh fldgi úYd, fõ' fuys§ mqriaÓ .%ka:fha uoh úYd, ùu;a iu. uq;%d ud¾.h wjysr fõ' uq;%d msg lsßfï widudkH;d iu.ska frda. ,laIK tu werfò' fuh

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March 2021

DOCTOR MAGAZINE

mqriaÓ .%kaÓ ms<sld we;sùu mqriaÓ .%kaÓ bÈóu;a iu. we;euqkag tys ms<slduh ;;a;ajhla f,i j¾Okh fõ' frda. ,laIK j,ska ms<slduh ;;a;ajhkao ms<slduh fkdjk ;;a;ajhkao hkak jgyd .; fkdyels fõ' tu ksid mÍlaIK u.ska th ikd: lr.; hq;=j we;' fuhg cdkuh iïnkaOhlao we;eï úg we;' wjqreÿ 65-85 jhil wh fï ioyd f.dÿre ùfï jeä bvla ;sfí' mqriaÓ;s .%ka:shg n,mdk wjodkï idOl we;eï úg mqriaÓ .%kaÓfha bÈuqu ksid uq;%d iïmq¾Kfhka wjysr jkakgo mq¿jk' (Urinary Retention& ² we;eï úg uq;%d l<;a uq;%dYfha ;rula b;sß fõ kï uq;%d m,aùfuka uq;%d wdidok ;;a;aj ks;r yg .ekSu isÿúh yel ² uq;%d .,a we;sùu'

doctormagazine.lk

² uq;%d fndlal" uq;%d jdyskS fyda jl=.vq j, wdndO yg .ekSu' ² wjidkfha jl=.vq wl¾ukH ùu' ² ms<slduh ;;a;aj we;sùu' frda. y÷kd.ekSug bjy,a jk mÍlaIK ² Prostate Gland Scan mßlaIdj' ² CTC Scan mßlaIdj' ² UFR ² Urine Culture ² FBC ² CPR ² PSA ms<sld ;;a;aj mßlaIdj lEu îu j, n,mEula mqria: frda. j,g we;súh yelso@ fï frda. we;s ùug úfYaIfhka wdydr n,fkdmEj;a frda. ,laIK u;= jQ úg WIaK wêl wydr" wï, wêl wydr fkd.; hq;=hs' tfiau j;=r îu md,kh flf¾' rd;%S ld,hg j;=r îu yels ;rï wvql< hq;= w;r oyj, ;snyg muKla j;=r îug Wmfoia ,efí' we;eï wjia:d j;=r mdkh l< úg§ frda. ,laIK jeä jk neúks' doctormagazine.lk

mqria: .%kaÓhg fydañfhdam;s m%;sldr mqreIfhl=f.a mqriaÓ .%kaÓj, ´kEu wdldr m%odyl ;;a;ajhka we;s jQ úg fmkajk frda. ,laIK" yg.;a frda. uq,fha ix{djhs' ix{dj ksjdoeóu md,khhs' th ke;slr oeóu iqjhhs' th ke;slr oeñu fydañfhdam;s m%;sldrfha l%ufõoh jkq we;' fydañfhdam;s ffjoH l%ufha wka;¾.;h jkqfha fydañfhdam;s uq,O¾u wkqj m%lg lrk frda. ,laIK j,g wkqj ksjerÈj fokq ,nk T!IOh u.ska frda. uq,h ke;slr frda.shd h:d ;;a;ajhg m;a lsÍuhs' ÿ¾j, m%;sYla;slrKh W;af;ackh fldg h<s h:dm%lD;su;a lsÍuhs' túg uq;%d úIîchg tfrysj T!IO l%shdj,sh igka joS' m%odyl ;;a;ajh ke;s lrhs' mqriaÓ .%kaÓ bÈuqu l%u l%ufhka ke;s ù hhs' ldka;djkaf.a uq;%d msglsÍfï yd uq;%dYh wdY%s;j ish¨ frda. ;;a;ajhkago" fomd¾Yajfhu wksl=;a frda. ;;a;ajhkago" tljr m%;sldr l< yels iaÓr iqjh <`.d lr .; yels w.kd ffjoH l%uhls fydañfhdam;s m%;sldr l%uh' DM foaYSh fjolu m%j¾Ok" .%dóh yd wdhq¾fõo frday,a ixj¾Ok yd m%cd fi!LH rdcH wud;HdxYfha foysj, rcfha fydañfhdam;s ffjoH uOHia:dkfha ia:dk Ndr ffjoH ks,Odßksh jYfhka lghq;= lrhs

fydañfhdam;sffjoH l%uh .ek úuiSï

011 2637 740" 011 2637 741 011 2637 742" 071 8250 716 071 8250 717 March 2021

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wdhq¾fõoh wxYNd.h

wxYNd.h iajNdjO¾uh wmg ,nd§ we;s Ydlidr Wmfhda.S lr.ksñka iakdhq /yeka mK.kajk T!IO wfmka''' uydpd¾h wdhq¾fõo ffjoH iqukr;ak wur;=x.

DASC. BA Pg. PhD ysgmq úÿy,am;s .ïmy úl%udrÉÑ wdhq¾fõo ffjoH úoHd,h

kdhq moaO;sh fud<h m%Odk lrf.k ks¾udKh ù ;sfí' iqIqïkdj kue;s uyd iakdhqjla fud<fhka mgkaf.k fld÷weg fm< Èf.a my;g .uka lrhs' ysialn, ;=< fud<h msysgd ;sfnk w;r tys isg fld÷weg fm< Èf.a my;g hk iqIqïkdfõ isg fmd,a w;a;l brgq fuka iakdhq YÍrh mqrd .uka lrhs'

ia

tys§ fn,af,ka mgka .kakd iakdhq w;g;a" ;=káfhka mgka .kakd iakdhq ll=, olajd;a .uka lrhs' ta w;r ueo m%foaYfha msysá iakdhq mmqj iy Worh olajd .uka lrhs' ta wkqj iakdhq moaO;sh hkq by; meyeÈ,s l< wdldrhg YrSrh mqrd me;sr .sh jHqyhls' iakdhq moaO;sfha we;sjk frda. iakdhq moaO;sh wdY%s;j frda. we;sùu y÷kd.ekSu lreKq folla u; r|d mj;S' 1'm<uq lreK kï iakdhq moaO;sfha frda. we;sjkafka fld;ko hkakhs' fud<fha ke;akï iqIqïkdfõ isg fomig hk m¾hka; iakdhq moaO;sh wdY%s;jo hk j.'

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March 2021

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2'fojekak" l=uk fya;=jla''' ldrKdjla ksid fuh we;sù ;sfnkafkao hkak u;' úIîchla ksid" f.ähla ksid" f,a kyrhl jrola iakdhqjg n,mEu ksid" Èhjeähdj ksid" reêrfha mSvkh jeäùu ksid" jila úila YÍr.; ùu ksid" cdkuh fya;=ka ksid wd§ jYfhka iakdhq moaO;sfha yg.kakd frda. úksYaph l< yels jkafkah' ;jo iakdhq moaO;sh YÍrh mqrdu mj;sk ksid frda. ,laIKo YÍrfha ´kEu ia:dkhl we;súh yelshs' iakdhq.; frda. we;s ùug m%Odk jk fya;= jerÈ wdydr rgdjka" lD;%Su wdydr jeämqr .ekSu" u;ameka mdkh" ÿïmdkh" Èjd ld,fha jeämqr ksod .ekSu yd rd;%S ld,fha ksÈjeÍu wd§ fya;=ka fõ' iakdhq frda. m%;HlaIfhka iqjhg wdhq¾fõoh iakdhq frda. iqj l< fkdyels hehs jerÈ u;hla iudch ;=< we;;a th ienEjla fkdfõ' iakdhq frda. i|yd m%;HlaI l%ufõohka fy< fjolu i;=j mj;shs'

doctormagazine.lk

iakdhq frda. i|yd ksis l%ufõohlska hq;=j m%;sldr l< hq;=hs' jd" ms;a" fiï uq,afldg f.k we;s jkakd jQ frda. mSvd wdÈfhka we;eï iakdhq frda. we;sùug ñksidf.a wej;=ï mej;=ïo n,mdhs' fndfyda fofkla mßiaiï lrkafka wiaÓ mu‚' kuq;a wiaÓ kej; m%lD;s lr.; yelshs' tfy;a iakdhq j,g ydks ùfuka È.=l,a mj;akd wdndO we;súh yelshs' tu ksid iakdhq.; frda. kï jy jyd m%;sldr l< hq;=hs' iakdhq frda. w;r kej; iakdhq mK .kajkakg iu;a T!IO fy< fjolu i;=j mj;shs' ta w;ßka iD; j¾. rdYshla we;' fuu T!IO j,g l%shdldß;ajh kej; mK .ekaùug iu;a T!IO n,hla we;' mlaI>d;h fyj;a wxYNd.h frda.hg j¾;udkfha jeä fofkla f.dÿre fjhs' wdhq¾fõofha fuu frda. wjia:dj y÷kajk kï úúOh' taldx. >d;" w¾Odx.>d;" mlaIjOh" mlaI>d;h yd wxYNd.h wd§ jYfhks' wxYNd.hg fya;= fuu ;;a;ajhg m;aùug fkdfhl=;a fya;= n,mdhs' wêl reêr mSvkh" fud<fha yg.kakd fYda; ;;a;ajhka" fud<fha f.ä" fud<fha f,a leá ysrùu" ysia ln,g issÿjk wd>d;" jDlal m%ody" ms<sld hk wdndO ksid fud<hg reêrh imhkakd jQ reêrjdyskS j, wjysr;djhka we;sùu'

doctormagazine.lk

fud<hg reêrh imhkakd jQ reêrjdyskS j, wjysr;djhka we;sùu ksid b;d blauKska fud<fha l%shdldß;ajh wvmK ùfuka wd>d;h kue;s ;;a;ajh we;sfõ' fuh fud<hg reêrh iemhSu wvd, ùfuka reêrjdyskS ;=, reêr leáhla iE§fuka fyda fjk;a ia:dkhl we;s jQ f,a leáhla fud<fha reêrjdyskS fj; we;=¿ ùfuka fyda fud<h ;=< reêrh .e,Sula ùfuka isÿúh yelsh' wjidkfha§ fuh zzfud<fha yd reêr ixirK moaO;sfha isÿjk wk;=rlaZZ f,i ye¢kaúh yelsh' fuu frda. ;;a;ajfhka fndfyda fofkla ñh hoa§ ;j;a msßilg ;ukaf.a jev lghq;= lr .ekSug mjd fkdyels jk wdldrhg wdndê; ;;a;ajhg m;a fj;s'

March 2021

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wdhq¾fõoh wxYNd.h

wxYNd. frda.sfhl=g kej; m%lD;shg m;a úh yelso@ ngysr ffjoH úoHdj jqj tu yelshdj neyer lrkafka ke;' kej; Wmosk iakdhq ffi, .ek ngysr ffjoH úoHdfõ i|ykah' Neurogenesis kue;s tu l%shdj,sh n,.ekaùfuka uq,au udi ;=k ;=< fjfiia oshqKQjla w;am;a lr.; yels njo tf;l=ÿ jqj;a W;aidyh mj;ajd .;fyd;a m<uq yd fojk jir j,oSo iqjhla ,nd.; yelsnj Aníl of NEUROLOGY iÕrdfõo i|ykah' kuq;a fï W;aidyh orK jevms<sfj,la fndfyda úg ngysr ffjoH úoHdfõ ke;' tu ksid wxYNd. frda.Ska jeä jeäfhka wdhq¾fõohg fhduq jk njo bka id¾:l m%;sM< fk,d.kakd njo ryila fkdfõ'

fudjqkaf.a Ôú;h flfkl=f.a wdOdrh u; r|d mj;S' iuia;hla f,i jeäysáhka wdndê;hka njg m;ajk m%Odk fya;=jla jkafka wd>d;hhs' wjodku yÕjk ix{d yªkd.ksuq lsishï mqoa.,hl=g yÈisfha ;o ysirohla u;=ùu" yÈisfha we;sjk .s,Sfï wmyiq;d" yÈisfha we;sjk fmkSfï fjkialï" yÈisfha we;sjk weú§fï wmyiq;d" lrleú,a, iu. iu;=,s;;djfha we;sjk fjkiaùï yd yÈisfha we;sjk YÍrfha tla me;a;l mK ke;s ùï jeks ;;a;ajhka w>d;hg wod< frda. ,laIK fõ'

112

March 2021

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wdhq¾fõofha fjfiia m%;sldr frda. we;sùu wm ldg;a fmdÿ fohls' tjka wjia:djl wm W;aidy oeßh hq;af;a ljr l%uhlska fyda we;s ù ;sfnk mSvdjka iqj lr .ekSugh' fy<fha jákd fnfy;a .ek oeka f,dl= Wkkaÿjla we;sj ;sfnk nj fmfka' ienEj kï" ñksidg we;sjk jHdêka doctormagazine.lk

lsßj;a;=vqfõ weï ã ,sfõßia wur;=x. iy mq;%fhda wdh;kh ISO:90011:2015 wka;¾cd;sl ;;aj iy;slh ,ndf.k we;' ;jo úYsIag ksIamdok mßph i|yd jk GMP iy;slfhkao msÿï ,nd we;' nrm;, ì|jeàula iakdhq moaO;sfha we;s jkakg fmr fndfyda úg urogenes fkdfyd;a urogenes hkqfjka ye|skf a jk kej; ms<i s lr jk iakdhql wjfrdaOhla fndfyda wjia:dj, we;sfõ' fï bÕsh bosßhg tk ix{djlehs i<ld ms<h s ï fhoSfuka fndfyda nrm;, ;;a;j a hka j<lajd .; yels jkq we;' lg me;a;g hdu yd th iqj ùu" l;dj ;djld,slj wvmK ùu fjfiisku a fuysoS Tnf.a wjOdkhg ,laúh hq;f a ;ah'

uq,skqmqgd oeóug wejeis T!IO ilia lsÍu isÿúh hq;af;a uQ,sl jYfhka ue iajNdjO¾uh ;=< ksmofjk foa Ndú;fhks' isxy, fjolu f,i wm wre;a .kajkafka iajNdj O¾uh ;=< wmg we;s iïm;a Ndú;h ;=<ska wmg we;sjk frda.dndO iqj lr .ekSuhs' ye;a;E jirl l%sñrdc iïm%odh jir 70l muK ld,hl isg ,dxlslhskag muKla fkdj úfoaYhkago Tjqkaf.a iqjh ,eîu W.yg fndfyda jHdêka ksiel iqjh Wfoid" ishhg iShla fy< T!IO muKla Ndú;d lrñka T!IO ksmojQ lsßj;a;=vqfõ weï ã ,sfõßia wur;=x. iy mq;%fhda wdh;kh" iakdhq ÿn,;d ksid we;s jk frda. j<lajd YÍrh h<s m%dKj;a lsÍug WmldÍ jk T!IO ^iD;& j¾." l%sñrdc kdufhka ksmojd we;' l%sñrdc wYaj.kaOdiD;h" l%sñrdc jDy;a wYaj.kaOdëiD;h" l%sñ rdc jDy;a cd.,doS iD;h" l%sñrdc n%dyaó iD;h kshu lrk wkqmdk" kshu lrk m%udK" kshu lrk fõ,a .Kk" m;H-wm;H wdydr yd fyolu hk fï ish,a, ksishdldrfhka isÿlsÍfuka iakdhq ÿn,;djhka je<£ we;s frda.dndO iqjm;a lr.ekSug by; i|yka T!IO Ndú;fhka Tng yelsjkq we;' doctormagazine.lk

;;a;ajdkaú; yd ld¾hlaIu T!IO y÷kajd§fuka ,dxlSh ck;dj w;f¾ lS¾;su;a kduhla Èkd isák l%sñrdc wdh;kh" 250lg wêl jQ T!IO /ila cd;sh fjkqfjka ;s<sK lrhs' wdhq¾fõo ffjoHjreka i|yd u WÑ; úfYaI T!IO /ila ksIamdokh lr we;s w;r" Tng;a fuu T!IO ñ,§ .ekSu i|yd uydpd¾h wdhq¾fõo ffjoH iqukr;ak uy;d ÿrl;kfhka wu;d úia;r l;d lsÍfï wjia:dj oeka Wodù ;sfí' DM

l%sñrdc ksIAmdok i|yd úuiSï uydpd¾h wdhq¾fõo ffjoH iquKr;ak wur;=x. (DASC, BA/ PG/PhD.) weï ã ,sfõßia wur;=x. iy mq;%fhda ndf,!IOd.drh" lsßj;a;=vqj ÿrl:kh$*elaia 011 2753 889 Bfï,a krimiraja@sltnet.lk fjí ayurvedakrimiraja.com

March 2021

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113

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foaYSh ms<sld fjolu m%fïy úoajxYkS ff;,h

f,dal jl=.vq Èkh ksñ;af;ks

Èhjeähdj" wê reêr mSvkh" §¾>ld,Skj mj;skjd kï Tng;a jl=.vq frda. wjodku ;sfnkjd''' jl=.vq frda.Skag uyÕ= m%;sM< ,ndfok foaYSh T!IOhla ud ixialrKh lr ;sfnkjd''' m%fïy úoajxYkS ff;,h .,s.uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;s mdrïmßl foaYSh ms<sld ffjoH ta ta iqu;smd,

doctormagazine.lk

March 2021

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115

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foaYSh ms<sld fjolu m%fïy úoajxYkS ff;,h

ksoka.; jl=.vq frda.hg fya;=

jhi wjq' 60 g jeä ldKAvh

oshjeähdj

wêreêr mSvkh

ÿïfld< Ndú;h yDo frda. yd wxYNd.h

ia:q,;djh

mjq,a b;sydih

wo jk úg wfma rfÜo jl=.vq frda.h iS.%fhka me;sÍ hk udrdka;sl frda.hla njg m;aù ;sfí' zzjl=.vq hq.,hZZ ñksia Ôú;h mj;ajdf.k hdu i|yd wjYHfhkau jeo.;a jk bkaøshhls' YÍrfha jl=.vq folla msysgd ;sfí' jl=.vq wmg fudk ;rï w;HjYH bkaøshhla jkafkao lsjfyd;a fuhska isÿ lrk ld¾hhka wvmK jqjfyd;a YÍrfha fndfyda ld¾hhka ÿ¾j, ùfuka úYd, wmyiq;djhkag uqyqK §ug isÿfõ' wjidkfha Ôú;h wk;=rg m;a fõ' jl=.vq wmg jeo.;a jkafka wehs@ ² wfma YÍrfha mßjD;a;sh l%shdj,sfha§ ksmojk úI iys; wmøjH bj;a lsÍu jl=.vqj,ska uQ,sl jYfhka isÿfõ ² reêr mSvkh md,kh lsÍu ² reêrfha we;s hlv m%udKhka" whk idkaøKh iu;=,s; iu;=,s;j mj;ajd .ekSu ² isref¾ we;s jeämqr c,h uq;%d u.ska msg lr isref¾ c, ;=,s;;djh mj;ajdf.k hdu ² jl=.vqj,ska fydafudakuh lD;Hhl=;a isÿfjkjd' wegñÿ¿ j, r;= reêrdKq ksIamdokh lsÍug wjYH jk Erythropoitin fydafudakh ksIamdokh lsÍug odhl ùu fuys,d i|yka l< yelshs'

116

March 2021

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jl=.vqjla tys jHqyd;aul ÿ¾j,lula ksid krla jkakg mq¿jka' fjk;a frda. ksid;a jl=.vq krla fjkak mq¿jka' fndfyda fokd lshk wdldrhg jl=.vq krla fjkjd lshkafka tl frda.hla fkdfõ' fya;=ka rdYshl n,mEfuka we;sjk m%;sM,hla' m%Odk jYfhka óg fya;= folla n,mdkjd 1' ;djld,slj jl=.vq krla ùu i¾mhka oIaG lsÍu" úI j¾. YÍr.; ùu ksid" we;eï T!IO wê ud;%d j,ska YÍr.; ùu ksid;a ó WK je<£u ksid;a ;djld,slj jl=.vq krla fjkakg mq¿jka'

doctormagazine.lk

jDIKfldaI ms<sld

YÍr Yla;sh wvq ùu kskao jeä ùu

ÿn,;djh

msmdidj jeäùu$ ks;r uq;%d lsÍfï wjYH;djh

jl=.vq frda. ,laIK

wdydr wreÑh

nr wvq ùu

lfgka we;sjk ÿ.|

uqLfha ;=jd, Tlaldrh yd jukh

2' iaÓr jYfhkau jl=.vq krla ùu §¾>ld,Skj mj;sk Èhjeähd ;;a;ajh iy wêl reêr mSvkh fya;=fjka iaÓrj jl=.vq krla úh yelshs' l,a mj;sk uq;%d ud¾.fha wjfrdaO;d" uq;%d .,a ksid ffjoH Wmfoia j,ska f;drj §¾> ld,Skj T!IO Ndú;d lsÍu ksid" mrïmrdfjka tk frda. hla jYfhka" lDIs ridhksl øjH uqiq wdydr iy c,h ksrka;rfhka mßfNdackh lsÍu ksid fukau Èkm;d îug .kakd c,h wvq ùu ksid ia;srj jl=.vq wlrKshg m;a fjkakg wjodkula ;sfnkjd' jl=.vqjla krla fjk wjia:dfõ§ uQ,slju lsisu frda. ,laIKhla fkdfmkajk wjia:d iq,nhs' iuyr whg mÍlaIK j,g yiq jkafk;a keye' l=vd wjhjhla jqkdg jl=.vqjl ñ,shk folla muK jQ zzjDlaldkqZZ hkqfjka ye¢kafjk reêrh fmÍug WmldÍ jk uQ,sl ;eKQï tall ;sfnkjd' fuu jDlaldkq ishhg 50la muK krla jqKdg miafia ;uhs frda. ,laIK fmkajkafka'

doctormagazine.lk

jl=.vq mßydksfhaoS we;sfjk frda. ,laIK ² weÕ bÈóu ^uqyqK" fomd" Worh& ² YÍrfha we;sjk leiSï ² Tlaldrh yd jukh ² úvdj iy ksÈu; .;sh ² yqiau .ekSfï wmyiq;djh ² uq;%d msgúu wvq ùu iy ks;r ks;r uq;%d msgùu" uq;%d>d;h" fm%daàk msgùu jl=.vq wdrlaId lr .ekSug Wmfoia ² msßisÿ c,h îug yd wdydr msiSug Ndú;d lsÍu ^Èklg c,h ,Sg¾2-3la j;a .; hq;=hs'& ² ksfrda.S wdydr rgdjla mj;ajdf.k hdu ² Èhjeähdj yd wêl reêr mSvkh i|yd ksis m%;sldr ,ndf.k md,kh lr .ekSu ² ksis jHdhdu j,g fhduq ù l%shdldÍ Ôjk rgdjla mj;ajdf.k hdu ² T!Iëh .=Kfhka hqla; fld< le| ks;ru mdkh lsÍu ² ji-úi j,ska f;dr jQ t<j¿ yd m,;=re wdydrhg .ekSu ² OdkH j¾. jeä jYfhka wdydrhg .ekSu March 2021

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foaYSh ms<sld fjolu m%fïy úoajxYkS ff;,h

jeäysá msßñkaf.a mqriaÓ .%kaÓh bÈóu ksid we;sjk mSvkh ksid jl=.vq frda.h we;s we;sfjk wjia:d oel ;sfnkjd' uq;%d lsÍfï§ th wLKavj oyrdjla fia msg fkdjkafka kï" uq;%d lsÍfï§ lsishï wmyiq;djhla ;sfí kï iqÿiqlï ,;a ffjoHjrhl= yuqù m%;sldr ,nd .; hq;=h' tfia m%;sldr m%udo lrkafka kï Tnf.a jl=.vq krlaùu kj;d .; fkdyels úh yel' jl=.vq frda.h iqj iqjl< yelso@ foaYSh ffjoH l%uh u.ska jl=.vq frda. iqj lrkakg mq¿jka' jl=.vq frda.h ksid jl=.vqfõ we;s ffi, ^jDlaldkq& ueÍula isÿjkjd' foaYSh ffjoH l%ufhka wms lrkafka fï uereKq ffi, fjkqjg w¨‍;ska ffi, j¾Okh lsÍug m%;sldr ie,iSu' fuys§ wm T!IO ,nd fokafka frda.shdf.a ;;a;ajh mÍlaId lsÍfuka wk;=rejhs' Èhjeähdj" wêl reêr mSvkh ;sfnkjd kï ta i|yd;a T!IO ,ndÈh hq;=hs' jir 40l muK ld,hl isg i¾jdx. frda. i|yd frda.Skag T!IO ,nd §fuys ksr; ud ish¨‍u jl=. vq frda. ksjdrKh i|yd jir 40 l w;aoelSï yd m<mqreoao Wmfhda.S lrf.k zzm%fïy úoajxYkS ff;,hZZ udyeÕs fnfy; ksIamdokh lr ;sfnkjd' fuu T!IOh foaYSh Ydlidruh T!IO ixfhda. lr ms<sfh, lr ksuejqKla' ud ukqIH YÍrfha yg.kakd ish¨‍u ms<sld frda.j,g T!IO ,ndfok ffjoHjrfhla' wo jk úg ud f,dalhu NS;shg m;aù we;s fldfrdakd ffjrihgo jákd fnfy;a fidhd f.k ;sfnkjd' uf.ka fnfy;a

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,ndf.k iqj jQ frda.Ska úYd, m%udKhls' m%udKhlska frda.h fndaùfuka j<lajk" isref¾ m%;sYla;sh kxjk zzmdŒh me‚ T!IOhlaZZ ud ksmojd ;sfnkjd' ´kEu flfkl=g ud ÿrl:kfhka wu;d fm!oa.,slj úia;r ,nd Èh yelshs' wmg ffjoH Wmdêh yd ,shdmÈxÑh fukau iqúfYaIS idhksl w;aoelSïo ;sfnkjd' jir y;<sylg jeä ld,hla ud frda.Skaf.a iqjh m;d fjoluys ksr; ù isákjd' úYajdifhka meñK yuqjkak' DM mdrïmßl foaYSh ms<sld ffjoH idu úksiqre ta ta iqu;smd, i¾jdx. Ñls;ail ,shdmosxÑ wxlh 13297 mdrïmßl foaYSh ms<sld ffjoH uOHia:dkh fn,sfldgqj wrkaor" wgd, ^.,s.uqjwúiaidfõ,a, ud¾.h fnda.y ykaÈh&

ÿrl:k

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wdhq¾fõoh nqÿoyuhs- wdhq¾fõohhs

nqÿoyuhs wdhq¾fõohhs ñksidg je<f|k il, úO frda. .ek wdhq¾fõofha mßiudma; újrKhla we;af;ah'''

frda.j,ska wdrlaId ùug wdhq¾fõofhka fok Wmfoia niakdysr m<d;a wdhq¾fõo fomd¾;fïka;=fõ mdÿlal m%cd fi!LH ffjoH ks,Odß úkaOHd nKavdr úisks

ZZjHdê Oïudkx yslaLfj ika;dkx'''ZZ zzuyfKks" frda. we;s ùu iajNdjh fldg we;s i;a;ajhdg'''ZZ hkqfjka f.!;u nqÿrdPdKka jykafia 120

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i;smÜGdk iq;%fha Oïudkqmiaikd m¾pfha ish¿ f,dal i;a;ajhka yg jHdê fyj;a frda. we;s jk nj foaYkd l< fial' .srsudkkao iq;%fhaoS zzb;s buiañx ldfha úúOd wdndOd WmamPaPka;s fihH;sox planq frdaf.da'''ZZ hkdoS jYfhka frda. we;s jk ia:dk" frda. j¾. fukau frda. we;s jk wdldr ms<sn|j uekeúka jodrk ,oS' fuu frda. fudkjdoehs wjfndaO fldgf.k miqj tu frda. yg.ekSu j<ld .; yels wkaou yd we;s jq frdayj,g ms<shï fudkjd oehs fidhdne,Su jeoy;a fjhs' i;a;ajhd frda. j,ska wdrlaId úh hq;af;a wehs@ ish¿ fokd leue;s jkafka iqfjka isàughs' f.!;u nqÿrdcdKka

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jykafia" ksfrda.Slu W;=ïu ,dNh jk nj zzwdfrda.Hd mrud ,dNd'''ZZ hkqfjka Oïumofha iqL j.a.fha wgjeks .d:dfjka foaYkd fldg we;' p;=¾úO iïm;a ,nd .ekSug fya;= jk ksfrda.Slu wdhq¾fõo uQ, .%ka:hla jk zzprl ixys;dfõZZ iq;% ia:dkfha m<uq wOHdfha 18 jeks Yaf,dalh fï ms<sn|j olajd we;af;a fufiah'

O¾ud¾:ldufudalaIdKdï wdfrda.Huq,uq;a;ux frda.dia;iHdmy¾;drx fY%Ahfida cSú;iHj m%dÿ¾N=f;da ukqIHdkx wka;rdfida uydhkï zzO¾u ^odk" YS," NdjkdoS ls%hd&" w¾: ^Ok" OdkH" iïm;a&" ldu ^mis÷rka mskeúu&" fudalaI ^úuqla;sh ,nd .ekSu& hk p;=¾úO iïm;a ,nd .ekSug ksfrda.Slu m%Odk fya;=jhs' frda. úiska tu iïm;a;Ska fuka u wdhqIo meyer .kq ,nhs' th ñksiqkag uy;a jq WjÿrlsZZ hkq tys wre;hs' wdhq¾fõo.; frda. újrKh frda.ia;= fodaI ffjYuHx fodaI iduHu frda.;d ^wIagdx.yDoh ixys;dj" iq;% ia:dkh ^1-19& isrer ksue ù we;af;a''' doctormagazine.lk

jd;" ms;a;" lt kï jq fodaI ;=klska neúka" fuu fodaI ;=k isref¾ iu;=,s;j mj;S kï" mqoa.,hd ksfrda.S whl= nj;a" fuu fodaI wiu;=,ska ùfuka mqoa.,hd frda.j,g f.dÿre jk nj;a fuhska m%ldY flf¾' f,dal fi!LH ixúOdkh fi@LHh ks¾jpkh f,dal fi!LH ixúOdkh m%ldY lrk wkaoug hym;a fi!LHhla we;s ùug kï''' mqoa.,hd ldhsl" udkisl" idudcssl wdOHd;añl yd ixialD;sl jYfhka iunr úh hq;= w;r" fuu iunr;dj fkdue;s ùu frda.hla f,i ye|skafjhs' bka woyia flfrkafka frda. hkq ldhslj we;sjk .eg¿ muKla ue fkdjk njhs' wdhq¾fõoh th meyeos<s lrkafka fufiah' iu fodaI iud.aksYaj iuOd;= u,xls%hd– m%ikakd;afïkaøsh ukx iajdia:H b;sHysëhf;a''' ^iq;% ixys;dj" iq;% ia:dkh 15 wOHdh" 48 Yaf,dalh& ñka m%ldY lrkafka" ² jd;" ms;a; yd lM hk ;=ka fodai iuj meje;Su ² wdydr osrùfï l%shdj l%uj;aj isÿ ùu ² ri" rla;" udxY" fïoia" wiaÓ" ucacd" Y=l% hk Od;= ima;lfha l%shdldrs;ajh ksis mrsos isÿ ùu ² oyosh oeófï l%shdj,sh" uq;% msg lsrSfï l%shdj,sh" yd u<my lsrSfï l%shdj,sh hk fïjd l%uj;aj isÿ ùu ² wdOHd;añlj msrsisÿ ùu ² wei" lk" kdih" osj" iu hk b÷rka m%ikak ùu fyj;a fyd|ska ls%hd lsrSu ² hym;a udkisl ;;a;ajhla meje;Su hk fï ish,a, we;s ;eke;a;d ksfrda.S fyj;a zziajia:ZZ whl= jk njhs' fuu ye|skaùï ms<sn|j .eUqrska i,ld ne¨ úg wo iudcfha nyq;r msrsila frda.Ska f,i ye|skaùug isÿjkqfha''' ldhslj muKla fkdj udkislj yd wdOHd;añl jYfhka msrsyqKq iudchla wo ojfia we;s neúks'

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wdhq¾fõoh nqÿoyuhs- wdhq¾fõohhs

wmg we;sjk kdkdúO f,vfrda. wmQ¾j j¾.SlrKhlg ² ksc fyj;a mqoa., wdydr" úyrK wdosh ksid isrer wNHka;rfhka yg .kakd frda. ^WodyrK: NDofrda." jl=.vq frda.& ² wd.ka;=c fyj;a ndysr fya;= ksid we;s jk frda. ^WodyrK: wiaÓ ì|sï" ms<siaiSï" i¾m úI& ² idOH fyj;a iqj l< yels frda. ^WodyrK: fiïm%;sYHdj& ² hdmH fyj;a fkdkj;ajd m%;sldr l< hq;= frda. ^WodyrK: uOqfïyh& ² widOH fyj;a iqj l< fkdyels frda. ² YdrSrsl fyj;a isrer weiqre lr yg.kakd frda. ² udkisl fyj;a uki weiqre lr yg.kakd frda. ² uDÿ fyj;a isrerg ;on, f,i mSvd fkdfok frda. ² OdrK fyj;a isrerg ;on, mSvd we;s lrk frda. hkdoS jYfhka úúOdldrfhka wdhq¾fõofha frda. j¾.SlrKhla olajd we;' 122

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.srsudkkao iq;%fha zzb;s buiañx ldfha úúOd wdndOd WmamPaPka;s fihH;sox planq frdaf.da'''ZZ hkdoS jYfhka frda. we;s jk ia:dk" frda. j¾. fukau frda. we;s jk wdldr ms<sn|j uekeúka jodrk ,oS' woo .sßudkkao iQ;%h iys; msß;a icacdhkdj .s,kqka fjkqfjka isÿ flf¾'

;j;a jeo.;a frda. j¾.SlrKhla ² wOHd;añl frda. ² wdos fN!;sl frda. ² wdos ffoúl frda. ² wdosn, m%jD;a; frda. ² ckaun, m%jD;a; frda. ² fodaIn, m%jD;a; frda. ² ix>d;n, m%jD;a; frda. ² ld,n, m%jD;a; frda. ² ffojn, m%jD;a; frda. ² iajNdjn, m%jD;a; frda. wdOHd;añl frda. wOHd;añl hk jpkfha wre; kï" ;ud ms<sn| ^wd;au& hkakhs' ;udf.a l=, mrïmrdj ^wdosn, m%jD;a;& fyda uõl=i ;=<oS ujf.a wdydr úyrK wdosh ksid ;ud frda.S ùu ^ckaun, m%jD;a;&frda. fyda ;udf.a wdydr úyrK wdosh ksid yg .kakd fodaIn, m%jD;a;& frda. fï hgf;a olajd we;' wdos fN!;sl frda. wdosfN!;sl hkq mi" P,h" iq<Õ" .skaor wdos fN!;sl mrsirhhs' tajd ksid yg .kakd frda. fyj;a levqï-

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ì÷ï" oejqï-ms<siaiqï" i¾m úI wdoS ;;a;aj fï hgf;a olajd we;' wdos ffoúl frda. l¾u úmdl f,i we;s jk fyda fkdfmfkk n,fõ. wdosh ksid yg .kakd frda. fuys oS olajd we;' fuho ld, n," ffoj n, yd iajNdj n, m%jD;a; frda. f,i fldgia ;=klg fnod olajd we;' ta w;=rska ffoj n, m%jD;a; frda. we;s jk wdldr lsysmhla wdhq¾fõo fmd;a m;aj, olajd we;' ² foaj fodaIc fyj;a foúhka" n%yau^úm%&hka" idIsjreka" wukqIHhka wdoSkaf.a fldamh ksid Ydm lsrSï wdosfhka we;s jk frda." ² wNsYdmc fyj;a .%y klaI;% j, ^ysre" i÷" isl=re" nqO" fikiqre" n%yiam;s" wÕyre hkdoS .%y& n,mEu ksid we;s jk frda." ² wNspdrc fyj;a udrl uka;% cm lsrSï" rdlaI fodaI wdosh ksid we;s jk frda." ² wNsYx.a fyj;a" wl=Kq" W,aldmd; wdosh ksid we;s jk frda."

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² Wmi¾. fyj;a we÷ï me<÷ï" isrere wjhj tlsfkl .eàï fyj;a iam¾Yh ksid we;s jk frda." ² lD;H fodaI fyj;a mrsir ÿIKh jeks ñksid úiska isÿ lrkq ,nk úúO lghq;= ksid we;s jk frda. hkqfjks' wd.ka;=l fyj;a ndysr n,mEula fya;=fjka we;s ù miqj isref¾ fodaI iu;=,s;;dj ke;s lrk wjia:djla f,i fuu ffojn, m%jD;a; frda. oelafjhs' wmf.a nqoaê uágñka oelSu wiSre neúka" ffojn, m%jD;a; frda. ms<sn|j iúia;rj oelaùu wmyiqh' kuq;a fuu frda. ldKavh fy<d oel l;d lsrSu fkdl< hq;=h' tfiau wkaO úYajdihkayS msysgd .eg¨ u;= lr .ekSuo iqÿih' kqjK fufyhjd lghq;= l< hq;= jk fïjdg ms<shï f,i ffoj jHmdY% T!IO hkqfjka ueKsla wdNrK oerSu" ux., l%shd fyj;a n,s ^f;dú,a&" Wmydr" m%dhYaú;a;" cm" odk wdoS jYfhka ms<shï fhoSuo wdhq¾fõo .%ka:j, olajd we;' N=; úoHdj N=; úoHdj hkqfjka fjku Ñls;aidjla wdhq¾fõo uQ, .%ka: j, oelafjk kuq;a" th j¾;udk wdhq¾fõo ffjoH lafIa;%fha m%j,s; ù ke;' nqoaO foaYkdjg wkqjo foaj" n%yau" fma%;" msYdp wdoSka ksid frda. yd úúO lror we;s jk nj lrKShfu;a; iq;%fha ksOdk l;d j," r;k iq;%h" fu;a;dksYxi iq;%h ^wukqiaidkx msfhda fyda;s foaj;d rlanka;s& fudr msrs;" Oc.a. iq;%h" wdgdkdáh iq;%h wdoS foaYkd j,ska m%ldY fjhs' fn!oaOd.ñlhka jk wms fuu oskj, uqyqK mdk jix.; ;;a;ajh yuqfõ mrs;%dK O¾u foaYkd wdoS wd.ñl lghq;= isÿ lrkafka" by; frda. uQ,hka" iïNjhka fuu jix.; ;;a;ajhgo uq,sl ù ;sfí kï" tajdg ms<shula f,isks' by; j¾.SlrKhg wkqj m<uqfjkau wdos ffoúl frda. hgf;a oelafjk ckmo Wèjixik frda. fyj;a ckmo úkdYhg m;a lrjk frda. ms<sn|j i,ld n,uq' th fï jif¾ il, f,dal m%cdjgu mSvd f.k fokakla ù we;s neúka" ixjdohgo ldf,daÑ; ud;Dldjla jk fyhsks' DM

,nk l,dmfhka ful,o wmg ;¾ckhlaj we;s ckmo Wèjxik frda. ^ckmo úkdY lrjk frda.& .ek wdhq¾fõoSh ú.%yhla March 2021

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wdhq¾fõoh uOqksud uyú, ,sms irKsh

uOqksud uyú, ,sms irKsh

uyú, iïm%odfha m¾fhaIK

oshjeähdj ksÜgdjg iqj lrkjd''' fldúâ frda.S frda.fhka wdrlaIdjkakg W;aiql jk fldhs ldg;a jákd fnfy;la zzlmksudZZ kñka wm ksIAmdokh lr ;sfnkjd''' ck;djf.a frda. Wjÿre j,g ksiairKdOHdYfhkau wm ms<shï fidhkjd'''

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

ckmo Wèjixik frda. fyj;a ckmo úkdYhg m;a lrjQ frda. ms<sn|j b;sydifha i|yka fjkjd' fï frda. je<|Sfuka .ï msáka ñksiqka ñh hkjd' ck ixydr we;s fjkjd' hqoaOhg;a jvd oreKQhs'

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wfmka iudchg - lmksud tys m%;sM<hla jYfhka fldúâ frda.h je<ªKQ wh iqjm;a lrkakg;a fiiq iudch fï mSvdfjka wdrlaId lrkakg;a iu;a n,.;= Tiqjla zzlmksudZZ hkqfjka wm ksIAmdokh lr ;sfnkjd' lm frda. ksud lrk hk w¾:fhka th zzlmksudZZ f,i kï lr ;sfnkjd'

fï wdldrfhka we;sjk frda. j,ska ñfokakg wjYH oeKQu tod ñksiqkag m%;HlaIfhka ;snqKd' fjfiiskau tl, cSj;ajqKQ we;a;kaf.a wdydr isß;a j, fïjdg Tfrd;a;= fok yelshdjla ;snqKd' tl, m%p,s;j ;snQ tlu ffjoH iïm%odh" wdhq¾fõoh ;=< Bg uqyqK fokakg lsishï úi÷ï l%shdj,shl=;a ;snqKd'

ñksidg je<f|k frda. wdldr 140la ;sfnkjd' fiï frda. 20la' ms;a frda. 40la yd jd; frda.

40 la wdoS jYfhka' fiï frda. 20u iukh lrkakg iu;a Tiqjla zzlmksudZZ' .,kd,h" fmKy,a, ;uhs fiï frda. j,g úIh jkafk' bkamiqj fud<h yd mßjdr wjhj j,g th me;sr hkjd' zzlmksudZZ .ekSfuka osk ;=kl ld,hla ;=< frda.sfhla iqjh ,nkjd'

fï we;sj ;sfnk fldúâ ;;a;ajh;a tod we;sjQ ckmo Woajxik frda. j,g iudkhs' fuh;a fõ.fhka me;sr hkjd' .ï msáka ck;dj T;am, fjkjd' ÿ¾j, yd msßyqkQ fi!LH ;;a;ajhka we;s Woúh ñh hdfï wjodkul=;a ;sfhkjd' ud fï iïnkaOfhka fjfiia wOHhkhl ksr; jqKd' wfma merKs fmd;m; mßYS,kh l<d' fï wOHhk Tiafia ful, ck;djg idmhla jQ fuu frda.fhka ñfokakg yelshdjla ;sfío hkak úuikakg fhduq jqKd'

zlmksudZZ n,ldrlhs" Yla;sldrlhs" cSjdKQyrK .=K b;d m%n,j wka;¾.;hs' ta ksidfjkau wfma isref¾ m%;sYla;sh ;sr lrkakg iajNdjfhkau f,vfrda. j,g tfrysj isrerg l%shd;aul jkakg fuhska yelshdj ,efnkjd'

ñksidg je<f|k frda. wdldr 140la ;sfnkjd' fiï frda. 20la' ms;a frda. 40la yd jd; frda. 40 la wdoS jYfhka' fiï frda. 20u iukh lrkakg iu;a Tiqjla wm ksmojd ;sfnkjd' ful, me;sr hk fldúâ frda.Ska ;=ka osklska iqjma lrug fuh iu;a' oekg fuu Tiqj mÍlaId i|yd ,nd oS ;sfnkjd

úYd,d uykqjr ;=kaìh we;s jqfK;a ckmo WoAjxik frda.hla úosyg'

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wdhq¾fõoh uOqksud uyú, ,sms irKsh

uyfmdf<dfjka Wmosk fy< Tiq jir oyia .Kkdjl isg wfma we;a;kaf.a f,vfrda. iukh l<d' Tjqka iqjm;a l<d' úfNaokh l< fldgia Wlydf.k fjolï lrk wef,dam;s l%uhg jvd wfma wdhq¾fõoh fnfyúka fjkia' fndfydauhla wdhq¾fõo T!IO ixl+,;d j,g úIh fkdjkafka;a fï ksihs

fï jk úg uf.a idhksl mÍlaIdjka ud jqj;a uú;hg lrjk id¾:l;ajhla fmkakqï lr ;sfnkjd' frda.h je<ªKQ flfkla kï i;shla" osk wgla fï zzlmksudZZ mdkh lsÍfuka w;=re wdka;rdjlska f;drj iqjm;a fjkjd'

n,mEula we;s fjkjd muKla fkdfjhs" fiiq bkaøsh j,g jvd fõ.fhka wl¾ukH ùfï wjoidkulao ;sfnkjd'

fldúâ frda.h je<÷KQ úg ixl+,;d nrm;,j we;sjk mqoa.,hka yªkdf.k ;sfnkjdfk' jhia.; Woúh" ksoka.; frda. ;sfnk Woúh wdoS jYfhka' fï whf.a ;sfnk f,dl=u wjodku ;uhs fgmKy¿ ÿ¾j, ùu' fï frda.h we;s jkafka Yajik ud¾.h udOHh lr.ksñka' thska fmKy¿ j,g iDcq

wdhq¾fõo fjolfuys iqúfYAI;d ud oshjeähdj frda.Ska yg ksielfhkau iSks uÜgu wvq lrk T!IOhla ilia lr oekg oYl .Kkdjl isg ta frda.Ska iqjm;a lsÍfï wdOHdYfhka lghq;= lrk nj rgu okakjd' oshjeähdj ksoka.; frda. hla' ksoka.;j we;sjk frda. iqj lrkak nE''' tfyu ;uhs úÿyqre ngysr w¾:l:kh' tfy;a uf.a T!IO ál l,la wrf.k frda.Ska ta fnfy;a .kak tl kj;ajkjd' ta whf.a reêr.; iSks idudkHhhs' tfyu fjkafk fldfyduo@

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fï fnfy; zzlmksudZZ wdhq¾fõou;dkql+,j ksIAmdokh l< b;d iajdNdúl fukau n,.;= fnfy;la' fy< Tiq" wdhq¾fõo YdL jHq;amkak j,ska ;uhs zzlmksudZZ ixialrKh lr ;sfnkafka' fï ksid fiiq wdhq¾fõo T!IO j,ska ,efnk ksiÕ wdrlaIdj fuhskq;a fkdwvqju ,efnkjd'

fï ;¾lh idOdrKhs' wo kùk úoHdj iu. Tn ish¿ fokdu .kqfoKQ lrk hq.h' fï ldrKd

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j,g úiÿï fidhd .kakg Tn úoHdfõ msysg m;kjd' b;ska uu;a ta wdldrfhkau fï fnfy;a iQ;%.;j úoHd;aul mokul msysgd úYAf,aYKh lrjd .kakg lghq;= lrkjd' oshjeähdj fnfy; iïnkaOfhka mÍlaId lrkakg ld¾ñl ;dlaIK wdh;k fj; wm l,lg fmr ksheos ,ndÿkakd' tajdfha iïudks; úoHd{hska úiska tys m¾fhaIK lghq;= osh;a lr tajdfha wka;¾.;h úoHd;aulj wOHhkh lr ;sfnkjd' ;yjqre lr ;sfnkjd' fï zzlmksudZZ T!IOh m%;HlaIfhkau wfma rfÜ ck;djg fyd| úiªula' fï fnfy; oekg rch u.ska mÍlaIdjg ,la lrñka ;sfnkjd' fï jk úg;a lsisÿ wdhq¾fõo T!IOhlg ksiel m%;sldrhla f,i wkque;shla ,nd oS fkdue;s miqìula ;=< zzlmksudZZ fldhshïu fudfyd;l fyda m¾fhaIKd;aulj ;yjqre l< fldúâ m%;sldrhla hk ;yjqrej m¾fhaIhlhka úiska ,nd fok ;=re wm wfmalaIdiy.;j isákjd' doctormagazine.lk

fujka T!IOhla wfma iudchg jeo.;a jkafka wehs@ fldúâ jix.;h wfma lrjgla tfrk uÜgulg ìysiqKQj we;s miqìul tkak;a jevigyk oeka n,.ekaù ;sfnkjd' tfy;a yefudagu tkak; fokak nE' tkak;a ixl+,;d wjodku iys; ldKAv" .¾NsKSka" orejka yg fï tkak; ,nd fokafk kE' fï wh iïnkaOfhka m¾fhaIK isÿ fkdùu ksid ;j;a ld,hla by; ldKAv j,g wjodku ordf.k bkakg isÿ fjkjd' tjka ldKAv j,g fï frda.hg Tfrd;a;= fok m%;sYla;shla jvjd .ekSug fujka m%;sYla;sl wdhq¾fõo Tiq fyd| úl,amhla' wdhq¾fõofha Ndú;hg .kakd Tiq j, we;s úfYAI;ajh l=ulao@ WKg" wefÕa wudrejg fndk fld;a;u,a,s ldgj;a wdid;añl;d we;s lrkj lsh, wy, ;sfhkjdo@ th ´ks flfkl=g m;a;shï fjkjd' ta;a m¾fhaIKd;aulj fuys b;d ixlS¾K øjH yd ixfhda. fld;a;u,a,s j, ;sfnk nj m¾fhaIKd;aulj fy<Sorõ ù ;sfnkjd' ;ks ;ks jYfhka .;af;d;a OQ,l m%;sl%shd we;s lrk fldgia mjd fld;a;u,a,s wegfha;a ;sfhkjd' ta;a fld;a;u,a,s ixfhda. jqKdu tafl ;sfhkafk n,.;= frda. ksjdrK yd .; iú.kajk n,ldrl .=K muKhs' lIdh" ;sla;' l=¿ yd uOQr hk isõ rihka iys; fld;a;u,a,s wmQre ;=kafodia iuk yelshdjlska hqla; fjkjd' ngysr fjolfï fï jk úg b;d jákd wdydr .=Khla f,i i<lK m%;sTlaisldrl .=Kh fld;a;u,a,s j, fkdwvqju ;sfnk w;r î yd iS hk úgñk j,skq;a idrhs' th m%;sm%odyl .=Kfhkao hqla; jk w;r frda. /ilg ksiel T!IOhla fjkjd' fï wdldrfhkau fmdf<dfõ jefjk fndfyd Ydl wmg fnfy;a imhkjd' fï N+ñh ;uhs wfma cSú;h' fmdf<dj ;u idrfhka .iaje,a" osh we,s fkl mßir moaO;ska ks¾udKh lrkjd' ta wm;a we;=¿j i;d isõmdjdg ksÿlska cSj;a jkakg' i;a;ajhd yd uyfmdf<dj ^mßirh& w;r wmQre

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wdhq¾fõoh uOqksud uyú, ,sms irKsh

iycSjkhla ;sfhkjd' th wjfndaOd;aulhs' fï iycSjkh ì|jeàfuka wmg .eg¿ u;= fjkjd'

úIiy.; fldgia neyer lrkakg" YAjik moaO;sfha ishqï jHqydjka iqir lrkakg" mßjD;a;Sh" iakdhq l%shdj,ska jf.au fydafudak lD;Hhka jvd;a hym;a lrk tl uQ,sl wruqK iu.dój isoaO fjkjd'

isxy, fjolfï ;sfhkafk fï wjfndaOd;aul iycSjkh' ljodj;a fnfy;la kï bka YrSrhg jrola jkafk kE' fyd|la ú;rhs' tod iDIsjrekaf.a isg mrïmrdKQ.;j fï i;Hh wkqoel ;sfnkjd' wm Tiqjl fldgia úfNAokh lrkafk kE' ta fjkqjg iuia;h m%fhdacH lrf.k thska Tiq iïmdokh lrkjd'

wfma f.!;u nqÿkajykafiag f;ie;a;E {dKh ;sfnkjd" iajhxN+ {dKh ;sfnkjd' f.!;u nqÿka jykafia fukau ish¿u nqÿjrhka jykafia,d fï {dK iïm;a;sh weiqf¾ f,daljdiSka ksù iekiSug m;a l<d' zzrclu ke;skï fjol'''ZZ lsh,hs lshkafk' fjolfuys ksr; jkafka fndfyda mßphkayS mßiudma; jQjka' Tjqkag;a iajhxN+ {dK iïm;a;sh m%fhdackhg f.k f,dal jdiSkag ys; iqj msKsi lghq;= lrkakg mq¿jka' ud ú;rla fkdfjhs wdhq¾fõoh" fy< fjolu weiqf¾ wdfrda.H iïm;a;sh yqoS ckhdg ,nd fokakg lghq;= lrk .=fKdams; ffjoHjrekaf.a taldhk wosgk" fï W;=ï jD;a;Sh weiqf¾ ck;dj iqjm;a lsÍuhs' uyú, wdhq¾fõo iïm%odfha wfmkao" th bosßhg;a" urK uxplh olajdu ksiairKdOHdYfhka isÿ fjkakla' DM

oshjeähdjg wm fok fnfy;a mdkh lsÍfuka ixl+,;d ke;s fjkafka fï ksihs' iSks ke;s lrkak fok fï fnfy;a wlaudjg;a ñ;=rehs" jl=.vq" yDoh" reêr mßjykh" iakdhq l%shdldß;ajh''' fï yeu tllau W;af;ackh lrkjd' fodaI fjf;d;a iukh lrkjd' ta wdldrfhkau fldúâ fu,a, lrkak yok zzlmksudZZ j,skq;a YÍrfha fndfyda bkaøsh j,g hym;a n,mEï we;s fjkjd' wlaudfõ

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oekg oshjeähd frda.Ska oyia .Kkla iqjm;a lr we;s háhkaf;dg uyú, fjouy;df.a oshjeähd m%;sldr idhkh oshjeähdj m%;sldr f;dr;=re oek.kak" wmg wu;kak

071 1631 724$ 036 5710 810 036 2270 220 foaYSh ffjoHY+Í foaYudkH uydpd¾h fya uQ fikr;a chiQßh ^wdhq¾fõo ffjoH iNdfõ ,shdmosxÑ wxlh 14251 ) uyú, fjo ueÿr" háhkaf;dg mahavilawedamahatha9@gmail.com

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