Doctor Magazine September 2020

The Premier Bilingual Health Magazine in Sri Lanka Volume 27 • September 2020

ÿïmdkh ore iïm;a j,g n,mdkafka fufyuhss Covid -19 y÷kd.ekSug isÿ lrk wKQl mrSlaIK .ek oek.ksuq

ffjoHjrhd

mdie,a hk ld,fhaoS wdor iïnkaO;d iqÿiqo@ ISBN-1391 1341

9 7 7 13 91 13 400 1 RS 180 (VAT INCL)

doctormagazine.lk

INSIDE Regular

Features

Editors Note 6

fldúâ w,a,mk,af,a jeä wjodkula orK oshjeähd frda.Ska

Health News 8 Global Health 10 fldúâ 19 frda.fhaoS we;sjk ihjeoEreï frda. ,laIK 11 ÿïmdkh ore iïm;a j,g n,mdkafka fufyuhss

fld<U úYAj úoHd,hSh ffjoH mSGfha fcHaIAG lÓldpd¾h oshjeähdj yd wka;rdid¾. frda. úfYaI{ ffjoH úoHdfcda;s ffjoH m%idoa lgq,kao 12

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

Laboratory Tests Explained Tumor Markers ms<sld l,afõ,d we;sj y÷kd.kakg isÿ lrk ridhkd.dr mrSlaIK wdisß frday,a iuQyfha ridhkd.dr wOHlaI kS,a m%sh;a fcdaka 29

ldka;djka ,sx.sl weiqrg ìhlrjk wukqiai fodaIh i;Hhlao@ Y%S ,xld iajdmkfõ§kaf.a ix.ufha iNdm;s ufkda Ñls;ail ffjoH mS'tka'úoHdl=,m;s 96

2

September 2020

uõlsß Tfí orejdg osh yels f,dl=u ;E.a.hs fld<U úYaj úoHd,hSh ffjoH mSGfha <ud frda. wOHhk wxY m%Odks" fld<U o fidhsid ldka;d frdayf,a kj ckau úfYAI{ ffjoH ksYdks Ælia 40

wid;añl;djh ÿgqúg u. yer hkq ixl,amh yuia fmÜáhg'''' <ud yd wdid;añl;d frda. úfYAI{ ffjoH wcs;a wurisxy 46

Covid -19 y÷kd.ekSug isÿ lrk wKQl mrSlaIK .ek oek.ksuq wKql Ôj úoHd{ wdpd¾h ;kqcd foksmsáh ,xld fydiamsÜ,a ridhkd.drh 18

g%ïma" wjidkfha uqljdvï ne|.kshs 23

idudkH ore Wm;lg fï úosyg iQodkï fjuq wo f,dj Trending tl iajdNdúl ore Wm;ah m%ij yd kdßfõo úfYaI{ ffjoH pdñkao udf;dg 55

weÕs,s mqrela —f,dla ˜fjkjdo@ weÕs,a, kefjkjd''' ta;a os. wer.kak nE'''

orejkag;a" jeäysáhkag;a tlfia fmdaIKh imhk fm%daàk

Ys% ,xld cd;sl frdayf,a jD;a;sh Ñls;ail ksud,s w¨;aj;a; 60

jhU úYAj úoHd,hSh mY= iïm;a" ëjr yd fmdaIK mSGfha uydpd¾h wfkdaud pkaøfialr 24

Èhjeähd frda.Skag wvq .a,hsisñla o¾Ylhla iys; iun, fmdaIKhla 63

DOCTOR MAGAZINE

doctormagazine.lk

INSIDE *sk, a ka;h oyia ú,a rfgka oyia jákd mdvï''' i;=áka bkakd ryi Tn;a oek.kak 92 World Happiness Report f,dj wxl tlg i;=áka isákafka *ska,ka;fha ck;djhs ffjoH YdLH wurfialr 94 oshjeähd mdo wdndOh Èhjeähdj ;sfnk fldhs ljqre;a ;ukaf.a mdo .ek wjOdkh fhduq l< hq;af;a fufyuhs''' Y,H úfYAI{ ffjoH wcs;a rKisxy 66

ksmqK;d ixj¾Ok yd jD;a;Sh wOHdmk rdcH weu;s fydnjk ffjoHjßh''' ffjoH iS;d l=udß wrfòfmd, 70

wdhq¾fõoh COVID 19 jeks jix.; frda. j,g m%;sYla;slrKh f.dvkxjk fydañfhdam;s m%;sldr fydañfhdam;s ffjoH wkQId fyaul=udß 101

mdie,a hk ld,fhaoS wdor iïnkaO;d iqÿiqo@ W;=re fld<U YslaIK frdayf,a <ud iy fhdjqka uki ms<sn|j úfYAI{ ffjoH ñhqre pkaøodi 78

ldka;djka w;r iq,n nq,Sñhd k¾fjdaid ixch o is,ajd 85 iqj| úysÿKQ ukqIH;ajfha l;djla ,xldfõ m<uq wlaud noaOh hdmkfha oeßhla fjkqfjka''' 90

4

September 2020

uOqksud uyú, ,sms irKsh iDIsNdú;hka" ila foúªka yd wdOHd;auh oshqKQ lr.;a W;a;uhka w;f¾ oshqKQ jQfy< fjolfuys wNsudkj;a b;sydih ffjoHY+Í foaYudkH uydpd¾h fya uQ fikr;a chiQßh nKavdr 105

DOCTOR MAGAZINE

yoj; wdrlaId lrk ri msß .=K flduvq yoj; wdrlaId lrk ri msß .=K flduvq 110

ksis fõ,djg wdydr fkd.;af;d;a .eiag%hsáia yeoSu j<lajkak neye l%sñrdc T!IOd,h wêm;s uydpd¾h" ffjoH iquKr;ak wur;=x. 114

foaYSh ms<sld fjolu msßñkag yg.kakd ms<sld .,s.uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;s mdrïmßl foaYSh ms<sld ffjoH ta ta iqu;smd, 118

rkalsß lg.Efuka orejdf.a Yla;sh;a" nqoaêh;a j¾Okh fjkjd''' .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kfha" fl!udrND;H yd ia;%S frda. wOHhk wxYfha" m%o¾Yl" wdhq¾fõo ffjoH fla'ta'î' m%kdkaÿ .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kfha" fl!udrND;H yd ia;%S frda. wOHhk wxYfha" fcHIaG lÓldpd¾h" wdhq¾fõo úfYaI{ ffjoH taÉ'mS' jlal=Uqr 122

fiï fldamh ksid we;sjk ysiroh wdhq¾fõo ffjoH rkam; rejka r;akdhl 126

doctormagazine.lk

NEVER MISS AN ISSUE Get 'DOCTOR MAGAZINE' delivered to your door every month and FREE download the Digital Magazine to your mobile or tablet.

Download FREE Magazines Anytime. Anywhre.

All on your device.

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

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

ku'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' ,smskh''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' ÿrl;k wxlh'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' úoahq;a ,smskh'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' jd¾Isl odhl;ajh re' 2600'00

ih uil odhl;ajh re'1300'00

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

EDITOR'S NOTE mú;% wruqKlska ck;djf.a iqj iïm; /l fokakg''' iqNdisxYk - mú;%d foaù jkakswdrÉÑ fofofkla yuq jQ úg oE;a tl;= lrñka zzwdhqfndajkaZZ lSu wfma fy< isß;hs' wdhq fnda fõjd''' hkak wm osj u;=rla jQfha cSú;fha kshud¾:h wjfndaO lrk wd.ul" oyul YslaIKh wmg ,enqKQ ksihs' f.!;u nqÿka jykafia foaYKd lrk ,o wdldrhg wmg we;s mru ,dNho wdfrda.Hhhs' rgl ck;dj iqjm;a lsÍfï j.lSu mejÍ we;af;a rg lrjk we;a;kaghs' Od¾ñl rdcH md,lhka weiqf¾ rggo tys fjfik ckS ckhdgo wdrlaIdj ie,fik nj ryila fkdfõ' lsisod foaYmd,kfha fkdfhÿQK YslaId iïmkak oeyeñ fikam;sfhla wo wfma rfÜ md,lhd njg m;aj isàu jdikdjls' Tyq u. wkqhñka cd;shg kdhl;ajh fok ck m%Odksfhla w.ue;sjrhdj we;s miqìul ck;djf.a wdhq wdfrda.H fjkqfjka lghq;= lrk Ndr¥r fi!LH wud;HxYh j.lSu m;aj we;af;a j<¨ ne|s w;lgh' mú;%d foaù jkakswdrÉÑ''' O¾uodi jkakswdrÉÑ ckys;ldó fidªre ñksidf.a wNS; oshKsh iqj wud;HxYfha uq,a mqgqjg uq,skau m;ajQfha wfma rgo uq¿uy;a f,dalho frda ìh" jix.; Wjÿrlska fj,d.;a iuhlh' ngysr fndfyda rgj,a woo ur ìfhka fj,S isá;aoS wfma ck;djg fïid iekiqï iqiqï fy<ñka

6

September 2020

osú f.jkakg ,eîu ue weh fufyhjQ fi!LH wud;HxYfha id¾:l;ajh fkdfõo@ mú;%djka b;du;a mú;% jQ wosgklska fï j.lSï Ndr.;a;d fiau weh fï rfÜ ck;djf.a iqj iïm; fjkqfjka iajlSh bgqlï fkdmsßfy,d bgq lrKQ we;ehs cd;sh n,d isáhs' úmÍ; jQ wdydr isß; ksid" kd.ÍlrKh yd cSú; j,g w¿;ska tl;= jQ ixlS¾K m%Yak ksid tod wmg ;snQ ksfrda.Slu wfmka m<d hk jgdmsgdjl fï wNsfhda.hka ch .ksñka ck;djf.a uqo,a kshudldrfhka l<uKdlrKh lrñka fï rfÜ fi!LH fiajdj" ck;djf.a wdfrda.Hh by<u ;efklg Tijd ;eîu Tfí j.lSula jkafkah' fï ld¾hfhys,d w;Hka;fhakau Tn;=ñhg iydh úh yels rdcH wud;Hjreka fofofkl=f.a iydho ,ne .ekSug Tn;=ñh jdikdjka; ù ;sfí' T!IO ksIAmdokh" iemhSu yd kshduk rdcH wud;HOQrh orK uydpd¾h pkak chiqukhka ld,hl isg jl=.vq frda.h we;=¿j fï rfÜ ck;djf.a oefjk fi!LH .eg¿ iïnkaOfhka ixfõoS jQ jD;a;Shfõosfhls' isisr chfldä rdcH wud;Hjrhd foaYSh fjolï m%j¾Ok" .%dóh yd wdhq¾fõo wdhq¾fõo frday,a ixj¾Ok yd m%cd fi!LH úIh iïnkaOfhka iydh jkq we;' fï úh;a jD;a;ShfõoS iydh fukau oek W.;a lemùfuka lghq;= lrk ks,orejkaf.a iyfhda.fhka fï rfÜ fi!LH lafIA;%h úma,aùh ch.%yK j,g fhduq lsÍug Tng Yla;sh" ffO¾hh ,efíjdh hkak wmf.a m%d¾:khhs' DM

DOCTOR MAGAZINE

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

doctormagazine.lk

The Premier Health Magazine in Sri Lanka

BUY YOUR "DOCTOR MAGAZINE" IN FOOD CITY OUTLET NEAREST TO YOU...

Never miss an issue... Hurry up its your life passion...

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.

TEL: 057 22 29040 | FAX: 057 22 29040 E-MAIL: doctormagazine.lk@gmail.com HOTLINE: 077 3149084

doctormagazine

doctormagazine

www.doctormagazine.lk For Advertising Inquiries

077 815 02 70 doctormagazine.lk

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

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

September 2020

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

DOCTOR MAGAZINE

7

D•Magazine /

Health News

Health News iqmqj; ñ, wvq lrk uqjdfjka f.k .sh T!IO cdjdru k;r lrkjd jl=.vq frda.hg fya;= ksYaÑ;j fidhd.;a;d - rdcH weue;s uydpd¾h pkak chiquk T!IO ms<sn| kS;sfha isÿre .Kkdjla ;sfnk neúka bÈßfha§ kS;suh jYfhka tajd ksjerÈ fldg rgg ys;lr fjkialï isÿlrk nj T!IO ksIamdok" iemhSu iy kshduk rdcH weue;s uydpd¾h pkak chiquk mjihs' fi!LH wud;HxYfhaoS ish Oqrfha jev Ndr.ekSfuka miq woyia oelajQ rdcH weue;sjrhd fï neõ mejiSh' zzúfYaIfhka T!IO ñ, wvq lrk uqjdfjka f.k .sh uyd T!IO cdjdru k;r fldg ksjerÈ kS;shla hgf;a m<uq wjqreÿ ;=kl ld, iSudfõ§ furgg wjYH T!IO j,ska 50la by< m%ñ;shlska hq;=j foaYShj ksIamdokh fldg ck;djg ,nd§ug lghq;= lrkjdZZ zzbÈß jir lsysmhl ld,fha ud bÈßfha f,dl= j.lSula ;sfnkjd' fï rfÜ miq.sh jir 4-5l ld,fha T!IO ud*shdjla l%shd;aul jqKd' T!IO j, ñ, wvq lrk nj mjiñka ck;dj /jeÜgqjd' ;;a;ajfhka" Wiia m%ñ;sfhka hq;= T!IO ish,a, ráka bj;a lr,d nd, T!IO furgg y÷kajd §fï l=uka;%Khla Èh;a jqKd' ck;dj mSvdjg m;ajqKd' fuh jydu ksjerÈ lrkak wm n,dfmdfrd;a;= fjkjd' m%;sldr i|yd fhdod.kq ,nk fia,hska yd ta wdY%s; ksIamdok we;=¿ øjH ish,a,lau rfÜ ksIamdokh lsÍu i|yd idlÉPd wdrïN lr ;sfnkjd' kqÿf¾§u ta i|yd kùk

8

September 2020

DOCTOR MAGAZINE

rdcH weue;s uydpd¾h pkak chiquk

ksIamdokd.drhla ia:dms; lsÍug wm n,dfmdfrd;a;= fjkjd'ZZ wud;Hjrhd jeäÿrg;a m%ldY lf<ah' uqL ms<sld l,a h,a we;sj y÷kd .kakg jev ms<sfj,la jd¾Islj uqL ms<sld frda.Ska 2500la muK yuqjk nj;a" ta wjia:dj jk úg Tjqka isákafka iqjl< fkdyels ;;a;ajhl nj;a fi!LH wud;HdxYfha oka; ffjoH fiajd tallfha wOHlaI úfYaI{ ffjoH wdkkao ch,d,a uy;d mjihs'

doctormagazine.lk

fi!LH wud;HdxYfha oka; ffjoH fiajd tallfha wOHlaI úfYaI{ ffjoH wdkkao ch,d,a

cd;sl T!IO kshduk wêldßfha iNdm;s uydpd¾h wis;o is,ajd

ta wkqj l,ska frda.Ska y÷kd .ekSu fukau uqL ms<sld j<lajd .ekSfï wÈhr lsysmhlska hq;a jevigykla wdrïN l< njo Tyq mejiSh' j;= wdY%s;j nq,;a iemSfï ksr; ù isák mqoa.,hkaf. ka ie<lsh hq;= ixLHdjla uqL ms<sldjg f.dÿre jk nj;a uq,a jgfha§ Tjqkaj y÷kdf.k iqjlsÍu i|yd jQ jevms<sfj<la l%shd;aul lrk nj;a Tyq i|yka lf<ah' msßñ mqoa.,hka w;r jeä jYfhka me;sr hk ms<sldj jkafka uqL ms<sldj jk w;r nq,;a úg iemSu" ÿïmdkh yd u;ameka mdkh ​frda. hg m%Odk fya;=j ù we;ehso Tyq fmkajd ÿkafkah'

T!IO jeä ñ, .Kka jydu wvq lrkak''' ke;akï ,shdmosxÑh wj,x.= lrkjd''' cd;sl T!IO kshduk wêldßfha iNdm;s uydpd¾h wis;o is,ajd

doctormagazine.lk

cd;sl T!IO kshduk wêldßh úiska lrk ,o oeKQï oSulg wkQj jeä ñ< .Kka hgf;a úl=Kk ,o T!IO ixLHdjl ñ, wf.daia;= ui 1 osk isg wvq lrk ,oS' cd;sl T!IO kshduk wêldßfha iNdm;s uydpd¾h wis; o is,ajd úiska T!IO iud.ï myla fj; lrK ,o oeKQïoSula u.ska mdßfNda.slhkg ord.; yels ñ,la kshu lsÍu" myiqfjka ,nd.; yels ùu''' wdoS jYfhka ,shdmosxÑfhaoS ÿka fldkafoais lv lsÍula isÿ jqjfyd;a ,shdmosxÑh wj,x.= flfrk nj iud.ï myla fj; okajk ,o w;r T!IO ñ, wvqùu ta wkQj n,d;aul ù ;sfí' tu iud.ï my yereKQ úg jeä ñ,g T!IO wf,ú lrk wfkl=;a iud.ïo T!IO j,ska whq;= ,dN ,eîu k;r fkdl<fyd;a Bg tfrysj bosßfhaoS kS;sh l%shd;aul lrk nj iNdm;sjrhd m%ldY lf<ah' fï wkqj fuf;la remsh,a 800g wf,ú jQ Calcivita 50 kj ñ, remsh,a 661'30la jkq we;' fuf;la remsh,a 1801'41 g wf,ú jQ Rivotril ( 2mg) kj ñ, remsh,a 1608'75la jkq we;' DM

September 2020

DOCTOR MAGAZINE

9

D•Magazine /

Global Health frda. ,laIK my< fjkakg;a fmr reêr mÍlaIK weiqf¾ ms<sld yªkd.kakd mÍlaIdjla'''

GLOBAL HEALTH Blood test finds cancers before standard diagnosis frda. ,laIK my< fjkakg;a fmr reêr mÍlaIK weiqf¾ ms<sld yªkd.kakd mÍlaIdjla''' Ök wefußldkq yjq,a m¾fhaIKhla M, orhs miq.shod t<soelajqKQ m¾fhaIK jd¾;djlg wkQj ms<sld frda. myla frda. ,laIK m%lg lrkakg;a fmr yªkd.; yels reêr mrSlaIdjla Ök wefußldkq m¾fhaIlhka msßila úiska yªkdf.k ;sfnkjd' reêr idïm, ,nd .kakd wjia:dfõoS lsisÿ wk;=reodhl frda. ,laIKhla fkdfmkajQ we;eï mqoa.,hka reêr mÍlaIKfhka ksjerosj yªkd .kakd ,o wdldrhg wdudY" .,kd," wka;% fmKy¿ yd wlaud ms<sld j,g miqj ,lajQ neõ fï m¾fhaIKfhka wkdjrkh ù ;sfnkjd' m¾fhaIKfha uQ,sl uÜgfï id¾:l;ajh ishhg 91la' le,sfmdakshd úYAj úoHd,h yd Singlera Genomics hk lS¾;su;a m¾fhaIK wdh;k j, m%fõKsl úoHd{hka lKAvdhula fï fidhd .ekSu isÿ lrk ,o w;r fuys

10

September 2020

DOCTOR MAGAZINE

m%dfhda.sl woshr i|yd jeäÿrg;a m¾fhaIK isÿ l< hq;=j we;ehs fuu jd¾;dfõ jeäÿrg;a i|yka fjkjd' tla tla ms<sldjg ,dlaIKsl DNA signatures u.ska ms<sld ffi, bj w,a,k DNA methylation analysis ;dlaIKh weiqf¾ fuu reêr mÍlaIKh mokïj ;sfnk w;r th wjodkula we;s jkakg fmr ms<sld frda.Ska yªkd .ekSug fyg ojfia iqúi,a fufyhl fhfokq we;ehs n,dfmdfrd;a;= ;nd ;sfnkjd' jd¾Islj ñ,shk 10l ck;djla ms<sld ksid ñh mrf,dj hk w;r tau ixLHdjka tkak tkaku by< hdu lK.dgqjg lreKla' f,dal fi!LH ixúOdkhg jd¾;d j,g wkQj 2018 j¾IfhaoS fmKy¿ ms<sld j,ska ñ,shk 1'76" wdka;%sl ms<sld ksid 862"000la" wdudYhsl ms<sld ksid 783"000la" wlaud ms<sld ksid 782"000 yd .,kd,fha ms<sld ksid 508"000la ñheoS ;sfnkjd'

doctormagazine.lk

fldúâ 19 frda.fhaoS we;sjk ihjeoEreï frda. ,laIK King’s College London úiska fï jk úg fldúâ 19 wdidokhg ,lajk frda.Ska wdldr yhla .ek úia;r m%ldYhg m;a lr ;sfnkjd' flfia fj;;a fï iïnkaOfhka jeäÿr wOHhk isÿ l< hq;= nj;a fldúâ iïnkaO f;dr;=re ;ju;a uq,a wjia:dfõ mj;akd ksid tajd úoHd;aulj mq¿,a f,i wOHhk lsrSfuka ;yjqre lr.; hq;= nj;a m¾fhaIlhka jeäÿrg;a i|yka lrkjd' WK ke;sj fyïìßiaid ,laIK iys;j fyïìßiaidj" ysiroh" .| iqj| fkdoekSu" leiai" W.=f¾ wudrej" mmqfõ wudrej' WK ke;' fyïìßiaid WK iu.

WK iu. we;sjk fyïìßiaidj" ysiroh" .| iqj| fkdoekSu" leiai" W.=f¾ wudrej" lgyfâ we;sjk fjkialï" wdydr wreÑh' WoÍh wudrelï iys; ysiroh" .| iqj| fkdoekSu" wdydr wreÑh" mdpkh" W.=f¾ wudrej" mmqfõ wudrej' leiai ke;' ;on, wdidokh m<uq woshr-fjfyilr iajNdjh iys; isrefrys we;sjk fjfyilr nj" ysiroh" .| iqj| fkdoekSu" leiai" lgyfâ we;sjk fjkialï" mmqfõ fõokdj yd WK' ;on, wdidokh fojk woshr-úhjq,a iy.; iajNdjh iys; ysiroh" .| iqj| fkdoekSu" wdydr wreÑh" leiai" WK" lgyfâ we;sjk fjkialï" W.=f¾ wudrej" mmqfõ fõokdj" fjfyilr nj" uxYfmaYs lelal=u yd úhjq,a iy.; yeisÍu' ;on, wdidokh f;jk woshr-úhjq,a iy.; iajNdjh yd Yajik wmyiq;d iys; ysiroh" .| iqj| fkdoekSu" wdydr wreÑh" leiai" WK" lgyfâ we;sjk fjkialï" W.=f¾ wudrej" mmqfõ fõokdj" fjfyilr nj" uxYfmaYs lelal=u yd úhjq,a iy.; yeisÍu" yqiau .ekSfï wmyiq;djh" nfâ fõokdj yd mdpkh' DM Source:King’s College London doctormagazine.lk

September 2020

DOCTOR MAGAZINE

11

D•Magazine /

COVID-19 Outbreak: Guidance for people with diabetes fldúâ w,a,mk,af,a jeä wjodkula orK oshjeähd frda.Ska

COVID-19 Outbreak: Guidance for people with diabetes

oshjeähdj" fm%I¾" fldf,iagfrda,a'''weÿu'''' jix.; ld,hloS ksoka.; frda.Ska .; hq;= mshjr fldúâ w,a,mk,af,a jeä wjodkula orK oshjeähd frda.Ska oshjeähd frda.Skag fldúâ je<|Sfï wjodku jeä hhs lshkakg nE''' ta;a" fï whg fldúâ je<÷fKd;a ixl+,;d jeä ùfï wjodkula ;sfnk nj kï uekúka meyeos,shs oshjeähdj yd fldúâ frda.h w;r ;sfnk iïnkaO;djh l=ulao@ wkfmalI a ; s j fldúâ jix.;h wfma f,dalh fj,d .kakd úg;a oshjeähdfõ jix.; ;;a;j a hla fï f,dalfha ;snK q d' yeu rglu úYd, jYfhka oshjeähd frda.k S a yuq jqKd' ffjoHjreka jYfhka wm fï ;;a;j a hg úiªï fidhñka bkak miqìul ;uhs fï fldúâ frda.h;a jix.; ;;a;j a fhka f,dalfha we;s jqfKA' 12

September 2020

DOCTOR MAGAZINE

fld<U úYAj úoHd,hSh ffjoH mSGfha fcHaIAG lÓldpd¾h oshjeähdj yd wka;rdid¾. frda. úfYaI{ ffjoH úoHdfcda;s ffjoH m%idoa lgq,kao

oshjeähdj ;sfhk úg'''' úfYAIfhkau yDohdndO" jl=.vq frda. jeks oshjeähd ixl+,;d mj;sk úg Tyqg fldúâ wdidokhl=;a we;s jqfKd;a ta ;eke;a;d cSú; wjodkulg ,la ùfï jeä wjodkula fmfkkakg ;snqKd' fïl we;a;gu oshjeähd frda.shd úIfhys kï" jix.; follg uqyqK oSug isÿùula' oshjeähd frda.Skag fldúâ je<|Sfï wjodku jeä hhs lshkakg nE' kuq;a" oshjeähd frda.Skaf.a NlaIdKq (Neutrophils) l%shd lrk wdldrh fjkia'

doctormagazine.lk

fldfyduo wms f.or b|ka jHdhdu lrkafk@ fhda.d lrkafk fldfyduo@ fï iïnkaOfhka u.fmkaùï wo hQáhqí yryd Tfí cx.u ÿrl:khgu ,nd.kak mq¿jka' Zoom ;dlaIKh yryd mx;s mjd meje;ajqKd' ug;a fï iïnkaOfhka fm!oa.,sl w;aoelSula ;sfnkjd' fuysoS wjYH jkafka wjYH;djh yd lemùu muKhs' oshjeähd frda.sfhl=g fldúâ je<|Su - .fyka jegqKQ flfkl=g f.dkd wekSula jeksh YÍrfha m%;sfoay ksmojkakg fya;=jk T ffi, hkqfjka ye|skafjk tla;rd ,sïfmdihsg wdldrhl l%shdldß;ajh idfmalaIj ÿ¾j,hs' ta ksid idudkHfhka oshjeähd frda.Skag ksiÕfhkau wdidok we;sùfï yelshdj jeähs' ta ú;rla fkdfjhs" tu wdidok oreKQ ;;a;ajhg hkakg;a idfmalaIj jeä bvlvla ;sfnkjd' myq.sh ld,fha we;efulaf.a fi!LH ;;a;ajh msßyqKd''' jvd;a hym;a ;;a;ajhlg meñKs wh;a ysáhd''' uq,k s u a lshkakï''' miq.h s ld,h ;=< w¿;ska oshjeähdj je<÷KQ msßi wka ld, j,g jvd jeähs' talg fya;= ;sfhkjd' f.or bkak ksid jeäfhka lEuîu .;a;d' ksod .;a;d''' jHdhdu lf<A kE''' jeä ld,hla .; lf<A rEmfmÜáh wi,''' ;j;a we;efula bkakjd fï ld,fha jdish wrf.k lsih s ï fi!LH ;;a;j a fha fyd| me;a;la we;s lr.;a wh' fjko j;a; msáh msßisÿ fkdl< whg miq.h s ld,fha Bg wjia:djla ,enqKd' wo wfma ;dlaIKh oshK q h q 's doctormagazine.lk

oshjeähd frda.Skag fldúâ je<÷fKd;a th nrm;, jkafka fï fya;=j ksihs ihsfgdlhska iafgdaï wmg frda. jdylfhla YÍrhg we;=,a jqKdu th YrSrfhka bj;a lrkakg .kakd iajdNdúl W;aidyhla YÍrfhau n,.ekafjkjd' ffjrih YÍr.; jkakg fya;= jkafka ACE2 kue;s ffi,fha ;sfhk tkaihsóh m%;s.%dyl ldKavhla' th ffjrih yd nef|kakg W;aidy l<dg isref¾ yefok m%;sfoay" bkag,shqlskaia

September 2020

DOCTOR MAGAZINE

13

D•Magazine /

COVID-19 Outbreak: Guidance for people with diabetes fldúâ w,a,mk,af,a jeä wjodkula orK oshjeähd frda.Ska

ihsfgdlhska iafgdaï- ffjrihla YÍr.; jQ úg m%;sfoay" bkag,shqlskaia jeks ixfhda. l%shd;aul ùfuka tu ffjrih m<jd yßkakg iajdNdúl W;aidyhla .kakd uq;a oshjeähd frda.Skaf.a mKy¿" yDoh jia;=j" jl=.vq jf.a bkaøsh jeks bkaøsh j,g ydks lsÍfï úkdYldÍ l%shdj,shla n,.ekafjkakg wjodkula ;sfnkjd'

jeks ixfhda. l%shd;aul fj,d ffjrih bj;a lrkakg W;aidyhl fhfokjd' ta;a iq¿ msßilf.a zzihsfgdlhska iafgdaïZZ kue;s hdka;%Khla we;s fj,d bkaøsh j,g ydks lsÍfï l%shdj,shla n,.ekafjkjd' túg ;uhs fmKy¿" yDoh jia;=j" jl=.vq jf.a bkaøsh j,g ydks isÿ jkafka'

fukak fï ldrKd ksid oshjeähd frda.sfhl=g fldúâ 19 je<ªfKd;a th jvd;a Nhdkl ;;a;ajhlg muqKQjkak mq¿jka'

f;%dïfndaisia wfma reêrjdyskS j, we;=f, f,a leá leá jYfhka yefokak;a mq¿jka' f;%dïfndaisia hkqfjka ye|skafjk tu ;;a;ajh;a oshjeähd frda.Skag jeähs' fï fya;=j ksid ;uhs oshjeähd frda.Ska jeä jYfhka yDohdndO" wxYNd.h jeks frda. j,g jeäfhka m;a jkafka;a'

oshjeähdj we;s ke;s ljqre;a fï ldf,a .; l< hq;af;a fufyuhs fï fldúâ ld,fha oshjeähdj fkdje<÷KQ wh;a th fkdje<fokak mshjr .ekSug W;aiql úh hq;=hs' ta iïnkaOfhka .; hq;= mshjr fudkjdo@

bka*a,fïIka oshjeähd frda.Skaf.a idudkH whg jvd m%;sYla;slrK moaO;shg m%;spdr oelaùu jeähs' m%odysl ;;a;ajhka oshjeähd frda.Ska w;r iq,n jkafka fuys m%;sM<hla úosyghs'

14

September 2020

DOCTOR MAGAZINE

doctormagazine.lk

wdydr md,kh msá wdydr wvqfjka .; hq;=hs msá wdydr j, ;sfhkafk ldfndayhsfâ%Ü' ldfndayhsfâ%Ü j, .eg¿ folla ;sfnkjd' tlla ;uhs iqÿ yd,a j,ska blaukska iSks ksoyia fjkjd' .a,hsisñla bkafvlaia tflka n,kafka ta .ekhs' n;amf;ys m%udKh wvqfjka úh hq;=hs wfkla ldrKh ;uhs fldhs ;rï ldfndayhsfâ%Ü m%udKhla .kakjdo@ lshk ldrKh' iuyreka r;= yd,a fjkak mq¿jka''' l=reÜg ;sfhk yd,au fjkak;a mq¿jka''' ta;a zzfld; .yk ;rïZZ f,dl= n;a tlla lEu fyd| kE' ta ksid wm iuia;hla jYfhka wm .kakd wdydr m%udKh wfma lh fjfyfik m%udKh wkQj;a" ia:Q, kï thg úiªula jk wdldrfhkq;a wm wdydr .; hq;=hs' j.lSu ;sfhkafk ;ukaguhs iSks jeäjqKQ wh wmg lshkjd''' myqKQ ldf, fld< meye;s t<j¿ jeäh lkak neß jqKd''' wdydr md,khla we;s

doctormagazine.lk

fj,djla fhdodf.k ffjoHjrhd iu. ùäfhda flda,a tlla wrf.k frda.shd;a iu.u l;dny lr,u Wmfoia fokak fg,sfuäiska ;dlaIKhg mq¿jka' fï úosyg fiajd i,ik wdh;k rdYshlau oeka wfma rfg;a ìys fj,d ;sfhkjd' jix.; wjia:djloS" rg wl¾ukH jqKQ wjia:djloS fï fg,sfuäiska fiajh Tng ,nd .kak mq¿jka'

lr.kak neß jKd''' wdoS jYfhka' tfyu nE ;ukq;a ks¾udKYS,Sj fï wdydr isß; yeviú lr.kak ´ks' ´kEu wjia:djloS oshjeähd frda.shd ;ukaf. wdydr isß; ksjerosj mj;ajd .kakg W;aiql úh hq;=hs' jix.; ;;a;ajhloS ksoka.; frda.Ska l< hq;= foa''' miq.sh ld,fha rg wl¾ukH jQfha ysá wäfhau' fufyu wjia:djl jeäfhkau wirK Ndjhg m;a jkafka oshjeähdj" fm%I¾" yoj;a frda." weÿu jeks ksoka.; frda. we;s Woúh' fldúâ jix.;h;a f,dalfhka ;=rka fj,d kE' fldhshïu fudfyd;l fyda ´kEu rgla úYd, wjodkulg uqyqK mdkak mq¿jka' th Tfí;a uf.a;a rgg;a idOdrKhs' oshjeähdj" fm%I¾" fldf,iagfrda,a'''weÿu'''' jix.; ld,hloS ksoka.; frda.Ska .; hq;= mshjr fukak fufyu wjodkï wjia:djloS ksoka.; frda. we;s Woúh .; hq;= mshjr /ila ;sfnkjd' fudkjo ta mshjr@ ;ukaf. fnfy;a ál jyd /ia lr.kak udihlg j;a ;ukag wjYYh fnfy;a ál ,nd. kak' idhkfhka fyda fm!oa.,slj fyda ;ukag wjYH

September 2020

DOCTOR MAGAZINE

15

D•Magazine /

COVID-19 Outbreak: Guidance for people with diabetes fldúâ w,a,mk,af,a jeä wjodkula orK oshjeähd frda.Ska

mq¿jka' fï úosyg fiajd i,ik wdh;k rdYshlau oeka ìys fj,;a ;sfhkjd' jix.; wjia:djloS" rg wl¾ukH jqKQ wjia:djloS fï fg,sfuäiska fiajh Tng ,nd .kak mq¿jka'

fnfy;a hï m%udKhla ;uka ika;lfha ;nd .ekSu fyd|hs' yenehs f;d. jYfhka wrf.k wfkla whg;a .kakg ;sfhk wjia:dj ke;s lrkak tmd' u.f;dg .ejfikak tmd''' ksfjig ù bkak wfkla ldrKh ;uhs" fï jix.; ld,hloS ksoka.; frda. ;sfhk whg wu;r wjodkula we;s fjkjd' ta ksid u.f;dgg nysk tl;a iqÿiq kE' tfyu wjia:dj, frda.Ska wdrlaId úh hq;=hs' frday,a j, fjko jf.a frda.shd ke;sj fnfy;a fokak lshkafk kE' fï ksid Tfí wdorKSh {d;shd wjodkfï fy<kafk ke;sj mq¿jka flfkla Tyq fjkqfjka fnfy;a ál f.keú;a fok tl;a jeo.;a' fg,sfuäiska ffjoH yuq we;eï frda.Ska bkakjd" ffjoHjrfhl=g fkdfmkajd isàu t;rï iqÿiq kE'' hï fyhlska fjk;a frda. hla je<÷fkd;a ta .ek l;dny lr, ms<Shula fhoSu wdrlaIdjg iqÿiqhs' fufyu wjia:d j,oS wmg f.or b|kau Wmfoia .kakg wjia:dj ;dlaIKh úiska i,i, ;sfhkjd' fj,djla fhdodf.k ffjoHjrhd iu. ùäfhda flda,a tlla wrf.k frda.shd;a iu.u l;dny lr, Wmfoia fokak fg,sfuäiska ;dlaIKhg

16

September 2020

DOCTOR MAGAZINE

"

oshjeähdj ;sfhk whg fldúâ19 wdidokh ùfï wjia:dj jeähs lshkak nE''' ta;a .eg¿j ;sfhkafk hï fyhlska yeÿfKd;a ta ksid widOH ;;a;ajhg m;a ùfï jeä wjia:djhs''' fï ksid jix.; ldf,l kï u.f;dg weúoskafka ke;sj ksfjigu fj,d bkak tl ;uhs jvd fyd|'''

fj,djg" l,djg fnfy;a ál .kak fmdÿfõ fok Wmfoia úosyg yßhg fj,djg fnfy;a ál ffjoHjrhd ,ndÿka Wmfoia mßos isÿ l< hq;=hs' wdydr isß; uekúka mj;ajd .; hq;=hs' f;,a" msá wdydr wvq fjka .kak ´ks' iSks fh¥ wdydr" meKsri iSud lrkkak ´ks' ¨KQ iSud lrkak ´ks'

jix.; ldf,loS jHdhduhg jeäfhka ys; fhduq lrkak wjia:dj ;sfhkjd' ia:dkh .eg¿jla lr.kak tmd' Tfí ldurfhaos jqK;a fyd|g jHdhdu lrkak mq¿jks' úfYAIfhkau jfhdajDoaO wh Yajik jHdhdu lsÍu jvd;a jeo.;a'

doctormagazine.lk

oshjeähdj ;sfhk flfklag weÕg lsisu wmyiqjla ke;sj;a oshjeähdj wjodkï ;;a;ajhlg tkak mq¿jka' fï ksid mqreoaola úosyg iSks uÜgu uksk tl iqÿiqhs' idhkhg hk w;r;=r i;shlg j;djla j;a .a¨fldógrhlska iSks uÜgu n,kak

jHdhduh mq¿jka úosyg''' jix.; ldf,loS jHdhduhg jeäfhka ys; fhduq lrkak wjia:dj ;sfhkjd' ia:dkh .eg¿jla lr.kak tmd' Tfí ldurfhaos jqK;a fyd|g jHdhdu lrkak mq¿jks' úfYAIfhkau jfhdajDoaO wh Yajik jHdhdu lsÍu jvd;a jeo.;a'Ndjkdj jHdhduhg jf.au ys; iudê lr.kak tlÕ lr.kak;a fyd|hs' leu;s whg fhda.d jf.a jHdhdu lrkak mq¿jka' j;af; msáfha álla jev lrk tl" f.ñÿ, wuosk tl lh fjfyik" ys; ikik jHdhduhla nj Tn okakjd' wd.u O¾uhg ys; fhduq lrkak wdOHd;añl ksfrda.SNdjh úhm;a mqoa.,fhl=g w;sYhska jeo.;a' thska uki iqjm;a fjkjd' cSú;hg m%S;s m%fudaohla fukau wfmalaIdjl=;a cks; lrjkjd' ta ksid wd.u O¾uhgo m%udKj;a ld,hla fjka lrkak'

oefkkjdZZ lsh,' ta;a iSks mÍlaIKh l<du iuyr fj,djg iSks uÜgu 300-400g ú;r ke.,' oshjeähdj ;sfhk flfklag weÕg lsisu wmyiqjla ke;sj;a oshjeähdj wjodkï ;;a;ajhlg tkak mq¿jka' fï ksid mqreoaola úosyg iSks uÜgu uksk tl iqÿiqhs' idhkhg hk w;r;=r i;shlg j;djla j;a .a¨fldógrhlska iSks uÜgu n,kak fufyu wjfndaOhlska f;drj iSks jeä uÜgul isák wh lsishï wdidokhla we;s ùfuka úYd, ixl+,;djhlg we;sùfuka f,dl= úm;lg ,la fjkakg mq¿jka' DM More Details:Visit, https://youtu.be/ VZ6w-yMnV1Y

oshjeähdj ;sfhk flfkla ;ukaf. reêr iSks uÜgu 100 wdikakfha mj;ajd .ekSu fyd|hs' iuyreka wmg lshkjd'' zzfvdlag" ug oeka f.dvla ikSmhs''' weÕg;a fyd| fjkila

doctormagazine.lk

September 2020

DOCTOR MAGAZINE

17

D•Magazine /

COVID-19 Testing Covid -19 y÷kd.ekSug isÿ lrk wKQl mrSlaIK .ek oek.ksuq

COVID-19 Testing Covid -19 y÷kd.ekSug isÿ lrk wKQl mrSlI a K .ek oek.ksuq wKql Ôj úoHd{ wdpd¾h ;kqcd foksmsáh ,xld fydiamsÜ,a ridhkd.drh

o

reKq W.% Yajik iskafv%dï fldfrdakd ffjri-2 (SARS-CoV-2 ) fya;=fjka we;s jQ fldfrdakd ffjri frda. (COVID - 19 ) jix.;h flá ld,hla ;=< f,dj mqrd jHdma; ùfuka wmf.a ffoksl Ôjk rgdfõ oejeka; wiu;=,s;;djhla fï jk úg we;s ù ;sfí' fldfrdakd ffjri jix.;h u¾Okh lsÍu fjkqfjka ffjoH yd úoHd;aul m%cdjka wLKav m¾fhaIK j, kshef<hs' fuu f.da,Sh uyck fi!LH ;¾ckh ysi tiùu j<lajd .ekSu i|yd wdidokh je<£ we;s frda.Ska blauKska y÷kd.ekSug wKQl frda. úksYaph w;HjYH fõ' fuu ,smsfhka úia;r flfrkafka oekg ,xldfõ wKql ridhkd.dr ;=< fukau m%Odk jYfhka ,xld fydiamsÜ,aia vh.afkdiaálayS (Lanka Hospitals Diagnostics) wKql ridhkd.dr ;=< isÿlrkq ,nk fldfrdakd ffjri wKql mÍlaIK l%ufha we;s úfYaI;ajh ms<sn|jhs' ffjrifha wdrïNh fldfrdakd ffjri frda.h jix.;hla me;sÍu m%:u jrg Ökfha yqfnhsyS jQydka k.rfhaoS 2019 foieïn¾ udifha§ y÷kd .kakd ,§' Ökfha ish¨‍u m<d;a ;=<g th jHdma; ùug Èk 30la muK .;jQ w;r 2020 ud¾;= 30 jk úg rgj,a 200lska muK jix.;h jd¾;d ù we;' jHq;amkak W.% Yajik iskafv%duh (SARS) fldfrdkd ffjri fuka jk w;r 2003 j¾Ifha§ o¾Ykh jQ oreKq W.% YAjik iskafv%dï

18

September 2020

DOCTOR MAGAZINE

doctormagazine.lk

,xld fydiamsÜ,a vh.afkdiaála wKQl m¾fhaIKd.drfhaoS fldúâ 19 frda.h i|yd isÿ flfrk mÍlaIK

fldfrdakd ffjrihg (SARS-CoV-2) iudk jk w;r th rgj,a 26lg n,md ;sfí' ñksiqka wgishhla muK ñh f.dia ;sfí' fldfrdakd ffjrih .;s ,laIK oekg jd¾;d ù we;s mßÈ uDÿ WK frda. ,laIKhg fya;= jk udkj fldfrdakd ffjri j¾. y;rla ;sfí' tajd HKU1, NL63, 2291 iy OC 43 f,i y÷kajkq ,efí' kuq;a SARS-CoV, ueofmrÈ. Yajik iskafv%duh wdY%s; fldfrdakd ffjri (MERS-CoV) iy kj SARS-CoV-2 oreKq fyda udrdka;sl frda. ,laIK we;s lrk nj jd¾;d ù we;' fldfrdakd ffjrih hkq fmkqñka Tgqkakl yevh we;s (Crown like appearance) wdjrKhla iys;" (Enveloped) LKavkh fkdjQ Okd;aul ;ks RNA ffjrihls' (Non segmented positive sense, and single stranded RNA virus) rEmigyfka oelafjkafka Spike Glycoprotein (S), Envelope Protein (E), Membrane Protein (M) and Neucleocapsid Protein (N) jeks fm%daàk j¾. y;rla wvx.= fldfrdakd ffjrihhs'

doctormagazine.lk

oekg Covid -19 i|yd ksYAÑ; Ñls;ail T!IOhlg (Therapeutic Drug) fyda tkak;lg ;ju;a f,dal fi!LH ixúOdkh (WHO) idhkslj Ndú; lsÍfï wkque;sh ,nd § fkdue;s w;r ta fjkqfjka lrk m¾fhaIK ish,a, mj;skafka m¾fhaIK uÜgfïh'

September 2020

DOCTOR MAGAZINE

19

D•Magazine /

COVID-19 Testing Covid -19 y÷kd.ekSug isÿ lrk wKQl mrSlaIK .ek oek.ksuq

udkj m%;s.%dyl wekacsfhdafgkaiska tkaihsu-2 (Angiotensin-Converting Enzyme 2(ACE2 ) iu. wka;¾ l%shd lsÍfuka Odrlhg wdl%uKh lsÍfï§ fm%daàk jeo.;a ld¾hNdrhla bgq lrhs' Covid -19 wKql mÍlaIK jeo.;a jkafka wehs@ oekg Covid -19 i|yd ksYAÑ; Ñls;ail T!IOhlg (Therapeutic Drug) fyda tkak;lg ;ju;a f,dal fi!LH ixúOdkh (WHO) idhkslj Ndú; lsÍfï wkque;sh ,nd § fkdue;s w;r ta fjkqfjka lrk m¾fhaIK ish,a, mj;skafka m¾fhaIK uÜgfïh' wdidÈ; frda.Ska ksfrda.S whf.ka yqfol,d lsÍu i|yd fõ.j;a ksrjoH yd w;s ixfõoS frda. úksYaph l%ufõohla fhoùu w;HjYH fõ' mßlaId lsÍu" wKQl mÍlaIK iy mÍlaIK hk m%Odk ldKav fol hgf;a isÿ lrKq ,efí'

Tn wKQl mÍlaIK i|yd ,xld fydiamsÜ,aia vh.afkdiaálaia wKQl ridhkd.drh (Lanka Hospitals Diagnostics) f;dard.; hq;af;a wehs@ fï jk úg ,xld fydiamsÜ,aia vh.afkdiaálaia (Lanka Hospitals Diagnostics) wKQl ridhkd.drh b;d id¾:l f,i RT-PCR mÍlaIKh RT-PCR Kit folla Ndú;fhka isÿ lrhs' fuu mÍlaIK lÜg, ish,a, WHO u.fmkaùu hgf;a yÈis Ndú; wjirh (For emergency Use

fm%daàk j¾. y;rla wvx.= fldfrdakd ffjrih' ACE2 iu. wka;¾ l%shd lsÍfuka Odrlh wdl%uKh lsÍfï§ fuA fm%daàk jeo.;a ld¾hNdrhla bgq lrhs'

20

September 2020

DOCTOR MAGAZINE

doctormagazine.lk

PCR mrSlaIdj isÿ lsÍfï mshjr

Authorization) i|yd Food and Drug Administration (FDA) iy Centres for Disease Control and Prevention úiska wjir ,nd§ we;s tajdh' tajd j,x.= lsÍfï mÍlaIK (Validation Tests) lsysmhla" fhduq idïm, (Reference Samples) Ndú;fhka b;d m<mqreÿ wKQl ridhkd.dr úoHd{hka msßila úiska isÿlrKQ we;' kso¾Yl øjH (Specimen collection-sputum, nasopharyyngeal aspirate, throat and nasopharyngeal swab and bronchoalveolar lavage) tl;= lsÍu WHO ud¾f.damfoaY hgf;a b;d ksjerÈj isÿ lrkq ,nk w;r ta i|yd ukd mqyqKqj ,enQ ld¾h uKav,hla wm i;=h' ksrjoH m%;sM< läkñka ,ndoSug wm mshjr .ksuq Insert lab extraction, PCR mixture preparation, PCR mechine images tlu mÍlaIKfha§ fuu ffjrihg wdfõ‚l jQ cdk ;=kla (N gene, RDRP gene and E gene) iy wNHka;r md,k cdkhla (Human Internal Control gene) mÍlaId lrkq ,efí' ;jo m%;sM, jd¾;dj Èkla we;=<; ksl=;a lrk mÍlaIKhla jk w;r by< Performance Characteristics (Sensitivity-1 copy/ µℓ and Specificity-100%) ksrjoH;djhla ,ndfohs' fuu mÍlaIKh i|yd ksrka;r ndysr

doctormagazine.lk

;;a;aj md,kh College of American Pathologists (CAP) iuÕ isÿ lrhs' fuu CAP wkque;shg wu;rj wm ridhkd.drhg Sri Lanka Accreditation Board (SLAB) iy Joint Commission International (JCI) Accreditation ,ndf.k we;' wm ridhkd.drh ;=< Èklg 200lg wêl idïm, .Kkla isÿ lsÍug myiqlï mj;akd w;r b;d ksrjoH m%;sM, läkñka wmf.a www.lankahospitals. com fjí msgqjg msúiSfuka ,nd .; yelsh'

September 2020

DOCTOR MAGAZINE

21

D•Magazine /

COVID-19 Testing Covid -19 y÷kd.ekSug isÿ lrk wKQl mrSlaIK .ek oek.ksuq

kso¾Yl ,nd .ekSu

fldfrdakd ffjri jHdma;sfha fojk /,a, (Second wave) hkq l=ulao@ wm rfÜ fldfrdakd ffjrih fndfyda ÿrg md,kh lr we;;a iuyr rgj, ;ju;a úYd, jYfhka frda.Ska jd¾;d fjhs' kuq;a oekg ffjrih md,kh lr we;s wh mjd zzfojk /,a,gZZ (Second wave) ìh fj;s' Tng fojk /,a, hkq uqyqfoa r<g iu l< yel' wdidok .Kk by< f.dia kej; my,g meñfKa' iEu pl%hlau (cycle) fldfrdakd ffjrifha tla ;rx. hla fõ' tfy;a úêu;a w¾: oelaùula ke;' iuyre ´kEu ke.Sula fojk ;rx.hla f,i úia;r lrhs' kuq;a th fndfyda úg m<uq ;rx.fha ke.Suuh' tlai;a ckmofha we;eï m%dka; j, fuh isÿfjñka mj;S' tla /,a,la wjika ù we;s nj mejiSug kï ffjrih md,kh lr ;sìh hq;= w;r frda.Ska jd¾;d

22

September 2020

DOCTOR MAGAZINE

ùu ie,lsh hq;= f,i my; jefgkq we;' fojk /,a,la wdrïN ùfï§ wdidok wLKavj by< hd hq;=h' fojk /,a, ,xldjg meñfKaúo@ ms<s;=r uq¿uKskau mdfya wm .kakd ;SrK iu. jk neúka thg ksYAÑ; ms<s;=rla oSu wmyiqh' ffjrih ;ju;a wfma rfÜ ;sfnk ksid kej; we;sùfï úNjhla ke;af;au ke;' kuq;a fuu jir wdrïNfhaoS ;rï oreKQ fkdùugo bv we;' ta flfia fj;;a f,dal fi!LH ixúOdkfha fkajdisl ld¾hd,h iy fi!LH yd foaYSh ffjoH wud;HxYh u.ska ,ndfok Wmfoia" ud¾f. damfoaYhka iy fhda.H mQ¾fjdamdhka wkq.ukh lsÍfuka Tn iy Tfí wdY%s;hka Covid -19 jix.;fhka wdrlaId lr .ekSug yelshdj ,efnKq we;' DM

doctormagazine.lk

D•Magazine /

úg wefußldfõ ñ,shk 4'25 fokd fldúâ 19 wdidokhg ,lajQ w;r ñh .sh ixLHdj 149"000 blauùh'

Trump changes tune over face masks g%ïma" wjidkfha uqljdvï ne|.kshs

kuq;a i;Hh kï ieÕúh yelalla fkdfõ'' th osh hg iÕjkakg h;a; ork rn¾ fnda,hla fuks' ys;=jlaldr ckm;sjrhdf.a w;a;fkdau;sl l%shdl,dmhg jkaos f.jkakg isÿjQfha wirK rgjeishkgh'

TRUMP CHANGES TUNE OVER FACE MASKS g%ïma" wjidkfha uqljdvï ne|.kshs f,dalfha jeäu wdrlaIdjla we;s ñksido fldúâ weig fkdfmfkk jix.;fhka wdrlaId ùug udiala tlla ke;sj neß neõ ms<s.kshs fldfrdakd ffjrih .ek ffjoH úYdrohka b;d nrm;, wjjdo ,nd fo;aoS tajd ;=Ügqjlg udhsï fkdl< rdcH m%Odkska w;r fmruqfKArd, fvdk,aâ g%ïmah' uqj jeiqï oeóu" w;a fiaoSu yd iudc ÿria:Ndjh fï wosis ffjrifhka fíÍfï m%uqL ld¾hh f,i ffjoH wxY mqk mqkd lsh;aoS Tyq udiala oeóu ;=Ügqjlg udhsï fkdlf<ah' fvdk,aâ g%ïmaf.a w;a fiaoSu .ek kï jd¾;d ke;' idudkH rdcldß j,ska Tíng f.diack;dj talrdYS jk ue;sjrK m%pdrl /iaùï j,go fldúâ ffjrihg Tf,dlal= lrñka fvdk,aâ g%ïma iyNd.s úh' Tyq Ökhg uodú NdIdfjka l;d lf<Ah' f,dal fi!LH ixúOdkhg ;¾ckdx.=,sh tiùfuka fkdkej;=k Tyq thg fok wdOdro k;r lrKQ ,eîh' Tyqf.a fï j.lSï úrys; yeisÍfï m%;sM<hla f,i wefußld tlai;a ckmoh fldúâ wdidos;hka ixLHdfjkq;a" fldúâ urK ixLHdj w;skq;a f,dal jd¾;d ;enQfhA wka lsisÿ rglg wy,lg j;a <Õd fkdúh yels mßoafoks' 2020 cq,s 25 jk

doctormagazine.lk

oeka fï jk úg Tyqo i;Hh ms<s.kakd ia:djrhlg meñK isà' f,dalfha n,.;=u ckm;sjrhd jQj;a" f,dj jeäu wdrlaIdjla ,nk ñksid jQj;a udiala tlla fkdue;sj fldúâ j,ska wdrlaId jkakg kï udiala tlla wjYH jk nj yd iudc mr;rhla ;nd .ekSu jeo.;a jk nj oeka Tyq wjfndaO lr.ksñka isà' miq.shod Tyq àùÜ mKsúvhl ;enQ igyfkys wkqjdoh fufiah' zzwosis ffjri i;=rdf.ka wdrlaId ùug wm tldjkaj tlaj isáuq' fndfyda rgjeishka udiala tlla me<|Su;a iudc ÿria:Ndjh mj;ajd .ekSu;a cd;sudul lghq;a;lehs lsh;s' ug jvd cd;sudulfhla fldhskao@ Tnf.a ckldka; ckdêm;sjrhd ;rï'ZZ fï ;rï ix;Eishlg wdorKSh ck;dj m;aj ;sfn;aoS;a mdrÜgQ ndk ckm;sjrhdf.a l%shd l,dmhg tlÕ;djh m< lrk úYd, msßila tlai;a ckmofha isák njo fï w;r jd¾;d fjhs' DM

September 2020

DOCTOR MAGAZINE

23

D•Magazine /

Protein orejkag;a" jeäysáhkag;a tlfia fmdaIKh imhk fm%daàk

Protein The Nutrition Source for Life orejkag;a" jeäysáhkag;a tlfia fmdaIKh imhk fm%daàk isref¾ ksuejqug fm%daàk ksiel odhl;ajhla imhkjd''' YdL fm%daàk fukau i;a;aj fm%daàk j, fjkialï oek.kak wfma isref¾ ffi, j¾Okhg yd kv;a;=jg wdydrfha we;s fm%daàk ix>gl ke;sju neßh' fm%daàk ksIAmdokfhys uQ,sl ;eKQï tall jkafka weuhsfkda wï,hs' ukqIHfhl=f.a cSú;fha úúO ld, jljdkq j,oS fm%daàk wjYH;djhka úúOdldr fjhs' jeäysáfhl=f.a YrSrfhys nfrka iEu lsf,da .a?uhlgu fm%daàk .a?ï 0'83la wjYH jk nj hqfrdamSh wdydr wdrlaIK wêldßh (EFSA) ks¾foaY lrhs' i;a;aj fm%daàk yereKQ úg Ydl wdydr m%Njhka Tiafiao wmg ffokslj wjYH jk fm%daàk (EFSA) m%udKhka imqrd.; yels uQ;a tajd ;;a;ajdkaú;j;a 24

September 2020

DOCTOR MAGAZINE

jhU úYAj úoHd,hSh mY= iïm;a" ëjr yd fmdaIK mSGfha uydpd¾h wfkdaud pkaøfialr

cS¾Kh jk wdldrh wkQj;a tlsfklska fjkialï olajhs' YÍrh ;=< fm%daàk l%shdldß;ajh fmaYs" wia:s" iu" ysifla''' tmuKla fkdfõ''' isref¾ iEu mglhlu" iEu fldgilu ksuejqfuysoS fm%daàk j, odhl;ajhlao ;sfí' fm%daàk iE§ we;af;a tlsfklg iïnkaO úúO weuhsfkda wï, j,sks' Ydl yd i;=ka ;=< nyq,j olakg ,efnk fuu weuhsfkda wï, ldKAv fldgia 20 la mj;akd w;r fm%daàkhla ilia ùug weuhsfkda wï, 300 la fyda Bg;a jeä .Kkla odhl;ajh imhhs' fï wdldrfhka fm%daàkhla ks¾udKhg odhl;ajh olajk weuhsfkda wï, ixLHdj yd wkql%uh wkQj fm%daàkhg wkkH yevhla ,efnk w;r tu yevh fm%daàkfha l%shdldß;ajhg''' tkï fmaYshla flfryS l%shd doctormagazine.lk

lrkafkao@ tkaihsuhla ;ekSug odhl;ajh ,nd fokafkao@ wdoS jYfhka flfrk ld¾hh ;SrKh lrhs' isref¾ ksmofjk fm%daàk yd wdydr Tiafia ,nd.; hq;= fm%daàk weuhsfkda wï, zzw;HjYHZZ yd zzw;HjYH fkdjk jYfhkaZZ fohdldrj fnod úia;r flf¾' zzw;HjYH weuhsfkda wï,ZZ YrSrfha iajNdjfhka ksIAmdokh fkdjk w;r tajd wfma fndcqkam; yryd isrerg msáka ,nd.; hq;=h' zzw;HjYH fkdjk weuhsfkda wï,ZZ isref¾ ksIAmdokh jk ksid tajd wdydr Tiafia msg;ska .ekSfï wjYH;djhla ke;' fm%daàk wfma isrer ;=< l%shd lrkafka flfiao@ uq,ska i|yka lrk ,o wdldrhg wfma isref¾ úúO fmaYs yd ffi, j, yevh ks¾udKh jkafka fm%daàk j,ska ks¾ñ; ffi, j,sks' tfiau YÍrfha ridhksl l%shdldß;ajhg bjy,a jk úê" fydafudak" tkaihsu yd m%;sYla;sl ffi, ks¾udKh ùugo odhl;ajh imhkafka fï fm%daàkh' wm cSj;a jk ld,h uq¿,af,au fï isref¾ we;s fm%daàk w¿;ajeähd fjhs' mrK fldgia fjkqjg w¿;a fldgia we;s fjhs' fï l%shdj,sh fm%daàk ixYaf,aYKh (Protein Synthesis) hkqfjka ye|skafjk w;r th uekúka isÿ ùug wm fndcqkam; Tiafia wdydrhg .kakd fm%daàk úYd, iïudoula imhhs' fï ksidfjkau" hï fyhlska wmg wjYH fm%daàk kshñ; m%udK

doctormagazine.lk

zzw;HjYH weuhsfkda wï,ZZ YrSrfha iajNdjfhka ksIAmdokh fkdjk w;r tajd wfma fndcqkam; yryd isrerg msáka ,nd.; hq;=h' zzw;HjYH fkdjk weuhsfkda wï,ZZ isref¾ ksIAmdokh jk ksid tajd wdydr Tiafia msg;ska .ekSfï wjYH;djhla ke;'

j,ska fkd,enqfKd;a tu ixYaf,aYK l%shdj,sh id¾:lj isÿ lsÍug ndOd we;s fjhs' isrer j¾Okfha iqúfYAIS wjia:d j,g wm m;a fjk w;r <ud ld,h" fhdjqka úh yd

September 2020

DOCTOR MAGAZINE

25

D•Magazine /

Protein orejkag;a" jeäysáhkag;a tlfia fmdaIKh imhk fm%daàk

fm%daàk isref¾ meje;aug olajk odhl;ajh m%;sfoay u.ska m%;sYla;slrK moaO;sh ;sr lrhs

cS¾Kl tkaihsu u.ska ridhksl m%;sl%shd W;af;ackh lrhs

ãtkata yd wdrtkata l%shdldß;ajhg WmldÍ fjhs

fmaYs l%shdldß;ajhg bjy,a fjhs

w;HjYH wKQ YÍrh mqrd mßjykh lrhs isrerg wdOdrl fjhs

.¾NsKSNdjfhaoS fjfiia fm%daàk wjYH;d we;s fjhs' tfiau uõlsß fok wïudjrekago iqúfYaIS jQ fmdaIK wjY;d ;sfnk w;r thska fm%daàk wjYH;djhka m%Odk fldg ie<lsh yelsh' i;a;aj fm%daàk Wiia ;;a;ajfha fm%daàk i;a;aj fm%daàk Wiia

26

September 2020

fydafudak u.ska YÍr l%shdldß;ajh hdukh lrhs

;;a;ajfha fm%daàk jYfhka ie<flkafka tys w;HjYH weuhsfkda wï, wka;¾.; jk ksidh' kuq;a Ydl iïNjhla iys; fm%daàk we;eï weuhsfkda wï, fkdue;s ksid fkdjákd fm%daàk úfYAIhlehs is;Suo jerosh' fndfyda Ydl iïNjhla iys; fm%daàk j, weuhsfkda wï, wdldr 20u we;s uq;a we;eï w;HjYH weuhsfkda wï, we;af;a iq¿ m%udK j,sks' fï ksid uiaudxY wkqNj fkdlrk wh yd b;d wvqfjka tajd wkqNj lrk wh fmdaIKSh Ydl iïNjhla iys; wdydr wkqNj lsÍug lghq;= l< hq;=h'

DOCTOR MAGAZINE

doctormagazine.lk

fmdaIKhg bjy,a jk fm%daàk uQ,dY% lsysmhla

fm%daàk j,ska ,efnk fi!LHuh m%;s,dN ljf¾o@ wfma YÍrhg wjYH lrk fm%daàk m%udK tf,iskau ,eîu" wfma YrSrfha hy l%shdldß;ajhg bjy,a fjhs' fm%daàk j,ska idr wdydr .ekSfïoS wmg ;Dma;lr Ndjhla ,efnhs' fïoh jeä wdydr" ldfndayhsfâÜ jeä wdydr tjka m%udKhlska mßmQ¾K;ajhl is;sú,a,la f.fkkafka ke;' jDoaONdjfhaoS fndfyda fokd w;a ú|sk fmaYs ialkaOh jeyeÍ hdu;a" Bg wkqhd;j YÍrfha .;sl l%shdldß;ajh ÿ¾j, ùu;a (Sarcopenia) nrm;, .eg¿ rdYshla we;s lrhs' fï fya;=fjka YrSrfha we;sjk wn,ÿn, Ndjh" jeà wk;=rla jkakg we;s bvlv" l%shdldÍ nj wvqùu yd iuyr úg urKhg m;aùu mjd fï yd iïnkaOh' fï wjodkï ;;a;ajh we;s lsÍug" blauka lsÍug fndcqkamf;ys m%udKj;a fm%daàk fkdue;s ùu n,mdk neõ wOHhk j,ska yªkdf.k ;sfí' fm%daàk idr Ydl wdydr wm m%Odk wdydrh jYfhka .kakd n;a j,;a ish¿u OdkH wdydr j,;a fm%daàk ;sfnkjd' oT," fndaxÑ" uE" ljqms" uqxweg" mßmamq" lv, yd fidahd ksIAmdok j, hyñka YdL fm%daàk ;sfnkjd'

doctormagazine.lk

fm%daàk idr i;a;aj wdydr uQ,sl jYfhka ish¿u uia j¾. j,;a lsß yd ì;a;r j,;a fm%daàk mj;S' fïjdhska lsß yd ì;a;r b;d jákd yd myiq i;a;aj fm%daàk uQ,dY% jYfhka ie<fla' uia wkqNjfhaoS iSud we;s lr.; hq;= w;r úfYAIfhkau r;= uia jeämqr wkqNjh ms<sld we;s ùug fya;=jla fjhs' fm%daàk uQ,dY%hla f,i lsß fm%daàka" fïoh" ldfndayhsfâ%Ü" úgñka iy Lksc ,jK lsß j, we;s m%Odk fmdaIl ix>gl fõ' fmdaIK úoHdfõ§ lsßj,g úfYaIs; ;ekla ;sfí'

September 2020

DOCTOR MAGAZINE

27

D•Magazine /

Protein orejkag;a" jeäysáhkag;a tlfia fmdaIKh imhk fm%daàk

orejkaf.a kï YÍr j¾Okhg iy meje;aug wjYH iEu fmdaIH øjHhlau ‌ hï hï m%udKj,ska lsßj, ;sfí' th jeäysá jhigo tfiauh' mqoa.,hskaf.a fi!LH wjYH;d u; Èklg .kakd m%Odk wdydr fõ,aj,g wu;rj zzw;sf¾l wdydrZZ ,nd .ekSug isÿjk wjia:do olakg ,efí' lsßmsá hkq tjeks w;sf¾l wdydrhls' lsßj, we;s fm%daàka fldgia‌follg fnfoa' tkï‌zzflaiskaZZ ^Casein& iy zzfõZZ ^Whey protein) jYfhks' zzflaiskaZZ fm%daàkh ishhg 80 la‌ lsßj, wka;¾.;h' b;sß 20] ys wvx.= jkafka zzfõZZ fm%daàkhhs' fï w;ßka flaiskaj, b;d by< Ô¾K yelshdjla‌ we;s w;r YÍr j¾Okhg iy fmaYs j¾Okhg w;HjYH fõ‌' zzfõZZ fm%daàkho b;d jeo.;a fm%daàkhls'

28

September 2020

YÍrfha fm%daàk ixiaf,aIkh - jHdhdufhaoS u|la jeä jQj;a fm%daàk jeäfhka wkqNj lsÍfuka jqj ixiaf,aIKh tmßosu isÿjk nj fï m%ia:drfhka ,ndfok mKsúvhhs

fmdaIK uQ,dY% w;r lsß j,g ,efnkafka w;sYh jeo.;a jQ ia:dkhls' úfYAIfhkau orejka yd jeäysáhkag we;sjk iqúfYAIS fmdaIK wjYH;djhka i<ld n,ñka iQ;%.;j ksmoùug we;s yelshdj ksid keKj;aj Ndú;fhka lsß j,ska wñ, fi!LH m%;s,dNhla ,nd.; yelsh' DM

DOCTOR MAGAZINE

doctormagazine.lk

D•Magazine /

Laboratory Tests Explained ms<sld l,afõ,d we;sj y|Qkd.kakg isÿ lrk ridhkd.dr mrSlaIK

Tumor Markers

ms<sld l,afõ,d we;sj y÷kd.kakg isÿ lrk ridhkd.dr mrSlaIK wdisß ridhkd.dr fiajdfõ wOHlaI kS,a m%sh;a fcdaka úisks

Tumor Markers ms<sld frdA.Skaf.a n,iïmkak wdhqOhla Tumor Markers wo ms<sld iïnkaOfhka fndfyda wfmalaIdjka cks; lrjk mÍlaIdjls' uQ,sl wjia:dfõ ms<sld yªkd.ekSug fuhska ,efnk m%;sM<h bjy,a jk w;r we;sjQ ;¾ckh cSú; lajd m;aùu j<lajd,ñka cSú;h fírd .kakg yelsùu fl;rï úYd, m%fhdackhlao@ ms<sld y÷kd .ekSu yereKQ úg' ms<sld fld;rï ÿrg me;sÍ ;sfío@ th l=uk wjêhg wh;ao@ Tyqg ,ndfok m%;sldr fld;rï fyd¢ka l%shd;aul fõo hkak iy m%;sldr lsÍfuka miq ms<sld kej; meñK ;sfí kï ^recurred) tajd yªkd.ekSugo Tumor

doctormagazine.lk

Markers Ndú;d l< yelsh' YÍrfha ms<sldjla we;s úg ta ms<sld ffi,fhka fyda ksfrda.S ffi,hlska jqj uqod yefrk øjHhla fndfyda úg Tumor Markers jYfhka fhdod .efka' th fydafudakhla" fm%daàkhla" tkaihsuhla fyda fjk;a ´kEu øjHhla úh yel' we;eï ms<sld fkdjk j¾OlhkaysoSo Tumor Markers uqod yefrk njo fuysoS wu;l fkdl< hq;=h' Tumor Markers i|yd fndfyda úg kso¾Ylh jkafka reêr ksheoshls' tfy;a reërh fjkqjg fjk;a YrSr ;r,hla fhdod .kakd wjia:do ;sfí' iq,nj fhdod .kakd iïnkaOfhka wm óg fmr l,dm j, l;d lf<uq' wo ;j;a lsysmhla yªkajd oSu fï ,smsfhka isÿfõ'

September 2020

DOCTOR MAGAZINE

29

D•Magazine /

Laboratory Tests Explained ms<sld l,afõ,d we;sj y|Qkd.kakg isÿ lrk ridhkd.dr mrSlaIK

Chromogranin A (CgA) y÷kd.kakd ms<sld j¾.h Neuroendocrine tumors mÍlaIKhg fhdod .kakd ffcj ksheosh reêrh mÍlaIdfõ wruqKq ms<sldj y÷kd .ekSug" m%;sldr j, M<odhs;djh we.hSug fukau kej; we;sùfï wjia:d iudf,dapkhg fuu mÍlaIdj bjy,a fjhs' Cytokeratin fragment 21-1 y÷kd.kakd ms<sld j¾.h fmKy¿ ms<sld mÍlaIKhg fhdod .kakd ffcj ksheosh reêrh

30

September 2020

mÍlaIdfõ wruqKq kej; we;sùfï wjia:d iudf,dapkhg fuu mÍlaIdj bjy,a fjhs' Des-gamma-carboxy prothrombin (DCP) y÷kd.kakd ms<sld j¾.h Hepatocellular carcinoma mÍlaIKhg fhdod .kakd ffcj ksheosh reêrh mÍlaIdfõ wruqKq m%;sldr j, M<odhs;djh we.hSug fukau kej; we;sùfï wjia:d iudf,dapkhg fuu mÍlaIdj bjy,a fjhs' EGFR gene mutation y÷kd.kakd ms<sld j¾.h Non-small cell lung cancer mÍlaIKhg fhdod .kakd ffcj ksheosh wod, f.äh ^w¾nqoh& mÍlaIdfõ wruqKq m%;sldr ;SrKh lsÍug iy frda.hg wkQj frda.shd úksYaphg

DOCTOR MAGAZINE

doctormagazine.lk

Tumor Marker mÍlaIdjla isÿ lrk úg th fok ,o Wmfoia j,g wkQj isÿ l< hq;=h' Tumor Marker mqriaÓ;s ms<sld y÷kd.ekSfï iq,n mÍlaIKhla jk w;r th ms<sld ;;a;ajhloS yereKQ úg mqriaÓ;s .%kaÓh bosóuloS" nhsisl,a meoSfïoS" ffjoHjrhd úiska isÿ lrk idhksl mÍlaIdjloS fukau wdikakfha isÿjQ Od;= fudapkhloS jqj by< w.hka fmkaúh yel'

Estrogen receptor (ER)/progesterone receptor (PR) y÷kd.kakd ms<sld j¾.h mshhqre ms<sld mÍlaIKhg fhdod .kakd ffcj ksheosh wod, f.äh ^w¾nqoh& mÍlaIdfõ wruqKq fydafudak m%;sldr iy fjk;a m%;sldr ;SrKh lsÍug Gastrin y÷kd.kakd ms<sld j¾.h Gastrin-producing tumor (gastrinoma) mÍlaIKhg fhdod .kakd ffcj ksheosh reêrh mÍlaIdfõ wruqKq frda. úksYaphg" m%;sldr j, M<odhs;djh we.hSug fukau kej; we;sùfï wjia:d iudf,dapkhg

doctormagazine.lk

HE4 y÷kd.kakd ms<sld j¾.h äïnfldaI ms<sld mÍlaIKhg fhdod .kakd ffcj ksheosh reêrh mÍlaIdfõ wruqKq m%;sldr ie,iqï lsÍug" frda.h jefvk wdldrh we.hSug fukau kej; we;sùfï wjia:d iudf,dapkhg

September 2020

DOCTOR MAGAZINE

31

D•Magazine /

Laboratory Tests Explained ms<sld l,afõ,d we;sj y|Qkd.kakg isÿ lrk ridhkd.dr mrSlaIK

5-HIAA y÷kd.kakd ms<sld j¾.h Carcinoid tumors mÍlaIKhg fhdod .kakd ffcj ksheosh uq;%d mÍlaIdfõ wruqKq frda. úksYaphg yd we.hSug IDH1 and IDH2 gene mutations y÷kd.kakd ms<sld j¾.h Acute myeloid leukemia mÍlaIKhg fhdod .kakd ffcj ksheosh reêrh yd wegñÿ¿ mÍlaIdfõ wruqKq we;eï ksYAÑ;j b,lal lr.;a m%;sldr we.hSug Immunoglobulins y÷kd.kakd ms<sld j¾.h Multiple myeloma yd Waldenström macroglobulinemia mÍlaIKhg fhdod .kakd ffcj ksheosh reêrh yd uQ;%d mÍlaIdfõ wruqKq frda.h úksYaph lsÍug" m%;sldr j,g olajk m%;sldr we.hSug" kej; we;sùfï wjia:d iudf,dapkhg 32

September 2020

Lactate dehydrogenase y÷kd.kakd ms<sld j¾.h Germ cell tumors, lymphoma, leukemia, melanoma, and neuroblastoma mÍlaIKhg fhdod .kakd ffcj ksheosh reêrh mÍlaIdfõ wruqKq ms<sldfõ woshr oek.ekSug yd m%;sldr j,g olajk m%;spdrh fidhd ne,Sug Neuron-specific enolase (NSE) y÷kd.kakd ms<sld j¾.h Small cell lung cancer and neuroblastoma mÍlaIKhg fhdod .kakd ffcj ksheosh reêrh mÍlaIdfõ wruqKq frda. úksYAphg yd yd m%;sldr j,g olajk m%;spdrh fidhd ne,Sug Prostatic Acid Phosphatase (PAP) y÷kd.kakd ms<sld j¾.h Metastatic prostate cancer mÍlaIKhg fhdod .kakd ffcj ksheosh reêrh mÍlaIdfõ wruqKq b;d ishqï f,i mj;akd ms<sld ffi, ks¾Kh lsÍug To help in diagnosing poorly differentiated carcinomas Prostate-specific antigen (PSA) y÷kd.kakd ms<sld j¾.h mqriaÓ;s ms<sldj mÍlaIKhg fhdod .kakd ffcj ksheosh reêrh mÍlaIdfõ wruqKq frda. úksYAphg yd m%;sldr j,g olajk m%;spdrh fidhd ne,Sug yd kej; ms<sldj we;sùug we;s bvlv iudf,dapkhg DM

DOCTOR MAGAZINE

doctormagazine.lk

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

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

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

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

Address

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

Telephone

E-Mail

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

D•Magazine /

Fertility jeros wej;=ï mej;=ï ksid;a ore iïm;a m%udo fjkjd'''

Making some healthy lifestyle changes can increase your chance of becoming pregnant and having a healthy baby

jeros wej;=ï mej;=ï ksid;a ore iïm;a m%udo fjkjd'''

ÿïmdkh ore iïm;a j,g n,mdkafka fufyuhss hq. osúfha W;a;Í;r m%d¾:kh jk oreiïm; <Õd jk oskh l,a hkjdo@ thg we;eï úg fya;= jkafka Tn oekgu;a .; lrk cSú;fha lsishï wvqmdvqjla jkakg mq¿jk' ore iïm;a m%udo lrk úyrK fkdfyd;a mqreÿ iïnkaOfhka fï ,smsfhka úia;r flfrKq we;' 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

34

September 2020

ksire;djh-jirl ld,hla .;ù;a ore iïm;la fkdue;s ùu jirl ld,hla ;siafia ,sx.slj tlafjñka ore iïm;la ,nd .kakg orK W;aidyh jH¾: ùu zzksire;djhZZ (Infertility) jYfhka wre;a .ekafjhs' idudkHfhka ishhg 10-15 w;r hqj,j,a fï .eg¿jg uqyK q fohs' fuh ldka;djf.a muKla .eg¿jla fkdfõ' ldka;djf.a .eg¿jla" msßñhdf.a .eg¿jla" ldka;djf.a yd msßñhdf.a hk fofokdf.au .eg¿jla fukau fï fofokdf.au lsj yels .eg¿jla fkdue;sju jQjo ore iïm;a m%udo úh yel' ore iïm;a m%udo lrk iq,n ldka;djkaf.a .eg¿ ² äïn fudapkh ùfï fodaI Ovulation disorders ² fY%daKs m%odysl frda.h Pelvic inflammatory disease ² mef,damSh kd, wjysr ùu Blocked Fallopian tubes ² *hsfn%dhsv Uterine fibroids DOCTOR MAGAZINE

doctormagazine.lk

ore iïm;a m%udo lrk iq,n msßñkaf.a .eg¿ ² Y=l%dKQ wvqfjka ksIamdokh ùu Oligospermia ² Y=l%dKQ ksIamdokh fkdùu Azoospermia

ms<sfjf,ys lsishï wvqmdvqjla ksid we;s jQjla jkakgo wjia:dj ;sfí'

by; wvq mdvqjla yªkd.;a úg Bg ms<shï fhdoñka ore iïm;l isyskh ienE lsÍug wo wka ljrodg;a jvd fndfyda wjia:d Wodù ;sfí' tfy;a msßlaiqï lsÍfïoS we;eï úg lsisÿ fodaIhla fudk ;rï mÍlaIK l<;a yªkd.kakg fkd,efnk wjia:do ;sfí' jeros mqreÿ ksid ore iïm;a wE;a fjkjd .eg¿jla fkdue;s úg Bg ms<shula fhdokafka flf,io@ fï ;;a;ajh fndfyda úg Tfí cSj;ajk

doctormagazine.lk

wdydrfhys" mßirfhys" mdúÉÑ lrk oE j, wvqmdvqjla we;eï úg ore iïm;a m%udo lrkjd jkakgo mq¿jk' tjka wjia:d j,oS tu wvqmdvqj ilid .ekSfuka Tnf.a me;=u ksrdhdifhkau bgqjkq we;'

September 2020

DOCTOR MAGAZINE

35

D•Magazine /

Fertility jeros wej;=ï mej;=ï ksid;a ore iïm;a m%udo fjkjd'''

ore iïm;a ,eîug ndOd f.k fok cSjk mej;=ï fudkjdo@ wm ta iïnkaOfhka l;dnyl ksr; fjuq' ÿïmdkh ore iïm;a j,g .eg¿ we;s lrk yeá ÿïmdkh ms<sis|Sug krl wdldrfhka n,mdhs' ÿïmdkh lrk msßñka" .eyekqka tfia fkdlrk whg idfmalIj ore iïm;a ,eîug .; lrk ld,h jeäh' weh ÿï mdkh fkdl<;a weh wdikakfha ÿï mdkh lrk ieñhd wehg we;s lrk n,mEu weh ÿï mdkh l<d yd jeks hhs wOHhk j,ska fy<s ù ;sfí' is.rÜ ÿu wehf.a;a Tyqf.a;a äïn yd Y=l%dKQ j, ydks we;s lrk nj ryila fkdfõ' is.rÜ ÿu ksid wehg Tyqg jk ydksh ² ÿï mdkh lsÍfïoS uqod yefrk úI ridhk u.ska äïn yd Y=l%dKQ j, m%fõKsl øjH (DNA) j, ydks isÿ lrhs' ² fï ksid wef.a;a Tyqf.a;a fydafudak ksIAmdokhg ndOd meñfKhs'

36

September 2020

² ixfiapkhla isÿ jQj;a ixfiaÑ; îch .¾NdIhg meñKSug yd tys ia:dms; ùug ndOd f.k ths ² .¾NdIfha iajdNdúl mßirhgo wys;lr fia n,mdhs

DOCTOR MAGAZINE

doctormagazine.lk

ÿïmdkh l< ujl l=ifyd;a orefjla yd tfia fkdl< orefjlaf.a ixixokd;aul w;sèjks ;rx. m%;sìïn

mqreIfhla kï wvq ;rfï orefjla ms<n s |j wfmalI a dfjka tl;= ùug udi ;=klg j;a fmr fï Nhdkl mqreoafoka ñfokak' Quitting at least three months before trying for a baby is important to make sure the sperm is healthy when the baby is conceived. ÿï mdkh ksid Tyqg we;sjk úkdYh oek.kak jeämqr ÿïmdkh lrkafka msßñkah' fï msßñka ÿïmdkh lsÍfuka w; jkd ,x lr.kakd úkdYfha iajNdjhhs' ² Tyqg ,sx.sl tlaùug iDcqlrKhg (erections) yd th mj;ajd .ekSug ndOd meñfKa' ² ÿïmdkfhaoS úkdY jk DNA orejdgo Wreu jk nj Tn okakjdo@ Tn ÿïmdkh lrñka kQmka orejdf.a iqjfi;o ydks lrhs' ² msßñkaf.a Y=ld% KQ ksIm A dokh ksrka;rfhkau isÿfõ' ksIm A dokh jk Y=ld% KQjla fudarkakg f;uil muK ld,hla .; fjhs' ore iïm;lg odhl;ajh fokakg wfmalI a dfjka isák msßñfhla f;uilg fmr isg j;a ÿï mdkfhka je<lS isáh hq;f a ;a ta ksihs' doctormagazine.lk

² b;d jeäfhka ÿïmdkh lrk omqreIhkag odj Wmosk orejka ,shqflañhd frda.hg ,laùfï wjodku jeäh' ÿï mdkh ksid wehg we;sjk úkdYh oek. kak ² .¾NKshl jYfhka ÿïmdkh lrk ldka;djkaf.a ore.en .íid ùfï bvlv jeäh' tfiau wvq nrla iys;j yd ksis mßK;sh fkd,nñka ore m%iQ;sh isÿ ùugo bvla ;sfí'

September 2020

DOCTOR MAGAZINE

37

D•Magazine /

Fertility jeros wej;=ï mej;=ï ksid;a ore iïm;a m%udo fjkjd'''

² .¾NKS ld,h ;=< weh ÿï mdkh lrkafkla weiqre lf<d;a wef.a l=i ;=< bkafka .eyekq orefjla kï wehf.a äïnfldaI úlikhgo ydkslr n,mEula we;s lrhs' ² mdkh lrk iEu is.rÜgqjlgu .íid ùfï wjodku ishhg tlla ;rï by< w.hla .kakd nj wOHhkhlska fy<sorõ ù we;' ² fï ksid .¾NdIfhka msg mef,damSh kd,fha l<,h jefvñka uj yd orejd fofokdf.au cSú; wjodkulg ,la ùfï wjia:djo jeä fõ' m%udo keye''' oeka fyda k;r lf<d;a wjodku ms<silr l< yelshs fi!LHiïmkak orefjlaf.a uQ,drïNh jkafka fi!LHiïmkak äïn yd Y=l%dKQh' ksfrda.S ore iïm;la fjkqfjka fyda fï ÿisßf;ka ñÿfKd;a Tng kSfrda.S ore iïm;la ,nd.ekSu wiSre b,lalhla fkdfõ' ¥ï mdkh lrk msßñfhla ÿï mdkh keje;aùfuka ,efnk m%;s,dN fldhs ;rï ld,hla ÿï mdkh l<;a th keje;aùfuka wk;=rej ksIamdokh jk Y=l%dKQ ksfrda.Sh' Y=l%dKQ mßK;shg f;uila .; jk ksid ksfrda.S ore iïm;la fjkqfjka thg uq, mqrk oskhg ;=ka uilg fmr j;a ÿïmdkhg iuq osh hq;=h' ¥ï mdkh lrk ldka;djla ÿï mdkh keje;aùfuka ,efnk m%;s,dN weh ÿï mdkfhka ñÿfKd;a wehgo ,efnk jdis /ils' fï ksid iajdNdúl idM<H;djh (natural fertility) j¾Okh fjhs' jirl wejEfuka isÿj we;s fndfyda ydkso wvq fjhs' orejd ms<sis|.kakg fmr ÿïmdkh w;a yeÍfuka orejd fkdfïrE orefjla f,i Wm; ,eîfï wjodku ÿï mdkh fkdl< ldka;djl ;rugu j¾Okh fjhs' tfiau wvqnr ore Wm;a wjodkuo tmuKgu wvq fjhs' DM

38

September 2020

DOCTOR MAGAZINE

ljr idM,H;d .eg¿jlska fm¿K;a oeka Tng ore iïm;a ,nd .ekSu wreuhla fkdfõ' fjk hï ljr fodaIhla u; Tfí uõmsh isyskh fnd| ù ;snqK;a th h,s mqnqÿjd,Sfï yelshdj wmg ;sfí' Tfí .eg¿j l=ula jQj;a th .ek yDohx. uj l;dny lsÍug wm iQodkïh' Tng jvd;au .e,fmk úi÷u ,nd.ekSug fï lafIA;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

doctormagazine.lk

Thisakya Design Studio

D•Magazine /

Breast Feeding uõlsß Tfí orejdg osh yels f,dl=u ;E.a.hs

The Benefits of Breastfeeding for Both Mother and Baby

uõlsß Tfí orejdg osh yels f,dl=u ;E.a.hs uõlsß Tfí orejd cSú; ld,hgu ksfrda.Sj ;nkakg moku i,ikjd uõlsß fok ldka;djka frda. /ilska wdrlaId fjkjd''' uõlsß oSfuka orejdg;a" ujg;a ,efnk /ljrKh iïnkaOfhka kj ckau úfYaI{ ffjoH ksYdks Ælia uy;añh m< l< woyia orejkag wdorh lrk lsisu ujlg myiqfjka neyer fkdl< yels jkq we;ehs wm úYajdi lruq' w¿; Wmka orefjla yg uõlsß uq,skau osh hq;af;a ljr wjia:dfõo@ Wmka ú.iu''' orejd Wm; ,eîfuka miq" uõlsß ì|la f;d, .dkakg biamdiqjla ,enqKQ uq,au wjia:dj ;uhs fyd|u wjia:dj' fï lghq;a; isÿ lrkakg frdayf,aoS fi!LH ld¾h uKAv, úfYAIfhka W;aiql fjkjd' orejd bmoS uq,a meh .; jkakg u;af;ka j;a fï uq,au uõlsß lg.Eu isÿ l< hq;=hs'

40

September 2020

DOCTOR MAGAZINE

doctormagazine.lk

fld<U úYaj úoHd,hSh ffjoH mSGfha <ud frda. wOHhk wxY m%Odks" fld<U o fidhsid ldka;d frdayf,a kj ckau úfYAI{ ffjoH ksYdks Ælia

fldúâ jix.; ld,fha uõlsß fok wdrKSh uõjrekaf.a wjOdkhg''' iEu úgu uqj jeiaula me<| uõlsß fokak' Yajik u. fi!LHh .ek ie<ls<su;a fjkak orejd iam¾Yhg fmr;a miq;a w;a fidaokak

w¿; Wmka ì<s|dg''' ta jf.au Wmka uq,a ld,fhaoS;a orefjl=g uõlsß fï ;rï jeo.;a jkafka wehs@ ² <ufhla urKhg m;aùu úYd, ÿlla' jirla we;=<; orefjla urKhg m;aùu j<lajkakg ;sfhk wjodku orejdg uõlsß ,ndoSfuka úYd, jYfhka wju fjkjd' ² uõlsß fok orefjlaf.a nqoaê uÜgu b;d by< w.hla .kakjd' uia;sIAlfha;a" wkquia;sIAlfha;a ;sfhk OQir øjH wmQre f,i ixúOdkh lrñka orejdf.a nqoaêh Wiia ;,hlg f.k tkakg uõlsß j,g mq¿jka'

doctormagazine.lk

u;=msg mDIAGhka úIîckdYl fhdod uekúka msßisÿ lrkak

² uõlsß fok orejkaf.a ;hsuia .%kaÓh idfmalaIj úYd,hs' fï ksid by< m%;sYla;slrKhla orejdg ,efnk w;r tys m%;sM<hla jYfhka orejd f,vfrda. j,g k;=ùfï wjia:d wju fjkjd' ² uõlsß ksid f,vfrda. we;sùfï bvlv úYd, jYfhka wvq fjkjd' Yajik frda. je<|Sfï yelshdj ishhg 72lska wvq fjkjd' mdpkh ishhg 64lska' lfkys we;sjk wdidok ishhg 50lska''' nfâ wudrelï (Necrotizing enterocolitis (NEC) ishhg 58lska wju lrkakg uõlsß fnfy;la fjkjd' ² uõlsß" orejdf.a wdid;añl;d we;sùfï wjodku wju lrkjd' fjfiiskau weÿu frda.fhka mSvdjg m;aùu;a fï ksid ishhg 9lska wvq nj lshkak ´ks' ² uõlsß j,ska ,efnk /ljrKh uõlsß fok jljdkqjg iSud jkafka kE' th Tn cSj;a jk ld,h uq¿,af,au Tnj wdrlaId lrkjd' ² ia:Q,;djh" oshjeähdj wo fyïìßiaidj leiai .dkhs' yßhg uõlsß ál ,efnkjd kï Tn ia:Q, ;;a;ajhg m;aùfï wjodku ishhg 39lska wvq fjkjd' fojk wdldrfha oshjeähdj we;sùfï

September 2020

DOCTOR MAGAZINE

41

D•Magazine /

Breast Feeding uõlsß Tfí orejdg osh yels f,dl=u ;E.a.hs

wo iuyr uõjreka úúO fya;= bosßm;a lrñka fndfydu flá ld,hlska <ore msálsß j¾. j,g orejka yqre lrk W;aidyhl fhfokjd' tafl wys;lr wdoskj fndfyda we;s''' wms ta .ek;a álla l;d lruq' ² msálsß fndk tl is.rÜ fndkj jf.a ;uhs' osklg is.rÜ 20la fndk flfkla tfia fkdlrk flfkl=g idfmalaIj fmKy¿ wdidokhlg ,laùfï f;.=Khl wjodkula orkjd' msálsß j,g mqxÑ ikaosfha yqre l< orefjla fmKy¿ wdidokhlg ,laùfï 17 jdrhl wjodkula orkjd'

lsrg yereKq ujf.a wdorh lsß tÍu isÿjkafka wehf.a mshhqre j, we;s laISr .%kaÓ j,ska' weh úiska m%iQ; lrK orejdg fmdaIKh i,ikq msKsi laISr .%kaÓ il%Sh ùu isÿ fjkjd' fuh isÿjkafka ñksido we;=¿j laISrmdhs .eyekq i;=ka yg muKs'

wjodku ishhg 27lskao wvq fjkjd' fm%I¾" lsÍgl Ouks frda. yd fldf,iagfrda,a we;sùfï wjodku;a fï ksid ie<lsh hq;= muKlska wvq fjkjd' ² Acute lymphoblastic leukemia ( 1.3 fold) yd Acute myeloblastic leukemia lshk ms<sld úfYAI we;sùfï wjia:dj ms<sfj,ska 1'3 .=Khlska yd 1'2 .=Khlska wvq lrkjd'

42

September 2020

DOCTOR MAGAZINE

² ÿï mdkh lrk flfkla fl%dkaiaf.a frda.hg (Crohn's Disease) ,laùug we;s wjodku fo.=Khla kï msálsß j,ska fmdaIKh ,nk lsß leáfhl=g th isõ .=Khla' ² ÿï mdkh lrk flfkla weÿu frda.hg ,laùug we;s wjodku 1'5 .=Khla kï msálsß j,ska fmdaIKh ,nk lsß leáfhl=g th 1'7 .=Khla'

doctormagazine.lk

.¾NsKSNdjfha miajk yhjk udi j,oS wehf.a mshhqre lsß ksIamdokhg iQodkï' .¾NsKS;djfha wjika woshf¾oS fldf,iag%ï hkqfjka ye|skafjk uq,a lsß tÍug laISr .%kaÓ iQodkïh' fï mshjr lactogenesis I stage hkqfjka ye|skafjhs' fï mshjf¾oS fm%dfciagfrdaka fydafudakh u.ska lsß ksIAmdokh wvd, lrhs' hï .eìKshlg orejd ìys lrkakgo fmr lsß jEiaiSula jqfKd;a th fodaIhla fkdfõ' th wef.a wkd.;fha lsß iemhqu iïnkaOfhka bÕshlao fkdfõ'

² msálsß cSjdkqyß; kE' fï ksid wdudYhsl m%odyhkag fya;=jk Salmonella yd fud<fha m%odyhkag fya;=jk Enterobacter sakazakii wdoS nelaàßhdjka ksid orejkaf.a cSú; wjodkug ,la jkakg bv ;sfhkjd' ² ta ú;rla fkdfjhs''' fï msálsß j, úúO wys;lr ixfhda. ;sfhkjd' fu,uhska tjka tla OQ,l ixfhda.hla' fïjd fkdfïrE jl=.vq j,g b;du ydkslrhs' <ore lsßmsá j, we;s Cupric Sulphate weia j, oeú,a, we;s lrkjd' jeä m%udK j,ska tajd YÍr.; ùfuka Tlaldrh" jukh"

doctormagazine.lk

ore Wm; isÿjk úg fm%d,elaáka fydafudakh by< m%udK j,ska mj;S' tfy;a m%iQ;sfhaoS jeoEuy ¨yqj;a ùu;a iu.ska fm%dfciagfrdaka fukau Biag%cka ïgu wvq fjhs' fm%d,elaáka by< ixhq;shla ;sfh;aoS;a fuf,i wkfmalaIs;j fm%dfciagfrdaka uÜgu wvqùu u;ska lsß jEiaiSu wdrïN fjhs' fuh lactogenesis II stage f,i ye|skafjhs' mshhqre l=¿.ekaùu;a iu.ska reêrfha fm%d,elaáka uÜgu úkdä 30la jeks flá ld,hla ;=<oS Wmßu w.hlg m;a fjhs' bka miqj kej;;a B<Õ fõ,g lsß jEiaiSug laISr .%kaÓ ms<sfh, ùula isÿ fjhs'

mgl" reêr ffi," wlaudj yd jl=.vq ydkshg m;a lsÍfï wjodkula ;sfnkjd' Copper sulfate can cause severe eye irritation. Eating large amounts of copper sulfate can lead to nausea, vomiting, and damage to body tissues, blood cells, the liver, and kidneys. With extreme exposures, shock and death can occur. <ore lsßmsá j, wka;¾.; DCD iïnkaOfhka l,lg fmr rfÜ wdkafoda,khla we;s jqKd' 2013 jf.a uE;loS;a wfma rfg;a DCD lDIsridhk j,g fhdod .;a;d' taj <ore msálsß j, ;sfhkjd kï thska orejdg isÿ jkafka úYd, ydkshla'' orejkag >k wdydr fok jhfiaos;a uõlsß fokak ´ks@ orejdg Wmkaod isg ;kslru uõlsß muKla ,ndoSu <ore urK we;sùu j<lajkakg lrk jákdu

September 2020

DOCTOR MAGAZINE

43

D•Magazine /

Breast Feeding uõlsß Tfí orejdg osh yels f,dl=u ;E.a.hs

orejdg uõlsß oSfuka ujgo fjfiia fi!LH m%;s,dN ,efí mshhqre ms<sld we;sùfï wjia:d wvqfõ äïnfldaI ms<sld we;sùfï wjia:d wvqfõ wêreêr mSvk wjodku wvqfõ oshjeähd wjodku wvqfõ

l%shdjhs' ta ú;rla uos orejdg >k wdydr fok ld,fhaoS;a uõlsß fokak ´ks' Tõ''' th ;uhs tu jhia ldKavfhaoS <ore urK j<lajkakg odhl jk f;jk ldrKh ( 2003 landmark Lancet Child Survival Series) orejdf.a fjkia jk wjYH;djhkag yev .efik .=Khla uõlsß j, ;sfnkjdo@ fudlgo fi!LH ld¾huKAv, >k wdydr fok ldf,;a''' orejdg wjqreoaola folla .sys,a,;a uõlsß osß .kajkafka@ talg fya;=j uu lshd fokakï' l, jhia imqrkakg fmr Wmosk fkdfïrE <orejkag uõlsß j,ska ta orejkag fmdaIKhg wjYH fm%daàk jf.au f,vfrda. j,g Tfrd;a;= fokak bñhqfkd.af,dìhq,ska ,efnkjd' fï jhia ldKavfhaoS uõlsß j, iajNdjO¾ufha m%uqL;djh fhduq jkafka orejd f,vfrda. j,ska wdrlaId lr.ekSughs' orejd ta wdldrfhka iqrlaIs; jqKdu" B<Õ wjYH;djh ;uhs orejdf.a j¾Okh' thg wdydr j,ska Yla;sh ,eìh hq;=hs' iajNdjO¾uh fï wjYH;djh;a wmQrejg bgq lr fokjd' fldfyduo@ udi y;fros fok uõlsf¾ ,elafgdaia m%udKh jeä ksid Yla;sh jf.au j¾Okhg;a fï ldf,a fok lsß j,ska msgqjy,la ,efnkjd' wjqreoaola fjk orejg uõlsfrka jeämqr Yla;sh ,efnkafk kE' ta fjkqjg fjk;a fmdaIl wjYH m%udKhg ;sfnkjd' yenehs uõlsß fok iuia; ld,h uq¿,af,au ta ;=< Immunoglobulins, Neutrophils yd Macrophages ;sfnkjd' taj orejkag uy.= wdrlaIdjla imhkjd' uõlsß úYAñ;

44

September 2020

DOCTOR MAGAZINE

doctormagazine.lk

f,i orejdf.a ta ta ld, j,g wjYH fmdaIKh kshñ; ud;%d j,skau imhkjd' uõlsß uj yd orejd w;f¾ wdorKSh ne|Sula we;s lrkjd@ uj;a orejd;a w;f¾ b;d m%n, ne|Sula we;s lrkakg uõlsß bjy,a fjkjd' iam¾Yh" fifkyi" /ljrKh" joka j,g fmr<sh fkdyels wd;aóh neóula uj yd orejd w;f¾ we;s lrkakg zzuõlsß isß;ZZ buy;a msgqjy,la fjkjd' orejg uõlsß oS, uj;a cSú; ld,Sk wdrlaIdjla ,nd .kakjd''' uõlsß oSfuka uj úYd, cSú; wjodkula f.kfok frda. /ilska wdrlaId fjkjd@ uõlsß fok wïu,dg mshhqre ms<sld wjodku ishhg 39lska wvq fjkjd' äïnfldaI ms<Sld we;sùfï wjodku;a ishhg 26lska wvqfjkjd' .¾NdI ì;a;sfha we;súh yels ms<sld wjodku;a wvq fjkjd' fï ld,fha n,.ekafjk fydafudak l%shdldß;ajh wiaÓ iqjfi;g ys;lrhs' fï ksid wiaÓ osrdm;a ùuo miaig ;,a¨ lrkak mq¿jks' orejd uõlsfrka muKla fmdaIKh jk ld,fhaoS ujf.a bkaishq,ska wjYH;djh;a ySk fjkjd' fuh úfYaIfhkau oshjeähdfjka fmf<k uõjrekag úYfYAI jdishla w;am;a lr fokjd' orejdg lsß fok ldf, uj .eí .ekSula isÿ jkakg we;s wjia:dj wvqhs' ta;a tfyu jqKd lsh, Wm;a md,k l%uhl fhoSu wffO¾h lrkafk kE' uõlsß fok ldf,os Tlaisfgdiska lsh, fydafudakhla jEiafikjd' th ufkdaNdjh úlis; lrk fydafudakhla' ta ksid úYdoh jf.a whym;a ufkdaNdj we;sùu bka j<lskjd'

doctormagazine.lk

fï ksid l,ska isysm;a l<dfia oshjeähdj jf.au reOsr mSvkh md,khla isoaO fjkjd' uõlsß fok wïu,dg wjuka jYfhka Tn fok mKsúvh l=ulao@ uõlsß lshkafk f;aÍula fkdfjhs' th Tn orejd fjkqfjka imqrd,sh hq;= j.lSula' uõlsß tlal Tn orejdg fokafka cSú;fha iqrlaIs;;djh''' cSú;fha ch.%yK j,g;a bka Tn moku i,ikjd' orejd Tn fijfKa bkak ldf, ú;rla fkdfjhs" Tfí wejEfukq;a orejd osú ;sfnk ;=rd Tyq frda. /ilska wdrlaId lrkjd' Tfí wdorKShhdg Tn fndfyda foa wkd.;fha fokak ys;df.k bkak mq¿jka' ta;a ta ish,a,gu jvd zz uõlsß ;E.a.ZZ nfrka jeähs' jákdlñka jeähs' th cSú;fha Tn fok W;alDIAG jQ ;E.a.hs' DM

September 2020

DOCTOR MAGAZINE

45

D•Magazine /

Child Health Update wid;añl;d

wid;añl;d

wid;añl;djh ÿgqúg u. yer hkq ixl,amh yuia fmÜáhg'''' wdid;añl;d iu. .eà wdid;añl;djh yS,E lrk kj ;d,fha fjolu wms ksrka;rfhka YrSrfha meje;aug wdydr .kakjd' ys;du;d fyda fkdoekSu úúO foa .| iqj| n,kakg isÿ fjkjd' ta ú;rla fkdfjhs wfma YÍrfha úúO oE ;ejfrkjd' idudkH ;;a;ajh ;uhs lEjg" ìõjg''' .| iqj| wd>%dkh l<dg" ta jf.au YÍrfha hula iam¾Y jqKdg thg wys;lrj YrSrfhka m%;sl%shdjla we;s fjkafk kE' ta;a iuyr whg ;;a;ajh fjkia fjkjd' mßirfha we;s foa ksid frda. ,laIK my< fjkjd' th ;uhs wms zzwdid;añl;djhZZ hkqfjka y÷kajkafka' fndfyda fofkla w;r ;sfhk u;hla ;uhs wdid;añl;djhloS we;sjkafka m¿ oeóu muKhs hkak' kE''' wdid;añl;djhloS my< jk frda. ,laIK /ila ;sfnkjd' wdid;añl;djhloS we;sjk frda. ,laIK iuyr úg we;sjk frda. ,laIK leiSulg" m¿ oeóulg iSud fjkak mq¿jka''' ta ú;rla fkdfjhs''' we;eï frda. ,laIK nrm;,hs' cSú;h mjd wjodkulg ,la fjkakg mq¿jka' wkak ta ksihs wdid;añl;d .ek wm fjfiiska ie<ls<u;a úh hq;af;a' 46

September 2020

DOCTOR MAGAZINE

<ud yd wdid;añl;d frda. úfYAI{ ffjoH wcs;a wurisxy

ksoiqkla f,i .;af;d;a zzmSkiZZ lsh, wms fmdÿfõ yªkajk ;;a;ajh .;af;d;a th;a wdid;añl;d ,laIKhla' kyfhka j;=r .,kjd' WoEik ;oska lsúiqï hkjd' kdih wjysr fjkjd''' fï ish,a, wdid;añl;d m%;sM<' we;eï weÿu frda.S ;;a;ajo wdid;añl;d ldKAvhg jefgkjd' Bg wu;rj ifï frda. wdid;añl;d ksid we;s fjkak mq¿jka' weia j,ska l÷¿ .,kak mq¿jka' we;eï wdid;añl;d w;sYh Nhdklhs we;eï wdid;añl;d ksid reêr mSvkh wvqfj,d cSú;h wjodkug ,lajk Anaphylaxis wdoS ;;a;aj j,g mjd we;s fjkakg mq¿jka' wdid;añl;d ,laIK fmkajk úg ffjoHjrfhl= uqK .efyk tl yßu jeo.;a doctormagazine.lk

orefjl=g wdydr fyda mßirh iïnkaOfhka lsishï wdid;añl;djhla ;sfnk njg ielhla ;sfhkjd kï th ksYAÑ;j yªkd .ekSug Bg m%;sl¾u fhoSug ffjoHjrfhl= uqK. eiSu b;du jeo.;a' th u.yßkak tmd''' wdid;añl;dldrl fkdfyd;a wdid;añl;d we;s lrk oE wdid;añl;d we;s lrkakg fya;=jk øjH zzwdid;añl;dldrlZZ hkqfjka ye|skafjkjd' wms ta .ek u|la úuiuq' mßirfha we;s iq,n wdid;añl;dldrl / ila ;sfnkjd' we;eï Ydl j¾." mQika" n,a,ka jeks i;=ka''' u,a mrd." rn¾ wdid;añl;d

doctormagazine.lk

jYfhka l%shd lrk wjia:d ;sfnkjd' fonreka lEju we;euqkag nrm;, wdid;añl;d we;s lrkjd' we;eï T!IO j¾." wdydr mqia j¾.o" ¥ú,s hkdosho fï úosyg wdid;añl;d we;s lrkak mq¿jka' wdydr ksid we;sjk wdid;añl;d we;eï wdydr wdid;añl;dldrl jYfhka iudcfha iq,n ms<s.ekSula ;sfnkjd' zzn,ud¿" ;lald,s" biafid lEju we,csla fjkjd'''ZZ wdoS jYfhka' fïj WIAK wdydr lsh,;a lshkjd' wdhq¾fõofha fï wdydr zzms;ZZ jeä lrk wdydr hkqfjkq;a yªkajkjd' fï mdrïmßl ms<s.ekSu;a fujka u;hla iudc.; lrkakg bjy,a jqKd jkakg mq¿jka' kuq;a we;a; jYfhkau wdid;añl;d we;s lrk ksYAÑ;j j¾.SlrKhla lrkakg wmg nE' iuyr úg fï lsõj wdydr we;euqkag wdid;añl;d fjkialï we;s lrkjd' ta;a tla tla mqoa.,hdg wdid;añl;d m%;sl%shd we;s lrjk wdldrh fjkia' my; oelafjk wdydr iq,nj wdid;añl;d we;s lrjk nj yªkdf.k ;sfnkjd biafid|oe,af,d|lsß|ì;a;r|fidahd|lcq| rglcq|mdka|ud¿

September 2020

DOCTOR MAGAZINE

47

D•Magazine /

Child Health Update wid;añl;d

iq,n wdid;añl;dldrl iuyrla

wdydr ksid we;sjk wdid;añl;d ,laIK m¿ oeóu" ifï we;eï ia:dk j, we;sjk leiSu" uqLh wdY%s;j we;sjk leiSu" uqyqK bosóu" osj bosóu" jukh" nfâ lelal=u" yqiau .ekSfï wmyiq;djh ffjoHjrfhl= wìuqj lrk mÍlaIdj yßu jeo.;a wdid;añl;djhla .ek meñKs,s l< úg ffjoHjrfhla uq,skau frda. b;sydih fidhd n,kjd' orefjla lsß ìõju uqyqfK bosóula we;s fjkjdo@ orejd wvkak .kakjd' mdpkh jeks ;;;ajhla" nv msmSula we;s fjkjd wdoS jYfhka'''we;af;kau fï frda. ,laIK u;ska tjka wdid;añl ;;a;ajhla we;s jkakg bv ;sfhkjd' fï wdid;añl;djfha yeisÍu úúO wjia:d wkQj;a fidhd n,kak fjkjd' fuh wdid;añl;d iïnkaO uQ,sl mshjrhs' wdid;añl;d yªkd .kakd mÍlaIK tfiau fï wdid;añl;d we;s jk nj ikd: lrkakg lrk mÍlaIK lsysmhla ;sfnkjd'

48

September 2020

DOCTOR MAGAZINE

1' reêr mÍlaIKh-wm iel lrk wdydrh fhdodf.k lrk IgE mÍlaIKh 2' ifï mÍlaIdj Prick Test m%ia;=; wdid;añl;dldrlh ifï ;ejÍug ,lalr iu hï iSÍulg ,lalrñka we;sjk m%;sl%shdjka fuysoS ksÍlaIKh lrkjd' tfiau fï yªkd.;a wdydrh yereKQ úg fjk;a wdydr i|ydo orejd wdid;añl;d ,laIK fmkajkafkao hk ldrKh .ek;a ffjoHjrhd ie<ls<su;a fjkjd' tla wdydrhlg wdid;añl jqKd lsh, yeu foau fkdoS bkak tmd hï wdydrhlg orefjla wdid;añl;d ,laIK fmkakQ úg we;eï úg uõmshka wdydr rdYshla fkdoS bkakg fm<fUk wjia:d ;sfnkjd' orefjlag ì;a;r .ekSfuka wdid;añl;d ,laIK fmkajkjd' túg uõmshka lsß fok tl;a kj;a;kjd' wkakdis fokafk;a kE' n,ud¿ fokafk;a kE' iudcfha uq,a nei.;a u; wkQj orejdg wdydr

doctormagazine.lk

rdYshla jdrKh fjkjd' fuh fkdl< hq;a;la' thska orejdf.a yefok jefvk jhfia fmdaIK W!K;djhla we;s fjñka orejdf.a j¾Okhg mjd n,mEï we;s jkakg mq¿jka' wdid;añl;d i|yd fhdok ms<shï yªkd.;a wdydr fkdf.k isàu wdid;añl;djh rglcq" uqoaorm,ï jf.a úr,j wdydrhg .kakd fohla kï th t;rï .eg¿jla fkdfjhs' ta;a we;eï úg wm ks;r .; hq;= fohla wdid;añl;dldrlhla f,i yªkd.;a úg m%dfhda.sl .eg¿ u;= fjkjd' ksoiqkla f,i" we;eï orejkag lsß nrm;, f,i wdid;añl;d we;s lrkjd' fufyu wjia:d j,oS lsß ke;s wdydr fidhd .ekSu ;rul .eg¿jla' ìialÜ" Öia" fhda.Ü lkak;a nE' fï ksid lkak fohla ke;s ;;a;ajhlg;a uqyqK mdkakg isÿ fjkjd' fndfyda wdydr whska lrkakg fjkjd' fuh jeäysáhkag nrm;, udkisl mSvdjla jkakg;a mq¿jka'

doctormagazine.lk

wdid;añl;djhlg ;rula oreKQ f,i uqyqK ÿka orefjla

ì;a;r wdid;añl;d we;s lrk flfkl=g flala lkak;a nE' th hka;ï fyda fkd.EjqKQ wdydr fidhd .ekSu myiq ldrKhla fkdfjhs' biafid" oe,af,d wdid;añl;d jk úg u.=,a f.oros lkak úl,am fohla fydhd .kak fjkjd' Anaphylaxis wdid;añl;d ksid we;sjk cSú; wjodku we;eï wdid;añl;d cSú;h mjd wjodkulg ,la lrkakg mq¿jka' óg fmr i|yka lrk ,o mßos hkqfjka ye|skafjk fuysoS mqoa.,hdf.a reêr mSvkh my; jeà la,dka;" úi{ .;shla we;s fjkjd' fuysoS blauka m%;sldr fkdlf<d;a thska cSú;h mjd úkdY jkakg mq¿jka'

September 2020

DOCTOR MAGAZINE

49

D•Magazine /

Child Health Update wid;añl;d

wdid;añl;d i|yd lrk uQ,sl m%;sldr m%;sysiageñk yd iafgfrdhsv ldKAvhg wh;a fm%âksfidf,dka fuysoS uQ,slj ,nd fokjd' tkak;a f,i;a fm;s f,i;a fïjd fokjd' isrma úosyg fokak;a mq¿jka' fuysoS we;sjk .eg¿j ;uhs T!IOh YrSr.; l<;a wfmalaIs; m%;sM<h ,nd .ekSug meh y;rl muK ld,hla .;sùu' tkak;a wdldrfhka ÿkak;a thg lsishï ld,hla .; fjkjd' wdid;añl;djhloS m%udo fjkak tmd''' jydu frda.shd frday,la fj; /f.k hkak rd;%shloS frda. ,laIK my< jQj;a ÿr neyerloS wdid;añl;d ,laIK u;= jQj;a th nrm;, ùfï wjodku i<ld yels blauKska frda.shd frday,a.; lsÍu jeo.;a' fuysoS weä%k,ska kue;s T!IOhla ,nd fokjd' weä%k,ska .;a;u th YÍrfha blauKska l%shd lrñka reêr mSvkh h:d ;;a;ajhg m;a lrjkjd' tfy;a th YÍrfha bosóula we;s lf<d;a th fõ.fhka wvq lrkafka kE' thg hï ld,hla .; fjkjd'

50

September 2020

DOCTOR MAGAZINE

"

wdid;añl;d ksid we;sjk m%;spdr

T!IO wdid;añl;djhloS frda. úksYAph jeroSfuka" tkï wdid;añl;dldrlh ksjerosj yªkd fkd.ekSfuka fndfyda w.;sodhl foa isÿ fjkak mq¿jks'

doctormagazine.lk

How desensitization works, and how it could lead to better allergy therapy

wdid;añl;djh ke;s lrk úixfõoS mÍlaIdj Desensitization Immunotherapy

wdid;añl;djhg kj udkfha úiªula fuf;la ld,hla wdid;añl;d iïnkaOfhka .;a mshjr jQfha th ksjerosj yªkd .ekSu iy thska wE;aj isàuhs' tfy;a wdid;añl;dldrlh ;jÿrg;a YÍrhg tfrysj m%;sl%shd lsrSu j<lajk m%;sl¾uhla jYfhka zzúixfõoS mÍlaIdjZZ y÷kajd osh yelshs' .eg¿j u.yer hkjdg jvd ia:sr úi÷ulg tkakg fï ksid wmg wjia:dj ie,iS ;sfnkjd' zzúixfõoS mÍlaIdjZZ - fjk;a fndfyda rgj, iq,nj Ndú;fha mj;sk" tfy;a wfma rgg ;rula w¿;a m%;sldr l%uhla' th tu wdid;añl;djh we;s mqoa.,hdg tu wdid;añl;d ldrlj,g Tfrd;a;=oSfï yelshdjla we;s lrk l%uhla' fuysoS wdid;añl;dj we;s lrk øjHfha ljr m%udKhla wdid;añl;d we;s lsÍug fya;= jkafka oehs fidhd n,kjd' bkamiqj tu wdid;añl;dldrlfha idkaøKh wvq lrñka ksheos ,nd .kakjd' lsß wdid;añl;djh ie<l=fjd;a fudk ;rï lsß m%udKhla .ekSfuka wdid;añl;d ,laIK we;s fjkjdo hkak fidhd ne,sh hq;=hs' ta i|yd idkaøKhka wvq lsÍfï''' ;kQl lsÍfï l%shdj,shla isÿ llrkjd' oyfha iDK yfha n,hla muK olajd fuu idkaøKh wvq lrkjd' fï wvq idkaøKfha ødjKfha isg wkql%ufhka oy wgla muK olajd ksheos ,ndf.k th frda.shdg fjk fjku wjia:d j,oS mdkh lrkakg

doctormagazine.lk

i,iajkjd' fï mÍlaIdj ksfjfia isg isÿ lrkakg mq¿jka' túg osk yhla muK .; fjkjd' nrm;, ;;;ajfha wid;añl;djhla kï frdayf,aoS meh 24la ;=< mÍlaIdjg Ndckh úh yelshs' l,d;=rlska wjia:djloS fuu mÍlaIKhg Ndckh ùfïoS wdid;añl;d ,laIK my< fjkakg mq¿jka' ffjoHjrhd fï wjia:dfõoS m%fhdackhg .kakg fnfy;a kshu lr ;nkjd' fuh f,dalfha ms<s.;a mÍlaIdjla' fï mÍlaIdfjka miqj fndfyda fokdg tu wdydr .; yels jkjd' jrojd jgyd .ekSula we;eï úg mÍlaIdj wid¾:l jk wjia:djlao tkakg mq¿jka' Bg fndfyda úg fya;= jkafka mQ¾j frda. úksYApfha je/oaola' frda.shd ffjoHjrhdg lshkjd zzug ;lald,s we,¾csla lsh,ZZ kuq;a Tyq lshk foa we;a; fkdfjhs" th jrojd jgyd .ekSula' Tyqg ;lald,s wdid;añl;djhla we;s lrkafka kE' isÿj we;af;a fjk fohla'

September 2020

DOCTOR MAGAZINE

51

D•Magazine /

Child Health Update wid;añl;d

² fï mÍlaIKh lsß" ì;a;r jeks øjH j,g wdid;añl;d we;sjk whg fndfydu jákjd' lsß" ì;a;r fndfyda wdydr j,g fhfokjdfk' jdrk f.dvhs' tfyu mqoa.,hkag fï mÍlaIKfhka miafi wjia:djla ,efnkjd" wdrlaIs;j wdydr .kak' th Tjqkg úYd, .eg¿jla u. yeÍula' wdid;añl;d wvq ud;%djla ifuys .eàug i,iajk Skin Prick Test

² wdydr ksidfjkau wdid;añl;d we;s jkaklehs jrojd jgyd .kakd wjia:do ;sfhkjd' mßirfha we;s oE" .kakd fnfy;a-fya;a''' fï ´kEu fohla wdid;añl;d m%;sl%shd we;s l< yekshs' kuq;a wdid;añl;dldrlh ;yjqre lr.; yelafla frda. b;sydih weiqf¾ ffjoHjrfhl= úiska uekúka úksYAph lsÍfukqhs' ² Chronic Curticaria hkqfjka ye|skafjk ifï m¿ tk frda.S ;;a;ajhla ;sfnkjd" jhi wjq' 40 blaujQ ueos jhfia ldka;djka w;f¾ jeä jYfhka we;s fjk' fuysoS udi .kka" wjqreÿ .Kka m¿ tkjd' fndfyda fofkla ys;df.k bkafk fuh wdydr fya;=fjka tk wdid;añl;djhla lsh,' uia lEju ;uhs''' biafid lEju ;uhs''' lsß ìõju ;uhs''' wdoS jYfhka Tjqka ys;kjd' ffjoHjrekq;a we;eï úg ta u;h idOdrKSlrKh lrk wjia:d ;sfnkjd' kuq;a fuhg fya;=j lsisu wdydrhla fkdfjhs' thg fï m%;sldrh yßhkafka kE' fu;ekoS;a ksjeros frda. úksYaph isÿ fkdjqfKd;a frda.shd úYd, wudrejl jefgkjd' wdid;añl;djhla we;s jqKdu ksjeros frda. úksYAphla jeo.;a jkafka fï ksihs'

52

September 2020

DOCTOR MAGAZINE

úixfõofha hdka;%Kh ixlS¾K l%shdj,shla wms th ksoiqklska n,uq' lsß wdid;añl;djfhka fmf<k flfklaf.a lsß m%;slafIam lrkafka Tyqf.a m%;sYla;slrK moaO;sfhka' ta ksid ;uhs Tyqg m¿ tkafka' weÕ likafka' úixfõoSlrKfhaoS jkafka m%;sYla;slrKfha wNHka;r l%shdj,shla úiska lsß m%;slafIam lsÍu k;r lsÍuhs' fï ksid fmr wdid;añl;d we;s l< foa ;jÿrg;a wdid;añl;d fkdfjkjd' fï ksid f,an,a n,ñka" lEu fïifhaoS fldalshka úuiñka isÿl< fjfyilr l%shdoduh wjika ùu ksid wod, mqoa.,hdg" uõmshkag buy;a udkisl iykhla we;s ùuhs' doctormagazine.lk

"

wdid;añl;djhloS frda. úksYaph jerÿfKd;a isÿjkafka nrm;, jrola''' T!IO ksid we;sjk wdid;añl;d we;eï T!IO .;aúg tajdg wdid;añl;d m%;sl%shd fmkajk frda.Ska bkakjd' we;eï T!IO wdid;añl;d we;s lsÍu w;ska bosßfhka' tfia yªkd .kakd ,o wdid;añl;d we;s lrk yelshdj jeä T!IO w;r wefudlaisis,ska" fmksis,ska" NSAID ldKAvfha T!IO jk bìhqfm%df*ka" fu*kñla weisâ" weiam%ska bosßfhkau bkakjd' T!IO wdid;añl;djhloS frda. úksYAph jeroSfuka" tkï wdid;añl;dldrlh ksjerosj yªkd fkd. ekSfuka fndfyda w.;sodhl foa isÿ fjkak mq¿jks' wms WodyrKhla .ksuq' Tkak orefjl=g ffjri WKla yefokjd' thg m%;sldrhla f,i ffjoHjrhd wefudlaisis,ska ke;fyd;a doctormagazine.lk

l=U ffi, (mast cells) ;=< b;d l=vd iQ;sld idok fm%daàkhla u.ska welaáka kue;s fm%daàkfha l%shdldß;ajhg ndOd meñKùu ksid l=U ffi, u.ska le,aishï m%;spdrh n,.ekaùu (calcium response necessary for their degranulation) wvd, fjhs' th wdid;añl;d l%shdj,sh wvmK lrhs'

fl*,laiska ldKAvfha T!IOhla ,nd fokjd' ojilg" follg miafi orejf.a wefÕa m¿ odkj' uõmshka orejd kej; ffjoHjrhd fj; f.k hkjd' ffjoHjrh fudlo lrkafk' m¿ oeïfu fnfy; we,csla jqKq ksid' Tyq jydu fnfy; k;r lrkjd' fjk;a T!IOhla fokj' ta ú;rla fkdfjhs" uõmshkag;a lshkjd" orejdg wyj,a fnfy; we,csla lsh,' fnfy;a ldâ tfla ,sh,;a ;sfhkjd' Bg miafi ta fnfy; orejdg ljodj;a fkdoS bkak uõmshka W;aiql fjkjd' kuq;a we;af;kau fuysoS jqfKA fudllao@ m¿ ke.Su isÿjkafka fï ffjri WfKAu m%;sM<hla úosyg' tu j¾.fha ffjri WKg m¿ ke.Su ,dlaIKslhs' we;eï ffjri frda. j,g fï ksid lsisu T!IOhla ,nd kqÿkak;a yfï m¿ kef.kak mq¿jka'

September 2020

DOCTOR MAGAZINE

53

D•Magazine /

Child Health Update wid;añl;d

ta;a ffjoHjrhd fudllao lrkafka jeros úksYaphla u; fyd| T!IOhla orejdg ,ndoSu iuyr úg cSú; ld,hgu wjysr lrkjd' ksjeros frda. úksYAphla isÿ fkdùfuka jákd fnfy;l /ljrKh ,nd .ekSug we;s wjia:dj frda.shdg ke;s ù hkjd' iuyr úg cSú; ld,hgu'''' ² ;j;a we;eï frda. mj;akd úg ,ndfok T!IOhla ksid tys m%;sM<hla úosyg ifï m¿ we;s jkakg mq¿jka' fy< jyßka .kaGud,h f,i yªkajk Infectious Mononucleosis fuysoS WK yd f., jfÜ f.ä we;sjk frda.hla' fuhg wefudlaisis,ska ÿkafkd;a m¿ we;s fjkjd' th wdid;añl;djhla fkdfjhs' fuh T!IO wdid;añl;djhla f,i jgyd .;af;d;a iuyr cSú; ld,hgu jákd fnfy;l /ljrKh ,nkakg ;sfhk wjia:dj ke;s fjkakg mq¿jka' zzúixfõoS mÍlaIdjZZ úia;r fuh flá ld,hlska l< yelallao@ wdid;añl;djhg ldKAv foll m%;sldr ;sfhkjd' 1. RUSH Immunotherapy RUSH Immunotherapy m%;sldrh frday,lg we;=<;a lr isÿ lrkakg mq¿jka' th yosis wjia:djlg jqK;a mEfyk m%;sldrhla' Cardiac Catheterization lrkakg bkak we;eï frda.Ska weiam%ska T!IOhg wdid;añl;d fmkajkakg mq¿jka' túg;a fuu m%;sldrh isÿ lr ie;alug uekúka iQodkï llrkak mq¿jka' th fuu m%;sldrfha tla Ndú;djla muKhs' 2. os.= ld,hla ;=< lrk m%;sldrh frday,lg we;=,a ùfïoS úhou jeä ksid fndfyda fofkla os.= ld,hla ;siafia lrk m%;sldrhg leu;shs' kuq;a fuysoS wdid;añl;dldrlhg we;s jk m%;sl%shdj W.%hs kï wjodkula .kak nE' th ffjoH wëlaIKhl frday,loS isÿ lrk tlhs jvd;a iqÿiq' wdydr j,g lrk ,o wdldrhgu fuh T!IO wdid;añl;d j,go isÿlr tu T!IO wdid;añl;djh;a ke;s lr.kakg mq¿jka'

54

September 2020

DOCTOR MAGAZINE

wdid;añl;d ,>q fldg ie<lsh hq;= frda.hla fkdfjhs' th kùk úoHdj oshqKQ fï ld,fha ,;efjkakg wejeis frda.hl=;a fkdfjhs' wdid;añl;d fu,a, lsÍug fndfyda oshqKQ l%u we;s ful, th ;jÿrg;a Tfí ys; johg m;a lrjk .eg¿jla lr.kafka wehs@ For more information, Visit: https:// youtu.be/ s6ho8QaFTZA

Dr Ajith Amarasinghe was graduated from Colombo Medical Faculty in 1993 and obtained DCH and MD from the Post Graduate Institute of Medicine of University of Colobo. He was trained in General and Community Pediatrics in Sri Lanka and UK and obtained MRCP and MRCPCH. He has obtained a MBA in Healthcare from Manipai University and has followed a Postgraduate Diploma in Allergy and Asthma at Christian Medical College in Villore India. He is a member of European Academy of Allergy Asthma and Clinical Immunology and a member of environmantal working group of international pediatric Association. He is currently the head of Allergy and Asthma Center Colombo, Sri Lanka. DM

doctormagazine.lk

D•Magazine /

Childbirth | Normal Delivery idudkH ore Wm;lg fï úosyg iQodkï fjuq

m%ij yd kdßfõo úfYaI{ ffjoH pdñkao udf;dg

wo kj;u m%jK;djh iajdNdúl ore Wm;a .¾NdIh ;=< jefvk orejd fuf,dj t<sh olskakg we;s iajNdúl l%uh idudkH ore m%iQ;shhs' tfukau f,dalfha ÈhqKq rgj, kj;u m%jK;djh fjkafka jeä jeäfhka iajNdúl ore Wm;a i|yd fhduq ùuhs' orejd iajNdjfhkau fuu l%shdj,shg iQodkï' thg wjYH jkafka Tfí iyfhda.h ksis f,i ,nd §fuka Bg iQodkï ùuhs'

idudkH ore Wm;lg fï úosyg iQodkï fjuq

wo f,dj Trending tl iajdNdúl ore Wm;ah uõl=i ;=< isák ì,s|d ìys jk Èkh f;la Tn fkdbjis,su;aj n,d isákjd' tfukau fuu l%shdj,sh .ek ìhl=;a oefkkjd we;s' fuu ,smsfhka wms idudkH ore m%iQ;shla fjk yeá Tng úia;r lrkjd'

doctormagazine.lk

idudkH ore m%iQ;shl we;s úYd,;u jdish fjkafka ujg ie;alula wjYH fkdùu' tu ksid m%iQ;sfhka miqj wehg b;d blauKska idudkH jev lghq;= j, fh§ug;a orejd n,d .ekSug;a yelshdj ,efnkjd'

September 2020

DOCTOR MAGAZINE

55

D•Magazine /

Childbirth | Normal Delivery idudkH ore Wm;lg fï úosyg iQodkï fjuq

idudkH ore m%iQ;shl mshjr

.¾NdIh ;=< we;s l<,jdrsl ;r,h

.eíf., fhdaksu. úia;drkh fkdjQ .eíf.,

iajdNdúl ore Wm;l jdis ie;alulska miqj we;sfjk wêl fõokdj" ;=jd, meiùu" le,e,a we;sùu jeks ixl+,;d idudkH ore m%iQ;sh ksid we;s fjkafk keye' orejd m%iQ;sh i|yd iQodkï ùfï§ fmky¿ j, we;s ;r, bj;a ù bmÿKq jydu fyd¢ka yqiau .ekSfï yelshdj ,efnkjd' tu ksid orejdg ujq lsß bÍug;a myiq fjkj' fuh uj iy orejd w;r wdrïNfha §u zzwdorKSh ne£ulaZZ we;s lsÍug fya;= fjkjd' ore .eng udi 7la muK fjk úg Tn ore 56

September 2020

iïmQ¾Kfhka úia;drkh jQ .eíf.,

m%iQ;shg l,a ;shd iQodkï úh hq;=hs' ore m%iQ;shg frday,a .; ùug wjYH ish¿u nvq ndysrdÈh tl nE.hlg oud l,ska iQodkï lr ;eîu b;d jeo.;a' túg yÈis wjia:djl§ lsisjla wu;l fjkafka keye' ore m%iQ;sh wdikak nj yÕjk ,laIK .¾NŒ ujla m%iQ;shg wdikak jk úg orejdf.a ysi my<g yeÍ isákafka' wjidk i;sh muK jk úg orejdf.a ysi fY%da‚ l=yrh ;=<g .uka lrk w;r fndfyda úg uqyqK msgqmig yeÍ msysgkjd' fï ld,fha .¾NdIh ixfldapkh ùug fmr yqrejla jf.a jßka jr Worfha iy fldkafoa fõokdjka we;s fjkak mq¿jka' fuu fõokdjka we;sfjk jdr .Kk jeä jk úg Tng oek .kak mq¿jka ore m%iQ;sh wdikak ù we;s nj' ta iu. fhdaks ud¾.fhka iq¿ reêrjykhla iy >%dj msgùula isÿ fjkak mq¿jka' túg blauKska Tfí ffjoHjrhd fj; fhduq ùu iqÿiqhs' m%iQ;sh i|yd frday,a .; jQ miq ffjoHjrhd Tnj mÍlaId lr n,kjd' fuu mÍlaIdfjka wk;=rej orejdf.a yDo iamkaokh ksÍlaIKh lsÍug CTG lshk

DOCTOR MAGAZINE

doctormagazine.lk

fY%daKs wia:sfhka ysi m%uqLj orejd ìysùu

mÍlaIKh isÿ lrkjd' th idudkH kï fõokdj jeä ù idudkH f,i m%iQ;shg iQodkï fjk f;la hï lsis ld,hla frdayf,a .; lsÍug isÿ fjkjd' fõokdj jeä fjk úg ffjoHjrhd fhdaks mÍlaIdjla lr .eí f., újD; ùu wdrïN ù we;s oehs mÍlaId lr n,kjd' th tfia kï iQ;sld.drh fj; fhduq lsÍula isÿ fjkjd' fõokdj ke;s lrk ms<shï fï wjia:dfõ§ iqÿiq mßÈ Tng fõokdkdYl T!IO ,nd §u isÿ lrkjd' fõokd kdYl ,nd .; yels wdldr doctormagazine.lk

lsysmhla ;sfnkjd' Tfí frdayf,a we;s myiqlï wkqj" fõokd kdYl fm;s f,i" kslafIamKhla f,i" tmsähqr,a l%uhg fldkaog úÈk T!IO f,i fyda wdYajdi lrk jdhqjla f,i ,nd .ekSug yelshs' m%iQ; fõokd we;s fjk úg yqiau .ekSu md,kh lsÍfï fõokdfõ ;%Sj;djh wvq lr .kak mq¿jka' fuh Breathing Exercises Image f,i y÷kajk w;r l,ska tu jHdhdu mqyqKq lsÍu ore m%iQ;sh myiq lr .ekSu WmldÍ fjkjd' iQ;sld.drh ;=, § orejdf.a yDo iamkaoh ksÍlaIKhg ,la lrk w;r .eí f., újD; ù orejd my<g tk wdldr meh 4lg jrla isÿ lrk fhdaks mÍlaIK u.ska ksÍlaIKh lrkjd' Bg wu;r Tfí fi!LH ;;a;ajh" kdä" reêr mSvkh fõokdj we;s fjk jdr .Kk wdÈh;a ksÍlaIKh lrkj' tys§ Tng wjYH mßÈ kej; fõokdkdYl ,nd §u;a isÿ lrkjd' ore m%iQ;sh isÿjk yeá ore m%iQ;sh wdikak fjk úg orejdf.a ysi fhdaks ud¾.fha my<gu meñfKkjd' fï wjia:dfõ § mqyqKq mjq,a fi!LH fiaúldjla fyda ffjoHjrhd Tng ore m%iQ;sh i|yd Woõ lrkjd' September 2020

DOCTOR MAGAZINE

57

D•Magazine /

Childbirth | Normal Delivery idudkH ore Wm;lg fï úosyg iQodkï fjuq

orejd ìys ùug wjYH mßÈ Tng ;egóug Tjqka Wmfoia foaú' ta jf.au orejdf.a ysi t<shg taug wdikak jk úg ;egóu md,kh lsÍug;a wjYHhs' túg ffjoHjrhdf.a fyda mjq,a fi!LH fiaúldjf.a Wmfoia wkqj lghq;= lsÍfuka fuu l%shdj,sh Tng;a orejdg;a wdrlaIdldÍ f,i isÿ lr .kak yelshdj ,efnkjd' iuyr wjia:dj, orejd t<shg meñŒu m%udo fjk úg úámsh lemqula fh§ug isÿ fjkj' fuh ysßjeàug T!IO ,nd § isÿ l< hq;= fjkafka' túg ore m%iQ;sh myiq fjkjd' Normal Vaginal Delivery orejd t<shg meñ‚ úg Tng .¾NdIfhka reêrjykh j<lajd .kak kslafIamK T!IOhla ,nd fokjd' iuyr úg fuu T!IOh ksid Tlaldrh" jukh jeks w;=re wdndO we;súh yelshs' tfia jqjfyd;a ta i|yd iqÿiq mßÈ m%;sldr .; yelshs' orejd ìys jQ miq orejd jeoEuyg

58

September 2020

orejd Wmka ú.i ,ndosh hq;= f,dl=u ;E.a.-uõlsß

iïnkaO ù we;s fml‚je, lmd orejd blauKska msßisÿ lr Tng uõlsß §u wdrïN lrkjd' Wmka wjia:dfõ§u uõlsß §u wdrïN lsÍu b;du jeo.;a' m%iQ;sfhka miq j;a ms<sfj;a m%iQ;sfhka miq jeoEuy bj;a lsÍu isÿlrk w;r bka miq fhdaks ud¾.h wjg bÍula isÿ ù we;s oehs mÍlaId lrkjd' tfia bÍula we;s kï fyda lemqula fhdod we;s kï th Èh jk ueyqï fhdod f.k ysßjeàu hgf;a ueiSu ffjoHjrfhl= úiska isÿ lrkjd' bkamiq Tng orejd iu. È.gu ld,h .; lsÍug yels w;r uq,a meh fol ;=< jßka jr mÍlaId lr ne,Su isÿ lrkjd' meh follska miqj iQ;sld.drfhka msg;g meñ‚h yels w;r ojila muK orejd iu. frdayf,a .; lsÍug isÿ fjkjd' ta ld,h ;=< orejdf.a iy Tfí fi!LH ;;a;ajh hym;a kï miq Èk frdayf,ka neyerj hdug Tng yelshs'

idudkH ore m%iQ;sh wmyiq fjk iuyr wjia:dj, § Tng isfiaßhka ie;alula wjYH nj ffjoHjre ks¾foaY lrkak mq¿jka' fï .ek úia;r fjku ,smshlska l;d lruq' DM

DOCTOR MAGAZINE

doctormagazine.lk

D•Magazine /

OccupationalTherapy weÕs,s mqrela —f,dla ˜fjkjdo@ weÕs,a, kefjkjd''' ta;a os. wer.kak nE'''

TRIGGER FINGER

weÕs,s mqrela —f,dla ˜fjkjdo@ weÕs,a, kefjkjd''' ta;a os. wer.kak nE'''

Ys% ,xld cd;sl frdayf,a jD;a;sh Ñls;ail ksud,s w¨;aj;a; BSc. OT

60

September 2020

ueos jhfia ldka;djka w;r iq,nj oelsh yels" l,d;=rlska mqreI w;ro mej;sh yels weÕs,s wdY%s; frda.S ;;a;ajhla'fuysoS weÕs,a, wmyiqjlska f;drj keúh yels uq;a" wdmiq weÕs,a, os.yeÍug fkdyels fõ' fndfyda úg frda.Ska mjikafka —weÕs,a, f,dla fj,d˜ ^Locking) hkqfjks' kejqKq weÕs,a, os. yer .ekSug wu;r n,hla fhoSu fuysoS wjYH jk w;r wks;a w;ska w,a,d os. yeÍug mjd we;euqkag isÿ fjhs' fuysoS weÕs,a, os. yefrkafka —mekSula ˜ (Snap) iu.ska jk w;r fõokdjla iy ;o .;shlskao (Stiffness) hq;= fjkjd'

DOCTOR MAGAZINE

doctormagazine.lk

fuu frda.S ;;a;ajh rla;jd;fõo frda.

(Rheumatological conditions) iys; mqoa.,hka w;r iq,nj oelsh yel' frda.shd tosfkod isÿlrk ls%hdldrlï wkqj fuu ;;a;ajh ;Sj% úh yel' weÕs,a, f,dla ùug jD;a;sh Ñls;ail m%;sldrfhka iykh weÕs,a, keùug ndOd meñKùu wod, weÕs,a, muKla keùug fkdyels jk mßos m;=rla (Flexion block splint) fhoSu u.ska weÕs,a, ks;r ks;r keùu j<lajkq ,nkjd' LKavrdj jgd we;s wdjrKfhys (Tendon Sheeth) újrh wi, ;ka;=uh fldgi bosó Bg msg;ska we;s kd,dldr fldgi ;=< isrùu f,i ye|skafõ

weÕs,a, f,dla fjkafka fï ksihs fuhg fya;=kafka weÕs,a, keùug odhl jk kyr fldgila (Flexor tendon) wdidokhg ,laj bosóuhs' túg tu bosuqKQ ia:dkh ;o .;shlg m;a jk w;r LKavrdj jgd we;s wdjrKfhys (Tendon Sheeth) újrh wi,o >k ùula isÿfõ' fï ksid LKavrdj jgd we;s wdjrKh (Tendon of Sheeth ;=<ska iqugj p,khla we;s fkdjk w;r bosóug ,lajQ fldgi LKavrdj jgd we;s wdjrKh ;=< isr ùu (Constricted) ksid kejQ weÕs,a, wdmiq os. yeÍug fkdyels fõ'

jD;a;sh Ñls;ail m%;sldr j,g fhduq ùu u.ska frda.shdf.a wmyiq;djh wju ù ;u cSjk ;;a;ajh Wiia lr .ekSug yelshdj ,efí'

kyr u; we;s jk fuu ;o .;sh .eghla (Nodule) wdldrfhka weÕs,a, uq, we;s nj w;ska w,a,d ksÍËKh l< yel'

doctormagazine.lk

September 2020

DOCTOR MAGAZINE

61

D•Magazine /

OccupationalTherapy weÕs,s mqrela —f,dla ˜fjkjdo@ weÕs,a, kefjkjd''' ta;a os. wer.kak nE'''

.eg¿jg ,lajQ weÕs,a, muKla keùug fkdyels jk mßos m;=rla (Flexion block splint) fhoSu fï iqúfYaIS .eg¿fjka ñoSug fuysoS fhdok Wml%uhls

frda.shd fkdl< hq;= foa .ek oeKqj;a lsÍu ² ks;r ks;r hula we,a,Su iy w; yeÍu (Repetitive Grasping & Releasing) ² ks;r ks;r .%yKh lsßu (Power Grip) ² wod, weÕs,a, Ndú;fhka l=vd foaj,a .%yKh lsÍu (Pinch Grip) hk ls%hdldrlï yd tu ls%hdjka i|yd wjYH WmlrK Ndú;h ;djld,slj k;r lsßug Wmfoia fokq ,nkjd' hï l%shdldrlul kshef,k l%uh iy Ndú;d lrk WmlrK fjkia lsÍug wjOdkh fhduq lsÍu Alternative Methods Modification WodyrKhla f,i hï WmlrKhl w;ska w,a,k fldgfiys jg m%udKh jeä lsßu oelaúh yel' ^msysh" ñáh" bo," fldiai" fldiai jeks WmlrK&

62

September 2020

DOCTOR MAGAZINE

;o .;sh wvq lsßug .kakd W;aidyhka weÕs,a, uq," .eá;a; we;s ia:dkh u; f;rmqug ,la lsßfuka mSvkhla ,nd oSu u.ska tys ;o .;sh wvq lsßug lghq;= lrkq ,nkjd" jD;a;sh Ñls;ail m%;sldr j,g fhduq ùu u.ska frda.shdf.a wmyiq;djh wju ù ;u cSjk ;;a;ajh Wiia lr .ekSug yelshdj ,efí' DM

doctormagazine.lk

D•Magazine /

Diabeta + m%Odk wdydr fõ,a ;=kg wu;rj oshjeähd frda.Skag wjYH jk wu;r wdydr fõ,

Èhjeähd frda.Skag wvq .a,hsisñla o¾Ylhla iys; iun, fmdaIKhla wfma rfÜ iEu mia fofkl=f.ka tla wfhl= muK reêrfha wêl iSks ;;a;ajfhka mSvd ú¢ñka fyda wjodkfuka isák w;r th ieye,a¨‍fjka isáh hq;= lreKla fkdfjhs' Èhjeähd ;;a;ajh f,dj mqrd jHdma; fmdÿ fi!LH .eg¨‍jls' Èhjeähdj fya;=fjka we;sjk ixl+,;d Tfí fi!LHhg iy Ôú;fha hymeje;aug wk¾:ldÍ f,i n,mEï l< yelsh' msmdidj" f;fyÜgqj" ks;r uq;%d msg lsÍfï wjYH;djh" oyäh oeóu iy fmkSu fnd|ùu jeks fmdÿ frda. ,laIK u.ska Èhjeähdj uQ,sl wjêfha§u myiqfjka y÷kd.; yels fõ' Tn;a fujeks ;;a;ajhl isà kï jydu iqÿiqlï ,;a ffjoHjrhl= yuqù mßlaId lr .ekSu jeo.;a fõ' Èhjeähdj l%uj;aj md,kh lr .ekSug lr.ekSug th uQ,sl wjêfha§u y÷kd.ekSu Wmldrhls' reêrfha wka;¾.; .aÆfldaia ksis mßÈ jeh lsÍug YÍrh wfmdfydi;a ùu Èhjeähdj yg.ekSug n,mdk w;r YÍrfha bkaishq,ska fyda¾fudakfha ksIamdokhgo th n,mdhs' fi!LH iïmkak wdydr rgdjla iu.ska Èhjeähdj md,kh lr .; yel Èhjeähd frda.h j<lajd .ekSu i|yd Tn fi!LHiïmkak cSú;hla .; l< hq;=h' tysoS Tnf.a wdydr rgdj b;d jeo.;a ;ekla .kshs' ffjoHjrfhl=f.a" fmdaIKfõosfhl=f.a Wmfoia wkQj Tfí wdydr ie<eiau ilia lr.; hq;=h' wvq .a,hsisñla o¾Ylhla iys; wdydr Èhjeähdj frda.Skag b;du;a WÑ; hhs f,dal fi!LH ixúOdkh mjd ms<sf.k ;sfí' fuu wdydr Ô¾Kh ùu iy reêrhg Wrd .ekSu fiñka isÿfõ' tys m%;sM,hla

doctormagazine.lk

f,i wdydr wkqNjfhka miqj;a reêrfha iSks uÜgu md,khlska hq;=j mj;ajd .kS' idudkHfhka jeä jYfhka msiq fyda fmr ieliqï l< wdydr j, .a,hsisñla o¾Ylh b;d by< w.hla .kS' jeä ;ka;= ixfhda.hla wvx.= wdydr idudkHfhka wvq .a,hsisñla o¾Ylhla iys; wdydr fõ' u| jYfhka jYfhka bÿKq m<;=re j, .a,hsisñla o¾Ylh wju uÜgul mj;S' wdydrfha ridhksl jHqyho .a,hsisñla o¾Ylhg n,mdhs' È. weg iys; iy,a wvq .a,hsisñla o¾Ylhla iys; jk w;r l=vd weg iys; iy by< .a,hsisñla o¾Ylhla iys;h' meh yhl mr;rhla we;sj m%Odk wdydr fõ,la .ekSu oshjeähd frda.k S g a w;sYhska jeo.;a jk w;r ta w;r jdrfhao flá wdydr fõ,la ,nd .ekSu fhda.H hhs' fmdaIKfõoSk$a ffjoHjreka ks¾foaY lr;s' tfiau oshjeähd frda.k S a wêl iSk"s wêl Yla;h s imsß wdydr j,ska wE;a úh hq;f a ;ah'

September 2020

DOCTOR MAGAZINE

63

D•Magazine /

Diabeta + m%Odk wdydr fõ,a ;=kg wu;rj oshjeähd frda.Skag wjYH jk wu;r wdydr fõ,

m%Odk wdydr fõ,a ;=kg wu;rj oshjeähd frda.Skag wjYH jk wu;r wdydr fõ, Diabeta + oshjeähdfjka fmdf<k Tn fjkqfjka úfYaIfhka ksIm a dos; wfma rfÜ úYAjdih yd lS¾;skduhla oskd isák ikaIhska fy,a;a flhd¾ ,xld iud.u bkaÿkSishdfjka f.kajd fnodyßk m¾fhaIKd;aulj ;yjqre jQ wk¾>;u ksIamdokhla jk zzvhìgd ma,iaZZ oshjeähd frda.Skaf.a w;sf¾l iun, wdydrh fï wjYH;djh imqrd bgq lrkakls' jeäoshqKQ lrk ,o ldfndayhsfâ%Ü" ,smsv" iy iuia;hla jYfhka Tfí isrerg ys;e;s tfukau isref¾ nr md,khggo WmldÍ jk úgñk yd LKsc ,jK wdldr úis tlla zzvhìgd ma,iaZZ j, ;sfí' fuu jákd fmdaIlh ffjoH Wmfoia m%ldrj osklg fojrla mdkh lsÍfuka Yla;sh lsf,da le,ß 110la ,efí' f,dalfha rgj,a ish .Kkdjl oshjeähd frda.k S f a .a úYajdih oskQ zzvhìgd ma,iaZZ wvq .a,hsiñ s la o¾Ylhla iys; iun, fmdaIlhls' fuys .aÆgka iy ,elafgdaia wvx.= fkdjk neúka tajd ,nd.ekSfuka .eg¿ Woa.; jk mqo. a ,hkago .e,fma' osjhsk mqrd ish¿u *duis yd iqmß s fj<|ie,a j,ska oeka zzvhìgd ma,iaZZ ,nd.; yel' DM

ikaIhska fy,a;a flhd¾ ,xld ,sñgâ 27- 4$1" fhda¾la wdflaâ f.dvke.s,a," fhda¾la wdflaâ mdr" fld<U 1

ÿrl:kh 011 4702 500 Web: www.sunshinehealthcare.lk

64

September 2020

DOCTOR MAGAZINE

doctormagazine.lk

D•Magazine /

Diabetic Neuropathy oshjeähd mdo wdndOh

DIABETIC NEUROPATHY

oshjeähd mdo wdndOh Èhjeähdj ;sfnk fldhs ljqre;a ;ukaf.a mdo .ek wjOdkh fhduq l< hq;af;a fufyuhs''' oshjeähdj ;sfí hhs yªkd.;a frda.sfhla ;ukag we;s úh yels ixl+,;d iïnkaOfhka uq,a wjia:dfõ isgu lsishï úuis,a,lska miq jk uq;a ;ukaf.a mdo j,g we;s jk ixl+,;d ksid ;ukaf.a uq¿ cSú;hu wjodkug ,la jk nj uq,a wjia:dfõ kï is;kafka j;a ke;' kuq;a i;Hh kï zzoshjeähd mdo wdndOhZZ we;eï úg Tfí cSú;h mjd jkik ;¾ckhla úh yels njhs' frday,l Y,H jdÜgqjl ixpdrfha fhÿfKd;a fuys we;a; ke;a; Tngu mila lr.; yels jkjd iel ke;' 66

September 2020

DOCTOR MAGAZINE

doctormagazine.lk

fï wjOdkhg .; hq;=''' wjodku fjfiiska i<lñka" iq/lsj /l.; hq;= Tfí mdo tfia /l.kafka flfiao@ kshfmd;af;ka lvkakg yels foa fmdfrdfjka lmkakg isÿ fkdù" wjidkfha Tfí cSú;h úYd, wjodkulg m;a ùug bv fkdoS fï wjodku wju lr.kafka flfiao@ mdo fk;= fia /l.kak mdo iEu úgu msßisÿj ;nd.kak' tfiau iEu úgu wk;=re j,g ,la fkdù wdrlaId lr.kakg W;aiql jkak' ;e,Sï" lemSï ;nd iSÍula j;a fkdfjkjd kï ;uhs fyd|''' j;a;g" msáhg uyu. hk úg myiq mdjyka l=Ügula m<|skak' mdo .ek fjfiia wjOdkfhka bkak mdofha mqxÑ yß iSÍïlaj;a ;sfío lsh, yÿk.kak' tfyu y÷kd.;af;d;a blau‚kau th msßisÿ T!Iëh ma,diag¾ lene,a,lska wdjrKh lr ksis ffjoH Wmfoia ,nd .ekSu wjYH fjkjd' yfï mdg fjkiaùula '''^l¨‍ mdg fyda idudkH mdgg jvd ;o j¾Khla& tfia kï mdofha tu m%foaYhg tk f,a m%udKh wvqùfuka we;sjQ fjkialula jkakg bv ;sfnkjd' mq¨‍ka lE,a,la wrf.k mdofha weÕs,s j, by< by<g ;ekska ;ek iam¾Y lr, n,kak' tu iam¾Yh fyd|ska

ksfrda.S mglh flaYkd,sld úkdY lrk oshjeähdfõ jdysksl fjkialï we;sùu

doctormagazine.lk

jdyskl s fjkialï u;ska iakdhql wdmodjka we;s fjhs fï wjia:dfõoS ixfõok ^yeÕSï" oekSï& ÿ¾j, fjhs

Y,H úfYAI{ ffjoH wcs;a rKisxy

oefkkafka ke;akï fï nj Tfí ffjoHjrhdg okajkak' há m;=,a ksÍlaIKhg lKakdähla mdofha há m;=, Tng mshú weiska ne,Su ;rula wmyiq jkakg mq¿jka' tjka wjia:d j,oS m%udKh f,dl= lr fmkajk w;a ldphla fyda uqyqKq n,k lKakdählska mdofha há m;=, fyd|ska ksßlaIKh lrkak mq¨‍jka' fuh isÿl< hq;af;a fyd|g t<sh ;sfhk ;ekloSh'

ixfõol ÿ¾j, ùu fya;=fjka ;=jd, we;s fjhs

September 2020

ixfõol ÿn,;d yd f,a jykfha we;sjk fjkialï ksid ;=jd, yd wdiok yd mgl úkdY ùï we;s fjhs

DOCTOR MAGAZINE

67

D•Magazine /

Diabetic Neuropathy oshjeähd mdo wdndOh

mdo fodajkh lsÍu mdo WKqiqï j;=frka fidaokak' lsis úfgl;a ;o WKq j;=r fhdod .ekSu iqÿiq kE' tfiau f;; mdofha jeä fj,djla fkd/|S ;sfnk njg;a j. n,d.kak' úfYaIfhkau weÕs,s w;r ksis wdldrfhka úh¨‍fka ke;akï È,Sr j¾Okh fjkak bv ;sfhkjd' túg leiSu u.ska wms ;=jd, we;s lr.kakg bv ;sfnkjd' mdo id;a;=j iajNdjfhkau mdo úh,sj ;nd.kak' mdo fodajkh lr úh<Sfuka miqj uDÿ f;;ukldrl l%Sï j¾.hla ^Moisturizer& wdf,am lrkak' yenehs lsisu fj,djl mdofha weÕs,s w;f¾ th wdf,am lrkak tmd' mdofha kshfmd;= lemSu ;rula fldgg yria w;g ksh lemqjdu m%udKj;a' jeä fydog ksh yqÕlau flá lrkak .sfhd;a fjkafka ;=jd, we;s ùug w; jekSula' .,a ;e¿ula kï jydu ffjoHjrhd yuqjg lsisu fj,djl —.,a ;e¿ï— tfyu ke;skï mdofha ;sfhk .eá;s

68

September 2020

há m;=, ksÍlaIKhg o¾mkhla fhdod .ekSu

f.orÈ íf,aâ tllska lmkak W;aidy lrkak ;nd ys;kak j;a tmd' tfia .,a ;e¿ula ;snqfKd;a m%;sldr i|yd ffjoHjrfhl= fj; jydu fhduq jkak' mdjyka me<§u Èjd ld,fhaÈ;a" weúÈk úg;a mdoh fydÈka wdjrKh jk úÈhg mdjyka m<Èkak' tu mdjyka mdohg t;rï ;o ke;s uDÿ tajd kï jvd;a iqÿiqhs' mdjyka m<|skafka ke;sj weúÈkak tmd' t;fldg wmg fkdoefkk mqxÑ ;=jd, we;s fjkjd' tajd Tnf.a cSú;h nrm;, wjodkul ;nkakg mjd m%udKj;a' mdoj,g ;o WKqiqu;a yßu Nhdklhs' mdofha f,a .ukd.ukhg Wmldr lrkakæ fuysÈ mqgqjl jdäfjk úÈh mjd yßu jeo.;a' lsisu fj,djla mdofha my<g f,a .uka lsÍug ndOd jk úÈhg mdohla msg mdohla yria w;g ;shdf.k bkak tmd' yqÕ fj,djla jdä fj,d bkak isoaO fjkjd kï jßka jr weÕs,s È. yßkak W;aiql jkak' thska tu m%foaYhg f,a iemhqu uekúka isÿ fjkjd' l< yels kï mdo iïndykh b;d jeo.;a i;aldrhla' idudkH flfkl=g mdo iq?lSug úfYAI m%h;akhla .ekSu wjYH kE' ta;a oshjeähd frda.sfhla iïnkaOfhka kï th iqÿiq kE' Tyq ;ukaf.a mdo fk;a fol fia /l.; hq;=hs' ukao@ we;sfjk iq¿ ;=jd,hla jQj;a hï oskhl Tyqf.a cSú;h fidrd.kakg mjd bvlvla" yelshdjla we;s ksihs' DM

DOCTOR MAGAZINE

doctormagazine.lk

D•Magazine /

Biography | Glimpse of Life ukqoï iqrlsk rgla''' wef.a m%d¾:khhs

ukqoï iqrlsk rgla''' wef.a m%d¾:khhs ksmqK;d ixj¾Ok yd jD;a;Sh wOHdmk rdcH weu;s fydnjk ffjoHjßh''' ffjoH iS;d l=udß wrfòfmd, ;reK m%cdfõ l=i,;d j¾Okhg fmruqK .kakjd''' fï rfÜ orejkaf.a Ôú; fi!Nd. Hu;a lrkakg l< yels ish¨‍u foa wud;HdxYh ;=<ska bgq lrkjd'''''' f.daGdNh rdcmlaI uy;d furg fjks ckdêm;sOQrhg m;ajQfha fï rg mßmd,kuh jYfhka úYd, w¾nqohlg .uka lrñka mej;S iuhloSh' úOdhlh yd jHjia:dodhlh w;r u;fNaohla úiska iuia; rfÜu oshqKQj weK ysáfhah' cd;Hka;r jYfhkao úYd, n,y;aldrlï wfma rgg zzySka kQf,kaZZ muqKQjñka ;sìK' nqoaêu;a ck;djf.a úYd,;u .eg¿j jQfha fï rg hkafka fldhsngo@ hkakhs' iqúfYAIS nyq;rhla iksgqyka lrñka m%:u jrg foaYmd,{fhl= fkdjQ f.daGdNh rdcmlaI uy;d ch.%yKh ,eîfuka miq uydiEh ^rejkaje,siEh& wìhioS rg fjkqfjka iajlSh hq;=lï j.lSfuka bgq lrk njg im: lr osjqreï ÿkafkah' bkamiqj Tyq m<d;a wdKavqldrjreka m;a lsrSug fhosK'

70

September 2020

DOCTOR MAGAZINE

uykqjr u.=,a uvqfõoS miq.shod wNskj rdcH wud;Hjrekaf.a f;daïnQ lshj;aoS ksmqK;d ixj¾Ok yd jD;a;Sh wOHdmk rdcH wud;Hjßh jYfhka iS;d l=udß wrfòfmd, uy;añh m;a lrkakg fhÿKQ nj ksfõokh úh' wk;=rej fldKavhla ne| pdïj isxy, Tißhlska ieriS yqka weh ckm;s;=uka bosßfha osjqreï ÿkafka ;u m%;dmj;a wNsudkh f,dalhd bosßfha fkdueflk iksgqykla lrñks' ;=reKQ fmKque;s ir< iqfmaY, .;s.Kfhka fyì fï kj rdcH wud;Hjßh ffjoH m%cdjg kï kqyqre pß;hla fkdfõ' jD;a;Sfhka lk" kdih W.=r iïnkaO úfYaI{ ffjoHjßhl jQ weh iS;d l=udß wrfòfmd, uy;añhhs' ÿmam;=ka ieuod mSvkhg ,la l< OkjdoS w¾: l%uhg tfrysj 1917 j¾Ifha reishdfõoS Tlaf;dan¾ úma,jh isÿùug n,mE isÿùï rdYshla úh' ù whs f,kska Tlaf;dan¾ úma,jhg ;,a¨ lrk ,oafoa ta isÿùï j, m%;sM<hla ksidfjks' iudc i;a:d h:d¾:jdoh f;afrk ug is¿gq nfika zzwïudZZ jeks fmd;a j,g lejQ ulaisï f.da¾ls jeks

doctormagazine.lk

ks¾udKd;aul mqoa.,hka tys ;SrKd;aul idOlhla úh' miq.sh ld,fha fï rfÜ ks¾Ok mx;shgo" rfÜ wd¾Ólhg odhl;ajhla oelajQ jHjidhlhkgo" W.;=ka yd nqoaêu;=kgo fujka mßirhloS rfÜ wkd.;h Wfoid f.dKQ ùfï wjYH;djh oeKQkd jkakg mq¿jk' miqj ufyda>hlaj md,k ;ka;%fha fmr<shlg odhl jQ zzúh;au.ZZ" zzt<shZZ wdoS jevigyka fï ks¾udKd;aul ixjdohg ÿka odhl;ajh iq¿mgq fkdfõ' úfYaI{ ffjoH iS;d l=udß wrf´fmd< úh;au. yd t<sh jevigyka yd lr<shg neis fï nqoaêuh ixjdofha ksrka;rfhkau keK myka mqnqÿjdÆ olaI u. fmkajkafkla jQjdh' úfcamd, isßkhk jdi, nKavdrkdhl fudfydÜgd,f.a iS;d l=udß wrfòfmd, Wmkafka lvj;oSh' weh l=reKE., fodráhdj yd uykqjr m%foaYh jdiia:dk lr.;a l=, .¾jfhka hq;a mrmqrl ksfhdackhls' lsßn;af. dv úydruydfoaù nd,sld úoHd,fhka m%d:ñl

doctormagazine.lk

wOHdmkh ,nd oaú;Shsl wOHdmkh i|yd fld<U foaù nd,sld úoHd,hg we;=<;a jQjdh' mqxÑ ikaosfha iqkaor u;l jHdmdßlfhl= jQ chka; wrfòfmd, ue;sªka iS;d l=udß oshKshf.a mshdKka jQjdh' fy< fndÿKQ yeoshdfjka fmdaIs; moañks j,afmd, wrfòfmd, uy;añh ksiÕfhkau Ydka; .;s mej;=ï we;s l=¿KQnr ud;djl úh' fï fofmd<g iS;d oshKshg nd, mq;KQfjlao jQfõh' ;u wdorKSh mshdKka óg mif<dia jirlg fmr osúu. ;S¾:fhka iuq.;a w;r tlu fidfydhqrdo óg wg jirlg by;oS yosis frda.dndOhlg ,laj fuf,dj yer .sfhah' weh ;u w;S;h isysm;a lrkakSh''' zzmqxÑ ikaosfh ud wdkkaohg m;a l< wmQre úfkdaodxYhla ;snqK' fmd;a lshjk tl'''' b;sydih" wd¾Ól úoHdj''' mDÓúh .ek''' úoHdj''' ug fmd;a lshjk úg ksYAÑ; úIhla ;snqfK kE''' oeKQu ,ndfok fldhs fmd;;a ug lshjk tl i;=gla f.k ÿkakd''' uf.a ;d;a; ug fï fmd;a lshjk isß;g w;sYhska Woõ l<d''' Tyq ug fkdfhla fmd;a f.keú;a fokjd' ;d;a; f.k;a ÿkak úYd, mßj¾;k tl;=jla ;ju;a ud <Õ ;sfhkjd' zzf,dúka tflla tla foalg fjhs iu;'''ZZ lsh, lshukla ;sfhkjd' ta;a yß yuka mokula ie,iqfkd;a tla foalg fkdfjhs" úúO foa j, iqreúrelï mdkak mq¿jka' talg

September 2020

DOCTOR MAGAZINE

71

D•Magazine /

Biography | Glimpse of Life ukqoï iqrlsk rgla''' wef.a m%d¾:khhs

ffjoH mSGhg' ta;a ug ´ks jqfKA fjkia fohla' B<Õ j;dfj úNd.fhka uu Y%S chj¾Okmqr úYAj úoHd,fha ffjoH mSGhg f;areKd'

iS;d l=udß wrfòfmd, uy;añh uykqjr ft;sydisl u.=,auvqfõoS ksmqK;d ixj¾Ok yd jD;a;Sh wOHdmk rdcH weu;s OQrfha osjqreï ÿka fudfyd;

moku jefgkak ´ks <ud ld,fhaoS' mq¿,a oeKQu jmißhl msmdidj mqxÑ ldf,a lemS fmfkk ,laIKhla jqKd iS;d l=udß ;=reKQ oshKsh fmd;m; lshùfuka ,o oeKQu ;u oeKQu jmißh mq¿,a lr.kakg wúhla lr.;a;d' miqlf,l ffjoH úoHdfõ m%udKsl jD;a;ShNdjhla ,eîug iudka;rj iudcfha .eg¿ wkqo;a w¾:iïmkak úÿyqre foaYlfhla jkakg;a'' bka Tíng rdIag% md,kfhys iqyqre mrudo¾Ys pß;hla jkakg;a fï w;aoelSï wehg bjy,a jkakg we;s' fldákau wef.a idud¾:h nyqúO tlla' kej;;a wm wehf.a <ud ld,hg fhduq fjuq' zzuu mqxÑ ldf, l%Svd j,g kï ta ;rï iyNd.s jqfKa kE' yenehs foaú nd,sldfj lÓl ix.ufha ysáhd'' újdo lKavdhu;a ksfhdackh l<d''' uu k¾;kh;a lr, ;sfhkjd'ZZ iS;d l=udß oshKsh Wiia fm<oS f;dard .;af;a cSj úoHd úIhhka' ffjoHjßhl fjk isyskh ug mqxÑ ldf, b|kau ;snqK' m<fjks j;dfj udj f;arefKa oka;

72

September 2020

DOCTOR MAGAZINE

ffjoH úoHd,fhka idud¾:h ,nd wjika jqKdu ug iSudjdisl m;aùu ,enqfKa;a fld<U cd;sl frday,guhs' ta ldf, Bg hdno o fidhsid ud;D frdayf,a;a iSudjdisl mqyqKQj ,nkak ug yels jqKd' Bg miafi m<fjks m;aùu 2004 j¾IfhaoS kqjrt<sh uQ,sl frday,g ,enqKd'''ZZ weh W.=r" lk kdih iïnkaO úfYaI{ ffjoHjßhla ffjoHjßhl jYfhka lghq;= lrñka weh mYapd;a ffjoH wdh;kfha;a ,shdmosxÑ jqKd' ta i|yd weh f;dard .;af;a lk" kdih yd W.=r iïnkaO úfYaI{ mqyqKQj' jir .Kkdjl foaYSh mqyqKqj wjidkfha ffjoH wrfòfmd, uyd ì%;dkHfha flaïì%caIh¾yS laùka t<ssfin;a wdfrda.

HYd,dfõ;a" täkan¾. ayS frdah,a fld,Scsfha;a fojirl wOHhk lghq;= j, ksr; ùfuka miqj kej; furgg meñKsfha lk" kdih yd W.=r iïnkaO úfYAI{ ffjoHjßhl jYfhka'

doctormagazine.lk

zzwo fndfyda fofklag ld,h l<uKdlrkh lr.kak ndOd we;sfjk fya;= folla ;sfhkjd' tlla ;uhs rEm fmÜáh' wfkl cx.u ÿrl:kh''' fï folu Tfí md,khg ,la lr.kak ´ks' túg Tng iEfyk ld,hla b;sß fjkjd' wfkla ldrKh ;uhs ido iy m%shiïNdIk iSud lr .ekSu''' wjYHu wjia:d j,oS muKla fï yuqùï j,g .shdu we;s'

furgg meñKSfuka miqj wehf.a uq,au fiajd ia:dkh jqfKa ukakdru frday,hs' weh újdy jQfha wehf.a ffjoH úoHd,fhau ñ;=frl= jQ id,sh ch;s,l iu.hs' uQ,sl Wmdêfhka miq iS;d l=udß uy;añh lk" kdih" W.=r iïnkaO mYapd;a Wmdê wOHhk j, ksr; fj;aoS ch;s,l uy;d ks¾úkaokfõoh jeäÿr wOHhk i|yd f;dard.;a;d' Tyq wo fcHaIAG ks¾úkaok úfYaI{ ffjoHjrfhla' wkd.; ie,iqï wkQj Tjqka uyd ì%;dkHfha iaÓr mosxÑhg hdug ie,iqï

doctormagazine.lk

lr ;snqKd' we;af;kau ta jk úg fï rfÜ ;;a;ajh;a t;rïu hym;aj ;snqfK kE' fï ld, mßÉfPaofha iqúfYAIS isÿùula jqKd' f.daGdNh rdcmlaI uy;d fï rfÜ W.;=ka" nqoaêu;=ka f.dKq lr.ksñka isáhd' we;af;kau ta f.dKQ ùfuyss rfÜ md,k n,h iïnkaO wfmalaIdjka ;snqfKa kE' yqfola th oDIAÀuh wr.,hla' wjr.srg hk rgla kej; f.dvk.kafka fldfyduo@ ta iïnkaOfhka nqoaêuh ixjdohl ßla;h fï rfÜ ck;djg ;oskau oeKQkq hq.hla ta' wfma rg Nhdkl f,i fjk;a rgj, ´kE tmdlï msßuyk b;af;la njg m;aj ;snqKd' wfma rfÜ iajdêm;Hh ;¾ckhg ,laj ;snqKd' fï ;;a;ajfhka rg f.dv .ekSug nqoaêu;=kaf.a odhl;ajh hq.fha wjYH;djhlaj ;snqKd' th yqfola úÿyqre ixjdohla' f.daGdNh rdcmlaI tys kdhl;ajh .ekSu;a iu.u úYd, jYfhka rfÜ ck;dj ta jgd tla frdla jqKd' wef.a cSú;h fjkia l< isÿ ùula 2017 j¾Ifhaos fkdys;+ wjia:djl uf.a cSú;h wrNhd úfYaI isÿùula jqKd' úh;a uf.a" t<sfha ud l%shdldÍj lghq;= l<dg fi!LHh úIh iïnkaOfhka foaYKh ndr fj,d ;snqfK fjk;a ffjoHjrfhl=g' fndr,eia.uqfj nekalaúÜ fyda,a tfla iqúfYaIS /iaùula ;snqK' fi!LHh úIh kshñ; ffjoHjrhd tosk yosisfha úfoaY.; ùulg fhÿKQ ksid ta foaYKh ug lrkak isoaO jqKd' zzthhs uf.a m<uq uyck /iaùu' tod uu uf.a l;dj l<du /iaj isá msßi buy;a i;=g m%ldY l<d' m%S;s f>daId l<d' ljqrej;a th uf.a m<fjks uyck weu;Su lsh, úYajdi lrkak ke;sj we;s'ZZ bka miafi ug zzúh;a uf.aZZ osia;%sla yd m<d;a /iaùï j,g hkakg isoaO jqKd' uu fufyu /iaùï 20lg uf.a odhl;ajh ÿkakd' B<Õg zzt<shZZ jevigyfk;a osia;%slal úis y;fru hkak isoaO jqKd' fï jevigyka ud,dfj foaYK 20la ug lrkak isoaO jqKd' zzt<shZZt<s fmfy<s l< úh;a u. ck wdl¾Ikhg ,la l< j<¨ ne|s l; uu ta ojiaj, i;sfh ojia myla frday,a j, jev l<d' i;s wkaf; zzúh;au.ZZ yd zzt<shZZ jevigyka j,g foaYK j,g iyNd.s jqKd' wjidk /iaùu lf<A miq.sh fkdjeïn¾ 10 fjksod' ckdêm;sjrKhg osk mylg l,ska uykqjroS' ck;dj jvd;a wdorfhka wfma ck;d jHdmdrh je<|.;a;d' wm lKavdhu;a jvd;a lemùfuka wfma iudc hq;=lï bgq lrkakg jqKd' niakdysr m<df;a wdKavqldrjßh jYfhka .; lrk ,o isõ uil ld, mrsÉfPaoh wef.a uyck fiajfha oSma;su;a ikaêia:dkhla' wms ta .ek wef.a joka j,skau úuiuq' September 2020

DOCTOR MAGAZINE

73

D•Magazine /

Biography | Glimpse of Life ukqoï iqrlsk rgla''' wef.a m%d¾:khhs

zzuu ffjoH jD;a;slfhla' uf.a iajdñmqreIhd;a ffjoH jD;a;slfhla' rcfha fiajfha ld,hla .; lsÍfuka miqj wm fiajh lf<A fm!oa.,sl wxYfha' ta jk úg;a wm .; l< ir< cSú;fha wmg úYd, n,dfmdfrd;a;= ;snqfK kE' ud niakdysr m<df;a wdKavqldrjßh jYfhka lghq;= l< ld,fha ug ,efnk remsh,a 65"000l jegqm niakdysr m<df;a ÿIAlr mdie,a k.d isgqjkakg ,nd ÿkakd' uu uf.a ks, jdykh fhdod .kafka uf.a rdcldß j,g muKhs' uf.a iajdñmqreIhd j;a uf.a orejka j;a ta jdykfhka .uka ìuka hkafk;a kE' uu wdKavqldr ks, ksjdih uf.a mdúÉÑhg wr.;af;;a kE' uf.a n;a;ruq,af, f.or ;uhs wog;a ud cSj;a jkafka'''ZZ wehg ;k;=r wdNrKhla fkdfõ''' f.!rjhl=;a fkdfõ''' Ofkdamdhk ud¾.hlao fkdfõ''' rg b,a,k foa ,ndoSug weh cSú;fhka bf.kf.k isáhdh' wehg kqÿf¾ ;sfnk md¾,sfïka;= ue;sjrKfhka miq md¾,sfïka;j = g msúfik f,i wdrdOkd lf<A w;s.re ckdêm;s f.daGdNh rdcmlaI ue;s;u = dh' niakdysr m<d;g fkdj iuia; rggu wef.ka hqgl q ï bgq úh hq;= hhs ckdêm;s;u = d úYAjdi l<dg iel ke;' miq.h s od mej;S wud;H uKAv, m;a lsÍfïoS ÿyqka iS;d wrfòfmd, ffjoHjßhgo rdcH weu;sOr Q hla ,enqfKAh' ta ksmK q ;d ixj¾Ok yd jD;a;h S wOHdmk úIh hgf;a rg f.dvkexùugh' ujl''' fifkfynr Nd¾hdjl f,i wef.a wdorKSh N+ñldj weh osßh ujla' ;u wdorKSh leoe,af,a wef.;a wdornr iajdñmqreIhdf.;a /ljrKh wdrlaIdj yd u.fmkaùu ,nk ms<sfj,ska jhi wjq' 16 yd 11la jhie;s oshKshla fofofkl= isákjd' fï Ndr¥r lghq;= ueoafoa Tfnka mjq,g bgq flfrk hq;=lï''' ld,h l<uKdlrkh lr.kafka fldfyduo ue;sKshkS''' wfmka wehg w;=re m%Yakhla'''' zzwo fndfyda fofklag ld,h l<uKdlrkh lr.kak ndOd we;sfjk fya;= folla ;sfhkjd' tlla ;uhs rEm fmÜáh' wfkl cx.u ÿrl:kh''' fï folu Tfí md,khg ,la lr.kak ´ks' túg Tng iEfyk ld,hla b;sß fjkjd' wfkla ldrKh ;uhs ido iy m%shiïNdIk iSud lr .ekSu''' wjYHu wjia:d j,oS muKla fï yuqùï j,g .shdu we;s' uu kï uf.a ojfia

74

September 2020

DOCTOR MAGAZINE

ld,h fnodyodf.k l<uKdlrKh lr.kakjd' ug orejka fjkqfjka" iajdñ mqreIhd fjkqfjka hq;=lï bgq lsÍug ld,h f,dl== .eg¿jla fkdfjhs' wjxlj" iqNjdoSj cSú;h .; lrkak ´ks' ye,yemams,s wjYH kE' wd¾Ólh;a wjYH;d imqrd,k uÜgu m%udKj;a' jvd jeo.;a jkafka orejkag ksis u. fmkaùu''' ir< .;s.=K cSú;hg mqyqKq lsÍu .Dy cSú;hloS uQ,sldx.'' uu fï úosyg ;uhs úYAjdi lrkafk'' uu fï úosyg ;uhs cSj;a jkafka'''ZZ

ksmqK;d ixj¾Ok yd jD;a;Sh wOHdmk rdcH weu;sOQrh iu.ska wehg ,eî we;af;a úYd, j.lSï f.dkakla' úfYAIfhkau fï rfÜ mdie,a wOHdmkfhka miq fï rgg mqyqKQ Y%un,ldhla ks¾udKh lsÍfï j.lSu mejÍ we;af;a wehf.a lr u;ghs' fï wNsfhda. hg weh uqyqK fokafka fldfyduo@ iajlSh wud;HxYfha rdcldß wdrïN lrñka weh ta iïnkaOfhka ;u oelau iudc.; l<d' zzB,Õ oYlh l=i,;d j¾Okh lrk oYlhla f,i ckdêm;s;=ud doctormagazine.lk

wNskj rdcH wud;H OQrhg m;aùfuka miqj fld<U .x.drdufha wd.ñl j;dj;a j,g iyNd.s fjñka

kï lr,d ;shkjd' th h:d¾:hla njg m;a lrkakg fï wud;HdxYfha ish¨‍u wdh;k l<uKdlrKh lrñka l=i,;d imsß ;reK m%cdj bÈßhg f.k hkjd' Tjqkag fï rg f.dvk.kakg miqìu ilia lrf.k Tjqkaf.a Ôú; fi!Nd.Hfhka msreKq Ôú; njg m;a lrkakg ud ys;kjd udf.a fï rdcH wud;HdxYh ;=<ska fndfyda lghq;= lrkakg mq¿jka' ta i|yd kS;suh miqìu;a ilia lr,d ;shkjd'ZZ hs mejiqjdh'

zzrdcH md,kfha" uf.a fiajh wjYH hhs oefkk ;=re uu fï fiajh ck;djg ,nd fokjd' lsishï fudfyd;loS ys;g tlÕj rdcldß lrkakg fkdyels wjia:djla Wod jqfKd;a uu ta fudfydf;u fï ;k;=re w;a yßkjd' uu jD;a;Sfhka ffjoHjßhla' uf.a cSú;h .; lrkak f;darf.k ;sfhk ta /lshdfõ ug os.gu kshef,kak ndOdjla kEfk'ZZ

mq¿jka úosyg rg fjkqfjka jev lrkjd''' neß kï f.or hkjd weh wfma ld,fha lemùfuka yd m%;sm;a;s .relj foaYmd,kfha fhfok flfkla' wms wef.a jpk j,g kej;;a lka fouq'

lshk foa lrk''' lrk foa lshk .=Kh zz;dos .=KhZZ jYfhka fndÿKQjka w;f¾ nyqudkhg md;% fjhs' m%dfhda. slju ;doS .=Kh Wreu lr.;a úfcamd, isßkhk jdi, nKavdrkdhl fudfydÜgd,f.a iS;d l=udß wrfòfmd, rdcH wud;H;=ñhf.a jir myl ksmqK;d ixj¾Ok yd jD;a;Sh wOHdmk rdcH weu;s OQr ld,h ;=< fï rfÜ ;=reKQ ckS ckhd iuDoaêu;a wkd.;hlg fhduq lrñka rfÜ wkd.; oshqKQj fjkqfjka buy;a jQ ld¾hNdrhl ksr; ùug wjia:dj ,efíjd hkak wmf.a m%d¾:khhs' DM

doctormagazine.lk

ZZuu fï lrk lshk foaj,a .ek uf.a ÿj, fokak fndfydu WfmalaIdfjka n,kafk''' ud iu. ck;dj fj; ksrdjrkh jkakg Tjqka olajkafka oeä wlue;a;la'''ZZ fï wef.a oshKshka .ek úpd, l,ayS ud ,o ms<s;=rhs' Tjqka ujf.a wud;HOQrfhys m%Ndj yd f;acfiys yjq,alrejka ùug leue;a;la ke;' wvq ;rfï udOH fj; uqod yefrk fiahdrejlg j;a yjq,alrejka jkakg Tjqkaf.a ukdmhla ke;' wNsudkj;a ldka;djlf.a cdkuh Wreufhka iqfmdaIs; fï oshKsjreka ;u uEKshka wämdf¾u hk .=K iqj| msß iqcd; oshKshka fia osfkl fï foaYfha jákdlï /l.kakg odhl;ajh fokjd ksielh' wm fï fidªre leoe,a,g iqn m;uq'

September 2020

DOCTOR MAGAZINE

75

D•Magazine /

Adolescent Health mdie,a hk ld,fhaoS wdor iïnkaO;d iqÿiqo@

HOW DOES TEEN INTIMATE RELATIONSHIPS AFFECT THE PSYCHOLOGICAL WELL-BEING OF SCHOOL STUDENTS?

mdie,a hk ld,fhaoS wdor iïnkaO;d iqÿiqo@ uq,skau wms mdi,a mdi,a úfha orejka fma%u iïnkaO;d we;s lr .kafka wehs lshk ldrKh fidhd n,uq' mdi,a mdi,a úfha orejka fma%u iïnkaO;d we;s lr .kakg úfYaIfhkau ldrKd folla n,mdkak mq¿jka' 1' Ôj úoHd;aul ldrKd 2' iudc úoHd;aul ldrKd wdor in|;d j,g fya;= jk cSj úoHd;aul fya;= fgiagiagfrdaka" Biag%cka fydafudak n,d;aul jk kj fhdjqka iuh kj fhdjqka jhfia§ ,sx.sl fydafudak j, fjkialï we;s fjkjd' kj fhdjqka jhfia§ msßñ orejka ;=< jeä jYfhka fgiafgiagfrdaka fydafudakh >%djh

78

September 2020

DOCTOR MAGAZINE

Wmfoia W;=re fld<U YslaIK frdayf,a <ud iy fhdjqka uki ms<sn|j úfYAI{ ffjoH ñhqre pkaøodi

fjkjd' ta wdldrhgu .eyekq orejkaf.a jeäfhka >%djh jk fyda¾fudakh Biag%cka' YÍrh j¾Okh ùfï woshrla f,i oaú;Shsl ,sx.sl ,laIK my< ùu lshkafka fï fydafudak >%djh ùu;a iu.ska we;sjk fjkialï j,ghs' úreoaO ,sx.slhka flfryS we;s jk wdl¾IKh fï iqúfYaIS jQ fydafudak j, l%shdldß;ajh ksid úreoaO ,sx.slhka flfryS .eyekq <uhskag kï msßñ <uhska flfryS" msßñ <uhska kï .eyekq <uhska flfryS fjkodg jeä wdl¾IKhla we;s fjkakg mq¿jka' fuh ;uhs wdor iïnkaO;d we;slr .ekSug n,mdk zzÔj úoHd;aul l%shdldß;ajhZZ ke;fyd;a YÍrh u.ska we;s lrk m%Odk l=¿.ekaùu' doctormagazine.lk

ys;g zz.gla we;s lrkZZ fvdmñka j, l%shdldß;ajh ta yereKq úg fjk;a Ôj úoHd;aul ldrKhlao fuys§ il%Sh fjkjd' iakdhq cd,hg iïnkaO fvdmñka lshk ridhkfha n,mEu ksid;a fhdjqka orefjla wdor iïnkaO;d we;s lr.kakg W;aiql fjkjd' lsishï in|;djhla we;s lr .;a;yu th ;ukaf.a ch.%yKhla" ùr;ajhla úÈyg i,lkak fya;= fjkafka fï fvdmñka ridhkh' fvdmñka ridhkh jEfyk fï kj fhdjqka úfhaoS tys n,mEu ksid;a wdor iïnkaO;d j,g lsishï fm<Uùula we;s fjkak mq¿jka'

doctormagazine.lk

b;ska fukak fï lshk ,o Ôj úoHd;aul ldrKd ksid mdi,a ld,fha§;a orejka w;r iïnkaO;d we;s fjkakg mq¿jka' wdor in|;d j,g fya;= jk idudcSh fya;= ta yereKq úg iudc úoHd;aulj;a fï kj fhdjqka úfha wdor iïnkaO;d i|yd W;af;ackhla ,efnkakg mq¿jka' ta isÿjkafka fï úosyghs' ñ;%hka iDcqju lrk fm<Uùï úfYaIfhkau iu jhfia ñ;%hkaf.ka flfrk fm<Uùï''' Bg mdol fjkjd' (Peer Pressure) zzwrhd Thd osyd n,kjd'''Th" ''' fï oekq;a n,df.k bkafk'''ZZ zzta fndahs kï Thdg bkag%iaÜ jf.a wfka'''ZZ Th úosfya l;d ksid Tng;a ishqï úkaokhla ,efnkjd' ;dreKHfha fm<Uùu;a tlalu ksrdhdifhka wdor l;dj wdrïN fjkjd' Tnj ta i|yd ;,a¨ lrk Tfí ñ;=rdg ta jk úg;a wdor iïnkaO;djhla ;sfhkjd fjkak mq¿jka' wdorh lrk ñ;=ßhla bkak mq¿jka' tfyu jqKdu ta fhdackdfj ;shk wdl¾IKh jeähs' fï fm<Uùu iDcq fm<Uùula'

September 2020

DOCTOR MAGAZINE

79

D•Magazine /

Adolescent Health mdie,a hk ld,fhaoS wdor iïnkaO;d iqÿiqo@

we;s lr .kak ´ks'''ZZ lshk wjYH;djhlao we;sfjkjd' b;ska Tkak Th lshmq ldrKd ksid ;uhs kj fhdjqka jhfia§''' ta lshkafka mdi,a hk ld,fha§ ore-oeßhka wdor iïnkaO;d we;s lr .kakg mdol jkafka'

msrsñ <uhskag fgiagiagfrdaka fydafudakh;a" .eyekq <uhskag kï Biag%cka fydafudakh;a jEiafikakg wdrïN jkafka kj fhdjqka úfhaoSh' úis .Kka j,oS fï fydafudak foflau >%djh Wmrsu jk w;r bka wk;=rej flfuka ,sx.sl fydafudak >%djh wvqjk wdldrh m%ia;drfhka ksrEmkh fjhs

iudcfhka flfrk jl% fm<Uùï jl% fm<öï ksid;a flfkla wdor oef,a megf,kak mq¿jka' ta fldfyduo@ ;ukaf.a fm!reIh ÿ¾j,hs lsh,d ys;k mqoa.,hka zzuf.a wyj,a hd¨‍jg wdof¾ lrkak fhfy,shla bkakjd" ug kEfka'''ZZ tfyu ys;kjd' zzfld,af,la jqKdu ^,iaiK& fl,af,la bkak ´ks''' uu;a fldfydu yß fl,af,la tlal hd¿ fjkak ´ks'''ZZ zzwr lsis ioaohla ke;sj bkak" wyj,a hd¨‍jdg;a .Ekq <ufhla bkakjd'' ug kEfk'''ZZ zzfolg .kskak nE jf.a bkak w,a,mq f.or .Ekq <uh;a wyj,d tlal hd¿ fj,d¨ZZ f.dvla wh wdor iïnkaO;d we;slrf.k lrf.k úfkdafoka bkakjd lsh, ys;=kyu ;ukag ysf;a lkiai,a,la we;s fjkjd' zzud;a wdor iïnkaO;djhla 80

September 2020

DOCTOR MAGAZINE

wmrdohla fkdfjhs" ta;a'''@ fï ld,fha wdor iïnkaO;d we;sùu uyd jroldÍ yeÕSul=;a we;s lrkjd' tal wmrdOhlao@ tfyu kE''' kuq;a fï ld,h ;=< we;s lr.kak wdor iïnkaO;djh wmg lsishï jákdlula ,nd fokjdo@ thska ;udg m%fhdackhla w;am;a fjkjdo@ lshk ldrKh;a jeo.;a' kj fhdjqka úfha fud<h l%shd lrk yeá fï m%YAkhg id¾:l W;a;rhla" nqoaêu;a m%fõYhla ,nd .kak kï" kj fhdjqka jhfiÈ wfma fud<h l%shd lrk wdldrh .ek úuis,su;a ùu l< hq;a;la fjkjd' fud<fha l%shdldß;ajh iïnkaOfhka úuik l, jeo.;a jk uQ,sl fldgia folla ;sfhkjd' doctormagazine.lk

mdi,a orejkaf.a wdor iïnkaO;d wkdjrKh Wkdu wfma ujqmshka" .=rejreka w;sYhska l,n,hg m;a fjkjd' kuq;a th;a fyd| kE' Tjqka iïnkaOfhka b;du;a nqoaêu;aj lghq;= lrkakg ´fka' .ykak" nkskak" o~qjï fokak iqÿiq kE' jgyd §u iy u. fmkaùuhs jeo.;a' m<uq fldgi- is;sú<s fud<h is;sú,s fud<h ;sfnkafka ysfia bÈßmi' wm th mQ¾j uia;sIalh f,i yªkajkjd' fudkjo is;sú<s fud<fhka flfrk ld¾hhka'

² wdorh" fifkyi ² fldamh ;ry ² wka wh flfrys we;sjk we;s jk wdl¾IKh ² wdfõ.YS,s;ajh

² u;lh" iaurKh ² úIh ldrKd u;l ;nd .ekSu ² .eUqre lreKq wjfndaO lr .ekSu ² ie,iqï lsÍu fndfydau jeo.;a lD;Hhlg ;uhs zzis;sú<s fud<hZZ ieoS meyeoS bkafka' fuhu ;uhs wOHhk lghq;= uekúka bIaG lr.kakg odhl;ajhla imhkafka'

ñ;=re ñ;=ßhka flfrka we;sjk n,mEu wdor iïnkaO;d j,g udj;la fjhs'

yeÕSï fud<h th ;uhs fud<fha wfkla jeo.;a fldgi' fudkjo yeÕSï fud<fha lD;Hhka' jpkh ;=<u l%shdldß;ajh myo, ;sfhkjd' th ;uhs yeÕSï iïnkaOfhka l%shd;aul jk fud<fha fldgi' is;sú<s fud<h;a yeÕSï fud<h;a w;r ;=<s;;djh ke;s ùfuka cSú;fha jákd b,lal .s,syS f.dia wid¾:l mqoa.,fhl= ks¾udKh fjhs

doctormagazine.lk

September 2020

DOCTOR MAGAZINE

81

D•Magazine /

Adolescent Health mdie,a hk ld,fhaoS wdor iïnkaO;d iqÿiqo@

kj fhdjqka úfhaoS Tng ysñ jkafka fkdfïrE fud<hls' th idudkHfhka wjqreÿ 25la muK jk;=re mßK;shg ,la fõ' wm fud<h hkqfjka ye|skafjk ie,iqï" úksYAph yd ;SrK .ekSug odhl jk fud<fha Pre Frontal Cortex kue;s fldgi mßK;shg m;aùug fmr .kakd ;SrK j, fodaI mej;sh ye;' rEmfha wmßk; fldgia ;eô,s iy r;a meyefhka oelafjk w;r fïrE fldgia ks,a yd oï meyefhka ksrEmkh fõ'

fukak fï jf.a yeÕSï" Ndj we;s fjkafka yeÕSï fud<fha l%shdldß;ajh ksihs' wdor iïnkaO;djhla we;s lr .kak fldg fï yeÕSï fud<h Woa§mkh fj,d W;af;ackh fjkjd' jev folu f.dv od.kak ys;kj''' ta;a''' zzfï wdor iïnkaO;djh;a ;shdf.k" fyd|g bf.k .kak tl;a lrkjd'''ZZ tfyu ;uhs Tn ys;kafka' ta;a tal tfyuu fjhso@ Tkak B<Õ m%YAkh''' wfma iuia; udkisl l%shdldß;ajfha§ is;sú,s fud<h;a yeÕSï fud<h;a w;r iunr;djhla ;sfhkak ´ks' wkak t;fldg ;uhs wfma cSú;fha b,lal id¾:l lr.kakg mq¿jka fjkafka' id¾:l mqoa.,fhla jkakg mq¿jka fjkafka'

82

September 2020

DOCTOR MAGAZINE

ta;a wdor iïnkaOhla we;s jqKdu fï iunr;djh mj;ajd .kak Tng mq¿jka fjhso@ wdor iïnkaO;djhla we;s jqKdu ks;ru ta .ek l,amkd fjkjd' ks;r ks;r ta .ek ys;kak .kakjd' n,dfmdfrd;a;= we;s lr .kakjd' wdorhg ;sfhk ndOd .ek ys;kak .kakjd' fldákau wdorfhka fj¿KQ

doctormagazine.lk

ys;la b;du wia:dhs' fudfyd;ska fudfyd; u;l fmrf<kjd' yeÕSï fud<h fõ.fhka l%shd lrkjd'''' is;sú<s fud<h ÿ¾j, fjkjd''' fï úÈy l%shdj,shl§ ks;ekskau is;sú,s fud<hg jvd yeÕSï fud<h jeäfhka l%shdldÍ fjkjd' is;sú,s fudf<a l%shdldß;ajh wvq fjkjd' ta lshkafka wOHdmkhg ;sfhk wjOdkh" Ôú; b,lal ch .ekSug ;shk Wjukdj ks;ekskau ÿ¾j, fjkjd' mdvï lghq;= j,g ;sfhk wjOdkh wvq fjk tl''' u;lh ÿ¾j, fjk tl jf.au ie,iqï iy.;j lghq;= lsÍfï iqyqre nj;a ÿ¾j, fjkjd' ,xldfõ wOHdmk rgdj úuik úg úNd.j,§ orejka úYd, ;r.ldß;ajhg uqyqK fokakg wjYHhs' b;ska fï úosfya yeÕSï fud<h m%uqL ufkdaNdjhloS Tn ks;ekskau úNd. j,ska miqnEug ;sfnk wjia:d fndfydu jeähs' ;=<s;;djh ke;s ùfuka Tng fjk úkakeysh fï ksid Tn uqyqK fok wOHdmk b,lal

doctormagazine.lk

is;du;d .;hq;= jákd ;SrK fkdfïre jhfiaoS .ekSfuka úkdYhla we;s úh yel' fud<h mßK;shg m;a jkakg wjqreÿ 25la muK .; fjhs'

u. yefrkak mq¿jka' wkd.;h fjkqfjka Tn ;nk b,lal fï ksid Tng ,Õd lr.; fkdyels b,lal njg m;a jkakg mq¿jka' Tn lrkakg leu;s /lshd ;sfnkjd' tajd u. yeß,d fjk;a flfkla leu;s /lshdjla ;uhs wjidkfha Tng f;drd .kakg isÿ jkafka' tal;a myiqfjka kï fkfuhs' by< wOHdmkhl§ ;sfnk iSñ; ;rÕldÍ;ajh fjkqjg wvq iqÿiqlï j,§ úYd, ;r.ldß;ajhlg uqyqK fokak Tng isoaO fjkjd' th Tfí Ôú;h iïmQ¾Kfhkau fjkia lrkjd' lgql Ôú;hla .; lrkakg isoaO jqfKd;a th Tng uy;a ÿlla' yeuodu i;=áka bkak yok Tng" Tn;a fkdoekSu ÿla f.dvla lrmskakd f.k bkakg isoaO fj,d' wmQre WmyerKhla''' Tn fi,a,ï n;a Whk nd, ldf,§ biafldaf,g w¢k we÷ula ñ,§ .kafka kEfka' biafldaf,a we÷ï .kav fi,a,ï n;a Whk <ore ldf," l,a jeähs' <oorefjla biafldaf,a we÷ula we| .;af;d;a tal uy úys¿jla fjkjd' hï fyhlska Tn ta we÷u .kak W;aidy lf<d;a Tfí uõmshka fufyu lshkjd zz;j wjqreÿ mylska yhlska Thdf.a Wi fldhs;rï jeä fjhso@ uy; fldÉpr jeä fjhso@ YÍrfha yevh fudk jf.a fjkia fjhso@ tl okafk kEfk''' tal ksid oeka ´l .kak tfla f;areula kE'''ZZ

September 2020

DOCTOR MAGAZINE

83

D•Magazine /

Adolescent Health mdie,a hk ld,fhaoS wdor iïnkaO;d iqÿiqo@

fud<fha Limbic kï md¾Yajh yeÕS j,g n,mdk ia:dkhhs' ÿl" i;=g" fldamh yd yosis ;SrK j,g fya;= jkafka fï fldgfia l%shdldß;ajhhs

mdi,a hk jhfia § wdor iïnkaO;d we;s lr .kak tl;a wkak ta jf.a' jhi wjqreÿ 16-18-20 jf.a ld, j,È wfma YÍrfha j¾Okh we;s fj,d ;sfhkak mq¿jka' yenehs YÍrh ú;rhs' udkisl ixj¾Okh" fm!reI j¾Okh jf.a ldrKd mdi,a jhfiÈ yßhgu iïmQ¾K fj,d kE' th isoaO fjkafk bosßfhaos' talg wjqreÿ 20-22-4 jf.a ld,hla .; fjkak mq¿jka' ñksia fud<h b;d ÈhqKq wjhjhla' fud<fha iakdhqj, fjkia ùfï .=Khla (Neuroplasticity) ;sfhkjd' jhi;a iu. ;uhs mßK; Ndjh we;s fjkafka' hï flfkla mdie,a ld,fha§ wdor iïnkaO;djhla we;s lr.;af;d;a fokakf.au is;k ms<sfj<" fm!reIh ld,hla hkfldg w;sYhska fjkia fjkjd' fï fjkiaùï fõ.fhka isÿ jk l%shdj,shla' tys m%;sM,hla úÈyg tod fkd;snqKq fkd.e,mSï miqj u;= fjkak mq¿jka' kqreiakdlï" rKAvq irej,a we;s fjkak mq¿jka' th flá ld,hlska fl<jr jk oS.hla jkakg;a mq¿jka'

84

September 2020

DOCTOR MAGAZINE

fï ksid jvd;a ksje/È l%uh ;uhs ;ukaf.a ys;k u;k ms<f s j,g" fm!reI;ajhg .e,fmk iylrefjla$iyldßhla ta i|yd mßK;sh we;s jhil§ f;dard .ekSu' fï wkqj oeka Tng meyeÈ,s fjkjd we;s mdi,a ld,fha§ wdor iïnkaO;d we;s lr .ekSu Tfí ÈhqKj q g fkdfjhs Tfí mßydkshg nrm;< f,i fya;= fjk nj' fï ksid Tfí wkd.;fha ÈhqKj q g nrm;< ndOd we;s fjkak mq¿jka' Tfí ú;rla fkfuhs Tn wdorh lrk flkdg;a ta foau isoO a fjkjd' DM

doctormagazine.lk

D•Magazine /

Eating Disorders ldka;djka w;r iq,n nq,Sñhd k¾fjdaid

ldka;djka w;r iq,n nq,Sñhd k¾fjdaid wdydr j,g we;s leue;a; msg;g fmkajkjd''' ta;a fï wh wdydr j,g nhhs ufkda m%;sldr j,ska fï mqreoafoka ñfokak mq¿jka ixch o is,ajd úisks MA, BN, Dip in Psychology

Bulimia Nervosa

doctormagazine.lk

September 2020

DOCTOR MAGAZINE

85

D•Magazine /

Eating Disorders ldka;djka w;r iq,n nq,Sñhd k¾fjdaid

lE

u lkak .shdu lsiu s md,khla fkdue;sj Wiaur q e;a;djg tklïu lk Woúh;a wm w;f¾ bkakjd' ta jf.au mq¨jka ;rï ld,d" lEjd jeähs lsh,d jukh lrk" ke;akï úf¾pl fnfy;a mdúÉÑ lrk wh;a Tn oel ;sfhkjdo@ lsih s ï flfkl= ;=< fujeks ;;a;j a hla È.gu mj;skjd kï th udkisl frda.hla fjkak;a mq¨jka' ta frda.fha ku ;uhs nq,ñ S hd k¾fjdaid' wms wo l;d lrkak hkafka NlaIK wdndO (Eating Disorders) >Khg .efkk fï frda.h .ekhs'

fï frda.hg nq,sñhd lshk ku fhÈ,d ;sfhkafk;a by; i|yka l< wdydr rgdj ksiduhs' .jfhla wdydr .kakdla fuka wêlj lEu .ekSu ksid fyda tf,i lEu f.k jukh lsÍu ksid fuhg nq,Sñhd hhs lshkjd we;ehs is;sh yelshs (Bulimia = Ox hunger). fndfyda úg fuu ;;a;ajh we;sjkafka fhdjqka úfha miqjk whghs' jukh lsÍu muKla fkdj fjk;a ,laIK lsysmhlao nq,Sñhd frda.Ska ;=< oelsh yelshs' fuu frda.fha iuyr ,laIK wefkdfrlaishd jeks wfkl=;a NlaIKdndO j,§ o oelsh yels ksid frda. ,laIK fyd¢ka y÷kd.ekSu b;d jeo.;a fjkjd' kj fhdjqka wjêfhaoS iq,nhs wefkdfrlaishd k¾fjdaid frda.h j¾Okh jkqfha jeäúh meñŒu;a iuÕsks' fuu frda.hg n`ÿkajk nyq;rhla ldka;djka ùu úfYaI;ajhls' wOHhkhlg wkQj fuu frda.hg k;=jQ iEu ldka;djka oi fofklaf.ka kj fofklau ldka;djka nj fy<sorõj ;sfí' wefußldkq ldka;djka ish fokl= w;=ßka tla wfhla fuu frda.hg f.dÿre jk nj fidhdf.k we;' lsisjl= fuu frda.hg f.dÿre ù we;s nj y`ÿkd.; yelafla tu mqoa.,hd l%ufhka wdydr md,khg fhduqùu iuÕsks' isrer fl;rï lDI jqjo ;ud ;ju;a ;rndreh hk wksh; ìhla fudjqka ;=< mj;S'

j;=r fldamamhla fndkak fyd|u fj,dj WoEik wjos jQ miq''' Tfí bkaøsh fYdaOkh lrhs osjd wdydrhg fmr''' Tfí cS¾Kl moaO;sh msßisÿ lrhs kdkak fmr''' Tfí reêr mSvkh wju lrhs kskaog hkakg fmr''' Tnj rd;%sh mqrd ic,kh lrhs

86

September 2020

DOCTOR MAGAZINE

doctormagazine.lk

;uka fl;rï fliÕ jQj;a w;sYhska ;rndre hhs is;Su fï frda.Skaf.a frda. ,laIKhls'

wdydr jukh lsÍu tla m%fNAohla wefkdfrlaishd k¾fjdaid frda.fha m‍%fNao folls' tla m‍%fNaohla jkqfha nq,sñhd kñka ye`Èkafjk wdydr m‍%;slafIam lsÍfï ls‍%hdj,shhs' thg f.dÿre jQ frda.shd wdydr wkqNj fldg u`o fõ,djlska ishÆ wdydr jukh fldg bj; ouhs' wdydrj, fmdaIKh isrerg Wrd .ekSu je<elaùu fuys wruqKh' wfkla wh wdydr .kafka b;d wvqfjka wfkla m‍%fNaoh oeä f,i wdydr md,kh fldg YÍrhg ,eìh hq;= fmdaIKh wju lsÍuh' rd;%s ld,fha wdydr j¾ckh lsÍu" n;a wdydrhg .ekSu j¾ckh lsÍu fukau fõ,a .Kka ksrdydrj isàuo fujka frda.Ska w;r oelsh yelalls' fudjqyq ;ukg wdfõ‚l jQ wdydr rgdjlg fm<eö isá;s' msßila bÈßfha wdydr fkd.kakd w;r ms<sfj<lg wdydr fnod.ekSuo m‍%;slafIam lr;s' tfy;a ;ud wdydrj,g oeä .scq njla olajk nj

doctormagazine.lk

cdkuh idOl ^wdrh&" <ud ld,fha wmfhdackhg ,laj ;sîu" úYdoh yd ldxidj jeks udkisl .eg¨ j,ska mSvd ú£u" u;aøjH Ndú;h jeks idOl mj;sk whg nq,ñ S hdj je<£ug we;s yelshdj jeä njhs mejfikafka'

September 2020

DOCTOR MAGAZINE

87

D•Magazine /

Eating Disorders ldka;djka w;r iq,n nq,Sñhd k¾fjdaid

nq,sñhdfõ frda. ,laIK

úYd, jYfhka lEu wkqNjh

úf¾l fnfy;a mdkh

lEu jukh lsÍu

o;a wdY%s; .eg¿

fmkaùug fudjqka leu;sh' iQm Ydia;‍% fmd;a úYd, jYfhka tl;= lsÍug iy ;u ys;j;=kg iy ñ;=rkg fNdack ix.‍%y meje;aùug leue;a;la olajk fudjqyq msßi;a iuÕ tlaj wdydr .ekSfuka je<lS isá;s' jeä jeäfhka jHdhduj, ksr; ùugo fudjqyq leue;af;dah' ,sx.sl wmfhdackhg ,lajQjka w;ro fï frda.Ska nyq,h' frda. ,laIK ² lsisÿ md,khlska f;drj wêl wdydr m%udKhla tlajr wkqNj lsÍu ^fuh ks;r ks;r isÿfõ& ² wêlj wdydr .ekSfuka we;sjk nr jeäùu md,kh lsÍfï wruqKska jukh lsÍu" úf¾pl T!IO Ndú;h fyda jHdhdu lsÍu jeks l%shdldrlïj, fh§u

nq,ñ S hd ;;a;j a hg id¾:lj m%;l s dr l< yelsh's ta i|yd uQ,l s jYfhkau ufkda m%;l s dr l%u fhdod .efkkjd' fuys§ frda.h s dg ish wdydr mqreÿ fukau ta ms<n s |j ish uki ;=< mj;sk wys;lr is;ú s ,so fjkia lr.ekSug ufkdaÑls;i a l iyfhda.h ,nd fokjd'

² YÍrfha yevh yd nr ms<sn|j ks;r l,amkd lsÍu" ta .ek lror ùu 88

September 2020

DOCTOR MAGAZINE

doctormagazine.lk

wdydr .ekSfuka miq jukh lsÍu fï frda.fha iajNdjhla' úYd, jYfhka wdydr .ekSuo fuhgu ine|shs' bka miqj jukh lsÍfuka .;a wdydr j,ska ñfokkg;a W;aidyhla .kakjd' ta;a ;j;a flfkla fï frda.h ksidfjkau fõ,a .Kka wdydr m%;slafIAm lrkakg;a mq¿jka

nq,Sñhdjg fya;= fudkjdo@ fuh we;sùug n,mdk ksYaÑ; fya;=jla kï y÷kdf.k keye' tfy;a cdkuh idOl ^wdrh&" <ud ld,fha wmfhdackhg ,laj ;sîu" úYdoh yd ldxidj jeks udkisl .eg¨ j,ska mSvd ú£u" u;aøjH Ndú;h jeks idOl mj;sk whg nq,Sñhdj je<£ug we;s yelshdj jeä njhs mejfikafka' fuu ;;a;ajhg m%;sldr ;sfío@ Tõ" nq,Sñhd ;;a;ajhg id¾:lj m%;sldr l< yelshs' ta i|yd uQ,sl jYfhkau ufkda m%;sldr l%u fhdod .efkkjd' fuys§ frda.shdg ish wdydr mqreÿ fukau ta ms<sn|j ish uki ;=< mj;sk wys;lr is;sú,so fjkia lr.ekSug ufkdaÑls;ail iyfhda.h ,nd fokjd' wjYH kï mjqf,a whj;a WmfoaYk l%shdj,shg iïnkaO lr .efkk w;r fmdaIKfõÈhl= úiska fmdaIKh ms<sn| WmfoaYkh o ,nd fokjd' ta iu.u ffjoHjrhd úiska m%;súIdol jeks T!IOhlao kshu flfrkq we;s' DM

doctormagazine.lk

September 2020

DOCTOR MAGAZINE

89

D•Magazine /

Snippet ,xldfõ m<uq wlaud noaOh hdmkfha oeßhla fjkqfjka'''

The first successful paediatric liver transplant in Sri Lanka

iqj| úysÿKQ ukqIH;ajfha l;djla ,xldfõ m<uq wlaud noaOh hdmkfha oeßhla fjkqfjka''' zzug w¨;a cSú;hla ,nd ÿkakdg Tn,dg fndfydu ia;+;shs' ud fjkqfjka Tn b;d fyd| fohla l<d''' uu;a f,dalhg jákd foa muKla lrkakg fmdfrdkaÿ fjkjd'''ZZ kj yeúßos lsYdkq kï oeßh rd.u frday,a Y%jKd. drfhaoS tfia mjioaoS iNdj w;sYhska yeÕ=ïnr jqKd' ÿ¾,N cdkuh iïNjhla iys; wlaud frda.hlska hdmkh kscìu lr.;a wirK lsYdkq ld,hla ;siafia mSvd úkaod' miq.sh jirl muK ld,h ;=< wehf.a wlaudj ks;r ks;r ÿ¾j, l%shdldß;ajhla fmkakqï l< ksid ks;r ks;r oeä i;aldr tallhg mjd we;=,a jkakg isÿ jqKd' ks;r ks;r frday,a.; ùug

90

September 2020

DOCTOR MAGAZINE

brKï ùu;a iu.u wehg iaÓr ms<shula ,nd fokakg wef.a ffjoHjrekag wjYH jqKd' ffjoH ù' ;=Idka;ka iy ffjoH fla' wre,afud,s hk úfYaI{ ffjoHjreka úiska wlaud noaO lsÍu iïnkaOfhka m;, kula oskQ rd.u YslaIK frday,g fuu orejd W;=re fld<U YslaIK frdayf,a wlaud noaO lsÍfï tallhg fhduq lf<A tys m%;sM<hla jYfhka' th fifkyi" wkqlïmdj uqyqka jQ wkqfõokSh i;aldrhla' wlaud noaOh úfYaI{ Y,H ffjoH uydpd¾h frdydka isßj¾Ok uy;df.a m‍%Odk;ajfhka Y,H ffjoH lKavdhula úiska cq,s 14 jeksod isÿ lrkq ,enQjd' bj;a lrk ,o frda.S wlaudj fjkqjg oeßhg kj wlaudfõ wjYH fldgi ,nd ÿkafka wef.au uj ùu úfYAI isÿùula' ta wkQj fuh cSù wlaud noaOhla jqKd'

doctormagazine.lk

lsYdkq wef.a wdorKSh uj iu.ska

bj;a lrk ,o frda.S wlaudj

wlaud noaOh isÿ lrk w;r;=r

l=vd orejl=f.a wlaud noaO lsÍula Y‍%S ,xldfõ§ id¾:lj isÿl< m‍%:u wjia:dj fuh jk w;r" W;=re fld<U YslaIK frdayf,a wlaud noaO lsÍfï tallfha id¾:l 50 jeks jeäysá wlaud noaO lsÍuo fï iu.u iqúfYaIs f,iska iksgqyka fjhs' ie;alfuka miqj úfYaIs; oeä i;'ldr myiqlï i|yd j;a;, fyaudia frday,g oeßh fhduq lrjk ,o w;r wehg osk y;l ld,hla mqrd lsisÿ uqo,la wh fkdlr myiqlï ie,iSuo ukqIH;ajfha iqj| úysÿjk fjfiia isÿùula úh' DM

doctormagazine.lk

September 2020

DOCTOR MAGAZINE

91

D•Magazine /

What makes Finland so happy? i;=áka bkakd ryi Tn;a oek.kak

What makes Finland so happy? *ska,ka;h oyia ú,a rfgka oyia jákd mdvï''' i;=áka bkakd ryi Tn;a oek.kak iaajNdjO¾uh iu. ixys|shdfjka cSj;a fjkjd''' wOHdmk myiqlï Wmßuj ,efnkjd''' fmd;a lshjkakg reisfhda''' f,dal i;=gq o¾Ylh wkQj msg msg fofjks jrg;a m%:u ia:dkhg ysñlï lshkafka *ska,ka;h' ,xldjg ysñ fjkafka 130 fjks ;ek' *ska,ka;fha iudch ;=< wdrlaIdj yd f.!rjh iEu mqoa.,fhl=gu ysñhs' iudc ;;a;ajh" ia;%S-mqreINdjh u; flfkla mSvdjg m;a jkafka kE' Tjqkag cSj;a jkakg m%udKj;a wdodhula ,efnkjd' jvd;a úuis<su;aj mska,ka; ck iudch foi n,k úg m%S;su;a cd;shla njg mska,ka; ck;dj m;aùug my; lreKQ ldrKd n,md we;s nj fmfkkakg ;sfnkjd'

01

1' ks;r t<suyfka bkak ck;djla *ska,ka;fha ck;dj jeäfhkau bkafka t<suyfka' rfÜ msßisÿ jd;hla iys; mßirhla ;sfhkjd' rfÜ jkdka;r m%;sY;h ishhg 73la' f,dal fi!LH ixúOdkhg wkQj *ska,ka;h f,dj msßisÿu jd;h

92

September 2020

DOCTOR MAGAZINE

;sfhk rgj,ska tlla' ks;r iajdNdúl mßirh tlal .Kfokq lrk ksid jeishkaf.a YdÍßl fhda.H;djh by<hs jf.au udkisl wd;;sh;a wvqhs' tfiau iajdNdúl mßirh Tjqkaf.a ixialD;sfhau fldgila'

02

2' îug c,h iïmQ¾Kfhkau fkdñf,a *ska,ka;h f,dalfha m%isoaO zzú,a oyfia rgZZ lsh,d' rfÜ ;sfhk ú,a .Kk 187"000lg jvd jeähs' c,dY j, c,h fl,skau îug .kak mq¿jka' fï yskaou ´ku fj<|ie,lska fkdñf,au fnda;,a lrmq j;=r .kak mq¿jka'

03

3' yeu orejl=gu jhi 17 fjk ;=re §ukdjla yeu orejl=gu fï §ukdj ,efnkjd' m<fjks orejg hqfrda 100l=;a wks;a orejkag jeä .dKl=;a rch ,nd fokjd' ;j mdi,a WmlrK" fi,a,ï nvq" ikSmdrlaIl WmlrK rch úiska fkdñ,fhau ksjigu f.k;a fokjd' fï ksid orefjda ksjfia wd¾Ólhg nrla fkfjhs'

doctormagazine.lk

04

4' fmd,sish ms<sn|j by< úYajdih fmd,sish iïmQ¾Kfhkau iajdëk tallhla úÈyg l%shd;aul fjkjd' jxpd" ¥IK wjuhs' iólaIKhlg wkQj ck;djf.ka ishhg 90la fmd,sish úiajdi lrkjd' fï yskaou wmrdO wju uÜgfï ;sfhkjd

05

5' l%Svdj Ôúf;au fldgila rfÜ yeu flfklaujf.a lsishï fyda l%Svdjla lrkjd' wka;¾cd;sl l%Svd jf.au foaYSh l%Svd;a ;sfhkjd' ìß| lf¾ ;ndf.k Èùu rfÜ ckm%sh l%Svd wx.hla'

9l ksjdvqjla ,efnkjd' ;j orefjd;a tlal ld,h .;lrkak Èßu;a lrk jevigykq;a l%shdulhs' orejd t<suyka l%shdldrlï j,g yqrelsÍu" fmdÿ ia:dkj,§ y÷kajd §u ixialD;sfhau fldgila'

08 06 09 10 07 6' wka;¾cd,h Ndú;h whs;shla fuh whs;shla lf<a 2010 §' ta f,dalfha tu whs;sh ,ndÿkakq m<uq rg úÈyg' ;u m%foaYhg fyd| wdjrKhla ke;akï meñ‚,s lrkak mq¿jka jf.au wka;¾cd, fõ.h wvq jqfKd;a jkaÈ b,a,kak;a mq¿jka' 7' wïu,dg;a jvd ;d;a;,d orefjda .ek n,k rgla orefjla bmÿKdu ;d;a;g mä iys; i;s doctormagazine.lk

8' jeäfhkau fmd;a lshjk rgla *ska,ka; jeishkaf.ka ishhg 70lg;a jvd ;u m%foaYfha mqia;ld,fha il%Sh idudðlhska' fmd;a uqøK .dia;= b;d wvqhs jf.au mqia;ld, myiqlï rcfhka imhkjd' 9' f,dj fyd|u wOHdmkh iys; rg wOHdmkh iïmQ¾Kfhkau fkdñf,a jf.au f,dj fydou wOHdmk l%uh ;sfhkafk;a *ska,ka;fha' fmd;am;a" mdi,a WmlrK" l%Svd NdKav fkdñf,a imhkjd jf.au wiykldÍ úNd.;a kE' áhqIka kE jf.au *ska,ka; orefjda f,dj wvqu udkisl mSvkhla iys; orefjda' 10' isiq ^SISU& fïl *ska,ka;hgu wfõKsl l%uhla' fïflka ´ku ;;a;ajhlag uqyqK fokak mq¿jka orefjla ks¾udKh lrkjd' ta yskaod ´kEu wjodkula .kak" lem ù jevlrk mqrjeisfhla ìysfjkjd' DM ^Wmqgd.ekSuls&

September 2020

DOCTOR MAGAZINE

93

D•Magazine /

World Happiness Report f,dj wxl tlg i;=áka isákafka *ska,ka;fha ck;djhs

World Happiness Report f,dj wxl tlg i;=áka isákafka *ska,ka;fha ck;djhs fvkaud¾lh yd iaùÜi¾,ka;h ms<sfj,ska 2 yd 3 ,xldfj wms bkafka 130 ia:dkfha jeäfhkau fodïkia iy.; wh isákafka ol=KQ iQvdkfhah ffjoH YdLH wurfialr m%lg .;a l;=jrfhl= jQ fâ,a ldk.S How to Stop Worrying and Start living kñka lD;shla óg oYl y;lg muK wE; ld,hloS ck.; l< úg thg ,enqfKA úYañ; b,a¨uls' zzi;=áka isák u.ZZ oek.kakg ljqre;a leu;sh' thg u.la lshd fokakg bosßma jk úg Tyq f,dalfha ùrfhl= jQfha ta ksidh' wo ojfia Okd;aul Ñka;kh hhs wf,ú jkafkao zzi;=áka isák u.ZZ hhs lSfjd;a th jrola fkdfõ' i;=g ;ud flfrka W;amdo úh hq;a;lehs hkak fmros. wd.ï j, b.ekaùuhs' f.!;u 94

September 2020

DOCTOR MAGAZINE

doctormagazine.lk

nqÿka jykafia zzika;=IAÀh mru Okh'''ZZ hhs foaYKd l< fial' 2011 cq,s udifha tlai;a cd;skaf.a ixúOdkfha uyd iNdj úiska Happiness: Towards a Holistic Definition of Development hkqfjka fhdackdjla iïu; lrk ,o w;r th tlai;a cd;Skaf.a 65$309 wxlh orK fhdackdjhs' tu fhdackdj u.ska idudcsl rgj,g ;u rgjeishkaf.a i;=g iïnkaOfhka fidhd ne,Sfï l%ufõohla ilik f,i b,a,d isák ,oS' wk;=rej 2012 wfm%a,a 2 osk uyf,alï nEka lS uQka m%Odk;ajfhka meje;S by< uÜgfï lñgqjloS fï iïnkaO úêu;a jQ l%ufõohla ilia lrk ,oS' wfm%a,a 4 osk f,dalfha m%:u i;=g iïnkaO jd¾;dj The first World Happiness Report bosßm;a flßK' f,dalfha m%:u i;=g iïnkaO jd¾;dj bosßm;a flrefkA by; /iaùï j,ska miqj msysgqjd .;a Sustainable Development Solutions Network kï jQ tlai;a cd;Skaf.a ksfhdacs;dh;khla úisks' Gallup's World Poll hkqfjka ye|skafjk iólaIKhla mokï lrf.k ck;djf.a i;=g iïnkaOfhka fY%aKs.; lsÍula fuysoS isÿfõ' jvd;au i;=áka isák mqoa.,hd fï j¾.SlrKh wkQj 10 wxlh u.ska ksrEmkh jk

doctormagazine.lk

w;r jvd;au fodïkiska hqla; mqoa.,hd 0 u.ska ksrEmkh fjhs' World Happiness Report 2020 kj;u jd¾;dj fï jk úg ksl=;aj ;sfnk w;r thg wkQj f,dalfha jeäfhkau i;=áka osú f.jkafka *ska,ka;fha ck;djhs' fvkaud¾lh yd iaùÜi¾,ka;h ms<sfj,ska fojk yd f;jk ia:dk orhs' wefußldj bkafka 18 ia:dkfhah' uyd ì%;dkHh 13 ia:dkfhah' kjiS,ka;h" ´iafÜ%,shdj yd c¾uksh ms<sfj,ska 8"112 yd 17 ia:dk orhs' i;=g o¾Ylhg wkQj f,dj fodïkia iy.; nj jeäfhkau lrmskakd.;a ck;djla fjfikafka ol=Kq iqvdkfhah' ol=KQ wm%sld ckrch fojk ia:dkho we*a. ksia;dkh f;jk ia:dkho orhs' Y%S ,xldfõ wm t;rï i;=áka bkakd cd;shla fkdfõ' wfma rfÜ ck;dj jefgkafka 130 ia:dkhgh' bkaoshdj 144 ia:dkhgh' l,dmfha fiiq rgj,a wmg jvd fndfyda bosßfhks' mlsia;dkh 66 fkamd,h 92 N+;dkh 96 nx.a,dfoaYh 107 fï ixLHdf,aLK msßlaiSfïoS wm ix;=IaGsh msKsi l< hq;= fndfyda foa we;ehs ysf;kjd''' DM

September 2020

DOCTOR MAGAZINE

95

D•Magazine /

ufkda ,sx.sl .eg¿ ldka;djka ,sx.sl weiqrg ìhlrjk wukqiai fodaIh i;Hhlao@

ldka;djka ,sx.sl weiqrg ìhlrjk wukqiai fodaIh i;Hhlao@

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

kfhdañ .=K hym;a ;reKshls' kfhdañ Ôj;a jkafka hlal, m%foaYfhah' weh Wiia wOHdmkh ,nk wjêfha isg wreK iuÕ wdor iïnkaOhla we;slr .;a;dh' wreKo kfhdañ fukau fndfyda ksy~ wej;=ï mej;=ï j,ska fyì ;reKfhls' jir foll wdor iïnkaO;djhlska miq fofokdu ;u foudmshkag Tjqkaf.a iïnkaOh ie<lr isáfhdah' foudmshka úia;r fidhdn,oa§ fofokdf.au jrola fkdÿgq fyhska újdy lr§ug leue;a; m< lf<dah' Wiia wOHdmkh ksu l< ú.i fofokdu újdy lr §ug fome;af;au foudmshka is;+ fiau Tjqkaf.a újdyh isÿúh' újdyfhka miq Tjqka fofokd 96

September 2020

DOCTOR MAGAZINE

doctormagazine.lk

kfhdañf.a foudmshkaf.a ksjfiau mÈxÑ jQfha kfhdañg foudmshkaf.ka fjka ùug leue;a;la fkdue;s ksidh' Tjqfkdjqka i;=áka yd iudodkfhka mjq,a Ôú;h .; l<y' újdy ù wjqreÿ fol yudrla ù;a fudjqkag orejl= fkdue;s ksid wreKf.a foudmshka Tjqkaf.ka fï iïnkaOfhka úuiQfõ {d;Skao m%Yak lrk ksidh' zzfudlo ;ju orefjla ke;af;aZZ hkqfjka kfhdañf.a foudmshka o wef.ka úuikakg úh' zz;ju ta .ek ys;=fj keye wïud' ;j l,a ;sfhkjdfkZZ lshñka fndfyda ir< ms<s;=rlska weh m%Yakfhka u. yeßhdh' ld,hla ;j;a blau h;aoS" kfhdañf.a foudmshka fukau wreKf.a foudmshkao fudjqka fofokd ;ju orefjla .ek fkdis;kafka uka±Zhs úuikakg úh' tys§o wjia:dkqrEmSj l=ula fyda ms<s;=rla § fofokdu tu m%Yakfhka mek .sfhdah' zzkfhda wïu,d yeu fjf,au orefjla .ek wykjd' ug f;afrkafk kE fudkjo ;j;a lshkafk lsh,dZZ wreK ueÈj isák .eg¿j .ek wreKs iuÕ idlÉPd lf<ah' fï jk úg Tjqka újdy ù wjqreÿ mylg;a lsÜgqh' foudmshkao kEoEhskao ys;ñ;=rkao zzwehs ;du <uhs ke;af;a' fvdlag¾ flfkl=gj;a fmkakqfjd;a fyd| keoaoZZ hk m%Yakh wi;s' fuf,i weiSu kfhdañg flfia fj;;a wreKg uy;a johla jkakg úh' zzwmg;a jvd m%Yafk ;sfhkafka wks;a ñksiaiqkagfkaZZ hkqfjka wreK fldam .;a;o hï hï wjia:djkayS§ kfhdañ iuÕ u; .egqï mjd we;s lr.;af;ah' kfhdañf.a uj úiska fndaê mQcd ;enqjdh' foúhkag Ndrydr úh' flakaorh ne¨fõ l, wm,hlaj;a we;eZhs is;dh' ta wkQjo hï hï lghq;= l<dh' kuq;a l=ula isÿ l<o tajdhska m%;sM,hla fmfkkakg ;snqfka ke;'

doctormagazine.lk

zzwïfu tfyu fohla ys;=ju;a ug nh ysf;kjd' ug tlg bkak nE wïud' ux fudllao lrkafkaZZ

fome;af;au foudmshka ueÈy;aù wreKj yd kfhdañj ffjoHjrfhlag fmkajuq hehs woyia l<o kfhdañj;a wreKj;a thg tlÕ fkdjQy' zzwmsg <uhs ke;s jqkdg wms fokakd i;=áka bkakjfka wïfïZZ hehs mjiñka thg lsisfia;au leue;a;la ±lajQfha ke;' kuq;a foudmshkaf. ka iykhla ,enqfka ke;' zztfyu lsh, yßhkafk keye' wfm;a mrïmrdj f.kshkak <ufhla bkak ´fk' ñksiaiq wyk tajg W;a;r ne| ne| bkak nE yeuodu;a' Th fokakd w;fr fudlla yß m%Yakhla ;sfhkj kï wmsg lshkak orefjdZZ hkqfjka wreKf.a mshd wreKg mejiqfõh' zzyß ;d;a;d tfykï wms ;j udi yhla ú;r n,,d fvdlag¾ flfkl=g fmkakuqZZ wreK tlÕ;djhlg meñKsfhah'

September 2020

DOCTOR MAGAZINE

97

D•Magazine /

ufkda ,sx.sl .eg¿ ldka;djka ,sx.sl weiqrg ìhlrjk wukqiai fodaIh i;Hhlao@

kfhdañf.a;a wreKf.a;a ;snQ iu.sho áflka ál wvqù hk njla fmfkkag úh' Tjqka w;ro ye,yemamSï" w~onr jeäjkakg mgka .;af;a orejl= fkdue;s ksidh' Èkla kfhdañ w~ñka ;u uj iuÕ hula l;d lrkakg wjYH nj ujg mejiSh' zzÿj fudllao m%Yafk' wehs Thdg fudllao fj,d ;sfhkafkaZZ lshñka kfhdañf.a uj l,n,hg m;aúh' zzkE wïfu' wmsg <uhs ke;af; wms w;r ;ju tfyu fohla fj,d keyeZZ kfhdañ w~ñka mejiqjdh' zzwïfu tfyu fohla ys;=ju;a ug nh ysf;kjd' ug tlg bkak nE wïud' ux fudllao lrkafkaZZ kfhdañ ish¨ úia;r wef.a uj yd mejiSh' zzwreK ta w;ska fyd|u fyd| ukqiaifhla' thd tal ú| ordf.k ldgj;a fkdlsh Thdg wdofrka bkak tlu we;s orefjd' kuq;a fïlg úi÷ula ;sfhkaku ´kfka orefjdZZuj kfhdañg mejiqjdh' zzwksl tfyu nhla wms wy,j;a keyeZZ uj ;jÿrg;a lSjdh' fuf,i fofokd w;r §¾> fõ,djla l;dnia we;súh' zzwfka ukaod' uu ;d;a;d tlal;a ysñka ief¾ lsh,d n,kakï fï .ekZZ kfhdañf.a uj mjikakg úh' zzwfka wïfï tal ;d;a;g lshkak ´k keye' ug ,eÊchs wïud ´l ;d;a;g lsõfjd;a ug ;d;a;g uqyqKfokak ,eÊchsZZ hkqfjka kfhdañ w~ñka ms<s;=re ÿks' zzyß ux ysñka iSrefõ fï .ek lshkakï' fudlg ,eÊc fjkjo orefjd' wms fouõmsfhda ´jd .ek ms<sfj<la lrkak tmehsZZ kfhdañf.a uj kfhdañj wiajeiqjdh' fï .eg¨j kfhdañf.a uj úiska kfhdañf.a mshd iuÕ l;d l<dh' zzfudllao fïlg wms lrkafkaZZ hkqfjka Tjqka úi÷ï fiùh' miqodu wreKf.a ujgo kfhdañf.a ;;a;ajh meyeÈ,s lrÿkakdh' zzfl,a, fyd|gu nhfj,d we;af;a wms nkSú lsh,d' talhs fuÉpr ojila ;ksju ÿr ordf.k fokakd b|,d ;sfhkafka' wksl fïl wms wy,j;a 98

September 2020

DOCTOR MAGAZINE

ke;s fohlafka' ´l .kka fkdf.k ´lg nh fkdù ys; yodf.k bÈßm;a fjkakhs ;sfhkafkZZ hkqfjka wreKf.a uj mejiqjdh' flfia fyda wreKsgo fï .ek fofokdf.au foudmshka úiska meyeÈ,s lrÿkako wehf.a fjkila olskakg fkdyels úh' zzyeu úêhlskau uu ys; yod.kak ys;=jd' kuq;a fldÉpr ys; yodf.k ysáh;a ta fj,djg fudllafoda fj,d uq¿ weÕu ;o fjkjdZZ kfhdañf.a ms<s;=r úh' zzlrkak ;sfhkafka fyd| lmq uy;a;fhlagj;a lsh,d msysgla n,dfmdfrd;a;= fjk tl ;uhs'ZZ wreKf.a ujf.a woyi úh' fuf,i ;SrKhlg meñKs Tjqka ta i|yd idia;rhla ne,Sug fhdackd lr.;ay' idia;r lshd ta i|yd wjYH jev lrk .fï m%isoaO lmq uy;l= fj; .sfha tys§ fyda ms<sirKla we;ehs hk úYajdih we;sjh' jeäysá fomsßiu foajd,h fj; .sfhdah' Tjqkaf.a jdrh meñKqks' iqÿj;ska ieriS bkg r;= máhla ne| fomd md doctormagazine.lk

i<Uj,ska yev lr.;a Wiuy; lmq uy;a;hd T¨j jkñka fudjqka foi ne¨fõ zzfudllao m%YafkaZZ lshñka wikakd fiah' zzwfma orejkaf.a m%Yakhla lmq uy;a;hdZZ wreKf.a uj lmq uy;d foi n,ñka lSh' zzfudlo fj,d ;sfhkafkZZ lmq uy;d weiqfõ .dïNSr iajrfhks' zzorefjd fokakg ;ju orefjla kE' újdy fj,d jir mylg;a jeähs lmq uy;a;hdZZ wreKf.a uj mejiSh' zzwms n,uqZZ lmq uy;d foajd,h ;=<g msúiSh' fomd¾Yjhu lmq uy;df.a msgqmiska foajd,h ;=<g msúiqKs' zznq,;a u; m~qre ;nd je|.kakZZ lmq uy;d ish¨fokdgu lSfõh' zz±ßúg l¿l=udr ne,au jeá,d' ta yskaod iajdñmqreIhdj wE;a lrkjd' ´lhs fj,d ;sfhkafka' f,dl= <ufhla fjÉÑ ojfia b|,d ;uhs l¿l=udr ne,au jeá,d ;sfhkafka' tal whska lrkak ´fkaZZ lmq uy;d isÿù we;s foh úia;r lr ÿkafkah' tal ksid ys;g iekis,af, bkak kE'ZZ lmq uy;d kfhdañf.a úia;r lSfõh' idia;rh wid ksujQ doctormagazine.lk

miq l¿l=udr fodaIhg l=ula l< hq;=±hs Tjqka lmquy;df.ka weiqfjdah' thg Ydka;sl¾uhla lr l¿l=udr ne,au bj;a l< hq;= nj;a ta i|yd remsh,a úismkaoyil uqo,la jeh jk nj;a ish¨ nvqNdysrdÈh ,nd.ekSug remsh,a oyih oyil uqo,la wjYH jk nj;a lmq uy;d mejiSh' ta i|yd Èkhlao fjkalr ÿkafkah' zzfyd|hs wms todg tkakïZZ hkqfjka mjiñka ish¨fokd foajd,fhka msg;aj wdfjdah' f.dla fld< yd flfi,a m;=rej,ska ;gq idod tajdg ÿï w,a,ñka mqo mQcd fldg meh y;rl jf.a ld,hla rd;%sfha Ydka;sl¾uh foúhka bÈßfha isÿflßKs' zz±ka ish¨ m%Yak wyjrhsZZ lmq uy;d mejiqfõ ish¨fokdgu n,dfmdfrd;a;=jla we;slrjñks' kfhdañg fjkodg jvd ieye,a¨jla is;g ±ksKs' ta jf.au wreKgo hïlsis n,dfmdfrd;a;=jla we;sjqkdla fuks' zz±ka b;ska wmsg m%Yakhla fjk tlla keyefkaZZ Tjqka miqÈk isg Ôú;fha w¨;a n,dfmdfrd;a;=jla we;sj oji f.ùh' fld;rï i;=áka ieye,a¨fjka isáho tÈko fjkod fukau wUqieñ weiqrg ìh kfhdañg we;súh' lrmq lsisu foalska fmdäj;a iykhla kfhdañg fkd±ksKs' úYd, uqo,la úhoï lr Ydka;sl¾uhla l<o lsis÷ fjkila isÿù fkdue;s nj Èk i;s udi f.ù hoa§ uekjska mila úh' foudmshkago isf;a l,lsÍula f.k fokakg úh'

September 2020

DOCTOR MAGAZINE

99

D•Magazine /

ufkda ,sx.sl .eg¿ ldka;djka ,sx.sl weiqrg ìhlrjk wukqiai fodaIh i;Hhlao@

zz±ka b;ska fudllao lrkafkaZZ Tjqka fmr mßÈu kej; fkdfhla foa l,amkd lrkakg úh' fï iïnkaOfhka úúO wh úiska úúO woyia m< l<o fï nj ±k.;a wreKf.a ñ;=frla zz±kaj;a Th úldr kj;a;,d ´lg m%;l s drhlg fhduq fjh,a,dZZ hehs lshd isáfhah'

zzfuys§ i;H jYfhkau ;snqfka wukqIH fodaIhla fkdfjhs' fndfyda wh fuh wukqIH fodaIhla f,i is;=jo fuh meyeÈ,s jYfhkau udkisl .eg¨jla' fuys§ hïlsis ;reKshlg ,sx.sl;ajh ms<sn|j we;s wjfndaOh wvqlu ksid iudcfha we;s úúO ñ;Hd u; is;aj,g we;=¿ fõ'

ta wkQj fuu .eg¨j Y%S ,xld iajdmk úoHdfõ§kaf.a ix.ufha j;auka iNdm;s ufkda Ñls;i a l" ffjoH mS'tka' úoHd,l=,m;s uy;d fj; fhduq flßKs'

m<uq tlaùfï§ fuu há isf;a mj;sk NS;sldj ;ud fkd±kqj;aju biau;= ù l,j" hánv" ,sxf.akaøsh wdY%s; m%foaYj, udxYfmaYSka ±ä fõ' i;H jYfhkau th isÿjkafka ukiska fok mKsjqvh ksihs'

ffjoH mS'tka' úoHd,l=,m;s uy;d kfhdañ iuÕ;a wreK iuÕ;a jeäysáhka iuÕ;a fjka fjkaj idlÉPd lr .eg¨ úi£ug Ndr .eksK's bkamiq i;s lsym s hla m%;l s dr lrf.k hEfuka miq fudjqkf a .a tu ;;a;j a h ÿreù .shy' idudkH wh mßoafoka fudjqka w;r wUqieñ iïnkaO;d wdrïN úh' isÿjQ isÿùu ms<n s |j foudmshka yd fudjqka fofokd le|jd ffjoH mS'tka' úoHd,l=,m;s uy;d fufia úia;r lrÿks'

100

September 2020

WodyrKhla f,i ;reKshla újdy ùug fmr m<uq ,sx.sl weiqr uyd fõokdldÍ fohla hkqfjka we;euqka m<lrk woyia wid ;sîug mq¿jka' th i;H jqjo" wi;H jqjo we;eï ldka;djka ;=< tu u;h ksid m<uq ,sx.sl weiqrg ìhla há isf;ys ;ekam;a fõ'

fuh ufkda úoHdfõ§ Vaginismus f,i y÷kajk .eg¨ldÍ ;;a;ajhls' ,sx.sl;ajh ms<sn| jerÈ is;=ú,s há isf;a ;ekam;a ùfuka we;s jk ;;a;ajhls' by; ksoiqkaj,g wu;rj fndfyda fya;+ka fï i|yd mdol úh yel' kuq;a ta flfia jqjo ufkda úoHd;aul m%;sldrh ;=<ska meyeÈ,s jYfhkau fuh iqj l< yels ;;a;ajhls'ZZ fujeks .eg¨jla i|yd lsisfia;au woDIHudk n,fõ. hla n, fkdmdk w;r" fuh ufkda ,sx.sl .eg¨jla muKs' wm úiska isÿlf<a uehg m%;sldr lsÍfuka uehf.a tu há isf;a ;snQ ìh bj;a lsÍuhs' tys m%;sM,hla f,i weh iqj úhZZ hkqfjka ffjoH mS'tka' úoHd,l=,m;s uy;d myod ÿks' wo jkúg kfhdañ foore ujla jk w;r" id¾:l mjq,a Ôú;hla .;lrhs' DM 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

DOCTOR MAGAZINE

doctormagazine.lk

D•Magazine /

fydañfhdam;s ffjoH l%uh COVID 19 jeks jix.; frda. j,g m%;sYla;slrKh f.dvkxjk fydañfhdam;s m%;sldr

fydañfhdam;s ffjoH l%ufha uQ,O¾uhu m%;sYla;sh by< kexùfuka frda. iqj lsÍuhs

fydañfhdam;s ffjoH l%uh COVID 19 jeks jix.; frda. j,g m%;sYla;slrKh f.dvkxjk fydañfhdam;s m%;sldr doctormagazine.lk

fi!LH" fmdaIK yd foaYSh ffjoH wud;HxYh foysj, rcfha fydañfhdam;s ffjoH uOHia:dkfha ia:dkNdr ffjoH ks,Odßks" fydañfhdam;s ffjoH wkqId fyaul=udr úisks

wmf.a m%dKh fyj;a ðjYla;sh wmf.a ukqIH YÍrhg ðjh fokakdjQ Yla;shhs' th wmg ye.Sï" oekSï" l%shdldß;ajhka yd iu;=,s;;djh mj;ajd f.k hdug;a YÍrh ðj;a lr,sug;a fya;= fjkjd' th Yßrfhka bj;a jqjfyd;a zzurKhZZ f,i y÷kajkjd'

September 2020

DOCTOR MAGAZINE

101

D•Magazine /

fydañfhdam;s ffjoH l%uh COVID 19 jeks jix.; frda. j,g m%;sYla;slrKh f.dvkxjk fydañfhdam;s m%;sldr

udkisl ;;a;aj hym;aj yd ldhslj ksis m%lD;s l%shdj,ska hqla; ùu wm zzksfrda.sluZZ f,i y÷kajkjd' wmg ndysr mßirfhka" wdydr rgd j,ska úúO jQ frda. ldrlhka fya;=fjka Yßrfha ksis l%shdj,shg ndOd úfuka we;s lrjk úlD;sNdjh frda.s ;;a;ajhka f,i y÷kajkjd' fuu frda.s ;;a;ajh bj;a lr kej; m%lD;s ;;a;ajhg .ekSug" tkï ksfrda.s ùug zzm%;sYla;slrKhZZ wjYH jkjd'

102

September 2020

wfma iajdNdúl m%;sYla;slrKh b,.ekafjkafka fufyuhs m%;sYla;slrKh lshkafka frda.ldrlhg tfrysj wm YÍrh ;=, il%sh jk fuu iajNdúl Yla;shs' Yßr.; jk frda. ldrlhka ksYal%Sh lsßu ioyd mqoa.,fhla ;=< isÿjk iajNdúl m%;sYla;slrK l%shdj,sh wÈhr 5 lska hqla; fjkjd' tajd wm m%;sfrdaOh" m%;spdrh" m%;sl%shd" m%;sM,h" m%;sia:dmkh jYfhka y÷kajkjd'fuysÈ YÍrh ;=< isÿjk iajNdúl yd .;sluh l%shdj,sfha§ tu mqoa.,hd w;aúÈk ldhsl yd udkisl wmyiq;djh olajk ,laIK zzfrda.s ,laIKZZ f,i y÷kajkjd' wm j;auka iudcfha is>% f,i me;sÍ hk jix.;hla f,i yÿkajk Covid -19 fyj;a fldfrdakd frda. ldrlh WodyrKhla f,i .ksuq' fuu frda. ldrlh YÍr.;ùu j<ld,Sug m%;sYla;slrKh Woa§mkh lrk m%:u mshjr m%;sfrdaOhhs' tkï kdia l=yr u.ska frda. ldrlh m%fõY ùu j<lajd .ekSug lsúiqï hdu" kdifha f;;ukh jeä lsÍu" kdia l=yrfha

DOCTOR MAGAZINE

doctormagazine.lk

yd W.=r leis,a, jeks frda. ,laIK fmkakqï lrkafka fïjd YÍrfha újrhka u.ska frda. ldrlh we;=,a fkdjk whqßka wdrlaId lr.ekSug olajk igk m%;sfrdaOfha ,laIKhs' frda. ldrlh flfia fyda we;=,a jQ úg th Yßr ;=< jHdma; ùu j<lajd .ekSug YÍrfha WIaK;ajh jeä lrkjd' th frda. ldrlhg tfrysj wrUk il%sh mshjr tkï ÿ¾j, jQ m%;sYla;slrKhg kj WoaÈmkhka isÿlr,Su" zzm%;spdrhZZ f,i yÿkajkjd' f;fjks mshjr f,i frda.ldrlh úkdY lsßug wjYH Ôj ridhksl m%;sl%shd isÿjk w;r reêrfha Yafõ;dkq ix>glhka m%udKd;aulj jeäùula olakg ,efnkjd' reêr ixhq;sfha we;sjk tjeks fjkialï mßlaIkd;aulj oelsh yelshs' fuys m%udKhka jeäùu frda. ldrlhg tfrysj YÍrh ikakoaO lsßug isÿlrk m%;sl%shdjhs'

doctormagazine.lk

i;rjk mshjr m%;sM,h f,i YÍrfha úúO bkaøshka jHqyd;aulj yd l%shdldrlï j, fjkialï we;súh yel' yqiau .ekSfï wmyiq;djh" ksõfudakshdj wd§ ijik ndOd fukau fjk;a bkaøshkaf.a we;sjk frda. msvdj,go f.dÿre úh yel' frda. ldrlfha .%yKfhka ñÈu fyda mrdch lsßu ioyd Yßrh ;=< isÿjq jHqyd;aul yd ridhksl l%shdj,ska kej; h:d ;;a;ajhg m;a lsÍu zzm%;sixialrKhhsZZ'by; i|yka l%shdj,sh W;af;ackh lr Yla;su;a l< yelskï frda.shd iqjm;a lsßu iy;sl l<yelsh' fydañfhdam;s T!IO tjeks W;af;acl Yla;sh f.dvkexùug Wmldr lrk m%;sYla;sh f.dvkxjk Yla;suh mod¾: j,ska hqla; jk f,dalfha mj;sk úYsIaG;u ffjoH l%uhhs' wfma ñksia isrer ilia fj,d ;sfnkafka ´kEu wdidokhla iu. igka lsÍug mq¿jka úÈhg' fï iu. fydo m%;sYla;slrKla wjYH jkjd' fydo m%;sYla;slrKhla ;sfnkjd kï frda.s nfjka wdrlaId ùug jf.au frda.s jqj;a blauKska kej; h:d ;;a;ajhg m;aùug fya;= fjkjd' fydañfhdam;s T!IO j, m%;sYla;sl .=Kdx. fydañfhdam;s T!IO j,g m%;sYla;slrKh j¾Okh lr ´kEu wdidÈ; ;;a;ajhla iu. igka lsÍug yels jk úÈhg wfma Yßrh yev.kajkakg yelshdj ;sfnkjd' fï ioyd fydañfhdam;s m%;sldr j,oS jeo.;a jkqfha fmkajk frda. ,laIKhs' frda. ,laIK frda. uq,h fmkajk zzix{d ud¾.hlaZZ jk w;r fydañfhdam;s m%;sldr j,§ tys fydañfhdam;s ffjoH úoHdfõ uq,O¾uh wkqj tu frda. ,laIKhkag iudk frda. ,laIK j,ska hqla; jQ T!IOh ksjerÈj f;dard Èu ;=< wka;¾.; T!IOh Yla;sh ÿ¾j, m%;sYla;sh frda.ldrlhg tfrysj W;af;ack Yla;sh WoaÈmkh úu frda. ldrl uq,h ke;slr oeñug iu;a fjkjd' tu.ska kej;

September 2020

DOCTOR MAGAZINE

103

D•Magazine /

fydañfhdam;s ffjoH l%uh COVID 19 jeks jix.; frda. j,g m%;sYla;slrKh f.dvkxjk fydañfhdam;s m%;sldr

m%;sixialrKhka tkï h:d ;;a;ajhg m;alr,Su;a isÿlr tys ks;H iqjh w;am;a lr.eksfï yelshdj fï ;=<ska we;s lr,jkjd' fydañfhdam;s T!IO we; w;S;fha mgka j¾;udkh olajdu úúO frda. ioyd úfYaIfhka fndajk frda. ioyd Ndú;d lrkjd' lshqndj jeks rgj, ó WK jix.;fhka ksoyia úug Wmldr jqfha fydañfhdam;s m%;sldrhs' wo ojfia fuys jákdlu todg;a jeähs Covid -19 tx.,ka;fha pd,aia l=udrhdg je<|Sfuka i;shla blaufjkakg fmr iqjh ,en.ekSug Tyqg Wmldr jqfõ fydañfhdam;s m%;sldrhhs' fujeks W;=ï jQ m%;sldr l%uhla ðú; /l.ekSug Ndú;d fkdlsÍu úYd, .eg¨jls' fuu m%;sldr l%uh frda.hg f.dÿre jqjkag iqj f.k fokak fiau f.dÿre fkdùug" jHdma;sh je<elaùug;a fnfyúka l%shdlrk m%;sldr l%uhls' fuu m%;sldr l%ufhau isoaOdka;hu m%;sYla;slrKh f.dvkexùuhs' fujeks ld,hl flá ld,hla ;=< úYd, m%foaYhl isák ck fldÜGdihlg fujeks jix.; ;;a;ajhl§ tl yd iudk frda. ,laIK fmkakqï lrk w;r tjeks wjia:djl frda.ska mÍlaId lr ish¨ frda. ,laIK igyka lr frda. ,laIK mokï fjñka ta yd iudk T!IOh f;dard .ekSu isÿ lrkjd' tfia f;dard.;a T!IO ukqIHhka yg oS ;=<ska tu frda.hg wod,j igka lsÍug ;u Yßrh ;=< m%;sYla;slrKh f.dvke.su isÿlrkjd' fï ;=<ska wdidok frda. ldrlfhka wdrlaId ùu;a isÿ lr,kjd' tkï fydañfhdam;s m%;sldr T!Iëh Yla;sh wdidokhg wod<j thg tfrysj igka lsßug wm Yßrh ;=, m%;sYla;slrKh f.dvkexúu fuu m%;sldr l%ufha iqúfYaIs;ajh jkq we;' fï ioyd lshqndj jeks rg j, Covid -19 jix.;h jHdma;sh j<ld,Sug Tjqka ;=, m%;sYla;slrKh f.dvkexùug fydañfhdam;s T!IO yhlska hqla;

104

September 2020

DOCTOR MAGAZINE

jQ T!IOhla mdúÉÑ lrkq we;' ,xldfõ§ fydañfhdam;s T!IO Covid -19g tfrysj jHdma;sh j<ld,Sug m%;sYla;slrK T!IO fydañfhdam;s ffjoHjre ck;djg ,nd fokq we;' wm fN!;sl Í;Ska wkq. ukhg hg;aj wkql=,j isákjd fiau jeo.;a jk m%Odk fohkï tu jix.; frda.ldrlhg tfrysj wm ;=<g frda. ldrlhg tfrys jk f,i Yla;su;aj Yla;su;a f,i m%;sYla;slrKh YÍrh ;=< Wmojd ;sìuhs' fï ioyd w;=re wdndO ke;s úoHdkql=, mokï u; msysá" b;d ir," ´kEu frda.hkag m%;sldr l, yel' iajNdjO¾ufhkau frda. iqjm;a lsßfï l,djla f,i odhdohla jQ fydañfhdam;s ffjoH l%uh m%;sldr Ndú;d lsÍu ;=<ska rfÜ ck;d iqrlaIs; jkq we;' DM

fydañfhdam;sffjoH l%uh .ek úuiSï

011-2731695 0718250716$17

doctormagazine.lk

D•Magazine /

wdhq¾fõoh uOqksud uyú, ,sms irKsh

uOqksud uyú, ,sms irKsh

iDIsNdú;hka" ila foúªka yd wdOHd;auh oshqKQ lr.;a W;a;uhka w;f¾ oshqKQ jQfy< fjolfuys wNsudkj;a b;sydih foaYSh fjolu foaYSh uyd n%yau ÈjHrdchdg iajhxN+ {dkfhka my< jQ neõ oelafõ l%sia;= j¾I ;=kaodylg fmr iudrïNfha isg fï olajd foaYSh fjolfï §¾> b;sydih ixlaIsma;hls' l%sia;= j¾I 3000lg fmr m%:ufhka uyd n%yau ÈjHrdchdg iajhxN+ {dkfhka foaYSh fjolu is;g my< úh' ukqf,dj ckmo j, fjfik jeishka kdkdúO frda. j,g md;% jk nj Èjeiska oel tajdg m%;sldr jk T!IO iajhxN+ {dkfhka is;g my< úh' tu uyd n%yau ÈjHrdchdf.a fjolu" uyd n%yau Njkg .sh miq olaI m%cdm;s fï fjolu ;SlaIK nqoaêfhka W.;ay' fjolu fyd¢ka yodrd fojkqj wiajks l=udrjreka fofokdgo b.ekajQy' fuu wiajks

doctormagazine.lk

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

l=udrjreka fofokd bka miq Yl%foafõkaøhdgo fï fjolu b.ekajQy' miqj Ndroajdc uqksjrhd Yl% Njkg f.dia ;SlaIK nqoaêfhka fï fjolu wx.iïmQ¾Kj W.;ay' bkaÈhdfõ ysud,fhys meje;ajQ iDIs iïfï,kfha§ l%sia;= j¾I 3000 lg fmr ffjÈl hq.fhaoS foaYSh fjolu wdrïN úh' ffjÈl hq.fha ckmojdiS ukqIH j¾.hdg iEfok frda. .ek lshkakg lsif s jl= isáfhao ke;' tjlg isáfha ;jqia rlsk nuqfKdah' fï nuqfKda .,a Wv iy .ia hg ly isjr q e ordf.k trñksh f.d;df.k" wf;a kj.=Kje,a .ksñka Ndjkdkqfhda.j S isáfhdah'

September 2020

DOCTOR MAGAZINE

105

D•Magazine /

wdhq¾fõoh uOqksud uyú, ,sms irKsh

tl, ckmo j, fjfik .ïjeisfhda fï .ek uyd n%yauhkag ie<lr isákakg jQy' uyd n%dyauKfhdao fï wid jydu f,dalfha úisÍ isák ish¨‍u n%dyauKfhda idlÉPd ud¾.fhka bkaÈhdfõ ysud, m¾j;hg /ia l<y' n%dyauKfhda 54 kula fï i|yd tlaúh' fï n%yu a Khka mkia y;r wdfl%h" Ndroajc" olaI m%cdm;s" wiajks l=udrjre fofokd" wka.r S ia" cuo.ak"s jhsIaG" ldYHm" yD.=" wf;;%h" m%kdfõiq" fidavvh" f.!;u" mq,ia;s" kdro" wis;" w.ia;sh" jdufoaj" udKsla fâh" wYaj,dhk" mßlais" NslaIQl" lmsÜg," úYajdñ;% wYajr:h" Nd.%j" jHjk" wyscs;a" NdISh" Ykaã,h" flkaã,h" jdrdlaIs" foaj," Yd,j" ikalD;h" ffjcjdms" irf,dj" ldYHm" nordhk" nãI" irf,dj" ldmkS" lD;mdhk" lkaldhk" ysrkdrlaI" f,daldldYkS" Y=l=fkah" ffu;%sh jYfhks' fuu n%dyauKhka 54 fokd idlÉPd lr Yl%foafõkaøhd yuqúh' bkamiq Yl%foafõkaøhd iu. idlÉPd lr fuu ckmoj, fjfik frda.Ska iqjm;a lsÍug ms<sirKla fidhd hdu i|yd bka n%dyauKfhda i;r fofkla iQodkï jQy' olaI m%cdm;s" m<jk wiajks l=ure" fojks wiajk l=ure Ndroajc uqKsjrhd hk fï i;r fokd bkamiq Yl% Njkg msg;a jQy' tys§ Yl% foafõkaøhd yuqùfuka miq tys jev bkaø foaj;djd oel mqÿuhg m;a jQy' fï foaj;djd rkska nenf<kafkah' .sks f.dvla fuka È,sfikafkah' iqr wiqrhka mrojk uyd n,hla we;' fuys meñ‚ Ndroajc uqKsjrfhda Yaf,dal mdGhla lshd bkaø foaj;djd ms<s.;ay'

106

September 2020

DOCTOR MAGAZINE

bkamiq fï i;r fokdf. ka wiajks l=ureka fofokd Ndroajdc uqKsjrhd Yl% Njfka kej;S olaI m%cdm;s muKla uyd n%yau ÈjHrdchd yuqùug msg;a úh' tys§ olaI m%cdm;s ÈjHrdchd yuqù foaYSh fjolu fyd¢ka bf.k f.k wdmiq Yl% Njkg meñK Yl% Njfka kej;S isá wiajkq l=udrjre fofokdg wx. iïmQ¾Kj fï fjolu b.ekajQy' Bg;a miq wiajks l=udrjre fofokd bf.k.;a fjolu Yl% foúhkag b.ekajQy' Yl% foafõkaøhd Ndroajc uq‚jrhdg b.ekajQy' Ndroajc uqKsjrhdo olaI ffjoHjrfhla úh' bkamiq fï i;r fokd ukq f,djg meñK ysud, jkfha /£ isá n%yauKfhda mkia fokdgu wjfndaO lr isàfuka miq Tjqka 54 fokdu olaI iDIsjre njg m;ajQy'

doctormagazine.lk

bkamiq fï iDIsjre mkia y;r fokdf.ka tla rglg tla RIsjrhl= ne.ska msg;a úh' fï wh w;ßka ol=Kq bkaÈhdj w.ia;s iDIsjrhdo" Y%S ,xldj mq,ia;s iDIsjrhdo ndr .;ay' mq,ia;s iDIsjrhd ,xldfõ ffjÈl hq.fha ckmo j, fjfik frda.k S g a m%;l s dr lsÍfuka miq ish,af,da u iqjm;a jQy' bkamiq fï fjolu Ndroajdc uqksjrhdf.a uqKqmqrd jk rdjKd wêrdchd fyd¢ka bf.k .;af;ah' Tyq ,xldfõ isxy, fjolu ÈhqKq l<y' Tiq Whka uejQy' ish¨‍ frda.Ska iqjm;a l<y' bkamiq f.da,fhda yeÿy' tla wfhl= Ôjl fl!udrNÉp mç;=ud úh' Tyq Ôjl mç;=ud kï úh' Ôjl mç;=fuda ;SlaIK nqoaêfhka olaI f,i fjolu bf.k.;ay' jeäÿr bf.k .ekSu i|yd tl, oUÈj kd,kaod" ;laIs,d" úl%uYs,d úoHd,hkays W.;ay' Bg wu;rj Èidmdfudla wdpd¾hjrekaf.a md,kfhys meje;s úoHdh;ko" mer‚ oUÈj ;snQ nj;a Ôjl fl!udrNÉp mçjrhd thskao bf.k .;a nj;a t;=fuda w;s olaI ffjoHjrhl= nj;a b;sydifhys i|ykaj ;sfí' doctormagazine.lk

foaYSh fjolfï iudrïNh iksgqyka jkafka l%s'j' 300lg fmr ysud,fha n%dyauKhka 54la iyNd.s jQ ffjoH iïfï,khlsks' olaI m%cdm;s" Ndroajc uqKsjrhd yd wiajks l=udrjreka fofokd ilafoõf,djoS oek W.;a fjolu ysud,fhaoS iDIsjreka 54la w;g m;ajQ w;r fï iDIsjreka m%;Hka; foaYhka fj; ckS ckhd ys; iqj msKsi .uka lf<dah' wfma rgg foaYSh fjolu yªkajd ÿkafka mq,ia;s iDIsjrhdh

,xldfõ ffjoH fiajfha iaj¾Kuh hq.h rdjKd hq.hhs' bkaÈhdkqjkaf.a ,xld wdl%uKfhka miq Èjhsfkys ,sheù we;s jxYl;d" wIaG l;d" Ys,d ,sms yd fjofmd;a fï nj ;yjqre lrhs' ;jo Ôjl mç;=ud wm f.!;u nqÿrcdKka jykafiago fjolï lf<ah' fk¨‍ï u,a ;=kla f.k úf¾pk Tiq .,ajd tla jrla pqïNkh lsÍfuka nqÿka jykafiaf.a frda. iqj l<y' idfla; kqjr jeis isgqjßhlf.a y;a wjqreÿ ysirohla tla kiakhlska iqjm;a l<y' rc.ykqjr isgqyqf.a fudf<a lñka isá mKqjka fofofkla ysfiys ie;alula fldg wialr tla Èklska iqjm;a l< w;r t;=udf.a oialï tfia Èia jkakg úh' ÿgq.euqKq rc iuh l%sia;= j¾I 137 isg 167 olajd mej;s‚' ÿgq.euqKq rc;=ud isxy, fjolu ÈhqKq ;shqKq l<y' Tiq Whka jejQy' wdfrda.HYd,d we;s l<y' .¾NKS uõjreka fjkqfjka fjku wdfrda.

September 2020

DOCTOR MAGAZINE

107

D•Magazine /

wdhq¾fõoh uOqksud uyú, ,sms irKsh

bÈl, rc;=ud mY= ffjoH l%uhla isß,l we;s lsÍfuys,d mqfrda.dó úh' i;=ka fjkqfjka frday,lao bÈ l<y' tu frday, kv;a;j = i|yd rcqf.a NdKavd.drfhka úhoïo oerEy' ;jo .ïj, l=Uqre j,ska ,efnk wdodhfuka oyfhka tla fldgila frday,aj, fiajlhkaf.a kv;a;= i|ydo .ïjeisfhda ,nd ÿkay' Ndroajdc uqksjrhdf.a uqKqmqrd jk rdjKd wêrdchd ,xldfõ md,kh Ndrj isáhy' fjolug ys;e;s Tyq Ôjl fl!udrNÉp mç;=ud kd,kaodfõ fjolu bf.kSug msg;a lf<Ah' kd,kaodj b;d oshqKQ Wiia wOHdmk wdh;khlaj mej;S wdldrhg fï kgnqka foia fkdfokafkao@

HYd,djla we;s l<y' fuu wdfrda.HYd,dj, fiajh lrk fiajlhska yd úkakUqjka yg wdydr mdk i|yd rcqf.a fm!oa.,sl NdKavd.drfhka m%;smdok fjka l<y' ish¨‍ úhoï rcq úiska iemhQ nj uydjxYfha i|yka fõ' ^m'r' 32 .d:d 38& l%s'j' 307 isg 377 olajd mKavqldNh rc iufha t<ô‚' mKavqldNh rc;=udo fjolu b;d by<ska ÈhqKq l<y' wkqrdO .%dufha w iQ;sld.drhla iy wdfrda.HYd,djla bÈ l<y' ;sôß f.hla yd .s,ka y,la msysgqùh' Tiq Whka jejQy' isxy, fjolu ful, isxy,hdg oefkkakg úh' ckmo j, fjfik ish¿u jeishkaf.a ish¨‍ frda. iqjm;a l<y' mKavqldNh rc;=ud olaI Y,H ffjoH jrfhlao úh' l%sia;= j¾I 398 isg 426 olajd nqoaOodi rc iuh t<ôK' nqoaOodi rcq olaI Y,H ffjoHjrfhla úh' isxy, fjolu ÈhqKq l<y' .ula .ula mdid frday,a bÈl<y' wkaOhka i|yd fjku frday,la" wdndê; jQjka i|yd fjku frday,la" hqo Nghka i|yd fjku frday,a" .eìKshka i|yd iQ;sld.dr bÈl<y'

108

September 2020

DOCTOR MAGAZINE

nqoaOodi rc olaI Y,H ffjoHjrfhls' tl, kd.fhl=f.a f.ähla m,d fjolï l< wkaou fmd;am;aj, i|ykaj we;' l%sia;= j¾I 426 isg 468 olajd fojk Wm;siai rc iuh t<ô‚' t;=udo isxy, fjolu ÈhqKq lsÍug wdfrda.HYd,d" Tiq Whka wdosh fkduiqrej ;ekQy' 792 isg 797 olajd fofjks omamq, rc iuh t<ôK' omamq, rcq fmdf<dkakre hq.fha fjolu ÈhqKq l<y' fmdf<dkakrej moúh m%foaYfha wdfrda.HYd,d" wkaOhska fldreka i|ydo fjku frday,a bÈ l<y' fu;=ud isxy, fjolu b;d fyd¢ka ÈhqKq l<y' rgjeisfhda rcqg b;d wdorh lr nj uydjxYfha i|yka fõ' ^49 .:d 18'19 doctormagazine.lk

l%sia;= j¾I 896 isg 913 olajd isõjeks ldYHm rc iuh t<eôK' fmdf<dkakrefõ iy wkqrdOmqrfha frday,a bos l<y' jix.; frda. i|yd fjku frday,a bÈl<y' fï ksß÷ka Èjhsfka fkdfhla ;ekays mqkHdfrda.H Yd,d bÈl< nj uydjxYfha i|yka fõ' ^ùr 52& l%sia;= j¾I 956 isg 972 olajd isjqjeks ñys÷ iuh t<ôK' wkqrdOmqr hq.fha frday,la boslr ffjoH l¾uh ÈhqKq l<y' fuu rcqf.a mq;Kqjkao Wmdil" Wmdisld fomsßif.a m%fhdackh i|yd wdfrda.HYd,djla bos l<y' fmdf<dkakre hq.fha l%sia;= j¾I 1153 isg 1186 olajd uyd mrdl%undyq rc iuh t<ôK' mrdl%undyq rcq úiska isxy, fjolu w;sYhska oshqKQ l<y' wdfrda.

HYd,d bos l<y' uyd fjokd iq¿ fõokd hkqfjka Tyqf.a weue;s u~q,af,a weu;sjre ffjoH weu;s" ffjoH Wm weu;s hkqfjka moú folla ;snqKQ nj uydjxYfha i|yks' ;jo wdfrda.H Yd,d bÈlr tla frda.sfhl=g i;a;=ldßhka fofokl= ne.ska m;a lr we;s nj i|yka fõ' wirK jQ hqo Nghka fjkqfjka mqyqKqj ,enQ m%:udOdr lKavdhï mqyqKq lr ;snQ

doctormagazine.lk

fmdf<dkakrefõ bmerKs frday,-fmdf<dkakrefõ rkafld;a fjfyr ió‍mfha we;s fï f.dvke.s,a, NslaIQ frday,la fia yªkdf.k we;' fuys we;s úfYaI;ajh jkafka th ñyska;‍,d frday,a .Dy ks¾udK Ys,amhg fnfyúka iudk ùuhs' ;jo tu f.dvke.s,a, wkqrdOmqr iy ueÈß.sß frday,a j,go iuk;d we;'fuf;la Y%S ,xldfjka fidhd .;a fyd|u ;;a;ajfha fnfy;a Trej yuqjkafka fuu N+ñfha lrk ,o lekSï j,§h' ^f;jeks mqrdúoHd le‚ï jd¾;dj mS't,a' fma%u;s,l&

nj i|yka fõ' bkamiq ish¨‍u rcjre isxy, fjolu ÈhqKq l<y' Bg miq uE;l§ mrfoaYlaldrhka ,xldjg meñK ,kafoaiska" mD;=.Siska yd bx.srsiska úiska isxy, fjolu úkdY l<y' isxy, fjolu lnf,ka ,smg jegq‚' isxy,hd i;= isxy, fjolu isxy,hd w;skau úkdY lsÍug ie,eiaùh' ngysr fjolu wm isxy,hkg yqre l<d muKla fkdj Y%S ,xldj mqrd Tjqkaf.a fjolug isxy, fjolu hg l<y' fujeks hq.hl 1961 wxl 31 orK zzwdhq¾fõo mk;ZZ kñka mk;la we;s lr miqld,Skj foaYSh ffjoH wud;HdxYh wdhq¾fõo fomd¾;fïka;=j we;slr wdhq¾fõofhka m%;sldr lrk uy frday,a l=vd frday,a ,xldfõ fkdfhla m<d;aj, bÈlr kej; isxy, fjolu m%Odk Odrdjg tla lr.kakd ,oS' frda. tlla folla yereKq úg ´kEu frda.hla ksÜgdjg iqj lr.ekSug myiqlï ie,iSh' DM

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 foaYSh ffjoHY+Í foaYudkH uydpd¾h fya uQ fikr;a chiQßh ^wdhq¾fõo ffjoH iNdfõ ,shdmosxÑ wxlh 14251 ) uyú, fjo ueÿr" háhkaf;dg mahavilawedamahatha9@gmail.com

September 2020

DOCTOR MAGAZINE

109

D•Magazine /

wdhq¾fõoh yoj; wdrlaId lrk ri msß .=K flduvq

yoj; wdrlaId lrk ri msß .=K flduvq

iu ;sßyka lrhs rej irihs wdpd¾h" ffjoH ufyaIa w;=r,sh

.s

ïydk ld,fha§ wm b;du;a wdidfjka wkqNj lrk flduvq b;du;a ñysß rifhka hq;a fmdaIH mod¾:fhka imsß m<;=rls' flduvq j, b;sydih .;a l, ol=Kq wm%sldj flduvq j, kscìu jYfhka jd¾;d fõ' t;eka isg l%s' mQ 5000 muK jk úg tajd mqrdK Bðma;=fõ tÈfkod wdydrhla njg m;a ù ;sfí' ta i|yd mer‚;u idlaIsh jkafka flduvq wiajekak fk<Su ms<sn| l;dkaorh mjik tl, f.dvke.s,s j, we;s yhsfrd.a,s*ah' ur‚ka u;= Ôúf;a § ñh.sh whf.a wdydr f,i m%fhdackhg .kq msKsi rcjrekaf.a fidfydka j,o flduvq j, kgnqka ;sî we;' úúO j¾Kfhka" úúO yevfhka hq;a úúO j¾.fha flduvq wo jk úg wmg oel.; yelsh' flduvq j, fmdaIKh ms<sn| l;dny lsÍfï§ flduvq fndfyda ÿrg c,h ishhg 90 iy ldnka ishhg 7'5 j,ska iukaú; fõ' tys fm%daàka fyda fïoh fkdue;s w;r le,ß w.ho b;d wvqh'

110

September 2020

DOCTOR MAGAZINE

wuq flduvq 2$3 fldamamhl ^.%Eï 100& we;s fmdaIH mod¾: le,ß( 30 c,h( 90] fm%daàka( .%Eï 0'6 ldnka( .%Eï 7'6 iSks( .%Eï 6'2 ;ka;=( .%Eï 0'4 fïoh( .a?ï 0'2 flduvq fmdaIK wka;¾.;fhka YÍrhg ,efnk m%;s,dN''' ,hsfldmska ^lycopene& ,hsfldmska hkq m%;sTlaisldrl .=K we;s Ydl fmdaIlhls' r;= iy frdai m,;=re jk ;lald,s" flduvq iy frdai ñÈ jeks j¾Kl j¾Kh Tjqkaf.a ,dlaI‚l j¾Khhs' flduvq j, wvx.= ,hsfldmska ifuys we;sjk oeú,a, iukh lrhs' ifuys /,s jeàuo wju lrhs' tu.ska ifuys ms<sld j¾Okh ùu j<lajd,hs' fmdgEishï fmdgEishï hkq Tn .kakd wdydr j, wvx.= Lkschls' tho úoahq;a úÉfþoHhls' úoHq;a úÉfþoH YÍrh mqrd úoahq;a wdfõ.hka isÿ lrhs' w;HjYH YÍr l%shdldrlï rdYshlg Tjqka iydh fõ' doctormagazine.lk

flduvq j, wvx.= fuu fmdgEishï wê reêr mSvkh wvq lrhs' îgd lefrdàka îgd lefrdàka hkq m%;sTlaisldrlhls' flduvq j, wka;¾.; jk fmdaIH mod¾: ysre lsr‚ka we;sjk úI iys; úlsrKfhka iu wdrlaId lrhs' úgñk úgñka A, B yd C ifï /,s jeàu wju lrk ;reK fmkqu /l fohs' ;jo wiaÓ j¾Okhg o WmldÍ fõ' flduvq ;=< we;=<;a B6 m%;sYla;slrK moaO;sh Yla;su;a lrhs' fuh m%;sYla;slrKhg wjYH m%;sfoay ksmojhs' r;= reêrdKq iE§u fõ.j;a lrhs' fuu.ska m%;sYla;slrK moaO;sh kshdukh lrk w;r wdidokj,ska wdrlaId lrhs' ² óg wu;rj" isref¾ nr wvq lr .ekSugo flduvq fnfyúka WmldÍ fõ' flduvq ;=< we;=<;a by< c, m%;sY;h ksid mßjD;a;Sh l%shdjka fõ.j;a lr isref¾ úIøjH bj;a lsÍug WmldÍ fõ' fuu l%shdoduh u.ska isref¾ nr ie<lsh hq;= muKlska wvqlr .; yels fõ' ² m¾fhaIKh j,g wkqj iEu Èklu flduvq fm;a;la wdydrhg .ekSfuka wys;lr fldf,diagfrda,a we;s doctormagazine.lk

ùu j<lajk w;r tu.ska yDo frda. j<lajd .; yelsh' wjjdoh ´kEu fohla ´kejg jvd ´kE kE hkak m%p,s; lshuKls' flduvq wêlj wkqNjh iïnkaOfhka fuys Ndú;dj fufiah' iSudj blaujd mßfNdackh lrk flduvq ksid oshjeähd frda.Skaf.a reêr mSvkh by< w.hkag m;aúh yelsh' flduvq wk.s rEm,djKHuh w.hla we;s fmdaIlhla jYfhka''' fmdaI mod¾: /ilska hq;= flduvq j, rEm,djKHuh jákdlulao ;sfí' Tfí

September 2020

DOCTOR MAGAZINE

111

D•Magazine /

wdhq¾fõoh yoj; wdrlaId lrk ri msß .=K flduvq

fõ' fuh Tfí iug mßmQ¾K fmkqula ,nd §ug WmldÍ fõ'

isref¾ ysiflia yd iu wdrlaId lsÍu i|yd by< fmdaIKhla ,ndfohs' ysiflia iy iu i|yd flduvq wkqNjfhka we;sjk jdis 1& ysiflia j¾Okh lrhs wd¾ðkska ^weuhsfkda wï,h& wmf.a YÍrhg w;HjYH jk w;r ysialnf,a reêr ixirKhg WmldÍ fõ' flduvq j, iajdNdúlju meÕsß úYd, m%udKhla wvx.= jk w;r th wd¾ðkska uÜgu by< kxjk w;r tu ksid ysiflia j¾Okhg .=KodhS fõ 2& ysiflia ke;sùu j<lajhs flduvq úgñka iS j,ska imsß m<;=rls' ksfrda.S ysiflia j¾Okh i|yd fld,eckao wjYH jk w;r flduvq fld,cka iE§u m%j¾Okh lsÍug WmldÍ fõ' 3& fudhsiaprhsia ysiflia flduvq îc f;,a b;d ieye,a¨‍ f;,a jk w;r th f;;ukh i|yd WmldÍ jk w;r flduvq IeïmQ j, b;d fyd¢ka l%shd lrhs' 4& iu ic,kh lrhs úc,kh jQ iu w÷re yd úh,s fmkqula we;s l< yels kuq;a flduvq j, wêl c, wka;¾.;hla we;s neúka iu ic,Shj yd f;;aj ;nd .ekSug WmldÍ

112

September 2020

DOCTOR MAGAZINE

5& iu fgdak¾ lsÍug l%shd lrhs flduvq j, iajNdúl øjHhla wvx.= jk w;r th YÍr mgl yels,Sug WmldÍ fõ' fuhska uQ,slju woyia lrkafka flduvq hkq iug kejqï njla ,nd Èh yels iajdNdúl fgdakrhla njhs' 6& iu jhig hdfuka j<lajhs wm jhig h;au wfma iu isyska ù ydksj,ska ñ§ug fkdyels fõ' flduvq j, ,hsfldmska iy úgñka iS iy ta jeks m%;sTlaisldrl j,ska msÍ we;s w;r jhig hdu m%udo lrhs' 7& ifï f;,a ksIamdokh j<lajhs iafkay>%dù .%kaÓ u.ska f;,a i%djh lrhs' flduvq úgñka A j,ska msÍ we;s w;r ifï isÿre m%udKh iy Tfí oyäh .%kaÓ i%djh lrk f;,a m%udKh wvq lrhs' fuu .=Kdx. ksid flduvq l=re,E j,g WmldÍ fõ hehs úYajdi flf¾'

doctormagazine.lk

4' mela fh§u íf,kav¾ lr.;a flduvq m,amfhka fïi ye¢ y;rla fhda.Ü fïi yeÈ folla ó me‚ ìxÿ wgla ñY% lr uqyqfKa wdf,am lr úkdä ;sylg miqj msßisÿ j;=frka fidaod yßkak' íf,kav¾ lr.;a flduvq m,amfhka fïi yeÈ 4 la fodvï hqI fïi ye¢ 1la ó me‚ ìxÿ 8 la iuÕ ñY% lr uqyqfKa wdf,am lr.kak bka miqj msßisÿ j;=frka fidaod yßkak'

flduvq f*aI,a ksjfia§u flduvq j,ska f*I,a tlla lrk wdldrh 1' laf,kai¾ lsÍu 2' uidÊ lsÍu 3' iaàï lsÍu 4' ial%í lsÍu 5' fgdak¾ lsÍu 1' laf,kai¾ lsÍu flduvq íf,kav¾ lr Èhrh muKla fmrdf.k thg j;=r f;a ye¢ tlla oud foys ìxÿ wgla o oud uqyqfKa wdf,am lr.kak' miqj uDÿ f,i rjqï lrljñka úkdä y;rla muK laf,kai¾ lr .kak' bka miqj msßiqÿ j;=frka fidaod yßkak' 2' uidÊ lsÍu íf,kav¾ lr fmrd .;a flduvq hqI fïi ye¢ tlla iu. fldaudßld idrfhka fïi ye¢ tlla yd ó me‚ ìxÿ wgla ñY% lr uqyqfKa wdf,am lr .kak' m<uqj fn,a, m%foaYh" kslg" f;d,a jgd kdih" weia jgd" k<, iïndykh lr bka miqj lïuq,a m%foaYh iïndykh lrkak' iïndyk m%;sldr úkdä ;syla muK l< hq;= nj u;l ;nd.kak' 3'iaàï lsÍu WKq j;=r fíiula fyda face iaàu¾ tlla Ndú;fhka fyd|g uqyqK oyäh ouk f;la úkdä ;syla wgla muK iaàï lrkak'

doctormagazine.lk

5' fgdak¾ lsÍu flduvq íf,kav¾ lr Èhrh muKla fmrd. kak' miqj thg foys ìxÿ wgla ñY% lr .kak' fuu Èhrh Wfoa iji wdf,am lsÍfuka Tfí iug wys;lr úiîc we;=¿ ùu j,lhs' flduvq j,ska ksjfia §u iliaa lr.; yels wdydr jÜfgdare lsysmhla ,nk l,dmfhka ffjoH ufyIa w;=r,sh Y%S ,xldfõ m%:u wdhq¾fõo rEm,djKH .%ka: rplhd fjhs' idlÉPd fldg ilia lf<a ìkd,s rdcmlaI DM

September 2020

DOCTOR MAGAZINE

113

D•Magazine /

wdhq¾fõoh ksis fõ,djg wdydr fkd.;af;d;a .eiag%hsáia yeoSu j<lajkak neye

ksis fõ,djg wdydr fkd.;af;d;a .eiag%hsáia yeoSu j<lajkak neye

l%sñrdc T!IOd,h wêm;s uydpd¾h" ffjoH iquKr;ak wur;=x.

zuf.a nv mqrj, od, jf.a''' nv mmqj okj''' nv msÉfpkj jf.a''' fujeks ueisú<s Tn;a wid we;s' ke;akï Tn;a tfyu lshkjd fjkak;a mq¿jka' fï frda. ,laIKhg fndfydaúg n,mj;ajkqfha wdudYh wdY%s; Yaf,aIAu, mg,j, we;sjk m%odysl ;;a;ajhhs' idudkH jHjydrfha zz.eiaálaZZ f,i oelajQj;a fuh Gastritis kue;s frda. hhs' wdhq¾fõofha th zzwï, ms;a; frda.hZZ jYfhka yªkajuq'

114

September 2020

DOCTOR MAGAZINE

doctormagazine.lk

wï, ms;a; frda.h ksid ishqï jHqydjka fjkia jk yeá

wï, ms;a; frda.hg n,mdk fya;= ² wdydruh yd T!IOuh fya;= ² úyrKuh fya;= ² udkisl iajNdjh wdydruh yd T!IOuh fya;= ² kshñ; fj,djg wdydr fkd.ekSu ² ksr;=reju f;,a" ñßia yd ;=kmy wvx.= wdydr wêl jYfhka .ekSu ² wÉpdre" fidaia j¾." n,hka" cdä" yqre,a,ka" oe,a,ka jeks ² WIAKdêl wdydr jeä jYfhka .ekSu ² ks;r u;ameka yd ÿï mdkh lsÍu ² lD;%Su rildrl yd jrKldrl wka;¾.; îuj¾. mdkh lsÍu ² c,h wvqfjka mdkh lsÍu úyrKuh fya;= fï hgf;a flfkl=f.a tosfkod yeisÍu" meje;aufyj;a ffoksl oskp¾hdj fya;=fldgf.k we;sjk wï, ms;a;h .ek úia;r flf¾' taldldÍ cSjk rgdjlg yqre ù isàu" jHdhdu

doctormagazine.lk

wvqlu" ksos jEÍu" u| úfõlh" ld¾h nyq,;dj fukau u<uQ;%d ksis fõ,dj,oS neyer fkdlsÍu wdosh n,mj;ajhs' udkisl iajNdjh hï mqoa.,fhl=f.a ufkdaNdjhkao fï frda.hg fjfiia n,mEula we;s lrhs' rdcldß lghq;= wêl ùu" B¾IHdj" fl%daOh" ffjÍ is;sú<s yg .ekSu" wêl wfmalaIdjka yd b,lal ksid mjqf,a lghq;= wjqùu" úfõlh wvq ùfuka mqoa.,hd ;=< we;sjk udkisl mSvd ksido wï, ms;a;h we;s fjhs" mj;shs'

September 2020

DOCTOR MAGAZINE

115

D•Magazine /

wdhq¾fõoh ksis fõ,djg wdydr fkd.;af;d;a .eiag%hsáia yeoSu j<lajkak neye

.eiag%hsáia frda.fha úúO wdldr

wï, ms;a;h fkdfyd;a .eiag%hsáia frda.fha ,laIK nv mmqj oeú,a,|weUq,a ,jK rihg W.=rg tau|Tlaldrhg hdu fyda jukh|uqLfhka ÿ.ola yeóu|rihla oekSu|Worh mqrjd oeóu|u<noaOh fyda u< w¾O øj;djfhka oeú,s iys;j msgùu|wdydr wreÑh|ysiroh|fjfyi ùfuka f;drj YÍrfha uykaish we;sùu|nfâ ;o nj yd nr .;sh wï, ms;a; frda.h j¾.SlrKh 1' W!¾Oj.; wï, ms;a;h 2' wfOda.; wï, ms;a;h W!¾Oj.; wï, ms;a;h wjia:dfõoS fndfyda úg fld<" ks,a iy l¿ meyefhka jukh hdu" Worh mmqj wdY%s; oeú,a, wdoS frda. ,laIK we;s fjhs' wfOda.; wï, ms;a;h ksid øj iys;j u< msgùu" oeú,a," uQ¾Pdj" lrleú,a," wdydr wreÑh" oyäh oeóu we;eï wjia:d j,oS YÍrh ly meye .ekaùu

116

September 2020

DOCTOR MAGAZINE

wdoS frda. ,laIK we;s fjhs' wï, ms;a;h frda.h i|yd m%;sldr wï, ms;a;h frda.h i|yd id¾:l wdhq¾fõo m%;sldr we;' fuysoS frda.shdg wjYH T!IO m%;sldr ,ndoS frda.h md,kh lr.ekSu i|yd wkq.ukh l< hq;= Wmfoiao ,ndosh hq;=h' fuu frda.Skag ksis fõ,djg m%;sldr fkdlsÍfuka frda.h W;aikak ù Y,Hl¾u j,g mjd Ndckh ùug isÿúh yel' úfYAIfhka

doctormagazine.lk

wdudYh yd wka;% j, wNHka;r ia:rfha oreKQ yd iqj lsÍug wmyiq ;=jd, we;s ùu;a" tajd isÿre ù ndysrj újD; ùfuka wdydr cS¾Kh yd wjfYdaIK l%shdj,sh wjysr ùu isÿ fõ' .eiag%hsáia ksjdrK i÷ka meKsh bmerKs mdrïmßl Wreuhla yd 70 jirl lS¾;s kduhla we;s l%sñrdc iud.u .eiag%hsáia frda.h i|yd úfYAIfhka ksIAmdos; zz.eiag%hsáia ksjdrK i÷ka meKshZZ fj<|fmd<g yªkajd oS we;' wï, ms;a;h frda.h ksÜgdjgu iqjlr oSu fuys we;s úfYAI;ajhhs' ;;a;ajdkaú; yd ld¾hlaIu T!IO T!IO yªkajdoSfuka Y%S ,dxlSh ck;dj w;f¾ kula /|jQ tï ã ,sfõßia wur;=x. iy iud.u 250lg wêl jQ l%sñrdc ksIAmdok /ila fi!LHiïmkakj ksIAmdokh lr ISO:9001:2015 wka;¾cd;sl ;;a;aj iy;slh oskd isà' ;jo úYsIAG ksIAmdok mßph i|yd jk GMP iy;slho l%sñrdc iud.ug ysñj ;sfí' DM

doctormagazine.lk

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

September 2020

DOCTOR MAGAZINE

117

D•Magazine /

foaYSh ms<sld fjolu msßñkag yg.kakd ms<sld

foaYSh ms<sld fjolu msßñkag yg.kakd ms<sld .,s.uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;s mdrïmßl foaYSh ms<sld ffjoH ta ta iqu;smd,

uE;ld,Sk iudcfha fndfyda fofkl=f.a wjOdkh jeäfjñka mj;sk frda.hla f,i zzms<sldjZZ ye¢kaúh yel' wo jk úg fuh yoj;a frda. ;rïu ;rïu iq,nj we;' mdrïmßl foaYSh ms<sld ffjoH ta ta iqu;smd, wo ojfia jeä jYfhka olakg ,efnk ;j;a fm!reI ms<sld úfYAIhla .ek olajk woyils'

YÍrfha ´kEu .%ka:shl fyda wjhjhl we;sjk widudkH j¾Okhla ms<sldjla f,i wre;a oelaúh yelshs' fï w;f¾ msßñ md¾Yjhg muKla yg.kakd ms<sld úfYaI lsysmhlao fõ' mqriaÓ;s ms<sldj jhig hdu;a iuÕ msßñkag nyq,j je<f|k ms<sldjla f,i mqriaÓ;s .%kaÓfha ms<sld y÷kajd Èh yelshs' fuu .%ka:sh msysgkafka uq;%dYhg háka uq;% ud¾.h jg fldgf.kh' fuu .%kaÓfha úYd, ùu ms<slduh ;;a;ajhla fkdfõ' tfy;a ms<slduh ;;a;ajhl§o fuu mqriaÓ;s .%kaÓh úYd, ùu isÿfõ'

118

September 2020

DOCTOR MAGAZINE

doctormagazine.lk

mqria:s;s .%kaÓfha we;sjk ms<sldj

mqria:s;s .%kaÓh

idudkH mqria:s;s .%kaÓh

ms<sldjla iys; mqria:s;s .%kaÓh

ms<slduh ;;a;ajhloS mqriaÓ;s .%kaÓh úYd, ùu frda. ,laIK ² uq;%d ud¾.h r;= ù uq;%d leä leã msgùu ² ks;ru rd;%s ld,fha§ uq;%d my lsÍfï wjYH;djh we;sùu ² uq;%d msg lsÍug mgka .ekSfï§ wmyiq;djhla yg.kS ² uq;%d iuÕ reêrh msg fõ ² uq;%d oeú,a, we;sfõ ² uq;%dj, j¾Kh fjkia fõ ² we;ful=f.a mqreI ,sx.h bÈóu isÿúh yelshs ² msgfldkafoa fõokdj ² Wl=,a wegj, fõokdj fuu mqriaÓ;s .%kaÓfha ms<sld ;;a;ajh uq,skau y÷kd. ekSfuka mdrïmßl foaYSh T!IO u.ska iqj l< yelshs' msßñka jhi wjqreÿ 40 blaujk úg .=o ud¾.h jd¾Islj iqÿiqlï,;a ffjoHjrfhl= ,jd mÍlaId lr .; hq;=h' PSA reêr mÍlaIKh u.skao fuu frda.S ;;a;ajh l,afõ,d we;sj y÷kd .ekSug yelsfõ'

doctormagazine.lk

jDIKfldaI ms<sldj fuh" msßñkag yg.kakd ;j;a ms<sldjls' jDIKfldaI ms<sldj jhi wjqreÿ 20 - 34 msßñ whg;a wjqreÿ 55 - 70 w;r§;a yg.ekSfï bvlv jeäh' flfia fj;;a jDAIKfldaI ms<sldj t;rïu iq,n fkdùu jdikdjls' fï jDIKfldaI ms<sldj jeä jYfhka yg.kafka ksis f,i jDIKfldaIh nei ;ekam;a fkdjq jDIK j,h' jd; úI¾m frda.hla f,io fuh ye¢kaúh yel' jDIKfldaI mÍlaIdjla u.ska fuu ;;a;ajh myiqfjkau y÷kd.; yel' fuu ms<sld ;;a;ajfha§ jDIKfha fõokdj we;sjkafka ke;' fï ksid hï ielhla mj;S kï iqÿiqlï ,;a ffjoHjrhl= ,jd mÍlaId lrjd .; hq;=h' fuu ms<sld foaYSh mdrïmßl T!IO j,ska id¾:lj iqj l< yel' ms<siaiSfuka" lemSfuka lrk m%;sldr u.ska ,efnkafka ;djld,sl iqjhls' tajd kej; kej;;a yg .kS' bkamiq

September 2020

DOCTOR MAGAZINE

119

D•Magazine /

foaYSh ms<sld fjolu msßñkag yg.kakd ms<sld

jDIKfldaI ms<sld

jDIKfldaIfha ms<sld ;;a;ajhl§ jDIKfha fõokdj we;sjkafka ke;' fï ksid hï ielhla mj;S kï iqÿiqlï ,;a ffjoHjrhl= ,jd mÍlaId lrjd .; hq;=h'

wdudYhg" wlaudjg n,mEï we;s lsÍuo isÿúh yel' ;jo uyd nvje,a j,g mjd fuu.ska wka;rdhka isÿúh yel' mdkSh ms<sld ff;,h jhi wjqreÿ 40l muK l,l isg i¾jdx. frda. ms<sn|j yd ms<sld frda. ms<sn|j w;aoelSï yd m<mqreoao iuÕ úúO m¾fhaIKj, fhfoñka wjqreÿ .Kkdjl ms<sld frda.h ms<sn|j ukd wjfndaOhlska ud úiskau úiska fuu zzmdkSh ms<sld ff;,hZZ ksmojd ;sfí'

ish¨‍u ms<sld iqjlsÍu i|yd fuu mdŒh T!IOh iu;a ù ;sfí' ngysr m%;sldr ,nñka isák ´kEu ms<sld frda.shl=g jqj;a mdúÉÑ l< yelsh' foaYSh Ydlidr T!IO ixfhda. ms<sfh, lr we;' mdkSh ms<sld ff;,h w;aÿgq ÈjHuh T!IOhls' DM

ffjoH ta ta iqu;smd, ^iduúksiqre& .,s.uqj wdhq¾fõo ixrlaIK iNdfõ iNdm;s i¾jdx. Ñls;ail ,shdmÈxÑ wxl 13297 mdrïmßl foaYSh ms<sld ffjoH uOHia:dkh fn,sfldgqj" wrkaor" wgd< ^.,s.uqj wúiaidfõ,a, ud¾.fha lsf,daóg¾ yhhs&

ldhsl yd udkisl ksfrda.S;djh" frda.Skaf.a urK nh l%ufhka mylr ukqIH YÍrh yg .kakd yg.kakd 120

September 2020

DOCTOR MAGAZINE

doctormagazine.lk

D•Magazine /

wdhq¾fõoh fl!udrND;Hh

rkalsß lg.Efuka orejdf.a Yla;sh;a" nqoaêh;a j¾Okh fjkjd'''

ujla jkakg fmreï mqrk wehg''' wdhq¾fõofhka Wmfoia .ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kfha" fl!udrND;H yd ia;%S frda. wOHhk wxYfha" m%o¾Yl" wdhq¾fõo ffjoH fla'ta'î' m%kdkaÿ

122

September 2020

DOCTOR MAGAZINE

.ïmy úl%udrÉÑ wdhq¾fõo úoHdh;kfha" fl!udrND;H yd ia;%S frda. wOHhk wxYfha" fcHIaG lÓldpd¾h" wdhq¾fõo úfYaI{ ffjoH taÉ'mS' jlal=Uqr

doctormagazine.lk

wIaGdx. wdhq¾fõoh ldh Ñls;aid" Y,H" Yd,dlH" N+;úoHd" fl!udrND;H" w.o" ridhK yd jdÔlrK hk wx. j,ska iukaú;h' fï w;ßka ldYHm iDIs úiska rÑ; fl!udrND;H ;ka;%fhys <ud úh yd <ud frda. ms<sn|j m%uqLj i|yka fõ' <ud frda. j,g m%;sldr lsÍu muKla fkdj" orejdf.a fmdaIKh" orejd /l n,d .ekSu" lsß uj" lsß j, fodaI" tu fodaI ixfYdaOkh lrk whqre" nd, frda. j,g fya;=" .%y fodaI ksjdrKh lr.; yels l%shd wd§ jQ mq¿,a úIh iuQyhla fuu ;ka;%hg wh;a fõ' ^iqY%e; ix' iQ;% 1" w' 7& zzfl!udrZZ fyj;a zzl=udrZZ hkqfjka olajd we;af;a nd,hdh' zzND;HZZ hkq oeÍu hs' ish¨‍u Ôùkaf.a meje;au i|yd uQ,sl wä;d,u jkafka nd, ld,hhs' ksfrda.S orefjl= ìys lsÍu i|yd Yla;su;a fodaI rys; ud;D yd ms;D îc ixl,khla kshu ld,h ;=<§ isÿúh hq;=h' .¾NKS ld,h ;=< uj fyd| wdydr mdkhkaf.ka fmdaIKh úh hq;= jk w;r" tfiau udkisl m%S;sfhkao hqla; úh hq;= nj zz.¾NŒ mßp¾hdZZ ;=<ska úoyd oelafõ' nd, ld,h wdhq¾fõofha olajd we;s yeá wdhq¾fõofhys ;%súO nd, ld,hka ms<sn|j ukd fldg meyeÈ,s lr we;' laISrm ld,h - orejd lsfrka muKla jefvk ld,h zzlaISrmZZ hkqfjka ye¢kafjk m%:u ld,h <orejd lsfrka muKla jefvk ld,h jk w;r fuh Wmf;a isg jirlg wdikak ld,h f,i oelafõ' laISrkakdo ld,h - wu;r wdydr;a'''' <ud jhfia fojk ld, mßÉfþoh zzlaISrdkakdoZZ ld,h kñka y÷kajk w;r fuh jhi wjqreoafoa isg wjqreÿ fol olajd ld,h f,i ie,fla' lsß j,g wu;rj n;a" iqma j¾. fjk;a uOqr ri hqla; m%Œ; wdydr mdk fuu ld,h ;=<§ orejd flfrys úfYaIfhkau fhduq l< hq;=h'

doctormagazine.lk

meh úis y;rla hkakg u;af;ka isÿl< hq;= cd;l¾u .ek Tn okakjdo@

fuu ld,h ;=< wÔ¾K" l%Sñ wdidok frda. iy wNs>d;dÈh úfYaIfhka we;s úh yel' wkakdo ld,h oEjqreoafoa isg <ud úh blaufjk f;la''' jhi wjqreÿ fofla isg <ud úh blaujk f;la mj;akd l,h zzwkakdoZZ ld,h jYfhka y÷kajk w;r fuys§ orejdf.a uq,sl wdydr jkafka n;a yd OdkH wd§ >k wdydrhs' fuu ld,h ;=< úfYaIfhkau wdidok frda.hka fukau wNs>d;dÈho we;s úh yel' ;jo orejdf.a wjhjhka l%udkql+,j j¾Okh isÿjk neúka wLKav fmdaIKh o" nqoaê j¾Okh i|yd iqÿiq mshjr fh§uo b;d jeo.;a fjhs' ^iqY%e; ix' iQ;% 35" w' 29&

September 2020

DOCTOR MAGAZINE

123

D•Magazine /

wdhq¾fõoh fl!udrND;Hh

w¿; Wmka orejdg l< hq;= pdß;% l¾u - cd;l¾u uõ l=iska ìys jQ flfKys orejd zzcd;ud;%hd˜‍ f,i wdhq¾fõofhys ye¢ka‌fõ' fuf,i orejl= ìys jQ flfKys meje;afjk pdß;% l¾u ˜‍cd; l¾u˜‍ kñka i|yka fõ' fuu cd; l¾u ixialdr f,i lKaG úfYdaokh" m%dK m%;Hd.ukh yd kdNs kd, fþokh oelaúh yel' ^prl ix' YÍr 8" w' 42-43& orejd bmoS úisy;r mehla .;ùug fmr l< hq;= oE''' orejd ìys ù uq,a meh úis y;r ;=< isÿ l< hq;= mßp¾hd zzioHcd; mßp¾hd˜‍ kï jk w;r fuys§ weia msßisÿ lsÍu" ff;, wNHx.h" iakdkh" we÷ï ieliSu" iaj¾K m%dYKh yd rlaId l¾u wdÈh isÿ l< hq;=h' cd; l¾u yd ioHcd; mßp¾hd wd§ l¾u ish,a, nd, ixialdr hgf;a oelafjk w;r orejd .=Kd;aul núka jeä ÈhqKq lsÍu ^zzixialdfrdays .=Kd;a;rdodkï˜‍& fuys wruqK fõ'

rkalsß lg.Eu fï w;ßka zziaj¾K m%dYK ixialdrhZZ fyj;a zzrkalsß lg .EuZZ nd, ixiAldr hgf;a oelafjk b;d jeo.;a wx.hla jk w;r fuh ì<s|d yg Wm;ska miq ,ndfok m%:u nqoaê j¾Ol yd Yla;s j¾Ol l%shdjhs' tneúka fuh ˜‍fïOd ckk l%shd˜‍ f,io y÷kajhs' wiudkj .;a ó me‚ yd .sf;,a iuÕ rkaiqKq ^fYdaê; iaj¾K NIau& iaj,amhla ñY% fldg wkdñld wx.=,sfhka ^fjo weÕs,af,ka& f.k f,ay lsÍu zziaj¾K m%dYKZZ f,i yeÈkafõ' rkalsß lg.Efuys mq¿,a wre; jgyd .kak fuys§ ó me‚ uÕska fmdaIKh yd m%;sYla;slrKho" .sf;,a u.ska u< wkqf,daukh" §mk yd mdpk .=Ko" iaj¾K NIau u.ska nqoaê j¾Okh" wdhqI j¾Okh yd YÍr j¾Kho we;s lrkq ,efí' fuys§ f,ay lsÍu u.ska .¾N u, jukh yd Wrdìfï yelshdj j¾Okh jk w;r <orejdg iqÿiq w,am ud;%dfjka T!IO ,nd Èh hq;= neúka fjoeÕs,a, Ndú;h jeo.;a fõ' ^ldYHm ix' iQ;%" f,ay‍OHdh&

124

September 2020

DOCTOR MAGAZINE

orejd kyjkakg ldurh wdrlaId lrkakg oS we;s u.fmkaùu iEu ujlau oek.; hq;=hs

<orejdf.a wdrlaIdjg isÿ lrk rlaIdl¾u <orejd kyjk yeá kjcd; <orejdf.a wdrlaIdj ms‚i fhÈh hq;= lghq;= úê úOdk ˜‍rlaId l¾u˜‍ f,i wdhq¾fõofhys i|yka fjhs' fuys§ u| WKqiqï c,fhka" fjksje,a. eg" r;au,a fyda laISr jDlaIhkays fmd;= ;ïnd .;a lIdhdÈfhka <orejd kyjd msßisÿ lrkq ,efí' ksfjfiys w;= t,a,Su" T!IO wf;ys ne|Su" ÿï we,a,Su fldfydU" uika wd§ ÔjdKq kdYl jDlaIhkaf.a w;= ksjfiys t,a,Suo" tu w;a;lska mjka ie,Suo" joly yd fmreïldhï hk

doctormagazine.lk

T!IO wf;ys ne|Suo" rlaId l¾u f,i oelaúh yelsh' ;jo" rdlafIda>ak ^ÔjdKq kdYl& OQmhka f,i wn" ÿïu," .=.=,a yd iqÿ¿Kq wdÈh oud ÿï we,a,Su o b;d jeo.;ah' ;jo ì<s|dg fukau iQ;sldj yd iQ;sld. drhgo fuu rlaId úê fhÈh hq;= nj wdhq¾fõo ixys;d .%ka:hkayS oelafõ' ^wIaGdx. yD' ix' W;a;r 1" w' 26" 41-42& orejdgu fjkajQ ldurhla - l=udrd.drh tfiau <orejd fjkqfjka zzl=udrd. drhZZ f,i úfYaI ldurhla ilia lsÍu ms<sn|j wdhq¾fõofhys i|yka fõ' ujf.a ks;H iïnkaOh iys;j ukd wdf,dalh yd jd;dY%h ,efnkakd jQ ueis - uÿre" lDñ yd ó wd§ i;=kaf.ka f;dr jQ .Dyhla ;ekSu fuys§ fmkajd fohs' orejdf.a frÈms<s yd we| we;sß,s wdÈh fyd¢ka fidaod msßisÿ fldg úh<d T!Iëh iqj| ÿï Èh hq;=h' ^wIaGdx. yD' ix' W;a;r 1" w 65& ì<s÷kaf.a isrere yd iu" ndysr mßirhg ksrdjrKh ùfï§ frda.

doctormagazine.lk

hkag Tfrd;a;= §fï yelshdj wvqh' T!IO yd m%;sldr l%u jqjo ì<s÷kg fh§fï§ b;d uDÿ úh hq;=h' orejd f,vfrda. j,ska wdrlaId lrk r; l,alh foi÷ka l,alh ^r; l,alh&" ì<s÷ úfha isgu Èh yels fi!uH" uDÿ fukau ksielju .=K odhl fhda. hla fõ' kshñ; Wm;a nr iys; <orejka yg Wmf;ys isgu kshñ; ud;%dfjka uõ lsß iuÕ r; l,alh f,aykh u.ska m%;sYla;slrKh yd nqoaêh j¾Okh lr .; yel' r;au,a" jou,a lel=¿" ¨‍Kqú, yd je,aó wdÈh iys; l=vd lIdh fhda.hka fukau r; f;,ao ì<s÷ka i|yd r; frda. jeks wjia:djka j,§ jvd fhda.H fõ' wdhq¾fõofhys m%ldYs; nd,.%yhka wo wm l;d lrk nelaàßhd" ffjri yd kkaúO cSjdKqo@ nd,lhka yg frda. Wmojk nd,.%yhka ms<sn| whq¾fõofhys i|yka jk w;r fuh we;eï úg kQ;k iïu; kka jeoEreï ÔjdKq wd§ka f,io ks.ukh l< yelsh' ^iqY%e; ix' YÍr 10" w' 50& wog;a m%;HlaIfhka ikd: jQ úi kik fmr isß;aOQmk" mqomQcd fuysÈ úfYaIfhkau úIîc kdYl .=K iys; joly" .=.=,a yd wn wd§ T!IO j,ska iE¥ OQmko fmreïldhï" joly yd B;K wd§ T!IO fh¥ ud,d me<|ùuo wd.ñl msß;a yd Ydka;s l¾u wdÈh o ú.%y lr we;' ^ldYHm ix' Ñ" nd,.%y Ñls;aid& fuf,i wdhq¾fõofhys i|yka ixl,am fukau frda. i|yd iqÿiq m%;sldr l%u wdÈh" ksfrda.su;a yd nqoaêu;a ore mrmqrla ìys lsÍug ukd msgqjy,la jk nj oelaúh yel' DM September 2020

DOCTOR MAGAZINE

125

D•Magazine /

wdhq¾fõoh fiï fldamh ksid we;sjk ysiroh

ysiroh

fiï fldamh ksid we;sjk ysiroh wdydr isß;a" úyrK mej;=ï fjkia lr .ekSfuka ;sfodia iukh lr''' ysfia weïug ioygu úrduh ;nuq ysiroh - fndfyda fokd mSvd ú|sk frda. ;;a;ajhla' wo ojfia fuhska mSvdjg m;a wh fjkodg;a jvd fndfydu jeähs' mqxÑ mqxÑ ysirohka l<uKdlrKh lr.kakg;a" os.ska os.gu mSvd ú|skjd kï thg m%;sldr ,nd .kakg;a fï Wmfoia Tng m%fhdackj;a jkq we;s' ysirohg fya;= fndfydauhs' wdhq¾fõoh wo ysiroh muKla fkdfjhs" fndfyda frda. j,g iaÓridr iykhla ,nd.kakg fyd|u ud¾.h hhs ms<s.ekSula we;sù ;sfnkjd' fï ksid wm wdhq¾fõo u;dkql+,j ysiroh ú.%y lruq' 126

September 2020

DOCTOR MAGAZINE

wdhq¾fõo ffjoH rkam; rejka r;akdhl úisks

;=kafodia fldam ùu fndfyda f,vfrda. j,g uq,la' tfyu lsõju ysiroh;a fï ;%SfodaI lsmSfuka we;s jkakla' fuhska fiï fldamh ysirohg m%uqLhs' jeros wdydr" jeros úyrK ;=kafodia lsmSug uq,la' fiï nyq, hhs lSj;a fï whg ;=< oelsh yels fmdÿ ,laIKhla ;sfnkjd' ta ;uhs wêl f,i WIAKh YÍrhg ysñlï lSu' fï WIAKdêl YÍrfha n,mEu YÍrfha ish¿u bªrkag ;sfnkjd' ta;a" fud<hg we;s lrjk n,mEu ;SrKd;aulhs' fud<fha ;sfhkafka iakdhq ffi,' tajdfhys we;af;a ishqï l%shdldß;ajhla'

doctormagazine.lk

ysirohg m%;sldr fiu bj;a lsÍu iy fiu úh<Sug m%;sldr lsÍu ;=<ska WIaKdêl nj ;j;a jeä ù fud<h wdY%s; ishqï ffi, ;j;a úkdY úh yelshs' tu ksid fud<h wdY%s; l,dmh isis,kh lsÍu i|yd uq¿ YÍrfhau WIaKdêl nj wvq lsÍug m%;sldr l< hq;=hs' wm wkq.ukh lrkafka tu l%ufõohhs' túg frda.shdf.a iïmQ¾K YÍrfhau mj;sk WIaK nj ke;s fjk w;r túg fud<fha isis,kh o isÿù ysiroh iïmQ¾Kfhkau iqj ùu isÿ fjkjd' óg wu;rj frda.shdg mj;sk wfkl=;a frda.S ;;a;ajfhao fidhd n,d m%;sldr ,nd§u isÿ l< h;=hs'

WIAKdêl isrer fï iakdhq l%shdldß;ajhg n,mEï lrkjd' fuhg uqyqK fokakg YrSrfha hdka;%Khla ;sfnkjd' ysig fiu wdl¾YKh jkafka tys m%;sM<hla úosyghs' th YS;lrKhl Auto Cooling System tlg iuhs' ysfia nr .;sh iy fõokdj we;sùu fufia fud< l=yrh ;=< jeä jYfhka tlaj ‌ k fiu kdia‌l=yr ;=<ska meñfKk ndysr jd;h;a iu. tk la‍Iqø Ôùkaf.a n,mEï yuqfõ fiu krla‌ùfï ;;a;ajhg m;aùfuka ysfia nr .;sh iy fõokdj we;sùu isÿ fõ' fuu ;;a;ajfha WÉp;u wjia: ‌ dj f,i brejdroh ye¢kaúh yelshs' óg wu;rj ysiroh we;sùug n,mdk fjk;a ;;a;ajhka ;j;a úúO frda. wjia‌:d ksid ysiroh we;sùfï bvlv mj;skjd' ta wkqj u<noaOh" .eia‌g%hsáia‌we;=¿ wdydr Ô¾K moaO;sfhaa we;sjk ÿ¾j,;d" Èhjeähdj" w¾Yia‌" mSki" rla; ‌ ySk;dj" wêl ksÈu; fyda kskao fkdheu nv mqrjd oeóu" uq;%d frda." jl=.vq wdY%s; ÿ¾j,;d" ms;a;dYfha .,a" ldka;djkaf.a .¾NdI frda." úúO ifï frda." jd;rla‌; jeks frda.dndO wjia‌:djkays§ o ysiroh we;sùfï jeä m%jK;djla‌ ;sfnkjd' óg wu;rj úúO udkisl mSvkhkaa ksido ysiroh we;súh yelshs'

doctormagazine.lk

ysiroh ksÜ‌gdjgu iqj l< yelshs fndfyda fokd is;kafka ysiroh ksÜ‌gdjgu iqj l< fkdyels nj;a fuh ta ta wjia‌:djkays§ hgm;a l< yels ;;a;ajhla‌ muKla‌njh' we;a;gu ysiroh ksÜ‌gdjg iqj l< yelshs' ffjoHjrhl= fyda ffjoHjßhl lrd f.dia‌ ksjerÈ mÍla‍Idjlska miq frda.shdg je<£ we;af;a l=uk frda. hla‌oehs jgydf.k frda. ksOdkhg m%;sldr ,nd ÿkafkd;a ysiroh ksÜ‌gdjgu iqj l< yelshs' fõokd kdYl

September 2020

DOCTOR MAGAZINE

127

D•Magazine /

wdhq¾fõoh fiï fldamh ksid we;sjk ysiroh

;=<ska ysiroh iqjm;a lsÍfuka miqld,Skj fjk;a nrm;< frda. dndO je<£uo isÿúh yelshs' úfYaIfhkau i|yka l< hq;af;a ola‍I wdhq¾fõo ffjoHjrhl= lrd .sfhd;a fï frda.h ksÜ‌gdjgu iqj lr .; yelshs' ta i|yd wdhq¾fõoh i;=j m%;sldr l%u ;sfnkjd' ;djld,sl fõokdkdYl j,g fhduq ùfuka fï .eg¿jg úiªula fidhkakg wmyiq fjkjd' ysfia lelal=u ;sfnk úg l< hq;af;a l=ulao@ mßiaiï fjk wdldrh úyrK yd iïnkaOhs' ysiroh we;s úg ijia ld,fha kEu fyd| kE' wêl WIAK wdydr;a fhda.H kE' ÿï" u;ameka mdkfhka frda.h jeä fjkjd' bka j<lskak' f;,a iys; wdydr wvqfjka' lD;%Su wdydr kï fkdf.ku bkak tlhs jvd;au fyd|' wdhq¾fõo fnffy;a fndk tl f,aA4 is kE lshA4 , u;hla ;sfnkjd''' talg úiªula uf.a <Õ ;sfnkjd' uu yeu úgu frda.Skag ,ndfokafka ksIAmdos; T!IOhs' jevfmd<aos jqK;a fï fnfy;a myiqfjkau

fndkak mq¿jka' u.f;dg jqK;a .eg¿jla kE' fï T!IO m¾fhaIKd;aulj oshqKQ lrk ,o tajd ksid m%;sM<h iaÓrhs' ful, rkam; fjoueÿf¾ T!IO jvd;au ckm%shj ;sfnk nj;a lsj hq;=hs' DM j;auka iudcfha nqoaêu;a úu¾YkYS,s ish,a,kau mdfya wdhq¾fõo ffjoH l%uh ms<sn| ;sridr úYajdihla f.dvkÕdf.k ;snqko fuu ffjoH l¾uhkays wuqøjH fidhd lmd fldgd ilia lrf.k lIdh ;eïîu iy fjk;a T!IO ms<sfh, lr.ekSu ksishdldrfhka isÿ lr.ekSug wmyiq ùu ksid fuu úYsIaG jQ ffjoH l%uhg wj;S¾K fkdfõ' ´kEu ld¾hnyq, wjia:djkays§ /lshdj lrk w;r;=r myiqfjka Ndú;hg .; yels f,i kshñ; m%ñ;Skag wkql+,j W;alDIaG jQ T!Iëh .=Kfhka hq;= fnda;,a f,i ms<sfh, k, lidh j¾." .=,s j¾." l,al" pQ¾k ksIamdokh lr we;af;a úúo mSvdjkaf.ka fmf<k iqjyilf.a frda. myiqfjka iaÓrju iqjm;a lsÍu Wfoiduh' mE,shf.dv rkam; fjo ueÿr Èhjeähdj" fldf,iagfrda,a" fiï frda." uq;%dYfha .,a" ms;a;dYfha .,a" u<noaOh" w¾Yia" ldka;d frda." ysiroh wd§ ish¨‍u i¾jdx. frda. i|yd m%;sldr ,nd fohs' mrïmrdfjka mrïmrdjg mej; tk rkam; fjo ueÿr ffjoHjreka j¾;udkfha ld¾hnyq, Ôjk rgdj wkqj mdúÉÑ lsÍug yelsjk mßÈ wdhq¾fõo T!IO kshñ; m%ñ;Skag wkql+,j Tjqkaf.a wëlaIKh hgf;a ksIAmdokfhka fnda;,a lr frda.Skag ,nd §u isÿ lrhs' ´kEu ld¾h nyq, ;;a;ajhloS Ndú;d l< yels f,i fuu T!IOh ,ndfokafka Tfí myiqj ms‚ihs'

www.ranpathawedamedura.com www.ranpathawedamedura.com 128

September 2020

DOCTOR MAGAZINE

doctormagazine.lk