Doctor Magazine December 2016 online

magazine Doctor The Premier Bilingual Health Magazine in Sri Lanka Volume 22 • December 2016

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Headache

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Foods

The Many Health Benefits of Eating Mushrooms Sri Lankans Need To Eat More...

P. 70

Appendicitis Explained...

APPENDICITIS EXPLAINED...

Why It Happens And How It Is Treated P. 78

Dating Warning

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LOVE BITE First Aid

P. 26

f.or-fodroS orjkag isÿúh yels ISBN-1391 1341

9 7 7 13 91 13 400 1

RS 150 (VAT INCL)

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P. 34

Skin & Beauty

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wdisß fikag%,a fydiamsÜ,a 14" fkdßia lek,a mdr" fld<U 10 Fax No. 0114 665544 www.asirihealth.com December 2016

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CONTENTS

DEC' 2016 Volume 22 • Issue 12

Diseases and Treatments

Popular Health

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ore iïm;a ,efnkak m%udo fjkjdo @ fkdmudj m%;sldr j,g fhduq fjkak''' 132 Táiï .ek Tn oek.; hq;= lreKq 94

Èhjeähdj ksid we;sjk wkaONdjh ÿr<uq 114 oeKqj;aNdjfhka taâia frda.h msgq olsuq 116 uÿrefjda wfma f,a fndkafk kE'''yenehs uÿß,d wfma f,a fndkjd''' 129

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DOCTOR MAGAZINE

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December 2016

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CONTENTS

DEC' 2016 Volume 22 • Issue 12

Features

English Section

Ayurveda

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The Many Health Benefits of Eating Mushrooms Sri Lankans Need To Eat More... 70

ryfia fndfyda fofkla fõokd ú|sk Yafõ; m%orh fkdfyd;a iqo hdu 139

f.or-fodroS orejkag isÿúh yels wk;=re 34

The Role of the Placenta in Pregnancy and Hilarious Customs Around the World 74 Appendicitis Explained... Why It Happens And How It Is Treated 78 Six Cancer Prevention Rules of the Father of Medicine That We All Should Follow 84 Regular

Editors Note 10 News iqmqj; 8 Miscellaneous Health

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December 2016

Medi Gadgematics oshjeähd frda.k S f a .a reêr iSks ;;amrhla mdid uksk App tlla fï jif¾ Ndú;hg tla fjkjd''' 54

Thousand words in ONE IMAGE 46 The Life through Clips 98 Tfí ffjoH .eg¿jg wfmka ms<s;=re''' 120 nqlsfha frday,a l;d''' 64 Work out nr wvq lrk''' is; ikijk ldg;a l< yels jHdhduh''' Jump Rope 38

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EDITOR'S Tfí cSú;h wdorfhka iqrlsk ffjoH i`.rdj úis jirla mqrd Tfí yo oskQ ffjoH i`.rdj oaùNdId m%ldYKhla f,i kej; ikakdu.; fjñka miq.sh udifha úYd, fmr<shla isÿ jqKd' ta iu.u wka;¾.;h jvd;a yrj;a lsÍu Wfoid;a" jeä mdGl ixLHdjlg fuu i`.rdj ,ndoSu i|yd;a wm .;a W;aidyh b;d id¾:l jQ nj fmfkkakg ;sfnkjd'

NOTE Doctor Magazine ;=<ska Tn wfmalaId lrk fufyjr bgq fjkjd hhs Tn iEySulg m;a fjkjd hhs wjxlju úYajdi lrkjd kï wms Tfnka b;d f.!rjKSh úosyg Wmldrhla n,dfmdfrd;a;= fjkjd' ta ;uhs" Tfí mjqf,a {d;Skag" ,ne|shkag" ys;ñ;%doSkag fï i`.rdj y÷kajd fokak' thska Tn fukau Tjqkag;a wkqmfïh fiajhla isÿ fõú' iliqjka jYfhka Doctor Magazine iudc.; lsÍfuys,d wfma ;sr wosgkla ;sfnkjd' zzcSú;hg wdorh lrk ffjoH i`.rdj - fï rfÜ iEu ksfjilu mßyrKh lrk ckm%shu ,dxflah m%ldYKh njg m;a lsÍuZZ' Tõ fyd| foaj,a tfia ckdorhg ,la úh hq;=uehs' rfÜ lS¾;su;a ffjoHjreka úYd, m%udKhlf.a woyia - u; m<fjk fõosldj''' kj;u ffjoH oeKqu ikaksfõokfhys,d fmruqK .;a ,dxflah m%ldYKh" fï rfÜ ;dlaIKfhka ksudfjka w. ;eka .;a oeßh yels ñ,lg Tn fj; iemfhk i`.rdj fodfrka fodr mej;sh hq;=u ,dxflah m%ldYKh f,i Tn;a ms<s.kakjd kï fï udifha Tfí ñ;=rkag fï iqmqj; m%ldY lrkak'

fndfyda fj<| ksfhdacs;hka w; fï ,shk fudfyd; jk úg;a Doctor Magazine fkdjeïn¾ l,dmhla oel .kakg;a wudrehs' óg fmr;a b;d by< wf,úhla oerE zzffjoHjrhdZZ i`.rdj fkdjeïn¾ l,dmh wê wf,úhla m%lg lsÍu wfma wukaodkkaohg lreKla' mdGlhka wm flfryS ;enQ úYajdihg wmg i;=gqhs' we;eï mdGlhka isxy, i`.rdfõ bx.%Sis ,sms m< lsÍu .ek fkdi;=g m< l< wjia:do ;snqKd' ta;a jeä yßhla woyia iqNjdoshs' fuu fjki;a iu.ska m%ldYKh jvd;a mßiudma;Ndjhg m;ajQ njhs jeä fofkl=f.a u;h' Doctor Magazine úYajfldaIhla jf.hs' fudk ;rï oeKQula" wjfndaOhla tla i`.rdjla lsheùfukau ,nd.; yelsoehs Tnu ;SrKh lrkak' thska Tfí cSú;h ksjerosj mj;ajd .ekSug" wjodkfuka ñoSug fl;rï msgqjy,la jkjdo hkak Tnu ;SrKh lrkak'

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

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The Premier Health Magazine in Sri Lanka Volume 22 â&#x20AC;˘ Issue 12, December 2016

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

Dr Chandana Sri Kanakaratna Geriatrician, Physician

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

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

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

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News iqmqj;

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is.rÜ ojgkhg w¿;a fjkialï tk ,l=Kq rEmuh wjjdoh yd is.rÜ udos,sfha kduh yereKQ úg fjk;a lsisÿ úia;rhla wvx.= fkdjk iqÿ meye;s is.rÜ meleÜgqjla f,i is.rÜ meleÜgqj fjkia lsÍug fi!LH wud;HxYh ierfihs' f,dal fi!LH ixúOdkfha Wmfoia wkQj ÿï mdkh wju lsÍug .kakd W;aidyfha m%;sM<hla jYfhka fuu mshjr .ekSug kshñ; nj fi!LH fiajd wOHlaI ckrd,a úfYaI{ ffjoH md,s; uySmd, m%ldY lrhs' 2020 jk úg zzÿfuka f;dr foaYhlaZZA ks¾udKh lsÍu fi!LH wud;HxYfha wosgk fjhs' ÿï mdkh ksid yg.kakd frda. j,g ,laj jd¾Islj 20"000la fokd ñh hk w;r fï Y;j¾Ih ;=<oS fï ÿisß; ksid f,daljdiSka ñ,shk 100la muK frda. dndO j,g ,lajk nj f,dal fi!LH ixúOdkh

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bkaoSh .s,ka r: fiajdfõ ld¾h uKav,hg bkaoshdfõoS ,ndÿka mqyqKqj fi!Lh wud;HxYfha .s,ka r: ßhÿrkago ,ndoSu flfryS rcfha wjOdkh fhduQ ù ;sfí' fi!LH wud;HxYfha jD;a;Sh iñ;s yd fi!LH weu;sjrhd yd mej;S idlÉPdjloS fï ms<sn|j woyia yqjudre jQ w;r fuu .s,ka r: fiajdjg wjYH ßhÿrrka fi!LH wud;HxYfhka ,nd.ekSu flfrySo fuysoS ie<ls,a, fhduq ù ;sfí' .s,ka r: ßhÿre ks, kduh zz.s,ka r: kshuqZZ f,i fjkia lsÍug tl`.;djhla we;s lr.kakd ,o w;r fi!LH ld¾h iydhl ks, kduho fjkia lsÍug fuysoS tl`.;ajhla we;s lr.kakd ,oS' bosß ld,fhaoS fvx.= frda.h ysi Tijk ,l=Kq mj;sk jeis iys; ld,.=Kh iy lSg úohd iólaik fm/hSï j,g wkQj bosß udi lsysmh ;=< fvx.= frda.h me;sÍfï doctormagazine.lk

wjodku by< hkq we;ehs fi!LH fmdaIk yd foaYSh ffjoH wud;HxYfha cd;sl fvx.= u¾Ok tallh mjihs' fï j¾Ifha fkdjeïn¾ wdrïNh jk úg 4"800 blaujQ fvx.= frda.Ska ixLHdjla jd¾;d ù ;sfí' jeäu frda.Ska jd¾;d ù we;af;a fld<U" .ïmy" uykqjr" l=reKE.," r;akmqr" lE.,a," hdmkh iy ud;r hk osia;%slal j,sks' fï jk úg mßY% ,laI 20la muK mÍlaIdjg ,lalr ;sfí' fvx.= u¾Ok l%shdldrlïj,oS Oqudhk rdcldÍ i|yd uÿre u¾Ok flafIA;% mÍlaIl jreka 1"500la n|jd.ekSUg oekgu;a wud;H uKav, wkque;sh ysñj ;sfí'

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(Consultant Urology) DM

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Metabolic Diseases

wlaudfõ f;,a ;ekam;a ùu

.=Kj;a wdydr;a ksis jHdhdu;a wlaudfõ f;,a wjodkfuka ñoSug fyd|u fnfy;hs wlaudfõ f;,a ;ekam;a ùu - wo ld,fha iq,n frda.hla óg wjqreÿ 7lg muK fmr rd.u YslaIK frdayf,aoS wm iólaIKhla l<d' ta jk úg wm y÷kd.;a ishhg 35la muK jQ wlaudfõ f;,a ;ekam;a jQ frda.Ska oeka ishhg 70la muK olajd jeä fj,d ;sfnkjd' fuh iuia;hla jYfhka iEu ffjoHjrfhlau y÷kdf.k we;s ;;a;ajhla' wfma rfÜ iEfyk fofkla ful, wlaudfõ f;,a ;ekam;a ùu hk frda. ;;a;ajhg ,laù ;sfnkjd' 12

December 2016

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Y%S ,xld W;af;acl ksjdrK wdh;kfha iNdm;s" ldhsl frda. úfYaI{ ffjoH uydpd¾h w¾cqk o is,ajd

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wlaudfõ f;,a ;ekam;a jk frda.Skaf.ka ishhg 35lg isfrdaisia wjodku we;s fjkjd''' oshjeähdj" wêl reêr mSvkh" ia:q,;djh" fldf,iagfrda,a fï frda. ;sfnkjd kï úfYaIfhkau wlaudfõ fïoh ;ekam;a fj,do lshk ldrKh .ek;a úuis<su;a úh hq;=hs' Tyq fï lshk wlaudfõ fïoh ;ekam;a ùfï frda.fha;a f.dÿrla jkak jeä bvla ;sfnkjd' mßjD;a;Sh iy,laIKh (Metabolic syndrome) jYfhka ye|skafjk by;ska oelajQ frda. iuqodhg fï wlaudfõ fïoh ;ekam;a ùfï frda.h;a we;=<;a' fïjd tlsfkl ióm iïnkaO;djhla olajk frda. hhs y÷kdf.k ;sfnkjd' wfma rfÜ" isfrdaisia we;s ùug m%Odk fya;=j u;ameka mdkh'

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fï u;ameka mdkh ksid isfrdaisia frda. hg ,lajk ixLHdj ishhg 65la' wfma rfÜ fymghsáia î yd iS frda.Ska yuqfjkjd ;rula wvqhs' fï ksid b;sß ishhg 35l m%;sY;h uQ,sl jYfhka isfrdaisia we;s lr.kafk fulS zz*eà ,Sj¾ZZ fkdfyd;a wlaudfõ f;,a ;ekam;a ùu ksihs' wlaudfõ f;,a ;ekam;a ùug kshñ; m%;sldr lf<a ke;akï wjqreÿ 15-20 ú;r hk úg isfrdaisia kue;s frda. ;;a;ajh we;súh yelshs' isfrdaisia lshkafk nrm;, ;;a;ajhla' thska ñfokakg wlaudfõ f;,a ;ekam;a ùu md,kh l< hq;=hs'

frda. ,laIK m%lg fkdlrk frda.hla wlaudfõ f;,a ;ekam;a ùu frda. ,laIKhla ke;s frda.hla' l,d;=rlska muKla Worfha ol=Kq me;af; ;rul lelal=ula tkak mq¿jka' ta;a jeä fofkl=g lsisu frda. ,laIKhla m%lg lrkafk kE' fndfyda fofkla ;ukag fïl ;sfhkjd lsh, y÷k. kafk fjk;a frda. hlg m%;sldr ,nd.kak .shduhs' Liver Function Test tl lrkak .shdu fmdâvla tys kshñ; w.hka ;rula jeä fj,d ;sfhkak mq¿jka' fufyu LFT w.hka jeä fjkak ;j;a fya;=;a ;sfnkjd' kuq;a fï iq¿ jYfhka LFT jeäùug fuh;a m%Odk jYfhka fya;= fjkjd' ;j;a mÍlaIKhla ;uhs Worfha Ultra Sound mÍlaIKh' Scan tllg .shdu wlaudfj f;,a ;ekam;aj ;sfnk nj y÷kd.kakjd' Ultra Sound mÍlaIKh ;uhs wlaudfj fïo h ;sfnk nj ksYAÑ;j yªkd.kakd mÍlaIKh'

December 2016

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13

DM wlaudfõ f;,a ;ekam;a ùu

isfrdaisia j,g fnfy;a kE''' ta;a wlaudfõ f;,a ;ekam;a ùug ms<shï ;sfnkjd''' wlaudfõ f;,a ;ekam;a ùu l,ska y÷kd.;af;d;a ishhg 100la h:d ;;a;ajhg m;a lrkak mq¿jka' ta;a th isfrdaisia jf.a woshrlg m;a jqKdu kï lrkak fohla kE' ta mshjf¾oS ffjoHjrekq;a wirKhs' kuq;a wkd.;fha osfkl kï fï isfrdaisia frda. hg;a m%;sldrhla fidhd. kak bv ;sfnkjd' ta;a oekg kE' fï ksid wk;=re ix|d ,nd fok wlaudfõ f;,a ;ekam;a ùu woshf¾oS wm ljqre;a wdrlaId Wmdhud¾. .kak" cSú;h fír.kak mshjr .kak W;aiql ùu wjYHhs' wlaudfõ f;,a ;ekam;a ùug fhdok ms<shï wlaudfõ f;,a ;ekam;a ùu md,kh lsÍug" u¾Okh lsÍug fojeoEreï l%shd ms<sfj;la wkq.ukh lrkak fjkjd' wdydr md,kh jHdhdu wlaudfõ f;,a ;ekam;a ùug fnfy;=;a kshu

14

December 2016

lrkjd' ta;a fnfy;a j,g jvd jeo.;a jkafka" m%;sM<odhl jkafka fï ms<sfj;hs' wdydr isßf;a fjkialula we;s lr.; hq;=hs f;,a wdydr wvq lsÍu jeo.;a' úfYAIfhkau wdydr .eUqre f;f,ys neo wkqNj lsÍu fkdl< hq;a;la' ta jf.auhs wdydr Tiafia wm jeä jeäfhka YÍrhg le,ß w.h tl;= lr.kak fyd| kE' wm wkqNj l< hq;af;a wm ojk Yla;shg .e,fmk wdydr m%udKhla' wvqfjka we`. fjfyikjd kï jeäfhka wdydr .kak fyd| kE' wdydr .kak úg wkq. ukh l< hq;= l%uhla ;sfnkjd' ms`.dfkka nd.hlau m<d ;sfhkak ´ks' ld,la ú;rla n;a ^msIaGh&' b;sß ld, fm%daàka' ta;a wm mqreÿ fj,d ;sfhkafk fjkia úosylg' wfma wdydr ms`.dfk ;=ka ld,lau ;sfhkafk' n;a' fld< t<j¿" fm%daàka wvqhs' b;ska msIaGh wiSñ;j YÍrfha fïoh úosyg ;ekam;a lr.kakjd' YÍrh wiSñ;j uy;a fjkj' fuhska f,v-frda. myiqfjkau we;s fjkjd'

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;=kafõ, n;a ld, wms àù tl odkafk;a ßfudaÜ tflka' jHdhduhla we;af;u kE' f,v frda. we;s fjkak fï jrojd.;a; wdydr rgdj m%uqL fya;=jla' wdkud¿ flfy,a f.ähla .;af;d;a tafl le,ß 300la ú;r ;sfhkjd' ta jf.a f.ä ;=kla lEju úYd, le,ß m%udKhla YÍrhg f,daâ fjkj' m<;=re j,skq;a úYd, le,ß m%udKhla YÍrhg tl;= jk nj wm wu;l lrkak fyd| kE' fï ksid wm .kak w;=remi;a .dklg ñïulg .kak tl ;uhs fyd|' wo úúO f;,a j¾. fj<|fmdf<A ;sfhkjd" j¾cska fldlkÜ Ths,a" T,sõ Ths,a jf.a fndfyda ñ, wêlf;,a j¾.' wfma we;euqka lrkafk fudllao @ fï ñ, wêl f;,a j¾. ñ,oS wrf.k fyd|g f;,a od," .eUqre f;f,a tfyu neomq wdydr wkqNj lrkjd' wehs b;ska mdúÉÑ lrkafk T,sõ f;,afk' j¾cska fldlkÜ Ths,afk' we;af;kau th lsisu jeo.eïulg ke;s w;sYh ydksodhl jevla' .eUqre f;,a j,

doctormagazine.lk

wlaudfõ f;,a ;ekam;a ùu l,ska y÷kd.;af;d;a ishhg 100la h:d ;;a;j a hg m;a lrkak mq¿jka' ta;a th isfrdaii s a jf.a woshrlg m;a jqKdu kï lrkak fohla kE'

ksfrda.S wlaudjl yd fïoh ;ekam;a jQQ wlaudjl fjki

noskjd kï úYd, f;,a m%udKhla wfma YÍrhg tl;= fjkjd' wfkl T,sõ Ths,a uOHOrKS rgj, ck;dj w;r m%p,s; f;,a j¾.hla' ta rgj, .eUqre f;f,a neo wdydr wkqNj lrk Ndú;djla kE' i,dfog f;,a álla Wäka odkjd' fv%iska tlla' wms fmd,af;,a Wäka odkafk kEfk' fï f;,a j¾. fofla Ndú;dj;a fjkia' wfma wdydr isßf;aoS f;,a j¾. fkdfjhs" jeä jeäfhka iïm%odhsl wdydr j,g''' fjfiiskau fld< t<j¿ j,g" fl|s iys; t<j¿ j,g jeä wjOdkhla fhduq lsÍu ;uhs jeo.;a'

doctormagazine.lk

orejkaf.a fjkia jqKq wdydr isß; oeka wfma orejkaf.a;a wdydr rgdj" cSjk rgdj nrm;, f,i fjkia fj,d ;sfhkjd' wo orejka jqK;a úYd, jYfhka jHdhdu lrkafk kE' biafldaf, hkafk nia tfla' f.or .syska lrkafk ùäfhda f.aï .yk tl' ke;skï meh .Kka rEmjdysksh n,kjd' odäh odkak fi,a,ï lrkafk kE' ta;a wfma <ud ldf, tfyu fkdfjhs' biafldaf,g hkafk mhska weúof.k' fj,a bmke,af," j;af; odäh odklï meh .Kka fi,a,ï lrkjd'

b;ska wo ldf, fï orejkaf. cSjk rgdj wr uq,ska lS mßjjD;a;Sh iy,laIKh we;s lrkak úYd, jYfhka fya;= fjkjd' ia:q,;djh" álla l,a .shdu wêreêr mSvkh" wef`.a fldf,iiagfrda,a" wlaudfj f;,a" oshjeähdj''' fï úosyg frda. /ilg orefjd f.dÿre fjkak fï fjkia jqKq cSjk rgdj n,mdkjd' fï úosyg jHdhduhla ke;s orejkg fok lEu j¾.;a wfma ldf,g jvd fjkia' laIKsl lEu' fidfiacia" *%hsâ rhsia" mdka" msá wdydr" flala" ìialÜ''' fï úosyg

December 2016

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15

DM wlaudfõ f;,a ;ekam;a ùu

YÍrhg wjYH lrk fmdaIKh fkdfjhs''' le,ß .Kk jeä lrk''' YÍrh wiSñ; f,i uy;a lrjk wdydr ;uhs fï orejkg jeä jYfhka ,nd fokafk' wm .kak wdydr lsishï ld¾hhka isÿ lsÍfïoS" weúoSfïoS" fi,a,ï lsÍfïoS jeh fjkjd' oykh fjkjd' ta;a fï úosfya jHdhduhla ke;s orejkaf.a Yla;sh oykh fjkafk kE' taj ;uhs f;,a úosyg" fldf,iagfrda,a úosyg YÍrfha ;ekam;a fjkafk' miqld,Skj frda. we;s lrkak odhl;ajh olajkafk' wlaudfõ f;,a ;ekam;a ùu fuys tla m%;sM<hla' fï ;;a;ajh isfrdaisia njg m;a jqfKd;a th u;= cSú;h úkdY lrk fya;=jla' orejkaf.a bK uy;a ùu" ia:Q,;djh .ek ie<ls<su;a fjkak ia:q,;djh ;sfnk orejkaf.a uõmshka ;u orejka flfryS jvd;au ie<ls<su;a úh hq;=hs' orejka Wia uy;a fjkjd lSjdg <ud jhfiaos orejka w;fr jeäfhka olakg ,efnk fjkialu ;uhs Wi hk tl' fï orejkaf. YÍrfha uy;aùu widudkH

16

December 2016

fujka wdydr orejkag mqreÿ lrkak tmd''' thska orejd blauKskau frda. j,g ,la úh yelshs

úosyg isoaO fjkafk kE' mdie,a yer hk jhfia orejkaf.a bK w`.,a y;rlg jvd uy;a fjkjd kï" th ;rula widudkHhs' fï wjia:dfõoS wlaudfõ f;,a ;ekam;a ùula ;sfnkjdo lsh, mÍlaId lrj.kak tl iqÿiqhs' bK f,dl= fjkafk f;,a yskaohs' th udxYfmaYska j¾Okh ùfuka jk fohla fkdfjhs' fï ksid bK m%udKh jeäùu ñKQï oKavla f,i fhdod.; yelshs' fï orejka w,ag%dijqkaâ mÍlaIKhlg ,la lrùug ffjoHjrhd lghq;= fhdokjd we;s' w,ag%d ijqkaâ mÍlaIdfj lsrK lsisjla kE' fï ksid th isÿ lsÍfuka ydkshla fjkak bvla kE'

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jeäysáhka wlaudfõ fïoh ;sfnkjd kï u;ameka j,ska w;añosh hq;=uhs jeäysáhka .;af;d;a oshjeähdj" wêreêr mSvkh" fldf,iagfrda,a wdosh ;sfnkjd kï fï wlaudfõ f;,a ;ekam;a ùu ;sfnkjdo hkak y÷kdf.k úfYaIfhka ys;lr wdydr rgdjlg fhduq úh hq;=hs' m%udKj;a jHdhduhla oji ;=< hï ld,hloS ,nd.; hq;=hs' úfYAIfhkau u;ameka mdkh lrkjd kï thska jydu w;añosh hq;=hs' ldka;djka w;f¾ *eà ,sj¾ jeähs wfma rfÜ ldka;djka miqld,Skj ;rula jeäfhka nr jeä fjkjd' úfYaIfhkau doctormagazine.lk

ore m%iQ;sfhka miafi' jeä jYfhka wlaudfõ f;,a ;ekam;a ùu olakg ,efnkafk ldka;djka w;rhs' fï ksid wej;=ï mej;=ï Tiafia ldka;djka ;u fi!LHdrlaIdj wdrlaId lr.ekSu jeo.;a' jHdhdu j, jeo.;alu we;eï fj,djg ;o wõjg;a wmg odäh odkjd' th YÍrfha iqjfi;g jeo.;a jkafka kE' YÍrh fjfyid odäh je.sÍuhs úh hq;af;a' yDoh jia;=fõ iamkaok fõ.h jHdhduhloS jeä fjkjd' jHdhdufhka yD;a reêrjdyskS Yla;su;a ùula isÿ fjkjd' wfkla isÿjk foa ;uhs nr wvq ùu' yenehs fï fï ldrKd fol fojeoEreï' tlsfklg fjkia' jHdhduhloS ie<lsh hq;= nr wvqùula isÿ jkafka kE' tfy;a thska YÍrhg w;suy;a fi!LHuh jdishla ,efnkjd' ldg;a l< yels jHdhduh wms frda.Skag lshkafk i;shlg ojia myla meh nd.hla j;a weúoskak lsh,' ÿr lsf,daóg¾ ;=kla ú;r fjk úoshg' Bg jeäh lrkak mq¿jka wh we;s' ÿjkak mq¿ka doctormagazine.lk

wh;a bkakjdfk' ta wh tfyu lrk tl jvd;a fyd|hs' ta;a weúosk tl idudkH YÍr ikSmhla ;sfhk ldg;a fyd| jHdhduhla' lrkak wudrejl=;a kE' weúosk tflaos Wmßu le,ß 300la ú;r ;uhs oykh fjkafk' fïl bjr jqKdg miafi fndfyda fofkla fufyu ys;kj' zzwd'' uu oeka jHdhdu lr, bkafk' m<;=re hqI ùÿrejla fndkak ´ksZZ m<;=re j, ;sfnk jákdu foa ;uhs tys we;s fl|s' m<;=re hqI ùÿrejla fndkfldg tys fl|s kE''' ta fjkqjg iSks;a tl;= lrkjfk' wka;sfï fï m<;=re hqI mdkfhka le,ß 500la ú;r tl;= fjkj' ÿj, ojd.kafk le,ß 200300' wka;sfïos jeämqr le,ß 100-200la ú;r tl;= lrf.k ;snqKg;a jvd fi!LH ;;a;ajh whym;a lr.kakjd' fï ksid m<;=re hqI wdosh fï úosyg mdkh lsÍfuka j<lskak ´ks' meh nd.hla weúo,d ojk 200-300la jf.a fjk iq¿ le,ß m%udKfhka ú;rla nr wvq lr.kak wudrehs'

wdydr md,khla we;s lr .ekSu" wdydr wkqNjfha ixhq;sfha fjkila we;s lr.ekSu wjYHuhs' nr wvq lsÍuhs ldhsl fhda.H;djhhs lshkafk folla' iuyr uy; flfkl= fyd| YdÍßl fhda.H;djhlska miqfjkak mq¿jka' ixúOdkd;aulj mj;ajd f.k tk fi!LH mqreÿ ksid YÍrfha nr ;snqK;a ukd fhda.H;djhlska YÍrh mj;ajd.kakd wh wm oel ;sfnkjd' wms ys;uq fï úosyg oskm;du jHdhdu l<d lsh,' ta;a thska Tyqf.a nr wvq ùula isoaO fjkafk kE' fjkj kï th fndfydau álhs' YdÍßl fhda.H;djhla kï ksielfhkau we;s fjkjd' flfkla ;ukaf. nr wvq lr.kak W;aidy .kakjd kï''' u;l ;nd.kak Tyq ksielfhkau wdydr md,khla mj;ajd .; hq;=uhs' wlaudfõ ld¾hNdrh wlaudj YÍrfha ;sfnk úYd, bkaøshhla' YÍrfha l%shdldß;ajhg wjYH ish¿u fm%daàk ksmojkafk wlaudfjka' ms;" ksmojkaf;a wlaudfjka' YÍr.; jk

December 2016

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17

DM wlaudfõ f;,a ;ekam;a ùu

ksfrda.S wlaudj

fïoh iq¿ jYfhka ;ekam;a jQ ;ekam;a jQQ wlaudj

iqjlr.; yelshs

ish¿u f;,a j¾. wlaudj yrydhs mßjD;a;Sh msKsi .uka lrkafk' wm u;ameka .;af;d;a tal úI øjHhlafk' th ksIal%Sh lr, msg lrkafk wlaudj yryd' u;ameka .ekSfuka wlaudjg ydkshla isÿ jkafka fï l%shdj,sh ksihs' wlaudfj ishhg 30la muK f;,a ;ekam;a jqKduhs wmg y÷k.kak yels jkafka tys f;,a ;ekam;aj ;sfnk nj' Bg wvq fïo ;ekam;a ùï fï w,ag%dijqkaâ mÍlaIKfhka yªk. kak nE' fuys isfrdaisia ;;a;ajhla j¾Okh jkjdo hkak y÷kd .ekSug úfYAI mÍlaIdjla ;sfnkjd Fibrous scan hkqfjka' biair isfrdaisia ;sfnkjdo hkak ksYaÑ;j y÷kd.kak wlaudfjka 18

December 2016

;ekam;a jQ fïofhka wlaudj m%odyhg ,lajk wjia:dj

iqjlr.; yelshs

fldgila bj;a lr (Liver Biopsy) ridhkd. dr mÍlaIKhlg ,la lrkak isoaO jqKd' tys hïlsis wjodkul=;a fkd;snqKd fkdfjhs' ta;a oeka fï Fibrous scan mÍlaIKfhka th yªkd.; yelshs' fuh fï *eà ,Sj¾ frda.Ska y÷kd.ekSfuys,d w;sYhska jeo.;a fjkjd' jehjk Yla;s m%udKhg iß,k wdydrhla .ekSfï jeo.;alu miq.sh T,sïmsla Wf<f,a rkamolalï 9la oskd.;a uhsl,a f*,amaia lshk l%Svlhd osklg le,ß 20"000la ú;r .;a;' idudkH flfkl=g ta;rï le,ß m%udKhla .kak;a wudrehs' ta;a Tyq Yla;sh ojk l%u;a wkq.ukh l<dfk' fï fol w;r iu;=,s;;djhla r|jd. kakjd kï .eg¿jla

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isfrdaishdj

iqjlr.; fkdyelshs

kE' Tour De France nhsisl,a ijdßfhaos l%Svlhkg wjYH wdydr ,nd.ekSu m%dfhda.slj lr .ekSu m%dfhda.slj isÿ fkdjkakla ksid''' lkak fj,djla ke;s ksid ksodf.k bkak fj,djg tkak;a ud¾. fhka ta le,ß m%udKh ,nd fokjd' fïflka fok mKsúvh l=ulao @ jehjk Yla;shg wkql+,jhs wdydr .; hq;af;a' thhs kS;sh' fï ;=<s;;djh /flk úosyg wdydr .ekSfuka fi!LHiòmkak nj wdrlaId fjkjd' wdydr md,kh hhs lshd wdydr fkdf.ku bkak tl iqÿiq kE''' we;euqka nr wvq lr.kak lsh, fõ,a .Kka fkdld bkakjd' Bg miafi fyd|gu nv.sKs jqKdg miafi doctormagazine.lk

úYd, wdydr fõ,la tl fõ,lg .kakjd' wfma uqi,audkq ck;dj fkdaïì udifhaoS fõ,a u.yeÍula lrkjdfka' ta;a ta whf.a nr wvq ùula jkafk kE' talg fya;=j kej; wdydr .kak fj,djg wvqj;a wvqmdvqjla ke;sju iïmQ¾K lr.ekSu'

jeäysáhka .;af;d;a oshjeähdj" wêreêr mSvkh" fldf,iagfrda,a wdosh ;sfnkjd kï fï wlaudfõ f;,a ;ekam;a ùu ;sfnkjdo hkak y÷kdf.k úfYaIfhka ys;lr wdydr rgdjlg fhduq úh hq;h = 's m%udKj;a jHdhduhla oji ;=< hï ld,hloS ,nd.; hq;h = 's úfYAIfhkau u;ameka mdkh lrkjd kï thska jydu w;añosh hq;h = 's

wlaudfõ fïoh ;ekam;a ùfuka miq ixlS¾K wjia:d j,g m;a ùfïoS wlaudfõ ms<sld we;sùfï wjodku by< hkjd

flá wdydr fõ,a ál ál .kak tlhs jvd;a jeo.;a wms idudkHfhka wdydr fõ,a ;=kla ojig .kakjdfk' th fõ,a mylg lvd.kak' ta;a jrlg .kak m%udKh wvq lr.kak' th ;uhs fyd|u l%uh' tl fõ,lg .kak wdydr m%udKh wvq l<du YÍrh wvq wdydr m%udKhlska iEfykak mqreÿ fjkjd' fl|s iys; wdydr jeäfhka .;a;u tys le,ß kE' yenehs nv msfrkjd' w;=remi úosyg;a fl|s iys; m<;=re wkqNj lsÍfuka nr wvq lr.kak;a mq¿jka' nr wvq lr.kak lsh, fkdld bkak tfla kï m%;sM<hla kE''' wlaudj YÍrhg w;HjYH ld¾hNdrhla bgq lrk bkaøshla' th fkdue;sj

doctormagazine.lk

cSj;a fjkak wmyiqhs' wlaudfj f;,a" tfyu;a ke;akï fïoh ;ekam;a fj,dh lshk ldrKh cSú;hg wNdsfhda. hla' fï ksid ljqre;a th wk;=re y`.jk ix{djla f,i is;g .kak tl fyd|hs' fï frda.hg ìh fjkak ´ks' thska ñfokakg Tng ffO¾hhla ke;akï ú;rhs' wdydr rgdfõ" we``. fjfyijd jHdhdu lsÍfï wosgfka Tn bkakjd kï wlaudfõ fïfha wk;=frka Tng iïmQ¾Kfhkau ñfokak mq¿jka' YÍrfha nr wvq lr.ekSu" bfKa uy; wvq lr.ekSu ;uhs wlaudfõ fïo ;ekam;a ùug ;sfnk fyd|u úiªu' fï b,lal imqrdf.k fï wjodkfuka ishhg ishhlau ñÿK frda.Ska wm w;r isákjd' DM

December 2016

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20

December 2016

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doctormagazine.lk

D•Magazine /

Medical Tests

iqÿ reêrdKq Tfí isrer wdrlaId lr.kakg n,uq¿ ne|.kafka fufyuhs

Benefits of White Blood Cells iqÿ reêrdKq Tfí isrer wdrlaId lr.kakg n,uq¿ ne|.kafka fufyuhs

w ffjoH ridhkd.dr ld¾ñl úoHd{ chka; úfcaùr úisks

fma isref¾ mrsjykh jk reêrfha uQ,sl ix>glhla jQ iqÿ reêrdKq fkdfyd;a Yafõ;dKq .ek Tn fuf;la fkdoek isá lreKq rdYshla fï ,smsfhka úia;r flf¾'

Tn uQ,sl jYfhka uekúka okakd ldrKhlao we;' thg wm f.!rj fkdlrïo @ Tõ''' iqÿ reêrdKq úúO úIîc YÍrh wdl%uKh l< úg Bg tfrysj igka lrk n,uq¿j jYfhka Tn oekgu;a y÷kdf.k isà' th ienEjls' th wfma YÍrfha l%shd;aul jk m%;sYla;slrK moaO;sfha uQ,sl l%shdldßlhdhs' úIîc j,ska isrer wdrlaId lr.kakd wdrlaIl fikam;shdh' iqÿ reêrdKq meyefhka wj¾Kh' kHIaÀhla we;' ixirkh jkafka nv .df.k hkjd jeks iqúfYaIS wdldrhlsks' flaYkd,sld ì;a;s midre lrf.k hdugo iqÿ reêrdKq iu;ah' ,Sgrhl iqÿ reêrdKq 4 isg 11x 109/L muK mßudjla ;sfí' ksfrda.S mqoa.,fhl=f.a f,a uhsfl%d ,Sgrhl iqÿ reêrdKq 7000-25000 w;r m%udKhla ;sfí' ,shqflañhd jeks frda.hla we;s úg f,a ì÷jl we;s iqÿ reêrdKq ixLHdj 50"000 ;rï by< w.hlg m;a fjhs' YÍrh ;=< iqÿ reêrdKq l%shd lrkafka tal ffi,Sh cSúfhl= jYfhks' úfYaIhla jkafka fï iqÿ reêrdKq j,g ffi, j, we,S mj;sk fYaI.; fldgia" wd.ka;=l øjH yd wdl%uKsl laIqø cSùka .%yKh lr.ekSug we;s iqúfYaIS yelshdjhs'

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iqÿ reêrdKq Tfí isrer wdrlaId lr.kakg n,uq¿ ne|.kafka fufyuhs

Medical Tests

iqÿ reêrdKq j,g lsis úfgl fnfokakg fyda kej; ksIamdokh jkakg kqmq¿jk' wegñÿ¿ j, we;s l=U ffi, weiqf¾ iqÿ reêrdKq W;amdokh fõ'

iqÿ reêrdKq ixhq;sh iqÿ reêrdKq uQ,sl jYfhka fldgia follg j¾.SlrKh fõ' lKsld rys; iqÿ reêrdKq Leukocyte granulocytes yd lKsld iys; iqÿ reêrdKq Leukocytes agranulosit hkqfjks' Granular plasma hkqfjkao ye|skafjk ,shqfldihsÜ .%ekshqf,daihsg j,g Basophils, Eosinophils, Neutrophils hk fldgia wh;a fjhs' fuh ;j f,ilska lsjfyd;a reêrfha we;s wj¾K ;r, fldgihs' ma,iaudjg wh;a fkdjk Leukocytes agranulosit fldgig Lymphocytes, monocytes wh;a fõ'

Lymphocytes, Monocytes Wmosk yeá iy tys l%shdldß;ajh wegñÿ¿ j," w.akHdYfha" jid .eá;s wdoS ia:dk j,oS iqÿ reêrdKq W;amdokh fõ' ndysßka YÍrhg msúfik

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December 2016

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wdl%uKldÍ laIqøcSùka ld oukakg yelshdj we;af;a iqÿ reêrdKq j, ;sfnk .a/kshqf,daihsg yd fudfkdihsg j,gh' wkaùlaISh jYfhka ne,SfïoS fï hqoaOh ienúkau Tng oel.; yels jkafkah' we;eï úg .a/kshqf,daihsg u.ska .s,.kakd ,o 10-20 muK jQ laIqøcSùka ridhkd. drfhaoS Wmfk;ska oelsh yelsh' iqÿ.a/ kshqf,daihsg ienúkau wfma isrer wdrlaId lsÍug fl;rï wem lem ù isákafkao hkak fuhska mila jkq we;' iqÿ reêrdKq j,g we;s ,dlaIKsl .uk doctormagazine.lk

(Amuboid movement) o fï m%ydrd;aul l%shdj,shg Tìk fia ksuejqkls'

iqÿ reêrdKq isrer ;=< lrk igk YÍrfha wdidokhla" ;=jd,hla" bosóula we;s jQ ia:dkhla .;af;d;a tys we;af;kau ;sfnkafka hqo msáhls' tys we;af;a iqÿ reêrdKq u.ska m%ydr t,a, lsÍfuka ÿ¾j, jQ wd.ka;=l m%ydrlfhdah' fï hqoaOfhaoS m%ydrlhd''' wd.ka;=lhd''' Yla;su;a jQjfyd;a we;eï úg iqÿ reêrdKq o ÿ¾j, fjhs' tys m%;sM<hla jYfhka we;eï YÍr ffi, úkdY fjhs'

.a/kshqf,daihsg j, m%ydrd;aul yeisÍu igka ìfïoS .a/kshqf,daihsg ;j;a ix.%dñl ld¾hhl ksr; fjhs' cSù ffi, j,g udrdka;sl tkaihsuhla uqod yßñka cSù ffi,h ì| fy<Sug" wl¾ukH lsÍug" bkamiq bj;,Sug .a/ kshqf,daihsg j,g yelshdjla ;sfí' fï l%shdj,sh ksid YÍrfha lsishï ÿ¾j, jQ mglhla fõ kï th bj;aj f.dia tu ia:dkfha iqj ùfï l%shdj,sh fõ.j;a jkafkah' fï ksid tu frda.S ia:dkh m%odyhg m;aùfï bvlv wju jkafkah'

úkdYldÍ m%ydrfha hqomsáfha i<l=Kq - ierj fï ld¾hh uekúka bIaG fkdjqfKd;a ierj we;s fjhs' fï ierj hkq .a/kshqf,daihsg úiska lrk ,o hqoaOfha wdmodjg ,lajQ fikam;shkah' YÍrhg wh;aj ;sî úkdYhg m;ajqKQ fldgia fukau wd.ka;=l wdl%uKsl fldgiao úkdY ù fï wdldrfhka ierj f,i ;ekam;a fõ' ksfrda.S .a/kshqf,daihsg u.ska fï ierj fldgiao bj;a lsÍfï fufyjrl fhfok w;r ta wdldrfhka YÍrh ksfrda.Sj ;nd .ekSug Tfíu isref¾ .a/ kshqf,daihsg l%shd lrk wdldrh uú; lrjk iq¿ fkdjkafkao @

ridhkd.drfhaoS frda. y÷kd .ekSug isÿ lrk reêr mÍlaIKh reêrh mÍlaId lsÍfuka ffjoHjreka frda. iïnkaOfhka b;d jeo.;a b`.s ,nd.kakjd' Full Blood Count hkqfjka ye|skafjk uQ,sl reêr mÍlaIKhla i|yd ñ,s ,Sg¾ foll reêr m%udKhla Ysrdjlska ,nd .kakjd' fuu reêrh leá .eiSu j<lajd .ekSu jeo.;a' fï ksid

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thg úIîc kdYkh lrk ,o EDTA kï ridhkho tl;= lrkjd' miqj tys we;s r;= reêrdKQ" iqÿ reêrdkq yd reêr mÜáld úIfhys iúia;rd;aul jd¾;djla ,nd.kakjd' DM

December 2016

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D•Magazine /

Headache

ysfia weïu fkdfyd;a ysiroh fkdi<ld yßkak tmd'''

ysfia weïu fkdfyd;a ysiroh fkdi<ld yßkak tmd''' th frda. úksYaphla weiqf¾ m%;sldr .; hq;= frda.hls

ys

iroh hkq wm ish¿ fokd cSú; ld,h ;=<oS w;aú|sk iq,n frda.hls' fï iq,n;djh ksidu ysirohg ldf.;a wjOdkh fhduq fjhs' kuq;a Tn jgyd .; hq;af;a Tn ir< hhs is;d isák ysiroh b;d oreKq frda.hl ,laIKhlao úh yels njhs' we;eï úg fï mQ¾j ix{dj jgyd fkd.;fyd;a b;d myiqfjka iqj lr.ekSug;a" isÿúh yels ydksh wju lr.ekSug;a ;snQ wjldYh wmg wysñ úh yel' úúO frda. yd noaOj;a" úúO fya;= ksid;a we;sjk ysirofha ishqï wx. y÷kd.ekSu ;=<ska ksjeros frda. úksYaphlg meñKSug Tfí ffjoHjrhd iu;a jkjd we;' tjeks frda. úksYaphlska f;drj ysirohg ;djld,slj fõokd kdYl .ekSu lsisfia;a wkqu; l< fkdyel'

fkú,a m%kdkaÿ YslaIK frdayf,a W.=r lk kdih ms<sn|j úfYaI{ ffjoH fcHaIaG lÓldpd¾h iS;d l=udß wrfòfmd, úisks

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December 2016

fojeoEreï uQ,sl j¾.SlrKhla ysiroh we;sùug n,mdk ish¿ fya;= mq¿,a f,i fldgia follg fnod fjka l< yel' ta ysi ;=< frda.S ;;a;ajhla ksid we;sjk ysiroh yd ysfika mßndysr wjhj ;=< we;sjk frda.S ;;a;ajhlg we;sjk m%;sl%shdjla f,i we;sjk ÿria: ysirohla f,i kï l< yel' fya;=j l=ula jQjo fuysoS isÿ jkafka ysfia we;s f,a kyr" udxYfmaYs" iakdhq yd fõokdj WoaoSmkh lrk ixfõoS ffi, W;af;ackh ùuhs'

DOCTOR MAGAZINE

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"

ysiroh we;sùug n,mdk ish¿ fya;= mq¿,a f,i fldgia follg fnod fjka l< yel' ta ysi ;=< frda.S ;;a;ajhla ksid we;sjk ysiroh yd ysfika mßndysr wjhj ;=< we;sjk frda.S ;;a;ajhlg we;sjk m%;sl%shdjla f,i we;sjk ysirohhs'

MRI to Diagnose Headaches...

Your doctor might recommend one if you're getting headaches daily or almost every day.

You might also get one if you had a CT scan that didn’t show clear-cut results.

An MRI can’t diagnose migraines, cluster, or tension headaches, but it can help doctors rule out other medical conditions that may cause your symptoms, such as: *A brain tumor *An infection in your brain, called an abscess *The buildup of fluid in the brain, called hydrocephalus

http://www.webmd.com/ migraines-headaches/ making-diagnosis-mri

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ysfia weïu fkdfyd;a ysiroh fkdi<ld yßkak tmd'''

Headache

HEADACHES THAT SIGNAL HEALTH ISSUES

SINUS

CLUSTER

TENSION

MIGRAINE

Sinus headaches: With these, you feel a deep and constant pain in your cheekbones, forehead, or bridge of your nose. They happen when cavities in your head, called sinuses, get inflamed.

The pain usually comes along with other sinus symptoms, such as a runny nose, feeling of fullness in the ears, fever, and swelling in your face.

Cluster headaches: This type is intense and feels like a burning or piercing pain behind the eyes, either throbbing or constant. It’s the least common but the most severe type of headache.

The pain can be so bad that most people with cluster headaches can’t sit still and will often pace during an attack.

Tension headaches: Also called stress headaches, chronic daily headaches, or chronic nonprogressive headaches, they are the most common type among adults and teens. They cause mild to moderate pain and come and go over time.

Migraines: These headaches are often described as pounding, throbbing pain. They can last from 4 hours to 3 days and usually happen one to four times per month. Along with the pain, people have other symptoms, such as sensitivity to light, noise, or smells; nausea or vomiting; loss of appetite; and upset stomach or belly pain. When a child has a migraine, she often looks pale, feels dizzy, and has blurry vision, fever, and an upset stomach.

fud<h ;=< we;sjk ysirohka w;r brejdroh" wd;;s ysiroh" fmdl=re ysiroh" yosis f,a .e,Su" fud<fha f.ä yd ms<sld m%uqL fõ' bka mßndysr lreKq w;r wêl mSki" fldaGr m%odyh" ÿ¾j, fyda wdidos; o;a" frda.S yl=" ykaos yd f.f,ys wiaÓ frda. m%uqL fõ'

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December 2016

brejdroh iq,n fya;=jla fï w;=ßka brejdroh kï nyq,j olakg we;s frda. ;;a;ajhla jk w;r fuys m%uqL frda. ,laIK rdYshla fõ' br wõjg ksrdjrKh ùug wu;rj Öia" rglcq" lcq"

DOCTOR MAGAZINE

fpdla,Ü" uduhsÜ jeks wdydr ksido brejdroh we;sfõ' fuf,i fud<h ;=< ridhKsl øjH ;=< we;sjk wiu;=<s;;djh b;d wêl ysirohlg fya;= ldrKd ilihs' brejdroh kï idudkHfhka ysfiys tla me;a;lg iSud fjhs' tfiau wêl jukh" úúO .kaOhka weiqf¾ we;sjk

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ms<sn|j Tn úuis<su;a úh hq;=h' óg fmr brejdroh ;snQ frda.sfhla jQjo yosisfha wêl ysirohla we;s jQ úg ffjoH Wmfoia ,eîu wksjd¾h jkafka ysi ;=< we;sjk wfkl=;a ;;a;ajh;a u. yeÍug bv we;s ksihs'

lrleú,a," wdf,dalh foi ne,Sug we;s wmyiqj wfkl=;a frda. ,laIK fõ' tfiau ysiroh ieoSug fmr frda.shdg fmr oeKqï oSula we;sjk w;r fuh Typical Migrain fkdfyd;a myiqfjka y÷kd.; yels brejdroh f,i ye|skafõ' by; frda. ,laIK j,ska f;drj brejdrohla yg .;a úg Atypical Migrain

doctormagazine.lk

frda. ks¾Kh ;rula wmyiq fõ' wêl fjfyi yd udkisl wd;;sho brejdrohg fya;=jla fõ' we;eï úg isÿ l< hq;= ffjoH mÍlaIK kuq;a ir< m%;sl¾uhlg m%;spdr fkdolajk úg ysiroh ms<sn|j ks.ukhlg meñKSug fndfyda úg MRI mÍlaIKhla fyda CT mÍlaIKhla lsÍug isÿfõ' úfYaIfhkau yosisfha we;sjk ysiroh

fldaGr m%odyh - ysfia weïug iq,n fya;=jla fldaGr m%odyho b;d nyq,j olakg ,efí' fuysoS kdih wjg we;s jdhq fldaGr nelaàßhd" ffjri fyda os,Sr u.ska wdidokh fõ' fndfyda úg u. yefrk ;;a;ajhla jkqfha yl= wdY%s; ykaos m%odyhhs' b;d wêl ysirohla fukau f., wdY%s; fõokdjlao fuysoS we;sjk w;r ukd mÍlaIdjlska fï frda.h wkdjrKh lr.; yel' ysiroh hkq ;ks frda.hla fyda frda. ,laIKhla fkdjk nj;a úúO fya;= Bg n,mE yels nj;a Tng fmkajd oSuhs' frda. úksYaphlska f;drj m%;sl¾u fhoSu iqÿiq fkdjk nj fï wkQj Tn jgyd.; hq;=h' DM

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Dating Warning urKhg w; jkk Love Bite

Teenage boy DIES after LOVE BITE from girlfriend causes fatal stroke

urKhg w; jkk

LOVE BITE 28

December 2016

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wdorh - th wmQ¾j w;aoelSula''' wkqrd.fhka msÍ.;a fmïj;=ka w;f¾ ;sfnk wdorh cSú;h ukau;a lrjk iq¿hs' ta;a fmïj;=ka w;f¾ we;sjk tla;rd ism.ekSula kï udrdka;slhs' fulaisfldafj 17 yeúßos ;reKfhla - Tyqf. ku cq,sfhda f.dkaidf,ia - rd;%S wdydr fïfios mjqf, wh;a iu. wdydr .ksñka isáhoS yosisfha wikSm jqKd''' wdOdrl ffjoH lKavdhï jydu Tyq frday,g f.k hk úg;a Tyq fuf,dj w;yer .syska' fï iïnkaOfhka fidhd n,k úg ikaOHd ld,h Tyq .; lf<a ;u fmïj;sh iu.ska nj wkdjrKh jqKd'' weh Tyqf.a f., ;rula ;oska" mdr ysák ;rug''' ismf.k ;sfnkjd' ta wys;lg fkdfjhs" we;a;gu lshkjd kï wdorhg. Love Bite... fmïj;=ka w;f¾ yqjudre jk wdorKSh isysjgkhla' cq,sfhdag ure lef|õfj fï Love Bite tl nj miqj wkdjrKh jqKd'' f.f,ys reêrh f.k hk reêrjdyskS fï ;oska ism.ekSu ksid leá .efykak mq¿jka' tu leáh fud<hg .syska ysr jqKdu wxYNd.hg fya;= fjkjd' yDofha isr jqfKd;a yDohdndOhla''' 2011 j¾Ifhaos kjiS,ka;fha ldka;djl=;a óg wdikak w;aoelSulg uqyqK ÿkak' 44 yeúßos wef.a jï w; tlajku l%shd fkdlrk ;;a;ajhlg m;a jqKd' yßhg wxYNdf. yeÿK jf.hs' fya;=jla ys;d .kak neßj bkak úg wyïfnka jf.hs ffjoHjrfhla wef.a f.f,ys jQ lsishï r;ameye i<l=kla ÿgqfj' fydhd n,k úg th;a Love Bite tlla' ;u wdorKSh ieñhdf.ka ,enqKQ fm%auKSh isysjgkhla' ta;a fkdys;+ úosyg ta l%shdj ksid f.f,ys m%Odk kyrhla wdmodjg ,la fj,d' we;sjqKq f,a leáh fudf<a jeo.;a ;ekl ysr fj,d'''

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doctormagazine.lk

fï úosfya isÿùï lsysmhlau fï jk úg jd¾;d fjkjd' wd>d;h ksid YÍrfha me;a;la wl¾ukH fjkjd''' urKh;a <`.d fjkak mq¿jka''' Th ;uhs wka; fol''' Th w;f¾ ;j;a fndfyda ldrKd we;s lrkak wd>d;h iu;a' wdorh ksid we;sfjk wdorKSh l%shdjla iq¿ fudfyd;lska wdorjka;hdf." wdorjka;shf. cSú;h ì,s .kak jqK;a mq¿jka''' m%fõYï fjkak''' fï mKsúvh fm%aujka;hka" fm%aujka;shka ish¿ fokdguhs' DM By a Staff Feature Associate

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ive s u cl Ex

D•Magazine /

Health & Fitness

weúoSfuka cSú;hg iekiSu <`.d lr.kak'''''

Health

& fitness

tlai;a rdcOdksfha ffjoH iNdfõ úfYaI{ ffjoH wix. úchr;ak úisks

iqj;djh yd ksfrda.S;djh Wfoid i;=áka cSú;h fjkia lr .ksuq - 2

weúoSfuka cSú;hg iekiSu <`.d lr.kak''''' weúoSu cSú;fha fldgila lr.ksuq

we

úoSu iajdhq (Aerobic/Cadiovascular) jHdhduhls' ,xldj mqrd weúosk ux ;Sre y;,syla muK mj;S' Gym tlg" Fitness Class tlg fldfy;au f.ùula lrkafk ke;sj ;ukagu l< yels fyd|u jHdhduhls weúoSu' ,xldfõ foiShlg wdikak ixLHdjla yDoh wdY%s; wdndO" ÿn,;d ksid osklg ñh hhs' wd;;sh (Stress) yd jeros cSjk rgdjka (Life Style) ksido" fnda fkdjk frda. jeä ùu ksido yDohdndO oeka jeäh' úfYaIfhkau ;reK mrmqro fï frda. j,g ,laùu wjdikdjls' zzweúoao mh oyia jàaZZ hkak wm me/kakka w;r m%p,s; lshukls' f,dalh jgd fojrla ;u cSú; ld,h ;=< .uka lrk ÿrla weúoskakg ;rï Yla;su;a mdo hq.,la wm yefudagu ksi`.fhkau ,eî ;sfí' jdykhl gh¾ f.fjkjd fia weúoSfuka mdo f.fjkafka ke;' wjdikdjg ;ju;a wfma jeä fofkla mäfm< k.skafka úÿ,s fidamdkfhks' k.rhg hkafka ;ukaf.a jdykfhks' ke;akï ;%S frdao r:fhks' mqxÑ ÿrla fyda mhska hkakg wlue;sh' fndfyda fofkla yeisfrkafka zzweúoao mh n¨ fkdjàZZ .dkgh'

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doctormagazine.lk

doctormagazine.lk

ld,hla f.jkakg zzwdhqfndajkaZZ lshkakg wjia:djla Wod fõ'

"

weúoSu (walk)" osùu (Jogging, running)" fõ.j;a osùu (sprinting) fï wdoS jHdhdu j,ska wmg ,efnk buy;a jdish kï fïjdfha ksr; ùfïoS fmKy¿ msfrkakg Oxygen jdhqj ,eîuhs' fmKy¿ Oxygen jdhqfjka msÍfuka tajdfha m%idrKfhka fmKy¿ w;sYhska Yla;su;a fõ' ksfrda.S yDo iamkaokhla we;sù yDoho Yla;su;a fjhs' isref¾ ysfia isg mdodka;h olajd YÍrfha iEu fldgilgu wjYH msßisÿ reêrh wjysrhlska f;drj ,nd. kakg fuh WmldÍ fõ' ;j;a f,ilska lshkjd kï Tfí cSú;h jeä

weúoSu" osùu" fõ.j;a osùu fï wdoS jHdhdu j,ska wmg ,efnk buy;a jdish kï fïjdfha ksr; ùfïoS fmKy¿ msfrkakg Oxygen jdhqj ,eîuhs' fmKy¿ Oxygen jdhqfjka msÍfuka tajdfha m%idrKfhka fmKy¿ w;sYhska Yla;su;a fõ' ksfrda.S yDo iamkaokhla we;sù yDoho Yla;su;a fjhs'

Dr. Asanga Wijeratne is a Human kinetic specialist and the only sports scientist in South Asia for this specific purpose.His expertise focuses mainly in Fitness & Wellness,Sports Nutrition,Exercise Counseling & Therapy ,Sports Physiology/ Psychology, Human Kinetics & Sports Medical Science,Physical Education & Scientific Sports Coaching , Surgery Recovery, Injury Prevention & Special Needs Training.

December 2016

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D•Magazine /

weúoSfuka cSú;hg iekiSu <`.d lr.kak'''''

weúoSfuka ,efnk m%fhdack oyhla .ek wo Tn yuqfõ lreKQ olajkakg wo ,smsfhka woyia lrñ' iuyreka jHdhdu muKla fkdj weúoskak .sh;a th yß l%uhg isÿ fkdlsÍfuka jev jroaod .kS' fï ksid weúoskakg fmr th ksjerosj lrk wdldrh ms<sn|j Tn oeKQj;a úh hq;=h' weúoSug jvd;au 01 iqÿiq jkafka WoEik ld,hhs' ysret<sfha uq,au wreKe,a, fmdf<djg m;s; jk WoEik 5'306'30 w;r ld,fhaoS weúoskjd" ÿjkjd kï jvd;a fyd|h' fï ld,fhaoS iQ¾hdf.ka ,efnk fi!LHiïmkak wdf,dalh" úlsrKh uekúka isrer isidrd hhs' úgñka D fkdwvqj isrerg ,efnhs' WoEik jDlaI,;d j,ska jykh jk wï, lr jdhqjo fnfyúka m%Yia;h' weúoSug fmr ñ',S' 250l muK u| riakh iys; j;=r ùÿrejla fndkak' jHdhduh wjika lsÍfïoS" YÍrh Cool doWn lsÍfuka meh nd.hlg miq ;j;a ñ',S'

02

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December 2016

250l j;=r m%udKhla fyda fmdaIKfhka hqla; fld< le|" m<;=re hqI ùÿrejla fndkak' lsis úfgl;a Yla;sckl mdk" lsßmsá" fuda,aÜ" f;a" fldams" meKs îu mdkh fkdl< hq;=h' jHdhdu wjika jQ jydu lEu lkak tmd''' úkdä 45la mehla .;ùfuka miq wdydrh .kak' iqÿ meyehg" l%Sï meyehg lsÜgq lmq we÷ula w|skak' fïjdhska WIak;ajh" ysre t<sh uekúka mrdj¾;kh fõ' lsá lsáfha ysrfjk" má oud ;o l< úúO Style we÷ï w|skak tmd' msßisÿ we÷ï w|skak' weªï fukau fïiao jrlg jvd m<|skak tmd' jHdhdufhka miq msßisÿ weªula w|skak'

DOCTOR MAGAZINE

03

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Health & Fitness

mdfros" jevfmdf<aos olsk whg yskd fjkak' iqn m;kak' mjqf, wh;a tlal yeu úgu fidªre cSú;hla .; lrkak' Tfí iylre$iyldßh" orejka''' fï yeu fokdu i;=áka ;nkak' Tn;a i;=áka ld,h .; lrkak' Make-up" ysfia ;jrk Gel" oud wdNrk j,ska ieriS weúoskak tmd' WIaK;ajhg iy oyähg" iuyr Metal wdNrK ksid Make-up j, we;s úúO ridhk øjH ksid ifuys úúO wdidok we;súh yel'

04

doctormagazine.lk

wjYH kï ysia jeiqula m<|skak' Sun Screen tlla ;jrd.kak' we;efula weúosk úg fifrmamq" iekaâ,aia" wä Wi im;a;= m<|shs' thska oKysia" fldkao yd iakdhq moaO;sfha wdndO we;súh yelshs' Walking Brnded Shoes jHdhduhg yd l%Svdj fjkqfjkau ieliQ mdjyka hq.,hla ñ,oS .kak' ,dn ksIAmdok ks;s Ndú;fhka miq ld,hloS Tn fi!LH .eg¿ j,g ,la ùug bv ;sfí'

05

wju 1Km" Wmßu 5Km muK ojilg weúoskak' úkdä 20 isg mehla olajd ld,hla osklg weúoskak' fï m%udK blaujd w;sYhska YÍrh fjfyig m;a lrùuo iqÿiq fkdfõ' weúosk úg tlu fõ.fhka weúoskak' idudkHfhka weúosk fõ.hg jvd ishhg 20l jeä fõ.hla mj;ajd .kak'

06

mdo iudka;rj ;ndf.k weúoskak' ;drdfjla ixprkh lrk fia (Duck

07

doctormagazine.lk

walk& mdo yryg ;ndf.k weúoskak tmd' we`.s,sj,ska fyda mdofhka fldgilska muKla weúoskak tmd' wf;a ÿßka" mdo fyd|ska fmdf<dfõ iam¾Y jk fia weúoskak' fldkao fl,ska ;ndf.k fl,ska n,df.k weúoskak' ìu n,df.k weúoskak tmd' fyd|g kdia j,ska yqiau .kak' láka yqiau .kak tmd' y;sh jeä ksid iuyreka fõ.j;a f,i láka fõ.j;a f,i yqiau .kakjd' kdifhka yqiau wrf.k wju ;;amr 2-3la fmKy,a, mqrjd ;ndf.k bkamiqj yqiau msg lrkak'

08

biair kï Cardio jHdhdu lsÍug i;shlg osk ;=kla osklg meh nd.h ne.ska iEfya' kuq;a ful, wfma p¾hdjka úuik l< oskm;d weúoSu l< yelafla kï jvd;a iqÿiqh' oskm;d lrk ksid YÍrhg oeä wmyiq;djhla we;s fkdjk fia ir< wdldrfhka jHdhdu jev ms<sfj, ilid .ekSug mqreÿ fjkak' l,n,hg'''

09

ysf;a Stress tlla we;s lrf.k jHdhdu lrkak tmd' wjqreoaolg j;djla Medical Check up tlla lr.kak' thg yoj; mÍlaIKho we;=<;a fjkjd' wo fndfyda fofkla cSú;h .; lrkafk m%Yak ysf;a ;shdf.k' bkafk nqïuf.k' yskd fmdola uQfK kE'''' tfyu fkdfjhs" úhoula ke;sju wfkla wh i;=gq lrkak mq¿jka zzyskdjZZ cSú;fha fldgila lr.kak' thska Tn;a fkdoeKSu Tn ksfrda.S fjkjd' wfkla wh;a ksfrda.S iïmkak lrkjd' mdfros" jevfmdf<aos olsk whg yskd fjkak' iqn m;kak' mjqf, wh;a tlal yeu úgu fidªre cSú;hla .; lrkak' Tfí iylre$iyldßh" orejka''' fï yeu fokdu i;=áka ;nkak' Tn;a i;=áka ld,h .; lrkak' tfykï Tn ú;rla fkdfjhs" mjqf,a yefudau Tfí jHdhdu jevigykg tl;= lr.kak' yeu fj,dfju i;=áka bkak''' Good luck... DM

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December 2016

DOCTOR MAGAZINE

33

D•Magazine /

Behaviour

Breakthrough study may finally explain why we sleep...

BREAKTHROUGH STUDY MAY FINALLY EXPLAIN WHY WE SLEEP...

All animals need to sleep, but why? It's one of the great puzzles of biology, and it might finally have a solution.

kskao wmg wjYH jkafka wehs @ kskao iïnkaOfhka fuf;la úYsIAG;u meyeos,s lsÍu m%ldYhg m;a fjhs u cSú; ld,h ;=< ukqIHfhla idudkHfhka jir 26l muK ld,hla kskao i|yd jeh lrKq we;ehs y÷kdf.k ;sfí' wm iEu ojilu rd;%sfhaoS mqreoaola jYfhka ksos f,djg msúfiuq' miqod weyefrk úg fmrod úvdj oefkkafka ke;' kskafoka msìoSu;a iu.u isrerg wmQ¾j mqk¾cSjkhla ,efnhs' neß fj,dj;a yß yuka kskaola rd;%sfha fkd,enqfKd;a fï msìoSu olskakg ,efnkafkao ke;'''

;

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December 2016

DOCTOR MAGAZINE

ienúkau wehs ta''' @ kskao wfma ljr wjYH;djhla u; yev .eiqklao @ wm fndfyda fofkla kskao .ek iqNjdoSj is;uq' wfma fud<fha l%shdldß;ajh uekúka mj;ajd .ekSug;a" iakdhql l%shdldß;ajh hy;ska mj;ajd .ekSug;a kskao wmg fnfyúka WmldÍ fj;ehs lshefõ' kskao ke;s jQ l,ayS wm fndfyda .eg¿ j,g uqyqK fouq' tajd iuyrla w;sYhska fõokdiy.;h' fud<fha m%udKh .ek is;kakg jqjuKd ke;' wvq jeä jYfhka iEu i;a;ajfhlau mdfya ñksid fukau ksod .ekSu ;u cSú;fha fldgila" p¾hdjla lrf.k isáhs' New Scientist i`.rdj jd¾;d lrk wkaoug kskao iïnkaOfhka fuf;la ìysjQ úYsIAG;u meyeos,s lsÍu bosßm;a jQfha fkdfndaodh' wefußldfõ úiafldkaiska ueäika úYaj úoHd,fha .shq,sfhda fgdfkdks m%uqL m¾fhaIlhka lKavdhulg tu ch.%ykfha f.!rjdorh ysñ fõ' fï m¾fhaIlhka lKavdhu óhka fhdodf.k wmQ¾j jQ doctormagazine.lk

doctormagazine.lk

"

m¾fhaIKhla osh;a lf<ah' ksos wysñ jQ óhka tla ldKAvhlg;a" fyd|ska ksos iqj ,enQ óhka tla ldKavhlg;a f.k Tjqka fud<h fPaokh lf<A Wka fud<fha f.dvke.=Kq iskemai fkdfyd;a kshqfrdak w;f¾ iïnkaO;d yeoEÍugh' fyd|ska ksos iqj ,enQ óhkaf.a iskemai kskao wysñ jQ óhkag jvd ishhg 18lska wvq jQ nj ksÍlaIKh úh' fï wkQj kskaola ,eîfuka miq fud<fha iakdhql ikaksfõokfha ÿ¾j, ùula isÿjk nj fï m¾fhaIKfhka meyeos,s úh'

zkskao - wfma bf.kSï l%shdj,sfhaoS Bg fjfyik fud<h Wfoid wm lrk f.ùuhs' th fkdue;s kï fud<hg fu;rï ksoyialdój B<`. bf.kSu lrkakg wjia:djla Wod jkafka ke;'

"

fud<fha mKsúv iïnkaO;d ÿ¾j, ùu wm kqyqrg .; hq;= fkdfõ' ienúkau tys ie`.j.;a wre; kï fï ksid jvd;a Ñka;khg" mßl,amkhg fukau m%;sNdjgo bv yir ,efnk njhs' fï iïnkaOfhka fgdfkdks oelajQfha fujka woyils' zzkskao - wfma bf.kSï l%shdj,sfhaoS Bg fjfyik fud<h Wfoid wm lrk f.ùuhs' th fkdue;s kï fud<hg fu;rï ksoyialdój B<`. bf.kSu lrkakg wjia:djla Wod jkafka ke;'ZZ fï kHdh EEG m¾fhaIK j,skao ikd: lr ;sfí' EEG m%ia:dr j,g wkQj ojil wdrïNfhaoS .kakd EEG igyfkys úoahq;a m%;s.%dyl;ajh ojfia wjidkfhaoSg jvd ÿ¾j,h' DM

December 2016

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D•Magazine /

First Aid

f.or-fodroS orejkag isÿúh yels wk;=re

PREVENTING HOUSEHOLD ACCIDENTS f.or-fodroS orejkag isÿúh yels wk;=re <ud frda. úfYaI{ ffjoH l,ahdks .=ref.a

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December 2016

No matter how much we strive to make our domestic Accidents In The Homeenvironment as safe as possible, accidents at home can still happen - even in the most conscientious of households. Here are the most common accidents that can happen in the home and how to deal with them:

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doctormagazine.lk

wkfmalaIs;j we;sjk Wmøjhla" zzwk;=rla'''ZZ ke;fyd;a zzyosis wk;=rlaZZ f,i ye|skafjhs' jdyk wk;=re" ksfjiska msg;oS isÿjk fjk;a wk;=re fukau wm iqrlaIs; hhs is;k ksfjfiaoS mjd wk;=rla isÿùfï wk;=r ksn| wm fj; fõ' f.orfodr iy ksfjia jgdmsgdfõoS isÿjk iq,n wk;=re lsysmhla • jeàï • ysig isÿjk wk;=re • wiaÓ ì|Sï • úIùï • ms<siaiSï • osfha .s,Sï • W.=f¾ isrùï • lemSï • iSÍï fujka yosis wk;=re je<elaùu flfryS uõmshkaf.a wjOdkh fjfiiska fhduq úh hq;h = ' ta i|yd .;hq;= mshjr iïnkaOfhka ud¾f.damfoaYKhla u;= oelafõ' jeàï je<elaùug .;hq;= mshjr • we|la" f;dá,a,la" mqgqjla jeks Wia ;ekl isg orefjl= ;kslr fkdhkak' f;dá,af,a we|s iEu úgu Tijd ;nkak' • fmdf<dj" f.ìu" mäfm< wdosh ksr;=reju úh<sj ;nd.kak' ì<s|d md Tijd weúof.k hkúg b;d fyd|ska mÍlaIdldÍ jkak' • f.ìfuys ;ek ;ek .DyNdKAv yd fi,a,ï nvq wdosh fkd;nkak' úfYAIfhkau frdao iys; fi,a,ï nvq wkdrlaIs;j ;eîfuka j<lskak' • wkdrlaIs; cfk,a iy fjk;a ljq¿ wi, orejdg ke.sh yels fia mqgq fyda fjk;a NdKav fkd;nkak' • mdmsis" meÿre" l<d," ldmÜ t,k úg flfkl= tajdfha meg,Sug we;s bv u. yrjd .kak' • ksfjiska msg; fyda l=iaish jeks fyda ;ekaj,g orejdg weúof.k hd fkdyels jk fia jegj,a iy ndOl ;nkak'

doctormagazine.lk

• zzfíì fjdal¾iaZZ jeks WmlrK u; orejd ;kslr fkdhkak' úIùï je<elaùug Wmfoia • iEu ksfjilu mdfya ksok ldurh" l=iaish" kdk ldurh" jeisls,sh wdosfhys úúO ridhKsl øjH yd T!IO wdosh iq,nh' fuu T!IO wkjfndaOfhka .s,Su ksid orejkag úIùï we;súh yelsh' fï úIùï je<elaùug ksishdldrj mshjr .ekSu uõmshkaf.a j.lSuls' • ksfjfia ljr ;efkl ;snqKo ridhKsl øjH yd T!IO fyd|ska jeish yels fnda;,aj, fyda áka j, wiqrd orejkag w; fmúh fkdyels ;rï Wil ;nkak' • lsisu wjia:djl T!IO j¾." fgd*s" f,diskacr fyda meKs wdoS f,i y÷kajd orejka ;=< jeros woyia we;sùu j<lajkak' • ish¿ ridhKsl øjH tajdfha weiqreï ;=<u ;nkak' Wod' ysia meKs fnda;,a ;=< mdg .ekajQ N+ñf;,a jeks øjH oeófuka j<lskak'

December 2016

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D•Magazine /

f.or-fodroS orejkag isÿúh yels wk;=re

First Aid

• lDIs ridhk øjH lsisjla ksfji ;=<g f.k hdfuka j<lskak' • l=iaishg" kdk ldurhg" jeisls<shg orejdg ;ksj .uka l< fkdyels fia ndOl ;nkak' • lKakdä fïih u; we;s iqj| ú,jqka" ´äfldf,fka" mqhr j¾." wdf,amk ish,a, orejdg w; fmúh fkdyels Wil ;eîug fyda ,dÉpqjl oud h;=re ,d ;eîug wu;l fkdlrkak' osfha .s,Su je<elaùug Wmfoia • c,h msreKq fíiula" nd,aoshla" fldry we;=¿ Ndck wi, orejd ;kslr fkdhkak' • <s| yd c, gexls jgd ;dmamhla fyda jegla fyda ne| wdrlaIdldÍ jkak' • ksji wi< we;s j;=r msreKq l=vd j,j,a" .,d hk osh oyr" we,fod," j;=r .,dhk ldKq wdosh wi<g orejd hdu j<lajkak' • uqyqÿ fjr<" jeõ" .x.d bjqre wdosh wi<g orejd /f.k .shfyd;a orejd foi ks;ru wei .idf.k isákak' • jeisls<s wdikh we;=<g" fros fidaok hka;%h we;=<g orejd ysi oeñh yels neúka tjeks wjia:d je<elaùug mshjr .kak'

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December 2016

DOCTOR MAGAZINE

ms<siaiSï je<elaùug Wmfoia • WKq j;=r fyda fjk;a WKqiqï mdk iys; Ndck ^fla;," fcd.a.=" ùÿre& wdosh /f.k hk úg ta iu. orejd jvdf.k hdfuka" legqj hdfuka j<lskak' • WKqiqï wdydr mdk j¾." jHxck" fydos wdosh wkdrlaIs; f,i ;eîfuka j<lskak' úfYaIfhkau fïi froao ìug weoS ksid tajd orejdf.a we`. u;g jeáh yelshs' • ia;%slal" fla;," .s,a¨ï ;dml wdosh r;aj ;sfnk úg orejdg w; .eiSug fkdyels ;ekl ;nkak' fuu WmlrK j, os. jhr ksid orejd tajd weoSug fm<fUk nj u;l ;nd.kak' • úÿ,s fmaKq j, isÿre j,g orejdg we`.s,s .eish fkdyels jk fia wdjrKh lr ;nkak' • orejd fiaoSu i|yd c,h iQodkï lrk úg fíiug m<uqj we,a j;=r oud" fojKqj WKq j;=r oukak' orejd c, Ndckh ;=<g oeóug m<uqj Tnf.a je<ñg oud orejdg WKqiqug Tfrd;a;= osh yelsoehs úuikak' doctormagazine.lk

• wdydr msiSfï ,sm ìï uÜgfï msysgqjd we;akï orejd thg <x ùug we;s bv wiqrkak' ,sm Wil msysgqjd we;akï tys we;s or len,s weoSfuka orejd j<lajkak' ,sm u; we;s wdydr Ndck j,g w; fmùug bv fkd;nkak' .Eia W÷ka" rhsia l=l¾ wdosh wdikakhg orejd fkdhjkak' • wdydr msiSug fhdod .kakd ye,s j,x" we;s,s" fmdaÉÑ" fidaiamEka wdosh WKqiqïj ;sìhoS orejd w; fkd;eîug j. n,d.kak' • .sksfmÜá" is.rÜ o,ajk wdosh orejdg w; fmùug fkdyels ;ekl ;nkak' tajd fi,a,ï nvq f,i orejkag ,ndoSfuka j<lskak' .skaor f.k fi,a,ï lsÍug orejkag bv fkd;nkak' • orejdg r;s[a[d oe,aùug bv fokak tmd' jeäysáhka r;s[a[d o,ajkjd kï orejka ta wi<ska wE;a lrkak' • wl=Kq .ik úg orejka újD; ia:dk" cfk,a fodrj,a wi< isàfuka j<lskak' W.=f¾ wd.ka;=l oE isrùu je<elaùug Wmfoia • fi,a,ï nvq f;dard .ekSfïoS l=vd fldgia yd lE,s .e,fjk fi,a,ï nvq orejkag ,ndoSfuka j<lskak' • jhig .e,fmk fi,a,ï nvq muKla orejka w;g m;a lrkak' • is,sis,s nE.a we;=¿j ma,diaála nE.a" báfld< hkdosh orejka .ejfik ;ekaj, fkd;nkak' tjeks øjH iu. fi,a,ï lsÍug uqyqK jefik fia ysiska we;=,a lsÍfuka j<lskak' • fodr yd cfk,a fros wdosfhys t,af,k ,Kq weosh orejdg ióm úh fkdyels fia fldgg ;nkak' • jeäysáfhl=f.a wdrlaIdj rys;j orejdf.a uqfjys lsß fnda;,a ;eîfuka j<lskak' • orejkaf.a wdydr ms`.dfkys W.=f¾ isrúh yels n;a weg" mdka len,s" uia lE,sh fkdue;s njg j. n,d.kak' • wdydrmdk .kakd w;r;=r fi,a,ï lsÍfuka orejd j<lajkak'

doctormagazine.lk

lemqï ;=jd, je<elaùug Wmfoia • ksfjfia we;s msys" l;=re" ial=remamq kshka" f¾i¾ wdoS iu ;=jd, úh yels WmlrK Ndú;hg .;a miq orejdg w; .eish fkdyels Wil ;nkak' • iq¿ ;=jd,hla" iSÍula" imd lEula we;sjQ úg inkaoud msßisÿ j;=frka ;=jd,h fidaod jid ;nkak' wêl f,a .e,Sula ;sfí kï ffjoH wdOdr m;kak' DM

December 2016

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39

D•PLUS /

Fitness Forum

nr wvq lrk''' is; ikijk ldg;a l< yels jHdhduh''' Jump Rope

Fitness Forum

Burn calories fast with this express workout that sculpts your shoulders, chest, arms, and legs. nr wvq lrk''' is; ikijk ldg;a l< yels jHdhduh'''

Jump Rope

mqxÑ ldf, lrmq fï l%Svdj u;lo @ i;=áka fidïkiska Jump Rope lrmq Tn wo jHdhdu lrkak u`.la ke;sj bkakjdo @ ys; ys;d bkak tmd''' wdfh;a w;S;fha i;=g f.k wd jHhduhg hkak' fïl YÍrfha Yla;sh ojk wmQre jHdhduhla' T,sïmsla molalï fojrlau oskQ Iefkdka ñ,¾ lshkjd'''zzi;shlg y;r jrla lrkak mq¿jka kï Tfí YÍrhg fyd|u jHdhduhla ,efnkjd' thska iEfyk fjkila YÍrh ;=< we;s fjkjd'ZZ lsh,''' .e,fmk l%Svd im;a;= folla od.kak mq¿jka kï fyd|hs' uq,skau YÍrh WKqiqï lrk jHdhdu j, ksr; jkak' th mQ¾j wjYH;djhla' bka miafi uq,skau úkdähla Jump Rope lrkak' mdohlg 50 jdrh ne.ska mdo folg 100 j;djla fï jHdhduh lrkak Tng yels fõú' fuh mdohlg 100 ne.ska mdo folg 200 j;djla olajd jQjo Tfí ord.ekSfï yelshdj wkQj jeä l< yelshs'

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December 2016

DOCTOR MAGAZINE

doctormagazine.lk

Jump Rope j,sska Tng ,efnk jdis • uq¿ YÍrhgu jHdhdu i,ik úYsIAG;u jHdhdu udos,shls' • le,ß ie<lsh hq;= m%udKhla oykh lrhs' fmaYs;dkh jeä fjhs' • fõ.fhka YÍrfha nr wvq fjhs' • yDoh ksfrda.Sj ;nhs' • wei" YÍrdjhj tl fm<g l%shd l< hq;= jHdhduhla ksid ifudaOdkh" iakdhq.; fõ.j;a l%shdldß;ajh mqyqKQ lrhs' • Tfí jid moaO;sfha ksfrda.S;djhg úfYAIfhkau fyd| jHdhduhls' • ir<hs" úhoula kE''' YÍrfha fhda.H;djh /l fohs' DM

doctormagazine.lk

wdrïN lrk whg fyd| mqyqKQùï fjí wvúhla' www.12minuteathlete. com/beginner-jump-ropetutorial/

December 2016

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Dโ ขMagazine /

Skin & Beauty

weia jgd iy uqyqfKa /<s ke;slr ,,kd rE imqj Tma kxjk yeรก

yev jev wvqfjk ldf,g''' ;snqKq rEmh kej; /lfok fndafgdlaia m%;sldrh weia jgd iy uqyqfKa /<s ke;slr ,,kd rE imqj Tma kxjk yeรก 42

December 2016

DOCTOR MAGAZINE

doctormagazine.lk

;d

reKHh fkdkeiS ;sfnkjdg''' yeuodu ;reK fmKqu wdrlaId fjkjdg wm ljqre;a leu;shs' ta;a wjdikdjg wm yefudagu ld,fha kshduhg wkq.; fjkakg isÿ fjkjd' jhig hk úg iu /<s jefgkjd' meyem;a j¾Kh wªre fjkjd''' ta;a wo ffjoH úoHdj hï;dla ÿrlg fï jhig we;sjk /<s jeàu wdoS úm¾hdi wdmiaig f.k hkakg iu;a ù ;sfnkjd' fndafgdlaia m%;sldrh hkqfjka ye|skafjk iqúfYaIS m%;sldrh ,,kdjkaf.a uqyqK jhia.; fmKqula we;s jkakg fkdoS wdrlaId lr.kakg WmldÍ jk wdldrh iïnkaOfhka fï ,smsfhka úia;r flfrkjd' uqyqK úhm;a ùu jhig hdfï m%uqL ,laIKhla jYfhka ie<flkjd' uqyqK .;a;;a tys ,dlaIKsl jhig hdfï ,laIK fnfyúka olakg ,efnkafka weia jfÜhs' fï ksid weia jgd we;s iu" mgl /<s .efikakg" t,a,d jefgkakg fkdoS ;nd .; yels kï thska Tfí ;=reKQ fmKQu jvd;au wdrlaId lr.kakg wjia:djla Wod fjkjd' fndafgdlaia m%;sldrh mokï fj,d ;sfnkafk fï ld¾hh fjkqfjkqhs' fndafgdlaia (Botox) m%;sldrh hkq''' ffjoH úoHdfõoS fndafgdlaia lshkafka nelaàßhdjlska ksmojk Botulinum toxin kï fm%daàkhla' fï fm%daàkh uq,skau f,dalfha wjOdkhg fhduq jkafka 1820 .Kka j,oSh' 1970 oYlfhaoS fuys ffjoHuh Ndú;djka ms<sn|j uq,skau m¾fhaIK osh;a flreKd' 1987 j¾IfhaoS fï ;dlaIKh fhdodf.k m%;sldr lsÍug wefußldfõ zzwdydr yd T!IO wêldßfhaZZ (FDA) wkque;sh ysñ jqKd' f,dalh mqrd ñ,shk ixLHd; ck;dj wo fndafgdlaia m%;sldrh fhdodf.k ;u iu úhm;a ùu md,kh lr .kakjd'

wlaIs ma,diaála Y,H úfYaI{ ffjoH pór nKavdr

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fndafgdlaia j, m%Odk l%shdldß;ajhka folla ;sfnkjd' tlla ;uhs udxYfmaYs ,sys,a lsÍu fkdfyd;a ieye,a¨ Ndjhg m;a lsÍu' ta yereKQ úg we;eï .%kaÓ j, wêl%shdldß;ajh wvq lsÍug;a fï fndafgdlaia m%;sldrh iu;a fjkjd' w;af,a" há m;=,a j, wêl f,i odäh ouk .%kaÓ wvmK lsÍu fuhg ksoiqkla f,i fokak mq¿jka' ;j;a whg ks;ru l÷¿ .e,Sfï widudkH;djhla ;sfnkjd kï th;a fï fndafgdlaia m%;sldrh u.ska ms<silr lrkak;a fhdod.kak mq¿jks'

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weia jgd iy uqyqfKa /<s ke;slr ,,kd rE imqj Tma kxjk yeá

Skin & Beauty

fndafgdlaia m%;sldrh rEm,djKH m%;sldr j,ska Tíng''' we;a;gu uq,skau fï fndafgdlaia m%;sldrh ffjoH úoHdfõ Ndú;h wdrïN flrefKa wefia jmrh h:d ;;a;ajhg m;a lsÍughs' wef`.a" w;a mdj, fyda uqyqfKa widudkH p,k isÿjk frda. ;;a;aj i|yd m%;sldrhla jYfhka fuu m%;sldrh fhdod .kakjd' jeäysáhkag muKla orejkaf.a;a m%;sldruh wjYH;djhka i|yd fndafgdlaia m%;sldrh fhdod .kakjd' uIa;sIal wl%Sh;djfhka (Cerebral palsy) fmf<k orejka w;amd j, úlD;s msysàï j,g m%;sldrhla f,i fï m%;sldrh fhdod.kakd wjia:d fuhg ksoiqkla' wxYNd. (Stroke) frda.Skag udxYfmaYs wiu;=<s;d fya;=fjka we;sjk w;amd j, úlD;s;d ms<silr lsÍug;a fndafgdlaia m%;sldrh fhdod .kakjd' fndafgdlaia m%;sldrh fhdod.kakd ;j;a frda. hla jkafka brejdrohhs' fu!;% ,sx.sl moaO;sfha we;eï .eg¿ j,g;a fndafgdlaia j,ska m%;sldr isÿ flfrkjd' fï wdldrfhka mq¿,a jmißhl frda. i|yd 44

December 2016

fndafgdlaia fhdodf.k m%;sldr flfrkjd' we;af;kau fuh wo ffjoH úoHdfõ fndfyda m%;sldr lafIA;% j,g fhdod.kakd kjH m%;sldr udos,shla njg m;aù yudrhs' weia jfÜ fmKqu meyem;a lrkakg fndafgdlaia m%;sldrh fhdod .kakd yeá uqyqfKa iu /<s jefgkafka ta wdY%s;j iug háka we;s udxYfmaYs l%shdldß;ajh ksihs' uqyqfKA bßhõ we;s ùug fya;= jkafka;a fï udxYfmaYsuhs' ;reK flfkl=f.a uqyqfKa bß olakg ,efnkafka lsishï ye`.Sula m%lg lrk úg ta udxYfmaYs j, we;sjk fjkiaùï j,oS muKhs' (Dynamic Wrinkles) ta;a úhm;a jk úg ta wdldrfhka ye`.Sï" m%ldYKhka m%lg fkdlrk wjia:dfõoS;a uqyqfKA bß fmfkkakg mgka .kakjd' tajd Static Lines f,i y÷kajkjd' jhia.; fmKQula we;s lrjk Crows feet /<s jhig hk úg uq,skau /<s we;s jkafka wefya msg; fldaKfhahs' Crows feet f,i ye|skafjk fïjd ;uhs úhm;a ùfïoS uq,skau uqyqfKa we;sjk fjkialï' jhia.; fmKqula ,ndfok fïjd myiqfjkau fndafgdlaia m%;sldrfhka iqj lrkak mq¿jka' weys neu fol w;r isriaj úysfok bß úfYAIhlao ;sfnkjd' Frown Lines f,i yªkajk fïjd ;sfhkjd kï" flfkl=g t;rï m%ikak fmKqula we;s fjkafk kE' th yßhg Trjkjd jf.a fmKqula ;uhs we;s lrkafk' fuh;a fndafgdlaia m%;sldrfhka myiqfjkau ke;s lrkak mq¿jks'

DOCTOR MAGAZINE

Crow's feet

doctormagazine.lk

Trjkjd jeks fmKQula we;s lrjk Frown Lines há weismsh wdY%s;j úúO osYdj,g úysoS hk ishqï bß (Infra orbital Lines)" ksid we;sjk úhm;a fmKqu ke;s lsÍug;a fndafgdlaia m%;sldrh fhdod .kakjd' Frown Lines

ueosúfhaoS wjq 30-50 w;r ld,fhaoS" uq,skau /<s wdrïN jk wjêfhaoS fndafgdlaia m%;sldrhg fhduq ùfuka jvd;a fyd| m%;sM< ,nd.; yelshs'

"

hg fldgfia we;sjk ishqï bß (Infra orbital Lines) ta ú;rla fkdfjhs weia fol w;r kdih yryd osfjk bß;a (Bunny Lines) uqyqKg f.fkkafka úlD;s fmKqula' weia fol w;r ;sriaj olakg ,efnk fï /<s (Forehead Lines) uqyqfKA lsishï úlD;s fmKqula we;s lsÍug;a bjy,a fjkjd'

ljgfhl=f.a jeks fmKqula - lsishï úlD;s;djhla we;s lrjk Bunny Lines k<f,a we;sjk ;sria w;g osiajk bß ksid weh flfrka ÿlauqiq fmKQula we;s lrkjd' ta ksid fïjd Worry Line f,i y÷kajkjd' fïjd;a fndafgdlaia m%;sldrh weiqf¾ bj;a lr iqug fmKqula we;s l< yelshs'

Bunny Lines

Infra orbital Lines

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weia jgd iy uqyqfKa /<s ke;slr ,,kd rE imqj Tma kxjk yeá

Skin & Beauty

ÿlauqiq fmKqula uqyqKg f.fkk Worry Lines uqyqfKA úúO fldgiaj, yevh fjkia lrkak;a fndafgdlaia m%;sldrh Ndú;d l< yelshs' Worry Lines

Before

After

weys neu mshlre yevh mj;ajd .kakg;a udxYfmaYs rdYshla Wmfhda.S jk nj Tn fuf;la oek isáhdo @ fkdfhl=;a wdldrfhka" yevfhka weysneu mj;ajd .kakg ldka;djka leu;shs' Arched, Flared, Horizontal wdoS jYfhka weys neu úúO yevfhka ilia lr.; yels nj Tn okakjd' fï wdldrhg weysneu yevh yd fmKqu jvd;a m%ikak lsÍu fndafgdlaia m%;sldrfhka isÿ l< yelshs' (Brow reshaping & lifting) fï ljr wdldrfha yevhla jqK;a fndafgdlaia m%;sldrh weiqf¾ wjYH jQjfyd;a Dermal Filler wdoS ;dlaIKhkao fhdod.ksñka ilid .; yelshs'

Brow reshaping & lifting

há weys neu we;eï whf.a bosuqKQ .;shla olakg ,efnkjd' (Hypertrophic Orbicularis) neÆ ne,aug th yßhg w`vmq uqyqKla jf.hs' fuh;a fndafgdlaia m%;sldrfhka h:dj;a l< yels uqyqfKA fmaYs fjkiaùula' msßñkaf.a uqyqfKa we;s wj,laIK ke;s lr m%ikak fmKqula ,ndoSug;a fndafgdlaia m%;sldrh fhdod.kakjd

uqyqfKa hg fldgfia iu meyem;a lrjk yeá fuf;la l;d lf<A weia jgd isÿ lrk fjkialuqhs' fuhg wu;rj uqyqfKA hg fldgfia o rEmd,xlrk lghq;= i|yd fndafgdlaia m%;sldrh fhdod .kakjd' WodyrKhla f,i lg jgd we;sjk /<s (perioral rhytids) hkqfjka y÷kajk Smokers line i|ydo m%;sldr lrkjd' kslfÜ we;sjk fjkialï yd úrEms ùï i|ydo Dimple & Bulky chin

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December 2016

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doctormagazine.lk

lelal=ug fndfyda ixfõoS whg whg wdf,amk whsia wdosh fhdod fõokdj wju l< yelshs' l,d;=rlska flfkl=g u| ysirohla we;s fjkak;a bv ;sfnkjd'

fndafglaia m%;sldrh fhdod.kakd wjia:d ;sfí' fn,a, m%foaYfha ;sria isriaj we;sjk bß Platysma Band fndafgdlaia m%;sldrfha úfYAI;d''' oekg ld,hla ;siafia isÿ lrk ms<s.;a ffjoHuh Ndú;djla' ir< l%ufõohla fhdod .kakjd' frday,a.; ùu wjYH kE' ldka;djkag muKla fkdfjhs msßñkag;a ;u m%ikak nj yd ;reK fmKQu mj;ajd .ekSug fndafgdlai m%;sldrhg fhduq úh yelshs' úfYAIfhkau msßñkaf.a k<f,a" wey jfÜ ;sfhk?<S we;sjk /<s bj;a lr m%ikak fmKQula ,nd.kakg fuh WmldÍ fjkjd'

"

fndafgdlaia m%;sldrh l,a w,a,k ld,h fndafgdlaia m%;sldrh isÿ l<du idudkHfhka udi 4-6 la muK ld,hla hk;=re uqyqK w,xldrj;aj mj;skjd' bkamiq kej; /<s jeàula uqyqfKA isÿ fjkak mq¿jka' tfyu fj,djg kej; th ilid .; hq;=hs' Tn iuyr úg ys;kak mq¿jka" th wdhdilr m%h;akhla úosyg' kuq;a fuh;a wm Facial tlla lrkjd jf.a ;uhs" wfkl=;a rE iq/l=ï i;aldr jf.au ;uhs' rdcldßfha u| bisUqjloS jqK;a" idhkhg meñK Tfí fmKQu iqir lr.; yelshs' fï úosyg ;uhs f,dalh mqrd ldka;djka ;u fmKQu wdrlaId lr.kafka;a' úkdä lsysmhlska fï m%;sldr jghla iïmQ¾K lr.; yelshs' ta ksid ta .ek Tn jo úh hq;= kE' fndafgdlaia m%;sldrh ksid we;súh yels w;=re wdndO ´kEu m%;sldr udos,shl w;=re wdndO ke;s fjkafk kE' ta;a wfkl=;a m%;sldr udos,s yd ii|k úg fuys ixl+,;d fnfyúka wvqhs' fndfyda úg bkafclaIka fok úg we;sjk r;a meye .ekaùula bosóula we;s úh yelshs' bosóula kï osklska follska wvq fjkjd' doctormagazine.lk

kshñ; ud;%dj kshñ; ;ekg kslafIamKh l< hq;=hs' muKg jvd ud;%dj ,nd ÿkafkd;a fjk;a ;eklg th isÿ lf<d;a wmg bys,a lsÍu wjYH ke;s udxYfmaYshla bys,a ùu ksid thska w;=re wdndOhla we;s úh yelshs' m<mqreÿ ffjoHjrfhl= fj;ska fï m%;sldr ,nd.ekSfuka fï ;;a;ajh wju lr.ekSug;a Tng wjia:dj ;sfnkjd' rEm,djKHuh Ndú;djla f,i yereKQ úg jeä jYfhka fndafgdlaia m%;sldrh frda. iqjm;a lsÍug fhdod.kakd ffjoHuh m%;sldrhla jYfhkao fhdod.kakjd' fï ksid fuh f,dalfha ms<s.ekSug ,lajQ ffjoHuh Ndú;djla' YÍrhg oS¾>ld,Skj n,mEula we;s lrkafk kE' ´kskï Tng th fmr msysàug m;a lr.kak;a mq¿jka' DM

December 2016

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47

Thousand words in

neimage l;d lrk msx;+r

tlu uõmshkag odj Wmka fjkia fidhqßhka fofofkla'''

fï wm ldf.;a cSú;hhs

fudf<A lmk w;f¾ isysh weú,a,d''' fï 19 yeúßos fmda,ka; ;reKshf.a fud<fha Y,Hl¾uhla lrk w;f¾ isysh weú;a ffjoHjrekaf.ka zzfï fudlo lrkafka'''@ZZ hhs m%Yak l< nj jd¾;d fjkjd'

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f,dafl fjkia lrkak ´ks kï uq,skau f.or .syska mjqf,a whg wdorh lrkak - f;f¾id uõ;=ñh doctormagazine.lk

frda.hla l< yoshla''' ms<sldjg f.dÿre jQ orefjl=f.a uqyqK frda.h yefokakg fmr Tyqf.a uqyqK yd ixixokh l< wkqfõokSh wjia:djla

n%iS,fha we`.s,s yfha is,aj,d''' n%iS,fha fï is,ajd mjqf,a we`.s,s yfha w;a ;sfhk idudcslhka 14lau bkakjd'

ysf;a ÿlla ;sfhkjd kï .S;hla .dhkh lrkak' thska Tfí ÿl myù hkjd''' .eyekqka yd msßñka w;r fjki'''

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Diabetes mellitus

.a,hsisñla o¾Ylh weiqf¾ wdydr isrs; yeviú lr.ksuq

DIABETES MELLITUS .a,hsisñla o¾Ylh weiqf¾ wdydr isrs; yeviú lr.ksuq

l=reKE., YslaIK frdayf,a ffjoH kd,l rKisxy úisks

.a,hsisñla o¾Ylh .ek wjfndaOfhka wdydr .ekSfuka fi!LHiïmkak cSú;hla .; lsÍug wjia:dj ,efnkjd'''

w

o wdydr .ek l;dny isÿjk úg tys we;s .a,hsisñla o¾Ylh .ek jeä jeäfhka l;d lrKQ fmfka' .a,hsisñla o¾Ylh wmg m%fhdacj;a jkafka wehs @ wdydr isß;g tys jdish we;s lr.; yelafla flfiao @ fï .ek oek. ekSu Tfí cSú;hg jvd;a jeo.;a jk wdldrh fï ,smsfhka meyeos,s jkq we;' ldfndayhsfâ%g wka;¾.; wdydr .ek;a thska reêrfha iSks m%udKh by< kexùug olajk odhl;ajh;a weiqf¾ ilia lrk ,o o¾Ylhla f,i zz.a,hsisñla o¾YlhZZ fláfhka y÷kajd osh yel' .a,hsisñla o¾Ylh Ndú;hg .kakg fmr wdydrhl we;s ldfndayhsfâ%g m%udKh .Kkh lsÍug fhdod.;af;a

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December 2016

DOCTOR MAGAZINE

doctormagazine.lk

Red Basmathi, a perfect choice for better sugar management Red Basmati rice has one of the lowest GI (glycaemic index) of all rice types, which means once digested it releases its energy slowly keeping blood sugar levels more stable, which is a crucial part of diabetes management.

The varying GIs of rice depends on the type of carbohydrate present in the grains. Basmati rice has the greatest amount of a type known as amylose which does not gelatinize during cooking and results in fluffy, separate grains. The more intact the structure of a grain of rice the lower the GI because once consumed the particle size maintains intact for longer, slowing the digestive process.

Red Basmati rice is also a good source of fibre which is important for gut health and improves bowel function. High fibre intakes have also been associated with a lower risk of bowel cancer, reduced risk of type 2 diabetes complications, increased satiety and weight management. A high intake of wholegrain foods has been associated with lower risk of heart disease and stroke.

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tu wdydrfha we;s iSks yd msIaGh weiqf¾ ,nd.;a iuia; ldfndayhsfâ%Ü w.hhs' kuq;a .a,hsisñla o¾Ylh bka tydg f.dia wdydrh u.ska reêr iSks by< kexùug we;s lrk iDcq n,mEu iïnkaOfhka m%udKsl f;dr;=re imhk ksid fï zz.a,hsisñla o¾YlhZZ tys jvd;a oshqKQ wjia:djls' wvq .a,hsisñla o¾Ylhla iys; wdydr .ekSfuka frda. /ila wE;a l< yelshs miq.sh jir 15l muK ld,h uq¿,af,a isÿ lrk ,o m¾fhaIK j,g wkQj wvq GI w.hla iys; wdydr cSú;hg n,mEï we;s lrk frda. /ilska ñoSug" tajd md,kh lsÍug iaÓr jYfhkau fya;= jQ nj meyeos,s ù ;sfí' yDo frda." fojk wdldrfha oshjeähdj" mßjD;a;Sh iy,laIKh" wxYNd.h" ksoka.; jl=.vq frda." uq;%d ud¾.fha .,a we;sùu " iakdhq kd, wvqmdvqlï" *hsfn%dhsv yd ms<sld hk fï frda. ish,a,u we;sùfuka je<elaùug" ke;fyd;a we;sjQ frda.h uev,Sug fï wvq GI w.hla iys; wdydr mßfNdackh

December 2016

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.a,hsisñla o¾Ylh weiqf¾ wdydr isrs; yeviú lr.ksuq

Diabetes mellitus

bjy,a jQ nj m¾fhaIKd;aulj ;yjqre ù ;sfí' fï ksid wm ljqre;a wdydr .ekSfïoS fï .a,hsisñla o¾Ylh iïnkaOfhka ie<ls<su;a ùu jvd ksfrda.S meje;aulg WmldÍ jk nj meyeos,s fõ'

,nd.;a wdydr ye|skajQfha wvq GI w.hla iys; wdydr jYfhks' reêrfha iSks m%udKh by< hk úg bkaishq,ska jeä jeäfhka ksmoùula isÿ jkafkah' reêrfha ;sfnk .aÆfldaia j,g ffi, j,g hkakg kï bkaishq,ska fydafudakh wjYHh' kuq;a fï jeäjk bkaishq,ska wjYH;djh kshudldrfhka w.akHdYh u.ska fkdimhk l,ayS reêrfha iSks idkaøKh by< hhs' iEu wdydr .ekSuloSu jYfhka fuh jir .Kkdjla uq¿,af,a isÿ jk úg w.akHdYh fjfyig m;a jk w;r kshñ; mßos bkaishq,ska ksmoùug iu;a jkafka ke;' fojk wdldrfha oshjeähdjg wm f.dÿre jkafka fï wdldrfhks'

.a,hsisñla o¾Ylh uq,skau y÷kajd ÿkafka fâúâ fckalskaia kï ffjoHjrfhls' uq,ska mejiQ wdldrhg wdydrhl we;s ldfndayhsfâ%g ir< fyda ixlS¾K hhs m%ldY lrkjdg jvd fuhska fndfyda jeä wjfndaOhla wdydrh .ek ,nd.; yel' fjfiiskau wdydrhla reêr iSks u; we;s lrk n,mEu ixLHd;aulj ,ndoSu fuys we;s iqúfYaIS jdishhs' fuysoS ´kEu ldfndayhsfâ%Ü idr wdydrhlg w.hla ,ndÿka w;r th iEu úgu 1-100 w;r ixLHd;aul w.hls' flá ld,hlska reêrfha iSks m%udKh by< kxjk wdydr j,g jeä GI w.hla ,enqKq w;r" reêrfha iSks m%udKhka by< kxjkakg ie<lsh hq;= ld,hla

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kuq;a Tn iEu úgu wvq GI w.hla iys; wdydr wkqNj lrkafka kï reêrfha iSks idkaøKfha tlajku jeäùï isÿ jkakg wjldYhla ke;' túg w.akHdYh jeä jYfhka bkaishq,ska ksIamdokh l< hq;=o ke;' w.akHdYh wêl bkaishq,ska Odß;djla ,nd fokakg f.dia fjfyig

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m;a jkafka;a ke;' Tng fyd| YÍr nrla kv;a;= lrñka fi!LHiïmkak cSú;hla .; lsÍug fuhska fyd| mokula ie,fihs' GI w.h wvq wdydr jYfhka ie<flkafka 55g wvq GI w.hla orK wdydrhs' r;= ndiau;S iy,a fï hg;g .efkhs' wuq lerÜ" lsâks îka" ialsï lsß we;=¿j ;j;a f;dard.;a wdydr /ila wvq GI w.fhka hqla; wdydr f,i ie<fla' 51-69 w;r GI w.hla iys; wdydr uOH m%udKfha GI w.hla we;s wdydr f,i ie<flhs' flfi,a wkakdis wdos m<;=re yd ;j;a wdydr /ila fï hg;g .efkhs' GI w.h 70g jeä wdydr by< GI w.hla we;s wdydr f,i;a ta ksid tajd .ekSfuka je<lsh hq;= f,i;a fmdaIKfõoSka Wmfoia fohs' mdka we;=¿j msá wdydr" flala" fvdakÜ wdoS wdydr .ekSu ksid reêr iSks w.hka tlajku jeä jk ksid tajd .ekSu iqÿiq fkdfõ' fï wkQj ir< jYfhka .;af;d;a jeä GI w.hla iys; wdydrhla .ekSfuka th jyd YÍrhg wjfYdaIKh jk njo tys m%;sM<hla f,i reêrfha iSks idkaøKh flá ld,hlska by< kexfjk njo oek.; hq;=h' fï wdldrhgu wvq GI w.hla iys; wdydr wkqNjfhka tu wdydr blauKska cS¾Kh ùula" YÍrhg wjfYdaIKh ùula isÿ fkdjk w;r tu ksidu reêrfha iSks idkaøKh úYd, jYfhka by< hkafkao ke;' fï ksid w.akHdYhg jeämqr bkaishq,ska ksmoùula wjYH fkdjk w;r w.akHdYh ;Dma; l< fkdyels ksIAmdok b,lalhlg f.dia fjfyig m;a jkafkao ke;' wvq .a,hsisñla o¾Ylhla iys; wdydr .ekSfuka w;ajk m%fhdack • Tfí reêr.; fldf,iagfrda,a ixhq;sh hym;a lrhs' • yDo frda. we;sùfï wjodku wvq lrhs' • Tfí YÍrfha ksfrda.S nj jeä lrhs'

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1999 j¾IfhaoS f,dal fi!LH ixúOdkh;a (WHO) wdydr yd lDIsl¾u ixúOdkh;a (FAO) hk c.;a ksfhdacs;dh;k folu taldnoaOj oshqKqjg m;a rgj, ck;djg jeo.;a ks¾foaYhla l<d' ta Tjqka wvq GI w.hla iys; wdydr j,g fhduq fjñka oshjeähdj" yDohdndO jeks frda. j,ska ñoSug mshjr .; hq;= njhs' tod ixj¾ê; rgj,g ÿka mKsúvh wo wm jeks ixj¾Okh fjñka mj;akd rgj,g;a wod,hs' wfma rfÜ úYd, ixLHdjla ck;dj bosß ld,fhaoS fnda fkdjk frda. /ilg ,laùfï wjodkulg ,laù ;sfnkjd' fï wvq GI wdydr j,g udre jqfKd;a Tjqka iEfyk msßilg fï frda. we;s ùfï ld,h l,aoud.; yelshs' thska ioygu wE;aj isàfï jdikd .=Khl=;a fï wdydr isßf;a ;sfnkjd' ms,smSkfha isÿ l< jeo.;a fidhd.ekSula iy,a iïnkaOfhka m¾fhaIK mj;ajk ms,smSkfha cd;Hka;r iy,a m¾fhaIK wdh;kfha (International Rice Research Institute)

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.a,hsisñla o¾Ylh weiqf¾ wdydr isrs; yeviú lr.ksuq

Diabetes mellitus

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úoaj;=ka úiska iy,a wegfha .a,hsisñla w.h ;SrKh lsÍug fya;= jk cdkh y÷kdf.k ;sfí' fuh jeo.;a fidhd.ekSula jkafka bosßfhaoS f.dùkag .a,hsisñla o¾Ylh fnfyúka wvq m%fNao j.d lsÍu i|yd y÷kd. ekSug ñka wjia:djla ,eîuhs' f,dalh mqrd Ndú;d jk ù m%fNao 235l .a,hsisñla o¾Ylhka Glycemic Index (GI) y÷kd.ekSug ;j;a m¾fhaIKhla Tjqka úiskau osh;a lrk ,o w;r thska GI w.h 48 ;rï wvq w.hl isg 92 ;rï by< w.hla .kakd mrdihl ù j¾. wm Ndú;fha mj;akd nj y÷kd.kakd ,oS' yd,a j¾. jeä yßhl we;af;a wvq fyda uOH m%udKfha GI w.hls' jeä yßhla iy,a j, GI w.h 56-69 w;r w.hla .kafkah' tku yd,a jeä yßhla wh;;a jkafka uOH m%udKfha GI w.hla iys; wdydr ldKavhgh' wvq GI w.hla f,i ie<flkafka 55g wvq .a,hsisñla o¾Ylhla oeÍuhs' tjka iy,a we;af;a w;f,diaila muKs' r;= ndiau;S iy,a wh;a jkafka tjka wvq GI w.hla orK w;f,diaigh'

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fojk wdldrfha oshjeähdj we;sùfï bvlv wE;a lsÍug;a" lsisfjla fï frda. hg oekgu;a f.dÿre ù isà kï Tyqf.a oshjeähdj frda.h uekúka md,kh lsÍug;a wvq .a,hsisñla w.hla iys; wdydr iu;a jkafkah' wmf.a m%Odk wdydrh n;ah' wm fõ,a folla fyda Bg;a jeä .Kkla n;a lkakg mqreÿ jQ cd;shla fjuq' reêrfha iSks w.hka kexùug uQ,sl jkafka wm .kakd wdydrhhs' lreKQ fufia fyhska yeu úgu wm .kakd wdydrh wvq .a,hsisñla o¾Ylhla we;s wdydrhla jQjfyd;a th wmf.a reêr iSks md,khg b;d jeo.;a jkafkah' fuys úfYAI jeo.;alu we;af;a oshjeähd frda.Skagh' DM

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Medi Gadgematics oshjeähd frda.Skaf.a reêr iSks ;;amrhla mdid uksk App tlla

This bionic sensor could make a real difference in quality-oflife for diabetics, who have to monitor their blood sugar levels throughout the day. oshjeähd frda.Skaf.a reêr iSks ;;amrhla mdid uksk App tlla fï jif¾ Ndú;hg tla fjkjd''' th Tfí cx.u ÿrl:kh yd iïnkaO fjkjd'''

fï w¿;a ksIamdokh Tng y÷kajd fokafka Google iud.uhs 56

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oshjeähdj udih myqjqKd muKh' oshjeähdj udihla ;snqK;a ke;;a oshjeähdj frda.Ska wvq ;rfï udiam;d fkdlvjd" fkdjrojd l< hq;= fõokdldÍ ld¾hhla ;sfí' ta meh 10-12la ksrdydrj isg myqjod Wfoag ridhkd.drhg f.dia f,a kso¾Ylhla .ekSuhs' ta yereKq úg .aÆfldógrhla ;ndf.k we`.s,s ;=vq isÿre lr f,a .ekSï lsysmhlao ks;sm;d isÿ flfrhs'

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f,a ne,Su oshjeähdj frda.sfhl=f.a Wreuhhs' iSks b;d by< uÜgulg jeä jqK;a b;d my< uÜgulg jeä jqK;a th oshjeähd frda.h s df.a cSú;h wk;=f¾ jefgkjd' ks;sm;d oshjeähdj frda.sfhl=f.a reêrh mÍlaId lrkafka fï ksihs' th frda.h l<uKdlrkh lsÍugo w;HjYH idOlhla' kqÿre wkd.;fhaoo oshjeähdfjka fmf<k Tng ks;sm;d f,a n,kakg isÿjkq we;' tfy;a fõokdldÍ f,a .ekSï" we`.s,s ;=vq isÿre lsÍï j,ska kï ñfokakg u.la we;' ta fyg ojfia Tfí reêr iSks n,k WmlrKh Tfí YÍrhgu iújk ksidh' tys m%;sM, tiekskau cx.u ÿrl:khg ,efnk ksidh' fï ymkalï lrkakg yels jkafka wka lsisjla ksid fkdj" wfma ;reKhkag yqre mqreÿ NdIdfjka lsjfyd;a oshjeähdfjka fmf<k Tng In built Sugar Sensor tlla fyg ojfia ,efnk ksidh' fï reêr iSks mÍlaId lrk Wmdx.h ksIamdokh lsÍug w; .id we;af;a

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f,fyis myiq iud. ula fkdfõ' f,dj mqrd ck;djf.a wka;¾cd, fijqï hka;% mqfrda.dñhd jk Google iud.u''' fï i|yd uq,a ù ;sfnk w;r f,dj m%uqL T!IO iud. ula jk Novartis iud.u ta i|yd ffjoH cSj iy úoHd;aul iyfhda.S;dj olajhs' fï ksIamdokfha fmagkaÜ whs;sh i|yd Tjqka 2014 j¾Ifhao bosßm;a l< whÿïm; .sh jif¾ ud¾;= udifhaoS ms<s.ekSug ,laù ;sfnk w;r bosß udi lsysmh ;=< th w;ayod ne,Sï i|yd fhdod .ekSug kshñ;h' wefia r|jk ia:r follska hqla; Contact Lens tll ueo ixfõolh fkdfyd;a Sensor tl ia:dk.; lr ;sfí' weismsh .ik ksfïIhloS contact lens tl isidrd hk l÷¿ ì÷jlska Sensor tl tl l%shd;aul fjhs' flia .ilg;a jvd wvq úYalïNhla iys; wekafgkdjla u.ska ,nd. kakd reêr iSks mdGdxlh Wireless device fj; fndfyda ÿrg App tlla yryd Tfí Mobile Phone tlg iïfm%aYKh lrhs'

fuys we;s úfYaI;ajh jkafka ;;amrfhka ;;amrhg reêr iSks m%udKh b;du;a ksjerosj uekSug we;s yelshdjhs' Google iud.u fï fjkqfjka ilia lrk App tl u.ska Tng Tfí reêr iSks fjkiaùu yd iïnkaOj mßiudma; f;dr;=re ,nd fokq we;' reêr iSks uÜgu wjodkï iy.; by< fyda my< w.hlg t<UqKq l< fudnhs,a fmdaka tl lsishï ix{djla ksl=;a lr Tng wdrlaId jkakgo wjia:dj ,nd fokq we;' bosß udi lsysmh ;=< uQ,sl w;ayod ne,Sï j,ska miq f,dj mqrd oshjeähd frda.Skaf.a iqrlaIs;;djh Wfoid fuu In built Sugar Sensor tl fhdod .efkkq we;' Glucose concentration in tears is an effective proxy for blood sugar levels. The new lenssystem is a convenient way to constantly measure glucose levels in diabetics, alert the wearer to high levels, and provide therapy for diabetes and its related disorders. DM

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Diabetic Ulceration

oshjeähd ;=jd, i|yd fkdjrosk m%;sldrh

oshjeähd ;=jd, i|yd fkdjrosk m%;sldrh Maggot Debridement Therapy (MDT) oshjeähdj lshkafka j¾;udkfha wm nyq,j olsk frda.S ;;a;ajhla' úfYaI;ajh jkafka th fnda fkdjk frda. ldKavhgo wh;a ùuhs' úfgl oshjeähd je<÷Kq miq th W;aikak jQjfyd;a mdo lmd oeófï ;;a;ajhkag mjd frda.Ska f.dÿre jkq wm oel ;sfnkjd' kuq;a oshjeähd frda.Skaf.a mdo fkdlmd úfYaIs; m%;sldr u.ska iqj lr.ekSfï yelshdj oeka Wod ù we;s nj Tn okakjdo @ ta by| mKq m%;sldrhhs' wm fï igyfkka Tnj ta ms<sn|j oeKqj;a lrkjd' Maggot Debridement Therapy (MDT) m%;sldrh fkdfyd;a zzby| mKqjka wdY%s; m%;sldrhZZ ,xldjg y÷kajdoSfï mqfrda.dñhd jkafka Mega Biotech wdh;khhs' ta 2009 j¾IfhaoShs' t;eka mgka i;a jirla mqrd wLKav j¾Okhla jd¾;d lrñka b;d id¾:l .uka u.la Tiafia wirK oshjeähd frda.Ska .Kkdjlg ksfrda.S iqjh ,nd oSug Tjqka lghq;= lr

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;sfí' ta i|ydu lemjQ jD;a;Sh m<mqreoao iys; fyo ld¾h uKav,h fukau wf,ú wxYfha ld¾h uKav,ho Mega Biotech wdh;kh iu. tlaj lghq;= lrkjd' tfukau fuu by| mKq m%;sldr l%uh ,xldfõ úúO .ï" k.r mqrd m%p,s; lsÍug Tjqkaf.a úYsIaG lemùu yd fiajh bjy,a ù ;sfí' fuu by| mKq m%;sldrh i|yd wjYH mKq j¾. ,nd.kafka Green Bottle Fly kue;s ueis j¾.h ckkh lsÍfuks' tu.ska tu iqúfYaIS by| mKqjka we;s lrjk w;r ishhg 100la msßisÿ nj yd úIîc rys; nj iy;sl lsÍu i|yd cSjdKqyrkhgo Ndckh flf¾' fuu

doctormagazine.lk

doctormagazine.lk

m%;sldrh nyq, jYfhka fhdod.kq ,nkafka oshjeähd frda.Skagh' úfYaIfhkau oshjeähdj je<|Su ksid w;a" ll=,a lemSug ks¾foaY jQ frda.Ska ishhg 90lg muK w;a md bj;a fkdlr id¾:l f,i fuu frda. fhka ñoSug wjia:dj ,eî we;' tfukau oshjeähdj yer fjk;a fya;=ka ksid yg.;a ;=jd, j,g;a fuu m%;sldrh Tjqka úiska ,nd fokjd' fuu by| mKqjka ;=jd,hg oeuQ úg ;=jd,h ishhg 100la iqj lr.ekSug yelshdj ,efnkjd' ta iu.u Tfí mdo bj;a fkdlr T!IO u.ska m%;sldr lsÍug yelsfõoehs ksielfhka ksYAph lr.ekSug fuu.ska wjia:djla Wod fjkjd'

Maggot Debridement Therapy (MDT) m%;sldrh weiqf¾ ;=jd,hla iqj jk wdldrh

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ienúkau fï jk úg ,xldj mqrd úyso isák olaI ffjoHjreka mjd fuu m%;sldrh id¾:l m%;sM< ,ndfok m%;sldrhla f,i y÷kdf.k we;af;a fuys we;s úYañ; m%;sM<odhS nj ieugu mila lrñks' tfukau Y,Hl¾u j,g uqyqK oSug isÿjk Tnf.a uqo,a yd ld,h ksrdmrdfoa kdia;s lr fkdf.k ksÿla ksfrda.S iqj;djhla ,nd. ekSug Tng wjia:dj ,eîu Tng ,efnk ;j;a m%fhdackhls' wo jk úg Mega Biotech wdh;kfha fuu id¾:l jHdmD;sh i|yd wm rg ;=< úYd, b,a¨ula fukau miqìulao ieliS we;s w;r fï i|yd Tjqka l< úYd, wdfhdackh ;=<ska fï jk úg fj<|fmdf<a m%uqLfhl= njg m;aù ;sfnkjd' kqÿre wkd.;fhaoS fuu m%;sldrh furg rcfha frday,a i|yd y÷kajd oS tu.ska iqjyila oshjeähd frda.Skayg ksfrda.S iqjh ie,iSug we;s YlH;dj wdh;kh úiska fidhd n,ñka isákjd' DM jeä úia;r i|yd úuikak 077 723 7720 ^iq,aIsld&

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Dialogue l+g fj<÷kag wms wyq fj,d''' wfma wdhqI;a flá fj,d'''

l+g fj<÷kag wms wyq fj,d''' wfma wdhqI;a flá fj,d''' wjl,al%shdfõ fhfok mdßfNda.sl iudchl wmg w;aù ;sfnk brKu

ud

.euqKq id,sh fmf¾rd úisks

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December 2016

jev lrñka isák mß.Klhg uE;l isg È.ska È.gu wuq;= wuq;= f,v yef|kakg jQ w;r" lrk ,o f.dv fjolï ish,a, wid¾:l jQ ;ek" jev fkdlrk Wmdx. álhs mß.Klhhs tl,ia lrf.k mß.Kl w¨;ajeähd lrk wdh;khlg Ndr ÿkafkñ' tu wdh;kfha ysñlre ug lshd ÿka mdvfï idrdxYh fufia h'

DOCTOR MAGAZINE

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—fï mß.Kl j, iuyr Wmdx. ksIamdokh lr, ;sfhkafka fldÉpr mfriaifuka mdúÉÑ l<;a fmdä fohlska mjd leä,d hk úÈyghs' iuyr ujqia .;af;d;a la,sla lrk jdr ixLHdj ody fjÉp .uka tajd jev lrkafka kE' Th iuyr m%skag¾ia j, ldÜßca tflka m%skaÜ wjqÜ iShlg jvd .kak nE' w¨f;ka ldÜßca tlla .kak fjkjd' ldÜßca tlla remsh,a foodia mkaiShla ú;r fjkjd' fldïmshqgrhla .kakfldg ta cd;sfha m%skag¾ia kslka fokjd' tl m%skagrhla remsh,a mkaodyhs' m%skag¾ folla .;af;d;a remsh,a yhodyhs' kslka fok iuyr fid*aÜfjhdia" f.aïia ;sfhkjd' bkaiafgda,a lr .;af;d;a ál Èklg miafia Tßcsk,a tl ñ, § .kak" wmafâÜ lr .kak lsh lshd lror lrkjd' iuyr tajd ;sfhkjd tfyu fkd.;af;d;a wfma mß.Kl j,g f,v yokjd' wks;a tl fï jev lrkafka ke;s uõia" ldáßca" ,emafgdma neÜß jf.a tajd fudk ilalrhgj;a yokak nE' yq.la wh tajd l=Kq f.dv j,g úis lrkjd'ZZ zz,xldfõ yq.dla fofkla fïjd okafka kE' uf.a <Õg yokak f.ak fldïmshqg¾ j,ska

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ishhg wkQjla ú;r mdúÉÑ lrkafka f.aï .ykakhs" iskaÿ wykakhs" ùäfhda la,sma n,kakhs' f*aia nqla hkakhs ú;rhs' ta jf.a nd, jev j,ghs fidanfkaghs fldïmshqg¾ mdúÉÑ lrk ±kqï f;areï ke;s wh b,a,kafk u wr lsõj ñf,ka wvq nd, nvq ;uhs' ta whg tajd f;areï lr, fokak;a nE' ta ksid ,xldj jf.a rgl ìiakia lrkfldg fkdf,aca" fld,sáh jf.a foaj,a wod, fjkafka fndfydu wvqfjka''''˜ úyska wfma meje;au úkdY lr.ekSu j¾;udk ñksid jkdys fu;=jla l,a ñysmsg cSj;a jQ ñksiqkag jvd w;sYhskau ÈhqKq cSùka fldgila njg újdohla ke;' kQ;k úoHd ;dlaIKh ta i|yd wmg bv m%ia:d újr lr § we;' wm wmf.a l=vd ks,a .%yf,dalfha tlu whs;slrejka fia uy;a jQ Wcdrefjka isáuq' tfy;a wmf.a kùk ;dlaIKfha .uka u. ;=< wmg jeämqru yuq jkafka mDÓúfha ;srir meje;au nrm;, f,i wNsfhda.hg ,la lrk foaj,ah' mdßißl hymeje;au w¾nqohg hjk foaj,ah'

Planned obsolescence is when a product is deliberately designed to have a specific life span. This is usually a shortened life span. The product is designed to last long enough to develop a customer’s lasting need. The product is also designed to convince the customer that the product is a quality product, even though it eventually needs replacing. In this way, when the product fails, the customer will want to buy another, up to date version. http://www.technologystudent.com/prddes1/plannedob1.html

—mdßfNdaa.sl NdKav ie,iqqï iy.; f,i wl,a urKhlg ,la lssÍu''˜ fkdfyd;a jeä ld,hla Ndú; l< fkdyels jk fia ksIamdokh lsÍu (Planned obsolescence or built-in obsolescence) kñka y÷kajk" kùk ;dlaIKh Ndú; lrñka mdßfNda.sl NdKav ksIamdokh lrkakka úiska isÿ lrk ;lalä l%shdoduh u.ska o nrm;, f,i ffcj f.da,fha ;srir meje;au yd udkj kSfrda.SNdjh w¾nqohg muqKqjd we;' December 2016

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l+g fj<÷kag wms wyq fj,d''' wfma wdhqI;a flá fj,d'''

Dialogue

mdßfNda.sl iy mdßißl kS;s" m%ñ;Ska iy kshdukhka ÿ¾j, f;jk f,dj rgj,a j, hi rfÕag l%shd;aul flfrñka ;sfnk fulS uQ,O¾uh f;areï .ekSu i|yd WodyrK lsysmhla fufiah' blauKska osh fj,d hk inka ±ka ksIamdokh flfrk fndfydauhla inka j¾. ffjjdrk leghï lmd m%udKfhka l=vd fldg blauKska Èh ù hk f,i ksIamdokh lr ;sfnk tajd fjhs' w;a fia§ug" uqyqfKa .Eug" T¨fõ .Eug" wefÕa .Eug" nnd,f.a .Eug" j,ka msÕka fia§ug" frÈ fia§ug" frÈ j,g nenf,k iqola iy iqj|la ,nd §ug tlS fkdlS fjf<ka|ka wm u; megjQ jqjuKdjka rdYshla ;Dma;su;a lr .kakg tl tl cd;sfha ksIamdok f.or f.k hk wmf.a idlal= Y=oaO lrkakg fjf<ka|ka tla w;lg iu;aj isák w;r" fuu ksIamdok j,g tla lr ;sfnk úúO lD;%su ridhksl øjHhka ldKq Èf.a .,d f.dia wmf.a f.j;= j, yefok wdydr fNda. j, tla /ia ùu ksidfjka f.j;af;a yefok m,d fld<hlaj;a úYajdifhka wdydrhg .kakg fkdyels ;;a;ajhla o ks¾udKh flfrñka ;sfnkjd' u| ireNdjhg fya;= úh yels fíì meïm¾ia fjf<| oekaùï j,ska m%pdrKh flfrk" jrla Ndú; fldg bj; ouk vhm¾ia ^meïm¾ia& ±ka ±ka nnd,f.a pQ frÈ fjkqjg we;eï wïu,d úiska ;u orejkag wkaojk w;r" fïjdg weíneys jQ lïue,s wïu,df.a idlal= fkd±kqj;aju Y=oaO jk w;r" wfkla w;g fuu ksIamdok j, ;sfnk hï hï ydkslr lD;%su ridhksl øjHhka ksidfjka uoireNdjh" iy úúO fi!LH wdndO j,g orejka f.d÷re ùfï wjodkulg o orejka uyqK § isà'

http://abcnews.go.com/Healthstory?id=117939&pa ge=1

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blauKska oeù hk úÿ,s nqnq¿ úÿ,s nqnq¨ j, wdhQ ld,h meh úis odyla muK §¾> ld,hla olajd mj;ajd .ekSug ;rï ;dlaIKhla f,dalh i;=j ;snqK;a" meh odylska tajdfha wdhQ ld,h ksu jk f,i ksIamdokh lrkakg úÿ,s nqnq¨ ksIamdolfhd ish¨ fokdu mdfya j. n,d .ks;s' cmdkh jeks rgj,a j, úÿ, nqnq¨ j,g jir 5 l wju j.lSfï ld,hla ,nd Èh hq;= jqj o" wfma rfÜ yßhgu wjqreoaol j. lSfï ld,h blau .sh jydu tajd ±ù hk f,i ksIamdokh lr we;' fuu n,an iS't*a't,a' jk úg jefâ ;j;a nrm;, fõ' tl iS't*a't,a' n,anhl c,h .e¨ï yh odyla muK ¥IKh l< yels uÜgul riÈh m%udKhla wvx.=j mj;shs' lDIsl¾uh lreuhla l < wld, urK ;shßh ±ka furg lDIsl¾uh i|yd Ndúl flfrk îc j¾. ish,a,u mdfya nyqcd;sl iud.ï j, ksIamdokhka fjhs' fouqyqka ;dlaIKh iy cdk bxcsfkare ;dlaIKh yryd jeä ÈhqKq flfrk kj m%fNao j, fmagkaÜ

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whs;sh tajd fidhd .;a iud.ï i;= fjhs' fuu îc j,g g¾ñfkg¾ ;dlaIKh we;=¨ lrñka tu fnda. j, B<. mrïmrdj wysñ fldg we;s w;r" tu m%fNao j.d lrk f.dúhd ;u iud.fuka u wod, îc jeä ñ,la § ñ, § .ekSug fkdfyd;a" ;u iud.u u; i|ygu hefmk jyf<l= njg m;a lr we;' lDIs ridhksl øjHh jeä jeäfhka b,a,d isák" fuu jeä ÈhqKq l< fNda. fï jk úg ìh ckl frda. ckkh lrk wkd.;hla lrd ukqj. ;,a¨ lrñka isák nj o wkdjrKh fjñka ;sfnkjd' wfkla w;g f,dalfha m%Odk;u lDIs ridhk øjH ksIamdolhska yh fokd" f,dj m%uqL;u îc fjf<kaoka o" we;eï m%uqL;u T!IO iud.ï f,dj m%uqL;u jeä ÈhqKq l< îc iy lDIsridhksl øjH ksIamdolhka o fjhs'

fi!LH lafIa;%h wdl%uKh lrk wld, urK uQ,O¾uh fulS wld, wNdj uQ,O¾uh" ffjoH iy T!IO lafIA;%ho wdl%uKh fldg ;sîu w;sYhskau Nhdkl ;;a;ajhls' fï jk úg frda.hlg m%;sldr ,nd .ekSu i|yd frda.sfhl= ±ßh hq;= úhou wyi Wig jeä jkakg tla m%Odk fya;=jla j we;af;a fuu ;;a;ajhhs' ^ksoyia fi!LH fiajdj mj;ajdf.k hdu i|yd rchla ork úhou jeä ùu i|yd o fuh wod,h'& kùk ffjoH WmlrK j, wdhQ ld,h wvq lr ;sîu" jrla Ndú; fldg bj;a l< hq;= WmlrK Ndú;h wdfoaY ùu' ks;r Ndú; flfrk T!IO j, il%shNdjh" .=Kh wvq lr ;sîu jeks wlghq;=lï kQ;k nyqcd;sl iud.ï úiska isÿ lrñka isák wdldrh weußldkq ksõfhda¾la ghsïia mqj;amf;a m< flÍ ;snqKq jd¾;djlska lÈug fy<sorõ lr ;sfnkjd'

http://www.nytimes. com/2014/04/06/health/evensmall- medical-advances-can-meanbig-jumps-in-bills.html

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l+g fj<÷kag wms wyq fj,d''' wfma wdhqI;a flá fj,d'''

Dialogue

ld,hla tl È.g m%;sldr ,nd .; hq;= Èhjeähdj" yDo frda." ms<sldj jeks frda. j,g fuu ;;a;ajh nrm;, f,i wod, fjhs' iud.ï úiska T!IO i|yd taldêldßhla mj;ajdf.k hk hï rgl T!IO j, .=Kh" ;;a;ajh nd, fldg ksIamdokh lrkakg T!IO ksIamdolhska ;SrKh l<fyd;a" ±ka Tng tl fnfy;a fm;a;l .=Kh ,nd .kakg fm;s folla wjYH jkq we;' iud. fï ,dNh fo.=K ù we;' tfy;a l,a .; ùfï § wmf.a wNHka;r bkaøshhka j,g isÿ jk ydkshg j. lshkakg wr iud.ï bÈßm;a jkafka ke;' <ud f,dalhg w;am;a ù we;s úkakeysh m%ñ;sfhka f;dr fi,a,ka nvq iy bf,lafg%dksl WmlrK ksIamdokh lrk iudcjdÈ hehs lshd .kakd Ökh fï w;ska lma .id we;' ^Ökfha ksIamdÈ; fi,a,ï nvq iy mdßfNda.sl NdKav j, Bhï iy ;ef,aÜ jeks úI ridhksl øjHhka mej;Su ms<sn|jo wdkafoda,kd;aul fy<sorõ ùï lsysmhla

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miq.sh j¾I j, § jd¾;d ù ;sfnkjd'& Tfí orejdg wrka fok fi,a,ï nvqfõ w;HjYH .ecÜ tlla iq¨ .eiaiSulska leã hk f,i ksIamdokh lr ;sfnk w;r" ta leäÉp fi,a,ï nvqj wdfh yokak;a neß ksid Tn f,fyisfhkau f;dard .kakd úl,amh jkafka w¨;ska tlla wrka §uh' fï úIu ld,lkaks pl%hg Tn f.d÷re ù we;s ;ru n,d .ekSug Tn l< hq;af;a Tfí f.j;af;a " ksjfia .nvd

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ldurfha" we|ka hg fmdâvla fidaÈis lr ne,Suhs' W,a lrkak lrkak leä, hk mekai,a" i;shlaj;a mdúÉÑ lrkak neß mdg fmÜá" i;sfhka foflka f.ú, hk o;a nqreiq" ojia follaj;a /jq, lmkak neß f¾i¾ wd§ tlS fkdlS wo ojfia nd, uy¨ ljqre ljqre;a Ndú; lrk fndfydauhla mdßfNda.sl NdKav ;=< fulS ie,iqï iy.; wl,a urKh wgjd we;s nj fmkS hhs'

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wdYdjka yUd hdu cSjk mrudo¾Yh lr .;a wê mdßfNda.sl iudchlah' wfkla w;g wm wNsuqj isákafka ,dN msmdYdfjka lsisod ;Dma;su;a fkdjk tlS ,dNfha mx.=j f.äh msáka ;uka i;= lr .ekSu Wfoid kQ;k úoHd ;dlaIK ch.%ykhka uq¨ukskau mdfya Ndú; lrñka isák lÜg lmá ;lalä fjf<ka|ka frd;a;lah'

fï Wu;=j kï md,kh l< hq;af;auh ßfudaÜ lkafg%da,a tfla fnd;a;ula tnQ iekska Tn <Õg meñfKk" isxÿ lshk" ,hsÜ m;a;= fjk YS;lrK fyg ojfia § fjf<|fmd<g wdfjd;a wm mqÿu úh hq;= ke;' tfyu wdfjd;a tajd ñ, § fkd.kakd tld mÜg f.dvfhla f,i fjf<| ±kaùï j,ska yxjvq .efikq o we;' kQ;k fjf<|fmd< n,fõ. úiska wm wNsuqj ks¾udKh lr § we;af;a

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mdßfNda.sl NdKav j, l,ska ie,iqï l< wl,a urKh jkdys tlS ;lalähka iy w;Dma;u s ;a wêmdßfNda.l s hska ;lg ; l mEfyk iQrdlEfï ksrej;a biõjhs' fï biõfõ isÿjk foaj,a rdcHh ueÈy;aùfuka md,kh" kshdukh fkdlf<d;a" ^hqfrdamh" cmdkh fï jk úg;a fuu ;;a;ajh md,kh lsÍu i|yd Yla;su;a kS;s y÷kajd foñka isák w;r" m%xY rch fujeks ;lalä ksIamdolhskag hqfrda ,laI 3 l ovhla iy jir foll isr o~qjula ,nd §ug wjeis kS;s Í;s n,d;aul lr we;'& fõ.fhka laIh jk iSñ; iïm;a iy mßirh ;=< f.dv .efik l=Kq lkao,a" ^úfYAIfhkau

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bf,lafg%dksl li,& iy ji úI ksidfjka wm o" wm cSj;a jk ks,a .%y f,dalh o l,ska ie,iqï l< wl,a urKhlg uqyqK foñka isák nj id;sYh ixfõ.fhka hq;=j wjOdrKh lr isáuq' DM ^úfYaI ia;+;sh - ksYdka; mqiafiaf.dv uy;d" ihsfí%ka wdh;kh" nÿ,aa,'&

fuu f,aLlhd Y%S ,xld uyck fi!LH mÍlaaIljrekaf.a ix.ufhaa nÿ¨ Èiaa;%sla YdLdfõ udOH m%ldYl jYfhka lghq;= lrk w;rm%uqL fi!LH ikaksfõolfhla foaYlfhla f,io ckdorh oskd isà'

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DM

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

nq ls fha frda y,a l;d

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

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December 2016

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Nutrition Renal nutrition update

RENAL NUTRITION UPDATE

ksjeros wdydr rgdj jl=.vq frda.h md,khg fya;= fjkjd''' th ksoka.; jl=.vq frda.Skaf.a ldkaÿlrKh l,a oeóugo fya;=jla jkjd 68

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kaoshdfõ wemf,da frdayf,a fmdaIKfõoSka úiska jd¾Islj ixúOdkh lrKq ,nk cd;Hka;r fmdaIKfõoSkaf.a iïuka;%kh Appollo International Clinical Nutrition Update - (AINCU) uE;loS mj;ajkq ,eìK' óg fmr fuu iïuka;%Kh bkaoshdfõoS meje;ajqKq w;r fujr ;u wgjk iïuka;%Kh Y%S ,xldfõ meje;aùu wfma rggo úfYaI;ajhla úh' foia úfoia ffjoHjreka" fmdaIKfõoSka iy m¾fhaIK{hka /ilf.a iyNd.s;ajfhka mj;ajk ,o fuu iïuka;%Kh fi!LH yd fmdaIKh iïnkaOfhka" fjfiiskau tys kjH m%jK;d iïnkaOfhka l;dnyg fjfiia f;da;ekakla úh' lafIa;%fha m%udKsl úoaj;=ka úiska mj;ajk ,o foaYK fndfydauhlau flakaø.; jQfha frda.Skag m%;sldr ,ndoSfïoS Tjqkag .e,fmk ksis fmdaIKhla ie,iSfï jeo.;aluhs' fï mrud¾: idOkfhys,d fmdaIKfõoshdf.a ld¾hNdrh fuysoS wjOdkh flreKq w;r foaYK ish,a,u mdfya iajlSh m¾fhaIK u;u mokï ùu úfYaI;ajhls' óg wu;rj oekg fi!LH lafIa;%fha fiajfha ksr;j isák fmdaIKfõoSka úiska isÿl< m¾fhaIK w;=ßka jvd;a m%uqL;djhla orK id¾:l m¾fhaIK jd¾;d j,g ;Hd. iy iy;sl m;% m%odkh lsÍuo fuysoS isÿ flßK' fulS m¾fhaIK iïnkaOfhka wjOdkh fhduq lsÍfïoS m%lg jk ldrKhla jkqfha frda.Skaf.a iqjfi; ie,iSfïoS fuu kjH m¾fhaIK Tiafia ;u YlH;d mrdih jvd;a mq¿,a lr.ekSug fmdaIKfõoSka yg wjia:djla ie,iSuhs' tu.ska frda.Ska yg jvd;a ld¾hlaIu yd M<odhS fiajdjla ,ndoSug wjia:dj Wod fjhs' fï m¾fhaIK w;=ßka Y%S ,xldfõ jl=.vq frda.Ska iïnkaOfhka isÿ l< m¾fhaIK ms<sn|j wjOdkh fhduq lsÍu ldf,daÑ;h' wo jk úg ,xldfõ jl=. vq frda.Skaf.a m%;sY;h fnfyúka by< hdu;a tu.ska Tjqkaf.a mjq,a j,g fukau rfÜ wd¾Ólhgo iuia; ck cSú;hgo we;sjk n,mEu iq¿mgq fkdjkafkah' doctormagazine.lk

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RENAL NUTRITION UPDATE

Nutrition

oekg T!IO m%;sldr ,nd.kakd jl=.vq frda.Ska 135 fofkl= fhdod.ksñka isÿ l< fï m¾fhaIKfhaoS wLKav ffjoH m%;sldr iu. frda.shdf.a wdydr yd fmdaIK ;;a;ajh iïnkaOfhka ksr;=re wëlaIKhg ,la lsÍu;a" ms<s.;a ks¾foaY Tiafia fmdaIKfõoSka fok Wmfoia ms<smeoSu;a Tiafia frda.h W.% w;g m;aùu j<lajd .ekSug yels nj fï m¾fhaIKfhka fy<sorõ úh' reêr ldkaÿlrK wjia:djg m;aùu j<lajd .ekSug mjd fï Wmfoia jeo.;a jk nj fuysoS fy<sorõ jQ úfYaI ldrKhla úh' fuu.ska frda.shdf.a meje;afï .=Kd;aulNdjh by< kexfjk w;r ks;ekskau fi!LH lafIA;%fha msßjeh wju lsÍugo fuhska uy;a odhl;ajhla ,efnhs' jl=.vq frda.sfhl=g m%;sldr ie,iSfïoS fmdaIKfõoshdf.a ld¾hNdrh buy;a jeo.;alula orhs' frda.shd yg ,ndfok wdydr ks¾foaY lsÍfïoS Tyq fyda wehf.a ffcj ridhKsl jd¾;d mÍlaId lr wjYH fmdaIl m%udKh .Kkh lsÍu i|yd fmdaIKfõoS oeKQu iy w;aoelSï jeo.;a jkafkah' fï i|yd úfYaIfhka mqyqKqj ,enQ fmdaIKfõoSkaf.a fiajh ,nd.; hq;af;a fï ksidh' jl=.vq frda.h iïnkaOfhka fukau YÍrfha wfkl=;a wjhj j, ksis l%shdldß;ajh mj;ajd .ekSug wjYH iu;=,s; fmdaIKh ms<sn|j ie<ls<su;aùu fuysoS uQ,sl lghq;a;ls' wdydrfhka ,efnk ldfndayhsfâ%Ü ^msIagh& fm%daàka iy f;,a m%udKh fukau laIqø fmdaIl wjYH m%udKhg ,ndoSu frda.h md,kh lsÍu i|yd fjfiiskau jeo.;a jkafkah' fuu m¾fhaIKfhaoS frda.Ska i|yd wfma rfÜ wdfõKsl wdydr fõ, ks¾foaY lr we;s w;r Y%S ,xldfõ iq,nj Ndú;fha mj;akd fmd,af;,a fï frda.Ska yg kshu lr we;' ;jo fmd,af;,a Ndú;fhaoS fN!;Shj msßisÿ lrk ,o fmd,af;,a fï frda.Skag kshu lsÍu úfYaI;ajhla úh' tfukau fuu ks¾foaY lsÍu i|yd óg fmr isÿ lrk ,o m¾fhaIK j, ks¾foaYo ie<ls,a,g f.k ;sfí' fï wdldrhg jl=.vq frda.Ska i|yd ffjoH m%;sldr iu. fmdaIKfõoSkaf.a

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Wmfoia u; ksjeros fmdaIKhla ,ndoSu ;=<ska Tjqkaf.a jl=.vqj, l%shdldß;ajh ms<sn|j fmkajk reêrfha l%sheákska m%udKh hym;a ia:dhs uÜgul mj;ajd .; yels nj ikd: ù ;sfí' fuu m¾fhaIKh uydpd¾h m%shdks mrK.u" ffjoH Wmd,s fõr.u iy ví,sõ ta iS iS rKisxy hk úoaj;=kaf.a wëlaIKh hgf;a wdydr yd fmdaIKfõoS tka tï tia fyÜáf.or uy;d úiska isÿ lrKQ ,eìK' fujka jákd úoHd;aul jevuq¿ fï rfÜ meje;aùu ;=<ska tys m%;sM< fï rfÜ fmdÿ ck;djg w;am;a lrosh yels jk w;r fï rfÜ fi!LH lafIa;%fha Wkak;sh Wfoid kj udkhka Tiafia fujeks m¾fhaIK isÿ lsÍug furg nqoaêu;=ka n,.ekaùuo hq.fha wjYH;djhla nj i|yka l< hq;=h' DM

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Foods

The Many Health Benefits of Eating Mushrooms

The Many Health Benefits of

Eating Mushrooms

Sri Lankans Need To Eat More...

Can mushrooms improve immunity, reduce heart disease, and even fight and reverse cancer, as believed ?

A

There are people in sri lanka still believing that most edible mushrooms sold in the markets, could be poisonous and hesitate purchasing. Yes, there are thousands of varieties of mushroom, naturally found and grown, and most of them are poisonous. Today, there are popular varieties of farm grown mushrooms available in the markets, and they are guaranteed to be safe for consumers. No cases of poisoning or death have been reported in sri lanka in the recent past, to our knowledge.

Mushrooms are not vegetables though available in the vegetable markets, they belong to the fungi kingdom, like penicillin discovered from the fungus penicillium notatum.

By Dr. Harold Gunatillake 72

December 2016

Mushrooms have no attractive colours like the many colourful varieties of vegetables containing the most vitamins and

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Mushrooms, though classified as vegetables in the food world, are not technically plants.

They belong to the fungi kingdom and although they are not vegetables, mushrooms provide several important nutrients.

minerals, but though commonly white in colour prove containing important nutrients, specifically focussed on boosting your immune system. Mushrooms are low calorie, virtually have no fat, and they decrease the risk of obesity and benefits heart health.

They have hardly any soluble sugar and forms worthy nutritious food for diabetics. Also when eaten, you get a filling of fullness and may curb your appetite.They are considered to be good for your complexion and hair.

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Antioxidants and vitamins in MĹ&#x201E;hroom Mushrooms are packed with antioxidants helping in your immune system and body health. It has riboflavin (vit b2 ), vitamin b, including plenty of vitamin b12 same as found in animal foods, niacin, pantothenic acid and mineral selenium and copper.

Vegans must eat plenty of mushrooms to supply their vitamin b12 needs. Mushrooms also have vitamin d, the only non-animal food containing this â&#x20AC;&#x2DC;sunshine vitaminâ&#x20AC;&#x2122;.

Red reishi mushrooms (ganoderma lucidum) Red reishi mushroom has been used traditionally for centuries by ancient cultures for boosting immunity against diseases and for their other health benefits.

In china red reishi is called lingzhi. It is a fairly large mushroom and has been used in daily hospital diets to build up immunity among cancerinpatients. It is also believed that this mushroom keeps the liver and brain

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THE MANY HEALTH BENEFITS OF EATING MUSHROOMS

Foods

healthy. It is considered an anti-inflammatory food and used mainly to cool the body and boost the immune system. It is believed to support mood, anxiety states and depression.

Anti-cancer properties of Mushrooms Mushrooms have anti-cancer properties, supposed to inhibit growth of cancer cells. Folate in mushrooms plays an important role in dna synthesis preventing the formation of cancer cells.

Wild poisonous mushroom in china forests were found to carry compounds helping to kill cancer cells, according to a study published in the journal cancer research A compound called verticillin a, found in these mushrooms, according to immunologist dr kebin liu, in georgia health science university cancer centre, is found to have cancer sensitive properties, to “self destruct” cancer cells.

Mushrooms are a good source of chitin and beta-glucan, fibers that lower cholesterol and improve cardiovascular health.

Magic mushroom Eating this mushroom is supposed to cause hallucinations, as it contains a chemical called psilocybin. Clinical trials have shown that this may help ease the pain of feeling rejected among once socially active individuals. Hallucinogenic psilocybin seems to help these people to become socially active again.

Psilocybin is supposed to work to reduce feelings of social rejection by stimulating brain receptors for serotonin a brain chemical , referred to as the ‘feel good hormone’ commonly present in bananas and other fruits.

Those who take this

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mushroom experiences a feeling and a sense of oneness with the universe and with others, a feeling of transcending time, space and other limitations, coupled with a sense of holiness and sacredness.

Shiitake mushroom (lentinula edodes) This is the most popular mushroom consumed by the japanese. In most hospitals shiitake mushroom is included in their daily diet.

Shii in japanese refers to the tree on which this mushroom grows and ‘take’ is the word used for mushrooms. Japanese venerate this mushroom and has been traditionally eaten for centuries for its health benefits. In the us this mushroom is grown in the forest farming in hardwood logs.

Common button mushroom (agaricus bisporous) This is a common ‘nonexotic’ cheap mushroom available in sri lankan in the market place, for

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the consumption of the average person. For the exotic ones, you need to patronise the colombo super-markets where foreigners visit.

In america 900 million pounds of mushrooms consumed are mostly this cheap variety, which includes regular white mushrooms (button,closed up, open cup and large flat) and the brown varieties crimini and portobello.

These cheap mushrooms have been eaten by the humans since the times of the early hunter gatherers.

Ancient egyptians believed that these mushrooms can grant immortality and only the pharaohs ate them and the commoners were not allowed to touch them. It was then referred to as the ‘food for the gods’.

Today, these mushrooms are attracting the attention of the rich and the poor in most countries, mainly due to medicinal properties. Jane clarke nutritionist in a recent report considers mushrooms as superfoods, and summarises major scientific studies from around the world that highlights the extraordinary nutritional values and their health benefits. Eating mushrooms of any kind will enhance your immune system, reduce inflammation, and that would be our conclusions.

So why wait, after reading this article you will visit the closest market shop and buy adequate mushrooms , to add into frying foods, soups, omelettes, you name it. DM December 2016

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Placenta Wisdom

Mothers...

Know Your Placenta...

Mothers...

Know Your Placenta...

The Role of the Placenta in Pregnancy and Hilarious Customs Around the World By a Staff Correspondent

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The placenta does a lot of work in pregnancy. And once your baby is born, the thanks it receives is that it is cast out of your body, never to be used again.

Yes, the worldâ&#x20AC;&#x2122;s only disposable organ is the placenta. Once the pregnancy is finished, this previously vital organ is no longer needed.

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While we all marvel at the miracle of fetal development and the wonders of birth, we very often fail to look at the miraculous organ - the placenta.

This organ grows from the time of conception to eventually take over the production of hormones needed to sustain the pregnancy at around 12 weeks gestation (from your last menstrual period). It supplies your growing baby with a means of obtaining nutrients for development as well as a method of waste disposal.

The massive role The placenta is one of the most amazing physical structures that develop during pregnancy. Throughout the pregnancy this important organ transfers nutrients, oxygen, antibodies and hormones from your blood to the fetus, while acting as a filter for substances that could harm the baby and expelling wastes. It also produces hormones such as progesterone, which helps to maintain the pregnancy and somatommammotropin which helps increase the amount of sugars and fats in the blood, as well as estrogen, relaxing and human chorionic gonadotrophin.

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MOTHERS... KNOW YOUR PLACENTA...

Placenta Wisdom

Placental practices around the world Some cultures have come to see the placenta in a completely different light. There are even ceremonies and beliefs held about the placenta that are completely strange to us.

Lotus birth - Leaving with the baby until it dries For example, in some cultures it is commonplace to leave the baby attached to the placenta, rather than clamp the cord, until the cord dries up and falls off. This is called a Lotus birth and is not practiced often in the United States. The theories behind this are that it helps slow the new family down and offers them more seclusion in the first few days when a getting to know you period is in order.

Placenta print

The placenta is delivered approximately 10 minutes after the baby is born. In most mammalian species, the new mother bites through the umbilical cord and consumes the placenta, which is rich in prostaglandin, the hormone that stimulates the uterus to shrink and return to its normal size and expel any residual matter.

According to recent findings, the placenta also contains a molecule that reduces pain by modifying the activity of our bodies' pain receptors. The placenta also contains trace amounts of oxytocin, which helps to soothe the nerves and relax the muscles around the mammary gland for more effective milk production.

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Holding ceremonies with the placenta One thing you see here is that there are many families who will hold ceremonies with the placenta after birth. Some families will take the placentas and bury them in the ground to celebrate the new life given to them.

This dedication of the placenta back to the earth or in honor of the child is becoming more frequent.

A year later a tree or flower is then planted in the same spot to allow the placenta to nourish its growth. The reason that you would wait this year is that a placenta is so nutrient rich that it would kill anything planted before that period.

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Worldâ&#x20AC;&#x2122;s only disposable organ is the placenta. Once the pregnancy is finished, this previously vital organ is no longer needed.

There are many reasons listed for eating the placenta, including it helping stem postpartum depression and it supposedly helps to contract the uterus after the birth. We know that many animals eat their own placenta, including as a means to hide the scent from predators.

placental cord - the life line disconnected after its role

Placenta art What about placenta art? Yes, you can make art out of it.

Placenta prints Generally mothers talk about placenta prints. After the birth you take a piece of paper and lay the placenta on it. If it is fresh you can let the blood and amniotic fluid leave the print or others choose to use paints to add color. Now what? Well, hang your framed art or store it for safekeeping.

Eating the placenta Then comes the practice of placentophagia, eating the placenta, is also practiced in some parts of the world.

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In our modern world this may seem barbaric and some have even said that this could spread HIV/AIDS or Hepatitis. While this is very true if people other than the mother consume the placenta, normally it is only the mother partaking of the placenta. placenta in Chinese Medicine In Chinese Medicine, the placenta is known as a great life force and is highly respected in terms of its medicinal value. However, in this field it is not cook, but rather usually dried. To dry a placenta you would simply dehydrate it in the oven, then using a mortar and pestle grind it up.

From there you can mix it with food or ingest it within capsules.

No matter what you choose to do with your placenta, remember to value the life it has helped you nurture and bring forth. It is, after all, the Tree of Life. DM

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Appendicitis Explained...

Why It Happens And How It Is Treated

Appendicitis Explained...

Why it happens

How it is

Treated If you're experiencing pain and inflammation near your lower abdomen, you may sometime have appendicitis. This condition is most common in people between the ages of 10 and 30, while kids under 10 and women over 50 may have a harder time identifying traditional symptoms. If you are diagnosed with appendicitis, you'll probably need surgery to remove your appendix. This is considered a medical emergency, so it's important to know how to recognize the signs and get help as soon as you can.

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What is the appendix?

The appendix is a small, pouch-like sac of tissue that is located in the first part of the colon (cecum) in the lower- right abdomen. Lymphatic tissue in the appendix aids in immune function.

The official name of the appendix is veriform appendix, which means "worm-like appendage."

The appendix harbors bacteria.

What is appendicitis?

The suffix "-itis" means inflammation, so appendicitis is inflammation of the appendix. Appendicitis

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occurs when mucus, stool, or a combination of the two blocks the opening of the appendix that leads to the cecum. Bacteria proliferate in the trapped space and infect the lining of the appendix. If the inflammation and blockage are severe enough, the tissue of the appendix can die and even rupture or burst, leading to a medical emergency.

Who is affected by appendicitis?

Anyone can get appendicitis, but it occurs most often in people between the ages of 10 and 30. doctormagazine.lk

About 7% of people in the U.S. experience appendicitis during their lifetime. Very young children and elderly people are at higher risk of complications due to appendicitis.

Early recognition and prompt treatment of the condition are necessary, especially in vulnerable populations.

What are the most frequent complications of appendicitis?

Delaying the diagnosis and treatment of appendicitis increases the risk of complications. One

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WHY IT HAPPENS AND HOW IT IS TREATED

Appendicitis Explained...

potential complication -- perforation -- can lead to an accumulation of pus (abscess) around the appendix or an infection that spreads throughout the abdominal lining and that of the pelvis (peritonitis). Surgery should occur as soon as possible after the diagnosis of appendicitis. Longer delays between diagnosis and treatment (surgery) increase the risk of perforation.

For example, the risk of perforation 36 hours after appendicitis symptoms first appear is 15% or more.

What is another complication of appendicitis?

Sometimes the inflammation associated with appendicitis interferes with the action of the intestinal muscle and prevents bowel contents from moving.

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Nausea, vomiting, and abdominal distention can occur when liquid and gas build up in the part of the intestine above the blockage. In these cases, the insertion of a nasogastric tube -- a tube that is inserted into the nose and advanced down the esophagus into the stomach and intestines -- may be necessary to drain the contents that cannot pass.

What are the symptoms of appendicitis?

One of the first symptoms of appendicitis is abdominal pain that is hard to localize. People with appendicitis typically experience pain in the central part of the abdomen that eventually moves over to the right lower quadrant. Loss of appetite is another early symptom of appendicitis.

Nausea and vomiting may occur early in the course of the illness or even later as the result of an intestinal obstruction.

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How is appendicitis diagnosed?

Doctors diagnose appendicitis based on the patient's symptoms and findings during physical examination.

A person with appendicitis usually experiences moderate-to-severe pain when the doctor gently pushes down on the lower right abdomen. A potential indication of peritonitis is "rebound tenderness," which is a worsening of pain when the doctor removes his hand after pressing down on a tender area of the abdomen.

How is appendicitis treated?

Surgical removal of the appendix is called an appendectomy. Antibiotics are given to a patient with suspected or confirmed appendicitis both before

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WHY IT HAPPENS AND HOW IT IS TREATED

Appendicitis Explained...

and after surgery.

Appendectomies can be performed laparoscopically, where special surgical tools are advanced into the abdomen via several small incisions. The following is a stepby-step account of an appendectomy.

Appendectomy: Step 1 of 8.

This image shows a normal appendix in a female patient undergoing surgery for an infection in her reproductive system. Since there is no known function of the appendix and to prevent diagnostic confusion in the future, the surgeon removes it to prevent potential appendicitis in the future.

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Appendectomy: Step 2 of 8.

blood vessels) and cutting to completely separate the appendix from the surrounding tissues until the only remaining connection is to the colon.

Appendectomy: Step 4 of 8.

To remove the appendix, the surgeon separates it from the mesentery, which is the tissue that delivers blood to the area. Electric current delivered by an instrument called a bipolar forceps is used to seal (cauterize) the blood vessels and prevent bleeding.

Appendectomy: Step 3 of 8.

In the next step, the surgeon crushes the base of the appendix with a clamp and then moves the clamp slightly towards the end of the appendix, positioning a pre-tied suture at the base of the appendix to tie it off.

Appendectomy: Step 5 of 8.

In the next step, the surgeon uses scissors to snip the appendix free from the mesentery.

He alternates between electrocautery (to seal

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The surgeon tightens and secures the suture using a fisherman'â&#x20AC;&#x2122;s knot, which can be tightened but is incapable of loosening by itself.

Appendectomy: Step 8 of 8.

Appendectomy: Step 6 of 8.

The surgeon and his surgical team complete one final inspection of the area to ensure there is no bleeding.

The surgeon then uses the scissors to cut the suture above the knot.

Appendectomy: Step 7 of 8.

The surgeon cuts the appendix with the same scissors above the knot but below the clamp to prevent contamination.

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Are there complications and/or long-term consequences of appendectomy?

Infection at the surgical sites is the most common complication associated with an

appendectomy. Redness and pain may be present with a mild infection.

Moderate infections may have more severe symptoms. Antibiotics are used to treat mild-tomoderate postsurgical infections. If an abscess develops, drainage may be necessary.

The appendix plays an uncertain role in adults and older children.

Removal of the appendix is not associated with any major long-term health problems.

Some studies report an increased risk of certain diseases after an appendectomy. Crohnâ&#x20AC;&#x2122;s disease, which is an inflammatory intestinal condition, is one such disease. DM Courtesy: MedicineNet.com

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Tradition

Six Cancer Prevention Rules of the Father of Medicine That We All Should Follow

Six Cancer Prevention Rules of the Father of Medicine That We All Should Follow Hippocrates shared these cancer prevention guidelines thousands of years ago.

H

By Dr Devinda Dayarathna

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uman beings and other animals have had cancer throughout recorded history. Itâ&#x20AC;&#x2122;s no surprise that from the dawn of history people have written about cancer. Some of the earliest evidence of cancer is found among fossilized bone tumors, human mummies in ancient Egypt, and ancient manuscripts.

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In this drawing from 1689 dipicted a patient has a large surface tumour removed by surgery

Our oldest description of cancer (although the word cancer was not used) was discovered in Egypt and dates back to about 3000 BC. It’s called the Edwin Smith Papyrus and is a copy of part of an ancient Egyptian textbook on trauma surgery. It describes 8 cases of tumors or ulcers of the breast that were removed by cauterization with a tool called the fire drill. The writing says about the disease, “There is no treatment.”

The origin of the word cancer is credited to the Greek physician Hippocrates ( 460-370

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BC), who is considered the “Father of Medicine.”

Hippocrates used the terms carcinos and carcinoma to describe non-ulcer forming and ulcer-forming tumors. In Greek, these words refer to a crab, most likely applied to the disease because the finger-like spreading projections from a cancer called to mind the shape of a crab.

The father of medicine developed a theory on how to be protected against cancer through the nutrition. The theory is composed of 6 rules which aim to bring in balance the 4 basic tastes. Without the balance of bitter, sour,

sweet and salty the result is a sickness.

First Rule - Detoxify the liver by eating bitter stuffs The consumption of bitter substances like bitter almonds and apricot kernels have the ability to strengthen the liver and make it produce bitter bile as it should be to dissolve the fats, improve metabolism and decrease cholesterol.

The center for the cancer is the liver, everything starts there.

A person whose liver is overloaded with carbohydrates and whose sugar levels are constantly high is at great risk to develop malicious diseases.

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SIX CANCER PREVENTION RULES OF THE FATHER OF MEDICINE THAT WE ALL SHOULD FOLLOW

Tradition

Second Rule - Add more and more vegetable & fruit to your diet Add to your diet as many fruits and vegetables as possible, preferably have a variety of different vegetables each day, suggested the father of medicine.

Green leafy vegetables are known to have a slightly bitter taste which is a great connection with the first rule. Try to consume spinach, chard, lettuce, radish and rocket as often as possible. Also, try to consume lemon every day by adding it in your food or in your water.

Lemon water is the best thing to start your day with. Every morning add some lemon juice to a glass of warm water and start your day with this magical potion.

This will make the pH of your stomach and overall body alkaline.

The cancer cells have very low pH. The calcium, magnesium, potassium, and boron are stabilizing the pH. Lemon also helps the absorption of the calcium. Recent studies have shown that 88

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consuming frozen lemon can greatly help the fight against cancer.

Hippocrates - Father of Medicine

Third Rule - Eat onion & garlic Another food that can prevent cancer is onion companioned with the garlic. Onion and garlic have the ability to poison the cancer cells so that they vanish from our organism. Also, onion is reducing glucose in our blood and the insulin response to glucose.

Another role of onion is that it interferes with the tyrosine kinase. Onion, apple, and grapefruit contain Quercetin, this is a kind of bioflavonoid.

The quercetin is very important because it stops the action of a

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class of enzyme called tyrosine kinase. This enzyme is present in the cell membranes. When this enzyme is activated, it is mandating cancer cells to multiply and thus cause metastases. By eating plenty onions, you can prevent and help treat already existent cancer. This is something that you might not hear from official pharmaceutical industry, but onion might play the key role in cancer treatment.

Fourth Rule Juisification Hippocrates wrote about healing property of green juice made of nettle, olive leaves, and parsley. This was an inspiration for the study of Dr. Max Gerson who developed the Gerson Therapy in the 1930s.

Doctor Gerson was greatly attacked by the pharmaceutical industry because his natural therapy, which consists of different plant-based juices and raw foods, seems to be really helping many people around the globe.

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Edwin Smith Papyrus - The first known text book on surgery

Fifth Rule - Avoid starch Studies have shown that complete reduction of foods, which are rich in carbohydrates, from a diet is bringing down the level of insulin and Insulin-like growth factor hormone (IGF).

This is also reducing the growth of cancer cells and, therefore, the growth of the tumor. In other words, a patient who is already fighting cancer should not take any refined sugars, carbs or processed foods.

Instead, a well-balanced diet rich in vegetables and fruits and essential oils will greatly help reduce and stop the growth of cancer cells.

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Sixth Rule - Almond oil factor Hippocrates referred a lot to almond oil and its beneficial properties.

Almond oil has a lot of vitamins like A, E, B1, B2, B6, B17 and also other beneficial elements.

The element B17 is not a vitamin. B17 is amygdalin â&#x20AC;&#x201C; the most important compound of almondâ&#x20AC;&#x2122;s healing properties.

Amygdalin or B17 has a great impact on cancer, according to Hippocrates.

B17 is giving the bitter taste to almonds and some other fruit seeds.

It has been used as anticancer treatment more seriously in the recent years, mainly in alternative medicine.

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We should have in mind that sometimes alternative medicine relays more on ancient knowledge than the official medicine. The usage of B17 for cancer treatment is highly prohibited by official medicine, as any other kind of treatment which is promoting food as the cure. We have to remember that Hippocrates said that the food should be the best cure for any disease. DM

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Fertility

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WHEN TRYING TO CONCEIVE FEELS LIKE A BATTLE cSjhla fuf,djg ;s<sK lsÍu i|yd ia;%S .en hqo msáhla jkafka fufyuhs''' ixfiapkhla i|yd bosßm;a jk ñ,shk foiShla muK jk Y=l%dKq j,ska ch .kafka tla Y=l%dKQjla muKhs' wfkla Y=l%dKQ ish,a, ixydrhg ,la jkafka fï úosyghs 90

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fhdaks újrfha isg äïnhla yuq jk f;la Y=l%dKqjl .uk yqfola w`.,a yhl pdßldjls' kuq;a fï w`.,a yfha pdßldj flmuK ìysiqKQ hqoaOhlao hkak my; igyk lsheùfuka Tng;a mila jkjd we;' idudkHfhka ksfrda.S mqreIfhla ,sx.sl tlaùuloS jrlg msglrk Y=l%dKq m%udKh ñ,shk foiShla muK fjhs' fuhska .eíf., fj; <`.d jkafka ñ,shk foll Y=l%dKq m%udKhla muKs' fhdaks udOHfha we;s wdï,slNdjh

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;j;a cSjhla fï ñysu; we;s lrKQ msKsi''' W;a;Í;r ud;D;ajh ldka;djlg ;s<sK lrKq msKsi wef.au wdornr mqreIhdf.a ckldKq ,laI foiShlg muK úkdYh le|jkakg wef.a isreru hqo msáhla jk wmQrej''' mef,damSh kd, fidhd .¾NdIfhys isg by<g hk .ufkaoS iqÿ reêrdKQ j,ska lrk myr oSula ksid ;j;a Y=l%dKq 90"000 la muK ñh hk w;r fï myroSï j,ska ñoS .¾NdIfha uqÿkg <`.d jkafka Y=l%dKq 10"000la muKs' fuhskao yß wvlau mdr jroaod .ekSfuka ksIam%fhdackj;a Y=l%dKq modihla njg m;a fõ' ia;%shlg mef,damSh kd, folla ;sfnk w;r jrlg äïnhla fudapkh lrkafka tla mef,damSh kd,hla muKs' äïnhla fudapkh fkdlrk mef,damSh kd,h fj; .uka lrk Y=l%dKq j,g wkd.;hla ke;' fï wkQj oeka b;sß jkafka M<odhS Y=l%dKq 5000ls' .¾NdIh;a mef,damSh kd,h;a w;r ;rula os. weÿKQ ia:dkhla ;sfí' th Uterotubal junction hkqfjka ye|skafjhs' we;af;kau fuh Y=l%dKQ j,g kï ;j;a W.=,la lSfjd;a ksjerosh' fuys ;sfnk wef,k iq¿ Yaf,aIu,h u. yer mef,damSh kd,hg mek.kakg iu;a jk Y=l%dKq m%udKh oyilg jeä ke;' wfkla ydr oyiu fï ikaêfha W.=f,a isr fjhs' oeka ;r`.h ;SrKd;aulh' ñ,shk foiShla jQ ;r`.lrejka w;f¾ bosßhg meñK we;af;a ;r`. lrejka oyila muKs' iajNdjO¾uh fuhskao úYd, m%udKhlg mrdch w;am;a lr fokakg iQodkïh' ta fjkqfjka ks¾udKh lr we;s B<`. lvq,a, we;af;a äïnh fj; .uka lrk .uka uf.ysh' fï wjika woshf¾ .ufkaoS 800la muK Y=l%dKQ mef,damSh

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wdia;rkfha wef,hs' fï lvq,a,;a ch.;a''' tfia;a ke;akï mef,damSh kd,fha fkdwe¿Kq Y=l%dKQ 200la muKla wjika ;r`.hg bosßm;a fjhs' fuysoS Y=l%dKQ w;f¾ b;d oeä ;r`.hla we;sjk w;r wjidkfha äïnh midre lrf.k we;=<g hkafka tla Y=l%dKQjla muKs' th ch.%yKh iksgqyka l< iefkkau äïnh úiska Cortical granules hkqfjka ye|skafjk wjysrlhla äïnh jgd ks¾udKh lrhs' fuu ndOlh ks¾udKh ùfï m%;sM<hla jYfhka fojeks Y=l%dKQjlg Bg we;=<;a jkakg neßh' äïnh yd ixfiapkhg bv fokafka tlu tl Y=l%dKQjlg muKs' fï wjysrl l%shdj,sh Cortical reaction hkqfjka ye|skafjhs' ;j;a cSjhla fï ñysu; we;s lrKQ msKsi''' W;a;Í;r ud;D;ajh ldka;djlg ;s<sK lrKq msKsi wef.au wdornr mqreIhdf.a ckldKq ,laI foiShlg muK úkdYh le|jkakg wef.a isreru hqo msáhla jk wmQrej''' iajNdjO¾uh yeuúgu .re lrkafka Yla;sjka;hdg muKla ch.%yKh fok kS;shhs' DM By a Staff Feature Associate

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

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

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

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

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

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

From

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TSH

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

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

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

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

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

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

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December 2016

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Child Care

Táiï .ek Tn oek.; hq;= lreKq

Táiï .ek Tn oek.; hq;= lreKq

fkú,a m%kdkaÿ YslaIK frdayf,a ufkda úfYaI{ ffjoH .dñkS chj¾Ok úisks MBBS, MD (Psychiatry)

96

December 2016

—uf. mq;dg wjqreÿ y;rhs' thd l;d lrkafk yrsu wvqfjka' wjYHu jqfkd;a jpkhla folla lshkjd' uQK n,,d l;d lrkafk;a keye' me;a;lg fj,d thdf.u weÕs,s osyd n,df.k bkakjd' fi,a,ï lrkak leu;s;a keye' yenehs lvodis lE,s j,g kï yrsu wdihs' fldfyayrs lvodis lE,a,la ;sfhkjd oelafld;a tal wrka <Õ ;shd.kakjd' wms tajd whska lf<d;a f.a folla fjkak lE.ykjd˜ fï úia;rh mejiqfõ ;u l=vd mq;= /f.k <ud ufkda ffjoHjrhd yuqùug meñKs ujl úiska' fun÷ yeisrSï rgdjkaf.ka hqla; orejka Tn;a oel ;sfnkjd o@

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Táiï hkq l=ulao@ Táiï lshkafka <ud úfhaoS oelsh yels j¾Ok wdndO (Developmental Disorders) .Kfha ,d ie<flk udkisl wdndOhla' iEu <uqka oyilskau oyhla oyy;rla w;r m%udKhla Táiï fyda ta yd iïnkaO wdndOhlska fmf<k nj fidhdf.k ;sfnkjd' tfukau .eyeKq <uqkag jvd msrsñ <uqkag Táiï ;;a;ajh we;sùfï yelshdj jeähs' fuu wdndOh iys; <uqkaf.a wka;¾ mqoa., iïnkaO;d iy ikaksfõokh b;d ÿ¾j, uÜgul mj;skjd' Tjqka fndfydaúg mßirh ms<sn|j Wkkaÿjla fkdolajd me;a;lg ù isák ksid —lrorhla ke;s ;ekam;a <uhs˜ f,i jrojd jgyd .ekSug o bv ;sfnkjd' tfy;a Tjqkaf.a iudcYS,SNdjh wvq ù ;sfnkafka ;ekam;a nj ksid fkdj fuu udkisl wdndOh ksihs' Táiï orejl= y÷kd.kafka flfiao@ fndfydaúg fuu wdndOh y÷kd.kq ,nkafka wjqreÿ fol - ;=k jk úg;a orejdf.a l;dny b;d wvq ùu ksid ffjoH Wmfoia ,nd.ekSug .sh úghs' lsishï orejl= ;=< my; ,laIK ;sfíoehs ksrSlaIKh lsrSfuka fuu ;;a;ajh l<skau y÷kd.; yelshs' • wka;¾mqoa., iïnkaO;d mj;ajd.ekSfï wmyiq;dj' iudcYS,Snj wvqùu • l;dny iy woyia yqjudrej b;d iSñ; ùu • iskyjg m%;spdr fkdoelaùu • wka whf.a oEi foi n,d l;d fkdlsrSu • w¨;a foaj,a ms<sn| Wkkaÿjla fkdoelaùu • tlu wx. p,kh kej; kej;;a isÿlsrSu ^weÕs,s keùu yd os.yerSu" ysi fi,ùu& • úúOdldr jia;+kag we;s oeä wdYdj ksid tajd tl;= lsrSu yd <Õ ;ndf.k isàu ^ldâfndaâ lene,s" ma,diaála lene,s fyda hlv lene,s wdosh& • fjkiaùïj,g yqreùfï wmyiqj ^w¨;a mdi,lg" w¨;a .=rejrhl=g yqreùfï wmyiqj& • taldldÍnjg leu;s ùu doctormagazine.lk

"

fuu ;;a;ajh ffjoH úoHdfõoS y÷kajkafka Táiï (Autism) hk kñka'

mjqf,a hï flfkl=g Táiï ;;a;ajhla we;súg B<Õ mrïmrdfõ flfkl=g Táiï ;;a;ajh we;s ùfï wjodku jeähs' .¾NKS ld,fha§ we;sjk úúOdldr frda. iy ore Wmf;aoS we;sjk ixl=,;d ksid orejdf.a fud<hg Tlaiscka iemhqu wvq ùu;a fï ;;a;ajhg fya;= úh yelshs' Táiï we;sùug fya;= fudkjdo@ Táiï we;sùug ksYaÑ; fya;=jla y÷kdf.k keye' ta;a fï ;;a;ajh we;sùug cdkj, hï iïnkaOhla ;sfnk nj úYajdi lrkjd' fjk;a jpkj,ska lshkjd kï mjqf,a hï flfkl=g Táiï ;;a;ajhla we;súg B<Õ mrïmrdfõ flfkl=g tu ;;a;ajh we;s ùfï wjodku jeähs' tfukau jeä jhia foudmshkag ,efnk orejkag;a Táiï we;sùug jeä wjodkula we;s nj lshefjkjd'

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Táiï .ek Tn oek.; hq;= lreKq

tfiau .¾NkS ld,fha§ we;sjk úúOdldr frda. iy ore Wmf;aoS we;sjk ixl=,;d ksid orejdf.a fud<hg Tlaiscka iemhqu wvq ùu;a fï ;;a;ajhg fya;= úhyels njg;a woyia m<ù ;sfnkjd' Táiï iqjl< yelso@ Táiï ;;a;ajh iqjlsrSu i|yd m%;sldrhla keye' ta;a fuh l<skau y÷kdf.k wjYH l%shdud¾. .;fyd;a orejdg jvd M,odhS cSú;hla .;lsrSfï wjia:dj Wodlr osh yelshs'

"

Child Care

Táiï wdndOh iys; <uqkaf.a wka;¾ mqoa., iïnkaO;d iy ikaksfõokh b;d ÿ¾j, uÜgul mj;skjd' Tjqka fndfydaúg mßirh ms<sn|j Wkkaÿjla fkdolajd me;a;lg ù isák ksid — lrorhla ke;s ;ekam;a <uhs˜ f,i jrojd jgyd .ekSug o bv ;sfnkjd' • fuh foudmshkag ;ksj l<yelalla fkdfjhs' ffjoHjrhd" ufkdaúoHd{hd" l:k úfYaI{hd" úfYaI wOHdmk .=rejrhd jeks msßilf.a iyfhda.h fï i|yd wjYH fjkjd'

Táiï orejl=f.a ixj¾Okh i|yd l< yels foa fudkjdo@ • Táiï ;;a;ajhg m%;sldr lsrSfïoS uQ,slju ie<ls,su;a jkafka orejdf.a yeisrSï rgdj f;areï .ksñka wfmalaIs; p¾hdjka mqyqKq lsrSu yd jvd;a fyd| ikaksfõokhla i|yd orejdg Woõ lsrSuhs' tu.ska orejdf.a Ôjk ;;a;ajh by< kexúh yelshs'

98

December 2016

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• fudjqkag lKavdhï jYfhka bf.kqu wmyiq ksid .=rejrhdf.a fm!oa.,sl wjOdkh wjYH fjkjd' • Táiï orejl=f.a foudmshka fuu wdndOh ms<sn|j uQ,sl oekqula fyda ,nd.ekSu b;d jeo.;a' doctormagazine.lk

Tnf.a ffjoHjrhdf.ka fyda fmd;am;a uÕska wjYH lreKq fidhd.; yelshs' • orejdf.a ikaksfõok yelshdj ÿ¾j, ksid Tyqf.a $ wehf.a p¾hdjka ksÍlaIKhlr tajd f;areï.ekSu b;d jeo.;a' WodyrKhla f,i orejd fldamh m<lrk wjia:d y÷kd.ekSu ;=<ska Tyq $ weh wleue;s foa ms<sn|j wjfndaO lr.; yelshs' • Táiï orejl=g;a wfkl=;a orejkag fukau wdorh iy ms<s.ekSu ,ndosh hq;=hs' • ffoksl lghq;=j,§ ld,igyklg wkqj jev lsÍu;a orejdf.a ldurh $ mka;s ldurh ksYaÑ; ms<sfj,lg ieliSu;a ;=<ska orejdg myiqfjka jev lr.;yels fjkjd' • orejd iuÕ ikaksfõokh lsÍfïoS jdÑl ikaksfõokhg wu;rj rEm" ix× jeks úúOdldr udOH WÑ; f,i fhdod.ekSu jvd;a iqÿiqhs' • orejdg hula W.ekaùfïoS th iïmQ¾K ld¾hhla f,i fkdj mshjfrka mshjr W.ekaùu iqÿiqhs' WodyrKhla f,i we÷ula fidaod.ekSu W.ekaùfïoS we÷ï j;=f¾ fmdÕjd .ekSu" inka .Eu" fidaod.ekSu yd úh<d.ekSu hk ld¾hhka fjk fjku lshdoSu oelaúh yelshs' • orejd hïlsis ld¾hhla ksjerosj bgql< úg th w.hl< hq;=hs' w.h lsÍula f,i Tyq $ weh leu;s hula ,nd§u o l< yelshs' • ksfji yd mka;s ldurh orejdg wdrlaIs; ia:dk f,i ielishhq;= fjkjd' jeàï" ;=jd,ùï wdÈh isÿùug we;s bvlv wju l< hq;=hs' • Táiï i|yd T!IOhla keye' kuq;a orejd l<yldÍ yeisÍï fyda úYdofha ,laIK fyda fmkakqï lrhs kï ffjoHjrhd ta i|yd T!IO ,nd fokq we;s' • iEuúgu orejdf.a ixj¾Okh ksÍlaIKh lsÍu yd ta ms<sn|j ffjoHjrhd $.=rejrhd iuÕ idlÉPd lr wjYH ls%hdud¾. .ekSu w;HjYHhs' • fï ish,a, w;r;=r orejd iuÕ úfkdaofhka .;lsÍug iq¿ ld,hla fyda fjkalr .ekSug;a wu;l fkdl< hq;=hs'

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fjk;a rgj, kï Táiï orejkag iy Tjqkaf.a mjq,aj,g WoõlsÍug úúOdldr jevigyka ls%hd;aul fjkjd' tajdhska úYd, fiajhla isÿfjkjd' tfy;a wfma rfÜ tn÷ foa b;d wju uÜgulhs mj;skafka' fï ms<sn|j;a wod< wxYj, wjOdkh fhduq úh hq;=hs' flfia fj;;a by; i|yka lreKq ms<sn|j wjOdkh fhduqlsÍu ;=<ska Táiï orejl=g M,odhS Ôú;hla i|yd wjYH miqìu ilid osh yelshs' orejd iuÕ lghq;= lrk iEu úfgloSu wdorh" lreKdj iy orejd ms<s.ekSu hk .=Kdx. uqiq lrkafka kï th orejdf.a j¾Okh i|yd uyÕ= Wmldrhla jkq ksh;hs' DM

ilia lf<a ixch o is,ajd Bachelor of Nursing (Malaysia) Diploma in Psychology (SL)

December 2016

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99

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Videos

The Life through Clips

The Life through

Clips miq.sh l,dmfhka wm bosßm;a l< Video Clip j,g Tfnka ,o m%;spdrh úYd,hs' zzos.gu tfyu taj odkak'''ZZ zzkj;a;kak kï tmd'''ZZ ta úosyg l< b,a,Aï ksidfjkau fujr;a l,d;=rlska olakg ,efnk l:dx. lsysmhla Tn fj; f.k tkjd'Tfí ÿrl:kfha QR Code Reader App tl msysgqjd f.k my; wm uqøKh lrk fla;h Scan lsÍfuka oeka Tng;a tajd krUkak mq¿jka'''' is;a;rdf.a brKu is;a;frl=f.a cSú;h weiqf¾ b;du;a wdl¾YKSh f,i ksIamdokh lr we;s fuu ùäfhdaj ;;a ffjoH úoHdfõ oshqKqj úoyd olajk losu idlaIshla fkdjkafkao @ f,duq oeye.kajk wk;=rla" bkamiq frda.shd cSj;a lsÍug ffjoHjreka orK wm%udk W;aidyh cSjudk wdldrfha ldhdNHka;r oiqka iu.ska ksmehqKQ fuu ùäfhdaj lsisfjl=g;a wu;l l< fkdyels w;aoelSulau jkq we;' krUkak''' http://www.youtube.com/watch_ popup?v=xMYjfb_M9wM

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November 2016 December

PLUS DOCTOR MAGAZINE

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flfi,a lk Tn fï .ek oek isáhdo @ ldg;a myiqfjka wkqNj l< yels" tfy;a ldf.;a t;rï wjOdkhla fhduq fkdjqKQ iq,n m<;=r flfi,a .ek Tn fkdo;a jákd .=Kdx. /ila fï ùäfhdajg fk;= fhduq lsÍfuka Tng;a y÷kd.; yels jkq we;' https://youtu.be/O5wRCbhbbuQ

mshjr mylska nv nysk yeá bosßhg fkrd .sh Worh frda. j,g f;da;ekakla' ldka;djka kï isyska Worhg jvd;a leu;shs' .eyekq msßñ ljqre;a Worh isyskaj ;nd.; hq;=hs lSjdg th lrk úosy okafk kEfk' fukak Worh isyskaj ;nd.ekSug WmldÍ jk mshjr myla .ek T;a;=jla''' https://youtu.be/L8wyVbYaQu8

c,fha isÿjQ wisßu;a Wm; le,sf*dakshdfõoS ujl úiska isÿ l< fï ore m%iQ;sh uqyqKqfmd; yd bkaiag.%Eï Tiafia ñ,shk 16la krUk ,oS' ,laI jdrhlg jvd fuys oiqka yqjudre jQ nj;a fï iïnkaOfhka 23000 la fokd woyia yqjudre lr.;a nj;a mejfia' ta wisßu;a ore Wm; Tn;a oEi mqrd oel.kak' https://youtu.be/rcXj1GVPo3A

uD; YÍrfhka bj;a jk wd;auh leurd ldpfha igyka jQ whqre urKska miq wmg isÿ jkafka l=ulao @ wm fjk;a ;efkl Wm; ,nkjdo @ cSjhla ke;s YÍrh w;ayer hk wd;auhla ;sfnkjdo @ w;sYh újdohg ;=vqÿka wd.ñl u;jdohka w;f¾ újsOdx.SlrKh jQ ta u;su;dka;r flfia jQj;a fuys oelafjk ùäfhdaj kerUqfjd;a uD; YÍrhlska bj;ajk wd;auhla b;d meyeos,sj oel.kakg Tng wjia:djla Wod jkq we;s' https://youtu.be/1ahhhDBQHxg

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DM

December November 2016 2016 DOCTOR DOCTOR MAGAZINE PLUS

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Advertorial BIOCERA Alkaline Antioxidant Water

j;=r j,g frda. iqj lrk n,hla ;sfnkjd''' YÍrh fi!LHiïmkakj ;nd.ekSug yelshdjla ;sfnkjd'''

tl tl c, fmryka fjkqjg oeka ,xldfõ m<uqjrg Ñls;aiSh .=K imsß m%;sTlaisldrl NdIañl c,h mdkh lruq''' BIOCERA ALKALINE ANTIOXIDANT WATER FILTER

102

December 2016

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wfma mrïmrdkq.; ic,k isß; wm mdkh lrk idudkH c,fhys lsishï wdï,sl;djhla we;ehs lSfjd;a tys jrola ke;' wdï,sl;djh fyda NdIañl;djh ;SrKh lrkafka pH kï o¾Ylhla weiqßKs' tys 1-14 olajd w.hka 14la ;sfí' 1 hkq Wmßu wdï,slhs' 14 hkq Wmßu NdIAñlhs' ueo w.h WodiSkhs' fuhska wm mdkh lrk c,h wh;a jkafka 6-7 w;r pH mrdihlgh' fï wkQj c,h iaj,am jYfhka wdï,sl udOHhla hhs lSfï jrola ke;'

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NdIAñl;djfhka msß mdIdK" yqKq.,a iam¾Y lrñka tk c,h kï NdIAñl;djfhka by<h' wm .kakd wdydr;a tlaflda wdï,slhs''' ke;akï NdIAñlhs''' m%;sTlaisldrl .=K by< wdydr ;uhs jvd fyd| wm wkqNjhg .kakd wdydr ie<l+ úg" idudkHfhka wdï,sl;djfhka jeä wdydr j, i,a*¾" fmdiamria yd laf,daßka wdoS uQ,øjH wêl nj fmfkkakg ;sfí' fï wdldrfhka NdIAñl;djhg nr wdydr i;=j le,aishï" fmdgEishï yd hlv wdoS uQ,øjH iq,nj olakg ,efí' wm wdydr .ekSfïoS Ñls;aiSh .=K imsß NdIAñl wdydr .ekSfuka jvd fyd| fi!LH ;;a;ajhla" ksfrda.S osúhla ,nd.; yel' fï pH w.h .ek nrm;, wjOdkhla fhduq lsÍu wiSre kï ta wruqK bgq lr .ekSfï b;d myiq l%uhla ;sfí' ta Tn oskm;d .kakd c,h NdIañl yd Tlaisldrl .=Kdx. we;s Ñls;aiSh c,h njg m;a lr.ekSuhs' YÍrh;a ;u meje;au Wfoid laIdÍh udOHhlg fhduq ù isákjd''' fï l;dj i;Hhla nj fmkaùug iajNdjO¾ufhkau ksoiqkla f.k n,uq' wfma reêrjdyskS moaO;sh iEu úgu iaj,am jYfhka laIdÍh udOHhla jYfhka l%shd lsÍug W;aiql fjhs' ta Homiostasis kï hdka;%Khla u.sks' fï ksid reêrfha pH w.h 7'35-7'45 w;r mrdihl mj;S' ta ú;rla fkdfõ" YÍrh iEu úgu fï ;=,s;;djh mj;ajd .ekSug iajhx W;aidyhl ksr; fjhs' th isÿjkafka my; m%;sl%shdjka wkqidrfhks' reêrhg laIdÍh ^NdIañl& udOHhla ,enqKQ úg YÍrh l%shd lrk wdldrh''' NaOH + H2CO3= NaHCO3 + H2O reêrhg wdï,sl udOHhla ,enqKQ úg YÍrh l%shd lrk wdldrh''' HCL + NaHCO3 = NaCl + H2CO3 fï ;=<s;;djh ì|jefgk wdldrfha wdï,sl udOHhla reêr.; jQ úg YÍrh úhm;a ùu" f,v frda. we;sùu m%;sM<h jkafkah' wd;;sh yd úúO mßir ¥Il ksido reêrh wdï,sl;djhg m;a úh yel' YÍrfha wdï,sl nj Tnj frda.S lrkafka Tno fkdis;k wdldrhgh' doctormagazine.lk

j¾;udkfha wm yqreù we;s laIKsl wdydr rgdj yd tys wka;¾.; wdydr ie<l+ úg fïjd fndfydauhla wdï,sl;djh mdol lr.;a wdydr nj fmfkkakg ;sfí' fï ksid wfma YÍrfha wdï,sl;djh by< hdu fkdje<elaúh yelalls' fuys m%;sM<h jkqfha wo wm iudcfha iq,n yDo frda." wxYNd.h" fldf,iagfrda,a" oshjeähdj" ms<sld wdoS wf;darla fkdue;s frda. hs' ksfrda.S cSú;hl wjYH;djh wm ieu fj; we;;a ta i|yd mshjrla fkd.ekSu" hïlsis fjkila we;s fkdlr .ekSu wjdikdjls' wm mdkh lrk c,h laIdÍh yd m%;sTlaisldrl .=Kdx. we;s c,h njg m;a lr .ekSu fï wruqK uqÿkam;a lr.ekSfuys,d .; yels fhdaO mshjrls' th úma,jldÍ mshjrla uq;a ir<h' ldg;a myiqfjka <`.d lr.; yels b,lalhls' wfma fmdaIKfha yevrej ;SrKh lrk m%uqL fmdaIlh c,huehs''' oskm;d wm úYd, c, m%udKhla mdkh lrkafkuq' fï ksidu c,h Tfí isrer wdï,sl udOHhl ;nkjdo @ ke;akï fi!LHiïmkak NdIAñl keUqrejla Bg ,nd fokjdo hkak ;SrKh lsÍug Tn mdkh lrk

December 2016

DOCTOR MAGAZINE

103

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BIOCERA ALKALINE ANTIOXIDANT WATER

Advertorial

c,hg yelshdjla ;sfí' f,v frda." YÍrfhka mek k.sk úúO fõokd lelal=ï iukh lsÍug fï iaj,am jYfhka we;s lr.kakd pH w.fha fjkia ùu WmldÍ jk nj fmfka' wmf.a YÍrhg wm mdkh lrk c,h fl;rï wjYHo h;a wfma YÍrfhka ishhg 70la muK ieÿï ,;aj we;af;a c,fhks' fïid úYd, c, m%udKhla we;s YÍrfha wdï,sl;djh jeä jqfKd;a thska nrm;, ydks isÿúh yels njo hï f,ilska tys NdIañl;djh yd m%;sTlaisldrl .=Kdx. jeä lr.ekSfuka YÍrfha ksfrda.Snj /lf.k tys iuia; iqjfi; iqrlaIs; lr.; yels njo m¾fhaIKd;aulj fy<s ù ;sfí' ksjeros f,i NdIAólrKh l< c,h y÷kd.ksuq c,fha pH w.h NdIañl;djhg yerùfuka mqoa., iajia:;djh oshqKq l< yelsh hk u;h miq.sh ld,h ;=< jeä wjOdkhg ,laúh' fï ksid frda. /ilska ñoSug yelshdjla ,efnk nj fndfyda wOHhk j,ska fmkajd fokq ,eìK' lD;%Su l%u weiqf¾ NdIAólrKh iqÿiq kE''' miq.sh oYlhl muK ld,h ;=< NdIAñl c,h b;d mD:q, jYfhka iqjh iïnkaOfhka Wkkaÿjla olajk ck;dj w;f¾ ckm%sh úh' fndfyda ksIamdolhka fï ksid úoahq;a úÉfPaokh weiqf¾ NdIañl c,h ksIamdokh lsÍug fm<UqKQ w;r ta ksidfjkau thska we;súh yels wksgq m%;sM< iïnkaOfhka úoaj;=kag wk;=re ye`.ùug mjd isÿ úh' iajdNdúlj NdIañl;djh r|jd .ekSu;a lD;%Suj c,hg th wdfrdamkh lsÍu;a hkq fjkia l%u folls' iajdNdúlj pH w.h fjkia lsÍfuka ,efnk m%;sM<h úoahq;a úÉfPaokhg c,h ,la lsÍfuka we;s jkafka ke;' tys ie`.j.;a wj.=K fkdue;s úh yelso @ m¾fhaIlhka wjOdkhg ,la l< lreK fuhhs' BIOCERA - ic,kfha kjH wdo¾Yh BIOCERA - ck;djf.a fi!LHiïmkakNdjh i|yd kj;djfha ms`.ka ueá (functional bioceramic) weiqf¾ m¾fhaIKd;aulj ;yjqre jQ Wiia ksIamdok t<solajk lS¾;su;a m¾fhaIK mßphlska hqla; f,dj f.!rjdorhg md;% jQ iud.ula' miq.sh 25 jir mqrd iajdNdúl LKschka Wmfhda.S lrf.k úúO fi!LHiïmkak .=K imsß LKsc ueá ksIAmdokh lrñka tajd iajdNdúl f,iskau ñksia mdßfNdackhg .; yels ksIamdok f,i ìys lsÍug mqfrda.dó jQ iud.ula' wjYH;djhg .e,fmk

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f,i fjkia LKsc fhdod.ekSu .ek iud.u úYsIaG jd¾;d ;sfnkjd'

"Alkaline water rids the body of acid waste…After carefully evaluating the results of my advice to hundreds of individuals, I’m convinced that toxicity in the form of acidic waste is the primary cause of degenerative diseases."

- Dr Sherry Roger, author of Detox or Die -

c, wkqfõ fmdl=r wvqjk ;rug tys fi!LHiïmkak nj jeäh'

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ksIAmdok /ila''' oeka Tfí is;e`.s mßos Tfí c, wjYH;djh imqrd,kakg''' NdIAñl;djh c,hg ,ndfok iqúfYAIS LKsc ueá fudjqkaf.a úYAjdih ;yjqre l< tla ksIAmdokhla muKhs' fï fmryfkka fmÍ tk msßisÿ c,fha wmøjH lsisjla fYaI jkakg bvla kE' tfiau tys m%;scSjl .=Kdx." ;sfnkjd' mßjD;a;Sh l%shdj,ska iqir lsÍug;a Ñls;ail .=Kdx. we;s lsÍug;a fï c,h iu;a' fldßhdfõ ksIamdos; f,dj úYsIAG;u ;dlaIKfhka hq;a fuu laIdÍh c,h BIOCERA ikakdufhka f,dj mqrd jd¾;d.; wf,úhla m%lg lrñka m%isoaêhg m;aj ;sfí' Tng wLKav fi!LHiïmkak c, iemhqula ,nd fok fuu NdIAólD; c,h - c, fmrK" fcda.a.= yd fnda;,a wdoS jYfhka Tng is;e`.s wdldrhlg ;u wjYH;djh msßuid.; yels jk fia ksIamdok fm<lau oeka Y%S ,xldfõ mdßfNda.sl Tng y÷kajd oS we;' BIOCERA - iqúfYaIS ;dlaIKh y÷kd.kak iqúfYaIS ms`.ka ueá udOHhla isidrd tk c,fha wKql ieliau tys we;s ,jK .=K weiqf¾ iaj,am jYfhka laIdÍh udOHhla njg m;a fjhs' wKql ieleiauo mßj¾;khlg ,laù m%;sTlaisldrl .=Kdx. j,ska fï c,h iúu;a fjhs' fï wdldrfhka b;du;a iajdNdúl mßj¾;khka Tiafia Ñls;aiSh .=Kdx. tla lrk ,o m%;sTlaisldrl" NdIañl c,h frda. /ilska Tnj wdrlaId lsÍug;a Tfí iuia; YdÍßl fi!LHh by< kexùug;a fya;= jk nj úoHd;aulj ikd: ù ;sfí' c,h ms<sn|j Tn fkdo;a foa fmdÿfõ .;a l< c,h fldfya ;snqK;a ixhq;sfhka iudk jQj;a c,fha wKQ f.dKQù we;s wdldrh tu c,fha iïNjh wkQj fjkia jkafkah' yhsv%cka mrudKQ follska

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yd Tlaiscka mrudKQjlska c, wKqjla iEfohs' kuq;a jHqyd;aul jYfhka tajd ;ks wKq f,i fkdmsysghs' ta fjkqjg c, wKQ lsysmhla fmdl=re .eiSu iajNdjhhs' k< c,fha fï fmdl=r úYd,h' tla fmdl=rl c, wKQ lsysmhla f.dKQ ù mj;S' we;eï c, fmdl=re j, we;af;a Bg wvQ c, wKQ m%udKhls' fï fmdl=r wvqjk ;rug tys fi!LHiïmkak nj jeäh' ødjH;djh" mdr.uH;djh iy ic,kh w;ska by< w.hla .kafka fï wvq wKq ixLHdjla iys; (Micro Clustered Water) fmdl=rhs' NdIAñl c,h mdkh lsÍfuka ,efnk m%fhdack • laIqø fmdl=re jYfhka jHqy.; ù we;s ksid blauKska isrer ic,kh lrhs' myiqfjka YÍrhg wjfYdaIKh fjhs' • m%;sTlaisldrl NdIAñl c,h u.ska iajdNdúlj wdudYfha nhsldnfkag ksIamdokhla isÿ lrk ksid uq;%d ud¾.h Tiafia úIøjH msßisÿ ùula isÿ fjhs' • reêrh yryd ffi,j,g c,h yd fmdaIKh iemfhk w;r tu.ska ffi,Sh wmøjH neyr lsÍulao isÿfjhs' fï ffi, wdï,SlrKh ùfuka YÍrfha

December 2016

DOCTOR MAGAZINE

105

D•PLUS /

BIOCERA ALKALINE ANTIOXIDANT WATER

Advertorial

l%shdldß;ajh ÿ¾j, ù iuia; fi!LHhg n,mEï we;s lrhs' m%;sTlaisldrl NdIañl c,h mdkh lf<d;a fï ffi,Sh uÜgfï wdï,sl oE uekúka msßisÿ fjhs' • fï ;sr lrk ,o c,fha wKQl ialkaOh l=vd w.hla .kakd fyhska ksoyfia ffi, j,g m%úIaG úh yel' wmøjH bj;a l< yel' fï ksid ffi, ksfrda.Sj ;nd .ekSug w.kd udOHhla jYfhka l%shd lrhs' • wfma YÍrfha we;s ffi, mg,h TlaislrKh ùu" wdmodjg m;aùu hk l%shdj,ska foflkau isÿ jkafka ffi,Sh.; wmøjH talrdYs ùuhs' ,elaála wï,h idkaøKh by< hdu" ffi,Sh.; fmdaIK l%shdj,sh weKysàu fuh mdol lrf.k isÿ fjhs' fuh yhsv%cka whk idkaøKho by< kxjñka wjodkï iy.; uqla; LKavl hdka;%Kh (Free Radicals) n,.kajhs' frda. we;s lrkakg;a" YÍrh jhia.; lrkakg;a fya;=jk fï l%shdj,sh wdmiaig yerùfï losu yelshdjla fï laIdÍh c,hg we;af;ah' tu.ska reêrfha wdï,sl idkaøKh NdIAñl;djhg mßj¾;kh lrk

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w;ruqla; LKavl bj;a lsÍulao isÿfjhs' 2012 j¾IfhaoS isÿ lrk ,o wOHhkhlg wkQj NdIañl;djfhka idrj;a jQ c,h mdkh lsÍfuka .eiag%hsáia jeks frda. j,g iykhla we;s jk nj m¾fhaIlhka úiska fmkajd fok ,oS'

www.ncbi.nlm.nih.gov/ pubmed/22844861 Ökfha m¾fhaIlhka msßila úiska isÿ lrk ,o wOHhkhlska fuu NdIañl;djh udOH lr.;a c,h mdkh lsÍfuka wêreêr mSvkh" oshjeähdj" fldf,iagfrda,a wdoS frda. /ila u¾Okh lsÍug msgqjy,a jk nj fy<sorõ ù ;sfí' fï wdldrfhka Tnf.a frda. we;sùfï wjodku my; fy<ñka" Tfí;a Tfí mjqf,a idudcslhkaf.a;a fi!LHiïmkakNdjhg bjy,a jk wdldrfhka y÷kajd oS we;s BIOCERA c, úiªï weiqf¾ Tfí u;= oji

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iqrlaIs; lr.kakg Tng ksielfhkau wjia:djla Wod jkq we;'

f,dj wk¾.;u BIOCERA laIdÍh yd m%;sTlaisldrl .=Kdx. we;s c, ksIamdok fm< Tng y÷kajd fokafka ChameeRO Waters (Pvt) Ltd wdh;kh u.sks' ChameeRO Waters (Pvt) Ltd ck;djf.a inqoaêl ic,kh Wfoid oSm jHdma; wf,ú cd,hla n,.ekaùug l%shd lrk w;r wkqmfïh jákdlulska hq;a iqj isß;la ck;dj w;f¾ m%p,s; lrk w;f¾u Tfí jHdmdrfhka by< ,dNhla ,nd.kq ßis osjhsk mqrd fj<| uy;=kaf.ka fï i|yd whÿïm;a le|jkq ,efí' fï iïnkaOfhka jeä úia;r 076 823 2040 ÿrl:k wxlh wu;d ,nd.; yel' DM

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AD-MIRE Creative

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December 2016

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107

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Child Health

Thalassemia

THALASSEMIA orejkag ÿla fok" mjq,g lror fok" rgg nrla fjk ;e,iSñhdfjka fï rg .,jd .kakg iEu mqrjeisfhl=f.au oeKQj;a ùfï hq;=lula ;sfnkjd'''

fmardfoksh ffjoH mSGfha rla; jHdOfõoS úfYaI{ ffjoH fcHIaG lÓldpd¾h udfk,a r;akdhl

;reK ;reKshka ;e,iSñhd fmdfrdkaou .e,fma kï muKla újdy jqfKd;a ;e,iSñhdfjka ÿla ú|sk orejka Wmoskafka kE''' ;e,iSñhdj hkq ljr wdldrfha frda.hlao @ fï ms<sn|j flá ye|skaùula l< yelso @ b;d ir< meyeos,s lsÍula weiqfrka fï frda.h .ek ú.%yhl fhfokakï' r;= reêrdkq" iqÿ reêrdkq yd mÜáld hkqfjka reêrfha ffi, j¾. lsysmhla ;sfnkjd' r;= reêrdKQ j, ;sfnk ySfud.af,dìka wKqj u.ska YÍrh mqrd Tlaiscka /f.k hdu isÿ lrKQ ,nkjd' tu Tlaiscka Ndú;d lr .aÆfldaia

108

December 2016

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doctormagazine.lk

oykh u.ska wm YÍrhg ksrka;rfhka wjYH jk Yla;sh ,nd oSu isÿ lrkjd' ySfud.af,dìka wKqj iEoS ;sfnkafka zySïZ lshk hlv wKq fldgila iy .af,dìka lshk fm%daàkh tl;= ùfukqhs' z.af,dìkaZ fldgi iEoSug we,a*d iy îgd hkqfjka fmd,sfmmaghsâ odu fol ne.ska wjYH fjkjd' hï f,ilska fuu fmd,sfmmaghsâ odu wjYH m%udKhg fkdiEÿKq úg yd tu tla tla odufha

orejkag tl ;ek bkak cSú; j,g yqre lrjkak tmd' oshjeähdj ;sfnk orejdg;a l%h s dYS,j S cSú;h .; lrkak bv yßkak' thska orejdf.a lh uki folu ksfrda.S lr.kak uy;a msgj q y,la ,efnkjd'

doctormagazine.lk

jHqyfha fjkila isÿ ù YÍrrhg wjYH ysfud.af,dìka m%udKh iEoSug fkdyels fjkjd' tu ;;a;ajh ;e,iSñhdj f,i y÷kajkjd' fuh wdfõKSl frda. ;;a;ajhla' ;e,iSñhdjg wdikakfhka hk ;j;a frda. ;;a;ajhla ;sfnkjd' ySfud.af,dìfkdm;s (haemoglobinopathy) lsh,' oEle;s ffi, ksrla;sh (sickle cell anaemia) lshkafk;a fï ySfud.af,dìfkdm;s ldKAvhg wh;a jk frda. hla' ;e,iSñhdj fyda ySfud.af,dìfkdm;s hkqfjka ye|skafjk frda. foflaoSu isÿ jkafka .af,dìka fm%daàkh wjYH m%udKhg fkdiEoSu fyda fuys jHqyfha fjkiaùu' ;e,iSñhdj m%fNAo ;e,iSñhdj m%fNAo lsysmhla ;sfnkjd' óg fmr i|yka l< wdldrhg we,a*d yd îgd hkqfjka fmd,sfmmaghsâ odu folla ;sfnkjdfk' fï tla tla oduhl ksIAmdokh wvq jqfKd;a fyda ke;s jqfKd;a ta oduh wh;a we,a*d fyda îgd odu ldKAvh wkQj zzwe,a*d ;e,iSñhdjZZ fyda zzîgd ;e,iSñhdjZZ

December 2016

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109

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THALASSEMIA

Child Health

hkqfjka frda.h kï ;efnkjd' iq¿ ;e,iSñhdj ^l=vd ;e,iSñhdj& uQ,sl jYfhka wfma rfÜ olakg ,efnkafka îgd ;e,iSñhdj kï ;;a;ajhhs' ;e,iSñhdj iq¿ jYfhka mej;Su zziq¿ ;e,iSñhdjZZ" zzl=vd ;e,iSñhdjZZ (Thalassaemia minor) ke;fyd;a Thalassemia Trait hkqfjka y÷kajkjd' fï whf.a we;s úfYAI;ajh jkafka ySfud.af,dìka wvqùu iq¿ m%udK j,ska isÿùu' fï ksid Tjqka frda. ,laIK msg;g fkdfmkajk w;r ldka;djl kï wef.a .¾NsKSNdjfhaoS fudjqkaf.a ySfud.af,dìka m%udKh wvqjQ we;eï úg reêr mdrú,hkhla isÿ lsÍug wjYH úh yelshs' we;af;kau fuh frda.S ;;a;ajhla f,i ye|skaùu mjd wmyiqhs' uyd ;e,iSñhdj .af,dìka oduh iEoSula fldfy;au isÿ fkdjk fldgil=;a bkakjd' tfia;a ke;akï b;d iq¿ m%udK j,ska idok fldgil=;a bkakjd' fudjqkaf.a kï ySfud.af,dìka uÜgu nrm;, f,i wvq fjkjd' fï wh ;uhs uyd ;e,iSñhd fkdfyd;a ;e,iSñhdj frda.Ska (Thalassemia) jYfhka yªkajkafka' jhi wjqreoaola ùug u;af;ka fï frda.h iys; orejka frdayf,aoS y÷kd.ekSug wjia:dj ,efnkjd' w;rueos ;e,iSñhdj iq¿ ;e,iSñhd yd uyd ;e,iSñhd w;r frda. ,laIK m%lg lrk fldgil=;a bkakjd' Tjqka Thalassaemia intermedia jYfhka yªkajkjd' fï whg reêr

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mdrú,hkhla wjYH fjkjd' ta;a os.gu fkdfjhs" reêrfha ySfud.af,dka uÜgu úYd, jYfhka wvq jQ úg reêr mdrú,hkhla isÿ lrkjd' fï j¾. ;=k fnfokafk Tjqkaf. ySfud.af,dìka uÜgu wvqùu yd Tjqka fmkajk frda. ,laIK wkqjhs' ;e,iSñhdj ,xldfõ iq,n fi!LH wNsfhda.hlao @ fuhg ms<s;=rla fokakg l,ska uu f,dal ;;a;ajh .ek lsishï wjfndaOhla Tng ,nd fokakï f,dalfha ;e,iSñhdj frda.Ska iq,n ;Srejla ;sfnkjd' tg Thalassemia belt hkqfjka y÷kajkjd' uOHOrkS rgj,a" wrdì rgj,a yryd ol=Kq wdishdkq rgj,a lrd tu ;Srh jHdma; fjkjd' wm%sldfõ we;eï rgj,ao fï frda.fha n,mEug hg;a' fï rgj, w;S;fha isg ;e,iSñhdj ;snqKQ nj jd¾;d fjkjd' wm okakjd ÿrd;S;fha isg ,xldj f,dalfha ms<s.;a fj<| uOHia:dkhla' fj<|du;a iu.u ,xldjg wd ixl%uKslhka yryd wfma rfÜ ck;djg;a fuh cdk.; Wreuhla f,i odhdo jkakg we;s' wfma rfÜ iuyr m%foaYj, ;e,iSñhdj doctormagazine.lk

wUqieñhka fofokdf.ka tla wfhl=g iq¿ ;e,iSñhdj ;sfnkjd kï orejd uyd ;e,iSñhdj frda.hg ,la jkafka kE' fï újdy wkqu; lrkjd' ,efnkak bkak orejka ;e,iSñhdj cdkh iys; ùfï bvlv fufyuhs'

frda.Ska nyq,hs' úfYAIfhkau W;=re ueo m<d;" W!j m<d; iy we;eï fjr<nv m<d;aj,ska ;e,iSñhdj frda.Ska jeä jeäfhka jd¾;d fjkjd' wfma rfÜ doctormagazine.lk

wUqieñhka fofokdgu iq¿ ;e,iSñhdj ;sfnkjd kï orejd uyd ;e,iSñhdj frda.hg ,la jk wjodkula ;sfnkjd' fujka wh w;r újdy wkqu; lrkafka kE' Tjqkag ,efnkak bkak orejka ;e,iSñhdj frda.hg k;=ùfï bvlv fufyuhs'

;e,iSñhd frda.Ska 3500la muK isákjd' fï ixLHdjg m%;sldr lrkak cd;sl T!IO msßjefhka ishhg 5 la jeh fjkjd' we;af;kau ;e,iSñhd frda.sfhla kv;a;= lrkakúYd, W;aidyhla mjqf,a wh .; hq;=hs' rgla jYfhka .;a;;a úYd, uqo,la rchg jeh lrkak isÿ fjkjd'

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fuh m%fõKs.; frda.hla' ljr j¾Kfoay wdY%s;jo fuu frda.h jHdma; jkafk @ ;e,iSñhdj m%fõKsl frda.hla' fuh ffoysl j¾Kfoay wdY%s;j m%uqL;d fkdjk cdkhla úosyghs mrïmrdkq.;j we;s jkafka' kuq;a b;d iq¿ m%udKhlg mjq,a b;sydihla fkdue;sj jqj;a ;e,iSñhdj we;s jkakg mq¿jks' m%uqL fkdjk cdkhla weiqre lr.kak ksid frda. ,laIK fkdue;sj jqK;a flfkl=f.a YÍrfha fuh ie`.ù ;sfnkakg mq¿jka' fuysoS isÿ jkafka cdk .s,SyS hdula (Gene Deletion) ke;akï cdk úlD;s ùula (Gene Mutation)

wfma rfÜ iEu 30 fofklaf.ka tla wfhl=g iq¿ ;e,iSñhdj ;sfnk nj fy<sorõ jkjd' kuq;a uyd ;e,iSñhdj tfia i`.jd f.k bkakg yelshdjla kE' Tjqka ta ksid ksielfhkau ffjoH m%;sldr j,g fhduq fjkjd' uyd ;e,iSñhdj ;;a;ajhg uqyqK fok frda.sfhl=g" Tyqf.a mjqf,a Woúhg we;sjk n,mEu ljrdldro @ b;du oS¾> jYfhka l;d l< hq;= ud;Dldjla' uyd ;e,iSñhdj ;sfnk orefjl= mjqf,a isák úg bmoS ;=ka uil isg wjqreoaola olajd ld,h ;=< ySfud.af,dìka wvqùula isÿ fjkjd' ta wkQj isÿ lrk mÍlaIK j,ska frda. ;;a;ajh ksielfhka ;yjqre lr.kakjd' fï whg ySfud.af,dìka uÜgu ia:djrj ;nd .ekSu i|yd ksrka;rfhka reêr mdrú,hkh lsÍu wjYH fjkjd' th i;s follg jrla isg udihlg jrla olajd mr;rhlska lrkakg isÿ jkakg mq¿jka' fï mdrú,hkh lrk reêrh Tiafia ;uhs Tjqkg cSú;h mj;ajd .kakg isÿ jkafka' fï orejkag ks;r ks;r tkak;a lgq .ikakg isÿ fjkjd' orejdg th hï lsis wmyiq;djhla" lsishï fõokdjla we;s lrkjd' fuu orejkaf.a uõmshkago lsishï wd;;shla we;sjk ldrKhla' uyd ;e,iSñhdj frda.sfhla isák úg ta fouõmshkag" ta mjq,a tallhg we;sjk n,mEu w;s uy;a nj fï wkQj Tng jegyS hkjd we;s' ks;r lrk reêr mdrú,hkh ksid ;e,iSñhd frda.sfhl=g we;s jk .eg¿ fudkjdo @ fï reêr mdrú,hkh ksid lsishï hlv m%udKhla YÍrfha tl;= fjkjd' fï tl;= jk hlv YÍrfhka neyer,Sfï iajdNdúl hdka;%Khla YÍrh i;= kE' fï ksid tajd lD;%Suj T!IO ,ndoSfuka bj;a l< hq;=hs' ke;akï tajd YÍrfha iEu ia:dkhlu mdfya ;ekam;a fjkjd' yoj;" w.akHdYh" fud<h" wlaudj wdoS jákd bkaøsh j, mjd fïjd ;ekam;a ùfuka ta wjhj j, l%shdldß;ajhg n,mEï we;s l< yelshs' hlv bj;a lsÍfï m%;sldrh fï wkQj YÍrfha ;ekam;a jk hlv bj;a lsÍu w;HjYHhs' ;e,iSñhdj frda.sfhl= ta m%;sldrhg;a

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ks;ekskau ,la úh hq;= fjkjd' th Iron chelation therapy hkqfjka ye|skafjkjd' fï i|yd rch w;s úYd, uqo,la jeh lrkjd' tla frda.sfhla fjkqfjka Tjqkaf.a cSú; ld,h mqrd fï m%;sldrl T!IO ,ndoSug jeh lrk uqo, ñ,shk .Kkdjla' reêr mdrú,hkfhaoS;a frda.Skag úúO ixl+,;d we;súh yelshs' wdid;añl;d" mdrú,hkh wdY%s;j we;sjk frda. ;;a;aj''' fï i|yd;a frda.Skag uqyqK fokak isÿ fjkjd' Bg wu;rj ksoyia fi!LH fiajdjg úYd, nrmeKla orkakg isÿ fjkjd' fï wkQj n,k úg mjq,la úosyg ne¨j;a" iudchla úosyg ne¨j;a" rgla úosyg ne¨j;a fï frda.Ska kv;a;= lsÍug wêl msßjehla orkakg isÿ fjkjd' fï frda.Skaf.a wdhq wfmalaIdfõ lsishï wvqùula isÿ fjkjdo @ reêr mdrú,hkh fï frda.hg we;s úiªu fkdfjhs' thska flfrkafka Tjqkaf.a ySfud.af,dìka m%udKh kxjd foñka Tjqkaf.a tosfkod meje;au ;yjqre lsÍu muKhs' reêr mdrú,hkh;a" ;ekam;a fjk hlv wka;¾.;h bj;a lsÍu;a hk mshjr ksid hï;dla ÿrg cSú;h mj;ajd f.k hdug yelshdj ,efnkjd' kuq;a oekg ;sfnk o;a; j,g wkQj uyd ;e,iSñhdj frda.Ska ne¨fjd;a wdhqI jeä m%udKhla wm olskafka kE' wegñÿ¿ noaOfhka frda.h iqjm;a lr.; yelshs kuq;a hï flfkla ksYAÑ; m%;sldrhla úosyg wegñÿ¿ noaOhla lf<d;a Tjqkag idudkH flfkla úkaokh lrk wdhq m%udKhu úkaokh lsÍug wjia:dj ,efnkjd' weg ñÿ¿ noaOh ;uhs fï frda.hg ;sfnk ksYaÑ; úi÷u' weg ñÿ¿ noaOh wfma rfÜ fm!oa.,sl frday,a j, isÿ lrkjd' ta i|yd ie<lsh hq;= úhoula hkjd' .e,fmk odhlfhla ,nd.; hq;=hs' th ixlS¾K l%shdj,shla' ta;a" wegñÿ¿ noaOh wfma rdcH frday,a moaO;sh yryd isÿ lsÍfï iQodkula oeka ;sfnkjd' fï wkQj wdrïNhla úosyg fnd/,a, ßcafõ wd¾hd <ud frdayf,aoSj;a fï myiqlï wfma ck;djg ,nd.; yels jkq we;s'

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fï frda.h ck;dj w;r me;sr hdu j<lajd .; yelafla flfiao @ ihsm%ih jeks rgj, fï frda.Ska wvq lsÍfï W;aidyhka fnfyúka id¾:l ù ;sfnkjd' wrdìfha kï we;eï rgj, kS;s u.ska frda.h iïfm%aYkh md,kh lrkjd' ta;a wfma rgj, n,mEï lsÍu wjuhs' wmsg ;sfnk wdhqOh ;uhs ck;dj oeKQj;a lsÍu' wfma fi!LH mKsúv fï rfÜ ck;dj b;d fyd|ska .%yKh lr.kakd njg idlaIs wfma rfÜ ;sfnkjd' fuysoS uQ,sl jYfhka iq¿ ;e,iSñhdj fkdfyd;a Thalassemia Trait ;sfnk wh wkdjrKh lr.; hq;=hs' frda. ,laIK m%lg fkdlrk ksid fï wh y÷kd.ekSu wmyiqhs ;uhs' ;ukaj;a fï wjodku ;sfnk nj fndfyda úg fkdokakjd úh yelshs' ta ksid ;uhs frda.Ska úosyg fkdfjhs" wdrlaIdfõ mshjrla úosyg ;e,iSñhdj y÷kd.ekSfï reêr mÍlaIK j,g wm fhduq úh hq;af;a' Tng we;s wjodku fï úosyghs ;e,iSñhdj fkdue;s flfkla iq¿ ;e,iSñhdj fkdfyd;a ;e,iSñhdj

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;sfnk flfkla yd újdm;a ùfuka ,efnk orejkaf. ka ishhg 50lau ksfrda.shs' ishhg 50la iq¿ ;e,iSñhdj ;sfnk flfkla jkakg mq¿jka' Nhdkl ;;a;ajh jkafka fï wh ;j;a tjeksu iq¿ ;e,iSñhdj iys; flfkla yd újdy jQfjd;a ishhg 25lg uyd ;e,iSñhdj we;s fjkak mq¿jka' fuh iïNdú;djla' ksielfhkau ldg yefokjdo @ fldhs orejka ksfrda.S fjkjdo lshkak nE' fmrhSï l< fkdyels ixlS¾K ;;a;ajhla ksid ;e,iSñhdj y÷kd.ekSfï frda. jdylhka újdm;a fkdùu ;uhs jeo.;a' thska frda.h bosß mrïmrdjka fj; iïfm%aYkh ùu je<elaúh yelshs' ;e,iSñhd fmdfrdkaou fï iïnkaOfhka wm m%n, mKsúvhla iudchg ,nd fokjd' ta ;uhs ;reK ;reKshka újdm;a ùfïoS zz;e,iSñhd fmdfrdkaouZZ n,d.kak lshk tl' fï i|yd l< hq;af;a Tn fofokdf.a reêr idïm, folla <`.u msysà m%Odk frday,g ,ndoSuhs' ;e,iSñhdj ;sfhk flfkla kï ;j;a ;e,iSñhd frda.sfhla yd újdm;a ùu ffjoHjreka flfiaj;a wkqu; lrkafka kE' kuq;a iq¿ ;e,iSñhdj f,i y÷kd.;a flfkla ksfrda.S flfkla yd újdy ùu wkqu; lrkjd' ta u;= Wmosk orejkaf.a ksfrda.S;djh fjkqfjka' Thalassemia Trait tlla ;sfnk flfkla tfia fkdjk flfkla yd újdm;a ùu wffO¾h lrkafka kE' fldhs;rï wdor iïnkaO;d ;snqK;a ;e,iSñhdj fmdfrdkaou Tn fofokd flfrySu ohdnr;ajfhka .,mk fmdfrdkaoula ksid wfma ;reK mrmqr fï flfryS wjOdkh fhduq lsÍu w;sYhska jeo.;a' ´kEu rcfha frday,lg .syska mrSlaIK myiqlï i,id.kak oekg rcfha m%Odk frday,a j, fï myiqlï i,id ;sfnkjd' rla;jHdOfõoS ffjoHjrfhla isák frday,a j, fï mÍlaIKh ksielfhkau isÿ lr.; yelshs' tfia fkdjqK;a" Tn ljr rcfha frday,lg .sh;a uQ,sl jYfhka mÍlaIKhla isÿlr ;yjqre lsÍfï mÍlaIK i|yd <`.u ;sfnk reêr mÍlaIK myiqlï we;s frday, fj; Tnj fhduq lsÍug ffjoHjreka mshjr .kakjd we;s'

114

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ffjoHjrekaf.a j.lSu ffjoHjrekag;a fuys lsishï mKsúvhla ;sfnkjd' FBC mÍlaIKhla u.ska hlv W!K;djhla" iq¿ ;e,iSñhd ;;a;ajhla" ;e,iSñhd ;;a;ajhla ms<sn|j woyila we;s lr.;a úg fmdaIK l%shdud¾." m%;sldr Tiafia th ksjeros fkdjkafka kï Tjqkag ;e,iSñhdj frda.h ;sfíoehs fidhd ne,Sug mÍlaIK isÿ lsÍu jeo.;a jkjd' wjika jYfhka Tng iudchg osh yels mKsúvh fï ish¿ lreKQ wu;l l<;a Tfí mjqf,a flfkl=g lsishï iq¿ ;e,iSñhd frda. ;;a;ajhla mj;Soehs lsishï ielhla we;s jQ úg ta iïnkaOfhka ksielfhkau mÍlaId lr.; hq;=hs' ta i|yd wjYH myiqlï rcfha frday,a j,ska imhkjd' th Tfí mjqf,a u;= wkd.;h fjkqfjka ú;rla fkdfjhs rg fjkqqfjkq;a .; yels jákd mshjrla' fï rfgka ;e,iSñhd frda.h ;=rka lsÍug mqoa.,hka jYfhka Tn olajk iïudou fkdjkakg fï jHdhduh id¾:l lr.ekSu wiSrehs' DM doctormagazine.lk

magazine Doctor ffjoHjrhd doctormagazine.lk

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www.doctormagazine.lk doctormagazine.lk

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Eye care

Èhjeähdj ksid we;sjk wkaONdjh ÿr<uq

Eye care Èhjeähdj ksid we;sjk wkaONdjh ÿr<uq oshjeähd frda.Ska jirlg jrla j;a weia mÍlaId lr.kak

iEu Èhjeähd frda.shl=u jirlg jrla j;a wlaIs mÍlaIdjg fhduq jkafka kï Èhjeähdj ksid we;sjk wkaONdjh j<lajd.; yels nj wlaIs Y,H úfYaI{ ffjoH m%§md isßj¾Ok uy;añh mjihs' t;=ñh fï nj m%ldY lf<a Èhjeähdj ksid we;sjk wlaIs frda. j<lajd.ekSu iïnkaOfhka cd;sl wlaIs frdayf,a§ mej;s udOH yuqjla wu;ñks' Vision 2020 jevigyk iy YS% ,xld wlaIs ffjoHjrekaf.a ix.ufha uQ,sl;ajfhka ixúOdkh lrk ,o fuu udOH yuqj weu;+ ffjoH isßj¾Ok uy;añh jeäÿrg;a mejiqfõ YS% ,xldfõ Èhjeähd wlaIs frda. i|yd m%;sldr lrk ffjoHjrekaf.a ixLHdj iy tu m%;sldrhkag rcfhka

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doctormagazine.lk

uq,a wjia:dfõu m%;sldr j,g fhduq ùfuka wkaO Ndjfhka ñosh yelshs

fi!LH fiajd wOHlaI ckrd,a" úfYAI| ffjoH md,s; uySmd,

jehlrk uqo, uE; ld,fha§ jeälr ;snqKo ta ish,a,gu jvd M,odhS jkafka frda.h l<ska y÷kdf.k m%;sldr i|yd fhduqùu njhs' wo wlaIs úfYaI| ffjoHjreka 58la fokd osjhsku wdjrKh jk fia wlaIs idhk mj;ajñka ck;djf.a fmkSu wdrlaId lsÍug l%shd lrkjd' oshjeähdj wlaIs frda. ne?reï lrk fya;=jla' oshjeähd frda.Skaf. ka ishhg 23lg wefia iqo we;sùfï wjodkula ;sfnkjd' jd¾Islj wfma rfÜ iqo bj;a lsÍfï ie;alï 89"000la muK isÿ lrkjd' wefia iqo bj;a lrk frda.Skag wjYH wlaIs ldp oeka rdcH wxYfhka fkdñ,fhau ,ndoSu ck;djg úYd, myiqjla'

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fuys§ woyia oelajQ wlaIs Y,H úfYaI{ ffjoH ìkr wurisxy uy;d mejiqfõ f,dalfha wkaONdjhg ;=vqfok idOl w;r Èhjeähdj y;rjk ia:dkhg meñK we;s njhs' YS% ,xldfõo Èhjeähdj ksid we;sjk wkaONdjh Èfkka Èk jeäjk nj mejiQ wurisxy uy;d fï i|yd úi÷ï f,i ck;dj ±kqïj;a lsÍu" mQ¾j mÍlaIdj" wjodkï idOl md,kh lsÍu iy uq,a wjia:dfõ§u m%;sldr i|yd fhduqlrùu jeo.;ajk nj fmkajd ÿkafkah' oshjeähd fráfkdm;s ;;a;ajhg úi÷ï fidhkjdg jvd thska ñoSu jeo.;a fuu yuqjg iyNd.SjQ wlaIs úfYaI{ ffjoH pß;a f*dkafiald uy;d m%ldY lf<a Èhjeähdj ksid we;sjk oDIaá mg, wdndOhla jk fráfkdm;s kue;s ;;a;ajh W.% wjia:djg m;ajQ úg m%;sldr lsÍu wmyiq njhs' thg wod< Y,Hl¾uh i|yd

myiqlï we;af;a ,xldfõ frday,a lsysmhl muKs' ta ksid fyd|u úi÷u jkafka frda.h j<lajd .ekSuhs' Y%S ,xldfõ Èhjeähd fráfkdm;s ;;a;ajh y÷kd.ekSug yd m%;sldr lsÍug f.k we;s l%shdud¾. ms<sn| ye¢kaùula l< wlaIs Y,H úfYaI{ ffjoH §mdks fõje,aj, uy;añh fndfyda rcfha frday,aj, Èhjeähd wlaIs idhk meje;aùug lghq;= fhdod we;snj mejiqjdh' ;jo" wlaIs frda.Ska f,aLk.; lsÍu jvd úêu;aj isÿlsÍug lghq;= lrk nj;a" m¾hka; yd .%dóh frday,aj,ska ffjoHjreka f;dardf.k Tjqkag wlaIs mÍlaIdj mqyqKqlsÍu uÕska iEu frday,lu Èhjeähd wlaIs mÍlaIdj isÿlsÍug lghq;= fhdod we;s nj;a t;=ñh m%ldY l<dh' fuu wjia:djg fi!LH fiajd wOHlaI fckrd,a ffjoH md,s; uySmd, uy;d" cd;sl wlaIs frdayf,a wOHlaIsld ffjoH ks,ka;s m%kdkaÿ uy;añh we;=¿ wlaIs frdayf,a ffjoHjreka iy fyo ks,Odßkshka msßila o iyNd.s jQy' DM

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AIDS

World AIDS Day December 1

oeKqj;a fjuq''' wjodkfuka ñfouq''' 2030 jk úg tAâia frda.hg iod iuq fouq''' HIV hkq l=ulao @ HIV hkq ffjrihls' th udkj m%;sYla;s W!K;d ffjrih (Human Immunodeficiency Virus) hkqfjka ye|skafjhs' HIV hkq ;ksj j¾Okh ùug fyda ksid fï ffjrih fndaùug kï cSù ffi, wdidohkg ,la l< hq;=uhs' wfma m%;sYla;slrK moaO;sh idudkHfhka

118

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ffjri u¾Okh lrk kuq;a HIV ffjrih u.ska m%;sYla;slrK moaO;shg myr fok ksid th uev,Sula l< fkdyelsh' taâiA hkq l=ulao @ taâiA hkq frda.S ;;a;ajhls' k;=lr.;a zzm%;sYla;s W!K;d iy,laIKhZZ (Acquired Immuno Deficiency Syndrome) th y÷kajk kuhs' hï mqoa.,fhl=g HIV we;s nj ksYaph lrkqfha Tyqf.a$wehf.a m%;sYla;slrK moaO;sh frda. j,g Tfrd;a;= oSug fkdyels jk wdldrhg ÿ¾j, jQ úgoSh' HIV u.ska AIDS yefokafka flfiao @ HIV u.ska AIDS ;;a;ajh we;s fõ' HIV ffjrih l%ufhka m%;sYla;slrK moaO;sfha ffi, wdidokh lrhs' fï ffjrih u.ska l%u l%ufhka ffi, úkdY lrk úg YÍrh úúO wdidok j,g ,laùfï jeä wjodkula .kS' m%;sYla;slrK yelshdj b;d wvq mqoa.,fhl=g taâia ;;a;ajh we;sfõ' HIV

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wdidokh jQ miq taâia ;;a;ajhg m;ajk f;la m%;sYla;slrK moaO;shg ydks isÿùug jir .Kkdjla .;úh yel' taâia frda. ,laIK fudkjdo @ hï mqoa.,fhl=g zzwjia:djdoS wdidokZZ fyda taâia iïnkaO ms<sldjla we;s jQ úg taâia frda.h je<|S we;s njg ks¾Kh flf¾'fuu wdidok YÍrfha m%;sYla;slrK moaO;sh ÿ¾j, jQ wjia:dfjka m%fhdack .kakd ksid zzwjia:djdoS wdidokZZ f,i ye|skafõ' we;eï úg wjia:djdoS wdidok fkdue;s úgo taâia frda.h ks¾Kh l< yel' mqoa.,fhl=f.a reêrfha m%;sYla;slrK moaO;sfha we;s CD4 hkqfjka ye|skafjk ffi, ixLHdj tla;rd wvq uÜgulg my; jefgk úg taâia frda.h we;ehs ikd: l< yel' taâia frda.h i|yd m%;sldr ;sfnkjdo @ fndfyda fokd taâia frda. hg m%;sldrhla ;sfnk njg jeros u;hl msysgd wjodkï iy.; p¾hd j, fhfok uq;a taâia frda.h i|yd m%;sldrhla fkdue;s nj lsj hq;af;ah' fuhska wdrlaId úh hq;af;a tfyhsks' taâia frda.fhka

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wdrlaId ùug kï l< hq;af;a th je<f|k wkdrlaIs; p¾hd ms<sn|j oeKqj;a ù tajdhska je<lSuhs' ffjri .=Kkh ùu md,kh lrk m%;s ffjri m%;sldr taâia frda.Skg fokq ,nhs' tu.ska YÍrfha we;s úkdYldÍ ffjri m%udKh my; fy<k w;r m%;sYla;sh kej; k.d isgqjd frda.shdf.a meje;au oS¾> lsÍula isÿfõ' fuu T!IO u.ska iïmQ¾Kfhkau ffjrih wld uld oeóula kï isÿ fkdfõ' HIV ffjrih u.ska taâia frda.h we;s lsÍug fldmuK ld,hla .; fjhso @ lsisu m%;sldrhla fkdf.k isák HIV wdidos; mqoa.,hkaf.ka wvlg muK jir 10la we;=<; taâia ;;a;ajh we;sfõ' fuu ld,h mqoa.,hdf.ka mqoa.,hdg úYd, jYfhka fjkia fõ' th fndfyda idOl u; r|d mj;skakls' Odrl úfYaIs; idOl iy ffjri úfYaIs; idOl HIV wdidokh m%j¾Okh flfryS n,mEï we;s lrhs' m%;sffjri T!IO u.ska HIV wdidokfha isg taâia frda.h olajd th mßj¾;kh ùug .;jk ld,h úYd, jYfhka jeä lr.kakg ,eîu uy;a ch.%yKhls'

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WORLD AIDS DAY - DECEMBER 1

AIDS

YÍrfhka msg;oS HIV ffjrifha meje;au ljrdldro @ HIV ffjrih ñksia isrer ;=<oS iy úoHd.dr ;;a;aj hgf;aoS yer mßirfhaoS mj;skakg yelshdjla ke;' iqÿiq ;;a;ajhla ks¾udKh jQjfyd;a wdrlaIdldÍj mej;Sug yelshdjla we;s wfkl=;a nelaàßhdjka" os,Sr wdosh fuka fkdj HIV ffjrih fjk;a mßir ;;a;aj hgf;a kv;a;= ùula" me;sr hdula isÿ fkdfõ' HIV ffjrihg ksrdjrKh ùfuka fldmuK ld,hlg miq reêr mÍlaIdjg mqoa.,fhla Ndckh úh hq;=o @ reêr mÍlaIKfhka isÿ lrkafka ffjrih isrerg we;=,a ùfuka miq yefok m%;sfoay y÷kd.ekSuhs' y÷kd.; yels ;rfï m%;sfoay ixLHdjla YÍrh ;=< ksIamdokh ùug hï ld,hla .;fõ' zzljq¿ iuhZZ hkqfjka ye|skafjk fï ld,ho flfklaf.ka ;j;a flfkl=g fjkia jkakls' fndfyda fofkl=g i;s 2-8 w;r ld,fhaoS m%;sfoay mÍlaIKhg yiqjk wdldrhg m%;sfoay ksIamdokh fjhs' we;eful=g óg jvd jeä ld,hla .;fjhs' tneúka uq,au mÍlaIkh ;ukag taâia fkdue;s njg jd¾;dfjka fmkajQjo ;=kauilg miq thu kej; isÿ lsÍu iqÿiqh'

m%;sYla;slrK moaO;sh Tfí YÍrh úIîc yd frda.ldrl j,ska wdrlaId lrf.k Tn frda.S ùug fkdoS wdrlaId lrkafka m%;sYla;slrK moaO;shhs' th iqÿ reêr ffi, j,ska yeoS ;sfí' wdikak jYfhka ishhg 2l iqÿ reêrdKq m%;sY;hla f,a j, ;sfí' b;sßh wlaudj" ma,Sydj yd jid moaO;sh wdoSfha f.dKq ù ;sfí' fuu mÍlaIKh isÿ lr.; yels ia:dk fudkjdo @ fuu mÍlaIKh ,xldj mqrd we;s ,sx.dY%s; frda. idhkhka (STD Clinic) j,oS isÿ lr.; yel' we;eï mqoa.,sl ridhkd. dr j,oSo fuu mÍlaIKh isÿ lr.; yel' mÍlaIKhg fmr ffjoHjrhd$uyck fi!LH mÍlaIl$uyck fi!LH fyo fidhqßh fj;ska wjYH Wmfoia ,nd. ekSu w;sYhska jeo.;ah' ;u ryiHNdjh iïmQ¾Kfhkau iq/flk fia mÍlaIKhg fmr yd miq WmfoaYK ,ndoSu fuu ks,Odßka w;ska isÿ fõ' taâia frda.h flfklaf.ka ;j;a flfkl=g je<f|k yeá • frda.h wdidos; flfkla yd mj;ajk wkdrlaIs; ,sx.sl in|;djhla ksid' ^fuh wfma rfÜ jeäu ixLHdjlg taâia frda.h je<f|k wdldrhhs'& • wdidos; ujlf.ka .¾NsKS ld,fhaoS" ore m%iq;fhaoS iy uõlsß oSfïoS' • reêrh fyda reêr ksIamdok" Y=l% mß;Hd." wdidos;fhl=f.a bkaøsh noaO lr.ekSu" cSjdKqyrkh fkdlrk ,o tkak;a lgq yjqf,a mdúÉÑfhka fyda wdidos; reêrh mdrú,hkh u.ska' • uqL ,sx.sl ixi¾.h wkdrlaIs;h' fuu ffjrih wdidos; reêrfha yd Y=l% ;r,fha ;sfí kï thska ;j;a flfkl=g frda.h fnda l< yel' uqLh ;=jd, ù we;s úfgloS fukau W.=f¾ we;sjk

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fiï wdidokhloS tu ia:dkhka Tiafia YÍrhg ffjrih we;=,a ùfï wjodkula ;sfí' HIV ffjrih wdidokh fkdjk l%u • wdrlaIs; ^lïuq,a& ism je<| .ekSu" w;g w;oSu ksid wdidos;fhl=f. ka ksfrda.S flfkl=g HIV wdidokh fkdfõ' uqjg uqj ;nd ism .ekSu lsishï wjodkï ld¾hhls' oS¾> újD; ism.ekSï ksid f;d,a ì|S ;snqfKd;a ta Tiafia ffjrih wdidokhg bvla we;' • yjqf,a wdydrmdk Ndú;fhka fuh fnda jkafka ke;' • yjqf,a jeisls,s Ndú;fhka fndajkafka ke;' • uÿrejka oIaG lsÍfuka HIV frda.h fnda jkafka ke;' fldKavh lemSfïoS iy mÉp flàfïoS taâia je<|sh yelso@ fï wjodku we;s jkafka iu lemSulg ,laù t;ekska .,k reêrh wdidos;fhl=f.a reêrh yd ñY% ùula isÿ jQjfyd;a muKls' kuq;a oeka ie¨ka yeu tllu mdfya fhdod. kafka tla jrla muKla Ndú;d lrk íf,aâ;,h'

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mÉp flÜfïoSo ffjrih we;=,a ùug f,a ñY% ùula isÿúh hq;=uh' fuh taâia muKla fkdj fymghsáia B jeks reêrfhka fnda jk wfkl=;a frda. j,go wod,h' HIV yd wfkl=;a ,sx.slj wdidokh jk frda. w;r lsishï in|;djhla ;sfío @ HIV wdidos;fhl=g fjk;a ,sx.dY%s;j we;sjk frda.hlao je<|S ;sfíkï tu.ska Tyq fyda weh i;=j we;s ffjri m%udKh jeäùula isÿfõ' tu.ska Tyqf.a me;sÍfï fõ.h jeä jk w;r fjk;a flfkl=g iïfm%aYKh lsÍfï bvlvo jeä fjhs' ,sx.sl m%foaYfha we;s ;=jd, ksid fyda je.sfrk ,sx.sl >%djhka ksido fuh isÿúh yel' tfiau fjk;a ,sx.dY%s; frda.hla je<|S isák mqoa.,fhl= yg HIV we;sùfïo bvlv jeäh'WmoxYh yd y¾msia wdosh we;s úg ifuys we;sjk ;=jd, u.ska tu wjodku by< kxjhs' la,eñähd f.dfkdaßhd wdosfhaoS frda. ,laIK msg;ska m%lg fkdlrk wjia:dfõoS jQjo wjodkï p¾hdjka ksid HIV wdidokhg Tyq ,laùfï bvlv jeäh' ksfrda.S ,laIK m%lg lrjk taâia frda.Ska isáh yelso @ HIV ffjrih wdidokh jQj;a ljq¿ iuh .; lrk frda.Ska lsisÿ frda. ,laIKhla m%lg lrkafka ke;' kuq;a fudjqka wjodkï p¾hdjka yryd ksfda.S wh frda.Ska njg m;a lsÍug bvla we;' we;eï úg ,sx.sl fiajd ,nd.ekSfïoS fï wjdikdjg fndfyda fokd uqyqK mdk nj fmfkkakg ;sfí' fï ksid fyd|u foa wjodkï iy.; ,sx.sl p¾hdjkaf.ka wE;a ùuhs' tla úYAjdijka; iylrefjl=$iyldßhl iu. muKla ,sx.sl .kqfokq meje;aùuhs' DM

Wmqgd .ekSu Y%S ,xld cd;sl ,sx.dY%s; frda. iy taâia u¾Ok jevigyk

http://www.aidscontrol.gov.lk/ web/index.php/si/resources/ general-public

By a Staff Feature Associate

December 2016

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Ask Your Doctor Tfí ffjoH .eg¿jg wfmka ms<s;=re'''

ASK YOUR

DOCTOR

Tfí ffjoH .eg¿jg wfmka ms<s;=re''' Q wmg jvd;a iqÿiq mjq,a ie,iqï l%uh l=ulao @ ud úismia yeúßos w¿; újdm;a ldka;djlañ' bosßfha we;s b,lal lsysmhla ksid orefjl= ms<sn|j oekau woyila fkdue;' wmg jvd;a iqÿiq mjq,a ie,iqï l%uh iïnkaOfhka Wmfoila fokak' - fkrkacS - lvj; jQ miq orejka ,eîu m%udo lsÍu iy orejka A újdy w;r iqÿiq mr;rhla ;nd.ekSu i|yd úúO Wm;a md,k l%ufõohka Ndú;d lrkjd' fuu l%u m%Odk jYfhka my; wdldrhg j¾. l< yelshs' • os.=ld,Skj l%shd lrk kej; idM<H;djh ,nd.; yels l%u (Long Acting Reverrsible Contraception) • fydafudak wvx.= fm;s" kslafIamk iy fhdaks ud¾.h ;=< ;ekam;a l< yels fydafudak wvx.= j<¨ (Hormonal Contraception) • Y=l%dKq ndOl (Condoms) • iajdNdúl Wm;a md,k l%ufõoh (Fertility Awareness) • yosis wjia:d Wm;a md,k l%ufõoh (Emergency Contraception) fï w;=rska os.=ld,Skj l%shd lrk" bj;a l< jydu .eí .ekSfï yelshdj kej; we;sjk isref¾ iug háka ;ekam;a lrk fydafudak wvx.= lr,a iy .¾NdIh ;=< ;ekam;a lrk ;U wvx.= l=vd T yevh .;a Wmdx.h 122

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ffjoH md,s; nKavdr iqnisxy ixialrkh lrhs

os.=ld,Skj l%shd lrk kej; idM<H;djh ,nd.; yels l%u >khg jefgkjd' fydafudak wvx.= fm;s" kslafIamk iy fhdaks ud¾.h ;=< ;ekam;a l< yels fydafudak wvx.= j<¨ wdosh;a iq,n Wm;a md,k l%ufõohhla' Wm;a md,k fm;s kï iEu osklu tlu fj,djl mdfya .; hq;= jkjd' fhdaks ud¾.sl j<¨ uilg jrlao" kslafIamK udi ;=klg jrlao w¿;a l< hq;= fjkjd' Y=l%dKq ndOl f,i msßñka Ndú;d lrk fldKavï iy ldka;djka Ndú;d lrk fldkavï iy m%dÖr (diaphragm) wh;a fjkjd' kuq;a ldka;djka i|yd Ndú;d lrk fldkavï iy m%dÖr wfma rfÜ iq,n keye' doctormagazine.lk

kshñ; mßos osk 28lg jrla Tima ùu we;sjk ldka;djkag Tima ùug fmr i;sh iy th iEoS i;shla .;jk ;=re ,sx.sl tl;=ùula u.ska .eí .ekSug yelshdjla keye' fuh zziajdNdú; Wm;a md,k l%ufõohZZ f,i ye|skafjkjd' n,dfmdfrd;a;= fkdjQ úg isÿjk wkdrlaIs; ,sx.sl in|;dj,oS .eí .ekSu je<elaùu i|yd iy fldkavï mdúÉÑfhaoS bÍ hdu tfukau idudkH Wm;a md,k fm;s kshñ; mßos .ekSu wu;l jQ úg fuu fydafudak wê idkaøKhlska hqla; fm;s Ndú;d l< yels fjkjd' mjqf,a orejka m%udKh iïmQ¾K l< whg iaÓr mjq,a ie,iqï l%uhla f,i ldka;d iy mqreI jkaOHdlrk l%ufõohka Ndú;d flfrkjd' Tn w¿; újdm;a wjqreÿ 25l ldka;djl ksid ud Tng fhdackd lrk fyd|u l%ufõoh Wm;a md,k fm;s ^ñ;=ß& Ndú;d lsÍfuka fyda iajdñmqreIhd fldkavï Ndú;d lsÍuhs' ore Wm;a jir ;=klg jvd l,a oeóug is;kafka kï iug háka ;ekam;a lrk fydafudak lr,ao Ndú;d l< yelshs' kuq;a Tnf.a jhi wkQj orejka ,eîu fndfyda ld,hla l,a oeóu iqÿiq jkafka kE'

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fclaIka Q bka fkdyelso @

j,ska wmiaÓ; Ysrd iqj lr.;

50 yeúßos ud l,l isg fjßfldaia fõka (varicose vein) frda.fhka mSvd ú|sñ' Y,H ffjoHjrfhl= yuqù frda. mÍlaIdfjka miq ie;alula u.ska ;;a;ajh iqjlr.; hq;= hk Wmfoi ,eìk' uf.a ukdmh jkafka bkafclaIka u.ska fï frda.h iqj lr.ekSuhs' ta i|yd ug wjia:djla ;sfío hkak myod fokak' - iq.;odi - uyr.u vï Ndú;h lsisÿ .eg¿jla we;s fkdl<;a A fldka Wm;a md,k fm;s Ndú;hg fmr ffjoHjrfhl= yuqù isrer mÍlaId lrf.k kshñ; Wmfoia ,nd.ekSu jvd jeo.;a fjkjd' brejdroh" mshhqre j, .eá;s" wêl reêr mSvkh" reêr kd, leá .eiSï j,g ,lajQ wh fm;s .ekSu kqiqÿiqhs' tfukau wmiaudr frda.hg T!IO ,nd.kakd wh" jeämqr fydafudakhla wka;¾.; Wm;a md,k fm;s úfYaIhla ,nd.; hq;= jkjd' tfiau fjk;a frda. i|yd m%;sldr .kakd wh fï fnfy;a .ekSfuka Wm;a md,k fm;s j, ld¾hlaIu;djh ySk jk ksid jeäÿr ffjoH Wmfoia ,nd.ekSu wjYHhs' fndfyda úg fm;s j,g wu;rj tu ld,fhaoS w;sf¾l Wm;a md,k l%uhla wkq.ukh lsÍuo wjYH fjkjd' wmf.a isref¾ Ouks j,ska mgl lrd hk reêrh kej; yDohg f.k tkafka Ysrd u.sks' reêrh lsishï mSvkhla Tiafia f.k hdu i|yd yDo fldaYsld ixfldapkh ù ta i|yd wjYH mSvkh ,nd fokjd' kuq;a Ysrd i|yd tjka l%shdj,shla isÿ jkafka kE' úfYaIfhka mdo j,g hk reêrh kej; by<g /f.k tafïoS .=re;ajdl¾YKhg tfrys n,hla fhosh hq;= jkjd' fuysoS Wmfhda.S lr.kafka mdoj, udxY fmaYs l%shdldß;ajhhs' fomd j, udxYfmaYs ixfldapkh jk úg ta ;=< we;s Ysrdjkaf.a reêrh ñßlS by<g hkjd' udxYfmaYs bys,a jk úg tu Ysrdj, we;s reêrh kej; my<g .e,Su Ysrd ;=< we;s lmdg u.ska j<lajkjd' kej; udxYfmaYsh ixfldapkh jk úg kej;;a Ysrdj, reêrh ñßlS by<g hkjd' fuu l%shdj,sh u.ska ld¾hlaIuj yDo reêr iemhqula i,iajkjd'

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Tfí ffjoH .eg¿jg wfmka ms<s;=re'''

Ask Your Doctor

kuq;a os.= fõ,djla ysgf.k isàu fukau .¾NsKS ld,fhaoS wmr uy Ysrdj l=i ;=< we;s .¾NdIhg isrùu ksid ksis mßos reêrh .uka fkdlsÍu fya;=fjka Ysrd ;=< reêr mSvkh jeäùu ksid tys ì;a;sh weoS Ysrd úYd, ù zzkyr .eg .eiSuZZ isÿ fjkjd' fuf,i weÿkq Ysrdjka h:d ;;a;ajhg m;a l< yels l%u rdYshla ;sfnkjd'fuu l%ufõohka Ndú;d lrkafka tu Ysrdjkag isÿj we;s ydksfha m%udKh iy ;;a Ysrdfõ úYd,;ajh wkQjh' hka;ñka Ysrd u;=jk úg iy .¾NsKS ld,fhaoS kï ta i|yd jk úfYaI fïia j¾. (Stockings) me<| isáh hq;= jkjd' tu.ska Ysrd j,g msg;ska fïia u.ska mSvkhla we;s lrk ksid Ysrdjka úYd, ùu kj;skjd' l=vd iy uOHu m%udKfha wmiaÓ; Ysrd i|yd ridhk øjHhka kslafIamKh fldg tu.ska tu Ysrd ì;a;s u; le<,la we;sfldg l%ufhka tu Ysrdj wjysr ù jid oeóu isÿ lrkjd' iuyr úg fuh lsysm jdrhla isÿ lsÍug úh yelshs' fuh Sclerotherapy hkqfjka ye|skafjkjd' kj;u ;dlaIKh u.ska fmK iys; ridhk øjH jvd úYd, Ysrd i|yd tkak;a lsÍu (Foam Sclerotherapy of Large Veins) f,ai¾ Y,Hl¾u (Laser Surgeries) b;d l=vd wmiaÓ; Ysrd i|yd f,ai¾ Yla;sh iy f¾äfhda ;rx. fhdod isÿ lrk m%;sl¾u (Catheter assisted procedures using radiofrequency & laser energy) jeks l%ufõohka iy ixlS¾K wmiaÓ; ;=jd, (Varicose ulcers) we;s frda.Ska i|yd kyr ;=<g l=vd leurdjla hjd isÿ lrk Y,Hl¾u wdoS jYfhka wmiaÓ; Ysrd (Endoscopic vein surgery) i|yd m%;sldr lrk l%u rdYshla ;snqKo wfma rfÜ fuhska we;efula m%;sldr myiqfjka ,nd.ekSu ÿIalrhs' wfma rfÜ nyq,j isÿlrk m%;HlaI m%;sldr l%uh Y,Hl¾uhhs' fuysoS bls<sh wi<ska lrk w`.,l muK lemqula iy wmia:s; Ysrdfõ my< fl<jrska ;j;a tn÷u lemqula isÿlr tu kyrh by< fl<jßka reêrh fkdhk fia uqød ;nd tu Ysrdj isreßka bj;a lrKQ ,nkjd' túg mdoj, udxYfmaYs háka we;s Ysrd u.ska bj;a l< Ysrdj úiska yDoh foig /f.k .sh reêrho

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/f.k hdug l%shd lrkjd' fï wkQj fï Y,Hl¾uh lsÍu iqÿiq hhs wod, úfYaI{ ffjoHjrhd fhdackd lrkafka Tnf.a wmiaÓ; Ysrdj kslafIamK u.ska iqj lsÍug wmyiq ;rï úYd, ùu fya;=fjka nj uu wkqudk lrñ' tu ksid jvd iqÿiq jkafka tu úfYaI{ ffjoHjrhdf.a Wmfoia wka.ukh lsÍuhs'

yeu ;siafiu Q orejdg fyïìßiaidj yefokafka wehs @ uf.a orejd ih yeúßosh' Tyqg ks;r ks;r fiïm%;sYHdj we;s fjhs' hka;ï jrla iqj jQ miq kej;;a w¿;a fyïìßiaidjlska mSvd ú|shs' fï ;;a;ajh we;s jkafka Tyqf.a m%;sYla;slrKfha we;s lsishï wvqmdvqjla ksido @ orejd ksfrda.Sj ;nd .ekSug .; hq;= mshjr ljf¾o @ rdêld - wïn,kaf.dv ;sYHdj A fiïm% lshkafka kdifhka fidgq oshr .e,Su muKlau fkdfjhs' Bg wu;rj leiai" W.=f¾ m%odyh" fiïf.ä" lsúiqï

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hdu" ysiroh" WK" isref¾ fõokdj wdosho fiïm%;sYHdfõ (Common cold) ,laIK fjkjd' ñksidg nyq,ju je<f|k frda.h;a fiïm%;sYdjhs' fuh we;s jkafka ffjri ldKavhg wh;a frda. ldrl u.ska fï i|yd jk ffjri j¾. 200lg wêl m%udKhla ;sfnkjd' bka m%Odk ffjria j¾.h Rhinovirus f,i y÷kajkjd'

óg wu;rj kdifhka fidgq oshr .e,Su" lsúiqï hdu jeks frda. ,laIK wdid;añl;d ksido we;s fjkjd' iuyr orejka ksr;=reju fidgq oshr .,k kdihla iys;j olakg ,efnkafka ta ksihs' óg wu;rj kdifhka fidgq oshr .e,Su olakg ,efnk wjia:djka f,i wêl YS; mßir WIAK;ajh" we`ãu" ysig wk;=re isÿùu" kdifha uiao¿ we;sùu" ;on, ysiroh (Cluster headache) wdosh oelaúh yelshs'

wdidos; wh lsúiSu ksid ta iu. jd;hg uqiqjk ffjri ksfrda.S wh úiska wd>%dKh lsÍu;a wdidos; whf.a w;aj, ;ejÍ we;s ffjri fjk;a ;ekl .Eù we;súg tajd iam¾Y lr w;a fidaod fkdf.k wdydr .ekSu fyda ;u kdih" uqLh jeks Yaf,aYau, .%kaÓ we;s ia:dk j, tu ffjrih iys; w;a iam¾Y l< úg frda.h fndaùu isÿ fjkjd' úfYaIfhkau mdie,aj," mx;s ldurj," osjd iq/l=ï uOHia:dkj, orejkag fï wkaoñka myiqfjka frda.h fnda fjkjd' fuu ffjri j,g tfrysj isref¾ oS¾>ld,Sk m%;sYla;shla we;s jkafka kE' tfiau ffjri;a kj m%fNao we;s lr.ksñka fjkia fjkjd' fï ksid kej; kej;;a fiïm%;sYdj we;s jkakg mq¿jka'

flfia fj;;a th wdidos; ;;a;ajhla kï orejdf.a mdif,a mka;sfha wfkla orejka tu frda.fhka fkdfmf<hs kï Tfí orejdf.a reêr mÍlaIdjla isÿlr tys ySfud.af,dìka m%udKh" iqÿ reêrdKQ m%udKh iy iqÿ reêrdKQ j¾. j, m%;sY;hka mÍlaId fldg ne,sh hq;=hs' tfiau úgñka iS wvx.= wdydr iy iskala wvx.= wdydr ksr;=reju .ekSu u.ska isref¾ m%;sYla;sh jeä lr.; hq;=hs'

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Tfí .eg¿j wkQj Tn fiïm%;sYdj hkqfjka woyia lf<a ffjri ksid we;sjk wdidos; ;;a;ajho ke;fyd;a os.ska os.gu mj;sk wdid;añl;djhlao hkak meyeos,s lr.; hq;= jkjd'

Tng we;sjk fi!LH .eg¿ j,g ms<s;=re imhk Ask Your Doctor úfYaIdx.h i|yd Tfí .eg¿j;a fhduq lrkak' wfma ,smskh Ask Your Doctor fy,a;afjdÉ mqoa.,sl iud.u" úydrlef,a osh;,dj. palitha.subasinghe@ gmail.com, doctormagazine.lk@gmail.com hk úoahq;a ,smskhgo Tfí .eg¿ fhduq l< yel' yi, w;aoelSï iys; ffjoHjrfhl= úiska Tfí .eg¿ iudf,dapkh lsÍu;a wjYH wjia:dj,oS wmf.a WmfoaYl uKav,hg wh;a úfYaI{ ffjoHjrekaf.a iudf,dapkhg Tfí .eg¿j fhduq lsÍu;a fuu fiajdfõ úfYaI;ajh jkafkah' DM

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

HEART ATTACK yDohdndOhla we;s jQ úg isÿ l< yels fyd|u m%;sldrh PCI m%;sldrhhs yDohdndOhla we;sjQ ú.i jf.au Bg fmr;a ms<shï fhosh yelshs' th ;uhs jvd;a wdrlaIdldÍ m%;sldr l%uh''' v¾vkaia frdayf,a yDo frda. úfYAI{ ffjoH mKavq, w;djqowdrÉÑ uy;d Dr Pandula Athauda-arachchi MBBS MRCP(UK) PhD(Cambridge) FRCP(Glasg) FRCP Edin FESC Consultant Interventional Cardiologist

yD

ohdndOhla we;s jQ úg yDofha isÿjk fjkialï .ek wmg lsishï meyeos,s lsÍula lrkak mq¿jkao @ yDohg reêrh imhk lsÍgl Oukshla reêr leáhlska wjysr jqfKd;a tys m%;sM<hla jYfhka yDofha udxYfmaYs j,g wï,lr jdhqj fkdfyd;a Tlaiscka ,efnkafk kE' fuh b;d ;SrKd;aul wjia:djla' fuysoS udxYfmaYsh ydu;a fjkjd' tys m%;sM<hla jYfhka reêrh" Tlaiscka fkd,eî hk fldgi ñh hkakg mgka .kakjd' th kej; ms<silr l< fkdyels ydkshla f,i y÷kajkak mq¿jks' fu;ekoS we;sjk wNsfhda.h ;uhs yDoh iamkaokfha we;sjk widudkH;d" yDoh udxYfmaYs 126

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wdmodjg ,laùï ksid" thska we;sjk reêr mSvkh wvqùu wdoS ldrKd ksid cSú;hg uy;a wjodkula f.k tk ixl+,;d rdYshla we;s jkakg bv ;sfnkjd' yDohdndOhla isÿfjk wjia:dj b;du;a ;SrKd;aulhs' fï wjia:dfõoS jydu frday,a.; lr, frda.shdg thska we;sjk ydksh wju lsÍfï m%;sldr n,.kajkak wjYHhs' thska cSú;h fírd.; yelshs' we;eï fj,djg yDohdndO ksid urKh mjd isÿ fjkjd' tfyu ;;a;ajhla we;s jkafka fldfyduo @ tl ldrKhla ;uhs" yDofha iamkaokh wekysàu ksid urKh we;s fjkak mq¿jka' jï fldaIsldfjka we;sjk ßoaufha widudkH;djhla ksid yDoh k;r fjkak mq¿jka' (Cardiac Arrest) kshñ; mßos reêrh jákd wjhj j,g fmdïm lsÍug fkdyels ùu ksid fï ;SrKd;aul wjhj j,g ydks isÿ ùfukq;a cSú;h ke;s fjkak mq¿jka' fud<h" jl=.vq j,g jk reêrh iemhSu weKysàu fuhg WodyrKhla'

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yDohdndOhl wjia:d

fï frda.Skag isÿ lrk m%;sldr fudkjdo @ fojeoEreïj frda.shdg m%;sldr ie,iSula fuysoS isÿ fjkjd' ta yDohdndOh we;sjqKq wjia:dfõ ,nd.; yels myiqlï wkQjhs' uQ,sl jYfhka isÿ lrkafka wjysr jQ reêr leáh bj;a lsÍfï m%;sldrhhs' iafg%mafgdlhsfkaia j¾.fha reêr leáh bj;a lrk fnfy;la fuysoS frda.shdg ,nd fokjd' rcfha frday,a j,oS iy l=vd wdfrda.

HYd,dj,oS fuh ;uhs fhdod.kakd m%;sldrh' kuq;a jvd;a myiqlï iys; ffjoH wdh;k j,oS reêr leáh bj;a lr ta reêr leáh we;s ùug fya;= jQ fjkialug m%;sldr lsÍula isÿ lrkjd' Percutaneous Coronary Intervention (PCI) yDohdndOh we;sjk wjia:dfõoSu isyska jQ wjysr jQ kyrh neÆk Wml%uhla weiqre lrf.k wjysr;djh bj;a lrf.k iafgkaÜ tlla fhdod kyrfha meje;au idlaId;a lsÍu fuysoS isÿ fjkjd' fuh ;uhs wo oshqKQ m%;sldrh jYfhka ie<flkafka' Percutaneous coronary intervention (PCI), commonly known as coronary angioplasty or simply angioplasty, is a non-surgical procedure used to treat the stenotic (narrowed) coronary arteries of the heart found in coronary heart disease. ... Stents or scaffolds may be placed at the site of the blockage to hold the artery open.

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fï m%;sldr j, id¾:l;ajh fldfyduo @ iafg%mafgdlhsfkaia fnfy; m<uq meh lsysmh ;=<oS ,nd oSfuka ta f,a leáh osh lr.; yelshs' t;a meh lsysmhla .; jqKdu tu f,a leáh kshñ; mßos osh fkdfjkakg;a bvlvla ;sfnkjd' iuia;hla jYfhka .;a;u fnfy;a j,ska f,a leáh osh lr.ekSfï bvla ;sfnkafka ishhg 30lg jf.a ;uhs' t;fldg b;sß ishhg 70g fudlo fjkafk @ yDoh jia;=fõ reêr.,kh ì| jegqfKd;a ta ì|jefgk fldgfia mgl ksielfhkau ñh hkjd' b;ska wms n,df.k ysáfhd;a wmg miqld,Skj" uOHld,Skj ixl+,;d we;sjk wjia:d jeähs' PCI m%;sldrh Bg jvd mßiudma; l%shdj,shla' fuh ;uhs yDohdndO frda.Skag jvd;au iqÿiq hhs oshqKQ rgj, ms<s. ekSug ,laù ;sfnkafka' th yDohdndOhg ,la jQ frda.shdg ta wdikakfha we;s cSú; wjodku;a" miqld,Skj we;súh yels cSú; wjodku;a hk folu ie<lsh hq;= uÜgulska wvq lrkjd' PCI m%;sldrh Tiafia frda.shd jirla ;=< lsishï ixl+,;djhlg ,laj ñh hdfï bvlv ishhg mkylska muK wvq lr.; yelshs'

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

Heart attack

iafg%mafgdlhsfkaia ,ndoSfuka miq wxYNd.h we;sùfï wjodkuo fï PCI m%;sldrh ksid wju lr.; yelshs' ta jf.auhs kej; kej;;a yDohdndOhla we;sùfï wjodku;a iEfyk muK wju lr.; yelshs' fï iafg%mafgdlhsfkaia m%;sldrh yd PCI m%;sldrh ;=<ska yDohdndO h:dj;a ùfï hdka;%Kh ;j álla meyeos,s l< yelso @ uq,ska lS wdldrhg iafg%mafgdlhsfkaia j, l%shdldß;ajh meyeos,shs' fï T!IOh ixirkh u.ska reêr leáh oshlr yßkak fyda tfia fkdfjkak;a mq¿jka' wekacsfhdma,diaá m%;sldrh wekacsfhdma,diaá m%;sldrfhaoS kd,h Oukshla Tiafia yDohg f.keú;a lsÍgl Ouksfha wjYH ;ek th ia:dk.; lrkjd' bkamiq jh¾ tllska wjysr jQ fldgi Y=oaO lrkjd' fuysoS wjysr;djh h:d ;;a;ajhg m;a lsÍug neÆkhla msïnùfï ishqï ;dlaIKhla fhdod. kakjd' ilia l< ia:dkfha os.=ld,Sk meje;au i|yd iafgkaÜ tlla ^oe,la& odkjd' ms<shï fhdokjd' fï wdldrhg wjysr jQ kd,h úia;drkh lr m,xÑhla jeks Wml%uhla Tiafia tu ia:dkfha f,a .ukd.ukh kej; ms<silr lrkjd' ksmqK ffjoHjrfhl=g kï fï l%shdj,sh i|yd .; jkafka úkdä 10-20 w;r ld,hla' fuu.ska wjysr;djh ishhg ishhlau u. yrjd,Sug yelsùu úfYaI;ajhla' fï ld¾hh uq¿uKskau idhï fhdod kslafIamKh lrk tkak;la u.ska kshdukh l< yelshs' tu mÍlaIKh tkacsfhda.%ms hkqfjka ye|skafjkjd' fuysoS wjodkï iy.; wjia:d we;s fjkjdo @ tysoS .kakd l%shdud¾. ljf¾o @ iuyr wjia:dj,oS ixlS¾K ldh jHÉfPaod;aul fjkialï iys; wjia:d yDo ffjoHjrekag w;a olskak ,efnkjd' we;eï ixlS¾K fjkialï yDoh wdY%s;j we;s fjkak mq¿jka' reêr kd,hla wkfmalaIs;j fnoSulg ,laùu tla wjia:djla' ia:dk lsysmhlu wjysr;d olakg ,eîu;a tjka ;j;a wjia:djla' jl=.vq frda. j,ska mSvd ú|sk whf.a reêr kd, j, le,aishï ;ekam;a ùfuka reêrjdyskS wêl >klu iajNdjhlg m;a

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fjkjd' tfyu jqKdu kd, j, ne÷KQ fï le,aishï ishqïj bj;a lrkakg;a isÿfjkjd' b;ska fï úosyg wkfmalaIs; ndOdjka fï ie;alu isÿ lrk w;f¾ we;s fjkak mq¿jka' ndOl ljrdldrfhka wdj;a tajd úi|df.k frda.shdg id¾:l f,i Y,Huh ueosy;aùu isÿlsÍu ffjoHjrhdf.a ld¾hNdrhla' tfiauhs ksremøs;j frda.shdf.a cSú;h fírd.ekSu ksmqK ffjoHjrhd w;ska isÿ fjkakla' fl;rï ndOl wdj;a cSú;h iqrlaIs; lsÍu ;uhs ffjoHjrhdf.a b,lalh' wiSre wNsfhda. ueo fï b,lalh fndfyda úg ffjoHjreka ch .kakjd' wfma rfÜ fndfyda frday,a j, fï frda.Skag m%;sldr lsÍug iqúfYAIS myiqlï ;sfnkjd' fï frda.Skag m%;sldr msKsi y÷kajd ÿka" oekg wfma rfÜ Ndú;d fkdjk ;dlaIKhka ;sfnkjdo @ f,ai¾ ;dlaIKh oekg ,xldfj kE' fndfyda hqfrdamSh rgj, fï m%;sldrh oeka fhdod .kakjd' tu.ska kd, wNHka;rfha ;ekam;aj we;s le,aishï myiqfjka bj;a lrkjd' bkamiq wekacsfhdma,diaá m%;sldrh isÿ lrkjd'

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yDoh

neÆkh$iafgkaÜ tl neÆkh$iafgkaÜ tl ia:dk.; lsÍu úia;drkh lsÍu

Percutaneous coronary intervention Y,Huh l%shdj,sh

yDohdndOhla we;s fjkafka reêr kd,hla wjysr ùfukau muKlao @ f,a leáhla Ouksfha wjysr ùfuka muKlau fkdfjhs" fjk;a fya;= ksido yDohdndOhla we;s úh yelshs' reêr wdia;rkh ì| jeàfuka" f,a kyrh bÍfukao yDohdndO we;súh yelshs' wekacsfhdama,diaá m%;sldrh lrk wjia:dfõoS ta wvqmdvqj ksielfhka y÷kd.; hq;=hs' fkdtfia ku ksYaÑ; ms<shula fhoSu ÿIalr fjkjd' fï PCI m%;sldrfha wdrlaIdj ,nd .ekSug flfkla yDohdndOhla we;sjk ;=reu isáh hq;=o @ kE' tfia l< hq;= kE' tfia oeKQj;aju l,a ueÍu wjodkï ;;a;ajhlawe;s lrkak;a bvla ;sfnkjd' wmg we;sjk wmyiq;djhka" frda. ,laIK wkQj ffjoHjrfhl= yuqù ta wjodku fidhd ne,sh yelshs' ta wkQj wdrlaIdldÍ ms<shï fhdod.; yelshs' m%Odk kd,hl wjysr;djhla ;sfnkjd kï mmqfj lelal=u" yqiau .ekSfï wmyiq;djh wdoS ,laIK frda.shd fmkakqï lrkjd kï ffjoHjrfhl= fj; hk tl jvd;a iqÿiqhs' yDoh l%shdldß;ajh wvmK ùula ;sfnkjd kï th y÷kdf.k m%;sl¾u fhosh yelshs' thska yDohdndOhla we;sjk ;=re fkdisg wdrlaIdldÍ l%shdud¾. .ekSug wjia:djla Wod fjkjd'

doctormagazine.lk

Clot-Busting Medicines Thrombolytic medicines, also called clot busters, are used to dissolve blood clots that are blocking the coronary arteries. To work best, these medicines must be given within several hours of the start of heart attack symptoms.

Ideally, the medicine should be given as soon as possible.

PCI m%;sldrfhka we;sjk m%;s,dN fï ksid frda.shdf.a u;=jg;a yDohdndOhla we;s ùfï wjodku fnfyúka wvq fjkjd' flá ld,Skj yDo iamkaokh fjkia ùfuka yDoh wvd, ùfï wjodku;a ke;s fjkjd' fï wdldrfhka cSú;fha wjodku fnfyúka wvq lr.kakg fï m%;sldrh fya;= fjkjd' fuh t;rï nrm;, mÍlaIK lghq;a;la fkdfjhs' tosfkod lghq;= j,g blauKskau kej; tl;= úh yelshs' /lshdjg jqK;a blauKska hkak wjia:dj Tng ;sfnkjd' fldákau fï ms<shï fhdod .ekSfuka kej;;a blauKskau idudkH yqre mqreÿ cSú;h .; lrkak Tng fyd| wjia:djla ;sfnkjd'

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

Heart attack

Percutaneous Coronary Intervention Percutaneous coronary intervention is a nonsurgical procedure that opens blocked or narrowed coronary arteries. A thin, flexible tube (catheter) with a balloon or other device on the end is threaded through a blood vessel, usually in the groin (upper thigh), to the narrowed or blocked coronary artery. Once in place, the balloon located at the tip of the catheter is inflated to compress the plaque and related clot against the wall of the artery.

This restores blood flow through the artery. During the procedure, the doctor may put a small mesh tube called a stent in the artery. The stent helps to keep the blood vessel open to prevent blockages in the artery in the months or years after the procedure.

fuys lsishï wjodkula ;sfnkak mq¿jkafk''' @ ta .ek;a wmg wjfndaOhla ,nd fokak' Tõ''' fudk foa l<;a tys hym;a m%;M s < jf.au we;eï wNsfhda.;a we;s fjkak mq¿jkafk' merisgfuda,a fm;a;la ìõj;a ixl+,;djhla we;s fjkak mq¿jka' th ;uhs iajNdjh' fï l%h s dj,sh ;=<;a wjodkula ke;sjd fkdfjhs' ta;a jeo.;a mKsúvhla ;sfnkjd' yDohdndOhlg ,lajQ fyda ta wjodku uqj úg isák flfkla wkdrlaI; s j n,d isákjdg jvd fuu úêu;a m%;l s drhg fhduq ùfuka ,efnk m%;, s dNh fnfyúka jeähs' tfia fkdlr isàfuka we;sjk

130

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wjodku Bg jvd fndfyda fihska jeähs' myiqlï ;sfnk ia:dkhloS iqÿiqlï ffjoHjrfhl= fj;ska Tn fï yDohdndOhg m%;l s drh ,nd .kakjd kï Tn Bg miq.dó úh hq;= kE' Tjqka ljr wNsfhda.hla wdj;a Bg uqyK q fokak fyd| Yla;h s la ksmK q ;djhla ;sfnk ksid jeä wjodku .kakjdg jvd wdrlaIdldÍ hhs wm ms<. s kakd l%h s dj,shg fhduq ùu jvd WÑ;hs fkao @ ;j;a ldrKhla lsj hq;=uhs' wm PCI m%;sldrh iqÿiqu hhs lSfõ th jvd;au wdrlaIdldÍ ksihs' ta;a fï myiqlu ,xldfj ;sfhkafk frday,a lSfhka lShlo @ wfma fndfydauhla YslaIK frday,a j, jqK;a fï myiqlu ke;sùu frda.shdg fyd|u m%;sldrh ,ndoSfuys,d ndOdjla' ixlS¾K lsÍgl wdndO j,g fhdod. kakd Rotablation jf.a ;dlaIKhka mjd wfma fndfyda frday,a j, kE' Laser Angioplasty jf.a oshqKQ yDo m%;sldr l%u wfma rfÜ we;af;au kE' wfma rfÜ yDo frda.Skag mßiudma; fiajdjla ,nd fokak kï fï m%;sldr l%u jvd;a oshqKQ úh hq;=hs' iuia;hla f,i kjH ;dlaIKfha m%;sldr wfma rfÜ ;j ;j;a jHdma; úh hq;=hs' DM

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Vector Diseases

uÿrefjda wfma f,a fndkafk kE''' yenehs uÿß,d wfma f,a fndkjd'''

Nothing ruins an outdoor activity like invading mosquitoes. Find out what makes them flock to you.

uÿrefjda wfma f,a fndkafk kE''' yenehs uÿß,d wfma f,a fndkjd''' Insect reproductive biology specialist Laura Sirot, PhD doctormagazine.lk

fï f,dalfha ukqIH cSú;hg wNsfhda. lrk oreKQu i;a;ajhd .ek fuf;la Tn oek fkdisá f;dr;=re

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uÿrefjda wfma f,a fndkafk kE''' yenehs uÿß,d wfma f,a fndkjd'''

Vector Diseases

uÿrefjd wmg oIaG lrk yskaohs fï Tlafldu uÿre jix.;' úoHd;aul idlaIs u; mdolj fkdjqK;a iudcfha fukak fufyu u;dka;rhla ;sfhkjd' zzidfmalaIj .;a;u we;eï whf. isref¾ uÿrefjd jyk tl jeähs'ZZ zzúfYaIfhkau orejkaf. isrefr jykjg jvd jeäysáhkaf. isrefr uÿrefjd jykak W;aidy lrkj jeähs'ZZ zz.eìKs ldka;djkag;a tfyuhs' fudk ;rï indjl ysáh;a uÿrej tkafk nv ore wïuj fidhdf.k'ZZ úoHd;aul wdfõlaIK u; mokï fkdù jqK;a we;s lr.;a by; lS 132

December 2016

Wml,amk j, we;a;la ;sfnk nj úoHdfjka ;yjqre ù ;sfnkjd' uÿrejka we;af;kau ;ukaf. ovhug YÍr f;dard fírd.ekSula isÿ lrkjd' miqld,Skj m¾fhaIlhka yªkd.;a wdldrhg uÿrejka jeäfhka ovhï lrkak W;aidy lrk YÍr .ek''' tfyu;a ke;akï oIagkhla isÿ lsÍug Wka fjfiiska ie<ls<su;a jk YÍr .ek ldrKd fufyuhs'

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uÿre jix.f;a wm uqyqKmdk nrm;, fi!LH .eg¿jla''' uef,aßhdj''' ly WK''' biair wfma ck;djg fndfydu ysßyer l<d''' oeka fvx.='''' fudk ;rï ffjoH úoHdj oshqKQjg m;a jqK;a fvx.= wm uqyqK fok b;d nrm;, fi!LH m%Yakhla''' ta l;dfj jrola kE'''

uÿrefjl= oIaG lrk úg ta wjia:dfõu tu reêrh leá .eiSu j<lajk ridhkhla úoskjd' fï ksid oIaGkfhka fõokdjla oefkkafka kE' ta;a Tn wm fyd|ska w;aú| we;s leiSu we;s lrkakg fï ridhkh iu;a'

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uÿrejka oIaG lsÍug jeä ukdmhla olajkafka fï whghs • f;;ukh uÿrejkag wjYHhs' uÿrejka fndaùug;a f;;ukh w;HjYH idOlhla' oIaG lsÍfïoS uÿrejka oyäh iys; iul jykak jeä ukdmhla olajkjd' • we÷u .ek;a uÿrejka ie<ls<su;a fjkjd' Tjqka l¿ meye;s iy w÷re meye;s weªï we| isák Woúhf.a YÍr u; jikakg jeä ukdmhla olajkjd' • ¨Kq" fmdgEishï yd ,elaála wï,h fj; Wka wdl¾Ykh fjkjd jeähs' iu u; fï lsisjla ;sfnkjd kï Bg;a wdl¾Ykh jeähs' ifï oyäh" w;=re M,hla f,i ksmofjk ,elaála wï,h jf.au flfi,a" w,s.egfmar wkqNjfhka ixÑ; jk by< fmdgEishï m%udK;a uÿrejka wdl¾IKh lrk idOl' • uÿrejkq;a fikaÜ mqhr j,g leu;shs' fkdakhs uy;a;hhs tl <`. bkak fj,djg uÿrefjd fkdakf. isrefr wdYdfjka jykj kï Tkak Bg fya;=j''' • uOqú; mdkh lrk msßñka w;f¾;a uÿrefjd .ejfikj jeähs' uoHidr mdkh lsÍfuka miq YÍrfhka ksl=;a fjk ridhkhlg uÿrejka

DOCTOR MAGAZINE

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wdl¾Ykh fjkjd' ;j;a fya;=jla''' uOqú; f;d,.

Efuka YÍrfha WIaK;ajh u|la by< hkjfka' WKqiQï YÍr j,g oIaG lrkak;a uÿrejka wdihs' • wfma isref¾ ;sfnk reêr ldKAvh .ek;a uÿrejka ie<ls<su;a jk nj úoHd{hka fidhdf.k ;sfnkjd' O ldKAvfha reêrh ;sfhk Woúh uÿrejkaf.a m%ydrhg ks;r ks;r ,la fjkjd' • .¾NsKSNdjh fkdue;s ldka;djlg idfmalaIj .eí.;a ldka;djla uÿre oIaGkhlg ,laùfï bvlv fo.=Khlska by< hkjd' iajNdjfhkau .eìKs ldka;djla m%dYajdifhaoS jeä ldnkavfhdlaihsâ jdhq mßudjla msg lrkjd' th uÿrejka wdl¾YKh lrk m%n, fya;=jla' ta yereKQ úg uehf.a YÍrfha WKQiqï nj idfmalaIj jeä ùu;a jeä YÍr.; reêr ixirkhla ksid weh flfryS uÿrejka nef|kjd jeähs' • óg fmr lSjdla fia WKqiQï iajNdjh orK YÍr j,g oIaG lsÍug uÿrejka W;aidy .kakjd jeähs'

fï f,dalfha isák ish¿u i;a;ajhka w;=ßka ñksiqka urd oeóug jeäfhkau j. lshkafka uÿrejdhs' fï wkQj fï f,dalfha isák Nhdklu i;d f,i uÿrejd i<lkakg wmg isÿ fjkjd'

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uÿrejkaf.a cSúf;a .ek fy<sorõ lr.;a wm%lg f;dr;=re iuyrla''' lDñ m%ckl cSj úoHd{jßhl jk f,dard isfrdÜ uÿrejka .ek úYañ; f;dr;=re /ila wkdjrkh lrkjd' f,dalfha uÿrejka úfYaI 3000la muK jd¾;d fjkjd' Wka iuyrla f,a fndkafka kE' ;j;a iuyfrla ñksia f,a fndkafka kE' wmg .eg¿j we;af;a ñksia f,a fndk uÿrejka iïnkaOfhkqhs' fldfydu jqK;a fï f,dalfha isák ish¿u i;a;ajhka w;=ßka ñksiqka urd oeóug jeäfhkau j. lshkafka uÿrejdhs' fï wkQj fï f,dalfha isák Nhdklu i;d f,i uÿrejd i<lkakg wmg isÿ fjkjd'

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f,a fndkafk uÿrejdf. .eyekq i;d muKhs' ta lshkafk uÿß,d''' muKhs' Wkag ì;a;r odkak f,a j, ;sfhk fmdaIl veye.ekSu wjYHhs' fldfydu jqK;a uÿrejkag'' wd jerÿKd''' uÿrejkaf. .eyekq i;a;ajhkag" uÿß,dg''' f,a îfuka ;ukaf. YÍr nr fo.=Khla olajd jeä lr.kak mq¿jka' i| we;s rd;%sfhaoS uÿrejkaf.a l%shdldß;ajh mia .=Khlska muK by< hk nj;a m¾fhaIKd;aulj y÷kdf.k ;sfnkjd' uÿrefjl= oIaG lrk úg ta wjia:dfõu tu reêrh leá .eiSu j<lajk ridhkhla úoskjd' fï ksid oIaGkfhka fõokdjla oefkkafka kE' ta;a Tn wm fyd|ska w;aú| we;s leiSu we;s lrkakg fï ridhkh iu;a' wkqNjhg .e,fmk f,a ;sfnk nj''' ukqIHfhla <`. bkak nj uÿrejd oek. kafka wm msglrk ldnka vfhdlaihsâ jdhqj bj lsÍfuka' wä 75l ÿßka bkak ukqIHfhla jqK;a ksjerosj y÷kd.kakg fï uÿre bj iu;a' DM By a Staff Feature Associate

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ore iïm;a ,efnkak m%udo fjkjdo @ fkdmudj m%;sldr j,g fhduq fjkak'''

ore iïm;a ,efnkak m%udo fjkjdo @ fkdmudj m%;sldr j,g fhduq fjkak''' wo ;dlaIKh oshqKQhs''' Y=l%dKq ßfmdaÜ tl ìxÿj jqK;a jDIKfldaIh úo, Y=l%dKqjla fydhdf.k''' tfyu ke;akï Y=l%dKqfj T¨j lE,af,ka yß ksfrda.S ore iïm;la ,nd fokak wo idM<H;d ;dlaIKh iu;a u|ireNdjh hkq l=ulao @ hqj,la újdy ùfuka miqj wUqieñhka iajNdúlj tl;=ùula isÿj ;sîhoS;a jirla hk;=re ore iïm;la fkd,eîu zzu|ireNdjhZZ jYfhka wm y÷kajkjd' kuq;a fï wre;a .ekaùu t;rï ksjeros kE' wm tfyu lshkafka wehs @ u|ireNdjh uQ,sl jYfhka fohdldrhs m%d:ñl u|ireNdjh tla ore iïm;la j;aa fkd,eîu l<,fõo úfYaI{ ffjoH fy<rejka mikal=udr iu. l< idlÉPdjla weiqßKs

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oaú;Shsl u|ireNdjh uq,a orejd ,eîfuka mia fojk ore ms<sis|Sula isÿ fkdùu ore iïm;la m%udo jqKdu jirl ld,hla l,a ne,Su''' ;j;a úosylska lshkjd kï jirl ld,hlska miq ffjoHjrfhl= uqK .eiSu iEu fokdgu tlfia yßhkafka kE' jhi wjqreÿ 35g wvq ldka;djla kï yd fjk;a frda. hla ke;akï ta hqj, i|yd jirla n,d isàu jrola fkdfjhs'

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ta;a lsishï ldka;djlf.a jhi wjqreÿ 35 blaujd isákjd kï ta ldka;dj fï ;rï ld,hla l,a n,d isàu weh ore iïm;la ,nd .ekSug we;s bvlv wjqrk fya;=jla jkakg;a mq¿jka' jhi 35 bl=;a jQ ldka;djka ffjoHjrfhl= yuq úh hq;= ld,h idudkHfhka ldka;djl Wm;ska f.fkk äïn jir 35ka miq l%shdldÍ fkdjk ;;a;ajhlg meñfKkakg mgka .kakjd' jhi wjqreÿ 35ka újdy jqfKd;a udi yhla we;=<; ore iïm;la fkd,enqKs kï fï wUqieñhka ffjoHjrfhl= yuqúh hq;=hs' wjqreÿ 40ka újdy jQ ldka;djl kï udi ;=kloS ore ms<sis|Sula isÿ fkdjqfKd;a ffjoHjrfhl= yuqùu iqÿiqhs'

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ore iïm;la m%udo jqKdu jirl ld,hla l,a ne,Su''' ;j;a úosylska lshkjd kï jirl ld,hlska miq ffjoHjrfhl= uqK .eiSu iEu fokdgu tlfia yßhkafka kE'

December 2016

m%ckl moaO;sfha fodaI iys; wh;a fkdmudj ffjoHjrfhl= yuq úh hq;=hs ldka;djl ;ukaf.a m%ckl moaO;sfha lsishï .eg¿jla mj;akd nj y÷kdf.k isákjd kï" Tima ùfïoS wêl fõokdjla we;sùu" wl%uj;a Tima ùu" tkafvdfuá%fhdaii s "a fmd,sisiaála

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Fertility

´jß iskafv%dï jeks frda. ;sfnk wh újdym%dma;j udi 2-3 lska ffjoHjrfhl= yuqùu iqÿiqhs' ta ú;rla fkdfjhs" ldka;djlg oshjeähdj" wêreêr mSvkh ;sfnkjd kï" udi ;=kl wejEfuka fï wh u|ireNdjhg we;=<;a fjkjd' Bg wu;rj mqreIfhla jqK;a fï frda. ;sfnkjd kï th idM<H;djhg lsishï n,mEula we;s lrjk nj lsj hq;=hs' oeka ore iïm;a ySk nj f,dalh mqrdu mj;sk m%Yakhla u|ireNdjh .ek f,dal fi!LH ixúOdkh isÿ l< fidhd.ekSï j, yeáhg oeka ishhg 30lau hqj,j,a w;r u|ireNdjh olakg ,efnkjd' wUqieñhka oy fofkla .;af;d;a ;=ka fofklau orejka ms<sis|.ekSfï .eg¿ j,g uqyqK mdkjd' 2000 j¾Ihg fmr fï ;;a;ajhg md;% jqfKA wUqieñhka w;=ßka ishhg oyhla muKhs' jir 1015la we;=<; u|ireNdjh úYd, jYfhka jeä fj,d ;sfhkjd' fï m%jK;djh ksid ;jÿrg;a jHdma; fjkjd' 2025 j¾Ih jk úg u|ireNdjh ishhg 136

December 2016

40-50 muK úh yels njg mqfrdal:kh lr ;sfnkjd' fuh ;j úosylska Tng wjfndaO lrjkakg W;aidy lf<d;a bosß ld,fhaoS wUqieñhka fofokdf.ka tla flfkla lsishï .eg¿jlg ,laùfï wjodkula fuhska oel.; yels fjkjd' ore iïm;a fkd,efnk jro ldf.o @ ore iïm;a ke;s jqKdu jeäfhka wj,do k.kafk ldka;djkag' óg ldf,lg biair kï we;af;kau fuh yqfola ldka;djf. wm,h ksidu isÿjk wjdikdjla f,ihs ie<l+fha' ta;a úoHd;aulj i<lk úg mqreI uQ,sl fya;= ksid;a u|ireNdjh we;s úh yelshs' 1980 oYlfha úoaj;a l;sldj;a j,g wkQj ore iïm;a wysñ ùug n,mE fya;= w;f¾ ishhg 70la muK wh;a jqfKA ldka;d iïNjhla iys; fya;= úosyg' ta;a oeka ldka;d fya;=;a mqreI fya;=;a yß yßhg fuhg n,mdk nj fmfkkakg ;sfnkjd' wo ojfia u|ireNdjhg n,mdk úúO fya;= w;f¾ ishhg 50la fya;= ldka;djf.a' b;sß ishhg 50 mqreIhdf.a lsishï wvqmdvqjla fjkak mq¿jka' ta ú;rla fkdfjhs wkd.;fhaoS mqreI mdol fya;= ldka;djf.a wvqmdvqlï wNsnjd hkakg;a bv ;sfnkjd'

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u|ireNdjhg kùk m%;sldr ire ojia j, tl;= ùu hqj,la u|ireNdjhg m%;sldr msKsi wdju uq,skau n,kafk fï wh ire ld,fhaoS tl;= fjkjdo lshk ldrKhhs' Bg miafi ialEka mÍlaIKhla lr, äïn j, ;;a;ajh .ek ;lafiarejla lrkak mq¿jks' äïn W;af;ackhg ,la lrk tkak;la oS, äïn msgfjk ojfi iajNdúlj tl;= fjkak lsh, lshkj' fïl ir< Wmdh ud¾.hla' fï úosfya ir< Wmdhud¾. j,ska weh .eí .ekaùug W;aidy .ekSu uq,au mshjf¾os isÿ fjkjd' Time Intercourse Technique fuysoS wUqieñ iïnkaO;djhlg tlafjk fj,dj ;SrKh lrkafk ffjoHjrhd ;uhs'

l%u j,ska ta mdol fya;=j fydhd.kak neyehs lshk tlhs' uQ,sl mÍlaIK j,ska fya;=jla fidhd.kak nE' kuq;a cdk mÍlaIK wdosfhka" ;rula ixlS¾K mÍlaIKfõohka fhdodf.k u|ireNdjhg fya;=j fidhd.kak mq¿jks'

ir< m%;sldr fjkqjg wê;dlaIKsl m%;sldr mÍlaIK lr, lsishï ksYaÑ; fya;=jla fydhd.kak neß jqfKd;a" tfyu fj,djg wê ;dlaIKsl m%;sldr j,g hkj' mqreIhdf. Y=l%dKQ;a fyd|hs' ldka;djf.a mÍlaIK m%;sM<;a fyd|hs' ta;a ore iïm;la msysgkafk kE'

ksYaÑ; fya;=jla fidhd. ekSug fkdyels ùu wê ;dlaIKsl m%;sl¾u j,g fhduqjk fya;=jla wfï úosyg mdol fya;=jla iïnkaOfhka fmrhSï fkdl< yels wjia:dfõoS B<`. mshjr úosyg wê ;dlaIKsl fufyhqï j,g fhduq fjkjd' fïjd id¾:l ùfï yelshdj f.dvla jeähs' ikaikaokd;aulj ne¨fjd;a uQ,sl m%;sldr j,ska id¾:l ùfï yelShdj ishhg 15 kï wê;dlaIKsl l%u Tiafia id¾:l;ajh ,nd.ekSfï yelshdj ishhg 65-70la muK olajd fjkjd'

fufyu jqKdu" ir< m%;sldr úosyg iajNdúlj tl;= fjk wjia:d yhla muKla n,kjd' IUI Cycle ;=kla muK lrkjd' ta;a ms<sis|Sula isoaO fjkafk kE' fuh Unexplained Infertility f,i ffjoH úoHdfõ ye|skafjkjd' we;af;kau fï uQ,sl mÍlaIK j,ska fya;=jla fidhd.kak neyehs lshkafk fya;=jla fydhd.kak keyehs lshk ldrKh fkdfjhs' ir<

my; frda. ;;a;aj j,oS;a wê ;dlaIKsl m%;sldr j,g fhduq ùu iqÿiqhs wfkla ;;a;ajh ;uhs fmd,sisiaála frda.h' fuysoS äïn fudarkafk

IUI m%;sldrh IUI lsh, ir< m%;sldrhla ;sfhkjd' fuysoS mqreIhdf.

Y=l%dKQ idïm,hla wrf.k fyd| Y=l%dKQ ál f;dar, äïn tk fj,dj ialEka tflka n,, ldka;djf.a .¾NdIfha ;ekam;a lrkjd' fïj ir< m%;sldr uq;a fïjd;a isÿ lrk iSudjla ;sfnkjd' wjia:d 3-4-5 g jvd lrk úg ia;%shf.a ;sfnk îc bjr fjkak mq¿jka' .¾NdIh we;=<g úIîc .syska mef,damSh kd,h wjysr fjkak;a we;eï úg mq¿jka'

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Fertility

kE' tkafvdfuá%fhdaisia ;sîu;a idM<H;djhg m%Yakhla' tkafvdfuá%fhdaisia j,os wNHka;r wjhj tlg we,S ;sfnkjd' Th Chocolate Cyst lshkafk;a tjka ;rula ixlS¾K ;;a;ajhla' fï wh;a wê;dlaIKsl l%u j,g fhduqùu iqÿiqhs' mqreIhkaf.a u|ireNdjhg ms<shï biair kï Y=l%dKQ jd¾;dfj yeáhg Y=l%dKQ m%udKj;a ixLHdjla ke;akï zzTng nfnla yokak nE''ZZ lshkjd' ta;a wo ojfia kï ;;a;ajh fjkia' jd¾;dfj tl Y=l%dKQjla j;a ke;s jqK;a jDIK fldaIh isÿre lr, yex.=k Y=l%dKqjla fidhdf.k thska orefjla cks; lrjk ;rug wo ;dlaIKh oshqKQ fj,d ;sfhkjd' ir<j lsõfjd;a ishhg 99'99lau msßñkag ;ukaf.au Y=l%dKQ j,ska ore iïm;la ,ndoSug wo idM<H;d ;dlaIKhg yelsù ;sfnkjd' jDIKfldaIh b;du l=vd jqK;a tal úo, Y=l%dKQjla fydhdf.k" iuyr úg Y=l%dKQfõ

138

December 2016

T¿j lE,a, ú;rla wrf.k thska äïnh úo, jqK;a ore iïm;la we;s lr.kak mq¿jka' Pisa/Tisa lshk úldYh fj,d ;sfhkafk fujka wreu mqÿu fufyhqï Tiafia wUQieñ hqj, fj; ore iïm;la ,nd fokak' Tjqkaf.a wdorKSh n,dfmdfrd;a;=j bgqlr fokakg'

ldka;djf.a jhi ore iïm;a ,ndoSug ;SrKd;aulhs msßñkaf.ka kï jhi wjqreÿ 65 ú;r fjklï ore iïm;la ndOdjlska f;drj ,nd .ekSfï ckl Yla;sh ;sfnkjd' ta;a ldka;djkaf.a ;;a;ajh Bg fjkia' mqreIhdf. udi ;=klg fmr yeÿKQ Y=l%dKqjla ;uhs wo t<shg tkafk' kuq;a ldka;djlf.a kï wïuf. l=ifha uq,a udi 2-3 ;rï ldf,os yeÿKQ äïn ;uhs wef.a m%ckkhg wjYH ckldKQ njg m;a jkafk' ld,h;a iu.u fï äïn j, cdk fjkiaùï isÿ jkak mq¿jka' .=Kd;aul;djh ySk fjkak mq¿jka' ms<sis|. ekSu iïnkaO .eg¿ ú;rla fkdfjhs" we;eï úg Wmosk orejka mjd úúO fi!LH .eg¿ j,g ueosùfï wjodkula ;sfnkjd' iajNdúl k< ore ;dlaIKh fuysoS YÍrfhka msg;oS äïnhla jgd Y=l%dKQ ksheoshla oud ixfiapkhla isÿ fjkakg bv yßkjd' fuysoS tla Y=l%dKQjla muKla äïnh isÿre lr ixfiapkhg ,la fjkjd'

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ICSI ;dlaIKh msfmÜgqjlska msyskñka mj;sk Y=l%dKQjla w,a,df.k äïnhla isÿre lr ixfiapkhla isÿ lrkjd' mqreIhkaf. ka ishhg 99'99lgu orefjl=f.a cSj úoHd;aul mS;D;ajh ,nd.ekSug yels jQfha fï ;dlaIKhg msx isÿ jkakghs' idM<H;djh i|yd ffjoH úoHdfõ úiªï fiùfï .ufka fndfyda úma,ùh fjkialï isÿ lsÍug iu;a jQ ;dlaIKh fï ICSI ;dlaIKhhs' jhi wjqreÿ 60-70 muK jQ jhia.; ldka;djkaf.a äïn W;af;ackhg ,la lrùug" msìoùug fï ;dlaIKh ksid yels ù ;sfnkjd' IMSI yd PICSI ;dlaIKh fïjd;a by< uÜgfï ffcùh ;dlaIKhla fhdod.kakd m%;sldr l%u' fuysoS yefok orejkaf.a .=Kd;aulNdjh b;d by<hs' fyd|u Y=l%dKQj ksYAÑ; jYfhkau fuysoS f;dard.kakjd' IUI ;dlaIKfhaoS ore iïm;la ,nd.ekSfï m%;sY;h ishhg 30-35 w;r w.hla .kakjd' kuq;a fï IMSI yd PICSI fhdod.ekSfï mshjf¾oS

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ishhg 65-70-75 jf.a by< id¾:l;ajhla m%lg lsÍu;a úfYAI;ajhla' PICSI ;dlaIKfhoS orejd ksfrda.Sj jefvkjo" lsishï frda.hla ;sfnkjo fidhd n,kak yeÿKq l<,fhkaa ffi,hla msg;oS .,jkjd' mqf;lao ÿfjlao hk j." mrïmrdfjka Wreu jk cdk.; f,vfrda. ;sfnkjdo lshk ldrKh" fï l<,fhka ffi,hla .,jd mÍlaId lsÍu PGD (pre genetic diagnosis) f,i ye|skafjkjd' fuysoS ffi,hla bj;a lsÍfuka orejdg lsisÿ ydkshla isÿ jkafka kE' fuu.skq;a ishhg 75l muK id¾:l;ajhla w;am;a lr.kakg yelshdj ;sfnkjd' Capsule Baby ;dlaIKh fï .ek wm miq.sh l,dm j, iúia;rd;aulj l;d nyl ksr; jqKd' ldka;djf.a YrSrh ;=<u iajdNdúl ;;a;aj j,g b;du ióm mrsir ;;a;ajhloS fuysoS ixfiapkh isÿ fjkjd' uq,au ojia lsysmh .; lrkjd' bkamiqj jvd;a iqÿiq îch l=i ;=< ;ekam;a lrkjd' fuys oS isÿ flfrkafka fhdaks ud¾.fha ;ekam;a l< yels úfYaIs; l=vd ma,diaála r|jkhl cSjhla wdrïN ùug wjYH idOl ,ndoSuhs' wvq úhoulska jvd;a iajdNdúl ;;a;ajhka hgf;a ore iïm;la ,nd.ekSug yelsùu ksid Capsule Baby ;dlaIKh ful, w;sYhska ckm%shhs' ore iïm;la ,nd.ekSug hk úhou biair jf.a ñ,shk .Kkska oeka fï wê ;dlaIKfha jQj;a weiqr ,nd .ekSug úhoï hkafk kE' ,laI y;rla y;r yudrla ú;r ;uhs fï Wiia l%ufõohka weiqre l<;a jeh jkafk' Capsule Baby ;dlaIKh fhdod.kakjd kï Bg;a wvqhs' ,laI ;=kla ú;r ;uhs iuia;hla f,i Bg jeh jkafk' fndfyda fokd ys;k wdldrhg fuh yqfola uqo,a iïnkaO .Kqfokqjlau fkdfjhs' uqo,a ke;sju jqK;a fï ;dlaIKfh weiqr ,nd.kak wjia:dj wo wUqieñhkag ,eî ;sfnkjd' äïn ke;s ldka;djlg ;ukaf. äïn mß;Hd. lsÍfuka ;ukaf.a orejd;a yodf.k ;j;a flfkl=g orefjla yokak ms<sirK ùfuka wê;dlaIKh i|yd úhoula fkdue;sju ore iïm;la ,nd .kakg;a wjia:djla ;sfnkjd' DM December 2016

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fodafr .,k ore fifkyi

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

wmf.a fiajdjka iuyrla • mqreI u|ire;d fodaI mßmQ¾K iudf,dapkh • ia;%S u|ire;d fodaI mßmQ¾K iudf,dapkh • .íid os.gu isÿùug m%;sldr • äïn ksIamdokfha fodaI • .¾NsKS;djfha ud¾f.damfoaYk

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ore iïm;a ,eîug wm wdh;kfhaoS isÿ lrk Wiia m%;sldr • Intrauterine insemination • IN-VITRO FERILIZATION (IVF) • Pre-implantation genetic diagnosis (PGD/PGS) • Intracytoplasmic sperm injection (ICSI) • Microepididymat and testicular sperm aspiration (MESA AND TESA) • Embryo/sperm freezing (vitrofication) • Egg freezing (vitrofication) • Social freezing • Assisted hatching • Blastocyst Transfer • FROZEN EMBRYO TRANSFER (FET) • Embryo donation program • Egg donation program • Becoming an egg donor • Fertility preservation .¾NsKS;djh iïnkaOfhka Tng we;sjk ´kEu .eg¿jloS wmf.a fiajh Tng ,nd.; yel'

ì%;dkHfha iqÿiqlï ,enQ idhksl úfYaI{ ffjoHjrfhl=f.a fiajh ,nd .ekSug 011 2836 788 ÿrl:k wxlhg wu;kak' 140

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WISH Fertility & IVF Clinic No.393/6, Kasagahawaththa Road, Old Kottawa Road , Udahamulla, Nugegoda Tel: 077 9728 799, 077 3273 866 E mail: wishiuiivf@gmail.com | wishiuiivf.com doctormagazine.lk

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wdhq¾fõoh ryfia fndfyda fofkla fõokd ú|sk Yafõ; m%orh fkdfyd;a iqo hdu

ldka;dfrda. fndfydauhlg fya;=j YÍrfha WIaKdêl njhs

ryfia fndfyda fofkla fõokd ú|sk Yafõ; m%orh fkdfyd;a iqo hdu zzYafõ; m%orhZZ fyj;a zziqo hduZZ lshkafk ldka;djka nyq;rhla ryfia ú|jk m%Yakhla''' ,ecacdj ksid i`.jd.kakd ksid fï frda.fhka ñoSug fndfyda ldka;djkag wjia:djla ke;sù hkjd'''

wd

frda.Hh fyj;a ksfrda.S nj ukqIHfhl=g ,eìh yels W;=ïu ,dNhhs' ldka;d msßñ fldhs ldf.;a m%S;su;a nj iq/lSug th w;sYhska bjy,a jkakla' ldka;d md¾Yajhg wdfõKsl f,v frda. .ek wm l;d lrkafka ;rula wvqfjka' frda.fha iajNdjh ksidu wvqfjka l;dnyg ,lajk zzYafõ; m%orhZZ fkdfyd;a zziqo hduZZ .ek fldhshïu fudfyd;l fyda ldka;djka oeKQj;a úh hq;=hs' fï frda.fhka we;sjk wdka;rdhka" wmyiq;djhkaf.ka j<lskakg th ufydamldÍ jkjd' wdhq¾fõo ffjoH rkam; rejka talkdhl

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

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ryfia fndfyda fofkla fõokd ú|sk Yafõ; m%orh fkdfyd;a iqo hdu

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