Doctor magazine January 2017

magazine Doctor ffjoHjrhd

The Premier Bilingual Health Magazine in Sri Lanka Volume 23 • January 2017

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Fibroid

*hsfn%dhsâ j,g tlu úi÷u .¾NdIh bj;a lsÍu fkdfõ''' P. 118

Water Therapy

Invention

Drink water immediately after waking up everyday

wêl reêrjyk k;r lrk l%uhla fidhd.;a odyf;a fld¿ .eghd P. 69

P. 104

Theme

urKska miq jl=.vq okafokak Tfí leue;a; fokak'''

Foods

CALCIUM & VITAMIN D FOR EVERY AGE P. 110

Disc Protrusion

P. 8

ISBN-1391 1341

9 7 7 13 91 13 400 1

P. 29

fn,af,a lelal=ug" wf;a ysßhg lrk Y,Hl¾uh fukak

BASIC HEALTH SCREENING • mQ¾K reêr mÍlaIKh Full Blood Count • reêr wjidok fõ. mÍlaIKh ESR • ksrdydr reêr mÍlaIKh Fasting Blood Sugar • iïmQ¾K fïo mÍlaIKh Lipid Profile • wlaud mÍlaIKh SGOT • wlaud mÍlaIKh SGPT • jl=.vq mÍlaIKh S. Creatinine • uq;%d hQßhd mÍlaIKh Blood Urea • uq;%d mQ¾K mÍlaIKh Urine Full Report • BiScS mÍlaIKh ECG • YÍr ialkaO o¾Ylh uek ne,Su Body Mass Index • ÿr fmkSu - oDIAÀ mÍlaIKh Distant Vision • mQ¾j frda. iïnkaO f;dr;=re ,nd.ekSu" frda. mÍlaId yd ffjoH m%;sM< iudf,dapkh

ffjoH mrSlaIK i|yd úuiSï Asiri Surigcial Hospital PLC – Wellness Center General Line : 4524400 Ext: 2603 Direct Lines : 4524431 & 4524433

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CONTENTS

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JAN' 2017 Volume 23 • Issue 01

Theme

Popular Health

urKfhka miq Tfí wjhj oka fokak Tfí leue;a; fokak''' 8

ore m%ijfhaoS isÿ lrk tmsia lemqu fkdfyd;a úgmh lemqu 40

wjqreoaolg 750lg muK noaO lrkak mq¿jka bkaøsh wmf;a hdula fjkjd''' 15

;=jd,hla we;s jqKdu f,a .e,Su k;r fjk iajdNdúl l%shdj,sh isÿ jkafka fufyuhs 44

oeäi;aldr.;j ñheÿKq frda.f s hl=f.a fud<fha urKhla y÷kd.kakd wkaou 17

fï bka*a,qfjkaidj ysi Tijk ld,hhs''' oeKQj;a fjkak''' 114

Diseases and Treatments

wfma rfÜ ldka;djka *hsfn%dhsâ frda.hg ,laùfï jeä wjodkula ;sfnkjd''' 118

fn,af, lelal=ug" wf;a ysßhg''' fõokdjg''' isÿ lrk Y,Hl¾ufha j.;=. 29 fjfiia ie<ls,a,lska /l n,d.; hq;= ksoka.; Yajik frda.Ska 34 W.=r mÍlaId lrk tkafvdiafldms mÍlaIKh f;dr;=re wkdjrKhg losuhs 46 Y,Hl¾u isÿ lsru S g we;s ìh bj;a l< ,emriafldmsla Y,Hl¾u 48 frday,a j, idhk j,g jeäfhkau frda.k S a meñfKk f,fâ''' 56

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ore iïm;a m;k wUqieñhka oeK.; hq;= lreKQ lsysmhla 92

wêl reêrjyk iefklska k;r lrk wmQre ksIamdokhla y÷kajd ÿka wjqreÿ odyf;a fld¿ .eghdf.a l;dj 69

udkisl wd;;shg''' úYdohg w; jkk uqyqfKA we;sjk widudkH;d 123 fõokdjg lelal=ug fldhs ljqre;a <`. ;nd .kakd fõokd kdYlh merisgfuda,a 126

ffjoH m%;sìïnfõofha hq. fufyjrl msh iyyka ;enQ ysgmq úlsrK ;dlaIK úoHd,fha úÿy,am;s udI,a m%kdkaÿ ue;s;=ud 72 iu úhm;a ùu 65

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CONTENTS

JAN' 2017 Volume 23 • Issue 01

Features

English Section

Ayurveda

ore meáhkaf.a f,dalh .ek Tn fuf;la fkdoek isá úYañ; f;dr;=re álla''' 24

Why You Should Drink Water On An Empty Stomach Immediately After Waking Up 104

ms<sldfjka ÿla ú|sk ;ukaf.a tlu oshKshf.a PdhdrEmh .;a ;d;a;d lshk l;dj''' 38

Calcium & Vitamin DImportant at Every Age 110

mdrïmßl ks, fjolfuka frda. iqjlrk lsrsn;af.dv fm%aupkaø fjoeÿre;=ud 134

Regular

f.dajd fld< mmq;=f¾ i`.jdf.k msfhdjqre j,g iqjh fidhk hqfrdamSh ldka;djka''' 63 ñksidg je<fok udrdka;sl c,NS;sldj msgqolsuq 80 2020 j¾Ih jk úg c,NS;sldj fï rfgka ;=rka lsÍfï W;aidyhla fi!LH wud;HxYhg ;sfnkjd''' 84

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Editors Note 6

ifuys frda. ms<sn|j wdhq¾fõou;dkql+, úuiqula 138

Medi Gadgematics ,emriafldmsla Y,Hl¾u j, fyg oji 54

News iqmqj; 22 Thousand words in ONE IMAGE 90 Health & Fitness 88 Tfí ffjoH .eg¿jg wfmka ms<s;=re''' 77 nqlsfha frday,a l;d''' 53 Quotable quotes about life 102

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EDITOR'S urKfhka miq ñys;,fha je<f,k''' osrdm;a jk wjhj oka fokakg''' bka ;j;a cSú;hla /l.kakg oeka wjia:djla ;sfnkjd'''

fud<h urKhg m;a jQjkaf.a wjhj oka oSfï jevigyk wfma rfÜ jirlg jl=.vq frda.Ska 5000la w¿;ska y÷kd.kakd nj;a fï frda.Ska i|yd noaO lsÍu msKsi iqÿiq jl=.vq fidhd .ekSu tkak tkaku ÿIalr ld¾hhla ù we;s nj;a jd¾;d fjkjd' jl=.vq frda.h wfma rg uqyqK mdk m%Odk fi!LH ;¾ckhla' tys iïNjh iïnkaOfhka fï ;dla ksYaÑ; fya;=jla y÷kd.ekSug fyda fkdyels ùfukau fuu .eg¿fõ iajNdjh meyeos,s fjkjd' cd;shla jYfhka m%Yak .eku ñi W;a;r .ek fkdis;+ fudfyd;l ud,s.dj;a; jDlalfõo ldkaÿ fmÍu iy jl=.vq noaO lsÍfï cd;sl uOHia:dkh fï jl=. vq fkdue;sj ,;dfjk frda.Skag msysgg

NOTE úi÷ula yªkajd fokjd' w¿;a fidhe. ekSula fkdfjhs' ta;a fuf;la úúO wNsfhda. yryd l%shd;aul ùu W.yg jQ ldrKhla''' fud<h urKhg ,laùfuka cSú;h yerhk whf.a jl=.vq noaO lsÍu iïnkaOfhka w¿;a jevms<sfj,la oeka l%shd;aul fjkjd' ta iònkaOfhka mdGlhka oeKQj;a lsÍug fujr l,dmfhka wm úfYaI W;aidyhl ksr; fjkjd' j¾Ihlg 750la muK fokd fud<h urKhg m;a ùfuka wfma rfÜ iuq .kakjd' fï iïnkaOfhka iudc l;sldj;la yryd ;j;a cSú;h hosk msßilg kej;;a cSú;h ,nd fokakg fï jevms<sfj, iu;a jkjd we;s' tla wfhl=f.a jl=.vq j,ska cSú; folla fírd.; yelshs' wlaudj yd ;j;a YÍr wjhj rdYshla oka fokakg mq¿jka' fò i|yd iudch n,.ekaùula wjYHhs' fud<h urKhg m;ajQ whg ;ukaf.a wjhj fokak nE' fï wjhj okaoSug iudc l;s;dj;la wjYHhs' wjhj okaoSu i|yd iafõÉPdfjka bosßm;a ùfï jevigyklao wjYHhs' fï i|yd oekgu;a jl=. vq uOHia:dkh úYd, W;aidyhl ksr; fjkjd' ta W;aidyh .ek Tnj oeKQj;a lsÍu i|yd;a" Tjqka ioa jHdhduhg w;aje<la ùug iudch n,.ekaùu i|yd;a fujr wm m%Odk f;audj lsishï fyda msgqjy,la fjkjd kï thhs wfma i;=g'''

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

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The Premier Health Magazine in Sri Lanka Volume 23 â&#x20AC;˘ Issue 01, January 2017

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

Dr Chandana Sri Kanakaratna Geriatrician, Physician

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

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

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

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

January 2017

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

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Theme

urKfhka miq Tfí wjhj oka fokak Tfí leue;a; fokak'''

urKska miq jl=.vq okaoSu i|yd jl=.vq mß;Hd.YS,Ska ,shdmosxÑ lsÍfï cd;sl jevigyk fi!LH wud;HxYh jDlalfõo ldkaÿ fmÍu iy jl=.vq noaO lsÍfï cd;sl uOHia:dkh

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Deceased donor organ transplantation

urKfhka miq Tfí wjhj oka fokak Tfí leue;a; fokak''' Tfí urKhg;a Wmßu jákdlula we;s lrf.k Tfí wjhj j,ska ;j;a flfkl=g cSú;h ,ndoSfï odk mdrñ;dj mqrkakg oeka Tng;a wjia:dj ;sfnkjd''' jDlalfõo ldkaÿ fmÍu iy jl=.vq noaO lsÍfï cd;sl uOHia:dkfha l%shd;aul urKska miq jl=.vq okaoSu i|yd jl=.vq mß;Hd.YS,Ska ,shdmosxÑ lsÍfï cd;sl jevigyk Ndr; .=K;s,l úisks wo wfma iudcfha noaO lsÍug wjhj wfmalaIdfjka isák frda.Ska úYd, ixLHdjla isákjd' fï wh w;r jeäfhkau isákafk cSj;a fjkak jl=.vqjla fydhd.kak wiSñ; W;aidyhl fhfok frda.Ska' ;ukag .e,fmk jl=.vqjla fidhd fokak lsh, wdhdpkd lrk frda.Skaf. {d;Ska lS fofkla kï Tng;a yuqfj,d ;sfnkjdo @ ta ú;rla fkdfjhs" wlaudj úkdYhg m;ajQ frda.Ska''' w.akHdYh'''' fï úosyg úúO wjhj n,dfmdfrd;a;=fjka bkak úYd, ixLHdjla frda.Ska .ek wm ixfõoS úh hq;=hs fkao @ jl=.vq frda. - wfma rfÜ ck;dj uqyqKmdk úYd, jHikhla' jeä jYfhkau jl=. vq ydkshg ,la jkafka oshjeähd frda.Skaf.hs' jl=.vq ydkshg m;aùfuka wjidk woshf¾ jl=.vq wlrKshg ,la jqKdu jl=.vqjla noaO lsÍu yer fjk;a úl,amhla b;sß jkafka kE' jl=.vq odhlhka fidhd .ekSu oeka tkak tkaku ÿIalr ldrKhla jl=.vq noaO lrk frda.Ska uqyqKmdk úYd,;u wNsfhda.h uqo,a j,g;a jvd" iqÿiq odhlfhla fidhd .ekSug ;sfnk ÿIalr;djhhs' wfma rfÜ 5"000la muK fokd jd¾Islj fï wNsfhda.hg uqyqK fokjd' Tjqkaf.ka ishhg 10l ú;r m%udKhla ;uhs iqÿiq odhlhka fidhd.kafka' iqÿiq jl=.vq odhlhka fidhd .ekSu oeka tkak tkaku ÿIalr jk njla fmfkkakg ;sfnkjd' doctormagazine.lk

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urKfhka miq Tfí wjhj oka fokak Tfí leue;a; fokak'''

Theme

fud<h urKhg ,la jQjkaf.a ksfrda.S jl=.vq fuhg b;d fyd| úl,amhla' fuysoS ;uka leue;a; ,ndoS ;sfnkjd kï {d;Skag úreoaO fjkak fya;=jla kE' fudlo leu;a; urKlref.' jeo.;au ldrKh jkafka ixfõoS ldrKd ksid {d;Ska fï ld¾hhg w; .ykak miai .ykjd' ta;a ;ukaf. cSú;h kej;;a lsisu osfkl f.dv .kak neß fjk wjia:dfõoS ;ukaf. wjhj oka fokak lsh, Tyq lsh, lshkj kï ffk;slj ta i|yd l%shd;aul fjkak ffjoHjrekag mq¿jka' fud<h urKhg m;aùu lshkafka iaÓrj cSú;hg isÿjk kej; ms<silr fkdl< yels ydkshla zzfud<h urKhg m;aùu lshkafka iaÓrj cSú;hg isÿjk kej; ms<silr fkdl< yels ydkshla' fud<h urKhg m;a jqKdu tal kej; fmr ;;a;ajhg ilia lrkak nE' tal frda.shdf.a l%shdldß;ajh wjika ùula' urKhg m;aùula' ZZ fufyu lshkafk ks¾úkaok úfYaI{ ffjoH úfkdaokS jks.fialr uy;añh' uykqjr uy frday, fud<h urKhg m;a Woúhf.a wjhj noaO lsÍu msKsi fhdod.ekSu wdrïN lrk ,o ffjoH wdh;khla' wjhj noaO lsÍu lshkafk ixlS¾K l%shdj,shla' iqÿiq wdodhlfhla - frda.sfhla ffcj úoHKql+,j y÷kd.ekSu l< hq;=hs' .,md.; hq;=hs' meh lsysmhla we;=<; ta wjhjh Tyqg noaO lrkak yosis Y,Hl¾uhla ie,iqï lr.; hq;=hs' jl=.vq ú;rlau fkdfjhs" wlaudj''' w.akHdYh''' weia'' fï úosyg wjhj f.dvla noaO lrkjd kï frda.shka rdYshhs' noaO lsÍfï ie;alï rdYshhs' wfma rg uq¿ f,daflgu weia oka ÿkak rg' ta ld¾hh ld,hla ;siafiau id¾:lj isoaO fjkjd' oekgu;a rgj,a 54lg wfma weia j, l=Ks; noaO lsÍu msKsi ,nd fokjd' fï l=Ks; ,nd.kafk;a urKhg m;a jQ miqj ;uhs' ta i|yd úYd, Woafhda.hla oeka oYl .Kkdjl isgu wfma rfÜ ;sfnkjd' wfma iudcfha uq,anei.;a odkh msklah''' W;=ï mdrñ;djlah lshk fndÿKQ b.ekaùu ksid wms oka fokak leu;shs' odkuh is;sú<s wfma rfÜ ck;dj ;=< cdk.;j ;sfnkjd' 10

January 2017

DOCTOR MAGAZINE

ta ksid fï úosfya lghq;a;la ixúOdkh lr.kak wmg Wmßu iudcuh miqìula ;sfnkjd' oekgu;a jl=.vq noaO lsÍu isÿ lrk rdcH wxYfha frday,a y;la ;sfnkjd' fld<U cd;sl frday,''' tys ud<s. dj;a; jl=.vq frday, yereKq úg ldi,a ùosh ldka;d frday," lrdmsáh" fmardfoksh" wkqrdOmqr" uykqjr yd fmdf<dkakrej hk frday,a j, jl=.vq noaO lsÍï oekgu;a isÿ fjk ksid fïjd bosß noaO lsÍï i|ydo myiqlï jeä oshqKq lr fhdod.; yels jkq we;s' bkaøsh ys`.hg fyd|u úl,amh jkqfha fud<h urKhg m;a jQjkaf.a wjhj ,nd .ekSu úfYaI{ jl=.vq frda. ffjo ikaOHd fifkúr;ak - fud<h urKhg m;a jQjkaf.a wjhj j,ska frda.Skag wjYH wjhj ,nd. ekSu iïnkaOfhka b;du;a iqNjdoSj is;k ffjoHjßhla' wo cSj;aj bkak whf.ka wjhj ,nd.ekSu b;d ÿIalr ld¾hhla njg m;a fjñka ;sfnk nj weh doctormagazine.lk

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m%ldY lrkjd' weh lshk wdldrhg fuhg fyd|u úl,amh jkqfha fud<h urKhg m;a jQjkaf.a wjhj ,nd .ekSuhs' oshqKQ rgj, fuu.ska Tjqkag wjYH wjhj j,ska iEfyk m%udKhla imqrd. kakjd' wfma cSj;a fjkak wdhdifhka W;aidyhl fhoS isák ta i|yd wjhj fkdue;s úYd, ixLHdjla frda.Skag fï jk úg n,dfmdfrd;a;= we;s lr.; yels tlu ms<sirK;a fï ñh.sh whf.a wjhj noaO lr.ekSuhs'

fujr fi!LH wud;HxYh;a ud<s.dj;a; jDlalfõo ldkaÿ fmÍu iy jl=.vq noaO lsÍfï cd;sl uOHia:dkh;a taldnoaOj wdrïN lrk ,o urKska miq jl=.vq okaoSu i|yd jl=.vq mß;Hd. YS,Ska ,shdmosxÑ lsÍfï cd;sl jevigyk uekúka ixúOdkd;aulhs' thg fndfyda mqrjeishkaf.a l%shd;aul iyNd.s;ajh oekgu;a ,eî ;sfnkjd' ta;a fï lghq;a; id¾:l lr.ekSug fï jákd mKsúvh iudc.; lsÍfï lsishï wjYH;djhla meK ke.S ;sfnkjd'

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ta;a oeä Wmia:dk tall j, hka;% j,ska YÍrh mj;ajd f.k hk fud<h urKhg m;a jQjkaf.a wjhj ,nd.ekSu ys;k ;rïu;a myiq kE' th ffjoHjreka m%dfhda.slj w;aú|sk fohla' úfYaIfhkau ióm {d;Skag fï ixfõoS wjia:dfõoS tu wjHH;djh mila lsÍu wiSre ld¾hhla' Tjqka fud<h urKhg m;aùu cSú;h wjika ùula lsh, f;areï .kafk iEfyk January 2017

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urKfhka miq Tfí wjhj oka fokak Tfí leue;a; fokak'''

Theme

ld,hla .; jqKduhs' we;eï fj,djg fï frda.shdg mk wrka fokak l%uhla ;sfhkjo lsh,;a Tjqka iel lrkjd" W;aidy lrkjd' ióm {d;Ska tfyu yeisfrk tl widudkH ldrKhl=;a fkdfjhs' yenehs" urKhg m;ajqKq mqoa.,hd cSj;aj bkak ldf,os tl`.;djhla oS, ;sfhkjd kï ld¾hh myiqhs' kS;suh ndOdjla kE' fï .ek {d;Skag f;areï lsÍu;a myiqhs' ta ksid wfma iudch fïlg odhl lr.kak ´ks' jl=.vq mß;Hd.YS,Ska ,shdmosxÑ lsÍfï cd;sl jevigykla ud<s.dj;a; jDlalfõo ldkaÿ fmÍu iy jl=.vq noaO lsÍfï cd;sl uOHia:dkh úiska oekgu;a urKska miq jl=.vq okaoSu i|yd jl=.vq mß;Hd.YS,Ska ,shdmosxÑ lsÍfï cd;sl jevigykla wdrïN lr ;sfnkjd'

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DOCTOR MAGAZINE

mß;Hd. idudcsl;aj ldâm;la ,ndf.k odhl;ajh oelajQfjd;a Tnf.a urKfhka miq Tfí jl=.vq frda.Ska fofofkl=gu noaO lr Tjqka tu frda.fhka .,jd .ekSug fï wkQj wjia:djla ,efnkjd' ta ú;rla fkdfjhs''' Tfí fk;= hq.," wlaudj" w.akHdYh''' fï jf.a ;j;a wjhj rdYshlao noaO lsÍug ,ndoSu olajd fï jevms<sfj, bosßhg f.k hd yelshs'

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oekg l%shd;aul ù we;s fï zzurKska miq jl=.vq okaoSu i|yd jl=.vq mß;Hd.YS,Ska ,shdmosxÑ lsÍfï cd;sl jevigykZZ iïnkaOfhka jeäÿr úia;r my; ,smskfhka ,nd.; yelshs' wOHlaI" jl=.vq ldkaÿ fmÍu iy jl=.vq noaO lsÍfï cd;sl uOHia:dkh 349" chka; ùrfialr udj; fld<U 10 ÿrl:k wxl 011 2422 335" 011 2422 336" 0112 445 067 *elaia 011 2422 334 úoahq;a ,smskh nindtmaligawattee@ gmail.com fuu mQ¾j tl`.;djh b;d jeo.;a mshjrla jkafka lsishï frda.shl= urKhg m;ajQ úg Tyqf.a wjhj fjk;a frda.Ska /ilf.a cSú; .,jd.ekSu i|yd ,nd .ekSug läkñka lghq;= lsrSug tu.ska wjia:dj ,eîuhs' fï wjirh {d;Ska fj;ska ,nd .ekSug lghq;= lsÍfïoS uq,ska

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lS wdldrhg iEfyk m%udohla isÿjk w;r th tu wjhj m%fhdackhg .ekSugo ndOdjla fjhs' tfy;a mQ¾j wkque;shla urKlreu ,ndoS we;s úg ta lghq;= buyla ld¾hlaIu;djfhka isÿ lsÍug wjldY ie,fihs' hqfrdamfha kï fï l%uh fndfydau oshqKqhs fï l%ufha ld,Sk wjYH;djh iïnkaOfhka ms<sn|j wmQre fy<sorõjla lrkafka jdysksl" wkaf;dajdysksl yd wjhj noaO lsÍu iïnkaO úfYaI{ ffjoH kd,l .=KjxY uy;dhs' Tyq mjik wdldrhg hqfrdamfha we;eï rgj, iEu mqrjeisfhlau lsishï fud<fha urKhlg ,la jQfjd;a ;u wjhj ,nd fokakg iQodkï' fï ksid hï flfkla l,d;=rlska ta i|yd wlue;a;la fmkajkjd kï muKla ;u fjd,Ügqfõ ta wjhj oka oSug wlue;a; fmkajk ldâ tl <`. ;nd .kakjd' rgla jYfhka Tjqka fï flfryS lemù ;sfnkjd' fï wkQj iudchla jYfhka fï i|yd we;eï rgj,a fl;rï ÿrg fm< .eiS isákafkao hkak mila lsÍug fuh w.kd ksoiqkla' f.!;u nqÿrcdkka jykafia fud<h iïnkaOfhka foaYKd l< whqre''' fud<h yd uki ms<sn|j jvd;a lreKQ ú.%y l< Ydia;Dka jykafia f.!;u nqÿrcdkka jykafiah' fud<h zzu;a:¨x.xZZ hkqfjkao uki zzÑ;a; ú[a[dKhZZ jYfhkao ye|skajQ w;r zzÑ;af;ak kSh;s f,dafldaZZ hkafkka f,dalh fufyhjkafka isf;ka nj fmkajd ÿkay' zzwÑrx j;hx ldfhda mGúx wêfiiai;s PqoafOda wfma; ú[a{dfKda ksr;a:xj l,sx.rxZZ hkqfjka jod, fï O¾u mdGfha wre; jkqfha isrer uki úiska neyer lsÍfuka fyda isrefrka uki neyer ùfuka urKh isÿjk njhs' iudcfha fï iïnkaOfhka l;sldj;la we;sùu wjYH ldrKhla wjhj okaoSfï tl`.;djhla iudcfhkau n,.ekafjkj kï th jvd;a fyd|hs' ta .ek

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urKfhka miq Tfí wjhj oka fokak Tfí leue;a; fokak'''

Theme

f.k hdu wmyiq jqKd'

lsishï l;sldj;la wfma iudcfh;a we;súh hq;=hs' wo ta iïnkaOfhka b;d ixúOdkd;aul jevms<sfj,la fï wdldrfhka fi!LH wud;HxYfha ueosy;a ùfuka wdrïN ù ;sfnkjd' th id¾:l lr.ekSug iudc iyfhda.h ,nd.ekSuhs fï fudfydf;a l< hq;= jkafka' fï tl`.;d ,nd.ekSu rg mqrdjgu jHdma; úh hq;=hs' .%du ks,OdÍ uÜgfuka fï rfÜ iEu wiailagu uq,a,lgu fï jákd mKsúvh ,ndf.k Tjqka jeä ixLHdjl fï i|yd tl`. lrjd .; hq;=hs' túg jvd myiqfjka fud<fha urK j,oS ;j;a cSú; /ila f.dv .kakg wjia:dj ,efnkjd' oekgu;a ñh.sh whf.a wjhj noaO lsÍu iïnkaOfhka l%shd;aul frday,a rdYshla ;sfnkjd' fld<U cd;sl frday," Y%S chj¾Okmqr uy frday, uykqjr yd fmardfoksh YslaIK frday,a jf.au lrdmsáh yd wkqrdOmqrfha;a ñh.sh whf.a jl=. vq j,ska frda.Skaf.a cSú; wdrlaId lrf.k ;sfnkjd' óg fmr;a fï ñh.sh whf.a wjhj j,ska frda.Ska iqjm;a lsÍfï W;=ï ld¾hh n,.ekaùug lrk ,o W;aidyhka .kq ,enQjd' tajd ta ta jljdkq j, bosßhg

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ta;a fujr fi!LH wud;HxYh;a wdrïN lrk ,o jevigyk uekúka ixúOdkd;aulhs' thg fndfyda mqrjeishkaf.a l%shd;aul iyNd.s;ajh oekgu;a ,eî ;sfnkjd' ta;a fï lghq;a; id¾:l lr.ekSug fï jákd mKsúvh iudc.; lsÍfï lsishï wjYH;djhla meK ke.S ;sfnkjd' ta wjYH;djh imqrd.;af;d;a ish oyia ixLHd; ck;djf.a cSú; .,jd .ekSug th mdr lshdú' urKh wm ldg;a ysñ fohla' urKhg m;ajk wjia:dfõ fujka msxlulg odhl ùfuka urKhg;a w;suy;a jákdlula ,efnkjd' cSj;aj bkak ldf, iudchg hym;la lrñka cSj;ajk flfkl=g fï Tiafia ;ukaf.a osfkl fkdje<elaúh yels urKfhkao W;=ï odhl;ajhla olajkakg ,eîu fudk ;rï jákd ld¾hhlao @ DM

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wjqreoaolg 750lg muK noaO lrkak mq¿jka bkaøsh wmf;a hdula fjkjd'''

urKska miq jl=.vq okaoSu i|yd jl=.vq mß;Hd.YS,Ska ,shdmosxÑ lsÍfï cd;sl jevigyk

wjqreoaolg 750lg muK noaO lrkak mq¿jka bkaøsh wmf;a hdula fjkjd''' fïj ,nd fokj kï ;j;a úYd, ixLHdjlg cSú;odkh ysñ fjkjd'''

È

h yels jl=.vq 750l muK m%udKhla jd¾Islj wmf;a hkjd' fkdje<elaúh yels urKhlg uqyqK md isák fud<h urKhg m;ajQjka iïnkaOfhka''' wm w;r ;sfnk wkjfndaOh ke;s lr.;af;d;a fï wmf;a hk''' jákd jl=.vq j,ska ;j;a cSú;hla /l.kak mq¿jks'ZZ jDlalfõo ldkaÿ fmÍu iy jl=.vq noaO lsÍfï cd;sl uOHia:dkfha wOHlaI ffjoH r;akisß fyajf.a m%ldY lr isákjd' jl=.vq noaO lsÍfï wdldr folla ;sfnkjd''' icSù noaO lsÍï (live donors) fkdfyd;a cSj;aj bkak flfklaf. ka jl=.vq ,nd .ekSu iy urKhg m;ajqkQ wfhl=f.a (deceased donors) jl=.vq noaO lsÍï wdoS jYfhka' fï urKhg m;ajqKQ whf.a wjhj ,nd .ekSu by;oS ye|skajQfha Cadaveric transplant hkqfjka'

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jDlalfõo ldkaÿ fmÍu iy jl=.vq noaO lsÍfï cd;sl uOHia:dkfha wOHlaI ffjoH r;akisß fyajf.a fï jl=.vq noaO lsÍuloS yoj; fud<h uereKQ" ta ksidu cSjhla" cSú;hla wysñ tfy;a ;ju;a iamkao jk yoj;la iys; flfkl=f.ka wjhj ,nd .ekSula isoaO fjkjd' tfiau ta úosyg yoj; .eiaula ke;s flfkl=f.a jl=.vq noaO lrkak ,nd .kakjd kï th ñks;a;= 30la we;=<; isÿ lrkak ´ks' fojkqj lS urKfhka úkdä 30la we;=<; wjhj bj;a lsÍu ;rula m%dfhda.slj ÿIalr ldrKhla' urKhg m;ajQ whf.ka wjhj ,nd .ekSu wid¾:l ta ksihs' fï úosfya ldrKhloS uereKq mqoa.,hdf.a l=Ks;h kï ;j;a

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wjqreoaolg 750lg muK noaO lrkak mq¿jka bkaøsh wmf;a hdula fjkjd'''

Theme

flfkl=g fokak mq¿jka' l=Ks;hla icSùj mj;ajd .kak úYd, reêr ixirkhla wjYH jkafk ke;s ksid''' ta yereKQ úg uD; YÍrh wOHhk lghq;= i|yd ffjoH úoHd,hlg ndr fokak mq¿jka'

fkdjeïn¾ udfi fjk úg urKhg m;ajK q q mqo. a ,hkaf.a jl=.vq j,ska ud<s.dj;a; jl=. vq uOHia:dkh jl=.vq noaO lsÍï 26la muK b;d id¾:lj fï wdh;kfha isÿ lr ;sfnkjd'

kuq;a uereKQ mqoa.,hdf. yoj; ^fjkaáf,ag¾ WmlrKhlska fyda& iamkaokh fjkj kï yoj;g wï,lr jdhqj ,efnkjd' tafl m%;sM<hla úosyg iuia; YÍrh mqrdu reêrh ixirkh fjkjd' bkaøsh icSùj mj;ajd .kak fï ksid mq¿jka' fï úosyg ;u ffcj l%shdldß;ajh wjidk lrmq mqoa.,fhlaf.a isrer osk 2-3la" iuyr úg i;shla jqK;a fjkaáf,ag¾ tll wdOdrfhka mj;ajd .kak mq¿jka'

je,kaghska ojfios Tn zzTfí yoj;ZZ wdorKSh fmïj;dg" fmïj;shg oka fokak we;s' Tng m%fhdackhla .; fkdyels oskhl iuyr úg Tfí wfkl=;a jákd wjhj rdYshlao ;j;a wh yd fnod.kak mq¿jka nj Tn okakjdo @ iuyr úg Tn lsis ojil oel, j;a ke;s wirKhka msßila iu.'''@

;jÿrg;a cSj;a jk mqoa.,fhla fkdfjhs' Tyq urKhg m;ajqKQ mqoa.,fhla' fï ksid Tyq fjkqfjka ;j;a lrkak fohla b;sß fj,d kE''' fï ldrKh iïnkaOfhka iudch oeKQj;a fjkj kï fï wdldrhg uereKq mqoa.,hkaf.a wjhj j,ska cSj;a fjkak oeä wdhdihla .kak''' ;j;a flfkl=f.a cSú;h /l fokak th msgqjy,la fjkjd' fï ienEj .ek ck;djf.a wkjfndaOh ksidu ixfõoS {d;s ñ;%doSka ta wjhj bj;a lr.kak úreoaO fjkak bv ;sfnkjd' wjqreoaolg wfma rfÜ jl=.vq frda.Ska 5000la w¿f;ka jd¾;d fjkjd' fï whg noaO lrkak jl=.vq fidhd .ekSu úYd, .eg¿jla njg m;afj,d ;sfnkjd' fï oeä wjYH;djfhka fldgila fyda msßuid .kak fud<h urKhg m;ajk whf.a bkaøsh j,g mq¿jks' fkdjeïn¾ udfi fjkúg fï wdldrhg urKhg m;ajqKq mqoa.,hkaf.a jl=.vq j,ska wm jl=.vq noaO lsÍï 26la muK b;d id¾:lj fï wdh;kfha isÿ lr ;sfnkjd'

fud<h urKhg ,la jqKdu ta ;eke;a;d

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ffjoH r;akisß fyajf.a fud<h ñheÿKQ whf.a wjhj okaoSu ms<sn|j ck;dj oeKQj;a lrk wáfhka iudc.; l< mKsúvh krUkak''' DM

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oeäi;aldr.;j ñheÿKq frda.sfhl=f.a fud<fha urKhla y÷kd.kakd wkaou

https://youtu.be/3m_ u44JjYMk

• Yajikh isÿ fkdùu' ^fuh ;yjqre lr.ekSug wemakshd kue;s mÍlaIKh isÿlrKQ ,nhs'

urKska miq jl=.vq okaoSu i|yd jl=.vq mß;Hd.YS,Ska ,shdmosxÑ lsÍfï cd;sl jevigyk

oeäi;aldr.;j ñheÿKq frda.sfhl=f.a fud<fha urKhla y÷kd.kakd wkaou

l=vd fud<h iïnkaO m%;sl%shd úuiSu fud<fha urKh ;yjqre lr .ekSug fmr uq,skau l=vd fud<h iïnkaO m%;sl%shd isÿ jkafkaoehs ksYaph lr.; hq;=h' th isÿ lrkafka my; ksÍlaIK wkqidrfhks'

l=vd fud<h wdmodjg m;a ùu iy m%Odk fud<h wdmodjg m;aùu w;r fjki'''

• wefia ldp újrfha m%udKh úuid ne,Su'

ldhsl frda. úfYaI{ ffjoH ksu,a fifkúr;ak fud<fha urKh lshkafka l=ulao @ l=vd fud<h ñh hdu;a iu. mqoa.,fhl=f.a Yajikho k;r fjhs' Yajikh md,kh lrk uOHia:dkh we;af;a l=vd fud<fhah' fï ksid l=vd fud<h ñh hk úg flfkl=g yqiau .ekSu fkdl< yelsh' fud<fhka mKsúv ksl=;a lsrSulao fua ksid isÿ fkdfjhs' fï wdldrfhka l=vd fud<h wl¾uKH ùu''' l=vd fud<h urKhg m;aùu ;yjqre lr.ekSu i|yd my; lreKq idlaId;a lr.ekSu wjYH jkafkah' • l=vd fud<h iïnkaO ish¿u m%;sl%shd k;r ùu' • YÍrfha ish¿u udxYfmaYs j, p,khka weKysàu' • YÍr WIaK;ajh 3500C jvd jeäùu

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• isyska l+rla jeks WmlrKhla frda.shdf.a uqj ;=<g heùfuka thg frda.shd m%;sl%shdjla olajkafkaoehs ksÍlaIKh lsÍu' • fï wjia:dfõoS frda.shd zz.aZZ jeks Yíohla k.ñka m%;spdr oelaúh hq;=h' ^fuh .e.a m%;sl%shdjZZ jYfhka y÷kajhs'& • wefia p,khka iïnkaOfhka isÿ lrk zzfvda,aia whs uQukaÜZZ f,i y÷kajk mÍlaIKh isÿ lsÍu'

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oeäi;aldr.;j ñheÿKq frda.sfhl=f.a fud<fha urKhla y÷kd.kakd wkaou

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fud< oKav urKhg m;aùu ;=< kej;;a cSú;hg bvla kE'''' wm wjfndaO lr.; hq;af;a ta i;Hhs'fï rEm igyfkka idudkH fud<fha l%shdldß;ajh" fud<h urKhg m;aùu iy ;djld,sl ;;a;ajhla jYfhkao mej;Sug bvla we;s fjcsfÜáõ ;;a;ajh iïnkaOfhka rEml ksrEmKhla oelafjkjd

• wefia p,k iïnkaOfhka isÿ lrk zzle,ß fgiaÜZZ kue;s mÍlaIKh isÿ lsÍu' fï mÍlaIK ud,dj u;ameka" ji wdosh YÍr.; ùfuka urKhg m;ajQ wfhl= iïnkaOfhka wod, lr.kafka ke;' T!IO wê ud;%d j,ska .ekSu" u;ameka fyda fjk;a jiúi fya;=fjka fud<fha we;sjk ydks fuysoS fjk;a wdldrhlg ksÍlaIKhg ,lajk w;r Bg wod,j isÿ lrk m%;sldr ;jÿrg;a isÿ flf¾' 18

January 2017

mqoa.,fhl=f.a fud<fha urKh iaÓr lsÍug ta nj yªkd.ekSfuka ;=ka mehlg miqj by; mÍlaIK ish,a, kej;;a isÿ l< hq;=h' th ;jÿrg;a ikd: ù kï bkslaì;s úfYaI{ ffjoHjreka we;=<;a úfYaI lKavdhula u.ska frda.shdf.a fud<fha urKh iaÓr lrKq ,efí' m%Odk fud<fha widudkH;djhla ksid we;sjk Vegetative State ;;a;ajfha frda.Ska Vegetative State ;;a;ajfhaoS frda.shdf.a l=vd fud<h l%shd;aul ;;a;ajfha mj;akd w;r m%Odk fud<h l%shd;aulj l%shd jkafka ke;' fujeks frda.sfhl= isákafka isys ke;s ;;a;ajhlsks' l,d;=rlska weia weÍu isÿfõ' kuq;a fuh Brain Death ;;a;ajhla f,i ie<flkafka ke;' fud<fha urK fkdfyd;a Brain Death ;;a;ajfhaoS l=vd fud<h ksielfhkau ñh hdula isÿ jkafkah' fud<h urKhg m;ajQ frda.sfhla lsisod m%lD;s ;;a;ajhg m;a jkafkao ke;'

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fud<fha urK ;yjqre lrkak úYajdiKSh l%ufõohla wkq.ukh lrkjd''' uyd ì%;dkHfha w;aoelSï'''' Y,H ffjoH wdkkao osidkdhl fud<fha urKhla isÿjQ jQ úg th ksiel urKhla njg ms<s.kakd ì%;dkHfha mj;akd l%ufõoh iïnkaOfhka fufia úia;r lrhs' w¾: oelaùula jYfhka .;fyd;a mqoa.,fhl=f.a urKh hkq Tyqf.a isysh kej; ,nd.ekSug we;s yelshdj ia:sr jYfhkau ke;sù hdu iy wdOdrlhlska f;drj Yajikh lsÍug we;s yelshdj iaÓr jYfhkau fkdue;s ùuhs' fuh wre;a oelaùula jYfhka fufia ,>qfldg ye|skajQj;a fud<fha urKhla ksYaph lsÍuo ixlS¾K l%shdj,shls' th tfia jkafka yqfola urKhla ksYaph lsÍu t;rï ixlS¾K l%shdj,shla ksid fkdfõ' urKhla isÿjQ úg th ielhlska f;drj'''' úYajdikSh;ajfhka ;yjqre lr.ekSu m<uqfldg jD;a;ShNdjh yd ienef|k ksid;a úfYaIfhkau ffjoH wdOdrl hka;%iQ;% ¨yqj;a lsÍfïoS ta ld¾hh {d;Skaf.a ksiel wjfndaOh u; lsisÿ ielhlska f;drj isÿúh hq;a;lau jk neúks' fud<fha urKhla ksYaph lsÍu i|yd ì%;dkH ffjoHjreka wkq.ukh lrk l%ufõoh fufiah' l%shdj,sfha uq,au lghq;a; jkqfha urKhg fya;=j ksielfhka y÷kd.ekSuhs' frda.shdf.a reêrfha fyda iakdhq moaO;sfha udxYfmaYska wvmK lrk T!IO fkdue;s njo iel yer oek.; hq;= fjhs' reêr mÍlaIK fï i|yd m%fhdackhg .; yel' frda.shdf.a mßjD;a;Sh ÿn,;d fkdùu fukau YÍr WIAK;ajh fnfyka my< w.hl fkd;sîu flfrySo ffjoHjrekaf.a wjOdkh fhduq fõ' fï uQ,sl wjYH;djhka imqrdÆ frda.sfhl=f.a fud< oKav (Brain Stem) yd lmd, iakdhq j, l%shdldß;ajh mÍlaIdjg ,la flf¾' fï mÍlaIKh i|yd iyNd.s jk ffjoHjreka ksielfhkau jir mylg jeä fiajd ld,hla iïmQ¾K l< hq;= jk w;r Tjqkaf.ka tla flfkla ks¾úkaok" iakdhq Y,H fyda iakdhqfõoS úfYaI{ ffjoHjrfhl= ùu wksjd¾h fõ' bkamiqj frda.shd ;djld,slj Yajik hka;%fhka bj;a flf¾' wk;=rej reêrfha ldnka vfhdlaihsâ jeäùu wjOdkhg fhduq flf¾' fï ld,h ;=< frda.shd wdOdrhlska f;drj Yajikh isÿ fkdlrkafka kï Tyqf.a Yajik flakaøh l%shd úrys; ù we;s njg ksYAph flf¾' bkamiq kej;;a Tyq Yajik hka;%hg iïnkaO lrk w;r hï ld, mrdihlg miq by; mÍlaIK kej;;a isÿ lrhs' mÍlaIK foflkau frda.shd m%;spdr fkdolajhs kï m<uq wjia:dfõ mÍlaIKh isÿ l< fudfyd; Tyq ñh.sh fudfyd; f,i kS;sfhka ms<s.ekSu ì%;dkHfhaoS isÿ fõ' fï ksYAÑ; l%ufõoh trg fï wdldrfhkau isÿ jkafka fud<h ñh.sh fndfyda fokdf.a reêr ixirkh mj;ajdf.k ta whf.a wjhj ;j;a frda.Skag ,ndoSfï w;sYh ixúOdkd;aul ld¾hfhys tla jeo.;a wxYhla jYfhks'

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oeäi;aldr.;j ñheÿKq frda.sfhl=f.a fud<fha urKhla y÷kd.kakd wkaou

Theme

fud<fha urKh yd fjcsfÜáõ ;;a;ajh w;r fjki'''

frda.sfhl= iaÓr Vegetative State ;;a;ajhg m;ajk fya;= • ndysr wk;=re • wk;=re fkdjk" fud<fha ffi,j, we;sjk wdndê; ;;a;aj • Wm;skau m%Odk fud<hg we;s ù ;sfnk wdndO fkdfyd;a ixcdkSh wdndO óg wu;rj my; ldrKd uq,a lrf.ko flfkla Vegetative State ;;a;ajhg m;aúh yel' • wdidok" we;eï ms<sld" fud<h ;=< reêrjykhla isÿùu" ,jK wiu;=<s;;djh" fydafudak wiu;=<s;;djhka fyda we;eï T!IO''' uoHidr fï oS¾>ld,Sk wl%Sh;djhg ke;fyd;a Vegetative State ;;a;ajhg m;aùug fya;= fia ie<fla'

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January 2017

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fujka wjia:d j,oS fláld,Sk Vegetative State ;;a;ajhg ke;fyd;a isysiqka jk ;;a;ajhg m;ajk frda.Ska yg n,mdk ;;a;aj kej; m%lD;su;a lsÍug wjia:d ;sfí' kuq;a oS¾>ld,Sk Vegetative State ;;a;ajfha isák frda.Ska kej; m%lD;shg m;aùfï wjia:d úr,h' DM zzoskñK wdfrda.Hd fi!LH w;sf¾lhZZ weiqfrka ilia lrk ,o ,smshls'

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January 2017

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21

News iqmqj;

fi!LH" fmdaIK yd foaYSh ffjoH wud;HxYfha mqj;a irKsh ÿï jeáh ne.ska wf,ú lsÍug jeg nef|k ,l=Kq''' wf,úi,a u.ska ÿï jeáh ne.ska wf,ú lsÍu ;ykï lsÍu flfryS fi!LH wud;HxYfh wjOdkh fhduq ù ;sfí' ta yereKq úg iqÿ meye;s is.rÜ meleÜgqjla y÷kajd oSuo läkñka isÿ lsÍug fi!LH wud;HxYh lghq;= lrf.k hhs' ÿïjeá Ndú;dj iSud lsÍu i|yd rch ;jÿrg;a l%shd lrf.k hk w;f¾ rcfha ffjoH ks,OdÍkaf.a ix.uho ÿïjeá md,kh lsÍu i|yd fhdackd oyhlska iukaú; ,shú,a,la miq.shod fi!LH wud;H ffjoH rdcs; fiakdr;ak uy;d fj; ,nd ÿkafkah' mdie,a jEka r: rshÿrkaf.a weia mrSlaId lsrSfï úfYaI jevms<sfj,la niakdysr m<df;a mdie,a jEka r: rshÿrkaf.a weia mrSlaId lsrSfï úfYaI jevms<sfj,la miq.shod l%shd;aul úh' mdie,a jEka r: ßhÿrka fndfyda fofkla mÍlaId lsÍfïoS ßhÿrka fndfyda fofkl=f.a fmkSu wdY%s; .eg¿ mej;S nj;a fï w;r wefia

22

January 2017

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iqo" <`. fmkSu yd ÿr fmkSu iïnkaO wdndO olakg ,enqKQ nj;a tfia yªkd.;a ßhÿrka i|yd weia lKakdä ,ndoSfï jev ms<sfj,lao l%shd;aul nj;a fi!LH wud;HxY wdrxÑ ud¾. m%ldY lrhs' mdie,a orejkaf.a wdrlaIdj fjkqfjka osh;a l< fuu jevms<sfj, osjhsfka fiiq m<d;a j,go jHdma; lsÍug fi!LH wud;HxYh wfmalaId lrhs' zzfmd;a nE.h ksid ful, msgfldkafoa wndO jeähsZZ - fi!LH weu;s iaflda,sfhdaisia fkdfyd;a msgfldkafoa úlD;s ùï ms<sn|j ck;dj oeKQj;a lsÍfï jevigykla miq.shod meje;ajqKQ w;r fi!LH wud;H ffjoH rdcs; fiakdr;ak tys úfYAI wdrdê;hd jYfhka iyNd.s úh' md .ukla yd ck;dj oeKQj;a lsÍfï jevigyklska iukaú; fuu jevigyfkaoS l;d l< ffjoH rdcs; fiakdr;ak mdie,a orejkaf.a fmd;a nE.h msgfldkafoa frda. j,g w; jkk idOlhla ù we;s nj fmkajd ÿkafkah' msgfldkafoa úlD;s;djhkag ,laj mSvd ú|sk frda.S orejkag msysg ùfï úfYAI wruqo,la msysgqùuo fuysoS isÿ lrKQ ,eìK'

doctormagazine.lk

fï jif¾oS T!IO f.kaùu i|yd remsh,a ì,shk 45l uqo,la fï jif¾oS T!IO f.kaùu i|yd remsh,a ì,shk 45l uqo,la fjkalr we;s nj fi!LH wud;H ffjoH rdcs; fiakdr;ak uy;d m%ldY lrhs' th miq.sh jirg idfmalaIj remsh,a ì,shk 10l jeäùuls' rdcH T!IO kS;s.; ixia:dj kj T!IO myla y÷kajd oSu fjkqfjka mej;S W;aijfhaoS wud;Hjrhd fï nj m%ldY lf<Ah'

fvx.= ov uqo,;a remsh,a 25"000 jk ,l=Kq uÿre lSghka iys; mßY%

mj;ajdf.k hk mqoa.,hkag tfrys ov uqo, remsh,a 25"000 olajd jeä l< hq;= njg ;uka fhdackd lrk nj fi!LH wud;H rdcs; fiakdr;ak uy;d m%ldY lf<ah' fvx.= frda.h je<|Sfuka lsishï mqoa.,fhl= ñh .shfyd;a uÿre lSghka fndal< mqoa.,hd iy wdh;kh úiska jkaos f.ùugo fvx.= frda.h md,kh i|yd wK mk;a ixfYdaOkh l< hq;= njgo wud;Hjrhd jeäÿrg;a fhdackd lr ;sfí'

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ydkslr m%;sTlaisldrlhla ksid wjjdod;aul f,an,hla fhdok f,i wêlrkh l< ksfhda.h fkd;ld ksoyfia wf,ú jk ckm%sh fïo ;ejreula''' fï jk úg fj<|fmdf<A wf,ú lrñka ;sfnk fïo ;ejreul g¾Ü ìhqghs,a yhsfv%dlaúfkdaka (TBHQ) kue;s m%;sTlaisldrlh wka;¾.; neúka thg <orejkag iy jhi wjqreÿ ;=kg wvq orejkag iqÿiq fkdjk nj i|yka fkdlr wf,ú lsÍu wêlrKh úiska ;ykï lr ;sìhoS;a tu ksfhda. fkd;ld tajd wf,ú lsÍu yryd orejkaf.a fi!LHhg ydkslr ;;a;ajhla Wodù we;s nj mdßfNda.sl whs;Ska iq/lSfï cd;sl jHdmdrh i|yka lrkjd' fi!LH wud;HxYh 2011$08$24 osk úOdk wxl 2011$12 hgf;a wod, ksIamdokh wjqreÿ ;=kg wvq orejkag wdydrhla f,i Ndú;d fkdlrk f,i;a ta jk úg fj<|fmdf<A mej;S ksIamdok i|yd w;sf¾l f,an,hla w,jd mdßfNda.slhka oeKQj;a lsÍug mshjr .kakd f,i;a m%Odk wdydr n,Odßhd yd we;s lr.;a tl`.;djh u; fi!LH fiajd wOHlaIjrhd ksfhda.hla ksl=;a lr ;sfí' DM January 2017

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Amazing World of Babies

Truly Amazing Facts about Babies that you may not know

TRULY AMAZING FACTS ABOUT BABIES THAT YOU MAY NOT KNOW ore meáhkaf.a f,dalh .ek Tn fuf;la fkdoek isá úYañ; f;dr;=re álla'''

o

re meáhkaf.a f,dalh wmqrehs''' wdkkaokShhs'''pu;aldrhs''' th ú|skak wlue;s flfkla fõo @' orejkaf.a f,dalfha /lj¨ka jk Tn Tjqka .ek fkdokakd ;j;a fndfyda foa ;sfnkak mq¿jka' fuf;la Tn fkdoek isá''' Tn uú;hg m;a lrjk ore meáhkaf.a f,dalfha wmQ¾j f;dr;=re iuqodhla fï iu. wm Tn fj; f.k tkjd' l=i ;=< bkak ld,fhaoS ore meáhdf.a ffi, ujf.a fud<h ;=< ,e.=ï .kakjd' orejdf.a DNA ujf.a fud<fhka olskakg ,efnkjd''' uj iy orejd w;f¾ fï wdldrfhka ffi, yqjudre lr.ekSu Microchimerism hkqfjka ye|skafjkjd'

24

January 2017

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doctormagazine.lk

w; orefjl=g udi yhla hk;=re úYañ; f,i c,fha yqiau w,a,d .kakg mq¿jka fuh m%;Sl pdmhla fkdfyd;a wkqoeKQfuka f;drj isÿjk iakdhql lD;Hhla ksid isÿ jkakla' th y÷kajkafka Bradycardic response hkqfjka' w; orefjl=f.a jeä jYfhkau iakdhq wka; ;sfnkafka uqLfhahs' w;g yiqjk iEu fohlau lfÜ rejd.kakg orejd fm<fUkafka fï ksihs orejdg udi y;la muK jk ;=re w;g yiqjk jia;= ksÍlaIKhg .e,fmk mßK;Ndjhla kE' ta;a osj" lg yd f;d,a wdoS uqjg iïnkaO fldgia kï fndfydu l%shdldßhs' w;g yiqjk foa ksrdhdifhkau lfÜ rejd .kakg orK ;e; fï yelshdfõ m%;sM<hla'

w; orefjla ojilg 200 jdrhla iskdfikjd orejka ;rï yskdfjk fjk lsisu flfkla kE' ojilg 200 jdrhla w; orejd yskefyk úg ujf.a uqjg ukao iañ;hla fyda we;s jkafka 62 j;djla muKhs' orejf. ;d;a;f. uqjg iskd fmdola mqrkafka 8 j;djla muKhs' doctormagazine.lk

January 2017

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25

D•Magazine /

TRULY AMAZING FACTS ABOUT BABIES THAT YOU MAY NOT KNOW

Amazing World of Babies

w¿; Wmka orefjla m<uq meh we;=<; me;a;lska ;sh, ;sífnd;a ujf.a ;kmqvqj fidhd wefokakg W;aidy lrkjd' l=i ;=< bkakd iufha orejd .en ;=< msysà l<,jdßl ;r,h yd ixfõokhl ksr; fjkjd' fï fya;=fjka bmÿKQ w¿;;a Bg jvd;au wdikak ridhkhla orK ;k mqvqjg wdYla; fjkjd' fï yUd tau ‘Breast Crawl” hkqfjka ye|skafjkjd'

l=ifha bkak orejd;a uõni bf.k .kakjd'' mqÿuhs fkao @ ta;a ldrKh we;a;hs" l=ifha bkak orejd uõmshkaf.a ixjdo j,g yqre fjkjd' Current Biology i`.rdjg ,smshla ,shk m¾fhaIlhka lKavdhula olajk wdldrhg orejdf.a ye`ãu ;=< fï uõni''' tkï orejdf. wïu;a ;d;a;;a l;d lrk NdIdj .uH fjkjd'

26

January 2017

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doctormagazine.lk

Tfí orejd Tn fjfyig m;a lrjñka ? ;siafia y`vkjdo @ iuyr úg th Tn fofokd ;j;a orefjl= iEoSug .kakd W;aidyh jH¾: lsÍfï Wml%uhla jkakg mq¿jka' ydj¾â m¾fhaIlhka msßila ;uhs fï woyia olajkafka" úoHd;aul iólaIKhl m%;sM<hla úosyg' jeäÿr úia;r oek.kak leu;so@

http://emph.oxfordjournals.org/ content/2014/1/32.long

orefjla Wmosk úg YÍrfha wiaÓ 300la ;sfhkjd' jeäysáfhl=g ;sfhkafk wiaÓ 206la muKhs' m%;sikaêfhka i;s 13-16 w;roS l<,fha wiaÓ iEfokjd' fï wiaÓ fndfydauhla tlsfkl iïnkaO ù jeäysáfhla njg m;ajk úg wiaÓ 94lau wvq fjkjd'

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January 2017

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27

D•Magazine /

TRULY AMAZING FACTS ABOUT BABIES THAT YOU MAY NOT KNOW

Fertility

w¿; Wmka orejka y`vkjd jqK;a l÷¿ i,kafka kE''' mqxÑ orejkag;a l÷¿ .%kaÓ ;sfhkjd' taj l%shd;aul;a fjkjd' ta;a tajd iEfykafka weia iafkaykh lrkak muKhs'

wfka yfmdhs''' fufyu;a je/oaola tfyu fkdlshd fudkjd lshkako @ 19 jk Y;j¾Ifha;a 20 jk Y;j¾Ifha uq,a ld,fha;a w; orejkag Y,Hl¾u isÿ lsÍfïoS fõokdjla fkdoefkk neõ úYajdi l< ksid orejka ie;alï j,g Ndckh lf<a ks¾úkaokh fkdlruhs' mqxÑ wEfhd fudk fõokdjla ú|skak we;so @ DM

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January 2017

DOCTOR MAGAZINE

w¿;skau Wmka orejd;a uõf.a lgy`v y÷kd.kakjd' tal i;a;hs''' w¿; Wmka orefjl=g fyd|ska lka wefykafka kE' wehs lsh, okakjdo @ ueo lfKA ta jk úg;a msß, ;sfhk ;r,h úiska Y%jKhg ndOd we;s lrk ksid''' ta;a fï wvqmdvqlï ueoafoa jqK;a wefyk lgy`vla ;sfhkjd' ta wdorKSh wïudf.a lgy`v' ujf.a ishqï Yíohla jqK;a fodaxldr foñka orejd is; /õ ms<s/õ fokjd'

doctormagazine.lk

D•Magazine /

Disc Protrusion

fn,af, lelal=ug" wf;a ysßhg''' fõokdjg''' isÿ lrk Y,Hl¾ufha j.;=.

Disc Protrusion fn,af, lelal=ug" wf;a ysßhg''' fõokdjg''' isÿ lrk Y,Hl¾ufha j.;=. fn,af, wudrelï ful, iq,nhs

kjf,dal frdayf,a Y,H úfYaI{ ffjoH mqkais;a .=Kj¾Ok uy;d iu. l, idlÉPdjla weiqrsKs

f., wdYs%;j we;sjk frda. w;r iq,nj we;af;a f., yd ine|S fmaYs wdY%s;j yd ikaê wdY%s;j we;sjk lelal=u' fuh fndfyda ÿrg we;s jkafka jeros bßhõ wdY%s; .eg¿ ksihs' we;eï /lshd j, ksr; jk úg fï .eg¿ fjfiiska we;s fjkjd' ksoiqkla jYfhka mß.Kl wdY%s;j /lshd j, ksr; jk wh fujka wikSm j,g iq,nj uqyqK mdk nj fmakjd' fuysoS ikaê yd ta wdY%s;j ;sfnk fmaYs weoSu ksid fï ;;a;ajhg Tjqka iq,nj uqyqK fokjd'

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fn,af, wudrelï we;s fjkak fjk;a fya;=o ;sfnkjd' yosis wk;=rlg ,laùu ksid we;sjk lfYareld wdmodjl m%;sM<hla úosyg we;eï fõokdjka we;s fjkak mq¿jks' ta yereKQ úg iqIqïkdj wdY%sj we;sjk f.ä" ms<sld ksid;a fn,af, wudrej we;s fjkak mq¿jka' úIîchla .shdu;a fn,af,a wdidok ;;a;ajhla we;s fjkjd' fï úia;r l< ldrKd kï t;rï iq,n kE' l,d;=rlska ;uhs we;s jkafka'

January 2017

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D•Magazine /

fn,af, lelal=ug" wf;a ysßhg''' fõokdjg''' isÿ lrk Y,Hl¾ufha j.;=.

Disc Protrusion

• we`.s,s ;=vq ysß jeàu • fn,a, bosßmig fyda msgqmig keùfïoS we;sjk fõokdj • msg osf.a we;sfjk fõokdj • os.gu mj;sk ysßh • ysfia lelal=u

jhia.; ùu;a iu. we;sjk fn,af,a wudrelï''' ta yereKQ úg jhia.; jk úg;a fï f., wdY%s; fõokdjka" wf;a ysßh" we`.s,s lrej, fõokdj wdosh jeä fjkjd' jhia.; ùu;a iu. we;sjk fjkialï j,g wms fmdÿfõ Degenerative Desases lshkjd' jhia.; jk úg we;sjk wiaÓ.; fjkialï ksid Disc tlla mkskjd lshk ;;a;ajh zzwka;¾ lfYarel uv,ZZ fjkiaùu fldkafo jf.au fn,af,;a we;s fjkak mq¿jks' fuh;a wo iudcfha ÿ,n ;;a;ajhl=;a kï fkdfjhs' ff.%ù lfYAreld j, wka;¾ lfYarel uv, fjkiaùu wo wfma l;dnyg úIh jkafka ff.%ù lfYAreld j, wka;¾ lfYarel uv, fjkiaùu''' Cervical Disc tlla fjkia ùu lshk ;;a;ajhhs' fïflos wka;¾ lfYArel uv, (Dics tl) msg mkskak mq¿jka' túg ta w;ßka hk iqIqïkdj tys we;s iakdhq f;rmSulg ,laùfuka fõokdjla we;s fjkak mq¿jka' ff.%ù fldgfiys fkdfyd;a f.f,ys we;s fld÷ weg j, Disc tl t;rï úYd, kE' fï ksidfjkau ta ;=<ska iakdhq .uka lrkafk;a l=vd ysveilska' fï ff.%ù lfYAreldjl Disc tl iq¿ jYfhka fjkia jqK;a (Small cervical disc herniation) ta ksid ie<lsh hq;= fõokdjla we;s fjkak bv ;sfnkjd' wka;¾ lfYarel uv, wdmodjg m;ajQ úg we;sjk frda. ,laIK • fn,af, lelal=u • w; osf.a we;sjk lelal=u" ysßh

30

January 2017

DOCTOR MAGAZINE

iqIqïkdjg n,mEula we;s fjkjd kï fï fõokdj iakdhq wdndê; ;;a;ajhla olajd j¾Okh jkakg wjia:dj ;sfnkjd' weúoSfïoS iunr;djh .s,syS hdu w; .efyk .;shla" jf.a frda. ,laIK ;sfnkjd kï jydu ffjoH jrfhl= yuqù iakdhq ms<sn|j mÍlaIK j,g Ndckh úh hq;=hs' tu.ska frda.h iïnkaOfhka m%;sldr j,g fhduq úh hq;=hs'

f., jgd fld,¾ tlla m<|skk a g i,iajd bßhõ ksjeros lsÍula uQ,l s jYfhka isÿ lrkjd' ta yereKQ úg bßhõ iïnkaO Wmfoia ,ndoSulao fN!;Ñls;i a ljrhd úiska isÿ lrKQ we;s'

"

doctormagazine.lk

frda.h yªkd.ekSfï mÍlaIK MRI mÍlaIKh ;uhs fuysoS ksiel frda. úksYaphla ,ndfok fyd|u mÍlaIKh' MRI mÍlaIKh u.ska fya;=j mdol ksYaÑ; jYfhka fidhd.; yelshs' th wka;¾ lfYarel uv, mekSula fkdfyd;a Disc Protrusion tlla isÿj ;sfnkjd hhs ksYaph lr.;af;d;a Bg kshñ; m%;sldr isÿ lsÍug ffjoHjreka lghq;= fhdokjd' Disc Protrusioni|yd isÿlrk m%;sldr • uQ,sl jYfhka T!IO m%;sldr isÿ lrkjd' fï hg;g fõokd kdYl m%;sldr iy bosuqu wvq lrk m%;sldr kshu lrkjd • fN!;Ñls;ail m%;sldro fï frda.Skag kshu lrkjd' f., jgd fld,¾ tlla m<|skakg i,iajd bßhõ ksjeros lsÍula uQ,sl jYfhka isÿ lrkjd' ta yereKQ úg bßhõ iïnkaO Wmfoia ,ndoSulao fN!;Ñls;ailjrhd úiska isÿ lrKQ we;s' Y,Hl¾uhla isÿ l< hq;= wjia:dj fï uQ,sl m%;sldr j,ska wfmalaIs; iqjhla fkd,efnkjd kï iakdhq.;j lsishï wvq¨yq`vq;djhla m%lg lrkjd kï fï wjia:dfõoS ffjoHjrhd úiska Y,Hl¾uhla isÿ l< hq;=o hkak i<ld n,kjd'

Y,Hl¾uhla isÿ lrk yeá fuysoS Y,Hl¾uh isÿ lrkafka mQ¾K ks¾úkaok ;;a;aj hgf;ahs' idudkHfhka lfYareldj msysgkafka f.f,ys msgqmig jkakghs' kuq;a fï Y,Hl¾ufhaos hkafk bosßfhka' bosßfhka fhdok lemqfuka wod, ia:dkh ksjerosj y÷kd.ekSug tlaia f¾ m%;sìïnhla fhdodf.k fPaokh isÿ lrkjd' Disc tl fj; <`.djQ miq th bj;a lr Bg wdfoaYlhla jYfhka ma,diaála j,ska ieliQ Disc tlla kshñ; m%udKfhka y÷kdf.k tu ia:dkfha ia:dms; lrkjd'

doctormagazine.lk

A cervical herniated disc can cause pain that radiates throughout the neck, shoulders, arms, and hands.

Y,Hl¾ufhka wfmalaIs; uQ,sl wruqKq Y,Hl¾ufhka wm uQ,slj wfmalaId lrk wruqKQ folla ;sfnkjd' 1' fï ie;alug Ndckh jkafka úYd, jYfhka fõokdfjka mSvd ú|sk frda.Ska' Y,Hl¾ufhka miq fï frda.Skaf.a fõokdj iukh úh hq;=hs' 2' fojekak ;uhs bosßhg meñKsh yels iakdhq ÿ¾j,;djfhka je<lSug frda.shdg wjia:djla ,ndoSu' Y,Hl¾ufhka we;sjk w;=re wdndO wjuhs w;=re wdndO we;af;a wju jYfhka' w;=re wdndO ke;a;gu ke;s fjkafk kEfk' ta;a fï isÿ lrk f.f,ys Y,Hl¾ufhka miq w;=re wdndO we;sùu wjuhs' we;sjk lsishï ixl+,;djhla ;sfnkjd kï Bg;a id¾:lj ms<shï fhosh yelshs'

January 2017

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D•Magazine /

fn,af, lelal=ug" wf;a ysßhg''' fõokdjg''' isÿ lrk Y,Hl¾ufha j.;=.

Disc Protrusion

fï lreKQ wkQj fn,af,a fõokdfjka fmf<k frda.sfhl=g uQ,sl jYfhka isÿ lrk m%;sldr ;snqK;a tajdhska wfmalaIs; m%;sM, fkd,nk fldgilao isák nj lsj hq;=hs' Y,Hl¾uhla lsõju ;s.eiaula wm ldg;a we;s fjkjd' th iajdNdúlhs' ta;a ;;a;ajh md,kh fkdfjkjd kï Bg ms<shula f,i fhdod.; yels tlu úl,amh ie;alula njg Tfí ffjoHjrhd ;SrKh lrkjd kï ta i|yd Tn W;aidyj;aj iQodkï úh hq;=hs' thska Tn ú|sk fõokd wju fjkjd' u;=jg we;súh yels ixl+,;do wvq lr.kakg''' cSú;fha .=Kd;aulNdjh ;sr lr.kakg Tng wjia:djla Wod fjkjd' fï i|yd kshñ; Y,Hl¾uh iïnkaOfhka Tng lsishï ìhla" ;e;s .ekSula ;snqK kï tho myj hkakg we;ehs wm úYajdi lrkjd' fn,af, we;s jk fõokdj W.% lrk fya;= folla fn,af, we;s jk fõokdj W.% lrk fya;= folla .ek lsj hq;=uhs' Text neck overuse syndrome 1' ßh mojk úg ysi my;g yerùu" ,emafgdma tllska jev lsÍu" iaudÜ fmdaka tl l%shd lrùu''' fï fldhs foa jqK;a Tfí f., msgqmig lsishï mSvkhla we;s lrkjd' fïj" mqxÑ foaj,a ;uhs' fï lshmq foaj,a cSú;fha Tng u`. yßkak" w;a yßkak" neß ldrKd fjkak;a mq¿jka' ta;a Tng fn,af, wudrejla" wf;a ysßhla" fõokdjla ;sfnkjd kï fï iq¿ bßhõ jqK;a frda.h W;aikak lrkak n,mEula we;s lrjk nj Tn oek.; hq;=hs' fuh ffjoH úoHd;aulj ikd: jQ lreKla' th Text neck overuse syndrome hkqfjka yªkajkjd' fï ldrKfhaoS Tn wirK fjk nj Tn okakjd' lsõjg fï yeu jevlau jf.a w;a yßkak''' u. yßkak yels foaj,a fkdfjhsfk' taj wfma oskp¾hdfj idudkH foaj,a' fuysoS Th lshmq ffoksl p¾hdjka u. yßkak;a neßkï" ff,ys wmyiq;djh" fõokdj fyd| lr.kakg;a ´ks kï''' f.,g we;sjk mSvkh u`. yerùug my; mshjr .; yelshs'

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• Tn cx.u ÿrl:kh Ndú;d lrk úg ysi u|la Tijdf.k th Ndú;d lrk isß;lg udre fjkak' ysi ÿrl:kh Ndú;fhaoS ysi my;a lrkak tmd''' • ,emafgdma tl" ,shk fïih Ndú;d lsÍfïoS úáka úg ysi Tijd yd;ami n,kak' f., fmfoi os. wefok fia p,k isÿ lrkak' • os.= fõ,djla mß>klfha" wOHhk fïifha .; lrkak tmd' lsishï fj,djla .; jqKdu ke.sg Tn fudn ilauka lrkak' úfõlhla ,nd.kak' 2' wfkla ldrKh ;uhs ksod .ekSfï oS nv hg fjkak ksod.kak mqreoao ;sfnkjd kï jydu bka ñfokak' nv hg jk fia ksod .kakd úg fldkaog úfYAIfhau ff.%ù lfYAreld uv,g úYd, wd;;shla we;s fjkjd' me;a;g fyda msg iam¾Y jk fia ksod .ekSu ;uhs ksjeros' DM

doctormagazine.lk

doctormagazine.lk

January 2017

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D•Magazine /

Chronic obstructive pulmonary disease

Health Education Bureau Media Briefings fjfiia ie<ls,a,lska /l n,d.; hq;=

ksoka.; Yajik frda.Ska weÿu Asthma

ld,Sk laf,dauodyh Chronic Bronchitis laf,dauudhduh Bronchiectasis

weÿu frda.fhka fmf<k frda.Ska Tn ±l we;=jdg lsisÿ ielhla keye' iuyr úg Tn fyda Tfí mjqf,a wfhla" ke;skï fjk;a okakd lshk flfkla fï frda. fhka fmf<kjd fjkakg;a mq¨jks' kuq;a weÿu frda.h iy thg iudk wfkl=;a Yajik frda. ms<sn| Tn fl;rï ÿrg ±kqj;a o@ wmf.a fï jEhu ta ms<sn|j b;d jeo.;a f;dr;=re lsysmhla Tn iuÕ fnod yod .ekSughs'

Yajik frda. ms<sn| úfYaI{ ffjoH nkaÿ .=Kfiak

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January 2017

weÿu frda.h wh;ajkafka ksOka.; mqmaMqYSh wjysr;d frda.

(Chronic Obstructive Pulmonary Disease - COPD) kue;s frda. ldKavhgh' weÿu (Asthma) ld,Sk laf,dauodyh (Chronic Bronchitis), laf,dauudhduh (Bronchiectasis) jeks frda. ;;a;ajhka fï ldKavhg wh;a jkjd' fï ish¿u frda.j, fmdÿ ,laIKh jkafka Yajik moaO;sfha we;s kd, wjysr ùu ksid we;sjk yqiau .ekSfï wmyiqjhs' f,dalh mqrd b;d úYd, msßila ksoka.; mqmaMqYSh wjysr;d frda. hkaf.ka fmf<kjd' f,dalfha jeäu urK ixLHdjlg

DOCTOR MAGAZINE

doctormagazine.lk

ksOka.; mqmaMqYSh wjysr;d frda.fhys ,laIK fudkjdo@ • yqiau .ekSfï wmyiqj • ksrka;r leiai • y;sh $ yqiau .ekSfï§ rdx rEx Yíohla we;sùu • mmqfõ ;o .;shla $ ysrfjk .;shla ±kSu hk ,laIK idudkHfhka olskakg mq¨jk' fujeks frda. we;sùug fya;= fudkjdo@ ksoka.; Yajik frda. we;sùug fya;= lsysmhla y÷kdf.k ;sfnkjd' fï w;ßka m%Odk;u fya;=jla f,i ÿïmdkh ye¢kaúh yelshs' §¾> ld,Sk ÿï fndkakka fndfyda fofkla miq ld,fha§ Yajik frda. j,g f.dÿreùfï ±ä wjOdkula ;sfnkjd'

"

fya;=jk frda. w;ßka y;rjk ia:dkh ysñ ù ;sfnkafka fï ldKavfha frda. j,ghs'

fï frda.Skag bkafya,¾ jeks oE ñ,§ .ekSug;a iuyr úg Tlaiscka is,skavrhla ksfjfia ;nd. ekSug;a wjYH úh yelshs' fï i|yd hïlsis úhoula lsÍug isÿjk w;r tu úhou ord.ekSug fkdyels frda.Ska fndfyduhla wm rfÜ isákjd'

;j;a fya;=jla jkafka .Dyia:j iy /lshd wdY%s;j úúO OQuhkag yd ÿyqú,s j,g ksrdjrKh ùuhs' doctormagazine.lk

January 2017

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D•Magazine /

fjfiia ie<ls,a,lska /l n,d.; hq;= ksoka.; Yajik frda.Ska

Chronic obstructive pulmonary disease

fmdarKq wdY%s;j jevlrk whg fï ;;a;ajh n,mE yelshs' tfukau wfma rfÜ wdydr msiSug or,sma Ndú;d lrkjd' ld,hla ;siafia or,sfma ÿug ksrdjrKh jk .DyKshkag;a fï wjodku ;sfnkjd'

weÿu frda.sfhl=f.a fn%dkalsfhda, fjkialï

ksfrda.S fn%dkalsfhda,

kuq;a" ÿï mdkh fkdlrk" .Dyia: iy /lshd wdY%s; ÿug ksrdjrKh fkdjk whg;a ksOka.; mqmaMqYSh wjysr;d frda. we;sjkakg mq¨jka' fï i|yd cdkuh idOl j,;a n,mEula we;s nj fidhdf.k ;sfnkjd'

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January 2017

frda.hg fya;=jk idOl bj;a lsÍu;a w;HdjYHhs' ÿï fndkafkla kï th keje;aùu;a /lshd wdY%s; ÿug ksrdjrKh jk wh thg úl,am fidhd .ekSu;a l< hq;=hs' fun÷ frda.Ska mqkre;a:dmkh lsÍu (Pulmonary rehabilitation) o b;d jeo.;a' tla tla frda.shd flfryS fjk

DOCTOR MAGAZINE

"

ksOka.; mqmaMqYSh wjysr;d frda.hg ,ndfok m%;sldr fudkjdo@ fuu frda.hg m%;sldr lsÍfï§ ffjoHjrekaf.a wruqK jkafka frda. ,laIK md,kh lsÍu yd kej; we;sùu je<elaùu ;=<ska frda.shdg jvd M,odhS Ôú;hla ,nd§uhs' ta i|yd fm;s yd bkafya,¾ jYfhka ,ndfok T!IO j¾. Ndú;d lsÍug isÿfjkjd' fuys§ frda.shdf.a j.lSu jkafka ffjoH Wmfoia mßÈ tu T!IO ksis f,i Ndú;d lsÍuhs'

weÿu frda.sfhl=f.a fn%dkalsfhda,

fun÷ frda.Ska mqkre;a:dmkh lsÍuo b;d jeo.;a' tla tla frda.shd flfryS fjk fjku wjOdkh fhduq lrñka Tjqkaf.a wjYH;d wkqj jHdhduhka ,nd foñka Tjqka idudkH Ôú;hg yqre lrùu wjYH fjkjd'

doctormagazine.lk

ksfrda.S Yajik ud¾.hla .¾;

jdhq m%fõYhka

Yajdikd,h fmKy¿

fmaYs jdhq m%fõYhka

jdhq m%fõYhka reêrjdyskS

fjku wjOdkh fhduq lrñka Tjqkaf.a wjYH;d wkqj jHdhduhka ,nd foñka Tjqka idudkH Ôú;hg yqre lrùu wjYH fjkjd' by; lreKq ms<sn|j wjOdkh fhduq lrkafka kï ksOka.; Yajik frda. j,ska fmf<kakkag tu frda.fha n,mEfuka ñ§ idudkH Ôú;hla .;l< yelshs' wjidk jYfhka lsjhq;= ;j;a fohla ;sfnkjd' fï frda.Skag bkafya,¾

doctormagazine.lk

jeks oE ñ,§ .ekSug;a iuyrúg Tlaiscka is,skavrhla ksfjfia ;nd.ekSug;a wjYH úh yelshs' fï i|yd hïlsis úhoula lsÍug isÿjk w;r tu úhou ord.ekSug fkdyels frda.Ska fndfyduhla wm rfÜ isákjd' tn÷ whg Wojqjla lsÍug ldreKsl yoj;a we;a;ka fhduq jkafka kï fun÷ frda.Skaf.a Ôú; jvd;a wdf,dalu;a jkq we;s'

^f,dal ksOka.; Yajik frda. Èkh ksñ;af;ka fi!LH wOHdmk ld¾hxYfha§ mej;s udOH yuqfõ§ Yajik frda. ms<sn| úfYaI{ ffjoH nkaÿ .=Kfiak uy;d meje;ajQ foaYkh weiqßKs& ixch o is,ajd Bachelor of Nursing (Malaysia) Diploma in Psychology (SL) DM

January 2017

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37

D•Magazine /

The true face of cancer ms<sldfjka ÿla ú|sk ;ukaf.a tlu oshKshf.a PdhdrEmh .;a ;d;a;d lshk l;dj'''

The true face of cancer

Father shares heart-wrenching photo of his daughter to spread child cancer awareness

ms<sldfjka ÿla ú|sk ;ukaf.a tlu oshKshf.a PdhdrEmh .;a ;d;a;d lshk l;dj''' fufyu ÿlla lsisu ;d;af;l=g we;s fjkak tmd''' zzfïl ;uhs ms<sldfj yenE uqyqKqjr' uf.a mqxÑ fodaksf. f,a kyr yu midre lrf.k t<shg tkjd' we;sfjk fõokdj bji.kak weh orK W;aidyfhaoS l÷,la t<shg mkskjd'''ZZ fï iu. we;s PdhdrEmhg ;d;a; tl;= lrmq jpk fma<sh ;uhs Tn ta lsfhõfj'

38

January 2017

DOCTOR MAGAZINE

PdhdrEmfha bkafk fcisld fj,ka' iqrx.kdúhla jf.a <iaikg yeÿKQ oeßúhla' tx.,ka;fha Tiaj,aâúiaÜf,a .fï wekaä fj,ka" kslS fm%kavr.diaÜ hk uõmshkag odj yeÿKQ fcislf. cSú;h Wvq hálre jqfKa kshqfrdí,iafgdaud lshk ms<sldjla ksihs' fndfyda úg wêjDlal .%kaÓfha''' jl=.vq j,g u|la by<g fjkak we;sfjk kshqfrdí,iafgdaudjg jeä jYfhka ,la jkafka jhi wjqreÿ myg wvq orejka' fcislg;a fï brKï f,fâ yeÿku wekaä kslS''' uõmshka wehg buy;a fifkyiska kshñ; m%;sldr fkdmudj ,nd ÿkak'''' zzwfka wfma orejg lrorhla kï fjkak tmd'''ZZ uõmshka foúhka heoaod''' fí;afya;a j,ska lsishï m%;sM<hla ,enqK;a ál ld,hla .shdu wirK mqxÑ oeßhf.a ;;a;ajh ljqre;a fkdis;+''' fkdme;+ mßoafoka fjkia jqKd''' weh wirK lrñka ms<sldj YÍrh mqrdu Tvq ÿjk ,laIK we;sjqKd'' ffjoHjrekag;a ta yeá lrkak fohla b;sß jqfKa kE' doctormagazine.lk

doctormagazine.lk

lrmq lrmq yeu m%;sldrhu wid¾:l jqKdg miafi ffjoHjreka W;aidyh w;a yeßfha Tjqkaf.;a wirK luguhs' zzwehg b;sß fj,d ;sfhkafk ;j mqxÑ ld,hhs' jeäh lror lrkak ´ka kE'''ZZ fkdlsh ffjoHjreka lsõfj fnfy;a oSfuka M,la kE lshk tlhs' tfyu lsõfj Tlaf;dan¾ 5 fjksod''' fï ief¾ l%siauia j,g wehg bkak ,efnhso lshkak nE'''ZZ ffjoHjreka tfyu;a lsõj''' wïu flfkla" ;d;a; flfkla fï l;d wyf.k bkafk fldfyduo @ ta;a fcislf.a uõmshkag ;ukaf. wdorKSh oshKsh ;u cSú;h w;a yer hk ;s;a; we;a; oek.kak isoaO jqKd' Bg osk lsysmhlg miafi ;uhs wekaä''' fï l¿ iqÿ PdhdrEmh ;ukaf. uqyqKq fmdf;a oeïfu' wekaä tu PdhdrEmhg ;u ÿlanr l;dj fï úosyg;a úia;r l<d''' zz uu cSú;fha .;a; wudreu PdhdrEmhhs ;uhs fïl''' ug f;afrkj''' fïl osyd n,df.k bkak wudrehs''' ^ldg jqK;a'''& fïl ú|.kak tl Bg;a jvd wudrehs' ta;a ug ´ks mKsúvhla fokak''' ys;a ì|sÉp ;d;a; flfkla úosyg'''' fï jf.a fÄoCkl w;aoelSula fu;=jla fkd,nmq Tng'''

doctormagazine.lk

<ud ms<sld w;sYh Nhdklhs'''<uhskag fï úosyg ms<sld yskao ÿla ú|skak fok tl hq;= kE''' orefjd fï Nhdkl frda.fhka uqoj .kak mÍlaIK lrkak ´ks''' m%;sldr lrkak ´ks' uf.a orejg we;sjqKq fï ÿl fjk;a lsisu orefjl=g we;s fkdfjkak ´ks'''ZZ zzuf.a orej ug fír.kak uu mrlal=hs' ta;a orejkag we;sfjk ms<sld iqj lr.kak l%uhla fidhd.; hq;=uhs'ZZ wekaä tfyu lshkjd' wekaäf. igyk w;sYh wkqfõokShhs' th lshjk ld yg;a ms<sldfjka ÿla ú|sk orejka iïnkaOfha wmßñ; wkqlïmdjla we;s lrjkjd' wm iefjdu fokdf.a yoj;a orejka flfryS ohdnr;ajfhka lïms; lrjkjd' DM

January 2017

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39

DM

Episiotomy ore m%ijfhaoS isÿ lrk tmsia lemqu fkdfyd;a úgmh lemqu

EPISIOTOMY ore m%ijfhaoS isÿ lrk tmsia lemqu fkdfyd;a úgmh lemqu

zzm%ijfhaoS tmsia lemqu wkjYH wjia:dj,oS;a fhdod .kakjd' ngysr rgj, tmsia lemqu fhdod .kafka wjYH úgoS muKhs' ta;a wdishdfõ;a uOHu wefußldfõ;a fï lemqu isÿ lrkjd jeähsZZ ióCIK jd¾;djla fmkajd fohs'

40

January 2017

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ffjoH foaúkao ohdr;ak úisks

doctormagazine.lk

iS

ñ; wjia:dj,oS muKla Ndú;d l< hq;= tmsia lemqu fkdfyd;a úgmh lemqu (episiotomy) kï fhdaks újr fÊokh wkjYH muK jeäfhka f,dj mqrd .¾NkS ldka;djka Wfoid Ndú;d jk nj;a fï ksid tys miqld,Sk ixl+,;d /ilg oyia ixLHd; ldka;djka Ndckh jk njla Birth iÕrdj wkdjrKh lrhs'

ksr; jq lekvdfõ Tgdjd iriúfha ffjoH bhka ã n%jqka miq.shod frdhsg¾ fy,a;a mqj;a úfYaIdx. hg m%ldY lf<ah' ffjoH bhka ã n%jqka tu wod< wOHhkfha mqfrda.dó ióCIlhdo fjhs' zztmsia lemquZZ óg oYl lsysmhlg fmr ngysr ffjoHjreka úiska isß;la jYfhka Ndú;d lsÍug mqreÿj isáuq;a 1980 oYlfhaoS th isß;la jYfhka isÿlsÍfï wjYH;djhla fkdue;s njg idCIs iys;j Tmamq ùfuka miq tu Ndú;h ie<lsh hq;= uÜgulska my; jeák' (Prfessional medical organizations now agree that it should be used sparingly in cases fetal or maternal distress &

fhdaks újrh bßï j,g ,laúu j<lajd .ekSu i|yd tmsia lemqu fhdokjd orejd Wm;a uÕ Tiafia ìysùfïoS fhdaks újrh bßï j,g ,laúu j<lajd .ekSu i|yd fhdaks újrh ;=< we;s lrk lemSu ztmsia lemquZ kñka ye|kafõ' zzúgmh lemquZZ hkq thg fhdok ;j;a fy< jokls' th isÿl< hq;af;a m%ijfõoSh jYfhka orejdf.a ìysùug ndOdjla we;sjQ úgh' kuq;a idOdrKSlrKh l< fkdyels wdldrfhka wkjYH f,io fuu tmsia lemqu fhdod.kakd nj ta ms<sn|j wOHhkhl

Because mothers could now to some extend participate in pushing, obstetricians no longer had to use high forceps or vacuum extraction, resulting in smaller episiotomies.

Although criticism of medicated childbirth took root in the 1950s, it was not until the 1970s that the widespread use of medication and interventions in childbirth were called into question. At that time, the popularity of childbirth preparation methods such as Bradley and Lamaze gave rise to a widely supported natural childbirth movement.

doctormagazine.lk

Routine episiotomies are no longer recommended

Still, the fact that women's bodies were designed to give birth seems to have been largely forgotten. Episiotomies remain a commonplace procedure, though recent research has disproved most of the so-called benefits of episiotomy, while bringing to light a number of risks. http://www.drmomma.org/2009/12/avoiding-episiotomy.html

January 2017

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41

DM

Episiotomy ore m%ijfhaoS isÿ lrk tmsia lemqu fkdfyd;a úgmh lemqu

tmsisfhdgñ lemqu fhdok wdldrh

hqfrdamfha tmsia lemqï jeähs - wdishdfõ jeähs kj tmsia lemqï /,af,a bosßfhkau isákafka wdishdfõ uOHu yd ol=Kq wefußldfõ ffjoHjrekah' bx.%Sis l;d lrk rgj, yd we;eï hqfrdamSh rgj,a tmsia lemqu wvqfjkau Ndú;d lrk rgj,a nj fy<sù we;' f,dj wvqfjkau tmsia lemqu fhdod .kakd rg iaúvkhhs' idudkH ore m%ijhka (vaginal births) oyilg trg tmsia lemqug ,lajkafka ishhlg;a wvq .¾NsKSka ixLHdjls' .=jd;ud,dfõ;a" ;dhsjdkfha;a uq,ajrg ore m%iQ;shg ,lajk iEu ujlu mdfya tmsia lemqug ,lafj;s' hqfrdamSh rgj,a ie<l= úg 20022003 j¾Ifha ì%;dkHfha tmsia lemqu m%;sY;h 13] ls' 1995 ixLHd f,aLKj,g wkqj iamd[a[fha 87] ls'

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January 2017

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tmsia lemqula fhoSfuka miq th iqjm;a ùug i;s lsysmhl ld,hla .; fjhs' tf;la Bg Ndckh jk ldka;djg weúoSfïoS uQ;%d my lsÍfïoS ÿIal;djhkag uqyqK mEug isÿfõ' fuys we;s úYd,;u wjodku jkafka tmsia lemqu we;eï wjia:dj,oS laceration in the anal sphincter isÿúuhs' fujka bßula we;sjQ úg th ms<silr lsßu w;sYhska ÿIalr jk

doctormagazine.lk

w;r tf;la bfígu uQ;%d myùu jeks iudc.; úfïoS uy;a wiSre ;;ajhkag uqyqK mEug isÿjk wlr;eínlg ,laùug tu ldka;djkag isÿfõ' zztmsia lemqu wjYHu tlla fkdfõ'''ZZ m%ij yd kdß úfYaI| ffjoHjrfhl= jQ ffjoH Wmd,s udrisxy wfma rfÜ m%uqL m%ij yd kdß úfYaI| ffjoHjrfhl= jQ ffjoH Wmd,s udrisxy tmsia lemqu .ek iajlSh lD;shlska olajkafka fujka woyils' kdß yd úgmh oajdr lemqu iEu iajdNdúl ore Wm;lgu wjYH fkdfõ' iajdNdúl ore Wm;loS ujf.a Wm;a ud¾.hg isÿjk fndfyda ydks j<lajd .ekSug fuhska Wmldrhla fkd,efí' fmßkshfï bÍ hdï miq ld,hloS .¾NdIh my;a ùu" bfí uq;%d msgùu jeks ore Wm;g iïnkaO wdndO tmsisfhdgñ u.ska j<lajd .; yels hhs Tmamq ù ke;' iuyr wjia:d j,oS fuu lemqu oeóu ksid f;jk yd y;rjk ore m%iQ;skaysoS nrm;, fmßkshu bÍ hdula yd miqj bfí u<my myjk ;;a;ajhla mjd we;sùug bv we;' doctormagazine.lk

fhdaks u`. bÍ hk wjia:d

ta ksid tmsisfhdgñ fhosh hq;af;a wjYH wjia:d j,oS muKs' ore Wmf;aoS fhdaks ud¾.h jgd we;s fmaYs b;d wêl f,i weoS hdu je<elaùug" Wm;a ud¾.fha we;sjk bÍ hdï jvd l%uj;a whqßka md,kh lsÍug yd fkdfïrE ore Wm;loS orejdf.a fkdfïrE ysig fhdaks ud¾. fhka fhfok mSvkh wvq lsÍug tmsisfhdgñ fhdokq ,efí' uq,a ore Wmf;aoS ,xldfõ fndfyda úg fï lemqu isÿ flf¾' ^m%ijfõoh yd ore Wm; m%ij yd kdß úfYaI| ffjoHjrfhl= jQ ffjoH Wmd,s udrisxy& tmsisfhdgñ wjYH jk wjia:d • wmyiq ore m%iQ;hloSorejd ;Ügfuka ^uqyqK fhduq jk fia$ysi yeÍ fkdue;s wjia:d j,oS& (Breech/ Face/Occipito-Posterior) ìysùu • Wrysi isrù ;sîu (Shoulder dystocia) • w`vq oeuSu (Forceps) • jel=ï WmlrK Ndú;fhaoS (Vaccum) • fhdaks ud¾.fha yrs yeá iqj fkdjQ le<e,a ;sîu' ^óg fmr m%iQ; j, .eUqre bÍ hdï ksid we;s jQ le<e,a& • orejdf.a cSú;hg laIKsl ;¾ckhla we;sùu' (Fetal distress/ Prematurity) DM

January 2017

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Clotting

;=jd,hla we;s jqKdu f,a .e,Su k;r fjk iajdNdúl l%shdj,sh isÿ jkafka fufyuhs

HOW DOES THE COAGULATION CASCADE WORK ;=jd,hla we;s jqKdu f,a .e,Su k;r fjk iajdNdúl l%shdj,sh isÿ jkafka fufyuhs

;=

jd,hla isÿ jqKdu f,a .,kjd' yenehs ál fj,djlska ta f,a .e,Su kslïu k;r fjkjd' fï úosyg f,a .e,Su k;r fjkafk Tn ys;k úosyg zzkslïu;aZZ fkdfjhs' ta yd ine|S ffcj ridhKsl l%shdj,sh f;areï .ekSughs wfma fï W;aidyh' ;=jd,hlska .,k f,a k;r fjk l%shdj,sh Coagulation hkqfjka ye|skafjkjd' fndfyda ffjoH úoHd;aul jpk jf.au fuh;a ,;ska NdIdfjka Wmka jpkhla' leá .eiSu lshk wre; ;uhs Coagulation lshk jpkfhka wre;a oelafjkafk' fy< NdIdfjka zzwd;xpkhZZ lsh, ye|skafjkj jqK;a wm;a fuh zzleá .eiSuZZ hkqfjkau ye|skaùu fyd|hs lshk ldrKhg Tn;a tl`. jkjd we;s' reêrfha wmQre tkaihsuhla ;sfhkjd" Protease 34 kD lsh,' tfyu lsõju kqyqre ksid thg ;sfhk m¾hdh kduh;a lshkakï'

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doctormagazine.lk

;=jd,hlska .,k f,a k;r jk wdldrh mshjr jYfhka''' reêrjdyskshla wdmodjg ,lajQ úg tys we;s r;=reèr ffi, mgl j,g úisfrhs

uDÿ fmaYs ffi, ixfldapkh ù reêr kd, yels,S reêr iemhqu wvq lrhs'

"

reêrfha ;r, fldgi fkdfyd;a ma,iaudfj *hsì%fkdcka lsh, fm%daàkhla ;sfnkjd' ;=jd,hla isÿjQ iekska f;%dïìka tkaihsuh fï *hsì%fkdcka tlal tl;= fj,d *hsì%ka lsh, iaMÀlrEmS øjHhla W;amdokh lrkjd' f;%dïìka' f;%dïìka yefokafk wlaudfj' f;%dïìka l%shdldß;ajhla we;s lr.kafk tla wjia:djlos muKhs' ta ;uhs isrer ;=jd,hla yeos, wdmodjlg ,la ùu' YÍrh mqrd mgl j,g fmdaIKh imhk reêrfha ma,iaudj lsh, ;r, fldgila ;sfnkjd' doctormagazine.lk

mÜáld tlsfkl we,S ;djld,sl uqødjla we;s fjhs'

ta jf.auhs mÜáld" rla;dKQ" Yafõ;dKq jf.a ne|sÉp ix>gl;a ;sfnkjd' Tlaiscka j,ska ix;Dma; reêrh Ouks Tiafia isrer mqrd fnod yßkjd' Ysrd.; reêrfha ;sfnkafk ldnka vfhdlaihsâ jdhqj' mßjD;a;Sh neyer,k fldgia j,skao idr Ysrd.; reêrh fï mßjD;a;Sh wmøjH YÍrfhka neyer,Sug l%shd lrkjd' reêrfha ;r, fldgi fkdfyd;a ma,iaudfj *hsì%fkdcka lsh, fm%daàkhla ;sfnkjd' ;=jd,hla isÿjQ iekska f;%dïìka tkaihsuh fï *hsì%fkdcka tlal tl;= fj,d *hsì%ka lsh, iaMÀlrEmS øjHhla W;amdokh lrkjd' ;=jd,hla we;s jqKdu t<shg mksk reêrh ffcj ridhkslj uqød lrkak fï *hsì%ka iu;a'

f;%dïìka yd *hsì%fkdcka iqixfhda. fhka iEÿKQ *hsì%ka u.ska iaÓr f,a leáhla ;=jd,fha we;s lrhs'

*hsì%ka fï wdldrhg l%shd lsÍu ksid ;uhs f,a .e,Sula k;r lrkak ;=jd,h u;=msg reêr leá;a;la we;s lrkafk' thska ;=jd,h u;=msg uqød fjkjd' f,a .e,Su k;r fjkjd' fï l%shdj,sh fkdjkakg mqxÑ ;=jd,hlska jqK;a YÍrfha ;sfnk uq¿ reêr mßudju YÍrfhka bj;a fjkak bv ;sfnkjd' fï wkQj Tng jegfyaú Coagulation lshk l%shdj,sh fudk ;rï YÍrhg /ljrkhla f.k fokjdo lshk ldrKh' ;=jd,hla we;sù .,k f,a k;r lrk ffcj l%shdj,sh iònkaOfhka jeä úia;r oek.kak" fï ùäfhdaj krUkak' DM

January 2017

https:// youtu.be/_ yQD0U3ZtCs

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D•Magazine /

Dysphagia

.s,Sfï wmyiq;d we;s jkafka wehs @

DYSPHAGIA .s,Sfï wmyiq;d we;s jkafka wehs @ W.=r mÍlaId lrk tkafvdiafldms mÍlaIKh f;dr;=re wkdjrKhg losuhs wm ish¿ fokdgu cSú;h mj;ajd .ekSug" /l.ekSug wdydr yd c,h wjYH fõ' fl;rï iem iïm;a ;snqK;a tajd Ndú;fha wmyiq;d we;sjQ úg thska ksis m%fhdackhla .; fkdyel' wdydr yd c,h iïnkaOfhkao lreKQ tfiauh' tajd wmg fl;rï wjYH jQjo" ,nd.ekSu wmyiq jQ úg fndfyda .eg¿ j,g uqyqK mEug isÿfõ' .s,Sug w;HjYH bkaøsh f,i osj" uqLh" ;,a," wmscsyaúldj" .,kd,h hk wdydr ud¾.hg wh;a wjhj uQ,sl jYfhka ye|skaúh yel' by; bkaøsh j, jHqyd;aul .eg¿o" l%shdldß;ajfha .eg¿o wm frda.S lrhs' wmg .s,Sfï wmyiq;djhka we;s lrhs' we;euqkag fõokdjla (Odynophagia) ;j;a flfkl=g wdydr ysrùu ksid wmyiq;d (Dysphagia) we;sfõ' .s,Sug we;sjk ndOdj" tfiau .s,sk úg we;sjk fõokdj W.=f¾ fiïf.ä fyda .,kd,fha wdidok ksid we;súh yel' ksoiqkla f,i nelaàßhd fyda mqia ksid we;sjk wdidok j,oS fï frda. ,laIK m%lg lrhs' fujeks wjia:djloS iqÿiq m%;scSjl T!IO ,ndoSug Tfí ffjoHjrhd lghq;= lrk w;r thska blauka iqjhlao ,nd.; yel' kuq;a jHdyd;aul .eg¿jla 46

January 2017

DOCTOR MAGAZINE

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

ksid tkï wod, bkaøsh j, fjkialula ksid we;sjk .eg¿ kï ixlS¾K iajNdjhla .kS' wmscsyaúldj yd .,kd,h wdY%s;j we;sjk bosóï ksid fndfyda úg fujeks ;;a;ajhla we;sfõ' thg oS¾>ld,Skj mj;sk wêl wdï,sl;djh fyj;a .eiag%hsáia ;;a;ajh we;eï úg Bg n,mdhs' tu wdï,sl hqI ks;r wdudYfha isg .,kd,h ;=<ska by<g .uka lsÍu ksid fuu ;;a;ajh we;s jk w;r mgl j,g isÿjk ydksh ksid .,kd,h isyska fjhs' .s,Sfï wmyiq;djh we;s lrk ;j;a ;;a;ajhla jkqfha ndysr hula wdydr doctormagazine.lk

ud¾.fha isrùuhs' ud¿ lgq" uia lgq" wdydr .=,s wdosh fï wdldrhg isrúh yels w;r tajd bj;a l< hq;=h'

;sfí' by< Wria l=yrfha we;sjk f.ä" ms<sld (Mediastinal tumours) .,kd,h msg;ska f;rmSu ksid th mgqù .s,Sug wmyiq;d we;sjk wjia:d fõ' wêl jYfhka úYd, ;hsfrdhsâ .%kaÓho fujeks ;;a;ajhla we;s lrhs'

.,kd,h wdY%s;j we;sjk ms<slduh ;;a;ajhka ksido fuu frda. ,laIK we;súh yel' .s,SfïoS we;sjk isrùfï iajNdjh fuysoS frda.shdg oefkk w;r wdydr wreÑh yd nr wvqùuo fuysoS oelsh yel'

by; idlÉPd lrk ,o jHqyuh idOl j,g wu;rj iakdhq.; frda. ksid we;sjk udxYfmaYs j, ÿ¾j,;djhkao fuf,i .s,Sug ndOd we;s lrhs' tfiau wxYNd.h jeks frda. ;;a;ajhkaysoSo .s,Sug we;sjk wmyiq;djhka fya;= jkafka udxYfmaYsj, we;sjk ÿ¾j,;djhka fya;=fjks'

.,kd,h YÍrfha msysgd we;af;a by< Wria l=yrfhah' fuu iqúfYAIS msysàu fya;=fjkao .s,Sfï wmyiq;djhkag ;=vqfok fjk;a frda. y÷kdf.k

doctormagazine.lk

fï wdldrfhka .s,Sug ndOd f.k tk fya;= /ila ;sfnk w;r tajd uekúka mÍlaId lsÍu isÿ l< hq;af;ah' W.=r fyd|ska mÍlaId lsÍu yereKQ úg leurd wdOdrfhka .,kd,h mÍlaId lsÍuo fuysoS b;d jeo.;a fõ' fõokdkdYl ,ndoSfuka miq .,kd,hg we;=,a lrk Endoscope leurdj fuhg fhdod .kS' fíßhï fhdod isÿ lrk Barium Swallow úlsrK mÍlaIKh u.ska .;slj tys l%shdldß;ajh mÍlaId lrk Fluoroscopy mÍlaIKh u.skao fï iïnkaO jeäÿr f;dr;=re ,nd.ekSug yelsfõ' DM

January 2017

DOCTOR MAGAZINE

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D•Magazine /

laparoscopic Surgery Y,Hl¾u isÿ lsrSug we;s ìh bj;a l< ,emriafldmsla Y,Hl¾u

LAPAROSCOPIC SURGERY Y,Hl¾u isÿ lsrSug we;s ìh bj;a l< ,emriafldmsla Y,Hl¾u Y,H úfYaI{ ffjoH Njka; .uf.a úisks

48

January 2017

lems,s flá,s kE''' f,a .e,Sï wvqhs''' blauKska iqjh ,efnhs'''

DOCTOR MAGAZINE

doctormagazine.lk

,emriafldmsla Y,Hl¾u wo fï rfÜ iq,n Ndú;djla' úfYaIfhkau Y,Hl¾uhloS Yrisÿlrk lemqï fya;=fldgf.k fndfyda fofkla Y,Hl¾u j,g Ndckh jkafka buy;a ;e;s .ekSulska' ta;a ,emriafldmsla Y,Hl¾u úiska wo Y,Hl¾uhloS we;sjk YÍrdNHka;rh újr lsÍug kej;Sfï ;s;la ;nd ;sfnkjd' ta fjkqjg Worhg fhdok mqxÑ isÿre lsysmhlska muKla iuia; Y,Huh l%shdj,shu isÿ lrk wdldrhg Yd,l ;ka;%h lsishï mßjß;khlg ,la lr ;sfnkjd'

fï ie;alu isÿ lsÍfïoS mqyqKQj jeo.;a' ukd w;aoelSï id¾:l Y,Hl¾uhlgbuy;a msgqjy,la jkjd' wfma rfÜ fï wdldrhg ,emriafldms l%uhg Y,Hl¾u isÿ lrk ffjoHjreka úYd, m%udKhla isák nj;a lsj hq;=uhs'

,emriafldmsla Y,Hl¾u ksid wo Y,Hl¾uhg ,lajk frda.shdg buy;a iekiSula we;sù ;sfnkjd muKla fkdfjhs" thska frda.shdg we;sjk oS¾>ld,Sk ixl+,;do wju lr ;sfnkjd' Yd,l ;ka;%h buy;a mßj¾;khlg ,la l< ,emriafldmsla Y,Hl¾u iïnkaOfhka wm iu. l;dnyl fhfokafka Y,H úfYaI{ ffjoH Njka; .uf.a uy;audhs'

"

,emriafldmsla Y,Hl¾u isÿ lrkafka ljr frda. i|ydo @

,emriafldmsla Y,Hl¾u hkqfjka yªkajkafka l=ulao @' ta .ek uQ,sl wjfndaOhla wmg ,nd fokak' Wor l=yrh ;=< isÿ lrk Y,Hl¾u .ek l;d lf<d;a fuys lrk ljr idïm%odhsl Y,Hl¾uhloS jQj;a ie<lsh hq;= lemqula fhdokak isÿ fjkjd' Worfha lsishï fPaokhla lrkak isÿ fjkjd' fï ksidu ;uhs fndfyda fofkla Y,Hl¾uhla lrkjd lS úg lsishï ;e;s .ekSulg ,la jkafka;a' ta;a ,emriafldmsla Y,Hl¾uoS fï iuia; l%shdj,shu isÿ lrkafk lemqula fkdue;sj ñ,s óg¾ myl" oyhl muK m%udKfha isÿre lsysmhla fhdod. ekSfukqhs' fuhska úYd, jYfhka Worh lemSula isÿ lsÍfï wjYH;djh u. yefrkjd' wfkla w;g fï isÿre .ek;a Tn ta ;rï jo úh hq;=;a kE' fï isÿre we;s lrkafk;a frda.shd ks¾úkaokhg ,la lr,hs' fï ksid th isÿ lrk wjia:dfõ;a''' Y,Hl¾uh isÿ lrk wjia:dfõ;a frda.shdg lsisÿ fõokdjla we;s jkafka kE'

doctormagazine.lk

wfma rfÜ ,emriafldmsla Y,Hl¾u nyq,ju fhdod .kafka ms;a;dYh wdY%s; .eg¿ i|ydhs' ms;a;dYh lshkafka Wor l=yrfha ol=KQ mi by<g jkakg we;s wjhjhla' fuh wlaudj wdY%s;jhs ;sfnkafka' ms;a;dYfha we;sjk .,a ksid frda.Skag ms;a;dYh meiùu" wêl fõokdj" fix.ud,h jeks ;;a;ajhka we;súh yelshs' ,emriafldmsla Y,Hl¾u ;dlaIKh meñKSug fmr fujka frda.Ska yg iykh i,ikq msKsi Worfha

January 2017

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D•Magazine /

Y,Hl¾u isÿ lsrSug we;s ìh bj;a l< ,emriafldmsla Y,Hl¾u

laparoscopic Surgery

ol=KQ me;a;g jkakg w`.,a 7-8l''' iuyr úg Bg;a jeä úYd, lemqula fhdod ;uhs fï ms;a;dYh bj;a lsÍu isoaO jqfKa' kuq;a ,emriafldmsla Y,Hl¾u ;dlaIKh ksid tjka nrm;, fjkialula isÿ fkdlr myiqfjka fuu ms;a;dYh bj;a lsÍfï ie;alu isÿ lsÍug wjia:dj ie,iS ;sfnkjd' tu kjH ie;alu y|qkajkafka laparoscopic cholecystectomy hkqfjkqhs' fuysoS iuia; l%shdj,shu isÿ lrkafka isÿr Tiafiau m%fõY lrk ishqï leurdjl m%;sìïnh ;srhlg ,nd .ekSfuka' fï ksid mshú fkf;ka n,kjd jf.auhs''' iuyr úg fï ;dlaIKh weiqf¾ Bg;a jvd j¾ê; m%;sìïn oel .ekSugo wjia:dj ,efnkjd' fï ksid b;d ksjerosj;a" úYajdiKShj;a fï Y,Hl¾uh isÿ lsÍug Y,H ffjoHjrhdg wjia:dj ie,fikjd'

udk ms<sn|j wjfndaOfhka ;uhs ffjoHjrhd Y,Hl¾uh lrKQ ,nkafka' ta;a ,emriafldmsla Y,Hl¾uhla isÿ lr;aoS ffjoHjrhdg m%dfhda.slj ,efnkafka os." yd m<, ms<sn|j w;aoelSula muKhs' .eUqr kue;s udkh w;aú|skakg fkd,eîu lsishï wNsfhda.hla'

,emriafldmsla Y,Hl¾uoS fï iuia; l%shdj,shu isÿ lrkafk lemqula fkdue;sj ñ,s óg¾ myl" oyhl muK m%udKfha isÿre lsysmhla fhdod.ekSfukqhs'

"

ms;a;dYfha isÿlrk ,emriafldmsla ie;alula

iïm%odhsl Worh újr lr isÿ lrk Y,Hl¾u;a fï kjH wdldrfha ,emriafldmsl Y,Hl¾u;a w;r we;s uQ,sl fjkialï fudkjdo @ idudkHfhka mshú Y,Hl¾uhla lr;aoS os." m<, iy .eUqr iïnkaOfhka'''' ;%sudKrEmS w;aoelSula ffjoHjrhdg ,efnkjd' ienE f,dalfha Ndú;

50

January 2017

DOCTOR MAGAZINE

wfkla w;g ,emriafldmsla Y,Hl¾u lshkafk ;dlaIKh Wmßu jYfhka Ndú;d lrk wjia:djla' High Definition Camera u.ska Wmßu meyeos,s rEmuh o¾YK fuysoS ,nd .kakjd' fuhska iqmeyeos,s m%;sïn''' we;eï fj,djg mshú weiska olskjdg;a jvd f;dr;=re wvx.= m%;sìïn

doctormagazine.lk

fuu.ska ,nd.; yelshs' ishqï wjhj u|la úYd, lr tys l%shdldß;ajh uekúka .%yKh lr.ekSug ,eîu ;j;a m%fhdackhla' fï úosyg fjkialï ;snqK;a ,emriafldms ;dlaIKh Y,Hl¾u l%ufõohka w;sYhska ir< lr ;sfnk nj;a lsj hq;=uhs'

WKavqlmqÉPh bj;a lsÍfuka miq meh 24l muK ld,hlska frda.shdg ksfjig f.dia úfõl .ekSfï wjia:dj fï kjH Y,Hl¾uh ksid ysñ fjkjd'

"

bkakg isÿ fjkjd' ta;a" ,emriafldmsla l%uhg Y,Hl¾u fï Y,Hl¾uh isÿ lsÍfïoS meh 24la jf.a flá ld,hlska frda.shdg ksfjig hkak wjia:dj ,efnkjd' ÿria: l%shdldß;ajhlska hqla; Y,Huh WmlrK u.ska Y,Hl¾uh yiqrejk wdldrh

Worh újD; lr isÿ lrk Y,Hl¾u j,g idfmalaIj ,emriafldmsla Y,Hl¾u j,ska ,efnk m%Odk jdis fudkjdo @ fuysoS frda.shdf.a Worfha we;s jkafka iq¿ lemqula' Worh újD; lsÍu ksid we;sjk ;=jd, iqj jkak ld,hla .; fjkjd' ;=jd,h meiùfï bvla ;sfnkjd' fï ksid y¾kshdjla we;s jkakg mq¿jka' fï ixl+,;d ,emriafldmsla Y,Hl¾uhloS we;s jkafka wju jYfhka'' wfkla ldrKh jkafka wm Y,Hl¾uhla isÿ lsÍfï uQ,sl wNsm%dh jkafka frda.shd kej;;a fmr mqreÿ cSú;hg blauKska m;a lsÍfï wNsfhda.h ch .ekSu' ms;a;dYh whska lsÍfï ie;alu Worh újD; lr isÿ lsÍfïoS wju jYfhka osk 5-6la j;a frdayf,a /|S

doctormagazine.lk

frda.shd iqjh ,eîu blauKska isÿùu úfYaI jdishla' ,emriafldms ;dlaIKfhaoS Y,Hl¾ufhka miqj we;sjk fõokdjkao wjuhs' th frda.shdgo buy;a myiqjla f.k fokjd'

,emriafldmsla l%uhg isÿ lrk fjk;a Y,Hl¾u fudkjdo @ WkavqlmqÉPh m%odyhg m;aùu ksid fndfyda fofkla frday,a.; fjkjd' fï whf.a;a Y,Hl¾uh ,emriafldmsla l%uhg isÿ lrkak mq¿jka'

January 2017

DOCTOR MAGAZINE

51

D•Magazine /

Y,Hl¾u isÿ lsrSug we;s ìh bj;a l< ,emriafldmsla Y,Hl¾u

laparoscopic Surgery

,emriafldmsl fld,sisiafgdñ ie;alu

meijmq WKavqlmqÉPh jqK;a bj;a lsÍfuka miq meh 24l muK ld,hlska frda.shdg ksfjig f.dia úfõl .ekSfï wjia:dj fï kjH Y,Hl¾uh ksid ysñ fjkjd' nv we;=f< mqmqrkak mq¿jka' fï msmsÍfïoS we;sjk ierj jy jyd bj;a l< hq;=hs' ,emriafldmsla Y,Hl¾ufhka Y,Hl¾uh isÿ lsÍfïoS Bg fyd|gu wjia:dj ;sfnkjd' fï ierj fldgia yªkdf.k tajd bj;a lsÍug fï Y,Hl¾ufhka wjia:dj ;sfnkjd' ms<sld ful, iq,nhs' ms<sld frda.Ska ;u ms<sldj bj;a lsÍug Y,Hl¾u j,g ,laúh hq;= jkjd' nvjef,a we;sjk ms<sld wdosh ,emriafldmsla Y,Hl¾u u.ska bj;a lrkjd' .=o ud¾.fha we;sjk ms<sld bj;a lsÍuo ,emriafldmsla Y,Hl¾u isÿ lrkjd' ,emriafldms u.ska fï frda.Skag m%;sldr lsÍfïoS osk 3-4lska ksfjig hkakg yelshdj ,efnkjd' idïm%odhsl újD; ie;aluloS kï fï frda.Ska i;shlg jeä ld,hla frdayf,a kshñ; m%;sldr ,nd.; hq;=uhs' kdß ie;alïo rdYshla fï ,emriafldms ;dlaIKh fhdodf.k isÿ lrkjd' tkafvdfuá%fhdaishdj m¿ÿ bj;a lsÍu" ldka;d jkaOHdlrkh yereKq úg kd,.¾N ms<sis|Sï kue;s wjodkï iy.; .eí .ekSuloS;a (ectopic pregnancy) fï wdldrhg Worh újr fkdlr id¾:l f,i ie;alu isÿ lrkak mq¿jka' 52

January 2017

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reêrh .e,Sï wjuhs ,emriafldmsla Y,Hl¾uhloS ,efnk ;j;a iqúfYAIS jdishla ;uhs reêr jyk uekúka md,kh ùu' fï ,emriafldmsla Y,Hl¾u j,g Ndckh jk frda.Skaf.a f,a .e,Sï idfmalaIj wvqhs' nvje, újD; lsÍu isÿ lsÍfïoS ñ,S,Sg¾ 500750l reêrjykhla isÿùu fndfydaúg fkdje<elaúh yelshs' ta;a" ,emriafldmsla Y,Hl¾uhloS fï f,a .e,Su wju jkjd' ms;a;dYfha bj;a lsÍfï Y,Hl¾uhla ,emriafldms l%uhg isÿ lsÍfïoS ñ,s ,Sg¾ 10-15l muK b;d wvq f,ajykhlska wruqK bIaG lr.; yels jk nj lSfjd;a we;eï úg Tn uú;hg m;a fjkjdg ielhla kE' DM

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DM

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

nq ls fha frda y,a l;d

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

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D•Magazine /

Medi Gadgematics ,emriafldmsla Y,Hl¾u j, fyg oji

,emriafldmsla Y,Hl¾u j, fyg oji Hand access devices in robotic surgery 54

January 2017

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Worfha lemqï fhdokafk ke;sj''' l=vd isÿre lsysmhla ú;rla fhdodf.k YÍrdNHka;r Y,Hl¾u isÿ lrk ,emriafldmsla Y,Hl¾u ms<sn|j úfYaI úia;rhla fï l,dmfha wka ;efkl m< fjkjd' fl;rï oshqKQ ;dlaIKhla jqK;a wNsfhda. ch .ksñka ;jÿrg;a oshqKq jkakg oerE W;aidyh ;=< fyg ojfia ,emriafldmsl Y,Hl¾u j, yevrej oeka ilia fjñka ;sfnkjd' fujr Medi Gadgematics ;=<ska ,emriafldmsl ;dlaIKfha fyg ojfia Ndú;djka iïnkaOfhka Tfí wjOdkh fhduq lrKQ we;s'

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Hand access devices in robotic surgery fudk ;rï ishqï Y,H WmlrK fhdod .;a;;a ,emriafldms ;dlaIKfhaoS ffjoHjrhdf.a w; frda.shdf.a isrer iam¾Y jkafka kE' fufyhqu isÿ lrkafka frdfndála fuj<ï ud¾.fhka' ta;a b;ska fudk ;rï ishqï WmlrK ;snqK;a iajdNdúl w; ke;s mdvqj fuf;lehs lshkak nE' fï ksid mshú w; fhdodf.k ,emriafldms ie;alï isÿ lrk ;dlaIKhla (Hand access devices and robotic surgery) wo w;ayod ne,Sï Ndú;djl id¾:lj fhfokjd' m%;sM< wfmalaId okjk iq¿hs' fuys Ndú;dj;a iu.u ;j;a ixlS¾K doctormagazine.lk

Y,Hl¾u rdYshlau isÿ lsÍug wkd.;fha wjia:dj Wod jkq we;s' Y,H ffjoHjrhd mß>Kl ud¾.fhka ie;alï yiqrejkafkla njg m;a lrjk Da Vinci™ ;dlaIKh mÍlaIK uÜgfï Ndú;d jk wfkla ;dlaIKh kï wmj úYauhg m;a lrjk iq¿hs' Da Vinci™ lshkafk mß>kl iydfhka iïmQ¾Kfhkau frdfnda w;lska lrk Y,Hl¾u l%uhla' fuysoS Y,H ffjoHjrhd wvq ;rfï Y,Hd.drfha j;a bkafk kE' Tyq hdno ldurhl mß>kl ;sr lsysmhla bosßfha isg fcdahs iaála jeks WmlrKhlska iuia; Y,Hl¾uh yiqrejkjd'

frdfnda Wmlrkfha hdka;%sl w;a (mechanical arms) j,ska ;uhs Y,Hl¾uh isÿ lrkafka' ta Y,H ffjoHjrhdf.a úOdk wkQjhs fïl wkd.;fha fjkak ;sfhk fohla kï fkdfjhs' USC University Hospital we;=¿j wefußldfõ frday,a rdYshlu fï frdfndála w;a fhdodf.k isÿ lrk Y,Hl¾u oeka isÿ lrKQ ,nkjd' wlaudj" w.akHdYh yd ms;a; kd, jeks jvd;a ishqïj fufyhùu isÿl< hq;= Y,Hl¾u iSrejg isÿ lsÍug fuu.ska wjia:dj ie,fik njhs fï iïnkaO m¾fhaIlhkaf.a woyi' DM

January 2017

DOCTOR MAGAZINE

55

DM

Hypertension

THE EFFECTS OF HIGH BLOOD PRESSURE ON THE BODY frday,a j, idhk j,g jeäfhkau frda.Ska meñfKk f,fâ''' wê reêr mSvkh y÷kd.ksuq

56

January 2017

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ol=Kq fld<U YslaIK frdayf,a úfYaI{ ffjoH trx. kdrxf.dv

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wê reêr mSvkh hkq''' wm ish¿ fokdf.au YÍrfha reêr ixirkh mj;ajd .ekSug wjYH lrk mSvkh" reêr mSvkh f,i oelaúh yelshs' tu mSvkh jqjuKdjg jvd jeäùu wêl reêr mSvkh f,i wmg y÷kajkak mq¿jks' wêl reêr mSvkh mrSlaId lrkak .shdu ffjoHjrhd úiska w.hka folla mÍlaId lr n,kjd' ikHia: mSvkh (Systolic Blood Pressure) yd úkHia: mSvkh (Diastolic Blood Pressure) hkqfjka' fï w.hka fol yefokafk fldfyduo lsh, ir<j oekf.k bkak tl fyd|hs' fukak" Systolic Blood Pressure yDofhka msg;g''' mgl j,g reêrh fmdïm lsÍug yDohjia;=j iffldapkh jk wjia:dfõoS reêrjdyskS j, mSvkh by< hkjd' fuh ;uhs ikHia: mSvkh (Systolic Blood Pressure) hkqfjka yªkajkafka idudkH ksfrda.S flfkl=f.a fulS w.h 120 Hgmm la muK fjkjd'

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fukak" Dyostolic Blood Pressure mgl j,g .sh reêrh kej; fmKy¿ yryd yDoh jia;=jg tl;= ùfïoS mSvkfha wvqùula isÿùu wjYHhs' fï wjia:dfõoS yDohjia;=j m%idrKh ùula isoaO fj,d reêrfha mSvkh wvq lsÍula isoaO lr.kakjd' ikHia: mSvkh (Systolic Blood Pressure) hkqfjka ye|skafjk fuu l%shdj,sh isÿjk wjia:dfõ reêr mSvkh ksfrda.S flfkl=f.a 80 Hgmm muK fjkjd' reêr mSvkh mÍlaId lsÍfïoS ffjoHjreka fï mdGdxl folu ,nd .kakjd' iEu úgu fï w.hka folu .ek ie<ls<su;a fjkjd' wêl wêl reêr mSvkfhaoS fndfyda wjia:d j,oS fuu w.hka foflysu jeäùula jd¾;d jkjd' l,d;=rlska wjia:djloS flfkl=g fï tl mdGdxlhl muKla jeäùula jYfhkao jd¾;d fjkjd' we;eï frda.Skaf.a reêr mSvkfha 120 Hgmmg ;sfnkak ´ks w.h muKla jeä fjkjd'

Low Blood Pressure lshkafk fudllao @ we;eï fj,djg flfkla ;ukaf. reêr mSvkh muKg jvd wvqhs' (Low Blood Pressure) lsh,;a lshkj Tn wid we;s' fndfyda ÿrg fuysoS woyia lrkafk riosh ñ,s ,Sg¾ 80g ;sìh hq;= ^wvq w.h& w.h wvqùuhs' 90/60mmHg wdoS jYfhka mdVdxl ,eîu;a fï kfuka úia;r lrkakg fm<fUkjd' tjka wjia:d l,d;=rlska olakg ,efnkjd' wêl reêr mSvkh ;sfnk we;eï frda.Skag we;eï fnfy;a j¾. j,ska md,kh jkafka tla mSvkhla muKhs' fuysoS Low Pressure Range tl jeäfj,d High Pressure tl md,kh fjkjd' wfk;a ldrKh ;uhs úc,kh ùu ksid;a Low Blood Pressure jeä fjkak mq¿jka' wêl reêr mSvkh j¾.SlrKh mQ¾j reêr mSvkh idudkH mqoa.,fhl=f.a reêr mSvkfha idudkHh 120$80 f,i oelafjkjd' fuh tlS w.hka blaujd .sh úg wêl reêr mSvkh jeäùula f,i ie<flkjd' kuq;a

January 2017

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DM

Hypertension

Systolic Blood Pressure 120-39 yd Diastolic Blood Pressure 80-89 ;=< flfklaf. reêr mSvkh ;sfnkjd kï Tyq reêr mSvkfhka fmf<k frda.sfhla f,i i<lkafk kE' fï mrdih zzmQ¾j reêr mSvkhZZ Pre Hypertension jYfhka ;uhs ie<flkafka' wêl reêr mSvkh we;sùug fmr iaj,am jYfhka reêr mSvkh wia:djr jk fï wjia:dfõoS wej;=ï mej;=ï j,ska hym;a md,khla we;s lr.ekSu jeo.;a fjkjd' 58

January 2017

140-90 Hgmm g jvd Blood Pressure jeäùu wêl reêr mSvkh fuh;a wjia:d follg j¾.SlrKh lrkjd Stage 1 yd Stage 2 jYfhka' fuys Stage 2 hkqfjka oelafjk wjia:dfõ miqjk frda.shd ;rula wjodku jeä frda.sfhl= jYfhka ;uhs ie<flkafka' Tyqg fkdmudj ffjoH m%;sldr wdrïN l< hq;=hs'

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jhil whg wê reêr mSvkh we;sùu iq,nhs' fuh Essential Hypertension f,i y÷kajkjd' jhi wjqreÿ 35 bl=;j a Q ishhg 95lgu th we;sùug ksYÑ a ; fya;j = la lsj fkdyelsh's

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reêr mSvkh ksjerosj uksk wdldrh reêr mSvkh yeu úgu tlu w.hl msysgkafka kE' tla tla wjia:dj,oS fuys wvq jeä ùula isoaO fjkjd' ;rula uykais jqKdu" lsishï nhla wd;;shla we;s jqKdu reêr mSvkh;a ;rula by< hkjd' ksfid,aufka bkak úg idudkH wvq w.hla jd¾;d fjkjd' wm iEu úgu reêr mSvkh ueksh hq;af;a l,n, fkdù" ;e;s .ekaulg;a ,la fkdù ksfid,aufka bkak wjia:dfõoShs' fï ksid frda.sfhlaf.a reêr mSvkh mÍlaId lrk úg frda.shdg m%udKj;a úfõlhla ,ndoS th mÍlaId lsÍu jeo.;a' ta ú;rla fkdfjhs lsishï widudkH;djhla hhs jd¾;d jQ úg tla jrla muKla reêr mSvkh uekSfuka ;SrKhlg

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meñKSuo kqiqÿiqhs' frda.shdg m%;sldr ,ndoSfïoS fjfiiskau wjia:d lsysmhloS reêr mSvk w.hka iudf,dapkh lsÍug ffjoHjreka lghq;= lrkjd' White Coat Hypertension ffjoHjrfhl= oelal .ukq;a we;eful=g reêr mSvkh ksrdhdifhkau by< hkjd' thg kulao oS ;sfnkjd' White Coat Hypertension hkqfjka' reêr mSvkh uekSug iQodkï jk wjia:dfõoS we;sjk ;e;s.ekaula ksid ksrdhdifhkau we;sjk reër mSvkh by< hdula f,i fï ;;a;ajh úia;r l< yelshs'

wm okakjd lsisÿ frda. ,laIKhla u;=msáka m%lg fkdlrñka jqK;a flfkl=g wê reêr mSvkh mj;skak mq¿jka' fï ksid jeäysáhka ;u reêr mSvkh ks;r mÍlaId lr.; hq;=hs' l,d;=rlska wjia:djloS flfkl=g wêreêr mSvkh ksid ysiroh" lrleú,a, wdoS ,laIK we;s fjkak mq¿jka' lsisu frda. ,laIKhla fkdue;sjo flfkl= wê reêr mSvkfhka fmf<kak mq¿jka' fï ksid frda. ,laIK u; mokïj wêl reêr mSvk frda.Ska l<uKdlrkhla isÿ lrkak nE' wêl reêr mSvk frda.Ska ffjoH Wmfoia wkQj ks;ru lghq;= l< hq;=hs'

we;eï frda.Ska reêr mSvkh ;sfnk nj ms<s.ekSug leu;s kE' wêl reêr mSvkh we;sjk úg we;eï frda.Skag lsisÿ frda. ,laIKhla m%lg lrkafka kE' iuyr fj,djg wmg frda.Ska fufyu lshkjd'''zzfvdlag''' ug we`.g lsisu wudrejla kE''' fm%I¾ tl ;sfhkjd kï ug we`.g oefkkjfk'''ZZ fïl jeros l;djla'

reêr mSvkh we;sùug n,mdk fya;= jhil whg wê reêr mSvkh we;sùu iq,nhs' fuh Essential Hypertension f,i y÷kajkjd' jhi wjqreÿ 35 bl=;ajQ ishhg 95lgu th we;sùug ksYaÑ; fya;=jla lsj fkdyelshs' úúO fya;=ka j, tl;=jla f,i fï whg wêl reêr mSvkh we;s fjkjd' cdkuh fya;= ksid fukau mdßißl fya;= u;o wêl

January 2017

DOCTOR MAGAZINE

59

DM

Hypertension

reêr mSvkh we;súh yelshs' ksoiqkla f,i wdydrfha ¨KQ jeäùu" f;,a wdydr jeäfhka wkqNjh" ;rndrej wdoS lreKQ u; fujka wê reêr mSvkh we;s fjkak mq¿jka' udkisl wd;;sh;a fï i|yd odhl;ajhla olajk nj fy<sorõ ù ;sfnkjd' mjqf,a f,a {d;sfhl=g wêreêr mSvkh ;sfnkjd kï cdkuh idOl u; mjqf,a idudcslhkag;a wê reêr mSvkh we;sùug bv ;sfnkjd' fï ksid ióm {d;Ska wê reêr mSvkhg fnfy;a .kakjd kï Tn;a ta wjodkfuka ñoSug wu;r wdrlaIdjla wdydr mdk" fyd| isß;a úß;a weiqf¾ we;s lr.kak' jhi wjqreÿ 35g wvq mqoa.,fhl=g wêl reêr mSvkh ;sfnkjd kï''' jhi wjqreÿ 35g wvq mqoa.,fhl=g wêl reêr mSvkh ;sfnkjd kï ta we;sùug lsishï úfYAI fya;=jla n,md ;sfnkjdoehs ie<ls<su;a úh hq;=hs' fï whf. ka ishhg 40lg muK YÍrfha fjk;a wvq¨yq`vq;djhla u; wê reêr mSvkh we;sjk

60

January 2017

nj wm y÷kdf.k ;sfnkjd' yDofha we;s lsishï fodaIhla ksid" Wm;skau we;sjk ixl+,;d" jl=.vq j, fodaIhla ksid" fydafudak j, l%shdldß;ajfha wvq jeäùï wdoS jYfhka we;sjk YÍrfha ixl+,;d fï whg wê reêr mSvkh we;s lsÍug fya;= jkakg mq¿jka' fï wh tu ksYAÑ; fya;=j y÷kd.;a miq thg m%;sldr ,nd.; hq;=hs' wêreêr mSvkh;a md,kh lr.; hq;=hs'

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wêl reêr mSvkhg m%;sldr fkd,eîfuka we;sjk wk;=re lsishï mqoa.,fhl=g wê reêr mSvkh ;sfnkjd kï Tyq ta i|yd ffjoH Wmfoia j,g wkQj m%;sldr .; hq;=uhs' fï frda.Ska bosß cSú; ld,h mqrdu T!IO .; hq;=hs' wê reêr mSvkhg m%;sldr .kak lsis flfkla ue<s úh hq;= kE' Tn je<lsh hq;af;a fnfy;a .ekSfuka fkdfjhs' fnfy;a fkd. ekSfukqhs' ukao @ m%;sldr

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fkd.kakd wê reêr mSvkh ksid Nhdkl ixl+,;d we;s úh yelshs' fndfyda wjia:d j,oS fï ixl+,;d j,g m%;sldr lsÍu wiSrehs' fï ksid iEu wê reêr mSvkh frda.sfhau ks;s ffjoH wëlaIKhg ,laúh hq;=hs' ffjoHjrhd fok Wmfoia j,g wkql+,j T!IO yd cSú;h yev. iajd .; hq;=hs' wêreêr mSvk frda.Ska uqyqK mdk wk;=r • wd>d;h" wxYNd.h • yDoh jia;=j wl¾ukH ùfuka we;sjk yDoh ls%hdldß;ajh ÿ¾j, ùu ^yDo wlrKsh& Heart Failure • jl=.vq j,g we;sjk n,mEu • weia j, fmkSfï wvqmdvqlï fjfiiskau wd>d;h fkdfyd;a wxYNd.h lshkafk wê reêr mSvk frda.Ska uqyqK mdk nrm;, wjodkula' yeÿfKd;a iqj lr .ekSu wudrehs' yDohdndO;a we;s lrk wjodku iq¿mgq kE' fï ksid wê reêr mSvk frda.Ska ffjoH Wmfoia m%ldrj lghq;= lsÍfuka" kshñ; mßos idhkhg f.dia

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mÍlaIK isÿ lr.ekSfuka fï wjodku wE;a lr.ekSug lghq;= l< hq;= fjkjd'

lsih s ï mqo. a ,fhl=g wê reêr mSvkh ;sfnkjd kï Tyq ta i|yd ffjoH Wmfoia j,g wkQj m%;l s dr .; hq;u = hs' fï frda.k S a bosß cSú; ld,h mqrdu T!IO .; hq;h = 's

wê reêr mSvkh ksid we;súh yels wfkl=;a nrm;, frda.

• wê reêr mSvkh iu. we;súh yels ;j;a frda. ;sfnkjd' fldf,iagfrda,a" oshjeähdj wdoS frda.;a fï iu. we;sùfï bvlv jeähs' fï ksid wê reêr mSvkh y÷kd.;a úg fï frda. mj;skafkao hkak y÷kd.; hq;=hs' ta i|yd jk mÍlaIK j,g frda.shd Ndckh úh hq;=hs'

• wfkla ldrKh ;uhs" wê reêr mSvkh fya;=fldg.;a úúO ixl+,;d' úfYAIfhkau jl=.vq j,g fï ksid wys;lr f,i n,mEula we;s úh yelshs' fïjd yªkd. ekSug úfYaIfhka mÍlaId lsÍu jeo.;a fjkjd' uq,skau wê reêr mSvkh frda.sfhla yªkd.;a úg isÿ lrk mÍlaIK fï frda.Skaf.a ECG mÍlaIKhla lrkjd' yDohdndOhl ,laIK ;sfnkjdo @ yDohjia;=j bosñ,d ;sfnkjdo @ wdosh fï wkqidrfhka fidhd n,kjd' mmqfõ tlaia f¾ tl;a jeo.;a' yDohjia;=j bosñ,do @ lshk ldrKh fuysoS fidhd n,kjd' fldf,iagfrda,a" ksrdydr reêr mÍlaIK Serum Creatinine, Serum Electrolite wdoS mÍlaIK uq,skau frda.h y÷kd.;a miq isÿ lrkjd' bka miqj;a úáka úg mÍlaIK isÿlr ;;a;ajh iudf,dapkh lrkjd' fï weiqf¾ frda. ;;a;ajh uekúka mÍlaIdjg ,lalr ta ish,a,gu m%;sldr lsÍu jeo.;a'

January 2017

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61

DM

Hypertension

fï frda.Ska yDohdndO j,g" wd>d;hg ,la ùfï wjodku jeä ksid ta ;;a;aj j,g m;a ùug fmrksis ms<shï fhoSu fuysoS ffjoHjrekaf.a ld¾hNdrh jkjd' wêl reêr mSvkh frda.Skag fok Wmfoia wêrewêl reêr mSvkh zzmQ¾j reêr mSvkhZZ Pre Hypertension wjia:dfõoS tlmdru fnfy;a mgka .kafk kE' cSjk rgdj fjkia lr.ekSug uq,skau Wmfoia fokjd' thska uq,a ld,fhaoS wê reêr mSvkh md,khg ,la lr.kak mq¿jka' Tn W;aidyj;a kï fï wjia:dfõoS Tng fï mKsúvh Tiafia bosß fi!LHh ;;a;ajh jvd;a Tfí md,khg ,la lr .ekSugo fï wk;=re ye`.ùfuka wjia:djla ,efnkjd' yenehs wê reêr mSvkh ;sfnkjd kï Tyqg m%;sldr wdrïN l< hq;=hs' Stage 2 wjia:dfõoS tu m%;sldrjydu m%;sldr wdrïN lrkjd wê reêr mSvk frda.Ska ;u cSjk rgdj fjkia lr.ekSu w;sYhska jeo.;a'

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January 2017

wê reêr mSvk frda.k S a ;u cSjk rgdj fjkia lr.ekSu w;sYhska jeo.;a'

wdydrhg tla lr.kakd ¨KQ m%udKh iSud lr.ekSu w;sYhska jeo.;a wdydr fõ,g tl;= lrk ¨KQ m%udKh wvq l< hq;=hs' ,xldfj wms ¨KQ j,g leue;a; jeähs' jHxck j,g hyñka ¨KQ tl;= lrkjd' fuhska fkdkej;S n;a uqÜáhg;a ¨Kq odkjd' n;a j,g ¨Kq tmd' jHxck j,g;a ¨KQ oeóu iSud lrkak' th ldg;a fyd|hs' wê reêr mSvkfhka fmf<k frda.sfhla ksfjfia isákjd kï th Tyq fjkqfjka l< hq;=uhs' ¨KQ jeämqr wvx.= laIKsl wdydr - f*%kaÉ m%hsia" Ñmaia áka ud¿" Öia" fidaia" uduhsÜ wdoS ;reK mrmqf¾ ckdorh oskQ wdydr j,ska wE;a fjkak ´ks'

DOCTOR MAGAZINE

WHO ks¾foaYh fjkafk mqoa.,fhl=g ¨KQ .a?ï 1'5hs' ta;a fõ,lska .a?ï 5l muK wmg fï úosyg jeros wdydr ksid YÍr.; fjkjd' fuhska ñoSu f,vla ke;;a ´kEu flfkl=g ;u YÍr fi!LHh wdrlaId lr.kak msgqjy,la fjkjd' nr wvq lr.kak" jHdhdu j, fhfokak ia:q,;djh wêreêr mSvkh ú;rla fkdfjhs" mßjD;a;Sh frda. /ilg w; jkkjd' fï ksid ia:q,;djfhka ñfokak W;aiql jkak' jHdhduh thg w;sYhska msgqjy,la fjkjd' YÍrh fjfyijk jHdhdu j, ksr;=reju ksr; jk tl fyd| isß;la' ÿïjeá u;ameka mdkh fyd| kE''' ÿï mdkh ldg;a fyd| kE' wêreêr mSvkfhka fmf<kjd kï th Tng fldfy;au fyd| kE' thska Tng yDohdndO" wd>d;h jeks nrm;, ixl+,;d we;sùfï wjodku fnfyúka by< kxjkjd' uoHidr mdkh lsÍfukq;a Tn je<lsh hq;=uhs' thskao by; ixl+,;d blauKska we;s lsÍfï wjodkula we;s fjkjd' DM doctormagazine.lk

D•Magazine /

Cabbage for happiness f.dajd fld< mmq;=f¾ i`.jdf.k msfhdjqre j,g iqjh fidhk hqfrdamSh ldka;djka'''

Women are putting cabbage leaves on their breasts.

The reason for that will make you happy!

f.dajd fld< mmq;=f¾ i`.jdf.k msfhdjqre j,g iqjh fidhk hqfrdamSh ldka;djka'''

doctormagazine.lk

January 2017

DOCTOR MAGAZINE

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D•Magazine /

f.dajd fld< mmq;=f¾ i`.jdf.k msfhdjqre j,g iqjh fidhk hqfrdamSh ldka;djka'''

Cabbage for happiness

fïl wreu mqÿu isß;la''' hqfrdamfha iy wefußldfõ we;eï ldka;djka w;f¾ w;sYhska ckm%sh isß;la lsõfjd;a je/oaola kE' Tjqka f.dajd fld<hla ;u mmq;=f¾ mshhqre j,g iam¾Y jk fia ;nd .kakjd' orejkag lsß fmùfïoS we;sjk lsishï fõokdjla we;s fjkjd kï ta ksid lsishï wmyiqjlaa we;s fjkjd kï fï ksid ta fõokdj" wmyiq;djh ke;s fjk njhs Tjqkaf.a ms<s.ekSu' orejka bkak wïu,d ú;rla fkdfjhs ysrg ;kmg m<|sk ldka;djkq;a fï w;a fnfyf;ka iekiSula ,nk nj jeäÿrg;a jd¾;d fjkjd' m¾fhaIK j,g f;da;ekakla jQ ngysr f,dalfha fuf;la

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January 2017

lsisu m¾fhaIKhlska mshhqre wdY%s; fõokdj fyda bosóu k;r lrkak mq¿jka ridhkhla f.dajd j, ;sfhkjo lsh, ;ju;a fydhdf.k kE' ta;a tla ldrKhla kï fï m¾fhaIlhka ksielfhkau lshkjd' tal ;uhs' zzl;dj we;a;'''ZZ lshk tl' lsß fok uõjrekag jf.au lsá lsáfha ysrg ;kmg w|sk ldka;djka fï wmQre f.dajd fld< iam¾Yfhka wmßñ; iykhla ,nk nj''' f.dajd fld< ;nd.kakg fmr" YS;lrKfha mehla ;sfhkjd''' msfhdjqre u; ;shd.kak biafi,a, f.dj f.äfh we;=<g fjkak ;sfhk m;% folla YS;lrkhl mehla ;nkjd' Bg miafi ;uhs ;kmqvq fkdjefik fia msfhdjqre jefik fia f.daj m;%h w;=rkafk' fï f;dar. kak f.dajd fnfy;a fkd.imq taj úh hq;=u hhs wjOdrkh lrkjd'

DOCTOR MAGAZINE

mshhqre iam¾Y jk fia úkdä 20la ú;r ;nd.;a;u iS;, flfuka flfuka bj;a jqKdg miafi f.daj fld<h bj;a lrkjd' oeka m%;sldrh iïmQ¾Khs' wehf.a msfhdjqre j,g buy;a iykodhS njla fuhska ,efnk nj jeä ÿrg;a wjOdrKh fjkjd' fï wdldrhgu mdo j,g iykhla we;s lr.kakg;a" ysiroh iukh lr.kakg;a f.dajd fld<hu fhdod.; yels nj jeä ÿrg;a wjOdrKh lrkjd' DM VIDEO fï iïnkaOfhka lreKQ oelafjk ùäfhdaj Tfí QR fla;h il%Sh lrf.k kerôh yelshs'

https://youtu.be/ihAGIoo4DqE

doctormagazine.lk

DM

Skin & Beauty

iu úhm;a ùu iu úhm;a ùu lshkafka wm lsisu flfkla leu;s fohla kï fkdfjhs' tfy;a wmg b;ska iajNdjO¾uhg úreoaO fjkak yelshdjla keyefka' iu úhm;a ùu wm jhig hkúg isoaO fjkjduhs' ta;a fï úhm;aùu lshk iajdNdúl l%shdj,sh wju lr.kak fyda yels;dla md,kh lr.kakg wmg yelshdjla ;sfnkjd' tfia lrkafka fldfyduo @ lshk ldrKh fï ,smsfhka úia;r lrkjd'

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January 2017

DOCTOR MAGAZINE

65

DM iu úhm;a ùu

tlu jhfi mqoa.,hka fofofkl= jQj;a fï whf.ka tla wfhla ;=reKq fmKQula" ksfrda.S ysiflia yd kejqï iulska hqla; ùug;a wfkla flkd uy¿ fmKqula we;s meiqKQ flia we;s /<s jegqKq iulska hqla; flfkla jkakg;a mq¿jka'

moúh uQ,sl frdayf,a jevn,k p¾u frda. úfYaI{ ffjoH ,laud,s m;srdc úisks

we;sùu ksoiqkla fia .; yelshs' Trjkjdla fuka fmKQula we;s lrjk iajdNdúl /<s we;euqkaf.a uqyqfKA fmfkkakg ;sfnkjfk' ^weys neu fol w;r we;sjk /<s" k<f,a we;sjk /<s wdosh iïnkaOfhka wm foieïn¾ l,dmfha ,smshla m< l<d'&

iu úhm;a jk fya;=

w

fma ifï ú;rla fkdfjhs" YÍrfha iEu wjhjhlu;a ld,hg wkqrEmS jhila ;sfnkjd' (Biological Age) ta jf.auhs l%shdldß;ajh Tiafia ;j;a jhila fmkakqï lrkjd' (Chronological Age) ienE jhi;a fmkakqï lrk jhi;a iEu úgu tlla jkafka kE' yenE jhig jvd fmakak ;sfhk jhi jeä jqKdu ;uhs lshkafk''' zzweos, .syska'''ZZ zzjhig .syska jf.a'''ZZ lsh,' ;j;a flfklaf. jhi fmakafk wvqfjka ta whf. ienE jhi ie`.fjkjd''' zzyßhg fld,af,la jf.a'''ZZ zz;ju <ñiaisfhla jf.aZZ lsh, we;euqka wrNhd lshkj Tn;a wid we;s' 66

January 2017

flfklaf.a iu jeyefrkakg mdol jkk fya;= .ek wm ie<ls<su;a fjuq' ysre lsrK ysre rYañfha we;s mdrcïnQ, lsrK u.ska ifuys fld,eck fukau wfkl=;a ishqï fldgia flfrySo wys;lr n,mEula we;s lrkjd' iu úh<Su" /<s jeàu fukau úúO me,a,ï we;sùugo fuh fya;=jla fjkjd' uqyqfKka m%lg lrk ye`.Sï Facial Expressions ks;r fodïkia iy.; Ndj m%ldY jk úg ta fjkiaùï flfrka ifuys we;eï fN!;sl fjkialïo we;s fjkjd' fodïkiaiy.; uqyqfKka iu ?<s jegqKQ fmKqula

DOCTOR MAGAZINE

ÿïmdkh ÿï mdkh lsÍfuka iu jeyefrkjd' ;uka ÿï mdkh fkdl<;a ÿï mdkh lrk flfkla <`. isàfukao fï w;=re wdka;rdhka tf,iu we;súh yels wjodkula ;sfnkjd'

kejqï t<j¿ yd m<;=re wdydrhg ksr;=re tl;= lr.ekSfuka m%;T s lail s drl .=Kdx. n,.ekaù ifuys mgl u; fmdaIKh iqir lrhs' tu.ska iu meyem;a fõ' fi!LHiïmkak fõ'

doctormagazine.lk

wêl ;dmh ÿï" yqud,h yd wêl ;dmhg iu ks;ru ksrdjrKh ùu u.skao iu úhm;a ùu fõ.j;a fjkjd' we;eï frda. ;;a;aj l,d;=rlska wjia:djloS we;sfjk we;eï frda. ;;a;aj ksido ,dnd, úfhaoSu iug úhm;a fmKqula ,efnkjd' iu jhig hdu wju lr.kafka flfiao @ ysre wdjrK wdf,amk (Sun Screen) Ndú;h kshñ; m%ñ;sfhka hqla;

doctormagazine.lk

ysre wdjrK wdf,amk ksishdldrj wdf,am lsÍfuka iug wdrlaIdjla ,efnkjd' iun, fmdaIHodhS wdydr fõ,la ,nd .ekSu kejqï t<j¿ yd m<;=re wdydrhg ksr;=re tl;= lr.ekSfuka m%;sTlaisldrl .=Kdx. n,.ekaù ifuys mgl u; fmdaIKh iqir lrhs' tu.ska iu meyem;a fõ' fi!LHiïmkak fõ' m%udKj;a mßudjl c,h mdkh lrkak ifuys f;;ukh

ksishdldrj mj;ajd .eksu fi!LHiïmkak iul uQ,drïNh jkafkah' tneúka iu úc,khg ,la fkdjk fia ksr;=re m%udKj;a c, mßudjla mdkh lrkak' f;;ukldrl wdf,amk (Moisturising cream) Ndú;h iu úhe<Sfuka wdrlaId ùug o fuh msgqjy,la fõ' úhm;a iug isÿ lrk m%;sldr iu úhm;a ùu hï ;rulg m%;sTlaisldrl

January 2017

DOCTOR MAGAZINE

67

DM iu úhm;a ùu

.=Kdx. n,.ekaùulska wdmiaig yerùug ,eîu i;=gg lreKls' ta i|yd WmldÍ jk Wmdh ud¾. lsysmhla fufiah' l%Sï j¾. fj<|fmdf<a osjd iy rd;%S wdf,amk (Anti aging cream) iq,nj we;;a tajd j. úNd. hlska f;drj Ndú;d lsÍu ydksodhlh' tajdfha ridhKsl ixhq;sh wdosh .ek wjfndaOhlska hqla;j ffjoH wkque;sh iys;j muKla fï wdf,amk ñ,oS .kak' m%;sTlaisldrl (Antioxidant) iys;

68

January 2017

wdf,amk iu úhm;a ùfï idOl iu. igka lrhs' Chemical Peeling Tfí ifï úhm;a jQ yd ydks jq ndysr ia;rh ridhKslhla u.ska ms<siaiSug ,lalr kejqï iula j¾Okh ùug lghq;= lsÍu fuysoS isÿ flf¾' f,ai¾ m%;sldrh t,a,d jegqKQ iy /<s jegqKQ iug m%;sldr lsÍug f,ai¾ ;dlaIKh fhdod.; yel' fï i|yd ie<lsh hq;= uqo,la jeh jkq we;'

DOCTOR MAGAZINE

Botulinum Toxin m%;sldrh ifï /<s we;s lrk udxYfmaYs j,g fnfy;la tkak;a lr ifï /<s bj;a flf¾' fuysoS isÿ lrkqfha udxYfmaYs j, wêl l%shdldß;ajh wvmK lsÍuhs' fuh iaÓr m%;sldrhla fkdjk w;r ksrka;rfhkafï m%;sldrhg ,laúh hq;=h' Filles iajdNdúl fyda lD;%Su ix>glhla ifï /<s we;s ia:dkhg mqrjd tu iu hgg .s¨KQ ia:dk Tijd ;eîula isÿ lrhs' fï ksid ifï /<s .;sh fkdfmfka' ;djld,sl m%;sldrhla jk fuho ;rula ñf,ka wêlh' DM doctormagazine.lk

D•Magazine /

Invention

17-year-old invented an ingenious way to instantly stop bleeding

17-year-old invented an ingenious way to instantly stop bleeding wêl reêrjyk iefklska k;r lrk wmQre ksIamdokhla y÷kajd ÿka wjqreÿ odyf;a fld¿ .eghdf.a l;dj f,dalh mqrd mY= ffjoHjreka w;f¾ oekgu;a i;a;aj cSú; iqrlsk fï wmQ¾j kslafIAmKh kqÿf¾oSu ñksia cSú; iq/lSug;a fhdod .kakjd we;s êl f,i reêrh .e,Su yosis wjia:djla''' th cSú;h wjodkug ,la lrjk ldrKhla nj;a wu;l lrkak fyd| kE''' yosis wk;=rej,oS we;efula wjdikdjka; f,i cSú;h yer hkafk wêl reêr jykh ksid'''

w

wêl reêr jykh ;;amr .Kkdjlska k;r lrkak mq¿jka wmQre ;dlaIKhla wefußldfj ;reKfhla fidhdf.k ;sfnkjd' ;reKfhla lsõjg ysßu,a

doctormagazine.lk

fcda ,ekav,skd

January 2017

DOCTOR MAGAZINE

69

D•Magazine/

17-YEAR-OLD INVENTED AN INGENIOUS WAY TO INSTANTLY STOP BLEEDING

Invention

;dreKHhg t<fUkak;a fmr ;uhs fcda ,ekafvd,skd fï wmQre fidhd.ekSu lr ;sfhkafk' fodafr .,k uyd reêr ikaksmd;hla jqK;a ;;amr .Kklska k;r lrk øjHhla''' kslafIamKhla Tyq y÷kajd oS ;sfnkjd' ´kEu Nhdkl f,a .e,Sula jqK;a k;r lrkak l< hq;af;a Tyq fidhdf.k ;sfnk fï we,a.S mdol lr.;a fmd,su¾ ridhkh ta f,a .,k ;ekg kslafIamKh lsÍu ú;rhs' boao .eyqj jf.a f,a .e,Su k;r fjkjd' lsõjg nE''' Tn;a fïl w;a ú|skaku ´ks' n,kak tys ùäfhdaj' fukak Link tl

fï ksIAmdokh Tyq uq,skau mY= ffjoH lafIA;%hg y÷kajd ÿkakd' VetiGel hkqfjka yªkajd ÿka ta reêr.,kh k;r lrk kslafIamKh jdksc jYfhka ksIamdokh lrkakg Tyq Suneris hkqfjka iud.ul=;a msysfgõjd'

youtu.be/ dJLxRcU9No4

70

January 2017

DOCTOR MAGAZINE

fuys miqìu w;sYh úoHd;aulhs' fnfyf; ;sfhkafk fc,a tlla' th we,a.S fkdfyd;a uqyqÿ YdL j,ska ksIamdokh l< fc,a tlla' we,a.S ielfikafk laIqø fmd,su¾ úosyg' ifuys we;sjk f,a .e,Sula" tfyu;a ke;akï Y,Hl¾uhloS wêlj reêrh jykh jk wlaudj" jl=. vq" w.akHdYh jf.a wjhjhlg jqK;a fï fc,a tl ;ejrejdu th oe,la jf.a u;=msg me;sfrkjd' me;sß,d iu;a tlal uqød ùula isoaO fjkjd' jeo.;au foa ;uhs' fïl lD;%Suj isÿfjk l%shdj,shla fkdfjhs' ;=jd,h u;=msg *hsì%ka W;amdokh ùug;a fuh msgqjy,la fjkjd' ta ksid l%shdj,sh w;sYhska iajdNdúlhs'

doctormagazine.lk

ksIamdokh lrkakg Tyq Suneris hkqfjka iud.ul=;a msysfgõjd' thg uQ,Huh Yla;sh ,ndoSug biEla ñ,¾ kï jHdmdßlfhl= Tyqg yjq,alrefjl= jqKd'

,ekafvd,skd fï b;d jákd fidhd.ekSu lf<a mdie,a YsIHfhla úosyg' ;ukaf. iShf. ridhkd.drh ;uhs fï m¾fhaIK i|yd fhdod.;af;a' miqj Tyq ksõfhda¾la úYAj úoHd,hg we;=<;a jqKdu fï wmQ¾j ksIAmdokh jHdmdßl kj fidhd.ekSï ;r`.hlg we;=<;a l<d' tysoS Tyqg fojk ia:dkh ,enqK' ta ;r`.hg bosßm;a jQ tlu Wmdê wfmalaIlhd;a ,ekafvd,skd nj lsj hq;=hs' wfkla ks¾udKlrejka ish¿ fokdu mYapd;a WmdêOdÍka" uydpd¾hjreka jf.a f,dj ms<s.;a nqoaêu;=ka' fï ksIAmdokh Tyq uq,skau mY= ffjoH lafIA;%hg y÷kajd ÿkakd' VetiGel hkqfjka yªkajd ÿka ta reêr.,kh k;r lrk kslafIamKh jdksc jYfhka

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wo mY= ffjoH lafIA;%h ;=< VetiGel lshkafk f,dalh mqrdu ckdorh oskQ m;, ikakduhla' fcda ,ekafvd,skd fï cSú; iqrlsk ksIAmdokh kqÿf¾oSu udkj Ndú;h i|yd;a fhdod.ekSug n,dfmdfrd;a;= fjkjd' Tyqg ta i|yd FDA wdh;kfhka kqÿf¾oSu fld< t<shla ,nd fokq we;s' uq,skau hqo msáfha ;=jd, ,nk fid,aodÿjka yd yosis m%;sldr tall j,g fhdodf.k miqj fodßka fodr ;sfnk ksIamdokhla njg VetiGel m;ajkq we;ehs fcda ,ekafvd,skd úYajdih m< lrkjd' wjqreÿ odyf;aos ñksia cSú; iqrlsk ksIamdokhla fidhdf.k th iud. ula yryd f,dalh mqrdu fnodyßk uyd jHjidhlfhla jQ fcda ,ekafvd,skdf. jhi ;ju;a wjqreÿ úis folhs' DM

January 2017

DOCTOR MAGAZINE

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D•Magazine /

Personal Tribute

ffjoH m%;sìïnfõofha hq. fufyjrl msh iyyka ;enQ ysgmq úlsrK ;dlaIK úoHd,fha úÿy,am;s udI,a m%kdkaÿ ue;s;=ud

ffjoH m%;sìïnfõofha hq. fufyjrl msh iyyka ;enQ ysgmq úlsrK ;dlaIK úoHd,fha úÿy,am;s

udI,a m%kdkaÿ ue;s;=ud

ú

lsrK ;dlaIKh ful, fjoH úoHdj ;=< frda. ksOdk wdY%s;j fukau m%;sldrfõoh ;=<o fmruqKQ ;dlaIKhls' wxls; ;dlaIKh" CT yd MRI ;dlaIKh fukau kHIaÀl ffjoH úoHdjo we;=¿j úúO úÿyqre fuj<ï weiqre lrñka frda.Skaf.a hym; Wfoid fuhska ,efnk msgqjy, wmßñ;h' ful, b;d oshqKQ ffjoH YdLdjla njg m;aj we;s m%;sìïnfõo ;dlaIKh furg ia:dms; l< ld,h ;=< tys uq,au mrïmrdj ksfhdackh l< úlsrK ;dlaIK{fhl= jQ udI,a m%kdkaÿ uy;d fï lafIa;%h ;=< wo jk úg osjukaj isák fcHaIaG;u ffjoH m%;sìïn jD;a;Shfõoshd (Medical Imaging Professional) jkafkah' fï ,smsh m< lrKQfha 40 jirl fiajd ld,h ;=< úlsrK wdY%s; frda. ksOdk lafIa;%h ;=< Tyqf.a wmßñ; jQ fufyjrg Wmydrhla jYfhks' udI,a m%kdkaÿ uy;aud ta jk úgo ÿyqka ;dlaIKhla jQ úlsrK rYañ ;dlaIK{fhl= jYfhka fld<U uy frdayf,a jirl mqyqKqj i|yd we;=<;a jQfha 1953 jif¾oSh' ta úlsrKfõosfhl= jQ ffjoH ta tÉ tka je,sl, ue;s;=uka hgf;a mqyqKQ lghq;= iïmQ¾K lrñks' mqyqKQfjka miq 1955 j¾IfhaoS .d,af,a ;disï <h idhkfhka iajlSh jD;a;Sh cSú;h wdrïN l< udI,a m%kdkaÿ uy;aud fojirl wejEfuka fld<U uy frdayf,a fiajh i|yd ia:dk udrejla ,eîh' fï ld,fha

72

January 2017

DOCTOR MAGAZINE

rfÜ whym;a iudc jd;djrkhla mej;S w;r l¿;r kdf.dv frdayf,a isá øúv cd;sl rYañ mÍlaIK isÿl< uy;aud fiajh w;yer .sfhah' t<eö yosis ;;a;j a h hgf;a .d,af,a ;disï uy;dg tys fiajh lsÍug isÿ úh' Tyq kej;;a fld<U uy frday,g meñKsfha ,kavkfha SoSociety of Radiographers wdh;kh u.ska meje;ajQ MŚR úlsrK ;dlaIK m%ùK;d úNd.hg fmkS isàu i|ydh' fld<U úYAj úoHd,fha uydpd¾h uhs,ajd.kï" úlsrK wêldÍ cS ù ch;s,l wdoSka fuu úNd.fha foaYSh mqyqKQ lrejka úh' 1961 j¾IfhaoS ,kavka doctormagazine.lk

MŚR úNd.hg fmkS isá wg fokdf.ka mylau idud¾:h ,enQ w;r udI,a m%kdkaÿ uy;do ta w;r úh' fu;=uka újdm;a jQfhao fï jljdkqfõh' yßhgu lshkjd kï 1960 j¾IfhaoSh' Tyq w;sk; .;a ukd,sh jQfha tjlg uyck fi!LH fyoshl jYfhka l¿;r m%foaYfha fiajh l< f.da;ñ fukaäia ue;sKshhs' iql=ud, .;s mej;=ï j,ska fyì f.da;ñ uy;añho frda.Ska flfryS ldreKsl mej;=ï j,ska hqla; jQjd" fï iïnkaOh rx ri mEySulau úh' udI,a m%kdkaÿ uy;aud osjhsfka ;j;a frday,a .Kkdjl fiajhg tl;= jQfha wNsfhda.d;aul jD;a;Shl fiajd wjYH;djhka fmroeß lr .ksñks' fydrK osia;%sla frday," .ïmy uQ,sl frday, tjka ck;djg buy;a jQ lem lsÍfuka fiajd isÿ l< fiajd ia:dk folls' 1978 jif¾oS f,dal fi!LH ixúOdkfhka ,o YsIH;ajhla u; udI,a m%kdkaÿ uy;aud uydì%;dkHfha úfYAIs; ms<sld wOHhk lghq;= j, ksr; úh' ta ,kavkfha if¾ yd uekafpiag¾ yS l%siaá wdfrda.HYd,d weiqr ,nñks'

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fï jeäÿr yeoEÍï j,ska miqj Tyqg ,enqKQ kj fiajd ia:dkh jQfha uyr.u ms<sld frday,hs' ùßfhka Wlyd.;a iajlSh oeKQu;a ksi`.fhka ,o ohd lreKd .=Kh;a weiqf¾ uyr.u ms<sld frdayf,a frda.S i;aldr fiajdjg lemjQ udI,a m%kdkaÿ uy;d 1981 j¾IfhaoS fld<U uy frday, yd wkqnoaO úlsrK ;dlaIK mqyqKQ mdif,a (School of Radiography) wdpd¾h ;k;=rlg m;aúh' fï ld,h ;=< fï rfÜ wjYH;djh msKsi ukd mßphlska hqla; úlsrK ;dlaIK wNdi,dNSka úYd, ixLdjla cd;shg ;s<sK lf<ah' kej;;a ;dhs,ka;fha pq,df,dx.afldx iriúfhka wêYsIH;ajhla u; ;u oeKQu jmißh mq¿,a lr.ekSug wjia:dj ,o udI,a m%kdkaÿ uy;d 1984 j¾IfhaoS fld<U úlsrK ;dlaIK mdif,a úoHd,hdêm;s OQrhg m;aúh' ta jD;a;Sfhka úlsrK wêldÍ OQrfhao jmißh orñks' fï rfÜ wdfrda.HYd,d i|yd wjYH jQ b;d olaI úlsrK ;dlaIK{hka ish .Kkdjla Tyqf.a úoHd,hdêm;s OQr ld,fhaoS mqyqKQ lrk ,oS' ta oeKQfuka" mßpfhka fukau udkqIjdoS ye`.Sï j,skao fmdfydi;a jD;a;ShfõoSka msßila jYfhks' wo fï rfÜ fndfyda wdfrda.HYd,dj, úlsrK tall fufyhjk nyq;rhla fokd fu;=uka YsIHfhda jkafkah' jir y;,syl rdcH fiajd ld,h ;=< buy;a lemùfuka fï úÿyqre lafIA;%fha m%.uKhg wmßfïh fiajhla isÿ l< udI,a m%kdkaÿ ue;sªka rcfha fiajfhka úY%du ,enQfha 1993 cq,s 31 jkodh' oYl .Kkdjl .;jQ bisUq ,;a ld,h ;=< Tyq m%foaYfha fn!oaOd.ñl lghq;= j,go il%Shj iïnkaO úh' oeä YslaIKhlska yd ir< wej;=ï mej;=ï j,ska fyì ljo;a udkqIjdoS iudc i;a;djlska l=¿Kqnrj f,dalh ÿgq udI,a m%kdkaÿ ue;sªka fï rfÜ m%;sìïn ;dlaIKfha tla;rd mrïmrdjla ksfhdackh l< m%;dmj;a hq. mqreIfhla úh' ;u wdorKSh mq;=ka fofokdf.ka tla wfhla kjiS,ka;fha mosxÑj isáhs' wfkla mq;d fu;=uka iómfhau ;u l=¿Kqnr msh;=uka fj; wem Wmia:dk lrñka isà' ;u fijKe,a, fuka <`.ska isák f.da;ó m%kdkaÿ ue;sKsh iu.ska cSú;fha ikaOHd iufha bisUqj ,nk udI,a m%kdkaÿ ue;s÷ka''' tu ue;sKshg ksÿla ksfrda.S nj Ñr cSjkh m;uq' DM

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Advertorial i;a jirl uÍkd idvïnr .uka u.

i;a jirl uÍkd

idvïnr .uka u. ji úi ke;s fi!LHiïmkak wdydr isß;l fmr.ukalrejka jQ j.hs'''

w

o fndfyda fj<| iud.ï j, oelau we;af;a wêl ,dNh wruqQK lrf.kh' fjfiiskau wdydr ksIAmdok jHjidhlhka ,dNh muKlau wruqKQ lr.ekSu w;sYhska Nhdklh' wo ojfia wfma ,dxlslhka uqyqK md we;s nrm;, fi!LH .eg¿ rdYshlg fya;=j ù we;af;a fi!LHiïmkak fkdjk wdydrhs' fkd.e,fmk wdydr Ndú;djhs' fï ksid cd;shla jYfhka wm buy;a fi!LH .eg¿ rdYshlg ueosù isáuq' NMK fyda,aäka.aia iuQyhg wh;a zzuÍkd iud.uZZ óg jir y;lg fmr furg wdydr ksIamdok flafIa;%hg msúisfha fy< wdydr isßf;ys fujka .eg¿ /ila mej;S hq.hlh' mrïmrdkq.;j Ndú;fha ;snQ fmd,af;,a fjkqjg úfoaYfhka wdkhkh l< f;,a j¾. j,g ck;dj flfuka flfuka yqre lrjk ixúOdkd;aul jevms<sfj,la tl, mej;sk' tu ixúOdkd;aul msßia úiska zzfmd,af;,a YÍrhg w.=Kh'''ZZ hk

74

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ñ;Hdjla jmqrñka ;snqfKa wfma me/ kakka mrïmrkq.;j ú|s wdhq wdfrda.H iïm;a;sh ms<sn|j b;sydih Wml%ñlj i`.jñks' fï wjia:dfõ fmd,af;,a j, uy`.= .=K wNS;j cd;shg lshd fokakg fmrg meñKS uÍkd iud.u fï rfÜ ck;dj w;r fmd,af;,a kej;;a m%p,s; lsÍug wNS;j bosßm;a jQfha tys Ndú;dfõ we;s .eg¿ j,go kjH ms<shï lshd foñks' fï rfÜ fmd,af;,a iïnkaOfhka jmq, ñ;Hdj iqkq úiqkq fldg wfma iïm%odhsl fmd,af;,a j, .=Kh cd;shg lshd md jir y;la f.ù we;af;ah' tu ioa jHdhduhg ia;+;s

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jkakg fï jk úg cd;shla jYfhka wm .=Kd;aulj ksmojk fmd,af;,a iïnkaOfhka ukdfldg oekQj;aj isáuq' 2009 j¾Ifha iudrïN jQ uÍkd iud.fï wdydr ksIamdokfha f;audj jQfha zzksfrda.S yd Yla;s iïmkak mrmqrla ìys lsÍuZZ hkakhs' lemùfuka wm%;sy; ffO¾hfhka fï wruqKq idlaId;a lr.ekSug lemjqKq uÍkd *qâia fm!oa.,sl iud.u zzuÍkdZZ f,an,h hgf;a fi!LHdrlaIs; wdydr y;,sylg jeä ixLHdjla fï jk úg foaYSh yd úfoaYSh fj<|fmd<g y÷kajd oS ;sfí'

uxcq, kdrdhk uy;d idudkHdêldß

fï iEu wdydrhlau kjH ;dlaIKh Wmfhda.S lr.ksñka cd;Hka;r msßú;r j,g wkQj wdrlaIdldÍj ksIamdokh lrk nj uÍkd *qâia iud.fï ksfhdacH idudkHdêldÍ fvkais,a fmf¾rd uy;d wm iu. mejiSh' jiúi ke;s wdydr fi!LHiïmkakNdjh ;sr lrñka iudc.; lsÍfï W;=ï wruqK flfryS uÍkd wdh;kh lemù l%shd lrk nj Tyq ;jÿrg;a fmkajd fohs' NMK iuQy jHdmdrh tys iNdm;s uxcq, kdrdhk uy;d fï rfÜ idvïnr foaYSh jHdmdrhl idvïnr ysñlrefjls' wdos fy<hka wdhq iq/ls fy<fha bmerKs wdydr Ndú;djka iïnkaOfhka fu;=uka ;=< we;s úYajdih w;s uy;ah' tfiau wdydr ;dlaIKfha úÿyqre jákdlï m%dfhda.slj Ndú;hg tla lr.ksñka jvd fi!LHiïmkak wdydr wo ojfia ksIamdokh lf<d;a wdydr ksid we;sjk fi!LH .eg¿ wju lr.; yels njo Tyqf.a úYajdihhs' uxcq, kdrdhk ue;s÷ka iajlSh jHdmdrh fufyhjkafka yqfola fï W;=ï mrud¾: idOkfhys lem fjñks' fï ksidu b;d by< .=Kd;auhlska hqla; wdydr ksIAmdokfhys foia úfoia m;, iqúi,a lS¾;shla w;am;a lr .ekSug uÍkd iud.u iud¾: ù ;sfí' NMK wdh;kh iajlSh wdh;ksl iudc j.lSu by<skau wjfndaO lr.;a wdh;khls' iudcfha hym; fjkqfjkau lemjqkQ jHjidhla weiqf¾ ck;djf.a wdfrda.H iïm;a;sh fjkqfjka wñ, fiajhla lrk uÍkd iud.u ck;dj fjkqfjka iqúfYaIS iudc i;aldrl ld¾hhka rdYshl ksr; jkafka tu j.lSu uekúka y÷kd.ksñks' uÍkd wdydr ksIamdok l%shdj,shg ISO-22000, HACCP yd GMP hk ;;a;aj iy;slo ,eî ;sfí' Y%S ,xld

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fvkais,a fmf¾rd - ksfhdacH idudkHdêldß

wf,úlrK wdh;kh úiska ixúOdkh lrk ,o SLIM Brand Excellence - 2013 iïudk m%odkfhaoS tu wxYfha úYsIaG;d iy;slho oskd.kakd ,oS' nyqcd;sl iud.ï yd lrg lr ;r`. fldg 2014 jif¾ LMD fyd|u ikakdu w;rg f;areKQ uÍkd iud.u 2013 yd 2015 j¾I j,oS SLIM úYsIAG;d iïudk j,skao nqyquka ,nd ;sfí' iajlSh i;a jirl idvïnr .uka u. ;=< i;aiuqÿro ch.ksñka ji úi ke;s fi!LHiïmkak wdydr ksIamdokfhys m;, ikakduhla njg m;ajQ uÍkd iud.u i;amshqï u;ska f,dalhg my< jQ W;=ï f.!;u nqÿrÿka jod,''' wka Ydia;Dka jykafia,do ksielj" ksjerosj jod, zzhy.=Ke;s fmdaIK ixl,amhZZ ;j;a i;a mrïmrdjla iqrlsk fmr. ukalrejka njg m;ajkjd ksielh''' DM

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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''' mßiudma; újrKhla iu.ska Tfí ffjoH .eg¿jg ms<s;=re imhk kj wdf¾ mdGl i;aldrh WK j,smamqjg ,la jqKd''' lsishï Q orejd wjodkula we;s jqKso''' oek.kafka fldfyduo @ uf.a isõ jirla jk mq;d miq.shod WK frda.hg ,la úh' ffjoH Wmfoia u; T!IO ,nd ÿkak;a f;jeks osk rd;%sfha WK j,smamq ;;a;ajhg m;aúh' orejd lvd jegqKq jydu úkdä oyhla muK hk;=re kej; isys ,enQfha ke;' ffjoHjreka jydu m%;sldr lrk ,o w;r orejd úkdä oyhl muK ld,hla úix{j j,smamq ;;a;ajfhka fm<S isá nj f;areï .;sñ' osk lsysmhlska orejd iqjh ,nd ksfjig le|jdf.k tk ,oS' orejdf.a EEG mÍlaIKhla isÿ lrf.k kej; idhkhg meñfKk f,i Wmfoia ,ndÿkafkah' uf.a orejdg fuu we;sjQ j,smamq ;;a;ajfhka lsishï wdmodjla isÿù ;sfío @ orejdg bosßhg;a fujka ;;a;aj we;sùfï wjodkula fõo @

iqcs;d - jlaje,a,

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ffjoH md,s; nKavdr iqnisxy ixialrkh lrhs

j,smamqj l=vd A WK orejkag yefok frda.S ;;a;ajhla' úfYaIfhka udi 6 isg wjqreÿ 5 olajd orejka fï ;;a;ajhg we;eï úg uqyqK mdkjd' fï orejkaf.a fud<fha j,smamqj iSud lsÍfï lvbu (Seizure Threshold) mj;skafka wju uÜgulhs' isrerg úIîc we;=,a jqKdu" úfYaIfhkau ffjri j¾. isrerg we;=,a jqKdu thg úreoaOj isref¾ m%;sYla;slrK moaO;sh igka lrkjd' tysoS fkdfhl=;a ridhk øjH ksmofjkjd'

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Tfí ffjoH .eg¿jg wfmka ms<s;=re'''

Ask Your Doctor

fïjd reêrh ;=< ixirkh jk úg WK .;sh we;s fjkjd' fuysoS iuyr orejkaf.a zzj,smamqj iSud lsÍfï lvbu;aZZ wvqq lrkjd' túg tu orejkag WK j,smamqj we;s fjkjd' WK yefok iEu orefjlau fï ;;a;ajhg m;a jkafka kE' thg fya;=j jkafka orejkaf.a zzj,smamqj iSud lsÍfï lvhsuZZ ;SrKh lsÍug cdkuh idOlo fya;= jk ksihs' orejdf.a ujf.a iy mshdf.a mrïmrd j, <`.u kEoEhkag fï ;;a;ajh ;snqKd kï tjka mjq,a j, orejkag WK j,smamqj we;sùfï wjodku jeähs' flfia fj;;a WK j,smamqj ;;a;ajh úkdä 15lg jvd mj;skafka kE' ta jf.au meh 24la ;=< kej; yefokafk;a kE' uq¿ isreru j,smamqjg k;= fjkjd ñi isref¾ tla fldgila muKla .efykafka kE' fuh ir< WK j,smamqj (Simple Febrile Convulsion) f,i y÷kajkjd' fuu ;;a;ajh iakdhq moaO;sfha jk wdidokhla fkdjk ksid w;=re wdndO fyda ixl+,;d we;s jkafka kE'

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January 2017

Tfí orejd jhi wjqreÿ 4la ksid ;j jirl muK ld,hla fï ;;a;ajhg m;aùfï yelshdjla ;sfnkjd' idudkHfhka WK yg.;a úg merisgfuda,a T!IOh kshñ; ud;%dj wkQj ,ndoSu;a WK jeäjk úg úÿ,s mxldjla u.ska isrer isis,a lsÍu;a jvd iqÿiq jkjd' ir< WK j,smamqj i|yd mÍlaIK isÿ lsÍu wjYH jkafka;a kE' kuq;a th isÿ lsÍu u.ska wmiaudr frda. ;;a;ajhla ;sfíkï th y÷kd.kak mq¿jka' fuh ir< frda. ;;a;ajhla ksid l,n, úh hq;= kE'

Q fldkafv hkjdg .kak fnfy; .ek m%Yakhla oekg wjqreoaol muK ld,hl isg uf.a T¿fõ flia ye,Su jeäú ;sfnkjd' uf.a jhi wjqreÿ 26la' thg m%;sldrhla f,i iskafldhsâ .ekSfuka w;=re m%;sM< we;s fõúo @

( kkaokS Via E Mail) hdu fndfydauhla ;reK jhfia A ysbkaikfliawhgye,S.eg¿jla ' m%;HlaI hhs lshñka

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fndfyda jHdmdßlhska úúO fm;s" lr,a yd wdf,amk j¾. wêl ñ, .Kka j,g wf,ú lrkafka fï wjirfhkqhs' idudkHfhka ´kEu flfkl=f.a osklg flia.ia 100la ú;r yef,kjd' ta yd iudk m%udKhla w¿;ska j¾Okh ùulao isÿ fjkjd' ysiflia ye,S hdug fya;=jk lreKQ .Kkdjla ;sfnkjd' ysi ksr;=re msßisÿj ;nd fkd.ekSu" l=Kq ¥ú,s j,ska flia uq,a wjysr ùu" udkisl wd;;sh" ks;r ks;r ysi fiaoSu ksid ysi u; we;s iajdNdúl f;,a ia:rh bj;aùu" ysig fkdfhl=;a ridhk øjH wvx.= wdf,amk fhoSu" j¾Kl .e,aùu iy ysiflia ks;r WmlrK fhdod. ekSfuka ;dmkhg ,la lsÍu ta w;r jkjd' óg wu;rj reêrfha ysfud.af,dìka iy le,aishï wvqùu;a ;hsfrdlaiska fydafudakh wvqùu;a ysifla ye,S hdug fya;= fjkjd'

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iskafldhsâ Ndú;d l<dg flia ye,S hdu wvqfõ hhs lsj fkdyels jkafka th úoHd;aulj ;yjqre fkdl< ksihs' iskala w;sf¾lj .;a;dg ixl+,;d we;s jkafka kE' reêr mÍlaIK isÿ lrf.k tys .eg¿jla ;sfí kï Bg m%;sldr .kak' ysi fiaoSug mehlg muK fmr msßisÿ fmd,af;,a iaj,amhlg úgñka E lr,la lvd od ñY%lr wõfõ ;nd r;alr ysialnf,a iam¾Y jk f,i fyd|ska wdf,am lr iïndykh lrkak' bkamiq ysi fyd|ska fidaod kdkak' c,h jeämqr mdkh lrkak' m<;=re jeäfhka wkqNj lrkak' fld< meye;s t<j¿ jeäfhka wdydrhg .kak' kejqï lsß mdkh lrkak' túg Tfí .eg¿j fndfyda ÿrg úi|d.; yels jkq we;'

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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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Skinny Slim Loose

Wide Hips Body Type

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Large Waist Body Type

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January 2017

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Battle Against Rabies ñksidg je<fok udrdka;sl c,NS;sldj msgqolsuq

BATTLE AGAINST RABIES ñksidg je<fok udrdka;sl c,NS;sldj msgqolsuq 2020 jk úg c,NS;sldj furáka ;=rka lrkakg yels fõo @ ñ

ksidg je<fok msiaiq n¨ frda.ho oreKq wdldrh (furious) yd wl%sh ùfï wdldrh (paralytic fkdfyd;a dumb) jYfhka fofldgilg fnfoa'

ffjrih wêlj me;sr we;af;a fud<fha kï frda.h jvd oreKqh' tu ffjrih iqIqïkdfõ jvd;a nyq,j me;sr we;a;ï wl%sh ùfï wdldrh je<foa' th m<uq wdldrh ;rï oreKq ke;' frda.skaf.ka ishhg 75la muKu oreKq c,NS;sldfjka fmf<kafkda fj;s' Tjqka osk 2-4lska ñh hk w;r wfkl=;a frda.syq osk 30 ka muK ñh h;s' n,a,l=f.a imd lEfuka msiaiq n¨ frda.h je<fokafka tu ffjrih iakdhq Tiafia fud<hg yd iqIqïkdjg .uka lsÍfuks' fud<fha yd iqIqïkdfõ msysà ffi, ;=<g we;=¿ ù ffjrih ixLHdfjka b;d úYd, f,i 80

January 2017

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úfYaI{ ffjoH Tud,d úu,r;ak uy;añh l< lreKQ oelaùula weiqrsKs

jeäfõ' bkamiq frda.h we;sfõ' fud<fha yd iqIqïkdfõ bosuqu yd oeú,a, iu. frda. ,laIK my< fõ' frda.h je<|Sfuka miq we;sjk frda. ,laIK fïjdhs''' ñksidg je<fok msiaiq n¨ frda.fha ffjrih foayhg we;=¿ùfuka miqj frda. ,laIK my<ùug .;jk ld,h idudkHfhka osk 20 isg 90 olajd fõ' uq,skau we;sjk frda. ,laIK m%;sYHdjhs' frda.Skag WK" ysiroh" weÕmf;a fõokdj we;sfõ' iuyr whg YS;,h we;sùu;a" W.=f¾ rsoSu;a we;sfõ' wfkla frda.Ska lEu wreÑfhka jukh hEfuka" fkdikaiqka;djfhka" doctormagazine.lk

kskao fkdhdfuka isysk fmkSfuka" fodïkia núka mSvd úos;s' uq, isgu we;sjk fmdÿ ,laIKhls' frda.shdg lxidj oekSu' n,a,d imd lEfuka we;sjq ;=jd,h wjg uq, isgu fõokdj yd ysrsjeàu we;sfõ' iuyr úg ;=jd,h iys; wjhj fjõ,Su;a ÿ¾j, ùu;a oelsh yelsh' fï frda.Ska c,hg wiSñ; ìhla olajkjd oreKq msiaiq n¨ frda. wdldrfhys lemS fmfkk ,laIKh c,hg olajk wiSñ; NS;shhs' j;=r îug fldamamh lgg ,x lsÍug;a fmr

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frda.shdg .eiaula we;sfõ' .eiau ksid yqiau .ekSfï wmyiq;dj;a iu. fn,a, os.= lrf.ku frda.shd jefÜ' fï wjia:dfõoS frda.shd lE .ik w;r" ìh /`ÿK uqyqKla fmkajhs' øj j¾. .s,Sug wmyiq j. yeÕS hdfuka miq frda.shd uy;a wdhdihlska tajd .s,Sug ;e;a lrhs' th leiafika yd fl< .eiSfuka wjika fõ' fï wjia:dfõoS Yajik ud¾.h Tiafia øj .uka lsÍuo isÿfõ' frda.h W.%j;au" .eiau yd c,hg olajk NS;sh jvd jeä fõ' ta fldf;lao h;a c,h oelSu muKla fkdj tu jpkh weiSï mjd frda.shdg Nh Wmojk neúks' j;=r le<f;k Yíoh" oSma;su;a wdf,dalh iy iq<fÕa Yíoho .eiau we;s lrjhs' wdydr W.=f¾ ysr fjkjd >K øjH lEug frda.shd orK W;aidyh th W.=f¾ ysrùu ksid we;sjk urKfhka fl<jr fõ'

January 2017

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ñksidg je<fok udrdka;sl c,NS;sldj msgqolsuq

Battle Against Rabies

iuyr frda.ska .eiaula olajk w;r;=r isysuq¾Pd ùugo f.dÿre fj;s' túg thska urKhg m;ajk wjia:d o we;' oreKq c,NS;sldj je<ÿKq frda.Syq jrska jr weúiaiqKq iajNdjhla yd ksjqKq iajNdjhla olaj;s' weúiaiqKq iajNdjh fmkajk ld,h ;=<oS Tyq fnfyúkau l,n,hg m;ajk w;r fkdikaiqka njlao fmkajhs' uqyqfKka NS;sh m< fjkjd udhldÍ o¾Yk oelSu ksid uqyqfKka NS;sh m<fõ' f;areï .; fkdyels f,iska lE.iñka Tyq osj hkakg ;e;a lrhs' lE.eiSu úlD;s ùfuka th jvd;a n,a,l=f.a Yíohg yqre f,iska wefia' YrSrh fjõ,k njo oel .; yelsh' frda.shd wi, isákakjqkag myr fo;;a" imdlkafka l,d;=rlsks' fuu weúiafik ld,h ñks;a;= lsysmhlska wjika fõ' bka wk;=rej" h,s;a tu ld,h t,Eöug fmr frda.shd ixiqka jk w;r Tyq yd idudkH l;dnfya fhosh yelsh'

82

January 2017

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wl%Sh jk msiaiq n¨frda.h we;s jkafka iq¿;rhlgh' idudkHfhka ;=jd, jq wjhjh wl%sh ùu isÿfõ' bkamiqj Yajikh yd .s,Sug iïnkaO uiams`vqo wls%h fõ' frda.shd uq, mgkau l:d lsÍfï wmyiq;djfhka fm<Su ksid fuh f.d¿ msiaiq n¨ frda.h kñkao y`ÿkajhs' uq;%d wjysr ùuo fuys ,laIKhls' fudjqkag c,h flf¾ NS;shla yg fkd.kS' Yajik ud¾.h wl%Sh njg m;aùfuka Tjqyq urKhg m;afj;s' msiaiq n¨ frda.hg id¾:l m%;sldrhla fkdue;s fyhska jvd wdrlaIdldÍ jkafka frda.

doctormagazine.lk

hg f.dÿre ùfuka je<lSuhs' ta i|yd fm!oa.,sl uÜgfuka fukau idudcsl uÜgñka l< yels oE we;' wfma rfÜ c,NS;sldjg m%Odk fya;=j frda.S iqkLhka''' furg c,NS;sldj me;srSug m%Odk jYfhka n,md we;af;a frda.S n,a,kah' ovdjf;a hk n,a,kaj imqrd úkdY lr oeófuka f;drj c,NS;sldfjka ñoSug is;Su udhdjls' ovdjf;a hk n,a,kag tkak;a lsÍu l< yelalla fkdfõ' ksfjiaj, we;s lrk ish¨u n,a,ka tkak;a l< hq;=h' n¨ .ykfhka ishhg 75 la blaujd tkak;a lsÍfï jevmss<sfjf,ka id¾:l;ajhla n,dfmdfrd;a;= úh fkdfya' c,NS;sldj je<oSu j<lajk tkak;a m<d;a fi!LH fomd¾;fïka;=fjka fkdñf,a ,nd.; yel' mqoa.,sl Tiqi,a u.ska o tajd ñ,g .; yelsh' jhiska udi ;=klg jeä n,a,kag tkak;a lsÍu l< hq;= w;r m<uq tkakf;ka wk;=rej iEu jir follg jrlau h,s;a tkak;a lr .; hq;=h' tmuKla fkdj c,NS;sldjg f.dÿre ùfï wk;=r we;s Y,H ffjoHjreka" i;=ka iu. lghq;= lrkakka" frda.Skag m%;sldr lrkakka" ffjoHjre yd fyoshkago tkak;a lrùu b;d jeo.;ah' ´kEu ovdjf;a hk n,af,l= úiska imd lEfuka c,NS;sldj je<oSfï wk;=r we;' tneúka n,af,l= úiska imd lkq ,enq ;ek;a;d m%udKj;a f,i tkak; ,nd .ekSug j.n,d .; hq;=h' ^imd lE jydu ngysr ffjoH m%;sldr ,nd.; hq;=h& imd lEfuka we;sjq ;=jd,j,g m%:dudOdr ,nd.ekSu b;d wdrlaIdldÍ ms<sfj;la jkq we;' m%:udOdr f,i ;=jd,h inka fhdod fiaoSu yd úIîc kdYlhlska msrsisÿ lsrSu l< hq;= fõ'

doctormagazine.lk

w;a uqyqK yd fn,a, oreKq f,i imdlkq ,enqjkag jvd wdrlaIdj mssKsi ffjrihg tfrys m%;sfoay we;=,;a ma,iaudj (serum) wu;r jYfhka ,ndosh hq;=h' imdlE n,a,dg c,NS;sldj we;aoehs jydu fidhd ne,Su w;HjYHh' n,a,dj osk 10 la ne| ;eîfuka fyda l=vqjl oud ;eîfuka th oek.; yelsh' osk 10 g jvd W! cSj;a jqjfyd;a c,NS;sldj je<|S ;sfnk n,af,l= ùug bvla fkdue;sh' Y%s ,xldj osjhskla f,i msysgd ;sîu c,NS;sldj ;=rka lsÍu i|yd w;sf¾l jdishla ù we;' tfia fkdúks kï jrla fuh uq,skqmqgd oeuqjo h,s;a th we;sùfï bv m%ia;dj we;s neúks' kuq;a c,NS;sldj wfma rfgka uq,sKqmqgd oeñh hq;a;ls' ta fjkqfjka fjfyiSu iEu mqrjeisfhl=f.au hq;=luls' DM

January 2017

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83

D•Magazine /

Battle Against Rabies ñksidg je<fok udrdka;sl c,NS;sldj msgqolsuq

BATTLE AGAINST RABIES 2020 j¾Ih jk úg c,NS;sldj fï rfgka ;=rka lsÍfï W;aidyhla fi!LH wud;HxYhg ;sfnkjd''' iqkLfhla oIaG l<du Tn l< hq;af;a l=ulao @ zziel lghq;= n,af,la imd lE úg l< hq;af;a l=ulao @ZZ fï ldg;a kef.k meKhg fi!LH wud;HxYfha uyck fi!LH mY= fiajdfõ wOHlaI ffjoH mS ta t,a yßiapkaø ms<s;=re fokafka fï úosyg''' zzimd lEula isÿjQ ú.iska l< hq;af;a inka fhdod iqkLhd imd lE ia:dkh fiaoSuhs' fuysoS lrduhla jeks .,dhk c,fhka ;=jd,h fiaoSu isÿ l< hq;= jk w;r ñks;a;= 15l muK ld,hla uq¿,af,au fï fiaoSu l< hq;= fjkjd'ZZ zzbka miqj Post-exposure prophylaxis (PEP) jYfhka Tyqg c,NS;sld tkak; Anti Rabies Vaccine (ARV) ,nd osh hq;=uhs' ffjri YÍrr.; jqfKd;a tu ffjrihg tosßj igka l< yels m%;sfoay YÍrfha ksmoùu fuys uqLH mrud¾:hhs' 84

January 2017

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uyck fi!LH mY= fiajdfõ wOHlaI ffjoH mS ta t,a yßiapkaø

fuysoS ffjoHjrhd úiska kshu lrk uq¿ tkak;a ud;%dju lsisÿ wvqjlska f;drj ,nd.ekSu l< hq;=uhs' ke;akï fuys iïmQ¾K /ljrKh fkd,eî hkak mq¿jka' we;eï úg mQ¾jfhka ilia lrk ,o m%;sfoay Rabies Immunoglobulin (RIG) ,ndoSugo ffjoHjreka kshu lrkjd' ta frda.shd uqyqK mdk wjodku wkQjhs' frda.Ska jd¾;d ùu tkak tkak wvq fjkjd''' c,NS;sldj wNsfhda.h ch .ekSug ;sfnk m%Odku wdhqOh ;uhs iqkLhka tkak;a lsÍu' ;uka ika;lfha bkak iqkLhd yeu flfklau tkak;a lrkjd kï thska c,NS;sld urK iEfyk doctormagazine.lk

c,NS;sldj iys; i;d iSÍu fyda imd lEu'

uOH iakdhq moaO;sh ffjri wdidokhg ,laùu'

fud<h wdidokhg ,laùu iakdhq yryd ffjrih YÍrh mqrd me;sÍu'

muK wvq lr.kakg wjia:dj ,efnkjd' ta ú;rla fkdfjhs" fï i|yd j¾Ihlg rch ñ,shk 400l uqo,la fjka lr ;sfnkjd'ZZ ffjoH yßiapkaø m%ldY lrk wdldrhg miq.sh 30 jirl ld,h ;=< jd¾;d.; wvqu c,NS;sld frda.Ska ixLHdj fï j¾Ifha jd¾;d jkq we;s' 1977 j¾IfhaoS fï rfÜ c,NS;sld urK 377la jd¾;d jqKd' j¾Ihlg f,dalh mqrd c,NS;sld fya;=fjka 59"000la muK fokd ñh hkjd' fï ñh hk whf.ka ishhg 95lau wfma wdishdfj jf.au wm%sldfjka jd¾;d jk urK''' 2015 j¾Ifhaos c,NS;sldfjka ñh .sh doctormagazine.lk

imdlE n,a,dg c,NS;sldj we;aoehs jydu fidhd ne,Su w;HjYHh' n,a,dj osk 10 la ne| ;eîfuka fyda l=vqjl oud ;eîfuka th oek.; yelsh' osk 10 g jvd W! cSj;a jqjfyd;a c,NS;sldj je<|S ;sfnk n,af,l= ùug bvla fkdue;sh'

ixLHdj 24la' fï j¾Ifha iema;eïn¾ 24 jk úg jd¾;d jqKQ urK ixLHdj 12la' 2020 j¾Ih jk úg c,NS;sldj ;=rka lsÍu fi!LH wud;HxYfha b,lalhla' ffjrih YÍrh ;=< l%shd;aul fj,d frda.h yeÿfKd;a uefrkak fjkjuhs' ta;a imd lEula isoaO fj,d kshñ; m%;sldr lf<d;a frda. hg k;= fjkafk kE'''

January 2017

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85

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ñksidg je<fok udrdka;sl c,NS;sldj msgqolsuq

Battle Against Rabies

c,NS;sldjg f.dÿre ùfï wk;=r we;s Y,H ffjoHjreka" i;=ka iu. lghq;= lrkakka" frda.Skag m%;sldr lrkakka" ffjoHjre yd fyoshkago tkak;a lrùu b;d jeo.;ah'

ARS m%;sldrh i|yd mqoa.,fhl=g rch jeh lrk uqo, rems' 35"000la muK fjkjd' ARV m%;sldrh i|yd tla mqoa.,fhl=g remsh,a 2000'00la muK jeh fjkjd' 2014 j¾Ifhaos wfma ck;djg m%;sldr lrKQ msKsi ARS kslafIamk l=mams 123"124lao ARS ldKavfha l=mam 218"216lao fhdodf.k ;sfnkjd' fï wkQj rch iqkL imd lEï j,ska ck;dj wdrlaId lsÍu i|yd fldmuK uqo,la úh lrkjdo hk ldrKh meyeos,shs' c,NS;sldj wNsfhda.h ch .ekSug ;sfnk m%Odku wdhqOh iqkLhka tkak;a lsÍuhs

m%Yakhla ;sfhkjd' W;a;rhl=;a ;sfhkjd' ta;a W;a;r ;sfhoaos we;efula cSú;fhka jkaos f.jkjd' c,NS;sldj ksid we;sjk urKh w;sYh fõokdldÍ urKhla''' th j<lajd.; hq;=uhs''' c,NS;sldfjka ck;dj fírd .ekSug rch ork mßY%uh wfma rfÜ jd¾Islj n,a,ka imd lEï 730"000la muK jd¾;d fjkjd' idudkHfhka osklg n,a,ka imdlEï ksid 2000la muK frday,a j,ska tkak;a úo.kakjd'

86

January 2017

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c,NS;sldj je<f|k yeá c,NS;sldj ffjrihla u.ska we;sfjk udrdka;sl frda.hla' iakdhq moaO;sh ;uhs fuysoS n,mEug ,la jkafkawdidos; i;=ka iSÍu ksid" imdlEu ksid ksfrda.S ñksiqkag c,NS;sldj je<f|kjd' c,NS;sld ffjrih iïfm%aYkh jk wdldrh • wdidos; if;l=f.a fÄGh u.ska ;uhs frda.h ;j flfkl=g fnda jkafka • óhka" jjq,ka" mQika" kßhka fï ´kEu if;la yrydo c,NS;sld we;súh yelshs • frda. ,laIK my<ùug .;jk ld,h idudkHfhka osk 20 isg 90 olajdh' isÿ lrk m%;sldr • imd lEu isÿl< i;dg c,NS;sldj je<|S we;snj ;yjqre ù ;sfíkï fyda i;d mÍlaIdjg ,la lr fkdue;s kï c,NS;sldj we;sùu j<lajkak imd lEug ,lajQ ;eke;a;d tkak;a l< hq;=uhs' je<elaùug .;hq;= mshjr • Tn f.or we;s lrk iqkLhd tkak;a lrkak' • fjk;a i;=ka w;m; .Efuka" wdY%hg .ekSfuka j<lskak' DM

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Health & Fitness

ive s u cl Ex

iQ¾h kuialdrhg fmrjokla

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 - 3

iQ¾h kuialdrhg fmrjokla f,dalfha ckm%shu jhdhdu j¾. ;=kla ;sfí' • iajdhq jHdhdu Cardio • kuH;djh$os.EoSï iïnkaO jHdhdu Flexibility • nr iïnkaO jHdhdu Resistance iuyreka fï ;%s;ajh my; wdldrfhkao y÷kajkjd Cardio....................... Aerobics Flexibility................. Stretching Resistance.............. Weight or Gym fndfyda msßila os.eÿï$kuH;djh (Stretching) jHdhdu lsÍug Warm-up tflaoS iy Cool down tflaoSWkkaÿjla olajkjd' ;ukaf.a bßhõ (Posture) fldkao yd ish¿u YÍr moaO;sh weoSulg ,la lsÍfuka we;sjk w;=re wdndO wvq lr.; yel' osklg úkdä 10-15 fï os.eÿï jHdhdu isÿ lsÍfuka YÍrhg fndfyda jdis w;afõ' fhda.d wNHdio YÍrfha bßhõ ^Posture& weoSu (Stretching) mqyqKq lrk ckm%sh jHdhduhls'

88

January 2017

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doctormagazine.lk

"

iQ¾h kuialdrh hkq úúO fhda.d wdik fod<yla tl;= lrñka ir< f,i l%shd;aul lrk jHdhdu ud,djls' iuyreka fhda.d jHdhdu isÿ lsÍug ìhla olajkafka th b;du;a wiSre l%shdjla f,i is;ñks' iQ¾h kuialdrh hkq úúO fhda.d wdik fod<yla tl;= lrñka ir< f,i l%shd;aul lrk jHdhdu ud,djls' iuyreka fhda.d jHdhdu isÿ lsÍug ìhla olajkafka th b;du;a wiSre l%shdjla f,i is;ñks' iQ¾h kuialdrh ´kEu jhil flfkl=g w;ayod ne,sh yels jákd jHdhdu l%uhla fjhs' tl bßhõjl ^wdikhl& ;;amr 15la isáh hq;= w;r fyd| yqiaula wrf.k isàu fyd| mqreoaols' wdrïNfhaoS ;ukag wudre jHdhdu l%u w;yer myiqfjka lsÍug yels

doctormagazine.lk

jHdhdu fldgia j,ska wNHdi wdrïN lsÍu jvd;a iqÿiqh' jeäysá jhil whg" úúO frda. dndO ;sfnk whg fukau nr jeä whg mqgqjl jdäù l< yels jHdhdu lsysmhla wm uq,skau bosßm;a lruq' iQ¾h kuialdrhg mQ¾j wjYH;d yd miqj l< hq;=foa • uq,skau jHdhduhg iqÿiq ir< we÷ula w|skak'

fï jHdhdu bosßm;a lrkafka tajd m%dfhda.slj isÿ lrñka tys m%;sM< Tfí cSú;hg w;am;a lr.ekSugh' ta ksid fmd;a ne,Sfuka muKla M<la fkdfõ''' fï jHdhdu isÿ lrk wdldrh iïnkaOfhka úia;rhla ,nk l,dmfhka n,dfmdfrd;a;= jkak' DM iQ¾h kuialdrh isÿ lrk wdldrh ms<sn|j wk.s ùäfhdajla'''

• WoEik iQ¾hd foi n,d mßirhg <xù Tlaiscka idr jdhqj wdYajdi lrñka fyd| wdrïNhla m<uqj ,nd.; hq;=h'

https://youtu. be/9QyXbfLIj7g

• fyd| j;=r ùÿrejla" le| ùÿrejla fyda m<;=re hqI ùÿrejla jHdhdulsÍfuka miq .kak'

January 2017

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89

Thousand words in

neimage l;d lrk msx;+r

iEu ,iaik ldka;djlau ks,shka fkdfõ''' ffjoHjßhkao isá;s'

biamsß;d, jdÜgqfõoS wmg yuqjk pß;

fodia;r uy;a;h tl ìh¾ ùÿrejla ú;rla fndkak lsõj'''

90

January 2017

DOCTOR MAGAZINE

wef.a yeá''' ìlsksh - m%Yakhla kE''' hg we÷u - y;aj,dfu''' n,kak tmd''' doctormagazine.lk

fohshkag Tmamq fjÉpdfj''' fï oka; ffjoHjrfhl= ;u frda.Ska m%;sldr msKsi ,e.=ï .kakd ia:dkh ks¾udKd;aulj ie,iqï l< wdldrhhs' Tyq ñ;=re kdß ffjoHjrhd Tyqf.a fï ixl,amh fldms fkdlrKq we;ehs hkak wmf.a taldhk m%d¾:khhs'

iodorKSh oshKhkaghs''' ms<sldj iu. igka lrk iEu oshKshlau ;uka fndfydau ,iaik nj iaurkh lr.kak'''

ghsgksla kej fï ldf, .s¨K kï''' doctormagazine.lk

m%fõKsh ;=ka fokdu yß fkdje''' January 2017

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91

D•Magazine /

Fertility

ore iïm;a m;k wUqieñhka oeK.; hq;= lreKQ lsysmhla

ore iïm;a m;k wUqieñhka oeK.; hq;= lreKQ lsysmhla hqj,la iajdNdúlj ,sx.sl tlaùu jirl ld,hla ;=< isÿ ùfuka miqj;a ore ms<sis|Sula isoaO jkafk ke;akï wm th zzu|ireNdjhZZ f,i fmdÿfõ i<lkjd' ta;a fï mq¿,a w¾: oelaùu iEu fokdgu tlfia wod, lr.ekSu iqÿiq kE'

wUqieñhka blauKska ffjoHjrfhl= yuqúh hq;= ,sx.sl .eg¿

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

92

January 2017

ljqre yß ldka;djla jhi wjqreÿ 35 bl=;a ù ore iïm;la m;kjd kï weh jirla n,d isàu iqÿiq kE''' weh udi yhla we;=<; ms<sis|Sula fkdjqjfyd;a ffjoH Wmfoia ,nd.; hq;=hs' ldka;djla wjqreÿ 40 bl=;a fj,d orefjl= wfmalaId lrkjd kï udi yh;a jeähs' ;=ka udihla we;=<; iajdNdúlj ms<sis|Sula jqfKA ke;akï weh ta ld,h wjidkfha ffjoH Wmfoia ,nd.; hq;=hs' wjqreÿ 45 blaujd újdy fjkjd kï orefjl= m;k weh újdy fjkakg;a fmr ffjoHjrfhl= yuqúh hq;=hs' orejka ,eîfï yelshdj jhi;a iu.u ySk fjkjd' fï ksid jhia.;j ore iïm;a me;SfïoS ffjoH Wmfoia ,nd.ekSu iqÿiqhs' tu Wmfoia wkq. ukh lsÍfuka .eg¿ ksrdlrKh lrf.k Tfí wfmalaIdjka blauKska bgq lr.ekSfï wjia:dj ysñ fjkjd' lsishï ldka;djlg fyda msßñfhl=g fï ore iïm;a ,nd .ekSu iïnkaOfhka .eg¿jla ;sfnkjd kï''' ldka;djf.a kï Tima pl%fha widudkH;djhla''' wêl fõokdjla''' jeäfhka reêrh msgùu iïnkaO .eg¿jla''' mqreIhdg

DOCTOR MAGAZINE

doctormagazine.lk

kï Y=l%dKq msgùu iïnkaO .eg¿jla''' ldka;dj iu. ,sx.slj tlaùu iïnkaO .eg¿jla''' fï wdoS jYfhka .eg¿jla ;sfnkjd kï fï wUQieñhkq;a wjqreoaola n,d bkak tl iqÿiq kE' .eg¿j oek.;a jydu ffjoHjrfhl= yuqù th ksrdjrkh lr.kakg W;aidy .; hq;=hs'

doctormagazine.lk

2012 j¾IfhaoS isÿ lrk ,o iólaIKhlska y÷kdf.k we;s wdldrhg orejka ,eîu m%udo ùug n,mdk fya;= w;=ßka ishhg 50lau''' tjdhska yß wvlau mqreI uQ,l s fya;= úosyg y÷kdf.k ;sfnkjd'

u|ireNdjhg k<ore ;dlaIKfha msysg k<ore ;dlaIKh lshkafk iajdNdúlj ldka;djf. YÍrh we;=f<os tla ùula (In vivo) iajdNdúlj tl;= ùula isÿlr orefjla ,eîug .kakd W;aidyh wid¾:l ùu ksid äïn yd Y=l%dKQ YÍrfhka mßndysrj (In vitro) ridhkd. dr ;;a;aj hgf;aoS ixfiapkh lsÍug ork W;aidyhhs' fï i|yd oeka l%u rdYshla ;sfnkjd' fï ish,af,aoSu osk 3-5 la muK tjka ndysr ;;a;aj hgf;a l<,fha wdrïNl wjia:dj mj;ajd f.k bkamiqj .¾NdIfha tu l<,h ;ekam;a lrkjd' iajdNdúlj ore iïm;la ,nd.; fkdyels jqKdu''' isÿ lrk mÍlaIK ;sfnkjd' ldka;dj" mqreIhd hk fofokdgu fï i|yd ffjoH mÍlaIK j,g ,la jkakg isÿ fjkjd' we;eï fj,djg taj ir< fjkak;a mq¿jks' iq¿ ueosy;aùulska fodaIh ms<silr

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ore iïm;a m;k wUqieñhka oeK.; hq;= lreKQ lsysmhla

Fertility

lr.kak;a mq¿jka jk wjia:d fndfydauhla ;sfnkjd' ta w;r tjka ir< wdldrhlg h:d ;a;ajg m;a lr.; fkdyels fya;=;a ;sfnkjd' (Absolute Indication) túg úi÷ula ,nd.kakg k<ore ;dlaIKfha msysg m;kaku isÿ fjkjd' ksoiqkla f,i .;f;d;a mef,damSh kd< wjysr fj,d ;sfnkjd kï Y=l%dKQjg yd äïnhg we;=f<os tl;= fjkak nE' tkafvdfuá%fhdaisia lsh, ;;a;ajhla ;sfnkjd' Tima ùfïoS wêl lelal=ula fï whg we;s fjkjd' fï whf.a .¾NdIfhka msg; hï reêrjykhla fj,d mgl we,Sula isoaO fjkjd' fï ldka;djkag iajdNdúlj .eí .ekSula we;sùfï wjia:d we;eï úg b;du wvqhs' YÍrfha we;=f<os ixfiapkhla lrk l%u;a ;sfnkjd' tjka wjia:djloS k<ore ;dlaIKh fï ldka;djg iydhg tkjd' iuyrekag äïn kshñ; mßos fudarkafk kE' äïn fudarkak .s,sk fm;s" tkak;a ,ndÿkak;a äïn fïÍula isÿ fkdjk ldka;djka isákjd' ta whg;a k< ore ;dlaIKh ;uhs ore iïm;la 94

January 2017

jDIKfldaI kshñ; mßos wKavfldaIfha ia:dms; jk wdldrh

m%;sikaêfhka i;s y;lg muK miq jDIKfldaI jl=.vq wi<oS úlikh fõ'

i;s 12oS muK tu jDIKfldaI bls<sh fmfoi wi< ia:dms; fõ'

orejd Wm; ,nkakg i;s 4-6 ;sìhoS tajd wKavfldaIhg jefghs'

,nd.kak yßhkafk' iuyr fj,djg mÍlaIK l<;a iajdñmqreIhdf. j;a Nd¾hdjf.a j;a lsisu fodaIhla y÷k.kak ,efnkafk kE' ta;a ms<sis|Sula we;s jkafka;a kE' (Unexplained Infertility) fï whg;a iqÿiq jkafk k< ore ;dlaIKhhs' ta jf.au mqreIhdf. Y=l%dKQ b;du wvq kï''' ßfmdaÜ tfla Y=l%dKQ ìkaÿjhs' fufyu fj,djg jDIKfldaIh úo, Y=l%dKQ t<shg .kak isoao fjkjd' Y=l%dKQ m%udKh wvqqùu" ip,;djh wdY%s; .eg¿ - Y=l%dKQ mSvk fõ.h wvqùu" Y=l%dKQ j, yevh fjkiaùu wdosh;a ore iïm;la fkd,efnkak n,mdk mqreI uQ,sl fya;=' Y=l%dKQ j, we;sjk fodaI yd tajd ms<silr lrk ;dlaIKh Y=l%dKQ j, biairyska W,la jf.a ;sfhkak ´ks" äïnh úof.k hkak''' iuyrekaf. fï W, kE''' fudÜghs" ke;akï yevh rjqï''' iuyrekaf.a Y=l%dKQ j, j,a.h jev lrkafk kE' fï úosfya .eg¿ ;sfnk úg tajd iqlaIau wkaùlaI j,ska y÷kd.kak mq¿jka' ta jf.auhs" Bg úiªï ,nd.kak;a mq¿jka' ICSI lsh, Wiia ;dlaIKhla ;sfhkjd' Y=l%dKQjla wrf.k tys j,a.h lm," T¿j lE,a, ú;rla wrf.k äïnh midre lrf.k hd yels jHqyhla Y=l%dKQjg ,nd fokak mq¿jka' äïn jf.a fkdfjhs jrlg fudapkh jk

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ksheoshl Y=l%dKQ ñ,shk .Kkla ;sfnkjd' fï ñ,shk .Kkl úYd, .ykfha fyd|u''' ksfrda.Su Y=l%dKQ fydhd.ekSu id¾:l ixfiapkhlg fya;=jla' PICSI yd IMSI lsh, ;dlaIKhka folla ;sfnkjd" fï ;dlaIK jHjydrhka Tiafia Y=l%dKQ ,laI ixLHd; .ykfhka fyd|u Y=l%dKQ y÷kd.kak mq¿jka' 2012 j¾IfhaoS isÿ lrk ,o iólaIKhlska y÷kdf.k we;s wdldrhg orejka ,eîu m%udo ùug n,mdk fya;= w;=ßka ishhg 50lau''' tjdhska yß wvlau mqreI uQ,sl fya;= úosyg y÷kdf.k ;sfnkjd' úfYaIfhkau fï ksid ldka;djka fï iïnkaOfhka Wmfoia .kak ffjoHjrfhl= yuqjg hk úg wïu''' wlal''' tlal .syska yßhkafk kE''' iajdñmqreIh;a tlalu hk tl ;uhs fyd|' wUqieñ fofokdf.au fi!LH ;;a;ajh we.hSu ,la lsÍug wjYHhs' ;j;a ldrKhla''' fya;=j mqreIhdf. fodaIhla kï th iuyr úg ms<silr lsÍu myiq ldrKhla fjkak;a bv ;sfnkjd' k<ore ;dlaIKh ksid mqreIhka ishhg 99'9lgu ore iïm;l whs;sh''' mS;D;ajh ,nd.kak mq¿jka' fï ;dlaIKhg msx isÿ jkakg mqreIhka iEfyk f.dv hdula fjkjd' we;af;kau mqreIhkaf. .eg¿ ish,a,u mdfya ksrdlrKh lr fokakg fï ;dlaIKh WmldÍ fjkjd'

msßñ orefjl= Wmka w¿; orejdf.a jDIKfldaI kshñ; msysàfï ;sfnkjdo lsh, n,kak' jDIKfldaI Worh ;=< ;sîfuka mS;D;ajh fkd,eî hd yelshs msßñ orefjl= kï Wmka ú.i orejdf.a jDIKfldaI kshñ; mßos msysgd ;sfnkjdo hkak iel yer .kak msßñ orefjl= Wm; ,nk úg ta orejdf.a jDIKfldaI ;sfhkak ´ks fldaI fol we;=f<' ta;a l,d;=rlska flfkl=g fï jDIKfldaI Worh ;=< msysgd ;sfnkak mq¿jka' jDIKfldaI WoÍh wjhjj, msysgd ;sîfuka miqld,fhaoS fï orejd Y=l%dKQ ksIamdokh wvd, fjkjd' tfyu fjkafk YÍrfha ;sfnk WIaKa;ajh fï orejdf.a Y=l% ksIamdokhg wjYH m%udKhg jvd jeä ksihs'

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fï ksid msßñ orefjl= Wmkakdg miafi jDIKfldaI kshñ; mßos Worfha fkdfjhs my<g jeá,o lshk tl n,kak ´ks' hïlsis fya;=jla ksid jDIKfldaI we;=f,a ;sfhkjd kï jirla we;=<; fï orejd tu jDIKfldaI msg;g .ekSfï ie;alulg Ndckh lrkak ´ks' ke;akï yßhg Y=l%dKQ ksIamdokhla fkdùu ksid fï orejdg u;= osfkl ckl Yla;sh ke;s fjkak mq¿jka' ;d;a; flfkla fjkak ;sfnk wjia:dj .s,syS hkak mq¿jka' iuyreka wjqreÿ 2030la fj,d fï ;;a;ajh y÷kdf.k ffjoHjreka yuqjg tkjd' túg iuyr úg fuh h:d ;;a;ajhg m;a lsÍu wmyiq ldrKhla' m%;sM<h jkafka fï ;reKhkag ore iqr;,a ne,Sfï wjia:dj wysñ ùu' wïu, fï .ek úfYaIfhka wjOdkh fhduq l< hq;=hs' ;ukaf. w¿; Wmka orejf. jDIKfldaI kshñ; mßos ;sfnkjdo lshk ldrKh iel yer oek.ekSu jeo.;a fjkjd' DM

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fodafr .,k ore fifkyi

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

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

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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' 96

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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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Nutrition

www.whfoods.com

Millet - The World's Healthiest Foods

MILLET - THE WORLD'S HEALTHIEST FOODS

wdpd¾h wfkdaud pkaøfialr úisks Wm iNdm;sks Y%S ,xld fmdaIK úoHd ix.uh wxY m%Odk" jHjydßl fmdaIK úoHd wxYh

frda. Wjoqre j,ska wdrlaId fjkakg wkd.; f,dalhg;a Wreu lr osh hq;= ñ,Ü OdkH doctormagazine.lk

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MILLET - THE WORLD'S HEALTHIEST FOODS

Nutrition

iy,a fufkaß l=rlalka ;K'' ñ,Ü OdkH j, we;s cSj l%shdldÍ ixfhda. frda. ksjdrKhg buy;a odhl;ajhla olajkjd

ñ

,Ü OdkH ksj¾;k l,dmSh rgj, - úfYaIfhkau bkaoshdj m%uqL ol=Kq wdishd;sl" uOHu wdishd;sl yd wm%sldkq rgj, m%p,s;j mj;sk m%Odk OdkH ldKavhla y÷kajk fmdÿ kduhhs' wmf.a m%Odk wdydrh ielfik iy,ao we;=¿j wfma rfÜ we;s l=rlalka" uy fufkaß" ySka fufkaß" ;K iy,a iy wuq hk fï ish¿u OdkH wh;a jkafkao ñ,Ü ldKavhgh' kï lshq iekska wfma uq;=ka ñ;a;kaf.a fndcqkamf;ys óg wh;ajQ ia:dkh .ek wmg isysm;a fõ' fïjd fy<fha wdos uq;=ka ñ;a;kaf.a ksfrda.S njg WmldÍ jQ fmdaIHodhS wdydr nj wújdos;h' ksoka.; frda. j,ska wdrlaId ùug ñ,Ü OdkH ñ,Ü OdkH ks;r ks;r wdydrhg tl;= lr.ekSfuka oshjeähdj" wêreêr mSvkh wdoS wo f,dalhg uy;a ;¾ckhla jk ksoka.; frda. j,ska wdrlaId ùug uy;a msgqjy,la jk nj fï jk úg úoHd;aul m¾fhaIK j,ska ikd: ù ;sfí' fï OdkH j, we;s cSj l%shdldÍ ixfhda. fï frda. ksjdrK ld¾hh flfryS n,mj;ajk nj fy<sorõ ù ;sfí' reêrfha iSks uÜgu uekúka md,kh lsÍug" reêr.; fldf,iagfrda,a w.h ys;lr uÜgul mj;ajd .ekSug fukau YÍrh flfryS úúO frda.dndO ;¾ck we;s lrk m%;sTlaisldrl l%shdj,sh md,kh lsÍugo úfYaIfhkau fuu ñ,Ü ldKavfha wdydr iu;ah' ish¿ jhia ldKav j,g iß,k uy`.= fmdaIKhla fuu wdydr wfma wdydr isßf;a m%Odk wdydrh jYfhka fhdod.; yelsh' úfYaI;ajh jkqfha fuu.ska ish¿u jhia ldKav j, ñksiqkag ,efnk Wiia fmdaIKSh m%;sM<hs' fï ksid iqúfYaIS wjYH;d wkQj ilia lrk <ore wdydr j, fukau jeäysá

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whf.a wdydr j,o fï ñ,Ü wdydr m%Odk ix>glh jkq oelsh yel' wka wdydr j,ska ,nd.; fkdyels ;rfï mßiudma; fmdaIKhla ñ,Ü OdkH j, fmdaIK .=Kh w;sYhska jeäh' tys we;af;a ffoksl fmdaIK wjYH;djhka jeä yßhla ;Dma; lrk fmdaIKhls' ñ,Ü wdydr wk.s fm%daàk uQ,dY%hlao jkafkah' ,hsiska yd ;%sfhdakska kue;s weuhsfkda wï, yer wfkl=;a ish¿u weuhsfkda wï, ñ,Ü wdydr j, iukaú;h' uqx fufkaß wfma rfÜ m%Odk OdkHhla fkdjQjo cS¾Kh fkdjk msIaGh" osh fkdjk wdydr ;ka;= yd LKsc ,jK nyq, wdydr uQ,dY%hka jk ksid tajd Ndú;ho m%j¾Okh l< hq;=h' úúO;ajh ;=<ska ie,fik nyqúO fmdaIK wjYH;d wuq yd ySka fufkaß j, wdydruh ;ka;= m%udKh ishhg 37la muK jk w;r fuh YdL OdkH w;r jd¾;d jk by<u ;ka;= m%udKh jkafkah' ;jo ;sß`.= iy iy,a j, wvx.= jk ;ka;= iy LKsc ,jK m%udK

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j,g jeä m%;sY;hla l=rlalka j, wvx.= fõ' ñ,Ü OdkH j, wvx.= jk fïoh ksfrda.S;djh iïnkaOfhka ys;lr jk fïo j¾.hls' fuys wvx.= jkafka nyq wix;Dma; fïohhs' fï wdldrfhka ñ,Ü OdkH wjfYaI wdydr iu. iei|SfïoS wfma fmdaIKSh wjYH;d j,g uekúka .e,fmk w;r YÍrh flfryS wdrlaIl hdka;%Khlao l%shd;aul lrhs' Although millet is most often associated as the main ingredient in bird seed, it is not just "for the birds." Creamy like mashed potatoes or fluffy like rice, millet is a delicious grain that can accompany many types of food. As with most grains, millet is available in markets throughout the year.

Millet is tiny in size and round in shape and can be white, gray, yellow or red. The most widely available form of millet found in stores is the hulled variety, although traditional couscous made from cracked millet can also be found. The term millet refers to a variety of grains, some of which do not belong to the same genus.

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wkd.;h Wfoid jHdma; lsÍu ld,Sk wjYH;djhla''' fï wkQj bmerKs fndcqkamf;ys m%Odk wx.hla jQ ñ,Ü wdydr ful, jeä jYfhka m%p,s; lsÍfï wjYH;djh meK ke.S ;sfí' ñ,Ü j,ska wdydr ms<sfh, lsÍfïoS tu OdkH úúO wdldrhg ilikq ,efí' fndfyda OdkH j, msg; we;s >klu fmd;a; bj;a lrKq ,nk w;r l=rlalka j, msg; we;a;=kS isúh msßisÿ lsÍfuoS bj;a fõ' Y%S ,xld jhU úYaj úoHd,fha jHjydßl fmdaIK úoHd wxYfha kj;u m¾fhaIK fmkajd fokafka l=rlalka le| Ndú;h fláld,skj fukau os.=ld,Skjo ksfrda.S

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MILLET - THE WORLD'S HEALTHIEST FOODS

Nutrition

reêrfha iSk"s fldf,iagfrda,a w.h ys;lr uÜgul mj;ajd .ekSug fukau YÍrh flfryS úúO frda.dndO ;¾ck we;s lrk m%;T s lail s drl l%h s dj,sh md,kh lsÍugo úfYaIfhkau ñ,Ü ldKavfha wdydr iu;ah'

"

mqoa.,hkaf.a reêr.; m%;sTlaisldrl n,h jeä lsÍug bjy,a jk njhs' l=rlalka iïnkaO jeros u;hla l=rlalka iïnkaOfhka wfma ck;dj w;r we;s jeros wjfndaOhla jkafka tu OdkH j,ska ieliQ wdydr reêrfha iSks uÜgu fõ.fhka by< kxjk njhs' wfkl=;a msá j¾. ñY% fkdl< msßisÿ l=rlalka msá j,ska ms<sfh, 100

January 2017

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lr.;a l=rlalka le| reêr iSks uÜgu by< kxjkafka fiñks' fuysoS úfYaIfhkau wxY= j, m%udKh jeä l=rlalka msá ,nd.ekSu jvd;a hym;a m%;sM< f.k fohs'

ñ,Ü OdkH u| ire mfiys" wvq c, m%udKhlska wju fmdfydr Ndú;dfjka wiajkq ,nd.; yels fnda. fõ' foaY.=Ksl úmÍ;hkag mD:q,j uqyqK fok wkd.; f,dalhg jeäjk ck.ykh;a" ySk jk .=Kd;aul wdydr;a .eg¿ rdYshla we;s lr;aoS ñ,Ü wdydr ,ndfokafka wk.s fmdaIKSh ms<s;=rls' udkj YsIAGdpdrh wdrïNfha isgu ñksia wdydr wjYH;d imqrd,Sfuys,d wkNsNjkSh ld¾h Ndrhla bgq l< ñ,Ü wdydr wkd.; mrmqrgo wm wk,iaj Wreu lr osh hq;af;a fkdjkafkao @ DP

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Quotes

Quotable quotes about life

Quotable quotes about life Having a positive outlook on life is a crucial part of finding inspiration. ... Here are some inspirational life quotes some time with humor to peep our own lives to help you see the amazing lifeline potential.

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DM

Water Therapy

WHY YOU SHOULD

Drink Water ON AN EMPTY STOMACH

IMMEDIATELY

AFTER WAKING UP 104

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Drinking water immediately after waking up is a popular ritual in Japan.

The Japanese believe that drinking water first thing in the morning can help heal and manage epilepsy, bronchitis, asthma, diarrhea, vomiting, urine and kidney diseases, diabetes, menstrual disorders, meningitis, arthritis, headache, heart beating fast, eye diseases and help you manage a healthy weight.

Not many people like to drink water first thing in the morning. Instead, most people prefer tea or coffee but it is recommended to drink water or at least eat fruits that contain water.

Drinking water is important for mental clarity and alertness

While you sleep, your body is filtering out all the toxins you’ve accumulated throughout the day. The little bit of water that’s left in your digestive tract by the time you get to bed isn’t enough to clear away all this waste. Drinking water as soon as you wake up will give your kidneys more to work with to help them eliminate all the toxins that are clogging your system.

Why Drink More Water Drinking water is important for mental clarity and alertness. In fact, dehydration is a risk factor for delirium and dementia in the elderly and in the very ill (1). It’s also important for nearly every bodily function. In fact, in as little as 3-4 days, dehydration can become deadly. doctormagazine.lk

“I have sort of a 100hour rule,” says Claude Piantadosi of Duke University in North Carolina. “Depending on the temperature you are exposed to, you can go 100 hours without drinking at an average temperature outdoors.

If it’s cooler, you can go a little longer. If you are exposed to direct sunlight, it’s less,” he added.

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Water Therapy

“Dehydration kills by bringing blood pressure down to fatal levels. The more energy you expend the more likely you are to lose water,” says Randall Packer, an expert from George Washington University. “You lose a little bit of water every time you exhale. You lose water when you sweat.

You do make a little water when you metabolize food… but the balance is such that you always need some sort of water intake.”

What Is Morning Dehydration?

Dehydration occurs when you use or lose more fluid than you take in, and your body doesn’t have enough water and other fluids to carry out its normal functions. If you don’t replace lost fluids, you will get dehydrated. via MayoClinic

Symptoms of dehydration include : Increased thirst • Dry mouth and swollen tongue • Weakness • Dizziness • Palpitations (feeling that the heart is jumping or pounding) • Confusion

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• Sluggishness fainting • Fainting • Inability to sweat • Decreased urine output Waking up in the morning and having bright yellow urine is a sign that your body needs more water. Actually, examining your urine throughout the day is an easy water to know whether or not you’re getting enough water .

A recent study found that not drinking enough water can actually impair driving as much as drinking alcohol can .

This shows just how important water is for your state of mind and cognitive function. You wouldn’t start your day drunk, so why would you start dehydrated?

How To Drink Water In The Morning It’s quite an easy habit to pick up, just leave a glass or cup on your bedside table and grab it as you leave your bedroom. It’ll be easy to remember to drink water if you’re walking around with an empty glass.

Here’s what experts are recommending: • As soon as you wake up, drink 4 x 160 ml of water.

• Give your body 45 minutes to process the water before having your first meal.

• Always have a glass of water before eating a meal.

If you have trouble drinking this much water first thing in the morning, just start with one glass and slowly increase the amount of water you drink every day. Aim for 7-9 glasses of water daily, taking in a little more if you exercise or live in a warm region.

Just remember that the steps mentioned above are just guidelines. Whenever you get thirsty just drink a little water at a time until you no longer feel the need to drink.

Like anything else, it’s more about listening to your body than following strict rules. DM

Courtesy: Daily Health Post

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Advertorial A Protective And A Caring Partner

pathologists, hematologists and microbiologists.”

CDEM Laboratory A PROTECTIVE AND A CARING PARTNER CDEM’s clinical service is committed to a bench-tobedside approach, taking service through from basic science discovery to clinical application under Dr. Malith Athapattu, Medical Director and General Manager of Center for Diabetes Endocrinology and Cardio Metabolism.

Elaborating on specifics as quality, center specialists expertise and center procedures, he said “CDEM is benchmarked for its fully equipped modern clinical laboratory with state of the art futuristic devices and international standard mechanisms and due to the continuous supervision by a team of consultant medical specialists, the centers value increases constantly” he emphasized.

“Our quality is assessed overall by Randox Laboratories and Biorad Laboratories of UK while our internal monitoring continues daily under meticulous in-house quality control. Our laboratory tests are validated and monitored by a team led by histopathologists, clinical

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DOCTOR MAGAZINE

Our helpful, informative, polite and friendly lab staff put patient’s minds at ease and when collecting blood samples these fully trained and experienced phlebotomists work is amazing … its absolutely pain free.

A patient’s information is entered into our hospital information system when we issue a receipt for his or her lab test. The test tube we use to take a patient’s blood sample has the patient’s details in a barcode and this method provides for a fast and an accurate result when theses samples are taken quickly by the laboratory. The unique and sophisticated process eliminates human error completely and a patient’s blood report is conveyed promptly to his email.

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Ultra sophisticated tests as high-sensitive cardiac troponin 1 and many such futuristic mechanisms we use carry the assurance of highly accurate results generated in the shortest duration of time .. to be precise in just 40 minutes.

The efficient operation of a clinical laboratory and the effective delivery of medical laboratory services to clinicians, doctors and patients require a complex amalgamation of expertise in medical, scientific and technical areas as it is a prerequisite for not having a margin of error leading to ( 01 ) unnecessary treatment ( 02 ) treatment complications ( 03 ) failure to provide the proper treatment ( 04 ) delay in correct diagnosis ( 05 ) additional and unnecessary diagnostic testing.

CDEM’s Laboratory is in safe hands with Dr. Malith Atapattu guiding the destiny of the lab expertly through a professional background and clinical experience gained as Head of Lanka Hospitals Medical Services. He has extensive experience in clinical judgment and indepth expertise in medical administration. DM

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DM

Review

fyo fiajfhka .%ka:lrKhg fhduq jQ fyo fidhqß rdks ffjoHr;ak rdcH idys;H Wf<f,a fyd|u fhdjqka f,aÅldj f,i nqyquka ,nhs ol=Kq fld<U YslaIK frdayf,a fiajh l< fyo fidhqß rdks fyau,;d ffjoHr;ak ^fi,a,fyajd& uy;añh úiska rpkd lrk ,o zzfï ksjdvq ld,hhsZZ lD;sh i|yd 2016 rdcH idys;H W;aijfha zzfhdjqka idys;H wxYfha iïudkhZZ oskd .kq ,enqjdh' rdcH idys;H W;aijh w;s.re ckdêm;s;=udf.a m%Odk;ajfhka nKavdrkdhl wkqiaurK cd;Hka;r iïuka;%K Yd,dfõoS meje;aúk' fidau,;d ffjoHr;ak r;akmqr fyo úÿyf,ka mqyqKqj ,en wkqrdOmqr" uvl,mqj" ueojÉÑh yd ol=Kq fld<U YslaIK frday,aj, fiajh l<dh' mdie,a ld,fha isg mqj;am;a j,g ld,Sk ,sms yd flál:d iïmdokh l< weh tl=ka úis úfhaoS ;u m%:u .%ka:h jk zzo¾YKZZ kï flál:d ix.%yh m%ldYhg m;a l<dh' wk;=rej zz;=ka wjqreoaoZZ" zzfyo fidhqßhlf.a u;l igykaZZ" zzúi,a mjqrla fiaZZ" zzfrdayf,ka weiqK l:dZZ" zzfï ksjdvq ld,hhsZZ iy zzwyia úhkZZ kï .%ka: t<s oelajQjdh' frdgß iudch úiska 97$98 j¾IfhaoS zzfyd|u fyo ks,OdßkshZZ f,i f;dard nqyquka ,o weh 2005 j¾Ifha cd;Hka;r fyo oskfhaoS Y%S ,dxflah fyo fiajdfõ iy rdcH fiajd tlaila fyo ix.ufha Wkak;sh fjkqfjka bgq lrk ,o wñ, fufyjr fjkqfjka zzfyoñKsZZ Wmydrfhkao msÿï ,enqjdh' zzffjoHjrhdZZ i`.rdjg ,sms imhk wm mdGlhkaf.a fkduo ckm%sh;djhg md;% jQ lf,l fyo N=ñldjl fhÿKQ mQ¾Kld,sk .%ka: rpkh fjkqfjka lemjqkQ fidau,;d ffjoHr;ak ^fi,a,fyajd& uy;añhg Doctor Magazine Y=NdisxYk ysñ fõ' DM

January 2017

DOCTOR MAGAZINE

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Foods

&

Calcium & Vitamin D Important at Every Age

CALCIUM VITAMIN D

Important at Every Age

Calcium is a mineral that helps bones stay strong. Our bodies continually remove small amounts of calcium from our bones and replace it with new calcium

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our body breaks down old bone cells and replaces with new ones all the time, similar to what goes on in your skin. Sometimes, we call this process, â&#x20AC;&#x2DC;wear and tearâ&#x20AC;&#x2122;.

You need to be healthy, exercising daily and taking calcium as supplements or in your food to replenish lost calcium in the old bone cells. Osteoporosis is softening of your bones with deletion of calcium and other minerals.

Continuation of cortisone preparation leads to osteoporosis Some individuals are put on cortisone preparations like prednisolone long term to make you feel better from certain auto-immune diseases like temporal arteritis, and arthritic joints. Sometimes, individuals suffering from chronic asthma among others are recommended small doses of cortisone daily.

By Dr. Harold Gunatillake 110

January 2017

Long term continuation of any cortisone preparation leads to depletion of calcium from the bones and result in osteoporosis.

DOCTOR MAGAZINE

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How can they maintain healthy bones without softening leading to fractures, especially in your 60’s and beyond? Women are more susceptible to osteoporosis during the post- menopausal period due to insufficient oestrogen hormone in the body.

you eat, otherwise calcium gets sent out of the body as waste in your stools. The saying goes- the fish in the ocean enjoys it. Weight bearing exercises as a daily routine also is required for bone strength and absorption of calcium.

The long term solution for calcium depletion You could drink as much milk and take calcium supplements, but it is important to take fat soluble vitamin D for the absorption of calcium from the food

So, along with weight bearing exercise, calcium and vitamin D go together for good bone density and good health in general.There are simple ways of getting calcium and vitamin D without supplementation.The best way to get more calcium is to improve your diet. You already know that dairy products – such as milk, cheese, and yogurt – are good sources of

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School children should be encouraged to participate in sports and other recreational activities daily to develop strong bones, which pays dividends in their later life. By exercising the skeletal muscles attached to the bones help grow and make your bones strong.

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CALCIUM & VITAMIN D IMPORTANT AT EVERY AGE

Foods

Foods that are high in calcium calcium for those who don’t have lactose or other dairy intolerance. Other foods that are high in calcium include: • • • • • • •

Spinach Kale Okra Collards Soy beans White beans Some fish, like sardines, salmon, perch, and rainbow trout • Foods that are calcium fortified, such as some orange juice, oatmeal, and breakfast cereal.

There are a few foods containing vitamin D and a lot harder to get them. Fortunately, in the tropics, UV rays of the sun help you to manufacture vitamin D in your skin. Only half an hour exposure per day is sufficient.

Vitamin D factor Foods that contain vitamin D are fatty fish, foods fortified with vitamin D, like some dairy products, orange juice, soy milk and breakfast cereals. Beef liver, cheese and egg yolks supply sufficient vitamin D if you consume them daily. The average person may not be able to afford purchase these calcium-rich foods from the supermarkets in Sri Lanka.

The average working class person is slim, muscles wasted, malnourished and carry hardly any stored fat in the body.

The packet of rice and curry to eat for convenience do not provide them with sufficient macro and micro-nutrients including minerals.

Fortunately, these workers are exposed to sunlight and naturally get the required quota of vitamin D without their knowing.

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Recommended vitamin D is 600 IU per day for children age 1 to adults through age 70. For people older than 70 daily requirements is 800 IU. To get vitamin D from food, fish is the best option. Six ounces of cooked salmon has more than 600 IU. Other foods containing vitamin D include eggs, liver, fortified dairy products, and fortified juice. These foods are beyond the reach of average wage earners. Sri Lanka is bound to produce a sick nation due to poverty, and also uncontrolled traffic pollution.If you are not sure that you get adequate vitamin D and calcium, it would be a good idea to get those levels checked in your blood and also get a bone density scan, and your doctor will advise you on such investigations.

Older people may find it difficult to absorb calcium and vitamin D and your doctor may recommend supplements.

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Supplements available There are different types of calcium supplements and vitamin D supplements available â&#x20AC;&#x201D; such as calcium citrate and calcium carbonate and vitamin D2 (ergocalciferol) and D3 (cholecalciferol).

Current evidence suggests that thereâ&#x20AC;&#x2122;s not a big difference between them, although some research has found that vitamin D3 might be more effective than D2. Calcium carbonate can be more difficult to absorb on an empty stomach or if you have low levels of stomach acid compared to calcium citrate, so it should be taken with food. Also, since vitamin D is fat soluble, it is best absorbed with a meal that contains fat? Again, your doctor can advise you on the right supplements for you.

Could you have a hidden calcium or vitamin D deficiency? Even people who seem like they should be getting enough calcium and vitamin D sometimes arenâ&#x20AC;&#x2122;t. For instance, some medicines and health conditions can block the normal absorption of calcium or vitamin D. Talk to your doctor about any potential problems that might put you at risk for low levels of calcium or vitamin D. Calcium is required not only for bone growth.

Your heart muscles need calcium for its rhythmic contractions. It is also required for blood flow and the release of hormones in your body.

Low vitamin D levels are connected with muscle weakness and immune function. Some studies have shown that low vitamin D is linked to diseases like colon cancer, breast cancer and rheumatoid arthritis.Some studies have shown that Acid diets high meat protein is beneficial to calcium utilization and bone health, especially in the elderly to prevent osteoporosis.A high-protein diet with adequate calcium and fruits and vegetables is important for bone health and osteoporosis prevention. DM January 2017

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Influenza

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INFLUENZA fiïm%;sYHd WK foieïn¾ - ckjdß - fmnrjdß

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114

January 2017

jeäysáhka" .eìKs ud;djka iy ixl,;d u;=ùfï jeä bvlvla we;s Woúh tkak;a ,nd.kak

DOCTOR MAGAZINE

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bka*a,qfjkaidj hhs lS muKska th Nhdkl frda.hlafoda hk is;sú,a, Tng meK k.skakg mq¿jk' bka*a,qfjkaidj Nhdkl frda.hlao @ thg zzTõZZ lshkakg;a zzkEZZ lshkakg;a Tng whs;shla we;' bka*a,qfjkaidj ksid we;eï frda.Ska ñh hdu ;ju;a wmg j<lajd .kakg yelshdjla ,eî ke;' tfia kï th wjOdkhg ,laúh hq;= frda.hla fkdfjo @ ìhlre frda.hla fkao @ tfy;a ´kEu flfkl=g yefokakg yels ùu;a" wm yefudau mdfya oekgu;a tlajrla fkdj lsysm jdrhlau fï bka*a,qfjkaidjg ,laù isák wh nj ie<lSfukq;a th ir< fldg .ekSfïo jrola ke;' ukao bka*a,qfjkaidj yeu ;eku ;sfí' ´kEu flfkl=g je<f|a' l=;=y,h yudr lsÍug ld,h meñK ;sfí''' bka*a,qfjkaidj lshkafka fiïm%;sYHd WKh' fiïm%;sYHd WK fkdyeÿKq flfkla kE fkdfjo @ tfia kï fï ksid cSú; ;¾ckhg ,la jkafka flfiao @ ta .ek Tnj oeKQj;a lsÍu wmf.a wNsm%dh jkafkah'

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iEu flfkl=gu yefok bka*a,qfjkaidj Nhdkl ;;a;ajhg mßj¾;kh jkafka we;eï úg urKh isÿjkafka my; kï lrk wjodkï ldKavhgh' bka*a,qfjkaidj wdY%s; ixl+,;d j,g jeäfhka ,lajk Woúh • jhi wjqreÿ 65 blaujQ Woúh • .¾NsKS ldka;djka • Yajik frda." iakdhq wdndO" yoj;a frda. wdoS ksoka.; frda. ;sfnk Woúh • wjqreÿ folg jvd wvq orejka • ÿï mdkh lrk Woúh by;ska oelajQ ldKavhg we;eï úg fï bka*a,qfjkaidj ksid n,j;a ixl+,;d we;súh yels neúka Tjqkao wdrlaId lr.; hq;=h' bka*a,qfjkaidj frda. ,laIK • WK • leiai • fiïm%;sYHdj • we;eful=g Yajik wmyiq;do we;súh yel'

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fï bka*a,qfjkaidj ysi Tijk ld,hhs''' oeKQj;a fjkak'''

Influenza

bka*a,qfjkaidj je<|Sfuka ixl+,;d we;sùfï wê wjodkula orK frda.Ska i|yd jk b;d wdrlaIdldÍ tkak;la ;sfí'

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ysiroh" W.=f¾ wudrej" wef`.a mf;a fõokdj wdosho fuysoS we;súh yels nj Tn w;aoelSfuka okafkah' fï ld,fha bka*a,qfjkaidj frda.Ska jeähs bka*a,qfjkaidj jif¾ iEu ld,hlu olakg ,efnk frda.hls' tfy;a foieïn¾" ckjdß yd fmnrjdß hk ld, j, iqúfYAIS foaY.=K rgdjka yd fjk;a idOl ksid fï ld,fha bka*a,qfjkaidj frda.Ska jeäùula jd¾;d fjhs' zzcd;sl bka*a,qfjkaid uOHia:dkhZZ fï frda.h iïnkaOfhka fï rfÜ ck;dj oeKQj;a lrkafka thska ixl+,;d we;sùfï bvlvla we;s ldKav fjfiiskau wdrlaId lr.ekSugh'

frda.Ska iEuúgu fi!LHdrlaIs; mej;=ï we;s lr.; hq;=hs bka*a,qfjkaidj ì|s;s u.ska fndajk frda.hls' ffjrihla u.ska frda.h we;s lrhs' tu ksid frda.sfhl= isák mßirfhaoS iam¾Yfhka" iDcqju ì|s;s wd>%dKh lsÍfuka ksfrda.S flfkl=g frda.h fnda úh yelshs' tu ksid frda.Ska lysk" lsúik úg f,akaiqjla" áIq lene,a,la Ndú;d lr wka whg úIîc iïfm%aYkh fkdjk fia lghq;= lsÍug W;aiql úh hq;=h' w;a fidaod wdydr wkqNjh yd fm!oa.,sl iajia:;djh Wmßu whqßka mj;ajd .; hq;=h' fï frda.Ska jeämqr oshr j¾. mdkh l< hq;=h' frda.Ska i|yd lrk ridhkd.dr mÍlaIK kdifhka fyda W.=frka ,nd.kakd fiu mg,hla mgl frdamkh (Viral Culture) fyda wKQl mÍlaIK (PCR) weiqf¾ fnd/,a, ffjoH mÍlaIKdh;kfhka fuu mÍlaIK isÿ lsÍfï myiqlï i,iajd ;sfí'

116

January 2017

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wjodkula iys; ldKav WK fyïìßiaidjloS m%udo fkdù ffjoH m%;sldr ,nd.kak wjodkï iy.; frda.Ska fï frda.h ksid kshqfudakshdj kue;s fmKy¿ wdidokhg ,laúh yel' tfiau jl=.vq" fmKy¿''' wdoS jYfhka cSú;h mj;ajd .ekSug w;HjYH lrk bkaøsh /ila wl%Sh ùfï wjodkulao meK ke.sh yel' fï ksid by;ska i|yka l< wjodkula iys; frda.Ska WKla" fyïìßiaidjla yeÿK;a fkdmudj ffjoHjrfhl= yuqù m%;sldr ,nd.; hq;=h' bka*a,qfjkaidj wjodku iys; frda.Ska yg tkak;la we; bka*a,qfjkaidj je<|Sfuka ixl+,;d we;sùfï wê wjodkula orK frda.Ska i|yd jk b;d wdrlaIdldÍ tkak;la ;sfí' Tjqka tkak; ,nd.ekSfuka frda.fhka je<lsh yelsh' túg cSú; wjodkula we;s jkafkao ke;' fï tkak; wdrlaIdldÍ tkak;la jk w;r .¾NsKS ud;djka" jeäysáhka jQjo fuh .ekSfuka ixl+,;d we;sùula fkdue;s .dkh'

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cd;sl bka*a,qfjkaid uOHia:dkh cd;sl bka*a,qfjkaid uOHia:dkh fuu frda.h ,dxflah m%cdj fj; n,mdk wdldrh iònkaOfhka wdfõlaIKh lrk ta iïnkaO m¾fhaIK j, fhfok wdh;khls' fi!LH wud;HxYhg fuys ld,Sk W;aikak ùï iïnkaOfhka f;dr;=re oelaùu fukau ck;dj fï frda.h iïnkaOfhka oeKQj;a lsÍu fukau tys ixl+,;d" wdrlaId ùug tkak;a fhoSu wdoS lreKQ ,ndoSfukao frda.Ska ixl+,;d j,g ,laùu" urKhg m;aùu wju lsÍug lghq;= i,ihs' fï bka*a,qfjkaidj ysi Tijk ld,hhs' bka*a,qfjkaidj yeÿfKd;a wjodkula we;súh yels Tfí mjqf,a ióm;uhka wjodkulg hd fkdoS wdrlaId lr.ekSug Tn;a bka*a,qfjkaidj .ek oeKqj;a jkak' yeÿfKd;a wdrlaIl mshjr j,g fkdmudj fhduq jkak' DM

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Fibroid

wfma rfÜ ldka;djka *hsfn%dhsâ frda. hg ,laùfï jeä wjodkula ;sfnkjd'''

FIBROID

wfma rfÜ ldka;djka *hsfn%dhsâ frda.hg ,laùfï jeä wjodkula ;sfnkjd''' .¾NdIh bj;a lrkak fmr isÿl< yels fjk;a m%;sldr rdYshla ;sfnkjd'''

.¾NdIh bj;a lrkak fï ksid yosiais fjkak;a tmd'''

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ukaf. cSú; ld,h ;=< je<|Sfï ishhg 30-40l by< bvlvla we;s frda.hla' ,dxflah wm w;r ;rula iq,n frda. hla' Nhdkl frda.hla fkdfjhs" ta;a we;eï fj,djg Nhdkl je/oaola lr.kak frda.hla''' ta je/oao .ek l;d lrkafk miqjg' l=;=y,hla kE''' ,smsfha ud;Dldj Tiafia Tn frda.h kñka y÷kkjd' .¾NdI f.ä' Fibroid lsh, ;uhs wm w;f¾ jeä fofkla fï frda.h y÷kajkafk' *hsfn%dhsâ lshkafk .¾NdIh uQ,sl lr.;a f.ä j¾.hla' ;, weghla jf.a b;d mqxÑ f.ä jf.au w,sfmar f.ä ;rï f,dl= f.ä;a yefokjd' .¾NdIfh;a fï *hsfn%dhsâ yefokjd' .¾NdIfhka msg;;a yefokjd' fï .¾NdI f.ä ms<sld njg yefrkafk kE' tuksid ta .ek Tn wksh; ìhla we;s lr.; hq;= kE'

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kdß yd m%ijfõo úfYaI{ yd ,emriafldms úfYaI{ ffjoH frdaIka fihsâ kjf,dal frday,

*hsfn%dhsâ yefokafka wehs @ W;a;rhla fokak wudre m%Yakhla' fï frda.h we;sùug ksYaÑ; fya;=jla ;ju;a yßyeá wkdjrKh lrf.k kE' ta;a iuyr ldka;djka w;f¾ *hsfn%dhsâ we;sùfï by< wjodkula we;s nj yªkdf.k ;sfnkjd' fuh ia;%S fydafudak j, fjkialï j,g ixfõoS frda.hla' *hsfn%dhsâ we;sùfï by< wjodkula we;s ldka;djka fukak''' • ;rula ia:q, ldka;djka • orejka fkd,enQ ldka;djka • m%ckl jYfhka il%Sh wjêh .; lrk ldka;djka doctormagazine.lk

.¾NdIfha we;=<;" msg;''' fï ´kEu ia:dkhl *hsfn%dhsv we;súh yel

;j;a ldrKhla lshkak ´ks' iqÿ cd;slhkag idfmalaIj wdishd;sl wfma ldka;djka *hsfn%dhsâ j,g ,lajk wjia:d jeähs' ta jf.au wm%sldkq l¿ iïNjhla iys; ldka;djka w;f¾;a *hsfn%dhsâ iq,nj jd¾;d fjkjd' uq,skau i|yka l<d jf.a wfma rfÜ ldka;djkag ;u cSú; ld,h ;=< ljr wjia:djloS fyda *hsfn%dhsâ we;s ùfï ishhg 30-40l wjodkula ;sfnkjd' Tfí oek.ekSug ;j;a ldrKhla' wm%sldkq ldka;djka *hsfn%dhsâ j,g k;=ùfï wjodku ishhg 80la muK by< w.hla jd¾;d fjkjd' *hsfn%dhsâ yeÿKdu we;sjk .eg¿ *hsfn%dhsâ yefok ldka;djka nyq;rhlg lsiÿ s frda. ,laIKhla my< jkafka kE' fï ksid *hsfn%dhsâ ;sfnk fndfyda ldka;djka ;ukag tu f.ä ;sfnk nj oek.kafk;a kE' iuyr fj,djg .eìKshla jqKdu lrk ialEka mÍlaIKhloS jf.a wjia:d j, wyïfnka fï wh ;ukag *hsfn%dhsâ ;sfnk nj oek.kakjd' yenehs" ldka;djkaf.ka y;frka mx.=jlg muK frda. ,laIK m%lg fjkjd' frda. ,laIK .ek l;d lrkakg fmr tu frda. ,laIK we;sjkafk ljr wjia:dfjoso lshk ldrKh .ek Tn oeKqj;a l< hq;h = 's

doctormagazine.lk

• *hsfn%dhsâ tfla m%udKh jeä kï frda. ,laIK m%lg lsÍfï yelshdj jeähs' fndfyda fofkl=g ;sfnkafk fikaáógrhlg;a jvd wvq *hsfn%dhsâ' tys úYd,;ajh fikaáóg¾ mylg jvd jeä kï th lsishï n,mEula we;s lsÍfï bvlv jeähs' • jeä *hsfn%dhsâ ixLHdjla ;sfnkjd kï th;a frda. ,laIK my< ùug fya;=jla fjkak mq¿jka' • ta jf.auhs ;sfnk ia:dkh wkQj;a frda. ,laIK my< ùu fyda fkdùu lshk ldrKh ;SrKh fjkak mq¿jks' WodyrKhla úosyg ;sfhk *hsfn%dhsâ tl u.ska uq;%dYh ;,a¨ lrkjd kï " tfyu;a ke;akï wka;% ysr lrkj kï tfyu fj,djg fõokdjla we;s fjkjd' *hsfn%dhsâ ksid we;sjk frda. ,laIK • .¾NdIfha *hsfn%dhsâ tl ;sfnkjd kï Worh f,dl= fjkjd' • *hsfn%dhsâ ksid fldkafoa lelal=u we;s fjkak mq¿jka'

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wfma rfÜ ldka;djka *hsfn%dhsâ frda.hg ,laùfï jeä wjodkula ;sfnkjd'''

Fibroid

• .¾NdIh" uq;%dYh" jl=.vq" nvje,a wdosh f;rmSug ,la lsÍu ksid lsishï fõokdjla ta wdY%s;j we;s fjkak bvla ;sfnkjd' • wd¾;jfhaoS úYd, jYfhka reêrh jykh ùu • wd¾;jh jeä ld,hla mej;Su • ore iïm;a fkd,eîu • .íid ùu Worfha fõokdj" Worh wdY%s; nr .;sh" ks;r ks;r uQ;%d lsÍfï wjYH;djh" we;eï úg u<noaOh" ,sx.sl tlaùfïoS we;sjk fõokdj *hsfn%dhsâ wdY%s;j we;s fjkjd' hï ldka;djla *hsfn%dhsâ tlalu .eí .;af;d;a wehg;a .¾NsKS;djfha úúO ixl+,;d we;s fjkak mq¿jks'

fydafudak ksid .¾NdI f.ä il%Sh fjkjd idudkHfhka *hsfn%dhsâ j¾Okh jkafka fydafudak l%shdldß;ajh weiqre lrf.khs' jhi wjqreÿ 20-25 ld,fha isgka wjqreÿ 40-45 olajd ld,h ;=< fï f.ä j¾Okh fjkjd' wd¾;jwNdjhg t<öfïoS yels,Sula isoaO fjkjd" iajdNdúlju'

*hsfn%dhsâ i|yd lrk m%;sldr uq,skau lshkak ´kd''' yefudagu m%;sldr wjYH jkafka kE' idudkHfhka *hsfn%dhsâ ;sfnk ldka;djka y;rfofkla .;a;u bka tlaflfkl=g ;uhs m%;sldr wjYH jkafka'

*hsfn%dhsâ i|yd lrk m%;sldr *hsfn%dhsâ ;sfhk ldka;djkag ;sfnk tlu úi÷u Y,Hl¾uh fkdfjhs' we;af;kau Y,Hl¾uh lshkafk wjidk úiªu''' ta;a thg fkd.syska isÿ lr.kak m%;sldr;a ;sfnkjd' tajd Tng .e,fmkak;a losu bvla ;sfnkjd'

fï m%;sldr lrkafk frda. ,laIK wkQj" *hsfn%dhsâ tl ;sfnk ia:dkh wkQj''' *hsfn%dhsâ lShla ;sfnkjdo lshk ldrKh wkQj''' ;j;a foaj,a .ek fuysoS ie<ls<su;a fjkjd' jhia.; flfkla kï m%;sldr lsÍula wjYH jkafka kE' fydafudak ;=kS ùu ksid *hsfn%dhsâ tl yelsf,kak bv ;sfnkjd' wod, ldka;dj orejka wfmalaId lrkjdo @ wdoS ldrKd;a fuysoS m%;sldr lsÍug fmr ffjoHjrhdf.a ie<ls,a,g nªka fjkjd' wms Wodyrkhla wrf.k ne¨fjd;a ldka;djka fofofkla bkakjd' fokakf.u wdikak jYfhka fikaáóg¾ 6l m%udKfha *hsfn%dhsâ ;sfnkjd' tlaflfkla jhi 25hs' wfkla flkd jhi 50hs' wjqreÿ 25fya ldka;djg m%;sldr lrkak fjkak mq¿jks' wehf.a .¾NdI f.äh ld,h;a iu.u jeä fjk keUqrejla ;sfnkjd' ta;a wjqreÿ 50fya ldka;djg m%;sldr fndfyda ÿrg wjYH jkafk kE' ukao" wehf.a .¾NdI f.äh ;j;a jeä fjkak bvla kE' we;af;kau th yels,S hk keUqrejla ;uhs fï jhfiaoS olskak ,efnkafka' 120

January 2017

DOCTOR MAGAZINE

Y,Huh fkdjk m%;sldr wfma rfÜ ckm%shu Y,Huh fkdjk m%;sldrh ;uhs' tkak;a''' tkak;a tla m%;sldrhla' fï tkak;a j,ska *hsfn%dhsâ f.äh yl=¨jkak mq¿jka' *hsfn%dhsâ tlg fmdaIKh imhk reêr kd, j,g fï tkak; ,ndÿkaku .¾NdI f.äh

doctormagazine.lk

;j;a m%;sldrhla oeka wfma rfÜ Ndú;d fjkjd' ta ;uhs Ultra Sound mÍlaIKhlska yßhgu ia:dkh y÷kdf.k *hsfn%dhsâ f.äh yl=¿jd ouk m%;sldrh'

wNHka;ßl jHqyh ldh jHÉfPaod;aul ksrEmKh

yelsf,kjd' ;j;a tkak;a wdldrhla ;sfnkjd' th iDcqju *hsfn%dhsâ tl yl=¿jk tkak;la' fï f.ä yl=¿jk b;d ir< m%;sldrhla ;sfnkjd' fnfy;a fm;a;la' fndfyda rgj, Ndú;d jk fï uqL ud¾. fhka ,nd.kakd Tiqj wfma rfÜ ñ,oS .ekSug fkdyels ùu wjdikdjla' wêl f,i reêrh jykh jk ldka;djkag uqL u.ska ,nd.kakd m%;sikaêh j<lajk fm;s (Oral Contraceptives) ffjoHjreka úiska kshu lrKQ ,nkjd' uÍkd lshk ;ekam;a lrk fldhs,a tl;a *hsfn%dhsâ j,g m%;sldrhla jYfhka fhdod .kakjd'

wfma rfÜ ckm%shu Y,Huh fkdjk m%;sldrh ;uhs' tkak;a''' fï tkak;a j,ska *hsfn%dhsâ f.äh yl=¨jkak mq¿jka'

"

doctormagazine.lk

"

Y,Hl¾uhlg hkak isoaO fjkjd kï''' fï m%;sldr wid¾:l fjkj kï tajdg iSud we;s fjkjd kï Y,Hl¾uhlg hkak isoao fjkjd' ta;a Y,Hl¾ufhaos .¾NdIh bj;a lsÍu tla jru isÿ lrkafka kE' .¾NdIh bj;a lsÍula isÿ lf<d;a cSú; ld,hgu fydafudak ,nd fokak isÿ fjkjd' we;eu úg äïnfldaI ú;rla bj;a lsÍu m%udKj;a fjkjd kï ta i|yd W;aiql fjkjd' fï Y,Hl¾uh jqK;a Worh lmkafk ke;sj Worfha fhdok isÿre lsysmhla yryd ,emriafldms l%uhg isÿ lrñka *hsfn%dhsâ tl bj;a lrkak mq¿jka' fuh wo b;du ckm%sh Y,Hl¾uhla'

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wfma rfÜ ldka;djka *hsfn%dhsâ frda.hg ,laùfï jeä wjodkula ;sfnkjd'''

Fibroid

.¾NdIfha we;=<;''' msg; we;s jQ *hsfn%dhsv iuyrla'''

.¾NdIh we;=f,a .¾NdI f.äh ;sfnkjd kï Hysteroscope lshk WmlrKh m%fõY lr ta Tiafia Y,Hl¾uh isÿ lrkak mq¿jka' fuysoS;a nrm;, Y,Hl¾uhl wjYH;djh meK k.skafka kE' we;eï fj,djg ,emriafldmsl l%u j,ska Y,Hl¾uh isÿ lsÍug iSud we;s fjkjd kï túg újD; ie;alulska" ta lshkafk Worh újr lr, ie;alu isÿ lrkjd' fï ish¿ m%h;akhka isÿ lsÍug iSud we;s fjkjd kï muKla frda.shdf.a .¾NdIh bj;a lsÍfï ie;alula (Hysterectomy) isÿ lrkjd' we;a;gu fuysoS úfYaIfhkau lshkak ´kd''' .¾NdIh bj;a lsÍu lshkafka wjidk f;aÍu''' Bg fmr fï m%Yakh úi|.kak fndfydauhla úi÷ï ;sfnkjd''' tajd id¾:l ùfï fyd| bvlvla ;sfnkjd' ,smsh wdrïNfhaos wm zzNhdkl je/oaolaZZ .ek i|yka l<dfk' ta .ek ;uhs oeka wm Tfí wjOdkh fhduq lrkafk''' *hsfn%dhsâ ysßyerfhka ñfokak ;sfnk uQ,sl m%;sldr j,g fkdf.dia tlajru .¾NdIh bj;a lr.kak isÿ

122

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jqKQ ldka;djka jd¾;d fjkjd' we;af;kau wjidkhg lrkak ;sfhk foa uq,skau isoaO fkdfjkak Tn ,nd.kakd fï oeKQu;a jeo.;a fjkjd' fï iïnkaOfhka wm újD;j woyia olajkafka tjka ydks Tng isÿ fkdfjkakhs' *hsfn%dhsâ yeÿku ie;alulska th whska l<dg miafi orefjla yod.kak mq¿jka' fï orej idudkH l%uhg m%iQ; fjkjdo @ tfyu ke;akï iSi¾ ie;alula lrkjdo lshk ldrKh ta ie;alu wkQj''' ;SrKh fjkjd' DM

doctormagazine.lk

D•Magazine /

Oral & Facial Care udkisl wd;;shg''' úYdohg w; jkk uqyqfKA we;sjk widudkH;d

ORAL & FACIAL CARE udkisl wd;;shg''' úYdohg w; jkk uqyqfKA we;sjk widudkH;d

lelsrdj uQ,sl frdayf,a oka; Y,H ffjoH uyskao jksiqkaor úisks

ud

.ek Tjqka jo fjhs' o;a osrd hdu flfkl=g wd;au úYajdih ySk lrk fya;=jls' l=re<E j,ska msreKQ uqyqK" le<e,a iys; uqyqK <ud ld,fhaoSu ysifla ;=kS ùu" lfka wdndO yd lfka we;sjk jHqyd;aul fjkialï ksid th cSú;h tmd lrjk .eg¿jla lr.kakd wh ÿ,n fkdfj;s'

úYdoh frda.Ska mqreÿ lr.;a wY=N ksñ;a; úYdofhka fmf<kakka fndfydaúg ;ukaf.a rEmh iïnkaOfhka we;s lr.kakd ;lafiarej iqNjdoS tlla fkdfõ' kyfha weoh .ek'' o;a bosßhg fkrd tau

ie<ls,a,g n÷ka jk úúO widudkH;d ndysr lK widudkH ia:dkhl msysgd ;sîu yd weys nefï we;s widudkH;d" weys neu fkdmsysàu" lïuq, wêl f,i j, .eiS ;sîu" lïuqf,a wê j¾Okh" Wvq

ufkda Ndjhkag w; jkk uqL frda. yd wdndO iïnkaOfhka oka; ffjoHjrfhl=f.a úuiqula''' kisl wd;;sh (Stress) jeäùfuka úYdoh ;;a;ajh we;sfõ' iuyr mqoa.,hka fuu úYdoh ord.ekSug ;rï Yla;sjka;h' tfy;a fï we;sjk wd;;sh ord.ekSug fkdyels ;j;a wfhla ;u tosfkod jevm< mjd wjq,a lr.kS' Depression f,i y÷kajkafka fï ;;a;ajhhs' fuh lsisjl= ys;du;d we;s lr.kakd ;;a;ajhla fkdfõ' fud<fha ridhKsl ixhq;sfha WÉPdjpkhka fuhg n,mdk nj y÷kdf.k ;sfí'

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January 2017

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udkisl wd;;shg''' úYdohg w; jkk uqyqfKA we;sjk widudkH;d

Oral & Facial Care

úYdoh frda.fhka fmf<k mqoa.,fhl=f.a iajNdjh

iy há yKq bosßhg fkrd ;sîu" kslg j¾Okh ù fkd;sîu" ^Bird Face&" f;d,amg ksishdldrj j¾Okh ù fkd;sîu ^Cleft lip&" f;d, ksis f,i fkdmsysàu ^Deformed Lip& uqyqfKA fmaYs wl¾ukH ;;a;ajhlg m;aùu (Belles Palcy)" uqyqfKA we;sjk ms<siaiSï" Keloid we;sùu" yosis wk;=re ksid uqyqfKA wiaÓ ì|Su" uqyqfKa le<e,a we;sùu" uqyqfKa úlD;s;d we;sùu" yKQj, we;sjk w¾nqo ksid we;sjk úlD;s;d" fn,af,a we;sjk úlD;s;d (Torticollis) fï ish,a, lsishï mqoa.,fhl=g wd;;shla we;s ;;a;ajhka jk w;r úYdoh mjq,a miqìula iys; flfkl=g kï fuhu uyd .eg¿jla njg m;aù úYdoh we;s ùugo u. ie,ish yelsh' tuksid by; lS fodaI ms<silr lsÍfuka úYdoh we;sùfï bvlv wju l< yels jkafkah' úYdohg oekgu;a ,laù isák whg ta T!IO m%;sldr iu. fuu widudkH;djhkag ksishdldrj ms<Shï fhoSuo jeo.;a jkafkah' thska frda.fhka ñoSfï wjia:dj Tjqkg Wod fõ'

124

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úYdofhka fmf<kakka fndfydaúg ;ukaf.a rEmh iïnkaOfhka we;s lr.kakd ;lafiarej iqNjdoS tlla fkdfõ' kyfha weoh .ek'' o;a bosßhg fkrd tau .ek Tjqka jo fjhs'

"

uqyqK - mqoa.,fhl=f.a fm!reI;ajhg fukau ndysr m%ikak fmKqugo WmldÍ jk levm;hs' uqyqfKA we;sjk úlD;s;djhka ksid flfkl=g iudc NS;sldjla (Social Phobia) jQjo we;súh yelaflah'

doctormagazine.lk

m%;sldr fkd,;a oka;dndO hk ÿr o;a fkdue;s ùu ksid ;uka leu;s wdydr .ekSug fkdyels ùfuka we;efula udkisl mSvkhg ,la fõ' idudkH úYdoh we;s whg th iqj lr .ekSug we;s yelshdj wvqh' úYdoh yeoSfï yelshdjla we;s whg th iEoSug W;af;ackhls'

kyh weoùu

uqyqK - mqoa.,fhl=f.a fm!reI;ajhg fukau ndysr m%ikak fmKqugo WmldÍ jk levm;hs' uqyqfKA we;sjk úlD;s;djhka ksid flfkl=g iudc NS;sldjla jQjo we;súh yelaflah'

bosßhg fkrd we;s Wvq yKqj

"

frda. wdosho nyq,h' uqLh ÿ¾.kaOh iys;h' fuh iylre iu. ,sx.sl iïnkaO;d j,go ndOd muqKqjhs' úYdoh jeä j¾Okhgo fï ldrKd fya;= jkafkah' oka; *af,dafrdaishdjg w; jkhs' fï yryd udkisl wjmSvkhg ,laùug we;s bvlv iq,nh'

l=re<E j,ska msreKQ uqyqKla

úYdoh we;s whf.a uqLh fndfyda wjia:d j,oS úh<Sug m;afõ' fï ksid o;a osrd hdu" úÿreuia wdndO Tjqka w;f¾ iq,nh' ;ud wj;lafiarejg ,la lrñka ;u iajia:;djh iïnkaOfhka wvq ie<ls,a,la oelaùu ksid fudjqka w;r úÿreuia doctormagazine.lk

o;a fkdue;s ùfu *af,dafrdaih s dj

úlD;s o;a we;sùu (malocclusion) k< o;a we;sùu''' úfYaIfhkau mdie,a orejkag bf.Kqug ndOd we;s lrhs' o;aj, mj;sk wj meyeh ksid ks;ru Tjqka lkiai¿ iajNdjfhka hqla; fõ'

lïuq, j, .eiSu

fulS widudkH;djhka" wdndê; ;;a;ajhka uekúka y÷kdf.k oka; Y,H ffjoHjreka" oka;-yKq-uqL iy uqyqK iïnkaO úfYaI{ ffjoHjreka fukau rEm,djKH iïnkaO uqL iy yKQl Y,H ffjoHjrekao" úfYaI{ úl,dx. ^oka;& ffjoHjrekao b;d uekúka fujeks ;;a;ajhka i|yd m%;sldr lsÍug ne|S isák w;r fujeks ffjoHjreka iu. udkisl frda. j,g m%;sldr lrk ffjoHjrekao tlg tlaù frda.Skag m%;sldr lrkafka kï jvd hym;a jQ m%;sM< frda.Skag w;ajk nj udf.a úYajdihhs' DM

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Pharmacopia fõokdjg lelal=ug fldhs ljqre;a <`. ;nd .kakd fõokd kdYlh merisgfuda,a

fõokdjg lelal=ug fldhs ljqre;a <`. ;nd .kakd fõokd kdYlh merisgfuda,a Tn merisgfuda,a .ek okakjdo @ fuh nyq,ju f.or fodf¾ Ndú;d lrkq ,nk ffjoH ks¾foaYhla fkdue;s jqjo ñ,hg .; yels T!IOhls' Ndú;d l< yels wjia:d • WK iukh lsÍug • iq¿ iy uOHu fõokdjka iukh lsÍu i|yd Wod(- ysiroh brejdroh

o;a lelal=u

fõokd iys; udisl Y+oaêh

ykaosm;a fõokdj 126

January 2017

DOCTOR MAGAZINE

doctormagazine.lk

merisgfuda,a fjf<|fmdf<a fm;s" isrma ^meKs& iy ìxÿ jYfhka mj;S' • merisgfuda,a fm;s - tla fm;a;l 500 mg • merisgfuda,a isrma - ñ,s ,Sg¾ 5 f;a yekaol 120 mg • merisgfuda,a ìxÿ - tla ñ,s ,Sgrhl 100 mg wvq ud;%djla iys; merisgfuda,a fm;so we;' Wod(- merisgfuda,a 80 mg fm;s'

• fujeks T!IO Ndú;d lsÍfïoS ta iu. merisgfuda,a Ndú;fhka je<lS isàu fyda ffjoHjrhdf.a Wmfoia mßos ud;%dj wvq lsÍu fyda l< hq;=h'

fjf<|fmdf<a we;s iEu merisgfuda,a j¾.hlau tl jf.ao@ fjf<| fmdf<a úúO kï j,ska merisgfuda,a j¾. rdYshla we;' Wod(- T!Iëh kdufhka we;s merisgfuda,a mekfvda,a merisfgda,a le,afmda,a figfuda,a figmhsiSka meisfuda,a

• ffjoHjrhl= kshu l< fnfy;a iuÕ Tn merisgfuda,a ,nd .kafka kï fnfy;a jÜfgdarefõ merisgfuda,a wvx.= oehs ffjoHjrhdf.ka fyda T!IOfõoshdf.ka wid oek.kak'

• T!Iëh kdufhka fyda úúO fjf<| kdu hgf;a wf,ú flreko ,xldfõ ,shdmosxÑ iEu merisgfuda,a j¾.hlu T!Iëh .=Kh yd m%ñ;sh tl iudk fõ' Tn;a merisgfuda,a kshñ; ud;%dfjka Ndú;d lrkjdo@ merisgfuda,a T!IOh orejkag ,nd fokafka YrSr nr i<ld ne,Sfuks' fï iïnkaOfhka jeäÿr f;dr;=re Tfí ffjoHjrhdf.ka ,nd.kak' • fuu ud;%dj wjYH jqj fyd;a meh 6 ld,hloS kej; ,nd osh yelsh' • osklg Wmßu jYfhka ,nd osh hq;af;a y;r jdrhla muKs' merisgfuda,a ,nd .ekSfïoS Tn fï .ek;a ie<ls,su;a jkak • Tn .kakd fjk;a fnfy;a j¾. j, merisgfuda,a ke;s nj iel yer oek .kak'

doctormagazine.lk

iuyr fjk;a T!IO j,;a merisgfuda,a wvx.= fõ'

Wod(- fldfvhska wvx.= merisgfuda,a

• osk lSmhlg jvd WK fyda fõokdj mj;S kï ffjoHjrhl= yuq ù ksis m%;sldr ,nd .ekSu jeo.;a fõ' • merisgfuda,a idudkH ldur WIAK;ajh hgf;a ysre t<shg ksrdjrKh fkdjk f,i ;nkak' • l=vd orejkag <Õd úh fkdyels ia:dkl merisgfuda,a .nvd lrkak'

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fõokdjg lelal=ug fldhs ljqre;a <`. ;nd .kakd fõokd kdYlh - merisgfuda,a

Pharmacopia

• Tng fix.ud,h fyda fjkhï wlaud frda. hla we;akï fyda wêl f,i u;ameka Ndú;hg yqre ù we;akï ffjoH Wmfoia fkdue;sj fuu T!IOh Ndú;d fkdlrkak' • .eìks iy lsß fok uõjreka i|yd ffjoH WmfoaYhlska f;drj merisgfuda,a ,nd fkdfokak' Tfí orejdg merisgfuda,a ,nd oSfïoS • ffjoH Wmfoia fkdue;sj udi 3g wvq orejkag merisgfuda,a oSfuka j<lskak' • fjf<| fmdf<a l=vd <uqka i|yd merisgfuda,a úúO idkaøKhkaf.ka mj;S' tu ksid ieu úgu weiqrefï we;s Wmfoia wkq.ukh lrkak'

merisgfuda,a ksid w;=re wdndO we;s úh yelso@ • merisgfuda,a kshñ; ud;%djkaf.ka .;a úg w;=re wdndO wju wdrCIdldÍ T!IOhls' • merisgfuda,a wdrCIdldÍ fnfy;la jqjo l,d;=rlska m¿ oeóu jeks iq¿ jeks iq¿ w;=re wdndO we;s úh yelsh' • kuq;a" wêl ud;%djka fyda oS¾>ld,Sk Ndú;h ksid wlaudjg" jl=.vqj,g yeks isÿ úh yelsh' hï fyhlska merisgfuda,a wêl ud;%djla YÍr .; jqjfyd;a ''' • iuyfrl=g uq,a meh lsysmh ;=< jukh" Tlaldrh" Worfha fõokdj jeks iq¿ frda. ,CIK we;s úh yel'

• ffjoH Wmfoia fkdue;sj l=vd <uqka i|yd meh 48 lg jvd merisgfuda,a Ndú;d fkdlrkak' • isrma ,nd oSu i|yd ñkqï lr we;s Ndckhla fyda isßkacrhla Ndú;h jvd fhda.H fõ'

128

January 2017

kuq;a fndfyda úg frda. ,CIK u;=jkafka osk 1 - 2lg miqjh' • tu ksid frda. ,CIK fkdue;s jqjo tu wjia:d j,oS ffjoHjrfhl= fyda frday,la fj; frda.shd /f.k hdu wjYH fõ' DM

reyqKq ffjoH mSGfha NSI.afõo fomd¾;fïka;=j úiska ilia l< m;%sldjlska Wmqgd .kakd ,oS'

DOCTOR MAGAZINE

doctormagazine.lk

rdcH Tiqi,a cd,h

fld<U 07 255" O¾umd, udj; fld<U 07 ÿ'w 011 2672293 *e'w 011 2694716 fld<U 04 85" .d¨ mdr" fld<U 04 ÿ'w$ *e' w 011-2587128 011-2559531 kqf.af.dv 151" tia ã tia chisxy udj;" kqf.af.dv ÿ'w$ *e'w 011 2856641 kqjr 14ta" ,ud.dr udj;" kqjr ÿ'w$ *e'w 081 2225175 ñkqjkaf.dv merKs hQ iS f.dvke.s,a, fld<U mdr" ñkqjkaf.dv ÿ'w$ *e'w 011 2295120 .d,a, 61 ta" jlaje,a, mdr" .d,a, ÿ'w$ *e'w 091 2234726 mdkÿr 159" tï'mS'iS'tia f.dvke.s,a, .d¨ mdr" mdkÿr ÿ'w$ *e'w 038 2234767 r;akmqr 32" kkaod t,a,dj, udj; r;akmqr ÿ'w$ *e'w 045 2223014 wúiaidfõ,a, 40" niakej;=ïm, wúiaidfõ,a, ÿ'w$ *e'w 036 2222501 nÿ,a, iS'ví'B f.dvke.s,a, nKavdrfj, udj;" nÿ,a, ÿ'w$ *e'w 055 2229837

ud;r pdrsldrduh wk.drsl O¾umd, udj; ud;r ÿ'w$ *e'w 041 2231871 wïmdr mkai, ykaosh ã'tia fiakdkdhl ùoSh wïmdr ÿ'w$ *e'w 063 2223088 l=reKE., 28" ùr;=x. f.dvke.s,a, fn!oaOdf,dal udj; l=reKE., ÿ'w$ *e'w 037 2230840 yïnkaf;dg 3" ne/la ùosh" yïnkaf;dg ÿ'w$ *e'w 047 2222163 wkqrdOmqr 98" nexl= fmfoi wkqrdOmqr ÿ'w$ *e'w 025 2222181 uyr.u 71$tA" w,aúia *a,did" mrK udj;" uyr.u ÿ'w$ *e'w 011 2745640 Y%S chj¾Okmqr Y%S chj¾Okmqr uQ,sl frday," chj¾Okmqr ;,m;amsáh" kqf.af.dv ÿ'w$ *e'w 011 2779414 lrdmsáh 132" m<uq mgqu`. ms<sld frday, udj; udbáfm" lrdmsáh ÿ'w$ *e'w 091 2226947 ó.uqj 134" uyfrday, bosrsmsg fld<U mdr" ó.uqj ÿ'w$ *e'w 031 2228599 osh;,dj kj niakej;=ïm< m%Odk ùosh" osh;,dj ÿ'w$ *e'w 057 2227190

lrdmsáh Tiqi, 175" ysßUqr yria mdr" lrdmsáh r;au,dk Tiqi, fu.d i'f;d'i f.d¨uvu ykaosh .d¨mdr" r;au,dk ÿ'w$ *e'w 011 3043789 rd.u 61$ta" uyndf.a udj; rd.u ÿ'w$ *e'w 011 2955219 hdmkh 149ta" fla'fla'tia udj; hdmkh ÿ'w $ *e'w 021 2219262 fmdf<dkakrej frday, ykaosh" lÿrefj, mdr" fmdf<dkakrej ÿ'w$ *e'w 027 2225465 ;x.,a, b|sfmdl=Kf.dv udj; ;x.,a, ÿ'w 047 2241221 ÿ'w$ *e'w 011 2779414

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fld<U 01 63" i¾ ndfrdaka ch;s,l udj;" fld<U 01 ÿ'w$ *e'w 011-2328046

nKavdr.u frday,a fmfoi fydrK mdr" nKavdr.u ÿ'w $ *e'w 038 2288671 fnd/,a, <ud frday,a mrsY%h fnd/,a, ÿ'w $ *e'w 011 2697660 weô,smsáh 102" fl<ska ùosh" m,af,.u" weô,smsáh ÿ'w $ *e'w 047-2261177 fldgqj ÿïßhfmd< mßY%h ÿïßhfmd<" fldgqj ÿ'w $ *e'w 011-2336926

ISO iy;sl

,;a rdcH T!IO kS;s.; ixia:dfõ ;;a;aj ridhkd.drfha ;;a;aj mÍlaIdjkag ,la jk Wiia ;;a;ajfha" wdrlaIdldß" m%;HlaI T!IO SPC kñkau b,a,kak'

Y%S ,xld rdcH T!IO kS;s.; ixia:dj" 75" YS%u;a ndfrdka ch;s,l udj;" fld<U 01' ÿ'l' 011- 2320356-9 *elaia' 011-2447118

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Basic Health Screening

wdisrs Y,H frday, yd wdisrs fikag%,a frday, Tn fjkqfjka bosrsm;a lrk ffjoH mrSlaIK meflac fldhs ldg;a oersh yels ñ,lg Basic Health Screening

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doctormagazine.lk

óg oYl .Kkdjlg fmr wfma ck;dj ì,s.;a fndfyda frda. wo fnfyúka u¾Okhg ,laù ;sfí' tfy;a wmg i;=gq jkakg mq¿jka jd;djrkhla ke;' ta fjkqjg oshjeähdj" wêreêr mSvkh" yDohdndO" wxYNd.h yd ms<sld wdoS frda. /ila we;sùfï ;¾ckhg wm tldjkaj uqyqK md isáuq' fï frda. we;=<;a ldKavh zzfnda fkdjk frda.ZZ kï jQ iqúfYAIS kulskao y÷kajkq ,nhs'

yel' uQ;%d mÍlaIdjla i|yd fhdod.; yels fyd|u idïm,h f,i ie<flkafka WoEik wjÈùu;a iu.u ,nd .kakd uQ;%d idïm,hhs' Full Blood Count fuh b;d iq,nj wo ojfia fhdod .kakd uQ,sl reêr mÍlaIdjls' wod, frda.shdg hïlsis wdidokhla fyda reêr.;j yg.;a frda. hla mj;skafka o hkak fuu.ska y÷kd.; yel' frda.shdg wdidokhla we;sj ;sfnk nj y÷kd. kq ,enqjfyd;a th nelaàßhd" ffjri wdÈ ljr iïNjhla we;s jqjla oehs y÷kd.ekSug o fuu m¾fhaIKh iu;a fõ'

fï frda.j,ska ñoSug we;s fyd|u ud¾.h jkafka fi!LH iïmkak wej;=ï mej;=ïh' frda. wjodku l,a fõ,d we;sj y÷kd.ekSfuka frda.h nrm;, ;;a;ajhlg m;a fkdù u¾Okh lsÍug wjldY ie,fihs' fld<U" kdrdfyakamsg wdisß Y,H frday, iy" fkdßia lek,a mdr wdisß fikag%,a frday, fï rfÜ ck;djg oeßh yels uqo,lg Tng losu ffjoH mÍlaIK meflachka y÷kajd fokafka fï frda. j,ska Tng we;sjk wjodku bj;a lrKQ msKsih' Basic Health Scrrening iqj meflach yryd Tng isÿ lrk ffjoH mÍlaIK iïnkaOfhka wjfndaOhla fï l,dmfhka Tng ,en.; yels jkq we;' Urine Full Report fuh fndfyda úg Urine FR f,io b,a,d isáhs' uQ;%d j, we,aìhqñk" ms;" iSks" iaMál yd ffi, mj;skafka o hkak y÷kd.ekSug fhdod .kakd mÍlaIdjls' fuu mÍlaIdj ir< h' fnfyúka f;dr;=re iy.;h' frda.shd i|yd ;jÿrg;a isÿ l< hq;= mÍlaIK ms<sn| j b`.s ,nd .eksug UFR mÍlaIKh WmldÍ fjhs' idudkHfhka fuu mÍlaIdj msKsi wjYH fnda;,h ridhkd.drfhka ,nd fohs' tfy;a tfia fkdùo idfmalaIj úi,a újrhla iys; ´keu fnda;,hla fhdod.; yelsh' ljr fnda;,hla .;a;o inka fhdod fyd¢ka msßisÿ lr.; hq;=h' isrma fnda;,a wdÈh uQ;%d tl;= lsÍug fhdod.kafka kï b;d fyd¢ka tu fnda;,a fidaod msßisÿ lr.; hq;=uh' tfia fkdue;s jqjfyd;a m%;sM,h ifodia f,i zzfmdisáõZZ úh doctormagazine.lk

WBC/DC White Blood Cells hkak WBS hkafkka ksrEmKh fõ' DC hkafkka oelafjkafka Differential Count hkakhs' White Blood Cells hkafkka iqÿ reêrdKq fkdfyd;a Yafõ;dKq j, m%udKh olajk w;r ta iqÿ reêrdKq j,g wh;a tla tla ffi, j, úúO wdldrhkaf.a w.hka fjk fjku oelaùu Differential Count hkafkka oelafõ' fïjdg

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Basic Health Screening

wu;rj Red blood cell (RBC) count, Haemoglobin, Haematocrit, Platelet, Mean platelet volume (MPV), Mean corpuscular volume (MCV), Mean corpuscular haemoglobin (MCH), Mean corpuscular haemoglobin concentration (MCHC), Red cell distribution width (RDW) hk w.hkao m%udKd;aulj n,ñka frda.hla ;sfío @ tys iïNjh l=ulao @ wdoS ldrKd ms<sn|j uQ,sl wOHhkhla fuu.ska isÿ flf¾' Erythocyte Sedimentation Rate : ESR we;eï frda. j,§ ESR w.h by< hhs' reêrfha Erythrocyte kï fldgia wjidokhg ,lajk iS>%;djh fuys§ uek nef,a' fuu mÍlaIKhg Ndckh ùug úfYaI iQodkï úula wjYH fkdfõ' wyj,a frda.h y÷kd .ekSug fhda.H hhs lsj fkdyelsh (Non Specitic) tfiau hï frda. ;;a;ajhlg ,laùfuka miq iqjh ,nkafka o hkak wjfndaO lr .ekSug o fuu mÍlaIKh isÿ lrk wjia:d fõ' Fasting Blood Sugar isref¾ reêr.;j mj;akd .aÆfldaia m%udKh uek ne,Sfï mÍlaIKhhs' tu.ska Èhjeähdj we;s$ke;s neõ y÷kd.ekSug WmldÍ fjhs' fuu mÍlaIKhg meh 12la hk ;=re lsisjla wkqNj lsÍfuka fyda mdkh lsÍu fkdl< hq;=hs' ke;fyd;a ksrdydrj isáh hq;=hs' idudkHfhka fuys§ rd;s% wdydr fõ, rd;S% 8'00g ,ndf.k Ysrd.; reêr kso¾Ylh ,nd .ekSu miqjod fmrjre 8'00g isÿ l< hq;=hs' ta i|yd kshñ; fõ,djg f,a .ekSu isÿ fkdjqkfyd;a ,efnk m%;sM,h idjoH m%;sM,hla fõ' tfiau È.= fõ,djla fmda,sï j, /£ isàu ksid frda.shd la,dka; ùug o bv we;' la,dka; .;shla oeKqfkd;a ta neõ jydu oeKqï §u Tfí wdrlaIdjg h' f,a idïm,h ,nd .ekSfï§ t;rï jeä fik.la ke;s Èkhl Bg wjia:dj fhdod .ekSu wkjYH lror /ilska ñ§ug fya;=jls' Lipid Profile isref¾ ;sfnk úúO wdldrfha f;,a$fïoh ms<sn| wjfndaOhla ,nd .ekSug isÿ lrk mÍlaIdjh' iq,nj Ndú;d jkafka fldf,iagfrda,a mÍlaIdj hk kuhs' fï mÍlaIKhg Ndckhg Ndckh ùug fmr meh 13 - 15 132

January 2017

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w;r ld,hla ksrdydrj isáh hq;=h' fï i|yd ksYaÑ; Wmfoia ridhkd. drh u.ska frda.shdg ,ndfok w;r ta wkqj mÍlaIKhg Ndckh ùfuka ksjerÈ m%;sM,hla u ,nd .ekSug wjia:dj ie,fia' SGOT yd SGPT fuysoS aspartate aminotransferase (AST or SGOT) yd alanine aminotransferase (ALT or SGPT) hk wlaudfõ l%shdldß;ajfha fjkialï j,g b;du;a ifõoS tkaihsu foll l%shdldß;ajh uek ne,Sfuka wlaudj wdmodjg ,laù ;sfnkjdo" ta yd iïnkaO hï frda.hla ;sfnkjdo hkak uQ,slj i<ld nef,a' Serum Creatinine Creatinine hkq fmaYsj, l%shdldß;ajfhaoS Creatinine phosphate j, neyer,k øjHhls' reêrfha we;s l%sheákska uek ne,Sfuka jl=. vq j, l%shdldß;ajh iïnkaOfhka uQ,sl wjfndaOhla ,nd .ekSug wjia:dj ie,fia' reêrfha we;s l%sheákskao YÍrfhka bj;a lsÍu isÿ jkafka jl=.vq yrydh' doctormagazine.lk

frda.j,ska ñoSug we;s fyd|u ud¾.h jkafka fi!LH iïmkak wej;=ï mej;=ïh' frda. wjodku l,a fõ,d we;sj y÷kd.ekSfuka frda.h nrm;, ;;a;j a hlg m;a fkdù u¾Okh lsÍug wjldY ie,fihs'

Blood Urea wlaudj ksi`.fhkau we;eï hQßhd j¾. ksIamdokh lrhs' kuq;a fïjd m%udKd;aulj muK blaujd by< hdu u.ska jl=.vq j,g tajd ld¾hlaIuj neyer lsÍu wmyiq nj fmkajhs' hQßhd w.hkayS widudkH w.hka jl=.vq wdY%s; lsishï .eg¿ldÍ ;;a;ajhla fmkajk w;r th wlaudj iïnkaOfhkao lsishï wjfndaOhla m%lg lrjk mÍlaIKhls' fm%daàka wêl wdydr .ekSu" úc,khg ,laùu yd Heart Failure hk ;;a;ajhkaysoSo fuu hQßhd w.hka by< kexfjk nj ie<l=jukdh' doctormagazine.lk

ECG mÍlaIKh bf,lafg%dav folla iu u; iam¾Y lrñka yDofha úoahq;a l%shdldß;ajh weiqf¾ frda. ks¾Kh lsÍu ECG mÍlaIKhl uQ,O¾uhhs' fuhska yDo fmaYsj, yDo iamkaokhg wkqhd; úoahq;a fN!;sl l%shdldß;ajfha ishqï fjkialï jQjo y÷kd .ekSug wjia:dj ie,fia' ECG mÍlaIKhla isÿ lsÍfuys iuia; wruqK jkafka yDofha jHqyd;aul yd l%shdldß;ajhg wod, ffjoH úoHd;aul f;dr;=re tkï frda. iïnkaO f;dr;=re ,nd .ekSuhs' yDohdndO wjodku fukau lmdg wdY%s; fodaI wdosho fuysoS y÷kd.eksug wjia:dj ie,fia' YÍr ialkaO o¾Ylh uek ne,Su Body Mass Index wo jvd;a olskakg ,efnkafka fnda fkdjk frda.h' úfYaIfhkau ia:q,;djh fï frda. j,g w; jkk w;r wo fndfyda fofkla ia:q,;djfhka fmf<k njo meyeos,sh' fï ksid ;ukaf.a Wig iß,k nrla mj;ajd .ekSu iEu mqoa.,fhl=f.au iuia; iqjfi;g n,mdhs' fï iïnkaOfhka Wmfoia ,nd .ekSu w;sYh jeo.;ah' Distant Vision - ÿr fmkSu - oDIAÀ mÍlaIKh fmkSu iïnkaOfhka isÿ lrk uQ,sl mÍlaIdj fuhhs' Visual acuity (VA) commonly refers to the clarity of vision fkdfyd;a ÿr fmkSu iïnkaOfhka fuysoS mÍlaId flf¾' wä 20la ÿrla olajd Tfí fmkSu uek n,k w;r tu.ska Tfí fmkSfï fodaIhla ;sfío hkak fidhd ne,Sula isÿ lrhs' b;d wju uqo,la jehlr Tng Tfí iqjfi; iudf,dapkh lr.; yels ffjoH mÍlaIK meflach yd ;j;a fi!LH meflac /ila ms<sn|j jeä úia;r oek.ekSug wu;kak' 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

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Advertorial m drïmßl ks, fjolfuka frda. iqjlrk lsrsn;af.dv fm%aupkaø fjoeÿre;=ud

mdrïmßl ks, fjolfuka frda. iqjlrk lsrsn;af.dv fm%aupkaø fjoeÿre;=ud rdjKd rc iufha isg mej; tk ks, fjolu weiqf¾ wo ojfia úialï frda. iqj lrk mdrïmßl fjouy;auhd''' wd¾ tï fm%aupkaø

W!

j m<df;a nÿ,a, osia;%slalfha ó.ylsjq," rKd., .,af.a úiQ .=re ;sidydñ fjo mrmqfrka meje; tk mdrïmßl ffjoH l%u yd ks, fjolu iu. ks, Ydia;%fhka frda. iqjm;a lrk ffjoH wd¾ tï fm%aupkaø uy;d jir 30lg wdikak ld,hla iqjm;a lr we;s frda.Ska m%udKh iq¿mgq fkdfõ' lsisÿ T!IOhla Ndú;d fkdlrñka yqfola ks, Ydia;%hu msysg lrf.k l,a .sh" ksoka.; fukau ;Sj% frda.dndO mjd iqjm;a lrkafka úYauhckl jQ mdrïmßl .=rel=,hl wdNdIfhks' lsßn;af.dv" fldiaj;a; mdr" 167$4 orK ia:dkfha msysà wm úialï fjokd fjfik fjo ksfjig ud f.dvjeÿfKA fï bmerKs fjolfuys iqre úrelï mdkd fjoeß÷ iïuqLj ta .ek oek lshd .kakd wáfhks' ud hk úg;a msxj;a fjoeÿre;=uka n,j;a fia wxYNd.fhka mSvd ú|sk

134

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ffjoH wd¾ tï fm%aupkaø uy;d

T;am, frda.sfhl=g fjolï lrk wdldrh ksÍlaIKhg wjia:dj ,enqKs' tfiau thdldrfhka T;am, frda.shd ks, m%;sldrfhka miq úYañ; iqjhla ,nkjd olskakgo ud idlaIslrefjla jQfha udo uú;hg m;a lrjñks' zzfrda.h uq,a wjia:dfõu frda.shd iïuqL lrkjd kï" th iqjm;a lsÍuug ta yeá ldrKhla fkdfõ'ZZ ffjoH wd¾ tï fm%aupkaø ud yuqjQ iefkka l< úuiSfïoS oelajQ Wodk jdlHhhs ta''' iakdhq frda.Ska nyq;rhla fu;=ukaf.ka m%;sldr ,nkakg tk nj ug ta jk úg mila ù ;snqKQ lreKls' ud tjka frda.Skaf.a .;s fidndj úpdf,ñ' zz orkak neß wd;;sh ksid wo fndfyda

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fofkla iakdhq frda.Ska njg m;a fjkjd'''' iakdhq wdY%s; reêrh leá .eiSu" fud<fha reêrh leá .eiSu ksid;a iakdhq wndO j,g we;efula m;a fjkjd''' wo iudcfha nyq;rhla fokd mSvd ú|sk w;a md ysß jeàïo fï iakdhql iïNjhla iys; frda.hla ksid we;sjkaklaZZ Tyq fmkajd ÿkafkah' ks, WoaoSmkfhka frda. iqjm;a lsÍu jir 2500l muK wE;g osj hk fjoluls' há m;af,ka wdrïN fldg fud<h olajd osfjk iakdhq moaO;sfha u¾uia:dkhka yd ÿ¾j, ia:dkhka f;rmSug ,lalr f,a .ukd.ukh h:dj;a lsÍu ks, fjolfuka isÿ fjhs' iakdhq moaO;shg ydks lrk wys;lr úI" wdydr úyrK" wej;=ï mej;=ï ;=<ska frda.Ska u.yrjd,ñka iakdhq moaO;sfhys iakdhql iudfhdackh iqir lsÍu fuysoS isÿ jkafkah' ks, m%;sldr l%uh Tiafia ´kEu frda.hlg fnfy;a" .=,s" wßIaG" l,al" pQ¾K" fmdÜgks wdY%s; ;eùï j,ska

f;drj frda. iqj lsÍug wmQ¾j yelshdjla ;sfí' oreKQ ysiroh" w;amd ysß jeàï" wxYNd.h" fiï frda." oKsia fõokd" .eiag%hsáia" .¾NdI.; frda." fldkafoA wudre" wd;rhsáia yd ms<sld ;;a;ajhka mjd lsisÿ w;=re wdndOhlska f;drj ks, fjolfuka iqj l< yels nj fjoeÿre wd¾ tï fma%upkaø m%ldY lrhs'

zz orkak neß wd;;sh ksid wo fndfyda fofkla iakdhq frda.k S a njg m;a fjkjd'''' iakdhq wdY%; s reêrh leá .eiSu" fud<fha reêrh leá .eiSu ksid;a iakdhq wndO j,g we;efula m;a fjkjd''' wo iudcfha nyq;rhla fokd mSvd ú|sk w;a md ysß jeàïo fï iakdhql iïNjhla iys; frda.hla ksid we;sjkaklaZZ

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mdrïmßl ks, fjolfuka frda. iqjlrk lsrsn;af.dv fm%aupkaø fjoeÿre;=ud

Advertorial

1' 2016 wdhq¾fõo tlaiafmda m%o¾YKfhaoS ngysr yd foaYSh ffjoHjrekg iqjm;a l< fkdyels jQ frda.Ska iqjm;a lsÍu ksid w;s.re ckdëm;s;=uka úfYAI f.!rjhg md;% jQ wjia:dj 2' rdcs; fiakdr;ak fi!LH weu;s;=uka yd ms<si|rl fhfoñka'''

1

tla frda.hlg m%;sldr msKsi lrk ks, fjolu tu frda.h iqj lsÍug muKla iSud fkdù uq¿ uy;a iakdhq moaO;shu mqk¾cSjkhg ,la lrjhs' frda.h iqj ùfuka" wdl¾IKh" fm!reIh fukau rEm fidndjo j¾Okh lrhs'

2

fjfiiskau hka;%-uka;%" fldäúk wdosfhka frda.S jQ whf.a udkisl;ajh hym;a lr 30 jirla mqrd ;uka ,o mßph Tiafia frda. ,laIKhg fkdj frda. ksOdkhg m%;sldr lsÍu fu;=uka w;ska isÿ jkakls' tla frda.hlg jk m%;sldrh ;j;a frda.hla W;aikak lsÍu wo ld,fha ffjoH m%;sldr l%u uqyqKmdk úYd, wNsfhda.hls' kuq;a fï ks, fjolu tjka f,v we;s lrkafka ke;' 136

January 2017

há m;af,ka wdrïN fldg fud<h olajd osfjk iakdhq moaO;sfha u¾uia:dkhka yd ÿ¾j, ia:dkhka f;rmSug ,lalr f,a .ukd. ukh h:dj;a lsÍu ks, fjolfuka isÿ fjhs'

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mdrïmßl ks, fjolu wNdjhg hk fï rfÜ jákd Wreuhla nj;a ta i|yd ksis wkq.%yhla ,efnkafka kï fï mdrïmßl oeKQu yryd oyia ixLHd; frda.Ska iqjm;a l< yels nj;a fjoeÿre fm%aupkaø woyihs' DM

igyk wñ; úl%uwdrÉÑ doctormagazine.lk

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wdhq¾fõoh ifuys frda. ms<sn|j wdhq¾fõou;dkql+, úuiqula

lrorldÍ ifï frda. fnfydauhla ksÜgdjgu iqj l< yelshs

ifuys frda. ms<sn|j wdhq¾fõou;dkql+, úuiqula meyem;a jQ iqjm;a iula we;akï Tng fl;rï i;=gq úh yelso@ iu hkq YÍrfha msg;skau mj;sk b;d jeo.;a ld¾hhka .Kkdjla bgq lrk bkaøshls'

138

January 2017

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

ifuka bgqjk ld¾hhka fudkjdo@ • isref¾ we;s wNHka;r bkaøshka wdrCId lsÍu' • isref¾ we;eï ia:dk j,g yevhla ,nd §u' • isrefrys WKqiqu ksh; uÜgul ;nd .ekSug odhl ùu' • YÍrhg tl;= jQ úI" wmøjH nys>%dù l%shdj u.ska neyer lsÍu'

kuq;a úúO fya;+ka u; mek kef.k .eg¿ldÍ ;;a;ajhka .Kkdjlska iu frda. j,g f.dÿre fõ' th YÍrhg ndysßka meñfKk CIqø Ôù wdidokhla úh yel' tjeks fndajk frda. ;;a;ajhka iam¾Yfhka" ,sx.sl l%shd u.ska fyda wmsßisÿlñka iïfm%aIKh fõ' tjka wjia:djl§ wo ojfia w;s ÈhqKq ;dCIKsl l%u u.ska ksmojk ,o m%;scSjl doctormagazine.lk

T!IO jvd;a fhda.H jqjo tfia msg;ska meñfKk úIîc u.ska ifuys wdidokhka we;s jkafka l=ula ksid±hs i,ld ne,sh hq;=h'

ieneúkau Bg fya;= jkqfha CIqø ðùkag myiqfjka jeãug wjYH mßir ;;a;ajhka ^WIaK;ajh yd f;;ukh& tu mqoa.,hkaf.a ldhsl wNHka;r fya;=ka u.ska we;sjk neúks' msg;ska meñfKk úIîc wdidokhka úl¾IKh l< yels tajdg Tfrd;a;= fok by, m%;sYla;Ska f.dvk.d .ekSug ÈhqKq wdhq¾fõo ffjoH l%u weiqre lsÍu fhda.H fõ'

CIqøÔù wdidokhkaf.ka f;drj tkï fnda fkdjk ;;a;ajhka hgf;a ifï iajdNdúl ;;a;ajhg ydks muqKqjñka yg .kakd úúO ifï frda. ksÜgdjgu iqj lr .; yels l%u ;sfí' ñysu; we;s ish¿ ffjoH l%u wNsnjñka wdhq¾fõo ffjoH l%uh fuys,d fmruqfKa isák nj lsj hq;=h'

by; lS fnda fkdjk ifï frda. we;s ùug m%Odk;u fya;=j jkafka úúO fya;+ka ksid rla;h ¥IKhg ,laùuhs' rla;h ¥IKh jk fya;= fudkjdo@ • YÍr m%lD;sh-Wmf;a isgu mqoa.,fhl=g Wreu jk zzjdZZ zzms;aZZ zzzfiïZZ fodaI w;=ßka ms;a fodaIh wêl jQ WIaKdêl YÍr ;;a;ajhka we;s whf.a iu meiùu nyq, jk w;r thg zzjdZZ zzfiïZZ fodaI j, odhl;ajfhka iu úh<Su" bß;e,Su fyda leiSu wd§ ,CIK u;=fõ' • wdydr úyrKhka - mßfNdackh lrk wdydr j, wdï,sl m%Njhka ^ì,sx" f.drld" ishU,d" ;lald,s wkakdis wd§ úgñka iS mod¾: nyq, wdydr j, we;s weiafldìla weisâ" isÜßla weisâ nyq,;ajh fya;=fjka iy WIAKdêl wdydr ^fo,a" lsß w," biafida" ±,af,da" n,ud¿" ll=¿fjda& wêlj mßfNdackh ksid fl,skau rla; fodaI we;s fõ' Bg wu;rj rd;%S ksÈ jeÍu" oyj, ks§u" ;o wõfõ .uka ìuka hEu" lE msg lEu" úreoaO wdydr fNdackh" u;ameka Ndú;h wd§ wys;lr úyrKhka

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^l%shdjka& ksid rla; fodaI yg .ekSu • wdydr Ô¾K moaO;sfha ÿ¾j,;djhka-we;eï mqoa.,hkaf.a wdydr Ô¾Kfha mj;sk ÿ¾j,;djhka ksid .kakd wdydr YÍrhg .; yels yels wjidk M, olajd fNaokh fkdù wjfYdaIKh ù ^fuh wdhq¾fõo ffjoH úoHdj ;=< wdurih fyj;a wuq wdydr rih f,i ±lafõ& rla;hg tl;= ùfuka ksrka;rfhka rla;h ¥IKh fõ' • udkisl fya;= u;ks;r we;slr .kakd ffjr fl%daO is;=ú,s" lkiai,a," ks;r flaka;s .ekSï" ld¾h nyq,;ajh ksid we;s jk udkisl mSvkh wd§ fya;+ka ksid rla; fodaI yg .kS' • È.= l,la Èhjeähdj mej;SuÈhjeähd frda. fhka fmf<kakkaf.a reêrhg ksr;=reju úI fldgia tl;=jkafka tho wdydr Ô¾Kfha úlD;shla jk neúks' §¾>ld,Skj Èhjeähdjg bjla njla ke;sj fm;s .s,skakka tu.ska ifï frda. jeks w;=re

January 2017

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ifuys frda. ms<sn|j wdhq¾fõou;dkql+, úuiqula

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wdndO we;s jkafka hehs ks;r ueisú,s k.;s' ^zzÈhjeähd frda.Ska fmf<k w;=re wdndO iqjl, yelshsZZ hk ud;Dldj hgf;a bÈßfha § fï ms<sn| §¾> f,i idlÉPd flf¾&

fnda fkdjk ifï frda. we;s ùug m%Odk;u fya;=j jkafka úúO fya;+ka ksid rla;h ¥IKhg ,laùuhs'

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by; fya;= ksid yg .kakd j¾;udkfha nyq, fnda fkdjk ifï frda. fudkjdo@ • ifï m¨ ±óu-we;eï whg úúO oE iam¾Y ùu ^Ydl j, nQj" o<Uqjka wd§ jQ& ksid úIu jQ wdydr j¾. fyda l%sñ oIaGk ^uÿrejka" ul=Kka& ksid isrer mqrd m¿ ±óu iy wdid;añl;djhka j,ska wdrïN ù we;eï úg oreKq mSvdjka we;slrjk wjia:d ;sfí' we;eï whg leiSï ksid fyda ijia ld,fha Èh kEu" weÕm; fia§u jeks wjia:d j, m¿ ±óu we;s fõ' ^ldka;djka w;r fuu ;;a;ajh nyq,h'& • uÿrejka oIaG l< úg fyda bfígu ;eka ;eka j, we;s jk l=vd ìì,s úfYaIhka leiSu ksid we;uqkaf.a ;=jd, yg .kS' l%ufhka fõ.j;aj fïjd me;sÍ hhs' we;eï úg f;;a jQ Èhr j.=rhs' fujeks me;sfrk iq¿ ;=jd, YÍrfha ´kEu ;ekl yg .; yelsh' • Bg;a jvd m%n,j rla; fodaI we;s whg fomd j, oKysiska my, m%foaY j, iu mmqrd f;; Èhr .,k wêl leiSï iys; jd;rla; wjia:djka u;=fõ' we;eï úg fïjd mdo fyda weÕs,s lre wdY%s;j ikaê j, leiSï j,ska wdrïN fõ' • ifï frda. j, oreKq;u wjia:dj jkqfha úúOdldrfhka yg .kakd l=IaG frda.hkah' fïjd fndfyda úg fmr Nj j,§ lrk ,o wl=i, l¾uhkaf.a n,meï u;ska we;s jk mSvdldÍ wjia:djka fõ'

140

January 2017

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ta ta mqoa.,hkag wdfõKsl jQ l¾udkqrEm fya;=ka wkqj tjeks l=IaG frda. j, jHdma;sh isÿù ia:dk.; jk neúka T!IO m%;sldrhkag iu.dóju ffu;S% iy.;j isÿl< yels wdOHd;añl mqKH l%shdjkag fhduq ùu fujeks wjia:dj,§ isÿ l< hq;=fõ'

ifï frda. we;sjk fndfyda wjia:dj,§ tu frda. j,g iu.dój we;s jk úúO jQ fjk;a ldhsl frda. o yg .kS' weÿu" mSki" w¾Yia" nv mqrjd ±óu" u<noaOh" nv.skak wvqùu fyda wêl nv.skak wdY%s; Ô¾K moaO;sfha fodaI" ^.eiag%hsáia fï w;=ßka m%Odk;ajhla .kS& ysfia lelal=u" kskao fkdhdu" wêl ksÈu;" wêl f,i flaka;shdu" weia lka leiSï" W.=f¾ fiu meg,Su" fiïf.ä" ks;r fiu weúiaiSu wd§ fndfyda frda. yd frda. ,CIK wjia:dkql+,j ta ta mqoa.,hkag wdfõKsl f,i m%uqL fõ' wdhq¾fõo ffjoH úoHd;aul Í;Skag wkqj frda. iqjm;a lsÍfï kshef<kakkag tl

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hdj;ald,Sk lr we;af;a frda. ksÜgdjgu iqjm;a lr .ekSug kj uÕla újr lrñks'

´keu ld¾hnyq, wjia:djkayS§ /lshdjka lrk w;r;=r myiqfjka Ndú;hg .; yels f,i kshñ; m%ñ;Skag wkql+,j W;alDIAg jQ T!Iëh .=Kfhka hq;= fnda;,a f,i ms<sfh, l, lIdh j¾." fm;s f,i ilia l< lIdh j¾." .=,s j¾." l,al" pQ¾K ksIamdokh lr we;af;a úúO mSvdjkaf. ka fmf,k iqjyilf.a frda. myiqfjka ksÜgdjgu iqjm;a lsÍu Wfoiduh' DM

l¾udkqrEm fya;=ka wkqj tjeks l=IaG frda. j, jHdma;sh isÿù ia:dk.; jk neúka T!IO m%;sldrhkag iu.dóju ffu;S% iy.;j isÿl< yels wdOHd;añl mqKH l%shdjkag fhduq ùu fujeks wjia:dj,§ isÿ l< hq;=fõ'

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úg tl frda. ;;a;ajhla fyda ,CIKhla ms<sn|j muKla i<ld ne,Sulska f;drj by; ishM ,CIK fyda frda. ;;a;ajhka ms<sn|j mq¿,aj fidhd n,d ie,iqï iy.;j m%;sldr lsÍfuka tjka jQ ish¿ frda. ksÜgdjgu iqjlr .; yelsh'

j;auka iudcfha nqoaêu;a úu¾YKYS,S ish,a,kau mdfya wdhq¾fõo ffjoH l%uh ms<sn|j ;sridr úYajdihla f.dvk.df.k ;snqKo fuu ffjoH l¾uhka ysÈ wuqqøjH fidhd" lmd fldgd ilia lrf.k lIdh ;eïîu iy fjk;a T!IO ms,sfh, lr.ekSï ksishdldrfhka isÿlr .ekSug wmyiqùu ksid fuu úYsIag jQ ffjoH l%uhg wj;S¾K fkdfõ' kuq;a bmerKs fm!V b;sydihlg Wreulï lshk wmf.a fy< fjolfuys iY%Sl uQ,dY%hkaf.ka fmdaIKh jQ rkam; fjo mrmqfrys úiañ; fjolï ks¾udKYS,Sj

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fnda fkdjk frda. ksÜgdjgu iqj lr.kak ldhsl frda. .eiag%hsáia oshjeähdj fm%I¾ fldf,iagfrda,a ysiroh u<noaOh w¾Yia kskao fkdhdu wêl ksosu; mSkia frda. w;a ysßh m¿ oeóï leiSï wdY%s; úúO iï frda. jd;rla; uq;%d frda. we;=¿ ish¿ ksoka.; frda.

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