Page 1

ONLINE ISSUE

21 ldKavh 2015 - Tlaf;dan¾

cd;sfha mqfrda.dó ffjoH iÕrdj

re'150$-

ldka;djka w;r nyq, bfí uq;%d msgùfï frda.h msgqj 22

ì<s÷q u<noaOhg ms<shï msgqj 37

,dxflah ms<sld frda.Skaf.a fyg ojfia wfmalaIdjka msgqj 52

yoj;a frda.Skag iqÿiq wdydr msgqj 100

ISBN-1391 1341

9 7 7 13 91 13 400 1


wdisß Y,H frdayf,a WmfoaYK

Tng i<lK Tnj iqrlsk wdorKSh jgdmsgdjla ;=< Tfí fida ,;ejq,a j,g oeka b;ska ioygu iuq fokak' iydkqlïmdj ryiHNdjh iqyo iïnkaO;djh f.!rjh WmfoaYKh hkq wd;;suh fyda ÿIAlr;djhka ksid mSvd ú|sk mqoa.,hkg ms<s.; yels úi÷ula imhñka ta ;ejq,a iajNdjfhka ñoS jvd id¾:lj cSú;hg uqyqK oSug úi÷ï imhk jD;a;Sh WmfoaYljrfhl= yd isÿ lrk l;dnyls' yuqjls' wdisß Y,H frdayf,a iqj;d uOHia:dkfha WmfoaYK fiajd ÿIalr" ;ejq,a iy.; iy wd;;suh wjia:djkaf.ka ñoSug mdr lshk wm my; úi÷ï j,g Tng <`.d ùug iydh jkafkuq' • wUqieñ iïnkaO;d m%Yak • /lshd wd;;sh$/lshd wysñ ùu • úNd.$wOHhk lghq;= iïnkaO .eg¿ • u;aøjH j,g weíneys ùu • ld, l<uKdlrKh • ;ry md,kh • ;reKhkaf.a .eg¿ yd ;j;a Tng ;ejq,a we;s lrk wjia:d .egjrhka" ;reKhka" ;=reKQ jeäysáhka" jeäysáhka fï wdoS ljr ;rd;srul wfhl= jQj;a Tng ;ejq,a f.kfok jgdmsgdj iukh lr Tng iekiqula jkakg" Tfí .eg¿jg ms<s.; yels idOdrK úi÷ula flfryS u. fmkajkakg wmg mq¿jk WmfoaYKhlska Tng w;ajk jdis • ysf;a iykh iy iduh • i;=g • cSú;fha M<odhS;djh fukau" jvd;a wdkkaockl m%S;su;a cSú;hlg ysñlï lSug Tng wjia:dj ie,fia' Tng" Tfí mjqf,a idudcslhkg" {d;Ska" ys;j;=kag fukau ´kEu flfkl=g wmf.a ksmqK jD;a;ShfõoS WmfoaYlhkaf.a iydh ,nd.; yel' Tfí wjia:dj ,nd.ekSu i|yd wdisß iqj;d uOHia:dkfha my; wxlhlg wu;kak'

wdisß iqj;d uOHia:dkh wdisß Y,H frday, 21” lsßuKAv, udj; fld<U 5 ÿrl;k 0114524400 Direct 4542818$19 os.=j 2603 *elaia 0114626439 E Mail: health@asiri.lk Web: info@asiri.lk 2015 Tlaf;dan¾ l<dmh

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Cointents

ffjoHjrhd fujr fm,.eiau

5

l=ßre hqoaOfhka uqyqÿ fjrf<A fiaoS .sh ukqIH;ajh

87

o;a iqÿ meye .ekaùug fhdod.kakd Wml%u

6

59

Breaking Health News

cd;Hka;r <ud oskh - 2015 orejka rgl wkd.;fha h;=rhs

<ud ia:q,;djhg ms<shï'''

92

8

È.= ld,Sk iqkaor;ajhlg Tjokla'''

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wmg ñ,§ .ekSug iqrCIs; wdydr ;sfnkafka fldfyao @

16 fmd,a j;=r úislrkak tmd'''

th fmdaIKSh oshr wdydrhls

100 yDo Y,Hl¾uhlska

20 KABRITA - Y%S ,xldfõ m%:u

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jrg oeka orejka i|yd t¿lsß ksIAmdokhla

22 l;=ka w;r nyq,j mj;sk bfí uq;%d msgùu

27 iqj weue;s ffjoH rdcs; fiakdr;ak

64 fndfyda msrsila mSvd ú¢k

106 frda.Skag frda. iu.

67 ys;=uf;ag fkd.; hq;=

108 ujf.a n,mEu ksid

u;=jk wfkal .eg¿ yd tajdg úi÷ï

fldkafo fõokdfjka ñfokakg uQ,sl Wmfoia

úgñka iS

31 fõokdj;a iu. w;aje,a

ne|f.k ðú;hg jo fok wd;rhsáia frda.h

foijka ìysrs jQ újdyl mqf;la

69 wdydrhg iqÿiqu iy,a fï úosyg y÷kd.kak

111 fmd,af;,a i;= idOKSh fmdaIl

i;=áka'''

41 fofjks orejd bmeÿKq miq

m<uq orejdf.a isf;a we;sjk fkdi;=g msgq olsuq

46 weÿu je<÷k orejl=

y÷kd.; yels uq,sl frda. ,laIK

48 we.s,s f,dlaùu iy uymg

74

Cooperate Health News

115 fld÷weg fm< wdY%s;

ksoka.; fõokd j,g iykh f.fkk u.

75 wfma ud;D urK j<lajd .ekSug l< hq;= oE'''

77 ;ejq,a iy.; w÷re j<dmg m<jd yer Tfí cSú;h jvd;a iqjmyiq lrjk WmfoaYKh

we.s,a, f,dlaùu

52 ,dxflah ms<sld frda.Skaf.a

fyg ojfia wfmalaIdjka'''

117 ysfia m%Yak úi|k

óáhdf.dv ch;s,l fjof.or

122 kSfrda.Sj È.=l,la 79 oshjeähd frda.fhka wjhj

Ôj;aùfï ryi

mjd wysñ ùug fmr

126 c,h úYd, jYfhka 56 u,a ,iaikhs fk;= ikik

yeuodu úI tys ;afí ta .ek Tn is;=jdo @

84 wefiys we;sjk iq,n wdndO .ek oeKQj;a fjuq

wmú;% ùfuka cSú; wk;=f¾'''

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2015 Tlaf;dan他 l<dmh

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Editorial

l;= igyk

Editor's

Note

<uhskaghs" jeäysáhkaghs fjka jqKQ Tlaf;dan¾ m<uqfjksod Tlaf;dan¾ m<uqfjks osk wmQre iumd;hla iksgqyka jk oskhls' tosk úYaj <ud oskh jYfhka i<ld f,dj uq¿,af,a orejka fjkqfjka iqúfYAIS jQ W;aij" iqNidOk lghq;= /ila mj;ajk w;r toskgu f,dal jeäysáhkaf.a oskho fhoS ;sfí' jeäysáhkaf.a oskh f,i Tlaf;dan¾ m<uqfjks osk kï lrk ,oafoa 1990 foieïn¾ 14 osk /iajQ tlai;a cd;Skaf.a uyd uKav,h úisks' rgl wkd.;fha h;=r orkafka tys <ud mrmqrhs' fï <ud mrmqf¾ wNsu;d¾:hka l=¿ .ekafjk osk folla iEu jirlu t<fUhs' ta cd;Hka;r <ud oskh yd úYaj <ud oskhhs' 1920 j¾IfhaoS ;=¾lsfha orejka lKavdhulf.a iudrïNfhka wdrïN lrk ,o <ud wjYH;d ms<sn|j iuq¿j c.;a jHdma; orejkaf.a iqnfi; iïnkaO c.;a oskhla njg kï lrk ,oafoa 1925 j¾IfhaoS iaùÜi¾,ka;fha cskSjd kqjroSh' tod fuod ;=r fuu úYAj <ud oskhg iu.dój orejka iïnkaOfhka iqúfYAIS l;dnyl f,dalhd ksr; jk w;r l;d nfyka Tíng .sh ienE <ud iqNidOkhlgo fuysoS wkQmfïh jQ mshjr /ila .kakd ,oS' fï wmQ¾j iumd;h fya;=fjka m%cdjlf.a w;sYh wjOdkhg ,laúh hq;= orejka yd jeäysáhka hk fofldgiu wjqreoafoa tlu oskhloS uy;a Woafhda.fhka hq;=j wkqiaurKh lrKq ,nhs' fjfiiskau fï b;d jákd fofldgif.au u;= oji fjkqfjka m%;sm;a;s iïmdolhka jeo.;a m%;sm;a;suh ;Skaÿ .kakd w;f¾ ta wh Wfoid m%cdjf.a hq;=lï bgqúh hq;= wdldrh .ek l;sldj;a n, .ekafjhs' <ud mrmqro" wfma fcHaIAGhkao hk fofldÜGdYhu rfÜ m%.uKh iïnkaOfhka úuik l< w;sYh jeo.;a nj woyk wm Tjqkaf.a wNsjDoaêh Wfoid l%shd;aul jk ljfrl=g jQjo wmf.a yDohx.u lD;{;djh m%lg lrkakg wu;l fkdlrkafkuq'

The Pioneer Health & Medical Journal 21 ldKavh 2015 - 10 l,dmh

Editor In - Chief Bharata Gunathilaka Founder Editorial Consultant Late. K.M. Gunathilaka Feature Associates Dr. Sanath Senanayaka Dr. Chaminda Premathilaka Dr. Nalaka Ranasingha Chandrani Rathnayaka (Nursing Officer) R.A.D.T. Priyadarshani (MLT) Prasanna Dissanayaka (Occupational Therapist) Sahan Siriwardhana (Pharmacist) Dinesh Priyal Darshana (Radiologic Technologist) Shamal Indika (Nuclear Medical Technologist) Shamali Pathirage S.M.D. Senevirathne Anuradha Dilini Ilankoon CREATIVE PRODUCTION AD-MIRE Creative Business Editor Amitha Wickramarachchi dapw1234@yahoo.com 0778150270 | 0717622760 Type Setting Chathurika Sandamali Printing/Circulation Imashi Printers, #96A, Wanatha Road, Gangodawila, Nugegoda. WAIDYAWARAYA is a intellectual property of Healthwatch Publications Viharakele,Diyatalawa. Tel: 057 22 29040 | Fax: 057 22 29040 E-mail: info@waidyawaraya.com WEBSITE: www.waidyawaraya.com HOTLINE: 077 3149084

Ndr; .=K;s,l - úOdhl l¾;D editor@waidyawaraya.com 4

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Photo Essay

l=ßre hqoaOfhka uqyqÿ fjrf<A fiaoS .sh ukqIH;ajh

l=ßre hqoaOfhka uqyqÿ fjrf<A fiaoS .sh ukqIH;ajh

f,dju ii, l< fjr<g f.dv .id wd orejd - whs,ka l=¾os l=ßre hqoaOh mqxÑ f,dalhg oreKQ jeä ksihs mqf;a uu WU, fokak;a wekak" fndaÜgqjg f.dv jqfKA''' i;a iuqÿr w,a,d uEKshka wdkqNdjfhka wmg wkqlïmd lrhs is;=j;a wfka isÿ jQ úm;l uy;''' fmr¿Kq fndaÜgqfjka wfka ug fírd.kak neßjqKQ kqfò wd;auhg iekiSula fõjd''' f,dalfha orejkaf.ah lsõj;a orejka f,dalfhka Wÿrd.kakd l=ßre hqoaOhg Ydm fõjd''' ;=ka yeúßos" whs,ka l=¾os" Tyqf.a mia yeúßos jeäu,a fidhqrd .e,sma iy Tjqka fofokdf.a wdorKSh uEkshka 35 yeúßos ßydka we;=¿j kj fofkla cSú;laaIhg m;a lrñka Tjqka .uka.;a wkdrlaIs; fndaÜgqj fmr<Sfuka we;sjQ wk;=r fldaá ixLHd; f,dal m%cdjf.a yoj;a lïmkh lf<A fï oiqk ksidfjks' r;= à I¾ghlao" oKsia jefik fia jQ l¿ l,siulao ye| fïia rys;j im;a;= follska mdo irid.;a fï yqrenqyqá jhfia - whs,ka l=¾os orejd" ;=¾ls uqyqÿ fjrf<A uqyqK fmdf<dj foig fydjd jeà isáhd fkdfõ' weú, .sh hqoaOfhka ñoS.kq msKsi" lekvdfõ jekal=j¾yS jdih l< ;u kekaoKsh fj; f.dia osú .,jd .ekSug .;a W;aidyfhaoS ffojh wldreKsl ùfuka fndaÜgqj fmr¿K ksid uqyqog ì,s ù m%dKh ksreoaO ì<s÷ isrer ;=¾ls fjr<g f.dv .id ;snqfKA fufyuhs' fï fÄojdplfhka osú fírd.;af;a Tjqkaf.a mshd wíÿ,a,d muKhs' ;udg cSj;a ùug oeka lsisÿ wre;la fkdue;s nj;a ;ukaf.a wirK ore fofokd;a Nd¾hdj;a we;=¿j fï wysxil mjq, wkqiaurKh lrñka Tjqka wdorfhka isysm;a lrk f,i;a wk;=ßka osú .,jd.;a mjqf,a tlu ;eke;a;d wíÿ,a,d l=¾os f,dal m%cdjf.ka b,a,d isà' 2015 Tlaf;dan¾ l<dmh

5


Breaking Health News

ffjoHjrhd mqj;a úuiqu

Breaking

Health News Y%S ,xldfõ m%:u jrg mefrdfuäla fiajdjla wdrïN fõ mqoa.,hka yosis wk;=rlg ,la ùfïoS frday,g hk;=re frda.Ska /l n,d. kakd merdfuäla fiajdj f,dalfha ia:dms; jQfha 20 jk Y;j¾Ifhah' wjYH kï Tlaiscka" yD;a iïndyk wdosh ,nd foñka frday,g f.k hk ;=re frda.shdf.a cSú;h /l.ekSu w;sYh ;SrKd;aul jk w;r paramedics ke;fyd;a Emergency Medical

Technicians (EMTs) hk kñka ye|skajqKQ ta ms<sn|j ksmqK;djhla ,enQ wh úiska fuu lghq;a; isÿ lsÍu fuys iajNdjhhs' fuf;la fï rgg uy;a wvqjla njg m;aj ;snQ merdfuäla fiajdjla furg ia:dms; lsÍu msKsi miq.shod rch úiska mshjr .kakd ,oS' w.ue;s rks,a úl%uisxy uy;d bkaoshdfõ isÿlrk ,o ixpdrfhaoS bkaoSh w.%dud;H kf¾kaø fudaä uy;d fj;ska isÿ lrk

,o b,a,Sulg wkQj fuu jHdmD;sh jydu n,.ekafõ' uq,skau niakdysr m<df;a iy ol=Kq m<df;a ls%hd;aul jk fuu merdfuäla fiajdj fiiq osia;%slal j,go wkql%ufhka jHdma; lrKQ we;' fuu fiajh ,ndoSu i|yd uQ,sl jYfhka 600la fokd mqyqKQ lsÍug kshñ; w;r Tjqkg bkaoshdfõ GVK Emergency Response Institute ysoS mqyqKQj i,ikq we;' 119 wxlhg ÿrl;k weu;=ula ,ndoSfuka ck;djg fuu merdfuäla fiajdj kqÿf¾oSu ,nd.; yels jkq we;' yD;a iïndyk" wï,lr iemhqu we;=¿j ish¿u myiqlï iys;j kj jHdmD;sh hgf;a furgg wdkhkh lrk ,o weïìhq,kaia r:hla

6

ffjoHjrhd - udisl ffjoH iÕrdj


fvx.= urK j,g uQ,sl fya;=j" l,g fõ,djg ffjoH Wmfoia ,nd fkd.ekSu fï rfÜ fvx.= urK j,g uQ,sl fya;=j l,g fõ,djg ffjoH m%;sldr ,nd fkd. ekSu nj fi!LH fiajd wOHlaI ckrd,a md,s; uySmd, uy;d m%ldY lrhs'

fvx.= frda.fhka isÿjQ urK ms<sn|j msßlaiSfïoS fï nj wkdjrKh ù we;s nj;a osk follg jvd WfKka fmf<kjd kï f,a mÍlaIKhla isÿlr rcfha frday,lska jeäÿr m%;sldr ,eìh hq;= nj;a Tyq wjOdrkh lf<Ah' iajlSh fm!oa.,sl ia:dk iy rdcH mßY%hka fvx.= uÿrejka fndaùug 2015 Tlaf;dan¾ l<dmh

ys;lr ia:dk f,i mj;ajd .ekSu ;ju;a isÿ jk nj;a fvx.= u¾Ok lghq;= i|yd fï jif¾oS rch remsh,a ñ,shk 250la jeh l< nj;a uÿre u¾Ok lghq;= i|yd ck;djf.ka ,efnk m%;spdr wju nj;a Tyq jeäÿrg;a m%ldY lf<Ah'

meje;aùug ;SrKh lr ;sfí' Y%S ,xldj" bkaoshdj" fkamd,h" nx.a,dfoaYh" ñhkaudrh" ud,osjhsk" mlsia:dkh yd N+;dkh hk rgj, olaI;d úúO wxYj,ska m%lg lrk ,o ffjoHjrekag fï i|yd b,a¨ï l< yel'

British Medical Journal (BMJ) ol=Kq wdishd;sl ffjoHjreka fiajh w.hhs

fi!LH fiajd wNsj¾Okh" ffjoH wOHdmkh" ;dlaIKsl mqkreoh yd m¾fhaIK" idhksl mßph hk wxYj,ska fjk fjku iïudk msßkeóug ffjoHjreka y÷kd.efka'

ì%;dkHfha iïudkkSh ffjoH i`.rdj British Medical Journal (BMJ) ol=Kq wdishdkq l,dmfha úYsIAG jD;a;Sh m%uqL;d m%lg lrk l,dmfha ffjoHjreka yg nqyquka oelaùu i|yd iïudk yd Wmydr Wf<,la - BMJ South Asia Awards 2015

BMJ India iud.fï wOHlaI m%Ydka;a ñYard fuu iïudk Wf<, ms<sn|j i|yka lf<A wmßñ; lemùulska frda.Ska iqjm;a lsÍfuys fhfok ol=Kq wdishd;sl l,dmfha ffjoH jrekag fuh f.!rjh msßkeófï wjia:djla jk njhs'

7


f;aud rpkh

cd;Hka;r <ud oskh - 2015

cd;Hka;r <ud oskh - 2015

orejka rgl wkd.;fha h;=rhs f,dj mqrd orejka uqyqK mdk .eg¿ iuyrla Ndr; .=K;s,l úisks orejka wfma wkd.;hhs' f,dalh cSj;aùug jvd;a hym;a ia:dkhla njg m;a lsÍug kï wm orejka hyu.g .; hq;=h' yß u. fmkajdoS Tjqkag ud¾f.damfoaYKhla ,nd osh hq;=h' f,dal <ud oskfhao" Tlaf;dan¾ udih uq¿,af,ao fï .ek úúO ixjdo" we;sfõ' ta w;f¾ orejka fjkqfjka jvd;a hym;a f,djla we;s lsÍug wNsfhda. jk lreKQ lsysmhla iïnkaOfhka mdGl Tfí wjOdkh fhduq lsÍug wm ;SrKh lf<uq' 8

ffjoHjrhd - udisl ffjoH iÕrdj


orejka u,a fuka iq/lsh hq;= jQj;a fï orejka uqyqK mdk wNsfhda. flfryS u|la wjOdkh fhduq lrkak' wfma rfÜo we;=¿j wfma f,dalfha orejka uqyqKmdk fï wNsfhda. j,ska Tjqka uqojd.ekSu lghq;= lsÍu jeäysáhka jk wm ieuf.a j.lSula fkdfõo @

fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'

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2015 Tlaf;dan¾ l<dmh

ÿ.SNdjh ksis wyrla fkdue;s ùu ksid orejka 25"000la ieu ojilgu ñh hk nj mjikafka hqksfi*a ixúOdkhhs' f,dalfha iuia; ore mrmqfrka ishhg 27-28 la ukaofmdaIKfhka fyda lDY Ndjfhka fmf<k nj ixLHd f,aLK olajhs' ;;a;ajh jvd;a oreKQ jkafka wm cSj;a jk ol=Kq wdishdkq l,dmh yd Wm iyrdkq l,dmfha orejkaf.ah' fï f,dalfha fjfik orejkaf.ka ì,shk 1'1 l m%udKhlg îug iqÿiq c,h ,efnkafka ke;' ì,shk 2'6l orejkg uQ,sl ikSmdrlaIsl myiqlï ke;'

9


f;aud rpkh

iEu jirlu ,laI 18la orejka mdpkfhka ñh h;s' oi ,laI 640 la ck;djg bkakg ysákakg f.hla fodrla fkdue;' ,laI 22la orejka m%;sYla;slrKhla" tkï orejkag kshñ; tkak;a fkd,eîfuka we;sjk frda. ixl+,;d fya;=fjka ñh h;s' oshqKQ fjñka ;sfnk rgj, foudmshka uqyqK fok wfkal fi!LHuh wNsfhda. ksid fï orejka Wmf;ka m<uq jir ;=< /l.ekSug úYd, W;aidyhla .; hq;=j we;'

cd;Hka;r <ud oskh - 2015

fï f,dalfha Wm; ,nk orejka ñ,shk 40lf.a Wm;a lsis ;efkl ,shdmosxÑ jkafka ke;' Wmamekak iy;slhla ,nd .ekSugo fkdyels jk fï wirKhka f,dl= uy;a jkafkao wfkal úO ÿla .eyeg ú|sñks'

orejka flfryS uqod yefrk m%pKav;ajh ;sia jirl hqoaO iufha W;=f¾ wfma orejka ,enQ w;aoelSï t;rï m%ikak fkdúk' uy cd;sh" isxy,hka flfryS oafõYfha uq,a mdvï Tjqka flf¾ we;s lrjk úg Tjqka ;ju;a lfÜ lsß iqj| mjd fkd.sh orejka úh' oafõYfha" W;=rd .,k ffjrfha mdvï j,ska ikakoaO jQ orejka hqo iufha ÿ,n fkdùh' 10

ffjoHjrhd - udisl ffjoH iÕrdj


jdikdjg oeka hqoaOh wyjrh' rg uq¿,af,au ixys|shdj we;sù ;sfí' ls,sá l<" ¥IH l< is;a hy u.g f.k tafï j.lSu fï mrïmrdfõ jeäysáhkg mejÍ ;sfí' fï m%pKavldÍ udkisl;ajh ksid ¥IH jQ is;a we;s orejka úYd, m%udKhla ;j;a f,dalfha isà' hqfoõjkag úreoaOj Y=oaO jQ hqoaOhlg im: lrk m,ia;Skfha fndfyda orejkaf.a is;a ¥IH fj,dh' wi,ajeis uÿrdisfha mdie,aj, wd.u kdufhka orejka w;r wka;jdoh m;=rejk lKavdhï .ek jd¾;d fjhs' mlsia:dkh" wema.ksia;dkh iy nx.a,dfoaYfha orejka m%pKav;ajhg fhduq lrjk n,fõ. ysi Tijñka ;sfí' fï ksid ljqreka osKQj;a orejka kï úkdY jk nj lsj hq;af;auh' orejka irKd.;hka njg m;aùu fï f,dalfha ñ,shk 50l ck;djla rgla ke;s ck;dj fkdfyd;a irKd.;hka njg m;aj isà' Tjqkaf.ka wvlau úúO jhia ldKAvj, orejkah' ñksiqka irKd.;hka njg m;a lrjk m%Odk ldrKdj l=ßre jQ hqoaOhhs' orejka fouõmshkaf.ka fjka lsÍug" orejka wk;=re j,g md;% ùug fukau orejkaf.a urK j,go Tjqka irKd.;hka ùu uQ,sl fya;=jla jkafkah' miq.sh oYlfha muKla úúO hqoaO ksid orejka ,laI folla fokd urKhg m;aúh' ,laI yhla ;=jd, ,eîh' ;j;a ,laI oyhla uõmshka ke;s wirKhka njg m;a flßK' orejka iEfyk ixLHdjla úúO wf;darhka ksid ;u ksfjia j,skau m<d hk m%jK;djhlao olakg ,efí' ,sx.sl w;jrhkag ,laùu" mjq,a tallh ;=<oSu orejka <ud Y%ñlhka njg m;aùu wdoS fya;= /ila óg n,mdhs'

fï f,dalfha Wm; ,nk orejka ñ,shk 40lf.a Wm;a lsis ;efkl ,shdmosxÑ jkafka ke;' Wmamekak iy;slhla ,nd .ekSugo fkdyels jk fï wirKhka f,dl= uy;a jkafkao wfkal úO ÿla .eyeg ú|sñks' wm%sldkq uydoaùmfha ;;ajh fnfyúkau ne?reïh' hqoaOh iy tAâia frda.h úiska úYd, orejka ixLHdjla wkd:hska yd irKd.;hska njg m;a lr ;sfí' rejkavdj ksoiqklg .;a úg rejkavdfõ muKla uõmshka fkdue;s orejka 45"000la muK b;d ÿlaÅ;j osú f.jk nj jd¾;d jkafkah' wOHdmk wjia:d wysñ ùu fï f,dalfha cSj;a fjk orejkaf.ka ñ,shk 100la fokdg lsis osfkl mdie,g we;=,a ùug j;a jrï ,efnkafka ke;' ;j;a ñ,shk 150la m%d:ñl wOHdmkh hka;ï ,eîfuka miq mdie,a .ukg iuq fo;s' rgj,a 92lu 11


f;aud rpkh

mqxÑ ikaosfhau mdie,a .ukg iuq fok jeä fofkla .eyekq orejka ùu úfYAI;ajhls' taâia frda.hg ujqmshka f.dÿre jQjkaf.a orejka" YdÍßl wdndê; we;shjqka úYd, m%udKhla wo o wOHdmkh ,eîfï jrï wysñ ù isá;s'

orejkag wOHdmkh ,eîu i|yd uqo,a f.ùug isÿ fj;s' th lr.kakg fkdyels jQ úg uõmshka fkdleue;af;kau oreejkaf.a mdie,a .ukg úrduh ;n;s' fï wdldrfhka mqxÑ ikaosfhau mdie,a .ukg iuq fok jeä fofkla .eyekq orejka ùuo úfYAI;ajhls' taâia frda.hg ujqmshka f.dÿre jQjkaf.a

12

cd;Hka;r <ud oskh - 2015

orejka" YdÍßl wdndê; we;shjqka úYd, m%udKhla wo o wOHdmkh ,eîfï jrï wysñ ù isá;s' ;=kajeks f,dalfha jhi wjq' 15-24 orejkaf.ka ishhg 15lau wOHdmkh ,eîfï bvlv wysñ ù ;sfí' <ud Y%ñlhka fï f,dalfha jhi wjq' 5-14 w;r orejka ñ,shk 211la <ud Y%ñlhka njg m;aj we;s fÄojdplh .ek Tn oeKQj;ao@ f,dal lïlre ixúOdkh m%ldY lrk wdldrhg fï orejkaf.ka ñ,shk 120lau iajlSh mjqf,a wfkla idudcslhka Wfoid mQ¾Kld,Skj Y%uh j.=rejkafkda fj;s' orejka wmyrkh lrñka Y%ñlhka njg m;a lsÍu" úúO ixúOdkd;aul mqoa.,hka úiska orejka Y%ñlhka f,i fhoùfïoS Tjqka m;ajk ;;a;ajh w;s Nhdklh' Y%ñlhka jYfhka orejka úlsKSuo f,dalfha .crdfug isÿfõ' Tjqka ksn| wvkaf;aÜgï j,g fukau nek w`v.eiSï j,go ,lafõ' orefjl= lsis úfgl Y%ñlfhl= njg m;a lsÍu hqla;s hqla; fkdjk w;r lsisÿ YsIAG iudchl th wkqu; lrkafka ke;' <ud ,sx.sl fj<|du ;dhs,ka;fha .Ksldjkaf.ka ;=fkka mx.=jlau jhi wjq' 18 g wvq .eyekq orejka nj jd¾;d fõ' f,dal lïlre ixúOdkhg wkQj .Ksldjkaf.ka ishhg 5-20 w;r ixLHdjla iEu l,dmhlu mdfya .Ksld fiajfha fhfo;s' ms,smSkfha <ud .Ksldjka 60"000la muK isák nj jd¾;d jk w;r Tjqkaf.ka iuyrla isákafka .Kkska 200la muK jQ l=m%lg .Ksld uvïj,h' bkaoshdfõ ,laI folla muK fkamd, orejka .Ksld jD;a;Sfha fhfok nj jd¾;d fõ' Tjqkaf.ka nyq;rhla jhi wjq' 14g;a jvd wvqh' ffjoHjrhd - udisl ffjoH iÕrdj


iEu wjqreoaolu fkamd, orejka 10"000lg jeä ixLHdjla .Ksld jD;a;Sh msKsi bkaoshdjg hjk njg fy<sorõjla fõ' .Ksld jD;a;Sh iudchg uy;a ms<s,hla jk w;r fjfiiskau <ud .Ksldjka fuys b;dfÄoKSh me;slvls' wfma rfÜo orejka .Ksld jD;a;Sfha fhoùfï wjia:d .Kkdjla uE; ld,fha jd¾;d jQ w;r fuh ixúOdkd;aulj wfma rfÜo isÿjk nj meyeos,sh' wka;¾cd, ldu fjí wvú wo hq.fha orejka uy;a wjodkulg fy<k udOHhla f,i wka;¾cd,h oelaùug isÿj ;sfí' wka;¾cd,hg uqodyefrk lduql fjí wvú lsisÿ ixialD;sluh iodpdrhlska f;drj ksoyfia l%shd;aul fjhs' tajdfha m%o¾Ykh flfrk wYS,dpdr o¾YK orejkaf.a ukia h,s lsisod ms<silr l< fkdyels f,i úlD;s lsÍug fyd|gu iEfya' 2015 Tlaf;dan¾ l<dmh

wka;¾cd,fha wYa,S, o¾Yk jdrkhg kS;s mekjQjo tajdhska kS;sfha .%yKhg yiqjQ ixLHdj ishhg 1-1'5g;a wvqh' orejka lduql jro i|yd fmd<Ujd .kakd wYa,S, ñksiqkg wka;¾cd,h hkq lmarells' is;+ me;+ foa bgq lrk u.ls' Tn ljr ;rd;srul flfkla jQj;a" ljr wdldrfhka orejka 13


f;aud rpkh

flfryS wdrlaIdj fhÿj;a Tn fkdis;k fudfyd;l Tfí orejdo fï W.=f,a yiqúh yels ksis fï iïnkaOfhka oeKQï f;areï we;s iEu orefjl=gu wk;=re ye`.ùu iqÿiqh'

.Ksld jD;a;Sh iudchg uy;a ms<s,hla jk w;r fjfiiskau <ud .Ksldjka fuys b;dfÄoKSh me;slvls' wfma rfÜo orejka .Ksld jD;a;Sfha fhoùfï wjia:d .Kkdjla uE; ld,fha jd¾;d jQ w;r fuh ixúOdkd;aulj wfma rfÜo isÿjk nj meyeos,sh'

14

cd;Hka;r <ud oskh - 2015

orejka jy,aNdjhg fhdojd .ekSu orejka jy,a Ndjhg fhdojd .ekSu iïnkaOfhka m%isoaêhg m;a rgj,a w;r nx.a,dfoaYh" mlsia:dkh" iQvdkh yd fhaukh m%uqL ia:dkhla .kS' tlai;a wrdì tó¾ rdcHfha" l=fõÜ" lgd¾" ´udkh wdoS rgj, Tgqjka legqj hdug orejka fhdod.ekSuo iq,n o¾YKhls' Wmka N+ñfhka bj;a lrf.k NdIdj" wdydr wdosh imqrd fjkia mßirhl jy,a fiajfha fhfokakg isÿùu orejka iïnkaOfhka .;a l< uy;a fÄojdplhls' wm%sldfõ orejka ,laI folla muK fï jk úgo jy,a fiajfha fhfoa' msßñ orejka lmq iy fldfldajd j.dìï j, fiajfha fhfok w;r oeßúhka fhdojd.kafka l=iaisfha jevm<j,gh' hqo fiajfha ksr; lrjd .ekSu orejka hqo fiajfha fhdojd .ekSu iïnkaOfhka n,j;a fpdaokdjla wfma rfÜ fldá ixúOdkhgo t,a, úk' ta fpdaokd ksjerosh' yhla y;rla fkdf;afrk lsß orejka ck jd¾.sl hqoaOhlg mg,jd f.k we;efula urKhg m;a jQy' mjq,a j,ska ñoS.;a fï orejka wmuK l¾K lfGdar w;aoelSï j,g uqyqK ÿkafkah' fï jk úg y÷kd.;a orejka úYd, ixLHdjla wfma rch úiska mqkre;a:dmkh lr ;sfí' f,dalfha fndfyda rgj, hqo .egqï j,g fid,aodÿjka f,i orejka n,y;aldrfhka n|jdf.k ;sfí' jhi 15-18 orejka fid,aodÿjka fia fiajfha fhdojdf.k ;sfnk w;r fï whg yuqod mqyqKqj ,nd fok úg jhi we;eï úg hka;ï jhi 10 ,enqjd muKs' y÷kdf.k ;sfnk wdldrhg jhi wjq' 18g wvq orejka 250"000 muK hqo lghq;= j, f,dj mqrd fhdodf.k ;sfí'

ffjoHjrhd - udisl ffjoH iÕrdj


2015 Tlaf;dan他 l<dmh

15


Nutrition

fmd,a j;=r úislrkak tmd''' th fmdaIKSh oshr wdydrhls

fmd,a j;=r úislrkak tmd''' th fmdaIKSh oshr wdydrhls iajNdjfhka wmg ,enqKq Yla;sckl m%kS; mdkh .ek úuiqula Wmfoia - fld<U 7 Y%S ,xld úoHNsj¾Ok ix.ufha wdpd¾h iqf¾Ld pl%j¾;s' jk jDlaIh ^Tree of life& hk úreodj,sh fmd,a .ig ,eî we;af;a thska ,nk wm%udK jq m%fhdack ksidh' Y%S ,dxlsl ck;djf.a Ôjk rgdj iu. fmd,a iy fmd,a .i b;d ;Èka neÈ mj;S'

cS

fmd,a lsfrka wmf.a wdydr fõ, rij;a fõ fmd,a uofha ;sfnk lsß" fmd,a lsß wmf.a wdydr fõ, ilia lr.ekSug fhdod .kS' fmd,a lsrs fmdaIK .=Kfhka fukau T!Iëh .=Kfhkao wkqkh' tfukau" wmf.a wdydr fõ, rij;a lrhs' .dk ,o fmd,a j,ska úúO jq rileú,s idod .ekSug fmd,a fhdod .kS' fmd,af;,a j,ska f;drjq wdydr fõ,la wmg ke;s ;rïh'

Tn;a fmd,a j;=r úislr oukjdo@ wm mqreÿ mqyqKQ ù we;af;a fmd,a f.äh ì| fmd,a j;=r úislr oud fmd,a uo .d .ekSugh' kuq;a uE;l§ lrk ,o úoHd;aul mÍlaIK j,g wkqj fmd,a j;=r j, we;s fmdaIK .=Kh w;s uy;a nj fy<sorõ ù ;sfí' we;af;kau" fmd,a j;=r hkq fmdaIK .=Kfhka yd T!Iëh 16

.=Kfhka msß m%Ks; mdkhls' fmd,a j;=r wm m%Odk jYfhka mdkhg mqreÿ ù we;af;a zl=reïnd j;=rZ f,ih' wE; w;S;fha isgu wmf.a ck;dj l=reïnd j;=r msmdih i|yd;a" odyh ksjd .ekSu i|yd;a îug .;a m%kS; mdkhls' fmd,a f.äh mßK; ùug fmr ,nd.kakd <má fmd,a j;=r fï l=reïnd j;=rhs' fmd,a f.äh mßK; ùu;a iu.u l%ufhka ta ;=< we;s j;=r m%udKh wvq ù fmd,a uoh ^kernal& j¾Okh fjhs' mßK; úu;a iu.u fmd,a j;=frys ixhq;sh o fjkia fõ' fmd,a j;=frys ishhg 95 la muK wvx.= jkafka c,hhs' fmd,a f.äh fïßfï§ ^mßK;ùfïÈ& tys we;s iSks m%udKh ishhg 50 muK wvq fõ'

,jK w;ßka fmdgeishï iy ue.aksishï jeä jYfhka fmd,a j;=frys mj;S fmd,a j;=frys fidaähï iy laf,darhsâ m%;sY;hka idfmalaIj wvqh' fïjd l=reïnd j;=frys

ffjoHjrhd - udisl ffjoH iÕrdj


jeämqr mj;S' fm%daàk iy fïo m%udKh fmd,a f.äh fïÍfï§ ^mßK; ùfï§& jeäfjhs' fï wkqj mdkhla f,i .ekSfï§ fmd,a f.äfhys iqÿiqu ld,h jkafka th udi yhla muK jq úgh'

wm mqreÿ mqyqKQ ù we;af;a fmd,a f.äh ì| fmd,a j;=r úislr oud fmd,a uo .d .ekSugh' kuq;a uE;l§ lrk ,o úoHd;aul mÍlaIK j,g wkqj fmd,a j;=r j, we;s fmdaIK .=Kh w;s uy;a nj fy<sorõ ù ;sfí'

wjqreoaola muK jq úg th fyd¢ka mßK; ùu;a iu.u fmd,a uoh Ndú;hg .ekSu jvd;a iqÿiqh'

fmd,a j;=r wk.s m%;sc,k mdkhls fyd¢ka jevqKq m¿ÿ fkdjq fmd,a f.ähl j;=r msßisÿh' úIîc rys;h' ^sterile& th wmg iajNdjfhkau ,enqKq w;HjYH ix>gl wvx.= m%KS; mdkhls' fmd,a j;=frka .; yels m%fhdack fndfydah' fmd,a j;=r msmdih ixis÷jk m%kS; mdkhla f,i ms<sfh, lsßfï§ thg iq¿ m%udKhla isks tla lsÍuo iqÿiqh' ;jo l,a ;nd .ekSu i|yd w;HjYH ix>gl ^preseratives& tlalr fnda;,a j, fyda weiqreï j, weiqreï lsÍugo

2015 Tlaf;dan¾ l<dmh

17


Nutrition

fmd,a j;=r úislrkak tmd''' th fmdaIKSh oshr wdydrhls

yelshdj ;sfí' fuf,i ms<sfh, lrk mdkhla úfYaIfhkau l%Svd l%shdldrlï j,§ m%;sc,k mdkhla ^Re hydration fluid&f,i o fhdod .efka' m%;sc,kfha§ w;HjYH jq ix>gl tkï c,h iskS ,jK tys kshñ; ixhq;skaf.ka wvx.=h' l%Svdfõ§ oyÈh f,i isrefrka jehjk c,h" ,jK iy Yla;sh keje; ,nd .ekSfï § m%;sc,k mdkhla f,i fmd,a j;=r .ek wo úfoAY rgj,o l;dnyg ,laù ;sfí' lD;s%uj idok m%;sc,k mdkhla yd iei|Sfï§ fmd,a j;=frys fmdgeishï jeks ,jK j, m%;sY;h jeä ùu ksid úfYaIfhkau m%;sc,kh i|yd iqÿiqh'

fyd¢ka jevqKq m¿ÿ fkdjq fmd,a f.ähl j;=r msßisÿh' úIîc rys;h'th wmg iajNdjfhkau ,enqKq w;HjYH ix>gl wvx.= m%KS; mdkhls'

18

wuqøjHhla f,i fhdod .ekSu fmd,a j;=r" úkdlsß ksYamdokh" jhska ksIamdokh wd§ l¾udka; j,§ wuqøjHhla f,i fhdod .kshs' jl=.vqj, we;sjk .,a Èhlr yeÍu" u,noaOh wvq lsÍu" isref¾ m%;sYla;slrKh jeä lsÍu" reêr mSvkh md,kh mßjD;a;sh l%shdj,ska W;af;ackh lsÍu" reêrfha flf,iagfrda,a m%udKh wvq lsÍu ñka iuyrls' rEm,djkH lghq;= j,§ o fmd,aj;=r j,g úfYaI ;ekla ysñfõ' m%;sTlaisldrl .=Kh by< ksid iu /<s jeàu md,kh lrk wdf,amk ksIamdokhg fmd,a j;=r fhdod .kshs' tys we;s ihsfgdalhska keue;s ix>glh ms<sld iy yDohdndO jeks frda. j, m%jK;djh wvqlrhs'

ffjoHjrhd - udisl ffjoH iÕrdj


1941-1945 ld,fha meje;s f,dal hqoaOfhaÈ fin¿kag m%;sldr lrkakg fhdod .kshs 1941-1945 ld,fhaoS f,dal hqoaOfha§ hqomsáfha ;=jd,jq fin¿kag m%;sldr lsÍu i|yd fmd,aj;=r fia,hska wdfoaYlhlaf,i Ndú;d l< nj i|ykaj we;' tl, fuh fin¨kaf.a cSú; /l.;a nj i|yka fõ'

l%Svdfõ§ oyÈh f,i isrefrka jehjk c,h" ,jK iy Yla;sh keje; ,nd .ekSfï § m%;sc,k mdkhla f,i fmd,a j;=r .ek wo úfoAY rgj,o l;dnyg ,laù ;sfí'

fnda;,a lrk ,o fyda weiq/ï lrk ,o fmd,a j;=r wo ojfia buy;a ckm%shhs úúO iud.ï úúO fj<| kdu hgf;a wo fmd,a j;=r úfoaYSh fj<|fmd,g imhñka isà' iajNdjO¾ufhkau wm ,o ohdohlajq fmd,a j;=frys mj;sk T!Iëh .=Kh ms<sn| úoHd;aul m¾fhaIK i|yd jeä wjOdkhla fhduql< hq;=j we;' fï i|yd Èß.ekaùula isÿlr wjYH

2015 Tlaf;dan¾ l<dmh

m%;smdok iemhsu ld,sk wjYH;djhla fõ' úoHd;aul m¾fhaIK u.ska fmd,a j;=frys mj;sk T!Iëh .=Kh ;jÿrg;a thska ;yjqre lr.; yelsh' tu.ska fmd,a j;=r iy tys ksIamdokh i|yd foaYsh fukau úfoaYsh fj<ofmdf<a o jeä b,a¨ula ,nd .; yelsh' úfYaI ia;=;sh - tlai;a rdcOdksfha rdclSh ffjoH iNdfõ úfYaI{ ffjoH wixl úchr;a;' igyk - wkqrdOd È,sks b,kafldaka

19


advertorial

KABRITA - Y%S ,xldfõ m%:u jrg oeka orejka i|yd t¿lsß ksIAmdokhla

Y%S ,xldfõ m%:u jrg oeka orejka i|yd t¿lsß ksIAmdokhla

Kabrita ´,kaofha lS¾;su;a ore lsßmsá iïm%odh iu.ska'''

orejka i|yd úfYAIfhkau ieliqKq Y%S ,xldfõ wf,úhg ;enqKQ m%:u t¿lsrs ksmehqu Kabrita ikakduh hgf;a Fairway Holdings iud.fï T!Iëh jHdmdßl wxYh Fairhealth iud.u úiska miq.shod fj<|fmd<g ksl=;a lrk ,oS' Kabrita t¿lsrs wdydrh" ksIamdokh lrkafka ´,kaofha lS¾;su;a Hyproca Nutrition iud.u úisks' lsß foùfï isg weiqreïlrKh olajd iuia; ksIamdok l%shdj,sh uq¿,af,au mq¿,a ;;a;aj mÍlaIK iu.ska kshñ; msßú;r wkqhk fia Kabrita ksIAmdokh lsÍug fï iud.u lghq;= lrhs' Kabrita lsßmsá ksIAmdokh lrk Hyproca Nutrition iud. ug lsß ksIAmdokh iïnkaOfhka jir 100l lS¾;su;a b;sydihla ysñfõ' fuu iud.u ore lsßmsá flafIA;%fha ksIAmdok lghq;=

20

ffjoHjrhd - udisl ffjoH iÕrdj


wdrïN lr oeka jir 70ls'

yels fõ' cS¾Kl ndOd wjuh' Kabrita lsßmsá j, m%sh;djh we;s lrk b;d ñysß rihla ;sfí'

fmdaIKh i|yd t¿lsß fhdod .ekSu iïnkaOfhka wmg we;af;a jir oyia .Kkl b;sydihls' fuys Ndú;dj tkak tkaku ffjoH úoHdj úiska idlaId;a lrhs' fjfiiskau weÿu" yqiau .ekSfï wmyiqj jeks Yajik wdndO j,ska ñoSug t¿lsß fyd| úi÷uls'

fuu ksIAmdokh ksielfhkau osjhsfka ore lsßmsá fj<|fmd<" b;d úYAjdijka; orejka ñ;=re lsßmsá ksIAmdokhla f,i uq,a nei.kakjd we;' .arEï 400 ákaj, wiqrd tk Kabrita lsßmsá osjhsk mqrd ish¿u iqm¾ udlÜ yd m%Odk mduis fj;ska ,nd.; yel'

Kabrita lsßmsá j, m%;sYla;slrK moaO;sh ;sr lsÍug wjYH weuhsfkda wï, ish,a," kshqla,sfhdaghsv yd wjYH lrk úgñk yd LKsc ,jK ish,a,u wka;¾.;h' t<lsß fm%daàk j,ska f;drh' myiqfjka cS¾Kh l< 2015 Tlaf;dan¾ l<dmh

Fairhealth hkq Y%S ,xldfõ foam< fj<|dï flafIA;%fha lS¾;su;a iud.ula jk Fairway Holdings iud.ï cd,hg wh;a iud.uls' Pentasure hkqfjka y÷kajk frda.Ska Wfoid y÷kajd ÿka fmdaIK w;sf¾lho" Sunlock kue;s by< SPF w.hlska hq;a ysre lsrK wdjrl f,daIka udos,sho hk b;d úYsIAG fi!LH ksIAmdok fuu iud.u úiska óg fmr ,dxflah fj<|fmd<g y÷kajd oS ;sfí' iykodhS uqo,lg úYsIAG fi!LHuh ksmehqï ,dxflah ck;djg y÷kajd foñka wfma rfÜ ck;djf.a cSjk rgdj by< uÜgulg f.k tau iud.fï wNsm%dhhs' Kabrita t¿lsß iïnkaOfhka jeäÿr úia;r oek.ekSug" tajd wf,ú lrk ia:dk ms<sn|j úuiSug wmf.a 117 602 602 ÿrl:khg wu;kak' ke;fyd;a www.fairhealth.lk wmf.a fjí wvúhg msúfikak'

21


Urinary incontinence

l;=ka w;r nyq,j mj;sk bfí uq;%d msgùu

yfmda ug bfíu pQ hkfjda'''' l;=ka w;r nyq,j mj;sk bfí uq;%d msgùu fu!;% ,sx.sl úfYaI{ Y,H ffjoH Èuka; o is,ajd

22

uf.ka m%;sldr .ekSug meñKs tla;rd ldka;djlg ;snQ .eg¨j jQfha ks;r ks;r uq;%d b;d iaj,amh ne.ska bfíu msgùuh' ;ud tu .eg¨fjka jir y;rlg wdikak ld,hl isgu uy;a mSvdjla ú¢k nj lS weh tu uq¿ ld,h ;=<u ;ud ksr;=reju hg we÷ï iu. ikSmdrlaIl ;=jdhlao ye|f.k isá nj lSfõ uy;a jQ lïmdfjka hq;=jh' idudkHfhka ksfrda.S whl=g uq;%d my lsÍfï wjYH;djhla we;s jQ úg th hï ld,hla md,kh lrf.k isàfï yelshdjla mj;shs' kuq;a iuyr ueÈúfha whg fkd±kqj;aju uq;%d iaj,amhla ne.ska msgùu mej;sh yelsh' fkd±kqj;aj uq;%d myùfï fï ;;a;ajh y÷kajkafka Urinary incontinence hkqfjks' msßñkag fï ;;a;ajh we;sùu b;d ÿ¾,Nh' msßñkaf.a uq;%d ud¾.h os.=ùu yd fY%daks wdY%s; udxY fmaYsj, f,dl= Yla;shla ;sîu fuh fya;=jh' l,d;=rlska iuyr msßñkag bfí uq;%d msgùfï ;;a;ajh we;súh yelafla úhm;a

ffjoHjrhd - udisl ffjoH iÕrdj


jk úg mqriaÓ .%kaÓfha we;sjk úúO .eg¨ iy.; ;;a;ajhka fya;=fjks' flfia jqjo msßñkaf.a fuh ÿ¾,N ;;a;ajhla neúka wms ldka;djka ;=< fndfyda úg ±lsh yels bfí uq;%d msgùfï ;;a;ajh ms<sn|j l;d lruq' Urinary incontinence kue;s ;;a;ajh ldka;djka ;=< fldf;la mj;skafka ±hs lsjfyd;a wm l< iólaIKhlg wkqj wm rfÜ 40] la muK ldka;dfjda fï ;;a;ajfhka fmf<;s' úfYaIfhka lsj hq;af;a fuh ueosúfha yd jhia.; ldka;djkag we;sjk ;;a;ajhla njh' kuq;a fï fjkqfjka ffjoH m%;sldr .ekSug fndfyda fofkla ue,s fj;s' thg tl fya;=jla jkafka fuh frda.S ;;a;ajhla nj Tjqka fkd±k ys£uh' wfkl ;udg fujekakla we;s nj ;j flkl= bÈßfha m%ldY lsÍug we;s ,Êcdjh' flfia jqjo bfí uq;%d myùu frda. ;;a;ajhls' tfukau fuh iqjlr .; yels úêu;a m%;sldro ;sfí' 2015 Tlaf;dan¾ l<dmh

msreKQ uQ;%dYh uQ;%dYh

uq;%d ud¾.h

mSvkh n,.ekaùu uq;%d ldkaÿ ùu

uQ;%d ldkaÿ jk wkql%uh

Urinary incontinence kue;s ;;a;ajh ldka;djka ;=< fldf;la mj;skafka ±hs lsjfyd;a wm l< iólaIKhlg wkqj wm rfÜ 40]la muK ldka;dfjda fï ;;a;ajfhka fmf<;s' úfYaIfhka lsj hq;af;a fuh ueosúfha yd jhia.; ldka;djkag we;sjk ;;a;ajhla njh' fya;= .Kkdjla ksid bfí uq;%d myùu we;súh yelsh' ffjoHjrhd úiska th ksjerÈ f,iskau wjfndaO lr.ekSu yd Bg WÑ;u m%;sldr l%uh ,nd §u tA wkqj isÿ flf¾'

Urinary incontinence j¾. lsysmhla ^Type of incontinence& ;sfí' wms ±ka tA j¾. fjka fjkaj y÷kd .ksuq' 1' Stress incontinence ^iafg%ia bkafldkaákkaia& lysk úg" y~ k.d iskdfik úg" nrla Wiq,k úg wd§ jYfhka Wor l=yrfha mSvkh jeä jk l%shdldrlïj,§ uq;%d iaj,amhla tlajru bfíu msgùu fï ;;a;ajfhys iajNdjhhs' iuyr ldka;djkag jdä ù ys| ke.sák úg;a bfígu fï ;;a;ajh we;s fõ' fuhg fya;= lsysmhlau n,mdkq we;' ldka;djlf.a uq;%d ud¾.fha È. idudkHfhka fi'ó' 3la muK 23


Urinary incontinence

l;=ka w;r nyq,j mj;sk bfí uq;%d msgùu

fõ' fuu ud¾.h ;snQ ;ekska my;aùu tl fya;=jls' Urethral Hypermobility kñka fuh y÷kajhs'

iuyr wjia:dj,§ m%iQ;sfha§ fY%daks wdY%s; udxY fmaYsj,g we;súh yels m¨ÿùï jeks ydkslr ;;a;ajhkao fï ;;a;ajh we;s ùug fya;=úh yelsh' fuh Difficult deliveries kï fõ'

tfiau uq;%d ud¾.h yd uq;%dYh yuqjk ;ek tkï uq;%dYfha f., ^Bladder neck& my;aùu ;j;a fya;=jls' fY%daks wdY%s; udxY fmaYsj, ÿ¾j,;do Stress incontinence we;s ùug n,mdk ;j;a fya;=jla f,i ±laúh yelsh' uq;%d ud¾.h my;a ùu" uq;%dYfha f., my;aùu yd fY%daks wdY%s; udxYfmaYsj, ÿ¾j,;d yg .ekSu isÿ jkafka wehs @ thg tla fya;=jla kï Biag%cka fydafudakh wvq ùuh' ueÈúfha ldka;djka ;=< fï ;;a;ajh ±lsh yels jkafka tA ksidh' tA wkqj fndfyda úgu ldka;djkaf.a wd¾;jyrKfhka ^Tima k;r ùfuka& miqj fï ;;a;ajh ±l .; yelsh' Bg n,mdk ;j;a fya;= ;sfí' orejka lsysm fofkl= ìysl< ^Repeated pregnancies& ldka;djka ;=<o we;eï úg fï ;;a;ajh we;s fõ'

ldka;djkaf.a bfí uq;%d my ùug fya;=jk tla lreKla jk Stress incontinence we;s ùug n,mdk fya;= Th wdldr fjhs' 2' Overflow incontinence ^´j¾*af,da bkafldkaákkaia& uq;%dYh wêl f,i msrSu ksid msg;g

uq;%d bfí ldkaÿ ùug n,mj;ajk fya;= 1' uq;%dY fmaYs ÿ¾j, ùu 2' .¾NdIh uq;%dYh u;g f;rmSu 3' Biag%cka fydafudakh wvqùu ksid fmaYs yd mgl laIh ùu 4' m%odysl ;;a;aj ksid fmaYs md,kh úhelS hdu 5' m%ijh fyda wdmodjla ksid

äïnfldaI .¾NdIh wka;% uQ;%dYh pl%msOdkh uq;%d ud¾.h fhdaks ud¾.h .=o ud¾.h

bfí uQ;%d ldkaÿ jk ldka;djlf.a ,sxf.akaøsh ldhjHÉfPaoh

24

ffjoHjrhd - udisl ffjoH iÕrdj


bfí uq;%d ldkaÿ jk wdldr

uq;%d ud¾.h wjysrùu uq;%dYhg kshñ; mßos ysiaùu l< fkdyel

uq;%d iaj,amhla ne.ska .e,Su fï ;;a;ajfhys iajNdjhhs' fuhgo fya;= rdYshla n,mdkq we;' ldka;djkaf.a uq;%d ud¾.fha we;s jk wjysr;d .Kka fkd. ekSu ksid l,la hk úg uq;%dYh úYd, úh yelsh' ^Urethral Stenosis& wfma yDoh jia;=fõ kd<j, wjysr;djhla we;s jQ úg th l%shd lsÍug jeä fjfyila ±ßh hq;= nj Tn okshs' tfukau uq;%dYfha wjysr;d we;s jQ úgo th l%shd lsÍug jeä uykaishla .ekSug uq;%dYhg isÿjkq we;'

2015 Tlaf;dan¾ l<dmh

fY%daKs mdou fmaYs bys,a ùu fuu.ska WoÍh mSvkh jeäfõ

wdidokhla ksid uq;%dYh fnfyúka ixfõoS ùu iakdhql widudkH;djhls

iEfyk ld,hla fufia uykaisfhka jev lrk úg uq;%dYhg fuh ord .kakg fkdyels fjhs' thg ms<shula f,i uq;%dYh we§ úYd, jkakg mgka .kS' tjeks wjia:djl uq;%dYfhys uq;%d msÍu isÿfõ' kuq;a uq;%dYh ksis f,i jev fkdlsÍu ksid fï uq;%d msg;g heùu wiSre fjhs' fï fya;=j u; uq;%d my lsÍfï wjYH;djh fkd±ksh yels w;r uq;%d my lsÍug .sh úg ìxÿ lsysmhla muKla msg jkq we;' kuq;a ;ukaf.a hg we÷fïu bfí uq;%d ál ál fkd±kqj;aju my ùu isÿfjhs' wfkla w;g uq;%dYh l,hla fuka fuf,i msreKq úg tys mSvkh jl=.vq j,g n,mdhs' tA wkqj l,la .; jk úg jl=.vq wl%Sh ùu i|ydo fuh fya;=jkq we;' 3' Urge incontinence ^w¾Ê bkafldka ákkaia& ks;r ks;r uq;%d msg lsÍug we;sjk wêl jqjukdj iy jeisls<shg hdug fmr uq;%d msgùu" tkï uq;%d md,kh lr.; fkdyels ùu fï ;;a;ajfha iajNdjhhs' fuh;a nyq,j olakg ,efnk frda. ;;a;ajhla jk w;r weußldfõ muKla fï lKavdhug f.dÿre jQ ldka;djka iy msßñka ñ,shk 17la nj jd¾;d fõ' fuhska jeä m%udKhla ldka;djkah' 25


Urinary incontinence

l;=ka w;r nyq,j mj;sk bfí uq;%d msgùu

fï ;;a;ajh we;s ùug fya;=j uq;%dYfha fmaYsj, we;sjk fjkialï yd wê l%shdldß;ajhhs' ^Detrusor instability and over activity& fufia uq;%dYfha fmaYsj, fjkialï yd wê l%shdldß;ajhla we;s ùu we;eï úg lsisÿ fya;=jla ke;sj ^idiopathic& isÿúh yelsh' iuyr wjia:dj,§ hï hï fya;= n,mdkakg mq¿jk' bka tla fya;=jla jkafka uq;%d ud¾.fha we;sjk wjysr;dh' tjeks wjysr;djhlska miq uq;%dYfha we;sjk ndOdj ke;slr .ekSug uq;%dYh úYd, fjhs' túg uq;%dYfha ì;a;sj, fjkialï yg .kshs' ;j;a fya;=jla jkafka uq;%dYfha iakdhqj, we;sjk úúO frda. ;;a;ajhkah' fï wd§ ;j;a fkdfhl=;a fya;= fï i|yd n,mdhs'

idudkH uq;%dYh uq;%dYh msrekQ miq fmaYs l%shdldÍ fjhs

wêl%shdldÍ uq;%dYh msfrkakg fmr fmaYs l%shdldÍ fõ

ffjoHjrhd úiska frda.h ksjerÈ f,iskau wjfndaO lr.ekSu yd Bg WÑ;u m%;sldr l%uh ,nd §u tA wkqj isÿ flf¾'

26

4' Total incontinence ^fgdag,a bkafldkaákkaia& lsisÿ md,khlska f;drj ksrka;rfhka uq;%d ál ál msgùu fuys iajNdjh fjhs' fuh fya;= /ila ksid isÿjkq we;' tlla kï ixcdkkSh wdndOhs' Wm;skau we;sjk" jl=.vqj, isg uq;%dYhg tk kd<h uq;%dYhg fkdmeñK uq;%d ud¾.hg újr ùu fujeks ixcdkkSh wdndOhls' túg fkdkj;ajd uq;%d msgùu isÿ jkq we;' fY%daks wdY%s; Y,Hl¾uj,§ uq;%dYhg wkfmalaIs; f,i isÿúh yels ydks ;j;a fya;=jls' fï fya;=j ksid miqld,Skj uq;%dYh fhdaks ud¾. hg újD; jkq we;' fuh Vesico – Vaginal fistula kï fjhs' fujeks ;;a;ajhl§ uq;%d msgùu isÿjkafka fhdaks ud¾.fhks' kuq;a frda.shdg tA ms<sn|j jegySula ke;' fuh iq,n frda. ;;a;ajhls'

ffjoHjrhd - udisl ffjoH iÕrdj


Profile

lemùfuka fiajh lsÍu wdo¾Y mdGh lr.;a fi!LH fiajfha ish,a,kaf.au ys;fyd|

iqj weue;s ffjoH rdcs; fiakdr;ak

iqj weue;s ffjoH rdcs; fiakdr;ak

miq.shod meje;S uy ue;sjrKfhka miqj m;a flreKQ leìkÜ uKav,fha fi!LH" fmdaIK yd foaYSh ffjoH wud;H OQrh msßkeuqfKA fodia;r rdcs; fiakdr;ak uy;dgh' wr., j,ska msß ta uy;df.a cSjk pß;fha idOKSh f;dr;=re ixlaIsma;hla fuys oelafõ' 1950 uehs 29 osk Wmka rdcs; fiakdr;ak orejd wl=re lrjQfha wdkkaofhks' ffjoH rdcs; fiakdr;ak fmardfoksh úYaj úoHd,fha oka; ffjoH mSGfhka Wmdêh ,nd.;af;a 1974 jif¾oSh' 1971-73 ld,h ;=< wka;¾ úYAj úoHd,hSh YsIH f*vf¾IKfha uy f,alï moúh oerE rdcs; fiakdr;ak ffjoH YsIHhd 1973 jif¾ cmdkfha mej;S wdishdkq iïfï,khg iyNd.s jQfha tjlg fï rfÜ w.ue;sjrhdo ksfhdackh lrñks' 1975 isg 1989 olajd j¾I 14la rcfha oka; ffjoHjrekaf.a ix.ufha f,alï OQrh Tyq úiska bis,Su jd¾;djls' 1972 j¾IfhaoS wkjr; oka;

2015 Tlaf;dan¾ l<dmh

27


Profile

wOHdmkh iïnkaO cd;Hka;r fld,Scsfha iyNd.s;aj nqyquklska (Fellowship) msÿï ,eîh'

1975 isg 1989 olajd j¾I 14la rcfha oka; ffjoHjrekaf.a ix.ufha f,alï OQrh Tyq úiska bis,Su jd¾;djls' 2008 j¾IfhaoS bkaoshdfõ f.dafõ mej;S tÉwhsù $ taâia iïnkaO wdishdkq wka;¾ md¾,sfïka;= ksfhdacs;hkaf.a m%drïNl iuq¿jg iyNd.s jQfha Y%S ,xldj ksfhdackh lrñks' ;dhs,ka;fha nexfldla kqjr mej;S ffjoH md¾,sfïka;=OdÍkaf.a c.;a iïfï,khgo Y%S ,xldj ksfhdackh lrñka iyNd.s úh' Tyq jir 20la mqrdjg Y%S ,xld md¾,sfïka;=j ksfhdackh l< lD;yia; rdcH;ka;%slfhl= úh' 1994 isg wo olajd jQ fï ld,h ;=< Tyq úúO ;k;=re yd OQr orñka rgg fiajh lf<Ah'

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iqj weue;s ffjoH rdcs; fiakdr;ak

bvï wud;H 2001-2004 boslsÍï yd bxcsfkare fiajd wud;H 2007-2010 ëjr wud;H 2010-2014 Tyq fï ld,h uq¿,af,a md,l mlaIh fukau úreoaO mlaIho ksfhdackh lrk ,o w;r fï ljr me;a;l isáh;a Tyqf.a jd.a pd;=¾hh is;a weo ne|.kakd iq¿ úh' ffjoH rdcs; fiakdr;ak boslsÍï yd bxcsfkare fiajd wud;H OQrh orK iufhaoS zzcd;sl boslsÍï m%;sm;a;shZZ ia:dms; lrk ,oS' uqyqo je,s boslsÍï i|yd fhdod.kakd ;dlaIKh ykaf.aßhdkq wdOdr we;sj furg ixia:dmkh lrk ,oS' tfiau Tyqf.a OQr ld,h ;=< cd;shg ksjdi ,laIhla odhdo lrk ,oS' fï wldrhgu Tyq foaYfha bvï wud;Hjrhd jYfhkao Ndr¥r ld¾hhla bgq lf<Ah' rfÜ bvï ms<sn|j m%;sm;a;shla iïmdokh l< ffjoH rdcs; fiakdr;ak wud;Hjrhd úksúoNdjfhka hq;= ld¾hlaIu bvï ,shdmosxÑ lsÍfï mámdáhla rgg y÷kajd ÿkafkah' Tyq úiska ia:dms; lrk ,o bvï o;a; nexl=j u.ska Wmka ìfï Wreuh Tmamq lr.; fkdyelsj isá ,laI 13la ck;djg bvï Tmamq ,nd ÿkafkah' Tyq ó<`.g jev Ndr.;af;a ëjr yd c,c iïm;a ixj¾Ok wud;HxYfhah' 2010 j¾Ifha fuá%la fgdka 380"000 lajQ u;aiH iïm; 2014 j¾IfhaoS fuá%la fgdka 590"000la olajd by< kxjkakg Tyqf.a WmdhYS,S {dKh iu;a úh' ëjr iïm; yd ne÷KQ há;, myiqlï oshqKQ lsÍug Tyqg mq¿,a jevigykla úh' wfma rfÜ jHdma;j ;snqKq ëjr jrdh 29la ixj¾Okh lrñka ëjrhkag hym;a fyg ojila Wod lsÍug Tyq ie,iqï we;s l<;a tjlg mej;S foaYmd,k úhjq,aNdjh Tyqf.a bosß oelaug uy;a ndOd muqKqjk ,oS' fï rfÜ áka ud¿ ksIAmdok l¾udka; myla wdrïN lsÍugo mE,shf.dv f;d. fnodyeÍï uOHia:dkh msysgqùuo isÿ flrefKA Tyqf.a OQr ld,fhaoSh' ffjoHjrhd - udisl ffjoH iÕrdj


ffjoH rdcs; fiakdr;ak miq.sh jif¾ kej;;a foaYmd,k f,dalfha l;dnyg ,lajQfha tjlg Y%S ,xld ksoyia mlaIfha uy f,alïjrhdj isá j;auka ckdêm;s ffu;%Smd, isßfiak ue;s;=uka iu.ska .eiQ foaYmd,k lrku;a iu.h' wNsfhda. ldÍ wjia:djl iajlSh cSú;h mjd ;¾ckhlg ,lajQ jljdkqjl .;a ks¾NS; mshjr 2015 ckjdß wgjkod furg ck;d u;h u.ska ;yjqre lrk ,oS'

óg fmr rdcH ;ka;% iufha wosis ueosy;aùï ksid fkdúi|S ;snqKQ jD;a;Sh .eg¿ /ila úi|Sug ffjoH rdcs; fiakdr;ak tä;rj mshjr .;af;ah' rks,a ffu;%S osk 100 rcfha fi!LH" fmdaIK yd foaYSh ffjoH wud;Hjrhd jYfhka ffjoH rdcs; fiakdr;ak uy;d m;ajqfKA tys m%;sM<hla f,ih' óg fmr rdcH ;ka;% iufha wosis ueosy;aùï ksid fkdúi|S ;snqKQ jD;a;Sh .eg¿ /ila úi|Sug ffjoH rdcs; fiakdr;ak tä;rj mshjr .;af;ah' uydpd¾h fiakl ììf,a T!IO m%;sm;a;s wkqhñka cd;sl T!IO m%;sm;a;sh wkqu; lr .kq ,enQfha w;s.re ckdêm;s;=ukaf.ao isyskhla ienE lrñks' ffjoH ffjoH rdcs; fiakdr;ak újdy jQfha oka; Y,H ffjoHjßhla jQ iqcd;d fiakdr;ak uy;añh iu.hs' fcHaIAG ffjoH mßmd,k ;k;=re / ila fynjQ weh ful, iajlSh iajdñ mqreIhdf.a foaYmd,k lghq;= j,g iydh fjñka isákakSh' fï fom<g p;=r yd tlai;a hkqfjka orejka fofofkls' p;=r lÓl;ajhlska fukau meyeir kdhl;aj .=Kdx. j,ska fyì p;=r miq.shod md¾,sfïka;= uka;%Sjrfhl= f,i osõreï ÿkafka ta i|yd id¾:l f,i .ïmy osia;%slalfhka ck jrula ,nd .ksñks'

2015 Tlaf;dan¾ l<dmh

ffjoH ffjoH rdcs; fiakdr;ak újdy jQfha oka; Y,H ffjoHjßhla jQ iqcd;d fiakdr;ak uy;añh iu.hs' ffjoH rdcs; fiakdr;ak furg ìysjQ úma,jldÍ foaYmd,{fhl= úh' iajlSh igka b;sydifhka mkakrh ,nñka lf,l Tyq md,s;hka me;af;a isáh;a wo Tyqg md,lhkaf.a ld¾h Ndrhg ck;dj jrï oS ;sfí' fi!LH yd foaYSh ffjoH wud;HxYh ;=< miq.sh osk 100 jljdkqfõ bgq l< ldrh Ndrh tys fmdâvkaf.a wiSñ; f.!rjdorhg ,laúh' tod igka kdhlfhl=j isg" wo mßK; rdcH;ka;%slfhl= jYfhka fï rfÜ bosß .ufka oDIAÀjdoS kdhlfhl= f,i lghq;= lrk ffjoH rdcs; fiakdr;ak fï rfÜ ck;djf.a fi!LH yiqrejk wdldrh ck;dj wfmalaIdiy.;j n,d isà' udKAv,sl f,aLlfhl= úisks 29


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ffjoHjrhd rg jg lr ne|s ksfhdacs; cd,h zzffjoHjrhdZZ wf,úhg ;nd we;s osjhsk mqrd ld.s,aia wf,úcd,h fldgqj nKavdrfj, iafÜm,a ùosh uykqjr uyr.u lsßn;af.dv kqf.af.dv nqla isá uefciaála isá ó.uqj rdc.sßh fndr,eia.uqj mdkÿr .ïmy cdwe, kdj, fld,a¨msáh ;sôß.iahdh fldgfyak lE.,a, lgq.iaf;dg wúiaidfõ,a, wïn,kaf.dv fldgfyak fldÜgdj nÿ,a, fldf,dkakdj fougf.dv .,alsiai STC fjkakmamqj fydaud.u jrldfmd, weô,smsáh n,kaf.dv l|dk lgqneoao nqlaisá iSÿj urodk jjqkshdj ñkqjkaf.dv l¿;r oslaje,a, wïn,kaf;dg oUq,a, wl=rK w;a;säh ;%Sl=Kdu,h l=Kavidf,a fldÉÑlfâ ñßydk kqf.af.dv 2 uyr.u 2 mdkÿr 2 weye,shf.dv mems,shdk lvj; 2 w;=re.sßh l=,shdmsáh nKavdr.u l¿;r W;=r je,sfõßh mkaksmsáh o¾.d k.rh fndal=kaor uvl,mqj n;a;ruq,a, leianEj wïmdr ud,fò 2 fudKrd., fldáldj;a; vqma,sflaIka hlal, we;=,afldaÜfÜ cdwe, 2 l,m¿jdj cdj;a; ukapkaf;davqjdh ;sydßh uksmdhs wlalfrhsm;a; jdßhfmd, .f,afj, fkdßia lek,a lÿrefj, .d,a, fjdaâ fmfoi ;,j;=f.dv fudrgqj mrK mdr lgq.iaf;dg 2 o¿.u zzffjoHjrhdZZ wf,úhg ;nd we;s osjhsk mqrd wd¾msflda wf,úcd,h n;a;ruq,a, fndr,eia.uqj foysj, yhsâmdla fldak¾ lsßn;af.dv kdúkak ó.uqj j;a;, ms<shkao, .ïmy fjk;a wf,ú ia:dk budIs m%ldYlfhda mqj;am;a iud.fï osjhsk mqrd ish¿u mqj;am;a wf,ú ksfhdacs;hkaf.ka tï' ã' .=Kfiak iy iud.u ish¿u YdLd iriú fmd;ay, ish¿u YdLd fy,a;a.dâ *duis ish¿u YdLd hqkshka flñiaÜ iy osjhsfka m%Odk fmf<A Tiqi,a fj;ska 30

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arthritis

wd;rhsáia frda.h

wd;rhsáia frda.h fõokdj;a iu. w;aje,a ne|f.k ðú;hg jo fok wd;rhsáia frda.h .ek jQ ,sms fm<l fojk os.yereu tlai;a rdcOdksfha l%Svd ffjoH tallfha úfYaI{ ffjoH wix. úchr;ak

úúO wd;rhsáia m%fNao Tiaáfhdawd;rhsáia-Osteoarthritis f,dj mqrd isák frda.Ska ñ,shk .Kklg fõokd f.k fok iq,nu wd;rhsáia ldKavh fuh fõ' ikaê f.ù hdfuka bÍ hdfuka we;s jk frda.hla f,io fuh y÷kajhs' ld,hla mqrd wiaÓ fl<jr we;s ldáf,ac laIh ù hdfuka Tiaáfhdawd;rhsáia frda.h iefoa' isref¾ ´kEu ikaêhlg frda.h n,meje;aúh yelsh' tfy;a jvd;a iq,n f,i oelsh yelafla w;a j," fn,af,a" fldkafoa" oK ysia iy Wl=¿ ikaêfha we;s jk Tiaáfhda wd;rhsáia ;;a;ajhkah' ld,hla ;siafia fuf,i frda.h ;sîu ksid frda.h oreKq fõ' ;ju;a frda.h iqj lsÍug m%;sl¾uhla ke;' ldáf,aÊ j¾Okh lrk Tiqjlao fuf;la fidhdf.k fkdue;'

2015 Tlaf;dan¾ l<dmh

tfy;a frda.Skag is;a ikid .; yelsh' ta frda.h j¾Okh ùu wvd, lrk m%;sl¾u ;sfnk ksihs' ta u.ska fõokdfjka iykhla ,nd ikaê l%shd ldß;ajh jeä lr .ekSug;a bv ,efnkjd' fuu frda.Skag jHdhdu" Wig iß,k nrla mj;ajd .ekSu" ksjerÈ bßhõ iy ir, T!IO u.ska idudkH f,i Ôj;aùug u. mdod .; yelsh' m%odyhsl wd;rhsáia ^bka*a,fïgß wd;rhsáia Inflammatory arthritis& fï m%;sYla;slrK wl%ñl;djla ksid we;sjk wd;rhsáia ;;a;aj .Kkdjls' isref¾ mgl i;=frl= fia i<ld m%;sYla;slrK moaO;sh úiskau myr§u fuysÈ isÿfjhs' fuu ksid ikaê fõokdjkag wu;rj isref¾ úúO wjhj j,g n,mEï isÿfõ' Wod-iu" weia" fmKy¨ " reêrkd, jeks wjhjhkag ydks lsÍug W;aiql fjhs' fï frda.fha § m%;sYla;slrK moaO;sh md,kh l< hq;=h' ke; fyd;a frda.h 31


arthritis

wd;rhsáia frda.h

ksid isref¾ ldáf,ac úkdY ù ikaê j,g iaÓr jYfhkau ydks isÿfõ' l%shd lsÍug we;s yelshdj uq¿ukskau ke;sù hhs' m%odysl wd;rhsáia j¾. ^Rheumatoid, Ankylosing Spondylitis,Psoriatic Arthritis,SLE, Systemic Sclerosis, Vasculitis& .Kkdjla we;' fuys oelafjk we;eï frda. t;rïu iq,n ke;' flfia fj;;a tajd .ek ixlaIsma;fhka fyda oelaùu m%fhdackj;a hhs y`.sñ' reuefgdhsâ wd;rhsáia Rheumatoid Arthritis m%odysl ldKavhg wh;a iq,n wd;rhsáia ldKAvhls' w;a iy mdo j, l=vd ikaê fuysoS wdmodjg ,la fõ' iq,nj Ndú;dj ksid wdmodjg ,la jk Tiaáfhda wd;rhsáia frda.fhaoS fuka fkdj fuysoS ikaê wdia;rk wdmodjg ,laù nrm;, fõokdjla bosuqula iu. we;s fõ' wjidkfhaoS ikaêh Ldokh ù úrEmùulg ,la fjhs' à'ì wd;rhsáia" tia't,a'B isiagñla ialaf,dfrdisia" jeialshq,sáia" wd§ t;rïu iq,n ke;s wd;rhsáia j¾. .Kkdjla ;sfí' ta ms<sn|j úia;rhla u;= oelafõ'

ld,hla mqrd wiaÓ fl<jr we;s ldáf,ac laIh ù hdfuka Tiaáfhda wd;rhsáia frda.h iefoa' isref¾ ´kEu ikaêhlg frda.h n,meje;aúh yelsh' tfy;a jvd;a iq,n f,i oelsh yelafla w;a j," fn,af,a" fldkafoa" oK ysia iy Wl=¿ ikaêfha we;s jk Tiaáfhda wd;rhsáia ;;a;ajhkah' fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'

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ffjoHjrhd - udisl ffjoH iÕrdj


wekalhsf,daiska iafmdkaäf,daisia Ankylosing Spondylitis fï ;;a;ajh we;s jkafka msgfldkafoa wiaÓ j,gh' fld÷weg fm< tl tlla wiaÓ yd ta w;r m%udKj;a bvla" ta Tiafia kuHYS,Sj fld÷ weg l%shd lrùug yelshdjla we;s uq;a fï ;;a;ajfhaoS fld÷ weg folla tlg iïnkaO ù tajdfha iajdëkj l%shd lrùfï yelshdj ke;s fjhs' fï ;;a;ajh we;s jQ úg bßhõ mj;ajd .ekSu ÿIalr fõ' b<weg mjd fï wdldrfhka tlg iïnkaO ùug mq¿jk' túg yqiau .ekSfï ÿIalr;d we;s fõ' ldka;djkag jvd msßñka w;r fï frda.h iq,nh' miqj lsÍug m%;sldr ke;suq;a frda. ,laIK uekúka md,kh lsÍug ffjoH úoHdj iu;ah' idudkH ikaêh

cqfjks,a wd;rhsáia ,isld ;r,h bosuqKQ" m%odyhg m;ajQ ,isld mg,h wiaÓh cqfjks,a wd;rhsáia frda.hg k;= jQ ikaêh

fidßhála wd;rhsáia Psoriatic Arthritis fidrhsisia kï p¾u.; frda.h we;s whg miq ld,fhaoS we;sjk wd;rhsáia úfYAIhls' tfy;a we;eï úg ifuys fidrhsisia ,laIK m%lg lrkakg;a fmrd;=j ikaêm;a wdY%s;j iq¿ fõokd wdosho we;euqkag we;s úh yel' ikaê wdY%s; fõokdj" bosóu yd oro`vq ùu fuysoS oel.; yelsh' we`.s,s;=vq" msgfldkao wdoS YÍrfha ljr fyda ia:dkhl fuh we;súh yelsh' fõokdj" iq¿fjka fyda b;d nrm;, f,i we;súh yels w;r ld,hloS hgm;a fjhs' kej; u;= fjhs' fuho ksÜgdjg iqj lsÍug m%;sldrhla ke;suq;a md,kh lsÍfï m%;sldr ;sfí' 2015 Tlaf;dan¾ l<dmh

Æmia frda.h SLE ksoka.; iajhx m%;sYla;slrK frda. hla f,i ie<fla' nrm;, f,i frda.shd wdndê; ;;a;ajhg m;a lrhs' <ud" ldka;d" msßñ fNaohlska f;drj Æmia frda.h we;s úh yel' oeä fjfyilr njla" wiaÓ wdY%S; fõokd" p¾u frda." is;Sfï yd iaurKfha .eg¿ we;súh yel' fuys frda. ,laIK úi,a mrdihla .kS' fofofkl= .;a l< we;sjk frda. ,laIK fjkiah' we;efula wvq jhfika yDoa frda. j,g k;= fjhs' we;efula jl=. vq frda. j,g ,la fjhs' fmKy¿ frda." wd>d;h mjd we;súh yel' Æmia frda.Ska y÷kd. ekSug ksYAÑ; jQ ffjoH l%ufõohla fkdue;' frda.shd m%lg lrk ,laIK wkQj frda.h y÷kd .ekSug mshjr .efka' óg l,lg fmr fï frda.Ska blauKskau cSú; ld,h wjika l<;a wo ffjoH úoHdfõ ;;a;ajh fjkia ù ;sfí' fï frda.Skaf.a wdhq ld,h fnfyúka jeäù ;sfí'

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arthritis

Systemic Sclerosis iïnkaOl mgl wdY%s; iajhx m%;sYla;slrK moaO;sh weiqre lr.;a frda.hls' fld,eck jeä jYfhka ;ekam;a ùu ksid iu fnfyúka ;=kS Ndjhg m;aùu fuys iajNdjhhs' we;eful=f.a n,mEï we;s jkafka iug muKs' tfy;a we;eful=f.a b;d ishqï flaYkd,sld" wNHka;r wjhj fukau wNHka;r bkaøsho fuysoS wdmodjg ,laúh yel' n,mEug ,lajk ia:dkh wkQj frda. ,laIK úúO úh yelsh' jvd;au Systemic Sclerosis ;;a;ajh we;s jkafka ldka;djkagh' jhi wjq' 30-50 w;f¾oS olakg ,efí' ksYaÑ; m%;sldrhla ke;suq;a frda. ,laIK we;sjQ úg th id¾:lj uev meje;aùug yelshdj ;sfí' Vasculitis reêrjdyskS m%odyhg m;aùfuka tajd ;=kS ùu" uy;aùu" ;=jd,ùu wdoS fjkialï we;sfõ' m%ia;=; wjhjhg reêrh iemhSu fï fya;=fldg f.k wvd, úh yelsh' we;eful=g 34

wd;rhsáia frda.h

fuh jyd iqj úh yelsuq;a os.= ld,hla mj;akd wjia:do ;sfí' wjhjhla fyda wjhj lsysmhla fuu frda.hg n,mE yel' oKysfia wd;rhsáia wjia:d

ishhg oyhlg wvq ldáf,ac ydkshla isÿù we;'

ikaê wjldYh mgq fjhs' ldáf,ac ì| jeàu wdrïN fjhs' Tiaáfhdamhsg we;sfõ'

ikaê wjldYh iEfyk muK wvq fjhs' ldáf,ac j,ska msßmqka wjldYh wvqù wiaÓ fol b;d lsÜgq fjhs'

ikaê w;r wjldYh b;du wvqh' ishhg 60lg jvd ldáf,ac laIh ù we;' úYd, Tiaáfhdamhsg we;s fõ'

cqfjkhs,a reuefgdhsâ wd;rhsáia Juvenil Rheumatoid Arthritis/Juvenile idiop athic Arthritis fuh jhi wjqreÿ 16g wvq orejka w;r jvd;au iq,n wd;rhsáia j¾.hhs' È.ska È.gu mj;sk ikaê fõokdj" bÈuqu" ;o.;sh" fuys ,laIK fõ' iuyr orejka frda. ,l=Kq w;a olskafka udi lsysmhla muKhs' ;j;a orefjda Ôú; ld,h mqrdu frda. ,laIK j,ska mSvd ú¢;s' iuyr cqfjkhs,a reuefgdhsâ wd;rhsáia j¾. ksid nrm;, ixl=,;d yg.kS' j¾Ok .eg¿" wlaIs m%odyhka ta w;r fõ' fõokdj md,kh lsÍu YdÍßl l%shdldß;ajhka jeä lsÍu" ikaê ydksh je<elaùu frda.hg lrk uq,sl m%;sldrhka fõ' u;= iïnkaOhs

ffjoHjrhd - udisl ffjoH iÕrdj


2015 Tlaf;dan他 l<dmh

35


wf,ú ksfhdacs; cd,fhka fldgila fld<U 2 hQkshka flñiaÜ 2692532 je,a,j;a; YG *duis 2360270 j;a;, fy,a;a & .af,da *duis 2931996 fldgfyak frdah,a *duis ó.uqj ,xld *duis 0312233737 uyndf.a rd.u *duis 2951012 r;akmqr SJB Tiqi, 0718040721 r;akmqr .ïmy wdhq¾fõo Tiqy, 0777916639 lE.,a, lE.,a, *duis 0777351133 ms<su;,dj .ïmy wdhq¾fõo *duis 0776286381 uykqjr fndaj;a; wdhq¾fõo 0814949088 uykqjr ch,xld 0727616271 l=reKE., .=,dï fudysoSka 0713266805 l=reKE., cSjka; Tiqi, 0779844110 udj;.u iskdï fuäflhd¾ 07137367287 wkqrdOmqr LBK wdhq¾fõo *duis 0252220320 rdc.sßh ú,aika *duis 2886653 fudrgqj Ydka fuäl,a 2646964 .d,a, l%siag,a *duis 0912234762 fn,sw;a; ffjoH úu,isß 0779020668 l¿;r ksõ *duis 0342222558 mdkÿr ksõ jreK *duis 0385670583 mdkÿr jreK *duis 0382236328 kqjrt<sh NE *duis kqjrt<sh fi,ajd *duis nKavdrfj, wiSia *duis nÿ,a, úIka *duis ms<shkao, fyÜáwdrÉÑ *duis uyr.u isá *duis 2837086 fldÜgdj MAS *duis fydaud.u fydaud.u *duis 2855460 wúiaidfõ,a, ksõisá *duis 077402059 weye<shf.dv wdfrda.Hd *duis 0363796850 me,auvq,a, fufg%d *duis weô,smsáh .ïmy isoaOdhq¾fõo 0713896964 lsßn;af.dv ,xld *duis 0112912732 lvj; pkaok Tiqi, hlal, wkqr *duis ksÜgUqj fikag%,a *duis 0718564706 jrldfmd, jrldfmd< *duis 0352267413 w,õj isisr *duis 0718334847 ksIAmdokh iy fnodyeÍu ABBANA International (Pvt.) Ltd. 27” Y%S úl%u udj;” j;a;, úuiSï 0778521688$0773665497$0112949269 36

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Happy Babies Learning More...

nv ksfrda.S kï" ì<s|d i;=áka''' ì<s÷q u,noaOh wdudY wdka;%sl frda. úfYaI{ Y,H ffjoH rks,a chfiak uy;d úisks

nv ksfrda.S kï" ì<s|d i;=áka'''

orefjlaf. i;=g ;uhs" t orejf. ujf.;a mshdf.;a úYd,;u fidïki' ì<sª i;=g ke;s lrjk fya;= w;f¾ nv ßoSï" nv fõ,jd oeóï m%Odkhs' Tfí ì|s|d fï wiSre;djfhka .,jd.kakg fï ,smsh w;aje<la jkq we;s'

fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'

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Happy Babies Learning More...

ì<sf|l= u,my lsÍug wmyiq njla olajñka ta i|yd oeä fjfyila orhs kï thg fya;=j nvfõ,Su fyj;a u,noaOh f,i úh yelshs' fuu frda. ;;a;ajh ks.ukh lsßu i|yd u,myj, iajNdjh iy u,my lsÍï w;r mj;akd mr;rh hk lreKq fol fhdod .; yelsh' u,noaOfhaoS u,my iajNdjh fndfyda fia >k jq úh,s u,my len,s b;d wiSrefjka neyer lsÍu fuysoS oelsh yelsh' u,noaOfhaoS u, my lsÍï w;r mr;rh ì<s|d idudkHfhka .; lrk fuu mr;rh blaujd hdu fuysoS oelsh yelsh' idudkHfhka th meh 24 la mjd blaujd hd yelsh' u,my lsÍu meh 48 la hk ;=rej;a isÿ fkdjqfha kï th ffjoH Wmfoia me;sh hq;= ;;a;ajhla f,i ie,lSu wjYHh'

38

nv ksfrda.S kï" ì<s|d i;=áka'''

u,noaOh we;sùug fya;= ì<sfol= yg u,noaOh we;sùug n,mdk m%Odku fya;=j kï wjYH m%udKfhka c,h fkd,eîu iy u,my j, iqug;djh we;s lsÍu wjYH jk ;ka;= ^fl|s& iys; wdydr iy m<;=re m%udKj;a ;rñka fkd,eîu oelaúh yelshs' u,noaOh jeämqru w;a jkafka lsß jrk ld,h f,i ye|sskafjk ujqlsrg wu;rj w;sf¾l wdydr ,ndfok ld,fhaoSh' ujqlsfrka muKlau fmdaIKh ,nk ì<s÷ka tu ld,fhaoS u,noaOhg fhduqjkafka b;du;a l,d;=rlska' tfy;a yßyeá" l%uj;aj ksis wdldrfhka w;sf¾l wdydr ,nd fkdoSu ksid lsßjrk iufhaoS fï ;;a;ajh we;sùug bv ;sfí' fuysoS <orejkag fyd|sska yd blauKska cS¾Kh jk wdydr ,ndoSu jeo.;ah' fyd|ska fidaod msßisÿ l< m<d j¾. iy fmdä l< w, jeks wdydr fuysoS ì<sÿ u,noaOhg fya;= jk ;j;a lreKla kï iuyr T!IO j¾. ì<sodg ,ndoSuhs' fuysoS m%;scSjl T!IO" fõokdkdYl iy WK wvq lrk T!IO .ek úfYaIfhka ie<ls,su;a ùu wjYHh' ly, ud¾.h ^wdydr ud¾.h& wjika fl<jr me,Shdu ksid u,noaOh we;sùug bv ;sfnk w;ru u,noaOh ksid ly, ud¾.h fl<jr mqmqrd hdugo bv ;sfí' tjeks úfgl ffjoH Wmfoia ,nd.ekSu w;HjYHh' iuyr T!IO .ekSfï fya;=fjkao fuu msmsßu isÿ úh yelsh' tu ;;a;ajh ffjoHjreka —tak,a *sI¾˜(anal fissure) f,i y÷kaj;s' l,d;=rlska u,noaOhg uq,ajk fya;= u,noaOh we;s lsÍug l,d;=rlska uq,ajk fya;=kao mj;shs' tajd w;r ;hsfrdhsâ .%kaÓfha ;hsfrdlaiska fyda¾fudakh ksIamdokh wvqùu - tys nrm;<u ;;a;ajh fl%àk;djh f,i ye|sskafjhs'

ffjoHjrhd - udisl ffjoH iÕrdj


tfia uy ngjef,a wl%ñl;d" —isiaála *hsífrdaisia˜ f,i ye|sskafjk ;;a;ajh" w.akHdY widudkH;djh ksid w.akHdY tkaihsu >%djh ùfï fjkialï ksido u,noaOh we;s fjhs' mdhk ld,fhaoS ì<s÷ka úc,khg m;aùu o u,noaOhg fya;=fjhs' u,noaOh iys; orejl= u,my lsÍug hdfïoS wmyiqjg yd fõokdjg m;afjhs' y`vhs' lE .ihs' —fld,sla fmaka˜ f,i ye|sskafjk fõokd foñka nv fldrùfï ;;a;ajhg ,lafjhs' úh,s >k u, len,s iq¿ m%udKhla msgùu fuysoS oelsh yelsh' ì<s|dg wdydr fok úg muKla fkdj ta w;r;=r c,h mdkhg oSu" wdydrhg fyd|ska fidaod .;a w¨;a t<j¿ iy w, len,s lr iy fmdälr wdydrhg ñY% lsÍu" ì<s|d úc,khg m;a fkdjk fia ks;r c,h mdkhg oSu'

ffjoH Wmfoia ,nd .ekSug mud fkdùu fuysoS b;d jeo.;ah' fïjd fkdl< hq;=hs u,noaOfhka fmf<k ì<sf|l= yg ys;=u;fha fnfy;a j¾. oSu úfYaIfhkau nv nqre,a lrk ke;skï —,elaiáõ˜ f,i y÷kajk úf¾l fnfy;a ,ndoSu lsiÿ s úfgl fkdl< hq;h = '

ieliqu( ;=is; u,,fialr fmhd¾ia fíì Happy Baby, Learning Centre fj;ska fuu ,smsh Wmqgd .kakd ,oS'

T!IO .kakd úg u,noaOh we; úk ì<sf|l= kï ta nj ffjoHjrhdg mjid iqÿiq mQ¾jm%;sl¾u fhoSu" yd u,noaOh os.ska os.gu mj;S kï w;a fnfy;a fyda m%;sld¾u fyda fkdlr ffjoH Wmfoia me;Su - úfYaIfhkau ly, u. fl<jr mqmqrd .sh —tak,a *sI¾˜ ;;a;ajhla kï

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ffjoHjrhd - udisl ffjoH iÕrdj


Parenting

fofjks orejd bmeÿKq miq m<uq orejdf.a isf;a we;sjk fkdi;=g msgq olsuq

fofjks orejd bmeÿKq miq m<uq orejdf.a isf;a we;sjk fkdi;=g msgq olsuq <ud frda. úfYaI{ ffjoH wð;a wurisxy mjq,g fojeks orejl= tl;= jQ úg ish kx.S fyda u,a,S ms<sn|j jeäuy,a orejd ;=< we;súh yels yeÕSï fln÷ úh yelso @ fuf;la lsisjl=f.a n,mEula ke;sj ujf.a Wl=f,a —rcl=˜ fuka ;ksj ke<jqKq" ujf.a ;=ref,a iqjfia ksÞ.;a foudmshkaf.a fukau mjqf,a wfkl=;a kE ys;j;=kaf.a wjOdkh ;ksj Èkd.;a jeäuy,a orejdg ±ka tA ish,a, ;j flfkl= yd fnÞ.kakg isÿj ;sfí' oeka ldf,a" fojk orejd .ek ys;k ldf,a''' úfYaIfhka ±ka foudmshka" orejka w;r mr;rh ms<sn|j jeä wjOdkhla fhduq lrk ksid idudkHfhka fofjks orejl= .ek is;kafka m<uq orejdg jhi wjqreÿ ;=kla y;rlaj;a .; jQ miqjh' tA jhia ld,h jk úg orejdg hula lula jgyd .ekSfï yelshdj we;' tA wkqj ;ukaf.a —;ek˜ .kakg meñKs tA l=vd kx.S fyda u,a,S ms<sn|j jeäuy,a orejd ;=< we;s jkafka B¾IHdjla iy fkdukdmhls' fuys§ ;udg ujf.a;a mshdf.a;a wka whf.a;a ie,ls,a, iy wjOdkh wvqfõú hk ìh ksid jeäuy,a orejd ;u fkdukdmh úúO wkaoñka uõmshkag fiau w¨;a ifydaoßhg fyda ifydaorhdg;a m< lr ys¢kq we;' 2015 Tlaf;dan¾ l<dmh

fkdi;=g m< lrk úosy —fuhdj wms wdfh;a biamsß;df,gu .syska Þuq˜ jeks fohla tys§ jeäuy,a orejd mjikakg mq¿jk' tfia ke;fyd;a uõmshka fyda fjk;a lsisjl= <Õ fkdisák fj,djl l=vd orejd flks;a;Su myrla .eiSu jekakla l< yelsh' fï yereKq úg iuyr jeäuy,a orejka lrk fohla jkafka ;ud;a l=vd orejl= nj yÕjkakg uõmshka bÈßfha l=vd orejl= fuka iqr;,a fjñka f;df|d,a niska l;d lsßuh' fuys§ ish ì,s÷ ifydaorhd iu. iqr;,a ùfï ;r`. hla we;s lrf.k bka ch .ekSu jeäuy,a orejdf.a wfmalaIdj fjhs' jeäuy,a orejdf.a by; lS wkaofï yeisÍï fndfyda úg ì,s|dg mSvkhla we;s lsÍug bv ;sfí' tfiau th Tngo uy;a lrorhla úh yelsh' 41


Parenting

fofjks orejd bmeÿKq miq m<uq orejdf.a isf;a we;sjk fkdi;=g msgq olsuq

;ukaf.a —;ek˜ .kakg meñKs tA l=vd kx.S fyda u,a,S ms<sn|j jeäuy,a orejd ;=< we;s jkafka B¾IHdjla iy fkdukdmhls'

Tn keKj;a kï ;;a;ajh md,kh l< yelshs fufia ;ukaf.a kx.S fyda u,a,S flfryS jeäuy,a orejd ;=< l=vd ld,fha we;s úh yels fuu B¾IHdj iïmQ¾Kfhka ke;s lsÍu wiSreh' kuq;a th lrorhla fkdjk m%udKhg wvq lr .ekSug yelshdj we;' tA i|yd Tng úúO Wml%u Ndú;d lsÍug mq¿jk' fï i|yd ujl f,i Tng l< yelafla l=ulao@

42

orejd Wmoskakg fmr Tn fijfKA jefvk orejd iu.ska ufkda uQ,sl fufyhqula fofjks orejd ìys ùug iEfyk l,lg fmr isgu —<Õ§u Thdg ;kshg u,a,S flfkla yß kx.S flfkla yß f.k;a fokjd˜ hehs mjiñka orejdf.a uki Bg iQÞkï lrjkak' túg orejdf.a isf;a ;ukag nd, ifydaorhl= fyda ifydaoßhl ms<sn|j w¨;a n,dfmdfrd;a;= f.dv kef.kq we;' tfiau fï iïnkaOfhka orejd Tfnka úúO m%Yak úuikq we;' orejdg f;areï .; yels whqßka Tn tA m%Yakj,g ms<s;=re fokak' th orejdf.a i;=gg yd iekiqug fya;= jkq we;' —Thdg ;uhs w¨;a nndj tlal tkafk˜ hkqfjka fojk orejd ms<sn|j jeäuy,a orejdf.a is; ;=< we,aula yd —;udf.au flfkla˜ hk woyi uq,skau frdamKh lrjkak' ffjoHjrhd - udisl ffjoH iÕrdj


Tn ke;s w;f¾ úYAjdijka;fhl=f.a /ljrKh ,nd fokak Tn ore m%iQ;shg frday,a.; jQ miq Tfí ieñhd;a ks;r frday,g meñfKñka Tn fjkqfjka fjfyfik ksid frday,a.; ùug fmr jeäuy,a orejdf.a ;ks fkd;kshg" wdrlaIdjg úYajdijka; jeäysáhl= fhdojkak' tu jeäysáhd orejdg wdorh we;s flkl= úh hq;=h' ke;fyd;a —ug f.or bkak isoaO jqfka wr nnd yskaohs˜ hk yeÕSu u; w¨; Wmka ì,s|d flfryS jevuy,a orejd ;=< ;ryla Wmoskq we;'

orejd Wmoskakg fmr Tfí uq,a orejd Bg udkislj iQodkï lsÍfuka ;u nd, fidhqrd" fidhqßh ms<s.ekSug Tfí mq;d" ÿj ksrdhdifhka fm<fò'

w¨;ska ì,s|l= ,eî ksjig meñKs miq tA ì,s|dg fld;rï ie,ls,a,la ±lajqj;a jeäuy,a orejdg fkdi,ld isàu lsisfia;a fkdl< hq;=h' kE ys;ñ;=rka w¨; Wmka ì,s|dg fokq ,nk ;Hd.j,ska fldgila jeäuy,a orejdg;a fokak' tys§ ;u ifydaorhd .ek fiau ;ud .eko wïud ie,ls,su;a jk nj jeäuy,a orejdg t;a;= hkq we;'

2015 Tlaf;dan¾ l<dmh

43


Parenting

ì<s|d fj; fï úosyg orejd <x lr.kak Tn ì,s|d iu. isák úg jeäuy,a orejdj;a <x lrf.k fï l=vd ifydaorhdj iqr;,a lsÍug jeäuy,a orejdj fmd<Ujkak' ì,s|d kEjQ miq msi ±óug jeäuy,a orejdj;a <x lr .kak' ì,s|dg fnda;,hlska lsß fmdjkafka kï tys§ jeäuy,a orejdf.a iyfhda.h;a ,nd .kak' fujeks foaj,a u.ska jeäuy,a orejd ;u nd, ifydaorhd flfryS ne£ula we;s lr.kq we;' tA wkqj l,a.; jk úg Tng;a jvd ì,s|dj iqr;,a lsÍug" wdorh lsßug jeäuy,a orejd fm<öu isÿúh yelsh' uõlsß Tn ì,s|dg uõlsß §u jeäuy,a orejdf.a B¾IHdj jeälrjk fya;=jls' tfiau Tn <Õg ù tfoi n,d ys¢ñka jeäuy,a orejd Tfnka úúO m%Yak lrkakg mq¿jk' tAjdg yels muKska ms<s;=re

44

fofjks orejd bmeÿKq miq m<uq orejdf.a isf;a we;sjk fkdi;=g msgq olsuq

fokak' we;eï úg jeäuy,a orejd o Tfnka uõlsß b,a,d lror l< yelsh' tys§ jeäuy,a orejdf.a is; iekfik mßos Tyqg meyeÈ,s lsßula lr fokak' —wïuf.ka l=lal= fndkafk pQá nnd,fk mqf;a' Thd;a mqxÑ ldf, fï úÈyg lsß ìõjd' ±ka Thd f,dl= nfnla fka˜ jeks fohla lSug tys§ Tng mq¿jk' ì,s|df.a jevm, lsÍug muKla Tfí ld,h fkdfhdojd jeäuy,a orejd iu. .; lsÍug;a ld,h fjka lr .kak' Tyqj kEùu" leùu" fmùu jf.au l;dkaor lshd§u wdÈh;a Tng yels iEu úgu Tfí w;ska lrkak' fï ksid Tng úfõlhla fkd,efnk ;rug jev wêl úh yelsh' kuq;a jeäuy,a orejdg idOdrKhla bgqúh hq;= neúkq;a" Tyqf.a isf;a l=vd orejd ms<sn|j mj;sk B¾IHdj ÿrel< yels neúkq;a fujeks l%shd ud¾. .ekSu b;du;a jeo.;a fjhs' ì<s|dg myroSu fï úosyg j<lajkak jeäuy,a orejd nd, orejdg myr §ug fm<fUk wjia:d fldf;l=;a ;sìh yelsh' fuys§ uq,ska l< hq;af;a jeäuy,a orejdg;a tjeks myrla .eiSu fkdfõ' uq,skau l< hq;af;a orejdg wjjdo lsÍuh' —mq;d Thdg ;Èka mdrla .eyqfjd;a ßfokj fkao@ fï mqxÑ nndf. w;a md fyd|gu ishqï fud<leáhs' tA w;amdj,g mqxÑ mdrla .eyqj;a ßfokjd' Thdg ßfokjg leu;s kE fkao@ tA jf.a fï mqxÑ nndg;a ljqre yß .eyqju f.dvla ßfokjd˜ jeks meyeÈ,s lsÍula Tng l< yelshs' kuq;a fuysÈ;a jeäuy,a orejd Tng wjk; fkdjkafka kï Tyqg iefrka l;d lsÍfï jrola ke;'

ffjoHjrhd - udisl ffjoH iÕrdj


2015 Tlaf;dan他 l<dmh

45


Respiratory Disease

weÿu je<÷k orejl= y÷kd.; yels uq,sl frda. ,laIK

weÿu je<÷k orejl= y÷kd.; yels uq,sl frda. ,laIK <ud frda. ms<sn| úfYAI{ ffjoH §md,a fmf¾rd fiu wdY%s; frda. j,ska l=vd l< isgu we;eï <uhska mSvd ú¢;s' fï w;ßka wo ojfia nyq,ju oelsh yels zwe÷u frda.hZ orejka uqyqK fok mSvdldÍ jQ frda. ;;a;ajhls' l=vd úfha§ iEfok weÿu frda.h orejd jeä jhia jkúg iqj jk m%jK;djhla mj;S' kuq;a fï iqN mKsúvh ,efnkafka weÿu frda.hg ksis m%;sldr ,nd .ekSu Tiafia nj uõmshka oeK.; hq;= jkafkah'

tu ksid weÿu frda. hg ksis m%;sldr ,eîu w;sYhska jeo.;a jkafkah' msßisÿ j;dY%h fkd,eîu" wêl ÿú,s iys; mßirhg orejd ks;ru ksrdjrKh ùu;aa ksid we;s fjk wdid;añl;d fya;=fjka orejkaf.a iajik moaO;sh wdY%s;j we;sjk nrm;, frda.S ;;a;ajhla f,i weÿu frda.h y÷kajd Èh yelshs' weÿug ksis m%;sldr ,nd .ekSu l=vd orejdg ksis m%;sldr fkd,eîfuka Ôú;h mjd wysñúh yels uq;a weÿu frda. hg j¾;udk kùk úoHd;aul ÈhqKqjla iu. b;d ld¾hlaIu T!IO y÷kajd oS ;sfí' weÿu - frda. ,laIK <ud y;sh m%Odk jYfhkau we;sjkafka wdid;añl;d ;;a;ajhla ksihs' ta yereKq úg cdkuh idOl;a <ud y;shg n,mEï we;slrk wjia:d ;sfnkjd' ujqmshka weÿu frda.fhka fmf<kjd kï orejkag weÿu je<§fï bvlv jeähs'

46

ffjoHjrhd - udisl ffjoH iÕrdj


úúO wdydrj, we;s ridhksl øjHhka wdid;añl ùu ksido orejkag weÿu we;súh yelsh' tjeks wjia:dj,oSs tu wdydr j,ska orejka wE;alr ;eîu b;du jeo.;a fõ'

mßir ÿIKh" wdydr rgdfõ fjkialï wdosh ksid orejka fndfyda fihska mSvdjg m;aù úúO weÿu ;;a;ajhg f.dÿre fõ' l¾udka;Yd,d j,ska msgjk ÿu" jdyk j,ska msgjk ÿu" ÿú,s iys; mßirh;a weÿu frda.S ;;a;ajh W;aikak lrk nj y÷kdf.k we;'

2015 Tlaf;dan¾ l<dmh

• m%Odk ud¾.h wi, we;s ksfjiaj, Ôj;ajk orejka" wmsßisÿ fldÜgd- fuÜg" we| we;sß,s wdosfha mj;sk ÿú,so" tjd mßyrKhg .kakd orejkao weÿu frda.hg f.dÿre fõ' • úúO wdydrj, we;s ridhksl øjHhka wdid;añl ùu ksido orejkag weÿu we;súh yelsh' tjeks wjia:dj,oSs tu wdydr j,ska orejka wE;alr ;eîu b;du jeo.;a fõ' • lsß" Öia" iy ng¾ we¥u frda.fha§ wdid;añl;d we;s lrjk wdydr f,i i|yka jqjo fuu wdydr iEu orefjl=gu wdid;añl;d f.k fokafka ke;' • weÿu frda.h i|yd n,mdk m%Odk;u idOlhla yeáhg is.rÜ ÿu oelaúh yelshs' orejka ,eîug isák ujqjrekag is.rÜ ÿu" b;du ydksodhlhs' • uÿre o`.r" y÷kal+re ÿu" or ,sma j, ÿu" weÿu frda.h W;aikak lrhs' weÿu y÷kd.; yels uq,sl frda. ,laIK rd;%s ld,fha we;sjk leiai" WoEik we;sjk leiai" leiai iu. jukh hdu" yqiau .ekSfï wmyiqj" mmqfõ fõokdj" mmqfõ .eiau" úh<s leiai" ál ÿrla fyda Èúfuka miq we;sjk y;sh" fõ.fhka yqiau .ekSu" yqiau .kakd úg W.=r m%foaYfhka j, .eiSu"Worh fõ.fhka by< my< hdu" jeks uq,sl frda. ,laIK weÿu iys; orefjl= y÷kd.ekSug we;s fyd|u ,laIK fõ' l=vd ld,fha§ orefjl=g je<fok y;sh wjqreÿ 10-12 jk úg§ fndfyda úg iqjfõ' kuq;a weÿu we;s orefjl=g wLKavj ksis m%;sldr ,nd Èu l< hq;=hs'

iqÿiqu m%;sldrh weÿu iys; orefjl=g iqÿiqu m%;sldrh jkafka bkafya,¾ Ndú;h yd fkdìhq,hsia lsßuhs' fï u`.ska reêrh iu. tl;=jk T!IO m%udKh wvqùu ksid orejdg isÿjk w;=re wdndO wju fõ' igyk - wkqrdOd È,sks b,xfldaka

47


Occupational Health

we.s,s f,dlaùu iy uymg we.s,a, f,dlaùu

we.s,s f,dlaùu iy uymg we.s,a, f,dlaùu fyj;a Trigger Finger, Trigger Thumb

mÿu ã hdmd Dip OT, SROT(UK)

48

wo iudcfha nyq,j olakg ,efnk wdndê; ;;a;ajhla f,iska we.s,s mekSu fyj;a f,dlaùu ^Trigger Finger, Trigger Thumb) ye|skaúh yel' úfYaIfhkau fkdlvjd we.s,s p,kh lsßfï ls%hdjkayS ksr;ùu;a" we.s,s u; muKg jvd n,h fhdojd ls%hdlsÍu;a fï ;;a;ajh we;sùug wdikak;u fya;=jla fõ'

ffjoHjrhd - udisl ffjoH iÕrdj


we.s,s j, idudkH ls%hdldß;ajh we.s,s keùug fmaYska ls%hdlsÍfï§ fmaYsh fl<jr jk ;ka;=j ^Tenden) È.= ,kqjla fia ls%hd lrhs' tu ,kqj fyj;a fgkavkh wiaÓfha lmamsh ^Pully) jeks fldgi Èf.a p,kh ùfuka we.s,s keùu;a È.yeßu;a isÿfõ' fgkavkfha iy wiaÓj, we;s lmamsfha iqug ls%hdldß;ajh i|yd ,siaik iq¿ isksÿ wdjrKhla msysgd ;sfí'

wdndê; ;;a;ajhg f.dÿre jQ úg ls%hdldß;ajh

fuu Trigger Finger ;;a;ajfhaoS wiaÓ w. >kùu fya;=fjka lmamsh ^Pully) u; ;ka;=j fyj;a Tenden tl ysrùula we;sfõ' fï ksid ;ka;=jg fyj;a Tenden hg mq,sh Èf.a ksoyfia tyd fuyd p,kh ùu wmyiq lrhs' iuyr úfgl fï fya;=fjka ;ka;=fõ Tenden isks÷ wdjrKh Èf.a l=vd .eá;s fyda bÈóï we;s úh yel' fï ksidu p,kh jk úg fõokdjla" ;ka;=j (Tenden) mkskjd fyda f,dla fjkjd fia ±kSula we;sfõ' fufia ;ka;=j ysrùu ksid wiaÓfha mq,sh wjg jeämqr bÈóula we;súh yels w;r isks÷ ,siaik iq¿ wdjrKfhao >klu jeäù we.s,a, keuQ úg ysrù kej; È.yerSug fyda keùug fkdyelsjk fia f,dla ùu isÿ fõ'

2015 Tlaf;dan¾ l<dmh

fï ;;a;ajhg f,fyisfhkau f.dÿre úh yelafla ljqrekao@ fndfyda úg" f.dúhkag" l¾udka;Yd,d j, fiajh lrkakka yg" ix.S; NdKav jdokh lrkakkag fï wdndOhg ,laùfï bvlv jeäfõ' ta fï whf.a we.s,s tlu rgdfjka È.= ld,hla mj;ajdf.k hk ls%hdj, fh§fï fya;=fjks' ^Wod( ÿïmdkh lrkafkl= yeu úgu ,hsgrh ±,aùu i|yd uymg we.s,a, Ndú;d lsßu;a" jeä n,hla we.s,a, u; fh§u ksid uymg we.s,a, mekSfï fyda f,dlaùfï ;;a;ajhg f,fyisfhkau f.dÿre úh yelsh& flfia kuq;a wm rfÜ msßñkag jvd ia;S% mlaIhg ta whf.a wúfõlS ffoksl Ôjk rgdj ksidu jhi wjq( 40¡-60 w;f¾ fï wdndê; ;;a;ajhg f.dÿre úfï wjodkula mj;S'

49


Occupational Health

we.s,s f,dlaùu iy uymg we.s,a, f,dlaùu

á%.¾ *ska.¾ we;sùug fya;= fndfyda úg reufgdhsâ wd;rhsáia" Èhjeähdj" .jqÜ jeks frda. ;;a;ajhkao w;a,g isÿjk úúO wk;=re o fuu ;;a;ajh we;sùug fya;= úh yel' w;aj, we.s,s keó mj;sk fukau muKg jvd n,h fhdojd lrk ls%hdj,shkayS ksr; fjkakkag fï ;;a;ajhg m;aùfï wjodku jeäjk w;r meyeÈ,sj lsjyels fya;=jlska f;drjo fï wdndê; ;;a;ajhg f.dÿre úh yel'

á%.¾ *ska.¾ frda. ,laIK iy úksYaph wf;a YdÍßl mÍlaIdjla ^Physical examination) u.ska frda. úksYaph isÿl< yelsh' iuyr whf.a we.s,af,a bÈñula olakg ,efnk w;r we.s,a, mgka .kakd ;ek ^Base) ;o .;shla" .eá;a;la ±lsh yel' tfiau tu ia:dkh fiñka ;ol< úg ishqï fõokdjlao yg.kS' we.s,a, keófï§ ysrùula fyda f,dlaùula isÿjk w;r ±ä fõokdjlao yg.kS' fuys§ frda.shdg fuh oefkkqfha we.s,af, we;=,a mqrefla we;sjqk fohla f,iska jerÈ wdldrhghs'

á%.¾ *ska.¾ m%;sldr m%;sldrj, wruqK jkafka fuu f,dlaùu iy ysrùu j<lajd ikaêfha p,kh myiq lsrSuhs' • m<uqfjkau l< hq;= m%;sldrh jkafka we.s,a, úfõlSj ^Rest) ;nd .ekSuhs' fï ioyd wdOdrl m;=re ^splints) Ndú;d lrk w;r fuu.ska we.s,a, p,kh ùu j,lajd wdidok ;;a;ajh wvq lsßug WmldÍ fõ' ^i;s 6la fyda Bg wvq ld,hla& • w;a Ñls;aidj ^Hand Therapy) fojeks m%;sldrh f,iska i|yka l< yelsh' fuu.ska we.s,s mgka .kakd fldgfia we;sjk ;o .;sh my lsßug;a wf;a frda.dndOhg md;% fkdjQ wfkl=;a we.s,s j, p,khka iy fmaYskaf.a ls%hdldß;ajh ;snqK f,iskau mj;ajdf.k

50

hdu;a lrf.k hhs' tfiau ;udf.a tÈfkod jevlghq;= ^Activities of daily living) lrf.k hdug úúO myiq l%u" wjYH ±kquo ,nd§ï fuys§ isÿ flf¾' • frda. ,laIK j, wvqùula ke;akï wdidok ;;a;ajh ^Inflammation) md,kh lsßug T!IO Ndú;d l< hq;= fõ' • wdndê; ;;a;ajh È.gu mj;skafka kï fï i|yd ie;alulg Ndckh úh hq;=fõ'

fuu f,aLlhd rd.u mqkre;a:dmk frdayf,a ysgmq jD;a;Sh Ñls;ail wêldÍ iy idhksl wëlaIl jYhka lghq;= lr we;' f,dal jD;a;Sh Ñls;ail ix.uh i|yd Y%S ,xld wkqm%dma;sl ksfhdað; OQrh ork w;r YS% ,xld jD;a;ShfõoSkaf.a jD;a;Sh Ñls;ail ix.ufha f,alï" OQrho Wiq,hs'

ffjoHjrhd - udisl ffjoH iÕrdj


l=reKE., § wvqu ñ,.kka hgf;a ridhkd.dr mÍlaIK ''' jhU m<df;a tlu iuQmldr frday," l=reKe., iuQmldr frday,a ridhkd.drfhaoS''' • ECHO Scaning tflda mÍlaIKh u.ska yojf;a iajrEmh" ta ;=< reêrh .uka lrk wdldrh fukau lmdg l%shdldß;ajh wdoS fndfyda úia;r oek.; yel' • LFT fmKy¿ l%shdldß;aj mÍlaIKh • Full Blood Check up mQ¾K YÍr mÍlaIKh • Chest X Ray mÍlaIKh • ECG mÍlaIK • Liver Function Test wlaudfõ l%shdldß;aj mÍlaIKh • Serum Creatinine jl=.vq l%shdldß;aj mÍlaIKh • Serum Blood Urea jl=.vq l%shdldß;aj mÍlaIKh • Lipid Profile fldf,iagfrda,a mÍlaIKh • Fasting Blood Sugar oshjeähdj je<|S ;sfíoehs oek.kakd" th md,kh ù we;soehs oek.kakd mÍlaIKh úfYAI{ ffjoHjrfhl=f.a wëlaIKh hgf;a rdcH yd fm!oa.,sl fiajfha kshq;= whg úfYAI meflachka pek,a lsÍu i|yd úuikak'''0372056765" 2056552" 2054070" 2054071"2222464" 2221638 iuQmldr frday, 303" fld<U mdr l=reKE., ÿrl:k 0372232242" 5670206" 2056760 2056215 *laia 037 2232242 E Mail: kch.hospital@gmail.com

2015 Tlaf;dan¾ l<dmh

51


New Trends in Oncology

,dxflah ms<sld frda.Skaf.a fyg ojfia wfmalaIdjka'''

udi .Kkdjla muKla frda.shd cSj;a lrjk ñ,shk .Kka ñ, jk ms<sld T!IO .ekSfï fÄojdplh ,dxflah ms<sld frda.Skaf.a fyg ojfia wfmalaIdjka''' ms<sld frda. úfYAI{ ffjoH ufyakaø fmf¾rd

wfma rfÜ jirlg w¿;ska ms<sld frda.Ska 20"000 la muK y÷kd.kS' ms<sld frda.Skaf.a ksiel jeäùula fmkajk ld,hls fï''' <sld m%;sldr hkq yqfola tla m%;sldrhla u.ska wjika l< yelalla fkdfõ' ms<sld frda.Skaf.ka fldgila iqjh ,n;s' ;j;a fldgila frda.h uev mj;ajd .ks;s' frda.h;a iu. igka jeo frda. fhka mrdch ,nk frda.Skao isà' ms<sld frda.ska ish¿ fokdu fuhska tla ldKavhla fyda ksfhdackh lrkafkah'

ms

ms<sld frda.Skafka wvlg;a jeä m%udKhlg fojk j;djgo m%;sldr .ekSug isÿ fjhs' iuyr úg ;=ka y;r j;djlau m%;sldr f.k frda.h iqjl< fkdyels ;;a;ajhg m;ajk frda.Skao isà' f;jeoEreï jQ ms<sld m%;sldr l%shdj,sh ms<sld m%;sldr l%shdj,sh f;jeoEreïh' Y,Hl¾u" úlsrK Ñls;aidj yd lSfudf;rms fkdfyd;a 52

ffjoHjrhd - udisl ffjoH iÕrdj


lSfudÑls;aidj hkqfjks' fuys wjika jYfhka oelajQ lSfudf;rms m%;sldrhg oyia .Kkla T!IO wh;a fõ' fï T!IO ms<sldjg úI iy.;h' th wfkl=;a YÍr wjhj j,go OQ,lldrl - tkï úI iy.; jk nj fkdlshd fkdyelsh' ms<sld iïnkaO úfYaI{ ffjoHjreka (Oncologists) fuu T!IO ,ndoSfï m%;sldrfõoh l%shd;aul lrkafka ms<sld ffi,j,g Wmßu wdmodjla isÿ lrñkq;a frda.shdg wju ixl+,;djhla we;sjkfia;ah' ld,fhka ld,hg tlafjk ms<sld T!IO ld,hla ;siafia Ndú;fha mj;akd iïm%odhsl lSfudf;rms T!IO ms<sld i|yd id¾:l m%;sM< w;am;a lr ÿkafkda fj;s' we;eï ms<sld md,kh lrñkao" we;eï ms<sld iïmQ¾Kfhkau iqj lrñkao fï T!IO úYsIAG l%shdldß;ajhla m%lg lr ;sfí' fï yereKq úg kfjda;amdok T!IO oyia .Kkska fï flafIA;%hg tlaù ;sfí' fïjdfha ñ, remsh,a 2015 Tlaf;dan¾ l<dmh

oi ,laI .Kksks' T!IO ksIAmdolhkaf.a wruqK fï T!IO ms<sld m%;sldrfõoh ;=< ia:dms; lsÍuhs' cSú;h hoskafkda''' fujka kjH T!IOhla y÷kajdoSfïoS os.= ld,Sk jYfhka i<lK úg iq¿ cSú;dfmalaIdfõ oshqKQjla n,dfmdfrd;a;= úh yel' kuq;a ta   T!IO mÍlaIKd;aul wjia:dfõ Ndú;d lrk frda.Skag kï udi lsysmhl muK wdhq j¾Okhla muKla fndfyda úg ,efí'

b;du;a widOH f,i mSvd ú|sk frda.sfhl= yg remsh,a ñ,shk .Kkdjla jákd fnfy;a ks¾foaY lsÍfuka we;sjk iq.;sh l=ulao @ we;eï úg fuys m%;sM<h jkafka wjika osk lsysmfha iduh;a fï T!IO j, ixl+,;d ksid ke;sùuhs'

fï ldrKh .eUqßka úuid n,ñka ,efnk m%;sM<h .ek ksYaph fmrhSula l< fkdyels" tfukau úYd, jYfhka iïm;a LdoKh lrk m¾fhaIKd;aul uÜgfï T!IO ck;djg ,ndoSu ms<sn|j i<ld ne,Sug ld,h meñK ;sfí' fndfydauhla ms<sld frda.Ska ms<sld frda. úfYaI{ ffjoHjrhd úiska ks¾foaY lrk ljr T!IOhlg jQj wirKj tl`. fõ' ta i|yd ljr ñ,la fyda f.ùugo Tjqka ukdmh m< lr;s' kuq;a we;af;kau fï ñ, wêl T!IO j,g fï wirK frda.Ska yg kej;;a cSú;h ,ndoSug yelshdjla ;sfío @ 53


New Trends in Oncology

,dxflah ms<sld frda.Skaf.a fyg ojfia wfmalaIdjka'''

l< hq;= foa'' ^yd fkdl< hq;= foa & b;du;a widOH f,i mSvd ú|sk frda.sfhl= yg remsh,a ñ,shk .Kkdjla jákd fnfy;a ks¾foaY lsÍfuka we;sjk iq.;sh l=ulao @ we;eï úg fuys m%;sM<h jkafka wjika osk lsysmfha iduh;a fï T!IO j, ixl+,;d ksid ke;sùuhs' fuysoS jvd;a jeo.;a jkafka uekúka ie,iqï lrk ,o fõokdj iukh lsÍfï jevigykla frda.shd fjkqfjka ie,iqï lsÍuhs' fuysoS by; kj T!IOh ,ndoSfuka frda.shdg ,efnk jeämqr cSú; ld,h tf,iskau jeä lr.; yelafla cSú;fha .=Kd;aulNdjho hï m%udKhlg idlaId;a lr.ksñks' flfkla ms<sld frda.sfhl= jQ úg we;sjk idudcSh" wd¾Ól m%Yak rdYshls' jvd;au lK.dgqodhl ldrKh jkafka frda.shd ljr ñ,lska fyda f.dv .ekSug we;s ;sr wosgk ksid f.afodr" foafmd< mjd Wlia lr oeä wd¾Ól mßydkshlg mjqf,a who m;aùuhs' tfia jQj;a ffjoHjrhd yuqfõ mjqf,a idudcslhka ne.Em;a jkafka ljr úhoula .sh;a frda.shd iqjm;a lr fok f,ihs' fï frda.Skaf.a wirKluhs'

Linear Accelerator hkqfjka ye|skafjk fuu j¾.fha kùK ms<sld m%;sldrl hka;% osjhsk mqrd rcfha ms<sld m%;sldr uOHia:dk j,g ,nd oSug rch ie,iqï lr ;sfí'

54

w;s úYd, OkialkaOhla wo úêu;aj ie,iqï lrk ,o lrkaÜ we,a,Su hkqfjka fmdÿfõ frda.Ska y÷kajk rYañ Ñls;aid m%;sldrhlg o< jYfhka remsh,a 50"000"000 l ^ñ,shk myl& muK uqo,la jeh fjhs' kej;;a lSfuda f;rms m%;sldr mx;shla i|ydo tmuKu jQ uqo,la ms<sld j¾.h iy fhdod.kakd T!IOfha iajNdjh wkQj jeh fjhs' m%j¾Okh jk rcfha m%;sldr fiajd miq.shod fi!LH wud;HxYh b;d idOKSh mshjrla .;af;ah' ms<sld frda.Skaf.a rYañ m%;sldr i|yd wo jvd;au kjH jQ Linear Acclarator hka;%hla ne.ska osjhsfka iEu ms<sld m%;sldr i,ik frday,lgu ,ndoSug ;SrKh lr ;sfí' fuu.ska osjhsk mqrd iEu ms<sld m%;sldr lrk frday,lu frda.Skag iudk Wiia fiajdjla ,nd.; yelsjkq we;' fuu Linear Acclarator hka;% 2015 j¾Ih wjidk jk úg fuu ffjoHjrhd - udisl ffjoH iÕrdj


m¾hka; rcfha ms<sld uOHia:dkj, m%;sldr i|yd tlajkq we;' fï i|yd rch jeh lrk uqo, wefußldkq fvd,¾ ñ,shk 52ls' fuu fiajd ie,iSu;a iu.u rdcH wxYh ;=<ska ms<sld frda.Skag cd;Hka;r ;,fha ms<sld m%;sldr myiqlï ysñ jkq we;'

oeka ndOdjlska f;drj T!IO iemhSfï l%ufõohla lSfudf;rms T!IO yereKQ úg ms<sld frda.Ska yg imhk T!IOo ndOdjlska f;drj iemhSfï l%ufõohla oeka uyr.u ms<sldh;kfha l%shd;aul fõ' Named Patient Basis Drug Provision hkqfjka ye|skafjk fuu T!IO ksl=;a lsÍfï l%uh ffjoH iemhqï wxYh (MSD) iy rdcH T!IO kS;s.; ixia:dfõ iyfhda.s;djfhka osjhsk mqrd ms<sld m%;sldr uOHia:dk j, l%shd;aul lsÍfuka ndOdjlska f;drju frda.shdg ;u T!IO bosßfhaoS ,nd.; yels jkq we;'

2015 Tlaf;dan¾ l<dmh

Genomic Based Personalised Chemotherapy fï yereKQ úg ;j;a remsh,a ì,shk 15l muK uyd uqo,a iïNdrhlao ms<sld frda.Skaf.a wfkl=;a T!IO fjkqfjka jeh fõ' wfkl=;a hhs lshkafka fï T!IO idhksl idlaIs u; mokï lr.;a tfy;a id¾:l;ajh úp,H jk T!IO ksidh' fïjdfha id¾:l;ajh ishhg 0-75 w;r jQj;a frda.Ska i|yd Ndú;d lsÍu wjYH jk wjia:d t<efUk ksidh' flfia fj;;a mÍlaIKd;aul uÜgfuka fujka T!IO Ndú;d lsÍu uy;a kdia;shla nj lsj hq;=h' frda.shdf.a wirKlu foi n,d kshu lrk fuu T!IO k;r lsÍug úl,amhla ;sfí' ta Genomic Based Personalised Chemotherapy h' fuhska oelafjkafka mqoa.,hdf.a ;ukag ú;rla wdfõKsl jQ m%fõKsh" cdk ixhq;sh úuid n,d ks¾foaY lrk lSfudf;rms T!IOh' tu.ska tu T!IOfha Wmrsu jdish frda.shdg w;am;a lr.; yel' Genomic Based Personalised Medicine wo fiiq ffjoH YdLd j,o by<u m%;sM< w;a lrfok kùk ffjoH l%uhla njg m;aù ;sfí' fuu ffjoH l%uh l%shd;aul lsÍfïoS ms<sldj y÷kd.kafka Bio Maker wkQjh' fuysoS w;s úYd, OkialkaOhla jeh lr frda.shdg wúksYAÑ; T!IO ,ndoSu k;r lr.; yels jkq we;' tfiau OQ,l;djfhka b;d jeä T!IO ,ndoSfuka frda.shd wvmK lsÍula isÿjkafkao ke;' ixl+,;d wjuh' jvd;a m%;sM<odhS m%;sldrhla frda.shdg ks;ekskau ysñ jkq we;' fuu f,aLlhd úiska iïmdokh lrk ,o ,smsfha mßj¾;khls' mßj¾;kh lf<A Ndr; .=K;s,l Dr Mahendra Perera, MBBS, MD, Dip. RT is a Consultant in Clinical Oncology & Radiotherapy

55


Toxicity

u,a ,iaikhs fk;= ikik yeuodu úI tys ;afí ta .ek Tn is;=jdo @

.DyKshka fukau f.j;= w,xlrK Ys,amSka mjd fï ms<sn| oekqj;a ùu w;HjYHh' úfYaIfhkau ;u fiajdodhlhska iu. lghq;= lsÍfï§ fujeks oekqulska hqla; ùu jvd mßmq¾K fiajdjla iemhSug ukd msgqjy,ls'

u,a ,iaikhs fk;= ikik yeuodu úI tys ;sfí ta .ek Tn is;=jdo @ u,a yd úis;=re Ydl fi!LHhg f.fkk ;¾ck cd;sl Oq,lfõoh iy úI f;dr;=re uOHia:dkfha m%OdkS ldhsl frda. yd Èhjeähdj ms<sn| úfYAI{ ffjoH jreK .=K;s,l Ydl úIùï l=vd orejka w;r jvd iq,n nj y÷kdf.k ;sfí' l=vd orejka fndfyda wjia:dj, fujeks úis;=re u,a fyda me<j,g we¨ï lrkqfha ta u,aj, meyeh ksihs' ke;skï iqj| ksidhs' fkdoekqj;alu u; isÿ lrk ,nk fï we¨ï lsrSï ksid l=vd orejka jeä jYfhka Ydl úIùï j,g f.dÿre fõ' iemSfuka iqj| ne,sfuka - wef`.a ;ejrSfuka iuyr Ydl úIùï isÿúh yelsh .Dyia;j we;s we;eï Ydl u.ska úIùï we;s úh yelsh' .DydYs%;j" ;sfnk iuyr úI iys; Ydl fldgia l=vd orejka oud iemS fuka tajdfha we;s úI YÍr.; úh yelsh' tneúka y÷kd.;a tjeks Ydl ksfjia ;=< fyda f.j;af;a jjd ;sfí kï tajd wdrlaIldÍ f,i kv;a;= lsÍu yd l=vd orejkaf.ka tjeks Ydl ÿria lr ;eîug ie,ls,su;a úh hq;=h' 56

Tn f.j;af;a Ydlhla jeùfïÈ fï lreKq .ek ie,ls,su;ajkak' 1'tys iajNdjh' 2'tu Ydlfha úI iys; nj' 3'jjk ia:dkh' 4'úis;=re me<hla ñ<oS .ekSfï§ ta ms<sn| lreKQ úuikak' ueßÉp fld<h jqj;a úI úh yelshs úI iys; Ydlj, úh<s m;%j,o ;jÿrg;a úI ;sìh yels neúka úuis,su;a úh hq;=h' tjeks m;% mq¿iaik úg§ thska kef.k ÿu wd>%dKh fkdl< hq;=h' y;= úIjk wjia:d lEug .; yels yd .; fkdyels y;= j¾. y÷kd .ekSug

ffjoHjrhd - udisl ffjoH iÕrdj


úfYaI l%ufõohla ke;' tneúka úúO y;= j¾. wdydrhg .ekSfï§ fukau tajd .DydY%s;j j.d lsÍfï§ o ie,ls,su;a úh hq;=h' kd÷kk fld< j¾. lfÜ oud imkak tmd fndfyda fofkl= wkjfndaOh fya;=fjka fujeks fkdie,sls,su;a foa lr;;a" iuyr úg thska fndfyda mSvdldÍ ;;a;aj j,go uqyqK §ug isÿúh yelshs'

tneúka wm fujeks foa lsÍug fmr ta .eko ie,ls,su;a úh hq;=h' w;S;fha§ fiau wo;a mqxÑ orejkag .yfld< j,ska k,djla" fjk;a fi,a,ï nvqjla idod §ug w;a;ïu,d" iSh,d leu;sh' kuq;a fuu wjdikdjka; ;;a;ajh ksid ta .ek wmg u|la is;d ne,Sug wo isÿjkq we;' u,aj,ska meKs Wrkak tmd fuho wk;=reodhlh' fïjd w;S;fha wmg yqre mqreÿ foa jqjo jvd kqjKe;s mshjr kï fujeks foa j,ska we;aj isàu;a" orejkag ta .ek ksis wjfndaOhla ,nd §u;ah'

Ydl fldgiaj,ska fi,a,ï nvq idod orejkag fokak tmd fuho iq,n ;;a;ajhls' iuyr úg fï ms<sn| úúO u; ;sfnkakg mq¿jk' úfYaIfhka w;S; iudcfha wm uq;=ka ñ;a;ka fidndoyu iu. tlaj iyÔjkfhka lghq;= l< nj ienEjls' kuq;a wo wmg isÿù ;sfnkafka nrm;, f,i fjkia jq mdßißl idOl yuqfõ úkdY fjñka ;sfnk fidndoyu yuqfõ Èú f.ùugh' ke;fyd;a wo wm yuqfõ we;af;a wmg wd.ka;=l fidndoyuls' 2015 Tlaf;dan¾ l<dmh

57


Toxicity

u,a ,iaikhs fk;= ikik yeuodu úI tys ;afí ta .ek Tn is;=jdo @

Ydl fldgia iemSfï§ fujka iamÀl fya;=fjka uqLh iSÍ ;=jd, fõ' túg tajdfha ;sfnk úI iys; fm%daàk ;=jd, Tiafia YÍr.; fõ'

y÷kkafka ke;s úis;=re u,aj,ska lEu fïih w,xldr fkdlrkak wo mj;sk ;r`.ldß iqmfõo Ndú;djka j,§ fuho wmg fndfyda úg oelsh yelsh' kd÷kk yd úi iys; u,a j¾. yd fld< j¾. j,ska wdydrhg hï úI uqiq úh yels nj wm isysfha ;nd.; hq;=h' tjka Ydl úI ùu fya;=fjka úh yels úúO m%;sl%shdjka fun÷ úh yelshs' 1' Ydl m;%" o`vq fyda kgq imd lEfuka lg bÈóu" r;= ùu" uqLh lik .;shla oekSu' 4'uqLh iy Yaf,aIau, mg, j,ska ms<siaiSul§ oefkk wdldrfha oekSula we;ssùu' fujeks ;=jd, iuyr úg i;s .Kkdjla mqrd mej;sh yelshs' fujeks úI iys; me<j, ;sfnk ffi,j," le,aishï Tlaif,aÜ iy úI iys; fm%daàka iys; iamÀl w;a;¾.;h' Ydl fldgia iemSfï§ fujka iamÀl fya;=fjka uqLh iSÍ ;=jd, fõ' túg tajdfha ;sfnk úI iys; fm%daàk ;=jd, Tiafia YÍr.; fõ' fujeks úI ùï j,§ oelsh yels ,laIKh jkafka isref¾ úúO ia:dkj, yg .; yels fmrlS wdldrfha ,laIKhs' w;a;k jeks Ydlhka fya;=fjka we;sjk úIùul§ iuia; bkaøshh moaO;shgu n,mEula we;s fõ' tu.ska yDoh jia;=jg n,mEula úh yelshs' weia fmkSu ÿ¾j, fõ' wêl reêr mSvkh we;s úh yelshs' úIùuloS mqoa.,fhl=f.a yeisÍfï fjkialïo 58

we;eï úg isÿúh yelshs' fujeks fjkialï iu. mqoa.,hl=g úúOdldr jq wuq;= o¾Yk wdÈh Èiaúh yelshs' u;lh ÿ¾j, úh yelshs' fujka m%;sl%shd fnfydaúg laIKslj we;súh yelshs' fndfyda úg tfia we;sjk iq¿ m%;sl%shdjka ál fõ,djlÈ wvq ù hd yelshs' kuq;a Tng ta ms<sn| ielhla we;akï jydu ffjoH Wmfoia m;kak' me< m%o¾Ykj,§ úlsKSug we;s úúO u,a yd me<eá j¾. .ek ie,ls,su;a ùu jeo.;ah' wo ojfia wm ñka fmr lsisod fkdÿgq wd.ka;=l Ydl j¾. /ila olakg ,efnk w;r tys úis;=renj yd w,xldrhg is;a fhduq lrk w;rjdrfhau bka fi!LHhg wys;lr n,mEula we;s fkdlr .ekSug .DyKshka keKj;a úh hq;=h' igyk - wkqrdOd È,sks b,kafldaka

ffjoHjrhd - udisl ffjoH iÕrdj


Child Obesity

<ud ia:q,;djhg ms<shï'''

<ud ia:q,;djhg ms<shï''' oeka ldf,a" orejka jeäfhka uy; fofy; wehs @ wdydrfhka" p¾hdfjka yd wdl,am j,ska orejd yß u.g .kak

<ud frda. ms<sn| úfYaI{ ffjoH §md,a fmf¾rd fï ld,fha orejka w;r ia:q,;djh nrm;, f,i me;sfrñka ;sfnk nj wkdjrKh fõ' fuh flfia md,kh lr.; hq;= o hkak fndfyda fofkl= uqyqK fok .eg¨ldÍ ;;a;ajhls'

2015 Tlaf;dan¾ l<dmh

;rndrej fkdfyd;a ia:q,;djhg fya;=j @ wm .kakd wdydr ia:q,;djhg m%Odk fya;=jla jk w;r ;j;a úúO wdOdrl fya;=ka ;sfí' m%fõKsh fkdfyd;a mjq,a iïNjfhka we;efula uy;a fõ' th wmg md,kh l< fkdyelalls' kuq;a wmg md,kh l< yels idOlo /ila ;sfí' wo mdie,a hk <uqkaf.a m%sh;u wdydrh jkafka flá wdydrhs ^Short Eats& fouõmshkaf.a fkdoekqj;alu yd Tjqkaf.a myiqj ie<lSu ksid fuu wdydr j,g

59


Child Obesity

fouõmshka t;rï úreoaO;ajhla olajkafka ke;' fuu ÿisß; ^tfia lSjdg jrola ke;& <uqkaf.a fi!LH flfryS iDcqju n,mEï we;s lrhs' wfkla fya;=j f,i oelaúh yelafla orejka w;r iq,n meKs îu mdkhhs' wo fndfyda orejka Wfoag fndk f;a fldamamhj;a îug ue<slula olaj;s' kuq;a ta

<ud ia:q,;djhg ms<shï'''

meKS îu j,g Tjqka ;Èkau weíneys ù isák ksidfjks' fujeks meKs îu" flá wdydr jeks fi!LH iïmkak fkdjk wdydr rgdjkag yqre ù isák orejka ;rndre ùu yd wdudY.; frda. j,g f.dÿre ùu je<elaúh fkdyelsh' fï fya;=j ksidu ia:q,Ndjh jeä orejkag lsß" Öia" ng¾" fïo jeks wê fmdaIH wdydr wvqfjka §ug ks¾foaY flf¾' fïjd È.ska È.gu jeä jeäfhka wdydrhg .kakd <uhskag úúO ixl=,;d j,g uqyqK §fï wjia:d jeä fõ' fï ksid wlaudj b§óu" Èhjeähdj" fldf,diagfrda,a" wêl reêr" mSvkh" yqiau .ekSfï wmyiqj" jeks .eg¨ myiqfjkau we;s fjkak mq¿jks'

wo orejkag lEu îu ;rïu w;HjYH jq ;j;a b;d jeo.;a fohla ;sfí' ta ;uhs wdorh yd fifkyi' wks;a yeu flfkl=g jdf.a orejkag;aa wo wdorh wysñ ù we;s njla fmfkkakg ;sfí'

;rndre orefjl=g wikSm jQ úg m%;sldr lsÍu myiq kE''' fujeks orefjl= frda.Sjq úg m%;sldr lsÍfïÈ úúO jq .eg¿ldÍ ;;a;ajhka mek kef.a' úfYAIfhkau fvx.= jeks frda.hlg m%;sldr lsßfï§ ixl=,;d u;=fõ' <ud úfha§ ;rndre <uhska jeäysá úfha§;a" ;rndreùfï jeä m%jK;djhla ;sfí' tfukau tjeks <uhska Y,Hl¾u j,g Ndckh ùfï§ úúO ixl+,;d j,g ,laùfï wjia:djo jeäh' fï ldrKd ie<ls,a,g f.k uõmshka ;ukaf.a orejkaf.a nr jeäùu mj;S kï th md,kh lr .; hq;=hs' 60

ffjoHjrhd - udisl ffjoH iÕrdj


YÍr ialkaO o¾Ylh wkQj orejdf.a nr jeäùu wëlaIKfhka Tfí orejdf.a YÍr nr ms<sn|j Tngu wjfndaOhla ,nd.; yels jkq we;'

YÍr ialkaO o¾Ylh wkQj orejdf.a nr jeäùu wëlaIKfhka Tfí orejdf.a YÍr nr ms<sn|j Tngu wjfndaOhla ,nd.; yels jkq we;'

ia:q, orejka yeviú lr.; hq;= wdydr isß; w¨;a t<j¿" m<;=re jeä jeäfhka lEug mqreÿ lrjkak' iEu m%Odk lEu fõ,lgu miqj m<;=re wdydrhg .ekSug mqreÿ lrjkak' úYd, wdydr m%udKhla lEug .kakjd kï tu m%udKh wkql%ufhka idudkH ;;a;ajhg f.akak' jHdhdu yd fi,a,ï lsÍu osßu;a lrkak YdÍßl jHdhduh iEu <ufhl=gu wjYH fohla' úfYAIs; frda.S ;;a;ajhla ke;akï yeu <ufhlau l%Svd l< hq;=hs' orefjl=f.a YdÍßl fukau udkisl j¾Okhg;a th w;HjYHhs' fï ld,fha <uhskag jHdhdï yd fjk;a l%shdldrlï uÈlu" ia:q,;djhg iDcqju n,mdk idOlhla' mdief,a mäfmf<a by< my< ke`.Su neiSu jeks ir< l%shdldrlï bfí isÿ lsÍu orejkag b;du iqÿiqhs' mhska hd yels ÿr ;%Sù,rfha" jdykfha /f.k hkak tmd' orejdf.a

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Child Obesity

<ud ia:q,;djhg ms<shï'''

fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'

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YÍrh fydr lsÍfuka Tyq fkdoeKQj;aju l=iS; cSú;hlg yqre fjkjd' orejdf.a YdÍßl yd udkisl j¾Okhg iDcqju n,mdk fjk;a lreKq fudkjdo@ wo orejkag lEu îu ;rïu w;HjYH jq ;j;a b;d jeo.;a fohla ;sfí' ta ;uhs wdorh yd fifkyi' wks;a yeu flfkl=g jdf.a orejkag;aa wo wdorh wysñ ù we;s njla fmfkkakg ;sfí' fyd| mdie,lg heùu" fmd;am;a yd we÷ï iemhSu" lEuîu ,nd §u muKla wdorh fkdjk nj we;eï ujqmshka jgyd fkd.ekSu ksid 62

orejka n,j;a mSvdjg yd fõokdjg m;a ù isáhs' fi,a,ï nvq" lEuîu ;rugu wdorh;aa orejkaujqmshkaf.ka n,dfmdfrd;aa;= fõ' ujqmsh ;=ref<a orefjl= fidïkiska isákd úg tu orejdg ±fkk wdorh yd wdrlaIdldÍ ye`.su w;sYhska m%n,hs' ta u;sska orejdg ,efnk W;af;ackh isref¾ j¾Okhg b;du;a jeo.;a jkafkah' fuh bm¥Kq fudfydf;a isgu orefjl=g wjYH jk fohls' orejdf.a uqyqK n,df.k orejdf.a oEia foi n,df.k l:d lsÍu" yd wdorh ±laùu" l=vd ikaosfhaoS orejdg ,ndÈh yels fyd|u W;af;ackhhs' ke<ú,s .S weiSfuka orejd Tl| fjhs' uy;a fidïkig m;a fjhs' ikaksfõokfha iqreúrelï olajk wjosfhaoS wïud lshk l;kaor orejkaf.a cSú;h wdf,dalu;a lrhs' ujf.ka ,efnk fm%auKSh W;af;ackh orejd iqfjka ;nkakg ,efnk orejdg fyd|u msgqjy, nj Tn okakjdo@ igyk-wkqrdOd È,sks b,kafldaka ffjoHjrhd - udisl ffjoH iÕrdj


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Avoiding Back ache - Tips

fndfyda msrsila mSvd ú¢k fldkafo fõokdfjka ñfokakg uQ,sl Wmfoia

we,hg yeÍ" oe;a u;g nr§" fiñka b| .ekSfï bßhõjg meñfKkak' bkamiq wef|ka niskak'

fndfyda msrsila mSvd ú¢k fldkafo fõokdfjka ñfokakg uQ,sl Wmfoia

5' nr tiùfï§ fomd tl <.ska ;nd f.k" oKysia j,ska keó nr Tijkak' fldkao keóu fyda oKysia fl<ska lr ;nd .ekSu fkdl< hq;=h'

Wmfoia - Y%S ,xld cd;sl frdayf,a fi!LH wOHdmk tallh f,dalfha iEurglu mdfya ,laI ixLHd; ck;dj fldkafoa wudrefjka mSvd ú¢k nj fmfkkakg ;sfí' fndfyda wjia:dj,§ fuhg fya;=jkafka msg fldkafoa fmaYs iy nkaOkS we§ug ,laùuhs' fï w;r b;d ;o n, f,i mSvd ú¢k frda.Skao fldkafoa wudre frda.Ska w;r isà' fldkafo lelal=u we;sùug iq,n fya;= 1' jerÈ YÍr bßhõ" jHdhdu wvqnj" ia:q,;djh' 2' wka;¾ lfYareld uvf,a ì£ï iy ,siaid hdï' 3' ykaÈ m%odyh ^Tiaáfhda wd;rhsáia& 4' udkisl wd;;sh' 5' wêl nr tiùu' fldkafo lelal=fuka ñfokakg uQ,sl Wmfoia''' 1'tÈfkod jev lghq;=j, § mfriaiï ùfuka j<lajd .; yelsh'

6' nr Tijd f.k tyd fuyd hdfï§ nr fow;a u; iunrj ;nd .ekSu;a" fow;a YÍrh wdikak j ;nd .ekSu;aa" fldkao fl<ska ;nd .ekSu;a jeo.;ah'

fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'

2' b|f.k isák úg§ msg fldkao fl<ska ;nd .ekSu jeo.;ah' 3' iu;, fuÜghla u; iqjodhs rd;S% kskaola ,eîu fldkafo lelal=ug iykh f.kfoa' tfnk iq¿" uDÿ fuÜg mdúÉÑfhka j<lskak'

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4' kskafoka wjÈ ù wef|ka neiSfï§ m<uqj

64

ffjoHjrhd - udisl ffjoH iÕrdj


fldkafo lelal=ug merisgfuda,a Ndú;h fõokdj wvq lr .ekSug fõokd kdYl T!IO Ndú; l< yel' fuhg iqÿiqu jkafka merisgfud,a T!IOhhs' fuysoS u;l ;nd.; hq;af;a ffjoHjrfhl= úiska kshu l<o fjk;a T!IOj,ska w;=re wdndO we;s úh yels njhs' fldkafo lelal=u j<lajd .ekSug l< hq;= oE 1' nr tiùfï§ • oK ysiaj,ska muKla kefukak' msgfldkao fkdkukak' • Tijk oe ;udf.a YÍrhg wdikakj ;nd.kak' • tiùfï§ mmqj uÜgu olajd muKla Tijkak' • nr wêl kï Wojq ,nd.kak' • yÈisfha nr tiùfuka j<lskak' nr tiùu ie,iqï iy.;j lrkak' • nr Tijd f.k tyd fuyd hdfï§ mfriaiï jkak'

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Avoiding Back ache - Tips

fndfyda msrsila mSvd ú¢k fldkafo fõokdfjka ñfokakg uQ,sl Wmfoia

2' isg .ekSu" b| .ekSu • È.= fõ,djla isg f.k isàfï§ bßhõj ks;ru fjkia lrkak' • Tnf.a YÍrfha iajdNdúl bßhõfjka isgf.k isákak' • ysi iDcqj ;nd f.k kslg ;rula msgqmig f.k" mdofha we`.,s bÈßhg fhduqjk fia ukd bßhõjlska weúÈkak' iqjmyiq wêlj Wia fkdjq mdjyka Ndú;d lrkak'

• jerÈ bßhõfjka weú§fuka j<lskak' È.= fõ,djla isg f.k isàfï§ fyda weú§fïÈ wä Wi mdjyka Ndú;fhka j<lskak'

2' ßh meoùfï§ • fom;=, iu;,j fmdf<dj u;;a oKysia Wl=< uÜgfuka mj;sk mßÈ r:fha wdik ilia lr.kak' • wdikfha fyd¢ka msgqmig ù wiqka.kak' • fldkao my< m%foaYh wdrCIdj i|yd wdOdrhla Ndú;d lrkak'

3' ßh meoùfï§ • iqlaldkfuka fndfyda wE;g ù ys| .ekSfuka j<lskak' • iqlaldkug w; È.= lsÍfï§ yd mev, fj; mdo È.= lsÍfï§ msg fldkao we§ug ,laúh yel'

3' ksodf.k isáfï§ • iu;, fuÜghla u; iqjodhs rd;%S kskaola ,eîu iykh f.kfoa' • we,hg yeÍ oK ysia kud f.k fyda Wvqne,s w;g yeß oK ysia kud f.k fyda Wvqne,s w;g yeß oKysia hg fldÜghla ;ndf.k fyda ksod.kak' kskafoka wjÈj wef|ka neisSfï§ m<uqj we,hg yeÍ oe;a u;g nr§ fiñka b| .ekSfï bßhõjg meñK bkamiq wef|ka niskak'

4' b|f.k isàf崙 muKg jvd Wia jq wiqkl fyda fïifhka jvd wE;a jq wiqkl b|.ekSfuka j<lskak'

fldkafo lelal=u j<lajd .ekSug fkdl< hq;= oE 1' nr tiùfï§ • oKysia iDcqj ;ndf.k keófuka j<lskak' nr tiùfï§ yeÍfuka j<lskak' • Wrysia uÜgñka by<g nr tiùfuka j<lskak' 2' isg .ekSu b| .ekSu • tlu bßhõfjka È.= fõ,djla isg f.k isàfuka j<lskak'

66

5' ksodf.k isàf崙 tfnk iq¿" uDÿ fuÜg u; ksod .ekSfuka j<lskak' • uqKska w;g ksod .ekSfuka j<lskak' • ksÈhk bßhõfõ isg tl jru ys| .ekSfuka j<lskk a ' igyk - wkqrdOd È,sks b,kafldaka

ffjoHjrhd - udisl ffjoH iÕrdj


Pharmacopia

ys;=uf;ag fkd.; hq;= úgñka iS

ys;=uf;ag fkd.; hq;= úgñka iS

wo ojfia ys;=uf;a úgñka j¾. mdkh lsÍug fndfyda fokd fm<ö isá;s' ta w;ßka úgñka iS fndfyda fokd ys;=uf;a mdkh lrk úgñka j¾.hls' fyïìßiaidj" W.=r leiSu wdoS frda. ,laIKhla oeKQkq jydu úgñka iS Ndú;d lsÍug fm<UqKQ wh wm w;r fldf;l=;a isà' fuh ksjeros Ndú;djlao @

úgñka iS wjNdú;fhka uq;%d .,a" jl=.vq wdndO we;s ùug bvlv''' ó.uqj" osia;%sla uy frdayf,a T!IOfõoS ;sirx.s w;=fldar, úisks

úgñka iS hkq fudkjdo@ úgñka iS hkq weiafldaìla wï,hhs' fuh c,fha ødjH úgñka j¾.hla jk w;r ÿ¾j, wdï,sl ,laIK fmkakqï lrhs' úgñka iS m%;sTlaisldrlhls' úgñka iS nyq,j wvx.= wdydr j¾. fudkjdo@ fmar" fk,a,s" fodvï wdoS kejqï m<;=re"yd ;lald,s j, úgñka iS nyq,j wvx.= fõ' ffjoHjreka frda.Ska i|yd úgñka iS ks¾foaY lrk wjia:d fudkjdo@ • tosfkod wdydr u.ska úgñka iS 2015 Tlaf;dan¾ l<dmh

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Pharmacopia

,nd.; fkdyels mqoa.,hkag • os.= uqyqÿ .uka j,oS we;sjk ial¾ú frda.h je<elaùug • uq;%d wdidokj,oS uq;%dj, wdï,sl;djh jeä lsÍu u.ska nelaàßhdjka úkdY lsÍug ksfrda.S mqoa.,fhl=g úgñka iS ffokslj wjYH jkafka wehs @ • o;a" wiaÓ yd ifuys ksfrda.S meje;aug • m%;sTlaisldrlhla f,i YÍrfha ksmofjk uqlal LKavl hdka;%Kh WodiSk lsÍug úgñka iS wfhda.H f,i Ndú;d lrk wjia:d fudkjdo@ úgñka iS 100 mg fm;a;la jeäysáfhl= osklg mdúÉÑ lsÍu je/oaola fkdfõ' kuq;a wo ojfia 100 mg yd 500 mg úgñka iS fm;s úúO rihkaf. ka yd j¾Khkaf.ka hqla;j fj<|fmdf<A olakg ,efí' fïjd ys;=u;fha oskm;d Ndú;h iqÿiq ke;' tfiau l=vd orejka

68

ys;=uf;ag fkd.; hq;= úgñka iS

fuys we;s rih yd j¾Kh ksid wksis Ndú;hg fm<fï' úgñka iS ks;r wjNdú;fhka uq;%d .,a we;sùu" jl=.vq wdndO wdosh we;s ùug bv ;sfí'

tosfkod mßmQ¾K wdydr fõ,la ,nd.kakd mqoa.,hka úgñka iS wu;rj ,nd .ekSu wjYH ke;' kuq;a wdydrfha wvx.= iajdNdúl úgñka iS wdydr ms<sfh, lsÍfï jeros rgd ksid úkdY úh yel'

úgñka iS ksjeros wdldrfhka Ndú;d lrkafka flfiao@ tosfkod mßmQ¾K wdydr fõ,la ,nd.kakd mqoa.,hka úgñka iS wu;rj ,nd .ekSu wjYH ke;' kuq;a wdydrfha wvx.= iajdNdúl úgñka iS wdydr ms<sfh, lsÍfï jeros rgd ksid úkdY úh yel' fï ksid wdydr ms<sfh, lsÍfïoS my; l%u wkq.ukh lsÍug ie<ls<su;a jkak' • m<;=re hqI iEoSfïoS iSks" ¨KQ wdosh osh lsÍfuka wk;=rej m<;=re ødjKhg tla lrkak' • m<;=re len,s f,i wdydrhg .ekSfuka úgñka iS úkdY ùu wju fõ' • ;lald,s wuqfjka wdydrhg .kak' • msiQ wdydr j,g foys tla lsÍfïoS wdydr fyd|ska ksjqKQ miq foys tla lrkak' • úgñka iS - fm;s f,i Ndú;d lrkafka kï fyda l=vd orejkag ,nd fokafka kï tu ksIAmdokfha wvx.= úgñka iS m%udKh ms<sn|j ksjerosj oeKQj;a ù ta ms<sn|j ffjoH Wmfoia ,nd.kak'

ffjoHjrhd - udisl ffjoH iÕrdj


Advertorial

wdydrhg iqÿiqu iy,a fï úosyg y÷kd.kak

wdydrhg iqÿiqu iy,a fï úosyg y÷kd.kak kjH fmdaIK wkdjrKhka Tiafia fmruqK .;a CIC r;= ndiau;S iy,a wdpd¾h wdkkao pkaøfialr úisks PhD (Human Nutrition) (Sydney University) ananda.ch@icloud.com

iy,a ukqIHhdf.a m%Odk wdydrh f,i ie<flhs' m%Odk jYfhka ldfndayhsfâ%Ü ix>gl j,ska msßmqka ksid th m%Odk wdydrhla f,i losug .e,fmkafkah'

r;= iy,a hhs wm idudkH jyf¾oS mjikafka tys we;s meyeh r;a meyehla .kakd ksidh' m%;sTlaisldrl .=Kfhka hq;a wekaf;dihkska kï ridhKslh iy,a wegfha r;a meyehg fya;= fõ'

iyf,a we;s .=Kj;a msIAGh r;= iy,a hhs wm idudkH jyf¾oS mjikafka tys we;s meyeh r;a meyehla .kakd ksidh' m%;sTlaisldrl .=Kfhka hq;a wekaf;dihkska kï ridhKslh iy,a wegfha r;a meyehg fya;= fõ' iy,a j, msIagh wdldr folla mj;S' weuhsf,daia iy weñf,dfmlaáka hkqfjks'

fohs' ;dhs ceiañka" cmka yd úhÜkdï iyf,a wegh os.ska jeä ke;' uOHu m%udKh' wef,k iq¿ iajNdjhla orK weñf,dfmlaáka msIagfhka idr fï iy,a cmka" ;dhs wdydr nqoSfï isß;g;a losug .e,fma' fï wef,k iq¿ ldKAvfha wdydr j, .a,hsisñla o¾Ylh jeäh' ^blauKska reêr iSks m%udKh by< kxjhs'& tneúka tajd t;rïu fi!LHdrlaIs; fkdfõ'

iyf,a fmdaIKSh jákdlu jeäjk yeá CIC frâ ndiau;S jeks os.= weg iys; OdkH j, jvd;a we;af;a weuhsf,daiah' n;a ál uDÿj;a úh<sj;a msi.kakg fï yd,a jeä bvla ,nd

CIC frâ ndiau;S iy,a idhkslj ;yjqre lrk ,o fmdaIH

fmdaIK .=Kfhka by< l=reÜgla fkdfyd;a msg; wdjrKhla we;s ksid r;= iy,a" iqÿ iy,a j,g jvd fmdaIK .=Kfhka wkQk hhs ie<fla' m%;sTlaisldrl .=Kdx.hkaf.ka hqla; mhsfgdridhk iy wdydruh fl|s /ila r;= ydf,a ;sfí' ksoka.;j we;sjk yD;a frda." oshjeähdj iy ms<sld we;=¿j frda. /ilska wmj uqojd.ekSfï yelshdjla r;= iy,g ;sfí'

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Advertorial

wdydrhg iqÿiqu iy,a fï úosyg y÷kd.kak

.=Kfhka wkQk iy,la jk CIC frâ ndiau;S iy,a wkqNjfhka reêr.;j we;s iSks úi,a mrdihlska fjkia jkafka ke;' tksidfjkau oshjeähd frda.Skaf.a reêr iSks uekúka md,khg WmldÍ fjhs' th fldf,iagfrda,a wvq lsÍugo" ia:q,;djh md,kh lsÍugo WmldÍ jkafkah' tfiau wfma rfÜ Ndú;d jk wjfYAI ndiau;S iy,a j,g jvd m%;sTlaisldrlhla jk *sfkda,sl ixfhda. ixhq;sfhka fnfyúka fmdfydi;ah'

.a,hsisñla o¾Ylh mokï lr.;a wdydr .; hq;af;a wehs @ wdydrúfYAIfhkau oshjeähd frda.Ska i<lK l< Tjqka ks;ru .; hq;af;a .a,hsisñla o¾Ylh wvqfjka we;s wdydrh' tu wdydr u.ska .aÆfldaia ixfõoS;djh by< kxjk w;r ffi,Sh l%shdldß;ajho by< kxjhs' ta yereKQ úg reêr.; fldf,iagfrda,a uÜguo wvq lrhs" iaurK yla;sh m%j¾Okh lrhs' my< .a,hsisñla w.hla m%lg lrk iy,a ms<sn|j ful, m¾fhaIK mq¿,a ù ;sfí' iy,a weghl .a,hsisñla w.h ;SrKh lrk idOl 70

wvq .a,hsisñla w.hla iys; wdydr .ekSfuka reêr iSks uÜgfï fï jeä jYfhka by< hdu md,kh lrk w;r YÍrfha fmaYsj, ksh; Yla;s uïgulao mj;ajd .ekSug WmldÍ fjhs' fï ksid we;súh yels oshjeähdj" yD;a frda. wdoS frda. /ilska ñoSug fya;= fjhs' .Kkdjla fjhs' iy,a wegfha m%udKh" weuhsf,daia yd weñf,dfmlaáka hk msIaG w;r wkqmd;h" msIAGfha jHqydj" ù wegfhka iy,a ,nd. ekSfï l%shdj,sfhaoS th mdysk m%udKh" n;a msiSfï l%ufhõoh fukau iy,a wegfha wka;¾.; fm%daàk" fïoh iy laIqø fmdaIl j, m%udKh wdoS jYfhks' óg fmr i|yka l<dla fuka

ffjoHjrhd - udisl ffjoH iÕrdj


CIC frâ ndiau;S iy,a j, we;af;a os.= isyska wvq .a,hsisñla o¾Ylhla m%lg lrjk iy,a weghls' .a,hsisñla o¾Ylh wvq low GI iy,a j, we;s m%fhdack • jvd;a hym;a reêr iSks yd bkaishq,ska hdukhla we;s fõ' fï ksid YÍrfha bkaishq,ska wjYH;djh ie<lsh hq;= uÜgulska wvq fõ' • YÍrfha Yla;s wjYH;d uekúka hdukh lrhs' low GI w.hla iys; wdydr mßjD;a;Shg ,la jkafka wvq fõ.hlsks' fï wkQj l%shdldÍ fmaYs j,g wkjr; Yla;s m%jdyhla ,efí' • wvq GI w.hla iys; wdydr wkqNjfhka fojk wdldrfha oshjeähdj" lsÍgl Ouks frda." ms;a;dYfha frda. yd mshhqre ms<sld we;sùfï wjodku wvq lrhs' low GI w.hla iys; wdydr hkq ks;ekskau wdydruh ;ka;= w.h jeä wdydrh' 2015 Tlaf;dan¾ l<dmh

tho fuu wdydr j,ska ,efnk wu;r jdishls' • low GI w.hla iys; wdydr .ekSfuka oshjeähd frda.Skaf.a .aÆfldaia uÜgu;a ,smsv m%udKhla uekúka hdukhg ,la fõ' • low GI w.hla iys; wdydr .ekSfuka fldf,iagfrda,a j, fyd| ix>gl (HDL) m%udKh by< kexfjhs' krl fldf,iagfrda,a (LDL) ksmoùu wvq lrhs' fuys m%;sM<h jkqfha yoj;a frda. we;sùfï wjodku wju w.hlg m;a ùuhs' • low GI w.hla iys; wdydr .ekSfuka msßh fkdfyd;a lEu reÑh wvq lrhs' ta yereKq úg YrSrfha bkaishq,ska m%;sfrdaOho wvq lrhs' fï ksid ;rndre fkdjk isyska isrerla Tng ysñ fõ' • l%Svdfõ ksr; jk úg fmaYsj,g ksh; uÜgul .aÆfldaia iemhqula ,efí' fï ksid fmaYs.;j os.=ld,Sk .a,hsfldcka ixÑ;hla .nvd jk w;r l%Svdfõ ord .ekSfï yelshdj by< kexfjhs' jvd wiSre b,lal ch.; yels jkq we;' CIC frâ ndiau;S iy,aj, fmdaIKSh .=Kdx. • mQ¾K OdkH wdydrhls' .a,hsisñla ixÑ;h wvq w.hla .kS' • wdydruh ;ka;=j,ska fmdaIs;h' • *a,efjdkhsâ" wekaf;dihkska" m%;sTlaisldrl wdoS mhsfgdridhk wvx.=h' • leâñhï" Bhï" wdiksla wdoS jYfhka jQ ner f,day wvx.= ke;' .a,hsisñla o¾Ylfhka oelafjkafka wm wdydrhla .;a miq thska reêr.; iSks uÜgug we;sjk n,mEuhs' reêr.; iSks jeä jYfhka by< kexfjk úg reêrjdyskS wdmodjg m;a fjhs' tfiau thska bkaishq,ska m%;sfrdaOhlao we;s fjhs' fï m%;sfrdaOh ksid uq,skau mQ¾j oshjeähdj we;sjk w;r miqj Tyq oshjeähd frda.sfhla njg m;afõ' 71


Advertorial

wdydrhg iqÿiqu iy,a fï úosyg y÷kd.kak

.a,hsisñla w.h wvq wdydr .ekSu fï wjodkfuka ñoSu i|yd w;sYhska jeo.;ah' wvq .a,hsisñla w.hla iys; wdydr .ekSfuka reêr iSks uÜgfï fï jeä jYfhka by< hdu md,kh lrk w;r YÍrfha fmaYsj, ksh; Yla;s uïgulao mj;ajd .ekSug WmldÍ fjhs' fï ksid we;súh yels oshjeähdj" yD;a frda. wdoS frda. /ilska ñoSug fya;= fjhs' wvq .a,hsisñla w.hla iys; CIC ndiau;S iy,a f;dard.ekSfuka w;ajk m%fhdack • reêr iSks iy bkaishq,ska ukdj md,kh lrhs' fuu.ska YÍrfha bkaishq,ska wjYH;djh wvq fjhs' • YÍrfha Yla;s uÜgï uekúka md,kh fjhs' YÍrh wvq GI w.hla iys; wdydr cS¾Kh lrkafka jvd fiñks' fï ksid l%shdldÍ fmaYs j,g wkjr; Yla;s iemhqula ,eîu iy;sl flfrhs' • oshjeähdj" yDo frda." ms;a;dY frda. yd mshhqre ms<sld wdosh we;sùu j<lajhs' wvq .a,hsisñla w.hla iys; wdydr j, wdydruh ;ka;= m%udKho jeäh' • oshjeähdj iys; frda.Skaf.a .aÆfldaia yd ,smsv uÜgu m%j¾Okh lsÍug wvq .a,hsisñla w.hla iys; wdydr fya;= fjhs' • YÍrfha fyd| fldf,iagfrda,a uÜgu by< kxjhs' krl fldf,iagfrda,a uÜgu my; fy<hs' yoj;a frda. wjodku fukhska my; fy<hs' • wvq .a,hsisñla w.hla iys; wdydr .ekSfuka wdydr reÑh wvq fjhs' bkaishq,ska m%;sfrdaOh we;sùfï wjodkuo neyer,hs' fuys iuia; m%;sM,h jkafka ;rndrej wvq ùuhs' • wvq fõ.hlska YÍrhg Wrd.kakd ldfndayhsfâ%g u.ska fmaYs j,g ksh; Yla;s m%udK ,nd fohs' l%Svd fl!Y,Hh yd ord. ekSfï yelshdj j¾Okhg fuh bjy,a jkafkah' 72

wvq .a,hsisñla w.hla iys; wdydr j, we;s m%;sTlaisldrl yd mhsfgdridhk .=Kdx. r;= ndiau;S iy,a iajNdjfhka r;= mdg jk w;r tfia jkafka iyf,ys wvx.= msfkd,sla ridhk yd wekaf;dihkska fya;=fjks' r;= ndiau;S iyf,ys ie<lsh hq;= m%;sTlaisldrl m%udKhlao hqla;h' wekaf;dihkska ms<sn|j isÿ lrk ,o wOHhk j,g wkQj tajd YÍrfha fldf,iagfrda,a m%j¾Okh lrk njo" YÍrfha mßjD;a;Sh l%shdj,sh uekúka hdukh lrk njo" reêr mSvkh md,kh lrk njo" yoj;a frda. j,g n,mdk Tlaisldrl wd;;sh wvq lrk njo ksÍlaIKh ù ;sfí' tfiau wekaf;dihkska j, ms<sld u¾Ok l%shdldß;ajhlao mj;akd nj ikd: ù ;sfí'

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Cooperate Health News

mqj;a úuiqu

Cooperate

Health News wgjk ixj;airh iurK f.da,avka lS frday, iajlSh wgjk ixj;airh iurk f.da,avka lS frday, Golden Key Hospital (GKH) ;u fijfKA frdayf,a wNsjDoaêhg Wrÿka fiajlhka yg m%Kdu msoSug ierfihs' 2007 j¾IfhaoS frday, wdrïN lsÍfuka miqj wlaIs iy ENT flafIA;%fha frda.S i;aldr yd m%;sldr l%shdj,sfhys fmruqKg meñKSug f.da,avka lS frday, iu;a jQ nj tys l<uKdldr wOHlaI wreK f,alïf.a uy;d m%ldY lrhs'

zzwmf.a oelau jkqfha ol=Kq wdishdkq l,dmh ;=< wlaIs yd ENT m%;sldr flafIA;%h ;=< iQúfYAIS fiajd imhkakd ùuhs'ZZ f.da,avka lS frdayf,a iNdm;s fcydka wur;=x. uy;d m%ldY lf<Ah' f.da,avka lS frdayf,a Y,Hd.drh úIîc Y=kH lrjk fudähq,¾ ;dlaIKfhka hqla; jk w;r w;sYh Wiia yd ixlS¾K ie;alï isÿlsÍfuyso kjH myiqlï j,ska iukaú;h'

wdisrs frdayf,a F&B wxYh fï nqyquk ,nd.;a fojk wjia:dj fuhhs'

wdydr mdk iqrlaIs;;djh iïkaOfhka wdisß frday,a iuQyhg ;;a;aj iy;slhla wdisrs frdayf,a wdydrmdk iïnkaO fomd¾;fïka;=j miq.shod wdydr iqrlaIs;;djh l<uKdlrK moaO;s iïnkaOfhka ISO 22000 ;;a;aj iïudkh ysñ lr.;af;ah' fuu by<u uÜgfï ms<s. ekSu iaùÜi¾,ka;fha cskSjd kqjr msysà Societe Generale de Surveillance wdh;kfhka ksl=;a lrk

74

,o w;r th j¾I ;=kl ld,hla i|yd j,x.= jkafkah'

fï iïnkaOfhka woyia oelajQ wdisrs frday,a iuQyfha wdydr yd mdk j¾. m%Odks" Wmq,a úfcafldaka uy;d mejiQfha frday,g wuq wdydr ,nd. ekSfï isg frda.shdf.a we| iómhg wdydr ms<s.ekaùu olajd iuia; l%shdj,sh wdydr iqrlaIs;;d yd l<uKdlrKuh jYfhka mq¿,a l%shdj,shla jYfhka isÿ lsÍug 200la muK jQ ;u ld¾h uKav,h lemùfuka lghq;= lrk njhs' fuysoS jrola ùug we;s bvlv Y=kH olajd wju lsÍug ;u ld¾h uKav,h W;aiql ù we;s nj Tyq m%ldY lf<Ah'

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Maternal Death Surveillance

wfma ud;D urK j<lajd .ekSug l< hq;= oE'''

ud;D urK wfma ud;D urK j<lajd .ekSug l< hq;= oE''' Wmfoia - m%ij yd kdßfõo ix.ufha iNdm;s úfYaI{ ffjoH lms, .=Kj¾Ok ¾NKSNdjh ye¢kaúh yelafla iajdNdúl j¾.hdf.a meje;au Wfoid jk iajNdúl ixisoaêhla f,ihs' .¾NKS ld,h ;=< fyda .raNsKSNdjh wjika ùfuka Èk 42 la we;=<; isÿjk urK ud;D urK f,i ye¢kafõ'

.

fuu ;;a;ajh idfmalaIj wju uÜgul mej;sho wo jk úg;aa Y%S ,xldj ;=< Èk follg" ;=klg jrla ud;D urKhla isÿ ùu fYdapkSh ;;a;ajhla fõ' fujeks ud;D urKhla isÿùug fya;=jk idOl fudkjdo @ tAjd j<lajd .ekSug .;hq;= mshjr l=ulao@ hkak meyeÈ,sj wjfndaOhla ,nd isáfha kï fujeks wNd.H iïmkak urK j<lajd .ekSug" wju lr .ekSug t;rï wmyiq fkdfõ' ud;D urK hkq tla w;lska ÿmam;a nfõ ixfla;hls f,dalfha b;d wvq myiqlï we;s rgj,a w;r isfhdrd,sfhdka rfÜ ud;D urK jeä jYfhkau isÿfjkjd' b;d jeä myiqlï iys; BY%dh,h" lekvdj" jeks rgj, ud;D urK isÿjkafka b;d wvqfjka' Y%S ,xldfõ ud;D urK isÿjkafka fndfyda újdyl msßia ta ms<sn|j Wmfoia fok oekqj;alï we;s whf.ka ,efnk Wmfoia ksishdldrj ms<sfkdmeoSu ksihs' Tjqkaf.a fkdoekqj;aNdjh;a" fkdie<ls,a,;a m%Odk jYfhka fï fÄojdplhg n,md ;sfí' wfma rfÜ ud;D urK j,g n,mj;ajk fya;= .¾NKsNdjhg m;ajk fndfyda ldka;djka w;=ßka 2015 Tlaf;dan¾ l<dmh

ishhg 81 la fyd| wOHdmkhla ,enq ldka;djka' wfma rfÜ ;=< ud;D urK jeä jYfhka isÿjkafka .%dóh m<d;aj, yd j;=lrfha m%foaY j,sks' thskq;a ishhg 70 l m%udKhla m%iq;sfhka miq isÿjk urK fõ' tu ud;D urK i|yd m%Odk fya;= jkafka wêl reêr jykhhs' tfukau .íid lr .ekSï" yDofrda. yd ishÈúydks lr .ekSï o wjfYAI fya;=ka w;r jkjd' fï ;;a;ajh ms<sn|j ck;dj oekqj;a l< hq;=hs' úfYAIfhkau wjodkï iy.; .¾NsKS;djhla orK .¾NsKS ldka;djka ióm wëlaIKhg ,la lsÍu wjYH jk w;r mjqf,a idudcslhkaf.a úuis,a,g fï ldka;djkg fjfiiska ,eìh hq;=hs' ;u Nd¾hdj orefjl= m%iQ; lsÍug isák úg iajdñmqreIhdf.a j.lSu jeäfõ' fndfyda iajdñmqreIhka fï j.lSu uekúka wjfndaO lrf.k isák uq;a tfia fkdjk wjia:do ;sfnk ksid fï .ek isysm;a lsÍula lsÍu iqÿiqh' 75


Maternal Death Surveillance

.¾NKs uj flfryS ieñhdf.ka bgq úh hq;= hq;=lï 1' ujg;a wef.a l=i ;=< jefvk orejdg;a wdrlaIdj yd fmdaIKh iemhSug;a weh ksfrda.Sj ;nd .ekSug;a ieuúgu l%shd l< hq;=h' 2' yels Wmßufhkau ìß|g wjYH wdydr mdk ,nd Èh hq;=h' weh wdydr ksishdldr ,nd .kakjdoehs fidhd ne,sh hq;=h' 3' ìß|g wjYH iEu lghq;a;l§u Tnf.a iydh fkdue|j ,ndÈh hq;=h' 4' u;ameka îu" ÿï mdkh we;=¿ wys;lr mqreÿ we;akï thska w;añ¢h hq;=h' 5' ìß| iu. rKavq onr we;slr .; fkd.; hq;=h' ysßyer" udkisl mSvd isÿ fkdl< hq;=h' 6' weh flfryS úfYAI ie<ls,a,la" wjOdkhla oelaúh hq;= nj ksjfia isák whg myod Èh hq;=hs' 7' ksjfia ikaiqka" iqjodhl mßirhla we;s lsÍug wjYH j;djrKh ielish hq;=h' 8' yels iEu úgu weh iu. wd.ñl lghq;= j, fhÈh hq;=h' 76

wfma ud;D urK j<lajd .ekSug l< hq;= oE'''

wjodkï iy.; .¾NsKS;djhla orK .¾NsKS ldka;djka ióm wëlaIKhg ,la lsÍu wjYH jk w;r mjqf,a idudcslhkaf.a úuis,a,g fï ldka;djkg fjfiiska ,eìh hq;=hs'

9' yÈis wjia:djl mdúÉÑ lsÍug uqo,a m%udKhla ;sìh hq;=h' 10' Tn ksjfia fkdue;s úg yÈis ;;a;ajhla we;s jqjfyd;a .; hq;= mshjrj,a we;=,;a jev ms<sfj,la iEÈh hq;=hs' uqo,a" m%jdyk myiqlï" hdhq;= frday,a" frday,g hd hq;af;a ld iu.o@ ksjfia orejka we;akï Tjqka ksjfia isáh hq;af;a ld iu.o@ hkak ieñfhl= f,i fï wkaoñka ls%hd lsÍu wo isgj;a wkq. ukh lsÍu" wÈgka lr.kafka kï th uõjrekaf.a hym; msKsi jkq fkd wkqudkh' ^fi!LH wOHdmk ld¾hdxYfha meje;s udOH iïuka;%Kh weiqßks&' igyk - wkqrdOd È,sks b,kafldaka ffjoHjrhd - udisl ffjoH iÕrdj


Advertorial

;ejq,a iy.; w÷re j<dmg m<jd yer Tfí cSú;h jvd;a iqjmyiq lrjk

WmfoaYKh ka;djlf.a ksfjfiaoS yd iudcfhaoS l%shdldß;ajh úúOdldrfhks' w;S;fha fuka fkdfõ' wo ojfia ldka;djka iudc j.lSï /ilgo ne|S isá' úúO jd;djrkhkaysoS" úúO jmißfhka wo ojfia ldka;djl ixlS¾K ld¾h Ndrhlg WroS isà' ldhsl jYfhkao" udkisl jYfhkao úúO jmiÍkaf.a ukdfia ixúê; hy l%shdldß;ajhla wehg ksielfhkau ;sìh hq;af;ah'

ld

WmfoaYKh

wdrïNfhaoS weh oshKshl fidhqßhl jYfhka iudc j.lSï" ld¾h Ndrhkag Wrfohs' wo ojfia ldka;djka /ilg fyd| wOHdmkhla ,eîfï jrï ysñùu jdikdjls' wehg we;s /lshd m%ia:do wo ld,fha mq¿,a jmißhla .kS' fï w;f¾ l,ahdfïoS weh Nd¾hdjl yd oshKshlo jYfhka wef.au mjq,l j.lSï yd N+ñldjlo ksr; jkakSh' ldka;djl" weh ksr; jk ixlS¾K iudc ixo¾Nh ;=< úúO jQ iudcuh" ufkdauh yd fN!;sl wjYH;djhka imqrd.; hq;af;ah' we;eï úg wehg h,s h,s;a we;sjk fyda wkfmalaIs; isoaëka iuqodhlg uqyqK mdkakg isÿfõ' úfgl wehg ueosy;alrefjl= jkakg isÿfõ' idu ¥;sldjlf.a ld¾hNdrho" úi÷ï fidhd fokafkl=f.a ld¾hNdrho wehg ysñ j.lSï jkafkah' úúO /lshd j, ksr; ldka;djkg ;u jD;a;Sh ;=< ;ukaf.a

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Advertorial

WmfoaYKh

fukau wfkla whf.ao wNsfhda. j,g úi÷ï fiùug isÿúh yel' fï wdldrfha tosfkod uqyqK mdkakg isÿjk wNsfhda. ueoafoa wehg wef.au b,lalo imqrd .ekSug we;' wd¾Ól wjYH;d" wOHdmksl wjYH;d" iyiïnkaO;d fï w;f¾ m%Odkh' ldka;djkg fï ish,a, w;f¾ fjkia jk f,dalh;a iu.ska uqyqK mdkakg isÿjk ldhsl m%Yako /ila we;' fnda fkdjk frda." úúO wdidok" wk;=re yd wdmod" uoHmdkh" ÿïmdkh yd weíneysùï wdY%s; .eg¿ wehg ful, we;s fi!LHuh wNsfhda.h' j¾;udk wd¾Ól yd iudc ikao¾Nh iajdNúl mßirho wehg we;eï wjia:d j, cSú;hg wNsfhda. tla lrhs' fï wdoS úúO fya;=ka wehg wd;;sl ;;a;ajhka we;s lrhs' fjfiiskau ndysr f,dalfha wef.a N+ñldj;a wehf.a cSjk wNs,dIhka yd b,lal;a fya;=fldg f.k my; fya;=ka u; wd;;sh j¾Okh úh yel' • ld, l,uKdlrKfha ÿIalr;d • Wmdh ud¾. l%shd;aul lsÍfï wld¾hlaIu;djh • iajhx wjfndaOh wvqlu • ie<lsh hq;= wka whf.ka iyfõokh wvqùu • fi!LHiïmkak jev lrk ld,hla mj;ajd .ekSug ÿIalr ùu • cSjk l=i,;djhka ÿ¾j, ùu

WmfoaYK l%shdj,shla hkq ieis lsysmhla ;=< WmfoaYlhd;a" th wfmalaIs; ;eke;a;d;a w;r iqyoYS,S" wdkkaockl mßirhl meje;afjk yDohx.u l;dnyls' th ksYAÑ;ju iajlSh wruqKQ idOkh lrhs' tfiau th Tfí ryiHNdjh imqrd iqrlshs' Tn flfryS mj;akd iydkqlïmdj yd mQ¾j úksYaphkaf. ka f;drj lghq;= lsÍfï mßirh WmfoaYKhl uqLH wx. jkafkah' Tn ljr .eg¿jl isrù .;a;;a ksielfhkau thska ñoSug" jvd;a iykYS,Sj cSú;hg uqyqKoSug fuh ksiel m%drïNhla jkafkah'

ldka;djkaf.a jeäfjñka mj;akd wd;;ska u¾Okhg" ufkdauh fi!LH ;=<Kd;aul lsÍug WmfoaYKhg we;af;a losu yelshdjls' WmfoaYKh wef.a ufkdaNdj hym;a lsÍug muKla fkdj weh ;=< ie`.j we;s ks¾udKd;aul yelshdjka wjos lrñka wef.a cSú;fha W;alDIAG jákdlï y÷kd.ekSugo oSmKhla jkafkah'

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diabetics

oshjeähd frda.fhka wjhj mjd wysñ ùug fmr

oshjeähd frda.k S a fomd wdrlaId lr.; hq;fa ;a wehs @ oshjeähd frda.fhka wjhj mjd wysñ ùug fmr úfYaI{ Y,H ffjoH uydpd¾h ukaÈl úfÊr;ak

Èhjeähdj ±ka wfma rfÜ nyq,j mj;sk frda.hla' wm jhig hk úg frda. iE§fï m%jK;djh jeähs' jhig hk úg nyq,j ±l .kakg ,efnk frda. w;ßka Èhjeähdj m%uqL frda.hla njg m;a fj,d' fï wkqj wfma rfÜ jeäysá ck.ykh jeä ksid Bg idfmalaIj Èhjeähd frda.Skaf.a jeä ùul=;a fmfkkakg ;sfnkjd' kuq;a Èhjeähdj yefokafka jhig hdu ksidu fkdfjhs' fï jk úg Bg f.dÿre jqK <uhska mjd isákjd' fkdie<ls,su;alfuka Wreu jk frda.hla ia:q,;djh;a Èhjeähdj yg .ekSu i|yd m%n, f,i n,mdkjd' tA YÍrfha nr jeä jk úg bkaishq,ska l%shdldß;ajh ÿ¾j, jk ksihs' Èhjeähdj je<f|kakg fndfyda úg n,mdkafka wfmau fkdie<ls,su;alu'

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iuyre tAl fkd±kqj;alu jYfhka wfkla whg yÕjkakg W;aidy lrkjd'

fomd fyd¢ka wdjrKh jk mdjyka ke;sj rn¾ fifrmamq hqj<la mh,d f.k ;ukaf.a f.a ;=< weúoao;a kshfmd;a;la lemSfï§ hdka;ug weÕs,af,a iu lemS .sh;a fï ´kEu fohla wka;h olajdu hkafk frda.shdg ±kSï ke;s ùfï .eg¨j ksihs'

wmg;a yefokak mq¿jka hhs is;Su jeo.;a tA jf.au ;j flkl=g Èhjeähdj ksid we;s jQ úm;la wykak ,enqKdu ug kï tA jf.a foaj,a fjkafk kE lshk u;fha ;uhs 80

wms yeu fokdu bkafk' tAl fmdÿ iajNdjhla' kuq;a fï is;=ú,a, ksid wmg isÿjk wjdis fndfyduhs' yeÿK;a ta nj fkdokaklu nrm;, .eg¿jla wmg Èhjeähdfõ uQ,sl ,laIK yg f.k ;snqK;a tAl Èhjeähdj nj ms<s.kak wm iQÞkï kE' tA ksid tAl wu;l lr iqmqreÿ Èk pßhdfju fhfokjd' iqmqreÿ lEu îu .kakjd' wms frda.h .ek wu;l l<dg YÍrh ;=< ;sfnk frda.h bfí ÿre ù hkafk kE' tA jf.au wm iSks f;,a wd§ jYfhka jQ Èhjeähdjg w.=K jQ lEu îu;a lsisÿ md,khlska f;drj .kafka kï frda.h YÍrh ;=< ksy~ju ;jÿrg;a j¾Okh fjkjd' ffjoHjrfhla <Õg .sh úg tu ffjoHjrhd Tng wij,a frda.h ;sfnkjd hehs lsõfjd;a wm tAlgj;a t;rï leue;a;la olajkafka keye' fï wkqj ;ukag Èhjeähdfõ iq¿ iq¿ ,laIK my< jQ úfglj;a th mÍlaId lrjd f.k m%;sldrj,g fhduq jkak iuyre leu;s kE' wka;sug ;on, f,i ixl+,;d yg.;a miq ffjoHjrhd <Õg meñfKkjd' tys§ Èhjeähd frda.h je<£ fldmuK l,a±hs ffjoHjrhd úuiQ úg —wjqreÿ fol ;=kla fjkjd˜ lsh,hs fndfyda frda.Ska lshkafk' kuq;a tA ixl+,;dj, iajNdjh wkqj tu ;eke;a;dg jir .Kkdjl mgka Èhjeähd frda.h ;snQ nj ffjoHjreka jk wmg jgyd.kak wmyiq kE' jyd m%;sldr j,g fhduq jkak Èhjeähdj iudcfha fndfyda m%p,s;j mj;sk frda.hla ksid fuys ,laIK fkdokakd flfkla isákafka hehs is;Su wmyiqhs' tA wkqj ;ukag Èhjeähdfõ ,laIK ;sfnk nj;a" th m%;sldr f.k md,kh l< hq;= nj;a fkdis;Sfï wjika m%;sM,h jkafka wjqreÿ 75-80 la Ôj;a fjkakg isá flfkla wjqreÿ 60-65 jeks ld,hl§ ñh hduhs' tfia ñhhkafk;a wjqreÿ 5-10 la

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diabetics

oshjeähd frda.fhka wjhj mjd wysñ ùug fmr

j;a frday,aj, ÿla ú| ;uka <Õ we;s úYd, uqo,l=;a jeh lr,hs' frda.hla je<£ m%;sldr .ekSu fkdj th je<£ug we;s bvlv wyqrd wdrlaId ùuhs ^Prevention& jeo.;au foh jkafka' kuq;a tAl álla wudrehs' ksoiqkla f,i Èhjeähdfjka j<lskak kï Tfí nr md,kh lr ia:q, ùu je<elaùug mshjr .; hq;=hs' meKs ri" f;,a yd msá iys; wdydr yels;dla md,kh lrkak meKs ri" f;,a yd msá iys; wdydr yels;dla md,kh l< hq;=hs' l%shdYS,Sj Ôj;a úh hq;=hs' fï mqreÿ udihla folla fyda wjqreoaola folla fkdj Ôú; ld,hu mj;ajd f.k hduo wjYHhs' kuq;a zzfïl yß lrorhla' tA ksid ;ju;a fkdyeÿKq f,vla fjkqfjka fudkjg fuÉpr

ysß jeàu oekSu fkdue;s ùu

oefjkiq¿ .;sh

mqmqre.ik .;sh

oshjeähdj ksid mdo j,g jk ydksh - iakdhq wl¾ukH ùu

2015 Tlaf;dan¾ l<dmh

wmg Èhjeähdfõ uQ,sl ,laIK yg f.k ;snqK;a tAl Èhjeähdj nj ms<s.kak wm iQÞkï kE' tA ksid tAl wu;l lr iqmqreÿ Èk pßhdfju fhfokjd'

uykais fjkjdo@ZZ lsh,d fndfyda fofkla l,amkd lrkjd' fï wkqj ;ukaf.a iqmqreÿ Ôjk rgdj fjkia lsÍug Wkkaÿ fkdù th tf,iu mj;ajd f.k hkjd' wvqu ;rñka ;ukaf.a ujg fyda mshdg Èhjeähdj ksid we;s jQ úúOdldrfha ixl+,;d olsk mqf;laj;a tA .ek ys;,d ;ukaf.a iqmqreÿ Ôjk rgdj fjkia lrkakg Wkkaÿ fjkjd wvqhs'

81


yeu bkaøshlgu n,mdkjd Èhjeähdj Tfí weia" fud<h" yDoh jia;=j" jl=.vq" fomd wd§ ´kEu wjhjhlg úYd, jYfhka wdmÞ we;s lrúh yels frda.hla' fï frda.h ksid YÍrfha úYd, kyr wjysr jk w;f¾ l=vd kyrj, l%shdldß;ajh fjkia fjkjd' túg iakdhqj, l%shdldß;ajh ÿ¾j, fjkjd' fï ;;a;ajh jl=.vqj,g n,mEfjd;a jl=.vqj, l%shdldß;ajh ÿn, jQ úg w;S;fha§ kï frda.shd ñh hkjd' ±ka vh,hsisia m%;sldrh lr .ksñka ;j ál l,la Ôj;a fjkjd' kuq;a blaukg ñh hkjd' tys§ o isÿjkafka úYd, uqo,la úhoï lr bkamiq ñh hduh' kyr úYd, f,i wl%Sh jqKq úg wfma ll=,aj,g ±kSu wvq fjkjd' fõokdj lelal=u wmg iajNdjfhkau ,eî ;sfnkafka tu ia:dkh .ek ie,ls,su;a jk f,ig fokq ,nk 82

ix×jla f,iskqhs' kuq;a ±kSï" fõokdjka ke;s fjk úg wm tA .ek lsisÿ wjOdkhla fhduq lrkafka kE' wvqu .dfk t;ek ms<siaiSula jqK;a frda.shdg ±fkkafka kE' fldákau frda.shdj isys ke;s fkdlr weÕs,a,la jqK;a myiqfjkau lmd bj;a lrkak mq¿jka' mdohg jkreêr iemhqu wvd, ùu fkdfyd;a ialSñhd ;;a;ajh kshqfrdm;s fkdfyd;a iakdhq wl¾ukH ùu

oshjeähdj ksid mdo j,g jk ydksh - iakdhq wl¾ukH ùu

fomd fjfiiska /l.kak tA wkqj b;du iq¿ iSÍula Èhjeähd frda.shl=f.a mdohla bj;a lsÍu olajdu ÿrÈ. hd yelshs' fomd fyd¢ka wdjrKh jk mdjyka ke;sj rn¾ fifrmamq hqj<la mh,d f.k ;ukaf.a f.a ;=< weúoao;a kshfmd;a;la lemSfï§ hdka;ug weÕs,af,a iu lemS .sh;a fï ´kEu fohla wka;h olajdu hkafk frda.shdg ±kSï ke;s ùfï .eg¨j ksihs'

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diabetics

oshjeähd frda.fhka wjhj mjd wysñ ùug fmr

meKs ri" f;,a yd msá iys; wdydr yels;dla md,kh l< hq;=hs' l%shdYS,Sj Ôj;a úh hq;=hs' fï mqreÿ udihla folla fyda wjqreoaola folla fkdj Ôú; ld,hu mj;ajd f.k hduo wjYHhs'

tfukau iakdhqj, l%shdldß;ajh ke;s ksid mdoj, weÕs,sj, yevh fjkiaùu" hám;=<g isref¾ nr iudkj fn§ fkdf.dia ;eka ;ekaj,g jeämqr ±kSu iy tA ksid tu ia:dkj, iu f.dfrdaiq ùu ^.,a ;e¨ï yg .ekSu&" tu f.dfrdaiq jQ iu ksid Bg háka we;s isks÷ iug ydks meñŒu jeks fndfyda lrorldÍ" úkdYldÍ m%;sM, fuys§ w;aúh yelshs' mdo úkdY ùfï l%shdj,shg bv fokak tmd''' YÍrfha iSks jeälu ksid nelaàßhd úkdY lrjk iajdNdúl l%shdj,sh wvmK fjkjd' f,dl= f,a kyr wjysr ùu ksid ;=jd, jQ fldgiaj,g Tlaiscka fkd,eî hdfuka nelaàßhd úkdY ùu isÿjkafka kE' YÍrfha m%;sYla;slrK moaO;sh wvmK fjkjd' Tlaiscka ke;s ksid ;=jd, jQ fldgia kej; h:d ;;a;ajhg m;a l< fkdyels fjkjd'

2015 Tlaf;dan¾ l<dmh

fï ish¨u foa ksid;a" ±kSu ke;slu fya;=fjka ll=, .ek fidhd fkdne,Su ksid;a iq¿ iSÍula úYd, ;=jd,hla olajd ÿr È. hkjd' iuyre ;=jd,hla we;s nj ±k .kafka l=Kq ù ÿÕ| yuk úghs' wka;sfï mdoh lmd frda.shd fírd .kakg isÿjkafka ;=jd,hg úIîc we;=,a ù frda.shd ñhhdu j<lajd .kakghs' Èhjeähdj ksis f,i md,kh fkdlf<d;a l,la .; jk úg Tfí ll=, wjÞkï ll=,la njg m;aùu j<lajkak nE' wef|ka nei isák yeu fudfyd;lu" f.;=<§;a fomd fyd¢ka wdjrKh jk fia im;a;= me<£u" ks;r mjqf,a wka flkl= ,jd fomd weÕs,s lre wdÈh mÍlaId lrùu fï frda.shl=g w;HjYHhs' tA jf.au Èhjeähdj ;;a;ajh;a fyd¢ka md,kh lr.; hq;=hs'

83


Eye Care

wefiys we;sjk iq,n wdndO .ek oeKQj;a fjuq

wefiys we;sjk iq,n wdndO .ek oeKQj;a fjuq

wfma weia j¾Okh wdrïN jkafka l<, wjêfha isguh' tu j¾Okh Wm;ska miqj;a ;reK úh olajdu l%ufhka isÿfjhs'

fld<U khkd frdayf,a m%cd wCIs ffjoH wfia, wfí§r

fï i|yd fkdfhl=;a cdkuh idOl n,mdhs' iuyr cdk j¾. wdishd;sl rgj,g iqúfYAIS tajdh' we;eï mjq,aj, wh jeäfofkl= Wmeia m<¢kafka fï wdldrfha cdk.; in|;djhls' wei j¾Okh ù we;s wdldrh wkqj wei úiska wdf,dalh fyj;a ;uka bÈßfha we;s jia;=jl m%;sìïnh wei ;=, kdNs.; lr.kakd wdldrh u; Tjqf.a fydA wehf.a fmkSu ksjeroso @ oDIaÀ wdndO iys;o hkak ;SrKh flf¾' oDIaÀh flfryS n,mj;ajk fmdÿ fodaI lsysmhla u;= olajuq'

iudka;r wdf,dal lsrK hï jia;=jl fyda mqoa.,fhl= fj;g meñfKk wdf,dal 84

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,xldfõ Wmeia wf,ú lrk wdh;k wêl ,dN ,nk nj fkdryihls' fndfyda úg ta wrefudaiï ldp jdrK lKakdä rduq j¾. ksidfjks' Tn oeK.; hq;= ienEj kï Wmeia hqj,l ldpj,g hk úhou wvq jeä jkafka w,am jYfhks' ta ksid ldpfha yd rduqfõ ñ< .Kka fj; fjku úuid ne,Su kqjKg yqreh'

lsrK fl,skau ,efnk úg oDIaÀ ú;dkh ^wdf,dalhg ixfõÈ fldgi& ;=< kdNs .; ù meyeÈ,sj fmfkhs' tfia fkdjk úg we;s jkafka wmeyeÈ,s o¾Ykhls'

fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'

y;<sia we¢ßh

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2015 Tlaf;dan¾ l<dmh

wú¥r oDIaÀl;ajh fuu ;;a;ajh fndfyda úg wdishdkqjka ;=, nyq,j mj;S' tfiau fuh ksÍlaIKh flfrkafka mdie,a hk fyda ;reK jhfia§h' fndfyda úg orejka mdief,aÈ l¿,E,a, lshùug wmyiq njla mjihs' ke;fyd;a ksjfiaoS rEmjdysksh keröug lsÜgqjgu ,x fjhs' wE;ska we;s oekaùula niar:hl fndaâ tlla lshùug wmyiq nj jgyd .kshs' fujeks ;;a;ajhka wj;, ldphla fhÿ Wmeia hqj,la Ndú;fhka u. yrjd .; yelshs' óg wu;rj ufhdaÔla weiaá.aueáiï hk ;;a;ajfhaÈ is,skavrdldr ldp Ndú;d lr Wmeia ms<sfh, flf¾'

¥r oDIaÀl;ajh fuu ;;a;ajh l=vd orejkaf.ao" iuyr úg jeäysá whf.a o olakg ,efnhs' wú¥r oDIaÀl;ajh fuka fkdj fuu ;;a;ajh iys; whg ishqï oe lsÍu lshùu wdÈh wmyiq fjhs' W;a;, ldp iys; Wmeia hqj,la u.ska fuh j<lajd .; yel'

y;<sia we¢ßh jhi 40 ka miq Ôú;fha miajeks oYlhg muK <x jk úgiEu mqoa.,fhl=gu mdfya uqyqK oSug isÿfjk ;;a;ajhls' tfia jkafka weig ,`.ska we;s jia;=jl m%;sìïnh wei ;=< kdNs.; lsÍu i|yd wCIs ldphg we;s yelshdj jhi;a iu.u ySk jk ksihs' tys m%;st,hla f,i l=vd wl=re lshùu" ishqï ld¾hhla lsÍu" iy,a j, ù weys£u" b¢lgqjg kq, weñKSu wd§ ld¾hhka bgq lsÍu wmyiq fjhs' iqÿiq wkaofï lkakdä me<£u u.ska fuu wmyiq;djh u.yrjd .; yelsh'

85


Eye Care

wefiys we;sjk iq,n wdndO .ek oeKQj;a fjuq

wlaIs .eg¿ ms<silr lr.ekSu i|yd we;s fyd|u ia:dkh rcfha frday,l we;s wCIs idhkhhs' tysoS ffjoHjrfhl= weia mÍlaId lr wCIs ;dCIKfõÈfhl= ,jd kej;;a mÍlaIdjla isÿfldg ksis Wmeia hqj,la fyda wjYH m%;sldr kshu lrkq we;' Tn fyda Tfí orejdg mjqf,a iudÔlfhl=g oDIaÀ wndOhla we;s nj y÷kd.kafka flfiao@ mdie,a hk <uqka oDIaÀ mÍlaIKhg Ndckh lsÍu wksjd¾hfhkau isÿlrhs' m<uq jir y;r iy i;ajk jif¾o fuu mÍlaIK isÿ flfrhs' fuysÈ oDIAÀ wdndO we;s nj y÷kd .kakd orejka wCIs idhk fj; fhduq lrkq ,nk w;r tysÈ jeämqr mÍlaId lsÍfuka miqj wjYH;djh mßÈ Wmeia kshu lrkq ,nhs' fuhg wu;rj hï fmkSfï wmyiq;djhla we;akï ^ÿr fyda <`.& oDIaÀ mÍCIKhlg Ndckh ùfuka fujeks wdndOhla y÷kd.; yelsh'

rcfha frday,l we;s wCIs idhkhla fj; hkak wlaIs .eg¿ ms<silr lr.ekSu i|yd we;s fyd|u ia:dkh rcfha frday,l we;s wCIs idhkhhs' tysoS ffjoHjrfhl= weia mÍlaId lr wCIs ;dCIKfõÈfhl= ,jd kej;;a mÍlaIdjla isÿfldg ksis Wmeia hqj,la fyda wjYH m%;sldr kshu lrkq we;'

Tn Wmeia hqj,la idojd .kafka l=uk ia:dkhlskao@ oekg rcfha frday,a j,ska Wmeia ,nd§ula isÿ fkdflf¾' fuhg fya;=j Wmeia hq.,hka ,nd §ug fuf;la rcfha frday,a j, myiqlï i,id 86

fkd;sîuhs' tfy;a fm!oa.,sl wxYfha fndfyda wdh;k ;r`.ldß ñ, .Kka hgf;a Wmeia wf,ú lrhs' Tn l< hq;af;a tjeks wdh;k lsysmhl ñ< .Kka iei£fuka Tnf.a wf;a we;s uqo,g iudk ;udg .e,fmk Wmeia hq.,h ;udg ord.; yels ñ,lg ,nd.ekSuh'

ldp jdrK lKAKdä rduqj, ñ, .Kka wêl ùu' fuu ;;a;ajh ksid fndfyda úg Wmeia me<¢h hq;= frda.Ska uy;a wiSrejg m;afõ' ,xldfõ Wmeia wf,ú lrk wdh;k wêl ,dN ,nk nj fkdryihls' fndfyda úg ta wrefudaiï ldp jdrK lKakdä rduq j¾. ksidfjks' Tn oeK.; hq;= ienEj kï Wmeia hqj,l ldpj,g hk úhou wvq jeä jkafka w,am jYfhks' ta ksid ldpfha yd rduqfõ ñ< .Kka fj; fjku úuid ne,Su kqjKg yqreh' igyk wkqrdOd È,sks b,kafldaka

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Dental Care

o;a iqÿ meye .ekaùug fhdod.kakd Wml%u

o;a iqÿ meye .ekaùug fhdod.kakd Wml%u

ys;=uf;ag jhsÜkska oka;df,am mdúÉÑ lsÍu iqÿiq kE''' úfYaI{ oka; ixrlaIK ffjoH wix. .=K;s,l yqfKa iqkaor fmkqug wdl¾IŒh iskyjlska ,efnkafka wkQmfïh iydhla' iskyj m%shukdm fjkakg o;a fmf<ys ldka;sh;a n,mdkjd' o;aj, ukd fmkqula we;s ùug tys msysàu jf.au meyeh;a ;Èkau n,mdkjd' wjmeye .ekajqKq o;a fofm<la ;sfnk flfkla iskdfik úg iqkaor fmkqula u;=jkafka keye' tfiau tjeks flfkla o;a fmfkk fia iskdfikak;a miqndkjd' o;a wjmdg jkafka wehs@ o;aj, meyeh fldfydu;a lsßiqÿ fkdfjhs' iqÿ meyeh hkq úYd, mrdihla ;sfnk meyehla' fï mrdih ;=< idudkHfhka o;l meyeh lsßiqÿ mdgg jvd ;rul fjkia meyehlska mj;skjd' o;aj, meyeh wfma cdkj,g wkqj;a ifï mdgg wkqj;a wd§ jYfhka mqoa.,hdf.ka mqoa.,hdg fjkia fjkjd' kuq;a ksfrda.S o;l meyeh lsß iqÿ mdgg jvd uola wvq jQ meyehla f,i ir,j olajkak mq¿jka' kuq;a iuyrekaf.a o;a ÿUqre meye;shs' ;o lymdg" w÷re mdg wd§ jYfhka o;aj, meyeh fjkia jqKq wh wmg fldf;l=;a olskakg ,efnkjd'

uq

2015 Tlaf;dan¾ l<dmh

wm .kakd we;eï wdydr j¾.;a o;aj, meyeh fjkiaùug n,mdkjd' ksoiqkla f,i ks;r fldams mdkh lrk whf.a ld,hla hkúg o;aj, ÿ¾j¾K meyehla we;sjkak mq¿jka' iuyr T!IO §¾>ld,Skj .;a úg;a o;aj, wj meyeh we;s fjkjd' fgÜrihsla,ska ldKavfha T!IO fuhg fyd|u WÞyrKhla' fuu T!IOh ±ka fndfyda úgu Ndú;d fkdlrk uq;a iuyr wjia:dj,§ fuh frda.Skag ,ndfokjd' orejl=f.a iaÓr o;a jefvk ld,fha§ fï T!IOh .;af;d;a tA orejdf.a o;a j¾Okh jkafka ly meyefha isg w¿ meyeh olajdu meyeh fjkia ùfukqhs' T!IO .;a m%udKh yd ld,h wkqjhs mdg wvq jeä jkafka' fï T!IOh ksid o;aj, u;=msg ia:rh jk tkeu,h muKla fkdj Bg háka ;sfnk oka;skhg;a ydks isÿfjkjd'

87


Dental Care

o;a iqÿ meye .ekaùug fhdod.kakd Wml%u

o;a wjmdg jQ flfkla lsisÿ ffjoH WmfoaYhlska f;drj ys;=ukdfmg jhsÜksx oka;df,am fkd.; hq;=hs' tAa o;aj, tkeu,hg ydks isÿúh yels neúKs' Tn jeàula jeks wk;=rlg uqyqK§u ksid o;la ;Èka je§u fyda tfia je§u ksid leã hdfuka o; iú ù ;sfnk ;ka;=j,g ydks meñKshfyd;a o;a lrd .ukalrk reêr jdyskSj,g n,mEï we;s fjkjd' tA wjia:dfõ§u fï i|yd oka; ffjoH m%;sldr fkdlf<d;a o;g isÿjk ydksh jeähs' fuys§ o; leãu fyda fi,ùu ;=<ska of;a l=yrhla we;s fjkjd' túg isÿjkafka of;a reêrjdyskSj,g ydks isÿù of;a meyeh fjkiaùuhs' fuys§ ,d lymdg ÿUqremdg jeks meyehla we;sfjkjd' o;g m%;sldrhla fkdlf<d;a l,a.; jk úg tA meyeh ;j;a jeäùuhs isÿjkafka'

88

orejl=f.a iaÓr o;a j¾Okh fjñka mj;sk ld,fha *af,darhsâ iys; c,h we;s m%foaYhl jdih lf<d;a orejdf.a jefvk o;aj, tkeu,hg wêl *af,darhsâ ,eîu ;=<ska o;aj, meyeh fjkia fjkafk mq¿jka' túg o;a ÿUqre meye we;s fjkjd' jhig hk úg;a iajNdjfhkau o;aj, wjmeyeh yg.kakjd' úÿreuia wdidok ^mßoka; frda.& ksid ndysrg fmfkk o;aj, uq,a fldgfia ^tkï o;a úÿreuig iú jk ia:dkh& iy o; jfÜg >k ia:rhla yg .kakjd' fï >k ia:rh ly meyefhka fyda ÿUqre meyefhka Èiajkq we;s' fuys mdg ;uka .kakd wdydr wkqjhs fjkia jkafka' orejl=f.a iaÓr o;a yefok ld,fha mdpkh" kshqfudakshdj jeks ;on, frda.dndO yg.;af;d;a orejd wdydr fkd.ekSu ksid fmdaIKh wvqùu u;

ffjoHjrhd - udisl ffjoH iÕrdj


tA yd iudkj o;aj, jHqyfha hï hï wvqmdvq we;sfjkjd' tA wvqmdvqlï ndysßka fmfkkak mgka .kafka orejdf.a o;a jeã msg;g wd miqjhs' fuys§ fndfydaúg of;a ;sria w;g lvf;d¨ iajNdjhla fyda mdg fjkiaùula ;uhs we;sjkafka' th widudkH lsß meyehla fyda ÿUqre mdgla úh yelshs' o;aj,g l¿mdg msrjqula fhÿfjd;a l,la hkúg msrjqu;a o;;a w;r fjkila we;sùfuka msrjqu;a o;;a w;r fldgfia wdydr len,s /£u isÿfjkjd' th wjmeyehla f,i msg;g Èiaúh yelshs' msrjqu Èhù hdu;a fuys§ isÿúh yels w;r tu msrjqï øjH o;g Wrd f.k tA meyeh msg;g osiajkafka úksúo fmfkk" meyehla f,iskqhs' cdkj, n,mEu u;;a iuyrekaf.a o;a wj mdg jkak mq¿jka'

o;aj, wjmeyeh ÿrelrkafka flfiao@ o;aj, iqÿ meyeh we;slrk jhsÜksx oka;df,am j¾. fjf<|fmdf<a ;sfnkjd' ks;r fldams mdkh lsÍu" nq,;aúg lEu jeks ir, fya;=u; o;a wjmeye .ekajqfKd;a th h:d ;;ajhg m;a lrkakg jhsÜksx oka;df,am Ndú;d lsÍfï jrola kE' tA yer o;a wjmdg jQ flfkla lsisÿ ffjoH WmfoaYhlska f;drj ys;=ukdfmg jhsÜksx oka;df,am fkd.; hq;=hs' tAa o;aj, tkeu,hg ydks isÿúh yels neúKs'

o;aj, meyeh wfma cdkj,g wkqj;a ifï mdgg wkqj;a wd§ jYfhka mqoa.,hdf.ka mqoa.,hdg fjkia fjkjd' kuq;a ksfrda.S o;l meyeh lsß iqÿ mdgg jvd uola wvq jQ meyehla f,i ir,j olajkak mq¿jka' 2015 Tlaf;dan¾ l<dmh

mqrjk ,o o;l wjmdgla we;sjQ úg th ke;s lsÍug fmr tys l=yr ;sfí kï tAjd m<uqj msrúh hq;=hs' o; wÔù o;la kï tys ksis meyeh we;slr. kakg fldmqjla ^crown& oukakg isÿúh yelshs' fï fldmq ±óu rcfha oka;dfrda.H Yd,dj, isÿlrkafk keye' fuh ñ, wêlhs' th fm!oa.,sl oka; Ñls;aid.drhlska ;uhs lr.kak fjkafk' iuyr wjia:dj,§ of;a ndysrg fmfkk me;a; muKla wdjrKh lrkak;a mq¿jka' wjmeye .ekajqKq o;a h:d ;;a;ajhg m;a lrkafka fndfyda úgu í,SÉ lsÍu u.skqhs' oka; *af,dafrdaishdj ^*af,darhsâ wêl ùu ksid o;a ÿUqre meyeùu& ;sfnk whf.ao o;aj, tu meyeh fjkia lrkakg o;a í,SÑx lsÍu l< hq;=hs' tfiau rcfha oka;dfrda.HYd,dj, Micro – abrasion kï m%;sl¾uho fuysÈ fhdokq ,nkjd' 89


Dental Care

o;a iqÿ meye .ekaùug fhdod.kakd Wml%u

o;aj, wjmeyehla we;akï uq,ska l< hq;af;a th oka; ffjoHjrhl=g fmkaùuhs' fuh rcfha oka;dh;khl§ Tng fkdñf,au lrjd .kak mq¿jka' idudkHfhka rcfha o;a frday,aj, fujeks whl= .sh úg tu wjmeye ùug fya;=j mÍlaId lr n,d uq,skau tA fya;=jg wjYH m%;sldr ,nd§u fyda m%;sl¾u fh§u isÿlrkjd' fuys§ o;aj, l=yrhla we;akï tAjd msrùu iy msrjQ o;a we;akï tAjd fyd| ;;a;ajfha ;sfío hkak fidhd ne,Su;a l< hq;=hs'

í,SÉ lsÍfuka miq kej; ÿïmdkh lf<d;a uqLfha mglj,g isÿjk n,mEï ;j ;j;a jeä fjkjd' tfukau .¾NkS uõjrekaf.a iy lsß fok uõjrekaf.a;a o;a í,SÉ lrkafk keye' th iqÿiq keye'

o;a j, ysßjeàï ;sfnkjd kï tAjdgo m%;sldr l< hq;=hs' tfiau of;a tkeu,h ;=kS o @ >k o @ ÿïmdkh lrkjdo @ nq,;aúg lkjdo @ o;aj, iakdhq msrùï lr we;akï th ksisf,i lr ;sfío@ o;aj, msmsÍï ;sfnkjdo @ o;aj, tkeu,h f.ù ;sfío @ hk fï yeu fohlau fidhd n,d tAjdg wjYH ms<shï fh§fuka miqjhs o;aj, wjmdg ke;s lsÍu i|yd wjYH m%;sl¾u fhdokafka' ÿïmdkh lrk whf.a o;a í,SÉ lrkafka Tjqka uq¿ukskau ÿïmdkh k;r lr we;akï muKhs' 90

idudkHfhka o;a í,SÉ lrkakg l,ska o;a Y=oaO lsÍu wjYHhs' o;a iqÿ lsÍfïoS fhdok T!IO úÿreuiaj,g ydks we;s lrkak mq¿jka' we;eï úg úÿreuia wdjrKh lr fï m%;sldr lrkak;a isÿfjkjd' tA jf.au í,SÉ lsÍfuka miq tA o;aj,g wjYH kï *af,darhsâ fc,a fyda o;a ysßjeàu j<lajk T!IO .ekSug;a Wmfoia fokjd’ o;a iqÿ lsÍu fyj;a í,SÉ lsÍu ffjoH Wmfoia u; l< hq;af;a fï fya;= ksihs' wdjdg .shdg jhsÜksx oka;df,am Ndú;dlr o;a iqÿ lr.kakg hdu wys;lr jkafka fï ksihs'

ffjoHjrhd - udisl ffjoH iÕrdj


2015 Tlaf;dan他 l<dmh

91


Advertorial

È.= ld,Sk iqkaor;ajhlg Tjokla'''

wms ish¨ fokdu ,iaikg ys|Sug leu;shs' úfYaIfhkau wfma iu" kshfmd;= iy flia l<fò ksfrda.S nj wmg ,iaikg ys|Sug jeo.;a fjkjd' iu" ysiflia iy ksh kSfrda.Sj ;nd .ekSug tajdfha jHqyh ms<snoj ukd wjfndaOhla ;sîu jeo.;a' fï ms<snoj uQ,sl wjfndaOhla ,nd .ekSug wm ffjoH ,laÈkq mrKudkak uy;d iu. idlÉcd l<d'

ifuys j;f.d;

È.= ld,Sk iqkaor;ajhlg Tjokla''' YÍrfha iqkaor;ajh fjkqfjka Tn l< hq;= i;aldr mq;a;,u fldÜgka;sõ m%dfoaYSh frdayf,a ld¾h Ndr ffjoH ks,Odß ffjoH ,laÈkq mrKudkak 92

m%:ufhka wms iu .ek i<ld ne,qfjd;a YÍrfha we;s úYd,;u bkaøsh jkafka iuhs' ñksia iu j¾. óg¾ 2l muK j¾. M,fhka hqla; jk w;r lsf,da .%Eï 4la muK idudkH nrlska hqla;hs' úfYaIfhka ndysrg fmfkk iqkaor;ajh mj;ajd .ekSu;a isref¾ wNHka;r bkaøshhkag wjYH wdrlaIdj iemhSu;a WIaK;aj hdukh" f;;ukh mj;ajd .ekSu"

ffjoHjrhd - udisl ffjoH iÕrdj


ixfõokh fukau m%;sYla;slrKh jeks ld¾hh rdYshla ñksia iu u.ska bgq lrhs' ñksia ifï m%Odk jYfhka fldgia folhs' tkï u;=msáka mj;sk wmsp¾uh (Epidermis ) iy wNHka;rfhka we;s p¾uhhs' msg;ska mj;sk wmsp¾uh w;af,a yd m;af,a b;d >klïj iEoS we;' tfia iEoS we;af;a r¨ Tfrd;a;= oSï j,gh'

ndysrg fmfkk iqkaor;ajh mj;ajd .ekSu;a isref¾ wNHka;r bkaøshhkag wjYH wdrlaIdj iemhSu;a WIaK;aj hdukh" f;;ukh mj;ajd .ekSu" ixfõokh fukau m%;sYla;slrKh jeks ld¾hh rdYshla ñksia iu u.ska bgq lrhs'

2015 Tlaf;dan¾ l<dmh

wmf.a YÍrfha wks;a fldgia j, wmsp¾uh ;=kSh' wNHka;rfha we;s p¾uh m%Odk jYfhka ks¾udKh ù we;af;a iïnkaOl mgl (Connective Tissue), reêrjdyskS yd iakdhq j,sks' p¾uh isref¾ wNHka;r mgl j,g yd wiaÓ j,g iïnkaO jkqfha Superficial Fascia u.sks'

iu iq/ls fmdaIKh B<.g wms ifï ksfrda.S nj /l.ekSug wjYH fmdaIKh .ek i<ld n,uq' c,h ifï meje;aug b;d jeo.;a ld¾h Ndrhla bgqlrhs' laIqø fmdaIl f,i úgñka yd wjYH jeo.;a LKsc ,jK m%Odkhs' wo mj;sk ld¾h nyq, Èkp¾hdj ;=< wjYH úgñka yd laIqø uQ,øjH m%Odk wdydr fõf,ka fndfyda úg u. yefrk ksid fmdaIK w;sf¾lhl wjYH;djh mj;S' ifï ksfrda.S nj /l.ekSug wjYH fmdaIK w;sf¾lhl wvx.= úh hq;af;a nfhdàka we;=¨ c,fha ødjH î ldKavfha úguka" úguka iS yd úguka B" fldm¾" iskala" hlv jeks uQ,øjHhka o fld,ecka" flràka yd flda tkaihsu Q 10 jeks ix>glhs'

fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;' waidyawaraya.com

93


Advertorial

È.= ld,Sk iqkaor;ajhlg Tjokla'''

f;;ukh mj;ajd .ekSug fld,ecka fm%daàkh jeo.;a jkafkah' fujeks l%shdldÍ flràka fld,ecka nfhdàka we;=¨ î ldKavfha úgñka iS iy flda tkaihsu Q 10 wvx.= fmdaIK w;sf¾lhla ñ,oS .ekSfï my; lreKq .ek;a Tn wjOdkh fhduq l< hq;=hs

wfma ifï wmsp¾ufha m%Odk ix>glh - flráka úfYaIfhkau wms flráka .ek wjOdkh fhduq lf<d;a flràka hkq wfma ifï wmsp¾ufha m%Odk ix>glhhs' ta jf.au ;uhs flràka kshfmd;= yd ysiflia j,;a m%Odk ix>glhhs' wm fmdaIK w;sf¾lhla u.ska isrerg ,nd fok flràka l%shdldÍ uÜgfuka (Functional Keratin ) ;sîu b;d jeo.;a' fuf,i l%shdldÍ uÜgfuka ,nd .kakd flràka u.ska iu /,s jeàu wvq lrk njg;a ysiflia jeàu 30 % lska wvq lrk njg;a uE;l úoHd;aul m¾fhaIKhla u.ska ;yjqre lrf.k we; ( Intertionational Journal of Cosmetic Science 2013-35-008-012) fmdaIK w;sf¾lhl wvx.= l%shdldÍ flràka (Functional Keratin) u.ska ifuys f;;ukh mj;ajdf.k hdu ifï m%;Hia:;djh mj;ajdf.k hdu" iu /<s jeàu je<elaùu yd iug ukd fmkqula ,ndoSu ;yjqre lrhs'

fld,ecka keu;s fm%daàkh wms fld,ecka keu;s fm%daàkh .ek i<ld ne¨jfyd;a wmf.a isref¾ iïnkaOl mgl j, m%Odk;u jHqyd;aul fm%daàkh fld,eckah' YÍrfha iuia: fm%daàka j,ska 25 %- 35 % m%udKhla jkafka fld,ecka fm%daàkhhs' ifuys

94

• fuu fmdaIK w;sf¾lh cd;Hka;r ;;a;aj iy;sl iys; úYajdifhka ñ,oS.; yels iud. ul ksIamdokhla ùu' • myiq ud;%djlska hqla; ùu' • w;=re wdndO j,ska f;dr ùu • ±rsh yels ñ,lska hqla; ùu' Tfí iu kshfmd;= yd ysiflia kSfrda.Sj ;nd .kak tu.ska Tng;a È.=ld,Skj iqkaorj bkakg ,efíú laIKsl weu;=ï 0115238163 $ 0112636741

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2015 Tlaf;dan他 l<dmh

95


Food safety

iqrCIs; wdydr

iqrCIs; wdydr wmg ñ,§ .ekSug iqrCIs; wdydr ;sfnkafka fldfyao @ cSú;h fi!LH iïmkakj mj;ajd f.k hdug wdydr b;d jeo.;a fjkjd' wE; w;S;fha isgu l%udkql+,j" b;d iqrlaIs; f,i wdydr ilid .ekSug wms mqreÿ mqyqKq ù isáuq' th mrsKdóhj wmg odhdo jQ Wreuhla fia ie<lSu jà' wdydr ms<sfh, lsÍfï§ ;sìh hq;= msßisÿ nj" msisk ,o wdydrj, iqrlaIs;Ndjh" fkdmsiq wdydr wdrlaIdldÍj ;nd .kakd wdldrh we;=¿ úúO lreKQ we;=,;a ms<sfj;a wkq.ukh lsÍu w;sYhska jeo.;a jk nj miq .sh f,dal fi!LH Èkfha§ fy<sjqK jeo.;a ldrKdjla úh' iqrCIs; wdydr fõ,la idlaId;a lsÍu i|yd i|yd ms<sfj;a myla fujr f,dal fi!LH oskfha f;audj jqfha zwdydr iqrCIs; lruqZ hkakhs' fï ueh hgf;a iqrCIs; wdydr i|yd ms<sfj;a myla y÷kajd § we;' • msßisÿ nj • msiq yd fkdmsiq wdydr fjka fjkaj ;nd .ekSu • fyd¢ka msi.ekSu • iqrCIs; wuqøjH Ndú;hg .ekSu • iqrCIs; c,h Ndú;hg .ekSu fuys§ jeo.;a jkafka wfma oE;a fukau Bg Ndú;d lrk uq¿;ekaf.hs ;sfnk iEu Wmdx. hlau msßisÿ úh hq;= ùuhs'

96

Tn ñ,§ .kakd wdydr j, .=Kd;aul Ndjh jgyd .ekSug Tng ta ms<sn|j ±Kqula ;sìh hq;=hs' tu ksid wdydr ñ,§ .kakd iEu fudfyd;lu tjd .ek úuis,su;a jkak'

frda. ldrl CIQ¥Ôúka w;a u.ska fyda wmsßisÿ w;a msiakd u.ska" wmsßisÿ Ndck u.ska" frda. ldrl CIqøcSùka iq¿ jYfhka fyda wdydrhg uqiqúh yelsh' fuu ksid wdydr .nvd lsÍfï§ uia yd ud¿ jeks fkdmsiq wdydr yd tjdfha biau iu. b;du;a wk;=reldÍ CIqøcSùka isáh yelshs' tu CIqøcSùka wfkl=;a wdydr j,g uqiqùfuka úúO frda.dndO j,g Ndckh ùu isÿfõ' fuh w;sYhska jeo.;a ldrKhla neúka iEu úfglu ksjerÈj fkdmsiq wdydr Ys;lrKfha .nvd ffjoHjrhd - udisl ffjoH iÕrdj


fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'

lr ;nd .; hq;=h' Ys;lrKj, ;nd .ekSfïoS ksjerÈ weiqreï l%u wkq.ukh l< hq;=h' ksjerÈj wdydr msi.ekSu wdydr uekúka msi .ekSu;a b;d jeo.;a' wdydr ilid .ekSfïoS ksjerÈ l%u Ndú;d l< hq;=h' wdydr fyd¢ka msi .ekSu u.ska fndfydauhla wk;=reldrl CIqøcSùka úkdY l< yels jk ksid fuu ldKavfha wdydr fi,aishia wxYl 70 l WIaK;ajhla olajd msiSu iqÿiqh'

waidyawaraya.com

2015 Tlaf;dan¾ l<dmh

97


Food safety

iqrCIs; wdydr

úfYaI wjOdkh fhduq l< hq;= wdydr wUrk ,o uia j¾." frdiaÜ l< uia j¾." l=l=¿ uia" wdydrhg .ekSfïÈ úfYaI wjOdkhla fhduq l< hq;=hs' ldur WIAK;ajh hgf;a wdydr .nvd lr ;eîfï§ tjdfha we;s CIqøcSùkaf.a j¾Okh b;d iS>%fhka isÿúh yelshs' tu ksid wdrlaIdldÍ WIaK;aj ;;a;ajhka hgf;a wdydr ;nd .ekSug W;aiql úh hq;=hs' fi,aishia wxYl 5 g wvq fyda fi,aishia 6 g jeä WIaK;aj j,§ fndfyda CIqÿ Ôúka f.a j¾Okh ùu wju ùula fyda kej;Sula isÿfõ'

w;a fyd|ska msßisÿ lr.kak u;=msgj,a msßisÿ lrkak

t<j¿ yd udxY, wdydr fjka fjkaj ;nkak

kshñ; WIaK;ajhg wdydr msiskak kshñ; mßos YS;lrKh Ndú;d lrkak

i

rq C Is;

wdyd r fõ,la i|

jr s h yd m

blauKska krlajk wdydr yels blauKska Ys;lrKhl ;nkak wm úfYAIfhka u;l ;nd .; hq;= jkafka blauKska krla jk msiq wdydr yels blauKska Ys;lrKhl ;nd .ekSug lghq;= lsÍuhs' Bg fi,aishia 5 wvq WIaK;ajhla jvd iqÿiqhs'

98

wUrk ,o uia j¾." frdiaÜ l< uia j¾." l=l=¿ uia" wdydrhg .ekSfïÈ úfYaI wjOdkhla fhduq l< hq;=hs'

wdydr ms<sfh, lsÍug .kakd wuqøjH" c,h yd whsia we;=¿j frda. ldrl CIqøcSùka yd ridhk øjH u.ska ÿIKh ù ;sìh yelshs' tfukau m¨ÿ jq fyda mqia iys; wdydr øjHj, úI iys; ridhksl ixfhda. iE§fï yelshdjla we;s ksid tjeks wdydr øjH f;dard .ekSfï§ o m%fõYï úh hq;=h' wdydr fyd|ska msßisÿ c,fhka fia§u yd fmd;= yeÍu jeks l%u u.ska tjdfhka isÿjk wjodku wvq lr .ekSug yelshdj we;' l=vd fNdackd.dr Ndú;dj iy tjdfha we;s wmsßisÿlu fld<T k.rfha ck.ykh ñ,shk 1'2 ffjoHjrhd - udisl ffjoH iÕrdj


muKla fõ' fNdackd. dr 1000 la muK mj;S' fuhska ishhg 90 lau l=vd lv jeks tjdhs' tfyu;a ke;akï lsisu msßisÿlula ke;s wjêu;a fNdackd. drhs' fïjdfha msisk ,o wdydr ms<sn|j ±ä wjOdkhla fhduqlr ne,Sfï§ fmkS hkafka uy;a fia me;sr mj;akd wmsßisÿ njhs' tfiau msiq wdydr yd fkdmsiq wdydr tl Ys;lrKhl ;nd .ekSu;a fï l=vd wdmkYd,d j, iq,nj isÿ flf¾'

wmsßisÿ lvj,ska wdydr fkd. ekSug Tfí fi!LH ;;a;ajh /l.ekSug Tn Wkkaÿ úh hq;=h'

fld;a;= frdáhl wmsßisÿlu fï jf.hs ljqre;a lkak leue;s fld;a;= frdáhla wrka n,kak' yod. kak .kak frdà j,g

2015 Tlaf;dan¾ l<dmh

.kafka i;s .Kka m,ajqKq frdà lene,s' yßhg fidaod msßisÿ lr fkd.;a l,a bl=;a jqKq t<j¿" l=l=,a jiqre ñY% ì;a;r" m%ñ;sfhka f;dr fidaia j¾." wdydr hg .ekSfuka úúOdldr frda. ;;a;ajhkag wm ,laùfï wjodku .ek wykak;a fohlao @ wÉpq lrkak neß fjk kvq jefgk yeá fujeks l=vd wdmk Yd,dj, lEu ilia lrkafka tlaflfkla fyda fofofkla' tfia jQ úg úIîc j¾Okh ùu myiqhs' fï whg úreoaOj kS;suh mshjr .;a;du kvqj od,d udi yhlg miqjhs kvqj úNd. fjkafka' túg fndfyda lv ysñhka tu ia:dk yer .syska' kuq;a mdßfNda.slhka jYfhka fuysoS Tng;a hq;=lula ;sfnkjd' fujeks lvj,ska wdydr fkd.ekSug Tfí fi!LH ;;a;ajh /l.ekSug Tn Wkkaÿ úh hq;=h' Tn ñ,§ .kakd wdydr j, .=Kd;aul Ndjh jgyd .ekSug Tng ta ms<sn|j ±Kqula ;sìh hq;=hs' tu ksid wdydr ñ,§ .kakd iEu fudfyd;lu tjd .ek úuis,su;a jkak' meñKs,s lrkak fukak wxlh''' fld<T k.r iNd n, m%foaYhg wh;a fNdackd.dr yd wdydr iïnkaOfhka hï meñKs,a,la ;sfí kï 0112676161 hk ÿrl:k wxlhg ±KQï fokak' Wmfoia - f,dal fi!LH ixúOdk cd;sl jHdmD;s ks,OdßkS m%cd ffjoH úfYAI{ wfkdaud uy;añh" fld<U uyd k.r iNdfõ m%Odk fi!LH ffjoH rejka úPhuqKs ^fi!LH wOHdmk ld¾hdxYfha meje;s udOH iïuka;%Kh weiqßKs& igyk-wkqrdOd È,sks b,kafldaka'

99


Tnhs" Tfí fmdaIKhhs

yDo Y,Hl¾uhlska miqj .; hq;= wdydr

Tnhs" Tfí fmdaIKhhs Y%S ,xld fmdaIK ix.ufha bosßm;a lsÍuls

yDo Y,Hl¾uhlska miqj .; hq;= wdydr

yoj;a frda.Ska wdydr .ekSfïoS ie<ls<su;a úh hq;= lreKq fld<U 3" v¾vkaia frdayf,a fcHaIAG wdydr yd fmdaIKfõoskS y¾IKS ó.iaj;af;a wo ojfia wfma rfÜ fnda fkdjk frda. nyq, jYfhka jd¾;d fõ' fï ksid isÿjk urK ixLHdjo ie<lsh hq;= m%udKhls' wfma rfÜ muKla fkdfõ" fnda fkdjk frda. hkq c.;a jHdma; m%Yakhls' fnda fkdjk frda. w;r yDoa frda.o m%uqLia:dkhla .kS' yDoh.;j wvq¨yq`vq;djhla we;s jQ l< th wkdjrKh lr .ekSfï l%ufõohka wo fjfiiskau oshqKQjg m;aj ;sfí' tfiau yDoh.; wjodku wju lrk CABG, PTCA yd PCI wdoS yD;a ie;alïo wo b;d id¾:l f,i isÿ flf¾' yDoa Y,Hl¾uhlg Ndckh ùfuka miqj yD;a mqkre;a:dmkhlg ,laùu (Cardiac Rehabilitation) iEu frda.sfhl=gu wjYHh' jvd fyd| YÍr" udkisl fi!LHhla idlaId;a lrKQ jia yD;a mqkre;a:dmkh ie,iqï flf¾' yD;a mqkre;a:dmkh f;jeoEreïh' 1' fi!LH iïmkak wdydr rgdj

100

2' YdÍßl jHdhdu 3' nr md,kh fi!LH iïmkak wdydr rgdjla yD;a frda.sfhl= iajlSh mqkre;a:dmk l%shdj,sfhys wx.hla f,i fi!LH iïmkak wdydr rgdjlg yqre úh hq;= wdldrh;a" tys wxf.damdx. .ek;a fï ,smsfhka úia;r jkafkah' lsß lsß fmdaIH .=Kfhka wkQk wdydrhla jk w;r th le,aishï yd fm%daàk j,ska nyq,h' uQ,sl jYfhka lsß j, we;af;a ix;Dma; fïohhs' fï ix;Dma; fïoh fjkqjg fïo rys; lsß (Non Fat milk) Tnf.a f;aÍu úh hq;=h' fïo rys; lsß fukau fïo rys; fhda.Ü wdoS lsß ksIamdok osklg fojrla .ekSu iqÿiqh' iSks YÍrhg ,nd fokafka Yla;sh muKs' tys lsisÿ fmdaIH .=Khla fkdue;' tfyhska iSks Ndú;dj wju uÜgul ;nd. ekSu iqÿiqh' Tn oshjeähd frda.fhka fmf<kafka kï ir<

ffjoHjrhd - udisl ffjoH iÕrdj


iSks iys; meKsri lEu j¾." meKsîu" ri leú,s wdydrhg tla lr.ekSu iqÿiq ke;' OdkH wdydr yels;dla ksjqâv iys;" tkï Y=oaO fkdlrk ,o (Unrefined) OdkH wdydr yd msá j¾. f;dard.ekSu iqÿiqh' iy,a w;ßka ;ïnmq iy,a iy kdvq iy,a jvd;a fmdaIH .=Kfhka hqla;h' tu iy,a fjfiiskau reêr iSks uÜgu md,kh lsÍugo WmldÍ jkafkah' kuq;a ;j;a ldrKhlao fuysoS jeo.;a fõ' Tn wkjYH m%udK j,ska wdydr .ekSu iqÿiq ke;' kshñ; wjYH m%udKhg muKla wdydr .; hq;=h' Tn .; hq;= wdydr m%udKh flfryS n,mj;ajk idOl / ila jk w;r YÍrfha nr" Wi" l%shdldÍ uÜgu" cSjk p¾hdj yd f,v frda. we;s ke;s nj fuys,d jeo.;a fõ' mdka wo ojfia ld¾h nyq, cSjk rgdj;a iu.ska 2015 Tlaf;dan¾ l<dmh

101


Tnhs" Tfí fmdaIKhhs

yDo Y,Hl¾uhlska miqj .; hq;= wdydr

mdka" ck;djf.a ckm%sh wdydrhla njg m;aù ;sfí' mdka Ndú;dj yels;dla wju l< hq;=h' b|ysg fyda mdka wdydrhg .kafka kï ta iu. t<j¿" i<do wdoS ;ka;=uh wdydr Bg tla lr.; hq;=h' rks, fnda. lv," ljqms" uqxweg jeks rks, fnda. wdydrhg tla lr.ekSu b;d iqÿiqh' thska YÍrfha wvq >k;aj fldf,iagfrda,a uÜgu md,kh lr.; yelsjkq we;' YÍrfha nr md,kh lr.ekSug;a" reêr.; iSks uÜgu md,kh lr.ekSug;a fuhska wkQmfïh iïudoula ,efí' t<j¿ yd m<;=re osklg t<j¿ yd m<;=re 3-5 w;r m%udKhlaj;a Tfí wdydr fõ,g tla lr.; hq;=h' m¾fhaIK jd¾;d j,g wkQj wfma rfÜ t<j¿ yd m<;=re mdßfNdackh isÿ jkafka wju uÜgulsks' iq,nj fïjd ;snqK;a ñ,oS f.k wdydrhg tla lr.ekSug fndfyda fofkl=g jeä Wkkaÿjla fkdue;'

t<j¿ yd m<;=re úúO;ajhlska hqla;j Tfí fndcqkam;g tla lr.; hq;=h' wfma rfÜ fï wdydr iïnkaOfhka jeros u;o me,moshï ù we;s nj fmfka' oshjeähdj frda.Ska yg lerÜ" îÜ kqiqÿiq nj tla u;hls' fïjd iq¿ m%udK j,ska wdydrhg .ekSu;a wjfYAI wdydr iu. tla lr .ekSu ksid;a reêr.; iSks m%udKhg ñka t;rï n,mEula fkdjk nj o; hq;=h' lerÜ hkq úgñka A wkQk wdydrhls' fuys we;s m%;sTlaisldrl .=Kh fjfiiskau yDo frda.Skag m%fhdackj;a jkafkah'

iSks YÍrhg ,nd fokafka Yla;sh muKs' tys lsisÿ fmdaIH .=Khla fkdue;' tfyhska iSks Ndú;dj wju uÜgul ;nd.ekSu iqÿiqh'

102

ffjoHjrhd - udisl ffjoH iÕrdj


m<;=re j¾. folla j;a osklg wdydrhg .ekSu l< hq;= kuq;a úYd, m<;=re m%udKhla tljr wdydrhg .ekSuo iqÿiq fkdfõ' ks¾foaYs; m%udK j,skau wdydrhg .ekSu úfYAIfhkau oshjeähd frda.Ska l< hq;a;ls' uia" ud¿" lsß yd ì;a;r ffoksl fm%dAàk wjYH;djh imqrd.kq jia Tn hïlsis i;a;aj wdydr m%udKhlao fndcqkam;g tla lr.; hq;=h' kuq;a yDoa ie;alulg ,lajQ frda.Ska fïjd .ekSfïoS úfYAIfhkau ie<ls<su;a úh hq;=h' ix;Dma; fïoh nyq, W!re uia" t¿uia wdoS uia j¾. wdydrhg tla fkdlr.; hq;=h' ud¿ yoj;g ñ;=reh' úfYAIfhkau l=vd ud¿ wdydrhg ks;r tla lr.ekSfï jrola ke;' ì;a;r fndfyda fokd ì;a;r wdydrhg tla lr .ekSug wksh; ìhlska miqfõ' kuq;a yDo frda.Ska ì;a;r wdydrhg tlalr .ekSfï jrola ke;' ì;a;r lyuofha fldf,iagfrda,a we;suq;a th Tfí iuia; fldf,iagfrda,a uÜgu jeä lsÍfï wjodkula f.k tkafka ke;' reêr.; fldf,iagfrda,a w.hka jeä lsÍug uQ,sl jYfhka n,mdkafka wm .kakd wdydrj, ;sfnk ix;Dma; fïo wï,hhs' yDo frda.sfhl= jQj;a lyuoho iys;j ì;a;r ;=kla i;shlg wdydrhg .ekSfï fodila ke;' f;,a f;,a Ndú;dj iïnkaOfhka wo fndfyda fofkl=g we;af;a m%Yak m;a;rhls' f;,a$fïoh hkq wmf.a wdydrfõ,g tla úh hq;= m%Odk ix>glhls' th ix;Dma; fïoh" (Saturated Fatty Acids) tal wix;Dma; fïo wï," (Mono Unsaturated Fatty Acids) nyq wix;Dma; fïo wï, (Poly Unsaturated Fatty Acids) f,i uQ,sl fldgia ;=kls' yD;a fi!LHh ukdj mj;ajd .ekSu i|yd osklg ix;Dma; fïofhka Wlyd.kakd Yla;sh iuia; fïo wjYH;djfhka ishhg 7 fkdblauúh hq;=h' tfiau tal 2015 Tlaf;dan¾ l<dmh

wix;Dma; fïo wï, j,ska iy nyq wix;Dma; fïo wï, j,ska Wlyd .kakd Yla;sh ishhg 10 ne.ska úh hq;=h' wdydr f;ïmrdÿ lsrSu i|yd fidahd" iQrshldka;" T,sõ" brs`.=" lefkda,d iy ;,f;,a jeks wix;Dma; fïo wï, iys; f;,a j¾.hla Ndú;d lsrSu jvd;a fhda.H fõ' tfy;a fïjd .eUqre f;f,a neoSu fkdl< hq;=h' .eUqre f;f,ys neoSug kï fmd,af;,a muKlau .; hq;= fõ' flfia fj;;a .eUqre f;f,ys nosk ,o wdydr fldhs ljqre;a wffO¾h l< hq;= w;r th yDo frda.Ska úfYAIfhkau is;ayS Odrkh lr.; hq;=h' fmd,a wfma wdydr fõf,a f;,a yd fïoh m%Odk jYfhka ,efnkafka fmd,a j,sks' fmd,aj, uQ,slj we;af;a ix;Dma; fïohhs' wo fndfyda fokd fmd,a wdydrhg .kakg ìhla olajkq fmfka' tosfkod wjYH;djhka 103


Tnhs" Tfí fmdaIKhhs

yDo Y,Hl¾uhlska miqj .; hq;= wdydr

i|yd fmd,a kshñ; m%udK j,ska wdydrhg tla lr.ekSfï lsisÿ fodila ke;'

nj fmfkkakg ;sfí' yDo ie;alulska miq Tfí reêr mSvkh idudkH uÜgulska mj;ajd .ekSu w;sYhska jeo.;a jk w;r ta i|yd ¨KQ Ndú;h wju lsÍug W;aiql úh hq;=h' laIKsl wdydr" fidaia j¾. jeks ¨KQ wêlj fh¥ wdydr j,ska je<lsh hq;=h'

ojilg fmd,a f.ähla ksfrda.S jeäysáhka mia fofkl=g iEfya' fmd,alsß ñßld .ekSfïoS íf,kav¾ lsÍu WÑ; fkdjk w;r reêr.; fldf,iagfrda,a uÜgu jeä kï fojk yd ;=kajk jr ñßlk lsß muKla wdydrhg .ekSu iqÿiqh'

ksfrda.S mqoa.,fhl= osklg .; hq;= ¨KQ m%udKh f;a yekaola fkdblauúh hq;= uq;a wo tu m%udKh blaujd wê ¨KQ mdßfNdackhla mj;akd nj fmfkkakg ;sfí'

c,h wm ljr wdydr .;a;;a YÍrhg m%udKj;a ic,khlao wjYHh' ksfrda.S jeäysáfhl= osklg c,h ùÿre 6-8 ^,Sg¾ 1'5-2& m%udKhla mdkh l< hq;=h'

fi!LHiïmkak flá wdydr fõ,a yDohdndOhlska miqj úfYAIfhkau oshjeähd frda.Ska iajlSh reêr.; iSks ia:djr uÜgul mj;ajd .ekSu i|yd m%Odk wdydr fõ,a ;=kla iy l=vd wdydr fõ,a 2-3la osklg ,nd .ekSu iqÿiq fõ' ;jo" m%Odk wdydr fõ,a w;rg l=vd wdydr fõ,la tl;= lr .ekSu u.ska jrlg .kakd wdydr m%udKh wvq lr.; yelsh' l%el¾ ìialÜ" fhda.Ü" iqma" lcq" rglcq jeks wdydr flá wdydr f,i .ekSug iqÿiqh' lcq" rglcq" wdukaâ jeks weg j¾. j, wvx.= fïoh yDoh fi!LH m%j¾Okh lrk tal wix;Dma; fïo wï,fhka wkQk fõ' tuksid oskm;d fujka weg j¾.hlska fïi ye|s folla muK tl;= lr .ekSu ys;lr jkafkah' ¨Kq ksfrda.S mqoa.,fhl= osklg .; hq;= ¨KQ m%udKh f;a yekaola fkdblauúh hq;= uq;a wo tu m%udKh blaujd wê ¨KQ mdßfNdackhla mj;akd 104

jHdhdu yDo ie;alfuka miq Tfí úfYAI{ ffjoHjrhdf.a Wmfoia mßos YdÍßl jHdhduj, ksr; úh hq;= w;r idudkH mqoa.,fhl= kï osklg úkdä 30-40la j;a jHdhduhl ksr; ùu ksfrda.S isrerla mj;ajd .ekSug w;HjYH idOlhls'

ffjoHjrhd - udisl ffjoH iÕrdj


2015 Tlaf;dan他 l<dmh

105

1344


Health - Wealth

frda.Skag frda. iu. u;=jk wfkal .eg¿ yd tajdg úi÷ï

frda.Skag frda. iu. u;=jk wfkal .eg¿ yd tajdg úi÷ï  isrma j¾. folla tlg oud mdkh lsÍu kqiqÿiqo@  wikSm jQ úg fldmuK ojila fkdkd isáh hq;=o@  wikSmhl§ n;a jeks wdydr .ekSu WÑ; o@ yDo frda. úfYaI{ ffjoH kdu,a úchisxy

wikSmhl§ T!IO Ndú;d lsÍu we;=¿ úúO lreKq ms<sn|j frda.Skg fkdfhl=;a .eg¿ ;sfí'

iuyre fï .eg¿ ffjoHjreka fj;ska úi|d .ks;s' ;j;a iuyre tAjd mjqf,a fiiq whf.a Wmfoia u; fyda ;uka l=vd l, isgu wid ±l we;s foaj,a wkqj úi|d .ks;s' —fvdlag¾ ug kdkak fyd| o@˜ —w.=K lEu cd;s fudkj o@˜ fï w;S;fha isgu fï olajdu;a frda.Ska ffjoHjrekaf. ka ksrka;rfhkau úuikq ,nk .eg¿ folls' wm wo idlÉPdjg ,la lrkafka frda.Skag ;sfnk fun÷ .eg¨ lsysmhla ms<sn|jh' isrma j¾. folla tlg oud mdkh lsÍu kqiqÿiq o@ úfYaIfhka l=vd orejkag T!IO fmùfï§ uõjreka nyq,ju uqyqK fok .eg¨j jkafka orejka T!IO m%;slafIam lsÍuh' fï ksid isrma j¾. folla ffjoHjrhd kshu lf<d;a orejdg th fmùfï myiqj ;ld tlg ñY% lr §ug iuyr jeäysáfhda fm<fU;s'

106

ffjoHjrhd - udisl ffjoH iÕrdj


fuys jrola ke;' fya;=j fol fjk fjku jQj;a hkafka tlu Worhlg ksidh' l,d;=rlska úfYaI fya;=jla u; fnfy;a j¾. folla tlg ñY% fkdl< hq;= wjia:d ;sfí' túg ffjoHjrhd tA ms<sn|j fnfy;a kshu lrk wjia:dfõ§ u Wmfoia fokq we;' wikSm jQ úg fldmuK ojia fkdkd isáh hq;=o@ jrla ud fj; meñKs yDo frda.sfhla udfilska Èh kd ;snqfKa ke;' —ug fiargu jvd wudre kdkak ke;s tlhs'Z Tyq ueisú,a,l iajrEmfhka lSh' —fldhs fÞia;r uy;a;ho lsõfj kdkak tmd lsh,d@˜ uu weiqfjñ' —ljqrej;a kï lsõfj kE' tA;a b;ska f.or lÜáh lshkjfka f,fâ jeäfjhs lsh,d˜ Tyq lSfõ melsf,ñks' fuh wfma rfÜ ñksiqka w;r wdÈ ld,fha isgu mej; tk

2015 Tlaf;dan¾ l<dmh

úfYaIfhka fkdkd isáh hq;= frda. ;;a;ajhl § ñi fiïm%;sYHdjl§ jqj;a fkdkd isák f,i ngysr ffjoH úoHdfõ ±lafjkafka ke;'

u;hls' kuq;a úfYaIfhka fkdkd isáh hq;= frda. ;;a;ajhl § ñi fiïm%;sYHdjl§ jqj;a fkdkd isák f,i ngysr ffjoH úoHdfõ ±lafjkafka ke;' yDo frda.shl=g mjd kEu iqÿiqh' kuq;a <s|lska weof.k kEu iqÿiq fkdfõ' tA wkqj <sf|ka weof.k kdkakg isÿ jkafka kï fjk flfkl=g lshd kdjd .ekSu l< hq;=h' kdk ldurhl j;=r u,lska ;uka ;ksj kd .ekSu fyd|h' kuq;a uq,a ld,fha kdk ldurfha fÞr w.=,a ,df.k kEu ys;lr ke;' tfiau kdk ldurhg hk úg ksjfia ldg fyda tA nj okajd hdu o WÑ;h' frda.Ska È.ska È.g fkdkd isàu u; fjk;a fi!LH m%Yak u;=úh yelsh' wikSmhl§ n;a jeks wdydr .ekSu WÑ; o@ ngysr ffjoH m%;sldrj,§ fndfyda frda.j,g lEu iïnkaO .eg¨ ke;' yDo frda.j,g mjd fndfyda wdydr w.=K fkdfõ' tu frda.Skag iuyr wdydr jeämqr .ekSu kqiqÿiq w;r 100]lau fkd.; hq;= wdydr b;d wvqh' ´kEu frda.hlg wdydr .ekSu jrola fkdfõ' ienúkau frda.Skaf.a YÍrfha fmdaIK ;;a;ajh mj;ajd .ekSu i|yd wdydr .ekSu w;HjYHh' wdydr wreÑhla we;akï le|" iqma jeks Èhr wdydr .; hq;=h' wreÑhla ke;akï fmdaIHÞhs >k wdydr .ekSu iqÿiqfõ' wdydr .ekSu fkdl< hq;= kï ffjoHjreka tA ms<sn|j úfYaIfhka Wmfoia fokq we;' 107


Dissociative Disorder

ujf.a n,mEu ksid foijka ìysrs jQ újdyl mqf;la

ujf.a n,mEu ksid foijka ìysrs jQ újdyl mqf;la ú>gkdndOh - .;s fidnd ufkda úoHd WmfoaYsld f;acdks nq,;aj;a;f.a jD;a;Sh w;a±lSula weiqßks .=Kfiak wjqreÿ y;<sia myla muK jhia jqKq fore msfhls' iaÓr /lshdjla fkdl< .=Kfiak wdodhula fidhd.;af;a ;u jeäuy,a fidhqrdf.a is,a,r fjf<|if,a jev lghq;= lrñkqhs' lsisu frda.dndOhla fkd;snqKq .=Kfiak lsisfia;a fkdis;+ ú,iska tla;rd Èkfhl Tyqf.a lka weiSu ysá wäfhau uq¿ukskau k;r jqKd' fuh .=Kfiakf.a ìß|g" mjqf,a whg jf.au .=Kfiakg j;a lsisfia;au f;areï .kakg neß jqfKa .=Kfiak yÈisfha frda.d;=rj isáfhaj;a ke;s ksihs' lk wi,gu ù lE.eiqj;a .=Kfiakg fkdweiqkq ksid Tyqg hula lshkakg kï th lvÞishl igyka l< hq;= jqKd' fï ksid mjqf,a wh úYd, lrorhlg uqyqK ÿkakd' ffjoHjrfhl= fj; fhduq l<;a''' @ .=Kfiakf.a ifydaorhdg jHdmdrhg .=Kfiakf.a Woõ .ekSu;a fï ksid úYd, .eg¨jla jqK;a ish nd, fidhqrdg msgqmdkak ;rï Tyq .=Kul= jqfKa kE' Tyq .=Kfiakj úfYaI{ ffjoHjreka lsysm fofkla fj;u wjia:d lsysmhl§u f.dia fmkajqj;a .=Kfiakf.a lka fkdweiSug wÞ< lsisÿ ldhsl wdndOhla fkdue;s nj ;uhs ikd: jqfKa' 108

ufkda ffjoHjrfhl=f.a úu¾YKh bkamiq .=Kfiakj ufkda ffjoHjrhl= fj; fhduq flreKd' tysÈ .=Kfiakf.a frda.hg uq,a jQ f;dr;=re fidhd .ekSu i|yd Tyqf. ka m%Yak úuikakg isÿ jQfha lvÞishl igyka lsÍfukqhs' bkamiq Tyq ufkda Ñls;ail m%;sldr i|yd fhduq lrkq ,enqjd' tA .=Kfiakg ;sfnkafka ú>gkdndOh ^Dissociative Disorder& nj ;yjqre ùu ksihs' fya;=j wkdjrKh fõ''' .=Kfiak fndfydu wysxil mqoa.,fhla' Tyqf.a ìß|;a" foorejkq;a iu. Tyq jdih lf<a ;ukaf.a uy f.or tla fldgilhs' th iEfyk f,dl= f.hla' tA f.oru wfkla fldgfia .=Kfiakf.a fidhqßh wef.a ieñhd iy orejkq;a Ôj;a jqKd' .=Kfiakf.a uj

ffjoHjrhd - udisl ffjoH iÕrdj


.=Kfiak Tyqf.a ìß| iu. iómj jdä ù i;=áka l;d ny lrkq olskakg uj lsisfia;a m%sh lf<a kE' tA fj,djg weh t;ekg meñK .=Kfiakf.a ìß|f.a is; ßfok mßÈ .=Kfiakg lE.ykafka Tjqkag ,eÊcd isf;k mßÈhs'

2015 Tlaf;dan¾ l<dmh

isáfha .=Kfiakf.a fldgfiau ;snQ tla ldurhl' Tyqf.a mshd ñh .syska' jeäuy,a fidhqrd fjk;a ksjila idÞf.k uy f.oßka fjkaj mÈxÑ ù isáhd' ujf.a wKilg hg;ajQ wirK mjq,la fï f.or n,meje;ajqfKa ujf.a wKilhs' kuq;a tA wKil .=Kfiakf.a ke.Kshg;a wef.a ieñhdg;a n,mEfõ kE' Tjqkaf.a mjq,a Ôú;hg w; fmdjkak W;aidy fkdl< uj tA fjkqjg .=Kfiakf.a mjq, ;=< isÿ jk yeu fohlgu weÕs,s .eiqjd' .=Kfiakf.a orejka mjd ;ukag jqjukd úÈhg yÞ jvd .ekSuhs tu ldka;djf.a wruqK jqfKa' .=Kfiak Tyqf.a ìß| iu. iómj jdä ù i;=áka l;d ny lrkq olskakg uj lsisfia;a m%sh lf<a kE' tA fj,djg weh t;ekg meñK .=Kfiakf.a ìß|f.a is; ßfok mßÈ .=Kfiakg lE.ykafka Tjqkag ,eÊcd isf;k mßÈhs' 109


Dissociative Disorder

ujf.a n,mEu ksid foijka ìysrs jQ újdyl mqf;la

—Bfha fmf¾Þ lido ne|mq tjqka jf.a fldu, lr lr bkafk WU,g fjk jev keoao wr fld,a,d lfâ ;kshu kyskjd' WU, fu;k .Eksj yqr;,a lrkjd˜

jeà .sh wdldrfhkqhs' Tyqg wjg mßirfha lsisjla weiqfka kE' orejka ;d;af;a lshk nj fmkqK;a tA y~ hka;ñkaj;a fkdwefik úg .=Kfiakf.a weia foflka l÷¿ lvd f.k jegqKd' Bg miqjhs Tyq ffjoH m%;sldr i|yd f.k .sfha'

.=Kfiak ;u ujf.a l%shd l,dmhka iy weKqï neKqï ksid úYd, is;a mSvdjlska Ôj;a jqKd' wka;sfï tA mSvkh msg;g wdfõ Tyqf.a foijka ìysß ùula f,iskqhs'

udkqISh in|;d j,g;a ndOd wdjd tjeks joka .=Kfiakf.a ujf.a uqúka msg jqKd' we;af;kau .=Kfiak j;a Tyqf.a ìß|j;a idudkH úÈyg mqgq foll jeä fj,d l;d lrñka isákq ÿgqj;a uj fujeks lgql ,eÊcd isf;k joka lshk úg .=Kfiak jf.au ìß|;a úYd, wmyiqjlg m;a jqKd' fï ksid ujg fmfkkakg l;d ny lsÍu mjd Tjqka fofokd w;yer ±uqjd' Èkla .=Kfiakf.a ìß|g WK iE§ weh ksÞ .;af;a f.or fÞf¾ jevla lsÍug mjd úYd, wmyiqjla ±kqKq ksihs' .=Kfiak tÞ l=iaishg je§ mßmamq fydoaola yeÿjd' tA fj,dfju Tjqkaf.a l=iaishg meñKs uj .=Kfiakg uy yhsfhka neK jeÿfka —.Eksg mlal,slï lrk fudavhd˜ lshñkqhs' wirKhd" wikSm jqfKA fufyuhs .=Kfiakg ujf.a fï reÿre joka iy yeisÍï ord ys£u wiSre jqKd' tA jf.au l,l isgu Tyq ksjfia ;ukaf.a fldgi ;u kug ,shd fok f,i ujf.ka l< b,a,Sïo weh ;=Ügqjlg .Kka .;af;a kE' fï ish¨u foaj,a ksid .=Kfiak ±ä is;a fõokdjlska l,amkd lrñka isáh§ Èkla .=Kfiakf.a lka weisu tljru wek ysáhd' Tyqg ±kqfKa ;u lka fok uq¿ukskau w.=,a 110

;ju;a frda. ldrlfhka mSvd @ .=Kfiak ;u ujf.a l%shd l,dmhka iy weKqï neKqï ksid úYd, is;a mSvdjlska Ôj;a jqfKa' wka;sfï tA mSvkh msg;g wdfõ Tyqf.a foijka ìysß ùula f,iskqhs' fï i|yd È.gu Tyqg Ñls;ail m%;sldr ,nd ÿkak;a thska uq¿ukskau iqjh ,eîu wiSre ù ;sfnkafka Tyqg foijka fkdweiSu frda.hg Ñls;ail m%;sldr ,nd §fï§ uj úYd, ndOdjla ù ;sfnk ksihs' .=Kfiakf.a uj kï is;kafka Tyqg fï foa isÿjqfKa ìß|f.a ld,lKaKslug lsh,hs'

ffjoHjrhd - udisl ffjoH iÕrdj


Advertorial

hy.=Khu ñi wj.=Khla ke;s fmd,af;,a fmd,af;,a i;= idOKSh fmdaIl l=reKE., uy frdayf,a ffjoH kd,l rKisxy úisks fmd,af;,a i;=j we;af;a wkQmfïh jQ .=Kdx.hka /ils' fldf,iagfrda,a uÜgu md,kh lsÍu" YÍr nr md,kh lsÍu" m%;sYla;slrK moaO;sh m%j¾Okh lsÍu" mßjD;a;Sh l%shdj,sh iqug lsÍu" wdydr cS¾Kh kshñ; f,i isÿùu hk hy.=K /ila Bg wh;ah' ta yereKq úg jl=.vq frda." yDo frda." wêreêr mSvkh" oshjeähdj yd ms<sld wdoS frda. /ilskau ñoSug fmd,af;,a j, we;s hy.=K fya;= fõ' o;a yd wiaÓ Yla;su;a lsÍug;a fmd,af;,a j,ska fkduo jQ msgqjy,la ,efí' f,daßla wï,h" lemaßla wï,h" lemaß,sla wï,h wdoS fmd,af;,a i;= jákd wï, ksid fujka jákd frda. ksjdrK .=K /ila ksi`.fhkau fmd,af;,a j,g Wreuh' nyqcd;sl iud.ï l=uka;%Kh wfma rg yereKq úg bkaoshdj" ;dhs,ka;h yd ms,smSkh hk rgj, fmd,a l¾udka;h fnfyúka mD:q,h' wefußld tlai;a ckmoh" lekvdj yd hqfrdamSh rgj, fmd,af;,a yd fmd,a ksIamdok j,g we;s b,a¨u fõ.fhka by< hñka mj;S'

2015 Tlaf;dan¾ l<dmh

fmd,af;,a i;= idOKSh fmdaIl

1970 oYlfha yd bkamiqj jir 2000 muK jk f;la fmd,af;,a iïnkaOfhka m¾fhaIlhka ;=< meje;af;a t;rï iqmika ye`.Sula fkdfõ' nyqcd;sl fidahd yd bß`.= f;,a l¾udka;lrejka ie,iqïiy.;j isÿ lrk ,o m%pdrhl m%;sM<hls th' flfia fj;;a jir 2000 muK miqj fï ;;a;ajh fjkia úh' fmd,af;,a i;=j we;s jákd hy.=K ;jÿrg;a hgm;a fkdl< yels nj f,dalh y÷kd.ekSu;a iu.u oeka tys ienE fmdaIKSh .=Kdx. iïnkaOfhka ck;dj oeKQj;a ù ;sfí' f,daßla wï,h YÍrh ;=< l%shd;aul jk wdldrh wfma YÍrh úiska f,daßla wï,h fudfkdf,daßka njg mßj¾;kh lrKQ ,nhs' fï fudfkdf,daÍka j, we;s iqúfYAIS .=Kdx. w;r ffjri" nelaàßhd iïNjhla iys; frda. /ila u¾Okh 111


Advertorial

fmd,af;,a i;= idOKSh fmdaIl

lsÍu uQ,sl .=Kdx.hls' y¾msia" bka*¨fjkaid" ihsfgdfu.f,djhsri yd HIV wdoS Nhdkl ffjri úIfhys mjd fudfkdf,daßka j, we;af;a isrerg ys;lr jQ hdka;%Khls' wd.ka;=l cSjdKQ u¾Ok hdka;%Khls' nelaàßhd jYfhka .;a l< ,siaàßhd" fudfkdihsfgdcska" ye,sfldnelag¾ mhsf,daß wdoS cSjdKQ fukau .sh¾ähd ,eïí,shd wdoS fm%dfgdfidajd úfYAI u¾Okhgo fï fudfkdf,dßka iqúfYAISj iu;ah' fmd,af;,a j, wka;¾.;h fmd,af;,a j,ska ishhg 99lau we;af;a ix;Dma; fïohhs' ta yereKQ úg fYAI ud;% jYfhka tal, ix;Dma; fïo wï, lsysmhla mj;S'

ix;Dma; fïo wï, fï ix;Dma; fïo wï,fhka jeä yßhla uOH odu g%hs.a,sirhsvh' tajd YÍrhg wys;lr fkdfõ' ix;Dma; fïo wï, j, m%Odk odhlhd jkafka f,daßla wï,hhs' fmd,af;,a mßudfjka ishhg 40la muK orkafka f,daßla wï,hhs'

idudkH fi!LHuh ms<s.ekSu jkqfha ix;Dma; fïo wï,h yoj;g ñ;=re fkdjk njhs' fmd,af;,a ix;Dma; fïohla jQj;a tys jeä jYfhka uOH odu fïo wï, ;sfnk ksidfjakao" tys wka;¾.;fhka ishhg 50lau f,daßla wï,h ;sfnk ksido ta wj.=K fmd,af;,a j,g wod, ke;' tmuKla fkdfõ" fmd,af;,a iqúfYAIS frda. ksjdrlhla njg m;aj we;af;a fulS fpdaokdj w;sl%uKh lrñks' fjfiiskau yoj;g ñ;=relu yereKQ úg fmd,af;,a i;=j we;s wfkl=;a idOKSh .=Kdx.o rdYshls'

112

ffjoHjrhd - udisl ffjoH iÕrdj


ta yereKQ úg fmd,af;,a j, my; fïo wï,o ;sfí' • lemaßla wï,h • lemaß,sla wï,h • ñßiaála wï,h • mdñála wï,h • uOH odu g%hs.a,sirhsv fï yereKQ úg nyq wix;Dma; fïo wï,hla fia ie,flk ,sfkdf,hsla wï,ho" tal, wix;Dma; fïo wï,hla fia ie,flk Tf,hsla wï,ho" .e,sla wï,h kue;s fmd,s *sfkda,h o fmd,af;,a j, wvx.= fõ' fmd,af;,a j, iq.kaOhg yd tys ,dlaIKsl .=Khg fya;= jkafka fï fmd,s *sfkda,hhs'

ta yereKQ úg fmd,af;,a i;=j my; øjH mj;S' • ìfghska (betaines) • t;fkd,euhsâ (ethanolamide) • tf;dlaisf,aÜ (ethoxylates) • fïouh tiagr (fatty esters) • fïouh fmd,sfidafíg (fatty polysorbates) • fudfkd.a,sirhsv (monoglycerides) • fmd,sfhda,a tiagr (polyol esters) • fïouh laf,darhsv (fatty chlorides) • fïouh we,affldfyd, (fatty alcohol) • B;¾ i,af*ag (ether sulphate) • úgñka E • úgñka K • hlv fmd,af;,a fi!LHiïmkak nfjka msßmqka jQj;a tajd ksIAmdokfhaoS ksjeros ksIAmdok l%shdj,shla 2015 Tlaf;dan¾ l<dmh

wkq.ukh fkdlf<A kï we;eï úg thska wfmalaIs; hy.=K fkdie,ish yelsh' ta fjkqjg wY=oaO øjH wka;¾.; ùfuka wj.=Khka u;=ùugo yelsh' fï ksid fmd,af;,a ñ,oS .ekSfïoS úYAjdijka; jQ udos,shlska Tn ñ,oS .; hq;= w;r tfia jkafka kï Tng jroskakg úosyla ke;' ishhg ishhla Y%S ,dxlsl" úYAjdijka; kula iys; fmd,af;,a Tn ñ,g .; hq;af;a iqmsßisÿj fmd,af;,a ms<sfh, lsÍug fyda msßmyÿ lsÍug ish,a,kagu fkdyels ksidh' iq¿ uqo,l b;=rejlg Tn Tfí mjqf,a idudcslhkaf.a fi!LHh wk;=f¾ fkdoeñh hq;= w;r fmd,af;,a j, kshu .=K ,eîug kï ksjerosj ms<sfh, l< fmd,af;,a Tn úiska ñ,oS .; hq;=h' iq¿ uqo,la jeämqr jeh jqKdg" kshu m%ñ;shg idok fmd,af;,a j, kej; neoSfï yelshdj we;s ksid uqo,;a b;=re lrf.k fi!LHh;a /l.kakg mq¿jka nj uyck;dj oek.; hq;=h' 113


114

ffjoHjrhd - udisl ffjoH iÕrdj


Interventional Pain Management

fld÷weg fm< wdY%s; ksoka.; fõokd j,g iykh f.fkk u.

fld÷weg fm< wdY%s; ksoka.; fõokd j,g iykh f.fkk u. ldhsl frda. yd ksoka.; fõokd úfYaI{ ffjoH frdays; chuy

YdÍßlj ±fkk fõokdjka wmg udkislj;a uy;a mSvdjlau we;s lrhs' fõokdjla fkdi,ld ys¢k l, th ksoka.; ;;a;ajhg m;ajk nj Tn okS' fujeks iq,n ksoka.; fõokdjka jkafka fld÷ weg fm< wdY%s; ksoka.; fõokdj" ksoka.; ysiroh" fomdj, Tiaáfhda wd;rhsáia ;;a;ajh" Wrysiaj, ksoka.; fõokd ^Frozen shoulder& jeks oEh' wms fld÷ weg fm< wdY%s; ksoka.; fõokd .ek l;d lruq'

frda. ksoka.; ;;;ajhg m;afjk l<''' fldkafoa iy fn,af,a lelal=u hkq iq,nj olakg ,efnk ;;a;ajhls' thg jhia fNaohla o ke;' udi ;=kla fyda Bg jeä ld,hla th mej;Su hkq ksoka.; ;;a;ajhg m;a ùuhs' wms uq,skau wfma YÍrfha fldkao wdY%s;j ;sfnk YÍr jHqyh .ek úuid n,uq' wfma ifï isg YÍrh we;=<g ;sfnk yeu wjhjhlskau mek k.sk fõokdj fldkafoa lelal=ula f,i wmg ±fkkakg mq¿jk'

2015 Tlaf;dan¾ l<dmh

iuyr frda. ksid wmg oreKq .Kfha fldkafoa wudre yg .kakg bv ;sfí' yßhdldrj m%;sldr fkdlf<d;a fï ksid w;eï úg Ôú;h mjd wk;=reÞhl jkakg neß ke;' my; ±lafjk ,laIK iu. fldkafoa wudrej we;akï th oreKq .Kfha fldkafoa wudrejla ùug fnfyúkau bv ;sfí'

fldkafo wudrej iu. we;sjk wk;=reÞhl ,laIK WK" YÍrfha hï fldgila ysßjeàu fyda wm%dKslj ;sîu" uq;%d my lsÍfï fyda u,my lsÍfï .eg¨ we;sùu ^ksoiqka - uq;%d iu. f,a msgùu" u,my lsÍu wmyiq ùu& fldkao fyda fn,a, yÈis wk;=rlg ,laj ;sîu" Tiaáfhdafmdfrdaisia frda.h" Èhjeähdj we;=¿ fjk;a m%;sYla;sh wvmK lrk frda. ;sîu" ms<sld frda. hk fïjd wk;=reÞhl ,laIK f,i ±laúh yelsh' fï frda. ms<sn| hï wjfndaOhla we;s ffjoHjrhl= ,jd fldkafoa wudrejg fya;= jk YÍrfha 115


Interventional Pain Management

fld÷weg fm< wdY%s; ksoka.; fõokd j,g iykh f.fkk u.

msg fldgfia frda. ;;a;ajh úksYaph lr .; hq;=fjhs' fõokdjg jf.au frda.hg;a ksis m%;sldr ,eìh hq;=hs' tfia ke;fyd;a fõokdj iqj lsÍu wiSre fjhs'

ie;alï j,g hkjdg jvd''' fndfyda fj,djg fldkao wdY%s; weglgq w;f¾ ;sfnk ;eá ^disk& we§u" W¨laùu jeks foaj,a isÿfõ' weglgq" ikaê" ;eá iy udxYfmaYs hk ia:dk weoSï" W¨lal= ùï wdÈh meyeÈ,sj y÷kd .ekSu wjYHh' fujeks .eg¨jla we;s jQ úg ysß jeàu yd wm%dKsl ;;a;ajhla fkdue;s kï ie;alïj,g hdhq;= ke;' fïjd fndfyda úg wid¾:l Y,Hl¾u fõ' tkï lelal=u yiq fkdjk tAjdh' wfkla

116

w;g ie;alï ksid tu m%foaYj, we;s hï hï mglj, jHqyho fjkia jkq we;' túg fn,a, yd fldkao wdY%s; m%foaYfha fjkialï we;sfjhs' fuh úYd, .eg¨ iy.; ;;a;ajhls' tneúka fn,a, yd fldkao wdY%s; m%foaYj, fõokdjkag ie;alïj,g fhduq ùug fmr fõokdj ÿre lrk kùk uxfm;a Interventional pain management fj; fhduq ùu iqÿiqh'

ffjoHjrhd - udisl ffjoH iÕrdj


Advertorial

ysfia m%Yak úi|k óáhdf.dv ch;s,l fjof.or

f;dg.uqfõ Y%S rdyq, ysñhka iy yslalvqfõ Y%S iqux., kdysñhka fjo Wreuh;a iu.ska''' ysfia m%Yak úi|k óáhdf.dv ch;s,l fjof.or

f;dg.uqfõ Y%S rdyq, ysñhka iy yslalvqfõ Y%S iqux., kdysñhka .ek wm wid we;af;uq' tfukau fy< fjolu iïnkaOfhka Wkajykafia,d oelajQ ´kElu" mßph .eko wm wid we;af;uq' f;dg.uqfõ Y%S rdyq, ysñhka wmj;a jQ miq;a Wkajykafia foayfhka fy< Tiqfõ n,fhka flia" / jq¿ jevqKQ nj;a wm wid we;af;uq' th wog;a me/kakka uqj. f,,fok wdYap¾hu;a l;djls' fuu kdysñjrekag kElï lshk fjo mrmqrla .ek miq.shod wmg wikakg ,enqKs' ta .d,af,a jxpdj, m%foaYfhks' tu fjo mrïmrdfjka w;ska w;g m;aj wd jákd fjo jÜfgdare m¾fhaIKhg ,la lrñka ksmojQ T!IO lsysmhlau ufy!IOhka njg m;aj we;s whqre foia fokafka ta Ndú;d l< ck;djuh' ta ksidfjkau fï wmQre fjo mrïmrdj .ek jeäÿr úia;r oek. ekSfï wáfhka wm óáhdf.dv" ch;s,l fjo ksfji lrd md ke.=fjñ' lreKdnrj wmj ms<s.kakd ,oafoa

2015 Tlaf;dan¾ l<dmh

117


Advertorial

ufkdaß ch;s,l uy;añhhs' bmerKs lS¾;su;a fjo mrïmrdjl wo ojfia ksfhdackhla jYfhka Tn;=ñh .ek oek. kakg ,enqKd' ta fjo mrïmrdfõ merKs T!IO fhda. j,ska fndfyda frda. j,g iqjh i,ik nj;a wmg oek.kakg ,enqKd' Tn;=ñhf.a jokskau fï .ek úia;rhla lf<d;a''' @

ta ldf, fjouy;a;=re .ek wdfh wuq;=fjka lshkak ´ks kEfk' fjolu ta we;af;d ie<l=fõ fof,djgu jevodhl uyd mqkHl¾uhla úosyg' ñ, uqo,a ;el=fj kE' ta mrud¾: fmroeß lr.;a;= ksidu fnfy;a .;a;= yefudau jf.a iqjh ,enqjd'

118

ysfia m%Yak úi|k óáhdf.dv ch;s,l fjof.or

Tn oekgu;a wmj yuqfjkafk wfma fjo mrïmrdj .ek hï;dla oekf.kfk' Bg jeä hula ksielfhkau ug lshkak mq¿jks' wfma uq,au fjo mrïmrdfjkau uf.a l;dj wdrïN lrkakïfld''' f;dg.uqfj rdyq, yduqÿrefjd .ek;a" yslalvqfj Y%S iqux., yduqÿrefjd .ek;a fï rfÜ fkdokak flfkla ke;s ;rïfk @ wms ta h;sjrhdkka jykafia,d fokuf.au .sys mrïmrdjg kElï lshkjd' Wkajykafia,d i;=j ;snQ uyd¾> T!IO jÜfgdare wmg odhdo fj,d ;sfhkjd' wdos iïm%odh bosßhg f.k hkakg oekg fï bmerKs fjolu bosßhg f.k hkafk ljqo@ u;=.u ã ta chisxy fjouy;auhd wfma iShd' thd fnd/,a, wdhq¾fõofha ,shdmosxÑ fjouy;aufhla' ta uf.a wïuf. ;d;a;' ta ldf, fjouy;a;=re .ek wdfh wuq;=fjka lshkak ´ks kEfk' fjolu ta we;af;d ie<l=fõ fof,djgu jevodhl uyd mqkHl¾uhla úosyg' ñ, uqo,a ;el=fj kE' ta mrud¾: fmroeß lr.;a;= ksidu fnfy;a .;a;= yefudau jf.a iqjh ,enqjd' ta yefrkak mrïmrdfj j;=msáj,ska iEfyk wdodhula ,enqKQ ksid ta we;af;d fjolfuka wd¾Ól jdishla n,dfmdfrd;a;= jqfKA kE' wfma iShf. úfYAI;ajhla ;snqK' Tyq frda.Ska f.org tklï ysáfh kE' frda.shd fydhdf.k fjouy;auhd .shd' ta;a md .ukskauhs' ta ksidu fï uyd mqreIhdg frda.Skaf.ka ,enqfK úYd, f,ka.;=lula' frda.sfhla iqj fjkj lshkafk wfma iShdg uyd i;=gla' iSh lrldr ne|.;af;;a bmerKs fjo mrïmrdjl fjo ydñfka flfklauhs' uu uq,ska lsõfj uf.a wïuf. ;d;a; .ekfk' wfkla flkd ;uhs" uf.a ;d;a;f. ;d;a;d' ta lshkafk uf.a wks;a iSh' th;a fyd| fjo mrïmrdjlskau mej; tkafkla' uq,ska isysm;a l< yslalvqfj iqux., ysñmdkka wfma iShf. wïuf. whah' fy< fjolu by<skau oekf.k ysáh iqux., kdysñmdKkaf.ka ;uhs uf.a iSh fjolu;a" klaI;%h;a bf.k .;af;' ffjoHjrhd - udisl ffjoH iÕrdj


wmj;a ùfuka miqo flia" rjq¿ jejqKq f;dg.uqfõ Y%S rdyq, ysñ foayh

f;dg.uqfõ Y%S rdyq, ysñ

yslalvqfjA Y^S iqux., ysñ

wïn,kaf.dv" óáhdf.dv" .=rej;a; j,õfj ch;s,l fkd;dßia rd,ydñ lsõju fkdokak flfkla kE' fukak fï iShg ;uhs f;dg.uqfõ Y%S rdyq, ysñhkq;a {d;s fjkafk' fï fjo mrïmrdfj lsisu flfkla uqo,g fjolï lf<A kE' tfyu uqo,a .kak wvqmdvqjla ;snqfK;a kE' Tjqka yeu fohlau lf<A ñksiqkaf. hym; Wfoidhs' fï chisxy yd ch;s,l lshk fjoeÿrejrekaf.a uqKqmqrd .sIdka ch;s,l ;uhs fï fjoeÿre mrïmrdjka foflau j;auka ksfhdackh' Tyq uf.a jeäuy,a fidfydhqrd' Tyq fmardfoksh úYAj úoHd,fhka bxcsfkare Wmdêh oerEfjla' ;ukaf. úoHd;aul {dKh iajlSh mrïmrdfj jákd T!IO ms<sn|j úuikakg Tyq fhdod.;a;d' fï oelafjk úosyg Tn wh;a jkafka b;d iïNdjkSh fjo mjq,lg' Tfí fnfy;a w;f¾ m;, kula cd;Hka;rfha mjd /ka¥ ksmehqï lsysmhlau ;sfnkjd' ta .ek úia;rhla lf<d;a''' @ 2015 Tlaf;dan¾ l<dmh

wo iudcfha úYd, m%Yakhla njg fmr,s,d ;sfhk .eg¿jlg wm b;d id¾:l fnfy;la wm ksmojd ;sfnkjd' wo ojfia fndfyda fokdg ;sfhk m%Yakhla ;uhs ysifla hdu' flia.i wvq ldf,ka boSu;a .eg¿jla' fï ysiflia hdu iy ysifla boSu ke;akï iqÿùu ksid flfkla mSvd ú|skjd kï wm thg m%;HlaI úi÷ula imhkjd'

wo iudcfha úYd, m%Yakhla njg fmr,s,d ;sfhk .eg¿jlg wm b;d id¾:l fnfy;la wm ksmojd ;sfnkjd' wo ojfia fndfyda fokdg ;sfhk m%Yakhla ;uhs ysifla hdu' flia.i wvq ldf,ka boSu;a .eg¿jla' fï 119


Advertorial

ysiflia hdu iy ysifla boSu ke;akï iqÿùu ksid flfkla mSvd ú|skjd kï wm thg m%;HlaI úi÷ula imhkjd' flá l,lskau ysifla hdu yd flia .i boSu fï fnfy;a j,ska ikSm lrkjd' jvd;a úYAjdiKshj fï .ek Tn lshkafka fldfyduo @ fjk ljqre;a fkdfjhs" fïj mdúÉÑ lrmq ck;djhs wms idlaIs lr.kafk' wm oeka ld,hl isg fï ksIamdokh fï rfÜ fnodyßkjd' úYd, ixLHdjla fï .eg¿ foflkau mSvd ú|s wh ta .eg¿fjka ños, ;sfhkjd' ta .ek ielhla kE' fnfy; hï ld,hla mdúÉÑ lf<d;a wksjd¾fhkau wfmalaIs; m%;sM< ,efnkjd' fï fnfy;a j, kï fudkjdo @ ysifla hdug flaYuQ, ;r,h' fldKafv iqÿ fjkjg fok fnfy; í,ela fyhd' fï T!IO jÜfgdare folu wfma fjo mrïmrdj, m%;HlaI T!IO' fïjdfha id¾:l;ajh ta ksihs'

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ysfia m%Yak úi|k óáhdf.dv ch;s,l fjof.or

fï T!IO iïnkaOfhka m¾fhaIKd;aul mshjr iïmQ¾K jqfKA fldfyduo @ fï T!IO j, b;sydih jir ish oyia .Kklafk' uqL mrïmrdKQ.; jÜfgdare m¾fhaIKhg ,la lf<A uf.a fidfydhqrd' oS¾> ld,hla m¾fhaIK isÿlr id¾:l;ajh m%;HlaI lrf.khs jdkscH ksIamdokhg w; .eiqfõ' kj ;dlaIKh iydh lrf.k m¾fhaIK l<;a kj ridhk lsisjlau fuys wvx.= kE' ish,a,u jákd wdhq¾fõo fnfy;a ú;rhs' Tyqf.a iqmÍlaIl;ajfhka fjoyf,a ish¿u lghq;= ksishdldrj bIaG isoaO fjkafk uf.a uQ,sl;ajfhka' fldKAvh iïnkaO .eg¿ j,g fok T!IO yereKQ úg fjk;a Tn wdh;kh ksIamdokh lrk T!IO fudkjdo@ fjk;a T!IO fY%aKshlau wm <`. ;sfnkjd' Worh wvq lrk fnfy;a" l=re<E iqj lrk fnfy;a wdoS ;j;a ksIAmdok .Kkdjlau wm wdh;kh ksIamdokh lrkjd' fï T!IO iEu tllau mdfya fï rfÜ b;d ckm%shhs' frda.Skag fï T!IO ,nd fokafk fldfyduo@ wfma fjo f.org tk frda.Ska yg úfYAI ffjoH uKav,hla u.ska m%;sldr i,ikjd' yefudagu fjof.org tkak nEfk' ta ksid wfma T!IO ksIamdok uq¿ rg mqrdu wm fnodyßkjd' fï T!IO iïmQ¾K b,a¨u imhkak wfma Odß;dj uos' ta ;rugu wmg" wfma T!IO j,g fï rfÜ ck;djf.ka b,a¨ula ;sfnkjd' .=rej;a; j,õfõ fï fjof.or T!IO ksIamdokh jkhqre ud fk; .efÜ' tys kjH hka;%-iQ;% ke;' jxf.äh" fuda,a.y" ;U Ndck fuys Ndú;d lrk wdïmkakh' tajd yiqrejkafka j<¨ ne|s oE;ah' T!IO ksIAmdokfhys oejeka;hka jk úg ;dlaIKh weiqre fkdlrkafkda ljqo @ tfy;a .=rej;a; fjo mjq, tah neyer lr ;sfí' w;S; fjomrïmrdjl Wreuh ta whqßkau ck;dj fj; ,ndoSug ch;s,ljreka orK W;aidyh m%YxikShh' thg cd;sfha f.!rjdorh ysñ úh hq;af;a fkdfjo@ T!IO ksIAmdok .ek úuikak 0775507381

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lÿrefj, wïmdr iïm;a Tiqy, ys`.=rlaf.dv iïm;a Tiqy, uyshx.kh cSjdkkao Tiqy, uyjej Wcs;a iafgda¾ia y,dj; mdr nÿ,a, wókd wdhq¾fõo Tiqy, my< ùosh lsß|sje, iqks,a Tiqy, msgfldgqj" noafoa.u iagda¾ia" u,aj;a; mdr fldïm[a[ ùosh ksu,a fmf¾rd 0777955934 lvqfj, lvqfj, fuäl,aia ms<shkao, l=udrisxy Tiqi, iqm¾ udlÜ wxl 1 lE.,a, lE.,a, T!IOd,h uy ùosh" iriaj;S Tiqi, ud;f,a ridla wdhq¾fõoh fldáldj;a; ykaosh Wodr Tiqy, fydaud.u .=Kisß Tiqy, n,xf.dv Y%S fi;a isxy, fnfy;a lfâ ;dkdhu wi, rd.u ;s,l Tiqi, rdc.sßh ú,aika wdhq¾fõo Tiqy, fmd,a.yfj, fmd,a.yfj, Tiqy, lgqneoao ld¾ñl ixj¾Ok uKAv,h fj<|ie, u;=.u isxy, fnfy;a nvq lfâ nÿr,sh osuq;= *duish fydrK j,amsg Tiqy," fikag%,a *duish fldÜgdj iqfj,akd Tiqy, jdoaÿj iriaj;S Tiqy, w¿;a.u ,skafka wdhq¾fõo Tiqy, n;a;ruq,a, úmq, Tiqy, kqjrt<sh úydkd wdhq¾fõoh" HERO Tiqi, ;x.,a, YHdkq *duish je,s.u lfrda,sia mq;%fhda ÿïßhfmd< mdr .ïmy biqr *duish" Tref;dg mdr" .hdka tackaisia ñKQjkaf.dv Ydka;s Tiqi, wxf.dv isxy, fnfy;a nvq fj<|ie, fudKrd., ,laisß *duish" hibiqre uq,af,aßhdj Drug City Tiqi, n;a;ruq,a, fldiaj;a; TiqOr kd;a;kaäh kd.=¾wmamd

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wdhq¾fõoh

kSfrda.Sj È.=l,la Ôj;aùfï ryi

zÈk p¾hdZ f,i wdhq¾fõofha i|yka fõ'

kSfrda.Sj È.=l,la Ôj;aùfï ryi rcfha ffjoH ks,OdÍ - iS;djl m%dfoaYSh iNdfõ wdhq¾fõo frdayf,a wdhq¾fõo ffjoH ta tï pß;a w;djqo (BAMS) úisks charithathauda@yahoo.com Tel: 071 850 1973

kSfrda.S j È.=l,la Ôj;aùug kï Science of life fyj;a zzwdhqI ms<sn| j ú.%y flfrk úoHdjZZ jk wdhq¾fõofha wvx.= b;d ir, jqj;a jákdlñka ñ, l< fkdyels jQ;a f;dr;=re .ek wjOdkh fhduq lsÍu ldf,daÑ; nj ug yefÕa' wdhq¾fõoh ms<sn|j fyd¢ka wjOdkh fhduq l< úg fmkS hkafka th óg jir 3000lg muK fmr ìysjqj;a j¾;udkhg b;du;a fyd¢ka .e,fmk njls' wdhq¾fõofha jeo.;alu jkqfha frda.Skag m%;sldr lrk w;r u kSfrda.S mqoa.,hkaf.a kSfrda.S nj /l .ekSug wjYH jk ffjoHuh Wmfoia ,nd §uhs' fuy yuqjk zÈk p¾hdZ .ek fuu ,smsfhka i<ld n,uq' Èk p¾hd i|yka jkqfha wdhq¾fõofha uQ,sl .%ka: jk prl ixys;dj" iqY%e; ixys;dj wd§ óg jir 3000lg muK fmr ìys jQ .%ka:j,h' u|lg jir 3000l w;S;h iudch .ek is;d n,kak' mßirh" iudch fl;rï wog jvd fjkia j mejf;kakg we;s o@ kuq;a fuys wvx.= lreKq j¾;udk iudchg o b;du;a .e,mSu mqÿu iy.; fkdfõ o@ Èkhla hkqfjka y÷kajkafka ysre Wodfõ isg miqÈk ysre Wodjk f;la jQ Èjd rd;%S folska hq;a ld,hhs' fi!LH iïmkak f,i Ôú;h mj;ajdf.k hEu i|yd fuu ld,h ;=< wkq.ukh l< hq;= ksjerÈ wej;=ï mej;=ï 122

n%yau uqyq¾;fhka wjÈùu Èkm;du w¨hu ksYaÑ; fõ,djlg wjÈùug mqreÿjkak' thska .;;a" is;;a folu m%fndaOu;a fõ' fï i|yd iqÿiqu fõ,dj ysre Wodjg ñks;a;= 48 lg fmr we;s n%yau uqyq¾;fhka wjÈùuhs' kuq;a frda.S mqoa.,hkag fuu fõ,djgu wjÈùu l< hq;= hehs ;Èkau n, lsÍula fkdue;' c,h mdkh lsÍu wdfoaYlhla we;a±hs iel iys; iajNdjO¾ufha úYaú; ks¾udKh jk c,h w¿hu wjÈ jQ miq lg fidaodf.k mdkh l< hq;=h' ;udf.a YÍrh iy wdydr Èrùfï yelshdj .ek is;d mdkh lrk c, m%udKh mqoa.,hdf. ka mqoa.,hdg fjkia fõ' ixys;d .%ka:j, i|yka jkqfha kSfrda.s mqoa.,fhl= ;u foda;ska y;r .=Khl m%udKhla ^ùÿrejla muK& mdkh l< hq;= njhs'

ffjoHjrhd - udisl ffjoH iÕrdj


leiai" lsúiqï" u, uQ;% fõ. ±kqKq úg msg lr yßk f,i;a udkisl fõ. jk B¾IHd" fl%daO" rd." oafõYh" fuday" udk msg fkdlrk f,i;a wdhq¾fõo .%ka:j, olajd we;'

u, uQ;%d neyer lsÍu rd;%S kskafoa isá ld,fha § YÍrfha tla/ia jQ u, yd uQ;%d WoEik wjÈ jQ úg neyer l< hq;=fõ' lsis f,il;a w;miq fkdlr fuh ffokslj isÿ l< hq;=h' fõ. msg l< hq;=h' YÍrfha iajdNdúl l%shdj,shg ndOd fkdl< hq;=h' msg l< hq;= fõ. yd msg fkdl< hq;= fõ. .ek wdhq¾fõofha fjk u ia:dkhl i|yka j we;' leiai" lsúiqï" u, uQ;% fõ. ±kqKq úg msg lr yßk f,i;a udkisl fõ. jk 2015 Tlaf;dan¾ l<dmh

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wdhq¾fõoh

B¾IHd" fl%daO" rd." oafõYh" fuday" udk msg fkdlrk f,i;a wdhq¾fõo .%ka:j, olajd we;' jHdhduh ffokslj jHdhdu isÿ l< hq;= nj wdhq¾fõofha i|yka j we;' jHdhdu WoEik u l< hq;= nj;a mqoa.,hdf.a jhi" YÍr n,h" Yla;sh" ld,h" foaYfha iajNdjh ^WoEikg ±ä iS;, m%foaY& hk fïjdg .e,fmk mßÈ jHdhdu l< hq;=h' wdydr.;a ú.i" l=i.sks we;s úg jHdhdu fkdl< hq;= nj olajd we;' uy¨ wh iy b;d ÿn, wh jHdhdu fkdl< hq;=h' muK blaujd YÍrh fjfyig m;ajk wdldrfhka jHdhdu fkdl< hq;=h' jHdhdufhka miq YÍr Yla;sh jvk wdydrhla .; hq;=h' ixys;d .%ka:j, fuf,i l%udkql+,j jHdhdu lsÍfuka ,efnk m%;sM, o olajd we;' 1' YÍrfha u, fldgia neyer ùu l%uj;a ù YÍrh ieye,a¨ fõ' 2' l=i .sks we;s ù wdydr reÑh we;sfõ' 3' w,i nj ke;sù hhs' 4' YÍr wjhj yd uiamsvq ukdj jefâ' 5' ord .ekSfï Yla;sh ÈhqKqfõ' 6' YÍrfha ;r nj we;s fkdfõ' 7' udkisl iqjh fuka u iqjodhl kskaola ,efí' o;a yd Èj ue§u T!Iëh ±yeá l+rlska mßiaiï iys;j o;a yd Èj ue§ug bmerKs ixys;d .%ka:j, i|yka lr ;snqK o j¾;udkhg iß,k mßÈ o;a nqreiqjlska ue§u jrola ke;' o;a yd Èj ue§u ksid" uqLfha ÿ.| nj bj;a ù" fiï fldgia bj;a ù uqLfha m%ikak nj we;sfõ' nv.skak we;sùu" wdydr reÑh we;sùu yd isf;a m%ikak njla we;sfõ'

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kSfrda.Sj È.=l,la Ôj;aùfï ryi

.KavqI OdrKh T!Iëh c,h uqLfha mqrjdf.k ál fõ,djla ;ndf.k isàuhs' wdydr reÑh we;s ù uqL frda. ke;sfõ' lj, T!Iëh c,h uqLh ;=< ;ndf.k fi,ùuhs' uqL frda. kefia' wdydr reÑh we;sfõ' j¾;udkfha T!Iëh c,h u.ska .KavqI fyda lj, isÿ lsÍu kSfrda.S mqoa.,hka idudkHfhka fkdlrk w;r mouth wash ^ujq;a fjdIa& u.ska isÿlrkqfha lj,j,g iudk l%shdj,shls' kuq;a uqL frda. i|yd wdhq¾fõo m%;sldr isÿlrk úg .KavqI fukau lj, idod.kakd wdldrh yd isÿlsÍu ms<sn| Wmfoia ffjoHjrhd úiska ,nd fohs'

u;= iïnkaOhs

ffjoHjrhd - udisl ffjoH iÕrdj


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Health & Sanitation

c,h úYd, jYfhka wmú;% ùfuka cSú; wk;=f¾'''

Health & Sanitation

c,h úYd, jYfhka wmú;% ùfuka cSú; wk;=f¾''' iEu ksfjilau msßisÿ mdkSh c, úi÷ulg fhduq ùug ld,hhs fï''' o wm nrm;, jYfhka fi!LH iïmkak mdkSh c,h ys`. ùfï .eg¿jlg uqyqK md isáuq' <sx" jeõ" .x.d c,h fukau k, u.ska fnodyßk c,ho úúO m%udK j,ska ¥IKh fj,dh' fï ksid wmf.a mdkSh c, wjYH;d imqrd.ekSfï nrm;, .eg¿jlg wm uqyqK oS isáuq'

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iajNdjfhkau we;sjk c,fha wmú;%;djhka yereKQ úg ñksia l%shdldrlï j, m%;sM<hla jYfhka yd l¾udka;Yd,d wmøjH wdosh ksid jYfhka fï isÿjk c, ¥IKh úYd, jmißhla .kS' c,h wmsßisÿ ùfuka f,vfrda. /ila" ta w;f¾ Nhdkl frda.o we;súh yelshs c, ¥IKh ksid yosisfha f,v frda. yg fkd. kS' tfy;a ¥Is; c,h ld,hla ;siafia mdúÉÑ lsÍfuka úúO fi!LH .eg¿ we;sjk nj wo ukd f,i m%;HlaI ù ;sfí' fldákau ¥Is; c,h wm fj; f.k tkafka úYd, fi!LH ;¾ckhls' wlaudj wdmodjg ,laùu" ms<sld yd ;j;a fndfyda frda. j,g c,h fya;= úh yel' c,h msßisÿ lsÍug .kafka laf,daÍkah' m%;sldrlhla 126

f,i *f,darhsâ fhdod.kS' fï iEu ridhKslhlau hï uÜgul OQ,l;d m%lg lrk nj ienE we;a;h' f,dalhu uqyqKmdk wNsfhda.h c, wmú;% ùï uq¿ f,dalhu uqyqK mdk fmdÿ .eg¿jls' b;d Nhdkl c, .eg¿ j,g ì,shkhla ck;dj iEu osklu mdfya uqyqK md;s' úfYAIfhkau f,dalfha W.% c, .eg¿ j,g jeäfhkau uqyqK mdkafka oshqKQ fjñka mj;sk rgj, ck;djh' tfukau ñksiqka yereKQ úg i;a;aj m%cdjo" .iaje,a we;=<;a mßir moaO;Skao fï c, .eg¿ j,g uqyqK oS ;sfí' fldákau c,h wo mDÓú ;,fhau .eg¿jls' kuq;a c,h wmú;% ùfuka ks¾udKh ù we;s .eg¿fõ jvd;au isrù isákafka udkjhdh' wm lk wdydr j,g ¥Is; c,fha fldgia tlaù ;sfí' mji ksjd,kakg mdkh lrk j;=r ì÷jg ffjoHjrhd - udisl ffjoH iÕrdj


úúO úI j¾. tl;= ù ;sfí' Tn kdk we," fod," .x.d j, Tn iam¾Y lrkafka úúO ridhKsl j,ska wmsßisÿ jQ j;=rh' k, osf.a Tfí ksjig tk c,fhao msßisÿ;djh idfmalaIh' fl;rï msßisÿ l<;a fï k, c,fha we;eï ner f,day" ridhk" laIqø cSúka fukau T!Iëh fYAIo fkd;sfnkjd u fkdfõ'

fï rfÜ wf,ú lrk fnda;,a c,h iïnkaOfhka m¾fhaIlhka wjia:d lsysmhloSu m¾fhaIK isÿ lrk ,o w;r wfmalaIs; ;;a;ajdkaú; m%ñ;sh wdrlaId lr.ksñka fi!LHiïmkak mdkSh c,h fnda;,a lr ,ndfokafka ksIamdolhka w;f<diaila muKs'

fnda;,a l< c,h fnduqo @ mdkSh c,h mdkh lsÍug kqiqÿiq jk úg fnda;,a l< c,h úl,amh lr.kakg isÿjk wjia:d ;sfí' wo fndfyda kd.ßl ck;dj oskm;d mdkSh c, fnda;,a .nvd lrf.k ;u mdkhg .ks;s' ;rula úhoï iy.; úl,amhla uq;a neÆ ne,aug fuh fi!LHh úIfhys jeo.;ah' tfy;a neÆ ne,aug idOdrKSlrKh jQj;a wfma rfÜ fnda;,a l< c, l¾udka;h ;=< lghq;= lrk ksIamdolhkaf. ka nyq;rhla

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Health & Sanitation

c,h úYd, jYfhka wmú;% ùfuka cSú; wk;=f¾'''

.Dyia:j c,h msßisÿ lsÍfï idïm%odhsl l%u wNsnjñka oeka ishhg ishhla wmøjH bj;a lrñka c,fha iajdNdúl .=Kh" jhkh iy hy.K tf,iskau mj;ajd .; yels c, fmrK oeka fj<|fmdf<a ;sfí'

kshñ; msßú;r wkq.ukh fkdlsÍu fÄokSh ;;a;ajhls' tuksid iuia;hla jYfhka fnda;,a l< c,h iïnkaOfhka" tys iqrlaIs;;djh .ek iy;slhla oSu W.ygh' fï rfÜ wf,ú lrk fnda;,a c,h iïnkaOfhka m¾fhaIlhka wjia:d lsysmhloSu m¾fhaIK isÿ lrk ,o w;r wfmalaIs; ;;a;ajdkaú; m%ñ;sh wdrlaId lr.ksñka fi!LHiïmkak mdkSh c,h fnda;,a lr ,ndfokafka ksIamdolhka w;f<diaila muKs' fï iïnkaOfhka lrk ,o wkdjrKhkag wkQj lD;%Su ldnKsl ridhk" nelaàßhd muKla fkdj w;sYhska OQ,l.; ridhko fnda;,a l< c,fha ;snqKQ wjia:d wkdjrKh fõ' fyd|u úi÷u c,fha lÀK;djh" c,h ¥Is; ùu fï wdoS .eg¿ /ila yuqfõ fi!LHdrlaIs; mdkSh c, úi÷ula ,nd .ekSfï .eg¿j iEu mjq,lgu ;sfí' WNf;dafldaáhla fia neÆ ne,aug fmfk;;a thg ishhg ishhla úYAjdijka; úi÷ula o ;sfí' ta Tfí ksfjig;a c,h msßisÿ lsÍfï ld¾hh wl=rgu bgq lrk úYajdijka; c, fmrKhla ia:dms; lr .ekSuhs' .Dyia:j c,h msßisÿ lsÍfï idïm%odhsl l%u wNsnjñka oeka ishhg ishhla wmøjH bj;a lrñka c,fha iajdNdúl .=Kh" jhkh iy hy.K tf,iskau mj;ajd .; yels c, fmrK oeka fj<|fmdf<a ;sfí'

lS¾;su;a jQ wdh;khl wdrlaIdfõ iq/l=u iu.ska úYajdijka; nj /ka¥ c, fmrKhla ñ,oS .ekSu ;=<ska Tng kej;;a fi!LH iïmkak nfõ uQ,sl idOlhla Tfí mjqf,a idudcslhka fjkqfjka idlaId;a lr.; yels jkq we;' c,h cSjfha uq,sl idOlhhs' i;dg isõmdjdg" .yg" je<g ke;sju neß c,h ñksia wmg kï l,am jDlaIhls' th wfma wdydr iß lrhs' cSú;h ire lrhs' c,h ldhsljo ufkda Ndúljo wmj iqjm;a lrhs' wmg wejeis c,h ixúê;j keKj;aj wm úiskau f;dard .; hq;af;ao ta ksidfjkauh' ffjoH iuka; úl%uisxy

128

ffjoHjrhd - udisl ffjoH iÕrdj


October waidyawaraya 2015 online  

October waidyawaraya 2015 online

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