Waidyawaraya june 2016 online

cd;sfha mqfrda.dó ffjoH iÕrdj

ONLINE ISSUE

22 ldKavh 2016 - cqks

re'150$-

PLUS

NEW ISSUE

NOW AVAILABEL ONLINE!

ISBN-1391 1341

9 7 7 13 91 13 400 1

Rs. 1,550.00 upwards waidyawaraya.lk

Rs. 1,650/-

Health Check for Middle Aged Executives ueos jhfia úOdhl ks,OdrSka i|yd ffjoH mrSlaIK zzkshfmd;af;ka lvkakg ;sfhk foa fmdfrdfjka lmkakg tmdZZ wfma me/kakka w;f¾ m%p,s; fï lshuk wfma fi!LH iïnkaOfhka ;=kal,a oelaula imhkjd''' jHdmdr fufyhqï j, ksr; fjñka cSú;hg jákdlula fidhk Tn fï jir ueo Tfí jákd cSú;fha iudf,dapkhl fhÿfKd;a th Tfí wkd.; wdfhdackhla fkdjkafkao @

uQ,sl ffjoH mÍlaIK • iïmQ¾K reêr mrSlaIKh (FBC) • ESR mrSlaIKh • fldf,iagfrda,a mÍlaIKh (Lipid Profile) • wlaud mÍlaIKh (Total Protein) • jl=.vq mÍlaIKh (Serum Creatinine) • ksrdydr reêr mÍlaIKh (FBS) • hQßla wï, mÍlaIKh (Uric Acid) • wlaud mÍlaIKh (SGOT/SGPT) • uQ;%d mÍlaIKh (UFR) • ECG mÍlaIKh • .eud GT mÍlaIKh ldka;djka i|yd úfYaI mÍlaIK • uefuda.%Eï mÍlaIKh (Mammogram) • .eí f., ms<sld mÍlaIKh (Pap) • äïnfldaI ms<sld mÍlaIKh (CA 125) msßñka i|yd úfYaI mÍlaIK • mqriaÓ;s ms<sld mÍlaIKh (PSA) wjYH;dj wkQj isÿ lrk mÍlaIK • ;hsfrdhsâ mÍlaIKh (TSH) • tflda mÍlaIKh (ECHO)

• jHdhdu ECG mÍlaIKh (Exercise ECG) • mdo ixfõoS;dj mÍlaIKh (Sensitometry) • wdka;%sl ms<sld mÍlaIKh (Colon Cancer Test) • Alpha fetoprotein mÍlaIKh • DEXA wiaÓ mÍlaIKh • w,ag%d ijqkaâ mÍlaIKh (Ultra Sound Scanning)

wdisß Y,H frday, mSt,aiS 21" lsßuKav, udj; fld<U 5 Tel: 01145244 00 Ext. 2603 Direct Lines: 0114542818 | 0114542819 Fax No: 0114 626439 | www.asirihospitals.com E-Mail: info @ asiri.lk 2016 cqks l<dmh

wdisß fikag%,a fydiamsÜ,a 14" fkdßia lek,a mdr fld<U 10 Tel: 0114665500 Ext. 5150 | Fax No: 0114665544 www.asirihealth.com 1

CONTENTS

ffjoHjrhd fujr fm,.eiau

5

ffjoHjrhd mqj;a úuiqu

42 Tfí Tima reêrh msgùu

6

ldka;djkaf.a bfí uq;%d msgùug fhdok ms<shï

49 kdihg ouk T!IO .ek

10 ,emafgdma Wl=f,a''' mdofha ;nd .ekSfuka Tfí iu ms<siafikjd'''

idudkHo @ widudkHo @

;d;a;,d wïu,df. is;sú<s j,g uy¿ jhfiaoS úfYaIfhkau .re lrkak mqreÿ fjkak'''

96

w|skak tmd - n%d'''

99

wirK ms<sld frda.Skag m%;sldr msKsi PET/CT hka;%hla ,nd.ekSug wm;a wdOdr lruq

Tn oek.; hq;= lreKq

51 ueos jhfia ldka;djka iy msßñka isÿ lr.; hq;= ffjoH mÍlaIK

13 uy; wvq lr.kak neßj ,;fjk whg jákd T;a;=jla

57 fud<fha jï me;a; yd

16 ksod.kak fyd|u brshõj

58 jl=.vq wdndO ;sfnk

l=ulao @

92

ol=Kq me;a;

frda.Skag ydks fkdjk wdydr fudkjdo @

102 rih fukau .=Kho

wdrlaId lrf.k fj<|fmd<g tk uÍkd oshr fmd,alsß

20 fy< wdydr isß; h,s;a okka 62 ore iïm;a m%udo lrk mqreI uQ,sl fya;=

22 jpk oyilska lshkak neß foa lshk ùäfhda l:dx.

23

;eîfuka ms<sld we;sùfï wjodkula

121 iqÿÆKQ - .=Kj;a fnfy;ls

32 ksfrda.S YÍrhlg u. fy<s

lrk rij;a m<;=r flduvq

80

ryi`. m;ajk wk;=r oek.kak weÿu - mSki jeks frda.j,g fkdfmfkk ¥ú,s uelald

iajdNdúlj úfhdackh jk iqmsß jeisls,s mú;%ldrlh

yod-jvd .; yelshs

77

39 uq,a úh yels weig

117 nfhda la,Ska

72 fkdfïre orejkao fyd¢ka

fkdfndk whg;a isfrdaisia je<f|kak mq¿jka

36 ghsÜ cSka ksid ldka;d

112 m%Khg cSjhla ,ndfokakdjQ m%dKcSj

71 w¾;dm,a YS;lrkfha

24 wEkqul f;areu okakjdo @ 26 u;ameka fndk whg jf.au

ldf.;a cSú;drlaIdj imhk fldkavu

68 úh<s iula we;s ùug fya;= iy m%;sldr

Thousand Words in ONE IMAGE...

106 Wmka''' kQmka fldhs

86

.eìKs ujf.a iy lsß fok ujf.a fmdaIKh

122 nÿ,af, flfy,awe,af,a fjouy;a;hd iu. ms<si|rla

wdpd¾h Wmdêhlska msÿï,;a cSj ffjoH bxcsfkarejrhd''' tÉ cS tia rKisxy

126 Wor uÜgq

Tn .kakd T!IOj, we;s w;=re wdndOæ

127 flaI uQ, ;r,h

.%Ska y¾n,a fïo yrK pQ¾Kh

The contents of this publication may not reproduced in whole or part in any form without the written consent of the publisher.The opinions expressed in WAIDYAWARAYA are those of the writers and not necessarily endorsed by the publisher.

2

ffjoHjrhd - udisl ffjoH iÕrdj

waidyawaraya.lk

w;f¾ m%p,s; lrjkakg''' fy< fndcqkay,a rgmqrd'''

2016 cqks l<dmh

3

EDITORIAL

l;= igyk

Editor's

Note

újdyhg fmr ;e,iSñhd fmdfrdkaou .,md.; hq;af;a wehs @ zzújdyhg fmr fmdfrdkaoï n,k tl wo ojfia;a ;reK ;reKshka jeä fofkla lrkjd' tal fyd|hs''' ta;a fmdfrdkaoï n,kjd jf.au újdyfmalaIs; hqj,j,a ;e,iSñhd fmdfrdkaou;a n,d.; hq;=uhs' ;e,iSñhdj iqjm;a lsÍug b;d wmyiqhs' ta;a th yefok tl j<lajkak mq¿jks'ZZ fï b,a,Su miq.shod wfma rfÜ lS¾;su;a ffjoHjreka lsysm fofklau tldjkaj m%ldY lf<A zzf,dal ;e,iSñhd oskhZZ fjkqfjka rcfha m%jD;a;s fomd¾;fïka;=fõ mej;S W;aijhloS' zz;e,iSñhdjg wehs fï ;rï nhla'''ZZ Tn tfyu ys;kjd we;s' wfma reêrh;a iu.u Tlaiscka jdhqj mßjykh lrkafka ySfud.af,dìka j,ska' ;e,iSñhd frda.Skaf.a ySfud.af,dìka ksIamdokhla isÿ jkafka keye'ta ksid orejka f,a ys`. ùug ,la fjkjd' ta ksid fï orejkag ks;ru f,a fokak isÿ fjkjd' fï úosyg ks;ru f,a oSfï m%;sM<hla jYfhka YÍrfha úúO ia:dk j, hlv ;ekam;a fjkjd' yDoh jia;=fõ mjd''' fjk;a jákd wjhj j, mjd''' fï hlv whska lrkak ;e,iSñhd frda.Skag T!IO ks;r ks;r ,nd fokak fjkjd' fï frda.fhka iïmQ¾Kfhka iqjh ,nkak kï weg ñÿ¿ noaO lsÍula isÿ lrkak ´ks' kuq;a thg uyd OkialkaOhla jeh fjkjd' m%dfhda.slj yefudagu fï m%;sldrh lrkak;a nE' wfma rfÜ oekg ;e,iSñhd frda.Ska 3000la muK isákjd' fï wh ks;ru frday,a.;j f,a .kakjd' hlv bj;a lr.kakjd' fï ál fokdf. cSú; /l.kak rch uyd OkialkaOhlao jeh lrkjd' fï uyd jHikfhka ñfokak kï wkd.;fha ;e,iSñhd orejka Wmosk tl j<lajkak ´ks' wfma rfÜ ck.ykfhka ishhg 2'5 la ;e,iSñhd jdylhska' fï wh w;f¾ újdy isoaO jqfKd;a Wmosk orejka ;e,iSñhd frda.h Wreu lrf.k bmoSfï ishhg 25l bvlvla ;sfnkjd' ;e,iSñhd jdylfhla tfia fkdjk flfkla yd újdy jqKdu ,efnk orejka ;e,iSñhd frda.Ska jkafka kE' ta ksihs jdylhka w;r újdy isÿ fkdúh hq;af;a''' újdyhg fmr ;e,iSñhd fmdfrdkaou ne,sh hq;af;a' újdyhg fmr Tfí iylre" iyldßh fukau Tno" ;e,iSñhd jdylhkao hkak ksYaph lr.ekSu b;du jeo.;a' ta i|yd wjYH iyfhda.h ,ndoSug <`.u ;sfnk rcfha frdayf,a ffjoH ks,OdÍ;=ud yuq fjkak' Ndr; .=K;s,l - úOdhl l¾;D editor@waidyawaraya.lk bharata.gunathilaka@gmail.com

4

The Pioneer Health & Medical Journal 22 ldKavh 2016 - 06 l,dmh

EDITOR IN - CHIEF Bharata Gunathilaka FOUNDER EDITORIAL CONSULTANT Late. K.M. Gunathilaka MANAGING EDITOR Amitha Wickramarachchi 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 WEB ADMINISTRATOR Dumindu Dissanayake 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.lk WEBSITE: www.waidyawaraya.lk HOTLINE: 077 3149084

sociaLanka

It’s time to go social. We’ll make it simple

WAIDYAWARAYA Online Powered By

sociaLanka

It’s time to go social. We’ll make it simple

sociaLanka

It’s time to go social. We’ll make it simple

Web Administrator Dumindu Dissanayake

ffjoHjrhd - udisl ffjoH iÕrdj

BREAKING HEALTH NEWS

ffjoHjrhd mqj;a úuiqu

BREAKING

HEALTH NEWS fmda,sfhda tkak; w¿;a fjhs fmda,sfhda frda.fhka wdrlaId ùu i|yd orejkag fuf;la ,ndÿka ;%s;aj fmda,sfhda tkak; fjkqjg kj oaú;aj fmda,sfhda tkak;la wfm%a,a 30 osk isg furg frday,a moaO;sh ;=< Ndú;hg tlaj ;sfí' fmda,sfhda frda.h we;sùug fya;=jk ffjria ;=kla y÷kdf.k ;sfnk w;r tu ffjri ;=fkka wdrlaId ùug wjYH m%;sYla;slrKh iys; ;%s;aj fmda,sfhda tkak; uqL tkak;la f,i fuf;la ,nd ÿka w;r fï jk úg tla fmda,sfhda ffjri ldKavhla f,dalfhka ;=rkaj we;s ksid wfkla ffjri folg muKla wjYH m%;sYla;sh ,ndoSu m%udKj;a jk nj jix.; frda. úoHd wxYfha wOHlaIsld ffjoH mnd m,syjvk uy;añh m%ldY l<dh'

orejkag udi 2"4"6"18 yd wjqreÿ 5 hk jhia j,oS fõ,a myla f,i fmda,sfhda uqL tkak; ,ndoSu isÿjk w;r fï jk úgo bka tkak;a ,ndf.k isák orejkago bosß wjia:dj,oS fuu kj oaú;aj fmda,sfhda tkak;u ,ndoSu isÿ lrk nj jix.; úoHd tallfha wOHlaI;=ñh jeäÿrg;a m%ldY l<dh' reêr mß;Hd.YS,Skaf.a oskh cqks 14 reêr mß;Hd.YS,Ska iq,nj fjfik rgla njg wfma rg m;aj ;sfnkjd' wfma rfÜ ck;dj fkdmels,j reêrh ;j;a flfkl= fjkqfjka ,ndoSug bosßm;a fjkjd' wjfYAI rgj, ;;a;ajh foi n,k úg fuh iqúfYAI ;;a;ajhla'

f,dal reêr mrs;Hd. YS,Skaf.a oskh cqks 14 oskhg fhoS ;sfnkjd' fujr f;audj jkafka zzreêrh wm iefjdu iïnkaO lrhsZZhkakhs' j¾Ihlg furg frday,a moaO;sfha m%fhdackh i|yd reêr tall 350"000la muK odhlhkaf.ka ,efí' fï reêr wjYH;djhkaf. ka jeä yßhla ks;r ks;r f.,a mß;Hd. lrk odhlhkaf.ka ,nd .ekSu iqúfYAIS ;;a;ajhls' fjfiiskau l,ska l,g f,a fok reêr odhlhka úYd, ixLHdjla wfma reêr wjYH;d iïmQ¾K lsÍug wkqmfïh fufyhla bgq lrkafkah'

f,dalfha iEu rglau Y%S ,xldj isÿ l< mßoafokau ;%s;aj tkak; fjkqjg oaú;aj fmda,sfhda tkak;g fï ld,h ;=< mßj¾;kh ù ;sfí' 2016 cqks l<dmh

5

URINARY INCONTINENCE

ldka;djkaf.a bfí uq;%d msgùug fhdok ms<shï

ldka;djkaf.a bfí uq;%d msgùug fhdok ms<shï fu!;% ,sx.sl úfYaI{ Y,H ffjoH Èuka; o is,ajd ueÈúfha ldka;djka 40]lf.a muK ±lsh yels bfí uq;%d myùfï frda. ;;a;ajfhys úúO iajNdjhka we;s w;r hï ldka;djla bfí uq;%d myùfï ;;a;ajfhka fmf<kafka kï tA l=uk j¾.hg wh;a ;;a;ajhla ksido hkak ffjoHjrhd ksjerÈj y÷kd .; hq;=h' m%;sldr wdrïN l< hq;af;a frda.fha iajNdjh ksYaÑ; jYfhkau y÷kd .ekSfuka miqjh' 6

ffjoHjrhd - udisl ffjoH iÕrdj

fï i|yd frda.shd iu. §¾> f,i idlÉPd lr frda. b;sydih y÷kd .ekSu uQ,sl mshjrhs' bkamiq frda. ksjerÈj y÷kd .ekSu i|yd l< hq;= ffjoH mÍlaIK lsysmhla ;sfí'

uq,skau lrkafka uq;%d iïmQ¾Khhs fuys§ uq,skau flfrkafka uq;%d iïmQ¾K mÍlaIKhhs' ^Urine Full Report – U.F.R.& uq;%d meiùula fyj;a wdidokhla ksid fï ;;a;ajh we;s jkafka kï th fuu mÍlaIKfhka y÷kd .; yelsh'

w,ag%d ijqkaâ ialEka mrSlaIKfhkq;a f;dr;=re ,nd.; yelshs fï i|yd w,ag%d ijqkaâ ialEka ^Ultra Sound Scan – US Scan& mÍlaIK o isÿ flfrk w;r tu.ska uq;%d lsÍug fmr iy uq;%d l< miqj uq;%dYfha /£ ;sfnk uq;%d m%udKh mÍlaId flf¾' uq;%d msg lsÍug fmr ;snQ uq;%d m%udKfhka 1$3lg jvd jeä fldgila uq;%d lsÍfuka miqj uq;%dYfha b;sß ù we;akï thska meyeÈ,s jkafka uq;%dYfha l%shdldrs;ajfhys ÿ¾j,;djhla we;s njh'

uq;%d lsÍfï rgdj yd fõ.h uksk mÍlaIKhlao ;sfí' Flow Rate kñka y÷kajk fuu mÍlaIKfha§ frda.shdg úfYaI hka;%hlg uq;%d msg lsÍug i,iajkq ,efí' tu.ska frda.shd uq;%d msg lrk wdldrh ms<sn| ksjerÈ wjfndaOhla ffjoHjrhdg ,nd .; yelsh'

Voiding Diary tlla we;eï úg kv;a;= lrkjd frda.shd fj; j.=jla ^Chart& ,nd§ tu.ska i;shla ;=< j;=r mdkh l< m%udKh" msg jQ uq;%d m%udKh" uq;%d msgjQ fõ,dj" fkd±kqj;aj uq;%d msg jqfKao hk úia;r frda.shd úiska we;=<;a l< hq;=h' fuu mÍlaIKh Voiding Diary kñka ye¢kafjhs' fuu mÍlaIKj,ska miq ;j;a ^Advance Urodynamies& úfYaIs; mÍlaIK wjYHo keoao 2016 cqks l<dmh

hkak ffjoHjrhd úiska ;SrKh lrkq we;' uq;%dYfha Odß;djh fï úosyghs idudkHfhka uq;%dYfha Odß;djh ñ',s' 400-500la muK fõ' tkï fnda;,a Nd.hlg u|la jeä m%udKhls' uq;%dYfha mSvkh jeä fkdù uq;%d m%udKhla tl;= lr ;nd .ekSug uq;%dYhg yelshdj ;sfí' uq;%dYfha ñ',s' 350la muK uq;%d msreKq miq wmsg uq;%d msg lsÍfï wjYH;djh we;s jkq we;' kuq;a iuyr ldka;djkaf.a ñ',s' 50-100la muK msfrk úg uq;%dYh jev lrkakg mgka .kS' fujeks ÿ¾j,;d fuu mÍlaIK u.ska y÷kd.; yelsh' we;eï ldka;djkag fhdaks ud¾.fhka uq;%d msg fjk wjia:d ;sfhkjd we;eï úg iuyr ldka;djkaf.a uq;%d ud¾.fhka fkdj fhdaks ud¾.fhka

7

URINARY INCONTINENCE

ldka;djkaf.a bfí uq;%d msgùug fhdok ms<shï

uq;%d msgùu isÿfõ' kuq;a ldka;djg tA ms<sn| jegySula ke;' uq;%d msgjkafka widudkH ia:dkhlskao hkak IVU iy Cystogram jeks mÍlaIK u.ska y÷kd .; yelsh' idudkH uq;%dYh

wNHka;rfhka jk uq;%l pl%msOdkh

bfíu uq;%d msg fjk uq;%dYh

Worfhka we;s lrk mSvkh jeäùu ksid uq;%d msgùu isÿfõ

uq;%dYfhka bfí uq;%d msgùu n,.ekafjkafka fufyuhs

wjYH mÍlaIK wjYH fj,dfõoS ffjoHjrhd lrdú fï yeu mÍlaIKhlau yeu frda.shl=gu wjYH ke;' wjYH mÍlaIKh l=ulao hkak ;SrKh lrkafka ffjoHjrhdh' fufia frda.h y÷kd .ekSfuka wk;=rej iqÿiq m%;sl¾uh ffjoHjrhd ;SrKh lrkq we;' uqLfhka .kq ,nk T!IOj, isg Y,Hl¾u olajdu m%;sldr úê we;s w;r frda.fha iajNdjhg wkqj kshñ; m%;sldrh fhdokq we;' ksoiqkla f,i uq;%dYfha wê l%shdldß;ajh ^Overactive Bladder& ksid ks;r uq;%d hdu je<elaùug T!IO" kslafIamK ^bkafclaIka& m%;sldr ;sfí' kuq;a fuu m%;sldr u.skq;a id¾:l;ajhla fkd,enqKfyd;a uq;%dYfha we;=<g bkafclaIka ud¾.fhka tla;rd ridhkslhla ú§u isÿflf¾' th id¾:l m%;sldr l%uhls' ks;r ks;r uq;%d msgùu isÿjk fya;= ks;r ks;r uq;%d msgùu uq;%dYfha m%udKh wvqùu ksid;a" fjk;a úúO fya;= ksid;a isÿúh yelsh" 8

idudkHfhka uq;%dYfha Odß;djh fnda;,a Nd.hlg u|la jeä m%udKhls' uq;%dYfha mSvkh jeä fkdù uq;%d m%udKhla tl;= lr ;nd .ekSug uq;%dYhg yelshdj ;sfí' uq;%dYfha ñ',s' 350la muK uq;%d msreKq miq wmsg uq;%d msg lsÍfï wjYH;djh we;s jkq we;'

laIh frda.h úIîch uq;%dYhg we;=¿ jQ úg;a ^T.B. Cystitis& uq;%dYfha m%udKh wvq úh yelsh' tjeks wjia:djl fnfy;a §fuka m,la fkdjk w;r uq;%dYh úYd, lsÍu fyda nvje,a weiqßka uq;%dYh h<s ilia lsÍula isÿl< hq;=h'

ffjoHjrhd - udisl ffjoH iÕrdj

bfíu uq;%d msgùfï iq,n wdldr lsysmhla uq;%d ud¾.fha wjysrhla ksid

wd;;sl ;;a;ajh

uq;%d msg lsÍfï wjYH;djh fuysoS uQ,sl fjhs'

uq;%dYfhka msgdr .e,Su ksid uq;%dYfhka kshñ; mßos fuysoS uq;%d ysia jkafka ke;

fY%daKs mdou bys,a fjhs Worfhka we;sjk wd;;sh jeä fjhs' uq;%d ldkaÿ ùu isÿfõ'

wdidokhla jeks fya;=jla ksid uq;%dYfha ixfõoS;djh jeäùu óg fya;=jhs' fuh iakdhql ÿ¾j,;djhla fmroeß lr.;a uq;%d ldkaÿùula f,i ie<fla

úúO iakdhq frda. ksid o uq;%dYh wl%Sh fjkjd úúO iakdhq frda. ksid o uq;%dYh wl%Sh ùu isÿúh yelsh' túg wl%Sh ia:dkfhka uq;%d msgdr .e,Su isÿjkq we;' tys§ uq;%dYhg nghla we;=<;a lr tu.ska uq;%d msg lsÍug frda.shd Wkkaÿ flf¾' tf,i lrk úg uq;%dYfha uq;%d tl;= ùula isÿ fkdfõ' Y,Hl¾uhla lsúisk úg" lysk úg uq;%d msgùu je<elaùug uq;%d ud¾.hg Y,Hl¾uhla ud¾.fhka úfYaI WmlrKhla we;=¿ lsÍugo isÿúh yelsh' frda.shdf.a Worh úYd, f,i lemSulska f;drj wdOdrl má uq;%d ud¾.h yryd iú lsÍu ;=<ska o uq;%d ud¾.hg ukd Yla;shla ,efí' fY%daKs ;o lrkq ,nk jHdhdu fY%daKs ;o lrkq ,nk jHdhdu ^Pelvic Flour Exercise& u.skao fY%daKs wdY%s; udxYfmaYsj, 2016 cqks l<dmh

ÿ¾j,;djhka we;akï u. yrjd .; yelsh' iuyreka wêl f,i j;=r îu ksido bfí uq;%d msgfõ' ks;r uq;%d msg lsÍu iuyre mqreoaola f,io lr;s' tA whg md,khla we;sj uq;%d lsÍug uq;%dYh mqyqKq lrùu ^Bladder Trend& isÿ flf¾' fï wdldrhg kshñ; m%;sldrh ,nd §fuka bfí uq;%d msgùfï frda.h iqj l< yelsh' 9

TRENDS IN QUESTION

,emafgdma Wl=f,a''' mdofha ;nd .ekSfuka Tfí iu ms<siafikjd'''

Harmful effects of placing laptop directly on your lap Laptop Thigh Syndrome

,emafgdma Wl=f,a''' mdofha ;nd .ekSfuka Tfí iu ms<siafikjd''' wo fndfyda fokd ,emafgdma j,ska jev lrkjd' ;ukaf. /lshd lghq;a;lg" wOHdmksl lghq;a;lg ,emafgdma tl wrf.k hkafk myiqjg' tys úYd, m%udKhl o;a; .nvd fj,d ;sfnk ksid thska ;ukaf. bosß lghq;= isÿ lr.kak;a uy`.= msgqjy,la ,efnkjd'

10

uq,au ldf, mß.Kl ;shkak úYd, Yd,djla ´ks jqKd' l%ufhka tys m%udKh l=vd jqKd' ia:djrj hï ia:dkhl ;nd.kakd mß.Kl j,ska ñoS hk hk ;ek f.kshk äjhsia wo ´ks ;rï ;sfnkjd' kuq;a fuys wdrïNh ,emafgdma' ,emafgdma lshk jofka ,>q f;areu Wl=, u; ;nd.kakd mß.Klh lshk tlhs' Wl=, lsõjg mß.Klh ;nd.kafk ll=,a fol u;''' fufyu meh .Kka ;ndf.k jev lrk tl wo ldf, iq,n o¾Ykhla'''

ffjoHjrhd - udisl ffjoH iÕrdj

,emafgdma ll=, u; meh .Kka ;ndf.k bkak whg iu wjmeye .ekaùula" hï ms<siaiSula we;s fjkjd' th wmQre kulska y÷kajkjd' Laptop Thigh Syndrome. jpkh weyqju ish,a, meyeos,s fjkjd' ,emafgdma tl ll=f, ;ndf.k bkak whg ;uhs fï w,l,xÑh fjkafk' kï rdYshlska ye|skafjk frda.hla Laptop Thigh Syndrome Toasted skin syndrome Hot water bottle syndrome Erythema Ab Igne laptop-induced dermatosis hkqfjka m¾hdh kulskq;a y÷kajk fï frda.h p¾uodyhla jYfhka y÷kajkak mq¿jks' ;j;a kï rdYshla fï frda.hg ;sfnkjd' Laptop Thigh Syndrome lsh, fuh kï ,enqfj 2004 j¾Ifhka miafi' ta;a fuysoS ifuys we;sjk fjkia ùu ñksiaiqkag wreuhla fkdfjhs' fmdarKQ ,`.''' l¾udka;Yd,dj, jev 2016 cqks l<dmh

lrk whg;a óg iudk ,laIK ifuys we;s fjkjd' fï ksid tu p¾u frda.h Toasted skin syndrome jYfhkq;a y÷kajkjd' th ffjoH úoHd;aulj Erythema Ab Igne hk kñka ;uhs ye|skajQfha' Hot water bottle syndrome lsh, y÷kajk p¾u frda.fhaoS olakg ,efnkafka;a óg iudk wdldrfhau ifuys ms<siaiSula' iuyre WKQiqï fnda;, j,ska YÍrh WKqiqï lr.kakjdfka' ta ksid we;sjk ms<siaiSï ie<ls,a,g f.k ;uhs ta ku we;s jqfKa' fldfydu jqK;a fï p¾u.; frda.hg oeka ld,fha jeäfhkau md;% fjkafk ,emafgdma j,ska jen lrk wh nj y÷kdf.k ;sfnkjd'

w;s úYd, ld,hla ,emafgdma tl ,ema tfla''' tfyu;a ke;akï Wl=, u; ;nd fkdf.k jevál lr.kak;a mq¿jkafk' fïihla Wv ,emafgdma tl ;ndf.k jefvys ksr; ùu ;uhs jvd;a iqÿiq'

mß.Klhl fm%dfiirh we;=f, úYd, WIaK;ajhla ;sfnkjd Tn okakjd mß.Klhl fm%dfiirh we;=f, úYd, WIaK;ajhla ;sfnkjd' idudkHfhka th *erkayhsÜ wxYl 125la olajd muK fjkak mq¿jka' idudkHfhka wm by; lS p¾u frda.h we;s fjkak bv ;sfnkafka *erkayhsÜ wxYl 111 muK WIaK;ajh wNsnjd .shdu''' tfyu n,k úg ,emafgdma tl os.= ld,hla ;siafia mßyrKh 11

TRENDS IN QUESTION

,emafgdma Wl=f,a''' mdofha ;nd .ekSfuka Tfí iu ms<siafikjd'''

lsÍfuka fulS ;dmk wjodku we;s fjkak bvlv ie,fikjd'

tfyu;a ke;akï Wl=, u; ;nd fkdf.k jevál lr.kak;a mq¿jkafk' fïihla Wv ,emafgdma tl ;ndf.k jefvys ksr; ùu ;uhs jvd;a iqÿiq'

ojilg meh 6-8 jf.a oS¾> ld,hla ,emafgdma tl mdúÉÑ lrkj kï ;uh m%Yakh we;s fjkafk''' fldfydug;a ,emafgdma tlla hï ld,hla mßyrkh lrk úg ll=,g r;aùula oefkkjd' fï r;aùu;a tlalu ld,h;a iu. ;uhs iu ms<siafikafk' ,emafgdma mdúÉÑ lrk yeu flfkl=gu ifï ms<siaiSula fjkafk kE''' idudkHfhka ojilg meh 6-8 jf.a oS¾> ld,hla ,emafgdma tl mdúÉÑ lrkj kï ;uhs fï frda.h we;s ùfï wjodku meK k.skafka''' ta nj p¾ufõo ffjoHjreka m%ldY lrkjd' Laptop Thigh Syndrome frda.fhaoS iu r;ameye .ekafjkjd' ishqï f,i ne¨fjd;a hïlsis rgdjlg ifuys jHqyh fjkia fj,d ;sfnk nj;a olskakg mq¿jka' frda.fhka w;añfokak Wmfoia *Eka" fjkaáf,ag¾ kshñ; mßos l%shd;aul jk njg iy;sl jkak fuhska jk ydksfhka ñfokak mshjr lsysmhla ;sfnkjd' Tfí ,emafgdma tfla isis,k l%uhla l%shd;aul fjkjd' *Eka j,ska" fjkaáf,ag¾ j,ska ;dmh bj;a fjkak Wml%u fhdo, ;sfnkjd' tajd kshñ; mßos l%shd;aul jk njg iy;sl lr.kak' Ndú;fhaoS tajd wjysr lr.kak;a tmd' ,emafgdma tl;a mdo;a w;f¾ ndOlhla f,i fldÜghla ;nd.kak kslïu mdoh u; mß.Klh ;nd.kakjd fjkqjg fldÜghla jf.a ndOlhla l,jd u; ;ndf.k Bg Wäka ,emafgdma tl ;nd.;af;d;a iu iDcqju ;dmhg ksrdjrKh fjkafk kE'''

msßñka uqyqKfok fjfiia wjodkula m¾fhaIlhka fï ,emafgdma j,ska jev lrk msßñka uqyqKmdk ;j;a ie<lsh hq;= wjodkula .ek lreKq olajkjd' Tjqka lshk yeáhg Wl=f,a" mdofha ,emafgdma tl ;ndf.k os.= fõ,djla jev lsÍu ksid jDIKfldaI wdY%s;j WIAK;ajh by< hdula isÿù th Y=l%dKQ ksIAmdokhg ndOd f.k fokak mq¿jka' ksire;djh jeks fi!LH .eg¿ j,g fuh fya;=jla fjkak;a neß kE'

fï .kakd l,ayS we;sjk fï wjodku .ek wjfndaOfhka bkak tl fldalg;a fyd|hs fkao @

fïihla Wv ,emafgdma tl ;ndf.k jefvys ksr; jkjd fyd|hs w;s úYd, ld,hla ,emafgdma tl ,ema tfla''' 12

ffjoHjrhd - udisl ffjoH iÕrdj

LEPTIN HORMONE

uy; wvq lr.kak neßj ,;fjk whg jákd T;a;=jla

THIS HORMONE IS THE REASON WHY YOU CAN’T LOSE WEIGHT

uy; wvq lr.kak neßj ,;fjk whg jákd T;a;=jla uy;ska ñfokak f,maáka fydafudakh tlal fï úosyg ñ;=re fjkak

zzuu fldhs ;rï kï vhÜ lrkjdo @''' ta;a nf¾ lsisu fjkila kE fkdje'''ZZ zzTh lrk jhdhdu j, yeáhg oeka b;ska nr wvq fjkj kï ´l isoaO fjkak fyd|gu l,a we;s''''ZZ l;dj meyeos,shsfka''' iuyre nr wvq lr.kak W;aidy lrkjd' ta;a fjkila fjkafk kE' nr wvq fkdfjkjdu fkdfjhs' orK W;aidyfha yeáhg m%;sM< kE''' fï úosyg lemùfuka W;aidyhl fhos,;a wfmalaIs; isrer ieye,a¨ ùu we;s fkdfjk fya;=j Tn oek.kak leu;s we;s' zznv.sks''' nv.sks'''ZZ mKsúvh fud<hg ,nd fok f,maáka fuhg n,mdkafk fydafudakhla''' wy,;a we;s tafl ku f,maáka' f,maáka yefokafk ffi, wdY%s;j''' wdydr j,g wfma we;s reÑh fï f,maáka ksid we;s jkakla' tfiau f,maáka YÍrfha nr md,kh lrk

2016 cqks l<dmh

13

LEPTIN HORMONE

uy; wvq lr.kak neßj ,;fjk whg jákd T;a;=jla

1. fïoh wêl wdydr .ekSu 2. iSks wêl wdydr .ekSu 3. msßmyÿ l< wdydr .ekSu

ridhkh jYfhkq;a y÷kdf.k ;sfnkjd' Tng l=i.skakla we;s fjkafk fï f,maáka u.ska fud<hg zz nv.sks''' nv.sks'''ZZ lshk mKsúvh heõju' fïoh úosyg .nvd fj,d ;sfnk Yla;sh m%fhdackhg .kafka;a fï f,maáka u.ska ksl=;a lrk wK wkQjhs' fï ldrKd folu Tfí YÍrfha nr md,kh lrkak fya;= fjk ksid ia:q,;djhg ms<shï fidhk úoHd{hka fï iqúfYaIS fydafudakfha yeisÍu .ek w;sYhskau ie<ls<su;a fjkjd'

fï wdydr jeämqr .ekSfuka Tng f,maáka j, ñ;=relu wysñ fjkjd' thska YÍrh ia:q, ù Tn f,v frda. j,g f.dÿre fjkak;a bv ;sfnkjd'''

we;eï mqoa.,hkag we;sjk f,maáka m%;sfrdaOh we;eï mqoa.,hkag f,maáka m%;sfrdaOhla we;s fjkjd' fï ksid f,maáka fydafudakfha ld¾hhg ndOd meñfKkjd' túg wdydr md,khla kE''' kshñ; mßos ixÑ; Yla;s ì|fy<Sula isoaO fjkafk kE' túg YÍrfha jeãu ys;=jlaldrj isÿ fjkjd' we`. uy;a fjkjd' W;aidyh fldmuK ;snqK;a wfmalaIs; m%;sM< kE lsh, meñKs<s lrkafk fï úosyg f,maáka l%shdldß;ajhg ndOd meñkqKq Woúh' tl mdru ;uka .kak wdydr m%udKh wvq lrkak krlhs we;eï Woúh nr wvq lr.kak lsh," tl mdru ;uka .kak wdydr m%udKh wiSñ;j wvq lrkjd' tfyu jqKdu f,maáka l%shd lrkafka jeäfhka wdydr wkqNj lrkak osß fok miqìul' fï wkQj nr wvq lr.kak orK W;aidh id¾:l jkafk kE' nr wvq lr.kakjd kï f,maák j, iyfhda.h .nd.kaku fjkjd''' áflka ál wdydr mßudj wvq lrk úg f,maáâ j, iyfhda.h ,nd.kak mq¿jka' f,maáka ;ry lr.kak tmd''' f,maák j, hy l%shdldß;ajhg ndOd f.k tk isß;a Tn wkq.ukh lrkjd kï f,maáka Tng ñ;=re fufyjrl fhfokafk kE''' fudkjo f,maáka ;ry fjk mqreÿ'''

14

m¾fhaIKd;aulj iy;sl jQ nr wvq lrk Wmdh ud¾. f,maáka .ek oek.;a; jf.au nr md,kh lrkak úfYaIfhka wkq.ukh l< hq;= Wmdh ud¾. .ek;a i|ykla lsÍu wfma hq;=lu''' fï iïnkaOfhka úYaùh jYfhka m;aj we;s iïuq;Ska wkQj ms<s.;a nr wvq lr.ekSfï Wmdhud¾. lsysmhla Tfí wjOdkhg fhduq lrkjd''' • m%udKj;a f,i j;=r mdkh lrkak j;=r mdkh lsÍfuka mßjD;a;Sh l%shdj,sh ishhg

ffjoHjrhd - udisl ffjoH iÕrdj

24-30 lska muK m%j¾Okh fõ' wdydrhg fmr j;=r mdkh lsÍu jvd;a iqÿiqh' • Wfoag ì;a;rhla wdydrhg .kak fuhska meh 36la mqrdjg YÍrhg Wrd.kakd le,ß m%udKh yd fïoh wvq lrk nj fy<s ù ;sfí' • fldams fldamamhla ojilg j;djla fndkak jvd;a iqÿiq l¿ fldamsh' f.j,a j, ilik tajdh' fldams ishhg 3-11 w;r m%udKhlska mßjD;a;Sh m%j¾Okh lrhs' ishhg 10-29 lska fïoh oykh m%j¾Okh lrhs' • fmd,af;,a j,ska lEu msiskak uOH odu fïo wï, j,ska iukaú; fmd,af;,a wkqNjfhka osklg le,ß 120lska mßjD;a;Sh by< kxjhs' tfiau lEug we;s reÑh wvq lsÍugo bjy,a fjhs'

2016 cqks l<dmh

• iSks wkqNjfhka wE;a jkak iSks ia:q,;djhg fukau fojk wdldrfha oshjeähdjgo" yDo frda. j,go fya;=jls' • msßmyÿ l< ldfndayhsfâ%Ü j,ska wE;a jkak meiagd wdosfhys we;s msßmyÿ lrk ,o ldfndayhsfâg wvx.= wdydr j,ska wE;a jkak • iudk m%udK j,ska wdydr .kak iEu wdydr fõ,gu mdfya ksYaÑ; wdydr m%udKhla .ekSug mqreÿ jkak • ñrsia" l=¿nvq iys; wdydr wkqNjh fyd|hs tajd u.ska mrsjD;a;Sh by< kxjk w;r wdydr reÑho md,kh lrhs' • ;ka;=uh mod¾: j,ska iukaú; wdydr jeämqr wkqNjhg yqre fjkak l=i.sks oekqkq úg wkqNjhg .=KodhS lEu muKla wi,ska ;nd .kak' • m%udKj;a rd;%S kskaola ,nd.kak ia:q,;djhg m%n, fya;=jls' m%udKj;a kskaola ke;s orejka ishhg 89lao jeäysáhka ishhg 55lao ia:q,Ndjhg m;afj;s' • m%udKj;a f,i fndcqkam;g fm%daàk tl;= lr.kak fm%daàk ke;sj hfula nr wvq lr.kakg hkjd kï th wfmalaIs; m%;sM< ,nd fkdfohs' fm%daàk wdydrhg .ekSfuka osklg 80-100 w;r mßjD;a;Sh m%j¾Okhla we;s jk w;r le,ß 441l muK wdydr iSudjla we;s lrhs' fï yer my; ldrKd flfrySo Tnf.a wjOdkh fhduq lrkak • msá lEu fjkqjg weg j¾." m<;=re" fhda.Ü wdosh iqÿiqh' • t<j¿" m<;=re wkqNjhg yqre jQjka ;rndreNdjhg m;ajk wjia:d b;d úr,h' • fidavd yd meKs îfuka j<lskak

15

WHICH IS YOUR SLEEPING POSITION??

ksod.kak fyd|u brshõj l=ulao @ od.kak wm úúO bßhõ fhdod.ksuq' me;a;g ksod.ekSu' nv hg fjkakg ksod .ekSu''' nv Wvg ;sfnkakg ksod .ekSu''' jl=gq ù ksod .ekSu''' wdoS jYfhks'

ks

ksod.kak bßhõfõ;a jeo.eïula ;sfnkjd' wï, ms;a;h fkdfyd;a nfâ .Eia we;s ùug" kskafoka f.rùug jf.au ifï /<s jeàug mjd ksod.kakd bßhõfõ in|;djhla ;sfnkjd''' ksod .ekSfï bßhõ .ek fuf;la wjOdkhla fhduq fkdl< Tng ta iïnkaOfhkq;a jeo.;a f;dr;=re /ila f.k tkakg wm iQodkï'''

ksod.kak fyd|u brshõj l=ulao @

Back Sleeping Wvq w;g ksod.kak wh ksod.kak fyd|u msysàu ;uhs fuh' m%ikak bßhõjla iys; fï msysàfïoS f., m%foaYhg jf.au fld÷weg fm<g;a wd;;shla we;s jkafka kE' Tn ksod.kakd fuÜghg;a Bg kshñ; ld¾hh uekúka bgq lsÍug bv i,ik msysàula f,i fï msysàu y÷kajd fokak mq¿jks' fï msysàfï bßhõj jvd;a Yla;su;a fjkak fldÜghla fkdue;sj ksod.kak tl jvd;a iqÿiqhs' fï bßhõfj jeä ld,hla ksod. kak yqre fjk tl Tfn;a YÍr fi!LHg fyd|hs' fï Wvq w;g ksod. kakd msysàfï ;j;a úfYaI jdishla ;sfnkjd' rE iïm; .ek ie<ls<su;a fjk ldka;djka bkakjd kï ksod.kak ´ks fï msg me;a; we|g iïnkaOj isák msysàfï' ukd jdhq ixirkhla isÿjk ksid thska uqyqfKa iu /<s .ekSu wvq fjkjd'

16

ffjoHjrhd - udisl ffjoH iÕrdj

Wvq w;g ksod .ekSfï wjdis l,d;=rlska wjia:djl ksod.kak whf.a Yajikh k;r fjkjd lsh, Tn;a wy, we;s' Sleep Apnea lshkafk fï ;;;ajhg' "apnea" lshkafk Yajik ke;sùu' zzwekysàuZZ kskafoaoS Yajikh ke;sùu" kskafoos yß fudkhï wjia:djl yß hï flfkl=g yqiau .kak neß jqfKd;a isoaO fjk foa wdfh wuq;=fjka lshkak ´ks kEfk' bßhõjla úosyg m%Yia; msysàula jqK;a Wvq w;g ksod.;a;u "apnea" we;sùfï wjodku jeähs' b;ska "apnea" ;;a;ajfhka ñfokak kï me;a;g ksod .ekSu ;uhs iqÿiq' iuyrekag ksod. kak ´ks jqK;a kskao hkafk kE' fï fyd| kskaola ,efnk wh;a" m%udKj;a kskaola fkd,efnk wh;a iïnkaO lrf.k isÿ lrk ,o iólaIKhlg wkQj fï Wvq w;g ksod. kak wh jeä fofkla kskao <`.d fkdùfï mSvdjg m;a fjk nj;a fidhdf.k ;sfnkjd' 2016 cqks l<dmh

Side Sleeping me;a;g yeÍ ksod.ekSfï jdis fndfyda fokd ksod .ekSug m%sh lrk bßhõj fuhhs' jï me;a;g;a" ol=Kq me;a;g;a udre fjñka bßhõ fjkia lsÍu me;a;g ksod .kakkaf.a iajNdjhhs' .¾NsKS wjêfhaoS ujl ùug isák ldka;djka yg ksod .kakg Wmfoia fokafka jï we,hgh' jï we,hg ksod .ekSfuka reêr ixirkh uekúka mj;ajd .; yels fjkjd' th ujg;a" l=ifyd;a orejdg;a hk fofokdgu hym;la i,ikjd' .¾NsKSka yereKq úg nfâ oeú,a, yd .eiag%hsáia we;s Woúho jï we,hg ksod .ekSfuka iykhla ,nkjd' me;a;g yeÍ ksod.ekSfïoS we;sjk m%Odku ysßyerh kï w;a ysß jeàuhs' úáka úg bßhõ fjkia lrk ksid fï ysß jeàï Tng t;rï 17

WHICH IS YOUR SLEEPING POSITION??

ksod.kak fyd|u brshõj l=ulao @

fï úosyg fn,a, yrjk tl ta ;rï lrorhla fkdfjhs' kuHYS,S f., myiqfjkau orejdg yrj.kak mq¿jks' ta;a jeäysáhkag fï úáka úg f., yrjk tl myiq ldrKhla fkdfjhs' fï ksid há w;g ksod.kak whg f., wdY%s; W¿lal= ùï yd mSvdjka we;s ùfï jeä wjodkula ;sfnkjd'

.eg¿jla fkdjkakgo mq¿jk' kuq;a f., yd ndyq wdY%s;j fï msysàu ksid we;sjk úvdj yd wd;;sh lrK fldgf.k iakdhq f;rmSï" W¿lal= ùï wdosh ks;r we;s ùug bv ;sfnkjd' ta yereKq úg wdudYh yd fmKy¿ flfryS mSvdjla we;s lsÍugo me;a;g ksod .ekSu fya;= úh yelshs' Stomach Sleeping há w;g ksod .ekSfï jdis fuho we;euqka w;r iq,n ksos bßhõjls' fï msysàfïoS kskafoka f.drjk wjia:d úr,h' kskafoka Yajikh k;r ùfï wjodkuo wvq nj lshefõ' há w;g ksod .ekSfï wjdis hfula ksod .ekSug kqiqÿiqu bßhõj f,i i<lkafka fï bßhõjhs' fï há w;g ksod .ekSfï bßhõj fya;=fldg f.k fldkafoa wudre we;s ùug bv ;sfnkjd' th isref¾ iajdNdúl jl% mSvdjg m;a lrjk ksid fldkaog wu;r wd;;shla' há w;g ksod.kak whg úáka úg fn,a, yrjkakg isÿ fjkjd' l=vd orefjl=g kï

18

ßis bßhõjl ksod.kak''' ys;g wd;;shla .kak tmd''' tla tla bßhõ j,g wod, úfYaI jdis yd wjdis .ek l;d l<;a ksod.kak bßhõj wdhdifhka yod.kak W;aidy lrkak tmd' Tng myiqjla i,ik bßhõj''' Tfí m%uqL bßhõj lr.kak' tlu bßhõjl bkak;a neyefka' túg Tn reÑ lrk bßhõjlg udre fjkak' kskaog;a l%ufõo yod.;af;d;a Tn tys isrlrefjl= fjkjd' ta ksid Tng is;e`.s kskao Tn ,nd.kak' Tng iqjnr kskaola'''

ffjoHjrhd - udisl ffjoH iÕrdj

2016 cqks l<dmh

19

HEALTHY EATING

fy< wdydr isß; h,s;a okka w;f¾ m%p,s; lrjkakg''' fy< fndcqkay,a rgmqrd'''

fy< wdydr isß; h,s;a okka w;f¾ m%p,s; lrjkakg''' fy< fndcqkay,a rgmqrd'''

wf,úi<la ;=< l=á rdYshla ;=<ska wf,ú flfrhs'

f;dá,a, mojk ishque,s oE;ska l<uKdlrkh jk wdydr wf,úie,a mdkamsá kE''' rildrl - j¾Kldrl fhdod.kafka kE''' foaYSh wdydr j,ska ilia l< lEuîu muKhs''' wo ojfia wfma bmerKs wdydr isß; mßj¾;khg ,laù ;sfí' ;sß`.= msá j,ska ;ekQ msá wdydr oYl .Kkdjla mqrd bU,d ms<s.kakd wdydr ixialD;shla ks¾udKh ù ;sfí' ta w;f¾u fmr wfma ck;djg ;snqKQ fi!LHiïmkakNdjh wfmka ÿ/ia ù ;sfí' wêreêr mSvkh" oshjeähdj" yDo frda." ms<sld'''' fï wdoS frda. /ila wmg Wreuj ;sfí' wm .kakd wdydr yd wfma YÍr fi!LH w;r we;af;a fkdkefik in|;djhls' Wvq hál=re jQ wfma bmerKs wdydr isß; h,ska mk fmúh hq;af;a tfyhsks' mdka" nksia" flala kE''' foaYSh wdydr ú;rhs fï Nhdkl wdydr ikao¾Nh ;=< lDIsl¾u fomd¾;fïka;=j b;d jákd ldßhlg w; ;nd ;sfí' ta fy< fndcqkay,a kñka ye|skafjk foaYSh wdydr wf,ú cd,hla rgmqrd msysgqjdf.k tajd id¾:lj mj;ajd f.k hdfï ld¾hhhs' fy< fndcqkay,a oeka wfma rfÜ ck;dj w;r fnfyúka ckm%sh fjñka ;sfí''' fïjdfha mdka'''' nksia''' flala wdosh wf,ú lrkafka ke;' ta fjkqjg foaYSh wdydr yd mdk j¾. úYd, m%udKhla tla 20

W`ÿje,a" lejqï" fldlsia" ye,m" w¨jd" fmdf<dia lÜ,Ü" lsß frdá" l=rlalka frdá" jxvq" ,ejßh" bUq,a lsßn;a wdoS foaYSh lEu j¾. fukau ls;=,a ;,m" fn,su,a" l=rlalka le|" fld< le| wdoS wfkal foaYSh îu j¾.o fy< fndcqkayf,a wvqjla ke;' úfYaI;ajh jkafka fï lsisÿ lEulg wdl,k" rildrl yd j¾Kldrl lsisjla tl;= fkdlsÍuhs' w;sYhska fi!LHiïmkakj ta fudfydf;au ms<sfh, lrk wdydr wf,ú lrkafka b;du iykodhS ñ, .Kka hgf;ah' oeka rg mqrdu fy< fndcqkay,a jHdma; fjkjd fy< fndcqkay,a oeka wfma rfÜ b;d ckm%sh fjñka mj;S' .kafkdrefõ lDIsl¾u fomd¾;fïka;= uQ,ia:dkfha uq,skau wdrïN lrk ,o fy< fndcqkayf,a id¾:l;ajh u; uykqjr" .,y"

ffjoHjrhd - udisl ffjoH iÕrdj

yqrenqyqáj foaYSh wdydr ms<sfh, lrk f.ú,shka iy fy< fndcqka ri ú|skakg tk ck;dj'''

W`ÿje,a" lejqï" fldlsia" ye,m" w¨jd" fmdf<dia lÜ,Ü" lsß frdá" l=rlalka frdá" jxvq" ,ejßh" bUq,a lsßn;a wdoS foaYSh lEu j¾. fukau ls;=,a ;,m" fn,su,a" l=rlalka le|" fld< le| wdoS wfkal foaYSh îu j¾.o fy< fndcqkayf,a wvqjla ke;' úfYaI;ajh jkafka fï lsisÿ lEulg wdl,k" rildrl yd j¾Kldrl lsisjla tl;= fkdlsÍuhs' l=kavidf,a fmardfoksh wdoS uykqjr osia;%slalh uQ,sl lr.;a ia:dk j, m<uq mshjf¾ fy< fndcqkay,a jHdma; flreKQ w;r oeka th lDIsl¾u fomd¾;fïka;=fõ iDcq wëlaIKh hgf;a l%shd;aul jk oSm jHdma; jevigykla njg mßj¾;kh lr ;sfí' ish¿ wkq.%yh lDIsl¾u fomd¾;fïka;=fjka tla wdydr ixlS¾Khl fj<|l=á úiaila muK ;sfí' ta ish,af,a jHjidhlhka njg m;a jkafka m<df;a f.dú ldka;djkauh' jrlg úiai ne.ska fiajd uqr folla hgf;a jHjidhlhka ;u wdydr tu ia:dkfha ilia lr wf,ú lr;s' b;du;a fi!LHiïmkakj wdydr ilia lsÍu iïnkaOfhka 2016 cqks l<dmh

wjYH mqyqKqj fukau jHjidh wdrïN lsÍug wjYH ish¿u WmlrKo iemfhkafka lDIsl¾u fomd¾;fïka;=fjkauh .fï wd¾Ól foayhg úYd, iïudoula wo jk úg fy< fndcqkay,a foaYSh wdydr l¾udka;fha mqkreohla we;s lr ;sfí' f.dú ldka;djkaf.a wd¾Ólfha Okd;aul fjkila we;s lr ;sfí' th .fï wdydr j,go fyd|l, oidjla w;am;a lroS ;sfí' wjidk jYfhka rfÜ ck;dj fi!LHiïmkak wdydr j,g yqre lrùfuka fy<fndcqkay,a fï rfÜ ck;djf.a ksfrda.SNdjhgo olajkafka wkQmfïh jQ odhl;ajhls' 21

THE LIFE THROUGH YOU TUBE

jpk oyilska lshkak neß foa lshk ùäfhda l:dx.

The Life through You Tube

cSúf;a fï jf.hs''' my;ska oelafjkafka wm úiska f;dard.;a jákd ùäfhda tl;=jla' Tfí oeKqu jmißh jeä lr.kak" wu;l fkdjk fia tys we;s oeKQu Wlyd.kak''' wdl¾IKSh f,i ks¾udKh lr we;s fï ùäfhda l:dx.

WmldÍ fjkjd we;s' b;d widudkH .;s ,laIK fmkajk iy b;d widudkH frda. j,g Wreu lshk orejka myf<dia fofkla''' Tn uú;hg m;afõú fujka foa yeneúkau isoaO fjkjdo @ hkqfjka'''

https://youtu.be/ W9q5XOvfq6k

orefjla fhdaks ud¾.h Tiafia m%ijh ,nk úg we;eï fj,djg m%ijh myiq lrkak fhdaksfhys mgl wdY%s;j lemqula fhdokak isÿ fjkjd' tmsia lemqu hkqfjka ye|skafjk fï lemqu fhdok wdldrh .ek úia;r i|yka fuu ùäfhdaj oiqka flfryS ixfõoS wh yd orejka ne,Sfuka j<lskak'''

https://youtu. be/9enmsJn76oU

22

ffjoHjrhd - udisl ffjoH iÕrdj

THOUSAND WORDS IN ONE IMAGE...

l:d lrk msx;+r

Thousand Words in ONE IMAGE...

l:d lrk msx;+r udj fír.kak fodia;r udfï''' fï m%ijfõoS fyoshla jQ .eìKshlf.a l=i ;=< fyd;a orejdg Y,Hl¾uhla lrk w;f¾ WodjQ wkqfõokSh wjia:djla' fld÷ weg fm< kshñ; mßos úlikh fkdùu ksid orejdf.a osú fírd .ekSug Y,Hl¾uhla lrkak isÿ jqKd' Y,Hl¾uh lrk w;f¾ ta jk úg;a iïmQ¾Kfhka úlikh ù ;snQ orejd ;u is`.s;s w;aj,ska Y,H ffjoHjrhd w,a,d .;a;d' Bg;a ld,hlg miqj Wmka kQmka orejdf. ku ieuqfj,a' wïu cq,S' Y,H ffjoHjrhf. ku fcdaima n¾k¾' wefußldfj fjkav¾ì,aÜ iriú frdayf,aos fï wmQre fid÷re oiqk leurd ldpfha is;=jï lf<a USA Today PdhdrEm Ys,amsfhl= úisks'

lelagia äiSia <`.os y|qkd.;a; f,vla' lelagia äiSia lsh, ;uhs oekg kï ;n, ;sfhkafk' fma,sfhda;sl - ke;akï lsß wdydr ke;s wdos ñksidf.a wdydr ksid fï úosyg wf;a we`.s,s W,a fjkak mq¿jka lshk ldrKh muKla oekg jd¾;d fj,d ;sfhkjd'''

wms yu .eyqfjd;a fï jf.hs''' iu wmgw,xldrh" wdrlaIdj fok YrSRfha úYd,;u bkaøshhhs' osk 28lg jrla w¿;a jk rd;a;,a 8-10la nr ta jf.au j¾. wvs 22l muK jmirshla orK yu bj;a lf<d;a wfma Th ,iaiK YrSrh osiajkafka fufyuhs'

2016 cqks l<dmh

23

YAWN EXPLAINED

wEkqul f;areu okakjdo @

wEkqul f;areu okakjdo @

uq;a ta tlla j;a yß yeá ikd: lrf.k fkdue;s njo lsj hq;=h' tla u;hlg wkQj reêrfha jeä jYfhka ldnka vfhdlaihsâ ;sfnk úg yd wï,lr jdhqj wjYH úg ksrdhdifhkau wEkqï hk nj lshefõ'

wEkqï weÍu .ek Tn fkdokakd lreKq /ila'''

wEkqï werSu wm ld w;skq;a fkdoeKqj;aju mdfya isÿjkakls' fuf;la Tnf.a wjOdkhg fhduq fkdjqKq wEkqu iïnkaO lreKq /ila oek.kak' wEkqula hk úg ldrKd ;=kla iïmQ¾K fjhs' jd;h wdYajdi lsÍu" lka fnrh os. weÍu yd os.= fj,djla ;=< wd>%Kh l< jdhqj msg lsÍu hkqfjks' wEkqula hkafka fndfydaúg fjfyig m;a úgh' wd;;shg ,la jQ úg ndysr W;af;ack t;rï .%yKh fkdjk ldhsl" udkisl wjia:dj,oS wm;a fkdoekSuä wEkqï hdu iajNdjhhs' ;j flfkla wEkqï wßk úg th <`. bkakd whgo fndafjk iajNdjhla wEkqfuys ;sfí' wEkqï hdu iïnkaOfhka úoaj;a u; /ila mj;sk

24

wfkla u;h óg tosßh' ta wkQj wEkqula hk úg wï,lr iemhqu wvd, jkafkah' YÍrfha WIaK;ajh hdukh lsÍug wEkqu WmldÍ jk njgo u;hla jkafkah' wEkqulg fud<hg imhk reêr m%udKh by< kxjkakg fyda wvq lrkakg yels nj Tjqka ;¾l lr;s' ia:dkSh Wi jeä jk úg wEkqï hk wjia:dj jeä nj Tjqka ;¾l lrkafka fï u;h ikd: lrKq msKsih' lïue,slug lrk l%shdjla fia fmfkkakg ;snqK;a i;a;aj f,dalfha kï wEkqu losu ikaksfõok fuj<uls' zzwjOdkfhka isákqZZ hk mKsúvh ,nd oSug we;eï i;a;ajhka wekqu Wmfhda.s lr.ks;s'

ffjoHjrhd - udisl ffjoH iÕrdj

2016 cqks l<dmh

25

CAUSES OF CIRRHOSIS

u;ameka fndk whg jf.au fkdfndk whg;a isfrdaisia je<f|kak mq¿jka

u;ameka fndk whg jf.au fkdfndk whg;a isfrdaisia je<f|kak mq¿jka ldhsl frda. úfYaI{ ffjoH Wmq,a o is,ajd ld¾h nyq, Ôú;hla .; lrk wmg ;=kafõ,u ksjfia rig .=Kg msi.;a wdydr wkqNj lrkakg ,efnk wjia:d wvqùug mq¿jk' kuq;a wfma YÍrhg lrorhla wmyiqjla fkdoefkk ;dla l,a wmg msáka .kakd lEu-îu .ek wúYajdihla we;s jkafka o ke;'

kuq;a ta wmg oefkk wkaouh' tfia jqjo wfma Worfha ialEka mÍlaIKhla lr ne¨jfyd;a wmg fkdoefkk foaj,a ialEka hka;%hg oekS ;sfnk wkaou tu jd¾;djka u.ska ukdj jgyd .;yels jkq we;'

z,sj¾ tfla f;,a msß,dZ Tfí ialEka mÍCIK jd¾;dj n,d ffjoHjrhd Tng tfia mejiqfõ hehs is;kak' kuq;a th Tng oekqfKa keye fkao@

,sj¾ ^liver& tl fyj;a wlaudfjys bÈóu .ek l;d lrkakg fmr wlaudj wfma YÍrh ;=< ys|sñka isÿ lrk ksy`v ld¾hNdrh l=ulao hkak wms uq,skau fidhd n,uq' fuu ,smsh wka;¾cd,h Tiafia lshùugo yelshdj ,nd § we;'

waidyawaraya.lk 26

ffjoHjrhd - udisl ffjoH iÕrdj

wlaudj hkq Yla;s .nvdjls' wm fõ,la folla wdydr fkdf.k isáh;a YÍrh wm%dKsl ù lvd fkdjefgkafka wlaudj isrer ;=<g È.gu Yla;s ksl=;a lrk ksidh'

nd, m%ñ;sfhka hq;= wßIag wdÈh ys;=u;hg .ekSfuka je<lS isàu o w;HjYH lreKls' thg fya;=j fuu we;eï T!IOj, uoHidr wvx.= úh yels neúks' tjeks foaj,a ld,hla ;siafia .kakd whg isfrdaisia je<£ug bvlvla ;sfí'

wlaudfjka bgqjk nyqúO fufyh óg wu;rj" ;j;a ld¾hhka .Kkdjla fuhska isÿ flf¾'

2016 cqks l<dmh

wdydr ud¾.fhka wlaudjg fmdaIKh iu. we;=¿ jk úI îcj, úúO fldgia YÍrh mqrd me;sÍ hdug fmr tajd w,a,d f.k YÍrfha wksl=;a wjhjj,g hdug bv fkd§ wdrCId lrkafka o wlaudjh' YÍrfha udxY fmaYsj, mj;sk f;;ukh f,a kyrj,g we;=¨ lr .kafka fm%daàk j¾.hla u.sks' tu fm%daàk reêrfha mj;skafka wlaudj th ksmojd reêrhg ,nd fok ksidh' th fkd,enqfKd;a udxY fmaYsj, j;=r tl;= ùfuka YÍrh bÈóu isÿjkq we;' wdydr Ô¾K ùu i|yd wjYH lrk ms;a hqI ksmoùu;a wlaudfjka isÿ jk ;j;a ld¾hhla fõ' ì,sreîka kï j¾Klh reêrfha l,a bl=;a jQ f,a ffi, úkdY jqKq miq thska b;sß jk ly meye;s ì,sreîka kï j¾Klh reêrh u.ska wlaudjg f.k ths' wlaudj úiska th ms;a ud¾.h Èf.a wdydr ud¾. hg tjkq ,nhs'

bkamiq tajd u< iu. YÍrfhka msg ù hkq we;' u< j, ly meyeh we;s jkafka fï ksidh' hï whqrlska fuu ud¾.h wjysr jqjfyd;a uq¿ YÍrh mqrdu ì,sreîka me;sÍu ksid YÍrh ly meye jkq we;' weia mjd lymeye fjhs' u< iu. ì,sreîka msgùug yelshdjla ke;s jk úg 27

CAUSES OF CIRRHOSIS

u;ameka fndk whg jf.au fkdfndk whg;a isfrdaisia je<f|kak mq¿jka

tajd uq;%d iu. msg fjhs' tys m%;sM,h jkafka uq;%d f;a lygj,g iudk meyehla .ekSuh' u< iu. ì,sreîka ñY% ke;s ksid u< lsßueá meyeh jeks b;d ,d meyehla .kq we;' fujeks ,laIK Èiajk frda.hla fuys§ Tng isysm;a jkq ksielh' tkï fix.ud, frda.hhs' fix. ud,fhaÈ;a we;s jkafka fï ;;a;ajhh' kuq;a tfia jkafka ffjrihla ksid wlaudj bÈóu fya;= fldg f.k tu ud¾.h wjysr ùu ksidh' tu ffjrih iajNdúlju YÍrfhka bj;aj .sh miq frda. ;;a;ajh iukh ù hhs' fix.ud,fha§ YÍrfha leiSulao we;s fõ' ta ms;a ,jKh msg lrkag wlaudjg wjldYhla fkdue;s ùu ksidh'

cdk u.ska je<f|k isfrdaisia frda. orejkag yg .ekSu j<lajd .kakg kï f,a {d;Ska w;r újdyhka isÿ fkdlsÍu jeo.;a fjhs'

ydkshg m;ajQ wlaudjla

kuq;a wm fï l;d lrkafka fix. ud,h .ek fkdfõ' miqld,Skj isfrdaiSia ^cirrhosis& olajd j¾Okh jk frda. ;;a;ajhka ms<sn|jh' u;ameka" isfrdaisia frda.hg m%Odk fya;=jla hï msßñ whl=g isfrdaisia frda. ;;a;ajh je<|S we;ehs oek .kakg ,enqfKd;a tljru wmg isysjkafka u;amekah' ztfykï thd fyd|g wrlal= fndkj we;sZ hkqfjka fuh wik whf.ka nyq;rhlau mjikq we;' kuq;a ljodj;a u;ameka fmdola f;d, fkd.E ldka;djlgo isfrdaisia je<|sh yelshs' l,d;=rlska isfrdaisia frda. ;;a;ajh je<÷Kq orejka ms<sn|j o wmg wikakg ,efí' tfia kï u;ameka hkq isfrdaisia je<f|kakg n,mdk fya;= /ila w;ßka tlla muKs' u;ameka fkdî whg;a we;sjk isfrdaisia ;;a;ajhla ;sfnkjd''' nyq,j ;sfnk wlaud frda.hla f,i kEIa

28

ffjoHjrhd - udisl ffjoH iÕrdj

^Nash-Non Alcoholic Steato Hepatitis& oelaùug mq¿jk' YÍrh ia:q, ùu" f;,a iy meKs ri wdydr ks;r ks;r .ekSu" wdydr wêl f,i .ekSu" YÍrhg jHdhdu ke;s ùu jeks fya;+ka u; Èhjeähdj" fldf,iagfrda,a jeäùu jeks frda. ;;a;ajhka yg .kakd nj Tn okS' kuq;a fï fya;= ksidu yg .; yels ;j;a frda. hla jkafka kEIah' kEIa frda.fhys wjika m%;sM,h jkafka isfrdaisia ;;a;ajhg m;aùuh' uq,a wjia:dfõoS fuh ialEka iy reêr maÍlaIK u.ska y÷kd .ekSfï yelshdj ;sfí' kuq;a frda. ,laIK ke;s úg wm frda. iïnkaO úúO mÍlaIK isÿ lsÍu i|yd fhduq jkafka ke;' tfia jqjo msgrg /lshdj,g hk wjia:djl fyda ke;fyd;a yÈisfhka fyda SGPT/OT reêr mÍlaIKhla lr ne¨fjd;a fï ;;a;ajh isref¾ mj;sk whl=f.a th 2016 cqks l<dmh

y÷kd .; yels fjhs' fuh *eá ,sj¾ ^fatty liver& f,iska y÷kajhs' *eá ,sj¾ mj;sk frda.shl=f.a bkamiq ialEka mÍlaIKhla lr neÆúg wlaudfõ f;,a ;Ügq mj;sk wdldrh oel.; yels jkq we;' miq ld,fhaoS frda.h W.% jQ úg we;sjk frda. ,laIK fujeks frda. ;;a;ajhla uq,§ y÷kd .ekSug ,efnkafka fuf,i ffjoH mÍlaIK ;=<ska muKs' fya;=j uq,a ld,fha§ tu mqoa.,hdg lsisÿ frda. ,laIKhla fkdoekSuh' kuq;a l,a.; ù wlaudjg l%u l%ufhka ydks isÿjk úg flfuka frda. ,laIK u;=jkakg mgka .kS' fuu frda. ,laIK w;r isrer bÈóu" úfYaIfhka Worh widudkH wkaoñka l<hla fuka bÈßhg fkrd tau" Worfha j;=r msÍu" isrer ly meye ùu" lïuq,a fol lk bÈßfhka msïî hdu" lsys,sj, iy mmqfõ frdau .e,ù hdu" msßñkaf.a mshhqre bÈßhg fkÍu iy tajd iam¾Y lrk úg;a oeä fõokdjla oekSu" ifï úfYaIfhka mmqfõ r;= meye;s ;s;a yg .ekSu" w;a, r;=meye ùu" kshfmd;= iqÿmdg ù bÈßhg jl%ùu" ,sx.sl fn,ySk;djh iy jDIKfldaI wels,S f.dia tajd b;d l=vd ;;a;ajhg m;a ùu wdÈh fjhs' fï ish¨u ,laIK yeu isfrdaisia frda.shl=gu tlfia u;= fkdjqk;a fuhska hï hï ,laIK u;= jkq we;' isfrdaisia frda.h we;s jQ úg isÿjk fojeoEreï wk;=rla ta ;;a;ajhg tk úg wlaudj fldyq f.dvla n÷ ù yudrh' tkï isfrdaisia frda.hhs' fï ;ekg meñKs miq kej; wdmiq yefrkakg l%uhla ke;' tkï wlaudj fmr ;snQ ;;a;ajhg m;alr.; yels fkdfõ' fuys§ frda.shdf.a Ôú;hg wk;=re úh yels wdldr folls' tlla kï wdydr ud¾.fha úI wlaudj yryd fud<hg meñK isysiqka ùfuks' tfia isysiqka ù isák frda.hl= yg jia;s ud¾.fhka uy nvje,a iy

29

CAUSES OF CIRRHOSIS

u;ameka fndk whg jf.au fkdfndk whg;a isfrdaisia je<f|kak mq¿jka

wfOdaud¾.fha fia§ula lf<d;a Èk lsysmhlska frda.shdg idudkH iqjhla ,nd .ekSug mq¿jk'

<ud úfha isgu f;,a iy meKs ri wdydr b;du;a iSud lrkafka kï" YÍrfha nr wvqfjka mj;ajd .kafka kï" jHdhdu lrkafka kï wd§ jYfhka fi!LHh .ek ie,ls,su;a ùfuka kEIa frda.fhka o wE;a ù isàug yelshdj ,efnkq we;'

wlaudfõ iqjfi; úuiSu i|yd WmldÍ jk w,ag%d ijqkaâ mÍlaIKh

wk;=rla yd Bg m%;sl¾uhla fï yereKq úg wdydr ud¾.fha isg ish¨ fmdaIKh wlaudjg /f.k tk m%Odk kyrh" wdydr ud¾.fha wdudYh wdrïN jk ;ek§u mqmqrd hd yelsh' túg wdydr ud¾.h ;=<g úYd, jYfhka f,a jykh ùug mgka .kS' we;eï úg frda.shdg f,a jukh hd yelsh' jukhla isÿ fkdjqfKd;a tu reêrh wdydr iu. Èrjd u, l¿ meyefhka msg jkq we;' fujeks frda.shl=g m%;sldr ,nd § Ôú;h .,jd 30

.ekSug kï yels blaukska frda.shd m%Odk frday,lg /f.k hd hq;=h' fuys§ W.=r yryd wdudYhg we;=,a lrk leurdjla iys; nghla ^tkafvdiafldms mÍlaIKhla& u.ska f,a .,k ;ek fidhdf.k tu ia:dkhgu m%;sldrh ,nd Èh yelsh' frda.shdf.a kyr msmsÍug fmr lsishï fyda fya;=jlska l,ska isÿlrk reêr mÍlaIK u.ska frda. ;;a;ajh wkdjrKh lr.kakg ,enqfKd;a kyr msmsÍ f,a .ekSug m%:u frda.shdg m%;sldr ,nd .; yels fõ' tys§ lrkq ,nkafka tkafvdiafldms mÍlaIKh u.ska msmsÍug ;sfnk kyr y÷kd f.k tu ia:dk rn¾ j<¨j,ska isr lsÍuh' tu.ska kyr msmsßu je<lS hhs' ta wkqj fï l%u folgu m%;sldr ;sfnk nj lsj hq;=h' tu.ska isfrdaisia frda.shl=g ;j;a l,la Ôj;a ùug yelshdj ,efí' ffjoHjrhd - udisl ffjoH iÕrdj

wOdkhg fhduq úh hq;= mrïmrdkq.; frda. óg wu;rj isfrdaisia olajd j¾Okh jk mrïmrd.;j cdk u.ska je<¢h yels frda. lsysmhla o ;sfí' úfYaIfhka f,a {d;Ska w;r isÿjk újdyj,§ Tjqkag ,efnk orejkag we;eï úg fujeks frda. yg .ekSfï yelshdj mj;shs' isref¾ ;U ^copper& m%udKh jeäùu ksid ;U úIùfï frda.h jk ú,aikaf.a frda.h ^wilson's disease& ñka tlls' fojekak we,a*d jka wekaá á%maiska fv*sIkais ^Alpha one Anti trypsin deficiency& frda.hhs' fuu frda.h ksid fmky¨ iy wlaudj l%u l%ufhka úkdY fõ' fuh l,d;=rlska we;sjk cdk u.ska yg .kakd frda.hls' ;=kajekak ysufl%duefgdaisia ^Hemochromatosis& kñka y÷kajk w;r

2016 cqks l<dmh

fuys§ isÿ jkafka wlaudfõ hlv ;ekam;a ù hlv úI ùuhs' u;ameka Ndú;h iSud lruq' yelskï k;r lruq isfrdaisia frda.h yg .ekSug m%Odku fya;=j u;amekah' ks;r ks;r u;ameka .ekSu ksid wjidkfha wlaudjg ydks isÿù th wl¾ukH ùfuka yefok isfrdaisia j¾.h we,afldfyd,sla isfrdaisia ^Alcoholic cirrhosis& h' fuh wm iq,nj wik olsk isfrdaisia frda. ;;a;ajh fõ' fï ;;a;ajfhka ñ§ ys£ug wmg neßlula ke;' l< hq;af;a u;ameka Ndú;h b;d iSñ; lsÍuh' fi!LHh .ek ie,ls,su;a ùfuka kEIa frda.fhka wE;a fjuq fojekak kEIa frda.hhs' <ud úfha isgu f;,a iy meKs ri wdydr b;du;a iSud lrkafka kï" YÍrfha nr wvqfjka mj;ajd .kafka kï" jHdhdu lrkafka kï wd§ jYfhka fi!LHh .ek ie,ls,su;a ùfuka kEIa frda.fhka o wE;a ù isàug yelshdj ,efnkq we;' nd, m%ñ;sfhka hq;= wßIag wdÈh ys;=u;hg .ekSfuka je<lS isàu o w;HjYH lreKls' thg fya;=j fuu we;eï T!IOj, uoHidr wvx.= úh yels neúks' tjeks foaj,a ld,hla ;siafia .kakd whg isfrdaisia je<£ug bvlvla ;sfí' l,a mj;sk fndajk fix.ud, frda.h ^fymghsáia î iy iS& je<÷fKd;a th o ksis m%;sldr ,nd blaukska iqj lr .; hq;=hs' cdk u.ska je<f|k isfrdaisia frda. orejkag yg .ekSu j<lajd .kakg kï f,a {d;Ska w;r újdyhka isÿ fkdlsÍu jeo.;a fjhs' fï wdldrhg Tng jqjukdjla we;akï isfrdaisia frda.j,ska ñ§ ys£fï yelshdj ;sfnk nj wjOdrKh lruq'

31

SUPER FOOD

ksfrda.S YÍrhlg u. fy<s lrk rij;a m<;=r flduvq

ksfrda.S YÍrhlg u. fy<s lrk rij;a m<;=r flduvq fyd|g meyqKq flduvq j, fmdaIKSh .=Kh wka;su by<hs''' flduvq oeka wfma rfÜ iq,nj ñ,oS .kak yelshdj ;sfnk m<;=rla' úh<s l,dmfha .ïìï j, jefjk flduvq j,ska ,efnkafk úYd, wiajekakla' ta ksidfjkau wfma rfÜ jeä fofkl=g we;s ;rï lkak flduvq fï rg ;=<u ksmofjkjd'

32

flduvq úoHd{hkaf.a fkdu| wjOdkhg fhduq jQ m<;=r flduvq úYsIaG >kfha fmdaIlhla' th u<noaOh we;=¿j fndfyda frda. iukh lrkak WmldÍ fjkjd' yDo frda. wjodku neyer,Su" YÍrfha fïoh wvq lsÍu" wiaÓ iúu;a lsÍu jeks M< m%fhdack /ilg uq,ajk ful, úoHd{hkaf.a fkduo wjOdkhg ,lajQ m<;=rla'

ffjoHjrhd - udisl ffjoH iÕrdj

flduvq iïnkaOfhka w¿f;kau isÿ flfrk m¾fhaIK j,g wkQj th b;d m%fhdackj;a m<;=rla''' yoj; iqrlsk ,hsfldfmk flduvq i;=j fnfyúka ;sfnk ,hsfldfmk kue;s ridhkh ksihs fï úoaj;=kaf.a wjOdkh oskdf.k ;sfnkafka' ,hsfldfmk úYd, jYfhka yDo frda. wjodku neyer lrkjd' ,hsfldfmk wia:s iúu;a lrkak;a WmldÍ fjkjd' fïofhka isrerg we;sjk wjodku neyer,k isÜre,sk isÜre,ska lshkafk weuhsfkda wï,hla' th jl=.vq yd fjk;a wjhj j,oS wdcskska lshk fjk;a weuhsfkda wï, wdldrhla njg mßj¾;kh fjkjd' fï wdcskska YÍrfha fïoh ixÑ; ùug tfrysj l%shd lrkjd' ;j;a úosylska lsõfjd;a fldf,iagfrda,a wvq lrkjd' ta yereKq úg yoj;g;a fnfyúka ñ;=rehs' ta ksid yDo frda. wjodku wdcskska ksid;a uev meje;afjkjd' 2016 cqks l<dmh

flduvq f.äfh fmdaIKh taldldÍj me;sr ;sfhkjd''' ta;a fyd|g meyqKq flduvq u ñ,oS .kak flduvq f.äfh fmdaIKh ;sfhkafk r;a meye uofh ú;rhs lsh, ys;kj kï Tn jeroshs' meyeh ljrla jqK;a f.äfh fmdaIKh yeu ;eku ;sfhkjd' fï ksid f.äfh whska lrkak ;sfhkafk fmd;a; ú;ruhs' yenehs meyqku r;a meyeh jeäfhka ;sfhk flduvq j, fmdaIKh jeähs lshk ldrKh;a y÷kdf.k ;sfnkjd' f.äh lemqju r;a meye" iqÿ meye fld;ek;a fmdaIKh tlhs''' ta;a r;a meyeh jeäfhka ;sfhk f.äj, fmdaIKh jeähs' ta ksid ñ,oS .ekSfïoS .eg flduvq .kak tmd' tys fmdaIKhla ke;s ;rï''' msfkda,sl m%;sTlaisldrl" *a,efjdkhsv" ,hsfldfmk" úgñka iS wdoS fmdaIl úYd, m%udKhla flduvq f.äfh taldldÍj me;sß,d ;sfhkjd' wuq flduvq j, îg lefrdák kE''' óg fmr i|yka l<dla fuka" Tn wkqNjhg .; hq;af;a fyd|g meyqKq flduvqhs' mefykak biair uoh iqÿmeye ldf,os tys îg lefrdák we;af;u kE' ta jf.auhs msfkda,sl m%;sTlaisldrl mod¾:;a wuq f.äfh kE'''' mefykak" mefykak fmdaIKh;a flduvq f.ähg tl;= fjkjd' fï ksid fyd|g meys, uoh iïmQ¾Kfhkau r;ameye .ekajqKq flduvq ñ,oS .kakg yqre fjkak' flduvq j, T!Iëh .=Kh ;sr lrk msfkda,sl ixfhda. msfkda,sl ixfhda. j,ska flduvq mßmQ¾Khs' fudkjo msfkda,sl ixfhda. lshkafk''' @ *a,efjdkhsv" lefrdákhsv" g%hsgfmfkdhsv''' fï úosyg iudk kï ,nd we;s b;d jákd fmdaIK mod¾: /ila fmdÿfõ fukñka ye|skafjkjd' wfma YÍrfha we;sjk wfkal m%odysl ;;a;ajhka ksid fndfyda fokdg Tn fkdis;k .eg¿ u;= lrkjd' ikaê.; lelal=ï we;s jkafk;a m%odyhka ksid' nfâ wdï,sl;djh;a m%odysl 33

SUPER FOOD

ksfrda.S YÍrhlg u. fy<s lrk rij;a m<;=r flduvq

;;a;ajhla''' fï úosyg we;efula ksn| ÿla ú|sk wvq¨yq`vq;djhla ;uhs m%odysl ;;a;ajhka úosyg j¾.SlrKh jkafka' flduvq wkqNjfhka m%odysl ;;a;ajhka u¾Okh fjkjd' flduvq j,g fï ydialu lrkakg yels fj,d ;sfhkafka fï fmr i|yka l< flduvq f.ähg ,dlaIKsl b;d jákd msfkda,sl ixfhda. j, l%shdldß;ajh ksihs'

• YÍrfha m%;sYla;sh j¾Okh lrhs'

flduvq úgñka iS n,d.drhla flduvq j, ;sfhk úgñka iS ixhq;sh;a iq¿mgq kE''' ágñka iS nyq,ju ;sfnk m<;=rla úosyghs flduvq j¾.SlrKh fjkafk'

• fldf,iagfrda,a wvq lrhs'

ta yereKq úg flduvq j, mekafgdf;ksla wï,h" fldm¾" nfhdáka" fmdgEishï" úgñka ta" úgñka î 1" úgñka î 6 iy ue.akSishï hk jákd fmdaIlo wvx.= fjkjd' flduvq - fmros. úoaj;=kaf.a;a kula oskQ m<;=rla''' uq,ska i|yka lf<A flduvq iïnkaOfhka ngysr m¾fhaIK weiqf¾ wkdjrKh jQ fmdaIl .=K' th wdhq¾fõohg wkQjo jákd .=Kj;a yd fmdaIKSh m<;=rla f,i ie<flkjd' fmros. fjolug wkQj y÷kdf.k we;s flduvq i;= T!Iëh .=Kdx. • YÍrfha odyh ÿre lr isis, we;s lrhs' • u<noaOhg osj Tiqjls' • YÍrfha ;r, msÍfuka we;sjkffi, bosóug .=Kodhlh' • yDo frda.j,ska iykh i,ihs' • nvje,a j, ms<sld j,ska wE;a ùug iqÿiqhs' • uq;%d .,a wE;a lrhs' • wiaÓ osrd hdfï wjia:d ke;s lrhs' • fka;%d j,g ys;hs' • udkisl wd;;sh ysf;ys we;sjk fkdikaiqkalu iukh lrhs'

34

• wdid;añl;d kdYl .=Kfhka hqla;h' • WK frda.hg fyd|hs' • brejdroh uev,hs'

• .eiag%hsáia j,g b;d .=Khs' • w¾Yia iukh lrhs' • ms<siaiqï ;=jd, we;s whg ys;hs' • wcS¾K wjia:d j,oSo wdydrhg .; yelshs' flduvq kqiqÿiq ldgo @ jl=.vq frda.Ska yd fiïm%;sYHdfjka fmf<k wh flduvq lEfuka je<lsh hq;=hs' flduvq fmros." wmros. f.!rjdorhg m;ajQ m<;=rla' th buy;a T!Iëh .=K we;s fmdaIKSh m<;=rla' fjfiiskau f;,a" neÿï yd msá lEu j,ska fi!LH wk;=f¾ fy<d.;a wfma ld,fha ñksiqkag kej;;a YÍr fi!LHh" ksfrda.Snj <`.d lr fokakg flduvq j,ska isÿjkafka wkqmfïh jQ fufyjrla'

ffjoHjrhd - udisl ffjoH iÕrdj

2016 cqks l<dmh

35

FASHION VS HEALTH

ghsÜ cSka ksid ldka;d ryi`. m;ajk wk;=r oek.kak

iqjfi; .ek wm ie<ls<su;a úh hq;=hs' fjfiiskau wm ojfia jeä ld,hla w|sk we÷ï ryi`. iqjfi; flfryS w;sYhska jeo.;a fjkjd'

ghsÜ cSka ksid ldka;d ryi`. m;ajk wk;=r oek.kak w|skak tmd lsálsáfha ysrfjk fvksï''' th Tfí iqjfi; wjodkug ,la lrkjd''' o ú,dis;d fg%kaâ tlla njg m;a jqKq ld,hla''' fï ksid ffjjdrkak ú,dis;d lr<shg tkjd''' ldka;djkaf. kï wo ieye,a¨ we÷u njg m;afj,d ;sfhkafk ghsÜ cSka tl' yugu we¿Kq we÷ula ksid zialsks cSkaZ lsh,;a lshkjd' fndfyda ,,kdjka ialsks cSka w|skak leu;shs' thska wehg wmQre wdl¾IKhla we;s fjkjd'''

w

ta;a ialsks cSka tl ta ;rï fyd| fi!LHiïmkak we÷ula f,i kï ie<flkafk kE' ,sx.sl iqjfi; iïnkaOfhka iqúfYAIS wOHhkhl fhÿKQ m%ij yd kdßfõo úfYaI{jßhl jk gñ frdfjka fï iïnkaOfhka olajk woyia wkd.;fha we÷ï f;dard.ekSfïoS thg;A m%fhdackj;a fõú' w;sYh ixfõoS jQ ishque,s fmfoila Tfí ryi`. ieleiau fnfyúka ixlS¾Khs' tys w;sYh ixfõoS mgl ;sfhkjd' mg, yd ;kak;=uh fldgia ;sfnkjd' fndfydafokd ryi`. iqjfi; .ek újD; l;dnyla isÿ lrkafka kE' lr.kaku fohla ke;sjqKdu ;uhs ffjoH WmfoaYhla yß ,nd.kafk' ta;a w;sYh ixfõoS " w;sYh úákdlula we;s ryi`.

36

weh mjik wdldrhg ghsÜ cSka tl" fjfiiskau fvksï jeks f.dfrdaiq øjHhlska ieliQ l,siu wehf.a ryi`. fi!LHhg wdfhdackhla fkdfjhs' jvd;a meyeos,sj lsõfjd;a thska fi!LHhg m%Yak m;a;rhla we;s fjkjd' fhdaksu. wdidok j,g uq,la lekaävhisia fkdfyd;a ;%Ia hkq ldka;djkag iq,nj we;s úh yels fhdaksu. wdidokhla' nvje,a j, cSj;ajk lekaävd kï ydkslr fkdjk os,Srhla we;eï úfYaIs; ;;a;aj hgf;aoS YÍrfha fjk;a ia:dk j,oS os,Sr wdidok we;s lrkjd' f;;ukh iy WIaK;ajh we;s ia:dk j, fï lekaävhisia wdidokh we;sjk

ffjoHjrhd - udisl ffjoH iÕrdj

m%odysl fjkialï /ila we;s lsÍug uq,la''' óg l,ska m%ldY l<dla fuka >klu l,siï ksid rii`. ksn| weueoaoSulg ,lafjhs' fuh b;d ixfõoS fjkialï fhdaksh wdY%s;j we;s lsÍug iu;ah' úfYaIfhkau fï ksid fhdaksh wjg wdidok ;;;ajhla we;s lrhs' leiSu" bosóu" r;=ùu fuys ,laIK fõ' ishqïj ne,SfïoS cSkaia w|sk ,,kdjkaf.a ryi`. wdY%s;j m%odysl ;;a;ajhkao iq,nh'

w;r fhdaksh fï i|yd iq,n fmdaIl wjia:d imhkjd' fjfiiskau ghsÜ cSkaia we|Su ksid ryi`. wdY%s; WIaK;ajh by< hk w;r hïlsis f;;uk iajrEmhlao ;snqfKd;a th fï os,Srh jefvkakg uy;a rel=,ls' lsálsáfha ;og cSkaia w|sk hqj;shka w;r lekaävhisia wdidok iq,nj mj;akd njo idlaId;a ù we;s lreKls'

2016 cqks l<dmh

wdka;%sl l%shdldß;ajhg ndOd f.k ths wm fkdokakjd jqj;a wdydrhla .;a miq úYd, ld,hla ;siafia wka;% yryd tajd cS¾Kl l%shdj,sh wjika lsÍula isÿ fjhs' tajdfha iajdNdúl ixfldapk iy bys,a ùï j,g lsálsáfha ysrfjk we÷ï ndOd lrhs' fï ksid nrm;, fi!LH .eg¿jla we;s fkdjk nj ienEjls' tkuqÿ fï ksid wdka;%sl

37

FASHION VS HEALTH

ghsÜ cSka ksid ldka;d ryi`. m;ajk wk;=r oek.kak

l%shdldß;ajh hïlsis wvd, ùula isÿjk nj kï Bg;a jvd ienEjls' fï ksid ojfia jeä ld,hla ghsÜ mEkaÜia fkdfyd;a lsálsáfha isrg l,siï we|Sfuka j<lsk f,i m¾fhaIlhka Wmfoia fohs' Tingling Thigh Syndrome ghsÜ fvksï w|Su ksid we;sjk wdndOhl=;a ;sfnkjd' th y÷kajkafka fu/,acshd mfria;sáld fkdfyd;a Tingling thigh syndrome hkqfjka' l,jd j, msg me;af;ka .uka lrk Lateral femoral cutaneous nerve kï iakdhqj ysrg we|s l,siu u;ska wkjr;fhka we;s lrk mSvkh ksid fuysoS f;rmSug ,la fjkjd' fï ksid ta l,jd j,ska fmdmshk .;shla" ysß jefgk .;shla jf.au l,jd wdY%s;j ixfõok fkdoekS hdulao we;s úh yelshs' Tn yhs yS,a im;a;= m<|sk flfkla kï fï ;;a;ajh jvd;a jeäfhka we;s fjkakg mq¿jka' lsá lsáfha ghsÜ mEkaÜia w|sk Tn fujka w;aoelSulg ks;r ks;r uqyqK mdkjd kï oeka thg fya;=j okakjd' ryi`. iqjfi; iqrlskak''' fï Wmfoia ms<smoskak ta yereKq úg ryi`. iqjfi; wdrlaId lr.ekSu i|yd my; Wmfoia ms<smosk f,i fï m¾fhaIKh osh;a l< ffjoHjßh gñ frdfjka jeäÿrg;a Wmfoia fohs' • ,sys,a we÷ula f;dard.kak w|skakg l,siula f;dard.ekSfïoS th lsálsáfha ysr fkdfjk YÍrh yd jdhq yqjudrejla isÿjk ,sys,a njlska yd iqÿiq fros udos,shlska hqla; we÷ula weosh hq;=h'

jqfKd;a th ms<silr lr.ekSug fï mqreoao bjy,a fõ' rd;%sh mqrd ryi`. j,g m%udKj;a fi!LH iïmkak njla ,ndoSug;a fï isß; WmldÍ fjhs' • lmq j,ska ieliQ hg we÷ï w|skak f,aia" khsf,daka" fmd,stiag¾ hg we÷ï fjkqjg lmq hg we÷ïu w|skak.

• fi!uH fYdaOl j,ska ryi`. msßisÿ lr.kak fjfiiskau ixfõoS ksid ier fYdaOl" inka j¾. j,ska fï m%foaYh msßisÿ lrkak tmd' Tn yqre ù we;s uDÿ inka muKla msßisÿ lsÍug fhdod.kak' ghsÜ cSkaia we|Sfuka we;sjk wjodku fï ùäfhdafjkq;a krUkak mq¿jka''' https://youtu.be/ zmqqgDBtPzY

• rd;%sfhaoS hg we÷ï fkdue;sj ksod.kak oji uq¿,af,a w|sk weªfuka hï mSvdjla we;s 38

ffjoHjrhd - udisl ffjoH iÕrdj

DUST MITE ELIMINATION

weÿu - mSki jeks frda.j,g uq,a úh yels weig fkdfmfkk ¥ú,s uelald

weÿu - mSki jeks frda.j,g uq,a úh yels weig fkdfmfkk

¥ú,s uelald <ud frda. úfYaI{ ffjoH wð;a wurisxy

weÿu" mSki" weia leiSu jeks frda. ;;a;ajhka j,g fya;=j wid;añl;dj ^Allergy& nj Tn okS' fï wid;añl;djhka yg .ekSug úúO fya;= n,mdk w;r Bg m%Odk jYfhka n,mdk tla fya;=jla ms<sn|j fndfyda fokl= ;=< ±kSula ke;' fï fkdokakd fya;=j kï ¥ú,s uelald ^dust mite& h' fros wdY%s;j wmg fkdoekS fjfihs wmf.a mshú weig fkdfmfkk laIqø Ôúhl= jk ¥ú,s uelaldf.a YÍr m%udKh ñ,s ógrhlska ;=fkka mx.=jla muK fjhs' wm Ôj;a jk mßirh ;=< b;d úYd, jYfhka Ôj;a jk ¥ú,s uelald jeä jYfhka ±lsh yels jkafka frÈ wdY%s;jh' wfma rg ks;r jeis iys; ksid wd¾ø;dj jeäh' ¥ú,s uelald Ôj;a jkafka tjeks mßirhlh' W! wfma weig fkdfmfkk ksid;a" isref¾ jeÿK;a leiSula jeks fohla j;a ke;s ksid;a" ¥ú,s uelald .ek wm ;=< wjfndaOh wvq ksid;a wmg W! .ek yeÕSula ±kSula ke;' 2016 cqks l<dmh

¥ú,s uelald iq,nj fjfik ia:dk y÷kd.kak kuq;a ¥ú,s uelald wfma we| we;sß,sj, fndfyda fihska /£ isáhs' tfiau frÈj,ska ieliQ orejkaf.a fi,a,ï nvqo ^soft toys& ¥ú,s uelaldg b;d fyd| jdiia:dkhls' fuys§ nQ,a iys; frÈj,ska ;ekQ fgä fnhd¾ jeks fi,a,ï nvqj, muKla fkdj nQ,a rys; frÈj,ska ilia lrk fndakslalkaf.a mjd ¥ú,s uelaldg /f|kakg yelshdj we;' fï yereKq úg cfk,a frÈj," ìug ouk ldmÜj," frÈj,ska l=Ika lrk ,o fida*d we;=¿ iqj myiq wiqkaj, ¥ú,s uelald Ôj;a fjhs' .e,ùug we;s tlu úi÷u ¥ú,s uelalka j| lsÍuhs fï laIqø Ôúhd j| lsÍu b;d wiSreh' thg fya;=j wfma mshú weig fkdfmkSuu fkdfõ' oyia .Kkska" ,laI .Kkska b;d fõ.j;a f,i fï uelalka j¾Okh ùuh' Wka wdydrhg .kafka wfma 39

DUST MITE ELIMINATION

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

waidyawaraya.lk

wm Ôj;a jk mßirh ;=< b;d úYd, jYfhka Ôj;a jk ¥ú,s uelald jeä jYfhka ±lsh yels jkafka frÈ wdY%s;jh'

40

weÿu - mSki jeks frda.j,g uq,a úh yels weig fkdfmfkk ¥ú,s uelald

ifuka bj;a jk l=vd iï len,s ^fïjd fndfyda úgu wfma mshú weig fkdfmfkhs& iy flia fldgia wdÈhhs' ¥ú,s uelald b;d l=vd ksid Wf.ka msg jk laIqø u<o wmg mshú weig fkdfmfkhs' wm by; lS wid;añl frda.j,g ,la jkafka fuu ¥ú,s uelalkaf.a laIqø u< wd>%dKh ùu ksidh' iuyrekag ks;sm;du mj;sk mSki" Wfoa wjÈ jk úg lsúiqï hdu hk ;;a;ajhka yg .ekSug fya;=j fldÜgfha fuu ¥ú,s uelalka isàuh' thg ;sfnk úi÷u ¥ú,s uelalka j| lsÍuhs' frda.hg fya;=j ¥ú,s uelalduoehs y÷kd. ekSug reêr mÍlaIKhla ¥ú,s uelald ksid wmg yg .kakd iq,n frda. ;;a;ajhka jkafka weÿu" mSki" ks;r mj;sk fidgq Èhr .e,Su" weia leiSu" iu leiSu wdÈhhs' kuq;a fï yereKq úg ;j;a fndfyda fya;= u; fujeks wid;añl frda. yg .ekSfï yelshdj mj;shs' tneúka tn÷ frda. ;;a;ajhla yg .;a úg Bg fya;=j fuu Ôúhdu ±hs ffjoHjrhd - udisl ffjoH iÕrdj

ksYaÑ;j ±k .ekSug l< yels mÍlaIK ;sfí' tlla kï IgE kñka y÷kajk reêr mÍlaIKhhs' tA yereKq úg p¾u frda. mÍlaIdjla u.skao fuh y÷kd .; yelsh' fï mÍlaIdj wid;añl;d iïnkaO úfYaI{ ^Allergy Specialist& ffjoHjrhl= fj;skau ±k.; yels kï jvd;a fyd|h' ¥ú,s uelald ksid isÿjk fuu Wjÿrej,g úi÷ï ljf¾±hs ±ka wms úuid n,uqô ¥ú,s uelalkag Ôj;a úh fkdyels wdldrfha fldÜgd" we;sß,s Ndú;h' dust mite free hkqfjka f,an,a lr we;s fun÷ fldÜg fuÜg fndfyda iqmsß fjf<|i,aj,ska ñ,§ .; yelsh'

01

02

i;shlg j;djla meh y;rlaj;a fldÜgd fuÜg" we| we;sß,s ;o wõfõ úh<d .ekSu' by; lS wdldrfha dust mite free fldÜg we| w;sß,s wdÈh ñ,§ .kakg Tng yelshdjla ke;akï fujeks mshjrla myiqfjkau .; yelsh'

03

f.ìug ldmÜ ±ófuka je<lS ys£u'

04

05

;=kS cfk,a frÈ Ndú;h' f,aia jeks frÈ cfk,aj,g fh§u jvd;a iqÿiq jkafka tys fome;af;ka ysre t<sh .,d hk ksidh' fï yereKq úg fjk;a ;=kS frÈo cfk,a i|yd fhÈh yelsh' tfiau fmd,s;ska ñY% w,xldr frÈ j¾. o ;sfí' fujeks ;=kS tAjdfhys ¥ú,s uelaldg Ôj;aùu wmyiqh' tneúka >klï frÈ cfk,a i|yd fkd±ñh hq;=h' ysre t<sh Rcqj jefokakg ie,eiaùfuka ¥ú,s uelald j| l< yelsfõ' weÿu mSki jeks wid;añl frda. ;;a;ajhka we;s wh f.ìu w;= .Efï§ uqLjdvï Ndú;h' fujeks wh f.ìu w;= .dk úg tjeks ia:dkj, /£ fkdisàu iqÿiq fõ'

2016 cqks l<dmh

cfk,a frÈj," ìug ouk ldmÜj," frÈj,ska l=Ika lrk ,o fida*d we;=¿ iqj myiq wiqkaj, ¥ú,s uelald Ôj;a fjhs' kuq;a tjeks flfkl=g w;= .dkakg isÿ jkafka kï f.ìu fudma lsÍu iy .Dy NdKavj, ¥ú,s .eiSu isÿ fkdlr f;; iafmdkaÊ tllska msi ±óu l< hq;=h' w;= .Efï§ iy ¥ú,s .eiSfï§ ¥ú,s uelalka weúiaiSu ksid wid;añl frda. je<£fï yd j¾Okh ùfï yelshdj mj;shs' idudkHfhka weÿu frda.fhka fmf<k whf.ka 60]lg muK ¥ú,s uelaldf.ka we;s jk wdid;añl ;;a;ajh mj;sk nj fidhdf.k we;' tksid ¥ú,s uelald j| lsÍug wjYH mshjr .;fyd;a weÿu jeks wdid;añl frda. iïmQ¾Kfhka ke;s l< fkdyels jqj;a ¥ú,s uelald ksid yg .kakd wdid;añl ;;a;ajhkaf.ka ñÈh yels fõ' 41

MENSTRUATION EXPLAINED...

Tfí Tima reêrh msgùu idudkHo @ widudkHo @

How normal is your period ?

How normal is your bleeding ?

Tfí Tima ùu - tys idudkHh yd widudkHh ,sms fm<

Tfí Tima reêrh msgùu idudkHo @ widudkHo @ - fojeks fldgi

m%ij yd kdßfõo úfYaI{ ffjoH frdIdka fihsßãka fihsâ - kjf,dal frday,

Tima reêrh muK blaujd .e,Sug n,mdk fya;= lsysmhla u;= oelafõ' • *hsfn%dhsv - .¾NdIfha fyda bkamsg; we;sjk ms<slduh fkdjk j¾Ol • Endometrial Polyp .¾NdIfha wdia;rkhg iïnkaOj ks¾udKh jk uDÿ j¾Ol úfYaIhls' fndfydaúg ydkslr fkdfõ' tfy;a b;du;a l,d;=rlska ms<slduh ;;a;ajhlao úh yel' • Adenomyosis .¾NdI wdia;rkfha fmaYs j, we;=<g ldjosk j¾Ol úfYaIhls' ueos jhfiaoS iq,n fï ;;ajh ksid fõokdldÍ fukau ;on, reêr jykhka tla tla ia:dk j, ^Pocket Bleeding & w;aú|skakg isÿfõ' • PID pelvic inflammatory disease WK" Worfha fõokdj iu. we;sjk wdidok ;;a;ajhls' ,sx.dY%s; frda. ksid fuh we;s úh yel' fhdaks ud¾.fhka ÿ¾.kaOhla iys; >%dj .e,Sulao we;súh yel' ,sxf.akaøshkag kej; ms<silr l< fkdyels wdmodjka isÿ lrhs' • ;hsfrdhsv widudkH;djhla ksid tys ixl+,;djhla f,i Tima reêrh jeä jYfhka msgùu isÿúh yel' • m%;sikaêh je<elaùug fhdod.kakd we;eï Wml%u ksoiqkla f,i ;U o``.r (Copper Coil) ksid fujka wêl reêrjykhla we;euqkag we;súh yel' • PCOS (Polycystic ovary syndrome) YÍrfha wekav%ck fkdfyd;a 42

ffjoHjrhd - udisl ffjoH iÕrdj

fm!reI fydafudak l%shdldß;ajh wêl ùfuka we;sjk frda.hls' ;rndre ùu" YrSrfha frdau j¾Okh" lere<E we;sùu wdoS ixl+,;d /ila we;s fõ' m%;sldr kshñ; mßos ,nd fkdÿkafkd;a os.= ld,Sk ixl+,;d we;súh yel' • tkafvdfuá%fhdaih s dj tkafvdfuá%hfï mj;akd mgl j,g iudk mgl .¾NdIfhka msg;oS ks¾udKh ùu iy fï ksid we;sjk Wor.; fõokdj • tkafvdfuá%hdkq ms<sld uekúka mÍlaId lr blauKska m%;sldr l< hq;= ;;a;ajhls' Tima wl%ñl;djhla we;s úg fkdj,yd l%shd;aul úh hqa;f;a fujka wjia:djloS blauKska m%;sldr ie,iSfï wjldY ,nd.kq msKsih' • Bleeding Disordes YrSrfha ljr

2016 cqks l<dmh

ia:dkhl fyda f,a .e,Sï fuysoS we;s úh yel' • fjda*ßka jeks f,a leá .eiSu j<lajk fnfy;a" we;eï m%;sm%odysl T!IO ksid fuh isÿúh yel'

jeo.;a''' Tn wd¾;jwNdjhg fkdfyd;a ls<s jEÍu isÿjQ ldka;djla kï tfy;a fhdaks u`. Tiafia reêrh >%djh ùula w;aú|skafka kï Tn jydu ffjoHjrfhl= yuq úh hq;=hs' wd¾;j wNdjfhka miq reêrh msgùu idudkH ;;a;ajhla fkdfõ' fï wdldrfhka udia Y=oaêh cSú;fha .=Kd;aulNdjhg ysßyerhla jk ;rug ndOd t,a, lrk l,ayS ta b;ska yeáfka''' lshd n,d isàu fkdl< hq;=h' Bg fya;= jQ hïlsis frda. hla" ffjoHuh ldrKdjlaa ;sfíoehs fidhd ne,sh hq;=h'

ffjoH Wmfoia me;Su jeo.;a fï wdldrfhka Tima reêrh wehg ysßyerhla jk wdldrfhka jeäfhka .e,Sug n,mdk fya;= rdYshla ;sìh yel' fï ish,a, w;=ßka hula Tfí fï Tima reêrh n,j;a f,i msgùfï w;aoelSug n,mj;ajkafkao hkak úuiSu ffjoHjrhdf.a ld¾h Ndrhhs' fï ;;a;ajhg fmrlS wdldrfha hï fya;=jla mdol ù we;akï Bg fkdmudj ms<shï fhoSug ffjoHjrhd mshjr .kakjd we;' fï wkQj fï .ek úuiSula fkdlr isàu Tn Tngu lr.kakd jrola" we;eï fj,djg miqld,fhaoS miq;eúh yels m%udo fodaIhla jkakgo bv ;sfí'

Tima reêrh msg ùu wdY%s; wfkl=;a ixl+,;d Tima isÿ fkdùu Amenorrhea jeäúh m;aùug fmr Tima ùula isÿ fkdfõ' .eí .;a úgo Tima ùula olakg ,efnkafka 43

MENSTRUATION EXPLAINED...

Tfí Tima reêrh msgùu idudkHo @ widudkHo @

ke;' tfia fkdjk l,ayS ia;%shlf.a wd¾;jh isoaO úh hq;=h' wd¾;jh isÿ fkdùu Amenorrhea hkqfjka ye|skafjhs' fuh uQ,sl jYfhka fojeoEreïj j¾.SlrKh fjhs' Primary amenorrhea wef.a jhi wjqreÿ 16 bl=;a ùo ;ju;a jeäúh m;a fkdùu' Secondary amenorrhea Tima ùu ld,hla isÿù tlajku th k;r ùu yd tjh f;uil muK ld,hla uq¿,af,a mej;Su'

Tima ùfïoS ;on, f,i we;sjk uiams`vq fmr,Sï dysmenorrhea Tima ùfïoS hïlsis wmyiq;djhla" iq¿ fõokdjla fndfyda fokd w;a ú|shs' tfy;a bis,sh fkdyels fõokdjla" Worfha uiams`vq fmr<sula isÿ ùu Severe menstrual cramps (dysmenorrhea) fï fya;=fldg f.k tosfkod cSú;fha lghq;= j,g n,mEula we;s jkafka kï th ie<lsh hq;a;ls' wd¾;jh isÿfkdùu Amenorrhea m%ckl il%Sh wjëhla .; l<;a we;eï úsg ldka;djl Tima ùu isÿ fkdjk wjia:do we;' tfia Tima ùula isÿ fkdjk wjia:d lsysmhla 44

u;= oelafõ' • .¾NKshl njg m;aùu' • wêl jYfhka ia:q, ùu' • wdydr b;d wvqfjka .ekSu' • wêl jYfhka l%Svd lsÍu • b;d l,d;=rlska wjia:djloS fud<fha ;sfnk w¾nqohla ksid' • ;hsfrdhsâ .%kaÓfha widudk;djhla fya;= fldgf.k • fmd,sisiaála ´fõßhka iskafv%dï kue;s ;;a;ajh

Tima reêrfha meyeh iy >klu fjkia ùu f,a leá jYfhka msgùu we;eï fj,djg Tima reêrh leg jYfhka msg fjk wjia:d ;sfnkjd' we;eï fj,djg meyefhka r;=hs' w÷re meyehla .kakd f,a leá;a ;sfnkjd' Tima pl%fha jeäfhkau reêrh msgfjk ojfiaoS fï wdldrfhka leg fia f,a msgùu iq,nhs'

ffjoHjrhd - udisl ffjoH iÕrdj

reêrh ;o meye;s j¾Kfhka hqla; ùu iy >%djh >k iajNdjhla oeÍu reêrjykh k;r fjkak wdikakfhaoS Tima reêrh ;o ÿUqre meyehla .kakjd' ke;akï l¿ meyehg wdikak meyehla .kakjd' fuh widudkH ;;a;ajhla fkdfjhs' os.= ld,hla .¾NdIfha ;sîu ksid f,a fujka ;o j¾K .ekaùula isÿ fjkjd' >%djh >k iajNdjhla oeÍu ;djld,sl jYfhka we;sjk ;rula >k iajNdjfhka hqla; Tima reêrh idudkHhs' óg by;oS úia;r l< wdldrhg os.=ld,Skj we;sjk wêl reêrh jEiaiSu kï ffjoHjrfhl= fj; hdug isÿjk fya;=jla' Tima reêrfha meyeh iy >klu fjkia ùu fndfyda úg idudkH ;;a;ajhla' tfy;a l,d;=rlska wjia:djloS th we;eï wjOdkhg 2016 cqks l<dmh

,laúh hq;= ldrKd ksido isÿ fjkjd' • f,a leá .eiSu ore .enla .íid ùfuka isÿ jkak mq¿jka' Tn .¾NsKSNdjhg m;aùfï bvla we;s ldka;djl kï Tfí Tima reêrh leá fyda leo,s iajNdjhlska hqla; kï ffjoHjrfhl= yuqù ielh ksrdlrKh lr.ekSu fyd|hs' • *hsfn%dhsâ yd fmd,sma ;sfhk úg fndfyda fokdg idOKSh fjkialula fkdoefkk ;rï' tfy;a fï *hsfn%dhsâ ksid Tima reêrh jeäfhka jEiafikak bv ;sfnkjd' fjkodg jeä Tima reêrh jEiaiSula fõ kï ta .ek;a ie<ls<su;a fjkak fjkjd'

;reK ;reKshkaf.a Tima reêrh iïnkaO .eg¿ ;reKshkag ,dlaIKsl jQ Timaùu yd ine|S .eg¿o /ila fõ' fndfyda fokdg we;af;a Tima pl%h wúêu;a ùuhs' u,ajr jQ wdikakfha Timaùu isÿjkafka udi lsysmhlg jrls' uq,a jirl muK ld,h uq¿,af,au Tima pl%h wúêu;a ùu fï fndfyda fokd flfrka oelsh yel' tfy;a jirl muK wejEfuka fuu Timaùu lsishï rgdjlg wkQj isÿ fjhs' ta yereKq úg kshñ; ld,hg l,ska Tima ùu isÿjk who olskakg ,efí' ta w;f¾ m%Yia; l%shdldß;ajhla olajñka Tima pl%h yeisfrk ksid lsisu .eg¿jla fkdue;s ldka;djkao wmg yuq fõ' fï ld,fhaoS fh!jKshg fmrlS wdldrfha ´kEu .eg¿jla we;s úh yelsh' Polysystic Ovarian Syndrome frda.h yd tkafvdfuá%fhdaisia hk frda. fh!jKshka w;r iq,nj olakg ,efnk ffjoHuh ;;a;ajhkah' Polysystic Ovarian Syndrome frda.h ;sfnk úg udi 3-4la hk;=re Tima ùu m%udo úh yelsh' olysystic Ovarian Syndrome frda.h wo ;reKshka w;f¾ iq,nh' iEu ;rekshka oy fofklaf.ka tla wfhlau fuu frda.fhka fmf<k 45

MENSTRUATION EXPLAINED...

Tfí Tima reêrh msgùu idudkHo @ widudkHo @

nj y÷kdf.k ;sfí' tkafvdfuá%fhdaisia frda. ho ;rula iq,nh' th ishhg 115-20 ixLHdjl ;reKshka mSnd ú|sk frda.hls' fï iïnkaOfhka wm olsk fjfiia ;;a;ajh jkqfha fndfyda ldka;djka ksis ffjoH Wmfoia fkd,nd" frda.h ksishdldrj y÷kd fkdf.k mSvdjg m;a ùuhs'

fh!jKshka w;r ljr Tima ùu wdY%s; ixl+,;djhla we;s jqK;a th uekúka mÍlaIdjg ,la úh hq;af;ah' fuysoS wehf.a widudkH;djh yd ine|S frda. b;sydih .ekSu uq,skau isÿ lrk w;r reêr mÍlaIK" ialEka mÍlaIK weiqf¾ ksjeros frda. úksYaphla ,nd fohs'

ls,s jEÍu fkdfyd;a wd¾;jwNdjh yd ine|S úfYaIs; .eg¿ fuysos wehg we;sjk .eg¿ wd¾;j wNdjhg fmr we;sjk .eg¿ peri menopausal yd wd¾;j wNdjhg miq post menopausal we;sjk .eg¿ jYfhka foj¾.hlg fjkalr j¾.SlrKh fõ' fï ld,fhaoS we;súh yels ms<sld wjodku neyer,Su l< yelafla kshñ; mÍlaIK j,ska muKs' fï ksid .eg¿jla u;= jQ úg kshñ; ffjoHjrfhl= yuqù ta ksrdlrKh lr.ekSu wksjd¾hfhka l< hq;a;ls'

ffjoHjrfhl=f.a wjOdkhg fhduq úh hq;= Tima reêrfha yeisÍu iïnkaO wjia:d • Tn .¾NsKShl fkdfõ' tfy;a udi 3-4 l jeä ld,hla uq¿,af,a Tima isÿ jkafka ke;'

46

ffjoHjrhd - udisl ffjoH iÕrdj

• Tfí wd¾;j pl%h l%uj;aj mej;S lsishï fya;=jla ksid th os.ska os.gu wl%uj;a ùu' • osk y;lg jvd ld,hla wêl f,i Tima reêrh .e,Su' • idudkH cSú;hg ndOdjla jk fia b;d jeä jYfhka Tima reêrh .e,Su' • Tfí wd¾;jh osk 21 g jvd wvqfjka isÿùu iy osk 35g jeä ld,hla .; ùu' • Tima ùfïoS bis,sh fkdyels wêl fõokdjla oekSu' by; ,laIK tlla fyda fmkajkafka kï ffjoHjrfhl= yuqjQ jeäÿr Wmfoia ,nd. ekSu iqÿiqh'

Tima wl%ñl;d j,oS isÿlrk mrSlaIK ffjoHjrhd yuqjg hdfïoS uq,skau isÿ lrkafka Tnf.a frda. úia;rh ,nd .ekSuhs' bkamiqj idhksl mÍlaIKhla isÿ lrKq ,nhs' bkamiqj Tn fj; isÿ l< hq;=

2016 cqks l<dmh

mÍlaIK i|yd Tnj fhduq lrkjd' fuysoS uq,sl jYfhka f;jeoEreïj mÍlaIK isÿ lrkjd • Scanning mÍlaIK • reêr mÍlaIK • ,emriafldms mÍlaIK fï mÍlaIK Tiafia hï frda. ;;a;ajhla mj;afkao hkak ksYaÑ;j ;yjqre lrf.k ta i|yd wjYH lrk m%;sldr yd ms<shï fhoSug ffjoHjreka lghq;= lrkjd' ldka;djka fï wdldrfhka Tima ùu yd iïnkaO l%shdj,sh iïnkaOfhka hï wjfndaOhla we;sj isáh hq;=hs' wïud fï wdY%s; fõokdjla úkaod kï ÿjg fufyu lshkjd' zzuu;a Tfydu ;uhs" fõokd úkaod'''ZZ zz´l ;uhs yeá''' ZZ th fyd| kE''' Tima ùu iajdNdúl l%shdj,shla' tys idudkH iajrEmh jkafka Tfí cSú;hg" tosfkod lrk lshk lghq;= j,g ndOdjla fkdjk wmyiq;djhka muKhs' hï fyhlska fï ksid Tn mSvdjg m;a fjkjd kï" ta oskj, jevg hkak neß kï" mdie,g hkak neß kï" úYd, udkisl mSvkhla" YdÍßl fõokdjla we;s fjkjd kï Tng ffjoH Wmfoia wjYHhs' fõokdj Tngu ;shdf.k ÿla ú|skafk ke;sj jydu ffjoH Wmfoia m;kak' ,nk l,dmfhka Tfí Tima fõokdj idudkH tllao @ widudkH tllao @

47

48

ffjoHjrhd - udisl ffjoH iÕrdj

PHARMACOPIA

kdihg ouk T!IO .ek Tn oek.; hq;= lreKq

Nasal Drops/ Nasal Spray

kdihg ouk T!IO .ek Tn oek.; hq;= lreKq ó.uqj osia;%sla uy frdayf,a T!IOfõoS ;sirx.s w;=fldar< úisks

kdihg ouk T!IO f,i Ndú;d lrk T!IO wh;a ldKav fudkjdo @ • kdifha wjysr;djh je<elaùug fhdok T!IO • m%;scSjl • m%;sysiageñk • iafgfrdhsv kdihg ouk T!IO ffjoH ks¾foaYh wkQj Tiqi,lska ñ,oS .ekSfïoS ie<ls<su;a úh hq;= lreKq fudkjdo @ • T!IO wiqrkfha ksIamdos; oskh yd l,a bl=;a ùfï oskh ms<sn|j ie<ls<su;a fjkak' • wiqrKh uqødj iys;j ;sfíoehs n,kak'

wo ojfia kdihg ouk T!IO iq,nj Ndú;d fõ' Tn ffjoHjrfhl= uqK.eiSug .sh wjia:djla isysm;a l<fyd;a Tng ,ndÿka T!IO w;r kdihg oeóu i|ydo we;eï úg T!IOhla ;sìh yel' fuu T!IO fj<|fmdf<aoS zzìxÿ f,i kdihg ouk T!IOZZ Nasal Drops yd zzÿudrhla jYfhka kdihg ouk T!IOZZ Nasal Spray f,i fojeoEreïj wmg yuqfõ' 2016 cqks l<dmh

ìxÿ f,i kdihg ouk T!IO Nasal Drops Ndú;d lrk ksjeros wdldrh l=ulao @ • fnda;,h fyd|ska fid,jkak' • myiq bßhõjlska jdäù ysi u|la by<g yrjkak' • tla kdia mqvqjla we`.s,af,ka ;olr wfkla kdia mqvqjg T!IO ìxÿjla 49

PHARMACOPIA

oukak' • fyd|ska by<g yqiau .kak' tla jfrloS oeñh hq;= T!IO ud;%dj wkQj wjYH kï by; mshjr kej; wkq. ukh lr wfkla kdia mqvqjgo T!IO oukak' ÿudrh f,i kdihg ouk T!IO Nasal Spray Ndú;d lrk ksjeros wdldrh flfiao @ • fnda;,h fyd|ska fid,jkak' • myiq bßhõjlska jdäù ysi u|la by<g yrjkak' • tla kdia mqvqjla we`.s,af,ka ;olr wfkla kdia mqvqj ;=<g isÿr iys; fldgi we;=¿ lrkak' • wiqrkfha wvx.= Wmfoia mßos fnda;,fha wod, fldgi my<g f;rmkak' • fyd|ska by<g yqiau .kak' • Ndú;hg wod, ud;%dj wkQj wjYH kï by; mshjr kej; wkq.ukh lr wfkla kdia mqvqjgo T!IO oukak' 50

kdihg ouk T!IO .ek Tn oek.; hq;= lreKq

fuu T!IO weiqreu tla mqoa.,fhl=g Ndú;hg iqÿiq jk fia ilia lr we;' tneúka tlu ksfjfia fofofkl=g jQjo tlu T!IO weiqreu Ndú;d lsÍu iqÿiq fkdfõ' fuu T!IO Ndú;fhaoS ie<ls<su;a úh hq;= lreKQ fudkjdo @ • fuu T!IO weiqreu tla mqoa.,fhl=g Ndú;hg iqÿiq jk fia ilia lr we;' tneúka tlu ksfjfia fofofkl=g jQjo tlu T!IO weiqreu Ndú;d lsÍu iqÿiq fkdfõ' • kdihg ouk T!IO Ndú;d lrkafka kdifha wjysr;d ke;s lsÍug muKlau fkdfõ' tneúka ksjeros ffjoH Wmfoia wkq.ukh l< hq;=h' • T!IO Ndú;h ms<sn|j ksjeros Wmfoia ffjoHjrhdf.ka fyda T!IOfõoshdf. ka meyeos,sj wid oek.; hq;=h' wjYH wjia:dj,oS T!IOfõoshd úiska jeäÿr meyeos,s lsÍï isÿ lrKq we;' • fuu T!IO fnda;,h fndfyda úg T!IO msg;g ,nd.kakd isÿr iys;j ;sfí' wiqrkfha olajd we;s Wmfoia mßos fnda;,h fid,jd ta kshñ; m%ldr Wmfoia ms<smeoSfuka ta wkQj l%shdlr wod, T!IO ud;%dj msg;g ,nd.; yel' • lgq wdosh fhdod.ekSfuka kej; fnda;,h isÿre lsÍug W;aidy oeÍfuka ksjeros ud;%dj msg;g .ekSug ndOd we;súh yel' • fuu T!IO Ndú;d lrk ld,h ;=< kdifha we;=¿ mDIaGfha" W.=f¾ r;=ùula" oeú,a," ;=jd,ùu wdoS ,laIK u;= jQjfyd;a ffjoH Wmfoia ,nd.ekSu jeo.;a jkafkah' • fuu T!IO ffjoH Wmfoia u; wjYH ld,iSudj ;=< muKla Ndú;d l< hq;=h' tlajru T!IO Ndú;h keje;aùuo iqÿiq fkdfõ' ffjoHjrhd - udisl ffjoH iÕrdj

ADVERTORIAL

ueos jhfia ldka;djka iy msßñka isÿ lr.; hq;= ffjoH mÍlaIK

isrer l,ska l,g ,ndfok ix{d j,g ijka osh hq;=h' kshñ; wdrlaIl mshjr .; hq;=h' tajd l,a yeÍfuka wjodkug ,la jkafka Tfí jákd cSú;hhs'

ueos jhfia ldka;djka iy msßñka isÿ lr.; hq;= ffjoH mÍlaIK fkl=f.a cSú;fha jvd;au wre;anr wjêh Wodjkafka Tyq ueos jhig t<öu;a iu.uh' cSú; ld,h ;=<" .=fKka" kqjKska uqyql=rd hk wjêfha ueos jhig md ;nk wm t;eka mgka wmf.a fi!LHh flfryS úfYaIfhkau ie<ls<su;a úh hq;= jkafkah'

fl

tf;la .; l< fhdjqka úfhys ksudj;a iu.u úúO frda.dndO ysi tiùug ;e;a lrkafkao

fï ueos jhfiaoSuh' wfkalúO f,vÿla j,g cSú;h veye. kakg fkdoS cSú;fha b;sß ld,h i;=áka .; lrkakg kï Tn ueos jhfia isgu Tfí fi!LHh .ek úuis<su;a úh hq;=h' isrer l,ska l,g ,ndfok ix{d j,g ijka osh hq;=h' kshñ; wdrlaIl mshjr .; hq;=h' tajd l,a yeÍfuka wjodkug ,la jkafka Tfí jákd cSú;hhs' Tng fukau Tfí wdorKShhkago jákd Tfí jákd cSú;hhs' ldka;djka i|yd ffjoH mÍlaIK uq,skau wms ksfjil isßÿj jk zzwef.a fi!LHhZZ .ek úuiuq' Nd¾hdjl" ujl yd wdorKSh ke.Kshl jYfhka mjq,g wdrlaIdj i,ikakS .eyekshhs'

2016 cqks l<dmh

51

ADVERTORIAL

ueos jhfia ldka;djka iy msßñka isÿ lr.; hq;= ffjoH mÍlaIK

reêr mSvkh by< hdula fõ kï th uq,a wjia:dfõoSu oek.ekSu jeo.;a' ukao @ wêreêr mSvkh úfYaIfhkau yoj;g" fud<hg" jl=.vq j,g wdoS jYfhka YÍrfha ;SrKd;aul wjhj j,g wys;lr f,i n,meje;aúh yels ksihs'

Nd¾hdjlf.a N+ñldjo''' ujlf.a N+ñldjo yereKQ úg weh mjqf,a fmdaIKh imhkakshhs' ta yereKQ úg wo ojfia kï weh mjqf,a wd¾Ólhgo Wrfok ;j;a w;sYh jeo.;a N+ñldjlgo mK fmdjkakSh' wef.a ueos jhfiaoS wjOdkhg fhduq 52

l< hq;= fi!LH mÍlaIK /ila ;sfí' wef.a bosß wkd.;fha iqrlaIs;;djh i|yd fï mÍlaIK fhdod.kakd ksYaÑ; ld,dka;r j,oS ksrka;rfhka isÿ lr.ekSu w;sYhska jeo.;a fõ' msßñka i|yd ffjoH mÍlaIK mjq,l wd¾Ól Yla;sh fndfyda úg i,ikafka msßñhdh' lemùu" fiajfhys wk,ianj wdoS lreKq u;ska mjq,g wjYH wd¾Ól /ljrKh i,ik msßñka ;u ueos jhfiaoS ;u fi!LHh flfrySo fjfiiskau ie<ls<su;a úh hq;= fjhs' fjfiiskau iïNdIk yd idudcSh yuq j,oS Tyq hï hï fi!LHiòmkak fkdjk mqreÿ j, ffjoHjrhd - udisl ffjoH iÕrdj

f.dÿrla" isrlrefjla ùug we;s bvlv jeäh' ta ksidfjkau jeä fi!LH wjodkulao Tyq flfryS we;súh yels wjia:d ke;af;a fkdfõ' mjq,g i,ik /ljrKhu ;ukaf.a iqjfi; Wfoid;a i,id.ekSu ¥ro¾YS mqoa.,fhl=f.a j.lSuls' ldka;djka ueos jhfiaoS isÿlr.; hq;= ffjoH mÍlaIK • reêr mSvkh mÍlaId lsÍu • fldf,iagfrda,a mÍlaIKh • fm%daàka .eud GT mÍlaIKh • wlaud mÍlaIKh • jl=.vq mÍlaIKh • ksrdydr reêr iSks mÍlaIKh • wdydr .ekSfuka miq reêr mÍlaIKh • hQßla wï, mÍlaIKh • ;hsfrdhsâ l%shdldß;aj mÍlaIKh • uq;%d mÍlaIKh yd Occult Blood u< mÍlaIKh • iïmQ¾K reêr mÍlaIKh FBC • mmqfõ úlsrK mÍlaIKh • ECG mÍlaIKh • w;sèjks mÍlaIKh • mshhqre ms<sld y÷kd.ekSfï uefuda.%Eï mÍlaIKh • .eíf., ms<sld úuiSfï mema mÍlaIKh PAP • Y%jK mÍlaIKh • tflda ldäfhd.%Eï mÍlaIKh • jHdhdu ECG mÍlaIKh • mqriaÓ;s ms<sld mÍlaIKh fuu mÍlaIK isÿ lrkafka ljr wruqKla wrNhdo iy tajdg Ndckh jk wdldrh .ek ieflúka lreKQ oelaùula isÿ lruq' Tfí reêr mSvkh .ek ie<ls<su;a fjkak' ueos jhfiaoS th b;du;au jeo.;a ldrKhla''' reêr mSvkh fkdfyd;a Blood Pressure hkq Tn oeKQj;aj fyda fkdoeKQj;aj Tfí YÍrfha we;sjk isÿjk wkjr; úysksl l%shdj,shlss' ffi, j,g wjYH fmdaIKh" wï,lr jdhqj 2016 cqks l<dmh

;j;a fndfyda foa /f.k hkafka fï reêrh u.sks' reêrh jdyskS yryd .uka lrk úg jdyskS ì;a;s j,ska we;s lrk mSvkh reêr mSvkh jYfhka wmg uek ne,sh yel' th jd¾;d flfrkafka wxl folla Wmfhda.S lr.ksñks' by< w.h ikHia: mSvkh Systolic Pressure fkdfyd;a yoj; iamkao jk wjia:dfõ mSvkhhs' my< w.h úkHia: Diastolic Pressure fkdfyd;a iamkao folla w;r yoj; úfõlSj mj;akd wjia:dfõ we;s úg jd¾;d jk mSvkhhs' idudkHfhka ksfrda.S mqoa.,fhl=f.a reêr mSvkh 120$80 mmHg f,i oelafjkjd' ta;a jhig hk úg fï w.hka iaj,am jYfhka by< hd yelshs' fï w.hka by< hdu woshr lsysmhlska oelafjkjd' • mQ¾j wê reêr mSvk wjia:dj Prehypertension 120-139/80-89 53

ADVERTORIAL

• m<uq mshjr wê reêr mSvk wjia:dj Hypertension Stage 1 140-59/90-99 • fojk mshjr wê reêr mSvk wjia:dj Hypertension Stage 2 160 g jeä$100 g jeä • wjodkï iy.; wê reêr mSvk wjia:dj Emergency care needed 180 g jeä$110 g jeä reêr mSvkh by< hdula fõ kï th uq,a wjia:dfõoSu oek.ekSu jeo.;a' ukao @ wêreêr mSvkh úfYaIfhkau yoj;g" fud<hg" jl=.vq j,g wdoS jYfhka YÍrfha ;SrKd;aul wjhj j,g wys;lr f,i n,meje;aúh yels ksihs' ueos jhfiaoS reêr mSvkh uek ne,Su w;sYhska jeo.;a ldrKhla' thska Tfí u;= wdrlaIdjg wkqmfïh fufyhla bgq fjkjd' fldf,iagfrda,a mÍlaIKh fldf,iagfrda,a mÍlaIKh hkqfjka fmdÿfõ ye|skajQj;a fuh reêr.;j ;ekam;aj we;s fïoh iïnkaOfhka iuia; újrKhla ,nd fok 54

ueos jhfia ldka;djka iy msßñka isÿ lr.; hq;= ffjoH mÍlaIK

ksid jvd;a ksjerosj kï Lipid Profile mÍlaIKh f,i ye|skafjkjd' Lipid Profile mÍlaIKhlska my; fïo j¾. yd f;dr;=re mÍlaIdjg ,la flfrkjd' • Low-density lipoprotein (LDL) • High-density lipoprotein (HDL) • Triglycerides • Total cholesterol tfiau ;j;a ldrKhlao fuysoS fidhd nef,kjd' ta ;uhs Cholesterol:HDL ratio fï mÍlaIKhg Ndckh ùug fmr Tn meh 14la ksrdydrj isg reêr idïm,hla ridhkd.drhg ,nd osh hq;=hs' jd¾;dj meh lsysmhla we;=<; ,nd.; yelshs' Tn okakjd reêrjdyskS wjysr ùfuka cSú;h b;d wjodkug ,lajk wjia:d Wod fjkjd' yoj; jdyskshla wjysr jqfKd;a yDohdndO''' fud<fha f,a imhk kyrhla wjysr jqfKd;a wxYNd.h''' wdoS jYfhka úYd, wjodkulg cSú;h ,laúh yelshs' fï ksid reêrfha fldf,iagfrda,a uÜgu ys;lr mrdihl ;nd .ekSu w;sYhska jeo.;a' fï i|yd úáka úg fï mÍlaIKhg ,laù Tfí ffjoHjrhd Wmfoia fok wdldrhg ms<shï fhdod.; hq;=hs' SGOT yd SGPT mÍlaIK fï mÍlaIK oaú;ajh fhdod.kafka wlaudjg lsishï ydkshla isÿj ;sfnkafkao hkak úuiSu i|ydh' uQ,sl jYfhka wlaudfõ ksfrda.S nj úuikafka wlaudfõ mj;akd tkaihsu ldKav folla f,a j,g tl;= jk m%udKh wkQjh' fuysoS fhdod.kafka Aminotransferases ldKavhg wh;a tkaihsu folls' alanine aminotransferase (ALT or SGPT) fuhska tla tkaihsuhls' wfkl aspartate aminotransferase (AST or SGOT) kñka ye|skafõ' fï tkaihsu fol uQ,sl jYfhka wlaudj ks¾ñ; ù we;s ffi, ksIAmdokhg fya;= fõ' fï tkaihsu fmaYs ffi,j, we;af;a w,am jYfhks' wlaudj wdmodjg ,lajQ úg fï ffi, wlaudfjka ì|S ú;a ffjoHjrhd - udisl ffjoH iÕrdj

iïNdIk yd idudcSh yuq j,oS Tyq hï hï fi!LH iïmkak fkdjk mqreÿ j, f.dÿrla" isrlrefjla ùug we;s bvlv jeäh' ta ksidfjkau jeä fi!LH wjodkulao Tyq flfryS we;súh yels wjia:d ke;af;a fkdfõ' mjq,g i,ik /ljrKhu ;ukaf.a iqjfi; Wfoid;a i,id.ekSu ¥ro¾YS mqoa.,fhl=f.a j.lSuls'

reêr Odrdjg tl;= fõ' reêrh ;=< SGOT yd SGPT mÍlaId lsÍfuka wlaudj wdmodjg m;a jQ m%udKh .ek lsishï wjfndaOhla ,nd.; yel' SGOT yd SGPT j, idudkH w.hka SGOT 5 yd 40 units per liter SGPT 7 yd 56 units per liter fuu w.hka ridhkd.drfhka ridhkd.drhg lsishï m%udKhlska fjkia úh yel' jl=.vq mÍlaIKh jl=.vq mÍlaIKh hkqfjka ye|skafjkafka reêrfha Creatinine mÍlaIdjghs' l%sheákska hkq fmaYs ì| fy<SfïoS ksmofjk wmøjHhls' fïjd jl=.vq j,ska fmÍug ,laù uq;%d j,g tl;= fjhs' fï uq;%d j, tl;= jk l%sheákska m%udKh jl=.vq j, l%shdldß;ajh we.hSfï o¾Ylhla f,i fhdod.efka' l%sheákska idudkH uÜgfï iq¿ fjkialï ia;%s mqreINdjh wkQj we;s fõ' mqreIhkaf.a l%sheákska uÜgu 0.7 isg 1.4 mg/dL olajd w.hla .kakd w;r ldka;djkaf.a kï 0.6 isg 1.2 mg/dL w;r w.hla .kS' l%sheákska uÜgu by< hdu jl=.vqj, l%shdldß;ajfha fodaIhlao hkak iel yer oek.; hq;=h' wêl fm%daàk iys; wdydr wkqNjh" 2016 cqks l<dmh

úc,khg ,laùu fyda oshjeähdfõ ixl+,;djhla wdoS jYfhka fjk;a fya;= u;o reêr.; l%sheákska uÜgu by< hk wjia:d mj;S' ksrdydr reêr mÍlaIKh fï mÍlaIKh .ek wo fndfyda fokdg ie<lsh hq;= wjfndaOhla we;af;ah' Fasting Blood Sugar mÍlaIKhg Ndckh úh hq;af;a meh 10-12 w;r ld,hla ksrdydrj isg miq oskfha Wfoagh' fuu.ska reêrfha iSks m%udKh mÍlaIKd;aulj uek n,k w;r oshjeähd frda.hg ,laùfï bvlv ke;fyd;a bkaishq,ska m%;sfrdaOh .ek wjfndaOhla ,nd.; yel' wo ojfia úYd, jYfhka ck;dj oshjeähd frda.hg ,laùfï keUqre;djhla ;sfí' úfYaIfhkau wm .kakd wdydr fukau jHdhdu wvq¨yq`vq ùu fukau ia:q,;djh wdoS lreKq ksid ksid fï ;;a;ajhg jeä jYfhka mqoa.,hka ,lajk ksid Tfí reêr iSks uÜgu l,ska l,g uek .ekSu jvd;a m%{d f.dapr fõ' 55

ADVERTORIAL

oshjeähdj yDo frda." wd>d;h" jl=.vq frda. wdoS ;j;a frda. /ila we;s lrk wdrïNhla jk ksid fuhska je<lSug fldhs ljqre;a W;aiql úh hq;af;ah' wdydr .ekSfuka miq reêr iSks mÍlaIKh postprandial glucose test fuho reêr iSks iïnkaOfhka isÿ lrk mÍlaIKhls' wdydrhla .ekSfuka miqj reêr.;j iSks u.ska we;s lrk l%shdldß;ajh .ek fuu mÍlaIKfhka wjfndaOhla ,nd.; yel' ldfndayhsfâ%Ü hkq wmf.a m%Odk wdydr uQ,dY%hls' .aÆfldaia YÍrhg tl;= jkafka fï wdldrfhka wm úiska ,nd.kakd ldfndayhsfâ%Ü wdydr j,sks' idudkHfhka wm wdydr fõ,la .;a úg reêrfha .aÆfldaia uÜgu by< hhs' túg w.akHdYfhka bkaishq,ska kue;s fydafudakh >%djh ù tu reêr.; .aÆfldaia uÜgu my; fy<hs' tu .a¨fldaia YÍrfhau ixÑ; lrf.k .nvd lr.kS' oshjeähd frda.Skaf.a w.akHdYfha fï wdldrfhka 56

ueos jhfia ldka;djka iy msßñka isÿ lr.; hq;= ffjoH mÍlaIK

bkaishq,ska ksmoùula isÿ fkdfõ' tlaflda ta ksmofjk bkaishq,ska j,g .aÆfldaia id¾:lj m%;spdr oelaùula isÿ jkafka ke;' fï ksid Tjqkaf.a reêr iSks uÜgfuys ld,h;a iu. wvqùula isÿ fkdfõ' tys m%;sM<hla f,i weia" jl=.vq" iakdhq yd reêrjdyskS wdoshg wys;lr n,mEï we;súh yel' .aÆfldaia ;sfnk nj y÷kd.ekSug fukau tys m%;sldr l%shdj,sfhaoSo fuu mÍlaIKh isÿ flf¾' Postprandial glucose uÜgfuys idudkH w.h 140 mg/dl f,i ie<fla' hQßla wï, mÍlaIKh hQßla wï,h fldmuK m%udKhla uq;%d j, ;sfío hkak fuu mÍlaIKh isÿ lsÍfuka fidhe ne,Sula flf¾' hQßla wï,h hkq ldnksl ixfhda. j,ska iukaú; wfma wdydr úfhdackhg ,la ùfuka miq ksmofjk w;=re m%;sM<hls' fï wdldrfhka ksIamdokh jk nyq;rhla hQßla wï,h reêrfha ødjH fjhs' tajd jl=.vq j,ska fmÍug ,laù uq;%d iu. my fjhs' tfy;a we;eï úg YÍrfha jeä jYfhka hQßla wï,h ksmofjk úg tajd ish,a, fufia uq;%d iu. bj;a jkafka ke;s wjia:do fõ' ta yereKq úg uq;%d.;j wvq hQßla wï, m%udKhlao mj;akd wjia:d fõ' th jl=.vq wdY%s; fyda wlaudj wdY%s; frda.hla ksidoehs ie<ls<su;a úh hq;=h' jl=.vq j, .,a we;s úgo fuu mÍlaIKh isÿ lsÍfuka ta iïnkaO wjfndaOhla ffjoHjrhdg ,nd.; yels fõ' fuu mÍlaIKfha m%;sM< iudf,dapkh l< hq;af;ao fmr mßosu ridhkd.drfha fhdod.kakd msßú;r wkQjh' .eyekq yd msßñ w;ro m%;sM< úp,H;djhla we;s fõ' hï wjfndaOhla ,nd .ekSu msKsi o< mej;sh hq;= mrdi my; oelafõ' ldka;djka i|yd 2.5 to 7.5 milligrams/deciliter (mg/ dL) msßñka i|yd 4.0 to 8.5 mg/dL

fuu ,smsfha b;sß fldgi ,nk l,dmfhka n,dfmdfrd;a;= jkak' ffjoHjrhd - udisl ffjoH iÕrdj

LEFT VS. RIGHT BRAIN

fud<fha jï me;a; yd ol=Kq me;a;

.Ks; {dKhg f;da;ekakla jQ fud<fha jï me;a; wdorhg yd lú is;sú<s j,g W,am;la jQ fud<fha ol=Kq me;a; wmf.a ish¿ l%shdldrlï md,kh lrk" is;=ï me;=ï md,kh lrk md,l uOHia:dkh fud<hhs' fud<fha jï me;af;ka isref¾ ol=Kq me;af;a .;sl l%shdjka md,kh lrk njo fud<fha ol=Kq me;af;ka isref¾ jï me;af;a .;sl l%shd md,kh lrk njo tn okakd lreKls' fï yerekq úg fud<fha jï me;a;g;a" ol=Kq me;a;g;a kshñ; ld¾hhhka mj;S' tajd fudkjdo @ fï .ek wm wjfndaOhla ,nd.ksuq' uu fud<fha jï me;a;hs' uf.a w;ska bgq lrk ld¾hhka fïjdhs' • úoHd;aul oeKqu • .Ks; oeKqu • wdorh lsÍu • m%fNao lsÍu • úYAf,aYKd;aul nj" WmdhYS,S nj • ixhuh iy md,kh • wd;au úYajdih uu fud<fha ol=Kq me;a;hs' uf.a w;ska bgq lrk ld¾hhka fïjdhs' • ks¾udKYS,s;ajh • ksoyialdónj • wdYdj" rd.h • iskyj" m%S;sh • j¾K • l,dldó nj" lú is;sú<s 2016 cqks l<dmh

57

NUTRITION FOR RENAL MALFUNCTION

jl=.vq wdndO ;sfnk frda.Skag ydks fkdjk wdydr fudkjdo @

jl=.vq wdndO ;sfnk frda.Skag ydks fkdjk wdydr fudkjdo @

flfia kuq;a fï frda.Ska zz.; hq;= yd .; fkdhq;= wdydrZZ ms<sn|j oek. ekSu w;sYh jeo.;a lreKls'

wêl ¨Kq - fm%daàka fmdgEishï wvx.= wdydr w.=K jkafka wehs fmdaIKfõÈkS pdñld m%S;s w,yfldaka jl=.vq frda.h wo f,dalh mqrd is>%fhka j¾Okh fjñka mj;sk frda.hls' jl=.vq wdndO jYfhka y÷kajkq ,nkafka tys we;sjk wl%ñl;djkah' úfYaIfhkau fï jl=.vq wdndO ksid wfma rfÜ ck;dj uy;a fia neg lhs' wfma rfÜ úYd, jYfhka mqoa.,hka frda.S lrjk jl=.vq frda. hg ksYaÑ; fya;=j ;ju;a y÷kdf.k ke;'

YÍrfha ;sfnk wmøjH yd w;sf¾l ;r, bj;a lsÍu" YÍrfha we;s fmdgEishï" fidaähï jeks ridhksl ia:djr iunr;djhlska mj;ajd .ekSu" fydafudak iy úgñka j¾. ksmoùu" jl=.vq j,ska flfrk m%Odk ld¾hh fõ' l=uk wdldrhlska fyda jl=. vq wl%sh jqjfyd;a fuu m%Odk ld¾hhka ish,a, weK ysá' jl=.vq wdndO j,§ wdydr md,kfha we;s jeo.;alu idudkHfhka jl=. vq u.ska flfrkafka reêrfha we;s wmøjH iy w;sf¾l ;r, bj;a lsÍuhs' jl=. vq wdndOhl§ tys ld¾hh ksis wdldrfhka isÿ fkdfõ' jl=.vq wdndOhl§ fuu wmøjH iy w;sf¾l ;r, reêrfha tla/ ia fõ' fuu wmøjH

58

ffjoHjrhd - udisl ffjoH iÕrdj

yd ;r, reêrhg meñfKkafka wm wdydrhg .kakd úúO wdydr yd mdk j¾. u.sks' tu ksid jl=.vq wdndOhl§ ks¾foaYs; wdydr .ekSfuka reêrfha wmøjH iy ;r, tla/iaùu md,kh l< yels jk w;r jl=.vqj,g mejfrk ld¾hh ieye,a¨ lr tu bkaøshhkag úfõlh ,nd §ug yelsfõ' thska ;jÿrg;a jl=. vq j,g ydks meñKsfï fõ.h wvq l< yelsh' tla tla jl=. vq j, mj;akd frda. ;;a;ajh wkqj wdydr .;hq;= wdldrh tlsfklg fjkia fõ' kuq;a fmdÿfõ .;a úg wdydr .ekSfï§ wjOdkh fhduql< hq;= lreKq .Kkdjlau ;sfí' fm%daàka wdydr iSud lrkak Èkm;d YÍrfha j¾Okhg f.ù .sh fldgia w¨;ajeähdjg fm%daàka w;HjYH fõ' wm .kakd wdydr j,ska YÍrhg wjYH fm%daàka ,nd.kakd w;r tu fm%daàka YÍrh m%fhdackhg .ekSfuka miqj hqßhd 2016 cqks l<dmh

keue;s wmøjH njg m;afõ' hï flfkl=f.a jl=.vq ksishdldrj l%shd fkdlrk úg fuu wmøjH YÍrfhka bj;a lsÍug ndOd we;sjk w;r hqßhd YÍrfha tla /iafõ' fuf,i YÍrfha hqßhd tla /iaùu wvq lsÍug wdydrfha wvx.= fm%daàka m%udKh wvq l< hq;=h' fm%daàka jeä wdydr fudkjdo@ i;aj wdydr w;ßka uia" ud¿" ì;a;r" lsß" Öia" iy wfkl=;a lsß ksIamdok wh;a fõ' lv," ljqms" uqxweg" mßmamq" fidahd jeks úh<s weg j¾. udxY wdydr fõ' úúO jl=.vq frda.dndO j,§ .; hq;= fm%daáka m%udKh úúOdldr fõ' ld,hla mqrd jl=. vq wl%Sh frda.sfhl= wdydr u.ska ,nd.kakd fm%daàka m%udKh wvq l< hq;=h' ld,Sk jl=.vq 59

NUTRITION FOR RENAL MALFUNCTION

jl=.vq wdndO ;sfnk frda.Skag ydks fkdjk wdydr fudkjdo @

wl¾ukH;djhlska fmf<k nr rd;a;,a 140 lajQ ldka;djla Èklg .; hq;= fm%daàka m%udKh wjqkai 4 la muKs' fï m%udKh imqrd .ekSu i|yd Èklg ì;a;r tlla" l=l=¿ uia wjqkai 1la ^l=vd lene,a,la& ud¿ wjqkai 2 la ,nd .ekSu m%udKj;a fõ' tfukau rd;a;,a 190 la nr we;s msßñfhl= Èklg .; hq;af;a msisk ,o fm%daàka wjqkai 6 la muKs' jl=.vq frda.sfhl=f.a fmdgEishï m%udKh by< hdu wjodkï iy.;hs YÍrfha iakdhq" fmaYs yd yDoh ukdj l%shd lsÍug fmdgEishï keue;s LKsc fmdaIlh w;HjYH fõ' fuu LKsc fmdaIlh fndfyda wdydr j, olakg ,efí' jl=.vq j, tla ld¾hhla jkafka YÍrfha kshñ; fmdgEishï m%udKhla mj;ajd .ekSug Wmldr lsÍuhs' YÍrfha ;sfnk fmdgEishï uÜgu wêl f,i by< hdu wk;=reodhl ;;a;ajhls' YÍrfha wêl f,i fmdgEishï ;sîfuka yDo iamkaokfha kej;Su mjd isÿùug mq¿jk' jl=.vq frda.Ska je<lsh hq;= fmdgEishï jeä wdydr fudkjdo @ 1 me`.sß m<;=re ^foys" fodvï" kdrx wdÈh& 2 flfi,a f.ä 3 ;lald,s 4 w¾;dm,a 5 fldams 6 fpdla,Ü 7 y;= 8 ìïu,a 9 weg j¾. úh<s weg ^udxY fNda.& 10 úh<s m<;=re iEu wdydrhlu jdf.a fmdgEishï mj;sk neúka úfYaIfhkau t<j¿ yd m<;=re l=vd m%udK j,ska muKla wdydrhg tla lr.; hq;=hs' 60

ffjoHjrhd - udisl ffjoH iÕrdj

fmdiamria wêlj wvx.= wdydr yels;dla wvq lrkak fmdiamria yd le,aishï wiaÓ Yla;su;aj yd kSfrda.Sj ;eîug WmldÍ fõ' jl=. vq frda.S ;;A;ajfha§ reêrfha we;s fmdiamria yd le,aishï iu;=,s;;dj ì| jefÜ' tfukau jeämqr we;s fmdiamria bj;a lsÍug jl=.vq j,g fkdyels fõ' fï ksid reêrfha we;s fmdiamria uÜgu by< hk w;r le,aishï m%udKh wvqfõ' reêrfha we;s fmdiamria m%udKh md,kh lsÍug kï fmdiamria wêl wvx.= wdydr .ekSu yels;dla wvq l< hq;=h' fmdiamria jeä wdydr 1 lsß iy ksIamdok ^Öia" mqäx" fhda.Ü" whsia l%Sï& 2 úh<s weg j¾. ^udxY fNda.& 3 îu j¾. ^ìh¾" flda,d îu" fldfldajd& 5 uia" i;aj wlaud" idäka ¨Kq yels;dla iSud lrkak wdydrfhka ,nd. kakd fidaähï m%udKh ^¨Kq m%udKh& iSud l< hq;=h' thg fya;=j 2016 cqks l<dmh

tu.ska wêl reêr mSvkh we;s lsÍug bv we;s neúks' ¨Kq tl;= lrk ,o wdydr 1 ilia lrk ,o wdydr 2 ilia lrk ,o Öia "flálEu" iqma" pÜks yd fidaia j¾.

3 iuyr áka wdydr 4 ilia lrk ,o uia j¾. ^yeï" fílka"fidfiacia& ¨Kq jeämqr .ekSu ksid YÍrfha r|jd .kakd ;r, ^j;=r& m%udKho jeäfõ' fuf,i YÍrfha wu;r ;r, ^j;=r& tla/ia ùu ksid yqiau .ekSfï wmyiqj" bosóu" jeks ;;a;ajhka we;sfõ' tfiau jeämqr ¨Kq .ekSu ksid jeämqr YÍrfha ;r, r|jd .ekSu;a tu.ska YÍr nr jeäùu;a isÿfõ' Èhr m%udKh iSud lrkak tla tla mqoa.,hdf.a frda.S iajNdjh wkqj .; hq;= Èhr m%udKh fjkia fõ' reêr ldkaÿlrKh ^vh,isia& lrk frda.Ska .; hq;= Èhr m%udKh ffjoH Wmfoia u; isÿúh hq;=h' iuyr frda.Ska .; hq;= Èhr m%udKh ;SrKh lrkafka tu mqoa.,hdf.a uq;%d msgjk m%udKh uek tu m%udKhg jvd jeämqr j;=r fldamam 2la fyda 3 la .ekSu jYfhks' kuq;a vh,hsisia lrk we;eï frda.Skag Èklg .; hq;= Èhr m%udKh úh hq;af;a Tjqkaf.a Yßrfha ;sfnk Èhr iu;=,s;;djh iy hym;a reêr mSvkhla mj;ajd .ekSug m%udKj;a ;rfï Èhr m%udKhls' wjYH m%udKhg le,ß .; hq;=hs Yla;sh ,nd fokafka le,ß u.sks' jl=.vq wdndOhl§ fm%daàka ,nd.kafka iSñ; m%udKhla ksid tu.ska ,nd.; yels le,ß m%udKh b;d wvqh' idudkHfhka jl=.vq frda.sfhl= jeä le,ß m%udKhla ,nd.; hq;=h' fuu le,ß ,nd.; hq;af;a msá iy f;,a wdydr u.sks' kuq;a fuu frda.shdg Èhjeähdj ;sfí kï ta i|yd jq úfYaIs; wdydr Wmfoia ;jÿrg;a ms<smeosh hq;=j we;' igyk - wkqrdOd È,sks b,kafldaka' 61

INVESTIGATIONS FOR MALE INFERTILITY

ore iïm;a m%udo lrk mqreI uQ,sl fya;=

ore iïm;a m%udo lrk mqreI uQ,sl fya;= Wish Fertility & IVF Clinic yS idhksl l<,fõo úfYaI{ ffjoH fy<rejka mikal=udr MBBS (Sri Lanka) MD (Gyn. & Obs - Infertility) China Pg. Dip. (Andrology) - Monash - OUSL Master of Clinical Embryology- (Monash, Australia) SLMC Reg. No. 20800

ksid .eí.ekaùula isÿ jkafâ ke;' fï ldKavhg ishhg folla mqreIhka wh;a fõ'

uy;d iu. l< idlÉPdjla ore iïm;a ,eîu iïnkaOfhka .eg¿ldÍ ;;a;ajhka we;s ùu ksid ishhg 15la wUqieñhka mSvd ú|sk nj fy<sorõ ù ;sfí' fuhg n,mdk fya;= úúOdldrh' ta w;f¾ mqreIhdf.a .eg¿jla fya;= fldgf.k ore iïm;a m%udo jk wjia:d" ke;sjk wjia:do úr, fkdfõ' m%udKj;a pd,l;djhla ke;s Y=l%dKq ksid mqreI uQ,sl ksire;djfhka fmf<k ishhg 20la fokd mSvd ú|shs' ;j;a ishhg oyhlf.a Y=l%dKq >k;ajh j¾. ógrhg ñ,shkhg jvd wvqh' uQ,sl jYfhka mqreI uQ,sl ksire;djh f;jeoEreïh' 1. Non-obstructive infertility jDIKfldaI j,ska m%udKj;a f,i Y=l%dKq ksmojkafka ke;' fï ldKavhg ishhg 60lau wh;a fõ' 2. Obstructive infertility Y=l%dKq uekúka ksIamdokh jk uq;a tajd kd, osf.a mßjykfhaoS fodaI we;s jkafkah' mqreI uQ,sl ksire;d fodaI j,g ,la jQjkaf. ka ishhg 38la muK wh;a jkafka fï ldKavhgh' 3. Coital infertility Y=l%dKq ksIamdokfha iy mßjykfha fodaIhla fkdue;' tfy;a Od;= fudapkfha wvqmdvqlï 62

NON-OBSTRUCTIVE INFERTILITY ldKavhg wh;a ksire;d fodaI lïuq,a.dfhys m%;sM<hla jYfhka (Orchitis)" f.dfkdaßhdj fukau le,ñähd wdidok ksid jDIKfldaI wdY%s;j m%odysl ;;a;ajhla we;s ùfuka fï ;;a;ajh we;sfõ' Testicular torsion jDIKfldaI j,g hï lsis myrla jeÿKq úg wdmodjla we;s jQ úg ta iekska Bg m%;sl¾u fhosh hq;=h' jDIKfldaI wdmodjg m;aù meh yhla muK blaujQ úg we;sjk wdmod os.=ld,Sk fõ' tys m%;sM<hla

ffjoHjrhd - udisl ffjoH iÕrdj

f,i mgl j,g ydks isÿúh yel' m%;sY=l%dKQ m%;sfoay ksmoùug bv ;sfí'

ùfuka" jDIKfldaI wdY%s; Y,Hl¾uhl ixl+,;djhla f,i" jDIKfldaI m%odyh wdoS fya;=jla ksid fufia Y=l%dKQ kdYkh úula isÿ úh yel'

jDIKfldaI wdY%s; ms<sld idudkH ck.yk ksheoshla ie<l+ úg jDIK fldaI ms<sld we;sùfï iïNdú;djhb;d wju jk uq;a ksire;djfhka fmf<k msßñka w;r tu iïNdú;djh ;rula by< hhs'

OBSTRUCTIVE INFERTILITY ldKavhg wh;a ksire;d fodaI • Congenital absence of the vas deferens • Vasectomy • Vasal obstruction • Epididymal obstruction • Ejaculatory duct obstruction

Autoimmune infertility m%;sY=l%dKq m%;sfoay ksIamdokh ù ksire;djhg u`. ie,iSu fuysoS isÿfõ' jDIKfldaI wdmodjlg ,la

2016 cqks l<dmh

Y=l% m%Kd,h Wmf;aoSu wysñ ùu Congenital absence of the vas deferens Y=l%dKq .nvd ù we;af;a wmsjDIKfhah' Od;= fudapkhloS Y=l%dKq wmjDIKfha isg uq;%dkd,hg f.k tkafka fï Y=l% m%Kd,h u.sks' l,d;=rlska wjia:djloS Wmf;aoSu Y=l% m%Kd," ke;fyd;a Y=l% wdYhsYsldj ke;sju W;am;a;sh isÿfõ' th Congenital bilateral absence of the vas deferens (CBAVD) hkqfjka ye|skafõ' fuh nrm;, f,i ksire;djhg n,mdk .eg¿jls' Y,Hl¾uhlska h:d ;;a;ajhg m;a l< fkdyel' MESA (microsurgical epididymal sperm aspiration) 63

INVESTIGATIONS FOR MALE INFERTILITY

hkqfjka ye|skafjk l%ufõoh fyda jDIKfhka isÿ lrk ffcfõlaId mÍlaIdjla ^nfhdmaishla& u.ska IVF and ICSI ;dlaIKh Wmfhda.S lrf.k .eí .ekaùulg fuysoS mshjr .efka' jdfila;ñ Vasectomy fuh mqreIhka jkaOHdlrkh i|yd lrk ie;aluls' fuysoS Y=l% m%Kd,h ie;alula u.ska úÉfPaokh lr fjk fjku .eg .ikq ,efí' Vasal obstruction ie;alula u.ska jxik u. Inguinal canal y¾kshdjla ms<silr lsÍfï w;=re ixl+,;djhla f,i fuu wdmodj we;s úh yel'

ore iïm;a m%udo lrk mqreI uQ,sl fya;=

Epididymal obstruction úIîchla uq;%dYh osf.a Wvq w;g .uka lrñka wmsjDIKh wdidokhg m;a lsÍu ksid fï Wjÿr we;s fõ' le,eñähd" f.dfkdaßhd wdoS wdidok ksid fukau uq;%d wdidok j,g uekúka m%;sldr lsÍu u. yeÍu ksido fujka ;;a;ajhla we;s úh yel' Ejaculatory duct obstruction Y=l% m%Kd, j, we;sjk wjysr ùuls' fuho W;am;a;sfhka fyda lsishï jHdêhl m%;sM<hla jYfhka we;s úh yel' Transurethral resection of the ejaculatory ducts (TURED) kï Y,Hl¾uhla u.ska ishhg 20 l muK m%;sY;hlg fulS m%Kd, ms<silr l< yel' lmdg j, Y,Hl¾ufha m%;sM<hla f,i fï lmdg wdmodjg ,la ùu ksid we;eï úg uq;%d Wvq w;g .uka lsÍula (urine may flow backwards) isÿ ùug bv we;'

64

ffjoHjrhd - udisl ffjoH iÕrdj

CAUSES OF COITAL INFERTILITY Erectile dysfunction fkdfyd;a YsIaKh iDcq lr.ekSfï ÿIalr;djhka ksid uekúka Y=l%dKq ;ekam;a lsÍug wiu;a ùu fuys iajNdjhhs' fõ,dikskau Od;= fudapkh ùu Premature ejaculation YsIaKh fhdakshg m%fõY lr tajd ;ekam;a jk ia:dms;hlg m;a ùug fmr Od;= fudapkh ùu fuu fodaIfha iajNdjhhs' YsIaKfha we;sjk jHqyd;aul fodaI Penile deformities Peyronie’s disease hk frda.fha m%;sM<hla jYfhka fyda ixcdkSh m%;sM<hla yeáhg YsIaKh jl% iajNdjhla oeÍu ksid tys m%fõYh ÿIalr ùu fuys iajNdjhhs' Anejaculation kshñ; W;af;ack ,efnk l,aySo Od;= fudapkhla isÿ fkdùu fuysoS isÿfõ' fuhg udkisl fya;= fukau fN!;sl fya;=o n,mE yel' we;eï úg ;djld,sl ;;a;ajhls' 2016 cqks l<dmh

Retrograde ejaculation fuysoSo we;sjkafka Anejaculation g iudk ;;a;ajhls' mqriaÓ;s .%kaÓfha bosóu" Y,Hl¾u wdosfha m%;sM<hla jYfhka fuh isÿúh yel' INVESTIGATIONS FOR MALE INFERTILITY Y=l% Od;= mÍlaIKh Semen analysis ksrjoH;djh msKsi i;s ;=kl ld, wka;rhla ;=< Od;= mÍlaIKh fojrla j;a isÿl< hq;=h' fuu mÍlaIKh isÿ lsÍfuka fjk;a mÍlaIK isÿ l< hq;=o$keoao @ hkak ;SrKh flf¾' Parameter Lower reference limits Volume (ml) 1.5 Total sperm number (106 per ejaculate) 39 Sperm concentration (106 per ml) 15 Total motility (%) 40 Progressive motility (%) 32 Vitality (live spermatozoa, %) 58 Sperm morphology (normal forms, %) 4pH >7.2 Peroxidase-positive leukocytes (106 per ml) <1.0 Y=l% Od;= mÍlaIKh Semen culture uQ;%d ud¾.fha hïlsis ;Sj% wdidok ;;a;ajhla ;sfío hkak y÷kd.ekSug bjy,a jkafka fuu mÍlaIKhhs' ryi`. wdY%s;j we;sjk fõokdj" Od;= fudapkfhaoS we;sjk fõokdj fukau Y=l% idïm,fha Yafõ;dkq ;sîu (>5 per high-power field) hk wjia:d j,oS fuu mÍlaIKh ks¾foaY flf¾' mqreIhka i|yd isÿ lrk m%fõKsl mÍlaIK • Karyotype, Y chromosome • microdeletions and cystic fibrosis gene • mutations hk mÍlaIK fuysoS isÿ flf¾' mqreI u|ire;djhg n,mj;ajk m%fõKsl wvq¨yq`vq;djhka ;j;a /ila ;sfnk uq;a tajd ;ju;a y÷kdf.k fkdue;' 65

INVESTIGATIONS FOR MALE INFERTILITY

ore iïm;a m%udo lrk mqreI uQ,sl fya;=

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

fydafudak mÍlaIK Hormonal profiles fuysoS uQ,sl jYfhka isÿlrk fydafudak mÍlaIK fufiah' FSH, LH, prolactin and testosterone wvq¨yq`vq;d iys; hhs wkdjrKh jQjfyd;a fjk;a fydafudak mÍlaIKo wjYH;djh wkQj isÿ lrKq ,efí' m%;sìïn mÍlaIK Imaging wKAvfldaI wdY%s;j w;s èjks ;rx. yd Colour Doppler mÍlaIK isÿ lrKq ,efí' fuu.ska jDIKfldaI yd wmsjDIKh wdY%s;j udk ,nd.ekSu iy w¾nqo yd jDIKfldaIfha jdyskS úYd,s; ùï varicocele mj;So hkak úuid ne,Sula isÿ l< yel'

fukak wfma wxlh ( 077 972 8799 wmf.a ,smskh WISH Fertility & IVF Clinic 393$6" li.yj;a;mdr mrK fldÜgdj mdr Wvyuq,a, kqf.af.dv

,sxf.akaøsh wka;fha widudkH;;d úuiSug Transrectal ultrasound scan yd Magnetic resonance imaging mÍlaIK isÿflf¾' fï wdldrfhka mqreIhdf.a idhksl wjYH;djhka u; frda. ks¾Kl mÍlaIK isÿ lrk w;r tajdfhka wkdjrKh jk lreKQ wkQj wjYH jk ueosy;aùï isÿlr id¾:l .eí .ekSulg ux ie,iSu wo ojfia iydhl m%cKl ;dlaIKhkayS id¾:l jmißhg wh;a fõ' 66

jhia.; ùfuka miqj;a oeka ore iïm;a ,nd.ekSug mq¿jka''' fï ms<sn|j wm ,nk l,dmfhka l;d lruq'

ffjoHjrhd - udisl ffjoH iÕrdj

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

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

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

WISH Fertility & IVF Clinic

2016 cqks l<dmh

No.393/6, Kasagahawaththa Road, Old Kottawa Road , Udahamulla, Nugegoda , Sri Lanka.

Tel: 077 9728 799, 077 3273 866 E mail: wishiuiivf@gmail.com 67 Web: wishiuiivf.com

AD-MIRE Creative

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

BEAUTY

úh<s iula we;s ùug fya;= iy m%;sldr

úh<s iula we;s ùug fya;= iy m%;sldr n,msáh uQ,sl frdayf,a p¾u frda. úfYaI{ ffjoH wcs;a lkakka.r iqkaor iulg ysñlï lSu wm ldf.;a n,dfmdfrd;a;=jls' tfy;a meyem;a" ksfrda.S iulg Tng ysñlï lSug fkdyels jk wjia:djka ke;=jd fkdfõ' iu úh<Su wo fndfyda fofkl=g we;s m%Yakhls' ziu úh<SuZ yqfolau frda.hla fkdjk kuq;a fndfyda fokdf.a udkisl;ajhg úYd, f,i n,mEï we;s lrjhs' fuys§ we;euqkaf.a iu fldr, fuka Èia jk w;r ;jfll=f.a iu u;=msg bß we§ug mjd yels f,i iu ;on, foi úh<Sug ,lafõ'

68

iu úh<Sug fya;= jhia.; ùu wm ;reK úh blaujd hdfï§ wmf.a ifïo fmdaIK W!K;d ksfrda.Slug hï hï ndOd iajNdúlj we;s l< yelsh' kuq;a b;d ;o n, wdldrhg m%;sldr ie,iSfuka mjd iqjl< fkdyels ifuys úh<s nj kï frda.hla fia i<ld Tnj reêr mÍlaIKh jeks jeäÿr mÍlaIK j,g mjd Tnj fhduq lrkq we;'

ffjoHjrhd - udisl ffjoH iÕrdj

cdkuh fya;= zwdf¾ .=K kEf¾Z hk msre, ikd: lrñka Tnf.a udmshkag Wreuj we;af;a iajNdúlju úh<s iula kï th Tng;a odhdo ùu wreuhla fkdfõ' fuh úúO jhia ldKavhkaf.ka u;=úh yel' fuu ;;a;ajh b;du;a oreKq f,i mj;sk wjia:dj,§ <ore wjêfha§u u;=fõ' kuq;a we;euqkag wjqreÿ 6-10 jhfia§ fuh uq,skau u;=úh yel' fuys§ isÿjkafka w;a yd mdoj, iu fldrfmd;= f,i .e,ù hduh' fuh me;sÍ hdula isÿ jqjfyd;a fn,a, yd YÍrfha wfkl=;a ia:dkj, iuo óg f.dÿre úh yel' fuys§ we;euqkaf.a iu .e,ù hdu b;d iq¿ m%udKhlg úh yels w;r iuyrekaf.a fuu ;;a;ajh b;du;a mSvdldÍ whqßka meje;sh yel' ukaofmdaIKh ksfrda.S iul meje;aug wksjd¾fhkau úgñka yd Lksc ,jK w;HjYH fõ' jvd;au úgñka ztAZ yd ziSZ fuysoS ±laúh yel' fuu úgñka W!K;d ksid wj meye;s úh<s iula we;súh yel'

úh<s iula we;s Woúhg ier inka j¾. Ndú; lsÍu kj;d ouk f,i Wmfoia fok w;ru inka fjkqjg Aqueous Cream jeks l%Sï j¾.hla Ndú; lsÍug Wmfoia fokq ,nhs' uDÿ inka j¾.j,ska f;dr ier inka Ndú;fhka wmf.a ifï f;,a iajNdjh ke;sù hdug we;s bvlv b;du;a jeäh'

2016 cqks l<dmh

úgñk W!K;d ksid we;sjk úúO ldhsl frda.

YÍrfha we;sjk fkdfhl=;a wdldrfha ldhsl frda.S ;;a;ajhka fya;=fjkao iu úh<Sug ,la úh yel' • wlaudfõ frda.

• ;hsfrdhsâ .%kaÓfha fydafudak ksmoùu wvqùu fyda jeäùu • jl=.vq frda.

• úgñka W!K;d fuu frda. ksid we;sjk iu úh<S hdu fndfyda úg uq¿ YÍrhgu n,mE yels w;r thg fya;=jk ldhsl frda.fha frda. ,laIKo fuys§ we;sùu idudkH fõ' mdßißl fya;=ka we;eï úg ld,.=‚l yd foaY.=‚l fya;+ka u;o iu úh<S hdu we;s úh yel' úh<s ;o iq<x mj;sk YS; ld,.=‚l ;;a;ajhla hgf;a iu úh<S bß ;e,Su iS.%fhka isÿúh yel' T!IO j¾.

Tn fkdfhl=;a frda. i|yd Ndú; lrkq ,nk fïoh wvq lrk we;eï T!IO j¾.

69

BEAUTY

úh<s iula we;s ùug fya;= iy m%;sldr

wêl f,i mj;sk wjia:djl§ ms<s.;a úfYaI{ ffjoH Wmfoia u; Tng we;eï wdf,amk j¾. ks;r ks;r wdf,am lsÍug ks¾foaY lrkq ,nhs'

fya;=fjkao fuf,i iu úh<Sug ,la úh yel' wmf.a YÍrfha iu úh<Sug fkd§ /l .kakd fïo ia:rh wvq ùfuka fuf,i blauKska iu úh<Sug ,laúh yel' úh<s iug lrk m%;sldr by; lreKq mokï lrf.k tajdg WÑ; m%;sldr i|yd fhduqùfï§ fndfydauhla T!IO ksmojd we;af;a tA tA wjia:djkays§ Tn uqyqK fokq ,nk wiSre;djka u. yrjd .ekSug bjy,a jk whqßks' WodyrKhla f,i Tng we;af;a ;hsfrdlaiska fydafudak W!K;djla kï thg wjYH m%;sldr ,nd §fuka ifï úh<s iajNdjh ke;s lr .; yel' ke;fyd;a fudhsiaprhsiska lS%ï Ndú; lsÍug Wmfoia fokq ,efí' iu úh<s Ndjhg m;a whg inka fjkqjg Aqueous Cream fuu frda.Skag ier inka j¾. Ndú; lsÍu kj;d ouk f,i Wmfoia fok w;ru inka fjkqjg Aqueous Cream jeks l%Sï j¾.hla Ndú; lsÍug Wmfoia fokq ,nhs' uDÿ inka ^<ore inka& j¾.j,ska f;dr ier inka Ndú;fhka wmf.a ifï f;,a iajNdjh ke;sù hdug we;s bvlv b;du;a jeäh' ifï úh<s fldr, iajNdjh md,kh lsÍug fkdfhl=;a wdf,amk j¾. we;' fuu frda.h 70

wdf,amk Ndú;fhaoS ms<smeÈh hq;= lreKq wdf,amk Ndú; lsÍfï§ úfYaIfhka wkq.ukh l< hq;= Wmfoia we;' • fuu wdf,amk frda. j¾Okh jk me;a;g" muKla tkï wf;a kï Wv isg my<g wdf,am l< hq;=h' tfia fkdue;s jQ úg Tng ifu wdidokhla we;sùug jqjo yelshdjla we;' • Tfí iu ksr;=reju f;;ukh wdrlaId jk mßÈ ;nd .; hq;=h' ksr;=reju iu fia§ug ,la l<fyd;a msioud wf,amk .,ajd ;sìh hq;=h' • frda.hla we;s fkdùug" fyd| iu n, wdydr fõ,la f.k" wjYH muK c,h mdkh l< hq;=h'

ffjoHjrhd - udisl ffjoH iÕrdj

FOOD SAFETY

w¾;dm,a YS;lrkfha ;eîfuka ms<sld we;sùfï wjodkula

Why you should stop putting potatoes in the fridge immediately

w¾;dm,a YS;lrkfha ;eîfuka ms<sld we;sùfï wjodkula fmdfÜfgda Ñmaia yd f*kaÉ j,;a fï wjodku ;sfnkjd'''

YS;lrKh - wmg wdydr krla fkdù ;nd.kak úYd, fufyjrla lrkjd' th t<j¿" m<;=re kejqïj ;nd.kakjd' uia" ud¿ wdosh krla fkdù ;nd.kakjd' ta;a wo YS;lrKfha ljodj;a odkak fyd| ke;s wdydrhla .ek Tnj oeKqj;a lsÍula lrkak leu;shs' ta ;uhs w¾;dm,a' w¾;dm,a YS;lrKfha ;eîfuka we;sjk isis,k l%shdodufhaoS yefok iSks" wdydr msiSfïoS ms<sldldrlhla njg m;a fjk nj úoHd{hka y÷kdf.k ;sfnkjd' fufyu lsõjg nE' zz ta fldfyduo @ZZ lsh, Tn m%Yak lrkjfka'''' fyd|hs wm Bg úoHd;aul ms<s;=rla ,nd fokakï''' Tn okakjd" w¾;dm,a j, msIaGh ;sfnkjd''' isis,k ;;a;aj j,oS fï msIaGh iSks njg m;a

2016 cqks l<dmh

fjkjd' fï iSks njg m;ajQ msIaGh ;sfnk w¾;dm,a msiSfïoS weiamrcska lshk weuhsfkda wï,h tlal iïnkaO ù welaß,uhsâ lshk ridhkhla W;amdokh lrkjd' welaß,uhsâ y÷kdf.k ;sfnkafka úIldrl ridhkhla úosyg''' lvodis" ma,diaála yd wdydr rildrl l¾udka;fhaoS welaß,uhsâ fhdod. kakjd' fuh we;eï ms<sld we;s lrjk ridhkhla njg y÷kdf.k ;sfnkjd' YS;lrKfhaoS msIaGh iSks njg fmr<Su ksid ;uhs welaß,uhsâ W;amdokh jkafka' isis,khg ,la jqfKa ke;akï fï ydkslr welaß,uhsâ ksmofjkafk kE' fï ksid w¾;dm,a lsisu wjia:djk YS;lrKfha ;nkak tmd''' thska Tfí fi!LHh wkjYH wjodkulg ,la fjkjd''' fmdfÜfgda Ñmaia yd f*kaÉ *%hsia j,;a fï Nhdkl ridhkh ;sfnk ksid tajdo wkqNjfhkao wE;a jk tl YÍrhg .=Khs'''

71

EARLY COMERS OR PRE TERM BABIES

fkdfïre orejkao fyd¢ka yod-jvd .; yelshs

fkdfïre orejkao fyd¢ka yod-jvd .; yelshs fkdfïrE orefjl= n,d.ekSfïoS ms<smeosh hq;= Wmfoia <ud frda. ms<sn| úfYaI{ ffjoH §md,a fmf¾rd

iEu .¾NKs ldka;djlf.au tlu wruqK jkafka kSfrda.S orejl= ;u l=iska ìys lsÍuh' tfy;a úúO fya;=ka ksid we;eï ujqjrekg nßka wvq iy fkdfïrE <orejka ìysjkq oel.; yelsh'

b;d wvq nßka hq;= orejka fuys§ b;d wvq nr f,i olajkafka Wm;a nr lsf,da .%Eï 2'5 g jvd wvq orefjdah' Wm;a nr lsf,da.%Eï 1'5 g jvd wvq orejka zb;du wvq nßka hq;= orejkaZ f,i y÷kajkq ,efí' tjeks orejl= Wmka úg orejdf.a ujqmshka fukau {d;skao m;ajkafka b;d lk.dgqodhl ;;a;ajhlgh' tfy;a oeka th tfia úh hq;= ke;' tjeks orejka ffjoH Wmfoia wkqju b;d fyd¢ka /l n,d .ekSfuka idudkH ksfrda.S orejl= njg m;alr .ekSfï yelshdj we;' ujql=i ;=< i;s 37 la muK ld,hla .; l< orejka zfkdfïre <orejkaZ f,i ie<l=jo i;s 23 la jeks ld,hla ujql=fiys isá orejka jqjo kùk ffjoH ;dlaIKh ksid uekúka wdrlaId 72

lr cSú;h ,ndoSug yelshdj wo fjk úg we;' we;eï úfgl i;s 26 la jeks ld,hla ujq l=i ;=< isá orefjl=f.a nr .%Eï 500la fyda lsf,da .%Eï tlla úh yelsh' tjeks <orejkag wvqnr orejkg we;sjk .eg¨ fukau fkdfïre <orejkg we;s jk .eg¨o we;sfõ' nßka wvq orejka ìysùug fya;= nßka wvq orejl= ìysùug fya;=jk m%Odku ldrKh jkafka ujf.a fmdaIKh wvqùuh' Bg wu;rj .¾NKS ld,h ;=< uj wêreêr mSvkh ksjerÈ f,i md,kh fkdlsÍu" Èhjeähdj jeks fya;=ka ksido .¾NKs ujlg wvq nßka hq;a orejl= ìys úh yelsh' fkdfïrE <orejkag yd wvq nßka hq;= <orejkag we;súh yels ixl=,;d idudkH <orejkag jvd fujeks orejkag .eg¨ rdYshla we;'

ffjoHjrhd - udisl ffjoH iÕrdj

tu .eg¨ ksjerÈ f,i y÷kd.; hq;=h' fkdfïrE <orejl= f,i fuf,dj t<sh ÿgq <orejl=f.a fmky¨ ksjerÈ f,i j¾Okj ù ke;' tneúka tjeks orejkaf.a yqiau .ekSug wjYH jk idOlhka wvqh' tu wjYH;djhka úuid n,d jydu iemsßh hq;=h' tu ksid tjeks orejka bmÿKq wjia:dfõ isgu tys§ lD;%Su WmlrK u.ska iajikh ^Tlaiscka& ,ndÈh hq;=h' orejd ksjerÈj yqiau .kakd f;la th isÿl< hq;=h' fkdfïrE <orejl=f.a uq,slju imhd osj hq;af;a yqiau .ekSfï wjYH;djh fõ' YÍr WIaK;ajh wvqùug .;hq;= mshjr fkdfïre iy wvq nßka hq;= orejkaf.a YÍr WIaK;ajh wvqùfï m%jK;djhla mj;S' tneúka tjeks orejl= ìysjQ úg tu orejkaf.a YÍr WIaK;ajh wvqùu ms<sn|j oeä wjOdkhla fhduq l< hq;=h' 2016 cqks l<dmh

nßka wvq orejl= ìysùug fya;=jk m%Odku ldrKh jkafka ujf.a fmdaIKh wvqùuh' Bg wu;rj .¾NKs ld,h ;=< uj wêreêr mSvkh ksjerÈ f,i md,kh fkdlsÍu" Èhjeähdj jeks fya;=ka ksido .¾NKs ujlg wvq nßka hq;a orejl= ìys úh yelsh'

73

EARLY COMERS OR PRE TERM BABIES

fkdfïre orejkao fyd¢ka yod-jvd .; yelshs

orejdf.a ysi f;dmamshla jeks wdjrKhlska jid orejdg we÷ï folla jqj wkaojd fyd| WKqiqula ,nd§u b;du jeo.;ah' wm rfÜ mßir WIaK;ajh fyd| uÜgul mj;sk ksid tjeks orejkaf.a YÍr WKqiqu wvq fkdfj;ehs fuf;la is;d isáho tu u;h jerÈh' tjeks orejka fyd¢ka WKqiqïj ;nd.ekSug W;aiql úh hq;=h' orejdf.a Yßr WIaK;ajh wvqùu j<lajd .ekSu i|yd ujf.a WKQiqu fyd¢ka orejdg <ndoSu l< yelsh' tfia ke;skï orejdf.a YÍr WIaK;ajh idudkH w;g m;ajk f;la incubator WmlrKhla ;=< orejd ál Èkla ;eìh hq;=h' fkdfïre iy wvqnr orejka ;nk úÿre fmÜáh f,i idudkH ckhd y÷kajkafka tu WmlrKhghs' YÍrfha iSks m%udKh wvqùu tjeks orejka ;=< we;súh yels ;j;a .eg¨ iy.; ;;a;ajhka jkafka YÍrfha iSks m%udKh wvqùu iy úIîcj,g myiqfjka fhduq ùuh' tfia jqjfyd;a orejd urKhg m;aùu mjd isÿúh yelsh'

74

lsß Wrdîfï yelshdj wvqùu we;eï úfgl ujqlsß fodjd nghla u.ska orejdg §ug isÿfõ' tfia;a ke;skï fkdfïre <orejkg ks¾foaYs; lsßmsá úfYaIhla §ug isÿfõ' tjeks lsß §ug fkdyels ;;a;ajhl orejd isà kï orejdg fia,hska úfYAIhla §ug isÿfõ' tjeks orejka fjkqfjkau ksIamdÈ; ish¨ fmdaIK wvx.= fia,hska úfYAIhla oeka furg frday,aj,o Ndú;d fõ' tu fia,hska úfYAIh orejdf.a YÍr.; lrkafka orejdf.a Ysrdjka yrydh' orejdf.a wdydr ud¾.h ls%hd;aul ùu mgka .;a úg uqLfhka lsß ,nd§u wdrïN l< yelsh' wvqnr yd fkdfïrE <orejkaf.a wdydr ud¾. ksjerÈ f,i j¾Okh fkdùu iy ksjerÈ f,i l%shd;aul fkdùu ksid wdydr fkdÈrjk iajNdjhla we;'

ffjoHjrhd - udisl ffjoH iÕrdj

tjeks orejkaf.a wdydr ud¾.fha nelaàßhd wdidokhg ,laùfï wjodkuo jeäh' fkdfïre iy wvq nr iys;j WmÈk <orejka mßirfha we;s úIîcj,g wdjrKh ùfï yelshdj b;d jeäh' tneúka fujeks orejkaf.a YÍrh mqrd b;d fõ.fhka úIîc me;sf¾' fuu iajNdjh y÷kd.;a jydu m%;sÔjl ,nd§ orejd iqjm;a l< hq;=h' fud<fha j¾Okh ù we;s m%udKh b;d wvqùu fujeks orejka WmÈk úg fud<fha j¾Okh ù we;s m%udKh b;d wvqh' tfy;a ksjerÈ f,i fmdaIKh ,nd ÿkfyd;a fud<h idudkH ;;a;ajhg j¾Okh lr .; yelsh' YÍrhg ,efnk Tlaiscka m%udKh wvqùu" úgñka K W!K;djh ksido fud<fha reêr jykhla isÿúh yelsh' fud<fha reêr jykhla isÿjkafka oehs ks;r fidhdne,Su jeo.;ah'

2016 cqks l<dmh

fkdfïrE <orejl= f,i fuf,dj t<sh ÿgq <orejl=f.a fmky¨ ksjerÈ f,i j¾Okj ù ke;' tneúka Tjqkg lD;%Suj Tlaiscka ,ndoSug fndfyda úg isÿfõ'

weia fmkSfï ÿ¾j,lu wvq nr" fkdfïrE orejka uqyqKmdk ;j;a fi!LHuh wjodkula jkafka weia fmkSfï ÿ¾j,;djhhs' ta ms<sn|j wjOdkfhka isàfuka iy wjYH wjia:djka ysÈ f,ai¾ m%;sldr ,nd§fuka fmkSu hym;a uÜgug m;a lr.; yelsh' kshñ; f,i m%;sldr fkd,eîfuka orejdf.a weia i|ygu wkaOùug bv we;' lka weisfï ÿ¾j,;djh fkdfïre iy wvq nr <orejkaf.a lka weiSfï ÿ¾j,;djhlao we;s ùug bv we;' tneúka tu orejkaf.a Y%jK ;;a;ajho mÍlaIdjg ,la l< hq;=h' YÍrh ly meye .ekaùu idudkH orejkg jvd YÍrh ly meye .ekSu fujeks orejkaf.a ;j;a ,laIKhls' tfia jkafka fujeks orejkaf.a wlaudj wvqfjka j¾Okh ù we;s ksidh' túg wlaudfjka ksmoúh hq;= tkaihsu j¾. ksmoùu wvqfõ' túg orejdf.a YÍrh ly meye .ekafõ' ta i|yd m%;sldrhla f,i ,hsÜ we,a,Su Photo therapy isÿ lrkq ,efí' j,smamqj jeks ;;a;ajhka u;= ùu reêrfha iskS m%udKh wvqùu tjeks orejka uqyqK fok tla .eg¨jls' tys m%;sM,hla f,i j,smamqj ^*sÜ tl& jeks ;;a;ajhka u;= fõ' reêrfha le,aishï wvqùuo tjeks orejka ;=< u;=jk ;j;a .eg¨jls' tys m%;sM,hla f,io j,smamqj jeks iajNdjhla we;sùug bv we;'

75

EARLY COMERS OR PRE TERM BABIES

fkdfïre orejkao fyd¢ka yod-jvd .; yelshs

zzßlÜZZ jeks frda.S ;;a;ajhla we;sùu YÍrfha le,aishï wvqùfï m%;sM,hla jkafka tu orejka yg ßlÜ jeks frda.S ;;a;ajhla u;=ùuhs' ßlÜ hkq jeäysáhkaf.a wiaÓ moaO;sh wdY%s;j we;sjk Tiaáfhdafmdfrdaisia jeks frda. hls' fï ;;a;ajh ksjerÈ f,i y÷kdf.k m%;sldr ,nd fkdÿkfyd;a orejdf.a fomd nl, iajNdjhla .; yelsh' ßlÜ kï fuu frda.S ;;a;ajh T!Iëh m%;sldr u.ska iqjlr .; yelsh'

fkdfïre iy wvq nr iys;j WmÈk orejka b;du mßiaiñka udi yhla muK .;jk f;lau /ln,d .;hq;=h' orejka kshñ; nrla olajd j¾Okh jk f;la mßiaiï lr.; hq;=h' tjeks orejl= frdayf,a isg ksjig f.k hdug m%:u ksji orejdg .e<fmk whqßka ilia l< hq;=hs' orejd ;nk ldurh b;d msßisÿ" WKqiqï iys; ;ekla ùu b;d jeo.;ah'

m%;sYla;slrK tkak;a wfkl=;a orejkg fok wdldrfhkau ,nd osh yelshs fujeks orejkago wfkla orejkag fukau kshñ; Èk jljdkq j,g m%;sYla;slrK tkak;a ,nd fokq ,efí' ta ms<sn|j ujqmshka ìh úh hq;= ke;' orejd we,a,Su" iam¾Y lsÍu .ek ie<ls<su;a jkak wvq nr Wm;a iy fkdfïre <orejka ms<sn|j i|yka l< hq;= úfYaI lreKla we;' ta" tjeks orejkaf.a YÍrhg úIîc we;=¿ùfï yelshdj wfkla orejkag jvd jeä njh' tneúka fujeks orejl= w,a,k úg uj mshd fyda {d;sfhl= fyda ´kEu wfhl= orejd w,a,k úg ;ukaf.a oE;a ksjerÈ f,i msßisÿ lr .ekSfuka miqj orejd we,a,Su l< hq;=h' th b;d jeo.;a fõ' 76

orejd isák ldurhg meñfKk ´kEu wfhl= msßisÿù meñKsu b;d jeo.;ah' tf,i lemùfuka yd iqmßlaIdldÍj /l n,d .;fyd;a wvq nr iys;j fyda fkdfïrE <orejl= f,i fuf,dj t<sh ÿgq orejl= jqjo kSfrda.S nqoaêu;a orejl= f,i yod jvd.; yelsh' igyk - wkqrdOd È,sks b,kafldaka

ffjoHjrhd - udisl ffjoH iÕrdj

PREGNANCY NUTRITION

.eìKs ujf.a iy lsß fok ujf.a fmdaIKh

.eìKs ujf.a iy lsß fok ujf.a fmdaIKh .eìKs ldka;djka ;u wdydr fõ,g n;a jf.au" lsß''' t<j¿ yd m<;=re wdosh;a tlalr.; hq;=hs wmf.a cSú;fha ljr jljdkqjloS jqjo fmdaIKh buy;a jeo.;alula orhs'' tfy;a .eìKs iufhaoS;a" orejdg lsß fok jhfiaoS;a ldka;djl ,nk fmdaIKh fï w;ßka fjfiia jeo.;alula orkafkah' .eìKs iufha ldka;djf.a fmdaIKh iïnkaOfhka wfma iudch ;=< ñ;Hd úYajdi /ila mj;S' fuh tu w;sYh jákd wjia:dfõ wehg wjYH fmdaIKh ,nd.ekSug ndOdjlaj ;sfnk whqre fmfka' wmf.a fï ,smsfha wruqK fï iqúfYAIS ikaêia:dkfhaoS wef.a fmdaIKh flfia yeviú .kajd.; hq;=o hk ldrKh iïnkaOfhka wm mdGlhkg ksrjq,a wjfndaOhla ie,iSuhs'

2016 cqks l<dmh

n;a lEug yqre jkak''' msá lEu ks;r wkqNjh fyd| kE''' .eìKs ujlg jvd;au iqÿiq wdydrh jkafka n;ah' r;= ydf,a n;a kï jvd;a fyd|hs' ta;a tajd fkd;snqK;a fjk wdydrhla .kakjdg jvd n;a álla lk tl fyd|hs' msá lEu j, fmdaIH .=Kh wvqhs' ta jf.au nv mqrjd oeóu" wdu jd;h jf.a .eg¿ we;s fjkak th rel=,la fjkjd' n;a lk úg thg fjk;a fmdaIHodhS wdydro tl;= lr.; hq;=hs' wfma fndfydu .=Kj;a foaYSh wdydr ;sfnkjd' tajd myiqfjka fidhd.; yelshs' ñf,kq;a wvqhs' tajd Tiafia fmdaIKh ,nd.ekSug wdfh úfYaI W;aidyhl=;a oeßh fkdhq;= ;rï' m<d álla yeu wdydr fõ,lgu tl;= lr.kak .eìKs ujl yeu fõ,lgu ue,a¨ula" m<d álla tl;= lr.kak tl fyd|hs' Tng f.j;af;au m<d álla jjdf.k tajd Ndú;hg .kak jqK;a mq¿jka' m<d j, wmg ffokslj wjYH flfrk fmdaIH mod¾: /ila wka;¾.;hs' wdydruh ;ka;= j,ska fmdfydi;a ksid wdydr ud¾.hg" cS¾Khg ys;hs' 77

PREGNANCY NUTRITION

.eìKs ujf.a iy lsß fok ujf.a fmdaIKh

mqxÑ ud¿ ñf,ka wvqhs''' ta;a fmdaIH .=Kfhka jeähs n;a iu. ud¿ álla jf.a lk tl;a jeo.;a' fudlo .eìKs iufhaoS wef.a YÍrhg m%udKj;a fm%daàka m%udKhla mßjD;a;Sh l%shdj,sh i|yd wjYH fjkjd' fï i|yd ñf,ka wêl f,dl== ud¿ .kakjdg jvd l=vd ud¿ .;a;;a leula kE' we;af;kau fmdaIKSh w.h ne¨fjd;a jvd;au jákafk l=vd ud¿' yd,aueiafid" lrj, jqK;a fyd|hs' tajdfha m%udKj;a le,aishï mod¾:;a ;sfhk ksid thska wehg fyd| fmdaIKhla ,efnkjd' foaYSh m<;=re lkak''' fnfy;a odmq rg m,;=re fï ld,fhaoS t;rï iqÿiq kE''' m%Odk wdydr fõ,g miqj weh m,;=rla wkqNj lrk tl;a fndfydu jeo.;a' fï ld,fhaoS wehg ks;r ks;r u<noaOh we;súh yelshs' fuhg m,;=re wkqNjh fyd| úi÷ula' wyj,a m,;=r fyd|hs" lsh, f;dard fírd.kak wjYH kE' fldhs m<;=r;a fyd|hs' úfYaIfhkau wfma rfÜ yefok flfi,a" mefmd,a" fmar" fk,a,s" udox" ysUqgq jf.a m,;=re ;uhs .kak ´ks' úfoaYhkaf.ka wdkhkh lrk m,;=re j, fmdaIH .=Kh ;snqK;a tajd krla fkdù ;nd.kakg fhdok ridhk øjH fï ld,fhaoS YÍr.; ùu t;rï fyd| kE' OdkH j,ska ,nk fmdaIKh yßu jeo.;a OdkH wdydr .eìKs uõjrekag wjYH fmdaIKh ,nd.kak fyd| msgqjy,la fjkjd' lõms" uqxweg" lv," fufkaß" l=rlalka" ;Kyd,a fï fldhsl;a fyd|hs' ta;a .eiag%hsáia jf.a ;;a;ajhka ;sfnkjd kï lv," uqxweg" lõms wdosh ;ïnd lEfuka ta ;;a;ajh jeä j¾Okh úh yels neúka tjka wh fï wdydr j,ska j<lsk tl fyd|hs' f;,a wkqNjhg wkjYH ìhla we;s lr.kak tmd''' we;euqka úúO fya;= ksid f;,a wkqNjh iSud lrkjd' ta;a .eìKs iufhaoS f;¨;a YÍrhg wjYH fmdaIH mod¾:hla' neÿula lEu fyd|hs' fuysoS j<lskak ´ks .eUqre f;f,a nosk wdydrhs' tajd kï YÍr fi!LHhg t;rï ys;lr kE'

78

lsß ksIamdok oskm;du .; hq;=hs msálsß" uqojmq lsß" fhda.Ü" Öia''' fï wdoS jYfhka ;sfhk laISr mod¾: fldhsl;a .eìKs yd lsßfok ldka;djkag wjYH fjkjd' fjfiiskau myiqfjka ,nd.; yels laISr mod¾:hla fkdlvjd .eìKs iuh uq¿,af,a ,nd.ekSu jeo.;a''' Tn keKj;a kï wvq uqo,lska jeä fmdaIH .=Khla ,ndf.k ore iïm;o ksfrda.Sj /l.kak mq¿jka fï wdldrfhka fmdaIH .=Kfhka msß wmg yqre mqreÿ wdydr .ekSfuka Tng;a .eìKs iufha" lsß fok iufha ksis fmdaIKhla mj;ajd .kak mq¿jks' fï ksid .eìKs uõjreka jf.au lsß fok uõjreka mrïmrd .Kkdjla ;siafia yqre mqreÿ wdydru wjYH m%udK j,ska wdydrhg .kak tl ;uhs jvd;a iqÿiq'

osjx.; wdhq¾fõo ffjoH Wmd,s ms,msáh iu. l< idlÉPdjla weiqßka fuu ,smsh ilia flßK

ffjoHjrhd - udisl ffjoH iÕrdj

2016 cqks l<dmh

79

PERSONAL TRIBUTE

wdpd¾h Wmdêhlska msÿï,;a cSj ffjoH bxcsfkarejrhd''' - tÉ cS tia rKisxy

Personal tribute Dr. H.G.S. Ranasinghe - History of the Bio Medical Engineering, Sri Lanka wfma rfÜ m%:u újD; yoj;a noaO lsÍfï ie;alfï yDo fmKy¿ hka;%h l%shd lrjQfha fu;=udhs''' uq,au ldf< uy frdayf,a isÿl< yDo ie;alïj,os frda.shdf.a YrSr WIaK;ajh my;g fy<Sfï WmlrKh ks¾udKh lf<a fu;=udhs cSj bxcsfkare tallh wdrïN l< uq,au ld,fha Bg cSjh ÿkakd is,skav¾ fjkqjg ì;a;s osf.a hk Tlaiscka iemhqula wfma rfÜ uq,skau ie,iqï lf<a fu;=udhs ,kavkayS úlsrK wdh;kfhka úlsrK m%ùK;djh ,nd fï rfÜ tlaia lsrK ;dlaIKh m%p,s; l<d'''

,dxflah ffjoH ;dlaIKfha fmdaIKhg kj ksmehqï /ila odhdo l< cSj ffjoH bxcsfkarejrhd'''

tÉ cS tia rKisxy oekg jfhdajDoaOj" jdikdj;a úY%dñl cSú;hla .;lrk mdkÿf¾ jdih lrk udI,a m%kdkaÿ uy;d fï ckjdß 13 osk ud fj; mqj;am;a ,smshla iu. ,shukla tõfõh' lS¾;su;a úlsrK wêldÍjrfhl= jQ udI,a m%kdkaÿ uy;d uyr.u ms<sld frdayf,ys yd ;j;a m%Odk frday,a lsysmhl úlsrK ks,OdÍhl= f,i fiajh lsÍfuka miq Y%S ,xld úlsrK úoHd,fha úoHd,hdêm;s njg m;ajQ ful, osjhsfka i;r os.aNd.fha fiajh lrk úlsrK ;dlaIK ks,OdÍkaf.a .=rejrhdhs' úlsrK wêldßjrfhl= jYfhka fiajfhka úY%du .sh Tyq uf.ao .=rejrfhl= nj mjikafka buy;a jQ f.!rjh uqiq jQ ye`.Sulsks' udI,a m%kdkaÿ uy;d uy;aud iajlSh ,smsfhka ud fj; okajd isáfha oekg 88 úfha miqjk lS¾;su;a úlsrK úoHd{jrfhl=" cSj ffjoH bkacsfkarefjl= jQ tÉ cS tia rKisxyhka ms<sn|j ;uka tjQ f;dr;=reo fjk;a uQ,dY%o Wmfhda.S lrf.k ,smshla m< lrk f,ihs'

80

ffjoHjrhd - udisl ffjoH iÕrdj

mQ¾úldj wdpd¾h tÉ cS tia rKisxy iïnkaOfhka" Tyqf.a jD;a;Sh mßph .ek .ek hula ,shkakg lreKq úuiSfïoS ud uú;hg m;a lrjk b;d jeo.;a f;dr;=re rdYshla wkdjrKh úh' th furg m%drïNl wef,dam;sl Ndú;dfõ uq,a ld,fha ;dlaIKh ms<sn|j idOKSh f;dr;=re rdYshla ydrd wjqiaik m%h;akhla njo ug mila úh' fï wkQj uf.a W;aidyh jQfha óg oYl yh y;lg muK fmr fï rfÜ ffjoH úoHdfõ meje;S Ndú;djka" ta hq.fha wfma rfÜ ffjoHl¾uh uqyqKÿka wNsfhda.o iu.ska wdpd¾h tÉ cS tia rKisxy wkqiaurKSh cSjk fm<yr Tng ióm lrùughs' kuq;a wfm%a,a 18 osk kej; ,smshla tjñka ud we÷re udI,a m%kdkaÿ uy;dKka ud fj; okajd isáfha fï rfÜ ffjoH ;dlaIKhg fkdksñ fufyjrla l<''' fjfiiskau Y,H 2016 cqks l<dmh

yd mYapd;a Y,H frda.S i;aldr fiajdfjys wkNsNjkSh fufyjrl ksr;jQ cSj ffjoH bkacsfkare wdpd¾h tÉ cS tia rKisxy úoaj;dkka fujr isxy, ¿;a wjqreoao Wod jkakg osk lsysmhla ;sìhoS tkï wfm%a,a 10 osk mrf,daiem;a jQ j.hs' t;=uka osjukaj isáhoS fï f.!rjh isÿ lrkakg fkd,eîu uf.a n,j;a miq;eú,a,g fya;= fjhs' tfy;a miqj fyda ta hq;=lu bIaG lrñka mõ iudjl fhoSu uf.a mqyqÿka Ñ;a; ix;dkfha wNsm%dh jQj;a mdGl Tng fï ,smsh lsheùfuka wdpd¾h tÉ cS tia rKisxy ue;s÷ka fiajh l< ta iufha fi!LH fiajdfõ losu ms<sìUqjla oek lshd .ekSug wjia:dj ie,fikjd we;'

ful, úfYaIfhka /ln,d.; hq;= frda.Skag Ventilators ;snqKQ hq.hla fkdfõ' frda.Skaf.a idM<H wï,lr idkaøKh y÷kd.; yels Pulse Oxymeter ;snqKQ hq.hla fkdfõ' l,d;=rlska yuqjQ jl=.vq frda.sfhl=f.a f,a msßisÿ lsÍug vh,hsisia hka;%hla yod.;af;ao úúO øjH wgjd .ksñks' wdpd¾h tÉ cS tia rKisxyhkaf.a fiajh furg fi!LH fiajdjg ,enqfKa tjka b;sydifha ÿIalr wjêhlh' wfma rfÜ isÿl< uq,au yDoh noaO lsÍfï ie;alu wfma rfÜ uq,skau yDoh wdY%s; Y,Hl¾uhla isÿ lrk ,oafoa 1952 j¾IfhaoSh' Y,Hl¾uh isÿ lrk ,oafoa fvkaud¾la cd;sl yqiaf*,aâÜ 81

PERSONAL TRIBUTE

wdpd¾h Wmdêhlska msÿï,;a cSj ffjoH bxcsfkarejrhd''' - tÉ cS tia rKisxy

kï f,dal fi!LH ixúOdkfhka furgg meñKS Y,H Wria ffjoHjrfhl= úisks' fï Y,Hl¾uh ye|skajQfha Closed-heart surgery Y,Hl¾uhla jYfhks' yoj; .eiau" yoj;a fmKy¿ hka;%hlg Ndr fkdlr yoj; .efyñka ;sìhoSu mmqj újr lr Y,Hl¾uh isÿ lsÍu fuys iajNdjhhs' bkamiqj fï yoj;a ie;alï ;=< wkNsNjkSh ikaêia:dkhla ;enqfKA 1970 j¾IfhaoSh' ta m%:u jrg Hypothermia hkqfjka ye|skafjk frda.shd isis,k ;;a;ajhlg ,la lrñka újD; yoj;a Y,Hl¾uhla lrñks' fï ft;sydisl Y,Hl¾uh isÿ lrk ,oafoa ta à tia fmda,a kue;s fou< cd;sl yDo Wria ffjoHjrfhls' tl, lS¾;su;a geñ,a hQkshka l%Svd iudch ksfhdackh l< lS¾;su;a l%slÜ l%Svlfhl= jQ ta à tia fmda,a rcfha ffjoHjrekaf.a ix.uh (GMOA) u.ska 1964 oS 1964 oS l%shd;aul l< m%:u ffjoH jev j¾ckhgo kdhl;ajh ,ndÿka ffjohjrhdh' fï Y,Hl¾ufhaoS ks¾úkaok ffjoHjrhd jYfhka lghq;= lf<a fld<U uy frdayf,a wdrïNl oeä i;aldr tallfha m%Odkshd jYfhka lghq;= l< ffjoH ;sia,a chj¾Okh'

,xldfõ m%:u újD; yoj;a ie;alug fhdod.;a yoj;a fmKy¿ hka;%h ldßhg .e,fmk fia iSreudre lr th l%shd;aul lf<ao tÉ cS tia rKisxy uy;dh' ful, mD:q, ffjoH WmlrK isysfkkqÿ fkdme;+ hq.hla - yeg oYlh ful, úfYaIfhka /ln,d.; hq;= frda.Skag cSú;dOdrl (ventilators) ;snqKQ hq.hla fkdfõ' frda.Skaf.a idM<H wï,lr idkaøKh y÷kd.; yels Pulse oxymeter ;snqKQ hq.hla fkdfõ' 82

l,d;=rlska yuqjQ jl=.vq frda.sfhl=f.a f,a msßisÿ lsÍug vh,hsisia hka;%hla yod.;af;ao úúO øjH wgjd .ksñks' wo ojfia kï yoj;a Y,Hl¾uhla lrkakg is;Su mjd ÿIalrh' YÍr WIaK;ajh wvq lrñka frda.Skag ie;alï isÿ l< hq.hla Hypothermia hkqfjka y÷kajkafka YÍrh isis,a lsÍuhs' YÍrfha idudkH WIaK;ajh fikaáf.%Aâ wxYl 37°C ls' *erkayhsÜ j,ska kï 98.6° ls' YÍrfha WIaK;ajh wvq lrñka ixlS¾K Y,Hl¾u isÿ lsÍu 1960 oYlfha Ndú;d jQ Wml%uhla úh' ta à tia fmda,a Wria ffjoHjrhd fï l%uh fhdodf.k YÍr WIAK;ajh wvq iSudjl r|jdf.k yoj; l%shdldß;ajh w;aysgqjñka Y,Hl¾uh isÿ lsÍug ie,iqï lf<ah' tfy;a .eg¿j jQfha fï w;sYh wvq WIaK;ajh frda.shdg i,iajk wdldrhhs' whsia fh¥ ødjKhl .s,ajd fujka Y,Hl¾u j,g

ffjoHjrhd - udisl ffjoH iÕrdj

frda.Ska ms<sfh< lrk uq;a th frda.shdg f.k ÿkafka iq¿mgq ysßyerhla fkdfõ' fï wjia:dfõ uy frdayf,a cSj ffjoH bxcsfkarejd jYfhka lghq;= l< tÉ cS tia rKisxy uy;d wmQre í,ekaflÜgqjla ksudKh lf<ah' th frda.shdg ysßyerhla fkdue;sj wjYH YS;K ;;;ajh ,ndÿka w;r Y,Hl¾uh id¾:lj lsÍug th buy;a iïudoula i,id ÿkafkah' m%:u újD; yoj;a ie;alfïoS yoj;a fmKy¿ hka;%h l%shd;aul flrefKa Tyqf.a oE;sks ,xldfõ m%:u újD; yoj;a ie;alug fhdod.;a yoj;a fmKy¿ hka;%h ldßhg .e,fmk fia iSreudre lr th l%shd;aul lf<ao tÉ cS tia rKisxy uy;dh' tu ld,h yd ii|k úg th b;d úYd, wNsfhda.hla fia fmKqk;a Tyqf.a oeä lemùu ksidu wfma rfÜoS m%:u jrg frda.sfhl=f.a yoj; isÿ lrk ld¾hh tfia hka;%hlg Ndr flßK' 2016 cqks l<dmh

ECG .ekSu iïnkaOfhka oeKqj;a lsÍfï wOHhk lghq;a;loS

;uka úiskau ksIamdokh l< ldähela fudksgrhla yoj;a frda.Ska ksÍlaIKh lsÍfï Cardiac Monitor wo ojfia kï ÿr neyer frday,a j, mjd Ndú;fha mj;S' kuq;a fï lshk jljdkqfõ ,xldfõ m%Odk frday, jYfhka ie<flk fld<U uy frdayf,a mjd tjka hka;%hla ;snqfKa ke;' yoj;a frda.Skaf.a úoahq;a iamkao yd reêrh u; OukS u;ska we;s lrk mSvkh fidhd.ekSu msKsi fu;=uka Tisf,agrhla Wmfhda.S lr.ksñka ldähela fudksgrhla ksIamdokh lf<ah' <ud ld,h .; l< yeá fï wdpd¾h tÉ cS tia rKisxy ms<sn|j mQ¾úldjla muKs' furg cSj ffjoH bxcsfkare flafIa;%fha mqfrda.dñfhl= jYfhka fï rgg b;d jákd ffjoH ksmehqï /ila y÷kajd ÿka fudyq Wmkafka .ïmy neKaähuq,af,ah' .ïmyoS uQ,sl wOHdmkh ,enQ Tyq 7 jif¾oS urodfka Ydka; fcdaima úoHd,hg m%úYaG jkafkah' fcHaIaG iy;sl úNd.h i|yd mqyqKQ jk wjêfhaoS Radio Club yd iïnkaO jkafka bf,lafg%daksl úoHdj yeoEÍfï ksi`.fhkau mej;S l=yq, ksiduh' fojk f,dal hqoaO iufhaoS wdkkao fld,Scsfha YdLdjla .ïmyg /f.k hk ,o w;r Tyq thg

83

PERSONAL TRIBUTE

wdpd¾h Wmdêhlska msÿï,;a cSj ffjoH bxcsfkarejrhd''' - tÉ cS tia rKisxy

we;=<;a flßK' bkamiq kej;;a urodfka Ydka; fcdaima úoHd,hg we;=<;a ù iriú msúiqï úNd.hg fmkS isák ,oS'

yoj;a frda.Skaf.a úoahq;a iamkao yd reêrh u; OukS u;ska we;s lrk mSvkh fidhd.ekSu msKsi fu;=uka Tisf,agrhla Wmfhda.S lr.ksñka ldähela fudksgrhla ksIamdokh lf<ah' úlsrK ;dlaIK{fhl= f,i fiajhg tlafõ''' Tyqg ffjoH úoHd,hg hdug ;snQ wjia:dj wysñ jQfha ,l=Kq wglsks' miqj ,kavkfha Society of Radiographers úNd.hg fmkS isg úlsrK ;dlaIK{fhl= jYfhka fld<U uy frdayf,a fiajhg tl;= úh' ;uka ;=< iycfhka ;snQ kfjda;amdok yelshdjka ksidu 1959 j¾IfhaoS cSj ffjoH WmlrK ieliSfuys ksr; Bio Medical Engineering Division yS fiajhg tl;= ùug wdrdOkhla ,eìK' Wall oxygen úma,jh frda.Skag Tlaiscka iemhSfuys,d uOH.; k< moaO;shla fï rfÜ uq,skau wdrïN lf<ao wdpd¾h tÉ cS tia rKisxyh' Tyq fld<U uy frdayf,a" yDo frda. wdh;kfha iy .ïmy uQ,sl frdayf,a ì;a;s u; k< t<Sfuka (Wall oxygen) frda.Skaf.a ihkh wi,gu wï,lr jdhqj iemhSfï lghq;= iïmdokh lf<a osjhsfka m%:u j;djgh' foaY foaYdka;rfhka tlalr.;a oeKqu fmr lS wdldrfha jákd cSj bxcsfkareuh ld¾hhkag w;afmd;a ;nkakg tÉ cS tia

84

rKisxy uy;dg wjia:djla ie,iqfka tysoSh' ta ld,fha fï rfÜ ffjoHuh ;dlaIKh wju ;;a;ajhl meje;S ksid fndfyda wjYH WmlrK ksIamdokh lrkakg isÿjQfha iafjda;idyfhks' ffjoHuh úIhka flfryS Tyq ;=< ;snQ oeKQuo iycfhka ,o ;dlaIK mßpho weiqf¾ fï iufha Tyq úiska fi!LH fomd¾;fïka;=jg wk.s ;dlaIKsl fuj<ï rdYshla odhdo lrk ,oS' ;ukaf.a iqúfYaIS mßl,amk m%;sNdj yd kfjda;amdol oeKqu ksid Tyq uyd ì%;dkHh" wefußldj" m%xYh" c¾uksh" fko¾,ka;h" fvkaud¾lh yd cmdkh wdoS rgj, ixpdrh lrñka ish oeKqu m%j¾Okh lr.ekSug Tyqg wjia:dj Wod úh' úlsrK rYañ Ñls;aidj yd yD;afõoh yd iïnkaO wê;dlaIKsl fuj<ï yiqrejd,Su flfryS Tyq ;=< fjfiia

ffjoHjrhd - udisl ffjoH iÕrdj

m%d.=KHhla ;sìK' tÉ cS tia rKisxy ue;s÷kaf.a ffcj bkacsfkare flafIa;%h ;=< m¾fhaIKd;aul oeKqu yd m%dfhda.slj tajd Ndú;hg .ekSfï mßphg nqyqukla jYfhka fndiagkayS uefipqfiÜia úYaj úoHd,fhka Tyqg wdpd¾h Wmdêhlao msßkuk ,oS' fï rfÜ ffjoH bxcsfkare kfjda;amdokfhys fhfoñka ;dlaIKh b;du;a wvqfjka mej;S jljdkqjl fï rfÜ ksoyia fi!LH fiajdjg wñ, fiajhla ie,iQ wdpd¾h tÉ cS tia rKisxy fiajfhka úY%du ,enQfha 1985 j¾IfhaoSh' fmd,a remamdfõ ECG mdi, yd .ïmy frday,g bgq l< uy`.= fiajh rcfha fiajfhka úY%du ,enQj;a Tyqg rcfha fi!LH fiajh yd ;snQ ne|Su tf;lska wjika jQfha ke;' .ïmy k.r uOHfha msgd we;s fmd,a remamd

2016 cqks l<dmh

WK.ia fijfKa msysà mrïmrdfjka odhdo jQ ;u ksjyfka isg wf;a ÿrlska msysà ;u .ïmy frday,g wkqmfïh jQ ;dlaIKsl odhl;ajhla ,nd ÿkafkah' .ïmy frdayf,a Ndú; uq,au Wall Oxygen moaO;sh ilia lsÍug Tyq remsh,a 190"000 l iajlSh Okh jeh lf<ah' tfiau tys ;dlaIKsl lghq;= iïmdokh lf<ah' .ïmy frdayf,a we|ka ;%s;ajhlska hq;a oeä Wmia:dk tallh ;ukaf.a iy m%foaYfha ;u ys;j;=kaf.a uQ,H odhl;ajfhka wdrïN lsÍug mqfrda.dó jQfhao wdpd¾h tÉ cS tia rKisxyh' úY%dñlj ksfjfia isáhoS .ïmy uQ,sl frdayf,a ish¿ úoahq;a fuj<ï ;ukaf.au Y%uh" uqo,a jeh lrñka w¿;ajeähd lrÿkafka w;sYh f<ka.;=lñks' iajlSh úY%du cSú;fhaoS Tyq ;u ksjyk mdol lr.ksñka ECG ksl¾mKlrejka mqyqKq lsÍfï mdGud,djlao wdrïN lf<ah' wo osjhsfka iqm;, fm!oa.,sl wdfrda.HYd,d /il ECG ksl¾mKlrejka /ila Tyqf.a úÿyqre mqyqKqjg msx isÿjkakg fiajfha fhoS isà' wdpd¾h tÉ cS tia rKisxy uy;d fï rfÜ ffjoH ;dlaIKfha úldYh ;=< tla;rd ;SrKd;aul hq.hla ksfhdackh l< oejeka; kfjda;amdolfhl= úh' fi!LH fiajdfõ m%.uKh flfryS oYl .Kkdjl fiajd ld,h ;=< Tyqf. ka isÿjQ fiajh wmuKh' fjfiiskau w;s kjH ;dlaIKsl Wmdx. yd fuj<ï weiqf¾ frda.Ska yiqrejk fujka hq.hl fkdfndaod mrf,daiem;a wdpd¾h tÉ cS tia rKisxyhka ieuÍu lD;.=K o;a cd;shl hq;=lulao jkafkah' Tyq osjukaj isáhoS t<s olajkakg fkd,enqKq fï ,smsh wdpd¾h tÉ cS tia rKisxyhka kduhg Wmydrhlau fõjd' Ndr; .=K;s,l úisks

85

RATIONAL DRUG USAGE

Tn .kakd T!IOj, we;s

w;=re wdndOæ ldhsl frda. úfYaI{ ffjoH flañkao ;s,lr;ak fndfyda T!IO j¾.j, w;=re wdndO ;sfnkjd' fï w;=re wdndO úúOhs' tys§;a jeämqr w;=re wdndO yg.ekSug uQ,sl jkafka we;eï frda. fjkqfjka §¾>ld,Skj ,nd.kakd T!IO ksid nj wm okakjd' kuq;a flá ld,Skj ,nd. kakd T!IOj,ska mjd w;=re wdndO yg.ekSfï yelshdj ;sfnkjd'

tfukau tl jrla .;a fm;a;lska" lr,lska jqj;a w;=re wdndO we;s úh yels njhs ffjoH woyi'

86

Tn .kakd T!IOj, we;s w;=re wdndOæ

tA wkqj fï wdndO blaukska iy È.=ld,Skj we;sfjkjd' tu w;=re wdndOj,;a iajNdjhka folla mj;skjd' tA iq¿ w;=re wdndO yd Ôú;hg wk;=rla ùu olajd ÿrÈ. hd yels nrm;< w;=re wdndO' w;=re wdndO YÍrfha iu we;=¿ ´kEu bkaøshlg yd moaO;shlgu;a n,mdkak mq¿jka' tA tla tla T!IOj, iajNdjhg wkqjhs'

ffjoHjrhd - udisl ffjoH iÕrdj

Tng hïlsis T!IOhlska w;=re wdndOhla yg .kakjd kï th ffjoHjrhdg mejeish hq;= fiau iuyr T!IOj,ska m%n, w;=re wdndO yg .ekSfï yelshdj we;euqkag ;sfnk ksid tu T!IOh ,nd§fï§ idudkHfhka ffjoHjrhd frda.shdj ±kqj;a lsÍu isÿlrkjd'

w;=re wdndO yg .kakd l%u folla fuys§ ;jÿrg;a ±laúh yelshs' hïlsis T!IOhla ld,hla mdúÉÑ lsÍfï§ th kshu ud;%djg jeäfhka YÍrhg ,nd§u ksid we;sjk w;=re wdndO bka m<uq jekakhs' th ;jÿrg;a fufia meyeÈ,s lrkak mq¿jka'

hïlsis T!IOhla Tn ffjoHjrhd kshu l< ud;%dfjkau .;a;;a th §¾>ld,Skj .kakd úg lsishï ksYaÑ; ld,hl§ úúO fya;= rdYshla u; w;=re wdndO yg.kak mq¿jka' fuh dose dependent hkqfjka y÷kajkjd' T!IO YÍrhg ord.; yels ld,iSudj blaujd hdfï§ yg.; yels ;;a;ajhla f,ig fuh ±laùfï jrola kE' fojekak tlu jrla .kakd T!IOhlska jqjo yg .kakd w;=re wdndO' fuh fndfyda úg isÿjkafka tu T!IOh wid;añl ùu ^Allergy& ;=<skqhs' fï ;;a;ajh dose independent f,i ffjoH úoHdfõ ±lafjkjd' T!IOj,ska w;=re wdndO yg.ekSu ì,s|df.a isg uy,a,d olajdu we;súh yels ;;a;ajhla' YÍrfha wjhjj, ÿ¾j,;d we;sjQ whg blaukska w;=re wdndO yg.; yelshs' Tng hïlsis T!IOhlska w;=re wdndOhla yg .kakjd kï th ffjoHjrhdg mejeish hq;= fiau iuyr T!IOj,ska m%n, w;=re wdndO yg .ekSfï yelshdj we;euqkag ;sfnk ksid tu T!IOh ,nd§fï§ idudkHfhka ffjoHjrhd frda.shdj ±kqj;a lsÍu isÿlrkjd' fldfydu jqK;a T!IOj, w;=re wdndO ;snqKg tAjd yeufokdgu tl úÈygu n,mdkafka kE' fndfyda úgu lsisÿ w;=re wdndOhla we;s fkdjkakg;a mq¿jka' tA jf.au w;=re wdndO we;sfjkjd kï tAjd wvq lr.; yels l%u fiau j<lajd .; yels l%u;a ;sfnkjd'

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

2016 cqks l<dmh

87

RATIONAL DRUG USAGE

Tn .kakd T!IOj, we;s w;=re wdndOæ

nyq,ju w;=re wdndO we;s jk T!IO j¾.

• Èhjeähd frda.hg .kakd T!IO fuys§ YÍrfha iSks md,kh lsÍug fok T!IO kshu ud;%djg .;a;;a ;uka .kakd lEu m%udKh iy fjk;a wikSm ;;a;ajhka u; kshu m%udKhkag;a jvd iSks wvq ùu ^Hypoglycemia& isÿjkak mq¿jka' tA jf.au lEu wreÑh" nv mqrjd ±óu jf.a úúO ,laIK;a fuu T!IO ksid frda.Skag yg.; yels iq¿ w;=re wdndOhs'

Èhjeähdjg fok T!IO ksid jl=.vqj, yd wlaudfõ wdndO tk njg fndfyda wh ;=< jerÈ u;hla ;sfnkjd' Èhjeähdj ksid fï frda. ;;a;ajhka we;sjkafka ksis whqßka T!IO f.k frda.h md,kh fkdlsÍfï m%;sM,hla úÈyg ñi T!IO .ekSu ksid fkdfjhs'

Èhjeähdj md,kh lsÍug fok m%;HlaI T!IOhla jkafka fuÜf*dñka' kuq;a ksis f,i T!IO fkd.ekSu ksid jl=.vq wl%Sh jQ Èhjeähd frda.shl=g fuÜf*dñka §u ffjoHjreka úiska k;r lrkjd' tAlg fya;=j jl=.vq wl%Shùu ksid tu T!IOh YÍrh ;=< tl;= ùu ;=<ska frda.shdg fjk;a w;=re wdndO yg.ekSug wjldY ;sfnk ksihs' kuq;a frda.Ska ys;kafka fuÉpr ld,hla .;a;= fuÜf*dñka tlmdru k;r lf<a tA T!IOfhka jl=.vq wl%Shùu ksid lsh,hs' kuq;a fya;=j tAl fkfuhs' fuÜf*dñka ksid jl=.vq krla jkafka kE' • fldf,iagfrda,a i|yd .kakd T!IO fïjdhska hï hï w;=re wdndO yg .kakg yelshdj ;sfnkjd' tlla ;uhs wlaudjg úh yels n,mEu' tA jf.au uiams~qj, fõokdjka iy uiams~qj, ÿ¾j,;djhkao yg.kakg mq¿jka' fuys§ ffjoHjrhd úiska tjeks w;=re wdndO we;súh yels njg frda.shd ±kqj;a lrkjd' 88

fï fya;=j ksid fldf,iagfrda,aj,g m%;sldr wdrïN lsÍug fmr frda.shdf.a wlaudfõ hï ÿ¾j,;djhla ;sfnkjdo lshd mÍlaIK lr n,kjd' tA" tjeks ÿ¾j,;djhla ;sfnkjd kï T!IO ksid wlaudjg ;jÿrg;a n,mEï we;súh yels neúkqhs' wlaudfõ m%Yakhla ke;akï m%;sldr wdrïN lrkjd' m%;sldr .ekSfï§;a udi ;=klg fyda yhlg jrla wlaudfõ mÍlaIK isÿlr n,kafka l=ula fyda n,mEula we;sù ;sfnkjdo hkak ±k.kakghs' • m%n, fõokdkdYl NSAIDS hk flá kñka y÷kajk ldKavhg wh;a m%n, fõÞkdkdYl ^WÞ( bìhqfm%df*aka - Ibuprofen& ks;r ks;r .kakd whg wdudYh" .,kd,h wdY%s;j nvje,aj, wid;añl;d" ;=jd, wdÈh yg .ekSug;a"

ffjoHjrhd - udisl ffjoH iÕrdj

f,a jukh hdug;a yelshdj ;sfnkjd' fuu ldKavhg wh;a fõokd kdYlj,ska fndfyda úgu wid;añl;d jeks w;=re wdndO yg.kakd nj isys ;nd.; hq;=hs'

Èhjeähdj md,kh lsÍug fok m%;HlaI T!IOhla jkafka fuÜf*dñka' kuq;a ksis f,i T!IO fkd.ekSu ksid jl=.vq wl%Sh jQ Èhjeähd frda.shl=g fuÜf*dñka §u ffjoHjreka úiska k;r lrkjd' tAlg fya;=j jl=.vq wl%Shùu ksid tu T!IOh YÍrh ;=< tl;= ùu ;=<ska frda.shdg fjk;a w;=re wdndO yg.ekSug wjldY ;sfnk ksihs'

2016 cqks l<dmh

• m%;sÔjl T!IO wekaánfhdála ^Antibiotic& kñka wm fndfyda fofkla y÷kajk m%;sÔjl T!IOj,skq;a w;=re wdndO yg .kakg yelshdj ;sfnkjd' úfYaIfhkau iq,nj yg.; yels w;=re wdndO jkafka wid;añl;dhs' hïlsis m%;sÔjl T!IOhla tl È.gu Èk .Kkla .kakd úg wdydr ud¾.fha mj;sk ys;lr nelaàßhd úkdY ùu ksid mdpk ;;a;ajhla we;sùu óg tla WÞyrKhla' fuh ;djld,sl ;;a;ajhla jk w;r kej; tu ys;lr nelaàßhd j¾Okh ùfuka miq mdpk ;;a;ajh iqj ù hkjd' • ;hsfrdhsâ .%kaÓfha l%shdldß;ajh jeä jQ úg fok T!IO fï T!IOj, w;=re wdndOhla f,i wlaudjg iy wegñÿ¿j, l%shdldß;ajhg n,mEï we;súh yelshs' tksid T!IO mgka .ekSug fmr frda.shdf.a wlaudfõ mÍlaIK iy reêrfha iïmQ¾K mÍlaIKhla ^Full Blood Count – F.B.C.& lrk w;r jßka jr tu mÍlaIK kej; kej; o isÿlrkjd' • ms<sld frda.j,g fok T!IO fuhskq;a wegñÿ¨j, yefok r;= reêrdkq" iqÿ reêrdkq iy mÜáld wvqùu ksid wdidok" f,a .ekSï wdÈh we;sjkak mq¿jka' tho ffjoHjrekaf.a ks;r wëlaIKhg ,lafjkjd' • merisgfuda,a wê ud;%dfjka .ekSu úfYaIfhka l=vd orejkag WK wvq ùu i|yd meh yhlg jrla merisgfuda,a fok f,i kshu l< miq orejdf.a WK fkdneiafid;a meh yhla ùug fmr B<Õ T!IO fõ, fokakg ujqjreka fm<fUkjd' fuhska orejdf.a wlaudjg n,mEï úh yelshs' tksid meh yhlg fmr h<s WK .;af;d;a fjk;a l%uhlska WK wvq lsÍu ñi kshñ; fj,djg l,ska merisgfuda,a h<s;a §u iqÿiq kE'

89

RATIONAL DRUG USAGE

Tn .kakd T!IOj, we;s w;=re wdndOæ

T!IOj,ska w;=re wdndO yg.;a úg th wvqlr .ekSug jf.au j<lajd .ekSug;a yels nj by;ska o i|yka l<d'

idudkHfhka fm;s T!IOhla kshu l< miq thska w;=re wdndO we;súh yels kï ffjoHjrhd th frda.shdg meyeÈ,s lrkjd' iq¿ iq¿ w;=re wdndO kï tA ;rï ;elSula l< hq;= kE' Bg jvd f,dl= w;=re wdndO kï jydu ffjoHjrhd yuqúh hq;=hs'

hï T!IOhla wid;añl jqfKd;a th h,s ffjoHjreka úiska kshu lrkafk kE' fya;=j wid;añl T!IOhla h<s;a .;af;d;a uq,§ we;sjqKdg;a jvd jeä w;=re m%;sM, yg.; yels ksihs' tksid Tng hï T!IOhla wid;añl kï ffjoHjrhd Tng tA nj i|yka lr fok ldâm; Tn bkamiq ffjoHjrhl= fj; hk yeu j;djl§u /f.k hd hq;=hs' tfyu ke;akï tys ku u;l ;ndf.k ffjoHjrhdg mejish hq;=hs' ffjoHjrhl= T!IOhla kshu l< miq tu kshñ; T!IOh" kshñ; ud;%djg" kshñ; jdr .Kk .ekSu b;du jeo.;a' iuyr T!IO Èklg ;=kajrla .kakg kshu l< úg th yßhgu meh wglg jrla .; hq;= fjkjd' ;j;a iuyr T!IO frda.shdg myiq mßÈ Èklg ;=kajrla .ekSu l< yelshs'

90

by; lS wdldrhg wlaudjg" jl=.vqj,g wd§ jYfhka úúO bkaøshhkag n,mEï we;súh yels T!IO §fï§ tA iïnkaO mÍlaIK" reêrfha F.B.C. mÍlaIK wdÈh ffjoHjrhd fok Wmfoiaj,g wkqj lr .ekSuo b;d jeo.;a' fï wkqj T!IOfhka hï bkaøshlg n,mEï we;sfjk njlaa yeÕ=fkd;a T!IOfha ud;%dj wvq lsÍu fyda ;djld,slj k;r lsÍu fyda uq¿ukskau kj;d fjk;a T!IOhlg udre lsÍu fyda ffjoHjrhd úiska iqÿiq mßÈ isÿlrkq ,nkjd'

ffjoHjrhd - udisl ffjoH iÕrdj

2016 cqks l<dmh

91

ELDERLY CARE MEDICINE

;d;a;,d wïu,df. is;sú<s j,g uy¿ jhfiaoS úfYaIfhkau .re lrkak mqreÿ fjkak'''

;d;a;,d wïu,df. is;sú<s j,g uy¿ jhfiaoS úfYaIfhkau .re lrkak mqreÿ fjkak''' wp,H;djh we;s iEu flfkl==gu ;u ;;a;ajh u|la fyda by<g Tijd ;nd. kak osß fokak' thska Tyqf.a cSú;fha .+Kd;aul j¾Okhla we;s lr.; yels jkq we;s'

jeäysá frda. ms<sn|j úfYaI{ ffjoH pkaok Y%S lklr;ak

äysáhka jYfhka cSú;fha ie|E iuh .; lrk wmf.a wdorKShhka /l n,d. ekSfuys,d wm uqyqK fok wNsfhda. iy tajd ch.kakd wdldrh iïnkaOfhka úia;r lrk ,sms fmf<ys ;j;a jákd lreKq iïmsKavkhla fujro wm Tn fj; fuf,i f.k tkjd'''

je

;ukag yels mqxÑ foa jqK;a lula kE''' th lrkak bv yßkak wp,H;djh ;sfhk frda.Ska yg kej; ixp,k yelshdj ,ndoSu W;aidyfhka l< hq;= l%shdj,shla' wef|a bkak" ta;a ke.sákak W;aidy lrk frda.shdg ke.sákak tmd lshkak fyd| kE' weúoskak fldfydug j;a neß flfkla kï ta;a" jdä fjkak yß W;aidyhla .kakjd kï thg wjysr lrkak fyd| kE' wef|au n,fhka ;shkak fyd| kE' ;ukaf. W;aidyfhka fudkj;a lrkak neß kï frdao mqgqjla wrka fokak' j;a;g t<suykg Tyq legqj hkak' th;a Okd;aul fjkila' thska frda.shdf.a wd;au úYajdih jeä fjkjd' ys; Yla;su;a fjkjd' ÿ¾j,fhla úosyg iDKd;aulj we;s lr.kak is;=ï me;=ï fjkia lr.kak thska Tyq W;aiql fjkjd'

92

Okd;aul fjkilg iq¿ fyda bosß mshjrla ;nkak ;ukag lrf.k .sh foaj,a ;jÿrg;a lrkak iSud we;s jqKdu mqoa.,fhl= fnfyúkau wirK fjkjd' jeäfhkau wirK fjkafk Tyqf. ys;' thska Tyq ;=< wfmalaIdNx.;ajhla we;s fjkjd' uyd yqfol,djla" wd;audkqlïmdjla we;s fjkjd' fufyu flfkl=g cSú;h mj;ajd f.k hkak jeäfhkau fnfy;a lrkak ´ks ta wirKNdjhg m;a

ffjoHjrhd - udisl ffjoH iÕrdj

jqKq is;g' ;e¿Kq" fmdä jqKQ is;g' zzwdfh ug fï fï foaj,a lr.kak neß fjhs'''ZZ lsh, ukafoda;aidyS jqKQ ta whg Yla;shla fjkak mq¿jka kï ta msßyqKQ udkisl fi!LHh kej; f.dv k.d.kak mq¿jka kï Tyq wdfh;a n,dfmdfrd;a;= we;s lr.kakjd" cSú;hg i;=g <`.d lr.kakjd'

;ukag l< yels foa Tjqkagu lr.kakg osß fokak wirKNdjhg m;a flfkl=g msysg ùfïoS l< hq;= yd fkdl< hq;= foa ;sfnkjd' Tyqg hï jev fldgila ;ksju l< yels kï ta jev fldgi iajdëkj lrkakg bv yßkak' fuh yßu jeo.;a' wms ys;uq" flfkl=g n;a ál wkdf.k lkak nE''' ta; yekaola ÿkaku iSrejg thska n;a ál <x lrf.k lkjd' fjdIa rEï tlg .syska uQK fydao.kak nE' ta;a fíiulg <`.g j;=r álla ÿkaku iSrejg ;ukaf. uQK fodajkh lr.kak mq¿jka' fukak fï úosyg ;ukag mq¿jka foa lr.kak bv yßkak' th wd;au úYajdih" wd;au wNsudkh we;s lr.ekSfï uQ,sl mshjrla'

fufyu flfkl=g ta msßyqKQ Yla;sh kej; we;s lr.kak Tyqf.a ióm;uhkaf.a wdorh" lreKdj jf.au w;aje< w;HjYHhs'

Tyq yd tl`. fjkak''' Tyqg ñ;=frl= fia Woõ lrkak''' ;d;a; weúo," t<shg my<shg hkak ;e;a lrkjd' ta;a jefgkak wjodkula ;sfhkjd' zztmd ;d;af;" lshk foa wy, tl ;ek bkak''' wmg lsõj kï ´ks foa lr, fokjfka'''ZZ fïlg ;d;a; leu;s kE' ;d;a;g ´ks ;uka ta foa

2016 cqks l<dmh

93

ELDERLY CARE MEDICINE

;d;a;,d wïu,df. is;sú<s j,g uy¿ jhfiaoS úfYaIfhkau .re lrkak mqreÿ fjkak'''

lr.kak' yeu ;siafiu f.oßka lshkafk zztmd' tmd''ZZ lsh,' fïflka ;d;a;f. ys; fndfydau ßfokjd' ;d;a;g i<lkj lshkafk fï úosyg ;d;a;f. wd;au úYajdih ke;s lrk tl fkdfjhs' fï úosyg ;d;a; wfmalaIdNx.;ajhg m;a lrjk tl fkdfjhs' fï úosyg ;d;a; l<lsÍug ,la lrjk tl fkdfjhs'

we;eï fj,djg iuyr jeäysáhkag wfkla whg fkdfmfkk foaj,a fmfkkjd' th udhdjla' fï úosfya udhdldÍ oiqka olsk nj lshkjd kï Tfí ióm {d;shdj ffjoHjrfhl=g fmkajk tl fyd|hs'

;d;a; biair fndfydau Yla;s iïmkak mqoa.,fhla' ys;ska jf.au .;skq;a' biair wfma ùrh ;d;a;''' wmg lkak fndkak ÿkafk''' wmg b.ekajqfj ;d;a;' wfma wvqmdvqlï iïmQ¾K lr, wmsg yßu. fmkakqfj ;d;a;''' ta;a oeka ;d;a; uy¿hs" ta uosjg f,v ÿla'''' wms ys;kafka ;d;a; neß ldf, lkak fndkak ÿkaku fnfy;a ál fïfig <x l<du zzTlafldu yß'''ZZ lsh,' ta;a ;d;a;g fï fj,dfjos wka yeuodgu;a jvd f.!rjh wjYHhs" wd;au úYajdih wjYHhs" cSú;hg n,dfmdfrd;a;=jla wjYHhs' fï f.!rjh" wd;au úYajdih" n,dfmdfrd;a;=j lv fjk úosyg lsisu orefjla yeisfrkak tmd' tfyu jqfKd;a Tfí wdorKSh wïu" ;d;a; fndfydau blauKg ÿ¾j, fjkjd' ta fjkqjg Tyqg Yla;shla fjkak' Tyqf.a wfmalaId bgq lr.kak Tyqg w;aje<la fjkak' jhia.; jk úg u;l Yla;sh ÿ¾j, fjkjd''' jhia.; fjk úg wm ldg;a wfma u;l Yla;sh ySk fjkjd' tal yßu iajdNdúlhs' ta ksid iq¿ iq¿ w;miqùï fndfydauhla fjkak mq¿jka' ta;a we;eï fj,djg frda. ;;a;aj ksid;a wu;l ùï fjkjd' iuyr úg ;ukaf. mq;d" ÿj''' w÷r.kak nE' fï ldmq foa u;l kE'''' .ukla .shdu ;uka bkafk fldfyo lsh, kskõjla kE' ;ukaf. f.or fldfyao lsh, lshd.kak f;afrkafk kE'''' fïl jhigu fjk fohla fjkak;a mq¿jka" fkdfjkak;a mq¿jka' lsishï frda. ;;ajhla ksid;a fufyu fjkak bv ;sfhkjd' 94

äfukaIshdj ;sfnkjdo @ iel yer .kak tl fyd|hs wo äfukaIshd frda.Ska b;du;a jeähs' äfukaIshdj lshkafk jir oyhla myf<djla ;siafi l%ñlj yefok" cSú;fha wjika ld,fhaoS W;aikak jk frda.hla' fuysoS isoaO fjkafk fud<fha ffi, úkdY ùu' flá ld,Sk u;lh .s,syS hkjd' ta;a mrK foaj,a fyd|g u;lhs' fï frda.hg T!IO m%;sldr fokjd' tajdhska frda. ,laIK iEfyk muK md,kh lr.; yelshs' widudkH wu;l ùula" yeisÍula Tfí wdorKSh fcHaIaG idudcslhd fmkajkjd kï ffjoHjrfhl=g fmkaúh hq;af;a fï ksihs'

ffjoHjrhd - udisl ffjoH iÕrdj

;djld,sl jYfhka we;sjk isys l,amkdfõ fjkila ;djld,sl jYfhka we;sjk isys l,amkdfõ fjkila we;eï fj,djg frda.hla je<÷kdu we;s fjkak mq¿jka' fuh Delirium f,i y÷kajkjd' uq;%d wudrejla yeÿkyu" fjkhï wdidokhla fyda frda.hla we;s jqKdu th;a iu.u isysfha" isysl,amkdfõ fjkila we;s fjkjd' fuh fndfyda úg ;djld,sl ;;a;ajhla' udihla folla hkúg fyda iuyr úg Bg;a wvq jeä ld,hlska ksjeros fjkjd' iuyr fj,djg fï úosfya isysl,amkdj fjkia jqKq frda.Ska iqj fjk tlla kE lsh, ys; yodf.k bkakjd' ta;a miafi ta wh m%lD;shg tkjd' fï úosyg ;uhs Delirium .;s fidndj' Tfí wdorKSh uj" mshd fï wdldrfha .eg¿jlg uqyqK ÿkakyu thg fffjoH Wmfoia ,nd.; hq;=hs' ksjeros u.fmkaùu 2016 cqks l<dmh

Tiafia" m%;sldr Tiafia fï whf.a ufkdaNdj hym;a lr.kak mq¿jka' frda.hla yeÿkyu ta tlal tk udkisl .eg¿ lsis úfgl fkdi<ld bkak tmd''' th Nhdklhs iuyr fj,djg fï frda.Skag fjk;a frda.hla tlalu we;eï wjOdkhg fhduq úh hq;= udkisl .eg¿ we;s fjkjd' fïjd jydu wjOdkhg ,la úh hq;=hs' fuh uq,a ldhsl frda.hg;a jvd Nhdkl jkakg mq¿jka' kshñ; m%;sldr kshñ; fj,djg ,nd fkdÿkafkd;a urKhg m;aùug mjd we;s wjodku neyer l< fkdyelshs' ixldj" úIdoh fï my; oelafjk w;aoelSï Tfí jhia.; ióm;uhd iïnkaOfhka Tng w;aú|skakg ,efnkjdo @ • lEu îu fkdld" fkdî bkakjd' tajd j¾ckh lrkjd' • mjqf,a idudcslhka tlal ;sfhk wdY%h wvq lrkjd' fkdfrdla" fkdßiaiqï iy.; úosyg cSj;a fjkjd' • ?g kskao hkafk kE'''' fï ksid osjd ld,fhaoS mjd bkafk wiykfhka' • biair wdidfjka lrmq foaj,a j,g oeka Wkkaÿj ke;sj .syska''' bkafk;a ´kejg tmdjg jf.a'''fmdä foag;a l,n, fjkjd''' • fmdä foag;a w`vkjd' • biamsß;df,g hkfldg mmqj .efykak .kakjd' nh fjkjd' fukak fï úosfya wuq;= iajNdjhla fï whf.ka we;s fjkjd kï th iqj l< yels frda.hla' wjYH jkafka ffjoHjrfhl= yuqjg bosßm;a lr kshñ; m%;sldr ie,iSuhs'

95

NEW TRENDS IN FEMINA

Could wearing a bra be doing your figure more harm than good? Controversial study says underwear 'is not needed'

w|skak tmd - n%d''' l%Svd úoHd{jßl jk fm%df*i¾ fvksia rehsf,daka lshk újdod;aul l;dj oek.kak'''

w|skak tmd - n%d'''

hqfrdamfha rgj, ldka;djkag Tlaf;dan¾ 13 úfYaI oskhla' tod ye|skafjkafk No, Bra Day hkqfjka' jpkh wre;a fok wdldrhgu we;eï ldka;djka fuodg ;kmg we|Sfuka je<lS isákjd''' ;kmg we|Sfuka jk wk;=r .ek oeKQj;a lrkak;a" ldka;djkag mshhqre ksid we;sjk buy;a fi!LH wjodku - mshhqre ms<sld iïnkaOfhka ck;dj oeKqj;a lrkak;a we;eï ldka;d l%shdldÍka fï oskh fhdod .kakjd' m%xYfha fnikalkayS f*%kafÉ fldïfÜ úYaj úoHd,fha l%Svd úoHd{jßhla jk uydpd¾h fvksia rjq,ska fï zzldka;djka n%d fkdwe|sh hq;=hsZZ lshk u;jdofha msysgk m%n, l%shdldßkshla jYfhka lghq;= lrkjd' úúO ,eu m%udK j,ska hqla; jhi wjqreÿ 18-35 ldKavfha ldka;djka 300 fofkla myf<dia jirla mqrdjg wOHhkh lrñka weh fï ;SrKhg meñK isákjd'

96

ffjoHjrhd - udisl ffjoH iÕrdj

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

waidyawaraya.lk

n%d we|Sfuka w;ajk jdishla ke;s¨''' uydpd¾h rjq,ska mjik wdldrhg ldka;djka n%d we|Sfuka lsisÿ hym;la isÿjkafka keye' zzn%d we|Sfuka ,eu fmfoi Yla;su;a fjkafk;a kE ' thska fldkafo wudrejg iykhla ,efnkafk;a kE' mshhqre t,a,d jefgk tl k;r fjkafk;a kE''' zzfldákau ffjoH úoHd;aulj ne¨j;a" fN!;fõoSh jYfhka ne¨j;a" ldh jHÉfPaod;aulj ne¨j;a n%d w|sk tflka ldka;djkag w;afjk lsisÿ m%fhdackhla kE'''ZZ weh jeäÿrg;a m%ldY lr isákjd' n%d me<|Su ksid reêr ixirkhg ndOd meñfKkjd''' n%d m<|sk ldka;djkag

2016 cqks l<dmh

idfmalaIj tajd Ndú;hla ke;s ldka;djkaf.A fï wdY%s;j fld,eck kue;s iïnkaOl mgl j, ;sfnk ;ka;=uh fm%daàkfha by< hdula isÿjk ksid ta wdY%s; mgl j, wefok iq¿ nj jeähs' ;kmg j,g m%Yak m;%hla uydpd¾h rjq,ska ;jÿrg;a n%d fkdwe| isàfï jákdlu myokjd' zz;reK ldka;djl n%d we|Sfuka je<l=Kdu mshhqre j, ia:dms; msysàfï fjkia ùula fjkafk;a kE''' ta jf.auhs oS¾>ld,Sk jYfhka n,k úg fï ksis mshhqrej, jvd ia:djr ia:dms;hla we;s fjkjd' mshhqre jid .ekSug ;kmg me<|Su ksid ;kmqvq ia:dms;fha ñ,s óg¾ 7l muK fjkia ùula isoaO fjkjd' th fï m¾fhaIKfhka wkdjrKh jQ i;Hhla'ZZ wef.a m¾fhaIKhg Ndckh jQ ldka;djla ;uka fï ;kmghla mmq;=frys ke;sùfï w;aoelSu ú|sk wdldrh .ek úia;r lf<a fufyuhs' zztal yß wmQrehs''' fï ksid uu jvd;a fyd|ska yqiau .kakjd' ug fï ksid fldkafo wudre we;s fjkj;a wvqhs' jvd ksoyialdó njla ys;g oefkkjd'ZZ fldfydu jqK;a jhi wjqreÿ 45 blaujQ ldka;djka fï ;kmg fkdme<| isàfuka t;rï m%fhdackhla w;am;a fkdjk nj;a uydpd¾h rjq,ska m%ldY lr isákjd' fhdod.;a iq¿ ksheosfhka iaÓridr u;hla m%ldY l< fkdyels nj;a fï iïnkaOfhka wvq ;rfï ldka;djka 300"000 la j;a fhdodf.k fï u;h úoHd;aulj ;yjqre lr.; hq;= nj;a uydpd¾hjßh jeä ÿrg;a m%ldY lr isáhd' n%d ksmojkakd kï fï u;hg tosßhs n%d we|Su ksid mshhqre t,a,d jeàu j<lsk njg ldka;djka ;=< we;s u;h neyer lrkafka maf,afglaia kñka wf,ú jk m%uqL ;kmg ksIamdolfhl= jk fcdaks älais' pek,a f*da wfma rfÜ újdodkaú; rEmjdyskS fiajhg tlafjñka Tyq fufyu lshkjd'zz "We have no evidence that wearing a bra could prevent sagging, because the breast itself is not muscle, so keeping it toned up is an impossibility.... There's no permanent effect on the breast from wearing a particular bra. The bra will give you the shape the bra's been designed to give while you're wearing it."

97

NEW TRENDS IN FEMINA

w|skak tmd - n%d'''

m%isoaO ia:dk j, n%d fkdue;sj fmkS isák ks,sh yd rEmjdyskS ksfõosldjla''' ngysr rgj, fï zzn%d ke;sj mq¿jkaZZ lshk u;h ms<s wrf.k lghq;= lrk ldka;djkaf.a fg%kaâ tlla oeka we;s fj,d ;sfnkjd''' wEka yd;afõ kï m%lg ks,sh m%isoaO ia:dk j,g hkafk ;kmghlska mshhqre i`.jd.kafka ke;sj' fï újdohg mk foñka ckm%sh .Dy w,xlrk Yss,amskshla yd rEmjdyskS ksfõosldjlao jk pd,s äfudlao iajlSh rEmjdyskS jevigyka yd m%isoaO fmkS isàï j,g fï wdldrfhkau meñfKk nj m%ldYs;hs' ixialD;sl .eg¿jla wmg kï ;sfnkjd''' ljqre fudkjd lsõj;a fuys ixialD;sl .eg¿jlao ;sfnkjd' fjfiiskau fmros. iNH;ajhla we;s wfma rgj, fïjd t;rï hym;a m%jK;d f,i ie<flkafka kE' ngysr rgj,u jqK;a ;kmg fkdme<|Su kqiqÿiq njg úoHd;auljo" ixialD;slujo ikd: lrk msßila isákjd' Tiaáfhdam;s iïnkaO ì%;dkH mdGYd,dfõ pd,aia ykaÜ fufyu lshkjd' zzhï fyhlska mmq;=r ;kmghlska wdOdrl fkdjk úg ta u; wu;r mSvkhla we;sùu ksrdhdifhka isÿ fjkjd' thska f.f,ys yd fld÷wegfmf<ys .eg¿ u;= fjkakg wjia:djla ie,fikjd'ZZ fjkia u; orK úoaj;=ka ta yereKq úg ì%;dkHfha fmdaÜiaujq;a iriúfha mshhqre ffcj hdka;%Kh iïnkaO úfYaI{fhl= jk wdpd¾h fcdawdkd ial¾f.a m%Odk;ajfhka fjkuu mshhqre iqjfi; hkqfjka wxYhla fmdaÜiaujq;a úYaj úoHd,fha msysgqjd ;sfnkjd' wehf.a m%Odk;ajfhka ksr;=reju fï iïnkaO m¾fhaIK isÿ flfrkjd' uQ,sl jYfhka mshhqre j, hy meje;aug ;kmg j,ska wkQmfïh fufyhla isÿ flfrk njhs wehf.a woyi''' kuq;a mshhqre j, m%udKh wkQj .e,fmk ;kmg f;dard.; hq;=hs''''wdpd¾h fcdwdkd jeäÿrg;a m%ldY lr isákakSh'''

98

;kmg - wfma rfÜ miq.shod le<ô,a,la we;s l< ud;Dldjla' ix.S; m%ix. hloS ldka;djla ;u ;kmgh .,jd fõosldfõ r`.ÿka .dhlhdg oud .eiSfuka fï fï isÿùug mshdm;a ,enqKd''' m%Yakh" fviaukaâ fudßia ÿgq yeá ;u mshhqre jid. ekSug ldka;dj orK wmQre W;aidyh .ek zzksrej;a jdkrhdZZ fmdf;ys igykla ;nñka iïudkkSh udkj mßKdu úoHd{fhl= jk fviaukaâ fudßia ;nk wmQ¾j igykska fï ,smsh wjika lrkjd' zzmshhqre u;ska WiajQ ;u ,eu fmfoi" fjfiiskau msfhdjqre jid .ekSug weh orkafka fjfiia W;aidyhla' ;kmgh tu W;aidyfha m%;sM<hla' ta;a i`.jd .ekSug orK W;aidyfhau th jv jvd;a wdl¾IKShj u;=ùfï m%;sM<hlao we;s ù ;sfnkjd' fuhska isÿ jkafka mshhqre flfryS wdl¾YKh ;j ;j;a jeä ùu muKhs'ZZ

ffjoHjrhd - udisl ffjoH iÕrdj

THE GREAT EFFORT OF THE YEAR

PET/CT hka;%hla uyr.u wfmalaId frday,g ñ,oS .ekSfï wruqo,

wirK ms<sld frda.Skag m%;sldr msKsi PET/CT hka;%hla ,nd.ekSug wm;a wdOdr lruq hq.fha uyd i;aldrh PET/CT hka;%hla uyr.u wfmalaId frday,g ñ,oS .ekSfï wruqo,

ms<sldjg wm ljqre;a uy;a ìhla olajuq' kuq;a wjdikdj kï ta fkdm;k frda. hu" ta Nhdkl hhs i<lk frda.hu wo wmg uy;a ;¾ckhla ù we;s wdldrhhs' wo ojfia ms<sld frda.Ska iEu m%foaYhlskau úYd, jYfhka yuqùu we;af;kau wm rgla jYfhka uqyqK mdk úYd, wNsfhda.hls' fi!LH wud;HxYh i|yka lrk wkaoug wfma rfgka oeka j¾Ihlg ms<sld frda.Ska 15"000-25"000 w;r ixLHdjla jd¾;d fjhs' tu w.hka Nhdkl wdldrhg ikd: lrñka uE;l isg zzwfmalaId frday,ZZ hkqfjka ye|skajqK uyr.u cd;sl ms<sldh;khg oeka oeka j¾Ihlg kj frda.Ska 13"500 la muK m%;sldr msKsi meñfKk nj wkdjrKh fjhs' ms<sld frda.Skag lrk m%;sldr ms<sldjlg ,lajQ ;eke;af;la thska uqojd.ekSu i|yd úúO m%;sldr lrhs' Y,Hl¾u" kslafIamk f,i ,ndfok lSfudf;rms T!IO" rYañ Ñls;aidj fï w;r fjhs' fï tlla fyda lsysmhla ,ndÿka miq kej;;a ms<sldj tu ia:dkfhka fyda fjk;a ;eklska fudaÿ jkafkao hkak l,a h,a we;sj oeK.ekSu frda.shdf.a meje;au 2016 cqks l<dmh

99

THE GREAT EFFORT OF THE YEAR

fjkqfjka úfYaIfhkau jeo.;ah' fï i|yd wo fhdod.kakd l%ufõohka w;r w.;eka m%uqL ia:dkhla .kafka PET/CT hka;%hhs' PET/CT ;dlaIKfha wo ojfia fufyjr PET/CT ;dlaIKh wo m%;sìïnfõohka w;f¾ oshqKqu ;dlaIKhla fia ie<fla' PET hkqfjka ye|skafjkafka positronemitting Tomography hkakhs' jpkd¾:fhkau fuu ;dlaIKfhaoS YÍr wNHka;r m%;sìïn ksIamdokhg YÍrfhka ksl=;a fjk Positron hk b;d l=vd wxY= fhdod .efka' Positron hk b;d l=vd wxY= ksmoùu i|yd úlsrKYS,S øjHhla mÍlaIKhg fmr frda.shdg mdkh lsÍug ,ndfohs' fï b;d l=vd ud;%sl úlsrKYS,S øjH Tracer hkqfjka ye|skafjhs' th mdkh lsÍfuka miq th ffi,Sj m%;sl%shd jkafka iqúfYaIS wdldrhlgh' ms<sld frda.sfhl=f.a kï ms<sld ffi, we;s ia:dk y÷kd.ekSug fï Tracer l%shd lrhs' yDo frda.Skaf.a ixl+,;d y÷kd.ekSug" fud<fha widudkH;d y÷kd. ekSugo fuf,i ,efnk f;dr;=re m%fhdackj;a fõ' úlsrKYS,S øjHfha n,mEu meh 10-12 lska miqj ke;sù hhs'

100

PET/CT hka;%hla uyr.u wfmalaId frday,g ñ,oS .ekSfï wruqo,

fuu PET hka;%h CT fkdfyd;a Computed Tomography udos,sfha m%;sìïno ,nd.; yels hka;%hlao iu.ska noaO lr ;sfnkafka frda.shd iïnkaOfhka mßiudma; úlsrKfõoS jd¾;djla ,ndfokq msKsih' frda.Skag wiuiu /ljrKhla imhk ;dlaIKhla fï PET/CT ;dlaIKh ms<sld frda.Skag imhkafka wiuiu /ljrKhls' ishhg 97l muK ksrjoH;djhla iys;j ms<sld ffi, we;s ke;s nj m%ldY l< yels ksid thska frda.shdf.a bosß m%;sldr uekúka ie,iqï l< yels fõ' wfma rfÜ fï PET/CT hka;% tlla muKla ;sfí' th fm!oa.,sl frday,l l%sh;aul fõ' thska mÍlaIKhla isÿ lr.ekSug remsh,a ,laI tl yudrlg wdikak uqo,la jeh fõ' wfma rfÜ ms<sld frda.Skaf.ka nyq;rhla fokd wka; wirK os,skaokah' Tjqkag fuu PET mÍlaIKhlg uqo,a fidhd .ekSu isyskhls' oekgu;a fuu jHdmD;sh ck;djf.a wjOdkhg úYd, jYfhka ,la fj,d''' kuq;a oeka fuu PET/CT hka;%hla uyr.u ms<sldh;khg ,ndoSu msKsi uyck jHdmD;shla l%shd;aul fõ' thg oekgu;a b;d fyd| uyck iyfhda.hla ysñj ;sfí' fï rfÜ lS¾;su;a wdh;k" jHdmdßlhka" fiajd wdh;k muKla fkdj <f;;a yoj;la we;s fndfyda ñksiqka fï jHdmD;sh ;ukaf.a ioa wruqKla njg m;a lrf.k ;sfí' fï rfÜ mdie,a úYd, m%udKhl orejka mjd we;s yels muKska fuhg wdOdr lsÍug fm<ö ;sfí' fï wkQj n,k úg fuu wruqo,a /ialsÍfuys wruqK wfma ck;djf.a yoj;g ;oskau ldjeoS ;sfnk nj fmfka' wiuiu fufyjrl wdrïNh iksgqyka jQ yeá jHdmD;sh ìys jQ wdldrho ixfõoS l;djls' N.M Travels kue;s m%jdyk iud.fï iNdm;sjrhd id¾:l jHdmdßlfhls' hym;a mqrjeisfhls' wjdikdjl ;ru''' Tyqf.a orefjl=go ms<sldjla je<÷fKah' Tyq oyy;a jirla ;siafia ;u orejd i|yd m%;sldr lsÍug fjfyiqfkah' Tyq ;u m%;sldr ie,iqï lf<A bkaoshdfõoSh' kuq;a wjidkfhaoS Tyq uyr.u ms<sldh;kfhkao m%;sldr ,nd.;af;ah' ffjoHjrhd - udisl ffjoH iÕrdj

PET hka;%hla uyr.u ms<sld frday,g ,ne.ekSfï wruqo, wdrïN l< wjia:dj' fi!LH fiajd wOHlaI ckrd,a ffjoH md,s; uySmd," ms<sldh;kfha wOHlaI ffjoH tï jhs fla ú,a*%â" ysgmq l%slÜ kdhl ufya, chj¾Ok fukau fuu jHdmD;sfha iudrïNl tï tia tÉ fudfyduâ fuu PdhdrEmfha fj;s'

oyy;a jirla ;siafia fï frda.h yd igka josk Tyq jeks wirKhka .ek jHdmdßlhd fnfyúka ixfõoS úh' Tyq fï frda.Skaf.a wjYH;djhka .ek fyd| wjfndaOhlska isá flfkls' PET hka;%hla ms<sn|j woyi Tyq uq,skau uyr.u frday,a wêldÍkag okajd isáfhah' thg hym;a m%;spdr ,eìK' tys m%;sM<hla jYfhka fi!LH fiajd wOHlaI ckrd,a ffjoH md,s; uySmd," ms<sldh;kfha wOHlaI ffjoH tï jhs fla ú,a*%â" ysgmq l%slÜ kdhl ufya, chj¾Ok" m%ùK udOHfõoS *hsid,a fndkafida fukau fuu jHdmD;sfha mqfrda.dó jHdmdßl tï tia tÉ fudfyduâ yd ;j;a iïNdjkShhka /ilf.a m%Odk;ajfhka nKavdrkdhl iïuka;%K Yd,dfõ fldñá Yd,djloS miq.sh ud¾;= 5 jkod fuys wdrïNl mshjr iksgqyka lrk ,oS' Tfí odhl;ajh;a wjYH jkafka fï ksihs fuu hka;%h ñ,oS .ekSu i|yd ñ,shk 200l uqo,la jeh jkq we;' wfma rfÜ ck;dj iEu mqoa.,fhlau remsh,a 10 ne.ska ,nd ÿkafkd;a th fï hka;%h ñ,oS .ekSug m%udKj;ah' kuq;a m%dfhda.sl jYfhka fuys ;;a;ajh Bg fjkiah' fujka w;súYd, uqo,a iïNdrhla tl;= lsÍu myiq lghq;a;la fkdfõ' thg úYd, jYfhka odkm;skaf.a lemùu" odhl;ajh wjYH jkafkah' fujka ioa l%shdjka iEu úgu iïmQ¾K jkafka ta ms<sn|j ye`.Sula we;s W;=ï ñksiqkaf.a iyfhda.fhks' ms<sldh;kfha;a" fi!LH wud;HxYfha;a iyfhda.fhka l%shd;aul jk jHdmD;shla PET hka;%hla uyr.u ms<sld frday,g 2016 cqks l<dmh

,nd.ekSu iïnkaOfhkq;a i;Hh thuh' fï i|yd oeka fndfyda fokd iafõÉPdfjkau bosßm;a ù we;s uq;a fï i|yd Tfí iyfhda.h;a b;du;a wjYHh' fï i|yd uqo,a tl;= lrkafka fi!LH wud;HxYfha iy uyr.u ms<sldh;kfha Ndrldr;ajfhks' fï ksid Tn fok uqo, wjYHfhkau ta fjkqfjka fhdod .efkk njg iqrlaIdjla ksielfhkau mndosh yel' fï rfÜ ms<sld frda.Skag iykhla jkq jia fï hka;%hla ,nd. ekSfï mqkHl¾uhg Tn;a yels muKska odhl jkak' th Tfí cSú; ld,h ;=< Tn úiska isÿ lrk hym;a l%shdjla" wkQmfïh mqkHl¾uhla nj lsj hq;af;auh' Tfí wdOdrh ,nd osh hq;= wdldrh uyr.u ,xld nexl=fõ wxl 0071275069 .sKQu nexl= fla;h 7010 nexl= YdLd wxlh 055 swift code tl BCEYLKLX, jeäÿr úia;r ,nd. ekSug contact 00941122897377/78; email:info@fightcancer.lk; website: www.fightcancer.lk.

101

ADVERTORIAL

rih fukau .=Kho wdrlaId lrf.k fj<|fmd<g tk uÍkd oshr fmd,alsß

fgÜrd mela j, we;s oshdre fmd,alsß fjkqjg uÍkd Wl= fmd,alsß Ndú;hg Tn;a wou tl;= jkak rih fukau .=Kho wdrlaId lrf.k fj<|fmd<g tk uÍkd oshr fmd,alsß fïoh YÍrhg w;HjYHhs fïoh - wfma YÍrhg ke;sju neß fmdaIlhls' YÍrhg Yla;sh imhk m%Odk uQ,dY%h fïohhs' YÍr lD;Hhka kshñ; mßos isÿ lsÍug wjYH Yla;sh uQ,sl jYfhka ,efnkafka fïofhks' tfia m%fhdackhg .kakd Yla;sh yereKq úg fiiq Yla;sh YÍrh ;=< ixÑ; jkafka fïoh jYfhks'

ta" ã" B yd fla hk úgñk c,fha ødjH fkdjk úgñk fia ie<fla' tfia kï fï úgñk osh lsÍug fïoh wjYHh' ,hsfldfmk" îgd lefrdák wdoS YÍrhg uy`.= wdrlaIdjla i,ik m%;sTlaisldrl YÍrhg wjfYdaIKh lsÍug fmr ødjH njg m;a lrkafkao fïoh u.sks' fï wdldrfhka ;j;a fndfyda lD;H kshdukh lsÍug fïoh WmldÍ fjhs' fï wkQj fïoh wmg w;HjYH jQ fmdaIH mod¾:hls' th ke;sj wmg meje;aula fkdue;' wdishdkq l,dmSh iy ,dxflah ck;djf.a fmdaIK wjYH;d úuiSfïoS" fjfiiskau wmf.a wdydr fõ,g wjYH fïoh imhk m%Odk uQ,dY%hla jkafka fmd,af;,a yd fmd,alsßh' fmd,af;,a j, we;af;a jvd;a ys;lr wdldrfha ix;Dma; fïohhs' kuq;a wm fï l;d lrkakg hkafka fmd,af;,a j,g;a

102

ffjoHjrhd - udisl ffjoH iÕrdj

jvd .DyKshg jvd;a ióm fmd,alsß j, wka;¾.; fïoh kjH .DyKsh úiska Ndú;d l< hq;= wdldrh .ekhs'

fgÜrd melaj, ksl=;a lrk oshdre fmd,alsß fjkqjg uÍkd oshr fmd,alsß ñ,oS .ekSfuka Tng;a hy.=Ke;s iïm%odhsl .=Kj;a fmd,alsfrys iajdNdúl rih fukau fmdaIH .=Kho ,nd.; yels jk w;r th f.jk uqo,g iß,k idOdrK ñ,oS .ekSulao jkafkah'

2016 cqks l<dmh

ñßld.;a fmd,alsß j, ishhg 33 l fïo ixhq;shla mj;S' fuh wmf.a ffoksl fïo wjYH;djhg ienúkau fyd| úi÷uls' ta .ek újdohla ke;' fmd,alsß Ndú;djg wo ojfia fhdod.;a Wml%u kuq;a wo ojfia .DyKsh ld¾h nyq,h' weh ;u ld,h jvd;a iliqrejñka jeh lr.kakd w;r wef.a ffoksl lghq;=o ld,h ñvx.= fkdjk fia isÿ lsÍug wE l%shd lrhs' bjqï msyqï lsÍfïoS fmd,a .d" ñßld .kakjd fjkqjg ieliQ fmd,alsß ñ,oS .kakg wE W;aiql jkafka ta ksidh' fï wkQj miq.sh jir lsysmh ;=< ieliQ fmd,alsß l¾udka;h úYd, jYfhka mq¿,a jQ w;r tys m%;sM<hla jYfhka fï rfÜ fuu ksIamdok j,g fyd| fj<|fmd<lao we;sù ;sfí' oshdre fmd,alsß j,g kï ordmq fgÜrd mela ;dlaIKh ieliQ fmd,alsß fj<|fmd<g ksl=;a lrkafka ukd f,i weiqrE fgÜrd mela ;=<h' wdl¾YKSh f,i wiqrd fj<|fmd<g tk fï fmd,alsß mdúÉÑhg .kakd .DyKshka k.k fmdÿ ueisú,a,la ;sfí' ta fuu fmd,alsß zzfnfyúkau oshdreh'''ZZ hkakhs' fmd,alsß fgÜrd mela f,i weisÍfïoS ta yd ine|S wiqrK l%shdj,sfha we;sjk iSudjka ksid thg wka;¾.; l< yels jkqfha ishhg 17l fïo ixhq;shla muKs' wm fï ldrKh úoHd;aulj úuiuq' wo ojfia .DyKshg we;s ;j;a wk.s úi÷ula jkafka msál< fmd,alsßh' kuq;a fï yd ine|S hdka;%sl l%shdj,sh ksid wêl WIAK;ajhg tu wuqøjH m;aùfïoS fmd,alsß i;= fmdaIH mod¾: j,ska ie<lsh hq;= m%udKhlg nrm;, ydkshla isÿ fjhs' tneúka fï ;;a;ajh hgf;a msá l< fmd,alsß j, fmdaIH .=Kh újdodkaú;h' fï wkQj fgÜrd mela jYfhka fj<|fmd<g ksl=;a lrk ish¿u fmd,alsß j, fïoh we;af;a ishhg 103

ADVERTORIAL

ieliQ fmd,alsß fj<|fmd<g ksl=;a lrkafka ukd f,i weiqrE fgÜrd mela ;=<h' wdl¾YKSh f,i wiqrd fj<|fmd<g tk fï fmd,alsß mdúÉÑhg .kakd .DyKshka k.k fmdÿ ueisú,a,la ;sfí' ta fuu fmd,alsß zzfnfyúkau oshdreh'''ZZ hkakhs'

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

rih fukau .=Kho wdrlaId lrf.k fj<|fmd<g tk uÍkd oshr fmd,alsß

17 ls' fï lsß m%udKhg Wl= oshrhla ilia l< fkdyel' ukao fmd,alsß j, Wl=Ndjh ;SrKh jkafka tys we;s fïo m%udKh wkQjh' ieliQ oshr fmd,alsß wk.s úl,amhla''' fï rfÜ m%uqL fmd,a wdY%s; ksmehqï isÿ lrk foaYSh jHdmdßl wdh;khla jk fpreìhï ,xld iud.u fï wvq¨yq`vq;djh ms<sn|j ie<ls<su;a jQfha fndfyda l,l isgh' ieliQ fmd,alsß fï wdldrfhka oshdre ñY%Khla jYfhka ksl=;a lsÍfuka mdßfNda.slhdg uy;a widOdrKhla isÿjk nj Tjqka jgyd.;af;ah' ta wkQj fï rfÜ úYsIaG nqoaêu;=ka m¾fhaIK l%shdj,ska Tiafia fïo ixhq;sh by< oshr fmd,alsß úfYaIhla fj<|fmd<g ksl=;a lsÍug Tjqka iu;a úh' fpreìhï ,xld iud.u lEka jYfhka fj<|fmdf<a wf,ú lrk uÍkd fmd,alsß j, fïo ixhq;sh ishhg 22 ls' fï wkQj Tfí ffoksl fïo wjYH;d imhk ksIamdokhla f,i th fj<|fmd<g iemfhk w;r tajd fgÜrd mela j, we;s fmd,alsß j,g jvd fnfyúka Wl= jk w;r ta ksidu tajd fhdodf.k ilia lrk lEu fnfyúka m%KS;h' fmdaIHodhlh' fgÜrd melaj, ksl=;a lrk oshdre fmd,alsß fjkqjg uÍkd oshr fmd,alsß ñ,oS .ekSfuka Tng;a hy.=Ke;s iïm%odhsl .=Kj;a fmd,alsfrys iajdNdúl rih fukau fmdaIH .=Kho ,nd.; yels jk w;r th f.jk uqo,g iß,k idOdrK ñ,oS .ekSulao jkafkah' fmdaIHodhS rij;a fy< wdydr isß;la ,la okka fj; u;= fkdj f,dalhgo ;s<sK lsÍfï fkdksñ mßY%uhl fhfok uÍkd m¾fhaIlhka fyg oskfha;a Tfí wdydr fõf,ys iqrlaIs;;djh fjkqfjka lemùfuka m¾fhaIK isÿ lrKQ we;'

www.waidyawaraya.lk

104

ffjoHjrhd - udisl ffjoH iÕrdj

2016 cqks l<dmh

105

HISTORY AND EVOLUTION OF CONDOMS

Wmka''' kQmka fldhs ldf.;a cSú;drlaIdj imhk fldkavu

History and Evolution of Condoms

Wmka''' kQmka fldhs ldf.;a cSú;drlaIdj imhk fldkavu fldkavu Ndú;fha iudrïNh" úldYh iy tajdfha wo ojfia úfYaI;d''' m%cd fi!LH ffjoH yßiapkaø hlkaodj, úisks m iEu fudfyd;lu fndfyda foa .ek bf.k .kakjd' f,dalfha iEu" rglu" iEu ck;djlf.au w¿;a w¿;a oE oek.kakg we;s l=;=y,h w;s uy;a' ta;a cSú;hg b;du jeo.;a" tfiau cSú;hg b;du jeo.;a jf.au w;HjYH jQ ldrKhla .ek l;dnyl fhfokakg fndfyda fokd ue<s fjkjd' wfma rfÜ muKla fkdj fndfyda rgj,;a tjka w;aoelSï ;sfnkjd' ta ,sx.sl;ajh yd ta iïnkaO ldrKd .ek'' ,sx.sl;ajh fukau" ta yd ine|S ldrKd ms<sn|j újD;j l;d lsÍug wm fukau fjfiiskau fmros. ixialD;shlg Wreulï lshk fndfyda rgj, ck;dj olajkafka Wlg,S iajNdjhla'

w

,sx.sl;ajh fÄojdplhla lr.;a wjia:d ;sfnkjd''' ta jqK;a ,sx.sl;ajh" ,sx.sl in|;d wdoS lreKq fya;=fjka iEu fudfyd;lu ljqreka fyda nrm;, m%Yakhlg uqyqK mdkjd' frda.S fjkjd' cSú;h wjodkulg ,la fjkjd' cSú; úkdY fjkjd' ta ksidfjka fï iïnkaOfhka újD; ukilska ixjdohlg t<öu w;sYh jeo.;a ldrKhla fjkjd' taâia frda.fha wd.ukh;a iu.u wdrlaIdj .ek is;kakg isÿjqKd taâia frda.h uq,skau y÷kd.;a 1983 j¾Ifha isgu th j<lajd .ekSu iïnkaOfhka idudkH ck;dj oeKqj;a lrkakg iEu rglu mdfya fi!LH n,Odßka ueosy;a jqKd' ta taâia w;sYh Nhdkl uqyqKqjrlska udkj 106

ffjoHjrhd - udisl ffjoH iÕrdj

ixy;sh ;¾ckhg ,la lsÍfï wjodkula meK ke.=Kq ksihs' ta jf.au HIV wdidokfhka wdrlaId jkakg ms<shula jYfhka ,sx.sl iïnkaO;d meje;aùfïoS fldkavuhla me<|Su l< hq;= njg ck;dj w;r oeKqj;a lsÍfï jevigykao c.;a jHdma;j meje;ajqKd' fuh fldkavu j, jákdlu jeä jYfhka oeKQkq wjia:djla fia ie<lsh yelshs' l%s'mQ' 11"000 oS muK m%xYfha .,a.=ydj, we| ;snQ is;=jï úYAf,aYKh l< úoHd{hska tys fldkavu Ndú;h iïnkaOfhka ksYaÑ; idlaIs mj;akd njg lreKQ olajd ;snqKd' fï udkj b;sydifha fldkavu Ndú;h iïnkaO m%:u i|ykhs'

2016 cqks l<dmh

fldkavu mqrdKh fldkavï ms<sn|j we;af;a os.= b;sydihla' l%s'mQ' 11"000 oS muK m%xYfha .,a.=ydj, we| ;snQ is;=jï úYAf,aYKh l< úoHd{hska tys fldkavu Ndú;h iïnkaOfhka ksYaÑ; idlaIs mj;akd njg lreKQ olajd ;snqKd' fï udkj b;sydifha fldkavu Ndú;h iïnkaO m%:u i|ykhs' tfukau l%s'mQ' 1000 oS muK Bcsma;= jeishka fros j,ska ks¾udKh l< fldkavu frda. j,ska wdrlaId ùug fhdod.;a nj y÷kdf.k ;sfnkjd' WmoxYfhka j<lskakg uq,a ld,fhaoS fldkavu Ndú;d jqKd 15 jk Y; j¾IfhaoS b;d,s cd;sl Gabrielle Fallopian úiska mqoa.,hka 1000la fhdodf.k ,skka fros wdY%h lr .ksñka ksIamdokh lrk ,o fldkavu Ndú;h ms<sn|j wOHhk jd¾;djla bosßm;a lrKq ,enQjd' fï Ndú;dj ksid Tjqka lsisfjl=g;a WmoxYh kue;s ,sx.slj iïfm%aYKh jk frda.h fkdje<÷KQ nj fmkajd ÿkakd'

107

HISTORY AND EVOLUTION OF CONDOMS

Wmka''' kQmka fldhs ldf.;a cSú;drlaIdj imhk fldkavu

fï jljdkqj ;=<oSu úiska ridhk øjH .,ajd úh<d.;a ,skka fros j,ska ksujQ fldkavu fhdod m<|sk ,o fldkavu wdY%fhka kej;;a isÿ lrk ,o m¾fhaIKhloS Bg iyNd.sjQ msßñka 1100la fï WmoxYh frda.fha f.dÿre njg m;a fkdjQ nj meyeos,s jqKd' fldkavu ks¾udKh i|yd ì%;dkHfha rdcH wkq.%yh 16 jk Y;j¾IfhaoS tx.,ka;fha fojk pd¾,aia rc úiska i;=kaf.a iï iy nvje,a fhdodf.k fldkavu ks¾udKh i|yd wjYH rdcH wkq.%yh ,ndÿka nj jd¾;d fjkjd' tu.ska ldka;djka ,sx.dY%s;j fnda jk frda. j,ska .,jd.ekSu wruqK jQ nj oelafjkjd'

kQ;k ;dlaIKhg wkQj ;=kS rn¾ fldkavu ksIamdokh lsÍu;a iu.u fldkavu ck;dj w;r ckm%sh;ajhg m;aùfï m%Odk mshjrla iïmQ¾K jqKd' tod ksIamdokh l< ta Formms fldkavuh wog;a c¾uksfha ckm%sh fldkavu ikakduhla njg m;aj ;sfnkjd'

lf;da,sl m,a,sfha úfrdaOhla''' 1605 j¾IfhaoS tx.,ka;fha lf;da,sl m,a,sh fldkavu Ndú;h wfhda.H njg úfrdaOhla t,a, lrKQ ,enQjd' tu úfrdaOh wog;a tfiau mj;sk nj m%lg ldrKhla' kej; kej; Ndú;hg .kq ,enQ uq,a ld,fha fldkavu 16 jk Y;j¾IfhaoS i;=kaf.a nvje,a fhdodf.k ksIamdokh l< fldkavu uyckhdf.a Ndú;h i|yd fj<|fmd<g bosßm;a lrKq ,enQjd' tajd w;sYhska ñ, wêl ùu ksid fidaod kej; msßisÿ lr Ndú;hg .kq ,enQ njo oelafjkjd' rn¾ fhdodf.k fldkavuhla ksIamdokh jQ j.hs 18 jk Y;j¾Ifha tx.,ka;fha Charles Goodzor iud.u úiska m<uqjrg rn¾ fhdodf.k fldkavuhla ksIamdokh lrKq ,enQjd' fïjdfhao mej;S úfYaI ;;a;ajhla jQfha fidaod kej; kej;;a Ndú;d lsÍuh' ;=kS rn¾ fldkavu ksIamdokh lsÍu c¾uksfhka wdrïN fjhs 1912 j¾IfhaoS c¾uksfha Julius Fromm úiska 108

bìlgqjlska iE¥ cmdkfha uq,a fldkaavu

f,afglaia fldkavu hq.h 1920 j¾IfhaoS tx.,ka;fha Youngs Rubber Company fj<| wdh;kh m<uq jrg f,afglaia fldkavu f,dalhg y÷kajd ÿkakd' ;=kS ùu ksid Ndú;hg ffjoHjrhd - udisl ffjoH iÕrdj

myiq ùu;a" oeßh yels ñ,lg ñ,oS .; yels ùu;a ksid f,afglaia fldkavu ck;dj w;r w;sYhska ckm%sh;ajhg m;a jqKd' wog;a ckm%sh fldkavu ikakduhla jk Durex kdufhka fï m%:u f,afglaia fldkavuho kï ,enQjd' mjq,a ie,iqï Wml%uhla jYfhkq;a" HIV we;=¿j ,sx.slj iïfm%aYKh jk frda. /ilska wdrlaId ùug;a yelsùu ksid fldkavu wdrlaIl fuj<ul ld¾hNdrh bIag lrkjd' Y%S ,xldfõ uq,au fldkavï Ndú;dj .ek f;dr;=re kE''' Y%S ,xldj ljr jljdkqjloS uq,skau fldkavu Ndú;hg tlajQjdo hk ldrKh wúksYaÑ;hs' flfia jQj;a Y%S ,xld mjq,a ixúOdk ix.uh 1973 j¾IfhaoS zzm%S;sZZ kñka fldkavuhla fj<|fmd<g ksl=;a lsÍu ,dxflah fldkavu Ndú;dfõ yerjqï ,laIHhla lSfjd;a ksjeroshs' th 2016 cqks l<dmh

uq,skau furg ck;djg y÷kajd ÿkafka mjq,a ie,iqï Wml%uhla jYfhka' tfy;a jeäl,a fkdf.diau ,sx.slj iïfm%aYKh jk frda. j,ska wdrlaId ùug;a th m%fhdackj;ah hk woyi ck;djg jHdma; lsÍug mjq,a ixúOdk ix.uh jeo.;a fufyhla bgq lrKq ,enQjd'

Ökfha ksIamdokh l< f;,a .,ajk ,o is,ala lvodis fldkavu

i;a;aj mg, fhdodf.k iE¥ ´iafÜ%,shdkq fldkavu

m%p,s; fkdjQ ldka;d fldkavuh fï jk úg mjq,a ie,iqï l%uhla f,ig;a HIV we;=¿j ,sx.dY%s;j we;sjk frda. j,ska wdrlaIdj i,id.ekSu i|yd;a iEu ,sx.sl tlaùuloSu ksis f,i fldkavuhla Ndú;d lrk f,i ck;dj oeKqj;a lrKq ,nkjd' tfukau

109

HISTORY AND EVOLUTION OF CONDOMS

Wmka''' kQmka fldhs ldf.;a cSú;drlaIdj imhk fldkavu

miq.sh oYl follg muK fmr ldka;djka i|yd jQ fldkavuhla fj<|fmd<g y÷kajd fokq ,nkjd' tfy;a ldka;d fldkavuh ys;= ;rï ldka;djkaf.a Ndú;djg tl;= jQfha kE'

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

www.waidyawaraya.lk

ksis f,i fldkavu Ndú;h fï ish¿ fokdf.au cSú; frda. j,ska wdrlaId lsÍug;a" wkjYH .eí .ekSï j,ska wdrlaId ùug;a buy;a rel=,la ù ;sfnkjd'

Julius Fromm yd Tyqf.a fldkavï ksmojQ l¾udka;Yd,dj

kùk f,afglaia fldkavu uq,ajrg ksmojQ l¾udka;Yd,dj

fldkavu Ndú;h f.fkk jdis ,sx.slj tlaùu wdYajdockl" iqkaor ldrKhla' th újdyh ;=< wUqieñhka w;r muKla isÿúh hq;a;la nj iEu ck iudchlu ms<s.;a ldrKhla' tfy;a újdyhg fmr;a" újdyhg mßndysrj;a ,sx.slj tlaùu iq,nhs' ksis f,i fldkavu Ndú;h fï ish¿ fokdf.au cSú; frda. j,ska wdrlaId lsÍug;a" wkjYH .eí .ekSï j,ska wdrlaId ùug;a buy;a rel=,la ù ;sfnkjd' 110

fldkavu l¾udka;h oeka fnfyúka oshqKqhs fldkavu Ndú;h ms<sn|j ck;dj ;=< fkdfhl=;a u; mj;skjd' ta flfia fj;;a ,sx.slj tla ùuloS isf;a ielhla fkdue;sj iy frda. we;sfõ hhs fyda .eí .ekSula we;sfõfoda hk ìhlska f;drj ,sx.sl wdYajdoh ,nkakg fldkavuhla me<|Sfuka yelshdj ,efnkjd' fï ksidu

ffjoHjrhd - udisl ffjoH iÕrdj

wo úúO wdldrfha fldkavu fj<|fmdf<A wf,úhg ;nd ;sfnkjd' mjq,a ixúOdk ix.ufha kj;u y÷kajdoSu úúO wkkH ,laIK j,ska fyì fldkavu" úúO j¾K .ekajQ fldkavu ta w;r fjkjd' uE;loS mjq,a ixúOdk ix.uh y÷kajd ÿka zzl+,aZZ iy zzfydÜZZ fldkavu Ndú;fhaoS ;u is;e`.s wkAj isis,a nj fyda WKQiqï nj hqj,lg ú|skakg wjia:dj ie,fikjd'

tfukau úúO ri .ekajQ fldkavu uqL ixi¾. fha fhfokakka i|yd ksmojd ;sfnkjd' fujka úúO wdldrfha fldkavu u.ska mqoa.,hkag fldkavu Ndú;h ckm%sh lrùu;a ta jgd we;s ñ;Hdjkaf.ka ñoSug;a yelshdj ,efnkjd' fldkavuhla me<|Sfuka idlaId;a l< yels ldrKd ksis f,i ,sx.slj tlajk iEu úgu kshñ; m%ñ;shlska hq;a fldkavuhla Ndú;d lsÍfuka .¾NKSNdjhg m;aùu j<lajd,Sug;a HIV iy ,sx.slj me;sfrk frda. j,ska wdrlaId ùug;a ishhg 100l iy;slhla ,ndosh yelshs' tu.ska ,sx.slj tlaùfï by<u wdYajdoh ,nd.ekSu;a ishhg 100l úYajdihla ,ndoSug;a fldkavuhg yelshdj ;sfnkjd' th Tfí cSú;fha" Tnf.a iylref.a fyda iyldßhf.a cSú;h;a kQmka orejdf.a cSú;h;a wdrlaId lr fokjd'

wf,úh iy fnodyeÍu( Y%S ,xld mjq,a ixúOdk ix.uh 37/27, nq,¾ia mgqu., fld<U - 07 : + 94 112 555 455 : + 94 112 55 66 11 E-mail : fpa@fpasrilanka.org Web : www.fpasrilanka.org

2016 cqks l<dmh

111

INDIGENOUS MEDICINE

m%Khg cSjhla ,ndfokakdjQ m%dKcSj

foaYSh ffjoH úoHdj cd;Hka;rhg f.k.sh fy<fha n,.;= T!IOh

m%dKhg cSjhla ,ndfokakdjQ zzfi;aiqj m%dKcSjZZ m%dKcSj i;= n,.;= T!Iëh .=K foia úfoia m¾fhaIlhkaf.a wjOdkhg ,la fjhs''' mqrdK YS% ,dxlsl iudcfha úYsIaG ffjoH l%uhla mej;s nj uq¿ f,dalhdu ms<s.kakd i;Hhls' zzfoaYSh wdhq¾fõo ffjoH l%uhZZ f,i y÷kd.kakd tu ffjoH l%uh ;=< frda. iukh i|yd;a" ksfrda.S lu /l.ekSu i|yd;a Ndú;d l< úYsIaG T!IO fhda. w;sYhska m%n,h' m%;sM<odhlh'

jir oyia .Kkla bmerKs uykqjr hq.fha iÕ mrïmrdjlska mej; tk T!IO jÜfgdarejlg wkqj ilik zzfi;aiqj m%dKcSjZZ T!IOh ms<sn|j fuu ,smsh ielfikafka fuu T!IOfha j¾;udk Ndrlre" fld<U iriúhfhka foaYSh ffjoH úoHdj ms<sn| WmdêOdÍ ffjoH iqÔj ú;dkf.a uy;d yd ms<si|rl fhoSfuka ,nd.;a lreKq iïNdrhla yd pranarjeewa.com fjí wvúfhka .;a wu;r f;dr;=re leálr .ksñks' Y;l folla ;siafia ckdorhg ,lajQ bmerKs T!IO jÜfgdarej wdhq¾fõofha;a" foaYSh fjolu ;=<;a úYsIaG iuk" ksjdrk .=K w;alr fok T!IO rdYshla we;s uq;a zzfi;aiqj m%dKcSjZZ kï jQ fuu T!IOh fï w;ßka iqúfYaIS jkafka" okka l;dnyg úIh jk Tiqjla jkafka flfiao hk l=yq, Tng;a ;sfnkakg mq¿jk'

112

ffjoHjrhd - udisl ffjoH iÕrdj

;sfí' iqÔj ú;dkf.a ffjoH;=ud wm f.!rjkSh iajdñka jykafia weiqf¾ fï zzfi;aiqj m%dKcSjZZ T!IOh fhdodf.k frda.Ska iqjm;a lf<A wm f.!rjkSh .=re ysñhka jfhdajDoaOj isá wjia:dfõoSh' fyf;u ;u ffjoH Wmdêh ,eîfuka miq j. {dKdf,dal ysñ fijfKa ;u idhksl mßph Tma kxjd .ekSu wfma fï ish¿u ck;djf.a jdikdjls' m%dKcSj f,djg odhdo l< wmj;a jS jod, j. {dKdf,dal iajduska jykafia

ffjoH iqcSj ú;dkf.a

zzfi;aiqj m%dKcSjZZ ksIamdokh lrkafka ishjia follg;a jvd merKs foaYSh T!IO jÜfgdarejlsks' fuu T!IO jÜfgdarej m%fhdacH lrf.k wmj;aù jod< j. {dKdf,dal kdhl ysñmdKka jykafiaf.ka úYd, frda.Ska ixLHdjla iqjm;a lr fuys kjH hq.h wdrïN lr 2016 cqks l<dmh

frda. úYd, ixLHdjla iqjm;a lrk uy`.= T!IOh zzfi;aiqj m%dKcSjZZksIamdokh lrkakg T!IO j¾. foiShlg jeä ixLHdjla m%fhdackhg .kS' th ksoka.; frda. úYd, ixLHdjlg iqjh i,ihs' fï fnfyf;a we;s wreuho fuhuhs' Èhjeähdj fyj;a uOqfïyh md,kh" bka we;sjk w;=re wdndO je<elaùu" wêreêr mSvkh ksid we;sjk frda. ;;a;aj md,kh" iakdhq frda." wxYNd. frda." we÷u" mSki" ifï frda." ykaÈm;areod" w¾Yia" N.kaor" wï, ms;a; frda.h fyj;a .eiag%hsáia frda.h md,kh" jl=.vq frda." wlaud frda." ms<sld frda." yDo frda. hk fi!LH .eg¿ fndfydauhla i|yd id¾:l úi÷ula §ug yels YlH;djhla iys; foaYSh ffjoH l%ufha w;s m%n, T!IOhla f,i zzfi;aiqj m%dKcSjZZ úúO m¾fhaIK u.skao ;yjqre lr ;sfí' ngysr m¾fhaIK Tiafia ikd: jQ Tiq .=Kh foaYSh jYfhka YS% ,xld ld¾ñl ;dlaIK wdh;kh úiska zzfi;aiqj m%dKcSjZZ T!IOfha ridhksl ixhq;sh (Chemical Composition) yd laIqø Ôù ixhq;shka (Micro Bacteaial composition) ms<sn|j;a fmdÿfõ iuia: T!IOh iïnkaOfhkq;a úYaf,aYKd;aul wOHhk isÿlr ;sfí' tu mÍCIK ;=<ska YÍrhg wys;lr hhs oekg kùk úoHdj u.ska y÷kdf.k we;s u¾lß" leâñhï" fldm¾" wdiksla jeks úI ridhksl øjH" nerf,day lsisjla fuu T!IOfha wvx.= fkdjk nj ikd: lr ;sfí' (http://www. pranajeewa.com/labtests.html) ;jo isrerg 113

INDIGENOUS MEDICINE

m%Khg cSjhla ,ndfokakdjQ m%dKcSj

wys;lr nelaàßhd" È,Sr jeks CIqø ðù úfYaI lsisjla fuys wka;¾.; fkdue;s njo fuu m¾fhaIK Tiafia ;yjqre lr ;sfí' uOHidr iy iSks wvx.= ke; úfYaIfhka mdkh i|yd we;s wdhq¾fõo iy foaYSh T!IO iïnkaOfhka we;s fmdÿ fpdaokdjla jkafka tajdfhys wêl ud;%dfjka uOHidr iy iSks wvx.=j mj;skjd hkakhs' tfy;a mdkSh T!IOhla f,i Ndú;d lrk m%dKÔj Tiqfõ uOHidr fyda iSks wvx.= fkdue;" ta nj m¾fhaIKd;auljo ;yjqre lr ;sfí' tu m¾fhaIK ;=<ska ;yjqreù we;af;a T!Iëh mdkhla f,i zzfi;aiqj m%dKcSjZZ T!IOh isrerg wys;lr fkdue;s njhs' wefußldkq rcfha wdydr iy T!IO ms<sn| wêldßh (FDA- USA) úiskao zzfi;aiqj m%dKcSjZZ T!IOh iïnkaOfhka mÍCId isÿfldg fi!LHdrlaIs;Ndjh ms<sn|j ;;a;aj i;slhla ,nd § ;sîu fy< T!IO ksIamdolfhl= ,enQ iqúfYaIS ch.%yKhls' T!IOfha fldf,iagfrda,a kE''' ta;a YÍrfha fldf,iagfrda,a iqjm;a lrkjd''' óg wu;rj úfYaIfhka f;,a ke;skï fïoh hk ixfhda.h ms<sn|j wjfndaOfhka fyda wkjfndaOfhka nyq;rhla ck;dj is;d bkafka tys wvx.= fldf,iafgfrda,a m%udKh .ekhs' zzfi;aiqj m%dKcSjZZ T!IOh ;=< ñksia isrerg wys;lr fldf,iafg%da,a wvx.= ke;s nj ksYaÑ;ju i|yka l< yel' isref¾ wêl fldf,iafgfrda,a ksid mSvd úÈk frda.Ska fuu zzfi;aiqj m%dKcSjZZ T!IOh mdkh lsÍu u.ska ;ukaf.a isref¾ we;s fldf,iafgfrda,a ixhq;sh wvqlr.ekSu we;af;kau fuu T!IOfha iajNdjhhs'

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

Y,Hl¾u j,g kshñ;j isá yDo frda.Ska mjd iqjm;a lrkjd''' reêrfha tl;= ù ;ekam;a ù we;s fïo leá;s Èh lsÍulao zzfi;aiqj m%dKcSjZZ T!IOh u.ska isÿlrk njo m¾fhaIKj,ska ;yjqre lr we;' lsÍgl OuKs noaO lsÍfï ie;alï isÿlsÍug ks¾foaY lrk ,o yDo frda.Ska wdY%fhka kdúkak" wdhq¾fõo m¾fhaIKdh;kh iu. taldnoaOj isÿlrk ,o 114

Tfí osú iß m%dKhg ksielfhkau Ôjhla" mqk¾cSjkhla ,ndfokakdjQ zzfi;aiqj m%dKcSjZZ T!IOfha we;s jákdlu foaYSh jYfhkao" cd;Hka;r jYfhkao úfYaI ms<s.ekSula ,eî we;af;a fuys we;s wñ, jQ T!Iëh .=Kh ksiduh'

www.waidyawaraya.lk

ffjoHjrhd - udisl ffjoH iÕrdj

presentation.html) fuu idhksl mÍlaIdfõ§ ish¨ frda.Skag jirla jeks ld,hla mqrdjg Èkm;d T!IOhla f,i zzfi;aiqj m%dKcSjZZ T!IOh muKla ,nd§ug lghq;= lr wk;=rej isÿ lrk ,o mÍlaIK j,oS by; ks.ukhkag meñKSug yelsdj ,eî we;' fuu idhksl m¾fhaIK u.ska ,nd we;s id¾:l m%;sM,fhkao ;yjqre jkafka T!IOhla f,i zzfi;aiqj m%dKcSjZZ T!IOhg we;s iqúfYaIs yD;a frda. iukh lsÍfï yelshdjhs'

T!IO ilik wdldrh

idhksl m¾fhaIKhl§ ;yjqre ù we;af;a tu frda.Skaf.ka 65]-70] l muKlf.a lsÍgl OuKs noaO Y,Hl¾u lsÍug ;snQ wjYHdjh u.yeÍ hk uÜgug OuKs wjfrdaOhka iqjm;a lsÍug zzfi;aiqj m%dKcSjZZ T!IOhg yelshdj ,eî we;s njhs' fuu idhksl mÍCIdj iïnkaO m¾fhaIK m;s%ldj weußldfõ ñisisms úYaj úoHd,fha§ bÈßm;a lsÍuo isÿlr we;s' (http://www. pranajeewa.com/

2016 cqks l<dmh

óg wu;rj fld<U úYaj úoHd,fha ffjoH mSGfha iy úoHd msGfha tl;=fjka zzfi;aiqj m%dKcSjZZ T!IOfha we;s ms<sld kdYl .=Kh ms<sn|j m¾fhaIKhla isÿ lr we;' (http:// www.pranajeewa.com/cancer.html) tu m¾fhaIK m%;sM< j,g wkQj zzfi;aiqj m%dKcSjZZ T!IOh jeä m%udKhlska m%;sTlaisldrl .=K mj;sk nj;a tu T!IO ;=< ms<sld kdYl .=K (Anti cytotoxic properties) mj;sk nj;a fidhdf.k we;' Tfí osú iß m%dKhg ksielfhkau Ôjhla" mqk¾cSjkhla ,ndfokakdjQ zzfi;aiqj m%dKcSjZZ T!IOfha we;s jákdlu foaYSh jYfhkao" cd;Hka;r jYfhkao fï wdldrfhka úfYaI ms<s.ekSula ,eî we;af;a fuys we;s wñ, jQ T!Iëh .=Kh ksiduh' foaYSh T!IOhla jYfhka zzfi;aiqj m%dKcSjZZ T!IOh f,djmqrd w;am;a lrf.k we;s lS¾;sh foaYSh fjolfï úYsIaG;ajh f,djg y`v.d lshk losu ksoiqkla jkafkah' wefußldj" hqfrdamh" cmdkh" bkaÈhdj" uef,aishdj iy ueofmrÈ. wdoS rgj,a úYd, ixLHdjlg fuu uy`.= T!IOh wmkhkh lsÍu fï rfÜ foaYSh ffjoH l¾uh iuia;hla jYfhka ,enQ ch.%yKhlao fkdjkafkao @ igyk ( wñ; úl%udrÉÑ

115

116

ffjoHjrhd - udisl ffjoH iÕrdj

ADVERTORIAL

nfhda la,Ska iajdNdúlj úfhdackh jk iqmsß jeisls,s mú;%ldrlh

nfhda la,Ska iajdNdúlj úfhdackh jk iqmsß jeisls,s mú;%ldrlh iS$i vd¾,s nÜ,¾ iy iud.u ms<sn|j ì|la''' jir 167l fm!V b;sydihla ysñ iSudiys; vd¾,s nÜ,¾ iy iud.u Y%S ,dxlSh ck iudch ;=< w;sYh úYajdih /|s fj<| kdu rdYshlg ysñlï lshkq ,nhs' Y%S ,dxflah jHdmdßl ;,fha b;du;a Yla;su;a úúOdx.SlrKh jQ jHdmdr rdYshlska iukaú; B'î'l%Sis iy iud.u (E B Creasy & Company PLC) iSudiys; vd¾,s nÜ,¾ iy iud.fï uq,a iud.uhs' iS>%fhka wf,ú jk mdßfNda.sl NdKav (Fast Moving Consumer Goods) w;=ßka lõ wekaâ f.aÜ" ìla" yelaia" fvkagd" kskacd" ,laImdk iy wïß;d hk fj<| kduhka fmdÿck úYajdih oskdf.k fmruqK f.k isà' ish ksIamdos;hkayS wLKav .=Kd;aul j¾Okh iajlSh mru wruqK lr.;a iSudiys; vd¾,s nÜ,¾ iy iud.u ksr;=reju m%h;ak orKqfha wod, ksIamdos; ldKavhg wod,j cd;Hka;r ;,fha we;s fyd|u ksIamdos;h wNsnjd hk .+Kd;aulNdjhla ish ksIamdos; ;=< wLKavj mj;ajd .ekSuhs' wfmalu /l.ksñka fmrg hk wm''' iS>%fhka fjkia jk f.da,Sh ;dlaIKfhka ksr;=reju hdj;ald,Sk jk m¾fhaIK yd ixj¾Ok uOHia:dkhlska iukaú; vd¾,s nÜ,¾ iy iud.u ish ksIamdos;hka i|yd f,dj fyd|u w;s kùK ;dlaIKh fhdod.kq ,nhs' Y%S ,dxlsl;ajhg ieuúgu uq,a;ek foñka ,dxlSh wkkH;djh ms<sn|j wNsudkh fmroeßj jHdmdßl lghq;= fufyhjk wm iud.u" Y%s ,dxflah úYaj úoHd, ;=<ska ìysjk úoHd¾Òka fyj;a wkd.; m%d{hkaf.a l=i,;djhka rgg odhdo lrkakg iEÿKq fid÷re jHdmdßl f;da;ekakls' ksoyia wOHdmkfhys m%;sM< jYfhka fumska ìfuka ìysjk nqoaêu;=ka yg ish l=i,;djhg ysñ úh hq;= ksis w.hka yd wjia:djka fkd,enqKq l,ayS isÿjk nqoaê.,kh furg ixj¾Okh flfryS oeä wksgq m%;súmdl f.fkk nj fkdryils' oefha mskg ìysjk fujka nqoaêu;=ka furg kfjda;amdok iy ksIamdok l%shdj,sh ;=< r|jdf.k cd;sl wd¾Ólh Yla;su;a lsÍfuys ksiairKdOHdYfhka hqla; fufyjr Wfoid vd¾,s nÜ,¾ iy iud.fuys by< l<uKdldß;ajh fuys,d f.k we;s m%h;akhka m%YxikShh' 2016 cqks l<dmh

117

ADVERTORIAL

wOHhk - jHdmdßl tluq;=j fuu fufyjfrys ;j;a msgqjla iksgqyka lrñka jir 2010 oS vd¾,s nÜ,¾ iy iud.u fld<U úYaj úoHd,hSh úoHd mSGh iu. wjfndaO;d .súiqulg t<ö w;r Wmfhda.S;djfhka wkQk kj ksIamdos;hla Y%S ,dxlSh fj<|fmd<g odhdo lrKq jia wejeis uQ,sl m¾fhaIK lghq;= ms<sn|j j.lSu fld<U úYaj úoHd,hSh ffjoH mSGfha Colombo Science & Technology Cell wxYhg mejßKs' mqrd fojirla fld<U úYaj úoHd,hSh úoHd mSGfhys m¾fhaIK fldg" bka wk;=rej f;jirla mqrd B î l%Sis iud.fuys fydaï flhd¾ m¾fhaIK iy ixj¾Ok wxYfhys ixj¾Okh fldg mdßfNda.sl m%cdj w;g m;ajk wk.s ksmehquls zznfhda la,SkaZZ (jeisls,s mú;%ldrlh' zznfhda la,SkaZZ jeisls,s mú;%ldrlh fj<|fmd<g y÷kajdoSu mqrd jir myla m¾fhaIKd;aulj jeä oshqKq lrk ,o zznfhda la,SkaZZ 118

nfhda la,Ska iajdNdúlj úfhdackh jk iqmsß jeisls,s mú;%ldrlh

jeisls,s mú;%ldrlh fj<|fmd<g y÷kajdoSfï w;s W;al¾Ij;a wjia:dj iïNdjkSh wdrdê;hka /ilf.a m%Odk;ajfhka miq.shod fld<U .d¿uqjfodr fydag,a mßY%fhaoS meje;aúk' jdksc mrud¾: iy iudc fufyjr tla u.l hñka''' Wiia m%ñ;sfhka hq;a ksIamdos;hla y÷kajd oS tu.ska fj<|fmd< ch .ksñka ,dN ,eîfï jdksc mrud¾:h iu.dój ish iudc fufyjro osh;a úh hq;= nj ;srj mila lr.;a iSudiys; vd¾,s nÜ,¾ iy iud.u zznfhda la,SkaZZ ksIamdos;fhys uQ,sl m¾fhaIK lghq;= isÿl< fld<U úYaj úoHd,hSh úoHd mSGfha Colombo Science & Technology Cell wxYfhys bosß úoHd;aul m¾fhaIK lghq;= i|yd ish uQ,H odhl;ajh ,ndoSug ;SrKh lrk ,oS' ta wkQj iud.u úiska fj<|fmd<g ksl=;a lrk iEu zznfhda la,SkaZZ ñ',S' 100 fnda;,hlska Y; 50lao" ñ',S' 500 fnda;,hlska remsh,lao" ñ',S'700 fnda;,hlska remsh,a 1'50lao Colombo Science & Technology Cell yS m¾fhaIK wruqo,g ner lsÍug;a" f;jirla mqrdjg fuu uy`.= odhl;ajh ,ndoSug;a ;SrKh úh' fufyjr mKsúvh Y%S ,dxflah fj<| f,dj oejeka;hka yg újD; werhqula lrk iSudiys; vd¾,s nÜ,¾ iy iud.u jeäÿrg;a wjOdrKh lrKqfha jdkscuh kfjda;amdok l%shdj,sh Wfoid ,dxflah úYaj úoHd, m%cdj odhl lr.ekSfuys we;s cd;sluh

ffjoHjrhd - udisl ffjoH iÕrdj

jeo.;aluhs' úYaj úoHd, ;=< .Ks;" úoHd iu. ;dlaIK" l,d iy jdksc úIh OdrdjkayS bf.Kqu ,nk úoHd¾Òkaf.a oeKqu iy l=i,;djhkag ksis jákdlula tla lrk mßos úYaj úoHd, uÜgñka Tjqkaf.a odhl;ajh jdksc jHdmdr i|yd fhdod.ekSu furg bosßfhaoS uqyqK mEug isÿjk .eg¿ fndfydauhlg iaÓridr ms<shula nj wmf.a ye`.Suhs' zznfhda la,SkaZZ jeisls,s mú;%ldrlfhys iqúfYaIS;djhka • iajdNdúlj úfhdackh jk (Biodegradable) wuqøjH j,ska ieÿï,;a Y%S ,xldfõ ksmojkq ,nk m%:u iqmsß jeisls,s mú;%ldrlh zznfhda la,SkaZZ* fõ' jeisls,s moaO;shg tlaùfuka miq iajdNdúlj úfhdackh ùu fya;= fldgf.k tys mrsir ;=<s;;djh wdrlaId jk neúka" jeisls,s j,j,a W;=rd hdu i|yd jk fyd| ms<shuls' • jeisls,s mú;%lrK ld¾hlaIu;djh (Toilet cleaning efficiency) w;ska oekg ,dxflah fj<|fmdf<a we;s m%Odk;u jeisls,s mú;%ldrl ksIamdokh wNsnjd zznfhda la,SkaZZ fmruqK f.k isà' • jeisls,s n÷fka w;sYh nyq, úIîc ish,a,lau úkdY lrhs'* ^* f,dj m%uqL;u cd;Hka;r m¾fhaIKd.dr u.ska úoHd;aulj ;yjqre lrk ,oS'& • ødjKfha we;s by< >K;ajh fya;= fldgf.k jeisls,s n÷fka wdf,am lsÍfïoS myiqfjka ì;a;s u; wdf,am ù ;o me,a,ï u; laIKslj l%shdfldg jeisls,sh iqmsßisÿ fldg oSma;sfhka nn,jhs' jeisls,s n÷k u; iuj wdf,am jk fyhska mßmQ¾K iqmsßisÿ lsÍula iy;sl flf¾' • jeisls,sh" kdk ldurh kejqï iqj|ska m%fndaOu;a lrhs

wf,ú jk iEu" ñ,s ,Sg¾ 100 fnda;,hlskau Y; 50la" ñ,s ,Sg¾ 500 fnda;,hlska remsh,la iy ñ,s ,Sg¾ 700 fnda;,hlska remsh,a 1'50la f;jirla mqrdjg fld<U úYaj úoHd,hSh úoHd mSGfha úoHd;aul m¾fhaIK i|yd jk (UCSTEC) wruqo,g ner flf¾' • iSudiys; vd¾,s nÜ,¾ iy iud. fï idvïnr kfjda;amdolhla jk zznfhda la,SkaZZ ksIamdok l%shdj,sh wdY%s;j isÿjk kj /lshd W;amdokh" cd;sl wd¾Ólh Wfoid ukd msgqjy,la imhhs' cd;sl wd¾Ólhg iy Y%S ,dxflah Wiia wOHdmk lafIa;%fha m%.ukhg udye`.s odhl;ajhla ,ndfok zznfhda la,SkaZZ jeisls,s mú;%ldrlh Tn ksjig wdikak is,a,r fj<|ief,ka fyda iqmsß fj<|ief,ka ,nd.; yel'

• Y%S ,xldj ;=< wf,ú jk mdrsfNda.sl ksIamdos; w;=rska úYaj úoHd,hsh úoHd;aul m¾fhaIK Wfoid uQ,H mß;Hd.hka ,ndfok tlu ksIamdos;h zznfhda la,SkaZZ fõ'

2016 cqks l<dmh

119

120

ffjoHjrhd - udisl ffjoH iÕrdj

FOOD AS MEDICINE

iqÿÆKQ - .=Kj;a fnfy;ls

• flia .ia fmdaIKh lrhs • ms<sld we;sùu j<lajhs • ys;lr YÍr nrla mj;ajd .ekSug WmldÍ fjhs • wêreêr mSvkh md,kh lrhs • m%;sYla;slrK moaO;sh Yla;su;a lrhs

iqÿÆKQ - .=Kj;a fnfy;ls

iqÿÆKQ ixl+,;d lsisjla ke;s .=K rdYshla isrerg ,ndfok wdydrhla f,i y÷kajkafka wehs @ • iqÿÆKq reêrfha fldf,iagfrda,a wvq lrhs' • iqÿÆKq ms<sld /ila u¾Okh lrhs • iqÿÆKq fiïm%;sYHdj iy WKg T!IOhls • iqÿÆKq YÍrfha cS¾Kl l%shdj,sh iqir lrhs • iqÿÆKq reêrfha iSks uÜgu wvq lrhs • iqÿÆKq <h wdidok j,g m%;sl¾uhls • iqÿÆKq wk.s m%;sTlaisldrlhls' ;=reKQ nj /l fohs' • iqÿÆKq m%;scSjl .=Kfhka hqla;h • iqÿÆKq m%;sm%odysl .=Kfhka hqla;h • iqÿÆKq m%;sYla;slrK moaO;sh ;sr lrhs mefmd,a .=Khs - Tn iqrlshs • yDo frda. j,ska Tn iqrlshs • cS¾Kl l%shdj,sh iqir lrhs • wefia fmkSu hym;a lrhs • wd;rhsáia frda.hg iykh i,ihs • ifï j¾Kh meyem;a lrhs

2016 cqks l<dmh

fkdrg m<;=rla jQj;a mefmd,a ;rug iq,n wem,a lEfuka Tng w;ajk jdis • ish¿u ms<sld u¾Okh lsÍfï .=Kfhka hqla;h' • oshjeähdj we;s ùfï bvlv wiqrhs • fldf,iagfrda,a wvq lrhs • yoj; ksfrda.S lrhs • ms;a;dY .,a we;sùu j<lajhs • mdpkhg;a" u<noaOhg;a .=Khs • we,aIhsu¾ frda.h Tfnka wE;a lrhs • mdlskaika frda.fhka Tn wE;a lrhs • iqÿjka o;a fofm,la ,nd fohs

121

fy< cSjl mrmqfrka'''

nÿ,af, flfy,awe,af,a fjouy;a;hd iu. ms<si|rla

wêreêr mSvkh" oshjeähdj wdoS iq,n fnda fkdjk frda. fukau ms<sld" jl=. vq frda. wdoS frda. j,ska fm¿Kq fï rfÜ i;r os.aNd.fha úYd, ck;djlg iqjh i,id ÿka cSjlhska w;f¾ flfy,awe,af,a fjouy;aud iqúfYaISh' miq.sh ld,h uq¿,af,au fjouy;d weiqf¾ iqjm;a Ndjhg m;a jQjka ixLHdj iq¿mgq fkdfõ' flfy,awe,af,a fjouy;audf.a úfYaI;ajhla jkafka ;u {dKh ksn| m¾fhaIK weiqf¾ h:dj;a lr.ekSuhs' Tyq yd ixjdohl fhfoñka wm miq.sh ld,h ;=< Tyqf.a kjH Ndú;djka ms<sn|j úuiqul fhfokakg wm woyia l<d'''

ikSm fjkafk ke;s f,v j,ska mSvd ú|sk frda.Ska uf.a .djg tkak'''

nÿ,af, flfy,awe,af,a fjouy;a;hd iu. ms<si|rla fkdjk frda. ms<s,hla fia iudch fj,d.;a hq.hls fuh' wêreêr mSvkh" oshjeähdj" fldf,iagfrda,a wdoS u;= oskfhl úYd, fi!LH .eg¿ we;s l< yels frda. fukau''' wxYNd.h" ms<sld wdoS oreKq frda.j,g wm ,laùfï wjodku iS>% f,i biau;= jk hq.hl wm cSj;a jkafkuq' óg fmr t;rï olakg fkd,enqKq fï frda. j,g úYd, jYfhka wm ksrdjrKh jk w;r tajdg ms<shï fhoSug kQ;k ffjoH l%u u.ska úYd, W;aidyhla orKQ ,nhs' ngysr wef,dam;sl ffjoH l%uh fukau bmerKs wdhq¾fõoho fï wNsfhda.h ch .ekSug orK W;aidyh iq¿mgq fkdfõ'

fnda

122

oshjeähd frda.Skag uu úYd, jYfhka m%;sldr lrkjd''' jeä jYfhkau ud fj; tkafk oshjeähd frda.Ska' oshjeähdj fï ld,fha b;d wêl jYfhka olakg ,efnkjd' úlD;s jQ wdydr isß; jf.au YÍrhg ksis jHdhduhla ke;slu fï ;;a;ajhg n,mEjd jkakg mq¿jka' wm fj; tk frda.Ska oshjeähd frda.fhka

ffjoHjrhd - udisl ffjoH iÕrdj

wfma foaYSh T!IO j,g fldf,iagfrda,a j,ska ck;dj uqojd.kak mq¿jka' tajd wfkl=;a bkaøsh j,g" úfYAIfhka wlaudjg wys;lr n,mEï we;s lrkafka kE' fï ksid foaYSh wdrg fu m%Yakfhka ñfokak W;aiql jk tl jvd;a fyd|hs' ñoSfï id¾:l;ajh .ek l:d lf<d;a bkaishq,ska úYd, jYfhka .kakd frda.Ska fï fnfy;a ál l,la .ekSfuka ;ukaf. idhk j,skau ;u bkaishq,ska ud;%dj wvq lr .ekSug Wmfoia ,nkjd' wka;sfïos fnfy;a fm;a;g udre fjkjd' fï wh os.gu fnfy;a .ekSfuka idudkH ;;a;ajhg ;u reêr.; bkaishq,ska uÜgu wvq lr.kak mq¿jks' frda.fhka myiqfjka ñoSug reêr.;j iSks y÷kd.;a; uq,a ldf,u tkj kï wmg myiqhs' Tjqka wfma fnfy;a îfuka yd wm fok Wmfoia m%ldrj lghq;= lsÍfuka fndfydu myiqfjka frda. fhka w;a ñfokjd' fï frda.fhka ñfokak kï jeros wej;=ï mej;=ï j,ska ñfokak ´ks' fï .ek;a uu úfYaIfhka ie<ls<su;a fjkjd' Tjqkag ta iïnkaOfhka wjYH Wmfoia ,nd fokjd' ta wkQj lghq;= lsÍu frda.fhka ñfokak n,j;a msgqjy,la fjkjd' kshñ; Wmfoia wkq.ukh lrkjd kï wjYH fí;afya;a ksis fj,djg .kakjd kï fï whf. frda. ;;a;ajh iqjm;a lrkak mq¿jks' oshjeähd frda.Ska úYd, ixLHdjla uf.a fnfy;a j,ska iqjh ,n, ;sfnkjd' ta .ek uu w;sYhskau i;=gq fjkjd' wêreêr mSvkhg T!Iëh m%;sldr wdhq¾fõo u;dkql+, m%;sldr wdrlaId iys;hs' tajd Y;j¾Idêl ld,hla ;siafi wys;lr Wmøj j,ska f;drj frda.Ska iqjm;a lr, ;sfnkjd' 2016 cqks l<dmh

wêreêr mSvkhg wm ,ndfokafka fï bmerKs iqrlaIs; T!IO' fïjd Wmøj ixl+,;d j,ska f;drj reêr mSvkh uekúka mj;ajd. ekSug WmldÍ fjkjd' wêreêr mSvkfhka fmf<k frda.Skao úYd, m%udKhla uf.ka m%;sldr .ndf.k frda.h uekúka md,kh lr ;sfnkjd' fï iïnkaOfhka wfma wdhq¾fõofha ;sfnk m%;sldr Wmøj j,ska f;drhs' ta ksid fï fnfy;a .ekSfuka bkaøsh ydks fjkjd'''' ixl+,;d we;s fjkjd''' wdoS wksh; ìhla we;s lr.; hq;= kE' reêr.; fldf,iagfrda,a wvq lrk wdhq¾fõoSh m%;sldr wm .kak yqre fj,d bkak we;eï wdydr ksid fldf,iagfrda,a we;s fjkjd' kuq;a Th lshk wm;H wdydr fkdf.k;a úYd, msßila wo fldf,iagfrda,a jeäùfï ;¾ckhg uqyqK md isákjd' fï wkQj fldf,iagfrda,a fï wdldrfhka by< hkak fjk;a fya;=;a n,mdk nj meyeos,shs' cdk.; fya;=ka''' fuhg ie<lsh hq;= fya;=jla jk nj ;uhs wmg fmfkkafka' 123

fy< cSjl mrmqfrka'''

nÿ,af, flfy,awe,af,a fjouy;a;hd iu. ms<si|rla

jl=.vq iïnkaOfhka" tys l%shdldß;ajh iïnkaOfhka fidhd n,kafk l%sheákska reêr mÍlaIKfhkafk' uu fï mÍlaIKfha jd¾;d ,ndf.k ;uhs m%;sldr lrkafk' udi folla ;=< uf.a <`.g tk frda.Skaf.a l%sheákska uÜgu wvq fjkjd' jl=.vq mÍlaIKhlska th Tngu ;yjqre lr.; yelshs' jir folla jf.a ld,hla os.gu .ekSfuka iïmQ¾K iqjhla ,nd.; yelshs'

frda.fhka myiqfjka ñoSug reêr.;j iSks y÷kd.;a; uq,a ldf,u tkj kï wmg myiqhs' Tjqka wfma fnfy;a îfuka yd wm fok Wmfoia m%ldrj lghq;= lsÍfuka fndfydu myiqfjka frda. fhka w;a ñfokjd'

wfma foaYSh T!IO j,g fldf,iagfrda,a j,ska ck;dj uqojd.kak mq¿jka' tajd wfkl=;a bkaøsh j,g" úfYAIfhka wlaudjg wys;lr n,mEï we;s lrkafka kE' fï ksid foaYSh wdrg fu m%Yakfhka ñfokak W;aiql jk tl jvd;a fyd|hs' flfy,awe,af, mrïmrdfj fï iïnkaOfhka mj;ajdf.k wd úfYaI jÜfgdare.; fjolï fï iïnkaOfhka wm wfma frda.Skag ,nd fokjd' fï T!IO iSñ; ld,hla ;=< .ekSfuka reêr.; fldf,iagfrda,a uÜgu ys;lr w.hlg m;afjk nj wmg m%;HlaIfhkau lsj yelshs' jl=.vq krlajQ frda.Skag;a fjolï lrkjd jl=.vq frda.h wo uq¿ uy;a oehu fj,d.;a fÄojdplhla njg m;aj ;sfnkjd' wjdikdj kï ;ju;a fï frda.fha iïNjh iïnkaOfhka mj;akd ksYaÑ; fkdjk u;su;dka;rhs' jl=.vq krla ùfï uQ,sl ,laIK my< jQ frda.Ska /ila flfy,awe,af,a fjo uy;audf.a T!IO jÜfgdarejlska iqjh ,nd ;sfnk nj wikakg ,enqKd' wm fï .ek;a Tyqf.ka úuiQjd' uq,a wjia:dfõu frda.Ska wdfjd;a f.dvla fyd|hs' ta wh b;d myiqfjka iqjm;a lrkak mq¿jka' kuq;a tys Wiia woshr j, frda.Ska mjd uf.ka m%;sldr .kakjd' úfYaIfhka lshkak ´ks vh,hsia lrk jl=.vq frda.Ska mjd uf.ka .;a; m%;sldr j,ska iqjm;a ù ;sfnkjd'

124

Tyq jl=.vq frda.Ska yg b,a,Sula lrkjd' fïl úYd, .eg¿jlafk' Tn mqreÿ lr.;a fnfy;a .kak''' ta .ukau uf.a fnfy;a áll=;a yßhg lshk úosyg fndkak'fuhska Tfí jl=.vq fmÍfï l%shdj,sh kej;;a mqk¾cSjkhg ,la lrkak mq¿jka' thska Tfí jákd cSú;h wdrlaId lr.kak wjia:djla ie,fikjd' fï jl=.vq frda. hg Tyq fok fnfy;a ms<sn|j úoaj;a l;sldj;la we;s fjkj kï fyd|hs lshk ldrKh ;uhs Tyq fmkajd fokafk' zz uu fï .ek w;s.re

ffjoHjrhd - udisl ffjoH iÕrdj

ckdêm;s;=udg;a ,shkak woyia lrf.k bkakjd''' uu lshkafk fï .ek fydhd n,kak' uu jeros kï udj w; yeßhg lula kE' ta;a uu fok fnfy; fï frda.hg ms<s;=rla kï thska wfma rfÜ ck;djg hïlsis iykhla w;am;a fjkjdfk'''ZZfï flfy,awe,af, fjouy;a;hdf. iaÓridr y`v' ms<sld frda.Skag iqjh iok úfYaI jÜfgdare fjolu flfy,awe,af, fjouy;a;h il, úO Ndú;hkayS mßphla olajk ffjoHjrfhla' Tyq yuqjkakg ms<sld frda.Skao úYd, m%udKhla tkjd' fï ksidu wm fï .ek;a úuiSula l<d' ms<sld frda.Skag uu ilia l< úfYaI jÜfgdarejla ;sfnkjd' th T!IO ish .Kkdjla wdkqmdk lrf.k ilia lrk ,o fnfy;la' fuh bmerKs Ndú;djla' mqiafld< fmd;a mßYS,kfhka ;uhs fï fnfy; w;ayod ne¨fj' oekgu;a frda.Ska úYd, m%udKhla uf.a fï fnfy; îfuka iqjm;a jqKd' ;j;a ie<lsh hq;= frda.Ska m%udKhla oekgu;a uf.ka m%;sldr ,nkjd' ms<sld frda.Skag ;ukaf. ta fjolï lrk .ukau uf.a fï kshu lrk m%;sldr;a ,nd.kak mq¿jka' túg wjodkula .ek Tjqkag .eg¿jla ;sfnkjd kï thla ksrdlrKh fjkjfk' oekg úYd, ixLHdjla ms<sld frda.Ska uu ksÜgdjg iqj lr, ;sfhkjd' ta jf.au fï jk úg;a frda.Ska úYd, ixLHdjla m%;sldr .kakjd' ikSm lr.kak neß f,v ;sfhk wh bkakjd kï ud .djg tkak fuf;la fudk ;rï m%;sldr l<;a iqjhla fkdue;s ùu ksid mSvd ú|sk frda.Ska uf.a ,`.g jrla tkj kï uu leu;shs' ug ta wh fjkqfjka hula lrkak mq¿jka' tfyu ÿla ú|mq frda.Ska úYd, ixLHdjlg uu iqjh ,nd oS, ;sfnkjd' ksÜgdjg iqj lr.kak neß whg iykodhS cSú;hla .; lrkak wjia:dj i,iajd ;sfnkjd' flfy,awe,af, fjouy;aud m%;sldr lrkafk nÿ,af, ;ukaf. ksjyfka isguhs' Bg wu;rj udihlg j;djla mkaksmsáh" l=reKE., yd

2016 cqks l<dmh

j,iauq,af,a;a m%;sldr lrkjd' Tng;a mq¿jks" Tyq yuqù Tyq úiska imhk wñ, jQ m%;sldr fiajdjka ,nd.kak' ta i|yd Tng my; ÿrl:k wxl m%fhdackj;a fõú' flfy,awe,af,a fjouy;aud m%;sldr lrk osk yd ia:dk iEu uilu 2"3"4 yd 5 osk 303" wdkkao ffu;%S udj;" mkaksmsáh iEu uilu 6 yd osk l=reKE.," jEWv" lkafoúydr ykaosh iEu uilu 21 yd 22 osk j,iauq,a," fldfyd,dk ykaosfha l=re÷j;a; bvu iEu uilu 23 je,s.u isisr ,¾k¾ia wi," fyÜáùosh iEu uilu 26 osk wïmdr mdie,a ykaosh" ouk wfkl=;a iEu oskhloSu nÿ,a, flfy,awe,a, mdf¾ lKqme<e,af,a ffjoH uOHia:dkfhaoS flfy,awe,af,a fjouy;audf.a ÿrl:k wxl 055 301 2580 077 609 4495 055 222 2208

125

ADVERTORIAL

Wor uÜgq

ia;%S" mqreI" f,dl=" l=vd ldg;a iqÿiqh' iïmQ¾K Ydlidr pQ¾Khls' úfoaYhka i|ydo wdkhkh lrk w;r úYd, b,a¨ula úfoaYhkaf. kao fõ'

Tfí YÍrfha fïoh oshlr isyska isrerla ,nd fok cd;Hka;rh oskQ fy< wdhq¾fõo Tiqj

Wor uÜgq .%Ska y¾n,a fïo yrK pQ¾Kh ia:q,;djh frda. /ilg fya;=jls' wêreêr mSvkh" oshjeähdj" wd;rhsáia" wï, ms;a; frda.h wdosh we;sùug YÍrfha wêl fïoho fya;=jla fjhs' ishhg ishhla Ydlidr muKlau Wmfhda.S lrf.k ksIamdokh lrk ,o fuu zz.%Ska y¾n,a Wor uÜgqZZ Ydlidr pQ¾Kh Tfí isref¾ ia:q,;djh ke;s lrhs' fïoh uekúka oykh lrhs' rildrl" fjk;a wdl,k" fydafudak lsisjla wvx.= ke;' .eg¿ /ila tljr úi|k fnfy;la ia:q,;djh" wêl fldf,iagfrda,a" Worh úYd, ùu" wêreêr mSvkh fukau wdudY.; wcS¾K ;;a;aj mjd ke;s lrhs' f.drld" iqÿ¿Kq lrmsxpd yd ;j;a wuqøjH oy wgla weiqf¾ ksIamdokh lrk n,.;= T!IOhls'

Wor uÜgq ,nd .ekSfuka we;sjk m%;sM< oskm;d udihla mdkh lsÍfïoS YÍrfha nr lsf,da .a?ï 3 lska wvq lr.; yel' fmKqfuyso ie<lsh hq;= fjkila we;s jkafkah' uekúka m%;HlaI l< T!Iëh wdkqmdk j, .=Kh ksid lsisÿ ixl+,;djhla we;s fkdfõ' osjhsfka jeä fofkla úYajdifhka mdúÉÑ lr Worh isyska lr .kshs' ta;a iu.u f,v frda. /ila iqj lr .kshs' .%Ska y¾n,a fjo ueÿr Ñrd.; T!Iëh iïm%odfha ;j;a m%d;sy¾hd;aul Tiqjls' Ndú;h i|yd úuiSï ffjoH lreKd .uf.a 0775507381" 0776165705 wdhq' ksIamdok wxlh 6$2$1$04$15

126

ffjoHjrhd - udisl ffjoH iÕrdj

ADVERTORIAL

.=rej;a; j,õfõ .%Ska y¾n,a iud.fuka ;Ügh uÜgq lrk wfmau fidhd .ekSula'''

flaI uQ, ;r,h ksfrda.slu W;=ïu iem; hehs wms ksrka;r mjid isákafka kslugu fkdfõ' frda.s wjia:djl oS wmg ú|skakg isÿjk ÿla .eyeg" lror ndOl fndfydah' úúO ffjoH l%u yryd ksrka;r frda. iqjlr .ekSfï m%h;akhl kshef<k wm ;rÕldÍ cSjk rgdjlg yqre ù isákafkuq' ta ksidfjkau idïm%odhsl wdhq¾fõo ffjoH l%uh u.ska frda. iqjlr .ekSug fm<fUkafka b;du iSñ; msßils' wmg Wreu jQ wdhq¾fõo l%uh ;jÿrg;a bosßhg f.k hñka f,djg hym;lau isÿ lsÍu wNsfhda.hla njg m;aù we;' fï fya;=fjkau wfma rfÜ ,laI ixLHd; msßila uqyqK md isgk wNd.H iïmkak frda.s 2016 cqks l<dmh

flaI uQ, ;r,h

;;a;ajhlg iaÓridr úiªï fidhd .sh bisjrfhl= nª ñksfil= fidhd hdughs wmf.a fï W;aidyh' rfÜ iqm;, kula we;s iS' ta' ch;s,l Tyqf.a uq;a;dh' yslalvqfõ Y%s iqux., ysñmdKka uq;a;df.a udud flfkls' fmardfoKsh úYAjúoHd,fha mqia;ld,h ;=< ngysr ffjoH úoHdj ms<sn| ,shejqKQ fmd;a mßYS,kh lrk w;r;=r ;u j,õfõ mrïmrd .Kkla ;siafia wdrCId lrkakg ;ekam;a lr ;snQ mqia;lo Tyq uekúka mßYS,kh lrñka oeä wêIAGdkfhka ;u b,lalh fj; mshk.kakg úh' Tyq iaÒr jYfhkau wfma rgg lS¾;shla f.akjd' úYAj úoHd, wOHdmkho l%ufhka w;miq l< Tyq fõ.fhka ;u mÍCIK fcHda;sIHo Wmfhda.S lr .ksñka oshqKQ l<ehs wm iuÕ mjid isáfha' tu mÍCIK j,go Ndckh jQfha Tyquh' w;s úYd, uqo,la jeh lsÍug isÿ jQ wjia:d j, hï hï miq. dó isÿùï isÿjqKo ffojfha ydialulska fuka 2005 jif¾ f,d;/hs oskqï weoSfï ,xldfõ m%:u fldaám;shd ùfï Nd.Hho ;u mjq,g Wreu ùu ksid b;du;a id¾:l f,i Tyqg ;u b,lal lrd <Õd jkakg yels úh' Tyqf.a fidhd .ekSu wkqju fïoh iy ms; jeäjqjfyd;a flaI kd,sld isÿre jeiS hk neúka flia j,g iemfhk reêrh k;r ù ;Ügh mEfohs' Bg ms<shï o ;u T!IOh ;=<ska imhd f,a .ukd.ukh h:d ;;a;ajhg m;a lrùugo ;u mÍCIK j,g wkqj ta i|yd T!IO 21 fhdod .ekSu ;=< fï T!IO wo id¾:l m%;sM, ,ndwe;' tu ksid Tyqf.a fï fidhd .ekSu flaI uQ, ;r,h kñka kï lr we;'

.%Ska y¾n,a m%vlaÜia mqoa.,sl iud.u .=rej;a; j,õj" óáhdf.dv ÿrl:k 077 5507381 *elaia 091 4944082 E Mail gherbalproducts@gmail.com hairforboldheads.blogspot.com

127

ffjoH lreKd ^wdhq¾'& .d,a, 0776165705 ffjoH .d,a,f.a ^wdhq¾'& yslalvqj 0719657897 ffjoH iqcSjkS úl%uisxy ^wdhq¾'& háhkaf;dg 0362270437 ffjoH oSmsld iQßhwdrÉÑ noafo.u 0711539432 ffjoH l=udß lreKdr;ak ^wdhq¾'& .ïfmd, 0814485534 fca'ã' isßudk ^wdhq¾'& wúiaidfj,a, 0773678335 ffjoH pkaok Whl=udr je,sfõßh ^wdhq¾'& 0777063034 ffjoH ví'ta'tia'úodkwdrÉÑ ^wdhq¾'& fk¿j 0716272745 ffjoH bkaosl m%kdkaÿ ^wdhq¾'& j;a;, 0712019811 we,amsáh" l=re÷.yye;elau cSjl Tiqi, fnd/,a, isxy, wdhq¾fõo Tiqi, fjdaâ maf,aia mdr uykqjr fndaj;a; T!IOd,h" fld<U ùosh l=reKE., o ksõ *duis merl=ïnd ùosh" cSjka; Tiqi, .d,a, hqkhsgâ *dud" tlai;a Tiqy, ud;r hqkhsgâ *dud" fldgqf.dv Tiqy, l¿;r hqkhsgâ *dud" lgql=rekao" uqksr;ak" ÿïßhm< mdr nKavdrfj, iriú Tiqi, lelsrdj ßá., Tiqi, r;akmqr nqoaêl *duis nia kej;=ïm< wi, mdkÿr Woh T!IOd,h" uy ùosh ;,j;=f.dv Ydks *duish l<,af.dv yxosh uyr.u kkaok Tiqi," yhsf,j,a mdr kqf.af.dv úch Tiqi, kdj, mdr kkaok Tiqy," mrK leianEj mdr lsßn;af.dv isxy, fnfy;a nvq fj<|ie, kqjr mdr" udfld, mdr lvj; iq,,s; Tiqi," fffjoH .`.nv cdwe, iuka Tiqy,"iqcSj Tiqy, ó.uqj ,xld *duish" w,shußlald¾ wkqrdOmqrh t,a î fla T!IOd,h udlÜ fmfoi fmdf<dkakrej cSjl T!IOd,h" ,xld fuäl,a

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

www.hairlanka.com ksIAmdokh .%Ska y¾n,a m%vlaÜia fm!oa.,sl iud.u" .=rej;a; j,õj" ñáhdf.dv fg,s ( 077-5507381 *elaia( 0914944082 ,s'm' wxlh PV 70430 128

ffjoHjrhd - udisl ffjoH iÕrdj

AD-MIRE Creative

flaYuQ, ;r,h iy .%Ska y¾n,a wfkl=;a ksIamdok ,nd.; yels osjhsk mqrd Tiqi,a iuyrla