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cd;sfha mqfrda.dó ffjoH iÕrdj 03 jk l,dmh

20 ldKavh 2014 - ud¾;=

re'150$-

HQPro m%KS; wê fmdaIK fm%daàk mdkh meleÜgqjla fkdñf,a ,nd.kak Tfí ku yd ,smskho iu.ska flá mKsúvhla (SMS) hqproabbott@gmail.com fj; tjkak. jeä úia;r ioyd 43 msgqj n,kak.

ISBN - 1391 1341

9

77139 1 13400 1 www.facebook.com/WaidyawarayaMagazine

www.waidyawaraya.lk

Pharmacopia

Physiotherapy

Nutrition

Ayurveda

Health News

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YÍrh l;d lrkjd''' Tn;a Bg weyqïlka fokak'''

wxYNd.h j<lajk ffjoH mrSlaIKh

oeka wdisrs frdayf,aoS lr.kak' Stroke Prevention Health Check - Package MRI Brain Scan - Non Contrast Echo Cardiogram Carotid Doppler (U/S) Liver Function (SGOT/SGPT) Fasting Lipid Profile (Cholesterol) Fasting Blood Sugar Serum Electrolytes (Kidney Function) Thyroid Stimulating Hormone (Thyroid Function) S. Creatunins (Kidney Function) Electro Cardiogram (ECG) Erythrocyte Sedimentation Rate (ESR) Full Blood Count (FBC) Complete Physical Examination Checking of Height & Weight

by; mrSlaIK isÿ lsrSfuka miqj Tnj mrSlaId lr Tfí ldhsl ;;a;ajh iudf,dapkh lrkafka úfYAI{ ffjoH ;=re,a wdá., úisks' Asiri Wellness Centre Tel: 4542818 & 4542819 Or 4524400 Ext: 2603 Asiri Surgical Hospital PLC No. 21, Kirimandala Mawatha, Narahenpita, Colombo 05 Email: info@asiri.lk


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20 ldKavh 2014 - 03 l,dmh

6 8

Breaking Health News meh 7la osklg ksod .kak' th Tfí cSú;h fjkqfjka lrk jákdu wdfhdackhls

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24 ms<sld frda.hg lgqms, .=Ko@ 29 î¡iS¡cS¡ (BCG) tkak; .ek

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Menopause wd¾;jNdjhg m%;sldr

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62 úYdoh fkdfyd;a

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75 Blue Cross

102 T!IO ,nd.; hq;=

76 fudnhs,a fmdaka j, úlsrKh

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m%Yakhls" Nappy Rashes

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.

Copyrights © HEALTH WATCH LANKA (PVT) LTD. 2014

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Editor's Note Medicare cd;sl iqj fiajd m%o¾Ykh -2014 Medicare cd;sl iqj fiajd m%o¾Ykh fujr;a ud¾;= 7" 8 yd 9 osk j,oS nKavdrkdhl cd;Hka;r iïuka;%K Yd,dfõoS meje;afjhs' ck;djf.a iqj oeKQu m%j¾Okh lsÍu;a" foia úfoia fi!LH flfIA;%h ;=< wdfhdaclhkg fï rfÜ fi!LH fiajdj ;=< we;s bv m%ia:d ms<sn|j wjfndaOhla imhk fõosldjla ùu;a iqj fiajd m%o¾Ykfha uqLHd¾:h jkafkah' fujr Medicare m%o¾YKh meje;afjkafka miafjks j;djgh' fuu m%o¾YKh jißka jir iajlSh wkq.%dyl Nj;=ka m%udKh jeä lr.ksñka ck;djf.a iyNd.s;ajho jeä lr.kq fmfka' ta wkQj cd;sl iqj fiajdj ;=< fuu Medicare m%o¾YKh iajlSh wkkH;dj" uqødj ;yjqre lr.kakd fihla fmfka' miq.sh ld,h ;=< fi!LH fiajdfõ idhksl wxYfhyso" ;dlaIKsljo úYd, oshqKQjla we;sj ;sfnk w;r fï rfÜ miq.sh ld, mßÉfPAoh ;=< we;sjQ ;r`.ldÍ iqj fiajdj ;=< fï oshqKQfõ hï ;dla m%;sM< wfma rggo ldkaÿ jQ neõ fmfka' wdfhdaclhkag wkd.; iqj fiajdfõ oshqKQfõ msUQrem;a ieliSug''' iajlSh ;r`. lrejka yd iodpdrd;aul ;r`.ldÍ m%fõYhla wdrïN lsÍug fuu m%o¾Ykh losu wjia:djls' Medicare m%o¾YKh furgg y÷kajd foñka kjH iqj w;aoelSï wfma ck;djg ,ndoSug ,ndoSug mqfrda.dó jQ tÜlka iafmkaia lkafjkaIka iy tlaisìIka wdh;khg fukau fï m%o¾YKh ;=< mqrd jir myla mqrdjg cjiïmkak kdhl;ajhla ÿka fi!LH wud;HxYfha w;sf¾l f,alï y¾I wu,a o is,ajd uy;dgo lD;fõos;ajh msßkukq leue;af;ñ' Ndr; .=K;s,l úOdhl l¾;D bharata.gunathilaka@gmail.com

The Pioneer Health & Medical Journal 20 ldKavh 2014 - 03 l,dmh

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


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Breaking Health News ffjoHjrhd mqj;a úuiqu

Breaking

Health News reêr mß;Hd.YS,Skaf.a oskh cqks 14 - fï jif¾ reêr odhl oskh m%Odk W;aijh fujr m%Odk W;aijh fld<UoS

zzreêr 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' fï ksidfjkau f,a oka oSug fkduiqre wfma rfÜ ck;djg Wmydrhla jYfhka iEu jirlu cqks 14 oskg fhfok reêr mß;Hd.YS,Skaf.a oskfha fï jif¾ m%Odk W;aijh ieuÍug f,dal fi!LH ixúOdkh úiska Y%S ,xldj f;dardf.k ;sfnkjd'ZZ

fi!LH wud;H ffu;%Smd, isßfiak uy;d miq.shod fï woyia m%ldY lf<Ah' j¾Ihlg furg frday,a moaO;sfha m%fhdackh i|yd reêr tall 350"000la muK odhlhkaf.ka ,efí' miq.sh j¾Ihg idfmalaIj 2013 j¾IfhaoS ishhg ishhl jeäùula jd¾;d flßK' fuu jif¾ cd;sl reêr odhlhkaf.a oskhg iu.dój cqks ui 4 isg 14 osk olajd úfYAI oeKqj;a lsÍfï i;shla meje;aùug kshñ; w;r tys f;audj jkafka zziq/ls ud;D;ajhla i|yd iqrlaIs; reêrhZZ hkakhs'

ñkamiq rildrl ys;=uf;ag nE''' wdydr wdydr WmfoaYl lñgqfõ úêúOdk ixfYdaOkh fjhs wdydrj,g tl;= lrk rildrl iïnkaOfhka kS;sh oeä lr ;sfí' fï wkQj fi!LHhg kqiqÿiq hhs y÷kd.kakd ,o rildrl ridhk øjH 20la wdydr i|yd tl;= lsÍu cq,s ui 1 osk isg ;ykï flfrk w;r hï rildrlhla fyda ri m%j¾Olhla úfoaYhlska wdkhkh lrkafka kï wod, rfÜ ta iïnkaO


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kshduk lghq;= lrk wdh;khlska tu ridhkh wdydr j,g tla lsÍug wdrlaIs; njg iy;slhla ,nd .ekSuo wksjd¾h flfrhs' fi!LH wud;HxYfha wdydr WmfoaYl lñgqj fuu kj ;SrK uyck;djf.a iqNisoaêh fjkqfjka miq.shod .kakd ,oS' wNskj ks¾foaY wkQj wdydr rildrl yd m%j¾Ol fhoSu ;ykï lrk ,o wdydr lsß yd lsß ksIamdok" whsial%Sï" wêYS; lrk ,o w;=remi" fïo iy f;,a" ud.ßka iy fïo ;ejreu" lmk ,o m<;=re yd t<j¿" y;= ksIamdok" m<;=re jhska" m<;=re l=vq" t<j¿ l=vq" laIKsl m<;=re yd t<j¿ pÜks ñY%K" OdkH wdydr" msá l< OdkH" iy,a we;=¿ OdkH j¾." iõ" meiagd" kQâ,aia" fuda,aÜ wvx.= wdydr" lsß wvx.= wdydr" fílß ksIAmdok" uia j¾." ud¿ j¾." iSks" isrma j¾." ómeKs' wNskj ks¾foaY wkQj Ndú;h ;ykï lrk ,o rildrl ridhk wef,dhska" n¾nßka" îgd weifrdaka" iskuhs,a weka;%lais f,á" flaä Ths,a" le,uia Ths,a" fldflaka" l=ußka" vhst;s,ska .a,hsflda,a" fudfkdB;hs,a B;¾" tiag%f.da,a" bhqcskhs,a ó;hs,a B;¾" yhsmßäka" khsfg%dfnkaiska" mhsfrd,scskia weisâ" iekafrd,a iy whsfidiekafrd,a" iekafgdkska"ihdm%ia Ths,a" ;=fcdaka" whsfid;=fcdka" fgdkald îka'

jl=.vq frda.h .ek foaYSh ffjoH weu;s l;d lrhs jl=.vq frda.h .ek m¾fhaIK oeka iqÿ w,sfhla njg m;aj ;sfnkjd' m¾fhaIK i|yd remsh,a fldaá .Kkska yqjudre fj;aoS wfma jl=. vq frda.Ska wirkj'''lïms;j ÿla ú|skjd' w¿f;ka m¾fhaIK lsÍfï wjYH;djhla ke;sjd fkdfjhs' ta;a jl=.vq frda.hg n,mj;ajkafka nerf,day nj;a tajd mig''' c,hg tl;= jkafka wm Ndú;hg .kakd TSP fmdfydrj,ska nj;a foaYSh ffjoH wud;H id,skao osidkdhl uy;d m%ldY lrkjd' lDIsl¾u úoHd mSGfha uydpd¾h ir;a nKavdr fï iïnkaOfhka oS¾>j m¾fhaIK isÿ l< úoajf;la' Tyq fmkajd oS ;sfnkjd" jl=.vq frda.hg leâñhï pQos;hd nj''' idudkH ;;a;j a hgf;a leâñhï c,fha osh fjkafk kE' fïjd jeõj, ;ekam;a fjkjd' mdhk ld,j,oS iQ¾hdf,dalhg ksrdjrKh ùfuka leâñhï Tlail s rKh fjkjd' tajd c,fh osh fjkjd' tajd ;uhs YÍrfha ;ekam;a fjkafk' ud¿" fk¿ï w," flláh w, ú;rla fkdfjhs" ta c,h mdúÉÑ lr, ksIm A dokh lrk yd¿;a fï frda. j,g w; jkkak mq¿jks' fï fmdfydr j,sk'a '' lDIs idhk j,ska wE;a fj,d wfma merKs f.dú;ekg wdfh;a hkak ldf, weú,a,''' wud;Hjrhd jeäÿrg;a m%ldY lf<Ah'

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Life Lession meh 7la osklg ksod .kak' th Tfí cSú;h fjkqfjka lrk jákdu wdfhdackhls

meh

7

la osklg ksod .kak'

th Tfí cSú;h fjkqfjka lrk jákdu wdfhdackhls jHdmdßl ;reKfhl=f.a iuq .ekSu f,dalhg lshd fok mdvu''' WoEik wjos ùug Tn ;nk t,dï tl ;j;a meh nd.hla miaig odkak' ud tfia lshkafka wehsoehs hkak fï ,smsh lsheùfuka miqj Tng wjfndaO jkq we;s' rkacka odia jHdmdßl ;reKhdf.a l;dj rkacka odia - bkaoshdfõ id¾:l jHdmdßlfhl= úh' Tyq SAP Indian subcontinent kï wdh;kfha m%Odk úOdhl ks,Odßhd fukau idudkHdêldÍjrhdo úh' iajlSh jHdmdßl cSú;h ;=reKQ úfhaoSu wrUd flá l,lska Tyq tys ysksfm;a;gu .uka lf<Ah' ;j;a úosylska rkacka odia y÷kajd ÿkafkd;a Tyq Ndr;fha b;d ;=reKQ úfhaoSu jHdmdßl f,dalh ch.;a tfiau fï jk úgo ;u jhi yd ii|k úg jHdmdßl f,dalfha by<skau jecUqKQ jHdmdßl m;dlfhl= úh'


03 jk l,dmh

tfy;a Tyq óg udi .Kkdjlg fmr jHdmdßl f,dalfhka muKla fkdj''' ;u {d;s ys; ñ;%doSkaf. kao" cSú;fhkao ioygu iuq.;af;a uq¿ uy;a Ndr;fhau jHdmdßl m%cdj m%lïmkhg m;a lrñks' ta jk úg Tyq hka;ï wjqreÿ 42 iïmQ¾K l<d muKs' rkacka odia lsis úfgl w,i cSú;hla .; l< wfhl= fkdfõ' jHdmdßl ch.%yK mfilska ;nuq' Tyq b;d fyd| ksfrda.S ;refhl= úh' yeu úgu Tyq ;u YÍrh .ek ie<ls<su;a úh' ;u jHdhdu .eko tmuKgu ie<ls,a,la oelaùh' ;u jHdmdßl lghq;= muKgu Tyq l%Svdfõ wxY folla iïnkaOfhka úfYAI ,eoshdjla olajkakg jQfhah' tlla kï ;u YÍrh uekúka mj;ajd .ekSuhs' ta i|yd Tyq ldh j¾Ok uOHia:dk weiqre lf<Ah' ;ukagu wdfõKsl jHdhdu jevigykl ksr; jQfhah' wfkla fojeks iy b;d jeo.;a ldrKh kï Tyq uer;ka Odjlfhl= ùuhs' uer;ka Odjkfha fhoSug we;af;kau Tyqg ;snqfKA mqÿudldr wdYdjls' ta ksidu uqïndhs yS ldg¾ udjf;a Tyq Odjkfha fhoSu iq,n oiqklao úh' iqm%lg fpkakdhS uer;ka ;r`.hg Tyq iEu jirlu iyNd.s úh' miq.sh jif¾ oSjd,s W;aijhg miqj Tlaf;dan¾ 21 jkod Tyq iajlSh jHdhdu uOHia:dkhg .sfhah' iqmqreÿ f,i jHdhdu j, fhÿfKAh' kej; ksfjigo meñKsfhah' .;jQfha iq¿ fj,djls' Tyq uy;a fõokdfjka

mmqj nod .;af;ah' B<`. fudfydf;a Tyq ìu m;s; jQfha ;ukaf.a ;=reKQ wd;auh foúhka fj; Ndr lrñks' cSú;h kï ;K w. msKs ì|lau fkdjkafkao @ jHdmdßl wêrdcHhl m;dlfhl=" iqkaor ;reKfhl= lsisod fkdis;+ fkdme;+ f,iska cSú;fhka iuq.;a wreuh lsue'''@

osjd ld,fha udkisl tald.%;dj mj;ajd .ekSug fukau oji mqrd m%fndaOfhka isákakg WmldÍ jkafka miq fydard lsysmh ;=< ,efnk kskaohs' meh myl muK kskaolska miqj oji .; lsÍfïoS cSj .=Kh msßyS hdu mqÿuhla fkdfõ' fufia kskao wvq ùfuka oji mqrd ksosnr njla yd fjfyilr njla we;sùu j<lajd .; fkdyelalls' kskafoa wjika fydard lsysmh fkdfyd;a REM kskao ;kslr miqoskh ;SrKh lrk kskao jkafkah'

jerÿKQ ;ek fidhuq rkacka odia f.a urKfhka Ndr;fha fndfyda fokd ;e;s .;ay' nyq;rhlg m%Yakh jQfha fï ;rï fi!LH iïmkakj isá flfkla fï id wirK f,i ysájk cSú;fhka iuq .;af;a flfiao hkakhs' uer;ka Odjkh Tyqg kmqrla l<do @ wfhla is;kakg úh' Tyq wê jHdhduhlg m;aù urKhg m;a jqKdo @

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Life Lession meh 7la osklg ksod .kak' th Tfí cSú;h fjkqfjka lrk jákdu wdfhdackhls

fï ;rï fi!LH iïmkak jQ''' fï ;rï f;dard.;a wej;=ï meje;=ï we;a;djQ fid÷re jHdmdßlhd wosisfha ñh .sfha flfiao@ rkacka odia f.a cSú;h iïíkaOfhka iudf,dapkh lrk l,ayS Tyq iajlSh cSjk u. úYd, wd;;shla ord.kakd ,o nj lshefõ' wd;;sh - rkacka odia g muKla iSud jQ ldrKhlao fkdfõ' wo wm w;r isák jeäfofkla iEu l,aySu úYd, wd;;shla ysiska ordk tosfkod lghq;= j, ksr; fjhs' lhg jHdhdu ÿkakdg" wdydr md,kh l<dg wd;;sh iukh lrk ux ms<sn|j ie<ls,a,la Tn fkdolajkafka kï ta l< hy.=Kfhkao wre;la fkd,eîug bv ;sfí' rkacka odia iïnkaOfhka úuik l< Tyq osklg ksodf.k we;af;a meh 4 - 5 w;r ld,hls' ta nj Tyq ;uka iyNd.s jQ NDTV rEmjdyskS jevigyfkaoS l,lg fmr lshd mEfõh' Ndr;fha iqm%isoaO yDo frdA. úfYaI{fhl= Ndr;fha iqm%isoaO jHdmdßlhdf.a urKh iïnkaOfhka wjOdkh fhduq lrñka Tyqg jerÿKQ ;eka ms<sn|j ióm wOHhkhl ksr; jQfhah' Tyq wjidkfhaoS isÿ jQ fÄojdplhg wdikak fya;=j f,i ÿgqfõ m%udKj;a kskaola fkdue;s ùu iy wd;;shhs'

Some Key points about sleep m%udKj;a kskao iïnkaOfhka ful, úoaj;=ka w;r mj;akd idOKSh lreKQ lsysmhla fufia fm< .iajñ'

01'

meh 5-6 g wvqfjka ksod .ekSu úYd, jYfhka reêr mSvkfha wia:djr ùï j,g fya;= fjhs'

02'

wjqreÿ 25-49 w;r jhia ldKAvfha Woúh wvq kskao ksid oeä jYfhka wêreêr mSvk wia:djr ùï j,g ,la fjhs'

03'

meh myg wvq kskaola ,nk wh yDohdndO j,g ,laùfï bvlv f;.=Khlska by< hhs'

04'

kskao wvqfjka ,nk Woúhf.a High sensitivity C-Reactive Protein (hscRP) reêr.; idkaøKh úYd, jYfhka jeä fõ' miqj Tyq kej; kskaola ,enqjo fï uÜgu wvq ùula isÿ jõfka ke;' hs-cRP hkq yDohdndOhla we;s ùfï bvlv olajk m%n, fm/ hSuls'

05'

tla rd;%shl ksos wvq ùula" j¾cs; ùula jQj YÍrfha OQ,l;djhka jeä lrhs' Tumour Necrosis FactorAlpha (TNF-alpha) and C-reactive protein (cRP)


03 jk l,dmh

fufia ksos j¾cs; ùfïoS YrSrhg tl;= jk ydkslr úIldrl fõ' fï úIldrl ksid ms<sld" ykaosm;a wdndO yd yDohdndO we;s ùfï wjodku by< kexfjhs'

06'

meh myg wvqfjka ,nk kskao ksid yDohdndO wjodku ishhg 39lska by< kexfjhs' meh 6g wvqfjka kskao ,efnk úg yDohdndO wjodku ishhg 18 lska jeä fõ'

kskafoa wjia:d folls' REM ( Rapid Eye Movement ) yd non-REM jYfhks' fuhska REM kskao udkisl tald.%;djhg fya;= jk w;r nonREM kskao YÍrh w¿;ajeähd ùug iy kej; f.dvkexùug fya;= fjhs' mßiudma; kskaoloS fï wjia:d lsysm jrla we;s fõ' uq,skau we;s jkafka non-REM kskaohs' fï ld,fhaoS Tfí YÍrh w¿;ajeähd lrKQ msKsi msáhqgß .%kaÓfhka msáhqgß fydafudakh >%djh lrhs' miqj jeä jYfhka we;s jkafka REM kskaohs'

11

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12

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Life Lession meh 7la osklg ksod .kak' th Tfí cSú;h fjkqfjka lrk jákdu wdfhdackhls

.ekSu yd YÍrhg úfõlhla ,ndoSu fjkqfjks'

rkacka odia wdydr .;af;a m%fõYfuks' Tyq fyd|g jHdhdufhyso fhÿfKAh' fyd| YÍr nrlao mj;ajd .kakg Tyq iu;a úh' kuq;a w;sYh jeo.;a lreKla Tyqg w;miq úh' ta" fyd| kskaola ,eîuhs' osjd ld,fha udkisl tald.%;dj mj;ajd .ekSug fukau oji mqrd m%fndaOfhka isákakg WmldÍ jkafka miq fydard lsysmh ;=< ,efnk kskaohs' meh myl muK kskaolska miqj oji .; lsÍfïoS cSj .=Kh msßyS hdu mqÿuhla fkdfõ' fufia kskao wvq ùfuka oji mqrd ksosnr njla yd fjfyilr njla we;sùu j<lajd .; fkdyelalls' kskafoa wjika fydard lsysmh fkdfyd;a REM kskao ;kslr miqoskh ;SrKh lrk kskao jkafkah' ;j;a fjfiia lreKla kï os.= ÿr Odjkfha fhfokakka ;j;a wu;r mehl jeä kskaola ,nd.; hq;=h' ta jeh jk Yla;sh kej; Wlyd

rkacka odiag jerÿKQ ;ek rkacka odia wdydr .;af;a m%fõYfuks' Tyq fyd|g jHdhdufhyso fhÿfKAh' fyd| YÍr nrlao mj;ajd .kakg Tyq iu;a úh' kuq;a w;sYh jeo.;a lreKla Tyqg w;miq úh' ta" fyd| kskaola ,eîuhs' rkacka odia osklg ,nd .;af;a meh 4-5 l kskaols' th Tyqf.a wd;;sho yDohdndO wjodkuo ie<lsh hq;= uÜgulska by< kexùh' rxcka odiag jerÿKQ ;ek wm fndfyda fofkl=go jerfokakg fndfyda bvlv we;s lreKls' wmo rxcka odia fukau oji mqrd jev lrk mqoa.,hkah' úúO j.lSï j, ne|S isák mqoa.,hkah' jHdmdrfha''' / lshdfõ fukau wdorKShka w;f¾o wfma ne|Sï úisr mj;S' fï ish¿ j.lSu uekúka bgq lrfokakg kï wm cSj;aj isáh hq;=h' rxcka odia wmg iod isysm;a lrjk mKsúvh thhs' mq¿jka kï osklg meh 7la ksod .kak' iqjnr kskaolg moku i<id.kak' th Tfí cSú;h fjkqfjka lrk w.kd wdfhdackhls'

Ndr; .=K;s,l úisks mh nrjd hg úi÷ï fiùfïoS kHIAÀl ffjoH úoHdfõ odhl;ajh ffjoHjrhd 2014 fmnrjdß l,dmfha 62 msgqfjka wdrïN jQ zzmh nrjd hg úi÷ï fiùfïoS kHIAÀl ffjoH úoHdfõ odhl;ajhZZ hk ,smsfha f,aLlhdf.a ku m< lsÍu w;miq ù we;' tu ,smsh kdrdfyakamsg" ,xld fydiamsÜ,a yS kHIAaÀl ;dlaIK{ YHdu,a bkaosl is,ajd uy;d úiska ,shk ,oaola nj i<lkak' -l¾;D


14

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Health & Fashion fi!LH iïmkak ñßsjeä i`.,la f;dard .ekSug Wmfoia

wä Wi im;a;= f,v /ilg uq,''' fi!LH iïmkak ñßsjeä i`.,la f;dard .ekSug Wmfoia ú,dis;d f,dfõ lemS fmkSu i|yd fomdj, iqj myiqj mjd fkd;ld yels ;rï Wie;s im;a;= m<oskafkda o isá;s' wfma isref¾ zwvq ie,l=ïZ ,nk fldgils fomd' wm uolg fyda ll=,a .ek is;kafka im;a;= .kakg hk úfgloS muKS' túg;a wfma jeä ie<ls,a, fhduq jkafka fomd j, iqj myiqj .ek fkdj ú,dis;d ms<sn|jh'


03 jk l,dmh

yelskï wä Wi im;a;= me<e|Su iïmQ¾Kfhkau k;r lrkak' tu.ska j<¨ lf¾;a" l,jdj,;a" uiams`vq j,;a wkjYH z;o ùulaZ isÿ fõ' th fldkafoa lelal=" ysi lelal=u jeks wudre /ilgu uq, úh yelsh' tfukau tksid fY%daKs l=yrfha;a Wor l=yrfha;a ;sfnk iuyr wjhj j, msysàu fjkia ùug mjd bv we;' wä Wi im;a;= mdúÉÑ lsÍug wjYH kï wÕ,a 2 g jvd Wi wvq tajd muKla f;dard .kak' tajd;a ojilg meh 4- 5 lg jvd me<| f.k bkak tmd' tfukau i;shlg fo;=ka ojilg jvd wä Wi im;a;= oeóu t;rï ys;lr fkdfõ' wfma tjeks WKqiqï ld<.=Khlg jvd;a .e<fmkafka me;,s wä iys; im;a;= iï fifrmamq jeks tajdh' tajd jvd iqjmyiqh' ,dNodhlh' tuÕska ll=,a .| .eiSu j<lajd .; yel' fomhg jvd;a .e<fmk im;a;= f;dard .ekSfïoS my; mshjr lsysmh WmldÍ fjhs' • im;a;= ñ<oS .ekSug hk úg ieu úgu yjia jrej Bg f;dard .kak' ll=,a j, os. m<, jeäu uÜgul mj;skafka ta fj,djgh' • Tfí nro ie<ls,a,g .; hq;=h' tksid im;a;= .kak yeu úgu isgf.k ne,Sugo wu;l lrkak tmd' • ll=f,a os.u weÕs,a,;a" im;a;=fõ fl<jr;a w;r wÕ,a nd.hlj;a bvla ;sìh hq;=h

wä Wi im;a;= mdúÉÑ lsÍug wjYH kï wÕ,a 2 g jvd Wi wvq tajd muKla f;dard .kak' tajd;a ojilg meh 4- 5 lg jvd me<| f.k bkak tmd' tfukau i;shlg fo;=ka ojilg jvd wä Wi im;a;= oeóu t;rï ys;lr fkdfõ' • me<|f.k myiqfjka weúosh fkdyels kï im;a;= fcdavqjla fl;rï ,dn fyda ,iaik jqj;a m,la fkdfõ' tksid im;a;= f;dard .kakg fmr ál ÿrla weúo n,kak' • im;a;=fõ bosß fl<jr rjqï úh hq;= w;r th ll=f,a yevhgu iudk úh hq;=h' weÕs,s myu wmyiqjla ke;sjo oeñh yels ;rï im;a;= wä m<,a úh hq;=h' • Tng yelskï iï mdjyka f;dard .kak' tajdfha we;s weÕs,s l=vd isÿre ksid oyosh;a nelaàßhdjkq;a tla /ia ùu je<fla' ÿÕo ouk fomdj,g uq,a jkafka;a oji mqrd ysr im;a;= j, fomd Tnd f.k isàuh'

15

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Advertorial bmerKs YdL jÜfgdare iu.ska ldka;su;a meyem;a isrerlg''' iulg''' iefkdaod y¾n,a ksIamdok

l=xl=udos T!Iëh iqj| inka

ysig iug ksis Tiq

fldaudßld" foys" fk,a,s" ;=,is" lSslsß|sh we;=¿ T!IO 60 lg wêl iïñY%Khlska l=xl=udos f;," l=udß f;," kS,Hdos f;," i¾júIdos f;, wvx.= lr ia;%S" mqreI" f,dl=" l=vd ieuf.a ysig" iug .=K fok mßos ksIamdos;hs' fy< rc oji iqrEmsshka osh kEfïoS Ndú;d l< Ydlidr iefkdaod T!Iëh iqj| inka j, tf,iskau wvx.= lr we;' T!Iëh iqj| inka j,ska kshu .=K ,nd .ekSug kï iakdkh lsÍfïoS ysfia isg fom;=, olajd fyd|ska inka we`. .,ajd jßka jr isrerg c,h ál ál ouñka fyd|ska n%IA lrkak' bkamiq iakdkh lr wjika ùug fmr kej; jrla ysfia isg fom;=, olajd inka we`. .,ajd jßka jr isrerg c,h ál ál ouñka u| fõ,djla uDÿ f,i msßuoskak' oeka isrer mqrd inka fiaoS hk m%udKhg iakdkh lr wjika

17

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18

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Advertorial bmerKs YdL jÜfgdare iu.ska ldka;su;a meyem;a isrerlg''' iulg''' iefkdaod y¾n,a ksIamdok

lrkak' túg ysfia yd ifï ksfrda.S;dj iy iqrEmS nj jeãug wjYH Tiq .=K /|S mj;skq we;' iakdkh lrk úg oskm;d Ndú;d lsrSfuka ysiafydß" flia .e,ù hdu" flia w. msmsÍu" wl,g flia meiSu" ÿ¾j¾K ùu j<ld ;o l¿ meye .kajd flia .ia m%dKj;a lr ysig kejqï .=Kodhl isis,la ,ndoS ishla Ysfrda frda.iqj lrhs' oo" l=IaG" oyäh ìì,s oyäh ÿ.|" leiSï j<ld ifï ish¿ frda. kid,hs' úIîc wdidok bj;a lr ifï f;;ukh /l oS ysig" iug ksis fmdaIKhla ,nd oS úvdnr jQ Tfí .;g kejqï .=Kodhl" fi!uH isis,la yd ks,ajka osÿ,k flia l<Ula ,nd fohs'

ysi isis,a lr flia jefvñka meyeh oshqKq lrhs'

fldaudßld lS lsß`osh T!Iëh fyhd wekaâ *q,a fndä lkaäIk¾

osÿ,k flia l<Ula $ kSfrda.S iula

flaYoSmd T!Iëh Ieïmq

flia jefvñka meyeh oshqKq lrhs'

foys" fk,a,s" fldaudßld" W¿yd,a" fjksje,a.eg" iShlald wvx.=hs' wjYH m%udKh mSßishlg oud c,h iaj,amhlska ñY% lr Wl=jg idod iakdkhg fmr ysi .,ajd iïNdykh lrkak' Wl=Kka we;akï ysi mSrkak' biafydß" flia .e,ù hdu" W`ÿf.dõjka lEu jyd j<ld Wl=Kka u¾okh lr

flia l<fò wjq,a ùu j<ld oSma;su;a uDÿ njla ,nd fok w;r ysfia yd ifï úh,s nj ke;s lr ukd f;;ukhla ,nd fohs' fuys we;s T!IO ixfhda. fhka ifï yd flia j, ksfrda.S;djhg ksis fmdaIKhla ,nd fok w;r ysig yd iug isis,la f.k fohs' urf;dkaä" lS lsßosh" wrEo" fldaudßld" fldfydU" ;=,is we;=`: T!IO rdYshl ixfhda.hls' iakdkfhka miq iefkdaod T!Iëh fyhd wekaâ *q,a fndä lkaäIk¾ ysfia yd YÍrh mqrd wdf,am lr c,h iaj,amhla oud fyd`oska msßueo ñks;a;= lsysmhlska miq fidaod yßkak'

T!Iëh kS,jr, ff;,h

flaI j¾Okhg fmdaIKSh m%;sldrh iShla Ysfrda frda. iqj lsÍfï fmr iq/ l=ï Ydlidruh kS, jr, ff;,h


03 jk l,dmh

oskm;d f;,a ìxÿ 8 la muK ysiflia wE;a lr ^flia .ia uq,g& oud we`.s,s ;=vq j,ska úkdä 10la muK fyd`oska iïNdykh lrkak' ysiafydß" flia .e,ù hdu" wl,g flia meiSu" flia w. msmsÍu" ÿ¾j¾K ùu" ysiroh" iemfia kskao fkdhEu jyd j<ld ysfia WIaKh kid ysi isis,a lr flia .ia m%dKj;a lrhs' flia .ia ;o l¿ meye .kajd osúh mqrd flaI l,dmh /l fohs' ia;%S mqreI fomd¾Yjhgu b;d .=K kS, jr, ff;,h oskm;d Ndú;fhka flaI l,dmfha kSfrda.Slu /l .ekSug fmr iq/l=uls' bmerKs jÜfgdarejlg wkqj is|sk ,o fk,a,s" fldaudßld" ;=,is" lS lsß`osh we;=`: T!IO /ila wvx.= wk.s f;,ls'

urf;dkaä lSlsrs|sh T!Iëh fyhd l%Sï

iajNdúl kejqï fmkqula oekg mj;sk flia j,g jvd flia ;o l¿ lrhs' ta oS¾>ld,Skj wdrlaId lrhs' wdf,amfhka miqj fndfyda fokd w;ßka lemS fmfka' flia l<U wjq,a ùu iaÓr jYfhka j<lajd flia fmdaIKh lrhs' wjYH f,i fldKavh ilid .ekSug WmldÍ fõ' flia .fia >k;ajh by< hhs' ;o l¿ lrhs'

j¾Okh lrhs' meh 24 mqrd kejqïj ;nd" kejqï iqj| yuhs' isis,aj ;nhs' ;reK yd jeäysá" ia;%S-mqreI fomlaIfhau idudkH yd ßfndkaäka" ß,elaiska" iafÜ%Ü we;=¿ ´kEu fyhd äihska iy vhs lr we;s ´kEu flaY l,dmhkag b;d iqÿiqhs' urf;dkaä" lSlsß|sh" ;=,is" wrEo" fldaudßld kS, jr, fyhd Ths,a we;=¿ T!IO rdYshl ixfhda.hls' msßñka i|yd iefkdaod fyhd l%Sï iaj,amhla we`.s,s j, ;jrd fliaj, wdf,am lr we`.s,s ;=vq u.ska wjYH f,i flia ilid .kak' ia;%Ska i|yd flia l<U y;rg fnod fldgiska fldgi wdf,am lrkak' iefkdaod fyhd l%Sï we`.s,sj, ;jrd flia l<fò uq, isg w. olajd we`.s,s w;ßka flia úysoS hk f,i wdf,am lrkak' we`.s,s u.ska wjYH mßos ilid .kak' iefkdaod y¾n,a m%vlaÜia 1631$3$11 ud<fò mdr" fldÜgdj" mkaksmsáh' ÿrl;k 0727915915 $0727915917 www.sanodaherbal.com

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Nutrition ksis ud;D fmdaIHh ;=<ska ksfrda.Su;a u;= mrmqrla

ksis ud;D fmdaIHh ;=<ska ksfrda.Su;a u;= mrmqrla


03 jk l,dmh

ksis fmdaIKh - nqoaêhghs" Yla;shghs

zksis fmdaIKhZZ kï ´kEu jhia ldKAvhlg wo ojfia wjYHfhkau imqrd.; hq;= wdydr b,lalhls' fkal úis;=re''' fkal wdl,k fh¥ ri kyr mskd hk wdydr wo fldf;l=la we;;a tajd fkal .=K ,en fokafka kï ke;' ta fjkqjg Tn frda.S lsÍug''' we;eï úg Tn úYd, fi!LH wk;=rl fy<Sug ;rï ¥IH wdydro fj<|fmdf<A .crdfug wf,ú fõ'

fujka miqìul Tfí ksis fmdaIK wjYH;d iqrlsk hy m%fõYhla ,en oSug fï úfYAIdx.h iïmdokh fjhs' fujr wmf.a wdrdê; f,aÅldj jkafkao jhU úYajúoHd,fha jHjydßl fmdaIK wxYfha lÓldpdßkS cS¡fca¡tï¡ kdkdhlaldr' u;= Wmosk orejdf.a wkd.;h fjkqfjka .eìKs ujf.a fmdaIK j.lSu f,dj fndfyda rgj, oshjeähdj" yDofrda." ms<sld yd wêreêr mSvkh jeks fnda fkdjk frda.j,ska fmf<k ck;djf.a by< hdula olakg ,efí¡ Y%S ,xldfõo miq.sh oYl lsysmh ;=< fuu fnda fkdjk frda.j,g f.dÿre jQjkaf.a iS.% jeäùula oel.; yels úh¡ jeros wdydr rgdjka l%shdYS,S fkdjk cSú;hla .; lsÍu ÿïmdkh yd wêl u;ameka mdkh fuu frda. we;sùu i|yd n,mdk idOl lSmhls¡ óg wu;rj .¾NKS ujf.a ÿIafmdaIK ;;a;ajfhka ^ukaofmdaIK fyda wêfmdaIKh& miq ld,Skj orejkag fujeks fnda fkdjk frda. we;sùfï wjodku jeä lrhs¡ Y%S ,xldfõ isÿlrk ,o iólaIKj,g wkqj m%:u .¾NKS idhkfhaoS

uõjrekaf.ka 25] lf.a muK Wig iß,k nrla fkdmj;sk w;r iEu uõjreka ;sfofklaf.ka tla wfhla ksrla;fhka ^reêrfha ysfuda.af,daîka m%udKh wvqùu& fmf<k nj fidhdf.k we;¡

ud;D fmdaIKh wkd.; mrmqf¾ fi!LH flfryS b;d jeo.;a fufyhla bgq lrhs¡ fï ksid iEu ujlau Wig iß,k nrla iys;j ud;D;ajhg t<öu ms<sn| ie<ls,su;a úh hq;=h¡ wvq Wm;a nr orejka ìysùug w; jkk fya;= .¾NKS ld,hg fmr Wig iß,k nrla fkdmej;Su" .¾NKS ld,h ;=<oS ks¾foaYs; jÜgug nr jeä fkdùu

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Nutrition ksis ud;D fmdaIHh ;=<ska ksfrda.Su;a u;= mrmqrla

iy ujf.a kSrla;h l=i ;=< isák l<,hg whym;a n,mEï we;s lrhs¡ wvq Wm;a nr orejka ìysùu fuys tla m%;sM,hls¡ Y%S ,xldfõ wvq Wm;a nr orejka ìysùfï m%;sY;h 16]la muK fõ¡ fuu wvq Wm;a nrla iys; orejka yg os¾> ld,Sk ixl+,;d / ila we;sùfï wjodkula we;¡ wvq Wm;a nr orejkaf.a YÍrfha we;s fïo m%udKh idudkH Wm;a nrla iys;j bmÿk orejkag idfmalaIj wvq Wm;a nr orejkaf.a YÍrfha we;s fïo m%udKh <ore <ud yd jeäysá wjêfhaoS by< uÜgul mj;sk w;r Tjqka ia:q,Ndjhg m;aùfï jeä wjodkula we;¡ fï by< fïo m%udKh iy ia:q,Ndjh, oshjeähdj, yDofrda., wê reêr mSvkh, ms<sld jeks oS¾>ld,Sk frda. we;sùfï wjodku jeä lrhs¡ uj ukaofmdaIKfhka fm<Su l=i;=< jefvk l<,fha fud,fha j¾Okhg wys;lr n,mEula we;s lrhs¡ fuh orejkaf.a nqoaê j¾Okh wvq lsÍug fya;=fõ¡ tfiau wvq Wm;a nrla mej;s mqoa.,hkaf.a reêr jdyskS >Kùfï jeä m%jK;djla mj;S¡ fuh yDo frda. we;sùu i|yd fya;= idOl fõ¡ tfukau uõl=i ;=<oS l<,hg isÿjk fmdaIH W!K;d fya;=fldgf.k bkaishq,ska kï fydafudakfha l%shdldß;ajh wvqúh yels w;r fuh miqld,Skj oshjeähdj ^2 j¾.fha& je<oSug uÕ mdohs¡


03 jk l,dmh

ta jdf.au l<,fha jl=.vq l%shdldS;ajhgo uõl=i ;=<oS we;sjk fmdaIK W!K;d wys;lr f,i n,mE yels w;r fuh jl=.vq wdY%s; frda. we;s lsÍug fya;= fõ¡ ujf.a wê fmdaIH ;;a;ajho fyd| kE ujf.a ukaofmdaIK ;;a;ajh fiau wê fmdaIH ;;a;ajhkao l<,hg whym;a n,mEï we;s lrhs¡ ia:q, uõjrekaf.a orejka l<, wjêfhaoS jeämqr fmdaIl øjHhkag ksrdjrKh ùu ksid miqld,Skj tkï <ud fhdjqka yd jeäysá wjêfhaoS ia:q,Ndjhg m;aùfï jeä wjodkula we;¡ .¾NKs ld,h ;=< uj oshjeähdfjka fmf<kafka kï l<,h jeämqr .aÆfldaia keu;s fmdaIl øjHhg ksrdjrKh fõ¡ fuu orejkag miqld,Skj oshjeähdj je<oSu i|yd fuh fya;= idOl fõ¡

YÍr ialkaO o¾Ylh

nr Wi óg¾ j,ska X Wi óg¾ j,ska

Wig iß,k nrla fï úosyg mj;ajd .kak fï wkqj i<ld n,k úg ud;D fmdaIKh wkd.; mrmqf¾ fi!LH flfryS b;d jeo.;a fufyhla bgq lrhs¡ fï ksid iEu ujlau Wig iß,k nrla iys;j ud;D;ajhg t<öu ms<sn| ie<ls,su;a úh hq;=h¡ Tng Wig iß,k nrla mj;Soehs oek.ekSu i|yd YÍr ialkaO

o¾Ylh fhdod.; yelsh¡ th my; oelafjk mßos .Kkh l< yel¡ fuu w.h 18¡5-23 w;r mj;S kï Tng Wig iß,k nrla mj;S¡ fuu w.h 18¡5g wvq kï Tng Wig iß,k nrla fkdmj;shs¡ tu ksid iqÿiq wdydr rgdjla uÕska YÍrhg Yla;sh ,nd .ekSu by< kxjd kshñ; nr uÜgug ,Õdúh hq;= h¡ Tnf.a YÍr ialkaO o¾Yl w.h 23g jevd jeä kï Tnf.a nr ms<sn|j jvd;a ie<ls,su;a úh hq;= h¡ .¾NKS Ndjhg t<öug m%:u wdydr md,kh yd jHdhdï uÕska nr wvqlr .; hq;= h¡ tfiau .¾NKS Ndjhg m;ajQjdg miq wfmalaIs; nr jeäùu ,nd.; hq;=h¡ Wig iß,k nrla iys;j ud;D;ajhg t<ö ujla wju jYfhka .¾NKS ld,h wjidk jk úg lsf,da.%Eï 10 muK nr jeäùula ,nd.; hq;= h¡ .¾NKS ùug m%:u Wig iß,k nrla ,nd.ekSu" .¾NKS ld,h ;=< wfmalaIs; nr jeäùu ,nd .ekSu" ksrla;sh j<lajd .ekSu yd .¾NKS ld,h ;=< oshjeähdj md,kh i|yd Tnf.a wdydr fõ,a ksjerosj ilid .; hq;=h¡ fï i|yd wjYH Wmfoia iqÿiqlï ,;a fmdaIK fõosfhl= yuq ù ,nd .ekSug lghq;= lrkak¡ Y%S ,xld jhU úYajúoHd,fha jHjydßl fmdaIK wOHdhkdxYfha lÓldpdßkS cS¡fca¡tï¡ kdkdhlaldr

23

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24

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Controversy ms<sld frda.hg lgqms, .=Ko@

ms<sld frda.hg lgqms, .=Ko@

d;aul ksÍlaIKhla''' uyr.u ms<sld frdayf,a iudc úoH

úfYaI{ ffjoHjrhl=f.a Wmfoia weiqßka ilia lrk ,§ zzms<sld frda. iqj lrk lgqms,'''ZZ uyr.u ykaÈfha isg t<j¿ fjf<|fmd< olajd .uka lrk Tng iqm¾ud¾leÜgqj bÈßmsg we;s w;afnfy;a lr;a;hla oel .kakg ,efnkq we;' úúOdldr jQ w;afnfy;a fï lr;a;fha we;s w;r tA iEu w;a fnfy;lu ku yd Bg háka tu.ska iqj jk frda.ho fyd¢ka fmfkk mßÈ f,dl= wl=ßka uqøKh lr fuys ;nd ;sfnkafka ´kEu flfkl=g meyeÈ,sj oel .; yels jk wkaough' by; i|yka lf<a o tys we;s tla w;afnfy;a j¾.hla yd Bg háka uqøKh lr ;sfnk jelshhs' fujeks ia:dk uyr.u muKla fkdj ,xldfõ i;r È.aNd.fhau ;sfnkq we;'


03 jk l,dmh

kuq;a ms<sld frdayf,a ffjoHjreka lshkafka óg jvd fjkia l;djls' zzm%;sldr ,nñka isáh§ isÿ jQ yÈis urK ms<sn|j úu¾Ykh lsÍfï§ tu frda.Ska ngysr m%;sldr ,nk w;r;=r lgqms," fmdf<dia ;eïnQ j;=r jeks wiïu; m%;sldr l%u o Ndú;d lr we;s nj ±k .kakg we;'ZZ zzfujeks m%;sldr yd T!IO w;r we;sjk ridhksl m%;sls%hd u.ska Nhdkl m%;sM, we;súh yels ksid ffjoH wkque;shlska f;drj T!IOj,g wu;rj fjk;a m%;sldr ,nd fkd.kakd f,i okajd isáuq' fujeks m%;sldr i|yd frda.Ska fhduq lrjd .ekSug tjeks m%;sldr ms<sn|j j¾Kkd lrk jxpksl ;e/õlrejka frda.Ska w;r .ejfik njg f;dr;=re ,eî we;s w;r Tjqka ms<sn|j kS;s u.ska lghq;= lsÍu i|yd Tnf.a iyfhda.h wfmaCId lruq'ZZ

fuu oekaùu wm ÿgqfõ ms<sld frdayf,a Ô' 24 idhk ldurfhah' ffjoHjreka fufia lshkafka w;afnfy;a ms<sn|j we;s oafõIhla ksid fkdfõ' fujeks w;afnfy;a ksid ms<sld frda.hg lrkq ,nk m%;sldr wjq,a iy.; jk ksidh' tA wkqj isÿ jkafka j¾. foll fnfy;a mdúÉÑ lrkakg f.dia frda.shd widOH ;;a;ajhg m;a ùuh' lgqms, w.=K wehs @ idudkHfhka Ydlidr jeks iajNdúl foaj,a YÍrhg w.=K fkdjk nj fmdÿ u;hhs' Ydlidr YÍrhg .=Kùu fyda w.=Kùu hkq fjkuu úuish hq;a;ls' kuq;a ms<sld frda.h i|yd T!IO iy úfYaIfhka úlsrK m%;sldr ^frda.Ska mjik wdldrhg ,hsÜ we,a,Su& .kakd w;r;=r§ fujeks w;afnfy;a mdúÉÑ lsÍfuka m%;sldr wjq,a jk nj by; ±laùuq'

lgqms, yd úlsrK m%;sldr w;r m%;sls%hdj frda.shdg Wiq,d.; fkdyels ;rfï oreKq ;;a;ajhla ù we;s nj meyeÈ,s ú‚' fun÷ urK lsysmhlau jd¾;d ù ;sfí'

25

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26

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Controversy ms<sld frda.hg lgqms, .=Ko@

tA foj¾.h w;r wys;lr m%;sls%hdjka YÍrh ;=<§ isÿ jk ksidh' tys B<Õ m%;sM,h jkafka frda.shd udrdka;sl ;;a;ajhg m;aùuh' fï nj ms<sld frdayf,a ffjoHjre wjOdrKh lr;s' iuyr uqL ms<sld frda.Skag úlsrK m%;sldr fok w;r;=f¾ widudkH f,i uqLh mqrd jK ùula ±lsh yelsh' fuh fuu m%;sldrh ,nd §fï§ lsisfia;a isÿ fkdjk ;;a;ajhls' ffjoHjrekag fuh .eg¨jla jQ ksid frda.Skaf.ka tA ms<sn|j ydr ydrd úuioa§ Tjqka melsf,ñka hq;=j lshd we;af;a ;ud lgqms, mdkh l< njh' tA wkqj lgqms, yd úlsrK m%;sldr w;r m%;sls%hdj frda.shdg Wiq,d.; fkdyels ;rfï oreKq ;;a;ajhla ù we;s nj meyeÈ,s ú‚' fun÷ urK lsysmhlau jd¾;d ù ;sfí'

ms<sld frdayf,a lgqms, fjf<kafoda uyr.u ms<sld frdayf,a fuu lgqms, jHdma;sh fldf;la±hs lsjfyd;a" wm l< fidhd ne,Sul§ ±k.; yels jQfha th frday, ;=<gu msúi we;s njhs' ;udf.au jrola fya;=fjka / lshdj wysñ lr.;a frdayf,a l���gq fiajlhl= ±ka lrkafka frday,a jdÜgq ;=< ießirñka ffjoHjrekag fkdoefkk mßÈ frda.Skag lgqms, úlsŒuh' Tyq l,ska frdayf,a fiajh lr we;s ksid Tyqg frday,g ßx.d .ekSug myiqfjka l< yels ù we;s w;r fiiq l‚gq fiajlhka Tyqf.a ys;ñ;=rka neúka Tjqkaf.kao Tyqg ukd iydhla ,efí' tA tl lgqms, fjf<kafols'

tfiau m%;sldr .ekSug tk uqjdfjka ms<sld frda. idhkhg meñfKk tla;rd mqoa.,hl= isáhs' ffjoHjreka fufia frda.shl= f,i fmkS ys¢ñka fiiq lshkafka w;afnfy;a frda.Skag lgqms, fmkajk fudyq ms<sn|j we;s oafõIhla ksid zuu kï ±ka fïjd fndkjd' iEfykak ikSmhs ug oeka' fkdfõ' fujeks w;afnfy;a Th fodia;r fí;a .;a;g ksid ms<sld frda.hg lrkq f,v fyd| fjkafka kE' ,nk m%;sldr wjq,a iy.; fïjd mqrdK iDIsjre mjd lshmq fyd| w;afí;a''' jk ksidh' tA wkqj isÿ fïjd iajdNdúl fí;a jkafka j¾. foll fnfy;a ksid weÕg w.=fKl=;a kEZ mdúÉÑ lrkakg f.dia jeks foaj,a lshñka frda.Ska rjgk Tyq lrkafka idhkhg frda.shd widOH ;;a;ajhg meñfKk frda.Skag lgqms, m;a ùuh' úlsŒuh' Tyq ms<sld frdayf,a ;j;a lgqms, fjf<kafols'


03 jk l,dmh

frda.Ska ne,Sug ndysr mqoa.,hka frday,g we;=,a jk ld,iSudj ;=<§ frdayf,a f.aÜgqj wNshi ys| khs kgjkakl= o we;eï Èkj, oel .; yelsh' Tyq i¾m úIg w;afí;a úl=Kk w;f¾ ySkaiSrefõu weÕg m;g fkd±kSu jdf.a ms<sld frda.Skag lgqms, o úl=Khs' fï ;j;a lgqms, fjf<kafols' ms<sld frda.hg lgqms, m%;HlaI m%;sldrhla nj idudkH ck;dj w;f¾ mjd m;=rjkakg fun÷ mqoa.,hkag yelsù ;sfí'

lk whg ms<sld wjodku wvq nj lSfï hï i;H;djhla ;sìh yelsh' kuq;a meyeÈ,sj tlla lsj hq;=j ;sfí' ms<sldjla je<£ ;sfnk flfkl= u[afØlald fgdka .Kkla lEj;a tu ms<sldj iqj lrkakg kï u[afØlald iu;a fkdjkq we;' u[afØlald lgqms, wdÈfhka ms<sld iqj l< yels kï ms<sld frda.Skaf.a m%;sldr i|yd fi!LH wud;HxYh w;súYd, uqo,a lkaordjla hg lrkafka l=ugo @

u[afØlaldj,ska ms<sld iqj l< yelso@ u[afØlald wdydrhg .ekSfuka ms<sld frda. iqj jk njg miq.sh ld,fha fõ.fhka me;sÍ .sfhah' fï l;dj o .eUqßka úuid ne,sh hq;=h' ms<sld frda. iE§u i|yd wm .kakd wdydr o odhl fjhs' uia j¾. ks;r ks;r wdydrhg .kakd whg ms<sld frda. yg .ekSfï wjodku jeä w;r úfYaIfhka yrla uia wdydrhg .kakd whg nvje,aj, ms<sld yg.ekSu b;du;au wêl nj úoHd;auljo ;yjqre ù ;sfí' fidfiacia jeks uia j¾.j,ska ilik wdydr o ms<sld we;s lsÍug fya;= fjhs'

iuyr ms<sld frda. i|yd tl frda.shl=g ,nd fok udi yhl fnfy;a mka;shlg re' ñ,shk folyudrlg ^remsh,a ,laI úismylg& fkdjeä uqo,la wud;HxYh úiska jeh lrkq ,nhs' tAjd frda.Skag ,nd fokafka fkdñf,ah' tjeks frda.Ska ms<sld frdayf,a isákafka tlaflfkla fokafkla fkdfõ' úYd, jYfhka isá;s' tA wkqj fï frda.Ska iqjlr .ekSu Wfoid fi!LH wud;HxYh ork úhou Tng is;d.; yelso @ by; lS wkaoug lgqms, jeks foaj,aj,ska ms<sld iqj fjkjd kï fi!LH wud;HxYh fujeks w;súYd, uqo,a lkaordjla hg lrkafka l=ulg±hs fudfyd;lg is;d n,kak' tfiau ms<sld frda.Skag f;,aj,ska nÈk ,o wdydr" f;,a wêl wdydr YS;lrKj, oud ;sfnk melÜ lrk ,o wdydr" .Eia iys; me‚ îu j¾." YS;lrKj, oeuQ mrK jQ wdydr" mefikakg yer ilia lrk cdä jeks wdydr l,a .sh m<;=re j¾. fmdf<dfõ uÜgfï jefjk m<d j¾. jeks oE wdydrhg .ekSu iqÿiq ke;'

Ydl wdydr .kakd whg wdydr u.ska ms<sld je<£fï wjÞku b;du;au wvqh' thskq;a ridhksl fmdfydr Ndú;d fkdlr j.d lrk wdydr È.= l,la .ekSu fï wjÞku ;j ;j;a wvq lsÍug fya;= fjhs' u[afØlald o tf,i ridhksl fmdfydr Ndú;d fkdlr j.d lrkq ,nk w, úfYaIhls' tA wkqj u[afØlald

27

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28

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Controversy ms<sld frda.hg lgqms, .=Ko@

fïjd u.ska úIîc YÍr.; ùug ;sfnk wjÞku jeäh' m<d j¾. w;ßka l;=reuqrex.d" meIka jeks fld< j¾. b;d iqoiq fõ' tA tAjd Wiaj jefvk ksidh' ms<sldj,g m%;sldr lrk fydr fjÿka úYaj Yla;sfhka iy ;j;a úúO m%;sldr u.ska ms<sld iqj lrk nj lshk msßia o mqj;am;a fjf<| oekaùï Tiafia oel.; yelsh' fuf,i ms<sld iqj lrk nj lshk fjo uy;a;fhla tla;rd m%foaYhl isáhs' fjo uy;a;fhla hehs lSjo Tyqg ffjoH Ydia;%h ms<sn|j we;s ±kqu .eko iel iys;h' flfia fyda fï mqoa.,hdf.a uj ld,hla ;siafia ms<sld frda.hlska fm¿kq w;r miqj weh tu frda. fhkau ñh mrf,dj .shdh' fï wkqj fuu mqoa.,hdg ms<sld frda.hg fokq ,nk m%;sldr yd tu m%;sldr wkqj frda.shdf.a YÍrfhys we;s jk fjkialï .ek hï jegySula ;sfí' ms<sld frda.hg fok iuyr m%;sldrj,§ frda.Skaf.a flia .e,ù hdu iq,n ;;a;ajhls' kuq;a hï ld,iSudjl§ kej; ysiflia jefvk w;r úlsrK yd T!IO m%;sldr .ekSu ksid frda.shdg fndfyda úg iqjh o ,efí' ms<sld frda.fhka iqjh ,nd fok nj lshk by; lS mqoa.,hd iy tjeks ;j;a wh ms<sld frda.shl= ;uka fj; meñ‚ úg uq,skau lrkafka zbiamsß;df,ka lrkaÜ tl w,a,, tkak' fudlo tAjd wms .dj kEfka' Bg miafi wms ikSm lrkakïZ

hkqfjka mejeiSuh' fufia úlsrK yd T!IO m%;sldr ffjoH Wmfoia u; hï ld,hla l%uj;a f,i .ekSfï§ frda.h iqj ùug mgka .kS' tfiau m%;sldr wjika jQ miq lsishï ld,hl§ ysiflia o h<s j¾Okh ùu wdrïN fõ' fukak fï ld,fha§ frda.shd ;uka fj; f.kajd .kakd by; lS wkaofï fjo uy;ajre hehs lshd .kakd mqoa.,hka fudkjd fyda fnfy;a j¾. frda.Skag ,nd § uqo,a .id l;s' frda.hg uq,§ ffjoH m%;sldr ksis f,i ,eîfï m%;sM,h f,i frda.h l%ufhka iqjh ,eîu idudkH iajNdjhhs' kuq;a tA ld,h ;=< fudkjd fyda T!IO fok by; lS wdldrfha mqoa.,hka lshkafka zTkak n,kak uf. fí;aj,ska Thdf. fldKafv;a jefjkak mgka .;a;d' f,fâ;a fyd| jqKdZ hkqfjks' l,ska .;a m%;sldr ksid l%u l%ufhka ;ud iqjh ,nñka ys¢k nj jgyd fkd. kakd frda.Syq o jHdc fjÿkaf.a nyg /jfg;s' fun÷ lmákaf.ka wo iudch msÍ mj;shs' wka;sfï z,l=KqZ jefgkafka frda.shd iqjm;a lsÍu i‘oyd fjfyi uykais jQ ffjoHjrekagj;a fkdñf,a ms<sld frdayf,ka ,efnk T!IOj,gj;a fkdj me;a;l isák fydr fjÿkagh' wfma rfÜ ñksiqkag ljod T¿j mEfoaú ±hs is;d .kakgj;a neßh' tA .ek is;k úg;a úYd, lK.dgqjla we;sfõ'


Immunity î¡iS¡cS¡ (BCG) tkak; .ek Tn o; hq;= lreK

î¡iS¡cS¡ (BCG) tkak; .ek Tn o; hq;= lreKQ

î¡iS¡cS¡ (BCG) tkak; wjqreÿ 80l muK ld,hla f,dalh mqrd Ndú; lr ;sfnk w;r oekg Ndú; lrk tkak;a w;r b;d jeä jYfhka Ndú;d lrk tkak; o fuh fõ¡ î¡is¡cS¡ tkak; ,nd oSfuka fuu nelaàßhdj fya;=fjka iEfok fud<fha WK;a (meningitis) orejkaf.a laIh frda.h fya;=fjka fmky¿j,ska msg; wksl=;a wjhjj, we;sjk wdidok;a (disseminated TB) je<elaùu isÿ fõ¡ laIh frda.h iEoSfuka miqj orejkaf.ka fndfyda fofkl= urKhg m;ajkafka fud<fha WK yd laIh frda.h ksid wfkl=;a wjhjj, we;sjk ixl+,;d (disseminated TB) fya;= fldg f.kh¡ tkuq;a îiScS tkak; uÕska laIh frda.fhys m%d:ñl wdidokh je<elaùu isÿ fkdfõ¡ tfukau w;S;fha oS fmky¨j, we;s jQ laIh frda.h ksid we;s jQ wdidok miq ld,hl oS kej; we;s ùu o (reactivate of latest infection) îiScS tkak; ,nd oSfuka je<elaúh fkdyelsh¡ iudcfha laIh frda.h me;sÍug m%Odk jYfhka fuh fya;=jk neúka uhsfld nelaàßhï áhqnlshqff,daiska me;sÍu md,kh lsÍu îiScS tkak;ska isÿ fkdfõ¡

29

ffjoHjrhd


30

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Immunity î¡iS¡cS¡ (BCG) tkak; .ek Tn o; hq;= lreK

îiScS tkak; ud;%d lsysmhla ,nd oSu uÕskao laIh frda.h j<lajd .ekSu isÿ fkdfõ¡ tneúka laIh frda.h me;sÍu je<elaùu i|yd tkak;la ksIamdokh jk ;=re yels blaukska frda. úksYaph lsÍu;a hï whl=f.a ksÍlaIKh hgf;a frda.Skag T!IO ,nd oSu;a wjYH mßos frda.h me;sÍu j<lajd .ekSug wjYH wksl=;a frda. ksjdrK lghq;=;a isÿ l< hq;= h¡ laIh frda.h nyq, j mj;sk rgj, ish¨u <orejkag Wm;ska miq yels blaukska îiScS tkak; ,ndosh hq;= h¡ HIV nyq, j mj;sk m%foaYj, jqjo fï f,i îiScS ,nd osh hq;= h¡ Y%S ,xldfõ cd;sl m%;sYla;slrK jevigyk hgf;a Wmf;a oS îiScS tkak; ,ndfokq ,efí¡

î¡iS¡cS¡ tkak; ,ndfkdosh hq;= wjia:d • HIV ;;a;ajhla mj;sk <orejkag yd orejkag • wêl m%;sYla;s W!K;dj we;s orejkag îiScS tkak; jeäysáhkag ,ndoSu idudkHfhka wkqu; lrkq fkd,efí¡ tkuq;a T!IO lsysmhlg m%;sfrdaOh (multi drug resistence) olajk frda.shl= iuÕ b;d ióm iïnkaO;djhla mj;ajk áhqn¾lshq,ska mÍlaIKfhaoS fjkila fkdfmkajk (tuberculine-negative) whg îiScS tkak; ,nd oSug i,ld ne,sh yelsh¡ jix.;fõo tallh u.ska iïmdokh lrk ,o m%d:ñl fi!LH fiajlhka i|yd jQ tkak;a w;afmd; weiqßKs'


Diabetes mellitus .a¨fldógrh ksis mrsos Ndú;d lrkafka fufyuhs

Diabetes mellitus .a¨fldógrh ksis mrsos Ndú;d lrkafka fufyuhs wek,sál,a bkaiag%ukaÜia mqoa.,sl wdh;kfha Wmfhda.s;d WmfoaYl" fld<U uy frdayf,a úY%dñl cSjri{ tÉ'ùrj¾K úisks oshjeähdj md,kh lsrSu oshjeähd frda.h f,dalfha wksl=;a rgj, fukau wfma rfÜo b;du;a iq,n frda.hls' Tn wjdikdjka; f,i fuu oshjeähd frda.hg f.dÿre jQ flfkl= kï Tfí frda. ;;a;ajh md,kh lr.ekSu ioyd ffjoH wkque;sh u; ,nd .kakd T!IO cSú; ld,h ;=<u fkdlvjd Ndú;d l< hq;=h' fuu T!IO j,ska Tnf.a frda.S ;;a;ajh ksis f,i md,kh jkafkaoehs oek .ekSu ioyd ffjoHjrhd úiska úáka úg Tnf.a reêrfha .aÆfldaia ugÜgu mrSlaId lr ne,Sug b,a,qï lrkq we;' fujeks wjia:djloS Tfí ffjoHjrhd úiska" Tng .aÆfldógrhla (glucometer) Ndú;d lsrSug ks¾foaY lrkq we;' tfia fkdjkafka kï Tfí wjYH;djh ksid tjekakla Ndú;d lsrSug Tn ;SrKh lrkq we;' oshjeähd frda.shl=g ;u oshjeähd ;;a;ajh md,kh ù we;soehs oek .ekSu ioyd l< yels fyd|u ls%hd ud¾.h kï .aÆfldógrhla Ndú;d fldg" ;ud úiskau reêrfha .aÆfldaia ugÜu uek .ekSuh' fï ioyd .aÆfldógrhla ñ,oS .ekSu i|yd uq,oS uqo,a jeh lsrSug isÿjqj;a" tu.ska ,efnk jdis iu. ii|d ne,SfïoS th jvd m%;sm,odhl jkq we;' fndfyda úg Tfí ffjoHjrhdg wjYH jkqfha" Unf.a reêrfha .aÆfldaia uÜgu ksrdydrj isák úg fyda wdydrhla .ekSfuka meh follg miqj uek ne,Sugh' tjeks wjia:djloS Tng kshñ; fj,djg ffjoH ridhkd.drh fj; hdug isÿùfï wmyiq;djh u. yerSsug kï ksjfia .aÆfldógrhla ;sîu wjYH jkq we;' úYajdiodhl .aÆfldógr WmlrKhla u.ska Tfí reêrfha we;s .a,qfldaia m%udKh jeä ù we;s w;suOqrla; (hyperglycemia) ;;a;ajh;a reêrfha we;s .a,qfldaia m%udKh wvqù we;s ukaouOqrla; (hypoglycemia) ;;a;ajh;a Tng

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ffjoHjrhd

Diabetes mellitus .a¨fldógrh ksis mrsos Ndú;d lrkafka fufyuhs

fmkakqï lrkq we;' fï ksid Tfí reêrfha iSks uÜgu Tfí ffjoHjrhd Wmfoia oS we;s mr;rh ;=< ;nd .eksug Woõ jk w;r tu.ska yosis wjia:djkag uqyqK mEug o Tng isÿfkdjkq we;' reêrfha iSks uÜgu ld,hla ;siafia jeä ù mej;Su ksid we;sjk oshjeähd frda.fha oS¾>ld,Sk w;=re wdndO o fuu.ska je<elaúh yel' Tfí ffjoHjrhd Wmfoia oS we;s mrsos reêrfha .aÆfldaia m%udKh idudkH w.hka ;=< md,kh lr .ekSu Tnf.a wruqK úh hq;=h'

mrSlaIK m;sre (test strips) .aÆfldógrhla Ndú;d lrk úg ógrh iu. imhd we;s mrSlaIK m;sre muKlau Ndú;d l< hq;=h' fuu mrSlaIK m;sre ,ndoS we;s Wmfoia mrsos Ndú;d l< hq;= jk w;r fïjd wvx.= l=vd Ndckfhka bj;g .;a miq yels;dla blauKska Ndú;d l< hq;=h' fuu l=vd Ndckh ;=<" fuu m;sre j,g jd;fha we;s c, jdIam Wrdf.k wls%hdldrS ùu je<elaùu i|yd úc,kldrlhla wvx.=lr we;' tneúka fuu Ndckh wkjYH f,i újD; lr ;eîfuka j<lskak'


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m;sre WmlrKh ;=,g we;=,a lrkak

úoSug fmr inka fhdod w;a fidaod .kak

fuu mrSlaIK m;srej, reêrfha we;s .a,qfldaia iu. m%;sls%hd lsrSug wjYH ridhksl øjHj,g wu;rj" mrSlaIK WmlrKh iu. úoahq;a iïnkaO;djh we;s lsrSu ioyd bf,lafg%dav moaO;shl=;a wka;¾.; lr we;' fuu m;sre Ndú;d lrk úg tys we;s fldgia j,g ydks fkdjk mrsos Wmfoia m;s%ldfõ i|yka lr we;s wdldrhg mrsyrKh lsrSu b;d wjYH jkq we;'

reêrh ,nd .eksug we`.s,s ;=vq úoSug isÿjkq we;' fuu ld¾hh lsrSug fmr inka fhdod w;a fidaod .ekSfuka" úoSug ,lajk ia:dkh wdidokhg ,la ùu je<elaùug WmldrSfjhs' úoSug ,lajk ia:dkh i¾csl,a iams%Ü úosk Wmdx. WmlrK lÜg,h iu. imhd we;skï th ;=<g úosk lgq ksishdldr we;=<;a lrkak' fuu lgqfõ ;=v wdrlaIdlr we;s ma,diaála jeiau bj; fkdoud fuu lgqj wdrlaIdldrSj thska jid" bj; oeóug th miqj Ndú;d lrkak' fuu úosk lgq kej; kej; Ndú;d lrk úg úoSfïoS we;sjk fõokdj jeämqr oefkkq we;' wdidok me;srSu je<elaùu i|yd fjk;a flfkl=g úoSug tu lgqju Ndú;d fkdlrkak' reêrh ì|la ,nd .ekSu i|yd iqÿiq we`.s,a,la f;dard .kak' fï i|yd jï wf;a ueo we`.s,a, fyda fjo`.s,a, f;dard .kak' jeä jYfhka Ndú;d jk onr`e.s,a," wdidok j,g Ndckh ùug jvd bvlv we;s neúka" fï

fuu m;sre tajd wvx.= l=vd Ndckfhka bj;g .;a ú.iu WmlrKhg we;=<;a lrkak' túg WmlrKh ls%hd;aul ùu wdrïN lr" ta nj ;srfha olajkq we;' fuu wjia:dfõoS ixfla;kh (coding) wjYH WmlrKj, fuu mrSlaIK m;sre wh;ajk lKavdhï wxlho ;srfha olajkq we;' fuu.ska jeros m;sre Ndú;fhka we;sjk wjodkï ;;a;ajh j<ld,kq we;' wjYH reêrh ,nd .ekSu .aÆfldógrhla Ndú;d lsrSfïoS

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Diabetes mellitus .a¨fldógrh ksis mrsos Ndú;d lrkafka fufyuhs

úoSug Ndú;d lrk WmlrKhla i|yd f;dard fkd.kak' we`.s,s ;=vq ueou fkdj" iakdhq wvq jYfhka we;s we`.s,af,a whsfkka úoSfuka fõokdj wvqfjka oefkkQ we;' úoSfuka miQ úosk ,o we`.s,a, wks;a wf;a onr.s,a, Wäka ;nd udmeg.s,af,ka úosk ,o ;=jd,h újr jk mrsos hgg woskak' túg jeämqr f,a m%udKhla ,nd .; yels jkq we;' we`.s,a, ;oska ñrslSfuka je<lsh hq;= jkafka" túg mgl ;r,h reêrhg ñY% ù wvq .aÆfldaia w.hla ,nd oSug bv we;s neúks' ls%hdldrs ;dlaIKh Tfí we`.s,a, úo ,nd .kakd f,a ìxÿfõ we;s .a,qfldaia" fuu mrSlaIK m;srej, we;s ridhksl øjH iy tkaihsu j¾A. iu. m%;sls%hd lr tu m%;sls%hdfõoS ksmojk bf,lafg%dak u.ska we;sjk úoahq;a Odrdj, fuu WmlrKh u.ska uekf.k" Bg wod, .aÆfldaia m%udKh WmlrKfha ;Srfha olajhs' fuu ;dlaIKh kùk ksIamdok j, fhdodf.k we;s w;r" ;ju;a fj<|fmdf<a olakg

iqÿiq we.s,a,la f;dard f.k úoskak we;s merKs ;dlaIK l%uhla jQ mrdj¾;k j¾Kñ;sl ;dlaIKh fhdodf.k ksIamdokh lrwe;s WmlrK j,ska ukskq ,nkafka by; ioyka wdldrfha m%;sls%hdjlska miq we;sjk j¾Kh mrdj¾;kh lr wdf,dal ixfõoS fldgila u.ska uek" Bg wod, .a,Qfldaia m%udKh ;srfha olaùuhs' fuu merKs ;dlaIKh fhdod ksIamdokh lr we;s WmlrK ;ju;a fj<|fmdf<a we;s w;r fïjd u.ska ,nd fok m%;sM, by; ioyka wdldrfha úoahq;a ñKqï l%u u.ska ,ndfok m%;sM, ;rï úYajdijka; fkdjkq we;' oekg fj<|fmdf<a we;s ñ, jeä WmlrK ioyd wjYH jkafka uhsfl%d ,Sg¾ 6 la jeks b;du;a wvq reêrh m%udKhls' wjYH reosr m%udKh WmlrKh wkqj fjkia jk kuq;a fuu m%udKh we`.s,a, úo ,nd.; yelsh' oekg fj<|fmdf<a we;s ñ, jeä WmlrK j,g reêrh ,ndoSfïoS


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reêrh ìÿj m;srefõ wod, fldgfia iam¾Y lrkak

m%;sM, igyka ù we;s WmlrKh

reêrìxÿj m;srejg iómj tys me;a;lska iam¾Y l< úg flaIdl¾IKh u.ska reêrh m;srej ;=<g wdl¾IKh lr .kq we;' fuu.ska wjYH reosr m%udKh ksjerosj ,ndosh yelsjkq we;' merKs WmlrKj, reêrh m;srej u; we;s mrSlaIK fldgi jefik fia fhosh hq;=h' ksishdldr m%udKhg reêrh ,nd.;a úg Tfí reêrfha we;s .aÆfldaia m%udKh WmlrKfha ;srh u; u| fj,djlg miq igyka fjhs' fuu w.h fvis ,Sgrhlg ñ,s.%Eï (mg/dl) jYfhka olajk kuq;a Ung wjYH kï fuu w.h ,Sgrhl we;s ñ,s ujq, (mmol/l) f,io ,nd .; yel' fufia ,efnk m%;sM, WmlrKfha u;lfha igyka jk w;r miqj tajd Tng kej; ne,Sug fyda ffjoHjrhd fj; bosrsm;a lsrSu l< yel'

.aÆfldógrhla ñ,oS .ekSu fj<|fmdf<a we;s .aÆfldógr w;rska jvd iQÿiq WmlrKh f;dard.ekSu;a" th ksis wdldrfhka Ndú;d lsrSug oekqu ,nd .ekSu;a" b;du;a wjYH jkq we;' fuu WmlrK Ndú;d lrk úg WmlrKfha ls%hdldß;ajh .ek oek isàu;a" ,nd oS we;s Wmfoia mrsos th ksjrosj Ndú;d lsrSu;a tu WmlrKfhka ksjeros m%;sM, ,nd .ekSug WmldrSfjhs' tfia fkdl<fyd;a Tn Ndú;d lrk WmlrKh fld;rïz ñ, wêl jqj;a tu.ska ksjros m%;sM, ,nd .ekSug fkdyels jkq we;'

m%;sM, igyka lr.;a ú.i m;sre WmlrKfhka bj;a lsrSfuka negrsfha Ndú;d ld,h jeä lr.; yel'

• .aÆfldógrhla ñ,oS .kakd úg ksfhdacs; iud.u u.ska th Ndú;d lsrSug ksis mrsos Wmfoia ,nd .kak' • tu.ska ,nd .kakd m%;M s , tu WmlrKfha u;lfha r|jd .ekSug yelshdj we;akï tajd ffjoHjrhd fj; borsm;a l< yel'

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Diabetes mellitus .a¨fldógrh ksis mrsos Ndú;d lrkafka fufyuhs

• tu WmlrKh Ndú;d lsrSug wjYH mrSlaIK m;sre fkdlvjd ñ,oS .ekSug yelshdj we;aoehs oek.kak'

.aÆfldógrhl wfkl=;a wjYH Wmdx.

.aÆfldógr Ndú;fhaoS we;sjk iSudjka wmf.a YrSrh ;=< ixirKh jkafka tlu reêrh jqj;a" Ouks.; reêrfha we;s .aÆQfldaia m%udKh" Ysrd.; reêrfha we;s .aÆfldaia m%udKhg jvd uolska jeäh' ridhkd.drhlska Tn .aÆfldaia m%udKh uek n,k úg reêr idïm,hla isrskachla u.ska ,nd .kafka Ysrdjlsks' .aÆfldógrh u.ska mrSlaId lrk úg we`.s,a, úo flaIkd,sld j,ska ,nd .kakd reêrh jvd ióm jkafka OukS reêrhgh' fuu fjki ksid idudkHfhka .aÆfldógrhla u.ska ,ndfok .aÆfldaia w.h" ridhkd.drfha jd¾;d lrk w.hg jvd uola jeäh' fuu fjki wju lsrSu ioyd Wiia ;;a;ajfha we;s WmlrK j, hï m%udKhl ksjro lsrSula lr we;' reêrh úc,kh ù we;s úfgl tys we;s c, m%udKh wvq jk w;r reêr ffi, j,g idfmalaIj ma,diaud m%udKh wvqù we;' fuu wjia:dfõ WmlrKhg ,efnk ma,diaud m%udKh wvqùfuka tys we;s .aÆfldaia m%udKho wvqjk w;r" WmlrKh olajk w.h ksjros fkdjkq we;' fujeks wjia:djl ksjro w.h ,nd .ekSug fyd| WmlrKhl hï mrdihla ;=< ksjro lsrSula lr we;'


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HOTLINE 0777294384


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Insight WKavql mqÉPfha ryi wkdjrKh fõ''' zzth lulg ke;s ksYam%fhdack wjhjhla fkdfõ'ZZ

WKavql mqÉPfha ryi wkdjrKh fõ''' zzth lulg ke;s ksYam%fhdack wjhjhla fkdfõ'ZZ ukqIH YÍrh uyd n%yauhdf.a ksuejqula jQj;a" i¾jn,OdÍ foúhka jykafiaf.a ksuejqula jQj;a" ke;akï fjk;a wyUqjl ks¾udKhla jqj;a ukqIHhka jk wmg tla i;Hhla kï bkaf;arefjkau ms<s.kaku fjkjd' ta ;uhs ish,a, .dkg" ;s;g tl,ia lrñka Ôjhla u;= fldg wmQ¾j ks¾udK Yla;shla yd fid÷re m%;sNdjlao uqiq lrñka ñksia isrer kï jq th wmQ¾j jQ ks¾udKhla jQ nj'''''''


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uyd wka;%

WKQvqlmqPAph

ukqi;a isref¾ iEu bkaøshlgu" iEu wjhjhlgu ksYaÑ; ld¾hhla mejß,d ;sfnkjd' yenehs wu;l ùulskafoda WKavqlmqÉPh fkdfyd;a YÍrfha uyd nvje¨;a" l=vd nvje¨;a tl;=jk ;ek ;sfnk w`.,a 2l muK mqxÑ meila zzjer§ulska foda'''''ZZ ukqIH YÍrhg tl;= lr ;sfnk njhs wkdÈu;a ld,hl isg ffjoHjrekaf.a u;h jqfKa' tfyu lshkak idOdrK fya;=jla wfma ffjoHjrekag ;snqfKa" fudk ;rï .eUqßka fidhd ne¨j;a WKavqlmqÉPh wyj,a ldßh''''''' lrkjdh lsh,d ffjoHjrekag fidhd.kak neß jq ksihs' ta ú;rla fkfjhs l,d;=rlska flfkl=g jqk;a hánfâ úYd, fõokdjla we;s ù fï wkjYH wjhjh whska lrk ;ekg;a jk

wjiA:dj,a t<fUkjd' zzjevla ke;s fohlafka''''ZZ ffjoHjreka w;r;a" frda.Ska w;r;a wmQre iduHhla we;s jqkd - fï ie;alu .ek''' ljqre;a ta ;rï ;elSula lf<a kE - WKavqlmqÉPhla bj;a lrkak isÿ jqfkd;a ta ms<sn|j''' flfia fj;;a oeka m¾fhaIK j,ska y÷kdf.k ;sfnkjd" WKavqlmqÉPhg;a kshñ; Ndr¥r ld¾hhla ;sfnk njg' foúhka jykafiag''' uyd n%yauhdg w;miq ùula fj,d kE' WKavqlmqÉPh Ô¾Kl moaO;shg úIîc we;=¿ jQ úg tajd wl%Sh lrñka Ô¾Kl moaO;sfha;a" iuia: YÍrfha;a iqjfi; mj;ajd .ekSug wmQre iyfhda.hla ,ndfok nj uE;l§ úoaj;=ka fidhdf.k m%;HlaIfhka ikd: lr ;sfnkjd'

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Insight WKavql mqÉPfha ryi wkdjrKh fõ''' zzth lulg ke;s ksYam%fhdack wjhjhla fkdfõ'ZZ

wfma YÍrfha Ô¾Kl moaO;shg lEuîu m%úIaG jqKdu tajd ì|fy,kak zzuhsfl%danZZ kï øjHhla WmldÍ fjkjd' fï ì|fy,Sfï ls%hdj,sfhka miqjhs wm .kakd wdydr fmdaIl yd mod¾: f,i úúO ia:dk j,g fhduqjkafka' uhsfl%dan ;uhs fulS ì|fy,Sfï ls%hdj,sfha wK fokakd f,i lghq;= lrkafka' fï uhsfl%dan j, ls%hdldrs;ajhg WKavqlmqÉPfhka cks; jk nelaàßhdjka fya;= fjkjd' fï nelaàSßhdjka uhsfl%dan ksfrda.Sj mj;ajd .kakjd' uhsfl%dan j, ls%hdldÍ;ajh iqir lrkjd' YÍrfhka nysi%dù wmøjH bj;a jQ ú.i WKavqlmqÉPh ls%hdldÍ ù wka;% j,g ta ;=< mj;akd nelaàßhd .uka lsÍula isoaO fjkjd' wka;% ;=<È tajd .=Kkh ù fï wdydr

uhsfl%dan j, ls%hdldrs;ajhg WKavqlmqÉPfhka cks; jk nelaàßhdjka fya;= fjkjd' fï nelaàSßhdjka uhsfl%dan ksfrda.Sj mj;ajd .kakjd' uhsfl%dan j, ls%hdldß;ajh iqir lrkjd' YÍrfhka nysi%dù wmøjH bj;a jQ ú.i WKavqlmqÉPh ls%hdldÍ ù wka;% j,g ta ;=< mj;akd nelaàßhd .uka lsÍula isoaO fjkjd'


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ud¾. moaO;shg msúi ;sfnk ydkslr nelaàßhdjka jqfKd;a tajd úkdY lsÍfï ls%hdj,shl fhfokjd' ;j;a fohla" WKavqlmqÉPfha cks; jk nelaàßhdjka iEu úgu ys;lr ld¾hhlu ksr; jk njhs úoaj;=kaf.a u;h' wdydr ud¾.c moaO;sh ;=< úúO OQ,l (Toxin) fYaI ùfï bvlv neyer,Sug WKavqlmqÉPh úYd, fufyhla lrk nj Tjqkaf.a woyihs' Ô¾Kl moaO;sh ;=< YÍrhg fufyhla lrk ys;lr nelaàßhd úfYaIo wmuK isákjd' fï ys;ñ;% nelaàßhdjka foi WKavqlmqÉPh" tys úiqï.; nelaàßhd n,kafka ieoeye is;ska' fï ys;lr nelaàßhd iqrlaIs; lrkakg;a WKavql mqÉPh lghq;= lrkjd'

fukak fï úÈhg ;uhs WKavql mqÉPh YÍrhg fufy lrkafka' ta;a Tn okakjd wefmkaäihsáia yeÿkdu ;;a;ajh f.dvla fjkia fjkjd' túg fï jákd lshk wjhjh mqmqrkak lsÜgq ñÈ f.ähla jf.hs' yÈisfha Y,H l¾uhla lrkak ´ks' nv we;=f,a WKavqlh mqmqr,d .sfhd;a ta idfr wjfYaI bkaøsh j,g .syska Ôú;h;a ke;s fjkak mq¿jka' fï ksid ;uhs WKqvql mqÉPh bj;a lsÍfï ie;alu zzyÈis lghq;a;laZZ fia Y,H ffjoHjreka i,lkafka' fï ldrKd - ldrK ys;ayS ordf.k wfma mdGlhka ys;kak mq¿jks zztfykï WKavqlmqÉPh bj;a lsÍfï ie;alu .ek fomdrla ys;kak fjkjd'''''''ZZ lsh,d' fomdrla fkdfjhs ish mdrla ys;=j;a tal kï ksIam%fhdackj;a is;sú,a,la'

WKavqlmqÉPh bj;a lsÍfï ie;alug flfkla Ndckh fjkafka wdidjg fkfjhs' th m%odyhg m;afj,d Ôú;hg wjodkula we;s jqKduhs' túg Tng .kakg jrKhla keye' th bj;a lrkjd ñi' fï wjhjh bj;a lsÍfuka kï w¿; y÷kd.;a f;dr;=re wkqj Ô¾Kl moaO;sfha msßisÿ lug" ls%hdldß;ajhg" hï ndOd we;sfjkak mq¨jks' mdpkh" WordndO" we;sùfï hï bvla ;sfhkak mq¿jks' ta;a" WKavqlmqÉPh m%odyhg m;afj,d" th bj;a fkdlr n, n,d ysáfhd;a ke;s fjkafka Ôú;hhs'

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Legend flda,sl=Ügq flfi,aj,g ta ku ,enqfKa flfiao@

flda,sl=Ügq flfi,aj,g ta ku ,enqfKa flfiao@ j;af;a.u ysgmq l,dm wOHdmk wOHlaI tia¡fla¡ chj¾Ok flda,sl=Ügq ñ, wêl fmdaIK .=Kh jeä flfi,a j¾.hls¡ ,xldfõ úh<s l,dm m%foaYj, jefjhs¡ neÆ ne,aug fï ku úfoaYSh nj fmfkhs¡ ta øúv jokla nj meyeos<sh¡ w;S; ,xldfõ fkd;snqK flda,s l=Ügq uOHld,Sk hq.fha ol=Kq bkaoSh iïnkaOlï ksid ol=Kq bkaoshdfjka ,xldjg meñKs nj fmfkhs¡ ol=Kq bkaoshdfõ le,slÜ m%isoaO jrdhls¡ fldaÜfÜ l, le,slÜ kqjr iefudßla uqia,sï rcq mD;=.SiSkag úreoaOj igka lsÍug iS;djl udhdÿkafka rcqg uqia,sï wdOdr fiakdjla tjd we;¡ tu uqia,sï fiakdfõ m%Odkshd jQfha mÉfphs ußlald¾$ l=kaydf,a ußlald¾ yd w,S Bn%yï hk ;sfokdh¡ iefudßka tjQ fï uqia,sï yuqodj mD;=.Sis wdOdr ,enQ fldaÜfÜ y;afjks nqjfklndyq rcq w;ska ^1521-1551& mrdchg m;a úh¡ mrdchg m;a udhdÿkafka rcqg fldaÜfÜ rcq b,a,d isá uqia,sï yuqod kdhlhska ;sfokdf.a ysia lmd heùug isÿ úh¡ fï isoaêfhka miq iS;djl


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udhdÿkafka rcqg ^1521-1578& le,slÜ kqjr iefudßka uqia,sï wdOdr kej; ,enqfKa ke;¡ bkamiq le,slÜ kqjr ,xldfõ rej,a keõ ks;r wd .sh fj<| jrdhla úh¡ ,xldfõ ksYamdok /f.k le,slÜ kqjrg .sh rej,a keõ l,slÜ jrdfhka wdydr øjH, lrj,, rgW¿ mgjdf.k fuys tk ,oS¡ tod le,slÜ kqjr rgW¿ j,g m%isoaO úh¡ —w,flaIajr hqoaOh˜ ^uydpd¾h ta¡ù¡ iqrùr fmkajd fok mßos rdcdj,sh ,sùug uq,a jQfha iS;djl l, ,shjqKq w,flaIajr hqoaOh jxYl;djhs& yd rdcdj,sh hk foaYSh jxYl;dj, le,slÜ kqjr y÷kajkafka — flda,sl=Ügq kqjr˜ hk øúv jofkks¡ fï wkqj fldaÜfÜ hq.fhka miqj ol=Kq bkaoshdfõ le,slÜ fyj;a flda,sl=Ügq jrdh wjáka fuu flfi,a ,xldjg /f.kú;a we;s w;r le,slÜ jrdh fouf<ka ye|ska jQ —flda,sl=Ügq˜ hk kñka tys isg ,xldjg f.kd flfi,a j,go ku ,eî we;¡

fmardfoKsh .egfò rdfcdamjkdrdufha jev jik cd;sl rEmjdysksfha øúv NdIdfjka nK lshk mQcH je,suv Oïu.fõIS ysñhka iuÕ uu oskla uykqjr isg fld<Ug hk w;r;=r Ydia;%Sh lreKq .ek l;dnyl fhÿfKñ¡ Wkajykafia øúv NdIdj yi< wfhls¡ Oïu .fõIS ysñhka lshkqfha øúv niska flda,sl=Ügq —l=l=¿ megjd˜ w¾:h fok njhs¡ ta wkqj øúv flda,s l=Ügq hkafkka l=l=,a megjl= ;rï fï flfi,a fmdaIHodhl nj Yla;sckl nj yeÕfjhs¡ r;akmqr wjg lekl wejß tlla folla we;s uq¿ lefkys f.ä oyhla úiaila ;rï we;s wähla ;rï os. f.ä we;s b;d ñ< wêl fmdaIK .=Kh jeä —fka;% m,ï˜ kï flfi,a j¾.h oelsh yelsh¡ fka;%m,ï Okj;=ka ueKsla jHdmdßlhska w;r wf,ú fjhs¡ tfy;a flda,sl=Ügq Bg jvd ñ, wvq fmdaIK .=Kh jeä flfi,a úfYaIhls¡

wmf.a mdGlhka 1000 lg HQPro meleÜgqj ne.ska fkdñ,fha''' HQPro m%KS; wê fm%daàk mdkh iefIA meleÜgqjla fkdñf,a ,nd.kak" ,smskhg B fï,a mKsúvhla tjkak' ke;fyd;a my; l+mkh mqrjd tjkak'

ku ( ,smskh (

Tfí ;eme,am; wenÜ ,efndrgÍia" 445" A 2$1 .d¨ mdr fld<U 3 ,smskhg tjkak' jeä úia;r i|yd 011 565 6000 wxlh wu;kak'

43

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44

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Liver Disease iq,n''' ie<ls,a, ks;s fhduql< hq;= wlaud frda.h

iq,n''' ie<ls,a, ks;s fhduql< hq;= wlaud frda.h wlaud frda.h Y%S ,xldfõ iy fjk;a fndfyda rgj, wvq jhiska isÿjk urK j,g m%n, jYfhka fya;=jk lreKQ j,ska tlls' tmuKla fkdj" Y%s ,xldfõ wdfrda.HYd,d ;=< isÿjk urK i<ld n,k l,ayS yDo frda. hg muKla fojk jk m%n, fya;=j jkafkao wlaud frda.hhs'

wlaud frda.h hkq''' wlaudfõ ffi," mgl wdlD;sh fyda l%shdldrs;ajhg n,mEï we;s lrkakd jQ ffjri wdidok iy ridhksl fyda fN!;sl fjkialï we;=¿ wdndO /il tl;=jla i|yd zzwlaud frda. hZZ hk jpkh Ndú;d flf¾' wlaudjg ydks isÿ jkakd jQ jvd;a iq,n fya;=j jkafka wêl f,i u;ameka mdkhg weíneys ùuhs'


03 jk l,dmh

yDoh

jl=.vq wlaudj hdlD;sl Ysrdj wka;%

Tnf.a wlaudjg iy YÍrhg idudkHfhka u;ameka l=vd m%udKhl Odß;djla ord.; yelsh' kuq;a wêl u;ameka Ndú;h ydksodhlh' Tn wêl u;ameka f,da,sfhla kï wlaud frda.h we;s ùfï wjodkug Tn iS>%fhka ,Õd fjñka isákafkls' tfy;a u;ameka ì|la lfÜ fkd;nd. kakd Woúho wlaud frda.hg k;=jk nj o; hq;=h' wlaudfõ fïoh ;ekam;a ùu ful, iq,nhs wêl u;ameka Ndú;fhka wE;a ùu ;=<ska isfrdaisia frda.h nyq, jYfhka je<|Su j<lajd .; yels fõ' flfia jqjo wlaud frda.fha ;j;a

tla frda. ;;a;ajhla jk wlaudfõ fïoh ;ekam;a ùu" oshjeähdj iy ia:Q,Ndjh fukau nyq, frda.hla jYfhka uE;l isg fmkakqï flf¾'

wlaud frda.hg m%;sldr lsÍu läkñka isÿ lsÍu yryd frda.fha j¾Okh wvd, lsÍu" frda. ,CIK we;sùu wju lsÍu iy fjk;a ixl+,;d wju lsÍu isÿ l< yelsh'

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Liver Disease iq,n''' ie<ls,a, ks;s fhduql< hq;= wlaud frda.h

Y%S ,xldfõ kd.ßl jeäysá m%cdjf.ka 35] la muK wlaudfõ fïoh ;ekam;a ùfï frda.S ;;a;ajh fmkakqï lr;s' Tjqyq isfrdaisia fyda wlaudfõ ms<sld frda.S ;;a;aj j,g nªka ùfï jeä wjodkula mj;S' Wig iß,k nr m%udKhla mj;ajdf.k hdu" ksrka;r jHdhduhkayS ksr; ùu iy f;,a wêl CIKsl wdydr Ndú;h wdoS p¾hd rgdjkaf.ka f;dr ùu ;=<ska wlaudfõ fïo ;ekam;a ùu uÕ yrjd .; yelsh' wlaud ms<sld frda. wlaudfõ ms<sld frda.S ;;a;ajho ,xldj ;=< jvd;a j¾Okh fjñka mj;S' ta ksoka.; wlaud frda.hkayS j¾Okh u; jeä fjñka mj;sk ;;a;ajhls' fymghsàia zzîZZiy zziSZZ" u;aøjH i|yd weíneys ùu" ridhksl øjH i|yd ksrdjrKh ùu fyda iyc fodaI jeks frda.S ;;a;ajhka fya;=fjka ffi, widudkH f,i j¾Okh ùu ksid wlaud ms<sld frda. ;;a;ajh yg .kS' wlaud frda.h fya;=fjka wlaudfõ isÿ lrkakd jQ fndfyda ld¾hhka wvd, fõ' mQ¾K fi!LH ;;a;ajhla iqrCIs; lsÍfuys,d mqoa.,fhl=f.a YÍrh ;=< wlaudfjka isÿ lrkakd jQ wk.s fufyh ms<sn| jvd;a wjfndaO lr .ekSug jvd;a iqÿiqu ld,h oeka t<U we;' YÍrfha iEu bkaøshlu" l%shdldß;ajhg wlaudfõ iydh ,nd fok w;r th cSú;h iqrCIs; lsÍug uyÕ= odhl;ajhla imhhs' hym;a fi!LHhla mj;ajdf.k hdug wlaudj uQ,sl lr .ksñka ,ndfok uyÕ= iydh uekúka wjfndaO lr .ekSu w;sYhska jeo.;a fõ' tuÕska tys ukd l%shdldß;ajhla mj;ajdf.k

hdug iyh ùug fyda Bg ydksfjk wdldrfhka l%shd lsÍug Tfnka jk odhl;ajh ukdj jgyd .ekSug Tng yelsjk w;r wlaudj jvd;a iq/lSu flf¾ Tnf.a md¾Yjfhka ,nd osh yels ish¨ iyfhda.h o ,nd oSug Tng yelsjkq we;' wlaud frda.fhka ksrka;rj mSvd ú|sk frda.Ska wlaud ms<sld frda.h l,a;nd yªkd .ekSug mÍCIK isÿ l< hq;=h' mQ¾j yªkd .ekSu ;=<ska jvd;a id¾:lj ms<sldj je<elaùug m%;sl¾u lsÍfï wjia:dj ysñ fõ' wlaudjg jk ffjria wdidok fya;=fjka n,m;, frda.S ;;a;ajhla jk ffjria fymghsáia je,f|A' f,dj mqrd th jvd;a m%p,s; ù we;af;a fymghsáia zztaZZ zzîZZ iy zziSZZ jYfhkah' fymghsáia zztaZZ uÕska wlaudfõ oeú,a, we;s lrk w;r" wdydr fyda mdkSh c,h úI ùu ksid we;s fõ' th b;d id¾:lj tkak;a l%u iy ikSmdrCIl rgd uÕska j<lajd.; yelsh' fymghsáia zzîZZ jQ l,S wdidos; mqoa.,fhl=f.a reêrh fyda reêr ;r, uÕska jHdma; jk wdidokhls' tho tkak;a l%u iy wkdrCIs; ,sx.sl p¾hd j,ska je<lSu" úêu;a tkak;a l%u uÕska j<lajd .; yelsh' fymghsáia zziSZZ frda.ho reêrh uÕska iDcqj jHdma; jk frda.hla jk w;r Bg tfrys tkak;la ;ju;a fidhd f.k fkdue;' wlaud frda.hg m%;sldr lsÍu läkñka isÿ lsÍu yryd frda.fha j¾Okh wvd, lsÍu" frda. ,CIK we;sùu wju lsÍu iy fjk;a ixl+,;d wju lsÍu wfmaCId flf¾'


yDo frda. úuiqu ixlS¾K yoj;a frda.Ska iqjm;a lsÍfuys,d kj wfmalaIdjka tl;= lrk kjH yD;a ffjoH ;dlaIKh

lsÍgl kd, wNHka;rh uekúka oelSug i,iajk IVUS yd OCT ;dlaIKh oshjeähdj" kd, u; øjH le,aisNjkh ùu jeks úúO fya;= ksid wekacsfhd.%ms mÍlaIKhlska ,nd.kakd yojf;ys reêr kd, iïnkaO m%;sìïn we;eï úg ffjoHjrhdg m%udKj;a fkdfõ' ta wjia:dfõoS ,nd.kakd wê èjks ;rx..; ;dlaIKh (IVUS- intra vascular ultrasound) fukau ^K rEmigyk n,kak& wfOdarla; ;dlaIKh fhdod ,nd .kakd (OCToptical coherence tomography) m%;sìïn msysgg ths' ^L rEmigyk n,kak&

New Trends In Cardiology

ixlS¾K yoj;a frda.Ska iqjm;a lsÍfuys,d kj wfmalaIdjka tl;= lrk

kjH yD;a ffjoH ;dlaIKh -fojeks fldgiDr. Pandula Athaudaarachchi, MBBS MRCP(UK) PhD (Cantab) FESC

widudkH miqìula fyda ixlS¾K lsÍgl m%fõYhka i|yd ^Wod' left main artery interventions, calcific arteries, previous complex stents or bypasses) wfmalaIs; id¾:l;ajhla ,eîug fujka kjH m%;sìïn ;dlaIKhkaf.ka bgq jkafka wkqmfïh jQ fiajdjls' oekg Ndú;fha mj;akd Metallic scaffolds of stents iafgkaÜ u.ska ,efnk m%;sìïn ^L rEmigyk n,kak& j,g jvd fuu ;dlaKhka jHjydr lsÍfuka ,efnk m%;sìïn meyeos,sh' ^K rEmigyk n,kak& ta ksidu ksjeros frda. úksYApho myiq lrhs' fï ksid wjik m%;sM<h f,i frda.shdg os.= ld,Sk ke;fyd;a iaÓridr úi÷ula ,ndoSug ffjoHjrhdg yelshdj ,efnhs' wfkl=;a rgj, úYd, jYfhka fhdod.kakd by; ;dlaIKhka wfma rfÜoSo kqÿf¾oSu fiajhg tl;= ùug kshñ;h'

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yDo frda. úuiqu ixlS¾K yoj;a frda.Ska iqjm;a lsÍfuys,d kj wfmalaIdjka tl;= lrk kjH yD;a ffjoH ;dlaIKh

J

iafgkaÜ ;dlaIKfha w¿;au Ndú;djka fudkjdo @ neÆk yd yD;a

K

Wmdx. j, kj mrïmrdfõ WmlrK kùk iafgkaÜ i;= iqúfYAIS ,laIK fudkjdo @ miq.sh ld,h ;=< yD;a Yd,l ;ka;%fhys oshqKqjg iïudoï jQ kjH ;dlaIKhka /ila y÷kajd oS ;sfí' IVUS

L

OCT M

w¿;a mkakfha Dissolvable biological scaffolding ^J iy M rEmigyka n,kak& i;= idOkSh ,laIKh jkafka Ouks ì;a;s u; lsisÿ wd.ka;=l øjHhla fYAI ùug wjia:djla fkdie,iSuhs' oekg Ndú;fha mj;akd Metallic scaffolds of stents iafgkaÜ j,g;a jvd jeä id¾:l;ajhla ABSORB stents wdoS jYfhka y÷kajk fuu kj mrïmrdfõ iafgkaÜ j,ska ,nd.; yelsfõ' ;=reKQ frda.Skaf.a lsÍgl Ouks l%shdldß;ajh Wmßuj mej;sh hq;= ixlS¾K lsÍgl iafgkaáka Ndú;djka wdosfhaoS fuu kjH iafgkaÜ b;d jeo.;ah' tfiau reêr kd, wdia;rkhkayS l%shdldß;ajh fuu.ska idlaId;a flfrkq we;' (A,B yd C rEm n,kak&

-,nk l,dmhg-


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wka ore fifkyi ;ukaf.a fkdjk megjqkag;a lsßfok ;sßika ujqjre

;ukaf.a fkdjk megjqkag;a

lsßfok ;sßika ujqjre Wmfoia kqf.af.dv cïnq.iauq,a, udjf;a" i;aj Ñls;aid.drfha mY= ffjoH tia'tia'î' Èidkdhl ñksiqka jf.au CISrmdhS .Khg wh;a ´kEu if;la ;ukaf.a megjqkaj fmdaIKh lrkafka Tjqkaf.a ujq lsß ,nd foñkqhs' kuq;a ;ukaf.a lsß § ;u j¾.hdg wh;a fkdjk fjk;a megjqka mjd fmdaIKh lrk ;sßika ujqjreka .ek Tn wid fyda ±l we;s' fndfyda úg udOH u.skq;a fï jf.a foaj,a wmg b|ysg olskakg ,efnkjd' idudkHfhka wm fïjd nyq,j olskafka .Dyia; i;=ka f,i ñksiqka weiqf¾ ys¢k iqkL yd n<,a .eyekq i;=ka w;r jqj;a ´kEu CISrmdhS ;sßika .eyekq i;l=g fï jf.a fohla we;s jkakg neß lula keye'


03 jk l,dmh

.eyekq i;=ka ;=< we;s jk jHdc .¾N Pseudo Pregnancy, False Pregnancy wjia:dj fï ;;a;ajh we;s jkafka tu .eyekq i;df.a .¾NdIfha we;s jk wdidokhla ksihs' wdidokh ksid .¾NdIfha ierj msfrkjd' i;df.a m%ckk ld,fha§ iajNdúl mßirh ;=<ska fyda wdidÈ; msßñ i;l= iu. ,sx.slj tl;= ùfuka fyda m%ckk bkaøsh yryd .¾NdIhg .uka lrk nelaàßhdjla fuu wdidokh we;s lsÍu i|yd uq,a fjkjd' fuys§ —±ka Tn .¾Nkshla˜ hk jerÈ ix×j fud<h u.ska ksl=;a lrk w;r bkamiq i;df.a yeisÍu fjkia jkakg mgka .kakjd' fïl ;uhs jHdc .¾Nh lshkafka' kuq;a b;du l,d;=rlska i;df.a iajNdúl m%;sYla;sh u.ska fuu nelaàßhdj úkdY lsÍu ksid .¾NdIfha ierj" i;df.a fhdaks ud¾. fhka msgfjkjd' fuys§ i;dg mY= ffjoH m%;sldr ,nd Èh hq;=hs' tA jf.au b;du l,d;=rlska bfíu;a fï ;;a;ajh iqj fjkjd'

iuyr i;=kaf.a tu ierj .¾NdIh ;=< tl;= ùfuka .¾NdIh áflka ál úYd, jkakg mgka .kakjd' fï wjia:dfõ§ tu i;d .eí f.k we;s njg i;df.a ysñlrejka mjd iel lrkjd' tA jf.au i;df.a yeisÍïj,o fjkialï we;sfjkjd' fï ld,fha§ úfYaIfhka iqkL .eyekq i;=ka ksjfia we|ka hg jeks w÷re ia:dkj, .ejfikakg jeä ms%h;djhla olajk w;r uy fmd<fõ j<j,a ydrd tA ;=< megjqka ;=re¨ lrf.k isák wdldrhg ksÞ isàu ;j;a ,laIKhla' uyfmd<j ydrkakg bvla ke;s l+vqj, ys¢k i;=ka l+vqfõ ìu ydrkafka uyfmd<j ydrk wdldrhguhs' tfia lr t;ek .=,s .eiS ksÞ .kakjd' Tjqka fï ld,hg ì;a;s mjd oE;skau ydrkjd'

iuyr iqkL .eyekq i;=ka ;ukaf.a ydïmq;=ka <Õ ±jfgñka fl¢ß .dñka ;ukaf.a NdIdfjka hï hï foa fï ld,hg lshk wdldrho ±lsh yelshs' megjq ,enqKu iuyr iqkL .eyekq i;=ka ne<,shla ;u megjqka wi,ska n,af,la .sh;a Wf.a weÕg mkskafka ;ukaf.a megjqka wdrCId lrkakghs'

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wka ore fifkyi ;ukaf.a fkdjk megjqkag;a lsßfok ;sßika ujqjre

ksihs' ienEjgu .eí f.k isák iqkL .eyekq i;l=f.a fï ,CIK fï ;rïu we;s jkafka kE'

by; lS lsisjla ke;sj iuyr i;=ka l=vd i;=kaj ;ukaf.a orejka fuka <x lr f.k wdorh lsÍu" wdofrka n,d .ekSuo isÿ fjkjd' fuh iuyr ldka;djkag ´kEu l=vd orejl= ÿgq l, ore fifkyila we;s ùu yd iudkhs' tfiau fi,a,ï nvq" f.;=< oud ;sfnk mdmsis jeks oE nv hgg lrf.k ksÞ .kafka tA ;u megjqka f,i we;s jk jerÈ yeÕSulg wkqj tu mdmsis ljqre yß .;af;d;a Tjqkag flaka;s hkjd' fï ld,hg tu .eyekq i;=kaf.a mshhqrej, lsß msfrkjd' fï ish¨ foa jkafka fud<fhka ,nd fok jerÈ ix×jlg wkqj i;df.a fydafudakj, we;s jk fjkialï

iuyr iqkL .eyekq i;=ka ;ukaf.a ydïmq;=ka <Õ ±jfgñka fl¢ß .dñka ;ukaf.a NdIdfjka hï hï foa fï ld,hg lshk wdldrho ±lsh yelshs' megjq ,enqKu iuyr iqkL .eyekq i;=ka ne<,shla ;u megjqka wi,ska n,af,la .sh;a Wf.a weÕg mkskafka ;ukaf.a megjqka wdrCId lrkakghs' kuq;a iuyr iqkL .eyekq i;=ka megjqka ,enqKq miq fmrg jvd ñksiqka flfryS f,ka.;= njla m< lrkjd' fujeks iqkL .eyekq i;=ka fukau ne<,shkq;a fjk;a megjqkaj wdofrka <x lrf.k lsß fokjd' fuys§ iqkL .eyekq i;=ka ;ukaf.a ksjfia ys¢k n<,a megjqkag mjd lsß fok wkaou olskak mq¿jka' fujeks ne<,shkao fjk;a j¾.j, megjqkag lsß §u fï ld,fha§ iajNdjhla' flfia fyda i;dg fï ;sfnkafka .¾NdI wdidokhla kï tA nj ydïmq;=kag ±k .kakg ,efnkafka udi folla bl=;a jQ miqj;a megjqka ìys fkdl< úghs' idudkHfhka iqkLhkaf.a jf.au ne<,shkaf.a;a .¾NŒ ld,h udi folhs' fï udi foflka miqj;a È.gu i;df.a Worh úYd, jkafka kï jydu W! mY= ffjoHjrhl= fj; /f.k f.dia m%;sldr ,nd Èh hq;=hs' ke;skï fï frda. ;;a;ajh ksid i;d ñh hdug;a bv ;sfnkjd'


03 jk l,dmh

äïnfldaIj, fjkialï ksid we;s jk ud;D;ajh ms<sn| yeÕSu iuyr ;sßika .eyekq i;=kaf.a by; lS wdldrfha wdidok ;;a;ajhla ke;sj m%ckk ld,fhka miqj äïnfldaIj, we;sjk fydafudak fjkialï u; ud;D;ajh ms<sn| yeÕSu we;s fjkjd' fï ;;a;ajh fndfyda úg ie;alula u.ska äïnfldaI yer .¾NdIh muKla bj;a l< i;=kaf.a olskakg mq¿jka' ^.¾NdIh we;s i;=ka kï m%ckk ld,fha§ msßñ i;=ka iu. f.dia ienEjgu .eí .ekSu isÿfjkjdfka& fï wkqj tu i;=kaf.a äïn fldaIj, fydafudak fjkialï u; ;nd ujla hk yeÕSu we;s ù mshhqrej, lsß ksmoùu wdÈh we;s fjkjd' kuq;a Worh úYd, ùula isÿjkafka kE' tfia jqjo ud;D;ajh ms<sn| yeÕSu u; fjk;a ;ukaf.a j¾.fhau fyda ksjfia isák fjk;a j¾.hl megjqka

^iqkLhka kï n<,a megjqka jeks& ;=re¿ lrf.k ys£u lsß §u jeks oE isÿjkq we;s' fjk;a megjqka ÿgq l, we;s jk ud;D fifkyi by; lS lsisjla ke;sj iuyr i;=ka l=vd i;=kaj ;ukaf.a orejka fuka <x lr f.k wdorh lsÍu" wdofrka n,d .ekSuo isÿ fjkjd' fuh iuyr ldka;djkag ´kEu l=vd orejl= ÿgq l, ore fifkyila we;s ùu yd iudkhs' fuysÈ tu megjqka ;=re¿ lrf.k isák úg megjqkago tA ;u uj hk yeÕSu we;s ù Tjqka mshhqre Wrkakg fm<fUkjd' túg wr ud;D;ajh ms<sn| yeÕSu ;j;a ±ä ù fm%da,elaáka kï fydafudakh >%djh ùu ksid tu i;df.a lsß ksmofjkakg mgka .kakjd' megjqka lsß Wrd îu ksid fydafudakh ;j ;j;a >%djh ùu ;=<ska lsß fkdkj;ajd ksmofjkjd' lsis Èfkl;a megjq fkd,nmq" j| ie;alulg Ndckh ù ys¢k iqkL .eyekq i;l=g fukau n<,a .eyekq i;l=g jqj;a fï ;;a;ajh we;s úh yelshs' Tjqka ;=< ±ä ore fifkyila my< ùfï m%;sM,hla f,iskqhs' iuyr i;=ka ;ukaf.a fkdjk megjqka fukau ;u j¾.fha fkdjk megjqkao ;u lsß fmjd fmdaIKh lsÍug fya;=j fukak fï lreKqhs'

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ffjoHjrhd

Nutrition jefvk orejkag uia ud多 wjYHuo@

jefvk orejkag

uia ud多 wjYHuo@


03 jk l,dmh

Ydl wdydr muKla .kakd jefvk orejl=g fndcqkam;g ie<ls,af,ka fm%daàk wdydr tl;= l< hq;=h Wmfoia fld<U ffjoH m¾fhaIKdh;kfha fmdaIK úfYaI{ ffjoH f¾Kqld ch;siai wfma rfÜ ck;dj jeämqru .kakd wdydrh jkafka n;ah' tA wkqj wfma fm%daàk wjYH;djfhka 50] wms wksl=;a wdydrj,skao imqrd .kafkuq' fm%daàk wmg b;du;a jeo.;a jkafka wehs @ m%Odk jYfhkau udxY fmaYsj, j¾Okhg iy YÍrh Wi hdug fm%daàk w;HjYH fmdaIH mÞ¾:hls' orejl=f.a YÍrfha Wmßu j¾Okh isÿ jkafka jhi wjqreÿ 10-19 w;r ld,fha§h' msßñ orejl=f.a kï jeãu j¾Okh jkafka wjqreÿ 16-19 w;rh' jefvk jhig wkqj fm%daàkj, wjYH;djh .eyekq jhi wjqreÿ 10-12 olajd .%e 45' jhi wjqreÿ 12-16 olajd .%e' 55 jhi wjqreÿ 16-19 olajd .%E' 65 msßñ jhi wjqreÿ 10-12 olajd .%e' 45 jhi wjqreÿ 12-16 olajd .%e' 65 jhi wjqreÿ 16-19 olajd .%e' 85 fm%daàk nyq, wdydr f,i uia udxY j¾. m%Odk jYfhkau ie<flk w;r YdLuh wdydr fndfydauhl o fm%daàk wvx.= fõ' tA w;r lv," uqxweg" lõms" mßmamq" fidahd wd§ OdkH wdydr;a''' lsß" fhda.Ü wdÈ lsß wdydr;a uQ,sl jYfhka ±laúh yels w;r ;j;a fkdfhl=;a wdydrj, fm%daàk hï hï m%udKj,ska wvx.= jk nj lsj hq;=h'

55

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56

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Nutrition jefvk orejkag uia ud¿ wjYHuo@

idudkHfhka .sksfmÜáhl m%udKfha f,dl= ud¿ lene,a,l wvx.= fm%daàk m%udKh ,eîug mßmamq kï fïi ye¢ 6 la wdydrhg uia udxY wmg w;HjYHu hehs .; hq;=fõ' yd,aueiaika lsj fkdyelsh' kuq;a udxY iq¿ 10lska ,efnkafka;a fï m%udKhlska ,efnk fm%daàka m%udKh fm%daàka m%udKhuh' ì;a;r kï tlls' tA whqßkau ,nd .kakg Ydl wdydr Ydl wdydr muKla .kakd jeä m%udKhla .kakg isÿfõ' flkl= ;ukaf.a o< fm%daàk wjYH;djh imqrd .ekSug Èklg .; hq;= wdydr m%udKh fufia ±laùug mq¿jk'

• n;a mSßis fldamam 6 hs • fidahd .%E' 70 • lõms fyda uqxweg fïi ye¢ 3 hs • mßmamq fïi ye¢ 3 • lsß ùÿrejla • fhda.Ü fldamamhla fï wkqj n,k úg uia udxY wmg w;HjYHu hehs lsj fkdyelsh' kuq;a udxY iq¿ m%udKhlska ,efnk fm%dà a ka m%udKh tA whqßkau ,nd .kakg Ydl wdydr jeä m%udKhla .kakg isÿfõ' tneúka Ydl wdydr muKla .kakd jefvk orejl=g uy;a ie<ls,, a lska hq;j = fm%dà a k wdydr ,nd §u b;d jeo.;ah' wjqreÿ 16-19 w;r msßñ orejl=f.a fm%daàk wjYH;djh Èklg .%E' 85la nj by; ±laùuq' fï .%E' 85 ka o< jYfhka 10]la muK n;aj,ska ,eìh yelsh' uia udxY fyda Ydl wdydr j,ska imqrd.; hq;=j we;af;a b;sß 50]l m%udKhls'

fuf,i fm%dà a k wjYH;djh ksis mßÈ iïmQ¾K fkdùu ;=<k s a orejdf.a udxY fmaYs j¾Okh nd, jk w;r Wi hdu wvqfõ' bkamiq wjqreÿ oy wg bl=;a ùfuka miqj Wi hkakg lshd ffjoHjrekaf.ka fnfy;a b,a,d isàfuka m%;M s ,hla fkd,efnkq we;'


58

ffjoHjrhd

Y,H mÍlaId fldf,dfkdiafldms Colonoscopy mÍlaIdj

fldf,dfkdiafldms Colonoscopy mÍlaIdj bosßm;a lsÍu osh;,dj uQ,sl frdayf,a fi!LH wOHdmk fyo ks,OdÍ pkaødKS r;akdhl úisks b;d ishqï leurdjla iys; isyska kefuk iq¿ kd,hla .=o ud¾.h yryd uyd nvje,a ^uyd wka;%& l=vd nvje,a ^l=vd wka;%& fj; we;=,a lsÍfuka tajdfha we;s reêr jyk .eá;s bosuqï ;=jd, m%ody ^meiùï& ;;aj yd ms<sld jeks ;;a;aj fidhd .ekSu i|yd lrkq ,nk mÍlaIKh fldf,dfkdiafldms mÍlaIdj jYfhka y÷kajhs¡ fuu mÍlaIdj Y,Hd.drh ;=<" ks¾úkaok ;;a;aj hgf;a isÿ lrkq ,nk w;r fuh fõokdjla we;s lrk fyda ;=jd, we;s lrk mÍlaIKhla fkdfõ¡ mÍlaIKhg iQodkï jkafka fufyuhs fuu mÍlaIKhg fmr Tfí nvje,aj, we;s wiQÑ imqrd bj;a úh hq;=h¡ tfia


03 jk l,dmh

03¡ mÍlaIKhg fmr osk Wfoa 10isg oshr wdydr muKla .; yel¡ ^Wod( f;a, fmrd.;a iqma j;=r& tosk iji 2 isg Tfí nvje,a j, ;j ÿrg;a ?|S we;s ish¿ wmøjH bj;a lsÍu i|yd Tng úfYaI m%;sldrhla jdÜgqfõoS ,nd foa¡ th Klean Prep kñka y÷kajhs¡ Klean Prep T!IOh ,nd.kakd ms<sfj,

fkdjqK úg leurdjg nvje,a ;=< we;s fjkialï y÷kd.; fkdyel¡ tuksid fuu fmr iQodku mÍlaIKh lsÍug osk 3lg muK fmr isgu ^nvje,a iQodkï lsÍu& l< hq;= h¡ 01¡ fuu mÍlaIKhg osk 3lg fmr isg Tn frdayf,ka ,nd fok fm;s ^úf¾l fm;s& rd;%shg fm;s 3 ne.ska ,nd .; hq;=h¡ ^fuu fm;s ,nd .;aúg oshruh wdldrhg Wor fõokdj iuÕ jeämqr u,my msgfõ& tu ksid jeämqr c,h mdkh lrkak¡ 02¡ mÍlaIKhg osk 2lg fmr isg >k wdydr iSud l< hq;=h¡ tkï f;,a wdydr, m<d j¾. iy uia, ud¿, t<j¿ j¾. wdydrhg tla lr .ekSfuka je<lsh hq;= h¡ ^fïjdfha wvx.= fl|s iys; nj mÍlaIdj ksjerosj lsÍug ndOd lrk neúks&

• Klean Prep melÜ 04la Tng ,efnkq we;¡ • fuu T!IOh wñysß rila we;s neúka Tng foys, f,uka, cSjkS, jeks fohla tla lr.; yel¡ • bka m<uq melÜgqj j;=r ,Sg¾ tll oshlr m<uq meh ;=< úkdä 10-15 lg jrla ñ¡,S 250 l m%udKhla jYfhka mdkh l< hq;= h¡ • fojk meh ;=< c,h muKla mdkh l< hq;= h¡ • 3jk mefhaoS kej;;a j;=r ,Sg¾ 1l oshlrk ,o fojk melÜgqj;a by; wdldrhg mdkh l< hq;= h¡ • 4jk mefhaoS kej;;a c,h muKla mdkh l< hq;= h¡ • fï wdldrhg melÜ 4u wjika jk f;la klean Prep mdkh l< hq;=h¡ fuh mdkh lrk úg oshruh iajNdjfhka u,my msgjk w;r wjidkfhaoS meyeos,s c,h fuka u, msg fõ¡

59

ffjoHjrhd


60

ffjoHjrhd

Y,H mÍlaId fldf,dfkdiafldms Colonoscopy mÍlaIdj

bka miqj mÍlaIKh ;=re Tn ksrdydrj ;nkq we;¡ fuu m%;sldrh ksis f,i fkd.;fyd;a nvje,a msßisÿ ùu isÿ fkdjkq we;¡ 05¡ mÍlaIKh lrkq ,nk oskfha n,dfmdfrd;a;= jQ mßos nvje,a msßisÿ ù ke;s kï muKla Tng jia;shla ,ndoSug lghq;= flf¾¡ 06¡ Tn fuu mÍlaIKhgo idudkH Y,H l¾uhlg iQodkï jk wdldrhgu iQodkï úh hq;= w;r ta ms<sn| úia;r m;%sldjla jdÜgqfjka fyda idhkfhka ,nd .kak¡ 07¡Tn fuu mÍlaIKhg fmr Tnf.a ffjoHjrhd oekqj;a l< hq;= úfYaI lreKq lSmhls¡ • Tn jl=.vq" yDo frda." wêreêr mSvkh i|yd m%;sldr .kafka kï¡ • Tn reêrh leá .eiSu je<elaùu i|yd T!IO (Aspirin, Clopidogrel) ,nd .kafka kï fuu mÍlaIKh Tng oefkk yeá mÍlaIKhg fmr Tng fõokdjla ke;s lrk yd ksødldrl T!IO ,ndfok ksid fõokdjla oefkkafka ke;¡ • fldf,dfkdiafldamh .=o ud¾.hg we;=,a lsÍfïoS Tng u,my lsÍug wjYH jkakdla fuka oeksh yel¡ • Scoope tl tyd fuyd lsÍu, jdhqj nvje,a ;=<g we;=,a lsÍu o Tng oefkkq we;¡

mÍlaIdj wjidkfhaoS mÍlaIKfhka meh lSmhla .; jk;=re úfõl .; hq;= h¡ bka miq ffjoH Wmfoia u; wdydrmdk ,nd.; yel¡ Tn frday,g /f.k wd hq;= foa Tn ldka;djl kï ^iqÿ froaola boßmi újr jQ fnd;a;ï we,aÆ í,jqihla& Tn msßñ frda.sfhl= kï ^iqÿ irula iy lñihla& Tn i;= mÍlaIK jd¾;d iy frda. úksYaph ldâm;a Tng wjYH wfkl=;a WmlrK ^mkdj, o;a nqreiqj wdosh& frdayf,ka neyer ùug fmr''' Tng hï m%Yakhla fjf;d;a ffjoH fyda fyo ld¾h uKav,fhka wid oek .kak¡ ffjoH iy;sl wjYH kï ta nj ffjoHjrhdg fyda fyo ks,Odßhdg okajkak¡


03 jk l,dmh

61

ffjoHjrhd


62

ffjoHjrhd

ufkda frda. úuiqu úYdoh fkdfyd;a udkisl wjmSvkh úuis<su;a fjkak''' fï ,laIK m%lg lrk frda.Ska Tn w;f¾;a isáh yelsh

úuis<su;a fjkak''' fï ,laIK m%lg lrk frda.Ska Tn w;f¾;a isáh yelsh

úYdoh fkdfyd;a udkisl wjmSvkh


03 jk l,dmh

úYdo frda.Ska cSú;h ydks lr .ekSfï mjd bvlv jeäh' tfy;a" ksishdldrj m%;sldr .;af;d;a iïmQ¾Kfhka iqjm;a lr.; yelsh'

.ïmy osia;%sla uy frdayf,a ufkda ffjoH tallfha fcHaIaG ffjoH pñkao ckl fm%au;s,l úisks

mshqud,sf. l;dj mshqud,sf.a mshd yÈisfha yDohdndOhlska ñh hk úg jhi wjqreÿ 18 iïmQ¾K jQjd muKs' wehf.a mshdf.a úfhdaj wehg ord.kakg fkdyels jQ w;r ta jk úg Wiia fm< yodrñka isá wehg úNd.ho iu;a ùug wehg fkdyels úh' áflka ál wehf.a yeisÍu fjkia úh' bf.kSug ;snQ wdidj Wkkaÿj ke;s úh' f.or fodf¾ jevm, lsis;a lsÍug weh Wkkaÿ jQfha ke;' lEu îu .ekSuo w;miq l<dh' ojfia jeä meh .Kkla we|g ù isàug weh m%sh l<d" ks;ru we`.g mK ke;s nj;a ysirohla .eko ujg meñKs,s l<dh' ta ú;rla fkdfõ" wehf.a l;dny o iudc weiqr o l%ufhka wvqúh' wehg kskao o wE;aúh' iuyr Èk j, ? t<sjk ;=re wE ksos j¾cs;ju .; l<dh' f.org i;=g f.kd f.or t<sh l< ;u ÈhKshf.a fjkia ùu wehf.a ujg ord.ekSug fkdyelsjQ ksid uj weh ffjoH m%;sldr i|yd ufkda ffjoH idhkhg fhduq l<dh' wehg je<£ we;af;a úYdoh (Depression) kï frda.S ;;a;ajh nj frdaa.S mÍlaIdfõoS fy<s úh' úYdoh iajNdjh úYdoh hkq iq,n udkisl frda.hls' msßñkaf.ka ishhg 10 la muKo .eyekqkaf.ka ishhg 25 muKo fuu frda.hg cSú;fha ljr fyda jljdKqjloS k;= jk nj fï jk úg ffjoHjreka y÷kdf.k ;sfí' f,dalfha isák udkisl frda.Shkaf.ka 1$4 la muK fmf<kafka úYdofhks' thskau úYdoh fl;rï iq,no hkak ikd: jkafkah' ia;%S mqreI ´kEu flfkl=g ´kEu jhiloS úYdoh je<fokakg mq¿jk' fodïkiskao @ úuis<su;a fjkak isf;ys È.=ld,Skj mj;sk ÿl" tÈfkod jev lr.ekSug we;s wmyiqj nyq,j ±lsh yels frda. ,laIKh' ÿl tÈfkod Ôú;fha§ wms wlue;s" wms w;aú£ug wdid fkdlrk fohla isÿjQ wjia:d j,§ wm iefjdu w;a olsk idudkH m%;sl%shdjls' fuys§ wmg we;sjk ÿl" wmg ke;sjQ$ wfmka fjkajQ fohg iudkqmd;sl jk w;r iSñ; ld,hlska th hgm;a fõ'

63

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ufkda frda. úuiqu úYdoh fkdfyd;a udkisl wjmSvkh úuis<su;a fjkak''' fï ,laIK m%lg lrk frda.Ska Tn w;f¾;a isáh yelsh

kuq;a úYdofha§ we;sjk ÿl tfia fkdjkafkah' wmg ke;sjQ $ wfmka fjkajQ fohg tu fodaukiaih iudkqmd;sl fkdjk w;r i;s follg jvd jeä we;eï úg fndfyda os.= ld,hla mj;skakls' úYdoh y÷kd.; yels ,laIK ufkdaNdjh wj m%udKh ùu' (Depressed mood) wdidj" Wkkaÿj ke;sùu" ;u Ôú;hg i;=g f.k ÿka l%shdldrlï j,ska ;udg i;=gla fkd,eîu' (Loss of interest & enjoyment) ;udf.a Yla;sh wvq ù hdu (Decreased Energy) wjfYAI frda. ,laIK wjOdkh (Attention) yd Odrkh (Concentration) wvq ù hdu' wd;au úYajdih wvqùu (Decreased Self esteem) wkd.;h .ek wiqNjd§ woyia we;sùu (pessimistic ideas about future) Ôú;hg ydks lr.ekSfï $ ke;slr .ekSfï jqjukdj (Ideas of selfharm / suicide) kskafoa we;sjk fjkiaùï

lEu reÑh wvqùu ufkdaNdjh wjm%udKh ùu fjk;a udkisl frda. j,§ o we;súh yel' WodyrK - wfõoksl wdndO (Bipolar Affective Disorder)" yev.eySfï wmyiq;d" Nskafkdkaudoh" äfukaIshdj" ldxidj fïjd úYdofhka fjkalr y÷kd.; hq;=fõ' udkisl wd;;shlska miq we;sjk úYdoh frda. ,laIK idudkH m%;sl%shdjla fyda jHdêuh ;;a;ajhla úh yel' th udkisl wd;;shlg we;sjk idudkH m%;sl%shdjla kï ufkdaNdjh wjm%udKh ùï iuyr fõ,djka j,§ muKla we;sfõ' kuq;a úYdofha§ ufkdaNdjh wjm%udKh ùu oji mqrdu È.gu Èk .Kkdjla mj;S'

f,dalfha isák udkisl frda.Shkaf.ka 1$4 la muK fmf<kafka úYdofhks' thskau úYdoh fl;rï iq,no hkak ikd: jkafkah' ia;%S mqreI ´kEu flfkl=g ´kEu jhiloS úYdoh -,nk l,dmhgje<fokakg mq¿jk'


66

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Neonatology ksis mßK; nj fkd,o fkdfïrE ì<s÷ka mÍlaId lrk kj ckau tall l%shdj,sh

fld<U 5" lsre, mdf¾ wdisrs frdayf,a bosrsm;a lsrSuls

Neo Natal Care ksis mßK; nj fkd,o fkdfïrE ì<s÷ka mÍlaId lrk kj ckau tall l%shdj,sh fld<U 5" lsre, mdf¾ wdisß frdayf,a kj ckau úfYAI{ úfYaI{ ffjoH ueKsla .=Kj¾Ok iu. l< idlÉPdjla weiqßKs' ilia lf<A ;=is; u,,fialr kj ckau ffjoH úoHdj (Neo natalogy) ffjoH flafIa;%fhys zz<ud fi!LHZZ hk mq¿,a m%foaYhg wh;a ;j;a tla wxYhla' uE;la jk ;=re kjckauhka" ke;akï Wmka w¿;a ì<s÷kaf.a fi!LH wjYH;d yd ffjoH .eg¿ úuid ms<shï lrkq ,enQfha <ud frda.Ska i|yd jQ tall ;=<uh¡ Bg;a miq iuyr wdh;k ;=< fkdfïrE Wm;a tall we;s jQfha ksis f,i mßK; fkdjQ ì<s÷ka i|yd wjYH myiqlï ,nd oSugh¡ fuu myiqlï

;j;a úldYkh ùu ;=< zzkjckau tallZZ oeka fndfyda frday,aj, msysgqjd ;sfnkafka .eg¿ iys;j Wm; ,nk ì<÷kag iqúfYaIS iy l%uj;a i;aldr iemhSu i|ydh¡ fld<U wdisß frdayf,A msysgqjd we;s fujeks kjckauhka i|yd jk tallhg miq.shod wm msúisfha tjeks tallhla ;=< isÿjk ld¾hNdrh úuid ne,Su i|ydhs¡ tysoS uqK.eiqK kjckau fi!LH ms<sn| úfYaI{ ffjoH ueKsla .=Kj¾Ok uy;añh iu`. l< l;dnyska ,o f;dr;=re fufiah¡

kjckauhl= f,i y÷kajkafka ljqrekao@ fuf,djg ìysj ojia 28la .;jk ;=re ´kEu ì<sfol= kjckauhl= f,i y÷kajkjd¡ ta wh w;r idudkH f,i j¾Okh jQ ksis nßka hq;a ì<sªka jf.au .en ;=< ksis l, ^i;s 4g& f.ùug fmr Wm; ,o yd mßK; fkdjQ ì<s÷ka Wm;a nr wvq ì<s÷ka muKla fkdj hï wdndO iys; ì<s÷ka o isáh yelshs¡

kj ckauhl=" idudkH f,i j¾Okh jQ ì<s|l= f,i i<lkafka ljr ks¾Kdhlhka u;o@ ì<sf|l= Wmka ú.iu y`vhs kï" fyd|ska l%uj;aj yqiau .kakjd¡ yDoh .eiau idudkHhs¡ frdai mdghs¡ nr lsf,da.%Eï 2¡5 g jvd jeähs¡ ujq l=i ;=< i;s 37lg jvd jeä ld,hla


03 jk l,dmh

ie<lSu fyda úfYaI i;aldr ,eîug fhduq lsÍu fyda wjYH ke;¡ i;s 34 ka Wm; ,enQ orejka iy nr lsf,da.%Eï 1¡8 g wvq ì<s÷ka kï wksjd¾fhkau fkdfïrE Wm;a tallhg we;=,a fõ¡

ì<sf|l=f.a cSú;h /l.ekSug kï ujql=i ;=< j¾Okh fj,d¡ ì<s|d ;=< lsishï oDYHudk wdndê; ;;a;ajhla kE''' fï wdoS lreKq u; tu ks.ukhg idudkHfhka t<fUkak mq¿jka¡ tfy;a <ud frda. ffjoH úoHdj fï i|yd thg jvd l%uj;a yd úoHd;aul l%uhla Ndú;d lrkjd¡ th ì<s|dg ,l=Kqfok l%uhla¡ —we*a.d¾ ,l=Kq˜ f,ihs th y÷kajkafka¡ we*a.d¾ ,l=Kq oSfïoS ì<s|df.a yDoh .eiafï fõ.h" Yajik fõ.h" W;af;ac oelaùu" fmaYs ;dkh iy ifï j¾Kh wdoS lreKq mylg 0-10 olajd jYfhka ,l=Kq ,nd fokjd¡ ,l=Kq 10 u ,enqfKd;a fyd|ska fi!LHu;a ì<sf|la' wvq ;rñka ,l=Kq 7la j;a .ekSu wjYHhs¡ tfia fkdfõ kï tjeks ì<s÷ka .eg¿ iys; njla ms<s.efkkjd¡ Wmka ì<s÷ msßisÿ lrk w;r;=r fuu we*a.d¾ wjYH;d mÍlaIKh isÿ fjkjd¡ bmoS ñks;a;= 10la we;=,; we*a.d¾ ,l=Kq 7g jeä ì<s÷ka fndfyda úg uj iu`. idudkH miq m%ij jdÜgqjg hefjkjd¡ hï .eg¿ iys; njla we;akï kjckau fi!LH tallhg fhduq lsÍu wjYHhhs¡ ta úfYaI i;aldr

,ndoSughs¡ ^we*a.d¾ ,l=Kq ms<sn|j fuys fjku olajd we;s j.=j n,kak&

ujf.a fi!LH ;;a;ajh hym;a jQ jydu wehg kjckau tallhg meñKsh yelshs¡ ì<s|d w;m; .Eug" ì<s|d iu`. l;dny lsÍug wjia:dj wm ,ndfokjd¡ tfiau ujf.a w;ska fodjd.;a lsß kd, wdOdr lrf.k fyda fldamamfhka fmùu fyda isÿ lrkjd¡

67

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68

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Neonatology ksis mßK; nj fkd,o fkdfïrE ì<s÷ka mÍlaId lrk kj ckau tall l%shdj,sh

we*a.d¾ ,l=Kq ixLHdj w¿; WMka ì<s|l=f.a ;;a;ajh ;lafiare lsÍu Wfoid wefußldkq ks¾úkaok úfYaI{hl= jQ j¾cSkshd we*a.d¾ úiska ixj��Okh lrkq ,enQ we*a.d¾ ,l=Kq ixLHd l%ufõofhaoS ì<s|d Wm; ,nd ñks;a;= 5-10 l ld,hla ;=<oS ks¾Kdhl myla Tiafia ;lafiarej isÿ lrkq ,efí¡ tu ks¾Kdhl ,laIK 5 jkafka Yajik fõ.h, yDo iamkaok fõ.h, j¾Kh, fmaYs ;dkh, iy W;af;achkag olajk m%;sl%shd wdoS jYfhks¡ fuysoS tla tla ,laIKhg ,l=Kq 2 la 0, 1, 2 jYfhka ,ndfok w;r uq¿ ,l=Kq ixLHdj ,l=Kq 0-3 w;r kï jydu fjoHdOdr ,eîu wjYH jk w;r th ,l=Kq 4-6 kï tho ffjoHdOdr ,eìh hq;= ;;a;ajhla f,i ie<flhs¡ 7-10 olajd ,l=Kq ixLHdjla ;sîu ì<s|df.a ksfrda.S Ndjh ;yjqre lrhs¡

fkdfïrE fkdfyd;a mßK; fkdjQ ì<sfol= f,i ie<flkafka ljr ì<sfolao@ idudkHfhka ì<sf|la ujql=i ;=< .; lrk ld,h i;s 40ls¡ fuu ksis ld,h .; fkdl< ì<s÷ka tkï i;s 34-35 oS Wm; ,nk orejka iy uq¿ ld,hu uõl=i ;=< .; l<;a ksis j¾Okh fkd,enQ iy Wm;a nr ls¡.%E¡ 2¡0 g wvq <uhska wdoS ish¨fokdu fï >Khg oukakg mq¿jka¡ tfy;a ujql=i ;=< i;s 40 .; fkdl<o ì<s|d fyd|ska jeã we;akï iy we*a.d¾ ,l=Kq ixLHdj we;=¿ wfkl=;a ,laIK hym;a kï tjeks ì<s÷ka mßK; fkdjQ ì<s÷ka f,i


03 jk l,dmh

fldmuK i;s ixLHdjla .; lr ;sìh hq;= o@ fï uE;la jk ;=re wm ie<l=fõ wvq ;rñka i;s 28la j;a úh hq;= njhs¡ tfy;a oeka j¾;udk myiqlï hgf;a i;s25la .eí jhi ;sfhk ì<s÷ka mjd /l.ekSug mq¿jka ù we;¡ fndfyda oshqKq rgj, .eí jhi i;s 24oS Wm; ,nk ì<s÷ka mjd wdrlaId lr .ekSu isÿ fjkjd¡ wmg m%Yakh ;sfhkafka myiqlï yd m%;sldr l%u fkdue;slu fkfuhs¡ wfma jf.a rgj, wdidok we;s ùug mj;sk yelshdj jeähs¡ fujeks ì<s÷ka /l n,d .ekSu wiSre fjkak uq,a fjkafka thhs¡ ud i|yka l< foa jrojd f;areï .ekSu fkdl< hq;=hs¡ i;s 25oS Wm; ,nk iEu ì<sfol=f.au cSú; /l.; yels fkdfjkak mq¿jka¡ i;s 40la .; fj,d Wm; ,nk ì<sÿka jqK;a hï wjdikdjka; ;;a;ajhkag m;a fjkak mq¿jka¡ wdisß frdayf,a kjckau tallfhaoS .%Eï 600 ;rï wvq nrla iys;j bmÿKq ì<sf|l=f.a cSú;hla fír.kak wmg mq¿jka fj,d ;sfhkjd¡

fkdfïrE ì<sf|l=f.a cSú;h /l.ekSu i|yd úfYaI m%h;ak oeßh hq;af;a l=ula ksido@ fujeks ì<sf|l=f.a YÍr WIaK;ajh /l.ekSu ;uhs w;HdjYHu fjkafka¡ YÍrfha idudkH WIaK;ajh fi,aishia wxYl 37la fjkjfka¡ idudkH ì<f|l= fidao,d" msi ou,d" í,ekalÜ

tllska t;=ju ta ì<s|d ;=< fuu WIaK;ajh /÷ko fkdfïrE ì<sf|l= tfyu fkfuhs¡ b;d blauKskau iS;, fjkjd¡ WIaK;ajh ì| jefgkjd¡ túg fud<h ;=<g reêrh .e,Su we;=¿ m%Yak rdYshla we;s úh yelshs¡ wm fï ;;a;ajh y÷kajkafka ukao;dmh f,ihs¡ fkdfïre ì<sf|l= uqyqK fok wfkla .eg¿" úfYaIfhka yqiau .ekSfï wmyiq;d jf.a foaj,aj,g ixjd;lhla (Ventilator) fhdodf.k ms<shï fhosh yels jqj;a fud<hg ydks we;sfjkak mq¿jka¡ miqj WIaK;ajh h:d ;;a;ajhg m;a l<;a fud<hg jQ ydkshg ms<shï fhdokak neye¡ ta ksid ukao;dmh ch.ekSu fï ì<s÷kaf.a cSú; iq/lSu i|yd b;du jeo.;a¡ tfiau YÍr WIaK;ajh wvq fjkfldg th je<elaùug reêrfha we;s iSks oeù hdu isÿ fjkjd¡ th ì<s|d ;=< ukao reêr.aÆfldaia;dj ^f,a ;=< we;s iSks m%udKh wvqùu& g fya;= fjkjd¡ th;a fud<fha f,a jykhg ;j;a fya;=jla¡

wdisß frdayf,a kjckau tallfhaoS .%Eï 600 ;rï wvq nrla iys;j bmÿKq ì<sf|l=f.a cSú;hla fír.kak wmg mq¿jka fj,d ;sfhkjd¡

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Neonatology ksis mßK; nj fkd,o fkdfïrE ì<s÷ka mÍlaId lrk kj ckau tall l%shdj,sh

B<`.g ì<s|df.a reêr mSvkh wvqfjkak mq¿jka¡ th ye|skafjkafka ukao reêr mSvkh f,ihs¡ fuysoS oelsh yels wfkla .eg¿j yDoh jia;=jg reêrh kd, Tiafia ;,a¨ lsÍug fkdyels ùu ksid ukaorla; mßudj keue;s ;;a;ajhla we;s ùuhs¡ fï idOl fjk fjku l;d lsÍu wmyiqhs¡ WodyrKhla yeáhg ukao;dmh ksid iSks iSks mßjD;a;Sh by< hdfuka ukaoreêr .aÆfldaia;dj we;s fjkjd' ukaoreêr .aÆfldaia;djh ksid YÍr WIaK;ajh jeäfjkjd¡ fuu ukao ;;a;ajhka y;r ch .ekSu kjckau Wm;a tallh uqyqKfok wNsfhda.hhs¡ fuhg wu;rj fkdfïrE ì<s÷kaf.a fmky¿ Yajik ld¾hhg wjYH mßos fudard fkd;sìh yelshs¡ Tjqkg Tlaiscka ,ndoSu wjYH ùug bv ;sfnkjd¡ ta ú;rla fkfuhs lsß Wrdîfï yelshdjla fkd;sìh yelshs¡ ta i|yd wka;¾ Ysrd ud¾.fhka fvlaiafg%dia ødjKhla ,ndoSug;a ujf.ka fodjd.;a lsß" kd<hl wdOdrfhka YÍr.; lsÍug;a wjYH jkjd¡ ta ú;rla fkfuhs id¾:lj ujf.a mshhqre ;=vqj Wrd îug ;rï Yla;su;a úh hq;=h¡ ujf.ka fodjd.;a lsß fldamamhl wdOdrfhka ì<s|d fmdaIKh lsÍug mshjr .efkkjd¡

fudk jf.a ì<s÷kao jeämqru kjckau fi!LH tallhg tkafka @ fndfyda úg fuh ;SrKh lrkafka <udfrda. úfYaI{ ffjoHjrhd

hs¡ i;s 34-35 oS Wm; ,o ì<s|l= lsf,da.%Eï 1¡4- 1¡8 w;r ì<s÷ka" Yajik wmyiq;d we;s jQ ì<s÷ka" wdndO ;;a;ajhkag ,la jQ ì<s÷ka" lsß Wrd îug wmyiq ì<s÷ka" fkdfhl=;a Wm;a wdndO i|yd Y,Hl¾uhkag ,la l< ì<s÷ka jeks úúO ì<s÷ka kjckau wxYhg tjkq ,nkjd¡ tjeks ì<s|l= m%iQ;sld.drhl fyda Y,Hd.drhl Wm; ,enQ úg kjckau wxYfhka tu ia:dkhg f.dia cx.u ixjd;lfha ;ndf.k tallfha orejd ia:dms; lr iq/lsj /ln,d .kakjd' fuysoS wdidokhla we;aA m%;scSjl T!IO ,nd fokjd' yqiau .ekSfï wmyiqj ixjd;lh u.skao" WKQiqu wdf,dalh u.skao ,ndoSug mshjr .kakjd'

kjckau tallhla ;=, wê Yíohg yd wdf,dalhg ,lafjk ì<s÷ka ;=< miqld,Sk ksod.ekSfï .eg¿ yd p¾hd;aul .eg¿ we;s úh yels nj m¾fhaIKd;aulj fidhdf.k ;sfnkjd¡


03 jk l,dmh

is`.s;a;d iqrlsk kjckaó wdOdrl fuj,ï w;s ixLHd; foda,;d ixjd;lh fï foda,lhg ;;amrhg 600 jdrhla foda,kh úh yelshs¡ tfyhska ì<s÷ isrer ;=, Tlaiscka ldnkavfhdlaihsâ yqjudrejg th fjfiia myiqjla¡ fud<fha w;sOõks Yío ;rx. mßf,dalkh$ yDo lïmk f,aL hka;%h ì<s|df.a fud<fha iy yDoh l%shdldß;ajh ì<s|d hka;%h fj; f.k fkdf.dia isÿlsÍug fuu w,ag%dijqkaâ ialEka iy tflda hka;%h ì<s|d wi,g f.khdug yelsùu úYd, myiqjla¡ lekshq,d m%;soSmlh cannula transilluminator fï u`.ska ì<s÷f.a reêrkd, b;d myiqfjka oel .ekSug ie,eiaùu isÿ fjkjd' Tñks fnâ fuh kùk mkakfha ixjd;lhls¡ ì<s|d ixjd;lfhka bj;a fkdlr tys wdjrKh újD; lrñka wjYH ueosy;aùï lsÍug fuh bv i,ikafka me;,s we|la f,ig mßj¾;kh fjñks¡ wjYH ;dmh ,ndoSug yelsjk mßos tys jy,h ilia lr ;sfnkjd¡ tfiau ì<s|d tyd fuyd fkdlr we| lerleùugo yelshs¡ tlaiaf¾ PdhdrEmhla .ekSug mjd ì<s|d ixjd;lfhka msg;g fkdf.k tiaf¾ mg,h we| há me;af;a ;nd tu mÍlaIKh isÿl< yelshs¡

iuyr ì<s÷ka Wmka ú.i lymdgg yefrkjd¡ tjeks ì<s÷ka o fuu tallhg tjkjd fkao@ Tõ ta ;;a;ajh ye|skafjkafka ldud,dj (Jaundice) lsh,hs¡ fndfyda ì<s÷ka ;=< wvq jeä jYfhka fï; ;;a;ajh we;s fjkjd¡ fuhska 80] lau —fN!;fõoSh ldud,dj˜ hehs lshk iq,n ;;a;ajh ksid we;s jkakla¡ ì<sf|l= f.a f,a j, we;s ysfuda.af,daîka m%udKh jeäysá whg jvd fndfyda jeähs¡ Wm;ska miafia fï ySfuda.af,daìka ì|S hdu ksid tl;= jk ì,sreìka j¾Klh ksihs tfia

jkafka' tysoS ì<s|d wõ rYAñhg fhduq lsÍfuka ixjd;lhla ;=<oS m%ldY Ñls;aidj ^fmdfgda f;rms& ,ndoSfuka th blaukskau h:d ;;a;ajhg m;a l< yelshs¡ reêr Íiia >K ^ujf.a iy mshdf.a ßiia reêr ldKAv& fkd.e,mSu iy reêr >K ^ujf.a iy ì<s|df.a& fkd.e,mSu ksid;a tu ;;a;ajh we;sjkak mq¿jka¡ iuyr wdidok ksid;a ì<|df.a ifuys lymdgla oelsh yelshs¡ ta ish,a,gu id¾:lj m%;sldr ie,iSug mq¿jks'

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Neonatology ksis mßK; nj fkd,o fkdfïrE ì<s÷ka mÍlaId lrk kj ckau tall l%shdj,sh

kj ckau tallhg we;=,;alrk ì<s÷ yd uj w;r we;sjk iïnkaO;djh l=ulao@ ujf.a iïnkaO;djh ì<sodg w;HjYHhs¡ ujf.a fi!LH ;;a;ajh hym;a jQ jydu wehg kjckau tallhg meñKsh yelshs¡ ì<s|d w;m; .Eug" ì<s|d iu`. l;dny lsÍug wjia:dj wm ,ndfokjd¡ tfiau ujf.a w;ska fodjd.;a lsß kd, wdOdr lrf.k fyda fldamamfhka fmùu fyda isÿ lrkjd¡ ì<s|dg

lsß Wrd îug yels kï ujg ish mshhqfrka lsß oSug wjia:djla i,ikjd¡ ffjoHjreka yd fyoshka ì<s|df.a j¾Okh ;yjqre lsÍug .kakd l%shdud¾. ;rugu ujf.a ld¾hNdrh;a fuysoS jeo.;a¡ tu kjckau tallhg meñKs ì<s|d foi ne,Su" ì<s|d w;m; .Eu ksid ujf.a lsß ksmoùu jeälsÍug;a fifkyi kexùug;a Woõ fjkjd fukau ì<sodf.a mßK; nj we;sùu blauKa lsÍug;a fya;=jla fjkjd¡


03 jk l,dmh

kj ckau tallfhka ì<s|d uqodyßkafka ljr wjia:djloSo@ m<uqj" ì<s|d wju Yíoh yd wju wdf,dalhg yqre lrkjd¡ kjckau tallhla ;=, wê Yíohg yd wdf,dalhg ,lafjk ì<s÷ka ;=< miqld,Sk ksod.ekSfï .eg¿ yd p¾hd;aul .eg¿ we;s úh yels nj m¾fhaIKd;aulj fidhdf.k ;sfnkjd¡

ì<s|df.a WIaK;ajh wvq fkdù mj;sk nj fidhd.ekSu" ixjd;kfha lD;S%u WIaK;ajh iemhSu k;r lsÍu" ì<s|D ixjd;lfhka bj;g .ekSu wdoS mshjr ;=<ska fidhd nef,kjd¡ tfiau ì<s|d ;=< wdidok ;;a;ajhla ke;s nj mshú wefika ne,Sfuka muKla fkdj reêr mÍlaIK u`.skq;a ;yjqre lr .ekSu wjYH úh yelshs¡ WIaK;ajh, reêr .aÆfldaia uÜgu, reêr mSvkh reêr mÍlaIdj hkdosh;a idudkH njg mßj¾;kh ùu jeo.;a'

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Neonatology ksis mßK; nj fkd,o fkdfïrE ì<s÷ka mÍlaId lrk kj ckau tall l%shdj,sh

fï ish,a,gu jvd ì<s|dg lsß îug we;s yelshdj úuid nef,kjd¡ ujf.a mshhqre Wrd îug fkdyels l=vd ì<s÷ka yg fldamamfhka lsß îug yels nj fukau tfia fmùfï yelshdj ujg ;sfío hkak;a fidhd n,kjd¡ we;af;kau ujg, wdÉÑg iuyr úg mshdg mjd fldamamhl wdOdrfhka ì<s|dg lsß fmùug b.ekaùug wm mshjr .kakjd¡ iuyr úg kjckau tallfhka /f.k hk ì<s|d ;j;a meh 24l ld,hla jdÜgqfõ ;ndf.k ksÍlaIKh lsÍug;a mshjr .efkkjd¡ tfiau ì<s|d yerùug" w;.Eug tk wuq;a;ka iSud lsÍfï jeo.;alu wm Tjqkag wjOdrKh lrkafka tfia wuq;a;kaf.a keröu;a w;m; .Eu;a iu.u ì<s|dg wdidok we;sùug jeä bvlvla ,efnk ksid nj myod osh hq;=hs¡

wdisß frdayf,a kj ckau tallfha ;sfnk úfYaI myiqlï fudkjdo @ fufyuhs¡¡¡ fuysoS ;sfnk myiqlï wvq jeä jYfhka fjk;a tall j, rcfha fukau fm!oa.,sl wxYfhao ;sìh yelshs¡ ta ksid tajd wmg muKla iSud ù ke;s njhs ud woyia lrkafka¡ mßK; núka wvq ì<s÷kaf.a cSú; iq/lSug wmg Wojqfjkjd¡ fuysoS wmg yelshdj ,eî ;sfnkjd kj ;dlaIKfhka hq;a Wiia ;;a;ajfha WmlrK ì<s÷ka fjkqfjka fiajfha fhoùug'

fuu hka;% iQ;% jf.au ffjoH yd fyo ld¾h uKav,h;a b;d olaI f,i lghq;= lsÍug mqyqKqj ,enQ whhs¡ wm ´kEu wfhl= fuu tallhg we;=¿ jkafka je<ñg isg my<g w;a folu fidaod msßisÿ lr.ekSfuks¡ tfukau tla ì<sf|la we,a,Sfuka miqj ;j;a ì<sf|la w,a,kafka oE; fidaod .ekSfuka miqjhs¡ wm tallfha ld¾hhka id¾:l ùug m%Odk fya;=jla f,i ld¾h uKav,fha fuu msßisÿlu iq/lSu olskakg mq¿jka¡ wm tallfha isg ì<s÷ka /f.k hk uõmshkag wm fok m%Odk wjjdohla jYfhka fuf,i oE;a fidaod msßisÿ lrf.k muKla ;u ì<s|d w;m; .dk f,i lshkjd¡ tfiau we|la fyda meÿrla fyda u; ì<s|d ;nkafka kï ta u;g ì<s|df.au froaola w;=rd ta u; ì<s|d ;eîfï jeo.;alu;a wm wjOdrKh lrkafka widok we;sùug mj;akd bvlv wju lsÍfï wjYH;djh fmroeßjhs¡ ujf.a iam¾Yh yd uj ì<s|d iu`. l;dny lsÍu ì<sodf.a j¾Okh i|yd b;d úYd, f,i odhl jk nj;a fuysoS i|yka l< hq;=h¡ Trf,daiqjl fõ,dj wkqj fkdj ì<s|d wjYH nj w`.jk úg uõlsß oSu ;=<ska iy uq,a ihui ;=<oS fjk;a lsisÿ mdkhla oshrhla ,nd fkdoSu ;=<ska ì<s|dg hym;a j¾Okhla ysñlr oSug iEu ujlgu mq¿jkS¡


Advertorial c.;a iqj mKsúvh

fuu fi!LH mKsúvh Tn fj; f.k tkq ,nkafka rdc.sßh" fldaÜfÜ mdf¾ wxl 682 íÆ fl%dia fuäl,a fikag¾ úisks

Blue Cross

c.;a iqj mKsúvh iqrlsuq jl=.vq ksÿlska ksr;=re f,dal jl=.vq oskh - ud¾;= 13 ud¾;= 13 osk f,dal jl=.vq oskhhs' jl=.vq frda. wfma rfÜ kï uy;a jQ fi!LH ;¾ckhls' jl=.vq oskh iurkq jia jl=.vq .ek fujr wm Tnj oeKQj;a lrkafka ;Srd;aul wjia:djloSh' Tfí jl=.vq mqxÑ bkaøsh hq.,hla jQj;a jl=. vq hq., cSú;h mj;ajd f.k hdug lrk ld¾hNdrh kï mqxÑ ke;' YrSrfha we;s wu;r ;r, iy wmøjH neyer lsÍfï m%Odk ld¾hh yereKQ úg ;j;a ld¾hhka /ilgo jl=.vq Wrfohs'

jl=.vq frda.fhka wdrlaId fjkak wdrlaIdldÍ mshjrla f,i my; lreKQ flfryS ie<ls<su;a fjkak 1' oshjeähdj" wêreêr mSvkh yd yDo frda. ksis md,khg ,la lr.kak' 2'wkqNj lrk ¨Kq m%udKh wvq lr.kak' 3' uq;%d lsÍfï wjYH;djh we;s jQ l< ta nr ieye,a¨ lr.kak' 4'fi!LHdrlaIs; wdydr fukau mdk j¾. wkqNj lrkak' 5'uoHidr yd ÿï mdkfhka j<lskak' 6' oskm;d jHdhdu lrkak' 7' ys;=uf;ag T!IO .ekSfuka j<lskak' 8'ys;=uf;a wdydr mod¾: yd Ydl T!IO .ekSfuka j<lskak' 9' oskm;d m%udKj;a f,i j;=r fndkak' fï wk;=re ix{d .ek ie<ls<su;a fjkak os.= ld,hla ;siafia frda. ,laIK m%lg fkdlrñka flfuka jl=.vq ydkshg m;a lsÍu jl=.vq frda.fha iajNdjhhs' frda.hla we;aoehs oek .ekSug ffjoH mÍlaIdjkag ,la úh hq;=hs' wjOdkh fhduq l< hq;= lreKQ • ks;r we;sjk fjfyilr nj • Tfí w;a" mdo iy uqyqK bosóu • reêrh iys;j" fmk iys;j fyda wmdgg uq;%d msgùu • wêreêr mSvkh • Tfí uq;%d lsÍfï jdr .Kk fjkia ùu

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Mobile Talk fudnhs,a fmdaka j, úlsrKh

w; cx.u ÿrl;kh ;sfnkjd' th cSú;hg;a mKsúv yqjudre lsÍug;a we;s l< n,mEu iq¿mgq kE' fï cx.u ÿrl;kh úlsrK wjodkula orkjdo @ fndfyda fokd okakd lshk iqñ;=re Wmlrkfha fkdokakd me;a;la .ek úuikakhs fï werhqu'''

fudnhs,a fmdaka j, úlsrKh cx.u ÿrl;k wo fndfyda fokdf.a cSú;h fj,d'''cSú;fha meje;au fj,d' ta;a" wo fndfyda fokd cx.u ÿrl; fi!LH wjodkula we;s fkdjk fia Ndú;d lsÍu wu;l lr,d' ;reK mrïmrdjg'' wekafv%dhsâ mrïmrdjg yß foa W.kakkak wms w¿f;ka flá úYaIdx.hla mgka.kakjd' thska cx.u ÿrl:k ksishdldrj Ndú;d lrkak flá b`.s wms ,nd fokjd' ta .ek Tfí wjOdkh jeäfhka fhduq lr.kak ;E.s;a fokjd'udOHhla fï ckm%sh iïm%odh ;=< wdrlaIdj fmroeß lr.;a úfYAIdx.hla osh;a lrk m<uq wjia:djo fuhhs' cx.u ÿrl;kh wo idlal=fõ odk mEkg;a jeäfhka iq,n fuj<ula fj,d' mEk ke;;a wo fndfyda fokd

cx.u ÿrl;khla whkSlrkh fkdjQ f¾äfhda ixLHd; ;rx. ksl=;a lrkjd'tajd fu.d y¾Üia 850-1900 mrdifhka hqla;hs'fï fraäfhda ;rx. úlsrKh uqod yßk tlaia f¾" .eud f¾ j,g jvd fjkia' fï ksihs cx.u ÿrl;k ;rx. ixLHd; .ek fï fkdie<ls,a,' ta;a" úoHd{hka fï cx.u ÿrl;k ksl=;a lrk f¾äfhda ixLHd; ms<sn|j t;rï meyeoSula kE' cx.u ÿrl;k u.ska úfudapkh jk .=jka úÿ,ss ixLHd; u.ska isref¾ mgl r;a lrkjd' tu mgl ;=< cSj úoHd;aul fjkialï fiñka isÿ lrkakg fï ixLHd; fya;= fjkak mq¿jks' wo ke;s jqK;a ;j;a wjqreÿ .Kkdjlska fïjdfha m%;sM< w;a ú|skakg fjkak mq¿jks'


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fï ksid l=vd <uqka fï cx.u ÿrl:k j,g yqre ùu fyd|u kE' ;reK mrïmrdj jqK;a hï md,khla we;s lr.kakj kï fyd|hs' meh .Kka tajd mdúÖÑ lsÍu;a fyd| kE' wjYH fj,djg mdúÉÑ lrkak'ta;a iSudjkq;a iqÿiq mßos fhdod.kak' th Tfí hym;ghs'

Ñ m%Yakhla oeka wfmka mqx ;d l:k j, Ndú

cx.u ÿr úÿ,s ixLHd; flfrk .=jka @ mrdih l=ulao tjd ;E.s e r = ; s < s m os ksjer oskd.kak'

fï m%YAkhg ksjeros ms<s;=re 2014 wfm%a,a 7 oskg fmr tjd ffjoHjrhd i`.rd l,dm 3la fkdñf,a oskd.kak' Tfí ms<s;=re www.facebook.com/WaidyawarayaMagazine f*aianqla msgqj yryd wmg fhduq lrkak' ke;fyd;a Mobile Talk, fy,a;afjdÉ mqoa.,sl iud.u" úydrlef,a " osh;,dj ,smskhg ,smshlska okajkak'

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rEmd,xlrk ffjoH úoHdj ldka;djkaf.a iy msßñkaf.a mshhqre iïnkaO m%Yak

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ldka;djkaf.a iy msßñkaf.a mshhqre iïnkaO m%Yak rEmd,xldrK úfYaI{ ffjoH ksu,a .uf.a MBBS, MD úisks mshhqre ldka;djlg kï wdl¾YKhls' iajlSh rEmhg wdl¾IKhla jk mshhqre hï fya;=jla ksid .eg¿jla njg m;a lr.kakg o ldka;djg hkafka iq¿ fj,djls' ful, fï mshhqre iïnkaO .eg¿ úuid n,k l< mshhqre iïnkaOfhka .eg¿ u;=jkafka ldka;djkag muKlau fkdjk nj fmfkkakg ;sfí' msßñkago mshhqre iïnkaOfhka úúO m%Yak ;sfnk nj fmfka' ldka;djkag;a''' msßñkag;a mshhqre iïnkaOfhka we;sjk .eg¿ úuiSug fuu ,smsh fjkafõ'


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msßñkag we;sjk mshhqre wdY%s; m%Yak msßñkag we;sjk mshhqre wdY%s; .eg¿ w;r iq,n m%Yakhla jkafka Tjqkaf.a mshhqre wdY%s; ,eu m%foaYh ldka;djkaf.a fuka úYd, ùuh' pseudo Gynecomastia kñka ye|sskafjk fuu ;;a;ajfhaoS mshhqre wdY%s;j fïoh jeä jYfhka ;ekam;a ùula isÿjk w;r ifuys t,a,d jeàulao we;s úh yelsh' msßñkag we;sjk mshhqre wdY%s; wfkla .eg¿j jkafka mshhqre wdY%s;j fïoh tl;= ùu yereKq úg ta wdY%s; .%kaÓh úYd, ùuhs' fuh Gynecomastia kñka ye|sskafjhs fï ;;a;aj folu msßñka ;=< we;s ùug wkqNj lrk wdydr mdk fya;= fõ' i;a;aj wdydr''' lsß ksIAmdok fukau iSks o wm .; hq;af;a wju m%udKhlsks' iSudj blaujd fï øjH .ekSu fukau wêl ia:q,;djho ksid msßñkaf.a mshhqre wdY%s;j ldka;djlf.a fuka úYd, ùu isÿúh yelsh'

msßñkaf.a úYd, jQ mshhqre isyska lrk yeá fuysoS uq,skau fïoh bj;a lr fojkqj nr wvq lsÍu isÿflfrhs' ,eu fmfofia fïoh bj;a lsÍug ,hsfmdilaIka l%uh fhdod .efka' fuysoS tkak;a lgqjla weiqf¾ fïoh bj;a lsÍu isÿ lrhs' uq,skau YÍr nr wvq lr fïoh bj;a lsÍu

fuys,d wid¾:lh' tneúka uq,skau l< hq;af;a fïoh bj;a lsÍuhs' ,hsfmdilaIka l%uhg ishhg 90la muK olajd fïoh bj;a l< yels jk w;r thg iudkqmd;slj ifuyso yels,Sula isÿfõ'

fydafudak n,mEu u; we;sjk YÍr fjkialï fufia <eu fmfoi''' mshhqre wdY%h lr.;a fjkialï j,g fydafudakuh n,mEulao ;sfí' fï whf.a YÍrfha Biag%cka''' tkï ia;%S fydafudak jeä ixhq;shla orK w;r fm!reI fydafudakh jYfhka ie<flk fgiagiagfrdak fydafudakh idkaøKh wvq úh yelsh' fï ksid ;sridr kshñ; fydafudak >%djhla mj;ajd .kq msKsi iajdNdúl T!IO j¾.o fhdod.kakd w;r YÍrfha tla/iajQ úI bj;a lr iu kshñ; meyem;a nfjka ;nd.ekSug .aÆg;hka tkak;o fuysoS fhdod.kakd wjia:d ;sfí' fydafudak''' fjfiiskau mqreIhkaf.a ,sx.sl fydafudak .ek úuik úg fgiagiagfrdaka kï fm!reI fydafudakh wo wkql%ufhka msßñkaf. ka ;=kS jk fihla fmfka' óg Y;j¾Ihlg fmr mqreIhka isref¾ ;snqKQ fgiagiagfrdka ixhq;sh wo jk úg ie<lsh hq;= muKlska wvq ù ;sfí' Gynecomastia ;;a;ajhg m%;sldr jYfhka ishhg 10la fïoh bj;a lsÍfuka miqj .%kaÓh lmd bj;a

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mshhqre wiudk ùu ;j;a we;eï ldka;djlg we;sjk m%Yakh kï mshhqre fol wiudk ùuh' tlla f,dl=h' wfkl Bg jvd l=vdh' fï ksid fndfyda ldka;djka mshhqre hq.,fhys iuñ;sl


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nj wfmalaIdfjka rEmd,xlrK ffjoHjreka lrd wefo;s' mshhqre wiudk ùfïoS f,dl= hhs yef`.a kï fïoh bj;a lsÍuo" l=vd hhs yef`.a kï fïoh ;ekam;a lsÍuo isÿ flfrhs' fuysoS fufia úia;r lrk ,o ljr Wml%uh fyda fhdodf.k mshhqre úYd,;ajfhka iudk lsÍula isÿ flfrhs' mshhqre jvd;a úYd, ùu wo fndfyda ldka;djka w;r oelsh yelsh' fuhg m%Odku fya;=j .kakd wdydrhs' fïoh" iSks jeks fkdiqÿiq wdydr j,g wdYla; ùu ksid wo <ud úfha ia:q,;djh mjd iq,nh' mdie,a hk úhfia oeßúhkaf.a mjd mshhqreo YÍrfha muK ie<l+ l< úYd,h' fï ksid wkjYH rEmd,xlrk .eg¿ j,g fï wh ,la fõ' rEmd,xlrk ffjoH úoHdfõoS fï whg uQ,sl jYfhka wdydr md,kh yd iïnkaO Wmfoia ,nd fok w;r wfkl=;a Y,Huh l%shdoduhkago frda.Ska Ndckh flf¾' iEu ldka;djlu uQ,sl jYfhka ;ukaf.a YÍrfha nr md,kh lr.ekSug m%Odk jYfhka wjOdkh fhduq l< hq;af;auh' nr jeä jk úg wehg m%Yak /ilg uqyqK mEug isÿfõ' fydafudaak m%Yak''' l=re<E m%Yak''' Tima pl%h yd ne÷K m%Yak wdoS jYfhks'

wm jhig hkakg m%Odk fya;=j wfma YÍrfhau ksmofjk uqla; LKAvl' we;eï wdydr ksid uqla; LKAvl hdka;%Kh n,.ekafjkjd' tu wdydr j,ska wm wE;a úh hq;=hs' we;eï wdydr ksid uqla; LKAvl hdka;%Kh ke;s fjkjd' tu wdydr j,g wm fhduq úh hq;=hs' wuq t<j¿ wdosh wfma wdydr isß;g rla lr.kak wjYH jkafka;a uia udxY j,ska wm wE;a úh hq;af;a;a ta ksihs'

nr jeäùu;a iu.u we;sjk fmd,sisiaála ´jß iskafv%dï hk ;;a;ajh wo ldka;djka w;r ;rula iq,n frda.hla njg m;aj ;sfí' fmd,sisiaála ´jß iskafv%dï we;s úg ore iïm;a l,a hhs' tajd ,eîu ÿIAlr ldrKhla fjhs' fï ksid fuu frda.fhka fmf<k ldka;djka fõ kï Tjqka újdm;a ùug fmr ksis m%;sldr ,ndf.k frda.h uevmj;ajd újdy osúhg we;=<;a ùu iqÿiqh' fï frda.h we;s úg orejka ,enqK;a Tjqka w;r uia;sIAl wd>d;h" ukao nqoaêl;djh" oshjeähdj wdosh we;s frda.S orejka jeä jYfhka bmoSfï wjodkulao we;' we;eï úg fydafudak m%Yak iys;j orejka bmoSfï wjodkulao olakg ,efnkjd' fïjd mrïmrdfjka mrïmrdjg Wreu

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rEmd,xlrk ffjoH úoHdj ldka;djkaf.a iy msßñkaf.a mshhqre iïnkaO m%Yak

fkdjk idOl Epi Genetic Factors jYfhka oelafjkjd'

mshhqre t,a,d jeàu we;eï ldka;djka flfrka oelsh yels fuu mshhqre t,a,d jeàug iq,n fya;= folla ;sfnkjd' • nnd ,eîfuka miqj we;sjk mshhqre t,a,d jeàu • ´kEjg jvd ia:q, Ndjhg m;a ùu ksid mshhqre t,a,d jeàu fï ;;a;ajhg ms<shula jYfhka óg l,lg fmr mshhqre .%kaÓ bj;a lsÍu isÿ flßK' fuys we;s wjdish kï tu l%shdj,sfhka miqj tu ia:dkfha le<,la we;s ùuhs' w¿;a l%ufõohka wkQj oeka isÿ flfrkafka iu ú;rla bj;a lsÍuhs' fuysoS rjqul le<,la ;k mqvqj wdY%s; l¿ meye fmfofia we;s jQj;a tu fmfofia l¿ j¾Kh ksid th myiqfjka olakg ,efnkafka ke;' fï ksid rEm,djKHuh jYfhka fuu kjH Breast Lift Procedure tl jvd;a id¾:l tlls' fuys we;s wfkl=;a jdis kï orejdg lsß fokakg wmyiqjla fkdùu iy ujl ùug m;k flfkla kï wehf.a mshhqre wdY%s; fjkialï yd j¾Okhkaf.a iajdNdúl l%shdj,shg lsisÿ ndOdjla isÿ fkdùuhs' tfiau fuh tla oskla ;=< isÿ lr ksfjigo hd yels ir< ie;aluls' mshhqre ms<sld j,g w; jkk fya;= wo ojfia mshhqre ms<sld b;d

nyq,h'fuhg w;jkk wdydruh idOl /ils' ta .ek Tn oeKqj;a l< hq;=h' mshhqre ms<sld j,ska je<lSug lsß m%Njhla f,i mj;akd wdydr j,ska yels muK wE;a úh hq;=h' tfiau iSks yd meKs ri wdydr j,ska yels muK wE;a úh hq;=h' ÿï mdkh fukau u;ameka mdkh ldka;djkg jeä wjodkula f.k thska tu ÿisß;a j,skao je<lsh hq;=h' ldka;djkg oeä jHdhdu iqÿiq kE ldka;djka oeä jHhdu j, fhoSu iqÿiq kE' thska wehg jkafka wjevla' jHdhdu lsÍfuka wï,lr jdhqj oykh fjkjd' fï ksid we`. osrdm;a ùu isÿ fjkjd' Tn okakjdo@ oeä fjfyila f.k lrk jHdhdu ldka;djkag wfhda.H nj''' fï wdldrhg oeä jHdhdu j,g yqre mqreÿ jQ lS¾;su;a l%Säldjka /ilau iajlSh cSú;fha isõjeks yd miajeks wdoS oYl j,oS yoj;a wdY%s; wdndO j,g ,la ù ;sfnkjd'

rEmd,xlrk úfYAI{ ffjoH ksu,a .uf.a uy;aud úiska isÿ lrk rEmd,xlrK ffjoH ueosy;aùï iïnkaOfhka jeä úia;r oek .ekSug http://www.lankacosmetic. com/ fjí wvúhg msúfikak' Tng tu fjí wvúhg msúiSfuka U Tube Tiafiao jeä oDYH jevigyka /ila ,nd .ekSfï wjia:dj ysñ fõ'


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oshjeähd frda. fhka w;añfouq wdhq¾fõo u;dkql+,j oshjeähdj uÜgq lrk yeá -fojeks fldgiosh;,dj wdhq¾fõo uy frdayf,a ffjoH wkqr úfcafialr úisks oshjeähdj - wo ojfia úYd, fi!LH ;¾ckhls' jeä jeäfhka msßia oshjeähdjg f.dÿre jkjd yereKQ úg wvq jhiska nyq;rhla fokd fï frda.hg f.dÿre ùu fÄojdplhls' frda. md,kh iïnkaOfhka úuik úg ngysr m%fõYhkag jvd wfmau w;S; wdydr rgdj" Tiq fukau cSjk rgdjo jvd id¾:l m%;sM< w;a lrfokq fmfka' wdhq¾fõo u;dkql+,j oshjeähdj frda.Skag m%;sldr lsÍfuys,d mD:q, w;aoelSï imsß fï f,aLlhd iajlSh w;aoelSïo Wlyd .ksñka ,shk ,smsfhys fojk ^wjika& fldgi fujr Tnf.a oeKQu iy wjfndaOhg''' oshjeähd i|yd úfYaIs; jQ T!Iëh Ydl j¾. l=Uqla fmd;=, wÜálald fmd;=, fld;, ysUqgq, fldfydU fld< hqI, fldfydU fmd;=, fk,a,s rils|, uianeoao,

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weúoSu msyskSu l%Svd lsÍu fjfyi uykais ù jev lsÍu weÕ fjfyid jev lsÍu oyj,a ksod fkd.ekSu¡ weúoSu b;du hym;a iajdhq jHdhduh kï weúoSuhs¡ tl ie;mqula úkdä 12lska weúoao hq;=h¡ osklg meh 1$2 la weúoaofyd;a th m%udKj;a h¡ weúoSu jkdyS cSjk p¾hdfõ fldgila njg m;alr .;fyd;a uekú¡ fndfyda whg weúoSu i|yd fjka lsÍug fõ,djla fkdue;¡ ld¾hd,fha úÿ,s fidamdkh Ndú;d fkdfldg mäfm, Ndú;d lrkak¡ fj<|ie, ;u wjYH;djhkag úúO ia:dkj,g fláÿr hd hq;= úg jdyk Ndú;d fkdlr ta ÿr weúof.k hkak¡ nia kej;=ï 2-3la jeks ÿr m%udKj,a mhska .uka lrkak¡ tla jrlg jeä jHdhduh fkdfhosh hq;=h¡ hï jHdhduhla lrk úg idudkH f,i l;dny l< yels kï ta jHdhdu uÜgu iqÿiqh¡ msyskSu" idmamq ijdß j, fhoSu" f.j;= jev" f.j;a;la iEoSu" w;=.Eu" cfk,a fodrj,a msi oeóu" ul=¿oe,a leãu" msÕka fldamam

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oshjeähd frd.h j<lajd .ekSug kï fkd.; hq;= wdydr fndfyda meKsri wdydr mqäx, fpdl,Ü, flala, whsiska flala, meKS îu j¾., .aÆfldaia, yl=re, meKs, rg b|s ,idudkH iSks, lejqï, w;sri, fodais, cEï, fc,s, ng¾, fidaia, uOHidr j¾., iïmQ¾K fhdoh iys; lsß, Öia, ng¾, fodfod,a, ì;a;r lyuoh, uialÜ, nQkaos, mdka msáj,ska úúO j¾.fha iSks iys;j ieliQ wdydr, whsial%Sï, jg,mamka¡ ¡ ¡ iSudl< hq;= wdydr ^b;du l,d;=rlska .;hq;= wdydr& w¾;dm,a, n;,, u[af[dlal w,,


03 jk l,dmh

r;= w,, mßmamq, lsß msá, wU, weUq,a flfi,a oshjeähd frda. ,laIK rd;%shg kskaog .shúg ks;r uq;%d lsÍug wjYH ùu wêl msmdih ysfia nr.;sh f;d,lg úh<Su YÍr ysßh yd weÕs,s ;=vq ysßjeàu yd lgq wkskjd n÷ oekSu weiaj, w÷re iajNdjh lrleú,a, úvdj uykaish WodiSk nj ryiH m%foaY leiSu yd oshr iajNdjh weÕs,slre leiSu YÍr odyh yd wêl WKqiqï .;sh ;=jd, blaukska iqj fkdùu uqLhg ks;r meKsri oekSu fláld,hla ;=, flÜgqùu mdoj, oeú,a, YÍrh leiSï ;=jd, oeóu —ish rg foa isß iem foa˜ hk jok wu;l lrñka msgráka tk lEu îfuka osj mskùug hduo frda. ldrlhla lnj isys ;nd .ekSu b;d jeo.;a fõ¡ crd, urK, jHdê wdosh w;S;fhaoS f,dj olakg ,enqfKa jhi wjqreÿ 60 blaujd .sh miqjh¡ tfy;a wo jhi wjqreÿ 40 muK jk úg fm!reI;aj ydksh" mlaId.d; oDIaÀ ydksh jeks fndfyda frda. olakg ,efí¡ mdie,a orejkao oshjeähd frda.hg f.dÿrej isà¡ ta ksid jeo.;a jkafka m%;sldrhg

jvd frda. j<lajd .ekSu fõ¡ wm rg jefjk wfma OdkH wfma t<j¿ yd m<;=re wmg foaYid;auH fõ¡ th ta ta l,dmhkg wdfõKSl we;eï frda. ;;a;aj ÿre lsÍugo WmldÍ fõ¡ wms is;uq wfma fyg oji .ek¡ wfma wdydr, ffoksl fukau jHdhdu udkisl iqj;dj .eko wjOdkh fhduq fldg oshjeähd frda. iqjh iy frda.h fkdje<|S isàfï uÕ olsuq¡ oshjeähdj i|yd reêr mÍlaId rd;%S wdydrfhka miq lsisu lEula îula fkdue;sj WoEik reêr idum,hla ridhkd.dr mÍlaIKhla uÕska ;yjqre lr .ekSu 75mg 115mg w;r mrdih ;sìh hq;= h¡ wdydr jfgka miqlrkq ,nk reêr mÍlaIdj ^140mg jeä hq;= ke;& WoEik ,nd .kakd uq;%d mÍlaIKh¡ fuh t;rï id¾:l fkdjqK;a hï woyila ,nd .ekSug lrkq ,nhs¡ oshjeähdj ksid we;sjk w;=re wdndO weia wkaO;djh" yDohdndO fud<fha wd>d; ^iakdhq wdndO& mlaId>d; ^wxYNd.h& jl=.vq ÿ¾j,;djh ;=jd, iqj fkdùu wê reêr mSvkh ie¡hq¡ - fuu ,laIK ndysrhg fkdfmkajd fuu oshjeähd urejd YÍrh ;=< ;sìh yel¡

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Physiotheraphy fldkao WK nïnqjla jk wekalsf,daiska iafmdkaä,hsáia

—fuda,a.yla j;a .s,a, j;ao@˜ fldkao WK nïnqjla jk wekalsf,daiska iafmdkaä,hsáia Ankylosin Spondylitis ßcafõ wd¾hd <ud frdayf,a m%Odk fN!; Ñls;ail cd,sh Wvqje,a,

wfma iudcfha —fuda,a.ia .s,a,d jf.a˜ bkak wh Tn oel we;s nj iel kE¡ we;a;gu fudllao fïlg fya;=j @ wms fN!; Ñls;ail m%;sldr .ek;a tlalu fï ;;a;ajh .ek l;d lruq¡


03 jk l,dmh

ksfrda.S msgfldkao

wekalsf,daiska iafmdkaä,hsáia

wekalsf,daiska iafmdkaä,hsáia frda.h .ek fndfyda fofkl= fkdoek isáh yelshs¡ fuys m%Odk ,laIKh jkafka lfYareld w;r p,kh wvq ù lfYareld ish,a, tla wiaÓhla f,i l%shd lsÍu —neïnq iamhska˜ f,i ye|skafõ¡ fujeks frda.Skag ckjyf¾oS —thd yßhg fuda,a.yla .s,a,d jf.a˜ hehs lshkq ,efí¡ —iskafvia fud*hsàia˜ kï jQ øjHhla lfYareld w;r we;s nkaOkS j, ;ekam;a ùfuka md,ï jeks jHqy lfYareldfõ olakg ,efí¡ jeämqru fï frda.S ;;a;ajhg f.dÿre jkafka msßñkah¡ jhi wjq¡ 16-35 w;r ld,fhaoS fï ;;a;ajh jvd;a olakg ,efí¡ b;du w,am jYfhka ldka;djkao fï frda. hg f.dÿre jk nj lsj hq;= h¡ wd;rhsáia j¾.fha frda.hla jk fuysoS fld÷weg fmf<ys fõokdj yd ;o .;shla we;sjk w;r tys m%;sM,hla f,i YÍrfha bßhõ, widudkH ;;a;ajhla we;s fõ¡ fï frda.hg m%;sldr ;sfhkjdo@ Tõ¡¡¡¡ fï frda.h blauKska y÷kdf.k kshñ; m%;sldrj,g fhduq ùfuka frda.h md,kh lr .ekSug mq¿jkS¡ wekalsf,daiska iafmdkaä,hsáia j,g fya;=j fuf;la fidhdf.k ke;¡ fuys frda. ,laIK

f,i m%:ufhka oefkkafka fldkafoa my, fldgfia Wl=,a wegh yd iïnkaO jk ia:dkfha fõokdjhs¡ —fialafrdB,eheia˜ ikaêh (Sacroilliac Joint) wdidokh ùfuka ta fõokdj yg.kS¡ miqj fï frda. ;;a;ajh fldkafoa by< fldgi olajd me;sÍ fn,a,, Wrysi, oKysi, j<¨lr wdoS ia:dkj,;a ;o .;sh we;s lrhs¡ Wria l=yrh olajd fuu frda.h me;sÍfuka wdYajdi m%dYajdi lsÍfï wmyiq;do we;s fõ¡ Bg wu;rj we;sjk ;j;a ,laIK kï WK .;sh wdydr wreÑh yd blauKska fjfyig m;aùuhs¡ fudkjo m%;sldr@ fN!; Ñls;ail m%;sldr fuysoS jeo.;a fõ¡ fN!; Ñls;aidj yd jHdhdu u.ska ikaêj, p,khla fukau ikaê wjg udxYfmaYs Yla;su;a lsÍuo" .eUqre iajYk jHdhdu u`.ska Wria l=yrfha wjYH p,kh mj;ajd .; yel¡ fï i|yd msyskSu jeks jHdhdu b;d iqÿiq h¡ fï m%;sldr jHdhdu lsÍfuka frda.shdf.a bßhõ ukdj mj;ajd .ekSug;a Tjqkaf.a idudkH l%shdldrlï ksis f,i mj;ajd .ekSug;a msájy,la fõ¡ igyk kd,l osidkdhl

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Women's Health kdß isrerg ysßyer fnda f.fkk tkafvdfuá%fhdaisia keue;s frda.h

zztkafvdfuá%fhdaisiaZZ frda.h m%ckk jhfia ldka;djka w;r nyq,j olakg ,efnk frda.hls' fuysoS tkafvdfuá%hï keue;s jQ .¾NdIfha wNHka;r mg,h ieoS we;s mglh .¾NdIfhka msg; YÍrfha fjk;a ia:dk j, j¾Okh ùu isÿfõ' fuu mg,h ldka;d fydafudak j, n,mEug hg;ah' ta wkqj l%shd;aul fõ' wd¾:j pl%fha isÿjk fydafudak fjkialï iu`. fuu frda. ,CIK fjkia jk kuq;a nyq,j olag ,efnkafka há nfvys fõokdjhs' fuhg wu;rj tkafvdfuá%fhdaisia frda. ;;a;ajh u|ireNdjhg o m%Odk fya;=jls'

kdß isrerg ysßyer fnda f.fkk tkafvdfuá%fhdaisia keue;s frda.h Dr.( Mrs. ) Champa Nelson MBBS (Colombo) PgD Reproductive Health PgD Counseling & Psychosocial work PgD Applied Sociology

fuysoS ldka;djkag oefkk fõokdj frda.fhys nrm;,;djhg iïnkaOlula ke;' tkï b;d ;oska frda.h we;s ldka;djkag fõokdj t;rï fkdoeksh yels w;r ;oskau fõokdj we;s úg jqj;a frda.h t;rï nrm;, fkdúh yelsh' fuu fõokdj úúO wdldr j,ska frda.Skag we;s fõ' Tima ùu iu`. we;sjk ;o nfâ fõokdj" ;=káh fõokdj" ll=,a fol yryd my<g me;sfrk fõokdj" há nfvys fldrùu" .=o ud¾.fha oefkk fõokdj hk úúO whqßka we;sjk fuu fõokdj ld,h;a iu`. jeä


03 jk l,dmh

fõ' fndfyda ldka;djkag la,dka;h" jukh jeks frda. ,CIKo fï iu`. we;sfõ' ñg wu;rj ksrka;r mj;sk há nfâ fõokdjo fuu frda.fhaoS oelsh yelsh' fuu frda.Skag ixi¾.h fõokdldÍ úh yelsh' iuyr frda.Skag uq;%d msg lsÍfïoS u,my lsÍfïoS fõokdj we;sjk wjia:do we;'

u|ireNdjfhka fmf<k fndfyda ldka;djkag fuu frda.h we;' nyq,j tkafvdfuá%fhdaisia olakg ,efnkafka äïnfldaI" mef,damSh kd," .¾NdIh" .¾NdIfha wjg we;s mgl" nvje," uq;%dYh jeks hánv wdY%s; wjhjhka u;h'

u|ireNdjfhka fmf<k fndfyda ldka;djkag fuu frda.h we;' tkafvdfuá%fhdaisia frda.fha m%;sM,hla jYfhka YÍrfha wNHka;rfha jHQyuh fjkialï we;súh yel' fuh isÿjkafka fuu frda.h we;s úg wjhj tlsfklg we,Su isÿùfuks' fuh .eí .ekSu isÿùug ndOdjla f,i ie<fla' tkafvdfuá%fhdaisia we;súg mef,damSh kd,h wjysr ùu

fndfyda úg isÿúh yelsh' túg äïn iy Y=l%dKQ mef,damSh kd,h yryd hEu wmyiq fõ' ;j;a fndfyda fya;+ka u;" u|ireNdjh tkafvdfuá%fhdaisia frda.h w;r iïnkaO;djhla we;s nj Tmamq ù we;' fuu frda.h YÍrfha ´kEu wjhjhl we;súh yel' kuq;a nyq,j olakg ,efnkafka äïnfldaI" mef,damSh kd," .¾NdIh" .¾NdIfha wjg we;s mgl" nvje," uq;%dYh jeks hánv wdY%s; wjhjhka u;h' Tima ùu iu`. isÿ jkakd jQ reêr jykh fuu ia:dk j,o isÿfõ'

túg tu ia:dk j, wdidos; ,CIK we;sfõ' fï iu`. fõokdj iy fjk;a frda. ,CIK we;sfõ' äïnfldaIh ;=< isÿjk úg fndfyda reêr jykh msg;g .,d fkdf.dia l=vd fldaIhla ;=< isrfõ' fï reêrh l,a hk úg ;o ÿUQre meye;s >%djhla f,i fldaIhla ;=< oelsh yelsh' fïjd ;=<g ;j ÿrg;a reêrh jykh jk úg b;d fõokdldÍ úh yelsh' fïjdg "Chocolate Cyst" keue;s ku Ndú;d jkafka tajd ;=< we;s ÿUQre meye;s øjH ksidh'

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Women's Health kdß isrerg ysßyer fnda f.fkk tkafvdfuá%fhdaisia keue;s frda.h

fuu frda.h yªkd.ekSu fndfyda úg isÿjkafka frda. b;sydih iy frda.shd mÍCIdfjka miq ffjoHjrfhl= úiska ialEka mÍCIK u.ska fuh ;jÿrg;a yªkd.; yel' fuysoS Chocalate Cyst fyda .¾NdI ì;a;sh ;=< we;s zztkafvdfuá%fhdaisiaZZ frda. ;;a;ajhka oelsh yelsh' ;j;a reêr mÍCIK u`.ska fï nj ;yjqre l< yel'

fuu frda.h yªkd.ekSu fndfyda úg isÿjkafka frda. b;sydih iy frda.shd mÍCIdfjka miq ffjoHjrfhl= úiska ialEka mÍCIK hla u.sks' fuu frda.h wd¾:jh fyj;a Tima ùu iu. olajk ióm;djh ksid wd¾:jyrKh isÿùu;a iu`. fuu frda.h iy frda. ,CIK bfíu ke;sùu isÿfõ' ;jo fuu frda.fhka fmf<k ldka;djkag .eí.ekSu wmyiq jqj;a .¾NKs iufhaoS fuu frda.h ;djld,slj hgm;a jkq oelsh yelsh' fuu frda.h i|yd Y,Hl¾u isÿ flfrkafka l,d;=rlsks' fndfyda úg fydafudak iys; T!IO Ndú;fhka Tima ùu ;djld,slj hgm;a lsÍu isÿfõ' fï i|yd úúO T!IO j¾. úúO l%u u.ska Ndú;d fõ' fuh frda.shdf.ka frda.shdg fjkia úh yelsh' ldka;djkaf.a jhi iy .eí .ekSu wjYH;djh jeks idOl wkqj

ffjoHjrhd úiska iqÿiq m%;sl¾u l%u ;SrKh flf¾' u|ireNdjfhka fmf<k ldka;djka i|yd úúO m%;sl¾u we;' ldka;djkag k< ore l%uh iqÿiq m%;sl¾uh jYfhka fhdackd úh yel' óg wu;rj fuu frda.fhka fmf<k ldka;djkag fõokd kdYl T!IO o Ndú;d flf¾' tajd úúO j¾. j,ska we;' tkafvdfuá%fhdaisia frda.S ldka;djka ú|sk ldhsl fõokdj ld,hdf.a wejEfuka udkisl fõokdjla njg m;afõ' ieu uilu osk lsysmhla Tjqka frda.S fõ' fï iu`. Tjqkaf.a tosfkod cSjk rgdjg ndOd we;sfõ' ksrka;r we;s nfâ fõokdj Tjqkag f.k fokafka udkisl wiykhls' óg wu;rj .eí .ekSug W;aidy ork ldka;djl kï fuu udkisl wiykh fo.=Khls' frda.h .ek wjfndaOhla ,nd .ekSfuka hï iykhla ,eìh yels w;r ksis l,g m%;sldr i|ydo fhduqúh yel' iïmQ¾Kfhkau iqjl< fkdyels frda.hla jqjo ffjoHjrfhl=f.a wëCIKh hgf;a ksjeros wdldrfhka m%;sldr ,nkafka kï ksfrda.S idudkH osúhla .; lsÍu wmyiq fohla fkdfõ' tkafvdfuá%fhdaisia frda.h fld;rï fõokdldÍ iy ydkslr frda.hla jqj;a fuh .¾NdI ms<sld iu`. iïnkaO;djhla ke;s nj fidhdf.k ;sîu úYd, iykhls'


03 jk l,dmh

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bmerKs fy< iQm jÜfgdare .sf;,a''' ;, u;= fkdj l¿ ÿre o úh bmerKs fy< msiqï ;=<'''

oehl mE úl=uka''' bmerKs fy< fndcqka'''

.sf;,a''' ;, u;= fkdj l¿ ÿre o úh bmerKs fy< msiqï ;=<''' oy;=ka jeks fldgi

ymq;f,a tia' tï' ã' fifkúr;ak úisks

uy uÕ isÕdlk hoshdf.a isg rgl rc lsre< me<eos uyrc olajd ljr ;rd;srul jqjo ñksiqka ri kyr mskdhk rij;a wdydr nqoSug leue;sh¡ ri kSri fkdn,d ,enqkq wyrlska hefmkakg nqÿka jykafia foaYkd lf<a iajlSh O¾u ud¾.fhys .uka l< flf,ia m%ySk l< NslaIQ NslaIqKSkagh¡ wdhq¾fõofhys lgqldydr j,g jvd ri wdydr iqjm;a osúhlg jeo.;a jk nj olajd ;sfí¡


03 jk l,dmh

osh f.dv uia wkqNjhg jvd fnfyúka u wdrlaIdldÍ jkqfha msßisÿ kejqï t<j¿ j¾.hkah¡ wo fuka úI rdihksl øjH fhdod jdKsc mrud¾: we;=j lsisÿ fNda. hla j.d fkdl< wfma me/kafkda ;u f.j;af;ka ,efnk msßisÿ" kejqï t<j¿ wdydrhg .;ay¡ fï ksid u tl, ñksiqka wo isák we;a;kag jvd fnfyúka ksfrda.S msßila úh¡ iloE we;s f,o lshkq kQ ;,h nvg m; w. uq, iy.vq mS,h iq`vq¿ u, je, iy wdoS fulS fjk fjk .; hq;= ukd

fõ fõ fõ fõ

m<d j¾.o, ;, nv fld w., uq, iy f.äo, iqUq¿ u,a je,a iy wdosh o fulS j¾. fjk fjku jHdxck i|yd .; hq;= h¡ fmd;= msáka t,¨kq neof.k nyd f. ÿu jegq ud¨j mryd .ksñ W÷k ;nd fnda mukla meijñ wuq jg meiS ÿre f;,a l¿ÿ,la f.

k k k k

fmd;= msáka M, ¨kq neo nydf.k f;ïmrdÿ l< jHdckh fmrd kej;;a ,sm ;nd lE,s muKla ;ïnd wuqjg meis ÿre f;,a iaj,amhla oud oek ie,s ljd ud¨j f;,a jhs;s ms g miqj Bg u;af;a weUq,a j;a fld g fomeiS bi ie,s mEr .;a ud¨j g ud¨msisk f,i oek .kqj fid| fld g

kej;;a ie,s ljd f;,a jhs;s oud ta u; weUq,a j;afldg fomeis bi ie,sfhys u lj,ïfldg ud¨j

fyd|ska msish hq;= fõ¡ fï wkqj jHdxck msisk whqre oek .kak¡

wdhq" n," j¾K jvk .sf;,a wo wfma wdydrfhka iuq f.k ishjia .Kkdjla f.ù ;sfí¡ ta fjkqjg ráka f.kajk t,j¿ f;,a wfma wdydrhg tla lr .kakg ;rï wms ÿn, ù isáuq¡ iqj|ska jer .ekajQ wd;l ud¨j Wïn, t¿uia lkaf;d¿ weg uqiq lldrd iqj| l, hq;= ud¨ W÷ uqx ¨kq o f;,a l=¿nvq ,eõ lldrd ÿukq wd;l kï

fõ fõ fõ fõ

Wïn,lv t¿uia lkaf;d¿ weg ñY%j fïjd ;ïnd W÷ uqx ¨kq f;,a l=¿nvq oud lldrd iqj| l< ud¨j wd;l hehs lshkq ,efí¡ -,nk l,dmhg-

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Advertorial iqkaor iskyjlg lemjQ kùk oka; ffjoH úoHdj

iqkaor iskyjlg lemjQ kùk oka; ffjoH úoHdj oka; ffjoH úoHdj kùk ;dlaIKh;a iu.ska b;d fõ.fhka oshqKQ jk ffjoH YdLdjls' kùk úoHdjg wkQj iqkaor iskyjlg wejeis uqLfha o;a /l.ekSu" úÿreuy ksfrda.Sj ;nd.ekSu yd uqyqfKA yevh mj;ajd .ekSu i|yd b;du;a oshqKQ oka; ffjoH úoHd Ys,am l%u wo ks¾udKh ù ;sfí' zzjhig hk úg o;a yef,kjdZZ hk u;h fndre lrñka wo cSú; ld,h mqrdjgu ;ukaf.a o;a fom< uqyqKg iqkaor;ajhla tla lr.ksñka /l.; yels uÜgug oka; ffjoH úoHdj oshqKQ ù ;sfí' o;la leã .sh miq" osrd .sh miq ;ju;a wfma rfÜ fndfyda úg flfrkqfha o; .,jd oeóu muKs' tfy;a o; l=uk wdldrhg ydks jQj;a h,s ilia lr h:d ;;a;ajhg noaO l< yels oshqKq ffjoH l%u olajd wo fï úÿyqre flfIA;%h oshqKQ ù we;' fï ksid o;l fõokdj meñK th .,jd oeóug m%:u" ta .ek ;jÿrg;a fidhd n,d Bg jvd;au .e,fmk m%;sldrh l=ulaoehs ;SrKh l< hq;= ld,h oeka meñK ;sfí'

ffjoH iuka;l=udr ls;,jwdrÉÑ

úfYAIfhka wfma rfÜ jeä fjñka mj;sk yosis wk;=re j,oS o;a leã hdu ksid fndfyda fofkl=g ;udf.a bosßmi o;a wysñ ùu lD;%Su o;a wekaola oeóug fya;=jla ù ;sfí' kuq;a oka; ffjoH úoHdfõoS ;udg


03 jk l,dmh

wysñ jQ o;a h<s noaO lr .ekSfï Implant ;dlaIKh oeka Tng ,nd.; yels ùu jdikdjls' fï ksid uqyqfKA yevh úlD;s fkdù o;la noaO lr .ekSfï wjia:dj Tng ,eî ;sfí' fuys,d úfYAIs; ldrKhla jkafka fuu m%;sldr b;d Wiia ;dlaIKdkql+,j" ta ms<sn|j úfYAI m<mqreoaola we;s ffjoHjreka w;ska isÿ ùuhs' fï i|yd Ndú;d lrK úfIAI cSjdKQyrk l%shdj,ska yd kùk WmlrK fhdod.ekSu id¾:l;ajhg uekúka WmldÍ fjhs' oka; ffjoH úoHdfõ wkqo;a ish¿u WmlrK yd myiqlï we;s kùk mkakfha oka; frday,la oeka l=reKE., mqrjrfha ia:dms;j we;' il=ls oka; ffjoH frday,a mqoa.,sl iud.ug wh;a il=ls oka; ffjoH frday, ;u wNsudkj;a 5 jk jir iurkafka oyia .Kklg wêl Y%S ,dxflah fukau úfoaYSh frda.Skago b;du;a Wiia >kfha oka; ffjoH m%;sldr imhk kùk ;dlaIKsl WmlrK iy b;du;a m<mqreÿ ffjoH ld¾h uKav,hl fiajdj Tn fj; imhñks' Tng we;s ish¿u uqL fi!LH yd ine|S .eg¿ i|yd il=ls oka; ffjoH frday, meh 24 mqrdu weu;sh yelsh 077-1317777" 037-2232221

ffjoH iuka; l=udr ls;,jwdrÉÑ

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Women's Health Menopause wd¾;jNdjhg m%;sldr

Menopause wd¾;jNdjhg m%;sldr m%ij yd kdrs úfYAI{ ffjoH ã'tï'l=udr osidkdhl MBBS, MD, MRCOG (UK) fcaïia mecÜ úYAjúoHd, uydfrda.HYd,dj tx.,ka;h wd¾;jNdjh hkq ldka;djkaf.a$ .eyekqkaf.a Tima pl%h iaÒrju k;r ùuhs¡ fuh isÿjkafka YÍrfha fhdaks l=yrh ;=< msysgd we;s äïnfldaI u`.ska ì;a;r ksl=;a lsÍu kj;d oeuQ miqh¡ túg YÍrhg äïnfldaI u`.ska ksoyia lrk Biag%cka keue;s fyda¾fudakho b;du;au my< uÜgulg jefgkjd¡ fï fya;=fjkau wd¾;jNdjfhaoS we;sjk wys;lr <l=Kq ish,a, u;=ùug mgka .kakjd¡


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wd¾;jdNdjh m%Odk ,laIK

01¡

YÍrhg WKqiqula oekSu iy rd;%shg oyäh oeóu (Hot & night sweats)

02¡ fhdaks ud¾.fha úh<snj (Vaginal Dryness)

03¡ wêl uykaish iy kskao fkdhEu

wjqreÿ 35g fmro isÿ fjkjd¡ tu ;;a;ajh Premature ovarian Failure lsh,d y÷kajkjd¡ fï l=uk wldrhg isÿ jqjo wjidkfha YÍrfha Biag%cka fyda¾fudak uÜgu my< jeà wd¾;jNdjh ,laIK u;=fjkjd¡

tfy;a tla tla ldka;djg wd¾;jdNdjh oefkk úosh fjkia¡ tla ldka;djlg wd¾;jdNdj ,laIK udkisl uÜgu by<" my< hdu tlla fyda folla iq¿ jYfhka oefkk 04¡ (Mood swings) úg ;j;a ldka;djlg tu ,laIK ks;ru wu;l ùu iy hulg lsysmhlau b;d ;og oefkkakg 05¡ ys; fhduq lsÍfï wmyiqj mq¿jka¡ fï ksidu iuyreka (Forgetfulness or lack of m%;sldrhla fkdf.ku .; lrk w;r concentration) iuyrl=g m%;sldr w;HjYH fjkak ,sx.sl cSú;hg we,aula ke;sùu$ mq¿jka¡ tfiaau Y%S ,xldj jeks rgj, 06¡ wvqùu (Loss of interest in ldka;djkag we;s idudcSh cSú;h iy sharing sex life) yeoshdj u; úfYaIfhkau ,sx.sl cSú;hg we;s .eg¿ldÍ wd¾;jdNdjh idudkHfhka ;;a;ajh iajdNdúlj ksy`vju ord wjqreÿ 45-55 .ekSug f,dl= t l a t l a l d k a ; d j g w;r ld,fhaoS bvla ;sfnkjd¡ wd¾;jdNdjh oefkk úosh isÿ fjkjd¡ ta tfy;a thska jf.au hïlsis fjkia ¡ tla ldka ; djlg ñoSug we;s fya;=jlg m%;sldr ,nd. wd¾;jdNdj ,la I K tlla Y,Hl¾uhloS ekSu Bg wod, fyda folla iq ¿ jYfhka äïnfldaI oekqu fuu hq.,hu bj;a oefkk úg ;j;a ldka;djlg ;;a;ajh u`.yer l<fyd;a tu ,laIK lsysmhlau b;d .ekSug b;du;a wd¾;jdNdjh jeo.;a fjkjd¡ ;og oefkka k g mq ¿ jka ¡ fï we;s fjkjd¡ ksidu iuyreka m%;sldrhla iuyr wd¾;jNdjhg wjia:dj,oS fkdf.ku .; lrk w;r ;sfnk fndfydaúg iuyrl=g m%;sldr w;HjYH m%;sldr ldka;djkaf.a fudkjdo@ fjkak mq¿jka¡ wd¾;jdNdjh wd¾;jdNdjfhka b;d wvq jhfiaoS" we;sjk idudkHfhka (Tiredness & Sleep disturbance)

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ffjoHjrhd


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Women's Health Menopause wd¾;jNdjhg m%;sldr

.eg¿j,g úúOdldr m%;sldr l%u ;sfhkjd¡ Bg we;s uQ,slu m%;sYla;sh jkafka YÍrfha W!K;djh we;s Biag%cka fyda¾fudakh iu`. fm%dfciagfrdaka iy fgiafgdiafgfrdka fyda¾fudak ,ndoSu isÿ fjkjd¡ ta wkqj fuu fyda¾fudakj, W!K;djh ksid we;s frda. ,laIK wvq ù hkjd¡ fuu m%;sldr l%uh HRT (Hormone Replacement Therapy) lsh,d y÷kajkjd¡ fuu HRT îug we;s fm;s (Tablets) ifï we,úh yels me,eia;r (Skin Patches) iy kdihg úoSug yels iafm%a (Nasal spray) f,io Ndú;d l< yelshs¡ Bg wu;rj fhdaks ud¾.fha úh<s nj jeks frda. ,laIK we;s úg fhdaks ud¾.hg we;=¿ l< yels Cream, Pessary iy fyda¾fudak ksl=;a lrk f,io HRT m%;sldrh osh yel¡ fuu m%;sldrh fndfyda ldka;djkag b;du;a id¾:l m%;sM, f.k fok w;r wdrlaIdldÍh¡

kdßfõo ffjoH úfYaI{hl=f.a fiajh ,nd.; hq;= w;r Tyqf.a woyia b;du;a jeo.;a fjkjd¡ HRT j,g wu;rj wd¾;jdNdjh i|yd m%;sldr ;sfío@ HRT iEu ldka;djlgu tl fia iqÿiq jkafka ke;¡ úfYaIfhkau ujg fyda ifydaoßhlg mshhqre ms<sldjla fyda ujg$ mshdg fyda ifydaor$ ifydaoßhlg YÍrh ;=< reêr leá .eiSula isÿù we;akï HRT .ekSu wys;lr jkakg mq¿jka¡ ta jf.au iuyr whg tla wd¾;jdNdj ,laIKhla fyda tu ,laIK b;d u| jYfhka we;akï Tjqkgo HRT j,g wu;rj fjk;a m%;sldr l%uhla Ndú;d l< yel¡ tfukau iuyr ldka;djka HRT mdúÉÑ lsÍug wlue;s kï tjka wjia:dj,oS wd¾;jNdjhg Bg wu;rj .; yels úl,am m%;sldr l%u (Alternative Treatment) Ndú;d l< yel¡

wd¾;jdNdjh i|yd Ndú;d l< tfy;a úfgl mshhqre ms<sld we;sùfï yels wu;r m%;sldr j¾. 200 lg b;du;a iq¿ jvd we;;a tajd wjodkula we;¡ w;ßka lsysmhla tfy;a jd¾Islj muKla m%Óm, HRT iEu ldka;djlgu tl fia lrk mshhqre odhl iy YÍrhg iqÿiq jkafka ke;¡ úfYaIfhkau mÍlaIdj iy ys;lr fjkjd¡ tu ta .ek ;ukau lsysmh yer wfkla ujg fyda ifydaoßhlg mshhqre wjOdkfhka m%Óldr j¾.j, ms<sldjla fyda ujg$ mshdg isàfuka tu iïmQ¾Kfhkau fyda ifydaor$ ifydaoßhlg iq¿ wjodkuo YÍrhg we;s YÍrh ;=< reêr leá .eiSula fndfyda ÿrg n,mEu y÷kdf.k wvqlr.; yel¡ keye¡ tu ksid tajd is ÿ ù we;a k ï HRT .ekS u flfia fj;;a Ndú;d lsÍu t;rï wys;lr úh yelsh¡s fï ms<sn|j fhda.H jkafka keye¡


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wvq lsÍu iy uOHidr wvx.= îu j¾. j,ska je<lSu u`.ska rd;%shg oyäh oeóu iy YÍrh WKqiqï ùu j<lajd .; yel¡

ta wkqj YÍrhg wd¾;jdNdj n,mEïj,g m%Óm,odhl iy YÍrhgo wys;lr fkdjk (HRT j,g wu;rj& Ndú;d l< yels úl,am m%;sldr l%u fufiah¡ tosfkod cSú;hg isÿ lr.; yels fjkialï Lifestyle choices l%udKql+, iajdhq jHdhdu j, fhoSu Regular Aerobic Exercise fuysoS fiñka osùu iy msyskSu b;d fyd| m%;sldrhla fjkjd¡ tfy;a l,d;=rlska b;du;a wêl f,i uykais ù jHdhdu j, fhÿkfyd;a wd¾;jNdj ,laIK krl w;g yeÍug mq¿jk¡ tuksid oskm;d lrk l%udkql+, iajdhq jHdhdu muKla l< hq;= fjkjd¡ fhda. jHdhduj, fhoSu Low Intensity Exercises wd¾;jNdj ,laIK jk YÍrhg WKqiqula oekSu j<lajk w;r YÍrhg iqjodhl njla we;s lrkjd¡ lef*aka wvq lsrSu Caffeine iys; îu j¾. jk f;a" fldams iy fpdl,Ü îu j¾. Ndú;h

fhdaks ud¾.fha úh<snj u`.yrjd .ekSu Vaginl Lubricants & Moisturizers l%Sï$oshr j¾. Ndú;d lsÍfuka fhdaks ud¾.fha úh<snj u`.yrjd .ekSug mq¿jka St John’s wort keue;s T!IOh St John’s wort keue;s T!IOh o Ndú;d l< yelsh¡ th YrSrhg WKQiquA nj we;s jSu u`.yrjd .ekSug Woõ fjkjd¡ óg wu;rj fndfyda wu;r m%Óldr l%u we;;a tajd m%Óm,odhl jqj;a tajd Ndú;fhka we;sjk oS¾>ld,Sk o;a; fkdue;s ksid j¾;udkfhaoS tajd Ndú;h fndfyda ÿrg wvq ù ;sfnkjd¡ ta .ek oek .ekSug" yß wjfndaOhla ,eîug ;j;a l,a .;jkq we;¡ fï wkqj wd¾;jNdjfhka fmf<k hï ldka;djlg kdßfõo ffjoHjrfhl= yuq ù m%;sldr l%u .ek l:dny lr ;ukag .e,fmk m%;sldr l%uhla u`.ska wd¾;jNdjfhka jk mSvdj wju lr.; yel¡ úfYAI{ ffjoH l=udr osidkdhl uy;df.a fuu ,smsh iïnkaOj woyia fhdackd iy .eg¿ we;akï lreKdlr narisuwasetha@gmail.com hk úoahq;a ,smskhg fhduq lsÍug ldreKsl jkak¡ th Tn oekqj;a lsÍug Tyq ork W;aidyhg bosßfhaoS uy;a ffO¾hhla jkq fkdwkqudkh¡

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Pharmacopia T!IO ,nd.; hq;= ksjeros fõ,dj ms<sn| Tn oekqj;ao@

lshk fj,djghs .; hq;af;a''' T!IO ,nd.; hq;= ksjeros fõ,dj ms<sn| Tn oekqj;ao@ ó.uqj osia;%sla uy frdayf,a T!IOfõoS ;sirx. w;=fldar, úisks wm ish¿ fokd cSú;fha floskl fyda T!IO ,ndf.k we;af;uq¡ we;eï T!IO frda.h iqjùfuka miq osk lSmhlska Ndú;h keje;aúh yelsh¡ kuq;a we;eï T!IO oS¾> ld,hla fyda we;eï úg cSú; ld,h mqrdjg ,nd .ekSug isÿ fõ¡ fï l=uk wdldrfhka T!IO ,nd .;a;;a T!IO ksjeros fõ,djg ,nd.ekSu jeo.;a fõ¡ tneúka ta ta T!IO Tng ffjoHjrhd fyda T!IOfõoshd ks¾foaY lrk ksjeros fõ,djgu Ndú;d lsÍu frda.h iqjùu ld¾hlaIu ùug fukau T!IOh ksid we;sjk w;=re wdndO wju lsÍugo jeo.;a fõ¡ fufia ksjeros fõ,djg fjfiiskau Ndú;d l< hq;= T!IO j¾. lSmhla ms<sn|j wjOdkh fhduq lruq¡


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Antihistamines (chlorphenamine, cyproheptadine, ketotifen, promethazine) fuu T!IO osklg ;ks ud;%djla f,i ,nd .ekSfïoS rd;%S ld,fhaoS ,nd .kshs¡ ud;%d lSmhla ,nd.ekSfïoS oskfha wks;a fõ,dj,oSo ,nd .; yelsh¡ fya;=j (- fuu T!IO Sedative antihistamines f,i y÷kajk w;r w;=re wdndO f,i ksosu;" wjOdkh fhduq lsÍfï wmyiq;djh we;súh yelsh¡ osjd ld,fhaoS wmyiq;djh wju lsÍug rd;%sfhaoS T!IO ,nd .ekSu fya;= fõ¡ Bisacodyl fuh fm;s jYfhka ,nd.kakd úg rd;%s ld,fhaoS Ndú;d l< hq;= fõ¡ .=o ud¾.fhka T!IO we;=¿ lrk úg (Suppository) Woh ld,fha ,nd.; hq;= fõ¡ fya;=j (- fm;s l%shdldÍ ùug meh 10-12 w;r ld,hla .; fõ¡ Suppository l%shdldÍ ùug ñks;a;= 20-60 w;r ld,hla .; fõ¡ WoEik úf¾l l%shdldrs;ajh i|yd by; i|yka ld,fhaoS T!IO ,nd.; hq;= fõ¡ Clopidogrel rd;%S ld,fhaoS tla ud;%djla f,i ,nd .; hq;= h¡ fya;=j (- fï uÕska reêrh leá .eiSfï yelshdj wju lrk w;r oyj, hï wk;=rla isÿ ùu ksid

;hsfrdlaiska fm;s oskm;d .kakd Woúh tajd .; hq;af;a ysia nvh' wdudYh ysiaj ;sîutu fm;s wjfYdaIKhg msgqjy,la jk fyhsks' we;sjk wêl reêr jykh rd;%sfhaoS .ekSfuka wju lr.; yelsh¡ Diuratics (Frusemide, Spironolactone, Bumetanide) osklg tla ud;%djla ,nd.ekSfïoS th WoEik ,nd .; hq;=h¡ osklg ud;%d folla ,nd.kakd úg WoEik yd iji folg muK ,nd.; hq;= h¡ fya;=j (- fuu T!IO u`.ska uq;%d msgùu jeä jk w;r rd;%S ld,fhaoS uq;%d jeämqr msgùfuka isÿjk wmyiq;djh wju lsÍug fojk ud;%dj ijia ld,fhaoS ,nd fohs¡ Greseofulvin osklg ,nd.kakd tla ud;%dj rd;%sfhaoS ,nd .; hq;= h¡ ffjoHjrhd ks¾foaY lrk iïmQ¾K ld, iSudj ;=< T!IOh Ndú;d l< hq;=h¡ fya;=j (- fuu T!IOh Ndú;fhaoS iu wdf,dalhlg ixfõoS fõ¡ th wju lsÍug rd;%sfhaoS Ndú;d l< hq;= w;r ysre/ia j,g ksrdjrKh ùu wju lr.; hq;=h¡

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Pharmacopia T!IO ,nd.; hq;= ksjeros fõ,dj ms<sn| Tn oekqj;ao@

Statins (atovastatin, simvastatin) ieuúgu rd;%S ld,fha ,nd.; hq;=h¡ fya;=j (- fldf,iagfrda,a ld¾hlaIuj reêrfhka bj;aùu isÿjkafka rd;%S ld,fhaoSh¡ Sulphonylureas (glibenclamide, gliclazide, glimepiride, glipizide) osklg tla ud;%djla ,nd.kafka kï th Wfoa ld,fha ,nd.; hq;=h¡ ud;%d folla ,nd.kafka kï fojk ud;%dj rd;%S kskaog meh 3-4lg fmr ,nd.; hq;=h¡ fya;=j (- kskafoaoS reêrfha iSks uÜgu wêl f,i wvqùfuka (Hypoglycaemia) we;sjk wjOdku wvq lsÍugh¡ Thyroxin/ Levo thyroxin WoEik wjosjQ ú.i ,nd.; hq;=h¡ Wfoa wdydrh fyda f;a mdkh isÿl< hq;af;a T!IO ,ndf.k meh Nd.hlg fyda mehlg muK miqjh¡ fya;=j (- Thyroxin ldrhlaIuj wjfYdaIKh isÿ jkafka wdudYh ysiaj we;s úgh¡ Warfarin iji 5 g muK ,nd.; hq;=h¡ fya;=j (- fuh reêrh leá.eiSu je<elaùu i|yd ,ndfok T!IOhla jk w;r oyj,a ld,fha isÿjk wk;=rloS isÿjk wêl reêr jykh je<elaùug ijia ld,fha Ndú;d lrhs¡

weia frda. i|yd w;a fnfy;a Ndú;h ydksodhl o@ frda. i|yd w;a fnfy;a Ndú;d lsrSu b;d wjodkï lghq;a;la' fuys oS isÿjk iq¿ fyda jeroSulska wefia ishqï mgl j,g ydks isÿ úh yelshs' tys m%;sM,hla f,i wkaO Ndjh jqj o we;s úh yelshs' idudkH jHjydrfha weia f,v kñka y÷kajk ;;a;ajh" fndfyda úg jhsri wdidokhla ksid we;s jkakla' fuu úIîc u.ska wei ;=< we;slrjk ;=jd, ksid weia r;=ó" bosó ln yd l÷¿ .e,Sug mgka .kakjd' ;=jd, jQ wei ;=< fjk;a nelaàrshd u.ska meiùula o we;s l< yelshs' fujeks ;;a;ajhkag ffjoH Wmfoia u; m%;scSjl T!IO ìxÿ fhoSu jqj o wjYH úh yelshs' fujeks weila úIîc iys; oshrhlska ^;eô,s j;=r " fo¿ï fld, ;eïnQ j;=r" msõp u,a oeuQ j;=r wdosfhka& fiaoSug hdfï oS ;j ;j;a úIìc wei ;=<g we;=¿ ùug o bvlv ;sfnkjd' weia fol" weyela jf.au mrsiaiï l< hq;= fjkjd' ffjoH fca'tï'ch;s,l úisks


kj;u rdcH Tiqi, nKavdr.u - frday,a mrsY%h" fydrK mdr" nKavdr.u


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Healthy Eating Habit fmd,af;,a wkqNjfhka os.= ld,Sk fi!LH m%fhdack /ila'''

YÍrhg fyd|u f;,a fmd,a f;,a nj kq;k úoHd;aul u;hhs

fmd,af;,a wkqNjfhka os.= ld,Sk fi!LH m%fhdack /ila''' -m<uqjeks fldgiNdr; .=K;s,l úisks

Y

;j¾Idêlld,hl isg wfma rfÜ iß flreKQ n;g tl;= jqKq wdkqmdk ri .ekajQfha fmd,a lsfrks' ke;fyd;a ta fmd,a f.äh yskaojd .;a f;f,ks' ta ld,fha wfma rgjdiSka jeä fofkl=g bfyka nysk frda.hla fkd;snqfKa hhs lsõfjd;a tys jrola ke;'

wo kï wfma rfÜ ie<lsh hq;= fofkl=g oshjeähdjh''' wêreêr mSvkhh' fï wdoS jYfhka frda. f.dkakla wfma ld,fha ñksiqka fj,df.kh' ta ish,a,gu jvd ;rndrej wo iudc m%Yakhla njg m;a fjñka ;sfí' fmd,af;,a fjkqjg wdfoaYl f;,a nqre;= msáka tl;= jQ hq.hla ñksiqka ful, jeä jeäfhka fujka fnda fkdjk frda. j,g k;= jkafka wehs @ tajdhska ñoSug l< hq;af;a l=ulao @ fï m%Yakhg ms<s;=re fidhkakg miq.sh ld,h ;=< ffjoH m¾fhaIlhka uy;a fjr jEhula


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.;ay' ÿrd;S;fha isg wyrjg iß lrkakg .;a zzfmd,af;,aZZ fuys uQQ,sl pQos;fhla nj wkdjrKh lr.;af;ah' wdydr j, ;sfnk le,ßo pQos;fhla úh' ia:q,;djfhka ñoSug" f,v-frda. j,ska wdrlaId ùug fïoh wvq''' le,ß w.h wvq'' fjkuu lEu îu y÷kajd fokq ,eìK' wo .fï" ;=,dfka yd iqm¾ ud¾leÜgqfõo fï low-fat, non-fat, and low-calori wdoS wdydr jeys jeye,dh' fï ;;a;ajh we;s jQfha wfma rfÜ muKlau fkdfõ' wefußldj" ´iafÜ%,shdj" hqfrdamh wdoS oshqKq rgj,o" wm jeks wjfYAI fndfyda rgj,o uQ,sl jYfhka fmd,af;,a j,g úYd, úfrdaOhla we;s úh' wefußldfõoS fuys m%;sM<hla jYfhka fmd,af;,a wkqNj lrkakka ishhg 11 lska wvq úh' ck;djf.a le,ßl mdßfNdackh ishhg 4 lska my; jeák' (Heini, A.F. and Weinsier, R.L. 1997. Divergent treands in obesity and fat in patterns: the American paradox. American Journal of Medicine) 102(3):259-6

uxuq,d ù''' fï ;;a;ajh ;=< ia:q,;djh" fukau wêreêr mSvkh" fldf,iagfrda,a wdoS f,v frda.o ie<lsh hq;= uÜgulska my; jeàula ffjoHjreka wfmalaId l< uq;a isÿ jQfha wfklls' n,d ys|soaoS fldf,iagfrda,a" wê reêr mSvk frda.Ska m%udK jeä jQ w;r ia:q,;djho fnfyúkau jeä úh'

wefußldfõ muKla ia:Q, ck.yk ;Srej ishhg 60 o blaujd mj;sk nj oeka y÷kdf.k ;sfí' fï .ek wefußldkq kso¾Yk wjYH jkafkao ke;' wfma rfÜ o jeäysáhka oeka fnfyúka ;rndreh' tmuKla fkdfõ orejka mjd uy; jeä ùfuka úYd, fi!LHuh ;¾ckhlg ,la ù ;sfí' fï wh miq.sh ld,h ;=< wdydr isß; úuiqj fyd;a jeä yßhla fokd fmd,af;,a j,ska ÿria ù wjfYAI wdfoaYl j,g yqrej ;sfnKq fmfka' tmuKla fkdj Y=kH le,ß mdk fukau fydZ| hhs lshd ñ,oS .;a úúO f;,a j,ska ieliQ wdydr wkqNj lrkakka fï w;r iq,nh' fï wkQj oYl 30 l muK ld,hla mqrdjg fïoh yd le,ß w.h wvq wdydr iïnkaOfhka we;slr.;a tl`.;djhka fodaI iy.;nj kQ;k fmdaIK úoHd{hka ms<sf.k ;sfí' wmg jerÿfka fld;eko@ kej;th ilid.; yelafla flf,io @ fï ,smsh m%fhdackj;a jkafka ta ms<sn|j u. fmkaùula ta weiqf¾ mdGl Tng ,efnk ksidh'

iaÓridr úi÷ï bosß;a fkdlrk low-fat diets

low-fat diets iïnkaOfhka ,nd osh yels ir<u w¾: oelaùu kï tu wdydr iaÓridr úi÷ï bosß;a fkdlrk njhs' low-fat diet wdydrhla .;a úg l=imsfrkafka ke;' túg uq¿ ld,hu .; fjkafka l=i.sks ixldfjks' Tng nr wvq

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Healthy Eating Habit fmd,af;,a wkqNjfhka os.= ld,Sk fi!LH m%fhdack /ila'''

lr.kakg wjYH kï Tn lk lEu m%udKh ysf;a ixldjlska f;drj wvq lr.; hq;=h' low-fat diet wdydrhla f.k lsf,da fol ;=kla wvq lr.kakd Tn B<`.g wr l=i.sks ord isá ld,h isysm;a lrñka hyñka lEug yqre fjhs' wjidkfhaoS k;r jkafka Tn mgka.;a ;ekgu meñKs,dh' we;euqka fï isßf;ys wjidk m%;sM<h njg m;a lr.kafka wkdhdifhka we;s jk .scq nj ksid ;snqKdg;a jvd jeä nrla isrerg Wreu lr foñks' m¾fhaIKj,ska oeka y÷kdf.k we;s wdldrhg wyrjgg m%udKj;a ;rï fïoh tl;= lr.kakd wh fïoh idfmalaIj wvqfjka .kakd whg jvd l=i.skafkka fmf<kafka wvqfjks' wjYH m%udKhg fïoh YÍr.; ùu ld¾hlaIu nr wvq lsÍfï ie,eiaula i|yd ;sìh hq;a;lauh' wdydr fõ,la

;rndrefjka je<lSug fyd|u f;,;a fmd,af;,hs

.;a ú.iu l=i.skafkka fmf<kafkda lsis úfgl;a ukd wdydr md,khlg k;= fkdjkafkah'

ys;lr nr md,khlg;a fïoh wjYHhs id¾:l nr md,khla i|yd wjYH muKg fïoh ,nd .; hq;af;a wehs @ fïoh iys; wdydr fõ,la iEu úgu l=i.skak ika;¾mkh lrhs' wdydr fõ,l fïoh ;sfnk úg myiqfjka wdudYh ysia jkafka ke;' fï ksid iEu úgu nv.skak wE;a lsÍug fïoh iy; wdydr iu;a fjhs' f;a fj,djg fmdä nv.skakla oeKQkq úg Tn iq¿ wdydrhla .kshs' túg Tng m%Odk wdydrh .; yels jkafka álls' túg YÍrhg ,efnk le,ß m%udKh wvqh' ldfndayhsfâ%g j,g;a jvd" fm%daàk j,g;a jvd fïofhys le,ß w.h jeäh' wdydr md,kh fïid by<


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fõ.hlska mj;ajd.kakg fïohg yels ù ;sfnkafka fï ksidfjkauh'

iajdNdúl f;,a ldKAAvh fmd,af;,a iy mdï f;,ah'

iuia;hla f,i fïofhys yeisÍu by; oelajqKs' fïoh lSjdg fïofhys;a úúO m%fNAo ;sfí' lefkda,d''' fidahd'''iQ¾hldka;''' fmd,af;,a''' mdï f;,a wdoS jYfhks' fï f;,a j,ska miq.sh ld,h ;=< tosßjdoslug ,la jQfha fmd,af;,ah' T,sõ Ths,ao we;=¿j wfkl=;a ish¿u f;,a kSfrda.S fi!LHhlg moku i,ik j. úoaj;a l;sldj,oS m%ldY flßKs' zzl,los ry¿''' l,los jy fjkjd¿'''ZZ ta l;dj ienE lrñka udkj ú{dKh ksjeros u.g wj;S¾K lsÍfï oeKQfuka ukqIH j. kej;;a ikakoaO ù ;sfí'

fmd,af;,a wh;a g%hs.a,sirhsv ldKAvfha hy.=Kh

g%hs .a,sirhsv j, úoHd;aul ienEj wm wdydrhg .kakd f;,a j,ska jeä yßshl we;af;a os.= odu g%hs .a,sirhsvh' (LCT) jpkfhka wre;a oelafjk wdldrhgu fuu os.= odu g%hs.a,sirhsv m%udKfhka úYd,h' fïo wï,hl úYd,;ajh ;=< úYd, ryila ie`.j ;sfí' wfma YÍrfhaoS fïjd mßjD;a;Sh l%shdj,shg ,la lrkafkao tajd wjfYdaIs; njg m;a lrkafkao fulS úYd;ajh idOlhla lr.ksñks' wfma rgj, wf,úhg ;nd we;s t<j¿ f;,a ish,a,u mdfya wh;a jkafka fulS úYd," os.= odu g%hs.a,sirhsv ldKAvhgh' (LCT) Corn, Safflower, Soyabean, Canola wdoS ish¿ f;,a fukau ie,â Ths,ao wh;a jkafka os.= odu g%hs.a,sirhsv ldKAvhgh' os.= odu fjkqjg uOHu odu g%hs.a,sirhsv (MCT) we;s tlu

tla;rd m¾fhaIlhka lKavdhula úiska MCT Ndú;dj iy YÍr nrg th fl;rï n,mEula we;s lrkafkao hkak ms<sn|j tla;rd iólaIKhla isÿ lrk ,o w;r tys m%;sM< Journal of Nutrition i`.rdfõ m< flßK' tu iólaIKhg wkQj fmd,af;,a wh;a jk MCT ldKAvfha fïo j, .=Kh fufiah' • Yla;sh jeä lrhs' • YÍr mßjD;a;Sh by< kxjhs • le,ß oykh by< kxjhs' • wdydr mßfNdackh iSud lrhs' • YÍrfha fïo ialkaOh wvq lrhs • YÍr nr wvq lrhs' fuu iólaIKfha iudma; igyk ,shñka fuu m¾fhaIlhka i|yka lf<A YÍrfha jeäuk;a fïofhka ñoSug" nr md,khg fukau ia:q,;djfhka ñoSug Tfí f;aÍu úh hq;af;a fmd,af;,a jk njhs' f,dalfha wvqfjkau le,ßl w.hla orK fïo j¾.h - fmd,af;,a YÍrfha nr wvq lsÍug fmd,af;,a WmldÍ ùug uQ,sl fya;=jla jkafka tys we;s wvq le,ß m%udKhhs' fï ksidu f,dalfha wvqfjkau le,ßl w.hla orK fïo j¾.h hk lS¾;s kduho fmd,af;,a ord ;sfí' -,nk l,dmhg-

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A Healthy Authentic Kitchen ji;a ke;s''' úi;a ke;s''' fld<U yf;a uq¿;ekaf.a'''

ji;a ke;s''' úi;a ke;s''' fld<U yf;a uq¿;ekaf.a''' iïfndaê úydrh yd iyfhda.fhka uÍkd wdh;kh cd;shg ;s<sK l< fi!LHiïmkak uq¿;ekaf.h ridhksl fmdfydr Ndú;fhka f.dú;eka lsÍu fï jk úg f,dalhgu ;¾chlaj mj;sk ldrKhls' Y%S ,xldfõo ;;a;ajh tfiauh' fï jk úg W;=re ueo m<df;a ck;dj oreKQ jl=.vq frda.hlska mSvd ú|s;s' thg fya;=j ù j.dj i|yd fhdod.;a wdikhsâ ñY% ridhKsl fmdfydr nj fidhdf.k ;sfí' tod rgg n; iemhQ f.dúhd wo rgg frda.Ska tla lrkafkao@ wo jk úg rfÜ iEu wiaila uq,a,lu ms<sld frda.Ska .eko jeäfhka wikakg" olskakg ,efí' fï jk úg rcho wjfYAI md¾Yajo fï ;;a;ajh .ek .eUqßka wjOdkh fhduq lrKQ fmfka' jig úig jeg lvq¿ weysÍug oeka fyda mshjr .; hq;=uh' th w;sYh ldf,daÑ;h'


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ridhksl fmdfydr iy m,sfndaO kdYl j,ska f;dr wdydr j,g kej;;a fhduq ùfuka fï WNf;dafldaálfhka .e,ù.; yelaflah' jeä wiajekakla" jeä ,dNhla hk uq,dfõ f.dúhd isrlr Tjqka ridhKsl fmdfydr j," m,sfndaO kdYl j, jy¿ka lr we;' f.dúhka uq,skau fuhska uqojd .; hq;=h' ire wiajekakla ,nd .ekSug ridhKsl fmdfydr fya;=jla fkdfõ' ldnKsl fmdfydr Ndú;fhka ksire ù we;s mi;a /lf.k ish,a,gu jvd wfma cSú; /l.; hq;= nj Tjqkag mila lr osh hq;=h' wo ridhKsl fmdfydr fkdfh¥ wdydr j,g fyd| b,a¨ula we;s ù ;sfnkafka fï ldrKd .ek ck;dj ;=< we;s oeKQj;aa ùu fya;=fjks' tfy;a .eg¿j we;af;a fï wdydr ñ,oS .ekSug wf,ú ia:dk fkdue;s ùuhs' fld<U wfma w. k.rfhaoS fï .eg¿jg úi÷ula ,ndoSug wfma W.;a h;sjr kula bosßm;aj isáhs' oeh úm;lg jegqKQ l,ayS m<uqj msìfokafka uyd ix> r;akhhs' <`. tk cd;sl úm; bj lrñka fld<U iïfndaê úydrdêm;s orKd.u l=i,Oïu ysñmdfKda wmQ¾j jQ ld¾hhlg w; fmdjd isà' rfÜ úúO m%foaY j,ska ,nd.;a ji úi ke;s iajdNdúlj j.d lrk ,o t<j¿ yd m<;=re wf,ú uOHiaia:dkhla úydria: mßY%fhaoSu wdrïN lsÍug

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A Healthy Authentic Kitchen ji;a ke;s''' úi;a ke;s''' fld<U yf;a uq¿;ekaf.a'''

Wkajykafia lghq;= lf<A fkdfndaodh' tu ixl,amh jvd;a wre;a .kajñka zzji;a ke;s úi;a ke;s uq¿;ekaf.hZZ kï wdo¾YKhlao miq.shod fld<U 7 iïfndaê úydrfhaoSu újD; flßK' ta uÍkd wdh;kfha mQ¾K wkq.%dyl odhl;ajfhks' jvd;a fi!LHdrlaIs; f,i kshñ; msßisÿ wuqøjH muKlau Ndú;d lrñka wdydr ksmojk ,dxflah iud.ula jYfhka lS¾;s kduh oskQ fuÍkd wdh;kfha fuu i;aldrh iïfndaê úydrfha orKd.u l=i,Oïu ysñ wruqK yd losug mEfykafkah' fld<U 7" iïfndaê úydrfha úydrdêm;s" orKd.u l=i,Oïu ysñmdKka werhqfuka zji;aa ke;s úi;a ke;s uq¿;ekaf.h újD; lrk ,oafoa fmd,siam;s tka'fla'b,x.fldaka uy;d iy uÍkd wdh;kfha l<uKdldr wOHlaI uxcq, kdrdhk uy;d úisks' cd;sfha fi!LHiïmkak nj f;audj lr.;a fujeks W;=ï iudc i;aldrhkayS bosßfhaoSo ksr; jk nj uÍkd wdh;kfha l<uKdldr wOHlaI uxcq, kdrdhk uy;d mejiSh' fuu ixl,amh ienEjla lsÍug uQ,sl jQ wf,ú m%Odks fvkais,a fmf¾rd iy fcHaIAG l<uKdldr ldxpk ,S,fiak hk uy;ajrekao fuu wjia:djg iyNd.s jQy' ksfrda.S fi!LHiïmkak cd;shla hk wruqK fmroeßj wdydr msisk f;,a iy fldf,iagfrda,a rys; ud.ßka ksmojk uÍkd wdh;kh;a iïfndaê úydrh;a f.k hk fï jEhu meiish hq;a;ls'


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Consumer uyck fi!LHhg iy" mrsirhg úk lrk" frÈ fidaok l=vq @

uyck fi!LHhg iy" mrsirhg úk lrk"

frÈ fidaok l=vq @ -m<uqjk fldgiwm w|sk we÷ï blaukg;a " myiqjg;a fidaod fokakg;a tajdg wdYap¾hu;a nen,Sula ,nd fokakg;a" ´kEu ;o l=Kq me,a,ula Wj iqgqia .d,d bj;a lr fokakg;a" ;ukag ms<sjkehs" lshñka" rEm fmááfha fm<yr mdkd úiQl oiaikhka foi n,d isákd wms" fomdrla fkdis;du Tjqka lshk lshk cd;s j,ska fros fidaokafkuq' tmuKlska iEySulg m;a fkdù" frÈ uDÿ ldrl oeófuka ;jo iqj|j;a l<" Tmj;a l< fros we|f.k" wmf.a cSú; fï ;rï myiq l< fros l=vq fjf<ka|kag msx foñka issákafkuq'

fï id úYd, ridhksl øjHh m%udKhla mßirh ;=< Tfya kslka b|Súo@ wm úiska oekgu;a f;d. msáka mrsirhg uqod yrsñka isák lDIs ridhksl øjHhka iu. fïjd m%;sl%shd fkdlrkafkao @ tajd wfma YÍr fi!LHhg lsisÿ n,mEula isÿ fkdlrdúo @'


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wka;¾.;h yd m%ñ;sh ms<sn|j ta yeá ie,ls,a,la fkdolajk iy tajd iïnkaOfhka jk oekqfuka hdj;ald,Sk fkdjk mdrsfNda.slhska nyq;rhla isák rgl cSj;a jk wm yg" fi!LHhg yd mrsirhg ydkslr" lsisÿ jeo.ekaulgo ke;s" mdßfNda.sl NdKav úYd, m%udKhla lÜg lmá fjf<ka|ka úiska úl=Kñka isák nj" wm Ndú; lrk fndfydauhla mdßfNda.sl NdKav foi úuis,su;aj ne,Sfuka ;yjqre fjhs' tneúka" furg ckhdf.a wjOdkhg ;ju;a ,la fkdjqKq" tfy;a ÈhqKq rgj, kS;sfha /yekska mjd ;oska ne| oud ;sfnk" frÈ fiaÿï l=vq ms<sn| Tnf.a wjOdkh fhduq lrjñ'

fiaÿïldrl j, ;sfnk ridhksl ixfhda. j, meálsrsh frÈ fia§ug Ndú; flfrk frÈ fiaÿï ldrl l=vq yd Èhr j¾. hkq" (detergents) úúO ridhksl .=K yd m%;sM, ,nd §ug fya;= jk ridhksl ixfhda. ñY%Khls' tajdfha ;sìh yels iq,N ridhksl øjHhka lsysmhl meálsrsh fufiah'

fnkaiSka$fidaähï" ,Sksh¾ we,alhs i,af*dfkaÜia (Linear alky (benzene or sodium) sulfonates) fiaÿï ldrl j¾. fndfyduhlu ;sfnk l=Kq me,a,ï bj;a lsÍug bjy,a jk m%Odk ridhkslh fuhhs' fuu ridhkslh ms<sn|j f,dj mqrd úúO úoHd{hska úiska isÿ lr we;s wOHhk j,g wkqj ^tjeks wOHhkhka 16"000 la muK isÿ flÍ

we;ehs" weußld tlai;a ckmofha cd;sl fi!LH úoHdh;kfha ks, fjí wvúfha ±lafõ' (http://www.ncbi. nlm.nih.gov/pubmed) fuu ridhkslh ksidfjka ifï we;s jk wid;añl;d" m¨ ±ófï" isg §¾. ld,Skj ksrdjrKh ùfuka ms<sld mjd we;s úh yels nj mejfikjd

*Sfkda,a (phenol) we;eï frÈ fiaÿï ldrl j¾. j, úi iys; *Sfkda,a ixfhda. ;sfnk nj uyck fi!LH ms<sn| m¾fhaIK f;dr;=re jd¾;d lrk fjí wvúhla jk www.SixWise.com fjí wvúfha ±lafjhs'

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Consumer uyck fi!LHhg iy" mrsirhg úk lrk" frÈ fidaok l=vq @

wefußldkq cd;sl fi!LH úoHd;kfha w¾: ±laùï j,g wkqj" wefußldkqq fjf<|fmdf<a mjd iq<Nj wf<ú flfrk w;eï fiaÿï ldrl j¾. j, mshhqre ms<sld ldrlhla iy mßirfha§ ffcj úfhdackh (biodegradable) fkdjk m%n, ridhkslhla jk" *Sfkda,a tf;dihsf,aÜ ridhkslh wvx.= ù ;snqKq nj" fuu wOHhk j,ska fy<s ù ;sfnkjd' msßñ ud¿ka ;=< ia;%S ,laIK j¾Okh ùugo bjy,a jk fuu ridhkslh" hqfrdamd rgj,a j, ;ykï lr we;' ^fuh wfma rfÜ wf<ú flfrkd fiaÿï l=vq j, fkd;sfíjd lshd wms m%¾:kd lruq'&

fidaähï yhsfmdlaf,darhsÜ (sodium hypochlorite) fidaähï yhsfmdlaf,darhsâ hkq iq<N úrxclhls' fuu ridhkslh ms<sn| Wikipedia the free encyclopedIA yS ±lafjkafka" fiaÿï ldrl j¾. j, ;sfnk we;eï ldnksl ridhksl ixfhda. iu. m%;sl%shd lsÍfuka" ^fia§fï l%shdj,sh w;r ;=r §& úi iys; iy ms<sldldrl jk laf,dafrdaf*daï" ldnka fgÜrdlaf,darhsâ jeks jdIamYS,S laf,daßfkagâ ldnksl ifhda. (VOCs) iEfok njhs' -,nk l,dmhgnKavdrfj," we,af,a uyck fi!LH mÍlaIl .euqKQ id,sh fmf¾rd

gemunusaliyaprr@gmail.com

For more infomation

http://www.ncbi.nlm. nih.gov/pubmed


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Advertorial hym;a oka; fi!LHhlg fyd| o;a nqreiqjla w;sYhska jeo.;a

hym;a oka; fi!LHhlg fyd| o;a nqreiqjla w;sYhska jeo.;a Tfí iskdfõ wdrïNh iqfoda iqÿjka nn,k o;a fom<la mj;ajd .ekSu nd," uy¿ ldf.a;a me;=uhs¡ kuq;a wjdikdjlg wo iudcfha fndfyda fofkl=g fï jru wysñ ù we;¡ fujka ;;a;ajhlg m;a jkafka ksishdldr uqL wdrlaIdj ms<sn|j fndfyda fokd olajk fkdie<ls,a," ue<slu ksid nj úfYaI{hskaf.a u;h ù we;¡ uqLh ms<sn|j Tn jvd;au ie<ls,su;a úh hq;= lreKq lsysmhla my; oelafõ¡ uqL ikSmdrlaIdj jeo.;a jkafka wehs@ uqL ikSmdrlaIdj jeo.;a jkafka uqLfha ksfrda.S;dj mj;ajdf.k hdughs¡ lg .| .eiSu j<lajd .ekSug;a uqL ikSmdrlaIdj jeo.;a fõ¡ ffjoHjreka ks¾foaY lr we;s mßos fndfyda fofkl= osklg fojrla o;a ueosh hq;= jqj;a fndfyda fofkl= w;ska tfia isÿ fkdfõ¡ tfiau ;j;a jeo.;a" isÿúh hq;=u isÿ fkdjk ld¾hhla jkafka ksjeros ;dlaIKfhka o;a ueoSu isÿ fkdlsÍuhs¡ fndfyda fokd o;a nqreiq yd oka;df,am ms<sn|j mq¿,a wjfndaOhla we;s lr.ksñka isáh;a o;a nqreiqj ksis ld,fhaoS udre lsÍu ms<sn|j ukd jegySula fkdue;¡ o;a nqreiqj ksis ld,fhaoS udre lsÍu wksjd¾hfhkau l< hq;= h¡ th iqfodaiqÿ o;a fom<la mj;ajdf.k hdug w;HjYH lreKla fõ¡


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wvx.= ù we;¡ tu m%foaYj, wh *af,darhsâ wvx.= oka;df,am Ndú;d fkdl< hq;= hhs u;hla mj;S¡ fuh jeros u;hls¡ • iqÿiq j¾.fha o;a nqreiqjla mdúÉÑ l< hq;=h¡ o;aj, fl<jrgu .uka l< yels j¾.fha o;a nqreiqjla Ndú;d lsÍu jvd;au fhda.H fõ¡ • iun, wdydr fõ,la .ekSu b;d jeo.;a fõ¡ ks;r ks;r wdydr .ekSu iqÿiq fkdfõ¡ • Tfí oka; ffjoHjrhd yuq ù oka; fi!LH ms<sn|j Wmfoia ,nd.kak¡ • iEu udi ;=klg jrla j;a Tfí o;a nqreiqj udre lr .kak¡ tys fl|s keó we;akï o;a nqreiqj wksjd¾hfhkau udre l< hq;=h¡

uqL l=yrfha ksfrda.S;djh /l .ekSug l< hq;= foa''' • m<uqfjkau wm hym;a mqreÿ u`.ska uqLfha ksfrda.S;djh /l.; hq;=h¡ • osklg fojrla o;a ueosh hq;=h¡ o;a uosk fõ,dfõoS wju jYfhka úkdä follaj;a o;a ueosh hq;= h¡ • *af,darhsâ iys; oka;df,amhla Ndú;d l< hq;= h¡ we;eï m%foaYj, mdkSh c,fha *af,darhsâ

fyd| o;a nqreiqjla f;dard.ekSu iïnkaOfhka Wmfoia jvd ld¾hlaIu f,i o;a iy úÿreuia msßisÿ lrk o;a nqreiqjla fyd| o;a nqreiqjla f,i ms<s.efka¡ o;a nqreiqjl l%shdldß;ajh ms<sn|j úúO isÿùï we;¡ uE;loS isÿl, m¾fhaIKhlg wkqj ähqfmdkaÜ ghsfklaia fl|s we;s o;a nqreiqjla mdúÉÑ lsÍfuka o;aj, tkeu,hg yd úÿreuia j,g lsisu ydkshla isÿ fkdfõ¡ ta jf.au jl%dldr f., iy l=vd ysi iys; o;a nqreiqj f,fyisfhka yd myiqfjka ´kEu o;lg <`.d ù kshudldrfhka msßisÿ lrhs¡

- igyk wñ; úl%udrÉÑ

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History of the Medicine Sri Lanka ffjoH úoHd jxY l;dj furg ngysr ffjoH wOHdmkhg w;a;sjdru oeuqKQ yeá - fujr wjidk fldgi

ffjoH úoHd jxY l;dj furg ngysr ffjoH wOHdmkhg w;a;sjdru oeuqKQ yeá - 03

fld<U ffjoH úoHd,fha b;sydih fld<U úYaj úoHd,hSh ffjoH mSGh - furg wef,dam;sl ffjoHjreka ìys lsÍfï merKs;u wdh;kh iïnkaOfhka wm óg by; l,dmj, m< lrk ,o ,sms iïnkaOfhka WKQiqï m%;spdr ,efnñka ;sfí' oeka cSú;fha ie|E úh .; lrk ffjoHjreka lsysm fmd<lau wmg woyia oelajQjka w;f¾úh' fï igyka ieliqfKA wfma rfÜ ffjoH b;sydih .fõIKfhys,d mqfrda.dñfhl= jQ <h frda. úfYAI{ ffjoH cS'iS' W!rdf.dv úh;=ka mkaysf|a igyka weiqßkah' wm fj; f;dr;=re imhkafka kï fï ,sms fm< ;j;a bosßhg f.k hd yels njo wfma j;auka cd;sl frday,''' tjlg fld<U uy frday, iïnkaOfhkao uq,a ld,fha f;dr;=re túh yels kï tajd wkd.; mrmqr úIfhys jkfmd;a lsÍfï W;aidyhl bosßhg;a wm ksr; jk njo okajd isáñka fuu ,sms fm< fï ,smsh;a iu.ska yudr lrñ' -iliq


03 jk l,dmh

uq,a ld,fha iqÿiqlï ,enQ jeä l<ïnq fuäl,a ial+,a yS uq,a fofkla n¾.¾ ffjoHjreka m%Odkdpd¾hjreka ;=ka fokdu uq,a ld,fha ffjoH jD;a;shg fnx.d,s ffjoH úoHd,fha ffjoH msúiS jeä fofkla n¾.¾ WmdêOdßka úh' fï ksid uq,a iïNhlska hqla; úh' ld,fha l,algd ffjoH wOHdmkfha ksoiqkla f.k n,uq' 1875 oS wOHdmkh ,eîug wdNdIfhka furg m%:u ffjoH ,shdmosxÑh ,enQ 33 fokdf. úoHd,h lghq;= lsÍu fkdje<elaúh ka 16 lau n¾.¾ iïNjhlska yels lreKla úh' hqla; úh' fuh 19 jk Y;j¾Yh uq¿,af,a u oelsh yelalla úh' ffjoH úoHd,fha wOHdmk lghq;= j,g uq,skau we;=,a jQ ldka;djo n¾.¾ ;reKshla jQjdh' fuhg wjidkfhaoS 1942 cq,s 1 osk hqksj¾isá fya;=j l=ulao @ fï wjêfha T*a isf,daka kñka fï úYAj úoHd,h ngysr fjolu wfma rfÜ wjfYaI ms y s j qjk ,oS' th oYl foll cd;skag wd.ka;=l fjolula úh' ld,hla hk ;=re bgq lr .ekSug ´,kao iïNjhla iys; n¾.¾jrekag fkdyels jQ fya;= o mejish hq;=h' th iqmqreÿ fjolu ue úh' tfiau 1931 jHjia:d ixfYdaOk" úYaj wOHdmk lghq;= bx.sßisfhka úoHd,h msysgqjk ia:dkh ms<sn|j isÿ ùu wjfYAI cd;Skag we;=<;a lU weos,a," 1930 ld,fha rfÜ ùfï iqÿiqlï imsÍug ndOlhlaj Woa.; jQ wd¾Ól wjmmd;h fukau mej;sfhah' 1934-35 jljdkqfõ mej;S uef,aßhd jix.;h Bg l,ska l, ndOd we;s oykj jk Y;j¾Ifha w. Nd.fhaoS;a lf<Ah' isf,daka fuäl,a fld,Scsh úis jk Y; j¾Ifha uq,a Nd.fha;a yd isf,daka hqksjisá fld,Scsh wNskj fï rfÜ nqoaêu;=ka md,lhkaf.ka úYaj úoHd,fha m%Odk wx. úh' wkjr;fhka lrkakg jQ b,a,Sula fuäl,a fld,Scsh fï iu.u ffjoH úh' ta cd;sl úYaj úoHd,hla wdrïN mSGh njg m;ajQ w;r tf;la m%odkh lrk f,ih' fï y`vg weyqïlka l< LS ämaf,daudj MBBS ffjoH oSula jYfhka md,lhka hqksjisá Wmdêh njg m;a úh' fld,Scshla fï rfÜ wdrïN lsÍug uQ,sl lghq;= iïmdokh l<y' th mQ¾K úYaj úoHd,hl m%:u mshjr jYfhks' cd;sl úYAj úoHd, Odrdj hgf;a mqkreohla oYl foll m%udohlska miqj

tl, fuu fhdacs; úYaj úoHd,h msysgqjk ia:dkh iïnkaOfhka újdohla we;s j ;snqKs' fhdacs; úYAj úoHd,h fld<U w.kqjr msysgqúh hq;= hhs flfkla fhdackd l< w;r Bg iqÿiqu ia:dkh fmardfoksh hhs

121 ffjoHjrhd


122 ffjoHjrhd

History of the Medicine Sri Lanka ffjoH úoHd jxY l;dj furg ngysr ffjoH wOHdmkhg w;a;sjdru oeuqKQ yeá - fujr wjidk fldgi

;j;a wfhla ;¾l l<y' wjidkfhaoS ie,iqï jQfha th fmardfoksfha wdrïN lsÍugh' fhdacs; f.dvke.s,s bosjk f;la th fuäl,a fld,Scs yd hqksj¾isá fld,Scs mßY% j,u m;ajdf.k hdug ;Srh flßK' uq,skau fmardfokshg f.k hk ,oafoa lDIsl¾u yd mY= fffjoH mSGhs' ta 1949 oSh' fojk ffjoH úoHd,h fmardfoksfha bos fjhs ta jk f;la mY= ffjoH mSGh mej;sfhao fld<U ffjoH mSGfha merKs NSI.afõo f.dvke.s,af,ah' fmardfoksfha wNskj úYaj úoHd,h wdrïN ùu;a iu.u fï rfÜ úYAj úoHd, wOHdmkhg iajfoaYslhka olajk ,o Wkkaÿj jeä úh' fï rfÜ fojk ffjoH úoHd,h fmardfoksfha wdrïN lsÍug ie,iqï ilia flßK' fmardfoksh úYaj úoHd,hSh ffjoH mSGh wdrïN jkafka 1962 oSh' wdrïNfhaoS wNskj úYAjúoHd,h i|yd .=rejreka fld<ôka u

uydpd¾h Tiauka ys,a

f.kajd .kakd ,o uq;a blauKskau uydpd¾h yd we÷re wenE¾;= fmardfoksfhka whÿïm;a le|jd iïmQ¾K lr.kakd ,oS' fï wkQj fld<T yd fmardfoksfha iudk uKavm folla bosúK' ta yereKQ úg 1967 Tlaf;dan¾ 1 osk fld<U úYAj úoHd,ho wdrïN flßK' 1972 oS ;j;a fjkialula isÿúh' tjlg l%shd;aul jqKq uKavm y;r iy lgqneoafoa isf,daka fglafkdf,cs fld,Scsh hk wdh;k ish,a, Y%S ,xld úYaj úoHd,h hk ;ks wdh;khl ixrpl njg m;a flßK' fld<U fifkÜ yjqia f.dve.s,a, fuys md,k uQ,ia:dkh njg m;a flßK' flfia fj;;a 1978 oS fï uOH.; md,kh kej;;a fjkia lr ;;a úYAj úoHd, j,gu mßmd,k lghq;= mjrk ,oS' ta wkQj fld<U uKavmh kej; fld<U úYaj úoHd,h njg m;a flßK' úúO úIhhka wNskjfhka werfò 1942 oS ffjoH fld,Scsh ffjoH mSGhla njg m;a ùfuka miqj fuys wxY myla muKla msysgqjk ,oS' Y,Hfõfoh" ldhjHÉfPaoh" fN!;fõoh" ffjoH úoHdj iy jHdêfõoh tu YdLd úh' 1940 oS ffjoH mSGhg kdrs yd m%ijfõo wxYhl wjYH;dj wjOdrkh jQ w;r 1942 oS uydpd¾h cS'ta' ví,sõ' úl%uiQrsh uy;d ta wxYh fufyhùu i|yd m;a lrk ,oS'


03 jk l,dmh

lS¾;su;a nqoaêu;=kf.a myi ,eîug jdikdj;aa jQ wOHdmk wdh;kh fyf;u c.;a m;, lS¾;shla oskQ m¾fhaIlfhl= úh' uef,arshd mrfmdaIs;hka jeoEuy yryd l<,hg f.dia l<,ho wdidokh l< yels neõ fidhd.;af;a fudyq úisks' wjdikdjlg m;a l< ;k;=f¾ rdcldrs Ndr.ekSug fmr uydpd¾hjrhdg cSú;fhka iuq.kakg isÿ jQ w;r ffjoH ksl=,ia wdá., ffjoH mSGfha ia;%S yd m%ij uydpd¾h OQrhg m;ajkafka bka wk;=rejh'

1942 oS ffjoH fld,Scsh ffjoH mSGhla njg m;a ùfuka miqj fuys wxY myla muKla msysgqjk ,oS' Y,Hfõfoh" ldhjHÉfPaoh" fN!;fõoh" ffjoH úoHdj iy jHdêfõoh tu YdLd úh' 1940 oS ffjoH mSGhg kdrs yd m%ijfõo wxYhl wjYH;dj wjOdrkh jQ w;r 1942 oS uydpd¾h cS'ta' ví,sõ' úl%uiQrsh uy;d ta wxYh fufyhùu i|yd m;a lrk ,oS'

wNskjfhka wdrïN lrk ,o ffjoH mSGfha m%drïNl Wml=,m;s jrhd njg m;ajkafka uydpd¾h ví,sõ'ta'B' lreKdr;akh' uydpd¾h ví,sõ'ta'B' lreKdr;akf.ka miqj fofjks Wml=,m;s jrhd f,i m;a jkafka ffjoH ksl=,ia wdá.,h' Y%Su;a ksl=,ia wdá., mSGdêm;s jYfhka lghq;= l< 1945-1953 jljdkqfõo" Wml=,m;s jYfhka lghq;= l< 1955-1966 jljdkqfõo ffjoH mSGfha wNskj wxY /ila wdrïN flßK' 1949 oS ´'B'wd¾' wfíj¾Ok uy;d uyck fi!LH ms<sn|j m%:u uydpd¾hjrhd jYfha m;a flßK' fuh tf;la mej;sfha ffjoH (Medicine) wxYfha úIhla jYfhks' fld<U ffjoH úoHd,fha fjdaydßl ffjoH úoHd wxYhla wdrïN

uydpd¾h f.da¾âka iañ;a

123 ffjoHjrhd


124 ffjoHjrhd

History of the Medicine Sri Lanka ffjoH úoHd jxY l;dj furg ngysr ffjoH wOHdmkhg w;a;sjdru oeuqKQ yeá - fujr wjidk fldgi

flfrkafka 1951oSh' ta cS'tia'ví,sõ' ä fiarï ffjoHjrhdf.a m%Odk;ajfhks' ffjoH ù' isj,sx.ï mrfmdaIs;fõo wxYfha uydpd¾hjrhd jYfhka 1956oS m;a flßK' NSIA.afõoh yd ffcjridhk hk wxY ms<sfj,ska tia' ví,sõ' ììf,a iy ta' ta' yQj¾ hk ffjoHjreka fjka jYfhka 1958 oS uydpd¾hOQr j,g m;alrk f;lau fN!;fõo wxYh hgf;au Wm fommd¾;fïka;= jYfhka l%shd;aul úh' ffjoH fgâ pemaudka nelaàßhdkqfõo wxYfha m%:u uydpd¾hjrhd f,i rdcldß Ndr.;af;ao 1958 j¾IfhaoSuh' 1952 oS .;a ;j;a mshjrla ksid ffjoH mSGfha wiSudka;sl oshqKqjlg moku ie,isk' ta ffjoH úoHdj" Yd,l ;ka;%h yd ia;%s frda. yd m%ijfõoh hk wxY i|yd iu uydpd¾h OQr ;=kla msßkeóuhs' fïjdg uq,skau m;a jQfha ms<sfj,ska

fca' wd¾' íf,aia" tï'ù'mS' mSßia iy ã't'rKisxy hk uy;=kah' wNskjfhka fmardfoksh ffjoH mSGh wdrïN ùu;a iu.u wenE¾;= msrùug isÿùu ksid fï l%uh blauKskau u. yeÍ .sfhah' ufkda ffjoH úoHd wxYh i|yd 1949 isgu myiqlï i,id ;snQ kuq;a 70 oYlfhaoS ffjoH iS'mS' úfcaisxy fuu wxYhg m;aj f;lau th l%shd;aul ;;a;ajhlg m;a fkdúk' ksl=,ia wdá., uy;df.ka miqj fld<U ffjoH mSGfha mSGdêm;s moúh fynjQfha uydpd¾h ´'B'wd¾'wfír;akh' ^1953-57&" bka wk;=rej ta'tia'osidkdhl ^1967-70&" tia'wd¾'fldaÜfgf.dv ^1970-82&" vemaks wdá., ^1982-86&" à'B'fca'ä' f*dkafiald ^1986-89&" tka fldaodf. dv ^1989-94& yd tï'tï'biauhs,a hk uy;ajreka fï lS¾;su;a wdh;kh" fld<U ffjoH mSGfha mSGdêm;s OQrh fynùh'


Advertorial flaY!IOh flaY uQQ, ;r,h

{dkh yd j¾;udk úoHd;aul ;dlaIKh iïnkaO lr.ksñka ysiflia jeàu iqÿùu >k;ajh úh<snj ysiafidß j,ld ks,ajka flia l<Ula m%d¾:kd lrk ia;%S mqreI fom¾Yjhgu .=Kodhl —flaYuQ,;r,h˜ kñka b;d jákd T!Iëh .=Kfhka hq;a f;,hla ksIamdokh lr we;¡

óáhdf.dv .=rej;a;j,õfõ Green Herbal Products fjo f.oßka f,dalhg odhdo l< uy`.=

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ysifla j¾Okhg m%;HlaI Tiqjls .%Ska y¾n,a wdh;kfha wêm;s fmardfoKsh úYaj úoHd,fha bxcsfkare WmdêOdÍ mS¡t,a¡ví¡ta¡ ch;s,l uy;d ;udg mrïmrdfjka ,enqKq wdhq¾fõo

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Baby care ì<s÷ka w;r iq,n m%Yakhls" Nappy Rashes

ì<s÷ka w;r iq,n m%Yakhls" Nappy Rashes <ud frda. úfYaI{ ffjoH oSmd,a fmf¾rd úisks kems ?Iia (Nappy Rashes) .ek iuia;hla jYfhka yeu flfkl=u mdfya okakjd' okakd lshk ixisoaêhl ;j;a oek.; hq;= oE ms<sn|j újrKhl fhfokakhs fï jEhu'

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128 ffjoHjrhd

Nappy Rashes we;s fjkafk lsßleáhdf.a kems wkaok úg jefyk m%foaYfha' uq;%d lrk ia:dkh" msgqmi jf.au bls,sh wdoS jefyk odr j,;a Nappy Rashes we;s fjkjd' wjqreÿ folla ú;r hklï Nappy Rashes we;s fjkak mq¿jks' jvd;a iq,nj Nappy Rashes we;s fjkafk udi 9-12 jf.a ld,fhoS'

u; wdidok" m¿ we;s fõ' os,Sr" nelaàßhdkq yd ffjri wdidok ksido Nappy Rashes we;sfõ' l,d;=rlska wjia:djloS fhdod.kakd meïm¾ia orejdg wdid;añl úh yelsh' jvd wk¾> ;;ajfha ksIAmdok is`.s;a;d fjkqfjka Ndú;d l< hq;af;a fï ksidh' m%;sYla;sh ÿ¾j, jQ úgo fï Nappy Rashes we;s ùfï wjodkula we;'

Nappy Rashes fldhs jf.ao @

Nappy Rashes j,g m%;sldr

Nappy Rashes we;s fjk ;eka

r;= mdgg we;s fjk ìì,s' we;eï úg iqÿ mdgg;a we;s fjkjd' ;ekska ;ek pQá pQá ìì,s jf.au m<d;l modihla we;s fjkak;a mq¿jks' lshkak ´ks iuyr ì<s÷kaf.a Nappy Rashes l=vd ,m úosyg;a we;s fjkak mq¿jka'

Nappy Rashes yefok fya;= • kemsfhka ldkaÿ ù uq;%d ì<s÷ iu u; tla /ia ùu • hSiaÜ jeks os,Srhla ksid • nvt<sh hdu ksid YÍrfha we;s jk ;=;a;kd.ï (Zinc) W!K;djhla ksid • lsß kshñ; mßos fkdosrùu ksid (Lactose Intolerance) • oyäh oeóu ksid • nelaàßhdkq wdidok ksid uQ,sl jYfhkau fï Nappy Rashes j,g fya;= jkafka uq;%d iy llal iu u; os.= fõ,djla mej;Suhs' fï ksid ì<s÷ iu wdidokhg ,la úh yelshs' f;;a lsÍfuka miq os.= fj,djla kems" udre lr fkd;sîu wfkla fya;=jhs' fjfiiskau ixfõoS iula we;s orejkaf.a fï ksid iu

m%;sldr l< hq;af;a ksjeros frda. úksYAphlska miqjh' orejd ffjoHjrfhl= yg fmkajd frda. úksYAph isÿ lr.kak' os,Sr wdidokhla kï os,Sr kdYl wdf,amk ks¾foaY flf¾' fya;=j nelaàßhdjla kï m%;scSjl isrma j¾.hla fukau wdf,amk ks¾foaY flfrhs' l,d;=rlska wjia:djloS fuysoS tkak;ao kshu flfrhs' mdpk ;;a;ajhka ksid we;sjk W!K;djhla fï i|yd fya;= úks kï m%;sldrh i,ikafka ta frda.h ikSm lsÍugh' tlS W!K;djh imqrd,Sugh'

mKsúvh wjidk jYfhka fuysoS mKsúvhla oSug leue;af;ñ' Nappy Rashes je<elaùug orejdf.a ta wdY%s; m%foaYh yels muK úh<sj ;nd.kak' uq;%d yd llal jeä fj,djla iug iam¾Y jk fia ;eîfuka j<lskak' meïm¾ia fjkjg fros kemshla wekaoùu jvd;a iqÿiqh' meïm¾ia Ndú;d lrk úg úYAjdijka; ikakduhla iys; meïm¾ia ta i|yd is`.s;a;d fjkqfjka fhdod.kak'


03 jk l,dmh

129 ffjoHjrhd



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